The Voice of Podiatrists

Serving Over 11,000 Podiatrists Daily

October 05, 2009 #3,666 Publisher-Barry Block, DPM, JD

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Collagen Grafts Can Help Promote Wound Healing: TUSPM Podiatrist

Doctors who specialize in wound management are growing skin to help people save their limbs and extremities. Pharmaceutical and biotech companies are extracting collagen -- a protein that makes up 75 percent of skin -- from donated skin and creating grafts, or patches, that can induce a patient's own skin to grow. The donated skin can come from a variety of sources: anything from a pig's pancreas to a baby's foreskin.

Dr. James McGuire

"In some cases, we can get four football fields of skin out of one baby foreskin," said Dr. James McGuire, head of wound management at the Foot and Ankle Institute at the School of Podiatric Medicine at Temple University, in Philadelphia. "If taken care of, skin can grow and grow."

The idea behind these collagen grafts is to create a sort of scaffolding into the wound, upon which a patient's cells can attach and grow. "Once you take all the cells out of there and strip it down to the collagen level, the body says, 'This is great; this is what we make our bodies out of,'" McGuire said. "And tissues will grow around it."

Source: Val Willingham, CNN [11/2/09]

FTC Further Delays Red-Flag Rule Enforcement

The Federal Trade Commission delayed for the fourth time enforcement of a rule that requires financial institutions and creditors—including doctors and hospitals—to address the risk of identify theft. Regulators postponed enforcement by another six months until June 1, 2010, at the request of members of Congress, the FTC announced on Oct. 30, two days before the so-called "red flag" rules were to be enforced.

Under the rule, doctors and hospitals must develop and implement written programs to identify, detect and respond to potential identify theft. The healthcare providers accept deferred payment and are therefore covered under the rule, according to the FTC.

Source: Melanie Evans, Health IT Stragetist [11/2/09]

AL Podiatrist Appointed to State Podiatry Board

Governor Bob Riley has appointed Troy physician Sanjeev Singh to the State of Alabama Board of Podiatry. Singh was sworn in as a member of the prestigious board Tuesday by Pike County Probate Judge Wes Allen at the Pike County Courthouse.

Dr. Sanjeev Singh

“Gov. Bob Riley made a great choice in appointing Dr. Sanjeev Singh to the Alabama State Board of Podiatry,” Allen said. “This is a very important board and it is good for Pike County to have a local physician appointed to serve. We congratulate Dr. Singh. He is very deserving.”

Singh said he was honored to have been appointed by the governor and is looking forward to serving on the state board. Singh has practiced podiatry in Troy for 17 years and, laughingly, said he is now one of the “old men” in the medical business in Troy.

Source: Jaine Treadwell, Troy Messanger [10/2/09]

Foot Ulcers Independently Linked to Mortality in Diabetics 

A history of foot ulcers is a significant predictor of mortality in diabetics, independent from comorbidities such as cardiovascular disease and nephropathy, according to study findings. Lead author Marjolein M. Iversen, from Bergen University College, Norway, states, "The results underline the importance of organizing future healthcare services with follow-up routines that allow for early and tight clinical monitoring in persons with a history of foot ulcer in primary care."

The new findings are based on data from 1,339 diabetic patients with a history of foot ulcers, 155 diabetic non-foot-ulcer subjects, and 63,632 non-diabetic participants in the Nord-Trondelag Health Study in Norway. Subjects were followed for 10 years for mortality. The mortality rate for diabetics with a history of foot ulcers was 49.0%, much higher than the 35.2% and 10.5% rates seen in the diabetics without a foot ulcer history and the non-diabetics, respectively.

After adjusting for demographic and lifestyle factors, diabetics with a history of foot ulcers were 2.29 times more likely to die during follow-up than were non-diabetic subjects. Among diabetic subjects, foot ulcer history was associated with a 38% increased risk of death.

Source: Presented last week, at the 20th World Diabetes Congress in Montreal via Diabetes in Control

Powerstep Awarded APMA Seal of Acceptance

The American Podiatric Medical Association (APMA) recently awarded its coveted Seal of Acceptance to Stable Step’s Powerstep line of pre-fabricated foot orthotics. The APMA Seal of Acceptance Program recognizes products which have been found beneficial to foot health. A special committee under the auspices of the APMA scientifically evaluates each product. The committee found that all Powerstep orthotics are worthy of this seal—the ProTech Full Length, the ProTech ¾, the ProTech Classic Plus, and the ProTech CustomPost.  

Dr. Les Appel

Dr. Les Appel, developer of the Powerstep products and President of Stable Step, Inc., noted that “The APMA’s goal is to identify products of exceptional quality. We truly appreciate this prestigious award from the recognized leader in the podiatric field. It’s another indication of the efficacy of our products.” Powerstep orthotic products are used by over 4,000 medical professionals nationwide, and are sold in specialty retail stores. 
 

Query: Orthotic For Hallux Limitus

I’m inquiring about recommendations for orthotics for a 13 year old 6'3" basketball player. Generalized complaints: Flexible, collapsing  with gorilloid navicular bone (no accessory bone). Maximum eversion with stance/gait and forefoot supination. He has limited 1st MPJ ROM, bilateral, and secondary adaptive dorsiflexion of the IPJ and a plantar keratosis. I’m wondering about how to support/control or accommodate the hallux limitus.  

Alan Mauser, DPM, Louisville, KY

Query: Compression Socks/Stockings

Do any of my colleagues know where to purchase compression socks/stockings at wholesale prices?
 
Tamara Allen, DPM, Annapolis, MD

RE: Tightrope Complication (Adam Cirlincione, DPM)
From: Charles Morelli, DPM

I see two problems here that are above and beyond your concern whether or not to remove the tightropes that are "in place." I submit to you that one or two of the tightropes have already broken (which is probably why her deformity has returned), and that makes your question regarding their removal moot. If I am not mistaken, I believe sagittal plane hypermobility is a direct contraindication for this procedure as the first metatarsal excursion will be direct cause for the tightrope to break. My other concern is that this patient has had "TWO midshaft" tightropes. This procedure is normally performed in the proximal 1/3 of the bone as it is thicker and safer for fixation.

The other complication of this procedure is the stress riser that is created when you drill through a bone, especially the second as it is locked proximally between the two cuneiforms. Not only is the 2nd metatarsal a thin bone, it is even "thinner" mid-shaft, and this patient has had two holes drilled. Her problem is not necessarily the recurrence of her bunion, but the probable metatarsal fracture she may sustain. As far as I am concerned, hypermobility = Lapidus. 
 
Charles Morelli, DPM, Mamaroneck, NY, podiodoc@gmail.com

RE: Sarapin for Morton's Neuromas? (David Alper, DPM)
From: Elliot Udell, DPM

Dr. Alper brings up an interesting question when he cites a neurologist whose answer to the question of whether Sarapin is effective was: "it has worked for my patients." It might seem to readers that the use of Sarapin in the treatment of neuromas might not hold its weight in the era of evidence-based medicine.
 
When I lecture at podiatry seminars on evidence-based medicine, the question often arises as to whether we can use a medical or surgical treatment that appears to be efficacious, but is devoid of supporting research papers. This does not mean that there is negative literature on the treatment, but simply there is little or no literature. I explain to attendees that we cannot discount our own clinical findings nor should we always relegate positive findings to the realm of placebo. Good medical research is extremely costly and small companies cannot afford to spend millions of dollars on good research. If a drug is generic or if we are dealing with a surgical procedure not involving the use of patented hardware, there may be no money out there to fund the research, even if the treatment appears to work. 
 
Treatments such as posterior tibial blocks, as well as other time-honored treatments, including off-label uses of medications, are not reimbursed by third-party payers because of a paucity of supportive literature. One of the goals of the American Society of Podiatric Medicine is to encourage our colleges to take on research projects for  podiatric treatments when there is no corporate interest willing or able to foot the bill.
 
Elliot Udell, DPM, Hicksville, NY, Elliotu@aol.com

RE: Alan Schor, DPM
From: Steven Berlin, DPM

I am sorry to have to report that Dr. Alan Schor passed away after a long illness on Sunday, Oct. 25, 2009. He was a 1959 graduate of Temple University School of Podiatry. He did his surgical residency at Civic Hospital in Detroit, MI in 1959-60, and went into private practice in N. Bergen, NJ, where he retired in 1992. He was extremely active with the New Jersey Podiatry Society. He was a past president of the ACFAS and was also a diplomate of the American Board of Podiatric Surgery. He was residing in the Scottsdale, Arizona area when he passed away. His activities on behalf of podiatric medicine were invaluable during his lifetime. He will be greatly missed by his family, friends, and the podiatric profession.    

Steven J. Berlin, DPM, Baltimore, MD

RE: Paperless Office by CSC (Dina Rappette)
From: Dan Waldman, DPM

I've been using CSC paperless office for 2 years and AS/PC dbc for billing since the early '90's. It works well. I'd be happy to discuss this with those considering this system.
 
Dan Waldman, DPM, Asheville, NC, DPMcareer@aol.com

RE: Digital Camera (Charles F. Ross, DPM)
From: Richard W. Boone, Sr.

The recent discussions about digital cameras in the office bring to mind a number of points that need to be made about images of patients and their pathology:
 
1. If you take them, you have to keep them.
 
Once you take the image, it becomes a part of your medical record for … 
 
Editor’s Note: Mr. Boone’s extended-length letter appears at: http://www.podiatrym.com/letters2.cfm?id=30184&start=1

RE: Fee Update/Medicare
From: Lawrence M.  Rubin, DPM, Lloyd S. Smith, DPM, 
 
Podiatry will receive a gradually phased-in 6% overall fee increase during the multi-year transition period proposed by CMS. The exact amount your practice will generate will depend on your procedure mix. Increases in EM visits and simple office-based surgery comprise most of this increase. Fees for hospital-based and more complex surgery will generally decline. This increase is largely dependent on the extensive practice expense survey conducted by the American Medical Association and generously supported by your APMA dues dollars. I suspect this increase by itself will more than pay for joining APMA. There is no other podiatric organization capable of providing this input to AMA. 
 
Lloyd S. Smith, DPM, Newton, MA, lloydpod@yahoo.com

ASSOCIATE POSITION - AUSTIN AND SAN ANTONIO AREAS

Seeking well-trained ABPS board certified/qualified foot surgeons for surgical practice with national foot/hand/orthopedic surgery group.  Excellent salary/benefits. Email CV and cover letter to: slb99@pdq.net

PRACTICE FOR SALE - FLORIDA - ST. PETERSBURG AREA 

Part-time office, remodeled 4 years ago. Fully equiped and stocked, 2 treatment rooms, x-ray and processor, billing software. Low overhead ,good signage. Asking $40k. Contact mwftdr@aol.com

EQUIPMENT FOR SALE - AMFIT ORTHOTIC MANUFACTURING MACHINE

Includes digitizer, fabricating mill, new updates have been added and enough supplies to pay for the machine in the long run. At $200 per pair = about $28,000. Selling FOR $25,000, O.B.O, F.O.B. americanfoot@email.com or 405-733-2783.

NEEDED CHICAGO -- NW IND & BALTIMORE/WASHINGTON, DC PODIATRISTS

Home Physicians, a medical group specializing in house calls is looking to hire podiatrists in Chicago, Northwest Indiana, and Baltimore, MD. Full and part-time positions are available. Competitive Compensation including malpractice. Contact Scott Schneider. Phone-773-342-4201 FAX 773-486-3548-E-Mail sschneider@homephysicians.com Visit our website

PODIATRY PRACTICE FOR SALE- NEW YORK

Excellent Bayside location. Established twenty years. Fully equipped and computerized. Part-time, mostly palliative care, podiatric  medicine, and orthopedics. Very little surgery. Priced to sell. Call weekdays after 8pm...718-465-5239

ASSOCIATE POSITION - SOUTHERN CALIFORNIA

Looking for board certified/board eligible ABPS associate to join a multi doctor practice with 2 offices. May lead to eventual buy-in and purchase. Must have minimum 2-year residency and comfortable with rearfoot procedures and diabetic care, ER call. Must be dependable, honest, ethical individual. Send cover letter and CV to familyfootcenter@earthlink.net

OFFICE SPACE/ MRI RENTAL – NYC, LI

Turn-key space available, daily, monthly; East 60th off Park Ave, East 22nd St. off 3rd Ave, Hicksville and/or Plainview Long Island. JACHO-certified operating rooms available, as well as all surgical equipment and anesthesia. Extremity MRI Rental. Stark compliant. All exams read by board certified radiologist. Call for details. 516 476-1815

ASSOCIATE POSITION - CHICAGO AREA

Join one of the most successful, long-established podiatry practices in the Chicago area, with excellent salary and benefits. We have an immediate opening for a full-time podiatrist in a multi practice location in Chicago. Must have two years of surgical residency. Please e-mail resume to fmassuda@footexperts.com

SEEKING ASSOCIATE - MIAMI FL

Buy-in and purchase if you are interested. Well-rounded practice (EMR, Digital X-R) seeing 250+ pts/wk. 30 yrs same location. Competitive salary +benefits + incentives. I am winding down my practice after 30 yrs. Will feed you my surgical load until you generate your own. Send resume to doctorinhialeah@aol.com

LOCUM TENENS/ASSOCIATE—PHOENIX

Busy multi-location practice in South East Valley seeks immediate well-trained personable individual. Part time Locum position may lead to permanent part-time, full-time, and buy- in potential if desired. Please send letter of interest and C.V. to AzToesRus@aol.com

ASSOCIATE POSITION – LOS ANGELES

Well established Los Angeles-based practice seeking a surgically trained, highly motivated, well-trained podiatrist. We have a very busy multi-office practice with state of the art podiatric equipment. Must be dependable, honest, and an ethical individual. This position is available immediately. Send resume and your email address to desierec@kimfoot.com

ASSOCIATE POSITION - WASHINGTON, DC

Interested in working in Washington D.C.? Our group is looking to add a highly motivated, hard working, well trained podiatrist to our practice. Must have surgical training. We have a very busy multi-office practice. We practice state of the art podiatry with EMR and digital radiography. Associate to partner on a fast track for the right person. E-mail CV and cover letter to Washingtonpod@aol.com

ASSOCIATE POSITION (SURGICAL) – CONNECTICUT

Connecticut Surgical Group is seeking a Board-Certified podiatrist to add to our Surgical Podiatry division based in Central Connecticut. This podiatrist will provide all aspects of Podiatric care with a focus on wound and surgical care to a well-established patient base. We require PSR-36 training and board certification or eligibility, excellent surgical and wound care skills, a strong focus on providing compassionate care to our patients, and the ability to work as part of a team in a group practice setting. To apply please visit our website . EOE

ASSOCIATE POSITIONS - INDIANA/OHIO

PrimeSource Healthcare is a leading provider of mobile, on-site healthcare services at long-term and skilled nursing facilities. Our exceptional growth has created an immediate need for traveling, independent contractors of podiatry services in Indiana/Ohio. Earn between $175k and $225k per year. E-mail CV to kwright@pshcs.com. Visit us at pshcs.com.

ASSOCIATE POSITION - FREDERICK, MD
Well-established and growing 2 office state-of-the-art practice located in medical/professional buildings. EMR, Digital X-ray, Ultrasound, DME provider, etc. Competitive Base Salary plus bonus, malpractice, health insurance, etc. PSR 24 minimum/Board Qualified or Certified with ability and desire to take ER call. If interested, forward CV to DOCSBNB@aol.com

ASSOCIATE POSITION: MARYLAND (KENSINGTON/ROCKVILLE/SILVER SPRING) 

Very busy, 3-office practice has immediate openings for established practitioners looking to relocate, moonlight or consolidate into our group. Graduating residents, we will need your help in July!  Established, successful associate practitioner has decided to relocate allowing a unique transition to assume a very busy schedule. All the bells and whistles-EMR, digital x-rays, ultrasound, computerized scheduling, certified ambulatory surgical centers, hospital referral base. Please send cover letter and resume to mddpmassociate@comcast.net 

DIABETIC RURAL OUTREACH PROGRAM - FLORIDA

We are seeking ethical, motivated podiatrists to treat homebound diabetic patients in Central and North Florida. Minimal travel. Must have valid Florida License and Active FL Medicare and Medicaid numbers. FAX CV TO 866- 258-9993 or call 800-779-8551.

EQUIPMENT FOR SALE- ARTOSCAN EXTEMITY MRI

In excellent cosmetic and working condition. Originally an A model, upgraded to a model D. Looking to sell the MRI because additional space is needed in the office. Price to sell. Picture can be seen at by clicking here Contact baileymeans@yahoo.com for any inquiries

EQUIPMENT FOR SALE - ORTHOTIC FABRICATION SYSTEM

Amfit Orthotic Insole Fabrication System with Footfax SL Contact digitizer- For Sale Machine, Laptop, rolling bag, small inventory of shoes, insoles, all cords, parts and hardware Asking $8k. OBO! Please contact Jeff at Jhunt@psbank.net for further information, pictures.

PRACTICE FOR SALE - FLORIDA—CENTRAL/SOUTH

Turn-key operation grossing $570,000 annually based on one full-time doctor. Great opportunity for growing the top-line. Surgery is only 14% of the professional man-hours; it can significantly increase income. Medicare makes up 64% of revenues. Seller will assist with transition. Call 863-688-1725, ask for Chas.

PM News Classified Ads Reach over 11,500 DPM's and Students

Whether you have used equipment to sell or our offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 11,500 DPM's. Write to bblock@podiatrym.com or call (718) 897-9700 for details. THIS OFFER DOES NOT APPLY TO BUSINESSES PROVIDING PRODUCTS OR SERVICES. Note: For commercial or display ads contact David Kagan at (800) 284-5451

ASSOCIATE POSITION - PHOENIX, ARIZONA 
 
Part Time/Full Time well-trained, ethical and hard working graduate of a PSR 24+/36 Residency to join our growing multi-location practice. Good mix of Surgery/Pediatric/General Podiatry. ER/Hospital Call a must. Very modern offices with EMR, U/S, Digital X-Ray, ESWT, Vascular Testing. Excellent referral base, and a well-trained staff. Base salary, bonus structure, benefits. Current AZ License a Must. Please e-mail CV and references to azpodiatrists@hotmail.com

DIABETIC RURAL OUTREACH PROGRAM - FLORIDA AND GEORGIA

Seeking DPM to join our program due to a high demand for Podiatric Care to off-site settings in SNF, ALFs and House Calls. Applicants must be willing to travel and must have experience. Current State License, Medicare and Medicaid numbers required. Seeking highly motivated individuals who can be team players, yet work independently. Must have strong work ethic and excellent communication skills. APPLY: Fax CV to: 866-258-9993 include 3 professional references. Please provide the geographic area where you can provide services. Further information call 800-779-8551 or email: info@DROPInternational.org. Visit our website

ASSOCIATE POSITION – RESEDA, CA

Podiatrist needed in Reseda, CA office 2-3 days/wk, 6hrs/day @ $375/day to senior community. Please have an active Medicare #. Position starts immediately. Please email CVs to coasttocoastpodiatry@yahoo.com

ASSOCIATE POSITION - FREDERICK, MD

Well-established and growing 2 office state-of-the-art practice located in medical/professional buildings. EMR, Digital X-ray, Ultrasound, DME provider, etc. Competitive Base Salary plus bonus, malpractice, health insurance, etc. PSR 24 minimum/Board Qualified or Certified with ability and desire to take ER call. If interested, forward CV to DOCSBNB@aol.com

PRACTICE FOR SALE - FLORIDA—CENTRAL/SOUTH

Turn-key operation grossing $570,000 annually based on one full-time doctor. Great opportunity for growing the top-line. Surgery is only 14% of the professional man-hours; it can significantly increase income. Medicare makes up 64% of revenues. Seller will assist with transition. Call 863-688-1725, ask for Chas.

ASSOCIATE POSITIONS – MARYLAND

Are you motivated, personable and enjoy working with the elderly? We are offering full or part-time positions in Maryland. Our group, Podiatry Management Services, provides care to the elderly in Nursing Homes, Assisted Living, Senior Homes, Adult Daycare and other similar facilities. Please e-mail your c.v. to drhprosen@comcast.net or fax to 410-486-2049 or call Dr. Herbert Rosen at 410-580-0255.

ASSOCIATE POSITION – BROOKLYN, NY

Busy medical office in Brooklyn seeking part-time podiatrist. Good conditions. (718) 259-6666 phone (718)259-7000 fax, email zg0109@yahoo.com

PODIATRISTS CHICAGO/NW IND/BALTIMORE/WASHINGTON, DC

Home Physicians, a medical group specializing in house calls is looking to hire podiatrists in Chicago, Northwest Indiana, and Baltimore, MD. Full and part-time positions are available. Competitive Compensation including malpractice. Contact Jake Shimansky, Director of Physician Recruitment. Phone-773-342-5221 FAX 773-486-3548-E-Mail jshimansky@homephysicians.com www.homephysicians.com

ASSOCIATE POSITION-SOUTHERN CALIFORNIA, INLAND EMPIRE

2-office multi-doctor practice looking for ethical, dependable doctor to work 3-4 days per week. State-of-the-art, long established practice. Needs a team player which may lead to buy-in for the right doctor. Must be ABPS BC/BE. High surgical volume. Send cover letter and CV to bkatzman2@earthlink.net

ASSOCIATE POSITION - NORTHERN VIRGINIA/DC SUBURB

Excellent associate practice opportunity leading to partnership for PSR 24-36 foot and ankle surgically-trained physician. Currently 4-doctor/2 office practice in fast-growing area, expanding to 5 doctors. Hard working, personable, highly-motivated individuals needed. Great opportunity with excellent salary and benefits. No nursing homes. Top hospitals. Fax CV with references to 703-491-9994

ASSOCIATE POSITION - CHICAGO AREA

Join one of the most successful, long-established podiatry practices in the Chicago area, with excellent salary and benefits. We have an immediate opening for a full-time podiatrist in a multi practice location in Chicago. Must have two years of surgical residency. Please e-mail resume to fmassuda@footexperts.com

ASSOCIATE POSITION – MINNESOTA

Well-established podiatry clinic located in the Twin Cities area has an immediate opening for a full-time podiatrist. The clinic is located just minutes from a surgery center as well as 2 major hospitals. Associate position is also open for partnership or purchase. Please email CV and inquires to rmccoy@associatedpodiatrists.com

ASSOCIATE POSITION - NW IOWA (SIOUX CITY AREA)

Well-established, diverse, growing practice. Excellent referral base. Seeking an ethical, hardworking, motivated, caring podiatrist to fill a full-time position. Multiple hospital affiliations. Generous income with room for growth, leading to partnership for the right candidate. See our community www.siouxlandchamber.com. Fax CV, resume, three references to 712-258-9977.

OFFICE SPACE/ MRI RENTAL – NYC, LI

Turn-key space available, daily, monthly; East 60th off Park Ave, East 22nd St. off 3rd Ave, Hicksville and/or Plainview Long Island. JACHO-certified operating rooms available, as well as all surgical equipment and anesthesia. Extremity MRI Rental. Stark compliant. All exams read by board certified radiologist. Call for details. 516 476-1815

ASSOCIATE POSITIONS - INDIANA/OHIO

PrimeSource Healthcare is a leading provider of mobile, on-site healthcare services at long-term and skilled nursing facilities. Our exceptional growth has created an immediate need for traveling, independent contractors of podiatry services in Indiana/Ohio. Earn between $175k and $225k per year. E-mail CV to kwright@pshcs.com. Visit us at pshcs.com.

PRACTICE FOR SALE- SEATTLE, WA

Beautiful office for sale in the heart of Seattle, WA. Newly renovated, 2,500 sf, new digital x-ray, vascular lab, state of the art physical therapy equipment, paper-less system, all new podiatric furniture and equipment, popular podiatric products store and beautiful diabetic shoe display. Office is located in the medical building and open 3 days a week. Great opportunity for expansion to full-time. Please send us a letter of interest to the: podiatrygroup@yahoo.com

ASSOCIATE POSITION FULL-TIME - SUBURBS OF CHICAGO

PSR 36 - month-trained podiatrist needed for busy suburban Chicago practice. Office and diagnostic equipment state-of-the-art. Full benefit package included. If interested, please fax your curriculum vitae to 847.352.0270 or email to foot1st@yahoo.com

PM News Classified Ads Reach over 11,500 DPM's and Students

Whether you have used equipment to sell or our offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 11,500 DPM's. Write to bblock@podiatrym.com or call (718) 897-9700 for details. THIS OFFER DOES NOT APPLY TO BUSINESSES PROVIDING PRODUCTS OR SERVICES. Note: For commercial or display ads contact David Kagan at (800) 284-5451

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