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I have a degree in Biomedical Engineering and Psychology from Northwestern University. I finished medical school and completed my M.D. at the University of Cincinnati College of Medicine. I am currently in my residency for surgery- hopefully to be specializing in neurosurgery.

I want to answer questions on medical type questions. I'm a big fan of Dr. Drew Pinsky on Love Line and would like to help younger people from the mistakes I see a lot of young people do when they come into my ER.
Gender: Male
Location: I'm from all over.
Occupation: Physician- Surgeon
Age: 29
AIM: ArunKSherma
Member Since: January 23, 2005
Answers: 188
Last Update: January 2, 2009
Visitors: 18499

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Melanie4981
I'm the one who asked if my gym teacher saw my cartilidge piercing what should i do, cuz I'm not allowed to have any piercings in, and your not allowed to cover them! So, I got caught today and I'm not allowed to take gym at all!! I'm going to the principal tomorrow, because I'm NOT taking my piercing out, i love it too much. They just now (this year) made the rule that we're not allowed to cover our piercings, and my gym teachers reasonings, is because kids as they get older get alot rougher. Which is a bunch of BS!! What is some stuff I can point out tomorrow w/ the principal. THANKS =) (link)
It depends on how really smart you want to be and if you're too smart the principal might not like it. Of course it is different if you go to a public school or a private/secular school, however, most of the rules apply to both.

1. The school has to have written officially that you are not allowed to wear jewelry. It is not against the law to wear jewelry. (so if your principal says that we have no rule written that you need to go to the toilet to defecate either, you can say that there are laws that say you can't do it public either). I went to a private school and all the students are given a handbook of conduct and rules. You should ask for your school and where it says specifically you're not allowed to wear earings.

2. Also, if your principal was an old hippie he may be impressed by this (also it shows you did some research on it). Sorry, but I love making principals feel intellectually inferior sometimes.

In the case of Tinker v. Des Moines Independent Community School District of 1969- the Supreme Court ruled that high school students were able to wear black armbands to express their protest of the Vietnam War. This is the one case that has been used as a reference for any school restricting the right of expression of any high school student- which would be a violation of the 1st amendment of the constitution. (why do i know about this case? I took constitutional law in college?).

3. Also if there is a rule written, say that when was there public discussion on this issue with the school board (private schools have a board of trustees). Say that it isn't fair that there was not any discussion on this new rule if it is one.

4. Also, you may want to say that is there any evidence that injuries can be sustained b/c of such piercings? Have them site where they have statistics for it. There aren't any that I have seen. If it is because when kids get older, they get rougher, that doesn't answer the questions of how not wearing that earing will prevent injury? Afraid it may get pulled out? Unlikely, and would have to be done on purpose and say that you're willing to take the chance and will write (or your mom or legal guardian) will write that they will not hold the school responsible for injuries sustained (which you probalby had to sign to play sports anyway).

Hope that helps and always remember: DAMN THE MAN! SAVE THE EMPIRE! (if you've seen the movie "empire records" you'd understand that quote).

Good luck,
Arun


Well, to start off I'm 15/f. I play the guitar and I have for about 2 years now and I absolutly love it. I just started highschool this past September. In November I signed up to be on my schools fencing team. I don't seem to have time to do any of the things that I used to do. I'm so caught up with all of my school work, and fencing practice, I hardly have any time at all to even pick up my guitar and strum a few chords. I feel guilty now because I show up at my guitar lessons and my teacher is expecting me to have the song we had worked on for the past 3 weeks perfectly memorized, because that's how it was for me when I first started playing, and I can hardly play the first 2 notes! I miss playing and I love fencing just the same and I don't want to give up fencing. Is there any way that I can find the time to play my guitar, do all of my school work, and fence at the same time? It's so frustrating! Please help! (link)
Unfortunately as you go into the higher fields of education, time becomes an issue esp when you have a lot of interests. I know that I barely have time to do all the things I used to do when I was younger.

The only way you can do this though is to schedule in time for everything. I always recommend that a person for a few days keep track of what they do and at what time. Write down every inane thing that you can think of and then at the end of the day you see what you did and how much time you might have wasted. I've done this and I'm shocked to see how much time I waste not doing anything (yes, I know, I'm on this site, but I go on this site when I'm waiting for pts to get ready to be seen so I don't have other things to do). Then if you have a planner, schedule time for playing your guitar, studying, and fencing. Be meticulous and you may just find even just a half hour to play everyday, and you won't feel bad b/c you scheduled that time (like a mini-guitar lesson everyday).

Hope it works out.

Yours,
Arun


my hands are ALWAYS cold. why is that and how can i fix it to make them warmer? (link)
There is a condition called Raynaud's phenomenon. In it there is intermittent (comes and goes) bilateral (both sides) ischemia (lack of blood flow) of the fingers, toes and sometimes the ears and nose, with severe pallor (whiteness) and often paresthesias (numbing/tingling) and pain, usually brought on by cold or emotional stimuli. IT is relieved by heat. It is usually due to an anatomical abnormality. (A lot of big words saying that blood doesn't get to your fingers all the time).

It affects women more than men. There could be a lot of reasons why this happens- women tend to have thinner hands b/c of less fat and muscle (muscle generates heat hence why we shiver when we're cold). You don't have to worry about it that much and the best thing to do is to make sure to keep them moisturized and warm with gloves.

Now if you think you're losing feeling in your finger tips or control of your fingers or see little burst capillaries (looks like blood) on your finger tips or under your fingernails- this could be indicating that something else is wrong and you should see a physician and voice your concerns.

Good luck,
Arun


Is it too early for sex if you've only gone out with the guy for 2 months? and dont tell me i shouldn't do it at all (link)
I'm going to tell you now that I'm not going to give you any definitive answer, because I know a lot of people who have waited, not waited with different outcomes (My best friend from Kindergarten had sex with his girlfriend in one month, and now are married.).

I don't know how old you are, but you should do what you feel is right for you. There appears to be some doubt that you have or you really want to but not sure if you'll come across the wrong way.

If you are young and you want to experience sex with this person, then it is all right to do it but make sure to use protection (I recommend two types (at minimum a condom): Condoms, birth control pill, spermicidal jelly, diaphragm, etc.). However, if you feel like he may be pressuring you or feel that this is just something that he wants then I would wait. See if the relationship goes somewhere and it may also be good in the sense that when you tell him- his reaction will tell you what he is really interested in. I just don't want to see you get hurt if that's the only thing that he wants.

If you're older, more experienced with guys and sex, then you know what the consequences may be. You may be more intune with what he wants and that may be the same thing that you want.

Most importantly do what your heart says to do- but if your mind overpowers it then wait.

Yours,
Arun


"When making a decision of minor importance, I have always found it advantageous to consider all the pros and cons. In vital matters, however, such as the choice of a mate or a profession, the decision should come from the unconscious, from somewhere within ourselves. In the important decisions of personal life, we should be governed, I think, by the deep inner needs of our nature." - Sigmund Freud.


Is ne one going on tour w/ slipknot or r thet by themselvs? (link)
They are on tour with three other bands but I think that the other bands depends on what city they are with.

Go to Pollstar: http://www.pollstar.com/tour/searchall.pl?Content=A-SLIPKNR&StartSearch.x=21&StartSearch.y=14&Date_From=Today&Date_To=01-27-2007&By=All&PSKey=Y

Find the city that you want and click on the Venue. Then scroll down and see which night slipknot is playing and the bands playing on the same date at the same venue.


But I think it may be Lamb of God, Shadows Fall, and Sworn Enemy.

Have fun,
AK


Ok i just messed around with my ex-boyfriend...yea bad i know but it was my first time and i was wondering if there was anyway i could get pregnant if it was only pre-cum and it would have only been transfered by hands? does anyone know what the chances are? or where to find out atleast? thanks that would be helpful! i'm also extremely sore...i didnt hurt at all during and i didnt hurt after until now and its been like 7 hours since....? (link)
Yes there is a very remote chance that you may become pregnant with pre-cum and if it was actually transferred into you. However it is extremely rare, but if your period usually comes on a regular date and you miss it, it may be worth getting a pregnancy test (you can get them for a buck at the dollar store so it's not that expensive).

As for the soreness, I'm going to assume that you mean in the pubic area. Soreness can have a lot of reasons, but from what you make it sound like- you may have just strained a muscle or may have been a bit to rough with him. Compare it to a long heavy workout- it doesn't "hurt" during or immediately after but when you wake up in the morning you are really sore. It just means that your muscle and such are healing whatever was damaged and it should start decreasing over time. If the pain becomes sharp, continuous and gets worse, or if there are other signs of something is wrong (discharge, redness, rash, etc.) then you should be checked by an OBGYN as soon as you can.

Best of luck,
Arun


I heard that early signs of pregnancy dont occur until after a missed period. Is this true? If not, what signs are there that you might be pregnant in the few weeks before your next period. Thanx (link)
Some of the earlier signs that you may be pregnant unfortunately may be similar to symptoms you get before you have your period (breast tenderness etc.). However, within a couple of days though the growing fetus releases a hormone that can be detected in your urine (that's why pregnancy tests work). If you're very concerned you can get a pregnancy test (you can get them at the dollar store even, or planned parenthood or your local teen clinic) and those are fairly accurate. If its not conclusive then wait till your next period. Nausea and vomiting and other stereotypical signs of pregnancy is person dependent. If you are not pregnant and sexually active, it would be a good idea to start on birth control pill. You can get it from your doctor and if you're afraid your mom might not go for it, tell you OBGYN and he/she can tell your mom that the pill is great for other health things like regulating your cycle.

Hope that helps,
Arun


My friend's mom works in school with her..and shes strict about guys with her. My friend isnt allowed to date african americans..but get this..her mom is married to man from afghanistan and her mom is white! So i think its really unfair that her mom is being racist while SHE married outside of her race. I feel really bad..is there anything i can do? (link)
Interracial couples are always a tough subject, especially when your parents are strict about htat.

If your friend already has her eye on a guy of another race, then it might be nice if the mom gets to meet the boy. It might be nice to have a good daughter and mother conversation about it and the issues that she has about it. She has to be calm and not whine about it. If stays calm and talks to her mom about it, her mom might reveal what the problem is. There are a lot of stereotypes about AA teens, which really isn't fair, but she'll have to show her mom that he doesn't fit into that stereotype. I know one of my best friends who is AA(top 10% of the med school class, graduated from Yale etc.) is dating and about to get engaged to his girlfriend who is caucasian.

I hope that helps a little bit. Its tough but just think I'm supposed to have an arranged marriage (how scary is that?)

Best of luck,
Arun


How can I get into freelance writing? I'm going to do a journalism course, but I'd be interested to know how to move into freelance occupation. (link)
Mel (sorry originally I called her Melissa then changed it to Melanie and now back to Melissa, so I decided just to go with Mel and give credit to both) is pretty much correct in what she had told you. Since I used to do freelance work and took quite a few journalism classes in college, I can sort of add to her excellent advice.

1. The Writers Market is an excellent source of publishers and magazine addresses. Also if you want to try to write for your favorite magazine, you can pick it up and usually on the credits page in front of the magazine or their website there will be an address to send them ideas for stories that you'd like to do. Writer's market has a lot of them, but not all of them.

2. Do not send them a finished article. You'll want to send them a query letter- which is just a letter stating your credentials, your idea for the story (including how many words + usually with the intro paragraph, because the first paragraph is always the most important), and why you would be good to write the story and how it would fit with their publication. Make sure with your envelope you send them a self- adressed stamped envelope. If you don't then they may just not contact you. But sometimes they'll just write on the back that they love the story idea and send you a contract.

3. Since you're new, I wouldn't try to write features yet (2000+ words) which are often reserved for more established writers. You can write short 500 word pieces. You may also try with some of the lesser known magazines (found in the Writer's Market), so that you can build your creds.

4. When you do get a contract, make sure to read it carefully. You want to make sure you get paid on delivery/acceptance NOT paid on publishing. The thing is that they could accept one of your pieces and hold it forever if they wanted to and not have to pay you, because you and that article are under contract to them and they don't have to pay until it makes it into the magazine.

5. ALso there is a code of ethics that goes with this process. You cannot query one idea to many publications. You can send multiple ideas to one place just not one idea to a lot of places. You'll be in a pickle b/c they're not just buying the article from you but the idea too. If two places accept, and you have to reject writing for one of them, which screws you for writing for them again.

6. Also when you take journalism find out from the department about summer internships. I did an excellent internship (although mine was just for fun before I started grad school) at a internationally known magazine based out of Chicago. It was a great experience and you'll really learn the ins and outs of the biz.

Best of luck to you,
Arun


theres this kid and he told me he wants to have sex with me. this is so gross to me! i cant stop thinking about it. i heard over and over in my head"i wanna have sex with you" its so gross i dont even like his the least bit! theres no way i can get this outta my head! please help! (link)
Edit: I hope that you do read this. I'm sorry that my adviced wasn't very helpful to you, but I know what you mean by what you had written in my feedback. I have/am going through the same thing right now. I''m just older and no one really likes me, at least not as a friend, and I live a fairly lonely life. I'm sorry that I wasn't more of a help.

Yours,
Arun





That is an incredibly inappropriate thing to say, even if it was in jest. I hate to say it but probably when you're older you're going to have to deal with arses like him, especially at parties, clubs what have you.

Unfortunately this is one of the things that you have to just let slide off of you. If you want to get him trouble, you can tell a teacher about it, because there may be something underneath his comment. You may not be able to completely get it out of your head- but you can skew it to make it feel like that you're very "sexy" or something like that (ie an attractive girl). Other than that, you may not be able to get out of it. I will warn you though, you'll probably hear more of it as you grow older.

Best of luck,
Arun


I have my heart set on going to school in San Francisco. I'm not an excellent student, and I truly can't afford SFSU, which is where I want to go. I was wondering if anyone knew of colleges within a 15 mile radius of San Fran...a nice site would be great too. (link)
When you get into the whole college application process you'll learn about tons of options on how to pay for school. There are federal grants, federal loans that you can use to pay for school, and not to mention that the financial aid office of each university you apply to. It'll be just another sheet on your application process.

If you really want to go to SFSU, then go for it. Anyone can go to college if they want to- that's the great thing about the USA. You just have to have the ambition and the drive.

Also, don't forget that there is University of California at San Francisco and University of California at Berkely. The best thing to do is to buy one of those big college listing books or there should be one in your college application office at school.

Best of luck on your academic pursuits,
Arun


I have more of a comment then a question right now...I look at this site as a great way to make new friends and to get helpful advice so i can see what im doing wrong in my life and how i can improve it....I love asking questions and getting feedback but what i dont like is opening up answers and seeing rude remarks and dumb comments....Thats really not helpful and in some cases it makes me feel lower then i was before i asked the question...Im sure im not the only one who feels this way but i think this needs to stop...If you think its funny to make fun of peoples personal problems then go make fun of your own because you obviously have them if you feel you can say some of the things that i have seen said to people....Im open for any feedback but please i ask that this comment not be deleted because im trying to get a message out about how i feel and if you delete this then you are just as bad as those who leave rude remarks...Thanks alot...Xo~CaReBeAr~oX (link)
Carebear,

I understand what you are talking about. I really like this website because I think that this is a great way for people to ask questions that they may not be able to ask other people directly. I know when I was younger it was hard to talk to my parents, friends, teachers etc about all the issues that I was going through. I'm really impressed with a lot of the people on this website and how intune they are with themselves. There are a lot of issues that young people esp are going through that they aren't very sure what to do- and at least the way that I see it, I can give some advice that may help direct them to things that they may not have been aware of. I really wish that there was a site like this when i was younger.

As for the people who only come on here to ridicule serious problems that people have- its the way that they deal with their own problems. It is a defense mechanism. They probably have a lot of problems too, or they feel like the only way that they can put value on themselves is by degrading other people. These are the kind of people who when they do get older, will learn that you can't degrade people, because it will adversly affec them, and then they switch to another defense mechanism that may include drinking, drugs, and other behaviors that are not acceptable by social standards.

Don't worry about it too much. There are a lot of people here who genuinely care and they outnumber the ones that don't. The people who do ask questions- you should be commended on being so intune with things and not just letting them go.

Best of luck,
Arun


should i write my own song???

(i rate) (link)
If you're able to write your own song- go for it. That really shows that you're talented. I'm assuming you're in high school and the only problem may be is if you write a song that is very personal- it may get people talking about what your song was about and who it is about.

I know that sounds stupid, but people really try to analyze the hell out of personal things like that. (for example in high school- i wrote a lot of dark poetry and stuff about life and death- they later thought that maybe I was suicidal. Geez).

However, if you think that you want to write a song for your significant other and such, then it'd be cool. Go for it.

Best of luck,
Arun


does anyone know of any good conjestion reliever? Im all clogged and it doesn't feel confortble. (sp?) lol I also get a headach from it...
Any one know of anything natural that i could use to make it magicly disappear?!?
(i rate) (link)
I have to agree with Mel on this one. You can get the Vicks nose thing (which is very excellent indeed- I use it myself). You may have a lot of sinus issues going on too (hence the headaches). You need to loosen all of those things up so steam is a great way to do it (If you have access to a steamroom that's the best).

Also, if you make a trip to the drug store you can also buy a nose spray that will open things up too.

At night, if you don't have one, sleep with a vaporizer. The dry air of winter really makes it horrible for people with a lot of congestions.

There are a lot of over the counter medications (ie you don't need a prescription) that you can take that will dry you out, but the problem is that most of them contain pseudo-ephedrine in it, which if you remember it's cousin- ephedrine was banned from the market b/c it may cause heart problems etc.

Just give it time though and it'll naturally clear up- if you get a fever or other things associated with it, you should go see your doctor about it.

Best of luck,
Arun


At first I didn't really understand what ADD was. When I read one of Mary-Kate's quotes in a magazine saying "They give me extra time taking tests because of my ADD". I thought to myself "it does take me a long time to take tests also..." So I researched it and I realized what ADD was. I do have a lot of the symptoms, such as not concentrating on the simplest things, it takes a long time for easy things to register (things that used to be easy to register, is now not so easy), I often lose interest in things I once did, and become inconsistent, but I also have difficulty adapting to change. I sometimes don't finish homework assignments because I don't feel like taking the challenge, and lastly, I'll start doing things without looking at directions and I think I know how to do it, when I really don't.... do I have ADD?

Also, I told some of my friends, and just because "they get bored in class and don't feel like listening to the teacher", they think they have ADD. I TRY to listen to my teacher, or follow along with stories in class, but 5 minutes later, I'm thinking about something TOTALLY different, and lately, that "something totally different" is ADD and whether I have it or not. I feel like I have no one else to tell. I've told all my friends and they say "oh yea, I have it too!!" And they'll start laughing (not at me, just with me...only I'm not laughing...). I feel like no one is taking it seriously because many people joke around about ADD, but what should I do now if I really think I have it? I've told my mom, but I don't think she believes me either... (link)
There is a lot of controversy on if ADD actually exists. USA doctors/psychiatrists use a criteria from the Diagnostic + Statistical Manual to figure out if a person has ADD, I have included the link to the criteria if you want to see for yourself. http://www.psychologynet.org/add.html This is what any psychiatrist will use for treatment. However, in England their psychiatry society doesn't have this classification. The other controversy is are we overmedicating kids who have it.

You may have other things going on like some obsessive compulsive things going on, or it may be depression, which presents with a lot of similar characterisitics. However, if it is really affecting your schoolwork and social functioning- the best thing to do is to talk to you doctor about it. Your pediatrician (if you're under 18) will be able to determine if there is something going on and who you should see about it. Your mom will be more likely to listen to the doctor. Remember that you're old enough to ask to talk to the doctor by yourself, and you are protected by the doctor-patient confidentiality. Your doctor can't tell your mom anything you don't want her to know (I know that's a big issue with teenagers).

As for the time thing on tests- yes, once you do see a psychiatrist/psychologist (only psychiatrists can prescribe drugs) and they agree for the need, you can ask for special testing conditions (like no time limit) on standardized tests and other tests ( I know in college you can too).

I'm glad that you're with it enough to know that something may be wrong. Shows that you're very intune.

Sorry for the long answer. Best of luck. Drop a line if you have anymore questions.

-Arun


LOL, me and my friend are going "clubbin'" this weekend and on friday were gonna go shopping for it. Were like 16 yrs old and going to a place where people 16 and older are allowed. We have absolutely NO IDEA what to wear or what other people wear to go "clubbin'" what should we wear and what stores can we find them in? (link)
I think that you need to go with the attitude of what you hope to accomplish while clubbing. Are you going just to dance? Do you want to pick up boys? Do you want to get picked up by older guys? What kind of club is this? (Lounge, Industrial etc.)

Usually I have seen girls wearing like black pants with a colorful top (works in most situations). If you know what club you're going to- i would find out if they have a website. On the website they usually have pictures of what people usually wear. You may get some ideas from there.

I don't know where you would go though. Sorry, don't buy a lot of women club clothes :)

Later,
Arun

P.S. Keep an eye on your drink and be cautious. Roofies is making a comeback. Later.


My boyfriend john and i have been going out for about two weeks now and everything has been going fine. but i heard that he went to the movies with his ex-g (she goes to another school) and he did go to the movies b/c he told me and i was pretty cool with it i guess (b/c they were with a group to) but then i heard a few days later that he said to some people..."this valentine's day is gonna suck. i have to buy two gifts now". i think that he's cheating on me. and when i talk to him about it he just denys it. i told him everything and he still denied it. he is my first boyfriend and guys are kinda hard to find for me and i really like him and don't want to break up with him but i dont want to be two-timed. i dont know if i should break up or not. i mean what if he's really NOT cheating on me? then i lose a good realationship over nothing. please help me! (link)
I think that there is a lot of insecurity in your voice- which makes me question if you have some self-esteem issues going on too.

Regardless, you have to see how he reacts when you ask him nicely if he is seeing this other girl. Obviously, you'll have to be the more mature one in the relationship. You have to tell him in a non-accusatory manner that you understand that he may have feelings for his ex-girlfriend. Also say that if he feels that he may still be in love with her, you do not want to interfere with that. If you show that you understand and you're not accusing of him of cheating, he's more likely to open up to you and have a frank discussion.

I know it sounds kinda mature, and may lead to heartbreak, but its better to know that the person you are dating is interested in you completely and not still hung up on the other girl (that would kind of make you a rebound girl). Have faith that one day you'll find someone who will worship you and you will be his inspiration and thought every moment.

Best of luck,
Arun


does anyone know how to get rid of cold sores like fast ive been using herpecin L all day but i need it to go away by tomorrow for school pictures...any ideas? thanx a bunch! (link)
unfortunately b/c it is a virus that causes cold sores- it is not going to disappear right away (even herpecin doesn't help it just has a mild anesthetic so it doesn't hurt as much, but doesn't help heal it). If you had a couple of days you could have a dermatologist or family doc try to "freeze" it so that the virus is killed and then the lip will heal in that area (that takes time though).

I would go with the makeup though.

I'm sorry I couldn't be of more help.

Yours,
Arun


I have this problem, I really like having guy friends, and I can do stuff around them, like be my stupid self, and they can act the same. But if I start dating one of them, I get all shy. I hate this. What can I do to change it? (link)
Someone once told me that dating is nothing but going out with your best friend with a kiss at the end. (Of course there are other things, but the gist is the same thing) and of course people always say that they marry their best friend.

Its normal to feel the way you do. Let me use an analogy. You're on a train. You're on one track (say friendship) and then down the trip there is a track change- its a gradual change and you may not notice it at first, but then you do realize you're on a different track. After a little while, you realize that you are still on the same train with that person, but just traveling together toward a different direction- love or what have you. You and he are the same person, and he loves you for who you are, and vice versa.

Let things happen when they happen and be the person you have always been (why change something that he already loves about you?)

Best of luck
Arun


Me & my friends played a prank on this girl in my school that was picking on me, and she turned us in. Yesterday, I wasn't in school and the guidance conselor called all my friends down to the office, turns out EVERYONE was sayen I did it, even my best friends. I did do most of it, but not all of it. & I admitted to it. Are they real friends? (link)
First, I commend you on taking responsibility for your actions.

As for your friends, the best way to find out is to get a recap from them what happened when they were called in to the Principal/Dean's office. Most of the time the administration already knows that "ring leader" and they lean on the other people to give up information on the main person. This might have been what had happened? They may have been threatened with suspension or worse. If they were honest about what had happened with the adminstration, then you can tell from how they tell you when you ask them.

They are your friends because I'm sure they also said that they were involved but probably not to the extent that you were. This is minor. Your friends are going to be there for you and if it was a major thing, I'm sure they wouldn't have ratted you out.

When you get older, you'll realize your friends are always with you when things go terribly wrong and they are there when things are exxcellent. Its the ones that only appear when times are good that you have to question about being true friends.

Sorry for the long response.

I hope things work out.
-Arun




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