medical simulator
Chapter 390
After Zhou Cheng went to the department, the residents had arrived one after another.
Among the senior physicians, all the attending physicians have arrived, only the associate professors have not been seen yet.
What Zhou Cheng was more worried about was that Guang Yanhu would not come today, or there were other arrangements in the department.
Li Chongyue came relatively early. As soon as Zhou Cheng arrived, he took the initiative to come over and said in a low voice: "Brother, when I first came to the department today, the doctor on duty yesterday told me that our group, the one I was in charge of The general inpatient of the Department of Respiratory Medicine was transferred to another department overnight last night.”
Zhou Cheng was walking towards the duty room of the general hospital, ready to take time to brush his teeth. After picking up the plastic cup, he turned his head: "When did it happen? Why didn't the doctor on duty call me?"
Logically speaking, transfer at night is an emergency transfer, and it should be approved by his chief resident physician.
What the hell is this doctor on duty doing?
"Dr. Li Keke took the initiative to ask for the transfer. The reason is that her finger movement had recovered a little last night, and then the patients and their families in the next bed began to trouble the doctor on duty."
"You also know that the previous chief inpatient, Senior Brother Huang Zong, was in Professor Ding's group. The patients who had been replanted with severed limbs had been hospitalized for a month, and their functional recovery is still a little poor."
"Li Keke lived in the same ward with her. The 24-hour mobility function after the operation was better than hers, so the patient's psychology was a little unbalanced. I didn't ask Li Keke for anything, but I asked the doctor on duty for a long time."
"In the end, it was Professor Ding who took the initiative to come to the department to calm down."
"In order to appease the emotions of other patients in the ward, Dr. Li Keke offered to go to the ward of the Department of Respiratory Medicine for recuperation. After Professor Ding contacted Master, he made the decision."
"Maybe you were resting at that time, so I didn't want to disturb you." Li Chongyue confessed honestly.
It's just that when he said that, his eyes and expressions were filled with disbelief.
Such things are both funny and exasperating.
Patients also communicate and compete with each other. It is impossible for Li Keke to do functional exercises without telling other patients, and she is not clear about some things in orthopedics.
The allocation of wards is that men and women live separately. Similar diseases have such a large gap in functional recovery that other patients feel jealous.
"That's it, Dr. Li still wants us to go to the Department of Respiratory Medicine for ward rounds regarding the postoperative recovery?" Zhou Cheng never thought that this matter would develop like this.
Doesn't this increase his workload?
However, Li Keke proposed to be transferred back to his own department for hospitalization, also for the harmony of the orthopedics department.
Do not suffer from widowhood but suffer from inequity.
"That may be the case, but I think Dr. Li is also a pretty good person. When I was in charge of her, she was very cooperative in many things, and she also talked about it. If you have any questions, please feel free to contact me. Let's go and have a look. , it’s a consultation.” Li Chongyue said.
Last night, Cai Dongfan and Ding Changle confirmed that Li Keke would be transferred to another department, so they couldn't directly disturb Zhou Cheng's rest. This kind of treatment is unique in the whole hospital, right?
May I ask which professors would attach so much importance to a general inpatient?
Total inpatients are people who do things.
But now, the superior has started to clean up some trivial matters for the general hospital. Such things are indeed rare.
"Okay, I see, have you had breakfast yet?"
"If not, let's have some." Zhou Cheng finished brushing his teeth quickly, then rubbed his face with cold water, and then turned to ask Li Chongyue, a stingy guy.
"Brother, I saw Brother Du's message, so I brought you breakfast. I added a double size, I think the taste is okay, there is still some time, brother, you can eat first." Li Chongyue said flatteringly.
"How much is it, I'll transfer it to you." Zhou Cheng's heart moved, and he felt that it was a very good thing to have such a caring junior brother as Li Chongyue.
Unlike Du Yanjun, who is a bit careless, and sometimes likes to play tricks, but now he is much better, probably because of his level
There is a gap.
"No need, brother, it's all small money, it doesn't matter." Li Chongyue said so generously, and then lifted the mask: "Senior brother, I'm going out first. I'm in charge of two patients with diabetic foot. I have some opinions, saying what the hell is going on in our hospital.”
"I have to go talk to them again."
After Li Chongyue finished speaking, he left.
This is a smart guy.
Lower-level doctors need more learning opportunities, so they have to give more free time to higher-level doctors.If the senior doctor is trapped by the complaints of patients and family members, how can he spare himself to teach?
If Zhou Cheng and Cai Dongfan didn't have to worry about trivial matters, then they would definitely have more time to teach.
This is what he learned from Fang Yun.
Fang Yun was a resident doctor at the beginning, and he relied on this concept to win many learning opportunities.
This is how to learn!
The learning opportunities before adulthood are pursued and fed by teachers and parents.But when you become an adult, you will find that in your university, whether you like to study or not, whether you can become a talent or not, it all depends on yourself and your self-consciousness.
After becoming an adult, everyone must be responsible for themselves, and everything must be fought for by themselves.
Du Yanjun got in again after a while, picked up the rice noodles and started chattering.
"Brother Cheng, you worked hard yesterday, I'm sorry, I'm holding you back." Du Yanjun knew that if Zhou Cheng hadn't taken care of him, he might have stepped down at least half an hour earlier and had more time to rest.
"Don't worry, kung fu is practiced slowly."
"During this period, I will teach my students to review medical records. You will be able to get out of reviewing medical records in the future. I will take you to start consultation. After a period of time, when you mature, I will teach you how to do ordinary consultation." Weekly deals.
Opportunities are given up step by step. In a team, there must always be someone who starts to step up, and this can make a good and excellent team.
If Guang Yanhu is going to leave, Zhou Cheng has to make early plans to get himself out of some particularly trivial matters, and to delegate power.
Since Wang Huan intends to become a master of orthopedics, let her directly review the medical records of the chief resident, and at the same time start to check her medical record writing skills.
Reviewing medical records is more difficult than writing medical records. Errors and omissions must be found and handed over to residents for revision.
This is Zhou Chengneng's jumping exercise opportunity for Wang Huan. She is just an intern, but with Zhou Cheng behind her, she can skip the stage of ordinary resident doctor and go directly to the position of general resident.
It's time for the shift.
After the on-duty doctor and the on-duty nurse had finished explaining their shifts, Zhou Chengcheng raised his hand and said, "I'm sorry, head nurse, Director Ding, I'll interrupt you a little bit."
"Recently, the undergraduate school has been very strict. Some people will come and check our weekly intern teaching rounds, so I have contacted Professor Wang before. Today, all the interns will go to Professor Wang's group, following the ward rounds."
"Professor Wang, I'm sorry to trouble you. You've worked hard." Zhou Cheng said respectfully.
For intern doctor’s ward rounds, the Undergraduate School clearly stipulates that only those with high professional titles are eligible to conduct ward rounds. Zhou Cheng does not want to make such a regulation into a formality.
"Director, head nurse, I'm done talking, I'm interrupting everyone's time." Zhou Cheng put down his hands, the hospital chief didn't dare to show off in the department.
Ding Changle smiled and said: "Professor Wang, thank you for your hard work. I have also been organized many meetings by the Academic Affairs Office of the Undergraduate School. The Academic Affairs Office of the Undergraduate School has sent us many requests. Emphasize the teaching of undergraduate students.”
"I think we should pay attention to this matter. From now on, our team will conduct rounds of the wards twice a month, and Professor Cai and Professor Wang will conduct rounds of the wards once. Take this matter seriously, screw it up, and treat it as a Do it routinely!"
Wang Yunfa is none
The so-called turned around and looked around: "Today, the interns came very well. In the past, the interns in our department always asked for leave because they had too many things to come."
When Wang Yunfa said this, all the interns trembled instantly.
This is the normal state during the internship, and you may not come if you wake up late.But in fact, according to the regulations, if the interns can't arrive on time, the chief resident of the department can directly contact the Academic Affairs Office and directly ask if the student is lost.
Then it was found that he was sleeping late, so the Academic Affairs Office would find me and ask me why.
If the department is unwilling to teach and there are not many learning opportunities, the Academic Affairs Office will directly come to the department to hold them accountable. At that time, they can even veto the promotion opportunities of the teachers.
If you don’t have a teacher, you can honestly go to other places to be a deputy chief physician, don’t call it a professor, this is a teaching hospital, not just a place to treat diseases and save lives.
It is a task that teaching hospitals must undertake to provide a steady stream of talents for the medical field.
But if because of being lazy, the Academic Affairs Office finds out that all the opportunities in the department have been given, and if you don’t come, it will be a very troublesome thing when you graduate. Seriously, I want you to make up a major internship.
Such as internal medicine, surgery, gynecology and pediatrics.
After the internship is completed and the standards are met, the graduation certificate will be issued, and it will affect your work and master's enrollment at that time, so I'm sorry.
That's the rule at top teaching hospitals and medical schools.
The Academic Affairs Office of the Undergraduate School has a lot of power, and the requirements for interns are also extremely strict.
Ding Changle said: "The interns are not willing to come to the department for internship, and they are not willing to come to our department. We also have to reflect on our own reasons and what is not doing well enough."
"Our Department of Orthopedics welcomes excellent students from our hospital to study as graduate students in our department. We must remember this."
"Our hospital welcomes you very much. Undergraduates in our hospital have certain priority in the master's enrollment stage. The premise is that you can find a good master's supervisor and get his consent."
"You guys and girls, you have to be careful. The master tutors in our hospital may be your teachers..."
After making this matter so clear, the shift is over.
On the way Wang Huan left to follow Wang Yunfa, Zhou Cheng approached her and said, "Xiaohuan, you should probably write down the main cases of the ward rounds that you taught, and then take the time for the two of us to sort them out together, as Classic study material."
"Some of the clinical thinking of the professors is precious, and I don't have such a deep experience."
Zhou Cheng was telling the truth. The hierarchical teaching system he worked out in the simulator was born out of a professor at Zhongnan Hospital affiliated to Seoul University who was also Fang Yun's teacher.
This is a summary of other people's lifelong teaching experience. If Zhou Cheng wants to do a good job in teaching, it is very necessary to learn more and figure out more, and Wang Huan is the student he wants to lead.
Therefore, it is a very good learning method to disassemble the teaching medical records selected by Wang Yunfa.
Not only he and Wang Huan will demolish together, but Du Yanjun and Li Chongyue will also participate together. If Peng Lingli is willing, he can also demolish together.
"Okay, teacher." Wang Huan thought that Zhou Cheng had something special to explain, so Wang Huan was a little nervous at first.
But if it's just such a trivial matter, then he still remembers it clearly.
After explaining in this way, Cai Dongfan also took the initiative to find Zhou Cheng——
"Xiao Zhou, Associate Professor Guang Yanhu, temporarily transferred to the orthopedic ward. Yesterday, Professor Ding talked to me about it. Next month, our team will have another associate professor, but this month."
"Our team may ask you and me to stand up." Cai Dongfan said so, with a solemn and flashing tone.
Without Guang Yanhu as his right-hand assistant in the group, Cai Dongfan still felt very guilty, but thinking that Zhou Cheng was still there, he was relieved a lot.
just group
Cai Dongfan also found it very difficult to take over the difficult disease of diabetic foot.
He checked a lot of information last night, including some documents, but he was still a little confused. This matter is not a small challenge.
And Zhou Cheng hadn't had much contact with such a disease before.
"Well, it's okay, Master." Zhou Cheng had expected it, although he felt that it was a pity.
But there is no way, Guang Yanhu has his own temper, and it is impossible for the department to really do the thing of forcing the head of the cow without drinking water.
In fact, Zhou Cheng and Cai Dongfan can also refuse to agree, but Zhou Cheng is actually unwilling to give up on this disease!
"Now in our group, there are only four patients with diabetic foot. Our operation day will be next Thursday. During this period, we must first control the blood sugar of the patients."
"And try to control the emotions of patients and family members as much as possible."
"Master, I'm thinking about one thing now. If we take care of all these patients, will they go to the burn department instead? Or to the hospital!" Zhou Cheng didn't think much about it.
But the matter of Li Keke made Zhou Cheng think a little more.
"Trouble with the burn department, trouble with the hospital, what does it have to do with us, we are cured, it is our ability, the past of the burn department and the orthopedics department, then let Dean Lei and Director Liu of the burn department go to other places Shit, let's do our own thing." Cai Dongfan said indifferently.
"Then master, let's do it well?" Zhou Cheng became interested immediately when he heard Cai Dongfan's words.
"Come on, go to the ward rounds, let's see the specific situation first." Although Cai Dongfan spoke a little harshly, in fact, he was a little timid to really do something to deal with these patients.
Among the senior physicians, all the attending physicians have arrived, only the associate professors have not been seen yet.
What Zhou Cheng was more worried about was that Guang Yanhu would not come today, or there were other arrangements in the department.
Li Chongyue came relatively early. As soon as Zhou Cheng arrived, he took the initiative to come over and said in a low voice: "Brother, when I first came to the department today, the doctor on duty yesterday told me that our group, the one I was in charge of The general inpatient of the Department of Respiratory Medicine was transferred to another department overnight last night.”
Zhou Cheng was walking towards the duty room of the general hospital, ready to take time to brush his teeth. After picking up the plastic cup, he turned his head: "When did it happen? Why didn't the doctor on duty call me?"
Logically speaking, transfer at night is an emergency transfer, and it should be approved by his chief resident physician.
What the hell is this doctor on duty doing?
"Dr. Li Keke took the initiative to ask for the transfer. The reason is that her finger movement had recovered a little last night, and then the patients and their families in the next bed began to trouble the doctor on duty."
"You also know that the previous chief inpatient, Senior Brother Huang Zong, was in Professor Ding's group. The patients who had been replanted with severed limbs had been hospitalized for a month, and their functional recovery is still a little poor."
"Li Keke lived in the same ward with her. The 24-hour mobility function after the operation was better than hers, so the patient's psychology was a little unbalanced. I didn't ask Li Keke for anything, but I asked the doctor on duty for a long time."
"In the end, it was Professor Ding who took the initiative to come to the department to calm down."
"In order to appease the emotions of other patients in the ward, Dr. Li Keke offered to go to the ward of the Department of Respiratory Medicine for recuperation. After Professor Ding contacted Master, he made the decision."
"Maybe you were resting at that time, so I didn't want to disturb you." Li Chongyue confessed honestly.
It's just that when he said that, his eyes and expressions were filled with disbelief.
Such things are both funny and exasperating.
Patients also communicate and compete with each other. It is impossible for Li Keke to do functional exercises without telling other patients, and she is not clear about some things in orthopedics.
The allocation of wards is that men and women live separately. Similar diseases have such a large gap in functional recovery that other patients feel jealous.
"That's it, Dr. Li still wants us to go to the Department of Respiratory Medicine for ward rounds regarding the postoperative recovery?" Zhou Cheng never thought that this matter would develop like this.
Doesn't this increase his workload?
However, Li Keke proposed to be transferred back to his own department for hospitalization, also for the harmony of the orthopedics department.
Do not suffer from widowhood but suffer from inequity.
"That may be the case, but I think Dr. Li is also a pretty good person. When I was in charge of her, she was very cooperative in many things, and she also talked about it. If you have any questions, please feel free to contact me. Let's go and have a look. , it’s a consultation.” Li Chongyue said.
Last night, Cai Dongfan and Ding Changle confirmed that Li Keke would be transferred to another department, so they couldn't directly disturb Zhou Cheng's rest. This kind of treatment is unique in the whole hospital, right?
May I ask which professors would attach so much importance to a general inpatient?
Total inpatients are people who do things.
But now, the superior has started to clean up some trivial matters for the general hospital. Such things are indeed rare.
"Okay, I see, have you had breakfast yet?"
"If not, let's have some." Zhou Cheng finished brushing his teeth quickly, then rubbed his face with cold water, and then turned to ask Li Chongyue, a stingy guy.
"Brother, I saw Brother Du's message, so I brought you breakfast. I added a double size, I think the taste is okay, there is still some time, brother, you can eat first." Li Chongyue said flatteringly.
"How much is it, I'll transfer it to you." Zhou Cheng's heart moved, and he felt that it was a very good thing to have such a caring junior brother as Li Chongyue.
Unlike Du Yanjun, who is a bit careless, and sometimes likes to play tricks, but now he is much better, probably because of his level
There is a gap.
"No need, brother, it's all small money, it doesn't matter." Li Chongyue said so generously, and then lifted the mask: "Senior brother, I'm going out first. I'm in charge of two patients with diabetic foot. I have some opinions, saying what the hell is going on in our hospital.”
"I have to go talk to them again."
After Li Chongyue finished speaking, he left.
This is a smart guy.
Lower-level doctors need more learning opportunities, so they have to give more free time to higher-level doctors.If the senior doctor is trapped by the complaints of patients and family members, how can he spare himself to teach?
If Zhou Cheng and Cai Dongfan didn't have to worry about trivial matters, then they would definitely have more time to teach.
This is what he learned from Fang Yun.
Fang Yun was a resident doctor at the beginning, and he relied on this concept to win many learning opportunities.
This is how to learn!
The learning opportunities before adulthood are pursued and fed by teachers and parents.But when you become an adult, you will find that in your university, whether you like to study or not, whether you can become a talent or not, it all depends on yourself and your self-consciousness.
After becoming an adult, everyone must be responsible for themselves, and everything must be fought for by themselves.
Du Yanjun got in again after a while, picked up the rice noodles and started chattering.
"Brother Cheng, you worked hard yesterday, I'm sorry, I'm holding you back." Du Yanjun knew that if Zhou Cheng hadn't taken care of him, he might have stepped down at least half an hour earlier and had more time to rest.
"Don't worry, kung fu is practiced slowly."
"During this period, I will teach my students to review medical records. You will be able to get out of reviewing medical records in the future. I will take you to start consultation. After a period of time, when you mature, I will teach you how to do ordinary consultation." Weekly deals.
Opportunities are given up step by step. In a team, there must always be someone who starts to step up, and this can make a good and excellent team.
If Guang Yanhu is going to leave, Zhou Cheng has to make early plans to get himself out of some particularly trivial matters, and to delegate power.
Since Wang Huan intends to become a master of orthopedics, let her directly review the medical records of the chief resident, and at the same time start to check her medical record writing skills.
Reviewing medical records is more difficult than writing medical records. Errors and omissions must be found and handed over to residents for revision.
This is Zhou Chengneng's jumping exercise opportunity for Wang Huan. She is just an intern, but with Zhou Cheng behind her, she can skip the stage of ordinary resident doctor and go directly to the position of general resident.
It's time for the shift.
After the on-duty doctor and the on-duty nurse had finished explaining their shifts, Zhou Chengcheng raised his hand and said, "I'm sorry, head nurse, Director Ding, I'll interrupt you a little bit."
"Recently, the undergraduate school has been very strict. Some people will come and check our weekly intern teaching rounds, so I have contacted Professor Wang before. Today, all the interns will go to Professor Wang's group, following the ward rounds."
"Professor Wang, I'm sorry to trouble you. You've worked hard." Zhou Cheng said respectfully.
For intern doctor’s ward rounds, the Undergraduate School clearly stipulates that only those with high professional titles are eligible to conduct ward rounds. Zhou Cheng does not want to make such a regulation into a formality.
"Director, head nurse, I'm done talking, I'm interrupting everyone's time." Zhou Cheng put down his hands, the hospital chief didn't dare to show off in the department.
Ding Changle smiled and said: "Professor Wang, thank you for your hard work. I have also been organized many meetings by the Academic Affairs Office of the Undergraduate School. The Academic Affairs Office of the Undergraduate School has sent us many requests. Emphasize the teaching of undergraduate students.”
"I think we should pay attention to this matter. From now on, our team will conduct rounds of the wards twice a month, and Professor Cai and Professor Wang will conduct rounds of the wards once. Take this matter seriously, screw it up, and treat it as a Do it routinely!"
Wang Yunfa is none
The so-called turned around and looked around: "Today, the interns came very well. In the past, the interns in our department always asked for leave because they had too many things to come."
When Wang Yunfa said this, all the interns trembled instantly.
This is the normal state during the internship, and you may not come if you wake up late.But in fact, according to the regulations, if the interns can't arrive on time, the chief resident of the department can directly contact the Academic Affairs Office and directly ask if the student is lost.
Then it was found that he was sleeping late, so the Academic Affairs Office would find me and ask me why.
If the department is unwilling to teach and there are not many learning opportunities, the Academic Affairs Office will directly come to the department to hold them accountable. At that time, they can even veto the promotion opportunities of the teachers.
If you don’t have a teacher, you can honestly go to other places to be a deputy chief physician, don’t call it a professor, this is a teaching hospital, not just a place to treat diseases and save lives.
It is a task that teaching hospitals must undertake to provide a steady stream of talents for the medical field.
But if because of being lazy, the Academic Affairs Office finds out that all the opportunities in the department have been given, and if you don’t come, it will be a very troublesome thing when you graduate. Seriously, I want you to make up a major internship.
Such as internal medicine, surgery, gynecology and pediatrics.
After the internship is completed and the standards are met, the graduation certificate will be issued, and it will affect your work and master's enrollment at that time, so I'm sorry.
That's the rule at top teaching hospitals and medical schools.
The Academic Affairs Office of the Undergraduate School has a lot of power, and the requirements for interns are also extremely strict.
Ding Changle said: "The interns are not willing to come to the department for internship, and they are not willing to come to our department. We also have to reflect on our own reasons and what is not doing well enough."
"Our Department of Orthopedics welcomes excellent students from our hospital to study as graduate students in our department. We must remember this."
"Our hospital welcomes you very much. Undergraduates in our hospital have certain priority in the master's enrollment stage. The premise is that you can find a good master's supervisor and get his consent."
"You guys and girls, you have to be careful. The master tutors in our hospital may be your teachers..."
After making this matter so clear, the shift is over.
On the way Wang Huan left to follow Wang Yunfa, Zhou Cheng approached her and said, "Xiaohuan, you should probably write down the main cases of the ward rounds that you taught, and then take the time for the two of us to sort them out together, as Classic study material."
"Some of the clinical thinking of the professors is precious, and I don't have such a deep experience."
Zhou Cheng was telling the truth. The hierarchical teaching system he worked out in the simulator was born out of a professor at Zhongnan Hospital affiliated to Seoul University who was also Fang Yun's teacher.
This is a summary of other people's lifelong teaching experience. If Zhou Cheng wants to do a good job in teaching, it is very necessary to learn more and figure out more, and Wang Huan is the student he wants to lead.
Therefore, it is a very good learning method to disassemble the teaching medical records selected by Wang Yunfa.
Not only he and Wang Huan will demolish together, but Du Yanjun and Li Chongyue will also participate together. If Peng Lingli is willing, he can also demolish together.
"Okay, teacher." Wang Huan thought that Zhou Cheng had something special to explain, so Wang Huan was a little nervous at first.
But if it's just such a trivial matter, then he still remembers it clearly.
After explaining in this way, Cai Dongfan also took the initiative to find Zhou Cheng——
"Xiao Zhou, Associate Professor Guang Yanhu, temporarily transferred to the orthopedic ward. Yesterday, Professor Ding talked to me about it. Next month, our team will have another associate professor, but this month."
"Our team may ask you and me to stand up." Cai Dongfan said so, with a solemn and flashing tone.
Without Guang Yanhu as his right-hand assistant in the group, Cai Dongfan still felt very guilty, but thinking that Zhou Cheng was still there, he was relieved a lot.
just group
Cai Dongfan also found it very difficult to take over the difficult disease of diabetic foot.
He checked a lot of information last night, including some documents, but he was still a little confused. This matter is not a small challenge.
And Zhou Cheng hadn't had much contact with such a disease before.
"Well, it's okay, Master." Zhou Cheng had expected it, although he felt that it was a pity.
But there is no way, Guang Yanhu has his own temper, and it is impossible for the department to really do the thing of forcing the head of the cow without drinking water.
In fact, Zhou Cheng and Cai Dongfan can also refuse to agree, but Zhou Cheng is actually unwilling to give up on this disease!
"Now in our group, there are only four patients with diabetic foot. Our operation day will be next Thursday. During this period, we must first control the blood sugar of the patients."
"And try to control the emotions of patients and family members as much as possible."
"Master, I'm thinking about one thing now. If we take care of all these patients, will they go to the burn department instead? Or to the hospital!" Zhou Cheng didn't think much about it.
But the matter of Li Keke made Zhou Cheng think a little more.
"Trouble with the burn department, trouble with the hospital, what does it have to do with us, we are cured, it is our ability, the past of the burn department and the orthopedics department, then let Dean Lei and Director Liu of the burn department go to other places Shit, let's do our own thing." Cai Dongfan said indifferently.
"Then master, let's do it well?" Zhou Cheng became interested immediately when he heard Cai Dongfan's words.
"Come on, go to the ward rounds, let's see the specific situation first." Although Cai Dongfan spoke a little harshly, in fact, he was a little timid to really do something to deal with these patients.
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