Outlook

It matters what your outlook is towards life. You cannot possibly pinpoint what actually shapes your outlook towards life. People are different, and therefore they have different outlook towards life. But if you are one of those who view life as a puzzle you are yet to comprehensively decipher, you are not alone. Not everything in everybody's life can be perfect, perhaps that is what I feel. What I have felt is that people in general mask their imperfections behind a veil of perfections that is socially recognized. Appearance, focus on looks being a prime example.

But what I have also felt and that has made all the difference in my outlook towards life is imperfections need to be worn on our sleeves, not to be hidden but to be seen to everyone. The true positive outlook then is to embrace those very imperfections and yet try to achieve something beyond your expectations. That is a worthy experience. After all, we are not here to create our perfect self, we are here to express our authentic self with all our imperfections. An extension of this is having faith in positive outlook, it basically means your authentic self by default should be positively inclined because authenticity means being your best possible true version. And tell me which version of you loves being a pessimist.

10 CC: About to shake Indian medical community

10 cc

This is a tale of chemistry between a chain-smoking medical intern and the time he spent with his sedative addicted boss, owner and in-charge of a small town ICCU equipped hospital. The boss makes the patient buy sedatives on pretext of a wonderful Intramuscular injection guaranteed to provide relief. He pockets the vial with the efficiency of an illusionist and injects air in patient’s butts. Is air injected in human body fatal? I’ll explain below.

The primary issue raised in the novel is the biggest taboo in our medical fraternity, which is addiction among doctors. It is a known phenomenon in Western countries. There are special hotlines to report substance abuse and rehabilitation centres for addict doctors. This novel touches almost every medical malpractice in Indian society. When this novel will hit big, government will be forced to make many reforms. It will scare a lot of powerful people and will bring about positive changes in Indian society.

The novel starts with our protagonist joining a small town ICCU, without any experience. To make the medical procedures and terminologies easy to understand, the protagonist in this novel is shown to be good just in theory and lacks practical aspects. Either he remembers details about the situation or someone tells him. You won’t feel like you are entering some alien world while reading. The hospital is in an old residential building, the dirtiest place ever spawned, infested with mice and spiders. The staff is untrained, rude and without any morale.

The events in the novel slowly unfold to show how a hospital works, and the protagonist discovers his boss is addicted to a sedative. Worse, his boss makes the patients buy sedatives and injects air in the buttocks of patients. As the novel progresses, our protagonist starts getting good in his craft. At the same time, antagonist cranks his addiction to 11 and weird hijinks start. Protagonist thinks about leaving, but he is now addicted to chaos along with cigarettes.
This novel is a dark comedy and full of cuss words. The protagonist is a man with no name, as I wanted every reader to associate with him.
Plenty of issues regarding medical care and social problems in India are raised in this novel like
• Addiction among the doctors – Both antagonist and protagonists are addicts, along with most of the other male characters. They are sometimes drunk on duty.
• Air injections – Small amount of air, if injected in muscles, is painful but rarely fatal. Up to 100 cc or 100 millilitres air injected in venous blood of an adult male without any debilitating disease is rarely fatal. A small amount of air injected at a slower pace in arterial blood might cause air embolism, but is rarely fatal. So, the game depends upon amount of air, speed of injection, site of injection and the host. Our antagonist knows his game and never loses.
• Neglecting government authorities – Government watchdog authorities are not keen on keeping watch on private hospitals, especially in rural areas and other healthcare institutions like PHCs. Under trained staff is appointed at many hospitals. Authorities make an occasional show of raids, and everything gets back to the way it was in a few days.
• Costly treatment – Relatives fighting over bills of few thousands will sound shaky for many people, but the story is set in 2007, in town of Yavatmal in Vidarbha region, place of 1/3 of farmer suicides in 2006 and 2007 in Vidarbha. And comparing with the ‘facilities’ provided in hospital, it’s too much for the people around there.
• Attacks on doctors – Due to politically aspired goons, negligence from doctors and delay in treatment, attacks on doctors are more frequent in India. A brief mention of a mob beating an MO and throwing a table on him is in Ch.3 as ‘girl bitten by snake died’ and another in Ch.34. Reasons are inability to control crowd in time, lack of infrastructure and serious staff.
• Domestic violence – A woman getting unconscious during beating and the relatives running away with patient in Ch. 18 and 19 show that the women in rural India are still abused and few of the events are reported. And worse, women have greater participation in abusing other women.
• Use of bizarre things to go high – Traditional liquor, tobacco and drugs are lagging behind as doctors and non-doctors are experimenting with prescription drugs and making ‘cocktail drugs’ and other things like sanitizers, whiteners as mentioned in Ch. 10.
• Corruption in medical companies – In protagonist’s confrontation with MR, protagonist gets small idea of working of pharmaceuticals. Lot of references like costly medicines instead of cheaper ones like Ranitidine are also scattered throughout the book.
• Doctor's symbol – Whether it is caduceus or Asclepius rod? And from where they are derived? Which one is correct? An attempt to answer these questions in a satirical way is present in this book. Mindless copying of caduceus for doctor’s symbol is the subject of widespread debate.
• Confusing scientific data – Statistics are like a bikini. What they reveal is suggestive, but what they conceal is vital. This one is longer, but stay with me. It will be interesting.
We live in the scientific world. But the scientific data, instead encouraging the knowledge, is misleading people and working in favour of pharmaceutical companies. It is explained best when protagonist wants to find information whether cheaper heparin or costly fractioned heparin is best for patients and gets extremely confused seeing two articles on same website.

Five of the researchers-writers are the same in both articles, giving apposite views using soothing words like ‘No statistically significant difference was observed when the efficacy and safety of low-molecular weight heparins were compared with those of unfractionated heparin. A cost-effectiveness analysis of low-molecular weight heparins versus unfractionated heparin must be done urgently to establish more firmly the place of low-molecular weight heparins in the management of unstable angina.’ And ‘Enoxaparin appears to be superior in efficacy to UFH and similar to UFH in safety. No difference in costs was detected in this study.

The greater inhibition of platelet aggregation observed in the case of UFH compared to enoxaparin indicates that there may be more bleeding complications with UFH.’ It was stated in first trial that drug ‘enoxaparin’ containing trials were not taken in consideration. So does that means one should go for enoxaparin instead of other low molecular weight heparins or undergo another trial for efficacy of un-fractioned heparin and enoxaparin which was not covered in meta-analysis or prescribe as one wishes or what the pharmaceutical wishes? Is costly fractioned heparins are really better than un-fractioned heparin? And most important, who is the authority responsible for taking final decision on making a drug prescription protocol and what is its stance on this confusion. Bored after thinking for some time, protagonist decides to go for a smoke, feeling nothing is possible to do against such information overload not giving concrete information.

You’ll be wondering is it enough to actually shake Indian medical fraternity? I don’t think so. I believe they’ll laugh how I missed some even bigger issues. But I have something else.
I have a document from a pharma company that shows how doctors make black money. It explains how a doctor has to prescribe certain number of medicine in the given time, and he is awarded an iPhone, TV set, a bike, or plain hard cash. I also have invoices from pathology labs that give details like name of patient, cost of said investigation and cut forwarded to the doctor for that month. I am looking for people who can help me spread awareness among Indian people about this blatant corruption. And I am ready to talk about it.

So, in all, 10 CC is not just another novel. It could be the beginning of a revolution against corrupt pharma and other medical practices. Lives of a lot of Indian people could be better because of you guys. All I want from you is to spread the word until it gets the attention it needs. You can interact with me on Twitter.

Finding The Elegant Solution

The other day, my brother was telling me about his project to fix the engine on his Boston Whaler boat. He said he started with the most likely thing to fix and replaced that and when it didn’t work, the next week he worked on the next likely thing. 

This went on for a year. Each week he’d work on the boat and repair or replace one thing until, at the end, he’d run out of ideas to fix. So, he went back to the very first thing he tried, the one that was most likely, and changed it out again. And – it worked! Finally, after a year, it sputtered to life and stayed running. His conclusion was that it must have been a combination of factors that caused the problem and made it difficult to tease out.

It reminded me of tinkering with our lives. When something doesn’t feel right, whether it's physically, spiritually or mentally, it’s hard to find the source or maybe even identify what system has a problem. And then we engage in a year long (or more) battle to fix one thing at a time.

Research professor Dr. Alison Gopnik, an expert on cognitive development, talks about the idea of the local optimum from artificial intelligence. As she describes, “It’s when you are trying to do something often you can be in a situation when any small change is going to make things worse, so you just end up being stuck. But if you made a big change, then you can actually make things better.

Exploring the idea further, she says that we, especially as adults, get very good at doing things one way whether be how we turn on our computer or drive to work, and we forget there are other ways. She suggests, “Just doing something that we’re not good at, doing something really different than the things we do every day, can be the sort of thing that will kick you out of that local optimum and give you a sense of other alternatives.” 

One of the things Dr. Gopnik suggests when we get stuck is to spend time with kids. Kids literally have different brains than we do. Their brains are wired to reward them for finding the things that can teach them the most.  Or, adult brains are wired to reward us for getting things done. As adults, we have a harder time getting a sense of novelty because of the habits and life we are locked into.

This is an idea that is of course in no way new. Meditation helps us to open that sense of awareness again. Even when the practice is to focus on just one thing like the breath, we find that open sense of well-being after we’ve completed the practice. As Buddha said, “Most problems, if you give them enough time and space, will eventually wear themselves out.”  

Psychiatrist and author Scott Peck echoed a similar sentiment in an interview. He said that he was able to get so much done in his life because he spent two hours every day doing nothing. When he called it his thinking time, people felt free to interrupt him, so he started calling it his praying time and found he was left alone. 

Which leads me to the conclusion that play, meditation and prayer in many ways help us to face life when things aren’t quite right. It is the practice of doing nothing in a mindful way that can open the doors to elegant solutions. They may be the same solution that changing one thing at a time like my brother did with the boat will eventually deliver. But maybe it’s possible to get to the same place without the aggravation or elapsed time. By doing something completely unrelated to the problem, or even nothing at all. Doesn’t that sound like smooth sailing?

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Writing in English as a Second Language

Step by step blog writing in english

There are many people writing in English as a second language, and doing it very well. Some of them are friends of mine. But they live in the UK, so they’ve been able to learn and adapt to subtleties and changes in the language as they come across them in everyday life. But what if you live elsewhere?

The Advantage (and Disadvantage) of having English as your First Language

I feel that we in the UK take for granted the fact that English is one of those languages which is spoken, understood and read throughout the world. That gives us home-bodies an advantage, but it’s also apt to make us lazy. We can learn to communicate in other languages if we like, but unless we’re going to work or teach abroad, once we’ve left education behind, we don’t have to. And the more languages you learn and use, the greater your understanding of language in general.

Unique Local Words

No matter which language you learn first, you will take in your stride its unique elements which can catch out anyone who hasn’t grown up with them.

The individual regions within the UK have words that have developed locally and are unique to them. (And English is only one of the languages spoken in the UK, but that’s another story!)

A Disadvantage of Writing Poetry in English

On the other hand, those of us who write poetry, like me, have problems finding suitable rhymes. There are relatively few of them in the English language compared to, for instance, French and Italian. So, perhaps in self-defence, our modern poetry has largely moved away from rhyme.

Instead, we often use the ‘off-rhyme’ or ‘assonance. The film Educating Rita famously has the line ‘Assonance means getting the rhyme wrong.’

The Order of Adjectives in English

This is my personal favourite quirk of the English language.  There is a recognised order of adjectives, and the weird thing is that this seems ingrained in us English speakers as if it’s part of our DNA. So much so that, in speech at least, whenever get it wrong and if we did, the result would sound ridiculous. The order is: OSASCOMP, which stands for opinion, size, age, shape, colour, origin, material, purpose. Of course it would be very unusual to use all of them, but if you did, you could describe something as a cute little 1960s square red Swedish leather armchair. But not as a leather red, cute Swedish 1960s little armchair, unless you want people looking at you funny.

English Loves Breaking its own Rules

And there’s another thing – rule breaking. The correct part of speech for the end of that sentence should have been ‘funnily’. But the term ‘looking at you funny’ can typically be used. On the other hand, I could have used ‘strangely’ and no-one would have batted an eyelid.

By the way, you can also use the term ‘batted an eye’ and even ‘batted an eyelash’: they’re interchangeable.

Helpful Dictionaries and Apps

So what can we do to feel more confident about our English usage? We can check online or printed dictionaries for the meaning and spelling of any word or phrase we’re unsure of. We can use apps like ProWritingAid or Grammarly to find and fix any errors. Even in a Word document those little red and blue underlines can help us pick up on a grammatical or spelling error. We all use them – even editors like me.

However, it’s important to be aware that many of them will correct to U.S spellings rather than UK if you don’t change them. But if you’re writing for the U.S. market that won’t be a problem.

Advice for Novelists

If you’re writing a novel in English and it’s not your first language I would recommend asking for line editing as part of your editing preparations for publishing. Your editor will use their knowledge of the language to ensure your writing is easy to read and to enjoy.

3 Important Self-Care Routines for Better Mental Health

man in black blazer sitting on chair

Sometimes, it can be easy to slip into habits that do not benefit our well-being or mental health. Our habits and routines can easily make or break us. I understand how challenging it can be to overcome certain habits. However, I’ve also felt the joy that comes with finally putting my foot down and deciding to change the old repetitive patterns that were keeping me stuck in a feeling of hopelessness. Continue reading my self-care routines below.

Once I zoned in on my daily habits and began to weed out the ones I no longer needed and replaced them with better habits, I felt lighter, more confident, and more willing to go after my goals and dreams. It all started with changing my routine and caring about myself as I would care for a friend. 

These tips may or may not work, but I hope they do. Especially, if you are someone who feels stuck in life. We are creatures of habit and patterning. Once we find out what our patterns are we can then figure out how to move forward with greater awareness than prior. 

woman in blue long sleeve shirt holding pen
Photo by cottonbro studio on Pexels.com

Morning Routine 

One of the first things I changed was my morning routine. I used to wake up, check my phone (scrolling for an hour or more on social media before getting out of bed), and then go to the bathroom and prepare for the day. Checking my social media right when I first opened my eyes was setting me up for information overload, comparing myself to others online, and losing a whole hour to mindlessly scrolling. 

Once I took a step back and evaluated how I truly felt after doing this, I came to the realization I was causing my own unhappiness. In October 2019, I deleted all social media that was not related to my writing or art. I began to feel a little better after 2 months. At first, it was hectic, and I wanted to check my feed constantly. 

I replaced scrolling social media with waking up, thinking of 3-5 things I was grateful for, spending the rest of the hour with my son, and getting dressed for the day. My son also started having fewer tantrums. 

I didn't realize he was throwing tantrums because he needed more time with me. While I did spend time with him, it was in small spurts, 10-20 minutes here and there. I hate looking back and realizing how much time I lost with him, all because I was too focused on a silly social media app.

I also started writing out a list of things I needed to do in a day the night before. Seeing the list and crossing out the items gave me a sense of direction that I did not have prior. I’ve been doing this method for 2 years, and it has helped me accomplish a lot of the things I thought I never would. 

It’s important to set up your day for success. There may be challenging situations, but when you set yourself up in a positive manner you are more likely to handle the situation with a clearer head. 

Your morning routine may look different from mine. You know what works best for you.

Here are some ways to see how your morning routine is affecting your day: 

  • Write down everything you do within the first hour when you first get up.
  • Ask yourself how you feel after the hour. 
  • Ask yourself if you are charged and ready for the day, or are you dreading the day to come? 
  • Ask yourself if there is anything that you may need to change or add to help you feel your best. 
  • Listen to your body and emotions, they can be your best guides if you learn to pause and reflect for a moment. 
  • Write down things you want to try to implement into your day and give yourself a month to try it out to see how you feel. 

We all have our morning routines. Personally, I think how we start our day is very important for the rest of the day. Setting ourselves up for better days is highly beneficial for our future selves. After all, one day we are going to look back and see how far we’ve come, or we are going to look back and regret we didn’t take the steps sooner. The time is going to pass either way. 

Alone Time 

Another influential self-care routine is how we spend our alone time. Which can be hard if you are a parent. Still, there needs to be a time when you can breathe and relax, even if it is after the children are in bed. 

When we don’t allow ourselves alone time, we can become overwhelmed, stressed, and burnt out from day-to-day life. This can lead to depression, anxiety, and even physical symptoms can appear. 

Here are some relaxing ways I, personally, enjoy alone time: 

  • Take a relaxing bath with Epsom salt. Lavender is one of my favorites
  • Reading a good book. 
  • Playing video games 
  • Writing poetry
  • Sitting in silence and just being 
  • Yoga 
  • Getting in my portable sauna box 
  • Drawing 

There are many ways to enjoy alone time. When you do things you enjoy that are relaxing to your mind and body, you begin to fill your own cup in life. We cannot pour from an empty cup. We need time to recharge, do things we like, and take a little time to nurture ourselves, so we can nurture those around us fully. 

Nightly Self-Care Routine 

Nightly routines are just as important as morning routines. Setting ourselves up for the next day by getting into a routine before falling asleep can help us feel more refreshed in the mornings. Before I made my own nightly routine, I would be on my phone… You guessed it, scrolling through social media until my eyelids could not stay open any longer. I would wake up so groggy and unmotivated. 

To combat this, I started plugging my phone into its charger around 7 pm in my craft/workroom. This helped with not being tempted to grab it and redownload social media just because I was bored. 

I then began to add things like 30 minutes of meditation before going to bed, reflecting on the day, while figuring out if I needed to be doing something different to better optimize my days, and I would write down the next day's tasks. This helped set the foundation for the following day, so I could spend the mornings with my son with no interference. 

Ways you can start a nightly routine: 

  • Evaluate where you are and if you feel as if you wake up refreshed and recharged
  • Ask yourself if there are any habits that could be making you feel drained
  • Start by replacing one thing at a time, if there are multiple things you wish to change 

I started small by taking away a bad habit and replacing it with a better one. I let myself adjust, and then I would add more. I did not want to overburden myself with so much change at once. In the past, I would go all in and not let myself unwind the patterning naturally. This led me into giving up soon after I started something new. Another pattern I had to let go of. 

Occasionally, we take on too much and give up before any real change takes place. It’s significant to pace ourselves. 

Conclusion

As you can see, these changes in my own routines have helped me greatly, and I hope they can help others too. It starts by becoming aware of our own patterning and then figuring out a better pattern to fall into. It’s not easy and there will be times when we fall back into old patterns, but that is okay. Once we become aware of it, we can continue to move forward. 

Getting into better self-care routines can benefit mental, physical, and emotional well-being by helping us build healthy habits that propel us forward in life instead of going in circles with old unhelpful habits.

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Nykaa | A short story

The sweet fragrance of rain drifted to her window, where she stood as still as a statue, making the moon her spotlight. Our heroine, or ‘Nykaa’ as she was dotingly called by her friends for the dramatic flair she had to her movements, was fond of the rain more than anything else, and she had good reason. It was raining when she fell in love. The tenderness with which the ground received the droplets was the same as the tenderness her lover showered her with. She extended her hand to catch some of the drizzle and feel their gentleness.

It was nature who comforted her after our Nykaa felt the numbing stab of abandonment and the harsh tranquillity of life. It was her belief that both of them shared the same sky, the same rain and the same sun that consoled her when she felt her heart close in. In a way, she supposed nature became her lover.
But tonight was different. Tonight, she wanted to remember everything so that she can forget. The mist on her hands made her all the more aware of her recollections. Our Nykaa remembered the early days of her love, when everything the poets wrote came true.

Flowers bloomed when they walked by, and the stars seemed to dull when they looked at each other. She reminisced about the moments which seemed to last forever. The promises they made, the smile forever they gave each other. She recalled the time when her love started to fade. How gradual and unnoticeable the inevitable changes had been. The flair she had, the joy she enjoyed, the affection she let herself get lost in started to lose its brightness. Her life revolved around her love, but now it was consumed by it.

But she could not in good conscience think that her love had grown rotten. After all, how can something so pure ever turn into anything putrid? Our Nykaa was losing the very reason she was called a heroine. And then it happened. It happened and she didn’t even know. Her love went away telling her that he would be back, telling her that when he is back they will live in a house far too big for them, making promises of an eternity together to her, telling her to wait for him, and she did. She waited for him with all her will for as long as she could.

There were letters, for the first few months at least, and her heart swelled whenever she read them. She was the character of a great love story and nothing, nothing can make her feel otherwise. Until, they stopped coming. She waited, wearing her best saree and her magnificent bangles, for another flicker of hope that insured her love, but she never received one. She has a ghost of a smile on her lips, which shines through her tears as she reminisces about these moments now. She was angry. She was angry because with him, he took away her spirit, he snatched her Nykaa from her when he abandoned her and without her spirit, what was she? Without her spirit, she, could not even answer to her name that everyone so affectionately called her.

She re-lived all her pain that night. She wanted to let go, she wanted to snatch back what he took from her. She wore a beautiful saree and magnificent bangles that night too, just as she had when her heart broke. Furthermore, she realised how at those moments, she deceived herself into thinking everything was everlasting because facing the temporary nature of life was too overwhelming. She let herself cry, she let out her heartache, she let herself remember, and then she allowed herself to forget.

There was a time when she loved him more than she missed him and there was a time when she hated herself more than she hated him, but now, right now, she loved her more than she loved him. She loved her tears, her being, her spirit more than she had ever loved him for she had let him go, our heroine had found her Nykaa again.
Her tears stopped, and so did the rain.

Must read story

Poem Catharsis

catharsis

In the poem Catharsis, urging of a dream, love, ambitions, and goals

But tears are meant to be silent
Freezing in depths of heart,
Thickening layers of crimson pain
Soaking merrily in drizzling lanes,
Piling on every hour.
Away, away! For I will fly,
and spread my wings across the azure sky,
Shredding off hopes and plausible goals,
to try with all my heart, behold.

Must read poems

Stepped out of hell

step out of hell

Who taught me? What I am following? That always brings about by consequences and fault of others and selflessness. However, being worthy and unworthy, but there is a God with us. Ultimately, one day, we realize and stepped out of hell and save ourselves.

The church taught me that
my body was a weapon,
and the consequences were always
my fault; 

the church taught me no matter
how good i was i was never worthy
of love because ultimately, I was flawed 
and unworthy of being saved and I should
be grateful that I had a god that was 
forgiving enough to accept me as is—

it's no wonder I always suffered with 
self-image and self-esteem and was riddled
with anxiety,

because the church taught you no matter
how good you did in life that none of it was
ever the effort of your hands, nor should you ever
be given any credit;

I am so grateful that one day I just woke up and decided
that I wanted to live my life differently, and I wanted to 
do what was best for me and I wanted to love myself and
be myself and live without fear of their hell because
hell is trying to be someone you are not in order to 
please others because some people will never be happy with
you, even if you did everything they think or said you should.

Must read poems

The Poem: Rebel

poem rebel

The poem Rebel is a story of a girl who gets advice of fear, dare, don't fly. The poet at the end of the poem gives an excellent message.

There was once a girl, ages ago.
She had big dreams and with big wings, she dared to fly
But they said she would burn,
‘Don’t fly too close to the sun’-
So, she did what she was told.

There was once a girl, ages ago.
She raised her voice, did not keep quiet
But they said she had to obey,
‘Or you will go astray’-
So, she did what she was told.

There was once a girl, long ago
She was tired of running, scared of falling
But, they said, she could never say no
‘Go with the flow’-
So, she did what she was told.

‘Do what you’re told’
‘Don’t think for yourself’
‘Do not disobey’
‘Don’t be bold’
Or you’ll be free.

I hope you enjoyed the poem, Rebel, you may like other famous poems

How to know the Price of knowing, Read Poem “The price of knowing you”

How to know the price from knowing to understanding each other better in relationship. This poem is perfect for everyone.

Rather than a warrior in a dress, but that's on you
for not reading the fine print;
I told you that I had a temper, but you challenged
that, as if you could know me better than even myself—
well, do you see my temper now burning in the
chaos of the most painful sunset to graze your eyes
or in the wrathful songs of the moon?
Perhaps you see it in the inflection of my name 
as it whispers across your brain,
in losing, you, I was able to find my magic and reclaim
myself and my voice;
I loved you so much I was willing to lose myself
but I didn't need to get lost in the melody of your darkness
or your many tongues of lust, but now I know better
Than to wear rose-tinted glasses because all they do is shatter
and present the truth that you wanted to hide behind
the illusion of everything honest—
I am grateful for finding and reclaiming myself,
of getting back some of the birds of me that, I thought, would
forever be lost and growing new flowers in the garden
of my heart that I never knew I could know;
but I wish it hadn't come at the price of knowing you.

How to know the Price of knowing, you may also like to Read another poems by Linda

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