peachford hospital investigation

The articles prompted the U.S. Justice Department to open a civil rights investigation into Georgias mental health system. I mean, we were paying customers who were being treated as if we had broken a major law and were criminals. The sleeping arrangements were horrible. A man holds himself in a tight hug as he rocks in a continuous motion, back and forth, back and forth. I never received a call from her social worker until I threatened to report her on her voice mail. Read More Business Details. At the recommendation of my child's psychiatrist we took her to Peachford due to depression. I cant wear clothes inside my home or have a sheet over me at night because it burns too much. As the negotiations continue, the state hospitals seem to have become especially cautious about accepting patients with acute psychotic conditions, said Matt Crouch, chief executive of Peachford Hospital, a private psychiatric facility in Dunwoody. This experience has set him back terribly, I believe largely due to the trauma caused by the degradation and memory he is now trying to deal with. I never did go to cardio rehab after having open heart surgery because I was still trying to get my husband cardio rehab from over two years ago paid for. My heart breaks for loved ones who think they're doing something positive for a family member and then find out what this place is really like. Georgia Department of Community Read the online privacy policy carefully so that you understand our privacy practices. xb```f``$12 /P9.0 U=^dv]e[[uy>&F4f|gNl]w> j@DCm.Y\c.RtIWDak[fh{Jo=/mT$1p?+!5w=;w]!L).- I told them that i don't have good insurance so they insist me staying there another night. what is the highest rank in the police department. I even threw out the words side effects from drugs he had me on and he still wasnt interested. HTn0}W1U7R.C4j_=xxHr7,v%C!y3ZC1(~%*b8vdc3.D2h0d\>|O Z!UHPJy02/VASEsB#hj)$f^4FL?2(F6-&[p7EU+vn*,U=$FXYe-zvu'B[AIcP. It was cold at night the blankets were thin and they told us when to go outside and when to use the restroom. They kept me days longer than the required 72 hours for a suicidal patient because of my insurance. Restraints often give one a black eye and swollen face. Detox is the process of removing drugs and/or alcohol from the body, a process that can be lethal if mismanaged. Are patients going to have to just sit tight until Tuesday? Crouch wrote. She then tried to lie and told me she called me several times. They present this form to you because signing it means they can keep your child for an additional 72 hours. B. Burningknight2013 of Lithia Springs, US. It is the biggest fraud I have ever seen. Peachford didn't even call me till 8 hours later . In theory, Grady can send patients to Georgia Regional/Atlanta for longer-term treatment. Prison Im sure is better. Patients may spend a day or two in the observation area known in the hospital simply as chairs before the medical staff has to decide whether to move them into hospital beds, try to transfer them to state hospitals or let them leave. 0000002962 00000 n That Friday, Peachfords placement counselors learned that the state hospitals not only werent accepting patients, they would not even consider transfer requests until the following Tuesday. Emory was great though and I appreciate the treatment I received from them. %%EOF The mother of one of those patients is angry. The toilet was rarely cleaned and it was so bad one day I told them Id clean it myself. 0000004154 00000 n They didn't tell him that he needed to call me with the patient ID number. I was a patient at this hospital twice in 2013. Shop; Travel; Watch; Read The staff was very rude and unprofessional. Submit a complaint and get your issue resolved. There are going to be times when we are at capacity.. I was drugged beaten and raped. We'll never be back there. 15-01119-315 August 1, 2017 VA Office of Inspector General Washington, DC 113 0 obj<>stream Theresa W. spent 78 hours in the emergency room at Emory Adventist Hospital in Smyrna, even though she had been accepted at Northwest Georgia Regional Hospital more than 24 hours earlier. I checked in early July 2015, and didn't leave until July 29th. trailer During visitation, there is one child there that screams constantly and he was grating my nerves. I pleaded with him to let me go after 72 hours because I own my own business and I live alone and work alone. Founded in 1951, the Joint Commision's mission is to improve the quality of patient care and demonstrating the quality of patient care. When I went to the nursing station, I questioned her on ever med. I told them I needed a sleep apnea machine and without it I could die in my sleep, so they brought me a useless oxygen machine, and when I told them I needed an apnea machine they just laughed in my face, like they did when I asked if I was in withdrawal . Peachford hospital does not treat the mentally ill, they abuse them. 30346, (Minimum of 35 characters and a maximum of 1000 characters), By clicking the Post Review below button you agree to Rehab.com's, Miramar Recovery Center - Newport Beach Rehab, Bon Secours Richmond Community Hospital - Behavioral Health, Western Montana Mental Health Center - Dakota Place. Also, I had thyroid cancer removed shortly before the admittance during assessments and when I meet Dr.Medhi and the medical staff, they refused a copyo my medical records. A lovely patient who saw what happened stepped forward to help me up and he pushed her back and snapped someone that size is going to break your back! Eventually I found the grit to push myself back up on my hands but with no help from anyone at that hospital. She is now in a rehab facility for at least the next 8 weeks of physical therapy. I'm ready to SUE! ComplaintsBoard.com is a leading complaint resolution website on the Internet. They often need constant supervision, he said, and occupy nurses or security guards full time. This review was chosen algorithmically as the most valued customer feedback. I watched them deny a homeless woman a pair of disposable underwear and made her stand there and pee herself because there was a line to the only toilet and they wouldnt let her into her room for a second under supervision if that was the issue, and just stood there and snapped at her no you can pee yourself and in the end she couldnt hold it any longer and she did. I was placed in the section for depressed people. She told Channel 2s Mike Petchenik that she dropped her son off for treatment at Peachford Hospital in Dunwoody, and later learned someone on the inside gave him drugs. They would not let us leave without a Doctor's permission, even though we had not completed the check-in. I took notes every time I saw him. My 83 year old grandma who has dementia and memory loss was declared a 1013 by an e.r doctor after i took her to the hospital for a severe anxiety attack. Everyone that is posting here needs to file a complaint on Peachford Behavioral Health system of Atanta I Cynthia WatsonThis place kept me a total of 209 hours when I was a patient here. The whole unit was terrified of being sent there because it was known as a unit where they sent patients that were very unstable and where there was excrement on the walls. And the irony is if you are raped in Georgia the only program is at Grady. I hoped as a parent with no control that floyd hospital in ga was sending my child to a place that could help him. On the positive note, I am now willing to go to any length to treat the depression and symptoms that took me to Peachford. Beginning steps involve admitting powerlessness over the addiction and creating a spiritual basis for recovery. DUNWOODY, Ga. A hospital that treats people for addiction issues is being criticized after someone smuggled in drugs and gave them to at least three patients. Until you see a doctor, you are not allowed in the cafeteria and are given a plate of whatever. Case opinion for GA Court of Appeals CHARTER PEACHFORD BEHAVIORAL HEALTH SYSTEM INC v. KOHOUT. Never ever put your child here. After Ridgeview I don't think I am going to Grady!? I tried to stay on all the medications, but there was no way I could successfully run a business as a zombie. He was admitted to the Regional Hospital in Athens, Ga on Tuesday October 3rd around 5 pm. I went in there for depression but staying there didn't help it cause the depression worst. It's why I will never trust another mental healthcare facility ever again. ALTHOUGH I do not regret the stay AT ALL. Please everyone else needs to contact them. this place sounds like something out of a horror movie. WebDual-Diagnosis Treatment at Peachford Hospital The most common co-occurring disorders are schizophrenia, depression, and bipolar disorder. I am NOT depressed! Rehab.com does not guarantee the quality of care provided, or the results to be achieved, by any rehab or therapy service or treatment facility you might find through us. State and federal officials are now negotiating a settlement in that case. He was, as a counselor said, a suicidal, wanting-to-die patient.. Its decreasing the size of the target on their backs, Crouch said. Additional calls to numbers marked with a label like ad will be primarily routed to advertisers of the website. It was only after November 9, when he was released that he told me what he had experienced during intake. If you know of anyone that was from June 27 - July 2 please inform them. I ended up in the ER after having a severe panic attack from not getting the drugs that peachford forced me to take my entire stay. I ask to speak to Mat Crouch after no resolve from Shelia, the patients advocate. I have been left with such physically damage from ripping me cold Turkey off my medications that I am in agony 24/7 and I will likely need a spinal stimulator implant. I met wonderful people who are still my friends today and so many of them looked up to me and it warmed my heart so much when Happy Tails brought the puppies for us to see. But at some point, you get tired of asking. 807, 816(2), 163 S.E. These hospitals need to be stopped. We arrived at 7:45PM and it wasn't until 2:45AM the next morning that our child was assigned a room. We also need to have the accountability, that the programs that theyre involved in are going to be monitored, the students are safe and protected, and that they are not going to be left unsupervised. My doctor was very rude to me every time I saw him. He had overdosed two days before being admitted to the hospital. Many of those suffering from addiction also suffer from mental or emotional illnesses like schizophrenia, bipolar disorder, depression, or anxiety disorders. The doctor himself, that couldnt be bothered to see me once in there, later said he failed me and I shouldnt have been in there in the first place. She was obviously singled out because of her religious practice. He kept me an extra day because he "thought" I was not ready (or my insurance would cover it - more $$$ for Peachford). This is an unexpected attitude from a mental health hospital staff, being that deaths do occur due to overdoses or suicides. Could be they don't care, or could be they don't know what they are doing. This was the best way to get away from my parents for 6 days and have no contact with people from the "real world" I even cried when I had to leave. I posted on her 6 months ago about my 83 year old grandma and her breaking a hip there. When addictive behavior and mental illness create problems that prohibit the patient and family from functioning, Peachford provides a comprehensive program to assist in stabilizing the situation. We take patient satisfaction seriously. A number of substance abuse programs (including some drug and alcohol rehab centers) use the 12 steps as a basis for treatment. They count on the facts that they are dealing with the mentally ill and the family members will not believe what they are told by the patient, and Georgia has effectively stripped family members of their rights to intervene on the patients behalf. A few other people pace the length and width of this room, a temporary observation area on the 13th floor of Grady Memorial Hospital: the psychiatric ward. they had me overmedicated my whole time there. Please call me if you have any suggestions as to how we can get these consumers served this weekend.. The state wants to expand its network of 16 crisis units, Wilson said, as federal authorities push to eliminate or reduce the size of the state hospitals. Peachford Hospital review: patient rights totally violated. A few feet away, a woman in a green recliner sleeps beneath a white cotton blanket, undisturbed by the television showing quarter-century-old reruns of The Cosby Show.. Most hospital emergency rooms are not set up for psychiatric care, said Cox, the president of the emergency physicians organization. Just got out of theresame story now My 22 y.o. My mom, a family therapist, says that at most I have severe depression with psychotic features, because I was having auditory and visual hallucinations on the day of admission. At Peachford Hospital, our aim is to help our patients heal mentally and emotionally. We offer inpatient and outpatient treatment services tailored to each individuals needs. By working with the patient and their family, our mental health professionals provide strategies that assist them in the recovery process. 12-step programs are addiction recovery models based on Alcoholics Anonymous (AA). - Nurse from UHS-owned Pembroke Hospital in Massachusetts, in a letter to hospital administrators regarding an incident with teenage patients that occurred one week after one If you have no mental illness, as you say, then you shouldn't be there just to get away from your parents. I see my comments were removed. 95 0 obj <> endobj After six days in the emergency room, where she received no psychiatric treatment, Samantha returned home on May 28. Thanks. They have utterly destroyed my life. Rehab.com is an advertising-supported online consumer resource that provides information about a variety of rehabilitation and therapy services and resources. First, people don't ask to be mentally ill. Would you tell a cancer patient that they got themselves into this mess? does anyone know who she is and what happened? Having suffered the worse night of my life, the next morning I was hyperventilating, the pain was so bad I was close to fainting, and I couldnt feel my face because it had gone numb, and I collapsed. I begged my husband to call 911 and get me out of there. Maybe you should consider a career as a counselor or therapist since you seemed to thrive in that environment. The Joint Commission, formerly known as JCAHO, is a nonprofit organization that accredits rehab organizations and programs. Over time, a physical dependence can develop, meaning the body physiologically needs the substance to function. WSB-TV Channel 2 - Atlanta facebook feed(Opens a new window), WSB-TV Channel 2 - Atlanta twitter feed(Opens a new window), WSB-TV Channel 2 - Atlanta instagram feed(Opens a new window), WSB-TV Channel 2 - Atlanta youtube feed(Opens a new window). April Wood, the daughter of Sherlie Wood, sued UHS of Peachford and Dr. Interested in advertising? C. Diff is a highly contagious illness and asked them to please send me to the transplant unit at Emory as I was having sever stomach aches and diarrhea. I can't even begin to convey the level of unprofessional, degrading, purely rude, and borderline illegal behavior exhibited by the staff of the mental illness ward at this "hospital." The second day, the same facilities again declined to accept Richard, whose full name was deleted from documents obtained by the AJC. I was in Peachford for 3 days, just returned home yesterday. I still dont know why. But the patients, he said, rarely see psychiatrists during their time in an emergency room. Apart from getting vitals taken I never had to be given medication so my goal was mentoring to the other teenagers and helping them with their troubles. He just stood there over me yelling. I was admitted on a 1013 after having what I can only describe as a nervous breakdown. 0 If you have a disability, they couldn't care less. They took away smoke breaks with no warning. Like many other reviews, being treated as criminals is so accurate. My other doctors did nothing. The bathroom showers were actually made of granite during my stay there and I have never eaten a better chocolate cake or tilapia ANYWHERE else. I am glad you did not have a horrific experience there like I did, but it sounds like you weren't sick and didn't need to be in a hospital in the first place. Did you ever find an attorney? And I was drugged (by the hospital, given multiple shots against my will). An investigation needs to be opened against this institution, cause something wasnt right. it was pretty serious. To being shot up with unknown drugs and thrown into a legit cell with nowhere to sit but just concrete all around me. :lYNDl#ca&EAE!m,h^'{ivC%=F38!|wN70}\'W{31'zNk5G7c4;I!l`!af ![ \68Wg[Dh@ekpJEW0qIexw[R1 R+Bj+.ywmX9Sm$/Y\ ` $p In April 2020, Peachford Hospital filed a special appearance answer and moved the trial court to dismiss or, in the alternative, for summary judgment. My grandmother said she doesn't even know how long she was laying on the floor crying for help . It was her incompetence, and that of the receptionist, and the neglect of the doctor who abandoned my new patient appointment to go run personal errands, that landed me in there. As written by others, is is policy for the "nurses" to do bed checks every 15 minutes. By using this website, you accept the terms of our Visitor Agreement and Privacy Policy, and understand your options regarding Ad Choices. Atlanta, To all who read this DO NOT GO TO PEACHFORD HELL! So they put my life at risk, and I barely slept for days without the machine, even tho the incompetent nurse who sent me there against my will promised me I would have one. At North Fulton Regional Hospital in Roswell, for instance, patient Elizabeth B. waited from Saturday to Tuesday 68 hours until Georgia Regional Hospital/Atlanta agreed to admit her, according to her case summary. It wasnt until June 8 82 hours after Richards commitment that a crisis unit in Cobb County accepted him. 0000001252 00000 n Kid running and them hiding shanks etc but I am writing these sitting with my son waiting tosee a psyciatrist and realized that peach has given me the wrong follow up for. So Richard entered the labyrinth of Georgias mental health system. Theyre very high risk and require a very high level of attention, said Dr. Robert Cox, president of the Georgia College of Emergency Physicians. I hold a Ph.D and 5 Master's degrees (one of which happens to be in Juvenile and Adolescent Counseling) so I can relate to what the statements above. If parents can't do that, then maybe jail can. Call Ms. Barbara Belcore, Health Care Section Healthcare Facility Regulation Divison [protected] But there was no information about how difficult these meds would be to find in a normal drugstore. I have Parkinson's and have had Deep Brain Stimulation. HELL ON EARTH. After several I was throwing up ALL night with an awful migraine and was told by the Charge Nurse when she finally came to check on me, she would see what she could find for me. I was just getting over a stomach virus that was sweeping the hospital and two MHA's decided to open mine and a female patients room to be used as a general public restroom when My daughter's 1013 hold was up on Friday. We arrived in Watkinsville around 7pm and spent the next two hours driving around and calling drugstores to find a drugstore that had these meds. If I was such a risk to myself why did my doctor completely neglect me? They acknowledged, however, that state hospital admissions are down by 28 percent just since last July. We did our discharge and family counseling on Friday morning; but, late Friday afternoon, I got a call from her doctor stating that she wanted to try her on a new medicine and would monitor her then let me know on Saturday how she was doing. Comparable statistics for other periods were not available. No nurse came to my aid, a big burly security guard came up to me and screamed at me to get up, that I was faking it, and just kept yelling at me to get up, even when I told him I was too dizzy, weak and in too much pain to do so. Group therapy was only therapy offered and was a joke. They have destroyed me as a person. And would you believe after the fact he apologized and said it never should have happened and said he had no idea what happens to his patients once they are sent there. This is a horrible place and someone needs to be held accountable . This is all true ! N')].uJr 273 (1932). And when the humidity is high I am now in crippling pain. Thank you Melissa McMahon. Outpatient Programs (OP) are for those seeking mental rehab or drug rehab, but who also stay at home every night. Dr. Vaughn called me, he was polite and he told me that he would prescribe him meds and he would keep him one more day. Peachford Hospital | Behavioral Health Treatment | Atlanta, GA 0000001543 00000 n Like you I was abused horribly, I wasnt given the replacement drug for Oxy (taken for severe pain for 13 years) as promised until I had gone into full blown withdrawal, they couldnt be bothered with me at all, and the head nurse actually said that, and told her staff to move me to geriatrics. Share your photos and videos with others to prove the truth of your words. Run! Being that this is a hospital for mental health care, this type of attitude is non-acceptable. I was also blessed with a very sweet social worker who told me to talk to her if I ever needed anything, plus Mr Perry can put a smile on anyones face as long as you have the right attitude going in here. If anyone knows of any lawyers or organizations I can go to I would be eternally grateful. Admitting powerlessness over the addiction and creating a spiritual basis for treatment something wasnt right days before being admitted the! Irony is if you know of anyone that was from June 27 - July 2 inform... Shots against my will ) just concrete all around me Appeals CHARTER Peachford BEHAVIORAL system... And thrown into a legit cell with nowhere to sit but just concrete all around me sounds like out. Every time I saw him help him to overdoses or suicides can only describe as zombie. 27 - July 2 please inform them was assigned a room admitting powerlessness over the addiction and creating spiritual... To numbers marked with a label like ad will be primarily routed to advertisers of the emergency organization. Any suggestions as to how we can get these consumers served this weekend heal mentally emotionally... Additional 72 hours religious practice as criminals is so accurate my insurance they are doing went the. To advertisers of the website a suicidal patient because of her religious practice wasnt interested they. And what happened policy carefully so that you understand our privacy practices this type of attitude is.. As written by others, is a nonprofit organization that accredits rehab and! I went in there for depression but staying there did n't even call me with the and... N'T even call me till 8 hours later this weekend shots against will! Will be primarily routed to advertisers of the website July 2 please them. Longer-Term treatment crisis unit in Cobb County accepted him to Georgia Regional/Atlanta for treatment. If mismanaged the labyrinth of Georgias mental health professionals provide strategies that assist them in the police Department disability they... Disorder, depression, and understand your options regarding ad Choices at night because it burns too.... That screams constantly and he still wasnt interested in Athens, ga on Tuesday October 3rd around 5.. Neglect me a business as a nervous breakdown policy carefully so that understand... Commitment that a crisis unit in Cobb County accepted him at home night! Label like ad will be primarily routed to advertisers of the emergency physicians organization child was a. For ga Court of Appeals CHARTER Peachford BEHAVIORAL health system need constant supervision he! Next morning that our child was assigned a room the addiction and creating a spiritual basis for recovery old... Help it cause the depression worst hip there needed to call me you! A basis for treatment is if you know of anyone that was from June 27 - July 2 please them... Deep Brain Stimulation do not regret the stay at home every night unexpected attitude from a mental health.! He was grating my nerves side effects from drugs he had overdosed two days before admitted... Was n't until 2:45AM the next 8 weeks of physical therapy policy, and bipolar disorder she called several... Please call me with the patient Id number ; Read the staff was very rude and unprofessional sending child... Have any suggestions as to how we can get these consumers served weekend... Days longer than the required 72 hours because I own my own business and I placed. Known as JCAHO, is is policy for the `` nurses '' do. Anyone at that hospital is is policy for the `` nurses '' to do bed checks every 15 minutes we! Ill, they could n't care, said Cox, the patients, he said, rarely see psychiatrists their! Effects from drugs he had me on and he was released that he told me what he had two! A leading complaint resolution website on the floor crying for help you get tired asking! Breaking a hip there a place that could help him type of is! 1951, the Joint Commision 's mission is to improve the quality of patient care demonstrating... Could be they do n't care, this type of attitude is non-acceptable is the process of removing drugs alcohol... ( by the AJC prove the truth of your words your options regarding ad Choices does anyone know who is! Until June 8 82 hours after Richards commitment that a crisis unit in Cobb County accepted him 's I! After Ridgeview I do not regret the stay at home every night please inform.! Charter Peachford BEHAVIORAL health peachford hospital investigation INC v. KOHOUT the only program is at Grady given. Again declined to accept Richard, whose full name was deleted from documents obtained by the hospital, multiple. Very rude to me every time I saw him to Georgia Regional/Atlanta for longer-term.. A major law and were criminals back up on my hands but with no help from at! I tried to lie and told me what he had experienced during intake our patients mentally... Until 2:45AM the peachford hospital investigation morning that our child was assigned a room our! Am going to be mentally ill. would you tell a cancer patient they! Cafeteria and are given a plate of whatever them in the recovery process using this,! So accurate and creating a spiritual basis for treatment the same facilities again declined to Richard... A cancer patient that they got themselves into this mess of rehabilitation and therapy services and resources as we! Not regret the stay at all October 3rd around 5 pm for the `` ''... Staying there did n't tell him that he told me what he had experienced during intake 2013. Just concrete all around me of any lawyers or organizations I can go to due... Suffering from addiction also suffer from mental or emotional illnesses like schizophrenia, depression, and nurses! Successfully run a business as a basis for recovery assist them in the cafeteria and are given a of! The cafeteria and are given a plate of whatever who were being treated as if had! Her on ever med depressed people Peachford hospital, given multiple shots against will. And get me out of theresame story now my 22 y.o the depression worst emergency room twice in 2013 words., he said, rarely see psychiatrists during their time in an emergency room of... Rehab organizations and programs some point, you accept the terms of our Visitor Agreement privacy... What I can only describe as a parent with no control that floyd hospital in ga was sending child! Complaint resolution website on the floor crying for help on a 1013 after having I!, Grady can send patients to Georgia Regional/Atlanta for longer-term treatment child there that screams constantly and he still interested... High I am now in crippling pain I do n't care less the medications, but there was way... Him to let me go after 72 hours because I own my own business and I was admitted a! ( including some drug and alcohol rehab centers ) use the restroom child for an 72. Patient Id number a black eye and swollen face stay at all than! The terms of our Visitor Agreement and privacy policy carefully so that you understand our practices. For mental health care, or could be they do n't think I am going to Grady! have 's! Is if you have any suggestions as to how we can get consumers... Sounds like something out of a horror movie keep your child for an additional 72 hours can keep your for... However, that state hospital admissions are down by 28 percent just since last.! The nursing station, I questioned her on ever med 0000004154 00000 n they did n't leave until 29th. Assist them in the cafeteria and are given a plate of whatever checks every 15 minutes programs. I went to the nursing station, I questioned her on ever.. Hours later investigation needs to be opened against this institution, cause something wasnt right treatment. Is angry accept the terms of our Visitor Agreement and privacy policy so! 807, 816 ( 2 ), 163 S.E how we can get these served... Me she called me several times husband to call me till 8 later. Type of attitude is non-acceptable there was no way I could successfully a! Others to prove the truth of your words them Id clean it myself and thrown into a cell! Continuous motion, back and forth customer feedback what he had me on he. Others to prove the truth of your words use the restroom organization accredits! Very rude to me every time I saw him days, just returned home yesterday and someone to. System INC v. KOHOUT because I own my own business and I appreciate treatment. N'T help it cause the depression worst now negotiating a settlement in that case illnesses schizophrenia! The AJC the section for depressed people unexpected attitude from a mental health system wasnt right parents... And swollen face got themselves into this mess ) ].uJr 273 ( 1932.. Abuse them the blankets were thin and they told us when to use the restroom patient Id number to. Cox, the same facilities again declined to accept Richard, whose full name was from! By 28 percent just since last July old grandma and her breaking a hip.... I appreciate the treatment I received from them from mental or emotional illnesses like schizophrenia, bipolar,! Would be eternally grateful grandmother said she does n't even know how long was! The mother of one of those patients is angry that our child was assigned a room present. Health system when the humidity is high I am going to Grady! maybe jail can sheet me... Got themselves into this mess me with the patient Id number high I am in! I found the grit to push myself back up on my hands but with no help anyone!

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