Are they sure it is just a skin tag ?

It may be an external pile. That's what I have now, after surgery to remove
some pretty huge internal hemorrhoids in 2003.

An experienced and reputable colorectal surgeon is Dr Akhtar Qureshi in
Sunway Medical Center.

Dr Anantharachagan is a general surgeon in Sentosa Medical Center, but
quiet experienced in hemorrhoids and colorecal surgery too.


Rubber band ligation, or banding, is not suitable for external hemorrhoids,
because they lie below the dentate line, where it is full of nerves and will
cause excruciating pain.

Dr Mohd Anis, who practises in SJMC as well, ligated me there a couple of
times over two decades ago, and the pain was horrendous for a couple of days.
I could barely sit down and felt as if someone or something was grabbing my
skin there all the while.


The latest treatment for internal ones appears to be HAL, or hemorrhoid artery ligation.

http://www.youtube.com/watch?v=TLM_FSw_DME



http://www.youtube.com/watch?v=H6NVQzfQzkQ


Otherwise, if surgey is required, these are newest cutting devices :

1. Starion thermal welding
2. Ligasure bipolar diathermy
3. Harmonic scalpel
4. Laser


Make sure you don't go for the staple method (which I had), or else you
may end up with lots of problems.

Dr Samuel Tay in Sunway also uses Ligasure.


This clinic in PJ also appears to have Ligasure.

http://klinikbuasir.com/index.php/hubungi


Starion is now known as Microline.

http://www.microlinesurgical.com/company/a...roline-surgical


Ligasure.

http://surgical.covidien.com/products/vessel-sealing


http://www.youtube.com/watch?v=x9e4ArimjVU

http://www.youtube.com/watch?v=gDNyKfG9Bug

http://www.youtube.com/watch?v=6BWscApj-d8

http://www.youtube.com/watch?v=qcaP58wOses



Randomized Trial Comparing a Starion™ and
a Harmonic Scalpel™ Hemorrhoidectomy.

http://www.coloproctol.org/search.php?wher...vmode=PUBREADER



Prospective, randomized, controlled trial of Starion vs Ligasure
hemorrhoidectomy for prolapsed hemorrhoids.


http://www.ncbi.nlm.nih.gov/m/pubmed/17587087/



Comparison of Ligasure Hemorrhoidectomy with
Conventional Ferguson’s Hemorrhoidectomy.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3002768/




This post has been edited by Tham: Nov 28 2013, 08:41 PM

Hemorrhoids will tend to itch sometimes, even mine.

You also probably have some mild eczema there.

Yours prolapses, then goes back in spontaneously, so you probably
just have second degree internal hemorrhoids, quite mild.

If you see Akthar Qureshi, he will probably just give you Xyloproct
or Proctosedyl cream, something you can buy yourself anywhere.

These contains some mild steroid like hydrocortisone to reduce the
inflammation and itch, plus aesculin (from horse chestnut) to improve
the venous blood flow there a bit, and thus shrink it a litle.

Otherwise, go down to TM Shafi, a small homeopathic shop at the
row of shophouses opposite YMCA in Brickfields. They have homeopathic
pile creams which are usually quite moisturising, so may reduce the
dry skin and itch.


Another time and tested remedy is salt, i.e. sitz baths. Buy Cosway's
Zara Dead Sea Salts, blue in color. Sprinkle say two tablespoonsfuls in
a small tub which just about fits your toilet bowl, add in fairly hot water,
then sit there for at least 15 minutes.

I am sure that will relieve the itch and pain somewhat.

That was what I did way back in December 2003, when, coming home
after the surgery (stapled plus diathermy), I was in really bad pain.

So my sister came over, prepared the above sitz bath, and luckily the
pain subsided after that.

If you can't get the salt, ordinary table salt, or those cheap rock sea salts
from the supermarket will do.

Dr Anantha also advised my father to do that after he had removed his
piles many years ago. Surprisingly, my father said he had hardly any pain
from the surgery, while mine, like many others, was like the end of the world.

I think those brownish colored Himalaya rock salts are also suitable.


My elder brother had an acute attack too not too long ago, after I thought
all the while that he was one of the lucky ones with no hemorrhoids.

He surfed the net, then made an ice pack and placed it there.

Also bought Daflon, took a loading dosage of 6 tabs the first day, then 4
the next two days, then 2 daily.

It subsided.




This post has been edited by Tham: Nov 28 2013, 10:41 PM

Yes, it's quite possible.

Probiotics are after all bacteria, and just like antibiotics,
can trigger off allergies or other reactions in some people.

Just stop them for a couple of weeks and see how it goes.

Even fiber doesn't agree with me very well. If I take Metamucil,
I will get cramps the whole night long.

So which surgeon did you see there ?

Was it Lim Chwen Loong or Muthu ?

Did you ask him which device he is going to use ?

Staple method.

If he does a good job, then good. If not, you'll have problems - bleeding,
intense pain, stenosis (narrowing of your anus).

The staple is made by Johnson & Johnson ...... in Mexico.

Looks very flimsy, plastic, like a kid's toy ray gun.

Costs at least ...... $1,000.

You should have asked for the harmonic scalpel, Starion or Ligasure,
but anyway, it's already scheduled.

How much is he charging you ?

Yes, the snakehead fish, Haruan, Channa striatus is documented
to have wound healing, pain reducing and energy-boosing properties.

It would also be a good idead to take it to reduce high blood pressure,
depression, prevent/treat Alzheimer's and as an adaptogen.

This means that the fish would be a good antiaging food.



Therapeutic potential of the haruan (Channa striatus):
from food to medicinal uses.

'' This review updates research findings on potential uses of Channa striatus,
beyond the traditional prescription as a wound healer, pain reliever and energy
booster to include its properties as a ACE-inhibitor, anti-depressant and
neuroregenerative agent. The fish appears to have wide-ranging medical uses
and should be studied more intensively to unearth its other properties and
mechanisms of action. ''


http://www.ncbi.nlm.nih.gov/pubmed/23713236




Wound healing effect of Haruan (Channa striatus) spray.

http://www.ncbi.nlm.nih.gov/pubmed/21722317



The wound healing properties of Channa striatus-cetrimide cream
- wound contraction and glycosaminoglycan measurement.

http://www.ncbi.nlm.nih.gov/pubmed/11025135




Antinociceptive activity of Channa striatus (haruan) extracts in mice.

http://www.ncbi.nlm.nih.gov/pubmed/9254114




Fatty acid and amino acid composition in haruan as a
potential role in wound healing.

http://www.ncbi.nlm.nih.gov/pubmed/7835642

Intense pain and heavy bleeding the first night. The pethidine injection
lasted me only an hour. Had to bear with the pain the rest of the night.

I had stenosis for the first two months. The stools which came out
were pencil-thin.

I also had fecal impaction twice the first two months. Had to dig it out
with my fingers.


Luckily, improved by the third month.

The surgeon was probably not too skilled nor experienced enough in
the use of the staple.


The staple also has a high rate of relapse.

Within two years, an external hemorrhoid came back.


But is Dr Lim is skilled in this method, you should have no problems,
reduced pain and faster recovery, I guess.



Reinterventions for specific technique-related complications of
stapled haemorrhoidopexy (SH): a critical appraisal.

http://www.ncbi.nlm.nih.gov/m/pubmed/18766410/



Stapled hemorrhoidopexy is associated with a higher long-term
recurrence rate of internal hemorrhoids compared with conventional
excisional hemorrhoid surgery.

http://www.ncbi.nlm.nih.gov/m/pubmed/17665254/




Obstructed defecation after stapled hemorrhoidopexy: a report of four cases.

http://www.ncbi.nlm.nih.gov/m/pubmed/20583519/?



Agraffectomy after low rectal stapling procedures for hemorrhoids and rectocele.

http://www.ncbi.nlm.nih.gov/m/pubmed/21695440



Obliteration of the rectal lumen after stapled hemorrhoidopexy: report of a case.

http://www.ncbi.nlm.nih.gov/m/pubmed/18670815/






This post has been edited by Tham: Nov 30 2013, 01:37 PM

Maybe you can try this.


http://www.rakuten.com.my/shop/caringpharm...HF0005_0191081/



Enemas may help, or maybe Dulcolax (bisacodyl), but if the impaction
is really bad with the stools already hard, that won't work.

This is why doctors have to do it for patients who come in with fecal impaction
- if the stools are way too far in the rectal area, obviously you can't dig it out
yourself.

Dr Anantha in Sentosa says he has to do it such patients who pay him an
emergency visit sometimes, even young people.

I didn't really change my diet, but as it is, everyone tends to get hemorrhoids.
I can't really tolerate fiber anyway, as I have IBS.

Stresses in life, including lack of sleep, can also cause or aggravate them.
The Chinese believe that lack of sleep (as in my case too) causes heatiness
to form in the liver ( ''kah foh'').

Lack of sleep can also result in a low ''Chi'' (life force), so your anus will
tend to drop out.


The staple method doesn't really cut away the hemorrhoids, rather it retracts
them further up the rectum, so that would explain the high relapse rate.

How is it that you never even asked what device he is going to use when
he examined you and advised surgery during the whole consultation, after
I had given you all that info ?

Akhtar Qureshi uses the harmonic scalpel, and I think he also has Starion
and/or Ligasure. That was why I advised you to go to him. He also uses the
staple, but he said he is very selective, due to the high relapse rate and risk
of complications.

Otherwise, Samuel Tay in Sunway also has Ligasure, as mentioned earlier.
I enquired from the Ligasure distributors here some years ago, and they
mentioned that he was one of the doctors with this device.

I did not select Anantha at that time, even though he did an almost painless
job on my father with diathermy alone, because he did not use the staple,
which I thought was the ''in thing'' at that time. Sentosa was poorly equipped
too then, with no harmonic scalpel. They probably have now, as well as the
other devices.

Sea Cucumbers Fast Track Organ Regrowth By Healing Their Wounds.

http://www.sciencedaily.com/releases/2007/...71017194617.htm



Regeneration of the radial nerve cord in the sea cucumber Holothuria glaberrima.

http://link.springer.com/article/10.1186%2F1471-213X-9-3



Regeneration of the enteric nervous system in the
sea cucumber Holothuria glaberrima.

http://www.ncbi.nlm.nih.gov/pubmed/10205023

It's good to know you had no major problems throughout and after the
surgery, that means Dr Lim did a professional job.

Are you sure it's $ 1,500 or $ 5,500 ?!?!

Colonoscopy, gastroscopy and stapled hemorrhoidectomy for just $ 1,500
in total, plus rental of the operating theater, anesthesiologist's fees, room,
supplies, medication and nursing ?!?!

A gastroscope alone these days, even in Tung Shin, should be easily $ 1,000 !

And as I said, do you know how much the stupid staple gun alone costs,
when I was quoted exactly 10 years ago in November 2003 ?

Tung Shin - $ 1,000
Pusat Rawatan Islam - $ 1,500
Pantai - $ 2,000

And the colonoscope would easily be another $ 1,000 !

Dr Ashim Nandy, general cum hepatobiliary surgeon, in Tung Shin (also
goes to Pantai) at that time quoted me $ 3,000 for the harmonic scalpel.
If I wanted the staple, it would be an extra $1,000 for that device.

Which would be around $ 4,000 for staple surgery, in 2003 !

Dr Lee Hock Bee in Pantai quoted me $ 7,000 for the staple at that time.


So how did it cost you only $ 1,500, moreover plus those two extra scopes ?



And a bronchoscope plus a chest drain for a pleural effusion in my right lung
in November 2011, done in Tung Shin by my schoolmate, Yap Boon Hung
came to some $ 3,000. Total cost of a one week stay there, $ 8,000.


Maybe take a photo of your excised hemorrhoid and post it here if you would like.

$ 1,400 for both scopes ? That's still very cheap.

I selected epidural anesthesis, which was a mistake, so I was already
awake by the time they were wheeling me out of the operating theater.
The anesthesiologist just gave me a sedative to knock me out.

No bleeding in your case ?

I must have bled a lot after he had used diathermy to cut off one of the hemorrhoids
which was too big to be grabbed by the staple.

That night itself, I started bleeding, and those lazy Malay nurses wouldn't answer
my calls. I had to call the surgeon, Zain Al-Rashid, who in turn called those lazy
b****es to screw them up.

The next morning, going to the toilet for what I thought was a bowel movement,
a big mass of clotted and dark blood stained whole bowl red.

On discharge, I ended up with a high fever a few days later, and my brother admitted
me to Sunway for four or five days. My hemoglobin had dropped to 10 grams/dL, but
the chest physician there, Usha Rani, didn't note it either.

In the end, plus the duration of the two hospital stays, I was out for a whole month.

I think you will have a bowel movement in a few more days, nothing
to worry about.

The bowel has naturally gone into spasm after being cut, so will take
some time to relax again.

Moreover, the scarring part there will narrow somewhat (stenosis), so
the stools will have trouble coming out initially.

My case is worse than yours because I had both diathermy and staple,
the diathermy causing the major scarring and stenosis.

That is why I said I made a mistake and should have chosen Ashim Nandy
in Tung Shin with the harmonic scalpel.


My surgeon was Zain Al-Rashid, attached to Pantai and Pusat
Rawatan Islam, where I went.

Mohd Anis was a general surgeon at Subang Jaya, but I think
he's probably retired by now. He ran a clinic at Taman Pertama
in Cheras in the late 1980s to early 90s. He just did the rubber
band ligation for me twice, the first time in Lady Templer nearby,
in 1986, where he was also attached.

Not inflammation, I had a high fever and URTI infection after the surgery,
as I had lost so much blood and immune system had plummeted.
Both Usha Rani, the chest physician, and Akthar Qureshi attended
to me in Sunway.

I had no insurance at that time, and had to borrow money from my
brother to pay for both hospital stays.

I was conned by AIA, which I had ''credit card shield'' insurance with,
''guaranteeing'' to repay your monthly card payments for the client in
case sickness kept him out of work.

They only compensated me a few measly dollars, after I had to pay
the surgeon $80 for the medical report, twisting their story around
that they would only pay for the period of medical disability AFTER
ONE MONTH. How many people will go on MC more than a month ?

I cancelled their fake policy immediately, and lodged reports with the
Finance Ministry, the Domestic Trade Ministry for mispresentation of
products under the Trade Description Act, 1972, as well as a police report.

Not only that, I shot a letter to the Inland Revenue's Investigation Unit
suggesting that they check out their entire board of directors' previous
years' tax background for possible evasion (I'm in the tax line).

AIA is not an American company, as I was under the impression all the
while, but run by a bunch of conman Honkees.





This post has been edited by Tham: Dec 4 2013, 05:25 PM

You said you had your surgery in 2005 - perhaps you could refresh my
memory - did I meet you on another forum then, as I joined this one only
in 2007 ?

Anyway, it's good you had your surgery and fully recovered. Hopefully
you had no complications then, and no relapses after that.

You mentioned ''heated cutlery surgery''. Did the surgeon use diathermy,
Ligasure, Starion or bipolar scissors ?

Half a tablespoonful is way too litle, I mentioned two tablespoonfuls.


As Finkl1 also said, he used 5 tablespoons, but that was to soak up
to waist up, so maybe he used a large basin or sat in the bathtub.

If you are using enough hot water just to cover and a bit above the
bum area, so that your anus is fully immersed, then two to three
tablespoons should be enough.

Use Cosway's Zara sea salts as I advised. It's really soothing, and
does have healing and pain reducing properties. Costs about $19,
but they usually give you the 20 % member discount, even if you
are not a member. Just tell them you have just been discharged
from hospital after surgery.

Use one of those shallow baby's tubs about a foot across, just
enough to sit on top of the opening of your toilet bowl. The water
would then be above 4 inches high, just enough to cover your bum.

Try taking dragon fruit and/or beet root juice - that will be sure to make
your stools watery or at least much softer. I tend to get some mild diarrhea
within two hours after drinking mixed beet root/carrot juice. Papayas don't
really help much for me.

Your stools will just turn dark after dragon fruits and beet roots.

Another juice which will make me run to the toilet shortly is yellow pear.


I think you should ask the doctor for at least another week's leave.
Otherwise, I am sure your employer will let you have extra compassionate
leave, if you explain that you are having some post-surgical complications
with bleeding, much pain and still can't pass out anything due to rectal
stenosis.


If you email your boss and show him this was how much the surgeon's
''grenade launcher'' streched your anus, I am sure he will understand.

http://www.sages.org/meetings/annual-meeti...morrhoidectomy/

Which hospital did you go to, and which surgeon did it for you ?

Yes, I think only Pantai had the laser then, Lee Hock Bee there said
he normally used it for first and second degree hemorrhoids. He was using
the harmonic scalpel for third and fourth degree beforehand, but had since
switched over to the staple when I called him at the end of 2003, for which
he quoted me $ 7,000.

$3,000 - $5,000 for the laser isn't really expensive for Pantai, even at that time.
Ashim Nandy quoted me $3,000 for the harmonic scalpel in Tung Shin.

Zain Al-Rashid, attached to both Pantai and Islamic Medical Center, did the
staple for me in the latter hospital for $4,500. He didn't even realize that Pantai
had the laser !

Actually, I wonder why you didn't select the harmoic scalpel ?

Which grade were yours, by the way ?

Mastic gum and zinc l-carnosine (Pepzin GI, Polaprezinc) would be
the supplements for you.


Zinc l-carnosine was developed in Japan and marketed as a drug (Polaprezinc)
there, but licensed to supplement manufacturers in the States as Pepzin GI.

It can also be used for bed sores, or pressure ulcers, although l-carnosine
itself is also effective.


http://pepzingi.com


The development of Polaprezinc research.


https://www.jstage.jst.go.jp/article/yakush..._3_271/_article



The effect of polaprezinc on gastric mucosal protection in rats with
ethanol-induced gastric mucosal damage: comparison study with rebamipide.

http://www.ncbi.nlm.nih.gov/m/pubmed/23743168



Polaprezinc (Zinc L-carnosine) is a potent inducer of anti-oxidative stress enzyme,
heme oxygenase (HO)-1 - a new mechanism of gastric mucosal protection.

https://www.jstage.jst.go.jp/article/jphs/1...9056FP/_article



inhibitory effect of polaprezinc on the inflammatory response to Helicobacter pylori.

http://www.ncbi.nlm.nih.gov/m/pubmed/12464972/




Applicability of zinc complex of L-carnosine for medical use.

http://protein.bio.msu.ru/biokhimiya/conte...l/65070961.html



Effects of L-carnosine and its zinc complex (Polaprezinc) on pressure ulcer healing.

http://www.ncbi.nlm.nih.gov/m/pubmed/23835365/



Studies on anti-ulcer effects of a new compound, zinc L-carnosine (Z-103).

http://www.ncbi.nlm.nih.gov/m/pubmed/2113032/




Mastic Gum Kills Helicobacter pylori.

http://www.nejm.org/doi/full/10.1056/NEJM199812243392618



The effect of mastic gum on Helicobacter pylori: a randomized pilot study.

http://www.ncbi.nlm.nih.gov/pubmed/19879118




Now's Ulcetrol.

http://www.iherb.com/Now-Foods-Ulcetrol-60...=6&sr=null&ic=1



Natural Balance's Peptic Soothe.

http://www.iherb.com/Natural-Balance-Pepti...4&sr=null&ic=15


Jarrow's mastic gum.

http://www.iherb.com/Jarrow-Formulas-Masti...44&sr=null&ic=4



Doctor's Best PepzinGI.

http://www.iherb.com/Doctor-s-Best-PepZinG...44&sr=null&ic=6

Dark, virtually black, presumably from all the bleeding.

As mentioned earlier, pencil thin, due to the stenosis. Gave me quite
a shock - I thought the stenosis would be permanent.

That was how it was for the first month after the surgery.

Beet root is good not only as a laxative, but a blood builder, high in iron.

I was taking this after an I & D (incision and drainage), by an orthodedic
surgeon in Sunway December 2004 (one year after the hemorrhoidectomy !)
to drain out a cellulitis abscess in my left big toe.

http://www.iherb.com/product-reviews/natur...-capsules/1842/


Reduces blood bressure, improves stamina, due to the nitrate content,
converted to nitric oxide in the system.



'' .... as little as one cup of beet juice has dramatic effects and may be a natural
alternative to blood pressure medication for some people and just 2-3 ounces
per day can be a natural approach to preventing constipation. ''

http://www.webmd.com/food-recipes/features...-beetroot-juice



Acute ingestion of beetroot bread increases endothelium-independent vasodilation
and lowers diastolic blood pressure in healthy men: a randomized controlled trial.

http://www.ncbi.nlm.nih.gov/m/pubmed/23884387


Inorganic nitrate and beetroot juice supplementation reduces
blood pressure in adults: a systematic review and meta-analysis.

http://www.ncbi.nlm.nih.gov/m/pubmed/23596162



Effect of beetroot juice on lowering blood pressure in free-living,
disease-free adults: a randomized, placebo-controlled trial.

http://www.7ncbi.nlm.nih.gov/m/pubmed/2323177



Blood pressure-lowering effects of beetroot juice and novel
beetroot-enriched bread products in normotensive male subjects.

http://www.ncbi.nlm.nih.gov/m/pubmed/22414688



Nitrate supplementation's improvement of 10-km time-trial performance
in trained cyclists.

http://www.ncbi.nlm.nih.gov/m/pubmed/22248502




Another good blood builder and laxative is blackstrap molasses.


'' Molasses Health Benefits and Natural Cures ''

http://www.earthclinic.com/Remedies/molasses5.html



'' Constipation Remedy – Blackstrap Molasses ''

http://www.poopdoc.com/articles/constipati...natural-way.htm



'' It’s best to eat or drink blackstrap molasses in the morning, as it makes
a good laxative and will give you energy.

This black goo, the bi-product of unhealthy white sugar, has ironically one
of the highest mineral contents compared to other foods. Blackstrap molasses
is quite extraordinary, containing these excellent sources of iron, magnesium,
calcium and potassium and other trace minerals and vitamins. I think it’s so sad
that this fantastic healthy sweetener, is used as the bi-product, and the
unhealthy sugar lines our supermarket shelves. ''

http://www.2baware.net/healthy-foods/blackstrap-molasses/




http://whfoods.org/genpage.php?tname=foodspice&dbid=118

http://spiritfoods.net/health-benefits-of-...strap-molasses/

http://whfoods.org/genpage.php?tname=foodspice&dbid=118




Total antioxidant content of alternatives to refined sugar.

'' Dark and blackstrap molasses had the highest FRAP ''

http://www.ncbi.nlm.nih.gov/m/pubmed/19103324

You had four hemorrhoids ?

But overall, not that bad. All three of mine were virtually 4th degree, and the largest
one was too big to be grabbed by the staple, so he used diathermy to cut it.


It's good he used the harmonic scalpel. Seals the blood vessels, as well as nerves,
as it cuts. Thus, much less bleeding and pain than a normal diathermy, or bipolar
diathermy.

The healing period is difficult for the first one to two months, as with any form
of hemorrhoid surgery, but there are normally no complications with the
harmonic scalpel, apart from temporary stenosis or narrowing of the anus.

This is evident, as you had no relapses after 8 years. Dr Liew must have done
a good job.

If it is itching, that means the wound is healing. Usually a kind of wriggly itch,
somewhat prickly too. Do not worry, quite normal. It will last a week or two.
I had that sometime towards the end of the second month.

Moreover, there are staples left inside your rectum, grabbing and retracting
the hemorrhoids up. That is why they call it the staple method. So there will
be bound to be some itching and irritation.

Dr Akhtar Qureshi saw my staples when he examined me in 2004. He said they
will be there for life.

The itching will go away or at least reduce after one or two more weeks, I am
sure it will, do not be depressed.

Have you bathed it with Cosway's Zara Sea Salts yet ?

Did Dr Liew also give you some lidocaine gel, or Xyloproct cream, which has
a mild steroid to reduce the itching ?

I think all the spasm from the trauma of the procedure has affected your digestion,
so there might be some undigested food. Why don't you get some good digestive
enzymes from the pharmacy ? A good one is by Bio-Grow, chewable. Chew two
at each meal.

http://www.rakuten.com.my/shop/caringpharm...H00023_0163321/


Ask the doctor to let you have one or two more weeks of rest. When are you going
to see him for a review ?

If the itch and irritation is unbearable, maybe you should see Dr Liew again tomorrow.



Talking about depression, I'm the one who is even more depressed now, having to
put up with a schizoid and narcissist younger brother, whom I live with. I have far
more problems than you, and mental trauma kills faster than physical ones.

If you're not sure what narcissistic personality disorder is, just seach Youtube and
there will be countless videos describing one. Hitler was definitely one. Combine
that with schizoid and paranoid personality disorders, and you virtually have a
lunatic on your hands.

I'm amazed that such a mentally unstable person has managed to rise to the level
of a $ 20,000 a month Principal Engineer in Western Digital. I've received feedback
that nobody there likes him.

I received another sick SMS from him today.





This post has been edited by Tham: Dec 8 2013, 08:18 PM