Carmella Gets Neurological Referral

Today the phone rang. It was Jocelyn from Dr. Norwood's office calling to let me know the paperwork had been completed for Carmella's referral to Ga. Veterinary Specialists. It had been a long time coming and I was relieved that finally we would get to the bottom of the myelin damage causing her constant jerking and atrophy of the leg.

As it turned out transportation was really the biggest barrier because I had only two people I could ask and finances and health problems were preventing one of them from driving more than two trips, and the other one's job prevents her from going until later in the day, and even then only on Thursday and Fridays because she takes work home with her three of 5 days every week.

The policies dictating when GVS does certain things narrowed it down even further, but finally after several hours of vascillation and negotiation we came up with a workable plan and set the date for March 18th at 11:45 AM. Carmella will see  veterinary neurologist that day for an exam and most likely will have to come back another day for the MRI and any other tests.

I spoke on the phone with a very nice woman who told me that although they usually don't do this it's possible that something can be arranged the same day once I get her in there and talk to the vet if the radiology people can fit her in that day. This has taken so long to arrange that it would be nice to get it all out of the way in the same day, especially since I won't be picked up for several more hours after her exam.

Apparently they will put her under general anesthesia during the MRI so that she won't move, and it takes 2-3 hours because the MRIs they use for dogs are less powerful than the ones used for humans so it takes longer to get all the pictures. The neurologist might order other tests and will give me a price quote ahead of time once it's established all the tests she's going to need.

Since the time I called over a year ago when Carmella needed the CSF procedure they have added a new neurologist that used to be an intern and decided to specialize. I was thrilled to hear this, as the other one wasn't very interested in helping Carmella before. I hear this one is very open-minded, so that is who I made the appointment with.

I took some really cute pictures of Carmella tonight. As she often is she was chewing on something in many of them.

For some reason she seemed to be particularly hyper tonight and wanting to chew on my arms. I threw a rubberized dumbell for her to fetch that she'd stripped of the outer surface long ago, and I played tug of war with her for awhile until we both were worn out.

Hopefully she'll sleep well tonight after all that exercise and won't jump off the bed at the crack of dawn as she sometimes does when I'm not awake enough to get up.

This morning was one of those rare days that she stayed curled up beside me until around 12:00 noon. I needed the rest anyway after the long hours I'd worked the day before getting a wedding order completed.

This morning I wasn't feeling so well and needed to stay in bed until the pain in my back, stomach, and legs subsided.

I had also stayed up around the clock one night getting a bunch of my jewelry ready to go to a store. I am going to prepare another batch this month also in hopes that I can make a decent amount of money this month. There will be alot of money to raise given the upcoming medical expenses for Carmella.

I see it is 3:30 in the morning already so I'll get this posted and then get some sleep and promote this entry later on today. If any of you find it in the meantime please feel free to post your comments! If you aren't yet following and you would like to keep up with Carmella's progress please do so. Things should be getting very interesting in the coming weeks and months!

Eyes On The Prize

Yesterday was a mix of joy and agony. Our plight continues to find the vet who can and will treat Carmella's Central Nervous System.

After two weeks of this increase in jerking and seeing Dr. Brantly in the interrum, we went to Dr. Norwood's office at 4:30. Felicia was happier than I've ever seen her, smiling and even came out from behind the counter to pet and play with Carmella. It had really sunk in just how much a miracle her treatment with the shot of NDV was for her body, and it seemed that the entire staff was in a festive mood. They all commented on how beautiful she was and how much she'd changed. She now weighs 24 LBS. Only two weeks ago she was just 18 LBS.

Once we'd been put in a room, the female vet tech came in (I can't remember her name, but she is the best one). She asked me if I had had any luck with Dr. Brantly doing the procedure and I said that I thought he was going to do it, but he changed his mind, but that we're still looking. She understood the ramifications of all this, and although happy with the results in the body, knew she was not through yet with what needed to be done in order for the cure to be complete. She commented to another assistant standing in the doorway that this dog was a miracle, beaming from ear to ear.

Dr. Norwood came in and started checking Carmella's reflexes, looked into her eyes, and saw her walk down the hall. She did pretty well, but stumbled at the end once when coming back to the room.

Carmella was in almost constant motion and we had to get her to calm down before he would see the jerking. Eventually she stayed still enough that it started up again and he definitely saw it.

He told me that he'd had no luck with Tuskegee, and was getting pessimistic about whether any of these Universities would help unless they were already doing studies on Distemper. He was still very mousey about calling them and said he'd do it but it could turn out to be another dead end and he couldn't promise anything.

"Like with Dr. Johnson, I can't make them do it."

"Well just make an empassioned plea, show them all that you've documented about her success from the NDV in the body, and advocate as if it were your own mother who was sick and needed treatment."

At this point there were no other real prospects on the table, so I figured this had at least as much chance as anything we've already tried. Up until now we'd just been approaching private practice vets. If this is still considered "experimental" then so be it; we'd just take her somewhere where they do experimental work. Seeing as that UGA is considered one of the best veterinary schools in the Southeast, they should be able to handle this. We just need to get them to try.

Dr. Norwood seemed to be angling at cutting our losses and just going with the partial cure (what we'd gotten in the body).

"The myoclonis could be permanent damage to the myelin and white matter, just residual effects of the disease."

"If that were the case then it wouldn't be increasing over time."

"We could give her Klonazapam, a veterinary version of an anti-seizure drug used in humans." I already knew what it was. Both myself and my son had taken it in the past for our seizures.

"The point is, that if the virus got into the CNS, which it would have to in order to cause that damage, then being in such an enclosed area it would still be present. To assume it's no longer there would just be guessing".

Dr. Norwood was rationalizing to make all the rejections by all the vets we'd appraoched easier to swallow. Maybe for him it would be easier to tell himself that the job was complete, but the idea of leaving this to the imagination and then ending up with worse problems down the road because we made the wrong assumption didn't sit well with me and it didn't make sense based on the biochemistry of the disease.

The CNS is a veritable fortress, and with good reason. It protects the most vital part of the body, the brain; the control tower on which all other function depends. An infection with the deadly Distemper virus is not something you want to leave sealed up for eternity in a dog's head, on a gamble that it will have mercy and not do any further damage. You can hide from it, reframe it, pretend it's not there, and remove yourself from watching its ravages, but it doesn't change the truth. Either it's there or its not. Once it gets in it doesn't just decide its had enough and go away. It's stuck in there and can adapt, hide, and mutate. It gets in via the lungs by piggybacking onto cells that already are able to cross the blood-brain barrier, but it cannot leave the same way it came.

By the end, Dr. Norwood had to admit that the only way to isolate and be sure to eradicate the virus would be to do a spinal tap. He said that UGA would want to do their own tests and probably wouldn't accept his, and it would involve spending more money. I replied that if they ended up doing the procedure then it would be worth it, and besides, if she does have permanent damage the neuro vets there would be the ones to do imaging tests to find any lesions that are there and assess the extent of the damage. If we want to weed out what is damage and what is active disease that's the way to do it.

Dr. Norwood agreed to try again to call UGA's referral coordinator the next day but had been unable to get through the day I came in.

I was up until around 5:00 AM this morning and was too desolate to post an update, and my muscles were starting to ache so I went to bed.

Dr. Norwood was in with a patient when I called this afternoon. Gwen, the office manager took a message that I was asking about the referral to UGA and said she'd have him call back, but he didn't.

I hope he's not wimping out when we need his support the most. When it's all done there will be time to celebrate, congratulate and let our guard down, but until then we are still on high alert. Failure is not an option. Carmella's life may depend upon our level of endurance and ability to go the full nine yards. Perhaps UGA's symbol; the Bulldog, should be our guiding example.

http://Giftbearer.etsy.com/

It's a Rainy Day In Georgia...Feels Like it's Raining All Over The World

The constant ooze from the sky seems to match what's been going on for the past couple of days. A heaviness has settled upon this house, and as Carmella and I hunker down inside, little drafts come in all the cracks, the linolium floor barren and tracked with flecks of mud, and pieces of saturated leaves scattered about from our recent walk. Neither of us wanted to go far, making a hasty retreat from the grey light which permeated our very beings. She was glad to be finished with her bathroom activities and return to the kitchen. It almost feels like the beginning of winter.

Carmella's restlessness of the previous few days gave way to a silent gnawing tension, much as a man on death row might feel awaiting the electric chair. She did not make a move to chew on her rawhide stick, but lay down in her bed which she'd turned upside down, sprawled out and looking up at me like, "Now what?" Her right leg and shoulder jerked perceptibly as if programmed by some external remote control. She seemed almost used to it by now, nevertheless understanding the gravity of the course which lay ahead. On some level she knew that she had crossed some line in the sand and there was no turning back now for either of us.

Setting my sights on UGA I placed another call to try to verify whether I'd sent the e-mail yesterday to Dr. Schatzberg's correct e-mail address, and still the front desk staff was not sure. I was transferred to the Small Animal Clinic and spoke with a woman there about Carmella's situation and the treatment she needs, and asked whether Dr. Schatzberg was on vacation. She said he was there but just wasn't on clinic duty this week and that the three neuro vets employed there take turns rotating one week each at a time. She said that if the e-mail did not come back then he probably got it but if he didn't answer then it was probably because he got so many he couldn't get to all of them. She recommended I have my vet contact the referral coordinator and said that we could most likely find out whether they could do it before we drove all the way out there when Dr. Norwood spoke with them by phone.

I then called Dr. Norwood, and Felicia, one of the receptionists, answered the phone. I explained that Carmella's jerking was getting worse and that she needed to get the referral to UGA as soon as possible. She told me Dr. Norwood was in with a patient and did not seem to want to take down the phone and fax for the referral coordinator, but I insisted, figuring that his getting it from me later would just take extra time. I told her that they close for the day in one hour, and she said that she didn't know whether he could call them by then. I asked her to have him call me before he left.

In all, I called 4 times today, and 3 out of those 4 he was in with a patient, and the 4th time they'd put the answering machine on indicating that they had closed. My heart sank.

I wrote Dr. Sears to update him on the events of the past few days and to let him know we were going to try UGA, and asked if he could possibly put together a list of references; vets who had used this treatment either for the body or in the CNS, so that we have something organized to show them with which to make our case (if we need it). I take nothing for granted after seeing how many vets have turned us down so far.

A sudden sleepiness came over me while I paradoxically thought about the fact that I really need to make some more jewelry. Although I'd like to, I'm not sure I can stay awake much longer.

I'm still going through alot of existing inventory and listing/renewing jewelry, so if you see anything you like for yourself or for someone on your gift list, please make a purchase and help a puppy.

With love and action, all things are possible.

http://Giftbearer.etsy.com

Strike Two! Still Waiting...

I gave it till around 3:00 pm today before checking my e-mail to see whether there was any word from the Board Certified female neuro vet located in Sandy Springs. Nothing, so I decided to call her. Surprisingly she herself picked up the phone. Hoping this was a good sign I proceeded to introduce myself and ask if she'd received my e-mail and she said,

"Yes, you're the one who wants the injection in the dog's CNS."

"Can you do it?"

"No, I couldn't" she said through what sounded like a heavy Asian accent of some kind. "I would have to see studies, or citations or something."

"He's tried and tried to publish, but they won't let him in", I said. "You can talk to him yourself. I have his number and e-mail address."

"That is not sufficient" she remarked blithely, as if blowing away a puff of smoke from a cigarette.

Was is really that easy to just turn one's back and walk away? Apparently for her it was all in a day's work. Right away I sensed she'd go home tonight and not miss a moment of sleep over Carmella, and then came that big cop-out, that ever-familiar, convenient rationalization.

"Dogs don't always progress. She might not? Maybe." It was more of a question than a statement, a futil and impotent attempt to veil her own inadequacy.

"Well she already has started to. This morning I took her out and the jerking was happening this time as she was standing on her leg. That didn't happen before, and this time it was pretty major. She had to lift up her paw several times."

Almost immediately, the vet started talking over me as if she believed if she drowned out the truth with her own voice that somehow absolved her of her guilt. Like a baby hiding behind a blanket, she told herself that the problem didn't exist because she didn't see it.

"You can bring her in, but I can't do it. It would be unethical." Bring her in and do what? I thought. Give her Phenobarbital to mask the problem, give her a valium to relax her while she slowly deteriorates and dies? So that you can lie to yourself and pretend you're helping her? So that you can charge me another $75.00 for an office visit just to refuse in-person what you have over the phone and deny her the one thing that will kill the virus and save her life? Hell no! I thought, enraged at the ludicrousy of the moment. "Unethical" my ruby red one! You want to know what's unethical? Unethical is when you have the training and the skills to save a life but you choose not to. Unethical is letting a dog twist in the wind while a deadly virus slowly shuts down every brain function one-by-one, stripping her myelin from each nerve like the shucking of the outer covering of a bundle of telephone wires with a wire-cutter! Unethical is letting fear for your own ass decide how you practice medicine instead of compassion for a living thing!

"How is that unethical? I have pictures of her improvement from the first shot already?"

"She's not even my patient".

You're right, I thought, and she won't ever be either with that attitude.

"You should really have a University work with her, not a private practice vet. There's a vet at UGA who knows alot about Distemper, not Marc Kent, not Platt..."

I looked at my list of Board Certified neuro vets. "Dr. Scott Schatzberg?"

"Yes, that's it, Schatzberg. Ask him. He should know whether the treatment you are seeking has any merit."

Her statement left me cold. I didn't need someone to tell me whether it has merit. I've seen it! So I'm expected to leave my brain and all my senses at the door? Obviously if it's never been published it's less likely he would have heard about it unless he'd heard by word of mouth.

Soon we got off the phone after she wished me "good luck" with my dog, and suddenly I was crying. Yea right, I thought. Good luck. The expression had a sardonic sound to it. Knowing that good luck is really what people do and does not just magically appear I was not about to fall for that one. It has routinely become what people say these days from afar when they risk nothing and don't get involved. Notice that a husband accompanying his wife to the hospital and just before surgery doesn't say "Good luck". The reason for that is that he is going to know what she knows as it happens, with her every step of the way. Short of accompanying her inside the OR he is going to be there, taking on the problem by her side. In all likelihood he will be the first person she sees in the recovery room after the medical personnel.

As soon as I regained my composure I put in a call to Dr. Schatzberg. I tried several times and got just an answering machine and the name on it sounded like it said Dr. Nonn, not Schatzberg, so I wondered if he might be on vacation and that another doctor might be covering for him.

Then I sent off an e-mail. There seemed to be two lines and first I tried it with just what was on the first line and got no "undeliverable" messages back, but when I tried it with both lines it did come back as "undeliverable" so I'm still not sure whether he got either of them. I will call again tomorrow.

Here is a re-print of my e-mail below:

****************************************************************

Dear Dr. Schatzberg,

I adopted a puppy from an animal shelter that I named Carmella, and she turned out to have Distemper. I looked far and wide to find out the best treatment available and came across Dr. Alson Sears’ protocol using Newcastle Disease Virus Vaccine (the LaSota strain) off-label, which is as far as I know the only thing that has really eradicated the virus successfully in dogs. My regular vet tried it on her (an IV to treat the virus in the body) and it worked quite well. When she was first diagnosed they didn’t know if she’d even make it through the weekend, but the treatment really brought her back! The only problem is that she also needs to have it injected into the spinal area, the Foramen Magnum, because it does not cross the blood-brain barrier when injected in the body. Her Central Nervous System is still infected, and although she is dramatically better in every other way, her neuro symptoms are gradually getting worse. My vet has never done a spinal tap before, so although he would do it if he had the skills he does not feel qualified. I have had a hard time finding a vet who is both qualified and willing to do this, and it appears that there are only two board certified neuro vets in Atlanta (and about 4 listed in Athens).

It is a real shame that the medical journals up till now have refused publishing Dr. Sears’ papers on this discovery, and I really think an academic institution should step in and do clinical trials on this treatment and begin to document and publish findings on its effectiveness. As of yet I have not been able to find anybody but Dr. Sears even attempting to look for a cure for distemper. I looked through PubMed the other night for several hours and although there are studies that circumstantially hint that this could work, most of the studies are aimed at testing better vaccines to prevent; not cure the disease. Somebody should be very interested in this, as I have pictures showing that after the initial shot by IV Carmella’s pads completely healed within just about 2 weeks after injection with NDV. This bird-based vaccine, mostly used in the poultry industry is manufactured by Merial right here in Georgia, and Dr. Sears has a formula that is a dog-based serum which he has given people permission to post online and to use to treat infected dogs. One vet I have spoken with tells me that he knows a vet in Alabama who uses the dog-based serum regularly in the body and reports great results with it. This is good, but these dogs need vets who are willing to test and treat in the Central Nervous System as well, and the most likely candidates to take on this challenge are neuro vets with an interest in research.

Maybe Merial would fund a study if you put in an application. It’s something to seriously consider. They seem to have done a fair amount on Distemper and may be very interested if their product could be proven to kill the virus; not just be used as a vaccine to prevent it. It might be worth testing both the NDV and dog-based formula. Publishing something would remove it from the virtual no-man’s land it currently sits in, and could be of great benefit to science and to Veterinary Medicine, not to mention having the potential to make a significant dent in the epidemics in shelters which probably cost billions of dollars nationwide.

It seems that given Carmella’s success with the first injection that as long as she gets this early enough she should have a good prognosis with the spinal injection as well. If ever there was a good candidate for a successful outcome it is her. Her secondary pneumonia is almost gone after several weeks of antibiotics (2 weeks of that with Azithromyacin), and she is otherwise healthy. Her weight is back up, and she is eating and drinking well. She has boundless energy, (unlike before the first shot when she was lethargic). She should be able to withstand anesthesia. I don’t want to wait until the symptoms are too extreme because then it might be too late to prevent permanent damage from the Distemper virus.

Currently she has mild to moderate chorea in the right front leg and sometimes shoulder which happens intermittently. So far it has not affected her activity overall and happens mostly when she’s at rest. In addition she has an occasional moment of clumsiness, but so far no seizures or overt paralysis. Even so, over the past day or so I’ve noticed a gradual worsening and this morning her right front leg was jerking perceptibly even while she was standing on it while I took her out for a walk and she had to lift her paw on a few occasions. (Some of the vets I’ve spoken with in recent weeks took the position that “maybe” it won’t progress but I think that ship has already sailed).

I hope you can help her, as I’ve run out of people to ask in the Atlanta area and I don’t know how much time we have before she gets even worse. She is a beautiful, loving dog and I want to do everything I can to save her.

If you’d like to speak with Dr. Sears to find out more about this treatment he developed I have two phone numbers for him and an e-mail address; (phone numbers removed from public view), and e-mail: AntiDistemper@aol.com
He and I have been in contact for a few weeks now. He is willing to speak with any vet I work with on this.

Please contact me as soon as possible. It would be a big load off my mind if you will do this. Carmella deserves this chance. She is a very special dog, and not only to me. When you meet her in person you will know what I mean.

Sincerely,

Pippit Carlington

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Buy exquisite art jewelry and save a dog! You can help Carmella by shopping in my Etsy store. Proceeds are going to pay her medical expenses. If I have to go to UGA for her to receive treatment that will likely be an added expense on top of what it is already , so your purchase is greatly appreciated at this time.

http://giftbearer.etsy.com/

Chicken...Buck Buck Buck!

And I'm Not Talking About What's In The NDV Vaccine

Photo: Courtesy of Greenfingers.etsy.com

maker of smudge sticks, other herbal preparations, and eco-friendly items

Dr. Brantly came sheepishly to the phone this afternoon, intent upon making his point, and with voice quivering he said, "Hello? Ms. Carlington? Are you calling about Bear?"

"No, Carmella, " I replied thinking that not enough sleep and too little coffee was possibly muddling his head for a short second.

"Oh, yes, Carmella." The doctor seemed to snap his mind back into focus.

"So, have you had a conversation with Dr. Sears yet?"

"Nnno...?" he hesitated. "I haven't called him just yet. I'm still planning to though, just mainly to get information, ask questions, and discuss with him. " There seemed to be a "but" coming and there it was. "I, I, um really don't feel comfortable doing the injection at this point. After all the reading up I just don't know whether it would be safe unless she were faced with imminent death."

"Well according to Dr. Sears she will be sooner or later even if she's not going to die immediately. I'd rather she not die at all until she would normally. I don't want her to continue to get worse and then have a lingering horrible, and certain death in which she suffers."

"She might not". He sounded as though grabbing at straws, and in fact he was.

"Do you mean you think her immune system could fight off the virus in her brain on its own?" I asked dubiously.

"Yes, it's possible. Some dogs have static symptoms like seizures or jerking and still do quite well."

"And you're saying that antibody tests show that those dogs have killed the virus; that it's no longer detectible?" I had him there.

"Well...no. Very few vets will even do a spinal tap to test the CSF for antibodies. We really haven't gone that far to see how those dogs did. Just based on their symptoms, they seemed to not be progressing."

"I'm not sure what you're mainly worried about. Is it doing the spinal tap or the injection? Are you worried that you might hit the chord and paralyze her?"

"No, that is a risk, but it's not that. It's the way the NDV's shelf-life is preserved that I'm worried might not be good to be injecting into her spinal canal." He also expressed a fear that she'd go into shock, and I said that from what I've learned from Dr. Sears if you run IV fluids that will handle that effectively.

"You're worried about the preservatives they use being harmful?"

"Yes".

"Well have you read the formula to make the dog-based serum from scratch? That wouldn't be filled with preservatives". It was beginning to look as though the man was quickly running out of viable excuses.

What now? I thought, and there it came...predictable.

"Yes, but I still don't feel comfortable doing it. It's still too experimental". The last desperate defense of a man who had no defense. So is everything, I thought, until it becomes commonly used. What kind of logic was that, I wondered. Certainly not scientific. If all the techniques used now in other deadly diseases had been simply tabled indefinitely because they were "experimental" chances are we'd be an endangered species by now, and so would our dogs.

Then a brilliant idea struck me as if fired from a gun. Last night I had been searching on Google to look up Distemper research and it became apparent that the drug company that manufactures NDV, Merial, had done quite a bit of research on Canine Distemper, but mostly in Ferrets.

"Merial seems to be quite interested in Distemper. They had links all over Google as I was reading last night, and people who own ferrets seemed to be a strong advocacy group for that sort of research. I didn't find as much in dogs, but what if some vets were to team up and submit a funding request to Merial for grant money to do a clinical trial? It seems to me that would put alot of this fear to rest, and once an offocially recognized study were done vets could stop freaking out about it. If there is real merit to this and it is the only real cure for Distemper don't you think it deserves a chance?"

"Yes, that is a good idea, but it would probably be the academics; neuro vets with the big credentials; those in research facilities who would be the best ones to submit a proposal. Places like UGA have all the equipment, MRI, CT, and contrast for guided imaging."

"Yes, or ones in private practice specialty clinics like Dr. Johnson."

Dr. Brantly agreed. He sounded relieved to put this responsability on the academics and the specialists.

"Well, maybe a task force with those as the lead investigators and including other vets who are interested could be put together. It seems to me that the only way that vets in the community will get used to this is by being directly involved, because there are only so many neuro vets to go around. I found exactly two board certified ones in Atlanta; Dr. Johnson and one other, a woman in Sandy Springs, and about 4 in Athens around (or on staff of ) UGA. I did find out a few names and I'll be contacting them too."

"I did contact a vet in Alabama who has had great success using the dog-based serum."

"Well, good! What about having her treat Carmella?"

"She has only done the first part (in the body; not in the CNS), and she also is afraid to attempt the tap procedure."

"Well that's exactly why a clinical trial really is timely. If vets don't use it then what good is having a cure?"

We left it that I would send him any relevant research that implied this would be safe and effective, and that he'd call me to let me know if he thought of anybody who did feel comfortable doing the procedure, and he asked me to let him know if Carmella got any worse.

When he and I got off the phone we both knew the unspoken truth; that he could not scientifically guarantee me that she wouldn't.

When I checked my e-mail there was a message from Dr. Sears.

"Just about any vet can stick a needle in the Foramen Magnum without an ultrasound or MRI. Find one that will try."

In response to the fact that Dr. Johnson was working on Interferon he had this to say, "As to interferon, it does not work. Does not interrupt the distemper virus. We tried that years ago. There are now 9 different interferon's and none of them work against this virus. They do work against some but not this one. Induction with NDV sets off a variety of Cytokine's, many of which we have no names for. They just work. Especially against distemper."

And his response regarding shock happening: "Absolutely, once the NDV is introduced into the spinal space shock occurs. So what. If an IV line has been placed before anesthetic then fluids can be given and the shock is under control. Treat or death is the eventual outcome."

Regarding the trouble I've been having finding a vet to commit to this procedure, (I had to leave a few choice statements out in the interest of decorum, LOL, so as not to alienate other vets who might end up being important allies), but I can include some of it.

"I was able to find a Vet in primitive Indonesia. I cannot believe that there isn't a vet with needle savvy in all of Florida (he meant Georgia). I have now treated 4 dogs (in the CNS). One 36 years ago, and 2 10 Mo's ago, and 1 three Mo's ago. The 2 in Indonesia are both alive and without secondary symptoms at this time, Daveyo's dogs.

Hopefully yours is next.

Doc Sears"

Carmella still needs your help. Her bill is growing. Your purchase from my Etsy store is much appreciated. I'd like to thank the few individuals who have recently bought jewelry in the last 2-3 weeks. I just tonight added a new pair of earrings to my Carmella Collection. Remember that with love and action, all things are possible!

http://Giftbearer.etsy.com

Carmella Collection- Lillies of the Valley (earrings)