We do PT differently. ", "Dr. Raore is the best. This helps relieve painful pressure on spinal nerves. Besides auto accidents, neck strains afflict many amateur and professional athletes. A very small number of patients with scoliosis may require surgery to keep it from worsening and to straighten severe cases of scoliosis. The cement hardens, stabilizing the fractures and supporting the spine. They also use the latest image-guidance technologies. Degenerative disk disease, also called DDD or degeneration of the intervertebral disk, is typically an age-related condition that happens when one or more of the disks between the spinal columns vertebrae deteriorate or break down, leading to pain. In some cases, the spine loses flexibility, and bone spurs may pinch a nerve root, causing pain or weakness. To learn more about spinal fusion surgery, click below. The effects of the injection may be temporary (one week to one year). Apex Neurosurgical And Orthopedic Centers in Coral Gables, Florida When abnormal disk material presses on a nerve root or the spinal cord, causing pain, numbness, or weakness by stressing the spinal cord or radiating nerves, it can be resolved with a discectomy procedure. APEX ORTHO SPINE in West Palm Beach, FL - Bizapedia Find out more about orthopaedic surgeons by reading Who Are They and What Do They Do? 10502 Park Rd Suite 120 This minimally-invasive procedure repairs vertebral compression fractures (VCFs). Foraminotomy has a high success rate has been considered the gold standard for the surgical treatment of lumbar foraminal or far lateral stenosis. since November 30, 2021 If you are suffering from musculoskeletal pain or injury, we are your first stop for immediate evaluation and treatment. Usually associated with car accidents, the injury can also result from any impact or blow that causes your head to jerk forward or backward. 360 Ortho and Spine is a medical group practice located in Tampa, FL that specializes in Ophthalmology, and is open 5 days per week. Degenerative disk disease is very common, with over 3 million cases per year in the U.S. . There are several actions that could trigger this block including submitting a certain word or phrase, a SQL command or malformed data. Dr. Bendiks has been nominated as a Top Doctor by the International Association of Orthopedic Surgeons, lectured at numerous conferences, and taught other spine surgeons on new techniques and technology to include his knowledge and development of new implant designs. Apex Ortho Spine has been registered with the National Provider Identifier database Primary Insurance: Policy Holder: A discectomy removes a portion of an intervertebral disk. By signing this form, you confirm that you have read, understand, and agree with these terms. Download our Free Booklet, "Florida Orthopaedic Institute's Approach to Spine Related Conditions" and our Free Infographic. At Apex, you are part of our tribe. Many patients experience rapid pain relief after the procedure. The pin enables the therapist to target tissues that are inaccessible by hand. Apex Ortho Spine is an Orthopedic Surgery of the Spine practice in Port St. Lucie, FL Click to reveal Apex Ortho Spine | Orthopedic Surgery and Orthopedic Surgery - Vitadox 2. They really did an excellent job getting my back problem resolved. He is affiliated with Palmetto General Hospital. Email : Show . An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. With so few reviews, your opinion of Apex Orthopaedics Spine & Neurology could be huge. the branch of surgery that treats musculoskeletal trauma, spine diseases, sports injuries, degenerative diseases, infections, tumors, and congenital disorders both surgically and nonsurgically. The request should specify the time sought for the accounting. Piriformis syndrome is a condition in which the piriformis muscle in the buttocks irritates the sciatic nerve. Sciatica can also occur when a disk degenerates releasing inflammatory proteins that irritate the adjacent nerve. Performance & security by Cloudflare. Ill give Dr. Ayer six stars. In epidural spinal injections, a steroid is injected directly around the dura, the sac around the nerve roots that contains cerebrospinal fluid. Filter Conditions. Interlaminar implants, also known as interlaminar spacers, are spinal implants that are used as a minimally invasive surgical option to treat certain types of spinal stenosis. Physical Therapy | Apex Physical Therapy & Rehab | Apex PT Patient shall direct such new legal counsel to execute another copy of this Agreement and deliver same to Provider. My designated address and the address where I hereby request GSO to mail my prescriptions is: PATIENT ACKNOWLEDGMENT Your request may be denied if we did not create the PHI, if the amendment is not part of normal record keeping of PHI, and if the amendment would never be included for inspection by any other group or party and if we believe the record is accurate and complete without the amendment. Patient hereby directs and authorizes Attorney to provide actual notice of Providers lien to all parties involved in the Legal Action in accordance with the requirements of OCGA 44-14-471(b), and Attorney agrees to be responsible for providing such notice. Uses and Disclosures of Protected Health Information. Port St. Lucie, FL. His office accepts new patients. Copyright 2008-2020 NeuroSpine Institute LLC DBA Spine & Orthopedic Center. Patient and Attorney acknowledge that it would be a violation of Attorneys ethical duties to disburse the disputed funds prior to resolution of the lien dispute. 270 NW Peacock Blvd, Suite 114 Secondary Insurance: Policy Holder: Learn about procedure details, risks, recovery, and alternatives At Spine & Orthopedic Center, our patients well-being comes first. Orthopedic Spine Surgeons at Apex Ortho Spine perform An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. Technically called a cervical radiculopathy, the symptoms include sharp pain and tingling in the neck or arm. . State (required) Practice Specialty (required) Members of the AAOS who have not provided their office address will not appear in Find an Orthopaedist. Apex Ortho Spine Clinic speciality, address, contact phone number and fax are as below. The practitioner's primary taxonomy code is 207X00000X. Our treatment includes care for all ages, and our goal is to get you back to doing what you love: whether that's running . Search Conditions. Married neurosurgeons specialized in all areas of neurosurgery including minimally-invasive and robotic spine surgery as well as cranial and cerebrovascular/endovascular neurosurgery. When the cement hardens, it stabilizes the fracture and supporting the spine. THIS PHYSICIAN PRACTICE LIEN AGREEMENT (the Agreement) is hereby entered into by and among: Keep one copy for your records. This Privacy Notice describes how we may use and disclose your protected health information to carry out treatment, payment or health care operations and for other purposes that are permitted or required by law. Astym is unmatched in its ability to resolve tendinopathies, scar tissue problems, and other soft tissue dysfunctions. While a pinched nerve condition can be chronic (lasting for years), it often improves without treatment. The company's filing status is listed as Active and its File Number is G21000169961. Orthopaedic Surgery of the Spine - Florida | Page 1 - NPIdb.org Duke Orthopaedics of Apex | Orthopedic Clinic If information in a designated record set is maintained electronically, you may request an electronic copy in a form and format of your choice that is readily producible or, if the form/format is not readily producible, you will be given a readable electronic copy in a timely manner not to exceed 60 days. Scoliosis is a condition that causes the spine to curve to one side. Backbones (vertebrae) that are cracked or broken are injected with bone cement. We will not require you to provide an explanation for your request. We are trained in the latest evaluation technology, including cutting-edge diagnostics and treatment techniques, to get you out of pain and back in the game quickly. Apex Ortho Spine | Orthopedic Surgery in Port St. Lucie, FL - Vitadox provides non-operative and surgical treatment to patients of all ages. Away from work Dr. Bendiks enjoys fishing, growing vegetables and herbs in his garden, spending time jumping on the trampoline with his kids, skiing, and tinkering in his tool shed. Officially authorized person to contact for any management issues or complaints of this clinic are as below. This surgery helps treat a painful lower spine. 6267 Old Water Oak Rd, Tallahassee FL, 32312. Foraminotomy is a procedure that relieves pressure on nerves compressed by the intervertebral foramina. Improvements in surgical techniques and technology over the past decade have allowed for more spine surgeries to be performed in outpatient surgery centers, outside of the traditional hospital setting. This Privacy Notice is being provided to you as a requirement of a federal law, the Health Insurance Portability and Accountability Act (HIPAA). This consent shall remain in effect until such written request to revoke is received. Employer: Occupation: Spine & Orthopedic Center Welcomes Orthopedic Surgeon, Dr. Frank McCormick, 9 Important Questions to Ask Before Back Surgery. If you have back pain, youre not alone its the No. It is fairly common, with more than 200,000 cases in the U.S. per year. 1295 Hembree Road Building B Suite 200, Roswell, GA 30076, 426 Exchange Boulevard Suite 500, Bethlehem, GA 30620, 2000 10th Avenue Suite 310, Columbus, GA 31901, 454 Satellite Boulevard Suite 301, Suwanee, GA 30024. He completed a PM&R residency at NUMC on Long Island. I understand that if another person accesses my prescription, that person will see my PHI. Assignment of Benefits: Patient herby assigns and authorizes payment directly to GSO of APEX ORTHO SPINE Similar Providers - NPI Profile The effects include pain management, improved recovery time from injury, and faster recovery time between workouts. This form gives you the facts about receiving Your Medications by mail. Providers whose primary taxonomy is orthopaedic surgery, a similar scope of practice as APEX ORTHO SPINE and have a business address in Port St Lucie, FL. It can relieve symptoms such as burning, numbness, or pain caused by nerve compression. 114.119.173.151 Search reviews. Dry needling is safe, minimally discomforting, and an effective technique for patients with musculoskeletal pain issues. I have been advised that if my attorney does not wish to cooperate in protecting Providers interest, Provider will await payment and may declare the entire balance due and payable. I consent to treatment by ERIK T BENDIKS MD PC d/b/a/ GEORGIA SPINE & ORTHOPAEDICS with the understanding that I will furnish accurate information regarding my injuries and will cooperate when referred to other physicians or medical facilities for examination or testing. Bone cement injection can help people with severe, disabling pain caused by a compression fracture, reduce the use of pain medication, and increase mobility. The practitioner's primary taxonomy code is 207T00000X. Patients can directly walkin to the clinic or can call on the below given phone number for appointment. They are monitored closely, usually with X-rays, to see if the curve is getting worse. 77. This is health information that is created or received by your health care provider, and that relates to your past, present or future physical or mental health or condition.I. Patient and Attorney hereby expressly acknowledge the validity and enforceability of Providers lien as of the date Providers treatment of Patient commences and expressly agree to be bound by the terms of this Agreement. Dr. Bendiks completed his medical school training at the University of Texas Southwestern Medical School in Dallas Texas, followed by Residency in Orthopaedic Surgery at the University of Miami/Jackson Memorial Hospital in Miami Florida, and Fellowship in Spine Surgery at the University of Rochester/Strong Memorial Hospital in Rochester, New York. Patient understands that any settlement, verdict or judgment proceeds cannot be disbursed to Patient without first satisfying this lien. This type of fracture occurs from an injury such as, You may experience a dislocated elbow with pain when one of the bones which form the elbow gets knocked. 1/22/2023. If I have a religious objection to specific care to be provided, I may ask ERIK T BENDIKS MD PC d/b/a/ GEORGIA SPINE & ORTHOPAEDICS not to provide such care. It preserves a more normal motion of the spine. While many surgeons are limited to a particular approach, the surgeons at Apex Spine and Neurosurgery have well-rounded skills and are proficient in numerous techniques. Whiplash is a neck strain caused by a forceful, rapid back-and-forth movement of the neck. General conditions we expertly treat: Sports injuries, joint pain or injury, back and neck pain or injury, headaches, post-operative orthopedic surgery, post-operative spine surgery, vertigo and balance disorders, concussions. Scot Reeg, MD is an Orthopaedic Surgeon, a Pediatric Spine Surgeon and a Spine Surgeon who sees patients at Duke Orthopaedics of Apex, Duke Orthopaedics of Knightdale, Duke Raleigh Hospital and Duke University Hospital. Back pain might be a symptom of a herniated or bulging discs, soft tissue injury, spinal injury, pinched nerves or sprain. Apex Ortho Spine is a Spine Orthopedic Clinic in Port St Lucie, Florida. Dr. Paul Lee and Dr. Aileen Kim believe that everyone should love their smile. Symptoms include numbness, tingling, or pain in the buttocks and down the leg. Sciatica is a symptom of an underlying condition, not a diagnosis. Orthopedic Surgeons at Apex Ortho Spine perform "Great personality, very thorough per and post op explanations. Emergency Contact Name: APEX ORTHOPAEDICS SPINE AND NEUROLOGY LLC, NPI 1154900769 - Orthopaedic While vertebral fractures are the most common osteoporotic fractures, approximately two-thirds are undiagnosed and untreated. These symptoms can worsen after sitting for a long time, climbing stairs, walking, or running. I understand that if I do not wish to cooperate in protecting Providers interest, Provider will await payment and may declare the entire balance due and payable. . The rough edges can get stuck in the joint causing, Patellar Tendinitis is an inflammation in the tendon that connects the kneecap to the , Ganglion cysts typically develop along the tendons or joints of your wrist or, Although any of the ten bones can break, the most common wrist fracture is in the radius. If we deny your request for amendment, you have the right to file a statement of disagreement with us and we may prepare a rebuttal to your statement and will provide you with a copy of any such rebuttal. We have helped thousands of patients suffering from neck and back pain. 11809 N Dale Mabry Hwy, Tampa FL, 33618. Pinehurst, NC. Currently Apex Orthopaedics Unlimited's 15 physicians cover 15 specialty areas of medicine. APEX NEUROSURGICAL AND ORTHOPEDIC CENTERS. The physicians specialize in minimally invasive anterior lumbar interbody fusion (ALIF) surgery. Discitis can be caused by bacteria, virus, or fungus but most commonly occurs when bacteria directly invade the disks from other parts of the body. You may object to these disclosures. The team at Apex Spine and Neurosurgery treats a broad spectrum of spine conditions, including degenerative disc disease, cervical and lumbar spinal stenosis and radiculopathy, degenerative spondylolisthesis, adult degenerative and early-onset scoliosis, cervical disc degeneration, herniated discs, and limb length discrepancy. Since minimally invasive spine surgery is an extremely advanced technical procedure, our specialized surgeons are dedicated to continuing their knowledge of all up-to-date procedures and many are personally involved in assisting with the creation of new technologies. If I do not want to accept the risk that someone may take my prescription and/or access my PHI, I should not agree to allow GSO to mail my prescriptions to me. Common symptoms of neck strains include headaches, neck pain and stiffness. Specialties: We offer modern treatment options like Invisalign, Invisalign Teen, Spark, metal and clear braces, and more. A pinched or irritated nerve in the neck can cause pain, numbness, or weakness radiating into the chest or arm. General conditions we expertly treat: Sports injuries, joint pain or injury, back and neck pain or injury, headaches, post-operative orthopedic surgery, post-operative spine surgery, vertigo and balance disorders, concussions. Nova Ortho Spine is a medical group practice located in Tallahassee, FL that specializes in Orthopedic Surgery. Thai Truong, MD - Physician - Apex Orthopaedics Spine - LinkedIn Requests must be made in writing to our Privacy Officer using the contact information below. An anterior cervical corpectomy removes damaged vertebrae and intervertebral disks and replaces them with a bone graft or implant. It is situated at 270 Nw Peacock Blvd Ste 114, Port St Lucie and its contact number is 561-406-3945. non-surgical and surgical treatments of musculoskeletal injuries and dysfunctions. Patient hereby notifies Attorney that Patient is giving Provider a lien on these benefits or settlement proceeds, and Patient hereby authorizes and directs Attorney to withhold such funds from any settlement, verdict or judgment that is rendered in the Legal Action and pay Provider directly from any such proceeds any sums due for medical services rendered to Patient. They can relieve the pain and symptoms from nerve compression caused by stenosis. Unlike an open spine procedure, minimally invasive spine surgery combines technological advances with state-of-the-art practices that reduce both the size of your incision as well as your hospital stay. The following table represents the complete NPI 1144988825 dataset for Apex Ortho Spine in 270 NW PEACOCK BLVD STE 114 PORT ST LUCIE, FL 34986. A laminectomy isa type of surgery in which all or part of the vertebral bone (lamina-the roof of the spinal canal) is removed. Dr. Bendiks speaks fluent English, Spanish, and French. Nonsurgical treatments are usually recommended if daily life activities can be completed with manageable pain levels and if the pain does not interrupt sleep or activity. Please include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page. This website is using a security service to protect itself from online attacks. Dr. Giancarlo Perez, MD - Neurosurgery Specialist in Pembroke Pines, FL Laser focused cold exposure constricts the blood vessels in the targeted area reducing swelling and pain. 8. USES AND DISCLOSURES WHICH YOU AUTHORIZE. Orthopedic Surgery is IV. It is generally performed in an outpatient setting or a shorter hospital stay. Sciatica describes symptoms of pain, numbness, or weakness that spread from the sciatic nerve down the lower back to the buttocks and leg. An anterior cervical corpectomy uses a surgical approach through the front of the neck. These compression fractures are often caused by osteoporosis. A herniated disc occurs when a portion of the vertebral disc ruptures, Degenerative Disc Disease occurs in many people during the normal aging process, Bulging disc, ordisc protrusion, happens when a disc shifts out of its normal position, Back pain occurs when one or more nerves in the spinal column become impinged, or pinched; commonly caused by a disc or bone spur pushing, Arthritis means inflammation of a joint and is used to describe several conditions. Vertebral disks normally act as a cushion between the vertebrae, but there is a loss of cushioning, fragmentation, and herniation when they break down. hours Our team-coordinated approach to care begins before diagnosis and goes beyond recovery. However,, Scoliosis is the most common abnormal curvature of the spine. To schedule an appointment, please call (561) 868-5668. WHEREAS, Attorney represents Patient in a claim or lawsuit (the Legal Action) to recover damages arising Both tennis and golfers elbows are types of tendinitis, which is swelling from overuse, When you experience avascular necrosis it is due to the lack of blood supply which causes bone tissue to die, Peroneal tendonitis is enlargement and thickening of the peroneal tendon, Pitchers, golfers, tennis players, quarterbacks, and any sports which involves overhead motions are typically susceptible to a UCL injury. with healthcare providers who have special training and skill in preoperative, operative, and postoperative treatments and diagnostics of musculoskeletal diseases and injuries. We may condition this accommodation by asking you for information as to how payment will be handled or specification of an alternative address or other method of contact. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Complex back problems require specialized care. Those who play contact sports like football are especially prone to neck strain. Disclosures of your protected health information for the purposes described in this Privacy Notice may be made in writing, orally, or by facsimile. This includes prescriptions to treat AIDS/HIV and medications used to treat mental health issues. Acknowledgement by Patient WHEREAS, Patient was injured in an accident or incident and is seeking medical/diagnostic care from Provider for his/her injuries; and If you feel that your privacy rights have been violated by this facility you may submit a complaint to: If you are unable to get your issue resolved, you may file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, or by calling 1-877-696-6775. While many patients are helped by lumbar fusion, the results of the surgery can vary. I consent to the provision of treatment that may include diagnostic procedures and medical treatment by ERIK T BENDIKS MD PC d/b/a/ GEORGIA SPINE & ORTHOPAEDICS. Our team is comprised of leaders in their field who are passionate about helping people. Dr. Our team shares some common lifestyle causes of neck pain. They dont have a lot of flexibility, but your sacroiliac joints do move slightly as you move your body. Certain spine conditions respond very positively to this procedure as opposed to many conventional open spine surgeries. 270 Nw Peacock Blvd Ste 114, Port St Lucie. Patients benefit from the advanced skills and experience of the board-certified neurosurgeons and a team of compassionate, caring support staff. Acknowledgement by Attorney Ophthalmology 1 Provider. You may also request that we not disclose your health information to family members or friends who may be involved in your care or for notification purposes as described in this Privacy Notice. I will not hold GSO responsible if my PHI is seen by an unauthorized person or my medications are taken/obtained by an unauthorized party. ", "Dr. Seecharan made sure he did all he could to save me from a dangerous illness.". We can also disclose your information in connection with trying to locate or notify family members or others involved in your care concerning your location, condition or death. 6. You will not be retaliated against in any way for filing a complaint. To provide the highest quality neurosurgical care to the greater Atlanta area utilizing the most up to date surgical techniques, including minimally invasive and motion preservation surgery. He has treated professional, collegiate, and high school athletes, however takes pride in treating the everyday blue collar person. Considering Back Surgery? Signature of Patient over 18 years old or Legal Guardian: CONSENT For TREATMENT and ASSIGNMENT of BENEFITS Copyright 2023 Florida Orthopaedic Institute. There are other additional causes of sciatica. The bad disk is removed, and the vertebra bones above and below that disk are joined together. Near . with healthcare providers who have special training and skill in preoperative, operative, and postoperative treatments and diagnostics of musculoskeletal diseases and injuries. 6. In most children the curve corrects itself with growth, so treatment is not needed. judgment or verdict, except to the extent that payment is available from Patients medical insurance. document.getElementById( "ak_js_2" ).setAttribute( "value", ( new Date() ).getTime() ); We are committed to encouraging a culture of inclusion reflective of the communities we serve, and we provide equal opportunity to all. We are your primary care providers. Call For Your Complimentary Smile Assessment. since August 27, 2022 This form gives you the facts about and risks involved in receiving Your Medications by mail. Other than stated above, we will not disclose your health information other than with your written authorization. Excellent specialty doctors. Relationship to Policy Holder: Policy Holder DOB: In accordance with the HIPAA of 1996, I acknowledge that I was given access to and/or offered a copy of the Notice of Privacy Practices for ERIK T BENDIKS MD PC d/b/a/ GEORGIA SPINE & ORTHOPAEDICS. All Rights Reserved, Interventional Pain Management, Interventional Spine, Neurosurgery, Spine, PROMs (Patient-Reported Outcome Measures), Same-Day Orthopaedic Appointments Now Available, Learn more about interventional spine treatments, Learn more about minimally invasive spine surgery, Learn more about Artificial Disk Replacement (ADR), Learn more about Kyphoplasty (Balloon Vertebroplasty), Anterior Cervical Corpectomy & Discectomy, Learn more about Anterior Cervical Corpectomy & Discectomy, LEARN MORE ABOUT Degenerative Disk Disease, LEARN MORE ABOUT Outpatient Spine Surgery, LEARN MORE ABOUT ILIF: INTERLAMINAR LUMBAR INSTRUMENTAL FUSION, LEARN MORE ABOUT LUMBAR EPIDURAL STEROID INJECTIONS, Florida Orthopaedic Institutes spine specialists, Diffuse Idiopathic Skeletal Hyperostosis (DISH), Interlaminar Lumbar Instrumental Fusion: ILIF, Whiplash and Whiplash Associated Disorder (WAD), Achilles Tendinitis - Achilles Insertional Calcific Tendinopathy (ACIT), Bursitis of the Shoulder (Subacromial Bursitis), Fractures Of The Shoulder Blade (Scapula), High Ankle Sprain (Syndesmosis Ligament Injury), Labral Tears Of The Hip (Acetabular Labrum Tears), Lateral Collateral Ligament (LCL) Injuries, LITTLE LEAGUER'S ELBOW (MEDIAL APOPHYSITIS), Radial Tunnel Syndrome (Entrapment of the Radial Nerve), Rheumatoid Arthritis (RA) of the Shoulder, Shoulder Injury: Pain In The Overhead Athlete, Shoulder Socket Fracture (Glenoid Fracture), Sudden (Acute) Finger, Hand & Wrist Injuries, Total Hip Replacement - Anterior Approach, Trapezius Strain (Muscle Strain of The Upper Back), WALANT (Wide Awake Local Anesthesia No Tourniquet), Anterior Endoscopic Cervical Microdiscectomy, Cervical Laminaplasty (Cervical Laminoplasty), Intradiscal Electrothermal Therapy (IDET), Intralaminar Lumbar Microendoscopic Discectomy, Intraoperative Monitoring (IOM) of the Nerves, Lumbar and Lateral Lumbar Interbody Fusion (IBF), Micro Endoscopic Posterior Cervical Discectomy, Radiofrequency Neurotomy of the Lumbar Facets, Spinal Fusion (Lumbar Spine, for Treatment of Spondylolisthesis), TLIF: Transforaminal Lumbar Interbody Fusion. Since the practices inception, our spine specialists have gained both national and international recognition in the fields of orthopedics and pain management. Interventional treatment options are often more efficient and effective than traditional therapy for spine (back and neck) pain and discomfort. Our team of renowned and awarded physicians, lead by our spine surgeon Dr. Ashish Sahai, has successfully bridged the gap between spine surgery and interventional pain management to provide our patients with even less invasive spine treatment options, less discomfort and a life in full motion. I have been able to ask any questions The practice has provided excellence in neurosurgery and spine care for more than six years, delivering neurosurgical services to people of all ages affected by diseases or injuries of the spine and brain.
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