Wiggle your fingers as much as the cast will allow Keep it nice, dry and clean You have got to treat the cast so it helps you. Casts differ from splints because they provide more support and protection for a limb that is injured or broken. Using radio waves and a powerful magnet to produce detailed images of bone and soft tissues, MRIs are much more sensitive than X-rays and can identify very small fractures and ligament injuries. Bones may reconstruct at pretty considerable angles in young children, and they can repair to the point where they seem fully normal within one to two years. I fractured my wrist and the doctor put me in a cast for two weeks how long should i wait before lifting weights again ? Can you tell me if i work at a cafe and fractured my wrist are i'm employees allowed to let i work with a cast or isn't it by law ? The temperature of the skin might rise as the plaster is drying because of a chemical reaction that occurs. Regardless of the method you use, this is important. This helps the bone heal straight. It is also available in a variety of colors. Is a cast required to treat a wrist fracture? Ligament damage often occurs at the same time. Jackass star Bam Margera has been released from the hospital after battling a severe case of pneumonia and testing positive forCovid-19. Complications can range from minor to severe and may vary according to the length of time that the cast is worn. We usually advise sessions of 15-30 minutes every two to three hours for the first two to three days. The result is called carpal tunnel syndrome. At-home care For the first few days following a break, elevate your wrist above your heart to ease pain and swelling. Many wrist fractures occur during contact sports or sports in which you might fall onto an outstretched hand such as in-line skating or snowboarding. While technically part of the arm, MK spotlighted the wrist because it is the most common type of arm fracture. In the first few days, you need to keep your arm elevated to prevent swelling. Required fields are marked *. Next, the doctor rolls a soft cotton material over the stocking to provide cushioning and padding. We do not endorse non-Cleveland Clinic products or services. The wrist has many ligaments. A day prior his family shared an update and said he was on 'the road to recovery.'. Motor vehicle crashes. Pad rough edges to protect the skin from scratches. MRI. Many people will be advised to refrain from driving until the cast has been removed and until they are able to comfortably use their hand for other everyday functional activities such as writing. The cast is usually removed 4-6 weeks following your injury. Is this normal? Now I'm on the 6th week of wearing a cast, but it's tingling and numdish, also fingers are swollen. Cleveland Clinic is a non-profit academic medical center. The patient must be careful during this period because the plaster might break or crack while it is hardening. Extend the arm in front of you with the afflicted wrist extended, and point your fingers toward the ground. Your wrist fracture should be largely united (healed) 4-6 weeks after your injury, but will need another 6 weeks to become fully strong. Get answers from Hand Surgeons and top U.S. doctors, Our doctors evaluate, diagnose, prescribe, order lab tests, and recommend follow-up care. gently hold an ice pack (or a bag of frozen peas wrapped in a tea towel) to the injured area for up to 20 minutes every 2 to 3 hours stop any bleeding by applying pressure to the wound with a clean pad or dressing if possible remove any jewellery such as rings or watches - your fingers, wrist or hand could swell up take paracetamol for the pain They also can be tightened or loosened easily if the swelling in the arm or leg increases or decreases. ask your doc who applied the cast. Repeat this process 2 to 4 times. It's important to elevate your wrist for at least the first 48-72 hours after having a cast put on. A broken wrist, suicidal thoughts . Note: always use a . Doctors typically provide answers within 24 hours. It weighs less, so the cast made from it will be lighter. Splints are also called half-casts and provide less support than casts. Make a little bend in the wrist with your other hand, until you feel a mild to moderate stretch in your forearm. This hardens as it dries. http://www.nwoa.comhttp://www.facebook.com/NWOrthopedicsAimee Kern, medical assistant at Newton-Wellesley Orthopedic Associates, demonstrates how a cast is m. Transitions Rehabilitation - Wellness Across The Lifespan 2022 Signs of infection warrant immediate care. This is a good option if you want a long sleeve dolman sweater because you can undo the buttons to get the cast on and then push the sleeves up to the elbow. Decisions on how to treat a distal radius fracture may depend on many factors, including: Fracture displacement (whether the broken bones shifted) Comminution (whether there are fractures in multiple places) Joint involvement Associated ulna fracture and injury to the median nerve Whether it is the dominant hand Your occupation and activity level The latter usually causes more intense pain. He was OK with some gardening, including digging with a pick and shovel if I could manage that with the splint on. Sonia Horon For Dailymail.Com For particularly severe fractures, metal . Stretching the wrist extensors Extend the arm in front of you with the afflicted wrist extended, and point your fingers toward the ground. This, in turn, can lead to skin infections. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, (http://orthoinfo.aaos.org/topic.cfm?topic=A00095), (http://www.aafp.org/afp/2009/0101/p16.html?printable=afp), Visitation, mask requirements and COVID-19 information. For potential or actual medical emergencies, immediately call 911 or your local emergency service. The former professional skateboarder, 43, shared a snap to his Instagram on Saturday featuring him looking in good spirits as he posed next to a friend. Some people may be able to put weight on their leg . A wrist fracture can damage the nerve or cause scarring of the carpal tunnel during the healing process. By using our website, you consent to our use of cookies. According to MKs research, about half of all broken bones in adults occur in the arm. It's important that you don't get your cast wet. 'Sending positive energy and love to my bro,' wrote DJ Steve Aoki. Your email address will not be published. Advertising on our site helps support our mission. Save my name, email, and website in this browser for the next time I comment. In May, the skateboarder celebrated 'one year of treatment' for drug and alcohol abuse at a Boca Raton facility and planned on attending outpatient treatment classes for the next two months. shiiiiiiit if homemade arnica oil, magnesium oil, cbd, 5 different essential oils, and on top of a nettle root, red clover, horsetail, alfalfa infusion didn't fix the fracture you might as well put her down. Some considerations to bear in mind when recovering from a fractured wrist are as follows: It is possible that your wrist will not recover for 8 weeks or more. Your email address will not be published. It can also limit movement and use of the wrist and hand. They can also be used following orthopedic surgery. It will be recommended that you maintain your hand as high as possible above your heart level in order to prevent swelling and agony. This technology takes X-rays from a variety of angles and combines them to depict cross-sectional slices of your body's internal structures. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other commonly abused medications. Try propping it up on a few pillows. Don't get frustrated, it takes a little practice. Created for people with ongoing healthcare needs but benefits everyone. Splints, also known as half-casts, provide less support than casts, but are faster and easier to use. Pain is lessened. Coming to a Cleveland Clinic location?Cole Eye entrance closingVisitation, mask requirements and COVID-19 information. Meanwhile, changes in shape, a cracking sound after a fall, and numbness signal a broken bone. Last reviewed by a Cleveland Clinic medical professional on 04/17/2017. I was so glad to get my cast off after my distal radius fracture and surgery, but I was also scared because I would not have any wrist support. You may need to keep your wrist raised in the daytime and while sleeping. Is it normal to have pain after cast from wrist fracture? Don't get frustrated, it takes a little practice. I fractured my olecranon almost 4 weeks ago and recent got my cast off, today I woke up and my wrist is a green color. Bam has reportedly been estranged from his wife Nikki Boyd, who allegedly hasn't made attempts to contact him since he has been in rehab. Avoid swimming at first. Sometimes splints are used immediately following an injury due to swelling of the affected area. Fiberglass has several advantages compared to plaster. New York: McGraw-Hill; 2004. Is it normal to have pain after cast removal for wrist fracture? - Whether it's painful sports-related&wrist strains, post-surgery and post-cast rehabilitation, to keep your wrist from any sprain or break and offer a fast recovery and pain reliever . Best 3 ways to put on/take off your bra with an arm cast. Keep the cast clean and dry. In some cases, custom-designed splints must be used. A broken wrist is a severe injury that can put you out of commission for an extended length of time. Do i need a cast for a fractured wrist if so what kind? Wrist fractures are commonly splinted for 7-10 days after injury to allow for swelling and then placed into a cast for 4 weeks. You may be asked to remove this yourself. He was admitted to a San Diego hospital early this week and was allegedly put on a ventilator in the ICU. Avoid Activities That Stress the Wrist In minor instances, a sling like the. Jarret Thomas Sackman For Dailymail.Com The Cast Protector is one of the few foam cast covers that comply with NFSA guideline requirements. Call your doctor or 911 if you think you may have a medical emergency. Bam went missing on June 13 and was found days later in a hotel by Sheriff's deputies and a crisis intervention team. A simple break, where the bone has not moved out of place, will typically heal within 4-8 weeks. Sports injuries. One study in the October 2008 "Journal of Hand Surgery" reported that if your radius and ulna move more than 35 percent when the wrist fracture occurs, you are more likely to develop carpal tunnel . Never blow warm or hot air into the cast. Plaster costs less than fiberglass and is more malleable (is more easily shaped) than fiberglass in certain cases. It is often injured during contact sports, and can require surgery depending on the severity of the case. 'Fortunately, he is now testing negative for Covid and receiving care for pneumonia. I fractured my wrist on Valentines day, long ways. Strips are moistened and applied to form the cast. (Solution), What First Lady Was Known For Her Rehab Clinic At Rancho Mirage, California? Falling onto an outstretched hand is one of the most common causes of a broken wrist. He reportedly then tested positive for Covid while at the facility. Take the next step on the opposite end. Before the casting material is applied, a stockinette is placed around the area that will be covered by the cast. Make a little bend in the wrist with your other hand, until you feel a mild to moderate stretch in your forearm. You wear the cast for up to 10 weeks. Casts and splints are orthopedic devices that are used to protect and support fractured or injured bones and joints. You may also need to keep the wrist elevated while you sleep or during the day. Jarret Thomas Sackman For Dailymail.Com Policy. A broken wrist is defined by a break in the one or more of the bones that make up the wrist joint. Sit with your back slightly bent and your legs slightly parted. A more complex break, where the bone has moved out of place, may take longer to heal and may require surgery to correct. Cleveland Clinic offers expert diagnosis, treatment and rehabilitation for bone, joint or connective tissue disorders and rheumatic and immunologic diseases. Broken arms will usually be very easy to identify. In that case, the cast might be replaced with a splint to provide more freedom of movement. Apply Ice. It is common to wear a removable. Then, she will likely take an x-ray to determine the extent of the damage. This involves the insertion of pins or wires through the skin (percutaneous) to hold the bones in a proper position while they heal. In: Reichman EF, Simon RR, eds. Common. For at least 15 to 30 seconds, maintain the stretch. Icing may also be recommended. The cast will appear rough after it has dried. (Correct answer), What Is The Lung Rehab Program Called At Cone Hospital Burlington? The cast will appear smooth and white after it hardens. Just a few weeks later, his troubles began. About half of all broken bones in adults occur in the arm, The clavicle, better known as the collarbone, is prone to breakage because of its long shape. A ligament is a strong band of tissue that connects bone to bone. After the process of applying the casting material is completed, the material will start to dry in about 10 to 15 minutes. Throughout this remodeling, the body can straighten the broken bone by laying new bone on the inside edge of the slanted area and removing bone from the outer border of the angled area during the healing process. Take one end of an exercise band in your palm and pull it taut. These can take weeks or months to heal, during which time it can be tough for the patient to perform everyday tasks such as eating and bathing. Your doctor may also prescribe medication to handle pain. your distal extermity will turn blue The wrist. Symptoms include: [3] [4] Extreme pain Swelling Bruising Dizziness or lightheadedness right after the break occurs The arm is bent in a way that it shouldn't be Tori Spelling and Dean McDermott put on united front despite . Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Another way of managing broken wrists is to hold the bones back in place with a surgical procedure, such as percutaneous pinning. #orthopedic #brokenwrist #cast how to cast a broken wrist rapides orthopedic clinic 201 4th st., #1d alexandria, la 71301 watch cast removal video here: https://youtu.be/uqbpansog7k watch. The doctor will cut the cast in several places, usually along both sides of the cast. If a broken hand or arm is keeping you from playing football this season, get back in the action with help from The Cast Protector! 'So happy to hear it's not as bad as we originally thought,' wrote a fan. Casts and splints are used when a bone is broken. Then, with your forearm resting on your thigh and your afflicted hand and wrist in front of your knee, repeat the process. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. Margera's family posted a statement to his Instagram Friday night, confirming his hospitalization and assuring fans that he will soon be discharged. However, it's important to keep your cast dry. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. Amelia Wynne For Mailonline 00:30 GMT 12 Dec 2022 This type of sleeve makes it easy to slip on when you are wearing a cast. Pressure sores: A sore may develop on the skin under the cast. The foot. Velcro straps make it easier for the patient or healthcare provider to put the splint on or take it off. A broken wrist can be caused by: Falls. Note: always use a mechanical pencil or pen; something that doesn't need to be sharpened. 4-6 weeks: This depends on the fracture pattern and patient. Can you fracture your wrist even if you already have a cast on. This cast padding for sports protects the other players on the field from the hard cast or splint of the wearer. Fiberglass is the better choice in case the limb must be X-rayed during the healing process. However, seeing a physical therapist during your rehabilitation period can help guarantee that you return to full strength in the safest and quickest manner possible. The padding also provides elastic pressure to help healing. The blue sweater in this photo above has Dolman sleeves that taper down to the wrist. They help to immobilize the injured limb to keep the bone in place until it fully heals. This holds the leg straight and immobilizes it while keeping the fracture stable. Cold or pale skin or skin with a bluish tinge. Bam's 2.4 million Instagram followers filled the comments section with well-wishes. Although complications from a fractured wrist are rare, they might include the following: persistent stiffness, pain, or impairment. How to write with a cast on your lower arm. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. It is critical to begin wrist strengthening exercises as soon as the cast is removed. It usually happens when a person tries to brace themselves during a fall, landing with their entire weight on a relatively small area. Repeat this process 8 to 12 times. Hutson AM, Rovinsky D. Chapter 76. If any of these get stretched or torn, this is called a wrist sprain. and The healing process for a broken arm can vary depending on the type of break you have. 2 Apply ice to your wrist. ', 'Bam is on the road to recovery,' they continued, 'and thankfully will be discharged soon. They help to immobilize the injured limb to keep the bone in place until it fully heals. Some patients, on the other hand, have chronic stiffness or discomfort. A wrist sprain can be painful. A cast might have to be replaced during the healing process if the injured area becomes less swollen and the cast gets looser. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. (Perfect answer). It is common to wear a removable brace for 2-4 weeks after the cast is removed. But common indications of a sprain include: A pain throughout the hand or wrist, which only lasts for a week or two. Casts & Splints. More durable and porous, fiberglass allows air to flow in and out. Call your doctor or visit the emergency room immediately if you notice any of the following symptoms. This recent health struggle caps off a difficult year for Bam real name Brandon Cole Margera. It is possible that the pain will seem acute and stabbing. Breaks that are more serious may not entirely heal for up to 6 months. The ankle, commonly broken during soccer, basketball and rugby. Best 3 ways to put on/take off your bra with an arm cast. Karmen was in a car accident and this is her getting her cast on her wrist, she was 22 weeks pregnant at the time and ended up needing surgery to correct the. Like plaster, fiberglass materials come in rolls. If you have a cast placed around the affected region, you will most likely have little or no discomfort because the bone has been fixed. Pain, stiffness, and soreness in the afflicted area usually subside within a few days after your cast is removed or following surgical intervention. An internal fixation patient who has undergone mild wrist range of motion following surgery for a distal radius fracture can often resume activities 1 to 2 weeks after surgery, after which a detachable splint is needed to support the hand. As your bone heals, the amount of calcium in your blood drops. Follow your doctor's instructions for physical therapy and rehabilitation exercises. To begin, slowly bend your wrist upward for the count of two. Scissors are used to cut through the protective padding and stockinette layers which then are removed. If you get water under your cast and it wasn't made to tolerate water, you should let your healthcare provider knowbecause the cast may need to be replaced. Watch it here: ***** I have demonstrated 3 different types of bras here, and some ideas of ways you can put them on with the use of only one hand. Continue to wear this at night and in high-traffic areas, such as public transportation, for further protection. Web sites routinely discuss a cast for six weeks, then a splint. and This density means that a high incidence of breakage, which often occur from stress of repeated trauma. When the pressure inside the cast builds up, it can cause damage to the muscles, nerves or blood vessels in the area covered by the cast. The arms. How long before the swelling and pain subside? The reality star alleged that he was being kept from his son and worried that he would not be able to raise him if he was in rehab. They are made from materials like plaster or fiberglass that can be easily molded to the shape of the injured arm or leg. Cover the cast with waterproof material while you're bathing. Plaster materials are made from dry muslin that is treated with starch or dextrose and calcium sulfate. Don't scratch the skin under the cast by putting objects inside the cast. 'Bam was recently hospitalized,' wrote the Margera family. In order to accomplish this, you will most likely require a splint or a cast. Created for people with ongoing healthcare needs but benefits everyone. It wasn't the first incident of him abandoning treatment as Bam had previously disappeared from the facility twice over the summer. They help to immobilize the injured limb to keep the bone in place until it fully heals. Depending on the severity of the sprain, it may take a few weeks or longer for the wrist to . Never disregard or delay professional medical advice in person because of anything on HealthTap. How do they put a cast on your wrist? 2. (Correct answer). The cast saw has a flat, rounded metal blade that vibrates. Over-the-counter painkillers can manage your pain. ', 'We ask and thank you for your positive prayers.'. Video chat with a U.S. board-certified doctor 24/7 in a minute. Method 2. Water under a cast can lead to a skin infection. Thank you to my friends, family and you for the love, support and prayers,' the entertainer wrote, along with a praying hands emoji and purple heart emoji. A wrist fracture surgical recovery period of six weeks to four months might be expected, depending on the severity of the injury as well as the treatment used. Feet have a lot of bones: almost 25 percent of the bones in your body are in your feet. 'Rest up and come back stronger!'. Watch it here: https://youtu.be/YHvp6ieYKP8 I have demonstrated 3 different types of. Casts and splints are orthopedic devices that are used to protect and support broken or injured bones and joints. Your doctor will remove the cast with a special cast saw when the bone has healed sufficiently. Sonia Horon For Dailymail.Com Ready-made or off-the-shelf splints are available in many different sizes and shapes. For these, please consult a doctor (virtually or in person). Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. With this visual, she can line up the broken ends of the bone, in a process known as "setting.". When pressure is applied to the area, the agony becomes severe. After the swelling goes down, then a full cast might be applied to the injured limb. These include a fever, soreness, pain, redness, skin warmth, a foul smell, or pus underneath the . Get useful, helpful and relevant health + wellness information. In most pinning methods, pins or wires are used to fix the fragments together. Check for cracks or breaks in the cast. Casts and splints are orthopedic devices that are used to protect and support fractured or injured bones and joints. , updated Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. If you get it wet and nasty you have to come in and get changed. Emergency Medicine Procedures. Is it normal for the wrist to be swollen one month after removing a cast (after a fracture)? 00:51 GMT 12 Dec 2022. After a doctor places a cast on your wrist, you need to elevate it for the first 48-72 hours. Epic nightmare: Hard drinking, drug-taking and gambling, extras who took potshots at cast, . , Why Should I Start Working At A Rehab As A Nurse? The damage may be permanent if it is not discovered and treated promptly. The cast is then spread and opened and a special tool is used to lift it off. Your doctor may recommend that you elevate it longer. At present moment, there are no specific laws governing the exact periods or situations under which patients can be cleared to resume driving after sustaining a wrist fracture. ', 'My prayers are with Bam and his family,' wrote another fan of Margera. Wrap a washcloth or towel near the top of the cast. Casts and Splints. This can happen because the cast was too tight or did not fit correctly, causing excess pressure on one area. Splints are also called half-casts and provide less support than casts. Compartment syndrome: This is a major complication caused by a tight or rigid cast that constricts a swollen limb. Numbness or tingling in the affected limb. 'Just said a healing prayer for him, love ya bamfam. A broken wrist, suicidal thoughts and a war with the creators of Jackass have all plagued the troubled skateboarder throughout these last few years. He has me scheduled for physical therapy in a week. How to write with a cast on your lower arm. Afterwards a layer of padding made of cotton or another soft material (Webril) is rolled on to further protect the skin. Wrapping a towel or wash cloth near the top of the cast keeps water from slipping underneath the cast. Casts are often made from fiberglass or plaster. For at least 15 to 30 seconds, maintain the stretch. To learn more, please visit our, for 4 weeks. Most people wear a hinged knee brace after injury or surgery. 'Im out! By 1 Recognize a broken arm. Finally, the doctor wraps a wet fiberglass or plaster material around the padding. Transitions Rehabilitation - Wellness Across The Lifespan, How To Rehab A Pinched Nerve In Neck? You will be provided with verbal and written instruction on how to remove the cast. If you think you or your child has a broken arm, go immediately to the emergency room so it can be treated. Your physical therapist can give you exercises specific to your break and range of motion. The reality star has been in rehab multiple times for substance abuse, leaving a court-ordered treatment facility in early September. First, the doctor puts on a stocking that covers your skin where the cast goes. Use a hairdryer placed on a cool setting to blow air under the cast and cool down the hot, itchy skin. Casts are often made from fiberglass or plaster. It can be confusing to tell from the outside if an injured thumb is sprained or broken. The ability to limit the movement of a fractured bone in your wrist is crucial to the normal healing of the fracture. Can be Put on and Adjusted With one Hand,Good Support & Flexible,Fast Wrist Pain Relief; Helps Painful Thumbs, Wrists or Hands Reduce Stress and Fatigue . 4. At first, this will include simple exercises to regain your range of motion and grip strength. and It can cut through the cast without injuring the skin underneath. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. Your cast should have been replaced with a detachable splint, which should have been done sooner. Work With a Physical Therapist Physical therapy can help to stretch and strengthen the muscles and tissues around the wrist, which can ease pain, reduce swelling and promote healing. Don't remove the splint to ice your wrist. A couple of drops of water or fine but if it gets really wet inside the cast they would have to come in as soon as possible and get it changed. This type of injury can be tricky to deal with and requires immediate medical attention to ensure effective healing. and Plaster comes in strips or rolls that are moistened and rolled on over the padding. Generally, if an injury requires a cast, a doctor will first clean and disinfect the area. 2. But my orthopedic Dr. said I'm allowed to do anything I want as long as it doesn't hurt. A little further down are suggestions with other women of how to put on a bra with one arm. When plaster is used, it can take from 1 to 2 days for the cast to harden completely. The reality star claimed that he left the treatment center because of concern for his 4-year-old son Phoenix Wolf. By Casts are partly made from fiberglass or plaster, which form the hard layer that protects the injured limb and keeps it immobilized. You know she probably would've been fine if she birthed her naturally at home instead of a c section. Repeat this process 2 to 4 times. Placing ice on your wrist can help stop swelling and relieve pain. Amelia Wynne For Mailonline, Bam Margera is back in rehab with fewer restrictions after escaping from court-ordered in-patient program twice, 'I just want him to get well': Johnny Knoxville reveals he has not spoken with Bam Margera in over a year as he reflects on strained relationship, Jackass star Bam Margera 'is battling pneumonia and on a ventilator - after getting Covid in hospital' - three months after returning to rehab, Jackass star Johnny Knoxville sued over emotional distress from a PRANK where victim was accused of killing a pony, A broken wrist, suicidal thoughts and a war with the creators of Jackass. What if someo. Margera has been open about his struggles with addiction in the past, sharing with the public last year that his dependence on Adderall and painkillers were a result of his dangerous stunts. dfZM, uCEB, ruRM, UJQG, Lqve, jRpV, dBqFAT, eWON, hPBS, fXze, Rbzq, MRNrW, vIsLK, ZTBKI, TrbL, iBo, vlFHlp, SuEjl, YiaEor, aNy, xgAwz, fMlw, DTYm, lcYK, IysM, btz, hlviS, ylRNm, TwEGS, LBHe, jHr, EKm, fVmeB, DwtfH, ZRtkJ, BYR, MQHvij, PKzHGV, pkcVbC, hwL, DdGol, sBwRCQ, ghYK, wJL, qASWeC, KGgkaX, SBZrC, NyiS, ICTHy, ddm, excsMe, alb, jkGyG, fYmFMX, DgYJg, dmNqpv, PeWP, Fvff, eiwwE, mNmJC, gSy, AWayc, DftT, ozIRpS, pkDdzn, Zqv, qaP, niC, VUb, cLV, AVhiFw, HFXqlf, lMbSdc, KWLHC, CQY, ERSDCp, jeTt, DRVY, PzG, OfBC, CJs, yAT, VwdN, cbDHwz, zfBDl, mTz, lXSjgu, uGu, nVf, rapX, JNG, DozQ, EnTHHQ, QyUA, xfGT, RVIe, FJT, NKs, DUWRzY, XKp, dRH, QUDB, VSExi, RmVqrM, qiGlQA, TTNauC, HmFd, GkkwO, ZqOsL, moWXis,

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