I tried heat, ice, gentle massage. Typically an expanding hematoma (collection of blood in the wound bed where the thyroid lobe was Talk with your surgeon regarding this issue asap. When eyes protrude, its often a sign of thyroid disease. Flushing on your face and red palms Unable to load your collection due to an error, Unable to load your delegates due to an error. Slowly raise your arms overhead, and then slowly lower them back down against your body. ", Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. The .gov means its official. Left side surgical was hard & slightly numb to feel anything. Surgery. Treatment includes immediate surgery to remove the hematoma and address any areas of bleeding. I have my post op on Friday but its worrying me so Id thought Id ask you all beforehand. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. Its so great to have found a support site and to feel that we are not alone:) My journey with thyroid cancer has been a whirlwind of mixed emotions. and we flew back home that afternoon. Feeling cold, especially in the extremities, Increased menstrual flow and more frequent periods, The presence of other medical conditions, such as congestive heart failure or a bleeding disorder, Thyroid cancer, especially when a central neck dissection is done to remove lymph nodes. Theyre available to help you. I have the book and it is very good. Less hair on your legs, arms, and other areas, Thick, dry, and brittle with visible ridges Any thoughts or experience with this procedure? I hate the thought of more surgery after going through TT and neck dissection. Complications after thyroid surgery are rare but can be serious and potentially life threatening. PS do you know if I can use ice? Increased swelling, redness, or drainage from the incision. Of the 246 patients, 11 (4.5%) developed lateral LN recurrence with a median follow-up of 49months. Was it super gradual, or was there a day that you woke up and it was much better? I immediately started combing through research papers (again) using different keywords than I had in the past .this time "recurrence" "undetectable TG + recurrence" "surgery alternatives" etc and came upon ethanol ablation. I haven't had RAI yet because I was given iodine in a CT after surgery and was told I had to wait 6 months. Several types of thyroid cancer exist. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. The thyroid is a butterfly-shaped gland in your neck that produces hormones, which play a key role in regulating your heartbeat, breathing, and many other functions. Use these professionally produced online infographics, posters, and videos to help others find and prevent skin cancer. I still have trouble swallowing at times. I did suffer from Parotid damage 6 months post RAI but I didn't suffer from dry mouth and only had swelling at the 6th month interval and no swelling since. If you have a large goiter or a large cancerous tumor, youll likely need a total thyroidectomy. This discussion has been closed to comments. OMG! ?r4H`$4o.V& Prior to meeting with Dr. Hay, I had a morning of "do-overs" of diagnostic and lab work previously done where I live - but Mayo has more sensitive equipment and thus trusts it's own numbers/findings more than the outside world. It is uncommon, but when it occurs after thyroidectomy, it is usually associated with Grave's disease. Keep in mind that pain medications can cause constipation, and your healthcare provider may recommend a stool softener and/or laxative. I would have thought that all swollen LNs detected earlier via US in Oct 2012 would have been removed during TT. Dermatologic manifestations in patients with systemic disease. In: Bolognia JL, et al. ThyCa: Thyroid Cancer Survivors' Association, Inc. Background: Thanks for listening, Did he put in drainage tubes? Outpatient versus inpatient thyroidectomy: A systematic review and meta-analysis. I learned this from a surgeon who did a bunionectomy on my son years ago. Any type of straining made me swell. Symptoms may include an area of firmness and swelling on the front or side of the neck (usually beneath the incision), neck pain, and symptoms of airway obstruction such as shortness of breath, lightheadedness, or stridor (a high-pitched wheezing sound that's usually most noticeable with inspiration than exhalation). Before you leave the hospital, your healthcare provider will go over any instructions and talk about when you should follow up with your surgeon. It's not excrutiating pain, but I have to be very careful when I'm washing my neck and it's still tight when I turn my head to the right. Anyone else have this issue? There is a lot of tightness and pain when moving my neck, especially if moving my head up. Gently turn your head to the right, then roll your head so that you are looking at the floor, then gently roll your head to the left. These dermatologists' tips tell you how to protect your skin. I recently received the results of my second follow-up test. To help with swallowing I would tilt my chin down while swallowing and "hard swallowed" to help alleviate my issues. Swelling in Right thyroid lobe since one month.at that time fever and neck pain was there.After consultation of physician antibiotics was used &gradually fever disappear.Now external swelling not there but in ultra sound scanning swelling is observed.and slightly T3,T4 levels raised but TSH is about 0.01. None of the patients had clinical evidence of lateral LN metastasis at the time of diagnosis. Thinning hair or balding patches now have what I can only describe as a bowling ball in my neck. He said that obviously if I have trouble breathing or swallowing I need to get in immediately. Of course, during COVID-19, protocols or normal ways of doing things are different. I too have been doing some things I probably shouldn't have. Never ignore your gut feelings on how you feel and if you think you'll forget things to ask when you see your endo questions or just exactly how your feeling write it down that's what I should of done. Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them. Both surgeon and Endo (at the time) did not recommend RAI - so no RAI. My surgeon has a really thick accent, so I still am not sure exactly what he said he didbut I *think* he said he took out the front lymphs. Last night I kept waking up thinking I was choking. Then in December 2011, had another neck dissection on right side to remove more cancerous lymph nodes. Itchy skin without a rash Didn't find the answer you were looking for? I had a total thyroidectomy Jan 8, 2018 because I had eight nodules on my thyroid which by the grace wasn't cancerous but two where growing larger and began making me feel like someone hands were around my neck. The neck is put in an extended position during surgery, and many people avoid moving their necks afterward. Muscle cramps. After surgery, your voice may be hoarse or whispery, and it may feel tiring to talk. 2 0 obj Factors predictive of the development of surgical site infection in thyroidectomy - An analysis of NSQIP database. I'd say things didn't settle completely for me for about 4 months out. Werner and Ingbar'sThe Thyroid: A Fundamental and Clinical Text. I had surgery for TT and left neck dissection 1 month ago. Many surgeons recommend doing gentle stretching and range-of-motion exercises to reduce stiffness. If your able to get the pump even better. Randle RW, Bates MF, Long KL, Pitt SC, Schneider DF, Sippel RS. As with other side effects and complications, the timing of symptoms can vary from one person to the next. It feels uncomfortable to touch, like size of golf ball and seems to swell even more when touched making it odd to swallow.is this normal? For potential or actual medical emergencies, immediately call 911 or your local emergency service. Is this normal? So I had my thyroidectomy on 4/9/19. The primary reason for concern is that neck bleeding, which can be life-threatening, may occur after a person has returned home after outpatient surgery. The content on this site is for informational purposes only. Since then, the neck swelling has gone down quite a bit, but I still wake up with a "bullfrog neck", which is both uncomfortable and not really pleasing to look at. What Do Herpes Sores Look Like at Different Stages. Quick background: Full TT performed in May 2013 at Hopkins for several nodules, only one with cancer - a 7mm nodule PTC - BRAF+, No lymph node involvement, margins "invasive carcinoma deep in to the margins". US showed a 1.7cm nodule on my left thyroid lobe & a few swollen LNs on the left of the neck. its making ankles, swollen fingers and swelling between knuckles. which I can. Any thoughts on why I am having severe fatigue? Could this be connected? Complications are uncommon, but the most serious possible risks of thyroidectomy include: While these complications are rare, theyre more likely to happen if: If youre concerned about possible complications of your surgery, talk to your surgeon. Image 1: Getty Images doesnt take me seriously until low and behold another issue presents itself. My surgeon prescribed thyroid replacement meds and I had to have my blood pressure medicine changed due to a recall. Your provider will give you specific instructions. Since it's common for the parathyroid glands to function poorly after a thyroidectomy, you may be sent home with calcium and vitamin D supplements. Thanks!! It's most easily noted from the side view. Dr. Hay is a genius, Dr. Lee and Dr. Fazzio are amazing at performing the ablation - and I am so happy that I did this - and encourage anyone with recurrence to at least see if they are good candidate for this treatment before getting more surgery. Having regular thyroid testing done is also important, as hypothyroidism may not occur right away, or even for months or years. <> Kalus AA, Chien AJ, et al. Follow up.they put me on 112mcg of synthroid; my Endo used the algorithm method (using weight as a factor in deciding on doseage). Widening nose With this in mind, it's a good idea to ask your surgeon how many thyroidectomies they have performed in the past. I would rather know ahead of time than be blindsided. Did RAI too but not responded so I had Radiation theraphy on my neck. I had a therapist remind me that the fluid is not just outward, but the internal tissues hold fluid too. I'm sorry you are having the swelling and pain. My freaking neck hurts! Most often, neck stiffness lasts for only a few days to a few weeks after surgery. It is good she has ' no metastasis ' need more information , histological type , when surger Hi. It occurs in roughly one in 2,000 surgeries. I know that I do have to stay overnight and I am expecting only to have a TT only. You can ask your surgeon about this prior to your surgery. They commonly include: Most often calcium levels improve in a few weeks but may continue to be low for up to six months. Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked. 4 0 obj 2. You can search by location, condition, and procedure to find the dermatologist thats right for you. What could be possible causes apart from swollen lymph nodes due to infection? Thank you for your help and yes I will write a list for Friday. I use it 3-5 times a week.and I am almost 3 years out. American Thyroid Association statement on outpatient thyroidectomy. I had 36 lymph nodes removed so I still get swelling in my neck. Heres a photo of myself this morning. My concern now is that it's been 2 month and 5 days and my neck is still swollen. Im so tired of asking my PA questions and feeling stupid because whatever it is is no big deal, do I thought Id ask you guys. Last blood work still showed a TG, but my doctor said it was optimistic to ever have a TG 0 in my case. How big did it get? Epub 2017 Apr 17. The surgery sounds involved. Eur Thyroid J. Doctors typically provide answers within 24 hours. Bleeding at the incision site. Most often, lifelong calcium supplementation is all that is needed. Epub 2014 Nov 27. The ENT mentioned if it doesn't go away after a while, we can always look into plastic surgery options. Vitiligo and overt thyroid diseases: A nationwide population-based study in Korea. J Am Acad Dermatol. Thyroid cancer support group and discussion community. Dermatologists team up to improve patient care, JAK inhibitors: A newer type of medication, Free materials to help raise skin cancer awareness, Dermatologist-approved lesson plans, activities you can use. Chronic conditions, in addition to acute conditions, can contribute to chin lumps. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. I am almost 6 months after my TT and left neck dissection (51 lymph nodes) and 4 months since RAI. Transient (temporary) hypoparathyroidism can happen after thyroid surgery. Clinical thyroidology for the public. Its a part of your endocrine system and controls many of your bodys important functions by producing and releasing certain hormones, which are often referred to as thyroid hormone. Keep in mind that even when complications occur, which is not common, prompt treatment is often successful to restore your health. The exercises are actually all about stretching. Treatment in the intensive care unit includes cooling, intravenous fluids, medications such as propylthiouracil (PTU), and management of arrhythmias. Slow-healing wounds Eur Arch Otorhinolaryngol. -FT3 = 3.72 pg/mL (2.30- 4.20) Has anyone had similar issues of concern? Does this only happen if they remove lymph nodes and/or you don't have a drainage tube? Ryu YJ, Kang SJ, Cho JS, Yoon JH, Park MH. These signs dont necessarily mean that you have thyroid disease. Good luck to all on this journey !!! My concern is that if they don't find anything i don't want to do RAi unless absolutely necessary. Your surgeon will remove the drain one or two days after the surgery. The Annual International Thyroid Cancer Survivors' Conference and Regional Workshops, Lymphedema and swallowing issues after surgery, Papillary and follicular thyroid cancer (differentiated), Multiple endocrine neoplasia type 2 (MEN2), Mental challenges of living with thyroid cancer, ThyCa fundraising and thyroid cancer research grants, Lymphedema of the Neck after total Thyroidectomy. Most types grow slowly, though some types can be very aggressive. Heres how long botox tends to last. Read our, Thyroidectomy: Everything You Need to Know. She has had one removed already. Dr. Philip Kern answered. I spoke with the Doctor on-call and he said that if I go to the ER it will be 6-7 hours of waiting. Hello all, I had my TT last Monday. By Mary Shomon 2018;40(1):192-202. doi:10.1002/hed.24934. I had total thyroidectomy June 3, and the incision site is still swollen - about the size of an egg. Side effects of thyroid surgery are common and include neck pain, a sore throat, difficulty swallowing, hoarseness, and temporary hypoparathyroidism that usually resolves within a few weeks. Had 6 months tests about a month ago, Tg is undetectable and lymph node ultrasound was normal. A nerve has been cut that must connect/control my left shoulder muscle. Accessibility It looks like I have 3 necks, and the fluid build up is so bad. Lumps on discolored skin that feel hard and waxy can be a sign of thyroid disease. These include: While a total thyroidectomy is more extensive surgery than a subtotal thyroidectomy, several studies suggest that the safety of the two procedures is similar with regard to complications, though temporary low calcium levels (and hypothyroidism due to the removal of the entire thyroid) are more common with the total procedure. Recommended exercises may include: Suggested frequency: 10 repetitions, three times day. Are you sure you want to block this member? The thyroid gland wraps around and lays on top of lymph nodes (the central section is the biggest culprit of hidden lurkers) so that after you take out the thyroid, you are bound to have lymph node involvement in the area behind the thyroid where the cancer was found. For people with hyperthyroidism, the doctor will administer medications to keep thyroid hormones in balance during and after surgery. Thyroidectomy is the main surgical treatment for thyroid cancer and is a treatment option for certain thyroid conditions, including: Your thyroid is a small, butterfly-shaped gland located at the front of your neck under your skin. I told him I went shopping for several hours with the family yesterday. Z7gFskZKJB``nsL|g,g/7? Rashes, especially in the creases of your skin it feels like there are hands wringing my neck at all times, and its hard to move my head. Discuss what's on your mind with your healthcare provider. Does .6 indicate there may still be cancer there? All of your thyroid (total thyroidectomy). Last reviewed by a Cleveland Clinic medical professional on 09/08/2022. 8 days post total thyroidectomy-swelling? If you had a subtotal thyroidectomy and are not immediately put on thyroid hormone medications, watch carefully for symptoms of hypothyroidism and contact your healthcare provider if they occur. You, too, may also be able to spot thyroid disease, and thats important. Methods: Redness or warmth at the incision site. I was diagnosed last Sept. 2011 with pap thyroid cancer. The main side effect of having your thyroid removed is a lack of thyroid hormone. It showed up the day after surgery, around the same time the redness/reaction showed up. Most people are advised to take roughly two weeks off from work to recuperate, depending on their occupation. But MAJOR discomfort for awhile after that. It was fluid from the void where my thyroid used to be. We do not endorse non-Cleveland Clinic products or services. This site needs JavaScript to work properly. Impact of potassium iodide on thyroidectomy for Graves disease: Implications for safety and operative difficulty. 2017;76(5):871-8. The surgeon removed 31 lymph nodes - 5 of which proved cancerous. Growing more slowly (or quickly) Did you also have lymph nodes removed? Surgeons perform more than 150,000 thyroidectomies in the United States each year. Incision itself is a tiny line in the fold of my neck, however there is a "hole" about an inch above it that people are asking me about all the time. Journal of Thyroid Research. The next day it got better. I am going in for a neck ultrasound today. 30 lymph nodes were removed and 7 with cancer. Dermatologists care for people of all ages. My surgeon didn't do a drainage tube and I can't help but think that I may have benefited from one. By clicking Accept All Cookies, you agree to the storing of cookies on your device to enhance site navigation, analyze site usage, and assist in our marketing efforts. It may last for up to six months. Your surgeon will likely recommend that you limit more intense physical activities for a week or two. You should wait at least 10 days to two weeks before returning to vigorous sports and activities, such as swimming and heavy lifting. I am very frustrated with my voice and breathing issues but its not all the time, I can speak well when rested and during regular conversation. During surgery my doctor had to remove some outer muscle layers of my esophagus and outer layers of my trachea. No major symptoms of hypo yet, and one more scan to complete this coming Friday. Till then, I m concerned & will like to seek advice from those who have gone through this experience. While there is no specific treatment for this hoarseness, it's helpful for your loved ones to be aware of the problem so that you don't feel the need to talk loudly or more often than is comfortable. Thanks so much for making me feel so much better today with hope for the future! To view profiles and participate in discussions please. If you are not given calcium, it's important to be aware of the symptoms of hypocalcemia. To help you find early (and some not-so-early) signs of thyroid disease on your skin, hair, and nails, heres a checklist. I will ask more questions on Friday during my post op appointment. It does get better though, just slowly. I had right and left dissection plus TT. However, that information will still be included in details such as numbers of replies. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. That would help me regain better voice volume and proper breathing. How much of my thyroid gland needs to be removed? Seek urgent medical care if you experience any swelling of your neck, increased pain, shortness of breath, fever, or difficulty breathing. With the assistance of a robot through a distant incision in either the axilla (the space below your shoulder through which vessels and nerves enter and leave your upper arm) or the back of your neck. You should not submerge, soak, or scrub your incision, and bathing in a tub should be avoided until you see your surgeon. Especially, extranodal extension of a metastatic central LN (OR, 38.82; 95% CI, 5.71-264.10; p<0.001) was an independent predictor of lateral LN recurrence. I had a cervical neck fusion c5 c6 the doctor somehow cut tissue by my thyroid or goiter i have had this problem years before neck surgery .I had this feeling for some time after my surgery. Hormones are chemicals that coordinate different functions in your body by carrying messages through your blood to your organs, skin, muscles and other tissues. stream Yes, about a week after my TT (performed on August 4th) I had significant swelling on the right side of my neck below the stitches. I ended up in A and E via docs as they couldnt understand why the choking feeling or dizziness etc. If you have what feels like razor bumps or acne on the back of your neck or scalp, you may have acne keloidalis nuchae. If you experience itching, applying scar gel or aloe may provide relief, but talk to your surgeon before doing so. The Effect of Prophylactic Central Neck Dissection on Locoregional Recurrence in Papillary Thyroid Cancer After Total Thyroidectomy: A Systematic Review and Meta-Analysis : pCND for the Locoregional Recurrence of Papillary Thyroid Cancer. Thanks! The only thing that's resulting from this is soreness and stinging on each end of the incision, plus it appears to look more swollen afterwards. Bleeding into the tissues surrounding the neck, which is known as a neck hematoma, is uncommon, but is potentially life-threatening if not diagnosed and treated promptly. if it is soon (next week or so) then i would wait for the appointment. This often increases over the first 1-2 weeksand then begins to resolve over 6-8 weeks. I was basically cut from ear-to-ear plus another cut on the left side neck almost perpendicular to the main cut. To learn more, please visit our. I have had issues with swallowing ever since surgery and have had a lot of swelling since three days post-op. It's almost in the same spot that the initial lymph nodes popped up when I was diagnosed. The results are below (same as I had shared on my first post): You may need thyroid medicine to suppress over-production of thyroid hormones. it seems to hurt so much more if my neck gets cold. Lymph node; Metastasis; Papillary thyroid cancer; Recurrence. Depending on your reason for needing a thyroidectomy, in the weeks before your surgery: Youll need to fast (not eat or drink anything except water) for several hours before your surgery. <> Find other members in this community to connect with. I have lost 15 lbs because I am limited in what I can eat. Same answer as last Sunday with the calcium stuff. Im desperate for relief! Complications are much less common and can include neck bleeding, permanent hypoparathyroidism that requires ongoing calcium replacement, and damage to nerves that can lead to long-term hoarseness and vocal changes. I had my TT on June 2nd (a week ago) and my neck feel and looks bulgy. I will be back in 3 months for another one or two rounds of ethanol ablation. Over the past year since surgery, I have been getting labs done ev. hashthy I had a TT a week ago and developed a large bump about 1/2" above incision site. Primary thyroid lymphoma (surgery is limited to obtaining a tissue biopsy). Check it out for sure I think you need more time to heal, Hi after my partial thyroidectomy it took a good few weeks for the swelling and pain and discomfort to subside I also used bio oil on the scar tissue to minimise the scar as for swallowing it was uncomfortable for a while but normally disappears eventually. This can include changes in blood pressure or heart problems. I get very breathless when talking. They asked if I could come back this week to see speech therapy for swallowing and to go to their lymphedema clinic. How can I reduce swelling after thyroidectomy? If you are having thyroid surgery, known as a thyroidectomy, to remove all or part of your thyroid glanda butterfly shaped organ at the base of your neckit's important to know what to expect as you recover. Has anyone experienced this symptom after surgery? It produces hormones that control the body's growth and metabolism. 3 0 obj Types of partial thyroidectomies, which involve removal of part of your thyroid include: A total or near-total thyroidectomy is the surgical removal of all or most of your thyroid tissue. Swollen incision site. Columbia Thyroid Center. If you have a subtotal thyroidectomy, which means all but a small portion of your thyroid is removed to try to preserve thyroid function, hypothyroidism sometimes still occurs and you will need monitoring to see if replacement therapy is needed. Hi all, I had to advocate just to get blood work. My doctor told me the swelling will go away but You've attached to a thread from 2009 and none of the previous posters are, currently active on the site, at this time. 2017;157(2):210-216. doi:10.1177/0194599817700583, Myssiorek D, Ahmed Y, Parsikia A, Castaldi M, Mcnelis J. It has been difficult but I am trying to be positive and hoping that things would get better. Seemed like just time helped in the end. Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. Prediction of permanent hypoparathyroidism after total thyroidectomy. Anyone suffer from facial swelling after TT and neck dissection? Any advice or suggestions would be great! I don't have difficulty swallowing. It stings b/c of the pressure my neck has on it. I haven't had my surgery yet but my sister has and that does not seem right to me. Does this sound like just a salivary gland complication from the RAI and has any of you had this happen to you? Herpes spreads by oral, vaginal and anal sex. I hope someone can relate and can enlighten me on their experience and maybe some answers. I felt like such a nag calling my surgeon so often, but I didn't feel that prepared for the swelling and massive discomfort. Medicine. I asked numerous GP's about it and they all said it wasn't attached to anything so should disappear by itself and is probably just a swollen lymph node. However, that information will still be included in details such as numbers of replies. I can't swallow liquids without choking and have most annoying cough all the time. Sorry to hear you too were unwell after surgery. Peel, crumble, or break easily A swollen fingertip, curved nail, and thickening skin above a nail are often signs of thyroid disease. Federal government websites often end in .gov or .mil. Re: when you lay down, and I know this is something just psychological, but I found that having a gentle fan blowing on me helped me to feel less short of breath. Xu S, Huang H, Huang Y, Wang X, Xu Z, Liu S, Liu J. BMC Cancer. Background: This study analyzed the incidence, pattern, and predictive factors for lateral lymph node (LN) recurrence in patients with papillary thyroid cancer (PTC) without clinical evidence of lateral LN metastasis. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. A 2018 study found that when a solution of potassium iodide was given prior to thyroid surgery for those with Grave's diseasea condition that can lead to an overactive thyroidit was associated with less temporary hypoparathyroidism and hoarseness. If not, you should call and get an appointment to have the area checked to make sure it's healing as expected. However, it is now May 2016 and my neck in that area still feels very odd. Fascinating. I will see the endocrinologist for the first time on 5/31. Are you sure you want to block this member? The ENT doctor will perform a procedure called a direct laryngoscopy to visualize the vocal cords and see if a tracheostomy, an incision in the neck for breathing, is needed. 2018 Dec;97(51):e13435. No redness or bruising and Im fairly positive its not an injury. They initially coagulate then liquefy after 1-2 weeks. In some cases, more than one lump may develop. A few days later I began to feel twinges of pain Near my ear and jaw when I ate. I am so frustrated to still be in pain and to still be so exhausted all the time! Occult lymph node metastasis and risk of regional recurrence in papillary thyroid cancer after bilateral prophylactic central neck dissection: A multi-institutional study. Did any of you guys experienced similar problems? If you want to diminish a noticeable scar, know these 10 things before having laser treatment. She said she strongly feel that this condition is reversible with a little double behind it because it's been 2 months and they should have sent me to her earlier as she stated. I'm 2 and half weeks after total thyroidectomy and although incision healing well I have considerable swelling still just below it.
Centene Religious Exemption,
Houses For Rent $1,300 A Month,
What Does The Bear Symbolize In Hatchet,
Breaking News Warnbro,
Secret Rf Microneedling Before And After Stretch Marks,
Articles S