welcome to the organic green doctor blog

i am a family physician who was diagnosed with
early mild cognitive impairment(mci) amnestic type on december 21, 2010
this is a precursor to alzheimers disease
because of this diagnosis i have opted to stop practicing medicine
this blog will be about my journey with this disease
please feel free to follow me along this path
i will continue blogging on organic gardening, green living,
solar power, rainwater collection, and healthy living
i will blog on these plus other things noted to be interesting

Monday, November 11, 2019

organicgreendoctor: the lost veteran

organicgreendoctor: the lost veteran: THE LOST VETERAN wikipedia.org each fall my historian brother sends out a list of our family who have served in the military over time ...

the lost veteran

Image result for epinal cemetery france

each fall my historian brother sends out a list of our family who have served in the military
over time
as he has progressed in his documentation of our ancestry that list has grown to include more distant relatives
many times as you read his list he has included historical information along with the listed names

in a county in southern arkansas where most of my relatives are from there is a monument that lists those who have served and died in past wars and on that list are around twenty people who were killed in world war 2
are all in my ancestry tree

below is the story and information on one of those

the lost veteran

in 1944 he graduated from high school in this county
a county where everyone knows everyone
many are kin to each other
he is actually kin to me from both sides of my mothers family

not long after he graduated he had a niece born
he was drafted and off to war he went
shipped to france
in his wallet was a picture of that niece em

there was a battle at dinoze france where 1500 american soldiers were killed
he was one of them
this was about 5-6 months after he graduated from high school
he was single
he like most of the americans were buried at the american epinal cemetery in dinoze france

what belongings he had were sent home to the family
including ems picture as a baby in his wallet

over time some of his records were lost
the family over time lost sight of where he was buried and his story
he had few living ancestors
his parents died later
the only ones left were the niece and a few others

in dinoze france each american soldier buried there is assigned a french family to maintain his grave
the french family assigned to w s grave had a lady that was american who married a french man
she had been trying to locate the w s family for years

now fast forward these 75 years

the french american contacted my historian brother who has has a lengthy thorough ancestry tree on the ancestry websites
on the website was w s fathers name but not his
the french american contacted my brother asking if he could help her locate relatives

my historian brother is a tenacious researcher
in fact some  private investigators have sought him out to help solve things for them
he always finds the answer

he located
the little baby who was in the picture in w s wallet when he was shot in dinoze france
she was living in houston texas

little em has talked and communicated with the french american about how they are honoring w s each year

this all made me think about maybe my mother and father during world war 2 as they heard of their relatives all 20 of them that were killed in the war
all around their age
im sure they knew all of them
this at that time was a small community that county of folks

i know during the vietnam war i knew of two neighbors sons who were killed in that war
i can remember when i visited the vietnam war memorial in washington dc
i sought out their two names
put a piece of paper over the names
then marked out the names on the paper

as i pulled the names off and looked at the names
i remember how i felt at that moment as i teared up thinking of them and their families

i can only imagine what the people of that community thought as they lost more than just those 20 young men kin to me

i want to honor this lost veteran whose remains are buried far far away in france

thank you
for your service and the ultimate sacrifice

may we not put our country through this ever again

SUMNERS, William A., Private, 399th Infantry Regiment, 100th Infantry Division, U.S. Army, Service #38662643, State of Entry: Arkansas, Death: 17-November-1944, Plot A, Row 27, Grave 51, Purple Heart, World War II
epinal american cemetery

may he rest in peace

thanks to my three older brothers who served in the military for 20 years
thanks to all the other relatives who also served

the organicgreen doctor

Friday, November 8, 2019

organicgreendoctor: alzheimers news-another alzheimers event and panel...

organicgreendoctor: alzheimers news-another alzheimers event and panel...: ALZHEIMERS NEWS-ANOTHER ALZHEIMERS EVENT AND PANEL today my wife she and i will make the journey down to the james bridges auditorium at u...

alzheimers news-another alzheimers event and panel

Image result for organicgreendoctor
today my wife she and i will make the journey down to the james bridges auditorium at ucla for the showing of the documentary turning point about the lilly drug solanezumab story and its failure to reach its end point ie folks would get better ie their memory after taking infusions for several months
it didnt reach its end point so the study was canceled
like the biogen aducanumab study did
unlike aducanumab there has been no plans to reactivate theirs
im sure they lilly are looking closely at their data to see if higher doses are needed

i will be on a panel made up of alzheimers researchers from ucla
i will be the representative of the patients in the studies

i have seen the documentary twice
the first time was before biogens announcement to reactivate their study
the second time was last week

my perspective on the documentary was different after each of the viewings

the first one
i was like
im done i aint doing these no more
it was draining to have gone through nine years of alzheimers clinical trials then just to be dumped suddenly one day
all the work to get to this point and all the hope we had
was dashed
to smithereens it was

i could see it in the faces and hear it in the voices of the patients like me who had placed so much hope for these drugs
i could see it in the faces and hear it in the voices of the researches all who were personally affected by this disease in their families and had spent their lives on this drug some for 15-20 years
i realized they were as dashed emotionally as i was

after the second viewing last week
having just been told i would be considered as one of those who might qualify for the reactivation study next spring with the biogen aducanumab

it was a real roller coaster emotional trip over the last few months

i know like those folks in the documentary that this drug my drug this study represents my last chance to get a drug that might make a difference
for me the train may have left the station if i didnt get this second chance

i was ready to accept that
do my medications and supplements and all the healthy things im doing
dont look back just move on with the rest of my life
i was done with being in these studies

i and others are now getting this second chance hopefully
i am honored
i feel lucky
to have this opportunity

in this documentary is some of the story of the a4 clinical trial
they are using solanezumab infusions monthly long term
in patients who are prealzheimers or have prodromal alzheimers these mean the same thing
they have normal memory tests
their amyvid pet scans are positive for amyloid
and or
their lumbar spinal fluid is positive for abnormal levels of tau and amyloid

what this means is that they will be developing alzheimers symptoms one day
they are now given higher doses of the drugs
they will be followed long term to see if solanezumab will slow down or prevent alzheimers

if it does
then folks may one day be identified before symptoms start and receive this drug or one like it

i will be watching this study closely

one question i am anticipating from the audience is what is it like to be in these clinical trials

i will give a one word answer

thats all we can ask

the organicgreen doctor

Thursday, November 7, 2019

organicgreendoctor: prior disapproval

organicgreendoctor: prior disapproval: PRIOR DISAPPROVAL this is a picture of a tube of 5% fluorouracil cream that has been generic now for awhile it should be cheap right n...

prior disapproval

this is a picture of a tube of 5% fluorouracil cream that has been generic now for awhile
it should be cheap
this spring i had mohs surgery to remove a basal cell cancer on my nose
its the second one i have had in 3 years
this second surgery was more involved than the first
it required a plastic surgeon to do two procedures to cover up the big ole hole left on my nose
it was located you know on the cute spot
if you have seen a freckled kid with a sunburned nose
its that spot that has peeled after the sunburn

i had a lot of those cute freckled nose sunburns in my life
leading to
both my skin cancer surgeries

now after this surgery the dermatologist suggested i do a treatment with the fluorouracil 5% cream
as its know in the medical field

not only is it a cream for skin cancer but its given iv for other cancers
my 5fu is my chemo for my skin cancer

if i use it it will kill any precancer cells and any cancer cells that are growing in the skin flap he pulled over to fill up the nose hole

seems straight forward right
i will do this every year or two to keep the skin cancer at bay
i dont
i repeat
dont want to do this surgery again
i decided im going to be persistent here in getting my prescription

the derm sent over my rx to the three letter pharmacy
they said
you need to have this get a prior disapproval
thats not what he said but thats what i heard

later the nurse called
we just got notified we need to do a prior disapproval on this drug

i decided
im just going to see how well the system works to get my prior disapproval done

i have one more procedure to do in two weeks then when its healed i will start my 5fu
if my prior disapproval goes through

so i waited
the three letter pharmacy waited
they sent me prior disapproval notices
the derm called we need your updated drug insurance this was 3 weeks after the rx was sent in
now im 4 weeks into the prior disapproval process

i thought
now im giving them 2 more weeks to get this prior disapproval to be done

after two weeks i made the dreaded phone call to the first letter of the alphabet insurance company

of course
i was put on hold
it took 50 minutes for this phone call to be completed
after talking to four different folks

they asked what i wanted
i said i need my chemotherapy cream for my skin cancer before my nose falls off
they said
you need this to have prior disapproval
that not what they said thats how i heard it
i said to the person whose accent made me think she was in atlanta
deep drawl she had
i said
oh you mean prior disapproval
there was silence
no thats not what i said
let me send you to my boss
then another boss
then to a pharmacy decider technician

as i was talking i could tell she didnt know what she was talking about

she started asking me questions about why i was having this done
i thought to myself i think she is confused
i think she thinks i am the doctors office
i answered the questions like i was the doctors office

she said
is this being used for what sounded like some terrible skin cancer going awry
i wasnt sure what that was but it sure sounded bad
i said
yep thats why im using it

oh ok she said
we will approve it for one year

what the heck i thought to myself

oh by the way i said
how much will it cost me with insurance

later i called the three letter pharmacy and asked the cash price

i thought
i wonder if that wholesale company that you have to have a membership fee to use but not the pharmacy if they would have a cheaper price
the pleasant pharmacy tech said sure here is the cash price

thats right i said what the heck again

so i pulled out a hundred dollar bill and paid the man
saving over a hundred dollars by not using my insurance

i thought im glad i wasnt dying or something needing this medicine
one that has been around almost my whole medical career

if i was going to put a fair price on the medicine it would be $45

so you can see theres a lot of profit or someone is making money on the deal
had i not been persistent and sort of understood the game i could have paid almost 3 times the price

next time
say to your doctor or hospital or pharmacy or insurance company
so i need this prior disapproval done

some will laugh
some wont

the organicgreen doctor

Wednesday, November 6, 2019

organicgreendoctor: my story revisited 27-my final answer part two

organicgreendoctor: my story revisited 27-my final answer part two: MY STORY REVISITED 27-MY FINAL ANSWER  PART TWO after our alzheimers walk this weekend i sure have be doing a lot of soul searching think...

my story revisited 27-my final answer part two

Image result for organicgreendoctor
after our alzheimers walk this weekend i sure have been doing a lot of soul searching
thinking about my moms course with the disease
thinking about my younger brothers course with the disesase and why he was struck with it so young
thinking about my father knowing now all i know about this disease that he probably had it when he died
thinking about my older brother who was told he had it but since changing up his medications for his heart and changing off his aricept and nameda he has seem to be stable
thinking about a lot
thinking about when i was diagnosed and how overwhelming it was
our life sort of came to a screeching halt
thinking about a lot of the decisions i and we made picking out research and doing the workup that now is becoming the standard workup for someone who has memory loss

i ran across this blog i wrote below

now i know
my fdg glucose test was negative which is negative early on in the disease but later turns positive
my amyvid pet scan for amyloid in the brain was positive
my spinal tap for amyloid and tau was positive and knowing what i now know a second one being tested would even be more positive
my genetic test for apoe4 apoe4 was positive and how today i know what that really means

my b12 level did continue to drop below normal but with oral supplements has returned to normal as long as i stay on the b12

here is my blog from about 8 years ago on all my diagnositic testing i had done
i am glad i had it all done and participated in the adni2 and later the biogen aducanumab study
i sit here today with normal memory on my memory tests
for now anyway
awaiting notification of being able to restart the biogen aducanumab study next spring

over the last 9 years i have has as complete a workup that one can have for memory loss

there were lots and lots of ups and downs the last 9 years
the overall projectile being upward


this is the part two of a three part blog on my story-final answer
this blog today will deal with the neurology visits, the medication
i am on, the research study im in, and the diagnostic tests that
have been done

next week the blog will be on what it all means for me and maybe
for you and your family

neurology visit
i met with the neurologist on december 21 2010
she interviewed me and my wife she
she also did a neurological exam on me
she reviewed the neuropsychological exam i had done-the one
where i did poorly on the short term memory portion

because i had a normal neuropsychological exam 2 years ago
followed by a abnormal neuropsychological exam 2 years later
because i had noticed problems with my memory over the last
few months and
because of my strong family history of alzhiemers disease in my
family-mother, father, a close younger relative and probably
numerous aunts and uncles
she felt and i agreed with her that i had early mild cognitive
impairment amnestic type probably from alzheimers disease
(remember alzheimers disease is only 100% diagnosed at autopsy)

she felt and i agreed with her that i should start on a medication
called aricept (donepezil)
i knew that medicine well
i had just written it for a patient of mine the day before as he
has mild alzheimers disease
my mother was on the same medicine and my close relative is
presently on it

so why do i need to be on this medicine
if what i have is due to alzheimers disease then it will progress
rapidly or may progress slowly but it will eventually progress to
the same awful end point

the medication aricept (donepezil) doesnt stop the disease process-
that deposition of amyloid in the brain and the unraveling of the tau
proteins in the nerve cell that may be the cause or end result of
it just marches on no matter what

the aricept (donepezil) inhibits acetylcholine esterase an enzyme
that breaks down acetycholine in the nerve cells
by inhibiting this enzyme the levels of aceylcholine stay elevated in
the nerve cells so what nerve cells remain work better

by taking the aircept (donepezil) the aceylcholine levels are kept
high and the brain works better
if you stop the aricept (donepezil) the acetylcholine levels drop and
the brain doesnt function as well
the bad thing is when you restart the aricept (donepezil) you dont
regain back to where you were

so it was decided that i take the medicine to maintain my status
where it was now rather than wait to see if my memory got worse
then start the medicine ie i would have lost ground that i could
never regain

so i have been on the medicine now for 7 months
the side effects are tolerable
it causes vivid dreams more than ive had in the past
it causes a figgidness especially in the morning time after i take it
i have to go outside and work or take a long walk
it also causes a restless leg like symptoms especially at night
it also interferes with sleep
both of these symptoms are relieved somewhat by taking a
childs dose of benadryl
i have not had any of the gastrointestinal symptoms that some
people have

so i have stayed on this medicine now and will stay on it until
it doesnt work anymore
at that time usually another medicine is added to the
aricept (donepezil)
when that will be i dont know
it could be in 1-3 years or 5 years or 10 years or never

i then underwent testing to rule out other treatable causes of
my memory loss
i had a complete blood count to rule out anemia, infection, leukemia,
a complete metabolic panel to rule out diabetes, electrolyte
problems, kidney disease, liver disease, a tsh level to rule
out hypothyroidism, a b12 level, a hiv test, a syphilis test, hepatitis
screening, a urinalysis, and a sed rate to rule out inflammation--
all of these were normal

i had an ulrasound of the carotids to rule out blockage to the arteries
in the neck--this was normal

i also had a mri with and without contrast to rule out aneurysm,
tumors, strokes, circulatory problems, brain shrinkage, and
increased fluid in the brain--the mri was nomal

i was also screened for depression several times and i dont feel
depressed and the screens were negative for depression

after a few months on the aricept (donepezil) i did a followup
visit with the neurologist
i will see her every 6 months and will remain on the medication

i also was now able to enter the adni-2 (alzheimers disease
neuroimaging initiative) study at the university of texas medical
school memory clinic since i was stable on the medication

this study is important as it may define how a person is
evaluated for alzheimers disease in the future with these tests
that i am having done

this time i was entered not in the normal control group but in the
early mild cognitive impairment group
the other groups are normal, late mild cognitive impairment
and alzheimers disease (aint there yet)

during the initial visit i had another neuropsychological exam,
a screen for depression, the same labs as above, and an
mri of the brain-the short term memory problems were still
present and the labs and mri were normal

i then had blood drawn for genetic tests and other dna and
rna tests-one of these genetic tests is for the apoe 4 genotype
which is known as the alzheimers gene
i underwent a spinal tap for amyloid protein (beta amyloid protein)
and tau protein-more about them later
i had a fdg (flurodeoxyglucose) pet scan which measures glucose
metabolism in the brain
in alzheimers disease the glucose metabolism slows and the fdg
pet scan shows early on in mild cognitive impairment a decreased
uptake in or near the hipppocampus on the undersurface of the
brain where memory occurs

above is a fdg scan that shows decreased uptake (the red color)
in mild cognitive impairment  and in alzheimers disease
the less red the less glucose being uptaken

i also had a florbetapir f 18 pet scan which measures amyloid in the
brain-this is a research pet scan not available outside of research-
in mild cognitive there is an increase uptake in the hippocampus area

as the disease progresses (as more amyloid gets deposited) the
scan turns positive diffusely across the brain

this is a scan similar to the amyloid scan mentioned above
you can see the increased red amyloid deposition in alzheimers
disease vs a normal control scan

i will never see the reports of the labs, mris or the pet scan reports
as they are protected by the research study
that is part of the deal

i will have the pet scans and lumbar puncture every 2 years
i will have the mri at 3 mo 6 mo 12 mo 24 mo 36 mo 48 mo
i will also do neuropsychological tests, depression tests, and
blood work at each visit

i elected to have the apoe genotyping through my primary care
provider as i wanted to know the results
i felt like i was well versed on alzhiemers disease and understood
what the apoe tests mean and what limitations it has

the apoe gene is called the alzheimers gene although it is one of
several that may be associated with alzheimers
the apoe gene can be 2, 3, or 4
apoe 2 may be protective for alzheimers
apoe 3 may have milder degrees of alzheimers
apoe 4 i call it the sucky gene

a genotype of  a single apoe 4 gene (heterozygous for you
science folks) carries a risk of 10-50 % chance of developing
azheimers disease
a genotype of double apoe 4 gene/apoe 4 gene (homozygous)
carries a risk of 50-90 % chance of developing alzheimers disease

well i got screwed it looks like
i have the apoe 4/apoe 4 homozygous gene
ie i got it from each of my parents

i also opted to obtain spinal fluid for analysis of biomarkers for
alzheimers disease through my primary care provider
one of them is the beta amyloid protein
in alzheimers disease as the amyloid gets deposited in the brain
the amyloid levels go down in the spinal fluid

well i got screwed again as my beta amyloid protein is low in my
spinal fluid

the other test on the spinal fluid is the tau protein
its a protein thats found in the brain thats involved in the nerve cells
as this protein gets unraveled it gets phoshorylated and the p-tau
levels in the spinal fluids go up
well my levels were in the borderline level for alzheimers disease

here is a graph of my results
the left side of this graph  is the beta amyloid level
the level is low
the horizontal side is the ptau level
the level is borderline

so i have a normal neuropsychological exam 2 years ago followed
by abnormal neuropsyhological exams showing short term memory
noticeable memory problems to me,
a strong family history of alzheimers,
a positive apoe 4/apoe 4 genotype,
a low beta amyloid in the spinal fluid and
a borderline level of p tau protein in the spinal fluid

all of these point to azheimers disease as the cause of my mild
cognitive impairment

if i could see the reports of the fdg pet scan and the amyloid pet
scan i would have an even more accurate picture of where i stand

next week in part three i will try to put all of this together and what
it means to me, my family and possibly to you


the organicgreen doctor

Tuesday, November 5, 2019

thats a big leak

when we lived at the country n near austin we were always sensitive if we heard the toilet singing meaning it was dripping water or losing water in the tank
if we heard an occasional drip drip of a faucet

i was always aggressive about fixing anything that oozed water

we depended on rainwater for all our water
washing dishes
it all would come out of our 30,000 gallon tanks of pure rainwater
it was not an endless supply
during the hot dry summer especially during the drought the levels would get low
i only had to buy water to be delivered twice
because i left a faucet on
drained two large tanks of all their water

so when i saw that article on how much water the city of austin was losing to leaks
i was shocked

i bet if they were on rainwater only they would fix them

even today we live here in santa barbara
we just turn on the faucet and out comes the water
thats all i have to do to get water
we still have that conserve water embedded in our dna after living off rainwater for so long
we dont waste any
no dripping faucets or singing toilets are allowed here

the body of water if you have ever been to austin that runs through the city
is really the colorado river
years ago before it was dammed up further north at several locations the river would flood the city of austin
the water level would go up and down
with the dams
it stays about the same all the time
after reading this linked article
i know why
its all filled up with that water that leaks from everywhere in austins water system

it seems lady bird lake or town lake holds about 3 billion gallons of water
about 6 billion gallons
thats how much gets leaked out of the pipes etc each year
wasted water
man could they have used all that water during the severe droughts that happened a few years ago
even the big lake travis got real low like 25% if im remembering that number correctly

that 6 billion gallons would fill up lady bird lake twice

maybe what the city should do is shoot some type of sealant you know like you do with a flat tire to seal up those leaks

that 6 billion gallons doesnt even count the water folks are wasting in their homes and landscapes

my guess its the same problem thats present everywhere in the us
its all about infrastructure
infrastructure thats another issue

im no longer sympathetic if i see austin folks complain about water restrictions
no sympathy at all

the organicgreen doctor

Monday, November 4, 2019

organicgreendoctor: it was a good day

organicgreendoctor: it was a good day: IT WAS A GOOD DAY there i am standing on the podium looking out over about 600 folks holding flowers of different colors listening to me ...

it was a good day

there i am standing on the podium looking out over about 600 folks holding flowers of different colors listening to me speak
off to the side stood my wife and my family and my friends
she knew to stand out of my line of sight
if i looked at her and ms b and mr h i wouldnt be able to do my presentation

about 30 minutes before i was interviewed for about 5 minutes or so by the local tv news
one thing i told them was that
we need more research dollars and we need desperately more research volunteers for our clinical studies
without these two things we arent going to find a treatment or cure for this disease

to read what i said read last fridays and saturdays blog

now they asked me to hold the blue flower
for those with alzheimers disease and other dementias
the other flowers are

purple is for those who have lost someone to the disease
our family gets to carry at least two of these

yellow is for those caring for or supporting someone with the disease
we dont get that one yet but one day we will

orange is for those who support the cause
hopefully thats all of you

next to last is my blue flower
its for those with the disease
i one day want to turn that one in for the white one
the last one
the one i really really want to hold is the
white one to represent the first alzheimers survival person
if i could be that person
then all im doing will have been worth it
i know thats not going to happen
i can get close though
as close as i can

we raised that day $145000+ with the ultimate goal of $240000 which we will reach as other fundraisers are planned in the next two months

where does that money go

4% goes to administrative costs
so $9600 will go to this

19% goes to fundraising
so $45600 will be spent on this
basically youll spend this to get $240000

77% goes to research and advocacy and support and care and awareness
of the $240000 that will be raised here $184000 will be spent on this
at least 65% is a good number for a reputable charity

when you donate to charity these are the numbers you need to know

the alzheimers association spent $165000000 on alzheimers research projects last year

ill admit i was crying and choked up way before i got started
listening to all the people with the flowers talk before me
if you could hear the video of my speech you can hear it in my voice

i have just accepted that i will do it cry that is so i just power through

i must say as i looked out over the crowd i saw that a lot of folks were wiping their eyes as i was talking
me i just let them stream down my face
wiping them later
after we talked on the podium we lead the 600 folks out under the balloon arch along the beautiful sidewalk route along the beach here

thanks to all who donated and or gave us moral support
it seems each year we get closer to a cure and or treatment

if you havent donated to our walk or to your local alzheimers walk you can do so until the end of the year

our santa barbara walk to end alzheimers was on saturday november 2, 2018
here is the link to my team and the walk site

click and donate 
donate or join your local walk where you live

follow me on my facebook blog page link organicgreendoctor

the organicgreen doctor

Saturday, November 2, 2019

todays the day


thats ms b in the picture from last years walk to end alzheimers here in santa barbara
she is holding her bun bun looking up at my wife she hugging and wondering why we are crying
she was worried about us

i had just finished doing my 2 minute presentation in the opening ceremonies of the walk
i always tear up and pause for a few seconds when i mention my mother and my younger brother who died with the disease and my father who probably had it when he died
i have done this presentation  now for 9 years in a row
i still tear up when i do it

my wife she always wears my brothers alzheimers walk t shirt from a few years ago to honor him
she pins the alzheimers flower with his name my moms name and my dads name on the shirt

today i will do the presentation again
this year my goal is not to cry but if i do well ill just do it
im sure i will

note they chose me because of my diagnosis

here is what i will say

this blue flower represents those who have alzheimers and other dementias

like many of you i have seen alzheimers disease up close and personal
its an awful ugly disease

my mother and younger brother had it
my father probably had it

9 years ago i was diagnosed with mild cognitive impairment thats turned out to be due to alzheimers disease
i take the alzheimers drug aricpet to slow down symptoms

i have been one of the lucky few who have been receiving monthly infusions of an experimental drug that may slow down the disease some
they are applying for fda approval next year

doing these two things plus all the healthy things i am doing has slowed down the disease symptoms some

however as we all know alzheimers wins out in the end

we have two reasons why we have not found a treatment or cure
we need more research money
we desperately need more research volunteers

please hold up your blue flowers for those with alzheimers and other dementias

thank you

our santa barbara walk to end alzheimers is on saturday november 2, 2018
here is the link to my team and the walk site

click and donate and or join us
donate or join your local walk where you live

my facebook blog page link organicgreendoctor

the organicgreen doctor