Synopsis
Covers the whole plot, including the ending.
- Difficulty
- Medium
- Pacing
- Slow
- Mood
- Ruminative, Poetic, Somber, Profound, Hopeful
- Read it if
- You appreciate lyrical, introspective prose and want to explore themes of life, death, and the human body through the lens of an organ transplant.
- Skip it if
- You prefer fast-paced plots with clear dialogue or find medical detail and existential reflection tedious.
The Heart Plot Summary
Covers the whole plot, including the ending.
The Accident
Just before dawn, Simon Limbres, Chris, and Johan, three teenage friends, drive home from surfing on the Atlantic coast. Simon, tired, falls asleep at the wheel of his Volkswagen van. The vehicle leaves the road and crashes. Chris and Johan, wearing seatbelts, are injured but survive. Simon is not belted and is thrown through the windshield. He is found unconscious and badly hurt. Emergency services are called, and Simon is taken to the hospital in Le Havre, his friends in shock at the sudden, terrible events.
Diagnosis and Despair
At the hospital, Dr. Pierre Révol, the chief intensivist, and his team try to stabilize Simon, but his condition is critical. After tests, including an electroencephalogram, Simon is declared brain-dead. This means his brain has stopped working, though his heart continues to beat, kept going by machines. Dr. Révol and nurse Cordelia Owl tell Simon's parents, Marianne and Sean Limbres, the terrible news. Marianne reacts with disbelief and deep grief, struggling to understand that her son is gone even though his body still shows signs of life.
The Organ Donation Conversation
After the brain-death declaration, Dr. Révol and medical coordinator Thomas Rémige carefully talk to Marianne and Sean about organ donation. Thomas explains the process and how important their decision could be, stressing the urgency because organs are only viable for a limited time. Marianne is at first against it, finding the idea of taking parts from her son's body unbearable. Sean, though equally heartbroken, starts to think about it, dealing with the ethical and emotional difficulty of such a choice during their great loss.
Marianne's Struggle and Sean's Resolve
Marianne's grief makes her fiercely protective of Simon's body. She sees organ donation as another violation. She remembers private moments with Simon, struggling to connect the lively boy she knew with the still form in the hospital bed. Sean, however, starts to see the idea differently. He remembers Simon's energy, his adventurous spirit, and begins to see how Simon's life could continue, in part, through others. He gently tries to convince Marianne, appealing to their son's generous nature and the good that could come from their tragedy. This starts a quiet conflict between them.
The Consent and Preparation
After hours of painful thought, and with Sean's quiet but firm belief swaying her, Marianne finally agrees to donate Simon's organs. This decision starts a flurry of activity in the medical system. Thomas Rémige begins the complex process of finding suitable recipients across France, coordinating with other hospitals and transplant teams. Simon's medical history and tissue type are carefully checked, and possible matches are found. This begins a race against time to prepare for the organ removal surgery.
Claire Mejean's Hope
Meanwhile, in Paris, Claire Mejean, a fifty-year-old woman with severe cardiomyopathy, gets the call she has been waiting for. Her condition has worsened greatly, and she is near death. The news that a donor heart, a perfect match, has been found for her brings both fear and immense hope. Her sons, Jules and Lenny, are told, and the family prepares for the life-saving, yet frightening, transplant surgery. Claire deals with the weight of the gift she is about to receive, knowing it comes from someone else's tragedy.
The Surgical Team Gathers
As night falls, a specialized surgical team from Paris, led by the well-known cardiac surgeon Dr. Harfang, travels to Le Havre to remove the heart. The atmosphere in the operating room is one of intense focus and seriousness. The team carefully prepares for the delicate operation, aware of the great responsibility they hold. Dr. Harfang, known for his precision and intensity, directs the preparations, making sure every detail is handled to give the recipient the best chance of success.
The Procurement
In the operating room, Dr. Harfang and his team perform the removal surgery on Simon. The description is clinical but also moving, focusing on the mechanics and the deep symbolic act. The surgeon carefully cuts, exposing Simon's still-beating heart, a contrast of life within a deceased body. The heart is gently lifted, preserved in a cold solution, and prepared for transport. The scene highlights the technical skill needed, but also the emotional weight of this moment - the formal end of Simon's physical presence and the start of his heart's journey to a new life.
The Journey of the Heart
Simon's heart, along with other usable organs, is put in a special cooler and quickly taken by ambulance to a waiting helicopter. The journey from Le Havre to Paris is a race against time, a careful dance of logistics and human coordination. The heart, now precious cargo, travels across the French landscape, a silent messenger of life. The story briefly follows the helicopter's path, emphasizing the fragility and great value of the organ, destined to beat again inside another body.
Claire's Transplant Surgery
In a Parisian hospital, Claire Mejean is prepared for surgery. The arrival of Simon's heart signals the start of her difficult operation. Dr. Harfang, having flown back with the heart, leads the transplant team. The surgery is long and complex, a struggle against time and the body's natural resistance. The story details the intricate steps of the procedure, from opening Claire's chest to connecting the new heart. The tension is clear, as Claire's life hangs in the balance, a recipient of an unknown young man's ultimate gift.
The New Beat
After hours of careful work, the new heart is successfully placed in Claire's chest. The moment it begins to beat on its own, revived by Claire's blood, is shown as a deep and miraculous event. It is a symbolic rebirth, a joining of two lives. The surgical team shares a moment of triumph and relief. Claire's future, once dim, now holds the promise of recovery and longer life, forever linked to the young man who gave her this second chance, his heart now beating within her.
Aftermath and Reflection
As dawn breaks again, Marianne and Sean Limbres leave the hospital in Le Havre, their son's body now gone. They return to an empty house, facing the stark reality of their loss. The story reflects on the deep silence and emptiness they feel, contrasted with the knowledge that a part of Simon lives on. In Paris, Claire Mejean slowly wakes in the ICU, weak but alive. She begins her long recovery, carrying within her Simon's heart, a constant, silent reminder of how life and death, grief and hope, are connected.
The Heart Characters
Simon Limbres
Protagonist
A vibrant teenage surfer whose sudden death leads to organ donation.
Simon is a nineteen-year-old, full of life, energy, and a passion for surfing. He is depicted as a typical teenager, somewhat reckless but ultimately good-hearted, with a strong connection to his friends and family. His physical presence, his strong body, and his love for the sea are emphasized throughout the narrative, making his sudden, tragic death all the more poignant. Though brain-dead, his beating heart becomes the central focus of the story, symbolizing life's enduring power.
Relationships: Marianne Limbres (Son); Sean Limbres (Son); Chris (Close friend); Johan (Close friend)
Marianne Limbres
Supporting
Simon's mother, who struggles with the decision of organ donation.
Marianne is portrayed as a fiercely protective mother, deeply devoted to Simon. Her initial reaction to his brain-death and the suggestion of organ donation is one of profound grief, denial, and a visceral refusal to allow her son's body to be 'violated.' She clings to his physical presence, finding it impossible to reconcile the loss with the continued beating of his heart. Her journey is one of immense emotional struggle, eventually finding a way to honor Simon's life through a selfless act.
Relationships: Simon Limbres (Mother); Sean Limbres (Wife)
Sean Limbres
Supporting
Simon's father, who quietly supports organ donation.
Sean is depicted as a more reserved and pragmatic figure than Marianne, though equally devastated by Simon's death. He processes his grief differently, considering the ethical and philosophical implications of organ donation earlier than his wife. He acts as a quiet anchor, gently guiding Marianne towards consent, seeing the potential for purpose and meaning in their tragedy. His strength lies in his quiet resolve and his ability to see beyond the immediate pain.
Relationships: Simon Limbres (Father); Marianne Limbres (Husband)
Dr. Pierre Révol
Supporting
The chief intensivist who declares Simon brain-dead.
Dr. Révol is a seasoned and empathetic medical professional, tasked with delivering the devastating news of Simon's brain-death to his parents. He is depicted as someone who understands the profound human element of his work, balancing clinical precision with compassion. He guides the family through the initial shock and the medical realities, representing the front line of critical care and the difficult conversations it entails.
Thomas Rémige
Supporting
The medical coordinator facilitating the organ donation process.
Thomas Rémige is the organ donation coordinator, a crucial figure in the narrative. He is responsible for explaining the donation process to the Limbres family, managing the logistics of matching organs, and coordinating with various transplant teams. He is portrayed as highly organized, efficient, and deeply committed to his work, understanding the immense value of each donated organ. He acts as a bridge between the clinical reality and the human impact of donation.
Claire Mejean
Recipient
A fifty-year-old woman whose life is saved by Simon's heart.
Claire is a woman suffering from severe cardiomyopathy, her life hanging by a thread as she awaits a heart transplant. She is depicted as someone who has faced her mortality with a quiet dignity, but also with a deep desire to live. Her perspective offers the other side of the donation story – the hope, the fear, and the immense gratitude of receiving a second chance at life. She becomes the physical vessel for Simon's enduring legacy.
Relationships: Jules (Son); Lenny (Son)
Dr. Harfang
Supporting
The renowned cardiac surgeon who performs the transplant.
Dr. Harfang is a highly skilled and experienced cardiac surgeon, known for his precision and formidable presence in the operating room. He leads the team that procures Simon's heart and implants it into Claire. He embodies the pinnacle of medical expertise, focusing intensely on the technical challenges of the surgery. His character highlights the extraordinary human skill involved in these life-saving procedures, operating under immense pressure.
Cordelia Owl
Supporting
A nurse in the intensive care unit.
Cordelia is an ICU nurse, providing care for Simon and supporting his family. She is a compassionate and observant presence, witnessing the raw grief of the Limbres and the tireless efforts of the medical team. Her internal monologues offer insights into the emotional toll of her profession and the profound moments of life and death she constantly encounters. She represents the quiet, essential caregiving aspect of the hospital environment.
Chris
Mentioned
One of Simon's surfing friends, injured in the accident.
Chris is one of Simon's close friends and surfing companions, present during the fatal accident. He survives with injuries, but is deeply traumatized by the event. His presence underscores the immediate impact of the tragedy on Simon's social circle, highlighting the ripple effect of such a loss beyond the immediate family.
Relationships: Simon Limbres (Close friend); Johan (Friend)
The Heart Themes
Life and Death in Limbo
The novel explores the space between life and death, especially through Simon's brain-death state where his body works but his mind is gone. This theme appears in Marianne's struggle to accept Simon's death while his heart still beats, creating a deep contradiction. The story looks at medical definitions of death versus the emotional understanding of it, showing how the heart, as a symbol of life, complicates grieving. The entire organ donation process happens in this uncertain state, requiring the recognition of death to allow for new life.
“His heart beating, a paradox, the ultimate defiance of an already departed life.”
The Body as a Vessel and a Gift
The book carefully examines the human body, both as a fragile, temporary container and as a potential source of life for others. Simon's body, first a source of youthful energy, becomes a collection of organs, each with its own potential. The detailed descriptions of surgical procedures highlight the body's complex mechanics, changing it from a personal entity into a universal resource. This theme challenges common ideas of body integrity and ownership, showing the ultimate act of giving through the donation of one's physical self.
“The body, a landscape, a territory to be mapped, to be taken apart, piece by piece, to be given.”
Grief and Acceptance
The story deeply explores the many sides of grief, especially through Marianne's raw, emotional reactions and Sean's more calm, thoughtful processing of their son's death. It shows the painful journey from shock and denial to a reluctant, difficult acceptance, ending with the profound decision to donate Simon's organs. The novel shows that grief is not a straight path, and acceptance can come in unexpected ways, such as finding meaning in a tragic loss by giving life to another. The parents' different responses highlight how personal mourning is.
“Grief, a tidal wave, pulling her under, then receding, leaving behind a stark, empty shore.”
Interconnectedness of Humanity
A main theme is the deep and often unseen connection between human lives. Simon's death is not just one event; it starts a chain of actions that directly affect many people: his parents, friends, the medical teams, and finally, Claire Mejean and her family. The novel shows how one life, even at its end, can be directly linked to another's beginning. The donated heart symbolizes this connection, beating in a new chest, creating a lasting, anonymous bond between donor and recipient, emphasizing the shared human experience of vulnerability and strength.
“One life ends, another begins, linked by a single, beating organ, a silent pact.”
The Heroism of the Ordinary
The book shows the seemingly ordinary or routine actions of medical professionals as acts of deep heroism. The careful work of nurses, intensivists, coordinators, and surgeons, often unseen and unappreciated, is presented as essential and inspiring. Thomas Rémige's skill in logistics, Dr. Harfang's surgical precision, and Cordelia's caring attention all help save a life. This theme celebrates the dedication and skill of those who handle the complex ethical and practical challenges of modern medicine, turning tragedy into a chance for hope through their commitment.
“Their hands, their knowledge, their relentless focus: a quiet, daily heroism.”
Plot Devices & Literary Techniques
Non-linear Narrative / Flashbacks
Intersperses Simon's past with the present events.
While the main plot unfolds over 24 hours, the narrative frequently employs flashbacks and internal monologues to delve into Simon's past life, his relationships, and his personality. These glimpses of his vibrant existence create a stark contrast with his current state, intensifying the tragedy and deepening the reader's connection to him. This device allows for a more comprehensive understanding of Simon as a character, even as he is absent from the present action, enriching the emotional impact of his loss and the significance of his donation.
Shifting Perspectives
Alternates viewpoints between various characters.
The novel frequently shifts its point of view, moving between the consciousnesses of Marianne, Sean, Thomas Rémige, Dr. Révol, Cordelia Owl, Claire Mejean, and Dr. Harfang. This allows the reader to experience the unfolding events from multiple angles – the grief of the family, the ethical dilemmas of the medical team, the hope of the recipient. This polyphonic approach creates a rich, layered understanding of the organ donation process, highlighting the human experience from all sides and fostering empathy for each character's unique role and emotional journey.
Detailed Medical Terminology and Procedure
Uses precise, almost poetic descriptions of medical processes.
The author employs highly detailed and accurate medical terminology and descriptions of surgical procedures, often rendered in lyrical, almost poetic prose. This device immerses the reader in the clinical reality of the hospital environment, lending authenticity and gravity to the narrative. It transforms what could be dry technical information into a powerful, almost sacred ritual, emphasizing the precision, skill, and profound stakes involved in organ donation and transplantation. It demystifies the medical process while simultaneously highlighting its inherent wonder.
Symbolism of the Heart
The heart as a multifaceted symbol of life, love, and continuity.
The heart is the central, pervasive symbol of the novel. Initially, it represents Simon's vibrant life and personality. In brain-death, its continued beating creates a powerful paradox, symbolizing life in the face of death. As a donated organ, it transforms into a symbol of generosity, hope, and the continuation of life. For Claire, it represents a second chance and the anonymous bond between donor and recipient. The heart transcends its biological function, becoming a metaphor for love, memory, and the enduring human spirit, connecting individuals in profound ways.
The Heart Quotes
“The heart, this muscle that never stops, this fist that clenches and unclenches, this tireless pump, this engine that drives the whole machine. But also this symbol, this metaphor, this seat of emotions, this place where everything is decided, where everything is played out.”
“Each heart is a universe, unique and irreplaceable, a cosmos of arteries, veins, and capillaries, of contractions and dilations, of loves and sorrows.”
“To be alive is to have a heart that beats, to be truly alive is to have a heart that feels, that breaks, that mends, that loves.”
“The surgeon’s hands, precise and delicate, moved with a knowledge that transcended mere technique, a knowledge imbued with reverence for the fragile life before him.”
“We carry within us the echoes of all the hearts that have loved us, and all the hearts we have loved. A vast, invisible network.”
“The rhythm of a heart is a story, a narrative told in beats and pauses, in accelerations and decelerations.”
“Even in its fragility, the heart possesses an immense strength, an astonishing capacity for resilience.”
“The silence of a stopped heart is the loudest sound in the world.”
“Every beat is a promise, a miniature explosion of life, a reaffirmation of existence.”
“To mend a broken heart, whether literally or metaphorically, is perhaps the most profound act of healing.”
“The heart does not forget. It remembers every joy, every sorrow, every scar, every triumph.”
“It is not merely a pump; it is the core of our being, the engine of our soul.”
“The true measure of a life is not in its length, but in the intensity with which its heart has beaten.”
Quiz
10 questions on the plot and the characters. Each answer comes with a short explanation.
Question 1
What activity were the three teenage boys engaged in just before the fatal car accident?
- Playing basketball
- Surfing
- Hiking in the mountains
- Attending a party
Show answer
B. Surfing The book states that 'just before dawn on a Sunday morning, three teenage boys go surfing.' They were driving home exhausted from this activity when the accident occurred.
Question 2
How many of the teenage boys were wearing seatbelts during the car accident?
- One
- Two
- Three
- None
Show answer
B. Two The description explicitly states, 'Two of the boys are wearing seat belts; one goes through the windshield.'
Question 3
What is the central medical procedure around which the novel's plot revolves?
- A kidney transplant
- A liver transplant
- A heart transplant
- A lung transplant
Show answer
C. A heart transplant The novel's summary clearly states, 'The Heart takes place over the twenty-four hours surrounding the resulting heart transplant.'
Question 4
What is the medical status of the boy who goes through the windshield shortly after arriving at the hospital?
- In a coma but expected to recover
- Severely injured but conscious
- Brain-dead with his heart still beating
- Declared clinically dead upon arrival
Show answer
C. Brain-dead with his heart still beating The text indicates, 'The doctors declare him brain-dead shortly after arriving at the hospital, but his heart is still beating.'
Question 5
Over what specific time frame does the main narrative of 'The Heart' unfold?
- One week
- One month
- Twenty-four hours
- Several years
Show answer
C. Twenty-four hours The summary states, 'The Heart takes place over the twenty-four hours surrounding the resulting heart transplant.'
Question 6
What type of recipient is intended for the donated heart?
- A young child
- An elderly man
- A woman close to death
- Another teenage boy
Show answer
C. A woman close to death The description specifies that 'life is taken from a young man and given to a woman close to death,' referring to the heart recipient.
Question 7
Which literary device is prominently mentioned in the description of Maylis de Kerangal's prose?
- Minimalist and sparse
- Humorous and satirical
- Gorgeous, ruminative, and stylistically audacious
- Direct and journalistic
Show answer
C. Gorgeous, ruminative, and stylistically audacious The summary describes the prose as 'gorgeous, ruminative prose' and mentions it is 'as stylistically audacious as it is emotionally explosive.'
Question 8
The novel is said to examine the 'deepest feelings' of everyone involved. Which core human experiences are specifically highlighted as themes?
- Romance, ambition, and betrayal
- Grief, hope, and survival
- Jealousy, revenge, and redemption
- Adventure, discovery, and innovation
Show answer
B. Grief, hope, and survival The description concludes by calling it 'an epic tale of grief, hope, and survival,' indicating these as key thematic elements.
Question 9
How is Maylis de Kerangal's contribution to both medicine and literature characterized in the summary?
- As a superficial examination of medical ethics
- As a groundbreaking work with the precision of a surgeon and language of a poet
- As a historical account of medical advancements
- As an academic treatise on organ donation
Show answer
B. As a groundbreaking work with the precision of a surgeon and language of a poet The text praises de Kerangal, stating, 'With the precision of a surgeon and the language of a poet, de Kerangal has made a major contribution to both medicine and literature.'
Question 10
What is the significance of the novel's reception in France, according to the provided text?
- It was largely ignored by critics and readers.
- It was considered controversial and divisive.
- It mesmerized readers and was hailed as the breakthrough work of a new literary star.
- It was praised for its historical accuracy but lacked emotional depth.
Show answer
C. It mesmerized readers and was hailed as the breakthrough work of a new literary star. The summary highlights its success: 'The Heart mesmerized readers in France, where it has been hailed as the breakthrough work of a new literary star.'
The Heart FAQ
What is the central event that sets the plot of 'The Heart' in motion?
The central event is a fatal car accident involving three teenage boys, Simon Limbres, Chris, and Johan, as they drive home from surfing. Simon, who was not wearing a seatbelt, suffers catastrophic injuries and is declared brain-dead upon arrival at the hospital, while his heart continues to beat.
Who are the primary characters whose perspectives the novel explores?
The novel primarily explores the perspectives of Simon's parents, Marianne and Sean Limbres, as they confront the decision of organ donation, and the medical team involved, including Dr. Pierre Révol, the transplant coordinator Thomas Rémige, and the nurses.
What is the significance of the '24-hour' timeframe mentioned in the synopsis?
The novel unfolds over approximately twenty-four hours, from the moment of Simon's accident to the completion of the heart transplant. This compressed timeframe intensifies the emotional urgency and focuses the narrative on the immediate aftermath and the life-or-death decisions being made.
Who ultimately receives Simon's heart, and what is her condition?
Simon's heart is transplanted into Claire Mejan, a woman in her fifties suffering from a severe, degenerative heart condition that has left her close to death. The transplant offers her a chance at extended life, though it comes with the profound weight of another's loss.
How does the novel depict the internal struggles of Simon's parents, Marianne and Sean?
Marianne struggles with an overwhelming, almost physical denial of Simon's brain death, clinging to the beating heart as a sign of life, while Sean initially appears more pragmatic but is equally shattered, grappling with the immense finality and the ethical implications of donation.
What role does the character of Thomas Rémige play in the narrative?
Thomas Rémige is the transplant coordinator, a crucial figure who must navigate the delicate process of approaching Simon's grieving parents about organ donation. He acts as a bridge between the medical and emotional worlds, embodying the ethical complexities of his profession.
Are there any subtle recurring motifs or symbols related to the sea or surfing?
Yes, the sea and surfing recur as symbols of life, freedom, and the transient nature of existence. Simon's last moments of joy were in the waves, and the ocean imagery often surfaces in the thoughts of the characters, linking back to Simon's vibrant life before the accident.
How does the author use the descriptions of Simon's body in the hospital?
The author uses highly detailed, almost clinical descriptions of Simon's body in the hospital to emphasize the stark contrast between his biological functions (beating heart, warm skin) and the irreversible absence of his consciousness. These descriptions highlight the medical definition of death versus the emotional reality for his loved ones.
What is the significance of the precise, almost surgical language used throughout the novel?
The precise, surgical language reflects the medical setting and the intricate procedures involved in organ transplantation, but it also serves to dissect human emotions with similar accuracy. This stylistic choice underscores the author's ability to blend scientific detail with poetic expression, mirroring the dual nature of life and death.
How do the other two boys in the accident, Chris and Johan, process Simon's death?
Chris and Johan are deeply traumatized by the accident and Simon's death, carrying immense guilt and grief. Their reactions highlight the ripple effect of the tragedy, as they grapple with survivor's guilt and the sudden, brutal loss of their friend.
What is the implied connection or 'ghost' of Simon that might linger with Claire Mejan?
The novel suggests an implied, almost spiritual connection, where a part of Simon's essence, his 'ghost,' might reside within Claire through his transplanted heart. This idea explores the profound psychological and emotional impact of receiving an organ, raising questions about identity and memory.
Does the novel explore the perspectives of the medical team beyond their professional duties?
Yes, the novel delves into the personal lives and inner thoughts of the medical team, such as Dr. Révol and Thomas Rémige. It reveals their emotional toll, their dedication, and the ethical burdens they carry, showing them as complex individuals rather than mere functionaries.
How does the book challenge or explore the definition of 'life' and 'death'?
The book profoundly challenges the definitions of 'life' and 'death' by presenting Simon as brain-dead but with a beating heart and warm body. This physical paradox forces characters and readers to confront the medical and philosophical boundaries of existence, questioning where life truly ends.
What is the emotional impact of the scene where Simon's heart is removed and then transplanted?
The scene of the heart's removal and transplant is depicted with intense emotional and physiological detail, emphasizing both the brutal finality of Simon's death and the miraculous continuation of life for Claire. It's a moment of profound transition, simultaneously heartbreaking and hopeful.
How does the novel use the concept of time to heighten its emotional impact?
The novel uses both compressed time (the 24-hour narrative) and expanded time (ruminations on memories, future implications) to heighten emotional impact. The urgency of the present moment contrasts with the vastness of human experience, making every decision feel monumental.
What broader philosophical questions does the novel prompt about human connection and empathy?
The novel prompts questions about the invisible threads connecting strangers through organ donation, the profound empathy required to make such a gift, and the way one life's end can directly facilitate another's beginning. It explores how tragedy can forge unexpected and deep human bonds.
Is there a sense of hope or redemption by the end of the novel, despite the tragedy?
Despite the undeniable tragedy of Simon's death, there is a strong sense of hope and redemption. Claire's renewed life, made possible by Simon's heart, represents a continuation and a profound act of generosity, suggesting that even in loss, life finds a way to persist and flourish.
How does de Kerangal's prose contribute to the novel's unique style and emotional depth?
De Kerangal's prose is characterized by long, flowing sentences, rich imagery, and precise, often scientific vocabulary, contributing to a unique style that is both meditative and urgent. This allows for deep psychological exploration and sensory immersion, enhancing the novel's emotional depth and intellectual rigor.
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