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Sons Chip and Jeff and a squad of grandchildren clustered in pews around their mother, who celebrated her 88th birthday at a party on Saturday night. Carter has another Sunday school session on the calendar in a few weeks. And on October 1, Carter will turn 91.

“His quality of life should not be impaired at all”.

Carter came into the sanctuary with his usual smile and usual wisecracking inquiry about whether there were any visitors.

Early this month, Carter announced that advanced cancer had spread from his liver to his brain in the form of melanoma. He will undergo four treatments scheduled at three-week intervals, he said.

Carter spoke briefly about his health before quickly moving on to church lessons.

Folks couldn’t wait to hear President Jimmy Carter speak.

Jimmy Carter told a press conference he called on the morning of the day he would have the first radiation treatment on the cancer in his brain, “I’d like for the last guinea worm to die before I do”.

Five years ago, the prognosis for someone with advanced melanoma in the brain and liver would have been very poor, surgical oncologist Jeffrey Gershenwald, medical director of the Melanoma and Skin Center at MD Anderson Cancer Center in Houston, told the New York Times.

In discussions with the New York Times, Carter’s aides and advisers said they expect the former president to face his diagnosis with the same determination as he brought to the presidency, as well as his life afterwards.