Tuesday, August 20, 2013

   


Cancer Free but let me not waste it

(please read all the way through)


Dean's Story...
We received the results this morning. 

After completion of the robotic radical protatatechtomy for prostatic adenocarcinoma, the results showed that the carcinoma was confined, with no extracapsular extention. The surgical margins of resection are negative for malignancy. Dr. Blitzstein made it a bit clearer: 'You're cured of cancer!'.

Although I will be visiting the doctor in five weeks and a few times yearly for the next few years, I have been declared 'cancer free'! Obviously, all praise to the Lord!

In speaking with Dr. Blitzstein, he again made it clear that without this surgery I would not be around the same time next year! I realize that the Lord has a purpose in all of this and am very grateful for future opportunities to serve Him.

I may feel as if I 'have miles to go before I sleep'  (RFK quoting Robert Front) but I realize the truth of James 4:13-15 ' Come now, you who say, “Today or tomorrow we will go into such and such a town and spend a year there and trade and make a profit”— yet you do not know what tomorrow will bring. What is your life? For you are a mist that appears for a little time and then vanishes. Instead you ought to say, “If the Lord wills, we will live and do this or that.”'

Yesterday I was reading 2 Kings 20:1-19 and again realized the focus should be on God and not on 'healing'. Job 2:10 shows that God allows even bad things in your life for a purpose: '..shall we accept good from God, and not trouble?” The key is to keep the focus on Him. 

I'm reminded by the 2 Kings 20 passage, that Hezekiah was given an extention of his life: (verse 6)
"I will add fifteen years to your life". But, pride eventually caught up with him. My prayer is that I continue to learn something from this experience.

I enjoyed reading the following article from John Piper; perhaps you will as well. Dr. Piper was
diagnosed with prostate cancer in 2006.


A Wikepedia article on him states this:
" Piper responded to his diagnosis with the following: This news has, of course, been good for me. The most dangerous thing in the world is the sin of self-reliance and the stupor of worldliness. The news of cancer has a wonderfully blasting effect on both. I thank God for that. The times with Christ in these days have been unusually sweet. Piper underwent successful surgery on February 14, 2006"


http://www.stevekmccoy.com/reformissionary/2006/01/john_piper_has_.html

Thanks for your prayers. It's now time to PRAISE THE LORD!


Don't Waste Your Cancer  
John Piper / Desiring God Ministries

I write this on the eve of prostate surgery. I believe in God's power to heal—by miracle and by medicine. I believe it is right and good to pray for both kinds of healing. Cancer is not wasted when it is healed by God. He gets the glory and that is why cancer exists. So not to pray for healing may waste your cancer. But healing is not God's plan for everyone. And there are many other ways to waste your cancer. I am praying for myself and for you that we will not waste this pain.
1. You will waste your cancer if you do not believe it is designed for you by God.
It will not do to say that God only uses our cancer but does not design it. What God permits, he permits for a reason. And that reason is his design. If God foresees molecular developments becoming cancer, he can stop it or not. If he does not, he has a purpose. Since he is infinitely wise, it is right to call this purpose a design. Satan is real and causes many pleasures and pains. But he is not ultimate. So when he strikes Job with boils (Job 2:7), Job attributes it ultimately to God (2:10) and the inspired writer agrees: "They . . . comforted him for all the evil that the LORD had brought upon him" (Job 42:11). If you don't believe your cancer is designed for you by God, you will waste it.
2. You will waste your cancer if you believe it is a curse and not a gift.
"There is therefore now no condemnation for those who are in Christ Jesus" (Romans 8:1). "Christ redeemed us from the curse of the law by becoming a curse for us" (Galatians 3:13). "There is no enchantment against Jacob, no divination against Israel" (Numbers 23:23). "The LORD God is a sun and shield; the LORD bestows favor and honor. No good thing does he withhold from those who walk uprightly" (Psalm 84:11). 
3. You will waste your cancer if you seek comfort from your odds rather than from God.
The design of God in your cancer is not to train you in the rationalistic, human calculation of odds. The world gets comfort from their odds. Not Christians. Some count their chariots (percentages of survival) and some count their horses (side effects of treatment), but we trust in the name of the LORD our God (Psalm 20:7). God's design is clear from 2 Corinthians 1:9, "We felt that we had received the sentence of death. But that was to make us rely not on ourselves but on God who raises the dead." The aim of God in your cancer (among a thousand other good things) is to knock props out from under our hearts so that we rely utterly on him.
4. You will waste your cancer if you refuse to think about death.
We will all die, if Jesus postpones his return. Not to think about what it will be like to leave this life and meet God is folly. Ecclesiastes 7:2 says, "It is better to go to the house of mourning [a funeral] than to go to the house of feasting, for this is the end of all mankind, and the living will lay it to heart." How can you lay it to heart if you won't think about it? Psalm 90:12 says, "Teach us to number our days that we may get a heart of wisdom." Numbering your days means thinking about how few there are and that they will end. How will you get a heart of wisdom if you refuse to think about this? What a waste, if we do not think about death.
5. You will waste your cancer if you think that "beating" cancer means staying alive rather than cherishing Christ.
Satan's and God's designs in your cancer are not the same. Satan designs to destroy your love for Christ. God designs to deepen your love for Christ. Cancer does not win if you die. It wins if you fail to cherish Christ. God's design is to wean you off the breast of the world and feast you on the sufficiency of Christ. It is meant to help you say and feel, "I count everything as loss because of the surpassing worth of knowing Christ Jesus my Lord." And to know that therefore, "To live is Christ, and to die is gain" (Philippians 3:8; 1:21).
6. You will waste your cancer if you spend too much time reading about cancer and not enough time reading about God.

It is not wrong to know about cancer. Ignorance is not a virtue. But the lure to know more and more and the lack of zeal to know God more and more is symptomatic of unbelief. Cancer is meant to waken us to the reality of God. It is meant to put feeling and force behind the command, "Let us know; let us press on to know the LORD" (Hosea 6:3). It is meant to waken us to the truth of Daniel 11:32, "The people who know their God shall stand firm and take action." It is meant to make unshakable, indestructible oak trees out of us: "His delight is in the law of the LORD, and on his law he meditates day and night. He is like a tree planted by streams of water that yields its fruit in its season, and its leaf does not wither. In all that he does, he prospers" (Psalm 1:2). What a waste of cancer if we read day and night about cancer and not about God.


7. You will waste your cancer if you let it drive you into solitude instead of deepen your relationships with manifest affection.

When Epaphroditus brought the gifts to Paul sent by the Philippian church he became ill and almost died. Paul tells the Philippians, "He has been longing for you all and has been distressed because you heard that he was ill" (Philippians 2:26-27). What an amazing response! It does not say they were distressed that he was ill, but that he was distressed because they heard he was ill. That is the kind of heart God is aiming to create with cancer: a deeply affectionate, caring heart for people. Don't waste your cancer by retreating into yourself.

8. You will waste your cancer if you grieve as those who have no hope.

Paul used this phrase in relation to those whose loved ones had died: "We do not want you to be uninformed, brothers, about those who are asleep, that you may not grieve as others do who have no hope" (1 Thessalonians 4:13). There is a grief at death. Even for the believer who dies, there is temporary loss—loss of body, and loss of loved ones here, and loss of earthly ministry. But the grief is different—it is permeated with hope. "We would rather be away from the body and at home with the Lord" (2 Corinthians 5:8). Don't waste your cancer grieving as those who don't have this hope.

9. You will waste your cancer if you treat sin as casually as before.

Are your besetting sins as attractive as they were before you had cancer? If so you are wasting your cancer. Cancer is designed to destroy the appetite for sin. Pride, greed, lust, hatred, forgiveness, impatience, laziness, procrastination—all these are the adversaries that cancer is meant to attack. Don't just think of battling against cancer. Also think of battling with cancer. All these things are worse enemies than cancer. Don't waste the power of cancer to crush these foes. Let the presence of eternity make the sins of time look as futile as they really are. "What does it profit a man if he gains the whole world and loses or forfeits himself?" (Luke 9:25).

10. You will waste your cancer if you fail to use it as a means of witness to the truth and glory of Christ.

Christians are never anywhere by divine accident. There are reasons for why we wind up where we do. Consider what Jesus said about painful, unplanned circumstances: "They will lay their hands on you and persecute you, delivering you up to the synagogues and prisons, and you will be brought before kings and governors for my name's sake. This will be your opportunity to bear witness" (Luke 21:12 -13). So it is with cancer. This will be an opportunity to bear witness. Christ is infinitely worthy. Here is a golden opportunity to show that he is worth more than life. Don't waste it.

Remember you are not left alone. You will have the help you need. "My God will supply every need of yours according to his riches in glory in Christ Jesus" (Philippians 4:19).

By John Piper. © Desiring God. 
Website: www.desiringGod.org. Email: mail@desiringGod.org . Toll Free: 1.888.346.4700.

If we reach out to God in time of need, then we are accessing the One who created the universe.

What does the Bible say about why we suffer?
God created us because He loves us. God never intended for tragedy and prejudice, wars and hatred, lust and greed, jealousy and pride. God meant for Earth to be a paradise, a place where there would be no death.

But a man and a woman, Adam and Eve, rebelled against God. This act of rebellion said, “I don’t need you, God. I can build my world without you.” As a result, mankind must suffer and die. Physical death is just the death of the body, but the spirit lives on. If your spirit is separated from God for eternity, it will be lost forever.

God has provided a rescue in the person of His Son, Jesus Christ.

Gen 3; 2 Corinthians 1:3-4; Psalms 46:1-2

Is God angry with me?
No, God is not angry with you. In John 3:16, the Bible says that He loves everyone. However, because we live in an imperfect world, we all deal with good and bad. God is aware of everything that happens and has the ability to take what was intended for evil and use for good. The evil in this world does not render God powerless. It is quite the opposite. He promises to be with us - and, if we live life in relationship with Him - to guide us into a life of peace and freedom from fear.

John 3:16-17; Romans 8:28; James 1:1-4; John 10:10

Why me?
It often feels like difficult circumstances are directed at us. We live in an imperfect world, and the Bible says that it rains on the just and the unjust. We all live through painful and uncomfortable things. Who are we trusting when those things happen to us? Are we self-reliant or do we rely on God? If we reach out to God in time of need, then we are accessing the One who created the universe. The Bible says that He is waiting for our response. He has already made the invitation through His Son Jesus. Why you? Because He loves you. He wants you to look to Him so He can rescue you and bring you peace.

Romans 5:8; John 11:1-44


What good can come out of this?
There are no easy answers, just simple ones: growth and glory. We grow because when life hurts, we pay attention and we find out what is real and whom we can trust. In the Bible, in James 1:1- 4 tells us when we face trials, we can see it as a positive thing in our life because ultimately we are going to grow from it. That’s hard to realize when our pain is all we can see and feel. But, after you’ve experienced life as a follower of Jesus, and you’ve experienced His faithfulness, then you know it’s true.

The other answer is a bit more complicated, and it is found in a Bible story about a blind man that Jesus heals in John 9. The man didn’t do anything to deserve to be blind, and when asked why the man was blind, Jesus answered, “So you can see who I am.” He healed the blind man so that the blind man and everyone around him would be amazed by the supernatural power of Jesus and know that He is Who He say He is. It was the best gift He could give them, and us. We are attracted to greatness. God is the greatest of them all and He desires to be with us.

James 1:1-4; John 9; Romans 8:28

How do I recover spiritually from this?
The natural response is to deny that you are affected by the crisis. The truth is that crisis affects everybody it touches, but it affects each person differently. David, in Psalms, tells his soul to praise the Lord. He was in a dark place emotionally, but he knew that praising God was necessary and that calling on Him could effect the outcome of the situation. Psalm 42 and Psalm 88 are Psalms of lament. The writers were despondent, yet they sought God in spite of feelings. Counselors will tell you that feeling will follow fact. So, there are some things that we should do to recover:

  • Acknowledge your need for God.
  • Read God’s Word, the Bible (or listen to it on tape or DVD. Psalms is a good place to start).
  • See if there are others who will pray with you.
  • Look for ways to serve others.
  • Stay connected with a body of Christ followers (small group, activity group, service group, church).

ll ways to be thankful and ways to express that to God and others.

Psalm 9:10, 34:17, 50:15, 145:18-19; James 5:13-16

How can I be strong when my life is falling apart?
When life is difficult, we look to God and find out that He has grace. In 2 Corinthians 12:9, the Bible tell us that His grace is sufficient for you, for his power is made perfect in our weakness. First, we must give our situation and life to God; this is the hardest part, because we feel more secure of we think we are in control of things. Once we give these things over to Him, He is going to give us the ability to stand up and endure.

It is hard to admit weakness. That is what it takes to act in humility and allow God to take control of your situation. Acknowledge to God that He needs to bear your burdens because you can’t anymore. Jesus longs for you to come to Him and know Him personally.

Matthew 11:28-29, 2 Corinthians 12:9; 1 Peter 5:7

DRESS APPROPRIATELY!!


REMEMBER!

·         “These things I have spoken to you, so that in Me you may have peace. In the world you have tribulation, but take courage; I have overcome the world.”  John 16:33

·         God is our refuge and strength, a very present help in trouble. Therefore we will not fear, though the earth should change and though the mountains slip into the heart of the sea; though its waters roar and foam, though the mountains quake at its swelling pride. Selah. The LORD of hosts is with us; the God of Jacob is our stronghold. Selah. Psalm 46:1-3,7

·         ‘Do not fear, for I am with you; do not anxiously look about you, for I am your God. I will strengthen you, surely I will help you, surely I will uphold you with My righteous right hand.’ Isaiah 41:10

·         For God did not give us a spirit of timidity (of cowardice, of craven and cringing and fawning fear), but [He has given us a spirit] of power and of love and of calm and well-balanced mind and discipline and self-control. 2 Tim 1:7 (AMP)

·         I have set the Lord continually before me; because He is at my right hand, I shall not be moved. Psalm 16:8 (AMP)

 

 

 

 

  Cast your burden on the Lord [releasing the weight of it] and He will sustain you; He will never allow the [consistently] righteous to be moved (made to slip, fall, or fail). Psalm 55:22 (AMP)

·         He only is my Rock and my Salvation; He is my Defense and my Fortress, I shall not be moved. Psalm 62:6 (AMP)

·         Casting the whole of your care [all your anxieties, all your worries, all your concerns, once and for all] on Him, for He cares for you affectionately and cares about you watchfully. 1 Peter 5:7 (AMP)

·         The Lord is good, a Strength and Stronghold in the day of trouble; He knows (recognizes, has knowledge of, and understands) those who take refuge and trust in Him. Nahum 1:7 (AMP)

·         “The steadfast of mind You will keep in perfect peace, Because he trusts in You. Isaiah 26:3


NO! Not him

Gleason Scores

 

Stage grouping

Once the T, N, and M categories have been determined, this information is combined, along with the Gleason score and prostate-specific antigen (PSA), in a process called stage grouping. If the Gleason score or PSA results are not available, the stage can be based on the T, N, and M categories. The overall stage is expressed in Roman numerals from I (the least advanced) to IV (the most advanced). This is done to help determine treatment options and the outlook for survival or cure (prognosis).

Stage I: One of the following applies:

T1, N0, M0, Gleason score 6 or less, PSA less than 10: The doctor can't feel the tumor or see it with an imaging test such as transrectal ultrasound (it was either found during a transurethral resection or was diagnosed by needle biopsy done for a high PSA) [T1]. The cancer is still within the prostate and has not spread to nearby lymph nodes [N0] or elsewhere in the body [M0]. The Gleason score is 6 or less and the PSA level is less than 10.

OR

T2a, N0, M0, Gleason score 6 or less, PSA less than 10: The tumor can be felt by digital rectal exam or seen with imaging such as transrectal ultrasound and is in one half or less of only one side (left or right) of your prostate [T2a]. The cancer is still within the prostate and has not spread to nearby lymph nodes [N0] or elsewhere in the body [M0]. The Gleason score is 6 or less and the PSA level is less than 10.

Stage IIA: One of the following applies:

T1, N0, M0, Gleason score of 7, PSA less than 20: The doctor can't feel the tumor or see it with imaging such as transrectal ultrasound (it was either found during a transurethral resection or was diagnosed by needle biopsy done for a high PSA level) [T1]. The cancer has not spread to nearby lymph nodes [N0] or elsewhere in the body [M0]. The tumor has a Gleason score of 7. The PSA level is less than 20.

OR

T1, N0, M0, Gleason score of 6 or less, PSA at least 10 but less than 20: The doctor can't feel the tumor or see it with imaging such as transrectal ultrasound (it was either found during a transurethral resection or was diagnosed by needle biopsy done for a high PSA) [T1]. The cancer has not spread to nearby lymph nodes [N0] or elsewhere in the body [M0]. The tumor has a Gleason score of 6 or less. The PSA level is at least 10 but less than 20.

OR

T2a or T2b, N0, M0, Gleason score of 7 or less, PSA less than 20: The tumor can be felt by digital rectal exam or seen with imaging such as transrectal ultrasound and is in only one side of the prostate [T2a or T2b]. The cancer has not spread to nearby lymph nodes [N0] or elsewhere in the body [M0]. It has a Gleason score of 7 or less. The PSA level is less than 20.

Stage IIB: One of the following applies:

T2c, N0, M0, any Gleason score, any PSA: The tumor can be felt by digital rectal exam or seen with imaging such as transrectal ultrasound and is in both sides of the prostate [T2c]. The cancer has not spread to nearby lymph nodes [N0] or elsewhere in the body [M0]. The tumor can have any Gleason score and the PSA can be any value.

OR

T1 or T2, N0, M0, any Gleason score, PSA of 20 or more: The cancer has not yet begun to spread outside the prostate. It may (or may not) be felt by digital rectal exam or seen with imaging such as transrectal ultrasound [T1 or T2]. The cancer has not spread to nearby lymph nodes [N0] or elsewhere in the body [M0]. The tumor can have any Gleason score. The PSA level is at least 20.

OR

T1 or T2, N0, M0, Gleason score of 8 or higher, any PSA: The cancer has not yet begun to spread outside the prostate. It may (or may not) be felt by digital rectal exam or seen with imaging such as transrectal ultrasound [T1 or T2]. The cancer has not spread to nearby lymph nodes [N0] or elsewhere in the body [M0]. The Gleason score is 8 or higher. The PSA can be any value.

Stage III:

T3, N0, M0, any Gleason score, any PSA: The cancer has begun to spread outside the prostate and may have spread to the seminal vesicles [T3], but it has not spread to nearby lymph nodes [N0] or elsewhere in the body [M0]. The tumor can have any Gleason score and the PSA can be any value.

Stage IV: One of the following applies:

T4, N0, M0, any Gleason score, any PSA: The cancer has spread to tissues next to the prostate (other than the seminal vesicles), such as the urethral sphincter (muscle that helps control urination), rectum, bladder, and/or the wall of the pelvis [T4]. The cancer has not spread to nearby lymph nodes [N0] or elsewhere in the body [M0]. The tumor can have any Gleason score and the PSA can be any value.

OR

Any T, N1, M0, any Gleason score, any PSA: The tumor may or may not be growing into tissues near the prostate [any T]. The cancer has spread to nearby lymph nodes (N1) but has not spread elsewhere in the body [M0]. The tumor can have any Gleason score and the PSA can be any value.

OR

Any T, any N, M1, any Gleason score, any PSA: The cancer may or may not be growing into tissues near the prostate [any T] and may or may not have spread to nearby lymph nodes [any N]. It has spread to other, more distant sites in the body [M1]. The tumor can have any Gleason score and the PSA can be any value.

SOURECE: http://www.cancer.org/cancer/prostatecancer/detailedguide/prostate-cancer-staging

Understanding PSA Levels

Once you’re ready for your PSA test, your doctor or nurse will take a small sample of blood. It will go to a laboratory where they will measure the amount of PSA in your blood using a special procedure called immunoassay. Your results will be reported as nanograms per milliliter of blood, usually written as ng/mL

Normal PSA levels have been typically defined as being around 4 ng/mL. If you have a PSA between 4 and 10 ng/mL, the chances that you have prostate cancer are 20 to 50 percent. If your PSA level is over 10 ng/mL, you are 50 to 75 percent more likely to have prostate cancer, and if your PSA level goes over 20 ng/mL, there is a 90 percent chance you have prostate cancer.

SOURCE: http://www.fca.com/articles/UP164.html

Some Q. and A. about PSA

RISING PSA: My PSA has is up to 6.9 from 1.2. I have known men with PSA of greater than 10. What treatment will my doctor recommend?
The PSA increase may be due to inflammation in the prostate. So, the first step is to take a 10 to 14 day course of antibiotics (such as Cipro 500 mg twice a day). Of course, if the PSA does not come back down, a biopsy of the prostate should be considered.

LOW PERCENTAGE OF FREE PSA: I am an active 59 year- old man with bladder cancer (diagnosed almost 3 years ago; stage 1, grade 3-4) which was surgically removed. I received BCG treatments for 18 months and have been watched and examined through cystoscopes, urine tests and blood tests. My PSA tests go between 4.0 and 4.5 and my free PSA tests had been a 6 and now is a 3. I have undergone 2 prostate biopsies with 10 samples taken each time. Cancer has not been found. My question is what could make my percentage of free PSA so low? My doctor has stated that my prostate is large. Are there any suggestions or do we just keep checking with biopsies?
When the total PSA is between 4 and 10 and the percentage of free PSA is less than 10, there is about a 58% chance that biopsies will show cancer. This means that there is a 42% chance that the biopsies will not show cancer. I would advise that you monitor the total PSA level and the free PSA level, and if the total PSA level rises, consider further biopsies. It is possible that with a large prostate gland, there could be areas of cancer that were missed by the first two sets of biopsies. If you want to be as pro-active as possible, you might want to consider repeating the biopsies again in one year. It is well established that BCG therapy for bladder cancer can induce chronic inflammation in the prostate gland that can result in a long-term elevation of the PSA level.

LOW FREE PSA PERCENTAGE: Besides cancer what else can cause a very low PSA free number?
There is still much to be learned about free PSA. We now know that there are several forms of it. One form is low in cancer and high with benign enlargement of the prostate. However, another form is high in cancer. In general, a low percentage of free PSA is worrisome for cancer – but not always. There are some men who have a low free PSA and do not have cancer. We don't know all of the explanations at this time.

RELATIVELY HIGH PSA BUT LOW CANCER VOLUME: My husband has PSA of 14.7, and Gleason score of 6, but in the biopsy that was done, cancer was found in only 1/200th of the sample tissue. What is likely to explain the high PSA, and yet seemingly small amount of cancer?
There are several possible explanations. Part of the high PSA could be due to benign prostatic enlargement or inflammation in the prostate. The cancer may be contributing a relatively small proportion of the PSA. Another possibility is that the biopsies may have failed to detect other regions of cancer within the prostate due to simple spatial sampling errors.

 

Find this and more at http://www.biblestudytools.com


Cancer Stages

Stage I

The cancer is only in the prostate. It might be too small to feel during a digital rectal exam. If the Gleason score and PSA level are known, the Gleason score is 6 or less, and the PSA level is under 10.

Stage II

The tumor is more advanced or a higher grade than Stage I, but the tumor doesn’t extend beyond the prostate.

Stage III

The tumor extends beyond the prostate. The tumor may have invaded a seminal vesicle, but cancer cells haven’t spread to lymph nodes. See the picture of a seminal vesicle.

Stage IV

The tumor may have invaded the bladder, rectum, or nearby structures (beyond the seminal vesicles). It may have spread to lymph nodes, bones, or other parts of the body.

Some doctors recommend the following PSA cut-off levels adjusted by age and ethnicity:

Age

Caucasian or Hispanic

African American

Asian

40 to 49

2.5

2.0

2.0

50 to 59

3.5

4.0

3.0

60 to 69

4.5

4.5

4.0

70 to 79

6.5

5.5

5.0

Of the approximately 18 million - Among these men are an estimated 180,000 per year who likely have prostate cancer, including 50,000 who have an aggressive form of prostate cancer (these numbers are based on cancer rates reported in the Prostate Cancer Prevention Trial).

If your PSA is above 4.0 ng/mL, an increase of 75 percent or more in a single year could indicate an aggressive case of the disease. For example: from 4.0 to 7.0 ngml in one year.

A Gleason score of 2 to 4 is considered low grade; 5 through 7, intermediate grade; and 8 through 10, high grade. http://prostate-cancer.emedtv.com/gleason-score/gleason-score.html

The most significant cause of an elevated PSA is prostate cancer. However, any condition that causes changes within the prostate can result in PSA elevations. Some of these include pre-cancerous changes of the prostate (Prostatic Intraepithelial Neoplasia), prostate infections, inflammatory conditions of the prostate, prostatic stones and enlargement of the prostate (BPH). http://www.healthcentral.com/prostate/c/question/335147/59209 / http://www.healthcentral.com/profiles/c/95

There going to use this

                   Leonardo DaVinci Robot
 


Cancer Free!!


Call me: 908-436-7515 or email me: dean@gateway

I will be praying for you!




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