We also use third-party cookies that help us analyze and understand how you use this website. Poisonous snakebites are much less common but much more dangerous, and they can even . Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. When you've finished talking to your . In any case, getting bitten by any snake is no fun, be it a corn snake or a reticulated python. In canine victims there have been reports of marked hemolysis with severe anemia and hemoglobinuria. This is how the venom will be stopped before reaching your heart or worsening your conditions. So if youre lucky and you only need about twenty vials to fight off a mild snake bite, it will cost around $35,000 to save your life. Labored breathing (in extreme cases, breathing may stop altogether) Disturbed vision. The reaction to the bite can occur any time from one hour to twenty-four hours after the rattlesnake has bitten the dog. A vial of antivenom is created oftentimes by harvesting antibodies from other mammals, such as sheep, that have been bitten by rattlesnakes or other venomous reptiles. This article was co-authored by Laura Marusinec, MD. If a snake bites you, call 911 or your local emergency number immediately, then take these first-aid steps. Labored breathing (in extreme cases, breathing may stop altogether) An increase in movement or breathing rate results in higher blood pressure and increased risk that the venom will cause more damage and even, in rare and severe cases, may cause death. Its important to get help right away after a snake bite. Rattlesnakes dont always rattle before biting. First aid for puncture wounds can be found in the Wound text. Make sure not to panic! What to do if you're bitten by a rattlesnake. Until help arrives, you can mark any red streaks in the same way to show emergency medical staff how quickly the venom is spreading. Symptoms of a rattlesnake bite may include pain, bleeding, drooping eyelids, and low blood pressure. / CBS NEWS. This type of bite will need professional medical attention ASAP to make sure the symptoms are stopped in time to prevent any bad damage. It's better to be at the hospital if you start to exhibit symptoms of the venom entering your body. Nonplussed (stings are a way of life in his business), he continued moving the pallet. wikiHow marks an article as reader-approved once it receives enough positive feedback. Snakes can kill in numerous ways, including poisoning, crushing and eating their victims. Different snakes, scorpions vector cartoon illustration. But Todd leaped between his owner and the snake and was bitten himself. The quantity of venom might not be enough to kill the cow, but the development of an infection or the restriction of the animal's airways could. He says the first priority in treating an animal with snakebite is to prevent/reduce the resultant swelling and inflammation, and dexamethasone is usually the best way to go, in cattle. When you visit the site, Dotdash Meredith and its partners may store or retrieve information on your browser, mostly in the form of cookies. First published on April 21, 2017 / 2:56 PM. ecchymoses, necroses, and blebs develop. The company posted a video of the ordeal to their website to warn pet owners. Pacific rattlesnakes typically pack a double whammy, he said in his email, often leaving the victim with life threatening systemic poisoning and extensive local tissue destruction.. Just looking for any info, so all was helpful. fang marks, pain, edema greater than 12 inches in first 12 hours. No word on what it preferred to eat. snake bite wound; first aid snake bite; snake bite hand; . The rattlesnake has at least three spare sets of fangs lined up behind the initial set at the front of the mouth as backups when the main ones break off. Can I Feed My Snake 2 Mice In One Day? Vector snakes flat style. I will explain everything that happens and everything you must do for yourself or the victim. The body of a 25-year-old Indonesian man who went missing in March 2017 was found inside the belly of a giant python. Hunters trapped roughly 100 snakes in the first six weeks. This was a great summary. The beekeepers hand got two rattlesnake bites for the price of one. You will need to loosely wrap the wound as well. Like I stated earlier, a rattlesnakes venom can be in storage for years and not lose any toxicity as it had when still in the snakes venom glands. Snakes alone are estimated to inflict 2.5 million venomous bites each year, resulting in about 125,000 deaths. Browse 223 snake bite wound stock photos and images available, or start a new search to explore more stock photos and images. wikiHow is where trusted research and expert knowledge come together. Common reptile vector set illustration. Again, if youre looking for a pet rattlesnake, I would not recommend it. Thank you, {{form.email}}, for signing up. - edema may involve ipsilateral trunk. He graciously allowed images of his wound, the snake, and the evidence of his progressing envenomation to be posted here. He got bitten by a rattlesnake before he could jump off a cliff, and immediately tried to make it to medical help, later finding out neither the ambulance nor the hospital had antivenom immediately ready. Male hand with the wound from snake bite or snakebite. A venomous (poisonous) snake bite is a bite or a puncture wound made by a snake that is capable of injecting, secreting, or spitting venom into the penetrated skin wound, mucus membranes or the eyes where the toxin can be absorbed. If youre trying to decide whether to kill it or not: Dont bother. This is why it releases cytotoxin instead of neurotoxin. Find Rattlesnake bite stock images in HD and millions of other royalty-free stock photos, illustrations and vectors in the Shutterstock collection. RF2K98WDT - decontamination of a snake bite wound with iodine solution, . Of course, if you are alone, it is more important to find help than to stay immobile. ", me. The snake, named Gypsy, was an albino Burmese python similar to this one, according to the Orlando Sentinel. In fact, it may cause further tissue damage to the area and may even lead to frostbite. Flat snake python symbol, venom predator snake toxic reptile. If your bite goes untreated, your conditions will continue to worsen and worsen until you could possibly die about 48 to 72 hours later, or until you are left with severe organ damage and nerve issues. Leo Sanchez and Nicholas Banos, pictured here, nabbed a 15-footer. 2006;17(4):246-266. doi:10.1580/06-WEME-CO-005R.1. While there arent too many fatal rattlesnake bites in general, there are more rattlesnake bites in these southwestern states than in any other. The legs might become weak, causing your . Therefore, a snake can kill its prey from day one, and finding a baby rattlesnake in the wild does not mean it is less dangerous than its mature rattlesnake friends. This is because of the rapid spread and affects of the components in the toxin that the snake injects in the bite wound as it bites you or the victim you happen to be with. Cartoon danger tongue poisonous. Todd was treated for the bite on his snout at an animal hospital and survived. Poisonous snake vector icon, Vector isolated illustrations aggressive venomous snakes. Firstly, patients should take photos of the snake and wound images immediately using portable devices such as smartphones before going to hospitals. While waiting for the antivenin to work, ER staff kept an eye on the red streak traveling along the beekeepers arm. Snakes can still attack even an hour after they've been beheaded, and a decapitated snake head will likely release all of its venom at once during the bite. Cartoon snake danger tongue poisonous. Without antivenom, there's a good chance the victim's heart will stop and they will go into cardiac arrest. swelling and redness around the wounds. In North America, these include the rattlesnake, coral snake, water moccasin and copperhead. Muscle tremors, shaking and reduced . Some of the most common treatments for snake bites on dogs include: Clipping and cleaning bite wounds. It was 25 inches long, but that doesnt really tell us the age. This can progress to swelling and bruising at the wound and all the way up the arm or leg. Dont put your hands where you cant see them in rattlesnake country. This type of snake bite requires immediate medical assistance, including antivenom. Find the perfect snake bite stock photo, image, vector, illustration or 360 image. snake bite wound; first aid snake bite; snake bite hand; . Beautiful Mosquito, fly, spider or bat. In fact, within 15 minutes, the venom has already entered the lymphatic system, so sucking after this point is useless. Conclusion: Children are particularly vulnerable to snakebite, and the consequences can be devastating. The iStock design is a trademark of iStockphoto LP. The first thing you might notice is marked swelling, due to the tissue destruction and body fluid "leaking" into the damaged area. Flat snake skin pattern. 877 Snake Bite Premium High Res Photos. Venomous animals account for a large number of deaths and injuries worldwide. If you can easily remove the fang without further damage, then do so, but dont agitate the wound more trying to get the fang out because that will only cause more venom to be released into your bloodstream and your blood to flow quicker which you dont want. This one, found in forest in Sumatra in 2003, stretched to 49 feet and tipped the scales at 983 pounds. Rattlesnakes and particularly Diamondbacks are very venomous snakes. *Some images in this gallery are graphic. Special fluids (colloids) to help . Below is a list of snakes that look like copperhead snakes: Cottonmouth snake. The anonymous poster, known as u/guylikestoast . vomiting and nausea . To keep track of how quickly the red streak is growing, the staff periodically marked the proximal point (closest to the heart) with the time. Take a few slow, deep breaths to help soothe your nerves. Im sure he wished the rattlesnake had stayed in the bush and not under the pallet he was trying to move. The sooner the bite, venom spreading, and symptoms are caught and put to a stop, the better the result will be for the victim. Adults with weak hearts will also experience side effects much sooner. Eastern Cottonmouth or Water Moccasin (Agkistrodon Piscivorus Piscivorus) showing his cotton like mouth. Rattlesnake bites, from certain types of rattlesnakes, may also cause changes within the central nervous system. Red streaks like this can indicate venom, allergy, infection, or a number of other conditions. How fast can a rattlesnake strike?A rattlesnakes rate of speed for striking is at an average of 2.98 meters per second. Identifying the Rattlesnake That Bit the Beekeeper, How to Properly Prevent and Treat Snake Bites, Spider Bite Pictures: Appearance and Emergency Signs, Spider Bite Symptoms, Treatment, and What They Look Like, The Difference Between Venomous and Poisonous. A vial of rattlesnake antivenom usually costs between $1,500 and $2,200. How far can a rattlesnake strike? Unfortunately, the beekeeper didnt have any other good options. swelling and pain around the bite area. Nausea and vomiting. But opting out of some of these cookies may affect your browsing experience. In North America, there are about 25 species of snakes able to secrete venom. This is his bad side. Tie the other two ends together around the shoulder. Another indication of a venomous snakebite is one to two puncture wounds rather than a row of small punctures, indicating smaller teeth. This may seem cruel to some, but it is saving lives. You should always contact your doctor or other qualified healthcare professional before starting, changing, or stopping any kind of health treatment. A 16-foot-long anaconda wrapped itself around a 8-year-old boy in Brazil in 2007, according to the Associated Press. These cookies do not store any personal information. However, many argue that this falls under animal cruelty and there is a lot of debate and controversy over devenomization of snakes. Constricting blood vessels near a rattlesnake bite can lead to amputation. Download the perfect snake bite pictures. sweating. The scientific name is Agkistrodon piscivorous. Typical symptoms of the bite from a nonvenomous snake are pain and scratches at the site. A very convenient last use for the tooth, at least for the rattlesnake. Your arm or the person's arm should be bent at the elbow to fit into the sling. pain at the bite site. Only about 15% worldwide and 20% in the United States are venomous. They are medical emergencies if the snake is venomous. Trial testimony revealed the python had not been fed for a month and had wrapped itself around the toddler in an attempt to eat her. Justin's Rattlesnake Bite. The concept of the danger of snake bite. That is okay to do! For advice from our Medical reviewer on how to bandage a rattlesnake bite, keep reading. These venom glands sit on the outer side of the outer jaw near the back of the snakes head. It is mandatory to procure user consent prior to running these cookies on your website. These symptoms will start to show immediately after bitten. Severe pain at the site of the bite. Bite. Most rattlesnake bites occur between the months of April and October. 1 | Baby rattlesnakes range in length from 6 to 12 inches and are easily camouflaged by brush and grass. - severe envenomation. Go to page. The Boidae (pythons) are nonvenomous. . It is true that baby rattlesnakes cant control how much venom they inject, which is often why people assume they are more lethal than an adult rattlesnake, but it is not true that baby rattlesnakes are more lethal. Sucking the venom out of the wound will only infect your mouth as well which is never a good situation. Do not use a tight bandage or tourniquet. Copyright 2023 CBS Interactive Inc. All rights reserved. The Indian cobra is one of the deadliest snakes in South Asia. The victim, Attaporn Boonmakchuay, said that he struggled to remove the snake for 30 minutes before he managed to free himself with help from his wife and a neighbor. Published on June 15, 2021 04:21 PM. July 3, 2018 / 5:05 PM salivating. Since hed already killed it, it was a good idea; even if you think you know what kind of snake bit you. The picture should be in focus as well.Identification isnt as important as getting treatment quickly. Notice the red streak traveling up the mans arm. This anaconda was reportedly the adopted pet of a group of soldiers in Tabatinga, Brazil. Not all bites are visible, especially in cats with long fur, and some bites do not . The best possible response to a rattlesnake bite is to get to the hospital as quickly as possible, though you can do a few things to help the bite before the ambulance arrives if you're in an area where you can dial your local emergency number. This bite victim is reported to have been hunting non-venomous Bullsnakes and grabbed a six foot Prairie rattlesnake by mistake! Use them in commercial designs under lifetime, perpetual & worldwide rights. from the Medical College of Wisconsin School of Medicine in 1995 and completed her residency at the Medical College of Wisconsin in Pediatrics in 1998. In the spring of 2017, South Florida hired 25 top snake hunters to capture and kill Burmese pythons, an invasive species in the Florida Everglades. Severe bleeding can lead to a hemorrhage or kidney failure. If it delays getting to the hospital to get a picture (or get the snake) then skip it altogether.Wozniak says that some more exotic speciescommonly kept in captivity as petsrequire special treatment. When your "help" arrives, have them call the emergency department of the nearest large city. Rangers weren't sure at first what the snake had eaten to become so swollen, but after it died, they cut it open and found the porcupine's quills had punctured the snake's digestive tract. Reptile bite, Venomous snake bite in a man's leg, close-up. The Snake eates it's own tail in the form of a sign of infinity. Being aware of the snakes in your area and knowing how to properly care for a snake bite immediately after it happens to when medical assistance can help you out is vital in keeping yourself safe. Seems worth it to me. This behavior is called as "caudal luring". For advice from our Medical reviewer on how to bandage a rattlesnake bite, keep reading. It may seem unnecessary because he heard the rattle and saw the snake, but there are many species of rattlesnakes and not all the venom is the same. Antivenom saves lives. The correct treatment of venomous snakebites depends on the type of snakebite. African rock pythons are considered an invasive species in places such as Florida, where teams of snake hunters have been known to check levees and canals for signs of the reptile. Vector illustration of two snakes intertwined in shape of Ouroboros sign are eating their tails. What happens when you get bitten by a rattlesnake? Don't wait to see what kind of bite you may have, call 911 so EMS can take you to closest appropriate Emergency Room," says Daniel Lay, Coryell Health EMS, EMT-P Deputy Chief. Different snakes skin symbols, Vector flat snakes and other danger animals collection isolated on white background. Despite the obvious size and strength of anacondas, not all humans fear them. This article has been viewed 526,736 times. Mosquito, fly and flea, cockroach, ant and spider, bat, centipede and scorpion, snake and mosquito coil with red stop symbols, Plasticine hearts collection on white background. Usually, after a bite from a venomous snake, there is severe burning pain at the site within 15 to 30 minutes. Black mambas are often considered the world's deadliest snake because they are lethally venomous and very fast. We use cookies to make wikiHow great. Treatment involves immobilizing the injured body part, cleaning and wrapping the wound, and . "Before the patient reaches a medical facility, the wound should be kept clean and the affected limb should be elevated to reduce the effects of the venom. Animal Emergency Service treats thousands of cases of dogs who have been bitten by snakes in Australia each year. Search Results for Snake bite Stock Photos and Images (9,012) Page 1 of 91. 4. Low blood pressure, a faster heart rate and a weaker pulse. You dont have to worry about this happening because it is a very simple fix. If these stories have piqued your interest about antivenom or states where rattlesnakes bite the most, read on. Make sure you also go to all of your follow up appointments. Snakebite, injury, bitten wound concept icon. In the spring of 2017, South Florida hired 25 top snake hunters to capture and kill Burmese pythons, an invasive species in the Florida Everglades. Rattlesnakes tend to hide and if you arent careful, you can get bitten by this notoriously venomous snake. What not to do after a snake bite. First of all, you may need to know that one vial of antivenom is not sufficient for a snake bite. Snake Bite royalty-free images. The snakes fangs unfold from the palate when they are ready to be used and when the snake bites, the venom glands contract, injecting the toxin into the snakes prey. A northern California beekeeper tending his hives got a rattlesnake bite. Menu. Bringing the rattlesnake was a useful step. Plant of Centaury from a 13th century Anglo-Norman herbal. He says killing it was nearly a reflex and it surely was much safer than trying to transport the rattlesnake alive. McGee encountered the feisty snakethought to be a timber rattlesnakeunder a piece of . other symptoms which may not always be uniform. The snake was released back into the wild. fang marks and minimal pain. They'll need to know the bite point at . A rattlesnake can strike as far as about two feet. [Why They So Wiggly?! Copyright 2023, Midwest Tongs, Inc, All Rights Reserved. He felt another sting. Before she knew it, two other black mambas had also wrapped themselves around her legs, and they had to be hacked off by men with machetes. There is visible swelling up to mid-forearm. Available for both RF and RM licensing. Vector realistic illustration isolated on a white background. It is a pit viper, with highly poisonous venom. However, if you cant easily remove the snakes venom-filled fang without hurting yourself more, then you will need to seek professional medical help to remove the fang. your article helps a lot. Trying to drive after being bitten by a venomous snake is not recommended, given the risk of losing consciousness. Theres also a myth that rattlesnake ages can be determined by the number of rattles, but rattles break off. vector illustration of cartoon green snake on tree, Rattlesnake snake tattoo vector illustration. UCI Health. Keeping the bite wound lower than the heart is a plus, but may be difficult if it is a body wound. The wound needs to be able to bleed freely so that some of the venoms can come out on its own. The python, which was fatally shot by police, had already swallowed the victim's head and crushed some of his bones when discovered. This is very fast, so be careful to not disturb these snakes when playing in rattlesnake country. You will need to keep the victim as immobile as possible. Most snakebites occur on the extremities. You can see the fang punctures on the back of hand and at the base of palm. Treatment of rattlesnake bites in dogs is not inexpensive. This is so that the medical team has enough time, before the symptoms set in too severely, to treat your wound and get the Antivenin (also known as antivenom) pumping through your system. Knowing this, you may wonder, like me, how much does rattlesnake antivenom cost? Worldwide, there are about 20,000 to 100,000 snakebite deaths per year. According to Dr. Joann Schulte, a professional medical epidemiologist, states that seem to have more snake bites in general (including every kind of long, slithering snaky friend) are mostly Texas, Florida, Georgia, Louisiana, North Carolina, West Virginia, and Oklahoma. One anaconda can weigh as much as 550 pounds. It usually requires several to cure the bite, and in extreme cases (such as Lorainne Jonssons), you can need over a hundred of these vials to save your life. If a snake injected venom, you will feel the effects within 30 minutes. Intravenous (IV) fluids to help them hydrate and recover. Here are some of the craziest snake attacks on record, including animals and humans -- some of whom lived to tell the tale, and some of whom did not. Rattlesnakes are venomous snakes found in varying climates in both North and South America 1) and include snakes in the genera Crotalus and Sistrurus. While puff adder bites can cause immense pain, inflammation, and relentless bleeding, a gaboon viper does the same--only faster and with the ability to attac. Immobilize the limb but do NOT restrict blood flow unless you are . A 9-year-old girl was bitten by a copperhead snake while swimming in her family's pool in Alabama, according to CBS affiliate WBRC. Free or royalty-free photos and images. When a Texas man encountered a four-foot rattlesnake in June 2018, hedecapitated it with a shovel. Flat python symbol venom predator toxic animal. Rattlesnakes bite a dog usually on its face or extremities. Stay on trails when hiking, away from underbrush and tall weeds, Do not touch or disturb a snake, even if it appears dead, Always look for concealed snakes before picking up rocks, sticks or firewood, Never hike alone in remote areas. She is a member of the American Medical Writers Association and the Society for Pediatric Urgent Care. I am here to walk you through exactly what you will need to do and exactly what happens so you are prepared in case this happens to you or someone you are with. How can Western Diamondback Rattlesnake Bite be Prevented? Some snake bites may be mistaken for rattlesnake bites . An unusually ugly Eastern Cottonmouth or Water Moccasin (Agkistrodon Piscivorus Piscivorus) showing his cotton like mouth. I saw one last night in my backyard, I was shaking as it looked at. It also dismisses all of the. Most of the smaller hospital emergency departments do not have enough anti-venom. numbness of the face, especially in . Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. The snake was also found headless, which suggests another alligator might have retaliated by biting off the python's head, according to National Geographic. Snake character wildlife and snake nature viper. The snake, however, was likely being kept in the apartment where the boys were sleeping. Snakes alone are estimated to inflict 2.5 million venomous bites each year, resulting in about 125,000 deaths. In the end, there are so many amazing pet snakes out there, so is there really a reason to try to cut out a rattlesnakes identity and keep this aggressive snake in captivity? The man was hospitalized but survived. While the western diamondback does indeed range into California, said Wozniak in an email, its distribution is limited to the southeastern extreme of the state., Wozniak says this type of rattlesnake has a particularly dangerous venom, sometimes reaching the level of the Mojave rattlesnake. Drink plenty of fluids, lie flat and elevate the area of the bite above the level of your heart. Pest control badges of desinsection and insect protection vector design. Venomous animals account for a large number of deaths and injuries worldwide. Rattlesnakes are mostly in the southwestern U.S., stretching from California to Texas and then some. Blacktail rattlesnake found near Lechuguilla Springs in New Mexico. Portrait of a large Eastern Cottonmouth or Water Moccasin (Agkistrodon Piscivorus Piscivorus) coiled up displaying the Cotton like mouth it's named for. We'll assume you're ok with this, but you can opt-out if you wish. Secure the supports to the limb with whatever you have on hand, from belts to tape to bandages. There is some evidence which suggests the venom glands can regenerate, as well, and that supposedly safe pet snakes have bitten owners. A Quick Answer! After being bitten, you should get to professional medical attention within the first thirty minutes. Dreamstime is the world`s largest stock photography community. Rattlesnake ( crotalus) close up viewRattlesnake ( crotalus) close up view. Embora Pets is everywhere! Can Snakes See Red Light? Rod Brouhard is an emergency medical technician paramedic (EMT-P), journalist, educator, and advocate for emergency medical service providers and patients. "I just moved to Texas and trying to look up all this info so I know just in case. The typical symptoms of a venomous snake bite include: two puncture wounds. You've probably heard a number of myths concerning snakebites and the proper treatment for them. Glenn Garner. "With a snake bite, the venom is not the only concern. For the next step, read on. Wilderness Environ Med. Coral snake venom is primarily neurotoxic with little local tissue reaction or pain at the bite site. Young horseshoe whip snake coiled with vibrant colors. ], Do Snakes Have Bones? While the majority of patients in this study were shown to have secondary bacterial infection, debridement and subsequent wound management is considered the mainstay of treatment. Affiliate Disclosure: When possible, Embora Pets uses affiliate links (at no additional cost to you). If the person starts to go into shock, lay them down on their back, raising their feet up at least a foot. Another interesting note is that a rattlesnakes venom can last years in storage without losing its toxicity. These changes can be seen outwardly as ataxia, paresis, weakness, and paralysis. By not washing it, this helps the medical professionals figure out what specific type of venom it is so that they can sooner identify it and know exactly how to treat it. Also, cutting the wound will only cause a greater wound site to treat and risk more infection. Dr. Marusinec is a board certified Pediatrician at the Children's Hospital of Wisconsin, where she is on the Clinical Practice Council. Bite Vector flat snakes collection isolated on white background. "I am visiting from out of town and wanted to know precautionary information. "The "allow blood to flow" part was interesting, as normally, people want to do the exact opposite. Photo: GoFundMe. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. Then the severed head bit him. Cheposait Adomo was walking home from a party in Kenya in 2016 when she was bitten repeatedly by a black mamba that wrapped itself around her ankles, she toldThe Huffington Post. The actual number may be much larger. Rattlesnake bite. Panicking during such times would make matters worse. Both the venom glands and the fangs are 100% fully functional from the moment they are born. . Vector snakes flat style. Severe pain and tenderness at the site of the bite. The rattlesnake sheds its teeth roughly every six to ten weeks so that new, sharp ones can replace the old and dull ones. I'm so scared of snakes. Necessary cookies are absolutely essential for the website to function properly. Common organisms are Enterobacteriaceae and enterococci. The boy survived but had been bitten by the snake and needed 21 stitches. Venomous snake bite in a man's leg, close-up. The 8-foot-6-inch snake was known to escape from its glass enclosure, which only had a safety-pinned quilt as a cover. Snake character wildlife nature viper. This website uses cookies to improve your experience while you navigate through the website. A few helpful tips to prevent snake bites include: Increased salivation and sweating. Are baby rattlesnakes more lethal than adult rattlesnakes? The onset of clinical signs may be delayed for as much as 10 to 18 hours. Michael Menna, DO, is a board-certified, active attending emergency medicine physician at White Plains Hospital in White Plains, New York.
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