The first world conference on Breast Cancer was held July 1997, in Kingston, Ontario. The chief organizer Janet Collins, a nurse and midwife had many friends and a sister fall victim to what some say is becoming an epidemic. Breast Cancer kills almost one million women worldwide annually, including about 7000 in Canada in 1997.
As much as cancer has been blamed on genetic quirks, lifestyle factors, including smoking and having a high fat diet, about 70 % of breast disease causes don't fall into high-risk categories. (1) Now with the high incident rates in the Northern New York States and north shore of Great Lakes, second highest only to San Francisco Bay with 18,000 new cases annually, some feel Breast Cancer could be environmental pollution induced. Sandra Stein Graber, a Boston Biologist states 80% of Breast Cancers are caused by environmental hazards (2)
Despite the enormous effort to combat Breast Cancer, the number of new cases rises each year. For example, the introduction of radiation therapy, chemotherapy, immuno-therapy, CT Scans, MRI scans and all other new medical technology, life spans for breast cancer patients have remained the same, as there hasn't been any significant progress in Breast Cancer treatment. Treatment has improved survival only slightly, in fact. The five year survival rate for Breast Cancer in 1976 was 75%, 1983- 77% and in 1989- 78%. Most scientist/ physicians are convinced however that the slight increase in time of survival of lifespan is due largely to earlier detection of Breast Cancer, by improving mammography technology. But to an oncologist if the patient lives 5 years + 1 day, that woman survived and is counted as a cure, even if she has died. If however she lives one day less than 5 years she is counted as a non-survivor. In 1960,1 in 20 women developed Breast Cancer, in 1974, 1 in 17. The odds have gotten worse with each succeeding year. By 1990 the rate rose astronomically to 1 in 10, and kept zooming, in 1991, 1 in 9, in 1994, 1 in 8 women developed breast Cancer. (3)
In the last two decades the National Cancer Institute has spent over $1 billion on breast cancer alone, touting spectacular progress at the research level with almost no change in reducing mortality or increasing life spans. And that is the primary objective of any treatment to make the lifespan longer, improve survival. Two advances have come about however:
1. Minimizing pain and suffering
2. Less mutilating surgery to achieve the same survival. Even though this information is well known to all scientist and physicians, the great majority of all breast cancers are still handled the same way, i.e. modified radical mastectomy rather than lumpectomy, auxiliary node dissection and radiation therapy (3). Dr. Stephen Narod, a Medical Researcher from Women's College Hospital in Toronto concluded "mastectomy before cancer strikes" is the best approach to treating women carrying the genes linked with the disease even though as some delegates attending the conference in Kingston pointed out, research hasn't proven conclusively that breast removal is an effective prevention strategy. (4)
There is an information gap on the causes, monitoring and prevention of breast cancer, because little conclusive research has been done on the subject. However, it is known that 75% of patients survive breast cancer, and most breast cancers are present 8 to 10 years before they can be detected as a lump or on a mammogram, according to Dr. Susan Love, MD. Associate Professor of Clinical Surgery at the University of California, Los Angeles and Director of the Breast Cancer Institute. Dr. Love points out "The problem of the prevention and treatment of breast cancer is the fact that 80% of women who get breast cancer don't have (the traditional) risk factors. A low fat diet may be preventative, but we won't have the results from studies for a good five to ten years. Recent studies however have disputed the long-standing belief of that risk factor. The Canadian National Breast Screening study, which examined the diets of almost 57,000 women, claimed that a higher incidence of breast cancer was observed in women consuming the most fat. They neglected to report that the same high, incidence of breast cancer was observed in the women consuming the least amount of fat.
The Nurses Study in the U.S.A found exactly the same pattern. When the data from both studies were compared and evaluated, it was discovered that "The breast cancer rate among these women was virtually the same, whether they ate a lot of fat or very little." (8)
Another study, has also recently discounted the high genetic risk factor. Although the risk of breast cancer is doubled among women whose mother or sister contacted Breast Cancer before the age of 40, the study indicated that within middle -aged women, only 2.5 % of breast cancer cases were attributable to family history. (5)
Early detection is currently one of the primary strategies for prevention and successful treatment, which is why the self-breast exam is so important. The benefits of mammography are still a subject of debate. Questions that are still present include whether low-level radiation used in the test can contribute to cancer, whether equivocal results lead to unnecessary surgery and the accuracy rate of test results.
According to the National Cancer Institute, in women ages 40-49 there is a high rate of missed tumors, resulting in 40% false negative test results. Breast tissue in younger women is denser, which makes it more difficult to detect tumors, so tumors grow more quickly in younger women, and tumors may develop between screenings. Because there is no reduction in mortality from breast cancer as a direct result of early mammogram, it is recommended that women under fifty avoid screening mammograms although the American Cancer Society is still recommending a mammogram every two years for women ages 40-49. Dr. Love states, "We know that mammography works and will be a lifesaving tool for at least 30%. (6)
Dr. Norman Boyd, head of the Division of Epidemiology and Statistics at the Ontario Cancer Institute in Toronto, whose research was funded by drug companies (6), calls dense breast tissue a "major cancer risk," and they should have mammograms "more frequently than other women," also adding patients should be cautioned to follow a low-fat, high fiber diet and perhaps take specific medication to "block factors that play a role in breast density" and thus cancer. According to the American Academy of Pathology at least 50%, but as many as 80% of North American women suffer some sort of fibrocystic breast disease or density (11), causing a lot of pain and discomfort as well as a great deal of anxiety. Although a benign condition, it can be difficult for both women and their physicians to distinguish a cystic breast lump from a cancerous one. Right now Fibrocystic Breast Disease is a confusing term or as Dr. Susan Love says, "a wastebasket into which doctors throw every breast problem which isn't cancer" (yet).
Various researchers have suggested a hormonal imbalance, a decreased ratio of progesterone to estrogen in the second half of the menses cycle, an abnormality of prolactin regulation, a hypersensitivity to thyroid stimulating hormone and increased estrogen levels, as causes of fibrocystic breast disease.
Various treatments of fibrocystic breast disease are: Dr. Mauvais Jarvis and his group of French researchers found that breast pain was relieved 95% of the time with a natural progesterone gel rubbed into the breasts.
Dr. John Lee, clinical instructor at U. of California Dept. of Family Medicine has had good success using a 2 oz. jar of 3% natural progesterone cream for the last two weeks of cycle for a total of 3 -6 months. Maintenance is 1/2 jar a month. Studies have been inclusive as to whether vitamin supplementation reduces pain or swelling.
Dr. Christine Northrup, an American gynecologist, recommends hot castor oil packs applied to the breast 3 times a week for one hour for 2-3 months with maintenance afterwards of once a week. (12)
Dr. John Myers, a Baltimore gynecologist with a special interest in metabolic disease is credited among the first to recognize the importance of iodine to the breast and ovary. He found he could completely reverse fibrocystic breast disease using iodine orally and vaginally along with trace mineral elements given under the tongue and magnesium given intravenously. Cystic breast would soften quickly under the regime, sometimes immediately. (11)
In the Canadian Journal of Surgery, Dr. William Ghent, former Professor Emeritus of Surgery, at Queen's University in Kingston, Ont. and Dr. Bernard Eskin, Professor of Reproductive Endocrinology and Obstetrics & Gynecology at Medical College of Pennsylvania, (who both collaborated on clinical research of iodine deficiency and fibrocystic disease in the 1970's) have speculated that the elemental iodine is essential for breast normality, and its absence seems to render the breast ducts more sensitive to estrogen stimulation and subsequent formation of cysts and scar tissue. They theorize that adequate amounts of elemental iodine in breast tissue make them less sensitive to circulating estrogens. As such the iodine could be classed as a natural anti-estrogen a sort of natural tamoxifen. Incidentally, during treatment for fibrocystic breast disease, it was noted that some women experienced a marked improvement in their endometriosis. At present this special form of iodine must be taken continuously or the breasts will become cystic again. With Dr. Ghent's research on fibrocystic disease of 3200 women for 12,000 women years, the breast cancer rate of women taking the elemental iodine was 0.00082 women per year, while the projected incidence of breast cancer for Ontarian women was .0064 women per year.(11)
Sydney Singer a medical Anthropologist, examines the ways in which our lifestyles make us sick, and came up with the theory that "there is no such disease as Breast Cancer, there is cancer which manifested in a woman's breast." He discovered that where there were not brassieres, there was little breast disease, after conducting a two-year study in which he interviewed over 5,000 women regarding their attitude and behavior regarding breast and bras. About half of the women had breast cancer, and he discovered that the women with breast cancer had a history of tighter and longer bra wearing than did the women who had not (yet) developed the disease.
The researcher also threw out the challenge that if a woman stopped wearing her bra for two weeks that fibrocystic breast disease would disappear. (I had suffered Fibrocystic Breast Disease for over 35 years, and thought what the heck, I'll give him three weeks. I marked the time off on my calendar and carried on with life as usual. After three weeks, my breast was completely clear of Fibrocystic Breast Disease (from a bag full of marbles to one full of water, what a difference). Dr. Singer has pointed out that the problem caused by bras is essentially a mechanical interference with the breast lymphatic drainage. However, in today's world we are all exposed to hazardous cancer causing toxins in our food, air water and medications. Pesticides, herbicides and other chemical contaminants enter our bodies and must be cleared away, along with the damage they caused. This is the basis of the dietary connection with cancer (and environmental pollution). It is through our diets that we get exposed to many toxins especially the fat-soluble toxins that are found in the fatty part of our foods. High fat diets are associated with cancer, not because of the fat itself (which people have been consuming for thousands, if not millions of years), but because of the toxin content of fats produced in our chemical dependent food production system. Once in our tissues, these toxins must be flushed out via the lymphatics. However, a bra-constricted breast cannot adequately perform this cleansing process, resulting in toxin accumulation in the breasts.
One major reason women wear bras is the myth that bras are needed for "support." This myth assumes that the female body was created with a flaw pertaining to shape. This apparent flaw is a reflection of a fashion image which demands that women have their breasts higher on their chest wall than nature intended, and which can be achieved only with the purchase of a product -- the brassiere. In fact, bras are creating droopy, weak breasts, the exact opposite of what this myth claims. As the breast relies on the bra for artificial support the body loses its ability to support the breast by itself. (13)
ERT & CANCER: Dr. Alan Gaby, author of Preventing and Reversing Osteoporosis, explains that at least 28 different studies have evaluated the relationship between Estrogen Replacement Therapy and breast cancer. These analyses suggest that estrogen replacement therapy is associated with an increase in the risk of breast cancer ranging from 1-30% (9)
When suffering stage 3, large C prostate cancer, my husband was prescribed women's hormones to slow the cancer growth. He developed breasts, which produced large tumors. His surgeon wished to operate, but we decided against it, and upon chance when visiting an acupuncturist, the DTCM recommended some nightly massage of Zusali (Stomach 36 point) and the tumors went away.
WESTERN PERSPECTIVE: CANCER OF BREAST AND TREATMENT:
The value of lymph node removal is increasingly controversial, says Dr. Greg McGregor, head of surgical oncology at the British Columbia Cancer Agency. He is chief investigator in a new trial to see if lymph node conservation affects cancer recurrence or survival.
Dr. Edward Fish, Assistant Surgery Professor at University of Toronto, also questions routine removal of lymph nodes, especially for women with a small lump. An experimental technique is being developed where a dye is injected close to the tumor. The dye then travels to the lymph gland called the senital gland. That gland alone is then removed and if it contains no cancer cells, the lymph nodes can be safely intact. Dr. Fish studied 100 women who had lumpectomy only. Women over the age 65 with a small non-aggressive tumor had a local recurrence rate of less than five percent and would thus benefit little from radiation.
Recently in Vancouver B.C., 40 doctors from across North America made a landmark decision to study unconventional cancer treatments. (16) In the question of "preventive" chemotherapy, Steve Austin, a naturopath, says most women have impaired quality of life from chemotherapy, but few benefits. Side effects could include hair loss, nausea, and lowered white blood cell count and susceptibility to infection. (17)
Another treatment/preventive tried out now is Tamoxifen, which was developed about 20 years ago. Researchers discovered it lowered Breast Cancer rates in animals, and started studying its effects on human breast cancer. The researchers found out that tamoxifen interfered with estrogen in breast tissue by stopping it from binding to particular receptors. Although estrogen promotes the growth of breast cancer cells, it must first bind to these receptors in order to have any effect at all. Tamoxifen blocks these estrogen receptors and helps reduce the chance of a recurrence of breast cancer. Because of this anti-estrogenic effect, the side effects of tamoxifen mirror that of menopause. The research soon unveiled even more serious side effects of tamoxifen usage. Even the National Cancer Institute admits that Tamoxifen can cause an increase of uterine cancer. It is also believed to cause liver cancer. Dr. Samuel Epstein, an expert in environmental toxicology has reported Tamoxifen is the most potent liver carcinogen available,(18) and most experts are telling us this is the "most promising anti-cancer drug on the market".(19)
It has been my experience that before cancer can be cured or go into remission, some psychological work must be done. There seems to be a spiritual manifestation of the disease and this must be treated along side the physical ones. Dr. Louise Hay, an international renown counselor, teacher and lecturer, states "frequently patients with cancer have a deep hurt, long-standing resentment, a deep secret or grief eating away at self. Carrying hatred saying 'What's the use?,' and then the part of the body involved sometimes shows the person's mind bent. For example in breast problems perhaps the person had a problem with over-mothering, over-protection or over-bearing attitude, perhaps a refusal to nourish the self, putting everyone else first." (21)
Edward Bach stated, "Disease is in essence, the result of conflict between soul and mind, and will never be eradicated in the patient except by spiritual and mental effort. We must learn to think, reason, see, hear, speak and pray from the heart, not the head to be with our soul. Illness, disharmony and imbalance are often a result of the gap between the inner state and the 'face' that we daily put on to those around us." (22)
Dr. Ron Pratt. Ph.D. F.B.F.S., a social science researcher, has stated that in his experience and observations, that especially cancer, among others is a disease that not only attacks the physical, it also attacks the spirit. "Such men as Hippocrates, with his mighty ideals of healing, Paracelsus with his certainty of the Divinity of Man; and Hahnemann, who realized that disease originates in a plane above the physical, Edward Bach with his certainty that the real cause of disease are such defects as pride, cruelty, hate, self-love, ignorance (lack of wisdom), instability of mind (indecision), inconsistency, greed, presumption, pretension, immaturity, deceit, deception, sensuality. What untold misery would have been spared during the last 20 to 25 centuries had the teachings of these great masters and their art been followed. Unfortunately, as in other areas, materialism has appealed too strongly, and for so long a time, that the voices of the detractors and obstructers have risen above the advice of those great masters, who knew the truth." (20)
Many people are returning to ancient manuscripts and studying the masters, and now we see the West embracing the 5000 years documented medicine from the east, commonly known as Traditional Chinese Medicine.
1. Fu Zheng Qi Xie- Dispel evil, promote, enhance, and strengthen the patient's resistance.
2. Huo Xue Qu Yu- eliminate stasis and promote blood circulation.
3. Qing Re Jie Du- clear and remove evil heat and toxins, relieve fever and pain.
4.Ruan Jian San Jie- soften, dissolve hard masses.
5. Yi Du Gong Du- combat poisons with poisons.
TCM believes that cancer involves four factors: blood stasis, deficiency, toxicity and phlegm, that all must be present for cancer to happen. The aetiology and pathogenesis of Breast Cancer is:
Insufficiency of vital Qi- injury of seven emotions
Stagnation of Liver and Spleen Qi and disorder of Chong and Ren channels leads to disturbance of physiological function of Zang-fu organs and mammary gland, obstruction of the channels and collaterals accumulation of stagnated Qi, blood and phlegm in breast.
1) For stagnation of the Liver Qi, wishing to relieve the depressed liver and resolve phlegm and masses use a modified XIAO YAO SAN:
Chai hu 10 gr. (Bupleurum falcatum)Detoxifies the liver, regulates liver qi,
Bai shao 12 gr, (White peony)Tonifies blood, antispasmodic, nourishes ying
Dang Gui 12 gr.Tonifies and moves blood
Bai Zhu 10 gr.Tonifies qi, removes dampness, promotes digestion
Fu Ling I0 gr. (Poria Cocos)
Diuretic, drains dampness, purifies the lymphatic system, anticancer
Tian Nan Xing 10 gr. Arisaema Consanguineum (prepared jack in the pulpit)Dissolves and Removes phlegm congestion from the chest, anticancer
Jiang Ban Xia 10 gr. (Prepared Pinellia ternata)Dissolves and removes phlegm from the chest
Quan Gua Lou 10gr. (Trichosanthes fruit)Clears heat, detoxifies, anticancer, removes phlegm-heat, dissipates nodules (tumors) especially good for the lungs and breast
Chuan Lian Zi 10 gr. (Meliae Toosendan fruit)Moves qi, stops pain, clears heat and detoxifies, anticancer,
Gan Cao 6 gr. (glycyrrhizae uralensis licorice)Harmonizes, tonifies qi, anticancer
For hypertensive liver fire add:
Mu Dan Pi 10 gr. (tree peony root bark paeonia suffructicosa)Clears heat, moves blood
Shan Zhi Zi 10gr. (Gardenia fruit Gardeniae jasminoides)Moves blood, clears heat, detoxifies, anticancer
2) For disorder of Chong & Ren Channels requiring a modified ER XIAN TANG (Decoction of Curculigo and Epimodium) to regulate the two channels:
Xian Mao 10 gr. (Curculigo orchiodes)Tonifies kidney yang (adrenals), removes coldness and dampness
Xian Ling Pi 15 gr. (Epimedium grandiflorum)Tonifies kidney yang (adrenals), removes damp-cold
Ba Ji Tan 10 gr. (Morinda officinalis root)Strengthens kidney yang (adrenals)
Dang Gui 15gr. (Angelica sinensis)Tonifies and moves blood
Lu Jiao Shuang 6 gr. (Cornu cervi degelatinatium) this is the dregs after boiling deer antler glue, it is milder than deer antler, but also tonifies qi and blood
Zi Dan Shen 15 gr. (Red sage root Salvia miltiorrhizae)Moves blood, cools heat, relieves pain, calmative, removes liver qi stagnation, prevents metastasis
Ban Xia 10gr. (Prepared pinellia ternata root)Dissolves and removes phlegm from the chest
Bai Jie Zi 10gr. (mustard seed brassica alba)Promotes digestion, relieves stagnation, anticancer
Gan Cao 6 gr. (glycyrrhizae uralensis licorice)Harmonizes, tonifies qi, anticancer
If the breast is hard, painful and complicated with anemia add:
Ezhu 12 gr. (Curcuma zedoaria)Moves blood, dissolves stagnation and masses, and relieves pain, anticancer
Zhi Ru Xiang 12 gr. (Frankincense Gummi Olibanum)Moves blood, dissolves stagnation and masses, and relieves pain
Zhi Mo Yao 12gr. (Myrrh Commiphora myrrha)Moves blood, relieves pain, and dissolves masses
3) Another type is accumulation of noxious fire in the interior and to purge fire, remove toxins, subdue swelling and arrest pain use a modified LONG DAN XIE GEN TANG:
Long Dan Cao 6 gr. (Gentiana scabra)Clears heat and dampness, relieves inflammation, anticancer
Shan Zhi Zi 10 gr. (Gardenia fruit Gardeniae jasminoides)Moves blood, clears heat, detoxifies, anticancer
Huang Qin 15 gr. (Scutellaria baicalensis)Clears heat and dampness, detoxifies, anticancer
Sheng Di 21gr. (Unprepared Rehmannia glutinosa)Clears heat, nourishes the blood and yin
Che Qian Zi I2 gr. (Plantago asiatica seed)Removes dampness, diuretic, clears heat, purifies the lymphatic system
Ze Xie 10 gr. (Alisma tuber water plantain)Diuretic, clears heat, promotes lymphatic purification
Mu Tong 9 gr. (Akebia trifoliata)Diuretic, antiinflammatory, detoxifies, anticancer
Dang Gui 12 gr. (Angelica sinensis)Tonifies and moves blood
Chai Hu 10 gr. (Bupleurum falcatum)Detoxifies the liver, regulates liver qi,
Zao Xin 30 gr. (Terra flava usta derived from the center of the ashes from the bottom of a cooking stove where lithospermum has been burned)Warms the blood, stops bleeding, warms the stomach, stops vomiting
Feng Fang 15 gr. (Wasp" s nest Polistes olivaceus)Detoxifies, moves blood, anticancer, treats tumors
Quan Xie 10 gr. (Scorpion Buthus martensi)Detoxifies, regulates qi flow, anticancer
Long Kei Zi 15 gr.
Sheng Gan Cao 6 gr. (glycyrrhizae uralensis licorice)Harmonizes, tonifies qi, anticancer
If the fever is severe add:
Jin Yin Hua 30 gr. (Lonicera or honeysuckle flowers)Anti-cancer, detoxifies
Lian Qiao 15 gr. (Forsythia suspensa)Detoxifies, clears heat, anticancer, moves blood, dissolves lumps
Sheng Shi Gao 30 gr. (Gypsum)Clears heat
or the following could be used for removing heat and toxic material and anti-cancer. Ban Zhi Lian 30 gr. (Scutellaria barbata)Clears heat and dampness, anticancer,
Bai Hua She She Cao 30 gr, (Oldenlandia diffusa)Anticancer, clears heat
4) For deficiency of both Qi and Blood- where the Breast is like a cauliflower and with a continual exudative blood fluid plus other symptoms. Where the practitioner wishes to tonify Qi and Blood remove toxic material and resolve phlegm a modified GUI PI TANG can be used:
Huang Qi (astragalus) 30 gr.Tonifies qi, strengthens the immune system, protects the body, anti-cancer
Dang Shen (codonopsis) 30 gr.Tonifies qi
Bai Zhu (white atractylodes) 12 gr.Tonifies Qi, removes dampness, strengthens digestion
Dang Gui (Angelica sinensis) I0 gr.Nourishes and moves blood,
Fu Ling (Poria cocos) 15 gr.Diuretic, promotes lymphatic drainage, anticancer
Chi Shan Yao (red peony root paeonia rubra) I2 gr.Moves blood, breaks up stagnation
Long Yan Rou (Longan berries Arillus longus) 30 gr.Nourishes blood, mild sedative, tonifies the heart and spleen
Shuang Hua Teng (Lonicera or honeysuckle vine) 30 gr.Anti-cancer, detoxifies
Ba Jie Zi (mustard seed brassica alba) 10 gr.Promotes digestion, relieves stagnation, anticancer
Qian Cao Gen (madder root Rubiae cordifoliae) 15 gr. (23)Stops bleeding and yet it promotes blood circulation
This entire amount is cooked in 6 cups slowly down to 2 or 3, which is consumed in three times daily.
1. The Vancouver Sun Monday 14 July 1997
2. Sandra Stein Graber Auth6r"Living Downstream"
3. Breast Health Update- Charles B.Simone, M.D.
4. The Vancouver Sun Tue 15 July 1997
5. Colditz G.A. "Family History Age & Risk of Breast Cancer,Prospective Data from the Nurses Health Study" Journal of
The Amer. Medical Assoc 270 #3 July 1993
6. Alternative Medicine- Burton Goldberg Group.
7. Breast Cancer Scandal- Rhody Lake; Alive / Oct. 1995
8. Getting Fat & The Myth of the Fat Free Campaign- Thomas Anderson Ph.D.; Alive/ Oct 1995
9. Prevention &. Reversing Osteoporosis- Alan Gaby
10. Pizzorio J.E. & Murray M.T. "A Textbook of Natural Medicine' Seattle, We, John Bastr College Pubs. 1988-89.
11. DeMarco, Carolyn M.D. Health Counsellor Aug/Sept 1995
12. Northrup, Christine M.D. Gynaecologist "Women's Wisdom, Women's Bodies" Doubleday 1994
13. Singer, Sydney Ross, Medical anthropologist "Dressed to Kill- the link between Breast Cancer & Bras"
14. The Vancouver Sun Tue 15 July 1997
15. Simone, Charles B. M.D. founder of Simone Cancer Centre "Breast Health"- Impakt Communications Ltd.
16. DeMarco, Dr. Carolyn- The Vancouver Sun Mon Nov. 18, 1996
17. Austin, Steve author of "Breast Cancer" -Prima Press 1994
18. Gazella, Karolyn A. author of "The Breast Cancer Prevention Trial- Beware of dangerous Science" Health Counsellor Feb 1995
19. The Complete Book of Natural & Medical Cures- Rodale 1994 20. Pratt, Dr. Ph.D. (Psychology) (Humanities) F.B.F.S.
21. Hay, Dr. Louise L.- "Heal Your Body"
22.Howard &. Ramsal- "The Original Writings of Edward Bach"
23. English Chinese Encyclopaedia of Practical T.C.M. Beijing #10, Internal Medicine
Camellia C. Pratt is an East West Herb Course Student and a practitioner. She is developing a wonderful website that describes her clinic. Check it out athttp://www.rainbowclinic.faithweb.com