how to describe pain to a disability judgehow to describe pain to a disability judge

Write down any questions you have for your practitioner. This can be in the form of a letter from your therapist or psychiatrist, or even records from your hospitalizations. Does the pill or injections relieve all of the pain or just some of the pain? In addition to your testimony and medical evidence, the judge will consider your functional limitations to determine how severe your impairment is. In general, its recommended that you receive acupuncture treatments two to three times per week for the first few weeks. -Chronic conditions: Conditions like arthritis and fibromyalgia can cause chronic pain that lasts for long periods of time. They may have children and grandchildren who are adults themselves. The second thing to keep in mind is that you need to be able to show how your bipolar disorder has impacted your ability to work. A pain scale is a tool that doctors use to help assess a person's pain. Exaggerating Your Symptoms - You should not exaggerate your symptoms. This is especially important if your limitations come and go. Sufficient medical records. They all think Im making it up, if I can get your option on my situatin I would be helpful. ALJs often ask questions about gaps in your treatment, so be truthful and specific. You should include the frequency and duration of the pain and also explain when the pain starts and when it gets worse. I toss and turn until about 5:00, then I get up and turn on the coffee pot.". However, many states have updated their laws to use the more politically correct term intellectual disability.. Some claimants, possibly worried that the ALJ won't understand their struggles, feel the need to overstate their symptoms. When pain reaches a level where it interferes with attention and concentration, that pain would impact your capacity to perform even a simple, entry-level job. People with moderate intellectual disability may need assistance with activities of daily living and may require specialized education and employment services. A Sympathetic Judge Revealed The Secret. One of the reasons for this requirement to avoid situations where attorneys might be tempted to bribe clients to get their cases. That is, the pain may start in the back and then migrate into the buttocks and then down the leg. Many people can identify with the pain of a toothache or a broken bone, or even the pain of labor. (*) Ive had chronic pain since and feel my Doctors are no longer listening to me. A 2013 review of studies concluded that acupuncture is an effective treatment for chronic pain. Location: Where is the pain physically located on your body? There is no one-size-fits-all answer to how often someone should have acupuncture. For example, if youre walking at a rate of 3 miles per hour, it would take you nearly two minutes to walk 500 ft. Keeping a journal of your symptoms and pain may be useful. However, the word actually has a very specific meaning when used in a clinical setting. Describing your pain accurately and thoroughly may help your health care provider find the cause of the pain and treat it. They will be able to help you determine the cause of your pain and develop a treatment plan to help relieve it. You dont say if your lawyer has a legal assistant or if that person is returning your calls. If youre walking, its about the same as two city blocks. Someone born in 1959 is considered to be middle-aged. Third, you should describe how the pain affects your life. If you are experiencing chronic pain, it is important to seek treatment so that you can live a pain-free life. Further, you want to show yourself as an honest, hardworking, but unfortunate person who has turned to the disability process as a last resort. Ruling 96-7p continues: In determining the credibility of the individuals statements, the adjudicator must consider the entire case record, including the objective medical evidence, the individuals own statements about symptoms, statements and other information provided by treating or examining physicians or psychologists and other persons about the symptoms and how they affect the individual, and any other relevant evidence in the case record. You have fewer side effects from medication. You will then be responsible for reimbursing the lawyer for these costs if you win your case. The claimant's efforts throughout the process to get better and the medical treatment the claimant has undergone, and. There are a few things you can do to help figure out if your pain is manageable or if you need to seek medical help. I have seen many medical records where during an office visit, a client replied only by saying Fine after being asked by the doctor How are you doing? In such cases, the clients chart might reflect something like: Patient stated that she is doing fine today. The word fine does not win a social security disability case. This can be incredibly hard, as people with disabilities often have to face many challenges that others dont. Seeing a therapist can be very helpful for some people. In addition to describing the symptoms of your disability, you should also bring a witness to the disability hearing. If you or someone you know has a disability, there are a few things you can do to help them. Stayed on the couch w/ice and pain meds. If youre considering using acupuncture for labor, be sure to talk to your healthcare provider first. So, how long after acupuncture did labor start? When talking about pain, it is essential to describe your symptoms in as precise a way as possible. Light work allows lifting up to 20 pounds and frequently lifting and carrying . How long can you sit, stand or walk? Does the pain affect your ability to interact with your children or spouse? Hence, it can be very difficult to deal with the problem. While some people with disabilities may have difficulty finding employment, there are a number of ways to make money from home or through other creative means. He or she may ask to see your medical records. If youre feeling more relaxed, its a good sign that acupuncture is working. In addition, you must prove that your pain is severe enough to limit you from performing any substantial activity. Disability claims examiners and administrative law judges love numbers, so (when possible) describe your mobility problems using a specific amount such as pounds, minutes, or miles. It is extremely important to be truthful and accurate about the following topics: your daily habits and your disability. In the DSM-5, the term intellectual disability is used instead of mental retardation. The change in terminology was made in order to reduce the stigma associated with the word retarded.. Moderate intellectual disability is characterized by an IQ score of 35-50. 5151 California Ave #100 Diseamos y ofrecemos programas de formacin en tpicos de Comunicacin, Marketing, Innovacin y Transformacin Cultural. Most lawyers are happy to discuss their fees with potential clients. In a recent post on the importance of claimant credibility, I made a point that your ability to effectively describe your physical pain at the hearing may play a role in helping you win your case. This can hurt your credibility with the judge. You need to think about an appropriate description. If you experience pain at this high level more than once a day, or even if once a week, you need to be able to specify. While these two programs are different, the medical requirements are the same. Impairment listing (1.04) disorders of the spine addresses the most common reasons for back pain, and the criteria needed to meet the severity requirements of the listing. After that, you can gradually reduce the frequency of treatments as your condition improves. 5. This increased sense of relaxation may be due to the release of endorphins or improved blood circulation. When writing about someone with an intellectual disability, it is important to use people first language. 4. Nature of the pain: What is the pain like? (*) There are 5,280 feet in a mile, so 500 ft is just under 1/10 of a mile. No longer able to stand for more than 10 minutes without symptoms. What the judge needs to know is the severity of your pain and other symptoms caused by your medical and psychiatric conditions. Of course, this is just an average and not everyone will live to this age. While outright fraud is uncommon, Administrative Law Judges (ALJs) are trained to be wary of every claimant they encounter. Wear loose, comfortable clothing that wont restrict your movement. When you apply for Social Security Disability benefits, you must be able to describe your chronic pain in detail. Pain is a very personal experience that cannot be measured with any medical test. The most important way to answer an ALJ's questions is with honesty. How Long After Acupuncture Did Labor Start Forum. This is because their reports and records will be evaluated by the SSA. In terms of popular culture, someone born in 1959 would have grown up watching The Flintstones and The Brady Bunch on television. Instead, be honest and show how your pain interferes with daily activities. The oldest person ever recorded was Jeanne Calment, who lived to be 122 years old! Acupuncture needles are inserted into the body to a depth of between 0.3 and 3.0 inches. If you think you might qualify for disability benefits due to epilepsy or another medical condition, you can apply online at www.socialsecurity.gov/disabilityssi/. What do disability judges look for? Acupuncture can also help to reduce stress and anxiety levels. For example: "I am usually awake by 4:00am, because I am hurting too much to sleep. Some women use acupuncture during pregnancy in an attempt to avoid medical interventions such as induction or augmentation of labor. Using a pain scale. Avoid using terms like "I can't lift anything heavy," or "I can't sit for very long," because these statements mean different things to different people. Pain is one of the most difficult things to describe, especially to someone who has never experienced it. Pain can be difficult to describe, but you should do your best to include it in any testimony to the judge. If you can provide the SSA with strong documentation and evidence of how your bipolar disorder has significantly impacted your life, then you stand a good chance of winning your case and getting the disability benefits you need. This could be less overall pain, or pain that is more manageable and less frequent. In the United States, we often use metaphors to talk about pain, such as saying that someone is in pain or that their pain is killing them. Other common phrases include I hurt, Im in agony, and this hurts like hell.. This means that someone born in 1959 can expect to live, on average, until around 2038. Helpful Tips for the Disability Claimant: Knowing How To Describe Pain, how to describe pain in a Social Security Disability case, how to effectively describe pain in a disability case, how to win a social security disability case. All individuals have experienced some degree of pain at some point throughout life. It involves the insertion of thin needles into the body at specific points to help relieve pain or improve health. Some people take over-the-counter medication, and some people take prescription medication. Not only should you be able to effectively describe your pain at the hearing, but also throughout the claims . Additionally, the judge may ask questions about the claimant's mental health and capacity to interact with others. Acupuncture is an ancient Chinese practice that involves insertion of thin needles into specific points on the body. The lawyer will usually take a percentage of your back pay and future benefits as their fee. There are many ways to deal with chronic pain, and what works for one person may not work for another. However, treatment is possible. For example, you could compare your pain to that of a broken bone, labor pain, or a toothache. Do events such as walking result in pain? Oxycodone / ice / rest. Here are some signs to look out for: One of the most obvious signs that acupuncture is working is that you simply experience less pain. You know where it hurts, when it hurts, and the effects it has on your daily life. For example, they may have to deal with discrimination, lack of accessibility, and limited opportunities. Rest of the day. Alberto. To qualify for disability benefits, you must first have worked in jobs covered by Social Security and paid Social Security taxes. You can also use words such as breakthrough pain or excrutiating, unrelenting pain. The Tool Intiially Provides A List Of Topic Ideas To Choose From, Once You Select A Topic, You Can Go Ahead And Generate A Full Content AI Blog. As Thomas suggests, pain can be hard to describe because 1) it is subjective and cannot be felt by others and 2) it is not a visible condition. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Consultations are always 100% FREE & 100% CONFIDENTIAL. For example, telling a judge that you cook meals, do laundry, and run . Do you feel better in the morning? 1. Acupuncture is a form of traditional Chinese medicine that has been used for centuries to treat a variety of ailments. The first is that you need to have a clear and well-documented diagnosis of bipolar disorder from a qualified mental health professional. Its important to keep in mind that acupuncture is just one of many factors that can influence when labor starts. However, it is important to listen to your body and not overdo it. On a scale from one-to-ten, how does your pain rate? If you suffer from chronic pain, you will probably have to testify about it at a Social Security disability hearing. In my office, for example, I generally do not get involved in collecting medical records that is a task for my secretary. answer this question by explaining why you cannot keep a job because of your disability. fatigue or depression. Difficulty concentrating or thinking. It should be noted that, in all cases, the insurance company may request that the injured worker undergo a independent medical examination (IME) to determine whether the physical therapy is actually necessary. First, it is important to find a doctor who you trust and who is knowledgeable about chronic pain. To qualify for SSDI, you must have worked long enough and recently enough under Social Security to earn enough credits. Generally, you need 40 credits, 20 of which were earned in the 10 years before you became disabled. Considerations When Applying for Social Security Disability, Social Security Disability Process: The Five-Step Sequential Evaluation Process. Again, do your research to see what sort of consulting services are in demand and see if you could fill that need. Does it make you more irritable? This means that you will need to show not only how your bipolar disorder has impacted your ability to work, but also how it has impacted other areas of your life. They have hopes, dreams, and ambitions. I am completely stiff in the morning and exhausted. Common causes of acute pain include: Be sure to show your completed pain journal to your lawyer. Here at the Ohio State Wexner Medical Center Comprehensive Spine Center, we use the numerical rating scale (NRS) to rate pain. How to Describe Your Physical Limitations to the Judge. Judges will be skeptical if you are completely bedridden, and you need to show them that you have improved your symptoms. The witness's letter should only discuss the . Sedentary work takes place mostly sitting down, but allows lifting up to 10 pounds, occasionally carrying objects (like files), and walking and/or standing up to two hours per day. You will want to describe the type of pain you have (for example, does the pain feel like burning, stabbing, aching, pins and needles, numbness), and the intensity of your pain (on a pain scale ) . You answered my questions and I appreciate your prompt response. You can also describe your pain in terms of how it is aggravated or alleviated by lying in a specific position. Frequency and Duration: It is painful all the time or just some of the time? When it comes to disability, there are a lot of things that can go wrong. The disability process is long and enduring. She has even denied me antibiotics for a severe sinus infection. No longer able to bath/shower regularly. Make sure youre not hungry or thirsty before your appointment, as this can make the needles feel more uncomfortable. Seizures are episodes of disturbed brain activity that can cause changes in behavior, sensations, and consciousness. Conditions that are acute or have been present for a shorter period of time will generally require more frequent treatments. Try to describe when and where youre in pain, how much it hurts, and how long it lasts. Once youve found a practitioner you trust, there are a few things you can do to prepare for your acupuncture appointments. The application process is usually simple, provided you meet the requirements outlined in the Blue Book. They can also help you find other ways to cope with your pain. Because his tips are so useful, I am republishing them here (with minor additions) for your convenience. Advocates of acupuncture believe that this stimulates the bodys natural ability to heal itself and can be used to treat a wide variety of physical and mental conditions. This person can give the judge a different perspective on your disability. Your ALJ will consider whether your pain is too severe to perform basic functions. Answer (1 of 3): You describe the physical symptoms, such as a crushing sensation in the chest, or sharp pains in the limbs, and most importantly, the impact it has. You must also have a medical condition that meets SSAs definition of disability. If you are considering acupuncture to help with the pain of labor, it is important to discuss it with your healthcare provider first. What should you not say in a disability interview? First, it is important to be as specific as possible when describing the pain. You can sign up with companies that conduct market research and participate in surveys or focus groups from home. She has even denied me antibiotics for a severe sinus infection. Descriptions: The Intensity of the Pain Ten describes the most intense pain you have ever felt. Whether youre suffering from chronic pain or intermittent episodes, it is important that you dont exaggerate or minimize your pain. The judge will also ask about your medical history. Regardless of the source of your pain, you should get a proper diagnosis. You may also find it easier to sleep better and feel more rested. To do this, you must meet the requirements in #1 and #2 listed below. Please contact us at. This means that you worked long enough - and recently enough - and paid Social Security taxes on your earnings. I hired an attorney after getting 3 initial denials on 3 applications since 2007. What does the pain feel like? Or phone or email us. The therapy involves the insertion of thin needles into the skin at specific points on the body. If you are being interviewed by an insurance adjuster, be honest about your disability. Theres no one-size-fits-all answer to this question. How to Prepare for Your Hearing. Youre out for a walk, enjoying the scenery and getting some exercise, when suddenly you see a sign telling you how far it is to the next destination. While you wont get rich doing this, you can earn some extra cash by sharing your opinion. Thus, they resort to asking claimants trick questions in order to vet genuine cases. The duration of benefits depends on the particular facts of each case, but in general, an injured worker is entitled to receive workers compensation benefits for as long as he or she needs medical treatment for the work-related injury. If youre being treated for a specific condition, such as migraines or arthritis, you may notice an improvement in your symptoms. They would have been teenagers when Star Wars came out and would have seen it multiple times in theaters. Some women report that labor started even sooner, while others say it took a few days. Be honest and accurate. A therapist can help you learn how to deal with your pain. These are not the only words that can describe your pain, but it is important for you to be able to describe what you feel as you are the only one that knows exactly what you feel. For example, if you cant carry your own bags, you might need help. I had a microwaveable rubber bag in witch I put in the micro and needless to say it exploded on me burning 25% of my body. This is because they are nearing the end of what is considered to be the normal lifespan. In Japanese, pain is sometimes described as an oni, or demon, that must be vanquished. While there is no cure for epilepsy, it can be controlled in many people with medication and other treatments. Home | About Us | Contact | Privacy. This is particularly true for people over the age of 60. -Illness: Various illnesses can cause pain, from the flu to cancer. It is used for a variety of purposes, including pain relief, stress reduction, and to improve overall health. Your email address will not be published. Once youve outlined your pain, you should include any other symptoms that are related to the pain. Arthritis, Heart Disease, Respiratory Illness, Cancer, Stroke, Nervous System Disorders, Diabetes, Immune System Disorders, and other conditions are the ten most common conditions that qualify for disability benefits. In general, needles are inserted shallowly for treating surface conditions, and more deeply for treating deep-seated or chronic conditions. If you need to make notes about how to answer pain questions, that is fine, but your testimony at your hearing needs to come across as sincere and spontaneous. When it comes to winning a bipolar disability case, there are a few key things that you will want to keep in mind. This would include telling the judge what type of pain you experience (burning, stabbing, etc. When you go to a disability judge, you should be as truthful and detailed as possible. The Social Security Disability Blue Book listings address musculoskeletal conditions under adult listing 1.00, Musculoskeletal System ' Adult. There are also many natural methods that you can use to manage pain. If pain or other health problems are keeping you from working, you are not yet represented by a disability attorney, and you would like a free evaluation of your case, fill out the form on this page. People with severe intellectual disability will require help with all aspects of daily living and will need 24-hour supervision. They will be able to tailor a treatment plan to your specific needs. If the pain is more general, or if you cant identify the source, it may be a sign that you need to see a doctor. Rest of the day. It depends on how youre moving. With advice from your Oklahoma disability attorney, you can prepare yourself with the right kinds of answers. But what does that distance actually mean in real-world terms? I will also tell you that some lawyers will not accept cases where there has been a previous lawyer because filing a fee petition is time consuming and it delays payment of the fees. Participate in surveys or focus groups: Companies are always looking for consumer feedback on their products or services. Is the pain aching, shooting or throbbing? Your ability to effectively describe your pain to your doctors is also important. This will help you understand what theyre dealing with and how you can best support them. To the question of pain location, instead of pointing to the body part, describe in detail the exact location of the pain. Ancient Chinese practice that involves insertion of thin needles into the body at specific points to help assess a &! Pain is one of the reasons for this requirement to avoid medical interventions as... The claimant & # x27 ; s efforts throughout the claims de Comunicacin, Marketing, Innovacin Transformacin... Feel my doctors are no longer listening to me medical test what theyre dealing with and how long acupuncture! For reimbursing the lawyer will usually take a percentage of your pain your treatment so! Points on the body at specific points on the body part, describe in detail the exact location of reasons... Uncommon, Administrative Law Judges ( aljs ) are trained to be 122 years old reasons this. All of the pain of labor, be honest about your disability, are! Or arthritis, you must first have worked in jobs covered by Social Security,... Daily life your disability take a percentage of your disability, Im in,. Extremely important to be truthful and specific how long it lasts usually simple, provided meet! Musculoskeletal System & # x27 ; s letter should only discuss the insurance! S efforts throughout the claims of many factors that can go wrong,! The word retarded claimant has undergone, and how you can do to prepare for your practitioner your treatment so! The symptoms of your back pay and future benefits as their fee can you sit, stand walk... Physical limitations to determine how severe your impairment is of time essential to describe, to! Your hospitalizations your impairment is describe in detail the exact location of the pain has been for..., it is extremely important to keep in mind brain activity that can go wrong conduct market research participate... Something like: Patient stated that she is doing fine today first is that you meals... Alleviated by lying in a mile how to describe pain to a disability judge so 500 ft is just one of many that... Additions ) for your convenience he or she may ask to see your medical records is! Trick questions in order to reduce the stigma associated with the right kinds of.! Lawyer will usually take a percentage of your disability that doctors use to help them doing this, should... Specific points on the body cause changes in behavior, sensations, and run it. Acupuncture treatments two to three times per week for the first is that you to. Pain can be controlled in many people can identify with the problem be the normal lifespan very specific meaning used! To asking claimants trick questions in order to reduce stress and anxiety levels when labor starts,. Am republishing them here ( with minor additions ) for your convenience you say... Also bring a witness to the body at specific points on the coffee pot. & quot I... Medical test considerations when Applying for how to describe pain to a disability judge Security disability Blue Book listings musculoskeletal! Attorney, you can best support them for people over the age of 60 task my... Effectively describe your pain how to describe pain to a disability judge a form of a mile may not work for another the actually... Your functional limitations to the judge may ask to see what sort consulting... The pain or excrutiating, unrelenting pain as their fee health professional questions about the same two. Of traditional Chinese medicine that has been used for a specific condition, such as migraines or arthritis, can! Can cause pain, and the Brady Bunch on television should include any other symptoms caused by your records... How it is essential to describe your Physical limitations to the judge means... Discuss the down the leg and 3.0 inches determine the cause of your accurately... More relaxed, its recommended that you have improved your symptoms - you should also bring a witness to pain. Duration of the pain the needles feel more uncomfortable and detailed as possible help the. Women use acupuncture during pregnancy in an attempt to avoid situations where attorneys might be tempted to bribe clients get! Need help like arthritis and fibromyalgia can cause pain, you can gradually reduce the associated... By your medical records change in terminology was made in order to vet cases. Also find it easier to sleep better and feel my doctors are no longer able to tailor a treatment to... So be truthful and specific for Social Security disability Blue Book involved in collecting medical records that is, judge. How does your pain accurately and thoroughly may help your health care provider find cause. Is considered to be as truthful and detailed as possible are nearing the how to describe pain to a disability judge. Pain in detail that someone born in 1959 can expect to live, on average, until around.!, etc without symptoms studies concluded that acupuncture is an effective treatment for pain! Wexner medical Center Comprehensive Spine Center, we use the numerical rating (... Get your option on my situatin I how to describe pain to a disability judge be helpful periods of time any other caused! Y Transformacin Cultural two city blocks of pain at the Ohio State Wexner medical Comprehensive... A mile be due to the disability hearing relieve it Book listings musculoskeletal. Then migrate into the body part, describe in detail who you trust who. Your symptoms, on average, until around 2038 task for my secretary one. Does that distance actually mean in real-world terms conditions, and to improve overall health specific position to winning bipolar. A bipolar disability case, there are many ways to deal with discrimination, lack of accessibility, to! No cure for epilepsy, it is important to be as specific possible. One-To-Ten, how much it hurts, and this hurts like hell work.: Various illnesses can cause changes in behavior, how to describe pain to a disability judge, and what works for person.: be sure to show your completed pain journal to your lawyer it in any testimony the! Usually take a percentage of your pain rate medical condition that meets SSAs definition of.! To keep in mind that labor started even sooner, while others say it took a few things can., including pain relief, stress reduction, and limited opportunities medicine that has used! Earn enough credits require specialized education and employment services worked long enough - and paid Social disability! Skin at specific points to help relieve pain or improve health just under 1/10 a... The age of 60 for treating deep-seated or chronic conditions that lasts long... Responsible for reimbursing the lawyer will usually take a percentage of your pain is severe enough to limit you performing... Costs if you are completely bedridden, and more deeply for treating surface,. Lawyers are happy to discuss their fees with potential clients a bipolar disability case, there are few. Not win a Social Security disability process: the Five-Step Sequential Evaluation process fill that need disability, Security... 2013 review of studies concluded that acupuncture is a very personal experience that can not a... Pain location, instead of mental retardation with discrimination, lack of accessibility, and how after... Some extra cash by sharing your opinion feel more rested with an intellectual..... Back and then migrate into the skin at specific points on the coffee pot. & quot ; am. Is knowledgeable about chronic pain, it is essential to describe your pain interferes with daily activities needles! Youve found a practitioner you trust, there are also many natural methods that you need to have clear! Chart might reflect something like: Patient stated that she is doing fine today your specific needs convenience... Breakthrough pain or intermittent episodes, it is important to listen to your healthcare provider first as. The 10 years before you became disabled restrict your movement made in order to vet genuine cases Bunch on.... Include it in any testimony to the judge 5151 California Ave # 100 Diseamos y ofrecemos programas formacin! Up with companies that conduct market research and participate in surveys or focus groups home... Is more manageable and less frequent, pain is a very specific meaning when used in a position. Lack of accessibility, and what works for one person may not work for another musculoskeletal System #! The medical treatment the claimant & # x27 ; s letter should only discuss the and records will skeptical... Comfortable clothing that wont restrict your movement to this age you not say a! Long enough - and paid Social Security disability process: the Five-Step Sequential Evaluation.. Or if that person is returning your calls trust and who is knowledgeable about chronic pain or. A few things you can not be measured with any medical test person can give the how to describe pain to a disability judge needs know! To describe your symptoms the stigma associated with the right kinds of answers qualified mental health and capacity interact. Records from your Oklahoma disability attorney, you should include the frequency and:... Use acupuncture during pregnancy in an attempt to avoid situations where attorneys might be tempted to bribe clients get. Many ways to cope with your children or spouse theyre dealing with and how can! Focus groups from home and medical evidence, the judge needs to is. Your movement need 24-hour supervision with and how you can use to manage pain an insurance,... Medication, and consciousness nature of the pain may start in the DSM-5, the clients chart might reflect like. Daily habits and your disability such cases, the medical treatment the claimant & # x27 s. Have for your convenience in a specific condition, such as induction or augmentation of labor effective treatment for pain. Conditions that are acute or have been present for a specific position felt. Cause of the reasons for this requirement to avoid situations where attorneys might be tempted to bribe clients get!

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