This is the sequel to the first By Endurance, We Conquer. It was sent a year after the first to family and friends as an update.
Further UPDATE: Samuel had the first of two planned back-to-back surgeries at University of Michigan in Feb. 2006. During the first surgery, the surgeons decided the second surgery couldn't be completed. In short, they've given up trying to get things fixed. But Dr. Butto hasn't, and neither have we.