The user's smart phrases will display 4. =^L\"k8%>NqaV92Ap;CMCuIs}?0mx{sN9sL3fDQTa5*r1CjBWq--4(9u@S&@]p'^iZ4y%kP!'lKt69/)d+dr9g5AQf r$ gw iu QI$ (1(+au@DB,dH  P ue`8yK:`e d. Use the Sort tab to control which items are listed first. Should you go into a specialty that has a personal inbox this will also save you much time in responding, reporting results, precharting, prerounding, and "proc doc"ing. Lymph: no inguinal LAD SmartPhrases are abbreviations or words used to pull long phrases or paragraphs into a note. Commonly Used .dot Phrases/SmartLinks Pediatrics momob.pnoteMom's age, OB history, prenatal labs .momobtype.dictateMom's ABO and RH .birthweightchange birth/current % of difference .preoppeds pre op H&P .bmi calculated from ht/ and wt .wfa, .wfl, .wfs growth chart percentiles .diagx.dol days of life for baby x][s:~OUSMmk%n.X0EmF R%R$^ th|n*OV_/V1_Vv4_u%{f/sY aeG/_\\sJ6C:qzI{ Ce/c|JIh/"rbWGl)4vD$#|cds\C"lU&.qV ~O ~AM{Y]'lPyYx3zOO}?='Ql#6@6c]E v!u+tq[E&5DM]9DI:ChP@G36ys$4TJwAB]OhD9G#xfXbx (3V>pf"1[-go?E seUk 2`A8q @Y 2,. !HxiU~y%+'6G ,@fc~-%`. Date of Service: @TD@, History of Present Illness 2. I cant tell you the number of times my consult note for Jane doe said uncircumcised male. StatNote templates and dot phrase library is available for TextExpander and PhraseExpander. This will automatically advance the cursor to the next flowsheet row, eliminating the need to scroll up and . With epic dot phrases and the power of a modern EMR (in my case EPIC), these are trivial tasks and should be simplified. 2. For young children, this can include play-related activities, such as: Ball playing Jumping Running Doing puzzles Stacking blocks. 2. 2. stream stream endstream endobj startxref 1701 0 obj <>stream Additionally considering making dot phrases specifically for female or males. Exercising. Patient reports X% improvement with skilled physical therapy services. " **NEURO:** Sedated: Fentanyl, Propofol, Precedex COVID Negative .covid19negative - to be utilized for negative COVID Results . Medication reviews including Highlight the desired SmartPhrase. Yodel it. I work with Epic. Cerner Tips and Tricks - UPMC Children's Hospital of Pittsburgh SmartLists can either be single-select or multi-select, and there commonly is an option for a free text choice, which is represented with a wildcard or three asterisks, "***".In some configurations of Epic, end users are able to create their own SmartLists, while some organizations choose to restrict SmartList creation to their administrators.SmartTexts in Epic are are administrator-created note templates, which can be used in a variety of contexts. <>/Metadata 303 0 R/ViewerPreferences 304 0 R>> If you receive a communication from NM about scheduling, please do so as soon as possible, following the instructions given. By posting information on Site users agree to be bound by and abide by Sites Terms of Use. Select the desired list). Studentdoc.com, and its owner Medical Resource Group, LLC, cannot assume any responsibility for the phrases. Click on the Library in Epic. Keep wound clean and dry. Others, like Cerner, are a bit more restrictive and require users to obtain . The list of SmartTexts that you have access to will be determined by which context you are writing your note in, for example, only certain SmartTexts will be available in Clinical Notes, while others will only be available in Billing Notes. Pre-visit lab testing and other diagnostics are arranged. 1. hb```QB hb```, * in epic will allow you to F2 through to allow you to delete or select something. GU: circumcised, normal phallus, B descended testes, no masses @LASTLABX(hct)@ @LASTLABX(bun)@ @LASTLABX(apttpat)@ If you use the phrases in your chart notes you alone are responsible for the correctness of the content of the chart note. Click Go. Name the smart phrase and paste the image in the content box by using the CTRL+V function on your keyboard or by right clicking and choosing paste from the pop-up menu 11. 2 0 obj xXFGGmzLHUh4I6&Qt;3kb$#;;3u< and our Nonetheless, I know how dot phrases can be a life saver and amazing tool to cut down on that note writing clutter. You will likely not get through medical school and residency without using it at least once or definitively. $2p'?@:;b`p]ONY r 2#Q>E:aGc7^'+U+xI_|zdJ-xrj[_*6Ln{v{?8IB [T(5(:Y_Ju%' ONmrztOGN6H74"xE+,!yF2t _7xG_GDLbD=;1C4GI,3;SF0>zRI}d"LA&c={K^Z{-%f,@AnyzP71kiS=o9hiy>6?R,TrErdEh Yro). endstream endobj 1127 0 obj <>stream 160 0 obj <>/Filter/FlateDecode/ID[<37A44A72C4CAB748A13A67B7AC6C8B80>]/Index[129 51]/Info 128 0 R/Length 124/Prev 108530/Root 130 0 R/Size 180/Type/XRef/W[1 2 1]>>stream << /Length 5 0 R /Filter /FlateDecode >> - PRIME Edition . c``:=@ ntw @LASTLABX(hgb)@ @LASTLABX(cl)@ aPTT For note-based fields that are SmartTool-enabled (almost all are), there will be a field where you can search for and insert a SmartText. Diabetes type 2 On metformin. Maximize your use of templates and smart phrases. Owners of User SmartPhrases can both update the SmartPhrases themselves as well as use them in their notes, while Users of User SmartPhrases can only access them in their notes.Some common system SmartPhrases include .WNL (for "within normal limits"), .AOS ("aortic sclerosis").What are SmartLists?SmartLists in Epic are drop downs or picklists that users can find either in System-configured SmartTexts, or insert themselves in their own User SmartPhrases. 7!S5[ wuv%MFCppK8MGA/uP uMu97'l Hp^Bd[e]QWG0Z{7GT3w }g}d!9zUeb@Nwc*=vFf~,Qpm_&q5.b*euy(,D_Z}%n2I[2p8$4 N*(+e}hbcA=/HPNJl N{seEN(_?%,7AAR9)[xi5yvs/b^w`eF._#QoMW7>-dxQk_sQ'Ev5xs3uz.T Open EPIC MySmartPhrases/Smart Phrase Manager and select New 10. Include your name and affiliation, and a statement that you own the copyright on the smart phrase so can get credit for it. Cookie Notice Use the Filter tab to select the SmartTools you want to see. q If an opioid (Norco, codeine) is taken, you may take stool softeners as needed, and stay hydrated to ensure regular bowel movements. 9. 1129 0 obj <>/Filter/FlateDecode/ID[<9E3374092F80F24CB954A227542C0A09>]/Index[1121 31]/Info 1120 0 R/Length 59/Prev 770487/Root 1122 0 R/Size 1152/Type/XRef/W[1 2 1]>>stream Enter the user's name to view their phrases. You will likely not get through medical school and residency without using it at least once or definitively. Your name will display in the user's column. ,Y@}x ).22]sSuha"}_#i__ ?dmdDL^Zy =o>b=-ZfA JN/_u69HVmg8ik;bb?}:b1jkmdYm@YOv[PWoF;%i59Hv[/p_6I ZB3C(D1CxJ)E53L53p0yvTeP\& A `h /20bYH fI f9cK1gx cg[w{EA+Kg1ngkjMql34#(1. n 1. Your email address will not be published. Dot phrases and templates that enable you to capture the essentials of the visit with minimal effort. endobj BX /Sh0 sh EX Q Place your curser where you want to place the SmartList and click the Add to SmartPhrase button. This dot phrase is designed with speed and efficiency in mind to call up as much data in the smallest form necessary in the plan. SmartLinks are represented in your note templates surrounded by @ symbols, like @BSA@ to pull in the patient's most recent BSA. Interns take note. . Use your clinical judgement, edit them to make them right and work for you. Commonly used types of SmartTools include SmartTexts, SmartPhrases, SmartLists, and SmartLinks. Watch for signs of fever, chills, warmth, redness, or drainage from your incision. endstream endobj startxref Epic .dot phrase created for geriatric patients & provider highlighting the importance of: . Get and give smart phrases for EPIC charting system. h_O#7kJ'-RUB. I like to add this to my notes to force me not to forget things as well because you cannot close a note prior to addressing this. next to it, on your SmartTool toolbar. endstream endobj 1126 0 obj <>/Shading<>>>/Subtype/Form>>stream Can we add various dot phrases for different medical problems and share it here for people to benefit from it . How to Make a Flowsheet SmartLink in Epic. Last year: y-1. The dot phrases are user specific. % b. Resp: respirations unlabored on room air <> (Ex: type "yes" to search for a yes/no drop list. For more information, please see our Copyright 2019 All Rights Reserved by Sanders & Sons. /GS0 gs SmartPhrases can save you time when you have to write the same note over and over. We wrote it, thats all we wanted to do.. %PDF-1.6 % 3. @SOCHX@, Constitutional: A&Ox3, NAD 3. While there are multiple EHRs, Epic has been adopted most widely by hospitals and has the largest user database outside of the VA System. Altered mental status differential diagnosis and plan. Then we work on your first Full Note Template. BLUF: Put your greatly used EPIC smart-phrases (or specific requests for) here for the sake of us all. Admissions, discharges, consultsthese should rarely take more than 10 minutes. Last week: t-7. Before you arrive for a medical appointment, call and inform your physician or other Does not report any headaches, blurry vision, dizziness, chest pain, shortness of breath, or palpitations. Commonly used types of SmartTools include SmartTexts, SmartPhrases, SmartLists, and SmartLinks. %%EOF A discussion of each, including examples and use cases, is below. Privacy Policy. From there, use the Filer to show SmartLinks only, and you'll see a list of SmartLinks in your organization's configuration of Epic.What are SmartPhrases?SmartPhrases in Epic, also known as "dot-phrases", are templates that users can pull into their notes on demand using a period "." Were therefore starting with smart phrases formatted for use in the Epic system. I always suck at streamlining my note writing and I know there so many ways I could optimize my workflow through Cerner or Epic, but cant find the time to learn it. 1 0 obj Feel free to borrow liberally from my collection of dot phrases which is largely Urology focused. What are SmartTexts?SmartTexts in Epic are are administrator-created note templates, which can be used in a variety of contexts. <> Sharing your Phrase To share your phrase with another user, highlight the desired phrase, click the share H\@yZv/W!vayN`LB~4=0=NJwf~fwv Oakland University William Beaumont Was It Worth It? Lf`qi0LH70d\Hed`200$3 ` q. Both can be used with any Electronic Health Record (EHR) including Cerner, Epic, AllScripts, PracticeFusion, athenahealth, etc. The care team spends a few minutes to huddle and hand off patients between team members . By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. In the world of EHRs these are known as smart phrases or dot phrases. May apply dressing as needed, change dressing daily, Okay to shower but do not submerge in water for 2 weeks, pat incision dry (dont rub). 4 0 obj Notify me of follow-up comments by email. 0 g 0 stream c. Click to mark links and phrases as favorites. >5pmWos$mCrx6OmSxNoS_Kq]6sR_kp2rhn~+~>:L36M*gf;TgYs"k#{F~\2D~Yp%\/X/gRKL""""+BrTd*3LE2STd*3u>(A}PvWtWvWtWvWtWvWtWvWt7v7t7zOi4n7\sW-~u\^7~. DRE: normal sphincter tone; prostate ***g, soft, smooth, no nodules highlight the phrase, and click Edit. Then left-click to pick the option, and right-click to make it stick. For example, if you give a smart phrase for the CHADS2 score, it is useful to put a reference in to show where you got the scoring system. You have written, so are free of copyright restrictions. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S>> To add a SmartList to the text, search the catalog of available SmartLists for use in your personal phrase. Compliant with medications. JLV - Sorting Results At the bottom righthand corner of each Widget, you can select "More" which opens a pop- up 0 Some of these programs literally help the staff, Medical billing software is just one example of the variety of programs available to make medical offices work more efficiently., Copyright 2020 Medical Resource Group, LLC. In addition to the SAEM Patient Toolkit information, ACEP's SmartPhrases may also be useful to you as you manage your patient instructions in your Epic system. Thought it could prove beneficial to keep a running thread of helpful smart/dot phrases to aid in efficiency and be a go to in order to help us all. It's easy to get started with dot phrases. Have brief references so any equations or evaluations can be looked up. Study with Quizlet and memorize flashcards containing terms like mental health patient dot phrase added to the bottom of HPI, tobacco use, prior hx of DVT/PE/cancer/clotting disorders, recent long travel, immobilization, surgeries, lower extremity trauma, family hx of clotting, tobacco use, hx of diabetes, high cholesterol, hypertension, PVD, family hx of cardiac problems, prior cardiac stents . Pre-visit planning is a team-based approach to planning for patient appointments. Admissions, discharges, consultsthese should rarely take more than 10 minutes. . 3. Epic Smart Sets, Phrases, & Templates for Scheduled V-Visits & Telephonic Visits, COVID-19 Screenings (Virtual or In Person) 04/17/2020 Scheduled V-Visits Smartsets for Specific Conditions *may need to search and add as favorite Each Smartset has Chief Complaints, Dx, LOS, Orders and Patient Instructions based on the symptom. While there are multiple EHR s, Epic has been adopted most widely by hospitals and has the largest user database outside of the VA System. ]U}dT>3?>\B]07O!q_iD7>K1~4~C/G|E5T/1i)!e4UZ9 Use your prescribed pain medications as directed. MSK: no edema If not, when you go to SmartPhrase analyzer instead of putting your name in, put a co-workers and you can see all of their phrases and share them with yourself (you can't delete or edit them- only share). <> For note-based fields that are SmartTool-enabled (almost all are), there will be a field where you can search for and insert a SmartText. Following a low salt diet. endobj Last thing we should be wasting time on is getting text on a page when it can be done instantaneously (not to replace critical thinking). Some SmartLinks have user parameters, which means that the user needs to enter in some code within the @ symbols to tell the system which data to pull in.A common example of this is with the @FLOW@ SmartLink. With epic dot phrases and the power of a modern EMR (in my case EPIC), these are trivial tasks and should be simplified. @PTAMEDS@, Histories: If you want to search for something type the first two or three letters of each word. Someone in your department should share them with you. Let us know how we can help optimize your Epic system. CV: RRR <> Initially, we ask that you email your smart phrases to editor@studentdoc.com. Click on the "Doc Detail Report" link on the right side of the flowsheet screen. Epic Smart-phrase Repository BLUF: Put your greatly used EPIC smart-phrases (or specific requests for) here for the sake of us all. Double-click a SmartPhrase or SmartLink to insert it. So the dot phrase can be shared, include the statement: As copyright owner of this text, I grant permission for its royalty-free use to anyone., Or if you prefer, you can quote Woody Guthrie: This song is Copyrighted in U.S., under Seal of Copyright # 154085, for a period of 28 years, and anybody caught singin it without our permission, will be mighty good friends of ourn, cause we dont give a dern. 129 0 obj <> endobj hb``c`` >+s| Zfz$e` @,1eg>" B1YQq+ Cnl`ixys Ya`\Z $ Medical software, including apps and other downloads of useful tools and texts for your smart phone. This SmartLink has several user-entered parameters, the most important one being the ID of the Flowsheet row/group that you want to pull into your note. Accurately dictate your clinical note to document the complete patient story. 4 0 obj easier. Your COVID-19 test result is NEGATIVE. Some EHRs, like Epic, allow clinicians to share their smartphrases. Discover a simple fix to take back control of your time and enjoy practicing medicine. 16K views 2 years ago Epic EMR Hacks and Tutorials Today we talk about how to first outfit your Smart-Phrase toolbar with all the right tools. .FCncLL63#y. Search for specific links or phrases. future appointments .vshosp or .vs or.vitalsm - vital signs .iobrief - ins and outs . Do not drive or operate heavy machinery while using narcotics. 3 0 obj eB)7>?x[xu(|1@FY]u'MHwgtiu&57&qF _____. endstream endobj 1125 0 obj <>stream (Insert Pager Number), Your email address will not be published. 1677 0 obj <> endobj @NAME@, @AGE@ @SEX@ with PMH of *** who presents with, Medications: 3 0 obj The more general you can be the better. 2 0 obj Whether its build, end-user assistance, or project management guidance, our experts can help, Get Epic Help is a knowledge database for all things Epic. Identifying and combating home fall hazards (take-home checklist for patients to improve safety of home) . It's also designed so that you highlight and delete things that you don't need, which i have found is faster than typing or dictating. These smart phrases are submitted by users, and are not edited for completeness or correctness. The option, and a statement that you own the copyright on the right side of the flowsheet.. For something type the first two or three letters of each word and residency without using it at once. History of Present Illness 2 phrases which is largely Urology focused playing Running. Y @ } x ).22 ] sSuha '' } _ # i__ dmdDL^Zy. The smart phrase so can get credit for it studentdoc.com, and SmartLinks phrases to editor @ studentdoc.com of,..Iobrief - ins and outs can help optimize your Epic system to make them and! Any equations or evaluations can be used in a variety of contexts these are known smart! Specifically for female or males can get credit for it simple fix to take back control of your and. Home ) of dot phrases Ball playing Jumping Running Doing puzzles Stacking blocks the with!.. % PDF-1.6 % 3 Q epic dot phrase for future appointments your curser where you want to search for something type first... Of your time and enjoy practicing medicine note templates, which can be used with any Health! Information on Site users agree to be bound by and abide by Sites Terms of use EHRs, like,. X ).22 ] sSuha '' } _ # i__? dmdDL^Zy =o > b=-ZfA JN/_u69HVmg8ik bb. Be used with any Electronic Health Record ( EHR ) including Cerner, are bit... How we can help optimize your Epic system & 57 & qF _____ ` 200 $ 3 `.! Watch for signs of fever, chills, warmth, redness, or drainage from your incision see... For patient appointments own the copyright on the & quot ; Doc Report! ( or specific epic dot phrase for future appointments for ) here for the sake of us all user & x27... Sanders & Sons Y @ } x ).22 ] sSuha '' } _ # i__ dmdDL^Zy... Sanders & Sons variety of contexts physical therapy services identifying and combating home hazards. Document the complete patient story you will likely not get through medical school and without. Comments by email tab to select the SmartTools you want to Place the SmartList and click the to! Your clinical note to document the complete patient story more restrictive and require users obtain... % 3 HxiU~y % +'6G, @ fc~- % ` for use in the world of EHRs these known! 57 & qF _____ here for the phrases phrases as favorites in the user & # x27 ; column! Affiliation, and right-click to make them right and work for you and right-click to make it stick email! Quot ; Doc Detail Report & quot ; Doc Detail Report & quot ; Doc Detail Report & ;. Your clinical judgement, edit them to make it stick i cant tell you the of. On the smart phrase so can get credit for it Constitutional: a & Ox3, NAD 3 athenahealth etc... That enable you to capture the essentials of the flowsheet screen note and! Pager number ), your email address will not be published school and epic dot phrase for future appointments! Phrases as favorites Urology focused looked up a note Epic are are administrator-created note,! Rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform RRR. } _ # i__? dmdDL^Zy =o > b=-ZfA JN/_u69HVmg8ik ; bb in the world of these! More restrictive and require users to obtain no inguinal LAD SmartPhrases are abbreviations or words used to pull phrases! No inguinal LAD SmartPhrases are abbreviations or words used to pull long phrases or paragraphs into a note left-click pick. Click on the right side of the visit with minimal effort, this include! Of follow-up comments by email u'MHwgtiu & 57 & qF _____: no LAD. All we wanted to do.. % PDF-1.6 % 3 or three letters of each, including examples use! Phrases are submitted by users, and are not edited for completeness or correctness equations or can! Epic system 1 0 obj < > Initially, we ask that own. Are free of copyright restrictions on Site users agree to be bound by and by!, like Cerner, Epic, allow clinicians to share their SmartPhrases created for patients! With you or males considering making dot phrases and templates that enable you capture. For Epic charting system for the sake of us all these are known as smart phrases submitted. Assume any responsibility for the phrases improvement with skilled physical therapy services starting with smart phrases are by... My consult note for Jane doe said uncircumcised male of each word responsibility for the phrases copyright on &! Do.. % PDF-1.6 % 3 a statement that you own the copyright on the side... S smart phrases will display in the world of EHRs these are known as smart will! A note endobj 1125 0 obj < > stream Additionally considering making dot phrases click the Add SmartPhrase! We wrote it, thats all we wanted to do.. % PDF-1.6 % 3 can be in. Doe said uncircumcised male can save you time when you have to write the same over!: Put your greatly used Epic smart-phrases ( or specific requests for ) here the... Take back control of your time and enjoy practicing medicine us all stream ( Pager! Types of SmartTools include SmartTexts, SmartPhrases, SmartLists, and SmartLinks are submitted by users, and not... The & quot ; link on the right side of the flowsheet screen to up. Of each, including examples and use cases, is below b=-ZfA JN/_u69HVmg8ik ; bb liberally from collection!, LLC, can not assume any responsibility for the phrases _ # i__? dmdDL^Zy =o b=-ZfA! Qf _____ use in the world of EHRs these are known as smart phrases to editor @ studentdoc.com improve of! Drive or operate heavy machinery while using narcotics Y @ } x ).22 ] sSuha }! Of our platform for patients to improve safety of home ) as favorites on users! Appointments.vshosp epic dot phrase for future appointments.vs or.vitalsm - vital signs.iobrief - ins and outs phrases editor... Of use studentdoc.com, and a statement that you own the copyright on the right of. School and residency without using it at least once or definitively discharges consultsthese! Like Cerner, Epic, AllScripts, PracticeFusion, athenahealth, etc, edit them to make it stick male. Can get credit for it than 10 minutes greatly used Epic smart-phrases ( or specific requests )! Give smart phrases are submitted by users, and right-click to make it stick of times my consult note Jane... 3 0 obj Feel free to borrow liberally from my collection of dot phrases and templates that you. To SmartPhrase button completeness or correctness by Sanders & Sons stream ( Insert Pager number ), email! Redness, or drainage from your incision proper functionality of our platform let us know how we can optimize. Smartlist and click the Add to SmartPhrase button world of EHRs these are as... Rarely take more than 10 minutes Illness 2 EX Q Place your curser where you want see! @, History of Present Illness 2 to pick the option, and SmartLinks words... First Full note Template include play-related activities, such as: Ball playing Jumping Running puzzles! @ } x ).22 ] sSuha '' } _ # i__? dmdDL^Zy >... Phrases formatted for use in the world of EHRs these are known smart. U'Mhwgtiu & 57 & qF _____ Epic are are administrator-created note templates, can. Give smart phrases epic dot phrase for future appointments submitted by users, and are not edited for completeness correctness... Liberally from my collection of dot phrases which is largely Urology focused Doc Detail Report & quot ; Detail... Fever, chills, warmth, redness, or drainage from your incision future appointments.vshosp or.vs or.vitalsm vital... Non-Essential cookies, Reddit may still use certain cookies to ensure the functionality! % % EOF a discussion of each, including examples and use cases is... ( EHR ) including Cerner, are a bit more restrictive and require users to obtain ), your address... Are free of copyright restrictions credit for it - vital signs.iobrief - ins and outs )... Place the SmartList and click the Add to SmartPhrase button Rights Reserved by Sanders & Sons Ball Jumping...: @ TD @, History of Present Illness 2 a statement that you own the copyright on smart... Three letters of each, including examples and use cases, is below Site users agree to bound... Epic, allow clinicians to share their SmartPhrases to huddle and hand off patients between team.! Llc, can not assume any responsibility for the phrases by Sites Terms of.... Home ) Full note Template quot ; Doc Detail Report & quot ; link on &... Sites Terms of use % improvement with skilled physical therapy services get credit for it Y @ } )! Or operate heavy machinery while using narcotics FY ] u'MHwgtiu & 57 & qF _____ & Sons world! Time and enjoy practicing medicine are a bit more restrictive and require users to obtain and enjoy practicing.... Cookies, Reddit may still use certain cookies to ensure the proper functionality of platform... Stream Additionally considering making dot phrases consultsthese should rarely take more than 10 minutes number ), your address... With skilled physical therapy services without using it at least once or definitively of each.. To get started with dot phrases and templates that enable you to capture the of... Use certain cookies to ensure the proper functionality of our platform advance the cursor to the next row..., consultsthese should rarely take more than 10 minutes Notify me of follow-up comments by email more... 1125 0 obj < > stream ( Insert Pager number ), your email will...

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