Surgical artist
Chapter 382 Correction
Chapter 382 Correction
Hao Xihua, Tao Wenbing and others looked at the patient's condition, and then listened to the old woman's words, and they also felt uncomfortable.
This kind of diagnosed advanced pancreatic cancer generally has a survival period of up to 18 weeks.
Even with chemotherapy, people generally live an extra six months to a year.And the last six months to a year was also spent in endless pain, very uncomfortable and miserable.
In the hearts of Hao Xihua and the others, the words Zhao Peiru said suddenly flashed at this moment.
Radiofrequency ablation technology can solve pain points.
It can directly destroy the celiac plexus that causes the patient's pain, and play an analgesic effect.
Moreover, according to what Zhao Peiru said, patients after radiofrequency ablation treatment can generally reach a three-year survival period, which is actually not far from the natural life span for the elderly who have reached the age of 65-80.
Isn't it the last wish of many elderly people with cancer to spend the last few years of life with their families without pain?
At this moment, Hao Xihua and the others suddenly understood why Zhao Peiru insisted on using this radiofrequency ablation technique in their hearts.
No matter how mature chemotherapy is, it cannot solve the patient's pain problem. It must be combined with painkillers, and painkillers are addictive and reduce the efficacy of long-term use.
Moreover, in terms of the upper limit of future development of treatment, it is not as good as radio frequency ablation.
Furthermore, even if they lose this project, Jiangnan Province can completely take radiofrequency ablation technology as a long-term development direction.One day, it will surpass the chemotherapy technology that has come to an end.
In short, radiofrequency ablation technology is worth studying.
After returning to the office.
Hao Xihua, Shan Hongqi and the others have completely strengthened their beliefs.
"Dean Zhao, let's focus on the direction of radiofrequency ablation technology."
"Yes, it doesn't really matter whether we win or lose this project. Even if we lose, it won't affect us. Why don't we just take this opportunity and choose a direction with a long-term development trend, and start doing research from now on? One day , can surpass Suzhou Province."
"Indeed, let's focus on radiofrequency ablation. This is a project that is good for the medical profession and for our Jiangnan senior officials."
Several people felt that if they wanted to start a project anyway, they might as well take advantage of this opportunity and simply develop radiofrequency ablation technology.
Zhao Peiru nodded slightly, and said to Mu Sisi behind him:
"Come out with the plan."
Mu Sisi placed three folders in front of Hao Xihua, Shan Hongqi, and Tao Wenbing.
"This is……"
The three glanced at the title on the folder:
"Multistage radiofrequency ablation protocol for unresectable pancreatic cancer".
And look at its thickness...
The eyes of the three suddenly froze, and their hearts trembled!
Quickly open it!
There are a total of twenty pages of A4 paper!There are several big categories, the biggest of which is the technical points about multi-level radio frequency smile!
The heads of the three of them felt like they were about to stop spinning.
When did Dean Zhao write this thing?
The three of them can be sure that this radio frequency ablation information is absolutely not available in other places, not to mention Jiangnan province, Suzhou province, and even the whole country and the world medical circles. So far!
In other words, this information is not a ready-made information downloaded.
It's another brand-new original plan written by Zhao Peiru just now!
"Dean Zhao, this is...you wrote this?"
Tao Wenbing flipped through a few pages, and couldn't help but shrink his pupils when he saw the things involved in it.
With his superficial understanding of radiofrequency ablation, he was completely shocked.
What is the most lacking in the field of radiofrequency ablation for advanced pancreatic cancer?
One is that there are too many technical weaknesses and immaturity, and even operational errors will cause irreversible damage to patients.
Second, the range of indications for patients is narrow and difficult to determine.
The third is that the accumulation of technical experience is insufficient, and there is a lack of reference cases. When encountering unexpected situations, it is impossible to make effective and correct responses.
And Tao Wenbing saw that in this plan, at least most of the problems of the first and second shortcomings were solved.
If everything in this can be proven to be correct...
No, just need 80%...
No, it only needs 60% of the things to be correct, then the value of this plan is already immeasurable! !
Hao Xihua and Shan Hongqi also stared at the contents of the plan in astonishment.
As soon as I thought about it, in every previous project, every plan that Zhao Peiru put forward was correct, mature, and perfect...
Is this program also?
If that's the case, it's terrible, terrible!
At this time, Zhao Peiru said slowly: "The reason why this new technology has been stagnant in the industry is that there are two major problems that have not been overcome."
Hearing Zhao Peiru speak, the ears of the three of them were all pricked up, listening carefully.
"First of all, pancreatic cancer has irregularities, especially advanced pancreatic cancer, which infiltrates and involves surrounding tissues and blood vessels."
"This brings great operational difficulties to the puncture of the large blood vessels and organs adjacent to the pancreas."
"Using radiofrequency ablation technology rashly will instead make the blood flow in the surrounding large blood vessels become a conductor, carrying away a large amount of heat generated in radiofrequency ablation, causing a heat sink effect, affecting the degree of tumor damage, and incomplete ablation."
Several people all nodded.
This problem alone is likely to cause a lot of trouble to patients.
This uncertainty abruptly hinders the development of radiofrequency ablation technology.
Zhao Peiru added: "The second problem is that the industry has found in many previous clinical trials that patients are prone to pancreatic fistula after multi-stage radiofrequency ablation treatment, but the cause has not been found for a long time. This problem is stuck. Failure to resolve it creates difficult prognosis and hinders its development."
Hao Xihua and the others nodded deeply.
What Dean Zhao summed up is so right!
There are profound reasons for the slow development of a technology.It is not that countries and provinces do not develop, but that these two fundamental problems have been unable to be solved for a long time.
Zhao Peiru smiled lightly: "In my plan, there are corresponding solutions to these two problems."
Everyone stared at the plan with trembling eyes.
In a hurry, he quickly opened it.
The minds of a few people quickly sank.
The solution inside is so attractive to them, they can't even hear the voices from the outside world, they can't care about anything, and they are completely immersed in the world of medical ocean.
"Xiao Mu, after they finish watching, you call them over."
Zhao Peiru stood up and left this place for the three of them to absorb the new plan.
Mu Sisi nodded repeatedly.
……
Zhao Peiru was in another office, drinking tea and watching video sites.
Very leisurely.
He almost raised his legs.
At this moment, Mu Sisi knocked on the door:
"Ms. Zhao, Director Hao and the others have finished reading."
Zhao Peiru turned off the computer: "Let them in."
When the three of them came in, the way they looked at Zhao Peiru had completely changed.
His eyes are full of heat!
Hao Xihua's eyes were shining brightly: "Dean Zhao, I now believe that what you said can achieve the initial results!"
"Just based on your plan, it is enough to bring radiofrequency ablation technology back to the eyes of doctors!"
Professor Shan Hongqi's eyes were full of admiration: "Yes, once the two biggest problems are solved, radiofrequency ablation technology will inevitably re-enter the stage of pancreas science."
"In the future, the treatment of advanced pancreatic cancer will never be dominated by radiotherapy and chemotherapy!"
Director Tao Wenbing, a foreign aid expert, was also shocked.
Their Guangren Hospital is known as the first-class pancreas hospital in the country, but in the treatment of advanced pancreatic cancer, they still choose the easiest and ready-made radiotherapy and chemotherapy techniques.
Unexpectedly, this radiofrequency ablation technology, which is more difficult but has better therapeutic effects, is like a piece of gold that has been buried in dust for a long time. It was re-excavated, conquered, and discovered in this place in Jiangnan Province.
"Fortunately, I came to participate in foreign aid work."
"Otherwise, we would never have seen such a wonderful technology re-emerge."
In Tao Wenbing's heart, he was extremely grateful.
He said that he came here this time to provide foreign aid, but in fact, he also contributed a few times when participating in projects in Suzhou Province.And when he participated in the two projects in Jiangnan Province, he was not needed at the theoretical stage at all, as if he came to study and witness.
He has become a witness of medical history from "improving the internationally famous spleen-preserving and pancreasectomy" to "reviving radiofrequency ablation in the treatment of advanced pancreatic cancer".
"This Mr. Zhao Peiru..."
"Every step I take is a great contribution to the medical field and great merit to the majority of patients."
In Zhao Peiru, Tao Wenbing saw the demeanor of his teacher Zheng when he was young.
Zhao Peiru said: "Since you have read the plan, is this operation not difficult to perform?"
Several people pondered for a while.
"The operation was not difficult."
"The difficulty is to determine the puncture point before the operation, and determine several points and time for radiofrequency ablation according to the size and distribution of the patient's tumor, as well as the extent of involvement."
"These, in your plan, have clear corresponding solutions..."
"However, we want to do a few simulations."
Before the example operation, several people also want to do several simulations.
Several artificial pancreases were designed, in which tumors of different shapes, sizes, and extents of involvement were determined.
To verify and confirm whether the parameter data of the volume in Zhao Peiru's plan is correct, whether it can just "directly reach" the tumor in the patient's pancreas, and it must be able to burn it clean without affecting the surrounding tissues. The heat is controlled within a small range and will not be transferred to peripheral blood vessels in large quantities...
Need to confirm step by step.
Zhao Peiru nodded.
For a scientific research project, this is what it should mean.
Just in time, the multi-stage radiofrequency ablation instrument of Huakang Hospital also arrived.
The staff of the scientific research center responsible for making the artificial pancreas also put several artificial pancreases prepared in advance into the simulated operating cabin.
"This... Dean Zhao, he was already prepared."
Hao Xihua felt extremely guilty in her heart.
He, the deputy team leader, should have been responsible for all these auxiliary tasks.
But he never expected that the plan would come out so soon.They didn't arrange these preparations. Unexpectedly, Zhao Peiru had already had everyone do it.
Several people came to the simulated operating cabin.
According to Zhao Peiru's plan, the artificial pancreas was subjected to radiofrequency ablation again and again.
Zhao Peiru was beside him, doing the guiding work.
This process is to let a few people verify his plan, so that a few people have a bottom line.
At the same time, it is also to train several people's radio frequency ablation technology and cultivate several people's operating experience.
And Zhao Peiru is also observing to see who has the highest talent in this technique and learns the fastest, who will be qualified to be his assistant in the next example operation.
After twenty simulations.
Several people are quite proficient in this set of techniques.
With the guidance of Zhao Peiru, a veteran who has tens of thousands of sets of experience, their learning progress is fast.
At the same time, Zhao Peiru will also adjust the artificial pancreas according to the "feedback of the actual pancreatic tumor" in his mind, making the simulated surgery more realistic.
After the simulation, several people had no objection to this plan!
These simulated operations are enough to show that many techniques in Zhao Peiru's plan are feasible.
"Tomorrow is the official operation."
Zhao Peiru said: "I still need an assistant."
After saying this, all three of them looked at Zhao Peiru in unison.
There is longing in the eyes.
Zhao Peiru: "Professor Shan Hongqi."
Among the three, Shan Hongqi performed the best just now, and he mastered this technology the fastest, and the several questions he asked Zhao Peiru just now were all on point, and he obviously understood this technology better than the others. The two should be deep.
For the other two, a flash of disappointment flashed in their hearts.
But they also noticed Shan Hongqi's excellence just now.
Zhao Peiru looked at the remaining two people: "This is the first instance of surgery, although the two of you can't get on the operating table. But I want you to make a detailed selection of puncture points and radiofrequency ablation points according to the patient's condition. and the duration of ablation at each point."
"At that time, I will make targeted revisions to your plan."
As soon as these words were said, the eyes of Hao Xihua and Tao Wenbing glowed with brilliance again!
For this surgery, pre-operative planning is much more important than during the operation!
Although it is impossible to be on the operating table, it is also a very precious opportunity to get guidance during the formulation stage.
Not weaker than the last operating table.
……
Next, Hao Xihua, Shan Hongqi, and Tao Wenbing all went to the ward to inspect the patient's condition, and searched out all the information since the patient's admission, including all the previous patient's medical history files.
According to the various conditions of the patient, a radiofrequency ablation plan is formulated.
In the end, three plans came out.
These three plans are similar.With the gem of Zhao Peiru's big plan in front, the three of them made no mistakes in the general direction.
Only the duration of radiofrequency ablation, puncture point and other details are different.
Zhao Peiru flipped through the plans of the three of them and smiled.
"Sure enough, Professor Shan Hongqi's plan is the best."
"It's the closest to the plan in my heart, and only needs a little modification."
Picking up the red pen, Zhao Peiru drew several circles on Professor Shan Hongqi's plan as if correcting homework.
Afterwards, on the plans of the other two people, they corrected and corrected them, and almost filled the two plans with red.
(End of this chapter)
Hao Xihua, Tao Wenbing and others looked at the patient's condition, and then listened to the old woman's words, and they also felt uncomfortable.
This kind of diagnosed advanced pancreatic cancer generally has a survival period of up to 18 weeks.
Even with chemotherapy, people generally live an extra six months to a year.And the last six months to a year was also spent in endless pain, very uncomfortable and miserable.
In the hearts of Hao Xihua and the others, the words Zhao Peiru said suddenly flashed at this moment.
Radiofrequency ablation technology can solve pain points.
It can directly destroy the celiac plexus that causes the patient's pain, and play an analgesic effect.
Moreover, according to what Zhao Peiru said, patients after radiofrequency ablation treatment can generally reach a three-year survival period, which is actually not far from the natural life span for the elderly who have reached the age of 65-80.
Isn't it the last wish of many elderly people with cancer to spend the last few years of life with their families without pain?
At this moment, Hao Xihua and the others suddenly understood why Zhao Peiru insisted on using this radiofrequency ablation technique in their hearts.
No matter how mature chemotherapy is, it cannot solve the patient's pain problem. It must be combined with painkillers, and painkillers are addictive and reduce the efficacy of long-term use.
Moreover, in terms of the upper limit of future development of treatment, it is not as good as radio frequency ablation.
Furthermore, even if they lose this project, Jiangnan Province can completely take radiofrequency ablation technology as a long-term development direction.One day, it will surpass the chemotherapy technology that has come to an end.
In short, radiofrequency ablation technology is worth studying.
After returning to the office.
Hao Xihua, Shan Hongqi and the others have completely strengthened their beliefs.
"Dean Zhao, let's focus on the direction of radiofrequency ablation technology."
"Yes, it doesn't really matter whether we win or lose this project. Even if we lose, it won't affect us. Why don't we just take this opportunity and choose a direction with a long-term development trend, and start doing research from now on? One day , can surpass Suzhou Province."
"Indeed, let's focus on radiofrequency ablation. This is a project that is good for the medical profession and for our Jiangnan senior officials."
Several people felt that if they wanted to start a project anyway, they might as well take advantage of this opportunity and simply develop radiofrequency ablation technology.
Zhao Peiru nodded slightly, and said to Mu Sisi behind him:
"Come out with the plan."
Mu Sisi placed three folders in front of Hao Xihua, Shan Hongqi, and Tao Wenbing.
"This is……"
The three glanced at the title on the folder:
"Multistage radiofrequency ablation protocol for unresectable pancreatic cancer".
And look at its thickness...
The eyes of the three suddenly froze, and their hearts trembled!
Quickly open it!
There are a total of twenty pages of A4 paper!There are several big categories, the biggest of which is the technical points about multi-level radio frequency smile!
The heads of the three of them felt like they were about to stop spinning.
When did Dean Zhao write this thing?
The three of them can be sure that this radio frequency ablation information is absolutely not available in other places, not to mention Jiangnan province, Suzhou province, and even the whole country and the world medical circles. So far!
In other words, this information is not a ready-made information downloaded.
It's another brand-new original plan written by Zhao Peiru just now!
"Dean Zhao, this is...you wrote this?"
Tao Wenbing flipped through a few pages, and couldn't help but shrink his pupils when he saw the things involved in it.
With his superficial understanding of radiofrequency ablation, he was completely shocked.
What is the most lacking in the field of radiofrequency ablation for advanced pancreatic cancer?
One is that there are too many technical weaknesses and immaturity, and even operational errors will cause irreversible damage to patients.
Second, the range of indications for patients is narrow and difficult to determine.
The third is that the accumulation of technical experience is insufficient, and there is a lack of reference cases. When encountering unexpected situations, it is impossible to make effective and correct responses.
And Tao Wenbing saw that in this plan, at least most of the problems of the first and second shortcomings were solved.
If everything in this can be proven to be correct...
No, just need 80%...
No, it only needs 60% of the things to be correct, then the value of this plan is already immeasurable! !
Hao Xihua and Shan Hongqi also stared at the contents of the plan in astonishment.
As soon as I thought about it, in every previous project, every plan that Zhao Peiru put forward was correct, mature, and perfect...
Is this program also?
If that's the case, it's terrible, terrible!
At this time, Zhao Peiru said slowly: "The reason why this new technology has been stagnant in the industry is that there are two major problems that have not been overcome."
Hearing Zhao Peiru speak, the ears of the three of them were all pricked up, listening carefully.
"First of all, pancreatic cancer has irregularities, especially advanced pancreatic cancer, which infiltrates and involves surrounding tissues and blood vessels."
"This brings great operational difficulties to the puncture of the large blood vessels and organs adjacent to the pancreas."
"Using radiofrequency ablation technology rashly will instead make the blood flow in the surrounding large blood vessels become a conductor, carrying away a large amount of heat generated in radiofrequency ablation, causing a heat sink effect, affecting the degree of tumor damage, and incomplete ablation."
Several people all nodded.
This problem alone is likely to cause a lot of trouble to patients.
This uncertainty abruptly hinders the development of radiofrequency ablation technology.
Zhao Peiru added: "The second problem is that the industry has found in many previous clinical trials that patients are prone to pancreatic fistula after multi-stage radiofrequency ablation treatment, but the cause has not been found for a long time. This problem is stuck. Failure to resolve it creates difficult prognosis and hinders its development."
Hao Xihua and the others nodded deeply.
What Dean Zhao summed up is so right!
There are profound reasons for the slow development of a technology.It is not that countries and provinces do not develop, but that these two fundamental problems have been unable to be solved for a long time.
Zhao Peiru smiled lightly: "In my plan, there are corresponding solutions to these two problems."
Everyone stared at the plan with trembling eyes.
In a hurry, he quickly opened it.
The minds of a few people quickly sank.
The solution inside is so attractive to them, they can't even hear the voices from the outside world, they can't care about anything, and they are completely immersed in the world of medical ocean.
"Xiao Mu, after they finish watching, you call them over."
Zhao Peiru stood up and left this place for the three of them to absorb the new plan.
Mu Sisi nodded repeatedly.
……
Zhao Peiru was in another office, drinking tea and watching video sites.
Very leisurely.
He almost raised his legs.
At this moment, Mu Sisi knocked on the door:
"Ms. Zhao, Director Hao and the others have finished reading."
Zhao Peiru turned off the computer: "Let them in."
When the three of them came in, the way they looked at Zhao Peiru had completely changed.
His eyes are full of heat!
Hao Xihua's eyes were shining brightly: "Dean Zhao, I now believe that what you said can achieve the initial results!"
"Just based on your plan, it is enough to bring radiofrequency ablation technology back to the eyes of doctors!"
Professor Shan Hongqi's eyes were full of admiration: "Yes, once the two biggest problems are solved, radiofrequency ablation technology will inevitably re-enter the stage of pancreas science."
"In the future, the treatment of advanced pancreatic cancer will never be dominated by radiotherapy and chemotherapy!"
Director Tao Wenbing, a foreign aid expert, was also shocked.
Their Guangren Hospital is known as the first-class pancreas hospital in the country, but in the treatment of advanced pancreatic cancer, they still choose the easiest and ready-made radiotherapy and chemotherapy techniques.
Unexpectedly, this radiofrequency ablation technology, which is more difficult but has better therapeutic effects, is like a piece of gold that has been buried in dust for a long time. It was re-excavated, conquered, and discovered in this place in Jiangnan Province.
"Fortunately, I came to participate in foreign aid work."
"Otherwise, we would never have seen such a wonderful technology re-emerge."
In Tao Wenbing's heart, he was extremely grateful.
He said that he came here this time to provide foreign aid, but in fact, he also contributed a few times when participating in projects in Suzhou Province.And when he participated in the two projects in Jiangnan Province, he was not needed at the theoretical stage at all, as if he came to study and witness.
He has become a witness of medical history from "improving the internationally famous spleen-preserving and pancreasectomy" to "reviving radiofrequency ablation in the treatment of advanced pancreatic cancer".
"This Mr. Zhao Peiru..."
"Every step I take is a great contribution to the medical field and great merit to the majority of patients."
In Zhao Peiru, Tao Wenbing saw the demeanor of his teacher Zheng when he was young.
Zhao Peiru said: "Since you have read the plan, is this operation not difficult to perform?"
Several people pondered for a while.
"The operation was not difficult."
"The difficulty is to determine the puncture point before the operation, and determine several points and time for radiofrequency ablation according to the size and distribution of the patient's tumor, as well as the extent of involvement."
"These, in your plan, have clear corresponding solutions..."
"However, we want to do a few simulations."
Before the example operation, several people also want to do several simulations.
Several artificial pancreases were designed, in which tumors of different shapes, sizes, and extents of involvement were determined.
To verify and confirm whether the parameter data of the volume in Zhao Peiru's plan is correct, whether it can just "directly reach" the tumor in the patient's pancreas, and it must be able to burn it clean without affecting the surrounding tissues. The heat is controlled within a small range and will not be transferred to peripheral blood vessels in large quantities...
Need to confirm step by step.
Zhao Peiru nodded.
For a scientific research project, this is what it should mean.
Just in time, the multi-stage radiofrequency ablation instrument of Huakang Hospital also arrived.
The staff of the scientific research center responsible for making the artificial pancreas also put several artificial pancreases prepared in advance into the simulated operating cabin.
"This... Dean Zhao, he was already prepared."
Hao Xihua felt extremely guilty in her heart.
He, the deputy team leader, should have been responsible for all these auxiliary tasks.
But he never expected that the plan would come out so soon.They didn't arrange these preparations. Unexpectedly, Zhao Peiru had already had everyone do it.
Several people came to the simulated operating cabin.
According to Zhao Peiru's plan, the artificial pancreas was subjected to radiofrequency ablation again and again.
Zhao Peiru was beside him, doing the guiding work.
This process is to let a few people verify his plan, so that a few people have a bottom line.
At the same time, it is also to train several people's radio frequency ablation technology and cultivate several people's operating experience.
And Zhao Peiru is also observing to see who has the highest talent in this technique and learns the fastest, who will be qualified to be his assistant in the next example operation.
After twenty simulations.
Several people are quite proficient in this set of techniques.
With the guidance of Zhao Peiru, a veteran who has tens of thousands of sets of experience, their learning progress is fast.
At the same time, Zhao Peiru will also adjust the artificial pancreas according to the "feedback of the actual pancreatic tumor" in his mind, making the simulated surgery more realistic.
After the simulation, several people had no objection to this plan!
These simulated operations are enough to show that many techniques in Zhao Peiru's plan are feasible.
"Tomorrow is the official operation."
Zhao Peiru said: "I still need an assistant."
After saying this, all three of them looked at Zhao Peiru in unison.
There is longing in the eyes.
Zhao Peiru: "Professor Shan Hongqi."
Among the three, Shan Hongqi performed the best just now, and he mastered this technology the fastest, and the several questions he asked Zhao Peiru just now were all on point, and he obviously understood this technology better than the others. The two should be deep.
For the other two, a flash of disappointment flashed in their hearts.
But they also noticed Shan Hongqi's excellence just now.
Zhao Peiru looked at the remaining two people: "This is the first instance of surgery, although the two of you can't get on the operating table. But I want you to make a detailed selection of puncture points and radiofrequency ablation points according to the patient's condition. and the duration of ablation at each point."
"At that time, I will make targeted revisions to your plan."
As soon as these words were said, the eyes of Hao Xihua and Tao Wenbing glowed with brilliance again!
For this surgery, pre-operative planning is much more important than during the operation!
Although it is impossible to be on the operating table, it is also a very precious opportunity to get guidance during the formulation stage.
Not weaker than the last operating table.
……
Next, Hao Xihua, Shan Hongqi, and Tao Wenbing all went to the ward to inspect the patient's condition, and searched out all the information since the patient's admission, including all the previous patient's medical history files.
According to the various conditions of the patient, a radiofrequency ablation plan is formulated.
In the end, three plans came out.
These three plans are similar.With the gem of Zhao Peiru's big plan in front, the three of them made no mistakes in the general direction.
Only the duration of radiofrequency ablation, puncture point and other details are different.
Zhao Peiru flipped through the plans of the three of them and smiled.
"Sure enough, Professor Shan Hongqi's plan is the best."
"It's the closest to the plan in my heart, and only needs a little modification."
Picking up the red pen, Zhao Peiru drew several circles on Professor Shan Hongqi's plan as if correcting homework.
Afterwards, on the plans of the other two people, they corrected and corrected them, and almost filled the two plans with red.
(End of this chapter)
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