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Author Topic: Flu shot - Its that time of year again  (Read 2806 times)

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Offline Jim Allen

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Offline kentfrat1783

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Re: Flu shot - Its that time of year again
« Reply #1 on: September 04, 2018, 08:38:20 pm »
I've scheduled the flu shot's at work for the 20th of this month. 

We always have a big turnout for the flu shots. Wish I had that kind of turnout for the other events I hold.

03/13/2019 - CD4 170 (16%) VL - <20
January 2019 - Started Triumeq
12/05/2108 - CD4 174 (18%) VL - <20
08/28/2018 - CD4 166 (15%) VL - <20
05/08/2018 - CD4 106 (11%) VL - <20
03/05/2018 - CD4   90 (10%) VL - <20
12/11/2017 - CD4   60 (  8%) VL - Unknown
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May 2017 - Started Atripla
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Offline MarkintheDark

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Re: Flu shot - Its that time of year again
« Reply #2 on: September 04, 2018, 11:12:04 pm »
One issue I've considered with my annual shot is my preference for the quadrivalent vaccine over the trivalent.  My reasoning is that it covers BOTH B strains (Massachusetts and Brisbane), instead of just the one that is expected to be prevalent.

Here's a short explanation:  https://www.cover-tek.com/trivalent-vs-quadrivalent-your-guide-to-the-flu-vaccine/

As noted in @JimDublin's links, this is also an ideal time to update your pneumonia protection.
HIV dx - 02/93
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Offline CaveyUK

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Re: Flu shot - Its that time of year again
« Reply #3 on: September 05, 2018, 03:37:06 pm »
I'm in the clinic for my second shot of Hep B vaccine (the first round didn't take) early October, so will ask them if they can do the Flu shot at the same time.
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Offline MadDog125

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Re: Flu shot - Its that time of year again
« Reply #4 on: September 06, 2018, 12:35:04 am »
I read the cdc guideline for this year.  They seem to be suggesting not later than the end of October.  Locally I've been told to hold off until early October in case of changes to expected strains.  Hopefully this season is better than last.  I was freshly diagnosed then ad we had some local deaths. 
DX 28DEC17, cd4 112, VC 63000
13FEB18, cd4 215, VC 156
14MAY18, cd4 260, VC 31
23AUG18, cd4 298, VC 61
03OCT18, cd4 300, VC 35
21NOV18, cd4 259, VC <20
18JAN19, cd4 284, VC 24
17APR19, cd4 157, VC <20

Offline Loa111

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Re: Flu shot - Its that time of year again
« Reply #5 on: September 06, 2018, 05:12:10 am »
My ID Doc told me I need the flu shot too.

Me, with a CD4 of 50 last month. I'm wondering will the shot leave me tired n weak for a few days after?

They also want to give me Hep shots too but are waiting for my immune system to get stronger first.

I'm back to ID doc in 2 weeks so I'll ask when they can do it for me.

Offline Jim Allen

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Re: Flu shot - Its that time of year again
« Reply #6 on: September 06, 2018, 08:38:16 am »
Quote
Me, with a CD4 of 50 last month. I'm wondering will the shot leave me tired n weak for a few days after?

Low or high CD4 counts will not really change how you feel post vaccination.

Look common side effects are generally very mild so sorenes where the injection was given and, some people mild beadache, fever, aches etc for a day or so. Generally nothing to be worried about if you ask me.

That said talk to your doctor about this concern beforehand i'm sure they will offer reassurance as well and, answer any questions.

Jim

FYI:

The recommend cover for 2018-2019 northern hemisphere influenza season is the following:

http://www.who.int/influenza/vaccines/virus/recommendations/2018_19_north/en/

an A/Michigan/45/2015 (H1N1)pdm09-like virus;
an A/Singapore/INFIMH-16-0019/2016 (H3N2)-like virus;
a B/Colorado/06/2017-like virus (B/Victoria/2/87 lineage); and
a B/Phuket/3073/2013-like virus (B/Yamagata/16/88 lineage).

« Last Edit: September 06, 2018, 08:41:20 am by JimDublin »
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Offline harleymc

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Re: Flu shot - Its that time of year again
« Reply #7 on: September 06, 2018, 08:52:37 am »
It seems like it was just the other week that we were getting our southern hemisphere flu shots, but I realise I've just had 6 months fly by.

I get really tired after vaccination shots and sleep for about 12 hours afterwards

Offline leatherman

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Re: Flu shot - Its that time of year again
« Reply #8 on: September 06, 2018, 02:10:33 pm »
Me, with a CD4 of 50 last month. I'm wondering will the shot leave me tired n weak for a few days after?

They also want to give me Hep shots too but are waiting for my immune system to get stronger first.
being weak and tired could be just par for the course at this point for you, I'm sad to say; but with as weak an immune system as you have right now, you certainly need protection from the flu, pneumonia, and PCP pneumonia. (that would be the flu and pneumonia vaccines and Bactrim/Septra). Being tired/weak is a small price to pay to prevent something much worse.  (I've had all three and none of them were fun. LOL but I did learn that I'll do whatever it takes to not have  PCP for a third time  ;) That stance has now kept me out of the hospital 20 yrs and 6 months :D )

Hang in there. Getting through the first bit waiting for your cd4s to recover above 200 can certainly be a trying time; but as long as you remain adherent to your meds (and get the proper vaccinations ;) :) ), you'll eventually be a lot healthier.
leatherman (aka mIkIE)


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Offline LeftyBowler300

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Re: Flu shot - Its that time of year again
« Reply #9 on: September 13, 2018, 11:34:23 am »
My ID Doc told me I need the flu shot too.

Me, with a CD4 of 50 last month. I'm wondering will the shot leave me tired n weak for a few days after?

They also want to give me Hep shots too but are waiting for my immune system to get stronger first.

I'm back to ID doc in 2 weeks so I'll ask when they can do it for me.

I got both the flu and prevnar 13 vaccines within a few months of each other with about 60 CD4. I think nowdays as good as medicine works undetectable viral load is most of the battle. I have yet to be "hospital" sick since starting treatment "knock on wood"
Apr 1, 2017 DX - CD4 8 , VL 820,000
OI's: Disseminated Histoplasmosis, Thrush, PCP
Apr 17, 2017 started Genvoya, Bactrim, Sporanox, Azitrhomycin
Jun 9, 2017 - CD4 42 (3%) , VL 100
Jul 17, 2017 - CD4 57 (4%) , VL 53
Sep 16, 2017 - CD4 57 (4%) , VL 130 - Ugh... wtf
Oct 20, 2017 - CD4 63 (5%) , VL 100
Dec 1, 2017 - CD4 56 (3%) , VL <20
Mar 15, 2018 - CD4 73 (5%) , VL <20
Nov 5, 2018 - CD4 104 (7%), UD
Jan 26, 2019 diagnosed with HIV-associated DLBCL with 6cm mass near liver and abdominal fatty tissue involvement
Jan 27, 2019 started R-EPOCH 6 day cycle every 21 days.
Challenge Accepted.

Offline Jim Allen

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Re: Flu shot - Its that time of year again
« Reply #10 on: October 01, 2018, 07:21:03 am »
Got my flu shot this morning :)
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Offline dml1964

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Re: Flu shot - Its that time of year again
« Reply #11 on: October 01, 2018, 07:56:59 am »
Got my flu shot last wednesday when at my ID doc. Waiting on test results.

Offline leatherman

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Re: Flu shot - Its that time of year again
« Reply #12 on: October 11, 2018, 08:31:25 pm »
the hubby and I got flu shots today, as the remnants of #HurricaneMichael blew through and rained on the Carolinas. Next year, I need to pick a drier day to go to the doctor's. LOL
leatherman (aka mIkIE)


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Offline Jim Allen

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Re: Flu shot - Its that time of year again
« Reply #13 on: November 05, 2018, 07:44:26 pm »
Just bumping the thread as a reminder.

November 5, 2018
https://www.poz.com/article/get-annual-flu-shot

Should I get an annual flu shot?

Yes. Annual flu shots are recommended for everyone except infants younger than six months and anyone who may be severely allergic to the flu vaccine or ingredients contained in it, such as gelatin.

People who are allergic to eggs should talk to their doctor before getting a flu shot. Also, tell your doctor if you arenít feeling well or if you have a history of Guillain-Barrť Syndrome (a severe illness that causes paralysis).

Influenza is a serious illness that can cause death, and the vaccine is the best way to avoid getting the flu. National Influenza Vaccination Week 2018 is December 2-8, and an excellent time to get an annual flu shot.
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Offline terrymoore

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Re: Flu shot - Its that time of year again
« Reply #14 on: November 08, 2018, 10:57:36 am »
I got mine a week ago - i travel often and think it make sense.

Offline CaveyUK

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Re: Flu shot - Its that time of year again
« Reply #15 on: November 09, 2018, 02:38:16 pm »
I asked at the clinic the last time I was there and for some reason it wasn't ready at the time, and they said they'd contact me when it came in (they didn't).

I've had some sniffles for a few weeks now, and my gf has had the most horrendous flu type thing (streaming nose, cough, ear infection, aches and pains) so it's probably not wise for me to get it right now, as I don't think you are supposed to have it if there is any kind of cold in your system.

Frankly, I will wait until I'm clear of sniffles and then pop into town and pay to get it done on the high street I think. I just hope I swerve the nasty bug my gf has in the meantime!
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Offline TabooPrincess

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Re: Flu shot - Its that time of year again
« Reply #16 on: December 10, 2018, 02:21:22 pm »
Does anybody not get the flu vaccine?
I donít.
I work in healthcare and Iím well aware of the research etc and we have very negative responses when we refuse it. I just canít bring myself to have it and I canít properly explain why either...! It just feels wrong....
09/ 2008 - Seroconversion
11/2008 - Tested pos, cd4 640 vl 25400
12/2008 - cd4 794 vl 27798, 35%
03/2009 - cd4 844 vl 68846, 35%
06/2009 - cd4 476 vl 49151, 33% (pregnancy confirmed)
08/2009 - cd4 464 vl 54662, 32%
Started meds for pregnancy (Kaletra, AZT, Viread)
09/2009 - cd4 841 vl 3213, 42%
10/2009 - cd4 860 vl 1088, 41%
11/2009 - cd4 771 vl 563, 38%
12/2009 - cd4 885 vl 151 42%
Discontinued meds after baby born
02/2010 - cd4 841 vl 63781, 38%
05/2010 - cd4 1080 vl 113000, 39%
08/2010 - cd4 770 vl 109242
12/2010 - cd4 642 vl 111000, 34%
06/2011 - cd4 450 vl 222000, 33%
11/2011 - cd4 419 vl 212000, 24%
03/2012 - cd4 280 vl 118000, 26% (repeated Cd4 at 360)
05/2012 -cd4 360 vl 99,190
10/2012 Atripla, cd4 690, vl 80
12/2012 Darunavir, norvir, truvada, Cd4 680, vl u/d
07/2013 cd4 750,ud

Offline Jim Allen

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Re: Flu shot - Its that time of year again
« Reply #17 on: December 10, 2018, 02:49:43 pm »
Quote
we have very negative responses when we refuse it.

Hmm i bet, here the Royal College of Physicians have been calling to make it mandatory for all Healthcare workers as: Quote 'Patient safety takes priority'. Personlly I think its a good call to make.

https://www.thejournal.ie/flu-vaccine-mandatory-4292486-Oct2018/
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Offline bocker3

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Re: Flu shot - Its that time of year again
« Reply #18 on: December 10, 2018, 03:00:14 pm »
I just canít bring myself to have it and I canít properly explain why either...! It just feels wrong....

Why on earth would getting a shot that decreases your chances and the chances of all the patients around you from getting a potentially deadly disease "feel wrong"?

You probably can't "properly explain why" because there is no cogent reason.

IMHO - anyone who works in healthcare, around patients, should be required to get a flu shot as a condition of employment (unless there is a medical reason one can't get the shot, of course).  If they refuse, they have effectively turned in their resignation.

Mike
Atripla - Started 12/05
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Offline TabooPrincess

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Re: Flu shot - Its that time of year again
« Reply #19 on: December 10, 2018, 03:24:58 pm »
Quite simply itís my body and my choice.
Itís outrageous to suggest it should be mandatory for healthcare workers!
09/ 2008 - Seroconversion
11/2008 - Tested pos, cd4 640 vl 25400
12/2008 - cd4 794 vl 27798, 35%
03/2009 - cd4 844 vl 68846, 35%
06/2009 - cd4 476 vl 49151, 33% (pregnancy confirmed)
08/2009 - cd4 464 vl 54662, 32%
Started meds for pregnancy (Kaletra, AZT, Viread)
09/2009 - cd4 841 vl 3213, 42%
10/2009 - cd4 860 vl 1088, 41%
11/2009 - cd4 771 vl 563, 38%
12/2009 - cd4 885 vl 151 42%
Discontinued meds after baby born
02/2010 - cd4 841 vl 63781, 38%
05/2010 - cd4 1080 vl 113000, 39%
08/2010 - cd4 770 vl 109242
12/2010 - cd4 642 vl 111000, 34%
06/2011 - cd4 450 vl 222000, 33%
11/2011 - cd4 419 vl 212000, 24%
03/2012 - cd4 280 vl 118000, 26% (repeated Cd4 at 360)
05/2012 -cd4 360 vl 99,190
10/2012 Atripla, cd4 690, vl 80
12/2012 Darunavir, norvir, truvada, Cd4 680, vl u/d
07/2013 cd4 750,ud

Offline Jim Allen

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Re: Flu shot - Its that time of year again
« Reply #20 on: December 10, 2018, 03:28:31 pm »
Ill be honest I agree with Mike.

Personally as a patient and as a parent, I would not want a healthcare worker near me or my kids who is not vaccinated. 

But yeah I agree as well its your body, and your choice, however i think the choice should come with the outcome of no-longer be allowed to work with patients.
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Offline TabooPrincess

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Re: Flu shot - Its that time of year again
« Reply #21 on: December 10, 2018, 03:30:02 pm »
Theyíre basically asking people to take a medication that they donít know works to stop something they might not get.
09/ 2008 - Seroconversion
11/2008 - Tested pos, cd4 640 vl 25400
12/2008 - cd4 794 vl 27798, 35%
03/2009 - cd4 844 vl 68846, 35%
06/2009 - cd4 476 vl 49151, 33% (pregnancy confirmed)
08/2009 - cd4 464 vl 54662, 32%
Started meds for pregnancy (Kaletra, AZT, Viread)
09/2009 - cd4 841 vl 3213, 42%
10/2009 - cd4 860 vl 1088, 41%
11/2009 - cd4 771 vl 563, 38%
12/2009 - cd4 885 vl 151 42%
Discontinued meds after baby born
02/2010 - cd4 841 vl 63781, 38%
05/2010 - cd4 1080 vl 113000, 39%
08/2010 - cd4 770 vl 109242
12/2010 - cd4 642 vl 111000, 34%
06/2011 - cd4 450 vl 222000, 33%
11/2011 - cd4 419 vl 212000, 24%
03/2012 - cd4 280 vl 118000, 26% (repeated Cd4 at 360)
05/2012 -cd4 360 vl 99,190
10/2012 Atripla, cd4 690, vl 80
12/2012 Darunavir, norvir, truvada, Cd4 680, vl u/d
07/2013 cd4 750,ud

Offline Jim Allen

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Re: Flu shot - Its that time of year again
« Reply #22 on: December 10, 2018, 03:33:12 pm »
No, they are asking people who are caring for the most vulnerable and susceptible in society to reduce the risk of catching and spreading what is a deadly illness to the vulnerable people they are caring for and to be part of the herd immunity.

Jim
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Offline TabooPrincess

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Re: Flu shot - Its that time of year again
« Reply #23 on: December 10, 2018, 03:33:52 pm »
Ill be honest I agree with Mike.

Personally as a patient and as a parent, I would not want a healthcare worker near me or my kids who is not vaccinated. 

But yeah I agree as well its your body, and your choice, however i think the choice should come with the outcome of no-longer be allowed to work with patients.

You and your kids are more likely to get it down Asda than from an un vaccinated healthcare worker who practices scrupulous hugiene (tissues are underrated!!)
09/ 2008 - Seroconversion
11/2008 - Tested pos, cd4 640 vl 25400
12/2008 - cd4 794 vl 27798, 35%
03/2009 - cd4 844 vl 68846, 35%
06/2009 - cd4 476 vl 49151, 33% (pregnancy confirmed)
08/2009 - cd4 464 vl 54662, 32%
Started meds for pregnancy (Kaletra, AZT, Viread)
09/2009 - cd4 841 vl 3213, 42%
10/2009 - cd4 860 vl 1088, 41%
11/2009 - cd4 771 vl 563, 38%
12/2009 - cd4 885 vl 151 42%
Discontinued meds after baby born
02/2010 - cd4 841 vl 63781, 38%
05/2010 - cd4 1080 vl 113000, 39%
08/2010 - cd4 770 vl 109242
12/2010 - cd4 642 vl 111000, 34%
06/2011 - cd4 450 vl 222000, 33%
11/2011 - cd4 419 vl 212000, 24%
03/2012 - cd4 280 vl 118000, 26% (repeated Cd4 at 360)
05/2012 -cd4 360 vl 99,190
10/2012 Atripla, cd4 690, vl 80
12/2012 Darunavir, norvir, truvada, Cd4 680, vl u/d
07/2013 cd4 750,ud

Offline Jim Allen

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Re: Flu shot - Its that time of year again
« Reply #24 on: December 10, 2018, 03:38:54 pm »
Sure, but the ASDA staff member is not breathing and sneezing on me or my kids for prolonged time in a confided space, neither did the ASDA staff member go into healthcare.

I accept there is a risk when dealing with a staff member at ASDA, I should expect better from someone in healthcare
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Offline MarkintheDark

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Re: Flu shot - Its that time of year again
« Reply #25 on: December 11, 2018, 03:20:06 am »
Backing up @JimDublin, I'll reluctantly weigh in on the latter portion of this discussion from my own experience in October when someone's rhinovirus, of all things, took me down.  And, fwiw, some of it was due to improperly discarded tissues.  That simple virus halved my CD4, putting me squarely back in AIDS territory, and two months later my system still hasn't recovered.  I was intubated for 36 hours and put in isolation.  Personnel (and visitors) were required to use contact isolation protocols - mask, gloves, gown, etc. - for a week following.

imo, whatever steps personnel are required to take, including flu shots, to reduce the possibility of passing infection to those with compromised immune systems is a no-brainer.  Unfortunately, more than once I had to angrily croak my objections to careless personnel who failed to follow protocol.  In a couple cases I reported the most egregious violations and, indeed, was taken seriously.
« Last Edit: December 11, 2018, 03:28:44 am by MarkintheDark »
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Offline bocker3

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Re: Flu shot - Its that time of year again
« Reply #26 on: December 11, 2018, 03:56:58 pm »
Quite simply itís my body and my choice.
Itís outrageous to suggest it should be mandatory for healthcare workers!

Having worked in healthcare for many years, early in my working career, I was always required to have a flu shot.  would they have fired me if I refused, I don't know -- probably not, but I never pushed it, because I understood the importance and was willing to do what I could to protect the sick and vulnerable that I had contact with (not too mention myself). 

If you don't want to, that is fine and is your choice -- but you are, potentially, pushing that choice on to others by being a potential carrier of something that could kill  them.  So, while I would NEVER say they should forcibly vaccinate you, I would say that choices can have consequences.  In this case a choice to not get a flu shot (unless medically disqualified from it), IMO should come with a consequence of not working there.

The fact that you have no cogent reason, seems to show that your fear of this shot is not grounded in science and healthcare is all about science.

Mike
Atripla - Started 12/05
Reyataz/Norvir - Added 6/06
Labs - Pre-Meds
Sep05 T=350/25% VL98,559
Nov05 288/18%  47,564
Current Labs
May2015 969/28% <20

Offline CaveyUK

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Re: Flu shot - Its that time of year again
« Reply #27 on: December 21, 2018, 12:00:10 pm »
Finally went for my flu jab today at the clinic, after a guy at work came in the other day complaining how ill he felt (going into the office sick, two days before most break up for the xmas holiday was wholly irresponsible I think, but thats another story). Anyway, it jogged me into action.

On the subject of whether health workers should have the flu jab. Of course they should. I am surprised there is even any debate about it. Something that takes about 2 seconds, and could save you - or others - from a debilitating illness at best, and at worst will possibly reduce the severity of many non-flu colds, seems such a no-brainer.

It's one thing that you could expose a virus to people who are vulnerable to infection (including old folk), but even putting that to one side, many perfectly healthy young people die from flu each year. If I had it my way, I'd make it mandatory for everyone.

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