Extensive spread to liver after seven shots of chemo

PR is a 33-year-old Indonesia. This is an email (translated and edited from Bahasa Indonesia) I received from him on 10 October 2017.

Part A: Medical history

A year ago, I often had stomach pains on the left side. I consulted doctors in Indonesia and Malaysia and did USG, CT Scan and colonoscopy. There was a tumor inside the colon. After a biopsy, I had surgery.

After operation the result was malignant tumor and I was required to undergo chemo for 8 times (infusion) and take medication (Xeloda) for 2 weeks and rest of 1 week.

After 4 cycles of chemo I did a CT scan again. The cancer had spread to the liver. I have to chemotherapy until 7 times. Then I did a CT scan again. The result was still the same, I decided to stop chemo and I chose my own herbal consumption (garlic mixed with honey).

Part B: Are you currently taking herbs?

No. I consumed herbs 1 month ago, some kind of root, but it was not effective. I now feel pain and uncomfortable in the upper right abdomen and waist and shoulder. For more than 2 weeks I stopped taking the herbs again. I am now taking painkillers from the doctors (Ultraset and Acorxia).

Part C: Current health condition

The more detailed information you provide, the better we can understand your problems.

Do you feel pain? Where, how often and how serious? I often experience pain at the bottom of the right rib, pain when exhaling and also often uncomfortable at the waist, shoulders, and abdomen.

Can you sleep? I have trouble sleeping. While sleeping only briefly and often woke up again.

Do you feel tired? Sometimes.

How often have you had a bowel movement? Is it difficult, with blood? Defecate sometimes 1 to 2 times a day, no bleeding and no pain.

How is your appetite? Normal appetite, but I eat less because of stomach feeling full.

Any bleeding? Where? No bleeding.

Do you have a problem: digestion? diabetes? high blood pressure? No diabetes or high blood. Only when defecate feeling less satisfied (stools only a little bit sometimes).

How often do you urinate? With blood? Normal, and no blood.

Do you cough? With phlegm, what color (white / yellow)? Throat itchy? No cough, just throat often feel thirsty.

Breathing difficulties? Yes, sometimes with pain in the upper abdomen right under the ribs.

Any other complaints: The stomach, shoulders and waist feel uncomfortable. The portion of the pit of the stomach is rather hard. Body often feels hot but cannot stand the cold weather.

PR came seek our help after this email.

Listen to our conversation that morning.

Gist of our conversation.

His problem started about 2 years ago when he lost his appetite and had difficulty moving his bowels. After a medical checkup he was told there was a mass in his colon. He went to a private hospital in Melaka for a colonoscopy. It was colon cancer and he underwent an operation in July 2016. The operation cost RM 30,000.

Chris: Did you ask the doctor if the operation can cure you?

PR: Bisa sembuh (yes, can cure!). But after the operation the doctor said the cancer was aggressive. I have to undergo chemotherapy.

C: So you have chemo?

P: Yes, after the fourth chemo, CT scan showed the cancer had spread to the liver. Then, I have more chemo and stopped after the 7th chemo.

C: Did the cancer go away?

P: No, the liver got worse.

CT scan: 6 October 2017

Liver metastasis in both lobes, predominantly right lobe. The conglomerate of nodules in right lobe measures 11.4 x 15.1 x 18.1 cm. Mild ascites seen.

Multiple para-aortic adenopathies, largest 1.8 x 2.2 cm.

Chest X-ray: Left lower zone nodules seen. Lung metastasis.

Blood test: 6 Oct. 2017

ESR	42 H
Platelet count	245
ALT (SGPT)	63 H
AST (SGOT)	150 H
ALP	256 H
GGT	211 H

C: How much did you spend in all for the treatments?

P: The operation cost about RM 30,000 and the 7 cycles of chemo (including Xeloda) cost RM5,000 / cycle.

C: Let me ask you this — before the operation did the scan show any cancer in your liver?

P: No, there was no liver metastasis.

C: Before the chemo — was there any cancer in your liver?

P: No cancer in the liver.

C: But after 4 shots of chemo, CT scan showed the cancer had gone to the liver?

P: Yes.

C: So, what did the doctor say?

P: Continue with the chemo!

C: What is the whole idea of doing more chemo when you got worse? What do you think made the cancer spread to the liver?

Comments

To answer the last question, perhaps you may want to reflect to the following reports.

Shock study: Chemotherapy can backfire, make cancer worse by triggering tumor growth

The extremely aggressive therapy, which kills both cancerous and healthy cells indiscriminately, can cause healthy cells to secrete a protein that sustains tumor growth and resistance to further treatment.

The scientists found that healthy cells damaged by chemotherapy secreted more of a protein called WNT16B which

“WNT16B, when secreted, would interact with nearby tumor cells and cause them to grow, invade, and importantly, resist subsequent therapy,” said Nelson.

In cancer treatment, tumors often respond well initially, followed by rapid re-growth and then resistance to further chemotherapy.

Source: http://www.nydailynews.com/life-style/health/shock-study-chemotherapy-backfire-cancer-worse-triggering-tumor-growth-article-1.1129897

Chemotherapy could spread cancer cells and lead to more advanced tumours, says study

Chemotherapy is used to kill cancer cells and stop tumours from growing – but a new study suggests it could in fact help the disease spread, leading to more aggressive forms of cancer.

While the treatment was found to shrink tumours in the short term, chemotherapy drugs increase the chance that cancer cells will migrate to elsewhere in the body and may trigger a ‘repair’ system which allows them to grow back stronger, according to a team of US researchers.

Source: http://www.independent.co.uk/news/health/chemotherapy-cancer-spread-cells-tumours-more-advanced-treatment-study-breast-metastatic-albert-a7826461.html

Treatment Can Make Cancer Stronger

Doctors use radiation and chemotherapy to destroy cancer cells. About half of patients are cured — that is, all of their tumor cells die.

The other half of the time, some tumor cells survive treatment. These cancer cells are more aggressive than they were before treatment, says Mark W. Dewhirst, DVM, PhD, professor of radiation oncology at Duke University.

“When you give a tumor treatment, whatever cells survive are going to be more resistant to that treatment,” Dewhirst tells WebMD. “Those not killed are healthier cancer cells.”

Source: https://www.webmd.com/cancer/news/20080610/treatment-can-make-cancer-stronger#1

Why do chemotherapy drugs cause liver damage?

Chemotherapy drugs may cause liver damage because they are toxins and they place added stress on the liver’s filtering function. The liver removes toxins and chemicals from the blood stream and changes them into products that can be readily removed through the bile or urine. If toxins accumulate in the body faster than the liver can process them, then liver damage will result.

Source: http://cancer.unm.edu/cancer/cancer-info/cancer-treatment/side-effects-of-cancer-treatment/less-common-side-effects/organ-problems/liver-damage-hepatotoxicity/

Read our two articles:

Chemotherapy SPREADS and MAKES cancer more AGGRESSIVE

Chemotherapy Spreads Cancer and Makes It More Aggressive: Articles From the Internet

Cancer of Rectum-Liver, Part 2: After one chemo I told the doctor, I would rather die!

Jas was diagnosed with rectal cancer that had spread to the liver. She underwent surgery and was told to undergo chemotherapy (and radiotherapy). After that she would be cured!

With full confidence she went for her first shot of chemo. She suffered badly. She had difficulty sleeping, had sores in her mouth, felt nauseous and vomited. She felt very tired and very uncomfortable.

Jas told the surgeon that she did want anymore chemo and would rather die than continuing with the remaining 7 cycles of chemo!

Desperate, the family looked for another direction. Incidentally, a relative who lives behind her home is a patient of ours. Jas’s daughter and son-in-law came to seek our help. Jas was prescribed herbs. Three months later, Jas, her husband and another daughter turned up at our centre.

Gist of our conversation that day.

Chris: You don’t want to do any more chemo?

Jas: No, I don’t want anymore. I can’t stand those side effects.

C: You spent RM3,500 and you suffered?

J: It is better that I die than going through those chemo again. I told the surgeon I don’t want to continue with the chemo.

C: Did the doctor get angry?

J: No. He asked if I went for the first cycle of chemo. I said yes, but I am not going for anymore chemo after that. Whatever it is I just don’t want to continue with the chemo. After the chemo, I could not sit, vomited, could not eat — from morning to night. Could not sleep. Mouth with sores.

C: Good that you did not die!

J: Ya.

C: Who ask you to come here.

J: A friend. Actually a relative who is living behind our house (also colon cancer and was on your therapy for the past 2 years and doing well).

C: Do you believe in what we do?

J: Ya. If I don’t believe I would not have come here.

C: (Knowing that this is a fussy and difficult patient). The herbs are difficult to take — bad taste, lousy smell and you need to take care of your diet — cannot eat anything you like. Can follow?

J: Yes, you have already told me that.

C: Know that your health and your healing is your responsibility. So Ibu (mama) you have to take care of yourself. We can teach you what to do but eventually it is all about your responsibility.

If you continue with another 3 cycles of chemo, would you “fly away”?

Husband and daughter (laughing): Yes, fly away. Gone. One shot already so bad.

C: You have been on the herbs for 3 months already and you did not have any problem. So let us hope that you keep it that way. Take care of yourself.

Daughter: Yesterday the doctor did a scan and said the mass in the liver had shrunk. Before it was big, now it has gone smaller.

C: Did the doctor know that you have given up chemotherapy?

J: Yes, we told him. After hearing that he just kept quiet.

C: I have given you herbs for your liver. Keep taking it. Don’t get angry if it does not taste good. Thank God for it and ask for His blessing. Be happy and I hope you will be okay.

Beside that (the liver mass being smaller) did you feel better after taking the herbs?

J: Yes, I felt better. I can sleep now (before difficult). I have appetite (before none).

Husband: Her diabetes had improved.

C; Your bowel movements were not good before. Now?

D: No problem now.

Comment

Jas was told that after surgery and 8 cycles of chemo she would be cured. A great promise indeed. But after one shot of chemo, Jas gave up — could not stand the side effects.

But after taking the herbs for 3 months, Jas is still doing fine. What could have happened if she were to continue with another 3 months of chemo? Your guess is as good as mine!

Cancer of Rectum-Liver: Stage 4 – Part 1: Surgery followed by 8 times of chemo can cure you!

Jas is a 54-year-old Indonesian lady. Her daughter came to seek our help. Jas’s problem started in mid-2016 when she had bleeding. She could not tell where it came from — through the vagina or rectum. Anyway, she consulted a gynaecologist who told her that her uterus was “dirty” and needed “cleaning up” (whatever that means!).

One day in October 2016, while a home, Jas was unable to stand up. She still had bleeding then. The doctor said she suffered from vertigo.

Fast forward to March 2017, Jas consulted another gynaecologist in Medan and was told that besides the “dirty” uterus there was a mass in her anus.

Jas came to a private hospital. in Penang. A blood test on 4 April 2017 indicated CEA = 247.03, CA19.9= 72.2, ESR = 57.

Jas underwent an operation. Histopathology confirmed the following:

Moderately differentiated adenocarcinoma of rectum with metastases in pericolic lymph nodes (11/11) and segment 4a of liver.
T3N2Mx, Stage 4.
Non-neoplastic liver shows features of chronic hepatitis.

The cost of the operation was RM 60,000.

Jas was told to take a rest for 3 weeks after the surgery and then come back for chemotherapy. The drug to be used was Oxaliplatin + Xeloda (oral) or Oxaliplatin + TS-One (oral). Each cycle would cost RM 7,000.

Jas needed to receive 8 cycles of chemo plus radiation after that.

Chris: Before the operation, did you ask the doctor if he can cure you?

Daughter: The doctor said you have to operate and then followed by 8 cycles of chemotherapy and radiotherapy. You will be cured.

Son-in-law: The doctor said it depends on chemotherapy.

Jas eventually underwent one cycle of chemotherapy. She had the treatment in another hospital. Why?

The chemo treatment in another hospital using the same drugs: Oxaliplatin + TS-One cost only RM 3,500 (half the price of the other hospital where she had her surgery!).

Chris: Did you ask the oncologist if chemotherapy would cure you?

Daughter: The doctor was not sure.

C: Did you not tell him that the doctor in another hospital said it can be cured after surgery and chemotherapy?

D: I told him. He did not respond and kept quiet.

C: Did your mother suffer any side effects of the chemo?

D: She had difficulty sleeping, had sores in her mouth, felt nauseous and vomited. She did not vomit if she did not take TS-One. She felt very tired and very uncomfortable. No, my mother is not going for the second chemo. She does not want anymore chemo.

Comments

Can we all learn something from this sad story?

Right from the start something did not seem to be right — being told about “dirty uterus”. What was that? After further consultations, Jas was told there was a big tumour near her anus. How could that be?

2.. Jas came to Penang and underwent an operation. She did the right thing! After surgery, she was told to take a rest for about 3 weeks and then proceed with chemotherapy. Chemotherapy — there is no need to rush to do that. Now, let us ask two important basic questions.

Before undergoing any treatment, I always tell patients to ask their doctors — Can the surgery (chemo or radiation) cure me? This is a legitimate question to ask and don’t be afraid to ask!

Yes, Jas asked that question. Can surgery cure me? Jas got this answer. After surgery, you need to go for 8 cycles of chemo (plus radiation) and you will be cured.

Is that an honest, truthful answer? It sound like undergoing surgery by itself is not enough to cure you. You need chemo and radiation as well to be cured.

Or, by giving such vague answer, was the surgeon trying to pass the buck to the oncologist?

What if chemo / radiation do not cure?

Let me relate what happened to one patient who did surgery in that same hospital A. His surgeon said he needed to cut off a part of his liver immediately, otherwise he would die soon. A few months after the surgery, the cancer came back again. The patient and his wife confronted the surgeon and was given this answer, I have already done my job. I have removed the tumour in your liver. He walked away refusing to see the couple again.

Jas went to Hospital B. She asked the oncologist if chemotherapy would cure her. The oncologist said, NOT SURE ! When told that the doctor in Hospital A said after 8 chemo Jas will be cured, this oncologist kept quiet! Take note, people of the same tribe takes care of each other, right?

Take note also that this is a stage 4 cancer — from the rectum the cancer has spread to her liver. Can surgery and chemo cure such cancer?

Lesson two: Before undergoing any treatment ask how much it cost – that is if money is important to you! Using the same drugs, each cycle of chemotherapy in Hospital A cost RM 7,000 but in Hospital B it was only RM3,500 (half the price!).Treatment for cancer is extremely lucrative!

Magic Show at CA Care? No, it’s God’s blessing!

Cancer of the esophagus – cured by radiation. But 5 months later cancer recurred at the same site

On 16 July 2017, I received an e-mail from James (not real name).

Hello there,

I am writing to you regarding Esophagus cancer treatment for my mother.

She was diagnosed with esophagus cancer in October 2016 and underwent radiation therapy for 32 days.

In February endoscopy and biopsy confirmed that there were no cancer cells,

However she recently developed problem in eating and when we did the endoscopy and biopsy cancer cells were present. Dr saying its 3rd stage and my mother is 78 years old and they can’t do surgery, chemotherapy and radiation now.

I am writing to you in hope that you can help me.

I am from India but mother cannot travel therefore I am planning to come to your centre with all the reports.

For Malaysian Visa I need sponsorship letter. Could you please provide me the documentation so I can apply for my visa asap.

I currently live in UK, I intend to go to India first get Malaysia visa and come to your centre.

Many, many thanks in advance

Reply: I am sorry I cannot help patients from faraway places. Just impossible.

18 July 2017

Dear Chris,

I will visit you with all the medical reports and history of my mother, as soon as I get Malaysia visa

Unfortunately my mother cannot travel as she is very weak.

Thanks very much.

Reply: If you want to come, you can come. See me at about 11 am. By afternoon you can go home. Monday to Friday. But let me know first to be sure that I am in Penang.

James came and presented his mother’s case.

Problem started in October 2016. She had difficulty swallowing. Endoscopy indicated cancer of the esophagus. Surgery was not indicated due to old age (78 years old).
Patient had 30 sessions of radiotherapy. Treatment completed 31 December 2016.
After the treatment she regained her strength and was well. Endoscopy showed the cancer was gone!
Barely 5 months later (May 2017) patient felt weak and lost her appetite.
Endoscopy showed recurrence at the same site. Nothing further can be done.
On homeopathic treatment, to stablize the situation only, not cure. When this did not work, she tried Ayurvedic treatment. This was also not effective.
Family made plan to go for Integrative cancer treatment in Thailand. Total cost of such treatment is USD37,238, made up of USD33,878 for a 6-week in-clinic treatment and 1-month of home care pack and USD1,286 for a 5-star hotel stay.
Found CA Care through a friend. Decided to follow the CA Care Therapy instead of going to Bangkok.
Patient was very weak and had pulling pain in the back on and off throughout the day. She needed sleeping pill to help her sleep. She had no appetite. Her legs swell on and off. Bowel movements, 2 to 3 days once. A stent was inserted in her esophagus, this made her cough. Her gallbladder was removed some years ago.

She was prescribed herbs for her cancer.

This is the e-mail James wrote on 4 October 2017.

Dear Chris,

Hello and thank you for the medicines and your talk regarding creating right atmosphere around the patient.

Please allow me to quickly summarise the current situation.

No pain at all, your medicine are like magic. My mother has no pain at all anywhere in body. Even the pain that was in the back due to spondylitis is also gone.

There has been no further narrowing of Esophageal tube. My mother can still eat and drink the way she was eating earlier.

She is still very weak.

She has developed coughing and there is some change in her voice (heaviness).

5.Last but most importantly due to you and your wife’s advice we were able to change our attitude and create a positive environment. Now my mother looks happy. 🙂

Thanks a lot to you and your wife. Best regards.

Comments

When James took some herbs for his mother, this case was out of my radar. When I got his email about his mother’s progress, I had a very vague idea about this case. What I could remember clearly is that James flew all the way from London to come and seek our help. He is a project leader in IBM and his wife is a medical doctor.

When we first started CA Care two decades ago, the first impression was that herbal therapy for cancer is only meant for “uneducated” people. Some people even accused us of being quacks, trying to mislead those who are not educated. Over the years, we proved these skeptics wrong! No, the uneducated generally do not come and seek our help. These people believe in doctors and they go to the hospitals for treatment! It is the educated and the well read who comes and seek our help! They have read enough about the damage that the present-day cancer treatments can do to them. Of course, a majority of them come to us for help because medical treatments — the so call scientifically proven method — have failed them and they are left with nowhere to go. Perhaps CA Care is the last stop or the last gamble!

In such a situation, we often tell patients NOT to come and see us! After all if the so called proven medical method failed, what do you expect from CA Care — cure you?

In this case, it is a pleasant surprise to receive such a positive feedback from James about his mother. Well, James said the herbs worked like magic! No, to me it is God’s blessing. I have seen such results over and over again over the years since we started CA Care two decades ago! That much about unproven therapy or quackery!

Laryngeal-Liver Cancer: After chemo and radiation failed, doctor said go home and wait to die

KP is a 56-yer-old man. His problems started about 4 years ago, in 2013, when he had coughs and often vomited blood. He was subsequently diagnosed with cancer of the larynx and underwent 12 sessions of radiotherapy and 7 cycles of chemotherapy. This was done at a government hospital.

He was okay after the treatments.

In 2017, i.e. barely 4 years later, KP had difficulty eating. Whatever he ate, he vomited it out. HIs stomach felt uncomfortable. He felt very tired.

A CT scan done in a private hospital in July 2017, showed the following:

Multiple masses in both liver lobes. The largest is about 7.5 x 8.6 x 14 cm.
The mass compressed the inferior vena cava and the right adrenal.
Right vocal cord paralysis.
Mild ascites.
Abdominal paraorta and aortocaval adeonopathy.

The doctor told KP that nothing more could be done. He was asked to go home — without any medication, and wait to die.

Listen to what his daughter told us this morning.

Part 1: Go home and wait to die

Part 2: Doctor has given up. Anything CA Care can do for him?

Comments

Doctors can treat cancers, but they CANNOT cure them, even with their so-called scientifically proven magic bullets — surgery, chemotherapy and radiotherapy.

Doctors know how to treat patients but they don’t know how to make patients healthy.

Sometimes, doctors play god, which often may make the patients much worse off after the consultation. Perhaps it would be much better if doctors don’t say anything at all.

Lung Cancer: After Surgery, Chemo and Radiation, the cancer spread to his healthy lung

CK is a 62-year-old male from Kuala Lumpur. He and his wife came to see us with copies of his medical reports neatly filed in a folder. This is a very pleasant couple who is now helpless and directionless. This is what happened.

1) 20 December 2015: Had food poisoning after taking expired red wine.

2) 21 December 2015: Consulted a GP who discovered “cracking sound” in his left lung.

3) 22 December 2015: CT scan of chest showed a 3.2 x 5 cm mass in the left lung.

4) 2 January 2016: A CT-guided biopsy confirmed a bronchoalveolar adenocarcinoma.

CK was referred to a cardio-thoracic surgeon in a “heart hospital.”

5) 14 January 2016: PET scan confirmed carcinoma of the left lung with no associated locoregional or distant metastasis.

6) 23 January 2016: Admitted to the “heart hospital” for lower lobe lobectomy, i.e. surgery to remove a quarter of the lung.

The surgery was a “success” and histopathology report showed:

a) Aortic wall adventitia was infiltrated by tumour.
b) One pulmonary lymph node showed tumour metastasis.
c) lower lobe of left lung — invasive adenocarcinoma with predominant bronchoalveolar and papillary pattern.

7) February to June 2016: Underwent 4 cycles of chemotherapy and 20 sessions of radiotherapy.

Things seemed to be okay after all these treatments but CK had chest pains, coughs and fever. He was prescribed “strong” antibiotics.

8) 30 March 2017 — after slightly more than a year.

Follow up CT scan showed multiple nodules and patchy opacities in the upper and lower lobes of right lung.

Radiologist suggested: Differential diagnosis: lung metastases and pneumonia. Suggest close follow up CT lung after a course of antibiotics.

CK went back to his surgeon about this new development. The surgeon was pretty sure that the spots were not cancer related.

9) 1 June 2016: CT scan of chest. The radiologists wrote the following:

CT on 23 March and 30 March 2017 were reviewed. The current CT is about 2-3 months after the previous CTs. The current CT showed the following:

a) The ground glass opacities in the right upper and lower lobes of the lung appears more dense and larger.
b) Newer small nodular lesions are seen in the right upper and lower lobes.

Based on the above observations, the radiologist was of the opinion that this new development was a metastasis or recurrence. However, ground glass opacities may be due to drug induced lung changes and infection.

The changes in the left upper lobe (note: left lower lobe was removed) are suggestive of non-neoplastic process and fibrosis. If DXT (radiotherapy) was given, these could be due to that treatment.

10) 18 September 2017: Went back to the same GP again (as in 2). “Cracking sound” at the lower part of my good lung.

Cancer marker in December 2016 was 16. In July 2017,it was 173.

CK and his wife decided not to go back to his doctors again. Because it will just be repeating the same procedures all over again — another biopsy and more chemo.

Total cost of treatment = RM130,000 of personal savings.

Comments

I had my first lesson about lung cancer some 22 years ago. The second patient of CA Care is VJ. He had lung cancer and had one side of his lung removed and underwent treatments at the “cancer hospital.” I was at the hospital and saw him suffer and eventually died.. Surgery did not cure lung cancer. Treatments received in the cancer hospital also did not cure lung cancer.

My second lesson about lung cancer came a few years later when the mother of my student underwent radiotherapy for her lung cancer. Yes, I encouraged her to go for the treatment. After completion of her treatment she died. Lesson number two, radiation does not cure lung cancer. To understand why, just go to the market and buy a piece of lung. Bring home and place the lung over fire and see what happen! The lung hardened — and is this not why the patient cannot breath?

Over the years, I have seen this story being repeated over and over again. In the case of CK, it is another one of those cases I have come across over the years.

Can herbs cure CK’s cancer? No. Can we help him? May be. CK’s problem recurred less than 2 years after treatment. After spending RM 130,000 he got nothing out of it.

Perhaps some people would want to tell you that if you don’t go for treatment, you would die sooner. Nope — I don’t believe so. Over the years, I have patients who led a much better life if they do nothing.

Perhaps you may want to read some of the articles I have written earlier:

He Died Of Lung Cancer — Treated by the Best Oncologist in One of the Best Hospitals in the World

2. Medically Given Up Lung Cancer: She died after 5 years on CA Care Therapy

3. Lung Cancer: Six to 12 Months to Live. Must do chemo, that’s the only way. With herbs still alive after 2 years!

4. Lung Cancer: Given Honest Answers Patient May Run Away from Chemotherapy

5. Two Billion Rupiah, Chemo And Surgery Failed. Oncologist said, “More chemo, you just have to trust me!”

6. Lung Cancer: Chemo Experiments That Failed and Failed

7. Lung Cancer Success Stories

My advice to CK.

Don’t give up hope yet. We shall do our best. If you can sleep, can eat, can move around and have you no pain, don’t ask for more. To that CK and his wife totally agreed. In fact that was what they hope for when they came to seek our help … “to have quality life.”

May God bless you.