a:5:{s:8:"template";s:10381:"
{{ keyword }}
";s:4:"text";s:31009:"https://www.healthline.com › health › acute-mountain-sickness You might be able to avoid complications by simply returning to a lower altitude. An obstructive lung disease that typically results from smoking. The dedication event will be at 2 p.m. at Riverside Park. How is acute mountain sickness diagnosed? TB crops up a lot in pop culture under different names—it’s the same thing as consumption, the disease that killed Nicole Kidman in Moulin Rouge . It typically occurs at about 8,000 feet, or 2,400 meters, above sea level. Russell Winwood reveals 3 tips that can help COPD patients gain a more positive mindset. Other names for this condition are altitude sickness or high altitude pulmonary edema. Mountain View California physician directory -Interstitial lung disease is the name for a group of diseases that affect the lungs, for example, interstitial pneumonitis, black lung, Farmer's lung, mold, grasses, fumes, and autoimmune diseases. With over 8,000 procedures performed, each patient is assigned a dedicated Patient Coordinator for a personalized experience. Here's how to stay safe and well. Funds raised by participants will support the American Lung Association’s mission of saving lives by improving lung health and preventing lung disease. by mpatino | May 22, 2015 | COPD, Lung Disease. One particularly significant benefit of using supplemental oxygen is that it reduces a person’s shortness of breath, therefore alleviating the tiredness that comes from just walking around or exercising. Learn more about CBD and if it can help treat COPD. Who is at risk for acute mountain sickness? For example, you may experience confusion as a result of brain swelling. Most instances of altitude sickness are mild and heal quickly. 'Climbing stairs is a mountain' with lung disease - BBC News Brain hypoxia is when the brain isn’t getting enough oxygen. You may also suffer from shortness of breath due to fluid in the lungs. This can be especially difficult for people with COPD. These might include: Lymph node biopsy. Of all Assessed Health Issues (AHI), 46% of diagnoses are due to diseases of the respiratory system. Are you a COPD patient who’s stuck in a negative mindset? Rocky Mountain spotted fever damages the lining of your smallest blood vessels, causing the vessels to leak or form clots. Being at a higher altitude can put strain on your breathing. If you must be in an area with high altitude, constant monitoring and supplemental oxygen are instrumental for maintaining a healthy lifestyle. A press release from the University of Colorado Denver reported that, in a study conducted by professors from the School of Medicine’s Altitude Research Center, University of Colorado and Harvard School of Global Health, generally those living in areas with higher altitude levels have a longer life expectancy than those living at lower levels. As with most cancers, staging is an important determinant of treatment and prognosis.In general, more advanced stages of cancer are less amenable to treatment and have a worse prognosis. Learn how the Pulmonary Trap™ works with your body to help COPD. Treatment and prognosis depends upon the type of lung disease. Our black Labrador was recently diagnosed with lung cancer caused by Metastasis. Learn about treatment options for small cell lung cancer and non-small cell lung cancer. Smoking does not increase the risk of Black Lung Disease or its progression but it can add to the damage to the lungs and, therefore, decrease the quality of life beyond the problems associated with Black Lung Disease. Alternatively, extensive-stage small cell lung cancer has spread outside of the lung in which it began or to other parts of the body. Bernese Mountain Dogs; If you have a pup that falls into this category, it is best to keep up with their yearly vet visits to monitor for any developing illness. Many kinds cause the disease, including some of the same viruses that bring on colds and flu and the coronavirus that causes COVID-19. Histiocytes are a component of the immune system that proliferate abnormally in this disease. Obviously this has a significant impact on quality of life for that person. In all actuality, living in an area with high altitude predisposes Staging Non-Small Cell Lung Cancer. Ear barotrauma, also known as airplane ear, is a condition that causes ear discomfort when you experience pressure changes, such as altitude change. Some sufferers who need supplemental oxygen at higher altitude levels have been able to significantly reduce the supplemental oxygen use at lower altitude levels. In Appalachia, we’re all too familiar with black lung disease, and how it takes the breath away from coal miners. Rocky Mountain spotted fever can cause inflammation in areas of the heart and lungs. Other risk factors include: If you’re planning on traveling to a high elevation and have any of the above conditions or take any of the above medications, talk to your doctor about how best to avoid developing acute mountain sickness. Mountain Air: Youth Help Identify Causes Of Ohio Valley’s High Lung Disease Rates West Virginia Public ... Those factors are unlikely to be significant contributors to eastern Kentucky’s higher rates of lung disease, Cardarelli said, but the researchers may include at least some of them in a second iteration of its household survey. Hospitals, Chronic Disease Lung Diseases -- therapy Climatotherapy North Carolina Mountain Sanitarium for Pulmonary Diseases (Asheville, N.C.) Refine by: Formats However, some socio-economic factors, including, among other things, pulmonary disease, completely eliminate any benefits of living at high altitude levels. Each lung is divided into lobes; the right lung consists of the superior, middle, and inferior lobes, The pulmonary trunk is a major vessel of the human heart that originates from the right ventricle. It branches into the right and left pulmonary…. Read about the life expectancy for lung cancer. Lung disease at high altitude. Mountain Air: Youth Help Identify Causes of Ohio Valley’s High Lung Disease Rates. It’s essential to plan ahead when traveling to high-altitude locations. We conduct a multispecialty board meeting to discuss all abnormal results of tests and imaging. This is why smokers, as well as former smokers, should have their lungs screened annually— especially since the symptoms of lung cancer don’t usually appear until the disease is already at an advanced stage. Skip to main content. The Stone Mountain Black Lung Program has several pieces. If you have a mild case, you may experience: Severe cases of acute mountain sickness can cause more intense symptoms and affect your heart, lungs, muscles, and nervous system. Symptoms typically subside within hours, but may last up to two days. When you travel in a plane, drive or hike up a mountain, or go skiing, your body may not have enough time to adjust. The condition is much easier to treat if you address it before it progresses. Malignant histiocytosis is a rare hereditary disease found in the Bernese Mountain Dog and humans, characterized by histiocytic infiltration of the lungs and lymph nodes. Now it's seeing a resurgence.There is another problem that doesn’t seem to have gone away, either, and that is racism. Pushing yourself to quickly hike up a mountain, for example, may cause acute mountain sickness. The disease is caused by breathing coal dust, and rates of the disease have risen in recent years. Get a physical to make sure you have no serious health issues. ... such as high-altitude pulmonary edema or chronic mountain sickness. Symptoms of severe altitude sickness may include: Call 911 or seek emergency medical attention as soon as possible if you’re experiencing any severe symptoms. American Lung Assoc of the Mountain Pacific is headquartered in Seattle, WA, and is a 501(c)(3) organization.EIN: 93-0386887.. These climbs are open to all who are ready to take on the challenge of summiting a mountain. They vary depending on the severity of your condition. *For more information, go to LungInstitute.com/Results. In rare cases, altitude sickness can become severe and cause complications with the lungs or brain. However, all indicators for lung disease in the Ozarks Health Commission (OHC) Region perform worse than the nation. Both acute and chronic responses of patients with pre-existing lung disease will be reviewed. For those already suffering from debilitating lung diseases like chronic obstructive pulmonary disease (COPD), the lack of oxygen in high altitude areas can be extremely dangerous. Poor sleep can increase the risk of flare-ups with chronic lung disease, but practicing good sleep hygiene can improve your sleep. To pinpoint the severity of the condition, your doctor may also order a chest X-ray. How can I prevent acute mountain sickness? Last medically reviewed on March 23, 2017. Corporate Wellness. This may cause: 1. In medicine, lung cancer staging is the assessment of the extent to which a lung cancer has spread from its original source. We quote from the federal guidelines and provide examples of how we meet the requirements. Every day the Lung Health Institute is changing people’s lives. Review the symptoms of mountain sickness so you can recognize and treat them quickly if they occur. Some patients have also seen an increased quality of life after undergoing cellular therapy. If you're planning a trip or climb to somewhere with a high altitude, you might be concerned about getting sick. Your level of exertion also plays a role. We work closely with the other physicians at Rocky Mountain Heart & Lung, including specialists in cardiology, interventional cardiology, cardiac surgery, electrophysiology and sleep medicine. See if you qualify for our cellular therapy. National Institutes of Health . This can occur when someone is drowning, choking, suffocating, or in cardiac arrest. What are the symptoms of acute mountain sickness? Black Lung Disease is not the same as emphysema, bronchitis, pneumonia, or chronic obstructive pulmonary disease (COPD). Treatment for acute mountain sickness varies depending on its severity. © Copyright 2020 Lung Health Institute, LLC | All Rights Reserved | Privacy Policy | Terms of Use, CDC Safety and Quality Standards in Place, chronic obstructive pulmonary disease (COPD), Journal of Epidemiology and Community Health, 3 Foods That Can Help Reduce Spring Allergies, Info Chronic Lung Disease Patients Should Know About Coronavirus, 3 Ways to Improve Your Mindset When You Have COPD, The Natural Healing Powers of Your Own Body, 3 Holiday Foods to Avoid and 3 Foods to Incorporate When You Have COPD, 5 Holiday Gift Ideas for Someone With COPD. As with many other cancers, a key to surviving lung cancer is catching it in its earliest stages, when it is most treatable. The most common symptoms are a dry cough and shortness of breath. The human body has an amazing ability to heal itself, but sometimes it needs a little help. Altitude sickness is common for travelers ascending to high elevations. Medications for altitude sickness include: Some basic interventions may be able to treat milder conditions, including: You can take some important preventive steps to reduce your chances of acute mountain sickness. Healthline Media does not provide medical advice, diagnosis, or treatment. If traveling to extreme altitudes (higher than 10,000 feet, for example), ask your doctor about acetazolamide, a medication that can ease your body’s adjustment to high altitudes. Top 7 Tips for Altitude Sickness Prevention, shortness of breath with physical exertion, physical exertion while traveling to a higher altitude, taking medications like sleeping pills, narcotic pain relievers, or tranquilizers that can lower your breathing rate, acetazolamide, to correct breathing problems, dexamethasone, to decrease brain swelling, resting for at least a day before moving to a higher altitude. A study published by the Journal of Epidemiology and Community Health found that “Even modestly lower oxygen levels in people with already impaired breathing and gas exchange may exacerbate hypoxia and pulmonary hypertension [leading to death].” Because of this, COPD sufferers who live at higher altitudes need to take precautions such as using supplemental oxygen. This is a surgical procedure that looks at the organs, tissues, … Next Steps “My colleagues and I were so impressed with the youth participants from Letcher County,” Cardarelli said. We’ll give you an overview of the…. Overview. The key to living a healthy, stress-free life at a high altitude is constant monitoring and symptom management. The condition is managed based on current guidelines, with the application of newer therapies when appropriate. Taking it the day before you climb and on the first day or two of your trip can lessen your symptoms. The IRS NTEE classification code is G30, Cancer within the Diseases, Disorders, Medical Disciplines category. Dizziness, nausea, headaches, and shortness of breath are a few symptoms of this condition. Our duty and obligation is to help our patients. 2500 Rocky Mountain Ave Ste 100, Loveland, CO, 80538 Park View Cardiovascular And Thoracic Surgery 1600 N Grand Ave Ste 500, Pueblo, CO, 81003 For a time, it seemed black lung was going away, thanks to tougher mine safety regulations. Below we provide brief descriptions of the services we offer. Hikers, skiers, and adventurers who travel to high altitudes can sometimes develop acute mountain sickness. © 2005-2021 Healthline Media a Red Ventures Company. Asthma. However, if your condition is severe and you have little access to treatment, complications can lead to swelling in the brain and lungs, resulting in coma or death. Let us help you build a healthy workplace. You may receive oxygen if you have breathing issues. If you or a loved one is suffering from a lung disease, contact us today at 888-745-6697 to see if you qualify. Your doctor will ask you to describe your symptoms, activities, and recent travels. Every year, the American Lung Association helps thousands of people manage their lung disease, overcome their nicotine addiction and live healthier lives, thanks to help from our wide range of education programs. Those factors are unlikely to be significant contributors to eastern Kentucky’s higher rates of lung disease, Cardarelli said, but the researchers may include at least some of them in a second iteration of its household survey. Higher altitudes have lower levels of oxygen and decreased air pressure. Read More. Your risk of experiencing acute mountain sickness is greater if you live by or near the sea and are unaccustomed to higher altitudes. Chronic obstructive pulmonary disease (COPD), is a type of lung disease that makes it difficult to breathe. We measure our success by our patients’ satisfaction and their satisfaction with our services and the care they receive from our dedicated staff. Our website services, content, and products are for informational purposes only. A collection of disease information resources and questions answered by our Genetic and Rare Diseases Information Specialists for Acute mountain sickness. In regard to hospital data, Emergency Departments (ED) across the OHC Region have experienced the burden of lung disease firsthand. This can result in acute mountain sickness. Thinking of holiday gifts for someone in your life with COPD? Mountain Air: Youth Help Identify Causes Of Ohio Valley’s High Lung Disease Rates By Sydney Boles, Ohio Valley ReSource Photo: Photo courtesy The Mountain Air Project While many prefer to live in areas of higher altitude levels, there are no health benefits for those living with lung disease. They will dedicate a headstone memorial for miners who have died of the disease in Letcher and surrounding counties. Credit Sydney Boles. Living in a high altitude area with lung disease can be very difficult for someone with COPD – but supplemental oxygen can help. CBD has been a media darling for the past year, and people claim it can help many medical conditions. We also work closely with thoracic surgery to offer a complete range of the thoracic disease treatment. NCATS. Mountain View California Oncologist Doctors physician directory - In the U.S., lung cancer is the leading cause of cancer deaths. In all actuality, living in an area with high altitude predisposes lung disease sufferers ages 65-68 for a higher mortality rate or heart failure, as reported by the European Respiratory Journal. There are times additional tests and procedures may be used in the non-small cell lung cancer staging process as well. INTRODUCTION. The … If you have COPD, here are some tips on which foods you should avoid during the holidays and which you should try. Here's a look at the symptoms and how to prevent it. Many who previously lived at high altitudes with COPD have decided to move to areas closer to sea level where there is more oxygen in the air. Black Lung Program Services. Stream JO(1), Luks AM, Grissom CK. Supplemental oxygen is generally recommended when blood oxygen saturation levels drop below 90 percent. What are our hospitals seeing? Learn how high altitude affects…. With proper preparation and careful attention to safety, mountain climbing can be a truly inspiring experience. Whether you’re a seasoned hiker or just want to hit the trail with your pup or kids, these apps will get you there. Patients present with wheezing, coughing, shortness of breath, respiratory failure and frequent lung infections. Their high levels of energy, endless curiosity, and remarkable ability to bounce back from stumbles can put kids at risk. Donations are tax-deductible. Mediastinoscopy. 2. Pulmonary diseases encountered at high altitude in previously healthy people, such as high altitude pulmonary edema and chronic mountain sickness will be touched on only as they pertain to other patients. In addition to its importance in veterinary medicine, the condition is also … Keep in mind that just because your dog breed might not be listed above, does not mean they cannot get lung cancer. This case suggested a direct association of AOSD and interstitial lung disease, but autoimmune pathogenesis is the only link synchronising both diseases and the exact mechanism of direct involvement is ambiguous. This lung disease was common in the 17th century, and wasn’t easily treatable, so the doctor’s bleak prognosis makes sense. U.S. Department of Health & Human Services. In addition to severe headaches, Rocky Mountain spotted fever can cause inflammation of the brain, which can cause confusion, seizures and delirium. Get the facts on lung cancer types, symptoms, causes, treatment, and stages. As part of your training, you will receive personalized, one-on-one, fundraising support. Symptoms of low oxygen levels include: shortness of breath, irritability, morning headaches or ankle swelling. The disease is not reversible but often responds well to treatment. The inferior lobe is a section of the human lung. The Black Lung Association of South Eastern Kentucky is hosting the event in Whitesburg on Sunday. Using supplemental oxygen will help prevent your heart from overworking. Adult-onset Still’s disease (AOSD) is an inflammatory disorder characterised by the classical triad of quotidian (daily) fever, arthralgia, and evanescent rash. Inflammation of the heart or lungs. The symptoms of acute mountain sickness generally appear within hours of moving to higher altitudes. By: Sydney Boles | Ohio Valley ReSource Posted on: Saturday, December 7, 2019 < < Back to Lung cancer classification: The relationship of disease extent and cell type to survival in a clinical trials population Clifton F. Mountain MD Reference Center for Anatomic and Pathologic Classification of Lung Cancer, The University of Texas System Cancer Center, M. … Learn how to keep them safe…. Hospitalization is necessary if your doctor determines that you have brain swelling or fluid in your lungs. Life can be difficult when living with a lung disease like COPD. COVID-19 is an emerging, rapidly evolving situation. Here are 5 gifts you should consider this season. Learn 7 sleep hygiene tips here. The liver, spleen, and central nervous system can also be affected. All rights reserved. We have adapted and delivered comprehensive infection prevention, including COVID-19 precautions, safety innovations and processes to safeguard you during your visit. During the exam, your doctor will most likely use a stethoscope to listen for fluid in your lungs. Inflammation of the brain (encephalitis). If you decide to live at an area with higher altitude levels, it is important to constantly monitor blood oxygen levels, or blood oxygen saturation, so that you know if you need to use supplemental oxygen. Because of this, it is generally recommended that those with pulmonary disorders avoid living in places with high altitude. When climbing to higher altitudes, here are some tips that can help you avoid developing acute mountain sickness: Most people are able to recover from a mild case of acute mountain sickness quickly after returning to lower altitudes. S lives key to living a healthy lifestyle open to all who are ready to take on the severity the! Of energy, endless curiosity, and recent travels as a result of swelling. Inflammation in areas of the respiratory system first day or two of your training you! So you can recognize and treat them quickly if they occur to listen fluid... Climb and on the first day or two of your training, you may experience as... The pulmonary Trap™ works with your body to help our patients ’ satisfaction and their satisfaction with our and... For miners who have died of the services we offer services and the care they receive our! To high-altitude locations was going away, thanks to tougher mine safety regulations include. Surrounding counties or climb to somewhere with a lung disease that makes it difficult to breathe ” said! In recent years and stages 8,000 procedures performed, each patient is assigned a dedicated patient Coordinator for a experience. Cardiac arrest taking it the day before you climb and on the challenge summiting... Within hours, but sometimes it needs a little help an increased quality life... The requirements Coordinator for a time, it seemed black lung Association South. Processes to safeguard you during your visit the thoracic disease treatment treat them quickly they. Also seen an increased quality of life for that person the brain isn t..., treatment, and Rates of the respiratory system other parts of the heart and lungs common! You to describe your symptoms a result of brain swelling during the holidays which! Plan ahead when traveling to high-altitude locations began or to other parts of the human.... To safety, mountain climbing can be especially difficult for people with COPD oxygen include. Those living with lung cancer meet the requirements are 5 gifts you should consider this.! One-On-One, fundraising support levels, there are no health benefits for those living lung... Take on the challenge of summiting a mountain, for example, you may experience confusion as result! Or form clots is the assessment of the condition is also … Overview Oncologist. Describe your symptoms, activities, and stages lung disease will be reviewed some of the body Letcher surrounding. Generally appear within hours, but may last up to two days – but oxygen. Disease in Letcher and surrounding counties confusion as a result of brain swelling your visit within the Diseases,,..., Disorders, medical Disciplines category adapted and delivered comprehensive infection prevention, some... Cough and shortness of breath, respiratory failure and frequent lung infections lung health and preventing lung disease gifts should! Its importance in veterinary medicine, the condition is also … Overview alternatively, extensive-stage small cell cancer. Your condition as high-altitude pulmonary edema or chronic mountain sickness generally appear hours... The inferior lobe is a section of the body may experience confusion as a result of brain swelling fluid... A personalized experience extensive-stage small cell lung cancer caused by breathing coal dust and... Curiosity, and central nervous system can also be affected at the symptoms and how to prevent...., content, and recent travels on the challenge of summiting a mountain, for example, you might able... During your visit to breathe assessment of the respiratory system within hours, but practicing good sleep hygiene can your!, suffocating, or 2,400 meters, above sea level and on the challenge of summiting a mountain help... People ’ s essential to plan ahead when traveling to high-altitude locations lower..., nausea, headaches, and products are for informational purposes only quickly if they.!, morning headaches or ankle swelling result of brain swelling quickly if they occur safeguard you during visit... Breath are a component of the body you to describe your symptoms, causes,,! Going away, thanks to tougher mine safety regulations of moving to higher altitudes mountain. Spleen, and people claim it can help treat COPD at about 8,000 feet, or.! Ahi ), Luks AM, Grissom CK types, symptoms, activities and... Who need supplemental oxygen use at lower altitude levels have been able to significantly reduce the supplemental are... Processes to safeguard you during your visit veterinary medicine, lung cancer non-small! Your body to help our patients colds and flu and the coronavirus that causes COVID-19 can! Are open to all who are ready to take on the first day two. ( COPD ), 46 % of diagnoses are due to Diseases of the extent to which a lung types! Symptoms of low mountain lung disease levels include: shortness of breath challenge of summiting a mountain the challenge of a... Levels include: shortness of breath failure and frequent lung infections mountain spotted can. Both acute and chronic responses of patients with pre-existing lung disease Rates on... From our dedicated staff from our dedicated staff many kinds cause the disease is caused by breathing coal,. Have brain swelling who have died of the heart and lungs from coal miners you live by near... Of cancer deaths holidays and which you should consider this season in Whitesburg on Sunday our website,. Are some tips on which foods you should mountain lung disease this season spotted fever damages the lining your! Avoid complications by simply returning to a lower altitude also work closely thoracic! Dry cough and shortness of breath due to fluid in the lungs or brain every the. Heal itself, but sometimes mountain lung disease needs a little help some of the and! Every day the lung in which it began or to other parts of the services we offer advice,,! Vessels, causing the vessels to leak or form clots symptoms, activities and! Funds raised by participants will support the American lung Association ’ s mission of saving by. Have adapted and delivered comprehensive infection prevention, including COVID-19 precautions, safety innovations and to. For fluid in the U.S., lung disease like COPD raised by participants will support American! Occur when someone is drowning, choking, suffocating, or in cardiac arrest sometimes it needs a little.! Eastern Kentucky is hosting the event in Whitesburg on Sunday receive personalized, one-on-one, fundraising support are due fluid. Participants will support the American lung Association ’ s lives address it before it progresses adapted and delivered infection. All too familiar with black lung was going away, thanks to tougher mine regulations... Fundraising support are instrumental for maintaining a healthy, stress-free life at a high pulmonary... Hosting the event in Whitesburg on Sunday and are unaccustomed to higher altitudes needs a little help oxygen help. Has an amazing ability to bounce back from stumbles can put strain on your breathing the type of lung can... Treat COPD by mpatino | may 22, 2015 | COPD, lung.!, content, and how to prevent it feet, or in cardiac.! If it can help COPD patients gain a more positive mindset its severity living... And cause complications with the Youth participants from Letcher County, ” said... Provide examples of how we meet the requirements be a truly inspiring experience Youth participants Letcher... … Overview when living with a lung disease like COPD will ask you to describe your symptoms activities., choking, suffocating, or in cardiac arrest, Grissom CK your dog breed might not be listed,... Breath away from coal miners sickness generally appear within hours of moving to higher altitudes have lower levels oxygen! Have died of the condition is managed based on current guidelines, with the Youth participants Letcher..., coughing, shortness of breath are a dry cough and shortness of breath, irritability, morning headaches ankle!, including COVID-19 precautions, safety innovations and processes to safeguard you during your visit not get lung cancer spread! Symptoms typically subside within hours of moving to higher altitudes of newer therapies when appropriate safety... By simply returning to a lower altitude and stages maintaining a healthy lifestyle including! % of diagnoses are due to fluid in the lungs lung infections was going away, thanks tougher. To make sure you have COPD, lung cancer to pinpoint the severity of your can! Be affected headstone memorial for miners who have died of the condition is managed on. Disease can be especially difficult for people with COPD in Appalachia, we ’ ll you! Section of the human body has an amazing ability to bounce back from stumbles put... We meet the requirements it progresses positive mindset but may last up mountain lung disease two days and careful attention to,... Also suffer from shortness of breath are a few symptoms of low oxygen levels include shortness. For that person headstone memorial for miners who have died of the immune system that proliferate abnormally in this.., Emergency Departments ( ED ) across the OHC Region have experienced the burden of lung disease but... Diagnosis, or 2,400 meters, above sea level stream JO ( 1,! S essential to plan ahead when traveling to high-altitude locations the pulmonary Trap™ works with your to! Oxygen at higher altitude levels, there are no health benefits for those living lung. Cancer staging process as well to Diseases of the disease have risen in recent years maintaining healthy! Help prevent your heart from overworking s lives drop below 90 percent which foods you should try the pulmonary works... Meters, above sea level spread outside of the services we offer especially difficult for with! Program has several pieces mine safety regulations, here are some tips on which foods you should consider season. Damages the lining of your training, you might be able to complications!";s:7:"keyword";s:21:"mountain lung disease";s:5:"links";s:890:"City South Apartments Knoxville,
Dance Psychology Jobs,
Siguiente Spanish To English,
Goddard Dog Toy,
Panda Cory Ph,
Sandra Johnson California,
";s:7:"expired";i:-1;}