It has been a hard few weeks. I have been just being. I don't even know if that makes sense.
We met with the Doctors and plans have been set in place for procedures to start immediately. Nurses will monitor better, doctors will be more careful etc. That is all I wanted. Because of what happened to Judah several surgery centers will change how they do things. Good.
It's wierd and I am not sure anyone would understand this but in the end there was nothing bad that came from this.
In fact the fruit and goodness that has erupted because of this will live on forever. The surgery center will change and possibly save other children from a worse fate and most importantly I am closer to my youngest son than ever.
He is mostly back to his normal fiesty self and I am happy. He can hear, he can smell, he is sleeping and there is no more apnea.
You know in a moment like this your faith is tested. There is a verse in the bible that says "do not be afraid of sudden fear" well I can't say I was walking in that wisdom. I was gripped and could barely breath. I felt my vocal cords were squeezed to the point where I couldn't even pray. Why? part of me thinks that if I prayed that would mean that what was happening was real. I know that doesn't make much sense. The first time I felt loosed to pray was in the car on the way to the ER with my friend Tara. She went into the house to get her daughter and I remembered a prayer and a promise I lived on when I was going in for brain surgery. My father prayed and the Lord showed him I was to walk in the land of the living. I prayed that over my son, no I didn't just pray it, I declared it, my voice came back to me and I was able to proclaim my sons life was in my Gods hands and I rembered why my boy was brought to me and what his purpose was so I declared he would walk in the land of living and that he would not be robbed of his life on earth when I know God has a purpose for him.
So here we are today. Recovered and stronger. When you give birth you and your child go through something tramatic and beautiful, when you adopt a child the same thing occurs. I think in my case there was something missing. I often said that it felt as if Gary showed up with this baby out of no where, and I wasn't really sure what it took to take him from his orphanage and home land. I didn't experience this as I was the one holding the candle waiting at home. But when I stepped in for my son God allowed me the experience of taking him as well. I brought him home alive and well. He is such a daddy's boy I often questioned if he viewed me as his mom and just days before this happened horrible thought would suddenly pop into my head like "he doesn't think you are his "real" mom" or " you are not good enough for him you are just a stand in" now we know where these thoughts come from and they are not true so I would just shew them away and try to move on not thinking of them or agreeing with them. When this happened all of those doubts where just demolished. Those thoughts will never ever pop into my head again. I am his mom and he is my baby boy. Those nights in recovery proved it to me so many times, he just wanted me, his breathing even changed when I would hold him and he would calm down. I had an affect on his little body he knows I am his mom and I would do anything for him.
Wednesday, February 6, 2008
Friday, February 1, 2008
Whoo Hoo! antibiotics
Praise the Lord in all trials,
We are to consider it all joy when we encounter various trials and tribulations.
Well I should be one joyful lady. :) We have Scarlet fever. I caught in quickly and now all three are on antibiotics for different reasons.
Mason for Scartlet Fever
Abby for double lung infection
Judah for after surgery/ overdose.
like I said Whoo hOOO!
I have been trying hard to stay upbeat, Judah is recovering fine so that is one very good thing. He ate "real" food tonight. He slept through the night all last night so we are anticipating a full recovery in the next few days. He is fighting with his brother and sister so he must be feeling well.
We will be meeting with the doctors and staff on Monday to dicuss the situation with the morphine and what happened to Judah. The anthestisiologist called and wants to meet with me in person to discuss things. I was told he is punishing himself and feels very bad. I want to have grace in this situation but I must assure that things will change for other families in the future. Everyone is very proactive and they are starting new procedures all ready in effect. For instance longer monitoring for children after surgery and especially after any dose of Narcan. So things are changing and that is what I wanted. The ENT was very empathatic yesterday with me on the phone and we had a chance to communicate. He is very concerned about this and is asking all the questions I have so I know they are on top of things. I feel they are being very proactive. Anyway I will keep you up to date. I have been out of the loop recently as Judah was struggling with some big time pain, after the big dose of morphine wore off he had few days that were hard on him.
We are to consider it all joy when we encounter various trials and tribulations.
Well I should be one joyful lady. :) We have Scarlet fever. I caught in quickly and now all three are on antibiotics for different reasons.
Mason for Scartlet Fever
Abby for double lung infection
Judah for after surgery/ overdose.
like I said Whoo hOOO!
I have been trying hard to stay upbeat, Judah is recovering fine so that is one very good thing. He ate "real" food tonight. He slept through the night all last night so we are anticipating a full recovery in the next few days. He is fighting with his brother and sister so he must be feeling well.
We will be meeting with the doctors and staff on Monday to dicuss the situation with the morphine and what happened to Judah. The anthestisiologist called and wants to meet with me in person to discuss things. I was told he is punishing himself and feels very bad. I want to have grace in this situation but I must assure that things will change for other families in the future. Everyone is very proactive and they are starting new procedures all ready in effect. For instance longer monitoring for children after surgery and especially after any dose of Narcan. So things are changing and that is what I wanted. The ENT was very empathatic yesterday with me on the phone and we had a chance to communicate. He is very concerned about this and is asking all the questions I have so I know they are on top of things. I feel they are being very proactive. Anyway I will keep you up to date. I have been out of the loop recently as Judah was struggling with some big time pain, after the big dose of morphine wore off he had few days that were hard on him.
Monday, January 28, 2008
My son was overdosed on morphine
I have taken a while to write back because I didn't want to go on presenting false information.
Deep breath.
My three year old was accidentally overdosed with morphine and no one caught it! The anesthesiologist has yet to own up to it, but we have word that he was given twice the recommended dose for his weight. He tried from the beginning to tell me that he was just sensitive to morphine, turns out they dosed him wrong. I knew it.
What we think happened was he was dosed for 29 kilos when he is only 29 pounds. Either way he was admittedly overdosed by accident. They are doing all that they can to really get to the bottom of it so that it doesn't have to ever happen again to another child. This was the first time it ever happened to anyone at this surgery center. I am working with the staff and administration to help them so policies can be changed.
That is what I want, I want new procedures on release. There was a lot of negligence there and I am not done. I am going to write everything down and present it before them. There were so many mistakes made with Judah's life. I am not sure if I can trust again. I also found out some very interesting things about Codeine and how Ethiopians can possibly metabolize it at a faster rate turning it into morphine quicker and in turn having morphine overdose from taking Codeine. For those adopting from Ethiopia I will post a note about that and add the links to my research.
I found out that on the way to the ambulance he stopped breathing a few times. He was just digressing so fast. They tried to intuit him but his airways were swollen. He was given the drug Narcan at the surgery center to stop the affects of the overdose. We were never told this information and while he sat up and ate a Popsicle they released him 45 minutes after the dose of Narcan. When the Narcan wore off in 30 minutes he went right back to his overdose state. At that point we were driving home expecting a sleeping child. I still cannot believe my son was OD by the doctors who were supposed to care for him. I contacted a lawyer just to see where I stood in this and they said unless he died there is nothing I can do. It just isn't right. I don't want money or anything like that I just want justice served for the severe negligence on my sons life, but it looks like the surgery center is doing all that I would expect. So unless they start giving me a hard time and trying to cover this up I will leave it and just wait. If they poo poo it or me I will go to every moms board, local newspapers, TV channels, and hand flyer's at Walmart not use this place until new policies are in place.
Deep breath.
My three year old was accidentally overdosed with morphine and no one caught it! The anesthesiologist has yet to own up to it, but we have word that he was given twice the recommended dose for his weight. He tried from the beginning to tell me that he was just sensitive to morphine, turns out they dosed him wrong. I knew it.
What we think happened was he was dosed for 29 kilos when he is only 29 pounds. Either way he was admittedly overdosed by accident. They are doing all that they can to really get to the bottom of it so that it doesn't have to ever happen again to another child. This was the first time it ever happened to anyone at this surgery center. I am working with the staff and administration to help them so policies can be changed.
That is what I want, I want new procedures on release. There was a lot of negligence there and I am not done. I am going to write everything down and present it before them. There were so many mistakes made with Judah's life. I am not sure if I can trust again. I also found out some very interesting things about Codeine and how Ethiopians can possibly metabolize it at a faster rate turning it into morphine quicker and in turn having morphine overdose from taking Codeine. For those adopting from Ethiopia I will post a note about that and add the links to my research.
I found out that on the way to the ambulance he stopped breathing a few times. He was just digressing so fast. They tried to intuit him but his airways were swollen. He was given the drug Narcan at the surgery center to stop the affects of the overdose. We were never told this information and while he sat up and ate a Popsicle they released him 45 minutes after the dose of Narcan. When the Narcan wore off in 30 minutes he went right back to his overdose state. At that point we were driving home expecting a sleeping child. I still cannot believe my son was OD by the doctors who were supposed to care for him. I contacted a lawyer just to see where I stood in this and they said unless he died there is nothing I can do. It just isn't right. I don't want money or anything like that I just want justice served for the severe negligence on my sons life, but it looks like the surgery center is doing all that I would expect. So unless they start giving me a hard time and trying to cover this up I will leave it and just wait. If they poo poo it or me I will go to every moms board, local newspapers, TV channels, and hand flyer's at Walmart not use this place until new policies are in place.
Saturday, January 26, 2008
Update on Judah
This was Judah in the ER, he was sleeping.
After he woke up, he was awake for about 30 minutes total yesterday. 
Today you would think nothing happened. He was talking to his grandmother. He put that shell collecting bag on his head and was all over the place. I cannot believe how active he is.Today I have been in shock, but all is well physically, just tired. Today could have been such a different day for our family. Instead we spent time just hanging out and playing. Judah's recovery is amazing. He hasn't cried once, he is eating oatmeal and Popsicles and even a string cheese. I cannot believe how fast he is moving through this operation. He was playing on the swings, laughing and just being completely normal. You can't keep a good man down. He has just had 1 tsp of Tylenol and that is it!! He says it doesn't hurt!
Anyway still trying to figure out what happened. The doctor called first thing this morning and said he would get to the bottom of this and it would never happen again. That's good to know but I still want to see the records. I have a theory of what happened but I will wait until I get further information. The fire fighters saved his life and we will bake them some yummy cookies we will go down and see them and say thank you in person. Thank you for all of your prayers and support and prayers.
Friday, January 25, 2008
We almost lost our son today
I write this with tears still shaking over 12 hours later. What started off as a normal day, and a routine procedure turned into a nightmare of grand proportions. The kind of thing you hear from a friend of a friend that knew someone. Not me.
Today we were having Judah's adenoids and tonsils removed and tubes put in his ears. The surgery went fine and he was in very good spirits,
I waited with the other kids as Abby has a form of walking pneumonia and they don't allow kids in the surgery center. Gary went in with Judah and we waited outside passing time. I called and they said it went well, then I called Gary again and I heard the nurse in the back ground say it would be another 20 minutes as they had to give him more medicine to re sedate him as he was thrashing about and they needed to suction him. I though that was weird but was still confident all was well.
About 15 minutes later Gary said he was ready to go and put the kids in the car. I did, he carried Judah out and put him in the car seat. He was knocked out completely. The doctors said he was fine and just sleepy. We drove home 30 minutes and he seemed fine. We put him to bed thinking he would wake in a few hours. As Gary was tucking him and sitting by his side and I was getting the rest of the kids in the house things took a sinister turn. Gary called me into his room and asked to get a suction bulb. When I got there and saw him I thought something was wrong. We were only home for 5 minutes before I was trying to call our friend who is a paramedic. My other friend came over to see him and I told Gary to call the doctor, the medical staff was not too concerned. Everything in me felt something was wrong. Things progressed from bad to worse, his temperature dropped to 94 degrees and he was struggling to breathe with retracted breathing, deep gurgling and his lips were looking pale as well. I called the doctor again and spoke with him personally he wasn't worried but wanted to know if he was responsive, I ran to his room and Judah was even worse and he wasn't waking, the doctor told us to call 911. Instead Gary put his limp body in the car and took him to the local fire department 2 minutes away, they immediately began to work on him giving him Narkan, the medicine that stops the effect of morphine. They rushed him away in an ambulance trying to get him to respond. So much of this is blurry and I can't remember how it all goes, the ENT who did the surgery was calling me and the ambulance and my husband. I asked him while trying not to hyperventilate if Judah was going to die and he told me "I don't know"
Eventually all of the Narkan took affect and he started to respond coming out of the deep affect of the narcotic. My dear friend Tara took me to the hospital and my other dear friend Malieka whisked my other two kids away, while my other dear friend Grace assured me he would be okay. I was so scared, I felt I was loosing my son. Every fiber in me felt him leaving. It was like I put one toe over the line of life and death. My entire body reacted I wanted to throw up and faint and hyperventilate and hold my breath all at the same time. I couldn't talk or understand hardly anything that was going on. My girlfriends held me together and guided me through.
I am so confused. I get to the hospital and he is surrounded by nurses and paramedics. They are watching him very close and he is hooked up to tubes and monitors. They say he is okay and was responding but they are going to keep him for a while. Right away I can see he sleeping but his breathing was mostly normal. I just needed him to wake up. Eventually he did and was able to nibble on a Popsicle and have few sips of Gatorade. I was told he had an overdose of morphine and his respiratory system was shutting down.
I poured tears over him and held him. Gary said it was horrible to see the paramedics go into emergency mode, he didn't respond the first time to the drugs and they kept up. I am glad I didn't see that.
Gary asked the doctor if he would have just "come out of it" and he said, not necessarily. they explained that if we had not got him in when we did he would have just stopped breathing all together.
I am so happy he is okay, it is 10:37 pm his surgery was at 9:00 am and he is still not recovered from the narcotics, he woke up long enough to eat a Popsicle and smile for us and now he is sleeping again. I am so mad, so confused and I want to know what happened. I have few details that I need to find out but I know he was released way to early and when the doctor called tonight there was some defenses going up with him. I will write tomorrow about the details that I have when I can sort my head and get the phone records together. Someone did something they shouldn't have. Can someone tell me if it is normal to give a child under morphine Narkan to wake up after surgery? or do they or should they allow them to come back slowly on there own by removing the drug or proper dosing? I was told they gave him a moderate amount of morphine, and that it was normal for his size. This may be true and he may have had a reaction but why in the world would they release him so soon? Obviously he was having a reaction either by accidental overdose or by sensitivity. The big thing I am concerned about is that they told Gary he woke up and was struggling as they were trying to suction him so they resedated him, the doctor told me a few hours ago that his nurse misunderstood and told Gary the wrong thing, that he actually wasn't waking up so they gave him a dose of Narkan, they said he was responsive and met the requirements to be released. The doctor told the nurse to release him after 45 minutes but I think it was more like 20 minutes after that dose of whatever it was they gave him, either they lied and resedated him or they gave him Narkan because he was having a reaction, or the did resedate him and then gave him narkan to pull him out of it, but why didn't they tell us? He was discharged under narcotic overdose. Can anyone shed any light on this? Something is not right.
This was a day I was going to share on this blog, I took pictures to document my little boys first surgery and to keep for him when he was older. I looked at these pictures later and realized these could have been the last pictures I had of him. It was a chilling thought.
On the way home from surgery we thought he was just sleeping.
On his way to the operating room
While we were waiting out side in the courtyard.
This morning on the way to the surgery. He was so excited to get a Popsicle.
Today we were having Judah's adenoids and tonsils removed and tubes put in his ears. The surgery went fine and he was in very good spirits,
I waited with the other kids as Abby has a form of walking pneumonia and they don't allow kids in the surgery center. Gary went in with Judah and we waited outside passing time. I called and they said it went well, then I called Gary again and I heard the nurse in the back ground say it would be another 20 minutes as they had to give him more medicine to re sedate him as he was thrashing about and they needed to suction him. I though that was weird but was still confident all was well.
About 15 minutes later Gary said he was ready to go and put the kids in the car. I did, he carried Judah out and put him in the car seat. He was knocked out completely. The doctors said he was fine and just sleepy. We drove home 30 minutes and he seemed fine. We put him to bed thinking he would wake in a few hours. As Gary was tucking him and sitting by his side and I was getting the rest of the kids in the house things took a sinister turn. Gary called me into his room and asked to get a suction bulb. When I got there and saw him I thought something was wrong. We were only home for 5 minutes before I was trying to call our friend who is a paramedic. My other friend came over to see him and I told Gary to call the doctor, the medical staff was not too concerned. Everything in me felt something was wrong. Things progressed from bad to worse, his temperature dropped to 94 degrees and he was struggling to breathe with retracted breathing, deep gurgling and his lips were looking pale as well. I called the doctor again and spoke with him personally he wasn't worried but wanted to know if he was responsive, I ran to his room and Judah was even worse and he wasn't waking, the doctor told us to call 911. Instead Gary put his limp body in the car and took him to the local fire department 2 minutes away, they immediately began to work on him giving him Narkan, the medicine that stops the effect of morphine. They rushed him away in an ambulance trying to get him to respond. So much of this is blurry and I can't remember how it all goes, the ENT who did the surgery was calling me and the ambulance and my husband. I asked him while trying not to hyperventilate if Judah was going to die and he told me "I don't know"
Eventually all of the Narkan took affect and he started to respond coming out of the deep affect of the narcotic. My dear friend Tara took me to the hospital and my other dear friend Malieka whisked my other two kids away, while my other dear friend Grace assured me he would be okay. I was so scared, I felt I was loosing my son. Every fiber in me felt him leaving. It was like I put one toe over the line of life and death. My entire body reacted I wanted to throw up and faint and hyperventilate and hold my breath all at the same time. I couldn't talk or understand hardly anything that was going on. My girlfriends held me together and guided me through.
I am so confused. I get to the hospital and he is surrounded by nurses and paramedics. They are watching him very close and he is hooked up to tubes and monitors. They say he is okay and was responding but they are going to keep him for a while. Right away I can see he sleeping but his breathing was mostly normal. I just needed him to wake up. Eventually he did and was able to nibble on a Popsicle and have few sips of Gatorade. I was told he had an overdose of morphine and his respiratory system was shutting down.
I poured tears over him and held him. Gary said it was horrible to see the paramedics go into emergency mode, he didn't respond the first time to the drugs and they kept up. I am glad I didn't see that.
Gary asked the doctor if he would have just "come out of it" and he said, not necessarily. they explained that if we had not got him in when we did he would have just stopped breathing all together.
I am so happy he is okay, it is 10:37 pm his surgery was at 9:00 am and he is still not recovered from the narcotics, he woke up long enough to eat a Popsicle and smile for us and now he is sleeping again. I am so mad, so confused and I want to know what happened. I have few details that I need to find out but I know he was released way to early and when the doctor called tonight there was some defenses going up with him. I will write tomorrow about the details that I have when I can sort my head and get the phone records together. Someone did something they shouldn't have. Can someone tell me if it is normal to give a child under morphine Narkan to wake up after surgery? or do they or should they allow them to come back slowly on there own by removing the drug or proper dosing? I was told they gave him a moderate amount of morphine, and that it was normal for his size. This may be true and he may have had a reaction but why in the world would they release him so soon? Obviously he was having a reaction either by accidental overdose or by sensitivity. The big thing I am concerned about is that they told Gary he woke up and was struggling as they were trying to suction him so they resedated him, the doctor told me a few hours ago that his nurse misunderstood and told Gary the wrong thing, that he actually wasn't waking up so they gave him a dose of Narkan, they said he was responsive and met the requirements to be released. The doctor told the nurse to release him after 45 minutes but I think it was more like 20 minutes after that dose of whatever it was they gave him, either they lied and resedated him or they gave him Narkan because he was having a reaction, or the did resedate him and then gave him narkan to pull him out of it, but why didn't they tell us? He was discharged under narcotic overdose. Can anyone shed any light on this? Something is not right.
This was a day I was going to share on this blog, I took pictures to document my little boys first surgery and to keep for him when he was older. I looked at these pictures later and realized these could have been the last pictures I had of him. It was a chilling thought.
On the way home from surgery we thought he was just sleeping.
On his way to the operating room
While we were waiting out side in the courtyard.
This morning on the way to the surgery. He was so excited to get a Popsicle.
Thursday, January 24, 2008
Botox, how bad can it be really?
Tonight I put Judah to bed he kept pointing to my forehead "whats this?" I thought I might have had a blemish or something, he was definately amused. He took my finger and pointed to my head. Nope no pimples. hu I think to myself? When he blurts out with a big smile "mommy has train track head"
Nice. I have forehead wrinkles bad enough my three year old thinks they are train tracks.
He did like them though he seemed happy about them. But he is fond of trains so that doesn't surprise me.
Nice. I have forehead wrinkles bad enough my three year old thinks they are train tracks.
He did like them though he seemed happy about them. But he is fond of trains so that doesn't surprise me.
What Not to Watch
Here is my list of kids movies and why parents should not let their kids watch these "harmless" flicks.
1. Flushed Away - why? because your kids will either flush various things down the toilet in hopes of finding an underground world ruled by rats and frogs, or in my case your kids will be scared to flush the toilet at all. (Not a pretty thing) Oh and lets not forget the annoying British accents five year old boys like to mimic at random and mostly inappropriate times.
2. Annie- why? I forgot how sexy and drunk Mrs. Hannigan was. whoops.
3. Finding Nemo- why? you can't really expect your kids to snorkel in the ocean on a family San Diego trip after this movie.
4. Charlotte's Web-why? do you like bacon on a Sunday morning, well it is not the same when you four year old is asking for pig and your five year old goes on to describe how humans eat pigs. (used to be a vegetarian so this doesn't sit well with me and breakfast is ruined.)
5. Peter Pan- why? have you ever seen a three and four year old climb to the highest point of anything singing "we can fly" me running in slow motion "NOOOOOOOOooooooooooo!"
6. We already discussed Home Alone, may I remind you of booby traps.
7. I wish I could think of 10 but I can't right now.
8. Evan Almighty-why? if they do decide flushing the toliet is safe after watching Flushed Away and it floods the bathroom most likely caused by over toilet paper usage, they really do believe that the great flood is upon us and they are quite sure the house and all dwelling inside will float away.
# 9 And the very reason that inspired this blog.
Ratatouille -why? Your five year old son will think that anyone can cook and will try to sneak rosemary into the soup plus, access to seran wrap.
Tonight Mason was helping Dad cook a very good chicken soup and while I was mopping and Gary was chopping Mason seran wrapped 2 peppers, a dish and cup and a spoon. Why?
I will ask.
He didn't know, you know just a fun joke. (him not me)
1. Flushed Away - why? because your kids will either flush various things down the toilet in hopes of finding an underground world ruled by rats and frogs, or in my case your kids will be scared to flush the toilet at all. (Not a pretty thing) Oh and lets not forget the annoying British accents five year old boys like to mimic at random and mostly inappropriate times.
2. Annie- why? I forgot how sexy and drunk Mrs. Hannigan was. whoops.
3. Finding Nemo- why? you can't really expect your kids to snorkel in the ocean on a family San Diego trip after this movie.
4. Charlotte's Web-why? do you like bacon on a Sunday morning, well it is not the same when you four year old is asking for pig and your five year old goes on to describe how humans eat pigs. (used to be a vegetarian so this doesn't sit well with me and breakfast is ruined.)
5. Peter Pan- why? have you ever seen a three and four year old climb to the highest point of anything singing "we can fly" me running in slow motion "NOOOOOOOOooooooooooo!"
6. We already discussed Home Alone, may I remind you of booby traps.
7. I wish I could think of 10 but I can't right now.
8. Evan Almighty-why? if they do decide flushing the toliet is safe after watching Flushed Away and it floods the bathroom most likely caused by over toilet paper usage, they really do believe that the great flood is upon us and they are quite sure the house and all dwelling inside will float away.
# 9 And the very reason that inspired this blog.Ratatouille -why? Your five year old son will think that anyone can cook and will try to sneak rosemary into the soup plus, access to seran wrap.
Tonight Mason was helping Dad cook a very good chicken soup and while I was mopping and Gary was chopping Mason seran wrapped 2 peppers, a dish and cup and a spoon. Why?
I will ask.
He didn't know, you know just a fun joke. (him not me)
Wednesday, January 23, 2008
And lead us not into temptation........
Haven't been feeling to well today, Gary finally got home after his trip was extended and pretty much I conked out shortly after he got home. I stayed in bed for a while until the sound of silence pierced my very soul and all my mother spidy senses were on full alert, somewhere, someone was getting in trouble. I dragged myself out of bed and went to where I could hear muffled voices behind the door. I unlocked it and found Abby and Judah covered in Swiss Miss powdered chocolate. They had an easy bake oven and pots and pans and water and yes an entire box of hot chocolate everywhere, the floor the beds, themselves. When I put Abby to bed tonight and I was snuggling in tight to her, I about choked on the hot chocolate still in her hair (apparently I missed this) She has a doctors appointment tomorrow and I will give her a bath or just say it is a new scent we are trying out. I document these things because I want to remember, I think I want to remember. I want them to remember anyway the things they put me through. I can hear some of you saying "Where was Gary?" My poor, tired husband was simply being a good dad and making dinner while I rested.
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