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Mrs. Laura Bush participates in an informal discussion Friday, Nov. 21, 2008, during a visit to the National Oncology Institute in Panama City. With her are, from left: Ms. Maria Victoria Gonzalez, breast cancer patient; Mrs. Bush; Mrs. Vivian Fernandez de Torrijos, First Lady of Panama, and Ms. Silka Delgado, breast cancer patient. White House photo by Joyce N. Boghosian
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