Super helpful info from Cancer Treatment Centers of America…
Click HERE for more on nutrition therapy, tips & recipes from Cancer Treatment Centers of America Dieticians.
Super helpful info from Cancer Treatment Centers of America…
Click HERE for more on nutrition therapy, tips & recipes from Cancer Treatment Centers of America Dieticians.
Meet PATIENT ADVOCATE Susan Vento of The Asbestos Cancer Victims’ Rights Campaign (ACVRC), a national campaign dedicated to protecting the rights of asbestos victims, making sure they and their families are protected in seeking compensation, and opposing legislation that seeks to roll back their rights. At the end of this article written by the ACVRC, I’ve listed some incredible resources to help anyone touched by mesothelioma, the cancer caused by asbestos exposure.
“Now that summer is in full swing, people are jumping into their long-awaited plans, projects, and warm weather activities. Though this season is characteristically carefree, there is great risk of coming into contact with invisible carcinogenic hazards, asbestos specifically, that can severely compromise your long-term health.
As a result of the widespread and historical use of asbestos, many common summer hobbies and recreational activities come with an unforeseen risk of exposure. According to the World Health Organization, more than 107,000 people die each year from asbestos-related diseases. Before you embark on any of the following summer activities, your awareness of how you could potentially expose yourself to asbestos is crucial.
DIY & DEMOLITION
Summer is the season when homeowners often decide to dust off their do-it-yourself gloves. Roughly three quarters of homeowners are planning to work on home improvement projects this year, and according to the EPA, over 35 million homes in the U.S. contain asbestos, making any of these projects potentially dangerous.
Within the home, asbestos may be found in places like attic and wall insulation, vinyl flooring, hot water pipes, and textured paint on walls and ceilings. When asbestos-containing materials are disturbed or damaged, the microscopic fibers become airborne which can then be inhaled into the lungs, causing disease. If you drill, cut, saw, hammer, or move anything in your home that may contain asbestos without proper inspection, you’re putting you and your loved ones at great risk.
EXPLORING ABANDONED BUILDINGS
In the summer, children are known to explore abandoned or demolished properties including buildings, railroad tracks, factories, and vehicles. If your child rummages through these neglected and unregulated areas, they will be at great risk for coming into contact with and disturbing asbestos-laden materials, breathing in its lethal dust. Take the time to sit with your kids and educate them about these hidden dangers, while also providing suggestions for fun alternative adventures.
GARAGE SALES & ANTIQUING
In addition to the building materials already discussed, many household items and appliances were commonly manufactured with asbestos prior to the early 1980s. When on the hunt for garage sales, flea markets, and antique shops, avoid purchasing vintage-looking commodities such as heat-resistant fabrics, auto parts, and stove top ovens. There are even oven mitts, irons, and ironing boards that were once marketed specifically because they were made with asbestos. Consult a “Safe Antiques” guide before your next excursion to ensure you won’t mistakenly invite anything made with asbestos into your home.
As a result of geological processes, naturally occurring asbestos (NOA) can be found in soil and rock which can then be disturbed by natural weathering and human activity. When digging and tilling gardens in areas potentially containing NOA, asbestos mineral fibers can be released into the air and inhaled, or tracked into the home on clothing and shoes. To locate NOA areas and ensure your gardening project is a safe endeavor, start by consulting the U.S. Geological Survey reports and contact a state geologist.
CAMPING & BONFIRES
Many people use camp and bonfires for discarding old cabin or household scraps, or they simply enjoy finding nearby, useless materials to burn. However, what you may not realize is that the materials you choose to burn could contain toxic asbestos, which again, becomes lethal when broken down and inhaled. For example, in the UK last year, a group of young people unknowingly built a bonfire using asbestos-laden roofing sheets. Rather than risking your health, keep to using organic materials such as sticks or paper.
Your greatest form of protection this summer is knowledge. Educating yourself and your family on the dangers of asbestos exposure and spreading awareness is your greatest tool at reducing your risk. For many, however, taking these precautions and becoming aware is, tragically, no longer an option. However, there are ways you can help to lessen and prevent further pain for the individuals and families affected. The FACT Act, allegedly intended to promote transparency and prevent fraudulent asbestos claims, in reality invades the privacy of victims and their families, while the companies that victimized them in the first place are left untouched. Ultimately, the FACT Act protects asbestos companies while further victimizing those already suffering. Help support those who have suffered from asbestos by signing our petition. Together, we can help ensure everyone has the safest summer possible and prevent the furthered suffering of asbestos victims.”
If you or anyone you know has been diagnosed with Mesothelioma, consider connecting with these organizations dedicated to assisting mesothelioma victims and their families. These organizations can help you find the best doctors, treatments and information about mesothelioma.
Pictured above is my husband Alan (on the right) with his childhood friend Andy. Since this picture was taken, Andy has run more than 30 marathons, completed 13 triathlons and has become a certified running coach. Despite all these accomplishments, Andy always made time to go for a run or walk with Alan, even after he was diagnosed with cancer.
It was no surprise to me that Andy connected with The Ulman Cancer Fund’s CANCER to 5K Training Program - a FREE 12-week training program designed to introduce or reintroduce cancer survivors to training for and completing a 5K road race. Amazing, right?!
Research has now shown that exercise is especially important for cancer survivors both in and out of active treatment. Regular exercise not only improves mood, boosts self-confidence and reduces fatigue, but there is loads of evidence suggesting that higher levels of physical activity can help keep the cancer from recurring.
The Cancer to 5K Training Program is a progressive run/walk program designed to get cancer survivors to the 5K finish-line happy, healthy and injury-free.
* Who can join? Cancer to 5K is open to any cancer survivor regardless of age, location, treatment status or fitness level. Survivors who have completed treatment as well as survivors who are currently undergoing treatment can participate.
* Where is training held? If you live in the following areas, certified running coaches and experienced volunteer runners (aka “Sherpas”) will help train you in a small group setting. Each 12-week session is limited to 10 participants. Click HERE for exact locations in:
* What if you live elsewhere? If you live outside the current group training areas, you can still participate with The CANCER to 5K “At Home” Training Program. As a Cancer to 5K “At Home” participant, you will receive one-on-one coaching with a Cancer to 5K coach. Workouts will be sent to you via email, and you will have access to your coach via email and phone.
For more information, contact Program Manager Laura Scruggs via email at email@example.com or via 410.964.0202 x108.
Please note: A medical waiver must be signed by the participant’s current primary care physician to ensure that training for a 5K won’t negatively impact treatment or recovery.
If you’ve been diagnosed with cancer and are having a hard time making ends meet, check out the Walk In My Shoes Foundation.
Walk In My Shoes Foundation assists cancer patients with paying rent, mortgages, utility bills, medication, purchasing gas cards, buying groceries, etc. To qualify for assistance, which is based on availability, the following guidelines have been set:
Eating healthy, good-for-you foods during and post-treatment can help cancer patients feel better and stay stronger. Proper nutrition can help them keep up their body weight and strength, keep body tissue healthy, and fight infection.
Dark leafy greens are the rockstars of the produce department as they have the most concentrated source of nutrition we have. Kale is a nutritional powerhouse. Calorie for calorie, kale has more iron than beef and more calcium than milk. Kale is also loaded with vitamin K. According to a study in the American Journal of Clinical Nutrition, eating a diet rich in the powerful antioxidant vitamin K can reduce the overall risk of developing or dying from cancer. Needless to say, I’m always in search of new ways to eat kale. BTW, whenever possible buy organic kale as kale typically ranks very high on the EWG’s Guide to Pesticides in Produce listing (the higher the ranking, the more pesticides used)
Meet Eris Norman, a certified health coach who lost her mother at the young age of 58 to sarcoma. Eris shared with me one of her very favorite kale salad recipes… she says this preparation keeps all of the kale’s nutrients in tact. The dressing is a hit, even with kids. Raw garlic is nature’s antibiotic and is best eaten after it’s been chopped up and sitting for 10 minutes to release all its essential oils so we can most benefit. Nutritional yeast is a vegan food which contains Vitamin B12, high protein, high fiber, folic acid and is gluten-free. It has a cheesy flavor and is great in recipes or sprinkled on top of food. As Mikey from the old Life cereal ads used to say “try it, you’ll like it!”
By Linda Petursdottir of www.simplewellbeing.com
1-2 bunches organic curly kale, stem removed and leaves rinsed and chopped
Optional additions: cut up apple, sliced onions, siced avocado, dried fruit and toasted seeds
1/2 cup raw apple cider vinegar
1/2 cup Tamari sauce
Juice of 1/2 lemon
2 cloves garlic
1 cup Nutritional Yeast
1 cup organic extra virgin olive oil
1. Place all ingredients for the salad dressing except olive oil in a blender and then gradually pour the olive oil in while blending.
2. Pour a desired amount over the rinsed and dried kale. With your clean hands or salad utensils, rub and mix the dressing into the kale. The lemon juice and salt from the Tamari will begin to break down the cellular wall of the kale which provides greater nutrient absorption.
3. The dressing keeps in fridge for 3-5 days. Be sure to take it out of the fridge a few minutes before using it as the oil gets coagulated.
D-E-L-I-C-I-O-U-S and oh so very nutritious! Enjoy!!!
Meet GUEST BLOGGER Michelle Whitmer. Michelle has been a medical writer and editor for The Mesothelioma Center since 2008. Focused on the benefits of natural and holistic medicine for cancer patients, Michelle is a certified yoga instructor and earned her B.A. in Environmental Studies from Rollins College in Florida.
Accurately diagnosing a mesothelioma patient’s stage of cancer development is essential to getting appropriate treatment. The stages of mesothelioma are determined by the degree of tumor growth and spread. Stage I represents minimal tumor growth and stage IV indicates extensive tumor growth and spread.
Diagnosing the correct mesothelioma stage is challenging, but crucial to providing effective treatment recommendations. Unless your first opinion came from a mesothelioma expert, most people diagnosed with mesothelioma should seek a second opinion from one of the nation’s specialists. Because the cancer is relatively rare, few oncologists have experience diagnosing and treating mesothelioma. Seeking the opinion of a mesothelioma specialist could lead to better treatment.
For example, pleural mesothelioma specialist Dr. David Sugarbaker pioneered one of the most effective surgeries for the cancer, the extrapleural pneumonectomy. Patients with early-stage mesothelioma often qualify for his aggressive treatment approach that may significantly extend survival.
The same goes for people with peritoneal mesothelioma, which develops in the lining of the abdominal cavity. Specialist Dr. Paul Sugarbaker pioneered the most effective treatment for peritoneal mesothelioma, which is cytoreductive surgery with heated chemotherapy that is circulated throughout the abdominal cavity rather than systemically throughout the whole body. The treatment approach significantly improved survival rates for the cancer.
Mesothelioma is a challenging cancer to diagnose. There’s no officially adopted standard protocol for diagnosing mesothelioma, so patients will have different experiences. However, certain diagnostic tools are universally used to reach a mesothelioma diagnosis, such as imaging scans and biopsies.
In many cases, the first imaging scan patients receive is an X-ray, which is followed with more scans if anything unusual is seen in the X-ray. More detailed imaging scans like CT, PET and MRI come next. These scans help provide a clearer indication of how far the cancer may have spread.
To confirm a mesothelioma diagnosis, a biopsy is necessary. A thoracoscopy is a common biopsy for pleural mesothelioma that involves the use of a camera-tipped tube to collect a tumor sample. A mediastinoscopy might also be used to determine if the cancer has spread to the mediastinal lymph nodes, which are located between the lungs in the center of the chest. Spread to the lymph nodes is an indication of stage III cancer.
Treatment for Mesothelioma by Stage
Treatment recommendations are made based upon a patient’s stage. Early-stage tumors respond best to surgery, while stage IV mesothelioma has spread too far for surgery to be effective. Chemotherapy and radiation therapy may be used at any stage, except when a person’s general health is too poor to withstand the side effects.
Most people with mesothelioma receive multimodal therapy, which is the combination of two or more cancer treatments. The most effective combination for mesothelioma to date is surgery, chemotherapy and radiation therapy. This approach is most effective for stage I patients, but stage II and III patients often qualify for the aggressive approach with life-extending results. Stage IV patients may receive a combination of chemotherapy and radiation therapy to relieve symptoms and extend survival.
Stage I Treatment
Because tumor growth is minimal at stage I, surgery is highly recommended to remove as much cancerous tissue as possible. There are two surgeries patients may qualify for, a pleurectomy/decortication (P/D) and an extrapleural pneumonectomy (EPP). An EPP removes one lung while a P/D keeps the lung intact and only removes the lining of the lung.
Chemotherapy with the drugs cisplatin and Alimta is commonly administered after surgery in stage I patients. Radiation therapy is used after surgery to prevent local recurrence, though some centers are having improved success administering radiation prior to surgery to shrink tumors.
Stage II Treatment
Stage II surgery for pleural mesothelioma is usually an EPP. A P/D surgery wouldn’t be as effective since the cancer has spread to the lung in stage II. Following recovery from surgery, chemotherapy is recommended to kill remaining cancer cells the surgery couldn’t remove. Radiation therapy is then used to prevent recurrence, especially along surgery incisions (which is a common place for the cancer to recur).
Stage III Treatment
Certain patients in good health with stage III mesothelioma can qualify for an EPP. The surgery is extensive, so the person must be in adequate physical health to undergo the surgery. Chemotherapy and radiation therapy are given to destroy lingering cancer cells. If the cancer returns, second-line chemotherapy with other drugs, such as gemcitabine and vinorelbine, are recommended.
Stage IV Treatment
Stage IV tumors have grown too much and have spread too far for an EPP surgery to remove all the cancer. However, less aggressive surgeries might be recommended to otherwise healthy patients to reduce tumor size, which can help to relieve pain and improve breathing.
Chemotherapy and radiation therapy can be used to shrink tumors, which can help to relieve pain and improve breathing as well. They might also help to prolong life expectancy by several months.
Other therapies are given to alleviate symptoms, such as medication for pain, pulmonary rehabilitation to improve breathing and occupational therapy to reduce discomfort.
Because the cancer rarely causes symptoms in the early stages, the majority of mesothelioma patients are diagnosed in stage III or IV. Aggressive treatment is most effective at early stages, which stresses the importance of annual physical checkups for anyone who may have been exposed to asbestos in the past.
In the near future, instead of saying, “I have breast cancer,” a patient will say something like , “I have a HER2-positive carcinoma with a KRAS mutation.” Cancer will be defined by it’s own unique molecular profile and biomarkers rather than the body part where it originated.
To learn more about the dozens of biomarkers already being used to guide cancer treatment, check out the table below. Please note: there are thousands of known biomarkers without currently known effectiveness or relevance to cancer care. This table only represents the biomarkers that are currently known to be significant in informing cancer care today.*
|Biomarker||About||Cancers that may benefit from testing||Treatments associated with response or lack of response/resistance*|
|ALK||anaplastic lymphoma kinase, an enzyme that can form a oncogenic fusion gene with EML4||lung (non-small cell), lymphoma (anaplastic large-cell), nervous system (familial neuroblastoma)||crizotinib (Xalkori®), pemetrexed (Alimta®)|
|AR||androgen receptor, part of the nuclear hormone receptor superfamily, active in cell signaling and therefore cell multiplication and growth||prostate, breast, ovarian, bladder, lung (non-small cell)||bicalutamide (Casodex®), flutamide (Eulexin®), goserelin (Zoladex®), leuprolide (Lupron®), abarelix (Plenaxis®), gonadorelin (Factrel®)|
|BRAF||also know as v-raf murine sarcoma viral oncogene homolog B1, a proto-oncogene in the RAF/MIL family of molecules active in MAP/ERK cell signaling, promotes cell multiplication and growth||colon, skin (melanoma), lung (adenocarcinoma), thyroid (papillary thyroid carcinoma), nervous system (pleomorphic xanthoastrocytomas with and without anaplasia)||cetuximab (Erbitux®), panitumumab (Vectibix®), vemurafenib (Zelboraf®)|
|BRCA1||a so-called “breast cancer gene”, its expression in many cancers can indicate potential response to certain types of therapies||lung, ovarian||cisplatin (Platinol®)|
|c-Kit||cytokine receptor also know as CD117, a proto-oncogene that interacts with cell growth factors, plays a roll in cell survival, multiplication and differentiation||GIST (gastrointestinal stromal tumor), skin (melanoma), blood (acute myelogenous leukemia)||imatinib (Gleevec®), sorafenib (Nexavar®), sunitinib (Sutent®)|
|c-MET||also known as MET (mesenchymal epithelial transition factor) or HGFR (hepatocyte growth factor receptor), a proto-oncogene active in cell signaling, promotes cancer cell growth and multiplication||lung (non-small cell), ovarian||erlotinib (Tarceva®), gefitinib (Iressa®)|
|COX-2||cyclooxygenase-2, also known as protaglandin-endoperoxide synthase-2 (PTGS2), an enzyme important to creation of prostaglandins, which are messenger molecules that play a role in many cancers||lung (non-small cell)||celecoxib (Celebrex®)|
|EGFR||epidermal growth factor receptor, also known as ErbB-1 or HER1, a receptor tyrosine kinase active in cell signaling, promotes cell growth and multiplication||lung (non-small cell)||cetuximab (Erbitux®), erlotinib (Tarceva®), gefitinib (Iressa®), panitumumab (Vectibix®)|
|EGFR secondary mutation (T790 M)||a mutation of the EGFR gene associated with acquired resistance to certain treatments||lung (non-small cell), colorectal, head and neck||resistance to erlotinib (Tarceva®), gefitinib (Iressa®)|
|ER||estrogen receptor, part of the nuclear hormone family of intracellular receptors, active in cell multiplication||breast, ovarian, female genital tract cancer||anastrazole (Arimidex®), exemestane (Aromasin®), letrozole (Femara®), tamoxifen (Nolvadex®), megestrol acetate (Megace®, Megace® ES), fulvestrant (Faslodex®), toremifene (Fareston®), medroxyprogesterone, (Provera®, Amen®, Curretab®, Cycrin®), goserelin (Zoladex®), leuprolide (Eligard®, Lupron®, Viadur®)|
|ERCC1||excision repair cross-complementation group 1, an enzyme active in DNA repair and therefore a sign of resistance to treatments that work by disrupting tumor DNA||lung (non-small cell and small cell), gastric, ovarian, colorectal, bladder||resistance to cisplatin (Platinol®), carboplatin (Paraplatin®), oxaliplatin (Eloxatin®)|
|HER2||human epidermal growth factor receptor 2, also known as HER2/neu or ErbB-2, a receptor tyrosine kinase active in cell signaling, promotes cell growth and multiplication||breast, gastroesophageal, gastric, ovarian, colorectal||lapatinib (Tykerb®), trastuzumab (Herceptin®), doxorubicin (Adriamycin®, Rubex®), liposomal doxorubicin (Caelyx®, Myocet®), epirubicin (Ellence®)|
|KRAS||proto-oncogene of the Kirsten murine sarcoma virus, active in cell signaling in the EGFR pathway, promotes cell growth and multiplication||lung (non-small cell), colon, pancreatic||cetuximab (Erbitux®), erlotinib (Tarceva®), gefitinib (Iressa®), panitumumab (Vectibix®)|
|MGMT||O-6-methylguanine-DNA methyltransferase is a gene that encodes a DNA repair enzyme, loss of MGMT may play a role in cancer formation, MGMT can also interfere with treatments that work by disrupting tumor DNA||breast, lung (non-small cell), esophageal, brain (glioblastoma multiforme, oligodendrogliomas), skin (melanoma), pituitary gland (carcinoma)||lack of response to temozolomide (Temodar®)|
|MRP1||multidrug resistance-associated protein 1, an ATP-dependent transmembrane drug efflux pump associated with resistance to many drugs||breast, lymphoma, head and neck||lack of response to anthracyclines such as doxorubicin (Adrimycin®), vinca alkaloids, and methotrexate (Trexall®)|
|PGP||p-glycoprotein, also known as P-gp, an ATP-dependent transmembrane drug efflux pump associated with acquired resistance to many drugs||breast, ovarian, lymphoma, head and neck||lack of response to anthracylines such as doxorubicin (Adriamycin®), epirubicin (Ellence®) and liposomal-doxorubicin (Doxil®), and other drugs such as paclitaxel (Taxol®), docetaxel (Taxotere®), vinblastine (Velban®), vincristine (Oncovin®), vinorelbine (Navelbine®)|
|PIK3CA||a specific mutation within the PI3 (phosphoinositide 3) kinase pathway or a gene copy number variation, aberrations along the PI3K pathway are associated with many cancers||colorectal, brain (glioblastoma), gastric, breast, lung, ovarian||lapatinib (Tykerb®); resistance to cetuximab (Erbitux®), panitumumab (Vectibix); decreased response to trastuzumab (Herceptin®)|
|PR||progesterone receptor, also called PGR, part of the nuclear hormone family of intracellular receptors, active in cell multiplication||breast, ovarian, female genital tract cancer||letrozole (Femara®), tamoxifen (Nolvadex®), fulvestrant (Faslodex®), toremifene (Fareston®), exemestane (Aromasin®), anastrozole (Arimidex®), goserelin (Zoladex®), gonadorelin (Factrel®), leuprolide (Eligard®, Lupron®, Viadur®), medroxyprogesterone (Provera®, Amen®, Curretab®, Cycrin®), megestrol acetate (Megace®, Megace® ES)|
|PTEN||phosphatase and tensin homolog, a tumor suppressor active in EGFR, HER2 and AKT cell signaling pathways||breast, colon, lung (non-small cell), brain (glioblastoma), head and neck||low expression associated with lack of response to cetuximab (Erbitux®), gefitinib (Iressa®), trastuzumab (Herceptin®), panitumumab (Vectibix®), erlotinib (Tarceva®)|
|RRM1||ribonucleotide reductase subunit M1, an enzyme required for DNA synthesis from RNA and therefore can interfere with treatments that work by disrupting RNA activity||lung (non-small cell), pancreatic||high expression associated with lack of response to gemcitabine (Gemzar®), hydroxyurea (Hydrea®, Droxia®)|
|SPARC||secreted protein acidic rich in cysteine, a protein active in tumor growth and spreading||skin (melanoma), breast, gastric, pancreatic, head and neck||albumin-bound paclitaxel/nab-paclitaxel (Abraxane®)|
|TLE3||a member of the transducin-like enhancer of split family of proteins, implicated in creation of tumors||breast, ovarian||taxane therapy such as paclitaxel (Taxol®), docetaxel (Taxotere ®)|
|TOPO2A||topoisomerase IIA, an enzyme active in DNA synthesis and repair||breast, colon, ovarian, lung (small cell)||doxorubicin (Adriamycin®), epirubicin (Ellence®, Pharmorubucin®), liposomal doxorubicin (Caelyx®, Myocet®)|
|TS||thymidylate synthetase, an enzyme active in DNA synthesis and repair, can be inhibited by certain compounds||breast, colon, gastric, head and neck, liver, pancreatic, lung (non-small cell)||lack of response to 5-fluorouracil (Adrucil®), cytarabine (Cytosar-U®), pemetrexed (Alimta®)|
|TUBB3||Class III -tubulin, protein found in microtubules which are important cell structures||ovarian, lung (non-small cell)||taxanes such as paclitaxel (Taxol®), docetaxel (Taxotere ®), vinca alkaloids such as vinorelbine (Navelbine®)|
* Biomarker status (overexpressed, underexpressed, positive or negative for specific mutations, etc.) determines whether that biomarker is associated with response, lack of response or resistance to each treatment. Treatment associations are from published, peer-reviewed medical literature. Citations available upon request. Only your doctor can decide which treatments are appropriate for you.
**Got questions about YOUR biomarkers, e-mail PatientNavigator@carisls.com. A Patient Navigator who is well versed in molecular profiling and biomarkers will answer your questions. (this is a FREE service provided by Caris Life Sciences.)
*** Source: MyCancer.com (an educational resource sponsored by Caris Life Sciences®) is a fantastic website for cancer patients and their caregivers that provides information about personalizing your cancer treatment using molecular profiling and cancer biomarkers.
It’s that time of year again when The Wedding Pink presents one couple whose lives have been recently touched by breast cancer with a FREE dream wedding, valued between $30,000- $40,000. OMG! So amazing!!
Founder Cheryl Ungar is a 23-year breast cancer survivor and a wedding photographer. She has put together an extraordinary team of some of Colorado’s top wedding vendors — all of whom have generously agreed to donate their services and products to ensure The Wedding Pink is a spectacular event for one very special couple.
Here’s the dealio (as my daughter always says)… If your life has been recently touched by breast cancer (fyi, the experience is not limited to the bride, but could be with the bride or groom’s extended family member) AND are engaged or soon-to-be-engaged, you could be the lucky winner of this fairy tale wedding.
This year’s Wedding Pink will will take place May 15, 2015 in Denver, Colorado. Applications are open to ANY legal resident of the US regardless of what state they live in. Submissions will be open from August 1 – August 10. The winning couple will be selected in early September 2014. There are no income qualifications. Winners will be chosen by a panel of judges. To learn more about the submission criteria, click HERE.
Wishing you all a lifetime of health, love & happiness together….