In Good Health - Baylor Health Care System Online Newsroom
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In Good Health - Baylor Health Care System Online Newsroom
Health January 2014 Baylor GRAPEVINE EDITION Visit BaylorHealth.com/ Grapevine for informative videos, interactive quizzes, online event registration, and much more. REAL PATIENTS. REAL STORIES. In Good Health After a routine colonoscopy detected cancer, BILL DIPPEL is cancer-free and touting the benefits of regular screenings PAGE 6 NAVIGATING CANCER Faced with a diagnosis? Find support PAGE 4 FdBL011402_Grapeveine2.indd 1 DOCTOR OR DEAL? How to determine when it’s time to see the doctor PAGE 8 11/22/13 4:20 PM Rx Resource With the new Baylor Medical Plaza Pharmacy at Grapevine now open, Baylor Grapevine’s patients can fill their prescriptions before leaving the hospital. “We have technicians on the patient floors who talk to people before they are discharged,” explains Andrea Marcket, Baylor Grapevine’s pharmacy manager. “People can have their prescriptions filled and delivered to their rooms.” With the medications in hand before they leave, patients and their family members don’t have to make a stop later in the day. They can head straight home from the hospital and get comfortable as they recover. The pharmacy can also fill prescriptions for people who come to the hospital for doctor’s appointments or outpatient visits. Their doctors can call, fax or electronically send the prescriptions to the pharmacy. The pharmacy also carries overthe-counter cough, cold and allergy medications and medical equipment such as braces, support hose and walkers. It is located in the professional office building and hours are Monday through Friday, 9 a.m. to 5 p.m. The pharmacy accepts most insurance plans. Help for Complex Conditions People facing cancer and other serious illnesses— and their families—may struggle with complex care planning. Baylor Grapevine’s Supportive and Palliative Care Program can help. The specialists aim to improve communication among patients, family members and doctors, and guide patients in managing pain and symptoms. Tim Schroeder, MD, a supportive and palliative care physician on the medical staff at Baylor Grapevine, says, “A lot of times there are multiple consultants on a case and complex information is relayed to the family. We help people get a clear understanding of what’s going on with their loved ones.” He points out that supportive and palliative care is a medical specialty, just like cardiology or gastroenterology. And it is not hospice. Supportive and palliative care is focused on care planning. Would You Like to Know More? For information about Baylor Grapevine’s Supportive and Palliative Care Program, visit BaylorHealth.com/Grapevine or call 1.800.4BAYLOR. Baylor Regional Medical Center at Grapevine, 1650 W. College, Grapevine, TX 76051 West Region Director of Marketing: Dee Dee Ogrin; Manager of Marketing/PR: LaKisha Howard; Physician Liaison: Greg Davis; Community Outreach Consultant: Rachel Nobles Baylor Grapevine Main Number: 817.481.1588; Baylor Grapevine Physician Referral: 1.800.4BAYLOR (1.800.422.9567); Educational Programs: 817.329.2878; Baylor Grapevine Diagnostic Imaging Center: 817.305.5010; Baylor Diagnostic Imaging Center at Keller: 817.482.2000; Baylor Grapevine Women’s Center: 817.424.4500; 24-Hour Emergency: 817.329.2523; Baylor Therapy Center: 817.329.2524; Clinical Nutrition Programs: 817.329.2569; Baylor Grapevine Volunteer Services/Auxiliary: 817.329.2665 Baylor Health Care System Mission: Founded as a Christian ministry of healing, Baylor Health Care System exists to serve all people through exemplary health care, education, research and community service. Visit BaylorHealth.com or call 1.800.4BAYLOR for information about Baylor Regional Medical Center at Grapevine services, upcoming events, physician referrals, career opportunities and more. BaylorHealth is published six times a year by McMurry/TMG, LLC. © 2014 Baylor Health Care System. The material in BaylorHealth is not intended for diagnosing or prescribing. Consult your physician before undertaking any form of medical treatment or adopting any exercise program or dietary guidelines. Physicians are members of the medical staff at one of Baylor Health Care System’s subsidiary, community or affiliated medical centers and are neither employees nor agents of those medical centers, Baylor Regional Medical Center at Grapevine or Baylor Health Care System. Some physicians are employees of Health Texas Provider Network. Baylor Medical Plaza at Keller is not a legal entity but a location for the provision of health care services. Photographs may include models or actors and may not represent actual patients. If you are receiving multiple copies, need to change your mailing address or do not wish to receive this publication, please send your mailing label(s) and the updated information to Robin Vogel, Baylor Health Care System, 2001 Bryan St., Suite 750, Marketing Department, Dallas, TX 75201, or email the information to robinv@baylorhealth.edu. 2 BaylorHealth.com/Grapevine FdBL011402_Grapeveine2.indd 2 Pills ©Thinkstock; doctor and patient ©Media Bakery 11/11/13 8:31 AM S 200,000 PUT A SPIN ON THE NEW YEAR Boring equals burnout. Put a little extra kick in your 2014 exercise routine with spinning classes. This indoor, calorieblasting workout accommodates riders of all levels, whether you haven’t ridden since you were a kid or are a regular pro. There’s no balancing or choreography knowledge required. Instructors use heart-pumping tunes and guided visualization to motivate you through your ride, which features an adjustable resistance knob and five “core movements” to incorporate both cardio and strength training into the workout. By the end of a 40-minute ride, your core, legs and glutes will be burning, and you will have completed, on average, the equivalent of a 15- to 20-mile ride. The number of people hospitalized due to flu-related complications each year. ’Tis the Season to Call in Sick Avoid catching the crud by taking extra precautions at work. To keep yourself and your co-workers healthy, follow these tips from the Centers for Disease Control and Prevention. 1 Get a flu vaccine, which will protect you from the three most common viruses that have been identified this year. Urge your co-workers to get one, too. Are You Ready? Before beginning any exercise program, talk to your doctor. For a physician referral, visit FindDrRight.com or call 1.800.4BAYLOR. Spinning ©Getty Images/iStockphoto; sick ©Thinkstock; health care reform ©Thinkstock FdBL011402_Grapeveine2.indd 3 2 Use good hygiene practices. Wash your hands frequently with soap and water, and avoid touching your face. Regularly disinfect common areas, like the break room and doorknobs, with sanitizing wipes. Health Care Reform Milestone Jan. 1, 2014, marks the first day that several new patient protections take effect under the Affordable Care Act. 3 If you get sick, stay home. If you think you have the flu, call in sick for at least 24 hours after your fever is gone. 24 These include banning insurance companies from: • Discriminating against those with pre-existing conditions. • Charging higher rates to individuals because of gender or health status. • Imposing lifetime payout limits or annual payout limits on health benefits. BaylorHealth.com/Grapevine 3 11/11/13 8:31 AM Conquer the Cancer Maze Baylor Grapevine’s cancer nurse navigator program can help DEALING WITH A CANCER diagnosis can be overwhelming. Along with the emotional upheaval that can accompany a health challenge, cancer patients need to learn about their disease quickly, make a lot of decisions, follow complex treatment recommendations and schedule appointments with specialists. At the Baylor Charles A. Sammons Cancer Center at Grapevine, a patient navigation program helps patients and their families manage the challenges of a cancer diagnosis and treatment. A nurse navigator’s involvement with a patient starts at the time of diagnostic surgery. “Patients have a lot of questions after surgery: ‘Did the doctors remove all of the cancer? Do I need chemotherapy, radiation therapy or a combination? Do I stay in the hospital? Do I get my chemotherapy here? How do I get an appointment?’ A nurse navigator can help them find the answers,” says Jo Darling, RN, an oncology nurse navigator on the medical staff at Baylor Grapevine. Nurse navigators: • Answer questions and address patient concerns • Review medical records and explain options • Educate and empower patients to make informed decisions about their treatment options • Work with a multidisciplinary team of doctors to provide efficient, timely, quality care • Help schedule appointments • Assist patient and family members with finding appropriate resources • Explore and assist with financial resources Nurse navigators work with patients through the diagnosis and treatment stages and beyond. They improve access to care and remove barriers. Baylor Grapevine’s cancer care team includes a palliative care physician, a chaplain, a social worker, a dietitian, a pharmacist, a nurse navigator, a nurse manager and the nurse caring for the patient. This team addresses any issues that arise, from questions about Find Support To get help for yourself or a loved one facing a cancer diagnosis, or to learn more about the cancer nurse navigator program, call 817.424.4772. medication interactions to finding equipment like walkers or wheelchairs. Anyone can refer a patient to the cancer nurse navigator—a friend, a family member or the individual’s primary care doctor. Patients can even refer themselves. 4 BaylorHealth.com/Grapevine FdBL011402_Grapeveine2.indd 4 © 11/11/13 8:31 AM BACK PAIN MYTHS BUSTED We give you the straight-up facts BACK PAIN IS TAKING a serious toll. It’s one of the most common reasons we miss work, and one half of all working Americans say they experience back pain symptoms each year. Though the road to a healthy back isn’t always a simple one, treatments ranging from medication to physical therapy to surgery are available and usually effective, says Matthew Berchuck, MD, a spine surgeon on the medical staff at Baylor University Medical Center at Dallas and Baylor Medical Center at Waxahachie. And getting help starts with understanding the truth about your back pain. Here, Dr. Berchuck helps us separate fact from fiction. ———————[ MYTH ]——————— Bed rest is the answer to a backache. ———————[ FACT ]——————— “Years ago, people thought staying in bed for weeks was the thing to do, but DID YOU KNOW? It is estimated that 80% today we know that no more than 24 to 48 hours is recommended because of the deconditioning that happens as a result of prolonged inactivity,” Dr. Berchuck says. “Kidney infections, tumors, ulcers, ovarian cysts and pancreatitis are just a few of the things that can present as back pain,” Dr. Berchuck explains. ———————[ MYTH ]——————— Spine surgery doesn’t work and just leads to other surgeries. You can only have back pain if you’ve been in an accident. ———————[ FACT ]——————— Though lots of back injuries do start with trauma, back pain also can be caused by arthritis, infections and tumors, Dr. Berchuck says. ———————[ MYTH ]——————— Back pain means there’s a problem with your spine. ———————[ FACT ]——————— Back pain also can be caused by a host of other conditions that have nothing to do with the spine. ———————[ MYTH ]——————— ———————[ FACT ]——————— Most patients who undergo spine surgery do very well and are able to resume the activity level they had before surgery, Dr. Berchuck says. “Our understanding of spinal disease has increased greatly. Thanks to advances in both diagnostic and therapeutic technology, we have a much greater ability to diagnose and treat spinal disorders of all kinds.” Do You Know Your Back? Take our quiz at BaylorHealth.com/ BackPain to find out. of adults will experience back pain at some point in their lives. ©Thinkstock FdBL011402_Grapeveine2.indd 5 BaylorHealth.com/Grapevine 5 11/11/13 8:31 AM REAL PATIENTS. REAL STORIES. Just the Facts F I M “ i b i m s d e w B t w a i o c i s The truth behind colorectal cancer W s o When Bill Dippel, a Dallas lawyer, turned 50, his doctor told him it was time for a colonoscopy. His response was anything but pleased. “I laughed out loud and said, ‘You’ve got to be kidding me, doc!’” Like most of us, Dippel was anxious about the prospect of undergoing that procedure—but his physician Watch wouldn’t budge. “He told me guys my age were prime candidates for Bill’s Story colon cancer and that I needed to Hear more from Bill about his buck up and get it done, so I took experience. Visit his advice.” BaylorHealth.com/ He was glad he did. “My doctor found Exclusive today. and removed three polyps, one of which was cancerous,” Dippel says. “Had I not been screened when I was, the cancer would have progressed.” Thanks to laparoscopic surgery and six months of chemotherapy at Baylor University Medical Center at Dallas, Dippel, now 56, is cancer-free—and he’s sharing his message of early detection with anyone who will listen. “You deserve to take good care of yourself,” Dippel says. “A simple colonoscopy puts you in the best position to beat colon cancer, and it’s a great win. Just ask my kids.” If that’s not enough to convince you, read on. Here, Rassa Shahidzadeh, MD, a gastroenterologist on the medical staff at Baylor Regional Medical Center at Plano, shares five facts about colorectal cancer you need to know. 6 BaylorHealth.com/Grapevine FdBL011402_Grapeveine2.indd 6 11/22/13 4:20 PM FACT #1 IT’S NOT JUST A MAN’S DISEASE. “Maybe it’s because breast cancer is so widely covered by the media, but for some reason people have this idea that colon cancer is mainly a man’s problem,” Dr. Shahidzadeh says. “Colorectal cancer is equally devastating for both genders.” In fact, the National Cancer Institute estimates that 73,680 men and 69,140 women were diagnosed with the disease in 2013. And among Bill Dippel cancers that affect tells anyone both men and women, who will listen colorectal cancer is the about the second leading cause of importance of getting a cancer death in the U.S. colonoscopy, THE TAKEAWAY It including his doesn’t matter if you’re son, Creighton. a man or a woman. You should start getting screened at age 50, or earlier if you’re at high risk. FACT #2 IT DOESN’T ALWAYS CAUSE SYMPTOMS. “About half of the patients I see didn’t experience any symptoms prior to their diagnosis,” Dr. Shahidzadeh says. Symptoms are more likely to appear in later stages, but colorectal cancer is most treatable when it’s diagnosed early, before any warning signs appear. When present, symptoms may include abdominal pain, constipation, diarrhea, bloody stools or unexplained weight loss. THE TAKEAWAY Symptom-free doesn’t mean disease-free. Stay current on your screenings regardless of how good you feel. FACT #3 EVERYONE IS AT RISK. Individuals with a personal history of breast cancer, inflammatory bowel disease or colon polyps or who have a family history of colon cancer are at increased risk for colorectal cancer. Smoking, drinking excessively or eating a high-fat diet that includes a lot of red or processed meat may also increase risk. But everyone should be screened, regardless of how low they perceive their risk to be. “There are two kinds of risk—average and high,” Dr. Shahidzadeh says. “No one is ‘safe’ from colorectal cancer.” THE TAKEAWAY Talk to your doctor to determine a personalized screening schedule based on your level of risk. Colonoscopy Q&A Due for a colonoscopy? You likely have questions. Here, Clifford Simmang, MD, a colorectal surgeon on the medical staff at Baylor Regional Medical Center at Grapevine, answers the ones his patients often ask. Q Do I have to do the prep? A. Yes. You need to take a preparation to induce diarrhea and clean out your colon before your colonoscopy. It’s not pleasant, but small polyps FACT #4 YOU CAN’T BEAT A COLONOSCOPY. Though several screening options are available, the gold standard is still colonoscopy. “It can detect and remove polyps before they become cancerous, and it’s a really simple outpatient procedure,” Dr. Shahidzadeh says. Most people are pleasantly surprised by how easy and painless it is. “I had to be talked into it, but it really wasn’t bad at all,” Dippel says. THE TAKEAWAY Getting a colonoscopy is your best bet at preventing and detecting colorectal cancer, so don’t dodge it or delay it. FACT #5 IT’S PREVENTABLE. If properly screened, no one has to die from colorectal cancer. “This is one of the few cancers we can actually prevent,” Dr. Shahidzadeh says. The death rate from colon cancer has gone down over the past 20 years, likely attributable to the removal of polyps and early detection that occur during colonoscopies. THE TAKEAWAY Get over your hang-ups. Colonoscopy is one screening you can’t afford to miss. thinners, even baby aspirin, for several days before your colonoscopy. Q could be missed if your colon isn’t clean. Will the procedure be painful? A. No. It’s standard to use sedation, often from an anesthesiologist. Q Q Is there anything else I need to do beforehand? A. You will most likely need to stop taking any blood What happens if you find polyps? A. We remove them and send them to the lab for evaluation. Most polyps Get It Booked To schedule your colonoscopy, visit BaylorHealth.com/ Grapevine or call 1.800.4BAYLOR. can be removed during colonoscopy. If your doctor finds larger polyps, you may need laparoscopic surgery to remove them. BaylorHealth.com/Grapevine 7 FdBL011402_Grapeveine2.indd 7 11/22/13 4:20 PM How to know when a visit to the doctor needs to move to the top of your to-do list A As women, we take our roles as caregivers seriously. We’re the first to rush to the side of a sick child or relative, and never hesitate to take them to the doctor if we’re concerned. Yet we often fail to provide this same level of care for ourselves. But putting your health on the back burner is a dangerous game. “Forgoing screenings and exams can be hazardous to your health indeed,” says Robert Watson, MD, medical director at Baylor All Saints Medical Center’s Andrews Women’s Hospital. “Especially since many serious illnesses are most treatable when the first symptoms appear.” Ladies, we know you have a lot on your plate, but some symptoms simply shouldn’t be ignored. Read on to learn which are serious business—and which ones can afford to wait. 8 BaylorHealth.com/Grapevine FdBL011402_Grapeveine2.indd 8 ©Thinkstock 11/11/13 8:32 AM SYMPTOM Abdominal pain or bloating. GET IT CHECKED? Maybe. “For younger ➜ women, this is often just part of your monthly period symptoms, but for postmenopausal women, this can be the only sign of ovarian cancer,” Dr. Watson says. SYMPTOM Breast changes. GET IT CHECKED? Yes. Any new or significant ➜ changes in your breasts should be evaluated promptly for breast cancer, Dr. Watson says. SYMPTOM Exhaustion. GET IT CHECKED? Maybe. For most women, ➜ Dr. Watson says, this is just part of life. “A lot of women come in thinking there’s something wrong because they’re so tired. The truth is they have three kids and work 50 hours a week and that is exhausting.” That said, extreme fatigue that comes on suddenly could be a sign of something serious, so talk to your doctor. SYMPTOM Heavy or painful menstruation. GET IT CHECKED? Maybe. Having a ➜ particularly heavy or painful period is normal for some women. Bleeding after menopause, however, can be a sign of uterine cancer and should be evaluated promptly, Dr. Watson says. SYMPTOM Unusual skin changes. GET IT CHECKED? Yes. If you observe changes ➜ in moles or notice the appearance of new moles or skin lesions, talk to your doctor. “Skin cancer is very treatable if it’s found early,” Dr. Watson says. SYMPTOM Change in bowel movements. GET IT CHECKED? Yes. “Chronic constipation ➜ or diarrhea, or any significant change in the stools, is cause for concern and should be evaluated by a physician,” Dr. Watson says. These symptoms can indicate a bowel obstruction, Crohn’s disease or colon cancer. One More Thing Beyond seeing your doctor when a concerning symptom arises, Dr. Watson encourages women to see their gynecologist annually for a well-woman checkup. Consider doing it at the same time each year, on your birthday or right after the new year begins, for example, so you don’t forget. “An annual Pap smear may no longer be recommended for most women, but we still recommend an annual visit,” Dr. Watson says. “This is an important time to talk about symptoms or concerns, contraception options, hormones, medications and recommended screenings.” The Screen Scene Women need regular screenings to watch for signs of health problems. Rebecca Robert, MD, an obstetriciangynecologist on the medical staff at Baylor Regional Medical Center at Grapevine, recommends: • • • • • • • • An annual physical that includes a breast and pelvic exam. Pap tests as recommended by your doctor based on your age, risk and previous test results. While some women only need Pap tests every three years, everyone needs a pelvic exam annually. A baseline mammogram at age 35 and annual mammograms starting at age 40. Blood work that checks fasting cholesterol, thyroid function, glucose and liver enzymes at least every three to five years. A bone-density scan every other year beginning at age 50. Colonoscopy beginning at age 50. For smokers, a chest X-ray in their 40s or 50s. For women with a lot of moles, freckles or sun exposure, seeing a dermatologist annually. Women at high risk for certain conditions may need more frequent screenings. Take the Next Step Visit BaylorHealth.com/ Grapevine for a referral to a doctor on the medical staff at Baylor Grapevine. BaylorHealth.com/Grapevine 9 FdBL011402_Grapeveine2.indd 9 11/11/13 8:32 AM A dissolving device could become the new recommended approach for treating heart disease—and Baylor researchers are among the first to implant it WE’VE COME A LONG WAY in the treatment of heart disease. Just four decades ago, a clogged artery was a ticking time bomb—and there was little that cardiologists could do to stop it. Today, they use minimally invasive techniques to open clogged arteries and restore blood flow, and then they place tiny metallic mesh tubes called stents that release a drug to help prevent the arteries from narrowing again. And yet, this advanced method still has drawbacks. “Metallic stents can cause inflammation and subsequent scar tissue that can result in the renarrowing of the artery,” says David Brown, MD, director of transcatheter valve therapy and co-director of minimally invasive valve therapy at The Heart Hospital Baylor Plano. “A small number of these procedures require additional interventional procedures as a result.” fellowship and principal investigator of the study at the Baylor Heart and Vascular Hospital. But the device must be fully assessed. NOW YOU SEE IT … “We are testing the Absorb device Thankfully, especially in the field of to see if the technology can offer the medicine, innovations never cease. benefits of a traditional metallic stent, A new investigational product called but then ultimately restore motion to the the Absorb™ bioresorbable vessel once it dissolves,” vascular scaffold (BVS), Dr. Choi says. “We’re made by health care excited and proud to be How You company Abbott, works one of the fi rst sites in like a traditional metallic North Texas to enroll Can Help drug-eluting stent by patients into the trial in an Participate in a clinical opening clogged vessels effort to evaluate this new trial at Baylor. Visit and restoring blood flow. investigational technology BaylorHealth.com/ What makes it different, for our patients.” AdvancingMedicine to learn more. however, is that it dissolves Dr. Brown, who is over time. principal investigator of The beginning of 2013 the study at The Heart marked the advent of clinical trials for Hospital, is also encouraged by the this device in the United States, and potential of this new technology. “The Baylor Heart and Vascular Hospital and Absorb BVS has the potential to decrease The Heart Hospital are among the sites the risk of an artery renarrowing and participating in the trial, the first trial in could replace metallic stents as the the U.S. to test a BVS. recommended treatment, if the results of the trial are successful,” he says. TESTING, TESTING, 1-2-3 Initial results have been “promising,” says James W. Choi, MD, FACC, FSCAI, director of interventional cardiology 10 BaylorHealth.com/Grapevine FdBL011402_Grapeveine2.indd 10 11/22/13 4:20 PM Get the Exclusive Visit BaylorHealth.com/Exclusive for more health and wellness content! TIPSHEET The Air You Breathe Could pollution be putting your health at risk? Download our tipsheet at BaylorHealth.com/ Tipsheet to discover how you can breathe easier. > Shrimp & Asparagus Salad Free Healthy Recipes RECIPE Your resolution to eat better in 2014 just got easier. Go to BaylorHealth.com/Recipe to find nutritious dishes for every meal, mood and craving. Browse by course or main ingredient. PODCAST Know Your Carbs VIDEO PILL PRECAUTIONS When taking medications, take care—a single missed or delayed dose can reduce effectiveness or cause serious side effects. Visit BaylorHealth.com/ DigitalShort to learn more about the importance of taking your medications on time and as directed. Salad, skyline, pills, woman ©Thinkstock; broccoli ©Photoshot FdBL011402_Grapeveine2.indd 11 Choosing the wrong kind of carbs can leave you feeling tired and hungry, while the right ones can keep you sustained and satisfied. Visit BaylorHealth.com/Podcast to learn more about eating on the right side of the glycemic index. QUIZ Are You Heart Smart? Test your heart disease knowledge by taking our interactive quiz at BaylorHealth.com/ Quizzes today. BaylorHealth.com/Grapevine 11 11/11/13 9:32 AM NON-PROFIT ORG. US POSTAGE Baylor Health Care System 2001 Bryan Street, Suite 750 Marketing Department Dallas, TX 75201 PAID BAYLOR HEALTH FOCUS ON YOU. 1.25.14 FREE WOMEN’S HEALTH & WELLNESS EVENT! BLOOD PRESSURE •CHOLESTEROL* • HAND MASSAGE • PHYSICIAN Q&A SESSION *Fasting is required for accurate cholesterol readings. SATURDAY, JANUARY 25, 2014 7:00 AM- 11:00 AM Take care of your health at our annual women’s health event, For Women For Life™. Enjoy a light breakfast and hand massage, receive free health screenings, learn about various health topics and ask health questions to a panel of physicians. Get your loved ones together and register today! RSVP at 1.800.4BAYLOR or online at BaylorHealth.com/GrapevineForWomen EVENT LOCATION: NEW PATIENT TOWER, 1st Floor Baylor Regional Medical Center at Grapevine 1650 West College, Grapevine, TX 76051 Physicians are members of the medical staff at one of Baylor Health Care System’s subsidiary, community or affiliated medical centers and are neither employees nor agents of those medical centers, Baylor Regional Medical Center at Grapevine, or Baylor Health Care System. © 2013 Baylor Health Care System BRMCGV_871_2013 BHM CE 10.13 FdBL011402_Grapeveine2.indd 12 11/11/13 9:31 AM
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