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Posted

Jimmy,

It is my understanding that at both Bumrungrad and elsewhere, the physicians set their own rates. The hospital tacks on a certain amount of its own but the bulk of the cost (unless you make the mistake of buying drugs at the hospital pharmacy) is the consultation fee which is set by and goes to the doctor, not the hospital. So if anyone is "gouging" with respect to outpatient consultation costs, it is the doctor involved not the hospital.

I have gone to and brought people to several doctors at Bumrungrad and other hospitals whose rates were in the 1000 - 2000 range. Well worth it IMO in each case since I had specifically chosen these individuals for their way above average level of expertise....which they acquired at considerable expense in time and money to themselves. I'd rather pay 1500 baht to a top notch doctor to get a really informed opinion than a few hundred baht to a mediocre one.

I don't know if this was the case with the doctor you saw, but usually the docs charging at the higher end are specialists with advanced qualifications, western training etc. Being myself a health professional, I am keenly aware of the considerable investment in time and money (not to mention years of separation from friends and family, and all the difficulties of living in a foreign culture) that they had to make to get to that level of qualification and expertise and I view their higher fees in that context.

That said, I do agree that the procedure charges (which unlike consultation fees, are set by the hospital) at both Bumrungrad and the other major hospitals have gone up to ridiculous levels. You can now get an MRI done for less in New York than you can at many hospitals in Bangkok.

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Posted

Hello Jimmy,

Apologies, I normally would not do this, but you have misrepresented what I said.

Without going into any details, I did explain that pricing was not normal for the hospital, and explained why that was. I realize that you are not happy with the answer, and I feel badly about that.

I can't get into a discussion about this online without revealing details of your case, even if you are willing to. I just ask that you please don't misrepresent our private messages.

Best regards,

Scott @ Bumrungrad

Actually the "official" reply was via a doctor who reviewed the case and a customer representative from the IMCO.MedicalSupport dept. , you may have also received a carbon copy of the correspondence.

You were helpful and attentive in directing my concerns to these people.

Brief excerpt

We would like to explain further regarding our doctor's fees. Our doctors at Bumrungrad International can charge a doctor's fee between range of THB 500 – THB 2000 which are based on the following criteria as stated in our earlier correspondence and their level of professional involvement with their patient as well.

In retrospect maybe should be glad did not hit the 2000 baht ceiling. :jap:

Hi Jimmy,

This is correct. The doctors can charge up to this amount, but it does not mean this is the norm. Apologies to add this, but you saw just one of the top specialists in this field - not just in Thailand, but in all of Asia. Just FYI, I don't get copied on our international patient team's emails as they often get into personal details I don't need to know - it is better that they don't have to try to decide if I need to know or not.

Unfortunately, it seems we have lost you because of this. We do wish you the best.

Sincere regards,

Scott @ Bumrungrad

Posted

I think an office for patient concerns is a FANTASTIC idea. It will also let Bumrungrad doctors know that they cannot run amok; that the patients are well-informed about a place they can easily go to report unsatisfactory care.

I think the sad lesson learned is that:

1) the big hospitals in Thailand who have built up good reputations and large followings are now raising their prices and are not what they used to be for us. We may be able to count on some of them for good care, but not for good prices anymore.

2) We need to keep in touch, as consumers, and make information about good doctors and good medical resources available to one another.

3) We can't do "one stop shopping" at any of these hospitals anymore. We have to pick and choose which doctors to see there, and ask EVERY SINGLE TIME what the price will be before going ahead.

4) For those of us who don't live in Thailand, this is an even bigger loss and disappointment. Those of you who live there can get you mammogram at the National Cancer Institute (for example- I haven;t confirmed that yet) and you r teeth cleaned at Dentist X and buy your prescription meds in the pharmacy neighborhood, etc. Those of us from other countries are going to be at an extreme disadvantage, getting the info, racing all over town when we don't know the way around that well, and on time-limited trips, etc

5) Don't go to an overcrowded, bursting-at-the-seams hospital and expect first rate care no matter how well-intentioned the hosptial staff may be..

Posted

Points 2 and 3 have always been true, and are true anywhere in the world. Hospitals do not provide care, specific professionals working in them do. There may be some hospitals without any outstanding doctors, but there are no hospitals where all or even most are outstanding.

Agree that Thailand is not the bargain price-wise for medical care that it was some years back. This is the natural consequence of it's economic growth. The current situation is that, while some medical services in the private hospitals cost less than they would in the West, some now cost as much/almost as much and some even cost more, and the trend is in the latter direction. I'm from the US and lived in Thjailand several decades; just in the last couple of years have I begun to find that I am actually better off waiting till I'm back in the States to have some things done. And that list seems to be growing (economic downturn in the US also a factor, of course, especially where elective/cosmetic things are concerned).

That said, I cannot believe your mammorgam/ultrasound alone, or even in combination with a consultation, cost US $800. A complete physical inclusive of mammogram/ultrasound, pap, chest Xray, EKG and extensive blood work is only about $500 at Bumrungrad. If you truly have an itemized bill that shows a charge anything near US $800 for a mammogram alone, there has been an error and you should contact the hospital to straighten it out.

I'd sort of disagree with point 5. I think it all depends on the individual doctor.

Posted

Hey Sheryl,

Oh my- you are right Sheryl- my mistake; I really feel bad.

I was mistaken- I got my exchange rate numbers wrong- the mammogram wasn't nearly that expensive. (I'm still trying to figure out how I spent $USD2000 just on checkups and some prescriptions) but anyway I was WRONG ABOUT THE MAMMOGRAM BEING SO EXPENSIVE!

CORRECTION:

THE MAMMOGRAM WAS REASONABLY- PRICED AT BUMRUNGRAD!

Posted

Sorry to hear about your bad experience, Bouffant. I was also much less happy with Bumrungrad my last time there (December 2008) than I had been before. Prices have gone up, in part due to Ben Bernanke's intentional efforts to devalue the USD. However, service quality had also declined significantly, in my opinion.

A friend just returned from having multiple surgical procedures done in Penang, Malaysia. She is very happy with how she was treated there. I believe she went to both the Adventist and Gleneagles hospitals.

Posted

The Ben Benarke part I can't comment on, but point about changes to the exchange rate certainly valid. Prices in Thai hospitals (as elsewhere in Thailand) are set in Thai baht and currency flunctuations will affect the equivalen t cost in US dollars or any other foreign currency.

Rate of inflation in Thailand is also a factor. It isn't just medical care that is costing more, it is everything. As those of us who live here know only too welll.... :ermm:

Posted

Sorry to hear about your bad experience, Bouffant. I was also much less happy with Bumrungrad my last time there (December 2008) than I had been before. Prices have gone up, in part due to Ben Bernanke's intentional efforts to devalue the USD. However, service quality had also declined significantly, in my opinion.

A friend just returned from having multiple surgical procedures done in Penang, Malaysia. She is very happy with how she was treated there. I believe she went to both the Adventist and Gleneagles hospitals.

That's great to know...I have saved that info... although I always found Malaysia to be a bit overpriced (for what you get in terms of cultural charm, etc) and it sure doesn't have the charm of Thailand. If one is going to travel internationally, one would like to enjoy the place.:)

Yes, this last month in Bangkok was sad in a way because I was paying prices for hotel rooms and meals that I would be paying in my hometown in the USA.(Admittedly., I do not eat street food because I don't understand what it is and I live in fear of hot peppers, and try to eat vegetarian.) I was sad to see that happen, but then I realized, if this was the country of MY birth and they were moving forward like Bangkok has I would be very proud. I mean Bangkok is a swanky, fashionable "great city of the world" now.

I used to find the prices in Bangkok- for everything- great. So yes I can commiserate with those of you who live there. Everything has gone up.

Posted

I noticed recently that their has been a new law passed that is alot stricter on doctor malpractice. Hopefully this will have a knock on effect and doctors will stop being so lazy. One thing for sure I would never get an operation here, just would no way trust it....

Plus the education system is now being recognized as a bit of a joke (by thais) so hopefully things will get better soon

I have to mention here that the malpractice thing got so out of hand in the US that it made medical care "impossible" for people who do not work for corporations. But we will hope for a happy medium. If consumers can communicate about medical care, bad doctors will be in trouble.

Posted

For the OP, two things to bear in mind. Firstly the Thai Baht has been quite strong recently so when you convert prices back into US$ it will be more expensive. Secondly Bumrungrad is expensive and seems to have raised prices significantly recently. They have a very high mark-up on medications - their prices are twice as much as as regular pharmacy. So if you can, just get the name of the drug and buy it from a pharmacy outside.

I have also noticed that quality of service has deteriorated recently. I saw a cardiologist on my last visit and he didn't even look at me when he was going through my stress test results, some of the time he was looking at another patient's chart and talking to the nurse about this other patient! I have now switched to BNH Hospital which I find has much better service and doctors who are very good so far.

Posted

Bouffant,

And it's too bad because I really like a few of my Bumrungrad doctors

A lot of the doctors work at several different hospitals. If you see the ones you like again, ask them if they work at any other hospitals. Alternatively just look them up on the bumrungrad web site and look at the hours they work. If they only work part time or a few days a week, there's a good chance they work at other hospitals as well - just google their names and you should find where else they work.

Posted

Went to Bumrungrad last weekend, the spine unit to be exact. I was very happy with the service everywhere, both specialists I saw had plenty of time for me; and all staff were very helpful. I was happy overall (well, one doctor kept me waiting for 30 minutes, I think he was late from his round of Golf :rolleyes: ) and would it certainly go back.

Was it cheap? No, but then why should first-rate attention be cheap?

Posted

Hello Bouffant,

First, we would like to thank you for your loyal support of the hospital. We understand that your previous good experiences at the hospital makes your experience on this trip harder to accept, and we very much appreciate your feedback.

Next, apologies for the slow response, this just came to my attention. Your message has been picked up and brought to our senior management, and we would like to understand the issues better.

We have tried to determine who you are from your message, but we don't have enough details. Could you please PM me your name and your email (it would be best if you could send me the one you used to correspond with the hospital email team, or the one we would have on our records)?

If it is ok, our international patient team will then be in contact to work with you on the issues you brought up. Your open communication with that team will go a long way in helping us improve our services; I would like to thank you in advance for anything you can offer.

Best regards,

Scott @ Bumrungrad

It's nice to see Bumrungrad responding here. And as long as I have your attention, two quick complaints. I've been going to Bumrungrad for years, but lately it seems the personal touch is missing.

1. I'm looking at having a couple procedures done there and have emailed a few times with very simple, very short, very direct questions. Two doctors now have simply side stepped the direct question and given me only a 5 or 6 word response. I've dumped a lot of money into Bumrungrad and I would appreciate it if my individual concerns were taken seriously and actually addressed.

2. I second the OP's complaint regarding pain medication. This should be looked at on an individual basis not according to some internal policy! It seems the doctors are ultra suspicious of anyone who has pain.

I'm happy to pay the highest prices, but I expect the best care.

Posted

Nothing to do with Bumrungrad..

Last Tuesday woke up at 3am in terrible pain, drove with great difficulty the 15km to the Hospital, 1x male Dr asked where was the pain, he then pushed hard and suddenly let go almost passed out with the pain, 10 mins later a lady arrived and did the same.. she said she would operate straight away I had a burst appendix.,, I have gone to the same Hospital for the past 6 years so have my records there.

Another Lady arrives said Operation must pay 1st 35,000 baht now !! It is now almost 4 am have to call someone to ask if they could come + borrow money

I was awake and pushed into the ward at 6:50. Saturday afternoon was allowed to come home another bill for 66,800 baht.. NO I was NOT in a private room, was in a full 6 bed ward.

Detailed pages after page bill. The biggest shock was the 2x 750 baht for the 2 different Dr to spend a couple of second to push the pain spot. The last time I looked at the clock before going to sleep till I awoke after the operation was 1 hr 40mins on bill Operation 35,000 baht.

So it would appear prices have indeed jumped sky high

Posted

^

a friend of mine exact same scenario at a christian hospital in silom. same diagnosis. pay deposit now! no way of getting to know bill. 80 K.

Posted (edited)

Hello Scott @ Bumrungrad,

thanks for posting here. Its good to have some feed-back. Although I have been a bit disappointed with my recent experiences at Bumrungrad I don't think the hospital is really to blame. You are obviously getting more popular and doing what most businesses would do - increasing prices.

And, although the doctors I saw were rather off-hand, the lady who took my call and helped to make the appointments and the pharmacist were both excellent; helpful, knowledgeable and really seemed to care.

Edited by SiamRose
Posted

I recently helped a close friend of mine who had some real problems with the Bumrungrad. He come to Thailand for eye surgery and he chose to get it done at the Bumrungrad due to its outstanding reputation. It was more expensive then other hospitals in Bangkok but he didn't care as he wanted the best service.

Anyway, he got the surgery and the doctors told him it all went fine. He went back home to Europe some time later and his vision did not go back to normal. One of the leading hospitals in his home country in Europe then did a thorough check and it was discovered that the doctor at the Bumrungrad actually damaged his eye instead of having fixed it. Another surgery would be required to fix the mistake. So back to Thailand he went and with all the documents he went back to the Bumgrungrad. To make a long story short, the hospital refused to accept responsibility. They offered to fix the mistake but he would have to pay a couple of thousand Euros in advance as deposit. I mean come on, if they messed up the surgery then the least they could do is to fix it for free. These meetings were with senior management of the hospital.

Anyway, my friend got a second opinion at another leading hospital in Bangkok and they confirmed that the initial surgery had not gone as planned. My friend was advised to get the surgery report from the Bumrungrad. He went there with a lawyer and requested his surgery report from the administrator / manager of the Bumrungrad. He refused to give it and after a lengthy discussion he informed my friend that he had to leave the hospital right away and that he was banned from ever returning. My friend and his lawyer then left and quickly went to the tourist police and told them the story. Several tourist police officers then returned back to the Bumrungrad hospital with my friend and his lawyer and they finally got the document after the police officers demanded a copy of the surgery report. This document was later analyzed by other doctors and it was then confirmed that something did go wrong during the surgery. So why didn't Bumrungrad owe up to their mistake and deal with the situation in a suitable way? Why did they try to hide their mistake by refusing to hand over the surgery report?

Posted

The last time I looked at the clock before going to sleep till I awoke after the operation was 1 hr 40mins on bill Operation 35,000 baht.

Cf. "Nevada, overnight, ER first, hospital only is 39.9k" USD.

http://ehealthforum.com/health/topic8529_20.html

USD 25,000 is common. Pay 20% deductible.

So it would appear prices have indeed jumped sky high

What a joke. No, still quite cheap, actually, in this case.

Be glad you're alive, too.

Posted (edited)

The last time I looked at the clock before going to sleep till I awoke after the operation was 1 hr 40mins on bill Operation 35,000 baht.

Cf. "Nevada, overnight, ER first, hospital only is 39.9k" USD.

http://ehealthforum.com/health/topic8529_20.html

USD 25,000 is common. Pay 20% deductible.

So it would appear prices have indeed jumped sky high

What a joke. No, still quite cheap, actually, in this case.

Be glad you're alive, too.

This was not what the contents of the Thread was about.. The OP was saying the difference in price at the same Hospital this year to last year.. As you cut my post to bit, if you go back and read what I said I have used the same Hospital for over 6 years, and indeed the price re last year to this year are 3x more for a Dr to see you..... Last year a Dr cost 250 baht at this Hospital, last week was 2x Dr's @ 750 baht each...

Of course I have never had my appendix out before so no idea about the price of that, but I have been in to that Hospital twice before.

Normally see my Dr at the local Clinic, each visit = 60 baht Dr fee

Edit: have just come back from the Hospital.. Take out staples and re dress NO medication bill 640 baht........ just over a year ago removing stitches and re dress the bill was 420 baht.

I did ask when I came out last weekend about the price of the daily clean and re dressing they told me 480 baht, I went to the Government Hospital [Open 7am - 10 pm] charge 100 baht.

Edited by ignis
Posted (edited)

The last time I looked at the clock before going to sleep till I awoke after the operation was 1 hr 40mins on bill Operation 35,000 baht.

Cf. "Nevada, overnight, ER first, hospital only is 39.9k" USD.

http://ehealthforum.com/health/topic8529_20.html

USD 25,000 is common. Pay 20% deductible.

So it would appear prices have indeed jumped sky high

What a joke. No, still quite cheap, actually, in this case.

Be glad you're alive, too.

the price re last year to this year are 3x more for a Dr to see you..... Last year a Dr cost 250 baht at this Hospital, last week was 2x Dr's @ 750 baht each...

Of course I have never had my appendix out before so no idea about the price of that, but I have been in to that Hospital twice before.

Yep, you may not be comparing apples to apples here. There's docs and then there's docs. Some are surgeons and specialists: they charge more.

Edit: have just come back from the Hospital.. Take out staples and re dress NO medication bill 640 baht........ just over a year ago removing stitches and re dress the bill was 420 baht.

Again, not clear what's being compared. Maybe you had 3 stitches taken out after a cyst removal, not really quite the same as removing staples after an appendectomy.

Your point seems to be that the rate of price increase has jumped "sky high" rather than absolute prices, but you don't provide enough details to make that point convincing.

In any case, you've learned you'll be happier to entrust your health with public hospitals and 60-baht clinics in the future.

I agree, however, that in dealing w/ private hsps you always have be on guard against sharp pricing. The much-touted Phyathai Hsp in Sriricha tried to rip me off to the tune of B48,000 for routine colonoscopy (cutting included IF needed), take it or leave it, after a nurse had told me it would be about B12,500. Even gonna charge me an extra B10,000 merely to stay in the hsp one night. (I merely broached the subject as I couldn't ride my bike back to PTY immediately after).

So I took the package at Bangkok Pattaya, coincidentally for about B12,500; luckily they didn't find anything to cut (++), but I knew the probabilities were very high they wouldn't, so the risk paid off. Of course, Sirikit in Sattahip would have done it for ~4,000, but I paid for the greater convenience since the price wasn't really SKY HIGH.

Edited by JSixpack
Posted
In any case, you've learned you'll be happier to entrust your health with public hospitals and 60-baht clinics in the future.

Again not what was said or my meaning.. My Dr at the Clinic is a very nice Dr, speak perfect English his Daughter is married to a UK guy and lives in the UK near Bristol, I have been visiting him for 6 years....

Again only comparing prices for the same item.. Private Hospital 480 baht, Public Hospital 100 baht, Both places the Nurse did the exact same thing.. reason I went here was I only had to drive 4 km, the Hospital is 15 km away.

Again, not clear what's being compared. Maybe you had 3 stitches taken out after a cyst removal, not really quite the same as removing staples after an appendectomy.

Same room and same nurse as a year ago, a year ago had 12 stitches removed so that is why I posted as was more or less like for like.

Posted

Does some of the disparity in pricing have to do with insured vs uninsured visits? The differences in the US for such prices are ridiculous as I previously detailed in a post No. 94 for an operation one night stay at:

Its worth the price of insurance in the US just to get the negotiated discounts not to mention the insurance paying most of the discounted price. The full uninsured prices at hospitals in the US are truly a ripoff.

Posted

Remember that most of the hospitals mentioned here are publicly listed companies; their first, legal, fiduciary obligation is to their shareholders, not to patients. Obviously they can't offer bad service too often, or they'll lose their customer base, thus affecting revenue, profits, and their shareholders. But they exist to maximize profits, not patient care, service, or health.

Also, as with any institution, such as a university, it is the quality of the people with whom you directly work with that determines the quality of service: the individual doctors, professors, or other professionals who treat you, not the institution itself. Institutions market themselves as having the best collection of individuals, but that's all it is: marketing. After all, hospitals are human-service providers, not supermarkets selling commodities.

That's why, as inconvenient as it is, anyone seeking the best care (medical or any kind) needs to painstakingly find the best care-givers no matter where they work. How? Referrals, obviously, and for them I go by the old rule of thumb: first-rate people hire first-rate people; second-rate people hire third-rate people; and third-rate people hire everybody else. When you find someone who is truly excellent in whatever he or she does (no matter what profession), that's the person to start asking when you need help.

Finally, Jimbo's ugly story about Bumrungrad shows the bullying that fat, rich companies and their arrogant executives typically employ when facing what they see as weaker individuals. Thai society is sadly based on feudalism and hierarchy, and these executives think they're hot stuff simply because they're associated with an organization with money and power. Shame on BH (that's their stock symbol).

Posted

I think we have established that yes, the cost of medical care in private hospitals in Thailand has increased in recent years. So has the price of just about everything else. For those who calculate the equivalent cost in their home currency, the increase is considerably worse due to a stronger baht/weaker dollar/pound etc.

IMO consultation costs are still a good deal, provided you have taken advantage of these hospital's find-a-doctor search engine to carefully select someone with top notch qualifications. Procedure costs are increasingly less of a bargain and in some cases not even competitive with western countries.

It is well known that there is not, as yet, adequate safeguards and legal redress available in Thailand with regard to medical malpractice. There is some new legislation in the works but in current form it will pertain only to those covered by various national health schemes and thus not, in most cases, foreigners.

Prior poster's point about careful selection of physicians in spot on. In addition to referral, I'd point out that the larger hospitals websites include the bio-datas of their doctors. These websites vary in how well designed and useful they are, but the "biggies" (Bumrungrad, BNH, Bangkok Hosp/Bkk and Samitivej) all include enough information --although in different degrees of ease of use search-wise. From this, you can identify a doctor's areas of special interest/sub-specialization, board certification (Thailand and other), whether trained abroad and if so where/for how long, and whether they hold a faculty appointment.

Another good way to identify doctors with particular expertise is that they will often have published in their area of specialty.

And lastly, you have to use your own judgement when you first meet a doctor. If surgery is contemplated, I would look at the first consultation almost like a job interview with you as the employer. Bad signs: refusal to give direct answers to questions/poor reaction to being questioned, blanket reassurances, grandiose promises/hard sell or vague "don't worrys". Good signs: direct answer to questions, frank discussion of risks.

Posted

Sheryl, as you say,

the increase is considerably worse due to a stronger baht/weaker dollar/pound etc.

However a stronger Baht also reduces the hospital's costs; imported drugs, imported medical equipment and associated supplies which are priced in $ or Euro will be cheaper in Baht terms as the Baht strengthens. Unfortunately hospitals never seem to reduce their prices when this happens although they are quick to increase prices when the Baht falls.

Posted

Sheryl, as you say,

the increase is considerably worse due to a stronger baht/weaker dollar/pound etc.

However a stronger Baht also reduces the hospital's costs; imported drugs, imported medical equipment and associated supplies which are priced in $ or Euro will be cheaper in Baht terms as the Baht strengthens. Unfortunately hospitals never seem to reduce their prices when this happens although they are quick to increase prices when the Baht falls.

Bear in mind these are Thai hospitals, in Thailand. That they seek to tap into the international market does not mean that they exist solely for it. Even at Bumrungrad, about half the total patient population is Thai.

Also need to bear in mind that foreign currency/baht flunctuations are not the same for all currencies at the same time, and that not all foreign patients are western.

Naturally, prices are set in Thai baht.

Posted

I recently helped a close friend of mine who had some real problems with the Bumrungrad. He come to Thailand for eye surgery and he chose to get it done at the Bumrungrad due to its outstanding reputation. It was more expensive then other hospitals in Bangkok but he didn't care as he wanted the best service.

Anyway, he got the surgery and the doctors told him it all went fine. He went back home to Europe some time later and his vision did not go back to normal. One of the leading hospitals in his home country in Europe then did a thorough check and it was discovered that the doctor at the Bumrungrad actually damaged his eye instead of having fixed it. Another surgery would be required to fix the mistake. So back to Thailand he went and with all the documents he went back to the Bumgrungrad. To make a long story short, the hospital refused to accept responsibility. They offered to fix the mistake but he would have to pay a couple of thousand Euros in advance as deposit. I mean come on, if they messed up the surgery then the least they could do is to fix it for free. These meetings were with senior management of the hospital.

Anyway, my friend got a second opinion at another leading hospital in Bangkok and they confirmed that the initial surgery had not gone as planned. My friend was advised to get the surgery report from the Bumrungrad. He went there with a lawyer and requested his surgery report from the administrator / manager of the Bumrungrad. He refused to give it and after a lengthy discussion he informed my friend that he had to leave the hospital right away and that he was banned from ever returning. My friend and his lawyer then left and quickly went to the tourist police and told them the story. Several tourist police officers then returned back to the Bumrungrad hospital with my friend and his lawyer and they finally got the document after the police officers demanded a copy of the surgery report. This document was later analyzed by other doctors and it was then confirmed that something did go wrong during the surgery. So why didn't Bumrungrad owe up to their mistake and deal with the situation in a suitable way? Why did they try to hide their mistake by refusing to hand over the surgery report?

Hrrmmppff. Why so unkind? Show some compassion and kindness instead of complaining!

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