SRT 36 of 39 - Monday - Last Week

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Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25394
   Posted 11/23/2009 4:09 PM (GMT -6)   
Today's treatment was #36 out of 39.  For fraction lovers, it was the 12/13th point in my SRT.  My dr. couldn't wait to hear my fraction for the day.  Treatment was 30 minutes, despite being able to walk right in the door and be seen.
 
Saw my radiation oncologist after, and she wants to see me 4 weeks from this coming Friday.  She wants me to arrange a PSA drawn at my urologist's office, so that there will be consistency with the numbers.  His office and the lab the use have done all of my PSA's since 2007, so it makes sense to me.
 
She still wants me to keep the SP catheter in at least through the end of December, as she is anticipating additional swelling even after the SRT ends.  Even being a Monday, there was considerable burning where the tube exits, doesn't feel real good.
 
She is still really puzzled why I am having so much penis pain associated with the SRT.  She said she can't figure out that part, and knows its complicates my situation.  Her only guess, is that my body is just that sensitive to radiation in general, and other areas are getting a "scattering" effect that most people wouldn't feel.
 
 
Three more to go.  That part sounds good.
 
David in SC
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sess/72 gys cath #8 33 days, 11/2- SP Cath #9 in place


lewvino
Regular Member


Date Joined Jul 2009
Total Posts : 384
   Posted 11/23/2009 4:23 PM (GMT -6)   
This is the week you and your friends on the forum have been waiting for! Big time countdown time has begone!

Larry


Age 55 / age at diagnosis 54, PSA 5.1
Robotic surgery 08/12/09 at Vanderbilt, Nashville TN. 
Final Path report:
20% of the prostate Invovled
Tumor graded at T2C
Overall Gleason 3+4 (7)
Lymph Glands Clear, Positive Margin Noted in Right Apex
 
First post Surgery PSA - 0

Post Edited (lewvino) : 11/23/2009 2:39:53 PM (GMT-7)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25394
   Posted 11/23/2009 4:34 PM (GMT -6)   
Thank you Larry, that does help. Can't lie, this body has had enough of this, all I can do to finish out the week. Know it suppose to be for my own good, but my mind and body is saying, enough is enough. Doing my best.
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sess/72 gys cath #8 33 days, 11/2- SP Cath #9 in place


Squirm
Veteran Member


Date Joined Sep 2008
Total Posts : 744
   Posted 11/23/2009 4:46 PM (GMT -6)   

Wow! You're almost done!! You can also say you're 6/6.5 finished now...looks even shorter, lol.

Is there something that can help with the pain? Perhaps icing?

Regarding the PSA, is there a baseline range that is expected for the first draw?

 


mikey1955
Veteran Member


Date Joined Dec 2008
Total Posts : 673
   Posted 11/23/2009 4:47 PM (GMT -6)   
David, the home stretch. You have gone through a lot and let this be the end of it. Your friend...
-Nov/Dec 07, March 08 and Dec 08: Severe perineum pain . Septra/Bactrim for 8 months for diagnosed prostatitis.
-PSA start of 2008: 5.3..... PSA June of 2008: 7.3
-14 DRE all benign or nothing felt
-TRUS Biopsy Nov 08: 5 of 8 cores positive GS 3+3 or 6. 30-65%. Perineural invasion.
-General Health: pretty good, 5' 10", 180 lbs, slim.
-Open RP surgery: May 09 both nerve bundles spared. Bilateral lymph node dissection performed. Discharged 48 hours after surgery.
-Post Surgery Pathology: pT3a N0 MX, extraprostatic extension (EPE), stage III prostate cancer, lymph nodes clear, seminal vesicles clear, Gleason upraded to 3+4 GS 7. EPE within surgical margins. Other than prostate and EPE, all tissue removed negative for cancer involvement.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25394
   Posted 11/23/2009 5:15 PM (GMT -6)   
Squirm, thanks, the new baseline should not exceed the last PSA before the SRT started, and there should not be any increase at any point if the SRT worked according to the doctor. She said there won't be any PSA bounce later on, because I do not have a prostate anymore, which makes sense.
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sess/72 gys cath #8 33 days, 11/2- SP Cath #9 in place


Jakester
Regular Member


Date Joined Aug 2009
Total Posts : 288
   Posted 11/23/2009 5:42 PM (GMT -6)   
David, you must be one tough hombre to pull yourself up each day but you do it. Must be like climbing Mount Everest, the elation of completing should hasten your recovery.

Our best,
Jake
Diagnosed 8/2008 Pre-op psa 4.2, Age 60 at dx
7 of 12 biopsies positive 3+3
DaVinci LRP 11/08
Post Op pathology clear margins, confined to prostate, absent extraprostatic extension, vascular or perineural. Gleason 3+4=7, 5-10% of 4 and location in right mid-gland.
3 month psa .1 2/09, 6 month .1 5/09, 9 month .2 8/09
broke ankle bones 6/09
9/21/09 Bone scan clear, psa still .2
11/12/09 chest xray was clear, psa however up to .3, being referred to radiation next week


60Michael
Veteran Member


Date Joined Jan 2009
Total Posts : 2243
   Posted 11/23/2009 6:06 PM (GMT -6)   
Three more my friend. Looking forward to the end of the week for you. Take care David.
Michael
Dx with PCA 12/08 2 out of 12 cores positive
59 yo when diagnosed
Robotic surgery 5/09 Atlanta, Ga
Catheter out after 10 days
Gleason upgraded to 3+5, volume less than 10%
Margins not involved
2 pads per day, 1 depends but getting better,
8/5 1 depend at night only
 started ED tx 7/17, slow go
Great family
Michael


Modelshipwright
Regular Member


Date Joined May 2009
Total Posts : 215
   Posted 11/23/2009 6:08 PM (GMT -6)   
Hey David,

I guess you will not have a treatment this Thursday? Does that make the last one on Frifday? I am so pleased to see that this is winding down for you and that you can look forward to a rest from all the unpleasentness of radiation treatment. What a trooper you have been. I admire your determination and strong spirit to endure all this.

Keep well,
Regards,
Bill

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25394
   Posted 11/23/2009 6:23 PM (GMT -6)   
mikey, thanks as usual, my friend

jake, at least the summit is in clear sight right now

Thank you, Michael

Bill, thanks again for your continual encouragement. Yeah, they are closed for Turkey day on Thursday, but will go in Friday for the
last one, #39. Been fortunate that I haven't had to postpone or delay any of the treatments, if so, all they do is tack them on to the end, and you still have to do them
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sess/72 gys cath #8 33 days, 11/2- SP Cath #9 in place


geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 11/23/2009 6:31 PM (GMT -6)   
Wow. Finally the week we have been waiting for! It is not that we don't appreciate your posts about radiation, but enough is enough -- if not more.
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3+4=7
CAT scan, Bone scan 1/09 both negative.

Robotic surgery 03/03/09 Catheter Out 03/08/09
Pathology: Lymph nodes & Seminal vesicles negative
Margins positive, Capsular penetration extensive Gleason 4+3=7
6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.
10 weeks: no pad at night -- slight leakage day/1 pad.
3 mo. PSA 0.0 - now light pads
6 mo. PSA 0.00 -- 1 light pad/day


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25394
   Posted 11/23/2009 6:41 PM (GMT -6)   
Gee, geezer, was that a two sided remark? Or am I just tired this evening?
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sess/72 gys cath #8 33 days, 11/2- SP Cath #9 in place


qjenxu
Regular Member


Date Joined Sep 2009
Total Posts : 187
   Posted 11/23/2009 7:02 PM (GMT -6)   
David

3 more to go! I couldn't believe you went through all those painful times and still in great sprit. 3 more to finish and we are all here to cheer with you.

hanging for 3 more days!

Jennifer

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25394
   Posted 11/23/2009 7:05 PM (GMT -6)   
Thanks, Jennifer
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sess/72 gys cath #8 33 days, 11/2- SP Cath #9 in place


maldugs
Veteran Member


Date Joined Jun 2007
Total Posts : 789
   Posted 11/23/2009 7:08 PM (GMT -6)   
Hi David, nearly there, 39 treatments were a real drag for me too, but then I did not have your problem and no catheter, I wish you a great result! I am so curious as to whether my PSA is still on the rise, I am not going to wait until January, have asked for a PSA test next week, fingers crossed.

Regards Mal.
age 67 PSA 5.8 DRE slightly firm Rt
Biopsy 2nd July 07 5 out of 12 positive
Gleason 3+4=7 right side tumour adenocarcinoma stage T2a
RP on 30th July,

Post op Pathology, tumour stage T3a 4+3=7, microcsopic evidence of capsular penetration, seminal vessels, bladder neck,are free of tumour, lymph nodes clear, no evidence of metastatic malignancy, tumour does not extend to the apical margins.

Post op PSA 0.5 26th Sept.
PSA 23rd Oct.0.5 seeing Radiation Onocologist 31st Oct.
Started radiation treatment on 5th Dec, to continue until 24 Jan. 08.
Finished treatment, next PSA on 30th April.
PSA 30th April 0.4
PSA 30th July 0.5
PSA 27th Oct 0.4 (I am now 68)
PSA 11th March 09 0.5
PSA 3rd August 09 0.6
next PSA January 2010 (I am now 69)

Post Edited (maldugs) : 11/23/2009 5:11:34 PM (GMT-7)


Sephie
Veteran Member


Date Joined Jun 2008
Total Posts : 1804
   Posted 11/23/2009 7:36 PM (GMT -6)   
David, along with everyone else, I add my best wishes that this treatment will do the trick for you! Try to enjoy Turkey Day as best you can ... I know that you won't be looking forward to your Friday appointment but think about that lovely certificate you'll get with tacky gold star on it!

You know that we're all waiting for ya at the finish line, cheering you on. On this wonderful forum, one person's success is a win for each of us.
Husband diagnosed in 2/2008 at age 57 with stage T1c. Robotic surgery performed 3/2008. Stage upgraded to T3a (single small EPE in posterior left). Perineural tumor infiltration present. Apex margin, bladder neck and SV negative. Final Gleason 3+4 SA. PSA: 0.0 til July 2009. August 2009 PSA was 0.1, in September it was 0.3 Met with radiation oncologist, CT scan and bone scan clean. Third PSA on October 16 - PSA BACK TO UNDETECTABLE! Next PSA scheduled for early December. No radiation treatment at this time!


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25394
   Posted 11/23/2009 8:19 PM (GMT -6)   
Mal, thanks, you been a good friend through this too. If I were you, I wouldn't wait till January either, I would get another PSA and hope for the best. As a word of encouragement back to you, my rad. oncologist did say, that after salvage radiation, some men will hover around the same PSA they started with for a long period of time. I noticed your last reading was only .1 higher than you started with at .5, so perhaps you are in that group of men and there won't be a rise.

Sephie, thanks and hugs as usual. Actualy, as a Nurse, my wife always works the real holidays, so we won't celebrate till Sunday, which will be after my last treatment. I will probably spend a lot of time Thursday chilling and watching football. My wife will be off Friday instead, so she is going to go with me on my last treatment. Did 38 by myself, so she will get a chance to see what the place looks like at least.
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sess/72 gys cath #8 33 days, 11/2- SP Cath #9 in place


pa69
Regular Member


Date Joined Mar 2009
Total Posts : 260
   Posted 11/23/2009 9:11 PM (GMT -6)   
Hi David,

Only 3 mountains left to climb. Soon you can begin the healing and become a member of the ZERO club.

Best wishes,
Bob
Age 70, First ever PSA 7.8 taken June 2008, Biopsy July 2008, 10 of 12 cores positive, Gleason 3+3=6
da Vinci surgery December 10, 2008, catheter removed December 29 2008
St. Lukes Hospital, Bethlehem, Pa.
Dr. Frank Tamarkin
Prostate weight 73.0 grams, Gleason 3+3=6, stage pT3a
Tumor locations: right anterior apex, right posterior apex to mid
left anterior mid to base, left posterior apex to mid
extensive perineural invasion in right anterior apex, right and left posterior apex to mid
seminal vesicles negative
Four PSA tests undetectable, latest Oct 30


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25394
   Posted 11/23/2009 9:53 PM (GMT -6)   
Thanks Bob, due to an obligation tomorrow with me, going to get zapped at 1030 instead of my usual 1430. Only time slot they could fit me in tommorow.
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sess/72 gys cath #8 33 days, 11/2- SP Cath #9 in place


Cajun Jeff
Veteran Member


Date Joined Mar 2009
Total Posts : 4126
   Posted 11/23/2009 11:20 PM (GMT -6)   
David can I just say it Three, Two, One......DONE!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
I get chills just thinking about it. I know you must be so excited for this to finish.

You do know we have walked this road every step with you.

Your friend
Jeff T
Jeff T Age 57

9/08 PSA 5.4, referred to Urologist
9/08 Biopsy: GS 3/4=7
10/08 Nerve sparing open RRP- Path Report: GS 3+3=7 Stg. pT2c, margins clear
3 mts: PSA .05 undetectable

10th month PSA <0.01
1year psa <0.01
ED- 5 mg Cialis daily, pump daily, going to try MUSE next. Next step injections.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25394
   Posted 11/24/2009 9:19 AM (GMT -6)   
Jeff, I am not much for pure excitement, lol, more of a monotone personality, but I will be glad beyond all relief. Getting ready to go to #37 right now as I type. Earlier than normal, but glad to get it over. Have to pace myself today with the fatigue, as I have much I am obligated to do.

Thanks as usual
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out  38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - began IMRT SRT - 39 sess/72 gys cath #8 33 days, 11/2- SP Cath #9 in place


JoeyG
Regular Member


Date Joined Jul 2009
Total Posts : 162
   Posted 11/24/2009 9:26 AM (GMT -6)   
David,
 
39 may not be a big number but it is big when you are nowhere near it. 37/39 is BIG, real BIG.
The journey is nearly over; congratulations and here's hoping that your subsequent jouney will be all uphill.
Age -57; Diagnosed 10/05 PSA 13.4 GS 9 Organ confined (T2B)
Cryoablation 4/06 Allegheny Hosp-Dr Ralph Miller (Cohen/Miller)
Post Cryo Nadir 8/06 0.2
Rising steadily to 0.7 4/09 :-(
Steady at 0.7 (7/09) (Pomegranate???)
Looking to take next steps soon
Hoping to qualify for salvage cryo or radiation


Jerry1
Regular Member


Date Joined Mar 2007
Total Posts : 460
   Posted 11/24/2009 9:26 AM (GMT -6)   
 
David,
 
Glad to hear you are just about done and can enjoy a lifetime of 0's.  Wishing you and your family a Happy Thanksgiving.
 
Jerry1
Age 69
DX 8/13/08 , PSA 4.0, Biopsy 14 samples 1 positive 12% of sample,
Gleason Score 4+4 =8  Bone scan and MRI negative
Da Vince surgery on Oct 17, 08 Florida Hospital Dr Vipul Patel
Post Gleason report  4+4 = 8 Lymph nodes on both sides negative
margins Negative  Stage II (pt2a) 
Cath out on October 29th left in longer due to small leak.
11/19/08 dry no more pads
12/2/08 first PSA <0.1
 3/6/09 6 Month PSA 0.0
6/3/09 9 month  PSA 0.1
7/14/09  PSA still 0.1
10/15/09 PSA 0.3
10/26/09 surgery to remove 3 clips in bladder neck that formed stones and caused burning and pressure for 9 months.  Finally relief but may now be looking at radation.
 

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