August 2014

4C Foods Corp. is recalling its 6-oz. glass jars of “4C Grated Cheese HomeStyle Parmesan”, UPC 0-41387-32790-8 with code dates BEST BY JUL 21 2016 and JUL 22 2016 due to possible contamination with Salmonella. This recall does not impact any other 4C cheese products.

Salmonella is an organism that can cause serious and sometimes fatal infections in young children, elderly people, and others with weakened immune systems. Healthy persons infected with Salmonella often experience fever, diarrhea, nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses.

No illnesses have been reported to date in connection with this problem.

On July 24, 2014, Product was distributed to: IA, IL, MI, MN, ND, NE, SD, and WI through retail stores.

Item is packed as 12 glass jars per case, code dates BEST BY JUL 21 2016 and JUL 22 2016 can be located on jar back side toward bottom portion.

The potential risk was brought to 4C’s attention by FDA during routine testing. This recall affects 308 cases that were shipped of the affected date codes.

The U.S. Food and Drug Administration (FDA) along with the Centers for Disease Control and Prevention (CDC) and Texas officials have been investigating an outbreak of Cyclospora infections in the state of Texas.  According to the CDC, reported cyclosporiasis cases have returned to baseline levels in Texas.

As of August 26, 2014, CDC has been notified of 133 cases of Cyclospora infection in Texas among Texas residents who did not travel outside the country within the two weeks prior to becoming ill.  Four hospitalizations have been reported in Texas.  Texas state health officials reported that most cases of the illness occurred in June and July 2014.

Epidemiological and traceback investigations have been conducted at four different restaurants in Texas, where multiple unrelated ill persons reportedly have eaten. All the ill persons in these four clusters reported having eaten a food item containing fresh cilantro in the 2-14 days before they became ill.  Preliminary FDA and Texas state traceback investigation indicates that cilantro suppliers in Puebla, Mexico were a source of the cilantro that was served at the four restaurants.

Also as of August 26, 2014, the CDC had been notified of 304 ill persons with confirmed Cyclospora infection in 2014; of these, 207 ill persons from the following states had no history of international travel within two weeks before onset of illness: Arkansas, California, Connecticut, Florida, Illinois, Maine, Maryland, Massachusetts, Michigan, Minnesota, Montana, Nebraska, Pennsylvania, New Jersey, New York (and New York City), Texas, Virginia, Wisconsin, and Washington.

  • Most (133; 64%) of the cases were reported from Texas.
  • Most (133; 64%) of the cases were reported in July 2014.
  • Most (176; 85%) of the illness onset dates occurred in June and July.
  • Among 183 persons with available information, 7 (4%) have reported being hospitalized. No deaths have been reported.
  • Among 204 persons with available information, ill persons range in age from 3 to 88 years, with a median age of 49 years.
  • Among 204 persons with available information, 115 (56%) of ill persons are female.

CNN’s Moni Basu is reporting from the trial of former executives of the now defunct Peanut Corporation of America – “Peanut butter killed his mom; now son watches company brass stand trial.”  It is well worth the read.

Beginning in November 2008, CDC (Centers for Disease Control) PulseNet staff noted a small and highly dispersed, multistate cluster of Salmonella Typhimurium isolates. The outbreak consisted of two pulsed field gel electrophoresis (PFGE) defined clusters of illness. The first cluster displayed a unique primary enzyme (XbaI) restriction pattern and an uncommon secondary enzyme (BlnI) pattern. The second cluster had two closely related XbaI patterns that were very similar to the first cluster and a BlnI pattern that was indistinguishable from the first cluster. Illnesses continued to be revealed through April, 2009, when the last CDC report on the outbreak was published. Peanut butter and peanut butter containing products produced by the Peanut Corporation of America plant in Blakely, Georgia, were implicated.

At least 716 people were sickened and at least nine died.

 

Total of 15 people in Minnesota identified with same strain of bacteria; no new cases since July 10.  As many as three cases in three other states possibly linked.

State health officials have identified green whole head cabbage as the likely source of an E. coli O111 outbreak that sickened 15 people in Minnesota in July.

The cabbage was likely contaminated at some point prior to distribution to restaurants.

Routine monitoring by the Minnesota Department of Health (MDH) identified the 15 cases of illness associated with Shiga toxin-producing E. coli O111. Bacterial isolates from all of the cases had the same DNA fingerprint. This genetic strain of E. coli O111 had not been seen in the United States previously.

MDH investigators were able to interview 14 of the cases: 13 of them ate at 9 different Applebee’s restaurants in Minnesota, and one ate at Yard House.

Many cases had reported eating the Oriental Chicken Salad at Applebee’s, leading Applebee’s to voluntarily and out of an abundance of caution pull the menu item and specific ingredients from the salad from their menu for a time. It was returned to the menu after Applebee’s obtained different sources for the ingredients.

The common food item across all foods consumed by cases was green whole head cabbage.

Minnesota officials traced the cabbage to a common supplier outside of Minnesota and continue to work with the United States Food and Drug Administration (FDA) to investigate its source. The FDA examination of the potentially involved farms is still ongoing.

Single cases of illness that match the outbreak strain have occurred in three other states.

The illnesses occurred between June 25 and July 3. Four of the people who became ill were hospitalized and all have recovered. No new cases connected with this outbreak have been identified in Minnesota since July 10.

Symptoms of illness caused by E. coli O111 typically include stomach cramps and diarrhea, often with bloody stools, but only a low-grade or no fever. People usually become ill two to five days after exposure, but this time period can range from one to at least eight days. Most people recover in five to 10 days. Complications from infection are more common among those with weaker immune systems, including young children and the elderly. As with E. coli O157:H7, infection with E. coli O111 should not be treated with antibiotics, as this practice might promote further complications.

Alberta Health Services investigates every case of E. coli O157:H7 confirmed in every Zone, as part of routine operations.

The following cases are being investigated for potential links to the E. coli O157:H7 outbreak in Alberta.

This investigation is ongoing.

At this time, it is not known whether these cases are linked to the outbreak.

Alberta Health Services has also not confirmed source(s) of illness related to this outbreak, at this time.

Confirmed Cases of E.coli O157:H7  July 15, 2014 to August 28, 2014:

The Cyclospora illness outbreak being investigated by DSHS and local health departments in Texas along with the federal Centers for Disease Control and Prevention and Food and Drug Administration appears to have ended. The number of new illnesses being reported has returned to background levels, and the investigation has linked the cases in four restaurant clusters to cilantro imported from Puebla, Mexico.

Cyclosporiasis is an intestinal illness caused by consuming food or water contaminated with the Cyclospora parasite. The major symptom is watery diarrhea lasting a few days to a few months. Additional symptoms may include loss of appetite, fatigue, weight loss, abdominal cramps, bloating, increased gas, nausea, vomiting and a low fever. Symptoms may come and go multiple times over a period of weeks.

126 cases are considered part of the outbreak with an onset of illness after May 1 and no history of international travel within the two weeks before onset. Most cases occurred in June and July. However, it is unknown whether all illnesses are linked to cilantro. 166 total cyclosporiasis cases have been reported in Texas in 2014. Most of the cases are in residents of North Texas.

DSHS, in conjunction with local health departments, investigated four restaurant clusters in North Texas that included a total of 21 people who got ill. All 21 reported eating a food item from the restaurant containing cilantro within two weeks before becoming ill. A preliminary traceback investigation conducted by FDA and DSHS has identified Puebla, Mexico as the source of the cilantro that was served in all four restaurants. While the investigation has not found samples of cilantro contaminated with cyclospora, there is enough evidence to establish a strong epidemiological link between the illnesses and the cilantro. The state of Puebla was also identified as the source of fresh cilantro linked to a cyclosporiasis outbreak in 2013.

NPR’s Dan Charles produced “How Foster Farms is solving the case of the mystery salmonella” that aired this morning. I got a little air time:

Others, like Seattle attorney Bill Marler, who makes his living suing companies when their food makes people sick, say it’s not good enough. “The standard is, it’s still OK to have a pathogen on your product that can sicken and kill your customers. And as long as that’s the way it is, we’re always going to limp from outbreak to outbreak to outbreak,” he says.

Marler believes that the USDA should take the same stand against salmonella that it did against another dangerous microbe: disease-causing E. coli.

When the USDA declared these E. coli bacteria illegal adulterants in food, the meat industry complained, but it also found new ways to prevent them from poisoning people. “It used to be 90 percent of my law firm’s revenue, and now it’s nearly zero. It’s a success story,” says Marler.

Eliminating salmonella altogether would be difficult — it’s much more common in the environment than disease-causing E. coli.

For all the news that is not fit to drink – see Real Raw Milk Facts.

Utah public health officials are investigating a cluster of illness associated with the consumption of raw or unpasteurized milk. To date, 45 cases of Campylobacter infection have been reported in people who indicated that they consumed raw milk in the week before illness began. Cases have been reported from: Cache, Davis, Morgan, Salt Lake, Utah and Weber counties. Two cases occurred in out of state residents from California and Idaho. Onset dates range from May 9, 2014 to July 21, 2014. The cases range in age from two to 74 years.

All 45 cases are linked to the consumption of raw milk or cream purchased at Ropelato Dairy in Weber County. Utah Department of Agriculture and Food inspectors suspended the dairy’s license to sell raw milk on August 4, 2014, after several tests of raw milk samples taken at the farm were positive for Campylobacter.

In 2010 nine people in Weber, Davis, and Cache Counties, Utah, were confirmed to have developed infection with Campylobacter after consuming raw, unpasteurized, milk. The raw milk was also produced by Ropelato Dairy. Laboratory analysis of the milk showed high levels of fecal coliforms.

Campylobacteriosis is a bacterial infection that causes diarrhea, abdominal pain, fever, headache, nausea and vomiting. Illness can last for up to a week or more and can be serious, especially for young children, pregnant women, the elderly, and those who have weakened or compromised immune systems. UDOH Epidemiologist, Kenneth Davis adds, “In some severe cases, illness can lead to complications, including paralysis and death. If you have recently consumed raw milk and are experiencing any of these symptoms, contact your health care provider.”

Raw milk is from cows, goats or sheep that has not been pasteurized to kill harmful bacteria. This raw, unpasteurized milk can contain dangerous bacteria such as Campylobacter, Salmonella, Listeria, and E. coli, which are responsible for causing foodborne illness. Other products that contain raw milk, such as cream or queso fresco, can also cause foodborne illness.  Raw milk contaminated with disease-causing bacteria does not smell or look any different from uncontaminated raw milk, and there is no easy way for the consumer to know whether the raw milk is contaminated.

Since 2009, there have been 14 documented outbreaks of Campylobacter infection associated with raw milk consumption in Utah, with more than 200 people becoming ill. In response, public health officials again warn that drinking raw milk may be dangerous.

Earline Mages always says when you talk to her – “This is Earline Mages from Farmer’s Branch Texas.”

“She will never be that person she was before September 7, 2011” Frank Mages

Ms. Earline Mages is a 76-year-old woman who has been healthy and active throughout her life.  Her medical history is significant only for hypothyroidism, hypertension, and elevated cholesterol.  Ms. Mages had never suffered a major illness until she became acutely ill after consuming food products contaminated with Listeria monocytogenes in the fall of 2011.  The causal link between Earline Mages’ Listeria infection and contaminated cantaloupe grown at the Jensen Farms facility is clear.  In August 2011, Ms. Mages consumed Jensen Farms/Frontera cantaloupe purchased on several occasions at Kroger located on Valwood Parkway in Dallas, Texas.

A.             Onset of Ms. Mages’ Listeriosis

Ms. Mages was enjoying her usual state of good health until she developed a severe headache with nausea and vomiting on September 7, 2011.  Her symptoms were severe enough to alarm her family, and so they took her to the ER at Baylor Regional Medical Center at Plano, Texas.  A head CT showed no intracranial abnormality.  Since she also had a mild cough, a chest x-ray was done, but this showed no evidence of pulmonary disease.  Between about 9 AM and 2 PM, she was observed and treated with IV fluids and medications for her symptoms.  She was released to the care of her family and sent home with instructions to return if she did not continue to feel improved.

B.             Hospitalization

Unfortunately, Ms. Mages did not feel better, and in fact her symptoms worsened over the course of the next few hours at home.  After doing poorly overnight and then spiking a fever, her family called 911 around noon on September 8, 2011.  The Farmers Branch Fire Department arrived at her home to find her sitting in a chair and complaining of dizziness, nausea, and continued headache.  Their first impression was that she had suffered a stroke, however because of a temperature of 104.6ºF, a urinary tract infection was suspected.  Ms. Mages’ vital signs were otherwise stable, with a blood pressure of 114/80.  Her oxygen saturation, however, was only 86% on room air, but it came up to 96% with supplemental oxygen.  Her blood glucose was elevated at 193.

After arrival at the ER, family members reported that Ms. Mages had been weak and not feeling well ever since she came back from the hospital the day before.  She had now developed confusion and was delayed on responding to questions on her own.  She reported that she had pain in her belly around the umbilicus, with some shortness of breath but no chest pain.  The EMT placed a cold pack on her neck and she was moved to a stretcher for transport.  Their initial impression of stroke ruled out, they notified Baylor Medical Center that they were en route to the emergency department with Ms. Mages, where they arrived at 1:40 PM.

Upon arrival at the ER, a right PICC line was placed in the superior vena cava, and a chest x-ray was done to confirm placement and check Ms. Mages’ lungs.  The x-ray revealed a change in her lungs from the imaging the day before, with diffuse increased interstitial markings consistent with interstitial edema versus interstitial infection.  There were patchy bibasilar opacities suspicious for atelectasis, early pneumonia, or early air space edema.

Dr. Sayantani Lahiri was the attending physician, and he admitted Ms. Mages to the hospital with a diagnosis of pneumonia, hypoxia, and possible early sepsis.  He reviewed the progression of symptoms that Ms. Mages had experienced since she was seen the day before in the ER.  This involved worsening coughing, continued vomiting, and spiking a fever and chills.  Her negative medical history was noted, with notable exceptions of hypertension, thyroid disease, and high cholesterol.  Dr. Lahiri noted that she had always been a nonsmoker and non-drinker and was independent of all activities of daily living in her own home.

Ms. Mages’ fever came down to 102.5ºF in the ER, and her vital signs remained stable.  Her lungs sounded coarse to auscultation, her abdomen was nontender without rebound, and there were audible bowel tones.  Her white count had been 6.7 the day before, and it was now 16.  Dr. Lahiri thought that Ms. Mages probably had severe community-acquired pneumonia.  After consulting with Pulmonary Medicine, he decided to treat her with aggressive IV fluids and continue her home medications.  For DVT prophylaxis, he started Lovenox.  He ordered lab studies for urine and serum osmolality, in order to rule out SIADH of acute disease versus dehydration.  Levaquin and Rocephin were started while in the ER, but Pulmonary Medicine soon changed the Rocephin over to Meropenem to cover anaerobes, because Ms. Mages suspected she might have aspirated while at home the day before.

Dr. Jason Clark came in for a Pulmonary Medicine Consultation on request of Dr. Lahiri at about 5 PM. for Ms. Mages’ diagnoses of pneumonia and hypoxemia and respiratory failure.  He continued oxygen by non-rebreather mask, which held her oxygen levels around 98%.  He noted that she had been confused that morning, but she was alert and oriented to his exam.  Her nausea and vomiting had resolved, but she continued to have some mild burning pain in the mid epigastric area, as well as pain in both shoulders.

On September 9, 2011, Dr. Lahiri continued to manage Ms. Mage’s hospital care.  She reported that she was feeling better that morning, and her temperature was down to 99ºF.  Her lungs continued to sound coarse, and Dr. Clark continued to follow her from a pulmonary standpoint.  She continued her on her current antibiotic regimen and IV fluid hydration.  Dr. Clark also restricted free water out of concern for hyponatremia and SIADH.

On September 10, 2011, Dr. Lahiri came in and noted that Ms. Mages was feeling so much better that she was ready to get up and out of bed.  Her exam was benign except for coarse lung sounds, and her vital signs were stable.  Dr. Lahiri continued her antibiotic regimen and Dr. Clark continued to follow her progress.  He planned to stop the Meropenem if the cultures remained negative and to change the Levaquin to oral delivery.  He was happy to see that her hypoxemia was resolving so well that he was able to wean her oxygen from the non-rebreather mask to oxygen by nasal cannula at 3 liters/min.

Dr. Lahiri came in on September 11, 2011, reporting an alarm value from the laboratory that one out of four of Ms. Mages’ blood cultures was coming up positive.  Repeat cultures were ordered with identification of the organism to follow.

On September 12, 2011, Dr. Lahiri came back in and reported that the blood culture positive result had been identified as Listeria monocytogenes.  He consulted with Infectious Disease specialist Dr. Lauren V. Hobratsch, who advised changing the antibiotic regimen to high dose ampicillin with synergistic gentamicin.  Dr. Hobratsch came in for a consultation and stated that the case was being reported to the Dallas County Health Department, with final identification of Listeria to be confirmed by their laboratory.

Continue Reading Listeria Tainted Cantaloupe Cost this Proud Texan and Kroger Shopper $100,000

The causal link between Sharon Jones’ Listeria infection and contaminated cantaloupe grown at the Jensen Farms facility is clear.  In August and September 2011, while living at the Victorian House, Ms. Jones consumed Jensen Farms/Frontera cantaloupe purchased at King Soopers in the Castle Rock area of Colorado.

On the morning of September 15, Sharon was found unresponsive in her room and was transported to the Emergency Department at Parker Adventist Hospital.  A blood specimen collected on September 15 was culture positive for Listeria monocytogenes (LM).  The Colorado Department of Public Health and Environment (CDPHE) Public Health Laboratory confirmed this result (CDPHE Laboratory ID Number HUM-2011025518) and conducted Pulsed Field Gel Electrophoresis (PFGE) of the isolate cultured from her blood.  Test results showed that Sharon was infected with LM strain identified as CDPHE “11-D/11-E.”  CDPHE foodborne epidemiologist Alicia Cronquist has confirmed that CDPHE Strain “11-D/11-E” is equivalent to CDC PulseNet Pattern GX6A16.029/GX6A12.0069, which is one of the five outbreak associated strains.

Sharon Jones from Marlerclark on Vimeo.

Sharon Jones—Her pre-Listeria cancer struggle

Sharon Jones was a 62 year-old native of Colorado who was raised in Denver, along with her five siblings.  She graduated from Aurora Central High School in 1967 and married David A. Jones in 1969.  Sharon and David met in 1965 in study hall on the first day of school.  Early on they became friends.  David became close to Sharon’s family, even joining them on vacations.  In 1966 Sharon and David began dating and David asked Sharon to marry him that summer.  They were finally married November 8, 1969.  They were together for 46 years and married for 42.

They had one son (Dub).  Dub was named after David’s grandfather, Wesley Bacon Justice.  They moved their growing family to Castle Rock, Colorado in 1976, where Sharon worked at the Douglas County Treasurer’s Office for 35 years.  For 28 of those years she was the Chief Deputy Treasurer.  In 2002, Sharon was elected Douglas County Treasurer.  David acted as campaign manager.

Sharon was known by all for her friendly, gracious, and warm personality, earning her the unofficial title of County Hugger.  She was so good in this role that she enticed hugs from the most irascible personalities, a quality earning her hundreds of friends by the time she retired.  Her generous nature and conscientious leadership made her a favorite elected official among her employees, peers, fellow elected officials, state government, and treasurers’ offices across Colorado.  She retired after her second term, in 2011, and continued working part-time for the Sheriff’s Office.

An adventurous soul, Sharon, David and Dub took numerous camping trips and road trips across the United States.  She developed a love for hot air balloons and determined that her second career would be as a hot air balloon chaser.  Sharon also became a “motorcycle mama,” graduating at the top of her ABATE riding class and then taking cross-country trips on a bigger bike than many men ride.  It was a source of great amusement for her son, Dub and daughter-in-law, Melody, to watch people’s reaction to seeing this short, round, matronly woman putting on her leather gear, hopping aboard a large motorcycle and roaring off.  Sharon’s zest for life and joy was near limitless.

In 2007, Sharon’s life took a marked turn when she was diagnosed with ductal cell carcinoma of the right breast.  Although she was devastated by the news, she refused to let the cancer take over her life.  She hit back hard, undergoing a lumpectomy, lymph node resection, radiation and chemotherapy.

Following her cancer diagnosis and treatment, Sharon continued to be followed by various doctors for several years.  Her internist and primary care provider, Stephanie Kraft, MD, noted that she was fairly stable overall.  She was also regularly treating with oncologist, Douglas Resnick, MD, and was on the drug, Arimidex, to suppress Estrogen-associated breast cancer recurrence.  She was working with Dr. Slamowich on her obstructive sleep apnea, using a CPAP machine to assist with her breathing at night.  Other than that, there were no medical events or significant changes in her medical history for several years.

Then, starting on July 6, 2010, routine lab tests showed a new finding—elevated liver function tests (LFT’s). Eventually Sharon was referred to Parker Imaging Center for studies of the spine, which indicated scoliosis with multilevel disc space narrowing and arthritis.

In June, 2011, an MRI of the lumbar spine was performed, the results of which were terrible news.  Sharon had diffuse metastatic cancer from the T10 to S3 and the iliac bones, with ventral epidural tumor extension at L5, causing severe central stenosis at L5.

The radiologist reported these findings to Dr. Kraft, who contacted Sharon and scheduled an appointment for the following day.  In the meantime, Dr. Kraft spoke with oncologist, Dr. Resnick, who advised treatment with the chemotherapy drug, Decadron.  She called the office of neurosurgeon, Chad Prusmack, MD, and discussed the findings with PA, David Whatmore.  Additional imaging studies were scheduled to definitively identify the stage of the recurrent metastatic breast cancer.

Dr. Kraft discussed the extent and seriousness of the current findings with Sharon and her husband, David.  To say the news was heartbreaking would be a profound understatement.  Dr. Kraft discussed the plan, and instructed Sharon to go to the Emergency Department if she developed increasing weakness, numbness, pain, bowel or bladder problems; signs and symptoms that signal advancing metastatic disease.

Sharon returned to the Parker Imaging Center on June 6 for an MRI of the cervical, thoracic and lumbosacral spine.  Widespread, multilevel metastatic cancer of the spine and pathologic fracture of ribs 6 and 9 were evident secondary to spread of the breast cancer.  A CT scan of the brain on June 11 demonstrated metastatic cancer of her skull but no involvement of the brain itself.  Neurosurgeon, Dr. Prusmack, reviewed the spine imaging studies and advised radiation for treatment, given the absence of neurological signs and symptoms at this time.

Based on the results of several studies, and the finding of metastatic cancer of the spine, Sharon’s cancer was determined to be a stage IV and she was referred to an oncologist, Dr. Resnick, for treatment recommendations in addition to radiation therapy.

Sharon began treatment with radiation in July 2011 and underwent insertion of a right subclavian vein PowerPort for administration of the chemotherapy.  Over the next month, Sharon had several hospitalizations for medical problems related to her cancer treatments and medications, including an alarming episode of medicine-induced psychosis.  These series of events weakened Sharon greatly, and she began having great difficulty tolerating the many side-effects of the intense radiation and chemotherapy regimen prescribed by Dr. Resnick.  After consultation with Sharon and Dub, Dr. Kenney decided to halt the intense radiation and chemo, instead switching to Faslodex (Fulvestrant).

Eventually, on August 15, Sharon was transferred to an assisted living facility, The Victorian House, to help with her mobility.  A home health nurse came to the residence to work with Sharon twice weekly with “great results,” as Dub recalls.  “Dr. Kenney was optimistic that she would experience a full and long-term remission.”

At Victorian House, Sharon was independent for most all her care, including brushing her teeth, general grooming, dressing, and skin care, although she did need some assistance with bathing.  Dub remembers, “through rehabilitation and hard work, she had just gotten to the point of being able to get in and out of bed on her own, in and out of a wheelchair, and had just started using a walker.”

She remained independent for most activities, but did need some assistance for dressing beginning the second week of her stay until September 15, 2011. Nonetheless, she was doing much better by early September.  As Dub’s wife, Melody, recalls of that time:

As her strength improved and she regained her independence, we enjoyed a fun-filled three day September weekend with out-of-town family.  She went shopping and enjoyed being back out in the “real world.”  She had met with her oncologist and was planning on resuming treatments, something she had been too weak to do up until that point.

Most importantly for Sharon and her family, she was strong enough to continue with the chemotherapy treatments she desperately needed.  According to Dub, “my mom’s oncologist felt that she could still have a good chance at extending her life, if not achieving full remission, if she began taking the chemotherapy treatments soon.  My mom and all of her family were hopeful and overjoyed at this news.”

Even more important than the treatments themselves, was the effect the renewed strength had on Sharon’s optimism:

I noticed a change in my mom’s outlook because she began to act and talk like she could and would survive; she started planning trips and vacations; she spoke of future events; she was overall happier and had a positive outlook.  This was an important change because the oncologist had told us both that a positive attitude is as effective as all of the other treatments.

Dub, Melody, and Sharon began working on the itinerary and logistics for their long-planned trip to Italy together.  Dub, after months of anxiousness surrounding his mom’s health, began to relax a bit.  Only a few short days later, however, all their plans were forever changed.

Her Acute Listeriosis Infection

Continue Reading King Sooper Cantaloupe Customer Killed by Cancer with a Push from Listeria