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Default data validation, totaling values based off dropdown lists

The situation: I have a list of patient names in one column, a dropdown list
with four text options (for their type of injury) in another, and another
dropdown list with a numerical value of how many administrative hours spent
on them in another dropdown list.

I need a formula that will keep tally of the number of hours spent on a
patient according to their injury. So, in short, I need add the total number
of hours for only those patients who have a specific text item selected in
the first dropdown list.

Thanks to all who reply to these things. I have learned a lot about excel in
just two days thanks to your help.
 
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