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How Stress Affects Diabetes

How Stress Affects Diabetes

How Stress Affects Diabetes

No one is immune to stress, and constant stress wreaks havoc on anyone’s body. But chronic conditions like diabetes put some people at a higher risk of experiencing complications caused by stress. Take a look at how stress affects diabetes. 

How the Body’s Natural Response to Stress Affects Diabetes

Anything can bring stress in your life, from financial problems to traumatic events. Even a diagnosis of a chronic illness, like type 2 diabetes, can add stress. Symptoms of stress include nervousness, a rapid heartbeat, rapid breathing, upset stomach, and depression. 

When your body experiences stress it goes into a fight-or-flight response. This natural response elevates hormone levels and causes nerve cells to fire. In turn, the body releases adrenaline and cortisol into the bloodstream causing respiratory rates to increase. Because you have diabetes, your body might not be able to process the glucose released by firing nerve cells. If your body can’t convert glucose into energy, your blood glucose levels will rise. 

Other Ways Stress Affects Diabetes

In addition to your body’s natural response, stress can affect diabetes in other ways. Stress can disrupt your daily routine including healthy habits like exercise and eating a healthy diet. When we are stressed, we often find ourselves prone to eating more junk food and getting less exercise. These changes affect your diabetes almost immediately. High blood glucose levels can cause you to feel down while low glucose levels can leave you feeling nervous.

How You Can Reduce Stress 

Stress is a natural part of life–you can’t always avoid it, but you can take steps to reduce how stress affects you. One of the first steps you can take is to be intentional about keeping up your daily routine. Don’t give in to temptations to eat your feelings with junk food or to lay around all day. Make yourself eat healthy even when you don’t want to and don’t skip the gym. 

The same goes for your medication. Don’t skip a dose, no matter what. Since stress can make us a bit forgetful it’s probably a good idea to set a reminder on your phone to take your medicine and check your glucose levels. Keeping up your health routines will not only help your blood glucose levels stay in check but can also reduce your body’s response to stress. 

Another way to reduce your stress is to talk with someone about how you are feeling. You’ll find talking it out to be surprisingly therapeutic and sharing your burdens often makes them feel less heavy. If you don’t feel comfortable talking to a friend or relative, consider scheduling a counseling session with a mental health professional. 

Mantachie Rural Health Care offers medical and mental health care for diabetes patients, as well as dietary treatment. If you are experiencing additional stress in your life that is increasing anxiety, depression, and even your blood glucose levels, you may benefit from a counseling session with one of our mental health professionals. To schedule a visit, click here. (link to contact page)

What’s the Difference Between a Nutritionist and a Dietitian?

A question we’re often asked is, “What’s the difference between a nutritionist and a dietitian? Although the professions have similarities, some key differences distinguish them from one another. For example, dietitians are certified to treat clinical conditions whereas nutritionists are not always certified. 

Key Differences Between a Dietitian and Nutritionist

Dietitians, also known as registered dietitian nutritionists, must receive certification from the Academy of Nutrition and Dietetics. They can treat certain health conditions by offering food recommendations. Dietitians provide medical nutrition therapy in a hospital setting or private practice. They can also provide nutritional education and expertise to schools, public health offices, and food-related industries. 

Nutritionist training varies and certification is not required in all 50 states. Nutritionists in states that require certification can obtain their certification from the Board for Certification of Nutrition Specialists (BCNS).  Nutritionists may have different focus areas from dietitians. Some nutritionists may pursue advanced qualifications in specific health areas such as sports nutrition, digestive disorders, and autoimmune conditions. Nutritionists may also provide general advice on healthful eating, weight loss, and reducing tiredness. 

Training Requirements for Dietitians and Nutritionists

Dietitians must have a bachelor’s degree or higher and have the Accreditation Council for Education in Nutrition and Dietetics (ACEND) or Academy of Nutrition and Dietetics (AND) to accredit and approve coursework. They must also complete 1200 hours of supervised practice through ACEND-accredited practice programs. Then, they must pass the national exam administered by the Commission on Dietetic Registration. After certification, dietitians must complete continuing education requirements to maintain licensure. 

Certified Clinical Nutritionist

A certified clinical nutritionist (CCN) is qualified to assess nutritional needs based on the patient’s lifestyle and health goals. They can provide personalized recommendations for diet, exercise, supplements, and stress management. CCNs must have a bachelor’s, master’s, Ph.D, or Doctorate of Science degree to qualify for certification, or they may have an advanced professional degree in another licensed healthcare field. 

Aspiring certified clinical nutritionists can obtain certification from the Clinical Nutrition Certification Board. Training requirements to qualify for certification vary by the pre-existing qualifications the candidate possesses. For instance, a nutritionist with a bachelor’s degree must complete at least three hours of coursework in topics such as human physiology, biochemistry, and microbiology before they can apply for certification. However, a nutritionist with a doctorate of science may not be required to complete as much training to become certified. All CCNs must pass the exam and complete ongoing training every two years to maintain certification. 

Certified Nutrition Specialists

A certified nutrition specialist (CNS) can receive this certification in the United States through the BCNS. Aspiring certified nutrition specialists must have a master’s degree or higher to qualify for certification training. They must also complete coursework from a regionally accredited institution and 1,000 hours of documented, supervised practice. After passing the exam, CNSs are required to complete continuing education credits every five years to maintain certification. The minimum number of hours spent learning about life sciences is higher for CNSs than for CCNs. 

The Medical Nutrition Therapy Act of 2020 

In 2020, legislators enacted the Medical Nutrition Therapy Act 2020, which includes medical nutrition therapy in Medicare Part B. The legislation also allows nurses and psychologists to refer people for medical nutrition therapy. Patients with the following conditions qualify to add medical nutrition therapy to their Medicare Part B plan. 

  • Obesity
  • Prediabetes
  • Cancer
  • Celiac disease
  • HIV or AIDS
  • Cancer
  • Hypertension
  • Dyslipidemia
  • Malnutrition
  • Eating disorders
  • Any condition causing unintentional weight loss

Mantachie Rural Healthcare is proud to have a registered dietitian on staff to help our patients with their health and nutrition needs. To make an appointment with our dietitian, schedule a checkup with your Mantachie provider. Click here to request your appointment!

How Your Child’s Dental Health Affects Their Education

Your child’s education is the key to a successful future. By now, thanks to the pandemic, most of us have seen the effects missed school days can have on education. But long before covid-19 came along, another disease wreaked havoc on the education of many children, particularly those in lower-income families. This disease is chronic but also preventable. We’re talking about dental cavities and how your child’s dental health affects their education.

How Your Child’s Dental Health Affects Their Education

Cavities are one of the most common chronic diseases among children in the United States. According to the CDC, about 20 percent of children and 13 percent of adolescents aged five to eleven have at least one untreated cavity. Children ages five to nineteen in low-income families are twice as likely to have cavities compared to children from higher-income families. Another study from the American Journal of Public Health found that low-income children are three times more likely to miss school due to dental pain. 

On average, children miss about 2.1 school days each year due to dental problems. Dental problems don’t just lead to missed school days. They lead to lower grade point averages, as well. Children with poor oral health are four times more likely to have lower grades than children with no dental issues.

What You Can Do to Help Your Children Have Good Dental Health

Thankfully, dental cavities are a chronic condition that can be treated and prevented with good oral health practices. Teach your children good dental habits by starting when they are still infants. Use a soft, clean cloth to wipe your baby’s gums after each feeding and in the morning time. When your infant cuts their first tooth, use a soft-bristled toothbrush to gently clean the tooth and gums. You should also schedule their first dental appointment around your baby’s first birthday.

Children should be taught to brush their teeth twice a day and floss daily. If your child is younger than age six, they still need monitoring and some help brushing their teeth. We recommend adding a kid-friendly mouthwash to their routine to help prevent cavities. Children over the age of two should use fluoridated toothpaste. 

In addition to teaching and following good dental hygiene practices at home, your children should visit the dentist at least once a year for a professional cleaning and checkup. Your child’s dentist can apply dental sealants to the chewing surfaces of your child’s back teeth. Dental sealants have been found to prevent around 80 percent of cavities in children.

There is no better time than today to begin teaching your children healthy dental hygiene practices. Be the example by following these practices yourself and by scheduling yearly dental visits for everyone in the family. To schedule an appointment with our dental clinic, visit www.mantachieclinic.org/dental-care

Diabetic Living’s No-Bake Cheesecake

7 Tips to Avoid a Blue Christmas

avoid a blue Christmas this year.

Family dinner tables filled with cheer and laughter abound in holiday advertisements. Even your favorite sit-com or drama will likely include some version of a happy holiday scene to end the season. For some of us, the holidays bring or increase stress, depression, anxiety, and other mental health issues. And if you experienced mental health concerns prior to the holidays, these last two months of the year can make you feel even worse. We can’t offer a prescriptive answer to solve all your holiday woes, but we can make a few suggestions to ease the burden and help you avoid a blue Christmas this year.

Check-in With Your Therapist

If you’re in therapy, the holidays aren’t the time to skip appointments. It’s tempting with all the busyness of the season to push back that appointment until after the first of year. Don’t. If you haven’t met with a therapist lately, the holidays are a great time for a check-in. Even if you’ve never met with a therapist, the holidays are a perfect time to connect with a therapist to talk about how this season affects you, how to avoid a blue Christmas, and how you can manage your mental health during this time.

Real vs Perfect

Only television shows and stock photos have perfect families. No matter what you see on social media, your friends and family aren’t living a perfect life. It’s easy this time of year to reflect on the past twelve months or even where you are in life and experience negative emotions if you haven’t hit all the goals you set for yourself. Help yourself move out of that zone by setting a small goal related to your larger goal. For instance, if you want to find a better job, start by working on your resume.

Prioritize Activities

The holidays are stuffed full of activities from get-togethers to ice skating to cookie decorating. Want to know a secret? You don’t have to do them all. How many activities can you physically and mentally manage? Which of the scheduled activities are most important to you? If certain activities or expectations dredge up painful memories or trauma, it’s okay to skip those or at the very least plan some self-care activities before and after. 

Sit in the Sunshine

Not only can the holidays bring painful memories, but they happen during the time of the year with the least amount of sunshine. Lack of sun itself can cause depression. Schedule some outdoor activities during daylight hours. If possible, move your workstation near a window. More lights in your home, even those on your Christmas tree, may help avoid a blue Christmas too.

Budget for Gifts

The smile on a loved one’s face when they open your gift is priceless, until the credit card bill comes due in January. If you’re concerned about the cost of giving gifts this holiday season, talk to your family about drawing names instead of giving to everyone or doing a Christmas ornament swap. You may choose to give homemade gifts or donate to a charity in someone else’s name instead. Be creative, but most of all stick to a budget. If you won’t be able to give gifts this year, be honest with your family and friends. It’s been a hard 18 months for everyone.


The buzz-word conjures images of spa days or weekends spent watching Netflix and eating chocolate, but it can be as simple as staying in one night and going to bed early. Plan time for shopping and cooking so you’re less stressed as holiday gatherings arrive. Remember #3 above. By prioritizing your events, you’ll have time to spend doing the things you enjoy and preparing for the events you’re looking forward to attending.

Stay Healthy

Don’t forsake your exercise and healthy eating habits. You’ve worked hard all year to be both mentally and physically healthy, don’t stop now. Part of self-care means keeping your exercise routine and not eating every dessert and dip that comes your way this season. On days when you aren’t getting together with friends, plan healthy meals at home. Keeping your routine adds comfort to your days even when you’re not feeling your best.

5 Keys to Managing Your Diabetes During the Holidays

5 Keys to Managing Your Diabetes During the Holidays

Christmas carols, family gatherings, plus delicious food combine for a Christmas season to remember. That last element — all the delicious food– trips up patients with diabetes every holiday season. Not only can foods rich in sugar sabotage your diabetes management but eating meals during odd times may also interfere in your efforts to control your sugar. We’ve compiled a few tips to make managing your diabetes during the holidays easier than ever.

Start Here: Your Diabetes Educator

Before the holidays schedule an appointment with your diabetes educator to discuss how you expect the holidays to look, what challenges you may face, and how you can create a plan to manage your diabetes during the holidays. Erica Witcher on our staff is a Certified Diabetes Educator and Registered Dietitian. If you don’t already have a diabetes educator on your medical team, make an appointment with Erica today. Patients at Mantachie Rural Health Care may meet with Erica during their regular appointments for no extra charge.

Don’t Skip Meals

A big dinner scheduled for 4 p.m. tempts all of us to skip lunch and mid-afternoon snacks. After all, we don’t want to be so full we’re not hungry for the big spread. Skipping meals, however, can make managing your blood sugar even more difficult. Go ahead and eat your usual breakfast and lunch, or if a late lunch is the big meal, plan to eat something during your normal dinner time. Managing your meal schedule keeps your sugar levels in check so you’re not experiencing highs and lows that can ruin your holiday.

Try the Green Stuff, It’s Delicious

Carbohydrates reign supreme during Christmas celebrations. From the cornbread dressing and cranberry jelly to pumpkin pie and sweet potatoes, it’s a sugar bug’s dream come true. You don’t have to avoid all the sugar during every gathering this holiday season, but do balance your plate with low-carb foods as well. Salad, broccoli, and spinach add color, flavor, and balance to your meal. Plus these foods keep you full longer so you’ll be less likely to swoop back through for another helping of Uncle Joe’s famous chocolate cobbler. It’s all part of managing your diabetes during the holidays.

Sample instead of Splurge

Your sister-in-law’s delicious dressing may only grace the table twice a year: Thanksgiving and Christmas. You don’t have to miss out because you have diabetes, but you should pay attention to portions and how many items you sample. Try one or two tablespoons of those carb-heavy foods then add some protein and non-starchy vegetables to your plate. Instead of filling your dessert plate with a full serving of everything, choose one dessert and savor every bite by eating it slowly.

Stretch Your Legs

Work parties. School parties. Friend parties. Family parties. It seems like every day in December has a party attached to it. Don’t forget your gym party — by party we mean your regular trips to the gym or walking track. It’s easy to let exercise slide during the holidays. There’s a reason January is the hottest month for new fitness subscriptions every year. Part of sticking to your regular schedule means continuing your normal workout routines throughout the week. You can even add some movement to all those events you have scheduled. Take a walk around the neighborhood or have a dance-off after dinner.

For more help, request an appointment with our Certified Diabetes Educator.

Why Family Meal Times Make Life Better

In today’s busy world of go, go, go, older family traditions like gathering together at the table for meals have become lost in the shuffle for many families. But family mealtime isn’t just another lost tradition from the past–it’s a vital part of family life that can actually improve everyone in your family’s quality of life. 

How Family Mealtime Improves Your Family’s Health and Quality of Life

Numerous research projects have shown that families who share meals together regularly, no matter if it’s breakfast, lunch, or dinner, or all three, reap many benefits including health. Family meals are more nutritious and help lower the risk of obesity. A Harvard study revealed that families who eat together are more likely to eat their five servings of fruits and vegetables. Family members who eat together also tend to eat less, eat more slowly, and talk more at the dinner table. 

Children who eat their meals with family tend to eat a wider variety of foods and are less picky eaters. But in addition to healthy eating habits, children and teens also get something invaluable at family mealtime. They are given the opportunity to bond, strengthen relationships, and grow closer with their parents and other family members. Parents also have the opportunity to set good examples of healthy eating and table manners. Families who are more closely bonded tend to weather storms better than others, and kids and teens who attend family dinners tend to be less likely to later engage in risky behaviors like substance or alcohol use. 

How You Can Incorporate Family Mealtime Into Your Busy Schedules

Like with any new habit, the best way to start making mealtimes a family priority is to start slow and steady. Start by increasing your number of family meals by one extra a week. That means even if you have only one meal with each other it’s still a start to something more. Don’t focus so much on planning elaborate meals, either. Instead, make the time spent together a priority. 

To encourage your family to participate in family mealtime, get them involved in the meal planning and preparation process. Helping to prepare meals also encourages children to eat what they have prepared with you. Plus, getting input on meal ideas from other family members takes the pressure off of the family’s main cook to brainstorm and plan every meal. 

Learn to be flexible with your mealtimes. Six sharp doesn’t always work for everyone for dinner time, and it’s important to remember that the time together is far more important than the actual time of day you sit down together. Even if you’re sitting down for a quick meal of sandwiches and chips before or after a ballgame or practice, that short time together is vital. 

Need some easy weeknight meals you can fix in 30 minutes or less? Check out these 35 deliciously healthy family dinner recipes from A Sweet Peachef. 

Want to know more about incorporating healthy eating habits and family meals into your family’s routine? Schedule a visit with our resident dietitian to develop a personalized healthy eating plan that’s right for your family.

Diabetes and Dental Hygiene

If you have diabetes, you know that high blood sugar takes its toll on the body–and that includes your teeth and gums. Left unchecked, high blood sugar levels can lead to a number of serious dental health problems such as:

  • Tooth decay. The higher the blood sugar levels, the higher the supply of sugars and starches in your mouth. Those sugars and starches produce acid that wears away at your teeth’s enamel and produces dental plaque that can develop into tartar. Tartar is hardened plaque around the gum lines, and it can only be removed by a dental professional like a dental hygienist or dentist. If left untreated, tartar can lead to serious teeth and gum problems such as periodontitis.
  • Early gum disease, or gingivitis. Diabetes reduces the mouth’s ability to fight bacteria, which is why it is crucial for diabetics to remove plaque from the gum line each day with regular brushing and flossing. Because people with diabetes have to fight harder against bacteria, they are vulnerable to early gum disease, known also as gingivitis.
  • Advanced gum disease, or periodontitis. Periodontitis destroys the soft tissue and bone that support the teeth. It can eventually lead to tooth loss and the presence of an infection like periodontitis can also cause blood sugar levels to rise. 
  • Thrush. Thrush is a fungal yeast infection characterized by painful, red or white patches on the inside of the mouth or tongue. Again, people with diabetes have lower immune systems which makes them more susceptible to mouth problems like thrush.
  • Dry mouth. Dry mouth is a common issue among diabetics. A dry mouth makes teeth and gums more likely to develop decay or gum disease. 

How to Prevent Dental Problems with Dental Hygiene

The first step anyone with diabetes should take to better control their dental health, and overall health for that matter, is to learn how to properly manage diabetes. Keeping blood sugar levels in check goes a long way in protecting your mouth’s health. In addition to controlling diabetes symptoms, diabetics should also practice good dental hygiene. 

Good dental hygiene begins with brushing your teeth at least twice a day, but also preferably after meals and snacks. Wait about a half-hour after eating to brush your teeth. The enamel of the teeth remains soft for about 30 minutes after eating and brushing too soon after a meal or snack can wear away the enamel. Use a soft-bristled toothbrush and, if possible, an electric toothbrush. Electric toothbrushes clean teeth and gums better and are especially helpful if you also have arthritis or other problems that make brushing more difficult.

You should also floss at least once a day as recommended by the American Dental Association. Flossing helps to remove plaque brushing can leave behind. Try the waxed variety or use floss with a handle if you have difficulty navigating the floss between your teeth. 

Good daily dental care isn’t the only step in your dental hygiene routine. Regularly scheduled visits with your dentist are also vital. Your dentist will recommend how many visits you need each year based on your physical and dental health, but most recommend visiting at least one to two times per year for a professional cleaning and exam. People with diabetes, especially those who are experiencing teeth and gum issues, may be asked to come more often to ensure good dental health. 

Finally, if you’re a smoker, you should stop. Not only does it lead to a variety of serious health problems and can make diabetes worse, smoking also destroys teeth and gums. Visit www. quit.com or www.smokefree.gov to get free help quitting the habit. Our health clinic can also provide assistance in quitting. 

Mantachie Rural Health Care is committed to providing healthcare to its rural surrounding communities. That’s why we have a dental clinic right along with our health clinic. By offering both types of care, we help those with diabetes take total care of their physical and dental health. We also offer diabetes education classes each month to help patients learn how to manage their diabetes and live better. Click here to learn more

Celebrities Who Have Survived a Stroke

What do celebrities Frankie Muniz, Emilia Clarke, and Randy Travis have in common, aside from fame? They’re all survivors of stroke. 

A stroke occurs when blood supply to the brain is suddenly reduced or interrupted, preventing oxygen and nutrients from getting to the brain. Stroke is the third leading cause of death in the United States and someone suffers a stroke every 40 seconds. Every 4 minutes, someone dies of a stroke. The celebrities mentioned in today’s blog survived their strokes but many other celebrities haven’t been so lucky. 

Randy Travis

One of country music’s most famous and adored voices nearly lost his voice for good following a massive stroke in 2013. The stroke came on the heels of being admitted to the hospital for viral cardiomyopathy caused by a severe viral upper respiratory infection. Travis did not sing again until three years later in 2016. He took another break from singing due to the stroke’s lingering side effects but recorded new music and performed a short tour in 2019 and 2020. 

Emilia Clarke

Just as she was on the brink of achieving major celebrity status with her new starring role as Daenerys Stormborn of House Targaryen in the hit HBO series, Game of Thrones, Emilia Clarke was facing a secret health battle that nearly took her life in 2011 and 2013. The very young actress was still in her 20’s when she suffered her first stroke during a workout in 2011. Clarke wrote about her harrowing experience and how she continued to feel poorly after the stroke in a 2019 New Yorker article. Clarke was diagnosed with a brain aneurysm, but the doctor didn’t feel it was large enough to be treated at the time. Two years later in 2013, Clarke was rushed to the hospital for emergency surgery on the aneurysm which had grown and erupted. During surgery, Clarke suffered her second stroke. Thankfully, Clarke recovered and has been feeling much better since recovering from stroke #2. 

Frankie Muniz

The former Malcolm in the Middle star enjoyed a successful career as a child actor and was continuing to find success as an adult when he suddenly suffered a stroke at age 26 in November 2012. Sadly, one year later, Muniz had another stroke which incurred memory loss. Muniz had forgotten his roles on Malcolm in the Middle and other films. Muniz took some time off work to recover and has been healing nicely ever since. 

Sharon Stone

Sharon Stone was in the height of her career when a stroke sidelined her at age 43. Stone suffered an aneurysm followed by nine days of cerebral hemorrhaging in 2001. As a result, the Basic Instinct actress lost her ability to read, and she developed a stutter. Determined not to let her illness mark the end of her storied career, Stone worked with therapists to recover her ability to read and speak, and she is currently enjoying success from her new book, The Beauty of Living Twice

Samantha Morton

British actress Samantha Morton says she was “close to death” after her stroke in the mid-2000s. The actress took a year and a half off to recover before returning to work. 

Larry King

Larry King is one of the most well-known voices in the history of news media. That’s why the entire world was watching to see if King would survive his nearly fatal stroke in 2019. The news anchor, now in his late 80s, managed to recover and has returned to work. 

Why Women Need Annual Traditional and Gynecological Health Exams

Heart disease. Cancer. Stroke. Diabetes. All are among the top ten killers of women in the US and most can be prevented or cured when caught early. These diseases are just a few that women are tested for when they schedule their annual health exam. However, many women fail to schedule a traditional annual health exam each year because they consider their annual gynecological exam to be sufficient. 

The Difference Between a Women’s Annual Gynecological Exam and a Traditional Health Exam

Many women assume their annual gynecological check ups to be all they need as far as yearly wellness checks are concerned. However, a gynecological exam typically only consists of a pelvic exam, a Pap smear, and a breast exam. A mammogram and additional women’s health tests may also be performed if you are at a higher risk for certain conditions and illnesses. 

What to Expect During a Pelvic Exam, Pap Smear, and Breast Exam

Pelvic exams are performed to determine if the uterus, ovaries, cervix, and bladder are in good health. This exam includes a visual and manual check to find any signs of a problem. Pap smears are usually performed at the same time as the pelvic exam. This is a screening test for cervical cancer that involves swabbing the cervix to find abnormalities in cervical cells. 

Manual breast exams are performed in women between ages 20 – 40 during their annual gynecological visit. This exam finds lumps and other abnormalities in the breast that could be signs of breast cancer. Women aged 40 and up also receive a mammogram, an x-ray of the breasts that finds changes in breast tissue and other symptoms of cancer. 

What to Expect During a Traditional Annual Health Exam

Gynecological exams focus on a woman’s reproductive and breast health while a traditional wellness exam takes an overall look at physical and mental health. Women can expect a physical exam, blood tests, and to discuss their personal and family health history with their provider. This is also the best time for women to share any mental health concerns with their providers so they can begin addressing the issue. 

Women’s Health at Mantachie Clinic

We offer comprehensive annual health exams as well as women’s pelvic exams and Pap smears at Mantachie Rural Healthcare. We also have in-house mental health professionals in case you and your provider determine you need more assistance in treating your concerns. You may schedule these visits in the same appointment or at different times. We encourage you to schedule these important exams each year to help us keep you in the best health possible. Click here or dial 662-282-4226 to schedule an appointment now. 

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