INSOMNIACS place to talk in the wee hours

1105410551057105910601503

Comments

  • luvmygoats
    luvmygoats Member Posts: 2,942
    edited December 2015

    GM Everyone. Busy last few days.

    Mostly Mom - My heart breaks for you. Your Jessie was a beautiful dog. I've had to put down so many goats, well the vet did, but it still is never easy. Plus a beloved cat and a dog. My dog now will be 9 in January and though she is small terrier I know the day is coming. I look on the local animal shelter page and they adopt a lot out. It's just not real convenient to get to and just too much going on. Maybe in the spring I will look for another dog. Would love to have a bigger dog but not enough fence. Just perfect for small dog.

    Mags - hoping your appointments go well today. Might be allergy headache. South wind in blowing well here. Looks like a chance for severe storms Saturday. Friday is supposed to be almost 80. Wouldn't you know I have a big eye doc appt so we'll not see a lot of midday except doc's office.

    Zills - I had not tried any Irish tea until I bought these. I got Glengettie which I will probably not buy again. T&H Scottish loose tea which I think I've had teabagged b4 - OK. Bewley's Irish morning tea came from Amazon - like it but truthfully I'd just a soon have Yorkshire Gold. Again I will drink up what I've bought but not terribly impressed with anything. When I get to Ft Worth again I might get some Barry's, maybe a small packet. Pretty sure World Market has that. The British Emporium was just fun, crowded. DD was amazed at the accents but then realized it was the only store she knew of and me too that was totally import stuff. She bought some Jaffa Cakes because some online bud talks about them. See there are homemade recipes. Might try that for Christmas. Also got some Digestive Biscuits - chocolate chip. My 2 candy bars are still in the fridge.

    Not sure what pneumonia shot I got 3 years ago. Guess I need to ask about the updated one when I go in the spring. Still need to get DH and I down to get the shingles. Just submitted to insurance the flu shots we got a local grocery pharm. See how that reimbursement goes first b4 tacking the much more expensive shingles. I did get the TDAP this spring (tetanus, diphtheria, whooping cough). Gosh knows I keep my tetanus up to date.

    Mr. Developer dropped the plat by yesterday. The land just across from me is owned by a cattle guy who owns land behind the new development as well so not a part of the project. I will have one house that will back up to my intersection and then the road into the development - 37 houses. Mostly just over an acre. I think they will begin moving fast. The stakes are out for the road thru it. Another guy came out after Mr. D was here and drove up the route of the road. He might be another house builder looking for lots.

    OK Queenie no beans for dinner tomorrow night (I do have the right day - Thursday for your touch up glamour?). We have special no melt chocolate for our pockets. Why not. If we can jump long distance we can have magical no melt chocolate.

    Loverly - Parents, DB and I ended up in Honolulu in 1961. DF worked for a construction co based out of NM. Got contracts somehow in H thru LA office. We were supposed to be there only 6 months but ended up staying 1.75 years. He built a hanger I think at the AFB - the 1st job. I know he built buildings at the University of Hawaii. I have some home movies of us going out there. Even then Hawaii was very expensive. Parents thought for a while they would not find a place to rent. The house doesn't exist anymore. The expansion of Kalanianaole Hwy out to KoKo Head took care of that. Google Earth is amazing.

    Have to get myself up and moving. Have a sad funeral to go to. Assoc. pastor's mother was in a major car wreck 2 weeks ago and she passed Sunday. She was a part of the ladies' Bible study I attend and just an awesome older role model. I will miss her greatly.

  • sas-schatzi
    sas-schatzi Member Posts: 19,603
    edited December 2015

    Loverly, I found a link to a possible name for the little angel. One clue. The round pieces of glass are very unique Second clue.. Look at the lines in between the round pieces. That same line is on her sides. They're only two pieces on replacements.com, but they don't always have all pieces to a pattern. Store that link someplace. Yay, I'm 90% sure. Finally a name.

    http://www.replacements.com/webquote/INGMAF.htm

    jazzy cool no storms :)

    Trump was misquoted. They left a key phrase out. "until our government figures out what is going on" Changes the meaning.

  • sas-schatzi
    sas-schatzi Member Posts: 19,603
    edited December 2015
  • Chevyboy
    Chevyboy Member Posts: 10,786
    edited December 2015

    Thanks gals! I got my shot.... Was told that I should have had a "booster" shot one year after the first one.... But next year when I get a flu shot, get the booster shot for THIS one.... Prevnar is the newest one.... So I will do that....

    I think as "we" get older, we really need to keep up on those shots ..... including the Shingles shot. And having Asthma makes it even more important.....

    The Pharmacist told my DH who complains about his knee, to anyone that will listenbutwhowillnotgoseeadoctor that his knee hurts, and what is it? She told him probably not arthritis.... maybe take Ibuprofen for pulled muscle instead of Aleve or Tylenol! So let's see if he will actually DO it, AND then take it as he is supposed to!

    Actually, I have this thinking that as men grow older, they become stubborner... ie...... stubborneser..... I mean extremely prone to complaining constantly about things they won't actually do anything about. They just like to complain. I love the little chit, but sometimes I just look at him like "did you really just say that..... honey?"

    Never mind I broke my whole hip.... once..... That pain in his knee is 10 fold far worser.... ie worstest.

  • queenmomcat
    queenmomcat Member Posts: 3,039
    edited December 2015

    Luvmygoats: only if it's good no-melt chocolate. And yes--glamour touch-up surgery on Thursday. Today: $700 of car repair, and a trip to the library for some nice distractions for after surgery. Def. no beans the night before! probably something comforting like shepherd's pie or waffles.

  • Wren44
    Wren44 Member Posts: 8,585
    edited December 2015

    Goats, Get those shingle shots. Shingles is extremely painful and can cause nerve pain that lasts for years. A friend caught shingles despite the shot, but it was a light case. They told her the shot gave her some protection.

    I got the new pneumonia shot earlier this year. And I always get the flu shot. I had flu at 17yo that put me in the hospital for a week.

  • sas-schatzi
    sas-schatzi Member Posts: 19,603
    edited December 2015

    chevy, I hope dh doesn't follow that pharmacists recommendations. It could kill him.

  • Chevyboy
    Chevyboy Member Posts: 10,786
    edited December 2015

    But Sass.... it's only Ibuprofen!

  • magdalene51
    magdalene51 Member Posts: 2,214
    edited December 2015

    Back from docs. Took pain pill. Will write later tonight on laptop. Meantime, here's what the lumbar MRI told us.

    image

  • sas-schatzi
    sas-schatzi Member Posts: 19,603
    edited December 2015

    Chevy, Will you promise to read my answer? It's not going to be short. I love Pharmacists, but she went over the line

  • Chevyboy
    Chevyboy Member Posts: 10,786
    edited December 2015

    But Sass.... considering he would rather complain about everything that bothers him, than talk to our PC, I figured this was better, than just ignoring his problem, and doing what he does anyway,.... He will not go see a Doctor, unless he can't move... or is so sick, like when he needed a pacemaker.... He will take otc pills without thinking what they will do. He takes Pepto Bismol for constipation.... and lives on sweets and snacks.

    He won't eat vegetables, and only an occasional 1/2 a banana.... Maybe a few beets once in awhile. I give up.... I make good dishes! But he will only eat what he likes.... And he has lost weight over the past couple years....

    So if he takes Ibuprofen, and it makes him feel better, that makes me happy..... So if the Pharmacist over-stepped her boundaries, that's okay, because it is someone he "might" listen to....

    Mags! Can they help you with this?

  • sas-schatzi
    sas-schatzi Member Posts: 19,603
    edited December 2015

    Chevy, I tried to find some patient teaching materials. The following is the very good. All drugs have consequences. Your DH has a long standing hx of using alcohol. He is at risk for bleeding from the GI tract b/c of his alcohol hx if he uses ANY of NSAIDS. Before DH starts an use of a drug. He should see his PCP. Be examined. Have appropriate blood work done. Appropriate imaging studies.

    The info in the next post is what I would have said, but not as well. At least I don't have to spend a couple hours thinking that hard.

  • sas-schatzi
    sas-schatzi Member Posts: 19,603
    edited December 2015

    http://painaction.com/members/article.aspx?id=5076&paintypeid=0

    Important things to know about nonsteroidal anti-inflammatory medications

    Written by: Alicia Potter
    Published: Monday, April 18, 2011
    Reviewed by: Kevin L. Zacharoff, MD, June 2014

    Nonsteroidal anti-inflammatory drugs (NSAIDs) are familiar to most of us and are often very effective for people with pain resulting from arthritis. Not only do they help to reduce pain, they can help to decrease swelling and inflammation as well. Depending on your symptoms, medical history, and other factors, an NSAID may be your health care provider's first choice for treating your arthritis-related pain.

    There are dozens of different kinds of NSAIDs. Probably the most well-known is aspirin; others include ibuprofen and naproxen. NSAIDs are available over the counter (OTC), or by prescription, when stronger doses or combinations with other medications are necessary. NSAIDs also can be delivered in a number of different ways; as pills and capsules, or topically, meaning that they can be administered through the skin in gels, creams, and patches.

    These medications are often widely recommended and readily available, but it's very important to learn all that you can about them. Side effects can occur when they're not taken correctly, are taken excessively, or are mixed with other medications. Knowing the risks can help to ensure your safety and good health.

    How NSAIDs work

    The word "nonsteroidal" refers to the fact that NSAIDs do not contain steroids. Steroids are hormones that exist in your body, and that can also be made artificially. Some steroids (such as prednisone) are very effective at decreasing inflammation, and they can also carry significant side effects, especially with long-term use. NSAIDS are sometimes a good alternative to steroids for decreasing inflammation. They work by blocking chemicals in your body called "prostaglandins." Prostaglandins are substances that dilate blood vessels and play a role in the inflammation and pain that occurs after the body has had an injury or an irritation.

    The American College of Rheumatology recommends NSAIDs instead of the drug acetaminophen for people with osteoarthritis who have moderate-to-severe pain and inflammation because acetaminophen doesn't have any anti-inflammatory effects. People who haven't gotten good pain relief from acetaminophen may also benefit from NSAIDs.

    Realizing the risks

    NSAIDs can be a very safe option for treating pain like arthritis pain. However, while many health care providers recommend using them for a short period only, often at the lowest dose possible, arthritis is a long-term medical condition. A major concern is that, over time, high doses can cause heart and kidney problems, high blood pressure, liver damage, and gastrointestinal problems, specifically ulcers and bleeding.

    Aspirin, the "grandfather" of all NSAIDS, is a bit unique because it is also in some cases recommended for people who think they are having a heart attack or who have known heart disease (discuss this with your health care provider). It has been shown to have benefit in guarding against heart attacks and strokes, but also can contribute to ulcers and bleeding so should not be used without consultation with your health care provider.

    According to the Food and Drug Administration (FDA), people who should be extra-cautious about using NSAIDs because they're at high risk for NSAID-related bleeding include those who:

    • Have a history of stomach bleeding, as from an ulcer
    • Are over age 60
    • Consume frequent or large amounts of alcohol
    • Combine one NSAID with other NSAIDs or steroid medications
    • Are at increased risk of bleeding in general, for example, if they're taking blood-thinning medications

    Five steps for safe use


    1. Stick to the daily dosage. There are specific directions that apply to both OTC and prescription products. If your health care provider recommends an NSAID, be sure that you understand exactly how many pills you should take each day, how often you should take them, and how to take them. Often, it's recommended that you take them with food. If you do not feel better, do not increase the dosage on your own, as this could result in damage to your kidneys and stomach. Instead, tell your health care provider that your pain hasn't improved and review your current treatment plan together.

    2. Share information. Tell your health care provider about any other OTC or prescription medications that you're taking, including those not for arthritis. Many medications, such as prescription blood thinners, contain ingredients that shouldn't be mixed with an NSAID. In general, taking NSAIDs with certain medications may cause or increase side effects and/or decrease the effectiveness of the drugs. Ask your health care provider what you should avoid.

    Check in, too, about the dangers of taking more than one NSAID at once. For example, your health care provider may advise against taking a daily aspirin for heart-attack prevention and an OTC or prescription NSAID. Similarly, using a topical NSAID, such as a pain-relief patch or cream, at the same time as taking an NSAID pill may increase the chances of serious side effects.

    Even if you use any of these products only occasionally, let your health care provider know. If you're about to start taking one, be sure to consult provider or pharmacist beforehand.

    3. Know what you take. To avoid the possibility of overdose if you're taking more than one NSAID, it's important to read the labels of all your medications. For instance, NSAIDs are often ingredients in cough, cold, and sinus products. Ask your health care provider or pharmacist for a list of what to look for under "active ingredients" on the product's packaging.

    4. Watch your alcohol intake. People who take NSAIDs and drink more than three alcoholic beverages per day (two, for women) may be at higher risk for liver disease. Even if you drink less than this, there may be special considerations regarding your consumption of alcohol and NSAIDs. Ask your provider what's best for you.

    5. Know your risk. Each person is unique, and you may have factors in your medical history that put you at higher risk with NSAID use. Talk to your provider about what symptoms or side effects should concern you. Above all, always let your health care team know how you're feeling and what you're taking to ensure safe and effective NSAID use.

  • sas-schatzi
    sas-schatzi Member Posts: 19,603
    edited December 2015

    Chevy dear friend. Knee pain isn't all osteoarthritis. What if it were from an undx'd aneurysm in the knee bend area. He could take an NSAID that prolongs bleeding time that can't be reversed by another drug. He pops the blood vessel and bleeds uncontrollably. Or b/c of the alcohol hx. his platelets are low and his liver isn't functioning right, he may not be able to clot right if he gets into a bleed situation from the stomach or intestines. These are the things that a doc is going to consider before prescribing a NSAID. (I hope they would).

    All drugs have consequences :)

  • sas-schatzi
    sas-schatzi Member Posts: 19,603
    edited December 2015

    Mags, Bum back for sure. What's the next step?

  • magdalene51
    magdalene51 Member Posts: 2,214
    edited December 2015
    Sassy, I'll be back on later tonight on my laptop, easier to type out there. Will explain all.
  • queenmomcat
    queenmomcat Member Posts: 3,039
    edited December 2015

    Magalene: my spine sends your spine sympathies.

  • kathindc
    kathindc Member Posts: 2,042
    edited December 2015

    Chevy, another thing to consider with NSAIDs is kidney function. If there is any decline in it, NSAIDs should not be used. My hubby was diagnosed with chronic kidney disease and was told not to take ant NSAIDs. Plus, factor in our kidney function starts to drop around 3% a year when we get in our 60s and we are asking for trouble. That's why they are not recommended for those 60 or older.

  • Chevyboy
    Chevyboy Member Posts: 10,786
    edited December 2015

    Okay, thanks Sass! He still drinks maybe 3 beers a day..... which is not good, but a hellofalot better than his 6 to 12 he used to drink a day. He has been taking either Aleve....like only ONE, which probably doesn't even help.... OR he takes a Tylenol.... one again.... and only once a day.

    He hates to tale pills of any kind.... and doesn't.... He doctors himself, because he hates to go to the Doctor......

    I just now told him what those instructions were.... about the 3 beers a day. He will take them at night.... because that's when it bothers him.... He KNOWS how I feel about his beer...but having stayed together for these 58 years makes it a little more acceptable for me.... considering what I used to live with.

    I have no patience for anyone drunk.... none. I lived with my Dad, my Grandpa, and even my FIL always drinking and getting drunk.... So naturally I thought this was how life was... How men acted.....

    But the older I got, and realized how AWful, being around a drunk was, I lost all my patience. I reached a breaking point.... and gave it all up.

    Took 7 months, and a lot of help, to try and rebuild my life, and my marriage.... So here we are.... and even though I understand he should NOT drink, I can live with his 2-3 beers a day, because he doesn't get drunk. This happened about 14 years ago...... It is what it is.... and if I hadn't learned to love him all over again, we wouldn't be together today.... I guess I feel really lucky, and fortunate to have come through it all.... and found "him" and bring us together...........

  • magdalene51
    magdalene51 Member Posts: 2,214
    edited December 2015

    Aw, thanks queenmomcat. Our spines need love too, right?

    Ok here's the report, in order. First, MO says my blood work is perfect and I don't need a scan, and come back in 4 months. So I guess I have graduated from 4x a year to 3x a year. Second, upstairs to the PCP. You've already seen the MRI results. The neurologist report was less than helpful, because apparently he never received my MRI report before my appointment. Even though his office wouldn't even schedule an appointment until I'd had it. He had one from – get this – 2008. Sheesh. I'm supposed to see him again end of month. So, we still don't know if there's anything that can be done. When I last talked to my orthopedic doc about it, back when I had the 2011 MRI, he said it was inoperable. But I know laser spine surgery has made major strides in the past few years, so who knows. I know I wasn't crazy about the neurologist, as he wanted to blame all my symptoms on the cancer, even though they date back to years before cancer. I wondered why he didn't order an MRI, didn't know he'd requested one before the appointment. The only thing I can figure is, the 2008 MRI was cervical spine, the current one was lumbar. Hmm.

    I was in tears by the time I got home, didn't take any pain meds because I hate to take them & drive. So I took one, but I think it was insufficient to deal with how much pain I let myself get into. PCP wants me to stay ahead of it, take 2 a day at least, they're only 5 mg. She adjusted the prescription so that I can get it refilled when I come in every two months for port flush. So that works for me. I just didn't want to have to drive out there every month. I know, I'm so spoiled. It's not that far.

    Oh, and I had gained fully 20 pounds since last visit in September. Gabapentin. Is it helping the neuropathy? she wanted to know. No, I said. Let's just cut that then, your body is not processing it well. Same thing happened years ago with Lyrica, I gained 100 pounds before I quit it. I know some have said they had to titer down on it, but I quit Lyrica cold turkey and never noticed. Not like Cymbalta, which had me suicidal even titering down as slowly as possible under doctor's guidance. So I'm not expecting a problem.

  • magdalene51
    magdalene51 Member Posts: 2,214
    edited December 2015

    Oh, and the third appointment was endocrinologist. Such a sweetheart. He didn't have my labs back yet but not expecting a change since I've been on the same dosage for 2 years now. See him again in a year.

    Today is my grandson's 22nd birthday. Good kid. (Son's stepson.) This is when he visited in 2013.

    image

  • Jazzygirl
    Jazzygirl Member Posts: 12,533
    edited December 2015

    Somebody broke the internet with this one today

    image

  • Zillsnot4me
    Zillsnot4me Member Posts: 2,687
    edited December 2015

    perfect pix for the holidays. Priceless!

    Very handsome GS. Hope my boy grows up to be such a cutie.


  • kathindc
    kathindc Member Posts: 2,042
    edited December 2015

    Jazzy, Oh, that is funny. Reminds me of the time I took DS and twin DDs for the annual Christmas photo. One of the girls started crying. Photog gave her a small ball to calm her down. It worked but she kept wanting to hold it up. Photog got upset about that. I told him if he could get a good shot to take it even with her hands up. Those turned out to be better than the ones with her hands down. It surprised him that I knew what I was talking about

  • kathindc
    kathindc Member Posts: 2,042
    edited December 2015

    Mags, grandson is a looker.

  • Spookiesmom
    Spookiesmom Member Posts: 9,568
    edited December 2015

    Mags. Before I had my 4 level cervical fusion, I tried those meds too. None of them helped. They are all in the same class, SSRI. And I couldn't take narcs because I was driving, and subject to random drug tests. The one thing that did help some, was a TENs. I'd stick it on, adjust, and go to work. My insurance covered the unit, and the patches. Work couldn't say anything it's external, just electrical impulses. Ha! I could get up to 8 leads, patches, on it, so had good coverage.

    Now that my lumbar is falling apart, I'm going to find and use it again. Won't cure me, but might get some relief.

    Or if you don't want the surgery route yet, there are internal devices that work like a TENs, and implanted pain med devices. Medtronic makes them, Boston? I forget the rest of that one if you want to google them.

  • sas-schatzi
    sas-schatzi Member Posts: 19,603
    edited December 2015

    Chevy, I get what you are saying on the 3 beers. But I would be remiss in not telling you he is at risk for bleeding. His past affects the present to a degree. By taking an NSAID with alcohol within 24 hours, also, creates a higher risk. Then it adds to the cumulative risk for bleeding. Overall he should choose the beer or choose the NSAID. Just not both. One study I read years ago, but haven't seen it quoted in other studies, was the metabolites of NSAIDS could be found in the blood for up to a week later. That shocked me. Obviously, haven't forgotten it. I thought it bad news for anyone trying to be liver/ kidney protective by never taking it within 24 hrs together. The hidden damage.

    Tell the old goat he has to see a doc. Problem with that is the doc will likely find a laundry list of 'conditions' Then I could see him turning around and saying "I told you so, if I didn't go to the doctor they're be nothing wrong with me".

    Please, just try to keep him from using the drugs at the same time. Alcohol (ETOH) is a drug too.

  • sas-schatzi
    sas-schatzi Member Posts: 19,603
    edited December 2015

    Mags, We need to get the friggen laws changed. I know you know you can pick a copy of any report once it's signed or released into the Medical Record system. The problem is they require us to pick it up in person. Sign a release and picture ID. If we could sign the release and have them fax or mail it to us would make it so much easier. My MO's office would fax anything I wanted. I generally NEVER walk into a docs office without a report. It's a wasted visit if they don't have a report.

    Your Neurologist doesn't get high marks for efficiency. But re: the lumbar? I do agree advancements are happening fast. But even slow advances are not known to all docs. My craniotomy procedure was 20 years old, but no one in my county was doing it and my MO didn't know about it. The neurosurgeon didn't know of it or didn't offer it initially because he didn't do it. I found it on the internet. That's how I got to MOFFITT a NCCN center.

    If a procedure is used only by Orthopedic docs, a Neurologist may not be familiar with it. Made me crazy life long all different times where as a nurse, I made a doc aware of something another ologist/ surgeon was doing that may apply.

    Sticking in a memory. A big big unusual vascular case. The CV surgeon was stuck because he wanted to do something and I suggested a tool used by another service. Then I had to tie a clove hitch(my suggestion) to the tool to drag through the line. Ever try to tie a knot that you hadn't done in years(scouts) with a dozen people watching. BUT it worked.

    Back to you. Go to the internet and find a Spine Institute or some such, near you. Generally, when it's a big center that deals with a body part, they put a fancy name on it. I'll stay with you on the research. They are most often associated with teaching hospitals and medical schools. Sometimes separate, but still affiliated with a hospital. I have two within probably 75 miles.

    Lyrica & Neurontin are in a different class of drugs from Cymbalta. Cymbalta is a SSNRI. Terrible drugs to get off of. The body does not like Serotonin and Norepinephrine being messed with. I am respectful of Savella a SSNRI. I used it for about 3 years. Lost 30lbs on it. It's actually an old SSNRI developed in Europe. Our FDA gave Forrest Labs proprietary rights to it until 2021 in the USA. My PCP gave me samples for 3(4)years.

    Any drug that is causing a weight gain should be switched or discontinued. But that's another soapbox item. Basically, the dangers of the weight gain cause all kinds of other problems.

    I found a link that has a nice side by side comparison of Lyrica and Neurontin.

    http://www.emedexpert.com/compare-meds/gabapentin.shtml

    What labs did the Endocrin doc run? Important re: specifics. Remember I had Thyroid cancer too. Learned more than I ever wanted to know.

    What a good looking GS. He's a hunk.

    Hope your pains controlled. :( Hate that scenario


  • sas-schatzi
    sas-schatzi Member Posts: 19,603
    edited December 2015

    Kath--Mom's know best. Any chance you could post the pics? You had twin daughters and a son. That's the same as me or rather Mom. My brother was 2 1/2 when my twin and I were born in 1950. The joke for decades was Mom was the laundry woman. She had taken in a friends child at birth(3 days old). Bobby was 9 months when we were born. Poor Mom had 4 kids in diapers. 1950. Ewehhhhh.

    Spookie just saw your post about the drugs. You likely have seen my post to Mags. Lyrica and Neurontin are a different class from the SSRI's and the SNRI's(SSNRI's) If they are promulgating that on the fibromyalgia board you are on, it's not right. Just an FYI.

  • sas-schatzi
    sas-schatzi Member Posts: 19,603
    edited December 2015

    The story about Bobby. His mom was prego in 1949. Dad? Mom took J in and when Bobby was delivered his Mom left. She returned with a fella she married. Bobby was 14 months old. She wanted him back. My Mom was a gentle woman. She gave Bobby back to her. Social services was never involved. Bobby's parents J&H went on to have 4 other children. Bobby thinks H is his father. Mom and J &H stayed life long friends. Bobby never knew. Still doesn't. Will never know.

    But they're was a problem after Bobby left. My brother who was near three(2y, 10mos) Started acting out and strange according to Mom's later stories. She said she finally said to him "What's wrong" He responded "I'll be a good boy, don't give me away like Bobby"................UGH. She described that it took a lot to heal my brother from that.

    The verbalization sounds advanced, but mom's know what a kid is saying.

Categories