I go by #Servivorgirl. Celebrating almost 14 years since diagnosis of stage IIIC ovarian cancer, recently restaged to IVB. My blog is called Nobody Has Ovarian Cancer because I felt like a nobody upon the eventual correct diagnosis. Being told multiple times that I was too young to have ovarian cancer, I did not receive the proper testing. I am so grateful to Him for all those who allow me to share my love, to those who love me and those who treat my illness. I praise Him always.
The Dangers of Power Morcellation: This information is from the Recall Center about the dangers using power morcellators for hysterectomies.The link pasted below from The New York Times shares important research about the dangers of this procedure.
Ladies beware, please read.
What is a Power Morcellator? A device used in hysterectomies to cut tissue into small pieces to be removed from the body. However, uterine cancers sometimes go undetected prior to the procedure. In these cases, the morcellator dices up and spreads unsuspected cancer inside the woman's body.
Hysterectomy is the 2nd most common surgery among women in the United States
By age 70, one out of three American women will have had a hysterectomy
90% of these surgeries are done to remove Fibroids (non-cancerous tumors found in the uterus)
The average life span following accidental morcellation of sarcoma is only 24-36 months
Only 15% of women who have leiomyosarcoma (LMS) that has spread (stage 4) will be alive after 5 years
Women with sarcoma who are morcellated are about 4 times more likely to die from sarcoma than if they had not been morcellated
We have some great information about the device and it's dangers on our Power Morcellator page.
Seattle is soon to be hopping with events that raise money to support ovarian cancer research and F.O.R.C.E..
This post today sends you to important links that help us in this region to better support those effected by this cancer or who are threatened with possibly facing the reality of breast or ovarian cancer due to the inheritance of a BRCA1 or BRCA2 genetic mutation.
On Sunday July 27, 2014 the Marsha Rivkin Center for Ovarian Cancer Research is hosting the SummerRun and Walk in downtown Seattle. This is an annual event supporting a research center dedicated solely to ovarian cancer. Please take a look at my site and see how you can help.
I am a "VIRTUAL WALKER" this year because my cancer fatigue and rheumatoid arthritis preclude me from walking at that early hour. ;-) I get really hot when walking too, which makes me sick....ugh.
Although a few potential jokes linger about me resting in luxury while everyone else walks, I am disappointed because it is important that we see as many people as possible on the walk. So anything you can do to help us up here in the pacific northwest would be greatly appreciated. This event grows stronger every year and with your help we can make it even more powerful.
In September, look forward to viewing an award winning screening of "N.E.D. The Movie". This is the documentary about the gynecology oncology surgeons, their awesome band and their loyal fans.
Proceeds benefit F.O.R.C.E. Facing Our Risk of Cancer Empowered. I am BRCA 1 mutation positive. Myself, along with thousands of others, are either currently facing breast or ovarian cancer or have a great risk of having one or both of these cancers in the future. The genetic mutations increase these cancer risks.
F.O.R.C.E. helps us and those effected by this news. I will post more about this event, the genetic mutations and F.O.R.C.E. as we get closer to the event.
F.O.R.C.E. was very helpful to me and my family when it was discovered that I have the mutation Now we know more of what to do and when.
Meet Valisia Lekae: She is a young beautiful star on broadway who was blessed to have had her ovarian cancer detected early. She is seen in the segment hosted on Today with Kathie Lee Gifford and Hoda Kotb. Valisia is now the spokeswoman for the National Ovarian Cancer Coalition and together they move forward with our cause.
The NOCC also recommends that women continue to get annual pelvic examinations. Here is a link to their news section where you can find more information about this very important issue.
I was shocked to learn of the recommendation that asymptomatic women could bypass the pelvic exam. Some women who were asymptomatic do have ovarian cancer, and it is important to allow your gynecologist the opportunity to perform a complete medical exam.
The bimanual exams are uncomfortable, yes. But they should not be painful. Medical exams are never fun but the discomfort of a pelvic exam is minimal compared to the agony of cancer surgery and chemotherapy. I only say this because women still need to arm themselves with information. You may not really know where a doctor stands on any given medical issue and unfortunately we need to constantly double check what the primary care doctors are doing.
I am looking forward to learning more about Valisia Lekae and am very excited that such a strong and beautifully talented woman is our spokesperson.
ACOG Practice Advisory on Annual Pelvic Examination Recommendations
June 30, 2014
Washington, DC — The American College of Obstetricians and Gynecologists (the College) has reviewed the recommendations from the American College of Physicians about annual pelvic examinations and continues to stand by its guidelines, which complement those released recently by the American College of Physicians.
The College’s guidelines, which were detailed in this year’s Committee Opinion on the Well-Woman Visit, acknowledge that no current scientific evidence supports or refutes an annual pelvic exam for an asymptomatic, low-risk patient, instead suggesting that the decision about whether to perform a pelvic examination be a shared decision between health care provider and patient, based on her own individual needs, requests, and preferences.
However, the College continues to firmly believe in the clinical value of pelvic examinations, through which gynecologists can recognize issues such as incontinence and sexual dysfunction. While not evidence-based, the use of pelvic exams is supported by the clinical experiences of gynecologists treating their patients. Pelvic examinations also allow gynecologists to explain a patient’s anatomy, reassure her of normalcy, and answer her specific questions, thus establishing open communication between patient and physician.
Of course, pelvic examinations represent just one part of the annual well-woman visit, which can help to identify health risks for women and which can also feature clinical breast examinations, immunizations, contraceptive care discussions, and health care counseling. Importantly, annual well-woman visits help to strengthen the patient-physician relationship.
“We continue to urge women to visit their health care providers for annual visits, which play a valuable role in patient care,” said John C. Jennings, MD, President of the College. “An annual well-woman visit can help physicians to promote healthy living and preventive care, to evaluate patients for risk factors for medical conditions, and to identify existing medical conditions, thereby opening the door for treatment. Annual well-woman visits are important for quality care of women and their continued health.”
The American College of Obstetricians and Gynecologists (The College), a 501(c)(3) organization, is the nation’s leading group of physicians providing health care for women. As a private, voluntary, nonprofit membership organization of more than 58,000 members, The College strongly advocates for quality health care for women, maintains the highest standards of clinical practice and continuing education of its members, promotes patient education, and increases awareness among its members and the public of the changing issues facing women’s health care. The American Congress of Obstetricians and Gynecologists (ACOG), a 501(c)(6) organization, is its companion organization. www.acog.org
I am in a complete state of awe, joy, sorrow, amazement, gratefulness and peace. The woman at the top of this page is my beloved and dearly departed mom. She goes by Jane. She brought me into this world on this day 50 years ago. It breaks my heart that she is not here today as I celebrate a milestone that I thought I would never see.
In this photo we are enjoying lunch at a little place in Ballard (Seattle). It is called "The Barking Dog". I remember that day so much because she was so excited to sit outside and get some warmer fresh air. In Seattle it is not common to enjoy a meal outside because it can be chilly, even in the summer.
Once we got settled onto the patio we talked, laughed and shared a nice lunch. These simple times with mom and other times with the people I love are what make me happy.
I am grateful for these moments. I am grateful for every drop of daylight. Every shimmer of moonlight. I am grateful for every conversation, meal, celebration, cup of coffee, family gathering and chance to say hello.
I am grateful for every situation that tried my patience and gave me a chance to grow. I am grateful for every person who made me look at myself and my life and challenge me to be better. I am grateful for every way that I could contribute and give someone else a reason to smile too.
I am grateful for my family: mom, dad, sister, brother, nieces, nephew, aunts, uncles, grandparents, cousins, and all the wonderful friends I have made along the way. I am grateful for my doctors, nurses and support persons. I am devoted to God. I have stories to tell about the angels and saints.
I also am grateful for the chance to be on the Today Show with my mom. THAT was pretty amazing. For my sister who rode the Seattle Great Wheel with me. For my aunt, sister and brother, old boyfriends and Barb for literally plucking me off the ground after surgery to get me to Seattle for chemo. For countless favors and kind gestures from others to keep me here....wow!
My sister especially gave so much of her precious time, of her heart, to be there and do what needed to be done. All those trips to chemo, hospitals. Plus helping with mom. Both she and my aunt stayed with me before I moved to Seattle. Oh and my brother drove my car to Seattle for me.
Today I am on maintenance treatment with Avastin and starting a new regemin for my rheumatoid arthtitis, that has gone out of control. With that I am resting up from the trauma of losing mom. I am in a much better place than before. I feel hopeful. I feel like I am more on purpose. Even though many things are changing all around me, there are things I am supposed to be doing. I want to get them done.
I am very excited about what the future can bring.
I was not actually planning that this post would be this way. There is lots going on, especially with recent changes in recommendations for gynecological health care exams. Cancer changes you and everyone around you.
I can write about all that another day. Mom would want that, she was an activist at heart.
Today my dad called. I spoke with my sister. I received cards from my aunt and dad. I have a special gift from my sister later today. I am going to be talking with my aunt and brother today.
Woweeeeeeee!
I am thrilled to be here to do all of this! I need nothing material. I just want to give love and be loved.
The little video of the bees was taped at my mom's home. She had beautiful lavendar bushes. They attracted the most amazingly large and puffy black and white bees.
I was riding on top of the double decker bus, the night sky was void of stars and moon. I had been standing on my seat when the driver took a sharp turn. I was jolted back into my seat just as a bright flash shot like lightening across the sky. When we pulled into the camp we were met with women and children running and screaming. Something had crashed into the stadium fields just down the road. I was escorted off the bus to the main lodge where I took my post as hostess.
During this dream I am asked to decorate the main lounge with a stuffed Christmas Tree. Wierd. I see my mom's father and he is assigned to find out what has crashed in the stadium. He smiles gently, gives me a hug, grabs my hand then slowly fades into the background. I love you Grandpa!
Next I find myself kneeling next to another very dear relative who has been brought inside for cover. She is out of breath, restless but somewhat elated. I am nervous because I do not know what to do. One of the workers assures me that I am the right person to help because she trusts me.
I am terrified because she has two irises in each eye. She says she can see me clearly. She repeats over and over, "I stopped the medication and everything is clear now". She just smiles and smiles, looking wondrous and happy. Her eyes haunt me right now. I want to know what that means...... two irises in each eye.
Then I wake up. It is just after noon. I am supposed to get my Avastin at 1:00 pm. Late again. Thankfully they will take me later on. I have had the worst time with being so deep in sleep/nightmares, not able to wake up.
:-)
So to lighten the mood I am sharing a video from my friend Joe Hendricks. He is an expert hiker. He brings us to a peaceful place apart from daily troubles. I encourage you to visit his You Tube site. Joe lost his sweet Heidi to breast cancer. He is a true inspiration for me. Thank you Joe for bringing joy. I am home from a treatment, relaxing here with my kit kat Marilyn. Counting my blessings and praying for those in harms way.
The latest research released by Penn Medicine further supports that much consideration needs to be done when contemplating risk reducing surgery to prevent ovarian cancer. This information is geared towards women who have a mutation of BRCA1 or BRCA2. All women can benefit from these studies.
I am linking this article along with another article involving the relationship between the fallopian tube and ovarian cancer as well. The two articles provide an interesting perspective on how preventative surgery may be managed. There is strong hope that removing only the fallopian tubes instead of ovaries AND fallopian tubes may be adequate protection from ovarian cancer.
In my personal opinion, had I known about my BRCA1 mutation at a younger age, and if we had this research available at that time, I may have considered just removing just my fallopian tubes in order to reduce the risk of ovarian cancer. The premature removal of our ovaries causes dramatic changes and if we can help to avert ovarian cancer with fewer negative side effects, more women would agree to undergo risk reducing surgery.
It is exciting to see that researchers are discovering more options to help prevent ovarian cancer.
Here is a link to a proof of concept study at MD Anderson on using salpingectomy with delayed oophorectomy:
If you are positive for one of the mutations, and have not had risk reducing surgery, please review these articles. They are meaty, but worth your time.
Thank you to my cousin for sending me this very important information from Penn Medicine!
Detailed Ovarian Cancer survey respondents needed! Please help those who help. The Ovarian Cancer National Alliance, in conjunction with Ovarian Cancer Australia and the Australia New Zealand Gynecological Oncology Group (ANZGOG), are asking women who were diagnosed with ovarian cancer at least six months ago, and received treatment, to complete a confidential survey about concerns they faced post-treatment. This is important in order to assist in developing better treatments and interventions in the future. The following survey should take approximately 20-30 minutes and asks about the treatment you received and the impact it had on your quality of life. All answers are confidential.
PS.... I am coming up on my 5 year survival date on July 29, 2014. I am so grateful, so humbled.
My Avastin treatment continues to chip away at my remaining tumors. My rheumatoid arthritis is out of control, but that will hopefully get remedied soon. Sleep ..... sleep....sleep. Ha!
Enjoying the light and love from family and friends. Thanking God for each new day.
.....as they say. It is a fight to the death for all of us. No matter your situation, if your life is in jeopardy you fight to the death.
I am relieved to see that Colorado has just passed legislation that allows terminal patients more options to extend their life on earth. I cannot imagine the heart break knowing that a medication exists that could save the life of the one you love, but they can't have it.
The important thing for each of us to consider is to what length do we want others to go to in order to keep us alive. Having an Advance Directive is important, especially if you have an illness like cancer. It is important that your loved ones know your wishes. It is not easy to think about, let alone write out.
Our mom, God rest her soul, took time to write it out and to articulate her wishes when it came to heroic measures. Although she did not have cancer, the only thing that kept us grounded during her final hours was knowing that her wishes were honored. We are never prepared for these tragic situations. Never.
We tend to think that logic will rule, but desperation and pain take over. Sometimes the only thing that keeps loved ones on a single page is an Advance Directive. We beg God, we beg doctors, we scour the internet looking for answers that will save our loved ones. We pray for miracles.
Miracles may now come for some in Colorado and people can make it known that they want experimental drugs as a last resort.
Here is a link to an article about the Colorado legislation from The Huffington Post:
Right To Try Please follow to read the article in full.
I think the naysayers have never really needed to fight tooth and nail for their own lives. One said this jeopardizes the approval process and delays release of those experimental medications to the masses. Well, that issue, if it is real, can be fixed because the FDA can make adjustments for this. Paperwork, red tape, money and more money..............none of those concerns has a real pulse.
As long as an informed patient or legal guardian with a durable medical power of attorney fully understands all the risks, are willing to take the risks and absolve the drug manufacturer of liability, the patient should get their last chance for life.
We want to swim, not sink. When someone you love is drowning you want to throw them a lifeline.
Thank you Governor John Hickenlooper of Colorado!
Thank you for showing true compassion!
I pray that all states pass this kind of legislation..
I am thinking today about cantaloupes. What? Yes, the cantaloupe. I love this time of year. I love the sweet, fresh, full flavor of the cantaloupe. Why is this important?
Several years ago I was having one heck of a time with eating. Ever since my optimal debulking and chemotherapy treatments my digestive system has been out of whack. This is very common for women with ovarian cancer and can cause serious and potentially life threatening conditions related to blockages. It is very important to get our digestive health in order.
I went to a Naturopathic Doctor, on the recommendation of the survivorship program at the SCCA. It was one of the best referrals ever made. When it comes to digestive health, seeking out natural remedies in addition to the reliable standards (Miralax) can add quite a bit of positivity to our lives.
For some perspective: Many chemotherapy agents cause severe nausea and abdominal pain. The irony of taking antinausea meds is that they cause major constipation that causes more nausea. Pain medications cause constipation that causes pain in the abdomen.
Someday this will not be the case, but it rings true for now and when on harsh chemotherapy, the battle ensues. Unfortunately many of us never fully regain optimum digestive motility. Over time though, we adapt and create a new way of eating and living.
My N.D. recommended taking digestive enzymes and another supplement with slippery elm. He also recommended that I eat 3 cups of cantaloupe per day. His suggestions truly helped to increase my motility and decrease my agony. It was a little on the expensive side to eat this much good cantaloupe, but well worth the cost. If only we had a garden.
Eventually I was able to eat a raw salad again, thanks to his advice. I am very grateful for this recommendation and for the ability to eat raw vegetables.
I am posting a few links about cantaloupe. They include nutrition and enzymatic benefits. You will also see important information about how to purchase, store, clean and slice them.
***Extra caution must be taken when handling a cantaloupe, especially for those of us with a compromised immune system.***
I hope you enjoy the benefits of cantaloupe as much as I did. Cantaloupe can be a very good fruit for people with cancer, eye disorders and other digestive disorders because it is easy to digest and filled with lots of nutrition.
One note from the site "God's Healing Plants"
EAT THEM ALONE
"Melons are very easy to digest. This is due to their high
liquid content – they are all 90% or more water. So melons digest almost
immediately. They require virtually no digestive action by the stomach
and pass through the digestive system very quickly; however, this can
only happen if the stomach is empty. If melon is eaten with other foods
that require more complex digestive action in the stomach, it can no
longer pass through quickly and gets “stuck”. Even though the melon is
already broken down sufficiently to pass quickly through the stomach, in
effect, it gets trapped there as it must wait for the other foods to be
properly digested. As the melon sits and waits in the stomach, it
begins to ferment, leading to bloating, gas and other digestive issues.
Due to this fact, it is important to
remember the following rule for all types of melons in order to promote
healthy digestion: “Eat them alone or leave them alone.”
Communicating with a medical professional about intimate details, especially anything resting within our torso below the belly button. Honestly speaking, who wants to talk about potentially embarassing issues? Your doctor has heard it all and seen more than you pry want to know about. Challenging them by asking for help using colorful details to describe your problems may work in your favor. Who knows? I have learned, and many have agreed, that journaling our health issues helps us to share information with certainty. Looking back, it is invaluable information that could have helped my doctors better understand what my body was fighting.
Our primary job is to create the dots and let the professionals connect them. We don't always know what we are looking for, but we always know what we feel inside our bodies. That and keeping ourselves educated can go a long way towards longevity and a better quality of life.
This post is designed to provide an overview of ovarian cancer and is a good one to share with your female friends. Ovarian cancer is complicated, almost never on anyone's radar and does have symptoms that should drive an inquisitive and compassionate doctor to search for answers.
Over the past 3 years I have seen a rise in the number of people dedicated to raising awareness of the most common symptoms of ovarian cancer. The most effective awareness campaign is one that reaches patients and the medical community.
I say this because some of the most common symptoms, persistent bloating, abdominal pain, getting full quickly, frequent urinatation, along with things like unexplained constipation, severe fatigue and lower back pain may not send you to your gynecologist. You may wind up getting a colonoscopy before you get a transvaginal ultrasound and CA 125.
Ask your PCP to tell you everything they know about ovarian cancer.
We desperately need a true screening test and a CURE!
Please share this information with your friends and family. Ovarian cancer sneeks up on women, striking often times deadly blows, but we can do something to help avert the trauma.
First, pay attention to the following:
Symptoms of ovarian cancer can often be confused with other less
serious conditions such as gastrointestinal disorders. Symptoms include:
• Increased abdominal size / persistent bloating (not bloating that comes and goes)
• Difficulty eating/feeling full quickly
• Abdominal or pelvic pain
• Needing to pass urine more urgently or more frequently
Please visit the World Ovarian Cancer Day site for more information:
Fred Hutch researchers weigh in on new recommendation that women with BRCA1 gene mutation have ovaries removed by age 35
Feb. 26, 2014
By Linda Carroll
Women who have a mutation of the BRCA1 gene can protect against breast cancer (shown) and ovarian cancer by having their ovaries removed by age 35, a new study has shown.
Photo by Science Photo Library / via AP images
Women who’ve inherited mutations of the BRCA gene could dramatically reduce their risk of breast and ovarian cancer by having their ovaries removed by age 35, a new study suggests. The international team of researchers who followed nearly 6,000 women with BRCA mutations for an average of 5.6 years found that preventive removal of the ovaries, called oophorectomy, reduced the risk of ovarian cancer by 80 percent and the risk of death from any cause by 77 percent, according to the study published in the Journal of Clinical Oncology. The study also found that women with the BRCA1 mutation were at a much greater risk of ovarian cancer than those with BRCA2 mutations. “To me, waiting to have oophorectomy until after 35 is too much of a chance to take,” said Dr. Steven Narod, a professor of medicine at the University of Toronto and the study’s lead author. “These data are so striking that we believe prophylactic oophorectomy by age 35 should become a universal standard for women with BRCA1 mutations. Women with BRCA2 mutations, on the other hand, can safely delay surgery until their 40s, since their ovarian cancer risk is not as strong.” Narod and his colleagues followed 5,787 women with the mutations, some for as long as 16 years. At the study’s outset, 2,123 women had already had an oophorectomy. Another 1,390 received the surgery during the course of the study, while 2,274 eschewed the surgery. For women carrying the BRCA1 gene, the researchers estimated that delaying surgery until age 40 raised the risk of being diagnosed with ovarian cancer to 4 percent, while waiting till age 50 hiked that risk to 14.2 percent. This is compared to the rate among those who had an oophorectomy before age 40: 1.5 percent. Experts agreed that the new study underscores the importance of early oophorectomy in women carrying the BRCA1 mutation. “Until now, our recommendations for prevention of ovarian cancer have been identical for women with BRCA1 and BRCA2 mutations. This study changes that,” said Dr. Elizabeth Swisher, medical director of the Breast and Ovarian Cancer Prevention Program at Seattle Cancer Care Alliance and a professor in the department of obstetrics and gynecology at the University of Washington. “Women with BRCA1 mutations are at higher risk of ovarian cancer in their late 30s while women with BRCA2 mutations have no appreciable risk until after age 40. Therefore, women with BRCA1 mutations should ideally have their ovaries and fallopian tubes removed by the age of 35, while women with BRCA2 mutations can safely wait until age 40.” There are, of course, downsides to having the ovaries removed. What women find most troubling is the immediate end of childbearing and the early entrance into menopause. “There are both medical and quality of life downsides from the early menopause,” Swisher said. “I would recommend that women take estrogen unless they have previously had breast cancer.” ‘It’s a very personal decision’ The decision is one that each individual woman has to make with her doctor, said Dr. Larissa Korde, director of the Prevention Center at Fred Hutchinson Cancer Research Center. “Women considering this have to look at a couple of different things: the risk of ovarian cancer and how an oophorectomy affects breast cancer risk versus how early menopause affects general health,” Korde said. “You have to consider the side effects [of early menopause] like hot flashes and vaginal dryness, and the effects on bone health and cardiovascular health.” Earlier oophorectomy might allow some women to keep their breasts. “If you have your ovaries out there’s a significant protective effect against breast cancer,” Korde said. “If women have not had breast cancer and their ovaries have been removed we often prescribe short term hormone replacement therapy and breast cancer screening. That’s an option some women opt for.” Ultimately Korde said, “it’s a very personal decision. Women have to deal with what their feelings are, what they’re afraid of, what risks they’re willing to take on and what side effects they’re willing to live with.” Read more: To screen or not to screen? Cutting through mammography confusion
I have not forgotten my ovarian sisters or their families. Our family has been grieving the loss of mom. My life has been enmeshed with my mom's life for many years, and each moment of joy and pain is equally treasured. We honored her life last weekend in Colorado, with family and friends from all around the region. My sweet Aunt said that she felt uplifted at the end. My sister worked so hard on the arrangements, thank you sis. We chose to share mom's joy, her smiles, elegance and cherished life events. Her suffering made us stronger. Now she rests in peace, with God.
As a person with cancer it is important to do all we can not only to learn about our cancer and treatments, but learn about resources that can assist us with our suffering. Palliative care can be an essential ingredient in the complex and everchanging recipe for our care.
My mom had the blessing of speaking with two palliative care nurses a week or so before she died. They gave her attention, validated her integrity and spoke with and to her as a whole person. They assured her that they were THERE to ease her suffering, and she was so happy about that.
I had asked several years back if the hospital offered palliative care, and at that time they did not. This service came to her too late, but it is not yet offered as a standard service. It is still relatively new and if you think you need it, please ask about it.
Indirectly, I believe that mom's primary doctors were offering palliative treatments, but without defining it as such, her treatments were not coordinated. This happens far too often.
Mom suffered great abdominal pain, nausea, fatigue and emotional exhaustion from grappling with the ups and downs from multiple hospitalizations and an overall downward trend in her quality of life. Plus a critical element, family education, really never happened.
When an individual is deemed to have chronic pain and suffering from a serious illness, the caregivers and patient need to be on the same page. To leave the education up to the patient places an unfair burden on them. The patient may not want to appear needy and the palliative care team knows HOW to educate without undermining a patient's dignity. How I wish mom had received this help earlier....
Had palliative care been introduced sooner, she may have had an overall better quality of life. Her family would have had support in supporting her better in the way mom wanted. We all did the best we could, and every life experience is a lesson. Mom had type 1 diabetes with all the trimmings, she suffered greatly. In her suffering she still managed to shine a beautiful smile, joyful laugh or deep regard for her loved ones.
Cancer patients greatly benefit from palliative care. This type of program has the purpose of enhancing quality of life by managing pain, stress and any other major issue inhibiting our ability to live as best we can with our illness. Please go to the lnk below to learn more about this treatment plan and to see if you or a loved one could benefit from this type of care.
