Update

Had a doctor's appointment yesterday.  Bob's been in a lot of pain, especially in his neck.  The doctor thinks it's nerve pain, caused by the tumor in the spine.  With this last few days of pain he has increased his morphine from about 60-90mg every 8 hours to up to 210 mg every 8 hours, with not a lot of relief.  The next step is a pca pump.  He'll have a PICC line inserted today, and be hooked up with the pump.  I hope all goes well, and that this can provide some relief for him.  Because he will have the pump, he will need a nurse visit weekly, and so will be hooked up with Hospice for home care later this week.  Bob's also looking forward to getting a hospital bed so that he can make adjustments for sleeping.  He hasn't been sleeping very well. 
I'm trying to take this all in.  I know that it will be good to have better pain management, yet this is another step closer to losing him.  God has provided strength for each moment, and I trust that He will continue to do so.  
Isaiah 28:16 (New International Version, ©2010)

 16 So this is what the Sovereign LORD says:
   “See, I lay a stone in Zion, a tested stone,    a precious cornerstone for a sure foundation; the one who relies on it    will never be stricken with panic.
 He is my strength!
Karen