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Old 23 March 2020, 01:32 AM   #3331
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My middle daughter, age 36, wife and mother of three young children is sick. High fever, body aches, headache, cough, chest pain and tightness, shortness of breath with exertion and sore throat. She contacted her health provider in Minneapolis, a major university system. She was told she couldn’t be tested for Covid-19. They are only allowed to test people when the results might drive a decision to admit to a hospital, start a ventilator, etc. So, she needs to stay put.

If she has Coronavirus but doesn’t become critically ill, we will never know. The true incidence of the disease in the US will remain a mystery. This is completely unacceptable.
I'm very sorry to hear this. I hope she makes a healthy recovery either with, or without a full diagnosis. I agree entirely with your sentiment regarding testing. Stay safe and stay healthy.
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Old 23 March 2020, 01:40 AM   #3332
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My middle daughter, age 36, wife and mother of three young children is sick. High fever, body aches, headache, cough, chest pain and tightness, shortness of breath with exertion and sore throat. She contacted her health provider in Minneapolis, a major university system. She was told she couldn’t be tested for Covid-19. They are only allowed to test people when the results might drive a decision to admit to a hospital, start a ventilator, etc. So, she needs to stay put.

If she has Coronavirus but doesn’t become critically ill, we will never know. The true incidence of the disease in the US will remain a mystery. This is completely unacceptable.
Wishing her the best in recovery from illness and ongoing health.
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Old 23 March 2020, 01:42 AM   #3333
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Guys bare with me.

Japan is not taking this seriously.

Business as usual. All businesses open except for Apple.

Bars full. Starbucks full. People out dining. Shopping. No social distancing. Maybe 1/2 of the people I see wearing masks.

I made a Costco run. Stocked up on food and dog food for my dog. I'm self isolating.

I just got my b%&#s busted by friends because I don't want to go out drinking with them.

Many many Japanese are returning from overseas that were studying, working or travelling.

Very elderly population here.

Schools are re-opening.

I'm not criticizing a country and a society that I love but I am very concerned.

This could get ugly fast. What am I missing? How does Japan have such a low incidence?
Stay safe Gaijin. I’m sure your pup will love all this extra time with you though on the bright side.
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Old 23 March 2020, 01:49 AM   #3334
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Originally Posted by joeychitwood View Post
My middle daughter, age 36, wife and mother of three young children is sick. High fever, body aches, headache, cough, chest pain and tightness, shortness of breath with exertion and sore throat. She contacted her health provider in Minneapolis, a major university system. She was told she couldn’t be tested for Covid-19. They are only allowed to test people when the results might drive a decision to admit to a hospital, start a ventilator, etc. So, she needs to stay put.

If she has Coronavirus but doesn’t become critically ill, we will never know. The true incidence of the disease in the US will remain a mystery. This is completely unacceptable.
Sorry to hear. I wish all the best to your daughter and your family.
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Old 23 March 2020, 01:50 AM   #3335
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Stay safe Gaijin. I’m sure your pup will love all this extra time with you though on the bright side.
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Old 23 March 2020, 01:52 AM   #3336
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Hanes Brands has secured a contract to manufacture up to 1.5 M surgical masks for the US gov. This will take place in Latin American plants which are switching from clothing production to masks.

https://www.journalnow.com/news/loca...029be623e.html
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Old 23 March 2020, 01:54 AM   #3337
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Originally Posted by joeychitwood View Post
My middle daughter, age 36, wife and mother of three young children is sick. High fever, body aches, headache, cough, chest pain and tightness, shortness of breath with exertion and sore throat. She contacted her health provider in Minneapolis, a major university system. She was told she couldn’t be tested for Covid-19. They are only allowed to test people when the results might drive a decision to admit to a hospital, start a ventilator, etc. So, she needs to stay put.

If she has Coronavirus but doesn’t become critically ill, we will never know. The true incidence of the disease in the US will remain a mystery. This is completely unacceptable.
I am so sorry Doc. I hope she has a complete recovery.
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Old 23 March 2020, 01:55 AM   #3338
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Hanes Brands has secured a contract to manufacture up to 1.5 M surgical masks for the US gov. This will take place in Latin American plants which are switching from clothing production to masks.

https://www.journalnow.com/news/loca...029be623e.html
That's good. The downer is that they are not a USA plant, hopefully we have learned a lesson in all this.
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Old 23 March 2020, 02:04 AM   #3339
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That's good. The downer is that they are not a USA plant, hopefully we have learned a lesson in all this.
This!

steve
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Old 23 March 2020, 02:06 AM   #3340
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Originally Posted by joeychitwood View Post
My middle daughter, age 36, wife and mother of three young children is sick. High fever, body aches, headache, cough, chest pain and tightness, shortness of breath with exertion and sore throat. She contacted her health provider in Minneapolis, a major university system. She was told she couldn’t be tested for Covid-19. They are only allowed to test people when the results might drive a decision to admit to a hospital, start a ventilator, etc. So, she needs to stay put.

If she has Coronavirus but doesn’t become critically ill, we will never know. The true incidence of the disease in the US will remain a mystery. This is completely unacceptable.
So sorry to hear this.
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Old 23 March 2020, 02:21 AM   #3341
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Originally Posted by joeychitwood View Post
My middle daughter, age 36, wife and mother of three young children is sick. High fever, body aches, headache, cough, chest pain and tightness, shortness of breath with exertion and sore throat. She contacted her health provider in Minneapolis, a major university system. She was told she couldn’t be tested for Covid-19. They are only allowed to test people when the results might drive a decision to admit to a hospital, start a ventilator, etc. So, she needs to stay put.

If she has Coronavirus but doesn’t become critically ill, we will never know. The true incidence of the disease in the US will remain a mystery. This is completely unacceptable.
I'm incredibly sorry to hear this news. With the lack of tests or testing it really does make you wonder. I really hope she can fight it off quickly and be back to normal, ASAP.
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Old 23 March 2020, 02:24 AM   #3342
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.... scientists might study the curves of infections to see if this yields insight into COVID-19 mortality rates. If Japan’s experience in 2-4 weeks isn’t much different than USA, then perhaps we gain new knowledge.
That’s a very good point. The results could be very helpful when the day comes that world societies and economies can no longer function in lockdown or isolation.

My daughter is feeling slightly better now. No one else in the family is ill. Two weeks ago, they all developed Influenza B (they were tested) and each finished 10 day courses of Tamiflu which greatly reduced symptoms. Emily’s new illness developed after fully recovering (presumably) from Influenza B, which is not covered by the flu vaccine.
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Old 23 March 2020, 02:30 AM   #3343
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That’s a very good point. The results could be very helpful when the day comes that world societies and economies can no longer function in lockdown or isolation.

My daughter is feeling slightly better now. No one else in the family is ill. Two weeks ago, they all developed Influenza B (they were tested) and each finished 10 day courses of Tamiflu which greatly reduced symptoms. Emily’s new illness developed after fully recovering (presumably) from Influenza B, which is not covered by the flu vaccine.
I did not know that about influenza B. I had the flu shot this year and I got influenza B over Christmas. Thanks

Prayers for your family doc.
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Old 23 March 2020, 02:42 AM   #3344
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Originally Posted by joeychitwood View Post
My middle daughter, age 36, wife and mother of three young children is sick. High fever, body aches, headache, cough, chest pain and tightness, shortness of breath with exertion and sore throat. She contacted her health provider in Minneapolis, a major university system. She was told she couldn’t be tested for Covid-19. They are only allowed to test people when the results might drive a decision to admit to a hospital, start a ventilator, etc. So, she needs to stay put.

If she has Coronavirus but doesn’t become critically ill, we will never know. The true incidence of the disease in the US will remain a mystery. This is completely unacceptable.
Wow, this is hard news. I hope she and her children are all feeling better soon.

Your report of tests being limited to those admitted to hospitals seems to be the norm all over now. We likely will never know how many people contract Covid-19.
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Old 23 March 2020, 02:55 AM   #3345
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Wow, this is hard news. I hope she and her children are all feeling better soon.

Your report of tests being limited to those admitted to hospitals seems to be the norm all over now. We likely will never know how many people contract Covid-19.
Soon enough we will have millions upon millions of tests. Enough that when all this is over with they will be throwing tons of them out. Meanwhile they are already coming up with tests to figure out who has had it and who hasn’t.
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Old 23 March 2020, 02:58 AM   #3346
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That’s a very good point. The results could be very helpful when the day comes that world societies and economies can no longer function in lockdown or isolation.

My daughter is feeling slightly better now. No one else in the family is ill. Two weeks ago, they all developed Influenza B (they were tested) and each finished 10 day courses of Tamiflu which greatly reduced symptoms. Emily’s new illness developed after fully recovering (presumably) from Influenza B, which is not covered by the flu vaccine.


I hope she was just in a slight setback from the flu.

I got the quad shot this year and have had a flu shot every year for past 40+ years after having flu once...never had it again. With all the variations over that period, I figure my little cells are an immuno-smorgasbord. :chuckle


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Old 23 March 2020, 03:00 AM   #3347
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Wow, this is hard news. I hope she and her children are all feeling better soon.

Your report of tests being limited to those admitted to hospitals seems to be the norm all over now. We likely will never know how many people contract Covid-19.
Well perhaps right now because we are fairly limited and need to make sure the people who need it most gets tested first. Eventually once that's we get a huge surplus of the tests we can start testing people without symptoms that has come into contact with those that were infected further reducing the spread
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Old 23 March 2020, 03:12 AM   #3348
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It is now late march and the situation has gotten worse in Italy. I used to think that the influenza virus causes more death than corona, but it hadn’t overwhelmed the hospital system like the corona in such a short time.
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Old 23 March 2020, 03:44 AM   #3349
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It is now late march and the situation has gotten worse in Italy. I used to think that the influenza virus causes more death than corona, but it hadn’t overwhelmed the hospital system like the corona in such a short time.

The it’s ‘not as bad as flu’ misinformation has been in my view a cause of even now many people failing to take this as seriously as it should be.
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Old 23 March 2020, 03:56 AM   #3350
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Soon enough we will have millions upon millions of tests. Enough that when all this is over with they will be throwing tons of them out. Meanwhile they are already coming up with tests to figure out who has had it and who hasn’t.
Perhaps. I hope you're right, and that they are accurate. So often, when these things are rushed, the tests provide tons of false positive results.
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Old 23 March 2020, 03:58 AM   #3351
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One of my pts had an Sub on last night, made me think of you guys.. leave your watches at home if you go to the hospital btw.

I'm seeing about 12-14 hour turn around for swab results, and they are getting driven 45 min away to the lab. Seeing lots of pts on hydroxychloroquine & azithroymycin. Had 3 pts that had to be intubated last night, one of them could have possible been avoided, both had serious comorbs. Seeing more loose stools than originally expected, and also seeing some up and down temps, and then stabilizing around 100-101.

I need to try and find answers about IV steroid use, if any of you know have anything? Seen some toradol usage, not alot of ibuf orders. All in all, the numbers are increasing and the hospitals will run out of airborne rooms soon id imagine. We get changes to policy daily, hard to keep up- at once point my place was only rec airborne ROOMs for those getting breathing tx. Idk.. we'll see what tom holds.

FRom what ive seen so far, we could benefit from having a stricter threshold for admission, send the true med surg / floor levels home to monitor with strict instructions on when to come back, give them an pulse ox even- cheaper than an admit.. so that we have more rooms for the IMC/PCU level pts, those are the ones that need to be watched like hawks.

-Charge Nurse on a 22 bed Covid+ or rule out unit (once they result neg we boot em immediately)
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Old 23 March 2020, 04:11 AM   #3352
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One of my pts had an Sub on last night, made me think of you guys.. leave your watches at home if you go to the hospital btw.

I'm seeing about 12-14 hour turn around for swab results, and they are getting driven 45 min away to the lab. Seeing lots of pts on hydroxychloroquine & azithroymycin. Had 3 pts that had to be intubated last night, one of them could have possible been avoided, both had serious comorbs. Seeing more loose stools than originally expected, and also seeing some up and down temps, and then stabilizing around 100-101.

I need to try and find answers about IV steroid use, if any of you know have anything? Seen some toradol usage, not alot of ibuf orders. All in all, the numbers are increasing and the hospitals will run out of airborne rooms soon id imagine. We get changes to policy daily, hard to keep up- at once point my place was only rec airborne ROOMs for those getting breathing tx. Idk.. we'll see what tom holds.

FRom what ive seen so far, we could benefit from having a stricter threshold for admission, send the true med surg / floor levels home to monitor with strict instructions on when to come back, give them an pulse ox even- cheaper than an admit.. so that we have more rooms for the IMC/PCU level pts, those are the ones that need to be watched like hawks.

-Charge Nurse on a 22 bed Covid+ or rule out unit (once they result neg we boot em immediately)
How is this comparing to influenza that you would see?

Are the patients sicker and more of them coming in?
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Old 23 March 2020, 04:27 AM   #3353
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My sample size is so small, that my observation shouldnt even be voiced at this point. We've only been the covid PCA/IMC for a week...

And as charge I only go into rooms to help or if something is wrong. I do go thru every chart tho, vitals and temp seem flu like, but the o2 needs seem a tad higher. Some ppl havent needed any supplemental 02, some 1-2L, minority hi-flo 02, and so far- a very small % need more in my short short experience.
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Old 23 March 2020, 04:33 AM   #3354
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My sample size is so small, that my observation shouldnt even be voiced at this point. We've only been the covid PCA/IMC for a week...

And as charge I only go into rooms to help or if something is wrong. I do go thru every chart tho, vitals and temp seem flu like, but the o2 needs seem a tad higher. Some ppl havent needed any supplemental 02, some 1-2L, minority hi-flo 02, and so far- a very small % need more in my short short experience.
Thanks for your insight.

Hopefully the heat and humidity coming to FL soon will help mitigate spread.

I'm afraid above 30L N will have a rough 8 weeks or so.
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Old 23 March 2020, 04:48 AM   #3355
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One of my pts had an Sub on last night, made me think of you guys.. leave your watches at home if you go to the hospital btw.

I'm seeing about 12-14 hour turn around for swab results, and they are getting driven 45 min away to the lab. Seeing lots of pts on hydroxychloroquine & azithroymycin. Had 3 pts that had to be intubated last night, one of them could have possible been avoided, both had serious comorbs. Seeing more loose stools than originally expected, and also seeing some up and down temps, and then stabilizing around 100-101.

I need to try and find answers about IV steroid use, if any of you know have anything? Seen some toradol usage, not alot of ibuf orders. All in all, the numbers are increasing and the hospitals will run out of airborne rooms soon id imagine. We get changes to policy daily, hard to keep up- at once point my place was only rec airborne ROOMs for those getting breathing tx. Idk.. we'll see what tom holds.

FRom what ive seen so far, we could benefit from having a stricter threshold for admission, send the true med surg / floor levels home to monitor with strict instructions on when to come back, give them an pulse ox even- cheaper than an admit.. so that we have more rooms for the IMC/PCU level pts, those are the ones that need to be watched like hawks.

-Charge Nurse on a 22 bed Covid+ or rule out unit (once they result neg we boot em immediately)
Quote:
Originally Posted by Lomez View Post
My sample size is so small, that my observation shouldnt even be voiced at this point. We've only been the covid PCA/IMC for a week...

And as charge I only go into rooms to help or if something is wrong. I do go thru every chart tho, vitals and temp seem flu like, but the o2 needs seem a tad higher. Some ppl havent needed any supplemental 02, some 1-2L, minority hi-flo 02, and so far- a very small % need more in my short short experience.
Thank you for everything you are doing and taking the time to share your insight with us. I hope you stay safe and well while helping these people in need.
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Old 23 March 2020, 04:49 AM   #3356
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the Coronavirus outbreak thread

...and now for something completely different - NASCAR decided to race today at Homestead Miami Speedway.

No fans in the stands. Live right now on your cable service on Fox Sports 1 channel if you need some diversion.

Now, here’s the hook. It’s iRacing mode. Not exactly the same...it’s like the IMSA race from Sebring yesterday.

I share this for you to consider that they are at least trying to provide fans something new (to them), innovative and entertaining

The second reason is this: Forty years ago a blinding blizzard shut down the Northeast and that made NASCAR history.

FEBRUARY 18, 1979 – CBS presented the first live flag-to-flag coverage of a 500-mile NASCAR event with the Daytona 500, a show not soon to be forgotten as Richard Petty avoided an incident between Cale Yarborough and Donnie Allison on the last lap to win the race. With Petty racing by to take the checkered flag, Yarborough, Donnie Allison and Bobby Allison are involved in a fight in the infield grass, between Turns 3 and 4.


Today may mark a new direction because of coronavirus for dangerous sports. It has been fun watching these “good ole boys” grapple with things like logging into their iRacing account so they could take the green flag.


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Old 23 March 2020, 04:53 AM   #3357
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Small update from Italy.... up to now I am ok... my family too.... but.... people from bergamo and brescia (north east of Milan area) are suffering the most... all factories non related to food will be closed till 3rd of april... Ferrari closed too but we are smart working... here we have tested at least 300k people... don't know how it is going elsewhere in the world, but my opinion is that everyone in critical areas should be tested.
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Old 23 March 2020, 04:55 AM   #3358
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the Coronavirus outbreak thread

Quote:
Originally Posted by Lomez View Post
My sample size is so small, that my observation shouldnt even be voiced at this point. We've only been the covid PCA/IMC for a week...

And as charge I only go into rooms to help or if something is wrong. I do go thru every chart tho, vitals and temp seem flu like, but the o2 needs seem a tad higher. Some ppl havent needed any supplemental 02, some 1-2L, minority hi-flo 02, and so far- a very small % need more in my short short experience.


Thank you - your work on the front line along with your associates is a fine example of people who risk things for the benefit of others.

Are you at JMH by any chance?


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Old 23 March 2020, 05:06 AM   #3359
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Sorry been a while since I’ve been here. Need to update my profile, I live in Michigan now.
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Old 23 March 2020, 05:10 AM   #3360
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Originally Posted by Lomez View Post
One of my pts had an Sub on last night, made me think of you guys.. leave your watches at home if you go to the hospital btw.

I'm seeing about 12-14 hour turn around for swab results, and they are getting driven 45 min away to the lab. Seeing lots of pts on hydroxychloroquine & azithroymycin. Had 3 pts that had to be intubated last night, one of them could have possible been avoided, both had serious comorbs. Seeing more loose stools than originally expected, and also seeing some up and down temps, and then stabilizing around 100-101.

I need to try and find answers about IV steroid use, if any of you know have anything? Seen some toradol usage, not alot of ibuf orders. All in all, the numbers are increasing and the hospitals will run out of airborne rooms soon id imagine. We get changes to policy daily, hard to keep up- at once point my place was only rec airborne ROOMs for those getting breathing tx. Idk.. we'll see what tom holds.

FRom what ive seen so far, we could benefit from having a stricter threshold for admission, send the true med surg / floor levels home to monitor with strict instructions on when to come back, give them an pulse ox even- cheaper than an admit.. so that we have more rooms for the IMC/PCU level pts, those are the ones that need to be watched like hawks.

-Charge Nurse on a 22 bed Covid+ or rule out unit (once they result neg we boot em immediately)
From what I understand steroid and NSAIDs is a NO .
Send me your cellphone number and I will whatsapp you our protocol regarding medicine use .
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