SlideShare a Scribd company logo
1 of 117
Download to read offline
©lucienengelen
©lucienengelen
©lucienengelen
Can you spot the elephant?
©lucienengelen
©lucienengelen
©lucienengelen
4 Forces hitting Health(care)
Image source: Healthcare Innovation World Cup Adapted @lucienengelen
Unsustainability

(Radical)
Consumer
Awakening
I
III IV
Technology
(now) availableII
Societal change
(incremental ?)
©lucienengelen
Food, electronics, errands … pharmacy ?
©lucienengelen
©lucienengelen
Biosimilars
what else?
©lucienengelen
©lucienengelen
©lucienengelen
See the pattern here?
©lucienengelen
©lucienengelen
©lucienengelen
Infographic by Paul Sonnier – The Story of Digital Health
©lucienengelen
5.2T
©lucienengelen
©lucienengelen
5.2T
©lucienengelen
Digital strategy is not translating
what you do now,digitally.



It is completely rethinking 

your model grounds-up
©lucienengelen
Digital strategy is not translating
what you do now,digitally.



It is completely rethinking 

your model grounds-up
©lucienengelen
©lucienengelen
Phase now is the same as start quality and safety thinking
“Do we choose to be sure about the numbers, 

without knowing if we’re doing the right thing?


or

do we choose to do the right thing, 

without knowing to be sure about the numbers.”
Lucien Engelen, 2016
“Do we choose to be sure about the numbers, 

without knowing if we’re doing the right thing?


or

do we choose to do the right thing, 

without knowing to be sure about the numbers.”
Lucien Engelen, 2016
©lucienengelen
Strategic
Frameworks
1958-2013
©lucienengelen
Strategic
Frameworks
1958-2013
©lucienengelen
Technology is there to grow service, knowledge and experience, Not to cut costs
@lucienengelen 2017
Start NOW !
+7 years
Graduate
+15 years

Before ANY
authority
©lucienengelen
from ‘Hospital’ to ‘Home’
©lucienengelen
from ‘Hospital’ to ‘Home’
from ‘Hospital’ to ‘Phone’
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
Innovation is Hard work
“We’ll go From ‘e’ to ‘i’ to ‘x’ eventually
@lucienengelen 2016
©lucienengelen
Different phases
©lucienengelen
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
©lucienengelen
The will
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
©lucienengelen
The need
The will
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
©lucienengelen
Leadership
The need
The will
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
©lucienengelen
Strategy
Leadership
The need
The will
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
©lucienengelen
Strategy
Culture
Leadership
The need
The will
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
©lucienengelen
Processes & Technology
Strategy
Culture
Leadership
The need
The will
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
©lucienengelen
Processes & Technology
Strategy
Culture
Leadership
The need
The will
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
©lucienengelen
Processes & Technology
Strategy
Culture
Leadership
The need
The will
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
Demolition-team
©lucienengelen
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
Processes & TechnologyStrategy CultureLeadership
The need
The will
©lucienengelen
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
Processes & TechnologyStrategy CultureLeadership
The need
The will
©lucienengelen
The Innovation Bulb
@lucienengelen 2017
“The end of the beginning”
image bulb: pawnile.deviantart.com
Processes & TechnologyStrategy CultureLeadership
The need
The will
©lucienengelen
Bold leadership
Back to core of purpose : the WHY
Influence the culture around the why
FAIL a lot and fast
Become frictionless
Create own competitor
Aggressive approach in €
Transform 10% of current process per year
Use of own (outside) IT -system first
©lucienengelen
Delocalized
©lucienengelen
Delocalized
Democratized
©lucienengelen
Delocalized
Democratized
digital
©lucienengelen
Delocalized
Democratized
digital
dollars
©lucienengelen
©lucienengelen
Everyone thinks of changing the world,
but no one thinks of changing himself.
Lev (Leo) Tolstoy
©lucienengelen
©lucienengelen
©lucienengelen
Did you spot the elephant ?
REshape 

core team
REshape
Fellows
Ambassadors
Explore

Inspire
Facilitate

@rwhooijer)
‘To have a significant impact on healthcare’
@rwhooijer)
Healthcare in 2017:
higher demand, better treatment options, budget cuts,
more ‘self-empowered patients’
Research
and
Explore
Inspire
and
Educate
Innovate
and
Enable
Gartner Hype Cycle
©lucienengelen
Gartner Hype Cycle
Focus
reshape center
©lucienengelen
©lucienengelen
0 to 1 0,8 to 1,2 1 to 100
adaptedfromcentralofficeofdesign
REshape Inno-lab Scale-out
©lucienengelen
0 to 1 0,8 to 1,2 1 to 100
adaptedfromcentralofficeofdesign
REshape Inno-lab Scale-out
Concept to prototype
Ideas from:
Patients,HCP &
Network and
industry
patients
primary care
Information-
Management
health insurance
commercial sector
other hospitals
Innovations with
significant impact
on health(care)
Implement
on hold or
terminated
Test and Evaluate
Chance of success
Idea to concept
sharing
(MoC)
(MoC)
(MoC)
(MoC)
Innovation Radboud university medical network
©lucienengelen0 to 1 0,8 to 1,2 1 to 100
©lucienengelen
©lucienengelen
©lucienengelen
OnIntensiv
Current Vitals : Lucien Engelen
©lucienengelen
©lucienengelen
Life vitals in clinical patients
From three times daily to
24/7 continuous monitoring
Lean monitoring
… when they need to be
Continuous & Proactive
Health data now
©lucienengelen
Disruptive monitoring with new parameters
Blood glucose HRV
X
Interval X = 30 minutes
5.5 mmol/L
3.9 mmol/L
Early Warning Heart Rate Variability for drop glucose level
©lucienengelen
©lucienengelen
Papers per year in Pubmed
0
750
1500
2250
3000
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
pubmed - eHealth pubmed - mHealth OR "mobile health" pubmed - digital health
TomvdBelt&LucienEngelen
©lucienengelen
Digital first, physical next
©lucienengelen
Digital first, physical next
©lucienengelen
Digital first, physical next
©lucienengelen
©lucienengelen
ICDMO
©lucienengelen
ICDMO
Founding Members
Initiator
©lucienengelen
Founding Members
Initiator
©lucienengelen
Patients
Included
PatientsIncludedisaTrademarkoftheREshape&InnovationCenter
™
Technology
is a tool,
not our
goal.
450 Freshmen @ new curriculum ‘15
E-health - Social Media - Innovation with patients - Flipped classroom - BYOP
©lucienengelen
“be curious” ©lucienengelen
Powered by:
27
Our core team
@HealthInnSchool
#HealthInnovationSchool
28
1st cohort: 50 leaders across the sector
Patient
Gov
Industry
Insurer
Doctor
Regulator
Physio
Insurer
Academia
Mental health
Doctor
Patient
29
Patient
Doctor
Doctor
Doctor Gov
Gov
Nurse
Gov
Industry
Guest trainers
30
@HealthInnSchool
#HealthInnovationSchool
National
Guest
trainers
31
International
!
" #
$
$
$
# %%
@HealthInnSchool
#HealthInnovationSchool
!
Source REshape Center 2014
The delocalization of health(care)
©lucienengelen
- 70%
Source REshape Center 2014
The delocalization of health(care)
©lucienengelen
where good healthcare in 10 years
will be delivered :
n=1600
©lucienengelen
Everywhere Home Hospital Doctor
where good healthcare in 10 years
will be delivered :
n=1600
©lucienengelen
People of age 65 and older 2000-2050
Source US Census Bureau
©lucienengelen
People of age 65 and older 2000-2050
over 65 over 85
Source US Census Bureau
©lucienengelen
©lucienengelen
using technology
1st wave
©lucienengelen
using technology
2nd wave
Obesity, Diabetes, Mental health issues
living in technology
1st wave
©lucienengelen
using technology
2nd wave
Obesity, Diabetes, Mental health issues
living in technology
1st wave
©lucienengelen
Nicolai Copernicus
©lucienengelen
Nicolai Copernicus
©lucienengelen
Health(care)’s Copernican moment
Nicolai Copernicus
©lucienengelen
Professional
Patient
Health(care)’s Copernican moment
Nicolai Copernicus
©lucienengelen
Professional
Patient
Patient
Professional
Health(care)’s Copernican moment
Nicolai Copernicus
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
©lucienengelen
@lucienengelen
725.214 followers
www.patreon.com/lucienengelen

More Related Content

What's hot

Opledingen is vooruit zien (federatie Med. Specialisten
Opledingen is vooruit zien (federatie Med. SpecialistenOpledingen is vooruit zien (federatie Med. Specialisten
Opledingen is vooruit zien (federatie Med. SpecialistenLucien Engelen
 
Je ticket naar gezondheidsonderzoek
Je ticket naar gezondheidsonderzoekJe ticket naar gezondheidsonderzoek
Je ticket naar gezondheidsonderzoekLucien Engelen
 
Hacking Health Camp 2017
Hacking Health Camp 2017Hacking Health Camp 2017
Hacking Health Camp 2017Lucien Engelen
 
ICT & Health Experience
ICT & Health ExperienceICT & Health Experience
ICT & Health ExperienceLucien Engelen
 
Philips 27 maart 2017 #digisummit
Philips 27 maart 2017 #digisummitPhilips 27 maart 2017 #digisummit
Philips 27 maart 2017 #digisummitLucien Engelen
 
Hartstichting 15 2-2017
Hartstichting 15 2-2017Hartstichting 15 2-2017
Hartstichting 15 2-2017Lucien Engelen
 
Stockholm #ledarskapsdagen2016
Stockholm  #ledarskapsdagen2016Stockholm  #ledarskapsdagen2016
Stockholm #ledarskapsdagen2016Lucien Engelen
 
SONCOS breakfast session
SONCOS breakfast sessionSONCOS breakfast session
SONCOS breakfast sessionLucien Engelen
 
Beyonddata conference Eindhoven
Beyonddata conference EindhovenBeyonddata conference Eindhoven
Beyonddata conference EindhovenLucien Engelen
 
Smarthealth masterclass e-health
Smarthealth masterclass e-healthSmarthealth masterclass e-health
Smarthealth masterclass e-healthLucien Engelen
 
Nexxworks bootcamp Lucien Engelen
Nexxworks bootcamp Lucien Engelen Nexxworks bootcamp Lucien Engelen
Nexxworks bootcamp Lucien Engelen Lucien Engelen
 
Lucien Engelen ICThealth Conference 2018
Lucien Engelen ICThealth Conference 2018Lucien Engelen ICThealth Conference 2018
Lucien Engelen ICThealth Conference 2018Lucien Engelen
 

What's hot (20)

Opledingen is vooruit zien (federatie Med. Specialisten
Opledingen is vooruit zien (federatie Med. SpecialistenOpledingen is vooruit zien (federatie Med. Specialisten
Opledingen is vooruit zien (federatie Med. Specialisten
 
Apps & Case
Apps & CaseApps & Case
Apps & Case
 
Je ticket naar gezondheidsonderzoek
Je ticket naar gezondheidsonderzoekJe ticket naar gezondheidsonderzoek
Je ticket naar gezondheidsonderzoek
 
Hacking Health Camp 2017
Hacking Health Camp 2017Hacking Health Camp 2017
Hacking Health Camp 2017
 
ICT & Health Experience
ICT & Health ExperienceICT & Health Experience
ICT & Health Experience
 
Philips 27 maart 2017 #digisummit
Philips 27 maart 2017 #digisummitPhilips 27 maart 2017 #digisummit
Philips 27 maart 2017 #digisummit
 
Hartstichting 15 2-2017
Hartstichting 15 2-2017Hartstichting 15 2-2017
Hartstichting 15 2-2017
 
Stockholm #ledarskapsdagen2016
Stockholm  #ledarskapsdagen2016Stockholm  #ledarskapsdagen2016
Stockholm #ledarskapsdagen2016
 
JnJ bij MeanderMC
JnJ bij MeanderMCJnJ bij MeanderMC
JnJ bij MeanderMC
 
SONCOS breakfast session
SONCOS breakfast sessionSONCOS breakfast session
SONCOS breakfast session
 
Beyonddata conference Eindhoven
Beyonddata conference EindhovenBeyonddata conference Eindhoven
Beyonddata conference Eindhoven
 
Smarthealth masterclass e-health
Smarthealth masterclass e-healthSmarthealth masterclass e-health
Smarthealth masterclass e-health
 
TMG SUNL 30-11-2016
TMG SUNL 30-11-2016TMG SUNL 30-11-2016
TMG SUNL 30-11-2016
 
Clustertour Nijmegen
Clustertour NijmegenClustertour Nijmegen
Clustertour Nijmegen
 
Nexxworks bootcamp Lucien Engelen
Nexxworks bootcamp Lucien Engelen Nexxworks bootcamp Lucien Engelen
Nexxworks bootcamp Lucien Engelen
 
HIS 2de cohort dag 1
HIS 2de cohort dag 1HIS 2de cohort dag 1
HIS 2de cohort dag 1
 
Hospitality group
Hospitality group Hospitality group
Hospitality group
 
Radiologiedagen 2018
Radiologiedagen 2018Radiologiedagen 2018
Radiologiedagen 2018
 
Dagens Medicine
Dagens MedicineDagens Medicine
Dagens Medicine
 
Lucien Engelen ICThealth Conference 2018
Lucien Engelen ICThealth Conference 2018Lucien Engelen ICThealth Conference 2018
Lucien Engelen ICThealth Conference 2018
 

Similar to Lucien Engelen Dagens Visit Sweden

Lucien engelen data driven healthcare 2017 kl
Lucien engelen data driven healthcare 2017 klLucien engelen data driven healthcare 2017 kl
Lucien engelen data driven healthcare 2017 klLucien Engelen
 
KNMP congres Patient Power 13 Maart 2018
KNMP congres Patient Power 13 Maart 2018KNMP congres Patient Power 13 Maart 2018
KNMP congres Patient Power 13 Maart 2018Lucien Engelen
 
Zorginnovatietrip Joris en Christan
Zorginnovatietrip Joris en ChristanZorginnovatietrip Joris en Christan
Zorginnovatietrip Joris en ChristanLucien Engelen
 
Gyn kwaliteitsmiddag 2018
Gyn kwaliteitsmiddag 2018Gyn kwaliteitsmiddag 2018
Gyn kwaliteitsmiddag 2018Lucien Engelen
 
Dialyse congres Baxter Ede 30 11-2016
Dialyse congres Baxter Ede 30 11-2016Dialyse congres Baxter Ede 30 11-2016
Dialyse congres Baxter Ede 30 11-2016Lucien Engelen
 
Drechtsteden 17-11-2016
Drechtsteden 17-11-2016Drechtsteden 17-11-2016
Drechtsteden 17-11-2016Lucien Engelen
 
Bravis eHealth avond 17-11-2016
Bravis eHealth avond 17-11-2016Bravis eHealth avond 17-11-2016
Bravis eHealth avond 17-11-2016Lucien Engelen
 

Similar to Lucien Engelen Dagens Visit Sweden (15)

Lucien engelen data driven healthcare 2017 kl
Lucien engelen data driven healthcare 2017 klLucien engelen data driven healthcare 2017 kl
Lucien engelen data driven healthcare 2017 kl
 
SGF dag Putten
SGF dag PuttenSGF dag Putten
SGF dag Putten
 
Masterdialogen AMC
Masterdialogen AMCMasterdialogen AMC
Masterdialogen AMC
 
KNMP congres Patient Power 13 Maart 2018
KNMP congres Patient Power 13 Maart 2018KNMP congres Patient Power 13 Maart 2018
KNMP congres Patient Power 13 Maart 2018
 
Zorginnovatietrip Joris en Christan
Zorginnovatietrip Joris en ChristanZorginnovatietrip Joris en Christan
Zorginnovatietrip Joris en Christan
 
Gyn kwaliteitsmiddag 2018
Gyn kwaliteitsmiddag 2018Gyn kwaliteitsmiddag 2018
Gyn kwaliteitsmiddag 2018
 
Xmed 2018
Xmed 2018Xmed 2018
Xmed 2018
 
Dialyse congres Baxter Ede 30 11-2016
Dialyse congres Baxter Ede 30 11-2016Dialyse congres Baxter Ede 30 11-2016
Dialyse congres Baxter Ede 30 11-2016
 
Drechtsteden 17-11-2016
Drechtsteden 17-11-2016Drechtsteden 17-11-2016
Drechtsteden 17-11-2016
 
Oost-NL
Oost-NLOost-NL
Oost-NL
 
Denmark 10 11-16
Denmark 10 11-16Denmark 10 11-16
Denmark 10 11-16
 
Bravis eHealth avond 17-11-2016
Bravis eHealth avond 17-11-2016Bravis eHealth avond 17-11-2016
Bravis eHealth avond 17-11-2016
 
BASIS 2018 Napels
BASIS 2018 Napels BASIS 2018 Napels
BASIS 2018 Napels
 
Venticare 2016
Venticare 2016Venticare 2016
Venticare 2016
 
ROC Almere/Amsterdam
ROC Almere/AmsterdamROC Almere/Amsterdam
ROC Almere/Amsterdam
 

More from Lucien Engelen

Axira sessie (low res 2)
Axira sessie (low res 2)Axira sessie (low res 2)
Axira sessie (low res 2)Lucien Engelen
 
Healthcare meets retail 8 juni low res.pdf
Healthcare meets retail 8 juni  low res.pdfHealthcare meets retail 8 juni  low res.pdf
Healthcare meets retail 8 juni low res.pdfLucien Engelen
 
Wired Health Italia Lucien Engelen
Wired Health Italia Lucien EngelenWired Health Italia Lucien Engelen
Wired Health Italia Lucien EngelenLucien Engelen
 
Xmed 2019 Lucien Engelen
Xmed 2019 Lucien Engelen Xmed 2019 Lucien Engelen
Xmed 2019 Lucien Engelen Lucien Engelen
 
Book images Augmented Health(care)™
Book images Augmented Health(care)™Book images Augmented Health(care)™
Book images Augmented Health(care)™Lucien Engelen
 
Oncologie Verpleegkundige Specialisten VSO voorjaarscongres
Oncologie Verpleegkundige Specialisten  VSO voorjaarscongres Oncologie Verpleegkundige Specialisten  VSO voorjaarscongres
Oncologie Verpleegkundige Specialisten VSO voorjaarscongres Lucien Engelen
 
Navenant Interview Lucien Engelen
Navenant Interview Lucien Engelen Navenant Interview Lucien Engelen
Navenant Interview Lucien Engelen Lucien Engelen
 

More from Lucien Engelen (8)

Axira sessie (low res 2)
Axira sessie (low res 2)Axira sessie (low res 2)
Axira sessie (low res 2)
 
Healthcare meets retail 8 juni low res.pdf
Healthcare meets retail 8 juni  low res.pdfHealthcare meets retail 8 juni  low res.pdf
Healthcare meets retail 8 juni low res.pdf
 
Wired Health Italia Lucien Engelen
Wired Health Italia Lucien EngelenWired Health Italia Lucien Engelen
Wired Health Italia Lucien Engelen
 
DocSF Berlin
DocSF BerlinDocSF Berlin
DocSF Berlin
 
Xmed 2019 Lucien Engelen
Xmed 2019 Lucien Engelen Xmed 2019 Lucien Engelen
Xmed 2019 Lucien Engelen
 
Book images Augmented Health(care)™
Book images Augmented Health(care)™Book images Augmented Health(care)™
Book images Augmented Health(care)™
 
Oncologie Verpleegkundige Specialisten VSO voorjaarscongres
Oncologie Verpleegkundige Specialisten  VSO voorjaarscongres Oncologie Verpleegkundige Specialisten  VSO voorjaarscongres
Oncologie Verpleegkundige Specialisten VSO voorjaarscongres
 
Navenant Interview Lucien Engelen
Navenant Interview Lucien Engelen Navenant Interview Lucien Engelen
Navenant Interview Lucien Engelen
 

Recently uploaded

College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...Miss joya
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...narwatsonia7
 
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...Miss joya
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune) Girls Service
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune)  Girls ServiceCALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune)  Girls Service
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune) Girls ServiceMiss joya
 
Low Rate Call Girls Patna Anika 8250192130 Independent Escort Service Patna
Low Rate Call Girls Patna Anika 8250192130 Independent Escort Service PatnaLow Rate Call Girls Patna Anika 8250192130 Independent Escort Service Patna
Low Rate Call Girls Patna Anika 8250192130 Independent Escort Service Patnamakika9823
 
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...indiancallgirl4rent
 
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Miss joya
 
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...Miss joya
 
Call Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatore
Call Girl Coimbatore Prisha☎️  8250192130 Independent Escort Service CoimbatoreCall Girl Coimbatore Prisha☎️  8250192130 Independent Escort Service Coimbatore
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatorenarwatsonia7
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...jageshsingh5554
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiAlinaDevecerski
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escortsaditipandeya
 
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls ServiceKesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Servicemakika9823
 
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870  Meetin With Bangalor...Bangalore Call Girls Hebbal Kempapura Number 7001035870  Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...narwatsonia7
 
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% SafeBangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safenarwatsonia7
 
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% SafeBangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safenarwatsonia7
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...Taniya Sharma
 

Recently uploaded (20)

College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
 
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
 
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune) Girls Service
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune)  Girls ServiceCALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune)  Girls Service
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune) Girls Service
 
Low Rate Call Girls Patna Anika 8250192130 Independent Escort Service Patna
Low Rate Call Girls Patna Anika 8250192130 Independent Escort Service PatnaLow Rate Call Girls Patna Anika 8250192130 Independent Escort Service Patna
Low Rate Call Girls Patna Anika 8250192130 Independent Escort Service Patna
 
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
 
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
 
sauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Service
sauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Servicesauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Service
sauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Service
 
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
 
Call Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Darjeeling Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatore
Call Girl Coimbatore Prisha☎️  8250192130 Independent Escort Service CoimbatoreCall Girl Coimbatore Prisha☎️  8250192130 Independent Escort Service Coimbatore
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatore
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
 
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls ServiceKesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
 
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870  Meetin With Bangalor...Bangalore Call Girls Hebbal Kempapura Number 7001035870  Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...
 
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% SafeBangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
 
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% SafeBangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safe
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
 

Lucien Engelen Dagens Visit Sweden