La chirurgia al tempo del coronavirus

Michele De Angelis *

robot da vinci ritorno giu2020 Dopo un doveroso quanto sentito ringraziamento al Presidente del nostro Club per l’opportunità concessami vediamo, pur mantenendo uno sguardo al panorama nazionale, come è stato affrontato il problema della attività chirurgica nel nostro territorio in un momento così difficile. Partiamo da alcune semplici considerazioni che sono state alla base delle scelte adottate.

  • È stato molto complesso all’inizio avere anche semplicemente un’idea chiara di cosa dovessimo affrontare per la novità del contagio, l’andamento clinico altamente polimorfo della patologia (casi asintomatici e casi rapidamente mortali), la diversità di vedute spesso molto discordi anche tra gli addetti ai lavori: virologi, pneumologi, infettivologi e rianimatori.
  • Le notizie provenienti dalla Lombardia con la loro la drammaticità nota a tutti voi ci mostravano in maniera incontrovertibile alcune priorità:
    • creare percorsi separati tra patologie covid e nocovid evitando che gli ospedali divenissero nuove fonti di contagio;
    • ridurre al minimo il carico di lavoro per gli anestesisti-rianimatori che dovevano essere impiegati in prima linea per combattere le complicanze letali del virus;
    • aumentare a dismisura i posti disponibili nelle terapie intensive ed in subordine nei reparti specialistici di infettivologia e pneumologia;
    • garantire in ogni caso i trattamenti chirurgici oncologici o prioritari che insieme alle patologie tempo-dipendenti (infarto ad esempio) non potevano essere in qualche modo differiti.

A quanto detto si aggiungeva nel nostro territorio, come a livello nazionale, la carenza proprio di medici anestesisti (solo 2 settimane prima della emergenza covid era andato vacante un bando nazionale per 8 posti di anestesia per l’Azienda Sudest) che per gli ovvi motivi rendeva improponibile l’utilizzo di presidi ospedalieri periferici dipendenti dalla Azienda stessa.

La provincia di Arezzo rispetto ad altre della stessa Toscana ha potuto usufruire della presenza nel proprio territorio di strutture, come il Centro Chirurgico Toscano, già convenzionate col sistema sanitario nazionale e regionale, di ottimo livello tecnologico e professionale che hanno potuto accogliere le attività chirurgiche, anche le più complesse come quella robotica. Voglio solo elencare quali vantaggi tale spostamento abbia prodotto in termini di economia –sanitaria e in ultima analisi di salut

 

e per i nostri cittadini:

Ecco com'è cambiato il lavoro al San Donato

 

  1. gli interventi oncologici e prioritari non sono stati mai interrotti come avvenuto in altre provincie.
  2. Il sistema robotico a cui i cittadini di Arezzo tramite il Calcit hanno così pesantemente contribuito, è rimasto fermo solo per 2 giorni quando in altre realtà è rimasto inattivo per mesi con l’immaginabile danno economico e di prestazioni.
  3. Nella nuova sede operatoria, per gli importanti controlli e separazione di percorsi realizzati, non abbiamo registrato neanche un caso di positività al covid (si tenga presente che i casi di infezione postoperatoria dovuti al coronavirus sono segnalati in letteratura mortali pressoché nel 100%).

È evidente che in questa rimodulazione dell’offerta chirurgica siamo stati in qualche modo aiutati dall’esperienza negativa degli amici della Lombardia in cui una minore disponibilità della rete della sanità territoriale rispetto a quella Toscana ha portato al rapido intasamento e infezione anche dei centri di eccellenza ivi presenti (Humanitas, San Raffaele etc.) che sono divenuti essi stessi fonte di contagio. Anche la modesta difesa della salute degli operatori sanitari, oltre che a un notevole tributo in termini di vite, ha contribuito in maniera importante alla diffusione del virus.

Credo che questi in sintesi siano i motivi del miglior andamento dell’infezione in Toscana con Arezzo risultata la provincia col minor numero di ricoveri per patologia virale specifica.

Mentre vi scrivo ci apprestiamo a riportare le nostre attività presso il San Donato ritenendo di aver contribuito tutti insieme, operatori sanitari e direzione della Azienda sudest, in un momento di gravissima crisi sanitaria ed economica, a scrivere una bella pagine della nostra sanità locale con una integrazione tra pubblico e privato sino ad ora impensabile.

*

Socio del Club

 

Share this Post

191 Comments

  1. I’m not certain where you are getting your info, but great topic.
    I needs to spend some time finding out much more or working out more.
    Thanks for magnificent info I used to be in search of this information for my mission. asmr 0mniartist

  2. Hey there! Do you know if they make any plugins to help with Search Engine Optimization? I’m
    trying to get my blog to rank for some targeted keywords but I’m not seeing very good success.
    If you know of any please share. Thanks! 0mniartist asmr

  3. Have you ever thought about publishing an e-book or guest authoring
    on other sites? I have a blog based on the same topics you discuss and would
    love to have you share some stories/information. I know my subscribers would value your work.
    If you are even remotely interested, feel free to shoot me an email.
    0mniartist asmr

  4. Hello there! I know this is kinda off topic but I was wondering which blog platform
    are you using for this website? I’m getting fed up of WordPress because I’ve had issues with hackers and I’m looking at alternatives for another platform.
    I would be fantastic if you could point me in the direction of a
    good platform. 0mniartist asmr

  5. hello!,I like your writing very much! percentage we keep in touch
    extra approximately your post on AOL? I require a specialist in this area
    to unravel my problem. Maybe that’s you! Having a look ahead to see you.
    asmr 0mniartist

  6. Yes! Finally something about 0mniartist. asmr 0mniartist

  7. Today, while I was at work, my cousin stole my iphone and tested to see if it can survive
    a forty foot drop, just so she can be a youtube sensation. My apple ipad is now destroyed
    and she has 83 views. I know this is totally off topic
    but I had to share it with someone! asmr 0mniartist

  8. Terrific article! This is the type of information that are meant to be shared
    around the net. Shame on Google for not positioning this submit
    upper! Come on over and talk over with my site . Thanks =)
    asmr 0mniartist

  9. I constantly emailed this weblog post page to all my contacts, for the reason that if like
    to read it afterward my contacts will too. 0mniartist asmr

  10. 855700 205757Empathetic for your monstrous inspect, in addition Im just seriously very good as an alternative to Zune, and consequently optimism them, together with the quite very good critical reviews some other players have documented, will let you determine whether it does not take appropriate choice for you. 283231

  11. Hi there, just became aware of your blog through Google, and found
    that it’s really informative. I am going to watch out for brussels.
    I will appreciate if you continue this in future.
    Numerous people will be benefited from your writing. Cheers!
    0mniartist asmr

  12. I go to see every day some web sites and blogs to
    read articles, but this blog offers feature based writing.

  13. Good post. I learn something totally new and challenging on blogs
    I stumbleupon everyday. It will always be exciting to read content from other writers and practice a
    little something from their websites.

  14. My brother recommended I might like this blog. He was totally right.
    This post truly made my day. You can not imagine simply how much time I had spent for this info!

    Thanks!

  15. Hello there, just became alert to your blog through Google,
    and found that it is truly informative. I am going to watch
    out for brussels. I will appreciate if you continue this in future.
    Lots of people will be benefited from your writing. Cheers!

  16. Great goods from you, man. I have understand your stuff previous to
    and you’re just too excellent. I actually like what
    you have acquired here, really like what you’re stating and
    the way in which you say it. You make it enjoyable and you still care for
    to keep it sensible. I can’t wait to read far more
    from you. This is really a great site.

  17. Hello, I enjoy reading through your article post. I like to
    write a little comment to support you.

  18. I must thank you for the efforts you have put in penning this site.
    I’m hoping to see the same high-grade blog posts from you in the future as well.
    In fact, your creative writing abilities has encouraged me to get my
    own, personal website now 😉

  19. 182281 994315There is noticeably a bundle to learn about this. I assume you created specific nice points in functions also. 750745

  20. Thanks for your personal marvelous posting! I definitely enjoyed reading
    it, you are a great author. I will make certain to bookmark your blog and will come back someday.

    I want to encourage that you continue your great writing,
    have a nice holiday weekend!

  21. Hi there every one, here every person is sharing such
    familiarity, thus it’s pleasant to read this web site, and I used to go to see this website daily.

  22. scoliosis
    Great article. scoliosis

  23. Hi my friend! I wish to say that this post is amazing, great written and
    come with almost all important infos. I’d like
    to see extra posts like this .

  24. Whoa! This blog looks just like my old one! It’s on a entirely different subject but
    it has pretty much the same layout and design. Great choice of colors!

    Here is my blog – 918kaya pc download

  25. scoliosis
    Thank you for another informative site. The place else may just I get that kind of info written in such an ideal approach?
    I have a project that I’m simply now operating on, and I have been on the glance out
    for such information. scoliosis

  26. Why visitors still use to read news papers when in this
    technological globe the whole thing is available on web?

    Check out my blog post: xe88 agent

  27. Hi there, for all time i used to check web site posts here early in the morning, for the reason that i love to learn more and
    more.

    Stop by my homepage – test ok388

  28. Hurrah! In the end I got a weblog from where I be capable of genuinely get helpful data concerning
    my study and knowledge.

  29. I’m extremely impressed with your writing skills as
    well as with the layout on your weblog. Is this a paid theme or did you modify it yourself?
    Either way keep up the excellent quality writing, it is rare to see a great
    blog like this one nowadays.

    My blog: scr calibet [https://918kiss-m.com]

  30. Today, I went to the beach front with my children. I found a sea shell and gave it to my 4
    year old daughter and said “You can hear the ocean if you put this to your ear.” She put the shell to her ear and screamed.

    There was a hermit crab inside and it pinched her ear. She
    never wants to go back! LoL I know this is totally off topic but I had
    to tell someone!

    my web blog … i1 lionking888

  31. Hello there, I discovered your site by way of
    Google while looking for a related topic, your web site
    came up, it seems to be great. I have bookmarked it in my google bookmarks.

    Also visit my web site – bbs.shishiedu.com

  32. This is the right website for anyone who
    hopes to understand this topic. You realize a whole lot its almost tough to argue with you (not that I really would want to…HaHa).
    You definitely put a fresh spin on a topic that has been discussed for years.
    Great stuff, just excellent!

    Look at my blog: lpe88 agent

  33. My brother recommended I may like this website. He used to
    be entirely right. This publish truly made my day. You can not imagine just how so much time I had
    spent for this info! Thanks!

    My web site http://atomy123.cn

  34. Highly descriptive blog, I liked that bit. Will there be a part 2?

    my web-site – id test king855

  35. Very nice post. I just stumbled upon your weblog and wanted to say that I have
    truly enjoyed browsing your blog posts. After all I will be
    subscribing to your rss feed and I hope you write again very soon!

    my web blog: 918Kiss 2 game list

  36. Hi! I could have sworn I’ve been to this website before but after looking at a
    few of the posts I realized it’s new to me.
    Anyways, I’m certainly delighted I discovered
    it and I’ll be book-marking it and checking back frequently!

    My website: epicwin ios (https://918kiss-m.com/epicwin)

  37. Hello, i feel that i saw you visited my blog so
    i came to return the prefer?.I’m trying to in finding issues to improve my site!I guess its good enough to use some of
    your ideas!!

    Also visit my web site wwwjoker388net

  38. What’s up, just wanted to mention, I loved this
    article. It was practical. Keep on posting!

    Check out my webpage: www sky1388apk

  39. I really like your blog.. very nice colors & theme. Did you design this website yourself or did you
    hire someone to do it for you? Plz respond as I’m looking to create my own blog and
    would like to find out where u got this from.
    appreciate it

    Here is my web site; http://154.8.233.237/

  40. Keep functioning ,remarkable job!

    my web blog – https://kebe.top/

  41. Just want to say your article is as amazing. The clearness in your
    post is just cool and i can assume you’re an expert on this subject.
    Well with your permission allow me to grab your feed to keep updated
    with forthcoming post. Thanks a million and please continue the gratifying work.

    Here is my web site :: cs.yyqyt.com

  42. This is really attention-grabbing, You are a very
    skilled blogger. I’ve joined your feed and look ahead to in quest of extra
    of your wonderful post. Also, I have shared your site in my social networks!

    Feel free to surf to my website … Freddy

  43. Hmm it seems like your site ate my first comment (it was extremely long) so I guess I’ll just sum it up what
    I wrote and say, I’m thoroughly enjoying your blog. I too
    am an aspiring blog blogger but I’m still new to everything.
    Do you have any helpful hints for first-time blog writers?
    I’d definitely appreciate it.

    My homepage; cs.yyqyt.com

  44. I think the admin of this site is in fact working
    hard in support of his web page, as here every material
    is quality based material.

    Review my blog post pussy888 ios

  45. I was wondering if you ever considered changing the
    page layout of your site? Its very well written; I love what youve got to say.
    But maybe you could a little more in the way of content so people could connect with it better.
    Youve got an awful lot of text for only having one or 2 images.
    Maybe you could space it out better?

    Feel free to surf to my website xe888 original

  46. Greate pieces. Keep posting such kind of info
    on your blog. Im really impressed by your blog.

    Hello there, You have performed an incredible job. I’ll certainly digg it and for my part suggest to my friends.
    I’m sure they’ll be benefited from this site.

    Have a look at my blog: lpe88apk

  47. I was suggested this blog by my cousin. I am not sure whether this post is written by
    him as no one else know such detailed about my problem. You’re wonderful!

    Thanks!

    Feel free to visit my web-site joker123 apk download for android

  48. What’s up, just wanted to say, I enjoyed this blog post.

    It was practical. Keep on posting!

    my web page; calibet test

  49. Wonderful goods from you, man. I’ve remember your stuff prior to and you’re just extremely fantastic.
    I actually like what you have received here, really like what you are saying and the way
    in which wherein you say it. You’re making it enjoyable and
    you continue to care for to stay it wise. I cant wait to learn far
    more from you. That is actually a terrific website.

    my homepage: download sky777

  50. I was very happy to uncover this web site. I need to to thank you for
    your time for this wonderful read!! I definitely savored every bit of it and I have you
    book-marked to see new information in your site.

    Stop by my webpage – rollex11 download (pussy888sg.com)

  51. Great article. I am experiencing many of these issues as
    well..

    Look at my blog – ntc33 download android

  52. We stumbled over here different web address and thought I may as well check things out.
    I like what I see so now i am following you. Look forward to going over your web page yet again.

    Take a look at my blog post – wm casino game list

  53. Paragraph writing is also a excitement, if you be acquainted with after that you can write if not it is complex to write.

    my web blog: kiss918 download android

  54. hello there and thank you for your information – I’ve certainly picked
    up anything new from right here. I did however expertise a
    few technical issues using this web site,
    since I experienced to reload the site a lot of times previous to
    I could get it to load correctly. I had been wondering if your hosting is OK?
    Not that I am complaining, but slow loading instances times will sometimes affect
    your placement in google and could damage your
    high quality score if advertising and marketing with Adwords.

    Well I’m adding this RSS to my e-mail and could look out
    for a lot more of your respective interesting content. Ensure that you
    update this again very soon.

    Also visit my web site :: greatwall99 test (mega888-app.com)

  55. Incredible points. Sound arguments. Keep up the great spirit.

    Here is my web blog … i 918kaya

  56. Hi there! This post could not be written any better!
    Reading through this post reminds me of my old room mate!
    He always kept talking about this. I will forward this
    page to him. Pretty sure he will have a good read. Many thanks for
    sharing!

    My blog post: 3win8 download

  57. When I originally commented I clicked the “Notify me when new comments are added” checkbox and now each time a comment is added I
    get three e-mails with the same comment. Is there any way
    you can remove me from that service? Thank you!

    Feel free to surf to my homepage; Greatwall99 Kiosk

  58. First off I would like to say wonderful blog! I had a quick question that I’d like to ask if
    you do not mind. I was interested to find out how you
    center yourself and clear your mind before writing. I have had trouble clearing my mind in getting my thoughts out.

    I do enjoy writing however it just seems like the first 10 to 15 minutes are wasted simply just trying to figure out how to begin.
    Any suggestions or tips? Many thanks!

    Check out my webpage … rollex11 11

  59. hello there and thank you for your info – I have definitely picked
    up anything new from right here. I did however expertise a few technical issues using this site,
    as I experienced to reload the site many times
    previous to I could get it to load properly.
    I had been wondering if your web host is OK? Not that I’m complaining, but sluggish loading instances times will sometimes affect your placement in google and could damage your
    high-quality score if ads and marketing with Adwords.
    Well I’m adding this RSS to my e-mail and can look out for a lot more of your respective interesting content.
    Make sure you update this again very soon.

    my site jackpot wm casino

  60. We are a group of volunteers and opening a new scheme in our community.

    Your site offered us with valuable information to work on. You’ve done a formidable job and our entire community will be grateful to you.

    Also visit my blog post – scr888 download (sg918kiss.com)

  61. Wow, wonderful blog layout! How lengthy have you ever been blogging for?
    you made running a blog look easy. The overall look of your web site is excellent, let alone the content!

    Look at my blog; download king855

  62. Greetings from Florida! I’m bored to tears at work so I decided
    to browse your site on my iphone during lunch break. I love the information you present here and can’t
    wait to take a look when I get home. I’m shocked at how fast your blog loaded on my cell phone ..
    I’m not even using WIFI, just 3G .. Anyhow, amazing site!

    Feel free to surf to my page; love138 id test

  63. Greetings! Very useful advice within this article! It is the little changes that produce the biggest changes.
    Thanks a lot for sharing!

    My site – gema lionking888

  64. I know this web page provides quality based articles or reviews
    and extra material, is there any other web page which offers these information in quality?

    Also visit my webpage … puss888 apk

  65. naturally like your web-site however you need to test
    the spelling on quite a few of your posts. Many of them are rife with spelling issues
    and I find it very troublesome to inform the reality then again I’ll surely come
    back again.

    my homepage – download rollex11 android

  66. scoliosis
    It is not my first time to go to see this website, i am visiting this
    web site dailly and take fastidious information from here all
    the time. scoliosis

  67. 836630 223312This douche bag loves his illegal bretheren because hes a itiaen of the world and we need to be ashamed of ourselves I got news for you Asswipe get your asswiping ass back towards the craphole exactly where you came from with all of your illegal beaners 936107

  68. free dating sites
    you’re truly a just right webmaster. The website loading speed
    is incredible. It kind of feels that you’re doing any unique trick.
    Moreover, The contents are masterpiece. you’ve performed
    a magnificent job in this subject! https://785days.tumblr.com/ dating sites

  69. free dating sites
    You’ve made some really good points there. I looked on the web for
    additional information about the issue and found most
    individuals will go along with your views on this website.
    free dating sites

  70. Have you ever considered writing an e-book or guest authoring on other
    websites? I have a blog based upon on the same ideas you discuss and would really like to have you share some
    stories/information. I know my subscribers would appreciate your work.

    If you’re even remotely interested, feel free to send me an e-mail.

    Here is my site … https://kebe.top/

  71. Keep up the superb piece of work, I read few posts on this internet
    site and I conceive that your site is real interesting and holds bands of superb information.

    my web site: http://www.jlxxsb.com

  72. Howdy! Someone in my Myspace group shared this site with us so I came to give
    it a look. I’m definitely enjoying the information. I’m bookmarking and
    will be tweeting this to my followers! Outstanding blog and outstanding style and design.

    Look into my blog halfmoonrp.com

  73. Hi there just wanted to give you a quick heads up. The text in your post
    seem to be running off the screen in Chrome. I’m not sure if this is a formatting issue or something
    to do with web browser compatibility but I thought
    I’d post to let you know. The style and design look great though!
    Hope you get the problem resolved soon. Thanks

  74. Wonderful beat ! I wish to apprentice while you amend your web site, how could i subscribe for a
    blog website? The account helped me a acceptable deal. I had been tiny bit acquainted of this your
    broadcast offered bright clear concept

    Here is my web page; kebe.top

  75. Hi there colleagues, pleasant post and good urging commented here, I
    am genuinely enjoying by these.

    My web page: benjamindinh.fr

  76. After looking at a handful of the articles on your website, I honestly like your way
    of writing a blog. I saved it to my bookmark site list and will be checking back
    soon. Please check out my web site too and tell me what you think.

    Review my website :: grazebo.com

  77. Way cool! Some very valid points! I appreciate
    you writing this write-up plus the rest of the site is very
    good.

  78. My brother recommended I might like this web site.
    He was entirely right. This post truly made my day.

    You can not imagine simply how much time I had spent for this information!
    Thanks!

  79. Every weekend i used to go to see this web site, because i wish
    for enjoyment, as this this web page conations in fact fastidious funny stuff too.

    my blog – 39.100.90.4

  80. Thanks for finally writing about > La chirurgia al tempo del
    coronavirus – Rotary Club Arezzo Est < Loved it!

    Look into my blog post – http://logoloop.co/

  81. 821046 247221I believe other website owners need to take this web site as an model, really clean and fantastic user pleasant pattern . 76617

  82. There is certainly a great deal to learn about this issue.
    I like all the points you made.

  83. You are so awesome! I don’t believe I’ve truly read something like this before.
    So wonderful to find another person with some genuine thoughts on this subject matter.

    Really.. thank you for starting this up. This website is one thing that is required on the internet, someone with a bit of originality!

    Also visit my web page continent.anapa.org

  84. Very nice article. I definitely love this website. Thanks!

  85. Hey I know this is off topic but I was wondering if you knew of any widgets I could add to
    my blog that automatically tweet my newest twitter updates.
    I’ve been looking for a plug-in like this for quite some time and was hoping maybe you would have some experience with something
    like this. Please let me know if you run into anything.
    I truly enjoy reading your blog and I look forward to your new updates.

    my webpage :: http://www.memorytoday.com

  86. I’m extremely impressed along with your writing talents as smartly
    as with the structure for your blog. Is that this a paid subject or did you customize it yourself?
    Anyway keep up the excellent high quality writing, it’s rare to
    look a nice blog like this one these days..

    Feel free to visit my blog mpc-install.com

  87. Would love to always get updated outstanding web site!

    Feel free to visit my website: http://www.trade-lead-portals.ipt.pw

  88. Good day very cool blog!! Man .. Excellent .. Superb
    .. I will bookmark your site and take the feeds additionally?
    I am satisfied to seek out numerous useful info right here in the post, we need work out extra techniques on this regard,
    thank you for sharing. . . . . .

  89. Excellent blog right here! Additionally your website lots up fast!
    What web host are you using? Can I am getting your affiliate hyperlink to your host?
    I wish my site loaded up as quickly as yours lol.

    Also visit my homepage – https://www.memorytoday.com/

  90. The audience said he did not understand the dust but did not understand.

  91. You could definitely see your expertise in the work you write.
    The sector hopes for more passionate writers such as you who are not afraid to mention how they believe.
    At all times go after your heart.

  92. Link exchange is nothing else but it is only placing the other person’s web site link on your page
    at proper place and other person will also do same in favor of you.

    Also visit my web site; http://xajm168.com

  93. Amazing! Its genuinely remarkable article, I have got much clear
    idea on the topic of from this paragraph.

    My homepage; http://www.qiurom.com

  94. It’s very simple to find out any topic on net as compared to textbooks,
    as I found this paragraph at this site.

  95. Hey would you mind letting me know which webhost you’re using?
    I’ve loaded your blog in 3 completely different browsers and I must say this blog loads a
    lot quicker then most. Can you recommend a good internet hosting provider at
    a honest price? Thank you, I appreciate it!

  96. My brother suggested I might like this website.
    He was totally right. This post truly made my day.
    You can not imagine just how much time I had spent
    for this info! Thanks!

  97. Thank you for the good writeup. It actually was a enjoyment account it.
    Glance advanced to more brought agreeable from you!
    However, how can we communicate?

  98. This paragraph provides clear idea in support
    of the new viewers of blogging, that truly how
    to do blogging.

  99. After looking at a few of the blog articles on your blog, I
    seriously like your technique of writing a blog.

    I saved as a favorite it to my bookmark webpage list and will be checking back in the near future.
    Please check out my website too and let me know what you think.

  100. Hello.This post was extremely interesting, particularly because I was looking for thoughts
    on this matter last Wednesday.

    Look at my blog post Keto Advantage Keto Burn (kebe.top)

  101. My developer is trying to persuade me to move to
    .net from PHP. I have always disliked the idea because of the costs.

    But he’s tryiong none the less. I’ve been using WordPress on several websites
    for about a year and am worried about switching to another platform.
    I have heard very good things about blogengine.net. Is there a way I can transfer all my wordpress content into it?
    Any kind of help would be greatly appreciated!

    Feel free to visit my blog post :: Delta 8 THC Gummies [https://www.memorytoday.com/modules.php?name=Your_Account&op=userinfo&username=ElyseODris]

  102. Hello, its pleasant paragraph concerning media print, we all be familiar with media is a
    great source of data.

    Visit my homepage; One Shot Max Keto – https://mpc-install.com/punbb-1.4.6/viewtopic.php?id=185437

  103. Thanks very nice blog!

    Feel free to visit my web blog … BTC Upbeat App (clubriders.men)

  104. What’s up, this weekend is nice in favor of me, as
    this moment i am reading this fantastic educational piece of writing here at my home.

    Review my page: Provia NO2 Reviews (http://www.fles.hlc.edu.tw)

  105. Do you have any video of that? I’d like to find out more details.

    Also visit my site Green Country Growers CBD Reviews;
    http://www.aniene.net,

  106. An impressive share! I’ve just forwarded this onto a colleague who had been conducting a
    little research on this. And he in fact ordered me dinner
    because I stumbled upon it for him… lol. So let me reword
    this…. Thank YOU for the meal!! But yeah, thanks for spending
    the time to discuss this matter here on your internet site.

    My site – Vitalyze Pro; http://xajm168.com/forum.php?mod=viewthread&tid=273009,

  107. I simply could not go away your web site prior to suggesting that I really enjoyed
    the standard info an individual supply on your guests?
    Is gonna be back ceaselessly to check up on new posts.

    My blog … Stark Max Keto; http://www.fotosombra.com.br/agenda/userinfo.php?uid=316266,

  108. I am glad to be a visitor of this unadulterated site, thank you for this rare information!

    Here is my web-site … Martha’s Hair Serum (forum.adm-tolka.ru)

  109. Hey there, You have done a fantastic job. I will definitely digg it and personally recommend to my friends.
    I am sure they’ll be benefited from this website.

    Also visit my web site: https://dupd.cayetano.edu.pe

  110. Whats up are using WordPress for your blog platform?
    I’m new to the blog world but I’m trying to get started and create my
    own. Do you need any html coding knowledge to make your own blog?
    Any help would be greatly appreciated!

    Feel free to visit my blog – http://www.memorytoday.com

  111. Keep on working, great job!

    My web blog; http://www.lubertsi.net

  112. I see something really special in this site.

    Look into my web page; Maxwell

  113. Wonderful site you have here but I was curious if you knew of any forums that cover the
    same topics discussed in this article? I’d really love to
    be a part of community where I can get comments from other
    knowledgeable individuals that share the same interest.
    If you have any suggestions, please let me know.
    Appreciate it!

    My blog: http://www.trade-lead-portals.ipt.pw

  114. When I originally commented I clicked the “Notify me when new comments are added”
    checkbox and now each time a comment is added I get three emails with the same comment.
    Is there any way you can remove people from that service?

    Appreciate it!

  115. Great post. I was checking continuously this blog and I’m impressed!

    Very helpful information specifically the remaining part 🙂 I maintain such info a
    lot. I used to be looking for this certain info for a very lengthy time.
    Thank you and best of luck.

    Look at my page – http://clubriders.men

  116. Hi to every body, it’s my first pay a quick visit
    of this webpage; this blog includes remarkable and in fact fine material in support of readers.

    my homepage http://www.craksracing.com

  117. Thank you for each of your work on this blog. My mother enjoys getting
    into internet research and it’s simple to grasp why.

    A lot of people learn all of the lively tactic you deliver sensible solutions on this web
    blog and therefore encourage participation from other
    people on this issue plus our favorite simple princess is
    actually studying a great deal. Enjoy the rest of
    the year. You are conducting a useful job.

    Also visit my web blog – bogema.anapacenter.info

  118. It’s actually a nice and helpful piece of info. I’m happy that you simply shared
    this useful information with us. Please keep us up to date like this.
    Thanks for sharing.

    Look into my site; mpc-install.com

  119. This is very interesting, You are a very skilled blogger. I have joined your feed and look forward to seeking more of your fantastic post. Also, I have shared your web site in my social networks!

  120. You should participate in a contest for the most effective blogs on the web. I will suggest this web site!

  121. It as not that I want to duplicate your web site, but I really like the design. Could you tell me which style are you using? Or was it custom made?

  122. I am regular visitor, how are you everybody? This paragraph posted at this site is truly
    nice.

  123. When someone writes an paragraph he/she keeps the thought
    of a user in his/her mind that how a user can understand it.
    Thus that’s why this piece of writing is perfect. Thanks!

  124. magnificent issues altogether, you just gained a emblem new reader.
    What could you suggest in regards to your submit that
    you made a few days in the past? Any certain?

  125. I know this site provides quality dependent
    content and additional stuff, is there any other web page which provides these kinds of information in quality?

  126. I know this site offers quality based content and additional
    information, is there any other site which gives
    these kinds of data in quality?

  127. Hey there I am so thrilled I found your blog, I really found you by error, while I was researching on Askjeeve for something else, Regardless I am
    here now and would just like to say many thanks for a remarkable post and a all round exciting blog (I also love
    the theme/design), I don’t have time to look over it all at the
    moment but I have bookmarked it and also added your RSS feeds, so when I have time I will be back to read more,
    Please do keep up the superb work.

  128. Of course, I am worried if it is not easy.

  129. Thank you for another informative site. The place else
    may just I am getting that type of information written in such a perfect approach?

    I’ve a venture that I’m just now running on, and I’ve been on the look
    out for such information.

  130. You should be a part of a contest for one of the greatest websites on the net.
    I most certainly will highly recommend this web site!

  131. great issues altogether, you just received a logo new reader.
    What may you suggest in regards to your publish that
    you just made a few days in the past? Any positive?

  132. What’s up mates, fastidious article and pleasant urging commented at this place,
    I am actually enjoying by these.

  133. I have been exploring for a little for any high-quality
    articles or weblog posts in this kind of house . Exploring
    in Yahoo I finally stumbled upon this website. Studying this information So i am satisfied to exhibit that I’ve
    an incredibly just right uncanny feeling I came upon exactly what I needed.

    I most surely will make sure to don?t overlook this
    web site and give it a glance on a relentless basis.

  134. Just want to say your article is as astounding. The clarity to your publish is just excellent and that
    i could think you are knowledgeable in this subject.
    Fine together with your permission let me to take hold of your
    feed to keep updated with approaching post. Thank you a million and please
    keep up the rewarding work.

  135. This is my first time pay a visit at here and i am truly impressed to read all at one
    place.

  136. My brother suggested I may like this web site.
    He was totally right. This put up truly made my day.
    You can not imagine just how a lot time I had spent
    for this info! Thank you!

  137. Hmm is anyone else experiencing problems with the pictures on this blog loading?
    I’m trying to determine if its a problem on my end
    or if it’s the blog. Any feedback would be greatly appreciated.

  138. When I originally commented I clicked the “Notify me when new comments are added” checkbox and now each time a comment is
    added I get four e-mails with the same comment. Is there any way
    you can remove me from that service? Appreciate it!

  139. Your style is really unique compared to other people I’ve
    read stuff from. Many thanks for posting when you have the opportunity, Guess I’ll just book mark this site.

  140. It’s a pity you don’t have a donate button!
    I’d without a doubt donate to this outstanding blog!
    I suppose for now i’ll settle for book-marking and adding your RSS feed to my Google account.

    I look forward to fresh updates and will share this website with my Facebook group.
    Talk soon!

  141. You need to take part in a contest for one of the highest quality websites online.
    I am going to recommend this website!

  142. This is my first time pay a quick visit at here and i
    am truly impressed to read all at one place.

  143. If you are going for best contents like me, just pay a visit this web page all the time as it offers quality contents, thanks

  144. You are my inhalation, I have few web logs and infrequently
    run out from post :).

    Also visit my blog :: VikingXL Keto Reviews

  145. Fastidious replies in return of this query with solid arguments and explaining all
    regarding that.

  146. thank you for this tremendous post, I am glad I noticed this web site on yahoo.

    Here is my blog post MegaXL

  147. Some genuinely interesting information, well written and broadly speaking user genial.

    my blog post: Virgo FX

  148. Hello There. I found your blog using msn. This is an extremely well written article.
    I will make sure to bookmark it and come back to read more of your
    useful information. Thanks for the post. I will certainly comeback.

  149. Wow, amazing blog layout! How long have you been blogging for?

    you make blogging look easy. The overall look of your
    website is great, let alone the content!

  150. Hi there, just wanted to tell you, I enjoyed this post.
    It was practical. Keep on posting!

  151. Thank you for sharing with us, I believe this website really stands out :D.

    Here is my blog; Yoni Pur Tightening Capsules

  152. Hi my family member! I want to say that this article is amazing, nice written and include
    approximately all vital infos. I would like to look extra
    posts like this.

    Also visit my site; Max Ketosis Fuel Reviews

  153. Excellent goods from you, man. I’ve understand your stuff previous to
    and you’re just extremely wonderful. I really like what you’ve
    acquired here, really like what you are saying and
    the way in which you say it. You make it enjoyable and you still care for to keep it sensible.

    I cant wait to read far more from you. This is actually a terrific site.

    my web-site :: http://www.goldenanapa.ru/

  154. Hi, I desire to subscribe for this web site to get hottest updates, so where
    can i do it please assist.

  155. Thanks for some other great post. The place else could anyone get that type of information in such
    an ideal manner of writing? I have a presentation subsequent week, and I’m at the search for such info.

  156. I loved as much as you’ll receive carried out right here. The
    sketch is tasteful, your authored material stylish. nonetheless, you command get got an shakiness over
    that you wish be delivering the following. unwell unquestionably come more formerly again since
    exactly the same nearly very often inside case you shield this hike.

  157. Good write-up, I am normal visitor of one’s website, maintain up
    the excellent operate, and It is going to be a regular visitor for a long time.

    my blog Cut Slim Keto Review

  158. always i used to read smaller content that as well clear their motive, and that is also happening with this article which I am reading now.
    asmr https://app.gumroad.com/asmr2021/p/best-asmr-online asmr

  159. Usually I don’t learn article on blogs, however I wish to say
    that this write-up very compelled me to check out and do so!
    Your writing style has been amazed me. Thank you, very nice article.

    my site https://jpgsoft.co.kr/index.php?mid=picknotice&m=0&page=1&document_srl=1057487

  160. There is certainly a great deal to find out about this issue.

    I like all of the points you’ve made. quest bars http://j.mp/3C2tkMR quest bars

  161. That is a very good tip particularly to those
    fresh to the blogosphere. Short but very accurate info… Appreciate your
    sharing this one. A must read article! scoliosis surgery https://0401mm.tumblr.com/ scoliosis surgery

  162. Good post and straight to the point. I don’t know if this is in fact
    the best place to ask but do you folks have any thoughts on where to hire some professional writers?
    Thanks in advance 🙂

    Also visit my web site; Nelson

  163. Hey There. I found your blog using msn. This is a very well written article.
    I’ll be sure to bookmark it and come back to read more of your useful info.
    Thanks for the post. I’ll certainly comeback. scoliosis surgery https://coub.com/stories/962966-scoliosis-surgery scoliosis
    surgery

  164. Hi there to every body, it’s my first visit of this weblog;
    this webpage consists of awesome and actually good data designed
    for visitors. cheap flights http://1704milesapart.tumblr.com/ cheap
    flights

  165. I every time spent my half an hour to read this blog’s content
    daily along with a mug of coffee. quest bars https://www.iherb.com/search?kw=quest%20bars quest
    bars

  166. Nice respond in return of this matter with real arguments and describing all about that.
    ps4 games https://j.mp/3z5HwTp ps4

  167. That is a good tip particularly to those fresh to
    the blogosphere. Short but very precise info? Thank you for sharing this one.
    A must read post!

    Here is my website; http://www.a913.vip

  168. I do agree with all of the concepts you’ve presented to your post.

    They are really convincing and will definitely work.

    Nonetheless, the posts are too brief for beginners.
    Could you please prolong them a bit from subsequent time?

    Thanks for the post.

  169. I was just looking for this information for a while.
    After six hours of continuous Googleing, at last I got it in your site.
    I wonder what is the lack of Google strategy that do
    not rank this kind of informative sites in top of the list.
    Normally the top sites are full of garbage.

  170. Stunning quest there. What happened after? Good luck!

    Here is my blog post … Pure Kana CBD Gummies

  171. I’d like to thank you for the efforts you have put in writing this blog.
    I really hope to check out the same high-grade blog posts from you
    in the future as well. In fact, your creative writing abilities has motivated me
    to get my own, personal blog now 😉

  172. We stumbled over here by a different web page and thought I might as well check things
    out. I like what I see so i am just following you.
    Look forward to looking into your web page repeatedly.

    My page … _____

  173. Sweet blog! I found it while surfing around on Yahoo News.
    Do you have any tips on how to get listed in Yahoo News?
    I’ve been trying for a while but I never seem to get there!
    Thanks

    Here is my page – _____

  174. Hi it’s me, I am also visiting this web page daily,
    this web page is really fastidious and the people are really sharing fastidious thoughts.

    Feel free to visit my web blog – _____

  175. Hi there, I would like to subscribe for this website
    to take newest updates, thus where can i do it please assist.

    my webpage; _____

  176. I like it when individuals come together and share thoughts.
    Great website, continue the good work!

    my blog _____

  177. It’s a shame you don’t have a donate button!
    I’d definitely donate to this superb blog! I suppose for now i’ll settle for book-marking and adding your RSS
    feed to my Google account. I look forward to fresh updates and will talk about this blog with my Facebook group.
    Chat soon!

    Look at my webpage – _____

  178. Greetings! I’ve been reading your website for some time now and finally got the bravery to go
    ahead and give you a shout out from Dallas Tx!
    Just wanted to tell you keep up the great work!

    My web page :: _____

  179. When someone writes an article he/she keeps the image of a user in his/her mind that how a user
    can understand it. Therefore that’s why this post is
    great. Thanks!

    Here is my web site :: _____

  180. It is appropriate time to make a few plans for the future and it’s time to be happy.
    I have read this submit and if I may just I want
    to recommend you few attention-grabbing things or advice.
    Perhaps you could write subsequent articles relating
    to this article. I want to read more issues
    approximately it!

    Stop by my web blog _____

  181. Hi! This post could not be written any better! Reading through this post
    reminds me of my previous room mate! He always kept
    talking about this. I will forward this article to him.

    Fairly certain he will have a good read. Thank you for sharing!

    My web blog _____

  182. Can I just say what a comfort to uncover someone who
    genuinely understands what they’re talking about on the net.
    You certainly know how to bring an issue to light and make it important.

    More people really need to read this and understand
    this side of the story. I was surprised that you are not more popular since
    you surely have the gift.

    Also visit my site … _____

  183. Hi there it’s me, I am also visiting this website on a regular basis, this web page is genuinely nice and
    the viewers are truly sharing nice thoughts.

    Have a look at my web blog _____

  184. I got this web page from my pal who told me regarding this website and at the moment this time I am browsing this website and
    reading very informative posts at this place.

    my webpage: _____

  185. Great blog here! Also your website loads up very fast!
    What web host are you using? Can I get your affiliate link to your host?
    I wish my website loaded up as quickly as yours lol

    Feel free to surf to my homepage … _____

  186. I will immediately grasp your rss feed as I can’t find your e-mail
    subscription link or e-newsletter service. Do you have any?
    Kindly let me know in order that I could subscribe.
    Thanks.

  187. The other day, while I was at work, my cousin stole my iPad
    and tested to see if it can survive a 30 foot drop, just so she can be a youtube sensation. My iPad is now broken and she has 83
    views. I know this is totally off topic but I had
    to share it with someone!

    Also visit my web-site … ______

  188. great post, very informative. I ponder why the other experts of
    this sector do not notice this. You must continue your writing.

    I am sure, you’ve a great readers’ base already! https://parttimejobshiredin30minutes.wildapricot.org/ part time jobs hired in 30
    minutes

  189. I think this is among the most important info for me.
    And i am glad reading your article. But should remark on some general things, The website style is wonderful, the articles is
    really nice : D. Good job, cheers

  190. I’ll immediately clutch your rss feed as I can’t in finding your email subscription hyperlink
    or newsletter service. Do you’ve any? Please allow me understand so that I could subscribe.
    Thanks.

    my web site – _______

  191. I think this is one of the such a lot vital information for
    me. And i am satisfied reading your article. However should remark on some normal things, The website style
    is great, the articles is really great : D. Excellent activity, cheers

Leave a Comment

Il tuo indirizzo email non sarà pubblicato.