August #PANCSM Chat: Pancreatic Cancer Research

nirajgusani RT @pancdoc: RT @PancSMChat Tonight’s #PANCSM Chat on #pancreaticcancer research begins in 15 minutes! Don’t miss it!

Thu Aug 7 17:59:47 PDT 2014 ReplyRetweetFavorite

pancsmchat Welcome to the second #PANCSM Chat! This month, #pancreaticcancer experts are joining us to talk about research in the field.

Thu Aug 7 18:00:03 PDT 2014 ReplyRetweetFavorite

nirajgusani RT @PancSMChat: Welcome to the second #PANCSM Chat! This month, #pancreaticcancer experts are joining us to talk about research in the fiel…

Thu Aug 7 18:00:30 PDT 2014 ReplyRetweetFavorite

pancsmchat Who’s joining us for today’s #PANCSM Chat?

Thu Aug 7 18:00:59 PDT 2014 ReplyRetweetFavorite

pancdoc Mark Bloomston; Surgical Oncologist from Ohio State @OSUCCC_James #pancsm

Thu Aug 7 18:01:38 PDT 2014 ReplyRetweetFavorite

nirajgusani .@PancSMChat Niraj Gusani, Surgical Oncologist specializing in Liver & Pancreas Surgery -Penn State Cancer Institute in Hershey, PA #PancSM

Thu Aug 7 18:02:09 PDT 2014 ReplyRetweetFavorite

nirajgusani Hey Mark – how are you? @pancdoc @OSUCCC_James #PancSM

Thu Aug 7 18:02:44 PDT 2014 ReplyRetweetFavorite

pancdoc @NirajGusani Hey Niraj. Doing great. How are things in PA? #pancsm

Thu Aug 7 18:03:37 PDT 2014 ReplyRetweetFavorite

nirajgusani Not bad … busy but that’s good! #pancsm

Thu Aug 7 18:04:35 PDT 2014 ReplyRetweetFavorite

mkatzmd hi all, Matthew Katz from MDACC here #PancSM

Thu Aug 7 18:04:38 PDT 2014 ReplyRetweetFavorite

pancsmchat Welcome, all! Please feel free to chime in with your questions for our experts as we progress through #PANCSM.

Thu Aug 7 18:04:50 PDT 2014 ReplyRetweetFavorite

pancsmchat Q1: What research has been conducted in the past 10 years to further pancreatic cancer treatment and outcomes? #PANCSM

Thu Aug 7 18:05:22 PDT 2014 ReplyRetweetFavorite

pancdoc @mkatzmd Hey Matt. glad you could make it #pancsm

Thu Aug 7 18:05:44 PDT 2014 ReplyRetweetFavorite

njarellano .@pancsmchat Hi everyone #PancSM

Thu Aug 7 18:05:51 PDT 2014 ReplyRetweetFavorite

nirajgusani Q1 a lot of great progress in surgical & medical treatment of pancreatic cancer, including new drug regimens & safer surgery #PancSM

Thu Aug 7 18:06:45 PDT 2014 ReplyRetweetFavorite

nirajgusani Hi Nelson – thanks for joining us! @NJArellano @pancsmchat #PancSM

Thu Aug 7 18:07:18 PDT 2014 ReplyRetweetFavorite

pancdoc @PancSMChat A1: new chemo regimens show never-before-seen improvements in survival compared to previous #pancsm

Thu Aug 7 18:07:30 PDT 2014 ReplyRetweetFavorite

nirajgusani RT @pancdoc: @PancSMChat A1: new chemo regimens show never-before-seen improvements in survival compared to previous #pancsm

Thu Aug 7 18:07:53 PDT 2014 ReplyRetweetFavorite

njarellano @nirajgusani @pancsmchat Hi Niraj. Thank you #PancSM

Thu Aug 7 18:08:00 PDT 2014 ReplyRetweetFavorite

njarellano RT @NirajGusani: Hi Nelson – thanks for joining us! @NJArellano @pancsmchat #PancSM

Thu Aug 7 18:08:20 PDT 2014 ReplyRetweetFavorite

nirajgusani Thx for retweet @Aiims1742 hope you can join us now for #PancSM chat on research!

Thu Aug 7 18:09:43 PDT 2014 ReplyRetweetFavorite

njarellano @pancsmchat @pancdoc @NirajGusani “Pancreatic Cancer Survival Rates Haven’t Improved In Four Decades”. This is alarming #PANCSM

Thu Aug 7 18:10:12 PDT 2014 ReplyRetweetFavorite

pancdoc @NJArellano @pancsmchat @NirajGusani True that cure rates have not improved but we are commonly seeing people liver longer than evr#pancsm

Thu Aug 7 18:11:07 PDT 2014 ReplyRetweetFavorite

nirajgusani True – progress is slow – but I think we are making some… Still one of the most deadly cancers though @NJArellano @pancdoc #PancSM

Thu Aug 7 18:11:17 PDT 2014 ReplyRetweetFavorite

njarellano RT @pancdoc: @NJArellano @pancsmchat @NirajGusani True that cure rates have not improved but we are commonly seeing people liver longer th…

Thu Aug 7 18:11:39 PDT 2014 ReplyRetweetFavorite

mkatzmd Do you guys have any trials going you are particularly excited about? #pancsm

Thu Aug 7 18:11:50 PDT 2014 ReplyRetweetFavorite

njarellano RT @NirajGusani: True – progress is slow – but I think we are making some… Still one of the most deadly cancers though @NJArellano @pancd

Thu Aug 7 18:11:52 PDT 2014 ReplyRetweetFavorite

pancsmchat Q2: What research is currently underway to give pancreatic cancer patients more hope for positive outcomes? #PANCSM

Thu Aug 7 18:12:08 PDT 2014 ReplyRetweetFavorite

nirajgusani Also getting better (slowly) at early detection and getting more people to surgery & chemo @pancdoc @NJArellano @pancsmchat #PancSM

Thu Aug 7 18:12:11 PDT 2014 ReplyRetweetFavorite

njarellano RT @PancSMChat: Q2: What research is currently underway to give pancreatic cancer patients more hope for positive outcomes? #PANCSM

Thu Aug 7 18:12:43 PDT 2014 ReplyRetweetFavorite

pancdoc @mkatzmd we are launching a trial using modern chemo (FOLFIRINOX) plus a virus prior to surgery #pancsm

Thu Aug 7 18:12:51 PDT 2014 ReplyRetweetFavorite

nirajgusani A2 Tons of great research (but of course we need more) – #pancreaticcancer is underfunded compared to other cancers #PancSM

Thu Aug 7 18:13:18 PDT 2014 ReplyRetweetFavorite

njarellano @pancsmchat Great question #PANCSM

Thu Aug 7 18:13:20 PDT 2014 ReplyRetweetFavorite

njarellano RT @NirajGusani: Also getting better (slowly) at early detection and getting more people to surgery & chemo @pancdoc @NJArellano@pancsmcha

Thu Aug 7 18:14:18 PDT 2014 ReplyRetweetFavorite

nirajgusani I am very excited about a trial we are doing for increasing Physican Activity in Cancer Surgery patients @pancdoc @mkatzmd #PancSM

Thu Aug 7 18:14:29 PDT 2014 ReplyRetweetFavorite

nirajgusani How about you @mkatzmd ? What about research at your institution? #PancSM

Thu Aug 7 18:15:32 PDT 2014 ReplyRetweetFavorite

pancdoc @NirajGusani @mkatzmd what do you mean by physician activity? #pancsm

Thu Aug 7 18:15:34 PDT 2014 ReplyRetweetFavorite

nirajgusani Monitoring PA using activity monitors and randomizing to just this vs a tablet based motivational intervention @pancdoc @mkatzmd #PancSM

Thu Aug 7 18:16:28 PDT 2014 ReplyRetweetFavorite

mkatzmd @nirajgusani that is outstanding. love it. #pancsm

Thu Aug 7 18:17:06 PDT 2014 ReplyRetweetFavorite

nirajgusani Hope to increase periop standing and walking to improve outcomes @pancdoc @mkatzmd #PancSM http://t.co/EK6jlEW9mY

Thu Aug 7 18:17:29 PDT 2014 ReplyRetweetFavorite

mkatzmd We are interested in preoperative approaches… always trying to improve surgical outcomes #pancsm

Thu Aug 7 18:18:18 PDT 2014 ReplyRetweetFavorite

nirajgusani Our patients can’t run marathons, but I believe small changes in their conditioning will yield results… @pancdoc @mkatzmd #pancSM

Thu Aug 7 18:18:32 PDT 2014 ReplyRetweetFavorite

pancdoc @NirajGusani @mkatzmd I think there is something to that. We need to focus on recovery as well as cancer treatement #pancsm

Thu Aug 7 18:18:36 PDT 2014 ReplyRetweetFavorite

njarellano Research focusing in diagnosis vs treatment. What is the goal in research ? #PANCSM @NirajGusani @pancdoc @PancSMChat

Thu Aug 7 18:18:54 PDT 2014 ReplyRetweetFavorite

nirajgusani Yes! @pancdoc @mkatzmd #pancsm

Thu Aug 7 18:19:18 PDT 2014 ReplyRetweetFavorite

pancdoc @NJArellano @NirajGusani @PancSMChat More efficient diagnosis, more effect therapy, and MORE CURES! #pancsm

Thu Aug 7 18:19:45 PDT 2014 ReplyRetweetFavorite

nirajgusani Many different aspects of research – need new treatment strategies, of course, @NJArellano @pancdoc @PancSMChat #PancSM

Thu Aug 7 18:20:34 PDT 2014 ReplyRetweetFavorite

njarellano @pancdoc @nirajgusani @pancsmchat What is the major focus of much research? #PANCSM

Thu Aug 7 18:20:39 PDT 2014 ReplyRetweetFavorite

njarellano RT @NirajGusani: Many different aspects of research – need new treatment strategies, of course, @NJArellano @pancdoc @PancSMChat #PancSM

Thu Aug 7 18:20:55 PDT 2014 ReplyRetweetFavorite

nirajgusani but better understanding of genetics or risk factors can help us in early detection @NJArellano @pancdoc @PancSMChat #Pancsm

Thu Aug 7 18:21:03 PDT 2014 ReplyRetweetFavorite

njarellano @nirajgusani @pancdoc @pancsmchat I agree with that. I think is the best way #PANCSM

Thu Aug 7 18:21:43 PDT 2014 ReplyRetweetFavorite

nirajgusani Also interested in Survivorship phase, after diagnosis & treatment – many long-term effects even if cured @NJArellano @pancdoc #PancSM

Thu Aug 7 18:22:28 PDT 2014 ReplyRetweetFavorite

njarellano @nirajgusani @pancdoc @pancsmchat Inherited changes in genes related to pancreatic cancer BRCA2, p16, HNPCC can increase the risk#PANCSM

Thu Aug 7 18:22:41 PDT 2014 ReplyRetweetFavorite

pancdoc What’s the most common misconception about research? #pancsm

Thu Aug 7 18:23:40 PDT 2014 ReplyRetweetFavorite

nirajgusani Yes – but these comprise a small minority of patients – most #PancreaticCancer is not hereditary @NJArellano @pancdoc #PancSM

Thu Aug 7 18:23:53 PDT 2014 ReplyRetweetFavorite

nirajgusani We are getting better – but still much room to improve @mkatzmd #PancSM

Thu Aug 7 18:24:45 PDT 2014 ReplyRetweetFavorite

nirajgusani Misconception: there is a simple “cure” for all #PancreaticCancer – magic bullet -Cancer is much smarter than that – will take work #PancSm

Thu Aug 7 18:27:20 PDT 2014 ReplyRetweetFavorite

nirajgusani Do you think this trend: “Pancreatic cancer second most deadly by 2030” can be reversed? #pancSM http://t.co/iTBBuECnaS

Thu Aug 7 18:29:59 PDT 2014 ReplyRetweetFavorite

pancdoc @NirajGusani Yes and no. More people being diagnosed so more total deaths but more cures too #pancsm

Thu Aug 7 18:31:08 PDT 2014 ReplyRetweetFavorite

mkatzmd @NirajGusani I think it can, but it will take a lot of work. Luckily there is a growing interest by researchers #pancsm

Thu Aug 7 18:31:13 PDT 2014 ReplyRetweetFavorite

nirajgusani RT @NJArellano: @nirajgusani @mkatzmd Creating a “risk stratification tool” could be used in primary care practice #pancsm

Thu Aug 7 18:31:35 PDT 2014 ReplyRetweetFavorite

mkatzmd A lot of that is due to aging of population too… #pancsm

Thu Aug 7 18:31:50 PDT 2014 ReplyRetweetFavorite

nirajgusani RT @NJArellano: @nirajgusani @mkatzmd to identify individuals who should undergo screening for pancreatic cancer with u/s or MRI #PancSM

Thu Aug 7 18:32:11 PDT 2014 ReplyRetweetFavorite

pancdoc @mkatzmd Have a whipple next week in 38 yo. seems like a lot of young people showing up too. #pancsm

Thu Aug 7 18:32:45 PDT 2014 ReplyRetweetFavorite

nirajgusani Yes – not sure what to think – too many young patients! @pancdoc @mkatzmd #PancSM

Thu Aug 7 18:33:21 PDT 2014 ReplyRetweetFavorite

mkatzmd Saw a 41 year old this week as well. Tragic. #pancsm

Thu Aug 7 18:33:59 PDT 2014 ReplyRetweetFavorite

mkatzmd But the increase in cases by 2030 is partly attributed to demographic changes (pop getting older)… not disease getting worse #pancsm

Thu Aug 7 18:34:47 PDT 2014 ReplyRetweetFavorite

pancdoc Should everyone with treatable #pancreaticcancer be in a clinical trial? #pancsm

Thu Aug 7 18:34:52 PDT 2014 ReplyRetweetFavorite

pancsmchat Q3: What are clinical trials and why should pancreatic cancer patients participate in them? #PANCSM

Thu Aug 7 18:35:00 PDT 2014 ReplyRetweetFavorite

mkatzmd @pancdoc That’s the only way we’re going to make progress Mark #pancsm

Thu Aug 7 18:35:22 PDT 2014 ReplyRetweetFavorite

nirajgusani Agree – should consider some sort of trial for everyone RT @mkatzmd: @pancdoc That’s the only way we’re going to make progress Mark #pancsm

Thu Aug 7 18:36:19 PDT 2014 ReplyRetweetFavorite

pancdoc @PancSMChat A3: cancer clinical trials always include the best known therapy +/- something new and exciting #pancsm

Thu Aug 7 18:36:32 PDT 2014 ReplyRetweetFavorite

nirajgusani May also test new combinations. Many include biologic studies and genetic studies as well @pancdoc #PancSM

Thu Aug 7 18:37:28 PDT 2014 ReplyRetweetFavorite

mkatzmd @PancSMChat Not always a “treatment” the way patients may think of it… stuff Niraj is doing with physical activity case in point #pancsm

Thu Aug 7 18:37:57 PDT 2014 ReplyRetweetFavorite

nirajgusani RT @mkatzmd: @PancSMChat Not always a “treatment” the way patients may think of it… stuff Niraj is doing with physical activity case in p…

Thu Aug 7 18:38:08 PDT 2014 ReplyRetweetFavorite

nirajgusani And can at least look at Quality of Life (QOL) in all patients even if not testing new drugs / interventions @mkatzmd #PancSM

Thu Aug 7 18:38:53 PDT 2014 ReplyRetweetFavorite

pancdoc @NirajGusani @mkatzmd QOL trials equally as important as treatment trials for this disease #pancsm

Thu Aug 7 18:39:36 PDT 2014 ReplyRetweetFavorite

mkatzmd @NirajGusani Given admittedly slow progress in improving survival, focus on QOL is critical! #pancsm

Thu Aug 7 18:39:51 PDT 2014 ReplyRetweetFavorite

bnwomeh Split screen: POTUS on Iraq vs. @NirajGusani holding fort on #pancsm 🙂

Thu Aug 7 18:40:27 PDT 2014 ReplyRetweetFavorite

nirajgusani In any disease, but especially those with sometimes poor prognosis @pancdoc @mkatzmd #PancSM Often focus is Quality not Quantity of Life

Thu Aug 7 18:40:49 PDT 2014 ReplyRetweetFavorite

nirajgusani Join us @bnwomeh …. #PancSM

Thu Aug 7 18:41:22 PDT 2014 ReplyRetweetFavorite

mkatzmd Mark can you tell us a bit about virus preop trial you’re starting up? #pancsm

Thu Aug 7 18:41:25 PDT 2014 ReplyRetweetFavorite

pancdoc @mkatzmd FOLFIRINOX + chemoradiation +/- injected adenovirus as gene mediated immune therapy #pancsm

Thu Aug 7 18:42:36 PDT 2014 ReplyRetweetFavorite

nirajgusani What does the virus carry? @pancdoc @mkatzmd #PancSM Spent 2 yrs in HSV gene therapy lab back in the day!

Thu Aug 7 18:43:21 PDT 2014 ReplyRetweetFavorite

njarellano @pancsmchat @NirajGusani Yes in poor prognosis cases the goal is to improve QOL #PANCSM

Thu Aug 7 18:43:25 PDT 2014 ReplyRetweetFavorite

subatomicdoc @NirajGusani @pancdoc @mkatzmd Good evening #PancSM friends. Sorry to be dropping in late. Matt Katz, rad onc in MA here.

Thu Aug 7 18:44:19 PDT 2014 ReplyRetweetFavorite

pancdoc @NirajGusani @mkatzmd Very similar Niraj. Carries herpes thymidine kinase. After injection, treat herpes gene with valacyclovir #pancsm

Thu Aug 7 18:44:41 PDT 2014 ReplyRetweetFavorite

nirajgusani Hi Matt – can never have enough MKatz’s on #PancSM @subatomicdoc @pancdoc @mkatzmd

Thu Aug 7 18:44:45 PDT 2014 ReplyRetweetFavorite

mkatzmd Hi “The other Matt Katz”! #pancsm

Thu Aug 7 18:44:47 PDT 2014 ReplyRetweetFavorite

pancsmchat Q4: How do cancer centers and experts across the country collaborate to further #pancreaticcancer research? #PANCSM

Thu Aug 7 18:45:15 PDT 2014 ReplyRetweetFavorite

pancdoc @subatomicdoc @NirajGusani @mkatzmd Welcome Matt! #pancsm

Thu Aug 7 18:45:15 PDT 2014 ReplyRetweetFavorite

nirajgusani Nice – EUS injection after ChemoRT? @pancdoc @mkatzmd #PancSM

Thu Aug 7 18:45:26 PDT 2014 ReplyRetweetFavorite

pancdoc @NirajGusani @mkatzmd EUS injection between during chemo, beginning of radiation, and intraop #pancsm

Thu Aug 7 18:46:02 PDT 2014 ReplyRetweetFavorite

mkatzmd yes great stuff Mark. just your site or multi-institutional? #pancsm

Thu Aug 7 18:46:19 PDT 2014 ReplyRetweetFavorite

subatomicdoc @pancdoc @NirajGusani @mkatzmd Thanks, Mark! #PancSM

Thu Aug 7 18:47:08 PDT 2014 ReplyRetweetFavorite

nirajgusani A4 great question – many collaboratives for clin. trials exist. #PancSM

Thu Aug 7 18:47:13 PDT 2014 ReplyRetweetFavorite

subatomicdoc RT @PancSMChat: Q4: How do cancer centers and experts across the country collaborate to further #pancreaticcancer research? #PANCSM

Thu Aug 7 18:47:15 PDT 2014 ReplyRetweetFavorite

pancdoc @subatomicdoc @NirajGusani @mkatzmd Our site plus the “NIH equivalent” in Mexico #pancsm

Thu Aug 7 18:47:32 PDT 2014 ReplyRetweetFavorite

nirajgusani Plus in addition to our own trials, most Cancer Centers will help pts find other trials of interest. #PancSM

Thu Aug 7 18:47:52 PDT 2014 ReplyRetweetFavorite

pancdoc No institution keeps a secret. If we have a new discovery we shout it from the rooftops #pancsm

Thu Aug 7 18:48:50 PDT 2014 ReplyRetweetFavorite

nirajgusani Still much room for more multi-institutional collaborations, esp for intervention trials #PancSM

Thu Aug 7 18:49:03 PDT 2014 ReplyRetweetFavorite

mkatzmd Cooperative group trials also provide great opportunities for collaboration. #pancsm

Thu Aug 7 18:49:12 PDT 2014 ReplyRetweetFavorite

mkatzmd I think we need more of them. #pancsm

Thu Aug 7 18:49:30 PDT 2014 ReplyRetweetFavorite

pancdoc We need a national repository of patient tumor tissue and data #pancsm

Thu Aug 7 18:49:44 PDT 2014 ReplyRetweetFavorite

mkatzmd I thought PanCan was organizing something like that. Anybody know status? #pancsm

Thu Aug 7 18:50:09 PDT 2014 ReplyRetweetFavorite

nirajgusani Already seeing surgical collaborative groups for running trials & looking at outcomes – impr. over old days when each did their own #PancSM

Thu Aug 7 18:50:46 PDT 2014 ReplyRetweetFavorite

pancdoc @mkatzmd It takes lots of money and oversight #pancsm

Thu Aug 7 18:50:49 PDT 2014 ReplyRetweetFavorite

nirajgusani RT @pancdoc: We need a national repository of patient tumor tissue and data #pancsm

Thu Aug 7 18:51:15 PDT 2014 ReplyRetweetFavorite

subatomicdoc What are the rate limiting steps to doing it? RT @pancdoc: We need a national repository of patient tumor tissue and data #pancsm

Thu Aug 7 18:51:20 PDT 2014 ReplyRetweetFavorite

kentbottles RT @pancdoc: We need a national repository of patient tumor tissue and data #pancsm

Thu Aug 7 18:51:43 PDT 2014 ReplyRetweetFavorite

pancdoc @NirajGusani I think the younger generations of surgeons are eager to share data, good and bad. No more silos! #pancsm

Thu Aug 7 18:52:12 PDT 2014 ReplyRetweetFavorite

pancdoc @subatomicdoc Lots of concerns about ownership, privacy, etc #pancsm

Thu Aug 7 18:52:50 PDT 2014 ReplyRetweetFavorite

subatomicdoc @NirajGusani @pancdoc @mkatzmd LOL. Good company here that’s for sure! #PancSM

Thu Aug 7 18:52:51 PDT 2014 ReplyRetweetFavorite

nirajgusani And $$$ to store, analyze, report data on specimens @pancdoc @subatomicdoc #pancsm

Thu Aug 7 18:54:20 PDT 2014 ReplyRetweetFavorite

pancsmchat Are there any additional questions before we wrap up this month’s #PANCSM Chat?

Thu Aug 7 18:54:59 PDT 2014 ReplyRetweetFavorite

subatomicdoc @pancdoc @NirajGusani Maybe the challenges with funding will spur innovative collaborative research models #PancSM

Thu Aug 7 18:55:02 PDT 2014 ReplyRetweetFavorite

pancdoc @NirajGusani @subatomicdoc We are going to have to rely on industry because the government cannot fund such endeavors #pancsm

Thu Aug 7 18:55:10 PDT 2014 ReplyRetweetFavorite

pancdoc Perhaps next month we should talk about the roles of caregivers and managing the stressors of #pancreaticcancer #pancsm

Thu Aug 7 18:57:29 PDT 2014 ReplyRetweetFavorite

nirajgusani Can’t stress enough the importance of #PancreaticCancer research in improving outcomes and the lives of our patients! #PancSM

Thu Aug 7 18:57:49 PDT 2014 ReplyRetweetFavorite

nirajgusani I’m in… @pancdoc #PancSM

Thu Aug 7 18:58:19 PDT 2014 ReplyRetweetFavorite

pancdoc AMEN! RT @NirajGusani Can’t stress enough the importance of research in improving outcomes and the lives of our patients! #PancSM

Thu Aug 7 18:58:58 PDT 2014 ReplyRetweetFavorite

subatomicdoc @pancdoc Sounds like a great topic! #pancsm

Thu Aug 7 18:59:18 PDT 2014 ReplyRetweetFavorite

pancdoc Thank you all for a great chat! #pancsm

Thu Aug 7 18:59:20 PDT 2014 ReplyRetweetFavorite

mkatzmd See you all then. #pancsm

Thu Aug 7 18:59:33 PDT 2014 ReplyRetweetFavorite

pancsmchat Thank you all so much for joining us tonight! See you for next month’s #PANCSM Chat on September 4!

Thu Aug 7 18:59:34 PDT 2014 ReplyRetweetFavorite

nirajgusani Yep – thanks everyone and hope you all have a great night! #PancSM

Thu Aug 7 18:59:51 PDT 2014 ReplyRetweetFavorite

pancdoc Good night. Keep up the fight! #pancsm

Thu Aug 7 19:00:04 PDT 2014 ReplyRetweetFavorite

mkatzmd
  1. #pancsm

Thu Aug 7 19:00:16 PDT 2014 ReplyRetweetFavorite

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