CDC Symptom Diary Card

Friday, July 25, 2014

Power Morcellation Can Spread Hidden Tumors (considering a hysterectomy?)




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.

Tuesday, July 15, 2014

Rivkin Center SummerRun and N.E.D. The Movie in Seattle

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.

Thank you.  To view my page or our team page:

SummerRun and Walk for Ovarian Cancer Research


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.

N.E.D. The Movie Coming to Seattle Area Soon

Peace and Blessings
Denise Archuleta  a.k.a. "Servivorgirl"

Sunday, July 06, 2014

Early Detection Of Ovarian Cancer Initiated by Pelvic Exam

http://t.today.com/klgandhoda/new-pelvic-exam-guidelines-what-you-need-know-1D79871721

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.

http://www.valisialekae.com/www.valisialekae.com/NOCC_Spokesperson.html

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.

http://www.ovarian.org/ovarian_cancer_news.php

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 - ACOG

ACOG Practice Advisory on Annual Pelvic Examination Recommendations - ACOG

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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.”
For more information on well-woman visits, please visit www.acog.org/wellwoman.

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

Wednesday, July 02, 2014

50 YEARS AGO




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.

Mom, until I see you again.....

Thank you God for this day today. 

Love to all.

Denise

Wednesday, June 18, 2014

The Eyes Have It

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.

VIDEO LINK: A Hike With Joe

http://youtu.be/cLcMeYEo6Ek

Peace and Blessings to all

Denise
aka #servivorgirl

Friday, June 13, 2014

More Research for BRCA Mutation Carriers



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:





http://clinicaltrials.gov/ct2/show/NCT01907789

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!

http://www.uphs.upenn.edu/news/News_Releases/2014/05/rrso/

http://www.ajog.org/article/S0002-9378(13)00382-7/pdf

Peace and Blessings!

Denise
aka #servivorgirl

http://clinicaltrials.gov/ct2/show/NCT01907789

Wednesday, June 11, 2014

Survey Respondents Needed

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.

https://www.surveys.unsw.edu.au/f/158683/1409/


Thank you for your time and contribution.

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.

Peace and blessings,

Denise Archuleta
aka  #servivorgirl

Tuesday, May 20, 2014

Fight To The Death "Right To Try" laws


.....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.

http://www.caringinfo.org/i4a/pages/index.cfm?pageid=3289 (link to information on advance directives)

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..

It gives us hope.

Peace and Blessings,

Denise
aka "servivorgirl"





Link To Medical Directives by State

Wednesday, May 14, 2014

CANTALOUPE

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.”



Enjoy!

Peace and Blessings

Denise Archuleta
aka "Servivorgirl"


Friday, May 09, 2014

Are Your Health Concerns Second Class?

DO YOU HAVE A BLOG OR ONLINE CAMPAIGN THAT COULD SAVE A LIFE?

If so, your ability to reach people will be severely hampered because a few companies want to control  the speed of the internet.

I watched this and now I really see how dangerous this is for everyone.  We must retain net neutrality.

http://front.moveon.org/what-happens-when-cable-companies-try-to-rip-us-off/

I try to avoid politics but this effects everyone.

Help preserve my blog and your right to equal access to information on the internet.

Teal hugs,
Denise Archuleta
#servivorgirl

Wednesday, May 07, 2014

Be Confident

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 read this very informative article:

Monday, May 05, 2014

WORLD OVARIAN CANCER DAY MAY 8th


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:


More to come.

Peace and Blessings from Denise Archuleta
aka "servivorgirl"

Thursday, April 24, 2014

BRCA 1 Mutations: Treat Earlier

This latest important research shown in Fred Hutchinson Cancer Research Center News

http://www.fhcrc.org/en/news/center-news/2014/02/ovary-removal-by-age-35-to-reduce-cancer-risk-.html

Ovary removal by age 35 to reduce cancer risk?

Fred Hutch researchers weigh in on new recommendation that women with BRCA1 gene mutation have ovaries removed by age 35

Feb. 26, 2014
Breast cancer
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

Sunday, April 13, 2014

PALLIATIVE CARE: An Introduction

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.

Peace and Blessings



http://www.caregiverslibrary.org/caregivers-resources/grp-end-of-life-issues/hsgrp-hospice/hospice-vs-palliative-care-article.aspxhttp://www.getpalliativecare.org/whatis/

Wednesday, March 05, 2014

Mom's Obituary I LOVE YOU MOM!

I am so thankful that over the past few years a few of you have taken time to know our mom.  I miss her so much.  I never knew a heart could ache like this.  

I am pasting a link to her obituary.  One day I will see her again.

  Mom, I love you forever.  God rest your sweet soul.






My aunt and sister did such a beautiful job of writing up mom's story, love you!

Monday, February 24, 2014

Feng Shui

I awoke today (Sunday) at 8pm.  I had slept 18 hours, basically straight through except to feed sweet Marilyn and get a glass of water. 

So contrary to the burst of energy felt a few days ago when a Fung Shui master came to my humble abode and assisted me with arranging my space to create the optimum living space for me.  One that facilitates healing, comfort, spiritual growth, family and creativity.  After she left, I felt much more capable of finishing my move.

I found the rather reasonable fee well worth it, for she saved me from making several purchases for furniture that I really don't need.  Yay.

My "stuckness" today is that I still need a piece for the TV, a TV and a pretty storage area to hold the unfinished projects from mom, photos, and my project stuff.  Plus I work part time from home and want my desk area to generate creative positive energy.  I need to finish the project, sigh.  After I am done writing, I will play with Marilyn and order my stuff.  Yes I will!

I recently moved from a very small one bedroom quiet apartment to a two bedroom in the same building.  I am totally and completely exhausted from moving mom's things, my things and now needing to finish setting up my things.  I am tired of things, to be honest.  Most definitely tired of moving.  This last move will either be number 29 or 30 for me.

But mom's things are beautiful, her pottery, art, photos, furniture and other pieces bring me comfort.  I want to honor her memory properly and display them with care.  No clutter.  No tacky arrangements.

The consultant surprised me.  She was bright, cheery, well trained, almost two decades, and just knew what to do.  I let her know I was still in treatment for ovarian cancer recurrence, mom had just passed away and that I needed help to create the ideal space.  We chatted, she was very comfortable to talk with.  Then she rolled up her sleeves and started moving things around. 

I had mom's painting and prints all lined up along with nicely framed family photos.  We spent lots of time planning the placement of each piece to be in harmony with the energy of the baqua, or life layout.

It was amazing to see how she placed each piece just perfectly and suddenly the area radiates, the piece is more vibrant and you want to be in that space.

I need a handyman to help me hang prints.  I need to still buy the storage units, media table and TV.  After that it's a matter of ongoing shredding and setting up the pottery for display.  I want to get to work on the photos project. 

I am also chronically fatigued, behind on tasks related to moving, etc.  I just am overwhelmed.  When my apartment is finished, this space will be a part of my healing as opposed to just a place to stay and pay rent.

I have always been very sensitive to my surroundings.  My mom used to sort of complain that I was too particular.  I separated my food.  Can't stand to be in dirty places or dark spaces.  I would make a terrible archeologist for example.

My mom is allowing me an opportunity to fully create this space and I am excited. 

Below I am pasting a link about cancer fatigue and also a link to Cynthia Chomos.  She really made it easier to blend my mom's belongings with my few little things into an arrangement that honors the work she did and inspires me to thrive.

I am weighted with worry because I am adding Enbrel to my arthritis treatment plan.  Basically Enbrel works by blocking Tumor Necrosis Factor to fight inflammation.  My Avastin fights to cut off blood supply to my tumors.  So Enbrel could make it easier for my tumors to flourish.  I have run out of options.  Part of my terrible fatigue could be from the bad arthritic flares that started  back in September.  I need to get my arthritis under control, and the risk to my cancer is small but there.  I just would be devastated if something went wrong.  I am tired of crying when I have to open a difficult container.  Ha

So anything we can do to create a healthy living space will help us feel better.  I have always operated that way.  Please take a moment to look at these links.  Cynthia was the exact person I needed to get me started here in this new place. 

................................................

Feng Shui

Cancer Fatigue


Mom in one of her gardens.

Monday, February 17, 2014

A Kansas Hurricane

A Kansas Hurricane

I looked back with a smile as I was leaving to see my mom holding the screen door open.  The little white house with the deep gray roof, the simple paneling, a window on either side and the narrow walkway that led from the porch to the sidewalk said “Kansas” with an exclamation point.  I could see a pale blue sky and little puffy clouds overhead.  It should have been a perfect day.

I was headed to school.  Mom was standing in the door, like she always did, wearing her favorite maroon shirt.  Standing tall she was squinting just a tad so that she could see me wave goodbye and shout out “I love you mom”.  She waved back and said "I love you too sweets".  Then of course I had to tell her I’d see her later, as I knew I would.  As I started to turn my head in the direction I was walking, she showed a slight look of concern and forced another little grin.  If I close my eyes I can hear the screen door creak and shut with a little snap. 

The school’s architecture was very strange, no flow or symmetry.  As I entered, it appeared that I was immediately escorted into a large cubicle, one of many throughout.  You never saw one end of the building or had a clue as to your direction or destination. No signs, no numbers, no labels or directory.  There was literally nothing, no computers or phones.  Just walls. The walls were either a shade of silver or blue.  It was stark and cold. 

I sat at the table and this man came in wearing a black suit and tie.  Crisp, as in executive crisp.  He placed a briefcase in the middle of the table, pulled out a document and began reading to me terms and conditions of some sort of insurance policy.  As he droned on through the paperwork a feeling of panic surged through my body.  I felt as if this was some sort of reading of a will, a new destination, a place that had been pre-determined for me and I wanted nothing to do with it.  I wanted to go back home to be with mom and that was that.  I was supposed to be going to class and this event was not in my plans.  I ran out of the room in search of my homeroom, my place of study. 

The halls were narrow and zig zagged from side to side.  I ended up in what was an auditorium.  The room had two tiers.  I found a seat in the first row of the second tier, straight in the center. I had the perfect view. The benches morphed from luxury theatre seating into small seats you would find in an old gymnasium.  Then back again to soft cushy blue seating.  It was as if the room could not decide what it needed to be.  That was the mystery of this building.  When you walked in it sort of becomes what it needs to be.

Today it needed to be a classroom, a place of learning, a place of hope.

I am never one to arrive early.  I am always just a tad late. This time I was early and was so pleased to see that I had a perfect view of the grand chalkboard and had a chance to settle in, taking notice of each new person’s entry into the auditorium. I wanted for mom to be proud of me.   

As I was waiting I noticed that my bag became overly heavy, cluttered with lots of papers, books and personal items.  Another wave of panic set in.  I started to get worried that I had lost my phone.  I loved my cell phone.  It was so unique.  This phone was in the shape of a combination lock, golden and fit perfectly in my palm.  The dial was old fashioned in the sense that if you wanted to make a phone call, you aligned the digits vertically.  

The code was the phone number. Each row was 0-9 and there were 10 rows.  I loved the sound, “click click click”, the lock would open and I was on the phone with mom.  I loved my phone.  It was the only means available to talk to mom outside of the house.

I quickly pulled the bag onto my lap and plunged my right hand straight to the bottom.  I was swimming through its contents over and over hoping to find my phone, the only lifeline to mom. Out of nowhere a huge gust of wind and rain swept over the building. The sound was deafening.  People started running towards the edges to get to safety, stepping on top of one another, screaming and crying.

My bag and all of its contents spilled out onto the stairs. I watched my shiny golden phone roll off the edge of the balcony and drop into oblivion. My only connection to mom was gone. The only line to hear her voice again was lost forever.  I closed my eyes to see her once again, standing there, waiting for me to come home.  I had never felt such pain until that moment in time.

The building rocked again and there was a thunderous bang, a surge of rain and darkness overcame us.  I tried to gather my belongings but I could not stay steady.  I found myself hanging from the second tier by my fingernails.  Someone pulled me up and and we managed to get to safety. The fierce wind and water hit us like tiny bullets.  We could barely see as the rains grew stronger.

What was once inside was now outside.  The roof blew away in one giant flash.  What was a sea of sunflowers was now a sea of water.  For miles and miles nothing but cold water, snowy water, dark black water filled with debris.  I looked and looked and looked for mom’s house.  I could not see her house.  I could not see anything.

I am not sure what happened next as I think I passed out from the trauma. I awoke to find myself in a car with a very nice couple who said that they were here to help me find my mom.  The car had no wheels and was on a black conveyor belt.  The terrain was very steep with lots of hills.  I could hear the clanging of the gears as we escalated up to the top of the first hill, then down we went, sliding to the bottom, only to be brought up to the top again.  This ride went on for a bit and somehow we were routed off to the side into their home.

The house was empty, more like a stage than a home.  It had no furniture, no food  and no belongings.  It looked abandoned, but not.  It was their home.  Nothing was actually attached to any surface.  I remember a kitchen and a bathroom.  The white paint was chipped and the kitchen counters had some sort of metal molding all around it.  I sat for a moment to gather my thoughts and began searching for a phone.  I ran from room to room looking in every corner, every closet, every cupboard and every vent.  I fell to my knees begging them to give me their phone and each time I was told here was no phone.

I accused them of lying.  I begged and pleaded.  I needed to hear my mother’s voice!  I needed to know that she survived!  I needed to know that she was OK and wanted to tell her again how much I loved her.  I needed to talk with her one more time. I needed her to know that I was there and that I was going to help her. 

I recoiled in exhaustion and sobbed.  I would never be able to speak with my mom again.  The waters from the hurricane had flooded the state of Kansas, reaching from the Gulf to Nebraska.  Those of us that were left would start all over.  Her words of “I love you” from that morning would be the last words I would ever hear from my mom.  

That would be the last time I would feel her loving smile.

The end.

Denise Archuleta 
February 16, 2014

===============================


I awoke this morning from that nightmare in total upper body pain, including severe pain along my collar bones and neck.  I must have been squeezing 
my body in a ball all night long.  

I miss my mom so much.  I want so desperately to talk with her 
just one more time.

I love you mom!  


Monday, January 27, 2014

"A Healing Place" by Colette Montez

Dear Readers,
My dear friend Colette Montez embodies a passion for living.  As a fellow sister in TEAL her experiences, wisdom, heart and dedication, have helped me become a better person living with ovarian cancer. 
Thank you sweet Colette for taking us to your healing place!
.........................................................................................
A HEALING PLACE
Find one, create one, visit one, it is important that you do so!
Quality of life. It’s a term bandied about by the medical profession. They most often refer to the physical quality of life, but this phrase can and should also encompass the emotional quality of life as we live with cancer. Part of maintaining an emotional stability while facing a threatening illness is to be able to carry on and live life as normally as we possibly can and as well as we can. Maybe we cannot carry on exactly as we’ve done prior to our diagnosis. However if we can get a break of normalcy every now and then, our attitude will be so much better and that in turn keeps our body healthier.

During Christmas break I took my retreat to a town that is close enough to be easily doable, but far enough away to feel like I’ve gotten away. It involves a drive, a Washington state ferry ride and another drive, to transport me to a place that I feel heals me.

There was the beach, desolate and solitary in the coldness of December. Sand wet from the misty rain, treasures of sea glass and shells and pebbles brought in by the tide. Herons, gulls and crows constitute the wild life that I see, my eyes scanning the water for any porpoise with purpose which on this trip I do not find. I watch a ferry in the distance coming in to the dock of the town.

I think happy thoughts, feeling well to be able to walk the beach to a lighthouse, remembering past trips, immersing myself in a fantastically interesting sky. God’s light streaming through the clouds, fat, white, shades of gray cotton balls that are scudding across the sky with the wind.

This is my getaway trip, my retreat where I sometimes go. I journey to this healing place sometimes alone, sometimes with family. There are no rules to any of it except one. I don’t think of cancer. I act like I will live until I’m 90. I go into town and shop. I buy myself something nice, never worrying or considering about whether I can use it enough before I die. There is even a bead shop there and this particular trip I pick up a strand of chocolate freshwater pearls that I will add to wire wrapped necklace I’ve already created with white pearls. The chocolate and the white will add more visual interest together then alone.

Eating good meals at the restaurants I enjoy brings to my mind how grateful I am to be so well at this time. I enjoy and savor each bite. One can really appreciate eating after having had meals through an IV drip!

After a night in my favorite hotel, I awaken to screams and indignant screeches of the seagulls. I know instantly where I am and it completes the auditory segment of the picture of a seaport town.

It’s important to have a healing place that you can go to. So much of this illness is emotional and mental in nature. We have Doctors who can address our physical discomforts and illness, but how many of us have someone or somewhere to go with the emotional turmoil that cancer creates? Find a place. Go there for a healthy distraction.

When I was first diagnosed, I'd visit this town and wonder if I’d be back the following year. Now, four and half years from diagnosis, I go to this place on the Olympic Peninsula and never worry if I will be back. I just plan on being back and so far that has worked just fine! Someday will be my last trip, but I don’t concern myself which trip that will be. I just revel how grateful I am to be able to come back here each time I need to. Create memories, see the natural world and leave my treatments and procedures for 48 or 72 hours.






My current photo is of Terry, my Norwich terrier, at our healing place. We’re at the beach where she can walk on sand and spy on the gulls that remain frustratingly out of her reach due to her leash! The first time I brought her she ran to the water, took one drink, tensed her face and never did that again! She was a rescue dog off the streets of Los Angeles and captive on death row in a kill shelter when the rescue group saved her. I can only assume Terry had never seen such a body of water, or even been on a beach before.

Now as the photo shows, Terry is sitting on the driftwood, reflective, calm, content, churning her doggie thoughts over and you come to figure that maybe even the dog needs a healing place where they can just “be” in the moment with all nature’s beauty at paw.

I fervently hope that all of you have a healing place, be it far or near, that you can get a much needed mental break from all your troubles. Renewed, refreshed and once again hopeful.
Colette Montez

Sunday, January 26, 2014

Old Time Staycation Surprise Letdown

bhttp://sportsfans.org/2012/03/why-is-the-national-football-league-given-tax-exempt-status/

http://www.policymic.com/articles/79887/the-nfl-pulls-in-10-billion-each-year-all-of-it-tax-free

http://www.guidestar.org/FinDocuments/2010/131/922/2010-131922622-0706081b-9O.pdf

When I was a kid we went on one vacation as a family.  One summer day at the spur of the moment it was decided that all of us hop in the Ford Pinto Wagon and take a weekend road trip to Dillon, Colorado. Wow we were jazzed!  We just did not have the resources to "travel" as a family and when this opportunity arrived, we were pretty happy.

I remember what we were wearing!  I remember pulling off to dip our toes in the lake, inhaling the fresh pine air and staring in awe up into the clear blue sky.  The trip ended abruptly the next day because dad had a toothache.  There ya go.

So instead of vacations, we had what people call nowadays "staycations".  I can think of just a handful to include Thanksgiving, Christmas Eve and Christmas Day, baseball games, maybe a summer holiday and the Bronco games.  The Bronco games provided us with many fun loving memories and laughter.  Our house was Broncos central. Aunts and uncles, grandparents, cousins and friends would come over, we would enjoy great food, and for the next three hours think of nothing else.  I loved being a kid during those times. I loved watching the adults and listening to them talk about the game, razz each other, tell jokes and laugh. I loved helping mom with the food if she wanted it.  I have written about this before I know, but it is true, the Bronco games were our primary source of family entertainment.

It was so much fun to cheer and holler.  We even had season tickets. Two seats.  Mom, myself, sister and brother would rotate games to go with dad.  We always parked at grandma's house and walked with the rest of the rowdies to Mile High Stadium.

As an adult I don't really care about football, just the Bronco games. Otherwise I don't really watch sports.  As a cancer patient I have found that watching my Broncos really makes me forget about cancer, chemo and worries for that three hours of time.  Of course it's not the same now, no big family get together, just me really, but still I love my Broncos.

So now to get to the reason why this blogger who writes about ovarian cancer is blogging about football.  Well, I am late to the game and did not know that the NFL is a non-profit organization.

For obvious reasons this is just wrong on every level but I want to talk about my teeny little gripe that does effect my quality of life.

I do not have cable TV.  I have Roku.  If I want to watch my Broncos play a regular game, I would have to pay to subscribe to the NFL to watch live streaming Bronco games.  What???  Only during the playoffs have I been able to actually watch a game on my Ipad.   The few livestream news channels on Roku aren't allowed to show the game streaming even if it is free to their local viewers.  This is a racket.  It actually upsets me.  

Funny, I live in Seattle.  The Superbowl will be very exciting this year.  I will hope to go somewhere to watch the game.  Everyone in Seattle sure is excited, so for me I can't lose.

I need my little joys, my little breaks. Everybody needs their little happys.  The family memories of cheering for the Broncos make me happy and darnit I just want to watch the game and enjoy fond memories.

So now that It has been revealed to me that the NFL is a "non-profit" I wonder if it is legal for them to charge any fees to watch their games.  

When you read the articles above you will see how much money top management gets paid and it most definitely smells like a profit to me.

I am just disappointed all around.  They pay no taxes.  That makes me pretty mad.   I wonder what kinds of needed programs could be saved if they paid their fair share?  

I want to know why the Non-profit NFL requires me to pay a fee to subscribe to their services to watch the Broncos.  I need my little staycation.  I realize this is selfish of me but I want a chance to cheer and root on my team, no matter where I live, for free.  Edit:  I am grateful for life and all God brings to me, please remember that as I vent a bit about this issue.  Peace.

Pass this around if you agree.

This is part of my "Little  Happys" series for those of us in grief, dealing with cancer or any other chronic or acute illness.

Go Broncos!

Love,
Denise
 

ps...when I move I will get cable as long as Comcast does not force me to keep my business services.  That was the reason for my cable issue.  A few years ago when I got my little apartment I needed internet to work part time from home.  Some Comcast rep sold me an unnecessary business package with a two year contract and I did not know I would have to buy out a two year business agreement in order to change to a residential service with cable.  Their business services won't allow customers to have basic cable.  I just work from home, gee wiz.  So for the past two or more years I have watched TV at mom's (may she rest in peace) or streaming via Roku on my Ipad.  Rarely is there any live activity.......ugh.  anyway...Peace




Sunday, January 19, 2014

I just saw it on CNN.com: 'He's going to be better than he was before'

http://www.cnn.com/2014/01/18/health/fish-oil-recovery/index.html?hpt=he_c1

One of the most traumatic nights of my life happened not long ago. Someone I love more than anyone else on earth passed away.  I am sorting through memories of those teeny tiny increments of time.  It is like trying to catch snowflakes with tweezers.  Then every once in awhile something reinforces the strangeness of that night, the intention that may or may not have been.

I wonder how I would have reacted if I had known about the information in this video at the time we found out there was no hope for mom.  I am certain I would have asked the doctors for fish oil.  I would have fought tooth and nail to at least give it another day, one more chance.

In the above article they talk about saving their son's life  and how they threw "everything but the kitchen sink" at his treatment.

This article is very inspiring. It makes me want to DO something. Sometimes I feel like I am swinging at air. Then after a bit I relax into peace. Up. Down. Up. Down.

want to turn back the clock.  I want a second chance to have that night again.  But do I?  I would not want for one thought of suffering for mom once more but what if there was a chance? 

After re-reading this post several times I am also remembering though that these events are not choices. We must go when called, and THAT cannot be doubted.  I go through this circle very day, what if and then to God.  God is where Peace lives.

I also have a thousand thoughts about this article, but I will just leave one.  In the case of this boy he had very strong-willed parents who were searching for anything so that their son could be saved.  The right information was presented at the right time, not a coincidence. It is our fortune to learn more about this treatment.

I pray for those who are alone in the hospital that have no voice, no cheerleader, no individual who can stay with them while receiving treatment.  We all need an extra pair of eyes and ears if we are in the hospital.  

I applaud this family, the writer, Dr. Gupta, and the other doctors for revealing this important information.  It adds another layer of help and hope for those with brain damage.

Peace and love,
Denise




Tuesday, January 14, 2014

Love

I gave my undivided attention to this PBS documentary about Lipizzaner Stallions.  I had heard of these beautiful horses from my mother, and of course my adorable nieces, who loved and love horses.

 I have a funny memory of mom being followed by one of grandpa's racing horses.  She was laughing one of those panicky laughs while trying to keep away from him.  He got out from inside the fence and was running up behind her along the long driveway. I think he liked mom's hair or thought she had carrots and apples.  Anyway, it was pretty comical.  Mom loved horses.

What I found most interesting in this documentary was not just the complex history of this rare breed of horse but truly the love and care that is given to these beauties since their birth.

All I can think about is what love means and how do we show love.  Why can't all humans receive this kind of love?

The horses are well fed, pampered, groomed, bathed and spoken to with gentle care, their entire lives.  
They therefore learn to love back and trust.

It is so simple a concept, yet we humans have such a long way to go when it comes to loving one another.  

Humans have great capacity to love, yet we don't always.  

Imagine every child on the planet clean and bathed, well nourished and only treated with utmost kindness and love.  Not ever a note of anger or violence to be experienced.  Wow.

Just that alone could change the world.  Imagine every elderly person and disabled person receiving the same.  And everyone else.  Love is the foundation of our existence.

When you watch this you will see.......

http://video.pbs.org/video/2364999318/

Love,
Denise