Walker Center for Cancer Care Temporarily Returns to Masks-Required

As announced on October 25, 2023, most Samaritan locations are using an outbreak approach to mandatory facemask use. Visitors, patients, and employees may be asked to mask in various locations if there is an outbreak in that specific location.

At this time, as of November 6, 2023, Walker Center for Cancer Care is experiencing an ongoing transmission and are under temporary masks-required conditions. Samaritan will announce when this is lifted and the center returns to masks-optional.

Visitors and patients will be notified upon entry if the location they are visiting is masked for the day.

Samaritan’s long term care facilities and emergency department remain masks-required due to the heightened risk of exposure.

Any further updates to this change will be added to samaritanhealth.com/news.

Excellus BCBS Awards Hospitals $28 Million for Quality Improvements

Watertown, NY – Samaritan was among eight Utica/Rome/North Country Region hospitals awarded quality improvement payments from Excellus BlueCross BlueShield as part of their 2022 Hospital Performance Incentive Program.  

Samaritan is appreciative of the support from Excellus BCBS to ensure high quality healthcare in our community.  

The full Excellus BCBS press release can be found here: https://news.excellusbcbs.com/news/article?articleId=36710621&classPK=475619988

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Samaritan Thanks Community for Support During Water Loss

A disaster can bring out the best in a team, a community, and partners. Teams become closer, and new bonds are formed. This past water crisis in the City of Watertown was a considerable challenge for Samaritan, yet in every crisis, we learn, grow, and remain grateful for those who helped. The Samaritan Caregivers would like to thank all the community groups that helped us, checked in on us, and ensured we could care for patients and residents. The list is long, and we are sure a few unsung heroes may have been missed, but truly, we are grateful to all. 

  • Carthage Area Hospital – your team and facilities helped our Central Sterilization and Lab teams keep functioning. We are so grateful for your help and for letting us use your equipment. Our team and patients are so thankful. 
  • Local and regional hospitals – thank you for accommodating the patients who would have been treated at Samaritan. We appreciate you and your expertise. 
  • Our local fire departments – we worked closely with City of Watertown Fire Department personnel and Jefferson County Emergency Management teams to ensure our facilities had water for our mechanical systems. Volunteer fire departments throughout the county placed portable tanks at each primary location and ensured we had what we needed. 
  • Local EMS (first responders, emergency medical, and ambulance services) – this was a historic event, and being unable to serve patients left a crippling impact on local services not being able to transport patients to Samaritan Medical Center. Thank you for your patience and the many extra miles you were forced to travel to care for those in your care. 
  • John Allen Sanitation – your team worked quickly to get us 20 portable bathrooms for our staff at a very low cost. We are grateful for your swift action and response. 
  • Kinney Drugs – thank you for your over 800 lbs. of bagged ice donation to our patients, residents, and staff. After buying all we could from our supplier, you gave us what we needed. 
  • Detail This – thank you for our needed water tanker and water delivery. 
  • Coca-Cola– thank you for the large delivery bottled water delivery to ensure we had drinking water. 
  • Lab Corp – as one of our reference labs, it became necessary to send specimens to your team to help decrease the volume on our lab staff; thank you for being a strong partner. 
  • Yellow Cab – we needed reliable and continuous transportation for some of our operations, and you became that partner; thank you. 
  • Century Laundry – thank you for laundering our over 14,000 lbs. of laundry quickly and timely, we appreciate your help. 
  • Fort Drum – the leadership and troops rallied to help our entire city and provided essential support to Samaritan during this time. This partnership is special and beneficial to all. 
  • Local and State officials – Our team of leaders spent much time and conversation with city of Watertown officials, local emergency management teams, and other important contacts. Our need to communicate was imperative, and each team stepped up and provided information and updates. We also want to acknowledge the resources and guidance the State of New York provided. Seeing their swift action and resource allocation was uplifting. 
  • State Department of Health – thank you for the assistance and guidance before, during, and after the event.  
  • Our inpatients and residents – thank you for understanding our challenges during the water crisis and for working so well with our caregivers.   

And the most enormous thanks go to our compassionate and amazing team of caregivers at Samaritan. You made the best of a terrible circumstance. You rallied and communicated, and together, we went above and beyond to ensure patients and residents were safely cared for when a basic staple of life was unavailable. We are grateful to each of you and enormously proud that you are a part of the Samaritan family. 

Samaritan to Return to Mask-Optional in Most Locations

Watertown, NY – For weeks Samaritan’s infection prevention team has been researching facemask guidelines from other facilities and discussing with leadership to determine if Samaritan should make a change to its source control guidelines. After thorough consideration of risks associated with COVID-19 illness, review of metrics and trends across the organization and county, and in collaboration with key department leaders, Samaritan has determined the organization will return to mask-optional on Wednesday, October 25, 2023, in most locations for staff, patients, and visitors, with exceptions. 

The emergency department and long-term care facilities will remain facemask required. This decision comes from seeing an increase in positive cases among residents in the long term care setting and the increased risk associated with patient and employee illness and/or exposure in the emergency department environment.

The remaining locations will use an outbreak approach to mandatory facemask use. Visitors, patients, and employees may be asked to mask in various locations if there is an outbreak in that specific location. Visitors will be notified upon entry if the location they are visiting is masked for the day. Visitors who refuse to wear a facemask in a mask-required area will be asked to leave. At this time, there has been no change in visitation.

Any further updates to this change will be added to samaritanhealth.com/news.

Samaritan Locations Impacted by City of Watertown Water Main Break

Monday, October 23, 2023 Update:
The City of Watertown boil water notice has been officially lifted this afternoon. Samaritan locations are following strict protocol from the New York State Department of Health to ensure we are flushing our water systems and resuming operations safely.

Samaritan sites and locations will resume normal operations on Tuesday, October 24, 2023.

Scheduled surgeries for Tuesday, October 24, will continue with a few exceptions. Those patients whose surgery has been cancelled for Tuesday have already been contacted.

All outpatient endoscopy procedures for Tuesday, October 24, have been cancelled. All surgical patients and outpatient endoscopy procedures will resume to normal operations on Wednesday, October 25, 2023.

Thank you for your patience during this crisis.


Sunday, October 22, 2023 Update:

Significant progress has been made to restore water services in the City of Watertown and surrounding communities. We want to thank all our local and state agencies for the amazing work and support they have provided our community. However, since the water boil notice is still active, Samaritan Health continues to have limitations in certain areas, and we continue to adjust operations during this crisis. We are actively doing what we can with limited resources and utilizing partners across the state to help us.

On Monday, October 23, 2023, all Samaritan clinics and outpatient locations will be open and operational. There may be a few patients whose appointments will need to be rescheduled due to some of our limitations. These impacted patients will be called directly.

All outpatient lab and imaging services (MRI/CT, ultrasound, mammography, etc.) will be up and running on Monday, October 23. All scheduled patients will be seen and all walk-in services will be open.


Any of our Walker Center for Cancer Care medical oncology patients that are scheduled to receive chemotherapy treatment on Monday, October 23, that may be impacted will be contacted directly with an update.

Scheduled surgeries for Monday, October 23, will continue with a few exceptions. Those patients whose surgery has been cancelled for Monday have already been contacted.

All outpatient endoscopy procedures for Monday, October 23, have been cancelled.

We are diligently working and planning to have all services fully operational once the boil notice has been lifted and we can ensure our internal systems are operational. Thank you for your patience during this very difficult situation.

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***Samaritan Visitation Returns to Normal***

As of October 20, 2023, visitation at Samaritan Medical Center has returned to normal. Please see the visitation information on the main page of this website.

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*** Samaritan Limits Visitation Due to Water Main Break***

Samaritan Medical Center has limited inpatient visitation and Emergency Department support persons because of the water main break as follows: 

Medical/Surgical Units, Critical Care Unit, Inpatient Mental Health – Visitation is closing at 3:30 p.m. on October 19, 2023 – will remain that way until further notice.

Car-Freshner Center for Women and Children – one support person allowed as of 3:30 p.m. on October 19, 2023 – until further notice.

Emergency Department (ED) – ED pediatric patients or those with an altered mental state or OB patients over 20 weeks are allowed one support person. No other support persons or visitors until further notice. 

End-of-life / Comfort Care – These patients may have one support person. Compassionate exceptions are approved by the Nursing Supervisor – until further notice.

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All Samaritan locations in the City of Watertown are impacted by the major water main break that the City is trying to fix. We are seeing a significant water pressure drop. Samaritan locations within the city are conserving water in multiple ways from halting laundry services, to limiting patient and resident showering with bedside baths. We are also delivering bottled water to all areas and preparing for a delay in water delivery.

We continue to monitor our water pressure and supply and will make decisions about specific patient services as the situation progresses. We are following our water loss emergency operation plan as designed and have teams in place to help through this disruption in operations.

At this time for today, Thursday, October 19, 2023, the services that are cancelled are listed below, with some impact to tomorrow’s operations as well. All patients will be rescheduled at a later date and time.

All surgical and outpatient procedures for 10/20 will be rescheduled.

All outpatient MRI and CT appointments for 10/19 and 10/20 at the main hospital will be cancelled and rescheduled.

The Walker Center for Cancer Care will be cancelling and rescheduling all patient appointments for 10/19 and 10/20.

All services at the Samaritan Health and Wellness Plaza location (1575 Washington St.) are closed for 10/19 and 10/20 and will be rescheduled – this includes but not limited to the Family Health Center, Women’s Wellness and Breast Care, Behavioral Health and Addiction services, the SMART Clinic and Lab, X-ray, MRI and CT.

The Ear, Nose and Throat, General Surgery, Pain Clinic all located at 826 Washington St.; 
The Wound Care Center located at 165 Coleman Avenue; and the
The Rheumatology and Plastic Surgery clinics located at 629 Washington St. will be closed Friday, October 20, 2023.



Rededication of Memorial Garden at Thompson Park Honoring Perinatal Grief

Watertown, NY – After more than a year of gardening work and memories resurfacing, the Baby Memorial Garden at Thompson Park has been renewed. It is now properly marked with a plaque identifying its purpose, which started over 30 years ago.

Community member Allison Gorham noticed the garden headstone in 2021 while tending to other gardens in Thompson Park. Through social media, Allison learned about its history and purpose.  She rejuvenated the garden and worked with retired and current Registered Nurses to create a plaque to mark the special memorial garden and honor perinatal grief.

Samaritan Medical Center will be hosting an informal rededication of the memorial garden on Tuesday, October 24 at 1 p.m., which is open to the public.  A special invitation is extended to those families who may be part of its origin, and the Samaritan Caregivers who have helped families through this journey.  This rededication will take place at the memorial garden, which is located near the pavilion overlook at Thompson Park.

October is a fitting time for the rededication, as it is Pregnancy and Infant Loss Awareness Month.

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Resolve Through Sharing:
This is a special grief program to help healthcare facilities support families who experience loss.  Samaritan uses these resources and had a formal program in the early 1990s within its maternity department.  At the time, Samaritan also hosted a parent support group, called “Empty Arms,” to help these families.  Caregivers at the Car-Freshner Center for Women and Children continue to use Resolve Through Sharing resources and provide support to grieving families.  You can learn more about Resolve Through Sharing here: https://www.resolvethroughsharing.org/

Origins of the Memorial Garden:
Samaritan maternity nurses in the 1990s wanted to make sure families had a way to honor children lost during pregnancy or soon after birth. They started a yearly event in Thompson Park called “A Walk to Remember” and built the memorial garden. Participants took part in a short memorial walk, an ecumenical service, and planted tulip bulbs in remembrance of children who had died.

The new plaque, which honors the memorial garden and its origin, reads:

“This memorial garden was created in 1992 by a team of caregivers from the Center for Women and Children at Samaritan Medical Center.  During this time, the Resolve Through Sharing counselor and coordinator training program created a parent support group, Empty Arms, for families who lost babies during pregnancy or shortly after birth.

A memorial Walk to Remember event was held every fall and each family was given a flower bulb to plant in this special garden in memory of their child. After several years of careful tending, it unfortunately lay dormant. It was rediscovered and redesigned in 2021. It includes all the original bulbs that survived, in addition to several more, along with other perennials.

This garden is dedicated to all those who experience this loss. It is a place of solace and remembrance.”

Samaritan’s Pilot Emergency Nurse Residency Program sees Success with recent Graduate

Watertown, NY – On September 14, Sarah Wallace, RN, was the first to complete the Samaritan Medical Center Emergency Nurse Residency Program. 

“The main reason for my participation in the Emergency Nurse Residency Program stems from the love for emergency medicine I developed when I was a patient care assistant,” Sarah said. “The staff that is/was there helped to form my interest in Nursing and encouraged me to pursue the field. From providers to ancillary staff, I was able to learn something from someone each day that I was at work.”

In 2022, Samaritan’s nursing leadership created the Emergency Nurse Residency Program upon recognizing the dire need for front-line emergency nurses while solving the time gap of one year of experience required by New York State before a graduate nurse can work in emergency care.

Samaritan’s program offers a curriculum tailored to meet fundamental needs for well-rounded knowledge and a broad skill set of nurses who are passionate about critical care.

Picture here: Kim Smith, director of Nursing Critical Care at Samaritan, and Sarah Wallace, RN.

Sarah added, “I believe that this program is a great program to help new nurses explore emergency medicine while encompassing other departments. This aids in strengthening the community within Samaritan by having the residences go on rotations to each floor.”

New graduate nurses are navigated through Samaritan’s nursing recruitment team to the residency program, and they do not need to be licensed as a Registered Nurse before they apply.

“We are encouraged with Sarah’s graduation that we have developed a program that will help us train and retain RNs in the Emergency Department, this is our long-term goal,” said Jacqueline Dawe, vice president of patient care services and chief nursing officer, Samaritan Medical Center. “Currently we have another seven students at various stages in the program and we look forward to accepting new nurses as they apply. We also plan to expand our nursing residency in more areas. These programs work.”

While in the program, the new graduate nurses are exposed to all the areas and departments in the hospital, from the medical/surgical floors to labor and delivery, pediatrics, and behavioral health to the daily assignments and responsibilities in the emergency department. 

Graduate nurses, or nurses who will soon graduate, are encouraged to call our nursing recruitment team at 315-779-5236. New nurses to Samaritan may be eligible for a variety of sign-on bonuses and benefits including loan and relocation assistance.

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Samaritan Announces Apogee Hospitalist Group Recipient of Program of the Year Award

Watertown, NY – Samaritan Medical Center is proud to announce that its contracted hospitalist group, Apogee Physicians, led by Dr. Asim Kichloo, program director, recently won the “Program of the Year” award.

Apogee is the largest Hospitalist group in the nation. They proudly hold a yearly Program Director Summit where they gather from around the country to celebrate the best of the best in Hospital Medicine. This year, the hospitalist program at Samaritan Medical Center was selected as the award recipient.

According to Dr. Kichloo, “Teamwork is the ability to work together toward a common vision, the ability to direct individual accomplishments toward organizational objectives. It is the fuel that allows common people to attain uncommon results. This is the Watertown Apogee/Samaritan hospitalist team for you, always achieving uncommon results.” He went on to say, “The team is orchestrated by good balance of experience, commitment, passion, and team spirit. Each one is an invaluable member of the team, which I have had the pleasure to serve and learn from over the last five years.”

To achieve this award, the local team, in collaboration with hospital leadership, must be aligned in multiple aspects of the delivery of patient care. All programs are evaluated on their performance in key quality metrics like re-admissions, length of stay, patient health metrics, team staffing, recruiting, retention, and collaboration with hospital drivers of quality.

The “Program of the Year” has the highest level of performance while maintaining the most important Apogee staple, “What is best for the Patient is best for the Practice.” “We could not achieve this level of service without a committed hospital administration, specialist support, and an amazing team of nursing and other floor staff. We are proud of the entire team and very proud to be part of the Apogee Samaritan Medical Center partnership,” said Jaime Upegui, MD, Apogee division president.

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Background:

The hospitalist program at Samaritan began in 2003 with only four physicians.  The program has grown to over a dozen. Apogee Physicians began management of the program in 2019 because we needed to make sure the team was fully staffed to care for our inpatients.

A hospitalist is a physician who specializes in internal medicine and in the evaluation and treatment of patients who require hospital care. The goal of the hospitalist program is to deliver exceptional, efficient and compassionate medical care to Samaritan patients, communicate clearly with these patients and the family members who care for them, and to ensure a smooth transition from the hospital back into their daily lives, always maintaining close contact with the patient’s primary care provider.                                                                   

Local Bikers Raise $15,500 for Children’s Miracle Network of NNY

Adams, NY — The Azz Dogz-Northern Chapter, a motorcycle group that meets at the Adams Veterans of Foreign Wars (VFW), holds various events each year to raise funds for a local charity. They selected Children’s Miracle Network of Northern New York at Samaritan Medical Center this year.

The two-year-old son of Azz Dogz members Erik Demianenko and Abby Putnam was born prematurely and was admitted to the Neonatal Intensive Care Unit (NICU) at Crouse Hospital, where he remained for more than two months. Samaritan’s Children’s Miracle Network (CMN) program assisted the family with travel expenses for trips to Syracuse from their home in Dexter, NY.

“These guys (Azz Dogz) are so awesome, and they raise money for different charities every year,” said Abby. “I encouraged them to choose Children’s Miracle Network because we just wanted to give back for what CMN did for us. We are personally so honored to be a part of this and to give back.”

“We worked especially hard to get as many contributions as we could,” said Azz Dogz member Jeff Greene. “The biggest event we have is our March Party to kick off the year, then we had two motorcycle runs during the year to raise money.”

The group also raffled off a minibike with help from Carson’s Pizzeria in Adams where many tickets were sold.

Angie VanWormer, director of Children’s Miracle Network at Samaritan, said “It’s especially heartwarming when a family that was assisted by CMN is so passionate about helping us and other families in return. The Azz Dogz raised an incredible amount of money for CMN, as well as awareness of what we do. We are extremely grateful for this donation and their support.”

Samaritan Medical Center has served as the North Country’s only Children’s Miracle Network Hospital since 1990, striving to raise and allocate funds to improve the health and wellbeing of children in Jefferson, Lewis and St. Lawrence counties.

Funds raised through the Children’s Miracle Network program support child-centered areas of Samaritan through the funding of capital projects and purchase of critical pediatric equipment. In addition, funds raised provide direct financial assistance to local families with a child facing a medical crisis for travel expenses and other out-of-pocket medical costs — a program unique to Samaritan.

For more information on Children’s Miracle Network, contact Samaritan Medical Center at 315-785-4053 or [email protected]

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Samaritan Medical Center Announces Expansion of Emergency Department Behavioral Health Secure Unit

Watertown, NY – Samaritan’s emergency department (ED) will undergo a construction project to expand and enhance the care of psychiatric patients within the secure behavioral health unit (BHU).  The expansion is needed as the average daily census of patients has been consistently exceeding physical space.  The project is set to cost $2.5 million dollars and construction has begun.

Looking to the past:
In 2010 when we opened our modern ED a five-bed BHU secure unit was sufficient to meet the average daily census. Two overflow rooms were identified near the secure BHU that could be used when needed.  This left 31 remaining medical beds in the ED for a total of 38 beds in the entire department.  The psychiatric patient numbers have continued to climb over the years and prior to the pandemic in 2020 the average daily census was approximately seven patients.

Present condition:
The average daily census of psychiatric patients in the past 12 months has grown to approximately eight patients, with a high of over 20 patients at one time. There has been an increase in pediatric patients needing care.  This number collectively exceeds our secure unit and overflow capacity, which forces these patients into medical beds within the emergency department. This has two immediate impacts – there are fewer beds to treat medical patients and more staff members are needed to watch psychiatric patients in these medical rooms because there are inherent equipment and safety risks in a traditional medical room. 

Coupled with an increase in patient census, these patients, especially children, are waiting longer in our ED when they need hospitalization.  The current physical space to help safely stabilize these patients is not adequate within the emergency department’s current behavioral health unit (BHU).

The increased number of adults and children in a mental health crisis can be attributed to many factors, but there is not one particular trend.  The pandemic is certainly a newer factor with more stress, anxiety, isolation and breaks in outpatient care.  

Future solutions:
Samaritan leaders contacted the Department of Health (DOH) with our physical constraints and then decided to seek emergency approval on a Certificate of Need (CON) that identified the space we need. The full approval process can take up to 12 months, but the state quickly approved it.

Construction is now underway to expand to a 12-bed secure unit to meet the needs of the community and the ED will have 29 medical beds.  To gain this space, the current coffee shop in the main lobby will move to a different space in the lobby, as well as moving physician office space and claiming hallway space in the lobby area.  This will happen in a phased approach to limit the impact to current operations.  The project is expected to be completed by the Summer of 2024.

The BHU expansion project is set to cost $2.5 million dollars.  This was not budgeted for in 2023 but has been deemed necessary as a matter of patient safety concerns and to mitigate extra staffing needs. Several revenue sources have been identified, and Samaritan continues to look for grant dollars to help offset the construction costs.  The Samaritan Foundation, Children’s Miracle Network of Northern New York, and Jefferson County have all committed funds totaling approximately $793,000. 

The Samarian Foundation committed half of the net proceeds from its recent Thousand Islands Golf Tournament in June to the project for a total of just over $60,000. In addition, the Foundation is going to dedicate proceeds from an event later this year, Festival of Trees, to the project as well.

The Children’s Miracle Network of Northern New York and its allocations committee designated $300,000 to the project because there is a direct pediatric care need to this expansion.

On April 4, 2023, the Jefferson County Board of Legislators approved a request from Jefferson County Community Services to provide $430,000 to Samaritan Medical Center for this expansion project.  The funds have been made available as a result of the New York State Attorney General’s successful litigation with several pharmaceutical companies.  The $430,000 is designated to assist with the physical expansion of the behavioral health unit, which has experienced dramatic increases in opiate-related visits.  The funding will also be used to begin the important service of providing lifesaving, medication assisted therapies to those who need medical assistance to begin their journey to recovery.  

Samaritan is also applying for an expansion to our adult inpatient mental health unit from 34 to 39 beds. This request has been submitted to the New York State Office of Mental Health (OMH) as they oversee the operations of this inpatient unit. This expansion is needed since we are consistently at full capacity in this unit, as 50% of the adults coming into the emergency department for a mental health crisis are admitted to Samaritan for stabilization and a treatment plan. This project will cost approximately one million dollars.

“Our region continues to battle the mental health crisis needs in this rural community,” states Tom Carman, president and chief executive officer of Samaritan.  “Although there are many community-based programs, the need for emergent care through our emergency department, and transferring from other local hospitals who do not have this level of care, consistently surpasses a safe space for us to care for these patients in the existing physical footprint. The need to expand this secure unit has a trickle-down impact that helps these patients, plus the overall wait times for medical patients. The funding will also be used to begin the important service of providing lifesaving, medication assisted therapies (MAT) to those who need medical assistance to begin their journey to recovery.”

Emergency Department Behavioral Health Numbers:

From January 2022 to June 2023, 946 children presented to our emergency department for a behavioral health crisis.  Samaritan does not have an inpatient pediatric mental health unit, and those children needing to be hospitalized must be transferred to a facility with capacity in New York State.

  • 273 of these children were deemed in need of hospitalization and transferred to a higher level of care.
  • Pediatric patients had an average length of stay of 30 hours in 2021 and 35 hours in 2022, with a peak of over 72.  This is caused by a shortage of pediatric beds across the region and state. Children are waiting longer in our BHU and the new space will be more child-centered.
  • Over 550 of these children were already established in outpatient behavioral health services in the community.

From January 2022 to June 2023, 3,461 adults presented to Samaritan’s Emergency Department for a behavioral health crisis. 

  • 1,746 of these patients were admitted to Samaritan’s inpatient mental health unit.
  • 210 of these patients were transferred to another facility for psychiatric care.
  • 1,388 of these patients were stabilized in the ED and discharged home to continue their care plans.
  • Adult patients average length of stay went from 12 hours in 2021 to 22 hours in 2022 and peaked at over 36 hours.

Overall, Samaritan’s emergency department cared for 35,570 patients (medical and psychiatric) in 2022.

Renderings of the new 12-bed secure unit being constructed in Samaritan’s emergency department.

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