A publication of Charlevoix Area Hospital Winter 2004 HAVE YOU VISITED OUR NEW WEBSITE? 14700 Lake Shore Drive Charlevoix, Michigan 49720 231/ 547-4024 Now you can learn more about our hospital, email patients, check out career and volunteer opportunities, get info about upcoming programs and events, make a gift to our hospital foundation, and keep abreast of new medical services—all from the comfort of your own computer! Administration William Jackson, President Diane Kidder, Vice President, Staff Services Joy Klooster, Vice President, Nursing Services Tabitha Rudolph, Vice President, Financial Services Roger Sievertson, Vice President, Support Services Chris Wilhelm, Vice President, Professional Services To Your Health is a publication of Charlevoix Area Hospital, produced to inform area residents about health issues and hospital services. Board of Directors Rebecca Haney, Chairwoman Richard Fish, DDS, Vice Chairman Steve Hufford, OD, Secretary & Treasurer James Jeakle, MD, Chief of Staff Tom Carey Mark Eckhardt Sulane Hamilton Mary Jason Marc Lame, MD Norm Perkins Bob Vance Ruth Waters HEART SMART Heart Disease is an equal-opportunity issue Just the FACTS About Charlevoix Area Hospital Serving our community since 1919 Affiliate Centers: Boyne Area Medical Center that now threatens women as often as men. COULD YOU BE AT RISK? Charlevoix physician Melodie Brown, MD, makes cardiac health a priority in her busy family practice—and for good reason. Although women typically identify breast Boyne Rehabilitation Center Jordan Valley Rehabilitation Center Boulder Park Terrace Beds: 44 Physicians: 61 Staff: 315 Admissions: 1,500/year Outpatient Visits: 29,100/year Emergency and Urgent Care Visits: 12,000/year Accreditation: Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Governance: Nonprofit hospital governed by volunteer community board Annual Payroll: $10.5 million www.cah.org How to be cancer as the biggest threat to their health, more than one in three will be affected by heart disease. What’s more, women who suffer a When it comes to heart disease, women lag behind men by as much as 20 years. But a woman’s first heart attack is more likely to be fatal. heart attack are more likely to be disabled. Turn to page two to find out what Dr. Brown wants you to know about reducing your risk. Continued on page 2 HEART SMART HOW TO CALCULATE YOUR BODY MASS INDEX BMI = {your weight in pounds} x 703 (height in inches) x (height in inches) For example, a person who weighs 140 pounds and is 5’4” tall has a BMI of 24.2. Adults who have a BMI of Watch Your Weight Control Your Blood Pressure Obesity is the biggest contributing factor to heart disease. According to the latest height/ weight charts, a woman who is 5’5” should weigh less than 148 pounds—and, for many, that means a healthier diet is in order. Women whose abdominal girth exceeds 35 inches, or who are “apple” shaped are at greatest risk. Keep your Body Mass Index (BMI) under 25. High blood pressure—or hypertension—increases your heart’s workload and contributes to the risk of heart disease. Recently, the benchmark for high blood pressure was reset to 120/80, and women whose blood pressure reading exceeds that should take steps to lower their numbers. Same old story here: watch your diet (and cut back on salt), reduce fats, and exercise, exercise, exercise! Limit Fats Stop Smoking 18.5 to 24.9 are considered normal; those with a BMI of 25.0 to 29.9 are overweight; and those with an index of 30 and above are medically obese. IT ALL ADDS UP An average adult woman who consumes Your fat intake shouldn’t exceed 25% - 35% of your total calories for the day—and saturated fats (those from red meat, dairy, or shortening, for example) should be limited to 7% or less. “Good” fats—Omega 3 fats—may actually offer some protection from heart disease and can be found in deep water fish such as salmon and tuna, and in raw nuts— especially almonds. Lower Your Cholesterol Every woman should have her cholesterol checked around age 20 to establish a benchmark, and continue to be rechecked every five years after. A cholesterol reading of 180 or less is considered normal. Equally important is the distribution between HDL (good cholesterol) and LDL (bad cholesterol). An HDL reading of 60 or above is optimal; ideally, LDLs should be less than 100. Move It and Lose It just 1% more than her caloric requirement for one year will gain 20 pounds. 2 Diet with exercise is the best combo for increasing HDL levels, lowering blood pressure, and reducing the risk of diabetes and heart disease. Every woman should aim for 30 minutes of aerobic activity at least five days a week. Monitor Your Blood Sugar Compared to men, women with diabetes face a greater risk of heart disease. Make sure you have your blood glucose checked when you have a yearly physical—particularly if you have a family history of diabetes. A healthy diet and weight loss will help reduce the likelihood of diabetes. Smoking is responsible for at least half of the heart attacks in middle-aged women. Enough said. Drink Only In Moderation Recent studies seem to indicate that having an alcoholic beverage 3 – 5 times a week can actually benefit your heart. Red wine, because of the flavinoids and antioxidants, may be most beneficial of all. Use Hormone Replacement Therapy (HRT) With Caution It now seems clear that hormone replacement offers women no protection from heart disease— and, in fact, it may even increase the risk in some women. For that reason, women should use HRT only to control any seriously uncomfortable effects of menopause, and then only short term. Manage Stress Stress increases your body’s adrenalin levels—and that can spell trouble for your heart. Aside from exercise (always a great stress-reliever), consider yoga or relaxation techniques. If you’re dealing with personal problems or other issues outside of your control, seek counseling to learn helpful coping skills. Know Your Family History Of course, the one thing you can’t do anything about is your genetic heritage—and that’s a key factor in heart disease too. If you have parents or siblings who had a heart attack or were diagnosed with heart disease before the age of 65, you’re at greater risk yourself. That means you’ll need to be extra cautious about all the other factors you CAN control. 40 Fabulous Years Dr. Lignell celebrates a milestone When John Lignell, MD, first made his move to Charlevoix Area Hospital, JFK was president, the Beatles were still playing Liverpool pubs, beehive hairdos were all the rage, and computers were the stuff of dreams. It was 1963, and the young doctor from Detroit was looking to set up a solo family practice in a small Michigan town. As luck would have it, he ran into his dad’s good friend, beloved Charlevoix physician Gilbert Saltonstall, MD, while attending a state medical society meeting. At Dr. Saltonstall’s invitation, Lignell paid a visit to our fair city—and the rest is history. “I came up in the middle of a blizzard, with nary a car in sight on Bridge Street,” remembers Dr. Lignell. “But the next day dawned bright and sunny. A foot of fresh snow covered everything, and the view of Round Lake was beautiful. It seemed like a sign.” That following summer, Lignell moved to Charlevoix, opened a practice on Clinton Street, and put in his first on-call weekend at the hospital’s ER—a busy fourth of July holiday, as it turned out. “Things were hopping, but I loved it. And I’ve loved it ever since.” Recently, Dr. Lignell was honored with a 40-year service award at the annual hospital dinner, a significant career achievement by any measure. Looking back, he marvels at how much the practice of medicine has changed since ’63, and how much Charlevoix Area Hospital has changed too. “Back then, the hospital was much smaller than it is today. We had no coronary care unit, only a few OB beds, and a tiny x-ray department that relied on a radiologist who came in once a week to read film,” he recalls. “Physicians had no beepers… we had to let the hospital know where we were and how we could be reached at all times. Now, there’s always a doctor present in the emergency department 24 hours a day, seven days a week.” Dr. Lignell credits technology with bringing about the greatest advances. “New diagnostic tools allow us to pinpoint problems and treat them earlier. And, thanks to state-of-the-art monitoring equipment, we can closely watch over patients and track their status. But, for small hospitals like ours, maybe the most important technological development is our ability to access data, share information, and tap medical expertise anywhere in the world. That keeps us learning—and that’s what makes this career so endlessly rewarding.” After 40 years, retirement isn’t even on Dr. Lignell’s radar screen. And that suits his patient, Norm Perkins, just fine. Lignell has been primary care physician to the Perkins family since 1969 (or “B.C…. Before Children,”as Norm puts it). “John is kind and gentle; calm and comforting. His strengths and skills are unmatched. We live in an era when physicians are so busy. But Dr. Lignell is always generous with his time and he’s an excellent listener. I feel lucky to have him as my physician, and proud to have him as a personal friend.” 3 Area women who have been looking for a woman doctor to see them through their pregnancy now have two great options. Under a “shared care” arrangement, two female physicians will provide prenatal care in cooperation with OB specialists, Drs. Jeakle and Mosher. TV that’s GOOD for you For Patients & Guests Patients at Charlevoix Area Hospital can now tune in to Channel 39 to pick up helpful, easy-to-use information about a wide variety of health topics—from diabetes to smoking cessation, pain management to post-surgical care, techniques for handling a newborn to tips for successful parenting. The Patient Channel is delivered by satellite, 24 hours a day, directly to patient rooms and waiting areas throughout the hospital. Oh baby! Pregnancy is such a special time of life. And many expectant patients— especially first-time moms—are looking for extra understanding and empathy. For Health Professionals Physicians, nurses, imaging technologists, pharmacists, and other health professionals at the hospital now have access to clinical training and accredited continuing educational programming on Channel 40—TiP-TV. The educational channel gives our staff an opportunity to polish skills, tap new information, and share expertise without traveling to a distant medical campus. Now, two family physicians in our area are providing prenatal care with a woman’s touch. Geralyn Doskoch, MD, has teamed up with OB/Gynecology specialists William Mosher III, MD, and James Jeakle, MD, to offer prenatal care to Charlevoix Geralyn Doskoch, MD area women. Andrea Wendling, MD, her counterpart at Boyne Area Medical Center, will offer prenatal care to women in the Boyne City area. “This is a great addition to our area’s healthcare choices,” says Mary Terryberry, (231) 582-5314 RN, nursing director of the hospital’s Birthing Center. “Patients who prefer to have a woman physician care for them during pregnancy can now choose one of two excellent doctors—both known for their gentle manner and understanding. IS A CIGARETTE HABIT HOLDING YOU HOSTAGE? Best of all, they can count on delivering their babies at our hospital’s beautiful new Birthing Center.” Dr. Wendling is at Boyne Area Medical Center Monday, Wednesday, and Thursday; Dr. Doskoch will see patients at Charlevoix Women’s Health Care on Andrea Wendling, MD Tuesday and Friday. If you’re a smoker who’s ready to quit, we’ve got the help you need. Freedom from (231) 547-4477 What women want. What women need. Smoking is a lively, interactive program that gives you the tools, tips, techniques, motivation, and support you need to stop smoking—and stay stopped. Sponsored by Charlevoix Area Hospital in cooperation with the American Lung Association, the 8-week series will lead you Baby Bonus through a proven, step-by-step formula for Women who receive prenatal care from success. New sessions start Dr. Doskoch or Dr. Wendling can plan on soon. Call our Freedom delivering at Charlevoix Area Hospital’s from Smoking beautiful new birthing center. Coordinator to sign up—and you could be an ex-smoker by summer! 4 231/ 547-8672 The Birthing Center’s Sherry Kirby, RN, has a special touch with newborns. 5 WHAT’S the B OY N E C I T Y News from our hospital affiliates Andrea L. Wendling, MD, and Michael J. Harmeling, MD, have joined Doctors Boss, Knysz, and Wonski to offer comprehensive care to adults, adolescents, and children alike. Dr. Harmeling’s practice will include a special emphasis on men’s health, while Dr. Wendling will focus on women’s health. Both physicians are 1994 graduates of The University of Michigan School of SOMETHING FOR EVERYONE Dr.Wendling provides care for women, Medicine, certified by the adolescents, and children. As part of his American Academy of Family primary care practice, Dr. Harmeling will Physicians, and come to the emphasize men’s health. Boyne practice from Advantage Health in Grand Rapids. They’re married and the parents of three children. “We’re really pleased to be part of such a dynamic health team,” says Dr. Harmeling, who grew up in the Boyne City area. “It’s a great place to live, raise a family, and build a practice.” Operating at capacity, Boyne Area Medical Center has been in need of more space and additional doctors to serve the area’s growing population. The remodeling adds 2,200 square feet, including four more patient exam rooms, a mammography suite, expanded lab, procedure room for minor surgeries, new physician offices, and a large reception area. The center was established as an affiliate of Charlevoix Area Hospital in 1997 to offer all types of non-emergency preventive care—from infant care, well-baby visits, and immunizations, to adult physical exams, reproductive health services, and routine treatment of minor illness or injury. Boyne Area Medical Center is located at 223 Park Street in Boyne City, (231) 582-5314. 6 dB oss , an nys z ski ,K g jo in Do cto r sW on C H A R L E VO I X In Boyne City, Doctors Harmeling and We nd lin After an extensive, eight-month construction and renovation project, Boyne Area Medical Center is bigger and better than ever. And, thanks to the addition of two new family physicians, the center is now accepting new patients too. . Boyne Area Medical Center expands, adds new physicians E A S T J O R DA N Jordan Valley Rehab moves to new digs There’s plenty of room to bend, stretch, build strength, and mend muscles and bones at Jordan Valley Rehab’s new home. The rehab center has moved to the magnificent new Main Street Center in downtown East Jordan, tripling its space and expanding services in the process. Occupying about 3,000 square feet of the second floor of the recently renovated historic building, JV Rehab offers physical, occupational, and speech therapy; functional capacity exams; cognitive rehabilitation for stroke patients; and reconditioning for injured athletes. The bright, spacious new location is designed to be comfortable and convenient, with private treatment rooms, exercise equipment, and plenty of space for weight training. THE POWER OF 3 OB/Gyns William Mosher III, MD, and James Jeakle, MD, are joined by the newest member of their practice, family physician Geralyn Doskosh, MD. The three offer comprehensive care for women of all ages at Charlevoix Women’s Health Care, located at 14700 Park Avenue on the hospital’s campus. WOMAN TO WOMAN Dr. Doskoch offers comprehensive, holistic health care to women of all ages—from pre-puberty through post-menopause and beyond. A new, holistic healthcare option for women With the move, the rehab center will also expand its hours, seeing clients from 7:00 am to 5:00 pm on Monday, Wednesday, and Friday; and 7:00 am to 6:00 pm on Tuesday and Thursday. Great news! Area women who want holistic health care at every stage of life now have more choices than ever before. Geralyn Doskoch, MD, has joined James Jeakle, MD, and William Mosher III, MD, in the newly named Charlevoix Women’s Health Care practice. “We know how important it is for people to gain confidence, heal, and get back to their routine quickly and safely after an illness or injury,” says physical therapist Mike Aenis, who serves as manager of the rehab center. “In most cases, patients can be scheduled for an appointment 24 to 48 hours of a physician referral.” A graduate of The University of Michigan School of Medicine and certified family practitioner, Dr. Doskoch has a keen interest in women’s health issues, and a strong commitment to integrating body, mind, and spirit in her delivery of medical care. Jordan Valley Rehabilitation Center is an affiliate of Charlevoix Area Hospital, which also operates sports medicine and rehab programs at the hospital, and at Boyne Rehabilitation Center in Boyne City. Jordan Valley’s new rehab center is bright, spacious, and designed to be comfortable and convenient for clients. From its second floor space in the renovated Main Street Center, the facility offers great views of downtown, the Jordan River wetlands, and Lake Charlevoix. “As a woman, a physician, and a mom, I can relate to a variety of women’s concerns,” says Dr. Doskoch. “I think many women today are looking for ways to take charge, and learn all they can about maintaining their total health and managing their care. I hope to help my patients do just that.” Dr. Doskoch is at Charlevoix Women’s Health Care on Tuesdays and Fridays. The office is located at 14700 Park Avenue, adjacent to the hospital campus. Women who are interested in making an appointment with Dr. Doskoch, or with Doctors Jeakle or Mosher, should call 231/ 547-4477. 7 UM Survival Flight gives our heliport a ‘thumbs-up’ Nuclear medicine offers an inside look When it comes to diagnosing heart disease, thyroid problems, gall stones, and a wide assortment of other organ, tissue, or bone abnormalities, nuclear imaging can provide an accurate picture of what’s going on inside the human body. or tissue under study. There, the radioactive isotope gives off gamma rays that can be seen using special equipment called a gamma camera. The camera traces the course of the radioactive agent, highlighting the organ or area of concern. Although the very name conjures up some futuristic science fiction, nuclear imaging is very real. And it’s being performed every day at Charlevoix Area Hospital. “Like the CT scan or ultrasound, nuclear imaging is another tool that allows us to make accurate diagnoses,” says Charlevoix radiologist Carl Harlan, DO. As head of our hospital’s radiology department, Dr. Harlan interprets images from the gamma equipment, identifies any abnormalities, and consults with other physicians to determine an appropriate course During the quick and painless diagnostic procedure, a patient either ingests or is injected with a very small amount of radioactive material that travels to the organ Radiologist Carl Harlan, DO, carefully reviews images from the nuclear scan at right. of treatment. “Nuclear medicine complements our other diagnostic tests, adds to our capabilities, and enhances our capacity to care for patients. It’s particularly convenient for area people to be able to have the procedure here at the hospital, where we can integrate their whole treatment plan.” It’s been just four years since the nuclear medicine department was launched here at Charlevoix Area Hospital. In that short time, the department’s staff has achieved a level of patient care and perfected the highly specialized diagnostic services in order to meet the American College of Radiology’s rigorous practice standards. The department recently underwent a voluntary evaluation by the ACR that resulted in a three-year accreditation of the department— making Charlevoix Area Hospital the only facility in northern Michigan to receive the designation. In a serious emergency, a University of Michigan Health System Survival Flight can make the difference between life and death. Its arrival is usually cause for concern—a sure sign of trauma or illness requiring a speedy transfer and the high level of care only UM specialists can provide. But this time the University’s twin-engine Bell 430 helicopter was greeted with smiles and waves when it paid a friendly, non-urgent visit to our hospital’s new rooftop heliport. Cleared for Landing Dr. Harlan says the challenging accreditation serves as a measure of excellence for patients, referring physicians, and health insurers. “Receiving ACR accreditation confirms that we’re able to provide high quality care. That’s something we strive for every day, in every department of the hospital.” The visit gave Peter Forster, Administrator for the UM Health System Emergency Medicine, and the Survival Flight crew a chance to test our helicopter landing pad, tour the hospital, and get acquainted with our new emergency department. “When we learned of Charlevoix Area Hospital’s The department extensive emergency department upgrade and the new helipad, we wanted to check it out,” Forster says. “It’s important for us to know about the hospital’s medical technology and capabilities in the event we’re called upon to transport patients.” The visit also provided staff with a close look at the state-of-the-art chopper and an opportunity to learn more about the triage protocols used to transfer critically ill patients. Now in its 20th year, the University of Michigan Health System’s Survival Flight program operates three helicopters, a Cessna jet, and specially equipped ground transportation used to evacuate and transport newborns in need of neonatal intensive care and organs destined for transplant, in addition to ill or injured patients. Dr. Dennis Joy, who serves as director of our hospital’s Emergency Department, sums it up: “When a high level of care is called for, Survival Flight can help ensure Charlevoix area patients receive all the medical attention they need. We’re privileged to have this world-class air ambulance team, and the connection it gives us to The University of Michigan hospitals and health centers.” recently received a three-year accreditation from the American College of Radiology—making Charlevoix Area Hospital the only facility in northern Michigan to earn the designation. This is not the composited image. Aran is sending it to me. 8 A Flight Survival Story One Charlevoix resident knows first-hand the importance of Survival Flight’s rapid response. When he was just 11 years old, Nathaniel Sotuyo was rushed from Charlevoix Area Hospital to Mott Children’s Hospital in Ann Arbor, courtesy of the high-tech chopper. A normally active, outdoor kid, Nathaniel became suddenly and seriously ill, suffering a series of unexplained seizures. Suspecting Lyme Disease, Roderic Tinney, MD, Nataniel’s pediatrician, admitted him to our hospital and immediately prescribed medication to slow the seizures. When that neglected to help, and consultation with a pediatric neurologist failed to yield results, Dr. Tinney acted quickly to have Nathaniel transferred to the University of Michigan Health System facility. Nathaniel was eventually diagnosed with “encephalitis due to an unknown virus,” a condition that required him to continue anti-seizure medication for more than a year and undergo follow-up EEGs. As Dr. Tinney, hospital staff, and his anxious family watched, Nathaniel was carefully placed aboard a Survival Flight helicopter and transported to Mott, where he spent six days in the ICU. “Those were the hardest days of my life,” says Terry Sotuyo, Nathaniel’s mom. “It was almost three days before Nathaniel began to respond, and all of us were frantic with worry.” “Looking at him, it’s hard to believe what he went through,” says Terry. “I have tremendous respect for Dr. Tinney and his quick thinking. Nathaniel might have suffered serious, long-term effects, brain damage, or worse. I can’t imagine what would have happened without the Survival Flight.” Flying high today Nathaniel Sotuyo was guest of honor when the UM Survival Flight paid a visit to Charlevoix Area Hospital. The 15-year old Charlevoix High School sophomore has no memory of the day he was a passenger aboard the lifesaving chopper. “I had no idea what the helicopter even looked like or how big it was,” he says. “My only recollection is when I had a spinal tap, and when I started to recover in Ann Arbor.” Today, Nathaniel says he feels great. “I can participate in sports and be as active as I want. There are no restrictions on the way I live my life.” Although his recovery took time, Nathaniel now shows no signs of the illness that nearly took his life. A happy, healthy, outgoing 15-year-old, he enjoys cross-country, track, wrestling, snowboarding, and hunting—and he’s an excellent student to boot. 9 NEW & IMPROVED TIPS for TAKING OFF POUNDS Is your New Year’s resolution to lose weight still Richard S. Hagelberg, MD, who recently received on track? Here’s some help from our Registered special training and Stretta certification at Ohio State Dietician, Laurel Najarian. University, says Stretta is an attractive alternative to Feeling the burn? lifetime dependence on over-the-counter or prescription Don’t Let a Slip-Up Set You Back days in the hospital, and several weeks of recovery. outpatient treatment “The Stretta procedure takes less than an hour to Every dieter succumbs to temptation now and then. For some, an perform, can be done under local anesthesia, and occasional slip signals an all-out binge, followed by guilt, self- requires no incision,” he explains. “Most patients will recrimination, and giving up. If you’ve done a good job of sticking spend just a few hours in the hospital and return to to your eating plan, a calorie-laden dinner or rich dessert won’t normal activities in a couple days.” make a big difference. Allow yourself a celebration now and then— and you’ll be ready to jump back on your diet plan with new resolve Gastroesophageal reflux disease (GERD) occurs and success. when the stomach contents “reflux” up through a weakened valve in the lower esophagus, causing Keep a Journal frequent regurgitation, heartburn, chest pain, difficulty A journal can help you see the connections between food and swallowing, and even ulceration. In some cases, mood. Keep track of everything you eat, how you were feeling at patients may be able to control the condition by eating the time you ate, and your energy level before and after eating. smaller meals, avoiding food before bedtime, or elevating You’ll learn important things about yourself and your relationship their head and chest while sleeping. But for many, with food. And you can chart success along the way as you build costly prescription medications that decrease stomach endurance, feel better, get stronger, have more energy, and take off acid, or more complex and invasive surgery, have those extra pounds. been the only treatment options. Crank It Down a Notch Stretta goes to the cause of the problem, treating the When it comes to exercise, too much, too soon, too frequently can cause early burnout. If you’re starting to feel discouraged, cut back on the intensity of your workout and go for a brisk walk instead. Lots of people bag their diet and exercise program because they’ve set unrealistic goals. If an hour of exercise leaves you feeling exhausted, try a 10 or 15-minute routine. Consistency breeds success. Fifteen minutes of exercise every day is far more effective than one hour every few days. Add Variety Change your menu and your exercise routine often to keep your motivation up. If your regular workout at the gym is growing stale, try using a new piece of equipment, adding weights, or heading outside for a jog, bike ride, or cross-country skiing instead. called Stretta can offer significant relief to many who suffer from gastroesophageal reflux disease (GERD)— and the procedure is being performed exclusively at Charlevoix Area Hospital. weakened valve that lies between the esophagus and HEALTH NEWS you C A N U S E stomach. During the procedure, a narrow catheter is inserted through the patient’s mouth, down through the valve. Then, radio-frequency waves are used to contract the esophageal sphincter and prevent food and acid from traveling upward through the esophagus. According to Dr. Hagelberg, Stretta is a good option for most people who suffer from GERD. Only those with a large hiatal hernia are unable to undergo the procedure. “In over three years of clinical use, Stretta has shown to be highly effective in treating GERD,” Hagelberg explains. “It can greatly improve the quality of life for those who experience acid reflux, and provides complete, long-lasting relief in nearly two-thirds of all GERD patients.” If you’re interested in learning more about the Stretta technique, consult with your physician or 10 A new, low-risk medication, or conventional surgery that requires several call Dr. Hagelberg, (231) 547-2812. CURE FOR ACID REFLUX A 11
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