June 19, 2014:  Nanette continues with her chemo pill regimen and having very little side effects.  She is having pain in her shoulders and arms and numbness in her fingers.  An MRI indicated that she has torn rotator cuffs in both her right and left shoulders.  Unfortunately, the tears will not heal while she is on the Avastin treatments (she gets infusions every two weeks).  She has been having physical therapy which helps somewhat.  Some days she is in quite a bit of pain and other days, the pain is tolerable but unwelcome.  She had an Avastin infusion on Monday (June 16) and now they will discontinue treatments until after her next MRI which is in about six weeks.  They are hoping that stopping the Avastin infusions will enable healing to the rotator cuffs.  Surgery at this time is not an option, at least until after the next brain MRI and the oncologist can determine if stopping the infusions has an adverse effect on the tumor.  It is a roller coaster ride as they try to solve several problems at the same time.  She remains optimistic and hopeful.  Nanette, Regan and Riley and I went for a short week to visit her brother Tony and family in California.  The weather was beautiful and she enjoyed the time spent with her brother, his wife Cristie and their four children.  Tony took us out to dinner one night to a wonderful restaurant and the waitress asked if we were celebrating anything and Nanette said, “Yes, I am here.”  We explained that she is fighting cancer (as so many others are) and we were all just grateful that we could be together for a lovely evening.  When they brought her dessert, they had decorated the plate, brought two desserts for her, and didn’t charge us.  People are very thoughtful and kind in this world of ours.  Even small things make us grateful for each other