Daily Excerpt: From Deep Within (Lewis) - Ben and Bella

 


Excerpt from excerpt from From Deep Within (Lewis) 


Ben and Bella

 

My office was on the seventh floor. Practitioners who rented office space in the large brick building nicknamed it ‘therapy row’ since it was occupied by so many therapists.

 

My square office was to the right of the elevator. I had two black leather chairs that reclined, with a tinted brown glass table between them. In the corner was a plain pine desk with file drawers, a clock and a phone. Healthy green plants were placed around the office, and pictures of nameless Caribbean islands lined the four walls.

 

Bella, who described herself as transgendered, walked into my office. She was a mixed race black woman dressed to the T. The paisley dress she wore was a mix of red, blue and green. She wore striking red pumps. I noticed her feet were large and out of proportion to her small frame. She was transitioning from a man to a woman, and some of her feminine qualities were still muted. She had the shadow of a beard covered with a heavy base of make-up. Her handshake was powerful. She was wearing an attractive, deep brown wig with wispy bangs that flowed over her shoulders and looked expensive.

 

When Bella and I first met, she told me that after appealing several denials for support, she had finally received Social Security Disability from the federal government. “I can’t work. I get so depressed I can’t physically get to a job. I lie in bed for days,” she explained. As we discussed her more recent jobs, I recognized her seeming inability to listen. No matter what I suggested, she had a retort. She knew better. I wondered if this quality made it difficult to get work.

 

When we started working together in 1990, she seemed capable of working. Her habit of getting fired seemed more due to an inflated attitude. Annunciating carefully, she would stare into my eyes and say, “You know Dr. Dear [her title for me], I am a member of the Mensa society.”

 

The Mensa International is the oldest and largest high IQ society in the world. The organization is open to people who score at the 98th percentile or higher on a standardized supervised IQ measurement test. I was impressed.

 

Although Bella had been taking Spironolactone, a feminizing hormone, her breasts were still small and her voice retained a male tone. She explained that she was feeling depressed and frail. The town where she lived was growing, and at lunchtime, construction workers sat on their perches eating while eyeing the passing traffic and making wolf whistles at passing females.

 

Each day, Bella passed the men on her way to public transportation. In the winter, her coat was pulled up to her chin and her face wasn’t visible below the layers. She wore warm boots that reached to her knees and looked more like an arctic explorer than a transgendered woman. In warmer temperatures, however, she was more exposed. Sometimes she wore a hat to cover her face and walked with her head tilted. She told me that as she passed, the men would whistle and then yell at the top of their lungs, “That’s a man!”

 

“Dumb, shit assholes with the intelligence of plants,” Bella said.

 

She was reluctant to tell me how deeply the comments hurt, but pain was written on her face. When she came to my office and told me the men had made comments again, my heart ached.

 

Who was this woman? I wondered in those early days, and where had she come from? What struggles had she fought and what had led her to me? She loved being bright and being recognized as such. She felt others were below her, lacking skills, talents, not to mention an awareness of the world’s problems and their solutions. She laughed often, a sound deep and resonant. She breathed in, swallowing air, and the sound that came out was like a rapid hiccup.

 

During the fifteen years we worked together, Bella would at times complain of feeling depressed, and wouldn’t get dressed, shower or eat. She would often laugh at herself, so I had trouble gauging the depth of her feelings, but she would also speak of hopelessness, and at times lose the will to fight and live. The process of changing genders was overwhelming, and progress was slow. 

 

“I am neither a man nor a woman,” she would sometimes remark, “in between being in between.”

 

When she expressed feeling suicidal, I asked whether she had a plan, time frame and method, and whether she needed psychiatric hospitalization to keep her safe. She said she could keep herself safe. It was my judgment that determined how we proceeded, but you did not want to disagree with Bella. When we talked about this less attractive quality of hers, putting others down without reprieve, she laughed.

 

“I know,” she would chuckle. “That’s what makes me so lovable.”

 

Talking with her about her transition made me wonder, what was it that made me a woman? The answer seemed convoluted. And what did I know about being transgendered? During the process of transition, was the person both male and female, or neither? How did one know when the transition was complete? Was the knowing internal or external or both? Would some people spend the rest of their lives convincing others who they were?

 

To update and expand my knowledge, I read voraciously and consulted with colleagues. At the time, there was little written about undergoing a sex change from an informed perspective, although one case stood out. Psychologist and sexologist Dr. John Money specialized in research into sexual identity and biology of gender, and he was the first scientist to study sexual confusion. Money stated that gender was learned rather than innate. He conducted research on an infant who had a botched circumcision that left him without a penis. Money convinced the baby's parents that sex reassignment surgery would be in their son’s best interest and that they should raise him as a girl. The baby had a surgery in which his testes were removed. Money subsequently reported what he called, “successful female gender development,” in research papers.

 

In 1997, however, David Reimer, the subject of the operation, wrote a book telling his story. He said he never identified as female and that when he was between the ages of nine and eleven, the feelings of being more male than female became overwhelming. At fifteen, in desperation, Reimer transitioned from living as a female to living as a male, and even reversed the prior surgery. He married and adopted children, but he never pulled out of his deep despair. In 2004, he committed suicide at the age of 38.

 

When Bella and I began meeting, she had been receiving hormone therapy for five years. In my past experience working with transgendered clients, many talked about feeling that they were born into the wrong sex as early as five years old. I assumed the same was true for Bella. It wasn’t.

 

Bella was born in 1942 in Georgia and was the oldest of her siblings. Her father was in the army and the family only remained in the south a short period of time. When she was three, Bella’s great-grandfather had been lynched, and Bella’s mother, grandmother and great grandmother decided that it was safer to live up North. The family moved to a five-room apartment in the railroad flats in Harlem, New York.

 

Bella, who at the time was named Ben, lived in an apartment with three generations of women. Many cousins visited his home, and when Ben was five, his cousins dressed him up in girl’s clothes, including painting him with make-up. Bella said she remembered being surprised that he felt so comfortable in girl’s clothes.

 

When Ben was ten, he watched a television program about Christine Jorgensen, the first male-to-female transgendered woman to become widely known in the U.S. after having sex reassignment surgery in Denmark.

           

Bella recalled the impact the program had on her.

 

“I was intrigued by her having thrown off her male body,” Bella said. “My family was watching the story as well, and they told me she was the spawn of Satan.”

 

In junior high, Ben was sent to an all boys’ school in an attempt to help him improve his study habits and focus. As a young boy, beginning puberty, he seemed slight and perhaps feminine to the other boys. Bella said that at recess, the boys formed single file lines and then rubbed their genitals against whoever was in front of them. 

 

“I hated that display of sexuality,” Bella said.

 

At fifteen, Ben left the boy’s school to attend public school, but he quit six months before graduation. 

 

“I was so depressed and had conflicts with my mother at home that messed with my head,” Bella explained. She felt belittled by her mother, and under constant threat of being thrown out of her house and becoming homeless. 

 

“My mother thought I had a smart mouth, which wasn’t true. The only reason I got to stay in the house was because my mother had my sister and basically ignored her. She would leave her wailing in her crib for hours. I took care of her, fed her, changed her diapers, and bathed her. My mother just abandoned her. She was mean to all her kids. I don’t know why she had them. One of my brothers was a drug addict. He was found dead in an alley and my mother never commented about his existence again.”

 

Bella’s mother married three times, had nine children, and apparently never paid attention to any of them. With her first husband, Bella’s mother had two children, Bella and her brother. Bella said her brother ran away when he was sixteen and she never saw him again. Her mother then remarried and had five more children. Her second husband worked on an oil tanker in Texas. While in the Gulf, his ship collided with another and he was killed at 38. Bella’s mother then married a childhood sweetheart and had two more children. Over time, Bella’s love-hate relationship with her mother grew more hateful.

 

 “I hated my mother but still wanted to be like her. We used to take baths together, and I slept in her bed until I was an adult. That messed with my head for sure,” Bella said. “When I married Jen, my mother couldn’t be bothered to come to the wedding.” Bella commented, “I thought to myself, well why be in touch ever again?”

 

 

Ben lived at home until he turned 21. He was not motivated to seek employment and lived an isolated existence in his mother’s house. “My mother kept threatening to throw me out of the house. Her comments crippled me. I spent my twenty-first birthday at Rockland State Hospital, where I remained for six months.”

 

She recounted that, at the time, she had been seeing a counselor who had recommended hospitalization for her depression. “I didn’t get any help there and felt like a walking zombie from the medication,” she commented. “No one in the family gave a damn where I was. They never came to visit me.”

 

Since the 1920s, Harlem had been known as a major African-American residential, cultural and business center. Ben was surrounded by something great, but didn’t experience it that way.

 

When Ben was released from the hospital, he was isolated. His therapist encouraged him to create a network with people. He thought that if he became a member of a fundamentalist church, it might be easier to meet others and become a member of the community.

 

As she entered her late teens and early 20s, Bella began to notice women’s clothing in stores and it sparked her first awareness that she wanted to transition. Bella, aware of the bubbling and impending eruption of her conflict, spoke with the minister in her church, looking for some guidance. The response was strident condemnation. Ben was told to be the best man he could be.

 

As I listened, it felt tragic that everywhere Ben turned for support and understanding, he was rejected. I was impressed that she continued to seek out help. I wasn’t sure I would have had the courage or stamina.

 

Transgendered people in general were invisible as Ben grew up. Meanwhile, Ben was keenly aware of being different. He had become fascinated by a three part series in the National Inquirer about a man becoming a woman. During this era, gender was presumed as fixed. When someone was expecting a child or a newborn, the first question was “What sex is the baby?” In the culture of the time, Ben had no one to talk to and it was risky to share his internal world.

 

Ben pursued work primarily as an opportunity to increase social contacts, but this too was a disappointment. He had taken vocational courses in keypunching, and he found his first serious job through his grandmother, who was a kitchen helper in a sandwich shop. Ben became the facility’s clerk typist. The shop owners argued a lot, and each would tell Ben to do something different from the other. He was in the middle of an on-going power struggle, and with this and the gloom of depression lingering on the periphery, he quit. In Ben’s further efforts to secure employment, he was hired in the mailroom of an agency on Madison Avenue.

 

After intensive investigation, Ben found an underground society for people who were either transitioning between genders or considering it. By this time, he was sleeping in nightgowns that were “frilly and pretty,” as he put it. On weekends, these individuals would secretly meet at each other’s homes to share war stories. Bella recalled a meeting on Cape Cod where the attendees who went were pre-op or post-op transsexuals and transvestites. 

 

“I had already begun the transition internally and I decided to do myself up for the evening to see how it felt. I put on make-up, but I didn’t know what I was doing, so I started with a base liquid and didn’t know what to apply next. I looked awful. Looking back, I am horror-struck. I cringe at my presentation.” 

 

In the late seventies, Ben was re-hospitalized with the depression that weaved throughout his life. He was already taking hormones prescribed by a psychiatrist, beginning his transition. Bella told me that the hospitalization saved her life. During the physical examination, the medical staff discovered Ben had a blood clot in his leg. At the time, she assumed that the hormones were the cause and could have killed her, so she stopped taking them. She slowly returned to the biological gender of male.

 

Before this, Bella spent hours trying to figure out a name for herself as a woman and decided on Kim, but in stopping the hormone therapy she dropped the new name. Her breasts subsequently disappeared, and her enormous head of hair receded. Ben came to believe he would never transition to being a woman. He threw out all his books about transitioning, leaving a barren bookcase.

 

In the mid-1970s Richard Raskind was a successful heterosexual male, ophthalmologist, tennis player, author, husband and father. One day, Raskind walked into a New York City hospital for surgery, and three days later she left the hospital, not as Dr. Richard Raskind, but as Dr. Renée Richards.

 

From early on, tennis was a huge part of Raskind’s life. While at Yale University he was captain of the men's tennis team, and while serving in the Navy as a medic, he won the All Navy Tennis Championship. Around the time Raskind transitioned to Richards, the US Open was welcoming amateur players. Raskind had played in the US Open several times, but when Richards applied for entry, she was told she would not be admitted because she was a man. Dr. Richards, with the support of tennis great and champion of sexual equality, Billy Jean King, brought a discrimination suit and won. Richards made history when she walked out onto the Centre court in 1977 as the first transgender woman to play in a major tennis tournament. To Bella, this provided hope.

 

But Bella was still struggling to become whole. Her desire to be a woman was constantly in her thoughts, but the relationships with which she could express herself never materialized. Bella spent so much time alone and depressed that her social skills were lacking. She didn’t know how to reach out. Yet Ben desperately wanted to be held and nurtured. For Bella, reconciling this disparity has been a life long struggle.

 

Our therapeutic relationship was often turbulent, and it sometimes felt like we battled each other more often than we talked. I wondered if this way of relating was Bella’s blueprint, written long ago. At moments, I wanted to pull my hair out, or pull Bella’s wig off, but she came each week without fail. Clearly we were connected, even if it was in conflict.

 

Bella’s relationship history paralleled our own therapeutic relationship. Despite desperately wanting to be in a relationship, she criticized others mercilessly. Ben was thirty years old before he had his first sexual experience. Bella told me the first attempt was a disaster. Ben was impotent and unable to take part in the pleasures of intercourse. The struggle to find closeness and feeling, coupled with the feeling that it was beyond his reach, led Ben to another psychiatric hospitalization for depression. His continued isolation was an albatross, and his psychiatrist encouraged him to go to groups to meet likeminded others. To this end, he suggested Bella attend a church known for it’s welcoming attitude toward diversity.

 

The Arlington Street Church sits at the corner of Arlington Street and Boylston Street and is a welcoming Unitarian Universalist church whose focus is on values, dignity, equity, compassion and acceptance for all. It was, and continues to be, welcoming to everyone who walks through the doors. For Ben, it was a far different experience from the fundamentalist group that had condemned him years before. He met a woman there and slowly became involved. 

 

“She had scoliosis, you know, the hunched back.” Bella said. “I was so in love with her. When we were together, it was so wonderful. The sex was wonderful because it was passionate and I felt present and loving during the experience, not disassociated. We cuddled. I wanted to get married and have a daughter that I was going to name Rachael.”

 

As Bella described this relationship, I assumed it had gone on for an extended time. I was surprised to hear that it lasted only four months. Ben was filled with anxiety that something would break them up. The anxiety smothered him, and eventually the relationship ended.

 

Ben soon got involved with a married woman. That relationship was a disaster. “Her husband worked on the floor below me and we knew each other. I just couldn’t continue to see her.”

 

Still searching for that human connection, Ben plunged into yet another relationship. This relationship was the longest – a year. Bella felt she had met her soul mate. “We completed each other,” she said. I was not surprised to hear that Bella could get that close to someone so quickly, but he wasn’t able to sustain a long-term commitment. It seemed to be a repeat of the relationships of her childhood. Pulling someone in very close and then not being able to maintain that level of intimacy. When Bella told me that Ben’s girlfriend became pregnant, I was shocked.  It never occurred to me that Bella would want to have children, whether she identified as a man or a woman. Bella then explained, in a deep forlorn voice, that Ben’s girlfriend decided on an abortion. There was never further discussion of children.

 

As we talked of Bella’s past, I was often struck by how far behind her it often seemed. It was as if we were talking about another lifetime, a different person. I never knew Ben, and by the time I met Bella, he was long gone.

 

Ben had, at one point, gotten a decent job. He had worked in the insurance industry. For nine years he was the clerk responsible for processing death certificates and matching them to the death benefits owed by the insurance carrier.

 

“It was the most money I ever made, $25,000,” Bella quipped with a grin.

 

It was at the insurance company that Ben met Jen, the woman he married. “I really loved her,” Bella said, but Jen’s spending habits put them in debt. Bella described Ben as a passive man. She thought, in retrospect, that he should have placed more limits around spending for them. Instead, he meekly agreed to all that Jen wanted.  

 

Ben also loved going clothing shopping; in particular, buying Jen beautiful dresses. He would sit in Lord and Taylor’s and watch her model them, wishing he was the one wearing them. “When I was shopping in the men’s department, I felt like an imposter,” Bella said.

 

“In the beginning, it was wonderful. We sat in our living room reading the Sunday New York Times together. I had told her about my previous hormone therapy and my desire to have surgery to be a woman. Without any judgment, she simply asked me if I was done with that. I lied and said yes.”

 

Ben was in love with being in love, and his thoughts about relationships were high blown romantic fantasies. When reality set in, and the fantasy attached to a person was dispelled, the relationship dissipated as well. During the last two years of the marriage, Jen spent a great deal of time away from home trying to put her ideas for a new business into motion. While home alone, Ben began dressing as a woman for longer periods. He not only wanted a divorce from Jen, but from Ben as well.

 

Before the ink on the divorce papers was dry, Ben was laid off and evicted from his home, and he began hormone therapy. He told his new internist about the blood clot he had previously suffered and his concerns that he could never take hormones. His doctor disagreed and prescribed Premarin, a feminizing hormone, in low dosages.

 

One afternoon, Ben dressed in feminine clothing and went to an unemployment office to apply for benefits. After finishing his application, where he marked off the gender as male, a woman kindly asked him if that was how he wanted to be identified. “No, it isn’t,” he responded, changing what he checked off. With no drum rolls or cymbals to mark the occasion, merely a soft-spoken no in a non-descript unemployment office, he had discarded a part of himself that was painfully dissonant.

 

Bella’s family never met her, but news of her incarnation, which was what Bella called her transition, reached her family. “It was par for the course they didn’t get it or want to know anything about who I had become,” Bella said softly when we met one afternoon. “I envy the girls whose families stood by them or whose spouses supported their change and remained in the relationship.”

 

Soon after, Bella reconnected with the friends she had spent time with in the 1970’s while on Cape Cod. The group now called itself Tapestry. 

 

“It was a group of trans where we could go and be ourselves,” Bella said. It was also a clearinghouse for information. “Given my desperate financial situation, I had put up a sign looking for a roommate. I found another trans woman to live with. That was a treat.”

 

One of the group members also took Bella shopping and taught her how to apply make-up and how to walk, talk and move like a female member of society. “But I still had my big hands and feet,” Bella said with a laugh.

 

The 1990s were a time of public awareness and change. Feminism began to focus on dispelling the myths of gender role expectations, and replacing the one-size-fits-theory with more attention paid to different races, classes and sexual categories. The general public was exposed to this way of thinking in mainstream movies. In 1990, the documentary Paris is Burning was released. It followed African-American and Latino people of various gender identities who competed in New York’s glamorous balls. The Crying Game released in1992 was also one of several mainstream films that challenged the stereotypes of trans people. The film’s softer side elicited empathy from the audience and Priscilla, Queen of the Desert, released in 1994, followed a transsexual woman, a transvestite and a drag queen across the Australian outback to resurrect their old cabaret act.

 

Although the release of the films suggested a developing openness, there was no appreciable increase in individual tolerance. In 1993, transgender youth, Brandon Teena, was raped and murdered in Humboldt, Nebraska. This hate crime brought widespread attention to transgender discrimination and violence, and became the subject of the award-winning film, Boys Don’t Cry.

 

By then, Bella’s transition was progressing, but she was still having trouble relating to others. While working as an office assistant, she informed the other office staff of a better way to not only manage the paper storage but also their filing system. When she railed about how stupid the employees were, I cautioned her to keep her thoughts to herself. She was fired.

 

I was privileged to witness Bella’s transformation to a woman. She had received her GED in 1972. In 2000, she petitioned the board of education to reissue the certificate in her new name. Social security also changed her name. Now, in her eyes and those of her world, she was Bella.

 

Although her income was limited, she spent as much as she could on facial electrolysis and experimented with make-up. She got pedicures and manicures in a vibrant shade of red. Her eyebrows were gently shaped, and the clothes she wore were feminine and colorful.

 

In one sense, Bella was one of the lucky ones. After puberty, the male body settles into a testosterone driven shape that often includes a prominent Adam’s apple. Because Bella’s wasn’t pronounced, she didn’t need surgery. However, she didn’t have the financial means to hire a vocal instructor, and the hormones used in male-to-female transitions have no effect on the vocal cords. As a result, even after a cosmetic and surgical transition, the male-sounding voice can keep a transgendered person linked to her old identity. Still, Bella worked hard to attain a passable female voice, and as she became more comfortable with her developing femininity, her mannerisms, voice and tone all followed in synchrony.

 

When we talked about Bella’s male genitalia though, she would scrunch her face in disgust. She wanted her penis to be used to create a vagina, but the surgery’s cost was prohibitive.

 

“My mother told me to wear clean underwear every day in the event there was an accident and I was rushed to the hospital. Well, what if I am rushed to the hospital and they find that thing?” She would ask, pointing to her genital area.

 

“Look both ways before you cross the street so that never happens.” I answered. I also pointed out that if she were injured, the emergency room staff would likely be more concerned about her injury than her penis.

 

When the issue of surgery came to the forefront, Bella went on a tear to find a doctor who would perform the final procedure. She contacted various offices, requested brochures and sought physicians in Europe. Each search ended in disappointment due to the exorbitant cost. In the end, Bella had an orchiectomy, which removes the testicles but leaves the penis and scrotum intact. The orchiectomy also stops most of the body's production of testosterone, and thus allows for a significant increase in the necessary dose of female hormone, allowing her to taper the Premarin to a lesser dose.

 

At times, Bella experienced tension headaches, neck and shoulder discomfort and insomnia. I wondered if the cause might be sexual tension and suggested masturbation might provide some relief. Anyone listening would have thought I suggested she put arsenic in her morning coffee. Once again, Bella’s discomfort was with what her penis represented. She felt it was an albatross to carry, and she would be damned if she acknowledged its weight. Yet, over the years, we quelled her hatred of her own anatomy.

 

After her transition, she had two sexual relationships with women. She identifies herself as a lesbian. Changing one’s gender has little to do with sexual orientation. 

 

Meanwhile, Bella and I spent hours in conversation as she sought to understand what it meant to still have male genitalia as a female, especially once she began to study Judaism. She spent hours consulting with the rabbi at her temple and getting to know her new congregation. The studies were arduous and took years. Bella persisted with an unwavering focus. She went to temple on the high holy days, learned Hebrew, and immersed herself in her new religion. Her solitude took a back seat to meaningful interactions with different members of the synagogue. Following her Bat Mitzvah, she faithfully attended services on Friday and Saturdays.

 

“I hate those awful kids I see at Saturday services,” Bella said. “They’re noisy and irreverent. I can’t sit there without grimacing and moaning as they fudge their way through the Torah passage. I feel like I have pins in my eyes.”

 

In the Jewish religion, a traditional ceremony takes place in a Mikveh, a ritual bath representing joining in the Jewish faith and signifying purification. The person steps into the water naked. When Bella received the instructions, she became worried about what would happen. She had heard there might be women in the room whose job it was to make certain she was pure before she entered the water. That meant no make-up, perfume, jewelry and clothing.

 

Bella was worried, first about the make-up, and then that people would see her penis. “I’ll have to make my groupies leave the room,” she said jokingly, but she was clearly worried. She decided to tape her penis out of sight and hope for the best. The actual event was conducted without anyone in the room, and those outside the room recited the prayers with bowed heads.

 

“It was a good thing, because there was a tape malfunction.” Bella said with a laugh.

 

Bella’s worries were not about her choice to become a woman, but about other people’s judgments or comments. A day rarely passed when a stranger didn’t make a disparaging comment, exacerbating her worry that she would be identified as a transgendered person. As a result, she railed against, “the assholes of the world.”

 

I suddenly noticed how easy it was for me to go for a walk, attend the theater or have dinner out whenever I wanted without being unduly noticed. What would it be like to continually worry about being singled out when the main desire was to remain anonymous?

 

For Bella, each morning required a meticulous ritual preparation of make-up, wardrobe and mirror checks to make sure every detail was in place before walking out of the sanctuary of her home. I could wear a skirt or pants if I chose to; Bella never wore pants, ever.

 

Eventually, Bella took a job in one of the smaller neighborhood libraries near where she lived. It was a perfect match for her. She read voraciously, worshiping the books. The library also had a room where she could listen to her beloved Mozart and Beethoven, her Brahms symphonies and sonatas, her Chopin etudes. In this world of old, she came to life. 

 

Ben grew up in the depths of poverty, and although he lived in New York, cultural jewels like the Met (opera), theater and concerts were out of his reach, but when Bella finally grew up and emerged, she became a lifelong student of music and culture. She took classes at the Boston Architectural College and aspired to become an architect, until she got into an argument with one of her instructors. Still, she knew the styles of buildings and enjoyed the opera and the symphony. She reveled in art, knew despair, and could distinguish between loss and losing. She was a risk taker and an entrepreneur. She fought against odds for what was important. As the years passed, I recalled with some nostalgia the hills we ascended and the pits we labored out of.

 

Since the unveiling of Caitlyn Jenner has put transgender issues in a new light, I hope Bella, and others, can finally benefit. As Bella has said, “If you look like a duck, walk like a duck and talk like a duck, asshole, you’re a fucking duck.”

 



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