SlideShare une entreprise Scribd logo
1  sur  29
DEBBIE KENNEDY, SPECIALIST ASPERGILLOSIS NURSE NATIONAL ASPERGILLOSIS CENTRE UHSM MANCHESTER Support Meeting for Aspergillosis Patients Fungal Research Trust
 
A Clinic Visit 4 th  November 2010 Patient Support Meeting ERC by  Debbie Kennedy Aspergillosis Specialist Nurse
Your Clinic Visit ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Your Clinic Visit ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vignette with  Georgina and Marie  Aspergillosis Specialist Nurses
MRC Breathlessness Scale
History – Past & Recent Who gets Aspergillosis   Inhalation of aspergillus spores is a common daily occurrence.  A healthy immune system would normally remove the spores and no symptoms or infection would occur. In individuals whose immune system may be suppressed either because of illness e.g. AIDS, cancer patients or drugs, spores may germinate and resulting tissue or systemic aspergillus invasion can result. Individuals with allergies  such as asthma, can also be vulnerable to aspergillus disease.
History  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Denning DW et al, Clin Infect Dis 2003; 37:S265
Chest Examination
Vignette with  Georgina and Marie  Aspergillosis Specialist Nurses
Chest X-ray
Chest Xray Aspergilloma Fungal Ball
Chest CT scan Fungal Ball
Lung Function Studies
Lung Function Studies
Bronchoscopy
Vignette with  Georgina and Marie  Aspergillosis Specialist Nurses
Specialist Aspergillus Tests ,[object Object],[object Object],[object Object]
Sputum Fungal Culture
Your Clinic Visit ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vignette with  Georgina and Marie  Aspergillosis Specialist Nurses
Specialist Aspergillus Tests ,[object Object],[object Object],[object Object],[object Object],[object Object]
Information ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vignette with  Georgina and Marie  Aspergillosis Specialist Nurses
How to avoid Aspergillus ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Where is Aspergillosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
www.aspergillus.org.uk
Thank you

Contenu connexe

En vedette

pricing presentation
pricing presentationpricing presentation
pricing presentationRiaz Khan
 
Worldwide Mesh - Weaving the Context into Content #2
Worldwide Mesh - Weaving the Context into Content #2Worldwide Mesh - Weaving the Context into Content #2
Worldwide Mesh - Weaving the Context into Content #2Kantar
 
Renewable energy for non profits sec50
Renewable energy for non profits sec50Renewable energy for non profits sec50
Renewable energy for non profits sec50Hilts3
 
გარემოს დაცვა
გარემოს   დაცვაგარემოს   დაცვა
გარემოს დაცვაJerzyius Kankius
 
Hen 368 lecture 13 pharmaceutical
Hen 368 lecture 13 pharmaceuticalHen 368 lecture 13 pharmaceutical
Hen 368 lecture 13 pharmaceuticalGale Pooley
 
P2 Spelling List Term 1
P2 Spelling List Term 1P2 Spelling List Term 1
P2 Spelling List Term 1linajuliana
 
Brand Ministry - Cas Client Mercialys
Brand Ministry - Cas Client MercialysBrand Ministry - Cas Client Mercialys
Brand Ministry - Cas Client MercialysBrand Ministry
 
Spring Texas Real Estate Market Report April 2014
Spring Texas Real Estate Market Report April 2014Spring Texas Real Estate Market Report April 2014
Spring Texas Real Estate Market Report April 2014Tanya Lavoie Bugbee
 
მსოფლიო ქალაქები გეოურბანისტიკის საფუძვლები
მსოფლიო ქალაქები გეოურბანისტიკის საფუძვლებიმსოფლიო ქალაქები გეოურბანისტიკის საფუძვლები
მსოფლიო ქალაქები გეოურბანისტიკის საფუძვლებიJerzyius Kankius
 
Creative Writing Projects at the National Aspergillosis Centre
Creative Writing Projects at the National Aspergillosis CentreCreative Writing Projects at the National Aspergillosis Centre
Creative Writing Projects at the National Aspergillosis CentreGraham Atherton
 

En vedette (18)

pricing presentation
pricing presentationpricing presentation
pricing presentation
 
368 lecture 1
368 lecture 1368 lecture 1
368 lecture 1
 
Worldwide Mesh - Weaving the Context into Content #2
Worldwide Mesh - Weaving the Context into Content #2Worldwide Mesh - Weaving the Context into Content #2
Worldwide Mesh - Weaving the Context into Content #2
 
374 9
374 9374 9
374 9
 
Renewable energy for non profits sec50
Renewable energy for non profits sec50Renewable energy for non profits sec50
Renewable energy for non profits sec50
 
გარემოს დაცვა
გარემოს   დაცვაგარემოს   დაცვა
გარემოს დაცვა
 
Hen 368 lecture 13 pharmaceutical
Hen 368 lecture 13 pharmaceuticalHen 368 lecture 13 pharmaceutical
Hen 368 lecture 13 pharmaceutical
 
590 9
590 9590 9
590 9
 
Promociones 5
Promociones 5Promociones 5
Promociones 5
 
P2 Spelling List Term 1
P2 Spelling List Term 1P2 Spelling List Term 1
P2 Spelling List Term 1
 
Infocat 11 2012
Infocat 11 2012Infocat 11 2012
Infocat 11 2012
 
Aamal l program
Aamal l programAamal l program
Aamal l program
 
M05 2011
M05 2011M05 2011
M05 2011
 
101 lecture 12
101 lecture 12101 lecture 12
101 lecture 12
 
Brand Ministry - Cas Client Mercialys
Brand Ministry - Cas Client MercialysBrand Ministry - Cas Client Mercialys
Brand Ministry - Cas Client Mercialys
 
Spring Texas Real Estate Market Report April 2014
Spring Texas Real Estate Market Report April 2014Spring Texas Real Estate Market Report April 2014
Spring Texas Real Estate Market Report April 2014
 
მსოფლიო ქალაქები გეოურბანისტიკის საფუძვლები
მსოფლიო ქალაქები გეოურბანისტიკის საფუძვლებიმსოფლიო ქალაქები გეოურბანისტიკის საფუძვლები
მსოფლიო ქალაქები გეოურბანისტიკის საფუძვლები
 
Creative Writing Projects at the National Aspergillosis Centre
Creative Writing Projects at the National Aspergillosis CentreCreative Writing Projects at the National Aspergillosis Centre
Creative Writing Projects at the National Aspergillosis Centre
 

Similaire à A clinic visit by debbie kennedy to patient support group 5th novemebr 2010a

Aspergillosis Patient Support Meeting July 2011 - Sue Howard
Aspergillosis Patient Support Meeting July 2011 - Sue HowardAspergillosis Patient Support Meeting July 2011 - Sue Howard
Aspergillosis Patient Support Meeting July 2011 - Sue HowardGraham Atherton
 
Respiratory Nurses of the Year 2011 final
Respiratory Nurses of the Year 2011 finalRespiratory Nurses of the Year 2011 final
Respiratory Nurses of the Year 2011 finalGraham Atherton
 
4068 aspergillosis sheena m sc ii
4068 aspergillosis  sheena m sc ii 4068 aspergillosis  sheena m sc ii
4068 aspergillosis sheena m sc ii Sheena Prem
 
Fungal Research Trust 20th Anniversary Meeting June 2011 - Dr Geoff Scott
Fungal Research Trust 20th Anniversary Meeting June 2011 - Dr Geoff ScottFungal Research Trust 20th Anniversary Meeting June 2011 - Dr Geoff Scott
Fungal Research Trust 20th Anniversary Meeting June 2011 - Dr Geoff ScottGraham Atherton
 
Management of Chronic Pulmonary Aspergillosis and IgE for the Layperson
Management of Chronic Pulmonary Aspergillosis and IgE for the LaypersonManagement of Chronic Pulmonary Aspergillosis and IgE for the Layperson
Management of Chronic Pulmonary Aspergillosis and IgE for the LaypersonGraham Atherton
 
Microbiology seminar
Microbiology seminarMicrobiology seminar
Microbiology seminarDeepa Devkota
 
Aspergillosis prepared by nawaraj adhikari
Aspergillosis prepared by nawaraj adhikariAspergillosis prepared by nawaraj adhikari
Aspergillosis prepared by nawaraj adhikariNawaraj Adhikari
 
Aneasthesia 2 year (2)
Aneasthesia    2 year (2)Aneasthesia    2 year (2)
Aneasthesia 2 year (2)gishabay
 
8.had and tb
8.had and tb8.had and tb
8.had and tbgishabay
 
Decreased Immune Response Infection Immunity
Decreased Immune Response Infection ImmunityDecreased Immune Response Infection Immunity
Decreased Immune Response Infection Immunitywashinca
 
Fungal Research Trust 20th Anniversary Meeting June 2011 - Dr Sue Howard
Fungal Research Trust 20th Anniversary Meeting June 2011 - Dr Sue HowardFungal Research Trust 20th Anniversary Meeting June 2011 - Dr Sue Howard
Fungal Research Trust 20th Anniversary Meeting June 2011 - Dr Sue HowardGraham Atherton
 
National Aspergillosis Centre Doctor Livingstone Chishimba holds a Q&A session
National Aspergillosis Centre Doctor Livingstone Chishimba holds a Q&A sessionNational Aspergillosis Centre Doctor Livingstone Chishimba holds a Q&A session
National Aspergillosis Centre Doctor Livingstone Chishimba holds a Q&A sessionGraham Atherton
 
COMMUNITY ACQUIRED PNEUMONIA.pptx
COMMUNITY ACQUIRED PNEUMONIA.pptxCOMMUNITY ACQUIRED PNEUMONIA.pptx
COMMUNITY ACQUIRED PNEUMONIA.pptxBashoGunz
 

Similaire à A clinic visit by debbie kennedy to patient support group 5th novemebr 2010a (20)

Aspergillosis Patient Support Meeting July 2011 - Sue Howard
Aspergillosis Patient Support Meeting July 2011 - Sue HowardAspergillosis Patient Support Meeting July 2011 - Sue Howard
Aspergillosis Patient Support Meeting July 2011 - Sue Howard
 
Respiratory Nurses of the Year 2011 final
Respiratory Nurses of the Year 2011 finalRespiratory Nurses of the Year 2011 final
Respiratory Nurses of the Year 2011 final
 
4068 aspergillosis sheena m sc ii
4068 aspergillosis  sheena m sc ii 4068 aspergillosis  sheena m sc ii
4068 aspergillosis sheena m sc ii
 
Aspergillosis
Aspergillosis Aspergillosis
Aspergillosis
 
Fungal Research Trust 20th Anniversary Meeting June 2011 - Dr Geoff Scott
Fungal Research Trust 20th Anniversary Meeting June 2011 - Dr Geoff ScottFungal Research Trust 20th Anniversary Meeting June 2011 - Dr Geoff Scott
Fungal Research Trust 20th Anniversary Meeting June 2011 - Dr Geoff Scott
 
Management of Chronic Pulmonary Aspergillosis and IgE for the Layperson
Management of Chronic Pulmonary Aspergillosis and IgE for the LaypersonManagement of Chronic Pulmonary Aspergillosis and IgE for the Layperson
Management of Chronic Pulmonary Aspergillosis and IgE for the Layperson
 
food microbiology
food microbiology food microbiology
food microbiology
 
Child asthma
Child asthmaChild asthma
Child asthma
 
Aspergillosis
AspergillosisAspergillosis
Aspergillosis
 
Microbiology seminar
Microbiology seminarMicrobiology seminar
Microbiology seminar
 
Aspergillosis prepared by nawaraj adhikari
Aspergillosis prepared by nawaraj adhikariAspergillosis prepared by nawaraj adhikari
Aspergillosis prepared by nawaraj adhikari
 
Aneasthesia 2 year (2)
Aneasthesia    2 year (2)Aneasthesia    2 year (2)
Aneasthesia 2 year (2)
 
8.had and tb
8.had and tb8.had and tb
8.had and tb
 
Childhood asthma & TB
Childhood asthma & TBChildhood asthma & TB
Childhood asthma & TB
 
Bronchial-Asthma.pdf
Bronchial-Asthma.pdfBronchial-Asthma.pdf
Bronchial-Asthma.pdf
 
Decreased Immune Response Infection Immunity
Decreased Immune Response Infection ImmunityDecreased Immune Response Infection Immunity
Decreased Immune Response Infection Immunity
 
Fungal Research Trust 20th Anniversary Meeting June 2011 - Dr Sue Howard
Fungal Research Trust 20th Anniversary Meeting June 2011 - Dr Sue HowardFungal Research Trust 20th Anniversary Meeting June 2011 - Dr Sue Howard
Fungal Research Trust 20th Anniversary Meeting June 2011 - Dr Sue Howard
 
National Aspergillosis Centre Doctor Livingstone Chishimba holds a Q&A session
National Aspergillosis Centre Doctor Livingstone Chishimba holds a Q&A sessionNational Aspergillosis Centre Doctor Livingstone Chishimba holds a Q&A session
National Aspergillosis Centre Doctor Livingstone Chishimba holds a Q&A session
 
ICN Victoria: Cornely on "Being a Fun-gi in ICU"
ICN Victoria: Cornely on "Being a Fun-gi in ICU"ICN Victoria: Cornely on "Being a Fun-gi in ICU"
ICN Victoria: Cornely on "Being a Fun-gi in ICU"
 
COMMUNITY ACQUIRED PNEUMONIA.pptx
COMMUNITY ACQUIRED PNEUMONIA.pptxCOMMUNITY ACQUIRED PNEUMONIA.pptx
COMMUNITY ACQUIRED PNEUMONIA.pptx
 

Plus de Graham Atherton

Offline community, VOICE focus meeting.
Offline community, VOICE focus meeting.Offline community, VOICE focus meeting.
Offline community, VOICE focus meeting.Graham Atherton
 
Offline Patients Quarterly Newsletter
Offline Patients Quarterly NewsletterOffline Patients Quarterly Newsletter
Offline Patients Quarterly NewsletterGraham Atherton
 
Pseudomonas infections and a new type of antifungal drug
Pseudomonas infections and a new type of antifungal drugPseudomonas infections and a new type of antifungal drug
Pseudomonas infections and a new type of antifungal drugGraham Atherton
 
Aspergillosis Support Group Christmas Quiz 2013
Aspergillosis Support Group Christmas Quiz 2013Aspergillosis Support Group Christmas Quiz 2013
Aspergillosis Support Group Christmas Quiz 2013Graham Atherton
 
Poetry facilitates awareness, Rupert Everett & Katie Melua support. How antif...
Poetry facilitates awareness, Rupert Everett & Katie Melua support. How antif...Poetry facilitates awareness, Rupert Everett & Katie Melua support. How antif...
Poetry facilitates awareness, Rupert Everett & Katie Melua support. How antif...Graham Atherton
 
Involving Patients (and carers) in research at NWLC & NAC
Involving Patients (and carers) in research at NWLC & NACInvolving Patients (and carers) in research at NWLC & NAC
Involving Patients (and carers) in research at NWLC & NACGraham Atherton
 
Comparing parts of UK & US Healthcare systems, IgG explained
Comparing parts of UK & US Healthcare systems, IgG explainedComparing parts of UK & US Healthcare systems, IgG explained
Comparing parts of UK & US Healthcare systems, IgG explainedGraham Atherton
 
NHS New Structure and Heatwaves
NHS New Structure and HeatwavesNHS New Structure and Heatwaves
NHS New Structure and HeatwavesGraham Atherton
 
Stress and breathlessness
Stress and breathlessnessStress and breathlessness
Stress and breathlessnessGraham Atherton
 
New antifungals and TB research
New antifungals and TB researchNew antifungals and TB research
New antifungals and TB researchGraham Atherton
 
Maintaining or Improving your health status in CPA (Khaled Al-shair)
Maintaining or Improving your health status in CPA (Khaled Al-shair)Maintaining or Improving your health status in CPA (Khaled Al-shair)
Maintaining or Improving your health status in CPA (Khaled Al-shair)Graham Atherton
 
Antifungals, Quality of Life study and Inhalers
Antifungals, Quality of Life study and InhalersAntifungals, Quality of Life study and Inhalers
Antifungals, Quality of Life study and InhalersGraham Atherton
 
Aspergillosis Patients Meeting Christmas Quiz December 2012
Aspergillosis Patients Meeting Christmas Quiz December 2012Aspergillosis Patients Meeting Christmas Quiz December 2012
Aspergillosis Patients Meeting Christmas Quiz December 2012Graham Atherton
 
Aches and Pains, Everyday Moulds & Facemasks
Aches and Pains, Everyday Moulds & FacemasksAches and Pains, Everyday Moulds & Facemasks
Aches and Pains, Everyday Moulds & FacemasksGraham Atherton
 
Latest Aspergillosis Research at NAC
Latest Aspergillosis Research at NACLatest Aspergillosis Research at NAC
Latest Aspergillosis Research at NACGraham Atherton
 
Some of the latest progress for the prevention, diagnosis and treatment of as...
Some of the latest progress for the prevention, diagnosis and treatment of as...Some of the latest progress for the prevention, diagnosis and treatment of as...
Some of the latest progress for the prevention, diagnosis and treatment of as...Graham Atherton
 
Chronic Cough: What it is and how to try to reduce its impact on your life
Chronic Cough: What it is and how to try to reduce its impact on your lifeChronic Cough: What it is and how to try to reduce its impact on your life
Chronic Cough: What it is and how to try to reduce its impact on your lifeGraham Atherton
 
How to give up smoking at UHSM
How to give up smoking at UHSMHow to give up smoking at UHSM
How to give up smoking at UHSMGraham Atherton
 
Creative writing & Patient Support Groups
Creative writing & Patient Support GroupsCreative writing & Patient Support Groups
Creative writing & Patient Support GroupsGraham Atherton
 

Plus de Graham Atherton (20)

Offline community, VOICE focus meeting.
Offline community, VOICE focus meeting.Offline community, VOICE focus meeting.
Offline community, VOICE focus meeting.
 
Offline Patients Quarterly Newsletter
Offline Patients Quarterly NewsletterOffline Patients Quarterly Newsletter
Offline Patients Quarterly Newsletter
 
Pseudomonas infections and a new type of antifungal drug
Pseudomonas infections and a new type of antifungal drugPseudomonas infections and a new type of antifungal drug
Pseudomonas infections and a new type of antifungal drug
 
Aspergillosis Support Group Christmas Quiz 2013
Aspergillosis Support Group Christmas Quiz 2013Aspergillosis Support Group Christmas Quiz 2013
Aspergillosis Support Group Christmas Quiz 2013
 
Poetry facilitates awareness, Rupert Everett & Katie Melua support. How antif...
Poetry facilitates awareness, Rupert Everett & Katie Melua support. How antif...Poetry facilitates awareness, Rupert Everett & Katie Melua support. How antif...
Poetry facilitates awareness, Rupert Everett & Katie Melua support. How antif...
 
Involving Patients (and carers) in research at NWLC & NAC
Involving Patients (and carers) in research at NWLC & NACInvolving Patients (and carers) in research at NWLC & NAC
Involving Patients (and carers) in research at NWLC & NAC
 
Comparing parts of UK & US Healthcare systems, IgG explained
Comparing parts of UK & US Healthcare systems, IgG explainedComparing parts of UK & US Healthcare systems, IgG explained
Comparing parts of UK & US Healthcare systems, IgG explained
 
NHS New Structure and Heatwaves
NHS New Structure and HeatwavesNHS New Structure and Heatwaves
NHS New Structure and Heatwaves
 
Carers and Damp Homes
Carers and Damp HomesCarers and Damp Homes
Carers and Damp Homes
 
Stress and breathlessness
Stress and breathlessnessStress and breathlessness
Stress and breathlessness
 
New antifungals and TB research
New antifungals and TB researchNew antifungals and TB research
New antifungals and TB research
 
Maintaining or Improving your health status in CPA (Khaled Al-shair)
Maintaining or Improving your health status in CPA (Khaled Al-shair)Maintaining or Improving your health status in CPA (Khaled Al-shair)
Maintaining or Improving your health status in CPA (Khaled Al-shair)
 
Antifungals, Quality of Life study and Inhalers
Antifungals, Quality of Life study and InhalersAntifungals, Quality of Life study and Inhalers
Antifungals, Quality of Life study and Inhalers
 
Aspergillosis Patients Meeting Christmas Quiz December 2012
Aspergillosis Patients Meeting Christmas Quiz December 2012Aspergillosis Patients Meeting Christmas Quiz December 2012
Aspergillosis Patients Meeting Christmas Quiz December 2012
 
Aches and Pains, Everyday Moulds & Facemasks
Aches and Pains, Everyday Moulds & FacemasksAches and Pains, Everyday Moulds & Facemasks
Aches and Pains, Everyday Moulds & Facemasks
 
Latest Aspergillosis Research at NAC
Latest Aspergillosis Research at NACLatest Aspergillosis Research at NAC
Latest Aspergillosis Research at NAC
 
Some of the latest progress for the prevention, diagnosis and treatment of as...
Some of the latest progress for the prevention, diagnosis and treatment of as...Some of the latest progress for the prevention, diagnosis and treatment of as...
Some of the latest progress for the prevention, diagnosis and treatment of as...
 
Chronic Cough: What it is and how to try to reduce its impact on your life
Chronic Cough: What it is and how to try to reduce its impact on your lifeChronic Cough: What it is and how to try to reduce its impact on your life
Chronic Cough: What it is and how to try to reduce its impact on your life
 
How to give up smoking at UHSM
How to give up smoking at UHSMHow to give up smoking at UHSM
How to give up smoking at UHSM
 
Creative writing & Patient Support Groups
Creative writing & Patient Support GroupsCreative writing & Patient Support Groups
Creative writing & Patient Support Groups
 

Dernier

Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableVip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableNehru place Escorts
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiAlinaDevecerski
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsGfnyt
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...Garima Khatri
 
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service KochiLow Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service KochiSuhani Kapoor
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...narwatsonia7
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...Taniya Sharma
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipurparulsinha
 
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night EnjoyCall Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoybabeytanya
 
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...indiancallgirl4rent
 
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...narwatsonia7
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Servicevidya singh
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escortsaditipandeya
 
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night EnjoyCall Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoybabeytanya
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...hotbabesbook
 

Dernier (20)

Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableVip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
 
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service KochiLow Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
 
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night EnjoyCall Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoy
 
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
 
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
 
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night EnjoyCall Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 

A clinic visit by debbie kennedy to patient support group 5th novemebr 2010a