Melinda Muniz's first wedding photos were taken in her hospital bed as she was fighting a deadly leukemia, 50 pounds thinner, pale and literally at death's door.
A priest had agreed to come to her bedside in June and marry the 35-year-old social worker to her decade-long boyfriend, the father of two of her four youngest children.
But in October, thanks to pioneering doctors at Thomas Jefferson's Kimmel Cancer Center in Philadelphia, where she received chemotherapy and a half-match bone marrow transplant, Muniz was given a second chance at life.
And last week, feeling strong and looking healthier, she was given a second shot for her wedding photos -- in a white gown and under much healthier conditions.
This time, she had a flowing white gown, a big smile, and was well on the road to recovery.
"No wig, though," said now-cancer-free Muniz, as her husband Christopher Jones added, "She's beautiful just the way she is."
Tomko said he was so grateful to Thomas Jefferson doctors for helping him "beat" his cancer that he asked them to help him find a way he could use his skills as a photographer to give back.
"I wanted to do something for a cancer patient or survivor, someone whose family or parents couldn't really afford really good wedding photos because of financial hardship or disease," he said.
Muniz said she still doesn't know how to thank him. "It's so amazing there are people out there in the world, willing to do things like that," she said.
Her ordeal began last spring, when she began to feel tired, but brushed it off.
"I am the mother of four and always working, washing and cooking," she said. "There was a lot going on."
But even after a good night's sleep, she was waking exhausted. A tooth infection then led to dizziness and eventually a fever, so she went to the emergency room.
"They took some blood and said, 'Wow, I can't believe you are still standing,'" she said.
By May 27, she had been transferred to Thomas Jefferson Hospital where she was diagnosed with acute myelogenous leukemia or AML.
She and Jones, a maintenance worker, had been engaged since 2009, but hadn't yet set a date.
"I think he took it harder than me," she said.
Jones quit night school to look after the children, as she began round-the-clock chemotherapy.
AML is the most common leukemia among older adults, but is relatively rare in a young women like Muniz, according to Dr. Margaret Kasner, assistant professor of the department of medical oncology at Thomas Jefferson, who treated Muniz.
About 11,000 new cases are diagnosed each year and the overall five-year survival rate in adults is 30 percent.
"We don't know what causes it," Kasner said. "Exposure to radiation, prior chemotherapy for those treated for breast cancer are at high risk. But for most people, it's spontaneous and there is no familiar link."
With such a dire diagnosis, the couple decided to marry right away, the day after her chemotherapy began.
"I felt so horrible, just off chemo and so emotional," said Muniz. "I said absolutely no pictures, but my sister said, 'You have to.'"
Muniz said she felt too sick to go to the chapel, so the nurses decorated the room and bought a cake. Jones bought rings and they were married.
In the end, the photos were grim.
"I was really pale with bags under my eyes. I was fragile and had lost a lot of weight -- even my mother had said, 'Honey, you're not looking so good,'" she said.
But there was hope to come, medically and otherwise.
Doctors wanted to get her cancer into remission so they could give her a life-saving bone marrow transplant.
She was typed for her human leukocyte antigen or HLA, and none of her siblings were a complete match for a traditional transplant.