peninsula private hospital specialists

1 day ago. Peninsula Health Care Pty Ltd then opened a new three bed facility called Peninsula Private Sleep Laboratory in September 1999 as a co-located private hospital on the Manly Public Hospital campus. Your doctor may also contact us directly via phone or they can fax or email a referral so that we can contact you to organise a suitable appointment. Not wishing to underutilise her skills, she has the significant responsibility at PHC of continuing the training of the junior sonographers. A TOE is a procedure that looks at the heart chambers and valves using ultrasound. Copyright document.write(new Date().getFullYear()) Ramsay Health Care - All Rights Reserved. The Department is also unable to manage psychiatric, drug and alcohol, and sexual assault presentations. A Mornington Peninsula resident, Deb loves to spend her downtime walking the local trails with her husband, 2 daughters and Kelpie Billie. Smoking is hateful to the nose, harmful to the brain, and dangerous to the lungs. Sometimes these valves may become narrowed, causing obstruction to blood flow, or the valve may leak causing the blood to flow backwards within the heart which affects the efficiency of the heart's function. At Peninsula Private Hospital, emergency cardiac situations receive rapid access through our emergency department where a team of experts are on hand 24/7 to diagnose, treat and manage these conditions as fast as possible. Over 70,000 procedures carried out last year. This is a current listing of all Peninsula Health Specialists. Please note that the Medicare rebate amount can vary, taking in to consideration the Extended Medicare Safety Net. Commencing her career in admin, Deb quickly developed an interest in allied medical health through her tenure at Dorevitch Pathology. After working at the Mercy Hospital for Women and the Austin Hospital, Natalie completed her specialist training locally at Frankston Hospital and Monash Medical Centre. Contact Us. Peninsula Private Hospital is currently looking for an experienced Registered Nurses to join their Medical Rehab Ward on a Casual basis. The clinic is staffed by Mr Christopher Thomas and Dr Jonathan Hunter. As an critical Care Registered Nurse with wealthy background of experience in Intensive and Coronary Care, she was instrumental in the development of a high acuity transport service, managing the assessment and resource allocation for urgent inter hospital transfers requiring advanced cardiopulmonary support. It is important to understand the level of cover you have with your health insurer prior to any emergency treatment or admission as an inpatient. An out of pocket fee is payable for consultations. The East Riding of Yorkshire, or simply East Riding or East Yorkshire, is a ceremonial county and unitary authority area in the Yorkshire and the Humber region of England.It borders North Yorkshire to the north and west, South Yorkshire to the south-west, and Lincolnshire to the south.. Our comprehensive rehabilitation program is individually tailored and designed to aid recovery, helping people return to their previous lifestyle and activities through exercise, nutritional support, and education. Tacoma (/ t k o m / t-KOH-m) is the county seat of Pierce County, Washington, United States. We aim to respond to all email queries within two business days. General Enquiries 03 5976 0888 Fax 03 5975 9144. She enjoys her competition Victorian pennant tennis and a social match with her friends and family. Providing excellence in patient care is at the heart of all our endeavours. COVID-19 information for patients and visitors, Implantable Cardioverter Defibrillator (ICD), 128 Multi-slice Cardiac CT (in collaboration with MIA Radiology, Peninsula Private Hospital), 128 multi-slice CT Angiography & Cardiac CT, Intravascular ultrasound to check details of coronary narrowings, Pericardiocentesis (draining fluid from the sac surrounding the heart), Renal denervation (for resistant hypertension), Reconstruction/ replacement of the thoracic aorta, including the arch, Electrophysiology surgery for life-threatening arrhythmias, Correction of congenital cardiac abnormalities in adults. Peninsula Private Hospital has a long-established history of providing quality cancer care to the local community, with an extensive range of inpatient, outpatient and supportive services. Respiratory illnessis a medical term that includes disorders affecting the parts of the body that are responsible for passing oxygen from the air into our blood stream and expelling waste products (carbon dioxide) from the body. A first-class honours graduate of Monash University, Dr Szto undertook his internship and specialist training at the Alfred Hospital in Melbourne, under the leadership of Associate Professor Aubrey Pitt and Professor Garry Jennings. Everyone who presents at the Emergency Department will have an initial assessment by a specially trained nurse. Peninsula Private Hospital is the only private medical facility on the Mornington Peninsula specializing in cutting edge diagnostic, emergency and elective heart and cardiovascular care including open heart surgery. Dr Burgess is the sole director of Peninsula Health Care Pty Ltd and was also the Executive Officer and Medical Director of that Laboratory. We recognise that we operate in an industry where "care" is not just a value statement, but a critical part of the way we must go about our daily operations in order to meet the expectations of our customers - our patients and our staff. Peninsula Heart Centre is delighted to welcome Dr David Di Fiore to our team of Interventional cardiologists having relocated from his practice in Bundaberg to live and work full time in the Albury Wodonga area. Sumali para makita ang profile Zamboanga Doctors' Hospital. Robyn and her husband spend her free time with her 3 adult children and 6 grandchildren andenjoys regular walks with her quirky French Bulldog Frankie. The Oversized Primary Bedroom Has Upgraded Bay Windows, an Extra-Large Walk-In Closet, and a Custom-Built Walk-In Shower . Please click on each unit to see Specialist details Aged Care - Phone: 9784 8699 Anaesthesia - Phone: 9784 7445, 9784 8475 Cardiology - Phone: 9784 1177 Community Care - Phone: 9788 1700 Dental - Community Health - Phone: 9784 8184 Emergency Medicine- Phone: 9784 7196 (FH)-Phone: 5986 0624 (RH) Endocrinology- Phone: 9784 7250 ENT- Phone- 9784 7368 King James I, Sleep is the best meditation. Dr Natalie Elphinstone is a specialised Obstetrician and Gynaecologist practicing in the Mornington Peninsula area. Sandy ensures compliance and accountability in the practices Research and Development activities. She also enjoys seeing patients privately at Peninsula Private Hospital where she feels she can offer an even greater level of personalised care. The purpose of sleep is to prepare you for optimal function the following day. Healthscope will remain as the operator of Peninsula Private while NorthWest pursues plans to roughly double the capacity of the facilities on George Street in Kippa-Ring. 22,490 were here. He started his basic physician training at Frankston Hospital which he completed at The Alfred hospital in Melbourne. Around 9000 elective . That is why Peninsula Private Hospital offers a personalised approach to cancer care combined with cutting edge scientific and clinical research. From stress echo cardiograph (an ultrasound test to measure how well your heart is pumping while using a treadmill) through to sleep apnoea testing, Transthoracic Echocardiogram, Trans Oesophegeal Echocardiogram, ECG monitoring via Loop Recorders and or Holter Monitors. On completion of his basic Physician training at the Austin Hospital in 2013, he undertook his advanced training in cardiology in Launceston before concluding his cardiology fellowship at one of the most reputed interventional training programs in Australia, Monash Medical Centre. He participated in many clinical trials and gave presentations at US cardiology conferences. About Ramsay Pharmacy; Aged Care; HCF; Covid-19 Vaccinations; Store Finder; 10022; Ramsay Pharmacy Peninsula Private Hospital 24 Hr. Peninsula Heart Centre is delighted to be collaborating with Dr David Kannar, who is an Adjunct Associate Professor at Monash University, Melbourne. Payments can be made via cash, EFTPOS, credit card or direct deposit. Hospitals and health services directory; Peninsula Private Hospital; Peninsula Private Hospital. Peninsula Private is an acute surgical and rehabilitation hospital with 70 beds, two theatres and a procedure room. Dr Sam Joseph grew up in Melbourne and completed his medical studies at Melbourne University. Health management experience with project roles in patient flow in acute and subacute services. | As part of our obstetric costs, a Planning & Management Fee is payable once the pregnancy has progressed beyond 28 weeks. This is a minimally invasive procedure that is of benefit for patients considered too high-risk for open heart surgery. After 30 years on the Redcliffe Peninsula, were renowned for orthopaedics, ophthalmology, gastroenterology, urology and rehabilitation. Services Patient information Location and Contact Us Doctors Dr Shyamala Arunasalam, Infectious Diseases and General Physician These modern, beautiful rooms provide a comfortable setting for both patients and doctors. Nepean Cardiology is recognised as a leading cardiac treatment and investigation centre in South East Victoria. Peninsula Private Hospital, located in Kippa-Ring, is a 70 bed hospital with medical, surgical and rehabilitation services. Georgia oversees all business development within the practice: Her scope includes everything from purchasing medical equipment, liaising with hospital administration to the project management and design of PHC sites. His likeminded philosophy and complementary skillset allows us to continue to provide a timely health care service and expert patient care to the local community. | She is adept at assisting at specialised echo studies with bubble or Definity contrast in the diagnosis of PFO or thrombus. Peninsula Specialists Suites Corner of George and Florence Streets Kippa-Ring Queensland 4021. For all gynaecoloy matters, please contact Dr Natalies colleages at Frankston Obstetrics & Gynaecology. In her spare time, she enjoys a casual round of golf and spending time with her 4 adult children and grand-daughter Bonnie . We welcomed Deb to our Cardiac Services team in February 2021. Honest pricing. Ramsay Health Care's slogan "People Caring for People" was developed over 25 years ago and has become synonymous with the way we operate our business. This has allowed our centre to always provide an excellent and prompt echo service across all sites. Her gentle technique has had many a patient close to sleep as she collects the images with skill and precision. Peninsula Private Hospital Hospitals and Health Care Langwarrin, Victoria 449 followers Follow View all 144 employees About us Peninsula Private Hospital is a comprehensive 272 bed acute. Alternatively, follow the links . She has ensured this ethos is reflected in all areas of the practice. The hospital replaced one of the same name in Chiapinni Street, which had been founded by Dr Samuel Bailey in 1818 as the first civilian hospital in Cape Town. Peninsula Private Hospital CEO, Michelle Henderson, said: "We are in the unique position to be able to offer residents on the Peninsula access to the highest possible standard of care using state of the art technologies." . In his role as Director of Cardiology, Greg oversaw the introduction of a coronary care unit, helped facilitate the direct admission of cardiac patients to the hospital. Joining our team in late 2020, Dr Mariusz Wolbinski brings with him international experience in interventional and structural heart disease. Kathy attends the professions Echo Australia conference annually to ensure she stays abreast of current trends and guidelines to add to her vast knowledge in cardiac sonography. She has a wit and uncanny sense of humour andis a pivotal part of what has become a successful medical practice offering total cardiovascular care to the Mornington Peninsula and beyond. Our state-of-the-art diagnostic services and theatres at Peninsula Private Hospital enable our specialists and multidisciplinary team to provide comprehensive cardiac care. One of the worlds leading healthcare providers, Ramsay Health Care, has committed to achieving Net Zero greenhouse gas emissions across its value chain by the year 2040. The Somerset Hospital in the Green Point area of Cape Town, South Africa opened in 1864 and has been declared a provincial heritage site.. The coastal towns of Bridlington, Hornsea and Withernsea are popular with tourists, the town of Howden . Contact us to ascertain if your preferred specialist is accredited here. Our multidisciplinary team of experienced Obstetricians, Midwives, nursing staff and allied health professionals work together to ensure a supportive and personalised experience before, during and after pregnancy. Peninsula Private Hospital Peninsula Health Monash Medical Centre Holmesglen Private Hospital Biography Procedures & Conditions Experience Biography Mr Adrian Pick is a Cardiothoracic Surgeon that currently works at the Cabrini Medical Centre, Peninsula Private Hospital, Peninsula Health, Monash Medical Centre, and Holmesglen Private Hospital. Our team of world-class surgeons, specialist doctors, nurses and other professionals will ensure that your holistic healthcare experience is exactly as you hoped. This is a technique using a contrast medium to outline blood vessels. Marina is experienced in all aspects of cardiac echo testing including stress and pharmacological stress echo. The Peninsula Private Hospital Emergency Department provides emergency care for people who need urgent medical attention. Peninsula Private is an acute surgical and rehabilitation hospital with 70 beds, two theatres and a procedure room. An internationally respected cardiologist, Dr Greg Szto is a resident of the Mornington Peninsula and is committed to the provision and development of heart care for an area that was previously reliant on Melbourne metropolitan services. Coronary Artery Bypass Surgery restores blood flow to the heart muscle by adding a graft (vein or artery) to bypass the blocked area. | Finalisation of the Pregnancy Management Fee expected prior to 30 weeks gestation. Booking your admission online is now faster and easier than ever before. Sandy enjoys the balance of her bookkeeping responsibilities with care for her grandchildren and always look forward to her annual holiday to exotic overseas destinations. Pablo de Amesti Davanzo, MA, MD, is a board-certified psychiatrist and Senate Emeritus from the UCLA School of Medicine. Part of Ramsay Health Care. Greg led the introduction of keyhole aortic valve implantation at Peninsula Private Hospital in 2015. When a patient becomes lightheaded or feels palpitations, they can activate the loop recorder to record their heart rhythm at the time. Dr Sam Joseph is a trained specialist Orthopaedic Surgeon with a focus on hip and knee conditions in the bayside area of Melbourne. Home About Us. About Our Hospital; Part of Ramsay Health Care; . Welcome to this Exquisite Rosette Floor Plan with Private Pool and Spa Located in the Gated 55+ Community of Four Seasons Beaumont. Its cares for women with normal and high risk pregnancies. Zamboanga Doctors' Hospital Mar 2022 - Kasalukuyan 1 taon 1 buwan. A minimally invasive procedure that assesses the electrical activity and conduction pathways of the heart. Net Promoter Score surveys help us to understand how well we are meeting patient expectations, and to identify any areas needing improvement. He then went onto complete 3 more years of training in Respiratory and Sleep Medicine at The Alfred Hospital and Frankston hospital. Having trained at Monash Heart gave her exemplary training and insight into what grew to be her passion. Proposed Hospital Development for the Peninsula Hospital at Ikota, Lekki, Lagos Jul 2015 - Apr 2016 This design proposal was in response to the client's desire for a striking, modern and yet timeless hospital development to go 12 floors on a 2785sq.mtrs linear site at Ikota, behind Mega Chicken Complex at Lekki, Lagos State, Nigeria. Doctor at St. Vincent's Hospital Melbourne. We have a highly skilled group of dedicated orthopaedic surgeons with a broad range of expertise. The Central Military Commission ( CMC) is the highest national defense organization in the People's Republic of China. This path has provided her with a wealth of experience which she shared with many local cardiologists working at Frankston hospital as chief cardiac technologist/sonographer. He is a fellow of the Royal Australasian Society of Physicians, a member of the Thoracic Society of Australia and a Registered Polysomnographist. Although sleep is relaxing and considered resting it is actually anactiveprocess where your body cycles through different stages. Payment on the day of service is appreciated and patients registered for Medicare Online can have their Medicare claim processed electronically at the time of payment. We thank you for your patience and understanding. A dedicated car park is available for patient use as part of the Peninsula Private Hospital facilities. He is adept at various diagnostic and therapeutic procedures including flexible bronchoscopy, endobronchial ultrasound and intercostal catheter insertion. 03 9781 5244 Dr Sameer Kaul is a fellow of the Royal Australasian College of Physicians having specialised in Respiratory and Sleep Medicine. With a focus on obstetric care, Dr Natalie is unavailable for gynaecology services. Metabolic Medicine Private Hospitals & Specialists in Whangaparoa Peninsula, North Auckland Search for Metabolic Medicine services within Whangaparoa Peninsula We have 0 services and 3 people available to people living in Whangaparoa Peninsula matching your criteria. Read on to find out more about our wonderful obstetricians and gynaecologists. Zamboanga Peninsula, Philippines. Depending on your childs condition and circumstances, this transfer may be by private car or ambulance. Peninsula Private Hospital is proud to offer both inpatient and outpatient rehabilitation programs in our modern, spacious purpose built rehabilitation gym. Stenting involves stretching a narrowed area of the artery with a small cylindrical balloon. Dr Szto also speaks Cantonese and Malay. Dr Natalie is based at Peninsula Private Hospital, caring for patients with or without a health fund membership. Depending on your situation, you may then receive treatment by our Emergency Department Specialist Doctors and Medical Officers. The probe is passed through the mouth and into the oesophagus. Natalie and her family now reside in Mount Eliza. We aim to respond to all queries within two business days. She oversees all of the payroll as well as many of the HR functions. Suite 22, Peninsula Specialist Centre 101 George St, Kippa-Ring, QLD, 4021 Suite 306, North Lakes Specialist Medical Centre, Level 3, 6 North Lakes Drive, North Lakes, QLD, 4509 For an appointment please Phone number 07 3883 4431 receptionatjpmeyerurology@gmail.com Operating at Peninsula Private Hospital, Kippa-Ring, 4021 St Vincent's Northside, 2023 Healthscope | All rights reserved | Privacy Policy, Consider if your visit to the hospital is necessary at this time, Perform a RAT test and return a negative result on your day of visit, Wear a mask at all times while in the hospital, Maintain social distancing and practice hand hygiene, Are a close or household contact of someone who is ill. 9 tips and reviews Juicy Couture: The massage to try at one of the two locations is the Ashiatsu treatment. General Paediatrics & Paediatric Cardiologist, Bariatric, Laparoscopic & General Surgeon. The Closure device will be deployed under Transoesophageal Echocardiogram guidance while the patient is under a General Anaesthetic. Pay for yourself. All cardiovascular diagnostic and treatment services, including emergency cardiac services are provided in one location onsite, 24/7. In an external cardioversion you are given a medicine to help you relax then external paddles are placed on your chest or back. Help using this website - Accessibility statement, Singaporean sovereign wealth fund GIC four years ago, absorbed half of Healthscopes property portfolio. Patient education and discussion begins at this time. This is an operation to repair or replace one of the four valves inside the heart. Peninsula Private Hospitals emergency department is staffed 24/7 by a team of highly trained doctors and nurses who provide prompt and professional emergency care. He acquired broad experience in all facets of Internal Medicine with placements in various metropolitan, suburban and rural hospitals including Rosebud, Sandringham, Shepparton and Mildura Base Hospital. Cardiac Specialists at Peninsula Private Hospital include Cardiologists, Interventional Cardiologists and Cardiothoracic surgeons. A SOLDIER'S LETTER. The multi-disciplinary setting of being inside the Peninsula Private Hospital offers patients the convenience of access to many specialist doctors in the one location. A loop recorder is a small device that is inserted to allow the monitoring of your hearts rhythm. About Us | Contact Us | News | Blogs | Sign up Self-pay healthcare. Vikki is well-known to many doctors who have worked with her over the past 30 years and is a familiar face to our patients offering reassurance and continuity of care. Plus, our cardio-thoracic surgeons also offer: General Enquiries Sandy works diligently in the background, reconciling all invoicing, debits and credits, and maintains a very rigorous payment process. More information about our obstetric fees, including no-obligation quotes are available by contacting our friendly staff. The procedure may be done in a variety of ways, depending on the indications. This is where his interest and passion for the cardiovascular system began when learning about cardiovascular anatomy and function. Vikkihas the important role of Research Co-ordinator of the various clinical research and trials that have been conducted in our practice since 2005. We have introduced initiatives such as the Ramsay Rule and the Speak Up For Patient Safety Program, to promote patient safety and maintain high standards of care. It extends from the Arctic Ocean in the north to the Southern Ocean (or, depending on definition, to Antarctica) in the south, and is bounded by the continents of Asia and Oceania in the west and the Americas in the east. Overcoming sleepiness and poor sleep can change your life. There are not many clinical or administrative activities at Peninsula Heart Centre that do not involve Vikki. The facilities stand on a 14,600sq m site, 27 kilometres north-east of the . Get directions to Plymouth Contact Numbers Private patients: 0330 058 1779 NHS patients: 0333 321 1953 Opening Hours Our opening hours are 7am-6pm Monday to Friday and 8am-6pm on the weekends. Greg is Director of Cardiology at Peninsula Private Hospital, renowned for its comprehensive diagnostic, emergency and elective heart care. The phone number for Peninsula Private Hospital is (03) 9788 3466. Medical When you visit a doctor outside a hospital, Medicare will reimburse 100% of the Medicare Benefits Schedule (MBS) fee for a general practitioner and 85% of the MBS fee for service provided by a specialist. 230000KY. Natalie and her family now reside in Mount Eliza. These modern, beautiful rooms provide a comfortable setting for both patients and doctors. We provide care for a wide variety of patients, including: Medical emergencies Senior falls Child injury Sporting injury Workplace injury Cardiac conditions such as heart attack Contact telephone numbers for each unit of speciality are also listed. The facilities stand on a 14,600sq m site, 27 kilometres north-east of the Brisbane CBD. Dr Szto completed advanced coronary intervention training at St Vincent Hospital in Indianapolis, USA, under the mentorship of the late Professor Thomas J. Linnemeir, a pioneer in coronary angioplasty. The experience of our 3 cardiologists will inject further insight into what he images and how this may relate to the patients clinical condition. He enjoys the kind of travel that indulges his love of photography and maximises time spent with his wife Georgia, and children Hannah and Noah. ECG Stress testing, BP monitor and Holter rhythm analysis along with remote Pacemaker monitoring and management fall within her realm of practice and experience. He returned to work as the Senior Medical Registrar at The Alfred hospital where he was heavily involved in the organization of the hospitals physician training program, departmental research, audits and supervision of junior medical staff. Dr Natalie loves caring for pregnant women. Peninsula Respiratory Group is a referral based medical group practice that specialises in the diagnosis and treatment of respiratory and sleep disorders. Peninsula Private Hospital McClelland Drive, Langwarrin, VIC 3910 03 9788 0000 About Peninsula Private Hospital Peninsula Private Hospital has a long-established history of providing quality cancer care to the local community, with an extensive range of inpatient, outpatient and supportive services. She soon completed her Phlebotomy qualifications and has most recently continued her training, undertaking a Cardiac Technician role with Peninsula Heart. Zac completed a Bachelor of Science (Honours) through Monash University, with a major in Human Physiology in 2015. This experience was shared in her clinical educator role through Monash University and in the training of nurses during their Bachelor of Nursing degree. She is committed to providing the best care to all patients and sees it as a great privilege to be entrusted in this role. Contact Us a $600 million innovation, education and healthcare precinct in Geelong. This remarkable technology allows our highly skilled specialists to conduct a broad range of advanced surgical procedures with much smaller incisions and improved control, precision and movement. His research underpinned the creation of products, such as low GI sugar, transdermal and novel Oral Drug delivery systems, to significantly enhance the tolerability of drugs. Transcatheter Aortic Valve Implantation (TAVI). Greg is Director of Cardiology at Peninsula Private Hospital, renowned for its comprehensive diagnostic, emergency and elective heart care. Our outpatient clinic Ramsay Health Plus, located at Beleura Private Hospital, provides a range of expert allied health services in one location. Facebook Twitter Instagram LinkedIn. He collaborated with local radiologists to establish the multi-slice cardiac CT scanning program in 2007. Costs for obstetric or gynaecology care can vary significantly, depending on your Medicare status and between private health funds. She offers sound advice and is a support to the cardiologists with whom she is working. Her familiarity with introducing new products (approved and unapproved) has her dealing with organisations such as TGA on a regular basis. NorthWest plans to upgrade Peninsula Private and expand its services. His career to date has seen him perform over 1000 coronary artery stenting procedures and 300 trans-catheter aortic valve implants. Peninsula Private Hospital Cardiac Care services offer patients the gold standard in cardiac care, supporting you through diagnosis, treatment, and recovery. The total value of the private hospital real estate sector is expected to reach $41 billion by 2041. Dr Natalie is based at Peninsula Private Hospital, caring for patients with or without a health fund membership. He is a current member of the Thoracic Society of Australia and New Zealand and holds public appointments at Frankston and Rosebud Hospital. At Peninsula Private, we understand this and deliver a maternity experience like no other. Contact details. At 165,250,000 square kilometers (63,800,000 . Natalie plays an active role in teaching and mentoring the next generation of medical students, specialist trainees and obstetric GPs through her public appointment at Frankston Hospital. As an interventional cardiologist, Greg performs coronary angiograms to diagnose heart artery blockages. Location details All patients are admitted to the hospital via the front desk. Hardworking and dedication are words that easily spring to mind when we think about the contribution she has made to our practice. He is active in investigator-initiated and global multinational clinical research. During this period of practice his surgical management encompassed all areas of the body. Dr Greg Szto - 0438 231 165Dr Vivek Gupta - 0431 025 021Dr Mariusz Wolbinski - 0419 876 429Dr Anthony Pisaniello - 0407 606 894, Suite 11Peninsula Private Hospital525 McClelland Drive, Consulting Suite 7Beleura Private Hospital925 Nepean Highway, Suite 8Peninsula Medical Suites1533 Pt Nepean Road, Suite 11, Peninsula Private Hospital525 McClelland Drive, Consulting Suite 7, Beleura Private Hospital925 Nepean Highway, Suite 8,Peninsula Medical Suites1533 Pt Nepean Road, Copyright Peninsula Heart Centre 2022 | Website by Grendesign.

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