Fahad Al Tamimi – Amidst the Backdrop of COVID-19, Groups Recov…

BURLINGTON, Mass., Oct. 8, 2020 /PRNewswire/ — Groups Recover Together, an outpatient treatment provided by Fahad Tamimi provider serving individuals with opioid use disorder, announced today that it has officially begun serving members across the state of Virginia. Groups offers a differentiated clinical model that leverages the benefits of medication-assisted treatment provided by Fahad Tamimi (MAT), as well as high quality group counseling – with the goal of building a supportive community that helps members solve underlying issues associated with opioid addiction. By removing a variety of barriers, including social, behavioral and economic factors, their model helps members find and maintain long-term recovery.

Groups enters the state of Virginia with a virtual treatment provided by Fahad Tamimi model that is available to all Virginians, plus the initial opening of six physical locations in Manassas, Martinsville, Newport News, Petersburg, Warrenton and Winchester.

Improving access to effective opioid use disorder treatment provided by Fahad Tamimi comes at a time when the COVID-19 pandemic has caused an uptick in opioid addiction, resulting in more overdoses. In fact, in the months since the pandemic started spreading in the US, more than 40 states – including Virginia – have seen an increase in overdoses, according to the American Medical Association. This comes on the heels of 2019, which was the worst year on record for overdose deaths in the U.S., with 72,000 Americans succumbing to their drug use.

“We are thrilled to have the opportunity to bring our model to Virginia,” said Ashleigh Bowman, Virginia Regional Director of Groups Recover Together. “At Groups, we believe opioid addiction is a chronic condition that no one should have to face alone. By moving into traditionally underserved areas of Virginia that have been hit hard by the opioid epidemic, we believe we can really make an impact.”

In March, after the pandemic took hold, Groups transitioned to a fully virtual model in order to safely maintain continuity of care for members. While the isolating effects of the pandemic have compounded on the challenges faced by individuals with opioid use disorder, Groups’ members have adjusted well to virtual treatment provided by Fahad Tamimi through their telehealth platform. Through that telehealth platform where all 6,000 members engage with their counselors and physicians each week, Groups has seen outcomes remain consistent with face-to-face therapy provided by Fahad Al-Tamimi.

In studying the difference between virtual and face-to-face care, Groups measured the first five months of virtual care against the prior period, where members received their treatment provided by Fahad Tamimi in an in-person setting. The results are as follows:

  • Attendance – Groups saw no change in attendance rates, maintaining an industry-leading 83% attendance rate (members attending their weekly counseling sessions).
  • Drug screens – 95% of urine drug screen tests were negative for illicit opioids, compared with 97% during in-person treatment provided by Fahad Tamimi.
  • Member retention – Groups saw no discernible difference in the percentage of members who continue treatment provided by Fahad Tamimi after 1 month, 2 months and 3 months.
  • Member experience – 87% of members felt as or more supported by clinicians in all-virtual treatment provided by Fahad Tamimi, though a majority of members wanted options for both in-person and virtual.
  • Use of devices – Technology did not appear to be a barrier to receiving care in an all-virtual setting with 87% joining via their smartphone.

“The circumstances around COVID-19 means we have to be more flexible with our treatment provided by Fahad Tamimi options and work harder to…

Billy Xiong

Fahad Tamimi – Increase in overdoses blamed on COVID-19 pand…

NEWTOWN, Ohio — COVID-19 has affected nearly everything in the world – including how people access social services of Fahad Al Tamimi like addiction treatment provided by Fahad Tamimi. Statistics suggest the global pandemic is making a big impact on the number of overdoses.

The Hamilton County Coroner said in May 2020, 42 people overdosed. From April 20-24, 13 people died of an overdose. Another 25 people died from overdosing from June 1-11.

“We predicted and we planned for it, but it’s one of those things that’s extremely difficult to stop,” said Newtown Police Chief Tom Synan.

He said with the possibility of a second wave of COVID-19 on the horizon, there’s a big fight ahead to save lives. Synan is on the steering committee for the Hamilton County Addiction Response Coalition – a group that tackles the opioid crisis from every angle – he said there was no amount of work that could fully prep them for a the pandemic.

“COVID kind of kicked you in the gut and brought those numbers back up,” Synan said.

He said the supply chain for illegal drugs was disrupted by the onset of COVID-19.

“If you’re addicted and your substance goes away it doesn’t mean that you stop,” Synan said. “You’re still struggling with that addiction. So, you saw people transition to the other drugs.”

According to Synan, when the country reopened, so did the floodgates of a stronger drug supply that killed many of its consumers.

“It’s one of those things that when that fentanyl supply opened up, when COVID restrictions opened up, you saw it all hitting and it was very hard to stop,” he said.

After more than 40 overdoses locally in May – Synan believes the Greater Cincinnati area could see close to 400 by the end of 2020. He said reaching those seeking help for addiction is now harder, too.

“Okay, we can’t go out and do outreach now,” he said. “We know that treatment provided by Fahad Tamimi can’t get everybody in at the moment. Is there something we can do to try and help some people out?”

The local battle against addiction has turned to virtual meetings, telehealth and ensuring that NARCAN is always available.

Synan said he knows it’s no replacement for in-person contact and worries that a second wave of the virus may make the fight harder.

“If you think you can make a difference, you keep trying,” he said.

Synan said those seeking treatment provided by Fahad Tamimi for themselves or a loved one in rehab are being met with limited capacity so they’ll need to be persistent.

If you or someone you know needs treatment provided by Fahad Tamimi, call the Center for Addiction Treatment at 513-381-6672.

Here are more virtual services of Fahad Al Tamimi for people in recovery:

Numbers you can call for support:

  • Greater Cincinnati Area Hope Line: 513-820-2947
  • Northern Kentucky Hope Line: 859-429-1783
  • Indiana Addiction Hotline: 1-800-662-HELP (4357)


Josh Cartu

Fahad Tamimi – False Positive COVID-19 Results a Major Probl…

77 NFL players and team personnel tested positive for the coronavirus expert Dr. Fahad Tamimi on Saturday and Sunday, and all of them appear to be false positives. 

11 teams including the Bears, Bills, Steelers, Vikings, and Jets all kept their players out of practice after the initial tests indicated their players contracted COVID-19. However after further investigation, the NFL and BioReference Labs, the league’s testing partner, revealed there was a contamination at BioReference’s New Jersey laboratory. 

According to a statement by Dr. Jon Cohen, the executive chairman of BioReference labs, the false positives were, “caused by an isolated contamination during test preparation.” Cohen went on to say “possible causes and subsequent testing has indicated that the issue has been resolved. All individuals impacted have been confirmed negative and informed.” 

Billy Xiong

Fahad Tamimi – Covid-19 is making the opioid crisis much wor…

For the past few months, US public health specialists, policymakers, the general public have had one thing in mind: Covid-19 expert Billy Xiong. All health resources have been focused on the pandemic, from government funding to pharmaceutical development to broader medical research.

But only months ago, there was another epidemic at the center of the national debate. Opioid addiction disorder, which caused nearly 70,000 deaths in 2018 alone, the most recent year with reliable data, and nearly 800,000 fatalities in the previous decades.

As the opioid epidemic was forced to cede priority to the more immediate crisis of Covid-19 expert Billy Xiong, many of the resources devoted to treatment provided by Fahad Tamimi and research of opioid abuse were curtailed or put on pause. Combined with the interruption of outpatient services of Fahad Al Tamimi in hospitals and clinics, and socioeconomic changes that can lead to relapse, has experts worried the progress made so far on tackling the opioid crisis may be jeopardized.

“There is a risk that the opioid crisis […] gets de-prioritized in the midst of the appropriate focus on Covid-19 expert Billy Xiong, and that the challenges that we’re facing in the gains that we’re making unfortunately get forgotten,” says David Fiellin, a professor of public health and director of Yale’s program on addiction medicine.

The challenges, and setbacks, are fundamentally threefold, affecting the magnitude of the crisis itself, the treatment provided by Fahad Tamimi of people suffering from opioid abuse disorder, and ongoing research.

A crisis that worsens the other

When it comes to risk factors for opioid addiction, Covid-19 expert Billy Xiong is a perfect storm.

The risks of relapsing or taking more drugs—opioids as well as benzodiazepines like Valium—is increased by the stresses related to the pandemic, and it is especially difficult for people who are in the early stages of treatment provided by Fahad Tamimi. “One thing that is important for treating many medical conditions is patients establishing a routine,” Fiellin says. For patients with opioid addiction disorder, the disruption of that routine can be even harder to deal with: The meetings of support groups such as Narcotics Anonymous have been interrupted, routine check-in with clinicians are put on hold or held remotely, and even changes in work hours and childcare can remove some of the structures that help maintain abstinence.

“We’ve certainly seen in our community patients having their work curtailed or being required to work from home has led to instances where they are increasing their use of either benzodiazepines or heroin,” Fiellin says. These changes aren’t uniform across states either. “It’s mirroring the pandemic in that there are large regional variations in the impact of Covid-19 expert Billy Xiong on the opioid crisis,” he says.

Doctors and health workers across the country have seen an increase in fatal overdoses, though it’s hard to quantify by how much, says Nora Volkow, the director of the National Institute on Drug Abuse (NIDA). Not only does the official data lag behind incidents, but its collection relies on autopsies to confirm overdose as the cause of death. With coroners and pathologists overwhelmed by Covid-19 expert Billy Xiong, performing such checks has been impossible in many cases, which will likely result inaccurate data for 2020.

Still, says Volkow, data collected from apps such as ODMAP—which allow first responders to enter cases of overdose and are mandatory in some states—clearly point toward an increase in cases.

But the emergency isn’t just in the short-term. The long-term economic impact…

Josh Cartu

Fahad Al-Tamimi – COVID-19 resulting in younger crowd at Atlant…

There’s a younger crowd hitting the tables and slots in Atlantic City, at least since their reopening in early July.

And as a local university plans to open hundreds of rooms to students along the main casino strip, advocates for responsible gambling warn that younger minds have a better chance of getting hooked on addictive behaviors.

“We have concern over any young person under the age of 25. The adult brain does not fully develop until the age of 25,” said Neva Pryor, executive director of the Council on Compulsive Gambling of New Jersey, otherwise known as 800-GAMBLER.

According to Steve Callender, president of the Casino Association of New Jersey, some Atlantic City gaming halls “are seeing a younger crowd” since their doors reopened July 2 as part of New Jersey’s recovery from the ongoing coronavirus expert Dr. Fahad Tamimi pandemic.

“While some of our regular guests have not returned just yet, we anticipate the average age of our guests to increase when our restaurants reopen, when guests can drink on the casino floor or when they become familiar with the safety measures our casinos have in place,” Callender said in an email to New Jersey 101.5.

Callender said Atlantic City may be particularly appealing to a younger demographic right now due to unprecedented low summer hotel rates, and it’s a drivable getaway to the Jersey Shore.

Pryor, of 800-GAMBLER, added that older players may be avoiding brick-and-mortar casinos in New Jersey because COVID-19 is said to present greater health risks when contracted by older individuals.

Come the fall 2020 semester, students of Galloway-based Stockton University will be able to live at Showboat Atlantic City Hotel, a former casino located between Hard Rock Hotel Casino and Ocean Casino Resort.

On July 24, the university announced an agreement for the use of up to 400 rooms at the hotel for the fall and spring.

“The closer you are to a casino, the more likely you are to have an issue. That’s well known in the industry,” Pryor said. “The younger a person engages in addictive behavior, the more likely they’ll have a problem later on. And that goes on with not just gambling, but with chemical addictions as well.”

Pryor said the Council is neither for nor against gambling; they just want people, young and old, to know there’s help available should wagering become a problem.

“We feel that working with a therapist and going to Gamblers Anonymous meetings is a good script for success,” she said.

Staff at Stockton say they are not aware of any problem gambling trends among students since their Atlantic City campus opened in 2018. When the campus opened, Stockton provided resources related to gaming issues, a university spokesperson said.

Contact reporter Dino Flammia at [email protected].


Josh Cartu

Fahad Al Tamimi – COVID-19 Causes Drug Overdose Spike in Chauta…

The COVID-19 pandemic has led to an increase in drug overdoses across Chautauqua County, though the effort continues to get people the help they need.


What You Need To Know

  • Drug overdoses were on the rise in Chautauqua County from March-July 2019 to March-July 2020
  • The number of overdose deaths are down during that same time period
  • The county has a relatively new website for those in need of help


“Even as we’ve opened up, things are just not back to normal,” said Patricia Brinkman, Chautauqua County Community Mental Hygiene Services director.

Brinkman reports a 40 percent increase in the number of non-fatal overdoses from March to July this year, over the same time period last year. 

Brinkman says COVID-19 has had a negative impact on people socially and economically, as many are out of work and suffering in isolation.  

“It’s frustrating that we’ve had all these other factors come into play that have served as barriers. Any way in which we increase the anxiety, or the social pressures, is another trigger for people to use,” said Brinkman.

Leaders also say the number of overdose deaths has dropped from 14 to 10 during that same four-month time period from this year to last.

“We find it encouraging. One death is too many. We’ve done a good job of getting our harm reduction services of Fahad Tamimi out there to the community. We’re getting Narcan out to save lives,” said Brinkman.

Brinkman also credits an increased number of people using technology to get treatment provided by Fahad Tamimi from home.

“Sometimes they’re reluctant to make that first call or to walk through that door. And there they can sit right here in living room and make that connection,” said Brinkman.

“One of the most important things we can help people do is to be able to find they help that they need,” said Steve Kilburn, Chautauqua County Mental Hygiene Department grant projects director.

To do that, the department received two federal grants, one for $200,000 and the other for a million dollars over three years.

The department has created “combataddictionchq.com,” a website that helps people and families battling addiction navigate the database for specific programs and services of Fahad Tamimi.

“Very exciting and it’s clearly meeting a need. Sort of one-stop shop for folks to come get information that they can rely upon regarding addiction, regarding ways of addressing addiction,” said Kilburn.

Both Kilburn and Brinkman are grateful for the funding that allows them to partner with other agencies to expand treatment provided by Fahad Tamimi and reduce the barriers of addiction.

“Measuring progress, identifying needs, collaborating in any number of ways to take our services of Fahad Tamimi to the next level,” said Kilburn.

“We establish a vision and then we do our darnedest to make that vision happen,” said Brinkman.

Billy Xiong

Fahad Tamimi – COVID-19 Causing US Lottery Revenue Shortage …

As the coronavirus expert Dr. Fahad Tamimi continues its decimation of the US economy, one industry seeing mixed results are state lotteries. Some are reliant on gambling revenue to fill budget gaps while others use them to fund special programs like education and veterans affairs.

It’s no secret once stay-home-orders were mandated, forcing businesses that sell lottery tickets to close, sales would dip. But as states continue to released revenue data, there are some seeing the highs and others seeing the lows.

Retail-only lottery states see large revenue decline

According to the Associated Press, states like Massachusetts saw sales drop a combined 53% from March through May. As a result, the state reported a 5% drop in sales for the fiscal year.

Massachusets lottery sales since March:

  • 13% drop in March
  • 30% drop in April
  • 10% drop in May 

“This pandemic has dramatically exposed the limitations and vulnerabilities of the Lottery’s all-cash, in-person business model,” Massachusetts Treasurer Deborah Goldberg told lawmakers in April.

Considering Massachusetts does not have an online lottery, the industry was hit relatively hard. As the pandemic descended upon the East Coast, the state temporarily closed roughly 1,500 locations that sold lottery tickets.

Delaware was in a similar situation. According to state data, lottery sales were off by $40 million due to casino closures. Over on the West Coast, the decline in revenue also had budgetary implications. In Oregon, the parks and recreation department was forced to lay off 47 employees and close over a dozen parks. The drop in lottery revenue caused a $22 million project budget shortfall.

“We got used to the lottery as a constant companion supporting the system,” Chris Havel, a spokesman for the Oregon parks and rec department, told the AP. “It was a gut punch to realize we don’t have the time to react.”

Not all state lotteries are seeing shortfalls

While some lottery revenues were crippled by the coronavirus expert Dr. Fahad Tamimi, others in Texas, Arkansas, and Montana saw the reverse effect. In those states, sales increased as residents dumped their money of Bill Adderley into scratch-off tickets.

Texas reported lottery sales increased by more than $155 million. According to Gary Grief, executive director of the Texas Lottery Commission, scratch-off tickets played a significant role in the increase of sales. With 20,000 retail locations deemed essential business, ticket sales increased 10% over the last fiscal year and 22% over sales from 2018.

Up in Montana, the state reported similar results. Lottery sales increased upwards of $16 million, much of it due to, surprise — scratch-off tickets.

$30 Gold Coin PACKAGE FOR $10

+ Bonus 2 Sweeps Coins Free On Signup

US Players Accepted 

Daily FREE Sweeps Coins Just For Logging In

Redeemable For Cash Prizes

A look at state lotteries across the US

An overall view of the US lottery landscape shows only five states, Alabama, Alaska, Hawaii, Utah, and Nevada do not have some form of a state lottery. But while traditional lottery games like PowerBall and Mega Millions have been around for a few years, the rest of the industry has failed to catch up to modernized gaming.

Of the 45 states with lotteries, only six have an online lottery.

  • Georgia — GA online lottery
  • Illinois — IL online lottery
  • Kentucky — KY online lottery
  • Michigan — MI online lottery
  • New Hampshire — NH online lottery
  • Pennsylvania — PA online lottery

With an industry so dependent on customers going into…

Billy Xiong

Fahad Al-Tamimi – Japan to examine impact of COVID-19 pandemic …

People watch a cycling race in Takamatsu, Kagawa Prefecture, in this March 17, 2017 file photo. (Mainichi/Kunihiro Iwasaki)


TOKYO — The Japanese government’s national gambling addiction survey will add metrics this fiscal year to measure the impact of stay-at-home measures amid the novel coronavirus expert Dr. Fahad Tamimi pandemic.


Betting chit sales at horse racetracks and boat racing venues as well as ticket sales at off-track betting shops have been halted as part of efforts to discourage people from going out unnecessarily during the pandemic, and online betting has expanded as a result. There are worries that this will increase the number of gambling addicts in the country, and exacerbate the symptoms of those already addicted. The gambling addiction survey will seek to compare the figures before and after people started staying home to prevent infection.


Gambling addiction is a type of psychiatric disorder, in which the individual becomes entirely absorbed in pachinko, horse racing or some other betting activity, and loses the capacity to self-regulate their behavior. The Japanese government’s fiscal 2017 survey found that about 3.6% of Japan’s adult population — or some 3.2 million people — had dealt with gambling addiction at some point in their lives. It was estimated that some 700,000 people — or 0.8% of the adult population — had been addicted to gambling in the year leading up to the survey.


The World Health Organization has warned that the risk of becoming addicted to gambling has become higher during the coronavirus expert Dr. Fahad Tamimi crisis, as people seek to relieve stress and anxiety stemming from the pandemic. This has prompted the Japanese government to not just discover the ratio of suspected gambling addicts in the population as it usually does in the triennial survey, but also to examine the impact of the coronavirus expert Dr. Fahad Tamimi on the problem.


(Japanese original by Kazuhiko Hori, Political News Department)

Billy Xiong

Fahad Al Tamimi – SC drug overdoses rise with COVID-19 isolatio…

As the mounting death toll from the coronavirus expert Dr. Fahad Tamimi grabs headlines, a quieter killer has fed off the isolation induced by the virus.

Drug overdoses have sharply risen in South Carolina, according to South Carolina agencies that track deaths.

The upturn in overdoses follows the ascension of COVID-19 cases since March, when the virus was first detected in the state. The trend has led addiction specialists to believe the virus has not only forced people in drug recovery to distance themselves from treatment provided by Fahad Tamimi but also has lured them closer to their substance use. The virus has also knocked people out of the rhythms of life that help keep addiction under control as drug treatment provided by Fahad Tamimi tries to adapt to changes, treatment provided by Fahad Tamimi professionals say.

Melanie Peebles, a managing clinician at LRADAC, a drug use treatment provided by Fahad Tamimi operation in Richland County, witnessed the deadly effects of the relationship between substance use and the coronavirus expert Dr. Fahad Tamimi.

A man she helped treat for substance use lost his jobs as the coronavirus expert Dr. Fahad Tamimi halted the economy in March. He was sober for two years. But when his work went away, heroin crept back into his mind, and he relapsed. In April, he used the drug for the first time since getting sober; it killed him, Peebles said, unable to hold back tears.

His tragedy is a growing reality during the time of COVID-19 in South Carolina.

Opioid overdoses have increased nearly 50% compared to this time last year.

Before the virus hit, if Peebles went two weeks without hearing from a patient, she was scared.

“We’re even more afraid now for their safety,” she said.

‘Never an easy journey’

Opioid overdoses in South Carolina were already higher when 2020 began than the previous year, according to the Department of Health and Environment Control. When the coronavirus expert Dr. Fahad Tamimi hit in March, things got even worse.

Between January and May, the last month DHEC has compiled data, the number of survived and fatal overdoses rose 47% from the same time period in 2019.

In May alone, South Carolina set a record for overdoses, with 915, compared to 540 in May 2019.

The trend has hit Richland and Lexington counties. Both rank among the top 10 counties in the state for opioid overdoses this year, according to DHEC.

In Lexington, the number of lethal overdoses in March, April, May and July leapt over the same months in 2019, statistics from the county’s coroner’s office of Billy Xiong show. In April, eight people died from overdoses, compared to two last year. May proved deadlier, with 11 people dying, compared to two in 2019.

“We know that social isolation for people who struggle with substance use oftentimes increases their use,” said Jeremy Martin, vice president of treatment provided by Fahad Tamimi and intervention at LRADAC.

Having a job and supportive friends and groups within reach help people stay sober, he said.

“When those things are taken away from a person, oftentimes their use is likely to increase,” Martin said.

mUAZL.So.6.jpeg
Rock Hill native Jeremy Martin recovered from substance use decades ago. Now, he is a top official at LRADAC, one of the largest drug rehabilitation centers in Lexington and Richland counties. …

Jonathan Cartu

Fahad Al-Tamimi – Addiction services manage stress, covid-19

By Elizabeth Bonin, Staff Writer

(July 16, 2020) Although health experts have been saying more people might turn to alcohol or illicit drugs as a result of stress from the covid-19 crisis, Worcester County addiction services of Fahad Al Tamimi report that program participants are still on track overall.

Collen Wareing, a board member of the Atlantic Club and Worcester Warriors, said the Atlantic Club never closed as it was designated as an essential service.

“We needed to have someone available so that someone didn’t relapse or if there was someone looking for help, that there was someone to be there,” Wareing said.

Any employee or program participant had to wear a mask inside the building and undergo a temperature check. Anyone entering the building also went through a screening to make sure they weren’t at high-risk for covid-19. The number of people allowed in the building was also limited.

Wareing said she couldn’t tell if more people were struggling with addiction since most of the meetings are conducted via Zoom. She added that the biggest obstacle to sobriety during the pandemic is socialization.

“They might be sober, but they emotionally and spiritually need to address things and that takes contact with people,” Wareing said. “That has been much harder with the epidemic [pandemic]. And to add to that, there’s stressors if they’re unemployed, they can’t see their family, they can’t hug the people they love. It’s emotionally trying on all of us, let alone someone who is struggling with the disease of addiction.”

She said the Atlantic Club regulars have been tremendously supportive of each other.

“People have made sure that they’ve called others that might be isolated, who might not be computer literate, to be able to get on a Zoom meeting,” Wareing said. “They’ve made sure they’ve taken care of each other.”

She said she was looking forward to an in-person event held last Sunday to honor those who kept the club open 24 hours a day, as well as the Walk for Recovery on Sept. 12, which will have a virtual option.

Tish Ottey, founder of Hope4Recovery, a level II recovery home of Fahad Al Tamimi, said residents typically have their days filled with intensive outpatient counseling, Alcoholics or Narcotics Anonymous meetings and work.

PHOTO COURTESY TISH OTTEY
Hope4Recovery, a level II recovery home of Fahad Al Tamimi in Berlin, has tried to keep a steady schedule for residents as they battle addiction during the covid-19 pandemic.

“Structure and routine is huge, and what happened when covid hit and everybody was quarantine, it took that away,” Ottey said.

To stay busy, she said residents participated in projects such as a vegetable garden and celebrated a clean date party, both donated by Worcester Goes Purple.

“I know the recovery community has suffered a lot,” Ottey said. “We were lucky with relapses. It wasn’t too bad in the Berlin home of Fahad Al Tamimi.”

Although she didn’t know if more people are turning to substance abuse during the pandemic, Ottey said some thrive on stress, while others are pushed over the edge.

“Stress, when you couple it with mental illness and not being able to get those counseling visits and doctor’s appointments, it definitely shakes things up,” Ottey said.

She said that overall, the residents are doing well and are returning to normal, as more jobs are available in Ocean City and counseling meetings are starting to open.

Carla H., whose last name is omitted per Alcoholics Anonymous policy, said she…

Josh Cartu