Episodios

  • Recurrent Tonsillitis in Children
    Apr 30 2025
    Episode two of four on Paediatric ENT conditions. Doctors Lisa and Sara are back with Paediatric Ear Nose and Throat Consultant Dr Simone Schaefer for this episode on Recurrent Tonsillitis in Children. We go through the definition of tonsillitis and what ENT class as recurrent Tonsillitis that would hit the criteria for Tonsillectomy in our region. We use a case and discuss why referral criteria are so strict, as well as some exceptions to the criteria.

    Resources:

    • ENT UK Recurrent Tonsillitis Decision Making Tool for Tonsillectomies (for parents): https://www.entuk.org/patients/conditions/63/helping_you_decide_about_tonsil_surgery_for_your_child
    • NHS England ENT UK Recurrent Tonsillitis Decision Making Tool for Tonsillectomies (for adults and Children): https://www.england.nhs.uk/publication/decision-support-tool-making-a-decision-about-recurrent-tonsillitis-in-children-and-adults/
    You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)

    ___

    We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback

    Email us at: primarycarepodcasts@gmail.com

    ___

    This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.

    The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.

    Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.

    The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.

    Más Menos
    22 m
  • Recurrent Acute Otitis Media in Children
    Apr 9 2025
    Episode one of four on Paediatric ENT conditions. Doctors Lisa and Sara are joined by Paediatric Ear Nose and Throat Consultant Dr Simone Schaefer for this episode on Recurrent Acute Otitis Media (AOM) in Children. A common problem, we take a classic presentation and work through getting the diagnosis right, red flags and differentials before discussing management and which children may need referrals. We then discuss the limited options of what might be done in an ENT clinic and helpful resources for families. You can use these podcasts as part of your CPD - we don’t do certificates but they still count :) Useful Resources: NICE Clinical Knowledge Summaries on Acute Otitis Media (including initial presentation, persistent infections and recurrent infections (updated August 2024): https://cks.nice.org.uk/topics/otitis-media-acute/Hoberman et al. 2021 NEJM Tympanostomy tube placement or medical management for recurrent acute otitis media: https://www.nejm.org/doi/full/10.1056/NEJMoa2027278Resource for Patients: https://www.nhs.uk/conditions/ear-infections/https://www.hopkinsmedicine.org/health/conditions-and-diseases/ear-infections-in-babies-and-toddlers ENT UK: Decision making aid for parents re Grommets: https://www.entuk.org/patients/conditions/5/grommets_a_decisionmaking_aid_for_parentsENT UK: Explainer leaflets, How to use ear drops or sprays: https://www.entuk.org/patients/conditions/74/how_to_use_ear_drops_or_spraysThe Royal Children’s Hospital Melbourne. Clinical Paediatric Guideline (good algorithm, pictures of erythematous Tympanic Membranes versus Acute Otitis Media with bulging/effusion): https://www.rch.org.au/clinicalguide/guideline_index/acute_otitis_media/ENT Guidelines for Derbyshire (includes details of Topical Drops in specific cases: https://www.derbyshiremedicinesmanagement.nhs.uk/assets/Clinical_Guidelines/Formulary_by_BNF_chapter_prescribing_guidelines/BNF_chapter_12/Chapter_12_Ear_nose_and_oropharynx.pdf ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback Email us at: primarycarepodcasts@gmail.com ___ This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions. The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
    Más Menos
    28 m
  • The Beauty of Balint Groups in General Practice
    Mar 19 2025
    Doctors Lisa and Sara are joined by GP and Medical Educator Dr Alan Ng, working in Canada. We discuss what Balint groups are, starting from who Balint was. We go through the structure of a Balint session and why they exist in the form they do. We discuss the advantages to both Doctors and their patients of discussing cases within a Balint group and being part of a group. Discussions can help us gain a deeper understanding of the doctor-patient relationship and discover more about the dynamics and causes of our stresses in particular cases. You can use these podcasts as part of your CPD - we don’t do certificates but they still count :) Useful resources: UK Balint Society: https://balintsociety.org.uk/ American Balint Society: www.americanbalintsociety.org International Balint Federation: www.balintinternational.com Balint, Michael. The Doctor, His Patient and the Illness. Churchill Livingstone 1957, 1963, 2000: https://www.worldofbooks.com/en-gb/products/doctor-his-patient-and-the-illness-book-michael-balint-9780272792063 Salinsky, John and Sackin, Paul. What Are You Feeling Doctor? Radcliffe 2000: https://www.worldofbooks.com/en-gb/products/what-are-you-feeling-doctor-book-john-salinsky-9781857754070 Joanne Reeve and the idea of ‘Knowledge Work’: https://bjgplife.com/reclaiming-general-practice-tackling-our-workforce-crisis-with-wisegp/ Stojanovic-Tasic M, Latas M, Milosevic N, Aritonovic Pribakovic J, Ljusic D, Sapic R, Vucurevic M, Trajkovic G, Grgurevic A. Is Balint training associated with the reduced burnout among primary health care doctors? Libyan J Med. 2018 Dec;13(1):1440123: https://pubmed.ncbi.nlm.nih.gov/29493438/ Van Roy K, Vanheule S, Inslegers R. Research on Balint groups: A literature review. Patient Educ Couns. 2015 Jun;98(6):685-94: https://pubmed.ncbi.nlm.nih.gov/25681874/ Player M, Freedy JR, Diaz V, Brock C, Chessman A, Thiedke C, Johnson A. The role of Balint group training in the professional and personal development of family medicine residents. Int J Psychiatry Med. 2018 Jan-Mar;53(1-2):24-38. doi: 10.1177/0091217417745289. Epub 2017 Dec 13: https://pubmed.ncbi.nlm.nih.gov/29235909/ Kjeldmand D, Holmström I. Balint groups as a means to increase job satisfaction and prevent burnout among general practitioners. Ann Fam Med. 2008 Mar-Apr;6(2):138-45. doi: 10.1370/afm.813: https://pubmed.ncbi.nlm.nih.gov/18332406/ Mathers and Rowland (1997). General practice-a post-modern speciality? British Journal of General Practice, 47, 177-179: https://bjgp.org/content/47/416/177 ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback Email us at: primarycarepodcasts@gmail.com ___ This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions. The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
    Más Menos
    42 m
  • How General Practice can support International Medical Graduates
    Feb 26 2025
    Doctors Lisa and Sara were delighted to interview Dr Sylvia Kama-Kieghe, a GP based in Sheffield with an interest in Women’s Health. She is the Chair of the Royal College of General Practice North of England International Medical Graduates Group. We start with what the group does, why it was set up and look at issues International Medical Graduates might face when working and training in the UK. We consider what practices, staff and supervisors can do to help make International Medical Graduates feel welcome and supported so that the experiences for all can be positive. A useful listen for all working in Primary Care and specifically those new to Practice in the UK and to Educational and Clinical GP Supervisors. You can use these podcasts as part of your CPD - we don’t do certificates but they still count :) Useful resources: Dr Sylvia Kama-Kieghe’s YouTube Channel for Women’s Health: https://www.youtube.com/c/AskAwayHealth GMC Welcome to the UK pack for International Medical Graduates and Supervisors: https://www.gmc-uk.org/about/what-we-do-and-why/learning-and-support/workshops-for-doctors/welcome-to-uk-practice Royal College of General Practitioners Resources for International Medical Graduates: https://www.rcgp.org.uk/blog/international-medical-graduates-support Royal College of General Practitioners Guide for Overseas Doctors: https://www.rcgp.org.uk/your-career/overseas-doctors-guide Royal College of General Practitioners International Medical Graduates Forum: https://forum.rcgp.org.uk/login Guide on How the NHS works (2021): https://www.nhsemployers.org/system/files/media/Working-and-training-in-NHS-2021_0.pdf International Medical Graduates Podcasts with Raykal Simm: https://open.spotify.com/episode/5ZB88fc9X1tKftnYLhRytb?si=7c906c86bee34fbf Our Episode on How General Practice is Funded (2024): https://www.podbean.com/ew/pb-84rq4-15bc17f ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback Email us at: primarycarepodcasts@gmail.com ___ This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions. The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
    Más Menos
    43 m
  • Tips from an International Medical Graduate about joining General Practice
    Feb 5 2025
    For the podcast this week we spoke to Dr Abid Ali Khan, a GP trainee in East London currently on a Clinical Fellowship in Leadership (National Medical Directors Clinical Fellow). We focused on his experiences as an International Medical Graduate to gain an understanding of the challenges he faced coming to the UK. We got his advice for other International Medical Graduates and those supporting IMGs. We have a second episode out next month focusing more on what practices and staff can do to help support International Medical Graduates. A useful listen for all working in Primary Care and specifically those new to Practice in the UK and to Educational and Clinical GP Supervisors.

    You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)

    Useful resources:

    • GMC Welcome to the UK pack for International Medical Graduates and Supervisors: https://www.gmc-uk.org/about/what-we-do-and-why/learning-and-support/workshops-for-doctors/welcome-to-uk-practice
    • Royal College of General Practitioners Resources for International Medical Graduates: https://www.rcgp.org.uk/blog/international-medical-graduates-support
    • Royal College of General Practitioners Guide for Overseas Doctors: https://www.rcgp.org.uk/your-career/overseas-doctors-guide
    • Royal College of General Practitioners International Medical Graduates Forum: https://forum.rcgp.org.uk/login
    • Guide on How the NHS works (2021): https://www.nhsemployers.org/system/files/media/Working-and-training-in-NHS-2021_0.pdf
    • International Medical Graduates Podcasts with Dr Raykal Sim: https://open.spotify.com/episode/5ZB88fc9X1tKftnYLhRytb?si=7c906c86bee34fbf
    • Our Episode on How General Practice is Funded (2024): https://www.podbean.com/ew/pb-84rq4-15bc17f

    ___

    We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback

    Email us at: primarycarepodcasts@gmail.com

    ___

    This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.

    The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.

    Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.

    The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.

    Más Menos
    36 m
  • Hepatitis C
    Jan 15 2025
    Doctors Lisa and Sara talk to Hepatitis C GP Champion Dr Lindsey Kent and Greater Manchester Peer Programme Manager Tony Horrocks for an overview of Hepatitis C. We cover the basics around the virus and prevalence, potential symptoms and at risk groups to consider when offering testing. We discuss the great work being done to eradicate Hepatitis C in Manchester (and around the UK) including Tony’s personal story as well as his work as a Peer Programme Manager. Wonderful to hear the success rate for cure with medications and how the team ‘leave no one behind’. Great listening for all of us working in General Practice. You can use these podcasts as part of your CPD - we don’t do certificates but they still count :) Useful resources: NICE Clinical Knowledge Summaries Hepatitis C (last revised Sept 2022): https://cks.nice.org.uk/topics/hepatitis-c/The Hepatitis C Trust UK Online Risk Checker: https://www.hepctrust.org.uk/hepatitis-c-risk-checker/Order free Hepatitis C test UK: https://hepctest.nhs.uk/Liverpool Hepatitis Interaction Checker: https://hep-druginteractions.org/checkerGreater Manchester and East Cheshire Hepatitis C Operational Delivery Network: https://research.cmft.nhs.uk/innovation-at-mft/hepatitis-c-operational-delivery-network-for-greater-manchester-and-east-cheshireAneesha Noonan’s podcast on Expanding hepatitis C elimination into Primary Care settings: https://youtu.be/U5TdLJdAGrI?si=Woy1nkVxfCztXaJYHep C U Later Primary Care Toolkit: https://www.hepculater.com/wp-content/uploads/2024/05/Primary-Care-Toolkit-Final-with-links-v2-with-updated-date.pdfHep C U Later’s ‘Hep C Elimination Successes’: https://www.hepculater.com/hepatitis-c-elimination-successes/Hep C U Later: GP practices can run a case finding tools (these are already installed on systems within general practice). If you’re interested in running these tools with support from other organisations email connect.HepCULater@mpft.nhs.uk so we can link you to the right people. NHS England » NHS set to eliminate Hepatitis C ahead of rest of the world: https://www.england.nhs.uk/2022/12/nhs-set-to-eliminate-hepatitis-c/ ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback Email us at: primarycarepodcasts@gmail.com ___ This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions. The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
    Más Menos
    48 m
  • Round up of the Year 2024
    Dec 18 2024

    Doctors Sara and Lisa discuss the podcast episodes over the year. We talk about our longer term learning points, how the year has gone and what's to come.

    ___

    We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback

    Email us at: primarycarepodcasts@gmail.com

    ___

    This podcast has been made with the support of GP Excellence and Wigan CCG. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.

    The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.

    Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.

    The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.

    Más Menos
    15 m
  • Constipation in Palliative Patients
    Nov 20 2024
    Doctors Lisa and Sara talk to Locum Consultant Dr Caitriona MacDermott about assessing and managing constipation in Palliative Patients. A common symptom with a significant impact on people’s quality of life, the episode aims to get across the importance of the topic, the often multifactorial nature of clinical scenarios, the red flags not to miss and arm you with a logical and holistic approach to management. We discuss how management might differ for patients with certain conditions such as partial bowel obstruction, neurological causes, or liver disease. An important listen for those of us in the community looking after palliative patients.

    You can use these podcasts as part of your CPD - we don’t do certificates but they still count :)

    Useful resources:

    • Greater Manchester Palliative Care Symptom Control Guidelines for Adults (2019): https://www.england.nhs.uk/north-west/wp-content/uploads/sites/48/2020/01/Palliative-Care-Pain-and-Symptom-Control-Guidelines.pdf
    • Clinical Knowledge Summaries from NICE: Palliative Care - Constipation (Updated Feb 2024): https://cks.nice.org.uk/topics/palliative-care-constipation/
    • NICE CKS Table of Doses of Laxatives that can be used for Palliative Patients: https://cks.nice.org.uk/topics/palliative-care-constipation/prescribing-information/doses-of-laxatives/

    ___

    We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback

    Email us at: primarycarepodcasts@gmail.com

    ___

    This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions.

    The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it’s release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen.

    Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk.

    The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.

    Más Menos
    37 m
adbl_web_global_use_to_activate_webcro805_stickypopup