Left Coast Discord Watch

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Citizens Liberty Organization / 🌎 Global Channels / 🩹medical-chat

For the discussion of medicine in general, and related topics.

[LA] Zoomer Medi/k/
(id: 687142537353232434)

05 May 2020 02:04

Buy 3 or 4 pairs of the cheap stainless ones.

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

05 May 2020 02:04

They do the job, that’s all that should matter.

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Thorne
(id: 226471688181645312)

05 May 2020 02:06

I've never used a ratcheting tq yet. I'm not a fan of the constricting band ones that came out not terribly long ago. My understanding is they were proven ineffective anyway.

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

05 May 2020 02:07

Those are RATS TQs.

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

05 May 2020 02:07

And yes, they were proven ineffective and possibly dangerous.

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

05 May 2020 02:07

They can cause nerve damage.

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

05 May 2020 02:07

The standards are the SOFT-T

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

05 May 2020 02:07

And the CAT

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

05 May 2020 02:08

Only CoTCCC recommended tourniquets should be used.

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

05 May 2020 02:08

The RATS is not CoTCCC recommended.

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Thorne
(id: 226471688181645312)

05 May 2020 02:09

Shouldn't really even be sold imo but that's just me.

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

05 May 2020 02:09

I agree.

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

05 May 2020 02:09

Considering the possibility of nerve damage, it’s sad.

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Thorne
(id: 226471688181645312)

05 May 2020 02:09

The whole nerve damage is kinda offset by the fact they don't work

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Thorne
(id: 226471688181645312)

05 May 2020 02:10

If it doesn't accomplish the goal AND makes it worse then we'll.

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Thorne
(id: 226471688181645312)

05 May 2020 02:10

Well.

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Thorne
(id: 226471688181645312)

05 May 2020 02:10

Kinda rip.

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Thorne
(id: 226471688181645312)

05 May 2020 02:10

Anyways. Was just curious.

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

05 May 2020 02:11

Anytime. If you want to PM me and talk or ask questions feel free.

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Thorne
(id: 226471688181645312)

05 May 2020 02:12

Just wanted to know who I was dealing with.

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

05 May 2020 02:13

Well, now you do.

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[TX]YimYam
(id: 652657530786545755)

05 May 2020 02:51

@[LA] Zoomer Medi/k/ what does Tccc test for? I noticed the updated their list last year. Do they get a bunch of random ones or do they need to be submitted for testing like with DOJ armor.

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

05 May 2020 02:51

It’s not a test.

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

05 May 2020 02:51

They try a bunch out in the field if they think it shows promise.

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

05 May 2020 02:52 edited: 2020-05-05T02:52:28.068+00:00

If it holds up and does not have any negative effects on casualties for the most part, it’s a pass.

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[TX]YimYam
(id: 652657530786545755)

05 May 2020 02:53

Do they have a list of failures?

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

05 May 2020 02:55

I’m not sure.

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Crye Salesman
(id: 368359599889186818)

05 May 2020 03:04

The CoTCCC board members are active in the community, I can’t remember their names off the top of my head but you could literally just ask them

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

05 May 2020 03:11

True.

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Young Spaghetti
(id: 400768362575036416)

05 May 2020 07:40

Hi, I'm an RN and am looking into getting extra classes, how do you all feel about the American red Cross first aid for severe bleeding. It's on sale and doesn't seem like a huge time commitment so I can do it online.

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Mike Nolan
(id: 501535674487275530)

05 May 2020 10:35

i read somewhere that modern superglue was developed by the US military to seal wounds in Vietnam, im pretty intermediate with first aid so i would consider myself proficient, but no expert. would modern superglue be a practical thing in a first aid kit for sealing wounds or would it be something that by today's standards would be considered a last resort? (i mean cyanoacrylate)

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Thorne
(id: 226471688181645312)

05 May 2020 13:16

@Young Spaghetti it would be decent information.

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Thorne
(id: 226471688181645312)

05 May 2020 13:18

@Mike Nolan theres still a medical glue used to seal some stuff, seen it used a few times. as for if its super glue I dont know and it wouldn't really be a replacement for stitches if you're asking.

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Thorne
(id: 226471688181645312)

05 May 2020 13:19

@Young Spaghetti I would look for a stop the bleed class of some sort to at least get some hands on. I dont know what area you're in but if you happen to be nearish to a medical college sometimes they have a class for relatively cheap to learn advanced skills. For example, for $150 theres a college near me that lets you practice surgical crics on cadavers.

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

05 May 2020 14:23

Community Colleges also tend to have classes.

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RaginMedic23
(id: 705214820017766432)

06 May 2020 03:44

Howdy y'all

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RaginMedic23
(id: 705214820017766432)

06 May 2020 03:44

This be my place lol

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RaginMedic23
(id: 705214820017766432)

06 May 2020 03:44

And superglue yes

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RaginMedic23
(id: 705214820017766432)

06 May 2020 03:45

Stop the bleeding first. If the wound is actively bleeding you can't do shit. Pressure! Pressure! Pressure!

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RaginMedic23
(id: 705214820017766432)

06 May 2020 03:46

If the bleeding is controlled and suture material is not availability, pour all the crazy glue you can in that go and push the flesh together

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RaginMedic23
(id: 705214820017766432)

06 May 2020 03:48

*available *ho

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RaginMedic23
(id: 705214820017766432)

06 May 2020 03:49

If the bleeding is by any means hemorrhagic, PACK THAT SHIT WITH HEMOSTATIC GAUZE

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RaginMedic23
(id: 705214820017766432)

06 May 2020 03:49

Every second of hemorrhagic bleeding is a diminished chance of survival after prehospital care

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RaginMedic23
(id: 705214820017766432)

06 May 2020 03:50

Super glue is for superficial wounds that need help, just like sutures.

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RaginMedic23
(id: 705214820017766432)

06 May 2020 03:51

You can do all the correct interventions and be dummy slow at it and your patient will still die because of the lowered chance of survival from traumatic injuries

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

06 May 2020 03:53

I thought any bleeding is hemorrhagic?

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Lucky Texan
(id: 662470209772322816)

06 May 2020 04:19

I was EMT-I but I let it go

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

06 May 2020 05:49

TQs that are thin, like the RATs, can cause nerve damage upon usage.

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

06 May 2020 05:51

> If the bleeding is by any means hemorrhagic, PACK THAT SHIT WITH HEMOSTATIC GAUZE @RaginMedic23 TQ any wounds that are able to be TQed. Any others, such as at junctions, should be packed and then wrapped with a pressure dressing.

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

06 May 2020 05:51

> If the bleeding is by any means hemorrhagic, PACK THAT SHIT WITH HEMOSTATIC GAUZE @RaginMedic23 Hemorrhage is bleeding. Did you mean arterial bleeding?

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

06 May 2020 05:55

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RaginMedic23
(id: 705214820017766432)

06 May 2020 10:41

Yes. I was taught arterial bleeding as traumatic hemorrhage

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GRANITE
(id: 701205727355600917)

06 May 2020 10:42

Raginmedic have you asked for a role yet?

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RaginMedic23
(id: 705214820017766432)

06 May 2020 14:16

I have not

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

06 May 2020 14:54

@Landfill EMT?

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Thorne
(id: 226471688181645312)

06 May 2020 15:16

Again who here is a Practicing medic?

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

06 May 2020 15:47

I’m not certified in anything but I know a thing or two.

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[CA] SoyBoi
(id: 338553359843721218)

06 May 2020 16:51

What do yalp mean by "pack" the junctions

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[CA] SoyBoi
(id: 338553359843721218)

06 May 2020 16:51

Just pressure bandage? Or??

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[MS]WebMDemt
(id: 406275025231020042)

06 May 2020 16:57

@[CA] SoyBoi pack it with hemostatic gauze

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

06 May 2020 17:24

Hemostatic gauze and then wrap.

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RaginMedic23
(id: 705214820017766432)

06 May 2020 18:19

I was a combat medic in the army and am trained on TC3, prolonged field care, field sanitation, disease prevention, fluid resuscitation and some invase interventions as well as pharmacology

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

06 May 2020 18:22

18D?

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

06 May 2020 18:22

Or just a dedicated 68W?

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RaginMedic23
(id: 705214820017766432)

06 May 2020 18:24

68W who was blessed enough to sit through some whiskey one training and also held the role of utilizing higher levels of care in the field. Had a good PA and spent all my time on the line with both army and the marines

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RaginMedic23
(id: 705214820017766432)

06 May 2020 18:32

I see a lot of conversation in here about emergency medical but not a whole lot about what happens after the X, so it is my duty to introduce it to y'all. Since it's a broad topic, I'll start simply with the next thing, evacuation

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

06 May 2020 18:33

Well, yes, after CUF and TFC is EVC, but during the situation that we may find ourselves in, EVAC will be few and far between.

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

06 May 2020 18:33

I’m attempting to set up some sort of EVAC guideline/SOP for the guys I plan on helping.

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RaginMedic23
(id: 705214820017766432)

06 May 2020 18:42

> Well, yes, after CUF and TFC is EVC, but during the situation that we may find ourselves in, EVAC will be few and far between. @[LA] Zoomer Medi/k/ I have to disagree with you there. There is TACEVAC and CASEVAC

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RaginMedic23
(id: 705214820017766432)

06 May 2020 18:43

We'll most likely use TACEVAC. The difference between the two is that CASEVAC is a standard medical platform and TACEVAC is anything that moves

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RaginMedic23
(id: 705214820017766432)

06 May 2020 18:44

Any scenario we find ourselves in that requires the utilization of TC3 should also include immediately breaking contact. Because of that, like you said, evac sops need to be established as well as a well planned evac route

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RaginMedic23
(id: 705214820017766432)

06 May 2020 18:45

You have 15 minutes to engage and gtfo anyway. Shoot and scoot

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

06 May 2020 18:50

My primary problem is not the availability of TASEVAC, it’s simply the unavailability of higher echelons of care for us to resort to. Sure, we can get them to a safe house, but we will not be able to treat much surgically.

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

06 May 2020 18:53

Yes, EVAC routes need to be planned prior to every mission to ensure medical care can be given easily and that we know the plan when casualties are present.

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

06 May 2020 18:56

But what about access to surgical intervention?

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[MS]WebMDemt
(id: 406275025231020042)

06 May 2020 19:03

Hospitals will treat regardless of combatant status

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

06 May 2020 19:06

Hippocratic oath baby

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Crye Salesman
(id: 368359599889186818)

06 May 2020 19:14

@[MS]WebMDemt your username is hilarious 😂 but hospitals will also bring cops, which should be considered

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[MS]WebMDemt
(id: 406275025231020042)

06 May 2020 19:17

@Crye Salesman that is true but you’d be surprised how many people in healthcare are ready to boog. Field hospitals/safe houses are a high potential if it comes that far

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RaginMedic23
(id: 705214820017766432)

06 May 2020 19:17

Hospitals and the feds will work together

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

06 May 2020 19:17

Safe houses in my opinion are a good choice.

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RaginMedic23
(id: 705214820017766432)

06 May 2020 19:17

The feds plan to ignore Geneva con as well

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

06 May 2020 19:18

But finding personnel who know surgical procedures is another task

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RaginMedic23
(id: 705214820017766432)

06 May 2020 19:18

Facts to surgical

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[MS]WebMDemt
(id: 406275025231020042)

06 May 2020 19:19

I know 2 or 3

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[MS]WebMDemt
(id: 406275025231020042)

06 May 2020 19:20

Vets can also do a lot

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[LA] Zoomer Medi/k/
(id: 687142537353232434)

06 May 2020 19:27

True but getting them to help us

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Thorne
(id: 226471688181645312)

06 May 2020 20:20

Logistics.

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Thorne
(id: 226471688181645312)

06 May 2020 20:21

Initially taking a care point and command would be important. I cant take any of this seriously unless there's a full thought plan.

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Thorne
(id: 226471688181645312)

06 May 2020 20:23

Its not only combat injuries that would take people out. Talking about combat requires total thought of care from point of contact to recovery

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Thorne
(id: 226471688181645312)

06 May 2020 20:23

What about medical emergencies? This isn't only about trauma.

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[MS]WebMDemt
(id: 406275025231020042)

06 May 2020 20:25

Agreed but the current thinking of medical care is small skirmishes stemming from protests. What you’re speaking of would be an all out civil war scenario which is highly unlikely.

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Thorne
(id: 226471688181645312)

06 May 2020 20:27

Bullet holes are bullet holes. If you're going to try and take me to a vet to stitch me up after I get shot in the leg. Fat chance.

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Thorne
(id: 226471688181645312)

06 May 2020 20:27

1. Pain meds. Absolutely important.

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Thorne
(id: 226471688181645312)

06 May 2020 20:27

2. Antibiotics for infections

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[MS]WebMDemt
(id: 406275025231020042)

06 May 2020 20:28

Vets have both. Ketamine is big in equine medicine. Lots of preppers stock up fish antibiotics

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Thorne
(id: 226471688181645312)

06 May 2020 20:31

Okay. Yeah. Drugs have to come from somewhere. For small amounts pencil whipping works.

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Thorne
(id: 226471688181645312)

06 May 2020 20:32

Deep surgical things would need more than a vet imo

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Thorne
(id: 226471688181645312)

06 May 2020 20:32

surgery in general shouldn't be left to a vet, again, imo

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[MS]WebMDemt
(id: 406275025231020042)

06 May 2020 20:33

Obviously standard emergency care is preferred but you have to think outside the box

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