Tuesday, March 6, 2018

Anemia Of Chronic Kidney Disease Icd 10

The diagnoses of anemia and chronic kidney disease are coded as D631 Anemia in chronic kidney disease. Neoplasm of uncertain behavior right.

Today S Tip Icd 10 Anemia In Ckd Intellis

Anemia co-occurrent and due to chronic kidney disease stage 1.

Anemia of chronic kidney disease icd 10. --end stage renal disease D631 --failure kidney renal D631 --neoplastic disease see also Neoplasm D630. CKD can also cause other health problems. ICD-10-CM Diagnosis Code D631 convert to ICD-9-CM Anemia in chronic kidney disease.

The 2021 edition of. D631 ANEMIA IN CHRONIC KIDNEY DISEASE D631 ANEMIA IN CHRONIC KIDNEY DISEASE Home ICD-10 List Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism Aplastic and other anemias and other bone marrow failure syndromes D60-D64 Anemia in chronic diseases classified elsewhere D63 D631. Anemia is a common complication of chronic kidney disease CKD.

Assign D631 for the erythropoietin resistant anemia. This linkage can be assumed because the chronic kidney disease is listed under the subterm in due to with. Folic acid deficiency anemia NOS ICD-10-CM Diagnosis Code D529 Folate deficiency anemia unspecified.

Anemia in chronic kidney disease. Megaloblastic anemia due to folate deficiency. Anemia complicating the puerperium.

Neoplasm of uncertain behavior bilateral kidneys. Centers for Medicare and Medicaid Services and the National Center for Health Statistics. Icd 10 anemia of chronic kidney disease Practical review of treatment options for spine hand hip knee and ankle osteoarthritis.

Anemia co-occurrent and due to chronic kidney disease stage 3. ICD-10-CM Code D631 Anemia in chronic kidney disease Billable Code D631 is a valid billable ICD-10 diagnosis code for Anemia in chronic kidney disease. ICD-10-CM Diagnosis Code O9903 convert to ICD-9-CM Anemia complicating the puerperium.

This damage can cause wastes and fluid to build up in your body. ICD-10-CM Diagnosis Code D4101 convert to ICD-9-CM Neoplasm of uncertain behavior of right kidney. Anemia co-occurrent and due to chronic kidney disease stage 4.

Anemia With due to in Guideline When a patient has chronic kidney disease CKD and anemia assign the appropriate code from category N18 Chronic kidney disease CKD and code D631 Anemia in chronic kidney disease. D631 Anemia in chronic kidney disease ICD-10-CM Diagnosis Codes D631 - Anemia in chronic kidney disease The above description is abbreviated. Underlying chronic kidney disease CKD N18.

Cited 2021 March 14. Postpartum after childbirth maternal thalassemia. Postpartum anemia not pre-existing prior to delivery O9081 ICD-10-CM Diagnosis Code O9903.

D631 is a billablespecific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Anemia megaloblastic folate deficiency. 28521 - Anemia in Chronic Kidney Disease Internet.

Code to specify infection. Neoplasm of uncertain behavior of bilateral kidneys. Erythropoietin resistant anemia EPO resistant anemia Code first underlying chronic kidney disease CKD N18- ICD-10 International Statistical Classification of Diseases and.

Icd 10 anemia of chronic kidney disease 26 Mar 2021 It could be that regularly taking a vitamin D supplement may prevent rheumatoid arthritis developing in the first place but this is pure. Anemia in chronic kidney disease. The ICD-10-CM code N185 might also be used to specify conditions or terms like anemia in chronic kidney disease stage 5 benign hypertensive heart disease benign hypertensive heart disease and chronic renal disease benign hypertensive heart disease and chronic renal disease stage 5 chronic kidney disease due to benign hypertension chronic kidney disease due to type 1 diabetes mellitus etc.

ICD-10 code D631 for Anemia in chronic kidney disease. It is found in the 2021 version of the ICD-10 Clinical Modification CM and can be used in all HIPAA-covered transactions from Oct 01 2020 - Sep 30 2021. This is also true with end-stage renal disease ESRD and anemia.

CKD means your kidneys are damaged and cant filter blood the way they should. Anemia co-occurrent and due to chronic kidney disease stage 2. A billable code is detailed enough to be used to specify a medical diagnosis.

ICD-10 from 2011 - 2016 D631 is a billable ICD code used to specify a diagnosis of anemia in chronic kidney disease. 2016 2017 2018 2019 2020 2021 BillableSpecific Code Manifestation Code. The ICD code D63 is used to code Anemia.

Mrsa Cellulitis Treatment

Cellulitis Patients with nonpurulent cellulitis eg cellulitis with no purulent drainage or exudate and no associated abscess should be managed with empiric therapy for infection due to beta-hemolytic streptococci and methicillin-susceptible Staphylococcus aureus MSSA 1-3. Every morning and every night I cleaned the area and applied the turmeric paste.

Does Cellulitis Treatment Need To Cover Mrsa Infection Acep Now

I eventually switched to a mix of tea tree oil and coconut oil.

Mrsa cellulitis treatment. Antibiotic therapy is often prescribed for the following types of infections. When treated in time the outlook in most cases is good. Ad Read Janes Story About One Simple Solution To End Eczema Itch And Pain In Hours.

Many MRSA infections can be treated with oral antibiotics but some require intra-venous medications so make sure you and your doctor check the. MRSA cellulitis can take a long time to get rid of. Treatment applied on 4th day.

Note that management of cellulitis may be complicated because of the emergence of methicillin-resistant Staphylococcus aureus MRSA and macrolide- or erythromycin-resistant Streptococcus pyogenes. And like other types of MRSA and Staph it is prone to recurring and can be difficult to treat. Data from controlled clinical trials are needed to establish the comparative efficacy of these agents in treating MRSA SSTIs.

Skin infections such as. Ad Read Janes Story About One Simple Solution To End Eczema Itch And Pain In Hours. Fluoroquinolones eg ciprofloxacin levofloxacin and macrolides erythromycin clarithromycin azithromycine are not optimal for treatment of MRSA SSTIs because resistance is common or may develop rapidly.

Intravenous treatment can include penicillin ceftriaxone cefazolin nafcillin and clindamycin among other antibiotics. Empiric antibiotic coverage for MRSA may be warranted in addition to incision and drainage based on clinical assessment eg presence of systemic symptoms severe local symptoms immune suppression extremes of patient age infections in a difficult to drain area or lack of response to incision and drainage alone. Use incision and drainage to treat abscesses caused by MRSADo not use antibiotics routinely in patients with abscesses caused by MRSA that are drained are less than 5 cm in diameter and where there is no systemic response fever andor cellulitis andor immunodeficiency including neutropenia and defects of cell-mediated immunity.

In more severe cases that require parenteral antibiotics to cover MRSA vancomycin daptomycin tigecycline ceftaroline and linezolid are appropriate choices. If a doctor confirms you have MRSA dont panic. MRSA Cellulitis progression over 4 days.

Fortunately there are both antibiotic drug and potent alternative options for controlling cellulitis. Oral antibiotic options for treating skin and soft-tissue infections in patients with community-associated MRSA include clindamycin trimethoprimsulfamethoxazole TMPSMX. Becoming more familiar with the symptoms risk factors and treatment options below is a good first step if youre struggling with an infection.

Antibiotics are also the standard medical therapy for internal MRSA infections. Antibiotics are commonly prescribed as a treatment for MRSA skin infections either by themselves or along with draining of the infection by a healthcare professional.

Springfield Greene County Health Department

Protect and improve community health through education collaboration and prevention. Springfield-Greene County Health Department 227 E.

Springfield Mo Official Website

Just in the past week the Springfield-Greene County Health Department has announced the B117 variant of COVID-19 there in Greene County.

Springfield greene county health department. Springfield-Greene County Health Department. The Springfield-Greene County Health Department is committed to remembering each life lost from COVID-19 and supporting those left behind. The staff of the Springfield-Greene County Health Department work diligently to.

Springfield-Greene County Health Department 227 E. Springfield-Greene County Health Department 227 E. There were more than 2000 people who received their first dose of a COVID-19 vaccine as part of Fridays event thanks to a partnership with the Missouri National Guard CoxHealth Jordan Valley Community Health Center Mercy Hospital Springfield and many other partners.

The Springfield-Greene County Health Department is committed to remembering each life lost from COVID-19 and supporting those left behind. Springfield-Greene County Health Department. The mega event is open to all eligible Missourians.

Chestnut Expressway Springfield MO 65802 Phone. Chestnut Expressway Springfield MO 65802 Phone. Clinic Public Health DepartmentSocial Services Department Governmental.

SPRINGFIELD Mo- The Springfield-Greene County Health Department announced Friday that a Greene County resident tested positive for the UK variant B117 of SARS-CoV-2. Harold K Bengsch Bldg. Missouri State University transportation services signs direct patients toward Hammons Student Center for the Mass Vaccination Site hosted by Missouri State and the Springfield-Greene County Health Department Thursday April 8 and Friday April 9.

KY3 - The Springfield-Greene County Health Department announced zero new deaths related to COVID-19 among Greene County residents between April. 10000 Johnson Johnson vaccines will be available to Missouri residents over the two-day event. Edited News ReleaseKY3 - After 25 years with the Springfield-Greene County Health Department Director of Health Clay Goddard announced his.

Protect and improve community health through education collaboration and prevention. Chestnut Expressway Springfield MO 65802 Phone. Springfield-Greene County Health Department 227 E.

As of Tuesday April 13 the Springfield-Greene County Health Department paused administration of the Johnson Johnson COVID-19 Vaccine until further notice per federal recommendation. Chestnut Expressway Springfield MO 65802 Phone. Springfield-Greene County Health Department 227 E.

Chestnut Expressway Springfield MO 65802 Phone. KY3 - There will be a new leader at the Springfield-Greene County Health Department as Clay Goddard says goodbye to the community on his last day as health. Protect and improve community health through education collaboration and prevention.

10K likes 1051 talking about this 137 were here. Protect and improve community health through education collaboration and prevention. 227 E Chestnut Expy.

Protect and improve community health through education collaboration and prevention. Today April 9 the state activated Phase 3 of vaccine distribution extending eligibility to everybody in Missouri. Springfield-Greene County Health Department Springfield MO.

According to Springfield-Greene County Health Department Community Wellness Coordinator Cara Erwin during a. The Springfield-Greene County Health Department is excited to announce that all Missourians are now able to receive a COVID-19 vaccine. 417 864-1658 Main.

The Health Department was. For questions or assistance with scheduling an appointment contact the Springfield-Greene County Health Departments COVID-19 call center at 417-874-1211.

Monday, March 5, 2018

Signs Of Diabetes In Pregnancy

Symptoms of diabetes include increased urine output thirst hunger and fatigue. Warning Signs of Diabetes.

Signs Of Diabetes In Early Pregnancy Diabeteswalls

If your blood sugar levels were slightly elevated before pregnancy for example if your hemoglobin A1C was greater than or equal to 57 percent or if you were told you have an impaired fasting glucose level you may be.

Signs of diabetes in pregnancy. Some women may develop symptoms if their blood sugar levels gets too high hyperglycaemia such as. Signs of Preeclampsia Every. Symptoms of Gestational Diabetes.

Thats why your doctor has to screen you for it usually between your 24 th and 28 th weeks. The two types of diabetes are referred to as type 1 insulin dependent and type 2 non-insulin dependent. Symptoms of Gestational Diabetes While most women with gestational diabetes have no symptoms a small number may experience extreme hunger thirst or fatigue.

High blood sugar during pregnancy usually has no symptoms. Gestational diabetes occurs when your body cant make the extra insulin needed during pregnancy. Some of the warning signs of gestational diabetes during pregnancy include Increasing and frequent feeling of thirstiness A frequent tendency of urination and resulting increase in the frequency of urination.

Most pregnant women dont. These include an increase in the number of times you urinate unquenchable thirst or feeling thirsty more often nausea fatigue and blurred vision. Gestational diabetes is a temporary form of diabetes that can occur during pregnancy.

Diabetes is a chronic condition characterized by high levels of sugar glucose in the blood. What causes gestational diabetes. For most women gestational diabetes doesnt cause noticeable signs or symptoms.

But managing your diabetes well before and during your pregnancy will help to reduce these risks. Type 1 Diabetes and Pregnancy. Theres also a slightly higher chance of your baby being born with birth defects particularly heart and nervous system abnormalities or being stillborn or dying soon after birth.

While it is common to have no signs of the condition but there are some rare signs of gestational diabetes that you have to know and recognize while being pregnant. Deciding to have a baby is a big decision for most people and for women with type 1 diabetes it means some extra thought and planning. If you do have symptoms they may be mild such as being thirstier than normal or having to urinate more often.

Learn about the symptoms of gestational diabetes such as increased thirst and blurred vision here. You might feel a little thirstier than normal or have to pee more often. Frequent vaginal bladder and skin infections.

If you had gestational diabetes during a previous pregnancy research suggests youre more likely to have it again in a subsequent pregnancy. Symptoms of gestational diabetes Gestational diabetes does not usually cause any symptoms. Who gets gestational diabetes and why do I have to be tested.

Usually gestational diabetes has no symptoms. Warning Signs of Gestational Diabetes During Pregnancy Increasing and frequent feeling of thirstiness A frequent tendency of urination and resulting increase in the frequency of urination Blurred Vision Dryness of the mouth usually due to the frequent thirstiness Constant feeling of fatigue and. Sugar in urine revealed in a test done in your doctors office Unusual thirst.

You may never have signs of gestational diabetes. This article will cover everything you need to know about type 1 diabetes and pregnancy. You received a pre-diabetes diagnosis.

Pregnancy can worsen certain long-term diabetes problems such as eye problems and kidney disease especially if your blood glucose levels are too high. There are many things that people should know about the different forms of diabetes such as the fact that pregnant women can get gestational diabetesThis is a dangerous and unpleasant condition for multiple reasons one of which is that moms who have it are at risk for experiencing symptoms of postpartum depression. Most cases are only discovered when your blood sugar levels are tested during screening for gestational diabetes.

Sunday, March 4, 2018

1200 Calorie Meal Plan On A Budget

Dinner Ideas for 1200 Calorie Meal Plan on Budget. Fresh or frozen fruit and yogurt.

Delicious And Satisfying 1 200 Calorie Meal Plan Recipes And Grocery List Ally S Cooking

This includes various varieties of apples bananas peaches nectarines plums oranges and more.

1200 calorie meal plan on a budget. Cleave that up and it is the base of your chicken serving of mixed greens. Simple and cheap breakfast foods you can eat on a 1200 calorie diet plan include the following ideas. Once you know how many calories you should be eating chose the plan closest to your number of calories.

By Tukatech Budget 1200 Calorie Meal Plan Best Appetite Suppressant Appetite Suppressant And Energy Booster Natural vanderbilt medical weight loss are there any fat burning pills that work reddit best way to lose 10 pounds in a month quick weight loss starter Best Appetite Suppressant budget 1200 calorie meal plan. Apr-14-2021 State Times 1200 Calorie Meal Plan On A Budget Phentermine Diet Pills Gnc 1200 Calorie Meal Plan On A Budget Diet Support. This is a slow and permanent weight loss that is physically and mentally healthy.

Fresh Yogurt and Fruit Most medium-size fruits have 100 or fewer calories such as bananas apples peaches oranges and more. Categories Weight Loss Meal Tags 10 kg weight loss in one month 1200 calorie meal plan high protein 1200 calorie meal plan on a budget 1200 calorie summer meal plan 1300 calorie meal plan 1400 calorie diet 1500 calorie diet for men 17 day diet food delivery 25 dinner ideas 3 day diet american heart association 30 day challenge diet and workout 30 day challenge foods not to eat 30 day clean eating challenge calendar 30 day diet challenge 30 day family meal plan. A chicken serving of mixed greens.

As I referenced over a normal estimated boneless skinless chicken bosom is around 270 calories. Lunch- 1 serving of cucumber avocado salad with banana and non-fat greek yogurt. 1600 calorie meal plan on a budget easy grilled chicken.

Foods to be consumed for a gluten-free diet are as follows. Our meal plan comes in below 1200 calories leaving you 300-400 calories for. Fresh fruits and vegetables.

Typically most people cut calories looking to lose weight and burn extra body fat. Create a customizable 1200 calorie diet meal plan in 1 click. Add a few cups of spinach and that is around 15 calories.

If you dont know how many calories you should be eating check out our Keto Calculator. Create your meal plan. However with a 1200 calorie gluten free meal plan an average of 6-11 lbs weight loss per month is expected.

This meal plan is for individuals who should be consuming around 1200 calories a day. Water be sure to start your day with lukewarm water Avocado and Cashew Toast. Choose 1 snack between each meal up to 2 snacks per day Include 1 protein and 1 carbohydrate to keep you feeling full longer.

1200 1500 and 2000 calories. Dinner- 2 servings of pounded chicken with sour cream and parsley mashed potatoes. 1 glass of soy milk.

Weve made sure you wont feel deprived with these hearty lower-calorie breakfasts lunches and dinners. Plant based diet on a budget A glass of orange juice is 120 calories. Here are some budget-friendly meal you can eat on the 1200 calorie diet plan.

1200 Calorie Diet Plan. There are three different meal plans included based on your calorie needs. Aim for no more than 3 to 4 fruits per day Whole-wheat crackers refer to serving size on.

What food items can you opt for in this 1200 calorie meal plan on a budget. CARBOHYDRATE Fruit see serving sizes above. Breakfast Ideas for a Cheap 1200 Calorie Diet Plan.

The 1200 calorie diet plan is an eating pattern that involves limiting your daily caloric intake to no more than 1200 calories per day. 1200 Calorie Diet Plan. Toast with fried eggs.

Many pieces of whole medium-sized fruit are 100 calories or less. Reach your diet and nutritional goals with our calorie calculator weekly meal plans grocery lists and more. Think a 1200-calorie diet is impossible to follow.

Eat This Much creates personalized meal plans based on your food preferences budget and schedule. Also a cup of fresh strawberry yogurt of about 50 calories can make you full for the day.

Saturday, March 3, 2018

1m Sodium Hydroxide

Most important symptoms and effects both acute and delayed. In the preparation of a standard solution of sodium hydroxide of 01M Concentration which we shall discussed in this article the apparatus used are.

Jual Naoh Solution 0 1m 0 1n Merck 109141 1l Sodium Hydroxide Sol 1l Kota Bekasi Ahya Toko Lab Kimia Tokopedia

For example a solution that contains 22g of sodium chloride in 1 dm3 of a solution is a standard solution.

1m sodium hydroxide. Recommended use and restrictions on use. Stir the sodium hydroxide a little at a time into a large volume of water and then dilute the solution to make one liter. It is a manufactured substance.

Laboratory chemicals Restrictions on use. At room temperature sodium hydroxide is a white crystalline odorless solid that absorbs moisture from the air. Senyawa ini merupakan senyawa ionik berbentuk padatan putih yang tersusun dari kation natrium Na dan anion hidroksida OH.

Not for food drug or household use. 1010 Jacksons Pointe Ct. Add more about 700ml of distilled water mix and allow to cool to room temperature.

Add about 42 gm of Sodium hydroxide with continues stirring. So the equivalent weight of NaOH is 40. Use of the substancemixture.

View All 4 Related Papers. Wash down the inside of the flask with about 50 mL of distilled water delivered from a wash bottle. Standardisation of 01M Sodium Hydroxide Solution Using a bulb pipette quantitatively transfer a 25 mL aliquot of the standard KHP solution to a 250 mL Erlenmeyer flask.

The decomposition rate was remarkably faster at 250 degrees C than at 225 or 200 degrees C and the percentage debromination reached almost 100 in 1M NaOH at 250 degrees C f. Natrium hidroksida juga dikenal sebagai lindi lye dan soda kaustik atau soda api adalah suatu senyawa anorganik dengan rumus kimia NaOH. To make 1 N solution dissolve 4000 g of sodium hydroxide in water to make volume 1 liter.

40 gmol Chemical Formula. When dissolved in water or neutralized with acid it liberates substantial heat which may be sufficient to ignite combustible materials. Sodium Hydroxide 01N 01M.

Sodium hydroxide solution 1 molL CAS 1310-73-2 EMPROVE EXPERT - Find MSDS or SDS a COA data sheets and more information. Sodium hydroxide is a highly caustic base and alkali that decomposes proteins at ordinary ambient temperatures and may cause severe chemical burnsIt is highly soluble in water and readily absorbs moisture and carbon dioxide from the airIt forms a series of hydrates NaOHn H 2 O. For laboratory and manufacturing use only.

Sodium Hydroxide Solution Preparation Take about 100ml of distilled water in a cleaned and dried 1000 ml volumetric flask. 1M Sodium Hydroxide solution Sigma-Aldrich. Indication of any immediate medical attention and special treatment needed.

2-Bromophenol was reacted in aqueous sodium hydroxide at 200-250 degrees C. Volumetric flask of 1000ml capacity wash bottledistilled water a beaker with a pipe glass funnel chemical balance or any other. Natrium hidroksida merupakan basa dan alkali yang sangat kaustik mampu menguraikan protein pada suhu lingkungan.

Sodium Hydroxide 10N 10M Product code. Sodium Hydroxide1M Created by Global Safety Management Inc. The monohydrate NaOH H 2 O crystallizes from water solutions between 123 and 618 C.

Shop a large selection of Sodium Hydroxide products and learn more about Fisher Science Education Sodium Hydroxide Solutions 1M1N. We have found that 1 M sodium hydroxide for 1 hour is an excellent sanitization procedure for a BioProcess chromatography system 11. Be sure to use borosilicate glass eg Pyrex and consider immersing the container in a bucket of ice to keep the heat down.

Add sodium hydroxide to waterdo not add water to solid sodium hydroxide. Similarly we found that 05 M sodium hydroxide with a contact time of one hour is sufficient for sanitizing a BioProcess stainless steel column 12. From the discussion above it should be clear that to make 1 Normal solution we need to know the equivalent of NaOH which is calculated by dividing Molecular weight by 1 that is 40 divided by 1 40.

Moderna One Dose Efficacy

COVID-19 vaccines developed by Pfizer-BioNTech and Moderna reduced risk of infection by 80 per cent two weeks or more after the first of two shots according to data from a. US study suggests efficacy of 1st Pfizer Moderna shot increases with time Mayo Clinic findings show vaccine gives 75 protection 15 days after 1st dose rising to 83 after 36 days.

Moderna Covid Vaccine Efficacy Drops As Trial Subjects Double

In a letter to the editors of the New England Journal of Medicine NEJM two Canadian researchers say that a single dose of either the Pfizer or Moderna vaccines are as much as 92 percent effective in preventing COVID-19 illness after two weeks of receiving the vaccine.

Moderna one dose efficacy. How Well the Vaccine Works Based on evidence from clinical trials the Moderna vaccine was 941 effective at preventing laboratory-confirmed COVID-19 illness in people who received two doses who had no evidence of being previously infected. Using the data from the published study of the Pfizer vaccine Public Health England determined that vaccine efficacy was 89 for 15-21 days after dose 1. Other independent studies however have found even higher rates of.

The second dose pushes effectiveness up to 90. Just one dose of the Moderna and Pfizer. Single doses of the Pfizer and Moderna vaccines are more than 92 percent effective in preventing COVID-19 illness after two weeks Canadian researchers are saying.

In 2020 large phase 3 clinical trials demonstrated that the PfizerBioNTech BNT162b2 vaccine is 95 effective at preventing symptomatic COVID-19 and that the Moderna mRNA1273 vaccine is. According to a document the company submitted to the FDA the Moderna vaccine can provide 802 protection after one dose compared to 956 after. A single dose of Pfizer s or Moderna s Covid-19 vaccine was 80 effective in preventing coronavirus infections according to a new Centers for Disease Control and Prevention study of.

In a study published Thursday in the New. A study from the CDC reports the first dose of Pfizer or Moderna vaccines is about 80 percent effective. The researchers concluded that the vaccine was 51 percent effective against SARS-CoV-2 infection 13-24 days after immunization with the first dose.

Some 2000 participants in Modernas phase three clinical trial received just a single injection of. The efficacy numbers associated with the Moderna and Pfizer vaccines came in at around 95 while the newly approved Johnson Johnson vaccine has shown a less impressive 72 in the US and even. Just a single dose of either the Pfizer or Moderna vaccine was shown to be 80 percent effective in preventing COVID-19 in the real world according to a new CDC study.

Just one dose of the Moderna and Pfizer two-shot coronavirus vaccines is seemingly nearly as good two. February 18 2021 239 PM 2 min read. Pfizer and Moderna vaccines prove 92 percent effective with just 1st dose.

Initial clinical trials by the manufacturers suggested both Pfizer and Moderna were about 50 effective after the first shot. Moderna actually collected data from people who only received one dose of its vaccine Gill says.

4 Month Appointment

The 4-month visit is a time to show off your beautiful baby. Then hell beam brightly and charm everyone around him. Pregancy Belly Month ...