In an effort to help explain the differences between assisted living and nursing homes, I have prepared the following article. I hope this helps you to better understand the purpose of assisted living.
What Is Assisted Living?
Assisted living communities are for people needing assistance with Activities of Daily Living (ADLs) but wishing to live as independently as possible for as long as possible. Assisted living exists to bridge the gap between independent living and nursing homes. Assisted living facilities offer help with ADLs such as eating, bathing, dressing, laundry, housekeeping, and assistance with medications.
The Paragon of Madisonville as well as most assisted living communities creates a service plan or functional needs assessment (FNA) for each individual resident upon move-in. The FNA details the personalized services required or the assistance requested by the resident. We update this plan quarterly to assure that our residents receive the appropriate care as his or her condition changes.
How Does an Assisted Living Community Differ from a Nursing Home?
Quite simply, nursing homes are designed to care for very frail & very sick people that are not able to care for themselves and have numerous health care requirements that an assisted living communities cannot provide..
In writing this article, I began to recall why many of our resident's moved to The Paragon of Madisonville. Quite simply, The Paragon of Madisonville is a worry-free community. Our residents are free of all those household worries such as cooking, cleaning, maintenance of a home and upkeep of the grounds. We provide three meals daily and weekly housekeeping service. We even have the added convenience of providing scheduled transportation and stock personal care items in a general store.
Our resident’s enjoy going shopping, having lunch outside The Paragon, attending functions at the Glema Mahr Center for the Arts, program and plays at the Badgett Playhouse in Grande Rivers and many more wonderful opportunities. As one of our resident’s said, “living at The Paragon is like being on a cruise without the water!”
We at The Paragon of Madisonville strive very hard to help our resident and family members feel satisfied and as comfortable as possible in their surroundings
If you know someone that is interested in The Paragon, please invite them to see our lovely community for themselves and have lunch with us. I think that they will be pleasantly surprised!
Wishing all the father’s reading our newsletter a very Happy Father’s Day!
God Bless you,
Nancy, Community Director
Monday, May 31, 2010
The Kitchen Korner
As always, we will continue to serve some of your favorites, but would love to hear from you and see what you would enjoy seeing on the menu. The invitation is always open for you to share a family recipe and we will be happy to prepare it!
Just in time for those fresh strawberries! We have found a quick and delicious dessert we plan to serve to our residents—thought you would enjoy as well.
Individual Strawberry Cups
1-1/4 Cups graham cracker crumbs 2 cups ice cubes
1/4 cup (1/2 stick) butter, softened 24 Fresh strawberries, divided
1 cups boiling water 2 cups thawed Cool Whipped topping
1 pkg. (3 oz) JELL-O Strawberry Flavor Gelatin 1/3 cup strawberry jam
Heat oven to 350°
Mix crumbs and butter; press 2 tbsp onto bottom and up side of each of 12 muffin cups sprayed with cooking spray.
Meanwhile, add boiling water to gelatin mix in medium bowl; stir 2 minutes until completely dissolved. Add ice; stir 3 to 5 minutes or until slightly thickened. Remove any unmelted ice. Crush 12 berries. Add to gelatin with Cool Whip; whisk until well blended. Spoon into crusts. Refrigerate 3 hours or until firm.
Slice remaining berries. Remove strawberry cups from muffin pan; top with berries. Microwave jam in microwaveable bowl on High 30 seconds or just until melted; stir. Brush over berries. Refrigerate 20 minutes before serving.
Your Paragon Kitchen Staff,
Shirley, Jennifer, Kristen & JoNell
Just in time for those fresh strawberries! We have found a quick and delicious dessert we plan to serve to our residents—thought you would enjoy as well.
Individual Strawberry Cups
1-1/4 Cups graham cracker crumbs 2 cups ice cubes
1/4 cup (1/2 stick) butter, softened 24 Fresh strawberries, divided
1 cups boiling water 2 cups thawed Cool Whipped topping
1 pkg. (3 oz) JELL-O Strawberry Flavor Gelatin 1/3 cup strawberry jam
Heat oven to 350°
Mix crumbs and butter; press 2 tbsp onto bottom and up side of each of 12 muffin cups sprayed with cooking spray.
Meanwhile, add boiling water to gelatin mix in medium bowl; stir 2 minutes until completely dissolved. Add ice; stir 3 to 5 minutes or until slightly thickened. Remove any unmelted ice. Crush 12 berries. Add to gelatin with Cool Whip; whisk until well blended. Spoon into crusts. Refrigerate 3 hours or until firm.
Slice remaining berries. Remove strawberry cups from muffin pan; top with berries. Microwave jam in microwaveable bowl on High 30 seconds or just until melted; stir. Brush over berries. Refrigerate 20 minutes before serving.
Your Paragon Kitchen Staff,
Shirley, Jennifer, Kristen & JoNell
News From Activity Coordinator
It’s time for outdoor activities, ice cream, funnel cakes and so much more! We have a fun and eventful month planned in June.
I would like to mention a few of special events going on this month that I think that you will enjoy:
Mark you calendars for the upcoming Health Fair hosted by Pro-care in the Dogwood Room on June 8th between the hours of 1 p.m. to 3 p.m.
They will have oxygen readings, blood pressure and blood sugar checks.
Next, we are taking a trip to Carolyn’s place, our hairdresser, at the lake for a cookout and a pontoon boat ride on June 14th. You won’t want to miss this exciting adventure!
On June 25th we are go- ing back to Grand Rivers to the Badgett Playhouse for “The Fabulous Fifties Show.”
And last, but not least, I want to mention to our residents about our cookout on June 29th for lunch. This will be our Americana theme to honor Flag Day, Memorial Day and the Fourth of July, so residents come dressed in your red, white, and blue!
This month marks the one year anniversary of the walking club. I’ve not seen very many out walking during these times and I hope to get this exercise program going again. So get out of those suites, put your walking shoes on and let’s go walking again! For those of you that go walking around the perimeter, pay attention to the dates and times of the ‘Walking Club” and join us. As always, I encourage your participation and would love to hear your ideas on some outings for this month and the months to come.
In closing, I would like to wish all the fathers a very Happy Fathers Day! Have a safe and Happy Summer.
Sherry
If friends and family members want to join us for events that we have scheduled, i.e. to the Badgett Playhouse, pontoon boat ride/cook out—just call me at 824-9006 and let me know. We would love for you to join us!
I would like to mention a few of special events going on this month that I think that you will enjoy:
Mark you calendars for the upcoming Health Fair hosted by Pro-care in the Dogwood Room on June 8th between the hours of 1 p.m. to 3 p.m.
They will have oxygen readings, blood pressure and blood sugar checks.
Next, we are taking a trip to Carolyn’s place, our hairdresser, at the lake for a cookout and a pontoon boat ride on June 14th. You won’t want to miss this exciting adventure!
On June 25th we are go- ing back to Grand Rivers to the Badgett Playhouse for “The Fabulous Fifties Show.”
And last, but not least, I want to mention to our residents about our cookout on June 29th for lunch. This will be our Americana theme to honor Flag Day, Memorial Day and the Fourth of July, so residents come dressed in your red, white, and blue!
This month marks the one year anniversary of the walking club. I’ve not seen very many out walking during these times and I hope to get this exercise program going again. So get out of those suites, put your walking shoes on and let’s go walking again! For those of you that go walking around the perimeter, pay attention to the dates and times of the ‘Walking Club” and join us. As always, I encourage your participation and would love to hear your ideas on some outings for this month and the months to come.
In closing, I would like to wish all the fathers a very Happy Fathers Day! Have a safe and Happy Summer.
Sherry
If friends and family members want to join us for events that we have scheduled, i.e. to the Badgett Playhouse, pontoon boat ride/cook out—just call me at 824-9006 and let me know. We would love for you to join us!
Notes from Resident Care Coordinator
As a continuation of the March and April newsletter notes—I will resume with the final topics that Providing Choice, a consumer’s publication for selecting an assisted living community in Kentucky, outlines.
The information that I am providing was developed by the Kentucky Assisted Living Facilities Association (KALFA) and approved by the Kentucky Department for Aging and Independent Living.
Are assisted living services the same in every state?
No. States have different definitions of assisted living.
Can I bring furniture and furnishings for my living unit?
Yes. Assisted living communities in Kentucky encourage clients (residents) to bring their own furniture, furnishings and keepsakes.
What determines the cost of living in an assisted living community?
The cost of living in an assisted living community usually will depend on the size/type of your living unit, assistance you need and any additional services you might request. The assisted living community is required to disclose all available services and fees, so you can make an informed decision.
Are the assisted living community employees required to be trained?
Yes. Kentucky law requires employees to be trained on a number of key topics.
Do assisted living communities conduct criminal record checks on their employees?
Yes. Assisted living communities are required to conduct criminal record checks on employee applicants. Many also voluntarily ensure that no employee applicants are listed on Kentucky’s nurse aid abuse registry.
Will I ever have to move out of the assisted living community?
Kentucky law required that a client (resident) must be ambulatory or be mobile non-ambulatory, such as being able to get around with a walker or in a wheelchair without assistance.
Any client who needs health care service must directly arrange to receive those services from an outside agency or individual, or otherwise be required to move out of the assisted living community.
In addition, any client who poses a danger to self or others must move out. Last, a client who is unable to continue paying for services must be given at least a 30-day notice by the assisted living community before being required to move out. An assisted living community that issues a move-out notice must have provisions for assisting the client in finding appropriate living arrangements prior to the actual move-out date.
This concludes the article (s) from Providing Choice. If you would like a copy of this publication, please let us know.
Until next month . . . Ruth
The information that I am providing was developed by the Kentucky Assisted Living Facilities Association (KALFA) and approved by the Kentucky Department for Aging and Independent Living.
Are assisted living services the same in every state?
No. States have different definitions of assisted living.
Can I bring furniture and furnishings for my living unit?
Yes. Assisted living communities in Kentucky encourage clients (residents) to bring their own furniture, furnishings and keepsakes.
What determines the cost of living in an assisted living community?
The cost of living in an assisted living community usually will depend on the size/type of your living unit, assistance you need and any additional services you might request. The assisted living community is required to disclose all available services and fees, so you can make an informed decision.
Are the assisted living community employees required to be trained?
Yes. Kentucky law requires employees to be trained on a number of key topics.
Do assisted living communities conduct criminal record checks on their employees?
Yes. Assisted living communities are required to conduct criminal record checks on employee applicants. Many also voluntarily ensure that no employee applicants are listed on Kentucky’s nurse aid abuse registry.
Will I ever have to move out of the assisted living community?
Kentucky law required that a client (resident) must be ambulatory or be mobile non-ambulatory, such as being able to get around with a walker or in a wheelchair without assistance.
Any client who needs health care service must directly arrange to receive those services from an outside agency or individual, or otherwise be required to move out of the assisted living community.
In addition, any client who poses a danger to self or others must move out. Last, a client who is unable to continue paying for services must be given at least a 30-day notice by the assisted living community before being required to move out. An assisted living community that issues a move-out notice must have provisions for assisting the client in finding appropriate living arrangements prior to the actual move-out date.
This concludes the article (s) from Providing Choice. If you would like a copy of this publication, please let us know.
Until next month . . . Ruth
Thursday, May 13, 2010
Nancy's Mats and Neighborly Chats
April was Volunteer Appreciation Month. This article is dedicated to those volunteers with our sincere thanks.
We don’t often have a chance to show appreciation to some of the volunteers who cross the threshold of our doors and come into the lives of our Paragon residents and staff. Therefore, it’s time to express our gratitude to the people who volunteer their time to help the activities and events program at The Paragon of Madisonville. These volunteers work in many different areas, such as conducting Sunday school, devotional services, playing music or singing, calling Bingo, conducting educational classes, pet therapy and various crafts.
Our volunteers are indispensable, and we are so thankful for all that they do. Even though every staff person at The Paragon strives to make sure our residents achieve the most out of every day, it takes the time of our devoted volunteers to fulfill our commitment to our residents. We are so very blessed to have these volunteers and it’s a privilege to honor them.
Do you enjoy spending time with seniors? Do you have talents you like sharing with others? We are always looking for people to spend one hour a week or more with our residents. If you have a favorite hobby or talent you would like to share, or just want to enjoy a glass of iced tea and good conversation with some very interesting people, become a volunteer today.
If you are interested in becoming a volunteer at The Paragon, please call Sherry at (270) 824-9006. Giving of your time and your heart can be the most rewarding thing you ever do.
On behalf of the residents and staff of The Paragon, thank you and God Bless,
Nancy
Whether we're moms, daughters, grandmothers, or all of the above, Mother's Day holds a special place in our hearts. Sure, birthdays are a chance to show our appreciation, but Mother's Day is something different altogether. It's about loving mom for mothering us. It's about loving mom for disciplining us, pushing us, and loving us. It's about loving your children because they are yours. It's about celebrating the very idea of motherhood. In honor of that, share your favorite memories of Mother's Days past and present with family and friends.
Happy Mother's Day!
May 9, 2010
We don’t often have a chance to show appreciation to some of the volunteers who cross the threshold of our doors and come into the lives of our Paragon residents and staff. Therefore, it’s time to express our gratitude to the people who volunteer their time to help the activities and events program at The Paragon of Madisonville. These volunteers work in many different areas, such as conducting Sunday school, devotional services, playing music or singing, calling Bingo, conducting educational classes, pet therapy and various crafts.
Our volunteers are indispensable, and we are so thankful for all that they do. Even though every staff person at The Paragon strives to make sure our residents achieve the most out of every day, it takes the time of our devoted volunteers to fulfill our commitment to our residents. We are so very blessed to have these volunteers and it’s a privilege to honor them.
Do you enjoy spending time with seniors? Do you have talents you like sharing with others? We are always looking for people to spend one hour a week or more with our residents. If you have a favorite hobby or talent you would like to share, or just want to enjoy a glass of iced tea and good conversation with some very interesting people, become a volunteer today.
If you are interested in becoming a volunteer at The Paragon, please call Sherry at (270) 824-9006. Giving of your time and your heart can be the most rewarding thing you ever do.
On behalf of the residents and staff of The Paragon, thank you and God Bless,
Nancy
Whether we're moms, daughters, grandmothers, or all of the above, Mother's Day holds a special place in our hearts. Sure, birthdays are a chance to show our appreciation, but Mother's Day is something different altogether. It's about loving mom for mothering us. It's about loving mom for disciplining us, pushing us, and loving us. It's about loving your children because they are yours. It's about celebrating the very idea of motherhood. In honor of that, share your favorite memories of Mother's Days past and present with family and friends.
Happy Mother's Day!
May 9, 2010
The Kitchen Korner
Spring is officially here! You will start noticing new and lighter items on the menu geared for spring and
summer. Even though soups are always “in season”, you won’t be seeing as many on the menu – that goes for Chili as well. We will also be “firing up” the grill– so start looking for grilled entrĂ©es on the menu.
As always, we will continue to serve some of your favorites, but would love to hear from you and see what you would enjoy seeing on the menu. The invitation is always open for you to share a family recipe and we will be happy to prepare it!
One of the most famous 2 minutes in sports is the Kentucky Derby! On Saturday May 1st the 136th running of the Kentucky Derby will take place.
If you plan to host a Derby party, traditional recipes of the Kentucky Derby is Burgoo, Bourbon Balls, Kentucky Hot Brown, Derby Day Pie, Cheese Garlic Grits and Bread Pudding with Bourbon Sauce. Any one of these might be just the “winning ticket” for your Derby Day!
Last year we gave you the recipe for the Kentucky Derby Pie, year before that was the recipe for
Kentucky Hot Browns. This time we are going to share the official recipe for Cheese Garlic Grits:
1 cup quick grits
4 cups boiling water
1 tsp. salt
4 ounces butter
12 ounces sharp cheddar cheese
1 egg
1 Tbsp. garlic powder
3/4 cup milk
dash hot sauce
Cook grits in boiling water until thick. Remove from heat. Stir in butter and half of the cheese. Beat egg with garlic powder, milk and hot sauce. Add mixture to grits. Pour into buttered, two-quart casserole dish. Top with the rest of the cheese. Bake one hour at 350 degrees.
Have a great Derby Day & Enjoy! Your Paragon Kitchen Staff,
Shirley, Jennifer, Kristen & JoNell
summer. Even though soups are always “in season”, you won’t be seeing as many on the menu – that goes for Chili as well. We will also be “firing up” the grill– so start looking for grilled entrĂ©es on the menu.
As always, we will continue to serve some of your favorites, but would love to hear from you and see what you would enjoy seeing on the menu. The invitation is always open for you to share a family recipe and we will be happy to prepare it!
One of the most famous 2 minutes in sports is the Kentucky Derby! On Saturday May 1st the 136th running of the Kentucky Derby will take place.
If you plan to host a Derby party, traditional recipes of the Kentucky Derby is Burgoo, Bourbon Balls, Kentucky Hot Brown, Derby Day Pie, Cheese Garlic Grits and Bread Pudding with Bourbon Sauce. Any one of these might be just the “winning ticket” for your Derby Day!
Last year we gave you the recipe for the Kentucky Derby Pie, year before that was the recipe for
Kentucky Hot Browns. This time we are going to share the official recipe for Cheese Garlic Grits:
1 cup quick grits
4 cups boiling water
1 tsp. salt
4 ounces butter
12 ounces sharp cheddar cheese
1 egg
1 Tbsp. garlic powder
3/4 cup milk
dash hot sauce
Cook grits in boiling water until thick. Remove from heat. Stir in butter and half of the cheese. Beat egg with garlic powder, milk and hot sauce. Add mixture to grits. Pour into buttered, two-quart casserole dish. Top with the rest of the cheese. Bake one hour at 350 degrees.
Have a great Derby Day & Enjoy! Your Paragon Kitchen Staff,
Shirley, Jennifer, Kristen & JoNell
News From the Ice Cream Parlor
Welcome to our May issue of The Pinnacle. I would like to begin with saying a job well done to all of our staff. Hooray -we received an A+ on our state survey!
A big round of applause goes to our Paragon bowling team for raising $400 for Big Brothers Big Sisters Bowl for Kid’s Sake! The Paragon team included Debbie Gordon, Sherry Stuart, Cara Sizemore, Brandi Collins, Kristen Davis, and Crystal Hill.
As always, I invite each of you to come and check out our daily activities. We always have something for everyone, and if for some reason you have a favorite activity that is not on the calendar, please let me know and we will work together to get it listed. I am always open to ideas and suggestions, so let’s talk!
Also just a reminder for our residents– our weekly calendars are located on the round table in the front salon. New calendars come out each Sunday. Please be sure to look at it as they may be different than your monthly calendar due to other scheduling or cancellations.
Now let’s talk about some of our upcoming events for this month. A few of the residents were discussing going on a picnic at the city park. Everyone seemed to be very interested at the time of discussion so watch your calendars for the date! Also, I have talked with our hairdresser, Carolyn Clayton, and she has graciously invited us to the lake for a picnic and a pontoon boat ride! Next, we are planning to put on some quilting dates. Lynda Scott is a part-time employee at the Paragon and she is going to volunteer to show us a little bit about it. Since being her, I have always wanted to make a Paragon quilt!
Together we could make every square unique. Of course, if you needed a pair of helping hands that’s what the staff are here for. We can make it work, if there’s a will there’s a way!!
May is Physical Fitness and Sports month, so let’s be healthy and stay active! I am hoping to see more of you out and about these next few months. Even if you don’t participate in activities, we would love for you to come and observe and talk with us. Socialization promotes good health! I will close with saying, enjoy life to the fullest and together we can make it fun!
Until next month,
Sherry
A big round of applause goes to our Paragon bowling team for raising $400 for Big Brothers Big Sisters Bowl for Kid’s Sake! The Paragon team included Debbie Gordon, Sherry Stuart, Cara Sizemore, Brandi Collins, Kristen Davis, and Crystal Hill.
As always, I invite each of you to come and check out our daily activities. We always have something for everyone, and if for some reason you have a favorite activity that is not on the calendar, please let me know and we will work together to get it listed. I am always open to ideas and suggestions, so let’s talk!
Also just a reminder for our residents– our weekly calendars are located on the round table in the front salon. New calendars come out each Sunday. Please be sure to look at it as they may be different than your monthly calendar due to other scheduling or cancellations.
Now let’s talk about some of our upcoming events for this month. A few of the residents were discussing going on a picnic at the city park. Everyone seemed to be very interested at the time of discussion so watch your calendars for the date! Also, I have talked with our hairdresser, Carolyn Clayton, and she has graciously invited us to the lake for a picnic and a pontoon boat ride! Next, we are planning to put on some quilting dates. Lynda Scott is a part-time employee at the Paragon and she is going to volunteer to show us a little bit about it. Since being her, I have always wanted to make a Paragon quilt!
Together we could make every square unique. Of course, if you needed a pair of helping hands that’s what the staff are here for. We can make it work, if there’s a will there’s a way!!
May is Physical Fitness and Sports month, so let’s be healthy and stay active! I am hoping to see more of you out and about these next few months. Even if you don’t participate in activities, we would love for you to come and observe and talk with us. Socialization promotes good health! I will close with saying, enjoy life to the fullest and together we can make it fun!
Until next month,
Sherry
Notes From Ruth Barnett
Tis the season for allergies!
This year, it has been reported that the pollen count is the worst it has been in years!
Allergies are very common, affecting about 20% of the population. When the body's immune system reacts to a normal, harmless substance (like pollen, for example) by creating an antigen to fight it, that's an allergy.
Types
There are so many different types of grasses, trees and plants that cause allergies that it can be hard to narrow down a specific allergy. Pollen and ragweed are two of the most common causes of season allergies, but any grasses, weeds and trees can cause them.
A person can be allergic to just pollen or some other allergen like ragweed, or he can be allergic to more than one, or several.
Symptoms
Sometimes the symptoms of seasonal allergies are hard to distinguish from symptoms of a cold. In fact, some people might think they have a cold or allergies, when in fact they have the other. People who get colds frequently in the spring or fall often are suffering from seasonal allergies instead of colds.
Runny nose, stuffy nose, watery and itchy eyes, coughing, sneezing, itchy throat, difficulty sleeping and even an inability to taste or smell as normal are symptoms of seasonal allergies
Causes/Risk Factors
With seasonal allergies, the body's immune system recognizes the inhaled substance as something dangerous like a virus or other bacteria and tries to flush it out, which causes the symptoms. Immunoglobulin antibodies are released, which release histamine and other chemicals. These chemicals cause the coughing, sneezing, nose running and eye watering designed to
flush those foreign bodies away.
Of those who do have seasonal allergies, some parts of the country and
locations tend to cause more symptoms than other, depending on what their particular allergy is to, and the kinds of grasses, trees and plants common in that area.
Treatment
Minimizing exposure to allergens is the best course of action, like staying in a climate-controlled environment when allergens are high and avoiding being outdoors between 5 and 10 a.m. when pollen counts are at their peak. Air-conditioned surroundings can help filter out many airborne allergens.
Seasonal allergies are often treated with over-the-counter and prescription antihistamines and decongestants,
nasal corticosteroids, and sometimes a 3 to 5 year course of allergy shots.
Until Next Month!
Ruth
This year, it has been reported that the pollen count is the worst it has been in years!
Allergies are very common, affecting about 20% of the population. When the body's immune system reacts to a normal, harmless substance (like pollen, for example) by creating an antigen to fight it, that's an allergy.
Types
There are so many different types of grasses, trees and plants that cause allergies that it can be hard to narrow down a specific allergy. Pollen and ragweed are two of the most common causes of season allergies, but any grasses, weeds and trees can cause them.
A person can be allergic to just pollen or some other allergen like ragweed, or he can be allergic to more than one, or several.
Symptoms
Sometimes the symptoms of seasonal allergies are hard to distinguish from symptoms of a cold. In fact, some people might think they have a cold or allergies, when in fact they have the other. People who get colds frequently in the spring or fall often are suffering from seasonal allergies instead of colds.
Runny nose, stuffy nose, watery and itchy eyes, coughing, sneezing, itchy throat, difficulty sleeping and even an inability to taste or smell as normal are symptoms of seasonal allergies
Causes/Risk Factors
With seasonal allergies, the body's immune system recognizes the inhaled substance as something dangerous like a virus or other bacteria and tries to flush it out, which causes the symptoms. Immunoglobulin antibodies are released, which release histamine and other chemicals. These chemicals cause the coughing, sneezing, nose running and eye watering designed to
flush those foreign bodies away.
Of those who do have seasonal allergies, some parts of the country and
locations tend to cause more symptoms than other, depending on what their particular allergy is to, and the kinds of grasses, trees and plants common in that area.
Treatment
Minimizing exposure to allergens is the best course of action, like staying in a climate-controlled environment when allergens are high and avoiding being outdoors between 5 and 10 a.m. when pollen counts are at their peak. Air-conditioned surroundings can help filter out many airborne allergens.
Seasonal allergies are often treated with over-the-counter and prescription antihistamines and decongestants,
nasal corticosteroids, and sometimes a 3 to 5 year course of allergy shots.
Until Next Month!
Ruth
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