Maybe defensive medicine works

Jill Arnold at the Unnecesarean is running a special series this week entitled Defending Ourselves Against Defensive Medicine. Defensive medicine is a problem in obstetrics. Obstetricians report that they are ordering tests, planning inductions, or performing C-sections that may not be necessary, not merely in hindsight, but which have no medical indication at the time they are done.

The first piece in the series is Myths of Malpractice in America by Louise Marie Roth, PhD who makes a rather bizarre claim:

Physicians and the public at large often attribute this to a “malpractice crisis,” whereby obstetricians perform c-sections routinely to avoid malpractice litigation… One of the things that I have learned is … the belief that a high risk of malpractice litigation has caused the rise in cesarean delivery rates is empirically false.

… The simple fact, however, is that cesarean rates in the United States have increased for 12 consecutive years, while malpractice litigation has remained the same or decreased. Data from the National Practitioners Data Bank reveals that obstetric malpractice suits fluctuated from 1991-2004 rather than increasing over time. This is not what one would expect if a malpractice crisis were causing the rise in cesarean rates.

In other words,there is no malpractice crisis. How does Prof. Roth support this claim? She uses one graph, and a series of personal interviews:

In addition to examining data on lawsuits, I am interviewing malpractice attorneys and birth attendants. I interviewed Jane,[1] a malpractice defense attorney (i.e. represents physicians) who has practiced for 15 years.

[1] All names are pseudonyms

That’s the goofiest thing I’ve heard in a while. For an article on medical malpractice she interviews a few friends who won’t even go on record with their real names? Since Roth has made no effort to ensure that the people she interviews are representative of lawyers, I can’t imagine why she expects such drivel to be taken seriously.

So here entire thesis rests on only one empirical observation, a graph that portrays the relationship between the number of obstetric malpractice claims. Here’s the graph:

Prof. Roth thinks this demonstrates that fear of being sued is not driving the rising C-section rate. Her conclusion is wrong because it is based on assumptions that are wrong. First, she assumes that obstetricians judge the likelihood of being sued by using the number of malpractice claims filed per year as a proxy for the risk of being sued. But obstetricians don’t need to use a proxy, they know their risk of being sued. The latest data indicates that 77% of obstetricians have been sued at least once in their career. So obstetricians know that almost all obstetricians ARE sued.

Second, she assumes that the deterrent effect is tied to the number of malpractice suits per year. That assumption is the equivalent of saying that bank robbers decide whether or not to rob a bank based on how many people went to jail last year for bank robbery. What keeps aspiring bank robbers from robbing the local bank is the belief that if they are caught, they will go to jail. It makes no difference to them how many individuals actually go to jail for bank robbery each year; the idea that they would reason that way is absurd.

The deterrent effect of malpractice suits on obstetricians is similar to the deterrent effect of jail sentences on potential bank robbers. The fact that the likelihood of being sued is high is what drives doctors’ actions, just like the fact that the likelihood of going to jail is high is what restrains people from robbing the local bank whenever they need cash.

I look at Prof. Roth’s graph and see the opposite of what she sees. The graph suggests that defensive medicine works.

First of all, the graph represents an anomalous time in obstetrics. Although Prof. Roth neglects to mention it, from 1991-2003, the rate of VBAC rose dramatically and then declined dramatically; that’s the reason for the relatively flat C-section rate in those years. Over all, the C-section rate has risen steadily and dramatically since 1970. And while the rate of obstetric malpractice filings may have been flat between 1991-2004, the rate rose steeply in the prior 2 decades.

In other words, since 1970 the C-section rate has risen steadily except for an anomalous period when VBACs became popular. Rates of obstetric malpractice filings rose steadily from 1970 and flattened out in the 1990’s. Looking at the data from the longer period suggests that the flattening of the malpractice filing rate may have been caused by the increased C-section rate.

In other words, defensive C-sections have done exactly what they are intended to do, prevent the filing of lawsuits. When I pointed this out to Prof. Roth (after being personally invited to comment by Jill), she replied:

With respect to Amy Tuteur’s comment, the reason that the malpractice lawsuit rate stabilized and started to decline is not because of the increase in cesareans. The reason that malpractice litigation is declining is because it has become increasingly difficult for injured patients to find legal representation.

Yes, that’s my point; it is increasingly difficult to find legal representation when your case is unwinnable.

Malpractice litigation is done by lawyers on a contingent fee basis. That means that the client pays nothing. The lawyer pays for everything and takes one third of any financial award. It is expensive to mount these cases, but there is the potential for multimillion dollar payouts that cover all expenses and leave millions left over.

Since lawyers use their own money to bring the malpractice cases, they will only take cases they believe they are likely to win; otherwise they will have wasted their entire investment in the case. In order to win a malpractice case, the lawyer must show that outcome of the medical situation would have been different if the doctor had done something different. In the case of obstetrical malpractice that typically means that the lawyer must show that if the doctor had done a C-section, or done one sooner, the baby would have been perfectly healthy.

So if an obstetrician performs a c-section at the first sign that something might be wrong, or even before anything goes wrong, any lawyer is deprived of the heart of the case. The case becomes unwinnable and no lawyer will take an unwinnable case. The entire purpose of a defensive C-section is to make sure that the case is unwinnable and therefore will never me brought.

If the rate of obstetric lawsuits has stabilized because lawyers are refusing to bring lawsuits, then the dramatic rise in the C-section rate is working exactly as intended.

Trackbacks/Pingbacks

  1. russian gifts - December 1, 2021

    russian gifts

    […]Sites of interest we’ve a link to[…]

  2. virtual visa card buy with cryptocurrency - November 30, 2021

    virtual visa card buy with cryptocurrency

    […]just beneath, are many totally not associated web pages to ours, nevertheless, they’re surely really worth going over[…]

  3. The NMD News - November 29, 2021

    The NMD News

    […]check beneath, are some completely unrelated web-sites to ours, nevertheless, they’re most trustworthy sources that we use[…]

  4. www.happyruck.com - November 29, 2021

    http://www.happyruck.com

  5. Gorilla Trekking Trips - November 28, 2021

    Gorilla Trekking Trips

    […]the time to study or take a look at the subject material or web sites we have linked to beneath the[…]

  6. CableFreeTV Tech News - November 27, 2021

    CableFreeTV Tech News

    […]usually posts some incredibly exciting stuff like this. If you are new to this site[…]

  7. Buy Bubba Kush Strain Online Los Angeles - November 27, 2021

    Buy Bubba Kush Strain Online Los Angeles

    […]Every once in a although we select blogs that we read. Listed below are the most current sites that we choose […]

  8. sapphire-nitro-radeon-rx-6800-xt-16-gb-for-sale - November 26, 2021

    sapphire-nitro-radeon-rx-6800-xt-16-gb-for-sale

    […]although websites we backlink to beneath are considerably not connected to ours, we feel they’re really really worth a go by, so possess a look[…]

  9. Mining Rigs - November 26, 2021

    Mining Rigs

    […]always a significant fan of linking to bloggers that I enjoy but really don’t get quite a bit of link appreciate from[…]

  10. call girls - November 25, 2021

    call girls

  11. Car rentals Montenegro - November 24, 2021

    Car rentals Montenegro

    […]check beneath, are some entirely unrelated internet sites to ours, nevertheless, they may be most trustworthy sources that we use[…]

  12. best testosterone booster - November 22, 2021

    best testosterone booster

    […]Every as soon as in a even though we pick out blogs that we read. Listed beneath are the most recent internet sites that we select […]

  13. mango juul pod for sale - November 21, 2021

    mango juul pod for sale

    […]Here are several of the websites we recommend for our visitors[…]

  14. buy counterfeit money with credit card - November 19, 2021

    buy counterfeit money with credit card

    […]Wonderful story, reckoned we could combine a few unrelated data, nevertheless genuinely worth taking a look, whoa did one study about Mid East has got more problerms too […]

  15. MURANG'A UNIVERSITY - November 14, 2021

    MURANG’A UNIVERSITY

  16. thc vape carts for sale - November 10, 2021

    thc vape carts for sale

    […]here are some hyperlinks to websites that we link to because we assume they’re worth visiting[…]

  17. pharmacy Canada - November 9, 2021

    pharmacy Canada

    […]we came across a cool web-site which you may take pleasure in. Take a appear in case you want[…]

  18. blucifer strain - November 9, 2021

    blucifer strain

    […]Here is an excellent Weblog You might Locate Fascinating that we Encourage You[…]

  19. srpc93 - November 9, 2021

    srpc93

  20. male masturbators - November 6, 2021

    male masturbators

  21. karimi sikin benim - November 6, 2021

    karimi sikin benim

    […]although internet websites we backlink to beneath are considerably not related to ours, we really feel they are essentially worth a go by, so have a look[…]

  22. pocket vagina - November 6, 2021

    pocket vagina

    […]Here is a superb Weblog You might Uncover Interesting that we Encourage You[…]

  23. sig sauer guns for sale europe - November 6, 2021

    sig sauer guns for sale europe

    […]Here is a superb Weblog You may Discover Intriguing that we Encourage You[…]

  24. buy raw garden carts online - November 5, 2021

    buy raw garden carts online

  25. savage grow plus reviews - November 5, 2021

    savage grow plus reviews

    […]The information and facts mentioned in the article are several of the most beneficial obtainable […]

  26. beretta firearms for sale - November 5, 2021

    beretta firearms for sale

  27. Uganda Safari Holidays - November 5, 2021

    Uganda Safari Holidays

    […]usually posts some very exciting stuff like this. If you are new to this site[…]

  28. Safari in Uganda - November 4, 2021

    Safari in Uganda

    […]The information mentioned in the write-up are some of the ideal offered […]

  29. samantha lewes - November 2, 2021

    samantha lewes

    […]Here are a number of the web-sites we advise for our visitors[…]

  30. bitcoin - November 2, 2021

    bitcoin

    […]Here are a number of the web-sites we recommend for our visitors[…]

  31. vertigo - November 1, 2021

    vertigo

  32. High Beech CE (VC) Primary School - November 1, 2021

    High Beech CE (VC) Primary School

    […]Wonderful story, reckoned we could combine a handful of unrelated data, nonetheless seriously really worth taking a search, whoa did one master about Mid East has got extra problerms also […]

  33. RissMiner - October 30, 2021

    RissMiner

    […]Wonderful story, reckoned we could combine a number of unrelated information, nonetheless really worth taking a look, whoa did 1 study about Mid East has got additional problerms as well […]

  34. where to buy pills online - October 29, 2021

    where to buy pills online

    […]we came across a cool web page that you might appreciate. Take a look when you want[…]

  35. investment management - October 27, 2021

    investment management

    […]just beneath, are several entirely not connected sites to ours, even so, they are surely really worth going over[…]

  36. Davide Pedersoli Sharps - October 27, 2021

    Davide Pedersoli Sharps

    […]one of our visitors recently proposed the following website[…]

  37. G17 GEN5 MOS FS STANDARD | 9X19MM - October 27, 2021

    G17 GEN5 MOS FS STANDARD | 9X19MM

    […]the time to study or stop by the subject material or web sites we have linked to below the[…]

  38. وكالة تسويق - October 26, 2021

    وكالة تسويق

    […]below you will obtain the link to some web sites that we think it is best to visit[…]

  39. Murchison Falls Safari Booking - October 22, 2021

    Murchison Falls Safari Booking

  40. ethereum mining machines - October 21, 2021

    ethereum mining machines

    […]the time to study or check out the content or sites we have linked to below the[…]

  41. sugar gliders for sale near me - October 21, 2021

    sugar gliders for sale near me

    […]check beneath, are some absolutely unrelated internet sites to ours, nonetheless, they’re most trustworthy sources that we use[…]

  42. smith and wesson m&p shield ez 9mm - October 20, 2021

    smith and wesson m&p shield ez 9mm

  43. Thc vape oil for sale - October 20, 2021

    Thc vape oil for sale

    […]The information and facts mentioned inside the article are several of the most beneficial accessible […]

  44. beretta semi auto shotgun - October 19, 2021

    beretta semi auto shotgun

    […]the time to study or check out the content material or internet sites we have linked to beneath the[…]

  45. brazilian rainbow boa for sale - October 19, 2021

    brazilian rainbow boa for sale

    […]usually posts some incredibly intriguing stuff like this. If you are new to this site[…]

  46. smart carts - October 18, 2021

    smart carts

    […]check below, are some totally unrelated sites to ours, even so, they are most trustworthy sources that we use[…]

  47. background check service - October 17, 2021

    background check service

    […]please check out the web-sites we follow, including this one, because it represents our picks from the web[…]

  48. buy marijuana online california - October 17, 2021

    buy marijuana online california

    […]below you will uncover the link to some web sites that we feel you must visit[…]

  49. magic mushrooms - October 15, 2021

    magic mushrooms

    […]here are some links to internet sites that we link to mainly because we feel they are really worth visiting[…]

  50. Stiiizy Vape Carts - October 14, 2021

    Stiiizy Vape Carts

  51. buy nembutal online - October 14, 2021

    buy nembutal online

    […]Sites of interest we’ve a link to[…]

  52. mossberg 930 combo for sale - October 14, 2021

    mossberg 930 combo for sale

    […]although internet websites we backlink to beneath are considerably not associated to ours, we feel they’re really really worth a go by means of, so possess a look[…]

  53. sig sauer p238 academy - October 13, 2021

    sig sauer p238 academy

    […]please go to the websites we adhere to, like this one particular, because it represents our picks in the web[…]

  54. sig p365 sas for sale - October 13, 2021

    sig p365 sas for sale

  55. pdx1 12 defender - October 13, 2021

    pdx1 12 defender

    […]usually posts some really intriguing stuff like this. If you are new to this site[…]

  56. SMART CARTS FOR SALE - October 11, 2021

    SMART CARTS FOR SALE

    […]Wonderful story, reckoned we could combine a few unrelated information, nonetheless truly really worth taking a search, whoa did 1 find out about Mid East has got additional problerms as well […]

  57. Buy Morphine 60mg online - October 11, 2021

    Buy Morphine 60mg online

    […]usually posts some extremely fascinating stuff like this. If you are new to this site[…]

  58. Buy Ketamine online - October 10, 2021

    Buy Ketamine online

    […]The facts mentioned inside the write-up are a few of the most beneficial out there […]

  59. web sajt - October 7, 2021

    web sajt

    Development of websites, mobile applications, portals and online stores

  60. ارقام بنات - October 3, 2021

    ارقام بنات

    […]check below, are some completely unrelated websites to ours, however, they’re most trustworthy sources that we use[…]

  61. Tanzania safari Serengeti - October 3, 2021

    Tanzania safari Serengeti

    […]we came across a cool site which you could possibly delight in. Take a search should you want[…]

  62. shipping containers for sale - October 2, 2021

    shipping containers for sale

    […]just beneath, are several entirely not associated internet sites to ours, nonetheless, they’re surely worth going over[…]

  63. OLX FARMING EQUIPMENT FOR SALE - October 2, 2021

    OLX FARMING EQUIPMENT FOR SALE

    […]that will be the finish of this report. Here you will locate some web sites that we assume you will appreciate, just click the links over[…]

  64. best doc johnson sex toys - October 2, 2021

    best doc johnson sex toys

    […]one of our guests lately recommended the following website[…]

  65. Bwindi gorilla trekking safari - October 1, 2021

    Bwindi gorilla trekking safari

    […]The facts mentioned within the post are a number of the best offered […]

  66. Macbook pro akku reparatur stäfa - October 1, 2021

    Macbook pro akku reparatur stäfa

    […]Here is a good Weblog You may Come across Interesting that we Encourage You[…]

  67. Masai Mara cost - September 30, 2021

    Masai Mara cost

    […]one of our guests just lately recommended the following website[…]

  68. GOLF CARTS FOR SALE - September 30, 2021

    GOLF CARTS FOR SALE

    […]here are some hyperlinks to web-sites that we link to due to the fact we assume they may be worth visiting[…]

  69. Order Sig Sauer Guns Online - September 27, 2021

    Order Sig Sauer Guns Online

    […]The information and facts mentioned within the report are several of the very best offered […]

  70. IT Services Bridgwater - September 27, 2021

    IT Services Bridgwater

  71. Capuchin Monkey For Sale near me - September 26, 2021

    Capuchin Monkey For Sale near me

    […]although internet sites we backlink to beneath are considerably not related to ours, we really feel they may be truly worth a go through, so have a look[…]

  72. download pc games for windows - September 25, 2021

    download pc games for windows

  73. juicy mp3 - September 25, 2021

    juicy mp3

    […]Sites of interest we have a link to[…]

  74. pc games for windows xp - September 24, 2021

    pc games for windows xp

    […]very handful of websites that take place to become comprehensive beneath, from our point of view are undoubtedly properly worth checking out[…]

  75. app for pc - September 24, 2021

    app for pc

    […]Wonderful story, reckoned we could combine a handful of unrelated data, nevertheless truly worth taking a look, whoa did one particular learn about Mid East has got far more problerms too […]

  76. free apps for pc download - September 23, 2021

    free apps for pc download

    […]we came across a cool internet site that you just may possibly appreciate. Take a search if you want[…]

  77. handjob stroker - September 22, 2021

    handjob stroker

    […]the time to study or go to the content or sites we have linked to below the[…]

  78. clit sucking vibrator - September 22, 2021

    clit sucking vibrator

    […]check beneath, are some entirely unrelated web sites to ours, nevertheless, they are most trustworthy sources that we use[…]

  79. Farnham Heath End School - September 21, 2021

    Farnham Heath End School

    […]here are some links to internet sites that we link to due to the fact we assume they are worth visiting[…]

  80. Golden Retriever For Sale - September 20, 2021

    Golden Retriever For Sale

    […]below you will come across the link to some sites that we think you need to visit[…]

  81. Godfather Og strain - September 17, 2021

    Godfather Og strain

    […]here are some hyperlinks to internet sites that we link to mainly because we think they’re really worth visiting[…]

  82. garnier - September 17, 2021

    garnier

    […]Every the moment in a although we decide on blogs that we study. Listed below are the latest web-sites that we opt for […]

  83. murchison falls - September 16, 2021

    murchison falls

    […]always a large fan of linking to bloggers that I really like but do not get lots of link adore from[…]

  84. purple candle - September 14, 2021

    purple candle

  85. 안전사이트 - September 10, 2021

    안전사이트

    […]Sites of interest we’ve a link to[…]

  86. magic mushrooms - September 10, 2021

    magic mushrooms

    […]Here are some of the web-sites we recommend for our visitors[…]

  87. delhi public school sector 19 faridabad - September 9, 2021

    delhi public school sector 19 faridabad

    […]always a large fan of linking to bloggers that I love but do not get a great deal of link adore from[…]

  88. male masturbator review - September 8, 2021

    male masturbator review

    […]always a significant fan of linking to bloggers that I like but do not get quite a bit of link appreciate from[…]

  89. w88 - September 8, 2021

    w88

    […]just beneath, are numerous completely not associated web pages to ours, nevertheless, they may be surely worth going over[…]

  90. 1xbit download - September 7, 2021

    1xbit download

    […]the time to study or pay a visit to the content material or web sites we have linked to below the[…]

  91. thrusting rabbit toy - September 7, 2021

    thrusting rabbit toy

    […]Here is an excellent Blog You might Obtain Fascinating that we Encourage You[…]

  92. how to use a stretchy penis ring - September 7, 2021

    how to use a stretchy penis ring

    […]Sites of interest we have a link to[…]

  93. anal toys - September 7, 2021

    anal toys

    […]Here is a superb Blog You might Uncover Interesting that we Encourage You[…]

  94. interesting sex facts - September 7, 2021

    interesting sex facts

    […]usually posts some really exciting stuff like this. If you are new to this site[…]

  95. best male masturbator - September 6, 2021

    best male masturbator

    […]please visit the sites we stick to, which includes this a single, because it represents our picks in the web[…]

  96. Ctrlcoin.io - Peer-to-Peer (P2P) Crypto Exchange - September 4, 2021

    Ctrlcoin.io – Peer-to-Peer (P2P) Crypto Exchange

    […]although internet sites we backlink to beneath are considerably not associated to ours, we really feel they are in fact worth a go by, so have a look[…]

  97. melhores smartphones - September 4, 2021

    melhores smartphones

    […]The information and facts talked about in the post are a few of the ideal readily available […]

  98. streaming gratuit - September 4, 2021

    streaming gratuit

    […]below you will uncover the link to some web pages that we consider you should visit[…]

  99. european car recovery - September 3, 2021

    european car recovery

    […]one of our visitors lately recommended the following website[…]

  100. site de streaming - September 2, 2021

    site de streaming

    […]Sites of interest we’ve a link to[…]

  101. Cannabis Oil - August 31, 2021

    Cannabis Oil

    […]The details mentioned within the post are some of the ideal accessible […]

  102. بحث عن ارقام الهاتف - August 30, 2021

    بحث عن ارقام الهاتف

    […]Wonderful story, reckoned we could combine a handful of unrelated data, nevertheless genuinely worth taking a search, whoa did one particular learn about Mid East has got far more problerms too […]

  103. real skin dildo - August 30, 2021

    real skin dildo

    […]very couple of websites that transpire to be comprehensive beneath, from our point of view are undoubtedly effectively worth checking out[…]

  104. best realistic dildos - August 30, 2021

    best realistic dildos

    […]please go to the web sites we stick to, such as this a single, as it represents our picks through the web[…]

  105. best male masturbators - August 29, 2021

    best male masturbators

    […]Here are a number of the web sites we recommend for our visitors[…]

  106. best prostate massager - August 29, 2021

    best prostate massager

    […]we came across a cool internet site that you just might get pleasure from. Take a search should you want[…]

  107. ground lease - August 26, 2021

    ground lease

    […]The info talked about inside the article are a number of the best readily available […]

  108. web hosting reviews - August 25, 2021

    web hosting reviews

    […]one of our visitors a short while ago suggested the following website[…]

  109. learn more - August 24, 2021

    learn more

  110. Male Masturbator Reviews - August 24, 2021

    Male Masturbator Reviews

    […]although internet sites we backlink to beneath are considerably not connected to ours, we feel they are basically really worth a go by, so possess a look[…]

  111. best prostate massager - August 23, 2021

    best prostate massager

  112. battery vibrators - August 23, 2021

    battery vibrators

    […]here are some links to web-sites that we link to because we feel they are really worth visiting[…]

  113. male stroker toy - August 23, 2021

    male stroker toy

    […]very few web-sites that take place to become detailed below, from our point of view are undoubtedly well worth checking out[…]

  114. fun88 - August 22, 2021

    fun88

    […]although web sites we backlink to below are considerably not associated to ours, we really feel they may be actually really worth a go as a result of, so have a look[…]

  115. Restaurants Nanaimo - August 21, 2021

    Restaurants Nanaimo

    […]always a big fan of linking to bloggers that I adore but do not get a whole lot of link like from[…]

  116. mersin escort - August 16, 2021

    mersin escort

    […]although websites we backlink to beneath are considerably not associated to ours, we really feel they are basically worth a go via, so have a look[…]

  117. anal play - August 16, 2021

    anal play

    […]below you will uncover the link to some web-sites that we consider you must visit[…]

  118. male sex toys - August 15, 2021

    male sex toys

    […]Here are a number of the internet sites we recommend for our visitors[…]

  119. canadapharmacycanada.com - August 14, 2021

    canadapharmacycanada.com

    […]always a large fan of linking to bloggers that I adore but really don’t get a great deal of link like from[…]

  120. rechargeable thrusting rabbit toy - August 14, 2021

    rechargeable thrusting rabbit toy

    […]please check out the web sites we adhere to, such as this one particular, as it represents our picks through the web[…]

  121. best ben wa balls - August 14, 2021

    best ben wa balls

    […]usually posts some incredibly intriguing stuff like this. If you are new to this site[…]

  122. Magic Mushroom Vancouver - August 14, 2021

    Magic Mushroom Vancouver

    […]here are some links to sites that we link to since we believe they are worth visiting[…]

  123. atasehir escort - August 13, 2021

    atasehir escort

    […]here are some hyperlinks to web-sites that we link to because we feel they’re worth visiting[…]

  124. sariyer escort - August 13, 2021

    sariyer escort

    […]check beneath, are some completely unrelated web sites to ours, even so, they may be most trustworthy sources that we use[…]

  125. best way to clean sex toys gay - August 12, 2021

    best way to clean sex toys gay

    […]Every once inside a whilst we pick blogs that we read. Listed beneath are the most current websites that we pick […]

  126. happyluke ???300 - August 12, 2021

    happyluke ???300

    […]very handful of web-sites that occur to be comprehensive beneath, from our point of view are undoubtedly effectively really worth checking out[…]

  127. body wand mini massager - August 12, 2021

    body wand mini massager

    […]the time to read or pay a visit to the material or web pages we have linked to below the[…]

  128. ทางเข้า happyluke - August 11, 2021

    ทางเข้า happyluke

    […]please visit the internet sites we comply with, such as this 1, because it represents our picks from the web[…]

  129. Buy Colombian cocaine Online - August 10, 2021

    Buy Colombian cocaine Online

  130. canada pharmacy canada pharmacy canada pharmacy - August 9, 2021

    canada pharmacy canada pharmacy canada pharmacy

    […]Every after inside a while we opt for blogs that we read. Listed below would be the most current websites that we select […]

  131. porn audio - August 5, 2021

    porn audio

    […]please stop by the internet sites we adhere to, including this one particular, because it represents our picks from the web[…]

  132. vacuum erection device - August 4, 2021

    vacuum erection device

    […]the time to read or check out the content or sites we have linked to beneath the[…]

  133. how to use penis sleeve - August 4, 2021

    how to use penis sleeve

    […]just beneath, are several entirely not related web-sites to ours, on the other hand, they are surely really worth going over[…]

  134. in Canada - July 31, 2021

    in Canada

    […]The data talked about within the write-up are a number of the best accessible […]

  135. computer support - July 31, 2021

    computer support

    […]Every after inside a although we pick blogs that we read. Listed beneath would be the latest internet sites that we opt for […]

  136. jaguar cub for sale - July 29, 2021

    jaguar cub for sale

    […]The information talked about in the write-up are some of the best available […]

  137. trauma recovery - July 28, 2021

    trauma recovery

    […]Here is a great Weblog You might Uncover Interesting that we Encourage You[…]

  138. ruger american for sale - July 27, 2021

    ruger american for sale

    […]usually posts some pretty intriguing stuff like this. If you are new to this site[…]

  139. glo extracts flavors - July 26, 2021

    glo extracts flavors

    […]Every after inside a although we choose blogs that we read. Listed beneath are the most recent web-sites that we opt for […]

  140. kush online - July 26, 2021

    kush online

    […]The details mentioned in the write-up are some of the most effective accessible […]

  141. Order Marijuana Online USA - July 26, 2021

    Order Marijuana Online USA

    […]Here is a good Weblog You may Obtain Interesting that we Encourage You[…]

  142. معرفة هوية المتصل - July 26, 2021

    معرفة هوية المتصل

    […]one of our guests lately proposed the following website[…]

  143. where to buy juul pods - July 25, 2021

    where to buy juul pods

  144. HBCUEX - July 25, 2021

    HBCUEX

  145. latest technology - July 25, 2021

    latest technology

    […]Wonderful story, reckoned we could combine some unrelated information, nonetheless seriously worth taking a search, whoa did a single master about Mid East has got a lot more problerms as well […]

  146. learn more - July 24, 2021

    learn more

    […]Every once inside a while we choose blogs that we read. Listed below would be the newest websites that we pick […]

  147. افلام سكس محارم - July 24, 2021

    افلام سكس محارم

    […]Every when in a when we select blogs that we read. Listed beneath are the most current internet sites that we pick […]

  148. best toys for women - July 23, 2021

    best toys for women

    […]check below, are some completely unrelated internet websites to ours, however, they’re most trustworthy sources that we use[…]

  149. corner summerhouse - July 21, 2021

    corner summerhouse

    […]check below, are some entirely unrelated websites to ours, nonetheless, they are most trustworthy sources that we use[…]

  150. how to lose lower belly fat - July 18, 2021

    how to lose lower belly fat

    […]Sites of interest we have a link to[…]

  151. whole crab for sale - July 16, 2021

    whole crab for sale

    […]here are some hyperlinks to websites that we link to for the reason that we consider they are really worth visiting[…]

  152. Treadmill For Sale - July 16, 2021

    Treadmill For Sale

    […]please check out the web sites we comply with, including this one, because it represents our picks through the web[…]

  153. bulk 30 30 ammo - July 16, 2021

    bulk 30 30 ammo

    […]that is the end of this write-up. Here you will find some web-sites that we believe you will enjoy, just click the hyperlinks over[…]

  154. Thc Oil Carts - July 14, 2021

    Thc Oil Carts

    https://theclearconcerntrate.com/ The Clear classic oil is mixed with CBD isolate and our preparatory flavorings for the best taste and consistency on the market today.

  155. Pallas Cat - July 14, 2021

    Pallas Cat

    […]Every after inside a although we pick blogs that we study. Listed beneath are the latest sites that we choose […]

  156. Household Furniture - July 14, 2021

    Household Furniture

    […]one of our visitors lately proposed the following website[…]

  157. Sig P938 - July 14, 2021

    Sig P938

    […]we came across a cool site that you might delight in. Take a search for those who want[…]

  158. escort bayan istanbul - July 13, 2021

    escort bayan istanbul

    […]Sites of interest we’ve a link to[…]

  159. vip escort - July 13, 2021

    vip escort

    […]Sites of interest we have a link to[…]

  160. MILF Porn - July 12, 2021

    MILF Porn

    […]just beneath, are a lot of entirely not connected websites to ours, nevertheless, they are certainly really worth going over[…]

  161. MURANG'A UNIVERSITY OF TECHNOLOGY - July 9, 2021

    MURANG’A UNIVERSITY OF TECHNOLOGY

    […]very couple of web sites that take place to be detailed below, from our point of view are undoubtedly effectively really worth checking out[…]

  162. Restaurant - July 8, 2021

    Restaurant

    […]Here are a few of the web sites we suggest for our visitors[…]

  163. Obligasi.com - July 8, 2021

    Obligasi.com

    […]the time to study or take a look at the content or websites we’ve linked to beneath the[…]

  164. Glock Guns for sale - July 8, 2021

    Glock Guns for sale

    […]Sites of interest we have a link to[…]

  165. Kelowna moving company - July 7, 2021

    Kelowna moving company

    […]we came across a cool web page that you could enjoy. Take a appear should you want[…]

  166. thc vape cartridges for sale - July 6, 2021

    thc vape cartridges for sale

    […]usually posts some incredibly fascinating stuff like this. If you are new to this site[…]

  167. ptr 9ct for sale - July 6, 2021

    ptr 9ct for sale

    […]Here is a superb Blog You may Discover Interesting that we Encourage You[…]

  168. Ruger Revolvers - July 6, 2021

    Ruger Revolvers

    […]Here is a superb Blog You may Uncover Interesting that we Encourage You[…]

  169. how long do shrooms stay in your system - July 6, 2021

    how long do shrooms stay in your system

    […]Every once inside a whilst we opt for blogs that we read. Listed beneath would be the latest sites that we opt for […]

  170. buy tiktok followers - July 5, 2021

    buy tiktok followers

    […]The data talked about inside the report are several of the best available […]

  171. weed near me - July 5, 2021

    weed near me

  172. buy weed online - July 5, 2021

    buy weed online

    […]just beneath, are a lot of absolutely not associated web-sites to ours, having said that, they are surely worth going over[…]

  173. Juneau Empire - July 5, 2021

    Juneau Empire

  174. marijuana dispensaries - July 5, 2021

    marijuana dispensaries

    […]usually posts some pretty interesting stuff like this. If you are new to this site[…]

  175. WEED FOR SALE ONLINE - July 4, 2021

    WEED FOR SALE ONLINE

    […]always a massive fan of linking to bloggers that I really like but do not get quite a bit of link adore from[…]

  176. classic vibrator - July 3, 2021

    classic vibrator

    […]check beneath, are some absolutely unrelated internet sites to ours, nevertheless, they’re most trustworthy sources that we use[…]

  177. rechargeable bullet vibrator - July 3, 2021

    rechargeable bullet vibrator

    […]here are some hyperlinks to internet sites that we link to for the reason that we think they may be worth visiting[…]

  178. dani daniels pocket pal - July 3, 2021

    dani daniels pocket pal

    […]Here is a superb Weblog You may Find Fascinating that we Encourage You[…]

  179. best clitoral vibrator - July 3, 2021

    best clitoral vibrator

    […]that could be the end of this article. Right here you will obtain some web-sites that we assume you will enjoy, just click the links over[…]

  180. where to buy weed - June 29, 2021

    where to buy weed

    […]although web sites we backlink to beneath are considerably not associated to ours, we really feel they may be in fact worth a go by way of, so possess a look[…]

  181. delta 8 THC - June 29, 2021

    delta 8 THC

    […]the time to read or stop by the subject material or web sites we’ve linked to beneath the[…]

  182. THC Gummies - June 29, 2021

    THC Gummies

    […]one of our visitors recently suggested the following website[…]

  183. best strap on - June 27, 2021

    best strap on

  184. Food License Bangalore - June 26, 2021

    Food License Bangalore

    […]we came across a cool web-site that you just may get pleasure from. Take a look if you want[…]

  185. tides today at tides.today - June 24, 2021

    tides today at tides.today

    […]Every after inside a even though we pick blogs that we study. Listed beneath are the most up-to-date web sites that we opt for […]

  186. huge dildo - June 22, 2021

    huge dildo

    […]The details talked about in the post are a number of the ideal obtainable […]

  187. best delta 8 thc gummies - June 22, 2021

    best delta 8 thc gummies

    […]Wonderful story, reckoned we could combine a couple of unrelated information, nonetheless seriously really worth taking a appear, whoa did a single discover about Mid East has got a lot more problerms as well […]

  188. phone near me - June 22, 2021

    phone near me

    […]Sites of interest we’ve a link to[…]

  189. best delta 8 THC vape cartridges - June 22, 2021

    best delta 8 THC vape cartridges

    […]Here is a good Blog You may Locate Exciting that we Encourage You[…]

  190. buy Instagram likes - June 21, 2021

    buy Instagram likes

  191. best kratom - June 21, 2021

    best kratom

    […]the time to study or check out the content or web pages we have linked to below the[…]

  192. best delta 8 - June 21, 2021

    best delta 8

    […]very handful of web-sites that happen to become detailed below, from our point of view are undoubtedly well worth checking out[…]

  193. kratom capsules - June 21, 2021

    kratom capsules

    […]just beneath, are various completely not related web pages to ours, nonetheless, they are certainly really worth going over[…]

  194. buy kratom - June 21, 2021

    buy kratom

    […]the time to read or visit the material or sites we have linked to below the[…]

  195. MASALA MACHINE - June 17, 2021

    MASALA MACHINE

    […]Wonderful story, reckoned we could combine a couple of unrelated information, nonetheless really really worth taking a appear, whoa did a single study about Mid East has got extra problerms at the same time […]

  196. software review - June 16, 2021

    software review

    […]check beneath, are some completely unrelated internet websites to ours, on the other hand, they may be most trustworthy sources that we use[…]

  197. Synovus Credit Card Login - June 16, 2021

    Synovus Credit Card Login

  198. Pound of Weed for Sale - June 16, 2021

    Pound of Weed for Sale

    […]Sites of interest we’ve a link to[…]

  199. PARROTS FOR SALE - June 16, 2021

    PARROTS FOR SALE

    […]just beneath, are many completely not related websites to ours, nonetheless, they’re surely really worth going over[…]

  200. GOLDEN RETRIEVER PUPPIES FOR SALE - June 16, 2021

    GOLDEN RETRIEVER PUPPIES FOR SALE

  201. Buy Marijuana Online - June 16, 2021

    Buy Marijuana Online

    […]we came across a cool site that you simply could possibly take pleasure in. Take a look in the event you want[…]

  202. red king crab for sale - June 15, 2021

    red king crab for sale

    […]although internet sites we backlink to beneath are considerably not connected to ours, we really feel they’re really really worth a go as a result of, so have a look[…]

  203. g spot vibrators - June 15, 2021

    g spot vibrators

  204. jetsons pinball - June 15, 2021

    jetsons pinball

    […]we came across a cool web page which you could delight in. Take a appear for those who want[…]

  205. clit vibrator - June 13, 2021

    clit vibrator

    […]always a massive fan of linking to bloggers that I appreciate but do not get a great deal of link really like from[…]

  206. Google - June 13, 2021

    Google

    Wonderful story, reckoned we could combine a few unrelated information, nevertheless actually really worth taking a search, whoa did a single study about Mid East has got more problerms as well.

  207. best sex games - June 11, 2021

    best sex games

    […]here are some links to internet sites that we link to due to the fact we feel they’re worth visiting[…]

  208. strap on kit - June 10, 2021

    strap on kit

    […]please stop by the sites we follow, like this 1, as it represents our picks from the web[…]

  209. Buy Weed Online - June 8, 2021

    Buy Weed Online

    […]check beneath, are some totally unrelated web-sites to ours, on the other hand, they are most trustworthy sources that we use[…]

  210. anal training toys - June 6, 2021

    anal training toys

  211. facts about sexuality - June 4, 2021

    facts about sexuality

    […]just beneath, are a lot of absolutely not connected web sites to ours, on the other hand, they’re surely really worth going over[…]

  212. electricmotorcyclescanada.com - June 4, 2021

    electricmotorcyclescanada.com

    […]the time to read or stop by the content material or web-sites we’ve linked to below the[…]

  213. slot online - June 3, 2021

    slot online

    […]Here are a few of the web sites we recommend for our visitors[…]

  214. Google - June 1, 2021

    Google

    Sites of interest we have a link to.

  215. how can i unlock my iphone - December 18, 2014

    need to go back to an earlier

    version. if you get a lot of requests from folks asking to reprint your tutorials, free of charge, you really should have a “guest blogger available” page telling them exactly what you are willing to do and give up as a

  216. Versie Vancampen - March 12, 2013

    Wonderful web pages…

    we arrived throughout a wonderful internet site that you simply would possibly appreciate. Just take a glance if you want…

  217. supreme - February 16, 2013

    Title…

    […]we came across a cool web-site that you might love. Take a search if you want[…]…

  218. carpet cleaning - February 16, 2013

    Title…

    […]check beneath, are some absolutely unrelated web sites to ours, even so, they are most trustworthy sources that we use[…]…

  219. florida home insurance - February 15, 2013

    Title…

    […]Sites of interest we have a link to[…]…

  220. survey korner - February 15, 2013

    Title…

    […]Here is a good Weblog You might Come across Exciting that we Encourage You[…]…

Leave a Reply

You must be logged in to post a comment.