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Julianna’s faith in God and His power to heal persist now—maybe even stronger than before. The night after her diagnosis, Julianna was feeling sad, so Stacie began reading her the Facebook comments people had posted saying that they were praying for her. Immediately, Julianna felt better knowing that she had her own “Team Julianna praying family,” as she called it. Her gratitude turned to concern when she asked if all the other kids in the hospital had a big praying family, too. Stacie said that she wasn’t sure if they did, but that they could pray for them. Julianna leapt at the opportunity to spread the love and asked her mom to make another post requesting that her praying family add all the other cancer kids to their prayers.

Morguloff first went to the hospital complaining of back pain. He was given steroid injections, but they didn’t help. He was then referred to Dr. Christopher Duntsch for spinal fusion, a delicate surgery that worked directly with the nerves in the spinal cord. When Morguloff emerged from surgery, the pain was still there; in fact, it had grown worse. He was given painkillers, but after six months, he was still in pain. When another doctor examined Morguloff, he discovered that bone fragments had been left on the nerves, and the hardware in his spine was installed incorrectly. It took another surgery to fix it.

Ninety-five percent of all carcinoids are found in the appendix, rectum, or small intestine. 9 The remainder arise outside of the intestinal tract (., in the ovary or testis). In general, the larger the primary tumor, the greater the likelihood of metastasis, which provides prognostic implications. 9 Carcinoids of the appendix and rectum rarely manifest with the carcinoid syndrome. Forty percent to 50% of patients with carcinoids of the small intestine or proximal colon have manifestations of the carcinoid syndrome. 10 Tumors that secrete their hormonal product into the portal venous system do not cause flushing, because the released amines are inactivated by the liver. In contrast, liver metastases may escape hepatic inactivation and deliver their product directly into the systemic circulation, hence causing flushing. 9 Pulmonary or ovarian carcinoids release pharmacologic products directly into the venous circulation, bypassing the portal system, and can therefore cause symptoms without metastasizing to the liver. 1,10

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