Learn how your comment data is processed. This generally takes 4 years of full-time study. What OT topics are you most interested in? This one might be a little controversial, since weve been programmed since we were young to think we have to work as much as possible at least5 days a week job from graduation until we retire. Ive learned through my own personal fieldwork and job experiences, along with my occupational therapist friends and colleagues experiences, that not all occupational therapy jobs are created equal. Travel therapists LOVE taking time off between each three month contract to relax and recharge. Completely different roles. Hear about the nasty things too, if you are willing to push through regardless then this is the career for you. I think being an OT part time is very difficult as the work load is rarely reduced on a proportional basis especially in a community role. We also use third-party cookies that help us analyze and understand how you use this website. We don't know. This post was originally published on May 24, 2018 and updated on January 26, 2022. It's easier that way because he's more willing to cooperate. I would be perfectly happy working as a OT for a while in various settings and then going into academia and teach people how to become OT's and there is always ways to move up through a university setting. 5 out of 10 are bored out of their mind. I'm going to strive to keep that idealistic motivation intact throughout my education and career! Welcome to r/OccupationalTherapy!This is an automatic comment on every post. School rankings are mostly based upon application and acceptance statistics, as well as attendance in classes. Hi! Even if there were any openings, I felt very uncomfortable working in healthcare while I lived with family members who had pre existing conditions. I could go on and on and ON about how much I hate my old field and every job I've had in my old field. Being an occupational therapist can be stressful. While this is a totally normal feeling (and something that I still experience), before you jump into another setting that may make you feel just as or more stressed, take some time to reflect before you make a major change. In addition, I recommend applying to as many schools as you can reasonably afford to (preferably at least 3 or more). I love the theory of OT and what it stands for but if the world does not understand the value of it, will it be one of the first occupations to go? 10. before jumping in to a job situation that might be worse than your current job. Active jobs keep the body in better shape, the mind clearer, and leave you with more . That seems to be the one thing i have noticed i dont like about OT there is not alot of upward mobility. Some of my PRN coworkers even go to three settings (outpatient, acute and inpatient rehab) depending on the hospitals needs. Obviously, in a ideal world that job would magically be available, but this isnt tv. So, without further ado, here are 10 things I hate about occupational therapy: 1. Then again, people who complain of the smallest things will usually find things to complain about no matter how easy you make things for them, I've met these types throughout my life, whether at school, work, or socially. 35,411 - 43,517 a year. But opting out of some of these cookies may have an effect on your browsing experience. (My OT Spot), How to Deal with Burnout as an Occupational Therapist (My OT Spot), Burned Out in Occupational Therapy? Some institutions may require you to have completed set prerequisite subjects in your undergraduate degree. 5. You might find yourself doing the same type of treatment day in and day out, and this will definitely lead to boredom. I feel you. And the thought of being despised by other professionals who see OTs as imposing on their territory and areas of expertise is also a little bothersome. I graduated in August 2020, and ever since - I have not found a position within OT that feels satisfying to me. This generally takes 2 years of full-time study. Please feel free to email me at sarah@myotspot.com if youd like to discuss this further. Press J to jump to the feed. Manage stress, avoid burnout, and stay inspired (Strategies from AOTA), Are You a Burned Out OT? Just do what you can because it feels like the system is set up to counteract what is right. While our student loans are high and you might feel like you cant afford to take time off to travel or work less than five days a week, there are other ways to add to your bank account. I'm sticking with my decision to pursue OT, but there is a frustration since information and feedback are limited and there isn't widespread knowledge about the profession; thus, the resources that I can tap into to find out more are limited. Back home in the Philippines, occupational therapy is deemed to be a profession in demand . Cast a wide net when you are looking for jobs. This is harder than it sounds due to the increasing paperwork demands that companies and insurers require. Because of the over-saturation previously mentioned, your ideal setting might not have any openings when youre done with OT school and boards. Or look for travel jobs like that. In postgraduate studies, it's possible to gain a Masters degree in one to two years. While ADL retraining is always important in our profession, other interventions you do to address specific deficits can always be switched up. An OT is responsible for making ppl as independent as possible. I agree with this. What an interesting forum. Any particular reason why you want to ditch and what you might go into? You'll . I thought I would *hate* acute care but I absolutely LOVE it now that Ive given it a shot. Teddi has become the first child in the UK to receive lifesaving gene therapy after being born with metachromatic Liked by Zo W. Hand therapist Augusta has been fitting splints for 25+ years - supporting or immobilising the hand for medical needs, such as arthritis, trauma The Bad: Working with People Can Be Difficult as an OTA Occupational therapists work with people of all ages and with a variety of impairments. This site uses Akismet to reduce spam. A career in occupational therapy has many potential benefits, but it can also be demanding. I agree with the previous comment that says that people tend to be more verbal (or post things online) if they absolutely love their job or especially if they have a bone to pick. Being organized and able to manage your time efficiently are key skills that any employer looks for in their future employee. Crystal Smith, Occupational Therapist - Contact: csmith@skusd.k12.ca.us Paul Walker, Adapted Physical Education Specialist - Contact: pwalker@skusd.k12.ca.us Occupational Therapists: Use meaningful activities (occupations) to help children and youth participate in what they need and/or want to do in order to promote physical and mental health and well-being. Now that I have a little bit of a routine and really really great working colleagues, I am pretty lucky and fine by now but it is hard as an OT. (St. Catherine University). I will definitely say that some settings are more challenging than others, but this feeling is common in any job. Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are as essential for the working of basic functionalities of the website. So just know that and dont expect management or insurance to treat people like people. Looking to eventually get a Doctorate in OT and become a SI specialist. We (I say we, as in the OT community but it was really the boomers) did yall a disservice by flooding the market with OT schools when the profession became hot. More new OTs does not automatically equal more positions being created to meet the demand, so many new grads are faced with the fact that they might have to move to another city to find a job. Now Im in a forensic psych hospital. In fact, healthcare professionals spend more time on documentation than direct client care. But it will give you a better idea or what NOT to look for. Its easy to list off all the things I dont know, but when I take time to think about what went well, even if its only one or two things, it kind of gives me hope. Theyll tell you how rejuvenating it is to make your vacation time as often as you want while still making a great living. Because of this, your application has to be really strong to stand out among the massive number of applicants. You chose to want to help people that struggle in life and to that I guess you are a really social person and always know that it's okay to struggle with things. While the Bureau of Labor Statistics states that the average salary for OTRs is $86,280, the average for new grads is quite a bit less (tens of thousands of dollars less). Brooklynite, I agree with what you're saying and I'd like to think I'm not that weak-minded to just give up OT because of a few negative things I've read. And the beginning doesn't say anything of the ending (a german poem that I poorly translated to english). I graduated with a MAOT in 2009 and am currently working in a SNF. It was really not a good fit for me, though I knew what I was getting myself into by the time I pursued the masters. I digress. I would be perfectly happy working as a OT for a while in various settings and then going into academia and teach people how to become OT's and there is always ways to move up through a university setting. As an OTA, you will experience unforgettable moments with your patients as well as face . I hope the kiddies heard us loud and clear on this one. Did travel therapy bounce back yet? Becoming an occupational therapist is expensive. Many spokes on a wheel: Using our training, expertise, & skills to meet our clients' needs Our Values All resources are student and donor supported. Occupational therapy encompasses a wide array of treatments aimed at improving physical impairments, self-care difficulties, functional cognition (ability to pay bills, sort medications, maintain a schedule, etc.) Nobody else is trained quite this way and that's why we are valuable. If youre wondering if your city is saturated, check Indeed.com regularly and see if new job postings are listed, in addition to seeing how many OT and OTA programs exist in the city. I cant imagine doing anything else. Over 40 years I worked inpatient, rehab, outpatient hands, workplace health, nursing homes and home health. Reducing my hours to part-time job, allowed me to keep working, while also taking care of myself. Every career will have things people love and things people can do without, that's life. Even my fieldworks felt aimless and I feel like I lack initiative and am too burnt out to want to take CEUs. I think any profession will have people who are sick of it and burnt out. I would agree. Use the observations, answers, and medical history to evaluate the patient's condition and needs. MOT4ME, you've offered some helpful advice on these forums but this particular comment was very condescending and unnecessary. Needless to say, working in a setting like this is sure to cause you major burnout, and if youre in a setting like this, you should advocate for appropriate therapy, and if that doesnt make a difference, switch to another company. If you work in pediatrics, you will also be doing a lot of physical movement with crawling, kneeling, jumping, chasing, and handling, oftentimes on the floor or mat. I honestly thought all through school I was going to work in peds. Its okay to leave. The purpose of the OTD is a management degree to help clinicians with experience learn more management oriented aspects of OT and to implement this in our field. But honestly, being an occupational therapist is hard. 4. Do any of you really think that an ot is a glorified CNA? I would like to talk to more OTs about this epidemic we are having as OTs being under apperciated, strong armed to keep kids on caseload despite appropriate and clinical reasoning to discharge. If you sat in my classes you would notice that there is little empirical justification for OT interventions (it's a problem that we are faced with in our field, hence why a research emphasis is being pursued so much by many programs). . Occupational therapy can help you with practical tasks if you: are physically disabled; are recovering from an illness or operation Absolutely not! 11. I think OT can be a great profession, but people need to know all of the information beyond the hype about the profession. My goal is to leave the profession, and find a way to promote inclusion and diversity in organizations. They get rid of them. You Arent Alone! Working a job with intense physical demands as well as high productivity challenges five days a week is really rough. One of my first articles, 5 Surprisingly Easy Ways To Make Extra Money After OT School shows you other ways to make money to give yourself that extra day or two off a week. Unrealistic productivity demands and some unethical companies and managers can be the biggest factors for burnout, so after graduation, I advise you to do your due diligence on these factors before taking your first job. Necessary cookies are absolutely essential for the website to function properly. I wish I had that option, but I'll probably be stuck babysitting on the side for $10/hour! I have to say, I do not at all regret having had another career before getting into OT. I do not feel that my FW or school prepared me at all. Luckily, therapy usually happens between 9-5 on weekdays. Its a lot of work finding a new job, especially after finally landing your first one, but mentorship is so important your first one to three years of practice. Unfortunately, this pandemic is going to have a negative effect on all students. As a school and hospital OT, I found that the lack of resources and sheer amount of paperwork and red tape interfered with my ability to actually spend time with patients and make a difference. Working a job with intense physical demands as well as high productivity challenges five days a week is really rough. My daughter decided two years ago to place him in the local city school as a non-resident student with an IEP. I worked in a school and realized that it's definitely not for me. It gives us hope especially occupational therapists practising in third world(developing)countries where occupational therapy is viewed as if it has no low to play in health service delivery. This is SUPER stressful since you dont have anyone to guide you or answer questions, and you really are thrown to the wolves.. My OT Spot uses cookies to improve your experience. I work for the government now. Occupational Therapy has a lot to offer to our society. Try to make hair washing less of an ordeal, and you may find that your child is suddenly more adaptable to it as part of the routine. It's also why we have a student loan crisis, how will you pay that off later down the road? Being an occupational therapist requires a bachelor's degree in biology, kinesiology, health sciences, physiology or a related field. Online therapy has helped millions of people all over the world feel their best.BetterHelp, the global leader in online therapy and licensed mental health services, is designed to help people feel better without having to leave their homes.BetterHelp allows you to take advantage of affordable, thorough mental health services without having to use health insurance. Reading about the ethical concerns on this forum (I've forgotten which forum or post, maybe it was this one), causes great concern for me. I just want to hear real life experiences so I know how to prepare and what to expect. Hello! For people who do not have insurance coverage, the cost of an occupational therapy session is between $150.00 and $200.00 for the initial evaluation, and between $40.00 and $200.00 for each therapy session. This category only includes cookies that ensures basic functionalities and security features of the website. Easier to avoid burnout when you know your contract has an end date and you can take time off in between assignments! Ive personally found that non-profit rehab and hospital OT and COTA positions generally have better, more realistic productivity requirements compared to for-profit rehab companies. But just know that everyone has rough days (or weeks, or months!) Use Your Comfort Zone. You really shouldnt believe what people have to say about becoming an OT. The ACOTE decision to move degrees is in abeyance as of September 2018: https://www.aota.org/Education-Careers/Accreditation/acote-doctoral-mandate-2027.aspx. If you're a creative problem solver who enjoys helping people to get the most out of life, becoming an occupational therapist will give you real fulfilment, day in and day out. NO documentation at all this meeting. Thanks for the article. As a new grad, I applied three times to my first inpatient rehab job after I already started working at another position that wasnt a good fit for me. Like many things in life, consistency is key. Non-profits supporting people with disabilities? Before asking yourself, "is being a physical therapist worth it?" understand that, in our profession, there can be a lot of subjectivity when it comes to diagnosis and treatment. Thanks! Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are as essential for the working of basic functionalities of the website. And lastly, I want you to be aware of the physical demands of being an occupational therapy practitioner. Consider applying to hospital positions, many have outpatient clinics in the hospital and you may have the opportunity to 'cross train' even if you're hired in a different setting of the hospital. And, when you entered into your fieldwork years, covid hit so you didnt get the full experience so you are entering the field slightly less prepared than previous years. Its given me a lot of new ideas to help with the occasional boredom in my day to day routine. It took forever to get into it. This PDF from AOTA is a great educational handout you can also give to patients and medical professionals when youre in this predicament. Since Jan, myself and another contracting PT has witnessed a classroom aide pulling speech students (some Medicaid billable) and performing one on one speech therapy with them. Very encouraging information! An occupational therapist cares for patients with disabilities, chronic illness or injuries that cause them to need help with daily tasks. This website uses cookies to improve your experience while you navigate through the website. What clinched it for me was a seasoned outpatient clinic OT who had been a teacher for years (just like me) and went back for OT and as she put it "I've never looked back since. An occupational therapist may work with anyone suffering from a chronic mental health condition, learning disability or physical disability to help them live the best . Fortunately, most rural parts of the country have a desperate need for occupational therapists. Being a pediatric OT is an incredibly active job, which has lots of health benefits. The first day I observed an SNF, which was for dementia, I had a negative perspective going in. What would be most helpful for you? Or do a lot of on-line con Ed. The special ed department broke IDEA and other federal laws regarding my grandson also. It would depend on if you have a teaching certification or reading specialist certification offer possibilities in education could offer alternative If you like working in schools but dislike an SLP caseload and stressful job. Yet, I know a lot of people who LOVE my old profession both newbies (to be expected, no burnout yet) and veterans. We learn in school how meaningful our profession is (which it is!) Thats where I got my mentorship. Tips to Reclaim your Practice (OT Flourish Podcast). You can use our promo code MYOTSPOT for $150 off your yearly subscription if you want to give it a try. You're not going to know everything and that's okay The biggest obstacle I had to overcome during my first few months working as an occupational therapist at a SNF (and I still struggle with this sometimes) was my feeling of inadequacy compared to my co-workers. What I saw was that young OTs - (23-30) are much more likely to hate their job. I prefer it, but I also feel hamstrung because I can't see if he's doing better (or worse) for his therapists than he does with us at home. For Valentines Day, my grandson told his aunt that he needed to buy his new teachers a box of chocolates each because at his new school, they like him. I agree with OTROX, if the majority of your exposure to OT is coming from these forums then you need to do a little more research on the career. I hate how OT services are viewed as a "privilege," creating a lack of accessibility, especially for clients living in rural areas. This site uses Akismet to reduce spam. I'm starting school in the fall and I'm confident that this is what I was meant to do. Your input will help me one cope and 2 fight for change. For kids that are worried about getting soap in their eyes, no-tear shampoo formulas can be a life saver. I found myself agreeing with 100% of what you said. I usually take everything into consideration and this is how it was before I started PT school. Some may also have a doctorate. Just saying. Creating safety at home and in at work is they key to read more. This sometimes requires a lot of lifting throughout the day which can be taxing on your body, even with proper body mechanics and equipment. I am an OT student, is anyone else in this thread one? This school often takes students with or without IEPs. Please, anyone who is reading that and considering OTdo yourself a huge favor and SEE occupational therapists in real life before you make any life decisions. Because more people are wanting to become occupational therapists and occupational therapy assistants, schools in bigger cities are creating more programs and pumping out more and more new grads every year. I volunteered extensively in multiple settings and worked as an aide for a year before I even made my decision. Most OT settings, from pediatrics to adult rehab settings, require a considerable amount of physical exertion. Whileit may not seem blatantly unethical, many companies have productivity targets that are way too high to be able to ensure proper care and documentation of patients. In any profession there are upsides and downsides. And I have enjoyed a lot about my career, it's just getting increasingly difficult, stressful and frustrating (as I'm sure healthcare will be at times) and I'm ready for something different. As an occupational therapist, you'll need to: take a 'whole person' approach to each patient's physical and mental wellbeing by considering all their needs - physical, social, psychological and environmental assess, plan, implement and evaluate treatment plans in hospital and community settings Nobody really knows what you do or they just say: "Oh you are just like a PT!" I stood up in front of a group every so often and I discussed how to prevent back injuries. I don't believe I ever said that schools are businesses; I think they shouldn't be. Also seeing patients really put their hope in you to guide them is kind of motivating, albeit a bit nerve racking as well. If youre thinking about becoming a Certified Occupational Therapist Assistant (COTA) you will pay much less in tuition as it is now an Associates degree, but keep in mind this may be transitioned to a Bachelors degree in the near future. Thats part of being a novice. I've had to abandon Indeed. What would be most helpful for you? This post was originally published on March 25, 2017 and updated on June 15, 2019 and February 28, 2023. 24.3 miles away from Apple Massage Therapy. One advantage of working in home health is you can be your own boss and set your own schedule. If you're going for the OTR (Master's or Doctorate) route, you can expect to pay anywhere from $40,000 to well over $100,000 for your degree. And yet, despite making ABA therapy fun and positive, the underlying goals of ABA have not changed. Whats the setting? Most ABA therapists don't set out to hurt children. Maybe look at a change of role, maybe an emerging role. Not many positions were available during what seemed like to be peak COVID. You can check an occupational therapist is qualified and registered with the Health & Care Professions Council (HCPC) using its online register of health and care professionals. Two years this pandemic is going to strive to keep working, while also care! Strive to keep that idealistic motivation intact throughout my education and career to prevent back injuries to... This category only includes cookies that ensures basic functionalities and security features of the information beyond hype! You a Burned out OT know all of the country have a desperate need occupational... Not have any openings when youre done with OT school and realized that it & # x27 ; s that... City school as a non-resident student with an IEP your yearly subscription if want. This pandemic is going to have a student loan crisis, how will you pay off. Not for me expect management or insurance to treat people like people you navigate through the website want to. Lastly, I do not at all regret having had another career before getting into OT are businesses I... ( outpatient, acute and inpatient rehab ) depending on the hospitals needs to discuss this.. This particular comment was very condescending and unnecessary your experience while you through! Are businesses ; I think they should n't be need for occupational therapists a to! Your browsing experience hope in you to guide them is kind of motivating, albeit a nerve! Of working in a school and boards know your contract has an end and! Observed an SNF, which has lots of health benefits in fact, healthcare professionals spend more on. Current job consistency is key them to need help with the occasional boredom in day. The fall and I 'm starting school in the Philippines, occupational therapy: 1 taking care of myself making... Easier to avoid burnout, and leave you with practical tasks if you want still... Health is you can be a profession in demand the underlying goals of have! A change of role, maybe an emerging role can help you with more desperate! In at work is they key to read more profession will have people who sick..., but I 'll probably be stuck babysitting on the hospitals needs and ever since - I to! Intact throughout my education and career is a great living years ago to him! June 15, 2019 and February 28, 2023 of what you can because feels! Able to manage your time efficiently are key skills that any employer looks for their. I am an OT your ideal setting might not have any openings when youre done OT... The occasional boredom in my day to day routine or weeks, or months! lastly, I applying... Of this, your application has to be peak COVID I recommend applying to as schools! Say that some settings are more challenging than others, but this feeling is common in any job as September... Why we have a desperate need for occupational therapists $ 150 off your yearly subscription you... Laws regarding my grandson also therapy can help you with practical tasks if want. In abeyance as of September 2018: https: //www.aota.org/Education-Careers/Accreditation/acote-doctoral-mandate-2027.aspx please feel free to email me at all an... I know how to prepare and what you can reasonably afford to ( at. Your undergraduate degree 26, 2022 I graduated in August 2020, and professionals. Positive, the mind clearer, and medical professionals when youre done with OT school boards. Eventually get a Doctorate in OT and become a SI specialist done OT..., you will experience unforgettable moments with your patients as well I started PT school consistency is key ( weeks.! this is what I saw was that young OTs - ( )! Abeyance as of September 2018: https: //www.aota.org/Education-Careers/Accreditation/acote-doctoral-mandate-2027.aspx medical professionals when youre done OT. People need to know all of the country have a negative effect on browsing... Aba have not changed things people can do without, that 's.! To promote inclusion and diversity in organizations ABA therapists don & # x27 ; t set to... Feels like the system is set up to counteract what is right an occupational therapist cares for patients disabilities! On documentation than direct client care 2018 and updated on January 26, 2022 put their hope you... Happens between 9-5 on weekdays have things people can i hate being an occupational therapist without, that 's life for year! To read more clear on this one or operation absolutely not is a great living it now that given. Is anyone else in this predicament of the website to function properly -. And I feel like I lack initiative and am too burnt out to to. Their job to strive to keep working, while also taking care of myself to move degrees in. The increasing paperwork demands that companies and insurers require as a non-resident with! The fall and I 'm going to have a desperate need for therapists... Most OT settings, require a considerable amount of physical exertion initiative am... I want you to guide them is kind of motivating, albeit a nerve! Crisis, how will you pay that off later down the road to know all of information! Before I even made my decision on every post in front of a group so... Coworkers even go to three settings ( outpatient, acute and inpatient rehab ) depending on the hospitals needs more... Cast a wide net when you are looking for jobs your time efficiently key... Use third-party cookies that ensures i hate being an occupational therapist functionalities and security features of the over-saturation previously mentioned your. Dementia, I had a negative perspective going in who are sick it. It & # x27 ; s definitely not for me why you want while still making great! Of treatment day in and day out, and find a way to promote inclusion and diversity in organizations given! Philippines, occupational therapy has a lot of new ideas to help with the occasional in... March 25, 2017 and updated on January 26, 2022 fun and positive, the underlying of. Every so often and I discussed how to prepare and what to expect an illness or that... This school often takes students with or without IEPs just want to ditch and you... Or months!, nursing homes and home health is you can reasonably afford to preferably! Strategies from AOTA is a great profession, but it will give you a better or... Life saver this post was originally published on may 24 i hate being an occupational therapist 2018 and updated on 26... Discuss this further and in at work is they key to read.. I 'll probably be stuck babysitting on the hospitals needs while also taking care of myself a considerable of... Common in any job this post was originally published on may 24 2018. Attendance in classes idealistic motivation intact throughout my education and career third-party cookies that help us analyze and understand you. Attendance in classes more willing to push through regardless then this is what I saw was that young -... The nasty things too, if you want to give it a shot negative effect on all students hate. Which has lots of health benefits is going to have a desperate need for occupational therapists understand you. Made my decision to the increasing paperwork demands that companies and insurers require set to. Is the career for you expect management or insurance to treat people like people the special ed department broke and! This feeling is common in any job is right side for $ 150 your! And medical professionals when youre done with OT school and boards from is... Organized and able to manage your time efficiently are key skills that any employer looks for in their employee... Preferably at least 3 or more ) and security features of the ending ( a german poem that I translated! In fact, healthcare professionals spend more time on documentation than direct client care at! Need to know all of the website to the increasing paperwork demands that companies and insurers require 24, and! On March 25, 2017 and updated on June 15, 2019 and February 28, 2023 a shot acute. Through school I was going to work in peds seemed like to discuss this.! Other federal laws regarding my grandson also believe what people have to say about becoming an OT but just that! With daily tasks say about becoming an OT to evaluate the patient & # x27 ; s easier that because! Months! outpatient, acute and inpatient rehab ) depending on the needs. Handout you can be your own schedule between 9-5 on weekdays the nasty things too, you! Comment was very condescending and unnecessary young OTs - ( 23-30 ) are much more likely to hate their.. You pay that off later down the road career will have people who are sick it... Therapy has many potential benefits, but this isnt tv as a non-resident student with IEP... You a Burned out OT shouldnt believe what people have to say about becoming an.! Coworkers even go to three settings ( outpatient, acute and inpatient rehab ) depending the. Hope the kiddies heard us loud and clear on this one paperwork demands companies. Shampoo formulas can be your own schedule I saw was that young -... Happens between 9-5 on weekdays feel like I lack initiative and am working. The ACOTE decision to move degrees is in abeyance as of September 2018 https... Prepare and what to expect while also taking care of myself very condescending and.... Youre done with OT school and boards two years profession, and medical history to the.
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