Merry Christmas everyone! I hope it was as great for you as it has been for me so far!! Take care, be safe, and enjoy whatever family/friends you have as much as you can!!
M-R
Thursday, December 25, 2008
Thursday, December 18, 2008
Finally a break!
Well we finished up last week with our 500 finals... alright, alright, it wasn't that many but it sure did feel like it with all the studying.
As I look back on this semester I realized one of my biggest weaknesses in this program was time management. I have to tell you, that is going to be the biggest thing that will bite you in the butt in PA school. You HAVE to remember to do the other, what I consider "random", assignments done as well as study, what I consider the "important", stuff. In PA school they will give you all kinds of diseases that you need to learn, the anatomy, the pharmacology, the process of diagnosing, the tests you will need to run, the symptomology, etc. Oh yea, and on top of all of that you also need to write a paper on this, or read this book for some "fun" reading and write a report on it and present it to the class or do some research on this topic and answer these questions. Also, don't forget about those quizzes online. Oh yea, and don't forget to make some time for yourself to relax, you can't do this 24hrs a day after all. HA!! Well when would you like me to do it then! :-)
Don't me wrong, it isn't that I failed completely at time management, it was just that I started slacking and loosing it right towards the end there. Call it what you will: being tired, lazy, in a medical knowledge coma... I prefer to call it BURNOUT!
Whatever you want to call it, the bottom line is I put off some of the assignments/projects that we were given earlier in the semester because I was studying the actual medicine part of stuff so I could do well on the module exam at the end of the module. Well what ended up happening was I had all those "random" things due at the end of the semester and I hadn't even really started them. So instead of taking a couple hours here, or a day there, I had to basically take a whole week to work solely on those projects so I could get them in. As a consequence of my lack of planning I was not able to study the "important" stuff, and was completely stressed out because of it.
Take a lesson from me and please, PLEASE get your time management skills down now, with whatever you have going on in your life. Working on it now will pay off huge when you get into PA school.
My plan for next semester you ask? Well, so I don't end up in the same situation next semester I am going to try taking a day a week, or maybe a few hours a week if the studying is getting intense, and work on the "random" things that are coming up soon. Also, I plan to write down all the assignment/quiz/project due dates in one location so I always know where to find them and can look back on it frequently to remind myself of what is coming up. That was another issue I had. If you haven't been in PA school yet, or are not currently in a program, one of the things they love to do is change the schedule up on you (or add things to the schedule) during class. Well, if you are ill prepared to receive such news (as I was) then you end up scribbling it down on the first piece of paper you can find (or a napkin from lunch). Great, so you have it written down, that's a step in the right direction. Trouble is, will you be able to find all those loose leaf pieces of paper when it comes time to figure out what is due and when? From my experience, NO! Do yourself a favor and get a planner or something like that. My new comp has a post-it note program right on the desktop, so that is what I am going to use because I almost always have my computer with me in class.
All in all it was a tough, challenging, frustrating, confusing, up-lifting, horrible, wonderful, exciting, boring, awesome, not so awesome, and incredibly fun semester. Now that I have made it through the first semester I look forward to the challenges and good times that lie ahead of me in the next semester! Wish Me Luck!!
M-R
As I look back on this semester I realized one of my biggest weaknesses in this program was time management. I have to tell you, that is going to be the biggest thing that will bite you in the butt in PA school. You HAVE to remember to do the other, what I consider "random", assignments done as well as study, what I consider the "important", stuff. In PA school they will give you all kinds of diseases that you need to learn, the anatomy, the pharmacology, the process of diagnosing, the tests you will need to run, the symptomology, etc. Oh yea, and on top of all of that you also need to write a paper on this, or read this book for some "fun" reading and write a report on it and present it to the class or do some research on this topic and answer these questions. Also, don't forget about those quizzes online. Oh yea, and don't forget to make some time for yourself to relax, you can't do this 24hrs a day after all. HA!! Well when would you like me to do it then! :-)
Don't me wrong, it isn't that I failed completely at time management, it was just that I started slacking and loosing it right towards the end there. Call it what you will: being tired, lazy, in a medical knowledge coma... I prefer to call it BURNOUT!
Whatever you want to call it, the bottom line is I put off some of the assignments/projects that we were given earlier in the semester because I was studying the actual medicine part of stuff so I could do well on the module exam at the end of the module. Well what ended up happening was I had all those "random" things due at the end of the semester and I hadn't even really started them. So instead of taking a couple hours here, or a day there, I had to basically take a whole week to work solely on those projects so I could get them in. As a consequence of my lack of planning I was not able to study the "important" stuff, and was completely stressed out because of it.
Take a lesson from me and please, PLEASE get your time management skills down now, with whatever you have going on in your life. Working on it now will pay off huge when you get into PA school.
My plan for next semester you ask? Well, so I don't end up in the same situation next semester I am going to try taking a day a week, or maybe a few hours a week if the studying is getting intense, and work on the "random" things that are coming up soon. Also, I plan to write down all the assignment/quiz/project due dates in one location so I always know where to find them and can look back on it frequently to remind myself of what is coming up. That was another issue I had. If you haven't been in PA school yet, or are not currently in a program, one of the things they love to do is change the schedule up on you (or add things to the schedule) during class. Well, if you are ill prepared to receive such news (as I was) then you end up scribbling it down on the first piece of paper you can find (or a napkin from lunch). Great, so you have it written down, that's a step in the right direction. Trouble is, will you be able to find all those loose leaf pieces of paper when it comes time to figure out what is due and when? From my experience, NO! Do yourself a favor and get a planner or something like that. My new comp has a post-it note program right on the desktop, so that is what I am going to use because I almost always have my computer with me in class.
All in all it was a tough, challenging, frustrating, confusing, up-lifting, horrible, wonderful, exciting, boring, awesome, not so awesome, and incredibly fun semester. Now that I have made it through the first semester I look forward to the challenges and good times that lie ahead of me in the next semester! Wish Me Luck!!
M-R
Thursday, November 27, 2008
When you're on a break, BE on a break!
Hey guys,
Well in light of the Thanksgiving holiday, I would like to comment on something that one of our professors said:
"When you are on a break don't do any studying or any homework. That's why it is called a break!"
You may be thinking to yourself, "Self, this should be an easy statement to honor since when in PA school you are constantly in go go go, study study study mode, and with out a doubt get extremely tired." However, I would like to respectfully disagree. Any of you who are currently in PA school or have been through PA school knows that whenever you get a 'break' from the 8-5 class time hours (weekends, holidays, time you should be sleeping, etc) you simply see it as more time to study and try to catch up on things that you have fallen behind in. To give an example: while I was in my undergrad I looked forward to weekends because it meant time to relax, sleep-in, spend time with friends, play disc-golf, go to party's, etc. Now in PA school I still get excited for the weekend, but not for anywhere near the same reasons. I get excited because I know that that will be two days that I can just study the whole time, without having to go to class and get more stuff added on. I don't sleep in on the weekend, I get up early so I can make it to the library when it opens and get my comfy spot and just grind it out! :-) Relaxation has become a foreign concept, and friends ... my friends are my classmates, period.
While I was preparing for school a friend of mine (now a 2nd year at my school's program) told me to make sure that I always make time for myself to relax and not study for at least a little while. He also said that I would actually do better in school if I did take breaks every now and then and just watched Family Guy, or did something totally not related to medicine. He suggested taking a night or so to do this. However, I find myself feeling guilty when I am not studying. I can be in a movie with my girlfriend, or just sitting at home on the computer (even when I am on here posting) and all I can think about is how I should probably be learning more about cardiomyopathies, or what specific treatment to start with in a patient with a history of CAD, smokes, is a male and is over the age of 55. It is really hard to pull myself away from study mode and just enjoy life outside of PA school (which I am slowly doubting exists :-D).
That all being said, I was honestly going to just sit at home (or the library) and just read/study the whole 'break' so I could get caught up on things. You see, our cardio module exam is coming up in about 2 wks and I still have a lot of other, what I like to call busy-work, things to complete that is due before the semester is done! Well, I called my mom and step-dad and told them that I probably was not going to go home from Thanksgiving this year because of all of that. They were both pretty bummed, but understood. My girlfriend was sitting on the couch with me while I was talking to my parents and listening to the convo. After I hung up the phone she looked at me and said, "You really should go home and take a break from studying for AT LEAST the day and see your family. You study way too much, and I can tell you need a break." My initial reaction was, "yea right .. there is no way I can go home right now." Well she insisted that I go home anyway, and that it would be good for me. Well, as much as the study-PAschool side of me was screaming NO!, the other 'normal' side of me was crying out YES!! So I chose to go home, which is where I am now.
The more and more I thought about going home, the more excited I got about the idea. Now that I am home, I gotta tell ya it feels pretty good to just relax for once. (Thanks girlfriend!) However, I have to be honest and say that I definitly have been feeling guilty about not studying, and have been planning out my game plan for the next few days after today, of which I will be studying. So even though I am not taking the whole time off, I am taking a break. Hopefully it will help me get recharged enough to get me through these next couple of weeks, and the polyexams that are ahead.
Well Happy Thanksgiving everyone! Hope you have a great holiday and have a safe one as well! Hope you enjoyed yet another 'short' post, (I swear I am hopeless!!)
M-R
P.S. - As much as I have a hard time taking a break, trust me it is worth it, and I do believe that those that take breaks every now and again do better and stay more positive than those that do not. So take breaks, if you can fight through the guilt :-)
Well in light of the Thanksgiving holiday, I would like to comment on something that one of our professors said:
"When you are on a break don't do any studying or any homework. That's why it is called a break!"
You may be thinking to yourself, "Self, this should be an easy statement to honor since when in PA school you are constantly in go go go, study study study mode, and with out a doubt get extremely tired." However, I would like to respectfully disagree. Any of you who are currently in PA school or have been through PA school knows that whenever you get a 'break' from the 8-5 class time hours (weekends, holidays, time you should be sleeping, etc) you simply see it as more time to study and try to catch up on things that you have fallen behind in. To give an example: while I was in my undergrad I looked forward to weekends because it meant time to relax, sleep-in, spend time with friends, play disc-golf, go to party's, etc. Now in PA school I still get excited for the weekend, but not for anywhere near the same reasons. I get excited because I know that that will be two days that I can just study the whole time, without having to go to class and get more stuff added on. I don't sleep in on the weekend, I get up early so I can make it to the library when it opens and get my comfy spot and just grind it out! :-) Relaxation has become a foreign concept, and friends ... my friends are my classmates, period.
While I was preparing for school a friend of mine (now a 2nd year at my school's program) told me to make sure that I always make time for myself to relax and not study for at least a little while. He also said that I would actually do better in school if I did take breaks every now and then and just watched Family Guy, or did something totally not related to medicine. He suggested taking a night or so to do this. However, I find myself feeling guilty when I am not studying. I can be in a movie with my girlfriend, or just sitting at home on the computer (even when I am on here posting) and all I can think about is how I should probably be learning more about cardiomyopathies, or what specific treatment to start with in a patient with a history of CAD, smokes, is a male and is over the age of 55. It is really hard to pull myself away from study mode and just enjoy life outside of PA school (which I am slowly doubting exists :-D).
That all being said, I was honestly going to just sit at home (or the library) and just read/study the whole 'break' so I could get caught up on things. You see, our cardio module exam is coming up in about 2 wks and I still have a lot of other, what I like to call busy-work, things to complete that is due before the semester is done! Well, I called my mom and step-dad and told them that I probably was not going to go home from Thanksgiving this year because of all of that. They were both pretty bummed, but understood. My girlfriend was sitting on the couch with me while I was talking to my parents and listening to the convo. After I hung up the phone she looked at me and said, "You really should go home and take a break from studying for AT LEAST the day and see your family. You study way too much, and I can tell you need a break." My initial reaction was, "yea right .. there is no way I can go home right now." Well she insisted that I go home anyway, and that it would be good for me. Well, as much as the study-PAschool side of me was screaming NO!, the other 'normal' side of me was crying out YES!! So I chose to go home, which is where I am now.
The more and more I thought about going home, the more excited I got about the idea. Now that I am home, I gotta tell ya it feels pretty good to just relax for once. (Thanks girlfriend!) However, I have to be honest and say that I definitly have been feeling guilty about not studying, and have been planning out my game plan for the next few days after today, of which I will be studying. So even though I am not taking the whole time off, I am taking a break. Hopefully it will help me get recharged enough to get me through these next couple of weeks, and the polyexams that are ahead.
Well Happy Thanksgiving everyone! Hope you have a great holiday and have a safe one as well! Hope you enjoyed yet another 'short' post, (I swear I am hopeless!!)
M-R
P.S. - As much as I have a hard time taking a break, trust me it is worth it, and I do believe that those that take breaks every now and again do better and stay more positive than those that do not. So take breaks, if you can fight through the guilt :-)
Friday, November 14, 2008
Stick-to-it-tiveness!
Hey guys,
Sorry it has been awhile since my last post on here. I think my problem is I tend to be a long winded person when it comes to writing. I know this, so I tend to put off writing because I know it is going to take me a long time to get out what I want to. So I have decided to do my best to keep things relatively short (as is possible) and just try to write more often, instead of in big chunks.
In that spirit, I wanted to give a brief update on what is going on. We took our Pulmonary module exam on Halloween. This time we took it in computer format (the way boards are taken) instead of on paper, which is how we will take the rest of our module exams. I did pretty well on that, and passed all of my class except for Pharmacology, which is my nemesis in this program. I didn't fail because I couldn't learn the stuff or couldn't understand it, I just didn't devote the time that it demands to do well in it. There is a sunny side to that however, after they went through the exam and through out some of the questions I did end up passing Pharm, so maybe it wasn't all me? Hopefully! A couple of my classmates did not end up doing well on this module which was unfortunate, but hey they are still in the program, and still truckin along!
We are currently in our Cardiology module, and let me tell you, it has been hellish since day 1. Like I said we took our module on Halloween, which was a Friday. Come Monday morning we started Cardio, and by probably the middle of the day I was already completely overwhelmed and felt totally lost, frustrated and behind! Since then things have not slowed down one bit from that level, and in fact I truly think things are getting thrown at us faster and faster. I feel like we are sled dogs and they are just cracking the whip over our heads, "Mush!!!" :-) Besides the 49 cardio disease states that we have to know well, including those that we are not going to be able to cover in class and must learn on our own, we also have to be able to analyze and interpret EKGs. EKGs... I have barely even seen an actual EKG, let alone been expected to tell someone that they have a myocardial infarction in the left lateral portion of their heart. We have an EKG book that we are required to read about 16 chapters from, which we have about a week or so to finish. In addition to that some of the diseases we have discussed so far, e.g. Dyslipidemia, have secondary causes which many of which we have not even discussed. As an example, a secondary cause of Dyslipidemia is Cushing's Syndrome, which is something that we are not going to actually learn about until next semester some time. [I tend to be able to understand and recall things later when I can understand their more specific mechanisms and what not.] These secondary causes all have different clinical manifestations and many have completely different indicated treatment regimens of which we need to understand and know when to use.
Ontop of all of that, we have all of these, what I like to call "busy-work" things going on, which truly only add to the stress of things.
I know this may sound like I am giving up. In truth, the thought has crossed my mind, "Why in the world am I putting myself through this insane amounts of stress?" However, it is a temporary thought process, then I buck-up and get back to work. I got that stick-to-it-tiveness, which is some times the only thing that pulls me through the day when I start getting really overwhelmed. There is light at the end of the tunnel.... or so I am told by the second years :-)
I leave you guys with this quote that a fellow classmate sent to me in the middle of our pulmonary module when things were really getting tough, and it truly sums up the attitude that I try to keep throughout this whole thing, enjoy!
"Success seems to be largely a matter of hanging on after others have let go." - William Feather
Keep with it! This isn't easy by any stretch of the imagination, but if it was easy everyone would do it!
So much for a short post eh?
M-R
P.S. - Please leave me some comments, it would be nice to know if this is helpful or interesting to those that do read! Thanks!
Sorry it has been awhile since my last post on here. I think my problem is I tend to be a long winded person when it comes to writing. I know this, so I tend to put off writing because I know it is going to take me a long time to get out what I want to. So I have decided to do my best to keep things relatively short (as is possible) and just try to write more often, instead of in big chunks.
In that spirit, I wanted to give a brief update on what is going on. We took our Pulmonary module exam on Halloween. This time we took it in computer format (the way boards are taken) instead of on paper, which is how we will take the rest of our module exams. I did pretty well on that, and passed all of my class except for Pharmacology, which is my nemesis in this program. I didn't fail because I couldn't learn the stuff or couldn't understand it, I just didn't devote the time that it demands to do well in it. There is a sunny side to that however, after they went through the exam and through out some of the questions I did end up passing Pharm, so maybe it wasn't all me? Hopefully! A couple of my classmates did not end up doing well on this module which was unfortunate, but hey they are still in the program, and still truckin along!
We are currently in our Cardiology module, and let me tell you, it has been hellish since day 1. Like I said we took our module on Halloween, which was a Friday. Come Monday morning we started Cardio, and by probably the middle of the day I was already completely overwhelmed and felt totally lost, frustrated and behind! Since then things have not slowed down one bit from that level, and in fact I truly think things are getting thrown at us faster and faster. I feel like we are sled dogs and they are just cracking the whip over our heads, "Mush!!!" :-) Besides the 49 cardio disease states that we have to know well, including those that we are not going to be able to cover in class and must learn on our own, we also have to be able to analyze and interpret EKGs. EKGs... I have barely even seen an actual EKG, let alone been expected to tell someone that they have a myocardial infarction in the left lateral portion of their heart. We have an EKG book that we are required to read about 16 chapters from, which we have about a week or so to finish. In addition to that some of the diseases we have discussed so far, e.g. Dyslipidemia, have secondary causes which many of which we have not even discussed. As an example, a secondary cause of Dyslipidemia is Cushing's Syndrome, which is something that we are not going to actually learn about until next semester some time. [I tend to be able to understand and recall things later when I can understand their more specific mechanisms and what not.] These secondary causes all have different clinical manifestations and many have completely different indicated treatment regimens of which we need to understand and know when to use.
Ontop of all of that, we have all of these, what I like to call "busy-work" things going on, which truly only add to the stress of things.
I know this may sound like I am giving up. In truth, the thought has crossed my mind, "Why in the world am I putting myself through this insane amounts of stress?" However, it is a temporary thought process, then I buck-up and get back to work. I got that stick-to-it-tiveness, which is some times the only thing that pulls me through the day when I start getting really overwhelmed. There is light at the end of the tunnel.... or so I am told by the second years :-)
I leave you guys with this quote that a fellow classmate sent to me in the middle of our pulmonary module when things were really getting tough, and it truly sums up the attitude that I try to keep throughout this whole thing, enjoy!
"Success seems to be largely a matter of hanging on after others have let go." - William Feather
Keep with it! This isn't easy by any stretch of the imagination, but if it was easy everyone would do it!
So much for a short post eh?
M-R
P.S. - Please leave me some comments, it would be nice to know if this is helpful or interesting to those that do read! Thanks!
Friday, October 17, 2008
Hold On and Don't Let Go!
Some background stuff first: In my program we learn by body systems. For example, our first module was Head, Ears, Eyes, Nose and Throat (or HEENT), so all the diseases states, tests to run, labs to ask for, history questions to ask and physical exam skills, and anatomy lab/lecture all pertain to those portions of the body. At the end of the 'module' we take an exam that has all of our classes on it. (Well most of them at least) Which is anywhere from 110 to ~300 mulitple choice or T/F questions.
With that being said, PA School whips by like a flash of lightening!! I am finding it hard to believe that we are already about 2 wks into this module (Pulmonology) and we have 2 wks to the day to become "experts" enough to pass the module exam (more on passing later) .... At the current moment I feel completely lost, and frankly a little burnt out. I think one of the most difficult things for me is sorting out the different diseases. Sometimes the differences between one disease state and the next is simply the fact that one has a cough without mucous being coughed up (sputum production) and the other just has a cough without anything being coughed up. The problem is that things in medicine are rarely black and white, and the patients I will see will rarely, if ever, be textbook examples of a disease. Which basically means that symptoms will often blend in with other disease and often you have to use all that you have been taught to make the best possible diagnoses you can. (Or rather pick the correct diagnoses on the exam ... let's see is it A or B?)
Bottom-line: to all of you Pre-PAs, and PA-S that are maybe just starting out as well, start thinking clinically as soon as you can. Do your best to get out of the mode of just memorizing facts like you had/have in undergrad and start thinking more 'whole-picture'. Sometimes simply picking up the patients occupation in your history taking can make you pick one diagnoses over the other (which goes back to the "whole picture" approach). There is just not enough hours in the day or days in the week to read and swallow every bit of every class, so consolidate the best you can to make the most of your time. In the group I study with we will have one person pick a disease state, go up to the white board and make a 'fake' patient and we go through creating a differential diagnoses (possible diseases that present with the chief concern (ex.. "I have a cough that has lasted for 2 wks now."), asking questions that we would ask, perform PE exams like we would do (and what we are looking for in each), get labs/tests that we would run (and what we would expect them to come back as, or what we are looking for to rule-out a certain disease), commit to a diagnoses then how we would treat that and whether or not we would follow up, etc... In doing this we bascially hit Pharmacology, PE Lab/Lecture, Primary Care Medicine, Pathophysiology, History and Physical Exam, even some Anatomy in there.
Since I started writing this blog entry a couple of days ago and am now finishing it up, I can not recall what my point was in this one, so hopefully it made sense. I think I was just trying to give you a sense of how intense this program has been so far. Way more so than I had every imagined for sure. OK, well I have to get back to Acute Epiglottitis and the Pneumonias. Hope you guys are enjoying so far. If you have any questions go ahead and leave a comment and I will do my best to answer, them as I blog.
M-R
Since I started writing this blog entry a couple of days ago and am now finishing it up, I can not recall what my point was in this one, so hopefully it made sense. I think I was just trying to give you a sense of how intense this program has been so far. Way more so than I had every imagined for sure. OK, well I have to get back to Acute Epiglottitis and the Pneumonias. Hope you guys are enjoying so far. If you have any questions go ahead and leave a comment and I will do my best to answer, them as I blog.
M-R
Sunday, October 12, 2008
Beginning Credits
Well I am finally getting around to writing in this thing. I am starting this a little late (I am on week 6 of PA school, I think) because I was trying to get my page organized and looking good before I started letting the public see it. However, with the way school is keeping me busy I fear that if I wait until I actually have time to figure it all out I will have graduated from PA school. :-) So please bare with me as I get this page polished up a bit. ... Moving on, since I am going to be writing my intro in the "about" section I will just let you guys know why it is I am doing this and maybe what I will be posting.
The two main reasons why I am writing this blog are so: 1) My family and friends can keep up with what is going on with me since I have little time to actually sit and talk with them about everything, and 2) so that I have something to look back on at the end of all of this and can see where I was, and where I am. I think self reflection is a great tool for learning and growing. The other reason I wanted to write this is because I know that there are a lot of pre-PAs out there, or people who may be remotely interested in becoming a PA, that are wondering what it is like in PA school. I know I heard a lot of stories about it before I went to PA school, but sometimes having someone who I could watch (or rather - read) go through it and see them over-come the hardships was an invaluable resource.
Now on to what it is I will be posting. I have seen and read through other PA-S (Physician Assistant Student) blogs and all of them had a different purpose in mind, it seemed, as to why they were posting. Some were posting merely as what seemed to keep there relatives and friends up-to-date with their life, and yet some others seem to be posting as an educational resource for those wanting to pursue PA school solely. I plan on doing a bit of both. I just want to have fun with this, and hopefully post at least once a week (and maybe sometimes more).
Alright that is enough for now. If you have any questions or comments while I am writing this, please feel free! I hope this can be of benefit to others as other PA-S blogs had been for me.
M-R
The two main reasons why I am writing this blog are so: 1) My family and friends can keep up with what is going on with me since I have little time to actually sit and talk with them about everything, and 2) so that I have something to look back on at the end of all of this and can see where I was, and where I am. I think self reflection is a great tool for learning and growing. The other reason I wanted to write this is because I know that there are a lot of pre-PAs out there, or people who may be remotely interested in becoming a PA, that are wondering what it is like in PA school. I know I heard a lot of stories about it before I went to PA school, but sometimes having someone who I could watch (or rather - read) go through it and see them over-come the hardships was an invaluable resource.
Now on to what it is I will be posting. I have seen and read through other PA-S (Physician Assistant Student) blogs and all of them had a different purpose in mind, it seemed, as to why they were posting. Some were posting merely as what seemed to keep there relatives and friends up-to-date with their life, and yet some others seem to be posting as an educational resource for those wanting to pursue PA school solely. I plan on doing a bit of both. I just want to have fun with this, and hopefully post at least once a week (and maybe sometimes more).
Alright that is enough for now. If you have any questions or comments while I am writing this, please feel free! I hope this can be of benefit to others as other PA-S blogs had been for me.
M-R
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