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Sacramento girl needed amputations after 5-hour wait at emergency room
The Sacramento Bee ^ | Dec. 31, 2010 | Cynthia Hubert

Posted on 12/31/2010 3:21:22 PM PST by NoGrayZone

"As his tiny daughter's skin turned blotchy and her body went limp during a lengthy wait at Methodist Hospital's emergency room, Ryan Jeffers panicked."

"The family's ordeal began on a Sunday morning in early December, when the normally rambunctious Malyia developed a fever and became lethargic, Ryan Jeffers recalled."

(Excerpt) Read more at sacbee.com ...


TOPICS: Health/Medicine; Miscellaneous; Society
KEYWORDS: emergency; healthcare; methodisthospital; sacramento
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Very sad. But I must wonder why did the parents wait until the next day?

I am not a mother, actually, the only one amongst close friends and family members who isn't and this doesn't sit right.

As a parent, what would your response have been?

Please don't get me started on emergency rooms. Last time I went was for a tetanus shot and the nurse seemed ticked off the illegals were taken first, who had "pain in her arm when she lifted it".

1 posted on 12/31/2010 3:21:25 PM PST by NoGrayZone
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To: NoGrayZone

Illegals, who pay nothing for thier health care, get to go first.

Thank you for voting democrat.


2 posted on 12/31/2010 3:22:52 PM PST by 2banana (My common ground with terrorists - they want to die for islam and we want to kill them)
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To: 2banana

Are you thanking me for voting democrat?


3 posted on 12/31/2010 3:23:52 PM PST by NoGrayZone (What we conservatives call the privates, the liberals call public access! (thnx Balding_Eagle)
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To: NoGrayZone

Well, in defense of the parents, kids get fevers now and then for all kinds of reasons. You really can’t go rushing off to the ER for every fever. Sometimes teething causes a fever. And it is flu season. I’m assuming they gave her children’s Tylenol or Motrin and waited to see if that would reduce the fever; that’s basically the standard procedure, or at least what my pediatric nurse sil tells us to do when ours develop a fever. If fever and lethargy were her only symptoms I really can’t say the parents did anything wrong here.

Poor baby, may God help her adjust. :( :( :(


4 posted on 12/31/2010 3:29:41 PM PST by To Hell With Poverty (The War on Poverty is over. Poverty won. - Howie Carr)
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To: NoGrayZone

Poor child.


5 posted on 12/31/2010 3:30:30 PM PST by trisham (Zen is not easy. It takes effort to attain nothingness. And then what do you have? Bupkis.)
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To: To Hell With Poverty
"If fever and lethargy were her only symptoms I really can’t say the parents did anything wrong here."

Thanks for your insight. I think I got carried away with this poor little girls tragedy.

6 posted on 12/31/2010 3:33:08 PM PST by NoGrayZone (What we conservatives call the privates, the liberals call public access! (thnx Balding_Eagle)
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To: NoGrayZone

My daughter, at 18 months, slept for 18 hours once. When she woke up and was listless, we took her to the emergency room. She “brightened” up while there and all the nurse said was that she looked fine and wasn’t it a blessing that she’d slept that long. Nurses aren’t doctors. I made them call my pediatrician and he ordered a chest x-ray. She had pneumonia.


7 posted on 12/31/2010 3:35:10 PM PST by DJ MacWoW (If Bam is the answer, the question was stupid.)
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To: NoGrayZone

8 posted on 12/31/2010 3:36:40 PM PST by JoeProBono (A closed mouth gathers no feet - Visualize)
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To: DJ MacWoW

Oh my gosh!! I can’t imagine. Please tell me the rest of the story, if you have time.


9 posted on 12/31/2010 3:38:02 PM PST by NoGrayZone (What we conservatives call the privates, the liberals call public access! (thnx Balding_Eagle)
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To: NoGrayZone

The parents did things right. It’s not appropriate to run to an ER every time a child starts to run a fever. If the urgent care doc decided she needed a full-blown ER, though, they should have called ahead and alerted them - perhaps they did and it was the ER triage nurse that slowed things down. Horrible story though with definite grounds for malpractice on someone’s part.


10 posted on 12/31/2010 3:38:52 PM PST by BuckyKat (Green is the new red.)
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To: NoGrayZone

According to the article the child’s genetic makeup contributed to the problem.


11 posted on 12/31/2010 3:42:18 PM PST by trisham (Zen is not easy. It takes effort to attain nothingness. And then what do you have? Bupkis.)
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To: NoGrayZone

Kids get fevers all the time.

That said, these infections are very fast moving, and I doubt that either the emergency room reception or the family understood that. My next door neighbor almost died of an infection he got from a tiny scrape he received from bumping into the pot of a plant that was on his steps.

I went into an emergency room with a family member who had had a stroke (we didn’t realize it) and the girls at the desk were all watching Jerry Springer and couldn’t give us the time of day. We sat there for hours and I kept going up to the desk, and finally I saw a doctor going by and told him about it (fortunately, I speak English).

We got in right away and my family member received the appropriate treatment. But I bet nothing ever happened to the girls at the desk.

The moral of the story, according to my former paramedic daughter, is...call an ambulance. If you come in from an ambulance call, you go right into the ER (where there are professionals) and don’t sit in the waiting room with some brain-dead “admitting personnel” rebraiding their hair and watching Jerry Springer or some imitator doing shows on 500 pound lesbians (I kid you not, that was on the air when we were there). It was like dying and going to hell.


12 posted on 12/31/2010 3:42:33 PM PST by livius
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To: BuckyKat

Sometimes my anger bursts into ALL involved when it comes to a precious helpless one.

Heck, I freak out if it’s one of my kitties.....which is why I am NOT a mother. Some weren’t born to breed, and I heeded Gods advise!


13 posted on 12/31/2010 3:43:05 PM PST by NoGrayZone (What we conservatives call the privates, the liberals call public access! (thnx Balding_Eagle)
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To: NoGrayZone

She showed no symptoms of any kind. And she usually slept very little. Dr Saluja had her admitted. Believe me that nurse disappeared. She was trying to send us home. My daughter was in the hospital 3 days on oxygen. Dr Saluja said that parents know when a child is behaving out of character and when they’re that young sometimes behavior is the only barometer that something is wrong. He was an EXCELLENT pediatrician.


14 posted on 12/31/2010 3:43:16 PM PST by DJ MacWoW (If Bam is the answer, the question was stupid.)
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To: NoGrayZone

It’s a freak accident. NOthing can be done and there’s no armchair quarterbacking to be done after the fact. These things happen but are very rare. The kid lived and that’s a miracle.


15 posted on 12/31/2010 3:43:57 PM PST by mamelukesabre (Si Vis Pacem Para Bellum (If you want peace prepare for war))
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To: DJ MacWoW

You just can’t take a chance.

A couple of weeks ago there was some poor parent here on FR with a child who had a middle ear infection. The eardrum had already ruptured.

People here on FR were telling him to put stuff in the kid’s ear. NOT a good idea.

Those bad ear infections can move quickly to meningitis with a really bad outcome.

You just cannot take any chances with a child. Actually, you can’t take chances with an adult either. Better to feel embarrassed in the ER than dead in the morgue.


16 posted on 12/31/2010 3:45:25 PM PST by ladyjane
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To: livius

I will remember that and pass it on to family and friends.


17 posted on 12/31/2010 3:45:25 PM PST by NoGrayZone (What we conservatives call the privates, the liberals call public access! (thnx Balding_Eagle)
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To: DJ MacWoW

Imho, parents know when something is wrong with their child. Thank goodness that you persevered. It may well have saved your daughter’s life.


18 posted on 12/31/2010 3:45:28 PM PST by trisham (Zen is not easy. It takes effort to attain nothingness. And then what do you have? Bupkis.)
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To: livius
The moral of the story, according to my former paramedic daughter, is...call an ambulance. If you come in from an ambulance call, you go right into the ER (where there are professionals) and don’t sit in the waiting room with some brain-dead “admitting personnel”

******************************

Good advice.

19 posted on 12/31/2010 3:47:21 PM PST by trisham (Zen is not easy. It takes effort to attain nothingness. And then what do you have? Bupkis.)
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To: mamelukesabre; DJ MacWoW

You should take a look at DJ’s post above yours.


20 posted on 12/31/2010 3:47:39 PM PST by NoGrayZone (What we conservatives call the privates, the liberals call public access! (thnx Balding_Eagle)
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To: NoGrayZone

Believe it or not, if she survives, this kid is incredibly lucky to have kept one hand. Friend of mine went septic and they took both hands and feet. Life isn’t easy for a quadruple amputee.


21 posted on 12/31/2010 3:48:32 PM PST by Echo4C (We have it in our power to begin the world over again. --Thomas Paine)
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To: ladyjane

You got that right.


22 posted on 12/31/2010 3:48:32 PM PST by trisham (Zen is not easy. It takes effort to attain nothingness. And then what do you have? Bupkis.)
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To: ladyjane
'Better to feel embarrassed in the ER than dead in the morgue'

Absolutely.

23 posted on 12/31/2010 3:50:10 PM PST by NoGrayZone (What we conservatives call the privates, the liberals call public access! (thnx Balding_Eagle)
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To: ladyjane

Man! That is scary! I always got pushy when it came to my children.


24 posted on 12/31/2010 3:50:10 PM PST by DJ MacWoW (If Bam is the answer, the question was stupid.)
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To: trisham
Imho, parents know when something is wrong with their child. Thank goodness that you persevered. It may well have saved your daughter’s life

She was so tiny that it probably did. And I was wrong. She was 15 months old.

25 posted on 12/31/2010 3:51:14 PM PST by DJ MacWoW (If Bam is the answer, the question was stupid.)
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To: DJ MacWoW

It can be very scary.

I started to post about the next door neighbor and then erased it. I’ll post it now.

The man wasn’t feeling well. Complained for a day. Went to bed to rest. After 18 or so hours he was rushed to the hospital. Meningitis. He died within 24 hours.

Both he and his wife were physicians. What can I tell you.


26 posted on 12/31/2010 3:54:02 PM PST by ladyjane
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To: NoGrayZone
I can see the parents not becoming alarmed the first day, even if the daughter was lethargic, which could have been mistaken for her just not feeling well. Most people probably wouldn't necessarily seek medical help because of a fever and the lethargy, especially since it was a Sunday. Most people would wait, I think. I probably would have. The fever apparently didn't spike to 103 until they were already in the ER. Anything under a temp of 103 probably wouldn't warrent a trip to the ER. I don't think the parents waited too long before seeking help.

What I don't understand, though, is why people call themselves "engaged" when they have two kids together, a 6 yr. old and a 2 yr. old. That's such a farce. I don't understand why you just don't admit you're shacking up at that point.

27 posted on 12/31/2010 3:54:02 PM PST by FrdmLvr (Death to tyrants)
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To: ladyjane

Sometimes there is simply no way to know how serious an illness is.


28 posted on 12/31/2010 3:56:22 PM PST by DJ MacWoW (If Bam is the answer, the question was stupid.)
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To: ladyjane; NoGrayZone
Better to feel embarrassed in the ER than dead in the morgue.

Exactly. Theoretically, a triage nurse should evaluate people who walk into the emergency room, but there are walk-in ER rooms where there is no triage and there are just a few bored admitting clerks.

If you have a private physician, call him/her and say that you're going to or bringing your child to the emergency room. Sometimes a doctor will send or tell you to call an ambulance.

Otherwise, dial 911 and call an ambulance. It might cost you $500-$1000 dollars (if you're not on some kind of social services support or don't have insurance - if you do, it's usually free to you), but it's better than being dead. Personally, I'd say that unless you have a really good relationship with a doctor and he knows your situation well, when you get that uneasy feeling, just call 911 and go to the ER in an ambulance.

29 posted on 12/31/2010 3:57:24 PM PST by livius
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To: DJ MacWoW

Where is this doctor practising, and what’s his full name?


30 posted on 12/31/2010 3:58:11 PM PST by James C. Bennett
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To: DJ MacWoW
Parents, spouses and friends have to be advocates for their loved ones. No one cares more than we do; certainly not those in the medical field to whom they are simply "cases" or "patients".

I happen to be a fan of "House", but sadly, the reason that type of show is popular is because it rarely approaches reality.

31 posted on 12/31/2010 3:59:40 PM PST by trisham (Zen is not easy. It takes effort to attain nothingness. And then what do you have? Bupkis.)
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To: James C. Bennett

Gurbir Saluja in Vernon, NJ. The last that I knew he is still in practice with his wife and now his son.


32 posted on 12/31/2010 3:59:55 PM PST by DJ MacWoW (If Bam is the answer, the question was stupid.)
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To: FrdmLvr
"What I don't understand, though, is why people call themselves "engaged" when they have two kids together, a 6 yr. old and a 2 yr. old. That's such a farce. I don't understand why you just don't admit you're shacking up at that point."

Oh goodness, that should be a thread all by itself!! As well as "In addition to Malyia, Jeffers and Yang are raising a son, Jaden, 6, and Yang's son Christian, 9."

They couldn't get bothered to get married when one already had a child, let alone after their 1st born?

33 posted on 12/31/2010 4:01:00 PM PST by NoGrayZone (What we conservatives call the privates, the liberals call public access! (thnx Balding_Eagle)
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To: trisham

I watch House on HuLu. I like it too but it is fiction.


34 posted on 12/31/2010 4:01:46 PM PST by DJ MacWoW (If Bam is the answer, the question was stupid.)
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To: DJ MacWoW

Thanks!


35 posted on 12/31/2010 4:03:21 PM PST by James C. Bennett
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To: James C. Bennett

You’re welcome.


36 posted on 12/31/2010 4:08:24 PM PST by DJ MacWoW (If Bam is the answer, the question was stupid.)
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To: trisham
You have no idea. Long story short....a friend of mine is taking care of her elderly mother. Once she broke her hip, it was all down hill from there.

MY FRIEND must tell the doctors what she can and cannot take. She was admitted into the same hospital a few times. My friend had to demand to see her mothers med list. Her mother was on 5 meds....the hospital still had her on all these old meds (that she did not respond very well to)...especially the cholesterol med.

They gave it to her anyway. Her mother was on coumadin so you would think they would take her blood for levels, but nooo.

MY friend never believed me that socialized medicine wants to kill the elderly. With all she has been through she finally said she thought I may be right. There was no other explanation for what these people have done to her mother, except intentionally.

37 posted on 12/31/2010 4:10:39 PM PST by NoGrayZone (What we conservatives call the privates, the liberals call public access! (thnx Balding_Eagle)
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To: NoGrayZone
MY FRIEND must tell the doctors what she can and cannot take. She was admitted into the same hospital a few times. My friend had to demand to see her mothers med list. Her mother was on 5 meds....the hospital still had her on all these old meds (that she did not respond very well to)...especially the cholesterol med.

You MUST advocate for your family members in the hospital. My daughter was in a horrible car accident on Memorial Day weekend of 2006, and I was in the hospital with her every day. She was hospitalized for about 3 months. She got terriffic care, but the nurses said it was because I advocated for her.

Her face hit the windshield or the passenger window and she had a lot of glass embedded in her face and scalp. They took it out while she was in ICU, but even after that, she had a large welt still on her cheekbone, which they said was scar tissue. It looked like glass was still in her face to me. They said it wasn't but even if it was, it would eventually work its way out. I insisted she see a plastic surgeon. It took all summer of me asking her attending physician for a referral, and they finally referred her to a reconstructive/plastic surgeon. She wasn't able to get in to see him until after she was discharged, but he took one look at her and said "Wow. You have a shard of glass under the skin". He said this while standing across the room. He also said it would never have worked its way out - it was too large. So, please, if you have family members in the hospital, advocate for them. Ask, ask, ask for the care you think they should have. Be a squeeky wheel.

38 posted on 12/31/2010 4:30:25 PM PST by FrdmLvr (Death to tyrants)
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To: 60Gunner

could use your insight on this and some of the reply stories


39 posted on 12/31/2010 4:47:28 PM PST by NonValueAdded (Palin 2012: don't retreat, just reload)
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To: To Hell With Poverty

I’ve been lectured by doctors who told me to stop rushing my asthmatic son into a doc-in-a-box for every high fever or severe respiratory infection. And parents may also have been concerned about the cost; if you’re a citizen and working poor, you’re at the back of the line for medical benefits and get billed.


40 posted on 12/31/2010 4:49:43 PM PST by tbw2 (Freeper sci-fi - "Sirat: Through the Fires of Hell" - on amazon.com)
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To: NoGrayZone

http://emedicine.medscape.com/article/786058-overview
“The mortality rate of severe sepsis and septic shock is frequently quoted as anywhere from 20-50%.”
Sepsis is neither rare nor a “freak accident.” As far as I know, researchers have been unsuccessful in interrupting the disastrous immunomodulatory cascade.
If standards of care were compromised, those responsible will be identified so that conditions giving rise to that situation can be remediated. (“Lessons learned.”)
Haven’t read anything recently re: early intervention/pediatrics, but it’s now on my to do list.


41 posted on 12/31/2010 4:56:45 PM PST by Silentgypsy
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To: NoGrayZone

I’m surprised that Urgent Care did nothing for her. Not so much as an antibiotic? Odd!


42 posted on 12/31/2010 4:58:37 PM PST by definitelynotaliberal
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To: livius

Right! Call an AMBULANCE! I have driven my husband many, many times to a city several miles away in the middle of the night to the ER because of emergencies; for years this went on. I’m now 64 and my vision for night driving is now officially abysmal. I think he will just pooh-pooh me about it if the time comes up again; but I’m not kidding, I can’t see squat on the highway driving at night any more. I’ve told him that calling an ambulance will be necessary if we have to go in again in future. He says OK, but tends to tune me out like background noise, but I hope he “gets it”. (Thank the Lord, we haven’t had to drive in for several years now, and I pray we don’t ever have to any more.)


43 posted on 12/31/2010 5:21:31 PM PST by Twinkie (Awake and strengthen that which remains . . . . . . . . Revelation 3)
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To: DJ MacWoW

That is true. You just don’t know how serious an illness is.

However - if I had a family member who went to bed for 18 hours I think I would take steps to get help.

I once sent the state troopers to stop someone on the highway who was having chest pains. The person lived through that episode. Didn’t live through the next one, very unfortunately.


44 posted on 12/31/2010 5:35:41 PM PST by ladyjane
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To: ladyjane
I once sent the state troopers to stop someone on the highway who was having chest pains.

It took courage to do that but it was the right thing.

45 posted on 12/31/2010 5:41:53 PM PST by DJ MacWoW (If Bam is the answer, the question was stupid.)
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To: mamelukesabre

“These things happen but are very rare. The kid lived and that’s a miracle.”

Sure they happen, but what if she had been treated faster? I have seen ER staff plenty of times, they never seem in a rush to me. 3-4 hours for an x-ray when there’s barely anyone there is the norm.


46 posted on 12/31/2010 5:54:01 PM PST by mewykwistmas
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To: Twinkie

You are a very smart lady!


47 posted on 12/31/2010 6:21:29 PM PST by Silentgypsy
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To: DJ MacWoW

It didn’t take any courage. It was more like panic and anger.

The person called me on their car phone. This was in the early days of car phones. They were having chest pains. They were stuck in traffic and I told them to go to the local hospital. They refused. I realized I couldn’t get in my car and reach them - it was a Friday afternoon and they were in traffic. All I could figure to do was to call the state troopers. He got help.

Unfortunately, the next time it didn’t work out well.Men can be very stubborn about going to the ER if they are having chest pains. Not sure why.


48 posted on 12/31/2010 6:28:38 PM PST by ladyjane
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To: ladyjane
Men can be very stubborn about going to the ER if they are having chest pains. Not sure why.

I don't know why men do that. Misplaced machismo?

49 posted on 12/31/2010 6:43:02 PM PST by DJ MacWoW (If Bam is the answer, the question was stupid.)
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To: NoGrayZone
Five hours is a dreadfully long time but even then it wasn't until she was discovered in liver failure that she was shipped to another location for further testing and treatment.

Even missing a hand and lower legs, she's fortunate to be alive and from the story we find out the illness was exacerbated by her genetic makeup. That can't really be anticipated by a doctor or parent.

50 posted on 12/31/2010 7:33:49 PM PST by newzjunkey
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