21/01/2013

Download Subtitles

Transcript

:00:07. > :00:16.Hello. Tonight we are on patrol with the volunteers providing vital

:00:16. > :00:21.support to the West Midlands ambulance service. There were

:00:21. > :00:28.around awful lot of poorly people yesterday. It will stop you getting

:00:28. > :00:34.glaucoma. Which would you choose? And the secret to live in 10 years

:00:34. > :00:41.longer. Does more wealth mean better health? Poorer people tend

:00:41. > :00:48.to buy the Paul Auster -- strong staff. The kids tend to get as much

:00:48. > :00:58.down their throat as they can for as much -- little money as possible.

:00:58. > :01:08.

:01:08. > :01:13.First tonight, it is being called the biggest reorganisation of the

:01:13. > :01:17.NHS since it started 65 years ago. It has been hugely controversial

:01:17. > :01:27.and it is costing billions of pounds. But what exactly will

:01:27. > :01:27.

:01:28. > :01:31.change when it happens in 10 weeks' time? This is lovely, madam,

:01:31. > :01:35.because this inhaler would actually go with your coat. And a free

:01:35. > :01:40.examination. Do you want to come here and cough, sir? I can give you

:01:40. > :01:43.those half price. Plus something for your water retention. I'm a GP.

:01:43. > :01:48.And today I'm taking healthcare into the community, where it's

:01:48. > :01:53.needed. All the sample bottles you could ever need and I'll throw in a

:01:53. > :01:57.crutch. It's all free. It's all paid for. This is what the biggest

:01:57. > :02:00.shake-up in the history of the NHS is all about - giving local doctors,

:02:00. > :02:06.nurses and patients the chance to call the shots and shop around for

:02:06. > :02:08.the best care. At least that's the Government's plan. But many doctors

:02:08. > :02:14.think the reforms are untested, expensive and over-complicated - a

:02:14. > :02:18.view I shared with the former health secretary Andrew Lansley.

:02:18. > :02:22.The difficulty with this is that it's 353 pages of wonk. It's

:02:22. > :02:26.absolutely impossible to understand it. I choose my words carefully. It

:02:26. > :02:29.is unreadable. What did you actually say? It's wonky. But I've

:02:29. > :02:33.been wading through the jargon, and it's clear the reforms will affect

:02:33. > :02:37.us all. It's vital we put politics aside and try to understand exactly

:02:37. > :02:41.what they'll mean for patients. Until now the NHS has been like a

:02:41. > :02:46.big supermarket chain that only sells its own brands. It's a one

:02:46. > :02:49.stop shop where all the tricky decisions are made for you. In

:02:49. > :02:59.theory, you should get the same high quality care whether you live

:02:59. > :03:02.in Scunthorpe or Southend. But like any monopoly, it's far from perfect.

:03:02. > :03:04.The Government's bringing in the market place model instead -

:03:04. > :03:12.introducing more choice and competition, and putting GPs in

:03:12. > :03:15.charge instead of civil servants. But will it work?

:03:15. > :03:20.So if I just check your eyes there... I can confirm you have two

:03:20. > :03:24.eyes. We're doing two X-rays for the price of one. And I can throw

:03:24. > :03:27.in a free brain scan if you like. One change we're told patients

:03:27. > :03:30.should notice is care much closer to home. Hospitals and GPs will

:03:30. > :03:33.have more freedom to bring in innovative ideas. Technology might

:03:33. > :03:38.monitor your health at home and routine surgery could be done at

:03:38. > :03:41.high street clinics. Hospitals in Gloucestershire have already teamed

:03:41. > :03:47.up with a charity to send this mobile chemotherapy unit into rural

:03:47. > :03:55.communities. For cancer patients like Graham Freeman, it's a

:03:55. > :03:59.lifeline. The concept is great, moving the treatment to the person.

:03:59. > :04:03.Because it is a bit of a trauma, suffering from the chemotherapy and

:04:03. > :04:13.the travelling. Bringing the treatment closer to the person is a

:04:13. > :04:13.

:04:13. > :04:18.lot better. You do feel a little bit better. But could this shift

:04:18. > :04:21.towards more localised care mean hospitals will have to close? To

:04:21. > :04:26.find out I've come to London, to one of the world's most respected

:04:26. > :04:29.independent think tanks on health policy - the King's Fund. I don't

:04:29. > :04:32.think we'll see many hospitals closing as a result of care coming

:04:32. > :04:34.closer to home. It will mean hospitals changing their roles,

:04:34. > :04:40.perhaps fewer A&E departments, fewer maternity services provided

:04:40. > :04:43.in existing hospitals. But that could be to the benefit of patients

:04:43. > :04:49.if we're able to plan that in the appropriate way and get better

:04:50. > :04:55.outcomes by concentrating those services in fewer hospitals.

:04:55. > :04:59.might not be keen though, if it's your A&E that's closing. The second

:04:59. > :05:05.thing patients should notice is more choice. Three tomatoes for �1!

:05:05. > :05:08.Anybody? Three inhalers for the price of two. Come and get them!

:05:08. > :05:12.Two caulies, �1.50 over there! We've got a separate queue here for

:05:12. > :05:16.six symptoms or less. Competition in the NHS isn't new, but the

:05:16. > :05:23.reforms step it up a notch. The NHS will become a marketplace, with

:05:23. > :05:26.private companies competing with the NHS for business. So when your

:05:26. > :05:33.GP says you need a scan, your options may look less like this,

:05:33. > :05:39.and more like this. But it should be quality, not price, that will

:05:39. > :05:41.decide which are allowed to offer care. It's already happening here

:05:41. > :05:50.on the high street, where Specsavers are treating NHS

:05:50. > :05:53.patients in 218 of its hearing centres. When I came to Specsavers,

:05:53. > :05:58.they do private and NHS, which I find is better than going to the

:05:58. > :06:03.hospital. You know you go to the hospital, there's a lot of

:06:03. > :06:10.travelling and I don't think you get such a personal attention. So

:06:10. > :06:14.this is much, much better. When you press the button in, you'll hear

:06:14. > :06:17.two beeps which will allow you to use the telephone then. The plan is

:06:17. > :06:19.for patients like Doreen to choose their provider by looking at new

:06:19. > :06:24.performance league tables. But companies must play by the rules

:06:24. > :06:28.and can't encourage NHS patients to go private. Ultimately, Specsavers

:06:28. > :06:32.want to protect the NHS work that we've managed to gain here and we

:06:32. > :06:35.don't want to do anything to try and jeopardise that. We're not

:06:35. > :06:45.going to try and sell a hearing aid, upsell a patient at all during that

:06:45. > :06:46.

:06:46. > :06:49.time. Market competition could drive up standards and lower costs.

:06:49. > :06:52.But if profits slip, companies could pull out or even go under,

:06:52. > :06:57.leaving patients in the lurch. Remember the collapse of Northern

:06:58. > :07:01.Rock? Imagine if customers had been queuing not for their life savings

:07:01. > :07:03.but for life-saving surgery. there is going to be a bigger role

:07:04. > :07:06.for private companies in delivering care to patients, then there is

:07:06. > :07:09.always a possibility, however remote, that that company will not

:07:09. > :07:12.be successful, that we will see something like Northern Rock in

:07:12. > :07:14.healthcare. The Government's anticipating that. It's putting in

:07:14. > :07:17.place what's called a "failure regime" so that the regulator can

:07:17. > :07:23.intervene and ensure continuity of services even if the organisations

:07:23. > :07:27.are not providing care to the right standard. The third thing patients

:07:27. > :07:31.may notice is a shift in their relationship with their GP. So if I

:07:31. > :07:36.said, "Trust me, I know the best place to go to get your heart

:07:36. > :07:42.surgery." Would you say, "Yeah, you're the doctor. Dr Phil, you

:07:42. > :07:45.look like a ginger George Clooney. I love, I trust you."? Since the

:07:45. > :07:49.birth of the NHS, doctors have taken the trust of patients for

:07:49. > :07:53.granted. But as GPs offer more and more treatments, they could find

:07:53. > :07:56.themselves referring patients to their own services. Add private

:07:56. > :08:03.companies into the mix and there's real scope for a conflict of

:08:03. > :08:08.interest. So just open really wide. Say "ahh." Ahh. That's great, thank

:08:08. > :08:12.you. But should we really be worried? In Bath, Jasmine Bishop is

:08:12. > :08:15.seeing a GP on the NHS. But believe it or not, he actually works for

:08:15. > :08:19.Virgin. Yup - they of planes, trains and super-fast broadband

:08:19. > :08:23.fame also run this walk-in centre, along with 170 other NHS services...

:08:23. > :08:27.Although you wouldn't know it from the branding. As Virgin takes over

:08:27. > :08:30.more of the NHS, what's to stop you referring patients on to another

:08:30. > :08:35.Virgin service to make money for the company, rather than in the

:08:35. > :08:38.best interests of the patient? of our GPs, like any GP in the

:08:38. > :08:44.country, have to offer patients a choice when they're being referred

:08:44. > :08:49.for another service. So in the end, it's down to the patient to choose

:08:49. > :08:51.where they go. And of course, GPs and other clinical staff have a

:08:51. > :08:56.professional responsibility too to make sure that they're finding the

:08:56. > :09:02.best care for their patients. That doesn't differ because those GPs

:09:02. > :09:06.are employed by us. And you have to ask if patients really mind who

:09:06. > :09:10.provides their care. Did you know that this health centre was run by

:09:10. > :09:15.Virgin? No. Would it make any difference to you as a patient

:09:15. > :09:19.whether it's run by an ordinary NHS GP or a private company? No. So all

:09:19. > :09:22.that matters to you is what? What do you care about in your

:09:22. > :09:26.treatment? That I get the best treatment I possibly can get really.

:09:26. > :09:30.Which of these sample bottles would you like, madam? We've got three on

:09:30. > :09:34.choice today. The bottom line is that if you have a good idea to

:09:34. > :09:38.improve your care, tell your GP. If he or she can make it happen, we

:09:38. > :09:42.know the reforms are working. It's been a huge upheaval just to get

:09:42. > :09:46.the NHS to listen to patients. And I hope for all our sakes it works.

:09:46. > :09:56.I can't lug all this back again. Come on, it's got to go today. Last

:09:56. > :10:02.

:10:02. > :10:05.chance! With changes in how we by health

:10:05. > :10:12.provision is -- comes the hope that some of those age-old conditions

:10:12. > :10:17.will be fixed. Things like alcohol abuse, obesity and smoking. We all

:10:17. > :10:21.know what is bad for us but we just keep on doing it. In Portsmouth,

:10:21. > :10:26.for decades, healthcare professionals have been trying to

:10:26. > :10:29.work out a problem which just as not seem fair. Why people who are

:10:29. > :10:33.less wealthy died much earlier than those just over the road with a bit

:10:34. > :10:39.more money. Louisa Bennett is a mother of two

:10:39. > :10:42.lively children and she's expecting a third. She does her best on a low

:10:42. > :10:47.income and benefits, but there's a problem. She has diabetes, often

:10:47. > :10:57.caused poor diet and lack of exercise. It's putting her and her

:10:57. > :10:59.

:10:59. > :11:02.unborn baby at risk. I am 38 weeks pregnant but obviously because I

:11:02. > :11:06.have type 2 diabetes, I am going in tomorrow to be induced early

:11:07. > :11:12.because obviously I have got quite a big baby. I am getting very

:11:12. > :11:17.nervous but I cannot wait to meet him. With each pregnancy I have had,

:11:18. > :11:21.I have then had to have insulin through my pregnancy. I have to

:11:21. > :11:27.inject myself three times a day and also check my blood sugar levels.

:11:27. > :11:34.Any normal pregnancy, you're only go to see the midwife sort of five

:11:34. > :11:38.times throughout your pregnancy. Whereas I have to go to the

:11:38. > :11:44.hospital every fortnight to see the diabetic team. And every four weeks

:11:44. > :11:47.to be scanned. Steve has other problems. He needs to lose 12 stone.

:11:47. > :11:51.That's half his body weight. In Portsmouth, if you're overweight

:11:51. > :12:01.and live in a poor area, you are likely to die ten years sooner than

:12:01. > :12:02.

:12:02. > :12:12.your rich neighbours. I have always been big. I have always been the

:12:12. > :12:18.

:12:18. > :12:23.size really. This is the bigger -- I am not really a big eater. I

:12:23. > :12:32.cannot eat three curries. I'd pick foot through the day and I drink

:12:32. > :12:38.quite a bit of a cult. 15 pts quite easily which does not help. Hello

:12:39. > :12:44.the road in Portsmouth. Food shops are everywhere. -- London Road.

:12:44. > :12:48.This is where you shop for yourself and your children. In it is easy to

:12:48. > :12:53.give your children chocolate and crisps. They have got to have that

:12:53. > :13:01.in their diet even though it is not ideal. Do not give them this and

:13:02. > :13:10.that... People do not. It is about their kids. In many deprived areas,

:13:10. > :13:17.health problems are passed down generations. What was it? Lung

:13:17. > :13:23.disease, but I have had none at all. It's just carries on and you do

:13:23. > :13:30.what you want to do. I do smoke but not as much as he smokes. I do not

:13:30. > :13:37.want too much stress at the moment. But I do smoke because it is easier

:13:37. > :13:44.than not it's making. Hello life is stressful. We have both got young

:13:44. > :13:49.kids. I think it is important that you do get something for yourself

:13:49. > :13:54.at the end of it. I think a cigarette every now and then is not

:13:54. > :14:00.the end of the world. Everybody has got a choice about what to eat and

:14:00. > :14:05.drink. But money is tight and fast food is cheap and it is easy to

:14:05. > :14:09.make unhealthy choices. The new GP group in Portsmouth said that

:14:09. > :14:15.living in poor areas does push people into making dangerous

:14:15. > :14:20.decisions. Especially in Portsmouth, low income affects the way in which

:14:20. > :14:28.people access services. It is not just help but they behave

:14:28. > :14:32.differently. It is different. Some people in lower social and economic

:14:32. > :14:37.groups drink and smoke more and their diets might not be what we

:14:37. > :14:42.would want. And also the environment in which they live is

:14:42. > :14:51.challenging. That is the housing side of things and also aspects of

:14:51. > :14:59.their education. We tend to find patients in Portsmouth where public

:14:59. > :15:05.-- the public ignore symptoms. But also, maybe because of their need

:15:05. > :15:09.to carry on working and providing for family, as a result of that,

:15:09. > :15:15.when they present the conditions that we are presented with, they

:15:15. > :15:23.are more advanced. Especially conditions such as cancer. That

:15:23. > :15:27.tends to be at a more advanced state and challenging to treat.

:15:27. > :15:32.Louisa is at the Queen Alexandra Hospital. She is being induced

:15:32. > :15:38.because of her diabetes. It means that there should as might be

:15:38. > :15:42.raised during pregnancy. If there sugars are raised it will affect

:15:42. > :15:47.the baby and they are likely to put on more weight on the trunk of the

:15:47. > :15:52.body, including extra padding around the shoulders and stomach.

:15:52. > :16:01.This can make for difficult deliveries. The shoulders can get

:16:01. > :16:04.stuck or a difficult delivery with a Caesarean section. A Because I am

:16:04. > :16:11.eating so much and diabetes as well is generally for larger people

:16:11. > :16:17.anyway... Obviously if I looked back at my time now, eating

:16:17. > :16:20.healthier back then, you know, are quite would not have been so big. I

:16:20. > :16:28.would have exercised more and not been as big. I would have

:16:28. > :16:35.definitely changed my lifestyle. Drinking lots of the air, going to

:16:36. > :16:41.the kebab shop on by way home. I was not healthy at all. There was a

:16:41. > :16:45.time when I could not even run properly, after having children. It

:16:45. > :16:50.is not what you want for your family. You want to be able to go

:16:50. > :16:57.out and play with them and be a mother. I am losing weight and I am

:16:58. > :17:03.going to continue doing that. notice that type one is pretty

:17:03. > :17:10.static. We have not had any big increases with type 1 diabetes with

:17:10. > :17:20.ladies. We have definitely noticed an increase in typed it. And these

:17:20. > :17:20.

:17:20. > :17:26.are ladies under 45. -- type two. We should not be seeing that and we

:17:26. > :17:35.are. Some times, three generations of the same family are getting

:17:35. > :17:39.diabetes, one after each other and diet is usually to blame. Steve

:17:39. > :17:43.Nelson's days of eating too much are about to come to an end. He is

:17:43. > :17:48.having an operation to shrink his stomach and it will cost the NHS

:17:48. > :17:55.�10,000. If it works it will pay for itself in three years as his

:17:55. > :17:58.health improves. Today's I am doing an operation which should help him

:17:58. > :18:07.Roose significant weight. His weight has become a real problem

:18:07. > :18:16.for him. -- Louis significant weight. -- get rid of. He knows he

:18:16. > :18:26.has to lose weight. Surgery is the only way that is going to happen.

:18:26. > :18:29.

:18:29. > :18:39.am overweight. I am down as being overweight. In 2000 I had pneumonia

:18:39. > :18:41.and was taken to hospital. I have not smoked since 2000. I had a

:18:41. > :18:51.problem with my lung which came from pneumonia and being laid up in

:18:51. > :18:54.

:18:54. > :18:59.bed. It was a bit of a shock and it scares me a bit. A unfortunately,

:18:59. > :19:06.as a country and as a society, we are facing an increase in obesity

:19:07. > :19:10.severe enough to cause illness. And while prevention has to be the main

:19:10. > :19:15.thrust, unless we treat the people that have found themselves in the

:19:15. > :19:19.obesity trap, we will not make headway and the NHS will always be

:19:19. > :19:23.under pressure from people with illness caused by their weight.

:19:23. > :19:30.That goes along with social and economic class and access to good

:19:30. > :19:35.food and good habits. What I am going to do is I am going to take

:19:35. > :19:41.what should be going into your stomach and create a short cut so

:19:41. > :19:45.that the food goes straight into his intestine. Unfortunately, it

:19:45. > :19:53.means I am operating on a perfectly normal digest its system in order

:19:53. > :19:56.to stop people eating. About half of obese patients have lost their

:19:56. > :20:06.jobs because they are so big and three-quarters come from low-income

:20:06. > :20:07.

:20:07. > :20:12.families. He is now doing to hand and 50 operations per year. -- 250.

:20:12. > :20:17.I'm wish I did not have to do that. But it is the only thing that works

:20:17. > :20:27.for people severely overweight and there are more each year. He is

:20:27. > :20:31.reducing his stomach from the size of a melon to the size of an egg.

:20:31. > :20:37.Alcohol, all social classes drink it but you are four times more

:20:37. > :20:40.likely to die from it if you are poor. Cliftons is well known in

:20:40. > :20:49.Portsmouth and he is dancing with the cheapest alcohol that he can

:20:49. > :20:59.buy. I am happy with no alcohol. Alcohol is nothing. It ruins my

:20:59. > :21:01.

:21:01. > :21:10.life and it ruins eternity. I have had alcohol for 26 years. It is not

:21:10. > :21:20.in my family. I am the alcoholic! I do not need alcohol! I am addicted.

:21:20. > :21:24.

:21:24. > :21:29.White cider is a popular drink. There is almost as much alcohol in

:21:29. > :21:34.three litres as in a bottle of vodka. It is a very high-strength

:21:34. > :21:39.cider and we have got high-strength lagers and it varies. The poorest

:21:39. > :21:43.people tend to by the strong drinks and other people by strong drinks

:21:43. > :21:49.as well because of stress and the children get as much as they can

:21:49. > :21:57.for as little as possible. You can buy a couple of bottles for as low

:21:57. > :22:02.as �2.50 and a 1 litre bottle for one pound 59p. Very cheap.

:22:02. > :22:09.river bus has turned up to offer free scams but it is often not be

:22:09. > :22:17.able that they need to reach that turn up. -- the liver baas has

:22:17. > :22:22.turned up for free scanning. More people die of liver disease in

:22:22. > :22:26.Portsmouth than almost anywhere else in the country. The main thing

:22:26. > :22:30.we try to do is make people aware that it is important to keep your

:22:30. > :22:35.liver healthy. We have got increasing liver disease in this

:22:35. > :22:45.country and more people are dying of liver cancer and related issues.

:22:45. > :22:45.

:22:45. > :22:52.We are trying to change that. not going to hurt... It is not

:22:52. > :22:58.invasive. It takes a few moments. It is like an ultrasound. It shows

:22:58. > :23:01.when the liver is scarred and damaged. The amount of drinking is

:23:01. > :23:08.what could be considered a harmful level and it could endanger your

:23:08. > :23:17.help. As a step is advice on how to keep your leather healthy. It does

:23:17. > :23:22.not seem to be damaging your liver. Especially keep away from saturated

:23:22. > :23:28.fat and look at carbohydrates. If like myself you are a bit

:23:28. > :23:33.overweight you can start to reduce that. Likewise with alcohol, people

:23:33. > :23:38.might be buying some of the cheaper alcoholic drinks, certainly some of

:23:38. > :23:44.the cheap cider and lager, they are eight big issue, because they are

:23:44. > :23:48.packed full of units. Consultant Richard Aspinall sees many people

:23:48. > :23:56.with liver damage. On average they drink nine bottles of vodka every

:23:56. > :24:00.week, or 20 bottles of wine. Just 10% of them have jobs. For some

:24:00. > :24:04.people it is about getting away from alcohol. You have got them

:24:04. > :24:09.advertised on billboards and bust shelters and buses driving past and

:24:09. > :24:13.it is in every convenience store and petrol station and if you turn

:24:13. > :24:20.on your television, all set operas are centred around a pub at

:24:20. > :24:24.lunchtime. And I turned on my radio on the weighty work this morning at

:24:24. > :24:30.half past six and we had an advert for cider and it is impossible to

:24:30. > :24:37.get away crumpet. We must be aware about the -- it is impossible to

:24:37. > :24:44.get away from it. The youngsters drink these and they are very

:24:44. > :24:49.strong. They drop them inside drinks, these sized classes in a

:24:49. > :24:56.pint and knock it down. It is binge drinking. It is not my generation

:24:56. > :25:00.at all. It has definitely changed. These are very popular. The

:25:01. > :25:05.youngsters are not drinking because they liked the taste of it. They

:25:05. > :25:10.are drinking it because they want to get drunk. It is as simple as

:25:10. > :25:14.that and that is why the market is full of these new shops and that

:25:14. > :25:24.sort of things with different coloured fibres, mint, hazelnut, it

:25:24. > :25:30.takes that Labour out of the drink. -- flavour. I had got people that I

:25:30. > :25:37.drank and some people are trying to make a living. I am not saying that

:25:37. > :25:43.it is right that people did that but it is not my place to police it.

:25:43. > :25:48.Without a doubt it is strong alcoholic staff causing problems.

:25:48. > :25:52.Interestingly up in Suffolk they have got a scheme asking all off-

:25:52. > :26:02.licences in a certain area to take certain drinks away from shells of

:26:02. > :26:03.

:26:03. > :26:11.and terribly. I think they found out that out of 120 off-licence

:26:11. > :26:15.shops, 80 agreed. I think that is a great way forward. It are I was

:26:16. > :26:20.told to stop selling a certain type of drink and everybody agreed, that

:26:20. > :26:25.would be fine but you cannot have 10 people doing it and 20 not doing

:26:25. > :26:31.it. That would be great. The end NHS is changing but the challenge

:26:31. > :26:35.of low income as and poor health is not. At the end of the day we have

:26:35. > :26:41.to appreciate people have a choice. People can choose to do the wrong

:26:41. > :26:49.thing but we have to get them the opportunity to do the right thing.

:26:49. > :26:53.Louisa has had her baby. Jack weighed almost �10 and had problems

:26:53. > :26:58.with his breathing and was taken straight To neonatal care and 10

:26:58. > :27:03.days later she left hospital without him. It was not nice him

:27:03. > :27:07.being taken away from me but he is in the best place and I feel fine.

:27:07. > :27:17.As long as he is being looked after that is my main concern and he will

:27:17. > :27:20.be home I hope in 80 days. -- in a few days. He is operation was

:27:20. > :27:27.successful and his small stomach means he will be on a strict diet

:27:27. > :27:37.for the rest of his life. A couple of spoonfuls of porridge. 1

:27:37. > :27:42.teaspoon of yoghurt, for Breakfast. Totally filled up. They make time

:27:42. > :27:50.for exercise. Mashed potato and gravy, three spoonfuls and I felt

:27:50. > :27:55.bloated but builders do not. Maybe it is a class thing. Maybe it is

:27:55. > :28:00.when he won on a nice job and it is part of your lifestyle to go to the

:28:00. > :28:08.gymnasium and had a flash car. But council estate people, it is not

:28:08. > :28:12.part of their lifestyle. It is going down to the park. And if you

:28:12. > :28:17.are thinking of changing your life and becoming healthier this year I

:28:17. > :28:25.would like to hear from you. We are looking to hear from a ball that

:28:25. > :28:32.are cutting back on cigarettes, alcohol, or kebabs. Contact me...

:28:32. > :28:36.That is it for now. I will see you next time. Next week, a crash

:28:37. > :28:44.course in the classics for one group of children. Its 200 years