Q3 Newsletter 2017_FINAL

2017 Q3 Newsletter



Welcome to Summer 2017! Lymphedema Clinic, Product Specialist at Tactile Medical,
Instructor at Keiser University, Instructor at International
Not exactly sure how it got here so soon, but I am always Lymphedema and Wound Treatment Institute (ILWTI),
happy to welcome it. Summer stirs deep rooted memories and Director of the Lymphedema and Wound Care
of school break, floating in the lake well into the evening, program at Brooks AmeriCare Home Health. He assisted
and dancing fireflies. As a previous sales representative, with the original pilot of the Reduction Kit and presented
I can also relate summer to a sweltering car, busier his findings at the 2014 NLN conference in Washington
highways, key staff off on vacations, and a general D.C. Based on all of this, it made perfect sense to invite
lackadaisical vibe in the offices. Balancing a summer Bryan over to medi full-time to join the clinical education
schedule is vital for not only personal sanity, but success team. His skills, knowledge and experience will be
in the latter half of the year. priceless as we grow our reach and impact further into
the world of compression. His role will be more hybrid in
Here in the clinical education department, we are striving assisting with special projects in lymphedema, wound
to “up” our game, and provide meaningful information, care and home care. Bryan currently lives in St. Augustine,
support, and resources to support overall growth in sales. FL with his wife and young family; he is very excited to
With that being said, I have fantastic news about a new start this new chapter of his career at medi USA.
resource here at medi.
Welcome, Bryan!
Bryan Groleau COTA/L, CLT-LANA, CLWT, KTP, is no
stranger to medi USA, but now has joined our team Christopher Miles
officially. Bryan has been entrenched in the world of
lymphedema and wound care for over 15 years. He got his Christopher Miles, OTR, CLT, CWCA
start as a practicing clinician, and began advancing his Senior Manager
career by progressing to Clinical Director at Jacksonville Clinical Services

Compression News Live c

Driving the future in
compression therapy.

Being surrounded by our products every day, day in and day out, make
it so that sometimes we forget how remarkable our products are and
what an amazing amount of good they do. But medi products are truly
inspiring: they change people’s lives for the better and enable them to
live the lives they want to lead. For me, this is especially evident with
the mediven flat knit fashion elements and trend colors.

With the mediven flat knit garments, we all know that patients
typically wear these to manage their lymphedema. This is a chronic
condition that can be life-altering and incredibly challenging for
patients to manage – and it certainly doesn’t boost their morale to be
told “Here, pick from these shades of beige, beige, black, oh another
beige,” for the garments they must wear every day.

medi’s goal is to inspire these patients and to keep them motivated
during the management of their lymphedema. With springy colors
like coral, blue jeans, or mint green, it’s easy for patients to feel fresh
and fashionable in compression and that they can take charge of their
day. And with the new mediven 550 flat knit fashion elements, we’re
offering patterns that are professional (crosses), fierce (animal), and
flirty (ornaments).

mediven flat knit garments give patients the ability to be proud of
their successful management of lymphedema and to express their
individual personalities. And as employees of medi, that’s something
for us all to be proud of as well.

Maggie Moriarty
Category Manager
Medical Compression

colorfully with mediven

Compression News Team restiffic® Molly and I that they have either used a sample
or want one as RLS is an important part of their
It is hard to believe that we are half way through practice. The most important leads that you have
the year already. Orders for restiffic are becoming are ones where people will speak with you and the
more regular. This is a combined result of topic matters. We are committed to not having
marketing, conferences and the activity that the you waste your time and we will continue to tweak
field has been doing. You may not fully see the things as needed.
results yet, but they are happening. To keep the
positive momentum coming, here are a couple of As mentioned earlier, we are getting orders more
new tools that we have created for you: regularly. Most of the orders are coming via
restiffic.com. You get credit for all orders regardless
• restiffic VA piece - restiffic was added to the VA of where the patient gets it. Here are some tidbits
contract on April 1 and it has been visible to the that are working for many of you.
purchasing officers through their portal since late
May. You should have all received the FSS Pricelist • If you have been struggling to get an
Addendum, part# P1854. We’ve sent you each 10 appointment via the phone, then go to the office
copies and you can order more if necessary. Please when you are in the area. Aim to actually speak
take this piece with you on all calls at the VA. This to someone, don’t just drop literature/sample.
will allow you to show that restiffic is now on Tell the medi and restiffic stories. Make sure they
the contract and therefore, approved. It explains understand the product.
restiffic and its mode of action. It also contains • Get a commitment in return for the sample. You
the size chart as well as the item numbers, need patient feedback. Did it work? Great, what is
product description and VA price. Please be sure to next? Where will orders go - to a pharmacy? If so,
determine where the patient will get the product know which one and go see them. Review restiffic
in the VA. Will it be in the prosthetics department? with them - leave nothing to chance.
Make sure you know because if it’s not, then it may • Follow-up regularly. This is about changing
not be purchased off the contract. habits. It can take years for many people.
• Focus on what your message is. Every prescriber
• Sleep Review piece, P1863 – We printed the understands that drugs are an issue as well
cover page and three inside pages where Dr. as a solution. Focus on where restiffic can be
John Sullivan discusses restiffic and how well it less of an issue. Ask the prescribers to tell you
works. This is a good marketing piece to use as it what they do with patients who: are pregnant,
is the words of someone other than us promoting breastfeeding, will not take a medication for RLS,
restiffic. Be sure to take this on appointments with take medications that are contradicted to RLS
you, and ask your leads if they receive Sleep Review drugs, suffer from renal failure, etc. All of these
magazine and make sure you point out the article. groups add up to a big percentage of patients. We
do not need to replace drugs. We can be used in
In addition to the new literature, there will be conjunction with them (some patients use restiffic
some new leads given to each of you based upon and lower dosages of drugs at the same time) and
leads that some of the rest of us in the company where they are not an option.
have been working with. I do not know the lead • Remember not to embarrass prescribers for using
count at this point, but we are trying to ensure drugs. It is part of the process.
that each of you receive at least a couple. The leads
will be from conferences where attendees have
indicated that they are very interested, or from
those who have responded to emails or calls from

We all forget the basics at times. With any new
product, we all start out concerned about the best
way to present the new product. Be sure to also
think about the questions that you want to ask.
Make the focus of the call on the patients who
will not be on drugs. The prescriber needs to buy
in to restiffic and us. The prescriber must demand
that the patients use restiffic. It is not an optional
purchase! It is a mandatory buy. It comes with a
30-day guarantee. They can return it if it doesn’t
work. It is important to remember that it may not
work for everyone.

Keep in mind that restiffic is proven to work.
We have many patient advocates bragging about
it to everyone they cross paths with. This is no lie.
Direct your prescribers to the website and the
testimonial videos. No one knows how well it will
work until they have tried it for themselves. This is
the best new product idea that medi has had in
a while. It will succeed. Please make the best use
of your time in the field with it and on your calls.
We know you can and we know you are. Continue
to get a little better every day and we will do the
same. Together we will get this product going and
make you glad you were included in it. You must go
after this hard and with consistency.

Thank you for all that you do every day!

Thanks,
Michael Cannon
National Clinical Sales Manager

• Revolutionary drug-free
therapy for

Restless Legs Syndrome
• Clinically proven and cleared
by the FDA
• Lower risk of negative side



CEP is excited to introduce Andy Ward to the team as
our newest sales rep! Andy is a human performance
professional from Kannapolis, NC. While at Appalachian
State University, he studied exercise physiology.
Volunteer work directing strength training programs
opened the door for a 19-year career coaching pit crews
for some of NASCAR’s top drivers. Multiple race wins,
several crew MVP awards and two cup championships
highlight his motorsports career. Ward is most proud of
the relationships forged with teammates and sponsor
partners. Being married with two children keeps Andy
on his toes hustling to practices and school functions. In
his spare time, he enjoys outdoor pursuits such as water
fowling, running and cycling.

Coming this fall, be seen during your evening workout with
our new Nighttech Socks and Sleeves! Nighttech features
a series of perfectly positioned eye-catching reflector
dots on the back of the calf to ensure visibility, adding an
element of style to any ensemble. Available in a variety of
bold colors such green, blue and pink Nighttech effortlessly
combines fashion with safety and performance.

cepcompression.com



ITEM m6 retailer updated:

Nordstrom has listed ITEM m6 as a “Flagship
Partner” with the expansion of the brand to their
Seattle Flagship store. ITEM m6 ranks in the top
five for sales in the Lingerie/Intimates category at
the Canadian Nordstrom locations.

Bloomingdales has added the brand to four of
their stores on the East Coast and will include the
brand in the 2017 Fall Legwear Campaign.

Marketing Kit new anti-slip silicone dots On the palm
• Possible on all garments
P0973 Rev BBenefits:with a hand piece (gloves
• Allows for improved stretch of the garment compared to attached silicone pieces. or gauntlets).
• No seams. • Provides an improved grip,
• Possible on mediven 550, mondi, mondi esprit, and sensoo. such as while driving or
carrying items.
upper extremity • Fixed size of 6cm x 4.5cm.

Along the oblique Rear over seam
border • Possible on all thigh &
• Possible on all arm sleeves waist-high garments.
as high up as measuring • Provides an improved grip
point G (axilla). on the leg.
• Provides an improved grip • Fixed size of 10cm x 4.5cm.
on the arm.
• Fixed size of 6cm x 4.5cm.

lower extremity

Along the oblique
border
• Possible on all thigh &
waist-high garments.
• Provides an improved grip
on the leg.
• Fixed size of 10cm x 4.5cm.

Compression Therapy for Venous Ulcers
Clinical Care & Self-Care

Vertically over E On the sole of the foot mediven® flat knit
• Possible on all thigh & • Possible on all garments
waist-high garments. new custom options
• Provides an improved with a foot piece.
grip on the leg. • Provides an improved grip, Summer 2017
• Fixed size of 10cm x 4.5cm.
such as while walking.
• Fixed size of 6cm x 4.5cm.

medi USA 6481 Franz Warner Parkway Whitsett, NC 27377 [email protected] P 1.800.633.6334 F 1.888.570.4554 mediusa.com medi. I feel better.
medi. I feel better.

UPDATED! Clinical wound care/juxtacures UPDATED! Flat knit custom options
brochure (P0166): This 16-page brochure brochure (P0973) : This 4-page
has been slimmed down to 8 pages and brochure has been updated to include
highlights a few key clinical studies and case the new trend colors (coral, blue
studies that show the effectiveness of the jeans, and mint green) as well as the
juxtacures product. It has been completely new mediven 550 fashion elements.
revamped by Eric Schraibman and Maggie
and we hope that you will use it well.

Venous Ulcer FAQs

What causes venous ulcers? How to apply
Venous ulcers are wounds that occur due to damaged mediven® dual
vein valves. Damaged valves can cause leg swelling, layer & circaid®
which can cause blood to pool in the ankle and fluid juxtalite®
to leak. This can cause skin to break down and form
a leg ulcer. medi. I feel better.

How common are venous leg ulcers? Who is medi?
Approximately 1% of the population will suffer from
venous leg ulcers, and 3.5% of those older than 651. medi is a private, family-owned company founded in
Bayreuth, Germany. With over 65 years of experience
How should you treat venous ulcers? in medical devices, medi is a leading manufacturer &
Compression therapy is the highest rated standard distributor of medical compression, orthopedic, foot
orthotic, and retail compression products. medi
of care for venous ulcers2. Special creams, antibiotics, conducts business in over 90 countries worldwide,
with manufacturing facilities based in Germany
exercise, and elevation may also be recommended and North Carolina.

by your clinician. Our company slogan, “medi. I feel better.” reflects our view
of ourselves as a partner to everyone who operates in the
WOUND CAREClinical EducationOncehealed,canulcerscomeback? medical aids market. Compression therapy is the heart
Yes. Potential for ulcer recurrence is 67%. However, ulcer and soul of medi’s mission to ensure that each patient,
clinician, and customer has the best possible experience
recurrence is lower when medical compression is worn3. to treat their condition.

Topic: Medical Compression is a
Dose-Dependent Medical Treatment

Clinical-based course objectives include:

• Evidence-based clinical guidelines for CCreEdUit F@omlloewdiuWso! undCare Like us!
venous leg ulcers @mediUSA
Available with
• Physiological impact of compression on advance notice
microcirculation & wound healing
Sources:
• Types of compression 1. C. Hess, Skin & Wound Care. 7th ed. Philadelphia, PA: Lippincott Williams
• Contraindications for utilization & Wilkins; 2012: 3.
2. L. Collins, S. Seraj, Diagnosis and Treatment of Venous Ulcers. Am Fam
of compression Physician. 2010 Apr 15, 81(8): 989-996.
• Compression dosage levels for 3. O’Donnell et al, Management of venous leg ulcers: Clinical practice guide-
lines of the Society for Vascular Surgery® and the American Venous Forum.
different diagnoses J Vasc Surg 2014; Vol. 60, Issue 2, Supplement:31S.
• Patient education – a key component
medi USA
in reducing recurrence 6481 Franz Warner Parkway • Whitsett, NC 27377

Program can be scheduled as an in-clinic program or dinner phone 1.800.633.6334 • fax 1.888.570.4554
[email protected] • mediusa.com
program. If interested, please contact your local medi rep or

[email protected]. An active lower leg venous ulcer

mediusa.com 800.633.6334 Image courtesy of: Seyahi, E., Yurdakul, S. Behçet’s Syndrome and P1823
Thrombomsis.eMdeid.itIefrreJeHlebmeattotl eInrfe. ct Dis. 2011; 3(1): e2011026.

UPDATED!Wound care clinical NEW! Dual layer/juxtalite donning
education post card (P0606): brochure (P1823): This trifold shows
Revised with the latest information the simple application techniques for
on Christopher Miles’ and Eric both mediven dual layer and circaid
Schraibman’s education courses. juxtalite.

Department of Veteran’s Affairs NEW! restiffic Sleep Review Restless Leg Foot Wrap
article (P1863): This 4-page
Federal Supply Schedule Authorized FSS Pricelist Addendum brochure contains just the Rx Pad
Through July 29, 2018 article from Sleep Review
Contract # V797D-30231 magazine on restiffic without medi. I feel better.
any advertising or other articles
Medical equipment and supplies to interfere with our message. UPDATED! restiffic script
FSC Group 65, Part II, Section A pad (P1643): The revised
FSC Class 6530 script pads have the
Online access to contract ordering information, terms and conditions, up-to-date pricing, and the option to distributor part numbers
create an electronic delivery order, are available through GSA Advantage! A menu-driven database system. on the back of each script
The internet address for GSA Advantage! is: GSAAdvantage.gov sheet to enable easy use
For more information on ordering from Federal Supply Schedules click on the FSS Schedules button at fss.gsa.gov by pharmacies.

EFFECTIVE APRIL 1, 2017

NEW! restiffic VA brochure
(P1854): This 4-page brochure
contains an overview of the
restiffic product, as well as VA
pricing and the medi USA VA
contract information.

restiffic Clinical Evidence New product releases: This quarter we launched three new springy
trend colors! The new colors are “blue jeans,” “mint green,” and “coral”
Using restiffic to manage moderate to severe primary Restless Legs Syndrome and they can be ordered for all mediven flat knit upper and lower
garments (excluding mediven sensoo). They can be ordered plain
Original Publication: Targeted Pressure on Abductor Hallucis and Flexor Hallucis Brevis Muscles to or in combination with a design element (ex., ribs, pyramids, live/
Manage Moderate to Severe Primary Restless Legs Syndrome laugh/love). Thigh garment samples and swatch rings have been sent
Journal: The Journal of the American Osteopathic Association to all of you. medi now offers 4 standard colors and 9 trend colors,
Publication Date: July 2016 in addition to the new mediven 550 fashion elements. We have a
Authors: Phyllis J. Kuhn, MS, PhD; Daniel J. Olson, DPM; John P. Sullivan, MD beautiful array of color options and patterns for any patient! mediven
flat knit garments are as unique as the patients who wear them!
OBJECTIVE RESULTS
The objective of this study was to assess the efficacy IRLSS Scores: Experience medi’s Coral New!
and safety of the restiffic restless leg foot wrap which • Decreased from 25.05±5.33 (“Severe”) to 7.83±6.33 (“Mild”) 3 new vibrant Blue-Jeans New!
applies targeted pressure on the abductor hallucis and trend colors! Mint-green New!
the flexor hallucis brevis muscles to reduce the symptoms from first day to last day.
of moderate to severe RLS, and to compare the current • Indicates a 2 level drop in the severity of symptoms.
findings with findings from studies of ropinirole use in • 69% decrease in average IRLSS scores (Figure 1).
patients with primary RLS.
Sleep loss due to RLS symptoms:
METHODS • Decreased from 119.5 minutes to 22.1 minutes per night.
• Design: 8-week single-arm, open-label, clinical trial with a • Over 90 minutes of sleep gained per night on average.

repeated measures design conducted between April 2009 Clinical Global Impression Scale:
and August 2012 in 2 offices in Erie, PA. • All patients improved; none became worse.
• 90% of patients were “much improved” or “very
• Demographics: 30 participants (22 women; 8 men);
mean age 51.5 years much improved.”
• 60% of patients showed complete or nearly complete
• Inclusion criteria:
remission of all symptoms.
o Adults age 18-75 with moderate to severe primary RLS • 93% of patients showed no side effects.

o Evening & nighttime symptoms with sleep impairment Severity of RLS Symptoms
(patient-reported)
SEVERE
o RLS symptoms 2-3/week for 6+ months

• Outcome measures:

o International Restless Legs Syndrome Study Group
(IRLSSG) Rating Scale – patient generated

o Clinical Global Impression (CGI) Scale –
clinician-generated

• Meta-analysis: compared restiffic with historic reports
of ropinirole and a placebo

MILD

WITHOUT WITH WITH WITH WITHOUT WITH WITH WITH
DEVICE DEVICE DEVICE DEVICE DEVICE DEVICE DEVICE DEVICE
WOENEEK WTWEEOK TWHEREEKE WFOEUERK WFIEVEEK WSEIXEK SWEVEEEKN EWIGEHEKT

UPDATED! restiffic clinical study Leg Trend colors can
(P1681): The men/women typo on be combined
the cover has been corrected. STARS RIBS PYRAMIDS with any design
element.
Arm

TIMELESS LIVE LAUGH LOVE SPORTIVE

ftomreouddick Summer at
medi headquarters
has gotten yummier!
Check out all the

delicious food
we’ve enjoyed
from local food
trucks in the area.

j u l y s c h e d u l eEcinlnoaoTjNofiotoemsnr!E1kHynuetoiyCWedpr:dCRtrmAoua1dree0oa!etmcucsr:hmf3Y$lkesrnucre0ep2oseuehtncedvAero.dsdoCcmipMrN&hediauhsOppt–oolrpoy,emiUany2tcCinorn-n:Pdrk0viioank.kOyg0ae!aufsiS!rNhlnP!lpnl.deifMStgdoLetsioomdnitMH(cpToPohrWuBoiotnTlCdec(arueDdsretsoaecedeieadungrodsrntoyaighhsdnne,leoysiieattnursJ,hnuyspdyuaeJsssp,aDl’oeeTuoysAruyoinrlaltBFyu,1gcdfhiougJ0n)eo1orueumg8dlss)eeyttlerF21sTse6ruacstk

National Shows Events

AOSSM
July 20-23, 2017
Toronto, Canada

AOPA
September 6-9, 2017
Las Vegas, NV

APWCA
September 7-9, 2017
Philadelphia, PA

Wild on Wounds
Oct. 4-7, 2017
Las Vegas, NV

NLN
October 11-15, 2017
Lake Buena Vista, FL

NAHC
(National Association for
Home Care & Hospice)
October 15-17, 2017
Long Beach, CA

SAWC
Fall October 20-22, 2017
Las Vegas, NV

PTI On the runway

Habitat for Humanity Volunteer Outing

Thank you to the
medi employees
who gave their
time to help build
housing for families
in the local area
with Habitat for
Humanity on
July 15!

Human Resources New Hires

Blake Pawley Marketing Intern Marketing
Florida Territory #207
Marisol Martinez Territory Business Manager Customer Service
CEP
Emily Hinson Customer Service Rep I – Customs CEP
Michigan Territory #221
Madison Lloyd CEP Events Coordinator Customer Service
S. Chicago Territory #215
Simone Morhart CEP Intern Pittsburgh Territory #206
Customer Service
Brenda Rafac Territory Business Manager Knitting
Sewing
Alyse Boswell Customer Service II Rep – CircAid Customs ITEM m6
Sales - Education
Eric Talbot Territory Business Manager IT Dept
Customer Service
Allie Schweiss Territory Business Manager Customer Service
CEP
Catherine Turpin Customer Service Rep II – medi Customs R&D
South Carolina Territory #232
Marisol Duran Arevalo Knitting Inspector Accounting
Accounting
Maribel Valdez Rojas Turner

Julia Corbett ITEM m6 Retail Sales Specialist

Bryan Groleau Senior Clinical Education Manager

Anthony Huber IT Software Engineer

Allison Apple Customer Service Rep I – Returns

Amanda Rhodes Customer Service Rep I – Readymade

Andy Ward CEP Territory Sales Associate

Alan Capps R&D Design Engineer

Hope Edge Territory Business Manager

Jamie Thornburg Financial Reporting Manager

Tanya Jimenez-Jimenez A/R Specialist

5-Year Anniversaries

Osei Springer April 16

Allen Foster June 11

10-Year Anniversaries

Justin Harris April 2

15-Year Anniversaries

Kathy Garrison May 14

20-Year Anniversaries

Shirley Moore April 19

Upcoming Holidays

Labor Day Monday, September 4

Weight Loss Winners

We are pleased to announce the winners of the
medi weight loss challenge. It was a huge
success and we want to congratulate the
employees who lost 10 pounds or more!
Here are the following winners:

Kenneth Clark- Knitting – 10.4 lbs
Claire Paschen- CEP- 10.7 lbs (Not Pictured)

Brenda Morton- Knitting- 10.9 lbs
Ashley Cedeno- Knitting- 11.3 lbs
Wesley Morton- Maintenance- 12.3 lbs
Robert Baldwin- Maintenance- 12.4 lbs
Carolyn Morningstar- Circaid Packing- 12.4 lbs
Albert Sutton- Maintenance- 12.9 lbs

Gale Sutton- FGW- 13.4 lbs
Jose Mora- Knitting- 13.5 lbs (Not Pictured)

Sergio Cedeno- FGW- 14.1 lbs
Meghan Josey- Customer Service- 14.6 lbs
Emilia Cater- Knitting- 14.8 lbs. (Not Pictured)

Clinical Corner Expanding Knowledge
& Building For Success

Expanding Knowledge & Building For Success. that it wasn’t all fun and games (in case anyone
It is with great excitement to announce that was thinking it was,) as stress levels were
every member of the clinical education team, through the roof, and patience and tolerance
including Jamie Seager, recently passed their were at a minimum by the end of the week.
Wound Care Certification Boards! In hopes of Success was achieved by all and medi now has
boosting efficiency, thoroughness, and overall a stronger, better equipped clinical education
success, the start of 2017 presented the clinical team who can assist the sales team with the
educators with a new challenge, wound care. challenges they are facing. So please utilize
Expanding their call points to include both these new skills in the field, and effectively
wound care and lymphedema made great sense weave both lymphedema and wound care calls
and the team was up for a new challenge. They into your week with your CEM.
were fully updated with the clinical education
initiative I put into place that commenced in Let’s give the team a
late 2015, and had grown successful and ready ‘virtual round of applause”.
to expand to a broader population. It was Great job, Team!
essential not only to introduce medi’s wound
care directive and strategies, but to enhance
and expand their overall knowledge and
understanding of wound care management
in general. The team participated in a week-
long Wound Care Education Institute (WCEI)
Skin and Wound Management course and
upon conclusion of the week, each sat for their
individual certification exams. Let me just say

Certification Certified Wound Care Market Specialist (CWCMS) -
achieved: Carla Crawford, Ingrid Adams, Jennifer Jagielski, Jamie Seager

Wound Care Certified (WCC) - Erin Sokalsky

New training is being developed on the restiffic call point. Look for a
new role-play video training on this call point in medi
University. This new course should be completed and
ready to use by mid to late August. The role-play focuses
on the fundamentals of SPIN Selling restiffic to the
referral source.

Trouble By now, everyone should have completed reading
Shooting the Trouble Shooting Customs manual and taken the
Customs accompanying test in medi University. Everyone needs
to be on the same page with customs. The margins are
low and the remakes are too high. This combination (if
not corrected,) will result in larger price increases and
more complaints. By being more efficient, your customs
sales numbers will increase and your customers will
be happier. You should be able to save the PDF of this
manual from medi University or Box to your iPads. Use
it in the field as a guide and reference when addressing
customs issues.

medi for help

Our wonderful clinical educators
spent some time in Haiti this year!
Christopher Miles, Carla Crawford,
Bryan Groleau have gone above and
beyond to help those in need.

before reduction kit 1 week with reduction kit

before reduction kit with reduction kit

Donate a smile.
mediforhelp.org