New Study Suggests Glaucoma is Linked to Depression

January 8, 2021 by Emily Grant Leave a Comment

Glaucoma patients have a tenfold greater risk of developing depression than the general population, according to a recent study in Mexico.

Glaucoma, nicknamed “the sneak thief of sight,” is one of the world’s leading causes of vision loss. The disease can be challenging to diagnose because it rarely causes symptoms until permanent eye damage occurs. Advanced glaucoma can be a psychological and financial burden and cause significant stress. According to a study published in the Journal of Glaucoma, the severity of patients’ glaucoma correlates with how depressed they feel. Glaucoma severity can also influence patient compliance with glaucoma treatment plans.

What is Glaucoma?

Glaucoma is a family of diseases characterized by optic nerve stress caused by spikes in inner eye pressure. More than three million Americans have glaucoma, but only half are aware they have the disease. The most common form of glaucoma, open-angle glaucoma, can develop without pain or symptoms, and it can cause irreversible vision loss or even blindness.

Depressed Glaucoma Patients Are Less Compliant

The study examined 111 patients with glaucoma, and about half of the patients were depressed. The researchers found a direct relationship between the worse eye’s glaucoma severity and the severity of depression. Patients who were depressed were 38 times more likely to not adhere to their treatment plan than patients who were not depressed.

Other risk factors for depression among the glaucoma patients studied were:

  • Age
  • Gender (females were at higher risk than males)
  • Low income
  • Living alone
  • Substance abuse

Researchers suspect patients with the most severe glaucoma may fall into a dangerous pattern. The associated depression with severe glaucoma may cause these patients to resist taking medication and attending eye doctor appointments, thereby exacerbating glaucoma and depression.

The study suggests patients with glaucoma should create a team of specialists, including an ophthalmologist, glaucoma specialist, psychiatrist and psychologist to produce the best outcome.

Risk Factors for Glaucoma

Are you familiar with the risk factors for glaucoma? You may be at increased risk for glaucoma if you:

  • Are 60 or older
  • Are diabetic
  • Are severely nearsighted
  • Have a family member who has glaucoma

Take a moment to complete this Glaucoma Risk Assessment for more information on whether you are at high risk for the disease.

Schedule Your Comprehensive Eye Exam

Contact your ophthalmologist to schedule an annual comprehensive eye exam. During your exam, your ophthalmologist can perform a test to evaluate your inner eye pressure and let you know if you are at risk for developing glaucoma.

Optic nerve damage is permanent, so there is no cure for glaucoma. Therefore, it is imperative to detect the disease early and begin a glaucoma treatment plan. Early detection allows for immediate intervention to stop the progression of glaucoma. There are many treatments available to manage the condition, such as:

  • Laser treatments
  • Medication
  • Traditional surgery
  • Minimally invasive glaucoma surgery (MIGS)

Filed Under: News Tagged With: eye

Young Knee Replacement Patients More Likely to Need Revision

January 8, 2021 by Emily Grant Leave a Comment

Younger knee replacement patients are more likely to require revision surgery within two years of their original procedure than older patients.

Total Knee Arthroplasty

Knee replacement surgery, or total knee arthroplasty (TKA), is one of the most common orthopedic procedures performed today. More patients are choosing TKA at a younger age, and one study predicts TKA surgeries will surge 183 percent by 2030.

Most younger TKA patients do very well, but this age group has a higher rate of knee replacement revision surgery during their lifetime. A group of researchers from the University of Missouri School of Medicine and MU Health Care conducted a study comparing previous TKA and revision TKA surgeries in older and younger patients.

Knee Replacement Revision and Smoking

James Keeney, MD, Associate Professor of Orthopedic Surgery, reviewed medical records of TKA patients 55 and younger and compared them to records of patients between 60 and 75. Keeney and his research team found younger patients were twice as likely to require knee replacement revision surgery within two years of their original procedure than older patients. Younger patients were also more likely to get an infection or experience mechanical complications with the new joint.

Although many factors can cause a joint to fail, Keeney says one of the most likely culprits is smoking. Past studies found tobacco use increases the risk for infection and wound complications. Keeney suggests doctors should include smoking cessation programs as part of TKA treatment plans (Medical Xpress).

Schedule a Total Knee Arthroplasty Consultation

Are you considering total knee arthroplasty? Call your orthopedist and schedule a consultation. If you are a smoker, talk with your doctor about a smoking cessation program, so you can quit smoking before your knee replacement procedure.

Filed Under: News Tagged With: multi

New Study Says Sugar Can Increase Risk for Colitis and IBD

January 7, 2021 by Emily Grant Leave a Comment

According to recent research, a high-sugar diet could be one of the main culprits for an increased incidence of inflammatory bowel disease (IBD).

A new study published in Science Translational Medicine found that sugar, especially glucose contained in high fructose corn syrup, may be a key contributor to increased number of IBD cases.

Hasan Zaki, Ph.D., professor of pathology, and a group of researchers from UT Southwestern analyzed how sugar affects mice’s gastrointestinal tract. The team fed a group of mice a high-sugar diet and discovered these mice developed more intense colitis, a type of inflammatory bowel condition.

A high-sugar diet also affected the protective lining of the intestine. The research team found sugar promoted gut-damaging bacteria’s growth that caused a thinning of the protective mucosal lining of the intestine and initiated inflammation. Furthermore, sugar caused good bacteria like Lactobacillus to decrease (Medical Xpress).

What is Colitis?

Colitis is a general term for an inflamed colon. It can cause symptoms such as abdominal pain, chronic diarrhea and rectal bleeding. Inflammatory bowel disease (IBD) refers to two specific conditions: Crohn’s disease and ulcerative colitis.

IBD is more common in Western countries, and this may be due to poor eating habits. The Western diet contains high amounts of sugar, fat and animal protein, which can inflame the GI tract. Is there a link between the invention of high fructose corn syrup in the 1960s and the rising number of IBD cases? Dr. Zaki thinks it is a strong possibility. “Our study clearly shows that you really have to mind your food,” he said.

Dr. Zaki plans to continue his research and study how sugar may affect the development of other inflammatory conditions like obesity, fatty liver disease, and Alzheimer’s disease.

Who is Most at Risk for IBD?

Past research shows dietary changes can profoundly affect the gut microbiome. However, some people are more at risk for IBD. Some of the risk factors for IBD include:

  • Family history of IBD
  • Lower socioeconomic status
  • Less than a high school level of education
  • Smoking (Crohn’s disease only)

Talk to your Doctor

Undiagnosed IBD can cause permanent damage to your digestive tract and increase your risk of colon cancer. If you are experiencing symptoms of IBD, call your doctor and schedule an appointment to evalute your complaints. Your doctor may refer you to a gastroenterologist who might schedule a colonoscopy. During a colonoscopy, a gastroenterologist will evaluate your colon’s health during your colonoscopy and diagnose conditions like IBD, diverticulitis, or colon polyps (which can be removed and prevent the development of colon cancer). If necessary, you can begin a treatment plan right away.

Resolve to make colon health a priority in this new year. Preventing colon disease is easier and less expensive than treatment, so call today.

Filed Under: News Tagged With: gi

Why You Can Benefit from Seeing a Gastrointestinal Doctor in Your 20s or 30s

January 6, 2021 by emilygrant12 Leave a Comment

You may think that a gastrointestinal doctor is the kind of doctor you only need to go once you’ve reached a certain age, or to deal with pains and concerns that come with growing older (and to get screened for colon cancer with a colonoscopy once you turn 45).

While that’s true, there are a number of reasons why someone younger – in their early 20s and 30s – can absolutely benefit from seeing a GI doctor.

Here are some reasons why a younger person in their 20s or 30s might see a GI doctor. While there are other conditions and concerns, we welcome patients of all ages – because we CAN help you find relief.

A “nervous” stomach

You may discover that your stomach “acts” up at times…and you may have been told you have a “nervous” stomach. Or perhaps your doctor treated the specific symptoms you had at the moment you went in, but the issues continued and the source of the problem wasn’t discovered.

When you are properly diagnosed by a gastrointestinal specialist, you’ll be able to receive the proper treatment – whether that involves lifestyle changes, dietary changes, medications, or procedures – that can change your life.

At Gastrointestinal Specialists, P.C., we have various methods of getting to the root cause of your concerns – including different types of internal scopes, so we can actually see what’s going on and causing you discomfort.

Food sensitivities

When you grow up with things always being a certain way when it comes to your digestive system, you tend to think it’s normal. You become accustomed to your stomach feeling rough a lot of the time, and the aftermath of eating is something you just accept.

But what if it’s because you have sensitivities, and the food you are eating is causing specific adverse reactions throughout your GI tract?

Celiac disease means your body can’t tolerate gluten – and eating it can cause a host of issues, including depression, malnutrition, fatigue, digestive issues, and more.

Lactose intolerance is when your body can’t process lactose, an ingredient in many common dairy products. That intolerance may lead to gas, bloating, and more GI tract disruptions.

At Gastrointestinal Specialists, P.C., we can test for and diagnose Celiac disease and lactose intolerance – and other food-related issues that may be upsetting your digestive tract – so we can pinpoint the problem and determine the best treatment so you can start feeling better.

Heartburn and acid reflux

People of all ages commonly deal with heartburn and acid reflux – and the long-term effects of “just dealing with it” until it passes can wreak havoc with your stomach and esophagus.

You may think you’re OK because the over-the-counter medications make you feel better…for the moment. However, these medicines only mask the problem and allay the symptom – instead of treating the issue.

When your heartburn is repeatedly occurring – and therefore chronic – it is diagnosed as GERD (gastroesophageal reflux disease). We can perform procedures to properly diagnose the condition so you can learn how to treat it and find relief.

Gas, constipation, bloating

You’re always running to the bathroom after you eat. Or getting horizontal on the couch to give your stomach time to “settle” after a meal. It’s just how your body works, right? It doesn’t have to be this way.

Although it may seem like that’s just you, and that taking time for things to pass is a normal part of life, you may have more serious issues that can cause long-term complications.

Things like Irritable Bowel Syndrome, Diverticulitis, and Crohn’s disease can all disrupt your digestive tract – but there are ways to treat them so you don’t have to live in discomfort anymore.

Gastrointestinal Specialists, P.C., has a team of knowledgeable doctors to help you work to eliminate gas, constipation, bloating and other stomach concerns to keep your GI tract running smoothly.

See a gastrointestinal doctor today!

Visit Gastrointestinal Specialists, P.C. in Troy, Michigan, to receive a true diagnosis of what’s causing your pain or discomfort – then we can help you treat it so you feel better and work at preventing any long-term complications. Schedule your appointment today!

Filed Under: News Tagged With: 2110

Suncoast Endoscopy Center Honors 20-Year Staff Veterans with Luncheon, Plaques

December 4, 2020 by Emily Grant Leave a Comment

Suncoast Endoscopy Center celebrated three employees who reached their 20 year milestone – Wendy Dawson, David Key and Lori Sloane. We are grateful to have them as part of our family and congratulate them on such a wonderful milestone. Our physicians and staff honored these three with a wonderful luncheon, and Dr. Anil Ram presented them with plaques commemorating their years of service. Below are photos of the festivities:

 

 

 

 

From Left to Right: Wendy Dawson, David Key and Lori Sloane

From Left to Right:  Dr. Anil Ram, Wendy Dawson, David Key, Dr. Trupti Shinde, Center Leader Terry Titus, Dr. Varun Patel and Lori Sloane.

From Left to Right: Dr. Trupti Shinde, Wendy Dawson, David Key and Dr. Anil Ram.

Filed Under: News Tagged With: 2089

More Screen Time Increases Dry Eye Incidence

December 4, 2020 by Emily Grant Leave a Comment

Do your eyes feel strained or irritated lately? More patients are making eye appointments during the pandemic due to increased screen time and subsequent dry eye syndrome.

Definition of Dry Eye Syndrome

Dry eye syndrome is a common condition that affects 4.88 million Americans. It results when the tear glands do not make sufficient tears to moisten the eyes. Untreated dry eye can cause significant discomfort and vision problems, so if your eyes feel dry, visit an eye doctor as soon as possible for relief.

Dry Eye Cases Increasing in the United States

Eye doctors are citing increased numbers of patients during the pandemic. COVID-19 quarantines and social distancing measures have forced much of the American workforce and school systems to go remote, and eye health is suffering. Staring at computer and smartphone screens all day can decrease blink rate by 33 percent and cause eye fatigue, eye strain and dry eye (Medical Xpress).

It is essential to seek treatment for dry eye because it can lead to severe vision complications, including:

  1. Surface damage to the eyes. Severe dry eye can result in inflammation, corneal abrasions, corneal ulcers and loss of vision.
  2. Eye infections. Natural tears protect the eyes from infection. Inadequate tear production can put the eyes at risk for invasion from germs and bacteria.
  3. Decreased quality of life. Dry eye can make it challenging to perform daily tasks like reading and driving.

Women are More Susceptible to Dry Eye than Men

Of the almost five million Americans with dry eye syndrome, three million are women. The unequal distribution of dry eye among women is due to hormonal factors like pregnancy, birth control and menopause. Because women are more prone to dry eye syndrome, it is imperative that they schedule regular eye exams.

Symptoms of Dry Eye Syndrome

How do you know if you have dry eye? Typical symptoms include:

  • Red eyes
  • Stinging or burning of the eyes
  • Sensitivity to light
  • Watery eyes
  • Blurred vision
  • A scratchy feeling in the eye

Natural Treatments for Dry Eye

If you are experiencing dry eye syndrome symptoms, call your eye doctor to make an appointment for a comprehensive eye exam. In the meantime, you can try some of these natural treatments:

  1. Take regular breaks from computers, tablets and phones. Remember the 20-20-20 rule: every 20 minutes, take a 20-second break from your screen and look at something at least 20 feet away to reset your eyes.
  2. Position your computer screen below eye level. You will not have to open your eyes as wide.
  3. Use a humidifier in your work area.
  4. Quit smoking or avoid areas where people smoke.
  5. Try over-the-counter rewetting drops.

Filed Under: News Tagged With: eye

5 Simple Tips to Enjoy Your Holiday Dinner Without Stomach Issues

December 2, 2020 by Emily Grant Leave a Comment

If you’re looking forward to a cornucopia of foods this holiday season, but not the aftermath of what overindulging means for your stomach, read on for 5 simple tips to enjoy your holiday dinner without stomach issues.

1. Smaller portions

If you feel a burning sensation in your chest area after you eat, you’re not alone. Heartburn and acid reflux happen when your stomach fills up and the acid goes up into your esophagus.

Eating smaller portions helps reduce those potential acid reflux triggers, since your stomach isn’t filled to the brim for so long, that way you’re not uncomfortable after your meal.

At a holiday meal, it’s not always easy to limit portions. But, you can build yourself a second plate and set it aside — or simply go back for round two (or three) later, once the food in your stomach has had a chance to digest.

Chronic heartburn, or GERD, can lead to potential serious long-term health concerns if not treated — so be sure to talk to your doctor about your concerns.

2. Drink water with your meal

Acidic and carbonated beverages (and alcohol) can trigger heartburn and acid reflux — so save the non-water beverages for before and after you eat, if at all.

You’ll also want to make sure you’re drinking water throughout the day since water keeps things flowing more smoothly throughout your gastrointestinal tract — and helps prevent waste from getting “stuck” and causing discomfort as it makes their way out.

3. Limit processed foods

Generally, families come together during the holidays and bring their dedicated homemade dishes to share. But there are often some processed foods mixed in with the buffet…which you’ll want to skip if there are tastier options.

Foods that don’t come in a box or package (read: fresh foods) are easier for your stomach to digest and will cause fewer issues going through your GI tract. It’s just one of the ways your diet can help colon issues.

4. Fiber

If you can incorporate food with fiber during your feast, it can help reduce constipation issues afterward. Soluble and insoluble fiber work to make waste softer and easier to pass through your intestinal system.

But this doesn’t mean you need to eat bran and prunes at a holiday dinner: Instead, think whole grains over white flour breads, and vegetables and nuts when you can.

Load up on sweet potatoes and broccoli. Toss almonds in salad; add crushed pecans to potato casserole; incorporate salads or dessert with fruit — like a fruit tart or fruit pies instead of cream pies; and swap hummus or guacamole for dairy-based dips.

5. Limit gluten

Gluten is a protein found in grains like wheat and rye, and for some people it can cause stomach issues — or other symptoms like fatigue, depression, seizures, infertility and more.

If you have or think you may have a gluten sensitivity, stay away from foods that likely contain gluten, such as:

  • Green bean casserole
  • Pie crusts
  • Stuffing
  • Gravy
  • Vegetable dips
  • Most pre-made salad dressings

Instead, stick to these foods, which are usually gluten-free:

  • Turkey
  • Sweet potatoes
  • White potatoes
  • Vegetables without sauce
  • Rice (without sauce or wheat-based seasoning)
  • Cranberries and cranberry sauce

Talk about your GI concerns

If you’re having stomach issues after eating, talk to a gastrointestinal specialist about how to make things better. We’re here for you at Gastrointestinal Specialists, P.C. in Troy, Mich. Contact us to request an appointment today!

Filed Under: News Tagged With: 2110

How Race Impacts Colon Cancer Incidence and Mortality

December 1, 2020 by Emily Grant Leave a Comment

African Americans, especially under 50, are at higher risk of being diagnosed with colon cancer and dying from the disease than Caucasian Americans, according to a new study from Colorectal Cancer.

The average lifetime risk of colon cancer is one in 20, but colon cancer risk varies among races and ethnicities. Race has a profound influence on colon cancer survival rates. African Americans are more likely to develop the disease and die from it.

African Americans Under 50 at Greatest Risk

In cooperation with the Medical University of South Carolina, Kristen Wallace et al. studied more than 1,000 patients diagnosed with colon cancer for survival based on race and risk of death in two age groups: patients under 50 and those over 50.

African Americans under 50 were more likely to die of colon cancer than Caucasian Americans under 50. In patients over the age of 50, race did not affect colon cancer survival rates. The study also discovered tumor location played an important role in colon cancer survival in younger African Americans.

The study’s authors hope the results will help doctors target patients who require aggressive treatment and monitoring. They also say they must do further research on how the location of colon tumors influences patients’ responses to treatment.

Young-Onset Colon Cancer Incidence is Rising

According to a 2019 article in Cancer, young-onset colon cancer in the United States is rising. One out of every three new cases of colorectal cancer at the University of Texas MD Anderson Cancer Center is in a patient between the ages of 18 and 50. Young colorectal cancer patients are more likely to be diagnosed in stage 3 or 4 because they are unaware of the disease’s signs and symptoms (The Scientist).

Schedule Your Colonoscopy to Prevent Colon Cancer

Colon cancer is the second-leading cause of cancer death among men and women in the United States. In 2020, an estimated 104,610 Americans will be diagnosed with colon cancer and 43,340 will be diagnosed with rectal cancer (American Cancer Society).

Most cases of colon cancer are preventable through routine colonoscopies. Colonoscopy is the gold standard of colon cancer prevention because it can detect and prevent colon cancer in a single procedure. Your doctor can remove any suspicious polyps before they can develop into cancer, making a colonoscopy a life-saving screening.

The American Cancer Society’s colon cancer screening guidelines suggest adults begin screening at age 45. However, individuals with a family history of colon cancer should get screened earlier. Talk to your doctor about when you should get screened for colon cancer.

Filed Under: News Tagged With: gi

COVID-19 Quarantine Worsens Bone, Muscular and Joint Pain

December 1, 2020 by Emily Grant Leave a Comment

New research suggests patients with joint, bone and muscle pain experienced a worsening of symptoms during COVID-related quarantine.

According to a recent study from the University of East Anglia, people with musculoskeletal pain cited intensified symptoms during government lockdown. The study, led by Dr. Toby Smith and Professor Alex MacGregor, reviewed online surveys of 678 citizens of the United Kingdom to assess how patients managed joint, bone and muscle pain during quarantine and how quarantine restrictions impacted their access to healthcare.

Dr. Smith and Professor MacGregor began the survey at the end of April 2020, just five weeks after the COVID lockdown. Traditionally, doctors prescribe medications and physical activity to manage bone, muscle and joint disease. The study found patients who experienced loneliness and social isolation were less likely to seek medical care.

The researchers also discovered:

  • 53 percent of surveyed patients said their bone, joint and muscle issues had worsened since lockdown
  • About 33 percent of the patients said they needed to visit their primary care physician or the rheumatology department at a hospital
  • More than 88 percent of patients said they could access their medication without difficulty, but 44 percent needed assistance from others to access it.

“Our results show that the coronavirus pandemic is a major challenge to people’s health and wellbeing, both to young and older people,” said Dr. Toby Smith. “We wanted to know how the new restrictions might be affecting pain, and better understand who is most at risk of experiencing flare-ups, or reduced wellbeing due to social isolation and loneliness.”

Call Your Orthopedist

If you have had to cancel an appointment or procedure because of the COVID-19 quarantine, you should reschedule it as soon as possible.

According to GlobalData, more than eight out of ten musculoskeletal procedures have been postponed, canceled or delayed because of COVID. However, almost all surgery centers and orthopedic practices have resumed appointments and procedures. Has the pandemic affected your bone, joint or muscle pain? The remaining weeks of the year could be the perfect opportunity to schedule your procedure.

Call your doctor today about rescheduling your appointment, surgery or procedure. You can experience pain relief, increased mobility and more independence to do the activities you enjoy.

Filed Under: News Tagged With: multi

4 Ways to Keep your GI Tract Running Smoothly

November 2, 2020 by Emily Grant Leave a Comment

Do you have stomach discomfort or pain more than you’d like? (Here’s a tip: It shouldn’t be hurting at all!) If you’re having some issues with your digestive system, know that you don’t have to suffer.

Our doctors can help you diagnose and treat any issues, and help you keep your GI tract running smoothly. Here are some of our top tips that will help lead you on the path to feeling better.

1. Get a colonoscopy by age 45

A colonoscopy is the trifecta of gastrointestinal tract examination tools. Your doctor can: See what’s going on in your intestines; remove certain polyps during the procedure; and diagnose issues in your GI tract (including colon cancer).

Every single person should have a colonoscopy by age 45 (or sooner, if you have other risk factors), for many reasons. If you experience digestive pain, a colonoscopy can evaluate possible GI causes that can be contributing to discomfort – including polyps, colon cancer, diverticulosis, inflammatory bowel disease, bleeding, change in bowel habits, obstruction, and more.

And knowing the cause is half the battle – because then it can be treated.

2. Add more fiber in your diet

As we get older, our bodies often need to work harder for things that never used to seem as difficult. One of the ways it becomes obvious is in our digestive tract. What goes in must come out, but you may notice that process can become more challenging – often because of a lack of fiber.

This doesn’t mean you have to limit yourself to a diet of boring bran flakes and prunes to keep things running smoothly. Simple changes to your diet can help, including by incorporating more fiber in the food choices you make.

Most Americans don’t regularly eat a lot of fiber, so you’ll want to gradually increase your fiber intake if that’s the case. Otherwise, you may end up with more gas and bloating than you’re used to and decide to stop the fiber altogether (which you shouldn’t!).

Some simple ways to incorporate more fiber into your diet include:

  • Swapping refined grains for whole grains when possible (in breads, cereals, popcorn, etc.)
  • Adding in fruits and vegetables – like apples, broccoli, berries, avocados – before meals
  • Read labels: When using processed foods, look for ones with higher fiber content

3. Drink More Water

So much of our health depends on our hydration, and that’s especially true when it comes to our digestive system. Water is vital to your GI tract because it breaks food down so that your body can absorb the nutrients better. But in addition, water helps you to be more comfortable because it helps digest fiber.

Think of the food going through your intestinal tract as a fallen branch going down a river. If the water levels are high, there are no problems and things can flow easily. But if the water levels are low, that stick going down the river is going to gather mud, get bigger and maybe get stuck.

Aim for eight 8 oz. glasses of water – plain or with fruit, but not carbonated – a day. A glass in the morning and following each meal gives you four glasses, so you’ll only need another 32 oz. of water throughout the day.

4. Talk to your doctor – even about the little things.

If you’ve always been told you have a “nervous stomach” or know that certain foods make your stomach not feel the greatest, it’s time to get to the root of the problem. Things don’t “just happen.” There’s a reason – and we can help you pinpoint the reason and treat it, so you can start feeling better! Questioning it? Check out these 5 Reasons You Need to See a GI Doctor.

There could be a growth or irritation in your gastrointestinal tract that, if diagnosed, can be taken care of so the issue isn’t something you have to “just deal with” anymore. Or, there could be a larger concern at hand that, once you know what it is, doctors can determine the best way to fix it – whether through medication, surgery, or another option.

Talk to your doctor. That’s what we’re here for!

Ask Gastrointestinal Specialists, P.C.

Our team of doctors at Gastrointestinal Specialists P.C., in Troy, Michigan have the knowledge and experience finding and treating diseases in the gastrointestinal tract to ease your stomach issues. And we’re committed to making your experience at our facility as comfortable and convenient as possible.

Filed Under: News Tagged With: 2110

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