Rapid RT-PCR Covid-19 Testing

Check-in
Menu

Health Tips

sugar cubes on yellow background

What to Do if Someone is Having a Diabetic Emergency

, , , , ,

Anyone with a diabetic in their lives knows it’s essential to be on high alert as a symptom can become a medical emergency in no time. The Centers for Disease Control, (CDC) counts diabetes and complications from the disease as the seventh highest cause of death in the United States. 

While that number is terrifying, it’s important to remember the steps you can take to help someone get their symptoms under control and to know when to call an ambulance. It’s also a good idea to do regular checks with any diabetic kids to make sure their pumps work and that they have glucose tablets ready to grab should anything go wrong. 

When things do go bad, there’s a clear set of steps you can follow to get the situation under control. 

A diabetic emergency: What it looks like and what to do

Common diabetic emergencies include hypoglycemia or low blood sugar, hyperglycemia or high blood sugar, and Diabetic Ketoacidosis or DKA. Other problems can also arise from diabetes, but this article will focus on these key issues as they’re incredibly common. 

sick child and parentHere’s a quick breakdown of each. 

Hypoglycemia – What to look for

  • Weakness 
  • Shakiness or nervousness
  • Irritability
  • Confusion and dizziness
  • Nausea
  • Sweating and chills with pale, clammy skin
  • Tingling in and around the mouth
  • Headache
  • Seizure
  • Coma

If you see any combination of those symptoms you can help. 

What to do

  1. Give the person 15mg of carbohydrates – a glucose tablet, some fruit juice, a sweet, or a little bit of sugar
  2. Wait 15 minutes before testing blood levels again
  3. If blood sugar levels read below 70 mg/dl, try another 15mg of carbohydrates and another rest period before doing a second test
  4. Once blood sugar levels test above 70 mg/dl, it’s important the diabetic person eat a meal
  5. If the symptoms persist, call an ambulance

If the person is conscious but too weak to eat a meal, someone needs to stay with him or her. Place a small amount of sugar or honey in the diabetic’s cheek and have a phone nearby should you need it. If the patient faints call 911 immediately.

Hyperglycemia – what to look for

A case of high blood sugar can normally be managed at home, but extreme swings in blood sugar levels require a visit to the doctor. 

Here’s how to know if you or someone in your family has hyperglycemia:

  • Headaches
  • Blurred vision
  • Extreme thirst
  • Constant need to urinate
  • Fatigue

What to do 

For a mild case, some basic lifestyle changes can help keep hyperglycemia in check. Smaller portions at mealtime, a more vigorous exercise routine, and a checkup with the doctor to adjust insulin levels can all help the patient feel better. 

However, if the symptoms get worse or start to include dry mouth, difficulty breathing, or the person’s breath has a fruity smell, he or she needs an ambulance right away. 

DKA – what to look for

Caused by a lack of insulin in the body, DKA makes the body switch from glucose to fat as a source of fuel. That creates a threatening level of ketones and turns the blood acidic. It’s a serious problem and one you need to know how to recognize quickly. 

Here are the signs:

  • Dry mouth
  • Extreme thirst
  • Fatigue
  • Constant need to urinate
  • Dry or red skin
  • Nausea and vomiting
  • Abdominal pain
  • Confusion
  • Shortness of breath
  • Breath smells fruity

Anyone with a combination of these symptoms needs an ambulance right away. You can keep a ketone testing kit nearby to check levels regularly so that you can be proactive. If you see that the blood tests positive for ketones and blood sugar levels are at or above 240 m/dl get them to a doctor immediately. 

Come see us at Victoria ER

The staff at Victoria ER helps diabetics manage their condition 24/7, no matter what. If you ever feel you or someone you love may be in danger, come see us for treatment. In the meantime, make sure that plenty of testing materials are available at your house and that you have supplies like glucose tablets or juice nearby to help diabetics in your house stay safe.

thanksgiving dinner table

Food Safety Tips for the Holidays

, , , , ,

It’s the most wonderful time of the year: the holidays! It’s safe to say that no one wants to spend the holidays sick. While some illnesses are simply out of our control, there are many others that we can avoid, including food poisoning.

According to the U.S. Centers for Disease Control and Prevention, C. perfringens is a strain of bacteria associated with cooked foods left out at room temperature and is to blame for nearly a million cases of foodborne illnesses in the United States each year. Outbreaks are commonly seen in November and December, right around the holidays.

As such, at Victoria ER, we’ve put together a list of safety tips for you to consider to help prevent food poisoning and illness this holiday season.

First and foremost, make sure to consistently wash your hands (whether you’re cooking or not). You’ve undoubtedly heard it many times over the past couple of years, but it’s true: Keeping your hands clean is a great way to stay safe and healthy. Additionally, you’ll need to keep all cooking surfaces clean to stop cross-contamination. 

Further, you’ll want to:

  • Thaw turkey/ham/all meats in the refrigerator, in a sink of cold water, or the microwave
  • Keep all foods separated before and during cooking (juices can drip onto other foods)
  • Do not consume raw dough or batter
  • Cook food thoroughly and use a food thermometer
  • Use pasteurized eggs instead of raw eggs

If you do happen to experience any sort of issue, illness, or injury, Victoria ER is open 365 days a year, 24 hours a day, seven days a week—even on holidays and weekends. We conveniently and effectively offer a comprehensive range of emergency medical treatments, including clinical services, imaging and laboratory, occupational medicine, pediatric care, and more.

The entire team at Victoria ER wishes you and your family a safe and happy holiday. Remember, we’re here if you need us! 

child laying in crib

Understanding SIDS

, , , , , ,

SIDS, or Sudden Infant Death Syndrome, refers to the sudden, unexpected, and unexplained death of a healthy baby. The following article isn’t meant to frighten or disturb you, but to supply you with the necessary information needed to help keep your child safe.

According to the U.S. Centers for Disease Control and Prevention, each year, about 3,400 sudden and unexpected infant deaths occur in the United States. SIDS deaths frequently take place in the winter months, and boys are more likely to die from the syndrome than girls.

Unfortunately, there are no symptoms or warning signs. Yet, it is comforting to know that SIDS rates declined considerably from 130.0 deaths per 100,000 live births in 1990 to 33.3 deaths per 100,000 live births in 2019.

Because there are no symptoms or warning signs, there is no guaranteed way to prevent SIDS, yet it is possible to keep your baby safer during sleep by following these tips:

  • Place your baby to sleep on his or her back
  • Keep the crib as bare as possible, avoiding excess blankets, pillows, and toys
  • Don’t overheat your baby  
  • Consider having your baby sleep in your room

Additionally, it’s comforting to know that at Victoria ER, our skilled, trained, and board-certified physicians provide the ultimate pediatric care for you and your family. We’re available 365 days a year, 24 hours a day, seven days a week, providing the care you need and deserve.

We offer a warm, inviting environment for your child, including a special exam room decorated with calm, peaceful colors to further ensure your little one feels happy and secure during his or her visit.

After all, when your child feels sick or gets injured, you should have a caring, professional team by your side to give you answers and relief—that’s what you’ll find at Victoria ER.

young child wearing mask

When is an Allergic Reaction an Emergency?

, , , , , ,

Today more than ever, allergies affect our kids’ health. The Centers for Disease Control and Prevention (CDC) counts over 5.6 million kids as allergic to pollen and more than 4.8 million with food allergies. 

As parents, it’s up to us to be vigilant and keep our kids safe from anything that might cause a severe allergic reaction. More and more kids travel with an epinephrine auto-injector, or EpiPen, to keep a reaction under control. 

However, some reactions require much stronger treatments. Your child may need medical intervention if his or her allergy is too intense and triggers a life-threatening case of anaphylaxis, essentially a hypersensitivity reaction.

Common Allergens

wheat

One of the most common allergens is pollen. Also known as Hay Fever, this looks like a sneezing fit combined with an asthma attack. The floating spores make kids wheeze, itch, or experience some swelling in their mouth and throat, and possibly break out into a rash. 

The ragweed plant and its relatives, like chamomile, can also trigger intense allergic reactions. Pay attention to any plants that produce high amounts of pollen, have toxic leaves or flowers, or kill surrounding plants, as they tend to trigger reactions in kids sensitive to pollen. 

Wheat, dairy, eggs, soy, peanuts, and tree nuts can all trigger reactions after they’re eaten. Anything from an itchy throat to diarrhea and vomiting can be a sign that a child is allergic to a specific food.

You’ve likely heard horror stories about people who have allergies to bee stings, (about five percent of the population have abee deadly allergy to bee stings), but what about cockroaches? This common pest can cause asthma attacks. Dust mites, mosquitoes, bed bugs, and other common bugs can also cause redness, itchiness, and swelling.

When to see a doctor

Be aware of any symptoms in your child the moment he or she reports feeling ill. Your child may wheeze, feel an itchy mouth or throat, or develop a rash. Normally, you can treat these symptoms with over-the-counter medication. If symptoms don’t die down or appear to get worse after your child takes treatment, it’s time to go to the hospital. 

Extreme reactions may include:

  • Vomiting
  • Diarrhea 
  • Chest pain
  • Heart palpitations
  • Difficulty breathing
  • Extreme swelling in the face or throat

Tell your doctor about anything your child ate or may have touched before the reaction occurred. Also, let your doctor know if you have already tried an EpiPen or other medications. 

The staff at Victoria ER helps children manage allergic reactions 24/7, no matter what. If you ever feel your child may be in danger, come and see for assistance. In the meantime, have your child tested for any potential allergies and learn more about how to manage them from your pediatrician. 

Doctor looking at imaging

The Best Diagnostic Imaging and Laboratory Services for You

, , , , ,

You may not know this, but at Victoria ER, our 24-Hour Emergency Center offers state-of-the-art imaging and lab capabilities. Specifically, our services include—but are not limited to—X-Rays, CT Scans, and bedside Ultrasounds, all available to give you the fast results you want, need, and deserve.

In this article, we detail components of our imaging and laboratory services, with a focus on X-Rays, CT Scans, and bedside Ultrasounds, to show that our team of experienced physicians provides nothing but quality and precise medical care.

X-Ray

Doctor holding up X-rayFor X-Rays, we currently use the Del Medical brand and SHF-535 model.

X-Rays are beneficial to examine most areas of the body, particularly bones and joints. However, an X-Ray can also detect issues affecting soft tissue.

X-Rays allow our medical team to view what is happening inside your body without making an incision. Then, we can effectively diagnose, monitor, and treat the medical condition we discover. Of course, different types of X-Rays are necessary for different purposes.

There are myriad reasons why you could require an X-Ray, such as:

  • Checking for a broken bone
  • Looking for foreign objects in the body
  • Routine screenings for cancer and/or other diseases
  • Identifying the cause of symptoms—i.e. pain or swelling

X-Rays are commonly used to examine bones, teeth, as well as the chest, and abdomen.

CT Scan

Women laying in CT Scan MachineFor CT Scans, we currently use the 16 Slice brand and 2269165-3 model.

Specifically, a CT Scan is a diagnostic imaging procedure that uses both X-Rays and computer technology to produce images of the inside of the body. A low dose of radiation is present in CT Scans, but no long-term damage has been known to occur. In fact, the numerous benefits of a CT Scan greatly outweigh any potential risk.

This tool can show us detailed images of any part of the body, such as the following:

  • Bones
  • Muscles
  • Fat
  • Organs
  • Blood Vessels

CT Scans are more detailed than X-Rays and can detect a wide range of ailments, including certain types of cancer, fractures, heart disease, blood clots, bowel disorders, and more.

A CT Scan generally lasts about 10 to 15 minutes—from start to finish.

Bedside Ultrasound

Doctor doing Ultrasound on women's stomachFor bedside Ultrasounds, we currently use the Mindray brand and UMT-300 model.

This is a very particular type of Ultrasound Scan that we perform to answer questions in real time about your body. Ultrasounds are accurate, non-invasive, and require no radiation. They use sound waves to produce images of structures within the body. These images can—and do—provide the information needed to diagnose and treat various diseases and medical conditions. Better yet, bedside Ultrasounds can work faster than a CT Scan.

Bedside Ultrasounds are often used to:

  • Monitor babies, measuring the size of the fetus to estimate the due date
  • Detect cancer in the breasts and testicles
  • Scope out muscle, joint, and abdominal pain

An Ultrasound exam takes roughly 25 to 30 minutes to complete. The doctor will receive a written report of the images within approximately 30 minutes or so.

Regardless of the type of care you require, you can always depend on the skilled and professional team at Victoria ER. Our imaging and laboratory services are top-notch—you have nothing to lose when you choose to work with us. We guarantee you’re in good hands.

Set of eco natural organic cosmetics for personal hygiene

Tips for Skin Care

, ,

Are you currently—and properly—taking care of your skin? That’s kind of a broad question, right? One that can produce a variety of answers. Simply put, your skin is important, and at Victoria ER, we want to help ensure you’re treating it as such.

There are many different skin types, including sensitive skin, dry skin, and oily skin. It’s necessary to know and understand your specific skin type in order to give it the care it needs and deserves. In general, though, there are universal tips to protect all skin types, such as:

  • Avoid tanning beds
  • Wear sunscreen daily
  • Don’t touch your face
  • Regularly check your skin
  • Find (and use) products appropriate for your skin type

While these are beneficial tips to pursue regularly, what should you do if you’re already experiencing an issue with your skin? Below, we’ve put together healing tips for common skincare problems.

Sunburns
A sunburn can be irritating and uncomfortable, even dangerous. To relieve the burn, you can try applying aloe or over-the-counter moisturizer to your skin. Additionally, take a cool bath or shower and/or apply cool compresses to the burn areas. Soaking in a bath with oatmeal, baking soda, cornstarch, or cider vinegar can assist with inflammation and itching. You’ll also want to rehydrate with water or juice. Consider taking acetaminophen or ibuprofen for pain. If the burn has blisters or the skin feels numb, you’ll want to see a doctor.

Eczema
Are you suffering from eczema? It’s important not to scratch. Find a product that works well for your skin type, and then moisturize at least twice a day. You can also apply an anti-itch cream to the affected area and/or take an oral allergy or anti-itch medication. Further, you can apply bandages to the affected area, use a humidifier to add moisture to the air inside your home, and even wear non-itchy clothing to reduce irritation. And, one more time, whatever you do, don’t scratch!

Poison Ivy
As with eczema, if you have poison ivy, it’s imperative that you don’t scratch. Most cases of poison ivy will go away within one to three weeks. To help soothe irritation and/or pain, apply any type of calamine lotion or cream that contains menthol. An oral antihistamine, such as diphenhydramine, can provide relief and help you sleep better. There are other types of antihistamines you can purchase over-the-counter that won’t make you drowsy. Additionally, cold compresses can soothe problematic areas. If the blisters/rash do not fade within a week or so, you may want to think about seeing a doctor.

Flesh-Eating Bacteria
Flesh-eating bacteria is a rare infection of the skin and the tissues below the skin. This type of bacteria can spread quickly and aggressively, entering the body through any of the following:

  • Surgical wounds
  • Puncture wounds or other injuries
  • Burns
  • Minor cuts
  • Insect bites
  • Abrasions

If not treated immediately and accurately, the bacteria can be deadly. Therefore, if you believe you’ve been exposed in any way to flesh-eating bacteria, it’s vital to see a doctor as soon as possible.

Lacerations
Lacerations, another broad term, can refer to myriad types of cuts, scrapes, and bites. Generally, these types of wounds are common and shouldn’t worry you. Yet, it’s still necessary to treat them accordingly. First, stop the bleeding of the laceration by applying firm and direct pressure to it with sterile gauze. Next, you’ll want to clean the area with soap and water, apply antibiotic ointment, and then cover the wound with a bandage. If the laceration is bleeding severely, or you’re not able to stop the bleeding, then you need to see a doctor. If the laceration is deep and looks as if it requires stitches, you’ll also want to see a doctor.

Moles
It generally takes a trained eye to determine if a particular spot on your skin is a mole, and whether or not that mole is troublesome. If you have a mole you’re unsure about, especially if it’s changed size, color, or texture, you should visit a doctor. Only a doctor can easily and safely remove a mole and have it medically tested to understand it better. Once the mole has been properly removed, the skin will heal. If the mole grows back, see your doctor.

Remember, skin is your body’s largest organ. If you don’t take care of your skin, who will? If you do happen to experience any sort of issue, illness, or injury, Victoria ER is open 365 days a year, 24 hours a day, seven days a week–even on holidays and weekends. Victoria ER is dedicated to providing our local community with access to fast, quality, and concierge-level emergency care.

6

Spring Bucket List

, , , , ,

Though the winter season seems like it may never end, there is light at the end of the tunnel. Spring is making its beautiful way to us here in the south and we are ready to help you enjoy the soon to be warmer weather! Capturing the best of this season doesn’t need to be expensive and your family may enjoy a change of pace.

1. Bake a Seasonal Pie

In spring, luscious fruits like apricots and cherries are in full bloom and ready for harvest. Utilizing fruits that are in season to bake a fresh pie will give you a chance to brush up on your baking skills and maybe even perfect them just in time for your Easter feast.

 

 

2. Climb Trees Together

Isn’t it nice to see all the greenery outside returning to its natural shade? Early in the morning or mid-afternoon is a great time to take your family to the park or grab your bike and ride solo. Climbing trees with your kids will not only speak to your inner child, but will be a memory your kids remember forever, especially if it’s not something you’re used to doing. No matter how young or old you are, just make sure you do it safely! In case of emergency, head over to Victoria ER for immediate care; we are open 24/7 and even treat pediatrics.

 

3. Feed The Ducks

Did you know bread can be harmful to ducks? Try taking your little ones to the pond with oats, seeds, rice, or grapes cut in half. Your kids will surely get a kick out of feeding the ducks and wildlife always appreciates an extra snack they don’t have to work for.

 

 

4. Pick Berries

Berry picking with families and siblings is a great tradition to carry on.  You don’t even have to wait until
late summer like you think you do. Blueberries and strawberries are prominent within our area during mid to late spring, and they are delicious! Many smaller towns within the Crossroads may even host a festival for these special fruits.

 

 

5. Spring Cleaning

Hosting a family or multiple family garage sale is a great way to spend time with your extended family and bring in a little extra cash on the side as well. Getting rid of and purging items you may no longer need will help to declutter your space. This is also a great opportunity to socialize with your neighbors and have your kids get rid of toys or games they’ve outgrown.

 


During spring, new life is in full bloom and being busy is an understatement! No matter the state of your emergency, Victoria ER treats all injuries such as allergic reactions, venomous bites, concussions, and lacerations in both adults and children! We’re open 24/7 and ready to help you as soon as you need it.

 

Merry_Christmas

Kids Christmas Gifts & Tips

, , , , , ,


Parents, did you know December is National Safe Toys and Gifts Month? Approximately 3 billion toys are sold within the United States each year and your attention is important. This holiday season, your family and friends may want to give your children a gift they’re sure to remember and be entertained by for months to come, but some of these toys can be dangerous. 

Standard testing of children’s toys by the CPSC, or U.S. Consumer Product Safety Commission has helped to create confidence within American families who plan to purchase gifts by requiring all products be tested in laboratories around the world. Most parents and caretakers are already aware that smaller parts can pose as a choking hazard to children, but what lurks within the plastics or metals your child may come into contact with can be scarier.

The CPSC helps to enforce toy standards which keeps dangerous products containing lead or high amounts of phthalates at ports from where they are shipped and out of the marketplace before they come into contact with children.

It’s important to read labels and all instructions from the manufacturer regarding the product which you are buying before leaving it within your child’s reach. You should always separate gifts and toys within your home by age group, whether they’re placed in different bins or kept on a shelf away from younger children.

Once your children’s gifts have been opened, discard any plastic wrapping and unnecessary toy packaging before it has the chance to become a problem. If a toy requires batteries, the installation and changing of them should be supervised by adults. Don’t forget that chargers or certain adapters can also pose a risk for thermal burns and electric hazards for younger kids; warnings on labels and instructions should be taken seriously as some of these products lack the ability to prevent overcharging. 

Ultimately, adults should always supervise children and their friends when playing with toys that require small parts or accessories, and take proper precautions when using scooters, bikes, or any other riding toys which can transport children. 

A safer holiday can make for a healthier and happier one, keeping your child free from risks or being seriously injured. At Victoria ER, we are prepared for the unexpected and are able to treat any emergency. If you find your child needs immediate attention, don’t hesitate as our staff is available and ready to make your family a priority 24/7, including holidays and weekends.

 

Flag_Main_Blog

Autumn Wellness Tips

, , , , ,

Victoria ER wants to wish you a happy fall! The school year is in full swing and the holidays are on the way. As the days are getting shorter and the temperature cooler, the transition from the summer season to autumn is a great time to take advantage of focusing on your health, safety, and wellness. To help you and your family better enjoy and prepare for the season, we’ve conjured up a list of tips to help you get started early!

1. Get Your Flu Shot

Although the flu season peaks during the winter, it is best to plan on getting you and your family’s shots in October to early November. Anyone aged from six months and up, into elderly adults is eligible to get their shot and this will help defend you from contracting this virus. If you do end up catching the flu, the shot will help reduce your symptoms during the period of time you are sick.

 

2. Take Care of Services Your Home May Need Early

Extra outdoor chores await us during cooler weather. Raking leaves and debris can help you get some fresh air and even be a good exercise if done weekly. You should also make it a point to check on appliances used for heating your home such as fireplaces, furnaces, and heaters.

 

 

3. Schedule Your Yearly Checkups

Do you get your health checked annually? The beginning of the fall season is a great time to schedule appointments necessary before winter is in full swing and events like family gatherings and the holidays take precedence over your schedule.

 

 

4. Eat Seasonally

During fall, fresh fruits and vegetables like apples, brussel sprouts, cranberries, and sweet potatoes are in season. Eating seasonally will not only help build your immunity towards becoming sick during these months, but can also help provide you with nutrients and vitamins you would normally get from the sun and being outdoors during the summer.

 

 

5. Maintain a Safe Home 

Safety features in your home such as your smoke and carbon monoxide detectors may need their batteries changed and to be tested. If you do not have a fire extinguisher within reach, now may be a good time to invest in one and check its pressure regularly. Do not forget about your HVAC filters as allergies accompany the seasonal changes; this will help keep the air in your home clean and healthy.

 

 

We know health and safety look differently on everyone so Victoria ER hopes to help you prepare for any emergency. Without the wait of an over-crowded hospital emergency room, Victoria ER will make your medical needs a priority in hopes to deliver the most pleasant patient experience possible. We are prepared to handle your medical emergency 24 hours a day, 365 days a year, with no appointment needed.

VER Blog_BringGold

Bringing The Gold Standard To The Crossroads

, , , , ,

Victoria ER 24 Hour Emergency Center is bringing the gold standard in medicine to the Crossroads. Experience the latest in advanced medical treatment with the addition of a new IV treatment for patients with COVID-19 and the arrival of on-site PCR COVID-19 Testing in the Crossroads area. The integration of modern diagnostics and testing will allow us to adapt seamlessly to the needs of our local population.

Victoria ER is honored to begin conducting PCR COVID-19 Testing at our on-site laboratory. PCR testing is the most specific and most sensitive testing method for detecting Coronavirus, and with the addition of this technology at our facility, we can provide our patients with same day result accuracy. This CDC preferred testing method is available 24 hours at Victoria ER for all individuals whether its for travel, medical procedures, work, or school.

We have been providing our community with PCR COVID-19 testing throughout the pandemic, but we no longer depend on off-site laboratories to receive patient specimens and deliver your test results. At the peak of the pandemic, patient PCR Test results took up to 10 days to receive in an off-site lab. Victoria ER’s ability to manage 24-hour, on-site PCR Testing allows our staff control to give you results within the same day of your PCR COVID-19 Test.

Victoria ER 24 Hour Emergency Center can help you combat the virus within a few hours with antibody IV therapy drug (bamlanivimab and etesevimab), to treat mild-to-moderate COVID-19 in patients ages 12 and up. Bamlanivimab and etesevimab, administered together, has been granted Emergency Use Authorization from the FDA as it has shown a decrease in hospitalizations in patients diagnosed with COVID-19 by directly blocking the virus’ ability to attach and enter human cells.

The ability to tackle the virus at an early onset is a tool that Victoria ER can provide you in treating COVID-19. Our staff will provide you with a private room and one-on-one care to significantly reduce the severity and progression that COVID-19 may have on you, all within minutes of checking in.

Victoria ER aims to provide the Crossroads with the latest in testing and diagnostics without the long wait of regular hospital ER. The advantage of a freestanding ER over a hospital is whether you are checking in for PCR COVID-19 testing, COVID-19 IV therapy, rapid testing, or any medical issue, you will be immediately taken to a private room and our ER physician and staff will be immediately alerted to your medical needs.

Please call us at 361-214-3813 with any questions regarding our protocols, or with questions regarding your medical safety. Because information about COVID-19 is constantly updating, you can find current details and resources at the Centers for Disease Control and Prevention (CDC).

 

Load More