View Full Version : lookin where 2 start in western mass. Please & bless you
02-12-2009, 06:23 PM
on & off i have looked for a sub doctor , both using the &^^^^.com that gives you a bunch of doctors ina certain radius,,, but i have never been able to find a doctor that has an opening for suboxone TX, many diferent excuses, easiest to say that i have not beem able to get a doctor in about two years of looking , not consistently though, but even when the law changed man doctors said they are filled up, that many patients that fast?? HHhmnnn??? if they list twenty doctors in a 20 mile radius,, thats 20 times 70 spots ='s 1400 new openings for suboxone patients..my area has a heavier than normal population IMO of IV heroin addicts, and if i had to guess how many are on the meth clinic i would say more than 10,000, not less than that amount, nah change that to 6500 on the clinic... people that work where i went to twice swear how great methadone is , and that they have a over 98% rate of total recovery from addiction, gettingas bit sidetracked here but the meth people say suboxone won't work for heavy IV users of say 2-4 bundles of dope, though i can honestly say that is not the experience i had, the suboxone worked 1st time i tried it, it only took 2mgs, wait half hour, then two mgs, and another half hour, and another two mgs, total of 6mgs. and i was 85% feeling ok, and i may have takena nother 2mgs later that afternoon, I guess all I am saying saying is that it is sad sad sad that professionals of the trade to help people like me or maybe you , maybe not, but helping someone and they give you false information and adistorted picture of what help is out there
IMO the meth clinics do not want to lose one person over to a long term treatment like suboxone can be ... meth clinics can be a life saving experience for many people and God Bless Them for doing well,,, But it did not do it for me , back in 91 ish, 2004 or maybe 05, and last time 2008 for six months, but each time i didn't eant to go to a high dose, back in 1991 a high dose was 78-90 mgs, now a high dose is 330mgs, thats alot of methadone, considering when you go in patient into detox and they start you at 25mgs max and walk you down to 5 mgs and out you go the next day,,, so you can detox off of only a dose of 25 mgs or you can talka daily dose of 330mgs, a full fifteen times as much... meth IMO is pennies per dose, while suboxone is pricier like towards $6 a 8mg. pill,
i give this background to give aclearer picture of my area of western massachusetts treatment choices, IMO you are funneled into the methaodne clinic, but i used during my whoile time of meth use, and i do not use other drugs, and IMO I am the perfect candidate for suboxone treatment, but i can only find it if i go out of state and pay cash for it,,, a larger intake evalueation like $350-900 for 1st visit, than monthy fee of $200 or so
But why should it cost me cash for treatment?? I only want help and I have insurance thru the state, it's masshealth insurance and it should cover my issues shouldn;t it?? i look at the list of doc's ina 10 mile radius and there are some new names, one is less thana 1/2 mile from me, ooh, geez, nope, we didn;t do that , sorry, well you are listed as a using suboxone to treat people , it is the same across the board
How do you get an appt for a sub doc?? Am I wrong in asking on the phone if they treat patients with SUB and if they have a spot open, the closest i have gotten has been call back in two weeks or something ??
does anyone here have firsthand experience with the situation i am describing here because in western mass they have plenty of doctors listed, BUT not one will take a new patient...****Prove Me Wrong*****
thank you all for taking the time to read this post
best to all always!!
02-12-2009, 08:26 PM
Jim that sucks. I live in eastern virginia in the town of gloucester. I found my sub doctor thru a friend of mine named brett. He used the same doctor for his problem. He gave me his number and now i'm a new patient of dr. C. He doesn't take insurance at all for sub treatment and his fee was a one time $3500.00. I run the meds through my insurance with a copay of $20.00 for 30 8mg subs. Doc was pricey but worth every penny because now i'm doing fine and feeling even better. No more addictive behaviors. Perhaps on this site u will encounter someone in your vicinity who can help. This site has been a great help to me as have the people on it.
Best of luck, heath.
02-13-2009, 05:30 PM
thanks for taking time to respond to my post and the empathy expressed towards my frustrating experiences in the area local to me. i do have to say WOW, that $3500. initial visit fee is the largest i have seen or heard of, in fact before that i think it was $750, or maybe $1000-1250 possibly. I do hear what you say in that it was worth every penny spent as it broke the addictive cycle you spoke of
the manner in which you secured a appointment with your doctor sounds about how is goes here too... i have heard of people saying they had a friend who was getting suboxone and that doctor had a opening in fact my doctor that i paid cash for both visit & meds mentioned i can always come back as he keeps a spot or two open always, but it seems more word of mouth from patients being treated because if you are calling blindly from a radius list you may find that some of those listed never prescribed sub,or they hav been out of that office for five years, etc...i have a friend who says they are getting on very soon because they hava friend who has connections like that... off track here maybe, but not really, this connected person is a confidential informant, basically a person witha severe addiction who was arrested and then given the choice to to set up drug users when they go buy drugs...i give this bit of background because this person was able to have the police dept. detective make a call and quick like lightning they are on suboxone....if there is one thing that really gets me, it is the type of person i described here, IMO there is nothing lower than snitch, again off-track, but a high school friend that had no criminal record was arrested after hanging out with female confidential informant in florida. My friend had something going on and was getting scripts of percodan, 300 pills at a time.well he was charged with possesion of over 28 grams of a class A ( may be wrong on the class or schedule of drug) substance and also charged with trafficking witha class/schedule A drug over 28 grams,,,the sentence if 25 years, and a couple months before his arrrests the laws changed so you serve 85% of your sentence, this law went into effect in sept 1996 around,, so if you serve state time in florida you will serve 85 %of your sentence, no matter what, it is either kennedy's daughter of Bush'es daughter that made that law change, get tough on drugs, i am sure it is jeb bush's daughter jennifer i beleive...enuff already, i kno, sorry about teh lil rant, but its true and it hurts addicts too much,too harsh
again heath, i have to say that is excelent that you have had great sucess in your suboxone treatment, God Bless you and keep up the good work!!
in the last year my dad passed away and i say this only to mention that I was left an inheritance, about twice the 3500 fee u spoke of, if i spent half on the doctor i would be ahead be ahead of the game as i eventually spent the money on my addiction
again best wishes to all!
02-13-2009, 07:44 PM
Hi!!! If you look on clinicaltrials.gov then you can write in the search engine there opiate addiction and massachusetts. See if there is a clinical trial near you then perhaps you can save some $$$$ ...Sometimes you can find em in your area that use suboxone in their trials. Thats what I did.. good luck ((((HUGS))) Steff
02-14-2009, 12:11 AM
Wow! $ 3500.00 for a visit?
Do ya get a rubdown, a room and more? That price is just sick. What a nerve. I don't begrudge a nice living but com'on this is way out there!
Don't people believe in karma?
oh well my vet bill seems lightweight now.
Good luck Jim
02-14-2009, 08:53 AM
Hi jimwestside. My condolences to you on the passing of your father.
Regarding the list of doctors by that comes up by mileage radius. That data comes directly from SAMHSA. The doctors listed on there opt to be listed. Those doctors are responsible for keeping their information updated. Which would include address, phone number AND they should take their name off of the list if they decide that they do not want to offer Suboxone treatment. But, unfortunately, many of them do not do that.
Actually, about 60 - 65% of certified doctors opt to be listed publicly. Hairgirl posted a link to this article that tells why some doctors do not prescribe after they become certified: http://www.jointogether.org/news/research/tprb/feb09/harrison-buprenorphine.html
You can try other avenues to see if you can find a doctor. Some people have had luck in asking a pharmacist if they know of any, getting a referral through a hospital, or even going through the phone book and calling addiction specialists to see if they know of a prescriber not listed.
This map shows the doctors on the naabt.org matching system. If you sign up for it, it might help in seeing where the doctors are for when you set your mileage radius. These doctors do not have be publicly listed to participate in the matching system, so there may be some not on the SAMHSA list.
Let us know how your search progresses.
02-14-2009, 03:26 PM
thx 4 the ideas w/ the studes, they had them here, but one state over, so i had no ins 4 it
bect 2 ya,
yep 3500 is the biggest intake fee i heard of, but its really money well spent if you hava a serious opiate issue and need help then//but still thats a hefty fee
thank you for the smypathy in my Father's passing, he was a great man,someone who made you feel at ease, always he looked out everybody else first
as far as getting suboxone treament you are correct, it is an imperfect system, the list needs to be updated constantly ....asked the pharmacy or others oft the norm ways could lead to a suboxone doctor..also, trying the naabt doc locatr because they are not listed is another possibilty
right now i am tasking on suboxone directory.com http://www.suboxone-directory.com/subutex-massachusetts/7.html
and writing down doc's name & #'s to call on monday, also, i haven't tried the mental health & substance abuse number on my ins card..i have to focus my efforts to gain the most from it,i think i'll have luck thru word of mouth, curently, i hava doc that charges for intiyialvsit200 hundred, but then the health ins covers the suboxone 100%, so, that is ok deal in my eyes
thank you al foryour encouragement
02-17-2009, 08:22 PM
i was just dropping a line to say i had called a couple numbers off a doctor search and the 1st one i called said sure thing, give your name & number and the Doctor will call you back within 24 hours...so i'm hoping 2 post info on outpatient suboxone treatment soon as i am thrilled to maybe be this close to getting help,,that would just be so huge, my life would change so much in a good way
Hi Jim...let me know if this doc doesn't pan out for you. I am right in your backyard n the border of Western Mass and can get you a few referrals if you still need them. It sounds like you are ready for this, and somehow things always seem to fall into our lap in just the right way when we are ready. I really hope this is it for you! If not, stay in touch - just do not give up! I can always email you a few names in the area to try. Your life IS about to change - in a VERY good way. Buckle up and enjoy the ride!
Fingers crossed for ya!
02-20-2009, 03:09 PM
Thank you for taking the time to read my post , as well as respond to my post, and even more importantly offering help too..thank you again very much Suze..but please, any info, doc referals, nembers etc.. r much appreciated.
As far as my previous post saying encouraging news, Well, i followed thru with a call the next day as I did not wait for them to call me back. well, when I called that doctors' office it was a whole diferent story..first off they said they did not take the masshealth insurance i said i had less than 24 hours earlier...At best they gave me two numbers to call that they felt would be able to steer me towards an appropiate doctor that took my insurance type and also treated patients outpatient style with suboxone, and lastly, also had openings for new suboxone patients...these were two good numbers for treatment..Sloan clinic and another local treatment center on Allen street in Springfield...Both of them started to provide me with Doctors they had listed as actively taking on new patients for suboxone treatment that had masshealth for thier insurance...From all the calling i have done recently i instantly recognized the names they gave me, and also instantly knew that for numerous reasons they did not take new patients...
******examples for reasons of no treatment
---- waiting list of 125 people before my chance for treatment
---- they don't take my masshealth insurance
---- they never ever had treated any suboxone patients, they are listed by mistake and should not be on list at all
---- they stopped treating people "like that" because they weren't
responsible patients ( though not in those exact words ), but
one doctor went as far as saying that dirty urines, deceit and
too high mantenance made it not worthwhile to treat the
patients...those are symptoms of the disease and IMHO
you take the tough cases with the easy cases, in fairness
----- off the top of my head i can't think of other examples, but
there are many other ones
POSITIVE THINGS I HAVE GOING ON
I am not trying to be negative or sound ungrateful... i am grateful i have the masshealth insurance as i have, it gives me the chance to get the regular checkups i need, i have hep C since 1991 that i know of , and general lack of care you need to stay alive
i have gotten my appetite back and gained wieght back, currently i weigh my normal weight, though maybe a lil more fat than muscle that i used to have
i have been sleeping better too, oh, i have been going gorocery shopping ona failry regular basis too, its nice to have food in my fridge :)
i have attended acouple AA mtgs recently too, and made an improtant contact witha friend from before to give me rides to mtgs every day
I do have a couple true friends that are positive influences and sources of strength
*** i only mention the doctors and my experiences to provide accurate info for my area and the treatment that is not here..ONLY METHADONE HERE..NO SUBOXONE
turntohelp.com... they are part of a study that pays up to 225 bucks to monitor your experience with suboxone...all names provided for all resulted in NO help at all...either they did not take masshealth or they did not work with suboxone
one doctor is listed over eight times at difernt clinics from boston to holyoke to sturbridge and they onbly use suboxone for inpatient detox ONLY..misleading IMO...they use a at home detox approach that is opiate free and resluts with you gettinga a vivitrol implant to block the opiates, BUT i have had no success in over seven attempts
no offense here please, but the doctor patient locator has been unhelpful at best...i only have responses for cash payments, and then they are out of state in conn., so if i had the cash to pay for it, i would stay in mass closer to me,
my best response was a doctor with openings, but my insurance didn't cover it, first visit was 190, then next day, was 135, then 135 a week for at least a month, then 135 a month,,, that comes to $865 fo rfirst month... a lil too pricey, and i can't rasie that money to get help
i had a doctor office that i will leave unamed that said yes, we will treat you and mass health covers it..., but next day they said that they won't take payment from masshealth for suboxone patients, basically refusing to treat sub patients.. when i offeredto pay cash for treatment they said they could not do that because it was illegal, but the whole refusal was illegal too i think.
****suboxone.com also needs to have the listings updated as NOONE on it is treating patients on masshealth, and even if they did, they most times do not have any open spots for sub patients
*** the sub detox directory link nancyb gave me is not accurate either, out of all the doc's i called NOT ONE was taking on any new patients that had mass health ins....
***** again, let me say that out of all the doc's i called, over fifty doc's easily, they all had a variety of reasons on why they couldnot treat me
**** again, IMO i have to say the worst type of response were the type when they said call back next week, then its call back at month's end, then its call back after the holiday, then you find out that they changed their mind and will not take on new patients...in th4 meantime, 1 or 2 months are wasted chasing useless leads
Please agin I ask, if you have any ideas on where to call i am open to any ideas you may have
thank you again
i would be willing to travel up to 50-60 miles, maybe more if treatment is covered by insurance, even if its not covered, and only the medication is covered under insurance, but the initial visit is reasonable in costs then i would be ok with that..well, hope that info helps other peole out as to what is available in western mass area, and also i hope that maybe someone has a lead to help mje find treatment on suboxone
02-21-2009, 02:05 PM
hello to all who read this?
Please could somebody respond with some more ideas maybe? or if I am sounding like a baby crying about his problem please tell me to grow up quick because i am not sure where i fit in here, or if i looking for answers that aren't available to me
either way, best to all in their own personal road 2 freedom
i am still w/out suboxone and i am getting scared a bit now....my next move is to call the sub abuse & other numbrs on back of my health card... i haven't done so because i didn't feel it is an emergency,but it really is
constructive criticism, a posting beatdown telling what's what is cool to, but direction is what i need most, IMO, i just need a opiate mantanance program to put out their hand to me...i mean i do have insurance
this is not me, BUT i did know of a person close to me that eventually felt hopeless and tried to end their life, a real attempt, not a cry for help, in fact a miracle they are still here alive & well w/out any bad effects from the incident
anyhow, again, i ask , is there any doctors that are taking patients... i take no other drugs than my DOC , so my drug screen will show I ama good candidate for sub..enuff said
02-21-2009, 03:01 PM
Hi Jim, sorry you're having so much trouble finding a doctor who will accept MassHealth. Just so you know, the locators on Suboxone.com and naabt.org where you get the list of doctors is directly from SAMHSA. The only people who have control over updating it are the individual doctors. They're responsible for updates, once it's updated at SAMHSA, then it's reflected in all the other website locators who get it from there.
Have you called MassHealth directly to see if they could help you find a doctor?
Last I knew BMC took MassHealth. Do they have any centers near you? Or if it were a monthly appointment, could you go to Boston? Here's their website:
Have you called the Massachusetts Bureau of Substance Abuse Services to see if they could be of help? Here's a link to their helpline:
I wish more physicians accepted MassHealth. Hopefully one of these things will turn out well.
02-22-2009, 02:35 PM
thank you for the links, i will check into them asap... after talking with the doctors that i have to spoke to, i would,have tomguess that they have no idea that they are in control of having their name removed from these lists.... i would gladly go to Boston once a month if insurance is covering it..much thx 4 the link.......i will let you know what the results are in time
my last card was to call masshealth directly for guidance..i looked some services that i qulaify for , one is acupuncture detox,,,, i am open to any ideas of ways to get off the opiates,,, first choice is not to detox, last choice is methadone miantanance, but i have to decide very soon what course of action to take for treatment...i have an appt 2/25 for an ultrasound of my liver to see if its inflamed/enlarged IMO i feel fine though,,, my blood work shows high viral loads, but a biopsy in 1996ish showed no damage to liver, i was grade one, level one, or something like that, the doctor then said it was the next best thing to not having hep C...i only bring this hep c up because the new doctor I have wants me to do the cocktail for the hep C, and i am considering it only because part of the treatment requires me to be clean for the cocktail to work, so maybe thru the back door i can can get on suboxone, but as i wrote b4 i thought i was allset and found out diferently
again, sorry if i sound like a chronic complainer here, if ya knew me, yopu would know diferent, in fact, i find it very hard to ask for and accept help for my addiction because ai feel it is my fault for relapsing, and i have alot of angry towards myself as a result of as this....just trying to let you know where I am coming from
thx again for the links, i will let ya know what happens with em
one thing i just noticed was this, there are no numbers to call on back of masshealth card, BUT i have found numbers to acupuncture and other difernet helpful directions
02-22-2009, 03:11 PM
nancyb another add-on in regards 2 insurance coverage
i am guessing that BMC stands for baystate medical center and it that is the case, then i should have no trouble finding a BMC closer than boston, but i did not think that BMC took all forms of masshealth...i think mine is called masshealth essential, and currenttly i switched it to masshealth CCP plan, but its easy 2 switch it 2 whatever they want me to, but i think they have diferent levels of masshealth coverage and i am not sure if i am at the low end or the high end of coverage, but i surmise that i have the basic , minimal coverage, as to my undestanding it is called the masshealth essential plan.... i keep u updated as 2 how it goes 4 me
I hope you are having some luck... I wanted to know if you are working? If not, then maybe one of the in-patient plans would work... once your there they havve to give you sub to continue once your done your in time... probably about a week...have you check into that?
P.S. just trying to help... i grew up in Mass (Central) Worcester area. And even then I had a hard time trying to find help with my DOC (Heroin). Let us know how it goes.
02-25-2009, 06:36 PM
thank you for your ideas, i'm not working, but unfortunately have other comittments limiting my treatment to outpatient, but deep down inside i think i am scared to detox, scared to fail again, there is no middle ground, you either get clean or you don't, after awhile i think it becomes sadly sick and commonplace,,, after getting involved in AA during my younger days in the early 80's I ended up sober from 11/92-9/98 , i felt entitled to carry a resentment that kept me away from AA, isolated, making bad decisions, mtg attendance was sporatic, led to a poor support system and when i hurt my back it did not take too long before i relapsed with opiate based pain killers, though i first used non narcotic pain killers, IMO they don't work, IMO again, looking back i'd never take a narcotic/opiate pain killer because I can't control my dosing and usage, and it shortly after leads to a full blown relapse, just givinga quick history and in retrospect what IMO led to my relapse.
But today i'm going on 48 yrs old and it seems harder to stop, or even switching to methadone, i was on the methadone clinic starting 4/08 for six months on a low dose of 25mgs.(my DOC is also heroin) ,,the low dose was my choice as i didn't want to higha dose if i lost the state insurance or thrown off clinic, lookin back , i thinka higher dose of around 50-70 mgs would a been enough to block me i think, on the 25 mgs. i used every single day i was on th clinic, STUPID AS*!, wasted time, and stepped backwards further, two other times on 45 mgs. i also pretty much used it as my first dose of the day kinda,, just trying to be honest so it may help someone else maybe i hope,,
so, DOC use started in beginning of 2000 after a short period of time taking vicodin, i remember taking that first vicodin , getting up a little earlier than i needed to, to take the pill on an empty stomach, than lay back down waiting for the pill to take effect, enjoying the dosing off feeling i got, well, years later, i have a very expensive memory, costly in health cuz i have HEP C , though it has not caused any problems yet health wise, my viral load is high, but a biopsy in around 1997ish came back with the best news if could, basically the next best thing to not having it,,, i should be MORE grateful for not having more serious problems from it as I found out in 1991 that i had HEP C , i was on trexan ( naltrexone) for two years during which they monitired my blood work for certain liver tests levels, i think liver enzymes SGOTS?? regardless,maybe the early watching kept me healthier, though i never sounght treatment as the specialist i had/have said they do not recomend any treatment unless i get sick and need it, otherwise, i should wait fora better treatment...i have heard both good and bad results with treatment for hepc w/the cocktail or whatnot... one friend said they did not have any bad sideffects.... getting sidetracked here a bit,,, its all true info that can help maybe...
ok, back about suboxone and recovery of some fashion
i would really like to be 100% drugfree and would jump at the opportunity to geta vivitrol implant..it blocks opiates and helps w/cravings, but you have to be totally opiate free for nearly ten days to be safe, and they give you trexan first, or evena shorter acting antagonist
next choice would be to get on suboxone and listen to how they want to treat me, I am open to staying on it or less desirably to detox off it , unless it can be done without any issues, as i said , it sees harder now that I am a lil older, plus i have been using DOC for around two years straight, maybe longer
next choice would be methadone clinic, but at the correct dose to block DOC, and also to stay clean on it this time, tho it is harder for me to stay away from the DOC because its 4 sale right there, and once i start i have alot of dificulty stopping again...also, it does not mean that the treatment is in effective, but IMO you are treated like a sneaky criminal, i mean enough's enough with the urine test, i'm not bring warm pee in the clinic, give me break, also, the power trip of holding your drink because of whatever reason suits the staff, you hold the drink, i get resentful, & angry ,go leave and use my DOC...But if I were on suboxone I would not be able to use because it has the naltrexone can make you sick
****** You can save alot of reading by skipping to here...the 1st paragragh answers paula's question of in patient treatment....not able to presently, 107 lincoln st i remeber adcare's address i think from yrs back
I called a number i found and it led toa suboxone hotline number which i did call late this afternoon, its supposed to to really have masshealth taking doctors accepting new suboxone patients.... it would be real nice if igeta call tomorow morning,,, i'll let you know what happens and if the call gets me anywhere
thank you all for your collective ideas , i will let you know how progress goes for me,,,for those who wanna read a background history of my addiction, maybe it'll help you somehow
basically every day is a complete cycle, towards the end of the day, i think that magically the next morning i will be able to change my behavior, but by 4-5 AM the detox terror starts and by 7 AM i am out in search of DOC, i could be back as quick as one hour , or 3-4 hrs to find it ...usually, i am half crying as i am driving in search of because i know how this garbage is hurting me, and immediate family... I really hurts , BUT i still don't even blink , the decision is that fast to use, and that is it, i am gone till its over, than if lucky i forget about problems and the day passes, but by night i think i can maybe make it , or i am thinkin i can't make it,, right now, i hope that i get a call from the suboxone number, and i really hope that i have a strong desire to start the suboxone as the switch IMO can be tough
02-27-2009, 01:59 PM
nothing new today, just trying to stay positive and move forward with my life
have anice day,
Hi JimK, I hope you get a call. IMO it is not too late for you to leave your DOC behind you and start on a program with either the implant, or suboxone. Think about calling some pharmacies and asking them about any dr names who prescribe. Your DOC has to be costly, not to mention driving around for hours seeking it out-so IMO paying for a dr's visit would not be out of the question. I know you have tried several things to locate treatment but you must keep trying other avenues. The solution is out there, it really is, I just wish it would come a little easier for you. You sound like you are ready to give up the DOC chasing and settle with a treatment program. You really have to work at finding a doctor who will prescribe-didn't you say Boston was not too far for you to go? There has to be lots of options in the Boston area-at least that is the next place you can research. Best wishes, I am hopeful for you.
02-27-2009, 06:37 PM
I don't know if this will help but I live in Alaska and my Suboxone doctor is in Wa. state. I called several doctors until I found one that could take me. I picked Washington because I have friends I could stay with for a month, however I was done in a week. I have Blue Cross but ended up paying cash (900.00) When I was done they came back and told me that they would bill my insurance (normally the patient has to take care of it) But apparently my insurance covers 15,000 of out patient treatment a year. Also they were supposed to bill my insurance and not have me pay, but they said very few people have that type of insurance.
Well it's been a few months and no check yet, but haven't really pursued it. I am so happy to have my life back, I feel like giving it to my doctor as a gift.
He seems to work "outside" the general box. The whole office was warm and wonderful and treated me with dignity and respect. I now just have to call him 1x per month to discuss my progress. He even helped me with a pharmacy that will mail out my RX everymonth. I pay 30.00 for the pills and 100.00 1x per month for the phone call, and they bill my insurance. I wonder if you could find anything like that?
I check on you everday to see if you have found anything yet. I know what your feeling so please don't give up. Like I said don't know if this will help, but at this point no idea is a bad one. HANG IN THERE! I'm rootin for ya!
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