Editor’s note: In January, we sent this letter to our donors, friends and trip participants to explain the shift in daily leadership of Hand in Hand. We post this letter with our most sincere wishes for Wayne to get well, and fast. We know he has big dreams for Hand in Hand, and we hope that he is around to see them all come to fruition.

Wayne Fowler
In September of last year, I was diagnosed with Stage 4 renal cell cancer. Some of you may remember that in July of 2010, I had my right kidney and adrenal gland removed, both of which were
malignant.
I thought I had dodged a bullet, but on September 1, I was told that a 3 cm mass had reoccurred where my adrenal gland had been. After the mass was removed, I was subsequently found to have a second mass and several nodules in my lungs.
I am currently in a clinical study that is being conducted by the M. D. Anderson Cancer Hospital in Houston, Texas. Every two months, I return to Houston for tests and treatment. In between, I am being treated locally. I feel confident in those who are helping me, and I’ve been told that my prognosis is good. However, my illness has precipitated a change in my ability to work.
I have turned the daily responsibilities for running Hand in Hand over to my longtime assistant Libbey Smith and our development director, Marla Cautilli. I will still be intimately involved in the workings of HHM but at a more strategic level. Hand in Hand has been my life for the past 14 years, and I cannot imagine living without my work and my passion for service.While I am not happy about my circumstances, I have the utmost confidence in Libbey and Marla, and we will continue to be the Hand in Hand that you have known and supported with your generosity.
One thing that will definitely not change is our need for your financial support.We are coming to the end of a three-year grant that helps support our HIV/AIDS work in Belize. In order to maintain the same level of service, we need to make up $55,000 of that grant in 2012 and the same amount in 2013.We are raising money in Belize, but that money will only cover a small part of the amount needed.We need your help in sustaining our services not only in Belize, but in Nicaragua and Appalachia also.
With your support, I am confident that Hand in Hand will continue to thrive.
Peace,
Wayne Fowler