Primary care nurse reddit. I am a patient on direct primary care practice.
Primary care nurse reddit Love the idea of primary/urgent care and then eventually teaching at the collegiate/post grad level. my current experience is 4 years of ICU, and almost 2 years of CVOR. And PA students may be interested in /r/PAstudent for discussions about PA school. It involves primary care, workers comp and UC. I have been feeling anxious about my job transition. A Nurse Practitioner (NP) is an advanced certification beyond nursing that trains them on some basics of the doctoring side of medicine. Just need a quick clarification - what do you mean by primary care nursing? Do you just mean a primary care nurse like in a clinic setting? Or do you mean the nursing modality (i. But the drawbacks are that we do not have Epic access and CareEverywhere…so doing referrals and getting notes from outside facilities is a challenge Typical jobs are in outpatient primary care settings, hospitals, urgent cares, and working with pediatric specialists. Im 33 years old and the past year, my company was bought out by another company, many people were laid off, luckily i was transferred to a different office, same specialty. We have a handful of nurse practioners, and a typical day we come in, open the rooms and find out which NP we're with that day (or if we're the flex nurse, we usually staff to have at least one). On primary call for one week every other month. Icu nurse here trying to decide between CRNA and NP. You are also allocated less resources because they base it on what you specialty generates and primary care isn't as lucrative but the workload is insane. Or how some people are like “only critical care can prepare you to work outpatient in primary care” which is ridiculous. Good community nurses can be the difference between good engagement in primary health care and loss of quality of life due to avoidance. Patients can receive proper product recommendations while having ease of access to purchase it in the office. Career Advice Share Add a Comment Sort by: Best Open comment sort options Best Top New Controversial Old Q&A Quartz_manbun • Why do people put so much emphasis on primary care clinician ‘listening’ skills rather than ‘understanding’ skills? Redirecting a babbling patient with focused and direct questions is actually a mark of an excellent physician, a skill NPs often lack because they don’t know what to ask. She worked at a PICU for two years before her NP program, and has been been at her current position for a year. Out of curiosity, I am wondering for other primary care, or peds, or other types of outpatient providers: How many patients do you see in a typical day? What type of support staff do you have an what do they do for you? Do you feel mentally/physically exhausted after your day? We would like to show you a description here but the site won’t allow us. I’d love to hear from those currently working in. Both have different views about the career. Mar 23, 2023 路 Can a nurse practitioner be your primary care provider? Yes! Discover four common myths about NPs and the strengths NPs bring to healthcare. She is currently making $85,000. For me getting into urgent care was perfect as I love the schedule and hate having to follow patients long term like in primary care although we do a bit of that as well as no one in my area seems to be able to get in to see their PCP 馃槷馃挩. But it had me thinking about stability and my future in general. The value of primary care is you get to build relationships over time. I have only seen him twice and he has screwed up both times! The first time I needed my metformin refilled and he forgot to send in a new order for a week and didn't even put any refills on it so I would have to call the office every time I needed a refill. 7-0. Share Add a Comment Sort by: Best Open comment sort Welcome to our virtual space for all things related to PAs! Participation is open to anyone, including PAs, Physicians, NPs, nurses, students, other medical professionals, and the general public. UTD is awesome, but it's also a little too much for my tastes. I ended up switching to a speciality clinic and the work is much more relaxing and rewarding. Does anyone here actually enjoy their jobs? Please share if you LIKE being an NP and why. Does anyone have any good recommended resources for a new NP? Job will be in a primary care office with a combination of chronic care visits and wellness visits along with acute/sick visits. See anywhere from 10-19 patients per day. May 1, 2024 路 It usually takes at least seven years and an average of 7,840 hours of clinical training and work experience to become a nurse practitioner. I've referred a number of folks to him and his partners because they do good work. Urgent patients can just walk in without appointments, You have a good amount of time to decide other specialties besides urgent care. 8% more than the second-highest-paying state for primary care physicians (South Dakota) and 2. e. CPNP-PC Exam Resources The Certified Pediatric Nurse Practitioner - Primary Care (CPNP-PC) exam is 3 hours and asks 175 multiple-choice questions based on categories in the content outline, an essential study reference. They added basically all primary care and a bunch of simple procedures while I was there. My work paid for HIPPO bootcamp for urgent care and it was interesting. How rare is this? From what I've read and understand, the average salary is around 130k as a NP. My wife (who doesn't have reddit) is a pediatric primary care NP in Boston. moving from a surgical specialty what’s the most common complaints your patients have? i’m assuming HTN, UTI, URI, sinus, depression, anxiety. Overall I don’t think nursing is the profession I’m meant for. However home visits can be stressful depending on specialty and what support you have. Standard template is 8A-5P. I’ve only worked in nursing homes but I can work in acute care as long as I’m staying in my scope of practice. How much do you make, how many hours do you work/do admin time, where do you live, and how many years experience? Share Sort by: Best Open comment sort options Add a Comment elocin318 • This is an interesting thread but one that seems to have few actual voices from practicing primary care doctors. Sure, I could find another job, but it feels like primary care is just a dark place for me with a lack of control, being forced to do things against your will and compromise yourself, and being taken advantage of because you care. I'm a new grad starting a role in primary care in a few weeks. Anyone work for the VA or local government in NY? and how has your experience been with that? I just took my AANP AGNP boards yesterday and PASSED! I have never felt so free. I worked as RN during the Master’s portion, in a residential facility for children with severe trauma and psychiatric disorders, and adolescent males who committed sex crimes. Source: 2020-2024 MGMA DataDive Provider Compensation (based on 2019-2023 data) For the third year in a row, primary care physicians report earning the most in Mississippi, earning 7. Oct 27, 2021 路 Hi all, Im a new grad and I just took a position as a primary care RN at Neighborcare Health Clinic. Nurse practitioners to make 80% as much as family doctors for publicly-funded primary care [Alberta, CAN] We would like to show you a description here but the site won’t allow us. What are other people in the area getting paid?? We would like to show you a description here but the site won’t allow us. I’ve been a nurse for 13 years. I am a patient on direct primary care practice. I didn’t want for my very first pediatric patient to be in the capacity of a nurse practitioner. Studies show that patients of nurse practitioners received the same quality care from nurse practitioners Jan 5, 2021 路 Nurse practitioner as primary care provider? by AerialWombat » Tue Jan 05, 2021 7:27 pm This year is my first time ever having real health insurance in the ACA era. your participation is valuable to the healthcare communities. The volume in primary care can indeed be daunting, with many pediatricians seeing 20-30 patients a day. Overall I love the idea of being able to provide care to patients in the home because you can get a view of what their life is like outside of the clinic. Unlike Nurse Practitioners, physicians study all aspects of medicine and approach patient care using the traditional Medical Model. My Master's program in women's health and it was excellent so I remembered a lot of my peds education from the RN portion, but my FNP post-masters taught me nothing about peds primary care. I live in a rural area, so there aren't many in-network choices. I think FNP should only be consider if wanting to work in primary care, urgent care or the Er, and in the case of working in the ER, you may want to consider ENP degree or PA “break down the 2018 Cochrane Review "Nurses as Substitutes for Physicians in Primary Care," pointing out that of 9,000 studies reviewed over the last 50 years, just 18 were of adequate quality to include in a review of the subject. Starting in primary care, will be treating a young adult population primarily 18-50. I already feel overwhelmed doing two 8hr days of clinical a week. This bestseller provides rapid access to guidance on diagnosis, treatment, medications, follow-up, and associated factors for more than 540 diseases and conditions. I wanted to add something about my experience to the discussion. I believe they typically have their nursing degree (which is a bachelor's), and then go to NP school which is a 2 year, masters level degree. i have an interview with the VA clinic for the home based primary care (HBPC) case manager position. Left NC for personal reasons but was in primary care, $120k with additional productivity and quality bonuses. We were expected to be comfortable doing these things alone after watching basic modules. For those in the specialty, what do you recommend for getting up to speed on treatment regimens, important timepoints Sep 9, 2025 路 What Does a Family Nurse Practitioner Do? FNPs act as primary care providers in hospitals and health systems, independent practices, clinics, or other healthcare settings. I work in primary care/Family practice. Nurse practitioners are well-trained for primary care work—and evidence shows they deliver it effectively, and often at a lower cost than doctors. MembersOnline Kaiser Mid-Atlantic (DMV) - 19 patients/day with 1 hour of panel management time daily. With the job market and trends in nursing at the moment, would I be better off getting the Acute Care Peds first then going back for PMHNP certiifcation or start with PMHNP then go back for the Acute Care Peds certification? Which method would make most sense? 65 votes, 30 comments. Would love to hear how many patients you see as a full time provider and how doable a heavier week with all of the additional admin responsibilities would be. I have never felt so accomplished! How did I prepare: I bought Maria Leik’s textbook probably a year ago, always used it to Primary care here - we are purely rvu with a look back estimated base every 6 months. ? The doctors that I went to when I was in elementary school to get my flu shots, what types of doctors are they? We would like to show you a description here but the site won’t allow us. What are your favorite online review courses/ continuing education courses for primary care medicine ? Starting a new job and want to continue to up my knowledge. I encourage annual wellness visits, diabetic monitoring of kidneys and eyes and other cancer screenings. 5 times as much as the lowest-paying state (Alaska). I love it. 8 (one full day or two half days off per week). I make 154k per year as a nocturnist in an average cost of living area. And that isn’t the worst thing that’s happened in Evergreen’s care. I loved so many different things about family medicine such as establishing relationships, seeing kids, and making an impact in people's health. 9 months of experience, will make around 120k/year. Glad to talk about my positive experiences. I think it’s about time to advance my practice. Just trying to get a better feel for what others in primary care experience. I also figured it would help me find a job and I was right. I do work with patients that tend to be complex and see vastly more 99214 than 99213. For pre-PA help, check out /r/prephysicianassistant. It was the hardest 2 years of my life as I was pregnant for my last 3 (hardest 3) semesters of school. Will this look bad to future employers? OR do I take this job to get my foot in the door with experience and possibly branch out later on? Find out what a Primary Care Nurse does, how to get this job, salary information, and what it takes to succeed as a Primary Care Nurse. 3+ years experience. I'm looking for a new PCP and I read that a PA and an NP can be your PCP but does it really matter who I choose in terms of care? Primary care Nurse practitioners needed I am a Doctoral candidate seeking participants for my study, which focuses on Nurse Practitioner job satisfaction and intent you leave. Create a personal study plan and prepare using the resources below. Furthermore, a Nurse Practitioner's master's degree is dedicated to generally one area of medical care. We would like to show you a description here but the site won’t allow us. I work with primary care providers to encourage and education on quality of care. If you’re asking us to broadly widen our scope and provide a slew of new services, then we should be compensated! End rant. . I briefly worked at the VA as a Valor Student in nursing school and have wanted to go back to working at the VA but it's never been feasible. I know it is going to be a challenge right off the bat, but I'm curious to know if anyone has tips or tales from their first few weeks or months that might make the transition feel a little less brutal. team nursing versus primary nursing)? Primary care is the entry into the healthcare system, its the opposite of "specialist" care. In urgent care, you see people for acute complaints, acute injuries, and for work-related physicals. I’ve seen some resources out there for education but it seems most of them have a paywall therefore making it difficult to know the quality of the content. I don't even get my pills filled Of course you have the social medical and insurance bs you have to deal with, but primary care is goated. The breadth of things people want us to be responsible for is also unsustainable I work in a small primary care office and we use Practice Fusion. I am already mentally preparing myself to feel overwhelmed and underprepared, as I've heard this is pretty much the standard. Visits can be anything from acute to health assessment to hosp f/u. I'm worried specializing in pediatrics as a new grad FNP will pigeon hole me in my aspirations to take care of adults (in some capacity, preferably primary care) in the future. If you are working as a NP, you’re a NP. New grad NP here deciding between two roles. I thought it looked good until everyone posted that it was 20,000 low. According to the current trends it looks like corporations and hospitals are firing physicians and hiring nurse practitioners… Overall, as a wound care nurse in a skilled nursing facility, your role is critical in ensuring that patients receive the best possible care for their wounds. But a primary care doctor can refer a psychiatrist right? And unless I'm mistaken a psychiatrist can't be a primary care doctor? My mental health is one of the main things I want to take care of but I do also need general wellness check ups and whatnot, which is why I'm initially searching for a primary care doctor. Im a primary care PNP student with about a year left of school. Stay informed, communicate effectively, and provide compassionate care, and you will be successful in your new position. I have a year of primary care residency under my belt. Archived post. 34 votes, 37 comments. I’ve just begun my DNP program, specifically for adult-gero primary care but likely going to transition to FNP d/t the greater breadth of scope and career opportunities (which I wasn’t entirely aware of in comparison to strictly adult-gero when I originally investigated). It's attractive but I think I might take a decent pay cut? I'm really not sure what The primary care peds program at my school was actually scheduled in such a way that it was very easy to double and almost every one did (half were peds/family the other half peds primary/acute care). It kinda feels like where people feel like their not nurses unless they do ER or ICU which is crazy to me. I am an adult gero primary care np. Jack of all trades and the master of none!! Reply reply More repliesMore replies Suspicious-Effort-44 • I did a primary care pediatric nurse practitioner track. Each urgent care draws the line a little differently on how many primary-care-type services they provide, and how much point-of-care testing they can do. Hey all - I started my first job in a primary care office and I've held onto some of my textbooks from school. Primary Care Nurse Practitioners for Telehealth Nurse practitioners who are employed by Lemonaid Health provide healthcare and medicine delivery straight to the patient from their home. it was a natural progression to take the next step up. She is wondering if there is a good source on pediatric primary care NP salaries, since her review is coming up. I’ve been doing primary care for 8 months now, and plan to do it up until I graduate in 10 and a half months. I see three patients per hour, 20 minute slots, no matter the visit reason or patient type (new or established). I have 13 years NP experience and have been working in this specialty for 5 years. Worked as an ER nurse for 7 years before starting with my current job. Outpatient=fnp (urgent care, primary care, specialty clinics like derm office or othro walk in clinic) inpatient=ag-acnp (cardiology, surgery, hospitalist, intensivist) For critical care it is very unlikely fnp will be accepted. New grad NPs should be making significantly more than new grad RNs. I like working in the hospital but in the future, I feel like just doing clinical work to spend more time with my kids. The current NP told me that if he can turn back the hands of time, he would become a nurse anesthetist while the retired NP have no regrets of becoming an NP. Perhaps thats not realistic. New comments cannot be posted and votes cannot be cast. Welcome to our virtual space for all things related to PAs! Participation is open to anyone, including PAs, Physicians, NPs, nurses, students, other medical professionals, and the general public. I love preventative care and educating my patients, which is a lot of the primary care role. You’re the first line of defence and serve the community greatly. Fields that are generally considered primary care include pediatrics, family medicine, internal medicine, and sometimes OB-GYN. For example, I can work as a palliative nurse practitioner or hospice in an acute care, as long as the care is primary care. I do think primary care experience as an RN is valuable for NP school, but I don’t think it should be your only experience. Oct 1, 2020 路 The 5-Minute Clinical Consult is a reliable, go-to resource for primary care physicians, nurse practitioners, and physician assistants. Work 3 days a week until they update your PTO, health insurance, 401k, etc. With primary care you have patients who are there for annual physicals, for chronic disease management, and for acute complaints. That’s a broad topic, but you can move up as much as you want, but branching out too much will require more than your NP, most likely. I just saw another post were a new grad from AZ posted a job offer. FNPs I was with 1 in pain clinic, 1 in urgent care, 1 in women’s health, and 1 in a primary care that only saw around 17+. RVU 33$ Making the most I’ve ever made. It’s good for what it is, bare bones. I have worked Pediatrics my entire career. Seeing 85-90 patients a week. I still sometimes feel burnt out by some of the other things inherent to primary care (mainly admin stuff / paperwork) but it’s way more manageable. Would love to hear from you What NPs make the most? And what did you get your NP in? Family, acute primary peds etc Anyone know anything about home based primary care registered nurse positions? Just got a phone call about setting up an interview for one. Will being an NP in primary care be any better? Is it less stressful, more balanced? Do you feel like you get paid what you’re worth or is it still politics and being taken advantage of by employers? It’s really bad medical care but companies only care about pay per patient. Help us prospects out that are excited about moving on from being an RN. Not a nurse practitioner or physician addistant. I have both adult and pediatric experience. Primary care. Adult-geri primary care is usually limited to a certain age. They provide primary care for patients of all ages, but they may refer patients with complex needs to specialty providers. It just feels miserable. This means you could work any unit at a hospital with that rating. So can someone shed me light on the pros and cons of primary care and acute care NP? My current job is still primary care but at a different health care institution where I now see 8-12 patients per day and get 30-45 mins per appt. Use your nurses or medical assistants to do anything within their scope that frees up time for you to see patients. I do in-home Medicare physicals for an HMO, but a lot of my job ends up being primary care (refilling meds, pt education, managing referrals, etc) for pts who don’t see their PCPs on the reg. 9 FTE, with the median being 0. Not particularly fond of my grad school notes but want to do some studying before starting my first job. Im curious what my kind of patients Id see in a typical day Welcome to our virtual space for all things related to PAs! Participation is open to anyone, including PAs, Physicians, NPs, nurses, students, other medical professionals, and the general public. Pretty low stress, catching up with patients on their vacation trips, and making well over the average salary sound great to me Hi, I have started as a primary care NP within the past year. Full time is 5 days/week -- the majority of PCPs are at 0. Examples include primary care, psychiatric care, women's health, or pediatrics. Looking at my school's programs, the difference in FNP and AGNP family is like 2 classes (and I'm guessing some different clinical focus but not 100% on that). So I think I want to get both my Acute Care Peds and my PMHNP in the end. However, I'm finding that my primary textbook "Primary Care Medicine" by Goroll hasn't been super helpful (since info is arranged by chief complaint, rather than being able to look up info by the disease in question. But you have to accept insurance and agree to fee schedules. I am a Pediatric NP, I got a dual specialty in primary and acute care. If you make a doctors appointment, you should actually see a doctor. I work in adult/geriatric primary care in Tacoma WA and make $161k. From someone who used to work in the ED, I think these nursing triage lines from OP clinics are absolutely useless. Thank you! I am a new grad FNP and heard that new grads should work at primary care or urgent care first to get broad experience, or else it’ll be hard to get other jobs later. 0 admin time. I only ever worked in subacute settings (nursing homes and inpatient rehab) as a RN so I only worked with elderly patients. Doctors can really help improve patient care by directing them to what products are a healthier choice especially when decided upon in conjunction with a pharmacist (something that is increasing trend in primary care). Im curious for those of you who are PNP-PC: what setting do you work in, how is your work-life balance, and what is your schedule like? When I graduate I would like to avoid the M-F, 9-5pm if possible. I have been a private sector primary care nurse for about 14 years and I’m working through va onboarding now. But is that true? Those of you are who worked specialities first, were you able to find other jobs after? Most importantly, you need to check with your board of nursing. Hello, I have two years of bedside nursing and I am over it. I work in post acute as an AGPCNP. 13 maybe? I have precepted with 1 adult/geri primary in home health and 1 in a clinic that was replacing her with a physician or a FNP (she was leaving). Nurse for 17 years, have previous MSN in leadership but want to go on and do more. Reply reply feedingfitness • I just want to hear everyone’s experiences. But I don’t want to do primary care because I feel like I don’t know enough to actually manage the full care of a patient and honestly I cared more about the patients health than they did a lot of times. Thank you ! I came from a specialty area to primary care/internal med and it's so much harder. So I've been a nurse for 10 years and an NP for 6 of those 10 years. The default answer is always go to the ED no matter what the complaint is and these patients often clog up the waiting room with BS I understand our current medical legal system however tho Is y’all’s experience the same? Share Add a Comment Sort by: Best Open comment sort I’m in school for adult gero primary care NP and looking for an at home or outpatient job because bedside is just too much. I feel overwhelmed with the amount of knowledge primary care entails. I'm going back to a government job because the workload and management is better in a government position. Also-good mentor/don’t work with assholes. I am looking at choosing a primary care provider. Making 108,000 in primary care after 8 years of experience. For example if home based primary care - do they have staff RN, social worker, phlebotomist, etc on staff? If not, are you expected to do lab draws in the 51% of Primary Care Providers Are Nurse Practitioners and Physician Assistants FNP in primary care, Arizona. Hi all, I recently started a job in outpatient general heme/onc. I We would like to show you a description here but the site won’t allow us. Does anyone know anything about this role and have any info/tips for me? Primary care solo practice can succeed with good contracts and payer mix of patients such as Commerical 30 %, Medicaid 30 %, Medicare 30% and cash at 10% and your doing AWV, sports physicials, DOT etc, employee screenings for companies. No PAs/NPs in primary care. Why do pediatric-acute care nurse practitioners make less per hour on average than pediatric-primary care nurse practitioners? Part of the reason may be that even in states that grant nurse practitioners full practice authority, NPs specializing in acute care are rarely if ever self-employed. Efficient workflow, support staff, and time management are crucial in handling this load. Desk job, weekends off, no holidays ,consistent hours and no huge pay difference. Nurse practitioners to make 80% as much as family doctors for publicly-funded primary care [Alberta, CAN] What are the main differences between internal medicine, primary care, general practitioner, family medicine, etc. Maternity leave consisted of my last semester, clinicals and studying for boards. I’m switching from Evergreen to Overlake after my primary care physician ignored a concern of mine for over a year and I ended up being hospitalized for it. I'm in a pharmacology course that feels more like creative writing and it's really turned me off from the FNP. I have my MA do most of my phone calls for labs, etc. Please review our forum rules before contributing. Nov 17, 2025 路 Rural Americans face significant barriers to accessing adequate primary care; tailored federal and state programs can help address some of these challenges. My doctor moved so I have been seeing a nurse practitioner instead so I could keep going to same office. No admin work on off days but she can get busy since primary care first visits can take 30 min-1 hour per rule at her job. The first question to answer is do you want to do acute care or primary care? AGNP is divided into acute care or primary, FNP is primary care only. I work for the VA so 26 vacation days a year, 13 sick days, all federal holidays, 1 week for CEUs. Full time 40 hr weeks. My schedule sucks still- 12 hour shifts, work holidays and weekends. Hi all. An acute care degree would also be more competitive in the hospitalist role. One at an FQHC which seems more challenging but also more rewarding. I have a friend who is a Family Med doc and he knew he wanted to do primary care as soon as he started med school. I knew what I wanted to do when I started grad school, if I were going to do ER or primary care I do feel like PA education is a better base out of the box but this is debatable. Specialty NP’s. At least that’s how it was 7 years ago when I graduated my NP program. I see a lot of posts/comments about people making well over $150k as a NP. If you don’t know, or are unsure, ask/look it up, and tell the patient you need time to think about it clinically and confer with your colleagues and you will call them at xyz followup time/interval. Thanks all! My employer is not interested in FNPs because the hospitals I round at require acute care. My state (Ohio) has opined that although FNP isn't restricted to practice location, they are restricted to acuity of illness; as a "primary care" certification, an FNP cannot be in a position where they would be reasonably expected to care for a serious or critical patient. Inbasket is triaged by nurses Furthermore, you aren't required to work in primary care or mental health (that was a misunderstanding amongst people who were awarded in my program), you just have to work somewhere with a critical designation in those specialties. Hoping I get better care at Overlake. I want to provide the best for my patients and make sure to care for them to the best of my ability. I’m currently working with one NP who just started on our team a few months ago and I’ve have worked with an NP who is currently retired. Now with the nursing shortage made worse by a post Covid health care environment, it’s entirely possible that travel RNs are making the same or more than NPs after factoring in sign on bonuses, etc. I'm in New Hampshire. 8 years as a NICU RN and then another 8 years working as a pediatric and neonatal flight RN. 20 min visit. I just applied to a primary care job in behavioral health and want to understand what a primary care nurse daily task is. I previously worked as an inpatient nurse with 5 years of experience. I worked at an HCA hospital and just recently transitioned to a primary care office (different hospital system)…. With the job market and trends in nursing at the moment, would I be better off getting the Acute Care Peds first then going back for PMHNP certiifcation or start with PMHNP then go back for the Acute Care Peds certification? Which method would make most sense? I work in adult/geriatric primary care in Tacoma WA and make $161k. I was an FNP in Primary Care for 3 years and now I do telemedicine. As far as part time/full time, that is a gripe I can agree with. It's Hi NPs. With the benefits, FERS, etc. I miss the teamwork of being an RN, so the autonomy can be a downside (along with the increased liability and pressure of being on your own) New NP looking to start my first job soon. AND our pay stayed the same which was low. How are people able to score higher salaries? Is it primarily experience based? Share Add a Comment Sort by: Best Open comment sort options Best Top New I just applied for three different primary care positions with the VA (ICU travel nurse trying to settle in a northern state and leave bedside) so I'm super excited to hear you like it. My coworkers are all very helpful, but I I LOVE my job, but I technically don’t do primary care. kywooaylqiqipogjimeojkxziorlzlrpcpkkmzivxvjlpwlrpwcvyantzulsftvxiuf