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Photographer's Note

This scene is only minutes away from densely urban Bangkok. One of the first things and one of the nicest things we did after arriving in Thailand to seek treatment for my husband's cancer was take a ride in a long-tailed klong boat. Bangkok was built in the delta of the Chao Phraya River, the initial settlement was a collection of floating shops and residences. Transportation was only by boat. Klongs are canals that drain the low-lying land into the river and provide access to waterfront properties. To adapt to varying water levels, klong boats have a long shaft (long-tail) that allows a huge range of adjustment.

The treatment was a part of an expanded clinical access program associated with the National Cancer Institute of Thailand to fight a very aggressive cancer caused by chemotherapy, a 'secondary' cancer. Details are here Unlike a clinical trial, in a expanded access program, everybody gets the real stuff.

While it seems reasonable that supporting the body's immune system is a better way to fight cancer than to use chemotherapy to suppress the immune system; immunotherapy has a bad rap. Earlier immunotherapy looked at teaching the immune system to recognize the cancer since normally the body immediately destroys abnormal cells that could grow into cancers. However the problem is not a lack of recognition but that cancer suppresses those cells that kill abnormal cells. For more details on this therapy, look here

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Additional Photos by Pat Lim (plimrn) Gold Star Critiquer/Gold Star Workshop Editor/Gold Note Writer [C: 3999 W: 226 N: 6734] (21344)
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