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PM News |
The Voice of Podiatrists
Serving Over 18,797 Subscribers Daily
March 22, 2018 #6,148 Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com E-mail us by hitting the reply key. COPYRIGHT 2018- No part of PM News can be reproduced without the written permission of Barry Block
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PM NEWS QUICK POLL |
Quick Poll
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Do you use compounding pharmacies? |
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AT THE COLLEGES |
NYCPM Celebrates 100% Eligibility for CASPR Residency Match and Placement
The New York College of Podiatric Medicine has announced that the Class of 2018 achieved a 100% residency match in the first round on Monday. In addition, five prior graduates also matched in the first round. By virtue of passing Part II NBPME, 100% of the class was eligible for the match.
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(L-R) David Rapps; Rahman Majid; Mustafa Ahmed; Mai Pham; Drs. Michael Trepal and Robert Eckles; Kyle Piner; Joseph Morra; Jeffrey Panuszewski; and Breelyn Miles. |
Michael J. Trepal, DPM, Vice President of Academic Affairs and Academic Dean of NYCPM, stated, “I cannot recall similar results in recent (college) history. Truly remarkable! I congratulate the class of 2018 and the faculty who taught them, as well as the administration and staff who supported them.”
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APMA COMPONENT NEWS |
APMWA Announces 32nd Annual Student Writing Competition
DEADLINE APRIL 1, 2018
The American Podiatric Medical Writers Association has announced its 32nd Annual Student Writing Competition.
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All papers MUST be non-technical in nature. Appropriate subjects include practice management, ethics, law, education, or any topic that would be suitable for a lay publication.
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There is no word limitation. Papers will be graded for content, style, grammar, neatness, and overall impact.
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First prize one thousand dollars ($1,000), Second prize seven hundred and fifty dollars ($750) Third prize five hundred dollars ($500) sponsored by an APMA Educational Foundation endowment from Dr. and Mrs. Steven Berlin, and recognition in the APMA NEWS and the APMWA Newsletter. Honorable Mention Certificates may also be awarded.
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This competition is open to ANY enrolled podiatric student.
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Entries must be received by 4/1/18 via e-mail at bblock@podiatrym.com
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Entries become the property of APMWA, which may arrange publication of the entry.
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PODIATRISTS IN THE COMMUNITY - PART 1 |
NY Podiatrist Joins CareMount Medical
Raisa Tsvaygenbaum, DPM has joined the independent multi-specialty medical group, CareMount Medical in Chappaqua. Dr. Tsvaygenbaum received her medical degree from Temple University School of Podiatric Medicine and completed her residency at Richmond University Medical Center, an affiliate of The Mount Sinai Hospital and the Icahn School of Medicine.
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Dr. Raisa Tsvaygenbaum |
Dr. Tsvaygenbaum practices at CareMount Medical’s Kingston, Rhinebeck, and Poughkeepsie Oakwood offices and will have privileges at Northern Dutchess Hospital and HealthAlliance Hospital—Broadway Campus.
Source: Michelle Almonte, White Plains Journal News [3/19/18]
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PODIATRISTS IN THE COMMUNITY - PART 2 |
2 IL Podiatry Groups Consolidate and Join OSF HealthCare
Peoria Podiatry Group, P.C. and Illinois Valley Podiatry Group, P.C. are combining and joining OSF HealthCare. The practice will be known as OSF HealthCare Medical Group Podiatry.
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(L-R) Drs. John Ruff, Jake Ruff, Kevin Brattain, and Mark Smith |
By aligning with OSF HealthCare, Drs. John Ruff, Jake Ruff, Kevin Brattain, Mark Smith and their staffs will be able to offer additional services, including OSF MyChart, through which patients will be able to access portions of their medical records online or through their mobile devices where they can view test results, request prescription refills, and more.
Source: Leslie Renken, Journal Star [3/20/18]
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ON THE INTERNATIONAL LECTURE CIRCUIT |
CA Podiatrist Delivers Transatlantic Keynote
Dr. David G. Armstrong, Professor of Surgery and Director of the Southwestern Academic Limb Salvage Alliance (SALSA) at Keck School of Medicine of USC delivered a wide ranging lecture via transatlantic video link discussing current and next-generation strategies to treat people at high risk for diabetes-related amputation.
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Dr. David Armstrong |
The British Association of Prosthetists and Orthotists symposium (BAPO18), held at the Lancashire County Cricket Club in Manchester, featured several hundred clinicians from across the UK and Europe. Among a number of other efforts, Armstrong described new “wearable robots and exotendons” that mimic the body’s own musculoskeletal system that can help support and even augment strength and mobility.
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RELEVANT RESEARCH |
Foot Orthoses Not Superior for Improving Pain and Function in PHP
Plantar heel pain (PHP) is common. Foot orthoses are often applied as treatment for PHP, even though there is little evidence to support this. To investigate the effects of different orthoses on pain, function, and self-reported recovery in patients with PHP and compare them with other conservative interventions, a systematic literature search was conducted in MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, Web of Science, CINAHL and Google Scholar up to January 2017.
Randomized controlled trials compared foot orthoses with a control (defined as no intervention, sham, or other type of conservative treatment) reporting on pain, function or self-reported recovery in patients with PHP. Conclusions: Foot orthoses are not superior for improving pain and function compared with sham or other conservative treatment in patients with PHP.
Source: Nadine Rasenberg, Henrik Riel, Michael S Rathleff, Sita M A Bierma-Zeinstra, Marienke van Middelkoo, British Journal of Sports Medicine [3/19/18] via multiple podiatrists.
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HEALTHCARE NEWS |
Physician Pay: Gender Gap Widens
You probably caught the headline that more women than men enrolled in medical school for the first time in 2017. According to a new report released by Doximity, that hoopla around that shift can be tempered a bit: the gap between men and women when it comes to physician pay actually increased from 2016 to 2017.
In 2016, female physicians made $91,285 less than their male counterparts. In 2017, that gap grew to $105,000. More than half of metros saw the pay gap increase year over year, and the trend held in every metro area, among owners, contractors, and employees, and within every specialty.
Source: Matt Wynn, MedPage Today [3/18/18]
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PRACTICE MANAGEMENT TIP OF THE DAY |
Drive Down Expenses at Your Medical Practice - Part 2
2. Move on to salary and benefits.
Have you considered using a professional employment organization (PEO)? These organizations become the employer of record; so while you maintain the management of your employees, the PEO bundles up payroll, HR services and compliance, workers compensation, employer liability insurance, healthcare benefits, and so on under its entity. You pay either a flat rate per employee per month (Justworks) or a percentage of payroll (ADP), and the PEO does the rest. While it might seem more expensive than what you pay for payroll cost alone, one of the biggest benefits (and cost savings) is access to healthcare benefits that are priced for a much larger entity than your practice could obtain alone. Additionally, there are often many ‘perks’ included, such as gym memberships and life insurance, optional short-term and long disability plans that employees can purchase, and so on.
You should also determine if you are routinely paying overtime, and shop around for new payroll companies to make sure that you are not overpaying for those services. Finding more efficient payroll systems can reduce time and create efficiencies too, so look for price plus efficiency when evaluating options.
Source: Susanne Madden, Physicians Practice [3/14/18]
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RESPONSES/COMMENTS (OBITUARIES) |
RE: The Passing of Duane “Bud” Rowley, DPM
Duane “Bud” Rowley, DPM put himself second, never first. The beloved father, husband, podiatrist, and Lapeer-area soccer coach passed away Wednesday, March 14 after a battle with cancer. He was 52.
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Dr. Duane “Bud” Rowley |
Rowley earned his Doctorate of Podiatric Medicine from Ohio College of Podiatric Medicine. Rowley was diagnosed with Stage 4 colon cancer five years ago, but remained upbeat throughout the half-decade since, continuing in his role of father to his six children, coach to dozens of area youth, and doctor to many patients in the area.
Source: Nicholas Pugliese, County Press [3/21/18]
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RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 |
RE: Misinformation About Cartiva
From: Craig Breslauer, DPM
I have been performing Cartiva with positive results since its inception. I have performed over 20 thus far. Compared to most surgeries we do, it is technically easy and quick.The purpose of my post is to garner opinions regarding how to, or not, handle some of the comments I have encountered regarding podiatrists vs. foot orthos doing this procedure. I became aware of a Cartiva Facebook page and have read quite a bit. The majority of the posters have used orthos and many recommended only using a foot ortho. Furthermore, there is a foot ortho who acts as a moderator. I do not know if he is affiliated with Cartiva as a company or sanctioned as a moderator.
If the company supports the propagation of such misinformation, I think our profession needs to address it. I know I see poor outcomes/complications of both fellow podiatrists and foot orthos as I am certain they see some of mine.
Craig Breslauer, DPM, Stuart, FL
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RESPONSES/COMMENTS (NON-CLINICAL) - PART 2 |
From: Paul Kesselman, DPM, Simon Young, DPM
Thanks to Dr. Borreggine for pointing out it was a PA at the derm practice who wrote the Rx. He is absolutely correct that all prescribers should have some sense of the patient’s cost of their prescription regimens.
Paul Kesselman, DPM, Woodside, NY
I am incensed at the term “fake news”. It is a term to indicate intent on lying vs. ignorance. Furthermore, it’s a term used by leaders who are authoritarians and themselves are promoting false ideology and facts. Yes, Kerydin and Jublia are not compound pharmacy drugs, but they surely charge the same. The PA might have been misinformed or didn’t care. It's true that the patient did have documented onychomycosis, but was her health in grave risk? These abuses nevertheless should be exposed.
We should ask the Reps what are the costs of these medications. Anything products advertised or promoted by a Rep. are really, really expensive. It’s unconscionable to pay $1,500 for 10 ml Kerydin or 8 ml Jublia. Treatment can cost over $10,000 for let’s say 10 nails with a low cure rate, provided it’s involving the matrix. Anterior superficial, you can bump up the cure rate to 26%.
Boutique pharmacies charge outrageous prices but we write the prescriptions and they laugh all the way to the bank, and insurances and patients blame and complain to the prescribers. If you have commercial insurance (NOT MEDICARE, MEDICAID, TRICARE), you can pay out- of-pocket for $100 in my office area. What’s wrong with that picture? This is an outrage which doesn’t only involve podiatric practitioners but all medicine and should be outlawed and regulated. This has little to do with R&D. R&D is a farce at this point.
Simon Young, DPM, NY, NY
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RESPONSES/COMMENTS (PM NEWS QUICKPOLLS) |
From: Janet McCormick
I am interested in knowing from those commenting their thoughts on the use of N95 masks when REDUCING mycotic nails? Do you feel they safeguard your breathing space enough, if the fit test is positive? What about the use of face shields, as they use them effectively in dentistry? BTW, I don't see "grind" as a word professionals should use when referring to electric files. Nor does "Dremel" reflect the use of professional equipment in many cases.
Janet McCormick, Frostproof, FL
We have a problem in our profession with grinding nails. We fortunately, or unfortunately, have become the experts of treating and debriding nails. It is in most of our DNA as podiatrists and surgeons to strive for excellence. I have not found a way to do a great job of debriding nails without using a grinder. To meet Medicare's requirement for a covered service mostly requires aggressive debridement. Most of the patients for whom we debride nails for cannot do it for themselves.
If it were my nails, I would want them grinded. If it was my parent's nails, I would want them grinded. We are unfortunately putting ourselves at personal health risk by doing so. We are not unique in this problem. Tell the coal miner not to go into the mine. Tell the radiology technologist not to take x-rays. What we have is a problem that needs solving. Our current nail dust extractors or vacuums are apparently not adequate to remove enough of the nail dust. We need a better mouse trap. Enterprising individuals or the companies that make and sell nail vacuums need to come up with a contraption that contains the dust better. There is a clearly a market for this. Our health and the quality of our work is worth it.
Mark Light, DPM, Marietta, GA
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YOU CAN'T MAKE THESE THINGS UP |
RE: Outrageous Shoe of the Day
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Another 2 Feet of Snow in the East! |
Source: Today's Snowman
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MEETING NOTICES
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CLASSIFIED ADS - PART 1 ASSOCIATE POSITIONS AND FELLOWSHIPS |
WOUND CARE FELLOWSHIP - NEW YORK
CPME-APPROVED 12 month fellowship beginning July 1st, 2018. Hospital and clinic environment, with onsite hyperbaric medicine. Working with infectious disease, dermatology, as well as plastic, general, vascular, and podiatric surgeons. Must have completed a PMSR residency. Please contact drarnoldhertz@aol.com or jtfootcare@gmail.com. EOE (equal opportunity employer)
ASSOCIATE POSITION – KENTUCKY
Associate position open for well trained, compassionate physician for busy clinic in the beautiful Danville area of Kentucky. Wide range of services to be offered with several ancillary services onsite. Generous base salary with incentive/full benefits and partnership opportunity. Email CV and letter of interest to: MCrosby518@ mail.com
ASSOCIATE POSITION - PHOENIX, AZ
Well established Practice seeking a Physician for its Southeast valley office. Right candidate must be a motivated individual who wishes to practice Podiatric Medicine and surgery in a professional environment that promotes success and offers the right tools to achieve it. Please contact us: FootAnkleCare1@gmail.com
ASSOCIATE POSITION - LOUISVILLE, KY
Associate position available leading to partnership or ownership. Great opportunity for motivated practitioner. 30 year practice with well established patient base, excellent referral base. 2 office locations. Hospital, wound care and ER call privileges. Excellent mix of patients, high surgical volume. Great potential to take to the next level. Late into the game for new graduates but if interested, email me at Afootdr@aol.com
ASSOCIATE POSITION WANTED - HUDSON VALLEY, NY
Full time associate position in a busy office. Broad responsibilities including wound care, trauma call, hospital rounding, etc. Surgical based practice with privileges to local hospital and surgical center. Comparable pay. Position available Sept. 2018, will wait for right graduate. Office is located in the beautiful Hudson Valley. Close proximity to NYC as well as a multitude of outdoor activities. Please send CV in an email to hudsonvalleypodiatrist@gmail.com
POSITION AVAILABLE - GETTYSBURG, PA AND FREDERICK, MD
Well-established practice is seeking associate for partnership and buy out. One senior partner looking to slow down and then retire. I will teach you to become a top earner in the field. Don't miss this opportunity! drhenrock@yahoo.com. Dr. Scott Henry 301-514-9781. AtlanticFootSurgeons.com
ASSOCIATE PODIATRIST - TRISTATE AREA, MARYLAND
Great team players wanted for Group Practice with several locations. Full time associate positions are available. We offer state of the art facilities with well-trained support staff, in-office surgical center, ultrasound, DME, EMR, x-rays, etc. This amazing opportunity comes with a competitive salary, excellent benefits and bonus structure. Please email letter of intent and CV to mynewposition75@gmail.com
ASSOCIATE POSITION - PODIATRY GROUP IN LOS ANGELES
Join the group/limb preservation team and teaching faculty. Must be well trained in limb preservation, trauma, and reconstructive foot and ankle surgery. Send CV to podiatricri@yahoo.com, attention Stan Mathis, DPM.
ASSOCIATE POSITION - HOUSTON, TX
Established, growing multi office, multi doctor practice seeking PSR-36 board certified/qualified foot and ankle surgeon. Must be personable, outgoing and motivated with excellent clinical and surgical skills. Practice is protocol-based, state-of-the-art equipped with the latest technologies and cutting-edge procedures with an extremely competent staff. Send CV, salary requirements to faajobs@gmail.com.
ASSOCIATE POSITIONS - MARYLAND
Come join our team of top docs. Foot and Ankle Specialists of the Mid-Atlantic, LLC has associate positions available in several of our established MD locations. We have all the administrative, marketing, and assistant help in place to help make your practice, with us, a success. See patients, do your charting, and leave the rest to us. Email your resume and cover letter to newdpm@footandankle-usa.com . We look forward to receiving your information
POSITIONS AVAILABLE - UPSTATE NEW YORK and NEW JERSEY
Looking for podiatrists to see residents in nursing homes and skilled nursing facilities in Upstate New York and New Jersey. Great opportunity for part-time income. Positions available immediately! Send inquiries to: phasetwopodiatry@gmail.com
MOBILE PODIATRISTS NEEDED - NEW JERSEY
Well-established and fast growing House-call podiatry practice (www.homefootcareservices.com) is looking for PART-TIME podiatrist to do home visits to home- bound patients in NJ, in Southern Counties of NJ, primarily - OCEAN county .
ASSOCIATE POSITION - CHICAGO/NEAR WEST SUBURBS
Multi-location group - Immediate opening for ABFAS Board Certified/Eligible associate. Minimum 1 year’s private practice experience required. Surgical/ortho patient load. DME, Rx, Minimal Incision Sx, EMR, digital x-ray, laser, ultrasound, shockwave & MRI. Top pay, associateship & practice equity available for experienced candidates. Send CV drtsatsos@anklenfoot.com
ASSOCIATE NEEDED - WARREN/YOUNGSTOWN, OHIO
Ankle & Foot Care Centers operates 20 locations in Northeast Ohio. We are looking to add a full-time podiatric physician to help cover expanding office hours. Tremendous growth opportunity for a hardworking individual with an interest in reconstructive surgery and wound care. To learn more about us, visit our website at www.ankleandfootcare.com Please email your letter of interest and CV to Michael Vallas, Practice Administrator at mike@ankleandfootcare.com.
PM NEWS CLASSIFIED ADS REACH OVER 18,500 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 18,500 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 PART 2 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
OFFICE SPACE FOR RENT – NYC SUBURB
Busy urban location with patients walking in every day. Ground floor accessibility. You will be busy from Day 1 if you are not afraid to work hard. Highly rewarding experience with established office-patient relationship in the community. Suburbs of New York City but city-like atmosphere. recruitjobs18@gmail.com
PRACTICE FOR SALE - PHOENIX METRO/EAST VALLEY
Small office, well established location. Primed for growth in family oriented area with bonus large retiree population. Close to multiple hospitals, surgery centers. New home developments/subdivisions literally around the corner. Email dlmeb5@yahoo.com for details.
PRACTICE FOR SALE - SEATTLE SUBURB
25 year old sports and family oriented practice located in a highly desirable, affluent and well insured area. For details, reply to: footdoc@aol.com
PRACTICE FOR SALE - NORTH PHOENIX/SCOTTSDALE/ PARADISE VALLEY, AZ
A well established, successful solo practice in a prestigious medical center. Office suite recently built. All aspects of podiatric medical care for adults and children. Excellent opportunity for referrals and continued practice expansion. Doctor willing to stay and help with transition. Call 602-740-1686 for details.
PRACTICE FOR SALE - NORTHERN CALIFORNIA
Retiring. The practice comes with ready patient base in area of unlimited potential. Awesome locale with lakes, mountains and rivers in every direction. $200,000 buys the building and well established practice. Seller willing to partially finance and stay as needed during transition. Seller also willing to consider renting or lease to buy. Please contact me with serious inquiries only and I will be pleased to discuss the particulars with you. A great opportunity!!! reddingpodiatry@sbcglobal.net
PM NEWS CLASSIFIED ADS REACH OVER 18,500 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 18,500 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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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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- Notes should be original and may not be submitted to
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RE: (Topic)
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Body of letter. Be concise. Limit to 250 words or less). Use
Spellchecker
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- Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.
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