Alyssia and Trevor Smith were living in Dubai in 2012, when he began suffering from debilitating back pain. A series of medical visits culminated in a diagnosis of an aggressive bladder cancer that had already penetrated the muscle. Their oncologist recommended immediate radical surgery, chemotherapy and radiation. The surgery he advised would include removing Trevor’s bladder and prostate. Without the recommended treatment, he said, Trevor would be dead in eighteen months. With the treatment, his prognosis was still dire, with a life expectancy of only about four years.