Kuchal Agadi
@kuchalagadi.bsky.social
“A heart that beats to the tune of kindness can change the rhythm of the world.”
#IDdrop
AHS: Abacavir Hypersensitivity Syndrome.
🆔 dd Infections/IRIS and other drug related adverse events
💯 HLA-B*57:07 positive
🧶 fever, malaise, fatigue, headache & dizziness; GI symptoms within 1-8 days. Rash if present is a late symptom.
🎩 avoid Biktarvy
#idsa #aidssucks
AHS: Abacavir Hypersensitivity Syndrome.
🆔 dd Infections/IRIS and other drug related adverse events
💯 HLA-B*57:07 positive
🧶 fever, malaise, fatigue, headache & dizziness; GI symptoms within 1-8 days. Rash if present is a late symptom.
🎩 avoid Biktarvy
#idsa #aidssucks
October 14, 2025 at 12:06 AM
#IDdrop
AHS: Abacavir Hypersensitivity Syndrome.
🆔 dd Infections/IRIS and other drug related adverse events
💯 HLA-B*57:07 positive
🧶 fever, malaise, fatigue, headache & dizziness; GI symptoms within 1-8 days. Rash if present is a late symptom.
🎩 avoid Biktarvy
#idsa #aidssucks
AHS: Abacavir Hypersensitivity Syndrome.
🆔 dd Infections/IRIS and other drug related adverse events
💯 HLA-B*57:07 positive
🧶 fever, malaise, fatigue, headache & dizziness; GI symptoms within 1-8 days. Rash if present is a late symptom.
🎩 avoid Biktarvy
#idsa #aidssucks
CAN : Cardiovascular Autonomic Neuropathy
❤️independent Risk ☠️ in pts with DM
👎 Baroreflex- induced HR with orthostatic Hypotension
👉 Orthostatic Hypotension. Resting sinus Tachy. Exercise intolerance
👍 Rx with H2O+ 🧂compression🧦
🏥 midodrine| Droxidopa| Fludrocortisone
#Cardiodrop
❤️independent Risk ☠️ in pts with DM
👎 Baroreflex- induced HR with orthostatic Hypotension
👉 Orthostatic Hypotension. Resting sinus Tachy. Exercise intolerance
👍 Rx with H2O+ 🧂compression🧦
🏥 midodrine| Droxidopa| Fludrocortisone
#Cardiodrop
August 25, 2025 at 2:05 PM
CAN : Cardiovascular Autonomic Neuropathy
❤️independent Risk ☠️ in pts with DM
👎 Baroreflex- induced HR with orthostatic Hypotension
👉 Orthostatic Hypotension. Resting sinus Tachy. Exercise intolerance
👍 Rx with H2O+ 🧂compression🧦
🏥 midodrine| Droxidopa| Fludrocortisone
#Cardiodrop
❤️independent Risk ☠️ in pts with DM
👎 Baroreflex- induced HR with orthostatic Hypotension
👉 Orthostatic Hypotension. Resting sinus Tachy. Exercise intolerance
👍 Rx with H2O+ 🧂compression🧦
🏥 midodrine| Droxidopa| Fludrocortisone
#Cardiodrop
Primary & Secondary Hypothyroidism are both treated with Levothyroxine Replacement. What’s the Difference???
💥 Primary: TSH levels are used to monitor the patient
💥Secondary: goal is to keep Free T4 mid-upper half of normal range
#endodrop
💥 Primary: TSH levels are used to monitor the patient
💥Secondary: goal is to keep Free T4 mid-upper half of normal range
#endodrop
August 25, 2025 at 1:34 PM
Primary & Secondary Hypothyroidism are both treated with Levothyroxine Replacement. What’s the Difference???
💥 Primary: TSH levels are used to monitor the patient
💥Secondary: goal is to keep Free T4 mid-upper half of normal range
#endodrop
💥 Primary: TSH levels are used to monitor the patient
💥Secondary: goal is to keep Free T4 mid-upper half of normal range
#endodrop
🫀Anthracyclines/ Doxorubicin: irreversible Cardiomyopathy with ⬆️ cumulative dose
🫀Traztusumab: reversible,DSI cardiomyopathy
🫀Fluropyrimidines ➡️coronary vasospasm
🫀TyKI : CAD|PHT
🫀BKI: Afib
🫀Anti VEGF:HTN/
🫀Antiandrogen Rx ⬆️ CVrisk
#cardiodrop #cardiooncology #meded
🫀Traztusumab: reversible,DSI cardiomyopathy
🫀Fluropyrimidines ➡️coronary vasospasm
🫀TyKI : CAD|PHT
🫀BKI: Afib
🫀Anti VEGF:HTN/
🫀Antiandrogen Rx ⬆️ CVrisk
#cardiodrop #cardiooncology #meded
August 15, 2025 at 7:02 PM
🫀Anthracyclines/ Doxorubicin: irreversible Cardiomyopathy with ⬆️ cumulative dose
🫀Traztusumab: reversible,DSI cardiomyopathy
🫀Fluropyrimidines ➡️coronary vasospasm
🫀TyKI : CAD|PHT
🫀BKI: Afib
🫀Anti VEGF:HTN/
🫀Antiandrogen Rx ⬆️ CVrisk
#cardiodrop #cardiooncology #meded
🫀Traztusumab: reversible,DSI cardiomyopathy
🫀Fluropyrimidines ➡️coronary vasospasm
🫀TyKI : CAD|PHT
🫀BKI: Afib
🫀Anti VEGF:HTN/
🫀Antiandrogen Rx ⬆️ CVrisk
#cardiodrop #cardiooncology #meded
Heparin ✅ DOAC 🚫:
🫄🤰& postpartum 💁♀️: acute VTE: LMWH
- peri operative ⏰ cancer/spine/ THA/TKA: LMWH 1st dose within 24 HR * 2–3 D
- In Cancer-associated VTE: Specific conditions. Non Infective Thrombotic Endocarditis
#cardiodrop
🫄🤰& postpartum 💁♀️: acute VTE: LMWH
- peri operative ⏰ cancer/spine/ THA/TKA: LMWH 1st dose within 24 HR * 2–3 D
- In Cancer-associated VTE: Specific conditions. Non Infective Thrombotic Endocarditis
#cardiodrop
August 8, 2025 at 11:33 PM
Heparin ✅ DOAC 🚫:
🫄🤰& postpartum 💁♀️: acute VTE: LMWH
- peri operative ⏰ cancer/spine/ THA/TKA: LMWH 1st dose within 24 HR * 2–3 D
- In Cancer-associated VTE: Specific conditions. Non Infective Thrombotic Endocarditis
#cardiodrop
🫄🤰& postpartum 💁♀️: acute VTE: LMWH
- peri operative ⏰ cancer/spine/ THA/TKA: LMWH 1st dose within 24 HR * 2–3 D
- In Cancer-associated VTE: Specific conditions. Non Infective Thrombotic Endocarditis
#cardiodrop
RHD PPx:
✅ penicillin G benzathine 1.2 MU * 4wk
👍penicillin V 250 mg po TD| sulfadiazine 1 g po OD
☝️macrolide| azalide
⏳RF & residual VHD * at least 10 years after the last episode or until age 40 (whichever is longer)
⌛️ Prophylaxis is required even after valve replacement
#cardiodrop
✅ penicillin G benzathine 1.2 MU * 4wk
👍penicillin V 250 mg po TD| sulfadiazine 1 g po OD
☝️macrolide| azalide
⏳RF & residual VHD * at least 10 years after the last episode or until age 40 (whichever is longer)
⌛️ Prophylaxis is required even after valve replacement
#cardiodrop
August 7, 2025 at 9:43 PM
RHD PPx:
✅ penicillin G benzathine 1.2 MU * 4wk
👍penicillin V 250 mg po TD| sulfadiazine 1 g po OD
☝️macrolide| azalide
⏳RF & residual VHD * at least 10 years after the last episode or until age 40 (whichever is longer)
⌛️ Prophylaxis is required even after valve replacement
#cardiodrop
✅ penicillin G benzathine 1.2 MU * 4wk
👍penicillin V 250 mg po TD| sulfadiazine 1 g po OD
☝️macrolide| azalide
⏳RF & residual VHD * at least 10 years after the last episode or until age 40 (whichever is longer)
⌛️ Prophylaxis is required even after valve replacement
#cardiodrop
🅱️LAINT Syndrome
🧠 Optic Ataxia: despite Cerebellar & Motor WNL, 😖 in reaching for an object
🧠 Oculomotor Apraxia:😖 ↔️ 👀 movements
🧠 Simultanagnosia : ❌ 👁️> than 1️⃣ object at a time
MRI: Parieto-Occipital Atrophy.
Dx: Posterior Cortical Atrophy
Rx: Acetylcholine inhibitors.OT
#Neurodrop
🧠 Optic Ataxia: despite Cerebellar & Motor WNL, 😖 in reaching for an object
🧠 Oculomotor Apraxia:😖 ↔️ 👀 movements
🧠 Simultanagnosia : ❌ 👁️> than 1️⃣ object at a time
MRI: Parieto-Occipital Atrophy.
Dx: Posterior Cortical Atrophy
Rx: Acetylcholine inhibitors.OT
#Neurodrop
Redirecting
doi.org
August 6, 2025 at 9:41 PM
🅱️LAINT Syndrome
🧠 Optic Ataxia: despite Cerebellar & Motor WNL, 😖 in reaching for an object
🧠 Oculomotor Apraxia:😖 ↔️ 👀 movements
🧠 Simultanagnosia : ❌ 👁️> than 1️⃣ object at a time
MRI: Parieto-Occipital Atrophy.
Dx: Posterior Cortical Atrophy
Rx: Acetylcholine inhibitors.OT
#Neurodrop
🧠 Optic Ataxia: despite Cerebellar & Motor WNL, 😖 in reaching for an object
🧠 Oculomotor Apraxia:😖 ↔️ 👀 movements
🧠 Simultanagnosia : ❌ 👁️> than 1️⃣ object at a time
MRI: Parieto-Occipital Atrophy.
Dx: Posterior Cortical Atrophy
Rx: Acetylcholine inhibitors.OT
#Neurodrop
(DOACs)❌ Warfarin ✅ in:
🫀Mechanical Heart Valves
🫀Moderate to Severe Rheumatic Mitral Stenosis with Atrial Fibrillation
🫀Triple-positive Antiphospholipid Syndrome (APS)
#cardiodrop #Medtwitter
@JACC
🫀Mechanical Heart Valves
🫀Moderate to Severe Rheumatic Mitral Stenosis with Atrial Fibrillation
🫀Triple-positive Antiphospholipid Syndrome (APS)
#cardiodrop #Medtwitter
@JACC
August 5, 2025 at 8:56 PM
(DOACs)❌ Warfarin ✅ in:
🫀Mechanical Heart Valves
🫀Moderate to Severe Rheumatic Mitral Stenosis with Atrial Fibrillation
🫀Triple-positive Antiphospholipid Syndrome (APS)
#cardiodrop #Medtwitter
@JACC
🫀Mechanical Heart Valves
🫀Moderate to Severe Rheumatic Mitral Stenosis with Atrial Fibrillation
🫀Triple-positive Antiphospholipid Syndrome (APS)
#cardiodrop #Medtwitter
@JACC
What’s #Cardiodrop ? U might ask.
There is a saying in Tamil which translates to “what you know is in the size of a drop, what ought to be learnt in size of the ocean” -
#Cardiodrop a tiny bit of information I plan on sharing here daily. Wish me luck & feel free 2 reshare.
There is a saying in Tamil which translates to “what you know is in the size of a drop, what ought to be learnt in size of the ocean” -
#Cardiodrop a tiny bit of information I plan on sharing here daily. Wish me luck & feel free 2 reshare.
August 4, 2025 at 11:31 PM
What’s #Cardiodrop ? U might ask.
There is a saying in Tamil which translates to “what you know is in the size of a drop, what ought to be learnt in size of the ocean” -
#Cardiodrop a tiny bit of information I plan on sharing here daily. Wish me luck & feel free 2 reshare.
There is a saying in Tamil which translates to “what you know is in the size of a drop, what ought to be learnt in size of the ocean” -
#Cardiodrop a tiny bit of information I plan on sharing here daily. Wish me luck & feel free 2 reshare.
Reposted by Kuchal Agadi
ICU Stories:
A young patient w history of polysubstance abuse is brought to the ED after resuscitated out-of-hospital cardiac arrest (initially asystolic - CPR >30 min - multiple rounds of epi - intubated in the field). Admitted to the ICU intubated/on pressors/dialysis started
A young patient w history of polysubstance abuse is brought to the ED after resuscitated out-of-hospital cardiac arrest (initially asystolic - CPR >30 min - multiple rounds of epi - intubated in the field). Admitted to the ICU intubated/on pressors/dialysis started
May 11, 2025 at 8:45 PM
ICU Stories:
A young patient w history of polysubstance abuse is brought to the ED after resuscitated out-of-hospital cardiac arrest (initially asystolic - CPR >30 min - multiple rounds of epi - intubated in the field). Admitted to the ICU intubated/on pressors/dialysis started
A young patient w history of polysubstance abuse is brought to the ED after resuscitated out-of-hospital cardiac arrest (initially asystolic - CPR >30 min - multiple rounds of epi - intubated in the field). Admitted to the ICU intubated/on pressors/dialysis started
Had fun facilitating this one!!
Here’s the recording incase you missed it. Let me know what your thoughts are in comments ❤️🧿
m.youtube.com/watch?v=-DP2...
Here’s the recording incase you missed it. Let me know what your thoughts are in comments ❤️🧿
m.youtube.com/watch?v=-DP2...
July 2, 2025 at 2:28 AM
Had fun facilitating this one!!
Here’s the recording incase you missed it. Let me know what your thoughts are in comments ❤️🧿
m.youtube.com/watch?v=-DP2...
Here’s the recording incase you missed it. Let me know what your thoughts are in comments ❤️🧿
m.youtube.com/watch?v=-DP2...
Reposted by Kuchal Agadi
🚨New RLR Podcast Episode 🚨
Tune in as Rabih and Prof Reza discuss a case of Gum Bleeding🩸👨⚕️
➡️ clinicalproblemsolving.com/2025/06/30/e...
#Medsky #MedEd #ClinicalReasoning #CPSolvers
Tune in as Rabih and Prof Reza discuss a case of Gum Bleeding🩸👨⚕️
➡️ clinicalproblemsolving.com/2025/06/30/e...
#Medsky #MedEd #ClinicalReasoning #CPSolvers
June 30, 2025 at 4:22 PM
🚨New RLR Podcast Episode 🚨
Tune in as Rabih and Prof Reza discuss a case of Gum Bleeding🩸👨⚕️
➡️ clinicalproblemsolving.com/2025/06/30/e...
#Medsky #MedEd #ClinicalReasoning #CPSolvers
Tune in as Rabih and Prof Reza discuss a case of Gum Bleeding🩸👨⚕️
➡️ clinicalproblemsolving.com/2025/06/30/e...
#Medsky #MedEd #ClinicalReasoning #CPSolvers
Reposted by Kuchal Agadi
The US supreme court has ruled that schools must give children the chance to opt out on faith grounds from listening to storybooks that feature gay and transgender characters, in a landmark decision that will be seen as a win for religious rights in education.
June 27, 2025 at 3:33 PM
The US supreme court has ruled that schools must give children the chance to opt out on faith grounds from listening to storybooks that feature gay and transgender characters, in a landmark decision that will be seen as a win for religious rights in education.
Reposted by Kuchal Agadi
Check out this week’s #CPSolvers VMR schedule. We have an exciting week ahead!
Don’t miss out on our Cardiology VMR on Monday June 2 at 4PM PST/7PM EST featuring a very special guest: ✨Dr. Jason Ryan!✨🫀🩺
We hope to see you there!
➡️ clinicalproblemsolving.com/learn-live/
#MedSky#ClinicalReasoning
Don’t miss out on our Cardiology VMR on Monday June 2 at 4PM PST/7PM EST featuring a very special guest: ✨Dr. Jason Ryan!✨🫀🩺
We hope to see you there!
➡️ clinicalproblemsolving.com/learn-live/
#MedSky#ClinicalReasoning
June 1, 2025 at 9:53 PM
Check out this week’s #CPSolvers VMR schedule. We have an exciting week ahead!
Don’t miss out on our Cardiology VMR on Monday June 2 at 4PM PST/7PM EST featuring a very special guest: ✨Dr. Jason Ryan!✨🫀🩺
We hope to see you there!
➡️ clinicalproblemsolving.com/learn-live/
#MedSky#ClinicalReasoning
Don’t miss out on our Cardiology VMR on Monday June 2 at 4PM PST/7PM EST featuring a very special guest: ✨Dr. Jason Ryan!✨🫀🩺
We hope to see you there!
➡️ clinicalproblemsolving.com/learn-live/
#MedSky#ClinicalReasoning
Reposted by Kuchal Agadi
A 13 y/o girl presents to the ED after an episode of syncope. Symptoms: After sitting up, she made a noise, eyes rolled back, extremities stiffened, unresponsive for ~30 sec, then recovered.
What is the most appropriate next step? Full case details: bit.ly/43BOC4p
#CardioSky #MedSky
What is the most appropriate next step? Full case details: bit.ly/43BOC4p
#CardioSky #MedSky
May 21, 2025 at 7:41 PM
A 13 y/o girl presents to the ED after an episode of syncope. Symptoms: After sitting up, she made a noise, eyes rolled back, extremities stiffened, unresponsive for ~30 sec, then recovered.
What is the most appropriate next step? Full case details: bit.ly/43BOC4p
#CardioSky #MedSky
What is the most appropriate next step? Full case details: bit.ly/43BOC4p
#CardioSky #MedSky
Reposted by Kuchal Agadi
Want to make a global impact in the field of #cardiology? Start with leadership.🧭
The Wael Al Mahmeed GLI offers #cardiovascular professionals a chance to sharpen leadership skills ➕ gain insights into solving challenges. Apply by June 9 ➡️ bit.ly/42SI5lH #ACCLeadership
The Wael Al Mahmeed GLI offers #cardiovascular professionals a chance to sharpen leadership skills ➕ gain insights into solving challenges. Apply by June 9 ➡️ bit.ly/42SI5lH #ACCLeadership
May 22, 2025 at 4:37 PM
Want to make a global impact in the field of #cardiology? Start with leadership.🧭
The Wael Al Mahmeed GLI offers #cardiovascular professionals a chance to sharpen leadership skills ➕ gain insights into solving challenges. Apply by June 9 ➡️ bit.ly/42SI5lH #ACCLeadership
The Wael Al Mahmeed GLI offers #cardiovascular professionals a chance to sharpen leadership skills ➕ gain insights into solving challenges. Apply by June 9 ➡️ bit.ly/42SI5lH #ACCLeadership
Reposted by Kuchal Agadi
🚨New Podcast Episode🚨
Don’t miss out on this high-yield nephrology episode, where Drs @ssfarouk.bsky.social & @drfarrell.bsky.social unpack the nuances of AKI—and why we should trend urine like we trend troponin. 🎧🧪
Listen now➡️ clinicalproblemsolving.com/2025/04/11/e...
#MedSky #Nephrology #MedEd
Don’t miss out on this high-yield nephrology episode, where Drs @ssfarouk.bsky.social & @drfarrell.bsky.social unpack the nuances of AKI—and why we should trend urine like we trend troponin. 🎧🧪
Listen now➡️ clinicalproblemsolving.com/2025/04/11/e...
#MedSky #Nephrology #MedEd
April 12, 2025 at 3:05 PM
🚨New Podcast Episode🚨
Don’t miss out on this high-yield nephrology episode, where Drs @ssfarouk.bsky.social & @drfarrell.bsky.social unpack the nuances of AKI—and why we should trend urine like we trend troponin. 🎧🧪
Listen now➡️ clinicalproblemsolving.com/2025/04/11/e...
#MedSky #Nephrology #MedEd
Don’t miss out on this high-yield nephrology episode, where Drs @ssfarouk.bsky.social & @drfarrell.bsky.social unpack the nuances of AKI—and why we should trend urine like we trend troponin. 🎧🧪
Listen now➡️ clinicalproblemsolving.com/2025/04/11/e...
#MedSky #Nephrology #MedEd
Reposted by Kuchal Agadi
New publication for my OMI colleagues @sargsyanz.bsky.social @willyhfrick.bsky.social 💀
bhm.scholasticahq.com/article/1337...
bhm.scholasticahq.com/article/1337...
Posterior Occlusive Myocardial Infarction on Chronic Right Bundle Branch Block | Published in Journal of Brown Hospital Medicine
By Andrew Sanchez, Omar El-Charif. An elderly woman with chronic RBBB presented in shock and was diagnosed with posterior myocardial infarction
bhm.scholasticahq.com
April 1, 2025 at 1:11 PM
New publication for my OMI colleagues @sargsyanz.bsky.social @willyhfrick.bsky.social 💀
bhm.scholasticahq.com/article/1337...
bhm.scholasticahq.com/article/1337...
Look forward to meeting Artie 🫀
The countdown to #ACC25 is on! ⏳
Take a behind-the-scenes look with ACC.25 Chair Katie Berlacher, Vice Chair Julie Damp, and CV Team Lead Kim Guibone as they reveal what’s in store for an unforgettable experience! 🎉
Watch the full video here: bit.ly/3E12Lyb
Take a behind-the-scenes look with ACC.25 Chair Katie Berlacher, Vice Chair Julie Damp, and CV Team Lead Kim Guibone as they reveal what’s in store for an unforgettable experience! 🎉
Watch the full video here: bit.ly/3E12Lyb
March 29, 2025 at 3:29 AM
Look forward to meeting Artie 🫀
Do you search for the Primary or Do you do something else??? #medicalethics #patientscomefirst #cancerscreening
Come sharpen your diagnostic skills with us at our Clinical Reasoning VMR 🧠🔍Join us this Monday, March 17, at 10 AM PST/ 1 PM EST.🧑⚕️
➡️ clinicalproblemsolving.com/learn-live/
#Medsky #ClinicalReasoning
➡️ clinicalproblemsolving.com/learn-live/
#Medsky #ClinicalReasoning
March 27, 2025 at 1:22 AM
Do you search for the Primary or Do you do something else??? #medicalethics #patientscomefirst #cancerscreening
m.youtube.com/watch?v=bq6m... just in case you missed it! - Inside & Out of #AcutePericarditis
March 27, 2025 at 1:21 AM
m.youtube.com/watch?v=bq6m... just in case you missed it! - Inside & Out of #AcutePericarditis
Reposted by Kuchal Agadi
From Data Mining to Discovery: SNHG11 as a Therapeutic Target in Pulmonary Hypertension
@atscommunity.bsky.social #medsky
🔓 Open Access
🔗 tinyurl.com/5n7xmx85
@atscommunity.bsky.social #medsky
🔓 Open Access
🔗 tinyurl.com/5n7xmx85
From Data Mining to Discovery: SNHG11 as a Therapeutic Target in Pulmonary Hypertension | American Journal of Respiratory Cell and Molecular Biology
tinyurl.com
March 3, 2025 at 7:36 PM
From Data Mining to Discovery: SNHG11 as a Therapeutic Target in Pulmonary Hypertension
@atscommunity.bsky.social #medsky
🔓 Open Access
🔗 tinyurl.com/5n7xmx85
@atscommunity.bsky.social #medsky
🔓 Open Access
🔗 tinyurl.com/5n7xmx85
Reposted by Kuchal Agadi
🆕 #ACCEd: Baroreflex Activation Therapy (BAT): Optimizing Treatment of HF
This online course covers the stages of #HeartFailure where BAT is effective, including its benefits & limitations for early intervention.
👇 Check out the infographic & learn more: bit.ly/4ixUAbq
#CardioSky #MedSky
This online course covers the stages of #HeartFailure where BAT is effective, including its benefits & limitations for early intervention.
👇 Check out the infographic & learn more: bit.ly/4ixUAbq
#CardioSky #MedSky
March 11, 2025 at 7:19 PM
🆕 #ACCEd: Baroreflex Activation Therapy (BAT): Optimizing Treatment of HF
This online course covers the stages of #HeartFailure where BAT is effective, including its benefits & limitations for early intervention.
👇 Check out the infographic & learn more: bit.ly/4ixUAbq
#CardioSky #MedSky
This online course covers the stages of #HeartFailure where BAT is effective, including its benefits & limitations for early intervention.
👇 Check out the infographic & learn more: bit.ly/4ixUAbq
#CardioSky #MedSky
Grateful to be part of this community ☯️
It’s starting! #ACCIMprogram #WomenInCardiology prgrm! Uplifting, amplifying & celebrating women to bring more #imresidents into #cardiology. We NEED you & your light! 🫀❤️
#ACCDiversity #TheFaceofCardiology
@modeldoc.bsky.social @sharonnehayes.bsky.social @accintouch.bsky.social
#ACCDiversity #TheFaceofCardiology
@modeldoc.bsky.social @sharonnehayes.bsky.social @accintouch.bsky.social
March 9, 2025 at 10:05 PM
Grateful to be part of this community ☯️