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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 20,000 Subscribers Daily
February 12, 2021 #6885  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2021- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL | |
Last Chance to Vote
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Should podiatry residencies have a mandatory pain management rotation?
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| PODIATRISTS AND SPORTS MEDICINE | |
Barefoot Running Not Recommended for Most Runners: NY Podiatrist
"I am not a barefoot running enthusiast. After the publishing of the book Born to Run, there were many injuries and many lawsuits from that book. It is certainly wonderful for runners who have no foot issues, but if you pronate, you want to be in a well cushioned supportive shoe," says Douglas Tumen, DPM, a podiatrist in Woodstock, NY and author of Ask the Foot Doctor.
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Dr. Doug Tumen |
"There was a big fad for a long time when people got minimalist shoes like Vibram 5 Fingers. All that is great if you have a soft surface to run on, but it does tend to lead to more injuries. I don't recommend it because we see way too many injuries," says Dr. Tumen.
Source: Ray Graf, WAMC [2/8/21]
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| PODIATRISTS IN THE COMMUNITY - PART 1 | |
TX Podiatrist Sponsors Two Scholarships for HS Seniors
Katy Independent School District 2021 graduating seniors may apply to receive a “Stepping into the Future” scholarship from Your Total Foot Care Specialist. Two $1,500 scholarships are available. Graduating seniors with an unweighted GPA from 2.5 to 3.7 are eligible to apply.
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Dr. James Jacobs |
“I am honored that Your Total Foot Care Specialist has been able to support local Katy ISD seniors for the past twelve years,” said Medical Director James Jacobs, DPM. “Supporting our next generation of leaders on their journey to continued education is a crucial step that we, as community leaders, must strive to do.”
Source: Tracy Maness, Houston Chronicle [2/10/21]
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| PODIATRISTS IN THE COMMUNITY - PART 2 | |
NE Podiatrist Partners with Bryan Health
Making sure you stay on your feet is the goal of a new partnership between John Tennity, DPM and Bryan Health as they continue to expand the treatments available in Lincoln. The newest addition to East Campus comes from a new partnership with Capital Foot and Ankle.
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Dr. John Tennity |
"The big thing is space, we have many more treatment rooms, digital ultrasonography, digital radiography. But we were also able to expand our orthotic lab significantly, which will help us provide the care that is needed," said Dr.Tennity a podiatrist with Capital Foot and Ankle.
Source: Alex Whitney, nebraska.tv [2/10/21]
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| PODIATRIC ECONOMICS | |
Podiatrists are #18 in Jobs With the Most Financial Security List
To determine the jobs where you’re least likely to live paycheck to paycheck, GOBankingRates analyzed the Bureau of Labor Statistics’ May 2019 national occupational employment and wage estimates for all occupations and found the highest-paying jobs by median hourly income. The final list of jobs in this study represents the best careers for your bank account.
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Jobs With the Most Financial Security |
Source: Cynthia Measom, MSN Money [2/10/21]
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| RELEVANT RESEARCH | |
Lab Abnormalities in Children Taking Terbinafine
At a single institution, 134 children (aged 3–18 years) were prescribed systemic terbinafine for either tinea corporis, tinea capitis, or onychomycosis. Most patients received baseline liver function tests (LFTs, 81.3%), baseline CBC (76.9%), monitoring LFTs (87.3%), and monitoring CBC (84.3%). No patients had baseline LFT abnormalities. Two of 117 (1.7%) had abnormalities on monitoring LFTs; in both cases, the patients were being treated for onychomycosis for 12 weeks, and abnormalities resolved within 4 weeks of treatment completion. Four of 113 (4.4%) had monitoring CBC abnormalities, which did not worsen with continued treatment and resolved within 4 weeks of treatment completion. All lab abnormalities were mild, and patients were asymptomatic.
Safety data on the use of systemic terbinafine in children are limited. This study suggests that lab abnormalities are rare in children and will likely resolve after completion of treatment.
Source: Margaret Hammond, MD, Practice Update [2/10/21] via Dr. Allen Jacobs
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| FROM PM's CURRENT ISSUE | |
Several times a week, PM News posts an entire article from a recent issue of our partner, Podiatry Management Magazine. Please note that the views expressed in Podiatry Management Magazine do not necessarily reflect the views of PM News or Barry Block.
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Today's Featured Article |
Editor's note: Chrome recently changed the way .pdf files are displayed. If your browser opens up this file and it looks strange, simply click on the 3-bar menu option in the upper left and then click on the fit to page icon  or adjust the view size to a higher percentage. All future articles should automatically open at this percentage.
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
2021 Remote Patient Monitoring Changes: Key Takeaways - Part 7
In December, the Centers for Medicare & Medicaid Services (CMS) released its 2021 Medicare physician fee schedule final rule. Within the final rule were some significant changes concerning remote patient/physiological monitoring (RPM) and the provision of other remote services. Here are the most significant takeaways from the final rule.
7. Expanding Coverage to Acute Conditions
CMS had initially described RPM as services rendered to patients with chronic conditions. With the final rule, it clarified that practitioners may furnish RPM services to patients with acute conditions as well.
Source: Daniel Tashnek, JD, Physicians Practice [1/29/21]
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| RESPONSES/COMMENTS (CLINICAL) | |
From: Clifford Wolf, DPM
Clifford Wolf, DPM, Oceanside, CA
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1A | |
From: Richard J. Manolian, DPM, Greg Caringi, DPM
The best pearl is a complete and thorough biomechanical exam. Then the rest will fall into place like a glove.
Richard J. Manolian, DPM, Cambridge, MA
My classmate brings-up an interesting subject. We were trained in Root biomechanics by Drs. Forman, Spencer, and Tax. I still follow those principles with non-weight-bearing neutral plaster impressions with basic measurements. The pearl that I learned many years ago was to indicate to the lab "no cast correction." I will also write, fabricate orthotics to full-casted arch height. This is especially important for orthotics fabricated for a cavus foot type. I often see "custom" orthotics that do not at all look like the patient's foot in neutral position. Is it because of blue foam boxes, poor technique, or a generation of podiatrists not trained to do the job properly?
Greg Caringi, DPM, Lansdale, PA
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1B | |
From: Ken Meisler, DPM
When adding an accommodation to the forefoot of an orthotic for an IPK or to off-load a sesamoid or metatarsal head, I have found that even when you mark the lesion in the cast or the scan, it frequently does not line up correctly the first time. When you place the orthotic up against the patient’s foot it looks correct but when they stand on the orthotic in the shoe, the forefoot usually slides laterally.
I always use lipstick on the foot of the patient in the area you want to off-load when I dispense an orthotics. Then I have the patient walk barefoot on the orthotic in the shoes. I think you will find that the area you want to off-load is frequently slightly lateral to your accommodation. In addition, the accommodation often does not extend as far distally as the end of the symptomatic area.
I ask for all of my accommodations to end at the sulcus. I think you will be surprised how often the build-up meant to be around the painful area is actually pressing directly on it and either not helping or making it worse. Better to find out with lipstick right away then have to wait six months until the patient shows wear in the forefoot of the orthotic that shows it needs to be adjusted.
Ken Meisler, DPM, NY, NY
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2A | |
From: Thomas Graziano, DPM, MD
Kudos to Dr. Markinson for his astute observations. While the first 2 years in podiatric medical school are on par with our medical student counterparts, the 3rd and 4th year are not mirror images. We cannot simply say as a profession that every DPM should be granted another degree because "in our opinion" we go through the same number of years in training. This discussion has been ongoing for decades within our profession. The only way I see this degree change happening is through traditional pathways.
That means, as Dr. Roth points out, that podiatry schools will be absorbed by allopathic schools so that all students attending will attain an MD and decide on their specialty after graduation. Those who want to specialize in the foot/ankle/lower leg as podiatrists (it would be interesting to see how many) will do so after they obtain the MD. They will go through the exact same didactic and clinical externship education. The question of "parity" by our medical colleagues, hospitals, and the equally important insurance companies will never be an issue again.
Thomas Graziano, DPM, MD, Clifton, NJ
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2B | |
From: John Moglia, DPM
I'm one of the silent majority content with my limited license but not content with the disparity in reimbursements, if they exist. My kid brother, a critical care surgeon, retired at 64 burnt out by the demands of his specialty and his low reimbursements. Years ago, when reimbursements were reasonable, whenever I would complain to him about the lack of acknowledgement and licensure limitations of my DPM degree, he would say just "laugh all the way to the bank."
However, I'm no longer laughing as reimbursements continue to decline. While legislation without proper training is not the answer for parity in scope for those who seek it, it might be more appropriate for approaching the insurance industry by our representatives. Who can we turn to for a realistic plan for the future? Can anyone reveal the actual disparity in reimbursements comparing DPM vs. MD?
John Moglia, DPM, Berkeley Hts, NJ
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| RESPONSES/COMMENTS (CODINGLINE CORNER) | |
From: Kristin Happel
Dr. Poggio is dead-on with his advice. Starting in 2018, our local BCBS was across the board denying any E/M code submitted with a -25 modifier. I appealed EVERY denial with treatment notes using the Availity portal for BCBS; and every denial was overturned, and payment made for the E/M code. Eventually, once 2020 rolled around, BCBS stopped denying our E/Ms with the -25 modifier, as they must have come to the realization that yes, we ARE billing properly. As Dr. Poggio indicates, make sure the E/M is truly significant and separately identifiable, and appeal, appeal, appeal!
Kristin Happel, Office Manager, Lake Zurich Foot Clinic
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoes of the Day
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Shoes NOT to wear to Kentucky Fried Chicken? |
Source: Submitted by Marty Chalfin
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MEETING NOTICES AND WEBINARS
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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn up to 50 Continuing Education Contact Hours (CECH) Online
Earn 15 CECH only $249 (less than $17 per CECH)
podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, DE, HI, IN, KS, LA, MA, ME, MI, MI, MS, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, VT, WV, and WI
Partial required credits can be taken online for AZ, FL, GA, ID, KY, IL, ID, IA, MD, MN, MO, MT, NE, NH, NY, NC, OK, PA, PR, TN, TX, WA, and DC
Choose any or ALL from 25+ CECH Category-1 articles posted
* NY podiatrists whose licenses expire from 3/2/20-5/1/21 may take all credits online
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| CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
WOUND CARE FELLOWSHIP - NEW YORK
CPME APPROVED 12 month fellowship beginning July 1st, 2021. Hospital and clinic environment, with onsite hyperbaric medicine. Working with infectious disease, dermatology, as well as, general, vascular, and podiatric surgeons. Must have completed a PMSR residency. Please contact drarnoldhertz@aol.com or jtfootcare@gmail.com. EOE employer.
ASSOCIATE POSITION - NEW YORK CITY
Looking to hire podiatrist for nursing home facilities in 5 boroughs and podiatry office in Brooklyn. Please respond with resume and work history to jayray822@aol.com. Please call 917 208-3689 for any inquiries.
ASSOCIATE POSITION – NORTH CAROLINA
Immediate Full-time or Part-time. General podiatry. Offices in Durham and Oxford. Diabetic foot care, diabetic shoes, custom orthotics/AFO, reconstructive surgery, wound care, shockwave therapy, laser nail, hospital/surgery center. Ideal for experienced podiatrist or recent graduate. Salary plus bonus and benefits. Must have NC podiatry license and BC/BQ. oxfordjob123@gmail.com
FULL TIME PODIATRIST - NEW JERSEY
We are a fast-growing podiatry practice in New Jersey with multiple locations and Doctors. We are currently looking for a full-time motivated and caring Doctor to join our busy practice. Some benefits include: competitive six-figure salary, generous, guaranteed bonus structure, health insurance (including vision & dental), paid vacation time off, paid malpractice insurance and CME time off. Great prospects for experienced Doctors as well as new Associates. This is an excellent opportunity to expand your Podiatric medical and surgical experience in an office-based practice! If interested, please submit your CV to DrSamofal@PodiatryCenterNJ.com
ASSOCIATE POSITION – MIAMI, FL
We are a growing practice in Miami, FL with three podiatrists working in 1 office and on staff at 3 hospitals. Attractive Salary Practice is equipped with certified EMR, digital x-ra, and laser. Send CV to JenniferRoselloDPM@gmail.com
ASSOCIATE POSITION – MCALLEN, TEXAS
Offering competitive compensation, Foot Center McAllen/Weslaco, a 40+ year, 2-location practice searching for highly motivated and responsible Associate. A great opportunity for those looking to join a well-established practice with huge potential for continued growth. Located in McAllen, Texas – ranked #3 of 150 cities in the U.S.A. according to U.S. News and World Report. Experienced, new graduates, or soon graduating 3rd-year-residents will be considered. Email cover letter and CV to Dr. Tin Quach to equach@mcallenfootcenter.com.
ASSOCIATE POSITION – NEW YORK
Seeking a highly motivated individual interested in evolving in private practice to a wealthy and knowledgeable affiliate entity with a large surgical based podiatry group. Surgeons with a two or three year residency preferred. Come join and Let’s keep New Yorkers on their feet! Please email your CV at podiatrynewyork@gmail.com
ASSOCIATE POSITION - ALBUQUERQUE, NM
Foot & Ankle Specialists of New Mexico has an exciting position open for a board qualified or board-certified foot and ankle surgeon to start in the fall of 2021. You can view our website at footanklenm.com. Spanish speaking and Fellowship is a plus but not a requirement. Billing/coding experience is preferred. Compensation is a competitive salary plus a percentage bonus structure to start. Please email CV and cover letter to rrivera@footanklenm.com.
ASSOCIATE POSITION – KENTUCKY
Associate position available for a compassionate physician for busy, well-established office in beautiful Central Kentucky. Extensive range of services offered with ancillary services onsite and hospital surgical privileges available. Enormous potential for rapid growth. Generous salary with incentive/full benefits and partnership opportunity. Email CV and cover letter to: Kyfootdr@gmail.com
ASSOCIATE POSITION - PHOENIX AREA, AZ
Associate position with purchase options. Well-established practice. Board Qualified/Certified. AZ license required. Send CV to: Elkscent@aol.com
MOTIVATED PODIATRIST WANTED - CENTRAL TEXAS
Seeking full-time motivated podiatrist to join our busy practice in Waco, Texas. Candidates should be proficient in diagnosing/treating all foot and ankle related pathology including trauma, rear foot and ankle reconstruction, forefoot procedures, wound care, and diabetic foot related conditions. We are offering a competitive compensation package. Specific details of the compensation package will be discussed with interested qualified candidates. Please email your CV to aszanto@wacofootcare.com www.wacopodiatry.com
ASSOCIATE POSITION - ABINGDON, MARYLAND
Immediate associate position for a well-trained, highly motivated and compassionate individual. Rapidly growing, well established practice with a loyal patient following and strong physician referral base. Offering competitive salary with bonus structure, 401K, PTO, CME allowance, health (including vision and dental) and malpractice insurance. All aspects of podiatry with emphasis on wound care/diabetic surgery/limb salvage. Please email cover letter and CV to michael@mkblockdpm.com
ASSOCIATE POSITION - GREATER HARTFORD, CT
Our four-doctor practice is looking for an associate to join us this coming Summer. Competitive six figure salary with a bonus structure, health insurance, 401-k and vacation benefits. You must be personable. Surgical training is desired. Send resume to latifdpm@gmail.com
ASSOCIATE POSITION - NW FLORIDA/COASTAL ALABAMA
Busy, well-established practice, EHR, digital x-ray, diagnostic ultrasound. Offering competitive six-figure salary w/bonus structure, health/malpractice insurance, and PTO. PSR-36 required. Partnership path to motivated and compassionate associate. Must obtain Florida and Alabama licenses. Send CV: Brentmharwood@gmail.com
ASSOCIATE POSITION - SOUTHWEST, FL
Immediate position for busy practice in Sunny Southwest, FL. ABFAS RRA BC/BQ. EMR, E x-rays, US, DME. Base salary + bonus w, PTO, 401K, fees, health benefits. Also 1 ACFAS credentialed fellowship avail, must be BQ ACFAS by start of program 8/2021: DrLam@NaplesPodiatrist.com
ASSOCIATE POSITION WITH OPTION TO BUY – BRONX, NY
Full time or part time with option to purchase. Co-Op City, Bronx New York. Established in 1969. Full scope of podiatry. MUST PARTICIPATE IN INSURANCE PLANS. Pleasant office; great patients; Great opportunity. Call or text 914-772-3842 or email: Lwolstein@aol.com
ASSOCIATE POSITION - FLEETWOOD, PENNSYLVANIA- SOUTHEASTERN PA
Suburban 3 office practice looking for a full-time, motivated, outgoing associate for immediate opening leading to possible partnership. Well trained surgically & board qualified/certified. Competitive salary, bonus, health insurance, and malpractice insurance. Email CV to Kathy.Geist@FleetwoodFootcare.com
PM NEWS CLASSIFIED ADS REACH OVER 20,000 DPMs AND STUDENTS
Whether you have used equipment to sell or are offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 20,000 subscribers. For details, click here or write to: bblock@prodigy.net or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at davidekagan@gmail.com or call (215) 808-0770
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| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE - ROCKLAND COUNTY, NY
38 year old practice well established high patient load and new patients. Focus on biomechanics, orthopedics, and general podiatric care with some surgery and wound care. Great potential for surgery, wound care and DME Will stay for transition. Contact sfessel@gmail.com
PRACTICE FOR SALE - VAN NUYS, CALIFORNIA
Motivated Seller. General podiatric 53 year old practice for sale in Van Nuys California, next to hospital. Great growth potential. Will stay to help transition. Call Ron Miller at 310-980-1822 or email to remillerdpm@sbcglobal.net
PRACTICE FOR SALE - SOUTHEAST MO
This solo practice is leading provider in market. Busy office based practice with opportunity for growth and expansion. Owner desires to transition and retire. Contact MCrosby518@gmail.com
PRACTICE FOR SALE - BOSTON, MA
If you have the personality to work well with others, this 0pportunity for an experienced podiatric surgeon to join this practice and become the owner is for you. Competitive compensation and benefits package. High volume of surgery with large referral base. Well established infrastructure and operating strategy. Owner financing available. Contact us now: MCrosby518@gmail.com
PRACTICE FOR SALE - TEXAS
COVID Proof practice grossing 500K in 2020 - 2 ½ days weekly. Primarily biomechanics - orthopedics. Easily double gross by retaining surgery & wound care. Freestanding office included with 4+ TX rooms. No money down owner financing available. Can stay for transition. Contact fjhenry2111@yahoo.com
PRACTICE FOR SALE - SOUTHEASTERN VIRGINIA
Well established practice with sustained high income, great location. Diverse surgical and general practice with full hospital privileges available, Digital x-ray, ultrasound, DME program, EMR linked to National billing company. Willing to stay for transition. Email: officemail1@cox.net
PRACTICE FOR SALE - MANHATTAN EAST SIDE
Part-time practice opportunity on Manhattan's upper east side. Hospital and public transportation one block away. Ground floor. Fully furnished. Expansion of hours possible. Contact 917-841-6805.
PRACTICE FOR SALE - TARZANA, CALIFORNIA
Thriving practice for sale in optimum location next to pharmacy and across from major hospital in Tarzana California Established 1982 Ground floor free parking Patients are PPO Medicare and cash Serious inquires only text 818 451-8441.
PM NEWS CLASSIFIED ADS REACH OVER 20,000 DPMs AND STUDENTS
Whether you have used equipment to sell or are offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 20,000 subscribers. For details, click here or write to: bblock@prodigy.net or call (718) 897-9700 for details.
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| Disclaimers |
Acceptance and publication by this newsletter of an advertisement, news story, or letter does not imply endorsement or approval by Barry Block or Kane Communications of the company, product, content or ideas expressed in this newsletter. Podiatric Medical News does not represent the views, and is a separate entity from Podiatry Management® Magazine and Podiatry Management® Online. Any information pertaining to legal matters should not be considered to be legal advice, which can only be obtained via individual consultation with an attorney. Information about Medicare billing should be confirmed with your State CAC.
THIS MESSAGE IS INTENDED ONLY FOR THE USE OF THE INDIVIDUAL OR
ENTITY TO WHICH IT IS ADDRESSED AND MAY CONTAIN INFORMATION THAT IS
PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE.
If the reader of this message is not the intended recipient or an
employee or agent responsible for delivering the message to the
intended recipient, you are hereby notified that any dissemination,
distribution, or copying of this communication is strictly
prohibited. If you have received this communication in error, please
immediately notify me and you are hereby instructed to delete all
electronic copies and destroy all printed copies.
DISCLAIMER: Internet communications cannot be guaranteed to be
either timely or free of viruses.
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