52: Chronic bronchitis/annual performance review

In light of recent events we want to

take the time to say that we support the

peaceful protesters as this fight for

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of human life continues black lives do

in fact matter regardless of station

though we are deeply troubled by current

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horrors as are now daily taking place

with widespread coverage and it is for

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schedule so enjoy hi kids

you are about to listen to a comedy podcast that

means that none of this is medical

advice if you need medical advice the

medical care please contact your doctor

welcome to the jock doc podcast

featuring dr. London Smith why are they

using tear gas on peaceful protesters

during a pandemic introducing your host

dr. London Smith

[Applause]

hello and welcome to the jock doc

podcast where we discuss fitness and

health and how to incorporate our modern

understanding of science and medicine

into our daily lives but with that up

being so boring I’m your host dr. London

smith (.com) I’d like to begin by

apologizing to our listeners we’ve

received some feedback about the overuse

of technical medical terms that I’ve

been using such as mitotic

nondisjunction and timmer so I will try

to temper my terminology to a simpler

one in the future

here to help with that is our producer

Cameron hello hello dr. London how are

you I’m uh I’m relatively okay how are

you well why can’t we get down to the

nitty-gritty what’s with all the you

know the these passive-aggressive like

oh I’m doing fine I’m doing pretty okay

if it’s not even an answer what I want

the real dr. London to answer yeah well

it’s just I don’t know if you’re you’re

aware of this but today is the you know

the annual performance reviews so I’m

I’m a little antsy over a 50 second

episode 52 weeks yeah yeah but I mean

like what do you have to worry about

yeah I don’t assume anything but it’s

it’s just like for any test you get a

little you know anxiety that’s all no I

don’t yeah I’m sorry I don’t think

that’s normal for most people who take a

text yeah I mean I guess for the people

at the bottom of the totem pole or you

know the the low scores in the class

yeah I guess I could see if I was one of

those it’s hard to just imagine you know

I guess if I was one of those people

maybe I would get stressed out about a

test yes well I mean usually untested

you know I wake up and then I go to to

the doughnut shop and I’ll usually get

like a dozen kolache xand a dozen

doughnut holes assorted and then a dozen

doughnuts

and then I’ll eat that in the parking

lot with Miss Frandsen okay the home act

teacher yeah because me and her I think

we have a connection that a lot of

people wouldn’t understand and this and

that that’s not what everyday is that

with a test or how is that related oh

yeah this is test day cuz I’m just

relaxed baby I’m just hanging out and

then I go take the test a sit obviously

like everyone except for the people at

the lowest part of the class yes do you

and you actually take it you aren’t

hiring someone else or well I mean I you

know does a person who created and

design a car don’t they hire other

people to do the actual you know

hands-on work you manufacturing so huh

say you’re seeing assembly line work you

know so you study hard for a test and

then I’m saying I hire an assembly line

of people just like when you’re building

a car or building anything in a factory

so each person is responsible for one

answer on the test that way it makes it

super easy so if there’s 85 questions on

the test

I got 85 people in the classroom and

they just pass it around one of the time

and I ace it every time like most people

would okay so anyway so that’s our

producer Cameron also with this yeah

those you Cameron

also with us is DJ DYLAN IN DA HOUSE

[Applause]

[Music]

and later rather than having a guest I

think we’re just gonna be focusing

really on this performance review so we

can you know bring you guys the best

podcast possible yeah and I’m excited to

really dig in deep here dr. Lunney

because I think there’s been a lot of

there’s a lot of things to cover there’s

been a lot of complaints that have gone

ignored yes people are saying a lot of

different things I’ve been saying a lot

of different things and I think it’s

it’s high time we address these these

issues with this podcast I am concerned

about the the amount of feedback you’ve

personally given but but before we move

on I would like to address a bit of

listener feedback that I assume is not

from Cameron I found this note jammed

into the wooden support of my mailbox

with a large hunting knife the note

reads quote safety first driving is a

great way to test your vision much safer

than going to the optician or trying to

read something like say government

guidelines xx end quote so first of all

thank you so much for reaching out to

the jock duck podcast we love to hear

from these listeners to answer your

question I would like to clarify that

although driving an automobile could

serve in some capacity as a test of

vision the issue becomes the consequence

of failing that test so if you if a

person fails at the outpatient you know

they’ll find a treatment for you like

corrective lenses or something on the

road failure could mean you know injury

or death yeah tears running into it

chicken Express or others I’m sorry or

running into a chicken Express yeah I

mean I understand this person’s

hesitation to trust government-mandated

eye test chart

why are you why are you guys hiding all

of these crazy and creepy messages in

your eye charts I hate it I don’t like

taking those tests because every time I

walk away knowing something that I wish

I didn’t know so usually it’s just you

know kind of a random assortment of you

know letters and it’s not really a

message oh okay

yeah and it just happens to say Cameron

I know what you did I feel like this is

an example of you reading into something

that isn’t necessarily there did you

hear that I know you you pretend that it

never happened but you know what

happened I when I’m saying doctor what

is this and the doctors on his damn

phone

just texting away tweeting away was this

it was an actual physician I ran into a

chicken Express oh okay well anyway to

this listener thanks for listening and

now for today’s medical topic chronic

bronchitis chronic bronchitis like

emphysema is a chronic obstructive

pulmonary disease or COPD it is a

clinical diagnosis characterized by

chronic cough production of sputum for

at least three months per year for at

least two consecutive years so COPD is

currently the fourth leading cause of

death in the United States chronic

bronchitis is caused by excessive mucus

production that results in the narrowing

of the Airways they also have

inflammation and scarring in Airways

enlargement of mucus glands and smooth

muscle hyperplasia and all these lead to

obstruction vii happens three months out

of every two years with the with the two

months and the third years though you

said it’s chronic cough productive of a

sputum for at least three months per

year and then two months in a in a in a

third year it’s with a third month

in a in the – I’m sorry it’s alright I

should I should always state so it’s

three months in a given year and then it

has to be two consecutive years of that

happening so it’s two it’s three it’s

three weeks on the first year but no

nine or nine weeks on the second right

cuz you would split it up and then by

the third well and then you would add

the three months so right well and this

is you know your physician will will

probably do this part for you Cameron

but oh my physician is not a math guy

okay so it is chronic cough productive

of sputum for at least three months per

year for at least two consecutive years

so it’s two years in a row three months

with the third and then in the third one

three months per do of two months so you

do it you to do it back you do a back to

back month on the fourth year that

that’s that rolls over from the second

year yes yeah what’s the roll over on

this I don’t think there’s a there’s a

roll over situation it’s more just like

one way you could think of it is just if

you don’t so but if you so if you don’t

use the two months in the second year

you don’t you’ve lost it in the third

year as well you have to do at least and

I said I say it like you have to do but

really this is a this is an illness you

shouldn’t do this if you can help it but

three months per year for two years in a

row at least is how you should really

think about or like a rollover system

yeah I I just don’t see everyone using

this the third month in the fourth year

yeah well this is why it’s more of like

it’s up to your physician really to to

make these kind of judgments but and

again again he’s not a math guy all

right well in any case so emphysema

which is what we talked about last week

emphysema and chronic bronchitis they

often coexist but predominant chronic

bronchitis patients present as what are

termed blue bloaters they tend to be

overweight and cyanotic which is a term

for when the skin is blue or purple and

this is secondary to chronic hypoxemia

and increased carbon dioxide in the

bloodstream the most important

intervention is chronic bronchitis is

smoking cessation smoking cessation

prolongs the survival rate and oxygen

therapy has been shown to improve

survival and quality of life in patients

with both COPD and chronic hypoxemia so

so the smoking sensation it improves my

would you say invincibility and quality

of life okay no I should clarify it’s

the word is cessation as in you don’t

it’s not a sense it not a sensation used

it’s quitting smoking no is what I’m

trying to say no I mean there’s a

there’s a pretty good sensation while

smoking all right well so the argument

here is that actually it made you know

provide you a good feeling in the moment

but long-term it can be damaging

so other treatments include

bronchodilators like anticholinergic

drugs and beta-2 agonists and in acute

exacerbations you can consider steroids

and antibiotics symptoms and severity

will change treatment approaches and

lung resection or transplant could be

potential options for certain cases but

yeah quitting smoking is really the the

best way to and so this and so the

smoking sensation you said you know it

temporarily is you know might feel

pretty good but it’s gonna hurt you in

the long run that’s kind of like eating

a whole boar in the moment yeah it feels

good it feels smart like you want it I’m

not sure why you’re gonna pay for that

later

yes have you have you got a for that

later if you eat the whole boar whoa is

this this is a problem you’ve run into

like enough

to know that it’s a bad habit to get a

tummyache after eating the whole boar

yeah why I mean I just assume it’s a lot

of meat okay cuz the way you say it you

make it sound like you know like oh I’ve

I’ve done that but I’ve been down that

road I’ve had that habit don’t do it oh

so I can’t just use basic human common

sense and logic to figure that out okay

so you haven’t know that eating an

entire animals worth of miso you haven’t

done that’s probably gonna give you a

tummy ache you this is the scientific

method dr. London I thought you of all

people would appreciate this I’m sorry I

didn’t know that you were stating a

hypothesis I thought you were you know

just telling me about a dining

experience you had okay okay

okay just I just wanted to make sure of

it okay we can move on from there then

all right Cameron do we have a sponsor

today we do dr. London

[Music]

I’m really really really excited about

this this is as you know this is sort of

the the 52nd episode which means we’ve

been doing this for about a year now

yeah so I mean that’s a year’s worth of

episodes a year’s worth of listeners a

year’s worth of you know merch and

products and advertisers and it’s a

year’s worth of raising money for our

show well I yeah it seems like because

you have a history of kind of you know

like we’ll get sponsors but then you

seem to kind of chase them away or and I

know I’m a bit of a troublemaker and

sometimes I don’t know the logistics or

the Excel sheets or whatever the

powerpoints of every single little

business ii thing but i’m very very very

excited to tell you that just a few days

ago we raised our one millionth dollar

for the podcast

oh really yeah it turns out one of those

past advertisers and I don’t know which

one ended up being so successful and

because they had given me a share of

something we got the check in the mail

this is real this is 100% real Wow and

and you also don’t know which I feel

like it whichever gotta be Billy’s

bunghole sauce right yes I’m I mean I

guess I don’t know but I saw the movie

theaters the other day I was at the am

scene you could put it on your popcorn

okay it sounds like I’m sorry you were

to the movie theaters yeah just for the

popcorn right okay I get okay all right

well um okay so I guess if we have

though this funding we can start with

this new really educating more Wiggly we

can do advertising we could start well

the real dream of this podcast to to

fund medical missionary work yeah yeah

absolutely and that all of those things

we you know they all have to get to

those things we got to take a big first

step and you know you definitely have to

spend money to make money which is why

today’s advertiser is our biggest

advertiser yet and I’ve spent all of our

1 million dollars getting this

advertiser it’s night I’m sorry I’m

sorry you spent that mail the entire all

the million dollars yeah getting the

advertiser and we got him we got Nike

dr. Londe I so so you because once again

you don’t advertise okay advertisers are

supposed to pay you to run an

advertisement because it gives exposure

for their product okay and so oh no I

haven’t I already paid them yes yes so

so what I’m saying is that if they if

they’re trying to run an

add you know they’re basing it on what

we have to give them is a number of

listeners ok people who will hear their

product mmm ok

and so we expose those listeners to

words about that product sure and that

is a service that they pay us to receive

and so it’s an exchange well no your

because you know you’re thinking of a

volunteer and this is more of a

advertiser and so the money’s already

been I mean it’s been it’s been cashed

they accepted it and so now we can can

finally finally what I’ve been always

dreaming of advertising Nike thank you

got the shoes they’ve got the checkmark

Michael Jordan they’ve got like track

suits or maybe like a hoodie do you get

a nike hoodie anytime you want probably

sweat pants probably like sweat hands

yes you probably this one happen just

the logo even without the word Nike

which is kind of cool it’s kind of

minimalist when you do stuff like that

because there’s such a break big brand

that the you know we really don’t even

have to advertise them at all every

single person who could possibly listen

to this knows what it is yeah well okay

and so you can just do something I’m

like whatever you want so I that’s just

not how it works someone is probably

maybe like goggles like swimming goggles

so we didn’t get any about like clean

money right like so Nike Nike didn’t

give us give us anything not a dime no

oh no they did give us like a thank you

for the million yes they and they

acknowledged that we paid to advertise

yeah they said thanks appreciate it and

you’re sure it was the the Nike

corporation yeah I mean I definitely

gave it to a guy with like a checkmark

in a bag

okay like you know those you know

there’s like those sacks that have a

dollar sign on it this had the Nike

checkmark yeah a lot of a lot of bags

have that particular logo on it because

yeah because Nike is a international

corporation with a lot of employees yes

so I was so lucky to meet this guy and

so I guess my point is like someone like

you know he’d just leave me the bottom

of the cleats the soccer cleats yeah so

one of us could just do it justice just

clean it easily been wearing the same

bag and it would have meant anything

just cleat it okay

all right well I guess I guess we’ll

thank you too can you say you say just

clean it I think they would appreciate

if the host said it and you think that

that’s their new slogan as well well

it’s sort of like a pitch right because

it’s like just do it but we’re talking

about cleats

so maybe just do it you use that for

everything else like the the tennis

shoes and the the hoodies and beanies

and all that stuff but then for the

cleats

you have just cleat it so you it’s your

sort of it’s sort of a subsidiary really

of Nike okay

just just clean it yes

[Music]

all right we’re good all right so

Cameron you’ve been bringing up you know

and I also did the fact that we have a

performance review today just the annual

performance review I want to make sure

that we’re doing right by our listeners

yeah bringing the kind of educational

content that we want I want to see I

don’t know should we should we be going

a little bit deeper with the medical

content you know like sometimes I skip

over a little bit of the treatment

options and I don’t always explain you

know the pharmacology and you know how

that would affect the pathophysiology of

a given you know treatment plan so with

that in mind I wanted to make sure that

we kind of talked things out made sure

that we’re on the same page and this is

gonna be this is gonna be hopefully dr.

London if you agree it’s sort of a

free-flowing conversation between you

and me and the listeners yes the

listeners aren’t listening to it live

but in a way there have their part of

the conversation with us and they can

you they can contact us and with their

own weather with their own views as well

yeah yeah and you know this is why we

you know we read the listener feedback

we try to keep in touch you want to you

know any Corrections that need to come

in that sort of thing we mean it it’s

gonna be a free-flowing conversation

between you and me and the listeners and

my buddy PD I’m sorry PD PD he’s gonna

be the new executive producer on the

show huh I guess I I was unaware of so

you’re the producer mm-hmm and PD is the

executive producer mm-hmm okay I I II

won’t be around much but he I mean he’s

gonna help chime in sometimes I might

get a text message that’s kind of okay I

what he’s thinking

so he’s is he listening live then he’s

definitely listening to something I

wouldn’t tell cuz he’s singing along I

can see on the feed okay all right well

um I guess

hello PD thank you for joining us um

alright yes we can you I think he’s

listening to I mean I think it’s face

down by the Red Jumpsuit Apparatus I

can’t really read lips but it just has

that energy it is you’re reading the

lips of him singing along with a song

yeah it’s got to be face down okay and

it couldn’t just on face down in the

dirt it couldn’t just be that he’s

trying to talk to us and he’s muted no I

mean the head banging wouldn’t wouldn’t

make any sense with that but let’s get

to these great ladies and gentlemen the

jock duck annual performance review so

okay so we have this sort of formality

we have to go through Cameron I hope you

okay yeah

what’s my name you said cam in Cameron

did I say kamon yeah I think so but

that’s fine I wanted to make sure I

wasn’t saying my name wrong this whole

time it would be so embarrassing

yeah this whole time I thought my name

was Cameron but it was really cam in and

so I was like hold onö yeah okay

and just for the listeners this this

performance review was given to me by

like these papers were given to me by

Cameron or I guess maybe by PD the

executive producer I don’t know who it

came from originally but I just well

we’ll just kind of review this all right

so what have your strengths been in the

last 52 episodes your strengths bin the

one strengths been in the last 52

episodes and that’s directed towards the

listener okay yep Cameron do you want to

start and again this is a free-flowing

conversation

so I want to hear from the listener okay

what are our listeners strengths that

they’ve learned over the last 52

episodes okay good

go so give me time to think so we’re

just gonna wait for the listeners

response mmm just gonna sit here just

gonna wait there’s the fuck are the

phones I mean are they unplugged no I

think because you had to sell the phones

to pay for okay so I think one of the

strengths of our listeners is they’re

very good at listening mmm

not this new batch okay well I guess

just from the silence that’s what I’ve

seen yes just being quiet would be

another strength I told our listeners

over the internet over I was doing an

Instagram live video and I told our

listeners that I don’t hide any sort of

you know candies or any sort of and you

know snacks like chips or whatever I

don’t hide anything like that underneath

my dresser guess what I find in my room

three days later a listener a listener

stealing my sentence and I said no I

don’t keep my snacks under there so

they’re not I did know to say that

they’re good listeners would be sort of

a bold-faced lie I think there’s the

main strength of our listener over the

last 52 episodes is that he has gained I

think some sort of an antidote to the

poisons that I’ve been using on it okay

I guess that does bring to us to another

point um in the annual performance

review so Cameron you have managed to

narrow down the fact that what we only

have one listener left now and it is

that one you’re referring to yes well

it’s consolidation I’ve consolidated

because there was a lot of repetitive

listeners there was a lot of listeners

where it’s like they were basically like

the same type of person so we’ve now

consolidated it down to just one

in person sort of to make the process a

lot more efficient yeah so does that

make it more efficient because it seems

like it just makes us lose listeners

lose you know potential sponsorship

opportunities potential chances to you

know increase the revenue for the

podcast in order to once again hopefully

pay for medical supplies for those in

need

do you see do you see how that’s an

issue we’ve saved so much on bandwidth

because we’ve we’ve we’ve been able to

you know remove the redundancies and

consolidate everything really streamline

everything this is a this is this is the

internet doctor London that’s it’s all

about you know the fast-paced 90s okay

well I’m sorry the 90s okay well just

refer our listeners this isn’t really so

much a medical fact but the the current

year is actually 2020 it’s not we’re no

longer in the 1990s so just I just want

to make that clarification real quick

but Cameron and I want to admit I do

also want to mention to sort of make an

announcement to our listener if you I

haven’t been able to make it to the

store at all lately

and so if you could maybe pick me up

maybe like a carton of eggs I’m just a

thing of whole milk maybe like horizon

organic whole milk just a hit like a

half gallon and then just a loaf of

bread and that way I can make um you

know french toast yes all right well

Cameron are you ready to read off you

know your portion uh yeah sure dr.

London well I mean I have a I have a

question here that was definitely direct

I believe it’s directed towards you this

comes from a listener okay great so they

say

dr. London why are you so stinky I feel

like I can smell your stink through the

podcast I didn’t know that was a feature

I’ve looked through all of my phone

settings and I’ve tried to turn the

stinky smell off but that doesn’t seem

to be a setting could you explain the

medical technology for why this is

happening

PD well thank you PD for your question

Cameron oh no that was an anonymous

listening okay and do you ever know is

that an ominous listener our executive

producer by any chance no way didn’t

know okay so I guess one possibility to

explain that would be the the with app

which has been advertised on our podcast

this is one of our sponsored episodes

which was supposed to be medical you

know new a new medical technology but

I’m you know I thought that we kind of

dismissed that decided not to go with it

so I’m not sure Cameron is there any do

you know if there’s any update from oh

that is stanky um I mean I would say I

did hear from a listener recently that

the podcast was was given off a real bad

stinky stain okay so this is this is the

one it’s the one in the letter O it’s

the same I’d heard about that earlier

today I got just a couple minutes ago

yeah no I remember okay well I I guess

I’ll try to bathe more maybe I’ll wear

wear more Cologne I’m not sure really I

guess if it’s in your Cologne it’s kind

of an old school thing outside of like

special events I would say just maybe

maybe maybe switch up your deodorant or

your body wash whatever you’re using

well and as an alternative idea and this

isn’t you know I will try to work on

that personal hygiene but maybe

if you take the phone if you take your

phone with you to the restroom

and to other places where it can acquire

a smell you know cell phones are

notorious for gathering germs so maybe

try to wipe yours down you know and when

I say wipe down I do mean with you know

sometimes some antibacterial product and

that might actually you know assist in

your problem and maybe your phone rather

than my personal stink if that if that

makes sense given that I smell you

pretty frequently I’m gonna say it

absolutely does not make any sense okay

and no and that’s that’s fine do you

have a do you have anything in the

performance review now for me yeah okay

so here okay and this this is to Cameron

exactly how many sponsors lives have you

ended okay that that actually does seem

kind of harsh because that seems really

harsh I take care of our sponsors I mean

you did leave a lot of them in a

submarine correct yeah because I take

care of our sponsors well but they did

they passed away because of that

whenever you went up to get out right I

have no idea I just know I took care of

them you get it oh so you mean do I need

to take care of you too dr. London when

you say you took care of you you are

answering the question aren’t you

okay all right I’m saying maybe this

this question asked her needs to be

taken care of and maybe the little

doctor who’s reading it huh yeah yes I’m

sorry did okay so I do have some

feedback here it does say dr. London

that it doesn’t it sounds like you’re

not sitting up straight we actually got

that from a number of our listeners okay

and so I think that’s something that

maybe we can improve on is your posture

that’s fair and so okay one of the

things I was hoping we could do is so

here turn around a little bit yeah well

your backs facing me okay

hmm and then can you hand me that the

the big thing with the handle with the

big metal thing on the end my hands are

full can i foot it to you yeah you can’t

you can just put it to me that’s fine

yeah here yeah it’s like a big metal

piece it’s got a flat head and then

there’s like a like a handle mm-hmm

cheese for like for hitting and nails

you know and so I’m just gonna take a

hammer so I’m just gonna you’re the one

passing it to me with your foot

yeah no I guess I’d so I’m go ahead face

the other direction I’m just gonna I’m

just gonna hit your back I’m gonna do it

30 times okay actually so I’m gonna go

ahead and foot that right back okay okay

that please yeah okay okay all right so

now now sit up straight well so I’m just

gonna lay down here for now all right

listeners can hear that though okay I

really call you the the bad posture

imposter okay well maybe you know rather

than us try to recount Steph Curry said

that on TV like a couple weeks ago

that’s how that’s how crazy

nicknames cotton so maybe rather than

you know trying to remember what we’ve

done we can just replay some old clips

like what would that make sense for you

I guess it would make sense if it if

it’s in line with some of our feedback

here yeah so just I mean some of the

ones that really reinforce let’s say

that that latest one my posture alright

so let’s listen to that clip just hold

still I’m going to ruin your posture

it’s for no your neck health

okay so that was a fun clip wow it was a

great memory like like maybe my poor

posture is you know a consequence of

maybe some of your impact on the podcast

and my person your your influence on my

person I mean okay okay and then so I I

win I’m sorry performance review it’s

more for us to just evaluate where we

are how can we improve going forward you

know it’s not really about winning Shh

okay but did what’s the the what put how

many points that I gained in that last

round okay so I don’t I don’t think

there’s a point system to it did it can

I go for a double can I request it I’m

gonna go for a double okay okay well

I’ll just all right let’s go for a

double so right here we’ve got some more

listener feedback and this this isn’t

even a listener it’s actually from our

boss Casey Anthony Casey says why didn’t

you ever play that episode I guessed it

on I was really looking forward to it

because I’m a huge fan but it never

happened okay

we can I mean do we want to play it

close enough I mean just a brief one and

I think we had a really really sticky

lesson and it just it just didn’t seem

like it filled a full episode basically

that was I was the problem with it okay

right so Cameron in a idiopathic gute

ate hypo Melania –ss hi sit down sit

down in front of the guest sit down shut

up Casey go away hold him down where did

she get that rope from alright so that

once again I am seeing a kind of a

violent pattern which Cameron I’m not

sure if you’re aware but the audio like

if there’s a visual component that

you’re trying to convey about improving

posture or or ruining it somebody it’s

the listener yeah so they can’t see it

is the problem and these are pretty but

they can tell it’s like when they say on

the radio that you can tell when

someone’s smiling or not from their

voice and their inflection I can tell

how well your posture is pretty easy Ira

Glass terrible posture Joe Rogan his

head’s on backwards you can tell that’s

why his body shaped like that okay well

I imagine it was some sort of punching

accident someone spun his head the

opposite way but that’s it’s the only

way to explain why he looks the way he

does is because his head is on yeah okay

well I feel like at this point we’re

kind of we are running in a few circles

about this this annual performance

review like I’ve I feel like maybe I’ll

just I’ll try to be maybe a little bit

London Smith (.com)

52: Chronic bronchitis/annual performance review

The Life of London Smith In Video Form