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To me removing the pad isn't even a question. It is an assumption that it goes. No matter what you do, leaving the pad will haunt you down the road with heaving problems.
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Life should NOT be a journey to the grave with the intention of arriving safely in an attractive and well preserved body, but rather to skid in sideways - Beer in one hand - Nacho's in the other - body thoroughly used up, totally worn out and screaming : Woo Hoo, what a ride!
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