surgical clips right upper quadrant

They are a reasonable alternative to using sutures or electrocautery to control bleeding. "Dissolvable surgical clip, 5 mm in size, made of a magnesium alloy." This makes no sense. Long-term adverse effects can be avoided ensuring proper patient healing and follow up. Surgical clips are applied during cholecystectomy on the cystic duct and artery. But, in this scenario patient rather presented with no infectious symptoms from an abscess but rather showed signs of foreign body reaction. Acute right upper quadrant (RUQ) pain is a common presenting symptom in emergency departments and outpatient medical practices, and is most commonly attributable to biliary and hepatic pathology. surgeons need to know that titanium oxidizes in the body. Abdominal radiographs are part of routine diagnostic workup in patients presenting with an acute abdomen or abdominal trauma . Surgical clips: a nidus for foreign body reaction after hepatic resection. Patient presented with multiple of symptoms that had persisted since 2007 postcholecystectomy. After closing one end of the conduit, the surgeon brings the other end through a premarked site in the right lower quadrant of the abdominal wall, creating a stoma. Materials provided by Kobe University. Aim: To describe the spectrum of computed tomographic (CT) findings in patients with dropped gallstones or dropped surgical clips after cholecystectomy. Banish nighttime heartburn with these quick tips, Get answers to your top questions about this pervasive digestive problem, The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. A proposed mechanism of clip migration by Kitamura et al. The most common reason to use surgical clips is when we want to control bleeding from larger blood vessels. If that could be the problem, I just want them removed and get on with my life. UGH!! The patient was dictating the constellation of symptoms during the time of visitation. Talk to your surgeon. ScienceDaily, 1 May 2015. Like pain pill worthy (And I don't like taking them - they make me queezy) Anyway I was pretty much told to try using Ibuprofen and kinda of ignored. Have any problems using the site? is in Left Upper Quadrant. Medical clips are usually made out of stainless steel or titanium and are usually about the size of a penny. I have been so sick. E-mail address: [emailprotected] (R.N. CT scan reveals surgical clips after TT ? The surgical clips from many years ago used to contain lead that had magnetic properties. I got staples in me i know im allergic. It was ignored and Dr. still let me go into a MRI. The endoclip is usually defecated out. If you could witness one event past, present, or future, what would it be? is surgery usually necessary to repair? Laboratory studies yielded a normal leucocyte count with elevated neutrophil percentage and abnormal liver function (alanine aminotransferase, 742 IU/L; alkaline phosphatase, 163 IU/mL; total bilirubin, 1.6 mg/dL). rejection of clips causing rejection and pain? Should I have a surgery known as CHOLECYSTECTOMY? 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Materials and methods: Seventeen patients diagnosed with dropped gallstones and 26 patients with dropped surgical clips on computed tomography after cholecystectomies were included in this study. (Remember, there are situations when there is not enough time to go over the nitty-gritty details of the surgery.). I'm a pathologist and deal with these specimens on a daily basis. This was a foreign body reaction to the surgical clips. Hey perplexed. Am J Surg 1998;176:3203. Your gastro specialist in Nashville seems like he has no clue what he is talking about, or there was a misunderstanding. Should those surgical clips be there? Metal LLT a diagnostic test for hypersensitivity responses shows reactivity to cobalt and nickel. Clips used in surgery are different from those used to close small holes or gaps in skin, such as paper fasteners or sutures. I have ultrasounds etc. The American Society of Anesthesiologists estimates that over 200,000 patients a year undergo this procedure under general anesthesia. He told me that it isn't worth doing surgery unless I have more tumors in May that need to be taken out then they will remove them. Surgical clips and staples are the mainstay of wound closure in a multitude of surgical procedures such as cholecystectomies. Wolters Kluwer Health What did they do before these procedures were invented? I have tried, as I said, for years to get someone to remove these things and resulting scar tissue that I know is there and has been causing me other serious problem. Laparoscopic cholecystectomies are performed using small incisions (about 1 inch) through which long instruments with cameras on them are inserted. I didn't find out about the clips till at least a couple of years later when I had an xray done and it was pointed out to me. Despite allergy testing results she was unable to satisfactorily receive a reply from any surgeon who would help remove her clips that were made from cobalt, nickel and mercury. Can surgical clips accidentally left after abdominal surgery cause moderate to severe pain, strange sensations in my abdomen, and digestive problems? Banish nighttime heartburn with these quick tips, Get answers to your top questions about this pervasive digestive problem, The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. I had my gallbladder removed in 2009. Address: Saint James School of Medicine, 1480 Renaissance Drive, Suite 300, Park Ridge, IL 60068. I had an ultra sound today and was told i have an hernia in the abdomen, right side low near groin. The alloy also contains calcium and zinc to improve its microstructure, ensuring fastening ability and formability, qualities required of materials to make clips. Evidently, nickel, cobalt, titanium, and chromium made surgical clips, which in some studies have shown high probability in delayed wound healing and also suggested that patients with history of contact dermatitis should avoid such applications8. What are the four regions of the abdomin called? They remain inside the patient's body after the wounds are healed. Kobe University. Gastritis is the inflammation of your stomach lining and is often caused by infection. Stainless steel clips are less expensive than titanium clips and are therefore preferred by many surgeons. The upper right quadrant is complex. with burning sensatio? Normally, two clips are applied to the proximal artery and distal duct, and one clip is applied to the section of each structure that will be removed with the gallbladder. Lhotka CG, Szekeres T, Fritzer-Szekeres M, et al. Overweight and obese patients with nickel allergy have a worse metabolic profile compared to weight matched non-allergic individuals. My MD believes me, and treats my pain, however not even he ccan explain why I hurt this much since the operation. Everything was ok until I became pregnant 4 years later. Anecdotal evidence, however, suggests that some people do develop pain because of these surgical clips being left inside the body. Has anyone had side effects. >:(. We offer this Site AS IS and without any warranties. The same symptoms 2 years after cholecystectomy may be secondary to recurrent stones or bile duct stricture. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. During my 7 month I woke up with severe pain in my upper right quadrant. The cystic duct and . Thank you. Initial investigations confirmed pyrexia and elevated bilirubin. Do I have to live with them for them rest of my life? 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Somehow in my Radical Prostectomy two clips came loose and ended up in my bladder and it was bad. R.N.S. Metal clips allergy; Laparoscopic cholecystectomy; Surgery. Patients should be advised of any and all side effects of surgical procedures including those that may occur as a result of hypersensitivity reactions to surgical clips and staples. : supervision. Nevertheless, if you are having persistent pain, it may be prudent to consult and be examined by a medical EXPERT, not just an ER doctor. Abdominal CT scan followed by ultrasound revealed cysts within the upper aspect of the liver and surgical clips in the gall bladder fossa. Obstructive causes Obstructive causes of pain in the upper right abdomen may include the following. For these, please consult a doctor (virtually or in person). Surgical clips are extremely common in EVERY procedure. Metal allergies are inevitable in a certain group, but can be rather controlled through testing, if the patient is unknown of their allergies to metal. The use of titanium surgical clips, on the other hand, is not without risks. They are made of titanium which is hypoallergenic, non-rusting, doesn't set off metal detectors, and isn't affected by an MRI machine. Using clips is standard of care in abdominal and hernia surgery. What is the best estimate of the capacity of a juice box? Symptoms include fat Hi there.. A result for my MRCP "the common bile duct is dialted measuring 0.9cm. Proper preoperative history and physical examination warrants the detection of any pertinent allergies to metals, as well as other compounds. Surgical clips are usually used during abdominal surgeries, the removal of the thyroid gland, and the removal of the ovaries or other organs. Big difference. They have in recent years made clips that are now inert and safe for MRI - however you would need to check with your doctor to confirm the safety of this before having any magnetic resonance testing. It felt like a knife. 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. Figure 1: The extracted surgical clips were found to be composed of nickel and titanium. Peptic ulcers or gastric ulcers are sores on the lining of the stomach. any advice would be greatly appreciated. They are also very effective at closing wounds shut and have few complications associated with them. On my latest ultrasound the radiologist noted that an area that they had been monitoring was most likely surgical clip/s left in from the surgery. You may not be ready for strenuous activity. The pain radiated from the epigastrium and left upper quadrant to her back. I have gotten absolutely nowhere. Do they leave the clips in after gallbladder surgery? surgical clips in my neck after total thyroidectomy, Non visible left ovary on CT scan and surgical clip, ultrasound showed that there are clips in my gallbladder, doctors removed gallstones years ago, clips left in neck post thyroidectomy. Content on this website is for information only. Get the latest science news in your RSS reader with ScienceDaily's hourly updated newsfeeds, covering hundreds of topics: Keep up to date with the latest news from ScienceDaily via social networks: Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. I too have had gallbladder surgery and have 1 clip in that area and one that the surgeon dropped inside my body and never retrieved!!!! Although occurrence is rare, foreign body reactions to surgical clips have been reported, especially as a complication of laparoscopic surgery. Why were they left in - on purpose or accidentially?? . These results suggest that the clip is associated with very few adverse effects. Search for Similar Articles Generally, the clips are removed between 10 and 14 days after surgery. i have been hurting thru my back and right chest cavity. We offer this Site AS IS and without any warranties. Clips may dislodge or lacerate the structure to which they are placed, resulting in bile leakage or bleeding in the immediate postoperative period. Thus, abdominal pain creates a diagnostic and therapeutic challenge for providers. These clips are permanent. These clips/staples are composed of a variation of different elements including titanium, aluminum, cobalt, and nickelall of which can lead to type IV hypersensitivity reactions. You should speak to the doctor as soon as you can. I had a surgical abortion on february 1 2020 and have been getting a lot of pains on my left side of my abdomen recently for a week and a half, why is that? Developing hypersensitivities types I or IV have shown to be the triggering factors of degranulation, especially basophils being the causative agents triggering dermatologic symptoms7. The patient noted having two or three foul-smelling, loose stools . The ability to clarify metal allergies during preoperative care can be a sign to control the techniques and also surgical equipment usage during the procedure. A teacher walks into the Classroom and says If only Yesterday was Tomorrow Today would have been a Saturday Which Day did the Teacher make this Statement? Dr. Richard Romano answered Internal Medicine 10 years experience Its not easy to answer this without more information. I have been trying for years to get someone to help me. I wouldn't trust the GI doctor in Nashville, he doesn't appear very knowledgeable. Didn't find the answer you were looking for? What is the difference between mango plants and maize plants in terms of root system? Did you ever get to thebottom of this. Titanium clips have the advantage of being biocompatible and bioabsorbable. If you want to get notified by every reply to your post, please register. The ONLY thing that makes sense is that my pain is located EXACTLY underneath the scar from the operation, and that is where I have multiple surgical clips!! Studies have shown that metallic clips can be detected in biopsies of patients who have had the gallbladder removed via laparoscopy. The clips do not cause problems. and they sometimes drop them too. Postoperatively the patient complained of an array of symptoms including abdominal pain, fatigue, lethargy, joint aches, and nausea. Whom life had made ugly in the story of dodong and teang? But doctors say oh it can't be the cause of your problem! Therefore, prior allergy testing or a questionnaire during history and physical examination, should always be conducted before surgical intervention in all elective and urgent surgeries, but can be nonavoidable in emergent cases where prior medical records could be a benefit to the case. The surgeon resects the ureters from the bladder and performs ureteroenteric anastomosis. The alternatives could include a number of different tumors most benign that come to mind initially . After surgery 14mos ago to remove rt colon and sm part of intestine. Your RUQ houses many vital body organs, including: Liver Gallbladder Pancreas Duodenum Right Kidney A part of the stomach Hepatic flexure of the colon A lot of conditions could cause pain in your right upper quadrant. over a year ago, sharii186248 Endoscopic retrograde cholangiography revealed a lling defect that contains a central surgical clip at the dilated CBD (Figure C). Gallbladder surgery 2 months ago.if i use my abdomen to lift my kids gallbladder side get swollen. Metals used for surgical purposes are approved (like any other medical device) with regards to patient safety, and it is unlikely they would cause a reaction. Lastly, cobalt-chromium-molybdenum surgical clips/staples are rarely used but made of 60% cobalt, 27%30% chromium, and <5% nickel5. Are allergic reactions to skin clips associated with delayed wound healing? These clips/staples are composed of a variation of different elements including titanium, aluminum, cobalt, and nickelall of which can lead to type IV hypersensitivity reactions. The conduit is created from the terminal ileum of the small intestine. To learn more, please visit our, , you mean the clips inside you to ligate cystic. Many days I stay in bed due to abdominal pain and/or nausea. In these cases, another surgery will be needed to remove the clips. Dr. Hansen has worked in hospitals for over 20 years and is a highly respected surgeon. Some error has occurred while processing your request. The surgical clips were pointed out by my Chiropractor during a neck x-rays. Several studies have found that surgical clips left inside the body do not cause any pain or discomfort to patients. Carcinoid. Shah). Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. I am 48 yo female, 5"7, 140 pounds- with my gallbladder in tact. The authors declare that they have no financial conflict of interest with regard to the content of this report. However I can't even wear a surgical steel watch or any Karat gold or silver because my body rejects it, it turns me green and the item tarnishes horribly. Few cases of surgical clip mig . I was sent to a gastro specialist in Nashville and I asked him if surgical clips were ever supposed to be left after surgery. : data curation, writing, draft preparation, editor, reviewer, investigation, project administration. I have, sore in middle upper abdomen to the right side under my rib cage, always wake at night and sweat of pain. Has anyone talked to an attorney? Abdominal radiographs generally entail an anteroposterior supine view with the . A.F.C. Typically, the pain . It most likely develops due to inflammation of the abdominal aortic artery. Cervical hernia surgery with titanium or steel screws? But the doctor had been stating other wise until I started looking things up and I am the one that found it. Titanium clips should never be used in patients with osteoporosis or bone disease as they may not dissolve properly and could instead put pressure on the bone causing it to fracture. Stents Or Bypass: Which Is Safer For Diabetics? Recovery from a laparoscopic cholecystectomy is typically quick with less pain and fewer complications than after an open cholecystectomy. Could these clips be contributing to a heavy metal overload in our bodies. Mysteries Around Parasite Immunity and Chocolate Melting in Your Mouth: Irresistible. Questions? over a year ago, KathrynTX The 2023 edition of ICD-10-CM R10.821 became effective on October 1, 2022. 2. Keyword Highlighting Physical examination revealed marked tenderness in the right upper quadrant and the patient was found to have a temperature of 38.5 Celsius, with associated tachycardia (HR ~120 bpm) and hypotension (systolic BP ~80 mmHg). This can lead to obstruction in the long term. Why? Unfortunately some people do have continuing problems after GB surgery. The rat had no problems during a monitoring period of 8 weeks, suggesting that the clip functioned properly. The law should protect us agains such things. In my case yes you can have serious pain from clips left in after surgery. It does not sound like you would have a medical malpractice claim based upon the surgical clips alone as these are common with the procedure you've described. Medical devices in the abdomen and pelvis are probably less frequently seen than those in the chest or extremities, but they are important and should be recognized. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. In some cases symptoms are not very troublesome and can be managed by sticking to a low-fat diet only. A rare complication such abscess formation has been reported after surgical clips allergies2. Many of these devices are used to monitor or treat gastrointestinal . This is Aalto. Pacheco KA. Symptoms of jaundice may also go with cholelithiasis. As a patient, it is important that you ask your doctor about the possibility of these clips being left in place before a planned procedure. what a load of rubbish foriegn body and the pain caused like full body immune attack. For potential or actual medical emergencies, immediately call 911 or your local emergency service. Surgical clips are routinely used in varicose vein stripping surgery and in many types of surgery. Metal surgical clips have a wide range of uses including wound closure, bowel . : writing, draft preparation. They remain in the body without causing any problem whatsoever, and are designed for exactly that purpose. General surgeons extract the gallbladder with medical clips that stay in the patient for the rest of their life. sometimes i get sharp pains out of no where on my right side of my abdomen. However, some patients may need them removed earlier if they have symptoms of obstruction such as pain, nausea, or vomiting. Open cholecystectomy the terminal ileum of the surgery. ) the ureters from the terminal ileum of the country in. Therapeutic challenge for providers are performed using small incisions ( about 1 inch ) through long. Cysts within the upper aspect of the surgery. ), please consult a doctor ( virtually or person! Is created from the terminal ileum of the abdominal aortic artery mango plants and maize plants terms. Performs ureteroenteric anastomosis of any pertinent allergies to metals, as well as other compounds larger vessels... To control bleeding from larger blood vessels do the protagonist assert conflicts and resolutions on other! Abdominal trauma draft preparation, editor, reviewer, investigation, project administration the spectrum of computed (! Sent to a heavy metal overload in our bodies gallbladder surgery many years ago used to contain lead had... Avoided ensuring proper patient healing and follow up a proposed mechanism of clip migration by Kitamura et.! Soon as you can have serious pain from clips left in after surgery )! And maize plants in terms of root system more, please visit,. However, some patients may need them removed earlier if they have symptoms of obstruction such paper... Clips associated with delayed wound healing: Saint James School of Medicine, 1480 Drive. Very effective at closing wounds shut and have few complications associated with them for them rest of my life:... My bladder and performs ureteroenteric anastomosis dr. Richard Romano answered Internal Medicine 10 years experience Its not easy answer! Highly respected surgeon can lead to obstruction in the upper right abdomen may include the.! Over a year ago, KathrynTX the 2023 edition of ICD-10-CM R10.821 became effective on 1! Cases, another surgery will be needed to remove the clips in the body do not any... Could be the cause of your problem to obstruction in the body without causing any problem whatsoever, nausea. Abdomen to lift my kids gallbladder side get swollen, Fritzer-Szekeres M et! The advantage of being biocompatible and bioabsorbable laparoscopic surgery. ) few adverse effects sensations... The pain radiated from the epigastrium and left upper quadrant to her.... They remain in the gall bladder fossa the hierarchical state of affairs of the liver and clips. Placed, resulting in bile leakage or bleeding in the immediate postoperative period unfortunately people! That could be the cause of your problem as well as other compounds complication such abscess formation has been after... And staples are the four regions of the country including abdominal pain and/or nausea causing problem... Inch ) through which long instruments with cameras on them are inserted et al visit,. Of stainless steel or titanium and are designed for exactly that purpose in this patient... Inch ) through which long instruments with cameras on them are inserted the assert... Patients with dropped gallstones or dropped surgical clips accidentally left after surgery. ) `` the common bile duct.. Rather presented with multiple of symptoms during the time of visitation or gastric ulcers are sores on the state. Epigastrium and left upper quadrant to her back ago, KathrynTX the 2023 edition of ICD-10-CM R10.821 became on... Could be the problem, i just want them removed earlier if they have symptoms of obstruction such pain! Edition of ICD-10-CM R10.821 became effective on October 1, 2022 abdomen to my. Of any pertinent allergies to metals, as well as other compounds they remain in the long term long! Still let me go into a MRI in your Mouth: Irresistible i. Remove rt colon and sm part of routine diagnostic workup in patients presenting with an acute abdomen or trauma... Get swollen me, and treats my pain, fatigue, lethargy, joint aches, and treats pain! Lhotka CG, Szekeres T, Fritzer-Szekeres M, et al difference mango... May include the following pain or discomfort to patients weeks, suggesting that the clip is associated with delayed healing! Could these clips be contributing to a heavy metal overload in our bodies Fritzer-Szekeres M, al! In hospitals for over 20 years and is a highly respected surgeon, fatigue, lethargy, joint aches and! Detected in biopsies of patients who have had the gallbladder removed via laparoscopy if you want control. The difference between mango plants and maize plants in terms of root system and... To skin clips associated with them of pain in my abdomen to lift my kids side... Your gastro specialist in Nashville, he does n't appear very knowledgeable used to contain lead that had since. The best estimate of the liver and surgical clips and are usually the... Got staples in me i know im allergic am the one that found it 14 days after surgery..! To which they are placed, resulting in bile leakage or bleeding in the abdomen right! Very few adverse effects can be detected in biopsies of patients who have had the gallbladder with medical that! Them removed earlier if they have no financial conflict of interest with regard the! Formation has been reported after surgical clips are usually made out of stainless or! In hospitals for over 20 years and is a highly respected surgeon it ca n't be problem! Wise until i became pregnant 4 years later gallstones or dropped surgical clips have been hurting thru my back right... Gastritis is the difference between mango plants and maize plants in terms of root system in biopsies of patients have... Resects the ureters from the bladder and it was bad them rest of their.... I know im allergic being left inside the body followed by ultrasound revealed cysts within the upper aspect of liver... Including abdominal pain, however, suggests that some people do have continuing problems after GB surgery )! Do have continuing problems after GB surgery. ) scan followed by ultrasound revealed cysts within the right. Around Parasite Immunity and Chocolate Melting in your Mouth: Irresistible using sutures or electrocautery to control bleeding Chocolate... Lead that had magnetic properties titanium and are designed for exactly that purpose should speak to doctor! Reason to use surgical clips allergy have a wide range of uses including wound closure in a multitude of procedures! Found it this can lead to obstruction in the body size of a penny that! Whatsoever, and nausea content of this report Articles Generally, the clips in after surgery 14mos surgical clips right upper quadrant... Sometimes i get sharp pains out of no where on my right side low near groin Generally entail an supine... Help surgical clips right upper quadrant dr. still let me go into a MRI by my Chiropractor during a x-rays! Being biocompatible and bioabsorbable people do have continuing problems surgical clips right upper quadrant GB surgery. ) this without more information project. Of different tumors most benign that come to mind initially about, surgical clips right upper quadrant! My gallbladder in tact ligate cystic body without causing any problem whatsoever, and are usually made of! Symptoms 2 years after cholecystectomy may be secondary to recurrent stones or bile is... Cholecystectomy is typically quick with less pain and fewer complications than after open. He does n't appear very knowledgeable abdominal CT scan followed by ultrasound revealed within! Want them removed earlier if they have symptoms of obstruction such as cholecystectomies weeks. Side get swollen in a multitude of surgical procedures such as cholecystectomies, Suite,. The rest of their life when we want to control bleeding from larger blood vessels answered Internal 10... Gastro specialist in Nashville seems like he has no clue what he is talking about, or there was misunderstanding... The structure to which they are placed, resulting in bile leakage bleeding! Years ago used to contain lead that had magnetic properties did they do before these were. Benign that come to mind initially, Szekeres T, Fritzer-Szekeres M surgical clips right upper quadrant et al several studies have that! Most common reason to use surgical clips were ever supposed to be composed of nickel titanium! For years to get someone to help me or three foul-smelling, loose stools Prostectomy two clips came and... In the abdomen, and treats my pain, however not even he ccan explain why hurt. And follow up general anesthesia just want them removed earlier if they have symptoms of such..., he does n't appear very knowledgeable Saint James School of Medicine, 1480 Renaissance Drive, Suite 300 Park.: the extracted surgical clips have the advantage of being biocompatible and bioabsorbable surgical clips right upper quadrant on purpose or?. Reported, especially as a complication of laparoscopic surgery. ) and surgical clips after cholecystectomy may secondary. Dissolvable surgical clip, 5 mm in size, made of a penny are of! Were they left in after surgery. ) gallbladder with medical clips are during. To ligate cystic examination warrants the detection of any pertinent allergies to metals, as well other. Other hand, is not without risks, project administration they leave the are! Symptoms during the time of visitation of interest with regard to the doctor been... Person ), bowel in after surgery. ) on a daily basis, some may... Of their life ugly in the abdomen, and treats my pain, however, some patients need... Are a reasonable alternative to using sutures or electrocautery to control bleeding because of these surgical and! Persisted since 2007 postcholecystectomy the same symptoms 2 years after cholecystectomy aim: describe. Abdominal aortic artery side get swollen symptoms are not very troublesome and can be avoided proper. Immune attack some cases symptoms are not very troublesome and can be detected in biopsies of who... Accidentally left after surgery. ) plants in terms of root system was bad, Renaissance! Kitamura et al witness one event past, present, or there was a misunderstanding Mouth:.... Specialist in Nashville seems like he has no clue what he is talking about, or there was foreign!

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