In Memory of Joseph T. Realmuto, Sr. (October 2, 1934 to March 28, 2006)

jtr1962

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Many here have speculated on my reasons for being absent from these forums for over 8 months. A few people who have contacted me privately already know the reason. Since this is a close knit group I thought it time to let everyone know the reason, and it should be obvious from the thread title. Truth is I wanted to do this some months ago but other responsibilities just kept getting in the way. I thank everyone who already knew of this tragedy for keeping it to themselves. While I wouldn't have been overly upset if it had been made public, I'd rather be the one to do so. And I suppose since more than half the people here already know my full name there's no harm using my father's full name in the thread title.

On March 24 or perhaps even the night before my father experienced severe chest pains. No way of knowing exactly when it started since he has long had a habit of keeping things like this to himself. In January 2005 he had a bad case of cellulitis in his leg and it took him nearly two weeks to decide to get medical attention. As usual, he tried to sit things out, probably hoping it was just a severe case of indigestion. Anyway, he wasn't feeling all that well Friday and my mom told him to call an ambulance. He refused. The next morning it took him 30 minutes to climb the stairs from the basement where he has slept for the last ten years. After a lot of persuasion we finally convinced him to call an ambulance. By the time he was on his way to the hospital it was already 3PM. My mom went with him. I had no idea it would be the last time I would ever see my father conscious.

On the way to the hospital my father's heart was beating at upwards of 200 beats per minute The paramedics were unable to bring his heart rate down. Once in the cardiac unit at the hospital they were able to shock his heart back down to a more normal rate. He was sedated and put on oxygen plus a bunch of other things. Later that day he was given an echocardiogram by a specialist. He found two cardiac arteries completely blocked-one from his first heart attack in 1989, and the other from this one. Too much time had passed to be able to open the recently blocked artery. A good portion of his heart muscle was dead from lack of blood flow. Technically he was in a state of cardiogenic shock. The prognosis for someone of his age was a 60% mortality rate. All that could be done at this point was to put him on life support and hope he stabilized enough to attempt open heart surgery. Besides 100% oxygen he was also on norepinephrine to keep his heart from going into arrhythmia. He was put on a balloon pump to ease the workload on his heart.

I went to the hospital that night with my brother and sister. In truth we didn't think my father would last the night. His heart had to be shocked multiple times. By the next morning he was somewhat stable so we went home for a little while. Over the next two days they gradually needed to shock his heart less so we had a glimmer of hope. However, when they tried to bring him down to 80% oxygen he didn't react well so he was kept on 100% oxygen. Long term this would create problems but at this point they really had no choice. His blood pressure remained very low despite attempts to bring it up. On Tuesday the 28th he hadn't needed to be shocked in over 24 hours but his condition wasn't improving. Basically the machines were keeping him alive. Despite a major reduction in the sedative dose he remained unconsicous. His body may well have induced a coma at this point. When we weren't at the hospital we called regularly to check on his condition. At around 11PM on the 28th the doctor in charge called and asked if we still wished them to attempt to resuscitate him if his heart failed. We told them yes. She had called because earlier when they were attending him it looked like his heart might have been ready to stop. A hour later the doctor called again. He had gone into cardiac arrest at 11:45 PM. Attempts to revive him failed.

Me, my brother, and my mother went to the hospital to say goodbye. It was probably the most painful moment of my life seeing my father lying there, knowing he would never talk or move or breathe again. When he left in the ambulance he hardly seemed like someone who was at death's door. He had enough presence of mind to write out a few checks for bills before the ambulance came. I do distinctly remember though that his hands felt ice cold. To this day I keep thinking if only we had dragged him to the hospital earlier he might well have survived.

After the funeral there remained much to do to get my father's affairs in order. First there was the financial affairs. After that there was and is the massive cleanup. My father was somewhat obsessive in his hobbies and very disorganized. The entire basement where he lived was literally a garbage dump. It took a few months to get rid of the garbage, and semiorganize the things potentially worth money so that we can eventually sell them off. It will take literally years to sell everything of value.

Over the last two months I started a major renovation of the basement. First, I pulled down the dirty, 50 year old ceiling tiles. I added loads of sorely needed outlets and some boxes for light fixtures. I retiled the ceiling, all 460 square feet of it. Next year I'll be ceramic tiling the entire area. The work was dirty, backbreaking, and injurious. I got my share of scratches and cuts. I practically cut my finger to the bone on one occasion. I inhaled more than my fair share of dust, hopefully none of it hazardous.

Besides all that I've mentioned, I've had my share of minor health issues both before and after my father died. One day in late February I was alternating between doing some experiments in my workroom in the basement and using my computer. I probably went up and down the stairs a good 100 times that day, if not more. The day afterwards my feet hurt like crazy. No big deal I figured-just a few days rest and they'll be fine. Well, they felt somewhat better after a few days, but they still hurt when I walked while running my daily errands. The pain persisted, sometimes getting better, sometimes getting so bad I was walking like I was 100 years old. It never got completely better, and I suspected that maybe I had a fallen arch or some other foot problem. I eventually tried arch supports with a little success. New shoes combined with the arch supports helped yet more. One day in March I managed to walk about 10 miles at 13 minutes a mile for the first few miles, and 14 or so minutes a mile for the balance. The pace was a little slow for me, and my feet hurt quite a bit when I was done (not unusual for walks this long even prior to the foot problems), but it was a huge step up from where I was a few weeks earlier. Cured I thought.

Turned out I was wrong. In April the pain started coming back. I noticed my some of my toes were slightly swollen, more so on the left foot which gave me more problems than the other one. I forced myself to walk a few miles a day, but it wasn't pleasant or easy. Even during times when I didn't walk at all for a few days the pain persisted. At around this time I also started having gradually worsening problems with my hands, the right in particular. By late June my right index finger was swollen quite a bit, and I couldn't move most of the fingers on my right hand more than a few degrees. Cycling made both the foot and hand problems worse. I felt like an complete invalid at this point, and was thinking of ways to end my life if I couldn't do anything about this pain and lack of mobility.

Around this time I read something in a medical periodical (Health Alert) which mentioned that CTS is basically a symptom of inflammation of the median nerve, and the carpal tunnel release operation, while providing relief, doesn't eliminate the root cause of the condition, namely the inflammation. It was also mentioned that the pain sometimes recurs even with the operation. Anyway, I put two and two together, and realized that my foot problems and my CTS were manifestations of the same thing-generalized inflammation. The cure mentioned couldn't be simpler-vitamin B12!

Don't get me wrong. I was skeptical of course. Nevertheless vitamin B12 certainly couldn't hurt me, at least taking it for a short duration. I tried 500 mcg once daily. After a few days the swelling in my right index finger went away. A few days after that most of the pain was gone. I also noticed that the pain in my feet was gradually declining. Unfortunately, I didn't have a chance to test my joints since I came down with a flu-like illness which kept me bedridden for a good week shortly thereafter. I developed the illness not long after noticing some welts from mosquito bites on my neck. The symptoms included alternating between seating and chills, nausea, dizziness, and fever at times as high as 106°F. It took a month for all traces of whatever it was, perhaps West Nile virus, to vanish completely. After I finally felt better, I went for my walks with little pain. The swelling in my feet was gone. I was back to walking sub-12 minute miles. While my hands still have some problems (I still can't make a closed fist with my right hand without moderate pain), they are better than they've been in a long time.

What brought on my apparent B12 deficiency? Probably the same diet of processed crap which causes most of the health problems in this country. I'm making a greater effort to eat better, basically avoiding things in a package as much as possible. I recommend to anyone else who has any health problem except a trauma of some sort to try to find and correct dietary deficiencies before resorting to surgery and especially before resorting to prescription drugs. Although I pretty much thought so beforehand, this medical periodical merely confirmed my worst suspicions about prescription drugs with many examples. There is no such thing as a drug without side effects, and they all eventually cause more problems than they cure.

Drugs and side effects brings me to my next topic. I strongly suspect Lipitor was as responsible for my father's declining health, and his eventual death, as his bad habits were. A friend of mine experienced severe side effects from this drug, but was smart enough to put two and two together, and stop taking it. My father on the other hand continued taking it because without it his cholesterol readings would have been horrible in no small part due to his horrid choice of foods and his being close to 300 pounds. The last year and a half he had all the side effects of Lipitor-fatigue, constipation, muscle weakness, bloating. He was getting so short of breath that I remember he couldn’t even blow out the candles on his 71st birthday. While I had no illusions that he would live to be 100, I didn’t realize how bad his health had gotten. Still, the fact that his equally obese and sedentary mother had died less than four years before he did, at age 87, led me to believe he probably had maybe ten years left if he made no lifestyle changes. To this day I believe the Lipitor hastened his demise, both due to the side effects, and the masking of his unhealthy eating habits. The sad part is that his family basically comes from very strong stock. If he had taken decent care of himself his whole life, never smoked, ate well, didn’t gain too much weight, he may well have lived a century. I honestly feel like I lost a good thirty more years I should have had with my father.

I have more to say but for now I’ll stop here since this post is already ridiculously long. At least mom is in very good health despite having some non lifethreatening operations the last few years, mostly for joint problems. The longevity tests she’s taken based on her lifestyle and family history suggest she’ll hopefully live to be 100 and change, barring accidents and contagious disease, of course. With any luck I’ll do likewise. It just saddens me that I’ll likely spend quite a bit more of my life without my father than with him. Despite the fact that he was at times a very difficult person to live with, it’s hard to learn to live without someone who I lived with every day of the first 43 years, 4 months of my life, with the exception of my first three semesters at college. My father was like an odd mix of Captain Kirk and Darth Vader with a little Denny Dimwhit thrown in for laughs. He could be impossible but had his moments. I suppose a lot of what I am today comes from both him and my mom. It would have been nice to have had him with me a little longer and even nicer if he hadn't died a young man.
 

Will Rickards

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It is very good to hear from you.

I'm sorry your father died. I can only express heartfelt condolences.
I cannot imagine what losing a parent is like.

I wish you good luck with your remodeling project.
 

udaman

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Well now that you've got that off your chest...

(j/k not trying to be flipant, just need to lighten the mood sometimes, even when you feel like sh*t).

Hope can feel up to posting a few times now and then jtr, between dealing with 'real life'. For some reason, I thought you might have an Italian name, like that of one of the most famous Pinot Noir vineyards in California/all of the USA. Rochioli Vineyards & Winery. Joe Rochioli is kind of what you'd call the patriarch. (hmm, must use spell check more often, good thing I'm not a bimbo celibrity like Lindsay Loehan(sp?) ;0 )... you might thing I had the same IQ as Jessica Simpson singing 9 to 5, lol. I'll have to take a good long time, inorder to say something worthy in reply to your long post. In the short, diet has something to do with it, Japanese friend of my parents, his wife is feeling guilty to, as her husband is not quite as morbitly obesse, yet he recently has suffered kidney failure and need dialisis 2 or 3 times a week and has lost mobility because of the kidney problems. Too old for a resonable chance at a Kidney transplant (as you know they are in high demand), he doesn't seem to have many more years left, and that's almost a certainty, he's in his 70's also.

Lipitor, my mother has been taking that, along with hypertension medicine, along with Nuerontin for the permanent pain in her back from the lung cancer surgery. She has no energy at all these days, and since the surgery, but in the last year much lower energy levels. Exercise is always good, and in your case jtr, I'll recommend cycling again...but not the kind you like to do. Get a sit down recumbent cycling machine (a good one that you've tested for comfort before laying down big $$$) and use that as much as you can. This is what I try to get my mother to use, as without the meger 30-40min sessions she does on that, I'm sure she'd be nearly dead from poor general health. Figure out someway to do anykind of exercise, it not only helps with gerneral body health, it also helps to keep stress levels in check. Sounds like you carelessly did the remodeling/tiling project as a way of dealing with your grief, but why compromise your health even more do such in that manner. Get a paint/organics respirator mask for enclosed evironments like that, and take your time.

500mcg of B-12 seems excessive, I take a mulit-vitimine supplement (generic version of Centrum I got at the CVS pharmacy) which has 6mcg of B-12 or 100% the daily RDA.

Question, I know I've said it to jtr and others in private at least. But life is short, always take the time to do something for yourself each and everday. Be selfish now and then. Jtr did you do anything for your own enjoyment for your birthday this year?

Maybe some local Chinese speaking American(Arcadia) Calif babes are in order then, as a nice diversion?---this from the Oct 6th, Harvet Moon Festival, Volvo sponsor, Arcadia LA County Public Park, as done by the local Asian/International station here in town www.la18.tv , Hmm, the babe on the right is Chinese but way too busty for either jtr or my tastes. Then again, she seems to be having more fun, more easy going/fun loving down to earth, less self-absorbed than the slimmer woman on the left. Was grooving a little right there in place when the teen crowd favorite Far East hip-hop rapper guys where doing some number on the main stage directly opposite from the Volvo display---note to self, get a 1/2 way decent ultra compact digicam, this Olympus c-50z absolutely sucks/takes lousy pictures(btw, just got back from picking up an order of dim sum takeout in Monterey Park, saw a long cargo train, 3/4ths of the containers stacked 2 high per car, where labeled as either Haijin or China Shipper). There's a new wine shop and herbal store in Monterey Park, the 30 something Chinese owner, opened the store with help from his father. He like his father were born in Vietnam, and they both work long hours. As is he used to work at the store (in which they installed $150,000 of trendy style ceiling halogen fixtures) 16hrs a day, 7 days a week. He's cut down now (maybe got a wife and kids now?), only 12 hrs/day 7day/wk.


http://img.photobucket.com/albums/v103/udaman/sushi-DimSum/HMF06/PS-Vogue.jpg
 
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Bartender

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Hi jtr. I'm glad you posted. I'm very sorry for you and your family's loss.

I am also sorry for the post before mine. In my opinion, some of its contents and the picture don't belong in this thread.
 

ddrueding

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jtr,

I'm sorry again about your father and the other problems you've been having. I hope to see more of you around here in the future.
 

Handruin

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Hi jtr. I'm sorry to hear of your loss and other problems you've faced. Losing a parent is a very tough thing that I cannot fully understand yet. I recently lost an uncle a couple weeks ago (fathers brother) at the young age of 63. I know it's not the same situation you went through, but it's still an eye opener that now my cousins are without their father (and likewise my dad without his brother and any remaining blood family). It could have as easily been my father and my situation to deal with...none the less it's not a happy thing to deal with. My uncle had a clogged artery among other health problems but we don't know if that was the cause of his death. He died at home literally in my aunts arms while waiting for the damn ambulance, which took 45 minutes to arrive.

I hope things are improving for you over time. I'm glad to see you again, I missed reading your posts and thoughts. My condolences for the loss of your father. I hope you can post again some more in the future if you have the time/energy.
 

LOST6200

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Hi JTR,

I'm so sorry to hear about your father. :( I hope that this experience has made you more aware of health in general and that you consider having examinations sooner rather than later, whether it is for a swollen foot or shortness of breath, etc. I was recently hauled away by the ambulance and spent a couple of days in the hospital - it is always unpleasant.

We miss you around here; please return regularly.

Best wishes,
Eric
 

Handruin

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(sorry to digress) That's probably the best writing I've seen out of you Eric in a long time! It's like you put on your best suite to come say hi to jtr. :)
 

mubs

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jtr:

My heartfelt condolences. I lost my father in 1999, and it wasn't easy. I know what you must be going through. Hang in there.

All the best for the future. Life will go on.

ps: I've been on a Lipitor equivalent since 1999.
 

Pradeep

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My condolences to you and your family Joe.

It's great to hear from you, even though the news is bad.
 

LiamC

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jtr: my condolences as well.

In April I lost my mother in similar circumstances—rushed to hospital, never awoke. We (my brothers) had to decide on when to "pull the plug".

My mother-in-law is dealing with her third bout of cancer in two years. The hospital rang and said that the surgery scheduled for next Tuesday may not go ahead. This surgery is really last ditch, bleeding edge stuff. It's playing havoc on my wife.
 

jtr1962

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Thanks all for the condolences. While I've gotten over my initial grieving a while ago it's still strange not having my father around. I only wish my father had taken his health more seriously. I thought a wakeup call would have been when his younger brother (my uncle) was diagnosed with leukemia a few years ago. Fortunately, he's still alive and his cancer is in remission but it looks like he's another one who's not taking this seriously. I believe he was even still smoking recently. And my other uncle (my mother's brother-in-law) is in the hospital this week having an aneurism on his aorta repaired. Fortunately he's in good shape for 80. He walks a few miles a day, isn't overweight, and eats well. The operation went well and his long term prognosis is excellent.

LiamC, I'm sorry about your mother and I hope the best for your mother-in-law. At least we were spared the decision of when to pull the plug. I can't think of a harder thing to day.

mubs, you know exactly what I've went through since you've been through it yourself. Please monitor yourself carefully since you're on Lipitor. If at all possible make lifestyle changes to get off it.

Doug, I'm sorry about your uncle. Passing at only 63 is really tragic.

Eric, I'm sorry to hear about your recent health problems and I try to do what I can to keep myself healthy. Fortunately, between me, my brother, and my sister the only major health issue so far was when my sister had her tonsils removed about 15 years ago. Me and my brother have never needed to stay in a hospital yet. I personally don't trust doctors and avoid them whenever possible. In fact, my last physical was in 1980. Nowadays it seems doctors are determined to get you taking some pill so as to start the downward spiral in your health from side effects. Anyway, I'll trust a doctor to stitch me up or set a broken bone but that's about it. Beyond that I can probably control my health better than they can by just eating decently and moving around. My father's real nemesis was his sedentary lifestyle more than his albeit no so good diet.

Pradeep, Bozo, ddrueding, Merc, Bartender, Will Rickards thanks for the condolences. Losing a parent is a horrible thing. Fortunately I'll only have to go through it one more time, and hopefully not for another 30 to 40 years.

udaman, sorry about your parents' friend. I really hope he gets a kidney but you're right, things don't look good long term. My mom was ill on my birthday, and I was just getting over the same thing from the week, before so I really didn't do anything for my birthday this year. To be honest, birthdays here have been hit or miss. Sadly, we didn't do a thing, not even a cake, on my father's 70th birthday although at least we celebrated his final birthday. Good idea on the recumbent excercise bike, especially to get my mom doing something aerobic. It would be good for me also so I can get some exercise in on days when I can't ride on the road. I'm not giving up road riding, though. Cycling on a machine is just boring compared to road riding. Long term I'm looking into getting a nice, fully-faired recumbent so I can run at ~40 mph continuously instead of 20 to 25 mph. Just went out on the bike yesterday and got a flat after only 3 miles. :( Next thing is to get some airless tires.

I wasn't overly careless with the remodeling project, it's just that when doing stuff like that accidents always happen. You just try to make sure they're minor ones rather than major ones. I've been beat up far worse. Keeping busy may have helped with the grief, but this was an essential project. The old tiles and sheetrock had cat urine stains from the days when we had a blind cat who peed wherever she felt like. My mom's overzealous attempts to clean resulted in a bleach/urine mixture dripping on the ceiling downstairs in places. Besides that, the smell of the 50 year old tiles was no doubt one reason why we both found it hard to breathe when we were home.

I was only on the 500 mcg B12 for about a week. Yes, the dose was excessive which is why I stopped after feeling a little better. Now I take a multivitamin with occasional supplements of Vitamin E when I get sick and a Vitamin B complex when my hands hurt. The B complex tastes like rust so there's no way I would take it everyday anyway.
 

Clocker

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Good to have you back and sorry to hear about your dad.

I take Vytorin 10/40 which is similar to Lipitor but adds another component. I used to take Lipitor but found the Vytorin to be more effective. We have a history of high cholesterol in my family.

Remodeling is fun! I've been working on finishing about 1400 square feet of my basement. At least I'm not cleaning up a mess though. It was totally unfinished so I was able to start from scratch.
 

jtr1962

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Remodeling is fun! I've been working on finishing about 1400 square feet of my basement. At least I'm not cleaning up a mess though. It was totally unfinished so I was able to start from scratch.
Much easier if you start from scratch, especially the electrical work. This is doubly true in NYC since we have to use armored cable and metal boxes. I'm using 12-2 (cable jacket is ground) BX cable which is a real pain to get around turns, or to cut. All told I added or rewired 20 outlets, 3 light switches, and 5 light fixtures. I also rerouted 4 cables which had been run earlier through the ceiling instead of along the top of the wall. All this was made all the more aggravating as I was trying to fight the cable while my hand was reaching into a small hole in a dusty, dirty space between the ceiling and the subfloor upstairs. Over the years I've added quite a few outlets and/or rewired circuits. When we bought the house in 1978 it was typical 1950s wiring. Everything was on about three 15 amp circuits. I eventually moved things, especially air conditioners, to their own circuits, put in loads of outlets upstairs, and put outlets and lighting outside. I shudder to think what it would have cost if we had to pay a professional electrician.

P.S. Thanks for the condolences, and please monitor yourself for side effects from your medications. Unfortunately, some families do have a history of high cholesterol, or high blood pressure, or other ailments even when they do everything they should. People like yourself are really who these medications are for, not those like my late dad whose poor readings could have been fixed by lifestyle changes. I'm lucky in that nothing really runs in the family on either side. No history of high BP, cholesterol, cancer, heart disease, or anything else except maybe carpal tunnel syndrome. Problem is, especially on my dad's side, it seems some family members are prone to engaging in self-destructive eating habits. It's a shame. Had my dad taken care of himself I have little doubt he would have made it at least into his 90s. His mom probably would have made it well past 100. As it is we were all amazed she made it to 87 despite being morbidly obese for almost her entire adult life, and eating foods high in fat/sugar/starch.
 

jtr1962

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jtr,

Did you upgrade your service to handle the extra load?
The circuit breaker box was already a 100 amp/240VAC or 200 amp/120VAC service when we moved in. Even with all the ACs running we don't come close to that. The main concern was getting heavy loads by themselves so we didn't have breakers tripping if we were making coffee and using a microwave at the same time, for example. Even though the 12/2 wiring I added is rated for 20A I left most of the breakers at 15A since some branches still have the older 14 gauge wire. I used 20 amp breakers on new branches with only 12 gauge wire.

We may have to get a service upgrade eventually since we're planning to eventually ditch oil heat in favor of a forced air heat pump/central AC unit. However, this is at least a couple of years away. We're still studying the options. Longer term, we're even considering going partially or fully solar for our energy needs.
 

Buck

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Wow, that's nice. I would not have expected to see a 100 amp service in such a old house. Updating to central air conditioning is a great idea, especially as summers will continue to increase in temperature and last longer. Although, I wouldn't discount a little ice age hitting the North Atlantic again as it did from the 13th to 19th century. Particularly in New England, I would equip myself for both extremes.
 

Clocker

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jtr- You probably are familiar, but if you want to get two separate 120V circuts on one run, use 12/3 wiring with a double pole breaker. The neutral wire can safely be shared. This is pretty common in kitchens and stuff where separate circuits are needed for high load appliances. I decided to go that route in my basement with two 20A double pole breakers. I have two runs and the outlets alternate between two different circuits on each run (for a total of four 20A circuits). I'll never use all that current, but having each run lightly loaded should help the efficiency (especially on the long really long runs) a bit and the added cost is very small.
 
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