Guest guest Posted December 28, 2007 Report Share Posted December 28, 2007 Dear friends, I am writing this in response to the concerned parent of a patient of mine who ran a high fever yesterday and felt that his correct response would be to give the child tylenol to bring down his 104 degree temperature. First a little about Tylenol aka Acetaminophen. 1. There is a clear connection between acute liver failure and even small doses of Acetaminophen.Hepatology December 2005; 42(6): 1364-1372 2.Acetaminophen depletes the body of Glutathione a major bio-protector, anti-aging substance and antioxident. 3, Acetaminophen increase the risk of asthma and chronic obstructive pulmonary disease (COPD). 4. Regular use of Acetaminophen (and aspirin, BTW) has been shown to boost the risk of developing kidney failure The New England Journal of Medicine December 20, 2001;345:1801-1808 (And according to Dr. Joseph Mercola, 15% of dialysis patients are the results of kidney damage from aspirin and acetaminophen). So those are enough reason why it is unwise in general to use Tylenol. However in this case and for this patient it is particularly inappropriate. Let me explain why: This child suffers from ticking and twitching. Chinese medicine identifies any kind of uncontrolled movements the body makes as being " Liver Wind. " Liver wind usually results from a patient who is under stress, and severely liver blood depleted. With such a person, THE VERY WORST THING you can do is to irritate the liver further, which is what Tylenol does. If Tylenol was not bad enough, and if this child's liver were not vulnerable enough, the very idea of bringing down fever with Tylenol is completely antithetical to the well being of the immune system. (The only time one should consider bringing down a high fever as a singular therapy without treating the pathogen and building the immune function would be in the case of a RAPID rise in fever to over 106 degrees, in order to prevent convulsions, and even then using herbs, acupuncture and CST, very successfully and quickly can bring down the fever without any side effects!) Fever is the body's reaction to the presence of a pathogen. When the immune system picks up the presence of such a pathogen, metabolism is increased, antibodies are produced and the body temperature rises. This gives the body an opportunity to fight and defeat that which is trying to harm it. BUT JUST WHEN YOUR BODY NEEDS TO BE HOTTER, TO WORK FASTER AND WITH MORE VIGILANCE, TO PRODUCE MORE ANTI-BODIES, BY TAKING TYLENOL, YOU ARE COOLING OFF AND SLOWING DOWN THE IMMUNE SYSTEM, ALLOWING THE PATHOGEN TO PROLIFERATE, AND G-D FORBID, PROLONGING THE ILLNESS! Please don't ever give your children tylenol!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! Never miss a thing. Make your homepage. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 28, 2007 Report Share Posted December 28, 2007 In response to: " using herbs, acupuncture and CST, very successfully and quickly can bring down the fever without any side effects " that works great if the parent is the acupuncturist/herbalist but in the middle of the night when your own child is roasting, a parent can not go to the dr. one dose of children's motrin, tylenol, or other fever reducer at such a high fever will most likely not cause the harm you mentioned. just a practical statement. Let's not be too hard on mainstream parents, but of course educate them so they don't overdo it, esp with antibiotics. sami Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 28, 2007 Report Share Posted December 28, 2007 Thank you Sami, That was my implication. I appreciate you expressing it. Unfortunately, too many sincere parents zealously miss the forest for the trees, refusing to use any chemical medicine. I believe that any extremism is dangerous and a parent must alway act with prudent deliberation. Sincerely, Yehuda Sami Rank LAc <herbsnacupnxr wrote: In response to: " using herbs, acupuncture and CST, very successfully and quickly can bring down the fever without any side effects " that works great if the parent is the acupuncturist/herbalist but in the middle of the night when your own child is roasting, a parent can not go to the dr. one dose of children's motrin, tylenol, or other fever reducer at such a high fever will most likely not cause the harm you mentioned. just a practical statement. Let's not be too hard on mainstream parents, but of course educate them so they don't overdo it, esp with antibiotics. sami Looking for last minute shopping deals? Find them fast with Search. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 28, 2007 Report Share Posted December 28, 2007 It also is implied as the cause of Reye's syndrome. Mike W. Bowser, L Ac TraditionalJewishMedicineandTCM: : Thu, 27 Dec 2007 23:11:27 -0800You should give your child Tylenol to treat a high fever, not! Dear friends, I am writing this in response to the concerned parent of a patient of mine who ran a high fever yesterday and felt that his correct response would be to give the child tylenol to bring down his 104 degree temperature.First a little about Tylenol aka Acetaminophen. 1. There is a clear connection between acute liver failure and even small doses of Acetaminophen.Hepatology December 2005; 42(6): 1364-13722.Acetaminophen depletes the body of Glutathione a major bio-protector, anti-aging substance and antioxident.3, Acetaminophen increase the risk of asthma and chronic obstructive pulmonary disease (COPD).4. Regular use of Acetaminophen (and aspirin, BTW) has been shown to boost the risk of developing kidney failure The New England Journal of Medicine December 20, 2001;345:1801-1808 (And according to Dr. Joseph Mercola, 15% of dialysis patients are the results of kidney damage from aspirin and acetaminophen).So those are enough reason why it is unwise in general to use Tylenol. However in this case and for this patient it is particularly inappropriate. Let me explain why: This child suffers from ticking and twitching. Chinese medicine identifies any kind of uncontrolled movements the body makes as being " Liver Wind. " Liver wind usually results from a patient who is under stress, and severely liver blood depleted. With such a person, THE VERY WORST THING you can do is to irritate the liver further, which is what Tylenol does.If Tylenol was not bad enough, and if this child's liver were not vulnerable enough, the very idea of bringing down fever with Tylenol is completely antithetical to the well being of the immune system. (The only time one should consider bringing down a high fever as a singular therapy without treating the pathogen and building the immune function would be in the case of a RAPID rise in fever to over 106 degrees, in order to prevent convulsions, and even then using herbs, acupuncture and CST, very successfully and quickly can bring down the fever without any side effects!) Fever is the body's reaction to the presence of a pathogen. When the immune system picks up the presence of such a pathogen, metabolism is increased, antibodies are produced and the body temperature rises. This gives the body an opportunity to fight and defeat that which is trying to harm it. BUT JUST WHEN YOUR BODY NEEDS TO BE HOTTER, TO WORK FASTER AND WITH MORE VIGILANCE, TO PRODUCE MOREANTI-BODIES, BY TAKING TYLENOL, YOU ARE COOLING OFF AND SLOWING DOWN THE IMMUNE SYSTEM, ALLOWING THE PATHOGEN TO PROLIFERATE, AND G-D FORBID, PROLONGING THE ILLNESS!Please don't ever give your children tylenol!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!Yehuda L. Frischman, L.Ac, CST, SERNever miss a thing. Make your homepage.[Non-text portions of this message have been removed] _______________ Share life as it happens with the new Windows Live. http://www.windowslive.com/share.html?ocid=TXT_TAGHM_Wave2_sharelife_122007 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 29, 2007 Report Share Posted December 29, 2007 I live with a pediatrician trained at Albert Einstein School of Medicine and Research, who says aspirin does not cause Reyes Syndrome. I do not have references for this, but he tells me that that children came in with these symptoms and one common ingredient was that they had taken aspirin. Their parents had given them aspirin for their symptoms, the symptoms of Reyes Syndrome. The assumption that aspirin was the cause was disproved, but meanwhile a very large public relations campaign was issued by tylenol....the rest is history. It may be gossip, but I am familiar witht he reliability of my source, and I don't have the time to track down the citations. He also says that aspirin is hands down the safest such medication, providing the gastric side affects are not a problem. Happy New Year and heres a toast to sorting out all the self interested P.R. misinformation policies! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 29, 2007 Report Share Posted December 29, 2007 I second that but I think many TCM herbalists are not aware of various other, extremely effective ways to administer herbs. For babies and young children, my favorite is an herbal bath. There are also very good reasons to learn a few locally growing common herbs. Willow bark and or leaves is a god one to know and the many species of willow seems to be ubiquitous in most areas. Simply bring a large pan of water to a rolling boil and throw in as much willow leaves as you can -- even stuffing the pot. White poplar or poplar is also very effective. Both contain salicylic acid, which is considered the active fever-lowering ingredient in aspirin (originally derived from another herb, called meadowsweet -- which can also be used if you have it). Let the herbs steep in a covered pot of water, pour into a basin with room temperature or slightly warm water and place the baby in the bath for about 20 minutes. usually one treatment works well but it can be repeated up to three times daily. A much better alternative to any of the Acetaminophen products is baby aspirin. Its synthetic but at least originally derived from herbs. The golden rule about fevers is to keep the body and feet warm (one can use a heated hot brick wrapped in a towel) and the head cool. This is done by frequent sponging off the forehead. The major danger of a fever is convulsions resulting from the brain becoming overheated. Michael Tierra _____ On Behalf Of yehuda frischman Thursday, December 27, 2007 11:11 PM TraditionalJewishMedicineandTCM You should give your child Tylenol to treat a high fever, not! Dear friends, I am writing this in response to the concerned parent of a patient of mine who ran a high fever yesterday and felt that his correct response would be to give the child tylenol to bring down his 104 degree temperature. First a little about Tylenol aka Acetaminophen. 1. There is a clear connection between acute liver failure and even small doses of Acetaminophen.Hepatology December 2005; 42(6): 1364-1372 2.Acetaminophen depletes the body of Glutathione a major bio-protector, anti-aging substance and antioxident. 3, Acetaminophen increase the risk of asthma and chronic obstructive pulmonary disease (COPD). 4. Regular use of Acetaminophen (and aspirin, BTW) has been shown to boost the risk of developing kidney failure The New England Journal of Medicine December 20, 2001;345:1801-1808 (And according to Dr. Joseph Mercola, 15% of dialysis patients are the results of kidney damage from aspirin and acetaminophen). So those are enough reason why it is unwise in general to use Tylenol. However in this case and for this patient it is particularly inappropriate. Let me explain why: This child suffers from ticking and twitching. Chinese medicine identifies any kind of uncontrolled movements the body makes as being " Liver Wind. " Liver wind usually results from a patient who is under stress, and severely liver blood depleted. With such a person, THE VERY WORST THING you can do is to irritate the liver further, which is what Tylenol does. If Tylenol was not bad enough, and if this child's liver were not vulnerable enough, the very idea of bringing down fever with Tylenol is completely antithetical to the well being of the immune system. (The only time one should consider bringing down a high fever as a singular therapy without treating the pathogen and building the immune function would be in the case of a RAPID rise in fever to over 106 degrees, in order to prevent convulsions, and even then using herbs, acupuncture and CST, very successfully and quickly can bring down the fever without any side effects!) Fever is the body's reaction to the presence of a pathogen. When the immune system picks up the presence of such a pathogen, metabolism is increased, antibodies are produced and the body temperature rises. This gives the body an opportunity to fight and defeat that which is trying to harm it. BUT JUST WHEN YOUR BODY NEEDS TO BE HOTTER, TO WORK FASTER AND WITH MORE VIGILANCE, TO PRODUCE MORE ANTI-BODIES, BY TAKING TYLENOL, YOU ARE COOLING OFF AND SLOWING DOWN THE IMMUNE SYSTEM, ALLOWING THE PATHOGEN TO PROLIFERATE, AND G-D FORBID, PROLONGING THE ILLNESS! Please don't ever give your children tylenol!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! Never miss a thing. Make your homepage. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 30, 2007 Report Share Posted December 30, 2007 Not as a response but a story I was almost a participant. My cousin called me. Her little boy, he was 2.5 then, had High Fever but was alert and playing with older brother, suddenly fell unconscious, became bluish with almost no breathing. She was in panic. My aunt (her mother) grabbed the boy and put him under running cold water. The boy almost instantaneously came about. By the time I arrived ambulance was taking him. He still had high Temp but no distress. One more parallel point. My cousin family ware new in Canada. Just about 2 weeks. Still did not have health coverage yet. Charges for an ambulance service would’ve been between $300 - $400. At that time This was big money for my cousin. I talked to ambulance people. They came back and told me that Emergency Department will absorb the cost. I was very impressed. Peter wrote: Thank you Sami, That was my implication. I appreciate you expressing it. Unfortunately, too many sincere parents zealously miss the forest for the trees, refusing to use any chemical medicine. I believe that any extremism is dangerous and a parent must alway act with prudent deliberation. Sincerely, Yehuda Sami Rank LAc <herbsnacupnxr wrote: In response to: " using herbs, acupuncture and CST, very successfully and quickly can bring down the fever without any side effects " that works great if the parent is the acupuncturist/herbalist but in the middle of the night when your own child is roasting, a parent can not go to the dr. one dose of children's motrin, tylenol, or other fever reducer at such a high fever will most likely not cause the harm you mentioned. just a practical statement. Let's not be too hard on mainstream parents, but of course educate them so they don't overdo it, esp with antibiotics. sami Looking for last minute shopping deals? Find them fast with Search. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 30, 2007 Report Share Posted December 30, 2007 Dear Laura, This is news to me. Please ask for the reference as I was unable to find anything disputing the connection between aspirin and Reye's syndrome. Personally I would think twice before encouraging parents to use it unless the evidence was irrefutable. There is just too much suspicious evidence. IMO, when in doubt, we must always err to the side of caution. BTW, as far as the safety of aspirin goes, I can tell you that I know of at least one case, of a patient who took a baby aspirin daily (unbeknownst to the practitioner), and was prescribed long term, a formula that included Dang Gui. The patient died of internal bleeding. From this I learn the following lessons: Always double check to verify EVERYTHING the patient is taking before deciding on herbs to prescribe, don't underestimate the interaction between aspirin and herbs nor the potency of " innocent " little baby aspirin. Yehuda Yehuda Laura Cooley <lauramon wrote: I live with a pediatrician trained at Albert Einstein School of Medicine and Research, who says aspirin does not cause Reyes Syndrome. I do not have references for this, but he tells me that that children came in with these symptoms and one common ingredient was that they had taken aspirin. Their parents had given them aspirin for their symptoms, the symptoms of Reyes Syndrome. The assumption that aspirin was the cause was disproved, but meanwhile a very large public relations campaign was issued by tylenol....the rest is history. It may be gossip, but I am familiar witht he reliability of my source, and I don't have the time to track down the citations. He also says that aspirin is hands down the safest such medication, providing the gastric side affects are not a problem. Happy New Year and heres a toast to sorting out all the self interested P.R. misinformation policies! Be a better friend, newshound, and know-it-all with Mobile. Try it now. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 30, 2007 Report Share Posted December 30, 2007 There is a lot of evidence that aspirin used post viral illness is the cause of this condition. You would have to provide a lot of evidence as this is what is also taught in many of my medical courses as well. I would educate patients about this possibility and encourage alternatives. The risk is not worth the experiment. Mike W. Bowser, L Ac : : Sat, 29 Dec 2007 23:47:45 -0800Re: Re: You should give your child Tylenol to treat a high fever, not! Dear Laura,This is news to me. Please ask for the reference as I was unable to find anything disputing the connection between aspirin and Reye's syndrome. Personally I would think twice before encouraging parents to use it unless the evidence was irrefutable. There is just too much suspicious evidence. IMO, when in doubt, we must always err to the side of caution. BTW, as far as the safety of aspirin goes, I can tell you that I know of at least one case, of a patient who took a baby aspirin daily (unbeknownst to the practitioner), and was prescribed long term, a formula that included Dang Gui. The patient died of internal bleeding. From this I learn the following lessons: Always double check to verify EVERYTHING the patient is taking before deciding on herbs to prescribe, don't underestimate the interaction between aspirin and herbs nor the potency of " innocent " little baby aspirin.Yehuda Yehuda Laura Cooley <lauramon wrote:I live with a pediatrician trained at Albert Einstein School of Medicine and Research, who says aspirin does not cause Reyes Syndrome. I do not have references for this, but he tells me that that children came in with these symptoms and one common ingredient was that they had taken aspirin. Their parents had given them aspirin for their symptoms, the symptoms of Reyes Syndrome. The assumption that aspirin was the cause was disproved, but meanwhile a very large public relations campaign was issued by tylenol....the rest is history. It may be gossip, but I am familiar witht he reliability of my source, and I don't have the time to track down the citations. He also says that aspirin is hands down the safest such medication, providing the gastric side affects are not a problem.Happy New Year and heres a toast to sorting out all the self interested P.R. misinformation policies! Yehuda L. Frischman, L.Ac, CST, SERBe a better friend, newshound, and know-it-all with Mobile. Try it now. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 1, 2008 Report Share Posted January 1, 2008 Ok, thanks for responding. I should have clarified my memory before I wrote to the group, as I remembered parts of the 10 year old conversation better than the whole. First of all, I would never recommend to parents to use aspirin for their children and I didn't suggest that. I believe we are forbidden by law to do that. The only time I have pressured any patient to not do what their doctor said was an HIV patient with pneumonia and allergic to antibiotics, who was told to eat milkshakes daily. I told him not to drink milkshakes (and gave him herbs, resolving the 2 month long case of pneumonia in about 4-5 days). Reyes syndrome, as I understand it now ( and tell me if you think there is reason to suspect this), is a sequelae of a previous viral infection, first acknowledged around 1980. It is linked to aspirin, but not all Reyes involves aspirin as a factor, technically placing it in the not " caused " by aspirin, only linked. Also, people were using aspirin for a very long time, and Reye's syndrome is a new phenomena. If you can find evidence of it existing before 1980's, I would be interested. So one could be curious as to why it appeared at a certain time, linked to a medication in extremely common use for decades. Tylenol jumped on this issue immediately and promoted the strategy of not using aspirin for adults, whom my source says do not get Reye's Syndrome. He no longer practices pediatrics and does adult psychiatry, so it is possible he has not kept up with this issue. Again , if you are aware that this is old information, please tell. Tylenol promoted this idea with a full court press, advertising on TV, one on one visits with doctors, hosting lunches for docs at very expensive restaurants...... " thru every means possible " . The absolutely wonderful thing about this group is the discussion that happens. Reconciling with our medicine and approach, what allopathic medicine and it's practitioners say/learn/express in a dumbed-down form for patients, and then interpreting it to patients is an ongoing study for me. Accurately using terms that MDs use amongst themselves is something I am challenged on on a daily basis. I have been made aware of ideas/terms that are commonly used in our world (and by that, I mean other LAcs, DOMs, some teachers of TCM using those terms and descriptions) that are incorrect technically. I found my own language to be quite sloppy and imprecise at times. For example, I have heard many LAcs say rubbing alcohol is a toxin (maybe just a result from living in Austin, Tx, where open containers of alcohol in a car were long legally permitted). But alcohol is a bacteriostat, not a toxin. I very much appreciate knowing what is taught/promoted in the allopathic world and very much appreciate the input and corrections by those schooled in allopathic medicine, especially those on this list. I do believe that learning oriental medicine first and then learning about allopathic medicine is a much more fruitful and useful approach to healing than the other way around. Especially when I hear MDs disagree on some basic issues (some I know say alcohol is absolutely necessary when penetrating the skin with an object, and others say no). When I probe deeper into the issue, it turns out to be a lot more complicated than one might think. I will resist the temptation to post before I have checked my information. But I stand by my toast, ferreting out the subtle complexities of medicine and the machinery that drives it, is a worthy goal, though time consuming task. Cheers, Laura Cooley Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 2, 2008 Report Share Posted January 2, 2008 Hi Laura, My mom was diagnosed with Reyes Syndrome in the early 70's, so there is apparently earlier knowledge of this phenomenon than 1980. She had it for several years before being diagnosed. I can't say for sure, but I don't believe she has used aspirin very much. I'd be interested to hear if there is any commonality in patients with Reyes Syndrome, according to TCM diagnostic principles. Congratulations on resolving the pneumonia in your patient. Why were daily milkshakes recommended, and who did that? Laura Cooley <lauramon wrote:The only time I have pressured any patient to not do what their doctor said was an HIV patient with pneumonia and allergic to antibiotics, who was told to eat milkshakes daily. I told him not to drink milkshakes (and gave him herbs, resolving the 2 month long case of pneumonia in about 4-5 days). Reyes syndrome, as I understand it now ( and tell me if you think there is reason to suspect this), is a sequelae of a previous viral infection, first acknowledged around 1980. It is linked to aspirin, but not all Reyes involves aspirin as a factor, technically placing it in the not " caused " by aspirin, only linked. Also, people were using aspirin for a very long time, and Reye's syndrome is a new phenomena. If you can find evidence of it existing before 1980's, I would be interested. So one could be curious as to why it appeared at a certain time, linked to a medication in extremely common use for decades. Never miss a thing. Make your homepage. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 2, 2008 Report Share Posted January 2, 2008 Laura, By comparing those with Reyes following aspirin usage to those not using aspirin, we can argue that it is not the only causative factor. But when we see such large % of Reyes who have taken the aspirin, we need to consider the stats carefully. If simply avoiding aspirin greatly reduces these numbers, then it is prudent we educate our patients with small children about this. Patient education about possible side-effects is not illegal to the best of my knowledge depending upon how you approach the subject. Mike W. Bowser, L Ac : lauramon: Tue, 1 Jan 2008 09:50:19 -0500Re: You should give your child Tylenol to treat a high fever, not! Ok, thanks for responding. I should have clarified my memory before I wrote to the group, as I remembered parts of the 10 year old conversation better than the whole. First of all, I would never recommend to parents to use aspirin for their children and I didn't suggest that. I believe we are forbidden by law to do that. The only time I have pressured any patient to not do what their doctor said was an HIV patient with pneumonia and allergic to antibiotics, who was told to eat milkshakes daily. I told him not to drink milkshakes (and gave him herbs, resolving the 2 month long case of pneumonia in about 4-5 days).Reyes syndrome, as I understand it now ( and tell me if you think there is reason to suspect this), is a sequelae of a previous viral infection, first acknowledged around 1980. It is linked to aspirin, but not all Reyes involves aspirin as a factor, technically placing it in the not " caused " by aspirin, only linked. Also, people were using aspirin for a very long time, and Reye's syndrome is a new phenomena. If you can find evidence of it existing before 1980's, I would be interested. So one could be curious as to why it appeared at a certain time, linked to a medication in extremely common use for decades. Tylenol jumped on this issue immediately and promoted the strategy of not using aspirin for adults, whom my source says do not get Reye's Syndrome. He no longer practices pediatrics and does adult psychiatry, so it is possible he has not kept up with this issue. Again , if you are aware that this is old information, please tell. Tylenol promoted this idea with a full court press, advertising on TV, one on one visits with doctors, hosting lunches for docs at very expensive restaurants...... " thru every means possible " .The absolutely wonderful thing about this group is the discussion that happens. Reconciling with our medicine and approach, what allopathic medicine and it's practitioners say/learn/express in a dumbed-down form for patients, and then interpreting it to patients is an ongoing study for me. Accurately using terms that MDs use amongst themselves is something I am challenged on on a daily basis. I have been made aware of ideas/terms that are commonly used in our world (and by that, I mean other LAcs, DOMs, some teachers of TCM using those terms and descriptions) that are incorrect technically. I found my own language to be quite sloppy and imprecise at times. For example, I have heard many LAcs say rubbing alcohol is a toxin (maybe just a result from living in Austin, Tx, where open containers of alcohol in a car were long legally permitted). But alcohol is a bacteriostat, not a toxin. I very much appreciate knowing what is taught/promoted in the allopathic world and very much appreciate the input and corrections by those schooled in allopathic medicine, especially those on this list. I do believe that learning oriental medicine first and then learning about allopathic medicine is a much more fruitful and useful approach to healing than the other way around. Especially when I hear MDs disagree on some basic issues (some I know say alcohol is absolutely necessary when penetrating the skin with an object, and others say no). When I probe deeper into the issue, it turns out to be a lot more complicated than one might think.I will resist the temptation to post before I have checked my information. But I stand by my toast, ferreting out the subtle complexities of medicine and the machinery that drives it, is a worthy goal, though time consuming task. Cheers, Laura Cooley _______________ Don't get caught with egg on your face. Play Chicktionary! http://club.live.com/chicktionary.aspx?icid=chick_wlhmtextlink1_dec Quote Link to comment Share on other sites More sharing options...
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