Certainly with the QUAD Witching today you have a point, but as far as I can see....the XBI has bottomed out (I was wrong last time) and AVXL looks even stronger (in comparison)...ACAD looks very good so far, ANVS broke the resistance @ the 50 day...SAVA not the best, imo.
I'm impressed with the RSI not quite overbought and the MACD confirming the trend on AVXL....let's see if we get a volume confirmation!
However, you correctly pointed out that we are at a resistance spot (the 5th effort to break above 13 to 13.50)..