My medical path
Chapter 2 Doctor Chen, You Are Amazing
Chapter 2 Doctor Chen, You Are Amazing
The spring in the small county is beautiful and peaceful.
Outside the outpatient department of the Jiangcheng County People's Hospital, there was a lot of bustle and noise.
As a large county with a population of 200 million, it is enough to make this only tertiary hospital overcrowded.
Today is Chen Bo Clinic.
Attending physicians are generally not qualified to go out to outpatient clinics or go out alone in large hospitals in big cities, but for a county-level hospital, the staffing is far behind the pace of patient numbers.
Chen Bo has been attending for the third year, and he is also a veteran doctor who has been in office for three years.
But it's embarrassing to say, because Chen Bo is a bit thin and fair-skinned, and he always likes to wear casual clothes.
Even if he puts on a white coat, he looks like a fresh graduate, so there are not many people who register for him in outpatient clinics.
For this reason, Chen Bo has also specially studied image improvement, such as abandoning casual clothes, wearing professional attire, and then deliberately growing a beard.
The common people in small counties consider themselves old when they see a doctor, especially with a beard that is full of immortality and can grasp the pulse. At a glance, this doctor seems to be very capable.
The Department of Orthopedics of Jiangcheng County People's Hospital has two wards, divided into the First Department of Orthopedics and the Second Department of Orthopedics. The two departments are operated independently and accounted for separately. The department where Chen Bo works is the Department of Orthopedics.
There are also two outpatient clinics, and the two departments arrange doctor visits respectively.
On the same day as Chen Bo, He Guiliang, the deputy director of the Second Department of Orthopedics, was at the level of deputy chief physician.
According to past experience, Deputy Director He's side is always overcrowded, while Chen Bo's side is just counting his feet and playing cross-eyed.
It's the same today, so far there are only three registrations on Chen Bo's side, and there are already more than a dozen on Deputy Director He's side.
If Chen Bo can stand on the stage and shout, he really wants to say: "Guest officers, come to me, I'm very cheap!"
It's really a bit desolate like a street girl.
Chen Bo is the attending physician, the registration fee is five yuan, and ten yuan for the deputy director level.
There were only three patients, so Chen Bo didn't have to panic, he turned on the computer leisurely, took a sip of water, and then called the first patient.
This is a 13-year-old boy, accompanied by his parents to see a doctor.
so young?When the aunt saw Chen Bo, she first took a closer look at Chen Bo's badge.
Chen Bo, attending physician of orthopedics.
Look at the profile picture on the badge again, compare it with the real person, and confirm that it is Chen Bo himself.
The behavior of the aunt is actually very impolite, just like some gay men always staring at the breastplate of other female doctors. Who knows whether you are looking at the breastplate or the chest?
But Chen Bo let his aunt look back and forth, without any impatience or dissatisfaction in his heart.
"Hey, he's very clean, looks very gentle, not impatient, well-mannered!" The aunt gave Chen Bo a preliminary evaluation in her heart after a while.
"Doctor Chen, my kid keeps saying that his shoulder hurts, and he's whimpering, so I'll bring it here for you to take a look at today. In my opinion, he's just playing games on his mobile phone all day long, it's right!"
The aunt looked like she hated iron but not steel.
It is said that it is a child, but in fact it is almost 1.7 meters tall, a head taller than that aunt, and I don't know where the genes came from.
The child seems to have listened to too much nagging about automatic immunity, and keeps his head down and doesn't speak.
"What's wrong with you?"
Chen Bo looked at the young man and asked.
"It hurts here," the young man pointed to his right shoulder.
"How does it hurt?"
"I can't tell. It's just that sometimes it hurts and sometimes it doesn't hurt, and when it hurts it's very severe." The boy thought for a while.
"It's not made by playing games on mobile phones!" The aunt said again.
Chen Bo signaled the aunt not to speak for the time being with his hand, this chatter was like a machine gun, Chen Bo couldn't stand it.
"When did it hurt so much?" Chen Bo asked after pondering for a while.
"When I went to bed at night, I couldn't sleep because of the pain." The boy said this time with some certainty.
"Stinky boy, why didn't you tell me about this?" The aunt interrupted again to reprimand the young man.
"You don't believe me!" the young man retorted.
"You, you boy, I'm sorry." The aunt was about to continue to increase the content of the lecture, when she saw Chen Bo's eyes, she quickly apologized.
"Then where have you seen it?" Chen Bo asked.
"I saw it at a clinic near my home. They said it was a muscle strain. I just told me to go back and apply some ointment. But I have been applying the ointment for a long time, and it still doesn't help."
"Have you taken any medicine?"
"No."
"Then move your shoulders like I do, and I'll take a look."
After Chen Bo finished his demonstration, the young man followed suit for a round.
Well, the joint activities are not affected, and the pain is mainly at night. Chen Bo comprehensively analyzed the obtained information, and a familiar name of the disease appeared in his mind.
Osteoid osteoma!
As the name of the disease appeared in Chen Bo's mind, the artificial intelligence of the orthopedic medical system sounded——
"Osteoid osteoma is common in children and adolescents. It often occurs in the long backbone and metaphysis. The pain is obvious at night. There are tumor nests, most of which are less than one centimeter. The effect of non-steroidal painkillers is good."
It turns out that the system can still be used like this!
Isn't this just for Du Niang to scan and take the exclusive QR code with you!
It's so convenient!
This system is a mobile search engine!
Chen Bo was a little excited. Looking at the system board, Chen Bo couldn't wait to choose the diagnosis novice area and choose X-ray scan.
At this time, a scanning frame appeared on the panel in front of Chen Bo, covering the whole child.
Click to select the area of the upper arm including the shoulder joint.
"Drip, the scan is over. The low-density lesion in the proximal humerus is about 0.5cmX0.5cm. Combined with artificial intelligence analysis, it is considered osteoid osteoma."
Smart voice gives its own analysis.
Accurate and reliable!It is really an invincible killer!Chen Bo nodded in his heart again.
"Sister, young man, this is an osteoid osteoma, a benign tumor."
Chen Bo gave his opinion.
"What? My son has a tumor? Are you mistaken?"
"I see that other doctors have to pinch and feel the patient's patient number. You don't even move your hand, and you know that my son has a tumor? Do you have a see-through eye?" The aunt was a little anxious.
I really did, Chen Bo wasn't angry because of his aunt's questioning, he was secretly happy.
"Sister, don't worry, I'm considering this disease based on his symptoms. We still need to take a film to see if it's specific."
Although it has been confirmed that this is the disease, Chen Bo can't explain it to his family members. Do you think I have a system in my head to take pictures of you?
It is estimated that he was sent to a mental hospital before he finished speaking.
"Just shoot it. Anyway, when you go to the hospital, you always want to take pictures. I know my son, he must be playing games on his mobile phone." The aunt continued to chatter.
It's useless to talk too much, Chen Bo quickly made a list and handed it to the aunt.
It took a total of 3 minutes to read the first patient.
Chen Bo took a sip of water and called the next one.
This time it was a two-year-old child, and my grandmother came to see it.
"Doctor Chen, help me to see my little grandson. When I took him to the garden today, he walked too fast and fell, and then he couldn't move his hands."
Grandma was a little anxious in her words.
"Did the kid touch the ground when he fell?"
"No, I've been holding his hand."
That's almost certain.
Chen Bo took a look at his condition. The two-year-old child was suddenly pulled on his hand, and then he couldn't move his hand. A familiar diagnosis appeared in his mind—
Radial head subluxation!
Dip, the system sound came to mind.
"Subluxation of the radial head is more common in children under the age of five. Because the superior ulnar joint ligament is underdeveloped, a sudden pull can easily cause the radial head to get stuck in the annular ligament, causing dysfunction. No special treatment is required after reduction."
This system is really accurate and reliable!
The treatment of this disease is very simple, and the simple manipulation can be done.
However, Chen Bo remembered the medical experience shared by an overseas Chinese on the Internet, which left a deep impression on him.
His child had a subluxation of the radial head, and he was taken to the emergency department in the middle of the night. The first doctor had never seen it before, so he definitely couldn’t make up his mind. Well, I asked the second line for instructions. The second line came to see for a long time and was not sure, so I had no choice but to call again. After the third line, the dislocation was rectified.
If the whole process took a few hours, this overseas Chinese’s heart was racing, and the fee bill sent to his home later made him feel that the blood supply to the brain was not enough, and it cost more than 1000 US dollars!
Chen Bo doesn't charge, and it doesn't last that long. He holds the child's right elbow with his left hand, and the wrist with his right hand, and rotates his right forearm while bending his elbow...
despair!
There is no sound during the reset, but the voice in Chen Bo's mind does exist. Just now when the reset started, Chen Bo has already turned on the system scan, and then watched the stuck radial head return smoothly.
Get it!
"The child's hand has been reset." Chen Bo smiled and said to the child's grandmother: "You can take the child back."
"No need to charge money? No need to make a film?" The child's grandma couldn't believe it.
"No need, you, just go back at ease." Chen Bo gave an affirmative answer.
"Thank you very much, Dr. Chen, you are really skilled in medicine and have a good personality!" The child's grandmother held Chen Bo's hand in both hands and thanked him.
The old man outside who had Chen Bo's account and was considering whether to withdraw his account saw Chen Bo's treatment process through the crack of the door, and retracted the leg he was about to take.
The old man thought to himself: "Looking at the situation, this young doctor is really capable to come out for consultation. I'd better listen to what he has to say before making a decision."
Here, the grandmother of the child turned on the broadcast mode as soon as she walked out. She looked at the people waiting beside her and said, "Don't wait here, this little doctor Chen is very capable, and his medical skills are superb! He will be cured without injections or medicines." My little grandson is really amazing!"
The patients waiting next door looked at Chen Bo curiously when they heard the child's grandmother's praise.
So young, do you really know how to see a doctor?It must be that the child's illness is relatively simple, so it doesn't need a lot of treatment. My illness is very complicated. No, it's better for me to ask the director to see it.
Chen Bo didn't know that for a while, several patients outside had already engaged in a round of ideological struggle.
Returning to his seat, he took another sip of water and continued to call the next patient, this time it was the old man who was peeping through the door just now.
It was very difficult for the old man to move around, and the family members walked in tremblingly, with a painful expression on his face.
"Old man, what's wrong with you?"
"My back hurts." The old man pointed to his lower back and replied.
"Have you ever wrestled?"
"No, I didn't fall down. I just squatted on the toilet a few days ago and started to feel pain. I can't even walk."
"Has this happened before? Chen Bo continued to ask."
"I've never experienced this before. I used to have low back pain occasionally, but it's not as severe as this time." The old man said with certainty.
Well, there is no history of trauma, sudden low back pain, there are many possible factors, soft tissue lesions, bone lesions, covering many possible diseases.
"Old man, lie down on the examination bed and I'll examine you." Chen Bo still decided to have a physical examination.
He helped the old man to lie down with his family members, and Chen Bo first checked the soft tissues of the lower back.
The skin, muscles, and ligaments have all been checked, and there is no problem.
There is no problem with the soft tissue, but the bone problem may be serious.Chen Bo had a preliminary judgment in his mind.
Spine percussion!
Chen Bo tapped lightly along his spine.
"Well, it's here!" The old man said when he knocked on the chest and waist.
After the location was clarified, Chen Bo started the system scan and selected the painful location.
Drop, the compressive change of the first lumbar spine, artificial intelligence analysis, considering osteoporotic pathological fracture.
Sure enough!
Chen Bo had already thought about it in his heart, and he was very happy to be confirmed by the system.
"Old man, you have a fracture." Chen Bo said while pulling up the old man's clothes, "I judge that it is the fracture of the first lumbar vertebra, which is caused by osteoporosis."
"Ah?! How could my bones be broken if I didn't fall?"
The old man couldn't believe what Chen Bo said, and the family members next to him also looked confused.
"You are like a rotten piece of wood, which may break in the wind." Chen Bo tried to explain in simple terms, "But you still need to take a picture to make sure."
"Okay, okay, let's take a film right away." The family members heard that the bones were broken, and immediately felt serious.
"Hey, you can't get up now, even if you sit up, it will aggravate your back pain. In this way, I will arrange an escort to take you for an examination."
Chen Bo prepared the inspection form and contacted the escort for the inspection.
"Thank you, Dr. Chen." Seeing Chen Bo's enthusiasm, the old man said gratefully.
"You're welcome, come back and see me after you finish filming." Chen Bo confessed.
At this time, the first young man had already finished filming and came back. The family members took the report card, looked at the diagnosis content verbatim, and murmured: "It's really osteoid osteoma, Dr. Chen is amazing! "
(End of this chapter)
The spring in the small county is beautiful and peaceful.
Outside the outpatient department of the Jiangcheng County People's Hospital, there was a lot of bustle and noise.
As a large county with a population of 200 million, it is enough to make this only tertiary hospital overcrowded.
Today is Chen Bo Clinic.
Attending physicians are generally not qualified to go out to outpatient clinics or go out alone in large hospitals in big cities, but for a county-level hospital, the staffing is far behind the pace of patient numbers.
Chen Bo has been attending for the third year, and he is also a veteran doctor who has been in office for three years.
But it's embarrassing to say, because Chen Bo is a bit thin and fair-skinned, and he always likes to wear casual clothes.
Even if he puts on a white coat, he looks like a fresh graduate, so there are not many people who register for him in outpatient clinics.
For this reason, Chen Bo has also specially studied image improvement, such as abandoning casual clothes, wearing professional attire, and then deliberately growing a beard.
The common people in small counties consider themselves old when they see a doctor, especially with a beard that is full of immortality and can grasp the pulse. At a glance, this doctor seems to be very capable.
The Department of Orthopedics of Jiangcheng County People's Hospital has two wards, divided into the First Department of Orthopedics and the Second Department of Orthopedics. The two departments are operated independently and accounted for separately. The department where Chen Bo works is the Department of Orthopedics.
There are also two outpatient clinics, and the two departments arrange doctor visits respectively.
On the same day as Chen Bo, He Guiliang, the deputy director of the Second Department of Orthopedics, was at the level of deputy chief physician.
According to past experience, Deputy Director He's side is always overcrowded, while Chen Bo's side is just counting his feet and playing cross-eyed.
It's the same today, so far there are only three registrations on Chen Bo's side, and there are already more than a dozen on Deputy Director He's side.
If Chen Bo can stand on the stage and shout, he really wants to say: "Guest officers, come to me, I'm very cheap!"
It's really a bit desolate like a street girl.
Chen Bo is the attending physician, the registration fee is five yuan, and ten yuan for the deputy director level.
There were only three patients, so Chen Bo didn't have to panic, he turned on the computer leisurely, took a sip of water, and then called the first patient.
This is a 13-year-old boy, accompanied by his parents to see a doctor.
so young?When the aunt saw Chen Bo, she first took a closer look at Chen Bo's badge.
Chen Bo, attending physician of orthopedics.
Look at the profile picture on the badge again, compare it with the real person, and confirm that it is Chen Bo himself.
The behavior of the aunt is actually very impolite, just like some gay men always staring at the breastplate of other female doctors. Who knows whether you are looking at the breastplate or the chest?
But Chen Bo let his aunt look back and forth, without any impatience or dissatisfaction in his heart.
"Hey, he's very clean, looks very gentle, not impatient, well-mannered!" The aunt gave Chen Bo a preliminary evaluation in her heart after a while.
"Doctor Chen, my kid keeps saying that his shoulder hurts, and he's whimpering, so I'll bring it here for you to take a look at today. In my opinion, he's just playing games on his mobile phone all day long, it's right!"
The aunt looked like she hated iron but not steel.
It is said that it is a child, but in fact it is almost 1.7 meters tall, a head taller than that aunt, and I don't know where the genes came from.
The child seems to have listened to too much nagging about automatic immunity, and keeps his head down and doesn't speak.
"What's wrong with you?"
Chen Bo looked at the young man and asked.
"It hurts here," the young man pointed to his right shoulder.
"How does it hurt?"
"I can't tell. It's just that sometimes it hurts and sometimes it doesn't hurt, and when it hurts it's very severe." The boy thought for a while.
"It's not made by playing games on mobile phones!" The aunt said again.
Chen Bo signaled the aunt not to speak for the time being with his hand, this chatter was like a machine gun, Chen Bo couldn't stand it.
"When did it hurt so much?" Chen Bo asked after pondering for a while.
"When I went to bed at night, I couldn't sleep because of the pain." The boy said this time with some certainty.
"Stinky boy, why didn't you tell me about this?" The aunt interrupted again to reprimand the young man.
"You don't believe me!" the young man retorted.
"You, you boy, I'm sorry." The aunt was about to continue to increase the content of the lecture, when she saw Chen Bo's eyes, she quickly apologized.
"Then where have you seen it?" Chen Bo asked.
"I saw it at a clinic near my home. They said it was a muscle strain. I just told me to go back and apply some ointment. But I have been applying the ointment for a long time, and it still doesn't help."
"Have you taken any medicine?"
"No."
"Then move your shoulders like I do, and I'll take a look."
After Chen Bo finished his demonstration, the young man followed suit for a round.
Well, the joint activities are not affected, and the pain is mainly at night. Chen Bo comprehensively analyzed the obtained information, and a familiar name of the disease appeared in his mind.
Osteoid osteoma!
As the name of the disease appeared in Chen Bo's mind, the artificial intelligence of the orthopedic medical system sounded——
"Osteoid osteoma is common in children and adolescents. It often occurs in the long backbone and metaphysis. The pain is obvious at night. There are tumor nests, most of which are less than one centimeter. The effect of non-steroidal painkillers is good."
It turns out that the system can still be used like this!
Isn't this just for Du Niang to scan and take the exclusive QR code with you!
It's so convenient!
This system is a mobile search engine!
Chen Bo was a little excited. Looking at the system board, Chen Bo couldn't wait to choose the diagnosis novice area and choose X-ray scan.
At this time, a scanning frame appeared on the panel in front of Chen Bo, covering the whole child.
Click to select the area of the upper arm including the shoulder joint.
"Drip, the scan is over. The low-density lesion in the proximal humerus is about 0.5cmX0.5cm. Combined with artificial intelligence analysis, it is considered osteoid osteoma."
Smart voice gives its own analysis.
Accurate and reliable!It is really an invincible killer!Chen Bo nodded in his heart again.
"Sister, young man, this is an osteoid osteoma, a benign tumor."
Chen Bo gave his opinion.
"What? My son has a tumor? Are you mistaken?"
"I see that other doctors have to pinch and feel the patient's patient number. You don't even move your hand, and you know that my son has a tumor? Do you have a see-through eye?" The aunt was a little anxious.
I really did, Chen Bo wasn't angry because of his aunt's questioning, he was secretly happy.
"Sister, don't worry, I'm considering this disease based on his symptoms. We still need to take a film to see if it's specific."
Although it has been confirmed that this is the disease, Chen Bo can't explain it to his family members. Do you think I have a system in my head to take pictures of you?
It is estimated that he was sent to a mental hospital before he finished speaking.
"Just shoot it. Anyway, when you go to the hospital, you always want to take pictures. I know my son, he must be playing games on his mobile phone." The aunt continued to chatter.
It's useless to talk too much, Chen Bo quickly made a list and handed it to the aunt.
It took a total of 3 minutes to read the first patient.
Chen Bo took a sip of water and called the next one.
This time it was a two-year-old child, and my grandmother came to see it.
"Doctor Chen, help me to see my little grandson. When I took him to the garden today, he walked too fast and fell, and then he couldn't move his hands."
Grandma was a little anxious in her words.
"Did the kid touch the ground when he fell?"
"No, I've been holding his hand."
That's almost certain.
Chen Bo took a look at his condition. The two-year-old child was suddenly pulled on his hand, and then he couldn't move his hand. A familiar diagnosis appeared in his mind—
Radial head subluxation!
Dip, the system sound came to mind.
"Subluxation of the radial head is more common in children under the age of five. Because the superior ulnar joint ligament is underdeveloped, a sudden pull can easily cause the radial head to get stuck in the annular ligament, causing dysfunction. No special treatment is required after reduction."
This system is really accurate and reliable!
The treatment of this disease is very simple, and the simple manipulation can be done.
However, Chen Bo remembered the medical experience shared by an overseas Chinese on the Internet, which left a deep impression on him.
His child had a subluxation of the radial head, and he was taken to the emergency department in the middle of the night. The first doctor had never seen it before, so he definitely couldn’t make up his mind. Well, I asked the second line for instructions. The second line came to see for a long time and was not sure, so I had no choice but to call again. After the third line, the dislocation was rectified.
If the whole process took a few hours, this overseas Chinese’s heart was racing, and the fee bill sent to his home later made him feel that the blood supply to the brain was not enough, and it cost more than 1000 US dollars!
Chen Bo doesn't charge, and it doesn't last that long. He holds the child's right elbow with his left hand, and the wrist with his right hand, and rotates his right forearm while bending his elbow...
despair!
There is no sound during the reset, but the voice in Chen Bo's mind does exist. Just now when the reset started, Chen Bo has already turned on the system scan, and then watched the stuck radial head return smoothly.
Get it!
"The child's hand has been reset." Chen Bo smiled and said to the child's grandmother: "You can take the child back."
"No need to charge money? No need to make a film?" The child's grandma couldn't believe it.
"No need, you, just go back at ease." Chen Bo gave an affirmative answer.
"Thank you very much, Dr. Chen, you are really skilled in medicine and have a good personality!" The child's grandmother held Chen Bo's hand in both hands and thanked him.
The old man outside who had Chen Bo's account and was considering whether to withdraw his account saw Chen Bo's treatment process through the crack of the door, and retracted the leg he was about to take.
The old man thought to himself: "Looking at the situation, this young doctor is really capable to come out for consultation. I'd better listen to what he has to say before making a decision."
Here, the grandmother of the child turned on the broadcast mode as soon as she walked out. She looked at the people waiting beside her and said, "Don't wait here, this little doctor Chen is very capable, and his medical skills are superb! He will be cured without injections or medicines." My little grandson is really amazing!"
The patients waiting next door looked at Chen Bo curiously when they heard the child's grandmother's praise.
So young, do you really know how to see a doctor?It must be that the child's illness is relatively simple, so it doesn't need a lot of treatment. My illness is very complicated. No, it's better for me to ask the director to see it.
Chen Bo didn't know that for a while, several patients outside had already engaged in a round of ideological struggle.
Returning to his seat, he took another sip of water and continued to call the next patient, this time it was the old man who was peeping through the door just now.
It was very difficult for the old man to move around, and the family members walked in tremblingly, with a painful expression on his face.
"Old man, what's wrong with you?"
"My back hurts." The old man pointed to his lower back and replied.
"Have you ever wrestled?"
"No, I didn't fall down. I just squatted on the toilet a few days ago and started to feel pain. I can't even walk."
"Has this happened before? Chen Bo continued to ask."
"I've never experienced this before. I used to have low back pain occasionally, but it's not as severe as this time." The old man said with certainty.
Well, there is no history of trauma, sudden low back pain, there are many possible factors, soft tissue lesions, bone lesions, covering many possible diseases.
"Old man, lie down on the examination bed and I'll examine you." Chen Bo still decided to have a physical examination.
He helped the old man to lie down with his family members, and Chen Bo first checked the soft tissues of the lower back.
The skin, muscles, and ligaments have all been checked, and there is no problem.
There is no problem with the soft tissue, but the bone problem may be serious.Chen Bo had a preliminary judgment in his mind.
Spine percussion!
Chen Bo tapped lightly along his spine.
"Well, it's here!" The old man said when he knocked on the chest and waist.
After the location was clarified, Chen Bo started the system scan and selected the painful location.
Drop, the compressive change of the first lumbar spine, artificial intelligence analysis, considering osteoporotic pathological fracture.
Sure enough!
Chen Bo had already thought about it in his heart, and he was very happy to be confirmed by the system.
"Old man, you have a fracture." Chen Bo said while pulling up the old man's clothes, "I judge that it is the fracture of the first lumbar vertebra, which is caused by osteoporosis."
"Ah?! How could my bones be broken if I didn't fall?"
The old man couldn't believe what Chen Bo said, and the family members next to him also looked confused.
"You are like a rotten piece of wood, which may break in the wind." Chen Bo tried to explain in simple terms, "But you still need to take a picture to make sure."
"Okay, okay, let's take a film right away." The family members heard that the bones were broken, and immediately felt serious.
"Hey, you can't get up now, even if you sit up, it will aggravate your back pain. In this way, I will arrange an escort to take you for an examination."
Chen Bo prepared the inspection form and contacted the escort for the inspection.
"Thank you, Dr. Chen." Seeing Chen Bo's enthusiasm, the old man said gratefully.
"You're welcome, come back and see me after you finish filming." Chen Bo confessed.
At this time, the first young man had already finished filming and came back. The family members took the report card, looked at the diagnosis content verbatim, and murmured: "It's really osteoid osteoma, Dr. Chen is amazing! "
(End of this chapter)
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