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Follicular NHL at age of 33

Davis285's picture
Davis285
Posts: 15
Joined: Jul 2011

Hello everyone! My name is Monica and I was diagnosed with follicular NHL a month ago. I have stage 4 and my treatment is chemo (Rituxan) 6 times for 5 months every 3 weeks. I would like to hear from people who had or has it. How is your experience and feelings. I'm very positive and my faith keep me strong! I have different reasons to fight this and my major one is my family. I am a mother of three beautiful kids and I have a wonderful husband :) Any advice and comment will be greatly appreciate it! Thanks in advance :)

allmost60's picture
allmost60
Posts: 3184
Joined: Jul 2010

Hi Monica,
I have FNHL-stage3 and had CVP-R chemo once every 21 days for 6 rounds. I finished in Dec. I'm now doing Maint Rituxan, every other month for the next 2 years. The chemo shrunk all of my tumors and the R-maint is suppose to keep things in check for ????...don't know how long. The hardest part of chemo for me was with the prednisone. Kept me awake, very aggitated, and hyper. My hair thinned, but I didn't lose it completely. My taste buds stayed the same and I didn't have problems with food tasting weird. Fatigue was an issue, but it has gotten better over time. You are alot younger..(I'm 60), so maybe you will feel better than I did. Just rest when you can during chemo and listen to your body. Ask for help and pace yourself when you have to do things on your own. You will do fine. Keep us informed on how things go for you. Best wishes...Sue
(FNHL-2-3a-6/10)

Davis285's picture
Davis285
Posts: 15
Joined: Jul 2011

Hello! I'm so happy to see many responses!! In my first chemo I had headache, I was very sleepy, bone pain, body pain but not nausea or vomit. My dr prescribe me prednisone which makes me eat a lot and I have gained 12 pounds. My taste feels weired but I havent lost my appetite. In my second chemo I had not side effects which I'm happy. I lost my hair and my appetite is still good. I'm resting and taking care of myself. I feel very active. How long did you take the prednisone?

allmost60's picture
allmost60
Posts: 3184
Joined: Jul 2010

I would take 60mg the morning of chemo and then 60mg every day for the next 4 days..total of 5 days. Then it was cold turkey without anymore until my next treatment in 21 days. I did a total of 6 rounds of chemo, starting in Aug.2010 and ending in Dec 2010. The day after ending the 5 days of pred I would be very achey and sore, but within 2 to 3 days it leveled out. That nasty pred played hell with my sleeping and made me like a cat on a hot tin roof, but all in all it was do-able..but still hated it! My appetite didn't go crazy while on it, but tended to afterwards. I only gained 5 pounds during my 6 rounds of treatment. Glad to hear your doing well..keep us posted. Much love...Sue (FNHL-2-3A-6/10)

Sinatra
Posts: 5
Joined: Jul 2011

Monica, thank goodness you have a mild form of lymphoma and it is just lymphoma and not some tumor in a vital organ. My understanding when I was diagnosed in September of 09 was, even though it is cancer and stage 4, since my grade was 2 or 3 it was not aggressive and the watch and wait with good monitoring was a plausable option. However in January of thie year it became agressive and went into large B cell lymphoma thereby necessitating chemo (R-Chop) 6 cycles over 18 weeks. Keep your DIET away from animal based protein and go with vegetables, stay physically fit, drink many liquids since they flush the poison (Rituxan) out of your system. Just a few things along with taking vitamins associated with limiting cancer cells life.
I will start going to some support group meetings this week. YOu can pick up newsletters either in your doctors office or the hospital they are associated with that will give you where and when. This way you are in full discussion with other lymphoma patients.

Don't be afraid and stay strong!

Davis285's picture
Davis285
Posts: 15
Joined: Jul 2011

Hello! I like your recomendations. Thank you! Yesterday I went to do my zumba class and I was worry if I was taking energy of my body. I felt very good and with more energy :) I'm eating very well and drinking a lot of fluids. So far I'm feeling good.

bluerose's picture
bluerose
Posts: 1104
Joined: Jul 2009

Welcome to the site Monica. I too had the same NHL you have and here I am typing to you some 25 years later. We did not have Retuxin back when I was diagnosed but something worked cause I'm still here. lol. Had an autologus (my own marrow) bone marrow transplant after one recurrance only a year and a bit after diagnosis. It was the very beginning of stem cell transplants back then and in fact they only did bone marrow transplants for leukemia patients before they did my transplant, they had just extended transplants to lymphoma patients too - whew.

I want to tell you that today is a whole new day in cancer treatment and many are being cured or like some like to say 'have long remissions'. Your attitude is great and with the goal of family and with your faith you are on your way to a long survival too, I just know it. A Mother's prayer to be allowed to be there as her children grow up I believe is one of the most powerful prayers there is so I encourage you to continue to pray for that and also if you know any prayer chains at churches around your area I would encourage you to call them and ask for you to be put on their prayer request list. The power of group prayer has definitely worked for me - in spades.

All the best.

Blessings,

Bluerose

Davis285's picture
Davis285
Posts: 15
Joined: Jul 2011

You keep my faith alive! Wonderful to know your story :) that's my goal, to be a survivor like you and many other! To live for my kids and my family. I see a dark cloud on top of me but is not big enough to see the rest of the sky shining of love from God! I do beleive in the power of praying and that is what keeps my faith strong. I have received so much love and care from my family and friends and they keep me going!

Davis285's picture
Davis285
Posts: 15
Joined: Jul 2011

You keep my faith alive! Wonderful to know your story :) that's my goal, to be a survivor like you and many other! To live for my kids and my family. I see a dark cloud on top of me but is not big enough to see the rest of the sky shining of love from God! I do beleive in the power of praying and that is what keeps my faith strong. I have received so much love and care from my family and friends and they keep me going!

cookingirl's picture
cookingirl
Posts: 183
Joined: May 2010

Hi Monica - you've heard from Sue and Bluerose, two VERY positive gals on this site who have helped me a lot this past year. Welcome, Sinatra.

I'm 68, have FNHL, stage 4 also, Indolent B cell. Did watchful waiting for 9 months, then last June started CVP-R every 21 days. I shrank my abdominal tumor from 15cm to 9 cm - not enough. In November started a newer chemo, Treanda/Bendamustine with a high success rate and my Dr. also added R to it. It was a very difficult treatment for me and ended April 14. Shrank tumor to 3.8 cm but not yet in remission. Tomorrow, July 27, I start my first Rituxan alone maintenance treatment every two months.

Your faith and positive attitude will be the two things that will see you through the future. I agree with Bluerose - I'm on dozens of church prayer lists and know that's why I'm still smiling and doing so well. God bless and keep in touch with this site - Fran in Florida

miss maggie
Posts: 929
Joined: Mar 2010

Dear Fran,

I often think about long ago when my husband wanted to move to Florida.
Now that New York has been having the most horrible heat wave this summer, I
often wonder about the poor souls living in Florida. How can you stand it???
I often went to Flordia for vacation, and loved it. But, we went the best time of
the year. Right now in New York, high temperature, humidity, and constant sun. I
pray for some clouds. They say your blood thins out, is that true??

I am sorry you are not yet in remission. I think the good news, from 15cm to 3.8cm
is wonderful. Hopefully the Rituxan will erase the remainder.

God Bless and Blessings to you. Maggie

allmost60's picture
allmost60
Posts: 3184
Joined: Jul 2010

Hi Fran,
Just wanted to drop in and see how your first Rituxan maint went today. Good, I hope. Mine is going well and I don't have another infusion until Aug 22. Every other month isn't so bad. I'm still on vacation, but I'll be checking in to see how everyone is doing. For some reason I can't send private E-mail from my laptop up here at the cottage, but I can get on CSN and other internet sites. Weird, but it's probably something I'm doing wrong. You take care Fran...Love, Sue (FNHL-2-3A-6/10)

Davis285's picture
Davis285
Posts: 15
Joined: Jul 2011

Hello Fran! I think we have a group of great women here! I am Thankful to share my experiences and my faith with you all! I'm happy to know that the masses had reduced significantly. We are all in the same boat!

Davis285's picture
Davis285
Posts: 15
Joined: Jul 2011

Thank you very much for taking your time and writing me :) I FEEL CONNECTED!!! I'm so glad I'm not alone ;)

JoanieP's picture
JoanieP
Posts: 573
Joined: Mar 2010

OOOPPS

JoanieP's picture
JoanieP
Posts: 573
Joined: Mar 2010

Sorry you are joining us under these circumstances but there are wonderful people on this site that have helped so many including me. I was dx in jan 2009 and began chemo in Mar, GONE in June and have been back to work since then(except summers) Going back to fifth graders next week and I feel very blessed. You have a great attitude and you know God is good and in control. You will get to the other side of this journey with lessons learned and living and loving every minute. Godd luck on your journey. Joanie

Davis285's picture
Davis285
Posts: 15
Joined: Jul 2011

Thank you Joanie! I am glad I can count with all of you :) I will defenitely express my feeling with you all ;)

JoanieP's picture
JoanieP
Posts: 573
Joined: Mar 2010

sorry

JoanieP's picture
JoanieP
Posts: 573
Joined: Mar 2010

Pushed enter tooooo many times:)

caregiver1829's picture
caregiver1829
Posts: 52
Joined: Feb 2012

Hi cookingirl, Im hunting for results for treanda.. My wife may be starting this chemo soon. she s had r-chop in 08, blood stem cell transplant for big b n dec 2010 had maint rituxin in july 2011 jan 2012 and this year and the pt scan this month shows something is back.. she s scheduled for biopsy Mar 1,2012.. and Treanda w/rituxin is what they are recommending..It would help us make that decision if we knew what the success rate is.. AND YES the strength of prayer does work and monica you ve got to stay positive even if you get set backs.. BUTT after 4 years shes already tired of being sick,, she says she ll never to a transplant again.. an out of body experience put the fear of god in her.. thanks Caregiver..

bluerose's picture
bluerose
Posts: 1104
Joined: Jul 2009

I was moved to share this with you Davis. I was listening to the Sunday sermon on TV last weekend as I am not well enough to go to church physically so have found a good TV church to get my fix. lol.

Anywho I was listening to a sermon about the light and the dark and the simple symbolism that the pastor used was pretty effective for me and thought it might be a good image for you to carry around too.

The Pastor brought in a suitcase to demonstrate her point. She said that all that 'the dark' is is really the absence of light and that all you have to do to get rid of the dark is open the suitcase and light overtakes it. Light ALWAYS OVERTAKES THE DARK. ALWAYS. So when you are feeling that 'dark' feeling - open your mental 'suitcase' and it will be gone. Light is much more powerful than the dark - when the Pastor opened the suitcase there was no struggle, the dark had to leave and allow the light to take over.

Simple analogy but it really stuck with me. Hope this helps if only for a bit.

Take good care.

Blessings,

Bluerose

JoanieP's picture
JoanieP
Posts: 573
Joined: Mar 2010

Bluerose
I love the story. It is so true isn't it. Thanks for sharing. You are an inspiration to many people.

bluerose's picture
bluerose
Posts: 1104
Joined: Jul 2009

Long time no yap eh? lol. We all inspire each other, that's the beauty of this site, a place to gather and to realize that we are not alone and that's just so valuable in the fight against this 'thang'. Sometimes the simplest of story ideas can make a big difference, hope this simple one I relayed does that for someone out there.

Hugs Joanie, hope you are doing well today.

Blessings always,

Bluerose

Davis285's picture
Davis285
Posts: 15
Joined: Jul 2011

Hello Bluerose,
These couple of days I am having abdominal pain and constipation. Yesterday, my belly looked like 3 months pregnagnt. I finally was able to go to the bathroom and relax my body but the pain in my abdomen still there. It's under my rib (I think is the mass putting presion on my body). Yesterday I was getting angry and in "the dark". "The dark" was acting in me and giving me the feeling that the medicine was not working, that I am not getting better and the "what if thought" :( I was getting very irritated in the house that my husband told me that I needed to go out for a bit. I decided to go out of the house and I took the kids with me. While I was driving I cried and I was upset with myself. I asked the Lord to please help me as I don't want to loose my Faith and Trust in Him. Finally I ended up in Toys R Us with the boys looking around and buying something for them. I enjoyed my time with them looking around this store full of toys! I took my time and I didn't rush them. We looked at every single isle in the store until we finally found a toy for everyone. The Lord gave me peace. I opened my briefcase and I didn't let the "dark" take over me. I was not alone, I was with my boys and they opened the case of Joy and light in my life again! Thank you BlueRose! I needed to read this :) My spirit is up again and with more power to fight the "dark" ;) --hugs--

allmost60's picture
allmost60
Posts: 3184
Joined: Jul 2010

Hi Monica,
There are a few things you need to remember while doing the CVP-R chemo. The Vincristine..(V) in the chemo is notorious for causing constipation. What helped me immensely was taking 2 tablets of Senokot-S EVERY night after my diner throughout the entire 6 rounds of treatment. It's a mild stool softner(not a laxative). I still take it on a regular basis while doing my Rituxan Maint and no longer have any problems with constipation. I get mine at Walmart. Also, the Prednisone..(P) stays in your body during the entire chemo regimine and has a tendency to mess with your mood swings. My moods were very intense during the 5 days of high dose pred, but I also knowticed many days of anxiety in the 21 day cycle between chemo's and high doses of pred. It wasn't until 3 or 4 months "after" finishing my CVP-R that I knowticed I was no longer having moody "dark" days. Something else I knowticed with the pred was how it affected the shape of my body. I developed a small pooch in my tummy and fat deposits in area's I NEVER had fat before. I did some extensive reading on Prednisone and learned how it affects many areas in our body and how it can take upwards of a year(sometimes longer) to completely get out of our system. Weight gain is very common, and loosing the weight after we are off of it is very hard. I read many prednisone patient testimonials where folks said their body shape changed after taking it. So..the bottom line is always remembering that the medicine(poison) we take to fight the cancer will no doubt make changes to our body that may last for many years and possibly forever. Thats where our "new normal" comes into play, and learning how to cope with the new changes, which might end up being permanent. I try to look at it as a small price to pay in order to stay alive. I hope some of this info is helpful. Mind you...I can only say how things affected me, so remember...we all re-act differently and what works for one or affects one, might not work or affect another in the same way. This cancer business and fighting it, is quite the ride! Hang in there dear.
Love...Sue (FNHL-2-3A-6/10)

bluerose's picture
bluerose
Posts: 1104
Joined: Jul 2009

Oh I am so pleased the story I relayed in here helped you, it helped me too when I heard it on my tv church last Sunday. I knew someone might be able to use it as it lifted me up too when I heard it first.

Yuppers, you will have those dark days as we all do but you did the total right thing and that was to plunge yourself into your kids and do something totally fun - not only does it distract us but it allows the light into our lives again as you said.

The dark has nothing on the light, remember that. One thing though, might be a better idea to have someone drive you when you are feeling down, crying and blurring your vision while driving with the kids might not be the best idea and our decision making can be compromised when we are upset. I say that because I did that once and almost had an accident, it was a close one, just thought I would share.

Hugs back and glad I could help.

Blessings,

Bluerose

711tom
Posts: 44
Joined: Mar 2010

I was also 33 when I was DX with NHL stage 4 Follicular. I went through CHOP in 1993/94, 9 times in 6 months and have had a few relapses and been through a few other treatments but I am now 53, in complete remission and run about 10 miles a week feeling good. My only advice would be to be patient as you go through the treatment. It seems like it takes forever but you get through it and having a strong family and support system (as I did) really gets you through it all. Stay strong and I feel you will be fine, you have a long life ahead of you!!

George

Davis285's picture
Davis285
Posts: 15
Joined: Jul 2011

Hello My Dear Friends,

I just want to share with you some news about me. Last Tuesday was my 5th chemo and prior days to that I had a PET/CAT SCAN. My results were that 60% of the masses had shrunk and the doctor expects to be gone by my 6th treatment. If not, then I will have to do more chemo's until is gone. I am very happy for this news! I can't Thank God enough for this positive results!! I am healing and that's the most important. The medicine is working and that makes me happy :) I believe in the power of prayer and I know that The Lord listens to everyone's prayers in a lovely and merciful way. I thank you for your support and I know I can count with you. I would like to know your point of view and if you have any advice for me to do next. After this chemo I feel more tired and with low energy. I am eating a lot as always and I gained 20 pounds so far. Prednisone sometimes gets me in a bad mood but I try to control myself. Hope to hear from you soon. --Blessings to you all--

jimwins's picture
jimwins
Posts: 2108
Joined: Aug 2011

Celebration on the good news, Davis.

Prednisone is nasty stuff. My blood pressure rises, I can't sleep, I get
grumpy and moody, and when it is out of the system, I crash like a falling
kite :).

I'm at the hospital and just happen to be on my very last cycle and as of 10 minutes
ago, my very last bag of chemo. I will hopefully be out of here around
3-4pm tomorrow. Chemotherapy complete - forever I hope :).

I started R-EPOCH back in early May, had a surgical interruption and resumed
the 6 cycle treatment. After cycle 4, PET scan shows clear but oncologist
wanted to finish out the cycles. We're all optimistic here!

I share this becuase I've had the fortune of being blessed throughout all
of this and I'm grateful and I know prayers and positive thoughts have
helped me in this journey so far.

So, I'm passing positive and warm thoughts on to you.

Big hugs to you!

Jim

forme's picture
forme
Posts: 1161
Joined: Aug 2010

Hi Jim

I just wanted to say that I am so happy for you. You are almost done. Hooray! When you get home, just start enjoying life. Make sure you get your rest too..

I always love to read about folks who are done with treatment and or in remission. It is such encouraging news.

You are so helpful on this site. I see many of your wonderful words to so many.
Thanks for your kind support. Keep the humor coming..

(((hugs)))
Lisha

allmost60's picture
allmost60
Posts: 3184
Joined: Jul 2010

Hi,
Davis, I'm glad the tumors have shrunk and you only have one more treatment to go."YEAH"! I'm 9 months out from my last chemo treatment and I still don't have my energy back 100%. It takes time, or so I'm told, so I guess we just have to be patient and wait for it to pick up. The pred can cause weight gain, but at your young age the extra pounds might be easier to take off than someone my age. I wouldn't work too hard at getting back down to your prior weight until after your done with treatment and given yourself time to recover. Keep us posted on how things go...Love, Sue (FNHL-2-3A-6/10)

Hi Jim,
"Yeah"...todays your last treatment!!! It's such an awesome feeling to get the last one under your belt. No more pred... "B-I-G YEAH"!!! ha! I'm so happy for you! When you go home tomorrow just relax and let your body heal...it's been through a battle and needs a good break. Best wishes....Sue (FNHL-2-3A-6/10)

jimwins's picture
jimwins
Posts: 2108
Joined: Aug 2011

Lisha and Sue,

Thank you so much!

It's going to be a little weird in about a month not having to
come in for the chemo. I won't know what to do with myself.
At least I have plenty of Joe Boxer pants to run around the
the house in :). Maybe I should keep a hospital gown for
old times sake - I DON'T THINK SO.

You guys are awesome and all positives and hugs back at you!

Jim

anliperez915's picture
anliperez915
Posts: 770
Joined: Sep 2011

Hi Davis;
Thank God that you're getting great results and everything that your going through is worth it because we'll give everything to be with our kids and family more time...don't worry about the pounds sooo much because like somebody already said before me they are a small price to pay for our good health, you can always get some exercise done or eat healthier in the future when you feel better...
God Bless you and your family...

Sincerely,

Liz

MammaDuck
Posts: 1
Joined: Oct 2011

Monica,
I also had NHL Follicular Bcell Stage 4. My bone marrow was 20% infected. I was diagnosed in May of 2007.I was in my late 40's. I am presently in remission! I had a lot of aches and pains after chemo and rituxan. I took L-Glutamine. I would just take a spoonful and mix it in bottled water in the morning with flavoring. It helped a lot.
I had 6 CHOP treatments w/Rituxan then a follow up of 8 treatments of rituxan over 2 years. The rituxan often left me feeling like I had the flu for a day or so.
There is life after Cancer. I ran in the Circle of Life 5K race a year after treatment. I went back to school to become a teacher. I have made a bucket List and have done several things. Some I never would have dreamed of doing before!
I wish you the best of luck with your treatment. Stay positive and take care of yourself.

I started looking on this site because the one longterm effect for me is my memory and attention span just don't seem to be what they once were. Anyone else have this problem?

Davis285's picture
Davis285
Posts: 15
Joined: Jul 2011

Dear friends! Just want to give an update about me. Praise The Lord doctor told me the week before Thanksgiving that I was in remission. I had tears of joy when he said those words. The Lord made everything perfect and I was able to have a wonderful Christmas with my family and my kids. My body recovered very well and I felt with energy to do things and very happy that my body was going back to normal little by little. This week I have my next procedure which is the Zevalin. Dr gave me indications and side effects. I'd like to know if any of you had it and if you could share your experience with me.
I send you all big hugs and wishing you a Happy and Healthy New Year! We are all in the same boat and we are here to help each other with the Love, Support and Mercy of our Lord Jesus Christ who straighten us everyday!

forme's picture
forme
Posts: 1161
Joined: Aug 2010

Hi Monica

Just wanted to say congratulations on your remission. What wonderful news.
Wishing you many happy family days ahead.

Lisha

jimwins's picture
jimwins
Posts: 2108
Joined: Aug 2011

Happy Dance for Monica :)
Hope you like "kitties" ;).

Happy Dance Prayers For You :)

Hugs and positive thoughts,

Jim
DX: DLBL 4/2011, Chemo completed 10/2011, currently in remission. :)
Members are sharing recipes!:
♥ Recipe Sharing Project

allmost60's picture
allmost60
Posts: 3184
Joined: Jul 2010

Hi Monica,
So glad you are in remission.."YEAH"! I do not know anything about Zevalin, but do know we have a couple of folks in the group that have done the treatment. Hopefully they will chime in soon and answer your questions. "Happy New Year" to you my dear, and ALL of us...we've earned a better year!!! Much love...Sue (FNHL-2-3A-6/10)

anliperez915's picture
anliperez915
Posts: 770
Joined: Sep 2011

Congratulations Monica,
On kicking the cancer's butt, I'm really happy that that your better! Just take care of yourself and wishing you a great healthy new year to you and your family.

Sincerely,
Liz

caregiver1829's picture
caregiver1829
Posts: 52
Joined: Feb 2012

davis did you take treanda with rituxin and for how long.. maint rituxin didnt succeed in keeping my wife in the clear.. we re waiting for biopsy to see what new cancer has made its day view// thanks caregiver,,
ps congrads too,,

jjjorgen
Posts: 2
Joined: Apr 2012

I keep trying to research Zevalin. Please tell me how things went for you?
God Bless!!

caregiver1829's picture
caregiver1829
Posts: 52
Joined: Feb 2012

Mammaduck, memory loss must be one of the side effects,, my wife doesnt remember places and things we ve seen just a few years back,, and really has a problem with short term memory.. they say thats part of the chemo thing.. but for her the maint rituxin has not done its job, we waiting for biopsy to see what type and how much cancer is showing back up behind her intestines,, we know its lymphomia but what? and how bad? she too felt like she was sick at her tummy a day or two afterwards rituxin chemo..
the Jewish hospital published a book to prepare they re patients for transplants and one of the things i have found to be very true is that even though you appear to be better and in realistic you re still doing dr follow ups etc,, your family and friends think everything is hunky dory and you re all doing just fine and really you re still having a lot of problems that they just dont know about because they re not around that much and they only see the good moments when they stop in to visit.. caregiving is definately a 24/7 job.. I use careingbridge.org faithfully too, its a good means of communicating your patients progress or lack of progress to those that want to know.. thanks caregiver..

rclaxb's picture
rclaxb
Posts: 13
Joined: Sep 2010

Hi Monica,

I did RCHOP Nov. 2009-Feb. 2010. Just so you know, the Rituxam caused me no problems. Know that my symptoms of being tired and lost of teast got worse after each chemp cycle. Wed. I will have my last Rituxam maint. treatment after 2 years every three months. These sessions have not been bad. Only main issue is not being able to sleep the night of the treatments and being tired for about four days. Hang in there. My primary felt zololf would help me and it has made a big diffence in my attitude.

caregiver1829's picture
caregiver1829
Posts: 52
Joined: Feb 2012

hi rchop/ my wife had rchop in 08 with success, but it was long lived,, 2010 follicular was back and it brought re-inforcements with it "big B" in dec 10 she did a auto stem cell blood transplant which kick Mr b's tail..now n Jan we something showing on scan, we re waiting on biopsy to find out what,, they re recommending treanda w/ rituxin as direction of action to take.. you re right rituxin is a mild chemo,, and what i read of treanda it too can be a mild to mid level chemo.. each person reacts diff to it.. but we just need to know the results of treanda so we can make a decision..
when the doc showed us that glow on the computer screen my heart dropped to my knees.. and our first trend of thinking was to just make the best of the time, but after seeing these blogs tonight it gives me new strength on this battle.. thanks to all caregiver..

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