Colorado Journal 3/10-3/17

March 10, 12:30 PM
St. Francis Hospital
Surgical Waiting Room
Mum arrived in anesthesiology bay around 10:15 AM. Her anesthesiologist is a smart fellow who worked around her various allergies. She did her best to confuse him (not her fault at all) by trying to relay what the last anesthesiologist told her regarding her trachea.

I have some concerns regarding the various invasive medication delivery options. She will have an epidural (semi-permanent implantation in the spinal column) as well as a main line.

Her anesthesiologist did explain the possibility of a pneumothorax, and chest tube during the main line insertion but I had the feeling that Mum didn’t really catch on. Her eyes were glazed from nervousness (or outright fear). I had some concerns (unspoken) regarding the potential for infection or spinal cord damage.

These are normal risks of course. I also had concern over secondary infection caused by her current roommate who, being diabetic had open wounds that would not heal. The daughter has been tending (worsening) her condition and this woman would handle the bandages and then touch the bathroom door handles, the faucet handles and the walls. The only thing that she did not touch was the soap dispenser.

Mum’s anesthesiologist and surgeon both feel that she needs to be away from anything that can complicate her recovery. I do not know if this means a new room or a private room. My hope is that she will have a private room.

Mum received communion this morning, a nibble of a crumb of the Eucharist. The same nurse told her it was ok. Perhaps she meant it was ok to pray? The anesthesiologist was indignant over the whole thing; that tiny crumb could cause her stomach to react (to the food stimulus) by producing acid. I trust him.

The nurse appeared miffed when Dad and I went up to the room to pack up Mum’s hoard, er… things. (Mum packed enough spiritual reading material to last her a month in the hospital.) I think that I’ll stay the night to help Mum have a better night.



1:00 PM
We are waiting for the surgeon to arrive. He predicted a two to two and a half hour surgery. I think we need to add a half hour or more to that in order to count the anesthesiologist’s procedures beforehand.

Dad and I had lunch downstairs (it’s Mexican Menu today.) He’s snoring and I need to keep an eye open for Dr. Fischer. The waiting room is very large and interspersed with electrical outlets, cushioned chairs and live plants. It reflects the decorating scheme found throughout the hospital complex. In ten years it will be as cheery as a bad 80’s waiting room.

Thursday, March 12
5:30 AM
St. Francis, patient room
I have not been able to update for a few days.

Mum’s surgery went well. Dr. Fischer, our miracle worker, evaluated as he worked and, much to everyone’s pleasure, he was able to resection the sigmoid portion of her bowel without needing an “ostomy” of any sort, colostomy or otherwise. She had sigmoid diverticulitis and that portion of her digestive track (containing the diverticular disease) was removed. There wasn’t any ulcerative colitis present (thank God.)

I have spent the past two nights functioning as Mum’s “whatever”. I’m technically not qualified to perform nursing duties and I refuse to perform any function that would place me or the hospital at liability risk, such as tending to IVs. I have been her O2 jockey switching her between her nasal cannula (her “nose guard”, as she calls it) and her CPAP mask. Her respiratory therapists are all outstanding; we enjoy visiting with the gentleman resembling Henry Winkler. I’ve been the verification buffer between Mum’s new med administration and her allergy list. I’ve relayed her pain and concerns in a concise way (as the pain medications cause her to rattle on – and on and on and on – leaving too short a window for them to treat more than one problem, and the problem may not even be addressed if the staff can not work out what needs to be done.) I’ve networked with the nurses and CNAs and they now understand that her deathly low diastolic reading is actually her norm, her norm body temperature is always below 98, and her cough comes from years of smoking (the lungs are now clearing out the sludge.)

For her part, Mum grumbles at me. That is an understatement. Let me try again:

Mum bitches at me, due to her high level of pain, and tends to take her frustrations out by not wanting to listen while I attempt to untangle her from her narcotics pump, her PICC (peripherally inserted central catheter), her bladder catheter, and all other things "tubed".

She is in a lot of pain so I shall overlook a lot of what she says. She is depressed.



Tuesday, March 17
Parents’ house
It has been a while since I’ve been able to sit down and journal. I have people emailing (and Better Half mentioning) that they are worried as I did say that I would update here. All is well, as well goes.

Mum moved over the hump. She shrugged off her pain, vomited twice (which helped ease the gas buildup in her stomach), stated that she wanted food, was pleased to see the bladder cath and leg cuffs removed, and has been in a much better temperament.

I have been staying each night. I do not sleep at night (I do cat nap) and I average four hours during the day. Tonight Mum wants to go it alone. YES! I’m looking forward to sleeping like the dead.

She has an infection. The locus is in the incision closure just above mons veneris which is not all that odd considering that it’s encased in a fold of skin when Mum sits. Ubi pus, ibi evacua, I say. “Where there is pus, there evacuate it.”

Dusty, her dog, has been pining. I placed her on a suicide watch and hid all the knives. (I took the dog to the vet today as Dad worried about her ears. She has a slight infection in her left ear. I still plan to hide the knives.)

I have a load of laundry in and Dad will pick up her freshly laundered robe this evening. I have some of my own laundry to do. I packed a pair of workout pants, a pair of sweats and my jeans. Add to those five white tee-shirts, two men’s dress shirts, my green shirt and Better Half’s Olympic Shooting Team shirt and really, when you stop to think about it, my wardrobe is painfully lacking.

I miss Better Half. I worry about Better Half. The family promised to check in on him. His blood pressure was very high last week and he called a cousin and asked if she could come over to keep an eye on him (translated: please make sure I don’t fall over, begin to slur my words or have a dynamic change in my coloration.) Said cousin bitched him out for not being there when her mother was sick. My peace of mind is gone. I fret over my husband’s well being. He relies on our neighbor for transport and support and that neighbor can not dedicate a lot of time to Better Half.

Perhaps people think that Better Half’s health problems are in his head. It might very well be likely that they assume that he needs to “learn to stay by himself.” Better Half is perfectly capable of staying by himself but he can not drive (thanks to his drop attacks/pulmonary hypertension) and will need a ride to the store for bread, milk and dog food. Better Half’s health problems manifested over twelve years ago and they are well-documented and certainly not in his head. Better Half has a diagnosis of Gulf War Syndrome. It is a myriad of symptoms and ailments common to troops who served during Desert Storm/Desert Shield. I do wish the family would get that through their heads.

My friend the Ox had ACL surgery. He’s in agony from it. The man is very muscular and heavy so this type of injury isn’t easy to deal with on his frame. He’s also pushing 50 and his age hinders quick healing. My mother is going through the same healing handicap. Ox’s wife sequestered him in their main floor sitting room and he is frustrated. He has an old laptop that refuses to work. I logged on to find three email and two IMs begging me to walk him through fixing his problem. Dude, your problem is that your laptop is a dinosaur and does not support anything older than AOL 3.0. His wife laughs over his predicament (he’s a chat junkie) and his brother refuses to let him borrow his work laptop. Awwwww, poor fellow.

Optical mouses do not work on glass tables. I felt the urge to point that out.
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Colorado Journal 3/7-3/9

Saturday March 7
4:19 pm

I’m at O’Brian’s Pub at PITT, having bummed a ride from my cousins (whom I appreciate immensely!) My bags were checked at curbside and, per norm out here, I sailed through security.

The pub is my tradition. I enjoy the food and wait staff and I always manage to find myself tucked in the corner at my “regular” table. Today was a busy day for them but my waiter was prompt and took care of every need.

I feel apprehension, although none of it has to do with the flight. I’m worried about Monday and Tuesday, my mother’s health being the unknown factor. My muscles are tense and I’m nauseated (and have been so for several days.) I pent up lactic acid will eventually release, a giant purging on my system’s part, and I’ll be able to breathe a sigh of relief.


Sunday March 8
My plane arrived on time yesterday. It was very small; not only did we have to fight over an armrest, but we fought over oxygen molecules as well.

I slept fine and woke up to one of Dad’s good breakfasts: eggs, bacon and toast (half the portions, thank you.) We ran to the Commissary to pick up food for the week.

Peterson AFB reorganized itself into a confusing Mecca. NORAD is now spread between Cheyenne Mountain and a large facility building that is clearly visible from the Space Village Road (a public road just shy of the base which, God forbid, would play perfect host for a well-aimed rocket attack. Foolish on their part but money in the contractors’ pockets.) I did not have an opportunity to visit the flight line; Better Half will need to wait for his airplane pictures.

We had a lovely dinner. Dad and I prepared everything while Mum napped. We whipped up t-bone steaks, sweet potatoes and a salad. I watched “The Ant Bully” on the DVD/monitor in the office. My father has a grouping a toys, old and new, replete with a Betamax. I hope my pictures upload from his computer.


Monday March 9
St. Francis Hospital
I should leave this entry with only that: St. Francis Hospital. The beautiful new exterior and polished new interiors belie the chaotic hell that awaits the patient. The elevator opened its maul and digested us. We emerged into the belly of the beast and were led to room 920 like lambs awaiting the slaughter.

Come on, Autrice. It can’t be that bad.

Oh it is.

We (Mum, her friend and I) arrived and they promptly told us that Mum wasn’t on their schedule. They told us that Dr. Fischer would need to fax the work order (and that his office wasn’t open until 9 AM, which is incorrect.) Mum called Dr. Fischer’s office (at the wee hours of 8 AM) and they faxed the order, the hospital located a bed (not a private room, and the roommate has infected wounds and a nasty cough, as well as ten family members who all were speaking Spanish at the top of their lungs.)

We did a rosary. It was all that I could think of doing. I thought perhaps the family, being Hispanic, would respect the melodious timbre of a lithely recited Hail Mary. I opted to recite it stridently; years of theatrical training have taught me the meaning of “project”. Much to my pleasure, the roommate’s visitors slowly trickled out, leaving us in relative peace.

Mum’s nurses, Sue and Michelle, are wonderful and intelligent. Her CNA, Sarah, is also a peach. They settled her in, had an IV started, brought her laxative on board, and sent plenty of clear liquids to her.

I’m still a bit peeved at the head nurse on this floor. I have explained several times (and Mum’s doctor originally requested) that Mum should have either a private room or a room with a roommate that does not have an infection. I am absolutely worried that any post operative palliative treatments might not be as effective due to possible contamination from her roommate’s wounds.

The wound care (and colostomy) nurse came in and in record time Mum was in a panic. “Colostomy? Me? I can’t do this!” She did not realize what this procedure would entail. She thought that it would be simple. I am bitter because I was not here to question her surgeon and I had presumed that he explained everything fully. This is no slight on him. Mum and her friend did not know the correct questions to ask.

I can’t seem to get her to grasp the necessity of this surgery. Her doctor indicated that she has a small fistula in the vaginal wall which permits fecal matter to cross over. This would indicate that she also has a small fistula in the colon or intestine (which surely must have been leaking into the body cavity? No indication of peritonitis.)

It frustrates me. I have been at this hospital since the early morning and we still do not have any indication that the initial diagnosis is confirmed. That is to say that, sans a colonoscopy, we do not any certainty that there is a fistula in the colon or bowels.

Mum poked her nose in my direction and said, “What are you doing?”

“Blogging.”

“Not about me.”

“Yes.”

“No, I don’t want evil eye.”

“Who reads my blog that would give you evil eye?”

Seriously, who would give her the evil eye? Not Roadchick, Annie or Ox.

Speaking of Ox – where in the hell is he? I have a suspicion that his cryptic “I’m getting things around here fixed” really translates into “I’m having surgery to fix something.” The asshole could have at least told me. I might call his wife to see if things are alright. I have tried to call Michael but my cell phone is giving me an “error message -5” for Canada. I had the same message for Colorado Springs (which is somewhere in Canada according to my cell provider.)

Dad’s on his way and I begged him to bring me food. Food is good. Food keeps Autrice functioning. I did have fish things (breaded, rather good, with horseradish) for lunch. I was impressed. The $9.00 price tag was steep (they piled on onion rings) and all the breading will probably keep my system flushed tonight.

Maybe Dad will bring tacos. I enjoy those.

Dr. Fischer arrived shortly after that last bit of food musing. He did explain that a colostomy bag would remain in place for a minimum of six weeks (with a maximum of four to six months.) Mum was beside herself. He said that there was a slight possibility that she would not need a colostomy. Her tissues would need to look healthy and the fistula would certainly need to be miniscule. We will wait and see. We will pray.

March 9
Home

Dad brought subs. They were delicious. I had meant to type that earlier but I’m only now catching up with things. I’m wearing thin at the corners. It’s close to 11:30 here (making it 1:30 AM for my internal clock.) I can always tell when my mind is leaving the building – I will eventually break down into monosyllabic grunts.

Dad and I read today’s scripture study, Psalm 51. It’s part of his and Mum’s nightly routine. We also recited the Novena prayer to Our Lady of Good Remedy, per Mum’s request.

It’s bedtime for Autrice. I’m very worried about tomorrow (and ask that my Readers offer up a few positive prayers) and I miss my Better Half.
Awwww It's Better Half and Truffle.
Him loves his Pomeranian.
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Listen Up!


Life

Is

Too

Precious

To

Take

For

Granted!

Cherish every moment of it!



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My Stress

I’m leaving for Colorado on Saturday. I think I’m still in a state of disbelief. It isn’t that I can’t wrap my mind around the trip itself, rather it is the impending surgery that is keeping my sense of reality at bay. Perhaps my fears will be unfounded once everything is said and done. I can tell you that I’m still on edge over all the other stressful events that have occurred recently.

Better Half’s TEE went without a hitch. The final diagnosis is mild pulmonary hypertension and that can be controlled through diet.

Pulmonary hypertension is the narrowing of the pulmonary arterioles within the lung. The narrowing of the arteries creates resistance and an increased work load for the heart. The heart becomes enlarged from pumping blood against the resistance. Some symptoms include chest pain, weakness, shortness of breath, and fatigue. The goal of treatment is control of the symptoms, although the disease may develop into congestive heart failure. This is why Better Half is going to focus on controlling the symptoms and correcting lifestyle imbalances in order to reduce the risk of future complications. Right, Better Half?

He did well under the anesthetic and bounced back to normal about an hour later. The doctor said he shouldn’t have any problems while I’m away. Stress #1 has been partially alleviated.

Stress #2 was the worry that family heirlooms would be sold off. My cousin reassured both my mother and me that this would not be the case. I fully comprehend that “stuff is stuff” but there are some things that take me back to a time when life was simple and my Nonna, my wonderful grandmother and confidant, would take care of me on weekends.


There are a few items that my aunt kept that immediately take me back in time. I can smell my Nonna’s apartment in Los Angeles; the aroma is a tomato Marinara replete with handmade meatballs. I can hear her in the kitchen and I can recall poking my nose past the stove and seeing her hands form those wonderful treats. She doesn’t just roll them. She tosses them between her palms with just enough force to compact the mixture into a shape that will not break down or crack in the frying pan. I have never been able to duplicate her recipe and skill (nor my mother’s recipe and skill.)

I took it for granted that my Nonna would, in my child’s mind, always be here. She moved to Misouri, and I knew that she would come back. She moved to Steubenville and, once again, I knew that she would be back. She came for a visit and a voice in my head said, “she won’t be back.” It was confirmed by my mother who, while standing in the driveway with me and watching the car pull away, said, “she won’t be back.” She knew, I knew. We somehow sensed it. Nonna did not come back. My Nonna passed away from an aneurism not long after.

It’s an odd feeling to have a fear confirmed. It adds to stress, I assure you. We all have petty fears such as a fear that a bill has been left unpaid or that niggling feeling one gets when one forgets to shut off the iron. In all seriousness I tell you that some of us can honestly say, “they are going to die soon” without any indications telling us otherwise. I knew that my aunt died at midnight (we knew that she was going to pass away soon as it was, given that she was in the last stages of cancer.) I knew because I felt the urge to do a rosary. There wasn’t any reason for me to be awake at that hour but for the fact that I somehow felt that I needed to be awake.

Bizarre, isn’t it?

I did not have that feeling yesterday (or in the days leading up to yesterday) thus I was able to relax while Better Half had his procedure. I knew it was pulmonary hypertension and so the diagnosis did not come as a shock. The fact that it was “mild” was simply reassurance.

This brings me to Stress #3 - my mother’s surgery next week. I’m a basket case. I can’t filter through my anxiety to be able to say, “things will be fine.” I don’t think anything will go wrong, but I do know that my Mum will be in pain. I refuse to say (or write) anything that would jinx that (and humbly beg my Dear Readers to please say some prayers for her on Monday and Tuesday.)

Stresses 1-3 have lead to Autrice’s tachycardia playing up in a fierce manner. I told God, “if I drop dead from all this, I’m coming up there and having words with you.” It’s not polite, but God and I have issues over plenty of things, my health being one of them. Bah, humbug.

I’ll try to keep my blog updated while I’m gone. I did so the last time. We shall see.

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My week (in brief)

I wanted to jot down the fuzzy noise inside my head regarding the past seven days.

My aunt passed away (after a prolonged illness) and her funeral was on Saturday. Lovely affair, lots of good people and a funeral procession to envy. The mortuary did a fabulous job on her.

Better Half spent his Sunday in the hospital. We brought him to the ER on Thursday and they opted to keep him the weekend in order to get him in for a TEE today. The TEE did not happen today, ergo Better Half returns home (and my sanity returns); he’s on the schedule for this Wednesday. We’re hoping to rule out pulmonary hypertension.

It is a horrid photograph and makes him look worse off than he really is.



My mother will have “urgent” (should be “emergency”) surgery next Monday. This gives me what is left of this week to sort the house, sort the husband and sort the life. I was hoping to get my Nonna’s little white footstool/bench from my Aunt’s basement (it’s next to the dresser, if any of the family bothers to read this.) I was also hoping to be allowed to pick through the things no one wants (such as my Nonna’s old pictures and her bedroom set AND hope chest.) I wouldn’t turn down an old couch either as we really currently have a terrible one.

I won’t blog much in Colorado. (Perhaps I will if I have too much time on my hands.) I’m apprehensive about the future (static noise in my mind) and totally stressed out.

I shall survive. I haven’t any choice and I’ve reached the point where the stress is laughable.

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Dude, You're Getting a Dell, Again!

You might recall a post from not too long ago entitled, Dude, You're Fixing a Dell!" You would think that I would heed Roadchick's sage advice from the comments section. You would also think that I'd exercise a little restraint in life. HA!

My Monday went something like this:

Aut: Hello, Dell do you read me, Dell?
Dell: Affirmative, Aut, I read you.
Aut: Did you just quit working?
Dell: I'm sorry Aut, but I did.
Aut: What's the problem this time?
Dell: I haven't any idea.
Aut: What are you talking about?
Aut: Dell?
Aut: Dell?!
[turn computer on, turn computer off, turn computer on, turn computer off, cry, turn computer on, turn computer off, cry some more.]
Aut: Dell, Dell... Dell! If you go, where shall I go? What shall I do?
Dell: Frankly, my dear, I don't give a damn.
Aut: [rolling eyes] I don't know if Dell is homicidal, suicidal, neurotic, psychotic, or just plain broken.

24 hours and one new computer later

Dell530: I'm completely operational, and all my circuits are functioning perfectly.
Aut: Lovely. What's with all this funny shit on the screen?
Dell530: Vista.
Aut: You must be joking!
Dell530: No, this is Vista. You will find that it is better.
Aut: Hardly.
Dell530: You don't understand. This is Vista of Microsoft; you will be assimilated.

Aut: As long as you don't start killing off the crew.
Dell530: I foresee a problem, Autrice.
Aut: What problem is that, Dell530?
Dell530: After forty-eight hours' worth of Vista, you will have the urge to kill the crew.
Aut: Point me toward anyone wearing red when that finally happens, won't you?
Dell530: But of course.


I can tell you that I am not a Vista person. My OS was Windows NT 4.0 in 1996 (the year that it was released.) I remained with NT until Windows XP in 2001. I never bothered with Microsoft’s Tickle Me Elmo OS (Windows Me) nor with Windows 2000 Pro.

Vista is unlike anything that I have ever operated. It is fluffy. Cute. Nifty. Look at all the pretty things! It is the Lowes of the computer world and I am a Home Depot person. (Lowes is merchandized for women, replete with the blue or white beam colors, attractive signage and displays whereas Home Depot is geared towards men.)

I spent most of last night (and this morning) pecking away at things in a futile attempt to locate important things such as pictures, Word documents ~ that reminds me, my MS Office is not compatible with Vista AT ALL so I am reduced to MS Works Word Processor which doesn’t seem all that bad at the moment (and it is free.) I ripped programs from the ‘Net, including a few photography workhorses. Better Half has not had an opportunity to use the damn thing yet.

I shouldn’t grouse. I do like the computer and I suppose Vista isn’t all that horrid. I should catapult myself into the new millennia.

The CPU reminds me of Hal, however. Hmm.



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Helen Carrocci



My Aunt, Helen Carrocci, passed away at 12:01 this morning after a lengthy battle with cancer. She endured several cancers during her lifetime, beginning with lung cancer nearly fifteen years ago and ending with liver cancer.

I would love to post some recent photographs of her, especially those from Christmas. Our desktop has a “program nervous breakdown” yesterday and I can’t access any of my files. Aunt Helen always hated profile pictures; she thought her nose looked terrible. I happened to have thought her face, profile or not, was an interesting study. None-the-less, she fussed at Linda (her daughter) and I on Christmas night and then posed primly on the couch to help us capture her “good side”. I must admit, the pictures did turn out cute.



I am certain that her obituary will contain all of the marvelous things that she has done over the years. She was a hellion, a fighter, a crusader, and often a pain in the ass. Please don’t think that I am being at all disrespectful - she described herself in this way and I couldn’t agree more.

She spent most of her final time on earth sleeping. Better Half and I visited the day before yesterday and she was wide awake for a change. I hugged her, held her hand, and cried a bit as I told her how happy I was to see her awake. Better Half and I teased her a little, and she gave us guff back (just like old times) before she finally shooed us with a sassed, “you people!”

Aunt Helen gave me a look as we were taking our leave. It seemed to say, This is it, kid. I almost didn’t turn back. Aunt Paul was almost blocking the way (unintentionally, as she was merely standing there.) Something said, Go and so I turned around and gave her a warm hug and a kiss, receiving a hug and kiss in return.

My last memory of Helen Carrocci is one of animated spirit and humor. That single afternoon washed away all the sad memories of a pale and gaunt woman lying upon a cold deathbed.

I do not know what the new family paradigm shall be. I have no idea what insane fallout will occur between myself and my cousins. With the exception of a few, most are aloof and never bother to call. I honestly do not care.

I hold on to the precious knowledge that my Aunt no longer suffers; she is at rest.


Cousin Nikki's wedding

From L to R: Aunt Pauline (Katzfey, Helen's oldest sister),

Teresa Blackburn (Helen's granddaughter),

Linda Blackburn (Helen's daughter),

Aunt Helen, me, Noreen Carrocci (Helen's daughter)

My mother, Lu Mininni-Totin, was unable to make the trip.
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Steubenville Natural Springs

These are some pictures from the natural springs around Highway 22. The first group was photographed from the highway. The second group was photographed off of John Scott. The last two are of the shallow pond at “The Manor”, the hospice/senior center where my aunt is currently residing due to terminal cancer.

I will do an Ohio Geology entry at some point. It sounds uninteresting (no large dinosaurs or volcanic explosions) but it’s actually enticing in a seriously glacial way.

For those who will ask:
Springs occur where groundwater flows from rock or soil material to the land surface. These springs seep from natural crevice openings, an example of which is below. We have these “cake slices” all around this area (they are not all man-made and are, in fact, glacially-caused in some sections.)

Late 1800's photograph

The water moving downward through permeable limestone or dolomite encounters less-permeable shale and is shunted laterally, finding openings to the land surface along the wall. Great blocks of ice can form during the winter. I find them to be rather beautiful.

I have not dared to taste the water. God knows I’d probably glow in the dark courtesy of the steel mill.

~*~
Highway 22 scenes of natural springs

Same photograph, zoomed in
Thawed and graceful next to frozen and pristine

~*~
Natural Springs on Johns Scott

More of the same

Ice and snow, then ice again. Beautiful but deadly
Better Half waits in the car while I enjoy my
ice photography activities today.
~*~
The Manor fountain at entrance

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