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Rank #199 in Health & Fitness category

Health & Fitness
Medicine
Science

JAMA Clinical Reviews

Updated about 19 hours ago

Rank #199 in Health & Fitness category

Health & Fitness
Medicine
Science
Read more

Author interviews that explore the latest clinical reviews.

Read more

Author interviews that explore the latest clinical reviews.

iTunes Ratings

274 Ratings
Average Ratings
243
13
7
5
6

Afib

By Bobbi-in-the-hole - Nov 14 2019
Read more
The review on afib was fabulous. Clear, audible, and great pace. Fantastic

Very informative

By August Consumer - Jul 09 2019
Read more
Enjoy the important info. Thank you

iTunes Ratings

274 Ratings
Average Ratings
243
13
7
5
6

Afib

By Bobbi-in-the-hole - Nov 14 2019
Read more
The review on afib was fabulous. Clear, audible, and great pace. Fantastic

Very informative

By August Consumer - Jul 09 2019
Read more
Enjoy the important info. Thank you

Listen to:

Cover image of JAMA Clinical Reviews

JAMA Clinical Reviews

Updated about 19 hours ago

Read more

Author interviews that explore the latest clinical reviews.

COPD: All You Need to Know in 20 Minutes

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COPD is common enough that it is responsible for 3% of all clinic visits in the United States. Clinicians will undoubtedly deal with this disease in their practice. How to diagnose and manage it is reviewed by Frank C. Sciurba, MD, a professor of medicine from the University of Pittsburgh, Pennsylvania.

Feb 26 2019

21mins

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Diabetes in 2017: Focus Less On HbA1c and More On Cardiovascular Risk Reduction

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Much has changed recently in diabetes management. The treatment goal has shifted from rigorous glucose control with HbA1c as the primary target to cardiovascular risk reduction. Risk reduction can be achieved in a variety of ways and does not necessarily depend on expensive new drugs that were shown to achieve this end point. Older, cheaper drugs may achieve the same goal but were never tested in this context.

Interview with JoAnn E. Manson, MD, PhD, from Brigham and Women's Hospital in Boston and Jane Reusch, MD, from University of Colorado, Denver.

Article: Reusch JEB, Manson JE. Management of type 2 diabetes in 2017: getting to goal. JAMA. 2017;317(10):1015-1016. doi:10.1001/jama.2017.0241

Apr 03 2017

29mins

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Management of Heart Failure in 2019-2020, Part 1

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JAMA Deputy Editor Ed Livingston, MD, interviews Akshay Desai, MD, at the European Society of Cardiology's 2019 conference in Paris, France.

Sep 02 2019

16mins

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Update on Atrial Fibrillation: Review of the New AHA/ACC/HRS Treatment Guidelines

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Cardiologist and JAMA Deputy Editor Greg Curfman, MD, discusses the many changes in the new AHA/ACC/HRS atrial fibrillation guidelines with University of Chicago cardiologists Gaurav Upadhyay, MD, and Francis Alenghat, MD, PhD. Major changes include recommendations for the use of various agents for anticoagulation, catheter ablation, and left atrial appendage occlusion.

Read the article: Management of Patients With Atrial Fibrillation

Index of content:

2:19 Summary of the new ACC/AHA Atrial Fibrillation Guideline

8:04 Cost and efficacy of NOACs used to treat atrial fibrillation

11:42 Preference for specific NOACs

14:00 Rate vs rhythm control

20:00 How catheter ablation is performed

26:20 Anticoagulation requirements following ablation

31:23 How to achieve rate control

32:25 Left atrial appendage occlusion devices

36:29 New lifestyle recommendation

37:44 More about rate vs rhythm control

Mar 15 2019

42mins

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Dual Antiplatelet Therapy: Balancing Ischemic and Bleeding Risk

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Following placement of cardiac stents, patients receive dual antiplatelet therapy (DAPT) to prevent stent thrombosis. Prevention of thrombosis is offset by a risk of bleeding. The optimal balance between thrombosis prevention and bleeding risk is not always known. How to go about optimizing DAPT therapy is discussed by Glen Levine, MD, professor of medicine at Baylor College of Medicine in Houston, Texas, and chair of the combined American College of Cardiology/American Heart Association Guideline Committees.

Jul 11 2017

28mins

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Managing Hypertension: Understanding the New AHA/ACC Hypertension Guideline

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In November 2017, new guidelines were issued for hypertension treatment. The new guideline is a comprehensive overhaul of recommendations for both the diagnosis and treatment of hypertension. Based on years of work by dozens of individuals who generated 106 recommendations, the guideline is complicated. Dr Paul Whelton, an author of the guideline, and Dr Phil Greenland, Professor of Medicine at Northwestern University and one of our cardiology editors here at JAMA, explain the major recommendations presented in the new hypertension guidelines.

Related articles: The 2017 Clinical Practice Guideline for High Blood Pressure Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults The New 2017 ACC/AHA Guidelines “Up the Pressure” on Diagnosis and Treatment of Hypertension

Dec 05 2017

39mins

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Delirium: Prevention, Diagnosis, and Treatment

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Delirium goes unrecognized in approximately 60% of cases. When it is recognized, it can be difficult to treat. Recognizing and treating, as well as preventing, delirium is important because delirium is associated with poor health outcomes and significant health care costs.

Esther S. Oh, MD, PhD, Tammy T. Hshieh, MD, MPH, and Sharon K. Inouye, MD, MPH, discuss their review article about advances in diagnosis and treatment of delirium, and Dr Maria Duggan provides additional insights about diagnosis and management from her perspective as a clinician and researcher.

Related article: Delirium in Older Persons: Advances in Diagnosis and Treatment

Sep 26 2017

23mins

Play

How Adolescent Boys’ Need for Friendship Affects Their Mental Health

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Adolescent boys are notoriously difficult to deal with. However, some of their behaviors mask a need they have for developing intimate friendships. Being adolescent boys living in a macho culture, many deny that they need these relationships. Niobe Way, EdD, professor of Developmental Psychology at New York University, has spent her professional career studying adolescent boys’ relationships with each other and how they affect their behaviors. She explains how to intervene to help them better understand their needs for intimacy, which, in turn, helps them to better relate with people and avoid unpleasant behaviors.

Related article: Loneliness Might Be a Killer, but What’s the Best Way to Protect Against It?

CME Quiz

The Listening Project

Nov 05 2019

37mins

Play

High-Intensity Statin Therapy – The Controversy Continues

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Multiple guidelines have been issued regarding how aggressively cholesterol should be managed. These guidelines do not agree with one another and the most significant area of disagreement is in recommendations for high intensity statin therapy. In this podcast we discuss this issue with a number of experts in the field to help better understand how high-intensity statin therapy might be applied to patient care.

Jun 27 2017

35mins

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Updated Guidelines for Sepsis Management

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In 2017 the Society for Critical Care Medicine updated its guidelines for sepsis management. These new guidelines differ significantly from ones in the past in that they no longer recommend protocolized resuscitation and emphasize early and aggressive fluid resuscitation when patients present with septic shock. This is the first podcast in the Surviving Sepsis guideline series. The next episode discusses why the new sepsis guideline changed.

Article discussed in this episode: Management of Sepsis and Septic Shock

Speakers:

Laura Evans, MD, MSc, of Bellevue Hospital and NYU Medical Center

Andrew Rhodes, MBBS, MD, of St George’s University Hospitals NHS Trust and co-chair of the Surviving Sepsis guideline panel

Mitchell M. Levy, MD, of the Alpert Medical School of Brown University and Rhode Island Hospital

Feb 28 2017

15mins

Play

Managing Hypertension: Understanding the New AHA/ACC Hypertension Guideline, Part II

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In November 2017, new guidelines were issued for hypertension treatment. They are a comprehensive overhaul of recommendations for both the diagnosis and treatment of hypertension. Last week, we discussed the guidelines' specific recommendations with Dr Paul Whelton, professor of medicine at Tulane University, who chaired the guidelines-writing committee. We also spoke to Dr Phil Greenland from Northwestern University, who is one of the cardiology editors for JAMA. This week, in part 2 of this podcast, we discuss the controversies associated with the new hypertension guidelines.

Related articles: The 2017 Clinical Practice Guideline for High Blood Pressure Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults The New 2017 ACC/AHA Guidelines “Up the Pressure” on Diagnosis and Treatment of Hypertension

Dec 12 2017

10mins

Play

Why the New Sepsis Guideline Changed

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Recent guidelines for how to best manage septic shock have changed. Gone are recommendations for central venous oxygen saturation monitoring and goal-directed therapy. In is the concept that septic shock be treated as an emergency with rapid administration of antibiotics and large amounts of fluids. Our discussants Derek C. Angus, MD, MPH, and Michael D. Howell, MD, MPH, discuss why these recommendations have changed. This is the second podcast in the Surviving Sepsis guideline series. The first podcast reviewed what recommendations are in the guideline itself.

Article discussed in this episode: Management of Sepsis and Septic Shock

Speakers: JAMA Associate Editor Derek C. Angus, MD, MPH, University of Pittsburgh, and Michael D. Howell, MD, MPH, University of Chicago.

Mar 07 2017

33mins

Play

Bayes for Clinicians Who Need to Know but Don’t Like Math

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The statistical concept of Bayes comes up in clinical medicine all the time. It simply means that what you know about something factors into how you analyze it. This contrasts with the commonly used statistical approach called frequentist analysis of hypothesis testing, in which it is assumed that every situation is unique and not influenced by the past. Bayesian analysis accounts for how prior information gets factored into decision making and is important to understand when applying clinical research findings to the delivery of medical care. In this interview Anna E. McGlothlin, PhD, senior statistical scientist at Berry Consultants in Austin, Texas, explains these concepts for clinicians.

Read the article: Bayesian Hierarchical Models

Dec 11 2018

28mins

Play

Emerging Applications for Ketamine

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Even though it gained notoriety for recreational uses, Ketamine is experiencing a resurgence in clinical settings given its versatility and potential applications, including for pain treatment and depression. David Juurlink, MD, from Sunnybrook Health Sciences Center and John Krystal, MD from Yale University discuss current and emerging applications of this drug.

Oct 22 2019

25mins

Play

Management of Heart Failure in 2019-2020, Part 2

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JAMA Deputy Editor Ed Livingston, MD, interviews James Januzzi, MD, at the European Society of Cardiology's 2019 conference in Paris, France.

Sep 02 2019

11mins

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What Is New in Acute Respiratory Disease Syndrome?

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Acute respiratory disease syndrome is characterized by respiratory failure that occurs after someone is acutely ill, usually from a disease that does not primarily involve the lungs. Its cause, diagnosis, and treatment are reviewed in this JAMA Clinical Reviews Podcast for the February 20, 2018 issue

Feb 20 2018

30mins

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Abnormal Uterine Bleeding

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Andrew M. Kaunitz, MD, from the Department of Obstetrics and Gynecology at the University of Florida, Jacksonville, explains how to diagnose and treat various patterns of abnormal uterine bleeding.

Read the article: Abnormal Uterine Bleeding in Reproductive-Age Women

Jun 04 2019

34mins

Play

Treating Depression in Older Patients

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Depression is very common in old age. Because it is associated with many issues related to aging such as having diabetes, hypertension, and other diseases and also the general ability to do less than when a person was younger, it is often assumed that depression is just part of the aging process. Inadequate treatment is often given for depression, frustrating patients and clinicians. However, aggressive depression treatment in elderly individuals can be very successful and greatly improve an older person’s quality of life.

PHQ-9

USPSTF recs

JAMA Patient Page on Screening for Depression

May 23 2017

34mins

Play

The Influence of Obesity on Cancer

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Jennifer A. Ligibel, MD, from the Dana-Farber Cancer Institute and Harvard Medical School, Boston, explains how obesity influences the risk of developing cancer and how it influences the prognosis of existing cancer.

Aug 20 2019

20mins

Play

What you need to know about syphilis in 2018

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Syphilis is on the rise despite prior successful efforts to control it. Why is it coming back and what needs to be done about it? Dr Charles Hicks from UC San Diego explains. This podcast coincides with updated syphilis screening recommendations from the USPSTF that were published in the September 4, 2018 issue of JAMA.

Sep 04 2018

30mins

Play

The Medical and Political Response to the 2019 Christchurch Mosque Mass Shooting

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On March 15, 2019, a lone gunman walked into 2 mosques within minutes of each other in Christchurch, New Zealand, and opened fire with semiautomatic weapons, killing 51 and wounding many more. We spoke to Greg Robertson, MB ChB, the surgeon who coordinated the medical response to this mass casualty event. Robertson talks about what his hospital had to do to manage all these casualties and also how New Zealand quickly changed its laws to restrict the availability of weapons used for these sorts of attacks.

Dec 10 2019

26mins

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What Do I Need to Know About e-Cigarettes and If They Help People Stop Smoking?

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Electronic cigarette (e-cigarette) use, otherwise known as “vaping,” has been increasing since 2010. This podcast reviews research on the epidemiology and possible adverse health effects of e-cigarette and nicotine use, and the pitfalls associated with using e-cigarettes as a method to stop smoking. These issues are discussed by Suchitra Krishnan-Sarin, PhD, a professor with the Department of Psychiatry at Yale University School of Medicine, and JAMA Associate Editor George O’Connor, a professor of medicine at Boston University.

Related article: e-Cigarette Use Among Youth in the United States, 2019

Nov 25 2019

17mins

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The Underappreciated Problem of Cardiac Disease in Women

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Barbra Streisand and Noel Bairey Merz, MD, director of the Streisand Women’s Heart Center at Cedars-Sinai in Los Angeles, California, discuss the problem of cardiovascular disease in women and especially coronary microvascular disease, which causes an unusual presentation of cardiac ischemic disease in women.

Nov 18 2019

10mins

Play

Review of Atrial Fibrillation Treatment

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Atrial fibrillation is a very common problem that is treated with a variety of medications and interventions. Sandip Mukherjee, MD, a contributing editor to The Medical Letter, is the Medical Director of Physician Liaison Services with the Office of the Chief Medical Officer at Yale New Haven Hospital, and an associate professor of medicine at Yale. He summarizes the latest information published in The Medical Letter on treatments for atrial fibrillation.

Nov 12 2019

25mins

Play

Influenza Vaccination in 2019-2020

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Winter is coming…and with it, the onset of flu season. In this episode, Jean-Marie Pflomm, PharmD, Editor in Chief of The Medical Letter, decodes flu vaccines: trivalent vs quadrivalent, live attenuated vs inactivated, and much more.

Nov 06 2019

13mins

Play

How Adolescent Boys’ Need for Friendship Affects Their Mental Health

Podcast cover
Read more

Adolescent boys are notoriously difficult to deal with. However, some of their behaviors mask a need they have for developing intimate friendships. Being adolescent boys living in a macho culture, many deny that they need these relationships. Niobe Way, EdD, professor of Developmental Psychology at New York University, has spent her professional career studying adolescent boys’ relationships with each other and how they affect their behaviors. She explains how to intervene to help them better understand their needs for intimacy, which, in turn, helps them to better relate with people and avoid unpleasant behaviors.

Related article: Loneliness Might Be a Killer, but What’s the Best Way to Protect Against It?

CME Quiz

The Listening Project

Nov 05 2019

37mins

Play

Emerging Applications for Ketamine

Podcast cover
Read more

Even though it gained notoriety for recreational uses, Ketamine is experiencing a resurgence in clinical settings given its versatility and potential applications, including for pain treatment and depression. David Juurlink, MD, from Sunnybrook Health Sciences Center and John Krystal, MD from Yale University discuss current and emerging applications of this drug.

Oct 22 2019

25mins

Play

Pancreatic Cancer

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Pancreatic cancer is the third most common cause of cancer death in the United States. Timothy Donohue, MD, chief of surgical oncology at the University of California, Los Angeles, provides an overview of the disease.

Read the articles:

Screening for Pancreatic Cancer

Pancreatic Cancer

Oct 08 2019

26mins

Play

Understanding Lipids and Cardiovascular Risk Through Mendelian Randomization

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Mendelian randomization is a powerful technique that enables investigators to mimic randomized clinical trials by characterizing genetic differences between groups of people and studying their clinical outcomes. Brian A. Ference, MD, MPhil, from the University of Cambridge in England, is a leading expert on this topic and spoke with us about how mendelian randomization has facilitated a better understanding of lipid biology and how it relates to cardiovascular risk.

Oct 08 2019

27mins

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Personal Protective Equipment for Health Care Infection Control

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Personal protective equipment comprises gloves, gowns, masks, regular respirators, and powered air purifying respirators (PAPRs). In this Clinical Review podcast Trish Perl, MD, of UT Southwestern Medical Center reviews the indications for each and the results of the RESPECT trial, which reported no difference in incidence of laboratory-confirmed influenza among health care personnel randomized to wear N95 respiratory or medical masks. She’s interviewed by JAMA Fishbein fellow Angel Desai, MD.

Oct 07 2019

19mins

Play

Improving Uptake of Preexposure Prophylaxis (PrEP) for HIV in Primary Care

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JAMA Fishbein Fellow Angel Desai, MD interviews Douglas S. Krakower, MD at the IDWeek 2019 conference in Washington, D.C.

Related article: Rising PrEP Awareness

Oct 06 2019

11mins

Play

Update in Clinical Infectious Diseases 2019-2020

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This Clinical Review podcast reviews some of the most important advances in clinical infectious diseases presented at IDWeek 2019 including data on rapid testing, new antimicrobial agents, and new strategies for using existing antibiotics to manage antimicrobial resistance. JAMA Fishbein Fellow Angel Desai, MD interviews Helen Boucher, MD of Tufts University.

Oct 06 2019

14mins

Play

A New Path for Gun Research Funding

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Since the passage of the Dickey Amendment in 1996, federal funding for gun violence research has been withheld from the CDC and other federal agencies that should be tasked with figuring out the origins and solutions to this problem. But while the US government has been locked in a political stalemate, other entities are stepping up in a new model for getting the job done.

Sep 10 2019

16mins

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Bariatric Surgery and Cardiovascular Outcomes in Patients With Type 2 Diabetes and Obesity

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JAMA Deputy Editor Ed Livingston, MD, interviews Steven Nissen, MD, at the European Society of Cardiology's 2019 conference in Paris, France.

Sep 03 2019

14mins

Play

Management of Heart Failure in 2019-2020, Part 2

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JAMA Deputy Editor Ed Livingston, MD, interviews James Januzzi, MD, at the European Society of Cardiology's 2019 conference in Paris, France.

Sep 02 2019

11mins

Play

Management of Heart Failure in 2019-2020, Part 1

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JAMA Deputy Editor Ed Livingston, MD, interviews Akshay Desai, MD, at the European Society of Cardiology's 2019 conference in Paris, France.

Sep 02 2019

16mins

Play

The Influence of Obesity on Cancer

Podcast cover
Read more

Jennifer A. Ligibel, MD, from the Dana-Farber Cancer Institute and Harvard Medical School, Boston, explains how obesity influences the risk of developing cancer and how it influences the prognosis of existing cancer.

Aug 20 2019

20mins

Play

Responsible Use of Opioids to Treat Cancer Pain

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Dr. Eduardo Bruera, Chair of the Department of Palliative Care at MD Anderson, discusses how to responsibly manage cancer pain using opioids.

Aug 06 2019

29mins

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Diagnosing Menopause

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Menopause is inevitable for women. It symptoms are uncomfortable and distressing. For women to best cope with menopause, it is useful to firmly establish the onset so that appropriate counseling can follow. In this podcast, an expert in this field, Nanette Santoro, MD, from the University of Colorado, explains how to diagnose menopause.

Read the article: Diagnosing the Onset of Menopause

Jul 22 2019

15mins

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Guns and Suicide

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Using firearms to commit suicide is one of the most common causes of firearm related deaths. This can happen even in families where it seems highly unlikely to occur. In this podcast, we tell the story of a policeman’s daughter who got a hold of his gun and tried to kill herself.

Jul 16 2019

27mins

Play