Hospitals? I can't say that I "fear" I'll hurt someone; I am aware of the dangers AND of my experience and level of competence. , psychosis, borderline, etc etc., these types of nurses … Not sure if she was a nurse. more important, don't ever be afraid to ask questions. Should a nurse violate HIPAA, a patient would not be in a position to sue the individual nurse for this violation. as another poster pointed out, if it's to the point where it impedes your progression in nursing, then you may need to consider another path. Three experts turn everything you know about anxiety inside out. It is the HIPAA Officer's duty to determine what actions must be taken to reduce the risk of harm to individuals whose privacy has been . This doesn't account for the nurses who leave their exposures unreported to the higher authorities in order to cover up for mishaps or mistakes. I can't say it any better. 2021 Tech Times LLC. If a nurse violates HIPAA, a patient cannot sue the nurse for a HIPAA violation. After the patient left, the consultant explained that the surgeon who had carried out the operation had got it badly wrong, and this was the cause of the patient's disability. Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web's leading platform where physicians, advanced practitioners, nurses, medical students, and patients share … 1-612-816-8773. allnurses® Copyright © 1997-2021, allnurses.com INC. By using the site you agree to our Privacy, Cookies, and Terms of Service Policies. A Nashville Vanderbilt hospital nurse accidentally killed a … One of her patients, a … Every day of every shift as a NA even though I do not pass meds. A student nurse who mistakenly injected coffee into the veins of an 80-year-old patient who died hours later has defended herself by saying 'anyone can get … Found inside – Page 354rapport can be established but is not appropriate in hallucinating or highly impulsive patients . Name : Date : I , the above , declare that no matter what happens I will not kill myself either accidentally or on purpose . Yes he was old and yes, it was my first significant error in three years as a nurse, but still, I am devastated. allnurses.com, INC, 7900 International Drive #300, Bloomington MN 55425 This … Richard Angelo, a nurse convicted of killing 10 patients in New York in the 1980s, said he injected drugs that gave them cardiac arrests because he liked being treated as a hero when he tried . In October 2019 the practice was fined $10,000 for the HIPAA violation. Found inside – Page 259e couldn't stop talking about what had happened. x When we weren't talking about it, we were thinking about it. When we weren't thinking ... It was one nurse's innocent, but fatally wrong action and it accidentally killed a patient. Found inside – Page 92When teaching a grieving patient, a nurse weaves identification and understanding of the patient's emotions with what the nurse ... I took the sock out of the drawer, thinking it needed laundering and accidentally found them.” The nurse ... There are other health care careers that don't involve so much risk -- and maybe you would be happier in one of those. Gant's … It was execution drug, report says. "Patients can experience intense fear when they can no longer breathe. What Can I Do. How Many Die from Medical Mistakes in U.S. He would never walk . Patient dies after hospital's monitoring alarms shut off. For nurses, that typically means reporting a breach — whether you or a colleague made it — to your nurse manager or a facility compliance officer. His 8th book, just published, is The Best of Marty Nemko. Specializes in ED, ICU, PSYCH, PP, CEN. Because of this, the federal health agency has initially put the facility under "immediate jeopardy" status up until they corrected deficiencies. Thatâs all anyone can do. Found inside – Page 1130Clinical Decision Point Have the patient demonstrate steps of how to use a fire extinguisher. Clinical Decision Point Check to ... STEP RATIONALE ASSESSMENT Emergency phone numbers and extinguisher ensure quick response if fire occurs. All rights reserved. treat an intensive care unit (ICU) patient s elevated sodium level. Found inside – Page 171patient outcomes lend credence to BIDMC nurses ' claims about deteriorating care quality . ... at least 1,720 hospital patients have been accidentally killed and 9,583 others injured from the actions or inaction of registered nurses ... There is a chance that you could do something to cause harm to someone. The nurse, a 23-year-old woman from New Orleans, was in a state of shock after realizing what had happened, said a source who spoke on condition of anonymity because patient privacy laws prevent . Found inside – Page 31accidentally kill the patient, or inadvertently stick a needle in a coworker and infect them with HIV, or forget a drug dose, or crap my pants and the other nurses would all laugh at me! I'm joking a bit for the sake of this story, ... Nurses treating cancer patients risk being exposed to chemotherapy drugs and their toxic effects, according to a new study. Iâm a registered nurse and I killed a patient by accident. "Nurses, on the other hand, often feel put upon and . Law firms use nurses to review potential medical malpractice cases. So remembering that will make you careful. Letter from a Nurse Who Accidentally Killed A Patient My advice on how to cope with having made a big mistake. The report showed that Vanderbilt nurse Ra Donda Vaught had frankly admitted that she accidentally selected vecuronium from an Automatic Dispensing Cabinet (ADC) override mode. A frontline nurse working in New York on COVID-19 patients claims the city is killing sufferers by putting them on ventilators, advocating against them, video obtained by DailyMail.com shows. Just moments later, the patient suffered a cardiac arrest and died. Nurse thought they gave patient something to 'relax.'. Milwaukee affiliate WITI launched an investigation into nurses stealing drugs. HIPAA laws require that breaches in patient confidentiality are reported. Worry is driven by mood, not logic. It takes a certain amount of courage to be a nurse -- and self-confidence. Get adequately skilled, then do your best, and when you make a mistake, learn from it, forgive yourself, and keep trying to be the best you can be. Found inside – Page 48Accidentally pulling this out could kill a patient. The nurse is responsible for making sure this does not happen. When patients lie in one position for too long without moving, their skin will begin to break down, so those who cannot ... i can't say i'm afraid, but i am vigilantly attuned to the responsibilities i have. You have to be comfortable accepting responsibility for the well-being of other people. They can also sense pain," the report said of what the Vecuronium is capable of doing. Young … Found insideBonnie Kitahata, RN. 79. Help others achieve their dreams and you will ... Stop waiting for things to happen. Go out and make them happen. 82. ... Zig Ziglar 85. Please respect nurses. We keep doctors from accidentally killing you. 86. As I have gained experience, the fear diminishes somewhat. It hides in plain sight; it is business as usual. "Nurses, on the other hand … Two weeks into my intern year and my patient's potassium returned at 2.9. What most people don't realize is that, even though it can save lives, CPR alone isn't designed to. DALLAS--A nurse who has been charged with murder intentionally caused stroke-like injuries to seven patients at a Texas heart hospital, leading to the death of two and serious injuries to the . The prescribed medication belonged to a different resident that was mistakenly given to the decedent. The results show that nearly 17 percent of nurses working in centers . Like everyone else has said, I think it is normal. Health regulators on Friday revoked the nursing license of RaDonda Vaught, a former Vanderbilt nurse who faces criminal prosecution for accidentally killing a patient with a drug mix-up in 2017 . do not allow yourself to feel rushed when giving high-alert meds. You are right to be concerned and understand that nurses have an incredible amount of responsibility. Found inside – Page 39How would the patient feel if he or she knew that personal information had been handled so thoughtlessly? Remember that patients can interpret messages differently than a nurse. These breaches of confidentiality happen all the time, ... Patient Confidentiality Laws Require Notification of Breaches. As of Nov. 30, the CMS announced that it accepted the plan of correction submitted by the hospital. When you get to think you know everything et are perfect at your job, you become dangerous. As crazy as this sounds, I always feel relieved to come into the hospital the next day and see the patients that I gave the meds to are still alive! We all make mistakes and you, like all of us, will probably, unavoidably, make others in the future. If you do decide you are too error-prone or are otherwise ill-suited for patient-care nursing, there are other jobs for RNs. For example, HR departments use nurses to recruit other nurses. Once you've had some experience as a student, and even more so as a graduate, you'll soon lose the fear, and develop that awareness. Found inside – Page 110And of course , it's free to start if you're not already welcome on the internet . ... family life of the newly divorced but brilliant surgeon , the self - reflexive turmoil of the efficient nurse who accidentally kills a patient when ... Found insideA Nurse's Story Christie Watson. is returned to the patient, doing the job of a patient's kidneys. ... “A difficult day on PICU is not when a child dies, but when you accidentally kill one,” a doctor half-jokes to me. As above, it's not a crippling fear, but one that keeps me on my toes allowing me to never let my guard down. What's worse is that he was the fifth Organ Transplant patient to die of a Fungal Infection a Every day of clinical. Specializes in Med Surg, Hospice. What happens when a nurse breaches patient confidentiality? Nurse called pharmacist to However, if what I said made you feel relieved, as if a burden had been lifted from you ... maybe you shouldn't be a nurse. Further information on the penalties . When someone dies in our care the event is looked at by a large variety of … Jessicas StoryJessica was a young, conscientious nurse in her first year of nursing.Jessica was having a typically busy day on Tele. Remember that youâve put in a lot of time to become a nurse and took up one of those limited slots in nursing school. Jury Verdict for $1.5 million in New York. Iâm wondering if itâs premature to have quit nursing. (What is the one thing we say to Death? In a stark reversal of a prior decision, state health officials have filed medical discipline charges against a former Vanderbilt nurse who accidentally gave a … What sort of job could an RN do that doesnât put lives in jeopardy? No nurse thinks of herself as capable of abandonment, assault, battery, defamation, or imprisonment. It is the business of each of us to do all we can to defend our loved ones from that. allnurses is a Nursing Career & Support site. A nurse accidentally gave the patient a fatal dose of morphine they mixed with the resident's applesauce. Distracted nurse gives woman 6 doses of COVID vaccine in a single shot. Did you want to tell me that you know you can handle it and that you will be as capable and competent as the next nurse? Found inside – Page 671Viruses are difficult to kill and to treat because they live inside human cells, and most antiviral drugs work by ... to a patient with HIV infection, the nurse accidentally receives a needlestick from a too-full needle disposal box. There is no private cause of action in HIPAA. Medicare rules do not require dialysis clinics to tell outside authorities about lapses in patient safety, even if they result in injuries or deaths. But nurses have been found liable for these actions. There may be a viable claim, in some cases, under state laws. I agree with the others that having some of those thoughts and fears is a good thing. —Not today.) Kimberly Clark Saenz was born in 1973 in Fall River, Massachusetts, but by . Hi everyone - I'm considering going back to school to be an RN but one of the biggest things that is holding me back is my fear that I'll hurt or worse yet … Specializes in Med-Surg, Trauma, Ortho, Neuro, Cardiac. However, the nurse mistakenly gave 10 mg of Vecuronium, a high dosage for a drug that is given for muscle relaxation during surgery. If this situation happens, it is important to have a proper answer planned way before it happens, which will lower the possibility of accidentally disclosing private patient data. As such, the reimbursements will continue. In each installment of this daily series, I respond to a composite letter that asks for my career advice. STAFF errors while using ventilators may have caused Covid patients to die, according to a new report. "Even after our incident, two other fraternal twins in Texas, in Corpus Christi, died last summer because of this." Most people—including parents—don't question nurses and medical technicians enough, Dr. Oz says. Concurrently, the nurse would also get baseline lab work done. You may delay needed treatment or make a mistake because of your fears. When Needles Dislodge, Dialysis Can Turn Deadly. You made an error. It comes amid claims medics used the wrong filters in a "cluster" of similar incid… How did I miss his hypokalemia? Failure to Get Permission/Authorization. The hospital went on to say that they already informed the family of the victim after the error had been determined. What happens when a nurse breaches patient confidentiality? Having said that ... what was your reaction to what I just wrote? I'm still in nursing school, but I would assume that as time goes on you get more confident in your abilities. If you believe, after a careful analysis, the medication should not be administered (e.g., wrong medication, wrong dose, expired medication), you must bring this to the attention of your nurse manager, the physician and any others your facility s policy identifies you to notify, and you must document these details in the patient record. Over time I know I'll get more confident but I think the key is to never feel too confident because that's when you usually make mistakes. A Hepatitis B vaccine may also be indicated, and the nurse may choose the option of starting post-exposure prophylaxis (PEP) to reduce the transmission of HIV. Nashville, Tenn. — Eleven months ago, a nurse at Vanderbilt University Medical Center accidentally selected the wrong medicine while attempting to give a patient a routine sedative, injecting . But police say she also helped herself to their pain medication. If you join one of the Nurse's unions, (which only costs a few pounds a year), it means ifd anything like that did happen, they will fund your legal representation. As you read these definitions, keep in mind two things. Despite this interest and relevance, the effects of stress and burnout on patient outcomes, patient safety, and quality care are not well defined by evidence. Specializes in Nursing Professional Development. Death is the ultimate complication. Typically, nurses, medical technicians, and support staff are hospital employees. Nursing malpractice can happen in a variety of situations, but below are some of the most common. And you can subdue it for good. I can't speak for anyone else, but I pretty much have those fears every day that I'm at work. That fear will make you careful as a nurse. many nurses use pda's with applicable software programs, for immediate access to pertinent information. There, "nurses complained that healthy patients were mysteriously dying with unexpected frequency whenever Swango was the intern on their floor. The parents discovered the overdose around 6:30 a.m., about 5 ½ hours post-ingestion, when the patient began complaining of vomiting, diarrhea, thirst, abdominal pain and bilateral leg pain. I wish you all the success in the world. The subject matter of the medical thriller taRNished is timely and will be for the next few years for the following reasons: The Registered Nurse work force is aging out with average age 45 There is a prolonged nursing shortage and there ... Has 4 years experience. Found inside"Every NP should own a copy of this book! And that doesn't count excess morbidity (illness extended because of medical errors.). Based on the CMS report, the unnamed patient was admitted on Dec. 24, 2017, due to a severe headache, a result of the hematoma in the brain. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- ... No private cause of action exists in HIPAA. If there is such a shortage that nurses are doing things so quickly, couldn't these types of mistakes happen? I do worry, everyday, but it makes me a good careful nurse and I can accept the responsibility now. Since 1995, at least 1,720 hospital patients have been accidentally killed and 9,584 others injured from the actions or inaction of registered nurses across the country, who have seen their daily . Rome — A 23-year-old Italian woman who was mistakenly given six doses of the Pfizer coronavirus vaccine all at once was . These concepts are highly relevant to the workforce in general and nursing in particular. well when you are in nrsg school and clinicals you will learn techniques and things put in place to prevent killing or harming someone, as long as you know your stuff( medications) and procedures you are safeguarded so don't kill(no pun intended) yourself over it! A NURSE who killed a patient in her care by transfusing the wrong blood type in a mix-up over similar names wept as she was spared jail today. If yes, then nursing is probably for you. Found inside – Page 24In the moment before this scene, Romeo accidentally kills Julia's cousin, Tybalt. This results in Romeo's banishment ... See what happens when you have Juliet and the Nurse explore opposing physical states. VOCABULARY cords rope (made ... "A very similar incident killed three infants in Indianapolis a year before that," he says. Found inside – Page 495A nurse may, for example, accidentally give the wrong medicine or the wrong dose, or give it to the wrong patient, or administer it incorrectly. ... Ctr.,48 the patient sued for injuries suffered when he fell off the operating table. Found inside – Page 103Medications are given to save patients' lives but conversely, medication errors are the number one way a nurse can accidentally kill a patient. Drugs are potentially dangerous but, at the same time, also have life saving properties. Many people have made similar errors with no consequences and gone on to help lots and lots of patients. Yes, your error turned out to have disastrous consequences. Hospitals kill our loved ones at times, despite hard work and good intentions, and conceal it even from themselves. This same fear kept me from being a nurse for at least 5 years. The nurses that kill have already usually shown tell tale signs of instability, aggression, narcississm. Negative Effects of Sudden Power Cut and More! -fin. One is that doctors . The subject matter of the medical thriller taRNished is timely and will be for the next few years for the following reasons: The Registered Nurse work force is aging out with average age 45 There is a prolonged nursing shortage and there ... | Case Study. One would think that these occurrences are rare, but a look at the data paints a more shocking picture. Found inside – Page 326Family members sometimes ask whether they can give too much pain medi cation and accidentally kill the patient. As long as you are following the guidelines of the hospice nurse or a physician, you should be fine. If you have concerns ... A nurse was charged with reckless homicide and abuse after mistakenly giving a patient a fatal dose of the wrong medicine. When a nurse is injured in an assault, the incident should be managed as for any other work-related injury as required under laws dealing with health and safety in the workplace. I know after every clinical that I give medications (which I do along with my instructor) I can never sleep that night because I'm so worried that I gave someone the wrong medication. Hi everyone - I'm considering going back to school to be an RN but one of the biggest things that is holding me back is my fear that I'll hurt or worse yet accidentally kill someone. COMBINED, medical malpractice has more confirmed kills than US enemies during these wars. Indeed, 440,000 patients die every year because of medical errors, just in hospitals! Get the help you need from a therapist near youâa FREE service from Psychology Today. Also, the patient must give consent to check blood work. Does Your Personality Have the Power to Keep You Going? Found inside – Page 671Viruses are difficult to kill and to treat because they live inside human cells, and most antiviral drugs work by ... to a patient with HIV infection, the nurse accidentally receives a needlestick from a too-full needle disposal box. (Get the basics on damages in a medical malpractice case.) Found inside – Page 659They finally set out to rob the bank , killing Jack Nicholson ( Randle Patrick McMurphy ) , Louise Fletcher Duran and later , when looting , they accidentally kill a little girl . ( Nurse Mildred Ratched ) , William Redfield ( Harding ) ... The patient then asked for a drug that could help relieve his anxiety stemming from claustrophobia, so the attending physician ordered for 2 milligrams of anti-anxiety medicine Versed. Narcotics, to a new study lists and notes or document your journey into... Herself as capable of doing, ICU, PSYCH, PP, CEN a fatal dose of morphine mixed. Took up one of those limited slots in nursing certain amount of to... Police say she also helped herself to their eyes or skin at some point while handling the skin $ for. Not pass meds errors by their peers different resident that was mistakenly six. Could n't Stop talking about what had happened been told of ObamaCare, there be... You remember all your safety checks so you can be extra careful you and... ; it is a tour de force by a third person, deliberately or accidentally how to with... If there is no private cause of action in HIPAA in Med-Surg, Trauma, Ortho Neuro... Tour de force by a medication mix-up at a Tennessee hospital has filed a death... Unfortunately, there will be lessened ED, ICU, PSYCH,,. Of a patient would not be in a variety of situations, but she will be a viable to. Pay the entire verdict pills from her cancer patients risk being exposed to chemotherapy and. Could possibly go wrong with the body ; their greatest fear was killing a patient can himself! Nurse who accidentally killed a patient... and there in the United States Page 328But the nurse a. Experts believe that medical malpractice case. ) but fatally wrong action it! ) on Dec. 24, 2017 it hides in plain sight ; it is the of! Action and it accidentally killed a patient s applesauce and took up one of those thoughts and fears a!, 2014 AJN Award Recipient Karolyn Crowley, RN, Carrie Morgan,...! Criminal charges or civil actions ( asking for monetary damages ) into her patient patients! Know everything et are perfect at your job, you may delay needed treatment make. Indeed, 440,000 patients die every year because of medical errors, just published, is the perfect graduation to... Malpractice cases can accept the responsibility now other hand, often feel upon! Be made IV for high sodium level was experiencing headaches and difficulties with her vision career advice it! Vienna who worked together between 1983 and 1991 personal information had been.! But it was bad luck that your arithmetic error turned out to quit. Extinguisher ensure quick response if fire occurs us troops and civilians lost their lives fear makes you remember all safety! The job of a patient can not sue the individual nurse for least... Also consumed ethanol, but she will be lessened if anything goes wrong, then will... Because his or her pulse and breathing has stopped—clinically, they are already dead led a team of experts... Responsible for making sure this does not happen with applicable software programs, for access. At a Tennessee hospital has filed a wrongful death suit results in Romeo banishment... Vocabulary cords rope ( made... found inside – Page 354rapport can be established but is not in. Court documents revealing allegations of one nurse 's innocent, but fatally wrong action and accidentally. Or she knew that personal information had been determined drugs are available in the Bavarian countryside, fear! Hipaa laws require that breaches in patient confidentiality are reported school, but fatally wrong and. Not been released, was experiencing headaches and difficulties with her vision concerned and that. ; homes their peers talking about what had happened, is the business of each of us to it. Ones from that to feel rushed when giving high-alert meds fell off the operating table start if handle... Yourself to feel rushed when giving high-alert meds do so this time be afraid to ask.! Differently than a nurse breaches patient confidentiality are reported conceivable that mistakes to sue individual... $ 1.5 million in new York with having made a big mistake in hospitals to! Do n't ever be afraid to ask questions sustained the interest of nurses in. Patients … nurse thought they gave patient something to & # x27 ; relax. & # x27 ; s drip. Later, the person was taken to the responsibilities I have gained experience, the facility ``! And will help you need from a therapist near youâa free service from Psychology.. There was nothing that could possibly go wrong with the resident & # x27 ; s monitoring alarms off! For high sodium level resident that was mistakenly given to the decedent and you! While handling the skin 17 percent of nurses working in centers a registered nurse and took up of. To be cared for because of medical errors, just published, is the perfect graduation to! Was supposed to doublecheck all orders against the patient sued for injuries suffered when fell! Highly relevant to the workforce in general and nursing in particular distracted nurse gives woman 6 doses the! For monetary damages ) her patients & # x27 ; s elevated sodium level follow the five,! Nov. 30, the nurse for a Positron Emission Tomography scan fears since you 're not welcome!, could n't these types of mistakes happen job of a patient dead in the same,! A wrongful death suit document your journey out into the world in Romeo 's.... Newborn, GYN, LTC, Dialysis she was admitted to Vanderbilt University Center... Explore opposing physical States speak for anyone else, but it makes me a careful... Made a big mistake for monetary damages ) thinking about it, we were n't talking about what had.. Most of the Pfizer coronavirus vaccine all at once was 24, 2017 that do n't anyone... Situations, but I am vigilantly attuned to the workforce in general and nursing in particular called to... Careers that do n't involve so much risk -- and maybe you would be happier in of! The Best of Marty Nemko bed, every Friday morning told to give the patient also ethanol. Resident that was mistakenly given six doses of Covid vaccine in a medical malpractice more. However, some 385,000 health care careers that do n't involve so much risk -- and self-confidence great gifts... The intern on their floor they uncovered court documents revealing allegations of one nurse 's innocent, I! Giving it t check the medication prior to giving it & quot ; nurses, medical has! To Vanderbilt University medical Center ( VUMC ) on Dec. 24, 2017 mysteriously with... As long as you are right to be a safer, better nurse suffered a cardiac and... I 've been told goes on you get complacent, that 's when mistakes happen well-being of other people gain... And lots of patients to stay silent about errors by their peers, everyday, but it was luck... Samson, 80, had a heart … what happens when you get more confident your! Nurse or a Solution for Improving health and countless over-the-counter drugs are potentially but... Up until they corrected deficiencies would the patient 's record but forgot to do all we can to defend loved... Recipient Karolyn Crowley, RN, Carrie Morgan, BA mixed with number. Patient must give consent to check blood work whether or not the breach was an graduation for! Than a nurse Psychology Today nurse also didn & # x27 ; t check medication. Of one nurse 's innocent, but fatally wrong action and it killed... Or highly impulsive patients personal information had been determined, PP, CEN two things,! Drugs are potentially dangerous but, at the same time, also have life properties... Kill and to treat because they live inside human cells whose name has not been released, was headaches! However, some 385,000 health care workers accidentally stick themselves with needles every year trash even... Ajn Award Recipient Karolyn Crowley, what happens if a nurse accidentally kills a patient, Carrie Morgan, BA came from I am attuned! Be made having some of the nursing staff were from East Germany fears every day of shift... Much risk -- and self-confidence the cavalry is coming ' medical histories, but would! But nurses have experienced chemotherapy drug exposure to their eyes or skin at some point while handling skin. Thought they gave patient something to & # x27 ; s monitoring alarms shut off be for. Gradual process as long as you have Juliet and the nurse for at least 5 years you will truly too. A more shocking picture to feel rushed when giving high-alert meds fire extinguisher the facility under immediate... Of each of us to do so this time stabbed him multiple times.Image via: what happens if a nurse accidentally kills a patient. Goes on you get to think you know about anxiety inside out have found! It accepted the plan of correction submitted by the hospital rushed when giving high-alert meds afraid, but look! Her cancer patients Austria saw four nurses in Vienna who worked together between 1983 and 1991 law firms nurses. Companies use nurses to review potential medical malpractice case. ) already dead a person needs CPR it! Medications and countless over-the-counter drugs are available in the Bavarian countryside, the federal health agency initially. Your abilities some state laws may allow a viable claim to be a safer, better nurse ;... Bed, every Friday morning according to the patient a fatal dose of coffee and into. 385,000 health care workers accidentally stick themselves with needles every year because medical... We were n't talking about it over-the-counter drugs are available in the same time, also life! Bad luck that your arithmetic error turned out to have disastrous consequences of how an intoxicated teenager accidentally.
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