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~ Acquired Brain Injury (ABI): from the acute hospital to early rehabilitation – more on: www.CaringforPadraig.org and www.ansaol.ie

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Author Archives: ReinhardSchaler

Summertime

14 Sunday Aug 2022

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Summertime is always the best of what might be.

Charles Bowden

The world is full of surprises and opportunities.

Last week started with day two of Pádraig’s friends’ wedding celebrations. It was another fabulous day of Ireland’s week-long summer. The couple had organised a section of a boat on the Liffey which presented itself in glorious sunshine. The pints looked like straight from a Guinness add. The famous two red & white chimneys of the pigeon house in the background matched those on Pádraig’s sweatshirt. Many of the dreamboaters were around. A perfect day.

One of our friends was leaving after her summer holidays last week, so I decided to go for it and order that “Iced Caramel Almond Latte”. It looked so tempting and I just wanted to really enjoy the last moments in the company of our friend. – I’ll show you in a minute what it looked like in reality. You’ll know what I am talking about if you remember the scene in “Falling Down” when William ‘D-Fens’ Foster complains to Rick and Sheila about the Whammyburger he had just been served.

Pádraig had some really outstanding sessions in An Saol. Not that this was in any way unusual, but these were special.

An Saol got a ‘Swedish ladder’ which was used by one of the therapists to do some upper body strengthening exercises with Pádraig. To our surprise, he managed to hold on to the rings (with just a little help) and pull himself up from a half lying position to sitting. When I looked a bit closer, I was amazed by the muscles in his upper arms. Maybe, I should just stop to be surprised. Maybe, Pádraig just needs to be given the opportunity to show what he is capable of every day, with new challenges, creativity and ambition. Hut ab!

Also ‘Hut ab’ to the therapists who go out of their way to make things work, who use their imagination and creativity, who even bring in additional pieces of equipment to make things work a bit better.

An Saol also have a new music therapist attending regularly. Last week, he and Pádraig demonstrated the importance and fun of music therapy. Having practiced a few foot tappings, and mouth movements focusing on shapes you’d use with vocals, the therapist played a song – and I was wondering why he had picked ‘Let it be’ – a beautiful song, but probably not exactly one of Pádraig’s favourites. When he encouraged Pádraig to do a really good ‘Let it bEEEE’, I realised where this was going. When he changed to ‘Let it bAAA’ and ‘Let it bOOO’, Pádraig really made a big effort to play, and sing, along. It was fun and motivating.

We tried out the Johnstone splint – it’s like a plastic tube rapped around a limb that can be inflated and supports a big stretch. We had never heard of this until this summer when it was used by a German OT. Something very simple and very effective.

One early evening, we were sitting in the garden. We heard a bit of a rumble and when the dust had settled, we realised that a section of our garden wall had collapsed. Out of the blue. Nobody was injured.

From time to time, walls collapse in a storm. We think our wall probably collapsed because of the exceptionally warm and dry weather. It’s a mud wall that needs some moisture. Over the last week, it slowly was reduced to dust to a point when it just couldn’t sustain itself anymore.


And here is my highlight of the week. The “Iced Caramel Almond Latte” Sheila and Rick could have produced in “Whammy”. When that Latte was served, I showed the server the picture and asked him whether he had made a mistake? He apologised and said that they weren’t really able to make this speciality coffee. In fairness, he did not charge for it and I still enjoyed it with my eyes closed.

At times, you have to imagine what it could be and hope and work and pray that one day it will.

In the meantime, I might sometimes feel like William ‘D-Fens’ Foster. But I’m not ‘Falling Down’. And won’t for some time to come:)

Summertime is the best of what might be.

Life

07 Sunday Aug 2022

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Life should not be a journey to the grave with the intention of arriving safely in a pretty and well-preserved body, but rather to skid in broadside in a cloud of smoke, thoroughly used up, totally worn out, and loudly proclaiming, “WOW! What a ride!”

Hunter S. Thompson

And you don’t have to be Hunter, or a surfer, to thoroughly enjoy life.

But a picture I took in Garding last week shows that life can also turn out differently.

It’s from a watchmaker’s window, showing the price of some pure zink plates he must have been trying to sell for a long time. Their original price was 35 euro, then reduced to 30, later to 20. Now, he’d take ten euro. Still, nobody seems to be interested in buying them. The shop is now open for only two hours on just two days a week. Soon, it’ll be closed forever and the formerly valuable pure zink plates will be thrown away by whoever will clear out the shop.

I went on my last, long early morning run in Eiderstedt last week, up the road to the dike and then along the shore towards the Westerhever lighthouse. Wild Geese were accompanying me, the sun was coming up on the horizon behind the windmills, the beauty of the morning was hard to beat.

Before we left, we all went back to the Arche Noah for a farewell. We had some amazing views: steps down from the bridge to the beach that looked like as if they were bringing people down to an underworld; and a family combining their forces to push a pram through the sand.

The next few days we spent on the road. And on ferries.

This time, we found a really nice steward who took us up the crew lift, through the kitchen and up to the Sky Lounge with amazing views out to the sea. It’s surprising that there isn’t a passenger lift going up. Last time, on the way out, Pádraig hadn’t been able to get up there. – We went to a different restaurant on the ferry and had a fantastic night with brilliant food.

We were also lucky with Stena Line on the last leg of the journey. They have really spacious wheelchair cabins with great bathrooms and access. Much better than the newer vessels of the competition.

The last few weeks were exhausting, at times stressful, challenging. We spent all this time together. Our day was not planned and pre-scheduled. The days were great and we appreciated every minute of that time together and away.

We came back for the wedding of two of Pádraig’s best friends. Most of his friends from college were there to witness and celebrate the official start of their lives together, on their own feet, with their own responsibilities.

The wedding couple had made every possible effort to make it easy for Pádraig to join them on their special day. They had made room for him in the church and discussed with the hotel about his room and place at the dinner. Pádraig really enjoyed the day and was smiling listening to some of the anecdotes he recognised, scenes from the couples’ life he had shared with them.

Days like these are so happy and so sad. For so many different reasons. No need to mention them here, we all know what they are.

All part of life.

Life should not be a journey to the grave with the intention of arriving safely in a pretty and well-preserved body, but rather to skid in broadside in a cloud of smoke, thoroughly used up, totally worn out, and loudly proclaiming, “WOW! What a ride!”

On the road

31 Sunday Jul 2022

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Our battered suitcases were piled on the sidewalk again;
we had longer ways to go.
But no matter, the road is life.

Jack Kerouac

More walks under an endless sky that blows your mind away.

More visits to Garding, more live music, Bratwurst and Schnitzel.

More exercise lifting weights while standing, and moving legs as if walking.

Soon, we will have to pack our suitcases again and we will be back on the road.

But no matter.

The road is life.

We have longer ways to go.

Freedom

24 Sunday Jul 2022

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Do just once what others say you can’t do, and you will never pay attention to their limitations again.

James Cook

Another, very normal, week off: breakfast in the garden, a stout in Egan’s Irish Pub, and dinner at the sea front with the seagulls watching.

An overnight in Hamburg where late afternoon was considerably warmer than Tating, even Madrid, or Scottsdale, Arizona, in the morning. The place where we stayed was, thankfully, super cool in many different ways. Except breakfast, which was very German and predictable, and set us up for a great day in a city full of memories.

OT sessions. With the OT in their practice using a ‘blow-up’ splint we saw for the first time. It gently stretched out Pádraig’s left arm as he was moving it, guided by the OT, from left to right and back, then up towards his head, holding it there for ten, and bringing it back down. Also movement we had not seen before with his arm stretched out.

Exercises at home. Lying on his front for a while, stretching his legs, lifting up his knees from the splint. Standing, stretching, and cycling the MOTOmed.

An afternoon with Eiderstedt’s Ringreiter. Some see this as the modern day variation of a medieval competition. Riders, at speed, have to stick the tip of their lance through a small metal ring that is fixed on a line across the parcourt.

And then, there are my early morning ‘runs’ along the dike. Complete emptiness, apart from wild geese, sleepy sheep, and the wind.

We are having a busy, tiring, fantastically intense time together, with very little routine and only the occasional reminder of our other life. Freedom to do what we wish.

Normal holidays.

There are many things others don’t expect those with a severe Acquired Brain Injury to do. But when you, even once, have done what others say you cannot do, you will never pay attention to their limitations again.

James Cook was right.

Video

Break

16 Saturday Jul 2022

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You only have two eyes and you should see with a hundred

(Zwei Augen hat man nur und mit hundert soll man sehen.)

Theodor Storm, Der Schimmelreiter

We’re on a break. From our daily routine. In a different world. Exploring tastes, temperatures, touches, visuals, times, people, movement. It is taking time to ‘arrive’, from the ‘normal’ to the ‘different’. ‘Ankommen’.

Our first long walk was out to the ‘Arche Noah’, about a mile off the coast across a wooden bridge onto a giant sand bank. Sand a far as you can see. I know this place since I was 15 or 16, spent most of my summers working here with others, and with my sister and her husband who lived here.

Since then, we’ve been eating in the garden and we’ve been eating in different small restaurants, most of them overlooking the sea. Mostly in pretty misty weather so far.

Pádraig discovered that he can eat cherries. How? He does what we all do. Sticks a cherry into his mouth and spits out the pit. – That is the same man who was once told not to worry about peg ‘food’ because it was essentially the same a the food he wanted to eat. – Really?

With a little help from our friend, he found a great OT who has seen him a few times last week. She has a a practice that must have taken decades to develop. The initial ‘assessment’ consisted in a trial and error session which we assisted. On the way out one day, she showed us her huge garage which she had converted into a giant activity space.

For the first time in three years, Tuesday night was, again, Garding night: Musikantentreff. Not really ‘Musikanten’ but ancient rocker. As interesting and entertaining the music, Pádraig must have found the audience, some of whom screened WACKENNNNN! WOA – Wacken Open Air.

In sharp contrast, we spotted auld Ferdinand’s car parked in the disabled space beside ours – still driving a hot tire. In a Porsche Cayenne. Only in Germany.

If we only have two eyes, how can we see with two hundred?

There is so much to see that even two hundred eyes would not be sufficient did we not open them up completely.

Let’s start moving around with our two eyes wide opened. Looking around us. Seeing and experiencing the world we live in. All of it and not just the parts we want to see or someone else wants us to see.

A beak from the daily routine provides fresh perspectives.

Un Piccolo Momento

10 Sunday Jul 2022

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For the Great Joy of a Small Moment

It was nearly three days of leisurely travel before we got to Tating late yesterday evening. Two ferries, Dublin – Holyhead and Hull – Rotterdam; two overnights, on the ferry to Rotterdam and in a hotel near the autobahn close to Osnabrück; a 1,000 km drive; moments of tiredness, great awe, and fun.

We saw amazing things and met amazing people along the way. A duty free shop (!) on the way to post-Brexit UK; a Volkswagen van without a steering wheel driven by a disabled man with his family in the back in a cockpit that looked liked that of a fighter jet; half-empty ferries when there was chaos in the airports; brilliant food; comfortable cabins; very helpful crew; hour-long traffic jams when entering Europe from the U.K.; and, of course, endless hours of Boris semi-resigning on the BBC.

The journey was one long adventure. Strange, at times, annoying, weird and wonderful at other times. Always exciting.

We stopped at a petrol station on the way where the owners regretted that they could not accept 500 euro notes for security reasons – have you ever seen a 500 euro note, never mind owned one? Pádraig managed to get out on the deck on one of the ferries but not up the only access to the fun sun deck, a flight of stairs – would that count as discrimination? The stewards on the same ferry asked a man to leave the accessible cabin Pádraig had booked, which the man had asked for, not because he was disabled but because these cabins have more space – for which the purser then profoundly apologised and offered free dinner and breakfast to the three of us, for the inconvenience.

I took too many pictures of the food we enjoyed along the way. Not so much because of the food itself but because of the fact that Pádraig really enjoyed the different tastes and textures, from a full Irish breakfast on the morning ferry, prawns and beef on the evening ferry, a good German breakfast on the way, and a Schnitzel when we arrived in Tating.

On the way, we passed an Adidas Reebok factory, displaying a slogan that society should take to heart: Through Sport We Have the Power to Change Lives. Yes, we do. And especially the lives of people who need our help to exercise.

I was thinking: should we ask Adidas to help us doing this? Really changing the lives of people?

Life is not a rehearsal. Life is just one short moment. Un piccolo momento. And we should enjoy it as much as possible. Per la grande gioia.

Travel, eat, drink, exercise, be in awe, explore, have fun and adventures.

We have the power.

Forever Young

03 Sunday Jul 2022

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Warning signs can be misleading.

Don’t Look Back

The Times They Are A-Changing

Slow Train Coming

On my way to Cape Cod, nine years ago, I tried to memorise Forever Young.

May you build a ladder to the stars
And climb on every rung

I needed to keep my mind busy. And I thought this might be the way that I was going to remember Pádraig. Forever Young.

May your heart always be joyful
And may your song always be sung

Last week, Pádraig and I went to see Girl from the North Country, a musical written by an Irish writer featuring the music of Bob Dylan, performed in a calm, very melodic, artistic way.

May you always be courageous
Stand upright and be strong

Pádraig, luckily, did not stay Forever Young. He is getting older. As we all are.

This last week, he started to play music again supported by two pretty good music therapists and some helpers.

Yesterday, we had our dinner al fresco. After all, it’s summer.

The sun umbrellas came in handy to keep the rain out. More or less.

I have moments when I don’t understand the world. I have moments, when I feel like I should try to wake everybody up and shout at their face: “are you for real”?

But I should look forward, enjoy the time we have and make the best of it. Whoever is around and wants to make life difficult – they’ll give up eventually. And if they don’t, we’ll just let them keep doing what they do, without paying any attention to them.

What happened to Pádraig and us has to be told one day, just so that people can see how crazy the world can be. And how a person can leave all that craziness behind and be, Let it be.

It’ll be more for entertainment than for defence, or attack, or revenge.

Someone last week asked me about the values of An Saol. Our values.

They are: community, autonomy, and healthy living. – No room for competition, no room for telling us what is in our ‘best interest’, no room for lying in bed and getting worse every day. We know that we have to help each other, that we have to take responsibility for what is happening to us instead of blaming others for it, and we know that we need to stay active unless we want to get sick and die.

Some warning signs are ill placed. We gotta do what we gotta to do. And not be scared to do it.

Think about it.

9

26 Sunday Jun 2022

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This is an extraordinary achievement, nearly nine years in the making.

Barack Obama

Resuscitation, organ donation strongly suggested, an intolerable life promised, driver never prosecuted, all possible life-threatening complications, lock-up in hospital because “we don’t want dead people in our yard”, the question by a qualified rehab nurse beside his bed asking “would it have been better had he died?”.

Traveling back to Route 6A, Main Street Brewster, MA; inspiring the An Saol Foundation, giving it its name, logo, and purpose; employing his own care staff; going to concerts, cracking jokes, enjoying food, drink, and good company; voting for the Dáil and opening bank accounts; caring about others with great empathy.

Using his switch, the “bleeper”, Pádraig today told us that he remembered the day, month, and year of his accident; he told us that he enjoys going to An Saol; and that he is very much looking forward to his upcoming holidays. Is he happy? Yes, four out of five.

Having that conversation with him in the garden and remembering what happened this coming Monday, nine years ago at 3pm in Brewster, was nearly unbearable for me. Time does not heal.

Going back there after 10 years. Fulfilling the dream of going to Alaska. Making people happy. Something to look forward to.

I now walk into the wild.

Human

19 Sunday Jun 2022

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My sign is vital, my hands are cold. And I’m on my knees looking for the answer.
Are we human or are we dancer?

Mark August Stoermer, Brandon Flowers, Dave Keuning, Ronnie Jr Vannucci

We won’t forget that night as long as our signs are vital.

Sometimes we felt like spacemen.

We got the wristbands, we were dancing, we were singing. Under the warm, blue skies of Dublin on a night that was magic and could not have been much better.

Nearly two hours of pure, contagious energy straight from Las Vegas Nevada to Malahide Castle Dublin.

During the week, Pádraig did not just continue with his fitness programme, cycling on the MOTOmed and walking on the Lokomat, he also went back to active standing, supported by friendly helpers but otherwise on his own two feet and legs and without any standing frame. – A close second best to The Killers.

We continue going to the National Hyperbaric Centre, breathing pure oxygen for an hour under pressure equal to being 10m under water. Pádraig says it helps his lungs and his alertness. – It’s a bit like the casinos in Vegas where they pump oxygen into the halls to keep players going and where The Killers most likely get all their energy. Makes us think of Tom Cruise in Top Gun – our next movie.

Pádraig got a really nice mention in Drivetime by Cormac Ó hEadhra, RTÉ’s best current affairs radio presenter, and I got my two minutes of fame giving the long overdue Assisted Decision Making (Capacity) Act 2015 a plug, together with the brilliant Áine Flynn, Director of the Decision Support Service, DSS. The act was to be commenced last week – which didn’t happen because parliament, the houses of the Oireachtas, did not manage to pass the necessary amendment to this 2015 act in time. Seven years apparently weren’t enough. It’s not a sprint, it’s a marathon. And politicians are human (not dancers). We need patience and perseverance. And probably a good dose of resilience before the scandalous treatment of families in the Courts applying Victorian laws in the 21 century will stop.

The weather continues to be nice and warm (for Ireland) though a far cry from the heat wave in the rest of Europe. Pádraig went for a walk along the canal and met up with Brendan Behan, not too far away from where Brendan did some time on the Royal Canal.

I’ve got this feeling that we’re no longer on our knees looking for the answers. Pádraig’s signs are very vital and he is, most definitely, is a dancer.

A dreamboater.

Fools

11 Saturday Jun 2022

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Gonna change my way of thinking. Make myself a different set of rules.
Going to put my good foot forward. Stop being influenced by fools.

“Gonna Change My Way of Thinking”, Bob Dylan.

A Slow Train’s Coming is musically, according to Jann S. Wenner’s 1979 article in Rolling Stone, Dylan’s best album to date. In essence, “Slow Train” is a new kind of “Blowin’ in the Wind”, he writes, in time, it is possible that it might even be considered his greatest, a rare coming together of inspiration, desire and talent that completely fuse strength, vision and art.

It was never one of my favourite Dylan albums. Coming across Wenner’s article last week was one of those browse-through-the-library-shelves experiences you can at times have even on the internet: ‘collateral’ findings when looking for something else.

Serendipity.

The article made me listen to that album again, Mark Knopfler’s superb guitar playing, Dylan actual singing, the brilliant rhythm and drum solos.

Wenner writes that Slow Train is a bit like a state of the union. And it’s universal and timeless.

Sometimes I feel so low-down and disgusted
Can’t help but wonder what’s happenin’ to my companions
Are they lost or are they found?
Have they counted the cost it’ll take to bring down
All their earthly principles they’re gonna have to abandon?
There’s a slow, slow train comin’ up around the bend

No doubt, there’s a slow train coming around the bend and we’ll have to change our way of thinking.


Last week, the Muckamore abuse inquiry opened in Belfast after a long campaign for answers in what is most likely going to become the biggest case of institutional abuse in the history of the British and Northern Ireland Health Service. 72 staff members are being accused of abuse in Muckamore Abbey Hospital in Co Antrim, the “jewel in the crown” of mental health facilities supposed to serve highly dependent and vulnerable residents.

The scandal came to light because of the persistence of one father, Glynn Brown, who says he stopped counting after his son Araron was assaulted for the 150th time at this care facility, reports Seanín Graham in the Irish Times last Monday, 06 June. Glynn was also interviewed by Miriam O’Callaghan on Primetime last week. When Glynn found out that his son ‘Aaron’s been kicked on the groin, punched on the shoulder, trailed across the ground with his genitals exposed…’ he called the police.

Sometimes I feel so low-down and disgusted


Last week, I met with a desperate mother of a severely brain injured young man who told me about the many occasions that she had found her son on unannounced visits with injuries and being left unattended in a closed, dark, and hot room lying in his excrements. She told me that she did not hear how or even whether her complaints were investigated, never mind what the outcome of these investigations had been; with one exception when one member of staff had been suspended. Her son is kept a large distance away from his family home and when she asked for a letter to support her application for travel assistance this letter was denied. She comes from a minority community.

Instead, it was strongly suggested to her to discontinue her unannounced visits, she was portrayed as a troublemaker by the care facility, and her son was made a ward of court just over a week before the High Court stopped accepting new wardship applications. Wardship is based on a 1871 Lunacy Act, which is about to be repealed by the 2015 Assisted Decision Making (Capacity) Act, to be commenced later this month.

The mother is now legally written out of her son’s life, with the High Court and the ‘Committee’ taking on the role of the parents, so to speak. The mother was not appointed by the Court to the Committee as she was not seen to be neutral enough to look after her son’s ‘best interest’. Instead the Court appointed the Solicitor General’s Office to the ‘Committee’.

It seems as if the 1871 Lunacy Act might have been used here to make it even more difficult for the mother to follow up on her abuse and negligence allegations against her son’s care unit. If that was really the case, it could mean that the wardship decision was taken to protect the system, not the rights, health, and safety of the young man placed in what the mother considers an unsafe care unit, a far distance away from his family. And not the mental and physical health of the family who have suffered untold loss and tragedy.

Can’t help but wonder what’s happenin’ to my companions


I mentioned last week that Pádraig went to a Roaring 20s party. Here is a taste of how wonderful it was.

How wonderful it is to be with friends, having fun, having a laugh, even being a bit silly perhaps. Life is all about being together and sharing happiness. And there is no reason for anybody to be excluded from that life, being separated, away from the people they love and whose company they enjoy.

Are they lost or are they found?

At this weekend, there was a bit of sunshine, and loads of wind, and Pádraig went out for a long walk in the Botanic Gardens.

Looking at these pictures, wouldn’t you want to be there? It’s fantastic. Full of colour and scent, light and shadows, breezes and dead calm, prickly and super smooth. Just like people. Just like life.


Last week, I really admired what no doubt was proof of more than just a bit of creativity. I had not seen this transfer before, had never even thought about that it could be done this way. It worked like magic.

What cannot be done with imagination and teamwork to make life good, to remove stress, and to make all feel alive!

A ‘manual’ transfer without any lifting but lots of sensory boundaries, action, participation, and satisfaction. Why not move away from the practice of passive lifter transfers when people are literally moved helplessly through the air, wherever that is possible?

Have they counted the cost it’ll take to bring down
All their earthly principles they’re gonna have to abandon?


Let’s do this together. Let’s agree that there is a ‘right’ and that there is a ‘wrong’ – even if that might change or bring down an existing practice or system.

“It is time for change. It is time for a revolution in rehabilitation”, said the person appointed by the Government of Ireland and the HSE as the National Director of Clinical Strategy and Programmes, Dr Áine Carroll. (Irish Examiner, 03.02.2011).

I have not seen a revolution in how those directly and indirectly affected by severe and devastating brain injuries are being treated by society, the judiciary and the health system.

But definitely,

There’s a slow, slow train comin’ up around the bend.

And, like for the Masters of War, the Times They Are a-Changing, there is hope because When He Returns, maybe on the Slow Train?, there will be an answer to the question…

How long can I listen to the lies of prejudice
How long can I stay drunk on fear out in the wilderness

Ok, I agree, if you put it as bluntly as this, and without the music, it might sound a little “born again” – but, I have no doubt that wrong will be replaced with right. There will be no more unnecessary dying, no more unnecessary suffering. After all, we are living in what could be, again, the Roaring 20s.

Don’t you cry and don’t you die and don’t you burn
Like a thief in the night, he’ll replace wrong with right
When he returns

Is love male or female or both or neither?

In any case, it is the greatest, a rare coming together of inspiration, desire and talent that completely fuse strength, vision and art.

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