Understanding heart failure

Ойын-сауық

In this video, Dr sanjay Gupta explains what heart failure is, how it is caused, what symptoms and signs are associated with it and how it is best treated. My website is www.yorkcardiology.co.uk

Пікірлер: 382

  • @searchlessrawdiet
    @searchlessrawdiet5 жыл бұрын

    Dr. Gupta is a wonderful doctor, and human being. I consulted with him several years ago by phone, and he perfectly helped me understand the heart diagnosis I had, and completely put me at ease, even though I have a serious health condition. Very grateful to him.

  • @tonyoliver2334
    @tonyoliver23342 жыл бұрын

    This man is extremely aware of peoples sensitivity and anxiety over heart health. Very comforting to listen to. Definitely gifted and caring.

  • @Boracho7
    @Boracho7 Жыл бұрын

    I am the “someone, somewhere” benefiting from your videos 6 years later. I’m a new paramedic in California and your videos offer a lot more than what I learned throughout school. Thank you 🙏🏼

  • @user-nc2kz2mn5v

    @user-nc2kz2mn5v

    Жыл бұрын

    I am in the UK and spent two weeks hospitalized for Heart Failure...I had better treatment and received more information from The EMS than the doctors.The nurses and hospital staff were exceptional.

  • @peggymicsky8607
    @peggymicsky86072 жыл бұрын

    Sanjay, your videos are PRICELESS! Doctors do not talk to their patients or explain medical issues the way you do and patients are hungry for information and reassurance. You're exceptionally knowledgeable and gifted with the ability to explain things in a simple way and with compassion. Thank you, Doc, and come to America! We love Indian doctors, especially handsome ones! 💖

  • @davedesmarais6262
    @davedesmarais62624 жыл бұрын

    Thank you Dr. Gupta. You are becoming the world's cardiologist...the one we all wish we had.

  • @knuftobor
    @knuftobor4 жыл бұрын

    This is more information than what I got from the cardiologists I have seen in the last 10 year's at Stanford. Thank you!

  • @jameelharris5636

    @jameelharris5636

    2 жыл бұрын

    Facts

  • @wendi2819

    @wendi2819

    2 жыл бұрын

    I know. It's wonderful. I wish he was my dr.he's awesome!

  • @jennifer007007007
    @jennifer0070070077 жыл бұрын

    i am a dentist by profession and understand how your work must be very demanding. i am impressed how you take time out of your busy schedule and help people. kudos !!!

  • @YorkCardiology

    @YorkCardiology

    7 жыл бұрын

    thank you!!!!

  • @carinmalmqvist1787

    @carinmalmqvist1787

    5 жыл бұрын

    You are truly a hero! I have met dozens of heartdoctors but noone explains as good and informative as you. You are a relief to many people. Thank you!

  • @a19patrol

    @a19patrol

    4 жыл бұрын

    @@YorkCardiology what a gentleman you are.

  • @abdulabdul8416

    @abdulabdul8416

    4 жыл бұрын

    So wonderfully explained the system of failure and symptoms and durations. And building confident to listener. Deep technical points. Explanation of medical terms so nice. I love your talk. Our prayers to your entire family.

  • @mjenks85

    @mjenks85

    4 жыл бұрын

    Will anesthesia affect my weak heart when I go to the dentist?

  • @PinkeeLee
    @PinkeeLee5 жыл бұрын

    dr. gupta, you are keeping me from going to sleep. this information is better than a good movie. you are incredible. no dr. has the time to explain all of the intricacies. the heart is an amazing thing, isn't it?

  • @louisabartlett2307
    @louisabartlett23075 жыл бұрын

    You are a gem. My brother suffers with this. I pray that Father God leads you into more truth. About sickness’s. I feel so loved❤️ Thank you Dr. So much🙅🏽‍♀️

  • @zubeidaroberts7186
    @zubeidaroberts7186 Жыл бұрын

    Hi Docter I was diagnosed with heart failure ..your videos are so helpful much appreciated thank you

  • @garyolson2676
    @garyolson26763 жыл бұрын

    I have heart damage from a heart attack almost 30 years ago. In 2012, I had quadruple bypass. My ejection fraction was the same before and after bypass surgery: around 40%. But here’s the deal - I was physically quite active for the 20 years before my bypass, and after the bypass and losing some weight I returned to my favorite form of exercise - cycling. Since then, I have ridden 10,000 miles, up and down hills, averaging about 13-14 mph. I am 72 years old and somewhat overweight. One cardiologist told me that an echocardiogram to check my EF at rest was very low mainly because I have an “athlete’s heart.” Some enlargement of ventricles or other endurance exercise induced changes. I did develop an atrial flutter, which was cured by ablation. I’ve always worried about my very low EF, but my fitness suggests that this may not be a seriously limiting factor.

  • @franciscajohnson7501

    @franciscajohnson7501

    Жыл бұрын

    Thank you Dr Gupta I wish you are in Texas. You made my day today for your information

  • @drawwithchris5063
    @drawwithchris50636 жыл бұрын

    Thank you so much again to this very important video especially to me,as a heart failure patient.Your the only Doctor explain well about my condition..kudos to you doc!

  • @danh2310
    @danh23102 жыл бұрын

    Wow this is the best explanation thanks doc. Long live all heart failure patients.. my dad had stents I'm worried it runs in the family.

  • @someone9608
    @someone9608 Жыл бұрын

    Thank you for the reference values to help make sense of the various heart test results. Wish all cardiologists were as compassionate and dedicated as you to helping patients and carers understand their health conditions.God bless you sir!

  • @dauntiekay2768
    @dauntiekay27686 жыл бұрын

    Very interesting and informative--thank you for taking the time to educate us on heart failure. You are a gift and your videos are an invaluable source of knowledge.

  • @fecpnr
    @fecpnr4 жыл бұрын

    JOhn, aged 65. Thank you. The clearest explanation yet of a condition {diastolic heart failure} I have lived with now for five years. Most helpful.

  • @TheKevinkumar
    @TheKevinkumar5 жыл бұрын

    Dr., you are a great human being and the selfless service that u are providing to the needy people all around d world are just invaluable. You are blessing to d mankind. May d Almighty keep u healthy forever & give u all d happiness in the world. Thanks a ton n stay blessed at all times. Gratitude - gratitude - gratitude !

  • @samanthadawson5389
    @samanthadawson53895 жыл бұрын

    As a second year nursing student who is currently trying to write a case study on heart failure I have found this video so helpful in gaining a better understanding of knowledge before writing my essay.

  • @dennislurvey3235
    @dennislurvey32353 жыл бұрын

    heart failure snuck up on me, because there is a lack of information. Should be posters in every clinic and hospital corridor. I had all the outward symptoms but nothing to warn me. Your videos have been priceless !

  • @kimanddeansrvlifewenzl3800
    @kimanddeansrvlifewenzl38005 жыл бұрын

    Thank you! You are a blessing to this world! ✝️ you took away so many of my fears etc.

  • @mathewhicks2998
    @mathewhicks29983 жыл бұрын

    I wish he was my doctor, i need a reassuring influence because of health anxiety 😔

  • @brandymoore7191
    @brandymoore71914 жыл бұрын

    Another wonderful video. Your message is saving people’s lives. That’s incredible. Thank you so much.

  • @renerobertson324
    @renerobertson3242 жыл бұрын

    Your explanation of heart failure has really helped me understand my condition .

  • @yvonnemvquire6349
    @yvonnemvquire6349 Жыл бұрын

    You explained it perfectly. I have never been so satisfied with an explanation as I have listening to you. Thank you😊

  • @detailedinfinity
    @detailedinfinity6 жыл бұрын

    Dr Gupta as a patient suffering from heart failure which was diagnosed last September I was placed on a medication regime--the usual potions etc . Last week I presented to my cardiologist for my definitive echo which will give my medic information from that echo if indeed I need to proceed to an implant. You explained in both your vids what info my surgeon will derive from my data in the decision for an implant. As a person with some understanding of organ activities etc you have enlightened me and given me an insight of the jargon and presentation of the if, buts and maybe's of the cardio system--the link to respiratory and renal feedback and so on. I was so pleased to see and listen to a medic sat in his office with no smoke or mirrors which are usually found on the American channels and walking me through the biology given by the echo data. Thank you so much for your time which currently in the NHS is in very short supply. Keep doing what you're doing. Doncaster UK

  • @paulinebeaton4992
    @paulinebeaton49927 жыл бұрын

    Very very impressed and grateful with how u explain in detail about the problems and functions of the heart. It is so kind and generous of u. The videos are brilliant and u have a lovely speaking voice.

  • @mmhervey3449
    @mmhervey3449 Жыл бұрын

    Thank you very much Dr. Gupta. This video was of particular interest to me as I have a sister in the hospital right now with heart failure. She has all of the symptoms you talked about, swollen extremities, breathlessness and she’s very weak. She has diabetes and her blood glucose is very high. This information is very good and gives us hope that she can come through this and live a longer life. Thank you again. I’ve been watching you for a long time and you explain things so they are not difficult to understand. God bless you.

  • @carolthomas1561
    @carolthomas15614 жыл бұрын

    Thank you so much for the in depth information! I have recently being diagnosed with heart failure after a coronary artery bypass graft. I have been so worried and thought I would die in 5 years time, thank you for explaining this fully, you are amazing.

  • @thefuzzfactor2989

    @thefuzzfactor2989

    Жыл бұрын

    I'm the same. I was diagnosed a year ago. No infotmation. It's only.now that I have worse symptoms and am a bit scared. I too wish that Dr Gupta were my cardiologist.

  • @gloriawachel917
    @gloriawachel9172 жыл бұрын

    Thank you - this is so helpful - I have congestive heart failure

  • @carolbenson6524
    @carolbenson65244 жыл бұрын

    Thank you for explaining all these things to us...sure helps in not worrying about so many of these issues.

  • @nelm8257
    @nelm8257 Жыл бұрын

    Hi another good helpfull video...I'm currently awaiting a implant icd.i think...just had my follow up echo..EF 35..male 49 years..I had cardiac arrest november out of hospital..forever greatfull dr omar magdi Manchester cardiac centre...respect dr gupta..

  • @michelenichele294
    @michelenichele2942 жыл бұрын

    Extraordinaire! I will watch this over again. So informative and well presented by a doctor who cares. I’ve definitely subscribed !🤗

  • @SpamBAT
    @SpamBAT5 жыл бұрын

    These are exactly the symptoms my mother was having, I can't believe her GP didn't see it for what it was. She's in hospital now, 2 days already.

  • @stinkydogfilms
    @stinkydogfilms3 жыл бұрын

    I wanted something soothing, relaxing and educational. I came to your video again for it.

  • @alextilson5809
    @alextilson58096 жыл бұрын

    What a interesting video, my father has heart failure and your video blog makes scence to me on whats happening, thank you for posting this information and also taking time to explain what is happening to someone this really helps put everything into perspective for me now.

  • @mimifunkee9508
    @mimifunkee95082 жыл бұрын

    Coming across you Dr Gupta is one of the most beautiful things that have happened to me in 2021. Thanks so much for taking out time to educate us you don't know what you do to some of us you have given me in particular Hope. I am 30 years old and was diagnosed with supraventricular tachycardia and my ecg says I have early repolarization I have so many symptoms that make me feel I'll just drop off and die. I recently subscribed to your channel and I must say I check up on your videos everyday. Thanks for loving humanity this much . You are a God sent

  • @bw8966
    @bw89665 жыл бұрын

    I was just diagnosed with heart failure with an EF of 35%. I am healthy and I'm only 33. I just had my twins 4 days ago. I am watching this video over and over in the hospital CCU. I am so scared but this video has helped me. Thanks for this video. 😭😭

  • @paul5065

    @paul5065

    5 жыл бұрын

    How is it going now? I learn I was at 24% about a year ago. Too me feels like once I push my luck I hurt for awhile and feel weaker. However, most of the time I forget about it. The doctors told me mine didn't make sense either right after turning 40 (Bet that is still really old to you, lol.). The keep saying the best case was some kind of virus they aren't naming weakened my heart.

  • @gtggj6851

    @gtggj6851

    5 жыл бұрын

    I went through MI in the age of 42 went out of hospital with ef 45%. Was going around with mi for two days before i went to the doctor. Im really worried about developing stronger heart failure but everybody here where im taken care of is talking about abilities of heart to regenarate especially in such a young age although don't feel very well. What you can not under appreciate is proper rehabilitation program.

  • @Stacey_Hunter

    @Stacey_Hunter

    5 жыл бұрын

    @ nola twinmama how are you??

  • @dime3868

    @dime3868

    5 жыл бұрын

    Nola TwinMama how r u now? whats the ef now? plz share. my dad has the same no. .(results came out today)

  • @arturocuriel9563

    @arturocuriel9563

    3 жыл бұрын

    I have CHF since 2010and two weeks ago I was told my EF is 35% I'm a bit scared but I'm talking care of my health and trying to eat healthy...what is EF Right now if I don't mind sharing...

  • @suecondon1685
    @suecondon1685 Жыл бұрын

    This is 7 years old, but it's so very useful, thank you so much ❤

  • @marniefisher4255
    @marniefisher42552 жыл бұрын

    You are an amazing teacher, one of the best I’ve heard so far. Thank you!!

  • @C-Rocks
    @C-Rocks5 жыл бұрын

    You have a soothing demeanor on difficult topic

  • @susansperry1418
    @susansperry14182 жыл бұрын

    So glad I watched this . I have heart failure I it was never explained to me . Now I know what to ask I wish you were my doctor ! Thank you

  • @reecetutini3098
    @reecetutini3098 Жыл бұрын

    this was the best information on heart failure well explained very grateful

  • @doriskesse5630
    @doriskesse5630 Жыл бұрын

    Lovely. Learning soo much from you. Im a newly qualified cardiac nurse and i love your channel. Thanks a lot

  • @ellentewkesbury5936
    @ellentewkesbury59362 жыл бұрын

    Your explanation has helped me so much, as I have been diagnosed with heart failure. So clear, so balanced, I feel I can accept this unexpected change, having better knowledge, and as a result, more insight into how I can help myself. Thank you so much.

  • @terricoffey6295
    @terricoffey62953 жыл бұрын

    Thank you for taking the time to put out this video. Just got my proBNP result of 797 and will have Echo day after tomorrow.

  • @carolbenson3497
    @carolbenson34974 жыл бұрын

    Yes...we are all benefiting from your videos! Appreciate it so much!

  • @TheHoursBetween
    @TheHoursBetween5 жыл бұрын

    Thank you so much for producing such a concise explanation!

  • @rowenahibler7372
    @rowenahibler73722 жыл бұрын

    Grateful to you for all you do. You’ve enhanced the way I practice medicine. Amazing teacher!

  • @carmenr2858
    @carmenr28583 жыл бұрын

    Thank you this information put me at ease. I was recently diagnosed with heart failure.

  • @fruitloops3718
    @fruitloops37184 жыл бұрын

    Definitely appreciate your advice. I have aortic regurgitation which has caused 20 percent heart failure/damage. Your words confirm what is going on. I am still exercising but my recovery time has doubled since discovery of my problem. I will continue to follow and just wanted to thank for the clear explanation.

  • @braddsn
    @braddsn2 жыл бұрын

    My father passed away 6 months ago while getting treatment from post-myelofibrosis that had converted to AML. He began his decitabine treatment, and 2 weeks in, they called us in to tell us that his heart had been damaged, and it wasn't properly profusing his organs, and that there was nothing they could do. He passed away 2 days later. He was at Barnes Jewish Hospital, and it's a wonderful hospital. I often wonder if there is anything they could have done to treat his heart failure. But I believe that there must have been no options, or they would have at least tried. This video helped explain a lot. Thank you sir.

  • @vellysiatimotius4523
    @vellysiatimotius45233 жыл бұрын

    Thank you for explaining in such an easy to digest words. My dad is having all those symptoms and we will see the cardiologist next Monday. Hope we're still not too late. Thank you doctor. Appreciate it a lot!

  • @humungous09
    @humungous095 жыл бұрын

    Stayed glued to the video for a length of 16:56.. Absolutely stupendous!

  • @korsimms7886
    @korsimms78864 жыл бұрын

    Brilliant video, very informative Dr.

  • @taneiap4962
    @taneiap4962 Жыл бұрын

    🙏Dr Gupta You are an incredible Doctor. Thank you so very much for your videos, every time I get panicky about my heart conditions I watch your videos and I always feel better.

  • @cherripaterson6066
    @cherripaterson60665 жыл бұрын

    Thank you again for another very informative video on the heart. your the best!

  • @onyebuchiihejirikauche9213
    @onyebuchiihejirikauche92139 ай бұрын

    As a pharmacist who is practising in Nigeria, your videos have been amazingly helpful to me in taking care of my patients. They literally take me as a god

  • @Ski7440
    @Ski74403 жыл бұрын

    Thankyou Sanjay ! My father died of heart failure 2015 and got very breathless along with COPD asthma etc . Nothing could be done over many years , although his medications probably kept him going much longer. He finally passed away peacefully but “ feeling absolutely rotten “ , as he said ; with us by his side. I wish he had met you ...😢😪😊☺️. Best wishes xx🌹

  • @beckythatgirl1578

    @beckythatgirl1578

    3 жыл бұрын

    So sorry for the loss of your father. My husband was diagnosed in 2015 and it’s been a very bumpy road.

  • @jameelharris5636

    @jameelharris5636

    2 жыл бұрын

    Sorry to hear about your father, This video gave me alot of information, my heart doctor doesn't even have the time to discuss things like this. And I ask a million questions! All of you comments are valuable. I hope all is well with you and your family. Happy Holidays to you as well. 1luv Jenn we're in this together.

  • @SusanSmith-ft5zr
    @SusanSmith-ft5zr Жыл бұрын

    Thank you for this video. My Mother has heart failure, and this video has helped me to understand what is happening.

  • @spanishmami4911
    @spanishmami4911 Жыл бұрын

    Currently in Nursing school you explained it SO easy!

  • @johndixon3987
    @johndixon39875 жыл бұрын

    Thank you once again . What a bloke. A gem.

  • @strollby4800
    @strollby48005 жыл бұрын

    Excellent explanation Doctor, you have put my mind at rest as I was told I had 'heart failure' but very little else. Thank you for taking the time to make the video.

  • @samahf1669

    @samahf1669

    5 жыл бұрын

    strollby use Dr. Explaination from this video to compare your symptoms with it & make sure you get second opinion.

  • @darioussmith3450

    @darioussmith3450

    2 жыл бұрын

    How are you these days ?

  • @marynagriesel6289
    @marynagriesel62894 жыл бұрын

    Thank you. This is really very good. I appreciate this information.

  • @lynnsullivan3156
    @lynnsullivan3156 Жыл бұрын

    I so enjoyed your video, your explications are so clear. I had a heart failure incident once at the ER this past November and have a pacemaker now and heart medications …still very tired, but starting to walk more and for longer stretches. I’ll do some cardio physical therapy soon too. They aren’t sure why I had the heart failure, possibly a virus, but I do have type 11 diabetes and thyroid problems too, which could have caused my collapse. Anyway, thank you again, I’ve subscribed!

  • @marysmith4811

    @marysmith4811

    Жыл бұрын

    We are seeing more and more of this. Not sure if you are vaxxed, but I have to wonder if that is what brought my dad's on. We'll never know.

  • @Davetg01
    @Davetg014 жыл бұрын

    I know this is an old video, but it's never old really. I found it very useful thank you and take care.

  • @iongriffis2435
    @iongriffis24354 жыл бұрын

    Thank you Dr for taking time out to make and post that video

  • @susawilletts54
    @susawilletts544 жыл бұрын

    Thank you Dr Gupta, your videos are very informative! I learn more from you than my cardiologist! :)

  • @sreenivasamurthy4163
    @sreenivasamurthy41632 жыл бұрын

    I always wondered what is the connection between workings of heart and kidneys. Why people with weak heart experience fluid accumulation in different parts of the body. And did not know whom to ask. Answers to these questions are made available here in such a way that even ordinary people can easily understand. Thanks a lot!

  • @menotq
    @menotq Жыл бұрын

    Thank you very much! I've just subscribed & looking forward to heart updates on even better treatments in 2022!

  • @migsmora
    @migsmora Жыл бұрын

    Thank you for what you do, explain and give hope and encouragement. Something many doctors dont do these days.

  • @DrTucsonJim
    @DrTucsonJim Жыл бұрын

    Thank you for this thorough explanation. I have early stage CHF and now I understand it better.

  • @rpwful
    @rpwful3 жыл бұрын

    Thank you very much. Your explanations are fully understandable. Your "bedside manner" is wonderful. Keep up the good work.

  • @AMBER1BRANZ2
    @AMBER1BRANZ23 жыл бұрын

    Thank you Dr. Gupta very informative. I have HOCM and I am encouraged with my current treatment and doctors

  • @lekidoma5569
    @lekidoma55694 жыл бұрын

    Thank you for your videos, I only recently came cross your videos, and I have watched almost all of it.

  • @suer3818
    @suer3818 Жыл бұрын

    Thank you for making the video!! My husband and I appreciate and benefitted from it! 🤗

  • @sukhjevensingh2568
    @sukhjevensingh2568 Жыл бұрын

    Your information is cardioamazing. I've been diagnosed with left ventricular diastolic dysfunction. Grade 1 and I'm educating myself to slow the progression of this condition. I have realised to learn the cause (hypertension/diabetes/obesity) and tackle this now.

  • @johnbasil7882
    @johnbasil78823 жыл бұрын

    Such a beautiful person. I deeply respect you.

  • @mariahkay4976
    @mariahkay49766 жыл бұрын

    Mariah 22 Thank you for the time you take to reassure those of us with heart problems. I have learned so much from watching your videos and feel so much more empowered as a result, when seeing the medics that treat me. Your teaching style is simple, easy and effective and you manage to convey what is sometimes difficult, technical information in an easily understandable way. I think you are brilliant!

  • @YorkCardiology

    @YorkCardiology

    6 жыл бұрын

    How very kind ..thank you so much!

  • @christiana-627
    @christiana-6273 жыл бұрын

    Best explanation thus far. My BMP is 1820. Heart is stiff. Everything else functioning. Wish you were my doctor.

  • @afzalanwar136
    @afzalanwar1366 жыл бұрын

    Doctor you are really helping heart patient I am thankful to you your video is very very informative by this way you are helping the poor people

  • @taswirsingh2209
    @taswirsingh2209 Жыл бұрын

    So nice and simple to understand.Thanks a lot doctor Gupta. Live long.

  • @jameelharris5636
    @jameelharris56362 жыл бұрын

    Thank you for sharing this information, Your a Blessing to the world. May You and your family always be loved and well received.

  • @jakegarcia2508
    @jakegarcia25084 жыл бұрын

    Well presented. Thank you!

  • @patsys.9421
    @patsys.9421 Жыл бұрын

    So pleased to have answers my own cardiologist seems to be too busy to give. Many thanks

  • @timfromtn-ncmountains7711
    @timfromtn-ncmountains77113 жыл бұрын

    Dr.Gupta, thank you so much for this information. It answered all my questions and confirmed so much about my heart. Again, Thank you !

  • @josephineatieno2600
    @josephineatieno26003 жыл бұрын

    This is very useful information as it creates awareness. May God bless you doc for this initiative.

  • @markjching
    @markjching7 жыл бұрын

    Thank you for this video and all your videos.

  • @andrewheredia8049
    @andrewheredia8049 Жыл бұрын

    Thank You, Doctor Gupta!🙏🏻🫀🙏🏻

  • @anamariavega9918
    @anamariavega99184 жыл бұрын

    Thank you for this information .Very useful..

  • @lindyloo5437
    @lindyloo54376 жыл бұрын

    Very informative thank you.

  • @santishstudios9273
    @santishstudios9273 Жыл бұрын

    Dr, you have simplified for me, a topic that I am trying to understand for quite awhile. Thanks

  • @patodwyer721
    @patodwyer7213 жыл бұрын

    Very interesting and informative video . Thank you Dr. Sanjay.

  • @stephenclayton6686
    @stephenclayton66864 жыл бұрын

    Very helpful - much appreciated. Steve

  • @Angie-ci1lp
    @Angie-ci1lp2 жыл бұрын

    Very informative! Thank you for sharing. God bless you😔❤️

  • @rajarams4823
    @rajarams48234 жыл бұрын

    Great explanation dr. Thanks!

  • @muhammadanwar7217
    @muhammadanwar72173 жыл бұрын

    Very informative very useful thanks

  • @piroskamerk106
    @piroskamerk1064 жыл бұрын

    Brilliant video thank you Dr Gupta 🙏

  • @HalfassDIY
    @HalfassDIY Жыл бұрын

    Excellent information here, thank you !

  • @corinnetaylor4210
    @corinnetaylor42105 жыл бұрын

    brilliant , so grateful, thank you so much!

  • @r.d.maheshwari6933
    @r.d.maheshwari69333 жыл бұрын

    Your knowledge of the subject and the manner of explanation and illustrating commendable. Congratulations.

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