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Lagi kisah doktor kerajaan tak professional
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waka, tu lah pasal aku sangat tak berani gi klinik gigi kerajaan.. sorry to say lah maybe tak semua doc gigi kerajaan cam tu kan, tapi kalau terkena nasib malang masa pergi tu.. huhuhu.. meraung sakanlah... |
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u never know how difficult it is untuk amik darah cancer patients...
salur darah dorang dah keras n halus and running here and there..
adlynn Post at 5-10-2009 21:37 
really..?and it is allowed to do the damages due to the excuses..? |
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Post Last Edit by blackmore at 7-10-2009 00:22
really..?and it is allowed to do the damages due to the excuses..?
Rayz_1 Post at 6-10-2009 22:03 
...that is why...most cancer patients ada implantable ports...ada a long line...cos thru these ports and lines...bloods can be taken...tak perlu nak kena cucuk patient tu lagi... |
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aku pun nak kongsi gak..tapi ni kat klinik gigi kerajaan..
awal tahun ni, aku sakit gigi, pi laa cabut kat klinik gigi kat kelana jaya tu..
patient ada la dalam 10 orang..
lepas doktor check g ...
wakaka_eh Post at 6-10-2009 09:16
...lepas dia kasi jab tu...dia tinggalkan aku for a while before dia came in to the prep room...by this time...aku dah tak dapat rasa apa2 lagik dah kat ibu jari kaki aku yang satu tu...hehehehe...betul2 punya kebas...pastu dia pon buatlah kerja dia...sikit sakit pon tak rasa...and my toe remained kebas for almost 4 hours post procedure...hikhikhik... |
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kerja kat govt hospital kan banyak... patient pun ramai sebabnyer murah..
maybe tenaga kerja tak cukup itu yang jadik tensen & berkasar
tapi, kalau niat bekerja dengan ikhlas demi pesakit insyallah penat tu tak terasa sangat
dihargai & dipuji pesakit lagi kalau dilayan dengan mesra...
cuma, itu ler.. kalau macam houseman boleh kata bekerja hampir 24 jam
kena buli lagi, dgn dr pakar, dgn s/n... he..he..
itu yang jadi penat & terlepas bahasa sikit
biasa ler manusia biasa.. |
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Post Last Edit by blackmore at 7-10-2009 00:22
...dont get misunderstood...nie bukan excuses...these are facts...veins yang dah kerap kali dicucuk bley menjadi keras dan sukar tuk kita dapatkan dar ...
blackmore Post at 7-10-2009 00:17 
ok...tq for the 'facts'....another fact is lebam memang tak bahaya, tapi sakit dan menderita la jugak....
question aku tu merujuk kepada paragraph terakhir posting pertama oleh tuan rumah yg berbunyi 'sampaikan doktor kt hospital ampang pun terkejut dan tak boleh nk buat drip guna urat kt tangan tu lagi sbb dah rosak..'..pada pendapat ko,adakah kenyataan ini bermaksud :
1) Doktor kuantan tu dah buat sesuatu yg tak sepatutnya sampaikan doktor pakar ampang tu terkejut...benda biasa takkan nak terkejut bai...
2) Doktor ampang tu buat2 terkejut just nak ambik hati tuan rumah sahaja padahal dia tau benda tu adalah biasa2 aje..
3)Doktor pakar ampang tu sebenarnya tak pernah rawat/jumpa pesakit cancer or tak aware langsung dengan 'kebiasaan' dalam merawat pesakit cancer
3) Hanya imaginasi tuan rumah sahaja... |
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Post Last Edit by firdaruddin at 8-10-2009 15:48
ok...tq for the 'facts'....another fact is lebam memang tak bahaya, tapi sakit dan menderita la jugak....
question aku tu merujuk kepada paragraph terakhir posting pertama oleh tuan rumah yg berb ...
Rayz_1 Post at 8-10-2009 08:17 
Salam,
Pembetulan ye..
Doktor2 di h.ampang tu yang bawah2 tu hanya just a normal medical officer U41. Tiap 3 ke 4 bulan sekali akan rotate dengan doktor2 lain. Tukar2 department. Yang tinggi pangkat skit dipanggil pakar perubatan atau medical specialist. Atas mereka baru la medical consultant.memang tak ramai. ada la 2,3 org. atas consultant tu baru ketua deparment tu. itu pun tukar2 antara consultant tu.
2) lebam tu adalah standard. banyak lagi "line" lain yang boleh dimasukkan IV drip. dari kawasan meta karpals (antara pergelangan tangan dan pangkal jari) tu sampai la dekat ngan siku tu. semua boleh masuk.kalau x bleh masuk di tangan, boleh masuk di kaki atau peha. Besar line ada situ (Femural). kalau rasa xbest, boleh masuk direct ke jantung guna Hickman Line.yang tu ada 2 jenis. harganya mahal skit. tapi paling efektif pasal terus ke saluran darah di jantung. x perlu lalu urat2 dari lengan smpi ke jantung. jadi pilih mana yang suka.
Oh ya..terlupa nak bagi tahu..
Kakitangan di ward 6A (Haematologi) tu adalah kakitangan yang sama dari ward 19 (KELAS 3 haematologi) HKL. ward yang semua pakat kutuk tu. padahal one of the staff nurse tu siap boleh pasang line sambil berdiri lagi. tak yah nak skema sgt. betul expert psg line tu. |
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Post Last Edit by blackmore at 8-10-2009 23:29
1) Doktor kuantan tu dah buat sesuatu yg tak sepatutnya sampaikan doktor pakar ampang tu terkejut...benda biasa takkan nak terkejut bai...
2) Doktor ampang tu buat2 terkejut just nak ambik hati tuan rumah sahaja padahal dia tau benda tu adalah biasa2 aje..
3)Doktor pakar ampang tu sebenarnya tak pernah rawat/jumpa pesakit cancer or tak aware langsung dengan 'kebiasaan' dalam merawat pesakit cancer
3) Hanya imaginasi tuan rumah sahaja...
Rayz_1 Post at 8-10-2009 08:17
1...drs and nurses in kuantan had done their very best in their venous access attempts...cakap gini senanglah k...adalah menjadi kebanggaan setiap dr/misi jika mereka berjaya to prick the pt successfully once saja...walaupon perkara nie dilakukan berpuluh2 kali setiap hari dan dah menjadi kebiasaan buat mereka...still...if u are able to prick your patient successfully during your first attempt...everyone in the dept will respect u for your skills and capabilities...sapa yang tak suka beb??...
...again...u think mereka enjoy ke cucuk pesakit tu berkali2??..."eh...salah cucuk...kita carik salur darah kat sini plak...eh...salah cucuk lagik...kita carik salur darah kat situ plak...eh...salah cucuk jugak lerrr...alaaaaa...biarlah dia lebam satu tangan...kita usahakan plak kat bahagian sini plak"...seriously...is this what u think those drs and nurses are doing towards their patients there??...as for me...i definitely do not think so...becos...they do not just take your hands and prick u membabi buta...before pricking...they have to select a suitable vein...selection of veins is not an easy task...bukan semua pesakit presented with large visible veins...some patients u can hardly see their veins...nak palpate for the veins pon susah...and if there is a very good vein yang menjadi harapan...maka this vein lah yang akan sering dicucuk...cos ianya pasti akan berhasil...
...but...unfortunately...becos of the frequent pricking to that very same vein...harapan untuk ia menjadi fibrosed agak tinggi...and in patients yang ada clotting problem...or yang terpaksa dicucuk hampir setiap hari...the appearance of bruise on the affected areas agak sukar tuk dielakkan...tuk mengurangkan bebanan sakit to the patients...some blood tests can be done via a finger prick instead of thru the venous access...aku tak taulah whether kaedah nie ada digunapakai kat spital sana...but aku pasti tentu ada...
...another option like ive been repeatedly mentioning is the insertion of central lines...nowadays...hickmans line dan picc lines are very2 popular...implantable port pon boleh...so...kalau terasa tak bley nak take the daily pricking anymore...speak to your drs for these options...of cos these options too have their risks also...such as infection...clot formation...
...dr ampang nak amik hati pesakit??...pada pendapat aku...yes...why not???...look here...u have a patient yang came in for 2nd opinion...and u noe this patient and family members bukan calang2 orang...dah hantar surat aduan kat PM ko...what do u do??...would u say..."oh...nie biasa saja...no problem"....or would u say...."ish...ish...ish...kenapa jadi camnie??...tak patut sungguh!!"...???...i strongly believe they chose the 2nd phrase...cos besides making the patient and family feels better...they were able to pull the patient and her families to their side...gaining the patient's and family confidence in them...and bila they are able to achieve this...getting the pt and family cooperation is no longer an issue to them...kalau pon dr dan misi2 kat spital ampang cause some bruising to the patient's vein...the patient and their family would be more forgiving...cos...to them...this second hospital is still the best compared to misi2 dan dr2 kat spital lagik satu tu dulu...
...let me share with u kisah sedara aku yang tinggal kat johor...during her caesarean she lost a lot of blood...her obstetrician couldnt find the bleeding source and after trying their best to salvage her uterus...they ended up doing a hysterectomy (removal of her womb) on her...selepas membuang rahimnya...barulah keadaan dia menjadi stable...selepas operation...she went into depression...cos kehilangan rahimnya at a very young age...so...family dia bawak dia pi jumpa their family gp for 2nd opinion tentang insiden ini...and u noe what the gp told her family??..."ish...macam mana boleh jadi sampai begini sekali!"...if u are a layman...what is your impression or what do u feel bila dr tu cakap camtu??...of cos u would feel yang the dr who operated on her had done a bad job...negligent...tak gitu??...well...thats what she and her family thot also...so...they came to my sister in law punya rumah and they asked me cara2 nak saman dr kat spital tu cos dorang kata dr tu berlaku cuai ketika melakukan pembedahannya...
...so...aku tanya mereka do they noe the reason why the dr had to perform that emergency hysterectomy??...they said they noe...sebab selepas bayi berjaya dikeluarkan...dia mengalami pendarahan...her uterus was not able to contract...and the dr could not find the bleeding source...dan untuk selamatkan nyawanya...they had to remove the uterus...nah...kalau dah tahu sebabnya...what is there for them to argue about??...mana satu yang lebih valuable...her uterus or her life??...and i reminded her of the risks dan complications yang involved in any caesarean section...risks such as bleeding...wound infection...selain daripada risks of general anaesthesia...and she remembered her obst ada mentioned tentang those risks/complications...and any drs would noe tentang these risks / complications yang bley berlaku in caesarean section...so...statement dr gp tadi tu pada aku sangat2 tidak patut...instead of reassuring the patient...he made the obst appeared as being negligent in performing his duty...kenapa dia buat begitu??...personally aku rasa hanya untuk menyedapkan hati pesakit yang datang crying in front of him...which pada aku is not rite lah...a simple comforting words such as " im sorry u had to undergo such a traumatic delivery experience dear...it is very unfortunate that your uterus was not able to contract...causing u to have massive bleeding...and in such instances...hysterectomy is inevitable...your life is worth saving..."....u noe...something like that lah...is more appropriate daripada memberikan kata2 yang indirectly bley affect the credibility of his own counterparts...
...having a bruised on your hand becos of frequent blood taking is not an imagination...the bruise is there for almost 2 weeks to remind u that it is not an imagination...but...a disgruntled...frustrated...angry patient and family members can certainly make your day more colourful...
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Post Last Edit by firdaruddin at 8-10-2009 15:48
Salam,
Pembetulan ye..
Doktor2 di h.ampang tu yang bawah2 tu hanya just a normal medical officer U41. Tiap 3 ke 4 bulan sekali akan rotate d ...
firdaruddin Post at 8-10-2009 15:42 |
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...porta-cath dan picc line popular tak kat sana??..
blackmore Post at 8-10-2009 22:05
Salam,
dua tu jarang digunakan..kurang fofuler..hickman line tu pun dah mencecah rm800++ lebih kurang. tapi line tu confirm xde report senang swelling or clotted. cantik je masuk. |
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mod blackmore byk bg info...tp size font...bt org mls nk baca la...
xleh ke edit sikit bg bsr sikit size tu...
ya ampun...off topix...
sorry yer mod |
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Salam,
dua tu jarang digunakan..kurang fofuler..hickman line tu pun dah mencecah rm800++ lebih kurang. tapi line tu confirm xde report senang swelling or clotted. cantik je masuk.
firdaruddin Post at 9-10-2009 03:23 
...hickmans line kat sini is commonly used...but nowadays...picc lines are getting more popular...porta-cath dah jarang nampak...but i do still have patients with porta-cath...baru jer semalam that patient came in for TPN...i love porta-cath...easy to manage...tak payah susah2 nak change dressing... |
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mod blackmore byk bg info...tp size font...bt org mls nk baca la...
xleh ke edit sikit bg bsr sikit size tu...
ya ampun...off topix...
sorry yer mod
c_antique Post at 9-10-2009 11:41  |
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[quote] Post Last Edit by blackmore at 8-10-2009 23:29
...pendapat aku:
1...drs and nurses in kuantan had done their very best in their venous access attempts...cakap gini senanglah k...adalah menjadi kebanggaan setiap dr/misi jika mereka berjaya to prick the pt successfully once saja...walaupon perkara nie dilakukan berpuluh2 kali setiap hari dan dah menjadi kebiasaan buat mereka...still...if u are able to prick your patient successfully during your first attempt...everyone in the dept will respect u for your skills and capabilities...sapa yang tak suka beb??...
- aku cuba sebaik mungkin untuk memahami maksud ko kat sini, adakah maksud ko nih ialah selama hari nih takde doctor/nurse yg berjaya succeed on the first attempt ?in order to achieve that, it requires an impossible skills and capabilities..?sesuatu yg mustahil ke..?kalau jawapannya adalah 'tak mustahil', isu incompetency la gitu...
...again...u think mereka enjoy ke cucuk pesakit tu berkali2??..."eh...salah cucuk...kita carik salur darah kat sini plak...eh...salah cucuk lagik...kita carik salur darah kat situ plak...eh...salah cucuk jugak lerrr...alaaaaa...biarlah dia lebam satu tangan...kita usahakan plak kat bahagian sini plak"...seriously...is this what u think those drs and nurses are doing towards their patients there??...as for me...i definitely do not think so...becos...they do not just take your hands and prick u membabi buta...before pricking...they have to select a suitable vein...selection of veins is not an easy task...bukan semua pesakit presented with large visible veins...some patients u can hardly see their veins...nak palpate for the veins pon susah...and if there is a very good vein yang menjadi harapan...maka this vein lah yang akan sering dicucuk...cos ianya pasti akan berhasil...
- seriously, i do think so lah since it has been repeatedly stated in here yg bruises tu normal and small matters, bayangkan la mindset nurses and doctors kat spital tu...dan dialog 'eh salah cucuk.. cari sini..eh salah cucuk lagi..' tu dah kena kat member aku...
...dr ampang nak amik hati pesakit??...pada pendapat aku...yes...why not???...look here...u have a patient yang came in for 2nd opinion...and u noe this patient and family members bukan calang2 orang...dah hantar surat aduan kat PM ko...what do u do??...would u say..."oh...nie biasa saja...no problem"....or would u say...."ish...ish...ish...kenapa jadi camnie??...tak patut sungguh!!"...???...i strongly believe they chose the 2nd phrase...cos besides making the patient and family feels better...they were able to pull the patient and her families to their side...gaining the patient's and family confidence in them...and bila they are able to achieve this...getting the pt and family cooperation is no longer an issue to them...kalau pon dr dan misi2 kat spital ampang cause some bruising to the patient's vein...the patient and their family would be more forgiving...cos...to them...this second hospital is still the best compared to misi2 dan dr2 kat spital lagik satu tu dulu...
- and u strongly believe that if the ampang's doctor had given them '"oh...nie biasa saja...no problem" answer, the bukan calang2 family will go and file another complaint against the ampang's doctor thru najib just for giving em the same opinion as his counterpart in kuantan..?now u added another unproffesional ethics by doctors on to the list, and that is - lack of integrity....
...so...aku tanya mereka do they noe the reason why the dr had to perform that emergency hysterectomy??...they said they noe...sebab selepas bayi berjaya dikeluarkan...dia mengalami pendarahan...her uterus was not able to contract...and the dr could not find the bleeding source...dan untuk selamatkan nyawanya...they had to remove the uterus...nah...kalau dah tahu sebabnya...what is there for them to argue about??...mana satu yang lebih valuable...her uterus or her life??...and i reminded her of the risks dan complications yang involved in any caesarean section...risks such as bleeding...wound infection...selain daripada risks of general anaesthesia...and she remembered her obst ada mentioned tentang those risks/complications...and any drs would noe tentang these risks / complications yang bley berlaku in caesarean section...so...statement dr gp tadi tu pada aku sangat2 tidak patut...instead of reassuring the patient...he made the obst appeared as being negligent in performing his duty...kenapa dia buat begitu??...personally aku rasa hanya untuk menyedapkan hati pesakit yang datang crying in front of him...which pada aku is not rite lah...a simple comforting words such as " im sorry u had to undergo such a traumatic delivery experience dear...it is very unfortunate that your uterus was not able to contract...causing u to have massive bleeding...and in such instances...hysterectomy is inevitable...your life is worth saving..."....u noe...something like that lah...is more appropriate daripada memberikan kata2 yang indirectly bley affect the credibility of his own counterparts.
- so the GP is an idiot here..nak saman for the reason 'nyedapkan hati'..rite..?so, another weakness added to the list...
dalam karangan ko yg panjang berjela dengan font yg kecik tu, ko bersetuju yg doctors share the character flaw of incompetency,lack of integrity and idiocy.. |
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Post Last Edit by cik_einn at 10-10-2009 03:41
Post Last Edit by blackmore at 8-10-2009 23:29
...pendapat aku:
1...drs and nurses in kuantan had done their very best in their venous access attempts...cakap gini senanglah k...adalah menjadi k ...
blackmore Post at 8-10-2009 21:22
u dont even know how was the situation look like at kuantan hospital (since u bukan local pun) and yet u senang jek nk kasik pendapat songsang. Segelintir nurses kuantan sana mmg buat kerja kasar, undoubtedly, as if they were enjoying themselves prick patient. Jarum yg digunakan oleh hospital kuantan pelik kot, sbb bila sampai kt hospital ampang, nurse sana gelak2 tgk tgn adik i pakai jarum kaler biru sbb diaorang kata jarum tu besar...diaorang guna jarum kaler pink. Dan banyak lagi la mende2 pelik yg hospital ampang tak buat, hospital kuantan buat ujikaji kt adik i tu...
and one more thing, u jgn cakap doktor hospital ampang buat2 terkejut tgk tangan adik tu semata2 nk impressed our family just bcoz we send letter to PM, i believe doc kt ampang didnt know pun about it. Tp seperti yg i cakap sebelum ni..doc2 kt hospital ampang tu generally bagus2 dan very attentive, mereka pulak yg bising kt adik i ..suruh komplen pasal tangan tu, sbb masa tht thing happened adik i belum penah kemo lagi. Hanya doc yg bagus je tak akan bersekongkol dgn doc yg suka buat cuai...kannnn??? dalam ramai2 tu syukurlah ada jugak doc yg simpati...bukan melayu pulak tu...
sebenarnya banyak lagi mistakes yg hospital kuantan buat dlm tempoh 15 hari adik i dok sana, tp malas i nk cite..heboh kt sini pun buat apa, after all i dah launch complaints kt channel yg sepatutnya....kang ada pulak doktor2 yg nak backing rakan sendiri ...this is genuine case, buat apa nk tipu...tak untung pun, i nk highlight becoz i taknak orang lain terkena lagi....itu je.
blackmore u r in no position to comment since u dont have first hand experience so ..pls dont comment and put forward nasty remark....
i cuma harap staf hospital yg bekerja tu tak kira la pangkat apa sekali pun..bekerja la dgn niat ikhlas kerana allah taala...insya allah mudah2an semua kerja menjadi dan dapat barakah..
p/s: rayz_1 thanx for your concerned |
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Post Last Edit by blackmore at 8-10-2009 23:29
...- aku cuba sebaik mungkin untuk memahami maksud ko kat sini, adakah maksud ko nih ialah selama hari nih takde doctor/nurse yg berjaya succeed on the first attempt ?in order to achieve that, it requires an impossible skills and capabilities..?sesuatu yg mustahil ke..?kalau jawapannya adalah 'tak mustahil', isu incompetency la gitu...
Rayz_1 Post at 10-10-2009 01:42
- seriously, i do think so lah since it has been repeatedly stated in here yg bruises tu normal and small matters, bayangkan la mindset nurses and doctors kat spital tu...dan dialog 'eh salah cucuk.. cari sini..eh salah cucuk lagi..' tu dah kena kat member aku...
- and u strongly believe that if the ampang's doctor had given them '"oh...nie biasa saja...no problem" answer, the bukan calang2 family will go and file another complaint against the ampang's doctor thru najib just for giving em the same opinion as his counterpart in kuantan..?now u added another unproffesional ethics by doctors on to the list, and that is - lack of integrity....
- so the GP is an idiot here..nak saman for the reason 'nyedapkan hati'..rite..?so, another weakness added to the list...
dalam karangan ko yg panjang berjela dengan font yg kecik tu, ko bersetuju yg doctors share the character flaw of incompetency,lack of integrity and idiocy.. |
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Salam,
Kalau nak diikutkan , x la besar sgt yang biru tu berbanding dengan kuning. biru tu kalau dia nak flow laju. urat pulak kena besar. kalau urat kecil berbanding IV needle, memang sakit la jawabnya. pink br 20g, biru tu 22g.kuning plak 24g. kalau urat besar, tiada masalah dengan yang biru.
lagi 1, pasal salah2 cucuk ni..opsss la katakan..benda bwh kulit ,bhai....mana nampak..just by experience n luck. kalau luck, newbie pun skali cucuk dah masuk line..tapi kalau xde luck, ko expert nak mampus pun takkan dapat line. hapa ko ingat, diorang ni mata superman ka?bleh usya2 bwh kulit... |
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giler laaa kaum doctors bertegang leher dengan kaum kerabat pesakit d forum cari..
tapi kalo crita they all sorok kesalahan depa, aku percaya.. sebab main taram ubat sajork..buat salah, mesti laaa nak sorok kan.. kan kalo kena sound dengan PM tak ker rabak labia majora dek kecuakan.. nges3.. |
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giler laaa kaum doctors bertegang leher dengan kaum kerabat pesakit d forum cari..
tapi kalo crita they all sorok kesalahan depa, aku percaya.. sebab main taram ubat sajork..buat salah, mesti laaa nak sorok kan.. kan kalo kena sound dengan PM tak ker rabak labia majora dek kecuakan.. nges3.. |
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pada patient yg underwent chemotherapy and have difficulty to insert IV line ..
My suggestion would be, try for chemoport ...
A bit expensive. but for long term ok lah ..... senang sikit nak masuk chemotherapy drug ... |
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Post time 6-10-2009 04:05 PM
Author
