RFDS (2021) s02e08 Episode Script

Kiira / Country

I'm the one who should
be apologising to you.
Don't be ridiculous, I was the hugger.
I could always trust my instincts,
but now it's like I'm
gaslighting myself.
So you have really never noticed
the alcohol smells of ketones
on a diabetics breath before
or just not on guys that look like him?
He needed your help.
It's too
It's not a heart attack. It's
called Broken Heart syndrome.
It can happen at times of high stress.
So, you know, you're
going to take a break now.
Well, I'm thinking of
taking an indefinite one.
Pupils are constricted.
- Pink pills, they were hers.
- Oh, bullshit they were.
I've seen your record.
What was in the fucking pills?
Oi, you need to back off.
You're the one who doesn't
know anything about him.
You looked up his file?
He was flagged with a history
of drug dealing and violence.
You have made a huge mistake.
LEONIE: Pete, this is Dr. Johnston
from the Health Care
Complaints Commission.
Regarding the CICO out of Whitecliffs,
you made comments to a friend of
their son's admitting negligence.
Until the review is complete,
you'll be suspended from practising.
So you readjusted the tube
against direct medical advice.
And then despite having
incomplete airway equipment,
you went beyond your scope of practice
to attempt both blind and direct
intubation and a surgical airway.
Is that correct?
I guess that pretty
much sums it up. Yep.
Dr. Harrod, you state
there was a domino effect
of small systemic issues and
just good old fashioned bad luck,
but that the clinical
care was exemplary.
In the circumstances, yes, that's right.
Even though the video
laryngoscope was missing,
the Guedel should have been attempted
and a different scalpel technique used.
No, I said could have been used.
It was identified as
an alternate method.
You reported a personal relationship
with Peter Emerson, is that right?
I interviewed everyone
involved in the case.
I'll take that as a yes.
Have you ever done remote
retrieval work, Doctor?
No, but I've done
hundreds of intubations,
and never once had to
resort to a surgical airway.
Were Peter Emerson's actions reckless?
They saved his patient's life.
Are his decisions ever reckless?
He always wants what
is best for the patient.
And commenting on Cameron
Archer's mental health history
in front of others, was
that best for the patient?
He does the best he can,
the same as all of us.
And that concludes
our hearing for today.
But the board will reconvene at a
later date to deliver our findings.
Uh, what do you say
you guys blow off Dubbo,
we'll cancel clinic, and
we just fly to the Goldie?
What? And miss the excitement of
my professional development meeting.
What have you got, Mira?
Have you got some kind of
boring check up or something?
I could lie and say yes,
but the sad truth is,
I'm just going to use the simulator.
So how are you feeling?
Like a whale that's been
banned from swimming.
Oh. Pretty hot whale.
That's a lie. But thank you, I love you.
Mike Quebec Kilo. Graham speaking.
Hey. Has Pete heard
about a decision yet?
I don't know. I haven't seen him.
He's gone fishing with Wayne today,
but he said it could
still be a few weeks.
God, it's already been a month.
Sorry to interrupt,
folks. That was AMSR.
Apparently an emergency beacon
has gone off over Watu Lake,
and we're closest available.
- Is anyone hurt?
- They don't know.
They want us to fly over and check.
Any chance we could push clinic by 30?
MIRA: This is RFDS aircraft, Mike
Quebec Kilo. Can anyone hear me?
Repeat this is RFDs aircraft, Mike
Quebec Kilo. Can anyone hear me?
No response on UHF Channel 40.
It might have been accidentally
set off. Wouldn't be the first time.
Unless they're unable to talk.
Wait. I can see a boat.
What's that? Is that Is that writing?
Really let yourself go
since you quit, haven't ya?
Me? You look like Waltzing Matilda.
Well, I've got no one left to impress.
She'll come around.
Oh, yeah? Which one?
Taylor's done with me. Chaya
hasn't spoken to me in weeks.
Well, law of averages. Someone has to.
Yeah, I always thought I was
a bad partner, flakey brother,
shitty uncle, but I was
pretty sure I was a good nurse.
Could have happened to anyone.
Not you.
Huh, you'd thread a bougie
through a frog's ass, couldn't you?
Not sure that'd help with the breathing.
I guess you won't have to worry
about that now you've quit.
So why have you?
Is it to be a full-time dad,
or is it because of the system?
Why can't it be both?
Because the second reason is a bad one.
Oh, well, no offence, mate,
but maybe there's parts of the
system you haven't had to deal with.
Sure there are. I'm sure I'll never know
what you've had to put up with.
But you said nothing's changed
since you've become a doctor.
That's right.
I don't reckon the thousands
of people you've saved
would appreciate that,
black, white or purple?
New rule: no work talk.
What do you want to talk about then?
Murray Cod or football.
- Wayne speaking.
Hey, it's me. I'm not
in labour, don't worry.
Hey, how's the fishing trip going?
Pete's trying his best to ruin it.
Do you guys mind taking a little detour?
There's been an accident on
the eastern side of Watu Lake.
How many injuries?
At least one. But we
can't get radio contact.
Watu's not easy access.
It's an old service trail.
I reckon you'll need a
Robbie to get in there.
Well, Menindee is only 15
away. I could give Gazza a call.
We're only set up for a clinic,
so Matty's on his way in Delta.
Any chance you could
drive in for a look?
Yeah, of course.
Head south around the lake from that
trail, it should be a couple of K.
You know, after I got
back from med school,
Darren's mum had just died
and he was real angry at me.
So I thought it best to let Timmy
do what he'd already been doing,
take care of most of the dad
stuff, because I didn't want to,
I just thought I stuffed
up too much, can't be fixed.
The best thing would be
for me to keep my distance.
But all that happened,
I wasted five years with
him I'll never get back.
Well, you did your best.
No, I should have listened
to Timmy when he told me
to get my head out of my arse.
So this is me telling you,
get your head out of your arse.
We're the same
we shut people off when
things get too hard.
You know, just while
we're giving advice.
Here we go.
- Hey.
- Oh, hey.
We're with the Flying
Doctors. I'm Dr. Yates.
This is Pete. He's a
nurse. What's your name?
What happened, Bruce?
Hit a log. I flipped out of the boat.
Did you hit your head at all?
Don't worry about me. Just help my kids.
- What kids?
- In the boat.
- Pete.
- Yep.
- You stay with him.
- Alright.
Alright, Bruce, I'm just gonna have
a little a little look, mate.
Mind your hand.
Hey. I'm Wayne. What's your name?
Regina. That's my brother, Clint.
- Did he go in the water?
- Yeah, he hit his head.
Dad dragged him back
in, but he's not talking.
Clint, can you hear me?
Where are you hurting, bub?
My ankle. It got caught
up. I heard it crack.
Hang tight. I'll give you
something for that pain soon, OK?
It's my fault. I forgot the
beacon. We were going back for it.
Just an accident, mate.
Is the doctor coming?
You're looking at him.
You from nearby?
Sydney. We're visiting Mum's family.
- She here?
- No, She died a few months ago.
I'm sorry.
His head's OK, but he's got a stick
clean through his left upper arm.
How are we looking here?
Unconscious, potential near
drowning with airway obstruction.
- We'll need to intubate soon.
- Alright.
- Can you give 'em a sitrep?
- Yeah.
ELIZA: So there's three.
PETE: Yes.
We need blood, O2, warming blankets,
and all the hands we can get.
Is there space for a
Robbie to land there?
Close enough. Hey, how big is it?
There's a chance we might
have to intubate the boy.
Well, we've got Gazza's
66, so big enough.
Alright. See you soon.
Taylor and I will head back.
Graham, can you stay
and swap onto Delta?
- Their pilot's out of hours soon.
- Of course.
And Eliza, as soon as it's under
control, Pete needs to come out.
He's not covered if anything happens.
Bruce, Bruce. (GROANS)
- Uh.
- It was hurting.
It's OK. It's OK. You're alright.
You OK?
Stick's come out.
There's a lot of blood.
I think it's gone through an artery.
Pressure and tourniquet.
What's going on?
Hold on here, Bruce.
Lots of pressure there.
Just gotta get this belt around
your arm to stop the bleeding.
Oh, no. Keep the pressure
on, Bruce, pressure on.
I've got as tight as I can. It's
still losing. It must be a vein too.
OK. It's alright.
No, that's good. That's what we want.
Pete. There should
be sutures in the kit.
Nuh. Not there's not. No, there's not.
Hey, Bruce, you said
you went back for bait.
Have you got fishing gear?
Yeah. Tacklebox, orange.
Yep, yep, yep.
MATTY: Monitor, ventilator,
portable O2 cylinder,
trauma kit, scoop
splints, one unit of blood,
two syringe drivers and a drug set.
ELIZA: OK. Well, all
this has to go on the 66.
- Hear that?
- That's not a 66.
It's a 22.
What does that mean?
It's only got one seat.
Which means you can't take
me or even half this gear.
Alright, Bruce, we need
to close up this wound
to stop the vein bleeding,
and we have to use
fishing line to do it.
Is that OK?
- Do what you got to do.
- Alright.
Now I've got everything ready,
the doc's going to come and do it.
No, no. He needs to stay with my kids.
You're a nurse. You can do it, eh?
Yeah. Yeah.
OK. Just move your hand back.
Pull your hand down.
Move it away. That's it.
OK. Alright, this is gonna sting a bit.
Oh, mate, sorry, I can't
Look, I'm to go get the
doc. He'll be right back.
Um, keep pressure on it.
The doc will be right back.
No, no, no, no.
- Sorry, mate. Sorry.
- Wait, wait, wait.
Wayne. Can we swap?
I've got fishing line
sutures, clean and ready.
Uh, yeah? Yes.
Support his airway. Keep
his neck steady, yeah.
Yeah, yeah.
- You alright?
- Yes. Yeah, I'm good. I'm good.
- Hey.
- Hey.
- You got the blood?
- Yep.
Where's Matty with the
scoop? We need it for the boy.
We don't have it or Matty.
The helicopter was not
quite as advertised.
OK, we'll have to road
him out once we tube him.
The girl needs a splint and pain relief.
How far away are the cars parked?
About a K around the lake
but it's not easy going.
- Are you getting my kids out now?
- Yeah.
Yeah. We're going to get Clint
out of the boat right now, OK?
And just a heads up, I
don't think Pete's coping.
Just an ETA when you can, thanks, Gazza.
Oi. That's her.
- Who?
- The RAN, Raylene from Menindee.
The one who saw Timmy?
Let's set peak at six.
Total volume at 450 and
respirator 15 to get the CO2 down.
Is he OK?
This is going to help
him breathe for now
so we can get him to the hospital.
How's he?
Tachy, but it's a good, strong pulse.
Alright, let's get him to the
plane first. He need surgery.
Come on, Bruce. I'll take you up there.
What? No, no. Leave me. Take my son.
Mate, he won't fit on the helicopter,
and he needs someone
with him at all times.
Then take my daughter.
You're much more critical
than she is, OK, mate.
Are you a father?
Then you know, hey, you know.
Take my daughter, please.
I do know.
I also know they've had a hell of a time
and they're going to need their
dad on the other side of this, OK.
Hey, I promise you,
I'm not going anywhere
till they get out of
here safe and sound.
Bruce I promise.
Right, what can I do?
Get the splint and morphine to Regina.
Actually, Pete, you're not covered.
Why don't you help
Bruce to the helicopter,
and Wayne can help Regina.
Alright, alright.
OK. There you go. Doing good.
- Yep.
Hey, it's me. You OK?
- Where are you?
- I'm at the Menindee airstrip.
You guys said all the
hands you could get.
- You're 36 weeks pregnant.
- And you just had a heart attack.
Wasn't a Is Bruce there yet?
Yep. Matty and Graham
are loading him now,
and Leonie has a plane and
crew arriving from Port Augusta.
Good. Can we get the Robbie
back, please, to pick up the girl.
Doing well, doing well.
It's the Troupy there yet?
Yeah, but
Can it back up to the lake,
please. We need to row the boy out.
Yeah, but because we're
in Menindee, it's the RAN.
It's Raylene.
What do you want me to do? Do
you want me to keep her here?
Or I can just ragdoll her?
All the hands we can get, huh?
Alright, her and Chaya
will drive to you now,
and the Port Augusta crew will
be here waiting for the girl.
- Ah.
- That pain coming from your tummy?
Yeah. Yeah. Oh.
I've got two ambos ready and waiting
and beds and surgical team
lined up at Broken Hill Hospital.
- Should we go back for the boy?
- No.
Port Augusta are headed there now,
but they've only got one stretcher.
- So can you go back for Wayne and the girl?
- Of course.
Left upper quadrant pain.
Pulse is rapid and weak.
I'll swap over the ZOLL.
Gently. You right?
Pete, grab an ETA.
Tell them we need all the
cryo and blood they can get.
This is just going to help us
keep everything stable, Regina, OK.
Why does he have all the tubes on?
I know it looks bad. It's
helping him breathe, OK.
BP is 85 systolic, heart rate 120.
I'm going to press
gently on your belly, OK.
Here we go.
Yeah, there's some bruising
there. Could be a splenic bleed.
Let's get a gram of t/x fluid
until that blood gets here.
That Robbie left yet?
No, it's out of fuel. Gaz
has to wait for the tanker.
- Oh, you are kidding me?
- No.
- So do we wait for the helicopter?
- No.
Tell Mira we need the Port
Augusta crew here with blood.
SATs are 96, but BP's
dropped to 70 systolic.
We'll give her Metaraminol, try
to keep that BP above 80 systolic.
Alright. I've got it, I've got it.
Can you get the legs up a little?
No, they must be out of range.
BP is still 78.
Do we have any more fluid?
That's the last of it.
Hang in there, Regina.
Here they are. Quick, quick.
- Doing good, doing good.
- Thank you.
How is she?
This will help.
Thank you for coming.
Regina, This blood is going
to make you feel a lot better.
Hey, Wayne, why don't you stay
with her, wait for the Robbie?
We'll get him back to the car.
I can stay, too, if that helps.
You are OK. You're OK, love.
- BP and heart rate have improved.
- Mmm.
I know it's not the time or
the place, but I'm sorry.
I'm sorry for your loss.
I'm sorry
for everything.
There we go. You'll be
on the plane soon, Regina.
You alright?
I totally froze
today with the sutures.
Hands wouldn't stop shaking.
It's never happened before.
It's normal to doubt yourself.
We all have moments like that.
Yeah, but I completely shut down.
And it's not normal to
keep blowing things up
with every single
person you're close to.
I don't know, isn't it?
BP's up 117 over 72. Heart rate 90.
Looking much better, Regina.
Who did you lose?
That nurse said, "I'm
sorry for your loss."
Uh, my brother.
I'm sorry.
And you too.
We came out here to be with Mum, but
I'm not sure she was there.
You know, my brother died in
a few months ago now,
and when he passed, he
had this smile on his face,
like he was seeing mum and
dad, like he was going home.
So I reckon your mum's
going to be there.
She's just got some
catching up to do first, OK.
You know who you are?
Dr. Deadly.
I shouldn't have cut you off.
I shouldn't have cancelled
the trip without explaining.
- Because I
- Oh.
- Whoa.
- Are you alright?
Sorry. I'm fine. It's just
It's just another Braxton.
- I've had them all day.
- Just frightened the hell out of me.
Ow! Ow! Oh! Oh! Oh.
- Oh, shit.
- Shit, I think my waters are broken.
- Oh.
- Shit.
The ambulance is held
up. How far along are we?
She's already ten
centimetres fully effaced.
- Ten?
- Right.
Well, you're the midwife.
What do you think?
I think little one's
very keen to get here.
We should get moving.
Are you alright, Mirs?
Pete? I feel like I want to push.
Wayne, call from Eliza.
Hey, how'd it all end up?
It's me. And it hadn't
quite ended, actually.
What's going on?
Well, this time it kind of is labour.
- What?
- PETE: That's it, Mirs. Push, push, push.
Hey, where are you?
We're about an hour from base.
The ambulance has been held up.
- Where are you?
- We've only just left Bakerton.
Right. Well, we'll meet you at base.
- Can you put Mira on, please?
- Yeah, yeah.
- Yeah.
- Hi.
Hey, I'm coming right now, OK.
You're going to be fine. I love you.
I love you, too. Just get back, OK?
PETE: You are doing so
well. You're doing so well.
We've got towels to keep it dry
and warm, and scissors for the cord.
There's the head coming
through. Swain's bubble, right.
Look at the bonce on it.
OK, Mirs, one more push
and I reckon you're there.
Big breath. Bear down. OK.
- OK. Push, Mirs. Push, Push.
Oh, is she coming?
Yeah. Yeah, she's just
being a bit stubborn.
- It's retracted a bit.
- Are we OK?
It's obstructed. I think
it's a shoulder dystocia.
What's wrong?
Nothing. It's fine. We're
just figuring it out.
Pete, don't bullshit me.
I've seen that look a thousand
times, and it's never good.
- What is it?
- Um
Because bub's so big and healthy,
she's just getting a bit stuck.
But I'm pushing as hard as I can.
It's nothing that you're doing.
It's just one of those things.
And now I need you to
stop pushing for a bit, OK?
Stop pushing?
Yeah, I know it's hard.
The shoulder stuck.
And we don't want to
stress bub too much.
You just got to try and breathe
through these contractions
until we figure it out.
Um, so So what do we
do? Do we go to hospital?
No, no, no. She's
under too much pressure.
She's got to come out now.
Guess what?
You're going to be a daddy again ♪
You're gonna be a daddy again ♪
- Wayne.
- Eliza, how is she?
ELIZA: She's OK, but
we're not progressing.
What's going on?
Labor's obstructed.
It's a shoulder dystocia.
We're trying a McRoberts
manoeuvre but unsuccessful so far.
- It's not working, is it?
- It's alright.
It's alright. We'll try something else.
It's OK. Pete and Eliza are
going to look after you, babe.
Where are you now?
I'm not too far away, Mirs.
I'll be there as soon as I can.
Alright, Mira, I'm
going to flex your leg up
while Eliza applies more
pressure to your lower belly.
So firm suprapubic pressure.
Get that foetal anterior
shoulder, alright.
- Yep.
- Good.
Here. OK, we're good?
- That's it. Firmer, Eliza, firmer, firmer.
- Yep.
- Anything?
- No. No, not quite.
- Come on.
- Mirs, breathe through it, Mirs.
I know it's really hard
but you've got to do everything
you can not to push, OK?
WAYNE: Everything's going to
be OK. Alright. You got this.
I don't know if I can.
Yes, of course you can.
Mira, you are a boss.
You land 8 million dollar planes
on dirt tracks. You have got this.
Uh, Wayne, we've tried everything.
The ambos are still too far away.
I don't think there is time to wait.
- Do you?
- No, I don't.
Neither do I.
Do you know what you're
doing with a Cleidotomy?
Wait, what? What's that?
In hospital, we would push
her back up for a Caesar,
but obviously we can't do that here.
We need to get the baby out now.
What happens if you can't?
She'd be starved of oxygen,
which could cause brain damage
or be fatal to you and the bub.
So what do we do now?
We need to narrow the
baby's shoulders, right,
and the only way to do that
is to fracture the collarbone.
Will it hurt her?
There are risks of injuries,
but if it's done right,
it will keep you both alive.
Then do it.
- And Pete?
- Yep.
Whatever happens, I trust you, OK?
I trust you.
- Wayne.
- Wayne. Oh.
Oh, please, please.
Hey. They're with her.
Do you need me for baby or assist?
Both, if you can.
So you push down on the belly here
while I put pressure on the clavicle.
- And, Mira
- Yeah?
after this, you're going
to meet your little girl.
- Promise.
- OK.
Alright, Eliza. Pressure down.
- That's it. That's good.
- Yeah.
As soon as I do this, push
as hard as you want, OK?
- Oh.
- OK, Mirs, last push.
Give it everything you got.
That's it. That's it. That's
it. Push, push, push, push, push.
You OK?
We are now.
Oh, wow.
PETE: APGAR's up to eight, improving.
Great colour.
Just that big Yates head,
mate, gave us a few issues.
The NATs crew are on their
way to take you to NICU
at Adelaide Hospital just in case.
Here. Come here. Thank you.
Thank you.
So have you got a name?
I believe it's pronounced Mat-tee.
Close. It's actually Kalte.
Very good.
How's the bubba?
Safe in Adelaide?
Good lung function. Maximum
cuteness, apparently.
How are you?
492 days sober.
When I finally left Cairns, it
was after this massive weekend
where I kind of turned a
friend's birthday drinks
into a whole weekend of drinks
because I didn't want to go home.
And I was on a Retrieval
the following Monday,
and I asked the pilot
why the plane was shaking,
but it turned out it was just me.
Uh, and we got tasked with this kid
who was in an, like
an abusive situation
and I was just useless.
So I sobered up pretty quick after that,
and I promised myself
I'd never drink again.
I'm sorry.
It really drags you
back into it out here.
I dragged myself back.
And I was I was starting
to enjoy Retrievals again.
Difference was just, you know,
everything else was solid,
and then all the stuff with
Cameron and Taylor and you.
Now I'm questioning my choices.
I'm sorry.
I just stuffed up and
It's not an excuse, but
the truth is, I reacted
the way I did with Cameron
because he reminds me of my
brother, how he used to be and
I was scared for Taylor
and angry with her dad,
like, really bloody angry.
But you're right, I don't
know where to put it,
so I just bury it,
and it just ends up hurting
the people I care most about
like you.
Have you said this to Taylor?
No, not yet.
Geez it'd be a shame
not to crack that 500.
- Do you want to get rid of it?
- Yeah, give it here.
Graham'll give it a good home.
- To life.
- To new life.
Yes. To insanely
genetically blessed new life.
And to those who save them.
- Like you.
- Me? What did I do?
Are you kidding?
That was like the Mona Lisa
of Ops Management today.
It was just process.
Process put in place by you
with extreme effort systematically
under huge pressure over months,
during a bloody challenging time
and ultimately saving multiple lives.
I forgot to tell you,
I got you something.
I called every strip between here
and Cameron's Corner and no luck.
But then I found this 3D
printing place online, and
It's not a Nomad, sorry, but
And these instincts
do we trust them?
Absolutely no idea.
- Cold?
- Oh. Oh, yeah.
How are you feeling?
Good. It's like I've
arrived at my own funeral.
Thanks for coming.
- Don't be silly.
- Of course we did.
- You ready?
- Nope.
Before we make our final
determination on Mr. Emerson's licence,
there has been a request to hear
some external character references.
Is that ready to go?
Thank you.
Um Pete Emerson is
stubborn and can be impulsive
and sometimes quite
pigheaded, if I'm honest.
But he dedicates his life to caring
for some of the most vulnerable,
isolated people in the country.
But of course, I would
say that, I'm his niece.
So I'll let those people
speak for themselves.
MAN: Pete transported my wife
Sharon for eight rounds of chemo,
and when it got close to
the end, he organised a trip.
He organised a trip for our
whole family to fly 900 k's
to go to the beach
together one last time,
and we will never, ever forget it.
When I fractured my leg,
mustering, Pete patched me up
Pete's the kind of guy comes
out to fix your busted head
and brings you a newspaper.
He knew within seconds
my appendix had ruptured.
He rushed me straight to Theatre.
I named my son Pete
because Pete delivered him
mid-air on the way to the hospital,
and I don't think I've ever
been so terrified in my life.
I mean, the fact that
I named my son after him
is probably all you need to know.
My heart gave out 18 times in
that flight, and Pete gave me CPR.
Non-responsive. Pete was
the one who resuscitated him.
He's like a bloody dog with a bone.
He doesn't leave you alone until he
I would've died if he
wasn't there. Simple as that.
I don't even know where
to start with Pete.
Oh, God, I'm crying already.
Upon examining the evidence
and internal Critical
Incident Review findings,
plus the testimony of
colleagues and patients,
we have decided that Peter
Emerson's nursing registration
will be suspended for a
minimum period of six months,
and mandatory skill and
professional standards retraining
to be undertaken
before it is reinstated.
Oh, buddy.
We can appeal this,
though, right? Can't we?
- Are you OK?
- Yeah, I'm alright.
It's probably a good time for me
to sort a few things out anyway,
I reckon.
You shouldn't have been
put in that position.
Whatever you need, we're here, OK?
Everyone did the best they could
with what they had at the time.
Oi, come here.
Don't thank me. It didn't work.
It was awesome.
I don't give a shit
what they think about me.
I just care what you do.
Well, Chaya is the one who drove
and filmed them all with me.
Really? Alright. Well, sounds
like I owe everyone a drink, then.
Yes, you do. And everyone's
coming. No excuses, alright.
So pump your milk and line your
stomachs and insert your IVs.
Right, come on. My shout
now that you're unemployed.
So are you.
Oh, you never know.
Actually, it's on me.
Unfortunately, I'm on
call, so set up a tab.
- You beauty.
- I regret it already.
So I'll see you around then, eh?
Yeah. See you around.
RFDS, Dr. Harrod speaking.
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