Trying to Move Beyond, but can't...
I wasn't sure where to post this, so I'll start here:
I have accepted the fact that I "had" bc. I've accepted the fact that there's a possibility of developing mets or a recurrence. I've accepted the fact that I no longer live worry-free. More often than not, I live each day with a positive outlook. I work hard at keeping busy in an effort to not dwell on the "what ifs".
But...I just cannot dismiss or move beyond the resentment I have toward my Gyn. How is it possible that my 3.9cm tumor located in an A cup size breast was not found during one of the 5 annual appointments leading up to my dx. How could a tumor this size NOT be palpable? I just cannot understand this. This has been nagging at me on and off for the past year. Maybe I can get closure or take a few steps forward, with some input, answers and advice from the real "experts"...ALL OF YOU!
Comments
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Wow, Laura...I could have written your post myself. Thank you for expressing your feelings so succinctly. I completely feel the same way, with one other thought.
I have less faith in the medical profession now than I did at diagnosis and through treatment. I feel they really know less than I cgave them credit for.
I try not to dwell on the what ifs but there is not a day they do not creep into my thoughts.
Reoccurrence weighs heavily on my mind, especially as I make long term plans and purchases.
Over three years out and it seems to get harder and not easier.
I constantly try and turn the dark thoughts away and make a concentrated effort to move to my positive mantra when they creep in...but...nonetheless, they are always there...
It is not the fear of death, that bothers me...It is the sadness I would bring to my loved ones...
I sure hope there is a day when I can truly move beyond...
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Hi Laura: I understand how you feel I went in with a breast lump that they ignored for almost two years as I got sicker and sicker and I'm furious about it still, I've decided to take them to court. I just don't want it to happen to anyone else again by that doctor and the specialist she sent me to. They all just shrugged if off to anxiety, which made me anxious so thats how I'm going to deal with it. I don't really care if I win or lose but I just want them to never treat another women the way they treated me. I hope it brings me some closure because your nagging thought is the same thing I'm feel everyday and it has to stop because it's not helping me. I need to be positive not always have this in the back of my mind. I really hope you can fiquire out how to step forward through this. I think what gets me so much is that they took away my strength for so long and actually made me think I was just a worry wort. Good luck XPearl
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I think that if I had been treated poorly, like Pearl was, or felt that the doctor(s) had really been neglectful, I would seriously consider a lawsuit also, just to ensure that no one else got similar treatment. My gyn (actually, her fill-in while she was on maternity leave) did a full exam the month before my mammo and detected nothing. By the time my routine mammo picked up the cancer the following month, the other docs thought it distinctly palpable. Was the gyn negligent? I don't know, but suspect it was just human oversight. Of course, such oversight can have severe consequences in some circumstances. But for me, luckily, I had the mammo right after that, so it worked out. As I said, if I thought he was being a jerk and I had let it go assuming I was "clean," I'm sure I'd feel differently.
If you can't sue though, Laura, you might want to consider counseling around holding the resentment or begin a meditation practice in an effort to let it go. I don't think that we can just will away such things, but we can develop different perspectives on events that allow the resentment to lose its power.
~Marin
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Laura,
I understand exactly how you feel. I was very fortunate or lucky to have had really good doctors and surgeons. Had I had a gyno who said lets watch my lump for 6 months, I would be dead. And I would have probably accepted that because he was the "doctor".
I realized going thru treatment that you have to take responsibility for your care and ask questions and push doctors for answers. And I thought I was getting really good at that. I questioned my onc several times on why I wasn't getting any scans. In May I was dx'd with congestive heart failure/cardiomyopathy from the chemo and the cardiologist cannot believe my onc didn't do muga scans or echos with the chemo.
Since then I have been totally angry at myself for not insisting on scans from my onc! I'm thinking it should have been HIS responsibility but somehow find that I'm beating myself up like it is my fault because I have heart damage!
I don't know where you draw the line. I am not a doctor or nurse. However, I'm beginning to feel like we are somehow expected to research conditions/problems so that we can ensure our doctors are providing "thorough" care.
My own onc appeared to be following the guidelines and standards in all other aspects of my treatment. He just never ordered mugas or echos....and I still keep wondering how the hell I missed knowing that should have been done!
Debbie
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Please Laura I do not mean to offend so don't take this wrong.
Blame is not important now.
In order for a lump to be palpable it must be at least pea size (a small pea let's say). A lump this size may or may not show up on a mammogram.
A lump this size will contain over a million cancer cells. Once you have a lump this size there are already over a million cancer cells at work.
Maybe your GYN missed this lump, maybe not. Maybe it was a rapidly growing, rather agressive cancer that grew this lump quickly.
Maybe your self examinations missed this lump on many occasions as well. Maybe your husband felt this lump once or twice and shrugged it off, did'nt think much of it..
All of you should have felt this palpable lump, but none of you did.
You have done so well at accepting what most people could not.
Accept this too.
Diane had a mammogram a few weeks before they found the lump that killed her. It did not show on the mammogram.
It really was'nt anyone's fault.
Do I make any sense at all?
If not, I'm sorry.
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Hi Laura:
I had a lump similar size
guess a bit smaller
at the beginning
My GP missed it
and the Mammo missed it
On my gut feeling, I went to
a surgeon.. who found it
Yes, I was very angry
and asking WHY is this happening?
to myself
However, then I had surgery,
chemo/rads.. to go through
and knew only so much energy
to move forward
I chose to let it go
Could comment more but won't
When you start suing people
costs big bucks and you have to
be pretty sure
I am approaching eight years
and very grateful
Doctors are not Gods
they make mistakes (not that it should happen)
I had a doctor make a mistake
with my pet as well
said a lump was fine
I often say:
It ain't the hill
I want to Die ON
so many other things
and no one knows how
much time we have
for certain
Sending out good thoughts for you -
I spent almost two years asking the doctors to just give me a mammo or biopsy and demanded bloodwork that came back bad everytime, thats why the doctor sent me to an internest who just plain ignored the lump that you could physically see and feel it was big. Sunflowers you have a great idea about writing a first person story about what happened to me, but my lawyer said not to because it could be considered slander at this stage and she also recommended not to mention the clinic or doctors name. I wasn't a laid back patient I was upset that they just would do what I asked that's why I always insisted on bloodwork being done, the worst part to this day was how stupid these doctors made me feel. I was 99lbs and they are telling me nothing is wrong. It was awful and I've spread the word to anyone who is interested but I had a legal team do a two week research on my case and they said it was a slam dunk, what the doctors did was wrong they profiled me. That's was the worst thing. Now it's supposed to be in the liver, my back doctor is afraid it's in my bones, I've lost to much time and few good jobs because I was feeling so ill all time. So I still think I'm going to court. I'm not a person who takes going to court lightly it won't be easy and I'm sure they will try blame me for my own cancer. But I have to do it.
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Thanks so much! I really, really appreciate your suggestions, etc. Laura and Snowy, I feel for you...
I just talked to my dh and he reminded me that the breast surgeon, during one of my appointments, was shaking his head wondering how my Gyn could have missed the tumor. I can't believe I forgot about this. The larger of my two lumps was the size of a golf ball. Yeah...bigger than a pea and...several Dr's told me it was slow growing...perhaps 5-7+ years b/4 dx. It's not so much that I'm looking to blame someone, but I worry about other women under his care. I have not seen him since my dx...I switched to someone different because I just couldn't let him touch me ever again. Perhaps one way to get closure would be to meet with him and let him know my concerns and ask him to be more thorough with his exams. I've read that male Dr's are sometimes reluctant to perform adequate breast exams due to the fear of liability...being accused of fondling. Just one more thing...6 months prior to when I found the smaller of my lumps during s/e, I had noticed that the bc breast had stopped responding to monthly hormone changes. Typically, both breasts would become swollen and tender. But the bc breast just kinda "died" and it became dormant. When I told my Gyn about this he said it was nothing to worry about...chalked it up to normal hormone behaviour. Should I have done some research...perhaps, but isn't this why you go to a Dr in the first place.
Like I said...I'm not dwelling on this, thank goodness. Yes, it nags at me sometimes, but I think it will eventually fade away...just like the scars, and all the other battle wounds. I am going to meet with an attorney in a final attempt to move beyond. But in the meantime, it is nice to be able to "talk" about it with those who truly understand the depth of all this - and get answers and opinions, etc.
edited to add: I think the lump was already there when I first started doing s/e's and because I was told I had dense tissue, I think I just assumed the lump was dense tissue especially because it was up against the chest wall as opposed to "floating" amongst soft tissue.
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Snowy, sounds to me you do have a slam dunk case. YOU were ingored and YOU knew not all was well. Good luck to you in your law suit. I think it's appropriate to sue in some cases. You HAVE a case.
I went to my gyn March '04 and also had the mammo the same day. The mammo is read before I see the gyn and I know before I leave the clinic what my mammo results are. My gyn gives a GREAT breast exam, but it's AFTER the mammo. I've often wondered that since my mammo was "clear" if he had dismissed feeling "something." I hope not. I didn't find the lump until Dec. 04. As big as it was it was there in March. My onc said we could make a "case" that it was there. I didn't see the '04 mammo. I'm too chicken. My breast (used to be breasts LOL) is dense. I know I'm not the only woman who's mammo didn't find her lump. I just hope a better diagnostic tool becomes available for us who have dense breasts.
Shirley
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Debbie - It's awful that you didn't get the scans you needed. I'm sorry you have to now deal with the ramifications.
Snowy - Your story is amazing...I'm glad you're taking legal action. I wish you the best. It's ironic you would mention the weight loss. 5 years before I was dx'd I was very sick and I lost 27 pounds in 3 months. When I look back, I really think it was from the bc. Please keep me posted about your case.
Marin - Thanks...I don't think it's serious enough to warrant counseling, but I appreciate the advice.
Sierra - Thanks...just fyi...you don't pay the attorneys. They take a portion of the settlement as payment. If the case is lost, the attorney gets nothing.
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I spoke with an attorney...they are confident I have an "actionable" case, but I may have missed the statute of limitations. They're working on a way around it, but I won't know for sure for a few days. And...I haven't even decided if I even want to pursue it. It's good to know though, that I have options, and that I can decide what's right for me and my emotional healing process.
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Hi Laura,
I understand what you are saying....how frustrating and annoying to have a tumor that large!!!!
For those that had mammos that missed tumors..it was my understanding that only some women make calcifications and unless you make them, the tumors will not be seen on mammos...that's also frustrating..
We're told everywhere..get clinical breast exams...well what about when the clinician doesn't do a good one..fine..get mammos..what if you don't have calcifications? Then you have to wait until it's large enough to feel and even then some Dr.'s miss it...
Good luck with prosecuting...let's stop this nonsense for future sisters!
Love Marisa
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Thanks Marisa -
You're absolutely right! I appreciate your response. Best wishes to you and your Mom.
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i had bc 10 yrs ago stage 1 had lump and rads doc told me that if i ever had any problem again they would catch it early and at that point i could opt for a mast
well 10 yrs of yearly checkups, mammos and sonograms
and i got dx with stage 3c my tumor was over 7 cms and it had gone into my lymph nodes! how could that happen so fast
i was 2 months past my yearly checkup and i beat myself up for so long but 2 months could not have made the difference
and to top it all off my mammo came back clear at my checkup
my sono showed a small tumor my lymph nodes were palable and the MRI they took after showed everything i had dense breast tissue and should have been getting MRI not MAMMO i am now NED after adjunct dose dense chemo and double mast but why should i have gone thru all THAT ! this should have been detected sooner
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My primary, a woman, examined me in February, and then I had to wait until June for mammogram. I actually noticed a slight lump myself and pointed it out to technicians. But mammogram and sonogram didn't pick it up. i was told to return in six months but my husband insisted I go get it checked out right away, and thank goodness he did, as it was DCIS and IDC. However, when I went back to my primary for surgical clearance (and we both knew that I had cancer) she still couldn't feel it. Said it felt like normal tissue. it's possible that your tumor grew very quickly. I've read of that happening with some women. But it's also possible that the exam was sloppy and too quick--I've read of that as well. I have other things that I find difficult to move beyond. I think we probably all have, as there's always some negligence in our care--we have so much of it with surgery, chemo, radiation, hormone therapy, etc.! I understand how you feel. Have you have spoken about it to your gyn? That might help you and might make him/her more vigilant in the future.
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Wow...amazing. 7cm's...jdash, I'm so happy you're NED...rock on! and...btw...your pooch is adorable!
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(((Laura)))
I'm so sorry you're in pain over this.....
I occasionally think about how I had annual mammograms for 15 years and 'only' 3 months after my annual gyne exam and mammogram the lump was palpable to my then-lover. It grew very quickly (IMO) from something only palpable to something quite visible (I'm A/B cup). Well, WTF??? As it turned out, my tumor was 'only' 1.2cm but it seemed much larger to me.
My point (if I have one?) is that you never know what is lurking/growing and cancer can grow slowly or quickly. Maybe no one made a mistake or maybe everyone made a mistake? I never do monthly breast exams. I KNOW I should, but I don't.
Laura, call me anytime.
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Wow..JDash..did you say they weren't giving you MRI's after 1st dx? I'm surprised..my mom gets mammos and MRI's every 6 months..ugh..so annoying!!!!! I'm glad you're NED!
I'm a big believer..if there's a lump and it can't be detected by anything...push a biopsy...years before my mom was dxed she had a lump that everyone ignored and said it was fine..which at that time it probably was...but it was at least ADH at that point and if it had been detected or removed, she may not have developed BC or at least been more on the lookout!
Poke your lumps with a needle!
(just don't do it yourself!)
Love Marisa
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Since I'd had a hyst. in my 30's I need no gyn. My pcp had me on HRT for menopause.
I finally went to a gyn to discuss stopping HRT in'02, on a Monday. Had been getting mammos for 9 years and watching microcals in my right breast.
Had the WORST vaginal and breast exam in history from this gyn (barely touched me) and went for my yearly mammo 4 days later. Wound up with a 1.9cm. lesion diagnosed on mammo and confirmed on US in my LEFT one.
I'd never felt it either, so I guess I can't blame him too much, I kinda laugh about it at times. He sent me home that day with a New Testiment bible and religious readings. The exam was so lousy--but he did send me a very religious get well card!
Guess with a doc like that --- you need all the help;you can get from God, cause the doc sucks.
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I've not gotten any scans since my diagnosis. I always wonder how they would know what the heck is going on if they can't see it. I wonder if stuff could be traveling around inside me now and should I find out much later with symptoms...would I have been able to find out any earlier???
I didn't get a MUGA after I was done with chemo and asked my onc what the purpose of the MUGA was before chemo if they aren't tracking it after chemo. She said they don't do MUGA after chemo..only before. That was standard. I didn't question it.
Not sure what to think...
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Hello Laura my good friend. Im sitting here thinking that the resentment is normal. There must be so much anger inside you towards that gyne. Lobular is so sneaky - were you able to feel a lump? I found a lump but it didnt show up on mammogram and they had a hard time finding it on ultrasound.
When I think back now, after going through this journey - most doctors never really did a good breast exam on me. Just a quick move about and I know they would never have felt the lump. Even when I went to my PCP and showed him the lump he told me not to worry it was glandular!
Anyways, I think the most important thing here is that you are recognizing your anger and that your talking about it. Not good to keep it pent up inside. Once you work through this you will be able to move on - cuase you are such a good hearted person.
Love
nnn
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Thanks so much! I'm shaking my head trying to understand why there's so many situations of neglect. It just seems that all this should be considered basic, standard, routine care.
Because my lump grew to be so big - 3.9cm - the bc went into my Sent Node...that's the part that makes me fear mets. And that's the part I'm struggling with. I thought the lump was dense tissue. In order to move beyond I think I need to resolve the past, in way of answers, explanations, etc.
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Hi Laura,
I certainly understand your anger and upset over your situation. I just had my first post tx mammo and everything was fine. My surgeon said come back in 3 months. I thought that was strange, because I had been told it was every six months. When I got home I reread my path report out of curiosity. I was treated for IDC, and there on the path report was a notation of LCIS, multifocal in the 10 x 4 x 2 cm section of tissue that was removed on my lumpectomy. NO ONE HAS YET TO MENTION THIS TO ME. Guess I better bring up how we're going to deal with this on my next visit in March!! Makes me wonder if I chose the best option with lumpectomy.
About being able to resolve the past with answers, explanations, etc., to be able to move beyond. My experience in many major life changing and life-altering events was that with or without answers, it didn't change what was and is, and I struggled with that. For some, I have never received the answer. For another, I didn't understand the answer and why it happened, and it hurt me deeply. The only thing that helped me was TIME. I obsessed about the answers for months and months and months. Sometimes there just is no explanation for human behavior and certainly in the medical field when they took an oath to DO NO HARM.
The worse part for me was finding a way to be able to trust again ... people in general and certainly the healthcare providers we entrusted our lives to.
I have to believe now that most doctors and nurses do care. My rad onc and his staff were kind, but total goofballs. My surgeon is busy, but why haven't we talked about the findings on my path report from last March. Thank god my new PCP is on the ball and has my back. I'll discuss this with her as well in March.
Finally, like Nicki said ILC is really sneaky and tends to grow in sheets or tubes as opposed to a lump and can hide. Still 3.9 cm is a lot to hide from!!
I hope you are able to resolve your past medical treatment. Maybe a little face to face time with those doc's who did such a lousy job in the past wouldn't hurt. They need to know they better step up in the future and remember it could be their wives on that examining table.
Please keep writing and let us know how and what you're going to do.
love,
Bren
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Thanks Bren - I appreciate the advice. You brought up an interesting debate. I don't think it's right when Dr's don't inform patients about everything pertaining to their medical situation. When I looked at my path report and I saw the LCIS in addition to the ILC - I too questioned it. And I was told by 3 Dr's that the LCIS put me at a higher risk of bc developing in the "good" breast. That's when I decided to have the Prophyl done. Maybe this is why he wants you to have another one done in 3 months. You'd think he WOULD share this info with you as his liability would then be less.
Yes, ILC can be sneaky, but a lump is a lump and mine was a "solid mass". Let me know what happens at your next visit...although I would have a hard time waiting...I'd be on the phone, el pronto. Best wishes.
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Laura, sweetie, you are one of the strongest, most supportive sisters on this site. Your nagging doubts and upset with your doc are totally understandable. I think you remember what I went thru trying to talk my surgeon in doing the proph mast on the good side. I still have anger at him when I think about it. Yes, of course, I could find another surgeon to remove it and I did, but the GALL of that first guy to just tell me "no" about something that is life threatening just eats at me sometime. I think all of us understand where you are coming from. AND we know we should let it go, but that is easier said than done! Love ya girlfriend. Marsha
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Laura,
Elapsed time is in your favor being triple negative.We who are ER+ know that the 2-4 year period is a possible time for trouble and even 5-10 years is not home free. So for many ER+ I think the wonder is am I getting closer to recurrance as the initial years go by?
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HI,
That is the horrible randomness of BC. Nosurrender had alternating Mammos and MRIs every 6 months and yet developed a Ilc with positive nodes. It does make one less confident. Then this year we learned that the chemo combo of Adria and Taxol may not be effective for most ER + women. I have become even more cynical about cancer treatment and my late DH was an oncologist.Beth
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My "once" pastor's wife had bc in 2001. She found an egg size lump three months after he mammo. She was triple negative (I don't believe she was HER-2) and had 21/22 nodes positive. The onc she saw recommended a bilateral and to have her ovaries taken out. About two or three years later it went to her brain. I believe she had surgery and rads to the brain. Her balance is not as good and her memory as well. Her hair grew back, but you can tell she had rads. She says her doctors says she's a walking miracle. Her faith is stronger than mine (sad to say). She said she doesn't dwell on it. She says her docs says there's no cure for her. I said, that's right. There's no cure for stage IV. However, I also told her there's NO cure for bc.
When I found mine I also had extranodal extension. Yes, I've been very angry, but mostly about our diagnostic tools.
Our pastor's wife was on our local TV news station when she was going through chemo. I can't remember what she said because it was a few years ago.
I just don't believe people who have never experienced this disease or know someone who has will truly understand our frustration. Perhaps if enough time was taken and there were numbers of women and men who have had this happen more people would "hear" us.
Too many young women on this board have lost their precious lives to this disease. How do we get the news out? That's a hard one.
Shirley
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I thought of another suggestion (short of suing) if you think you've not gotten the *best* treatment by a physician .... write a letter to their practice/hospital/state AMA board, outlining the mistreatment and/or explaining why you switched docs.
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By way of a lawsuit or a private meeting...I will definately talk to the Dr. He needs to know that his exam technique is not effective. How many other lumps has he missed? I would love to know how many of his patients have developed bc. Before my biopsy, it was routine to meet with a b surgeon for an exam and consultation. He felt the lump right away.
This is a tough one! But the nagging resentment is tougher.
Thanks for your support and suggestions...I don't know what I'd do without you girls!
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I was having annual ultra sounds watching a cyst. During my Aug. 2007 ultra sound the 2 cm breast cancer was found. The doctor brought me into the office and showed me the ultra sound from the year before. We could see the cyst, but there was no sign of the cancer that was now showing up. I think he was as shocked as I was. Had an MRI and found there was also cancer in the left breast that had never shown up on mamo or ultra sound. After having a double mastectomy discovered there was an additional tumor that hadn't even shown up on MRI. What I finally ended up with when all was said and done: 2 cm tumor, 4mm tumor and 3 positive lymph nodes on right and 1.7 cm tumor with 5 positive lymph nodes on left. I have no idea how all this happened when I was having yearly mamos as well as yearly ultra sounds, but it did. I just thank GOD everyday that it was finally found. I know that it is very difficult to understand how in this day and time things like this happen, but sadly they do. Sometimes everyone can be doing everything correctly and it still isn't enough. I am not saying that there are not cases out there that need to go to court, such as Snowydays, but for the most part sucky things just happen and it is not because someone didn't care enough to find what was going on. In a perfect world all the correct things would be done and everyone would live happily ever after. Unfortunately we aren't in a perfect world and we are all doing, including most doctors, the best we humanly can.
God bless all of you all.
Keep laughing,
Jenny
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