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RE: A serious Warning about an antibiotic - 8/26/2006 12:28:02 PM   
captiveplatypus


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It's ok y'all, I appreciated the information provided and since I am not a hypocondriac I didn't panic myself. 

(in reply to pahunkboy)
Profile   Post #: 21
RE: A serious Warning about an antibiotic - 8/26/2006 3:36:09 PM   
windchymes


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Joined: 4/18/2005
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quote:

ORIGINAL: BrutalAntipathy

quote:

ORIGINAL: windchymes

And then try to relax because you are probably going to be fine.  Most of the extreme symptoms described above (erratic heartbeat, shortness of breath, dizziness, faintness) are also symptoms of anxiety which I'm sure you now have after reading all the dire predictions of impending doom.  They can also be symptoms of the dehydration from the vomiting and diarrhea that you had. Don't panic if you do experience any of them...it's most likely NOT something fatal about to happen.  It takes a lot more than one dose of medicine that you vomited up most of to cause jaundice, liver failure and renal (kidney) failure.  If you are able to eat and drink and keep things down today, then you should be okay.

"Colitis and pancreatitis" literally mean "inflammation of the colon and pancreas", and you already have symptoms of that....they're inflammed due to the reaction to the drug.  Once again, you'll be fine.  Eat and drink foods and liquids that are on the bland side for a couple days so as not to irritate your system more.  It will heal on its own.

Part of the responsibility of being a medical professional is knowing when and what kind of medical advice to be passing out and to whom.  Seeing the situation for what it IS, not inducing hysteria.  Keeping the patient calm and positive in their outlook, not filling them full of fear.  Drama, drama, drama.

mbmbn is correct about the infection that you took the antibiotics for being still active in your system.  Listen to your doc....he'll probably give you another medication that you do need to take.  Also, if you go into work today, just explain to your boss what happened.  Maybe they'll give you light duty today, let you sit and read employee manuals, work a shorter shift.  Good luck, sweetie.  


I did not make dire predictions of impending doom. In fact, I mentioned that I did NOT expect her to have those symptoms. I described tachycardia in such a way that it should not be mistaken for anxiety, and made no mention of shortness of breath, but rather of anaphylaxis.
 
Indeed I would not wish to panic a patient. However as she made it clear that she had no intention of BEING a patient, I felt it necessary to educate her on potential complications. I had also previously advised her to return to her GP, and used the information as instructions of last recourse. Part of our job is also educating the patient, after all.
 
As you seem to have some medical knowledge, I would assume that you were aware of Zmax having a half life some 5 to 12 times longer than most antibiotics, which would extend the duration of any potential complications accordingly. Were she hospitalized for observation due to adverse reactions, the things I listed would have been monitered for by any halfway competent staff until they could be ruled out. I had no access to her H & P, and did not know if she supplimented her diet with anything that could heighten the risk of a hepatic reaction, such as Niacin. My primary concern, as evidenced by my first advice being to request a liver panel, was hepatic.  I had far rather induce mild anxiety than to gamble with someone unaware of potential complications suffering liver or kidney failure. Frightened and alive is by far preferable to serene and deceased.  As mine was the only medical advice given at the time, I find your belated critique of my advise rather amusing.


Well, I'm glad you're amused.  But the bottom line is, maybe there was no other medical advice given because we are ETHICAL enough NOT to be giving out such extreme medical advice online!  She took one dose of a medication and vomited most of it up.  From what she described, she had a bad reaction from it, and was recovering the next day.  She was already under a doctor's care. And her mother was there with her.  And I seriously doubt her physician started filling her head full of the dire predictions of liver and kidney failure.  It would be different if she had swallowed a whole bottle of pills or had been abusing drugs over a period of time.  But she didn't and isn't. 

Also, where I come from, "difficulty breathing" is synonymous with "shortness of breath".  And it's not diagnostic of anaphylaxis.  It's only one of many symptoms, and is a symptom of many other things. 

"Educating the patient" isn't telling them every worst cast scenario that might possibly happen.  It's giving sensible advice relevant to the actual scenario.  Another responsibility is assessing WHO you're giving the advice to...and she's not YOUR patient....that advice you gave could cause a major panic in someone not as non-hypochondriacal as the OP.  Sensible advice would be, "You really need to contact your doctor and let him know what happens because there MIGHT be further complications."  Not, "If you have difficulty breathing you have anaphylaxis!  And you should get your liver tested because you could get jaundiced and have liver failure!  And if you suddenly can't urinate, you're in renal failure!"  What you said was actually rather unethical and the whole scenario blown out of proportion...I'll stand by that while you keep laughing. 

It's one thing to have knowledge, but it's also important to know how to use it.

What the hell, it's already a pissing match....."belated critique"?  It was approximately 2 hours after your post.  And what does that have to do with anything, anyway?

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(in reply to BrutalAntipathy)
Profile   Post #: 22
RE: A serious Warning about an antibiotic - 8/26/2006 3:46:02 PM   
SirKenin


Posts: 2994
Joined: 10/31/2004
From: Barrie, ON Canada
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All medicines available in Canada are very heavily tested before they are allowed here.  Britian must approve it, followed by the United States, before we will even touch it.

That is not to say people will not react to it, because people can react to anything.  I can take antibiotics and anaesthetics, for instance, but My mother is allergic to EVERYTHING.  Anaesthetics are lethal to her.  Does that make it a bad drug?  No, of course not.  That is My mother's biological makeup.  It happens.

Telling everyone that a drug is bad because one person had a bad experience is not really appropriate in My eyes.  The very next person may not react the same way (indeed, we have witnessed that in this thread). 

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Profile   Post #: 23
RE: A serious Warning about an antibiotic - 8/26/2006 4:34:00 PM   
captiveplatypus


Posts: 382
Joined: 8/9/2006
Status: offline
quote:

ORIGINAL: SirKenin

All medicines available in Canada are very heavily tested before they are allowed here.  Britian must approve it, followed by the United States, before we will even touch it.

That is not to say people will not react to it, because people can react to anything.  I can take antibiotics and anaesthetics, for instance, but My mother is allergic to EVERYTHING.  Anaesthetics are lethal to her.  Does that make it a bad drug?  No, of course not.  That is My mother's biological makeup.  It happens.

Telling everyone that a drug is bad because one person had a bad experience is not really appropriate in My eyes.  The very next person may not react the same way (indeed, we have witnessed that in this thread). 


Yeah, I'm sorry.  Since my doctor said that I would probably throw up when I took it, and I did, and was in the worst pain I can remember for years and years, I assumed this was a normal reaction, and was warning people (in my mind) that any other choice of antibiotic is better than an evening of that just to cure acute bronchitis.

Kind of like a new product on the market, if you were to buy a new brand of DVD player and found out the quality of the player is crappy, wouldn't you advise your friends to buy a different brand?

I didn't realize I had a unique experience with the drug.

< Message edited by captiveplatypus -- 8/26/2006 4:35:31 PM >

(in reply to SirKenin)
Profile   Post #: 24
RE: A serious Warning about an antibiotic - 8/26/2006 4:34:01 PM   
pahunkboy


Posts: 33061
Joined: 2/26/2006
From: Central Pennsylvania
Status: offline
quote:

ORIGINAL: SirKenin

All medicines available in Canada are very heavily tested before they are allowed here.  Britian must approve it, followed by the United States, before we will even touch it.

That is not to say people will not react to it, because people can react to anything.  I can take antibiotics and anaesthetics, for instance, but My mother is allergic to EVERYTHING.  Anaesthetics are lethal to her.  Does that make it a bad drug?  No, of course not.  That is My mother's biological makeup.  It happens.

Telling everyone that a drug is bad because one person had a bad experience is not really appropriate in My eyes.  The very next person may not react the same way (indeed, we have witnessed that in this thread). 


interesting.  it cracks me up when US media claims drugs from Canada are not safe. gag me. as part of the industrialized world,  im sure they are.  im guesssing on this part- but "laws" are bought and paid for by big biz here in the US, to an extent not seen in CA.  [im guessing on that...]

(in reply to SirKenin)
Profile   Post #: 25
RE: A serious Warning about an antibiotic - 8/26/2006 4:40:04 PM   
SirKenin


Posts: 2994
Joined: 10/31/2004
From: Barrie, ON Canada
Status: offline
rofl.  I would not believe everything the US media tells you, that is for sure.  Canada is exceedingly strict.  There are many drugs in the USA that are not available here.  Even once they are approved by Britain and the FDA, Canada still puts them through rigorous testing.  My wife was just on one such trial not long ago and My ex-wife was on one for birth control that had been available in other countries for a long time, but the test failed and Canada pulled the drug.

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Profile   Post #: 26
RE: A serious Warning about an antibiotic - 8/26/2006 5:04:05 PM   
pahunkboy


Posts: 33061
Joined: 2/26/2006
From: Central Pennsylvania
Status: offline
"I would not believe everything the US media tells you, that is for sure."

agreed 100% Sir.

CNN reported last month that 40,000 rxs were confiscated from CA to US mail- mostly senior citizens.

also-effected 7-1-06 rx cos can no longer be sued in the US. in theory we should see lower prices ?! [ha!]

my own mother will skip her blood pressure med just to save money. i tell her DONT. i will buy it for you.
of course- mom has teh last word.

(in reply to SirKenin)
Profile   Post #: 27
RE: A serious Warning about an antibiotic - 8/26/2006 5:09:34 PM   
BrutalAntipathy


Posts: 412
Joined: 7/8/2005
Status: offline
quote:

ORIGINAL: windchymes

quote:

ORIGINAL: BrutalAntipathy

quote:

ORIGINAL: windchymes

And then try to relax because you are probably going to be fine.  Most of the extreme symptoms described above (erratic heartbeat, shortness of breath, dizziness, faintness) are also symptoms of anxiety which I'm sure you now have after reading all the dire predictions of impending doom.  They can also be symptoms of the dehydration from the vomiting and diarrhea that you had. Don't panic if you do experience any of them...it's most likely NOT something fatal about to happen.  It takes a lot more than one dose of medicine that you vomited up most of to cause jaundice, liver failure and renal (kidney) failure.  If you are able to eat and drink and keep things down today, then you should be okay.

"Colitis and pancreatitis" literally mean "inflammation of the colon and pancreas", and you already have symptoms of that....they're inflammed due to the reaction to the drug.  Once again, you'll be fine.  Eat and drink foods and liquids that are on the bland side for a couple days so as not to irritate your system more.  It will heal on its own.

Part of the responsibility of being a medical professional is knowing when and what kind of medical advice to be passing out and to whom.  Seeing the situation for what it IS, not inducing hysteria.  Keeping the patient calm and positive in their outlook, not filling them full of fear.  Drama, drama, drama.

mbmbn is correct about the infection that you took the antibiotics for being still active in your system.  Listen to your doc....he'll probably give you another medication that you do need to take.  Also, if you go into work today, just explain to your boss what happened.  Maybe they'll give you light duty today, let you sit and read employee manuals, work a shorter shift.  Good luck, sweetie.  


I did not make dire predictions of impending doom. In fact, I mentioned that I did NOT expect her to have those symptoms. I described tachycardia in such a way that it should not be mistaken for anxiety, and made no mention of shortness of breath, but rather of anaphylaxis.
 
Indeed I would not wish to panic a patient. However as she made it clear that she had no intention of BEING a patient, I felt it necessary to educate her on potential complications. I had also previously advised her to return to her GP, and used the information as instructions of last recourse. Part of our job is also educating the patient, after all.
 
As you seem to have some medical knowledge, I would assume that you were aware of Zmax having a half life some 5 to 12 times longer than most antibiotics, which would extend the duration of any potential complications accordingly. Were she hospitalized for observation due to adverse reactions, the things I listed would have been monitered for by any halfway competent staff until they could be ruled out. I had no access to her H & P, and did not know if she supplimented her diet with anything that could heighten the risk of a hepatic reaction, such as Niacin. My primary concern, as evidenced by my first advice being to request a liver panel, was hepatic.  I had far rather induce mild anxiety than to gamble with someone unaware of potential complications suffering liver or kidney failure. Frightened and alive is by far preferable to serene and deceased.  As mine was the only medical advice given at the time, I find your belated critique of my advise rather amusing.


Well, I'm glad you're amused.  But the bottom line is, maybe there was no other medical advice given because we are ETHICAL enough NOT to be giving out such extreme medical advice online!  She took one dose of a medication and vomited most of it up.  From what she described, she had a bad reaction from it, and was recovering the next day.  She was already under a doctor's care. And her mother was there with her.  And I seriously doubt her physician started filling her head full of the dire predictions of liver and kidney failure.  It would be different if she had swallowed a whole bottle of pills or had been abusing drugs over a period of time.  But she didn't and isn't. 

Also, where I come from, "difficulty breathing" is synonymous with "shortness of breath".  And it's not diagnostic of anaphylaxis.  It's only one of many symptoms, and is a symptom of many other things. 

"Educating the patient" isn't telling them every worst cast scenario that might possibly happen.  It's giving sensible advice relevant to the actual scenario.  Another responsibility is assessing WHO you're giving the advice to...and she's not YOUR patient....that advice you gave could cause a major panic in someone not as non-hypochondriacal as the OP.  Sensible advice would be, "You really need to contact your doctor and let him know what happens because there MIGHT be further complications."  Not, "If you have difficulty breathing you have anaphylaxis!  And you should get your liver tested because you could get jaundiced and have liver failure!  And if you suddenly can't urinate, you're in renal failure!"  What you said was actually rather unethical and the whole scenario blown out of proportion...I'll stand by that while you keep laughing. 

It's one thing to have knowledge, but it's also important to know how to use it.

What the hell, it's already a pissing match....."belated critique"?  It was approximately 2 hours after your post.  And what does that have to do with anything, anyway?


I would say that unethical would be prescribing a medication that the physician expected to cause nausea and vomiting ( as she believes he did expect ) without backing it up with a drug such as vistaril or phenergan. She did not make it clear in the OP that she had vomited immediately after ingestion of the medication either. And once again, I did initially advise her to see a physician early on in the thread, before I gave any further advice. You seem adamant to ignore this in your zeal to complain. Are you suddenly feeling guilty for not thinking to offer advice yourself, and think that by attempting to portray another in poor light you will somehow enhance your own professional skills? I called it as I saw it while you failed to call it at all. Why am I reminded of armchair quarterbacks that complain about a teams performance, yet lack the skill to be on the field theirself? As she has recovered, the end result is what I would be most concerned with.

(in reply to windchymes)
Profile   Post #: 28
RE: A serious Warning about an antibiotic - 8/26/2006 5:18:34 PM   
SirKenin


Posts: 2994
Joined: 10/31/2004
From: Barrie, ON Canada
Status: offline
quote:

ORIGINAL: captiveplatypus

quote:

ORIGINAL: SirKenin

All medicines available in Canada are very heavily tested before they are allowed here.  Britian must approve it, followed by the United States, before we will even touch it.

That is not to say people will not react to it, because people can react to anything.  I can take antibiotics and anaesthetics, for instance, but My mother is allergic to EVERYTHING.  Anaesthetics are lethal to her.  Does that make it a bad drug?  No, of course not.  That is My mother's biological makeup.  It happens.

Telling everyone that a drug is bad because one person had a bad experience is not really appropriate in My eyes.  The very next person may not react the same way (indeed, we have witnessed that in this thread). 


Yeah, I'm sorry.  Since my doctor said that I would probably throw up when I took it, and I did, and was in the worst pain I can remember for years and years, I assumed this was a normal reaction, and was warning people (in my mind) that any other choice of antibiotic is better than an evening of that just to cure acute bronchitis.

Kind of like a new product on the market, if you were to buy a new brand of DVD player and found out the quality of the player is crappy, wouldn't you advise your friends to buy a different brand?

I didn't realize I had a unique experience with the drug.


It is all good.  It is just that I learned from personal experience that different people will react to the same drug in different ways.  I would say it would be different if you had a large sample size from which to draw your conclusion.  I will give an example:

I used to be a Western Digital Authorized Reseller.  Harddrives for computers.  I sold and dealt with hundreds of them.  In My time of dealing with them, I experienced a roughly 30% failure rate, which is unbelievably high.  So, I stopped selling them and I warn people that these products are prone to failure.  Now, I get the next person who has owned two of them saying how great they are, there is nothing wrong with them, best drives in the world, I am full of shit, etc.

Now, who would you believe?  I am sure you can see the point I am trying to make here.  It is not fair to make a call based on exceedingly limited experience with a product.  If I may, and I am not bashing you here at all, you got panicky and I understand that for sure, maybe next time just say that you had a bad experience with such and such a product.  You never know, you might get X number of people confirming your findings and as a collective you can establish that this product might need to be avoided.  That approach is much safer than sticking your neck out on the line, only to have many other people say "I have had no problems with it".. 

_____________________________

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Wicca: Pretending to be an ancient religion since 1956

Catholic Church: Serving up guilt since 107 AD.

(in reply to captiveplatypus)
Profile   Post #: 29
RE: A serious Warning about an antibiotic - 8/26/2006 6:30:53 PM   
windchymes


Posts: 9410
Joined: 4/18/2005
Status: offline
Nope, not feeling guilty at all.

But I am amused at your pissing efforts and story changing.

I'm through pissing, though.  Got better things to do.  I still stand 100% by what I said and know I'm right.  Have a good night.

_____________________________

You know it's going to be a GOOD blow job when she puts a Breathe Right strip on first.

Pick-up artists and garbage men should trade names.

(in reply to BrutalAntipathy)
Profile   Post #: 30
RE: A serious Warning about an antibiotic - 8/27/2006 12:56:36 AM   
mons


Posts: 2400
Joined: 11/16/2005
Status: offline
greetings
 
wow i am so sorry you went through that i learn a lesson i was never sick then i had a bladder infection one that made me scream i took a sufa type antiboitc and the last day i was to take the las pill i felt a pinch on my lip. i woke to not breating well and my lips lol swollen like i had had a infection to make them bigger. i found out that i am alleger to so many of the antbotics i had a red tag on my arm to warn not to give me any thing. you need to put this medicine you took on a paper and carry it with you. you may found you are going to have this with many more of this type of medicine . i learn the hard way. i had just gotten so medicine and again i was deadly reaction to it and this was new so remember this keep this in minf and also tell your doctor what happen that is a sign of allerger to this medicine
 
i hope you will get well soon next time go right to the hosptila and go to er
 
mons

(in reply to captiveplatypus)
Profile   Post #: 31
RE: A serious Warning about an antibiotic - 8/27/2006 1:47:40 AM   
FangsNfeet


Posts: 3758
Joined: 12/3/2004
Status: offline
quote:

ORIGINAL: windchymes

I've taken it....twice....and it worked beautifully with no side effects.  Sorry you had the bad reaction, but everyone is different


Thanks for pointing out that this is a possible "Side Effect" and not an allergic reaction. So many still get Side Effect and Allergic Reaction confused.

Back when I use to do patient assesment/triage I asked one guy "What are you allergic to?"
He replied that he was allergic to Nitro Glycerin. When I asked how he answered "It gives me a headache."

Allergic Reaction refers to breaking out, swelling, and possibly loosing your ability to breath. Side effects are only mere annoying feelings that are generaly non life threatening depending upon your health. In the case of side effects, some drugs are still given due to the good effects out weighing the bad.

Any how captivvplatypus, now that you know you don't like this liquid, request that you get your antibiotics through the IV. It's a possible solution.

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Profile   Post #: 32
RE: A serious Warning about an antibiotic - 8/27/2006 6:54:48 AM   
BrutalAntipathy


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Joined: 7/8/2005
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Would someone be so kind as to show me where I changed the story? And while you are at it, please explain how defending oneself from vehement attack is a pissing contest. Pretty please?

(in reply to FangsNfeet)
Profile   Post #: 33
RE: A serious Warning about an antibiotic - 8/27/2006 7:38:22 AM   
WhipTheHip


Posts: 1004
Joined: 7/31/2006
Status: offline
quote:

ORIGINAL: philosophy
"I don't have health insurance, health insurance won't accept me. :(  I'd rather not go back to the doctor unless I start getting sick again."
move to Europe, where even poor people can see a doctor whenever they need to............ye Gods, America.........don't stories like this make you feel queasy? Richest country in the world and you don't even have universal access to medical care.


Americans would rather spend $500-$1,000 on a lousy medical insurance plan that refuse
to approve and pay for treatment they need than give every American health care.
 
Americans would rather have big corporations and rich individuals finance political
compaigns, than finance compaigns themselves. 
 
Then Americans love to complain about the low quality of politicians running for office.

(in reply to philosophy)
Profile   Post #: 34
RE: A serious Warning about an antibiotic - 8/27/2006 7:56:24 AM   
WhipTheHip


Posts: 1004
Joined: 7/31/2006
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I read BrutalAntipathy's posts and Windcyme's posts. I thought their
two first posts were good.   I thought they both provided valuable
information.  Then Windcyme's posts seemed to go off the deep-end
attacking BA for no reason.  BA provided useful information. 
Thank you BA for sharing your knowledge with us. 
 
I'm allergic to Nitro Glycerin. When handling large quantities of
it, I break into a heavy sweat,  get butterflies in my stomach,
and feel a little faint.  

(in reply to WhipTheHip)
Profile   Post #: 35
RE: A serious Warning about an antibiotic - 8/27/2006 9:44:46 AM   
captiveplatypus


Posts: 382
Joined: 8/9/2006
Status: offline
quote:

ORIGINAL: WhipTheHip

quote:

ORIGINAL: philosophy
"I don't have health insurance, health insurance won't accept me. :(  I'd rather not go back to the doctor unless I start getting sick again."
move to Europe, where even poor people can see a doctor whenever they need to............ye Gods, America.........don't stories like this make you feel queasy? Richest country in the world and you don't even have universal access to medical care.


Americans would rather spend $500-$1,000 on a lousy medical insurance plan that refuse
to approve and pay for treatment they need than give every American health care.
 
Americans would rather have big corporations and rich individuals finance political
compaigns, than finance compaigns themselves. 
 
Then Americans love to complain about the low quality of politicians running for office.


hey hey hey, please narrow that to the ignorant-american populace, don't lump me in with those people.

And yeah, I agree, for the record, wind was being overly harsh.  It's not that big a deal.  Everyone chill out.  I appreciated the information for what to look for.  I would much rather be educated and informed than not know.  Both sides had their valid points, however, because I could have been a loopy easily-panicked person.  But had I panicked unecessarily what is the worst that would happen?  I would have gone to the doctor and freaked out and he would have looked at me, maybe draw some blood, and say "chill out, you're fine."

(in reply to WhipTheHip)
Profile   Post #: 36
RE: A serious Warning about an antibiotic - 8/27/2006 1:17:15 PM   
FangsNfeet


Posts: 3758
Joined: 12/3/2004
Status: offline
quote:

ORIGINAL: BrutalAntipathy

Would someone be so kind as to show me where I changed the story? And while you are at it, please explain how defending oneself from vehement attack is a pissing contest. Pretty please?


I don't recall you changing the story. Hell, I didn't even bother reading your post ot this thread. I also don't recall defending anyone form vehement attack or making any pissing contest.

_____________________________

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Profile   Post #: 37
RE: A serious Warning about an antibiotic - 8/27/2006 1:37:09 PM   
MasterRenegade77


Posts: 1852
Joined: 1/1/2004
From: Upstate N.Y. (Broome Co.)
Status: offline
Wonders why people are still taking Pharmaceutical Poisons???
Get a High Quality Colloidal Silver generator , Colloidal Silver is Nature's Antibiotic... .


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(in reply to captiveplatypus)
Profile   Post #: 38
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