26-May 3:50 PM

Nurse:  Anna

BP       144/86

Pulse    84

O2        95%

Temp     98.4 No Fever

Resp     24

Tumor           19.5 X 18.5 No change in size, but change in texture and color

Abdom Girth   120 Smaller than last measurement 

Knee Bump     7.5 X 3.5 No Change

Weight            147 Down 3 lbs

R-L Arm Girth 29.5 - 29.5 UP 1cm each arm

Notes: Rales are worsening especially in left lung (side of tumor).  Tumor is very red and more nodular. She tires very easily under any exursion.