Workers cheer softened stand on flu shots

The provinces health-care workers are hailing a last-minute reprieve in a landmark policy by public health officials that would have forced them to receive a flu shot or wear a surgical mask during their shifts.

Staff who refused to comply with the policy the first of its kind in Canada would have been liable to discipline, up to and including termination.

But late last week, the Health Ministry agreed to hold off enforcing the flu-shot decree for the next year, and renew efforts to persuade public health-care personnel to agree to be immunized. The mandatory policy was to have taken effect Dec. 1.

This is a huge relief, BC Nurses Union president Debra McPherson said Monday. It was creating a lot of anger and frustration in the workplace.

As the deadline for compliance approached, hospitals were posting public lists of nurses who had been immunized and encouraging employees to report on other workers who had not received their shots, Ms. McPherson said.

It was really upsetting. Now, some of the poison has been stopped. Its taken a lot of the pressure off.

Jeanne Meyers of the Health Sciences Association, the first of three health-care unions to file a grievance against the new rule, said HSA members are absolutely pleased by the easing of the approach.

Weve agreed to put our grievance in abeyance, and they are holding enforcement in abeyance, Ms. Meyers said. Our membership is very relieved.

The nurses union, the HSA and the Hospital Employees Union, together representing more than 100,000 health-care workers, objected to their members being forced to have a flu shot, or wear a mask, while at work. Nurses felt it was a real violation of their right to direct their own health care, that it was questioning their own critical judgment, Ms. McPherson said. She said studies have shown that flu shots offer only marginal benefits.

Despite that, the BCNU and other health-care organizations continue to recommend immunization to their members. Its the best weve got, Ms. McPherson said. But it has to be a matter of choice.

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Workers cheer softened stand on flu shots

Health care institutions should learn lessons from Superstorm Sandy fallout

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In a major disaster, health care institutions face many issues, including disaster readiness, privacy concerns, and insurance coverage considerations. Superstorm Sandy offers a few lessons with respect to various health law requirements, and also sends a reminder to health care institutions of the need to carefully review their property insurance policies before faced with a claim.

Disaster readiness and privacy issues

Some facilities, like New York University Langone Medical Center, met Sandys challenges admirably, conducting an orderly and safe evacuation of patients when emergency power failed, and notifying family members of the new locations of the relocated patients.

Other facilities were less prepared, failing to prepare patient health information for evacuation and stock sufficient medicine and flashlights (in violation of state regulations). These failures resulted in patients being transferred without their health care information, and relatives unable to find out where their loved ones had been sent.

In a disaster, it is important to be clear about what the federal Health Insurance Portability and Accountability Act (HIPAA) permits with respect to sharing patient health information. Following Hurricane Katrina in 2005, the United States Department of Health and Human Services Office for Civil Rights issued a bulletin that provides guidance on how HIPAA allows patient information to be shared to assist in disaster relief efforts, and to assist patients in receiving the care they need. For example, a facilitys patient directory information can be shared for these purposes.

In addition, HIPAA business associates, subject to their contractual agreements, can help facilitate appropriate information sharing. The Office for Civil Rights of the U.S. Department of Health and Human Services (also known as the HIPPA Police) has indicated that it will consider emergency circumstances when it assesses whether there has been a failure to meet HIPAA requirements and how quickly any failure must be cured.

Disaster readiness will also be under the microscope in the coming months. In light of the power failures at hospitals affected by Sandy, the Centers for Medicare and Medicaid Services are reviewing whether requirements for backup power should be updated.

Currently, Medicare Conditions of Participation (COPs) for hospitals require that the hospital meet the applicable provisions of the 2000 edition of the Life Safety Code, which references National Fire Protection Association (NFPA) standards, specifically NFPA 99. Emergency power and lighting are required in critical areas such as operating, recovery, intensive care and emergency rooms and stairwells. In other areas not serviced by emergency supply sources, battery lamps and flashlights must be available. Although NFPA updates its standards every three years, the COPs still reference the version that was in place in 2000.

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Health care institutions should learn lessons from Superstorm Sandy fallout

Ex- Broward hospital district chief squirms in '60 Minutes' hot seat

The man squirming in front of the 60 Minutes cameras on Sunday night was familiar to those who follow politics and health care in Broward County .

Alan Levine, the former chief executive of the North Broward Hospital District the legal name for the entity that has since branded itself with the softer and more customer friendly Broward Health name was the executive sent to face the inquisitors by his employer, Health Management Associates Inc.

The 60 Minutes report described what it said was the hospital chain pressuring doctors to meet quotas for admitting patients, all in the name of profit.

Not so, Levine said. Here's the section of the transcript that starts with the back and forth between Levine and the TV show's Steve Kroft.

As a memory refresher, heres what I wrote in the Jan. 9, 2008, newspaper about Levines departure:

Alan Levine, the health care wunderkind brought in less than two years ago to reform the North Broward Hospital District, has resigned to take over the rebuilding of the fractured health care system in Louisiana. He'll be that state's secretary of health and hospitals, Gov.-elect Bobby Jindal announced Tuesday. Louisiana's health care system is still suffering two years after Hurricane Katrina. "We're disappointed. But this is something that I think, if you know Alan, you would know this is a once-in-a-lifetime opportunity," said Miguel "Mike" Fernandez, chairman of the hospital district board. "For a high-profile individual like Alan, who loves challenges, this is right up his alley." Levine's new job involves overseeing public health, hospitals and all other health care facilities and providers, and emergency preparedness - the equivalent of three or four Florida state agencies under one roof. Levine said Jindal wants to transform the system. At a special board meeting, commissioners appointed Frank Nask, 60, as interim chief executive. He's a former hospital system executive and consultant Levine brought in as chief financial officer. Jindal will be sworn in Monday. Nask takes over immediately, but Levine's contract calls for 90 days of work and pay. Levine said he would stay as long as he would be useful to Nask. Levine's hospital district salary is $540,800 a year plus a $7,200 car allowance. His incentive compensation, or bonus, for meeting goals last year was $130,000. He said his Louisiana salary hasn't been finalized, but expects a 50 percent to 60 percent pay cut. The hospital district collects taxes and operates four public hospitals, including Broward General Medical Center, and dozens of other health facilities in the northern two-thirds of the county. Though its legal name is the North Broward Hospital District, the agency recently started using the brand name Broward Health. The district is governed by seven commissioners appointed by the governor. For years it has been a little-noticed, highly political agency. After a series of controversies, then-Gov. Jeb Bush swept out the commissioners and installed a new board. Commissioners hired Levine, 40, a former secretary of Florida's Agency for Health Care Administration, deputy chief of staff and health policy adviser to Bush as chief executive in 2006. He reshaped the hospital district as a leaner, cost-conscious, customer-oriented organization. Among his actions were renegotiating contracts with doctors to save the district money in a way that won plaudits from some, criticism from others. The hospital district's bond ratings also increased. Last year, Modern Healthcare magazine put Jindal, a former Louisiana health secretary before he was elected to the House of Representatives, and Levine on its list of the 30 people in America most likely to influence America's health care system in the next 30 years. Last fall, Commissioner Rebecca Stoll became dissatisfied with Levine. Her scrutiny ushered in a new round of infighting and accusations of wrongdoing. Stoll said Levine had "misrepresented many facts to the board on critical votes. He also took several actions without board authority" and concluded that "everything in this place is upside down." Stoll's complaints prompted the board to authorize an outside investigation. The Miami law firm Rafferty, Stolzenberg, Gelles, Tenenholtz & Flynn concluded last month that "a few of Commissioner Stoll's concerns had some merit" but found no grounds for her most serious allegations. She could not be reached for comment Tuesday despite messages left on her cell phone and at her office. Commissioner Dan Gordon praised Levine. "He had me and all the board members and all the staff think that we were on the verge of a world-class operation here. Two years ago we were running a county hospital," Gordon said. "That was a whole mind-set that he fostered. He's a forward thinker." Both Levine and Fernandez, an appointee of Gov. Charlie Crist, said Levine wasn't pushed out of his job. "I know that that's what it's going to appear to some. The reality is far from it," Fernandez said. "Alan has done a very good job for us. We're very pleased with the results we were seeing." Levine said he was recruited by the Jindal transition team and met the governor-elect two weeks ago. "I was very inspired," he said. "He was amazing. He is a brilliant guy. He's going to be a great governor. Louisiana is a state that is going to be poised to see some transformation."

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Health care exchange will lift off in 2013

Amycare is nearly here.

Next summer, Colorados new state health care exchange will begin a testing phase and be up and running by Oct. 1. Its a significant part of the states health care reform efforts and is designed to lower costs for businesses and individuals by creating what backers call a health care marketplace.

The nickname Amycare refers to the bipartisan SB200, passed in 2011, which created the exchange system. State Rep. Amy Stephens, R-Monument, was the prime House sponsor, and opponents of the bill dubbed it Amycare, linking it to Obamacare, the GOP description for the federal health care bill.

Obamacare mandates that all 50 states create their health care exchange or accept one created by the federal government, and Amycare was designed to pre-empt federal intervention. The Colorado exchange will be an online portal that businesses and individuals can use to look for insurance tailored to their needs. Thats pretty much what Obamacare requires, and Amycares legal language says that the measure is designed to be in keeping with the federal law.

That also puts Colorado ahead of many other states that havent begun setting up exchanges, especially because states have to declare that theyre setting up exchanges, along with blueprints for the exchange, in a letter to the federal government by Dec. 14.

Leaders in several states were waiting to see what would happen if President Barack Obama lost his bid for re-election, or in case Obamacare was overturned in court.

Federal money will keep Colorados new exchange running for a year, but by Jan. 1, 2015, the exchange will be self-funded, said Patty Fontneau, CEO of the nonprofit in charge of setting it up. And the job is well under way.

You can let the federal government come in and dictate to us what kind of model were going to have, or we can build it openly ourselves, to meet the needs of individuals and businesses, Fontneau said. Thats what were doing.

Not all the federal regulations on health care exchanges, however, have been set up, or announced.

We will abide by Colorado state law and by federal law, Fontneau said.

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Health care exchange will lift off in 2013

Keeping health care local

The cornerstones of a thriving community include quality education, a vibrant industrial base, dependable public safety, and reliable and trusted health care.

Were fortunate in Northwest Ottawa County to have all of these.

To say anyone is more important than the other would be a tough argument, and we dont intend to do so here. We recognize the fact that all play a vital role in making our community a place that people want to visit and live, and we encourage you to support each of them.

The health care market, however, is different.

Residents of the Tri-Cities area are nestled between two large health systems to the east and to the north, both of which provide excellent care and services to their patients, as does our health system right here in Grand Haven.

People have choices.

A big difference is that the Grand Haven-based North Ottawa Community Health System is operated by professionals who are a part of our community. They are people who are committed to providing affordable, quality medical care close to home. They practice health care in our community because they want to be here, not because they have to be.

How important is it to have health care managed locally? If you consider the 800 jobs, the $34 million in annual salaries and benefits, and that 90 percent of employees live in the area and reinvest millions of dollars back into our community as important, then the answer is simply very!

We applaud the North Ottawa Community Health System for its efforts in redefining its relevance to the community with sure financial footing and a plan for growth. We encourage you to get to know your local health care system, and find out more about what it means to you and to our community as a whole to keep health care local.

Our Views reflects the majority opinion of the members of the Grand Haven Tribune editorial board: Kevin Hook, Cheryl Welch, Matt DeYoung and Fred VandenBrand. What do you think? E-mail us a letter to the editor to news@grandhaventribune.com or log-in to our website and leave a comment below.

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Keeping health care local

Hearing on federal health care law turns raucous

TALLAHASSEE, Fla. -

The first meeting of a Senate select committee on the federal Affordable Care Act turned raucous Monday, with a group of speakers saying the state should not carry out the law --- and jeering Senate Minority Leader Chris Smith after he defended the role of the federal government.

Members of the group, including "tea-party" activists, said the law known as "Obamacare" is an unconstitutional overreach by Washington. The U.S. Supreme Court upheld most of the law in June, which has led to state lawmakers considering whether to carry out portions such as an expansion of Medicaid eligibility and creation of a health-insurance exchange.

KrisAnne Hall, a north Florida lawyer who was a chief spokeswoman for the group, described the federal law as a "trainwreck."

"You have to stand now in defense of the constitution, in honor of your oath,'' she told members of the Senate Select Committee on the Patient Protection and Affordable Care Act.

But a short time later, Smith, a Fort Lauderdale Democrat, offered a different view of the federal government's role, saying, "It's hard to sit here and be silent and listen to some of this.''

Smith said, for example, the federal government had to play a large role in the past on issues such as integrating schools. Also, he pointed to part of the U.S. Constitution that originally treated black people as less than white people for representation purposes.

"The federal government had to step in because our constitution is an imperfect document,'' Smith said, drawing boos from the health-law opponents. "If it was perfect, you would not have amendments to it."

Committee Chairman Joe Negron, R-Stuart, tried to stem the booing.

"I would ask everyone, show courteousness and decorum,'' Negron said.

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Hearing on federal health care law turns raucous

Three Health Care Organizations Honored for Successful Hospital-Physician Alignment

WASHINGTON, Dec. 3, 2012 /PRNewswire/ -- The Advisory Board Company's Southwind program announced on Monday that it has recognized three top-performing health care provider organizations with national awards for successful physician alignment.

(Logo: http://photos.prnewswire.com/prnh/20110802/PH45999LOGO )

Southwind presented the following awards:

"When hospitals, health systems, and other providers begin making the transformation from volume-based to value-based care, no factor plays a more critical role in their success than the ability to align closely with physicians on cost and quality performance," said John Deane, CEO, Southwind, The Advisory Board Company's health care management and consulting services program. "These three organizations are national leaders in executing key initiatives for an accountable care strategy: improving performance, raising quality, and reducing costs."

Southwind Physician Alignment Award in Clinical Integration: Dignity HealthIn CI programs, a network of independent physicians collectively commits to collaborate with a hospital or health system to deliver improvements in quality and cost of care. Dignity Health, headquartered in San Francisco, is one of the nation's five largest health care systems in the nation with 11,000 physicians across Arizona, California, and Nevada. Dignity Health sought a model of care that would leverage local affiliations and foster physician leadership in each market, but would also align physicians with the system's overarching strategy to become regional, integrated care delivery systems.

Working with Southwind, Dignity Health developed an executive strategy to foster and support local, physician-led efforts for CI programs. Today, more than 2,300 physicians across the Dignity Health system participate in a local CI program.

Dignity Health has CI program development under way in six of nine service areas, with the other three on pace to have CI within 12 to 18 months. Three of the CI programs have made informal introductions to the Federal Trade Commission.

"Working with physicians to build clinically integrated networks is an important part of our commitment to modernizing the U.S. health care system," said Bruce Swartz, Senior Vice President of Physician Integration at Dignity Health. "We are honored by this recognition for our efforts and we look forward to continuing our progress to make care more efficient and easier to navigate for both patients and physicians."

Southwind Physician Alignment Award in Clinical Transformation: Adirondack Region Medical Home PilotClinical Transformation refers to a change in hospital-physician partnerships to support value-based care. The Adirondack Region Medical Home Pilot is a collaboration between Community Providers, Inc. comprised of CVPH (Champlain Valley Physicians Hospital) Medical Center and Elizabethtown Community Hospital and Adirondack Health and Hudson Headwaters Health Network. Together, these organizations worked with Southwind to help transform health care delivery across a region twice the size of Rhode Island by implementing an advanced primary care model.

In partnership with the State of New York, the partner organizations formed a commissioned regional medical home pilot for 49 NCQA Level III-recognized patient centered medical homes and established the Adirondack Health Institute (AHI) as the managing entity of the pilot. The effort has drawn participation from all providers across the community: five hospital systems, 33 primary care practices, and 225 primary care providers.

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Three Health Care Organizations Honored for Successful Hospital-Physician Alignment

The Future of Media, News, Data and Monitoring: FIBEP 2012 Speaker Futurist Gerd Leonhard – Video


The Future of Media, News, Data and Monitoring: FIBEP 2012 Speaker Futurist Gerd Leonhard
This is the complete video of my presentation at the FIBEP 2012 conference in Krakow Poland see http://www.fibep.info Thanks to FIBEP for making this video available. You can download the PDF here: gerd.fm (Dropbox); most slides I used are available Please note: You can now download most of my videos by simply subscribing to this iTunes video feed (via Blip.tv) gerd.fm *** audio-only versions are now available here: gerd.fm or on the web at http://www.futuretalks.com My vimeo channel is here vimeo.com Enjoy! Gerd Leonhard Futurist, Author and Keynote Speaker Basel / Switzerland http://www.gerdfuturist.com CEO http://www.thefuturesagency.com Media Blog http://www.mediafuturist.com Gerd #39;s mobile apps: road.ie The Future of Business blog http://www.futureof.biz Public Speaking schedule: gerd.fm Twitter: http://www.twitter.com Need even more links? about.meFrom:Gerd LeonhardViews:27 2ratingsTime:39:44More inPeople Blogs

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The Future of Television: Richard Kastelein at TEDxHanzeUniversity – Video


The Future of Television: Richard Kastelein at TEDxHanzeUniversity
Richard is a creative technologist and Canadian expatriate living in Groningen and working in London. He is the publisher of Appmarket.TV and is a partner at Agora Media where he #39;s helping build new TV experiences. In 2010 he was the winner of the Netherlands Deloitte Technology, Media Telcom (TMT) Predictions for Entrepreneurs in Holland for futurist views on Social TV and Media Convergence (Tech Visionary). In 2011 he was honored with a Computerworld Honors Laureate for Innovation for visionary application of IT to promote positive social, economic and educational change. He is also a columnist for The Association of International Broadcasters The Channel Magazine, Virgin and writes daily at Appmarket.TV. He has spoken worldwide on the future of TV and guest lectured at MIT Media Labs. http://www.agoramedia.co.uk In thespirit of ideas worth spreading, TEDx is a program of local, self-organized events that bring people together to share a TED-like experience. At a TEDx event, TEDTalks video and live speakers combine to spark deep discussion and connection in a small group. These local, self-organized events are branded TEDx, where x = independently organized TED event. The TED Conference provides general guidance for the TEDx program, but individual TEDx events are self-organized.* (*Subject to certain rules and regulations)From:TEDxTalksViews:50 5ratingsTime:14:22More inNonprofits Activism

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ari wallach lecture on-the-future of faith – Video


ari wallach lecture on-the-future of faith
Ari Wallach, social innovation expert and futurist discusses the impact the very architecture of the internet is having on our expectations of organizations (and religion specifically). The talk ends with Ari imagining what a revitalized mission focused faith could look like in this new structural reality and how it could guide us to help and repair the world. Recorded live at the Jerome L. Greene Performance Space at WNYC. This talk was from the Auburn Seminary #39;s 2011 Jack and Lewis Rudin Lecture.From:Ari WallachViews:0 0ratingsTime:14:55More inEducation

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Global Futurist and Business Forecaster Jack Uldrich to Keynote CIO Executive Summit

Acclaimed global futurist, best-selling author and business forecaster Jack Uldrich has been selected to deliver the keynote address at the 2012 New Jersey CIO Executive Summit. In addition to covering future trends in information technology, mobile computing, social networking and "Big Data," Uldrich will also discuss the need for "unlearning."

San Francisco, CA (PRWEB) December 04, 2012

The title of Uldrichs presentation will be "Constant Change is the New Normal" and the material presented will be based on a combination of insights from his latest book, "Foresight 2020: A Futurist Explores the Trends Transforming Tomorrow" and his 2011 best-seller, "Higher Unlearning: 39 Post-Requisite Lessons for Achieving a Successful Future." The presentation, which will cover trends in information and communication technologies, robotics, cloud computing, artificial intelligence and business analytics, is designed to provide CIO's a solid foundation upon which they can create their own successful futures. A synopsis of some of Uldrichs ideas on information technologies can be found in this article, 10 Future Mobile Trends for CIOs to Consider Today.

Uldrich will provide an overview of how technological change is upending long-standing information technology (IT) models as well as discuss why these future trends will demand unlearning. Uldrich, who has been hailed as "America's Chief Unlearning Officer" will conclude his talk by reviewing the consequences of not embracing the concept of unlearning. Throughout his presentation, Uldrich will use vivid analogies and memorable stories, drawn from a wide spectrum of industries, to ensure his message of change "sticks" with his audience.

In the past year, Uldrich has addressed hundreds of business and trade groups from around the world, including delivering customized keynote presentations to The Chief Learning Officers Summit, PepsiCo, Southern Company, Cisco, IBM, WiPro, The California Agriculture Summit, Parsons Brinckerhoff, various YPO and WPO groups, and General Electric.

Parties interested in learning more about Jack Uldrich, his books, his daily blog or his speaking availability are encouraged to visit his website at: http://www.jumpthecurve.net. Media wishing to know more about the event or interviewing Jack Uldrich can contact him directly at 612-267-1212 or jack(at)schoolofunlearning(dot)com.

Uldrich is a renowned global futurist, technology forecaster, best-selling author, editor of the monthly newsletter, The Exponential Executive, and host of the award-winning website, http://www.jumpthecurve.net. He is currently represented by a number of professional speakers' bureaus, including Leading Authorities and Executive Speakers Bureau.

Jack Uldrich Jump the Curve 612-267-1212 Email Information

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Global Futurist and Business Forecaster Jack Uldrich to Keynote CIO Executive Summit

Let’s Roleplay Fallout 3. Episode 29 – Video


Let #39;s Roleplay Fallout 3. Episode 29
This is the story of Nathan Moore, a 19 year old vault dweller trying to survive the mad world around him. This is an ironman playthrough, with a focus on role playing from the first person perspective. I #39;ll happily answer any questions in the comments section. [Keywords: Let #39;s Play, Fallout 3, Bethesda, RPG, Role Playing, Infernocanuck, Post-apocalyptic, Retro-futurism, video game ]From:infernocanuckViews:187 13ratingsTime:21:47More inGaming

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Let’s Roleplay Fallout 3. Episode 30 – Video


Let #39;s Roleplay Fallout 3. Episode 30
This is the story of Nathan Moore, a 19 year old vault dweller trying to endure the mad world around him. This is an ironman playthrough, with a focus on role playing from the first person perspective. I #39;ll happily answer any questions in the comments section. [Keywords: Let #39;s Play, Fallout 3, Bethesda, RPG, Role Playing, Infernocanuck, Post-apocalyptic, Retro-futurism, video game ]From:infernocanuckViews:71 7ratingsTime:28:32More inGaming

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Disco Sugar Feat. Patricia Edwards – Bad Girl (Cole Jonson Remix) – Video


Disco Sugar Feat. Patricia Edwards - Bad Girl (Cole Jonson Remix)
Get back to the Disco shits with this special release of Disco Sugar with Patricia Edwards on the vocal, a 90 #39;s Disco Remix by Futurism and an Underground Tech Action from Cole Jonson!!!From:Vamos MusicViews:0 0ratingsTime:01:07More inMusic

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Disco Sugar Feat. Patricia Edwards - Bad Girl (Cole Jonson Remix) - Video

Introduction video to "Freedom Speaks" @ University of Louisville USA on 15th of November 2012. – Video


Introduction video to "Freedom Speaks" @ University of Louisville USA on 15th of November 2012.
Introduction video of "Freedom Speaks" edited and created by Saliya Shashie for the screening in University of Louisville.USA Organized by Sri Lankan Student Association at UofL .Original videos and documents were taken from ITN,SLRC,Defence.lk and Sri lanka Tourist board.From:kasun fernandoViews:94 0ratingsTime:05:55More inTravel Events

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Let’s Stream Dai 2 Ji Super Robot Taisen OG Part 4 – Video


Let #39;s Stream Dai 2 Ji Super Robot Taisen OG Part 4
Now we can get going! We keep the stream going! Sol Sulfur http://www.youtube.com Freedom http://www.youtube.com The 3 unite and make awesome content! -- http://www.twitch.tv/supersolrobo/c/1758517 utm_campaign=archive_export utm_source=supersolrobo utm_medium=youtubeFrom:SuperRobotSolViews:0 0ratingsTime:30:10More inGaming

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Let's Stream Dai 2 Ji Super Robot Taisen OG Part 4 - Video