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Sacramento County Closes Mental Health Hospital Due to High Patient Load

 
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Sacramento County Closes Mental Health Hospital Due to High Patient Load
[link to www.sacbee.com]

Published: Wednesday, May. 27, 2009 - 1200

The steady increase of mentally ill residents combined with Sacramento County's budget woes forced the county's main psychiatric hospital late Friday to close its doors to new patients.

The doors remained closed through Tuesday – and might stay closed for several more days, officials said, until its caseload falls.

Officials said the scene could repeat itself throughout the year as local and state funding continue their decline.

The situation, officials and advocates say, suggests the state is at the brink of a mental health catastrophe.

"I think that Sacramento County – like all counties in California – is facing a mental health crisis," said Dorian Kittrell, executive director of the Mental Health Treatment Center. "Unfortunately when (budget) cuts are needed, health care is often at or near the top of the list over and over again. And unfortunately, there's only so much a system can bear before it breaks."

The Mental Health Treatment Center handles the most severe psychiatric cases in the county. That's where police or concerned family members take people who pose a danger to themselves or others.

Caseloads have risen in recent years as the region's population has grown. The crisis center now sees about 590 patients a month, compared with 540 a month in fiscal year 2004-05, Kittrell said.

The admission rate from the crisis center to the inpatient unit has remained steady at almost 48 percent, he added.

The growth has pushed the treatment center – which has a capacity of 100 in its inpatient unit – to its limits.

To alleviate overcrowding, the Board of Supervisors allocated an additional $4.3 million to the treatment center in fiscal year 2006-07 to outsource patients to other facilities. Essentially, that paid for beds in other psychiatric hospitals such as Heritage Oaks Hospital, Sierra Vista Hospital and Sutter Center for Psychiatry, Kittrell said.

The county allocated that money again in fiscal year 2007-2008 and in the preliminary budget this year. The county, however, had to cut $1.2 million of that funding from this year's final budget in response to cuts the state made in the fall, Kittrell said.

By midyear the treatment center was out of money to send psychiatric patients to other hospitals.

The center stopped outsourcing patients about four to six weeks ago and the center's average daily census began to top the 100 limit, going as high as 109 patients, Kittrell said.

As a result, the state last Friday sent a letter to the center effectively warning officials to reduce their caseload or face sanctions, Kittrell said.

Late that afternoon, Kittrell sent an e-mail to officials and mental health providers announcing temporary closure of the crisis center.

One frustrated senior mental health worker, Daniel Uselmann, worried that the most severely mentally ill would have no place to go.

"We're the place of last resort, and now we're closed," Uselmann said.

Mental health advocates and officials say the treatment center overcrowding is just part of the larger county and state problem of underfunding mental health.

"I think it's a reflection of the shortage of acute mental health treatment in the community, particularly for those who aren't insured or don't have an alternative to seeking public assistance or public care," Supervisor Roger Dickinson said.

The county has cut almost $10 million from mental health since June last year. The cuts primarily have been to contractors that provide the bulk of outpatient mental health services.

Fewer outpatient mental health services have put an additional strain on the inpatient treatment center, leading to the temporary closure, said John Buck, chief executive officer of Turning Point Community Programs, one of the county's mental health contractors.

The situation could be getting even worse. Sacramento County is facing a projected $180 million general fund shortfall in the fiscal year starting July 1.

As a result, the supervisors will consider a number of cuts, including about $18.4 million to adult mental health services.

About $5.3 million of those mental health cuts could come from the Regional Support Teams – four facilities that currently provide outpatient care to more than 8,700 residents. After the cuts, the county won't be able to treat about 3,000 patients, said Ann Edwards-Buckley, director of the Behavioral Health Services Department.

The state's budget woes could bring additional pain. The state might cut back on so-called managed care funds, which counties rely on for mental health programs, Kittrell said. Almost $19 million of the treatment center's $36 million treatment center budget for fiscal 2009-10 is slated to come from managed care funds.

Decimated outpatient programs and an overburdened inpatient program are severe concerns for the county, Edwards-Buckley said.

"I'm not going to say people will die. I'll say it's certainly a possibility," she said.

Kittrell said the center may need to close the unit, depending on caseloads. Which means scenes like the one Tuesday afternoon could become common.

A worker standing outside the Sacramento County Mental Health Treatment Center on Tuesday afternoon tugged in vain at the locked front doors until a security guard let her in.

"In 17 years I've never seen anything like that," the mental health worker said as she headed inside.
political correctness is a doctrine.... fostered by a delusional, illogical minority...... and rabidly promoted by an unscrupulous mainstream media; which holds forth the proposition that it is entirely possible to pick up a turd by the clean end.
Anonymous Coward
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05/27/2009 12:20 PM
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Re: Sacramento County Closes Mental Health Hospital Due to High Patient Load
Somethings got to give right?
Earth Daughter

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05/27/2009 12:22 PM
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Re: Sacramento County Closes Mental Health Hospital Due to High Patient Load
Well if the police keep cutting up these peoples tents, where else are they going to go?

Might as well walk down the street naked, acting crazy, just to get put into a facility with hot showers and three squares.
"Arrows of hate have been shot at me too, but they never hit me, because somehow they belonged to another world, with which I have no connection whatsoever." - Albert Einstein
Anonymous Coward
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05/27/2009 12:22 PM
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Re: Sacramento County Closes Mental Health Hospital Due to High Patient Load
Oh that's nice...close the doors...when the people really need it! Good post!

bump
PhennommennonnModerator  (OP)
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05/27/2009 12:29 PM

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Re: Sacramento County Closes Mental Health Hospital Due to High Patient Load
theyve been releasing patients from nursing homes citing medicare/medicaid dont pay much, and soon we will see more mental health patients released from hospitals all over.

cuts to the mental health svcs is a huge blow while theyve been printing money for bailouts like its nothing.

half these people in these hospitals are prolly victims of 'their' agenda anyhow.
political correctness is a doctrine.... fostered by a delusional, illogical minority...... and rabidly promoted by an unscrupulous mainstream media; which holds forth the proposition that it is entirely possible to pick up a turd by the clean end.
WomanInBlack

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05/27/2009 12:30 PM
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Re: Sacramento County Closes Mental Health Hospital Due to High Patient Load
Time to put the FEMA camps to use.
We forfeit three-fourths of ourselves in order to be like other people.

Les Ruines De La Modernité-Pendaison De L'Humanité
PhennommennonnModerator  (OP)
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05/27/2009 12:32 PM

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Re: Sacramento County Closes Mental Health Hospital Due to High Patient Load
Time to put the FEMA camps to use.
 Quoting: WomanInBlack

i think thats the idea
political correctness is a doctrine.... fostered by a delusional, illogical minority...... and rabidly promoted by an unscrupulous mainstream media; which holds forth the proposition that it is entirely possible to pick up a turd by the clean end.
Anonymous Coward
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05/27/2009 12:33 PM
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Re: Sacramento County Closes Mental Health Hospital Due to High Patient Load
A lot of very concerned people in Sacramento these days. Economy is looking Fugly!
Anonymous Coward
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05/27/2009 12:34 PM
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Re: Sacramento County Closes Mental Health Hospital Due to High Patient Load
ronald mcraygun said fuck the poor and mentally ill in the 80's. the results have been seen ever since and it gets worse every year.
Anonymous Coward
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05/27/2009 12:36 PM
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Re: Sacramento County Closes Mental Health Hospital Due to High Patient Load
ronald mcraygun said fuck the poor and mentally ill in the 80's. the results have been seen ever since and it gets worse every year.
 Quoting: Anonymous Coward 681616


I agree. Scary times we are living in.

hf
PhennommennonnModerator  (OP)
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05/27/2009 12:38 PM

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Re: Sacramento County Closes Mental Health Hospital Due to High Patient Load
ronald mcraygun said fuck the poor and mentally ill in the 80's. the results have been seen ever since and it gets worse every year.
 Quoting: Anonymous Coward 681616

i remember the 80z well. in NY they were closing the mental hospitals - pilgrim state, then kings park - mario cuomo covertly was placing the patients in residential neighborhoods. the state was buying up long island foreclosures. staffing them with nurses aids, lpn, rn and a visiting dr. patients had their own rooms. staff would cook/clean on premises.

no one knew about these patients living in their neighborhoods til one day one patient 'got loose'. he was pissing on a sidewalk in ronkonkoma out in his underwear.

once the press got wind of this the story broke. we were amazed at how many of these 'homes' were all over LI.

Last Edited by Phennommennonn on 05/27/2009 12:38 PM
political correctness is a doctrine.... fostered by a delusional, illogical minority...... and rabidly promoted by an unscrupulous mainstream media; which holds forth the proposition that it is entirely possible to pick up a turd by the clean end.
khnum
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05/27/2009 12:39 PM
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Re: Sacramento County Closes Mental Health Hospital Due to High Patient Load
We're putting an additional 30 beds into our local psych unit it took two patients who were turned away due to overloading to be shot dead by police though to get those beds.
PhennommennonnModerator  (OP)
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05/27/2009 12:45 PM

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Re: Sacramento County Closes Mental Health Hospital Due to High Patient Load
A lot of very concerned people in Sacramento these days. Economy is looking Fugly!
 Quoting: Anonymous Coward 670060

given. cali's gone to shit
political correctness is a doctrine.... fostered by a delusional, illogical minority...... and rabidly promoted by an unscrupulous mainstream media; which holds forth the proposition that it is entirely possible to pick up a turd by the clean end.
PhennommennonnModerator  (OP)
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05/27/2009 12:46 PM

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Re: Sacramento County Closes Mental Health Hospital Due to High Patient Load
We're putting an additional 30 beds into our local psych unit it took two patients who were turned away due to overloading to be shot dead by police though to get those beds.
 Quoting: khnum 455005

your hosp isnt in cali is it?
political correctness is a doctrine.... fostered by a delusional, illogical minority...... and rabidly promoted by an unscrupulous mainstream media; which holds forth the proposition that it is entirely possible to pick up a turd by the clean end.
^hawk-0^

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05/27/2009 12:46 PM
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Re: Sacramento County Closes Mental Health Hospital Due to High Patient Load
Get ready for an influx of posters.
PhennommennonnModerator  (OP)
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05/27/2009 12:47 PM

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Re: Sacramento County Closes Mental Health Hospital Due to High Patient Load
Get ready for an influx of posters.
 Quoting: ^hawk-0^

[email protected] ok ill bite....why?
political correctness is a doctrine.... fostered by a delusional, illogical minority...... and rabidly promoted by an unscrupulous mainstream media; which holds forth the proposition that it is entirely possible to pick up a turd by the clean end.
khnum
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05/27/2009 12:48 PM
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Re: Sacramento County Closes Mental Health Hospital Due to High Patient Load
We're putting an additional 30 beds into our local psych unit it took two patients who were turned away due to overloading to be shot dead by police though to get those beds.

your hosp isnt in cali is it?
 Quoting: Phennommennonn

No Im in Australia but we have the same problems an understaffed and underfunded mental health system.
PhennommennonnModerator  (OP)
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05/27/2009 12:50 PM

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Re: Sacramento County Closes Mental Health Hospital Due to High Patient Load
We're putting an additional 30 beds into our local psych unit it took two patients who were turned away due to overloading to be shot dead by police though to get those beds.

your hosp isnt in cali is it?

No Im in Australia but we have the same problems an understaffed and underfunded mental health system.
 Quoting: khnum 455005

the terminator (schwantz-enegger) has totally assraped cali. i dunno how it is in your country but i trust it isnt as bad there as it is here?
political correctness is a doctrine.... fostered by a delusional, illogical minority...... and rabidly promoted by an unscrupulous mainstream media; which holds forth the proposition that it is entirely possible to pick up a turd by the clean end.
khnum
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05/27/2009 12:53 PM
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Re: Sacramento County Closes Mental Health Hospital Due to High Patient Load
We're putting an additional 30 beds into our local psych unit it took two patients who were turned away due to overloading to be shot dead by police though to get those beds.

your hosp isnt in cali is it?

No Im in Australia but we have the same problems an understaffed and underfunded mental health system.

the terminator (schwantz-enegger) has totally assraped cali. i dunno how it is in your country but i trust it isnt as bad there as it is here?
 Quoting: Phennommennonn

My best friend just married a sweet little girl from Tennessee from what I can ascertain the States are in much worse shape than Australia.
^hawk-0^

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05/27/2009 12:54 PM
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Re: Sacramento County Closes Mental Health Hospital Due to High Patient Load
Get ready for an influx of posters.

[email protected] ok ill bite....why?
 Quoting: Phennommennonn

cause all the nuts are lose. Where is the fisrt place they go?? GLP!!!
PhennommennonnModerator  (OP)
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05/27/2009 12:54 PM

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Re: Sacramento County Closes Mental Health Hospital Due to High Patient Load
the terminator (schwantz-enegger) has totally assraped cali. i dunno how it is in your country but i trust it isnt as bad there as it is here?

My best friend just married a sweet little girl from Tennessee from what I can ascertain the States are in much worse shape than Australia.
 Quoting: khnum 455005

as suspected. tho i find myself concerned with these patients bc i have a feeling they will end up in the detentions fema camps. that this might be a preamble of whats coming.
political correctness is a doctrine.... fostered by a delusional, illogical minority...... and rabidly promoted by an unscrupulous mainstream media; which holds forth the proposition that it is entirely possible to pick up a turd by the clean end.
PhennommennonnModerator  (OP)
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05/27/2009 12:55 PM

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Re: Sacramento County Closes Mental Health Hospital Due to High Patient Load
Get ready for an influx of posters.

[email protected] ok ill bite....why?

cause all the nuts are lose. Where is the fisrt place they go?? GLP!!!
 Quoting: ^hawk-0^

made ya say it. may ya say it laugh
neener2

Last Edited by Phennommennonn on 05/27/2009 12:55 PM
political correctness is a doctrine.... fostered by a delusional, illogical minority...... and rabidly promoted by an unscrupulous mainstream media; which holds forth the proposition that it is entirely possible to pick up a turd by the clean end.
Anonymous Coward
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05/27/2009 01:01 PM
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Re: Sacramento County Closes Mental Health Hospital Due to High Patient Load
ronald mcraygun said fuck the poor and mentally ill in the 80's. the results have been seen ever since and it gets worse every year.

i remember the 80z well. in NY they were closing the mental hospitals - pilgrim state, then kings park - mario cuomo covertly was placing the patients in residential neighborhoods. the state was buying up long island foreclosures. staffing them with nurses aids, lpn, rn and a visiting dr. patients had their own rooms. staff would cook/clean on premises.

no one knew about these patients living in their neighborhoods til one day one patient 'got loose'. he was pissing on a sidewalk in ronkonkoma out in his underwear.

once the press got wind of this the story broke. we were amazed at how many of these 'homes' were all over LI.
 Quoting: Phennommennonn






As a matter of fact my bus company transports alot of these folks to day programs, M-F.

They(mentally & physically) challenged live in group homes.

The staff at most of these places SUCK.They are a bunch of lazy JACK-OFFS.
khnum
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05/27/2009 01:10 PM
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Re: Sacramento County Closes Mental Health Hospital Due to High Patient Load
the terminator (schwantz-enegger) has totally assraped cali. i dunno how it is in your country but i trust it isnt as bad there as it is here?

My best friend just married a sweet little girl from Tennessee from what I can ascertain the States are in much worse shape than Australia.

as suspected. tho i find myself concerned with these patients bc i have a feeling they will end up in the detentions fema camps. that this might be a preamble of whats coming.
 Quoting: Phennommennonn

Ive been to California and seen the homeless with cardboard blankets sleeping over steam vents,the manic street preachers and all the rest of it at least my countries welfare system won't have you sleeping in a park or on a gutter unless you want to be there.

Most of Californias nutters are on the streets in broad daylight your country may well be the fourth reich but currently it wears a 'smiley' face if this changes yes they may end up in camps,the State however has bigger fish to fry.

Hitler dealt with Jews,political opponents,gypsies and homosexuals then the mentally ill were thrown in as an afterthought.
Anonymous Coward
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05/27/2009 01:29 PM
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Re: Sacramento County Closes Mental Health Hospital Due to High Patient Load
NO wonder California is infested with liberalism. It's full of mentally ill people.

Michael Savage was right, liberalism is a mental disorder.
The Jurist

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05/27/2009 01:37 PM
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Re: Sacramento County Closes Mental Health Hospital Due to High Patient Load
Time to put the FEMA camps to use.

i think thats the idea
 Quoting: Phennommennonn

They would pull something like this.... Off to the woods!
`
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05/27/2009 02:55 PM

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Re: Sacramento County Closes Mental Health Hospital Due to High Patient Load
Time to put the FEMA camps to use.

i think thats the idea

They would pull something like this.... Off to the woods!
 Quoting: The Jurist

and lets not forget their homeless has been 'disappearing'
political correctness is a doctrine.... fostered by a delusional, illogical minority...... and rabidly promoted by an unscrupulous mainstream media; which holds forth the proposition that it is entirely possible to pick up a turd by the clean end.
PhennommennonnModerator  (OP)
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05/27/2009 02:57 PM

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Re: Sacramento County Closes Mental Health Hospital Due to High Patient Load
As a matter of fact my bus company transports alot of these folks to day programs, M-F.

They(mentally & physically) challenged live in group homes.

The staff at most of these places SUCK.They are a bunch of lazy JACK-OFFS.

 Quoting: Anonymous Coward 428829

they just recently closed an adult day care facility here in middletown. the families of the patients are in turmoil bc they have no way to care for them especially since they work. they cannot get home healthcare either.
political correctness is a doctrine.... fostered by a delusional, illogical minority...... and rabidly promoted by an unscrupulous mainstream media; which holds forth the proposition that it is entirely possible to pick up a turd by the clean end.
PhennommennonnModerator  (OP)
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05/27/2009 04:34 PM

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Re: Sacramento County Closes Mental Health Hospital Due to High Patient Load
Ive been to California and seen the homeless with cardboard blankets sleeping over steam vents,the manic street preachers and all the rest of it at least my countries welfare system won't have you sleeping in a park or on a gutter unless you want to be there.

Most of Californias nutters are on the streets in broad daylight your country may well be the fourth reich but currently it wears a 'smiley' face if this changes yes they may end up in camps,the State however has bigger fish to fry.

Hitler dealt with Jews,political opponents,gypsies and homosexuals then the mentally ill were thrown in as an afterthought.
 Quoting: khnum 455005

its sad that this is what we have become. we're printing money for bs but we cant take care of our own.
political correctness is a doctrine.... fostered by a delusional, illogical minority...... and rabidly promoted by an unscrupulous mainstream media; which holds forth the proposition that it is entirely possible to pick up a turd by the clean end.
bill shitters

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05/27/2009 04:41 PM
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Re: Sacramento County Closes Mental Health Hospital Due to High Patient Load
its starting to get very scary you could be minding own biz in soup line and be surrounded by Lonnie's wondering which ones going to go postal first
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Anonymous Coward
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05/27/2009 04:43 PM
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Re: Sacramento County Closes Mental Health Hospital Due to High Patient Load
THIS IS NUTS!!!





GLP