What is an exacerbation?

downloadWhat is an exacerbation?

An exacerbation of Multiple Sclerosis can also be referred to as an attack, a relapse or an episode. All the terms all mean the same thing which is the occurrence of new symptoms or worsening of an old symptom. These range from mild to severe enough to interfere with a person’s ability to function in daily life. The exacerbation will follow the following criteria:

  • Previous symptoms become more severe or new symptoms have started to show.
  • Symptoms last longer than 24 hours, commonly lasting days or weeks.
  • A total of 30 days has passed since the start of the previous relapse.
  • Healthcare provider has ruled out all other possible causes for an exacerbation, including infection, heat, and stress.

It is critical to know when this is happening because early treatment can help reduce the4061413_0 impact on the person’s body. It must be known that no two exacerbations are alike and can change slightly.

The reason an exacerbation occurs is due to the immune system attack on the myelin sheath, which then causes slow or interrupted neuronal signals in the brain and spinal cord. An exacerbation can consist of balance problems, coordination, eyesight, bladder function, memory or concentration problems, mobility, fatigue, weakness, numbness or needle-link sensation.

Mild symptoms such as fatigue, numbness, and needle-link sensation could potentially improve on their own and not require treatment. More intense issues could be considered a severe exacerbation which could include vision loss, extreme weakness, and poor balance. During a severe exacerbation, a person’s daily activities could be a8da7fee83bb302fc12586a3f9ceba87affected and a short course of high-dose corticosteroids may be recommended by the specialist.

The high-dose of steroids helps reduce the severity and duration of the exacerbation. Even though steroids work well with the exacerbation, they can also have some rather unpleasant side effects including increased appetite, weight gain, fluid retention, high blood pressure, irritability, confusion or delirium, increased risk for infection, and easy bruising.

Symptoms for each person with Multiple Sclerosis are different. Being aware of common triggers for an exacerbation is vital for each person to know and even though symptoms can occur without any notice it is important to try avoiding certain things the best one possibly can.

4 Common Triggers for an Exacerbation:

  • Stress- Part of living with an illness like MS is emotional stress which can lead to other common MS symptoms such as depression. Stress does have the potential to lead to additional MS symptoms such as fatigue and confusion. It is a crucial part of MS treatment to have a good and solid support network of people that can help out both physically and emotionally.5b5818d351fd852135d701917fb6483c
  • Fatigue- Sleep is essential for those with Multiple Sclerosis. Small issues like lack of sleep can trigger MS symptoms. It is very important to have good healthy eating habits, sleep well, and getting exercise daily which will help combat MS fatigue.
  • Infection- Infections cause about one-third of all exacerbation. Urinary tract infections are very common because some people with MS have reduced bladder function. Any infection can weaken the immune system; even the simple ones like a cold or the flu and cause an exacerbation. It is extremely important to avoid being around sick people, but when it is unavoidable be sure to wash hands frequently.
  • Heat- Infections leading to fever can be something to worry about considering increased body temperature is a very common trigger. MS symptoms, especially tingling gets worse in the summer because of the heat. It is predominant to get into the air conditioning or take a cool shower to reduce heat symptoms from occurring.

multiple-sclerosis-awareness-month-tshirt-ms-orange-ribbon-noirty-designsThank y’all for visiting my site and reading about what an exacerbation is. Speaking from personal experience an exacerbation can be awful and also frustrating. Even though I do know that steroids help the episode duration be shorter, they cause my mood to change so much that I have a hard time with them. They cause my temper to come out much faster than it normally would and also cause me to feel edgy and unable to sleep.27b889827d7b041c766fd1b5e7ba47fa

For any of you that have experienced an exacerbation and were put on steroids, how did the steroids make you feel and did they help the episode not last too long? Also, if you have anything you would like to add to this, please let me know. I always want to spread the awareness as much as I can because I think it is important. Even in 2020 I do still think there are a lot of misconceptions about MS and people are very quick to judge, which can cause feelings to be hurt. Please never forget that I am always sending y’all LOTS of love ❤, comfort, and many positive vibes!

love-2-e1526867753936

❤Always, Alyssa❤

What is Multiple Sclerosis?

27b889827d7b041c766fd1b5e7ba47faWhat is Multiple Sclerosis?

March is Multiple Sclerosis (MS) Awareness Month. Multiple Sclerosis is an incurable neurological condition that affects the brain, spinal cord, and optic nerves.  The body’s immune system attacks the protective myelin sheaths that cover the nerve fibers which cause areas of scarring, known as sclerosis. The immune system also attacks and destroys the fatty myelin coating that surrounds and insulates nerve cells which is a process 348sknown as demyelination.

Experts suggest there being 250,000-350,000 people in the United States currently living with this illness. There is an indication the rate of the disease is increasing regularly in the 20th century with approximately 200 new cases each week. Those of Northern European descent have a higher risk for the disease, but Native Americans of North and South America and Asian Americans are at a lower risk. The disease is much more common in colder climates.

There are four types of Multiple Sclerosis, all having different characteristics.

  1. Relapsing-Remitting Multiple Sclerosis (RRMS). This is the most common form, RRMSbeing that 85% of those with MS are initially diagnosed with. Patients with this form will have relapses and periods of stability in between the relapses. Relapses are the episodes when new or worsening symptoms that are not caused by fever or infection appear. These episodes typically lase more than 48-hours. Between relapses are periods of remission where there is no clinical evidence of disease progression. Periods of remission can last for years, but this can range from person to person.
  2. Secondary-Progressive Multiple Sclerosis (SPMS) can basically be considered the SPMSsecond phase of the disease. Most people that are initially diagnosed with RRMS will transition to this form at some point. Symptoms with SPMS will worsen steadily over time with or without occurrences of relapses or remission. There may or may not be times of relapses caused by inflammation, but will continue towards the progressive phase indicating nerve damage or loss. With this form of MS, the disability only continues to get worse.
  3. Primary-Progressive Multiple Sclerosis (PPMS) is less common than the ms_disease-course_PPMSother forms and only affects 10-15% of those with MS. On average people with PPMS start having symptoms between 35-39 years old. There is a slowly worsening of symptoms from the beginning with no relapses or remissions. With this type of MS there can be times of short-term, but temporary, minor improvements, however the decline of neurologic progression is constant. Symptoms of PPMS include pain, electric-shock-sensation running down the back and limbs when the neck is bent, trouble walking, vision problems, muscle weakness, trouble balancing, paralysis, numbness, prickling feeling, dizziness, shakiness, trouble thinking clearly, mood changes, depression, sexual problems, and trouble with bowel and bladder control.
  4. Progressive-Relapsing Multiple Sclerosis (PRMS) is a rare form of MS. There will PRMSbe a steadily worsening of the state of the disease from the beginning with acute relapses, but no remission will occur. The symptoms of this form are the same as those with PPMS.

The first neurologic event suggesting MS is known as Clinically Isolated Syndrome (CIS), which usually lasts at least 24-hours. The symptoms will indicate a single lesion (Monofocal) or more than one lesion (Multi-focal) in the central nervous system (CNS). There are many symptoms involved with Multiple Sclerosis some being common and others being less common.

Common Symptoms Associated with Multiple Sclerosis86665331_3276961818997285_6990907139438936064_n

  • Fatigue (Mental and Physical)
  • Pain
  • Tingling or burning sensation in the arms, legs, trunk of body or face
  • Vision issues (blurred or loss of vision)
  • Stiff muscles
  • Attention and memory issues
  • Dizziness, vertigo, and clumsiness
  • Trouble walking

Less Common Symptoms Associated with Multiple Sclerosis

  • Migraines
  • Speech problems
  • Body tremors
  • Seizures
  • Hearing loss
  • Itching for no reason
  • Mood changes such as depression or euphoria
  • Ability to concentrate or multi-task effectively
  • Difficulty making decisions, planning or prioritizing

Secondary Symptoms that can develop

  • Bladder and bowel problems
  • Difficulty breathing
  • Osteoporosis
  • Muscle weakness
  • Difficulty swallowing
  • Sexual health issues

ms awareness marchWith all the possible symptoms one can experience, there are ways to manage most of them. Bladder control can be something one can experience and this can be rather embarrassing if it happens out in public, but there some suggested strategies to manage this.

  • Drink enough fluids. The kidneys need at least 2 liters of water daily in order to flush waste products. Do not try rationing intake because this could increase the risk of infection.
  • Time your drinks. Try to spread fluid intake evenly throughout the day.
  • Limited caffeine and alcohol intake. Both of these can increase the amount of MS Painurination.
  • Special exercises such as exercises that strengthen the pelvic floor.
  • Continence aids such as disposable pad can be beneficial.
  • Medication can be provided to reduce the urgency to urinate and help the bladder empty itself.

Pain with MS can be primarily due to the neurologic condition. Pain could also be due to secondary conditions, such as musculoskeletal issues as a result of altered posture or spasticity. The weakening of leg muscles tends to trigger aches and pain in the back or knees. The unfortunate truth is, people with Multiple Sclerosis can feel pain anywhere, but there are ways to help manage the pain which includes medication, physical therapy, and relaxation techniques.27b889827d7b041c766fd1b5e7ba47fa

Every person that lives with Multiple Sclerosis is different and deals with this illness in a way that serves them best. A person can experience similar issues as another but at the end of the day, we all handle it differently. Each symptom, relapse, remission, and medication affects each person vastly different but yet can understand what another person is going through. It is vital that no matter what stage the illness is, there needs to be an understanding of what our limitations are and to never push beyond that.

Thank you for visiting my site laughtoday! I hope the information I provided to you was helpful. There is a chance I have stated the same thing in previous years, but I do feel it is important for us to spread as much awareness as we can because it does not seem like this illness is going away anytime soon. I do want to believe that someday in our life time there will be a cure, but until then we must continue to live our lives the best we can. I hope you are having  a great day and feeling the best you can. Please never forget that I am always sending y’all LOTS of love ❤, comfort, and many positive vibes! 

love-2-e1526867753936

❤Always, Alyssa❤

 

P.S I will be doing additional posts about MS during the month, but felt they needed to be separate posts because there is SO much information available. The crazy thing is, no matter how many years I have lived with MS, reading about it is a little upsetting.  

 

 

 

Doctors gone BAD

maxresdefaultI recently had to deal with my specialist’s office, in regards to the medication I take to limit the progression of my Multiple Sclerosis. Since the doctor that diagnosed my condition retired, the office he was at has been on a downward spiral. The amount of incompetence and lack of compassion are the only things that are steadily increasing, which is terrible.

Whether it be a nurse, nurse practitioner, or physician, they all should know how awful stress is for someone with Multiple Sclerosis. Being forced to battle with a nurse with a terrible attitude 71NwQ3YsJDLto get a refill for my medication caused me nothing but massive stress and frustration. This would have been  difficult regardless, but when the nurse decided to be ugly the situation escalated unnecessarily. All I am trying to do is anything necessary so I do not have a nasty relapse, especially without insurance.

I know I mentioned in a post I did a few days ago, the flaws within healthcare in the United States, but with what I just experienced trying to talk to my doctor’s office makes it even more frustrating! For a country that has insanely high costs for health insurance, you would think patient care would be top-notch, but it is the direct opposite.

downloadThe medication I take to slow my progression down is Gilenya. I have been on this same medication for a long time, so I know the processes and the ridiculous out of pocket with NO insurance. Honestly, I do not believe any normal person could afford this medication and I definitely can’t.

Basically, I guess I am not in the right tax bracket to be able to have insurance that I can afford or at least affordable medication to keep my condition at bay. Maybe I also missed the tax bracket where kindness, respect, understanding, and empathy exist. I feel strongly that health insurance should be a RIGHT, NOT a PRIVILEGE, but surprise the powers that be don’t agree with me. I do not think anyone should have to worry about how they are going to survive without 21a1d2783f3596243d4cd630893e7e7dinsurance and without access to life-altering medication.

First, thank you for taking the time to read this post. Second, I hope none of you ever have to go through anything like this. Third, I hope your weekend has started off great and continues to bring you happiness. I do want to encourage you to leave a comment; I definitely need advice on how to deal with the ignorant people at my specialist’s office. Lord knows I can’t take too much more, especially if it is just images (2)going to be a bunch of bull shit!

I hope you enjoy every moment of your weekend and hope you feel great! Please never forget that I am always sending y’all LOTS of love ❤, comfort, and many positive vibes!

love-2-e1526867753936

❤Always, Alyssa❤

 

 

 

Donations do help!

NMSS_FY20_YE_Interstitial_r1_mobileI think y’all already know that I have battled with this unpredictable, not so fun autoimmune disease known as Multiple Sclerosis for almost 20 years. For nearly half of my life, I have wanted to not only help others struggling with this disease but also do all I can to help find a cure or at least find easier ways to get through this life.

I may not care much for the news because there is hardly ever anything positive being reported on, but I have heard about how awful the treatment of Amazon workers is. Even though I do find it disgraceful for anyone to be mistreated so we can shop, I am also still a guilty Amazon shopper. Although I am sure there are many issues within the company that starts but doesn’t end with the owner’s corruption and poor treatment of employees, at the same time this company has good as well.

Everyone that shops on Amazon have the opportunity to choose a charity they want to download (5)raise money for through Smile Amazon. The Amazon Smile Foundation will donate 0.5% of the purchase price to the charity of your choice. I received an email at the end of last week informing me that the charity I chose, The National Multiple Sclerosis Society received $258, 617.47 year to day in donations because of Smile Amazon. Of course, it still upsets me to think that any Amazon workers are mistreated, but I am still thankful for the donations made to a cause so close to my heart. I can only hope 41jnsvmBEML._SY365_BO1,204,203,200_the donations Smile Amazon has made to the National Multiple Sclerosis Society will help find a cure for this awful disease.

I have been somewhat familiar with The National Multiple Sclerosis Society since being diagnosed all those years ago but recently wanted to know more. I was very interested to find out how this organization began and what more they were doing. I was completely blown away to discover this organization was brought to fruition from one woman full of determination, Sylvia Lawry.download

Ms. Lawry was one of four children to Jacob and Sophie Friedman. While she was in school at Hunter’s College pursuing her law degree, Ms. Lawry’s younger brother Bernard began experiencing visual and balance issues. It was at this time these symptoms were proven to be early signs of Multiple Sclerosis. The family tried for years without success to find a cure for their imagesdear family member. In 1945, the strong-willed and very determined young lady, Ms. Lawry, placed a small classified notice in the New York Times, “Multiple Sclerosis. Will anyone recovered from this disease please communicate with patient.”

Once she received more than 50 replies, Ms. Lawry realized more funds for research, treatment and finding a cause were desperately needed. On March 11, 1946, she pulled together 20 of the nation’s most honored research scientists to form the National Multiple Sclerosis Society.27b889827d7b041c766fd1b5e7ba47fa

As Bernard’s health continued to worsen, she was seeing there were millions of others like her brother that needed help. At this time she gained assistance from Senator Charles Tobey from New Hampshire whose daughter was fighting against Multiple Sclerosis.

Until her dying day February 24, 2001, she continued her war on Multiple Sclerosis. She was a huge loss to the organization, but her legacy will never be forgotten. She did so much to help discover more about this disease and I believe all of us living with Multiple Sclerosis, should always be thankful for this amazing woman!

348sThank y’all for visiting my site today. I hope this post was eye-opening and helpful. Even though we may not be able to help with these causes as much as we would like, if you shop on Amazon or know someone that does, you can set it up so the company will donate portions of your purchase to any charity you want! I hope you have had a lovely weekend and you are ready for the holiday next week. Please never forget that I am always sending y’all LOTS of     love ❤, comfort and many positive vibes!

 

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❤Always, Alyssa❤

                                                                                                                                                                                                                                                                                       

Outlets are important!

environmental-writer-300x156Do you have an outlet from the pains that life hands us? I do believe having an outlet can be the most therapeutic thing for anyone, almost like a short escape from reality. It doesn’t matter if you write on a blog and share you deepest feelings with others or if you take time alone to write in a journal about your feelings, it is just important to get those emotions out. Releasing positive and or negative emotions can create so much true comfort!

Obviously y’all know I write on my blog as much as I can, but recently I have started download (5)writing in a journal as well. There might be times when I may not be ready or comfortable sharing how I am feeling with anyone yet and writing these feelings down in private offers me serenity. I find that writing down what is going through my mind at any given time allows me to reread what I am dealing with and gain some perspective. I think that by writing in a journal, I can just be honest with myself and not have to worry about what anyone else thinks or someone trying to tell me how I should feel or how I should cope with my struggles. There are many times that I just wanting to come up with solutions on my own, but then there of course times I do want advice.

I really do enjoy writing on my blog as well because this gives me a chance to not only outletshare with y’all, but also gain some amazing feedback from y’all!! I have told y’all many times before that I am very critical of my own writing, but reading your thoughts helps me in so many ways. I have always dreamed of being a writer and having freedom to write about whatever I want! My ultimate dream is to gain the confidence to write the book I have mulled over for many years. I do believe that if I continue writing on my blog, which I do intend to, I will gain a tremendous amount of knowledge from each of you and about my own skills.  I am very curious about what you consider an outlet. Is writing on your blog, writing in asunrise_music300[1] journal, or do you even consider writing to be an outlet at all?

I also consider music to be an outlet. It amazes me how much passion and meaning can be in just one simple song. I am sure what I take from any given song can be much different that it would anyone else and it might be a lot different than what the writer intended. I appreciate the creativity song writers hold and value what they are sharing with the world.

I am looking forward to reading what you consider an outlet to be and how it has helped you! I am so pleased to say that I do not have to work this weekend, which is allowing me to download (5)do things I really needed to do, like clean the house and rest. I know how crazy that just sounded, cleaning the house and resting seem like they are opposites, but for me being able to get the house nice and clean is a great feeling. Of course all the extra work did create a lot of pain for me, but now I am able to spend the remainder of the weekend resting and preparing myself for another LONG week at work and unfortunately I have to work next weekend!

Thank you for stopping by my site today! I hope you are enjoying your weekend and feeling well! Please never forget that I am always sending y’all LOTS of love ❤, comfort, and many positive vibes!

love-2-e1526867753936

 

❤Always, Alyssa❤

Fight the battle & Win the war!

images (2)Living life with a chronic illness that brings on pain is not easy, but letting that pain win the battle should not ever be an option. Of course it is easier said than done, but isn’t it worth trying? There might be days that it hurts to even get out of bed, but just lying in the bed solves absolutely nothing because the pain will is still there later on.

There are things that can be done to fight against the pain we may feel. Now this is just howlove your life more than you hate your pain I think and what I have tried training my mind to think and believe. It is amazing what we can trick our minds into believing! The things that work for me might not work for anyone else, after all we are all different. Sometimes simply taking a nice hot bubble bath can make a HUGE difference! I think it is something about the calming feeling of the warmth that eases my aching body. Of course, my doctor has told me numerous times that hot water isn’t 579ef8182e48d1ac880303bd79cb9696good for me because it is not supposed to mesh well with Multiple Sclerosis, but it helps me. It is just like while at work my heating pad becomes my best friend!

For me, as crazy as this will sound, if I try to keep moving I feel that my pain actually lessens. It does not make a whole lot of sense to me because I would think when it pain resting would be way more beneficial. I often think when I stop doing something like cleaning, doing laundry or any other household chore, my pain settles in and I feel so much worse! 

I also find it helpful to keep my mind preoccupied, so I do not have time to even think about images (5)pain I am feeling. This could be reading a good book, writing either on my own blog or commenting on another’s, watching some mindless TV show (my favorite is General Hospital, which I know sounds insane) or even watching a good movie (my favorites are anything from the Fast & The Furious). Little things can create a distraction for the mind and possibly alleviate our pains, even if it is for a short time.

Anyone that lives with any type of chronic illness understands that it can and does create various challenges. I think it is extremely important to discover ways to deal with these challenges and never stop searching for new ways to manage difficult times. I know I have mentioned Web-Ad-3this before, but I strongly feel the only way to fail is to give up.

The promise I made to myself years ago when I was first diagnosed with Multiple Sclerosis was to never allow the illness defeat me. With a much more mature mindset now, I still value what my younger mind thought during one of the hardest times in my life. Nineteen years later, I will still keep this promise to myself.

Do y’all have any special ways you deal with your pain issues? All of us that struggle with this can understand one another and offer very valuable advice to each other. It does make me sad that anyone has to deal with constant pain, but at the same time it makes us so much dont-give-up-galaxy-hold-on-hope-Favim.com-1428490stronger! WE can fight this battle together and WE can win the war together!

Thank you so much for visiting my site today. I am sorry I missed my normal Motivational Monday quote, I was dealing with a massive migraine and wasn’t able to do it. I hope this will make up for that! Not only do I hope what I have shared beneficial for you, but also reassured you that you are not alone in the fight and we can win the war together. Please never forget that I am always sending y’all LOTS of love ❤, comfort, and many positive vibes!

love-2-e1526867753936

 

❤Always, Alyssa❤

Coping with Chronic Pain

Sunday-QuoteCoping with chronic pain while still trying to maintain a normal life seems almost impossible at times and even a little frustrating! The beginning of this week was hard for me because I was on my feet way more than I could tolerate. I was truly thankful for the two days off I had, but work on Saturday was absolutely insane!

Currently I work at an apartment community in what should be a low stress position because I am just a leasing consultant. I arrived to work at 10:00 am and at 10:02 I had my first people arrive saying they were supposed to be moving in that day. There was no information anywhere on the other Restartleasing consultant’s desk and the manager keeps his office locked, which makes absolutely NO sense!!I ended up calling my co-worker on his day off, after all this was his lease and should have been handled on Friday. I was not at all surprised that he did not know which apartment the couple was moving into or what they owed. We tried contacting the property manager, who of course did not answer his phone or return the phone call. I ended up having to explain to the couple we would have to postpone their move in date until Monday because I was not able to get any of the information we needed. Thankfully, they did still have their other apartment, so they chaouswould not be forced to get a hotel room for the weekend.

The second person arrived at about 10:30 and this was my lease, so I knew what needed to be done. The gentleman just needed to view the three apartments I had available for his move in date. Consider his move in date was not right away, I was not allowed to hold a normal apartment for him. The three I was able to hold were slightly modified to accommodate a handicap individual, which he is not. Even though I disagreed with this situation, I did this at the direction of my manager! Thankfully he was satisfied with the first one because he wanted to be closer to the front of the community. This was the easiest situation I had to deal with all day!download (4)

Once I got back to the office, after showing the three apartments, there was another person waiting because she was also supposed to be moving in. With no surprise at all there was very limited information on my co-workers desk regarding the move-in, but at least I was able to find what the apartment number was and what the new resident owed. Unfortunately, the important things that were missing were the lease to be signed and keys to the apartment. My guess is the lease was in my manager’s LOCKED office and no one informed maintenance of the correct move-in day. I was able to work around the issues by giving the young lady the ONLY key we had and asking her to come into the office on Monday to sign her lease and get the real keys.

I do not handle things well when simple things do not go well. I remember asking my co-8767492ff9e8b5334f5408fde751e388-thankful-for-grateful-for-300x237worker early in the week to make sure ALL his move-ins were completed, which would have meant walking through the apartment to ensure there were NO issues, the lease was signed and apartment keys were waiting in the file. I gave him several days’ notice to handle things properly and in my opinion how he handled them were unacceptable. I blame him and the manager for how terrible things went yesterday, but I do plan to make some suggestions on Monday morning so this kind of thing NEVER happens again! I do not think this sets a horrible feel for someone moving in to a new apartment when nothing was handled in an appropriate manner!

The entire day was a total disaster and most of the issues could have and should have been images (1)avoided. Another HUGE issue I was dealing with was, phone call after phone call with residents complaining their air conditioner was not working. The maintenance person informed me that the new management company was not allowing them to buy Freon from the vendor they had been using for years, but did not have another vendor lined up. The residents are paying to live these apartment and therefore important things like a working air conditioner when the temperatures are in the high 90’s is a priority and should Work-Quotes-Jim-Collins-in-his-book-Good-To-Great-shares-that-we-need-to-get-the-right-peoplalso be a requirement!

By the end of my day on Saturday, I was not only over-heated, fatigued and in an insane amount of pain, but I was also extremely irritated. It is not fair to force someone to pay for an apartment and then not fix things that break! If I am not mistaken, it is in the lease agreement what each party is responsible for.

It is now Sunday and my last day of the my short weekend before going back to work five days in a row. Unfortunately, even though I am trying to rest, my pain is still rather high. It seems like things have just continued to add up for me and I almost feel like I am trying to walk uphill in quicksand! At this point all I can do is hope this upcoming week will go much better and things will start to ease up.download (4)

Thank you for stopping by my site today! I am sorry this was a bit of rant, but my goodness if only people could act right, I would not have to go on rants! I always appreciate you and your amazing comments! I hope you have had a lovely weekend and you are able to enjoy the last day of it. Please never forget that I am always sending y’all LOTS of love ❤, comfort and many positive vibes!

love-2-e1526867753936

 

❤Always, Alyssa❤