April 26, 20205 yr Author Speaking of bleach Cristina Cuomo - wife of CNN anchor Chris Cuomo - is facing criticism after sharing a list of alternative treatments that she claims helped her recover from coronavirus, which included taking Clorox baths. Last week, the TV newsman revealed that he had passed the virus to his wife after testing positive two weeks earlier. But, according to Ms Cuomo, unlike the weeks-long battle that her husband endured, she was able to beat the virus after just nine days thanks to "natural remedies”. Writing in a blog post for her wellness website The Purist, Ms Cuomo said: "Since there is no proven treatment and I did not want to embark on a side-effects nightmare of unproven drugs, I was ready to try alternatives… I am sharing this, but this isn’t a debate. If you think these are far-fetched treatments, think again.” In the post, Ms Cuomo explains that, in addition to consuming a variety of vitamins and using a pulsed electromagnetic field portable machine to heal cells, she took baths with bleach to "combat the radiation and metals in my system and oxygenate it”. "At the direction of my doctor, Dr Linda Lancaster, who reminded me that this is an oxygen-depleting virus, she suggested I take a bath and add a nominal amount of bleach. Yes, bleach. So, I add a small amount - 1/4 to ½ cup ONLY - of Clorox to a full bath of warm water (80 gallons),” she wrote, referring to the founder of the Light Harmonics Institute, an "Energy Medicine Clinic and Educational Centre”. According to Dr Lancaster, who is a board-certified "energy medicine and homeopathic physician,” according to her website, the bleach baths are used to "neutralise heavy metals because they slow up the electromagnetic frequency of our cells, which is our energy field, and we need a good flow of energy”. Ms Cuomo also included a quote from Dr Lancaster claiming that "Clorox is sodium chloride - which is technically salt” and that "there is no danger in doing this”. However, the guidance goes against what is recommended by Clorox’s website, which states that bleach is "NOT recommended for personal hygiene of any kind” and that consumers should "always avoid direct skin and eye contacts with both undiluted bleach, as well as prolonged contact with the various bleach solutions we recommend for household cleaning and laundry.” Experts have also warned against the advice, with Dr Jose Luis Ocampo, a board-certified emergency medicine physician at Kaiser Permanente in Baldwin Park, California, telling USA Today: "As a physician, I would never recommend something that was not proven efficacious and safe for patients to use or do. "As such, I have never recommended Clorox baths as my knowledge of its medicinal use and safety is limited.” LaMar Hasbrouck, a former senior medical officer at the Centers for Disease Control (CDC), also reiterated the potential dangers, telling the outlet that bleach baths can be harmful because of the "abrasiveness of the chemical on your skin”. Previously, the US Department of Health and Human Services urged the public against attempting "alternative” treatments for coronavirus. "There is no scientific evidence that any of these alternative remedies can prevent or cure Covid-19,” the organisation said. On social media, Ms Cuomo's blog post was met with backlash, with many comparing the 50-year-old’s advice to President Trump’s suggestion that coronavirus may be cured by injecting disinfectants into the body. "Donnie is telling us to shoot up Fantastik and Cristina Cuomo said adding Clorox to her bath helped her cure her Coronavirus...get me on the next spaceship to Mars. I’m done,” one person tweeted. Another said: "If you think Trump's comments were bad, check out Cristina Cuomo’s treatment on #thepuristonline. She makes Trump sound like a Harvard professor.” Dr Jen Gunter, a gynaecologist, also weighed in, tweeting: "I still don’t understand how this isn’t parody. I just can’t even.” In a statement to The Independent, Dr John Sherdon of Light Harmonics said the institute "cannot comment on specific recommendations given to any of our patients" but that it does not recommend Clorox baths as a treatment for coronavirus. "There is no known cure for the Covid-19 illness and we do not recommend Clorox baths as a treatment or cure for any virus including the novel coronavirus," he said. The Independent has contacted Ms Cuomo for comment.
April 26, 20205 yr 8 hours ago, UK_EaglesFan89 said: Anyone see the Las Vegas Mayor? My god. What Was going through her mind to go on national tv without an argument to defend het stance on opening casinos and hotels? She sounding like a total idiot vegas is one of THE last places that should open unless they do a lot of things differently. People come from all over the country and world to party in vegas. Then go back home. This would be a disaster at this stage of the fight
April 26, 20205 yr 3 minutes ago, SNOORDA said: vegas is one of THE last places that should open unless they do a lot of things differently. No no it should be opened as a control centre... Apparently.
April 26, 20205 yr On 4/25/2020 at 12:56 AM, Ride the Walrus said: Keep thinking that Dear Leader is 90th percentile IQ and doing a bang up job Keep what it is you think your doing...………………………….to yourself.
April 26, 20205 yr On 4/25/2020 at 4:52 AM, devpool said: Did the daily updates stay in the old EMB? Haven't seen any posted on here yet Hey, I’ll start posting them in here as well. Here was yesterday’s. In the meantime, I’ve also set up a blog for my dad so he can reach people beyond his email distribution list and the people those on his list forward it to (which currently is probably about 1,000 people). https://www.nothingbutthetruthmd.com Good Evening: The Front Line Many of you may have read recent headlines from the NYC area that claimed that 80% of the patients placed on ventilators died. NOT QUITE ACCURATE! From JAMA 4/22/20 "Presenting Characteristics, Comorbidities and Outcomes Among 5700 Patients Hospitalized with Covid-19 in the New York City Area"\ 4/22/20 The statistics are grim however. During the Study period, which ran between 3/1/20 and 4/4/20, 5700 patients were admitted to the hospitals with PCR positive Covid tests. The mean age was 63 and 61% were males. 56.5% had hypertension, 41.4& were obese and 33.8% had diabetes. During the study period, 2634 patients had declared outcomes. 553 (21% died), 2080 were discharged, 45 (2.3%) were readmitted. Of the 5700 patients admitted, 1151 required mechanical ventilation Of these 1151, 38 (3.3% were discharged alive), 285 died (24.5%) and 831 remained in the hospital (72%), their dispositions remain unknown therefore. Of the discharged patients plus dead patients, (320 patient), the mortality rate for the age group 18-65 who required mechanical ventilation was 76.4%. For over 65, the mortality rate was 97%. The dispositions of the remaining 831 are unknown at this time, but will materially effect the outcome statistics. My unstudied observations, along with those of my colleagues are that mortality rates for those mechanically ventilated are about 40% to 50%. The morbidity associated with mechanical ventilation going forward is also unknown at this time, but will add to the burden of disease. Misleading headlines in the non-medical press add very little to the equation and only serve to cause panic and misunderstanding. From JAMA Network, 4-20-20 An audio presentation with Rochelle Walensky, MD, MPH Harvard University "Putting the Coronavirus Genie Back in the Bottle" There is currently more that is unknown than there is known. How precise are our tests? Will immunity be protective? If it is protective, how long will the protection last? When do we test and with what test? When will have enough tests?. When will have a vaccine? How effective will a vaccine be? The greatest, most critical question, what is society willing to do? The reason that I ask each night, ad nauseum, to send this message to a new reader, is that I am hoping that society will do whatever is necessary to beat this virus. Japan has controlled this virus with very little in the way of technology or sophistication, but with tremendous compliance by society, and little in the way of internal financial disruption. They adopted safe living practices and isolated those who were symptomatic regardless of tests. South Korea, with far more testing, controlled the virus with safe living practices and isolation of those with positive tests We know that PCR tests, which give results in about 8 hours are fairly accurate, probably 98%, when utilized at the appropriate time. (two days prior to symptoms until about 14 days after symptoms abate) We know that serology tests for IgM may become positive after about 7 days of symptoms but have cross sensitivity with other coronavirus. We know that IgG serology tests probably turn positive after about 10 days of symptoms and our very specific for SARS-CoV-2. It is possible that approximately 1/3 of the patients with PCR positive disease do not get antibodies. There are many people who have antibodies who did not have confirmed disease. Did they have PCR tests? Did they have PCR tests at an appropriate time? Patient histories alone are insufficient. They may be incomplete, inaccurate or confusing. Patient - I am pregnant. Doctor - Are you sexually active? Patient - I run every day. Doctor - Did you have sexual intercourse Patient - Not often Doctor - Did you have unprotected intercourse Patient - No, my husband keeps a gun on the bed stand at all times It is critical to read the details of a study before accepting the conclusions of a study. There are reports from South Korea, that patients who have had the disease, got it again, but there is no PROOF that they had the disease in the first place, PCR tests were not performed. There are lots of illnesses that look like Covid-19 but are not. As a practitioner, it is amazing how many of my colleagues are POSITIVE they have had the disease, but were never tested. Looking at other Countries experiences, the countries that did well without apparent community spread, tested, but most importantly they ensured strict isolation of ANYBODY they thought MIGHT have the disease. Currently, we are in a mitigation phase attempting to control the virus. To move to a containment phase (such as South Korea) where testing, tracking, tracing and quarantine are the fundamentals, what will we need to do? We will need to be able to do a lot more testing. Currently, we test about five people for every one that is positive. South Korea tests about 30 to 40 people for every one that is positive. We will need a society willing to relinquish some civil liberties for a time, and adhere to strict quarantine procedures. Safe living practices will be necessary for sometime. (until therapeutic interventions are possible) I am in Sea Isle City, New Jersey today, I went to the Wawa and 100% of the people in the store had masks on (made me very happy) but I have yet to see a single individual on the streets with a mask. I see lots of people running and biking and I can understand the absence of masks, bud I see groups of people walking about in town on this beautiful sunny day and nary a mask. Does not bode well for control of viral spread when Sea Isle City and other vacation resorts become more crowded. Will we be reliving this nightmare again because people are just foolish? Will we get a vaccine that works or develop herd immunity or a combination thereof. The Ro number (R naught) the ability of an infected individual to affect a completely susceptible population. Measles had an Ro number of 17 (that means one individual was expected to affect 17 others) Common Influenza has an Ro number of 1 SARS-CoV-2 has an Ro number of 2 to 3 (some say it may be as high as 5) For herd immunity with an Ro number of 2, you need half of your population to be immune. With an Ro number of 3 you need two thirds of your population to be immune. For an Ro number of 4, you need three quarters of your population immune. Does a vaccine need to be 100% effective. No, not really, some combination of infected population and vaccine with "x" efficacy could do the trick. How about a vaccine that attenuates the disease so that we are not filling up the critical care units with dying patients and running out of ventilators? Dr. Walensky does not see large crowd gathering until such time as we can dramatically increase our testing capacity and acceptance by society of different lifestyles or until there are effective therapeutics. There would be zero utility in testing if individuals would not accept quarantine conditions. She concludes by saying that "dire times require dire measures and these are dire times". Many millions have lost jobs, hundreds of thousands have become really ill, over 50,000 and counting have died. What is it going to take to take to convince society that this is not life as usual? Numbers: 1800 from the Hopkins website Testing - 5,184,625 (300,823 tests in the last 24 hours) USA - 929,730 (up 4.40%, up from 4.00% the day before) New York - 282,143 (up 3.88%, way up .67% the day before) New Jersey - 105.498 ( up 5.47%, u from 4.28% the day before) Pennsylvania - 41,081 (up 4.24%, up from 3.01%) Maryland - 17,766 (up 6.92%, up from 5.58% the day before) South Carolina - 5109 (up 3.90% up from 3.27% the day before) Texas - 23,938 ( up 4.79% up from 3.91%) World - 2,881,546 (up 3.24%, down from 3.91% , down 18,198 new cases from the day before - some countries must have good days because it certainly wasn't ours) Projections For mortality on this day, the USA, New York, New Jersey and Maryland were well above projections. New York and New Jersey are going down their reverse slope much slower than predicted. Pennsylvania, South Carolina and Texas were below projections. For hospital bed utilization, New York is well above but is approaching their surge level, New Jersey was above projected, Maryland was above projected, and Texas was above predicted. Only Pennsylvania remained below projected. We know what we need to do. Please pass this message on to new readers. This will be now also be going out on a website to reach more readers at the request of many of the current readers. (nothingbutthetruthMD.com) Live Safely Be Well Thank you
April 26, 20205 yr 23 hours ago, Toastrel said: https://www.forbes.com/sites/robertglatter/2020/04/25/calls-to-poison-centers-spike--after-the-presidents-comments-about-using-disinfectants-to-treat-coronavirus/#3839b2271157 Calls To Poison Control Centers Spike After President is stupid or makes bad joke. Not sure which. Thanks Mr. President. That says more about the idiots that would actually do it then Trump suggesting it IMO. I realize the thought process of well the president likely has the best doctors for him so I should probably listen. It gets nullified when the suggestion is something that stupid though. Though I'm sure if we had this pandemic with Obama or any other previous president there'd be a ton of people doing exactly what they say and you can never say never about whether they'd say something stupid too lol Point is people should have common sense. 3 hours ago, Phillyterp85 said: Numbers: 1800 from the Hopkins website Testing - 5,184,625 (300,823 tests in the last 24 hours) USA - 929,730 (up 4.40%, up from 4.00% the day before) New York - 282,143 (up 3.88%, way up .67% the day before) New Jersey - 105.498 ( up 5.47%, u from 4.28% the day before) Pennsylvania - 41,081 (up 4.24%, up from 3.01%) Maryland - 17,766 (up 6.92%, up from 5.58% the day before) South Carolina - 5109 (up 3.90% up from 3.27% the day before) Texas - 23,938 ( up 4.79% up from 3.91%) World - 2,881,546 (up 3.24%, down from 3.91% , down 18,198 new cases from the day before - some countries must have good days because it certainly wasn't ours) Glad you came to the new boards. Been meaning to ask what's the significance of those specific states he always lists? The laughing emojis is a nice touch too lol
April 26, 20205 yr 13 minutes ago, Mike030270 said: That says more about the idiots that would actually do it then Trump suggesting it IMO. I realize the thought process of well the president likely has the best doctors for him so I should probably listen. It gets nullified when the suggestion is something that stupid though. Though I'm sure if we had this pandemic with Obama or any other previous president there'd be a ton of people doing exactly what they say and you can never say never about whether they'd say something stupid too lol Point is people should have common sense. Glad you came to the new boards. Been meaning to ask what's the significance of those specific states he always lists? The laughing emojis is a nice touch too lol The problem is the guy has spent the last 3 years telling his followers not to believe anything they see or read unless it comes from him and a news network telling them he's either sent by god or a genius. People are really stupid, that's how he got elected in the first place.
April 26, 20205 yr 8 minutes ago, L.E said: The problem is the guy has spent the last 3 years telling his followers not to believe anything they see or read unless it comes from him and a news network telling them he's either sent by god or a genius. People are really stupid, that's how he got elected in the first place. I agree
April 26, 20205 yr On 4/24/2020 at 10:26 PM, paco said: Had to go to the supermarket today. Two people way too close to me pulled their masks down to talk (one on cell phone one to a friend they bumped into) Had to go to the hardware store for some electrical supplies. One baby huey looking mf'er walks past me with no mask. I hate f'n people Americans exercising their freedoms.
April 26, 20205 yr On 4/25/2020 at 2:58 PM, Eaglesfandan said: Yeah but what does Zuke have to say about this? 😛 His bloodstream is at least 65% Lysol by now so who knows?
April 27, 20205 yr 2 hours ago, Mike030270 said: Glad you came to the new boards. Been meaning to ask what's the significance of those specific states he always lists? The laughing emojis is a nice touch too lol My dad needs work on his emoji game. Don't think he understands the difference between the sad face and the crying because laughing too hard face lol. Some of the specific states he tracks are based on where some of his family/friends/colleagues in his email list live.
April 27, 20205 yr https://www.nothingbutthetruthmd.com/ Good Evening: Number Needed to Treat (NNT) In the coming weeks you are going to hear about the NNT as it relates to drug trials that are coming to fruition in the quest to combat the Covid-19 virus. The NNT may depend on several factors, an important factor is the defined benefit or the measured outcome. It is not quite as simple as one might think Let us look at parachutes. What do we know statistically, If the defined benefit or utility of wearing a parachute when jumping from a perfectly operating plane at 1500 feet, is the complete absence of injury upon landing? We know from a large Study in Denmark including 110,000 jumps, that .14% of the jumpers sustained injuries. Training injuries in the military are noted to be 4.7/1000 jumps (.47%) The NNT would be somewhere between one and two. If we define the outcome as the absence of severe injury, it would be very close to one. Very few people are severely injured if the parachute deploys, and if the main parachute fails to deploy, there is a secondary chute that usually deploys, but there are very rare cases where neither work and those incidents usually result in fatality, (but not always) if you exclude fatality as severe injury, then it is the rare survivor, who is severely injured who makes the NNT a little more than one. How did you design the study? You can see from the above example, that if the outcome is injury, or severe injury, there will need to be many observations to obtain valid data regardless of the prospective or retrospective nature of the study. If we look at fatalities, and do it in a prospective fashion, (and you are able to get volunteers to wear packs with no chutes) the benefit becomes evident early on, but since there are rare valid reports of survival with no functional chute the study would have to be uncomfortably large to appreciate the true utility. Now let us look at Codeine, a common mild to moderate analgesic. About 10% of the population cannot metabolize Codeine to its active ingredient (functional) and for those people it is like taking a sugar pill. Then one must consider the placebo effect, which in studies of mild to moderate pain is about 30%. That means that 30 out of 100 people who are given a sugar pill will derive the same degree of relief as the individual who received the active ingredient. (Codeine) If we design the study to explore the benefit of Codeine 60 mg orally, in reducing the pain to a calibrated pin **** by 50%, we would probably get an NNT somewhere between 2 and 4. If we designed a study to explore the 50% reduction of pain by Codeine 60 mg orally, to digital amputation without anesthesia, the NNT might be very very high and we might conclude that the drug is useless as an analgesic. So was the study designed for reasonable success? These two studies would give us conflicting opinions concerning the utility of Codeine 60 mg orally. If the drug has an NNT of 20, (one in twenty patients will benefit) but is life saving, then that drug has utility. If the drug has an NNT of 20 for cough suppression ( one in twenty will benefit) then it is probably a waste of money and I wouldn't take it. Resurgence after relaxation of mitigation strategies If we go back to the beginning of this outbreak, in the majority of the states, we see that for about the first month, the number of symptomatic infections doubled every three to four days. The starting numbers were small (0 - 2) Let us assume that relaxation of mitigation strategies does not begin until the active caseload is down to 200,000 symptomatic infections in the US. And for the purposes of discussion, all mitigation strategies are abandoned. It would take about two weeks to appreciate the spread of the disease and maybe another week before leadership takes significant action. Twenty one days have passed. If the double time is four days, we will have five doubles. By day 20, we will have 3,200,000 cases of Covid-19, and the experience we have just gone through will look like the first preseason practice game of a bad High School Football team compared to the fourth game of a professional team in the fourth week of the NFL season. Somewhere between the nightmare above and a continued downward trend, if we continue or improve the compliance of our current strategies, is what we can expect. Covid - 19 National Surveillance (source: Duke Margolis Center for Healthcare Policy) This will need to be coordinated by the CDC in collaboration and in conjunction with state and local public health authorities. Operational details of implementation should be left to state and local officials because conditions are likely to vary based on local context. Building a national Covid-19 surveillance system is critical for containing the transmission of the virus. Utilizing tools to enhance our ability to conduct effective surveillance, containment and case management will become an option as Covi-19 cases decline. To do this we must begin planning now to be prepared for the opportunity approaching. Building the capabilities will enable us to move beyond the disruptive, "shut down, shelter in place" measures now in place. 1. Test and trace infrastructure: capacity for widespread diagnostic testing and data sharing to enable rapid case-based interventions. No state currently has sufficient capacity to enable case based intervention at the necessary scale. The report suggests that daily testing of healthcare workers to prevent the spread of disease might be recommended. Such a policy should be informed by data that demonstrates the spread of virus from healthcare worker to patient despite standard proper PPE. Absent data, this is a waste of time and healthcare dollars and not consistent with what those on the frontline are experiencing. Rapid PCR testing (within hours) for everyone with Covid-19 symptoms and those with exposure or higher risk of contracting or transmitting the virus. A sentinel surveillance system that routinely monitors for infection among samples of the population for early detection of small outbreaks and data sharing. 2. Timely reporting of Covid-19 outbreak, testing and response capacities at the local level: States should use integrated capabilities for Covid-19 surveillance, incorporating test results to produce daily summaries by metro area or region of Covid-19, related case trends as well as comprehensiveness of testing and response activities based on testing results. Friends in Texas forward to me the daily "Frisco Covid-19 update" which already has the basics of this recommendation. 3. Serologic testing: (much remains unknown about serologic testing and the utility of the results that are currently provided) Development of regional measures of exposure and possible immunity would be helpful. Reliable evidence of immunity at the individual level will also have important implications for the conditions under which individuals return to work and their ability to work in settings at high risk for Covid-19 transmission, particularly certain high risk healthcare settings. The utility of PPE in protecting healthcare workers needs to be evaluated before we look to higher technology to inform us of these conditions. Procedures that cause aerosolization and droplet formation are considered some of the highest risk activites a healthcare worker can be involved in. I have been doing this for three months now. Is someone going to suggest that I can no longer work as an anesthesiologist because I have not seroconverted? Policy makers need to consult with frontline workers and consider what knowledge, experience is providing, before making such policy recommendations. Again, data on the effectiveness of PPE is paramount for these decisions. The durability and completeness of protection by antibodies needs to be considered before serotstatus is utilized to inform policy decisions. 4. Rapid response: Capacity for isolation, contact tracing, tracking and quarantine are needed. Utility will depend on public cooperation with such loss of personal freedoms. The capacity to isolate new cases and trace, test and quarantine contacts rapidly will need to be expanded. Sharing of such information will be vital. The Philadelphia Medical Reserve Corp is already seeking volunteers for these functions. Numbers: 1800 from the Hopkins website Testing - 5,441,079 (256,454 tests performed in the last 24 hours) USA - 961,969 (up 3.35%, down from 4.40% the day before and 6967 fewer cases than the day before) New York - 288,045 ( up 2.09%, down from 3.88% the day before, and 4651 fewer cases than the day before) New Jersey - 109,038 ( up 3.35%, down from 5.47% the day before, and 1938 fewer cases than the day before) Pennsylvania - 42,616 ( up 3.73%, down from 4.24% the day before and 92 fewer cases) Maryland - 18,581 (up 4.58%, down from 6.92% the day before, and 335 fewer cases than the day before) South Carolina - 5253 ( up 2.81%, down from 3.90% the day before, and 48 fewer cases than the day before) Texas - 24,750 - (up 3.39%, down from 4.79% the day before, and 284 fewer cases than the day before) World - 2,962,915 ( up 2.82% down from 3.24%, and down 9194 fewer cases than the day before) Wow, what a day, I am always leery of Sunday numbers, but I will take the good news! Projections Predicted fatalities for the day were lower for the US, New Jersey, New York and Texas. For the first time in a while Pennsylvania was slightly over projections by six, South Carolina by 1 and Maryland by 68 (quite a bit), Hospital bed utilizations are still higher for New Jersey, New York and for the first time Pennsylvania, all the other states were lower than projected. Compliance with living safely standards will need to be high as states become more functional and productive to avoid resurgence. Live safely Be Well
April 27, 20205 yr Damn. We're getting close to 1 million 22 minutes ago, Phillyterp85 said: My dad needs work on his emoji game. Don't think he understands the difference between the sad face and the crying because laughing too hard face lol. Some of the specific states he tracks are based on where some of his family/friends/colleagues in his email list live. I had a feeling it was that because of how specific the states were.
April 27, 20205 yr 19 hours ago, Mlodj said: Speaking of bleach Also, her bush is now sparkling blond!!
April 27, 20205 yr quick safety tip....don't let loose with a coffee burp while wearing one of those medical/surgical masks.
April 27, 20205 yr Speaking in Downing Street as he returned to lead the government's fight against COVID-19, the prime minister said easing off would be to "throw away all the effort and the sacrifice of the British people and to risk a second major outbreak" of the coronavirus. I love how this was put by the PM and absolutely true. https://news.sky.com/story/coronavirus-boris-johnson-says-easing-lockdown-would-throw-away-effort-and-sacrifice-of-british-people-11979338
April 27, 20205 yr I haven't been within 6 feet of another soul, besides my fiance, since March 14th. That is crazy to think about.
April 27, 20205 yr 1 hour ago, BirdsFanBill said: I haven't been within 6 feet of another soul, besides my fiance, since March 14th. That is crazy to think about. My friends brother died early into Corona. He was only 32. She was devestated. So I hugged her at his funeral. Otherwise same. My wife and kids are the only ones. Funerals in the age of corona are just weird.
April 27, 20205 yr 33 minutes ago, Gannan said: My friends brother died early into Corona. He was only 32. She was devestated. So I hugged her at his funeral. Otherwise same. My wife and kids are the only ones. Funerals in the age of corona are just weird. We had to postpone our wedding. I cannot even imagine the heartbreak of having or postponing a funeral due to all this. That would be the most awful thing.
Create an account or sign in to comment