February 2018 Starting RADIATION

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  • IzzyShepherd
    IzzyShepherd Member Posts: 12
    edited February 2018

    Hi there

    Today the nurse approached me with an exam gown that a previous patient made. It has a tag on it that says "sisterhood of the traveling gown". I can keep it to use while in treatment and when done you sign it with an included sharpie and any wishes and is then passed on to the next woman undergoing treatment. There are three names on the gown so far. Sweet idea.

    Tomorrow I will get a quick set of new xrays before the big beam. They do that after every five treatments. #11 tomorrow

    We got this

    Diane

  • miranda2060
    miranda2060 Member Posts: 281
    edited February 2018

    flowergal, I'm using the calendula cream, it feels (and smells) nice. Am in the middle of week two out of six (30 total treatments). Just a little bit of pinkness so far. I also will be taking the aromatase inhibitors after radiation.

    Feeling better after seeing the plastic surgeon. She said the tightness can be alleviated by a procedure once radiation is done. Said to wear a sports bra, which will be very nice after wearing that ugly post-surgical bra for the last month. I had the RO, who is nice but talks way too fast, show me on the computer exactly what areas are being treated. It helps to know more and to see the graphics.

    CaryLiz, best of luck with your treatments!

    Littlebee, sorry to hear you're having such bad fatigue and discomfort. Can you talk to the RO and RO nurses about these SE's?

    Blair2, sounds like you've lucked out with the music playlist. My treatments go pretty quickly, with most of the time devoted to taping down the damp towel boulos.

  • Tkane10
    Tkane10 Member Posts: 22
    edited March 2018

    i am feeling like such a big baby and typically I’m not. I am only on my 6th dose of radiation and i am so exhausted, my skin is already red and sore. My neck on the left side is stuff and feel hot all the time . I know my Drive is probably the cause of exhaustion since i didn’t have chemo prior to rads

  • randrgirl
    randrgirl Member Posts: 83
    edited March 2018

    Tewks - I apologize for this late reply. Yes! Fox Chase is great. They really are so supportive. I’m confident in my choice to go there. I hear you about the rads and being far. It’s far for me too. I go every day after work. So tired and fatigued. Going back to the folks at Fox chase, they really are lovely and kind. And maybe they do take happy pills. And the threrapy dogs really lighten up the day. It’s really nice. I will be honest though, I’m ready for this treatment to be behind me. I just do as the docs and techs say but I am ccounting down the days. 8 rads down...many more to go. :

  • Dectoremember
    Dectoremember Member Posts: 21
    edited March 2018

    Hi Tkane10,

    I too have felt like a big baby. You are not alone. For me it's the unknown. But I feel better after today's dose (only 2nd one). I was pretty exhausted today about 30 min. after it. But I tried to push through it. I can't imagine how I'll feel after a few more. I'm not red yet but it's painful and swore. But it was swore with shooting pains before rads. I did ask my tech today why on both treatments I thought I felt heat. It was like a prickly heat in a few spots. She said some patients have said the same but not this early in. Maybe it's my imagination, we'll see the rest of this week.

    Have you mentioned to your RO about the hot feeling on your neck? I hope it subsides for you. Best of luck tomorrow.


  • rdeesides
    rdeesides Member Posts: 459
    edited March 2018

    Is anyone else getting rads on their drain site(s)? I am getting a bolus too. I feel like this is a pretty aggressive treatment plan but I guess it’s good to go all in.

    Rebekah

  • petey111
    petey111 Member Posts: 183
    edited March 2018

    Hi ladies! I'm popping in because I had my last chemo today! They are ending three sessions early because of neuropathy. I've mixed emotions about that...so glad to be done, but didn't want to be a big baby and have to stop early. But they say it's ok to do.

    I meet with the RO tomorrow and will start rads somewhere between 2-4 weeks I think. I'm curious about one thing right now. When you slather on whatever cream/lotion/potions that you do, do you do the whole breast? Treated areas? Do you try to cover it with gauze or pads or anything to keep it from getting on your clothes? Just curious about that part right now.

    Thanks!

  • Anonymous
    Anonymous Member Posts: 1,376
    edited March 2018

    Hey Friends,

    I had 12 out of 20 rads today and so far so good. I'm starting to be pink but not too bad. Fatigue, however, is a different story all together. That hits me every day, a couple of times a day. We have a 3,700 ft. mountain here in the Virginia Blue Ridge that everyone hikes. I have done it several times in the past but not in the last two years. My goal is to hike it again before my birthday in September. I was diagnosed three days before my birthday last year and I'd love to hike it this year on the one year anniversary of my diagnosis.

    Problem is, I can't hardly walk up two flights of stairs without feeling like I just did 50 squats! So, that's where I'm at. I want to get through radiation and try to get back strength and endurance and climb a Blue Ridge Mountain after climbing this crazy cancer mountain over the past six months!

  • Georgia1
    Georgia1 Member Posts: 1,321
    edited March 2018

    Hi Petey111. I finished RADS 12/16 but check in here from time to time. Using calendula cream over the whole breast, up to the neck and around the side, is what most of us in the December cohort did - and most of us started using it a week in advance. Once you go in for your first treatment (after simulation) you can ask the tech to show you the computer image so you'll know exactly where the "X-rays" are hitting you. It's actually a fairly big square.

    Calendula cream and Miaderm (a combination of aloe and calendula) dry pretty fast so I never needed gauze. But Aquaphor, which helps if/when you have a real skin issue, is greasy and most women use it only at night with a ratty T-shirt.

    Best wishes to all of you - you'll do great. Just stay positive and take naps!


  • petey111
    petey111 Member Posts: 183
    edited March 2018

    Thank you so much Georgia! Good information to know!

  • klvans
    klvans Member Posts: 258
    edited March 2018

    Hello Everyone. I will be starting my first rad treatment tomorrow. I'm nervous and not looking forward to it. LizabethM I so relate to your wanting to get out and hike. I live in the Sierras and hiking is my passion. I have several I want to do this summer. It's motivating to have a concrete goal but I have a lot of work to do fitness wise before I'll be ready to hit the trail. I walk often but right now it's a hard chore rather than a pleasure. My muscles seem so weak and I get sore so easily. I had the same chemo regime as you and sometimes I think those drugs really affect the muscles. I know it sounds silly but I never expected the recovery from surgery, chemo and rads to take so long. Foolish, I know.

  • Billb464
    Billb464 Member Posts: 62
    edited March 2018

    I start tomorrow too. I had hoped to start Monday, but we just did a simulation to make sure everything was mapped out correctly. I have tried to keep up with my jogging/walking thru all this and have done pretty good. It was easier during chemo, surgery and reconstruction I had to slow down(fast walk) and I am hoping radiation goes just as well.

  • BellWAMissy
    BellWAMissy Member Posts: 17
    edited March 2018

    Ladies-

    I'm finishing up, just had 18/20. For my skin, I found after the first week I was already really red and sore. I was using a generic calendula/aloe cream. Halfway thru second week, I had some breakdown on the skin on/around the nipple. The doc had me start the aquaphor. I get really dry hands in the winter and always put lotion on and then slather with aquaphor after. Decided to try it on my breast and seems to have really worked. Just a thought...

    As for fatigue, I was slammed with it the first week. I started having some protein just before the session (a nut bar, trail mix, lunch meat) and that seemed to help. I'm making it through the day without a nap now 😃. I get to the weekend though and I'm wiped out. The house work is piling up. Good thing is that it will be there tomorrow, right??!!

  • Blair2
    Blair2 Member Posts: 495
    edited March 2018

    Oh yuck - I don't like hearing all this fatigue business going on with these treatments. Number 3 today along with some of you - who poops out first? I'm going to fight it or else - I don't have time for this crap - I'm behind on so many things.

    Yesterday I told the RO nurse that I started putting the Aquaphor on at night. She said to put a thin layer of it, so it's not so greasy. I spread it all over, and so far, not getting on gown. I plan to use the aloe gel as soon as I see pinkness. With just 2 treatments, I haven't felt anything so far. For those of you getting a heavier dose, I would think you will notice the side effects faster.

    Lizabeth - I understand you completely wanting to hike that mountain- and you will do it! I bet it's beautiful where you live if you're near The Blue Ridge - absolutely gorgeous country!

    I like the sound of this calendula cream several of you are using.

    BellWA - My sister was born in Bellingham - we lived in Seattle 12 years, came south due to Apollo programs in the 60s. My father worked for Boeing. I ended up in FL most of my life.

    Billb464 - Kivans - have a good experience today with your first treatment!

    Petey - I know how you feel shorting out on chemo. I missed my last treatment due

  • Blair2
    Blair2 Member Posts: 495
    edited March 2018

    IPad froze on me ———-

    Due to side effects and back problem. Hopefully there were enough cancer cells zapped in our bodies. Chemo drugs are dangerous and maybe some day they will come up with less dangerous drugs and treatments that kill cancer cells without harming good cells

  • mommaof4kids
    mommaof4kids Member Posts: 21
    edited March 2018

    I walked the rads journey in Dec/Jan and have not seen this suggestion online, but my RO instructed me to apply a green tea solution up to 4x a day and I think it worked well. I never had any bright redness or feel like my skin was burning, though I was sore after 14 treatments and did start peeling when I was getting boosts (treatments #16-20). The only other thing I used was a daily application of mometasone cream at bedtime which I was told is a steroid until rads were completed. Since completing rads, I have used Vanicream 3-4 times a day. My skin has healed well.

    To make the tea, use 1 caffeinated green tea bag in 1/2 cup of water. Get the water boiling and then let tea steep for 1 hour. Once it's cooled pour in a small spray bottle. Mist it over the entire area being treated (don't forget the skin under the breast). Allow the tea to air dry or gently blot it with a towel. The tea will lose its effectiveness over time, so make a new batch every day or two. RO told me it was ok to have tea on the skin when getting rads. (My instructions say "Patients with inflammatory BC, involving the skin, should NOT use green tea during rads").

    Fatigue is a real thing. I found that as crazy as it seems, if I exercised the fatigue was not as bad. I walk on a treadmill for 30 minutes each day (trying to push myself by going at a quick pace, though never running). I could always tell a difference on the days I did not exercise!

    Best wishes to all of you facing this treatment! You are strong!

  • Dectoremember
    Dectoremember Member Posts: 21
    edited March 2018

    HI everyone,

    Is anyone receiving the Proton Therapy type radiation? I was not aware of this type until a friend of the family who is a dr. that she herself went through breast cancer told me about it. I don't see being able to switch over now that I've already begun at a different facility. The facility I go to is about 5 minutes from my home. This Proton Therapy is near another local hospital that is about 20-30 minutes away.

    I was curious if anyone heard of or is having this type of radiation.

    For all the new ladies starting today, Best of luck. You've got this!! Let us know how it went.

    I'm getting ready for my 3rd zap within the hour. The Dr. friend who had BC brought me an Aloe plant last nigh. She said her group passes around this plant to new BC patients. They found the fresh Aloe helped with their skin. I used it last night and the redness I had going to bed is gone. I'm going to try this along with Utter cream she suggested.

    Good Luck everyone!

  • Joyseeker
    Joyseeker Member Posts: 312
    edited March 2018

    Finally got my apts. I start Monday. 16 treatments. 5 boosts. I’m hoping the worst part is the 1.5 hour drive to the hospital where I will be receiving treatment. Ready to embark on this last step....

  • klvans
    klvans Member Posts: 258
    edited March 2018

    I had my first treatment today. I could feel the radiation/heat on my breast especially on my nipple. It wasn't uncomfortable but I think after several treatments I will be sore. I asked my techs if my lung would get radiated and they said not very much if at all. I asked about my thyroid and got another vague answer. They weren't able tell me the parameters of the radiation field. I'm not satisfied with these responses and will talk with my radiologist. I want to know what part of my body is being radiated and how much radiation I'm getting. I guess I'm a nosy patient.

  • Veeder14
    Veeder14 Member Posts: 880
    edited March 2018

    Yes, I would ask to speak with the Radiation Oncologist and request a copy of your mapping as the technicians doing the treatment probably don't make those decisions. They should also tell you what the dose is for each treatment. My first treatment is next Thursday (simulation today) and I will given a copy so I can see just what areas are being treated.

    Also, you can join our March Radiation topic.


  • LittleLori
    LittleLori Member Posts: 16
    edited March 2018

    Today was 11/21. Five more whole breast treatments, then five boosts (I have my boost simulation and get a couple more tattoos on Tuesday). Thought I'd share my experience so far, and a few things I that surprised me.

    1) Deep breath holds took longer to get used to than I anticipated. Had one particularly bad day (treatment 6)--last Thursday it took 45 minutes because I couldn't get deep enough breaths. We had an unexpected 80 degree day in Pennsylvania the day before that, so maybe it was my allergies flaring? Since then I've been doing fine, and I'm usually in and out of the room in 10 to 15 minutes. I think I was overthinking things--try to relax. There is a sensor taped to my belly, so if my air level goes down, the machine stops, so the radiation can't get too close to my heart.

    2) Every day when I wake up, my breast looks and feels a little different than the day before. Less swelling than the first week, but some firmness, which I was told could happen. Also feeling more of the scar tissue around the lumpectomy site than I felt before. My nipple is quite a bit larger than the right one. Hoping it goes back to normal over time.

    3) My skin looks like I have a suntan with a little bit of pink on top of it, which i didn't really expect. Had my weekly checkin with the RO and he said I look as expected after 10 treatments. I have some tenderness and nipple sensitivity, but it is tolerable. A plus to being an a-cup is that the bottom of my breast is perpendicular to my ribcage, so I don't have to worry about rubbing there. The only friction is under my arm.

    4) For the past 3 days my nose is running like crazy (for hours) and i'm sneezing a lot within 10 or 15 minutes after getting home from treatments. The only thing that changes from earlier in the day is receiving oxygen to help with the breath holds. For the heck of it I googled, "can nasal oxygen cause a runny nose and sneezing?" Turns out it can! I read on several medical sites that the oxygen can dry out your mucous membranes, causing an overproduction of mucous. It's really annoying, but I'm confident that I'm boosting Puffs sales figures!

    Lastly--Be your own advocate!!! My RO sort of blew off my question about swelling the first week. His answer didn't make sense, which I told him, and I wouldn't let it go until I received a good explanation that didn't seen like he was rushing me out of the office. We deserve to be heard and get answers!!!

    Wishing you all the best outcome possible through this daily adventure!

  • Need_God
    Need_God Member Posts: 1
    edited March 2018

    First time here. I was reading about Lupron and found this forum. Recently diagnosed with breast cancer. Had double mastectomy. Margins are clean but found positive node so I need radiation. Planning session is March 12th and RO said 5 weeks. I'm 49 and Oncologist recommends Lupron shots for 3 months to shutdown my ovaries. Will start Tamoxifen soon and once menopausal switched over to an aromatase inhibitor.

    I know this is about radiation but can anyone tell me about Lupron? Everything I've read is awful. I know I have cancer but destroying my bones and my body is not going to help.

  • Billb464
    Billb464 Member Posts: 62
    edited March 2018

    My first treatment was interesting. I think with the chemo you see it going in your body and you know what is going to happen, where as the radiation treatments you can’t see anything and your afraid to move and mess it up. Lol no win-win there. I am scheduled for 25, hoping it goes smoothly, since chemo wasn’t that bad. I guess it is a good thing they took the nipple, that way I don’t have to worry about it. I am hoping the flap reconstruction holds up well during radiation. Hoping everyone stays well and gets through on time.

  • Billb464
    Billb464 Member Posts: 62
    edited March 2018

    Need God:

    I am not sure about Lupron, I had 2 positive nodes from the beginning and it was suggested to have chemo 1st, then surgery, and finish with radiation.I will be taking tomoxafin after I finish. I am 51 and when I was diagnosed in August, I was not in menopause yet, ( still regular each month) my last period was in August, due to the chemo. We are hoping it has put me in menopause permanently. If you are Not having chemo, I can see why you would need to shut down you’re ovaries. I don’t think there are any easy decisions we have to make daily about treatment plans, everything seems to have side effects. I can only have faith that the doctors are making the right decisions, but I will research every thing to make I know what’s is going on

  • sweetp6217
    sweetp6217 Member Posts: 365
    edited March 2018

    VL22 & Roaming Star: Congratulations on finishing...so great!

    dectoremember: from what I recall from my consult, and I am in Illinois, the only way to go for proton treatments is to sign up for the clinical trials/studies. And to do that, I knew that there was a possibility of being placed in a group that I may not want to be in (proton vs photon). Also, I've heard that it's for patients with certain stages of BC. More at pcori.org (research & results/explore our portfolio/Pragmatic Randomized trail of proton vs photon, etc.

    As for me, I've had my 7th of 33 treatments and I have a question. Have any of you heard of the arm near the armpit going numb? They made a mold for me and my left shoulder, arm and hand go fairly numb in the short time that it takes.The numbness has gone away everywhere except in the upper arm (that fleshy area that hangs down a little bit when I hold my arm level to the floor).

    They had to take a couple of x-rays during treatment because my plus sign was off by 3/16". They removed the clear sticker and wrote a new plus sign to line up with the lasers, then a new clear sticker. I wondered why my mark never looked like it lined up perfectly. Doesn't instill total confidence. Supposedly, I won't need x-rays again. We shall see.

    As for itchiness, I may need to try Calendula Cream. Thank you miranda2060! It tends to get itchy near my Supraclavicular lymph nodes.

  • JadeShiva
    JadeShiva Member Posts: 37
    edited March 2018

    19 down of 33 with the last 5 being boosts. I missed 2 days last week, one for snow and the other I was sick. My skin was glad for the break. It's a lovely roasty pink with fiery red dots and an oddly tanned nipple. I have a bit of peeling on the underside.

    My radiation oncologist says it looks great. He says this lets him know I'm getting the perfect dose and that it is doing what it needs to do. Have I mention how much I adore my radiation oncologist? He did say he will probably give me a couple extra days off this coming week so the skin doesn't get worse. I really hope he does.

    I am using Caledula cream. It doesn't take my redness down but really helps with dryness and itchiness. Downside to it, I keep lotioning off my stickers.

    I'm tired. I want to nap but I can't sleep. I'm not sure if the insomnia or the radiation is causing my fatigue. It's still nowhere close to as bad as what chemo felt like to me. Chemo felt like a struggle to stay alive, this is like feeling run down and tired.

    Other than skin and fatigue, I've noticed my old injuries hurt more. I had my acl replaced a couple years ago and it had healed very well. This last week it has been swollen and painful. I still have a random pain in my right thigh, but my bone scan was just fine. My breast occasionally gets stabby pains which hurt a lot but fade quickly.

    I wonder if I'm just run down enough that my pain perception is really keen. My *real life* is forcing me to focus on everything but healing.

    Wow, that sounded depressing! It's true but kind of nice to realize that life is going to go on. Things are going to need taking care of and many of those things are going to take the word Cancer off my mind.

    Oh oh oh! My head is fully covered with a half inch of hair and my eyebrows are coming back! I've also lost all my steroid weight gain and am back at my pre-chemo weight. The weight flew off fast so we're watching it but not worried.

    Have a good weekend everyone. I wish you all happy skin and naps.

  • Linda19152
    Linda19152 Member Posts: 36
    edited March 2018

    contemplating radiation

    two tumors small under 3mm

    is radiation recommended in that case

    can anyone comment?

  • petey111
    petey111 Member Posts: 183
    edited March 2018

    Is anyone having super clavicle radiation? It was something the RO was a little bit torn on for me.

    The meeting with RO yesterday was interesting. He is an interesting duck. But he really knows his research. The only thing he was a little torn on was if he should do rads to my Super Clavicle area. He was leaning towards no, as was his son who is also a radiology oncologist. The risk of side effects for that are greater than the rewards he thinks. Especially since I only had 1 of 4 nodes with micrometastasis. The reoccurrence rate for that area is only between 3-6% to begin with. Doing rads there might bring it down to 1.5%. So they both were leaning towards not doing it. He was really laid back towards lots of other things - like deodorant saying that wearing aluminum or zinc deodorant causing problems with rads is just "oncolore" and is a myth. He said I wouldn't need deep breath holds the radiation that would hit my heart - if it did - would be so low it wouldn't be a concern. He said he could show me the mapping and numbers of it to reassure me. He also said there is a new study from Harvard saying that many of the things they tell you to avoid for lymphedema don't actually affect it. But like I said, he backs it all up with research. And solid research too, studies where the participant numbers are huge and the results have clear links. I also now know the entire history of his family - where & how he and his wife met, where his son & wife met, his other son is a bachelor...etc. etc. And he went through the history of the treatment of breast cancer leading up to why lumpectomy is better for certain groups of women, and a lesson on the physics of radiation. We talked about my actual rads for maybe 30 min. of the two hour meeting. It was a little bizarre.

    I don't know if I'd have time to get a second opinion, but maybe I should...I don't know. I am supposed to have my set up appointment on the 15th and start on the 19th. That's not a lot of time to squeeze in another appointment. I suppose I can call though. Any thoughts or advice on any of this?

  • Blair2
    Blair2 Member Posts: 495
    edited March 2018

    Momaof4kids - what an interesting idea of using green tea as a radiation relief. It sounds like it worked well for you. Is there a reason why it should be caffeinated? Just wondering as I only have decaffienated green tea.

    Dector - I don’t know of anyone who has used proton therapy. From what little I read about it, it’s not a new method and isn’t offered at too many places. UF here in FL offers it, but I don’t think it’s any better than the standard external type photon method. Your doctor could explain it best. Nice you were given an aloe plant - that’s a good gift idea for radiation patients.

    Joyseeker - Good luck Monday - sorry you have to drive so far!

    Kivans - I’m kind of with you on radiation parameters. They probably can’t print out copies from their screens. My RO sort of slid by my question of a beam map. Like you, I want to know how that monster machine is hitting me.

    Veeder14 - Let us know if you get a copy.

    NeedGod - Lupron is new to me as I’m post menopausal. Did you research it here? They might explain it better.

    Billb464 - Holding still is hard. My head lays sideways and I can see that round part of the TrueBeam going under me for one beam shot, then creeps up barely on the side of me - figuring those beams are closest to my heart! It looks like a dinosaur with a flat round head and long neck trying to intimidate me!

    Sweetpea - My left arm pit went numb from lack of circulation during my simulation, but since then, I have adjusted it so it wouldn’t do that. In my prone position, my arm is stretched out above my head as I hang on to the black plastic handles (6 & 13) are my numbers there. I guess the weight of your arm can make it go numb.

    Jadeshiva - Good thing you didn’t miss too many days and I know you must be excited that your hair is coming in. It’s nice you are half through. The calendula lotion must be helping - others using it seem to be satisfied with it too. Hope your energy level improves- I’m dreading that part so much!

    Linda19152 - When you see your breast surgeon- he/she will tell you whether or not you need radiation. Your type of cancer is first learned with a biopsy along with some other factors. . When they do a lumpectomy or mastectomy, the pathology report will have more accurate details on your Stage, Grade, ES & PR status, and whether you’re HER2 positive or negative. It will also state whether your tumor was margin free, and whether lymph nodes were invaded. Radiation kills cancer cells that may still be in the breast tissue where the tumor was removed. (Surgery alone does not rid all the cancer cells). It prevents a local recurrence in the breast tissue by killing excess cancer cells still lurking around. Chemo is based on factors such as lymph node involvement, HER2 status, and the OncotypeDX test - if you had a lumpectomy. It will make more sense when you travel into this journey. I wish you good luck!

    Petey - no clavicle radiation here. Hope your doctor makes the right decision about it. “Iffy” from a doctor is not reassuring.

    Well - I had my 4th rad treatment. It was quick. Then I had two X-rays taken in the Accuboost machine. Next week I have both external (TrueBeam) and the Accuboost done. Then week after that, 3 days the same, then just the external for 4 weeks.

    Had my appt. with my chemo oncologist. My labs were good, but again, my back ache seemed to be not blamed from the chemo. I’m not sure why she refuses to think it was not caused from chemo since I have found plenty of others on these blogs who have experienced back issues. It’s rare, but if chemo causes muscle pain, why not muscles in the back? I was told I would need to basically have it explored by another doctor. I never had back problems until I started chemo! I didn’t hurt it in any way as I was half dead with chemo! It got worse with each treatment, and it was worse 5-6 days after the infusions. It definitely had a pattern to it, but she still disagrees. I think it should eventually wear away - I hope. Yet, my primary thought it was the chemo causing it. She’s a very young doctor, but you would think she would have heard of this as a side effect in her research.




  • JadeShiva
    JadeShiva Member Posts: 37
    edited March 2018

    Day 20 is going to go down as the day my burns became painful immediately after treatment and the calendula is not helping. All of my breast is burnt right up to my collarbone and into my armpit. I still just have a bit of peeling in my underboob crease but the stinging is enough to know that is going to change very shortly. :/ Thank goodness it's the weekend.

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