Mayo Clinic Q&A

On this special Veterans Day edition of the Mayo Clinic Q&A podcast, Mayo Clinic chaplain, Loren Olson, and Mayo Clinic security operations supervisor, Charlie Hall, join host Dr. Halena Gazelka for a conversation on caring for veterans.

Show Notes

Like all patients, military veterans bring their unique experiences and backgrounds with them as they navigate medical and end-of-life care. At Mayo Clinic, programs are in place to honor military service and care for veterans.

Mayo Clinic Hospice is a partner of the We Honor Veterans Program run by the National Hospice and Palliative Care Organization. The Hospice team provides the high level of medical, emotional, spiritual and social care that those who have served in the U.S. armed forces deserve. Team members recognize and honor the hospice patient’s military service with a veteran pinning ceremony. Ceremonies are provided after approval by the patient and family and can include anyone whom the military member and family would like to participate, along with the hospice team.

“It's just a small, simple way of saying thank you to a veteran,” says Loren Olson, a chaplain with Mayo Clinic Hospice. “We bring a pillowcase that represents their branch of the service and a small pin that they could put on a lapel, or a lot of them put them on their military hats. We bring a coin and a certificate from Mayo Clinic expressing our appreciation and we invite them to share their experiences in the military.”

Building on the We Honor Veterans program, Charlie Hall, a Mayo Clinic security operations supervisor, helped develop a "Final Honor Walk" for deceased veterans at his Mayo Clinic Health System location in La Crosse, Wisconsin.

Hall served in the Army as an active-duty rifleman with a combat tour to the Balkans and as a paratrooper with close to 100 military parachute jumps. In addition to his role as a security supervisor, Hall and his team in La Crosse meet with families of deceased veterans to arrange a “Final Honor Walk," where family and staff line the hallway to honor veterans while they are moved out of the hospital room in a flagged-draped cart. 

“The final honor walk is something that I wanted to develop,” explains Hall. “I had worked with the We Honor Veterans program in Rochester, with hospice, and the near-end-of-life things with veterans, all the great things they do there. I had the privilege of doing that, but I saw us being able to do a little bit more in an inpatient setting.” 

In addition to care at the end of life, it's important to acknowledge the unique needs of veterans every day in the clinical setting. Issues including post-traumatic stress disorder (PTSD) and substance use disorders are more common among veterans than the general population, and they often go hand in hand. More than 2 in 10 veterans with PTSD also have a substance use disorder, according to the U.S. Department of Veterans Affairs

“If a veteran is wearing a hat that signifies their veteran’s status if you will, that to me is the OK to come up and thank them for their service,” says Hall. “And I do that routinely here. It's usually a surprise to the veteran. They're usually extremely grateful. Probably the No. 1 thing is to acknowledge them. It's so important to make people feel at ease when care is coming, especially when there are some complex situations with medical care. There are some very sensitive conversations that have to happen. We all know that happens so much easier when we have great rapport with our patients.”

“Honoring veterans is part of the culture at Mayo Clinic, at least in my experience,” says Olson. “One of the first things I learned as I came to work the hospice program was that We Honor Veterans partnership with the Veterans Administration is important to us. We want to spend time honoring our veterans. So I do think we have developed a corporate culture that just helps us to think of the specific needs of our veterans.” 

On this special Veterans Day edition of the Mayo Clinic Q&A podcast, Olson and Hall join host, Dr. Halena Gazelka, for a conversation on caring for veterans.

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Narrator: Coming up on Mayo
Clinic Q&A...

Loren Olson: It's a day where we
can show appreciation and

gratitude to all those who gave
up a big portion of their lives

to serve us.

Narrator: Veterans Day is a
holiday held on the anniversary

of the end of World War One.
It's a day to recognize the men

and women who have served in the
US Armed Forces, to honor them,

and to say thank you for their
service.

Charlie Hall: Veterans are
really no different than anyone

else that didn't serve. We just
got some different stories and

they pledged their lives to
support our system. So actually

just wanting people to be
comfortable with what a veteran

is.

Dr. Halena Gazelka: Welcome,
everyone to Mayo Clinic Q&A, I'm

Dr. Halena Gazelka. Veterans Day
is a federal holiday in the

United States for honoring
military veterans of the United

States Armed Forces. The theme
for Veterans Day 2022 is honor.

And this year, we would like to
honor our veterans by showcasing

some of our incredible programs
and efforts here at Mayo Clinic.

With us today are two Mayo
Clinic employees who have been

heavily involved in various
initiatives and programs to

support our veterans. Charlie
Hall is a security operations

supervisor at Mayo Clinic in La
Crosse. Charlie served in the

army as an active duty rifle man
with a combat tour to the

Balkans and as a paratrooper
with close to 100 military

parachute jumps. Loren Olson is
a Mayo Clinic hospice chaplain

who often works with veterans
and their families as they

reached the end of life. Welcome
both of you to the program.

Charlie Hall: Thank you.

Loren Olson: Hi, Halena.

Dr. Halena Gazelka: I have to
say, Charlie and Loren, that I

feel very honored to sit here
with you today and be able to

talk to you about your
experiences and your experiences

with veterans. Thank you both
for your service.

Charlie Hall: Thank you very
much. And likewise.

Dr. Halena Gazelka: Charlie,
let's start with you. Thank you

for your service to the
military. What is one memory

that you'd like to share with us
about your time in the service?

Charlie Hall: I guess there are
just so many in a 20-year active

duty career, but that's not much
different from a lot of careers

in the world. Really, it just
comes down to one thing for me

really is just pride. Pride in
being a citizen of our country

and being privileged enough to
not only serve for the United

States, but also being called
into a combat zone. Really, it

has been the pride of my life
really, in my work life,

separate from family and
children. That has been an

overwhelming theme for me. And
you know, otherwise, the two

parachute malfunctions I had
where I nearly wasn't here

anymore. Those were significant
events also.

Dr. Halena Gazelka: Charlie, did
you jump again after that?

That's the one thing I wanted to
ask you about. I am terrified of

heights. And I don't know if
there's literally anything but

someone pushing me out that
could make me jump out of an

airplane. What was that like?

Charlie Hall: Well, it's
interesting that you bring that

up because I'm also terrified of
heights. One of the things that

the military does is they train
you at 34 feet in a tower.

That's where the human brain in
most cases can detach from the

height aspect. And it becomes
more of a like we're riding

around in a jetliner aspect and
we're not so physical with the

ground in close proximity. But I
also was afraid, and you know,

in the army in the paratrooper
world, in the airborne, we have

a back on the horse mentality.
Very similar to on the farm, the

horse bucks you off and you got
hurt, you're getting right back

on it. And so I jumped.
Actually, when you have a

malfunction, they require you to
go through some extra training.

And I think I jumped three times
in one day on an afternoon.

Dr. Halena Gazelka: Charlie,
tell us about the Final Honor

Walk program and why it's
important to you.

Charlie Hall: The final honor
program is something that I

wanted to develop. I thought we
could do more in that area with

just being privileged, again, to
be able to work with the Mayo

Clinic brand and everything that
the greatest health care

organization on the planet
brings. I just thought that we

could do more in that area. I
had worked with, as I think

we're going to talk about later,
with the We Honor Veterans

program in Rochester, with
hospice, and the near end of

life things with veterans, all
the great things they do there.

I had the privilege of doing
that, but I saw us being able to

do a little bit more in an
inpatient setting. And there

were some obstacles. As we all
know, in a healthcare setting,

we have health information
obstacles, we have, you know,

sometimes it's just really hard
to institute a new program. But

really the leadership here in La
Crosse, and our Global Security

Leadership just really made it
easy. And we're really on the

team to provide a final honor
walk, if you will, of veterans,

when requested. And usually with
family, supported by our staff,

as we go through that final walk
in the flag draped transport.

It's really a special program.
It's something that I kind of

envisioned, and I wasn't really
sure if we were going to be able

to pull it off. But, with the
great leadership that we have

here and as easy as they made
it, it really is a rewarding

program.

Dr. Halena Gazelka: It's
wonderful, thank you for sharing

that, Charlie. Loren, I'd love
to pull you into the

conversation and have you tell
us about your work, and how you

help veterans and their
families, including the We Honor

Veterans program that Charlie
just mentioned.

Loren Olson: You know, from
spiritual care and end of life

issues, we do want to talk to
people about what are the really

important events of your life,
the things you're did in your

life to a very meaningful, that
helped shape who you are, that

help you look back and say,
yeah, you know, my being here I

made a difference. And for many
of our veterans, as Charlie

said, there's just really that
point of pride. That pride that

for a period of their lives,
they did kind of leave behind

their own agendas, and go to
work for our country. Whether it

was for our mission in wartime
or just peace time serving the

country in some way. To resist
that feeling that I'm proud of

what I was able to accomplish
during that period. So in

working with veterans, I always
try to bring that into the

conversation in terms of how
that experience impacted their

broader journey in life. And
oftentimes, you know, that's

very positive. You have people
have very positive experiences

in their service. Some of the
best friendships they ever made

were in their service. I'm
probably doing a funeral on

Wednesday for somebody, even
though he spent his whole life

or his whole military career in
cryptology, in small little

offices, so working far away
from any kind of battlefield. I

think, for him that was just
such an important part of his

life that he served his country
in the United States Air Force

for four years. And it was a big
point of pride for him that he

was going to be able to be
buried at the State Veterans

Cemetery in Preston. That meant
a lot to him. So, again, it's

that point of pride. There are
also those issues that come up,

because sometimes being in
harm's way, things happen.

Charlie had the experiences of
parachute failures. Even

practicing for combat can be
dangerous. I had a patient who

did not want to talk about his
war experiences at all in Korea,

until he got near the end. And
then he talked to me about being

a Marine machine gunner and
mowing down dozens of enemy

troops. And just that question
of, is God going to forgive me?

Will I be welcomed into heaven
after I did that? I mean, it's

that kind of that could have
experienced that, thankfully,

I've never had to experience.
But you know, some people in

service of their country are
called into those situations

that are unimaginable. Another
patient I talked to was in

Vietnam, standing on a little
footbridge over a creek with his

best friend having a smoke. And
suddenly a sniper shot his best

friend and killed him. And you
know they were on a break. And,

for him it was the issue of why
did the sniper choose him

instead of me? Why am I alive
and he's not? And again, that

question really shaped his life.
And even at the end, you can

struggle with that question of
why did I get to live to be 75

years old, where my friend only
lived to be 19. And when those

issues come up, for me, it's
meaningful to have the

opportunity to work with people
through those issues, and in a

spiritual way and help them find
some meaning, find some closure,

find some peace.

Dr. Halena Gazelka: Just to
sharing those stories, Loren,

makes me sense how important
this work is. My own father died

on Mayo Clinic hospice here in
Rochester and was a veteran and

had a veteran's pinning. And
that meant very much to him. He

didn't remember a lot of things.
But he remembered his time in

the military and was very proud
of it. Then he, too, is in the

Preston military cemetery, which
is a beautiful spot. What

important work you're doing.
Tell us what else the staff on

hospice do to help build trust
with veterans and their

families, as you're working with
them.

Loren Olson: I think one thing
we can do, you know everybody

has their own unique experience.
And we all live our own lives,

we die our own deaths, but I
think it's important for us to

be aware of the special concerns
that sometimes arise with

veterans and their families. And
like I just talked about, you

know, about the PTSD issues that
can come up from service. The

missing important events,
because you're often deployed,

things like that that come up
that we can be sensitive to and

think about as we're offering
our care. So I think it's just

part of our commitment to care
for our patients and put the

needs of the patient first. And
sometimes our veterans have

special needs. And because of
that, we need to be aware of

that we need to do some training
in that. We need to find ways

that we can support them in that
journey. And one of those is by

honoring them by celebrating
their service.

Dr. Halena Gazelka: Charlie, can
you share with us a memorable

moments or achievement that
you've had while working with

the honor walk program?

Charlie Hall: They're all so
special, Halena. As you know,

they're all unique. They're all
beautiful in their own personal,

individual way. But what I do
remember is, without getting

into any details, we did have a
gentleman pass, inpatient, that

actually fought alongside of the
United States in the Vietnam

War, and was a friendly
supporter, both militarily and

conceptually. And his entire
family was upstairs at the time

of passing, and they requested
us. And that was just another

one of the very unique services
that our great security team

does on a 24 hour a day basis
when called upon. They're all

unique. All of the situations
are different, but that one

really sticks out for me because
that was what we would refer to

as a veteran that completed the
mission. At the time all of that

happened, he didn't even live in
this country. He wasn't even a

legal citizen at the time. And
for the amount of things that

family paid. It was pretty
remarkable to be able to be a

part of that and have them open
up and have us come in and

perform that for them.
Definitely one I won't forget.

Dr. Halena Gazelka: Loren, you
shared a couple. But I'll ask

you the same question. Do you
have a story that you would like

to share or a memorable moment
from working with the We Honor

Veterans program or other
veterans' initiatives here at

Mayo?

Loren Olson: I can think of a
few. Several pinning ceremonies

that were particularly
meaningful. One that comes to

mind right away is we had a
patient who had struggled with

mental illness and addiction
much of his life. But to do four

years of duty in the United
States Army, serving in the

Philippines and Korea, and we
were able to do a veteran's

pinning for him. And what I saw
was kind of a transformation

because, here we kind of looked
at a life where there been a lot

of disappointment, a lot of
difficulty. But we were able to

bring him back to a time when he
was a capable human being who

did serve four years in the army
with distinction. He did a great

job. And also, there's that
pride of country. We were able

to remind him of a time when it
wasn't all about his problems, a

time that he was serving others,
when he was doing useful things.

And I know he talked about that
for weeks and weeks after that

pinning ceremony because it just
meant so much to him to be

honored and to bring back those
memories of his military

service.

Dr. Halena Gazelka: Can I ask
you one question to describe for

those who have not experienced
it what a pinning ceremony is?

Loren Olson: Sure. So it's just
a small, simple way of saying

thank you to a veteran. We come
into the veteran's home or

wherever they're at, and we
usually bring a pillowcase that

represents the branch of the
service that they served in, and

a small little pin they could
put on a lapel, or a lot of them

put them on their military hats,
and a coin from Mayo expressing

our appreciation for their
service, and a certificate. And

we'll just do us a short little
ceremony just saying thank you.

First of all, we invite them to
share, like you invited Charlie,

some special experiences from
their time in the military. And,

and then we just do a short
ceremony thanking them for their

service. And then if they're
open to it, we offer a prayer, a

blessing for them at the close
of the service. So and it's a

ceremony that can take just five
minutes, but I was at one last

week that took an hour and 20
minutes, because we just got

this veteran talking about his
experiences. He was just having

so much fun and brought us into
the fun. So the ceremony went on

and on and on, and we all loved
it. It was a great time.

Charlie Hall: Loren, if I could
add one thing off of what Loren

mentioned, there are some really
beautiful moments in those

pinning ceremonies. I personally
have witnessed a couple of

handfuls of them, of family
communicating and getting

together when they haven't in a
very long time. And some of the

conversations needed to happen.
And they did. And you know, it

was just a very beautiful,
unique experience that's

occurring right before your
eyes. And you really had no idea

that all of this was going to
come together like this, but I'm

sure Loren, and you've also been
through it. Halena, it's just a

beautiful time, and there are so
many good things that occur

there. So I completely agree,
Loren, it's just a beautiful

scenario, when that all happens,

Loren Olson: It's just a
beautiful time, and it can be

just a Mayo employee and the
veteran, or it could be, as

Charlie says, I've been in a
room with 30 people that are

family members who gathered to
celebrate that event for that

person.

Charlie Hall: I actually emceed
an event in Minnesota. It was

going to be planned as just one
veteran and a few family

members. And the home set up a
microphone and they invited the

entire home into the area. And I
think I had over 100 folks. We

had every veteran that wanted to
be in that ceremony was in that

ceremony. They came through,
some on wheelchairs, they

saluted the veteran, the family
and just the entire atmosphere

in the way that it was all set
up. I did not plan on that. But

I ended up being the emcee for a
group ceremony, which was

beautiful. And I'll never forget
that one either.

Dr. Halena Gazelka: Oh, that is
wonderful, Charlie, thank you

for sharing that. Charlie, what
does Veterans Day mean to you as

a veteran?

Charlie Hall: That's
interesting. You know, a lot of

times people don't understand
why veterans don't necessarily

get too excited about holidays
that are made on their behalf.

That's not the norm usually in
our country. But when we see

Memorial Day come along, I know
personally, for me, knowing I

had three fellow soldiers that
were killed in both Iraq and

Afghanistan conflicts, killed in
action, Memorial Day is

difficult for me. I completely
pretty much dismiss it and I

think there are a lot of fellow
veteran brothers and sisters out

there that just want that day to
be done. Maybe similar to

someone that lost a family
member on a holiday. And that

holiday comes around and it's
like I can't wait until

midnight, you know? And that
really, for me, is difficult.

But Veterans Day, now that is
for all veterans to celebrate

serving. Unfortunately,
sometimes, and we may get into

this later, but one of my wishes
would be that if people could

really distinguish between
Memorial Day and Veterans Day,

and you really have to kind of
think about it and research it.

Memorial Day is for those that
gave their life in battle, or in

training for the country. And
Veterans Day, is to appreciate

all veterans that have served
and there really is a

distinction that sometimes, you
know, people don't all know. The

media gets it confused a little
bit, sometimes, not by any fault

of their own, and not by any
fault of anyone. But it's the

separation of the two I think is
really important. But Veterans

Day has always been great. I
always do make my best

opportunity to get out to
whatever events we can in my

hometown, in my local town with
the American Legion and the

soldiers, Veterans of Foreign
Wars. So it really is a great

day. It's a great chance to
honor all of those that served.

Dr. Halena Gazelka: Wonderful,
Loren, what does Veterans Day

mean to you?

Loren Olson: I think, as Charlie
said, I think it is a day where

we can show appreciation and
gratitude to all those who gave

up a big portion of their lives
to serve us. Like I think of my

grandfather, who was a World War
One veteran, an ambulance driver

in France, and Veterans Day was
a highlight for him, just a

point of pride and just time to
celebrate. And he loved to tell

the stories of his year in
France. And my uncle did three

tours of duty in Vietnam. And
you just want to say thank you.

We just want to say thank you
for we who benefit from their

service. And I think it is great
to have a holiday that's just

based on gratitude. And you
don't have to go out shopping

for anybody, you don't have to
cook big meals. You just have to

say thank you for your service.

Dr. Halena Gazelka: I love that.
And I try to do that for each

and every patient who comes in
my office if I find out that

they're a veteran. Often they're
wearing a hat, like you said

earlier, and I'll thank them for
their service, because we're so

grateful for that. On Veterans
Day, what are some of the ways,

Charlie and Loren, that Mayo
staff honor our veterans who are

with us?

Charlie Hall: Well, I think
Halena, you just hit on a big

one. I do the same exact thing.
When I'm in the clinic here,

anywhere on campus, or any of
our clinics in the region, if

that veteran is wearing a hat
that signifies their veterans

status if you will, that to me
is the okay to come up and thank

them for their service. And I do
that routinely here. It's

usually a surprise to the
veteran. They're usually

extremely grateful. And that
probably is the number one thing

is to acknowledge them. It's so
important in our environments to

make people feel at ease when
care is coming, especially when

there are some complex
situations with medical care.

There's some very sensitive
conversations that have to

happen. We all know that happens
so much easier when we have

great rapport with our patients.
So really, with the recognition

of on the outward part of
wearing the hats, but also on

the on the inside in the exam
room, for example. Not that I've

ever been there, but I can
imagine as a patient in an exam

room to have some of those
potential stigmas that come

along with your veterans
service. Circling around mental

health issues, homelessness
issues, and all of the terrible

things that happen in all of our
society, but within the veteran

segment, there is quite a big
incidence of that. To kind of

make that veteran feel at ease
if you will. And to not be

afraid, if that's not too hard
of a word. Because they sense

that, and a lot of times it
won't be a productive

conversation. So communication
through all of the different

techniques that we use to make
people feel comfortable and that

they're wanted here, they're
appreciated, and we thank them.

Veterans, that's just one facet
of what everyone does in this

world. And we thank our patients
for everything that they've done

good in this world and to make
them feel comfortable and at

ease and to keep that
communication going. So that

would be the the main topic for
myself is what we can do is just

to make that veteran feel
comfortable, be confident in

their presence, and show
appreciation.

Dr. Halena Gazelka: That's
wonderful. It's kind of like

what we would want to do for
every patient who comes through

the door with a little added
thank you for being a veteran. I

love that, Charlie. Loren, what
are your thoughts? What do Mayo

staff do to honor veterans on
Veterans Day and on a daily

basis?

Loren Olson: My experience with
Mayo it's just that honoring

veterans as part of the culture,
at least in my experience, the

hospice at Mayo. One of the
first things I learned as I came

to work the hospice program was
that We Honor Veterans

partnership with the Veterans
Administration is important to

us. We want to honor that. We
want to lift it up, we want

spent time honoring our
veterans. So I do think we have

developed a corporate culture
that just helps us to think of

the specific needs of other
veterans in ways that we can be

thankful. So I just appreciate
that in terms of my experience

with Mayo.

Dr. Halena Gazelka: All right.
Last question for both of you.

This is your opportunity to
educate us. What do you wish

that more people knew about
veterans? We'll start with you,

Charlie.

Charlie Hall: It's really
difficult to to answer your

question Halena, because it is a
bit complicated. Obviously, if

we don't have experiences in
life that other people have gone

through, it's going to be very
difficult to ask the question,

well, why don't you consider
this or do you know what I went

through. And really, it goes
through all facets of our lives,

regardless of what occupation
you're in, but specifically to

veterans. there, as I hit on
some of the issues. Some of the

possible stigmas of mental
health, homelessness,

alcoholism, things of that
nature, have hit that small

percentage of veterans for this
country very hard. I heard a

statistic less than 1% of all
Americans will serve their

country or honorably served
their country at some point in

their life. That's a very small
percentage. So when issues do

happen within that group, there
are going to be some things that

come along with them. So again,
it will come back to making the

veteran feel comfortable, and
just know that they went out

there and they did everything
they could to preserve our way

of life. And none of them that
I've ever met, and I don't

believe I ever will, require a
dime from anyone or want

anything said to them. But they
feel that appreciation. And

that's really the big thing that
I would like people to

understand is, veterans are
really no different than anyone

else that didn't serve. We've
just we just got some different

stories and they pledged their
lives to support our system. So

really just wanting people to be
comfortable with what a veteran

is.

Dr. Halena Gazelka: Loren, do
you have any thoughts on what

you wish others knew about
veterans whom you have worked

with?

Loren Olson: I think the point
Charlie made from his own

personal experience. Charlie, of
course has done a lot more with

veterans than I have. I
appreciate that, Charlie, the

way you support your brothers
and sisters in arms.

Loren Olson: I think as you say
a small percent serve now. And a

lot of us aren't touched by
military life as prior

generations where you had the
major wars with big call ups of

people. But there are some
unique experiences that can come

from that in terms of the PTSD.
We know that veterans have a

higher rate of depression,
higher rate of suicide than the

general public. So just some
sensitivity to those issues.

We're all the same, but the
military experience is a unique

experience, and it can create
challenges in person's life. So

I think just some supporting
some of the kinds of programs

that are developed to help the
veterans is helpful, is useful.

I think is we could do more for
veterans, but at the same time,

at least, it's a start to say
thank you. Thank you for that

Charlie Hall: Thank you.

I agree with that. And thank you
Charlie and Loren for being here

unique experience, that unique
commitment that they make on our

behalf.

today.

Charlie Hall: Thank you, Halena.
For acknowledging the programs

I agree. We want to bring more
attention to those programs.

with the We Honor Veterans
hospice, and our inpatient Final

Honors program here. Your
podcast here is going to bring

so much more support to those
programs when they desperately

need to be acknowledged and
folks need to hear what's

available there for their
patients, especially nursing and

folks like that. So thank you so
much for organizing this and

what a great time of year with
Veterans Day to have this

discussion. So thank you.

Thank you, too. Loren.

Loren Olson: Thank you, Halena.
And, and thank you, Charlie.

Charlie Hall: Thank you, Loren,
for everything you're doing.

Dr. Halena Gazelka: Our thanks
to Mayo Clinic's Charlie Hall,

and Loren Olson, for joining us
today to talk with us about

taking care of veterans on
Veterans Day. If you're a

veteran, we thank you. Thank you
for your service. Thank you for

guaranteeing the safety of each
of us. If you're not a veteran,

I encourage you today to find a
veteran to thank on Veterans

Day.

Narrator: Mayo Clinic Q&A is a
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NewsNetwork.MayoClinic.org. Then

click on podcasts. Thanks for
listening and be well. We hope

you'll offer a review of this
and other episodes when the

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MayoClinicNewsNetwork@mayo.edu.