Not Your Mother’s Family Planning Program

In this week’s blog post, Jonathan Imbody shares how several federal grants awarded under a recent Title X funding opportunity illustrator the current White House Administration’s determination to ensure that faith-based and pro-life clinics, hospitals, pregnancy centers and sexual risk avoidance programs get a fair and legal chance to compete for federal funding.

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On the Side: August 2018

This time of year, many of us in the medical world find ourselves moving from one place to another; following our doctor husbands to new training programs, residencies, fellowships or careers. June and July are the months of the annual migration of doctors, which creates a lot of packing and unpacking of boxes.

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On the Side: March 2018

We are settling in to our new normal around here—early Monday morning airport runs as Dad commutes to Delaware for his new job; seizing moments on Facetime each night. We cherish when my college girl has Wi-Fi so she can keep us updated on her adventures as she studies abroad this semester in Buenos Aires, Argentina. Trying to keep everyone feeling connected and cared for up-close and far away seems to be my new full-time job!

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New HHS division, conscience freedom laws and policies protect patients and physicians

This excerpt is the sixth in a series of essays on conscience in healthcare, by Jonathan Imbody, Vice President for Government Relations of the Christian Medical Association and Director of Freedom2Care. The essays respond to “Physicians, Not Conscripts — Conscientious Objection in Health Care,” Ronit Y. Stahl, Ph.D. and Ezekiel J. Emanuel, MD, PhD, New England Journal of Medicine 376;14, April 6, 2017.

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On the Side: February 2018

In Matthew 11:28-30, Jesus says, “Come to Me, all who are weary and heavy-laden, and I will give you rest. Take My yoke upon you and learn from Me, for I am gentle and humble in heart, and you will find rest for your souls. For My yoke is easy and My burden is light” (NASB).

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Are healthcare conscience laws needed?

This excerpt is the fifth in a series of essays on conscience in healthcare, by Jonathan Imbody, Vice President for Government Relations of the Christian Medical Association and Director of Freedom2Care. The essays respond to “Physicians, Not Conscripts — Conscientious Objection in Health Care,” Ronit Y. Stahl, Ph.D. and Ezekiel J. Emanuel, MD, PhD, New England Journal of Medicine 376;14, April 6, 2017.

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What Do You Need Right Now?

My wife and I will be in a meeting this week. We’re a little late this year scheduling our ‘meeting,’ as we had guests in our home over the New Year holiday, and it’s taken us this long to ‘clear the deck’ and be able to focus on what’s become an annual calendar event: It’s what we call our ‘Where have we been, what do we need, and where are we going this year’ conversation.

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On the Side: January 2018

My husband is winding down his tenure at the children’s hospital in our home state of Mississippi. He will begin a new job on February 1, and we will enter a season of commuting back and forth from his new job in Delaware to our current home in Mississippi—where I need to stay until our triplets finish college in a year and a half due to the physical needs of our son with Cerebral Palsy.

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Bedrock Oaths Vs. Zeitgeist Barometers

On the heels of World War II, with medical ethics in the spotlight following unconscionable Nazi atrocities, the World Medical Association (WMA) decided the Hippocratic Oath, which had guided medicine since around 500 BC, needed to be replaced. So the WMA developed a new oath that contained some of the principles of the ancient oath but opened the door to continual modernizing.

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On the Side: December 2017

The Child Life Specialist was working with my 3-year-old triplets in an effort to prepare them all for Benjamin’s upcoming surgery. “This is a doctor,” she told them patiently, as she held up a photograph of a man in dress clothes and tie. “Now who do you think this is?” she asked, holding up a photo of the same man dressed in blue scrubs and a blue surgical scrub hat. “Daddy!” my three screamed in unison.

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The “Force” May Not Be With You

December 14, 2017 marks the day “Star Wars: The Last Jedi” is scheduled to appear in theatres across the country. No doubt, lines will be long and start forming hours before the first showing, as patrons vie to be among the first to see the latest Lucas Films offering, and remember again those epic words, “The force will be with you.”

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The Value of the ‘Reset’ Button

A few months ago, my wife got us one of those fancy vacuum cleaners that will suck up everything from casual dust to extraneous nuts and bolts that might be lying around, without so much as a hiccup. In all honesty, I actually enjoy vacuuming with that thing. Spot a speck on the floor. Roll that wonderful piece of ingenuity over the top of it, and bingo, it’s sucked into the bowels of the machine, never to be seen or heard from again.

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Autonomy Quickly Translates to Tyranny

It’s one thing to expect physicians to do everything possible to advance healing for patients. It’s quite another to insist that whatever the patient wants, the patient gets—so the physician must provide it at risk of his or her career. Whenever one group gets its way regardless of the impact on others, that is not autonomy; that is tyranny.

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A Word About…’Fixin’

I’ve been traveling and vacationing in the South for the past several days; Atlanta, and the Stone Mountain area, and then on to Gatlinburg, Tennessee and Pigeon Forge, hometown of Dolly Parton. While I grew up in the Midwest, most of my relatives are from the Ozark Mountains of southeast Missouri. Spending the last few days as a tourist in Georgia and Tennessee reacquainted me with a vocabulary word I’d almost forgotten. It is the word, fixin.

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As-Built Check List

My wife and I recently decided to add solar power to our home. We’ve lived in our house about eleven years now, and we thought solar power would be a wise investment. Our solar contractor is a personal friend, and after we settled on the location of our panels and an approximate installation start date, my friend said he would ‘get the ball rolling’ down at the county planning office, applying for a solar permit.

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How’s The Chair You’re Sitting In?

Often, healthcare professionals I coach feel a need for change in their lives, but they’re not exactly sure the direction of that change, the shape of the change or the timing of the change. Many of our CMDA members have discovered that coaching can be a useful tool in helping to define and clarify effective change in their personal and professional lives.

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Change, Transition, and Transformation

Dr. Sartori and I recently finished leading CMDA’s 8-week, live webinar, 503 Coaching Change, Transition and Transformation. What a rich time of growth, learning and fellowship! The nine participants have now completed thirty-two hours of ICF-certified coach training with our program, AND, they received the added bonus of twenty-four hours of Category I CME credits.

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A Word About…Books

WE ARE A FAMILY of musings and stories and books. In fact, I come from a long line of storytellers. Some people talk with their hands. Some people talk with their eyes. I have to talk with my stories. Without my stories, I fumble for things to say. I struggle to communicate. But with stories, musings, “first-person-happenings-to-me,” I am freed from the need to think in words, and I can communicate in pictures drawn with sights and sounds and smells. I guess that’s why I love to write.

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A Word About…Doors

During my years as a coach of Christian doctors, a common topic of interest has been ‘doors.’ Perhaps a doctor has an opportunity for career change or advancement, and wants to coach about whether to walk through Door A or Door B (or there may even be Doors C, D, E, and F!)

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The Ping of the Hammer, the Squish of the Clay

Every day, I live some and I die some; I save some, and I lose some. I find life, and I lose life. Kingdom living is like that. Jesus said, “Whoever seeks to save his life will lose it, and whoever loses his life will preserve it.” (Lk. 17:33, NKJV) Eugene Peterson’s The Message put it this way: ‘If you grasp and cling to life on your terms, you’ll lose it, but if you let that life go, you’ll get life on God’s terms.’

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Feeling the ‘Burn’ in Burnout

There is absolutely no question that physician burnout is on the rise in medicine today. Numerous studies have supported the reality that physician burnout rates range from 30 to as high as 65%, depending on specialty. Burnout, of course, isn’t a ‘disease’ a physician would prescribe medicine for, or even necessarily diagnose in one of his or her patients. But it is a ‘dis-ease,’ to be sure. Burnout is a long-term stress reaction, which includes emotional exhaustion, depersonalization, and a lack of sense of personal accomplishment. For a certainty, Christian doctors are not immune to the effects of burnout, and one of the primary elements of CMDA’s coaching ministry is helping Christian doctors manage and address the challenges of burnout in medicine today.

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Perspective…

God is very wise, When He decided it was time for “time” to begin, He divided life into bite sized pieces—seconds and minutes, moments for living—each identical in length to all the others, yet each totally unique.

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That’s A Good Question

Experienced and skilled coaches use a variety of tools for helping their clients think, re-think, or ‘new-think’ ways of seeing things. Sometimes, just looking at a circumstance or situation from a slightly different perspective can produce breakthroughs. Asking powerful questions can be amazingly effective in helping individuals see things in a different way. And, as a coach, one of the most affirming comments a client can make to me, (after I’ve asked what may seem like a simple question) is an even simpler response: ‘Hmm? That’s a good question.’

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Federal Policy Top Priorities in 2017

The Washington Office of CMDA focuses on the fundamental issues of the right to life and freedom of faith, conscience and speech, which serve as the foundation for all other rights and freedoms. Here are some of the top priorities for the new year.

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Are You Suffering from ‘Hurry Sickness?’

Author Lewis Grant describes a condition he calls, “Sunset fatigue,” end-of-the-day behaviors he says may indicate that an individual has been “infected” with hurry sickness. Here are some of the symptoms he has identified. Sound vaguely familiar?

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The “Happiness Habit” of Being Thankful

I love Fall. It’s a season of beautiful foliage, football, and a time for me reflect and celebrate the Thanksgiving holiday. This year, again, I plan to take time throughout the Thanksgiving season to thank God for my many blessings. (My wife and I are particularly thankful this year, with the arrival of our first grandchild a few weeks ago!)

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Discipler, Mentor, or Coach?

I love coffee, especially in the morning. I don’t know how many times I’ve walked into some local coffee haunt for my morning ‘fix,’ and noticed a group of men or women sitting at some corner table, bibles open, as they are obviously having a ‘group’ discussion around the word of God. Invariably, when I notice such a group, an unavoidable question pops into my head: “I wonder if the leader is discipling, or mentoring, or…coaching?

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No Easy Answers

One of the most important ‘tools’ in a coach’s toolkit is the skill of asking ‘powerful’ questions. All CMDA coaches are certified through the International Coach Federation (ICF), the ‘gold standard’ organization for professional coaches. And the ICF lists ‘powerful questioning’ as one of the eleven core competencies necessary for coaches to achieve an ICF certification.

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Doctors, States challenge new “Transgender regulation”

“No doctor should be forced to perform a procedure that he or she believes will harm a child,” said Lori Windham, senior counsel of the Becket Fund for Religious Liberty. “Decisions on a child’s medical treatment should be between families and their doctors, not dictated by politicians and government bureaucrats.”

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Political Parties Contrasted on Life Issues

Both major political parties recently issued new platforms that communicate contrasting core values to the American people. Following is a breakdown of where each party stands on the life issues of particular concern to readers of this blog: abortion, sex education, embryos and stem cell research and assisted suicide.

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The Use of Psychotropic Drugs in Survivors of Human Trafficking

As psychiatrists who are also Christians, we evaluate and treat patients who have experienced many types of trauma, including trauma in childhood, adolescence, and trauma extended into adulthood. Prolonged, chronic trauma can be particularly damaging, affecting the minds, brain, spirits and bodies of victims, sometimes causing persistent physical and mental health problems, even when people are living under the Grace and Lordship of Jesus Christ. 

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Research Shows Use of Medical Marijuana not Always Beneficial

The evidence wasn’t as strong to support marijuana’s use for nausea and vomiting due to chemotherapy, sleep disorders, HIV-related weight loss and Tourette syndrome. Also, any benefits of marijuana or cannabis use must be weighed against the risk of side effects, which include dizziness, dry mouth, nausea, sleepiness and euphoria, according to the study’s lead author.

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The Point Blog – February 2015

Commentary and update on the state of legislative activities in Washington involving CMDA member interests. In this issue: Measles outbreak raising national concerns, The death of physician-assisted suicide in Colorado, and Illinois approves child use of medical marijuana.

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The Point – November 2014

Commentary and update on the state of legislative activities in Washington involving CMDA member interests. In this issue: In this edition: Terminally ill patient ends her life, Tennessee passes abortion amendment, and Public supports quarantine for Ebola health workers.

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The Point Washington Update – April 2014

Commentary and update on the state of legislative activities in Washington involving CMDA member interests. In this edition of The Point: Researchers harvest stem cells from cloned human embryos, Assisted suicide advocates make their case in JAMA, and SCOTUS hears case on free speech re: abortion in Obamacare.

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The Point Washington Update – March 2014

Commentary and update on the state of legislative activities in Washington involving CMDA member interests. In this edition of The Point: CMDA religious freedom commentary on Fox News, Supreme Court hears religious freedom, contraceptives cases, and Quebec election 2014 may speed euthanasia legalization; doctors protest.

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From Physical Pain to Spiritual Healing

Dentistry has been my passion since 8th grade. I became a Christian in high school and, like many, I grew in faith through the mentoring and prayers of friends and pastors. I have always believed God smiled on my life, and He has led me in some incredible ways.

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CMDA Dental Residency [+]

ogether, CMDA’s dental members are a diverse group of dental professionals and our experience spans the scope of dentistry: from a small solo practice to large group practices; from serving the wealthiest Americans to working amongst the poorest; and from short-term missions experience to a lifetime call to serve in the most remote areas of the world. We have dental faculty members including some of the top dental lectures in country, authors, military dentists, dentists involved in residency and advanced training programs and, of course, many dental students on campuses across the country.

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The Point Blog – October 2013

Commentary and update on the state of legislative activities in Washington involving CMDA member interests. In this edition of The Point: New Poll Results on Physician-Assisted Suicide, Obamacare May Trigger Exodus of Christian Doctors, and Doctors Look For A Way Off The Medical Hamster Wheel.

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The Point Washington Update – September 2013

Commentary and update on the state of legislative activities in Washington involving CMDA member interests. In this edition of The Point: CMDA human trafficking expert teaches doctors and students, Washington Post: Zygote is not a “living being” and Lawmakers focusing on abortion and harms to women.

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The Point Washington Update – June 2013

Commentary and update on the state of legislative activities in Washington involving CMDA member interests. In this edition of The Point: High court rules on two cases on same-sex marriage, and SCOTUS strikes “prostitution pledge” requirement for AIDS, human trafficking grants.

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The Point Blog – May 2013

In this edition of The Point: CMDA physicians on human cloning study revelation, Vermont to legalize physician-assisted suicide, Use Of Embryo Donation As A Family Building Option.

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The Point Special Edition – April 2013

The heroes are the best-known acronyms in the world of AIDS (PEPFAR, UNAIDS, WHO), the Global Fund and a host of NGOs. Together, these organizations have waged total war against AIDS in Africa—or what looks like total war if you compare it to efforts devoted to other diseases.

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The Point Washington Update – April 2013

Commentary and update on the state of legislative activities in Washington involving CMDA member interests. In this edition of The Point: Video chronicles abortion clinic horrors, Administration invites help in battling human trafficking, and CMDA and others urge HHS to reconsider contraceptives mandate.

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The Point Washington Update – March 2013

Commentary and update on the state of legislative activities in Washington involving CMDA member interests. In this edition of The Point: CMA human trafficking commentary published in Washington Times, House pushed to pass conscience protections, and Miss America promotes sexual risk avoidance education.

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The Marriage Viewpoint

George MacDonald, mentor to C. S. Lewis, penned these words many years ago: “The highest calling of every husband and wife is to help each other to do the will of God.” While most of us would wholeheartedly agree, we struggle to apply this principle to the unique challenges of medical marriages. Few professions have the myriad of obstacles facing a vibrant marriage that a medical career brings. At the same time, medicine is a vocation with great potential benefits—both to the couple and the lives they touch—as God works through their union. How crucial it is for us to focus on helping each other be all God has intended for us to be as individuals and as a couple.

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The Point Washington Update – January 2012

Commentary and update on the state of legislative activities in Washington involving CMDA member interests. In this edition of The Point: Human trafficking, International health, and the Contraception mandate.

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Rest for Your Soul

It was a heavy burden to bear and my soul was weary. I was accused of malpractice in the death of a three-year-old child I had cared for in the emergency room of our local rural hospital. Although I felt confident I had handled the patient as well as anyone could have, I had not communicated very well with the family. The parents spoke little English and I had no time to explain what even I did not understand as we performed invasive tests which culminated in a code and resuscitation. I arranged a life flight to the referral center and the family rushed off into the night on a six-hour drive to the tertiary care center. Tragically and unexpectedly, the toddler deteriorated and died from a rare disease.

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The Divine Invitation

When I decided to become a doctor at eight years of age, it is because I believe I was called to do so. Now, twenty-four years later, I know it was a calling. It has to be. Under no circumstance would anyone follow this course unless it was due to a divine invitation. At least this is how I felt after a recently troublesome time in clinic when I learned the importance of praying for the children and families God has placed in my life.

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Physician as Employee: Is This What I Signed Up For?

Healthcare has changed dramatically over the past fifty years. Theories abound as to the various causes and their effects – with managed care, the Generation X work ethic, and increased numbers of women in medicine being three commonly cited reasons for the decline of the traditional “family doc” who made house-calls and whose work hours were 24/7 as needed and the steep increase in the “physician shift worker” who figuratively clocks in and out and leaves his pager behind when he is off duty. Managed care brought financial pressures to bear on physicians in solo practice. Generation X brought a tide of newly graduated physicians whose definition of balance was quite different from that of their parents’ generation.

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Joy Cometh in the Morning

I still don’t know how I made it through the remainder of the day, or how my shak­ing hands were able to suture the next patient’s laceration. Instantly, the joy was gone from my life.

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Malpractice Pain

The pain of a malpractice suit can test your limits, threatening all you hold dear. For some, th is experience is devasating-personally, relationally, professionally-regardless how the case is resolved.

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Feeling the Passion

I reported early for my shift in the emergency department as a nurse was fin­inshing her coffee at the front desk. Thumbing throught the morning newspaper she stopped and said, “Hey Pat, I didn’t know you were getting sued!”

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The Journey: A Spiritual View

Much has been written about the subject of malprac­tice, but very little attention has been paid to the emotional and spiritual impact of a suit on the life of the physician who is sued.

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Understanding Malpractice

Here’s what often causes lawsuits and what you can do to avoid themFor doctors, nothing is more sobering than receiving notification that you are being sued.

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Fear of Malpractice

Because a malpractice suit can be personally devastating, it is essential that we share our concerns and fears to avoid the nameless, unreasoning, and unjustified terror that can paralyze our mission to be light in a darkened world.

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A Thorn in the Flesh

I worked in a lumber yard while in college, and a number of times I got slivers in my hands. The slivers were often so irritating that I would be consumed with the thought of removing them, and at times I would have to stop work to rid myself of the irritation.

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Physicians Can Heal the Hurt

Malpractice rises before the physician as an imminent bar­rier to his life work. The issues of malpractice touch him as a self-employed businessman, as a professional and as a person.

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Is the Law to Blame?

As a lawyer presenting his case to physicians, I feel a bit defensive. The attitude of many people in our society is reflected in a recent bumper sticker – “Support your local lawyer, send your son to medical school.”

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Opinion Letter

I do not carry malpractice in­surance. Originally I decided not to carry it simply because I could not afford it. Now, how­ever, I practice uninsured as a matter of principle.

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Morality in Malpractice

The malpractice crisis has been with us for three years. In 1974 insurance premiums jumped by nearly 200 percent, and each year since then they have risen higher.

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