Nissen Fundoplication Recovery Journal: Aug 8th

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Bcolt
Regular Member


Date Joined Nov 2012
Total Posts : 63
   Posted 8/9/2013 12:50 AM (GMT -6)   
Weight: I'm 5ft 5.5" and a couple of weeks before the surgery I had a bad bout of something and went from 168lb to 158lb, which mostly piled on again so before surgery I was 162lb.


Hi Everybody,


shocked :-) For any one who just wants to read my story you can find it atthe bottom of this post :-) turn :-) otherwise, here is my recovery journal :-) shocked



I just want to share my recovery and hopefully get some feedback, so I can help some people and they can help me !



******************************************************************************************


The Day of the Op: 162lb
I was brought up to theathre, waiting around for awhile and was finally brought into the operating room. The nursing staff and doctors were all brilliant, and made me feel so comfortable in their care.
Once the surgery was over, I woke up in the theatre waiting room and immediately asked for some pain medication. If I am being realistic I was probably a little bit out of it at this point. The most pain I had was from my shoulders, whereas my incisions felt fine. I spent the next few hours up in my room going in and out of sleep, with doctors and nurses regularly checking my incisions.
When I eventually woke up for real I pulled the pulse monitor thing off my finger, causing a lot of beeping, some panic on my part etc. I called the nurse, using my magic button :) and had her turn of the pulse thing off so I could get up and move about because I was full of energy !!

I wasn't permitted to drink untill my surgical doctor came to visit and by the end of the day I drank about 3 small 50ml glasses of water. My parents visited later in the evening, we watched some classic Mrs. Browns Boys and by the end of that I was exhausted so they left and I slept from about 10.30 - 12.00. After that I dont think I slept for more than and hour to two at a time and was up by 6.00a.m. Now, here's some fair warning (!) ask and recieve pain meds as often as possible!!

Aug 9th: 1 day post op
Having woken at 6.00 a.m. and recieved my last meds at 4.00 a.m. I was in surprisingly good condition, in fact I was incredibly active but by 10 a.m. I had overworked myself, I was exhauseted and very uncomfortable (Hence, the previous warning). I had a visit from my nan around that point but I was pretty much exhausted and wanted noting more than to sleep, which I did for about 4 hours (Yay, I was in and out of sleep but YAY nonetheless).

I knew I was going to be released that day (otherwise I'd have had to wait all weekend) so I was excited and kind of dreading it. I had to be seen by my surgical team, the nursing staff and my dietician before I was permitted to leave. By, 4.00 pm I was out of hospital, had picked up my perscription (Solpodol) and was on my way home, (a very uncomfortable hours drive).
I spent two hours chilling at home, moving slowly and relaxing.

Food and Drinks: I was given permission for tea YAY , which I managed to drink a small amount of, and I managed to eat about an egg cups worth of Ambrosia creamed rice. Also, I was drank some cranberry juice and a fair amount of water :)

Aug 10th: 2 days post op
Last night I slept fabulously! I took some solpadol at around 20 to 8, went to bed not long after, slept a good four hours, was awake for about two, more solpadol and slept from 2 untill 7.00 a.m !! I feel amazing, not to say that pain is perfect but honestly I feel pretty great, despite some weakness.

Food: Some tea, cranberrys juice, water and 1/4 cup of Ambrosia creamed rice.
Sleep: took me awhile to get to sleep, but once I took my meds, I conked out and slept a good 9 hours

Aug 11th: 3 days post op: 158lb
Woke up feeling great. Went into town twice, spent awhile shopping, was really in good spirits :)

Food: tea, cranberry, water and a rich tea biscuit (dunked)
Weight: I've lost about 4 lb :-) since the operation :)
Sleep: I slept like a baby last night, from around 12.30 to 11a.m. and with no medication.

Aug 12th: 4 days post op: 156lb

Weight: As of this morning I have loast 6lbs :-)!! I am really liking the weight loss aspect of this wink
Food: tea, cranberry, water, 2 rich tea biscuit and half a cup of homemade veg soup (yum)
Sleep: I only slept about 6 hours last night, not to bad but it just meant I was up early
Pain: The pain has been pretty good lately, have taken very few tablets as its so tolerable wink wink

Aug 13th: 5 days post op: 155lb

I've been pretty cranky all day, and very bored as activities are restricted and I cant work! But some good news is I slept on my side last night WOOOOO :-) shocked Before last night I had been sleeping directly on my back with my knees bent!

Weight: I lost another pound today, yay! all in all thats 7 pounds :-) since surgery and 12 in total. Feeling pretty good about it, but dont think its really showing :)
Food: My food is going to be pretty much the same for the next few days... simply tea, water, cranberry, dunked rich tea biccys and soup :-)
Pain: not really suffering from any pain really, but, as with the last few days, whenever air escaped my stomach i get a tiny jolt of pain in my left shoulder

Aug 14th: 6 day post op: 154lb
Still in an overly cranky mood today, but my eating has improved. I've managed to have a small yougurt and a snap pot of spaghetti hoops.

Weight: Lost 1 more pound Yay.... 8lbs all together
Food: a small amount of spaghetti hoops, some rich teas, a small yougurt, a cube of jelly
Pain: No big pain, incredibly itchy though

Aug 15th: 7 days post op: 153lb

After one week my appetite has improved greatly, I am very mobile and active, there is little to no pain, just a small amount of uncomfort. I really am feeling amazing post op

Update: Just went for a walk and I am feeling very uncomfortable and kind of painful, seriously I was not expecting this as I have been in such good health lately. Ohh I just wanna sleep

The pain from the walk went away but I had some scrambled egg and I am feeling bloated and horrible

Weight: After 7days post surgery I have lost 9lb Wooooooooooooooh This makes me finally under 11st, and I have lost over a stone altogether so yay!!!
Food: 4 rich teas biccys, had one egg scrambled
Pain: none until I went for my walk

Aug 16th: 8 days post op: 153lb

For today most of the info will be in the comments section because I ended up having an amazing night in the pub :) despite the fact that I was not allowed alco, and being an avid drinker that is a shocker wink

Weight: There was no weight loss for the first time , I was kind of shocked by that, but not to bothered
Food: Made a small boiled egg, only manages to eat the yolk [odd enough considering I usually hate it shocked ] .... Also had some mashed potatos, about 4 teaspoons worth with gravy and butter
Pain: not to much pain today, but I had other cramps so honestly I couldnt really tell haha, I did take some tablets though that night


Aug 17th: 9 days post op: 152lb

So, today has been a weird day. While for the last week I have had no appetite, today its at the extreme, I seriously want nothing to eat, I am just sipping on water and tea.. although the amount of liquid I can fit in my stomach has dramatically increase!! But yeah other than that I am not even craving the taste of food I am just happy to be sippin' away! Maybe its an empathetic hangover for all my family who got wasted last night while I stayed sober turn smilewinkgrin turn shocked

Weight: YAY, another pound down, I am loving this weight loss!!
Food: no foodd, just tea and water
Pain: too early to tell

Aug 18th: 10 days post op: 151.5lb

Havent eaten anything today other than a cube of jelly, been pretty bored all day, absolutely nothing to do

Weight: Only lost half a pound, but that works for me
Food: a cube of jelly
Pain:No pain :-)


Aug 21th: 13 days post op: 149lb

Got to have a few drinks last night YAY :D and ate some rich teas :)

Weight: So I am finally bellow the 150lb mark :)
Food; 4 Rich tea biscuits, 4 rum and blackcurrants
******************************************************************************************





I have just turned 20 and had my Nissen Fundoplication on Thursday morning (Aug 8th) in Galway University Hospital. I had been admitted to hospital the day before. I had a hiatal hernia, horrible acid reflux and would throw up regularly. I've basically had it my entire life and it had been horrible and embarrasing!

When I was younger Doctors would ignore my complaints because I never felt nauseous and as I was so used to it, I barely complained! However, I am pretty sure my hernia and vomiting resulted in a pretty crap immune system. One lucky day when I was 15/16 I went to the Doc for something completely unrelated and there was a trainee Doc in the clinic, I informed him of my complaints and to my surprise he offered to arrange an endoscopy. I was delighted, finally someone paying attention!

Despite my GPs desire for me to wait a few months to "see how I felt" I went ahead with it. I had to wait a few months for the Endo. Once I got it, they found a Hiatal Hernia but the nurse told me (while I was doped) that without any further hernia's they were unlikely to do anything.

Fast forward a few months, another trip to the GP with something unrelated, another trainee doctor who decides to actually help me and arrange an appointment with the head of the Eosophagael dept. in my local hospital. More time passes, I meet with the head of the Dept. he arranged a PH test, manometery and a barium swallow. The PH test and Manometrey were done a few months before my 19th birthday. As I was away for the summer I didnt recieve the Barium swallow till about sept/oct. By Nov I had my finally apt with the head of the esop dept. He agreed to my surgery, which came a lot later than expected and I only got in this month due to that fact that there was a cancellation.

Moral of the story, It takes a crap lot of time to get anything done in Ireland, especially if your Docs ignore you :-)

******************************************************************************************


]Some Things I found helped: Take pain meds before pain starts, sleep in a raised position, walk to reduce shoulder pain, and don't over exert yourself. Ohh and FYI I was able to let small burps escape after surgery.

Honestly, up untill the day of the Op, nerves weren't really a problem but waiting to be admitted, brought into theatre and all of that had me a little shook. So for anyone feeling like that here is what I have to say: STOP! Once you go in, you are knocked out and two minutes later your awake and no more worries :-) :-)

As of today (5days post op) I have had no reflux symptoms so I am absoultely delighted

Post Edited (Bcolt) : 8/21/2013 6:42:12 AM (GMT-6)


StephanieJean
Veteran Member


Date Joined Jun 2013
Total Posts : 500
   Posted 8/9/2013 5:52 AM (GMT -6)   
I am happy to hear you are doing so well. My surgery is today. I wish you the best

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 8/9/2013 11:30 AM (GMT -6)   
Bcolt

Welcome to the Wrapped Club!

Sleeping upright was the best way for me too. I actually slept in a recliner at home for a few weeks. It was much more comfy and easier to get in and out of. If you do sleep in bed, be sure to roll to your side and use your arms to push you up. Do the same when getting into bed. This takes the stress off your abs and helps to keep your pain lower.


Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn, Kidney disease

Nissen 6/06 and 5/09
#3 8/24/11

TonyG
Regular Member


Date Joined Apr 2013
Total Posts : 254
   Posted 8/9/2013 2:53 PM (GMT -6)   
Bcolt!

I will agree with Bill in that if you do lay down to lay on your side (my right side was the most comfortable) and use your arms to help you up as your abdominal muscles won't cooperate for at least a couple weeks. Also, keep a pillow or other like object handy just in case a sneeze or cough comes along. You'll want to hold that tight against your stomach as you sneeze/cough so that it doesn't hurt as much the first several days.

Welcome to the club! Hope you have an uneventful recovery and are quickly on the mend!

-Tony-
-TonyG-
Nissen Fundoplication April 30, 2013
Pain-Free, Reflux-Free, Sleeping on my back!

stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 8/9/2013 6:36 PM (GMT -6)   
 
Glad to read you are doing so well and I want to give you lots of kudos for the good job on using your smart phone to post this to HW. 
 
I couldn't have done that blush
 
Kindly,
Kitt
~~Kitt~~
Moderator: Anxiety, Osteoarthritis,
GERD/Heartburn and Heart/Cardiovascular Disease.



"She Stood in the Storm & When the Wind Did Not Blow Her Away, She Adjusted Her Sails."

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 8/9/2013 6:47 PM (GMT -6)   
Tony-


Thanks for remembering the pillow idea and the right side for sleeping. 2 very good ideas.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn, Kidney disease

Nissen 6/06 and 5/09
#3 8/24/11

Bcolt
Regular Member


Date Joined Nov 2012
Total Posts : 63
   Posted 8/10/2013 2:47 AM (GMT -6)   
Stephanie Jean: Best of Luck in your operation, Honestly, I am so surprised with how quick the recovery of this surgery is.

Thanks for all the good advice guys I really appreciated. I slept with two pillows undermy head last night and one under my back. All in all I had a pretty awesome sleep, I thinks its because I am home :)

Oh for any of ye interested I am going to maintain my diary in the original post, i.e. editing my original post as each day passes so that there will be a clear view of how my recovery is going!

:)

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 8/10/2013 10:22 AM (GMT -6)   
Bcolt

I am glad you are doing so well. I do want to caution you though that things probably will get worse after this 1st week. Somewhere during week 2 or 3 peak swelling will occur. When this happens you will most likely experience reflux symptoms. This is normal and once this happens it can be slow going for the rest of your recovery.

I just wanted to prepare you for this if it does happen. We have seen it so many times that a person is very excited at the results during the 1st week and then are wondering why the surgery has failed so soon. The surgery hasn't failed your body will just need time to heal.

Also don't get to crazy with your diet early on. If you stress the wrap it will get back at you.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn, Kidney disease

Nissen 6/06 and 5/09
#3 8/24/11

Bcolt
Regular Member


Date Joined Nov 2012
Total Posts : 63
   Posted 8/10/2013 10:54 AM (GMT -6)   
Hey Bill,

Thanks for filling me in, I think I am getting a little over excited about how well its going but I just want to pretend its all going to be fine :P

Any tips on how to prepare for the dreaded weeks to follow? ha


I love having this site to check out, people are so helpful and it makes it so much easier having people knowing what to expect :)

AnotherDay
Regular Member


Date Joined Feb 2012
Total Posts : 20
   Posted 8/10/2013 4:00 PM (GMT -6)   
I got over excited at how well it was going, in reality it wasn't going well at all. Mentally I was convinced all was well, but in reality it was masking the ordeal i'd gone through. I struggled with fatigue from day 3-7, 7 being the day I was admitted back into hospital. Hindsight is the only thing that taught me all was not well.
 
The weeks get easier, eating was the greater challenge and I applied a trial and error method. Always soft and always sauce based. I was on soup for 2 weeks, then pasta, a small amount of past a month ago took me an hour to eat and caused some discomfort. Though only yesterday, 8 weeks post op, I did eat pizza, albeit a sliver.
 
What I also found was a few times I thought 'I can try that' and eating a more challenging item/meal went well. When I started on more solid foods, I tended to have plenty of water to wash everything down.

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 8/11/2013 12:46 AM (GMT -6)   
Bcolt-

When the swelling really kicks in it will be harder to get food past the wrap and you may have a sensation of reflux. This is from the wrap not working as well as it does when everything settles in.
Foods to avoid are soft breads, solid meats, things that could pile up at the wrap like mashed potatoes. The foods like mashed potatoes are fine if you thin them out quite a bit. Toasted bread is ok as it doesn't ball up and can be chewed to a liquid. Chew VERY well, to a liquid if at all possible. Ground meat in small bites is ok. Wait about 30 seconds or so between bites and have something to drink in case something gets hung up.
If something does get stuck you may need to bring it back up, kind of like a cat with a hairball. It's not quite the same as vomiting since it isn't in your stomach.
Warm liquids before and after your meal will help ease the tension of the wrap while it's swollen. Cold drinks do just the opposite. Keep your meals small, 1/4 to 1/2 cup, frequently through out the day.

Go SLOW with your diet advancing. If your start to have reflux symptoms and things get sore, back of your diet to easier foods for a couple days and things should get better. Then you can try to add foods again when your body is ready.

The surgeons usually don't warn patients about these issues since they haven't been through the recovery themselves.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn, Kidney disease

Nissen 6/06 and 5/09
#3 8/24/11

Bcolt
Regular Member


Date Joined Nov 2012
Total Posts : 63
   Posted 8/11/2013 10:27 AM (GMT -6)   
opnwhl4 said...
Bcolt-

When the swelling really kicks in it will be harder to get food past the wrap and you may have a sensation of reflux. This is from the wrap not working as well as it does when everything settles in.
Foods to avoid are soft breads, solid meats, things that could pile up at the wrap like mashed potatoes. The foods like mashed potatoes are fine if you thin them out quite a bit. Toasted bread is ok as it doesn't ball up and can be chewed to a liquid. Chew VERY well, to a liquid if at all possible. Ground meat in small bites is ok. Wait about 30 seconds or so between bites and have something to drink in case something gets hung up.
If something does get stuck you may need to bring it back up, kind of like a cat with a hairball. It's not quite the same as vomiting since it isn't in your stomach.
Warm liquids before and after your meal will help ease the tension of the wrap while it's swollen. Cold drinks do just the opposite. Keep your meals small, 1/4 to 1/2 cup, frequently through out the day.

Go SLOW with your diet advancing. If your start to have reflux symptoms and things get sore, back of your diet to easier foods for a couple days and things should get better. Then you can try to add foods again when your body is ready.

The surgeons usually don't warn patients about these issues since they haven't been through the recovery themselves.

Take care,
Bill



Bill, Thanks so much!

I know that my doctor and dietician gave me good advice but its better hearing it from peopl who have actually had the surgery and know what its like. I have actually been feeling pretty good today, managed to eat a rich tea dunked in tea, which was delicious, and I had some ambrosia creamed rice the other day :)

I'm expecting that by next week I will be worsening a bit, so I am just enjoying, what seems like, a positive recovery while I can :-)

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 8/11/2013 6:22 PM (GMT -6)   
Bcolt-

No matter if you do get the worse symptoms at the 2 to 3 week mark, keep your positive attitude. I have found that has helped me through my tough surgeries.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn, Kidney disease

Nissen 6/06 and 5/09
#3 8/24/11

Bcolt
Regular Member


Date Joined Nov 2012
Total Posts : 63
   Posted 8/12/2013 5:39 AM (GMT -6)   
Bill,

For all of the pain I went through throughout my life with being sick I am so delighted to have had this surgery and that is why any pain that comes from it will be a blessing in disguise as it's a sign I'm improving :-) :)

Btw, for anyone interested I am posting all of my diary details in the first post :)

smilewinkgrin Oh and if any of you guys wanna fill me in on your weight loss post Nissen I would be delighted to hear it, because I am finding the weightloss to be a great side affect :-)

Post Edited (Bcolt) : 8/12/2013 4:44:28 AM (GMT-6)


Bcolt
Regular Member


Date Joined Nov 2012
Total Posts : 63
   Posted 8/12/2013 2:54 PM (GMT -6)   
Aug 12th 4 days post op

Been going good all day! Only took some pain meds when I woke up, and hasn't taken any before I went to sleep!

Had 3 dunked rich teas and half a cup of homemade vegtable soup alon with some tea water and cranberry juice. So, all in all, everything is going well

One of the best things is I've lost 6lb since my operation so yay

Bcolt
Regular Member


Date Joined Nov 2012
Total Posts : 63
   Posted 8/13/2013 6:06 AM (GMT -6)   
Aug 13th: 5 days post op

I am really loving the weight loss side of this operation: I am 7lb down since the operation and and 12lb altogether (since right before it).

I am really hope the weight continues to drop off cause I could do with having something to feel great about :D

Bcolt
Regular Member


Date Joined Nov 2012
Total Posts : 63
   Posted 8/14/2013 4:30 PM (GMT -6)   
Aug 14th: 6 days post op

So today I got a letter from the hospital, having my follow up apt in late september. I thought I would have been returning sooner to get my staples out, but as they sent me home with a staple remover thingy for my GP I will be going to him.

They had originally suggesting going to my GP and then the head surgeon told me they would set a spt for this coming tuesday.

Long story short I am gonna visit my Doc on Monday :( and I am a little bit terrified. Can any one tell me what to expect when he removes the staples from my tummy?

I imagine it is going to be pretty painful?

As for my recover, been feeling healthy, ate well today but have been in a horrid mood. The bright side is I have lost 8lbs since my surgery so I am pretty happy about that

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 8/14/2013 11:27 PM (GMT -6)   
Bcolt-

The staples come out pretty easy. If there are scabs they pull a bit, but not really painful at all. I've had staples 3 times and once was my open nissen with 47 staples down the middle of my belly. Looked like a zipper! I almost took a couple put my self as they were getting very itchy. I actually lifted them out about 1/2 way.
What's painful is when they add a couple stitches to a chest tube without any anesthetic!

I can understand to mood issues. Nothing more boring than waiting around to heal.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn, Kidney disease

Nissen 6/06 and 5/09
#3 8/24/11

Bcolt
Regular Member


Date Joined Nov 2012
Total Posts : 63
   Posted 8/15/2013 5:49 AM (GMT -6)   
Once again Thank you Bill,

You make it sound so much less painful than I imagine. Dya mind telling me how many days after surgery that you got your Staples out??

As for the Icthing Bill, it is driving me INSANE !!!!!

A friend of mine was telling me how little pain he had getting them out of his hand, nearly had me fully convinced, untill it occurred to him that he had actually cut a nerve in an accident and couldnt feel anything anyway !! shocked :-) shocked




Aug 15th: One Week Post Op

It's still only morning but I am feeling good today. Its 7days after surgery: I'm in practically no pain, havent taken any meds for a few day, my appetite is improving... So far, so good :D

On the weight front I am finally below 11 stone, which makes me inredibly excited. I had had a pretty stressful year and fluctuated in my weight for ages but i am hoping whatever weight I lose now will remain off. I hope to eventually get to 9st 7lb (135lb), /for my frame I think that is the best size for me :-)

All in all I am down a stone, 9lb with surgery and 5 beforehand. However, my stomach is still so bloated so nothing is showing on tummy, elsewhere though, people see it :-)

jamosca
Regular Member


Date Joined Aug 2013
Total Posts : 162
   Posted 8/15/2013 11:38 AM (GMT -6)   
Hi bcolt did you have a laparoscopic operation or a full on cut? Have you had any swelling round your wrap or is everything still going down ok?

Bcolt
Regular Member


Date Joined Nov 2012
Total Posts : 63
   Posted 8/15/2013 12:31 PM (GMT -6)   
I had the laproscopic! I guessI should have mentioned that :P I have 5 small incisions on my stomach.
I haven't felt to much swelling inside, but I am never hungry, my stomach feels kind of bloated and my stomach in general is swollen, like I can't suck in or anything like that, but there is little to no pain so it doesnt bother me :)

As for eating I havent really had anything solid (only soup, dunked rich teas, yogurt) so I don't really know if there is any problems with swollowing, I am not sure yet :)

But from what I can tell, there doesn't seem to be any problems at all, I imagine when I am finally eating solids there wont be many problems :)

jamosca
Regular Member


Date Joined Aug 2013
Total Posts : 162
   Posted 8/15/2013 1:28 PM (GMT -6)   
Eek losing weight is the most worrying for me, I only weigh 7 stone as it is but I am only 5 ft

Bcolt
Regular Member


Date Joined Nov 2012
Total Posts : 63
   Posted 8/15/2013 1:30 PM (GMT -6)   
Well, in that case you will be free to down a lot of icecream and milkshakes to prevent weight loss. For me the weight loss is a huge bonus.

Bcolt
Regular Member


Date Joined Nov 2012
Total Posts : 63
   Posted 8/15/2013 3:03 PM (GMT -6)   
Ok, So I just went for a walk, like a proper walk for the first time and Man am I in pain. I dont know if its the incisions or just a general bloated painful feeling. Anyone else get this???

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 8/16/2013 12:06 AM (GMT -6)   
Bcolt-

I think I had mine out around 2 weeks. Mine were very itchy and I remember that I couldn't wait to get them out. My lap nissens were closed with sutured under neath and glue on top.

Getting out and really moving can cause some pain. Straining the abs and such in any way will definitely do that, but it's part of the process.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn, Kidney disease

Nissen 6/06 and 5/09
#3 8/24/11
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