(from Esther):

Friends, we are not in a good place right now. We have been looking for a way to say this but there doesn't seem to be a right way.

Ava had a bone marrow biopsy on Monday and we found out on Tuesday that she has relapsed in her marrow. It's a small amount now but expected to grow without treatment. We are discussing options.

She's in the ER right now for fevers and a viral infection that she is having difficulty fighting off. Thank you for your prayers that Ava be healed.