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Changes are such a hassle at this point that fees are loaded onto what are termed "AAs." Although this is the industry abbreviation for "Author's Alterations," I tend think of these as "Author's Altercations" because someone (i.e., the author) has to pitch a fit to get changes made at this juncture.
For the record, I did not have to pitch a fit to anyone at Morehouse. I did, however, casually mention puking.