What sort of mistakes can be made, and - sm
Posted By: I need a new job! on 2008-06-26
In Reply to: coding - cj
what happens if you make them?
Are coders treated with any more respect than MTs? (i.e., not "just typing machines".)
What would average hourly pay be for a newbie, as opposed to someone experienced?
What did the coding course cost, and how often do you have to return for more education?
(BTW - THANK YOU so much for your detailed and informative answer to my original post!!!) :)
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Have had three major surgeries and mistakes were made...
So, I fully understand how he forgot but admitting to this would have been worse than saying the procedure was completed. However, you do have a case that can be proven simply by no incision lines that correspond to the operative report's description. Finding any physician who will testify against a high standing member of the medical community sounds like the challenge. Sorry this had to turn into a nightmare for you.
Boy, you sound so perfect. I guess you haven't made any mistakes then, huh? sm
Wow. Even though you have this so-called knowledge about her and her son, or whatever, you don't have to come on the internet to say that she didn't love her son in a "traditional sort of way." What does that mean? We all love in different ways. I'm with most of the other posters on this board that you do sound harsh, whether you want to admit it or not, and even if you DO have knowledge of her past, you definitely cannot tell anyone of us here that you know what she is going through. No one knows.
i made $15/hr before and didn't stay long because i made so much more on production. sm
that was with full benes too. i wouldn't do it for less than $20, but i think even with $20, i'd want benes. are you in-house?
Most mistakes are not mistakes at all.
They are merely personal preferences other than those found in the the AAMT BOS which, incidentally, is not an "Official Rule Book of Medical Transcription" as AAMT would like it to be in order to sell more copies. 
Mistakes
If the majority of us were QA'd every day they would find mistakes on all of us with the quantity that we type. We are all human. But is there someway TAT they can give you everyone else but that one doctor. I am the other way because I have one doctor that comma's me to death and so I hate to use a comma. You have been with them for four years for goodness sakes that should be something especially if this is the first complaint against you. They should bend knowing that since you are now aware of it you will be extra careful. Talk with them again and explain to them you need more. Good luck. No one is perfect.
Patti
There would be less mistakes if
there wasn't such a nursing shortage and the nurses and physicians spoke English reasonably well. Our American HMO's and PPO's recruit these foreign physicians. Most hospitalist (and other specialties) are from foreign countries and only take care of patients who are associated with their HMO's and PPO's. With the nursing shortage, recruitment has been heavily extended to foreign countries. A friend of mine recently had CABG and could barely understand some of her nurses, nor could they understand her. The health care system in this country has become merely a business rather than a service to the sick and the system is broken!
mistakes
I caught my QA person making changes to my work a few months back - not small changes, but life-altering changes where a medical record is concerned. She is no longer with the company - having been let go on Friday after I reported it on Thursday. Have had no problems since. I would speak up. If the company has any integrity - they would want to know what you have found and correct it.
Mistakes
Are you noticing any pattern to the types of mistakes you make? Try to notice (if you haven't) and some answers as to how to fix the problem might come from that realization.
I am fairly new also and understand all your frustration. I get so frustrated with myself for not being able to retain info that I have repeatedly looked up.
I absolutely cannot imagine how people did this job before there were word expanders! Hats off to them!! :)
Sort of
Here in NC we had a very hot summer, followed by a comfy fall. It was cool and dry, and I was able to keep the heat off, and just occasionally use the AC when we'd get a warm/humid few days. But since the temp dropped 50 degrees IN A DAY, all my savings are being sucked away as my heat pump had to go into overdrive to warm my house up quick.
I sort of do
I have one full time job of about 50 hours a week for a national MT service. I also work for an imaging center and radiologist for about 25-30 hours per week doing transcription and coding. I am a single mom of a six year old and live with my BF and his teenage daughter. It is trying sometimes. I sometimes do not work as much on the second job, but overall I work about 70-80 hours per week most of the time.
most definitely have some sort
of day care, even if it's someone coming to your house for part of the day. you're not going to be able to make any money if you're stopping every couple of minutes to tend to your child-I know because I have to have my 3 yo home with me 2 days a week and unless he's sleeping, I have to stop every 2-3 rpts for some reason or another. in the summer it's easier because I can take my laptop outside while he plays. even it your child is older, it will still take a while before they know when it's ok to bother you and when it's not. it's the best thing being able to work from home but it will take a while for you to develop a routine. good luck!
Sort of like....
asking if Bush is a good president because he's shipping out our U.S. jobs faster than he can say "Sadam tried to kill my daddy so I invaded Iraq." My opinion? I wouldn't read that rag if I got it for free. AAMT orgnization is synomous with Judas, Bush, etc.
I did this..sort of
I still have a couple small accounts but they certainly aren't worth the aggravation and may be giving them up.
The downside is getting used to only having 1/2 the money as before since the taxes are being taken out from the get go and now having to meet production on a daily basis which is getting tougher to do, having to remember to ask ahead of time for time off and vacations and especially trying to remember to ask if I want a holiday off. Having someone tell me what to do.
The upside: Health insurance, pension plan, savings account, paid holidays, extra pay for overtime, having taxes taken out immediately and not having to pay quarterly taxes. .. No more headaches. No more scrambling to find more tax write-offs at the end of the year, getting refunds from the IRS instead of paying in.Incentives for going above and beyond the call of duty. Having weekends off (first time in 8 years), having part of a day for myself (first time in 8 years).
Need I say more?
I had one of those, sort of....lol
I had a doc who always dictated from his cell phone. Well something happened to where he didn't get it hung up or maybe he had another call and forgot he was on the other line, I don't know. Anyway, at the end of the dictation it sounded like he hung up and then the phone started to ring. He answered it and said hello a few times and then said "F-you" and hung up. I laughed my butt off because he was basically saying that to himself because he didn't hang up. Dumb butt! lol
I sort of did that
When I came home to type 13 years ago, I was expecting my third child. Prior to that I did have 5 years on-site experience, but it was all in one specialty. So, acute care was new to me. I did it. My line count at that time was 1000 lines a day. I admit that many days I did not get to the count, but I tried very hard to make every report perfect. I learn a lot from looking things up. I kept my babies close by with plenty of toys, play pens, VCR, Disney movies, etc., and there were many times that one fell asleep across my arms while I was transcribing.
I think it can be done if you want it bad enough. I love working from home!
I have sort of done this - sm
I can be paid via PayPal and had the PayPal MC, which if I have money in my PayPal account, I can use like a credit card. Just paid for some car repairs that way. I can also receive a check, which I have started doing lately as PP charges me about $40 for the privelige of getting my money this way. Has nothing to do the their credit card, just my account fees they charge for incoming funds. So to save that cash I just get checks now. In the future I will probably put some money in my account there though so I can use the MC as I am trying to not use any credit cards anymore. Just make sure there are not any fees for loading the card, or transaction fees, etc.
I said nothing of the sort. SM
It doesn't matter who is posting or on what topic. Discuss, talk about, debate, share topics, beliefs, subject matter. Do with respect and be civil.
What we don't want to see are specific attacks calling other posters out because think they should change how they post or should go away.
Again, the forums are not moderated for niceness or any out-of-norm opinions. ALL opinions are welcome.
It is not about standing for the good or the bad. It is about allowing all opinions the same opportunity to post, regardless of popularity.
Moderator
Is there any way to sort that out?
All the variables, I mean. I have been at the same company for my 2 years, so I don't have anything to compare to.
As far as platform, what is considered slow about it (and the time involved you are speaking of).
At this point, I can see a lot of difference between accounts. It really seems like companies should try to give each MT a mixture of slow and fast accounts to keep it fair.
I think the majority of mistakes are
merely typographical or expander errors. If MTs weren't paid such rotten line rates on production, maybe they could afford to relisten to and reproof every single report. However, the people responding to the original post have evidently never made a single mistake in their entire lives. Ah, yes, condescending, snotty superiority complexes on the rampage. I'd be interested in seeing the MT profiles on those quoted reports, how many lines per day they produce, how many years of experience, and so forth. For that matter, we could all sit here and rip on the mistakes we've found on completed reports, but personally, I don't feel better about myself by trashing other people. My self esteem isn't measured by how stupid I think everyone else is like some people on this board.
I make mistakes too
I have almost 9 years' of experience. I still make mistakes and always will. There are many things that I still do not know. I still come across things I have never heard of. I still get corrections here and there from my QA.
However, I think that is a good thing, QA. I like getting corrections back when I have made an error. That alerts me to the problem. That makes me a better MT. Also, I take some comfort in the fact that something I overlooked may be caught by another. It is supposed to be team work. The MT and QA are supposed to work together to produce a perfect report.
It is all in how you look at it. It is very easy to get your feathers in a ruffle when given a correction. I believe that reaction is soley out of embarrassment over making the mistake in the first place. That is silly, however, seeing that we all do make mistakes and no one knows everything.
Mistakes/errors
I read below about the mistakes and I have to admit, I make mistakes, I am human. My accounts know I am human. I just re-read one of my physicals and I had somehow put "See expensive data base in chart" and it should have been "See extensive ..." it is not often but it does happen. If we were perfect we surely would not be here on earth right now. It is hard for us to see and find our own mistakes. But for those who say that they have 98 or 99% error free, what does that actually mean -- for every 100 words you can have two errors, or what. Never have been able to figure that out. If I do 3000 lines per day, can I have 30 to 60 lines with errors? All I know is that the majority of us do a darn good job and the best we can and those that make continuous errors, just like in any line of work, won't be in it for long but mistakes and errors do happen to all of us. For those that have no compassion for anyone that does make errors, be careful as it is a long way to fall off of the pedestal. My two cents worth go ahead and flame me, I have broad shoulders.
PS --my accounts have been with me for 5 to 15 years and I make over $50K a year but I do make mistakes.
I'm not defending their mistakes whether
by intention or accident. That was not in my post whatsoever, so learn to read.
What I said is true -- and the posts above just proved it. It doesn't matter if they owe you money or not, you're going to gripe about it. There's nothing anyone can do to change the past. They found a discrepancy, no matter how or why, and they are righting it by sending the money that is owed. That is the RIGHT THING TO DO...it is also the LEGAL thing to do.
You were po'd because you felt cheated on your pay so you griped. Now you're getting that discrepancy paid to you, so you gripe. You gripe because they didn't make changes. Now they are and people are still griping.
The whole start of my post was directed at the idiot who was complaining over the letter - the letter announcing upcoming changes, whining because it didn't include SEs (in her severely compromised comprehension). I responded to that.
I didn't say anything about defending their actions other than they are making a wrong right by paying money that is owed. They are legally obligated to do so. And no one is relieved about it regardless.
I'm saying what many of us feel and that is if you don't like MQ GET OUT. If you aren't leaving, SHUT UP. It's a good thing we work remotely -- the pathetic pitiful peons who can do nothing but drag their hind end around on the ground whining, "look what happened to me" don't seem capable of saying, "Hey, I'm not going to take that. I'm outta here. I don't think you're treating me fair so adios MQ." Instead, they have to just continually lurch around with their bellyaching and griping and try to keep everyone feeling like they do. They LOVE to feel upset. Makes 'em feel justified in some sick way. Justified perhaps because they're not able to do anything else maybe. Who knows why? Who cares? I don't.
I'm tired of hearing the griping about a situation you're doing nada about. Shut up and do your work -- maybe you'd have some MONEY in the bank then. Otherwise, ship your worthless self out to sea and find new populations of people to cry to.
As for your "...it is not the people on this board who short-changed their people..." remark...you are WRONG. By continuing with a company that they believe is doing them wrong, they are short-changing themselves and their families -- their kids, their husbands, their relatives, their friends. EVERYONE. You have a responsibility to not be poor, provide for your family ADEQUATELY and BE HAPPY. When you don't take care of that situation at work and feel that way, it bleeds over into your life every other way. I bet you people are a JOY to live with. What a horrible negative environment to live in.
I usually let this crap on this board roll off my back. It's usually good for a few laughs. I'm not angry but rather tired. Tired of having to wade through the mires of people who have imprisoned themselves. If MQ did you wrong, GET OUT. If any of these companies did you wrong, GET OUT.
I would be ashamed to sit here and constantly gripe about the same problems over and over and never take action and change it for myself. How handicap is that?
Lately, coming here is like jumping into what appears to be a nice cool lake to enjoy a good relaxing swim only to get out and find there's hordes of blood-sucking leeches on you. It's really pathetic and it's that way because you won't get over what has happened.
Well, guess what? IT HAS. Whatever made all the pay issues happen -- IT HAPPENED. You can't change it. It won't go away. GET OVER YOUR SITUATION. GET OVER YOURSELF. You're not the only people in the world with problems.
Absolutely the biggest group of losers I've seen in a long time. Losers -- Losers every one because you REFUSE, not just fail - which we all do, but REFUSE to get up and get past these problems.
Get over yourselves. This is a great line of work and there are some great companies. MQ is one of them - for MANY of us. If this work isn't paying you enough to live then guess what?! IT ISN'T FOR YOU unless you like to live hungry!!
I agree that everyone has a different experience but you know what? You seem all too familiar now with MQ at least and you are still there -- voluntarily. No one makes you stay.
If you're tired of defending yourself for being so upset about MQ, why don't YOU go start yourself a board somewhere?
I don't believe this board was designed with MQ-haters in mind, was it? No.
So, excuse me, but YOURS isn't the ONLY attitude around! I don't care if you like what I'm saying or not! I have just as much reason and rightness in what I am saying as you do.
Hope you people sleep happy in your little tight little drawn-up world!! I can tell you without any hesitation that I have no problems sleeping and no problems making my bills and no problems going to work because I don't have the attitude you do!
Good night, little ones! Sleep tight!!
and you know the mistakes that happen
!!!
Speak for yourself. I want and need to know my mistakes.
I'm sure there are those who get offended but not all are that way.
The mistakes were trivial
They did not tell you the rules and you did it correctly. They should have told you that you were to change it. I just hired on with a hospital system who really appreciates good MTs and you can find someone who will, too. Hang in there!
we make mistakes
but what makes us better human beings is that we try to stand up and do better. Forgive yourself for that mistake and be thankful for a good husband and move on. Be praying for you!
she acknowledged her mistakes
-- no doubt she got high on herself -- there are very few that handle their fame and fortune well from the beginning. I still say she definitely has more honesty and decency than the rest of them.
mistakes in other's work
If your job is not QA, you have no reason to be looking at someone else's work. Someone should be supplying you w/ the appropriate, properly de-identified samples.Viewing a report typed by another person is a potential HIPAA violation. Don't mean to preach, but that's the way it is....
clarifying this - okay, the mistakes that come through
are not grammar or nitpicky mistakes, but these are mistakes with lab values, especially ones that were clearly dictated. These are mistakes with drugs and dosages (THIS SEEMS TO BE THE OUTSOURCE COMPANIES BIGGEST PROBLEM). There are TONS of times that reports come back with extra sentences and things typed in the reports that were NEVER said.
I could even go on to say certain types of mistakes, but then I think the company would know who they are and I would get in trouble.
All I'm saying is, supposedly this company "tests" transcriptionists, which obviously they do not. The QA department of the company just doesn't give a crap and gets paid for doing literally nothing (I want that job for this company when I quit the hospital) and the so called "supervisor" of the outsource company wants a copy of all mistakes, but never does a darn thing about it. So basically she must have a stack of reports that go as high as her ceiling that she has probably used for toilet paper, because she sure as crap isn't doing anything else about them.
So this is not about grammar or certification or piddly little things, but major mistakes and tons of blanks on a hospital account that has but only a few ESLs and some really easy dictation. This is about an outsource company that is quite well known that gets paid for crap.
wow! I feel better again.
I sometimes make mistakes
On this board I am sometimes going so fast to get my message done and have come to rely on spellcheck so much that I find myself making mistakes. But I must admit never have I in a resume. And I also admit that sometimes my docs catch a mistake or two and perhaps three per month but with typing 2000 to 3500 lines per day and me being QA and MT, it happens. We are only human and it is hard to proof your own work. But on a resume I would have someone else check it. On this board though I try not to worry as much. I just don't think people take as much pride in their work and whether this came around when cpl was started, I don't know.
mistakes all the time, tsk tsk tsk...(NM
x
Mistakes happen. Yes, there are some. Just
nm
everybody makes mistakes
One time, during my newbie days, I typed "slap reconstruction" instead of "flap reconstruction." Hee-hee! It's funny now, but it sure wasn't funny at the time!
I've typed the wrong doctor's name, too. They will surely understand; if not, well, nobody's perfect.
Stoopid mistakes
Oh, I've done far worse, and I am too ashamed to admit what that is here, but I agree with the other replies when they've told you not to sweat it. You are only human after all. Humans make mistakes. It's just how it is. The fact that you owned up to it, recognized it and feel bad about it proves to me that you're a good MT. No need to beat yourself up over this. This too shall pass.
carless mistakes
Only after she brought it to your attention just like you did hers. Man people are such children about stuff. When humans are perfect no one will make mistakes anymore so get off it. Do you really think it makes you a better person, MT? It just makes you a **tch
Are you making mistakes? If it is something
like punctuation I wouldn't worry too much, just try to do whatever they say. If you are making big mistakes like spelling terms incorrectly, using Google to research and just because there are severl hits you decide the word/term/spelling is correct and so with it, although there is a ton of misinformation on google. Did you spell a drug wrong, a doctor's name wrong, just did guess at a word rather than leaving a blank, etc.
I think the majority of QA is helpful. Some get off on a power trip, but most really want to be helpful and help you be the best you can be.
I recently made a job change and I felt like I would never get a report back from QA that there wasn't something wrong with it. It wasn't so much an error as it was that the account was extremely particular. I would fix one error, only the next day they would find something else. I have 20+ years of experience.
Try not to take it personally, look at it as they are helping you to be a better MT. If you continue to make the same mistakes get you some brightly colored sticky notes and write yourself notes and put them where you'll see them as you work. Even though you probably want to get a high line count you need to concentrate on quality first. Take the time to proof thoroughly.
How do you handle your mistakes?
I am an IC and for the past 5 years have worked for the same doc. He still uses tapes so I deliver on a daily basis. I already load the work on his PC and make sure the pages line up etc. and do not get paid extra. I also convert some reports from WP to Word and e-mail to him at no extra charge. Now he starts calling me after I leave the clinic and expect me to either turn-around and come fix the mistakes/changes (15 minutes later) or I must wait in his office until he is finished with a patient consult, can go through the work to check for mistakes/changes for me. The mistakes range from doctor's names misspelled (workmen's comp with lots of different doc names, impossible to search and find as no clue where the doc is located) or template changes etc. and sometimes silly mistakes which is totally my mistake. Am I fair in stating that I do not mind doing the corrections when I return the next day but that I cannot wait around in his office for him as he does not pay me for that and I will also not turn around after I have left the office to go back when they call me? How do all of you handle this type of situation?
I see really bad mistakes all the time
here on this site. I probably would not say that ESLs could do better but I do not think it could be worse either if trained properly.
I was sort of in the same boat
My mom's doc told her in 1996 that she had "a touch of emphysema, nothing to worry about." (He was a lousy doctor but I didn't realize it then).
She had lived in a trailer on our property rent free for 10 years independently before this happened, then she got the shingles, "most severe case I've ever seen," was hospitalized for 2 weeks and went downhill after that. I moved her in with us as she developed macular degeneration, plus she was almost deaf.
The last straw came when she was walking through the hallway and her legs went out from under her. She broke her hip and walked on it like that for 2 weeks. I quit my job to stay home with her after that. She spent 2 wks in a hospital and 6 wks rigorous PT in a nursing home, then came back home. I did everything for her. She even gained weight, went up to 96 pounds (4'11"). She also came on on oxygen because of her "touch of emphysema" which turned into full blown COPD.
She then got pneumonia, was hospitalized, and then started to develop memory loss. Her macular degeneration got worse and she couldn't tell day from night and sometimes, her biological clock would get mixed up and she'd be waking me up at 11 p.m. thinking it was 7 am. She loved to read but couldn't do it anymore. My son gave her his large screen TV so she could at least see that, but she couldn't hear without the sound being turned up LOUD.
After 3 years, she was almost bedridden. Her bedroom was next to my office and I had a bell that she would ring if she needed me.
I had a nurses' aide come in every day for 1 hour a day to bathe her and give her breathing treatments. That was all Senior Services could do for her because of her limited SS income.
In the meantime, I got a job through my former hospital working for them at home after she broke her hip. .I also worked full time 1 job, and had a couple small accounts, took care of her bills and checking account, our three accounts (both self-employed).
We had a lot of friends that would come over on the weekends but where was I? In the house working and taking care of her. I never left the house for those 4 years except to do grocery shopping...and it was never more than 1 hour so the nurses' aide would be with her while I was gone.
She broke her other hip in January 2000. I spent every day in the hospital with her, but there was nothing I could do. I couldn't stay the night because this hospital wasn't set up for that and I couldn't afford it anyway. I knew she wasn't going to make it this time and 2 weeks after celebrating her 79th birthday, she was gone.
Anyway, I feel for you and know what you are going through with the exception of 1 thing....I have no siblings. Hang in there and keep doing what you are doing. You'll never regret it. Three people know you're the right person. You, your mother, and God. Forgive your uncouth (sic) siblings...and if you get mad enough, tell the one that keeps winning the money to hand some over for a change. He might surprise you. Heck, he may not even know the problems you're having. You should tell him.
But in the meantime, just keep taking care of, and loving, your mother for as long as you can...and don't forget to tell her you love her all the time, too.
How about some little stickers of some sort...maybe that will help!
I know that sort of sucks, but that's what the gov
f
A sort of update...
I still have not started, but I did call my GYN and she said to wait for about a week and if I still have a negative preg test to call her and come in for blood work. Thanks everyone for your sweet replies, it means the world to me. I will let you guys know!!
Thanks! That's what I was sort of thinking
but I really hope more post overnight or in the morning. I have been leaning towards the feeling that it can't be this bad - that it might exactly be the quality of transcription. I work for a big national, and its been getting worse and worse. I actually get upset when I see the critical errors coming thru, and nobody, from the MT to management, care. And I just sort thru this day in and day out. By the end of the day, I am exhausted and depressed. I never dreamed QAing would be what it is, and I for sure have tons of respect for QAers. I think I would rather be inspecting dolls on an assembly line. Unfortunately, or fortunately, though, I do make decent $$ at it - more near $20 an hour, and have loads of time off, but I find its not doing me any good - I use it all for sick time rather than fun. Sorry for carrying on, but thanks so much for listening. And maybe hearing my story will help some QA phobic MTs realize that its not an easy job. No matter how kind we try to be, everyone hates us. I feel like a dentist! Yet sure don't make that kind of money! 
We do that sort of thing too. There is just something about
fall time in PA with the crisp air, beautiful colored falling leaves that just make it necessary to have a huge bonfire, hotdogs, apple cider, pumpkins. Bobbing for apples and corn stalk decorations. Its just a wonderful celebration before winter comes and we love it!
However, having some sort of certification does
not necessarily mean one is a good Transcriptionist any more than not having certification does not mean one is not a good transcriptionist. That would be saying that anyone who goes to medical school and has M.D. behind their name is a good doctor. While they have to have M.D. behind their name to practice medicine, it does not mean they are a good physician. Just my 2 cents worth.
I'm one of those MTs that can sort of get a zone and... SM
I don't hear anything around me. My husband literally has to come up and touch me to get my attention when I'm working and then I nearly jump out of my skin cause it's like he snuck up on me.
I've been working at home since my son was a baby. He's 14 now. He had asthma and respiratory difficulties from birth and so I needed a profession that allowed me to be at home with him. At first, my production was just gross, but you'll find that you adapt pretty easily. Now, with both kids at school (my daughter just started kindergarten), I've seen my production shoot way up to the 1800 to 2000 range just because there are no interruptions and no excuses!
Your production will get better and better. It just takes time.
may I ask what you mean? company - sort of ??
thanks.
Really?! Is there some sort of documentation...
we can access to confirm that? That's just far out. Ever been in the lunch line in the hospital cafeteria with doctors discussing cases while waiting for the fricassee to be dished out? What about these third-world countries where the work is being outsourced...they have 2 generations living in the same abode--think there's any privacy screening or dedicated office there?! Sounds like bureaucratic bull poopie to me. Kind of like asking "how old are you and do you have kids" without asking. I'd take a picture of me at a nice fancy-pants office set up at Staples just out of spite if I was asked such a thing. How the heck do you prove something like that unless you make a home visit?! Somethin' just don't jive there is all I'm sayin'.
I sort of use a laptop
but the screen is broken off so that I have to use a regular monitor. As far as the touch pad, I bought a USB mouse and just disabled it. There should be something somewhere in the settings that says pointing device. It may also be in the system tray, as it was on mine.
there has to be some sort of formula out there
to count the lines minus the headers and footers.
I sort of wondered if it was that he would be
x
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