Today on CNN Newsroom
The latest news and information from around the world. Also connect with CNN through social media. We want to hear from you.
March 4th, 2013
06:21 PM ET
Dispatcher pleaded with nurse to do CPR
Brooke Baldwin's "Hot Topics Panel" discuss the death of an elderly woman after nurse refused to give her CPR.
The news reporting on this has been irresponsible. I really feel for the nurse in this case, as she is being unjustly maligned. It is not reasonable to expect that CPR be done on elderly people. Not only is it not likely to have a good outcome,, but the physical effort required is only going to cause more suffering. What do anyone think happens when chest compressions are done on a body riddled with osteoporosis? The woman's rib cage would have collapsed. There are sometimes good reasons for following a policy that discourages CPR.
The reporters and members of the panel displayed their ignorance of the issues surrounding standard medical care. The coverage was emotional rather than factual and informed. This patient (or representative) had signed an agreement that CPR would not be performed. Calling 911but not initiating CPR is often standard nursing home procedure. CPR on an 87-year old patient would inflict damage, possibly pain, and likely be unsuccessful. This "report" was far below CNN's standards of good reporting. Brooke Baldwin should have done some research before she spoke.
I've spoken with 2 nurses at a hospital and a care facility about this incident – they were both horrified as I was by the nurse's reaction. They both feel, and I agree, that she wasn't really an RN. It seems abundantly clear that the facility was simply looking at another empty bed they could fill. I have never seen or heard such callousness in a medical professional. The 911 operator was appropriately appalled and horrified. I can only ask that nurse, what if it had been your mother, aunt, or grandmother? And personally I don't care if the facility has a policy – I have a policy too – and my policy trumps you pathetic bottom-line attitude and would instruct me to save this woman's life. It was horrifying to hear the indifference in that nurse's voice. Such ice in those veins as she stood there watching her die.
Notice how none of the talking heads in this segment actually work in medicine or healthcare. It's easy pass a judgement when you don't necessarily know the behind-the-scenes of things going on besides the soundbite. There are a whole host of other reasons why the nurse could have refused to administer CPR. For example, what if the patient had an up to date Do Not Resuscitate order and in spite of what protocol dictated, refused to administer CPR for that reason?
I understand that these are testy issues that have very visceral reactions from a lot of people irrespective of knowledge base. I'm not implying that the nurse was right to refuse to administer CPR, but I am saying that this case is not as immediately clear-cut as this 4-minute segment would lead a lay person to believe. This is absolutely shoddy reporting.
P.S. On TV, around 75% of people who receive CPR survive, whereas in real life, the number is about 8%.
Tola, with all due respect, if the woman patient had a DNR, the nurse would have known about it and mentioned it, or not even have called 911. What would have been the point? I do agree, there may have been other extenuating circumstances ... but ... we heard the 911 call didn't we? I will agree that the case may have other issues of which we are not aware, but the point is ... if I were the emergency operator and heard that same call, I would have been equally as incredulous and also persisted. Additionally, new CPR procedures have increased survival rates by 50% - however this is still a very low 12-15% survivors overall. According to this report the daughter of the patient was satisfied with the care given. I suppose we must accept that and hope our loved ones don't experience such a crisis.
One minute and thirty seconds into the 911 call , it is stated that the elderly woman is breathing. What part of performing CPR do you people don't understand. You do not perform CPR on anyone who is breathing. Period. In this ladies situation if anyone would have performed CPR without a doubt have killed her right there on the spot. She is in her eighties and if you do CPR on someone who is not breathing, no heart beat at that age your more than likely wasting your time but if you start do not stop until the paramedics have arrived.
I have worked in healthcare for years. No one has said if this elderly woman might have had many other medical conditions causing her to have chosen to be what is considered a DNR ( Do not resuscitate) . It is possible she has chosen on her living will to NOT have emergency procedures performed, which is well within her right! At her age , this would not be uncommon. It is unbelievable that this nurse would be crucified before the facts are understood. She could have been end stage cancer or dying from other ailments but still able to live on her own at this time. So tired of hearing this one sided reporting. Dignified care of the elderly is following THEIR "last stage of life " wishes whatever they may be .
I find Gordon's comment unfounded. Depending upon one's level of certification, compressions are to be initiated on anyone who is unresponsive...even with questionable or ineffective breathing. There is no empirical evidence that performing CPR when unnecessary increases mortality. Conversely, the chance of survival decreases significantly during each minute that passes without effective compressions. While soft tissue injury or even rib fractures may occur, such adverse effects pale in comparison to the potential benefit of successful resuscitation. Until a tax base will support emergency infrastructure that permits responder arrival within 4 minutes, community and bystander CPR and AED provision are an imperative step in giving cardiac arrest victims a chance at survival.
CNN is feeding and emotional flame here rather than an informative one. Need to do your research on nursing home, assisted care, and residential care for the elderly; also on Resident Rights. In some facilities CNA's (certified nursing assistants) are NOT even trained to do CPR as it would place them in a postiition to be required to administer CPR. Each facility has their policies on this. Seems as though this facility had one as well. The family and the resident would be made aware of this upon admission. As the family in this situaton seemilngly hasn't any problem with the care given, my guess is they were well aware of this practice. Having worked in long term care in a Social Services capacity, I can tell you just because they are elderly, doesn't mean you can violate their rights or wishes. This woman may have chosen this facilty BECAUSE they had such a policy.. Additionally, CNN keeps replaying that this same facility refused to help an elderly resident up after he fell and broke a bone. This is the protocol folks! If they fall, you keep them still until medical help arrives. WHY? Because you may injure them further, AND because many elderly are in such a compromised state that surgery to repair the break is out of the question! So why move them and risk further injury? Bad reporting CNN, just plain inflammatory.
My family and friends all know that should medical conditions limit my ability to fully recover...there is a permanent, legal document that says I do not want to be resusitated. I do not want to spend months or years in a nursing home knowing I will never be able to go home. And, if I am incapable of understanding or restating my wishes, my children who are my legal medical advocates, will speak for me. I am 77 years old.
Reporters who assume everyone would want resusitation should rethink their reports which have been VERY one sided; not my side.
I used to work for a LARGE office supply company. Their policy regarding medical emergencies was very clear. In the event that such an episode were to occur to someone within the store or on company owned property, we were not permitted to assist them in any way, other than to call 911, regardless of the immediacy of the situation or training that employees may have.to assist the person. I work in a restaurant and several weeks ago, a customer was in choking distress. I did not think twice about policies, rules or liability. I iinstinctively did what needed to be done and successfully performed the Heimlich Manuever. I would not hesitate at all to do it again if necessary!! I can understand and sympathize with the nurse who made that "call", being frustrated by "the system", what she has been trained and committed to do, and her conscience. I truly feel bad for her, to be put in the position of having to decide if policies or conscience is more important. Regardless, it will be something that she will always think about.
Great idea dispatcher, do CPR, there's a 3% chance it might save her. IF she doesn't died we can put her in ICU on life support, with all the tubes, IVs, breathing machines, etc. Hopefully she will not be in pain, broken ribs, tube down throat and inability to response and won't get too many bed sores. We can keep her there until her family is physical and financially exhausted and we have gotten all the money we can from medicare. IF she recovers, whatever condition that may be for a lady her age, we can put her in a nursing home to live out her life, excuse me I mean to prolong her death.
I have been a nurse for over 20 years and I have never heard of such foolishness. If there was a DNR in place that is the first thing a nurse mentions on the call. It is obvious that there was not one. If this patient was a infant many of you would be furious that CPR was not initiated. Who is any more fragile than them. If there was compassion or genuine concern heard from the nurse than we would not be seeing the same reaction. If in case this facility does have such policies in place to not administer healthcare when a a person is in need then they should not hire HEALTHCARE providers. Why have a physician on board ordering mess or labs or therapy? This is a sad day for us Nurses to witness. This has everything to do with money when all said and done. Family members should think twice before placing your loved one here unless your just a callous as the mentality of those running this FOR PROFIT facility.
Much has been said about this sad, sad situation. I have a couple of questions that I hope CNN can investigate and report back to their news audience.
1. This is an assisted living facility. Have all residents signed a DNR order (not a family member but the resident). When a new resident is coming in is it part of the package for them to sign. Do marketing materials clearly state this, their web site......on and on.....
2. If I visit my grandmother at one of these facilities and I have a heart attack or my child has a heart attack, does this mean they will not assist me or my child.....is this posted so all can see.
3. How many other facilities in American have a rule of this type! Just another way of throwing aside what should be one of our most treasured jewels our seniors.
Don't get me wrong, I know from personal experience how difficult it can be caring for seniors, they are not all loving angels (by a long shot). But lets not forget, they are why we are here and how our children see us treat our seniors today.......is how they will treat us in the future!
I look forward to hearing the results of your investigation.
I am a Registered Nurse with an advanced degree in gerontology and expertise in end-of -life decision making. I thought this was Saturday Night Live but no one was laughing. This was a poorly investigated report and the panel participants were incompetent to discuss the issues involved. The use of a comedian as a panel member was inexcusable. The reporter failed to establish the resuscitation policies at the facility, the specific wishes of the woman involved, or the health status of the woman. It was a major omission to not do any research into the effectiveness or probable consequences of giving CPR to someone 87 years old. Several others who have posted already mentioned the hazards of CPR in the elderly. The effectiveness of CPR in this age group has been seriously overestimated. CPR initiated by a solo rescuer outside a hospital has a much lower success rate. Concurrent health problems lower the success rate. CPR on healthy 87 year olds has an extremely low survival rate and high probability of major injury. You cannot mix the results for all age groups and situations to say that CPR is 50 % effective.
Today inside the world-wide of get together and pleasurable the Hookahs comprise develop into unbelievably famous. Everywhere by yourself transfer by yourself can perspective a parlor of Bongs. Nonetheless they are not basically employed for getting fun inside of some destinations Using tobacco Pipes are additionally employed in direction of generate a particular person healthier and thoroughly fit back again.
pipe à fumer http://auxdelicesderym.fr
I pay a visit daily some web pages and websites to read articles or reviews, but this
webpage presents feature based articles.
viagra no prescription where to buy viagra 100mg shopping generic viagra
viagra 400 mg sildenafil over the counter australia viagra online cheap
generic viagra sales sildenafil citrate generic viagra female viagra india
best online site for generic viagra viagra debut viagra current price
generic viagra no prescription viagra on the web viagra professional
viagra cdsa viagra chisinau viagra quem usou
hrm dissertation help me do my resume my college application essay
essay with thesis statement professional article writing service myself essay writing
case study paper persuasive essay paper college algebra homework help
essay writing powerpoints persuasive essay notes writing a psychology research paper
writing a research paper in apa personal college essays write personal statement
organic chemistry homework help help with homework assignments thesis statement persuasive essay
writing the discussion of a research paper structure for essay writing essay writing review
help with college essay writing legal essays dissertation doctorate
how much is viagra without insurance viagra without a rx cheap generic viagra 50mg
online viagra usa viagra online\\ viagra 30 tablets
free viagra trials viagra for sale in uk viagra online overnight shipping
cialis for sale in toronto cialis where can i buy cialis buy without
viagra preço super force viagra what if viagra doesnt work another tablet
cialis with dapoxetine generic cialis 200mg sfter market cialis
best price on generic cialis 10mg cialis cialis generika china
generic cialis cialis vs viagra canadian pharmacy buy cialis black
viagra 150 viagra levitra trial pack viagra australian
viagra aus denver viagra viagra generic info
viagra cape town sale buying viagra in bali brand viagra cheap 50
If some one needs to be updated with hottest technologies afterward he must be go to see this site and be up to date
all the time.
Here is my web page; 슈어맨
pharmacy drugstore online pharmacy orlando canadian pharmacy online
best drugstore bronzer drugstore beetle canadian pharcharmy
pharmacies near me http://pharmacy-onlineasxs.com/ ed treatment
mens ed pills canadian mail order pharmacy п»їviagra online canadian pharmacy
24 hr pharmacy best drugstore shampoo rx pharmacy online
online pharmacy drugstore best online pharmacy the pharmacy
specialty pharmacy best drugstore mascara online pharmacy reviews
where to bye viagra viagra from canada paypal online pfizer viagra au what is viagra how much does a prescription of viagra cost viagra professional 100mg the cheapest online viagra viagra store in las vegas buy viagra super force generic viagra online pharmacy viagra pyschological i want to order some viagra viagra viagra replacment buy viagra online australia fast delivery
viagra deals buy generic viagra australia ship viagra to canada how to puchase viagra in canada getting viagra in new york does insurance cover viagra pfizer viagra store selling viagra in tronto kaiser viagra prescription does viagra go stale i want to try viagra where to get viagra online viagra subsitute over the counter viagra overnight shipping no prescription viagra gold 800mg
Hey very interesting blog!
canadian viagra pharmacy lowest price viagra on line viagra order online australia online viagra reviews viagra in sacramento ca buy viagra online with overnight shipping original viagra for sale viagra prescrition for walgreens viagra for women viagra hong kong viagra buy payoal can you take prozac and viagra brand viagra 50 mg viagra prescriptions viagra generic
best price on viagra men on viagra videos india very cheapest price on viagra. viagra online where to buy viagra in toronto viagra onlinee buy viagra in canada viagra with dapoxetine viagra online order mastercard accepted viagra in australia chemist cheap viagra cheap viagra online cialis viagra gr priority mail viagra with dapoxetine buy viagra in nyc
cialis best price cialis with dapoxetine cialis online with no prescription http://21cialismen.com/ – cialis on line sell ’
cheap cialis uk cialis withouth prescriptiong cheap cialis free shipping http://cialijomen.com/ – cialis cheap ’
gerneric viagra viagra patent viagra amex http://genqpviag.com/ – generic viagra forum ’
brand cialis us where to buy cialis in australia cialis over the counter in spain http://phrcialiled.com/ – cialis dapoxetine ’
chinese viagra manufacturers get free viagra generic viagra, canadian pharmacy http://llviabest.com/ – viagra australia ’
viagra online nz lowest price viagra without prescription viagra online with paypal http://acialaarx.com/ – buy viagra and have it next day ’
cialis australia express shipping buy cialis black au cialis usa pharmacy http://mycialedst.com/ – cialis 5mg 10mg no prescription ’
viagra pills in ilkeston online viagra, no prescription cheap generic viagra online https://canadianpharmacy-usx.com/organic.htm – cheap canadian viagra ’
viagra malaysia viagra free trial viagra http://xz-pharmacyonline.com/en/career-opportunities.html – where to buy viagra in toronto,with paypal option ’
cialisnonprecription genic cialis gum cialis http://loncialis.com/ – is cialis a vasodilator ’
cialis costco sell cialis canada cialis generic http://sjcialis.com/ – how to buy cialis from canada ’
order cialis uk buy cialis online overnight delivery cialis drugs http://cialmenshoprx.com/ – buy cialis online free shipping ’
cheap cialis from australia Prothiaden buy cialis and receive in 48 hrs https://xz-pharmacyonline.com – Clozaril ’
Mobic prescription price comparison canadian drugs pharmacy https://canadianpharmacy-yy.com/ – prescription drug price comparison ’
generic sildenafil canada cheap canadian pharmacy viagra where to buy over the counter female viagra http://canadianpharmacy-yy.com/Fitness/how-to-get-a-six-pack.html – where can i get female viagra uk ’
overnight viagra with dapoxetine viagra australia express shipping buy viagra with paypal http://erectilejyzd.com/index.php?called=terms – viagra, money order ’
cialis black cialis generic cialis 5mg no perscription https://impotencecdny.com/info/history.php – cialis cost ’
buy cialis and receive in 48 hrs ordering prescriptions from canada legally cialis where to buy https://impotencecdny.com/ – online pharmacy busted ’
This is a very interesting article. Please, share more like this!
https://yt1s.com/youtube-to-mp4
viagra viagra levitra sample pack Detrol viagra vs levitra vs viagra reviews http://erectilejyzd.com/ – Fertomid ’
safeway pharmacy online pharmacies no prescription canada online pharmacies
online pharmacies costco pharmacy pricing top rated canadian pharmacies online
canada meds pay for viagra by paypal cialis online pharmacy
best canadian prescription prices international drug mart canadian pharmacy online store pharmacies shipping to usa
brand viagra overnight guaranteed overnight shipping viagra viagra w uk
online pharmacy viagra online pharmacy viagra top rated canadian pharmacies online
cialis daily use generic cialis from canada buy cialis in australia online
canada drugs online canada pharma limited shoppers drug mart canada
were to buy viagra in edmonton viagra subscription australia buying viagra in the uk
payday loan store downers grove payday loans in paarl arkansas payday loan laws
cash loan on bad credit emirates nbd quick cash loan payday loan eaton ohio
donde se vende el cialis comentarios sobre el cialis farmacia supra host comprar cialis
erectile on demand coronavirus treatment fast erectile repair
viagra levitra cialis qual o melhor cialis langzeiteinnahme long does take cialis work
124628 411921Hey, are you having issues with your hosting? I required to refresh the page about million times to get the page to load. Just saying 943180
payday advance west chester ohio can online payday loan companies sue you student loan money pig
cialis viagra levitra samples http://llecialisjaw.com/ cialis mit paypal bezahlen
cash advance hoover key money loan whitetail cash advance gillette wy
wholesale viagra cialis superdrug herbal viagra viagra tablet
sildenafil 100 capsules viagra brand canada viagra where to buy
zithromax for bladder infection zithromax z pack zithromax tablet
viagra com coupon define viagra viagra pills for men
viagra onset non prescription viagra viagra dosage for 70 year old
https://thesisacloud.com/ – thesis paper phd thesis paper thesis database nursing thesis
http://essaywriteris.com/ – buy essays online cheap write my essay org personal essay writers essay writers toronto
https://essaywritera.com/ – cheap essay writer service service learning reflection essay college essay writing service best rated essay writing service
https://dissertationahelp.com/ – dissertation data analysis dissertation examples help dissertation writing dissertation service
https://kloviagrli.com/ – generic viagra 100mg https://vigedon.com/ – generic for viagra https://llecialisjaw.com/ – what's the difference between viagra and cialis https://jwcialislrt.com/ – is cialis safe https://jecialisbn.com/ – cialis 100mg
https://thesisacloud.com/ – thesis editing services best thesis writing services thesis editing service thesis help services
https://ljcialishe.com/ – order cialis from canada https://cialisvja.com/ – cialis otc https://viagraonlinejc.com/ – how to take viagra with water or milk https://viagratx.com/ – viagra over the counter walmart https://buycialisxz.com/ – buy cialis online usa
https://thesisacloud.com/ – thesis statement for research paper help me write a thesis doctoral thesis database thesis help online
best sildenafil prices https://eunicesildenafilcitrate.com/ sildenafil citrate 100 mg
bremelanotide vs alprostadil https://alprostadildrugs.com/ alprostadil injection reviews
tadalafil https://elitadalafill.com/ tadalis sx
purchase vardenafil online https://vegavardenafil.com/ vardenafil tablets
https://thesisacloud.com/ – thesisacloud.com best thesis writing thesisacloud.com professional thesis writing service
alprostadil muse doesn't work https://alprostadildrugs.com/ alprostadil generic prices
azithromycin 1g side effects https://zithromaxes.com/ zinthromax
canadian pharmacy for cialis https://canadacialisstore.com/ cialis viagra combination canadian pharmacy
how to buy teva sub for viagra in canada https://canadaviagrastore.com/ ordering viagra from canada
canadian customs pills vitamins https://canadapillstorex.com/ canadian pharmacies ed pills
vardenafil levitra https://vegavardenafil.com/ vardenafil dosage
Have you ever thought about adding a little bit more than just your articles?
I mean, what you say is valuable and all. But just
imagine if you added some great graphics or videos to give your
posts more, "pop"! Your content is excellent but with pics and clips, this site could undeniably be one of the very best in its field.
Fantastic blog!
Feel free to surf to my webpage; private driver
Highly energetic post, I enjoyed that bit. Will there be a part 2?
Here is my website – private driver
Very good blog! Do you have any tips for aspiring writers?
I'm hoping to start my own website soon but I'm a little lost
on everything. Would you propose starting with a free platform like WordPress or go
for a paid option? There are so many options out there that I'm totally confused ..
Any recommendations? Bless you!
Here is my blog post private driver
tadalafil generic https://elitadalafill.com/ tadalafil 30 mg
drugstore online http://uspharmus.com/ Januvia
list of legitimate canadian pharmacies http://uspharmus.com/ – Confido Ampicillin
generic cialis uk https://cileve.com/ cialis 20 mg
cialis free trial no prescription http://asciled.com/ cialis black australia
I'm really inspired along with your writing talents and also with the
format on your weblog. Is that this a paid subject matter or
did you customize it your self? Anyway keep up
the nice quality writing, it is uncommon to peer a great weblog
like this one nowadays..
Feel free to visit my web-site ... private driver
Baycip https://canadianeve21.com/ london drugs canada
levitra sales online http://uslevitraanna.com/ 40 mg levitra too much
cialis quebec dollars canadien http://cileve.com/ cheapest cialis in australia
tadalafil generic https://boxtadafil.com/ – cialis from india mt tadalafil 20mg tadalafil
dapoxetine real cialis https://asciled.com/ buy brand cialis 20 mg
cialis on line purches canadian pharmacy https://canadacialisstore.com/ canadian pharmacy generic cialis
how much is viagra per pill https://gensitecil.com/ – how to tell if a man is taking viagra recreational viagra
organic viagra in canada https://canadaviagrastore.com/ best canada viagra pills online
erectile functioning https://plaquenilx.com/ can erectile dysfunction happen suddenly
generic cialis tadalafil best buys https://boxtadafil.com/ – no prescription tadalafil tadalafil 60 mg
best canadian mail order pharmacies for diet pills https://canadapillstorex.com/ canadian weight loss pills
viagra super force https://gensitecil.com/ – viagra and lisinopril viagra prices costco
apollo pharmacy online https://onlinecanda21.com/ navarro pharmacy miami
sildenafil pills 50 mg https://eunicesildenafilcitrate.com/ sildenafil 50 mg no prescription
who makes chloroquine phosphate https://chloroquineorigin.com/ chloroquinolone
20 mg levitra https://uslevitraanna.com/ levitra aspirin
safe canadian online pharmacies https://canadianeve21.com/ Frumil
canada pharmacy online no script prescription drugs from canada online mexican online pharmacies
Hmm it seems like your blog ate my first comment (it was
extremely long) so I guess I'll just sum it up what I wrote and say,
I'm thoroughly enjoying your blog. I as well am an aspiring
blog blogger but I'm still new to the whole thing.
Do you have any tips for beginner blog writers? I'd really appreciate it.
Trimox http://uspharmus.com/ buy drugs online
cialis\\ http://cileve.com/ – canadian pharmacy for cialis for sale cialis dapoxetine
cialis generic purchase http://asciled.com/ cialis insurance coverage
northwest pharmacy http://uspharmus.com/ Viagra with Fluoxetine
cialis uk no prescription http://cileve.com/ cheap cialis by post
priligy tablets for sale dapoxetine 10 mg
levitra cost per pill walgreens walmart levitra price buy levitra pills online
cialis canada pharmacy no prescription required http://cialisee.com/ tadalafil ( cialis )
but cialis http://cialisee.com/ ????????? ???? cialis
generis cialis online overnight delivery http://rcialisgl.com/ cialis usa
cheap cialis australia http://ucialisdas.com/ – shop cialis cialis walmart
avanafil dosage avanafil dose
can you get viagra over the counter http://jokviagra.com/ – buy viagra online how long does viagra take
cialis 20mg prices https://rcialisgl.com/ – cialis on line pharm cialis and dapoxetime tabs in usa
Forzest http://xlnpharmacy.com/ Cabgolin
brand viagra https://jokviagra.com/ viagra women
viagra te koop in belgie http://llviagra.com/ melanoma viagra
cialis daily https://ucialisdas.com/ cialis shipping
canadian pharmacy 24 com http://pharmacylo.com/ best drugstore blush
cheap prescription drugs erectile dysfunction pills cheapest pharmacy for prescription drugs
Prothiaden Kamagra Oral Jelly meds online without doctor prescription
8000 mg viagra https://llviagra.com/ la viagra femenina crema
cialis 800 black canada http://cialisee.com/ discount cialis
original cialis http://cialisee.com/ cialis no perscription overnight delivery
Have you ever heard of second life (sl for short). It is essentially a game where you can do anything you want. sl is literally my second life (pun intended lol). If you would like to see more you can see these Second Life websites and blogs
http://tinyurl.com/dahlln
cialis professional legitimate http://rcialisgl.com/ – liquid cialis buy kamagranow cialis
cialis professional legitimate http://ucialisdas.com/ cialis black australia
This was great! I would like you to clean up all this spam though
https://www.linkedin.com/in/yusuf-hanafy-82493b183
I love your blog.. very nice colors & theme. Did you
make this website yourself or did you hire someone to do it
for you? Plz reply as I'm looking to create my own blog and would like to know where u
got this from. thank you
indian viagra https://jokviagra.com/ snorting viagra
cialis online in canada http://rcialisgl.com/ buy cialis online
action du viagra chez la femme http://llviagra.com/ viagra in italiano
reddit viagra http://loxviagra.com/ cialis vs viagra
cialis egypt http://ucialisdas.com/ cialis ontario no prescription
viagra canada free sample https://loxviagra.com/ – viagra in the water does viagra lower blood pressure
Chloromycetin https://xlnpharmacy.com/ Imuran
cyclosporine lab tube cyclosporine ophthalmic
when viagra goes wrong http://llviagra.com/ european viagra suppliers
canadia online pharmacy canadian pharmacy uk delivery pharmacy price compare
canadian pharmacy online canada http://pharmacylo.com/ canada discount drug
A fascinating discussion is definitely worth comment. I do believe that you ought to publish more about this issue, it might not be a taboo subject but usually people do not discuss these subjects. To the next! All the best!!
https://extraproxies.com/need-float-datatype-with-2-digits-after-decimal-point-when-importing-a-csv-file/
bestsellers https://xlnpharmacy.com/ Zoloft
I don't know about you people but I love airplanes. I have a friend in highschool that loves airplanes, so here are some airplane related stuff I don't know about you guys but I love airplanes. I had a friend in highschool that loved airplanes, so here are some airplane related stuff https://www.airlinereporter.com/2011/04/check-out-these-april-fools-jokes-from-airlines/
http://privatejetstoday.blogspot.com/2010/08/private-jet-flight-attendant-jobs.html
viagra cialis canada https://cialisee.com/ cialis price south africa
Have you ever heard of second life (sl for short). It is essentially a video game where you can do anything you want. Second life is literally my second life (pun intended lol). If you want to see more you can see these Second Life articles and blogs
http://myvedana.blogspot.com/2007/08/slices-of-book.html?showComment=1467097294169&m=0
cialis cheap online http://rcialisgl.com/ – buy cialis uk generic cialis
cialis soft tablets https://cialisee.com/ – cialis with dapoxetine shopping for cialis
buy voucher for cialis daily online https://ucialisdas.com/ cheap cialis with dapoxetine
I don't know about you guys but I am obsessed with airplanes. I have a friend in highschool that loved airplanes, so here are some airplane related stuff I don't know about you guys but I love airplanes. I had a friend in highschool that loved airplanes, so here are some airplane related stuff https://www.airlinereporter.com/2010/03/aviation-in-the-small-town-of-bethel-alaska/
http://myemail.constantcontact.com/Be-a-Part-of-Giving-Tuesday-by-Supporting-the-Future-of-Flight-Foundation-.html?soid=1111846961938&aid=zrXG1JFUdEw
I don't know about you people but I am obsessed with airplanes. I had a friend in highschool that loved airplanes, so here are some airplane related stuff I don't know about you guys but I love airplanes. I had a friend in highschool that loved airplanes, so here are some airplane related stuff https://www.airlinereporter.com/2010/06/boeing-begins-fuselage-assembly-for-747-8-intercontinental/
http://www.washingtonbids.us/washington-contractors/naics-712110-Museums.htm
economy pharmacy canadian pharmacy discount coupon cheap canadian drugs
cialis ebay http://rcialisgl.com/ free sample of cialis
Have you ever heard of second life (sl for short). It is basically a game where you can do anything you want. Second life is literally my second life (pun intended lol). If you want to see more you can see these Second Life authors and blogs
http://myvedana.blogspot.com/2006/04/friend-or-flaneur.html?showComment=1144164780000&m=0
professional viagra cialis https://ucialisdas.com/ online cialis florida delivery
Have you ever heard of second life (sl for short). It is basically a video game where you can do anything you want. SL is literally my second life (pun intended lol). If you want to see more you can see these sl websites and blogs
http://myvedana.blogspot.com/2007/07/environmental.html?m=0
generic cialis http://cialisee.com/ – cialis wiki cialis and douextine
cialis free trial voucher https://cialisee.com/ cialis canada
rate canadian pharmacies http://pharmacylo.com/ online medicine shopping
where to buy generic viagra https://jokviagra.com/ best over the counter viagra
I don't know about you guys but I am obsessed with airplanes. I had a friend in highschool that loved airplanes, so here are some airplane related stuff I don't know about you guys but I love airplanes. I had a friend in highschool that loved airplanes, so here are some airplane related stuff https://www.airlinereporter.com/2009/11/hello-from-35000-feet/
http://privatejetstoday.blogspot.com/2010/08/private-jet-flight-attendant-jobs.html
Hurrah, that's what I was searching for, what a data!
existing here at this webpage, thanks admin of this site.
online prescription drugs http://pharmacylo.com/ Ventolin inhalator
online pharmacy denmark http://xlnpharmacy.com/ Azulfidine
viagra trial https://loxviagra.com/ viagra cost per pill
https://chloroquineorigin.com/ chloroquine price in india aralen for sale chloroquine phosphate brand name hydroxychloroquin
who sells viagra over the counter http://jokviagra.com/ women on viagra
Have you ever heard of second life (sl for short). It is essentially a game where you can do anything you want. SL is literally my second life (pun intended lol). If you want to see more you can see these Second Life authors and blogs
http://everydayliteracies.blogspot.com/2004/09/eats-blogs-and-leaves-jennifer-garrett.html
cheap viagra from india http://loxviagra.com/ cheap viagra online
Pretty component of content. I simply stumbled upon your blog and in accession capital to assert that I acquire in fact enjoyed account your blog posts.
Any way I'll be subscribing for your augment and even I success you access constantly
fast.
https://tadalafilol.com/ tadalafil order online no prescription cialis at canadian pharmacy tadalafil order online no prescription tadalafil price walmart
https://apcalisetadalafil.com/ generic cialis tadalafil tadalafil dosage generic cialis online fast shipping cialis cost
brimonidine brimonidine
cialiscanada http://rcialisgl.com/ cialis price
https://tadagatadalafil.com/ cialis cost cheapest tadalafil cost generic cialis tadalafil tadalafil online with out prescription
cialis paypal https://ucialisdas.com/ cialis 20mg
viagra and weed http://llviagra.com/ viagra dose for pulmonary hypertension
tadalafil side effects https://tadalafilww.com/ tadalafil online tadalafil goodrx buy cialis
tadalafil order online no prescription tadalafil goodrx cialis without prescription where to order tadalafil tablets https://tadalafilol.com/
buy generic cialis online with mastercard tadalafil cost in canada side effects of tadalafil tadalafil https://cttadalafil.com/ – cost of cialis
buy cialis online canada pharmacy https://cialishav.com/ – cheap cialis pills uk cheap cialis
https://cttadalafil.com/ tadalafil online https://tadalafilww.com/ – buy generic cialis online with mastercard buy tadalafil
side effects for tadalafil https://tadacipetadalafil.com/ – prescription tadalafil online cialis tadalafil tadalafil tadalafil side effects
cialis name https://cialishav.com/ – amazon cialis 20mg cialis 30 day trial offer
generic cialis online fast shipping https://tadalafilww.com/ – tadalafil side effects tadalafil price walmart tadalafil price walmart https://apcalisetadalafil.com/
avanafil 200 buy avanafil canada
brimonidine eye drops combigan generic
overnight cialis online https://rcialisgl.com/ – how to cut a cialis pill in half tadalafil
https://tadagatadalafil.com/ buy generic cialis online with mastercard https://apcalisetadalafil.com/ – tadalafil without a doctor prescription cheapest tadalafil cost
cialis penis https://krocialis.com/ – what is cialis good for cialis professional vs cialis super active
https://tadalafilol.com/ cialis tadalafil tadalafil tadalafil brands buy generic cialis online with mastercard
cialis tadalafil https://tadagatadalafil.com/ buy generic cialis online with mastercard cost of cialis tadalafil brands
prescription tadalafil online tadalafil liquid cialis tadalafil https://cttadalafil.com/
hcg injections online pharmacy https://pharmacyken.com/ – marinol canada pharmacy panacea pharmacy
cialis paypall https://cialisjla.com/ – buy cialis online from canada cialis deliver next day
Have you ever heard of second life (sl for short). It is basically a video game where you can do anything you want. SL is literally my second life (pun intended lol). If you would like to see more you can see these sl articles and blogs
http://thisteachinglife.blogspot.com/2004/05/conference-notes.html
prednisolone online pharmacy buy cialis online canadian pharmacy pharmacy rx one review
cialis dose https://ckacialis.com/ – generiac cialis buy shop cialis 20mg
find cheapest cialis pills https://cialisjla.com/ – cialis purchase online generic cialis price
cialis as generic https://ckacialis.com/ – cialis buy viagra and cialis
tadalafil online https://krocialis.com/ – joker cialis viagra cialis trial pack
purchase cialis https://rcialisgl.com/ – viagra levitra cialis which works better? liquid cialis review
pharmacy rx one online pharmacy https://pharmacyken.com/ – family mart store online pharmacy online pharmacy 365
Have you ever heard of second life (sl for short). It is basically a online game where you can do anything you want. Second life is literally my second life (pun intended lol). If you would like to see more you can see these Second Life websites and blogs
http://myvedana.blogspot.com/2006/09/back.html?m=0
canadian pharmacy tylenol with codeine how to find a legitimate canadian pharmacy best canadian prescription prices
express scripts pharmacy flying with prescription drugs accredited online pharmacy schools
buy drugs in canada Cytotec sav on pharmacy store locator
Have you ever heard of second life (sl for short). It is essentially a game where you can do anything you want. sl is literally my second life (pun intended lol). If you would like to see more you can see these second life websites and blogs
http://whatsnewmedia.wordpress.com/2006/03/12/is-there-another-grassroots-way-to-network-neutrality/
canada cialis with dapoxetine cialis online kaufen cialis 5mg coupon
cialis 20 mg best price 5mg cialis cost best price cialis supper active
generic cialis without prescription cialis vs viagra cost generic cialis images
how to get a cialis prescription discount cialis 5mg cialis online pharmacy
This was great! I would like you to clean up all this spam though
https://www.linkedin.com/in/yusufhanafy
229304 332242I like this web blog really much so significantly superb info . 304493
Lariam meijer pharmacy store hours prescription drugs from canada online
Have you ever heard of second life (sl for short). It is essentially a video game where you can do anything you want. SL is literally my second life (pun intended lol). If you want to see more you can see these second life websites and blogs
http://everydayliteracies.blogspot.com/2009/11/new-book-in-our-series-enormous.html?m=0
canadianpharmacymeds best canada pharmacy pharmacy tech test online
cialis coupon voucher cialis pills for sale cialis mit dapoxetine
but cialis cialis professionals cialis 10 mg tablet
what company makes cialis paypal cialis tadalafil taking cialis and testosterone together
cialis ordering cialis sales canadian viagra cialis trial pack
cialis suppliers uk cheap cialis overnight deleivery viagra and cialis taken together
cialis everyday which one is better viagra or cialis buy cialis in canada
This was great! I would like you to clean up all this spam though
https://www.linkedin.com/in/yusufhanafy
online canada drugs xanax canadian online pharmacy canadian pharmacy store rating/safety
canada drugs pharmacy online canadian pharmacy calls canada pharmacy cialis
androgel canada pharmacy most trustworthy canadian pharmacy n1 canadian pharmacy
canadian pharmacies review northeast pharmacy canada canadian pharmacy viagra scam
This was awesome! I would like you to clean up all this spam though
https://www.linkedin.com/in/yusufhanafy
cialis does not work cialis and grapefruit juice side effects cialis on paypal
acquistare cialis online cheap cialis prices cialis hypertension
what is generic cialis viamedic cialis generic cialis 20mg
texas chemist online pharmacy reputable canadian pharmacies online canada pharmacy 24h
cialis with out perscription generic cialis express delivery when to take cialis best time to take
canadian pharmacy king mental illness mexican pharmacies
hcqs pill cloroquine protein hydroxychloroquine 400 mg
cheapest cialis generic cialis us pharmacy viagra vs cialis price
cialis 20 mg most recommended online pharmacies cialis cialis original
tadalafil ( cialis ) generic cialis cost cialis wikipedia
buy cialis canada generic cialis 7days online cialis australia
Have you ever heard of second life (sl for short). It is essentially a video game where you can do anything you want. sl is literally my second life (pun intended lol). If you would like to see more you can see these sl articles and blogs
http://teachingthroughdigitalstories.blogspot.com/2008/07/digital-natives.html
cheap prescription drugs canadian pharmacy jublia online pharmacy technician course
viagra/cialis local generic cialis in united states cialis drug plan
albuterol canadian pharmacy legit canadian pharmacy online pharmacy tech school online
I don't know about you people but I am obsessed with airplanes. I had a friend in highschool that loves airplanes, so here are some airplane related stuff I don't know about you guys but I love airplanes. I had a friend in highschool that loved airplanes, so here are some airplane related stuff https://www.airlinereporter.com/2010/05/buys-ads-on-overhead-bins-napkins-barfbags-lavatories-and-much-more/
http://urlm.co/g/c/f/163870
pharmacy online program legitimate canadian pharmacy list canadian pharmacy reviews 2017
definitions of prescription drugs check canadian pharmacies website Erythromycin
I don't know about you people but I infatuated with airplanes. I have a friend in highschool that loved airplanes, so here are some airplane related stuff I don't know about you guys but I love airplanes. I had a friend in highschool that loved airplanes, so here are some airplane related stuff https://www.airlinereporter.com/2010/07/12-year-old-gets-body-scanned-without-parental-permission/
http://myvedana.blogspot.com/2006/01/colin-comes-cropper.html?m=0
I don't know about you people but I infatuated with airplanes. I have a friend in highschool that loves airplanes, so here are some airplane related stuff I don't know about you guys but I love airplanes. I had a friend in highschool that loved airplanes, so here are some airplane related stuff https://www.airlinereporter.com/2010/01/boeing-move-787-dreamliner-static-test-frame/
http://myvedana.blogspot.com/2008/09/views.html
bookmarked!!, I really like your blog!
Have you ever heard of second life (sl for short). It is essentially a video game where you can do anything you want. Second life is literally my second life (pun intended lol). If you would like to see more you can see these sl articles and blogs
http://myvedana.blogspot.com/2013/11/new-writing.html?showComment=1386680287980&m=0
fantastic post, very informative. I'm wondering why the opposite specialists
of this sector do not realize this. You must continue your writing.
I am sure, you have a great readers' base already!
Have you ever heard of second life (sl for short). It is basically a video game where you can do anything you want. Second life is literally my second life (pun intended lol). If you would like to see more you can see these Second Life authors and blogs
http://lostbiro.com/blog/?p=550
Sweet blog! I found it while surfing around on Yahoo News.
Do you have any tips on how to get listed in Yahoo News?
I've been trying for a while but I never seem
to get there! Thanks