alexthecat
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THR 1st April Surgery and doing well
- Thread starter Jyoti
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dianemarie
graduate
I had arthroscopy on my left knee in 2003, for meniscus tear. Easy recovery, could weight bear directly after surgery (used crutches for a few days for balance). I was completely pain free for 10 years. Now have moderate arthritis in that knee and will ultimately need a replacement. Putting it off as long as possible. Some have told me the arthritis is from the arthroscopy, hard to say because I have arthritis in almost all my other joints (except wrists and elbows). Good luck.
I think it's one of those things you cannot predict. I had meniscus repair on my knee and my arthritis did get worse. I believe it was because the surgeon was a little too aggressve with debridement while he was in there. Many people, including Jo, have had successful arthroscopic surgeries that gave them time before needing a TKR.
If it doesn't hurt, I'd leave it alone. If it is hurting, you could discuss with your surgeon exactly what he plans to do. If it's just cleanup of loose matter in the joint, that probably would be just fine. If he talks about debridement, I would steer clear of that if at all possible.
I'm sure Jo will have some comments as well when she checks in next.
If it doesn't hurt, I'd leave it alone. If it is hurting, you could discuss with your surgeon exactly what he plans to do. If it's just cleanup of loose matter in the joint, that probably would be just fine. If he talks about debridement, I would steer clear of that if at all possible.
I'm sure Jo will have some comments as well when she checks in next.
Josephine
NURSE DIRECTOR EMERITA
That's a very old old wives' story! But dysplasia and CDH is certainly far more common in girls than it is in boys.
Why?
You had your hip done so long ago. You should be back to whatever 'normal' you can manage by now.It depends upon the nature of the tear. If, like Cardie, the tear is in the lateral meniscus and/or doesn't have any shredding, then yes, you can put it off a while. But most tears are not 'clean' like that and have frayed edges and tags which get in the way of the joint working. You might already be aware when this happens if you get some short sharp pains when you are walking or turning on that leg. Persistent aching is also a sign.
If you leave this too long, then it causes damage to the joint surface which in itself will result in the very hastening of deterioration you fear. In addition, bits of the frayed meniscus break off and become loose bodies (often referred to as 'grit') with the same result. But this damage and fraying of the meniscus is all part of the arthritic condition anyway.
After having my right knee replaced, my left knee became painful and an MRI revealed a medial meniscal tear. In fact, this was also a shredded edge with fraying, giving off lots of debris. Yes, there was some arthritis in there but I had the cartilage trimmed and even now, though it's clinically bone-on-bone, I'm still 95% pain free and won't do anything much until things get a lot worse. That could be another year or it could be next month - who knows? But I do know that had I not had the arthroscopy when I did I would almost certainly be well post-op with this knee by now!
So my recommendation is to get it done now. You have a much better chance of preventing the arthritis being exacerbated than if you wait. Worn tyres only ever get worse, don't they?
C Mac
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Hi Jyoti,
Well, the tear isn't a surprise. Did you get information on the location/type of tear?
What you decide to do in terms of surgery will depend upon your level of pain and pain tolerance. One thing that my knee OS told me that I thought was rather interesting is that sometimes what shows as a tear on the MRI is found to be inflammation upon viewing via the scoping procedure. If you decided that you wanted to have the scope you'd want the assurance from your doctor that he's going to do -- whatever it is that you think is the best option for your situation; e.g. removal of the tidbits that are floating around, debridement, trimming and cleaning whatever seems damaged...
In the meantime, since you don't have to make a move immediately on the scope...
See if you can find a provider in your area that might have this type of treatment to offer and see if it could be helpful for your knee situation. Of course, this probably wouldn't have been an option for my deformed femur, but gosh I kind of wish I'd asked about it before going to the fake hip!!
Take care,
Cardie
Well, the tear isn't a surprise. Did you get information on the location/type of tear?
What you decide to do in terms of surgery will depend upon your level of pain and pain tolerance. One thing that my knee OS told me that I thought was rather interesting is that sometimes what shows as a tear on the MRI is found to be inflammation upon viewing via the scoping procedure. If you decided that you wanted to have the scope you'd want the assurance from your doctor that he's going to do -- whatever it is that you think is the best option for your situation; e.g. removal of the tidbits that are floating around, debridement, trimming and cleaning whatever seems damaged...
In the meantime, since you don't have to make a move immediately on the scope...
See if you can find a provider in your area that might have this type of treatment to offer and see if it could be helpful for your knee situation. Of course, this probably wouldn't have been an option for my deformed femur, but gosh I kind of wish I'd asked about it before going to the fake hip!!
Take care,
Cardie
OP
OP
Jyoti
senior
Thanks for all your responses. I have a pre-assessment for the knee arthroscopy on wednesday but need to get another appt. with the OS to discuss my options further. However, on reading about it doubt I will have it done.
I just returned form my holiday and I did walk - not as much as I had hoped due, not to my right knee but due to a variety of issues. Firstly, my left knee hurt more and my lower back ached the more I walked as well as other niggles in both legs near the hip area. Assuming due to a variety of muscles etc. So to be honest, I question the need for my right knee arthroscopy as that wasn't the main cause of my difficulties. Will try and get another appt to discuss all the issues.
However, did discuss with my Feldenkrais guy who felt it was best left alone due to the above.
I did notice on holiday that I do walk less then pre-op and have more issues even though my hip pain has gone and I'm coming up to my 2nd anniversary!! Still using the crutch as do need it. Really question the ability of my hip muscles to become strong enough to walk without an aid.
I just returned form my holiday and I did walk - not as much as I had hoped due, not to my right knee but due to a variety of issues. Firstly, my left knee hurt more and my lower back ached the more I walked as well as other niggles in both legs near the hip area. Assuming due to a variety of muscles etc. So to be honest, I question the need for my right knee arthroscopy as that wasn't the main cause of my difficulties. Will try and get another appt to discuss all the issues.
However, did discuss with my Feldenkrais guy who felt it was best left alone due to the above.
I did notice on holiday that I do walk less then pre-op and have more issues even though my hip pain has gone and I'm coming up to my 2nd anniversary!! Still using the crutch as do need it. Really question the ability of my hip muscles to become strong enough to walk without an aid.
OP
OP
Jyoti
senior
Thanks for all your responses. I have a pre-assessment for the knee arthroscopy on wednesday but need to get another appt. with the OS to discuss my options further. However, on reading about it doubt I will have it done.
I just returned form my holiday and I did walk - not as much as I had hoped due, not to my right knee but due to a variety of issues. Firstly, my left knee hurt more and my lower back ached the more I walked as well as other niggles in both legs near the hip area. Assuming due to a variety of muscles etc. So to be honest, I question the need for my right knee arthroscopy as that wasn't the main cause of my difficulties. Will try and get another appt to discuss all the issues.
However, did discuss with my Feldenkrais guy who felt it was best left alone due to the above.
I did notice on holiday that I do walk less then pre-op and have more issues even though my hip pain has gone and I'm coming up to my 2nd anniversary!! Still using the crutch as do need it. Really question the ability of my hip muscles to become strong enough to walk without an aid.
I just returned form my holiday and I did walk - not as much as I had hoped due, not to my right knee but due to a variety of issues. Firstly, my left knee hurt more and my lower back ached the more I walked as well as other niggles in both legs near the hip area. Assuming due to a variety of muscles etc. So to be honest, I question the need for my right knee arthroscopy as that wasn't the main cause of my difficulties. Will try and get another appt to discuss all the issues.
However, did discuss with my Feldenkrais guy who felt it was best left alone due to the above.
I did notice on holiday that I do walk less then pre-op and have more issues even though my hip pain has gone and I'm coming up to my 2nd anniversary!! Still using the crutch as do need it. Really question the ability of my hip muscles to become strong enough to walk without an aid.
Anniepops
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Hi jyoti, welcome home from your holiday 
I am sorry to hear it wasn't as pain free as we would have liked it to have been.
I wonder why it is that you are less mobile after your surgery, is it because of something that was progressing in the background anyway or is it as a result of the surgery, like indirectly, a change of body structure or something. Sorry, I am waffling but I just so want you to be able to get to the bottom of this.
I have differences, not good ones that I didn't have before surgery that's for sure. Having had a CDH it gets confusing at times as we don't know what the heck has been going on with our structure.
Is it that your leg feels too weak when you try to walk without the crutch? Can you manage to get about indoors without it. Hope you can get another appoinment soon to discuss all your problems and get to the bottom of it.
I am sooo rooting for you Jyoti.
Keep in touch and take care
Ann.x.
I am sorry to hear it wasn't as pain free as we would have liked it to have been.
I wonder why it is that you are less mobile after your surgery, is it because of something that was progressing in the background anyway or is it as a result of the surgery, like indirectly, a change of body structure or something. Sorry, I am waffling but I just so want you to be able to get to the bottom of this.
I have differences, not good ones that I didn't have before surgery that's for sure. Having had a CDH it gets confusing at times as we don't know what the heck has been going on with our structure.
Is it that your leg feels too weak when you try to walk without the crutch? Can you manage to get about indoors without it. Hope you can get another appoinment soon to discuss all your problems and get to the bottom of it.
I am sooo rooting for you Jyoti.
Keep in touch and take care
Ann.x.
C Mac
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Hi Jyoti,
Well, it's wonderful that you got to go away on a trip someplace new and exotic. Sorry that you had all those crazy aches and pains wander around in your body. My Feldenkrais gal told me once that it is good when you have the pains that move around as it means that your body is trying to do things to change and adapt. Of course, it is no fun when they persist in moving around and don't seem to abate....
I hope the pre-assessment went well and that you can get additional information from your OS when you see him next. A while back when you were beginning the knee exploration someone recommended more PT, are you considering that again?
Maybe it would help to page back a few pages in your thread and read some of the encouraging messages that alexthecat wrote regarding improving ROM and strength, maybe it will help some. It's good that you got a vacation and time to spend away from modalities and maybe in a bit you'll be ready to try something different or re-invent your routine.
I am almost at the 2 year mark too and I think it's a bit desparing as first we gave it (the new hip) a few months, and then we gave it a year, and then we were resigned to give it 18 months and now we are at the 2 year mark. I'm not where I hoped to be either. You get to a point of trying to make peace with where you are and the discrepancy between where you'd hoped to be.
Take care,
Cardie
Well, it's wonderful that you got to go away on a trip someplace new and exotic. Sorry that you had all those crazy aches and pains wander around in your body. My Feldenkrais gal told me once that it is good when you have the pains that move around as it means that your body is trying to do things to change and adapt. Of course, it is no fun when they persist in moving around and don't seem to abate....
I hope the pre-assessment went well and that you can get additional information from your OS when you see him next. A while back when you were beginning the knee exploration someone recommended more PT, are you considering that again?
Maybe it would help to page back a few pages in your thread and read some of the encouraging messages that alexthecat wrote regarding improving ROM and strength, maybe it will help some. It's good that you got a vacation and time to spend away from modalities and maybe in a bit you'll be ready to try something different or re-invent your routine.
I am almost at the 2 year mark too and I think it's a bit desparing as first we gave it (the new hip) a few months, and then we gave it a year, and then we were resigned to give it 18 months and now we are at the 2 year mark. I'm not where I hoped to be either. You get to a point of trying to make peace with where you are and the discrepancy between where you'd hoped to be.
Take care,
Cardie
OP
OP
Jyoti
senior
Thanks Annie and Cardie. I can always rely on you both to get back. Sorry, for being so bad to responding also. My knee issues began after my last surgery when a teenager at 13 as they both began to dislocate. First the right, from age 13 to 18 then at 18 the left wanted to join in and it began to dislocate. This didn't help at all and I haven't had a dislocation in either knee for the past 9 years. That, I believe is due to beginning to be more active and going to the gym etc. However, I have had some near misses with the right.
So, after the thr ( 2years) the right knee really began to ache and just constantly became worse in the pain. The OS said it was purely due to the hip as it was now realigned. However, despite the left having less arthritis then the right the symptoms are similar.
I know there is nothing I can do apart from continue to exercise and keep strong and hope for the best. I am seeing a physio for the knee but he's giving me the same exercises as I got for the hip. Not seeing any changes. The first Physio I saw after the surgery believed my hip may have atrophied and would never gain the strength to walk independently. It will be a year soon that I began the Feldenkrais, and he still has hope I will improve. The main exercise that made a huge benefit for the knees was the deep water running.
Your right, Cardie, I have to make peace with where I'm at which in many ways I have and in my holiday, it was more difficult re: mobility but I think I would have done maybe a bit more prior to THR but overall it was ok. That I believe is due to keeping strong. However, the worry is as I get older how the arthritis develops.
On a positive note I have noticed I am a bit stronger since the last year, so who knows what year 3 will hold
Will see OS on 17th April so will have a chat about the knee, but as said previously doubt it very much.
Thanks for the support
Jyoti
So, after the thr ( 2years) the right knee really began to ache and just constantly became worse in the pain. The OS said it was purely due to the hip as it was now realigned. However, despite the left having less arthritis then the right the symptoms are similar.
I know there is nothing I can do apart from continue to exercise and keep strong and hope for the best. I am seeing a physio for the knee but he's giving me the same exercises as I got for the hip. Not seeing any changes. The first Physio I saw after the surgery believed my hip may have atrophied and would never gain the strength to walk independently. It will be a year soon that I began the Feldenkrais, and he still has hope I will improve. The main exercise that made a huge benefit for the knees was the deep water running.
Your right, Cardie, I have to make peace with where I'm at which in many ways I have and in my holiday, it was more difficult re: mobility but I think I would have done maybe a bit more prior to THR but overall it was ok. That I believe is due to keeping strong. However, the worry is as I get older how the arthritis develops.
On a positive note I have noticed I am a bit stronger since the last year, so who knows what year 3 will hold
Will see OS on 17th April so will have a chat about the knee, but as said previously doubt it very much.
Thanks for the support
Jyoti
C Mac
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Hi Jyoti,
Happy Belated Anniversary on the hip!
How are you doing and how did the visit with the OS go this month??
Take care,
Cardie
OP
OP
Jyoti
senior
Hi Cardie,
for the anniversary wishes.
Well, I saw the OS and we discussed the knee arthroscopy and basically the probability of it me improving were 40%, for it remaining the same was 40% and for the knee to get worse was 20%. I know it's not an exact science but as I have arthritic knees also it could be that causing the main and I know the knee being realigned for the first time has caused it loads of problems. He did say that he didn't think that by not having the knee arthroscopy will effect the arthritis.
What I have noticed is that this week my knees have literally been pain free. Could be the sun which is finally showing itself, it could be the specific knee exercises I'm doing and all the other stuff I do or it could be everything. The good thing is that it is better which has aided me in walking.
I have an appt for next April 2014 which is good as if I need an earlier appt and my knee gets worse etc, can contact them. Interestingly this OS said my right knee arthritis was advanced and I was heading for a knee replacement. Another one previously said it was moderate. I did not pursue this as I do not any surgery any time soon.
Hope all is well with you
Jyoti
for the anniversary wishes.Well, I saw the OS and we discussed the knee arthroscopy and basically the probability of it me improving were 40%, for it remaining the same was 40% and for the knee to get worse was 20%. I know it's not an exact science but as I have arthritic knees also it could be that causing the main and I know the knee being realigned for the first time has caused it loads of problems. He did say that he didn't think that by not having the knee arthroscopy will effect the arthritis.
What I have noticed is that this week my knees have literally been pain free. Could be the sun which is finally showing itself, it could be the specific knee exercises I'm doing and all the other stuff I do or it could be everything. The good thing is that it is better which has aided me in walking.
I have an appt for next April 2014 which is good as if I need an earlier appt and my knee gets worse etc, can contact them. Interestingly this OS said my right knee arthritis was advanced and I was heading for a knee replacement. Another one previously said it was moderate. I did not pursue this as I do not any surgery any time soon.
Hope all is well with you
Jyoti
Anniepops
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Oh great news about the knees jyoti, I do hope it is the exercises helping you as we can't rely on the sun too much in the UK.lol. You must feel so much brighter not having that knee pain, I am really pleased for you
Take care
Ann.x.
Take care
Ann.x.
C Mac
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Hi Jyoti,
Beautiful picture that you have posted in your avatar box now, is that from the New Zealand trip?? Where to next...
Great news that you are getting some time off of the cane, even if it's short walks -- that's the best place to start 
Hope your knees are behaving themselves and all is going well with your supportive therapeutic activities.
Take care,
Cardie
Beautiful picture that you have posted in your avatar box now, is that from the New Zealand trip?? Where to next...
Great news that you are getting some time off of the cane, even if it's short walks -- that's the best place to start Hope your knees are behaving themselves and all is going well with your supportive therapeutic activities.
Take care,
Cardie
OP
OP
Jyoti
senior
Hi Cardie,
Thanks for the post. I probably wouldn't have found my thread as it's been so long. Yes, the avatar was in New Zealand. It seems so long ago now. Recently went to Croatia and did a lot of walking which was great. My knees did well and I think they have been better due to the hot weather we've been having. Main problem is going down stairs as that is the most painful. Going up is so much better.
Just have to keep at it and hope that I can keep any surgery at bay.
Take care
Jyoti
Thanks for the post. I probably wouldn't have found my thread as it's been so long. Yes, the avatar was in New Zealand. It seems so long ago now. Recently went to Croatia and did a lot of walking which was great. My knees did well and I think they have been better due to the hot weather we've been having. Main problem is going down stairs as that is the most painful. Going up is so much better.
Just have to keep at it and hope that I can keep any surgery at bay.
Take care
Jyoti
C Mac
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Hi Jyoti,
Croatia! My son's girlfriend is there now with her family. Wonderful that you are keeping up your travel schedule!! Sorry about the stairs bothering your knees. What did you end up deciding to do about a lift for your shoe? I am contemplating that again but can't figure out what to do. I'd had an orthotist many, many years ago that got me situated on the lift I did before surgery but he is gone now. None of the PT people have been helpful on the LLD issue and I've tried a couple of in-shoe things but they don't seem to work either. I'm continuing to have SI joint pain and it must be because of the leg length!
Glad you are tolerating the warm weather. I tend to stay indoors when it gets too hot here, it's too much for me!!
Take care,
Cardie
Croatia! My son's girlfriend is there now with her family. Wonderful that you are keeping up your travel schedule!! Sorry about the stairs bothering your knees. What did you end up deciding to do about a lift for your shoe? I am contemplating that again but can't figure out what to do. I'd had an orthotist many, many years ago that got me situated on the lift I did before surgery but he is gone now. None of the PT people have been helpful on the LLD issue and I've tried a couple of in-shoe things but they don't seem to work either. I'm continuing to have SI joint pain and it must be because of the leg length!
Glad you are tolerating the warm weather. I tend to stay indoors when it gets too hot here, it's too much for me!!
Take care,
Cardie
Kim22
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Hi Jyoti Is your avatar picture of the glacier at Franz Josef ? We were there in 2011 absolutely beautiful We took a helicopter ride to the top of the glacier first thing in the morning and it was a wonderful experience like being on top of the world.Shame about the pain from my torn labrum but You can't have everything.
Great news that you are walking so well now and enjoyed Croatia which is on my wish list for a visit.
Great news that you are walking so well now and enjoyed Croatia which is on my wish list for a visit.
OP
OP
Jyoti
senior
Hi Cardie,
I have been wearing the lift in my shoe for just over a year. I saw a Podiatrist who said i still had a big leg length difference so we she wanted a lift of 1.7cms, which was the same lift I had a year before pre-op as my walking became more painful and difficult. So we compromised on 1.4cms, I know not much difference
.
So since June 2012, I've had the lift. It does help so do recommend it. It is on the outside of the shoe. how big is your LLD?
Hi Kim,
You're so right, the avatar is Franz Joseph. it was lovely.
Take care
Jyoti
I have been wearing the lift in my shoe for just over a year. I saw a Podiatrist who said i still had a big leg length difference so we she wanted a lift of 1.7cms, which was the same lift I had a year before pre-op as my walking became more painful and difficult. So we compromised on 1.4cms, I know not much difference
.So since June 2012, I've had the lift. It does help so do recommend it. It is on the outside of the shoe. how big is your LLD?
Hi Kim,
You're so right, the avatar is Franz Joseph. it was lovely.
Take care
Jyoti
C Mac
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Hi Jyoti,
I don't know how big my LLD is and have tried so many different things and nothing seems very helpful yet. I do know that my old lift is too high, but sometimes I wonder if I just wear it for a while I'll get used to it -- although all of those shoes are very worn out and just used for working in the yard.
I may try half of my old lift added to the exterior of my shoe. It doesn't seem like anything in the shoe really provides enough try lift. I've been doing a heel cookie in my trainers for months now and don't find it works very well. It's only 6mm but I feel it tips me forwards a bit and a full sole lift won't do that.
Going for my belated annual visit to the OS next month. I wasn't going to go but our insurance is changing and that may mean he's out of network plus I want to see if he has any thoughts on what I think is actually nerve pain (lateral femoral cutaneous nerve) and what my last round of PT said is a hip flexor impingement. I've gotten very lax in my stretching/exercise routine over the past months and once PT stopped so did I ......
Hope you are doing well, any secrets to staying motivated???
Take care,
Cardie
I don't know how big my LLD is and have tried so many different things and nothing seems very helpful yet. I do know that my old lift is too high, but sometimes I wonder if I just wear it for a while I'll get used to it -- although all of those shoes are very worn out and just used for working in the yard.
I may try half of my old lift added to the exterior of my shoe. It doesn't seem like anything in the shoe really provides enough try lift. I've been doing a heel cookie in my trainers for months now and don't find it works very well. It's only 6mm but I feel it tips me forwards a bit and a full sole lift won't do that.
Going for my belated annual visit to the OS next month. I wasn't going to go but our insurance is changing and that may mean he's out of network plus I want to see if he has any thoughts on what I think is actually nerve pain (lateral femoral cutaneous nerve) and what my last round of PT said is a hip flexor impingement. I've gotten very lax in my stretching/exercise routine over the past months and once PT stopped so did I ......
Hope you are doing well, any secrets to staying motivated???
Take care,
Cardie
Anniepops
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Hello lovely ladies 
Just finding time to pop in and say Hi, gonna try and get round everyone eventually.
Jyoti, I'm so happy to hear you had a great time in Croatia, I have heard of a few people going there this year, it seems to becoming popular or perhaps it always has been I just haven't known anyone who has been before. It's so good that you were able to do a bit of walking...that is music to my ears . The hotter weather certainly makes a huge difference to our aches and pains doesn't it.
Cardie, staying motivated is my problem too. I'm still walking every day although the weather is getting worse which makes me not want to go as much but I do. I went on a bike ride yesterday after not being on it for a few weeks and it killed me. My thighs were burning so much it was a real struggle. I have been looking up exercises for my quads as they are obviously still weak and I plan on getting stuck into those now plus trying to cycle on a more regular basis.
Hope you manage to muster up some motivation, if you find a miracle technique drop me a line and share your secret.lol.
Take care both of you
Toodlepip
Ann.xxx
Just finding time to pop in and say Hi, gonna try and get round everyone eventually.
Jyoti, I'm so happy to hear you had a great time in Croatia, I have heard of a few people going there this year, it seems to becoming popular or perhaps it always has been I just haven't known anyone who has been before. It's so good that you were able to do a bit of walking...that is music to my ears
. The hotter weather certainly makes a huge difference to our aches and pains doesn't it.Cardie, staying motivated is my problem too. I'm still walking every day although the weather is getting worse which makes me not want to go as much but I do. I went on a bike ride yesterday after not being on it for a few weeks and it killed me. My thighs were burning so much it was a real struggle. I have been looking up exercises for my quads as they are obviously still weak and I plan on getting stuck into those now plus trying to cycle on a more regular basis.
Hope you manage to muster up some motivation, if you find a miracle technique drop me a line and share your secret.lol.
Take care both of you
Toodlepip
Ann.xxx
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