Top10MD Blog

WAX IN, WAX OUT

 4 months ago    Leave a comments (0)



You put your finger in your ear and feel something nasty and sticky. This is known as earwax. Most of us find it completely gross. Sometimes the thought is since you have ear wax, you did not clean your ears. This is not the case and contrary to popular belief, ear wax is a good thing. Ear wax is one of those things in the body that we find gross and see no purpose for but in actuality serves a major purpose.

What Is Earwax?

Ear wax may also be called cerumen. Sometimes you hear the term cerumen impaction at the doctor. This simply means the impaction of earwax inside the ear canal. Ear wax plays a very important role in the ear. It is part of the ear’s defense system. Ear wax protects the ear from foreign bacteria, debris, water, and insects. Ear wax helps in cleaning the ear as well as lubricating the ear. Some people naturally makes more ear wax than others. Having too much ear wax may seem like you will gain more protection, but it can create problems, specifically with hearing.

What Causes Earwax Impaction?

The more ear wax you make, the greater risk you have of getting wax impaction. Wearing hearing aids and earplugs a lot puts you at risk for ear impaction as well. When you think about cleaning your ears, the first thought is to grab alcohol and Q-tips. This is the worst thing you can do. Q-tips are bad because it pushes the wax further down into the ear canal. The wax ends up building to the point where sound becomes muffled. Sometimes it is not until this happens that you realize how important your ears are for balance. This impaction may cause dizziness as well as ringing in the ears. It may require a doctor’s visit to get the wax removed.

If you notice ear wax impaction, you should look for over-the-counter ear drops. The drops help dissolve the wax. When over-the-counter medications do not work, the doctor may have to use water and a syringe to rinse out the impacted wax. Once the wax is removed, you will feel much better. You will gain your balance back, and your hearing will be restored. Ear wax does not typically cause any damage or anything, so you do not have to worry about follow-up treatment.  

Managing Earwax

If you thought ear wax was disgusting at first, maybe understanding the purpose of it will help you like it more. Everyone has ear wax and some people just has more than others. If wax becomes impacted, it can have a direct effect on your hearing and balance. Although ear wax is good for you, you still need to make sure you clean your ears so that it does not build up. If you are suffering from too much ear wax, get the treatment you need. Make sure your ears are open and clear.  

Fort Worth Otolaryngologist Dr. Marc Dean is a Board Certified by the American Board of Otolaryngology and practicing full time in private practice. Dr. Dean specializes Otolaryngology/Head and Neck Surgery and conditions and diseases of the ear, sinus and disorders of the eustachian tube. Dr. Dean completed an Internship, in General Surgery and his Residency at Louisiana State University Health Science Center, where he now serves as Assistant Professor Otolaryngology/HNS. Dr. Dean is current President and CEO of the Otorhinologic Research Institute. Contact Dr. Dean today on his profile or call 817-332-4060. Dr. Marc Dean was named Top10MD 2015 | 2016. Only 1 in 3 doctors succeeds with this recognition in the United States.


IS PNEUMONIA CONTAGIOUS?

 8 months ago    Leave a comments (0)



Is Pneumonia contagious? With approximately 10 million Americans acquiring pneumonia annually, we have to wonder, is it?  Pneumonia is a serious health problem that affects the lungs and has multiple causes. To understand, you must understand its source. Various types of organisms cause the infection, such as viruses, fungi, bacteria, and parasites. Pneumonia itself is not contagious, but rather the germs associated with it.

If multiple strains of these organisms come in contact with your lungs, they can lead to an infection. Once these pesky organisms get into the lungs, it causes inflammation within the alveoli leading fluid to build up in the lungs.

Types of Pneumonia

There are three major types and each with its set of symptoms.

  • Viral 

    Affects infants more than anybody and can take approximately three weeks to cure.

  • Bacterial 

    Is the most common cause. The symptoms include; fever, chills, shortness of breath and exhaustion.

  • Walking

    Is a mild form of bacterial pneumonia symptoms are the same as bacterial, but can also include a dry cough, diarrhea, and a low-grade fever.

How Is Pneumonia Spread?

When your immune system is down, you are more susceptible. Those in hospitals and with chronic infections tend to get it more than others. Pneumonia spreads through droplets of saliva which is spread primarily through coughing and sneezing. Those droplets of saliva contain the bacteria or virus causing the infection. While some forms of pneumonia are more contagious than others, there is a brief window in which it is contagious. The source of bacteria plays a significant role in how infectious pneumonia is and how long the disease is contagious.

Protect Yourself!

Although pneumonia is contagious, there are ways to prevent it.

  1. Vaccinations

    Pneumonia vaccines and flu vaccines can help protect you against the virus. Sometimes the flu is a precursor for pneumonia. When you have a flu vaccine, you not only prevent the flu, but you lower your risk of acquiring pneumonia.

  2. Hand Washing

    Bacteria is everywhere! Not washing your hands, can spread the bacteria. Wash your hands!

  3. Quit Smoking

    Smoking puts you at high risk – by making it hard for the lungs to clear infections.

Pneumonia is not a disease that anyone desires to get, but if you notice those symptoms, you should seek medical attention as soon as possible. Practice good health habits to protect yourself and others from acquiring the infection.


AN OPTION FOR THE NOSE THAT CAN’T BREATHE

 11 months ago    Leave a comments (0)



Balloon Sinuplasty (BSP) has proven to be a safe and effective minimally invasive procedure for sinusitis patients who are not responding well to medication. And have either had a sinus infection for more than 12 weeks or have 4 or more sinus infections each year. These patients are seeking relief from uncomfortable and painful sinusitis symptoms.

With Balloon Sinuplasty, ENT surgeons open inflamed sinuses in the same way that a heart surgeon opens blocked arteries during a balloon angioplasty. The procedure is less invasive than traditional sinus surgery and effective at relieving symptoms of chronic sinusitis. A minimally invasive Balloon Sinuplasty allows patients to return to normal activities quickly. Unlike conventional sinus surgery, this innovative procedure does not include cutting to remove bone or tissue from the nose.

Benefits of Minimally Invasive Balloon Sinuplasty

  • 375,000+ procedures safely performed since 2005
  • Chronic sinusitis patients report improvements in sinus symptoms
  • Quality of life increases following two years post procedure
  • Fast Recovery – Most patients returned to work within two days
  • Balloon Sinuplasty is a minimally invasive procedure
  • 35,000+ procedures have been performed safely in the office or surgery center

If you have been diagnosed with chronic sinusitis and are not responding well to medications, you may be a candidate for a minimally invasive Balloon Sinuplasty procedure. Balloon Sinuplasty is clinically proven to be a safe and effective procedure that improves sinus sufferers’ quality of life.

Is Minimally Invasive Balloon Sinuplasty safe?

With this procedure, there is no cutting of nasal bone or tissue. More than 380,000+ patients suffer from chronic sinusitis have been treated by ENT Surgeons using Balloon Sinuplasty.

How will I feel following a Minimally Invasive Balloon Sinuplasty?

In a study tracking patients two years following their Balloon Sinuplasty Sinus Surgery, most chronic sinusitis patients report improvements in sinus symptoms and their quality of life.

Recovery following Minimally Invasive Balloon Sinuplasty

While recovery time varies with each patient to patient, recovery is typically quick. Most patients returned to work and normal activity within a couple of days.

In summary, with Balloon Sinuplasty, an ENT surgeon opens inflamed sinuses. The procedure is less invasive than traditional sinus surgery and effective at relieving symptoms of chronic sinusitis allowing you to return to normal activities. Unlike conventional sinus surgery, it does not include removal of bone or tissue from the nose. This procedure is now offered by some ENT Surgeons an office setting or ambulatory surgery center under local anesthesia, with no need to undergo general anesthesia.

Dallas Fort Worth Otolaryngologist Dr. Marc Dean is Board Certified by the American Board of Otolaryngology and practicing full-time in private practice. Dr. Dean  specializes in Otolaryngology/Head and Neck Surgery and conditions and diseases of the ear, sinus and disorders of the eustachian tube. Dr. Dean completed his Internship, in general Surgery and his residency at Louisiana State University Health Science Center, where he now serves as Assistant Professor Otolaryngology/HNS. Dr. Dean is current President and CEO of the Otorhinologic Research Institute. Contact Dr. Dean today on his profile or call 817-332- 4060. Named Top10MD 2015 | 2016 a recognition only 1 in 3 doctors succeeds within the United States.


SPRING IS IN THE AIR: ALLERGY TRIGGERS

 12 months ago    Leave a comments (0)



With April showers bring May flowers – As the trees start to bloom, and the pollen releases into the air, allergy sufferers begin their yearly ritual of sneezing and sniffling.

Each year, 58 million Americans suffer from seasonal allergic rhinitis, most commonly known as hay fever. Fort Worth Otolaryngologist Dr. Marc Dean shares, “In most of my patients, I see spring allergies beginning in February and continuing until early summer. The key for my patients is to do their best to avoid allergy triggers.” If you’re in an area with mild winter temperatures, this can cause the plants to pollinate early. A rainy spring can cause rapid plant growth and increase mold leading to symptoms all the way into autumn.

While the timing and severity of an allergy season vary across the country, climate factors can influence the severity of your symptoms such as:

  • Rain washes the pollen away, but pollen counts usually climb after rainfall.
  • Warm and windy days cause pollen counts to soar.
  • Tree, grass and ragweed pollens thrive during cool nights and warm days.
  • Molds grow quickly in heat and high humidity.
  • Pollen levels tend to peak in the morning hours.

It is important to know your triggers. Although pollen is a popular cause of your suffering, other materials may be triggers as well. Let your allergist help you find the source of your allergies and help stop them before they begin. Wage war on allergies first so you are not stuck every year just treating the symptoms.

Work with your allergist to devise strategies to avoid your triggers and those pesky symptoms:

  • Take a shower, wash your hair, and change your clothes after working or playing outside.
  • Keep windows shut at home and in your car during prime allergy season.
  • Wear a filter mask when mowing the lawn or doing other outdoor chores.
  • Stay inside during the middle of the day when pollen counts are the highest.
  • Monitor pollen and mold counts during allergy seasons.

Fort Worth Otolaryngologist Dr. Marc Dean is a Board Certified by the American Board of Otolaryngology and practicing full time in private practice. Dr. Dean specializes Otolaryngology/Head and Neck Surgery and conditions and diseases of the ear, sinus and disorders of the eustachian tube. Dr. Dean completed an Internship in General Surgery and his Residency at Louisiana State University Health Science Center, where he now serves as Assistant Professor in Otolaryngology/HNS. Dr. Dean is current President and CEO of the Otorhinologic Research Institute. Contact Dr. Dean today on his profile or call 817-332- 4060. Dr. Marc Dean was named Top10MD 2015 / 2016. Only 1 in 3 doctors succeed with this recognition in the United States.


FROM TOP10MD TO YOU…

 1 year ago    Leave a comments (0)

doctor


THROAT CANCER: WHAT ARE THE SIGNS?

 1 year ago    Leave a comments (0)



Throat cancer refers to cancer of the voice box, the vocal cords, and other parts of the throat, such as the tonsils. Throat cancer is relatively uncommon when compared to other cancers. The National Cancer Institute estimates less than 2 percent of adults will be diagnosed with a form of throat cancer in their lifetime. Men are two to three times more likely than women to develop throat cancer in their lifetime. As with many cancers, the risk of developing throat cancer increases with age, with most people being over the age of 65.

Risk factors for throat cancer differ depending on where the cancer grows in the throat. It’s important to keep in mind that lifestyle choices can affect your risk of developing throat cancer.

Risk factors could include but are not limited to:

  • A diet low in fruits and vegetables.
  • The use of cigarettes, pipes and cigars.
  • Having GERD may increase the risk of throat cancer depending on the frequency and severity of the acid reflux.
  • Excessive alcohol use.
  • HPV Infection, also known as the Human papillomavirus infection, has been found to be responsible for the rising rates of throat cancer, in particular, oropharyngeal cancer.
  • Contracting the Epstein-Barr virus (EBV) increases the likelihood of developing throat cancer.

Unfortunately, signs of throat cancer may be difficult to identify in the early stages of the disease. Many symptoms associated with throat cancer are the same as a cold or a sore throat.

Throat cancer symptoms may include but are not limited to:

  • Difficulty swallowing, known as dysphagia
  • Changes in your voice
  • Sore throat
  • Chronic cough
  • Ear pain
  • Voice changes
  • Swollen lymph nodes in the neck
  • Unexplainable weight loss
  • Swelling of the eyes, jaw, throat or neck
  • Bleeding in the mouth or through the nose

Make a doctor’s appointment if you experience any of these symptoms and they do not improve for a duration exceeding two to three weeks.

Fort Worth Otolaryngologist Dr. Marc Dean is a Board Certified by the American Board of Otolaryngology and practicing full time in private practice. Dr. Dean specializes Otolaryngology/Head and Neck Surgery and conditions and diseases of the ear, sinus and disorders of the eustachian tube. Dr. Dean completed an Internship, in General Surgery and his Residency at Louisiana State University Health Science Center, where he now serves as Assistant Professor Otolaryngology/HNS. Dr. Dean is current President and CEO of the Otorhinologic Research Institute. Contact Dr. Dean today on his profile or call 817-332-4060. Dr. Marc Dean was named Top10MD 2015 | 2016. Only 1 in 3 doctors succeeds with this recognition in the United States.


EAR TUBES: WHEN THE POPPING ISN’T STOPPING

 1 year ago    Leave a comments (0)



Many young children suffer from middle ear infections, known as otitis media, or OM. “If your child is experiencing multiple ear infections without signs of full recovery before the next one begins or has signs of hearing loss and or speech delay your child may be a candidate for an ear tube procedure.” Says Dr. Marc Dean, ENT Specialist in Fort Worth and Dallas Texas. “Some children experience hearing, speech, or behavior problems related to recurrent infections, in these cases inserting ear tubes is currently a great way to relieve the pressure and prevent infections.”

Ear tubes are small cylinders, usually made of plastic or metal, that are placed in the eardrum allowing air to flow into the middle ear. They also may be called tympanostomy tubes, myringotomy tubes, ventilation tubes, or PE (pressure equalization) tubes. The flow of air prevents the development of negative pressure and fluid buildup. Ear tubes are tiny and allow fluid from infections to drain without your child experiencing pain.

Inserting Ear Tubes May:

  • Reduce the risk of future ear infection
  • Restore hearing loss caused by middle ear fluid
  • Improve speech and balance problems
  • Improve behavior and sleep problems caused by chronic ear infections

Each year, more than half a million ear tube surgeries are performed on children, making it the most common childhood surgery performed with anesthesia. The average age for ear tube insertion is 1 to 3 years old, but babies as young as six months can get ear tubes. Although the need for ear tubes commonly occurs in children, it can also be present in teens and adults.

Ear tube surgery is performed in both ears as most kids have had infections in both. Performed under general anesthesia and normally takes less than 30 minutes. Most children are sent home the day of surgery after recovery in a post-operative area.

Depending on the type of ear tube used, the tube remains in place for about six months to 18 months or longer.

Fort Worth Otolaryngologist Dr. Marc Dean is a Board Certified by the American Board of Otolaryngology and practicing full time in private practice. Dr. Dean specializes Otolaryngology/Head and Neck Surgery and conditions and diseases of the ear, sinus and disorders of the eustachian tube. Dr. Dean completed an Internship, in General Surgery and his Residency at Louisiana State University Health Science Center, where he now serves as Assistant Professor Otolaryngology/HNS. Dr. Dean is current

President and CEO of the Otorhinologic Research Institute. Contact Dr. Dean today on his profile or call 817-332-4060.

Dr. Marc Dean was named Top10MD 2015 | 2016. Only 1 in 3 doctors succeeds with this recognition in the United States.


AVOIDING SORE THROAT IN DRY WEATHER

 2 years ago    Leave a comments (0)



Though we may not experience very cold weather here in North Texas, if you travel for the holidays, here are some tips for maintaining throat health during colder, drier weather.

  1. Add Moisture to the Air – Running a humidifier at night helps keep congestion in the sinuses from drying out. This helps with your breathing and keeps the sore throat from showing up in the morning.
  2. Blow Your Nose – Blowing your nose can keep the congestion out of your sinuses, which also stops any drainage from dripping down to your throat.
  3. Drink A Lot Of Water – It’s just as important to keep your body hydrated in the winter as it is in the summer. Drinking water can break up the drainage, stopping a sore throat from occurring.
  4. Drink Tea With Honey & Lemon – Tea, honey and lemon numb and soothe throats.
  5. Take Vitamin C – While Vitamin C may not help soothe a sore throat, it will help fight off a potential cold if you notice symptoms coming.
  6. Rest Your Voice – If you woke up with a sore throat, avoid cheering, yelling or singing for a couple days or until you feel your throat isn’t sore.

Fort Worth Otolaryngologist Dr. Marc Dean is a Board Certified by the American Board of Otolaryngology and practicing full time in private practice. Dr. Dean specializes Otolaryngology/Head and Neck Surgery and conditions and diseases of the ear, sinus and disorders of the eustachian tube. Dr. Dean completed an Internship in General Surgery and his Residency at Louisiana State University Health Science Center, where he now serves as Assistant Professor in Otolaryngology/HNS. Dr. Dean is current President and CEO of the Otorhinologic Research Institute. Contact Dr. Dean today on his profile or call 817-332-4060. Dr. Marc Dean was named Top10MD 2015 / 2016. Only 1 in 3 doctors succeed with this recognition in the United States. 


PROBIOTICS – IT’S A GUT FEELING

 2 years ago    Leave a comments (0)



PROBIOTICS – It’s a Gut Feeling

Your body is full of bacteria. Yes, bacteria but please don’t panic. Did you know that most bacteria are quite harmless? “The right bacteria has been linked to numerous health benefits such as improved digestion, weight loss, better skin, enhanced immune function, and a reduced risk of many diseases,” says Dr. Susan Linder with HealthSpringMD. Where is this bacteria in your body? Most of them reside in your gut. The bacteria in your body outnumber your body’s cells 10 to 1, so I’d say they might be quite important. In fact, taking care of your gut, and the friendly bacteria that live there, might be one of the single most important things you can do for your health.

So where do we go from here? Probiotics. Probiotics are found in supplements and foods prepared by bacterial fermentation (such as yogurt, sauerkraut, and tempeh) and are live microorganisms that help colonize our guts with health-boosting microorganisms.

Probiotics are quite new in research but studies are rapidly expanding. The evidence has shown that different probiotics seem to work for different health conditions. Choosing the right type (or types) of probiotic is essential for each individual. Probiotic supplements are considered safe and the only side effect might be a few days of bloating when first starting.

TAKE AWAY: Probiotics are live microorganisms that provide health benefits when consumed correctly. There are many different types of probiotics, and you can get them from foods or supplements.

GUT FLORA

No, there are no beautiful flowers beginning to bloom in your gut. However, you do have hundreds of different types of microorganisms enjoying your gut such as bacteria, yeast, and viruses. Most of these microorganisms, known as your gut flora, are found in your colon, or the large intestine.

The gut flora perform a plethora of functions such as manufacturing vitamins, stimulating the immune system, regulate the integrity of the gut and turning fibers into short-chain fatty acids which helps perform many metabolic functions.

It is important to keep your gut flora balanced as an unbalanced gut flora is linked to diseases such as depression, Alzheimer’s, type-2 diabetes, obesity, heart disease, metabolic syndrome, and colorectal cancer.

TAKE AWAY: Your gut flora consists of hundreds of different types of microorganisms. Probiotics help your gut flora perform at its best.

PROBIOTICS & YOUR DIGESTIVE HEALTH

Have you ever taken an antibiotic? Yes, you have. After you take antibiotics, especially for a long period of time, most people suffer from diarrhea. The antibiotics may end the infection but they also kill many of the natural bacteria in the gut, this allows “bad” bacteria to thrive.

Studies has shown that probiotic supplements can help cure the antibiotic-associated diarrhea as well being helpful with IBS (irritable bowel syndrome) reducing bloating, constipation, and diarrhea. Studies have shown to be useful against H. Pylori infections that can contribute to ulcers and stomach cancers. Do you have a digestive problem that won’t go away? Try a probiotic supplement; it might be your answer.

TAKE AWAY: Probiotics have been shown to be effective against various digestive problems.

PROBIOTICS & WEIGHT LOSS

The bacteria in your gut as an obese individual will be different from those of lean people. Sounds unfair, right? Although it needs to be studied a lot more, some probiotic strains have been shown to help with fat loss.

In 2013 a study was published showing that over a 12-week period, people with lots of belly fat lost 8.5% of their belly fat mass by taking the probiotic Lactobacillus gasseri. Interestingly, when they stopped taking the probiotic, they gained the belly fat back within 4 weeks.

However, this needs to be studied more before any recommendations can be made as some animal studies show that some probiotic strains could lead to weight gain, not loss.

TAKE AWAY: There is some evidence that the probiotic Lactobacillus gasseri can help people lose belly fat.

PROBIOTICS & HEALTH BENEFITS

To list all of the benefits of probiotics a book would be much easier than a blog. However, there are some that are worthy of being highlighted, although this is just the tip of the iceberg.

  • Inflammation – reduce systemic inflammation, a leading cause of many diseases
  • Depression & Anxiety – reduce symptoms of anxiety and depression in people with clinical depression
  • Blood Cholesterol – lower total and LDL cholesterol levels
  • Blood Pressure – modest reductions in blood pressure
  • Immune Function – enhance immune function and lead to reduced risk of infections
  • Skin Health – useful for acne, rosacea and eczema, as well as other skin disorders

TAKE AWAY: Probiotics have been shown to have numerous health benefits.

 

Dr. Susan K. Linder a Diplomat of the American Board of Anti-Aging, Functional & Regenerative Medicine. She is also board certified in Physical Medicine & Rehabilitation, with a subspecialty board certification in Pain Management. Dr. Linder is the Medical Director of HealthSpringMD conveniently located in Fort Worth, TX. For more information on nutritional health, bio-identical hormone replacement therapy and getting back to feeling great visit her website: www.healthspringmd.com or call today to schedule a time to meet with Dr. Linder 817-926-7671.


TICKS AND LYME DISEASE IN TEXAS

 2 years ago    Leave a comments (0)



What if your doctor told you that you had been cured of your disease, despite, lingering and worsening symptoms dealing with aches and pains barely getting through your day?

Would you go back to the doctor or try a different doctor, especially if your symptoms were extremely severe, such as seizures, paralysis, or dementia?  This is the frightening reality for thousands of chronic Lyme patients in America today.

Many Lyme symptoms, such as fatigue, cognitive impairment, joint pain, poor sleep, mood problems, muscle pain, and neurological presentations also occur in other diseases. Hence, the symptoms of Lyme disease significantly overlap those of chronic fatigue, fibromyalgia, rheumatoid arthritis, Parkinson’s disease, ALS, depression, and Alzheimer’s disease. Many Lyme patients report being misdiagnosed with a different condition before being properly diagnosed with Lyme disease.

One of the many diseases that Lyme imitates is multiple sclerosis. Having lesions on the brain is actually a condition, rather than a disease in itself. A neurologist now told one chronic Lyme patient for more than 16 years: “You could say you have MS.”

Lyme disease is a bacterial infection you get from the bite of an infected tick. Over 30,000 confirmed cases are reported yearly to the CDC.

Lyme Disease Symptoms Include:Lyme Disease Symptoms

  • Fatigue
  • A headache
  • A stiff neck
  • A fever and chills
  • Muscle and joint aches
  • Swollen lymph nodes
  • Red bulls eye and expanding rash called erythema migrans (EM)

Lyme Disease can be hard to diagnose. The course of therapy is antibiotics, which cure most cases. The sooner your treatment begins, the quicker and more complete the recovery. Yet, there is a great amount of evidence supporting the persistence of Lyme after short-course antibiotic treatment to deny the effects of chronic Lyme disease. Biofilms (imagine a safe, gated community made from mucus, where bacteria can conceal itself undetected by the body’s immune system) have been documented. The presence of biofilms, filmed with thousands of spirochetes, indicates an active infection.

Be aware of symptoms of Lyme. If Lyme disease is not diagnosed and treated early, it may become late-stage or chronic. This may also occur when early treatment is inadequate. While some symptoms of chronic or late stage Lyme disease are similar to those of early Lyme, Lyme disease may spread to any part of the body and affect any body system. Typically, it affects more than one body system.

Learn to protect yourself against tick bites, tucking pants into socks, putting clothes in the dryer for 20 minutes after a hike and, most importantly, check one another for ticks after outdoor activity.  A tick tool can be purchased to hang on your key chain, or just use tweezers to gently remove them.  Never listen to the fads about using Vaseline, alcohol, or anything else.

With case numbers on the rise in Texas, the question “What would you do” could become all too real. If you have been diagnosed and currently suffering from Lyme’s disease or feel that you or a loved one has contacted this disease call one of our many Internal Medicine, Neurologists or Allergists do discuss your options.


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