Acute Lymphoblastic Leukemia (ALL) - Treatment

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Medicosis Perfectionalis

Medicosis Perfectionalis

6 жыл бұрын

Acute Lymphoblastic Leukemia (ALL) is a malignant neoplasm (cancer) of the blood and the bone marrow. It can lead to anemia, and thrombocytopenia.
Acute Lymphoblastic Leukemia (ALL) - Symptoms, Pathogenesis, Diagnosis, Down Syndrome - tDt positive.
Treatment of ALL involves chemotherapy, Radiation therapy, or bone marrow transplant (stem cell transplant).
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Пікірлер: 191
@MedicosisPerfectionalis
@MedicosisPerfectionalis 2 жыл бұрын
💊🦠 Antibiotics Course: www.medicosisperfectionalis.com/ 🧠 Autonomic Pharmacology Course: www.medicosisperfectionalis.com/
@mrcharisma19
@mrcharisma19 3 жыл бұрын
I am undergoing treatment for this type of leukemia..praying for a speedy recovery
@MedicosisPerfectionalis
@MedicosisPerfectionalis 3 жыл бұрын
Amen 🙏
@cilinegunness9487
@cilinegunness9487 3 жыл бұрын
Where are you receiving treatment my close relatives was recently diagnosed with Acute Lymphoblastic Leukemia
@mrcharisma19
@mrcharisma19 3 жыл бұрын
@@cilinegunness9487 I live in India here i am receving treatment in on of the cancers hospitals named Medanta..they have multiple hospitals in various cities just tell your relative to search for the nearest one to their location as it will be comfortable for them due to covid19 situation and also they can be near their home as hospitals stays are risky for infection my oncologist tells me to be here only when required..hope they recover soon keep them in prayers
@cilinegunness9487
@cilinegunness9487 3 жыл бұрын
@@mrcharisma19 can you message me please @ +18683643807
@cilinegunness9487
@cilinegunness9487 3 жыл бұрын
I’m from the Caribbean , here we don’t have proper treatment
@jimibegum6810
@jimibegum6810 Жыл бұрын
I have lost my mother due to ALL,it's very dangerous,she didn't even survive for 10 days after bone marrow test,we are totally devastated.
@alyssaharrison6706
@alyssaharrison6706 3 жыл бұрын
I could listen to you lecture forever - thank you
@MedicosisPerfectionalis
@MedicosisPerfectionalis 3 жыл бұрын
Thank you 😊 I am so delighted to hear that! Good luck 🍀 to you!
@meghanxsjma2846
@meghanxsjma2846 4 жыл бұрын
Thank you so much i spend 4-5 hours to try understand what you say in 9 minutes it’s very simple , specific and nice you save my time thanks
@MedicosisPerfectionalis
@MedicosisPerfectionalis 4 жыл бұрын
You're very welcome 😊
@Drella-co3cg
@Drella-co3cg 4 жыл бұрын
You make everything sweet as you I didn’t suspect leukemia is going to be a nice topic like that Really thanks a lot
@MedicosisPerfectionalis
@MedicosisPerfectionalis 4 жыл бұрын
You’re very welcome 😊
@VisualKeiArtist
@VisualKeiArtist Жыл бұрын
Thanks for the info. My first time caring for an ALL patient and this really helps
@MedicosisPerfectionalis
@MedicosisPerfectionalis Жыл бұрын
Thank you!
@MuhammadAli-ml9bt
@MuhammadAli-ml9bt 6 жыл бұрын
thank you very nice . your lecture stick in mind slide by slide, lovely!
@MedicosisPerfectionalis
@MedicosisPerfectionalis 6 жыл бұрын
Thanks bro! I truly appreciate that...Good luck!
@RedsJourneyTV
@RedsJourneyTV 4 жыл бұрын
my son is battling leukemia this time, it is shown in our channel. Thanks for sharing this
@MedicosisPerfectionalis
@MedicosisPerfectionalis 4 жыл бұрын
You’re welcome...I am so sorry to hear that. I hope he will recover.
@graceowo6572
@graceowo6572 Жыл бұрын
thanks for making this topic simply
@MedicosisPerfectionalis
@MedicosisPerfectionalis Жыл бұрын
My pleasure!
@thefaithfulmedic6988
@thefaithfulmedic6988 Жыл бұрын
short and concise! love it
@MedicosisPerfectionalis
@MedicosisPerfectionalis Жыл бұрын
Thank you!
@thebonj8
@thebonj8 3 жыл бұрын
What a mindblowingly awesome tutorial! I understood everything literally.
@MedicosisPerfectionalis
@MedicosisPerfectionalis 3 жыл бұрын
Thank you so much 😊
@ThatsWhy-
@ThatsWhy- 3 жыл бұрын
What an Amazing Doctor he is! I like him so much.
@benda-annevanniekerk6833
@benda-annevanniekerk6833 4 жыл бұрын
Such a good tutorial, thank you!
@MedicosisPerfectionalis
@MedicosisPerfectionalis 4 жыл бұрын
My pleasure 😇
@charleschin6754
@charleschin6754 4 жыл бұрын
Oh god.. I have been cured.. After 1 half year.. ALL ...im so sad.. My friend die on ...All. ..keep fighting u guys... Thats how u survive tq😭
@MedicosisPerfectionalis
@MedicosisPerfectionalis 4 жыл бұрын
I am sorry to hear that! Your comment is so profound. This must have been difficult.
@pawkehmee7230
@pawkehmee7230 3 жыл бұрын
How u survive
@charleschin6754
@charleschin6754 3 жыл бұрын
@@pawkehmee7230 pray, fighting, think positive,
@pawkehmee7230
@pawkehmee7230 3 жыл бұрын
May i know u blast cell percentage
@EvilPig008
@EvilPig008 3 жыл бұрын
@@charleschin6754 i glad you can survive, Fight, pray and positif thinking.. i'll try do that... do you still rember your worst blood lab ? Such leukosit, trombosit and blast precentage ? From my BMP test this week, the doctor say i got ALL - L1 😭
@suedanurozdemir7788
@suedanurozdemir7788 4 жыл бұрын
It's very useful thank you so much ! :)
@abdelrahmanmohamedabdelatt2381
@abdelrahmanmohamedabdelatt2381 3 жыл бұрын
Awesome content , continue hero 👍
@reeva89
@reeva89 4 жыл бұрын
Wonderful work🙌🏻
@MedicosisPerfectionalis
@MedicosisPerfectionalis 4 жыл бұрын
Thank you so much 😊
@pashteen8348
@pashteen8348 6 жыл бұрын
Thanks fr evry upload
@MedicosisPerfectionalis
@MedicosisPerfectionalis 6 жыл бұрын
My pleasure:)
@iramaenju1357
@iramaenju1357 2 жыл бұрын
I'm just here to say Thank you very much
@MedicosisPerfectionalis
@MedicosisPerfectionalis 2 жыл бұрын
My pleasure 😇
@starvingartist535
@starvingartist535 4 жыл бұрын
I've been taking dasatinib for my ALL, on day 27 now, my dr said I will start on the iv chemo soon. So far i haven't noticed any major side effects but I have family insisting that i need to be in their care
@MedicosisPerfectionalis
@MedicosisPerfectionalis 4 жыл бұрын
Talk to your doctor and follow his/her advice. If you don’t like the doctor’s advice, please talk to another doctor! Good luck!
@lujain5048
@lujain5048 11 күн бұрын
I appreciate your effort !
@MedicosisPerfectionalis
@MedicosisPerfectionalis 10 күн бұрын
It's my pleasure!
@ourabyousif9334
@ourabyousif9334 10 ай бұрын
You make the Best vedioes ever thanks alot 🥺❤️❤️
@MedicosisPerfectionalis
@MedicosisPerfectionalis 10 ай бұрын
Glad you like them! Would you please help me by sharing my videos with others?
@zainabalhilfi9280
@zainabalhilfi9280 2 ай бұрын
Thank you so much ❤❤❤❤ may god bless u
@chrisrock4428
@chrisrock4428 4 жыл бұрын
They told my father in law yesterday 18 months. He was just diagnosed.
@mariovalencia4942
@mariovalencia4942 3 жыл бұрын
look, I recommend ganoderma lucidum, with that, leukemia is cured with the help of God. Investigate and if you have any questions, write to me + 573125853837
@Deepika_1937
@Deepika_1937 3 жыл бұрын
You are simply great 👍
@MedicosisPerfectionalis
@MedicosisPerfectionalis 3 жыл бұрын
Thank you 🙏
@sybilgoddess9288
@sybilgoddess9288 2 жыл бұрын
Hello I have a question you said before treatment you need to stabilize the patient the thing that I did not understand in your previous video you said WBC count over 100.000 has a poor prognosis then why granulocytopenia is a risk factor before the treatment?
@kaewinsxn1860
@kaewinsxn1860 3 жыл бұрын
relating to this is soo interesting but thanks for the details
@kaewinsxn1860
@kaewinsxn1860 3 жыл бұрын
and also the asparginase almost killed me🙃
@meguidz9633
@meguidz9633 2 жыл бұрын
Such a hero
@alexandra2535
@alexandra2535 2 жыл бұрын
I’m a little bit confused… so let’s say someone is in a complete remission for 2 years today. Are chemoteraphy cycles included in maintenance after CR? or does the maintenance start after all the chemotherapy cycles are finished and patient starts to be on pill chemotherapy? I just don’t understand if the 2 years maintenance starts after chemotherapy cycles or after someone is considered to be in CR.
@jawaheral-semairi6333
@jawaheral-semairi6333 4 жыл бұрын
thank u so so so much for that video.
@MedicosisPerfectionalis
@MedicosisPerfectionalis 4 жыл бұрын
You’re very welcome 😊
@mennaamin5079
@mennaamin5079 2 жыл бұрын
so i still dont understand why the WBCs count is high ? is it bcz bone marrow is hyperplastic so it produces more cells ? am i ri8?
@yavuzbahadrtaktak8020
@yavuzbahadrtaktak8020 5 жыл бұрын
Summarised acute ‘kidney injury - acute kidney failure terminology change’ in two seconds ^^
@MedicosisPerfectionalis
@MedicosisPerfectionalis 5 жыл бұрын
😊
@uzoechiotuu10
@uzoechiotuu10 4 жыл бұрын
He helped my son
@MedicosisPerfectionalis
@MedicosisPerfectionalis 4 жыл бұрын
Thanks 🙏 I am honored! How is his health?
@arjun_889
@arjun_889 2 жыл бұрын
Hi i am 15 and i diagnosis the same 2 months ago and i completed 3 chemos,dr said that 8 chemo 's.what is the treatment after that 8 chemos? Any idea?can i live as normal life????
@hassinayazid9286
@hassinayazid9286 5 жыл бұрын
you are the best
@MedicosisPerfectionalis
@MedicosisPerfectionalis 5 жыл бұрын
Thank you! Appreciate it!
@user-ex7wz7se9w
@user-ex7wz7se9w 6 ай бұрын
Halu my diagnose is ALL. I under go chemo therapy but my body can't responds. So my doc. Refer me to pallia chemo therapy. Amd i can't dicide .if im cured or not can you help me pls....
@sabharabaya9838
@sabharabaya9838 4 жыл бұрын
thank you very much , i have a question please , i have to present a study about mercaptopurine as maintenance therapy for ALL , but I still dont understand what does mercaptopurine do to prevent relapse ?? it is an immunosuppressent , so why it is used for the treatment of ALL ??
@MedicosisPerfectionalis
@MedicosisPerfectionalis 4 жыл бұрын
Mercaptopurine is a purine synthesis inhibitor -> inhibits DNA synthesis -> inhibits DNA replication -> inhibits cell division.
@MrHotstepper89
@MrHotstepper89 3 жыл бұрын
I’m one year into maintenance & one year left to go. Does this type of cancer always come back? Have many people even beating it do you know? Great video BTW 👏👏
@bogdxx
@bogdxx 3 жыл бұрын
I'm at the final of treatment,i have only 3 days and i finish it. No,he don t come back everytime,only in 35% of causes,that depend of your type or others factors But i know persons who win the battle with ALL and the cancer never come back
@user-on9kt7np6g
@user-on9kt7np6g 2 жыл бұрын
I’ve just began my chemo for t-All and So far I’ve not had extreme side effects, just wondering which part you found hardest and which was the harshest part for you ? Also did you lose your eyebrows and eyelashes ?
@MrHotstepper89
@MrHotstepper89 2 жыл бұрын
@@user-on9kt7np6g That’s good your not having bad side effects. For me it took my hair almost 3 months to completely fall out & I lost my eyebrows but not the lashes
@D_d_t_d_D
@D_d_t_d_D Жыл бұрын
@@user-on9kt7np6gFor me the worst of it is the Myopathy in my thighs making it hard to walk, the harsh reaction to the medication has been worse than the symptoms itself…
@manarbnb4493
@manarbnb4493 Жыл бұрын
If the kid has big adenopathy should we biopsy them before treatment ???
@minnietrace
@minnietrace 4 жыл бұрын
Your videos are great 👍 thanks!
@MedicosisPerfectionalis
@MedicosisPerfectionalis 4 жыл бұрын
Thank you so much 😊 Can you please help me by sharing?
@rayayalmaz9403
@rayayalmaz9403 3 жыл бұрын
My heros will answer this question!ok, you remembered me a song, it's Enrike Eglacias song:" I can be your hero baybe" hhh the answer is: dasatinib with corticotherpapy 😇 yuppyyyyy 🎉🎉🎉🎊🎊🎊🎉🎉🎉
@sujendrakumar2686
@sujendrakumar2686 Жыл бұрын
I am undergoing treatment for this type of leukemia.. Induction phase completed now I am in consolidation phase. BCR-ABL report show 0.54% and bone marrow is clear. What are chances for complete recovery? Please respond
@user-on9kt7np6g
@user-on9kt7np6g 2 жыл бұрын
I have just began my chemo treatment for t-all and wondered which part of the treatment is the harshest and when to expect the most worst side effects ?
@naomiasg8100
@naomiasg8100 2 жыл бұрын
I know this is a very late reply but for me personally, the harshest was induction & consolidation & the prophylaxis of CNS during Maintenance . Of course every case is different depending on the subtype of ALL, what treatment protocol you're on & if any complications occur. Don't know if you're in the consolidation phase now but hope you are doing well
@arjun_889
@arjun_889 2 жыл бұрын
Hi how are you now???? I diagnosis t-all and now just the treatment begun,how are you now???
@DelineatedMercy
@DelineatedMercy Жыл бұрын
@@naomiasg8100 I'm just got done with induction!
@naomiasg8100
@naomiasg8100 Жыл бұрын
@@DelineatedMercy How did it go? Hope you are doing well. One tiny but big step closer to the finish line!
@apriljoymainit-villagonzal5973
@apriljoymainit-villagonzal5973 Жыл бұрын
I just started my consolidation. Induction was the hardest for me. However, let’s see in the coming days. My doctor said that Day 34 would be the day that patients would usually get so weak.
@suntvbangla930
@suntvbangla930 4 жыл бұрын
Dear sir, My son is affected by acute lymphoblastic leukemia so at least need change bone marrow or not?
@MedicosisPerfectionalis
@MedicosisPerfectionalis 4 жыл бұрын
Thanks for your comment! I don’t know his case. Please talk to your oncologist. Best of luck!
@raymondbatisai4654
@raymondbatisai4654 Жыл бұрын
Hi my name is Raymond Batisai My nephew Denzel Mavhunga is 8 years old .He now has relapse after only 3 months .We are looking for help for stem cell transplant We are looking funds to find the process in Zimbabwe where we come from there are no resources .Please help
@satyanarayanareddy8954
@satyanarayanareddy8954 4 жыл бұрын
My brother had all ph like positive, can you tell me succes rate of this stemcell transplantion in ph like positive
@MedicosisPerfectionalis
@MedicosisPerfectionalis 4 жыл бұрын
I don’t know 🤷‍♂️ Please talk to your oncologist
@tylernatof7652
@tylernatof7652 Жыл бұрын
I thought they use rasbicurase rather than allopurinol for tumor lysis syndrome, based on up to date.
@MedicosisPerfectionalis
@MedicosisPerfectionalis Жыл бұрын
Both are used!
@chubauloma
@chubauloma Жыл бұрын
Thank you for the videos. This case study says she is 76yr old. I'm wondering why it's ALL and not CLL. Thank you.
@seyidegbedozin5280
@seyidegbedozin5280 Жыл бұрын
Hey, I think it's because it's blasts >20% in bone marrow... Watch the previous acute leukemia video, you'll get it.
@ishaileshdesai56
@ishaileshdesai56 3 жыл бұрын
I like your videos .Thats good of u to provide such knowledge but if patient takes treatment on their own n mishap happens .... It will b like u will b targeted so please mention in every videos of u.....that u r not doctor n these videos are for only teaching purpose n u don'ts bear any of legal n illegal bearings if patient died of following treatments shown in videos..thanks😀
@lanajarbouh5174
@lanajarbouh5174 4 жыл бұрын
how do ALL patients receive chemotherapy ??
@MedicosisPerfectionalis
@MedicosisPerfectionalis 4 жыл бұрын
What do you mean? Are you asking about the route of administration?
@liuoyt9857
@liuoyt9857 2 жыл бұрын
1:54 sorry i might not be understanding this correctly...if chemo CAN NOT penetrate CNS or testes, why do we still need to give prophylaxis??? Its not going to these regions anyways@@....
@lexd
@lexd 2 жыл бұрын
They give chemo directly into the CNS by giving it intrathecally when they do the lumbar puncture to see if there are any cancerous cells there at the same time. And testes are generally irradiated rather than treated with chemo I believe.
@liuoyt9857
@liuoyt9857 2 жыл бұрын
@@lexd say whhhhhhaaa??😱😱 chemo directly into the CNS😲😲😲??!!!...i wonder what prophylaxis they gave prior to injecting the chemo...like MOA etc...damn~◕_◕
@lexd
@lexd 2 жыл бұрын
@@liuoyt9857 the usual systemic IV/oral chemo cannot penetrate CNS, but unfortunately the CNS is a very common area for the ALL to relapse into. Because of that, it's really important to put lots of prophylactic chemo directly there. Most commonly they use methotrexate which is a dihydrofolate reductase inhibitor.
@shadi.y
@shadi.y 5 жыл бұрын
my son has (ALL) BMB clean he did the first chemo douse without any side effects expect the hair fall he doing good but I'm little nervous about the second douse and the purinethol treatment is he gonna hurt? ????
@Eclipsile
@Eclipsile 4 жыл бұрын
How is he doing now man, I'm sorry you have to go this this pain.
@Eclipsile
@Eclipsile 4 жыл бұрын
@@shadi.y I wish the best for you and your family, no problem man.
@MrHotstepper89
@MrHotstepper89 3 жыл бұрын
I also have (ALL) how is your son doing now? I’ve one year of maintenance left to go
@shadi.y
@shadi.y 3 жыл бұрын
@@MrHotstepper89 he is much better now. Thank you very much 🌹🌹
@MrHotstepper89
@MrHotstepper89 3 жыл бұрын
shadi jordan That’s brilliant to hear ❤️
@tetsuhiromabashi1708
@tetsuhiromabashi1708 Жыл бұрын
Give me folic. Don't be such an alcoholic! #nocancer 😂
@MedicosisPerfectionalis
@MedicosisPerfectionalis Жыл бұрын
:)
@rashidkhan9079
@rashidkhan9079 3 жыл бұрын
But i have a question that imatinib isn’t that much give good response in case of ALL this DRUGS can give very good response in case of CML actually I’m a medical student that’s why I’m telling you
@MedicosisPerfectionalis
@MedicosisPerfectionalis 3 жыл бұрын
Sorry, but I didn’t understand your question!
@rashidkhan9079
@rashidkhan9079 3 жыл бұрын
@@MedicosisPerfectionalis i mean that imatinib is not a good choice in case of ALL actually you already know here the prognosis is bad
@orianaostfeld1668
@orianaostfeld1668 4 жыл бұрын
Why do we give prednisone\ dexamethasone?
@MedicosisPerfectionalis
@MedicosisPerfectionalis 4 жыл бұрын
Immunosuppressant
@becyjames1870
@becyjames1870 4 жыл бұрын
Oriana Ostfeld life is sweet,there is this man who cured me from Leukemia using herbal medicine,he can help you or anyone who need help
@becyjames1870
@becyjames1870 4 жыл бұрын
Oriana Ostfeld message him on his WhatsApp number +2349067996110
@orianaostfeld1668
@orianaostfeld1668 4 жыл бұрын
@@becyjames1870 please tell me you are kidding
@becyjames1870
@becyjames1870 4 жыл бұрын
@@orianaostfeld1668 I'm telling you the truth, contact him now, he helped me
@shhhhhhhhh3743
@shhhhhhhhh3743 4 жыл бұрын
I’m 15 and I just got diagnosed today
@MedicosisPerfectionalis
@MedicosisPerfectionalis 4 жыл бұрын
I am sorry! Most patients improve with chemotherapy. Don’t give up!
@lailahamza9889
@lailahamza9889 2 жыл бұрын
Hope you’re well and still fighting
@shhhhhhhhh3743
@shhhhhhhhh3743 2 жыл бұрын
@@MedicosisPerfectionalis Hi! It’s been a year and a half since I’ve been diagnosed and I just remembered about commenting on this video . Thanks for the kind words and I am in a better shape now, I’ve started to go back to school and only do chemo every 2 months or so. I’m just writing here to tell everyone that I am doing fine.
@arjun_889
@arjun_889 2 жыл бұрын
I am 15 too, i diagnosis the same two months ago and i completed 3 chemo.how are you now??? Is your treatment over? Back to normal life? What is your experience?
@DelineatedMercy
@DelineatedMercy Жыл бұрын
@@shhhhhhhhh3743 amazing
@_738hdhdhsjwkwkwow
@_738hdhdhsjwkwkwow 2 жыл бұрын
What if the patient is very young male before puberty. Is there a risk of infertility
@MedicosisPerfectionalis
@MedicosisPerfectionalis 2 жыл бұрын
May be! My guess is that it will be less likely. But, I don’t know 🤷‍♂️ for sure!
@ruhullahhaghseresht6004
@ruhullahhaghseresht6004 5 ай бұрын
Why were her legs swollen?
@jabizebadi6982
@jabizebadi6982 Жыл бұрын
without having the Hb , can we really talk about anemia?
@MedicosisPerfectionalis
@MedicosisPerfectionalis Жыл бұрын
What do you mean?
@jabizebadi6982
@jabizebadi6982 Жыл бұрын
@@MedicosisPerfectionalis In the clinical case you said the ht is low so it’s anemia; shouldn’t we really talk about anemia when hb is low?
@iamjinkys
@iamjinkys 4 жыл бұрын
My sister just died today due to this illness😭💔
@ipurpleyou7226
@ipurpleyou7226 4 жыл бұрын
Salvacion Jinky I’m sorry for your loss...
@MedicosisPerfectionalis
@MedicosisPerfectionalis 4 жыл бұрын
I am so sorry
@rayansaab968
@rayansaab968 4 жыл бұрын
my daughter has an acute lymphoblastic leukemia and she is now in consolidation, she take a high dose methotrexate every two week for four doses, is there any hope to cured from this cancer?
@MedicosisPerfectionalis
@MedicosisPerfectionalis 4 жыл бұрын
ALL can be cured in many cases.
@rayansaab968
@rayansaab968 4 жыл бұрын
@@MedicosisPerfectionalis thank you
@MedicosisPerfectionalis
@MedicosisPerfectionalis 4 жыл бұрын
You’re welcome! Chemotherapy tends to be really helpful for most patients with ALL. Please follow up with your doctor! Good luck!
@froggoe._.
@froggoe._. 3 жыл бұрын
Hey how is she now?
@daveluna5355
@daveluna5355 4 жыл бұрын
Im 18 years old what is tge percentage of my survival?
@MedicosisPerfectionalis
@MedicosisPerfectionalis 4 жыл бұрын
I am so sorry to hear that! Survival rates depends on many factors. Also, they are statistical probabilities, not guarantees. Please talk to your doctor! Keep fighting the good fight! Never give up!
@jeffreycatad6562
@jeffreycatad6562 5 жыл бұрын
Can you give a stamated cost in transplant?
@MedicosisPerfectionalis
@MedicosisPerfectionalis 5 жыл бұрын
I am afraid I don’t understand what you mean by “stamated cost in transplant”
@jeffreycatad6562
@jeffreycatad6562 5 жыл бұрын
I mean the price in bone marrow transplanting
@MedicosisPerfectionalis
@MedicosisPerfectionalis 5 жыл бұрын
It depends on where you live, and the hospital and many other variables...But, it’s expensive.
@jeffreycatad6562
@jeffreycatad6562 5 жыл бұрын
Thank you 😆🙁
@MedicosisPerfectionalis
@MedicosisPerfectionalis 5 жыл бұрын
You’re welcome!
@HasanBasriy
@HasanBasriy Жыл бұрын
You don't tell me it relapses in almost 100% cases! What a stupid statement.
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