Dr. Patrick Tyrance jr

Orthopedic Surgery 26 years experience

When healed if @ all: Indications for hardware removal are pain and irritation. This may be seen in cases where there is irritation of an adjacent tendon or if there is sk... Read More

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2.8k viewsReviewed >2 years ago

Dr. Nima Moghaddas agrees1 doctor agrees

A 54-year-old female asked:

I fell on the ice right on my chest area, now its all sore, its not stoping me from breathing or anything , it just hurts, will it go away by itself?

Orthopedic Surgery 26 years experience

Expect it to resolve: Sorry about you fall. A deep muscle and bone bruise or contusion is common after blunt trauma, for example after a fall as you have experienced. Gen... Read More

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3.3k viewsAnswered >2 years ago

A 16-year-old female asked:

I can physically feel my sacrum/ coccyx bones when i touch the bottom. is it normal to feel them? it sometimes hurts when i sit down. what about that?

Orthopedic Surgery 26 years experience

A donut and patience: Coccydynia or tailbone pain is most likely and has many causes from unknown (most common) to direct trauma, infection, and tumor. It can be treated w... Read More

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3.4k viewsAnswered >2 years ago

A female asked:

Had durolane injection: knee (osteoarthritis). initially, pain was gone, but pain gets worse (cant bend knee fully). normal? how long pain will last?

Orthopedic Surgery 26 years experience

A few days is common: Pain at the injection site is common. You may also experience joint pain, swelling and stiffness after injection. It is advised to limit activity fo... Read More

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3.2k viewsAnswered >2 years ago

A 23-year-old male asked:

Can i use elliptical cross trainer for my workout. because u said not to do jogging and running ? is this machine is safe for disk herniated persons

Orthopedic Surgery 26 years experience

Elliptical use is OK: Using an elliptical machine is not likely to place more pressure on lumbar discs than standing. Disc pressure is thought to be highest when sitting a... Read More

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3.2k viewsAnswered >2 years ago

A 30-year-old female asked:

What is the best diagnostic method to see if there is herniated disc or it's about piriformis syndrome?

Orthopedic Surgery 26 years experience

An MRI: A physical exam is first in the evaluation. Piriformis syndrome and sciatica often causes pain in the buttock and posterior thigh. Nerve irritation ... Read More

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4k viewsReviewed >2 years ago

Dr. Peter Ihle agrees1 doctor agrees

1 comment

A 22-year-old female asked:

Can i still build muscle if only eating carbs and very little protein, while still limiting my calorie intake?

Orthopedic Surgery 26 years experience

Not likely: A balanced diet is key with recommended amounts of protein, healthy fats, and carbohydrates. Given you described diet it is possible to lose weight, ... Read More

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3.3k viewsReviewed >2 years ago

Dr. James Cunnar agrees1 doctor agrees

A 31-year-old member asked:

Is it possible that orthopedics see your growth plate in your wrist?

Orthopedic Surgery 26 years experience

Yes: Our bones are living tissue and have visible areas that are responsible for their growth called the physis or growth plate. Once these growth plates ... Read More

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3.2k viewsReviewed >2 years ago

Dr. Yash Khanna and 3 doctors agree4 doctors agree

1 comment

A 30-year-old female asked:

Had micro fracture surgery on my knee 4 years ago went and played basketball knee swole up could barely walk now having knee scoped good idea or bad?

Orthopedic Surgery 26 years experience

A good idea: A knee arthroscopy can be both diagnostic and therapeutic. Given your history of cartilage injury-thus the micro-fracture procedure and swelling with... Read More

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2.6k viewsReviewed >2 years ago

Dr. Katharine Cox agrees1 doctor agrees

A 18-year-old female asked:

What does a healthy diet look like?

Orthopedic Surgery 26 years experience

No processed food: Lots of fruits and vegetables, minimize processed foods, sugar-laden drinks like soda and fruit juice,and unhealthy trans fats. Consume healthy sourc... Read More

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2.8k viewsAnswered >2 years ago

A 16-year-old male asked:

My workout consist of (10 sets of 10 pushups, 10 sets of 10 crunches) i do this every other day, i'm 16 and a boy, should i do this workout everyday?

Orthopedic Surgery 26 years experience

Variety: They key is to listen to your body. Proper rest periods are equally important as physical activity in assuming a healthy lifestyle. If you wish to b... Read More

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2.8k viewsAnswered >2 years ago

A 20-year-old female asked:

I have a pain in my knee. is like a popping feeling, but not with my bones may be my muscle or tissue. it feels like popping a rubber band in the back?

Orthopedic Surgery 26 years experience

Inflammation?: Your description is non-specific and could be many things. Pain is related to inflammation and can be the result of tendonitis, bursitis, or injury in... Read More

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3.2k viewsReviewed >2 years ago

Dr. Yash Khanna and another doctor agree2 doctors agree

6 thanks

A 19-year-old male asked:

My 14 y/o son had trama to his big toenail playing basketball, it happend back in oct. the nail is starting to fall off, how long til new nail appear?

Orthopedic Surgery 26 years experience

Several months: Bleeding under the nail is called a subungual hematoma can is a common injury in sports involving a lot of running. It can take up to a year (sometim... Read More

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3.2k viewsReviewed >2 years ago

Dr. Zachary Veres and 2 doctors agree3 doctors agree

A 49-year-old female asked:

Twisted my knee walked it out then 1,2 weeks later knelt down and a burning sensation red hot poker?

Orthopedic Surgery 26 years experience

Internal derangement: Your symptoms may indicate an injury to the knee joint. Pain associated with a twisting mechanism that resolves in a few weeks with no instability, b... Read More

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3.3k viewsReviewed >2 years ago

Dr. Jeffrey Juchau agrees1 doctor agrees

A 22-year-old male asked:

Fractured my navicular in foot diagnosed 7 wks late. immobilized for 4 weeks but that foot keeps crackling every time i move it. why does it do this?

Orthopedic Surgery 26 years experience

Close follow-up: It is possible the fracture has not fully healed or simply swelling in area of the fracture. Navicular fractures can be a challenge to diagnose and tr... Read More

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3.2k viewsReviewed >2 years ago

Dr. Yash Khanna and 2 doctors agree3 doctors agree

A male asked:

I cut my finger with an old razor blade. cleaned up immediately with iodine and penicillin. wound looks healthy but now my elbow hurts. ?

Orthopedic Surgery 26 years experience

Septic joint?: The incident you describe can result in bacteria gaining access to other areas of your body through your cut finger, despite your diligence in cleanin... Read More

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3.2k viewsReviewed >2 years ago

Dr. Sari Nabulsi and another doctor agree2 doctors agree

A 25-year-old female asked:

I have mild scoliosis and do crossfit, does that increase my chance of hurting my back or strengthen it and help minimize injury? my mom wants to know

Orthopedic Surgery 26 years experience

Listen to your body: When you say "mild" scoliosis I will assume it did not require surgery. Secondly given your age it is not likely your existing curve will progress. ... Read More

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3.3k viewsReviewed >2 years ago

Dr. Edward Hellman and another doctor agree2 doctors agree

A 19-year-old female asked:

If i ate 1,000 calories a day to lose weight , and now i start eating around 1,060 calories a day will i gain weight?

Orthopedic Surgery 26 years experience

Don't count calories: Counting calories is not the answer! The quality of the food you eat and physical activity is more important. You can lose weight and be fatter while... Read More

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2.6k viewsAnswered >2 years ago

A female asked:

I slipped down a couple steps yesterday. my left foot is swollen tender and discolored on the top. is it a sprain or broken?

Orthopedic Surgery 26 years experience

Need X-ray to tell: You would need X-rays to determine where or not your foot was broken. If you are not able to place weight on your foot, have a severe limp, or do not... Read More

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2.6k viewsReviewed >2 years ago

Dr. Heidi Fowler and 2 doctors agree3 doctors agree

A 18-year-old female asked:

Can i lose weight if i consume only 1000 calories daily without any exercise?

Orthopedic Surgery 26 years experience

Not recommended: You may loose weight while increasing your body fat. Regular exercise, a diet emphasizing green vegetables, fruit, whole grains and some lean protein... Read More

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3.2k viewsReviewed >2 years ago

Dr. Yash Khanna agrees1 doctor agrees

A 22-year-old male asked:

Had a very severe ankle sprain 6 wks ago with massive swelling. still very swollen, have start up pain, and crepitus when moving it. what is this ?

Orthopedic Surgery 26 years experience

Expected swelling: It is common to have residual ankle swelling after a severe sprain. Ligament injury can take many weeks to fully heal and may result in residual ankle... Read More

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3.2k viewsReviewed >2 years ago

Dr. Yash Khanna and 5 doctors agree6 doctors agree

A 30-year-old male asked:

Took a hit from a knee to the left rib cage a week agoeveryday hurts worst, no hematoma i can breathe right but hurts when i press on area. fracture?

Orthopedic Surgery 26 years experience

Fracture is possible: A knee to the rib cage can indeed result in a fracture. The only way to be certain would be a chest x-ray, but it is not necessarily indicated since ... Read More

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3.3k viewsReviewed >2 years ago

Dr. Steven Shannon agrees1 doctor agrees

A 22-year-old male asked:

Back side of my shoulder hurts (numbing or tingling sensation) with little work and no work any medications please (i use laptops heavyly ) ?

Orthopedic Surgery 26 years experience

Move more: Your symptoms may be related to your posture from prolonged computer use. Sitting for an extended period of time results in poor function of multiple ... Read More

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2.6k viewsAnswered >2 years ago

A 17-year-old female asked:

I want to gain weight. what is a healthy food that will help that? or what could i eat a lot of ? i weigh 121 i lost 4 lbs recently.

Orthopedic Surgery 26 years experience

Protein and Fat: I would suggest increasing your caloric intake with smaller more frequent meals. Lean protein (e.g. free range chicken, wild salmon, legumes) and hea... Read More

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2.6k viewsReviewed >2 years ago

Dr. Atul Singh agrees1 doctor agrees

A 31-year-old female asked:

I have a knot on my shoulder the size of a strawberry. it is really bothering me. i've had it for over 5 years.

Orthopedic Surgery 26 years experience

Watchful waiting: A shoulder mass that has not changed in size for five years and not causing any symptoms such as weakness, numbness, tingling, or decreased range of m... Read More

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2.6k viewsReviewed >2 years ago

Dr. Jovita Anyanwu agrees1 doctor agrees

A 36-year-old female asked:

I got knee surgeries on both knees got mri and got grade 2 intrameniscal tear posterior horn of the medial meniscus n mild myxiod will i need surgery?

Orthopedic Surgery 26 years experience

It depends...: Knee arthroscopy for a meniscal tear is an elective procedure that is performed based on pain, how it affects your function, and lifestyle. In the abs... Read More

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4k viewsAnswered >2 years ago

A 41-year-old male asked:

I've seemed to try everything with no improvement w/the chronic knee pain. only thing dr. has diagnosed is bony overgrowths on x-ray. suggestions?

Orthopedic Surgery 26 years experience

Modify activities: Anti-inflammatory medications, injections with hyaluronic acid or steriod, activity modification and bracing may help. Maintaining appropriate weight... Read More

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3.2k viewsReviewed >2 years ago

Dr. Marino Tavarez agrees1 doctor agrees

A 32-year-old male asked:

Does high vitd3 & calcium supplements interfere with absorption of iron & omega3 fatty acid from food for 57+ yr female ?

Orthopedic Surgery 26 years experience

They help each other: They do not compete directly. In fact, consuming essential omega-3 fatty acids can increase vitamin D's ability to increase calcium absorption f... Read More

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1.9k viewsReviewed >2 years ago

Dr. Cynthia Archer agrees1 doctor agrees

A 19-year-old male asked:

I started taking mhp creatine for 2 weeks..then i started experiencing palpitations..i stopped then it went..could it be d brand that is causing dis?

Orthopedic Surgery 26 years experience

Not the brand: Creatine is likely safe when used appropriately and helps supply energy to active muscles. There is evidence that creatine use can improve athletic p... Read More

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3.2k viewsReviewed >2 years ago

Dr. Zachary Veres and 3 doctors agree4 doctors agree

A 27-year-old male asked:

Is the soleus muscle palpable near the lower part of the leg?

Orthopedic Surgery 26 years experience

Not reliably: The soleus muscle is deep to the gastrocnemius muscle, commonly referred to the calf muscle, and is not thought to be reliably palpable by itself in t... Read More

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3.3k viewsReviewed >2 years ago

Dr. Ed Friedlander and another doctor agree2 doctors agree

A 20-year-old male asked:

A sudden sensation in both arms, where if i touch the funnybone area, or jump and other moves, a shock goes through the arms to the last two fingers?

Orthopedic Surgery 26 years experience

Ulnar neuritis: You have irritation of your ulnar nerve which travels around the medial side of the elbow is responsible for sensation in your little, ring and part ... Read More

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3.2k viewsReviewed >2 years ago

Dr. Mary David agrees1 doctor agrees

A 40-year-old male asked:

Very minor auto accident. back started hurting. i think just a muscle strain. should i go to urgent care? what could they do besides say it's strained

Orthopedic Surgery 26 years experience

Likely muscle strain: It is important to note whether or not you have constipation, urinary retention or numbness in your anal area. In the absence of any of these you can... Read More

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3.4k viewsAnswered >2 years ago

A 58-year-old male asked:

Had 30% of left medial meniscus removed... pt , cortisone , rest did no good . always limp. could limp damage other parts of knee? whole knee hurts.

Orthopedic Surgery 26 years experience

Yes, if prolonged: Given your age arthritis is high on the list of reasons for you to have continued knee pain. Meniscal surgery rarely is helpful in the absence of mec... Read More

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3.3k viewsReviewed >2 years ago

Dr. Steven Shannon agrees1 doctor agrees

A 26-year-old female asked:

How often do patella dislocations need to occur to recommend surgery? i've done pt twice, which helps for awhile. this is now the 4th major dislocatio

Orthopedic Surgery 26 years experience

No specific number: A decision to perform surgery is not based on a particular number of dislocations, but is a lifestyle decision. In general all non-operative measures ... Read More

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3k viewsAnswered >2 years ago

A 32-year-old female asked:

I can't have a bowel movement without laxatives. i take in the daily recamended amount of fiber, have 64 ounces of water a day, and work out. ?

Orthopedic Surgery 26 years experience

A few ideas: Continue your present regimen while it may help to include a daily probiotic. Adding a little caffeine such as a cup of coffee or green tea can also ... Read More

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1.9k viewsAnswered >2 years ago

A 29-year-old male asked:

I take oats with nuts & multi grain porridge for 2 out of 4 meals.can i add these for more nutrition- sprouted flax & chia seeds,oat bran,wheat germ?

Orthopedic Surgery 26 years experience

Keep it up: The options you suggest are healthy ones. You should eat according to your taste with an emphasis on vegetables, fruits, whole grains and a healthy s... Read More

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3.2k viewsAnswered >2 years ago

A 21-year-old female asked:

I have a grade 1 calf strain. i'm on day 3 of rest and plan to take the next 2 to 3 weeks off from running to be absolutely sure it is healed. in the meantime i will be swimming and exercising on the elliptical. will these exercises hinder my healing? is

Orthopedic Surgery 26 years experience

No: A grade 1 strain is mild so expect an uneventful recovery. These exercises should be appropriate over the time period you mention. Gentle stretching a... Read More

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3.2k viewsAnswered >2 years ago

A 20-year-old male asked:

I have a full body, bodyweight workout could doing this three times a week lead to overtraining because training all muscles three times in a week?

Orthopedic Surgery 26 years experience

Listen to your body: The quick answer is no with the following caveats. Adequate rest between workouts along with a balanced and healthy diet is essential to limit the pr... Read More

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3.5k viewsAnswered >2 years ago

A 18-year-old female asked:

My left collerbone hurts for no reason when i move my shoulers forward?

Orthopedic Surgery 26 years experience

Shoulder sprain: Moving your shoulders forward places increased pressure on a small shoulder joint on the outside (lateral) aspect of the shoulder. Your symptoms may ... Read More

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3.3k viewsAnswered >2 years ago

A 29-year-old female asked:

I run my finger over top my right foot it feels like a string is being pulled or when i flex my toes back. 29/f/250 lbs/5'7" is this diabetes?

Orthopedic Surgery 26 years experience

It is not: Diabetes is diagnosed by measuring your glucose levels in your blood. Given your body habits, you may be at risk. Increasing your physical activity ... Read More

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3.3k viewsAnswered >2 years ago

A female asked:

Does the hip growth plate help in widening the hips or does it help in lengthening the femur?

Orthopedic Surgery 26 years experience

Length of femur: The proximal (hip) growth plate and distal (knee) growth plate of the femur determine its length. Roughly two-thirds of the length of the femur is de... Read More

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3.4k viewsAnswered >2 years ago

A 21-year-old male asked:

I had two back to back abdominal open surgeries. it happened 2 months ago. can i start playing soccer now?

Orthopedic Surgery 26 years experience

Consult your surgeon: There are many factors you haven't shared such as your level of fitness before the surgery and your activity level since your most recent procedure. ... Read More

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3.5k viewsReviewed >2 years ago

Dr. John Munshower and 2 doctors agree3 doctors agree

A 32-year-old female asked:

Why do i feel joint pain if my sed rate is normal?

Orthopedic Surgery 26 years experience

It is not specific: The erythrocyte sedimentation is a measure inflammation that is not specific to joint pain, so it is possible to have a normal "sed rate" and still ha... Read More

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2.8k viewsAnswered >2 years ago

A 18-year-old male asked:

Have a concussion and was running around playing air soft with my friend which caused me to jerk head abruptly now i have a headache more damage done?

Orthopedic Surgery 26 years experience

Take your time: Vigorous activity while you continue to have symptoms such as headache, sensitivity to light, blurred vision, poor balance, or lethargy is not recomme... Read More

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2.5k viewsAnswered >2 years ago

A 21-year-old male asked:

What is thebest walking boot fir navicular accesory?

Orthopedic Surgery 26 years experience

Rigid orthosis: A "short CAM walker" is often prescribed for an accessory navicular. If this is not tolerated a rigid orthotic, loose fitting shoe, and anti-inflamma... Read More

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2.6k viewsAnswered >2 years ago

A male asked:

I have a bone spur on top of the patella? i know it will have to be removed, but i am worried about the patella tendon. how is this surgery performed?

Orthopedic Surgery 26 years experience

Do not worry: A bone spur on top of the patella is a sign of chronic inflammation of the quadriceps tendon and may be seen in patients that sustain a quadriceps ten... Read More

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3.3k viewsReviewed >2 years ago

Dr. Jeffrey Juchau and 2 doctors agree3 doctors agree

5 thanks

A 32-year-old female asked:

Middle finger into palm is sore & hurts. dr said trigger finger. could it be infection instead? no swelling or redness. no injury to hand. only middle

Orthopedic Surgery 26 years experience

Not likely infection: Trigger finger is more common (especially in the dominant hand) in a healthy individual with no history of trauma, no redness, swelling. There is oft... Read More

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2.8k viewsReviewed >2 years ago

Dr. Darryl Blinski agrees1 doctor agrees

A 31-year-old male asked:

Popliteal fossa pain/burning for 3weeks. pain increase when sitting or pointing toes straight into ground. slight swelling ultrasound for dvt negative?

Orthopedic Surgery 26 years experience

Cartilage injury?: Your description is suspicious for a meniscus or cartilage injury. The meniscus is a cartilage-like structure in the knee that helps to cushion an st... Read More

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3.3k viewsReviewed >2 years ago

Dr. Yash Khanna and 3 doctors agree4 doctors agree

A 19-year-old female asked:

How long should i wait before i can have a meal after my workout?

Orthopedic Surgery 26 years experience

Eat when hungry: Quite simply, eat when you are hungry. After resistance training, it is recommended to provide your body with a lean, healthy source of protein withi... Read More

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3.3k viewsReviewed >2 years ago

Dr. Dave Burns agrees1 doctor agrees

A 28-year-old female asked:

My boyfriend 47 years old and all he does it's sleep should i be worried?

Orthopedic Surgery 26 years experience

Many possible causes: Sleeping as you describe is not normal. It can be the result of a number of emotional, physiologic or environmental challenges. Having a discussion wh... Read More

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3.2k viewsAnswered >2 years ago