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Chapter 299 Why is this difficult?!

Chapter 299 How difficult is this?!

Chen Nan took the lead in visiting Dean Ge Yerong.

Regarding Chen Nan's arrival, Dean Ge was very considerate and agreed to many things with a smile.

"Xiao Chen, this integrated traditional Chinese and Western medicine ward is our key ward and the main ward for future development!"

"You may not know much about our hospital, which is a national demonstration site and key research center for integrated traditional Chinese and Western medicine hospitals."

"Here, the superior department has given enough attention to it!"

"I also know a little bit about you. I also gained some knowledge about the surgery of fire acupuncture combined with percutaneous superficial vein treatment for varicose veins of lower limbs!"

"Our hospital needs talents like you!"

Chen Nan smiled awkwardly, this... After he came, he became a free man. This is still the future... What kind of talent is this?

"President Ge, I am new here and I am not familiar with many things. Moreover, our hospital is a small hospital and we need to learn more from the experts here."

"Currently, I have no specific work arrangements."

Although Ge Yerong didn't have a deep understanding of Chen Nan's affairs, who was he? How could he not know how many connections there were behind him?

He smiled: "Yes, study more and don't be in a hurry!"

"Our department is very mature. The three generations of old, middle and young people are considered stable. It is really difficult for you to give you an accurate position when you have just arrived."

"But don't worry!"

"This kind of thing cannot be rushed!"

"It's gold, it will shine sooner or later."

After some small talk, Chen Nan didn't get Dean Ge's approval, so he could only go back and transfer departments without anything else.

What Dean Ge said is good, and what Director Luo said makes sense. After all... I am an outsider.

Fortunately, I didn't bring Zhao Jianyong here this time, otherwise... the two of them would sit on the bench and enjoy the happiness together?

He shook his head and simply followed a staff member assigned by Luo Qiping to start wandering around the ward.

I have to say that this China-Japan Friendship Hospital is really wealthy.

Although there are only nine departments, they occupy a 21-story building!

The staff member's name is Hu Min, the assistant to the ward director, and a staff member of the Orthopedics Department of Integrated Traditional Chinese and Western Medicine. He has been here for seven or eight years, and he knows enough about this place that he is a native of the capital.

Chen Nan wandered around and followed the opponent around seven or eight floors, thinking that he was just wandering around blindly.

After all, this time is not long or short. I went to the department. At this point, the director is not here either. After I went there, it was just like traveling.

But...who travels to the hospital?

But Chen Nanquan must have recognized the door!

Don’t care either!

Before they knew it, the group arrived at the Orthopedics Department.

The Department of Orthopedics is very large, with 5 floors, and is the most successful department in integrating traditional Chinese and Western medicine.

The 7th floor is the Orthopedics Headquarters and the department where Director Luo Qiping works. The hall is filled with all kinds of honors.

"National Key Specialty of Integrated Traditional Chinese and Western Medicine", "National Orthopedic Demonstration Base of Traditional Chinese and Western Medicine", "National Key Specialty of Bone and Joint"...etc.!

Hu Min introduced Chen Nan with a smile: "Director Chen, this is the Department of Orthopedics. It is also the best department in our Integrated Traditional Chinese and Western Medicine Ward."

"There are many types of diagnosis and treatment here. Our department is also a contract unit of the National Sports Administration. If you see a sports star here, don't make a fuss. It is a common occurrence here."

"This is the result of joint efforts under the leadership of Director Luo!"

"Even those international stars come here because of their fame."

"Do you watch the NBA? Do you know which teams in the NBA? The Suns have the best team doctors, right? Then you know... do they also cooperate with our unit?"

"So, there are not only domestic but also many international sports stars, including many in our department!"

"Director Luo, he is a well-known figure. He is the 28th generation descendant of Luo bone setting. His reset techniques are absolutely amazing!"

"Ordinary people have joint fractures. Director Luo doesn't need surgery at all, and he doesn't even need X-rays. The manual reduction is amazing!"

"Now, Roche's technique is internationally renowned for reduction, and it has been in the Lancet several times!"

"At that level, even the people from the International Orthopedic Research Association had to give it a thumbs up!"

Chen Nan was a little surprised by Luo Qiping. He didn't expect...that Director Luo was actually the successor of Luo's Orthopedics?

This is a traditional Chinese medicine bone-setting technique known as an intangible cultural heritage!

Bone setting in traditional Chinese medicine is commonly known as the Eight Methods of Bone Setting, but each school has its own understanding. On this basis, it has developed into a mature discipline!

Manual reduction is also recognized internationally. Even many joint surgeries basically do not require surgery. Foreign doctors can also set bones.

Technique reset is not exclusive to China!

Even in the West, various techniques have appeared in recent years, and improvements in techniques can be seen every year at the annual meeting of the International Orthopedic Research Association.

Director Luo turned out to be a member of the International Orthopedic Research Association.

Hu Min's introduction made Chen Nan feel certain that this place was not in vain!

The platform here is no longer just a simple hospital!

These top hospitals in the country are usually national research centers for certain diseases.

Many domestic guides are spread from these places.

It can be said!

This is not just a hospital, it can even be said to be a research institute.

Chen Nan was really right. This China-Japan Friendship Hospital is the National Institute of Integrated Traditional Chinese and Western Medicine.

It can be said that this is a national demonstration site for the integration of traditional Chinese and Western medicine.

If Chen Nan had not come here this time because of the strong recommendation of his teacher Lu Pingren and others, how could he have come to a place like this and held the position of deputy director of the ward?

After this stroll, Chen Nan felt much more at ease.

To be able to come here to be the deputy director of the ward is definitely a high achievement. To be honest, regardless of qualifications or other things, Chen Nan can be here to be the deputy director of the department because he thinks highly of Chen Nan.

But, what now?

He was directly given the title of deputy director of the ward!

Although it seems to be a false position at present, it is even a position that is criticized by the public.

But, so what?

If this was revealed, who among the leaders or celebrities and wealthy people would not be able to be kind to him?

To put it bluntly, there are only so many beds here, but it doesn’t mean that you can just come if you want!

At this moment, Chen Nan suddenly thought of the meeting he had with Master Lu when he left Yuancheng City. There was a smile in his eyes when the other party talked about this job.

Chen Nan now understands that this position is also an assessment of himself by the teacher!

It just depends on whether you can do it well!

Chen Nan immediately clenched his fists. This time, he not only had to do a good job, but he also had to do it brilliantly, in a way that was convincing and applauding!

This will make this trip worthwhile!

Thinking of this, Chen Nan turned to Hu Min and said, "Take me to the Clinical Pathway Center of Orthopedics."

The Clinical Pathway Center is also unique here.

The so-called clinical path center is the treatment process unique to a certain disease.

Clinical pathways, to put it bluntly, are the relevant treatment plans that patients need to undergo when entering the hospital for treatment.

Each department in the Integrated Traditional Chinese and Western Medicine ward has a dedicated center where clinical scientific research talents are responsible for sorting out the information.

After hearing this, Hu Min nodded and said, "Okay, Director Chen, please come this way."

Naturally, Hu Min couldn't neglect Chen Nan. No matter how you put it, Chen Nan was the deputy director of the ward, and below that he was at the level of executive vice president.

Why shouldn't people look at the center of the path?



And this time!

Inside the office.

The atmosphere is quite tense.

Meng Si, deputy director of the Department of Orthopedics, said with a solemn face: "I think it is more appropriate to use anesthesia."

"After all, the patient's condition is a posterior dislocation of the ankle joint, and manual reduction is not realistic."

"There are soft tissues embedded in the joint; the joint is unstable after reconstruction, or there are bone fragments that require internal fixation."

"Although the operation is not major, in order to achieve better repair, it must be performed through an open surgery."

"Surgery requires anesthesia. Local anesthesia cannot solve the problem."

"My suggestion is to use general anesthesia."

When Zhang Xiao's agent heard this, he immediately became anxious: "General anesthesia?!"

"Is this appropriate?"

"Zhang Xiao is a national-level athlete. His recovery time from this surgery is only three months, and these three months also include post-training."

"Although it is said that using general anesthesia will not affect it, but... I am worried..."

Zhang Xiao is a national-level sprinter. This time he was injured during a training camp in the capital. However... Zhang Xiao's situation is quite special. After the trauma, he suffered a traumatic infection in his lower back.

In this case, spinal anesthesia poses a big problem.

Generally speaking, spinal anesthesia is a relatively conventional treatment, and the technology is currently very skilled.

But……

Spinal anesthesia is entered through lumbar puncture. The skin must pass through many layers to reach the spinal canal, including skin, subcutaneous tissue, supraspinous ligament, ligamentum flavum, etc. During the puncture process, the nerves along this path may be damaged.

blood vessels, causing corresponding complications.

However, if there is infection at the puncture site, coagulation disorder or neurological disease, try to avoid this kind of puncture.

Therefore, Zhang Xiao had no way to perform spinal anesthesia at this time.

This caused some trouble for the operation!

Zhang Xiao's agent Tao Lianghui suddenly thought of something. He hurriedly looked at Luo Qiping beside him:

"Director Luo, I know you have a way. Aren't you good at this reset technique?"

"Can Zhang Xiao not have surgery?"

"He will participate in international competitions at the end of the year."

"If you have surgery, recovery will definitely be slower."

"Manual reset, can you do it?"

Luo Qiping looked solemn, because Tao Lianghui was not worried about no problems.

Ankle fracture is a type of fracture with a high incidence rate.

Because the ankle joint is the pressure-bearing part of the human body, it plays a key role in blood circulation and movement of the foot.

Under normal circumstances, open reduction of ankle dislocation is suitable for inward and lateral ankle dislocations. It is easy to restore the ankle joint, but it is difficult to restore the posterior dislocation. Therefore, the ankle joint should be restored open and the damaged ligaments should be repaired.

Moreover, for athletes, the situation is even more special.

There are more factors they have to consider!

For example, the patient's recovery time and subsequent recovery status are all critical.

An athlete's career is not long to begin with, and anyone who has followed sports events knows very well that a broken ankle may directly scrap an athlete's career!

In a place like the NBA basketball league, how many people have fallen from the top because of a broken ankle?

Carter, the flying trapeze artist, Duncan, the famous aerial devil... there are too many cases. After an ankle injury, can you still fly?

so!

It is also an ankle surgery, but here it is no longer as simple as a simple minor surgery.

There are so many factors to consider!

Generally speaking, if an ankle is broken, it only needs to be reset and fixed, and then the bones will be healed with blood nourishment, and that will be fine.

but!

For athletes, their soft tissues, joint membranes, tendons, ligaments, blood vessels, nerves, etc. are all vital.

This is what Luo Qiping is most worried about.

It's not like he has never done similar surgeries before.

But... there is another point, Zhang Xiao cannot undergo spinal anesthesia.

what to do?

It is absolutely impossible to perform surgery without anesthesia.

Although Zhang Xiao and her agent could agree to the anesthesia, they were also reluctant.

Those national-level athletes often need to apply for anesthesia even when extracting teeth.

This was still just local anesthesia, but now it's general anesthesia...

Why!

Although, in most cases, it will not be affected, but... what if?

If there is really no other way, you have to anesthetize!

And now, they are thinking about whether there is a better way.

There are many people in the office, and everyone is discussing this plan.

Meng Si said at this time: "Director, it will be very troublesome without anesthesia!"

"After incising the joint capsule, these local anesthesia cannot solve the problem."

"What's more, if the muscles are tight and the tendons are tight, we have to cut the tendons, so... the recovery period will be longer."

"The tendon is cut and then sutured, which has little effect on most people, but... the opponent is an athlete, and the suturing of the tendon will also affect the athlete's condition."

"Indeed, if the technique is reset, that would be the best!"

"But... look at this film, there are bone fragments and they need to be fixed!"

"So, surgery is the only way."

"And, you see, the soft tissue here is also embedded in the joint cavity. If you don't seize the time for surgery, it can easily lead to neurological disorders and blood vessel damage. By then, it will only be more troublesome!"

Tao Lianghui looked a little ugly at this time!

As a professional agent, she has seen too many cases where athletes have fallen into disgrace after accidents.

Zhang Xiao is only 21 years old this year. In his prime, he is a young sprinter.

For them, the starting point of the command gun and the speed of nerve reflexes are very critical.

Zhang Xiao is someone who is expected to win an Olympic medal in the future!

He really can't be hurt...

If this matter is not handled well, or even handled in an average way, Zhang Xiao's future will be ruined.

Tao Lianghui saw that Luo Qiping had not spoken for a while and was silent for a while!

At this time, Luo Qiping suddenly said:

"Actually, there is a method that is relatively safe and more effective."

"That is reduction using traditional Chinese medicine techniques, plus surgery."

“We have done relevant clinical research, that is, research on surgery alone, and surgery combined with manual reduction!

In this study, the excellent and good treatment rate of the observation group was 91.22%, which was much higher than the 71.43% of the control group, and the fracture healing time and hospitalization time of the observation group were shorter than those of the control group.

The VAS score 3 days after surgery was lower than that of the control group!

The effect of using traditional Chinese medicine bone setting combined with surgery to treat ankle fractures is ideal. It can effectively promote postoperative fracture healing and reduce the patient's postoperative pain.

Moreover, the recovery effect is also very good!”

"Ms. Tao, I think you can go and study it."

"By the way, Xiao Li, go to the path center and bring over the specific plan."

The doctor on the side nodded quickly, got up and ran towards the center of the path.

After Tao Lianghui heard this suggestion, she couldn't help but nodded.

"Then it's the director's fault!"



And this time!

Inside the Path Research Center.

After Chen Nan selected some and read them, he looked dull and remained silent as he began to think.

Hu Min on the side smiled and joked: "Director Chen, how does it compare to your hospital?"

When Chen Nan heard this, he immediately laughed: "Haha, Doctor Hu, you asked this question, but I don't know how to answer it!"

"hehe!"

"Besides, am I not from the China-Japan Friendship Hospital now?"

"But... for your ankle fracture, is the effectiveness of manual reduction combined with surgery really 91.22%?"

Hu Min nodded seriously: "Director Chen, I can't guarantee anything else!"

"However, there is absolutely no problem with the authenticity of our data."

"Our director personally took the lead in doing these things. Fraud is simply impossible."

Chen Nan said oh and nodded.

The China-Japan Friendship Hospital is indeed much better than their source city People's Hospital.

Judging from the excellent and good rate of the surgical group of 71.34%, it far exceeded the 58.22% rate in their source city!

Don’t underestimate the difference of less than 15%!

What this represents is cutting-edge strength.

It’s the control over the details of the surgery, the technology from more angles…and so on!

This is a gap that is difficult to cross!

Moreover... what others do is to achieve excellent results, but what they do is to demonstrate efficiency.

There are completely different differences between the two.

After Wu Xinke became the dean, as the director of the Department of Orthopedics, he was very concerned about the construction of the Department of Orthopedics integrating traditional Chinese and Western medicine.

Chen Nan also cooperated with the other party to conduct research on manual reduction and surgical operations.

Chen Nan also participated in the ankle surgery.

but……

Chen Nan was a little confused.

Because, their manual reduction combined with surgical therapy has an excellent and good rate of 97.11% for patients!

This is the reason why their surgeries are not as good as others...

What's the problem?

It goes without saying that it lies in the manual reset.

It seems that my reset method is not bad!

Chen Nan couldn't help but laugh inside.

At this time, Li Ke suddenly walked in hurriedly and frowned when he saw Hu Min standing in the center of the path with a young man.

"Doctor Hu...who is this? How did you bring him here?"

Hu Min said quickly: "Team Leader Li, this is the new deputy director of our ward, Director Chen Nanchen."

"The director asked him to take him around."

After Li Ke heard this, he looked at Chen Nan curiously and nodded quickly: "Hello, Director Chen!"

Li Ke didn't expect...the new deputy director of the ward to be so young?

He is much younger than Hu Min!

This little one is a bit outrageous!

Li Ke is the deputy chief physician and the team leader.

Naturally, he would not offend the new deputy director.

"I am the leader of the joint group of Department of Orthopedics 1, Li Ke, Director Chen. Just call me Li Ke."

Ask him to call him Xiao Li, Li Ke can't say it...

"By the way, Dr. Hu, where is the clinical path for the ankle joint?"

"Director Luo is waiting for me, give it to me quickly."

"There is a patient who is waiting anxiously."

Hu Min quickly opened her curious eyes: "Is it Zhang Xiao? How is it?"

Li Ke frowned: "Hey!"

“Things are a bit difficult!”

"There is a large area of ​​trauma and infection in the lower back, so spinal anesthesia is not possible."

"And, you know, what a broken ankle means to an athlete."

"Moreover, the opponent is still dislocated backward and cannot be reset by manipulation."

"The director is also very worried!"

"Let his agent help check the situation."

After Chen Nan heard this, he suddenly had a thought in his mind: "Can I follow you and have a look?"

While talking, Chen Nan handed the path in his hand to Li Ke who was standing aside.

Li Ke hesitated immediately!

"this……"

"should be no problem."

"Director Chen, just come with me."

While talking, Li Ke led the two of them towards the office.

"Director, here you go!"

Luo Qiping did not turn around, nor did he notice Chen Nan coming.

He handed the clinical path in his hand to Tao Lianghui and began to explain the specific work details.

After Tao Lianghui read it, she couldn't help but sigh.

"This...recovery time, does it take 2 months?"

"It's a bit long!"

"Director Luo, is there a better way?"

"There is still surgery. If surgery is necessary, are there other ways of anesthesia?"

Luo Qiping immediately shook his head:

"First of all, the first point: the patient must undergo surgery."

"There is no doubt about this. Manual reduction can effectively help recovery, but... the effect of posterior dislocation of the ankle joint is limited. This needs to be paid attention to!"

"Secondly, surgery requires anesthesia. Local anesthesia cannot solve the problem at all!"

"Third, we have no way to guarantee the recovery time, we can only do our best!"

After Tao Lianghui finished speaking, he nodded helplessly:

"Thank you, Director Luo!"

"I...I'll go discuss it with Zhang Xiao!"

"Why……"

At this moment, Chen Nan was watching the film hanging on the viewer.

Get lost in thought!

After a while, Chen Nan suddenly felt... that he had a way to resolve this situation.

It is best for the patient to undergo surgery, because if there is a bone fracture, the recovery may be better if it is fixed.

There is also damage to nerves and ligaments. In this regard, if the ligaments can be repaired, recovery will be better and faster.

But...my own technique, combined with the surgery, will undoubtedly make the patient's excellent and good rate even better!

Thinking of this... Chen Nan spoke.

"actually……"

"I have a way to perform manual reduction on the patient."

"It may allow patients to achieve an excellent and good rate of more than 97%!"

As soon as these words came out, the room suddenly became quiet.

Everyone looked for fame and immediately found that it was a young man.

For a moment, everyone couldn't help but frown.

where is this place?

How can an outsider express an opinion casually?

And, no white coat!

"Who are you?"

"Who asked you to come here?"

Meng Si asked quickly, although he was not angry, but his voice was very serious.

Luo Qiping also looked at Chen Nan and frowned slightly.

but……

He still made an introduction to Chen Nan.

"Director Meng, everyone, let me introduce you."

"This is the new deputy director of our Integrated Traditional Chinese and Western Medicine Ward, Director Chen Nanchen!"

"Director Chen has just arrived. I haven't had time to introduce him to you yet."

"After today, he will be the deputy director of our Integrated Traditional Chinese and Western Medicine Ward!"

As soon as these words came out, everyone was dumbfounded!

They didn't expect that such a young and somewhat shameless young man would be the deputy director of their ward!

For a while, everyone whispered to each other, a little surprised!

However, Luo Qiping still looked at Chen Nan with a serious face: "Director Chen."

"you……"

"You don't know much about Zhang Xiao's situation. He is our national-level athlete and the situation is quite complicated."

Chen Nan heard the sound, nodded and said: "Director Luo, I understand!"

"but……"

"I'm not kidding."

"I do have a way to make the patient's excellent and good rate reach over 97%."

“I have papers and clinical data to prove it!”

"You may not know me very well."

"Let me introduce myself. I am the director of the Traditional Chinese Medicine Department of Yuancheng People's Hospital. I am also responsible for establishing and developing the integrated traditional Chinese and Western medicine ward of our hospital!"

"Our director of orthopedics is Director Wu Xinke, he can testify."

"We have also conducted a clinical trial of manual reduction combined with surgery to treat ankle fractures."

“The excellent and good rate of our experimental group reached over 97%!”

"However, that is still based on the fact that our surgical group only has an excellent and good rate of 58%."

"I believe that if my technique is combined with your surgeries, the rate of excellent and good results will be better! It will be higher, and the patient's recovery time will also be faster!"

"I can guarantee this!"

As soon as these words came out, the room suddenly became quiet!

Everyone looked at Chen Nan with serious expressions.

Because...this data is no joke!

Director Luo is very strict with clinical data and hates academic fraud.

Luo Qiping turned around and looked at Li Ke: "Xiao Li, check the paper for me right away!"

Li Ke looked a little uneasy. He glanced at Chen Nan nervously and nodded quickly: "Okay, director!"

All of a sudden!

The room became quiet.

Chen Nan also remained silent.

After waiting for five minutes, Li Ke quickly handed the notebook in his hand to Luo Qiping:

"Director, the paper has been found!"

Only then did Luo Qiping read the paper. His sensitivity to data was by no means comparable to that of ordinary people.

Is it true or false!

You can tell at a glance!

This paper was published in the "Chinese Orthopedics Yearbook" and belongs to SCI.

The level is indeed commendable!

Luo Qiping's eyes softened when he looked at Chen Nan.

but……

He still looked at Chen Nan and said seriously: "What method do you plan to use?"

Chen Nan suddenly laughed inside.

he knows!

The opportunity has come!

Chen Nan pointed at the film and explained to Luo Qiping:

"Director Luo, take a look with everyone, the patient has an irregular backward syndrome."

"The soft tissues around the joints were seriously damaged, and ligaments, tendons, nerves, and blood vessels were all damaged to varying degrees."

"And here is the key!"

"Although there are many principles of bone setting in traditional Chinese medicine, they are all inseparable from the principle."

"It's nothing more than the Eight Dharmas!"

"The eight bone-setting methods are combined with massage to reset the soft tissue. This is the key."

"Here, the tendon is tense, and even if it is operated on, it still needs to be incised, and we can completely use soft strength and Huajing strength to work together skillfully to relieve the force on the tendon."

"Here, if there are soft tissue injuries, local numbness, sluggish blood flow, blocked Qi and blood, functional disorders and other diseases, press down with your hands and massage slowly to make the blood stasis and blocked Qi and blood areas unblocked and eliminate bloatedness. It can also help circulation and needs to be massaged.

Dissolved by law.”

"However, the muscles and tendons, as well as the ligaments here, need to be lifted up to restore the sunken tissues to normal."

"Here... use..."

"With the hand as the body of flesh and blood, its wonderful use of gentle movement can cure high and low diseases, relieve minor opening and closing, and can treat the stagnation of blood and Qi, swelling and pain of the skin and flesh, contracture of muscles and bones, and the pain and desire caused by emotions. Compared with using

There is a huge difference between using tools and restraint, but technique is the first priority in bone-setting!"

"As for this, I think it is more appropriate to use surgery!"

“In this way, by correcting misaligned bones and tissues on the body surface through TCM bone setting, the injured area can be improved.

Moreover, this treatment method can not only promote fracture healing, reduce the patient's limb pain and improve the prognosis, but also promote the return of joints to normal anatomical structures, restore tissues and bones to normal, improve blood circulation at the fracture site, and prevent

Tissue ischemia leads to venous necrosis and ischemia, forming deep vein thrombosis!”

Hearing Chen Nan's words, the scene instantly became quiet!

These words are not something that can be said casually.

Even Luo Qiping had a huge change in his view of Chen Nan at this time.

He closed his eyes and quietly thought about what Chen Nan had just described.

If you follow what he said, it is indeed possible!

but……

The operation difficulty is too high.

Can Chen Nan do it?

What level does this Chen Nan have?

Luo Qiping couldn't help but become curious!

At this moment, Tao Lianghui suddenly asked excitedly.

"Director Luo, is this...is this method feasible?"

"Is it effective?"

Luo Qiping did not slander Chen Nan, but told the truth: "It's difficult, but... the effect is really good!"

"It all depends on the level of manual reset!"

Tao Lianghui's eyes suddenly lit up, and she said excitedly: "Then...can we not have surgery?"

"Or...what about anesthesia?"

"Can I not use general anesthesia?"

Luo Qiping hasn't spoken yet.

But Chen Nan blurted out: "Anesthesia?"

"What's the problem!"

"Acupuncture and anesthesia, the effect is remarkable!"

"No need for general anesthesia."

Suddenly!

Chen Nan's words confused everyone.

Acupuncture anesthesia?!

Is this... possible?



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