{"id":2878,"date":"2009-04-08T15:55:00","date_gmt":"2009-04-08T19:55:00","guid":{"rendered":"https:\/\/med-anesthesiology.sites.unc.edu\/our-department\/clinical-divisions-sections\/pain-management-division\/"},"modified":"2025-11-10T12:03:15","modified_gmt":"2025-11-10T17:03:15","slug":"pain-management-division","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/anesthesiology\/our-department\/clinical-divisions-sections\/pain-management-division\/","title":{"rendered":"Pain Management Division"},"content":{"rendered":"<h4><span style=\"text-decoration: underline;color: #158acf\">Comprehensive Pain Management:<\/span><\/h4>\n<p>The division provides comprehensive pain management, addressing \u00a0both acute and chronic pain syndromes.<\/p>\n<p>The Acute Pain Service provides daily management of patients with postoperative and other types of acute pain requiring specialized interventions, including epidural analgesia, regional anesthetic techniques such as continuous peripheral nerve catheters, or complex pharmacological management. The service does not provide routine management for patients on IV-PCAs postoperatively, only performing this service when consulted by the primary care team.<\/p>\n<p>The Chronic Pain Service provides comprehensive, interdisciplinary patient care at the University of North Carolina Pain Management Center. Our hospital-based outpatient clinics provide a interdisciplinary approach for the management of chronic pain, including cancer-related pain. We draw upon the expertise of our faculty as well as consultants from dentistry, psychiatry, neurology, neurosurgery, orthopedic surgery, rheumatology, physical medicine and rehabilitation and other specialists. Our dedicated facilities include specialized procedure rooms with state of the art monitoring, interview rooms, C-arm fluoroscopy, ultrasound guidance, and psychologists\/psychiatrists on-site. In an attempt to develop comprehensive care plans, we may also encourage utilization of other resources at UNC or in your community, which may include acupuncture, physical therapy, aquatic therapy, weight loss treatment, and substance use treatment.<\/p>\n<p style=\"margin-bottom: 0\">In addition, the Chronic Pain Service provides consultations for complex inpatient pain management problems, and daily rounds are performed to facilitate the care of these patients.<br \/>\nPsychology and Psychiatry providers in clinic will work with physicians to address the impact of pain on a person\u2019s quality of life. We utilize therapeutic techniques, such as Cognitive Behavioral Therapy (CBT) and acceptance based approaches for pain to help you learn how to better cope with your pain and pain related changes in mood. We can also help with behavior modification to reduce pain, teach you strategies to better manage stress, and improve your sleep. We offer individual and group interventions, as well as inpatient consultations along with our physicians.<\/p>\n<p>&nbsp;<\/p>\n<h4 style=\"margin-bottom: 2.345rem\">Physicians:<\/h4>\n<div style=\"margin-bottom: 2.345rem\">\n<p style=\"margin-bottom: 1.172rem\"><strong><a class=\"internal-link\" title=\"\" href=\"https:\/\/www.med.unc.edu\/anesthesiology\/directory\/brooke-chidgey\" target=\"_self\" rel=\"noopener noreferrer\">Brooke Chidgey, MD,<\/a><\/strong> Professor of Anesthesiology, Division Chief &amp; Medical Director of UNC Hospitals Pain Management Center, Interim Director of Pain<br \/>\nFellowship<\/p>\n<p style=\"margin-bottom: 1.172rem\"><strong><a class=\"internal-link\" title=\"\" href=\"https:\/\/www.med.unc.edu\/anesthesiology\/directory\/dominika-james\" target=\"_self\" rel=\"noopener noreferrer\">Dominika L. James, MD,<\/a><\/strong> Associate Professor of Anesthesiology<\/p>\n<p style=\"margin-bottom: 1.172rem\"><strong><a class=\"internal-link\" title=\"\" href=\"https:\/\/www.med.unc.edu\/anesthesiology\/directory\/Maryam-Jowza\" target=\"_self\" rel=\"noopener noreferrer\">Maryam Jowza, MD,<\/a><\/strong> Associate Professor of Anesthesiology, Associate Fellowship Director<\/p>\n<p style=\"margin-bottom: 1.172rem\"><strong><a title=\"\" href=\"https:\/\/www.med.unc.edu\/anesthesiology\/directory\/andrew-lobonc\" target=\"_self\" rel=\"noopener noreferrer\">Andrew Lobonc, MD,<\/a><\/strong> Associate Professor of Anesthesiology, Director of Inpatient Acute\/Chronic Pain Service<\/p>\n<p style=\"margin-bottom: 1.172rem\"><strong><a title=\"\" href=\"https:\/\/www.med.unc.edu\/anesthesiology\/directory\/irinia-phillips\" target=\"_self\" rel=\"noopener noreferrer\">Irina Phillips, MD,<\/a><\/strong> Assistant Professor of Anesthesiology<\/p>\n<p style=\"margin-bottom: 1.172rem\"><strong><a title=\"\" href=\"https:\/\/www.med.unc.edu\/anesthesiology\/directory\/matthew-Mauck\" target=\"_self\" rel=\"noopener noreferrer\">Matt Mauck, MD, PhD,<\/a><\/strong> Associate Professor of Anesthesiology<\/p>\n<\/div>\n<div style=\"margin-bottom: 2.345rem\">\n<p style=\"margin-bottom: 1.172rem\"><span style=\"text-decoration: underline;font-size: 18px\">Psychologists:<\/span><\/p>\n<p style=\"margin-bottom: 1.172rem\"><strong><a class=\"internal-link\" title=\"\" href=\"https:\/\/www.med.unc.edu\/anesthesiology\/directory\/amy-goetzinger\" target=\"_self\" rel=\"noopener noreferrer\">Amy M. Goetzinger, PhD,<\/a><\/strong> Professor of Anesthesiology<\/p>\n<p><strong><a title=\"\" href=\"https:\/\/www.med.unc.edu\/anesthesiology\/directory\/skye-margolies\" target=\"_self\" rel=\"noopener noreferrer\">Skye Margolies, PhD,<\/a><\/strong> Associate Professor of Anesthesiology<\/p>\n<\/div>\n<p style=\"margin-bottom: 1.172rem\"><span style=\"text-decoration: underline;font-size: 18px\">Psychiatrists:<\/span><\/p>\n<p style=\"margin-bottom: 1.172rem\"><strong><a class=\"internal-link\" title=\"\" href=\"https:\/\/www.med.unc.edu\/psych\/directory\/jonathan-gerkin\/\" target=\"_self\" rel=\"noopener noreferrer\">Jonny Gerkin, MD,<\/a><\/strong> Associate Professor of Psychiatry<\/p>\n<p style=\"margin-bottom: 1.172rem\"><strong><a class=\"internal-link\" title=\"\" href=\"https:\/\/www.med.unc.edu\/psych\/directory\/brandon-goodman\/\" target=\"_self\" rel=\"noopener noreferrer\">Mark &#8220;Brandon&#8221; Goodman, MD,<\/a><\/strong> Assistant Professor of Psychiatry<\/p>\n<p style=\"margin-bottom: 0\"><strong><a class=\"internal-link\" title=\"\" href=\"https:\/\/www.med.unc.edu\/psych\/directory\/bill-scheidler\/\" target=\"_self\" rel=\"noopener noreferrer\">Bill Scheidler, MD,<\/a><\/strong> Assistant Professor of Psychiatry<\/p>\n<h4 style=\"margin-bottom: 2.345rem\"><span style=\"text-decoration: underline\">Advanced Practice Providers (APPs):<\/span><\/h4>\n<div style=\"margin-bottom: 2.345rem\">\n<p style=\"margin-bottom: 1.172rem\"><a href=\"https:\/\/www.uncmedicalcenter.org\/uncmc\/professional-education-and-services\/pharmacy-residency-programs\/our-preceptors\/ambulatory-care\/nora-talley-pharmd-cpp\/\"><strong>Nora Talley, PharmD, CPP<\/strong><\/a>, Pharmacist<br \/>\n<a href=\"https:\/\/www.med.unc.edu\/anesthesiology\/directory\/jamie-thompson\/\"><strong>Jamie Thompson, MSN, FNP-C<\/strong><\/a><br \/>\n<strong><a href=\"https:\/\/www.med.unc.edu\/anesthesiology\/directory\/freweini-mebrahtu\/\">Freweini Mebrahtu, Pain APP<\/a><\/strong><\/p>\n<\/div>\n<div style=\"margin-bottom: 2.345rem\">\n<p style=\"margin-bottom: 1.172rem\"><span style=\"color: #158acf;font-size: 18px\">For Patients:<\/span><\/p>\n<\/div>\n<div id=\"oscitas-accordion-0\" class=\"panel-group Patient Information\">\n<div class=\"panel panel-default\">\n<div class=\"panel-heading\">\n<h4 class=\"panel-title\" style=\"margin: 0;padding: 0\"><a class=\"accordion-toggle collapsed\" style=\"background-color: #4b9cd3;color: #fff\" href=\"#details-0-0\" data-toggle=\"collapse\" data-parent=\"#oscitas-accordion-0\">What Type of Pain Do We Treat?<br \/>\n<\/a><\/h4>\n<\/div>\n<div id=\"details-0-0\" class=\"panel-collapse collapse \">\n<div class=\"panel-body\">\n<ul>\n<li>Chronic back pain<\/li>\n<li>Cervical neck pain, \u201cwhiplash\u201d<\/li>\n<li>Complex Regional Pain Syndrome (RSD)<\/li>\n<li>Neuropathic Pain<\/li>\n<li>Diabetic neuropathy<\/li>\n<li>Herpetic and post-herpetic neuralgia<\/li>\n<li>Peripheral neuropathy<\/li>\n<li>Disc pain, facet and nerve root pain<\/li>\n<li>Cancer related pain<\/li>\n<li>Pelvic pain<\/li>\n<li>Post-surgical and failed back syndrome<\/li>\n<li>Post-traumatic pain<\/li>\n<li>Sports injuries<\/li>\n<li>Workplace injuries<\/li>\n<li>Acute exacerbations of chronic pain syndromes<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"panel panel-default\">\n<div class=\"panel-heading\">\n<h4 class=\"panel-title\" style=\"margin: 0;padding: 0\"><a class=\"accordion-toggle collapsed\" style=\"background-color: #4b9cd3;color: #fff\" href=\"#details-0-1\" data-toggle=\"collapse\" data-parent=\"#oscitas-accordion-0\">What Treatments Do We Offer?<br \/>\n<\/a><\/h4>\n<\/div>\n<div id=\"details-0-1\" class=\"panel-collapse collapse \">\n<div class=\"panel-body\">\n<p>Because each patient\u2019s needs are unique, we offer innovative clinical techniques for treating an array of painful conditions, including:<\/p>\n<ul>\n<li>Rehabilitation<\/li>\n<li>Behavior modification<\/li>\n<li>Relaxation techniques and biofeedback<\/li>\n<li>Pharmacological treatment<\/li>\n<li>Psychological evaluation and treatment<\/li>\n<li>Other clinically proven, evidence based alternatives<\/li>\n<\/ul>\n<p>We also provide the expertise to implement a wide range of medical and surgical interventions both on an inpatient and outpatient basis. Specifically, these include:<\/p>\n<ul>\n<li>Cervical, thoracic, lumbar, and caudal epidural steroid injections<\/li>\n<li>Peripheral nerve blocks<\/li>\n<li>Continuous infusion catheters (peripheral nerve, epidural, and intrathecal)<\/li>\n<li>Sympathetic ganglia nerve blocks such as sphenopalatine, cervicothoracic, lumbar sympathetic, celiac plexus, superior and inferior hypogastric, and impar ganglia<\/li>\n<li>Intra-articular facet injections<\/li>\n<li>Medial branch blocks (cervical, thoracic, and lumbar)<\/li>\n<li>Radio frequency thermocoagulation (cervical, thoracic, and lumbar)<\/li>\n<li>Neurolytic procedures for peripheral nerves<\/li>\n<li>Trigger point injections<\/li>\n<li>Discography<\/li>\n<li>Neuromodulation techniques with implantable technology for peripheral or central nervous system (spinal cord stimulation)<\/li>\n<li>Psychological evaluation and therapy<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"panel panel-default\">\n<div class=\"panel-heading\">\n<h4 class=\"panel-title\" style=\"margin: 0;padding: 0\"><a class=\"accordion-toggle collapsed\" style=\"background-color: #4b9cd3;color: #fff\" href=\"#details-0-2\" data-toggle=\"collapse\" data-parent=\"#oscitas-accordion-0\">More Information<br \/>\n<\/a><\/h4>\n<\/div>\n<div id=\"details-0-2\" class=\"panel-collapse collapse \">\n<div class=\"panel-body\"><a class=\"external-link\" style=\"background-color: #ffffff\" title=\"\" href=\"https:\/\/www.cancer.org\/content\/dam\/cancer-org\/cancer-control\/en\/worksheets\/pain-diary.pdf\" target=\"_self\" rel=\"noopener noreferrer\">How to track pain using a pain diary<\/a><br \/>\n<a class=\"external-link\" style=\"background-color: #ffffff\" title=\"\" href=\"https:\/\/healthtalk.unchealthcare.org\/prescribed-opioid-painkillers-ask-these-questions\/\" target=\"_self\" rel=\"noopener noreferrer\">Questions to ask when prescribed opiod painkillers<\/a><br \/>\n<a class=\"external-link\" style=\"background-color: #ffffff\" title=\"\" href=\"https:\/\/www.wunc.org\/post\/ouch-what-pain-and-what-it-good\" target=\"_self\" rel=\"noopener noreferrer\">What is pain and what is it good for?<\/a><br \/>\n<a class=\"external-link\" style=\"background-color: #ffffff\" title=\"\" href=\"https:\/\/www.med.unc.edu\/anesthesiology\/wp-content\/uploads\/sites\/470\/2019\/10\/Pain-Patient-Education-English.pdf\" target=\"_self\" rel=\"noopener noreferrer\">How to manage acute pain at home &#8211; English<\/a><br \/>\n<a class=\"external-link\" style=\"background-color: #ffffff\" title=\"\" href=\"https:\/\/www.med.unc.edu\/anesthesiology\/wp-content\/uploads\/sites\/470\/2019\/10\/Pain-Patient-Education-Spanish.pdf\" target=\"_self\" rel=\"noopener noreferrer\">How to manage acute pain at home &#8211; Spanish<\/a><\/div>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<h4><span style=\"text-decoration: underline;color: #158acf\">For Physicians:<\/span><\/h4>\n<div class=\"panel panel-default\">\n<div class=\"panel-heading\">\n<h4 class=\"panel-title\" style=\"margin: 0;padding: 0\"><a class=\"accordion-toggle collapsed\" style=\"background-color: #4b9cd3;color: #fff\" href=\"#details-0-3\" data-toggle=\"collapse\" data-parent=\"#oscitas-accordion-0\">Information for Physicians<br \/>\n<\/a><\/h4>\n<\/div>\n<div id=\"details-0-3\" class=\"panel-collapse collapse \">\n<div class=\"panel-body\"><a class=\"external-link\" style=\"background-color: #ffffff\" title=\"\" href=\"https:\/\/www.uncmedicalcenter.org\/uncmc\/professional-education-and-services\/refer-a-patient\/\" target=\"_self\" rel=\"noopener noreferrer\">How to refer a patient to us<\/a><br \/>\nWe recommend addressing any active substance use disorders, so please inform your patients about local consultation and treatment options. This can be a difficult, but important aspect of care. You can also reach out to your local health department for more information.<br \/>\n<a class=\"external-link\" style=\"background-color: #ffffff\" title=\"\" href=\"https:\/\/www.samhsa.gov\/\" target=\"_self\" rel=\"noopener noreferrer\">U.S. Department of Health &amp; Human Services Substance Abuse &amp; Mental Health Services Administration <strong>(SAMHSA)<\/strong><\/a><br \/>\n<a class=\"external-link\" style=\"background-color: #ffffff\" title=\"\" href=\"https:\/\/findtreatment.samhsa.gov\/\" target=\"_self\" rel=\"noopener noreferrer\">SAMSHA Treatment Services Locator<\/a><br \/>\n<a class=\"external-link\" style=\"background-color: #ffffff\" title=\"\" href=\"https:\/\/findtreatmentbeta.18f.gov\/\" target=\"_self\" rel=\"noopener noreferrer\">SAMSHA Treatment Service Locator &#8211; Beta Version<\/a><\/div>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<h4><span style=\"text-decoration: underline;color: #158acf\">Other Links:<\/span><\/h4>\n<p style=\"margin-bottom: 0\">Research &#8211; <a class=\"external-link\" style=\"background-color: #ffffff\" title=\"\" href=\"https:\/\/www.med.unc.edu\/anesthesiology\/research\/\" target=\"_self\" rel=\"noopener noreferrer\">Anesthesiology Department Research Website<\/a><br \/>\nMedical Education &#8211; <a class=\"external-link\" style=\"background-color: #ffffff\" title=\"\" href=\"https:\/\/www.med.unc.edu\/anesthesiology\/education\/pain-fellowship\/\" target=\"_self\" rel=\"noopener noreferrer\">Anesthesiology Department Pain Fellowship Website<\/a><\/p>\n<p>&nbsp;<\/p>\n<h4><span style=\"text-decoration: underline;color: #158acf\">Pain Addiction and the Law Conference:<\/span><\/h4>\n<p>Annually we hold a Continuing Medical Education Conference that will address issues facing the medical staff treating the chronic pain patient.<\/p>\n<p><strong>Target Audience<\/strong><br \/>\nPhysicians, pharmacists, physician assistants, nurse practitioners, hospital and community nurses, medical students, other health care providers and lay persons involved in managing acute or chronic pain in the clinic, inpatient settings, and community health settings.<\/p>\n<p><a class=\"internal-link\" title=\"\" href=\"https:\/\/www.med.unc.edu\/anesthesiology\/education\/cme-1\/pain-addiction-and-the-law\/\" target=\"_self\" rel=\"noopener noreferrer\">For more information please follow this link:<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Comprehensive Pain Management: The division provides comprehensive pain management, addressing \u00a0both acute and chronic pain syndromes. The Acute Pain Service provides daily management of patients with postoperative and other types of acute pain requiring specialized interventions, including epidural analgesia, regional anesthetic techniques such as continuous peripheral nerve catheters, or complex pharmacological management. The service does &hellip; <a href=\"https:\/\/www.med.unc.edu\/anesthesiology\/our-department\/clinical-divisions-sections\/pain-management-division\/\" aria-label=\"Read more about Pain Management Division\">Read more<\/a><\/p>\n","protected":false},"author":188,"featured_media":0,"parent":2355,"menu_order":61,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"featured-item":[],"class_list":["post-2878","page","type-page","status-publish","hentry","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Pain Management Division | Department of Anesthesiology<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/anesthesiology\/our-department\/clinical-divisions-sections\/pain-management-division\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pain Management Division | Department of Anesthesiology\" \/>\n<meta property=\"og:description\" content=\"Comprehensive Pain Management: The division provides comprehensive pain management, addressing \u00a0both acute and chronic pain syndromes. The Acute Pain Service provides daily management of patients with postoperative and other types of acute pain requiring specialized interventions, including epidural analgesia, regional anesthetic techniques such as continuous peripheral nerve catheters, or complex pharmacological management. The service does &hellip; Read more\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.med.unc.edu\/anesthesiology\/our-department\/clinical-divisions-sections\/pain-management-division\/\" \/>\n<meta property=\"og:site_name\" content=\"Department of Anesthesiology\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/UNCAnesthesia\/\" \/>\n<meta property=\"article:modified_time\" content=\"2025-11-10T17:03:15+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@UNC_Anesthesia\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.med.unc.edu\/anesthesiology\/our-department\/clinical-divisions-sections\/pain-management-division\/\",\"url\":\"https:\/\/www.med.unc.edu\/anesthesiology\/our-department\/clinical-divisions-sections\/pain-management-division\/\",\"name\":\"Pain Management Division | Department of Anesthesiology\",\"isPartOf\":{\"@id\":\"https:\/\/www.med.unc.edu\/anesthesiology\/#website\"},\"datePublished\":\"2009-04-08T19:55:00+00:00\",\"dateModified\":\"2025-11-10T17:03:15+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/www.med.unc.edu\/anesthesiology\/our-department\/clinical-divisions-sections\/pain-management-division\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.med.unc.edu\/anesthesiology\/our-department\/clinical-divisions-sections\/pain-management-division\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.med.unc.edu\/anesthesiology\/our-department\/clinical-divisions-sections\/pain-management-division\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.med.unc.edu\/anesthesiology\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Our Department\",\"item\":\"https:\/\/www.med.unc.edu\/anesthesiology\/our-department\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Clinical Divisions \/ Sections\",\"item\":\"https:\/\/www.med.unc.edu\/anesthesiology\/our-department\/clinical-divisions-sections\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Pain Management Division\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.med.unc.edu\/anesthesiology\/#website\",\"url\":\"https:\/\/www.med.unc.edu\/anesthesiology\/\",\"name\":\"Department of Anesthesiology\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.med.unc.edu\/anesthesiology\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Pain Management Division | Department of Anesthesiology","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.med.unc.edu\/anesthesiology\/our-department\/clinical-divisions-sections\/pain-management-division\/","og_locale":"en_US","og_type":"article","og_title":"Pain Management Division | Department of Anesthesiology","og_description":"Comprehensive Pain Management: The division provides comprehensive pain management, addressing \u00a0both acute and chronic pain syndromes. 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