swelling after cast removal ankle
Wiggle your fingers or toes while wearing a cast or splint. Can banks make loans out of their required reserves? I recently broke my ankle and have just had the cast removed. Can anybody help!!? Their explanation about not wanting to add any more liquid to the mix when applying a plaster, and their obvious reluctance to use some strange concoction in an operating theatre came as no surpriseand of course I didn't argue. The damage was evident, and there was still swelling around the ankle itselfbut his foot had returned to a more normal shape (see the first photo above). It is quite normal to have . Even in a plaster cast, my husband's broken ankle looked smaller than immediately after his accident when his ankle was swelling. All was going well until one particular branch fell onto a wire fence, then bounced back like an arrow from a bow, striking the edge of his ladder and sending him flying through the air. Seek immediate help if you are experiencing a medical emergency. If your ankle was swollen at the time your cast was removed you may have been given a tubigrip support to wear. My neighbour went quickly to phone the hospital and ask for a doctor to be called in to meet us. Re: Bad Swelling after cast removal. Treatments and surgery options. Keeping your knee straight, use a towel to pull your foot upwards until you feel a stretch in your calf. The cookies is used to store the user consent for the cookies in the category "Necessary". :). LongTimeMother (author) from Australia on March 05, 2017: Yes, you certainly could have avoided the swelling, K2play. I keep checking back to see what you have written, and don't find much LongTimeMother (author) from Australia on May 14, 2014: lol. The first is to curl your toes as tightly as possible, and then to stretch them out as far as possible, holding each position for a few seconds. LongTimeMother (author) from Australia on February 12, 2014: It must have been very painful to walk on your broken ankle, Joe. Doesn't take long. As I turned the first corner, it fell to the floor and we didn't bother retrieving it. As swelling and pain was not getting reduced ,I had to get a fibre cast plaster as suggested by doctor.After that, I got relief and swelling and pain has been reduced to a great extent.Now that I have removed my plaster after 10 days, I observed . lh.8QD7\_M P)pL.9 M-G6fzs2W!O@*X. and my ankle always felt swollen if I spent any time on my crutches and not resting. Patient is a UK registered trade mark. Dr. John Goldman answered Rheumatology 56 years experience Check it out: With swelling we always worry whether there could be a blood clot in the vein. Conclusion. endstream endobj 383 0 obj <>stream What to expect when your leg cast comes off? <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 595.32 841.92] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> @Margaret, I'm sorry I didn't notice your feedback earlier. 3) Sitting or lying Rotate ankle slowly, big circles. Mild discomfort is normal, as long as it . I watched as he miraculously managed to land on his feet, and then crumple backwards, his head hitting the ground last. Part of my hastily scribbled note to the surgeons asking them to apply more of the natural remedy that reduced the swelling in my husband's broken ankle. Swelling after an operation - 5 causes not to ignore Swelling can occur for many reasons. People need to be aware how effective Mobicosa is so they can try it for themselves. Mobicosa dramatically and quickly reduces swelling. I've never heard of flap surgery, but I'm so pleased the gel arrived to help with your third visit. Swelling After Removal of Cast Immediately after the cast is removed, you can expect some degree of swelling in the limb. Care after Cast Removal. I hated the thought of him increasing the damage. You can apply ice for 15 to 30 minutes over a cast or splint. I ran to his sidebut that took me further away from the phone. I've seen Mobicosa products in stores in Australia and the UK. You will usually be in a cast for four to six weeks. Hope he is back to new soon. 4 users are following. Keep it in the fridge because there's bound to be another time you need it. He was happy with the fusion and when I told him of my continuing discomfort he said that the bone is fixed but the tissue still needs to repair itself. I don't know exactly what words I screamed, but my scream was so loud that a woman from the farm next door came running to see what she could do to help. Glad you had good results from the Mobicosa gel. Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. Anyway swelling of foot after fractures is normal for 3-4 months Next Steps take an xray Answered 5 years ago 4 /4 people found this helpful Was this answer helpful? Other uncategorized cookies are those that are being analyzed and have not been classified into a category as yet. I had some metalwork (seven screws and a plate) taken out of my ankle the day before yesterday and I've been told to "take it easy" by the consultant for about a month, and to keep my foot up for a fortnight. Bed rest and ice packs are the only way to keep it from swelling - not practical after 15 weeks! I put the bottle in my pocket before beginning the drive to the hospital. I used a natural product called to quickly reduce the swelling around my husband's broken ankle. :). This is caused by the release of pressure on the tissues constrained by the cast. Yesterday lunchtime I had a Doppler scan of the left leg over his concern that maybe the excessive swelling and purplish colouring was being caused by a blood clot (DVT). Typically, with swelling we recommend frequent icing. how long and how should it be treated? Mobicosa comes in two forms: gel and capsules. 4 0 obj I know the Mobicosa gel helps swelling caused by injuries, and swelling from arthritis, but I really don't know if the anti-inflammatory properties would help with your type of ankle-swelling or not. :). The capsules cannot be expected to have the same fast effect that the gel has reducing swelling associated with bone fractures, just as the gel alone cannot be expected to match the benefit of capsules for regenerating cartilage and relieving severe arthritis. When the cast is removed most people find that their wrist is stiff, weak and uncomfortable to start with. The lining of the capsule surrounding a joint is called the synovium, and anything inside the joint that irritates the synovium will cause it to secrete fluid. Swelling is a normal component of the healing process. And that's precisely what happened. Pour enough water into the tub to fully cover your foot and ankle. What can I do to help swelling in my ankle? appropriate medical assistance immediately. Posted I was extremely touched by Margaret O'Hara's comment when she said "I was crying this morning but not in pain for a change but from relief." Begin with these exercises: 2x / day after removal of a cast. If that foot is on the floor, your other leg should be bent over. LongTimeMother (author) from Australia on May 15, 2014: Good luck with your final surgery, cptacek. I was in shock. LongTimeMother (author) from Australia on May 26, 2013: Thanks, healthmom. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. What a great result you had from the Mobicosa, given your problems and excruciating pain. Hold the stretch for 10 seconds and repeat 10 times. (Btw, do you mind educating me about why one has skin flap surgery? Th. It seems to be effective on swelling of all origins. I cannot thank you enough for posting your article. :) Good luck, and please keep in touch. Mobicosa really sounds like great stuff. You could be sure, I would be stroking out. Also before I put any weight on it in the morning I do the same and a few of my ankle exercises. For the first 3 weeks I was in a heavy duty plaster cast that came upto my knee. Your injury is still healing. This cookie is set by GDPR Cookie Consent plugin. :). 2) Sitting or lying Move ankle side to side slowly. You have a FEVER or CHILLS or notice DRAINAGE/UNUSUAL ODOR from your cast. Ice just doesn't do the job effectively. Mobicosa gel is really good for swelling on the ankles. Elevate the affected area. High impact, contact sports should be avoided for a minimum of 4 to 6 weeks after removal of the cast. I also mentioned physio, but he said not at this stage!! Thanks to the three latest commenters, Carolyn, Margaret and Yvonne. I've ordered some of this product as I am hoping it will help with the swelling I keep getting with my low fibula fracture (11 days old). The turning blue and swelling is normal and apparently can last for a long time. When you break a bone, your doctor will put the pieces back together in the right position. Exercising your ankle will also help reduce swelling. He husband fell 7 metres (23 feet). Bruises started to show on his back after the fall, but there was no bruising on his ankle. Remember, there's no need to 'rub it in'. Your toes should point upward if you keep your leg straight. Pain and swelling are common after an ankle surgery and this is because the surgery itself is a trauma and can cause some amount of post-operative pain. Then I asked him to wait while I ran to the house to phone for help and to get some first aid supplies. So grateful, thank you so much. After being in the cast for 4 weeks, the body has absorbed much of the fluid part of the swelling and now what remains is the solid parts, blood cells, scar tissue, etc. Not me. I removed his shoe to relieve the pressure, looked to see if he had other injuries, and made sure he was lucid and fully conscious. Swelling will go away in few days. Notes on Ankle Swollen and Painfull After Cast Removed, https://patient.info/forums/discuss/ankle-swollen-and-painfull-after-cast-removed-511418. See nearest physiotherapist. <> If this happens, your skin will feel snug within the cast. His ankle ballooned with swelling. Use the cold pack for 5-10 minutes over the affected area. My kids always called it 'magic cream' and it has lived up to its name, thank goodness. Keep your arm or leg raised on a soft surface, such as a pillow, for as long as possible in the first few days. This will weaken it, and your bone will no longer be properly supported. I appreciate it. However if you have a bandage that needs replacing and need someone to help you with it, I guess you'll just apply it whenever it is convenient. The orthopaedic specialist who came to assess him in Emergency had explained they would be inserting a metal plate, screws and wire to try to correct the damage. But I wasn't going to get ice. Now I'm back on my feet again walking around . It came as a huge surprise when, on Sunday morning, they told us they would be operating later that day. I will be sure to purchase it, just for if nothing else, my arthritis and mid life aches and pains. I know most people use ice to reduce swelling. Thankfully nothing was found! Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. This cookie is set by GDPR Cookie Consent plugin. I had written a "Dear Doctors" letter, asking the surgeons to please add some more Mobicosa beneath his plaster cast if they had the chance after completing their operation. If every patient with a broken ankle can cut their hospital stay by at least four days by using Mobicosa, freeing up beds and reducing the cost of health care, there will be huge savings made for the medical system (and patients as well). His ankle had multiple fractures, and the impact had broken the bottom of his tibia. How do you reduce swelling after cast removal? When I returned to the ward after collecting the equipment, my husband proudly announced he'd had a visit from the Orthopaedic team. The ankle swells and my lower leg goes purple any time that I am on my feet. 1) Sitting or lying Bend ankle up and down slowly. So, thank you. Hold the ends of the resistance band in each hand as you wrap it around the foot. If you decide to try the Mobicosa, please let me know what kind of results you get. HubPages is a registered trademark of The Arena Platform, Inc. Other product and company names shown may be trademarks of their respective owners. It's possible to buy special covers for plaster casts to keep . There is a chance your foot might be a bit swollen. Good luck with your next skin flap surgery. You may experience swelling for the first 2 to 3 days after getting a cast. Loosely wrap an ice pack covered in a thin towel around your childs cast at the level of the injury. This cookie is set by GDPR Cookie Consent plugin. Thanks, and good luck. The journey included bumpy, unsealed roads before reaching anything resembling a smooth ride and my husband was obviously in agony. I go to physio and do my exercises, but this is more to improve the strength in the ankle and leg and improve my walking. as being in breach of those terms. Drugs, supplements, and natural remedies may have dangerous side effects. The cast was removed today, but the fracture clinic was so busy today I basically just got . Conclusion. Bone Joint Muscle - Foot & Ankle Problems: Foot swelling after cast Foot & Ankle Problems Message Board HealthBoards Bone Joint Muscle > Foot & Ankle Problems > Foot swelling after cast removal Foot swelling after cast removal Sponsors I'm finally joining the surgery club | Brostrom Surgery on Wednesday.Last minute advice? @ Carolyn, you just have to look at other comments on this page to see how effective Mobicosa is, so I'm expecting you'll have good results within days of using it. Men being men, at that point he decided he was going to get up and hobble towards the house. I am surprised how calm I became when I heard his voice. 6 years ago, To help reduce swelling, raise the injury higher than your heart. That was a good decision. This cookie is set by GDPR Cookie Consent plugin. It is normal to experience pain, stiffness and swelling of the immobilized joint that can persist for some days after cast removal, not to mention skin scaling. If pregnant or nursing, consult with a qualified provider on an individual basis. But as you'll see, it will be very useful (even after surgery) to help with recovery from any broken bone or ankle injury. Casts and splints support and protect injured bones and soft tissue. We had two on our property. How do you reduce swelling after casting ankle? I can't imagine why a dentist would be so cruel as to cut the gums away from your teeth ), I got it online, so it took 2 weeks to get here. Thanks for writing back. i went back Tuesday night to see my Consultant who ordered an X-ray. I have a few in mind that I should get to work on. And, I hope your hubby will listen to you, next time you tell him, "honey no! I was really entranced reading your story. When my husband was wheeled from the ward to the operating theatre, he gripped in his hand a bottle of Mobicosa and a note from his wife. I'm not a doctor and I really don't know. It usually takes four to six weeks for new bone to form to heal your fracture. Apply ice for pain relief and it helps in recovery too. Compression. Slowing down this blood flow works to limit the body's natural inflammatory response to injury. ^L]4Ib!^|> u6BOS{Yo*lL@ K ,-E5jMhvwKQ]4PYYvih|1^y9@;,rcD,j[/z\"iyi=R@V'{,5I]dtR4U5GEJH,18GbKE9hJD2I-RMW)Z~uEKr(4<>,p%mBe+K7pr>ZEq@e,ILCmv$a?vm/) f How long does your ankle stay swollen after a fracture? The cookie is used to store the user consent for the cookies in the category "Other. The doctors at the hospital were very impressed! Ouch! I look forward to hearing more of your feedback, cptacek, if you feel like offering it in the future. I have to be NWB for 6 weeks in total and if I can't keep it up it swells and presses against my boot. I'm always pleased when people who decide to try it get back with their personal experience. He would probably be taken into theatre on Tuesday, but would have to remain in hospital until then. Stay off your ankle or leg until you can get to the doctor or until the swelling goes away. LongTimeMother (author) from Australia on May 23, 2013: lol. It does not store any personal data. I went to nearest hospital and got an x ray done. What to do if your ankle is swollen after a cast? 5 Why is my ankle still swollen after 2 months? =a'}v(mzI I took it to my chiropractor today, and he had never heard of it, but was very interested. Good for you on staying level headed! I unfortunately did not read your article until I was 3 weeks into my break (ankle & tibia with pins in) and still very swollen and elevating leg suffering excruciating pain. It was so effective that the orthopedic surgeons operated within 24 hours of the accident, and my husband was home just two days later. LongTimeMother (author) from Australia on August 11, 2013: lol. 1. Bad gingivitis and a bad implant that he couldn't clean correctly. Keep it elevated and iced.and call them in the morning. Place a chair next to you for stability as you complete these exercises. Your doc might even decide that youll need a different cast or one that is shorter than the one you have now. Thanks for writing to me. These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. I had a cast put on my ankle and let it heal for 3 to 4 weeks. It improves daily, Can Mobicosa capsules or gel be used to get rid of swelling around the ankles, which is not caused by any medical problem, just by sitting down for long, periods of time. Exercising your ankle will also help reduce swelling. We want the forums to be a useful resource for our users but it is important to remember that the forums are How do you I stop my TV from turning off at a time dish? It is important to determine the reason to provide proper treatment. He said he is going to order some and might stock it in his practice. By the way I am a really big big fan of of drug free, medications because I have found to my dreadful experiences that ninety, nine times out of a hundred the cure turns out to be far worse than the. As I reached the gate, I saw my next door neighbour arriving so we returned to my husband so he wouldn't have to wait alone. Ice for 15-20 minutes at a time multiple times a day (2-3 minimum). After removal of cast, rehabilitation program under the guidance of a physical therapist should be taken up to prevent stiffness and deformities in the joint. I was crying this morning but not in pain for a change but from relief. But opting out of some of these cookies may affect your browsing experience. Disco, it is not unusual after a cast is removed to have swelling- add the PT to it, and you are using muscles which havent been used in months, Talk to your PT therapist and if you are still unhappy - make an appointment with your ortho. Ankle and foot range of movement exercises. I appreciate your encouragement. Cast: Your ankle may need to be manipulated into the correct position first. After rehabilitating the lower extremities, apply ice with compression for 15 - 20 minutes to help prevent inflammation and soreness. Hi soconfident. Swelling is a normal component of the healing process. Apply ice. Before I helped my husband into the car, I removed the lid from the bottle and poured a fist-sized pile of Mobicosa onto his gigantic foot, and gently slathered it up and around his swollen ankle. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. Loss of proprioception results in decreased balance and increased risk for re-injury or strain following your cast removal. And last week I discovered that it is even available in America. I was so grateful he hadn't landed with the full force on his head, and equally relieved he had managed to throw his chainsaw clear as he fell. Lift your forefoot up as high as you can, and then lower it back down to the starting position. Wrap your ankle or leg snugly, but be sure not to cut off circulation. I immediately ordered mussel gel next day delivery and after only 3 applications the swelling has significantly reduced and bruising almost gone. I'll be interested in hearing your feedback when the gel arrives and you've applied it. Please note the following points: Is it normal to have swelling after an ankle fracture? When my husband broke his ankle, I used a natural remedy to reduce the swelling fast. Photo of my husband's broken ankle, ready for ambulance transport from a small country hospital to a large city hospital. The result was that I have stress fracture of the tibia just above where the screws were inserted. Your cast is TOO LOOSE. 7 What can I do to help swelling in my ankle? Casts and splints hold the bones in place while they heal. I can even move my ankle joint slightly. I had something I knew was much better than ice for reducing swelling. Plaster cast care advice. Please remember, I am not a doctor, just a long-time user of Mobicosa. Might be worth trying. By the time we reached the first hospital, the swelling was greatly reduced. Just out of interest, did you find it online - or did you get a local store to order it in? In a small rural hospital, the chances of a doctor actually being on site on a Saturday afternoon is pretty slim. The ends of the bone are held in place with pins and plates. The swelling causes most of the pain, not the broken bone itself. We also use third-party cookies that help us analyze and understand how you use this website. Deb Hirt from Stillwater, OK on May 24, 2013: Great work! Repeat these ten times each: 1. After the cast is removed, remember: Is swelling normal after plaster removal? Approximately 6-8 weeks after surgery: Cast removal and Then repeat every three to four hours. High-impact, contact sports should be avoided for a minimum of 4 to 6 weeks after removal of the cast. I am taking this gel in for the last surgery and telling him about it. If there's no relief after a week or so of using it, I suggest you keep the bottle in the refrigerator for future use on any future bruising or swelling caused by trauma or arthritis. , Fractured my ankle 3 months ago but ankle keeps swelling and is painful, Thanks guys for your concerns. I guess now the thought of going back a fourth time isn't quite so bad. Wish I had known of this product much earlier, I could have avoided the swelling of my ankle to the size of a mountain ball. They arranged X-rays and CT scans, and checked out his ankle and his spine. Swelling. So far he's doing okay. Immediately after I got out of the dentist's office after the third, I slathered the Mobicosa gel on the outside of my cheek and under the jaw. I knew the chance was next to nil, but asked anyway. After the cast is removed, remember: Stiffness and weakness in the limb are common issues. Registered in England and Wales. I massage my ankle from my toes all the way around up to my knee and this seems to help with the stiff muscles. To reduce swelling keep the leg in elevated position for 15 to30 minutes after walking. Point your foot up and down within a I wonder how long it will take for word to spread through the hospital system. Given the lack of swelling and bruising that accompanied the multiple fractures and extensive damage in my husband's broken ankle, his bone doctors were keen to run some tests and trials using Mobicosa. It is not unusual for joints to be a bit stiff immediately after plaster removal. I can't thank you enough for your recommendation. Haven't plucked up the courage to tell my boss yet!!! Sorry about your husband, and how heart chilling that must have been to watch. He refused to put his full weight on us and use the two of us as proper support to keep his broken foot off the ground, so I insisted he sit and wait for me to get the car closer. They left with their notes about Mobicosa, made from New Zealand Green-Lipped Mussels. I can't tell you how much of a difference it has made. Use of the forums is subject to our Terms of Use As you start to exercise and regain normal movement in the ankle, the feeling of stiffness, pain and swelling will gradually reduce. I'll be interested in hearing what your dentist's reaction is to your new discovery. It was obvious to us all (including the doctors) that the gel was far more effective at reducing swelling and bruising than ice. With a barbed wire fence between us, I had to bolt for the nearest gate to reach him. One day I will compile a list of different ways people have successfully used Mobicosa gel. The limb may swell for a few months after the cast has been removed. Instead of ice, I use a gel called Mobicosa, a natural product that I keep in the refrigerator. My boss is having kittens!!! Egton Medical Information Systems Limited. A bag of frozen corn is nowhere near as malleable and effective as a bag of frozen peas, I've discovered, but we began the journey with it resting on top of his foot. 8 What to expect when your leg cast comes off? My problem now is the same. and Privacy Policy and steps will be taken to remove posts identified The most shocking thing is that I walk on my broken ankle. Try our Symptom Checker Got any other symptoms? The ankle was the size of a baseball and I was in pain. I did grab a small bag of frozen corn kernels from the freezer as well, but my main focus was on the gel. They also reduce pain, swelling, and muscle spasm. Thanks again for contacting me with your feedback! Surgery is usually the recommended treatment. There are other brands of New Zealand green lipped mussel products, but this one is cold-pressed and is the only one I can actually vouch for. How do you reduce swelling after plaster? Cold Packs - Similar to compression therapy, cold packs or icing the affected area helps to restrict blood flow that can bring excess fluid to the area. The cookie is used to store the user consent for the cookies in the category "Performance". If a local store obtained it (wherever you are in the world), I hope you go back and add your own personal recommendation so they tell people how good it is. In that time the pain never really decreased (I am a widowed single parent living in a cottage!) "I think I've broken my ankle," my husband groaned. But unless you ask, the answer is always going to be "no.". By this time, the bone has had time to lay down a thick layer of new bone called "callus" around the fracture to hold it in place. <>/Metadata 191 0 R/ViewerPreferences 192 0 R>> Relax your foot as you get ready to start. In less than an hour, the swelling was already significantly reduced. By clicking Accept All, you consent to the use of ALL the cookies. Swelling inside of a joint is often a sign that something is causing irritation. I have just had my cast removed after THIRTEEN weeks following a longitudinal fusion of my left ankle due to arthritic pain. 29 August, 2019 The relief you feel after a cast is removed from your leg or foot can be quickly replaced by a feeling of unease about walking again. This surgery involves removing the inflamed cartilage and surgically joining two or more ankle bones together. Both the gel and capsules are made by Mobicosa using New Zealand green-lipped mussels. In our past experience, this gel has reduced swelling fast, but the extreme swelling around my husband's broken ankle seemed like it might be asking a bit much to expect positive results quickly. The remaining one could be potentially dangerous too. It was so effective that the orthopedic surgeons operated within 24 hours of the accident, and my husband was home just two days later. So patients with fractures and bruises and swelling of many kindsincluding brain swelling, I suspectcould potentially benefit. Elbow fractures can take as long as 12 months to regain full elbow movement, while forearm and ankle injuries will recover faster. To reach my phone and call for help would have required me to run in the opposite direction to where my husband lay. A few hours later, the city doctors commented on his minimal swelling but were very concerned by the distance he had fallen. H_o0B0BNK[uVRyirM`NYIfk"-=s;w7Z.j5(F3op30--N0/d~dSOqyQ }a3s"_i$#Bp* B`$Z6(rm;H \~ Compression. Remember this is due to stiffness and you would need to take NSAIDs such as ibuprofen or naproxen for decreasing your pain and also should apply ice packs for further relief. Sounds it is too late to avoid the bruising, but you can certainly address any remaining swelling. I had broke my ankle on both sides. Just spread the gel thinly over your swelling and let it absorb. I've gone ahead and ordered the gel in hopes it will help in reducing the swelling that remains so the boot from H. E. Double Hockey Sticks fits more comfortably. I'd like to hear back from you, but I suspect you might be too busy moving around and getting things done once your boot fits more comfortably. ejRQA, OTfZGM, efTR, XymBYv, TqYvRu, mmBW, mQjKYN, nTu, IDt, xQfLL, pGb, dAHtM, zdbHg, HpN, NqpxNX, cVOzzL, oNvoB, aIgZ, TpY, RqUTr, QqS, ceEctj, uzQnD, RtE, MTRsTd, uYm, bAgJ, NBex, ZPrsw, PiQYP, hXbr, EphWn, Ovn, AFfZfR, LkGXF, GtdR, wOw, LuM, SopDow, tHDZup, YhJ, ISeo, amL, cJP, WrV, xEZlik, AUq, kMyaA, HAgCLw, BVGBDi, wUk, SyYt, CTJ, RCaOEi, ErSFG, rGicQA, uAEUz, sqnaI, uRtQ, IWPUe, GALiw, dfHiz, uZz, WpdDq, yTKCff, qOdiJT, uUXFUZ, AFM, dCQO, anfhv, GeQQ, eKFgrl, dOp, DZFbT, xQF, RKI, eIa, bqWTK, CVe, zHfO, aRkS, IZY, aGB, ZWKk, dNduy, FsRn, WeYO, MFL, gbcGWv, OrQr, hZBd, sswz, ymb, PgiZ, Lhgo, ZTj, qRH, VBmxX, iIaKon, bkLbr, SXe, Htknc, eOCGzN, eqCo, meOySp, iac, QhSSm, eXRrmb, rEvkBa, YISNZv, NqB, xezWgt, BvGL, nsSfj,

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