Feb 2024
27 Feb
The hope of healthcare – learn to overdeliver
We’ve all been there, haven’t we? Some expectation of time was set and not met. We overpromise and under-deliver. This leads to frustration for the people we serve.
20 Feb
Pharmacy leaders don’t quit, they step up
You must continue to improve so that you can continue to advance your team on their mission. No one will follow a pharmacy leader promoting outdated philosophies and goals for long.
13 Feb
The hope of healthcare— Play. To. Win.
Over the course of my career, I have had the privilege of meeting and interacting with thousands of pharmacists. When I first started out, I did not know the rules of the game. Allow me to correct that.
01 Feb
Get the negative to make positive change in your pharmacy
I have had many negative results as a pharmacist, as a manager, and as a leader. But I learned over time (and you will, too) that those negative results showed me how to improve, as long as I 'got the negative.'
Jan 2024
30 Jan
The hope of healthcare—none of us versus all of us
The different perspectives we have acquired through our pharmacy careers bring value to the overall care that can be provided.
23 Jan
The hope of healthcare—the recap
For some time now, I have been wrestling with this topic of the hope of healthcare. Deep down we all recognize not just the opportunity, but the need for healthcare to improve. How will this happen?
Dec 2023
26 Dec
Jesse’s predictions for pharmacists in 2024
The beginning of a new year often has people looking hopeful at the possibility of what may be. Yet we know the vast majority of people who set New Year’s resolutions drop them within days or weeks of starting them. And they do this year after year.
12 Dec
The hope of healthcare – trade-offs!
Within the world of pharmacy, we must be intentional to show the value that is provided to our patients. In the absence of recognizing the value, a patient can become disengaged with his care.
05 Dec
The hope of healthcare—value-add or adding value?
If your experience is anything like mine, the ability to add value to our patients and customers is a seismic shift! I wish I could say it is just as easy as offering value-add programs, but it not.
Nov 2023
28 Nov
The hope of healthcare – the value circle
There are far too many times when a patient is diagnosed, a medication is prescribed, and the timeline to assess success or failure of the therapy is not defined in a timely or meaningful way. It is like a circle that is incomplete.
21 Nov
The hope of healthcare – the creation of value
Value is what we must set out to deliver. Every day. To every patient we serve. Pharmacists are the Hope of Healthcare (at least partly) because we can deliver that value and have that impact. We are accessible to so many people.
07 Nov
The hope of healthcare—pharmacists must be bigger
For pharmacists to be the hope of healthcare, we must be ready to articulate the unique problems that we solve. We know we can solve problems. Some of the problems we solve are expressly defined by a local, regional, or national agency.
Oct 2023
31 Oct
The hope of healthcare – pharmacists solve problems
Pharmacists are paid to solve problems. Truth be told, every person on planet Earth is paid for the exact same reason. Everyone is paid to solve problems. The chef is paid to solve the problem of people being hungry.
17 Oct
The hope of healthcare – strategies for navigating risk, part 2
When we were training pharmacists to provide immunizations, part of the training was what to do in the case of an allergic reaction.
10 Oct
The hope of healthcare – strategies for navigating risk, part 1
As we consider pharmacists as the hope of healthcare, we must be open to and aware of the need for change and the risk associated with it. Today, we will take a look at a few strategies you can consider to help you navigate risk.
Sep 2023
28 Sep
The hope of healthcare – navigating risk in pharmacy leadership
In the world of pharmacy leadership, the ability to navigate risks effectively is a crucial skill.
19 Sep
The Hope of Healthcare: Risk management
Many pharmacists are highly sensitive to risk. I would actually go so far as to say that pharmacists are largely risk averse. And for good reason. We hold people’s lives in our hands. If you have ever made a dispensing error, it sticks with you.
12 Sep
The Hope of Healthcare – the Call of Courage, Part 3
Over the years, I have had the privilege of addressing thousands of pharmacists and pharmacy students. While I have not shared this story for quite a while, I believe it is fitting for our consideration of courage.
05 Sep
The hope of healthcare – The call of courage, Part 2
Pharmacists face the call for courage in the presence of a single person all the time. Much of the time, the stakes can be quite low. But there are also times when the stakes can be very high.
Aug 2023
29 Aug
The Hope of Healthcare, Part 9 – The call of courage
If pharmacists are to be the Hope of Healthcare, we must be alert to the conformities all around us and the results they deliver. Additionally, we must have the courage to explore new models, systems and services which deliver better results.
22 Aug
The hope of healthcare, Part 8 – Skills that increase or decrease in value
When I began my career as an intern, the stories were still common about preparing prescription labels on typewriters. Yes, you read that right. That was the prevailing technology at one time. When printers came along, all sorts of things changed.
01 Aug
The hope of healthcare, Part 7 – Skills that increase in value and skills that decrease in value
We all have skills, and not only do we have skills, we have certain kinds of skills. Not all skills are created equal. Some skills will increase in value over time, while other skills will decrease in value over time.
July 2023
25 Jul
The hope of healthcare, Part 6 – proceed until apprehended
When you consider the systems and processes we all work in, doing something outside the norm may seem a little uncomfortable, or even not allowed. This is the way we have always done it, and this is how we will always do it.
11 Jul
The hope of healthcare, Part 5 - the agency to act
In the pharmacy, we often find ourselves locked into rigorous workflows designed to reduce, if not eliminate, the possibility of errors being made. In other words, we have agency. But...having agency is not permission to be reckless.
04 Jul
The hope of healthcare, Part 4 - learning to be the buffalo
How many of us have encountered situations with patients where we find ourselves dealing with bigger problems because the smaller problems were not addressed earlier? We all have!
June 2023
27 Jun
The hope of healthcare, Part 3 – emotional truth in pharmacy
Emotions have everything to do with leadership! Emotions are the fuel of leadership. And when harnessed correctly, they can advance us a great distance.
20 Jun
The hope of healthcare part 2 – defining the new reality for pharmacists
Pharmacists monitor medication safety and efficacy within the drug delivery system. I very much like this definition, but I also understand the need to adjust it as we move forward.
13 Jun
It's time to explore pharmacy as the hope of healthcare
Pharmacists are doing more today than ever before. What are the things you are most excited about when it comes to pharmacy being the hope of healthcare? You can be excited about it, even if you are not currently doing it.
06 Jun
How can pharmacists achieve "next level leadership"? Part 2
What if I am contributing to the development of other leaders around me and they can see things from a unique perspective – a perspective that I do not have? That's when magic happens.
May 2023
30 May
How can pharmacists achieve "next level leadership"?
In the context of leadership growth, the next level is the act of contributing what you are learning to someone else. It is helping others around you become better leaders. It is building your bench of competent and confident leaders.
23 May
The “nice personality” of pharmacy leadership, Part 2
When I first started to study this principle of consistency, I quickly realized that the only thing I was consistent at was being inconsistent!
16 May
The “nice personality” of pharmacy leadership
As we continue our overview of the four principles of leadership growth, I will readily admit that most people may expect or want something much more glamourous than what I bring you today.
09 May
Good intentions!
To some reading this column, the word "intentional" will hit you like a punch in the nose. It will possess your attention and inspire your action. Intentionality does not discriminate. It is a principle that will serve all who choose to adopt it.
02 May
Things don’t just happen in your pharmacy….
Let me ask you a question: have you ever made a New Year’s resolution? We probably all have. If we follow the statistics, it is very likely that we did not keep that resolution either.
Apr 2023
25 Apr
Leading yourself – Part 1
While the Directional Leadership framework provides clarity on how we should lead, we must never lose sight of where leadership starts. Leadership always starts with the person staring back at us in the mirror!
18 Apr
More with less?!? How about more with more?
I don't know where you find yourself today, dear reader. But if you find yourself in a situation where you feel that you are being asked to do more with less, allow me to encourage you. You can become more. You absolutely can!
11 Apr
Has leading others changed in your pharmacy?
When we met last, I ended by asking you a question. The question was, “Over the course of your career, do you find that leading others has become easier, more difficult or about the same?”
04 Apr
What if there's no clear direction for your pharmacy leadership?
Last time, I left you with a dilemma: in what direction do you lead if a patient leaves your pharmacy, transfers to another, but then returns to you?
Mar 2023
28 Mar
The grey area of directional leadership
Are there times when we lead others from more than one direction? More specifically, when leading our patients, what direction are we leading? To me, or at least the me of several years ago, I would think it was leading down.
14 Mar
Which way do we go? Directing directional pharmacy leadership
Over the last several weeks, we have looked at the various directions of directional leadership. That is all well and good, but what are you going to do with that information?
07 Mar
The fourth direction of pharmacy leadership, Part 2
Last week I told you about my "plan" to take the last Friday of each month for self-development and how somehow those Fridays just didn't work out as I had planned.
Feb 2023
28 Feb
The fourth direction of pharmacy leadership, Part 1
When we talk about directional leadership, up, down and across pretty much covers it, doesn't it? Long-time readers will not be surprised when I tell you we have another direction of leadership to explore – the Fourth Direction of Leadership.
20 Feb
The potent potential of pharmacists leading across
Around 2008 I began learning about performance measures for pharmacy and I was enthralled. What an amazing concept! What if we could describe a way to determine how well a therapy serves a patient?
13 Feb
Why is it so hard to "lead down" in pharmacy?
You would think that leading down is the easiest form of leadership, and perhaps it is. But consider this: if it is supposed to be so easy, why is it so hard? Why is it so challenging?
Jan 2023
31 Jan
How can pharmacists lead up, up and away? Part 2.
One of the most important ways we lead is by leading up. This is key for a number of reasons. Perhaps most notably, it is because when we lead up, we make life easier for our boss. And in turn, our boss can make life easier for us.
24 Jan
How can pharmacists lead up, up and away?
One of the most important ways we lead is by leading up. This is key for a number of reasons. Perhaps most notably, it is because when we lead up, we make life easier for our boss. And in turn, our boss can make life easier for us.
18 Jan
Are you practising directional leadership?
I trust the new year still finds you well and well on your way to achieving your goals for 2023. Over the course of the next several articles we are going to look at the idea of what I will call “directional leadership.”
10 Jan
My year in review in 3 top themes
It is not uncommon when it is time to sit down and write one of these articles that I reach out to my editor to see if there are any specific topics that I should address.
04 Jan
Pharmacists can suffer from lonely leadership
Considering what to write this week, I am reminded of how many leaders are lonely and feel isolated and disconnected from others.
Dec 2022
13 Dec
Leadership lessons for pharmacists from the fainting goat, Part 2
What do you do when faced with patients with questions and concerns? What about your staff? What are the key lessons we need to learn and impart?
06 Dec
Pharmacy leadership and the fainting goat
Many years ago, I was building out a network of pharmacists to serve as “MTM specialists.” These pharmacists were being used to address a specific group of patients whose problems were going to be very challenging.
Nov 2022
29 Nov
Do you have the momentum to win in your pharmacy?
I struggled for a long time with the idea of “winning.” A big part of the struggle came from my definition of winning. I confused dominating with winning.
15 Nov
How to see your pharmacy through the Leadership Lens
Do you have a Leadership Lens? Do you look at things with a leader’s perspective? Do you look at situations and assess the ways you can help someone get from where they are to another place? If you do not, do not be discouraged. You are not alone.
08 Nov
How to turn paperclips into potent pharmacy ideas
In 2005, I received a phone call with an idea. The idea was to get pharmacists trained to provide immunization services. At the time this was an outrageous idea to me. But I did not reject it.
01 Nov
How to break down pharmacy walls and build bridges
In the real world, building a bridge takes engineers and raw materials and time. In the leadership world, it takes the ability to communicate effectively, to establish and build a relationship, and time.
Oct 2022
25 Oct
How the Exchange Principle can help your pharmacy practice
The relationship principle that I have learned to employ is called the Exchange Principle. The Exchange Principle says before you put someone in his place, you should put yourself in his place.
18 Oct
What's your capacity to face problems in your pharmacy?
I ran into an old friend who is currently a district supervisor for several pharmacies. After a bit of small talk, I asked how things were going and how her team was holding up. She went on to describe a bleak situation.
11 Oct
Pharmacy leadership and the riddle of the 3 frogs on a log
Often, when we start to think about how things can improve, we quickly jump to external sources and resources and become discouraged because we may not have much, if any, control over those resources.
05 Oct
Planting the seeds of pharmacy starts from the inside out
Think about this: when we each of us entered pharmacy school or began working in a pharmacy, we knew very little.
Sep 2022
27 Sep
Carrots, eggs, coffee...and pharmacy
A couple weeks ago, I was scrolling through LinkedIn and one of my colleagues had shared a post about carrots and eggs.
20 Sep
How to make a better mousetrap (the Law of Complexity)
Something that captured my professional imagination many years ago was the idea of measuring quality in the pharmacy industry. How do we know if medications are being used appropriately?
13 Sep
Hairstyle, lifestyle, and workstyle – pharmacy style
If you have ever seen a late-night infomercial on television, you may have encountered a product that was so amazing and so easy to use that all you had to do was “set it and forget it.” While that phrase may sell product in late night infomercials,
06 Sep
Lifestyle modifications and medication adherence
Many people, including myself, believed at one point that patients were very much like a cup. The education provided would be like the liquid filling up the cup.
Aug 2022
30 Aug
When is the best time to "plant trees" in pharmacy?
Pharmacists face leadership challenges from every angle. Staff, customers, prescribers, vendors, and you cannot overlook family. Pharmacists are challenged to lead all these groups (and others) and they all have different requirements.
23 Aug
Timing is everything in pharmacy leadership
Early in my career, I recall a man coming into the pharmacy who had just been diagnosed with high blood pressure. He presented his prescription and asked me how long he would likely have to take this medication.
16 Aug
Timing is everything in pharmacy leadership
Timing is key for effective pharmacy leadership. Learning when to lead is as important as where to lead. Think of some times when your leadership timing wasn’t right. There are many lessons that can learned by studying the ideal timing of action.
09 Aug
Pharmacy leaders – there's value in the pivot
How many treatment algorithms have you seen changed over the course of your career? Several! And you know what? We will likely see some more in the coming years. Why did these changes happen?
02 Aug
For pharmacists, it's not just where you are going…
If we want to get to a better place, we need to define the place and lead the team there. Will it be easy? No, it will be difficult. And probably more difficult than you thought to begin with. But it will be rewarding.
July 2022
26 Jul
Pharmacy leadership limits can be good!
Over the last couple articles, we have looked generally at the limitations we have as leaders. This is nothing to be ashamed of. It is simply a fact of life. We all have limits. Today, we are going to look at how limits can be good.
19 Jul
How many voices are you listening to in your pharmacy leadership?
When last we met, we began to look at the concept of seasons and how it applies to our leadership. Today, we are going to look at things from a slightly different angle. We have established that we are all leaders.
12 Jul
Where are you in your pharmacy leadership season?
"...we all have seasons where we contribute most. We all have a sweet spot where we deliver the most value. The extension of this is that all leaders have a sweet spot where they deliver the most value."
05 Jul
What are the limits of your pharmacy leadership?
Whether we like it or not, we are all leaders. But even though we are all leaders, we have different skillsets and leadership gifts, and that makes us unique. We are all unique leaders.
June 2022
28 Jun
The limit of pharmacy leadership and the discomfort of growth
When it comes to our leadership, there is a point that we really struggle to move past. And we will never move past that point unless we go through the discomfort of growth.
21 Jun
Pharmacy leadership calls for consistency
When it comes to becoming a better leader, we understand that this process is not automatic. It doesn’t just happen. It takes intentional effort. There is no minimum or maximum time it takes to become a good leader.
14 Jun
What's the most important variable you need to know about as pharmacy leaders?
In March of 2010 I attended a meeting where I was introduced to the concept of the Appointment-Based Model of pharmacy. A key component of this concept was using synchronized refills to be able to drive the appointments with patients.
07 Jun
Learn the ABCs D&E of pharmacy leadership
It is not uncommon when I am discussing leadership with someone, especially a young leader, for the question to come up about what the most important things are a pharmacy leader does.
May 2022
31 May
What can the merry-go-round teach us about pharmacy leadership?
We should strive to be in the centre of activity. When we are here, we gain perspectives that allow us to make better decisions to lead our teams well. The problem is, it isn’t always easy to stay in the centre.
24 May
Once-in-a-lifetime opportunities make for better pharmacy leaders
A few months ago, I made reference to “once-in-a-lifetime” opportunities and how they seem to come along about every two weeks. I am finding that to be very true right now.
17 May
Confessions of a conference speaker – Part 3
When you are communicating with someone, whether it be a single person or an entire audience (as with a public speaker), it is not just for information, but for transformation.
10 May
Confessions of a pharmacy conference speaker, Part 2
Leaders must be effective communicators. There is no doubt about it. You show me a leader who struggles to communicate, and I will show you a team that is struggling to perform.
03 May
Get ready to hear confessions of a conference speaker – Part 1
Last time we met, I encouraged you to consider conferences as a great place to find new ideas. Writing that post got me to reflect on the various conferences I have attended throughout my career. I thought I would share a story with you today.
Apr 2022
26 Apr
Good idea hunting for pharmacists, Part 2
When I sit down to write this blog, it not uncommon for me to identify experiences I had at various conferences to use as inspiration for my writing. I realize now that we really shouldn’t be surprised about that.
19 Apr
Good idea hunting for pharmacists, Part 1
One of the best things that a leader can do is to collect a big bag of ideas. Then, when various challenges come up, you have a deeper well of solutions or possible solutions to draw from.
12 Apr
How often should pharmacy leaders set aside time for new ideas?
A couple blogs ago we looked at the concept of options and how leaders look for options to navigate through various challenges. Today, we are going to consider the value of an idea. We all have ideas. Some are good. Some are not.
04 Apr
Pharmacists, place your bets!
Let me ask you a more focused question: where does leadership fit in to what you are betting on? Is it first? Last? Somewhere in between? Is it even on your list?
Mar 2022
29 Mar
Pharmacists – Expand your options
How often do we find ourselves in situations where we feel like we have very little choice? This is the only thing we can do. Occasionally, we may look at the opposite position and then make a choice.
21 Mar
Pharmacy and the Law of Compensation
The Law of Compensation states that you will be paid based on the demand for what you do, the skill involved with what you do, and the ease with which you can be replaced.
15 Mar
Pharmacy and the lesson of the wood stove
We need to recognize this lesson of the wood stove, because it gives us a tremendous clue for our leadership. We need to operate on the cause end of the law of cause and effect. What does that look like?
08 Mar
Pharmacy information vs. insight: what's the difference?
I have heard some claim that we are now in the Age of Insight. The age where we take the information available to us and then find ways to apply it in such a way as to deliver a benefit.
01 Mar
Can pharmacists gain wisdom from the Ancients?
In my experience, so many leaders model their leadership based on how they have been led. This often yields limited results when there is near limitless opportunity around them. And when the “storm” comes along, their business is in serious jeopardy.
Feb 2022
22 Feb
How do you measure quality and value in your pharmacy?
What does quality look like in the pharmacy? And how do we lead our team to provide quality service to the patients that we serve? These are questions that I now find quite fascinating, however 15 years ago, I just assumed that I knew what it was.
22 Feb
Are you using GPS to recalculate your pharmacy leadership?
For a kid who grew up on a farm in rural Pennsylvania, it only makes sense that I would want to become a pharmacist, right?
08 Feb
Use values to anchor your pharmacy leadership
What are your core values? You may not know them, but trust me, you have them. If you already have a list of core values, I encourage you to review those values with your team regularly.
01 Feb
Let's get ethical, ethical
Several weeks ago, I wrote a post about the difference between managers and leaders. A noticeable difference between the two is managers do things right while leaders do the right things.
Jan 2022
25 Jan
Promises, promises….staying true to the pharmacist's oath
I believe that our oaths are one of those defined points that we must anchor ourselves to professionally and with our leadership. Oaths are promises that we make to the people we serve.
18 Jan
Are you using GPS for your pharmacy leadership?
We can learn an important lesson about our leadership from GPS. We can learn that there are some defined points that we need to stay in tune with to get where we want to go.
11 Jan
3 keys to keep your New Year's resolutions
The New Year is upon us. Yet as I write this post in early January 2022, I must take a short pause to wonder about a couple things. How many of us had a great 2021? How many of us are hoping that 2022 is exponentially better than 2021?
04 Jan
Checkmate! Learning how to play your best offensive strategy
With the new year come new possibilities and new opportunities. Today, I would like to take a moment to share with you an important strategy for building momentum for whatever goals and objectives you have made up your mind to achieve this year.
Dec 2021
14 Dec
All change occurs from the inside out
If you are anything like me, you are now getting to the point where you have a list of things that you'd like to change.
07 Dec
You get what you get. Time to up your expectations
The playground of life can be a harsh teacher. The kids on the playground can be so blunt. As a result, we develop little pieces of supposed wisdom to help us through these turbulent times.
Nov 2021
30 Nov
My best pharmacy teacher
Perhaps you've heard the expression before that experience is the best teacher? I know I have, and I would even suggest that I subscribe to it.
23 Nov
The "I spy" principle in pharmacy – what you look for is what you find
As leaders we have all sorts of things coming at us all the time. And if we are honest with one another, the things coming at us are often not good.
16 Nov
Pharmacy teams and the lesson of the chain
A few weeks ago, I shared the lesson of the rubber band. The rubber band teaches us that we need some tension in our lives to do and be our best. There is also a lesson we can learn from the chain.
09 Nov
Time out! What to do when things go wrong in the middle of your day
We need to have some mechanism to call a timeout. Some way to break the momentum of an object going in motion the wrong direction. We need some way to interrupt and break the circuit.
02 Nov
Pharmacy, self-care and the lesson of the flight attendant
Are you taking care of yourself, so that you can take care of others? Maybe you are, but it isn’t enough. If that's the case, find out what others are doing for self-care.
Oct 2021
26 Oct
Are you battling burnout?
A topic that is coming up all the more often is burnout. As leaders, we cannot ignore it. We may even be going through burnout ourselves.
19 Oct
Game on! Get ready to compete in the infinite game of pharmacy
Ah, games. Games can be fun, but they can also be frustrating. They can be frustrating when you do not know the rules.
12 Oct
Get ready to stretch like a rubberband
This is the magic of the rubber band. It only works when it is stretched! Its real value is realized when it is stretched.
05 Oct
Think outside the pharmacy box
So far, during my pharmacy career, I have had the privilege and honour to work in about 30 different pharmacies, visit hundreds more, and speak with thousands of pharmacists at various meetings and conferences.
Sep 2021
28 Sep
Handwashing 102. It's time to come clean
What can we learn about leadership with handwashing, especially in challenging times? There is a very important principle that we must be sure not to overlook.
21 Sep
In the middle of difficulty lies opportunity
As the pandemic began in the spring of 2020, there were many pharmacies facing adversity. To some it was increased volume, while others faced decreased volume. Some faced staffing challenges.
14 Sep
Leading in pandemic times
Leadership is a big topic in most situations, but then throw in some uncertain times, like a pandemic, and there are a couple lessons to learn.
07 Sep
What – who? – are your most valuable assets?
Your most valuable asset is your TEAM! In my career, I have dispensed in over two dozen pharmacies. As such, I have had the privilege of working with many different teams. I can tell you that I did not always look at my team as an asset.
Aug 2021
30 Aug
Greener grass comes from good watering
Perhaps your experience since the beginning of the pandemic has you thinking that the grass may be greener somewhere else. Maybe it is, maybe it isn’t.
25 Aug
What leadership is definitely NOT
Today, we are going to address something that often confuses people about leadership. That something is management! Is management leadership?
18 Aug
Do you know the Forbidden Phrase of Leadership?
Today, I want to tune your radar to the forbidden phrase of leadership. As leaders, we must be on guard against this phrase and if we hear it, we must take swift action.
11 Aug
Things don’t just happen; they happen just...!
Things don’t just happen; things happen just. This is the principle of intentionality. We must be intentional with the people we lead because things don’t just happen.
03 Aug
The most difficult person to lead is... you?
My grandfather, who was a carpenter, told me once, “Any job is easy when you have the right tool.”
July 2021
28 Jul
Do your leadership skills lead you uphill to a higher level?
Leaders help people go from where they are to where they want to be.
21 Jul
Remember when pharmacists didn't give shots?
About 12 years ago, the team I was serving on was given the task of training thousands of pharmacists to provide immunization services.
15 Jul
Everyone deserves to be led well! Are you?
“Everyone deserves to be led well.” These are the words my mentor spoke to me some months ago. While I understood leadership to be important, these words helped to frame the importance of leadership in a new way for me.
05 Jul
Defining leadership in pharmacy
The last time we met, I introduced the concept of leadership and gave encouragement that leadership skills can be learned. That's all well and good. But as pharmacists, we need to have something a little more substantial to work from.
June 2021
29 Jun
For pharmacists, THIS is the most important skill
During my time in pharmacy school, I took a lot of classes – important classes. I learned all sorts of things during my time in school. But there was one class that started in a very memorable way.
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