Back from job shadowing... depressing.

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velocicaur

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Last week I had the opportunity to job shadow a local podiatrist for a couple hours. This was my first time doing so and I wasn't entirely sure what to expect.

We started talking and not five minutes into the conversation he recommended that I not go into podiatry. He said that he enjoyed the clinic life, but it was not worth it. He claimed that the reimbursements were going down/universal healthcare, getting sued, too much time in the office, on call, tuition it too high, a lot of taking notes/clerical stuff etc. Too much work put in for not enough reward. He was really straightforward with his opinion which I appreciated, but it was also discouraging. He suggested I looked into nursing/crna if I was interested in that.

There was also another doctor in the office who we spoke to for a few minutes. He thought the the career was good, but to make sure that I really wanted the patient interaction and I knew what I was getting into. That I should not believe any of the salary reports found on the internet as they were all too high (other one nodded his head).

Needless to say, it started off on a bad note but the office rounds were nice. We ended up seeing 8 or 9 patients - nails, warts, inserts. That part of the job seemed good and the time flew by.

Obviously, this is different from what I have been reading on this forum. I am going to have to make work on shadowing someone else in the area. Hopefully s/he is a little more positive.

Shrug, that was my experience. Any thoughts?
 
...reimbursements were going down/universal healthcare, getting sued, too much time in the office, on call, tuition it too high, a lot of taking notes/clerical stuff etc. Too much work put in for not enough reward....
A lot of what you describe is just the state of medicine in general... declining reimbursements, increased student loan burden, longer hours to make ends meet, more lawsuits, etc etc etc.

This post basically sums up my thoughts on that topic:
http://forums.studentdoctor.net/showthread.php?p=5302907#post5302907

Medicine is not something you go into for $... at least, not anymore. It could get even worse if we trend towards socialized medicine. Sure, you can still get quite rich, but you certainly can't count on it and should not choose the career field for that reason. Docs will never be starving, but it net income (after loan payments, malpractice, office overhead, etc) could continue to shrink since Medicare has decreased, or at least increased much slower than inflation.

Those docs were right that nursing is a great field; if I were 18 again, I'd be hard pressed to decide between DPM and RN. My best man in my wedding is an ICU nurse. He and I are lifelong friends and were nurse assistants together in undergrad. We were on that hospital bowling league with some CRNAs when I told one, the head CRNA at the hospital, that I was pre-med freshman and wanted to be a family practice doc since I like talking with patients and getting to know them. She told me "no way... go into anesthesia, derm, ENT, or podiatry... all have much better hours and better pay."

Well, fast forward to today: my buddy is done with school and paid out of loan debt (he had many scholarships and awards, though), his nice car is paid off, and will have his house paid off within the next couple years. He also has the luxury of switching specialties... ICU to ER... OR... peds... ortho... whatever. Being a smart guy, he is sometimes frustrated by not being more directly involved in the patient care plan, but that is easily alleviated by going home to his wife when his shift is up while the docs/residents he works with are answering beepers and sleepwalking through life. I'm in school with over $150k in debt and 3yrs of demanding residency coming up 😛 . Sure, I might gross 3-5 times what he does when all is said and done, but I have more debt and more overhead. It's a tough decision.

...We ended up seeing 8 or 9 patients - nails, warts, inserts....
8 or 9 in a day... for two docs?^ That is not the norm unless these guys are working in an extremely saturated area or they just started that office. As for the types of patients and their pathology, that depends on each doc's training and how they market themself.
 
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8 or 9 in a day... for two docs?^ That is not the norm unless these guys are working in an extremely saturated area or they just started that office. As for the types of patients and their pathology, that depends on each doc's training and how they market themself.
It can also depend on how old the docs are, ie how long out of residency they are. The field of podiatry has been changing drastically in recent years, and I have seen older pods not be adapt at changing and lose some of their patient base to newer pods who keep up with the latest techniques and can advertise themselves better. It definately would pay off to shadow a few more pods.
 
Thanks for the response.

The 8-9 patients was for the doc I was shadowing, which was less than 3 hours overall. The other doctor was seeing his own.

Knowing what you know now, and given the opportunity, you would consider switching to nursing? I still have 55ish credits left in my undergrad degree, so I have some time to decide yet, but that is interesting.

Thanks again for the response.
 
Thanks for the response.

The 8-9 patients was for the doc I was shadowing, which was less than 3 hours overall. The other doctor was seeing his own.

Knowing what you know now, and given the opportunity, you would consider switching to nursing? I still have 55ish credits left in my undergrad degree, so I have some time to decide yet, but that is interesting.

Thanks again for the response.


Nursing is a great career. I always recommend nursing to anyone who arent sure about podiatry. People may laugh at nursing, especially guys, but the career is in high demand, plus it pays well.

Another great career is PA. I almost went that route.

You should do more research about each field before making any decisions.
 
Last week I had the opportunity to job shadow a local podiatrist for a couple hours. This was my first time doing so and I wasn't entirely sure what to expect.

We started talking and not five minutes into the conversation he recommended that I not go into podiatry. He said that he enjoyed the clinic life, but it was not worth it. He claimed that the reimbursements were going down/universal healthcare, getting sued, too much time in the office, on call, tuition it too high, a lot of taking notes/clerical stuff etc. Too much work put in for not enough reward. He was really straightforward with his opinion which I appreciated, but it was also discouraging. He suggested I looked into nursing/crna if I was interested in that.

There was also another doctor in the office who we spoke to for a few minutes. He thought the the career was good, but to make sure that I really wanted the patient interaction and I knew what I was getting into. That I should not believe any of the salary reports found on the internet as they were all too high (other one nodded his head).

Needless to say, it started off on a bad note but the office rounds were nice. We ended up seeing 8 or 9 patients - nails, warts, inserts. That part of the job seemed good and the time flew by.

Obviously, this is different from what I have been reading on this forum. I am going to have to make work on shadowing someone else in the area. Hopefully s/he is a little more positive.

Shrug, that was my experience. Any thoughts?

It sounds like a bad experience. I would look at their training (do they do a descent amount of surgery or is it all small office stuff), location (are there a lot of other, better trained pods in the area), and business sense (are they just not that good at running a business)?

Medicine in general is getting to be a tough profession, not just podiatry. However, I have seen a lot of my co-residents go out and do very well for themselves. I have yet to see someone not start in the six figures (unless they were starting their own business from scratch) so I guess it depends on what your definition of success is. Most guys I know have gone in who big pod groups, ortho groups, multispecialty groups, or hospitals and are doing great.
 
Last week I had the opportunity to job shadow a local podiatrist for a couple hours. This was my first time doing so and I wasn't entirely sure what to expect.

We started talking and not five minutes into the conversation he recommended that I not go into podiatry. He said that he enjoyed the clinic life, but it was not worth it. He claimed that the reimbursements were going down/universal healthcare, getting sued, too much time in the office, on call, tuition it too high, a lot of taking notes/clerical stuff etc. Too much work put in for not enough reward. He was really straightforward with his opinion which I appreciated, but it was also discouraging. He suggested I looked into nursing/crna if I was interested in that.

There was also another doctor in the office who we spoke to for a few minutes. He thought the the career was good, but to make sure that I really wanted the patient interaction and I knew what I was getting into. That I should not believe any of the salary reports found on the internet as they were all too high (other one nodded his head).

Needless to say, it started off on a bad note but the office rounds were nice. We ended up seeing 8 or 9 patients - nails, warts, inserts. That part of the job seemed good and the time flew by.

Obviously, this is different from what I have been reading on this forum. I am going to have to make work on shadowing someone else in the area. Hopefully s/he is a little more positive.

Shrug, that was my experience. Any thoughts?

Totally different from my experiences when I was shadowing as a pre-med. Try shadowing others... The podiatrist I shadowed dealt w/ mostly wound care and does surgery once a week. I did over 40 hours of volunteering at his office and saw some really really cool things. It was there that i was sold to the field of podiatry. He nets over 300K. Very cool dude..hmm I should give him an update on how i'm doin haha.
 
Totally different from my experiences when I was shadowing as a pre-med. Try shadowing others... The podiatrist I shadowed dealt w/ mostly wound care and does surgery once a week. I did over 40 hours of volunteering at his office and saw some really really cool things. It was there that i was sold to the field of podiatry. He nets over 300K. Very cool dude..hmm I should give him an update on how i'm doin haha.


WHAT where?
 
i dont know if this helps, but i'm currently an ICU nurse and can vouch for the benefits of the job. you can literally change your specialty anytime you want and nurses are in such high demand you will have your new job the day you decide you want it. if you crave adrenaline, you can do ICU or ER or flight nursing (they make bank most of the time), if you want good hours then work in a clinic, if you want good money and to choose your own hours then you can do home health stuff etc etc. and the nursing shortage has caused a lot of hospitals to still end up short so they hire 'traveling' or agency nurses from out of state. these nurses usually dont have benefits but can easily make $40-$60/hr with housing paid for by the agency. that being said, you are still a nurse. while some jobs offer marginal autonomy you will always take orders and follow others instructions. you will probably continue to learn but if youre like me, you'll crave more of the core education that med school/pod school offer. I think nursing is a great career and i'm glad i did it, but i cannot say i'm satisfied with the amount of knowledge my nursing program gave me (hard to compare a bachelors with a doctorate of course). thats why i'm considering podiatry/med school. i want to be the one answering questions about anatomy/patho not asking them.
but the 36 hr work week offered to nurses is hard to beat!
 
I think its safe to say that medicine in general is the most amount of work with the least amount of return, at least in comparison to other health professions. But, every job has its pros and cons. If you're looking to make big bucks, you should probably go into business. Wealthy, and I mean REALLY wealthy, physicians/dentists/optometrists etc. make their money from having a good business sense...
 
He claimed that the reimbursements were going down/universal healthcare, getting sued, too much time in the office, on call, tuition it too high, a lot of taking notes/clerical stuff etc.

Those issues are not unique to podiatry. ALL of medicine has the same worries. Compared to other surgical professions podiatry malpractice insurance is inexpensive, and being on-call for podiatry is easy. Of course if you crave trauma work (I know a lot of students think they do), and ask the hospital to put you on the ER call rotation, then you shouldn't really get upset 10 years out when they ring you at 2am to fix the ankle on a high, uninsured gang-banger. For the most part, practicing doctors loathe being on-call and some even pay others to take call for them. Podiatry call is not so bad.

I don't know what "taking notes/clerical stuff" means exactly, but I think they might be referring to paperwork. Yes, there's a lot of it. Yes, it's manageable. You can pay someone to do it for you (e.g., Office Manager, Assistant, etc.) if you don't want to do it yourself.

Too much work put in for not enough reward

I don't know about this claim. Most of the time I'm surprised by how much reward there is for what I feel is easy work.

...make sure that I really wanted the patient interaction and I knew what I was getting into.

That's good advice for any profession, not just medicine.

That I should not believe any of the salary reports found on the internet as they were all too high (other one nodded his head).

Looking at SDN, I think a lot of posters are hoping for $200K or more right out of Residency. Good luck. While some might get it, I don't think it represents the majority. It's not unreasonable to make that much within a few years though.

Needless to say, it started off on a bad note but the office rounds were nice. We ended up seeing 8 or 9 patients - nails, warts, inserts. That part of the job seemed good and the time flew by.

If you liked the office work, and could see yourself doing it for the next 30 years or so, then that's a major consideration. Nails, warts, and insets are a big part of the profession. If you hate it and envision yourself being scrubbed in the OR all of the time, then maybe another profession would be more satisfying.

I don't know a good place to put this, so I'll put it here:
One thing I noticed through med school (I went to Des Moines where we mixed with the DO students) is that a lot of students have a prevailing sentiment that "harder is better." "Podiatry -- anyone could do that." "Orthopedics -- that's blue collar medicine." "Derm -- all they do is take biopsies and write for steroid cream." In other words, the more challenging the career track, the more inherently better it is somehow. That's fine if you're young and have an ego to massage, but those who continue with it might someday find themselves in the most challenging specialty, working crazy hours, being on-call every 3rd day, sleeping poorly, missing their families, and getting reimbursed no better than the guy who chose the "easy" route. It's a case of "be careful what you wish for..."

In my opinion, what's important is you pick something you think you can do for 30 years or more.

There, enough opining for now.

Nat
 
I think its safe to say that medicine in general is the most amount of work with the least amount of return, at least in comparison to other health professions. But, every job has its pros and cons. If you're looking to make big bucks, you should probably go into business. Wealthy, and I mean REALLY wealthy, physicians/dentists/optometrists etc. make their money from having a good business sense...

I may go into private practice but i dont know about something...what is a "good business sense"?

I really want to go into a multidisciplinary gig but i dont know because i have never given private practice much thought because i didnt want to do any business but i am not sure anymore...

so what is a good business sense?
 
Of course, there are always going to be good people to shadow, and not so good too. This was a good experience for you from one perspective. Try getting another perspective too. Feel free to contact the APMA to get a list of DPMs who have volunteered for our DPM Mentor Network. They are generally going to be able to give you the straight story, but they also come from a positive perspective. Contact us at [email protected] or send a PM to us on this forum. Good luck and don't let one (or two in your case) bad apple spoil the bunch.
 
I may go into private practice but i dont know about something...what is a "good business sense"?

I really want to go into a multidisciplinary gig but i dont know because i have never given private practice much thought because i didnt want to do any business but i am not sure anymore...

so what is a good business sense?
I think a good question to ask yourself is, "What does the multidisciplinary practice give me?" Is it a referral source? Is it emotional safety? Is it financial security? Is it management services? Is it removal of the fear of running your own business? Is it so you can tell others you work for a multidisciplinary practice (i.e., ego stroke)?

I think it's an important question to ask because if you are a great podiatrist then you can be a great podiatrist whether you're in a large multi-disciplinary clinic, in a small group, or solo. From what I see in the community, large multispecialty clinics have tremendous overhead expenses. That means that you have to work your butt off to pay for fixed expenses. If you usually run at 75% overhead and you have a short month (say you went on a week vacation), then your overhead might be up at 85% or more that month. Ouch! In contrast, if you run around 50% overhead most months then you have some room to breathe. Go ahead and run some numbers for yourself. Use $300,000 as a hypothetical gross collections. Multiply it by 50% and 75% to see what kind of overhead expenses you'd have. I'd make sure that the big group gives you something you can't or don't want to give yourself.

"Working hard" doesn't necessarily equal "good business sense." It might just mean you're overworked. There's a saying that goes, "work smarter, not harder."

"Good business sense" can be ethereal. I guess you can say it distills to "making your profit column exceed your loss column." There are several ways to go about making that happen, and there's room for creativity, ingenuity, and entrepreneurship. Hopefully you can pick it up as you go. If not, there's always paying that big group to run your practice for you.
 
I may go into private practice but i dont know about something...what is a "good business sense"?

I really want to go into a multidisciplinary gig but i dont know because i have never given private practice much thought because i didnt want to do any business but i am not sure anymore...

so what is a good business sense?

I agree with what everyone else has said. Working harder just means you're working harder, not necessarily smarter. Hire good people, open a practice in a good area, be keen on how your money is being invested (overhead and such) make well thought-out descions, don't be a pushover, and MAKE CONNECTIONS. Education opens one door, but knowing people opens everything else. ... Good business also has to deal with a certain amount of luck, being shrewd and your abilities to deal with all kinds of people.

This stuff cannot be learned in a textbook or by reading posts on SDN, but through experience. I loved reading about Lucille Ball and all of her brilliant business moves. Funny AND smart.

On a side note, just look at your undergrad career. I'm willing to bet that there are plenty of people with outstanding GPAs, but how do you know if it's all because they studied their butts off? It might be because they took the right classes at the right time with the right professors, leaving them with time to do other things to spiff up their resume. I would say thats a form of a "good business sense"
 
Of course, there are always going to be good people to shadow, and not so good too. This was a good experience for you from one perspective. Try getting another perspective too. Feel free to contact the APMA to get a list of DPMs who have volunteered for our DPM Mentor Network. They are generally going to be able to give you the straight story, but they also come from a positive perspective. Contact us at [email protected] or send a PM to us on this forum. Good luck and don't let one (or two in your case) bad apple spoil the bunch.

contact Dr. Hal O, he's a great guy & the biggest cheerleader for the profession. I'll assure an entirely different prospective on podiatry 👍
 
I shadowed a podiatrist Dr kase in burbank.i heard nothing but positive things about podiatry. he was very encouraging. in fact he told me not go into the md field.





different strokes for different folks.
 
You'll hear that reply often from MD/DO too. Don't worry about it, it all depends on the person.
You need to find out what kind of person you are if you are considering nursing vs doctor. I can tell you first hand I was miserable during nursing school and hated every minute of it. I needed one more class for my BSN and I left to go to podiatry school and am so glad I did. Ask yourself this question: where do you see yourself in 10, 20, 30 years? That simple question did it for me. I simply could not see myself at the age of 50 or whatever being happy as a nurse.

Also, unless you have kids or something don't worry about loans. I have never met a doctor who couldn't pay off his loans.
 
Medicine hit the zenith about 20 years ago and it has been going down ever since.

Take his advice to heart and really think why you want to go into medicine.

The reality is that you might struggle for 10 years after residency like many do.

Do you like living like a student? Can you really live like a student for 20 more years?
 
Hey so This is kind of relevant to this discussion. There is a pod in the town that I live in and I went to call him about job shadowing but when I looked up his number online there was a spot where people can comment about the business.. It was all negative marks (they all said he was just there to make money). He is the only one around and I am reluctant to call him (especially after reading this link). The next pod is over an hour away and I drive a gas hog plus i'm poor. Do you guys think I should shadow him anyways.

Sorry if this is kind of a dumb obvious answer
 
Hey so This is kind of relevant to this discussion. There is a pod in the town that I live in and I went to call him about job shadowing but when I looked up his number online there was a spot where people can comment about the business.. It was all negative marks (they all said he was just there to make money). He is the only one around and I am reluctant to call him (especially after reading this link). The next pod is over an hour away and I drive a gas hog plus i'm poor. Do you guys think I should shadow him anyways.

Sorry if this is kind of a dumb obvious answer

Isn't the goal in life to make money?? :laugh:

Seriously though, I'd look for something more concrete b4 I made my decision..Stuff like: "this guy totally doesn't know what he's doing......" or complaints over excess charges/unneeded procedures, etc......Those are red flags...Besides....Some patients lie, so that's relatively subjective anyway

How old is the guy? Is he like retirement age (70+)?? I mean cmon...Just seeing comments on "he only wants to make money" doesn't mean he's a crappy/unknowledgeable/unwise podiatrist...You can STILL learn something from him....Make your own decision..

But, if there's a public website, has BAD comments, & is still in business.....He must be doing something right..

Save your excess gas $$ & go shadow this guy.............................then let us know if it's as bad as the comments say......Couldn't hurt any way, right?
 
lets hope so!

Isn't the goal in life to make money?? :laugh:

Seriously though, I'd look for something more concrete b4 I made my decision..Stuff like: "this guy totally doesn't know what he's doing......" or complaints over excess charges/unneeded procedures, etc......Those are red flags...Besides....Some patients lie, so that's relatively subjective anyway

How old is the guy? Is he like retirement age (70+)?? I mean cmon...Just seeing comments on "he only wants to make money" doesn't mean he's a crappy/unknowledgeable/unwise podiatrist...You can STILL learn something from him....Make your own decision..

But, if there's a public website, has BAD comments, & is still in business.....He must be doing something right..

Save your excess gas $$ & go shadow this guy.............................then let us know if it's as bad as the comments say......Couldn't hurt any way, right?


......Almost every single one of them said that he was ordering surgeries when they weren't needed just to make money. 4 different people saying this throws a red flag... right? Apparently he want's to operate on everything/body... or thats what the comments say anyways.
 
......Almost every single one of them said that he was ordering surgeries when they weren't needed just to make money. 4 different people saying this throws a red flag... right? Apparently he want's to operate on everything/body... or thats what the comments say anyways.


That sounds iffy to me man....I mean, unless they got 2nd opinions by another pod. or orthopod, how can they say surgeries "weren't needed."---In my medical experience (8 years), I've never seen a doctor just order surgeries- like it was a fast food or something....Things need to be JUSTIFIED, explained to the patient, etc, etc........If I come in for ingrown toenails, and the pod. wants to do some reconstructive surgery on my foot, then yeah--I'd be a little :scared:......But, I don't think that would happen...He'd be risking his license........Besides, if he's doing illegal stuff, they'd probably shut him down already...

:shrug:... I'd say check it out anyway & ignore all the hype.....Still couldn't hurt..


***Besides, who's to say that those (4) people, wasn't just (1) disgruntled patient OR....the competition??......Ruin his reputation & drive off his patient base....More for that other guy an hour away....This stuff happens ya know..***
 
That sounds iffy to me man....I mean, unless they got 2nd opinions by another pod. or orthopod, how can they say surgeries "weren't needed."---In my medical experience (8 years), I've never seen a doctor just order surgeries- like it was a fast food or something....Things need to be JUSTIFIED, explained to the patient, etc, etc........If I come in for ingrown toenails, and the pod. wants to do some reconstructive surgery on my foot, then yeah--I'd be a little :scared:......But, I don't think that would happen...He'd be risking his license........Besides, if he's doing illegal stuff, they'd probably shut him down already...

:shrug:... I'd say check it out anyway & ignore all the hype.....Still couldn't hurt..


***Besides, who's to say that those (4) people, wasn't just (1) disgruntled patient OR....the competition??......Ruin his reputation & drive off his patient base....More for that other guy an hour away....This stuff happens ya know..***



...you make a good point. ...and I bet I could get some good surgery shadowing. lol.
 
......Almost every single one of them said that he was ordering surgeries when they weren't needed just to make money. 4 different people saying this throws a red flag... right? Apparently he want's to operate on everything/body... or thats what the comments say anyways.
In reality, some pods are quicker to jump to surgery than others. It isn't necessarily right or wrong, just a different method. He sounds like one of the guys who thinks surgery is the best way. Also, there are better ways to make money from patients than just doing surgery on them all. I wouldn't trust an online public comment site with checking things out myself too.
 
My DPM told me that i shouldn't go into the MD field. he told me that his friend who is an Md encouraged his own kids to rather go into podiatry.the field is pretty much limitless within a scope of feet.
 
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My DPM told me that i shouldn't go into the MD field. he told me that his friend who is an Md are encourages his kids to rather go into podiatry.the field is pretty much limitless within a scope of feet.
Things change so fast that in 4 years all will be hugely better in pods. It was a disaster less than 10 years ago and came this far that fast. Go for it.
 
it will be much more competitive in a few years.
Its getting there now. If you don't get in this year it will really become tough next. But its hard anytime becuase getting in only begins the task. 🙂
 
Its getting there now. If you don't get in this year it will really become tough next. But its hard anytime becuase getting in only begins the task. 🙂

hopefully GPA averages for the better schools gets up to around 3.5ish and MCAT gets up to around 24-25 in the next year and then only up from there...this is truly a great profession that all of us are clearly so excited about and I am eager to see what the future will bring...judging the future by what has happened thus far things can only get better!
 
maybe but it wont happen for a while. more and more schools are opening in the future. due to low doctor shortages. Obama is trying to change all the regulations.
 
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I shadowed a podiatrist Dr kase in burbank.i heard nothing but positive things about podiatry. he was very encouraging. in fact he told me not go into the md field.





different strokes for different folks.

Dr. Kase ROCKS!!! Can you believe how busy his office is???????? I was so exhausted after shadowing with him. He was also so encouraging to me as well! And wished his own children would become podiatrists!

Actually I think my feet still hurt 😱 from my time spent with him!! lol His office was really busy! 😀😀😀
 
maybe but it wont happen for a while. more and more schools are opening in the future. due to low doctor shortages. Obama is trying to change all the regulations.

Howso? Where can I read about these proposed changes?
 
Dr. Kase ROCKS!!! Can you believe how busy his office is???????? I was so exhausted after shadowing with him. He was also so encouraging to me as well! And wished his own children would become podiatrists!

Actually I think my feet still hurt 😱 from my time spent with him!! lol His office was really busy! 😀😀😀

yeah hes unbelievably busy he had about more than 50 patients to see through half the day. hes an amazing doctor. he used to be like the president of the podiatry association.🙂🙂
 
Howso? Where can I read about these proposed changes?

Its obvious we have very high shortages of physicians you can find that in the ama website. it also talks about the future of medical schools. i hope the obama administration will seriously make some changes.
 
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