It that time of the year

This time of the year signals the wind down of summer and the emergence of fall - my favorite time of the year.  I was out running the other day and this is what I was thinking about.  The kids are back in school, the dog days of summer are (hopefully) behind us.  In the distance I can hear the Prospect High School marching band practicing for the football season and the weather is perfect - sunny, pleasant.  Fall is coming. I can't wait.


This weekend we wrapped up the second of two Roth birthday parties in 13 days.  My little helper tuckered out on Friday night as I was busily preparing for the next days festivities (on Finley's lily pad nonetheless). 


It was a Toy Story affair at the Roth household....

Which included this massive Toy Story ball courtesy of Grammy that Nate actually goes inside and gets rolled around.  In this picture - his friend Quinn was rolling around inside with him!

Where will we store that giant ball?  That's why we built a new garage right?  Seems its time to invest in a shed now too!  Nate is also the proud owner of an interactive Buzz Lightyear that has 60+ random sayings.  Yey.

Per my previous post, we also had a surprise visit from Freddy - long lost Freddy whom we haven't seen in a couple of years.  Freddy lives out in Indiana and Fred's a busy guy.  We are so happy that Fred surprised us - the gang was (almost) back together.  Joe Kain - you weren't far from our thoughts.


And one with the kids (minus Eamon who was snoozing upstairs)...

Nate had a blast playing with his best buddy Quinn, in spite of the fact that like 4 year old boys, the day started with a small falling out between the two of them.  They were buddies again in no time!

And so we are happy the parties in this household are over for a while - though we have so much that we will continue to celebrate every day.  This weekend we will celebrate the birthdays of our friends and family - Nate's pal Quinn and his cousins Gabi and Kassi!  Another very special birthday coming this Wednesday - Finley's NICU girlfriend Leah is turning ONE on Wednesday!  Lots to celebrate!

Happy Birthday Nate!

Happy Birthday to my sweet little man!  We had such a wonderful day today with our family and friends at Nate's party - the second party at the Roth household in 13 days - both very necessary and very special.  Nate had a wonderful time and played hard with his friend Quinn and his new friend Freddie who attendance was such a wonderful and unexpected surprise!  Today also marked the one year anniversary of Finley's first open heart surgery.  We had lots to celebrate today, as always.  More (and pics) to come later - momma is just too tired at the moment.

Viruses, parties and work...oh my!

I've been neglecting this blog of late for a few very good reasons.  I was well intentioned to update over the weekend and nearly the entire Roth household fell ill...with the exception of Mike of course who never seems to get sick.  Which, as some would say is a good thing because the complaining associated with him being sick (his not mine) would be enough to drive me to the edge.

Nate woke up overnight Thursday in to  Friday vomiting, seemed better on Friday and then woke up with the same Saturday morning.  I started to get sick Saturday night and ended up spending the better part of the evening - from about 8:30 pm until about 2 am in the bathroom vomiting.  I would get a 5 minute break or so to lie on the bathroom floor and then it would start all over again.  I am serious.  I NEVER left the bathroom.  I was trying to gauge time by what I could hear was on TV.  I contemplated whether or not I should go to the hospital.  It was brutal.  By far the sickest I can ever recall being.  And then by the time I finally did go to sleep and woke up in the morning, my wonderful husband who had taken all of the overnight feeds told me that Finley had thrown up a couple times overnight.  When that continued in the morning, I switched her feeds to an apple juice/pedialyte mixture and she stayed on that until Monday morning.  And did great.  Needless to say, we've all been on the mend.

And then unfortunately all of that ick in the house means nothing got done on the weekend in preparation for Nate's birthday party this weekend.  That means lots of furious running around in the evenings this week after work trying to get that done.  But, it will get done!  And today starts the first day of Nate's three day birthday bonanza - treats at school with his class, tomorrow is our traditional lunch at The Choo Choo restaurant in Des Plaines (Finley will make her inaugural visit!) and Saturday is his party!  Two other very happy birthday's go out to my dear friend Gina (8/17) and my momma (8/18) - HAPPY BIRTHDAY LADIES!

Finley and her dolly - she LOVES to chew on dolly's hair!
Our big news of the week is that Finley went to the endocrinologist on Tuesday and we are making more progress on that front!  Our big girl is weighing in at a whopping 22 lbs and 9 ozs these days and is at the 75th percentile for weight!!  WHOO HOO!  We've also been able to cut the polycose in her milk down even further - we started at 3 tsps per 90 ml, then went to 1.5 tsp per 105 ml and now we are at 1 tsp per 105 ml.  She has been stable on that for the last two days with blood sugars being GREAT and so now we are even going to go to every EIGHT hour blood sugar testing!!  This is a huge accomplishment from where we started - every three hours!  We hope to further wean the polycose within the next couple of weeks and the endocrinologist has big hopes that in the next 6 weeks or so that maybe we can start doing some bolus (large amounts less frequently) feeds and get Finley off of the 24 hour continuous feed!  She is cleared to eat really anything (puree consistency or very easy to mash) food wise and is doing great on that front as well.  Today we are going to start replacing one of her feeds with one of just apple juice, so we can get her really hungry and hopefully begin to feed her an entire meal of baby food a day!


The other big news - Nate finally got a haircut!  After more than 8 weeks since his last one (since he had a melt down the day he and Mike were supposed to go) he made a trip to the barber.  And my little man came home with his first buzz-ish cut.  It is MUCH shorter than normal - and at first I was sure if I liked it, but after a couple of hours I decided I not only liked it - I LOVED it!  And as a bonus, Nate moved while Joe was cutting it and so he has a very 80's line shaved in one side of his hide!  C-L-A-S-S-Y!

Finley playing peek-a-boo!  She LOVES covering her face with stuff like this!





Today me and my traveling money jar are hitting the office in hopes to fill-er-up even more.  We've been a little slow on collecting change and there isn't much time left so I am hoping that my visit in the office today will yield much generosity!

Hope you have a great day!

Nate LOVES to lay in the crib/pack-n-play, etc. with Finley.  This is them outside!

Lots to say!

We've been on a hiatus of sorts this week - decompressing from the weekend festivities and managing a busier than average week with two doctors appointments and a trip to Cincinnati.

First I will start with the birthday party!  Oh what a party we had!  It was so wonderful to have so many friends and family here to celebrate such a momentous occasion!  We thought that Mother Nature might be a spoil sport but after some morning showers, it cleared up quite nicely in time for the party!  Perhaps one of the most special parts of the day is all of the people who were here that had never had a chance to meet Finley until that day.  Finally everyone got to see our little princess.  And although we asked guests to make donations to Children's Memorial Hospital or the CHARGE Syndrome Foundation (and they did!), Finley also got tons of very sweet and very thoughtful gifts - very special gifts that were so touching!  There was the ornament that my cousin's wife Julie painted that had all of the information from Finley's invitation - the number of days in the hospital, ER visits, surgeries - it was just SO beautiful!  One of Mike's friends from work, the Stoebber family, made a card for Finley - it said "Happy Birthday Finley Roth" and each letter was made from something different - popsicle sticks, cotton balls, sandpaper - and it was designed so that Finley could touch it and enjoy all of the different textures!  Amazing!  And then there was this: Finley's Birthday Video  This beautiful video was put together by my dear friend Lynne.  Words just cannot describe how much we loved this (or how much I bawled my eyes out when I watched it the first time).  There were many, many more, very special and very thoughtful gifts, too many to even list here - so a huge THANKS to everyone because again - we truly do have the best friends and family in the world!  And, to top off the most beautiful birthday ever - Channel 5 news ran Finley's picture in their "First Birthdays" segment on Monday morning!


Finley enjoying her birthday cupcake!

Cousins!

On the the Finley updates!  As I mentioned last week, I was stalking the immunologist all week to get Finley's test results.  Well, he finally called me back on Friday at 5:30 pm!  The good news is, Finley's T-cells were at a good level - not as high as most people but well above the level in which they would be considered low - and they had more than doubled since her last test in April which is VERY good!  She did make antibodies to her last Tetanus vaccine - which again is very good and something they were looking for.  Her T-cell response to the Tetanus vaccine though was lower than they'd like it to be and so the doctor still doesn't want her to have any live vaccines until she can be retested - which will be about a month after her next Tetanus booster.  This means that we will have to hold off on getting her chicken pox and MMR vaccines until the retest is complete.

Tuesday we went to visit the ENT.  I had purposely made the 7:45 am appointment because it was Dr. Holinger's first of the day and after last time, when we waited more than 2 hours for him - I thought this made perfect sense.  Umm, not so much - he didn't come in to see us until after 9:30 am!  Needless to say, I wasn't the happiest person in the world but I do love Dr. Holinger and I think he's a wonderful doctor so I am just thanking our lucky stars we don't need to see him more often!  He ended up scoping Finley in the office and remarked that she still had pretty significant inflammation from her reflux.  He wants to do another sedated hearing test in October which will be one full year since her first one and he will also do a bronchoscopy at the same time.  For any other child this would be a simple outpatient deal - but for our Finley - she'll need to be admitted the night before to be put on IV fluids to regulate her blood sugar.

Wednesday Finley went to see the cardiologist.  Mike took her because I was in Cincinnati for a client meeting.  At her appointment she had another echo to check the pressure in her heart and I am SO happy to report that it has gone down even further - 20%!!!  At her last appointment 6 weeks ago it was 27% which was just above normal (normal is 10-20%).  She is finally in the normal range -albeit at the high end of that range - but normal nonetheless!  Her doctor decided not to adjust her dose of Propranolol - in spite of her weight gain (she is weighing in at 22.5 lbs now!).  This was very good and very welcome news and a perfect way to start off Finley's second year.

Finley on her new SoftSpot (or 'lily pad' as Nate calls it)




And one last thing before I go - I find traveling pretty amusing and yesterday's trip did not disappoint.  Why is it that whenever there is a mechanical issue on the plane before we take off, the pilot feels the need to tell us?  Really?  I think the majority of the people on the plane would really rather not know.  And the people who, as soon as the plan comes to a stop at the gate and that little chime sounds, have their safety belts undone and they are out of their seats in the aisle trying to get off the plane.  Seriously?  I don't get that.  Perhaps my favorite thing yesterday though were the two girls who boarded our tiny regional jet, 5 minutes after everyone else on the plane had boarded, taken their seats, and buckled in, a full plane - and these two gals board the plane with two enormous musical instruments - just shy of the size of a guitar - and they wanted to fit them in the overhead bins.  They walked up and down the aisles, opened every overhead bin looking for space - and finally they checked them at the gate.  And all the while the flight attendant refrained from saying "I told you so".  I sat there thinking its no wonder more flight attendants don't snap like that one on the Jet Blue flight the other day - which by the way - I think is an AWESOME story.  Specifically because he grabbed a beer on the way out.  Now THAT is the way to go out!

Ruffle butt!

Nate's shiner from his cousin Gabi!

Finley modeling one of her new hair bows

Therapy on the exercise ball!



Dear Finley, Happy Birthday!



Dear Finley,

Happy 1st Birthday to my sweet princess!  What a year its been!  I have said this a million times in the last month and its so true - I can remember the day you were born like it was yesterday.  Your first few moments in this world, and the quiet moments we shared that night after everyone left the hospital.  My beautiful little girl with that full head of black hair - so precious and so perfect.  The way the next several hours, days, months would unfold was certainly not what we expected - you've changed us - undoubtedly for the better.

That first day at the hospital was like slow motion - I just wanted to hold you - because that's what mommy's do with their newborn babies.  We should be at the hospital - not THIS hospital - Lake Forest Hospital - ushering in well wishers and introducing the world to our little princess.  Instead your daddy and I watched the cardiology fellow do an echo that lasted for hours.  I wanted to tell you that it would be okay - but in reality - I didn't know if that was true.  

The next few days and weeks were the hardest time of our lives.  I was angry  and confused.  I felt unbearably guilty.  Had I done this to you?  I replayed my entire pregnancy in my head - this was surely my fault.  As we got to know you though, those thoughts and feelings began to subside - replaced with the understanding that you were brought to us for a reason.  And while I am a firm believer that everything DOES happen for a reason - I know that reason might not immediately be evident.  But one thing I did know - I knew that you were going to profoundly touch the lives of every person that would know you.   We would be better parents - we would come to know what truly is important in life.  All of that worry that came flooding in those first few days and weeks - the worry about how you'd be accepted and how, with the disabilities you had - how you would be a happy child.  And then we saw the world through your brother's eyes and those fears started to go away.  When he sees you, he doesn't see that long pink scar down your chest, or your g-tube or feeding pump - he tells us "I drank milk through a plugger when I was a baby too right?"  And then we started to think about and know that you would be a perfectly happy baby/child/adult.  That we needed to set aside our preconceived notions about what you'd do with your life - because your life will be perfectly normal - YOUR normal.  And we will make it the happiest life that it can be!

From day one we have been in awe of you.  You have been through so much yet needed so little.  From the moment you started to smile when you were 8 weeks old - that smile has come easy to you - even when for most it wouldn't.  That smile has been a beacon for us - its been the thing that comforts your daddy and me and tells us that you're okay.  And I have told many, many people this before - without that beautiful smile, this journey would be a lot harder on us.  We LIVE for that smile Finley.  We really do.

You have become our teacher.  You have shown us that we shouldn't sweat the small stuff in life (and frankly a lot of it IS small stuff!), that anything is possible with a little hard work, that we should appreciate every moment that we have because you just don't know what tomorrow holds, and that its important to show gratitude and give back.  The other thing we've learned is that its important to keep perspective.  It was easy those first few days and week to feel sorry for ourselves, to feel like somehow what was happening wasn't fair, yet in reality as we looked around us every day at the hospital, it was easy to see that things were good.  There were so many other children and families enduring things on such a different scale than us - and we learned from them too.  We so deeply felt their pain and we rejoiced in their victories and we shared a special bond because only others who have been there truly know.

And as we begin your second year, only good things await you Princess Finley.  We shall celebrate every day, every milestone and every achievement as though its the first.  We will  work to make this life your perfect life.  We will give you whatever you need to be happy and healthy and we will continue to be your students, allowing you to shape who we are and who we've yet to become.  One thing that your daddy and I discussed very early in all of this, when we were tossing out all of those preconceived notions about what you think your child's childhood holds is that we'd make your normal the BEST normal.  And that as long as you were happy - nothing else really matters does it?  Your happiness is our happiness my sweet girl and we are committed to making sure that you have the best doctors and therapists and to making sure that we are educated so that we can advocate for you and made educated decisions for you.  This is our priority now and in the future and we just know that you are going to do big things Finley!  We want you to dream big and go after those dreams with every ounce of energy that you've got.  And if the strength and courage and inspiration that you have shown us in this first year is any indication, I would say that you will be able to achieve whatever you set your mind to!  You are an amazing little girl and every day I thank you for giving me this opportunity to be your mommy.  I love you sweetheart.  Happy Birthday to you and may this year be the best one yet!

Love you tons!!

Mommy

A busy week

I have been horrible about posting this week but it sure has been busy!  Although I loathe having to do all of those things I have put off doing until now - it sure is nice to have them done.  Yesterday I finished cleaning the basement.  Our basement had pretty much been unpresentable since construction started in October.  It became the catch all for all of the things we had to move out of the den.  But with several hours of filing, organizing and purging, I actually don't cringe at the thought of walking down those stairs!

I am still waiting to talk to the immunologist regarding Finley's test results.  I called Monday and left a message.  Called again Tuesday and of course the doctor called me at 5:30 pm - when I had gone to pick up Nate.  He was supposed to call back today - nothing.  Hell - I was hoping he'd leave a message - any message.  I don't care if he gives me the results of the test via voice mail.  I just want to know!

Finley has had a wonderful week.  She is making tremendous progress with her feeding.  This week she's tried little pieces of banana and cantaloupe as well as tried little Gerber veggie sticks and a teething biscuit today.  The verdict is in - this kid is like her mommy - she likes to EAT!  She has been doing amazingly well, doesn't seem to mind the different textures and she's gone from eating once or twice a day to three times!  I owe so much of this to Gigi's persistence with her and her comfort in trying to advance her in this regard.  She is just doing so well.  She's also started working with a sippy cup.  Her feeding therapist was concerned that when given the cup, that she wouldn't know what to do with it - boy did she prove her wrong (see below)!  After Finley gets the cup in her hands - you  literally have to pry it away.  But since Finley hasn't been cleared for thin liquids, we are just putting a couple of cc's of breast milk and juice in the cup - enough for her to feel in her mouth when she sucks on the spout.  Very cool indeed.

Finley and daddy napping together on Sunday afternoon.


The other area of tremendous progress?  Sitting. Finley is now able to sit unassisted for a couple minutes at a time.  Go Finley go!!!


And for the hair picture of the week.  Everyone seemed to really like Finley's headband from the other day, yesterday it was braids.  This I could barely believe myself....


And last but certainly not least, we've gotten a photo of the Loch Ness monster (that is Woody's hat in his mouth)!

One week...

One week from today, my baby is one! (And as a side note, its also the day that me and my friend the pump are parting ways...) I haven't had time to post lately because we have been busy trying to get everything ready for the party.  I was telling one of my friends the other day that the worst thing about having a party at home - is doing all of the stuff that you have been procrastinating on doing around the house.  Remember that ceiling in my bedroom I was going to touch up MONTHS ago?  Still hasn't been done.  The basement needs to be cleaned. The stereo that was moved out of our old den last October before we started construction - yep - its still sitting in the dining room.  Its all of those things of course that will drive me crazy unless they get done.  I see this as a perfect opportunity to get them checked off my list - especially because I have the offer of Mike's help - because of the party - so I need to seize the opportunity right???  Well that leaves me with um, pretty much today only, because Mike is going to be out of town all week again.  Horrible timing.

This week we are awaiting the results of Finley's immunology tests - for which I received the EOB from the hospital yesterday.  $1,700 for lab tests.  $1,700!!!  Blood work only - not even doctor's charges.  Fortunately for us, insurance should cover it.  Every time I get these bills, which based on the claims files I've downloaded off the BCBS IL website, would total over $1,000,000 in billed charges at this point.  A million dollars.  I know a lot of people are opposed to health care reform - but I believe it needs to start somewhere.  This might not be the plan that makes the most sense, but it has to just START.  There are too many people out there who have been financially devastated by our medical system - that needs to change.  But I digress...

Did I ever mention that having kids is the best thing in the world?

I love the way Nate puts his sister's arms around him and tells her, "see, I'm teaching you how to hug."

I love this crazy hair.  Which here, doesn't look so crazy - I had it tamed pretty well with a headband.  This is the exception though - not the rule!


I love this first tooth, that is so rarely photographed because she covers it up before I can get the shot.  And now the second one has completely broken through and is well on its way.  The other thing I love about this photo?  The fact that my princess is trying to feed herself!  She has gone from wanting nothing to do with that spoon and turning her head away each time it comes near...to opening her mouth and grabbing it out of my hand!


I love when Nate sings.  This morning its, "Scooby Gooby Goo Coming after you We'll solve a mys-ter-y!!!"  Yesterday it was Imma Be by the Black Eyed Peas.  And last week it was Telephone by Lady Gaga.  Its usually just a phrase or two - enough to just barely be able to make out what it is he's singing.

I love that Nate is the protective big brother.  Yesterday he brought us her hearing aid and said Mom.  Dad.  Fin was chewing on her hearin' aid.  Or when he points out that her milk is almost gone.

I love that Nate has become as elusive as the Loch Ness monster and seems to evade every photograph.



I love how Finley gets so excited and all at once does her Miss America wave with both hands while simultaneously kicking he feet.  And when you put her in her high chair, the feet go a mile a minute.


Every single day, there are so many of these things, that I hear and see that make me laugh. or bring a smile to my face and that make me feel so lucky.  I just love being a mom.

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Finley's Medical History

Born on 8/8/2009 - Finley is taken to Children's Memorial Hospital via the transport team 12 hours after she is born.  She is having trouble breathing and is turning blue.  She is immediately admitted to the NICU.

8/9/2009 - Finley is diagnosed with Tetralogy of Fallot, a congenital heart defect and laryngomalacia, a condition that causes her to aspirate whatever she swallows in to her lungs.

8/21/2009 - Finley has open heart surgery to place a Blalock Taussig shunt to help facilitate proper blood flow.  When she is older, she will require a full repair of her heart.

9/10/2009 - Finley is released from the NICU.  Because of her laryngomalacia and reflux, she is fed 100% through a nasal gastric tube.

9/14/2009 - Finley is re-admitted to the hospital for an infection in her surgical wound.  Finley's genetic test comes back - she is diagnosed with CHARGE Syndrome.

9/15/2009 - During a CT scan to assess the infection, the doctors notice something strange on her CT.  It appears Finley has a malrotated bowel and will require surgery.

9/23/2009 - Finley is examined by the opthalmologist and she is found to have colobomas, a condition common with CHARGE Syndrome, in both eyes.  The degree of her visual impairment is unknown.

9/30/2009 - Finley has the Ladd's Procedure to correct the malrotation and also has a g-tube placed.  

10/7/2009 - Finley has a sedated ABR to check her hearing.  She has a mild hearing loss in her right ear and a moderate to severe loss in her left.  Her loss can be at least partially corrected with hearing aids.

10/8/2009 - Finley is supposed to be released from the hospital today but she has been having low blood sugars.  The endocrinology is called in to evaluate her.

10/29/2009 - Finley is finally released from the hospital with a unconfirmed diagnosis of hyperinsulinism.  Actual diagnosis requires fasting blood tests - because of her heart condition, it is not safe for her to fast.  She needs to have her blood sugar tested every three hours and we are taught how to administer an emergency glucagon injection in case her blood sugar gets to low.

11/1/2009 - Finley requires emergency injection because she cannot sustain her blood sugar.  She is taken to the local ER and transported via the transport team to Childrens Memorial.

11/10/2009 - Finley is discharged from the hospital on a 24 hour continuous feed.  We add polycose to her milk to help her keep her blood sugar at an acceptable level.

11/22/2009 - Finley is taken to the local emergency room with a bad cold - she is having trouble breathing and her oxygen saturations are low.   She is transported via the transport team up to Children's Memorial.

11/25/2009 - Finley is released from the hospital - just in time for Thanksgiving.

12/8/2009 - Finley is taken to the local emergency room for observation - she has a bad cold.

12/21/2009 - Nate is chasing the dog and the dog runs in to Finley's IV pole, knocks it down and pulls out her g-tube.  She is taken to the ER at Childrens to have it put back in.

2/10/2010 - Finley is admitted through the ER at Childrens - she has a bad cold again.  Oxygen saturations are low and breathing is labored.

2/13/2010 - Finley is released from the hospital.

4/17/2010 - Finley is taken to the ER at Childrens - she has pus draining from her belly button.  They suspect a urachal cyst - they send us home with orders to return on  Tuesday (during our scheduled visit) for an abdominal ultrasound.

4/20/2010 - Finley is admitted to Childrens for an overnight stay.  She will have a swallow study and abdominal ultrasound on Tuesday and a CT and sedated echocardiogram on Wednesday which will require anesthesia.

4/21/2010 - The anesthesiologists have trouble intubating Finley, so they call in her ENT to have a look at her.  He observes that her airway is 75% closed off - partially due to scar tissue from previous intubation and partially due to an infection.  The diagnosis is subglottic stenosis and may require her to have surgery on her airway.  She is immediately admitted to the PICU and put on a 24/7 breathing treatment and antibiotics and steroids to help reduce the inflammation.

4/26/2010 - Finley is well enough to be taken off of all oxygen.  Immunology and Infectious Disease are called in to examine Finley because the culture of her throat are growing staph and strep.  Infectious Disease is trying to figure out what could have caused her infection.  Immunology labs will be drawn to determine if Finley has an immune problem which sometime occurs with children with CHARGE.  This is the second significant infection she has had since she was born.

4/27/2010 - The lab calls to say that they mis-read Finley's airway culture.  It's not growing staph - its only growing strep.

4/28/2010 - Immunology labs are back and don't show anything significant.  Finley's lymphocyte counts are low but that isn't unusual for a child who is fighting an infection.  The doctor wants to re-examine her before her first birthday.  In the meantime she cannot have any live vaccines.

4/29/2010 - Finley is discharged from the hospital.  The ENT will do a bronchoscopy before her heart repair surgery to determine next steps on her airway issue.

5/11/2010 - Finley has open heart surgery to repair her heart.

5/17/2010 - Finley begins to show signs of infection which is later identified as a urinary tract infection.

5/25/2010 - Finley is discharged from the hospital.

5/30/2010 - Finley goes to the ER at Childrens because of fussiness, sweating, heavy breathing.  And echo later identifies that the pressure gradient around Finley's pulmonary valve is an astounding 90%.

6/1/2010 - Finley is admitted to Childrens to try a medication called Propranolol to help ease the pressure in her heart.

6/2/2010 - The Propranolol brings the pressure in Finley's heart down from 90% to 50%.  Finley has a positive test for C. difficile which will require antibiotic treatment.

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