I am very pleased to report that Round 4 of chemo was the easiest yet! My oncologist lowered the dosage of my chemo drugs in Round 3 to try and reduce some of the adverse side-effects, but it didn't really work, so for Round 4 I was back to my original dosages. For some reason, this round produced almost no nausea and no pain. The fatigue was noticeably more with Round 4, but trading added fatigue for reduced nausea and pain is a trade-off I'll take every time!

I've also begun receiving iron infusions on Wednesdays following my chemo on Mondays to help improve my iron-deficiency anemia (which is caused by the chemo). I haven't been able to receive iron infusions up until this point because the sinus cavity tumor biopsy had not been completed. Although I believe the iron infusions may have added to my fatigue with Round 4, during my off-week I have felt better than I have in months. It has been a blessing to be able to have some "normal" days with my wife and children.

Next Monday I will have Round 5 of chemo, and will be going back down to MD Anderson in Houston on June 16-17 for scans to determine whether the chemo is working to slow the growth of the stomach tumor and the cancerous lymph nodes.

Thank you so much to all of you who continue to intercede on our behalf. Please continue to remember the following requests:

• For unusual efficacy of this chemotherapy against my specific cancer.
• For continued easing of the chemo side-effects
• For good news from the scans in June.