Continue to Pray For Sweet Eddie- he continues to Recover!

Eddie suffered a near death drowning several months ago and has been in special care as he continues to recover. You can follow his recovery on his Facebook page: Pray for Sweet Eddie and send him prayers as prayers continue to help!  We will continue to send prayers his way from Physical Therapy Solutions and help him and his family however way we can.

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March 2, 2014. Tags: , , , . Newsletter Spotlights. Leave a comment.

August 2013 Fund Raiser for Sweet Baby Eddie

Here is what Eddie’s Mom posted on his Facebook Fan page in response to our fund raiser video:

Dr Flores and EddieMonday 8/5/13:  “Eddie’s mamma here. Early day 48. I want to post this message as a sincere and true thanks to Dr. Yvette Flores, DPT. As some of you know, Eddie was born with severe congenital torticollis and plagiocephaly. He had to start intense physical therapy at 6 weeks old, and went through 4 cranial bands to help support his cranial bone growth and alignment. Dr. Yvette Flores was a godsend. She has such a gift for working with kids and was amazing with Eddie. He actually had recently “graduated” from the torticollis recovery program in May. Dr. Flores is amazing, and if anybody needs a physical therapist, especially for your child, she is the only one I would recommend to anyone. This is a video of her, promoting a fundraising event for Eddie through her clinic. I just want to say thank you so much Yvette, from the bottom of my heart, not only for how much you have already done for Eddie since he was born, but how devoted you are in your prayers and support for what is going on after his tragic accident. This is a short video she made for her patients announcing a special fundraising event for Eddie during the month of August. She pointed out Eddie’s favorite toy he always wanted to play with, which was this toy police car, that we’d always have to use as our PT tool. Thank you Dr. Flores for what you have already done for my son, for your dedication to your work, and your passion for the children you work with. You will always be part of our family! And thank you so much for reaching out asking for help for Eddie during this horrible nightmare! We love you and can’t wait to visit when this is all over! I know Eddie will be looking for that police car toy, so you better have it ready! 😉 xo”

A message to patients of PT Solutions from Eddie’s Mom:

“This is the video that Dr. Yvette Flores posted about Eddie and helping to raise funds for his current needs…. if you are a patient of Dr. Flores’s and have been following Eddie’s story, please at least send prayers. You are not obliged to do anything above that, but if you feel called to help monetarily, then know that we are extremely grateful!! Just thank you for all your support, and thank you Dr. Flores for being a vehicle for the emotional and communal support we need right now! I truly love you Yvette!”

To follow Eddie’s updates, visit his Facebook page: PrayforSweetEddie or click below:

https://www.facebook.com/PrayForSweetEddie

August 5, 2013. Tags: , . Events, Newsletter Spotlights. Leave a comment.

Get to Know Dr. Yvette Flores: Head & Neck Specialist for Infants, Children & Adults

September 25, 2012. Tags: , , , , , . Invitations, Newsletter Spotlights, Welcome New Parents!. Leave a comment.

830 Cold Laser Therapy for Pain & Swelling

FREE INFORMATIONAL SESSION

Physical Therapy Solutions is proud to be the premiere certified 830 laser provider in Santa Monica, CA.

This revolutionary new treatment has proven to reduce localized pain, reduce localized swelling, and aid in faster recovery from most muscle, joint, tendon, and nerve pain associated with:
Arthritis
Back Pain
Bursitis/Tendonitis
Carpal Tunnel Syndrome
Fibromyalgia
Heel Spur/ Plantar Fasciitis
Migraines
Osteoarthritis
TMJ
and more…

You are invited….

Now that we have 2 certified laser providers in our center, we will be hosting monthly informational sessions, to include one FREE laser treatment to all those who attend.

Class Objectives:
1. Learn how the 830 laser helps increase the body’s own healing power
2. Learn how the 830 laser stimulates and energizes cells to repair and strengthen at a remarkably fast rate
3. Discover why this modality is SAFE for all ages, even young children
4. Discover why this modality is SAFE over metal implants, post-surgical incisions, and fractures
5. Learn why this modality is a better treatment for pain with no side- effects compared to taking pain medication and cortizone shots
6. Discover how the 830 laser compares to others and why Dr. Flores selected this particular one after 5 years of research.

Class Schedule

WHEN:

Monday May 9, 2011 at 6:00pm

Monday June 6, 2011at 6:00pm

WHERE:
Physical Therapy Solutions Pain Center
2634 Wilshire Blvd
Santa Monica CA 90403

PLEASE CALL to RSVP:
800-507-2634 ext 8888

Maximum persons per class: 10

Class will be 45 minutes long

If you want to learn a safe and effective alternative to pain medication, for both pediatrics and adults, this class is a must. Share this flyer with those that can benefit and call today!

We are here to help.

http://www.830coldlaser.com

April 27, 2011. FYI's for New Parents, Newsletter Spotlights. Leave a comment.

An alternate sleep positioner to improve or prevent head flattening

We are always finding ways to help families seeking our help to improve their baby’s misshapen head.  In the past 10 years, I have learned various techniques and tips that have proved to work for many.  Whether it’s the use of rice bags to block sleeping on a flat spot, or the use of special pillows in the car seat/stroller to block laying on a flat spot, I am constantly researching safe ways to help families improve head shape and avoid the helmet.

NOTE: In order to guarantee safety using any sleep positioner or head device, it is mandatory to get instructed and cleared by a pediatric physical therapist who is a head & neck specialist.  Do not attempt to use any suggestions or recommendations found online without first getting instructed and cleared.

CASE STUDY:  4 month old baby boy with ‘moderate to severe’ right head flattening

I am excited to share a case study of a 4 month old baby boy who was referred to me by his Pediatrician for flattening of the back of the head.  After his PT evaluation, I rated the severity of flattening to be ‘moderate-severe right plagiocephaly’.  I immediately instructed his Mom on repositioning techniques off the flat spot, to start allowing it to re-round and re-shape.

Our protocol in addressing cases of head flattening is three-fold: 1.  Identify and address the root cause of the flat spot, which is typically a tight neck muscle or larger than average head size.  2.  Immediately instruct parents on safe repositioning techniques off the flat spot in the crib, car seat and stroller.  3.  Implement a physical therapy program of stretches, massage techniques and strengthening techniques to correct the underlying cause and improve the head shape.

Regarding this case, my goal was to help this baby’s parents successfully prevent further flattening and improve head shape to a mild to moderate category within 2 to 3 months, which is a typical expectation.  Within the first two to three weeks of initiating physical therapy, we were seeing clear range of motion improvements with his head turning and clear strength gains lifting and turning his head during tummy time.  However, Mom was having a difficult time blocking him from sleeping on the flat spot.  Even with the techniques I suggested, her son kept finding his way back to laying on the flat spot.

Mom discovered that the only time she can successfully block him from laying on the flat spot is when he fell asleep in his swing.  She started opting to nap him in this device and sent me photos to make sure this was OK.  

After viewing the device and looking at how she positions him in it, I told her I felt comfortable having her nap him in it.  So long as she was in the room with him, she even had him sleep in it during the night.

The head shape improvements over the next  month was astounding.  I just worked with him yesterday and rated his head shape to be ‘mild’ right plagiocephaly.  He is no longer a possible candidate for helmet therapy.  I am happy to see that after just a month of successfully sleeping him off of the flat spot, using this swing, he went from moderate-severe flatness to mild flatness.  Why is this a big deal, you might ask?  It is the fastest correction I’ve ever seen without the use of a helmet in a baby with a strong rotational favoring during sleep.

I recommend looking into this device as an alternate method of napping with success off the flat spot.  Mom took some of my instructed techniques and applied them with the use of this swing cradle and was 100% successful.

If your baby favors looking to the same side when sleeping or has a developing flat spot, you may want to find out what options are available and get instructed and cleared by a specialist as soon as possible.

If you are interested in learning more about this device as an option, I encourage you to schedule a physical therapy evaluation with me  so that I can assess the severity of your baby’s condition and we can discuss if this could be a good option of correcting or protecting your baby’s head shape.  For more information about our clinic and evaluation services, go to http://www.babytherapysolutions.com or call us 800 507 2634.

March 5, 2011. Tags: , , , , , . FYI's for New Parents, Newsletter Spotlights. 3 comments.

New Parents: Self Help Tips to a Healthy Round head

 
 

 

Teach Tummy Time

Help your baby ‘accept’ and eventually love tummy time. Supervised tummy time as early as 3 to 4 weeks, using a boppy pillow or small towel roll under the chest is encouraged and an appropriate step toward developing strong healthy balanced muscles, full neck range of motion and a nice round head. Most babies fatigue quickly when first introduced to tummy time, and they let us know by showing discomfort and eventually crying. In the tummy time position, in order for a baby to see their environment, they have to actively lift up their head, using their neck extensor muscles. These muscles, along with other muscles responsible for helping a baby push their body up off the mat and eventually start crawling, are only strengthened when the baby is in the prone position. The more practice you give your baby, several times a day, the stronger these muscles get, and the sooner you will see your baby progress through developmental milestones.

 Alternate Your Baby’s Head Positions

When putting your baby down to sleep on his/her back, make sure to alternate the position of his/her head on a regular basis, to prevent any flattening on the back of the head. Because a baby’s head is so malleable up until about 12 months of age, prolonged contact with any surface (e.g. crib, car seat or stroller) can be enough to eventually cause the point of contact to deform, or flatten.

 Make Sure Your Baby is Looking Around

 When holding your baby in an ‘upright’ position (head up), be sure to engage him/her to look as far as he/she can look over both shoulders. This will ensure healthy development of neck range of motion and minimize any favoring which can lead to other complications.

 

 

Physical Therapy Solutions is a privately owned physical therapy clinic in Santa Monica California. PT Solutions offers specialized services for children ages birth to three. Specialized services include: Gross Motor Skills evaluation and treatment for Musculoskeletal Challenges such as:  

-Developmental delays (muscle weakness or tightness, causing child to be behind with gross motor skills such as sitting, crawling, walking)

-Gross motor delays seen in premature infants and multiple births (twins, triplets)

-Congenital head & neck challenges such as torticollis, plagiocephaly, and brachycephaly

-Soft tissue injuries, joint sprains/ strains or surgical repair as a result of an injury or motor vehicle accident

-Juvenile rheumatoid arthritis in the ankle, knee or hip, making it difficult to develop and maintain normal walking patterns and stair negotiation. Specialized services also include parent education and instruction on home programs of positioning and exercise.  Lastly, Physical Therapy Solutions offers community lectures and trainings by phone conferencing or in person, open to parents, caregivers, and the staff of baby centered businesses.

 

October 6, 2010. Newsletter Spotlights. Leave a comment.

Baby Solutions – Fall Newsletter 2010

S U C C E S S  S P O T L I G H T, M I L E S TO N E C H E C K L I S T,        T I P S , & M O R E !

Hayden was a twin 5 month old baby boy when he started his physical therapy program. He had been diagnosed by his Pediatrician to have a head and neck challenge, resulting in a mis-shapened head, limited ability to look fully over his left shoulder, and limited neck strength. These limitations also affected his body strength, resulting in delayed gross motor milestones.  Hayden successfully completed a course of helmet therapy which corrected his head shape.  Hayden also successfully completed his physical therapy program over the course of 4 months. His results were tremendous.  He attained full ability to look over both shoulders, equal and full neck strength, a midline head positioning with no favoring to one side, and he was on his way to reaching all age-specific gross motor skills. When he completed the program at 9 months, he was sitting independently, army crawling on his belly and getting stronger transitioning to and maintaining the crawl position (hands & knees). Hayden did great with us and everyone involved did their part well. We can’t be more proud of his accomplishments. Here is what Mom had to say: “Thank you for the wonderful work you did with Hayden! I was so anxious about his condition, but you made me feel confident that your treatment with him would yield great results- and indeed it did.  Thanks again, Dr. Flores!”

Gross-Motor Developmental Milestones

Gross Motor Developmental Milestones are sets of functional skills & movement tasks expected to be seen at certain age levels requiring the use & coordination of large groups of muscles. They are used to track motor development compared to average  age groups. From birth to 12 months, muscle strength of the upper and lower body as well as core stabilization naturally develops as the child moves, plays and explores his/her environment. It is essential for your child to spend time in multiple play positions to strengthen equally the muscles in the front of the body as well as the muscles located in the back of the body. It is advised to introduce your baby to tummy time once the belly button falls off, to begin the process of strengthening head control and upper body strength.

 1 month: Makes jerky, quivering arm thrusts, brings hands within range of eyes & mouth, moves head from side to side while lying on stomach, keeps hands in tight fists

3 months: Raises head & chest when lying on stomach, supports upper body with arms when lying on stomach, stretches legs out and kicks when lying on stomach or back, opens & shuts hands, pushes down on legs when feet are placed on a firm surface, brings hand to mouth, takes swipes at dangling objects with hands, grasps and shakes hand toys

4-7 months: Rolls both ways (front to back, back to front), sits with, and then without, support of his/her hands, supports whole weight on his/her legs, reaches with one hand, transfers object from hand to hand, uses raking grasp (not pincer)

8-12 months: Gets to sitting position without assistance, crawls forward on belly by pulling with arms & pushing with legs, assumes hand-and-knees position, creeps on hand & knees supporting trunk on hands & knees, gets from sitting to crawling or prone position, pulls self up to stand, walks holding onto furniture, stands momentarily without support, may walk two or three steps without support

Contact us to learn more about our specialized physical therapy programs for babies diagnosed with gross motor delays & our Baby Fitness Classes designed to prevent delays.

September 7, 2010. FYI's for New Parents, Newsletter Spotlights, Testimonials. Leave a comment.

An Adult Case of Unresolved Congenital Muscular Torticollis

Dr. Flores:  Deanna, thank you for interviewing with us today and for taking the time to share your interesting story.  We support you in your efforts to raise awareness of un-resolved congenital muscular torticollis (CMT) and its impact on adults.  We can only hope that parents who have an infant or toddler with a head and neck challenge will take from your story and make the best decision possible for their child.  With this in mind, how old were you when you were diagnosed with CMT and what were the physical signs?

Deanna:  I really don’t know how old I was at diagnosis but I was always told, simply, that I was born with it.  I have a baby picture where I was about 4 months old & the torticollis & facial asymmetries were obvious. The right side of my face is still rounder & fuller than the left side, resulting in a ‘C’-shape curve to my entire face.  My left eye is lower than my right eye.  My ears are uneven.  My teeth are off-kilter from my smile.  I have always tilted to the left.

Dr. Flores:  What types of intervention and formal treatments did your parents have you do?

Deanna:  I don’t believe I ever did a course of physical therapy or cranial sacral therapy as an infant or toddler, and I am not sure why.  My parents were told that my condition was not a big deal and many said that it would resolve on its own.   Unfortunately, my condition did not resolve on its own.  At the age of 13, I had to undergo the SCM (sternocleidomastoid muscle) release surgery.  I only recall one appointment with the surgeon prior to surgery, and one appointment afterward where they taught me two stretches and that was it.  Unfortunately, that was the extent of the post-surgery physical therapy care I received.  I feel that I did not have proper follow-up care and therefore feel like the surgery was not as helpful as it could have been.

Dr. Flores:  Do you still have symptoms of torticollis today, and if so, what are you doing to minimize or correct it?

Deanna: Yes, I still tilt to the left.  I can’t look fully over my left shoulder compared to the right; its 3/4ths of the full range.  I have trained myself to sleep with my head tilted to the right, or on the cheek on my torticollis side (head turned to the left), hoping that it helps stretch the muscle out in the middle of the night. During the day, I try to be conscious of holding my head straight so that my eyes look less crooked as I work and go about my life with my family.  When I hold my head straight, it doesn’t feel like its straight; it feels like my head is tilting the opposite way past the center.  Regarding formal intervention, I have been researching to see if there are any treatments I can do right now to resolve my CMT.  I believe I have scar tissue build up in the area I had surgery and wonder if anything could be done now to improve it.  I have been to my local physician to try to get a referral to a specialist, with no luck.  I am trying to decide if I should pursue physical therapy on my own to see if it will help or talk to a surgeon that does the SCM release procedure, to see if another release, followed by proper physical therapy, is worth considering.

Dr. Flores:  Did the torticollis pose obstacles in your life growing up?  Do you have any obstacles now?

Deanna:  Absolutely! Growing up, I was made fun of constantly – which made me very shy, even afraid. I was ridiculed with nicknames that followed me from grade school to high school, and I still feel like people look at me funny.  I rarely look anyone in the eyes, because I don’t want them to see how crooked my face is.  I feel like I have to exert extra effort to have people look past my physical appearance and focus on my personality or intellect.  I have a hard time accepting a compliment that I look nice.  I almost never have my picture taken, because I hate how it looks, which is sad because I’m not in very many pictures with my kids growing up.  Currently, I am content just being with my family.  I am a wife and a mom of two beautifully perfect girls.  I count my blessings as I know that there are plenty of folks that have worse problems than I do.

Dr. Flores:  Based on your own experience growing up with CMT, what advice can you give to new parents?

Deanna:  This may sound simple, but my advice is, learn everything you can about it. Go with your gut instinct.  Don’t just passively take the doctor’s word if he/she feels that there’s nothing that needs to be done.  It’s OK to get a second opinion and/or an evaluation by a head & neck physical therapy specialist.  As a parent, do everything in your power to make sure your kids grow up normally.

Dr. Flores:  In your opinion, what is the best method of identifying early signs of CMT, addressing it, and correcting it?

Deanna:  Well, I think for most new parents, they have no idea what it is. Even though it is becoming so common, the parent has to notice that something isn’t right and not drop the subject until they get help that shows improvement. Pediatricians need to be taught to recognize it and be experts in common treatment paths. I can say to all parents and doctors, it isn’t something you grow out of.  From everything I have read up to this point, it sounds like most cases can be resolved by an experienced, attentive physical therapist and determined parents who do everything possible to fix this for their children.  I really think that a lot can be gained by simply educating parents and the medical community. Please visit www.mytortsupport.com and provide some feedback if possible, and help me share the site with others affected by congenital muscular torticollis. –Deanna Franks

January 12, 2010. Tags: , , , , , , , , , . Newsletter Spotlights. 49 comments.

Newsletter Spotlight: Dr. John Graham Jr. of Cedar Sinai

Dr. Yvette Flores of Physical Therapy Solutions for Infants & Toddlers Spotlights: Dr. John Graham Jr.

Dr. John Graham Jr. is the Director of Clinical Genetics and Dysmorphology at Cedar Sinai and Professor of Pediatrics at UCLA Medical School. Dr. Graham has written over 200 peer-reviewed scientific articles and book chapters and recently revised his book, Smith’s Recognizable Patterns of Human Deformation.

Interview Summary: Dr. Graham advocates early intervention with a pediatric physical therapist for infants and toddlers with head favoring or a misshapen head. Dr. Graham also encourages pediatricians to refer directly to a pediatric physical therapist for treatment of congenital muscular torticollis and positional plagiocephaly. He states that early effective physical therapy treatment can prevent onset of other associated problems. He also states that the literature suggests that in more than 90% of cases where there is a conscientious physical therapist and a compliant set of parents, the problem is resolved with just physical therapy.
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Yvette: Thank you so much for you time today Dr. Graham. As the owner of Physical Therapy Solutions for Infants & Toddlers, I must say, it is an incredible honor to spotlight you on today’s call. As a physician, what are your specialties and how long have you been specializing in these areas?
 

Dr. Graham: I’m board certified in pediatrics and medical genetics and my specialties are developmental disabilities, communicative disorders, dysmorphology, teratology, and in general kids with birth defects for developmental disabilities.

Yvette: In our community, you have become the ‘go to’ specialist that many Pediatric physicians send patients to, when they come across an infant or toddler with head and neck challenges. What are the most common challenges that you see come your way?

Dr. Graham: I got one clinic per week that I devote just to children with head shape abnormalities and the other major clinic I do is for kids with birth defects, developmental disabilities, and a variety of different types of growth problems.

Yvette: Let’s talk about Congenital Muscular Torticollis and Positional Plagiocephaly for a moment. These are common diagnoses that we as physical therapy specialists treat on a daily basis. Can you define these terms for new parents listening to this information?

Dr. Graham: Congenital muscular torticollis is common and occurs in at least 2% of children who require prolonged physical therapy in order to prevent or correct secondary changes in the shape of the baby’s head. There are probably another 20% of babies that are born with a positional preference where their head turns one way or the other simply because that’s how they come through the birth canal. Invariably, children who are part of a multiple gestation, either twins or triplets are impacted by limited late gestational room for the increase number of fetuses and usually the lower baby in the multiple gestation is the one that’s most impacted by the limited space. They very commonly if not almost always require some attention due to the cramped space which usually results in some degree of torticollis. So this is a common problem and with early effective treatment it can be prevented from causing other associated problems in most cases.

Yvette: Speaking of treatment and physical therapy, have you seen a high success rate when physical therapy is initiated earlier versus later?

Dr. Graham: The literature suggests that if there is no mass in the neck, which usually indicates some degree of trauma to the neck muscles, therapy should take 4-5 months and if there is a mass, it takes 6-8 months. The literature further suggests that in 90% of cases where there is a conscientious physical therapist and a compliant set of parents, the problem is resolved with physical therapy.

Yvette: In our particular clinic, that is what we’ve seen as well. Let’s talk about a common challenge that many parents are facing. They see the Pediatrician, either they’ve noticed a favoring or flat spot, or the Pediatrician has noticed it. The doctor gives the parents a handout of stretches to do at home. Some parents are pretty good at it; however most are not comfortable or confident doing them, especially if their baby starts resisting or getting upset. The parents go back for a follow up visit; the Pediatrician sees little to no improvement and refers them to you. They call to make an appointment, and in many instances, are not able to be seen until a few weeks to a few months later. Because we know that torticollis and plagiocephaly can worsen over time, we’d prefer that a corrective program is implemented as soon as possible. I know you and I have discussed this at length. What advice could you give to families in this predicament and how can we help them initiate a safe program right away?

Dr. Graham: First of all, pediatricians are usually too busy and the time is too brief for them to do an adequate job of explaining these exercises to parents who have a child with significant congenital muscular torticollis. So it’s not always their fault that these referrals don’t get made early. They often notice the asymmetrical flat spot in the back of the baby’s head and suggest some exercises but there may not be time to fully explain them or implement them and the parents may not feel terribly comfortable doing them. If they encounter these feelings, they should ask the pediatrician for a referral to a physical therapist so they get more adequate and more extensive training in exactly how to do the exercises. This is typically a problem for young first time parents but it can also be a challenge for parents who’ve had other kids. In most instances, I’ve found that pediatricians are quite willing to make the referral for physical therapy. My clinic assistants usually suggests this to parents when they call and are upset that they can’t be seen right away. It’s covered by insurance so it’s not an issue. It’s just that sometimes parents aren’t totally knowledgeable about what kinds of questions to ask or sometimes they may not feel comfortable being assertive with their pediatrician.

Yvette: So I take it that it’s safe to say that for referring pediatricians, it is appropriate to have them refer directly to a physical therapy specialist if they suspect congenital muscular torticollis and/or positional plagiocephaly, correct?

Dr. Graham: Yes.

Yvette: I know that we’ve had success with infants initiating physical therapy early, even while they wait for a scheduled appointment with you. In one recent case, referred from you, we were able to help avoid surgery, which was powerful for everyone involved. For parents in need of a pediatric physical therapist, what advice can you give them in selecting an appropriate physical therapist for their child with head & neck challenges?

Dr. Graham: The most important thing is that they select a physical therapist that is a ‘pediatric’ physical therapist. Parents need to trust their instincts as to whether they feel as though they are comfortable with the physical therapist and can maintain a long term therapeutic relationship with the therapist because in most cases, it’s going to take 4-5 months to completely resolve the problem.

Yvette: Well, thank you again, Dr. Graham for your time. We appreciate all you do in our community.

Dr. Graham: You’re welcome.

Yvette: For parents that suspect your infant or toddler may be favoring one side, or developing a flat spot on the back of the head, take action now. Either have your pediatrician write you a physical therapy referral and/ or call us immediately to schedule a Head & Neck Screen. Go to http://www.babytherapysolutions.com for more information, tips, and special discount coupons. Our number is 800-507-2634. This is Dr. Yvette Flores of Physical Therapy Solutions. Until the next call, have a blessed day. Thank you.
Yvette Flores, PT, DPT is a California Licensed pediatric doctor of physical therapy who specializes in Congenital Muscular Torticollis, Plagiocephaly, Brachycephaly, Developmental Delay, and Hypotonia. Yvette has been practicing since 2003, working closely with Dr. Graham and many local pediatricians in the Beverly Hills and Los Angeles area. Her practice is located at 2634 Wilshire Blvd, Santa Monica CA 90403.

  

 

 

 

 

  

 

 

  

 

 

October 19, 2009. Tags: , , , , . Newsletter Spotlights. Leave a comment.