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TROY — He could no longer stand the agony. So Anthony Piscitella made a decision that might lead to financial ruin.

The first thing you should know about Piscitella is that he has a horribly bad back, a source of grinding pain. It's been that way for about a decade, since the former occupational therapist's attempt to move an obese patient went horribly and ridiculously awry.

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