Thursday, February 25, 2010

Light at the end of Tunnel

It has been some time since i update this blog. Most updating of photos done at facebook. I would like to share about my experience on IVF. Having infertility issue as trying to conceive for half a year before i went back to previous gynae Dr Han. Tests conducted and found low sperm count that lead to the difficulty to conceive. Dr Han recommend us to see doctor from ivf department and the only option is to give ivf a shot. Much surprise as Patrick was conceive via clomid (medication) and yet we got to go through ivf this time round.
For some close friends who knew about my ivf tries and gave me support along the way. I would like to say a BIG THANK YOU! Without your support and lending a listening ear, there will never be existence of Patrina. It was a painful journey (2 years to be exact) that i would rather keep inside my memory. During the 3 tries (2 fresh cycle and 1 frozen cycle) and bleeding during pregnancy, i kept holding on to the fear of losing baby. Only now that baby is out and growing well, i am glad that my family is complete. I have dispose the 3 balance frozen embryo and did IUD for birth control. I was lucky that after one ivf failure back in 2008, government came up with the subsidy plans. This gave me courage to continue trying for this very expensive procedure.

Wednesday, February 24, 2010

Dr SF Loh of KKH IVF

The first time i met Dr Loh was a very fast consultation, around 5 mins only. He looked through the files and immediately asked my hubby occupation. Then he joked that half of the army staff are his patients as due to radar at workplace, could lead to low sperm count. He advise ivf as the only option available. Dr Loh does not quite look like the typical doctor, didn't button his shirt properly, speak in mandarin and messy hair.
I brought Patrick to witness my 3rd try of ivf, the egg transfer process. This was a short process of only 10 mins. He was asking why i am wearing a gown and excited when he saw the eggs being enlarges on the large tv screen while doctor Loh used a tube to insert the embryos. Dr Loh chit chat with Patrick and even carried him after the egg transfer. He seems to like young children.



Patrick holding photos from previous tries. Though it looks the same (just a mass of cells) but if look closely, the cell division and pattern are quite different. Some embryos are very pretty with nice pattern but some are quite wierd looking. Doctors base on the number of cells divided to gauge the quality and grade of the embryos. For each try i only put in 2 embryos as government subsidy has a requirement of not more than 3 embryos.

Dr Loh is the top gynae in kk, also well-known for his fast skills and success rate. Many patients from other private hospitals changed to kk due to his good skills and "magic fingers". I stayed on with him due to government subsidy.



The expert IVF doctor with the "Golden Hand". Below is a photo of him holding someone else baby.

He is also the doctor for actor cum host Mark Lee's ivf treatment. Although Mark's wife tried to conceive for 8 years and 2 rounds of ivf but never succeed under Dr Loh. And when actress Zoe Tay delivered her 2nd child, she invited his wife to eat the confinement food and sit on her bed. Surprisingly she got pregnant naturally. Sometimes miracle do happen.
Read more about actor Mark's Lee long awaited daughter's blog here: http://www.markncat.blogspot.com/
Another of my idol is also reported to try ivf and that's Andy Lau. I really hope he will have a child soon, too handsome and rich. What a pity if nobody inherit his looks and wealth. This is an article on him.

"Andy spent S$200,000 on artificial insemination"

Hong Kong superstar Andy Lau, 47, wants a son so badly that he secretly registered his marriage to Carol Chu, 43, in Las Vegas in order to qualify for fertility treatments in Hong Kong.

With the couple's escalating age and their different homes (Carol is Malaysian), the odds of successfully conceiving a child appear small, thus they have been trying their luck through artificial means. Andy enlisted the help from the best gynecologist in Hong Kong and since spent up to a mind-boggling S$200,000 in their quest for a baby so far, from their doctor check-ups to his wife's expensive herbal tonics.
Last Sunday, Andy left a message on his website titled "Don't misunderstand!" and explained that his baby-making plans were still underway. "We're still in the midst of trying hard for a baby". The earnest couple even made a trip down to a temple and prayed for divine intervention to help them in their conceiving plans.

Monday, February 22, 2010

Chinese Herbs

It has never come acroos to me that i might one day try accupuncture or chinese herbs. I always thought that TCM is more for the elderly and sickly. However after 2 times failure in western medication, i turned to give a shot on chinese medication. Look at the brown colour gross bitter stuff that i had to gobble down daily (twice a day). Same goes for hubby who most of the time skips the herbs. And both of us have to go for twice weekly accupuncture session. Each session last around 40 mins $25 per person. In total we spend around $800 per month on TCM clinic at Ang Mo Kio. Patrick will come along with us on weekend accupuncture session and the staff there love him to bits. They will carry him around the shop and play with him.
The herbs come in pre-packet form, just mix with hot water to drink. Lucky not in the traditional boiling herbs.


Dr Loh also prescribe some medicine for hubby to help the sperm count and i had to undergo the daily injection. Needles that i have to self-poke on the tummy area and longer needles that i need to go back to kk nurse for injection.
Medisave can be used for IVF treatments, maximum is 3 tries. Hubby's civil service medical benefit does not cover such treatments, so no subsidy can be used. After signing up the treatment, the nurse will explained the detail of the procedure, sign the consent form and meet up with the medical social worker to have counselling.
Through the counselling i learned how to handle emotions if in case the IVF fails and hubby understands the importance to spend time talking to me about my emotional stress. The treatment is counted in terms of cycle, from injection, doing scan, taking blood test, embroyo transfer will take 2 months. Each try costs around $5-$7K or more if higher dosage of medication is required.

Saturday, February 20, 2010

Government Co-Funding


Currently, couples can tap on their Medisave to pay for assisted conception procedures such as intra-uterine insemination (IUI) and in-vitro fertilisation (IVF). Among the assisted conception procedures, ART treatments such as in-vitro fertilisation are clinical and laboratory techniques for enhancing fertility that involve the mixing of eggs and sperms outside the body. These are more advanced than simpler ACPs such as IUI, and are often costlier. However, the success rate of ART treatment is likely to fall with age. Couples who may have difficulty conceiving should try to seek treatment early. In addition to the Medisave measures, the government will help to make such ART treatment more affordable by co-funding the treatment costs. This will start on 17 Aug 2008 at the public hospitals and couples who qualify will receive 50% co-funding of up to $3,000 per treatment cycle, up to a maximum of three cycles.

The eligibility criteria are:

a) At least one of you or your spouse must be a Singaporean at the start of the ART cycle;
b) You have no more than one child with your spouse;
c) You are below 40 years of age at the start of the treatment cycle;
d) You have been assessed by an AR doctor to have met the clinical requirements for ART;
e) Your treatment must involve a fresh cycle; and
f) You should have no more than two embryos transferred during the cycle.

Friday, February 19, 2010

Poem for my little brother & sister

Rest in Peace

By Maia Bliss

Rest in peace, my little embroyos.

Your life was over before it begun.

You were with me for not much time, one short month that you were mine.

Then one day you had to go,The reason why we'll never know.

The night you were placed into my womb, I knew in my heart,

You will always be with me though we're apart.

You were both so tiny but perfect to me,

Little fingers and toes forming, perfect as can be.

I held your photo in my arms, I didn't want to let go,

Here's a few things I want you to know.........

When you left you took a part of me,

Something that no one can see.

You have my heart with you always.

Even on the cloudiest days.

Your brother and sister love you too,

Even though they never saw you.

When you felt mommy and daddy give you that kiss.........

You're forever in our hearts

Love you always

Mommy, Daddy, Brother Patrick

IVF Poems

I found an interesting poem about ivf on the web.

First IVF Poem
Too, too excited, too excited to sleep for I'm on the path to fulfilling a dream I hold so deep.

It's wonderful to feel so happy and glad

My heart is buzzing with joy

For it's possible the miracle of I.V.F. will give me a precious girl or boy

This moment has come after such a long time I don't need to justify reasons;

I just want what I hope to be mine The "Crying Mum" that's what I'll be with those tears you only shed when you're deliriously happy

But still, each day feels so long

How can this be so? Hours and minutes please grow wings so I can feel my baby, Our beautiful baby grow

Another Poem

The journey from infertility to family, someone once said, is like taking a train ride;

Never knowing whether you'll reach your desired destination.

There are plenty of stops along the ride.And each of the passengers makes it's own decision when its time to get off.

Some never need to take the train.

Others ride it for a lifetime.

But whether you reach your destination or not, pay attention to the journey.

If you will, as painful as it is, it may reward you in unexpected ways.

Wednesday, February 17, 2010

Quotation

As quoted from an IVF website: "Your parenting also is going to be influenced by your experience of infertility, because your child is extra special and it is natural for you to want to dote on him or her. This can be wonderful for your child because he or she will always know how much he or she was wanted and how much he or she is loved."

Monday, February 15, 2010

Success Rate

IVF success rate is not very high depending on the age. I also had disappointment during my few tries. During my first try, made it to pregnancy. Hormone blood test showed constant increase in hormone level. Happily pregnant for 2 weeks and suddenly i found spotting. Then i went back to the hospital, took blood test that showed decrease hormone level and we lost the babies. Thanks to friends and colleagues who have been giving me support. Sincere thanks from the bottom of my heart! Without the kind advice and support from all of you, i would never have succeed. Think will most probably give up halfway.

Sunday, February 14, 2010

Talking to embryos

I believe that embroyos will be able to hear what i say and insist that i spend 5 minutes everyday to chat with them. This can promote a positive bonding between me and the eggs and hopefully activate their growth inside the tummy. I showed Patrick a photo of the eggs but he is quite puzzled on why they have no eyes and mouth.
This is an example of Patrick's daily conversation with his siblings after the egg transfer.
"Egg did and egg meimei, you are inside mummy's tummy. You are good eggs, strong eggs. Please stick to mummy womb. Patrick kor kor is here, will wait for you to grown up quickly. I want to play games with you. I will share with you my toys, share my food, share my clothes and share my shoes. I will give you energy and strength. Please grow strong, please be brave. Patrick kor kor love you, mummy love you and daddy love you. Egg didi egg meimei grow eyes, grow legs, grow mouth, grow hands. You are so cute, so sweet. I love you."

Wednesday, February 10, 2010

Frozen Eggs - Failure!!!

November 2008: One day before frozen egg transfer, i was really worried. Knowing that the chances of thaw egg is only 50 percent and the success rate of conceive is drop to only 20 percent. I have only pathetic of 2 eggs left and counting the odds, probably can have at least one egg if everything goes well. But not being able to do anything except to wait till the actual day of transfer before knowing how many eggs can be thaw. There is a sperm bank and egg bank in kk hospital.

The person handling the eggs is called the embryologist. I was surprised that there is such a job title and his or her job is to monitor egg growth in the lab. The eggs could only be taken out of the freezer the night before transfer. It is pitiful that these eggs have to undergo several months of cold temperature. I need to fast before date of egg transfer, only plain water allowed, no food after 11pm. On the morning i waited for instruction from the nurse. Long queue at the hospital so they waited for some time for Doctor Loh. Hubby was allowed to enter the egg transfer room to witness the process. Then doctor informed that 2 eggs thaw, one is good quality but the other is not as good and if i want to put in both. He highlighted that the lower grade egg will not turn out to be abnormal baby. Without hesitation, i insist on putting both since any chance of survival could not be missed. Doctor showed them the eggs inside a long plastic tube. The transfer only took 5 minutes. Doctor explained as to why they insert the eggs to the middle of the womb and not right to the top of the womb. And he reminded me that it depends if the eggs will stick to the womb after transfer. The nurse told me to lie down on the bed for another ten minutes after that i changed back into own clothes before going out of the transfer room. The embryologist pass me a paper to indicate the grade of egg and number of egg transfer. I was truly grateful to her for ensuring that the eggs could thaw well. How many people can understand the agony, pain, emotions that i have to go through.

Day 10: I tested in the early morning with clear blue pregnancy kit. A definite negative. I double check the results an hour later on the stick and still see big fat negative results. I know that results must be read in 10 mins to see the results but still hoping for miracle to happen. Maybe i miss out some faint line or something. Then i went on to do my own things, check emails and surf the net for information. When i woke up from afternoon nap after 2 hours, i saw some red spotting on the panty liner and wonder if it is implantation spotting. I have never seen how spotting looks like as when i conceive Patrick it was a smooth and perfect pregnancy.

Day 13: I took another test. With hands shaking, expecting to see the negative results again. Yes, another negative result and i threw the stick into the bin. Then think maybe still got miracle, i retrieve from the bin after a few hours to see a faint line. Quickly i went on the net for a crazy search that it means evaporation line. Some people says that this is a ghost line, some get positive result after a few days later but some say never to trust this evaporation line. I don't know know which side of the story to believe. On the internet a doctor said not to buy any urine test kit. It is cheating oneself, best to go for the blood test to get the most accurate answer. But i didn't have any pregnancy signs so i don't think much hope for this cycle. I waited for another 4 days and the night before the blood test, i cannot resist the temptation and went to guardian pharmacy to get the digital test kit. It does not require line reading, simply a yes or no answer. So i tried with shivering hands, still negative. Much disappointment, i broke down to cry at night. I asked Patrick if the eggs are still inside my tummy. He said no more eggs. The right brain training that he went through did give some sort of ESP or 6th sense. He told me that he's not sure what happen to the eggs but could tell that they are no longer inside tummy.
I asked myself why my effort to stay home, rest well, eat proper meals and yet the eggs still cannot implant. But i have always been strong, so picked myself up very quickly this time round. Life has to go on and i pull up her socks to move on. Patrick was a motivator for me as he will do funny things to make me laugh and forget about all the unhappiness. And being a well behaved boy since young, it made me more motivated to have another child. I set target at 10 tries in ivf before i will give up. Every failure will make one stronger. My friend recommend me to Chinese medication. At a point that English medication can no longer work, i realize that i cannot just sit around waiting for the next cycle and miracle to happen. I decided to be pro-active and got the contact number of different Chinese doctor to try out. A doctor Tan from clementi who specialize in male fertility issue and hubby tried this doctor. I tried another doctor Zou from Ang Mo Kio who specialize in ivf treatment acupuncture.
The first acupuncture was a funny feeling for both of us. Having needles poking into the stomach area, 4 into the center of the tummy and 2 on each side of the leg. After needle poke, the electrical current wire are being attached to the needles. Doctor will switch on the electrical current and ask if they feel comfortable. If current is too strong, adjustment will be made. 20 mins of treatment on the front then flip to the back for 6 needles to be poke for another 20 mins. There is a machine that gives out heat, will be directed on top of the acupuncture area to warm the womb. Sounds scary but the acupuncture needles are very fine so it is just a matter of getting used to the process. Hubby first try of the acupuncture, he was really worried as being very scared of needles. But he tolerated the pain, the sudden electrical current made him walk with a limp at the end of the first session. He was being very brave to take the first step and subsequently came to relax during the sessions. Even fell asleep with a loud snore, making me embarrass as might disturb other patients. The doctor gave us ready package herbs medication, just add hot water then drink. But the medication looks horrible, the smell is terrible. Twice weekly acupuncture doesn’t come cheap, at $25 per person for each acupuncture session, medication cost $100 per week. Total cost of around $800 per month. With this high cost, i had to stop Patrick's right brain training classes for awhile to fund the tcm treatment. Can this guarantee another child? Nobody can predict the future. I just had to believe that what’s meant to be will happen.

Tuesday, February 09, 2010

Typical Day before Egg Tranfer

Morning

1. One injection of lucrin on tummy area
2. One injection of puregon on tummy area
3. 5 egg whites
4. One bottle of chicken essence
5. One folic acid

Dinner

1. One bottle of chicken essence
2. Accupuncture at Dr Zou
3. 4 packet of chinese herbs
4. One cup of Anmum chocolate drink

Monday, February 08, 2010

2nd try of Fresh Cycle

This 2nd round of fresh cycle brought more experience, less excitement and more calmness. Wishing for success, more hope and higher chance due to sticky egg, accupuncture and proper rest. Seems like heaven is helping me this time round, office email was inaccessible so i could not be stress out reading the mails. Patrick didn't fall sick unlike previous tries, hubby could take time off work to fetch me to hospital daily for injection, my mom cooked hot meals for me, mio tv channels for entertainment, books and magazine from library to read, plenty of chinese herbs, brazil nuts and chicken essence to take. This made bed rest not as stressful and boring for me.
A total of 17 days bed rest before the blood test. Anxiously taking the home pregnancy urine test daily from day 3 onwards. Still no sign of positive line in the urine at day eleven past transfer. What could be wrong??? I patiently counting down to the final blood test.

I had problem during embryo transfer. Embryo can get stuck in the catheter. The doctor can only see the movement of the fluid entering the uterus on the ultrasound, it sometimes happens that when the embryo catheter is removed, and inspected, embryos are found inside. This is a good sign because the embryos are sticky. Sticky embryos have a good chance of adhering to the uterine wall.

Sunday, February 07, 2010

Difficult Pregnancy

My pregnancy of Patrina has not been easy. First 3 months, i was given progesterone pills (a kind of support medication to be taken daily to help the pregnancy stabilize). Everyday include progesterone pills, folic acid, chicken essence and chinese herbs. During work, i will be munching lots of tibits, biscuit and drinking pregnancy milk. After work, i need to rush to the nearby hawker centre to eat dinner before heading back home. Very different when pregnant with Patrick, no craving and no hunger. But this time round with Patrina, i seems to be eating like a glutton, almost every hour, thinking about food. This also lead to rapid weight increase to 20kg extra.

Saturday, February 06, 2010

Heavy Bleeding

6th week scan - I could not make an appointment with Dr Han, so went to Dr Loh for the scan. This scan is very important, to determine if the embryo survived, the number of sac and heartbeat. I anxiously need to know if the baby could make it and fortunately all went well, only one sac shown (so no chance of twins) and also a strong heartbeat heard. I was relieved with the results and pray that the rest of the journey will be smooth.

At the 16 weeks of pregnancy, i found fresh red bleeding on the panty liner. I was working in the office and got a terrible shock at the finding. I had to take emergency leave and rush to KK hospital in a taxi. The 24 hours doctor could not determine the cause of the bleeding, refuse to give any jab and just told me to rest for 2 days. But when i returned home, continue to bleed non stop for 4 hours. I called up Dr Zou (chinese sinseh) and she advised on a simple method. By eating glutinous rice with lotus root immediately and true enough the bleeding stopped. Dr Zou gave me a stronger portion of chinese herb and this helped to stabilize the pregnancy. I had bedrest for a week and went back to work but still continue to have brown discharge. So i made a big decision to take no pay leave till delivery. Lucky with an understanding boss and colleagues, i was allowed to leave work.

Week 20 - Detail scan found that low weight compare to average
Week 33 - Low water bag level and had to stay in hospital for 5 days to monitor
Week 37 - Labour pain contractions but did not lead to actual delivery

Friday, February 05, 2010

Low Water Level

At 32 weeks pregnancy, i was suddenly found to have very low water level. Dr Han panic and send me for a detail scan right away and the water level is dangerously low. So i was admitted into hospital for 5 days to monitor the water level. Baby was very small size then and if to deliver, might end up in the ICU. Patrick came to visit me at the hospital daily. He love adjusting my hospital bed up and down, he also tried hospital food as well, yummy!!! Fortunately the water level went up again after 5 days and i could be discharged.

This is the CTG machine that i had to put on to check baby's heartbeat (3 times per day).

Nutritous meal that Patrick also likes to eat. I stayed in the 5 bedder room, with mostly malay and indian patients. The amazing part is right after delivery, they get discharged the next day.




Below are photos taken inside the delivery suite while waiting for the doctor to come check on me.





There is a 2 weeks waiting period after egg transfer process and hospital leave given. And during this critical period, i had to eat 6 eggs white, chinese herbs and 2 bottles of chicken essence per day. I need to lie down in bed and minimize walking.


I had to go through a series of self injection in the morning. The nurses at KK taught me how to self inject. Firstly hands must be washed throughly, using antiseptic wipes to clean the medication and the area that i was going to inject. Using a new clean injection needle each time. The needles are very fine, something like the acupuncture needles. I don't feel much pain, only cold at the injected part as the medication is stored in the fridge. Following are the medication names that i had to take.

Lucrin jab (30days) - Some Breathlessness and body aches. Photo of a box of injection needles and alchol swap.

Puregon jab (9days) - bloatedness in the stomach area, short of breath and bruises on the tummy (injected area).

Pregnyl jab (night jab)- Pain on thigh muscle. Can't walk for 2 days.

Progestron jab (17 days) - Daily injection at the hospital that causes pain on the thigh muscle. The needle for this medication was really long and had to be done by the hospital nurse. I had to go back to hospital daily to let the nurse do the injection. By the end of the 16 days and 17 days, i could hardly walk properly. And during this difficult period, an inconsiderate colleague can still ask me about where i have my injection and probe me to explain about ivf. Well in life, there are some brainless people that just don't spare a thought for others emotion. Absolute bimbo!

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Wednesday, February 03, 2010

A lovely poem

Baby's Choice
Did you ever think, dear Mother
As the seed of me you sowed,
As you breathed new life inside of me
And slowly watched me grow,
In all your dreams about me

When you planned me out so well,
When you couldn't wait to have me there
Inside your heart to dwell.
Did you ever think that maybe
I was planning for you, too,

And choosing for my very own
A mother just like you?
A mother who smelled sweet and who
Had hands so creamy white,
A tender, loving creature

Who would soothe me in the night?
Did you ever think in all those days
While you were coming due,
That as you planned a life for me
I sought a life with you?

And now as I lay in your arms,
I wonder if you knew
While you were busy making me,
I was choosing you!
~Colleen M. Story

Monday, February 01, 2010

It's a Girl

With the knowledge that it is only a singleton, i hoped that will get a girl. But whenever i asked Patrick if there is a didi or meimei in the tummy, he would reply didi. During the detail scan, the doctor could confirm that it is a girl. I am very blessed and lucky that my wish is granted. This is fighting against the odd as ivf pregnancy has more possibility for boys due to the stronger male sperm that will be most likely be choosen in the lab.

Friday, January 15, 2010

Dr HC Han

He is one very friendly and funny doctor, never failed to look neat in his shirt and tie. This is greatly opposite the untidy Dr SF Loh. Dr Han always spoke to me in mandarin and often tell jokes. Actually anything that comes out of his mouth is really comical. And just how many guys dare to wear pink shirt to work??? He's one of them. Though his appearance seems friendly but he is actually promoted to professor recently, heading the department of urinalogy at KK. And apart from half of his time spent looking at patients from maternity ward, he also sees alot of older "aunties" patients. Have known him for 5 years and he delivered Patrick. He insist that Patrick does not need forcep and vacum, asked me to push my feet against his stomach for the final push. Definitely one recommended gynae for anyone who wishes to try natural delivery as he is against c-section.

I used to see him at the Ang Mo Kio KK clinic during Patrick's time but eversince we moved out of the north area, i see him at private suite nowadays. The Ang Mo Kio clinic used to be one level and now also upgraded to 2 level. However, this time round for Patrina, i was under emergency delivery so he was not really involved. Except that during my mist of rushing into the emergency room at 4am, i could still hear him shouting to me that "i am going to open knife as baby cord drop out" (in mandarin). This helped to pacify my anxious mood then. Anyway, I should still be seeing him once a year for annual pap smear.

Thursday, January 14, 2010

Dr Zou - TCM Ang Mo Kio

Dr Zou is recommended by ladies from ivf forum. She is from Shanghai and stayed in singapore for 17 years, helping mostly men and ladies who had difficulty conceiving. At first i was quite skeptical about going for chinese accupuncture and medication. I always thought that we should never mix western and chinese medicine together. But after the 2 times failure, i thought maybe i really need some form of support in pregnancy. This involve warming of the womb area with accupuncture needles and taking the bitter herbs to help the embryo stay inside the warm womb. Dr Zou never failed to encourage ladies to keep trying, she even helped us monitor our progress. Western gynae never have time to explain much as they are always so busy. With Dr Zou, the 40 minutes treatment twice a week allow us to chit chat like friends. She even note down the pregnancy test date for each patient and gave us follow up call. Does the western doctor that we paid thousands of dollars gave us such service? NO!

Ever since Patrina borned, i had wanted to visit her but could not find time. Until recently manage to go back to give her a cake voucher and send my regards. She even gave baby a red packet. From now on, i should be visiting her if happen to have some other illness.

Sunday, January 10, 2010

Test Tube Friends

The other ladies that i known from ivf forum also successfully conceive and gave birth. We had a gathering during the full month celebration. Some lucky ones have twins and even triplets. Though seems like very tough to take care of twins or more babies but we would never dare complain. Looking back at the times that we had disappointment and praying each and everyday to be bless with a baby. I am glad that we succeeded and hopefully the rest of the ladies will succeed soon.


Situated at the basement corner of the women tower, not sure if bless by good feng shui, kkivf center is definitely a very high success rate hospital as compare to other hospitals.



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