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Posted by Vincent_QC on September 19, 2010, at 11:19:02
In reply to Re: oh canada! » ed_uk2010, posted by Conundrum on September 19, 2010, at 8:49:15
> I agree about those dumb me too drugs. Pristiq doesn't even have DRI like the original. Yes we are guinea pigs, but it seems like you get the same drugs eventually anyway. Cymbalta is still linked with liver problems and Canada still approved it. I dont' think its the new drugs that keeps canadian's from getting well. I think its the time it takeks to see a pdoc and then short appointment times. How can they make an accurate assessment if its hard to get consistent visits and they are short like someone on he recently stated?
**************************************************
You're so right!!! The problem is not the meds themself, well not all the meds... some of them are very bad... but the main problem it's the time it takes to see a PDoc, sometimes more than 1 year, so your anxiety/depression or any other psychological disorder get worse because it's untreated for that whole year...
Also, sometimes you fall on a PDoc that you don't like or seem to don't care about you and if you complaim and ask to see another one it's really complicated so you keep the same and feel not well understand and hopeless...
Most of the PDoc don't take more than 30 minutes for 1 appointment, they just talk about meds and if all the meds fail, they don't know what to do and they say stupid thing like start practicing yoga...or relaxation... that's not the kind of help a patient need...
The fact that the PDoc or free Psychologist don't take time to listen to you is also a big problem... if you complaim about physical pain, as well as weird anxiety symptoms, they told you that you only need reassurance, and that it's not their job to do reassurance with you...
Same for the free Psychologist, they don't take the time to listen to you because they will see you only 12 times for about 45 minutes... The waiting list is long and they let you know that you are not alone to need help and make you feel not compliant to their therapy... and most of the time they rush the CBT therapy and they are agressive in a way, since they put pressure on you to do exposure to your fears at week 1, even if you are not ready and need to understand why you feel so anxious, why you have so many weird symptoms and what kind of bad emotions hide behind those weird anxiety symptoms... no wonder why CBT fail most of the time on a lot of peoples... I think the patient need to talk first, they need to talk weekly about the symptoms they have, how they feel, talk about their emotions... If the Psychologist only talk about your bad thoughs who need to be change in good thoughs and they put pressure on you do to agressive exposure to fears, it will not work for sure...
So that's hard to not feel frustrated when you face that kind of problems... I don't think it's like that in all the Canada... but for the Quebec province that's bad...we need more PDoc and Family Doc also... that's another problem... no wonder why they go work outside the Canada...anyway...
Posted by Vincent_QC on September 19, 2010, at 11:22:23
In reply to Re: oh canada! » Vincent_QC, posted by ed_uk2010 on September 19, 2010, at 10:36:23
> >don't have it in a generic form in the Canada... wonder why in the USA they have it...
>
> Because the USA is the biggest market for prescription drugs in the world, there are a lot of people and prescribing is very high - in spite of the very high cost of new medicines. Even infrequently prescribed products sell well enough to make it worthwhile for the manufacturer. If they tried to sell generic nefazodone elsewhere, it probably wouldn't be prescribed enough to make it financially viable for the manufacturers and suppliers. We don't have it here either, it simply wouldn't be prescribed... or very rarely.
************************************************Yeah, I understand... the Canadian market is smaller for sure... and drugs company want to make money after all... that's the goal...
Posted by ed_uk2010 on September 19, 2010, at 11:48:41
In reply to Re: oh canada! » Conundrum, posted by Vincent_QC on September 19, 2010, at 11:19:02
It sounds like England. We don't have many pdocs, and each one has a lot of patients. Even psychotic patients don't get seen that often.
> You're so right!!! The problem is not the meds themself, well not all the meds... some of them are very bad... but the main problem it's the time it takes to see a PDoc, sometimes more than 1 year, so your anxiety/depression or any other psychological disorder get worse because it's untreated for that whole year...
>
> Also, sometimes you fall on a PDoc that you don't like or seem to don't care about you and if you complaim and ask to see another one it's really complicated so you keep the same and feel not well understand and hopeless...
>
> Most of the PDoc don't take more than 30 minutes for 1 appointment, they just talk about meds and if all the meds fail, they don't know what to do and they say stupid thing like start practicing yoga...or relaxation... that's not the kind of help a patient need...
>
> The fact that the PDoc or free Psychologist don't take time to listen to you is also a big problem... if you complaim about physical pain, as well as weird anxiety symptoms, they told you that you only need reassurance, and that it's not their job to do reassurance with you...
>
> Same for the free Psychologist, they don't take the time to listen to you because they will see you only 12 times for about 45 minutes... The waiting list is long and they let you know that you are not alone to need help and make you feel not compliant to their therapy... and most of the time they rush the CBT therapy and they are agressive in a way, since they put pressure on you to do exposure to your fears at week 1, even if you are not ready and need to understand why you feel so anxious, why you have so many weird symptoms and what kind of bad emotions hide behind those weird anxiety symptoms... no wonder why CBT fail most of the time on a lot of peoples... I think the patient need to talk first, they need to talk weekly about the symptoms they have, how they feel, talk about their emotions... If the Psychologist only talk about your bad thoughs who need to be change in good thoughs and they put pressure on you do to agressive exposure to fears, it will not work for sure...
>
> So that's hard to not feel frustrated when you face that kind of problems... I don't think it's like that in all the Canada... but for the Quebec province that's bad...we need more PDoc and Family Doc also... that's another problem... no wonder why they go work outside the Canada...anyway...
Posted by Conundrum on September 19, 2010, at 12:04:22
In reply to Re: oh canada! » Conundrum, posted by ed_uk2010 on September 19, 2010, at 10:40:09
I don't have good healthcare here in the US but its forcing me to look for job, so thats not necessarily a bad thing. It forces people not to sit on their laurels. Not saying canadians do, but I know americans would.
Posted by Vincent_QC on September 19, 2010, at 12:13:14
In reply to Re: oh canada!, posted by ed_uk2010 on September 19, 2010, at 11:48:41
> It sounds like England. We don't have many pdocs, and each one has a lot of patients. Even psychotic patients don't get seen that often.
>
>Same here... not a lot of PDoc for sure and they have too many patients... but I see mine every month, sometimes he cancel my appointment at the last minute and schedule another one 1-2 weeks later... but most of the time it's 1 time a month...
Posted by ed_uk2010 on September 19, 2010, at 12:19:12
In reply to Re: oh canada! » ed_uk2010, posted by Conundrum on September 19, 2010, at 12:04:22
>I don't have good healthcare here in the US but its forcing me to look for job, so thats not necessarily a bad thing. It forces people not to sit on their laurels. Not saying canadians do, but I know americans would.
There are quite a lot of people here who seem to take advantage of our social security and healthcare systems.
Posted by Vincent_QC on September 19, 2010, at 12:25:06
In reply to Re: oh canada! » ed_uk2010, posted by Conundrum on September 19, 2010, at 12:04:22
> I don't have good healthcare here in the US but its forcing me to look for job, so thats not necessarily a bad thing. It forces people not to sit on their laurels. Not saying canadians do, but I know americans would.
I understand that... BUT to be able to have a job, you need to be in good mental shape... if you can't go out of your house and walk alone in a street, I don't see how you will be able to go to work and have to energy to do it... also what kind of work you will able to do in in a bad mental state??? When you have difficulty to take a shower because you are all the time tired because of too many worries and anxiety symptoms who are chronic? I just mean that some peoples will exaggerate their problems but others will not... and for those peoples, being hopeless after years of bad medical care and no solution can lead to worse mental disorder...
I do admit that maybe some peoples will sit on their laurels and just wait... but i'm sure most of them don't do it on purpose... and if they do it on purpose, there will always be people who will abuse from the medical system and will do nothing to get better... and some peoples like me, who will try everything to find a solution and just get well...but sadly will not find the good solutions before years...
Posted by Vincent_QC on September 19, 2010, at 12:28:34
In reply to Re: oh canada! » Vincent_QC, posted by linkadge on September 19, 2010, at 6:45:50
> Ah, you're in quebec. Inositol is here in ontario. But, there are other supplements I can't get in ontario like picamilon, or lithium (supplemental) etc.
>
> LinkadgeI'm curious Linkadge,
I know that i'm not posting that question on the good board, but why you take Inositol? Is it working good? Order it, receive it but was to afraid to increase the dosage to 18 gramms a day like they say in the study for panic disorder...
Posted by Maxime on September 19, 2010, at 15:31:26
In reply to Re: oh canada! » ed_uk2010, posted by Conundrum on September 19, 2010, at 12:04:22
> I don't have good healthcare here in the US but its forcing me to look for job, so thats not necessarily a bad thing. It forces people not to sit on their laurels. Not saying canadians do, but I know americans would.
Vincent, don't you get your meds for free since you are on Welfare? I do. There are a couple that are not part of the plan and my doctor had to fill in an exemption form and then I got them. When you are on Welfare there is no way that you can pays for med. When you are on Welfare you are barely able to spend a penny extra.
Posted by Maxime on September 19, 2010, at 15:33:00
In reply to Re: oh canada!, posted by ed_uk2010 on September 19, 2010, at 12:19:12
> >I don't have good healthcare here in the US but its forcing me to look for job, so thats not necessarily a bad thing. It forces people not to sit on their laurels. Not saying canadians do, but I know americans would.
>
> There are quite a lot of people here who seem to take advantage of our social security and healthcare systems.
>
>I agree. And those people make it harder for us, the ones who stick to the rules. Those people really piss me off!
Posted by Maxime on September 19, 2010, at 15:36:01
In reply to Re: oh canada! » ed_uk2010, posted by Conundrum on September 19, 2010, at 12:04:22
> I don't have good healthcare here in the US but its forcing me to look for job, so thats not necessarily a bad thing. It forces people not to sit on their laurels. Not saying canadians do, but I know americans would.
People abuse the system here. When you are on Welfare you get all your meds for free. So why would you try to get a job. I hated being on Welfare. I only started my new job a week ago and I feel better about myself. When I am welfare I feel like a parasite of society.
It's hard to look for a job because there are not many out there. I hope you find something soon.
Posted by ed_uk2010 on September 19, 2010, at 15:57:28
In reply to Re: oh canada! » ed_uk2010, posted by Maxime on September 19, 2010, at 15:33:00
>Those people really piss me off!
Yep, there are people out there who really know how to work the system!
I'm glad you feel better about yourself since starting your new job. It's a big step forward.
Posted by Vincent_QC on September 19, 2010, at 17:27:25
In reply to Re: oh canada! » Conundrum, posted by Maxime on September 19, 2010, at 15:31:26
> Vincent, don't you get your meds for free since you are on Welfare? I do. There are a couple that are not part of the plan and my doctor had to fill in an exemption form and then I got them. When you are on Welfare there is no way that you can pays for med. When you are on Welfare you are barely able to spend a penny extra.Yes Maxime, I have them free with the exception of some meds that I try and who was used for other medical treatment than for the anxiety disorders (Off-Label)... but that's happen 2 times only...
Normally, meds who are not free are brand names meds... If I ask for the real Clonazepam or Xanax or real Ativan who disolve under the tongue, I will have to pay the full price... same for all the antidepressant meds who are not generic, of course, if the Pharmacist only keep in stock the brand name, it will be free...
Sometimes if the PDoc write on the RX (Do not substitute for a generic), the Pharmacist will give the brand name, not generic, and it will be free, but most of the time I have to pay for brand name meds... I always find the generic weaker than the real ones, best example is the Paxil, the Apo-Paroxetine is by far the worse generic med in the world!!!
Also new meds with extend release formulation sometimes are not cover especially if they don't discontinue the regular release version.
Meds who = to old meds will not be cover (for example the Cipralex who is the same as Celexa but without the inactive part inside it and the Pristiq who is the same as the Effexor-Xr)...
And yes, I can't pay for my meds, the wellfare is very low money... have to pay my student loans also... that suck... was suppose to return to school but in that state I don't think it will happen before 1-2 years...
Posted by Maxime on September 19, 2010, at 18:02:52
In reply to Re: oh canada! » Maxime, posted by Vincent_QC on September 19, 2010, at 17:27:25
For the new meds that aren't covered you can get your doctor to fill out an exemption form and send it to the RAMQ. They usually accept the request. For instance, I can get Dexedrine no problem, but not Adderall. So my doctor has put in an exemption form so that I can get the Adderall. Although now I am thinking that Dexedrine is doing the same job as the Adderall XR. When I got Cymbalta my doctor had to fill out the form. It seems that new drugs aren't covered and then you have to fight to get them.
I think you are allowed to earn up to $200 a month and it won't affect your Welfare. Perhaps you could start with a part time job for a while.
Posted by Vincent_QC on September 19, 2010, at 18:09:54
In reply to Re: oh canada! » Conundrum, posted by Maxime on September 19, 2010, at 15:36:01
> People abuse the system here. When you are on Welfare you get all your meds for free. So why would you try to get a job. I hated being on Welfare. I only started my new job a week ago and I feel better about myself. When I am welfare I feel like a parasite of society.
>
> It's hard to look for a job because there are not many out there. I hope you find something soon.*************************************************
Maxime, I think you have to be carefull and not generalise here... not everyone abuse of the system... and having meds for free is not a good reason to be on the wellfare... I admit that some peoples tend to abuse of the system, but they are not sick...just lazy...and it's maybe only 5% of the peoples on the wellfare... REmember that a lot of peoples loose their job in the last years because of the bad economy... i'm sure they didn't wanted to ending on the wellfare but sometimes they have no choice...
I felt guilty for a long time in the last 2 years because i'm on the wellfare... but I worked for almost 20 years and I had money retrieve from my pay check every week at the time and it was to cover those kind of social programs... so now I don't feel guilty!!!
Some peoples in the last 2 years treat me like sh*t because i'm on the wellfare... some of them said that I didn't want to work, that I was coward and lazy, that I was just a piece of sh*t living in the hook of the society, that I didn't had any human rights... Trust me, hearing this is not helping you to get better...
Peoples who are not sick and work are often frustrated when they see someone on the wellfare... But they don't understand what it is to be depressive, anxious, bi-polar or whatever the disease you can have... they have no idea of what it is and they judge us... I hate those peoples...
It's like the TV announcement that play 1-2 years ago... where you see a guy in an hospital bed and all his co-worker go to see him and told him he choose a good time to take some holidays... That the best example of how peoples have bad jugdments and poor opinion about mental diseases...
Find a job when you can't get out of the house will not make me more happy... I understand that you can feel better about yourself and i'm proud of you that you have a job now, and I can understand that you now feel better because of this... but for some peoples, working is impossible...
When I will get better, I will start by doing volunter work, will have my own work schedule, just to put me again into the work world...will respect my limits... will return to school for sure at the same time and with hope I will be heal or stable and will be able to find a good job in my study field...
Posted by Vincent_QC on September 19, 2010, at 18:18:32
In reply to Re: oh canada! » Vincent_QC, posted by Maxime on September 19, 2010, at 18:02:52
> For the new meds that aren't covered you can get your doctor to fill out an exemption form and send it to the RAMQ. They usually accept the request. For instance, I can get Dexedrine no problem, but not Adderall. So my doctor has put in an exemption form so that I can get the Adderall. Although now I am thinking that Dexedrine is doing the same job as the Adderall XR. When I got Cymbalta my doctor had to fill out the form. It seems that new drugs aren't covered and then you have to fight to get them.
>Yeah, was on the Cipralex for 3 months with the RAMQ programm(Patient d'exception)...PDoc was out of samples box for it...
> I think you are allowed to earn up to $200 a month and it won't affect your Welfare. Perhaps you could start with a part time job for a while.
Yes 200$... but can't get out of my house (only for PDoc appointment and Therapy), have to work on my exposure, who is not easy... don't have the energy and the cognitives abilities to have a work for sure, thanks to the Clonazepam, just take a shower is making me so tired... can't imagine to have to deal with a work on the top of my anxiety disorders... I do it one step at the time... that's something I learn over the years...
Posted by Maxime on September 19, 2010, at 22:12:52
In reply to Re: oh canada! » Maxime, posted by Vincent_QC on September 19, 2010, at 18:09:54
Sorry, I didn't mean to generalize. I have been on Welfare a few times since 2001. It saved me. I couldn't work because I could barely function. So I know what it's like.
I am working now but have only worked 1 week. I still don't know if I will be able to keep my job. This is a test run for me. I really don't know how my body/brain will react to the stress of the job. I don't want to have a meltdown but it's at the back of my mind all the time.
Before I got this job I was volunteering and that helped me get out the house and face my fears. I am going to continue with my volunteer work even though I have a job. I really enjoy the volunteer work that I do. I think it's an excellent idea for you to try and do some. I know it's scary, but I find that when you volunteer, the organization is so appreciative and it feels good to receive positive comments.
So I am sorry if I offended you in any way. That was not my intention.
Take care.
Maxie
Posted by Maxime on September 19, 2010, at 22:21:47
In reply to Re: oh canada! » Maxime, posted by Vincent_QC on September 19, 2010, at 18:18:32
> Yes 200$... but can't get out of my house (only for PDoc appointment and Therapy), have to work on my exposure, who is not easy... don't have the energy and the cognitives abilities to have a work for sure, thanks to the Clonazepam, just take a shower is making me so tired... can't imagine to have to deal with a work on the top of my anxiety disorders... I do it one step at the time... that's something I learn over the years...
Have your doctors looked at the possibility that you have something in addition to the psych problems? Have you had your thyroid tested and all that fun stuff?
Anxiety is scary. It feels like something is swallowing you whole. I am glad to hear that you are doing therapy in addition to seeing the psychiatrist. What do you find helps the most? Therapy or meds? I imagine a combination of the two.
Do you feel like your pdoc is trying appropriate meds for you? Is there a med that you would like to try but your pdoc doesn't think it will work?
Sorry for all the questions.
Posted by Vincent_QC on September 20, 2010, at 10:28:50
In reply to Re: oh canada!, posted by Maxime on September 19, 2010, at 22:21:47
> Have your doctors looked at the possibility that you have something in addition to the psych problems? Have you had your thyroid tested and all that fun stuff?
>Yes Max, had several blood test since 2008... I had anemia with low hemoglobin level last year because of internal hemorrhoids, but the problem is solve now, i'm still loosing a little bit of blood, once in a while, and have one external hemorrhoid, but the Surgeon who do the surgery last november to remove the hemorrhoids will look at that next month...
They also test the thyroid (TSH, TS3, TS4) and it's ok. I also had an big blood test last may, everything was ok at the time, Vit B level are good, testosterone level is high, all vitamins as ok, just the Vit D who was low but I double my dose now and it's ok.
Also all the other stuff like some infections or intoxications to silver filling (mercury) or anything else important has been rulled out...
Last year I was also often exhausted and tired. The Doc told me it was because of the low hemoglobin level and the anemia... since I had the hemorrhoids surgery and stop loosing a lot of blood, the iron level and hemoglobin level are perfect and my energy level is lower than before, I have no energy and don'T know what happen, sometimes I blame the Benzo meds for the sedation, but it's not sedation, I feel physically weak.
I don't know if it's possible, but I had anemia and low hemoglobin level for 2 years (had to wait 2 years to have the hemorrhoids surgery), had to go to the CLSC every week to receive IV iron treatment (Venofer)... and when that happen, the blood don't get enough oxygen so the heart beat faster...and the brain is also affected by the low oxygen level.
Since I had the surgery last november and that my iron and hemoglobin level are ok, my heart beat is most of the time very low, above 55 beat per minute, even if I smoke ... It was never like that before, I always had a heart beat of 80 at rest...
The only time I will get fast pulse rate now will be when I do a panic attack OR when I take my shower... Is it possible that since I have more oxygen in my blood and brains that my heart decrease his pulse rate naturally?
Is it possible that the pain from the surgery I had last november trigger extreme panic disorder and agoraphobia with chronic symptoms like tension headache, dizziness, depersonalisation, numb scalp of the head, eyes pain, numb left arm, sweating hands???
> Anxiety is scary. It feels like something is swallowing you whole. I am glad to hear that you are doing therapy in addition to seeing the psychiatrist. What do you find helps the most? Therapy or meds? I imagine a combination of the two.
>Therapy don't help... Exposure is not working on me, i'm worse than before I start the Therapy. Free therapy are like that most of the time, the Psychologist don't have the time to talk with you, they only explain to you how to do exposure exercises and they only talk about that, they don't listen to you... if you start talking about your symptoms they stop you and say it's not good to talk about that!!!
I succeed last week to explain to the Psychologist that exposure was to agressive for me and that I needed to talk... I have at least 3 personnality disorders that waiting to be treat (avoidant personnality, dependent personnality and antisocial personality) and talking about my problems to someone who is not a friend or a member of my family help me more than exposure...
I hate being rushed and forced to do things, and I find it not logical that a Psychologist told me to continue to drive my car when I have a panic attack and don't stop my car or don't call someone with my cellphone when that's happening... First of all, i'm taking high dose of Rivotril, who decrease my cognitives abilities and reflex, so drive is already hard to do so if I add the anxiety on the top of that it's harder to drive... secondly, I don't want to do a car crash and kill someone because I do a panic attack, I don't care about my car or my self, I care about the others... I understand that the Psychologist don't want that I stop driving because she think it will help me to face my fears but too much exposure is not good!!! Yeah, we do a list with more easy exposure situation like taking a walk or stay in the shower when I have a panic attack... but for now just the word exposure make me sick...
I don't just have a panic disorder problem, I have chronic symptoms, some of them are weirds and they affect me every day... I'm expose to anxiety and fears 24 h a day... so I already do exposure...Anyway...
> Do you feel like your pdoc is trying appropriate meds for you? Is there a med that you would like to try but your pdoc doesn't think it will work?
>No, the PDoc do the best he can, having another one will not help me...we try everything with the exception of the Luvox, lithium, lamictal and some of older anticonvulsives meds like the Tegretol who are not good for panic/social anxiety... and by everything I mean everything, not just antidepressants meds...
The choice of meds are now limited, extend release are not digest in my intestine because I had a gastric by-pass, and sadly the newer meds are most of the time time release... So will have nothing to help me before new meds will be out in the Canada... Maybe the Valdoxan or the other one Vildazone???
For now i'm trying to be back on the Paxil but for an unknow reason, I can't take more than 0.5 mg of it... last summer I was at 20 mg without any major side-effects except the weight gain... and my panic disorder was under control, I stop it because of the weight gain and before the surgery panic stay under control...and I see now that it was a mistake to stop the Paxil... I was thinking also that the sedation and the extreme fatigue was linked to the Paxil + anemia but I see now it was not the Paxil... I was already tired before it...
> Sorry for all the questions.That's ok for me ! I like to write! lol
Posted by emmanuel98 on September 20, 2010, at 19:36:43
In reply to Re: oh canada! » Maxime, posted by Vincent_QC on September 20, 2010, at 10:28:50
Vincent - A pulse rate of 55 is a little on the low side, but not really below normal. Probably because you are young. Younger people tend to have slower pulses than older people. In the 80s is actually on the high side and you tend to find it in people who are older or out of shape. So you should cross that off your worry list.
Posted by Vincent_QC on September 20, 2010, at 19:46:57
In reply to Re: oh canada! » Vincent_QC, posted by emmanuel98 on September 20, 2010, at 19:36:43
> Vincent - A pulse rate of 55 is a little on the low side, but not really below normal. Probably because you are young. Younger people tend to have slower pulses than older people. In the 80s is actually on the high side and you tend to find it in people who are older or out of shape. So you should cross that off your worry list.
**************************************************
Thanks for your support ;-)
Well, i'm not in shape and I don't do physical activities since more than 1 1/2 years now and of course I smoke, so I was just wondering if it was normal that my pulse rate at rest decrease from 80-90 pulse rate to 55-60... BUT the pulse rate also tend to increase to more than 120 when I take my shower or do a small physical effort...
I guess the anxiety can do that also, I mean decrease the pulse rate... Anyway thanks for your answer!
Posted by Conundrum on September 20, 2010, at 21:42:41
In reply to Re: oh canada! » emmanuel98, posted by Vincent_QC on September 20, 2010, at 19:46:57
would you guys trade your health care system for health care in the U.S?
Posted by olivia12 on September 20, 2010, at 22:06:10
In reply to Re: oh canada!, posted by Conundrum on September 20, 2010, at 21:42:41
I would...in a minute:)
Posted by Deneb on September 20, 2010, at 22:41:56
In reply to Re: oh canada!, posted by Conundrum on September 20, 2010, at 21:42:41
No, I would most definitely not trade in the health care system in Canada for one in the U.S. I see my pdoc twice a month and she has helped me a lot. I've been unemployed and I wouldn't be able to get this level of healthcare in the U.S. while unemployed.
Posted by olivia12 on September 20, 2010, at 23:01:28
In reply to Re: oh canada! » Conundrum, posted by Deneb on September 20, 2010, at 22:41:56
Well, then we are both happy:) I don't want yours and you don't want mine--win-win:)
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