About a ages ago, Holy Cross basketball amateur Marcellis Perkins underwent arthroscopic anaplasty to apple-pie up his alarming adapted knee, and aback afresh he has been a approved aggregation to HC’s sports anesthetic department.
The newly-designed area, which opened in June and is amid abaft the Hart Center gym, includes a hydrotherapy room, abstracted sections for taping, treatments and rehabilitation, and it is breadth Holy Cross’ nine certified able-bodied trainers, led by arch able-bodied trainer and administrator of sports anesthetic Anthony Cerundolo, assignment endlessly and foolishly with the college’s 27 teams and 750 student-athletes to, aboriginal and foremost, try to anticipate injuries, but aback they do happen, evaluate, triage, manage, amusement and adjust the injuries, while additionally educating student-athletes to advice them advance healthier, injury-free lives.
Perkins, a junior, has been spending about 90 account a day in the sports anesthetic administration with Wally Tisdale, the men’s basketball team’s able-bodied trainer, alive on flexion, backbone and stretching.
“Wally is allegorical me through it,” said Perkins, who won’t comedy this season. “It makes me feel bigger that our able-bodied trainers actually care. Their capital affair is that I’m healthy, that I can get around. Whether I comedy basketball or not, that doesn’t affect the way they amusement us and how they assignment with us and how abundant accomplishment they put in to authoritative abiding that we’re healthy.”
The role of an able-bodied trainer, and the accent of that role, may be alien or cryptic to some alfresco sports.
“I anticipate a lot of bodies anticipate we’re aloof the bodies who eject baptize in players’ mouths,” Assumption arch able-bodied trainer Gwen Chiaranda said.
“People apprehend ‘athletic trainer’ and they don’t actually accept the ambit or the abyss of the position,” said Grafton Aerial contest administrator Jim Scanlon, who is a certified able-bodied trainer. “In my own claimed convenance I accept activate there is a accepted abridgement of acquaintance of what an able-bodied trainer does and how abundant they are able to do.”
“We’re not actuality aloof to duke out ice accoutrements and Band-Aids,” Cerundolo added. “We’re actuality to accomplish abiding we’re accouterment the best attainable affliction we can accord student-athletes.”
Indeed, able-bodied trainers are valued, respected, basic and capital associates of sports programs on the academy and aerial academy levels.
“Very often,” Chiaranda said, “the aboriginal analysis of abrasion comes through us.”
Among Worcester colleges, Holy Cross, Assumption, Worcester State, WPI, Clark and Becker all accept partnerships with the UMass Memorial Sports Anesthetic Group. Holy Cross is additionally apprenticed with St. Vincent Hospital. Some breadth aerial schools and Worcester Academy additionally accept relationships with UMass Memorial.
Athletic trainers are liaisons amid physicians and athletes, and physicians and coaches.
“When a kid gets hurt,” Cerundolo said, “we see aggregate from the astute stages to X-rays and MRIs, surgery, afresh rehab. Accepting them aback to amphitheatre in a safe manner, seeing them aback amphitheatre at a aerial level, and smiling, that’s the best acceptable allotment of our job.”
Teamwork, assurance and advice amid able-bodied trainers, aggregation physicians, student-athletes, their parents, coaches and teachers, as able-bodied as academy bloom offices and administrators, are axial to that process.
“As a sports anesthetic team, a sports anesthetic family, it’s the role of able-bodied trainers and aggregation physicians to accomplish the concrete and psychosocial abundance of our athletes and our acceptance our accomplished priority,” said Dr. Brian Busconi, arch of sports anesthetic at UMass Memorial Medical Center, and the aggregation physician for several breadth programs. “We are ultimately the bodies who assure these athletes and accomplish abiding they’re accepting the best affliction possible.”
Pre-game: Athletes accept altered needs
For a 1 p.m. home football game, Chiaranda, who oversees Assumption’s football, women’s pond and lacrosse teams, as able-bodied as the clue and acreage throwers, arrives to assignment at about 9 a.m.
She sets up the hot tub, taping and analysis areas, while her work-study acceptance set up both sidelines with six 10-gallon baptize jugs, ice, taping tables and emergency medical equipment, including splints, the automatic alien defibrillator (AED), and crutches. They additionally set up the visiting locker allowance with water, ice and taping tables.
After the aggregation breakfast, players will alpha filing in to the training allowance for bendable tissue treatments, massage, accession and taping.
“From 11:30 to 12:30, I actually angle in advanced of the taping table and band whatever I charge to tape,” Chiaranda said.
About two hours afore a contempo Holy Cross women’s basketball game, players streamed into the sports anesthetic administration to see accessory arch able-bodied trainer Alicia Caswell, who oversees the women’s basketball team. Caswell helped one amateur amplitude her back, accession alone up on the anchored bike, accession had an ultrasound analysis on her ankle.
Worcester State’s new able-bodied training breadth is additionally a pre-game hub.
“Any accustomed day, kids are all over this room,” said Worcester Accompaniment arch able-bodied trainer Jessica Meany, pointing to the attainable space, which athletes use for stretching, and to the tables, breadth they may get a pre-game hot backpack analysis on their leg or their abate taped.
“Once the d starts, hopefully, we get to watch and not see any injuries,” Worcester Academy arch able-bodied trainer Jamie Mili said. “That’s a acceptable action for us, but we’re able for whatever happens.”
Game day: Attainable to bounce into action
Cerundolo and two or three associates of his staff, as able-bodied as several aggregation physicians, are on the amusement during a Holy Cross football game.
The NCAA requires that an ambulance is on armpit for football games. HC has an ambulance and paramedics at all able-bodied events.
Every August at Assumption, Chiaranda and her agents alternation with the ambulance company.
“They accompany the ambulance (to the football field) and we go over aback boarding, we convenance putting a kid on a aback board, and all the emergency situations, so in case it does happen, we’ve done it before,” she said.
In accession to an able-bodied trainer, a physician is adapted to be present for academy football and ice hockey games.
In the aboriginal bisected of a HC football d two seasons ago, quarterback Peter Pujals was tackled afterwards hasty for no accretion on a third-down call. Afterwards the play, Pujals knelt on all fours and slapped the ground.
Cerundolo ran assimilate the acreage to appraise the situation.
“We anticipation at aboriginal maybe he bent his abate and maybe it was an abate sprain,” Cerundolo said.
Pujals was apathetic to get up, but hobbled off the acreage while accompanied by Cerundolo and added associates of the able-bodied training staff, including a aggregation physician. Once Pujals was on the sideline, the appraisal continued.
“On the amusement we were palpating and acid him to see breadth the abrasion was,” Cerundolo said.
Pujals spent the blow of the aboriginal bisected on the amusement and was re-evaluated in the locker allowance at halftime. Pujals had abscess and pain. Cerundolo a above drillmaster Tom Gilmore that Pujals would not be able to go aback in the game. Afterwards the game, he went for an X-ray at St. Vincent Hospital and a brace canicule afterwards an MRI, which appear a breach of his lower larboard fibula.
Pujals absent the blow of the year, but the breach was non-displaced so he didn’t charge surgery. Aback he was ready, he began rehabbing with Cerundolo and alternating to comedy aftermost season.
Meany will sit a the home coffer during a WSU basketball game. If a amateur goes bottomward in a game, the aboriginal adjustment of business, Meany said, “is to try to calm the athlete. Accomplish abiding it’s not a austere injury. If it’s a knee injury, for example, we’ll accomplish abiding it looks structurally acceptable and there is no above deformity. If the amateur is in astringent pain, we’ll attenuate it with a splint, your hands, an Ace bandage, to get them aback to the coffer so you can appraise it further. You accomplish abiding that actuality is safe to move. You actuate if you charge to carriage or alarm 911 or alarm the orthopedist.”
During an ice hockey d a few years ago, Meany said a Worcester Accompaniment amateur took a hit, absent his helmet as he went bottomward and hit the aback of his arch on the ice. She went assimilate the ice, counterbalanced him and alleged 911. He was taken to UMass by ambulance, concluded up actuality accomplished and alternating to comedy that season.
Post-game: Convenance coverage, abrasion reports
Sundays in the abatement are a active time in academy able-bodied training offices for players’ postgame medical check-in for analysis and the aboriginal abrasion address of the anniversary is compiled.
At Holy Cross and Assumption, able-bodied trainers acquaint abrasion letters with coaches of all teams on a circadian basis.
“Daily advice on injuries with coaches is important,” Chiaranda said. “It’s additionally important for the aegis of the athlete.”
An HC abrasion address includes the athlete’s name, the afflicted analysis part, the blazon of abrasion (sprain or ache for example), his/her limitations in the weight room, his/her cachet for convenance or the aing game, which is bent through collaborative discussions amid the able-bodied trainer and physician, and any added pertinent notes.
Chiaranda abstracts injuries in SportsWare, which is a medical annal software.
Team physicians authority account clinics for athletes at bounded colleges. Dr. Busconi and Dr. Jay Broadhurst awning Holy Cross, Dr. Busconi Worcester Accompaniment as well, and Dr. Lee Mancini Assumption, for example.
“Our accessibility with UMass phenomenal,” Meany said. “We had a basketball amateur get afflicted Saturday. Dr. Busconi saw her Monday. She had an MRI Wednesday. Within four canicule we knew the plan. I told Dr. Busconi the added day we could use that as a recruiting tool. We are so advantageous to accept that access.”
In affiliation with UMass Amherst, Holy Cross additionally has an accomplished sports anesthetic acquaintance affairs which provides added advantage for its sports teams.
Holy Cross’ nine able-bodied trainers awning practices and competitions for all of the college’s acquaintance sports teams.
According to the Civic Able-bodied Trainers’ Association (NATA) recommendations and guidelines for adapted medical advantage of intercollegiate athletics, sports with added accident (based on abrasion amount base and adverse index) should accept a certified able-bodied trainer physically present for all practices. According to NATA, those sports accommodate men’s basketball, football, men’s and women’s gymnastics, men’s and women’s ice hockey, skiing and wrestling.
The NATA recommendations and guidelines accompaniment that “while the assignment force encourages the concrete appearance of certified able-bodied trainers at all home competitions, antagonism advantage of sports with lower assemblage ethics (e.g., golf, alfresco track) will be larboard to institutional discretion.”
At Assumption, there are four able-bodied trainers for 24 teams and 550 athletes, so if there is a convenance agenda conflict, antecedence is accustomed to high-risk sports (football, ice hockey, men’s lacrosse).
“It’s consistently bigger if you can see an abrasion happen,” Chiranda said. “It gives you a little bit of acumen of how you’re action to amusement it or what the abrasion could be. Actuality at convenance is attainable with that. Aftermost year, I watched a women’s lacrosse amateur get hurt. I watched it appear and by attractive at it, I knew it was her ACL. Aback we’re accoutrement convenance that’s what we’re accomplishing – watching the amateur – and if they get hurt, accepting acumen to what ability accept happened.”
Meany, her full-time abettor Kevin MacLennan and part-time abettor Jason Anderson alternating accoutrement practices for WSU’s 19 teams.
“We accomplish abiding every convenance and every home antagonism for every action is appropriately staffed,” Meany said.
Athletic activities in which an academy decides a certified able-bodied trainer charge not be in attendance, NATA recommendations state, one alone certified in CPR, aboriginal aid and AED acceptance charge be present.
Sometimes, able-bodied trainers awning the visiting teams if an able-bodied trainer does not biking with a assertive team.
In addition, NCAA affiliate institutions should accept on book and amend annually an emergency action plan for anniversary contest breadth as able-bodied as a adverse adventure guideline.
High schools: Authoritative the position a priority
At 2:45 on a contempo Wednesday afternoon, there were six student-athletes in the able-bodied training allowance at Shrewsbury High.
“This is a apathetic day,” said Walter Hildebrand, Shrewsbury’s High’s able-bodied trainer. “At the alpha of winter sports season, we’ll accept about 30 kids actuality with a band out the door.”
Hildebrand provided one-on-one absorption to anniversary athlete, including evaluating a football player’s knee, accomplishing an ultrasound analysis on a girls’ lacrosse player’s ankle, and, afterwards chief cross-country and calm clue brilliant Maura McNamara sat at the taping base with a heating pad beneath her dogie for about 10-15 minutes, massaged her lower leg afore McNamara began her workout.
“It helps with recovery,” McNamara said.
Hildebrand is in his seventh year at Shrewsbury High. For the aboriginal six, Shrewsbury Aerial apprenticed with All-Access Concrete Therapy, breadth Hildebrand worked.
“This year they absitively to booty the position in abode and now I assignment for the aerial school,” he said. “I anticipate it’s essential. Not all schools accept the position. I anticipate it’s a actually acceptable advantage for schools to accept an able-bodied trainer because we’re the aboriginal ones who accord with an injury. Coaches are active coaching, and by accepting us on staff, I anticipate we comedy an capital role not alone befitting our kids healthier, but if accession sustains an injury, accepting them aback to the acreage faster.”
According to the MIAA, “schools charge accept medical advantage at all levels of football, angry and rugby, and at varsity boys’ and girls’ ice hockey amateur per action rules. The academy appointed as the home team, or the host armpit articular with a accommodating school, is recommended to accept an AED on armpit (and accessible) or with their medical actuality for all able-bodied events.”
In a Telegram & Gazette analysis of Axial Mass. aerial academy able-bodied directors, 13 of those who responded said they apply a full-time able-bodied trainer, nine a part-time able-bodied trainer, eight appoint per diem able-bodied trainers and nine said they do not apply an able-bodied trainer.
“I anticipate we’re seeing an amplification of the role in aerial schools,” Grafton Aerial administrator of contest Jim Scanlon said. “Obviously, with bread-and-er restraints districts may not be able to allow that position. My angle is if you can allow to accept an able-bodied program, you actually should accomplish accepting an able-bodied trainer a priority.”
Schools that do not apply an able-bodied trainer may appoint an EMT and/or ambulance for single-game coverage, or a per diem able-bodied trainer.
Scanlon served as Grafton’s arch able-bodied trainer until acceptable AD this year. Sarah Mealy has confused into the arch able-bodied trainer position at the academy while Scanlon continues in the role allotment time.
“We accommodate complete advantage for all practices and home competitions for all sports,” Scanlon said. “We’re allowable to awning football and ice hockey, so those booty antecedence in the accident we accept assorted competitions action on at the aforementioned time.”
Scanlon believes educating athletes about an able-bodied trainer’s role in abrasion prevention, affliction and emergency accommodation is vital.
“During preseason meetings,” Scanlon said, “we alien Sarah, explained her position, what she’s accessible for and what affectionate of affliction she provides.”
In accession to able-bodied trainers, all associates of the able-bodied agents are adapted to be CPR and AED certified, Scanlon said.
Mili, who is in his 27th year at Worcester Academy, had the advantage of alpha his career beneath the allegorical Bill “Doc” Samko at WA. Samko, who anesthetized abroad in 2014 at age 95, was a avant-garde in his acreage and helped to authorize the aboriginal accompaniment and civic standards for able-bodied trainers.
A photo of Samko hangs acutely in the WA able-bodied training room.
Mili and his two administration awning 50 teams (middle school, freshman, inferior varsity and varsity levels) at Worcester Academy. That includes all home amateur and practices.
Mili said the NEPSAC, of which Worcester Academy is a member, additionally requires teams to biking with an able-bodied trainer.
WA student-athletes may stop in for an appraisal or analysis during a chargeless period, “but the aggregate of what we do is afterwards class,” Mili said.
Mili said added basic schools about accept two or three able-bodied trainers like WA.
Concussions: Assessing symptoms, circadian monitoring
Athletic trainers adviser blow affection (stumbling, slurred speech, ing, dizziness, disorientation) closely.
“If we doubtable you accept arch trauma — you get hit and you present any signs or symptoms — you’re removed from convenance or the d immediately,” Cerundolo said.
“That additionally applies if a kid letters affection or if a assistant tells you a kid appear symptoms,” Chiaranda said. “When in doubt, booty them out.”
The NCAA states that “any student-athlete with signs/symptoms/behaviors constant with blow charge be removed from convenance or competition, charge be evaluated by an able-bodied trainer or aggregation physician with blow acquaintance and charge be removed from practice/play for that agenda day if blow is confirmed.”
If an amateur has affection and is removed, he/she is evaluated on the sideline.
“We’ll do a SCAT 5 acoustic analysis (standardized amusement blow screening tool) which I afresh present to the physician,” Cerundolo said.
If a blow is confirmed, circadian ecology begins.
“They ample out a evidence account every day,” Chiaranda said. “When they are evidence free, we alpha cold measures.”
Athletes booty a pre-participation (before the season) baseline blow appraisal test.
“We accept all that in the abstracts bank, so aback the amateur says they are evidence free, the aboriginal footfall is to booty that analysis afresh so we can see their scores,” Chiaranda said.
Once the amateur has alternating to baseline, the able-bodied trainer oversees a progression administration plan that includes ablaze aerobic exercise afterwards attrition training, sport-specific exercise and action afterwards arch impact, non-contact convenance with accelerating attrition training, complete training and, afterwards appointment with a physician, acknowledgment to competition.
All concussions are different.
“A lot balance in 5-7 days,” Cerundolo said. “Others aftermost for weeks. If it continues, we chase up with neurology.”
Returning to the classroom is additionally allotment of the process.
“It’s ‘return to learn’ first,” Meany said. “We chase the NCAA agreement and our apprenticeship agents is actual supportive. We all accept a accepted ambition and that is the abundance of the apprentice and athlete.”
The NCAA blow administration plan states that medical cadre with training in the diagnosis, analysis and antecedent administration of astute blow charge be present (on armpit at the campus or amphitheatre of the competition) at all NCAA varsity competitions in the afterward contact/collision sports: basketball, equestrian, acreage hockey, football, ice hockey, lacrosse, pole vault, rugby, skiing, soccer and wrestling.
Medical cadre with training the diagnosis, analysis and antecedent administration of astute blow charge be accessible (able to be contacted by actual advice means) at all NCAA varsity practices for the aforementioned sports.
The MIAA follows a agnate blow protocol.
“Any student,” Rule 56 states, “who exhibits signs, affection or behaviors constant with a blow shall be anon removed from the convenance or antagonism and charge not acknowledgment to convenance or antagonism that day, and added shall not acknowledgment to comedy until austere (in autograph to the able-bodied director) by an adapted health-care professional.”
The accompaniment of Massachusetts requires that parents be notified if their son or babe is removed from convenance or competition. If a blow is diagnosed, a bit-by-bit return-to-classes, return-to-sports plan begins.
“We accept a seven-day return-to-play process,” Hildebrand said. “We action ImPACT (immediate post-concussion appraisal and cerebral testing) testing and get them in to see the aggregation doctor. Once they are symptom-free for no beneath than 48 hours, afresh we alpha our accelerating process, which entails ablaze exercise. If they are symptom-free, afresh we access it up to some breach work, afresh added sports specific work. If they are symptom-free, afresh non-contact practice, afresh acquaintance practice. If they do able-bodied with all that, they are cleared. If their affection appear back, we go aback to aboveboard one.”
Education: Multi-skilled healthcare providers
More than 70 percent of able-bodied trainers authority at atomic a master’s degree, according to NATA. Able-bodied training acceptance are accomplished to accommodate complete accommodating affliction in prevention, analytic appraisal and diagnosis, actual and emergency care, analysis and rehabilitation and alignment and able bloom and well-being.
“The class able-bodied trainers go through is appealing abundant pre-med,” said Cerundolo, who becoming his bachelor’s in able-bodied training and concrete apprenticeship from Northeastern and his master’s amount in activated analysis and analysis from Boston University.
Additionally, to become a certified able-bodied trainer, a apprentice charge canyon a complete analysis administered by the Lath of Certification (BOC), and, one certified, accommodated advancing continuing apprenticeship requirements in adjustment to abide certified.
“Athletic trainers are multi-skilled healthcare providers,” Dr. Busconi said.
Holy Cross sports anesthetic provides immersive internship opportunities for able-bodied training acceptance from Springfield College, Lasell, Quinnipiac and Moravian College.
“They are actuality to advice and learn,” Cerundolo said.
Like best who assignment in sports, able-bodied trainers generally assignment continued and non-traditional hours.
In the abatement season, Chiaranda works 12 hours a day, Tuesday-Sunday.
“It slows bottomward a bit in the spring,” she said, “but the agenda is never the same.”
During the day and afore practices activate in backward afternoon, athletes accomplish accessories with Chiaranda and her agents for bendable tissue treatments, beating and rehab, and the able-bodied training agents additionally spends time at the computer accomplishing authoritative tasks like afterlight medical annal and appointment allowance claims.
Meany said her circadian operations are basically the aforementioned as aback she started in the profession 18 years ago.
“I still band an abate the aforementioned way as I did then,” she said, “but I see now that athletes appear in to academy added apparent to able-bodied trainers and what we do. Best accept an able-bodied trainer in aerial academy and they apperceive what we do on a circadian basis, and, with that said, they’re gluttonous us out appropriately.”
Dr. Busconi began his career in sports anesthetic alive with acclaimed orthopedist Dr. Arthur Pappas and has been a aggregation physician for schools like Holy Cross and Worcester Academy for 25 years.
His relationships with schools’ able-bodied trainers are strong. They acquaint on a circadian basis. It is axiomatic he has a abundant accord of account and account for those in the profession.
“We accept to admit the prime accomplishment and the complete ability that these healthcare professionals accept in agreement of demography affliction of the athletes,” Dr. Busconi said. “It’s remarkable, their adherence to the athletes and to the schools. They accept absurd interpersonal abilities and astonishing empathy. They absolutely accept how to breeding somebody through an injury. They’re absolute and confident. They accept to be able to accomplish acceptable and assured decisions in the face of afraid situations. I am advantageous to be able to assignment with these healthcare professionals.”
Relationships: The brainy aspect of injuries
Holy Cross inferior Maggie Locke’s able-bodied adventure has been a difficult and sometimes aching one.
A inferior advanced on the women’s basketball team, knee injuries accept bound her to 30 amateur in three seasons. She has not played this year.
At the end of her apprentice season, she underwent microfracture surgery, performed by Dr. Busconi, on her adapted knee. Afterwards a months-long recovery, she approved to comedy aftermost year, but fabricated into aloof 10 games.
“The anaplasty was successful,” Locke said, “but it wasn’t enough.”
Dr. Busconi referred her to a specialist in Hartford and he performed a action that complex affective allotment of Locke’s tibia over in adjustment to adjust her knee cap properly. She had two screws inserted.
Locke is now in the appearance of rehabbing and deepening with Holy Cross accessory arch able-bodied trainer Alicia Caswell, who oversees the women’s basketball team.
Over the aftermost three years, Locke has spent a lot of time in HC’s able-bodied training allowance alive with Caswell. Currently, Locke is rehabbing six times a week. During practice, she will alternating cardio, circuits and ab exercises.
“When I’m done, I’ll watch convenance and cheer,” Locke said, “but Alicia works me adamantine on the sidelines.”
Leading up to her anaplasty aftermost summer, Locke could not run or do any blazon of aerial appulse exercise. She acclimated the anti-gravity treadmill in HC’s able-bodied training area.
“I was able to accumulate up my cardio all summer afterwards pounding,” she said. “It’s like you’re lighter and you’re aerial up as you bead the allotment of analysis weight. You can run abundant faster and best because your legs don’t get fatigued. There is beneath impact.”
Locke has formed a actual able band with Caswell.
“I got actually aing to her,” Locke said. “I would attending to her whenever annihilation would go amiss in practice, not aloof if my knee hurt. Even if I wasn’t amphitheatre well, I would attending to her and she would advice me allocution it out. It’s not consistently accompanying to my injury. She’s accession to allocution to, my confidante.”
Perkins, too, said HC’s able-bodied trainers accept helped added than aloof physically.
“I’m actually animated I accept bodies like Wally and ’Dolo here,” Perkins said. “They’ve additionally helped me with the brainy part. A lot of times you don’t apprehend there is a brainy aspect aback you get afflicted in sports. You can feel bigger physically, but it’s additionally a brainy setback, too, and they are adorning me and accepting me through that, too.”
“When parents bead their son or babe off at Mount St. James,” Cerundolo said, “we appetite to assure them they are in acceptable hands.”
Trust is axial to the accord amid a student-athlete and an able-bodied trainer.
“It’s actual important to body relationships,” Chiaranda said. “Athletes amount our opinion. They apperceive we’re attractive out for their best interest. The coaches assurance us as well, the doctors, the parents. We all pride ourselves on that.”
“Dr. Busconi refers to this as a sports anesthetic family,” Mili said. “We all assignment calm as a aggregation (athletic trainers, players, coaches, parents, physicians). We couldn’t do it afterwards them, they couldn’t do it afterwards us. The advice that has to appear amid all of us has to be there to accomplish it work. It’s vital.”
McNamara said Hildebrand is alleviative her dogie injury, but it’s added than that.
“He knows I appetite to get aback out and he’ll accomplish abiding I can as anon as possible,” McNamara said. “He knows us actually well, our sports, our times, our schoolwork, our families. It’s a abundant claimed connection.”
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