Disclaimer

All the information contained within this blog is intended to be general in nature and should not be used as a substitute for a visit to the doctor. The views expressed in this blog are personal views of the author and are not related or directed towards anyone in particular. Although every effort is made to ensure that the content within this blog is accurate, but it is not official in anyway. Please consult a doctor or health care provider.

Friday, 24 May 2019

Cannabis oil and CANCER

Cannabis oil is a thick, sticky, resinous substance made from the cannabis plant. Cannabis oil is also known as marijuana oil, Rick Simpson Oil,  hash oil, dabs, shatter, or wax.  

Cannabis oil is the most potent of three main cannabis products, which are the actual cannabis flower (marijuana), resin (hashish), and oil (cannabis oil). Cannabis oil is the most concentrated form of the three main cannabis products. That is what makes cannabis oil the most useful.

Health benefits of Cannabis oil 

Some of the most important health benefits of cannabis oil include 

  • Ability to reduce stress and anxiety
  • Improve the quality of sleep
  • Boost appetite and optimize digestion
  • Reduce pain
  • Prevent certain cancers
  • Strengthen heart health
  • Protect your skin, among others

Apart from its extensive medicinal usage, it is also found in candles, perfumes,soaps and some use in foods. Considering that this oil is so powerful, very small amounts are necessary for it to have an effect.

Cancer and Cannabis Oil

Although there is still some controversy over this, and a great deal of research still ongoing, early reports have shown that the active ingredients in cannabis essential oil can have preventative effects on cancer, and can also cause reduction in tumor size, thereby making it easier to effectively beat cancer for those patients already suffering from that tragic disease.

Warning: Although this list clearly shows that cannabis essential oil can be an effective remedy for many common health conditions, it is still a potent chemical substance extracted from a plant with psychotropic substances. Therefore, you should always be very careful of your use of such an essential oil, including the amount you use and the conditions under which you use it. Speak to a professional about mixing essential oils and present medications before adding any new elements into your health regimen.

Friday, 30 March 2018

Gallstones



What is Gall bladder?

Gall bladder is a small organ below the liver in the upper right abdomen. It’s a pouch that stores bile, a green-yellow liquid that helps with digestion.

What are Gallstones?

80 %  of gallstones are formed when there’s too much cholesterol in the bile. Other 20 percent of gallstones are made of calcium salts . The exact reason behind formation of gallstones is still unknown.

Having too much cholesterol in your bile can lead to yellow cholesterol stones. These hard stones may develop if your liver makes more cholesterol than your bile can dissolve.

Symptoms

Gallstones can lead to pain in the upper right abdomen. You may start to have gallbladder pain from time to time when you eat foods that are high in fat, such as fried foods. The pain doesn’t usually last more than a few hours.

Symptoms (Biliary Colic)  
  1. Indigestion
  2. Stomach pain
  3. Nausea 
  4. Vomiting
  5. Colored stools
  6. Colored Urine
  7. Burp
  8. Diarrhea 
Asymptomatic Gallstones

Gallstones actually don’t cause pain. The pain usually occurs when the gallstones blocks the movement of bile from the gallbladder.

Gallstones are detected through X-rays or during abdomen surgery.

I love you papa, forever!

Thursday, 26 October 2017

4 years hence on....

It's been 4 years, since you left ..but there is not even a single day ..when I haven't missed you ...every moment .

Thursday, 5 October 2017

Happy Birthday!



Happy Birthday to you...
Happy Birthday to you..
Happy Birthday My dear Papa....
Happy 75th Birthday Papa...wherever you are..!

Wednesday, 26 July 2017

My space for you papa!

Dear papa, 


Its been a while since I wrote to you..miss you dad. I am too excited ..to tell you that your grandchild has made her first presentation...all by herself ...she loves SPACE SCIENCE.



I always tell her , how you would help me in my all projects...even if it meant sitting whole night.

Miss you papa
Miss you grandpa

Wednesday, 28 October 2015

Welcome home.....

Hello Daadu!....

I guess you would have been really happy today. After 2yrs, and one day- life is finally moving ahead......

 For me, time has stood still....but I am happy!

May she be blessed with good health always ......

P.S: I Love you, Papa!

Monday, 26 October 2015

26October, its here again.....

Two years ago this day, my father was cruelly snatched away from me by cancer. Though, I knew it -but it was very difficut to accept and till date it is. And I don't know how long will it take.....

In these, two years life has been so difficult, never a single moment has passed when I haven't missed him.

Papa, I love you and miss you. But I know you are here with me, always and forever.

                                        (5October 1942- Forever...)



Picture from the last vacation we had....


P.S: I Love you, Papa

Monday, 5 October 2015

Cancer Myths Busted

Happy Birthday Papa!

Today would have been my father's 73rd birthday. But he is not here....Cancer (Gallbladder)
 took him away two years ago.

In these two years, I have remebered him everyday.missed him everyday. wished he was here everyday...but he never came....and I know -now he never will

For you, Papa....

Myths that make fighting with cancer more difficult.
  1. Cancer is contagious
  2. If you eat sugar, cancer spreads fast
  3. Garlic keeps cancer away
  4. Cancer cannot be treated
  5. Cancer kills
  6. Cancer Surgery, speeds up the spread of cancer in the body
  7. Cancer spreads in the body faster, when exposed to air.
  8. Being happy and joyful, helps you to recover faster. But yes, keeping a positive attitude does help in fighting cancer....
These all are myths, and not facts. So be smart enough to not fall in the trap. Fighting cancer is not easy. It takes lot of courage and lot more  knowledge to beat cancer. Have faith in yourself and your doctor.

Be aware, Fight Cancer!

Today, 5th October- Is International Teachers Day. So happy teachers day to my first and best teacher in the whole world....Thank you for teaching me the good and the goodness.

I Love You, Papa!

Tuesday, 30 June 2015

Yoga for Cancer

Fighting cancer is not easy. And equally bad is taking the treatment. The worse part being - along with treatment come lot of side effects, that are needed to be care of at the same time. Though doctors try their best to deal with these symptoms and side effects. But coping with the side effects with more medicines starts taking toll on the patient much earlier  then expected. 

Most of the cancer patients, I have spoken to don't want to take medicine. Rather they want some natural method by which they can overcome side effects such as anxiety, stress, sleeplessness, and depression.

Yoga- I believe is the perfect answer. Yoga works on the whole body involving   breathing ( pranayama),  stretching excercise and meditation. It is a way of staying healthy and protecting yourself from  any sort of illness. 

Yoga, creates a perfect harmony between the mind, body and soul at the same time relaxing the mind and body. Yoga, the various postures(asanas) stimulate the nervous system, makes joints more flexible while the mind and body can calm andbe at peace. The excercises helps in improving breathing and blood circulation.

India, the birth place of yoga- people have been practising the art for over 5000yrs. Recently our hon.  prime minister Modi ji- annouced the first ever International yoga day( 21st June2015).   So why not? Yoga will not cure cancer, but can definetely make dealing with the symptoms easier on a daily basis with no side effects.

Yoga can be practised at home as per ones convinience and ability( First few lesson should always be taken under the guidence of an expert).

Baba Ramdev, world reknown yoga expert and spiritual leader talks about cancer in
Yoga For Cancer 

I Love you, Papa!

Sunday, 21 June 2015

Alternative Treatment - Cancer

When papa was diagnosed with cancer, I was sure that he would emerge as a winner. I was confident, chemotherapy would do the necessary justice- but as time passed and nothing seem to work, I became desperate-more desperate. At that point of time, I was ready to try any treatment that would give some relief to papa.

Since I was a part of lot of forums and would read extensively, I found a few alternative treatments- that may or may not be helpful. But, I feel they are worth sharing, may be it heps someone.

 Most of these treatment have no proof and generally play no role in curing cancer, but they do provide some relief in dealing with the signs and symptoms as a result of cancer and the treatment.

Honestly speaking my father din't  or couldn't try these treatmets becasue of the weakness and his lack of desire to work on something which would not bring results( he was diagnosed on the advanced stage)

But one thing, that I felt really helped was music. Secondly, Lavender oil  helped him relax and sleep a bit( otherwise because of the pain, he could not sleep).

Most of these treatments- It is better to take help from professionals to begin- in order to mantain a balance between the traditional treament and the alternative treament.

Alternative treatment, which I personally feel are quite helpful ( some of them which as a caretaker- helped me to relieve my anxiety and stress)

Meditation:  The safest form of alternative treament. The patient can practice himself for 2-4minutes twice a day without any help from anyone.

Music Therapy:  The best I found. It helped in relieving pain and controlling nausea and  vomitting.  Music can be of any kind. Nowadays many hospital have trained staff to help the patients.

Massage(s):  Massages are found to be especially helpful in relieving pain, stress.  It helps you to relieve anxiety, fatigue and induces relaxation. 

People with cancer in bones have to be careful, while applying pressure.  

People with low blood counts should avoid any kind of massages. 

People with tumors, radiation treatments and  with scars should be extra careful while taking massages

Excercise : Through excercise, many signs and symptoms can be managed during the course of treatment. Regular excercise can help reduce stress and relieve fatigue and to an extent control insomnia.

Acupuncture: Basically a technique in which the trained specialist will insert tiny needles at particular sites on the body. This technique is extremely helpful in controlling pain and nausea as a result of cancer ( or treatment).

Patients who have low blood count or who are taking blood thinners should  consult the doctor before starting any such treatment.

Aromatherapy: Use of  different kinds of oils to relax the mind and the body. People with breast cancer should consult the doctor before using any kind of oil.

Yoga:  Includes stretching excercise with deep breathing. There many kinds of yoga. Yoga may provide some relief in stress for people with cancer. People who practise yoga regularly have shown sign of improved sleep pattern and reduction in fatigue.

Relaxation Techniques: Are said to help the patient by helping them by focus their attention on calming the mind and relaxing the muscles. These techniques help in reducing the anxiety and sleep better.

These tecniques are absolutely safe. With little gudence from the therapist - the patient will be able to do the techniques by himself in few days. 

All through my blog, I have repeatedly said that believe in your doctor. Nothing can replace the doctor. While most of the techniques mentioned above can be easily practised at home-but still I am saying before starting any of the above, meet the specialist- he will guide you through.  After all you are fighting CANCER- and we dont want to take risk. Your life is precious- value it, Love it!

I love you, Papa

Happy Fathers Day !!

Wednesday, 3 June 2015

CANCER and Movies

All time movies based on cancer….

When there is pain. No medicine can help -then best is to divert your mind and at the same time get inspired.  Feel motivated. And fight cancer with more enthusiasm.

When papa became bedridden,  and the pain had become unbearable. I made a list of movies to take his mind off -the pain, the cancer….

He dint like -as he had lost interest in everything. To be honest , he dint watch even one of the them. But whatever, I told him him - he listened carefully and would give a faint smile…!

Below is the list of movies based on cancer ….I personally like the fault in our stars,  and would have liked to show it to papa but he left before …..
  • The Fault in Our Stars
  • Kankerlijers
  • Lullaby
  • Mike Says Goodbye!
  • Love Is All You Need
  • Ways to Live Forever
  • Mood Indigo
  • The Girl with Nine Wigs
  • Stuck in Love
  • Now Is Good
  • Safe Haven
  • Cool Kids Don't Cry
  • Hopeful Notes
  • After Fall, Winter
  • 50/50
  • My Sister's Keeper
  • C Me Dance
  • A Christmas Tale
  • The Ultimate Gift

I don't like watching movies,  but after watching these movies- I can surely say that when everything else fails- cinema can be the pain killer. Well.......to some extent....!

I Love you, Papa!

Saturday, 16 May 2015

CANCER- One of the major causes of death(s) in INDIA

Cancer has been accounted as the topmost cause of death after Heart Attack in India. 

Major types of cancer to affect people are  Gall Bladder, Cervical and Oral cancer.

80 % patients visit the doctors at a stage when recovery is difficult ( almost impossible).

71 % of deaths reported are from the age group of 29-70 years.

70 % of patients loose their lives within first year of diagnosis, owing to late detection.

15 % patients are children and young adults in India, as compared to the average of 0.5% worldwide.

60 % of cancers are  lifestyle related - obesity, tobacco, no exercise.

Love you, Papa!

Monday, 11 May 2015

Cancer- Financial Support and Insurance Policies

Someone you love has just been diagnosed with CANCER- what next? Treatment- Yes!

Most of you will agree with me that the word "treatment" is now synonymous with a big fat expense. Recently, I watched this movie on cancer- which clearly defines cancer as a billion dollar industry. Most of us know the result but that doesn't stop us from trying. 

I wouldn't deny that in desperation, one will do anything to save their loved ones( sincere confession- I did everything myself, from Allopathy to Homeopathy to Ayurveda and what not, I did everything that gave me a ray hope, even if it meant few hours of life for my father). But actually most of the time, the attempts are futile and we end up loosing a lot- by the time the battle comes to  an end, we are physically, emotionally and financially drained. 

Sometimes financial stress, leads to dire consequences- people not taking treatment or ending their life long before the time actually arrives.

I feel blessed, that when papa was diagnosed with cancer- I din't have to think about financial expenses but many people are not fortunate enough. Many are not aware that there are actually Non profit organizations(NGOs) offering financial help. Some insurance companies offer cancer- related insurance policies. 

So I thought, of making a list where people can get information at one place.

Financial Support

Following is the list where people can get financial assistance
  • PM National Relief fund - Rs.3 lac
  • Chief Minister Relief Fund (of the State) 
  • Sir Dorabji Tata Trust- Rs.1-2 lac
  • National Health Ministry at least Rs.1 lakhs & Max up to 10 lac provided your annual income is not more than 1 lac. 
  • Ratan Tata Trust ,Mumbai- Rs.4 lac
  • Indian Cancer society near TMH Rs 4 lac provided 100 % bone marrow match otherwise Rs.15 k. 
  • Salman khan' s foundation Rs.10k - every monday morning
  • Tata Chem Golden Jublie foundation Rs. 20 k. 
  • Siddhivinayak Temple Rs.25 k
  • Mahalaskhmi Temple Rs.10k 
  • Tata Memorial Center doctors Rs.5 Lac
  • Hans Foundation
  • Reliance Foundation
Insurance Schemes

Cancer Patients Aid Association 

CPAA, In 1994 introduced the Cancer Insurance Policy in collaboration with New India Assurance Company. The policy is available to any healthy individual who have never had cancer in the past. Individual wishing to take this policy  have to undergo a compulsory free check up at one of the designated CPAA’s Cancer Detection Centers. 

The Checkup
  1. A Physician, a General Surgeon, a Gynaecologist and an E.N.T. Surgeon will screen them. 
  2. Basic blood tests
  3. Pap smear test (for women) 
Life Insurance Corporation – Asha Deep Policy-2 

This  policy covers the risk of 4 major ailments 
  1. Cancer (malignant)
  2. Paralytic stroke resulting in permanent disability 
  3. Renal failure of both kidneys 
  4. Coronary artery diseases where by pass surgery has been done
Indian Cancer Society 

Indian Cancer society also offers Cancer Insurance Policy with New India Insurance

ICICI : Critical Care Insurance Critical Care

Protects you or your spouse against loss of income on diagnosis of any of the 9 major medical illnesses and procedures. 

Illness covered
  1. Cancer
  2. Bypass Surgery 
  3. Heart Attack
  4. Kidney Failure 
  5. Major Organ Transplant 
  6. Stroke
  7. Paralysis
  8. Heart Valve Replacement Surgery 
  9. Multiple Sclerosis
Critical Care Insurance also provides cover against accidental death and permanent total disablement (PTD).

Kidwai Cancer Care Foundation Trust- Bangalore

Along with Kidwai Memorial Institute of Oncology has introduced the Cancer Insurance Scheme known as  'CAT' - Care Against Tumor (lifetime).

Anyone is eligible for this insurance coverage on a one-time payment of Rs 1000. 

The trust is committed to provide treatment up to Rs 1,00,000. 

This treatment also includes diagnostic investigations and management of disease, including ward charges in a semi-private ward.

Love you, Papa!

Sunday, 26 April 2015

Cancer - Myths, Facts and Misconceptions

Cancer, when we talk about - everyone  has something to say. Whether  they know about the disease or not. Almost  2 years ago when  my father was diagnosed with cancer and I decided to go ahead with the treatment, everyone had something to say. Even I  had some beliefs of my own. But over  the time, I realized that most of the things said are generally not true. Thanks to the oncologist who answered my silliest queries and my extensive reading. I was able to overcome these misconceptions.

The worst part about these "myths" are that they can  not only delay the diagnosis but also prove to be major obstacle in the treatment. Since we all know that cancer is a serious condition and requires timely attention and any sort of delay may prove fatal. Because "Cancer is curable, If detected early".

In my article I have tried to bust the most common myths people have while giving valid medical explanation.

Myths 

All tumor will eventually become cancer

There are 2 kinds of tumor- Benign and Malignant. Malignant tumors are cancerous. Benign tumors are not cancerous, though some may later become cancerous but in general they are not cancerous. Benign tumor is not metastatic( spread to other body parts) in nature.

Only cancerous tumors are dangerous

Though malignant tumors are certainly dangerous. But benign tumors can be equally threatening if left untreated.

Cancer is  genetic

Cancer, is a result of genetic mutation during lifetime as a result of various reasons prominent being exposure to radiation, smoking, lifestyle issues, medications etc. Of all the cancer cases reported, only 5 percent cases show hereditary inheritance.

Sweeteners causes cancer

No scientific evidence available to support the claim.

Cell phones cause cancer

Cancer is caused by genetic mutations and cannot be caused by low frequency waves those emitted by cell phones( too weak).

Facts 

Drinking and smoking increases the risk of  cancer

Smoking and consuming alcohol excessively  increases the risk of cancer especially of the mouth, throat, liver, lung and colon cancer to name a few. 

Cancer and Immunity

Your immune system plays an important role in fighting cancer. The immune system identifies the cancer cells and destroys them before they spread. A weak immune system as in the case of people having AIDS are more likely to develop cancer. 

That is also the case, that why many people develop  cancer in old age- weak immune system. But we cannot always blame a weak immune system for cancer.

Processed food can cause cancer

There have been concrete evidences ( proven scientifically) that processed food especially meat can cause cancer of stomach and colon owing to the presence of carcinogens.

Regular exercise reduces cancer risk

Exercise helps a person not only to stay active and fit mentally and physically, but it has been proved scientifically that people who exercise regularly are less likely to develop colon and stomach cancer. But it should be kept in mind exercise is not a treatment nor exercising regularly will  help until you maintain healthy food habits.

Radiation increase cancer risk 

Radiation therapy during cancer treatment is a normal procedure. But it should be kept in mind that while targeting cancer cells, radiation also causes damage to normal and healthy cells. Which may prove fatal later.

Radiation therapy should always be administered by trained specialized professionals and in minimal dosages.

Misconceptions

Old age cancer means death

Yes, it is true that cancer in old age is certainly dangerous. But it has nothing to do with age. Cancer in old age is fatal because of the person's declining health, weak immune system- which becomes a major factor when considering surgery, chemotherapy or radiation therapy. But it definitely does not mean that people getting cancer in old age will eventually die- it actually depends on a person's individual health and ability to sustain treatment.

Cancer surgery or biopsy spread cancer

If surgery or biopsy is done carefully by trained profession- the chances of spread are negligible.

Cancer is contagious

No,  not unless there is any type of organ or tissue transplant (  tissues or organ is affected by cancer)

My father never had any kind of illness through out his life- no high or low blood pressure, no diabetes, his eyesight was normal, no major surgeries, no heart problems. He never smoke nor drank, still he had cancer. Indeed he was very healthy and active person. And one fine day he was diagnosed with cancer.

It came as a shock. But there was no place for any myth or misconception. The fact was - papa had cancer and he needed to be treated.

It's my humble request, whatever people say listen, don't believe them- do what is best for your loved one- get them treated.

Love you, Papa!

Tuesday, 14 April 2015

May I help you!

If you are sad and depressed, and wish to talk - to someone, who is not your family or friend. If you are scared or are confused...

If you have doubts, or have a question(s).....call me! ( regarding cancer)

My number is : 9953996784

I will be more then happy, to listen to you and help you in some way.

P.S: Please, I request you to respect - this number is strictly for patients suffering from cancer or their families. So please refrain from making unnecessary call(s)...because we r trying to help and you can be a barrier...while somebody needs help......!

Love you, Papa!

Wednesday, 18 March 2015

Fight Cancer with food

Prevention is better then cure.  

My father always said, the easiest way to stay healthy is maintaining healthy food habits. Having good diet can help you build immunity which is a crucial in fighting any disease - cancer or any other illness. 

In 2012, according to a report by the ACS, stated that there was strong 'evidence´ that  a good diet and exercise can prevent cancer form  returning  and also increase rates of survival.

Remember, bioactive natural products will do much more good to your body then synthetic pills. Below is the list of food that can help fight cancer.
  1. Nuts
  2. Garlic
  3. Pulses
  4. Carrots
  5. Beetroot
  6. Broccoli
  7. Oily Fish
  8. Tomatoes
  9. Mushrooms
  10. Green leafy vegetable
  11. Red and yellow pepper
  12. Pumpkin seeds & Sunflower seeds
Apart from having the above food, if possible please include the following habits in your daily dietary charts
  • Avoid Sugar
  • Take a daily probiotic
  • Avoid dairy products
  • Eat whole foods
  • Drink green tea, 3-5 cups a day. It helps in detoxification by neutralizing the free radicals.
I love you, Papa

Wednesday, 11 March 2015

Cancer - Areawise in India


Cancer, according to WHO is the leading cause of deaths through out the world,  with 14 million (approx.) new cases and 8.2 million cancer related deaths in the year 2012. The deaths by cancer is likely to increase by 70% in the next 20 years.

The most common types of cancer causing deaths  among men are lung, prostate, colorectal, gallbladder, stomach, and liver cancer.

Among women the  most common types of cancer diagnosed were breast, cervix, stomach, gallbladder, colorectal and lungs 

More than 60% of world’s total new cancer cases occur in Africa, Asia and South and Central America. These regions contribute for 70% of the world’s deaths by cancer

Image Courtesy: Cancer Healer

I Love you, Papa!

Friday, 6 March 2015

Gallbladder Cancer- Ultrasound

ULTRASOUND is the first imaging test done, to ascertain gallbladder cancer in people who are showing symptoms such as pain in the abdomen or have jaundice.
  • Ultrasound is a very simple test. 
  • No radiation. 
  • Cost -effective.
  • Absolutely painless and harmless
The patient is made to lie on the bed and gel is applied on the abdomen. A wand like object known as the transducer is moved along the skin. The transducer sends sound waves and picks up the echoes as they bounce back from the organs. These echoes are then converted into images by the computer.

These images can  help the doctor to determine how far the cancer has spread to the nearby organs. And if surgery is possible.

Endoscopic and Laparoscopic ultrasound: A transducer is inserted in the body close to the gallbladder to get more detailed images as compared. A thin tube with transducer, attached with a viewing device is inserted through mouth( Endoscopic ultrasound) or a incision in the stomach (Laparoscopic ultrasound).

In case of tumor, ultrasound can help determine how far it has gone in the gallbladder walls. Or if the nearby lymph nodes have been affected.

Ultrasound can be used to guide a needle to help remove the cells (biopsied) from the affected area (lymph node) and be scanned under the microscope. This process is known as an ultrasound biopsy.

I love you, Papa!

Saturday, 28 February 2015

Gallbladder Cancer -Magnetic Resonance Imaging

Magnetic Resonance Imaging( MRI), scan uses magnetic field and radio waves to create detailed view of the body from inside ( organs, tissues, bones).

Purpose

MRI scan is mostly used to diagnose issues of brains and spinal cord. Major issues being
  • Tumors
  • Aneurysms
  • Injuries in the spinal cord
  • Ailments of the eyes and ears
  • Stroke
  • Multiple sclerosis
In certain cases, the doctors recommend  MRI scan, when CT scan is not able to provide the desired information.

In certain types of cancer such as the bladder and the cervical - especially  in the early stage MRI scan is better then CT scan. MRI scan provides high resolution images of the tumor, enabling the doctors to know about the size of the tumor and how deep it has grown into the tissues.

MRI scan can be exceptionally useful in showing whether the tissue(s) left after the treatment is over are cancerous or not.

Risk
  • Patients having any type of metallic or electronics implants (Pacemaker,Metal clips, Artificial heart valve, joint prostheses etc)  in the body should inform the  doctor before hand as it can can be dangerous and also effect the MRI.
  • Pregnant women should discuss with the doctor before going for the scan. 
  • Patients with liver and kidney ailments


Process

MRI machine is a long tube but with both the ends open. Its painless process but since the machine makes loud noises, therefore it is advised to wear ear plugs while taking the scan.

Usually lasts up to an hour, sometimes may be more.

Results

Radiologist are specialized doctors who can interpret these images from the scan. He will send the findings to the Doctor, who in turn will discuss these findings with the patients and family members.


I love you, Papa!