alzheimers news-right to try

ALZHEIMERS NEWS-RIGHT TO TRY

there is not much i agree with trump on
but this one i do
its the right to try legislation that basicallly
lets folks who have run out of options take
drugs that are in phase 1 trials

now phase 1 is the first start to a process
that can take up to 10 or more years before
the drug gets approved and out to the public

eg
my drug aducanumab in its phase 1 study
did fairly well
it removed the measurable amyloid on
pet scans and showed some improvement
in memory for folks who got the
real drug

under this law one could access this drug
now to get treated for this incurable diseease

an advanced cancer might be a better
example though
weve all read about terminal cancer patients
trying to get access to a new drug still in
research

what do they have to lose
right

now alzheimers disease might not be the best
example since when you are in the terminal
stage its too late since so much damage has
been done that the brain cant be fixed

if you were early in the disease process like i
am then you might benefit from these
experimental drugs since the earlier the disease
is treated the more likely it can be slowed
or one day treated

so looking at all the stuff in research for
stopping alzheimers thats in phase 1 2 or 3
my drug aducanumab would be the one i
would choose
it seems it might help slow things down

now
in about 3 months i will definitely get the
real drug so i wouldnt do anything different
than im doing now

but lets say it was 2010 when i was diagnosed
via positive pet scans and positive spinal fluid
and positive genetic tests and positive memory
tests
well in 2010 if this drug was available and this
law was the law i could apply to get this drug
under the right to try law

i wouldnt hesitate one iota to do it

this warning though for folks
you will really have to do your homework on
the right to try drug to be sure you are not
getting some rip off drug or some drug that
is more toxic than your disease

nope i woulnt blink an eye since doing
nothing has only one outcome
its not a good one

i looked at all the stuff im taking now to slow
down this disease and i have noticed that
almost every prescription pill im taking
and every supplement im taking is not
approved by the fda for treating alzheimers
disease

why then am i doing it
well
the options are
well
theres not any

most if not all the things i take are based
some on scientific research some which
is done on animals

heres my list

aricept  (donepezil) is approved for use in
folks with alzheimers but not my diagnosis
mild cognitive impariment
the fda says i shouldnt be on this stuff
yet
new and old research suggests that starting
aricept (donepezil) early may and very
likely helps to prevent the deposition of
amyloid in the brain so starting it early
may be important in slowing down the
disease and not just the symptoms

irbesartan i take for high blood pressure
its also in a class of drugs that may slow
down the disease
again not fda approved for this

atorvastatin thats lipitor for cholesterol
control
again in studies lowering your cholesterol
may slow down the development of
alzheimers
not fda approved

folic acid and vitamin b12 for a high
level of homocysteine which is associated
with a increased risk for alzheimers as
well as heart attack and stroke
not proven not fda approved

omega 3 ditto
vitamin a ditto
curcumin or turmeric acid ditto
coconut oil ditto
probiotics ditto
co q 10 ditto
vit b 100 with all the b vitamins again ditto
bacopa ditto
melatonin to improve sleep ditto
aspirin ditto
and others

so you can see there is this level that most
of these are at that they are not definitely
proven to slow down or prevent alzheimers
but there is trending evidence that they
do or might work against this awful
fatal disease

if i wait for fda approval it may not ever
happen
so i have the right to try them if i want
to but i am careful to read and be sure
that none of these are snake oil type
drugs

if they work then im glad i did take all of
them
if they dont work then what have i lost
just a few bucks each month

if you decide to do the  right to try thing
make sure you know a lot about the drug
and what good researchers think it may
do

ive read a lot of stuff about drugs that
are definitely snake oil worthy

i try
i have the right to
as of now
theres not much else to do

the organicgreen doctor

alzheimers news-taking these increases your risk

ALZHEIMERS NEWS-TAKING THESE INCREASES YOUR RISK

that is according to this article from the british medical journal

acetylcholine is used in the brain nerve cell connection to transport signals
across from cell to cell

if acetylcholine levels drop in these connections
a persons memory will be affected

in alzheimers disease the destruction from beta amyloid and tau
accumulation leads to the brain nerve cells damage and destruction
which leads to a drop in acetycholine
which leads to the short term memory loss you see in alzheimers disease
early on

the drugs like aricept (donepezil) that i have been on for almost
8 years and exelon (rivastigmine) increases the acetylcholine in the
nerve cell connections in the brain so that the nerves fire or work better
leading to an improvement in the alzheimers patients memory

eventually as alzheimers progresses there is so much destruction
in the brain that these meds lose their effects

the earlier in the disease you start these meds the better their effects
eg
i was started much earlier that most folks and its possible that the
aricept (donepezil) may be why i havent deteriorated yet

a couple of years ago a study was published that anticholinergics
which includes allergy antihistamines
increased your risk for developing dementia
this new study showed that these antihistamines many of us take
for allergies may not have that effect

however
those of us who take aricept (donepezil) or exelon (rivastigmine) are told
not to take these allergy meds since they may interfere with
the aricept or exelon by blocking their effects

they do this by interfering with the uptake of the acetylcholine
in those nerve connections
less acetylcholine less nerve firing
means less memory

so i dont take allergy antihistamines for that reason

for those not on aricept or exelon
you non dementia folks
the drugs that affect these acetycholine levels
eg are used for
bladder control or urinary incontinence eg oxybutynin ditropan
parkinsonism eg procyclidine kemadrin
depression eg amitryptylline elavil

long term use of these can lead to a 30% increase in dementia
other things
eg smoking can increase the risk well over 50%
not controlling diabetes and blood pressure and or cholesterol
and or weight and or lack of exercising  and or proper diet
increase the risk dramatically

in fact
a population as shown in european studies who stop smoking
and do all those healthy things may decrease the risk
of developing dementia by 40%

so
like with all meds
you have to way their side effects vs their benefits

the secret
take real good care of your health

i was recently contacted by someone who has short term
memory issues who is about to undergo memory testing
at a large alzheimers research center
i explained what testing was going to be done and
how it would probably feel to do the testing

after listening to their story
the best thing they can do for their memory is not meds
its
controlling their weight diabetes blood pressure cholesterol
improve their diet stop smoking control their cholesterol
fix sleep issues control their depression

uh 20 years ago would have been nice for them to have
done all that
but its never to late to start

the organicgreen doctor

mary jane how youve changed

MARY JANE HOW YOUVE CHANGED

this is the best honey 😉

recently i was visiting an acquaintance who is a gardener
and
wanted my advice on some of his garden issues

now he has a nice system he uses for his garden
he makes his own worm compost
well the worms do all the work
by his recycling food scraps to the worms

inside he has a dark room from his old photography day
he has grow lights
he starts all his veggies from seeds

you know what else i grow
what i said
cannabis

he is a retired professional with a neurological disease
he raises it for his own use

as he was showing me his harvest in his baggies
i looked around suspiciously
listening for sirens
thinking
man he better be careful
he gonna get busted if he gets turned in
to the man

then
i remembered
its all legal here in california
you can grow 6 plants
only one can be grown outside
thus
the inside darkroom with grow lights

i guess its like a tomato
it tastes better if you grow it yourself
pluck it off the vine
eat it fresh
buying at the store isnt quite the same
so
i guess it is with
mary jane
ie reefer grass pot weed herb cannabis or mj

it must be better if you grow it yourself
its all fresh
it just is better i guess if its yours

i thought about all this a lot after seeing his garden set up

so
i decided to try the mary jane again for sleep
getting some from medical dispensaries that is for sleep
the dose is on the side of the box
1-5 at night 1-2 hours before bedtime
if you are a regular mj user you take 5 it says
if not if you are a novice
take 1-2
so
i took 1/2 at bedtime last night
since the night before i had a sleepless night

well
man on man
i went on a 6 hour ride
up and over and through and over and under
my dreams
it was like a super aricept dream
those vivid ones i get from aricept
just really accentuated
not violent or scary
just non stop
my brain was still going full speed when i woke up
this morning
in fact it was trying to get out the front door
when i reached out and pulled it  back

i slept for 7 hours
but
i sure as hell dont feel like it
i fill sedated like this morning

then
i got to thinking
you know what
i didnt even think about the interaction the mjs
thc and cbd probably had with my aricept (donepezil)

it reminded me of the interaction that the indian herb ashwagandha
had when i took it
it was the most godawful disturbing dream
so violent
that i have ever had
i slept a good 7-8 hours
but
i felt like what happened in my dream was real
it disturbed me for days
again it probably was the interaction of the ashwaghanda with mj

so
my guess is
that interaction with mj and aricpet(donepezil) is what will be
keeping me from using mj for sleep

dang it
just when it got ok to legally use it

i do hope
that our government will allow the research that needs to be
done on this drug
so it can be properly used in medicine
it seems to be useful in some neurological diseases
it may help slow down the progress of alzheimers disease
we know it helps with seizeures
chemo patients use it for nausea and for improving their appetite

this all seems sort of weird surreal in a way
that we can use it here but not say in texas or arkansas or mississippi

but
in the meantime
the law changed here
now the local governments will be getting a lot of tax
revenue from its legal sale
they got
zero revenue before
plus
they had to pay for all those folks getting thrown in  jail
costing us taxpayers millions each year

it all seems good to me

the organicgreen doctor

weed eater

WEED EATER

since it was illegal
i didnt ever consume it during the 60s and 70s
well maybe once i did

i made a decision
since it was illegal
i didnt want to get caught with it
and
have it on my record

my ultimate goal in life
was to be a physician
i didnt want anything to prevent that from happening

so
i said no
to the weed

that was
until 7 years ago
when i got first diagnosed

i would sometimes have a several days run of
sleepless nights
mostly because of my taking the alzheimers drug
aricept (donepezil)
which interferes with my sleep
i wake up too early sometimes
like 3-4 hours too early
like
wide awake too early

if i do this several days in a row
it all interferes with my day to day living

so early on
someone sent me edible weed
to help with the sleep
i tried it
it only made me restless like if i had too much coffee
before bedtime

then
a few years later
i tried a vaped weed
it burned like fire when i inhaled it
it didnt work well at all

now
i know there are hundreds of different weeds
some high in thc
some low in thc
but high in cbd

the thc makes you feel good
the cbd is what shows a lot of promise in neurological diseases
many antiweed states have the cbd weed legalized
its the stuff that seems to help folks who have uncontrollable
seizures
especially kids

so there is a component of weed
that shows promise in treating neurological disases
like
seizures
yes like alzheimers disease

two acquaintances have recently used weed
to control the nausea and appetite suppression
from chemotherapy
it also helped with the anxiety

the research is hard to do
since its rated by the us government
right there beside heroin

now
here in california
it is now legal to grow it
although commercially there are a lot of rules attached
to growing it
its legal to possess a small amount
you can even grow some yourself

now here where we live
they are trying to be slow about getting the permits done
so it will be eventually sold in stores throughout the county

weed is not going away
the governments are about to make a ton of money off its sales
local governments are about to have a financial profitable
industry move in

so
ive decided
im ready to particpate
i look at this stuff like a drug
for me its to assist in sleeping at night
maybe helping slowing down the alzheimers disease some
to
make my life better each day

i dont plan on getting high or use it during the day
just an edible at night
so i can
feel rested the next day

it has to be safer than ambien or halcion or those other sleeping pills

i wont use a smokable
that cant be good for the lungs
just an edible for me

its time
we look at this drug
for its positive benefits
to those of us
with neurological diseases
incurable ones most of them

we
folks
have nothing to lose

the organicgreen doctor

alzheimers news.its been seven years since...

ALZHEIMERS NEWS-ITS BEEN SEVEN YEARS SINCE...

ten years ago i applied for long term insurance and got it
after passing a mental status exam
i got all of the questions correct
then
7 years ago i contacted the alzheimers center at ut southwestern in dallas
to be followed annually as i aged so i would know if i developed
memory issues
if i did i had decided that i would stop practicing medicine

i underwent a neuropsychological exam to get into the normal control
group of a large study called the adni 3
being in this study would allow me to be monitored long term
i was also added to a state run study doing the same thing

as a normal control you are what those with memory issues are
compared to

as i sat in that chair in that room answering those questions
many the same as i answered correctly 3 years before
for my long term care insurance
well
i felt like i was in a fog
got real sweaty
as i couldnt answer the questions
i knew then
my time like with my mom and my brother
it was my time

when i got the official report
memory loss greater than you should have for your age and education
you need to see a neurologist they said
i made a neurology appointment in a month
i started my month long slow down of my practice
not letting anyone know except my wife she
well
my nurse and our clinic supervisor sensed it
they knew
my last day she the supervisor said
you arent coming back are you

no
i said to myself
i knew that was it
i had promised myself i wouldnt stay too long
when the time arrived

my last patient i saw in practice was an employees son
who needed a two year check up
i contacted her to bring him in at the end of the day
he was the last patient i ever saw

the next day i got my diagnosis
mild cognitive impairment probably due to alzheimers diseas
i got a new drug
aricept (donepezil) to slow things down
it slows the symptoms but not the disease

i must say i felt devastated
as did most of my coworkers and patients

i couldnt go back
mentally emotionally i coudnt
legally with this diagnosis
medically legally i was now a high high risk physician
i retired my license
that was it

lucky for me
hundreds of patients reached out to me
ive maintained contact with many of my patients via social media
i have got to see the kids grow up
many now having kids
that all helps a lot

i reentered the study having been placed in the
mild cognitive impairment branch of the adni 2 study for 5 years

today i am receiving monthly infusions for another
3 plus years if not longer of aducanumab
which will probably slow down the disease
hopefully until even more new treatments become available


my goal is to see my granddaughter graduate from high school
she is 2 1/2


since my diagnosis
pat summit the tennessee womens basketball coach was diagnosed
with early alzheimers
she died over this 7 year span


my younger brother joe
the mirror i looked into when i saw him
died also from alzheimers disease during this 7 years

7 years ago
i really expected to be further along in this disease
at least where my brother joe was and pat summit was when
they were diagnosed

why am i better or why am i not worse than i was 7 years ago
aricept (donepezil)
healthy living
aggressively controlling my diet weight exercise blood pressure stress
cholesterol
i take a boatload of supplements that may possibly help
i think i was also really early in the disease
earlier than most are when they are diagnosed
having been diagnosed almost by accident

my diagnosis has been confirmed by several neurologists
diagnostic studies like spinal tap analysis and the amvid amyloid scans

so as i sit here typing this blog
i am so thankful to be here today
cognitively here
to be able to enjoy our family
our new life
still doing all the things i was doing before i was diagnosed
and since then

im lucky to be alive
im lucky to be this healthy
physically and mentally

thats my new years resolution
let this all continue
please

fire update
were done
the fire on this side is stopped
folks are being let back in their houses
the air is crisp and clear
thank you thank you thank you firefighters
you are the greatest

have a happy holidays
for those who celebrate
merry christmas

the organicgreen doctor

keep that level up

KEEP THAT LEVEL UP

the bmj @bmj_latest

when i first retired i wasnt on any blood pressure medications
i was looking for ways to lower my blood pressure without
taking drugs
one way was to drop my caffeine intake
i tried caffeine free coffee
that only lasted one day
i tired half caffeine and half no caffeine
that only lasted one day

then
i later read an article on drinking 2-3 cups of java a day
it helped it seem to clear the mind
make one sharper in the morning
it may help to slow the memory decline in dementia
so
thats all i needed to know right there
back to the caffeinated coffee
like
it should be
strong and black

so
i went back to my three cups a day
i felt better
i felt more alert
i felt more energized

now i only drink it the first thing in the morning
not drinking any after lunch
since i noticed it seemed to interfere with my sleep
at night
something i already have problems with from the
alzheimers drug aricept (donepezil)

then
after reestablishing my caffeine levels back to my
normal levels
i
then attacked my blood pressure
using a low dose blood pressure medication to keep it
down to the new recommend levels of less than
130/80

im happy
with my blood pressure and my caffeine levels now

then
last week i read this article
british medical journal coffee consumption and health...
on caffeine intake
well
it just reinforced what i already knew and felt

it seems drinking 3-4 cups a day of java
lowers the incidence of
premature death
cardiovascular disease
liver disease
dementia
several types of cancer
gall stones
type 2 diabetes
im sure theres more

thats all i need to know about keeping my levels up
of caffeine
im in

the organicgreen doctor

alzheimers news-the alzheimers week that was

ALZHEIMERS WEEK-THE ALZHEIMERS WEEK THAT WAS

it started with our santa barbara walk to end alzheimers last saturday
i was doing ok helping set up the walk
since i am on the committee for the walk this year

now
i was doing ok
until i had to get up and talk for a few minutes
since they asked me to carry the blue flower
the blue flower represents those of us who have alzheimers

now
ive got up and talked before a lot of these walks
like this
in fact i pretty much say the same things each time

this time
as i stood on the stage
looking out over the crowd of close to 500 folks
my granddaughter looked up at me
i could see her pretty little face with this look on it
granddaddy she said out loud
what are you doing up there

well
that was when the dam broke
on my tears
which flowed all the way through my two minute talk
it flowed from me to the audience to the other speakers
to the two emcees

i managed to get through it
barely

i guess folks will remember me talking after all that

then
this week was our ucla trip
to get my infusion #9 of the experimental drug aducanumab
that hopefully will slow the disease down some

for these trips
its only 90 miles
but its into the beast of the 405 in la
a drive that can take 2 hours or 3 1/2 hours
sorry
but this day we got the long version

we leave while its dark
after about an hour we start hitting the beast of the 405

the last 15 miles takes longer than the first 85 miles

so we eventually get there
i get settled into my bed i have to lay on

they start my iv

then
draw all this blood work
then
i see the neurologist
then
i wait for the pharmacy to mix it all up
the pharmacy knows what im getting
no one else does

i always tell them
please dont give me that placebo one
on you know you got the real one the nurse says
she says that to everyone i bet

then
they hook me up to the iv
it takes an hour to run in
i feel nothing but a salty taste in my mouth
after an hour they flush it with saline
then
im out of there 3 hours after it starts

my wife she says as she sees me
you know
your face is always real flushed when you finish
those infusions
yes
i said
any side effect i can get is a good one

i have somewhere around 50 +- more of these to get
hopefully a lot more

then
yesterday the biogen folks presented the results of
their phase 1a study that had been extended for two years
on around 150 folks

this phase 1a study was the one that looked promising
the fda allowed it to get fast tracked to phase 3 studies
so if it helps it can reach the market quicker
the phase 3 study is the one i am in now

this phase 1 study when they extended it these two years
is pretty much like the study i am in

so those folks some of them have been taking the aducanumab
now for 3 years
so these results give us a glimpse into whether this stuff will work

basically in layman terms
my terms that is

the 10 mgm dose worked the best but also had more side effects
so in my study they only are using the 3 mgm and 6 mgm dose
so if i am not getting placebo then i am on one of these doses
when my phase 3 study gets extended in 15 months
i will definitely be on one of these doses

here is what they found in layman terms
after 3 years the aducanumab removed enough of the beta amyloid
from the brain so that the amyvid pet scan for the amyloid
 are now mostly negative
or close to negative on the lower doses

now
the big determinant of whether this works is
does the memory get better or does its decline slow down

now this is my interpretation of listening to the webcast of the presentation
and reading articles on the results

none of the doses stopped the decline in the memory based on
two memory tests one being the mmse
but
the high dose the 10 mgm
slowed the decline of the memory significantly compared to the
decline seen in the folks who got the placebo
the 3mg and 6 mgm also slowed the decline in memory
but not as much as the 10 mgm
lets just say it did it half as much

so
in alzheimers years
3 years can be a long long time
and any slowing of the mental decline over the 3 years
i know any family member would take that

compare that to aricept (donepezil) the alzheimers drug most folks
get put on at first
there is no comparison to the aducanumab

so
my laymans impression
it removes the bad stuff the amyloid from the brain
by doing so the aducanumab slows down the memory loss
enough that if it does this it will be used in the future to
treat someone with early alzheimers

also
my impression is even though the amyloid is removed
there is destruction and some disease process thats going on
that has already started snowballing and may not be stopped
that may be why the memory decline isnt stopped completely
but
man i would take this stuff knowing that
it could give me extra time with my family
time that i would remember also while its happening

just think
if your loved one could have gotten something like this
they might have
made a wedding
maade an anniversary
seen a graduation
seen a birth

yes
i think it would have been worth it


if you havent donated to a walk to end alzheimers
consider donating to my younger brothers familys
team for tomorrows little rock walk to end alzheimers

here is the link
#joe nash

i was thinking just now
what if he could have gotten this medicine early on
what things would he have not missed in his familys life

the organicgreen doctor

alzheimers news-alzheimers flowers

ALZHEIMERS NEWS-ALZHEIMERS FLOWERS

this is the our team for the alzheimers texas walk we did in
september in georgetown texas.
thanks to those who walked that day

when you go to the walk to end alzheimers there are 5 flowers
to chose from

blue is for those of us with alzheimers

purple if you  have lost someone with alzheimers

yellow if you are supporting or caring for someone with alzheimers

orange if you support the cause and a vision of a world without alzheimers


fox6news.com

white is the new one
its the one so far no one gets to carry
its the one i want to carry one day
its for the first alzheimers disease survivor

so you pick the flower that represents where you fit into the
alzheimers picture

i have been able to carry all of the colors as i write about below
just not the white one
yet

then you place them in an area where they are all placed together
in the promise flower garden
they spin in the breeze
there always seems to be a breeze
at the walks i have been to

its like mother nature knows
to send down a breath of breeze to spin those flowers
since
she knows what it means to everyone
the visual of the spinning flowers
many with loved ones names on them
well
i
at least
tear up

so in the opening ceremonies
someone from each flower group
speaks for a few minutes about why they are carrying that color

well
i get the blue one
since my mci is due to alzheimers disease

here is what i plan to say

good morning
thank you for being here for this walk to end alzheimers and supporting
us in our fight against this disease

i am here representing with this blue flower
those of us who have alzheimers disease

i have mild cognitive impairment due to alzheimers disease
i have been diagnosed for over 6 years
i take the alzheimers drug aricept (donepezil)
i am in a large experimental drug treatment at ucla that has some
promise to be a potential treatment for the disease

i have seen alzheimers disease up close and personal
its a ugly awful disease

on my blue flower are 4 names

nell
my mother

joe
my younger brother

both died from alzheimers disease

charles
my father probably had it when he died

charles
my older brother has it now

so this is why i am walking to end alzheimers today
the same reason many of you are walking today
to find a treatment or cure for this awful disease
so that in the future no one will have to be carrying these blue flowers
since
when a treatment is found we would all be able to carry the white one

thats my hope for the future

thank you

support us at our next walk
or
donate and or walk at your local walk

santa barbara walk to end alzheimers october 28th

the organicgreen doctor

alzheimers news-reflections

ALZHEIMERS NEWS-REFLECTIONS

the fall this time of year
i tend to do a lot of reflecting
i guess because thats when all the alzheimers walks occur
when you see a lot in the paper on tv and social media
about alzheimers disease

i start thinking a lot about our family

my mother nell
a nurse who was struck with this dreadful disease
later in life
it was sad to see her deteriorate so slowly

my father charles
he died of heart disease but probably had early alzheimers disease

my older brother charles was diagnosed 3 years ago
he seems to be stable for now


my brother joe
a retired fireman
a retired deputy sheriff
he was struck with the disease much too young
in his early 50s
he was gone in his early 60s
i think about him a lot

when i was diagnosed in december 2010
i really thought in september 2017 i would be where he was with his
disease at that time

i feel so lucky that i am able to sit here today
writing this blog
doing all the things i did when i was diagnosed
7 years ago
i really didnt think i would be able to sit here this morning
and
write
and
drive
and
do all our finances
and
know everyone
and
travel
and
see my granddaughter start to grow up


i feel lucky
maybe its from
all the healthy stuff i do
all the protocol stuff i do
the medicine aricept (donepezil) slowing this down
maybe
just maybe

if i am  lucky the aducanumab i am getting each month
an antibody infusion against the bad beta amyloid in the brain
the stuff that may be the cause of alzheimers
might slow things down some

i know from preliminary studies that if i an not getting the
placebo but the real aducanumab that  most of that stuff the amyloid
will be removed by next year
the question is
will the memory stabilize or get better for those of us getting
this experimental drug
if it does work to improve memory
then its part of the answer
then
ive gained 5 years
which if you have had a love one with this disease like we have
thats a lifetime of time

i think about all the folks i have met over the last 7 years
patients husbands wives sons daughters grand kids cousins friends
all like our family deeply affected by this disease

i know many of you who are reading this blog
your family has been affected also

i will be thinking about my family and yours and theirs
as i and my family and my friends and former patients
do our walks this fall to raise awarenes
and
to raise funds to educate and finance research and encourage
our government to do more

tomorrow here in texas
there will be a time
when i will stop
go inward
think of my family and others
yes i always tear up
then
i will move forward
to do what you have to do to make things better

join us or do your local walks

my walks


alzheimers texas williamson county walk september 23rd


santa barbara walk to end alzheimers october 28th

the organicgreendoctor