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    • Miércoles, 04 de octubre de 2023

    Salvando más vidas; Renown amplía la atención para el cáncer de mama y agrega a dos cirujanos mamarios de primera clase

    Renown Medical Group se complace en dar la bienvenida al equipo a dos distinguidos oncólogos quirúrgicos de mama, la Dra. Colleen O'Kelly-Priddy y la Dra. Michelle K. Chu. Estos cirujanos de mama altamente capacitados se centrarán únicamente en brindar atención de mamas y, por lo tanto, desempeñarán un papel fundamental en el compromiso del Instituto de Cáncer William N. Pennington de Renown Health de brindar atención subespecializada a las personas que viven en nuestra comunidad y más allá. La Dra. Colleen O'Kelly-Priddy es oncóloga quirúrgica de mama con becas de investigación y certificada por la junta, con una impresionante experiencia en cirugía de cáncer de mama. La Dra. Priddy nació en Washoe Medical Center (que luego se convirtió en Renown Regional Medical Center) y creció en Susanville, CA, antes de asistir a la Universidad de Stanford para sus estudios de pregrado. Se graduó en la Facultad de Medicina de la Universidad de Nevada, Reno. “Estoy encantado de regresar a Reno para ayudar a aumentar el acceso a la atención quirúrgica de clase mundial para el cáncer de mama”, dijo el Dr. Priddy. “Mi objetivo es brindar una atención excepcional, especialmente a los jóvenes con cáncer de mama. Me entusiasma continuar mi misión aquí en el norte de Nevada". La Dra. Michelle K. Chu, cirujana general certificada por la junta, aporta su amplia experiencia en el tratamiento del cáncer de mama avanzado al equipo de Renown. La Dra. Chu obtuvo su título universitario de la Universidad de Pensilvania y su título médico de la Western Reserve School of Medicine en Cleveland, Ohio. El Dr. Chu se especializa en cirugía oncoplástica de conservación mamaria y mastectomías de preservación de pezones. “Creo en adaptar las opciones de tratamiento a las necesidades únicas de cada paciente”, dijo el Dr. Chu. “Ya sea que se trate de preservar la forma natural de la mama o apoyar el movimiento ‘Going Flat’, nuestro equipo se esfuerza por proporcionar el mejor resultado posible para cada paciente”. Renown Breast Surgery Care, la incorporación más reciente al William N. Pennington Cancer Institute, proporciona atención integral de cirugía de mama en 1500 E. 2nd Street en Reno, junto al campus del Renown Regional Medical Center. “El cáncer de mama representa aproximadamente el 20 % de los casos de cáncer recientemente diagnosticados en el condado de Washoe, con aproximadamente 520 nuevos casos al año, lo que lo establece como el tipo de cáncer más prevalente dentro de nuestra comunidad”, dice Brian Erling, MD, MBA, presidente y director ejecutivo de Renown Health. “Estamos orgullosos, como el sistema de atención médica sin fines de lucro más grande de la comunidad, de invertir en la prevención del cáncer y los diagnósticos tempranos, incluidos los exámenes de mamografía y la investigación genética. Para aquellos diagnosticados con cáncer de mama, Renown ahora ofrece dos excelentes cirujanos de mama que se especializan en cirugía de preservación de mamas y un centro de cirugía de mama que brinda atención integral y compasiva. Nuestro objetivo es salvar la vida de las mujeres, salvar a las familias y garantizar una mejor atención y mejores resultados. Este es un gran paso hacia adelante para la atención médica de las mujeres y nuestra comunidad”. Como parte de esta expansión, Renown asume las operaciones de Reno Surgical Advocates, una respetada práctica privada en Reno. “El acceso a la atención experta para el cáncer de mama cerca de casa es crucial, y nuestro equipo dedicado en Renown Breast Surgery Care trabajará incansablemente para proporcionar el más alto nivel de atención a las pacientes mientras trabaja estrechamente con nuestros otros especialistas en cáncer”, dijo el Dr. Max Coppes, PhD, MBA, Director del William N. Pennington Institute for Cancer. “Con la experiencia excepcional de la Dra. Colleen O'Kelly-Priddy y la Dra. Michelle K. Chu, junto con nuestro centro de última generación, Renown Health es un verdadero socio en la lucha contra el cáncer de mama en el norte de Nevada”. “Las personas se están reubicando cada vez más en el norte de Nevada y, de hecho, el condado de Washoe experimentó un crecimiento de la población del 2.1 % desde el 2020 de abril hasta el 2022 de julio. En consecuencia, aunque el norte de Nevada no muestra una tasa de cáncer superior al promedio, estamos observando un aumento en los casos en nuestras instalaciones”, dijo el Dr. Lee Schwartzberg, director de la Sección de Oncología Médica del William N. Pennington Cancer Institute. “Renown Health está posicionada para satisfacer esta creciente demanda, y nos enorgullece agregar constantemente proveedores de atención médica reconocidos a nivel nacional a nuestro equipo para salvar la vida de las mujeres en el norte de Nevada.     Acerca de Renown Health Renown Health es la red de atención médica integrada, sin fines de lucro, con gobernación local más grande de la región que presta servicios en Nevada, Lake Tahoe y el noreste de California. Con una fuerza laboral diversa de más de 7,000 empleados, Renown ha fomentado una cultura de excelencia, determinación e innovación de larga data. La organización se compone de un centro de urgencias, dos hospitales de cuidados agudos, un hospital infantil, un hospital de rehabilitación, un grupo médico y una red de atención de urgencias y Hometown Health, la compañía de seguros sin fines de lucro más grande de la región y de propiedad local, Hometown Health.

    Leer más Acerca de Salvando más vidas; Renown amplía la atención para el cáncer de mama y agrega a dos cirujanos mamarios de primera clase

  • Mamografías

    Breast Screening at Renown Women's Health: Because breast health is YOUR health. 1 in 8 women in the U.S. face a breast cancer diagnosis each year. Early detection through annual mammograms significantly increases the chances of successful treatment. At Renown Women’s Health, we provide expert, compassionate care, guiding you through each step of your mammogram. Our advanced 3D technology detects 41% more cancers and reduces false positives, lowering the need for rescreening. Join the thousands of women in northern Nevada getting screened and putting their health first. We offer mammograms at our four imaging locations in Reno and Sparks, Nevada, providing up to 40 daily appointments with short wait times.

    Read More About Mammograms

  • Cuidados paliativos

    Serious Illness Care - Delivered Directly to Your Home At Renown Health, our team of palliative care providers are here to provide clinical support and compassionate guidance for patients with chronic and life-limiting illnesses. Palliative Care is a consultative service that can be used at any time in the disease process. Patients can continue to see their providers and receive treatment (such as chemotherapy or dialysis) while on Palliative Care service. Our nurse practitioners will come to your home to discuss your individual needs and concerns. We work closely with your other providers and care teams such as primary care, oncology, and home health to ensure you receive the best care possible.

    Read More About Palliative Care

  • Atención médica para pacientes terminales

    Compassionate Care in the Comfort of Your Home Welcome to Renown Hospice, where compassion meets comfort in life’s most tender moments. Renown Hospice is a not-for-profit hospice, founded solely on a mission to care for and support those in our community. With a dedicated team of professionals and comprehensive services provided in the comfort of your home, our hospice program is one of the highest-rated quality care and experience agencies in northern Nevada.

    Read More About Hospice Care

    • Salud conductual
    • Prevención y bienestar
    • Cuidado personal

    Envejecimiento saludable 5 consejos para mejorar la felicidad y la calidad de vida

    There are a few simple ways to encourage healthy aging that can translate to an improved quality of life. Here are some expert tips.  What does healthy aging mean to you? If you’re like most people, you’re looking forward to removing the negative from your life — negative energy, thoughts, people and activities that don’t contribute to your best life.  And while that’s a noble goal, too often we forget about ways to strengthen the positive parts of our lives. Expert Herbert “Buddy” Coard III, Ed.D, psychologist with Renown Behavioral Health, provides us with five positive behaviors to focus on to improve happiness and life satisfaction. Healthy Aging in 5 Easy Steps: 1. Connect – Make connections with friends, family, colleagues and neighbors. When you build strong connections, they can help enrich your life with new experiences and opportunities. Besides, having a support system to call upon when you need a favor is valuable as you age. 2. Be Active – Make time to get moving and work those muscles. Being active can include walking, practicing yoga, playing a game of pickleball or dancing. Exercise makes you feel good and keeps you health. Pick a physical activity that you enjoy, and don’t make excuses. Not only will being active help you build stronger muscles, it also helps you build strong connections with others. If you need a workout buddy, Meetup is a great resource to find like-minded people that share common exercise goals. 3. Take Notice – Be mindful and become more curious. Like a child, see the wonder and beauty of the world. Notice the things around you — the weather, the landscape, the mood and feelings of the people around you. By taking notice, it’s easier to learn to appreciate the things that matter. 4. Keep Learning – We never stop learning. Keep trying something new — a new course you’ve always wanted to try or a more challenging task someone has solicited for your help. Challenges keep us on our toes and increase our confidence and excitement in our day. OLLI (Osher Lifelong Learning Institute at the University of Nevada, Reno), brings diverse educational and social opportunities to active older adult learners (50+). EPIC (Educational Programs Inspiring the Community), offers a divers curriculum ranging from art classes to Accelerated training certificate courses. 5. Give – Be generous with your time, your knowledge and your talents by giving to friends, family and even strangers. Some easy ways to give is to show thankfulness, smile at people and volunteer. Sharing of yourself to a wider audience gives you a greater reward than just doing things for yourself. Nevada Volunteers Volunteer at Renown Health Practice these five tips to improve happiness and quality of life at any age.

    Read More About Healthy Aging 5 Tips to Improve Happiness and Quality of Life

    • Mamografía
    • Salud de la mujer
    • Atención del cáncer

    ¡Damas! Hágase un examen de detección de cáncer de mama

    Early detection is a significant piece of the breast cancer puzzle. Susan Cox, Renown Health Senior Director of Cancer Operations, discusses what you need to watch for and how the latest technology can help detect potential cancer sooner. When should women start getting breast exams? It depends on risk factors: Average-risk women: Most medical organizations recommend the first mammogram between 40 and 44. Higher-risk women: Dependent on their high risk, which will dictate when they start screening, but generally around the age of 30 and not before 25 years old.

    Read More About Ladies! Get Screened for Breast Cancer

    • Salud de la mujer
    • Atención del cáncer
    • Mamografía

    7 Síntomas del cáncer de mama en mujeres jóvenes

    Cancer can develop at any age, and that’s why the experts at Renown are ready to help you stay ahead of breast cancer, especially if you're in your 20s or 30s. We're talking about early detection, signs to be aware of, and why being proactive is a big deal. Studies show there has been an increase in breast cancer in younger women. Although breast cancer is rare in women under 40, when it occurs, it tends to be aggressive. The tricky part? Many young women don't think it can happen to them, so they don't check for the signs as often as they should. Reviewed by Dr. Colleen O'Kelly-Priddy, MD, FACS, breast surgical oncologist at Renown Women's Health. Early Signs and Symptoms New or Different Lump in the Breast: A lump is probably the most well-known symptom. Breast cancer is usually painless and firm, but it can also be soft. If you find a new lump, don't panic, but don't ignore it either. Changes in Breast Size or Shape: Have you noticed that one breast looks a little different? Whether it's swelling, shrinking, bulging, dimpling, or seems off, it's worth mentioning to your doctor. Skin Changes: If the skin on your breast starts to thicken or turn red, it's time to pay attention. If your skin starts looking like an orange peel (thickened, with prominent pores), that warrants evaluation. Nipple Discharge: Spontaneous drainage coming from your nipple that isn't breast milk—especially if it's clear or bloody—should be checked out. Nipple Changes: If your nipple starts to invert, flatten, or look different, call your doctor. Breast Pain: Continuous pain in your breast or nipple that isn't linked to your menstrual cycle is another symptom to note. However, breast pain is very common and is only rarely a sign of cancer, so don’t panic. Swelling or Lumps in the Armpit: When it spreads, breast cancer usually first goes to the lymph nodes in the armpit, so swelling or lumps under your arm should be on your radar.

    Read More About 7 Symptoms of Breast Cancer in Young Women

    • Salud de la mujer
    • Mamografía

    ¿Las mamografías duelen? 4 Mitos desacreditados

    Mammograms are an effective means for early detection of breast cancer. Still, many women shy away from them for fear of pain or discomfort. Let us debunk a few mammogram myths that will remove your worries and encourage proactive breast health. Reviewed by Dr. Colleen O'Kelly-Priddy, MD, FACS, breast surgical oncologist at Renown Women's Health. Myth 1: Mammograms Are Painful Reality: Although some women experience discomfort during a mammogram, most say it is not painful. Breast compression, which is important to get a clear image, can cause a sensation of pressure, but this lasts for a few seconds. Let your technician know how much pressure you can handle so you're not uncomfortable. Myth 2: Discomfort Persists Long After the Procedure Reality: The sensation of pressure developed through the compression process diminishes quickly after the procedure. Most women go about their day afterward without experiencing any residual pain.

    Read More About Do Mammograms Hurt? 4 Myths Debunked

    • Proyecto HealthyNV
    • Investigación y estudios
    • Mamografía
    • Genética
    • Atención del cáncer

    Optimización de las mamografías: Un enfoque genético para un cronograma de pruebas de detección personalizado

    © Arthon Meekodong via Canva.com Breast cancer screening has long been a cornerstone of women's healthcare. With 1 in 8 women diagnosed with breast cancer in their lifetime1, the United States Preventive Services Task Force (USPSTF) has developed screening recommendations to help detect early-stage cancer. Notably in 2023, the USPSTF revised the recommended age for biennial mammogram screenings for women with average risk to start at age 40 instead of 502, estimated to result in 19% more lives being saved3 by starting screening earlier. While initiating screening at an earlier age offers advantages to a wide demographic, concerns about the potential of over-screening prompted research into the feasibility of identifying women with lower breast cancer risk who could safely delay mammograms. While guidelines address high-risk individuals, a notable gap exists in providing recommendations tailored to those at lower risk. To gain insight into a patient's risk level, physicians are able to utilize genetic testing to understand an individual's genetic makeup, providing precise insights into their predisposition to various health conditions, including breast cancer. Armed with this genetic information, healthcare providers could craft tailored screening strategies that align with an individual’s specific risk profile. This genetic risk-based approach underscores the value of genetics in individualizing the onset of screening to help avoid over-screening and its associated costs. Surprisingly, genetic information is not currently being widely utilized to identify women at risk of breast cancer or other diseases in clinical practice, despite its potential to make a significant positive impact for patients. A recent retrospective analysis of 25,591 women from the Healthy Nevada Project4 sheds light on the potential benefits of this genetic risk-based approach. The study classified 2,338 (9.1%) of these women as having a low genetic risk for breast cancer. What's remarkable is that these women exhibited a significantly lower and later onset of breast cancer compared to their average or high-risk counterparts. This finding suggests that it might be safe for low-risk women to delay mammogram screening by 5 to 10 years without compromising their health.

    Read More About Optimizing Mammogram Screenings: A Genetic Approach to a Personalized Screening Schedule

    • Atención del cáncer
    • Mamografía

    Guía para exámenes de detección de cáncer

    One of the most crucial aspects of maintaining health and wellness is staying proactive about regular cancer screenings. Early cancer detection significantly increases the chances of successful treatment and survival. The multidisciplinary care team at the William N. Pennington Cancer Institute at Renown Health provides compassionate care and support to the community for early detection and diagnoses. This comprehensive guide outlines the various cancer screenings available for breast, colorectal, lung, cervical, prostate and skin cancer. Breast Cancer Screening Who Should Get Screened? Mammograms are recommended starting age 40 for those considered at average risk for breast cancer. Women with a family history or other risk factors should discuss appropriate screening options with their healthcare provider. Women under 40 with a family history should discuss risk factors with a healthcare provider. Screening Methods Mammogram: This provides an X-ray of the breast and can detect tumors that are not yet palpable. Breast MRI: This type of scan is recommended for women at high risk for breast cancer due to genetic factors or family history. Screening Breast Ultrasound: This scan can help in identifying masses in denser breast tissue that might not be visible on mammogram. It is recommended in addition to a mammogram for patients at a higher risk for breast cancer. What to Expect During a mammogram, the breast is compressed between two plates to capture X-ray images. Some pressure or discomfort may be felt, but the procedure is brief and critical for early detection. Colorectal Cancer Screening Who Should Get Screened? Adults aged 45 to 75 should undergo regular colorectal screenings. Some adults under 45 may need to be screened earlier depending on family history or other genetic risks. Those over 75 should consult with their healthcare provider to determine if continued screening is necessary. Screening Methods Colonoscopy: This procedure uses a flexible tube with a camera to examine the entire colon. Fecal Immunochemical Test (FIT): A non-invasive test that detects hidden blood in the stool. CT Colonography (Virtual Colonoscopy): Uses Computed tomography (CT) imaging to provide detailed views of the colon. What to Expect A colonoscopy can detect changes or abnormalities in the large intestine (colon) and rectum. Screening is usually advised every ten years, but if you are at risk, screening may be recommended every 3 to 5 years after your initial colonoscopy. Colonoscopy preparation includes bowel cleansing the day before and sedation during the procedure. FIT is a simple at-home test requiring no special preparation. Lung Cancer Screening Who Should Get Screened? Adults aged 50 to 80 with a significant smoking history (20 pack years or more) and who currently smoke or have quit within the past 15 years. Screening Methods Low-dose Computed Tomography (LDCT): A CT scan with low radiation doses to create detailed images of the lungs. What to Expect LDCT is a non-invasive scan that requires you to hold your breath for a few seconds. Cervical Cancer Screening Who Should Get Screened? Women aged 21 to 65 should undergo regular screenings. Women aged 21 to 29 should have a Pap test every three years. Women aged 30 to 65 should have a Pap test and HPV test every five years, or a Pap test alone every three years. Screening Methods Pap Test (sometimes called a Pap Smear): Collects cells from the cervix to detect precancers. HPV Test: Identifies high-risk human papillomavirus (HPV) types that can cause cervical cancer. What to Expect The Pap test involves collecting cells from the cervix using a small brush. Some discomfort may be felt, but the procedure is brief and crucial for early detection. Prostate Cancer Screening Who Should Get Screened? Men aged 50 and older should discuss screening options with their healthcare provider. Men at higher risk (African American men and those with a family history of prostate cancer or are a BRCA2 gene carrier) should begin discussing screenings  at age 40. Screening Methods Prostate-Specific Antigen (PSA) Test: Measures PSA levels in the blood. Digital Rectal Exam (DRE): A physical examination where the provider feels the prostate through the rectum to detect abnormalities. What to Expect The PSA test is a simple blood test. The DRE may cause slight discomfort but is quick and essential for early detection. Skin Cancer Screening Who Should Get Screened? Anyone with a suspicious lesion or abnormal area on their skin. Individuals with more than 50 moles or dysplastic moles. Those with a personal history of melanoma or history of other skin cancers. Those who have more than one member of immediate family with a history of cancers (melanoma, breast cancer, pancreatic cancer) or a family member who was diagnosed with melanoma before they were 50 years old. Positive gene testing for BRACA2, Lynch syndrome genes (MLH1, MSH2, MSH6, PMS2 or EPCAM). Screening Methods Skin Exam: A visual examination by your provider to check for unusual moles, birthmarks, or other skin changes. Biopsy: Removal of a small sample of skin for testing if an abnormal area is identified. What to Expect A skin exam is non-invasive and visual. A biopsy involves minor discomfort and local anesthesia if needed. Expert Advice Although the cadence of these skin screenings may or may not be annual, as one's age increases, the risk of many cancers rises. Everyone benefits from attentive sun protection, including avoiding direct sun between 10 a.m. and 4 p.m. by seeking shade and wearing hats, clothing and sunscreen. When purchasing sunscreen, look for SPF 50, UVA/UVB broad spectrum. Questions to Discuss with Your Healthcare Provider What is my risk level for different types of cancer? Which screening tests do you recommend for me and why? What are the potential risks and benefits of each test? How often should I get screened? What steps to follow if a test result is abnormal? Importance of Cancer Screenings Regular cancer screenings are vital for maintaining your health and catching cancer early, when it is most treatable. Renown Health is dedicated to guiding you through the process and providing the highest quality of care. Consult with your healthcare provider to determine the appropriate screenings for your specific needs and to take proactive steps toward a healthier future.

    Read More About Guide to Cancer Screenings

    • Buen estado físico
    • Cuidado personal

    6 Escapadas que te harán una campista feliz

    Some people drive for hundreds of miles just to pitch a tent in what we're fortunate enough to call our backyard. From alpine hiking trails and miles of remote forest to desert lakes and spectacular night skies, there's no better way to unwind and explore the outdoors than camping. If you've been daydreaming of hiking trails and swimming holes or looking for a tranquil and adventurous family vacation,  it's time to clear your schedule, pack up the car and venture into the Great Outdoors.  We've got six fun and beautiful camping getaways you need to experience this summer that will leave you feeling relaxed and rejuvenated. And best of all, they're just a short drive away.  Emerald Bay State Park South Lake Tahoe, Calif. Highway 89 Summer Boat-In Camping: Available by reservation. Accessible by boat or foot.  Cost: $35 per night Dogs? Allowed in campground on a 6 foot leash. They cannot be on trails or roads into Emerald Bay or on the beach.  Information/Reservations: 530-525-7232 or www.reserveamerica.com To say this camping location is stunning is an understatement. If you're seeking a view from your campsite of blue lake waters, thick forest and jutting rocks, than this is the spot for you. This campsite is located on the north side of Emerald Bay, at old Emerald Bay Resort, and offers hiking and walking trails and easy access to Lake Tahoe. There are also large rocks you can jump from into the lake.   Davis Creek Regional Park West Side of Washoe Valley US 395 South  Cost: $20, cash only Dogs? Yes. $1 per night fee per pet and they must be leashed. Information/Reservations: (775) 823-6501 or www.washoecounty.us/parks Located in the foothills of the Carson Range 20 miles south of Reno, Davis Creek campground offers over 60 overnight sites along with equestrian trailheads that provide access to the Toiyabe National Forest. The campsite is well-known for outstanding views of Washoe Valley and Slide Mountain and includes picnic areas, a small pond and nature trails. Showers are also available.  Donner Memorial State Park Truckee, Calif.  12593 Donner Pass Road Cost: $35 per night Dogs? Contact for information. Information/Reservations: (530) 582-7892 or www.parks.ca.gov If you're looking for a little more to your camping adventure than what nature has to offer, Donner Memorial State Park may be the ideal campground for you. The park includes the Emigrant Trail Museum, with historical and regional exhibits including the Donner Party tragedy during the severe winter of 1846, as well as hiking trails, Donner Lake swimming and picnic areas. Fallen Leaf Campground South Lake Tahoe, Calif. 2165 Fallen Leaf Road Cost: $33 to $84/day Dogs? Allowed at tent and RV sites (a maximum of two pets per site); prohibited on beaches. Information/Reservations: (530) 544-0426 Nestled among pine and aspen trees and wildflower meadows, Fallen Leaf offers campers the best of both worlds: mountain landscapes and lake recreation. Located less than a mile away from the south shore of Lake Tahoe, the campground features more than 200 camping sites including tent, RV and several yurt rentals.   There are many shady campsites for campers to choose from, as well as food lockers, toilets, showers and a general store. The lake is only a short walk from the sites and features views of Cathedral Peak (8,200 feet) and Mount Tallac (9,738 feet) and there are several trails for hikers. Pyramid Lake Marina & Beach Camping Pyramid Lake Pyramid Lake Store, 29555 Pyramid Lake Road Cost: $9 per day Dogs? Allowed without restrictions. Information/Reservations: 775-476-0555 or www.pyramidlake.us The largest natural lake in Nevada, just 40 miles from Reno, is located between the Virginia and Lake Mountains on Paiute Indian land -- the Pyramid Lake Reservation. It's an ideal locale for boating and fishing and for those who are looking for remote beach camping and easy access to swimming. There are multiple camping spots around the lake -- including an RV park and designated and open camping -- but campers must obtain a tribal camping permit prior to settling in. Note: This is a desert lake and therefore, has limited shade. Campers should plan accordingly with shade sails and pop up shade tents.  Camp Richardson Resort South Lake Tahoe, Calif.  1900 Jameson Beach Road Cost: Contact for specifics.  Dogs? No.   Information/Reservations: 800-544-1801, reservations@camprichardson.com  Whether you're seeking the solace of a shaded forest or craving lazy beach days, Camp Richardson offers a wide variety of camping and lodging needs. Located on the south shore of Lake Tahoe, Camp Richardson features over 30 cabins, 26 lodge hotel rooms, a beachside inn, duplex and house, as well as 200 tent camping sites and 100 RV sites.  The resort campground offers year-round camping and a wide variety of services, including a marina, sports center, restaurant and a store.

    Read More About 6 Getaways That Will Make You a Happy Camper

Número de resultados encontrados: 27
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