? Saoirse - PRAYERS PLEASE: *HUGE* Anti-jinx - UPDATE MON 06:00: Eating, Pooped, UTI, BG Crazy on i/d

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Critter Mom

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Saoirse is really sick. I had to take her in to the vet. I woke up this morning to find her really lethargic and drooling. This is awful. This is what I was worried about when the hospital wouldn't keep her so I could get some rest. I was only able to give her insulin once a day because I couldn't monitor her to keep her safe. Saoirse's BG levels had been running between 7 and 11 but last night she was over 13 (Alphatrak). I was afraid to give her more insulin because I could not stay awake to monitor her. Saoirse's BG was 22.9 this morning. I have failed her spectacularly.

Saoirse seems to have deteriorated since the antibiotic wore off and her appetite reduced. She wasn't so keen on food yesterday but she ate after I gave her her appy stimulant. She seemed a bit down last night but it's so hard to tell what's wrong with her, what with her being fed up of the collar. She didn't eat anything overnight.

Saoirse's in hospital with our own vets. They're going to give her IV fluids and they may restart her on antibiotics. Her eye area looks a bit swollen again. They think she will feel better with the fluids. Her blood beta-ketones yesterday morning were 0.6 but yesterday evening they were at 0.3 after she had eaten. This morning they were at 0.3.

I had to take my civvie to the vets on Friday because she had really bad diarrhoea, went off her food and then vomited because her stomach was empty. Her SNAP fPL was negative for pancreatitis. She was given a B12 injection and a Cerenia injection. Her appetite has held thus far but she won't eat the Hill's i/d chunks, just the gravy.

I feed the two of them different flavours of the food I give them but the pouches are from the same box. They've both had pumpkin from the same tin, too. Could it be the food? I'm in bits right now.

I would be so grateful if you could pray and send healing thoughts for the vet to be able to stabilise Saoirse and help her get better. She had been doing so well when she was on the antibiotic. I'm really scared for her. I have let her down so badly.


Mogs
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Last week I was desperate for the hospital to keep her in so that they could give her her insulin, and monitor her to make sure she was on a safe dose which I would then be able to continue giving her when she got home, even though I would not be able to monitor her as closely as normal. I really don't think the referral hospital took me seriously when I told them how debilitated I was and how worried I was about not being able to care properly for Saoirse at home. Sometimes I think that because of my anxiety disorder symptoms some people regard me as though I'm just a paranoid pet parent instead of someone who has genuine and reasonable concerns about her cat's well-being. The current situation is what I feared might happen. I wish I wasn't so weak.


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Hell's bells, as Elizabeth said... Echoing her comment hoping that these issues can be resolved simply and speedily. I'm no expert but perhaps sometimes recovery from these situations isn't always on the upward trajectory all the time... a few blips here and there may be just par for the course. I'm sure the vets are doing the right things. Try to relax as far as you can (hopeless comment I know, I'd be in bits with worry too, but there's nothing you can do at this moment so conserve your energy for when you do resume nursing duties...)

I think many of us can relate to your feeling that the vets (and other people come to that) think we are paranoid when we simply want the very very best for our dear little ones... Their attitude makes me cross because why shouldn't we love and want the best for our furbabies in the same way that parents want for their human children... Yes I know this is a can of worms and the huge majority of people would say "you can't compare human babies with animals" but to me, love is love, end of story...

Sorry, rant over.

Keeping all paws tightly crossed that this blip will be sorted very soon...

Diana
 
... to me, love is love
I feel the very same way.
Try to relax as far as you can (hopeless comment I know, I'd be in bits with worry too, but there's nothing you can do at this moment so conserve your energy for when you do resume nursing duties...)
I'm physically resting right now for that very reason, Diana. I am waiting to get a progress update from the vets. Please God they will be able to stabilise Saoirse and make her feel better. Much as it weighs so very heavy on my heart for Saoirse to be in hospital again (I wish I could help her not to feel stressed) but it is the best place for her right now. Ideally I would like to see them get her insulin dosing sorted while they can monitor her properly. If that's the case, I'm just going to knock myself out with sleep meds to get as much rest as possible while there is someone to watch over my beloved, precious girl.

Thank you again, Diana - Eliz, too - for being there for us. This is very, very hard but it would be infinitely worse if I was all alone with it.

:bighug:


Mogs
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Holy donuts Mogs, you can't catch a break! Please cut yourself some slack, with all of your own problems I think you do a wonderful job as a kitty mom! You do everything possible for your "fur family" and I'm sure they feel your love.

Sending hugs, prayers and healing vines....:bighug::bighug::bighug:
 
Mogs, sending tons and tons of prayers, healing vines and hugs:bighug::bighug::bighug::bighug::bighug::bighug::bighug: You are a GREAT kitty mom, and Saoirse knows it. Will be thinking about you
 
I didn't think to try that, Sharon. It's worth a go but I'm not confident. She meticulously licks up every last scrap of the gravy but won't go near the chunks.

During the vet consult I asked if it would be OK to gradually introduce some of a complementary food made of just chicken breast with a little rice in a watery broth and she said it would be OK to try it. I gave her a couple of teaspoons of that a little while ago and she scoffed it up but I don't want to give her too much of it too fast. I've just given her another i/d pouch so as to intersperse the chicken and rice with more of the i/d gloopy gravy. I'm relieved that her appetite is good.

I can't get my head round the fact that I've now got two sick kitties. :(

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Oh Mogs! I am so sorry to hear there has been a bump in Soairse's road to recovery but as Diana said, this is often the case. She is in good hands and getting the care she needs to get her back on the right track. I can imagine how upsetting it is to have your civvie under the weather too. I went through that when Menace was diagnosed and in hospital. My young civvie just stopped eating out of the blue and I too started wondering if it was food related. It wasn't. In fact my civvie was right as rain the minute Menace came back home! Do Saoirse and your civvie have a relationship?

Mogs, you take better care of Saoirse than many children get from their parents so don't go beating yourself up. You have been super woman through this ordeal and you did not let Saoirse down at all! If she could talk, I know she'd tell you that you are the best Momma Bean on the planet! Sending healing vines and prayers for Saoirse and you. :bighug::bighug::bighug::bighug::bighug:
 
Oh no! (((Mogs))) I'm so sorry to hear that Saoirse isn't feeling well right now.

First off, let me say that you HAVE NOT FAILED HER. Think of all the people who would have put their cat down the second they heard diabetes. You didn't. Even when you had this setback, you did what you could to help. You've put out time, money, and your own stress and worry to ensure that she is comfortable and happy. That's not a failure. That's the most beautiful and selfless thing we can do.

I want you to remember that you aren't alone with this. Your entire FDMB family is thinking of you and sending good thoughts and love to you and Saoirse.

PLEASE feel free to come here and cry on our shoulders!! We're here for you!!
 
Oh wow:( I feel so bad for you, Mogs. All three of you have really been through the wringer. Your civvie cat is off her feed because the situation in the house is so tense. She senses you are tired and worried, and knows Saoirse is sick, and so she's emotionally distressed, and that's why she's not eating. The fact that she's scarfing up the food you have cooked, is a good sign. She probably wants a little babying too. I know Gizmo feels a bit neglected, so I am giving him extra hugs, and attention too. This is so hard on all of you.

Good that Saoirse is back in hospital, where she can get her insulin. YOU are NOT a bad mom, and you haven't 'failed' your baby. :bighug::bighug::bighug: One person can only do so much, Mogs. You are a stellar Mom...it's just unfortunate that you have ended up sick as well. It's all like a row of dominoes..and you are right smack in the middle of a cascade.

I'm wondering if Saoirse might be less stressed if she gets that darn collar off? At this stage, anything you can do to relieve stress is an improvement. Did the soft crate arrive? Perhaps when she comes home you can just take that darn collar off her. She'll learn quickly not to bump her head against anything. Ask the vet about it.

That darn referring vet makes me so mad! It's her fault you haven't been able to get some rest.:banghead::banghead::banghead: But now that Saoirse is being taken care of..get some rest. AND talk to the 'good' vet at the hospital and insist they sit on that one vet, and make her keep your cat there so you can rest!

Here's another hug for you, Mogs.:bighug:You're doing the best job you can. Don't you dare go hard on yourself, ok?
 
I am so sorry to hear this, Mogs. As others have said, clearly you have never failed her; you have been her very best advocate always. Thinking of you two - hoping you can get all some rest and she can get the support she needs.
 
Oh no! I was just thinking about you and wondering how things were going, was not expecting to read something like this.
Mogs, you are my hero. You are so kind and loving and knowledgeable, I admire you so much.
You have NOT let Saoirse down in any way, shape or form! Don't ever think such a thing!
You have my prayers and healing thoughts for as long as you need them.
:bighug:
 
Mogs, sorry to hear of this glitch. You are a great parent. If I was a cat I would choose you for my parent. I agree your other kitty is feeling the stress and possibly wants some extra attention. Saoirse is being looked after. Why not get your civvie and cuddle up in bed and give him/her some extra attention and you some rest.

Sending healing vines to all of you.
 
Oh no, Mogs, I'm so sorry to hear that Saoirse is having trouble again. I had so hoped she was not going to have any setbacks. Sending prayers, healing vines hugs, with fingers and paws crossed - everything good we can send her way, and yours.

You have not failed Saoirse, in any way!!! You are the best kitty mom I know! Please don't blame yourself for this. Sometimes things just happen that are out of our control. You have moved heaven and earth to keep Saoirse safe in a terrible, shifting situation, which you have had little to no control over. You have done the best for her that anyone could possibly, humanly, do. Please take this to heart, Mogs, I know it to be true. She's in the best place right now, where the vets can get her stabilised, and you can get lots of rest so you are able to continue your excellent nursing care when she comes home. Snuggle up with your civvie, I think you can draw comfort and reassurance from each other right now, and get some serious rest!

Hugs and all good vibes-
Lucy
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Mogs--the fluids should make her feel better and I agree she is in the best place for her to monitor...
sending lots of thoughts prayers and wisdom for the vets:bighug::bighug:
 
How is your sweet kitty today?

I appreciated the encouragement you left on my post. You know, I read the posts of all of us here, and I see good people with good hearts doing everything we possibly can to do the absolute best by our fur friends. I read your posts, and I see what you have done, and I think, "Wow, what a good cat mamma." I think you are incredible, and I think your cats are lucky to have you.

Sending prayers, good thoughts, and all my best to you and your kitties.
 
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Mogs, you have NOT failed Saoirse. Not at all! Please get that idea out of your head. You have done everything that you possibly could and more. It sounds as though she needs more antibiotics, which she's now getting at the vet. You couldn't possibly have known she was going to need more than she'd been given - if the vet who did the surgery didn't know, how could you have known? And the need for antibiotics is likely what's pushed her BG higher. Not one bit of that is your fault on any level.

Prayers, healing vines and hugs for you and Saoirse. Please take good care of yourself - you've been through such a lot with Saoirse over the last couple of weeks and beating yourself up over something you couldn't have done anything about is not going to help either of you. :bighug: :bighug: :bighug: :bighug: :bighug:
 
Update: Sunday PM
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Our vet (Saoirse's second-in-line main vet) called and said that Saoirse is responding to the fluids. She has stopped drooling, she has brightened up a bit, and she managed to eat some Hill's i/d food. Our vet has also started her back on antibiotics (see below). You have no idea how relieved I was to hear this. She was so sick this morning.

Even with the higher carb food Saoirse's BG came down a bit into the 18s by way of initial response to the fluids and antibiotics but she crept up again to the 19s after eating a little (Alphatrak meter). Saoirse thankfully provided the vets with a urine sample not long after she was admitted. There is glucose in the urine (no surprise with this morning's 22.9 Alphatrak reading). Ketones were negative but there are white cells in her urine. Our vet suspects she may have a UTI and also she is worried that there may be some infection in her right eye area since it has become swollen and red again. She thinks that the infection issues may have been rumbling and when the antibiotic cover ran out this is what may have led to Saoirse going off her food and then ending up so poorly this morning. She also said that the rumbling infection issues could well have been keeping Saoirse's BG higher than might have been expected.

I had a good conversation with our vet about how I had asked the referral hospital to keep Saoirse for a few days to stabilise her on insulin, etc., and that I had told them I was extremely worried about my capacity for nursing her properly through her convalescence because I was so severely fatigued. I explained how I had asked for Saoirse to be readmitted - for her safety - so that I could rest a bit in order to be able to home nurse her properly, how the overnight duty vet had considered my request reasonable, and how the morning duty vet was so dismissive of my concerns and subsequently refused to readmit her. Thankfully our own vet and myself are pretty much on the same page about how best to care for Saoirse going forward. She is going to contact Saoirse's opthalmologist tomorrow to discuss the swelling at the surgery site because she's concerned it might abscess (assuming the opthalmologist is back from her break - our vet is fairly sure she is). Please pray that it doesn't. Our own vet is also going to treat Saoirse as an inpatient until she is sure she has the infection issues properly under control and Saoirse stabilised. She fully appreciates that I've been struggling to care for Saoirse properly. We both know that it's very disappointing and stressful for Saoirse to be hospitalised again but we both agree it is the safest place for her to be right now. Understandably Saoirse is quite cranky but the hospital area is fairly quiet today and it should also be fairly quiet tomorrow. They have screened off her cubicle in an effort to mitigate some of the stressful effects of the environment.

My only significant concern is whether or not the vets will be aggressive enough with Saoirse's insulin treatment. They are holding off on giving her insulin at the moment because they want to see how she responds to the fluids and recommencement of antibiotic treatment. They are monitoring her BG every four hours at the moment to see if there will be any significant lowering of BG before restarting insulin. I appreciate the reasoning behind this but I don't want any unnecessary delay in Saoirse's receiving the insulin she needs. They are also monitoring her urine for ketones. I've given them Saoirse's blood ketone meter to use as well. I have requested that they get Saoirse to the stage where she is regulated (somewhat 'loosely' - I want a safety buffer for her nadir values) and on a dose that is as safe as it can be for me to give her at home twice a day (with the Lantus depot properly established). They are amenable to this request. (Note: the duty nurse was a tad puzzled at the level of my concern about monitoring Saoirse's BG given that so many people just go on clinical signs. I'm saying nothing ...)

I can visit Saoirse tomorrow afternoon. While she has proper nursing care I'm going to try to get as much sleep as I can manage. It might be a bit deeper because my subconscious might get a chance to step down from DEFCON 1 while it knows that someone is watching over Saoirse for me.

My heartfelt thanks to each and every one of you for being here for my girl and me (and also to our vet and the on-call nurse for coming to her aid today). I'll do my best in the next day or two to reply to your posts.

I am so grateful for you, my FDMB family. It is only because of your kindness and caring that I've managed to get this far. I would be utterly lost without you all.

:bighug::bighug::bighug::bighug::bighug::bighug:


Mogs
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Hi April,

I hope you are feeling a bit better in yourself. :bighug:

It sounds as though she needs more antibiotics, which she's now getting at the vet. You couldn't possibly have known she was going to need more than she'd been given - if the vet who did the surgery didn't know, how could you have known?

I actually asked the opthalmologist whether a week-long antibiotic course would be enough, particularly as Saoirse is diabetic and therefore more vulnerable. She said that the antibiotics were only given as a precaution. Thing is, Saoirse had a trace result for blood in her urine the day she was discharged, but that seemed to fall through the cracks antibiotics-wise, too. (The usual 'probably just stress' line. :banghead: )


Mogs
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So happy to hear your vet will watch over her and some stress has been relieved from you. I so hope it's not an abscess and another issue to deal with. But you caught it early and got her to her doctor. Please get some proper sleep with your civvie curled up with you.
 
The dx sounds very plausible and I'm very glad you had a good conversation with the vet. It's soooooo important to feel that the medics are on side. Try and sleep now...
 
Heya Mogs:):bighug::bighug::bighug:

I am so thankful that your mainstay vet is so compassionate. It sounds like the hospital staff are quite attached to her. I know my vet wouldn't be doing handstands to save Dottie..she'd be just another patient to them, while your vet and hospital sound like they're really on the ball with Saoirse.

The best thing you can do now, is to cuddle with your civvie. (BTW, what is your civvie cat's name?) She needs attention desperately, although she won't show her anxiety as much as a human would. She'll simply go off her feed, close her eyes, and let the world go away for awhile, in hopes that when she wakes, everything will be back to normal.

Is she willing to play with you a bit? Can you toss a toy about for her, for a few minutes? My Gizmo, this is what he's asking me to do, when he's upset. He wants me to whip out his Da Bird toy, and leaps at it till he's panting. I guess it's like a guy who, when faced with a family member in hospital, might go to a basketball court and shoot hoops for hours...it's his way of defusing anxiety.

So perhaps there is some activity...brushing, tickling, playing peek-a-boo with a blanket, turning on the water faucet and watching the water drip together..SOMETHING normal you can do till she says "enough"... that acts as a stress release trigger for your civvie, that will have her perky in no time flat. Because if she's stressed, and behaving unnaturally, your subconscious is not going to relax until you see she's ok too. You will never feel like you are 'allowed' to rest. And seeing her relaxed and happy will be a tonic for your sorely stressed body, too.

I know it's hard to pretend that everything is ok..but you gotta do that for your civvie, and you! Play is healing, even when it seems inappropriate at times. Our bodies have ingrained memories, and play memories force the rest of the body to 'lighten up'. Then you'll sleep the deep sleep of someone who is Taking Care Of Business..and be restored.

Oh..almost forgot...with Saoirse..does she have a drain in her eye? You never mentioned this..a drain can be really important because it will drain out the evil gunk and disallow an abcess to build up and fester.
 
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I hope you are feeling a bit better in yourself.
Much better, thank you Mogs. :) Still a little tired, but that's about as close to normal as it gets for me! :)

I actually asked the opthalmologist whether a week-long antibiotic course would be enough, particularly as Saoirse is diabetic and therefore more vulnerable. She said that the antibiotics were only given as a precaution. Thing is, Saoirse had a trace result for blood in her urine the day she was discharged, but that seemed to fall through the cracks antibiotics-wise, too. (The usual 'probably just stress' line. :banghead: )
Now that IS annoying. There seems to be the feeling recently that because we're all told not to over-use antibiotics that the minimum dose necessary needs to be given even at times like this when they are very definitely needed. After a major surgery is one of the times when a good course should be given because there is nothing worse than just getting over the surgery only to come down with an infection - I had it happen to me once because of the insistence that 24 hours of antibiotics is good enough in most instances. Preventable and infuriating.

I'm really glad to hear that your regular vet is stepping up to help you get some much-needed rest. Saoirse is in the best place to be kept safe and get over her infection and it gives you a chance to rest without having to wake up every hour or two to see if she's doing OK. I would definitely take all the help they can give you right now - I'm sure once your vet speaks to the duty nurse, she will understand your concerns over BG control much better. I don't doubt that they're not used to people taking the degree of control over it that we tend to here - my vet is still surprised by how closely I monitor Rosa and how quickly I picked up on her drinking more when she was prescribed a med that contains corn syrup. Clearly the practice have Saoirse's very best interests at heart - and yours too for them to keep her there while you rest and recuperate. Prayers for no abscess for Saoirse and for her to be feeling better and ready to come home to you soon. :bighug: :bighug: :bighug: :bighug: :bighug:
 
Oh Mogs you are such an inspiration to me, I see what you are going through and how much you love Saoirse and I know you are going above and beyond in your care of her. Please don't ever think you are a failure, you are so the opposite of that. If I were a cat I would love for you to be my bean.

Sending love an prayers y'alls way. Take care, get rest and snuggle with civvie too, it will comfort both of you.

:bighug::bighug::bighug:
 
I just checked in and saw Saoirse is having problems, I am so glad she is better this evening and that your vet is going to help out and give you some much needed time off, will be sending good vibes and prayers your way.
 
Well, Mogs, your new post on Saoirse and her civie wasn't what we were hoping to hear for this day. What a bummer!!! So sorry this has happened. But I'm relieved to know Saoirse is now under the care of her regular vet, as you both need that right now. It's good to know that Saoirse is now doing a little better and that you will see her, tomorrow. I can't help but feel that the initial regimen of antibiotics was too short and should have been prescribed for a longer period of time. Heck, cats with lesser issues often get antibiotics for 14 days... at least that's been my experience. I hope you are able to get some more good rest, as you certainly need it. And as others have suggested, enjoy some special time with Saoirse's civie, as it will benefit and comfort both of you. She's definitely feeling the stress and disorder of all of this, too. Be assured I'm continuing to pray for the three of you and sending hugs and healing vines. Oh, and one more thing... please, please do not beat yourself up, thinking you've failed your girl. That is so not true! You are way too hard on yourself. You have done the best you could do. Can't ask for more than that. Blessings!
 
Oh Mogs - so very sorry to hear about the setback, but happy to hear of the positive reports from the vets. I'm so glad your regular vet is so understanding and listens to you. Waiting to hear more good news when the vet opens in the morning Sending more hugs and positive thoughts and prayers to you and Saoirse :bighug::bighug:
 
Just saw your update! (Didn't get notification!?!) Your vet is obviously going to stay on top of things and keep a close watch on your little sugar girl which is great news. Saoirse is a trooper just like her Momma Bean! Glad to hear you are feeling a little better but you need to use this time to get your batteries fully charged. I agree with those suggesting a good civvie cuddlefest or playfest! Does wonders for the spirit! Continuing to send healing vines and prayers for a Saoirse and you to both feel much better very soon!
hug1.jpg
as many times as you need!
 
I'm so glad your regular vet is so understanding and listens to you.

Only so far. They are withholding ALL insulin treatment. :mad: They are (unjustifiably) worried about hypo and despite my requests they are not giving her any insulin at all on the grounds that the infection needs to be addressed first. I am very angry about this. It is NUTS to withhold insulin for a diabetic above the renal threshold with an infection - and several orders of magnitude more nuts when there is a body of data to show Saoirse's insulin response AND they are in a position to monitor her blood glucose in the way that I could not at present. I am seriously hacked off about this state of affairs. I think it is a very wrong-headed clinical decision on their part.

It is a credit to the staff at the referral hospital where Saoirse had her op. They worked seamlessly with me to ensure that she received adequate insulin when she was in their care. I wish we had similar support now. Often we see feline patients here whose vets prescribe too much insulin and who don't take threat of hypo seriously. I've got the opposite problem: I'm always anxious about hypo but even with my anxiety disorder symptoms at their worst my level of worry is completely eclipsed by the paranoia shown by our own vets. I honestly cannot comprehend their behaviour in this respect, and I'm very upset about it because Saoirse is paying the price for their fears. Bad and all as I am at the moment I at least managed to give her one dose a day at numbers far less poor than what she's running at now. Grateful as I am for the necessary respite, I'm really angry that they won't give her the insulin she needs and that they are putting her at greater risk of DKA (and the vet I spoke to today was a little bit dismissive of my concerns about this).


And that you trust the vet is wonderful.
As far as I can trust any vet, Debby, but it's not 100%. It never can be again after all the mistakes vets have made about my cats down the years - and two of those mistakes were fatal: Tara was only six; Danú only seven. And I've provided plenty of detail over how many things have gone pear-shaped for Saoirse of late - things which caused her completely unnecessary distress when she already had more than enough to contend with (e.g. lack of antibiotic cover, as discussed above). :( :( :(


Mogs
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As far as I can trust any vet but it's not 100%.
Do any of us trust 100%? I know I don't - I've seen too many mistakes made. Most are minor, but then you do get some that aren't just as you've found over the years. Then again, I don't 100% trust doctors either...maybe I just have trust issues...
 
As far as I can trust any vet but it's not 100%. It never can be again after all the mistakes vets have made about my cats down the years - and two of those mistakes were fatal: Tara was only six; Danú only seven. :( :( :(

And you're already familiar with the recent screw-ups with my Saoirse ...

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I'm the same way. I lost my beautiful, white polydactyl Tino at 3 from a massive screw up, and it's hard to trust again.

Makes things tougher in some ways because you're always second guessing and doubting (which isn't a bad thing because it's led many of us here, which has been a very, very good thing for us and our kitties).

Hugs to you.
 
I'm so sorry you ands Saoirse are still having such a tough time of it, I feel just terrible for you. I cannot comprehend why her vets would give her NO insulin at all, that certainly seems contraindicated, to me. What you and Saoirse are going through is so devastating for both of you, and made even worse when it becomes difficult for you to completely trust the vet's plan of treatment.

(((Hugs))) to you, Mogs, and gentle scritches for Saoirse. You both remain in my prayers, and I will continue to send healing vines and healthy thoughts.

Lucy
:bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug::bighug:
 
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