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The sad demise of nancy lee, one of britain's ketamine casualties

muttonchops

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Thought this was an uncharacteristically decent article from vice.
http://www.vice.com/en_uk/read/keta...bladder-and-kills-you-863?utm_source=vicefbuk

Ketamine is that crazy wobbly leg drug. The wacky student drug, the post club chill-out aid, the new gen LSD that gives users the power to become – according to 1970s K-hole explorer and dolphin whisperer John C Lilly – “peeping toms at the keyhole of eternity”. But its reputation as a popular recreational drug, since filtering into the mainstream via the gay clubbing and free party scenes in the 2000s, does not tell the whole story of what’s going on in modern British K-land.

Apart from a brief paragraph in the Brighton Argus’s obituary column, Nancy Lee’s drug death went unreported. There was no shock factor: she hadn’t collapsed in public from a toxic reaction to a pill or a line of powder in a club. Instead, at the age of 23, Nancy had died slowly over seven years, her body trashed by a steady diet of ketamine.

Nancy started using ketamine aged 16 when she made new friends. Most teenagers getting high in the local Brighton park were necking cider and smoking skunk, but Nancy and her group of Indie kid outsiders used the open spaces to take ketamine. It was cheap, at 12 grams for £90, and importantly for Nancy, it transported her away from real life.

“She was sensitive and very caring but Nancy was a misfit,” her father Jim, a college lecturer, tells me. “She was bullied at school because of a bad squint and for being a tomboy. She had a victim mentality, a feeling that the world was against her.” It’s just that Nancy ended up finding solace in ketamine. “If someone was to design the perfect drug for a teenager who is depressed and doesn’t have much money, this would be it,” says Jim.

Nancy’s older sister Libby told me that when Nancy started using the drug regularly it left her stuck in a teenage world from which she was never able to escape. “When I asked her why she couldn’t just stop taking it she said ketamine allowed her to get away from her life,” says Libby. “She told me she took it because she didn’t want to be herself.”

Meanwhile in reality, outside of ketamine’s cartoon world, Nancy’s body was beginning to disintegrate because she was taking ketamine but rarely eating, exercising or drinking water. At 21, because of the effects of heavy ketamine use on her bladder and appetite, Nancy was incontinent, suffering from a weak heart due to malnutrition and weighed 33 kilos. Her kidneys and bladder were barely functioning. She slept in the day and went out at night and flitted between her mother’s and various friends’ places, so no one knew how seriously ill she was until Jim intervened and took her into hospital, where he was told by doctors her condition was life threatening.

After spending five weeks on a urology ward surrounded by elderly patients, Nancy was discharged, but she was warned that she could have caused long-term damage to her body. In the end, it proved worse than that.

Unable to get a job because of her ill health, Nancy lived off sickness benefits. She occasionally lapsed into using ketamine, sometimes disappearing for days. At the start of this year, she appeared to be getting healthier, but in March, because of her weakened organs, she got a kidney infection and was dead within a week.

We know that cocaine, MDMA, mephedrone and LSD can end up damaging people and some can become addictive, but it appears none of these drugs has the ability to wreck the body or leave users mentally marooned in the way that ketamine does. Rather than being a window into the soul, for some ketamine has turned into a way of mollifying pain or getting through the day, like heroin and diazepam.



A heap of ketamine (Photo via Coaster420)

I spoke to Laura, a call centre manager from Bristol. Now 32, she’s been taking ketamine for half her life. She started in 2001 and at one point was snorting three grams a day. She’s spent seven years in drug counselling and NA.

“I really feel sorry for anyone that is in that lifestyle on a daily basis, because it’s almost impossible to get out of. I can say for sure that if I didn’t commit myself 40 hours a week to my job I would be on it all the time, or struggling with myself not to be. Even though I'm 'clean' this is only by default, from changing my social groups and prioritising life, love and work over ketamine. If you put the stuff in front of me now I'd still do it. It's more powerful than I ever anticipated.”

Laura never used ketamine in a club, she took it every day, like a lot of her friends in Bristol did. “In the beginning K can wipe you out and make you pretty out of it. But after a while it becomes an everyday thing. I could easily get up and do it in the morning, hair of the dog, so to speak.

“I know lots of people with kids who'll happily get on it while they're at school. I preferred a line of K over a glass of wine after work. Life's busy, stressful, loud and intense. K is mellow, slow, relaxing and lets you drift away from it all. But one line turns into two and then your tolerance is high and suddenly you are doing a gram or two a day.”

She said ketamine is a disaster as a coping mechanism. “I went through a major bereavement and found myself using two to three grams a day. It helped to an extent, but really it just separated me from my life and emotions. The problem is it all comes flooding back when you come down, which gives you the need to blanket yourself again – hence the vicious cycle.” So far, Laura’s organs are intact.

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Laura tempered her ketamine use by eating well, exercising and being careful when you mix it with other drugs, most crucially alcohol. She knew how to reduce the dangers. However, the average kid receives a measly one hour of drug education before they leave secondary school. So Nancy never knew.

Most of the 93 recorded ketamine-related deaths (between 2005 and 2013) in the UK have been accidental poisonings – like at this year’s Glastonbury festival, at an illegal rave in Croydon and at last year’s Boomtown festival – or accidents. There have been nine drowning and three road traffic accident fatalities caused by the drug. There have also been suicides. In 2011 a depressed, jobless teenager, Adam Sephton, was found hanged in a football field in Barnsley after several months of heavy ketamine use.

Nancy’s death, from long-term ketamine abuse, is one of the first of its kind in the UK. Doctors are hoping that as Britain’s first ketamine-using generation grows older, Nancy’s death is not the first of too many. In Hong Kong, which has a serious ketamine problem and where doctors have discovered that heavy ketamine use may cause liver cancer, there have so far been three deaths linked to long-term ketamine abuse.

Drug services and hospitals here are seeing a rising number of people suffering serious health problems due to heavy K use. In London, Leeds and Bristol there have been sharp increases in people being referred to urologists with ketamine-related bladder issues. Last year David Gillatt, the UK's leading urological surgeon, removed three bladders from ketamine users.

Consultant psychiatrist Dr Owen Bowden-Jones, lead clinician at the Club Drug Clinic in London, says around three quarters of ketamine users visiting the clinic have bladder-related symptoms.



Nancy with friends

As with Nancy, he says ketamine is prompted by and linked with depression, anxiety and addiction. Nearly one in five of those who told the Global Drug Survey they used ketamine in 2009 admitted that they were dependent on the drug.

The other problem with ketamine is that the anti-social nature of the drug means that heavy users, particularly the young, tend to be outsiders who hang out in groups with other heavy users. The lack of any recognised treatment for ketamine addiction means that many heavy users exist beyond the radar of local drug services.

An outreach worker at the drug charity CRI in Brighton told me that Nancy came into the project a few years ago to discuss worries over her ketamine use, but she missed her next appointment and never returned. Her dad Jim says Nancy refused attempts at getting her psychiatric or medical help because she had a phobia about visiting doctors and hospitals.

As with a growing number of parents of people killed through drug taking, Jim says the government is doing virtually nothing – beyond its rarely visited, zero credibility website Talk to Frank – to inform children about drugs. He wants to see a change in drug policy that is more focused on education and care than inaction and criminalisation.

“I hate it that we live in a world where we prefer to turn the other cheek and ignore what is happening on our doorstep. Brighton is a wealthy area, but in reality it’s like Brighton Rock; it still exists on two separate worlds. We need to care for people who have drug problems, not treat them as outcasts. The government needs to listen to the advice of experts rather than the Daily Mail. Prohibition causes more problems than it solves.”

But for a lot of people who get into trouble with drugs, the real problem is mental health issues. And in modern Britain, that some kids are using potent drugs like ketamine to deal with depression and a feeling of dislocation with the world, is tragic.

“I was quite depressed,” 21-year-old Nancy said after coming out of hospital in 2011. “K takes your mind to a different world so you forget the bad stuff. But in the end, ketamine becomes the bad stuff.”
 
I first saw that article before going into my first ever true k-hole yesterday, not good.
 
Surely obsessively abusing anything to the point of malnutrition is never going to be a healthy thing to do? Am not defending ket particularly and I know a lot of teens do seem to be using it an unhealthy amount, but.. I didn't think it was a great article anyway.
 
Surely obsessively abusing anything to the point of malnutrition is never going to be a healthy thing to do? Am not defending ket particularly and I know a lot of teens do seem to be using it an unhealthy amount, but.. I didn't think it was a great article anyway.

The article touched on it but only superficially: the escapism with ketamine is something special, hard to quantify, but it just a bit ...more involved than just "a way of mollifying pain or getting through the day" or that it "takes your mind to a different world so you forget the bad stuff."

NMDA agonists have much potential in medicine and it's no doubt worthwhile to get a grip on them, to truly figure out their addicitive and other negative aspects and to tame them.
 
Surely obsessively abusing anything to the point of malnutrition is never going to be a healthy thing to do? Am not defending ket particularly and I know a lot of teens do seem to be using it an unhealthy amount, but.. I didn't think it was a great article anyway.

That does rather leap out as being probably the cause of such severe damage so young. To me the article talks more about the problems of addiction than necessarily of ketamine itself. Using any substance so excessively you stop eating and drinking will end up destroying your body. I'm open to the possibility that ketamine can cause specific issues (bladder being the main one (along with going nuts and stuff)) but abuse cocaine at those kinda levels for that long, throw in longternm malnutrition and dehydration cos you're so wrapped up in... presumably talking about how great cocaine is and how great you are cos you take cocaine or whatever and you probably won't live too long either. Suspect that goes for many drugs.

It's a very sad story but it strikes me as a combination of mental and/or emotional issues combined with addiction resulting from wishing to escape those issues. It's a common enough thing and kills people that age (and younger and older) daily. It's the addiction bit that's the problem - or more specifically the underlying causes for that addiction as I generally think of addiction as a symptom of a deeper issue.
 
It's fucking tiresome how someones mental problems are somehow "linked" to ketamine. Some people are going to find some way of harming themselves - that's simply how life works. If it wasn't ketamine it would be anorexia. If it wasn't anorexia it would be something else.

Maybe Ketamine kept her from killing herself years earlier.
 
I probably wouldn't phrase it quite like that - and also wouldn't link it to any specific individual case cos we can never know the details of specific instances - but, broadly speaking, I concur, Issy. Whilst there are surely some people who simply get caught out by an addiction, I'm reasonably sure the majority of instances are much as you suggest - could be anything cos it's the underlying causes that are the real problem and when they are left to fester there's no real reason to try to break the addiction cos it still tends to do what it's used for: to block and to blot out those underlying issues. Without knowing the real details of this particular case, what is described sounds like depression. Using drugs to escape depression is hardly uncommon. In fact it's recommended medical practice. Actually with ketamine sometimes oddly enough - highly effective antidepressant... but ideally not at several grammes a day without food, fluids and sleep playing more than the flimsiest of roles.
 
I'm all for using drugs for depression - they're the only thing that have ever helped my depression other than simply growing older which seems to help too.

I think addiction is something beyond the drug tho. I think the article would've been better concentrating on the nature of addiction than the specific drug. If K hadn't been available she'dve been on a gallon of cider a day.
 
Everyone has their own methods... one method might work for 1 person and not work for 10000 people

For me drugs caused depression in the bigger picture... been off anything in nearly 2 months and I have been extremely happy since... I got drugs left over... not sure wether to use them or drop them into a drink at tesco

This was a great read... always been weary about Ketamine
 
I think addiction is something beyond the drug tho.

I agree - just like I did up there. As I also said up there, we can never know the specific of this particular case so me mentioning that it sounded rather like depression is hardly conclusive. Neither is trying to compare one person's depression with another. There are as many forms of depression as there are people and they all come in a great many degrees of severity. Not to mention concurrent conditions which can often tag along adding to the mess. But again, pure speculation. I suspect we'd be in agreement that it really doesn't matter what the drug is - nor even if it is a drug at all - cos addiction is addiction and self-destructive tendencies are self-destructive tendencies. It really is a terrible shame and missed opportunity that everybody focusses on the substances and/or behaviours with nary a hint of a suggestion of a mention of a thought there may possibly be more to it.
 
I first saw that article before going into my first ever true k-hole yesterday, not good.

Be like my friends, then. They used it a few times and moved on. They can take it or leave it. It's like dropping acid to them. When it's around, ok, maybe a couple of lines...then none for a year or a half. It never gets a grip. Experience it, because it is amazing, but don't become like me. That article could easily be about me. Although I do drink a fucking colossal amount of water to compensate. But my ketamine habit has really wasted my life the last five years.
 
What kind of friends are those godspeed? No acid for a year and a half? I'd be gnawing my own leg off after that long.

I've got a terrible Ketamine problem myself...

wait for it...

...I can't get enough! Ahem.
 
Shambles quote "To me the article talks more about the problems of addiction than necessarily of ketamine itself. Using any substance so excessively you stop eating and drinking will end up destroying your body" I agree

Addictive behaviour is addictive behaviour it doesn't matter what the drug or activity is really. People plug into different drugs for different reasons (popularity at the time,price,availability) They provide a pleasurable relief from a difficult reality. All drugs/behaviours are equal in their ability to fuck you up. The person that is an addict but functional holding down a job versus the junkie on the streets - The only difference is often social class or lower sense of self esteem v's higher sense of self esteem to let things go so far to end up on the street as opposed to maintaining an illusion of sobriety by holding a job and relationship down but struggling with addiction.
 
Thought this was an uncharacteristically decent article from vice.
http://www.vice.com/en_uk/read/keta...bladder-and-kills-you-863?utm_source=vicefbuk

Ketamine is that crazy wobbly leg drug. The wacky student drug, the post club chill-out aid, the new gen LSD that gives users the power to become – according to 1970s K-hole explorer and dolphin whisperer John C Lilly – “peeping toms at the keyhole of eternity”. But its reputation as a popular recreational drug, since filtering into the mainstream via the gay clubbing and free party scenes in the 2000s, does not tell the whole story of what’s going on in modern British K-land.

Apart from a brief paragraph in the Brighton Argus’s obituary column, Nancy Lee’s drug death went unreported. There was no shock factor: she hadn’t collapsed in public from a toxic reaction to a pill or a line of powder in a club. Instead, at the age of 23, Nancy had died slowly over seven years, her body trashed by a steady diet of ketamine.

Nancy started using ketamine aged 16 when she made new friends. Most teenagers getting high in the local Brighton park were necking cider and smoking skunk, but Nancy and her group of Indie kid outsiders used the open spaces to take ketamine. It was cheap, at 12 grams for £90, and importantly for Nancy, it transported her away from real life.

“She was sensitive and very caring but Nancy was a misfit,” her father Jim, a college lecturer, tells me. “She was bullied at school because of a bad squint and for being a tomboy. She had a victim mentality, a feeling that the world was against her.” It’s just that Nancy ended up finding solace in ketamine. “If someone was to design the perfect drug for a teenager who is depressed and doesn’t have much money, this would be it,” says Jim.

Nancy’s older sister Libby told me that when Nancy started using the drug regularly it left her stuck in a teenage world from which she was never able to escape. “When I asked her why she couldn’t just stop taking it she said ketamine allowed her to get away from her life,” says Libby. “She told me she took it because she didn’t want to be herself.”

Meanwhile in reality, outside of ketamine’s cartoon world, Nancy’s body was beginning to disintegrate because she was taking ketamine but rarely eating, exercising or drinking water. At 21, because of the effects of heavy ketamine use on her bladder and appetite, Nancy was incontinent, suffering from a weak heart due to malnutrition and weighed 33 kilos. Her kidneys and bladder were barely functioning. She slept in the day and went out at night and flitted between her mother’s and various friends’ places, so no one knew how seriously ill she was until Jim intervened and took her into hospital, where he was told by doctors her condition was life threatening.

After spending five weeks on a urology ward surrounded by elderly patients, Nancy was discharged, but she was warned that she could have caused long-term damage to her body. In the end, it proved worse than that.

Unable to get a job because of her ill health, Nancy lived off sickness benefits. She occasionally lapsed into using ketamine, sometimes disappearing for days. At the start of this year, she appeared to be getting healthier, but in March, because of her weakened organs, she got a kidney infection and was dead within a week.

We know that cocaine, MDMA, mephedrone and LSD can end up damaging people and some can become addictive, but it appears none of these drugs has the ability to wreck the body or leave users mentally marooned in the way that ketamine does. Rather than being a window into the soul, for some ketamine has turned into a way of mollifying pain or getting through the day, like heroin and diazepam.



A heap of ketamine (Photo via Coaster420)

I spoke to Laura, a call centre manager from Bristol. Now 32, she’s been taking ketamine for half her life. She started in 2001 and at one point was snorting three grams a day. She’s spent seven years in drug counselling and NA.

“I really feel sorry for anyone that is in that lifestyle on a daily basis, because it’s almost impossible to get out of. I can say for sure that if I didn’t commit myself 40 hours a week to my job I would be on it all the time, or struggling with myself not to be. Even though I'm 'clean' this is only by default, from changing my social groups and prioritising life, love and work over ketamine. If you put the stuff in front of me now I'd still do it. It's more powerful than I ever anticipated.”

Laura never used ketamine in a club, she took it every day, like a lot of her friends in Bristol did. “In the beginning K can wipe you out and make you pretty out of it. But after a while it becomes an everyday thing. I could easily get up and do it in the morning, hair of the dog, so to speak.

“I know lots of people with kids who'll happily get on it while they're at school. I preferred a line of K over a glass of wine after work. Life's busy, stressful, loud and intense. K is mellow, slow, relaxing and lets you drift away from it all. But one line turns into two and then your tolerance is high and suddenly you are doing a gram or two a day.”

She said ketamine is a disaster as a coping mechanism. “I went through a major bereavement and found myself using two to three grams a day. It helped to an extent, but really it just separated me from my life and emotions. The problem is it all comes flooding back when you come down, which gives you the need to blanket yourself again – hence the vicious cycle.” So far, Laura’s organs are intact.

RECOMMENDED

We Need to Talk About London's Club Drug Problem

The Rise and Rise of the UK's Student Drug Dealers

10 Ways to Make Clubbing Less Shit in 2014

I Went Stop and Searching in Soho with the London Met
Laura tempered her ketamine use by eating well, exercising and being careful when you mix it with other drugs, most crucially alcohol. She knew how to reduce the dangers. However, the average kid receives a measly one hour of drug education before they leave secondary school. So Nancy never knew.

Most of the 93 recorded ketamine-related deaths (between 2005 and 2013) in the UK have been accidental poisonings – like at this year’s Glastonbury festival, at an illegal rave in Croydon and at last year’s Boomtown festival – or accidents. There have been nine drowning and three road traffic accident fatalities caused by the drug. There have also been suicides. In 2011 a depressed, jobless teenager, Adam Sephton, was found hanged in a football field in Barnsley after several months of heavy ketamine use.

Nancy’s death, from long-term ketamine abuse, is one of the first of its kind in the UK. Doctors are hoping that as Britain’s first ketamine-using generation grows older, Nancy’s death is not the first of too many. In Hong Kong, which has a serious ketamine problem and where doctors have discovered that heavy ketamine use may cause liver cancer, there have so far been three deaths linked to long-term ketamine abuse.

Drug services and hospitals here are seeing a rising number of people suffering serious health problems due to heavy K use. In London, Leeds and Bristol there have been sharp increases in people being referred to urologists with ketamine-related bladder issues. Last year David Gillatt, the UK's leading urological surgeon, removed three bladders from ketamine users.

Consultant psychiatrist Dr Owen Bowden-Jones, lead clinician at the Club Drug Clinic in London, says around three quarters of ketamine users visiting the clinic have bladder-related symptoms.



Nancy with friends

As with Nancy, he says ketamine is prompted by and linked with depression, anxiety and addiction. Nearly one in five of those who told the Global Drug Survey they used ketamine in 2009 admitted that they were dependent on the drug.

The other problem with ketamine is that the anti-social nature of the drug means that heavy users, particularly the young, tend to be outsiders who hang out in groups with other heavy users. The lack of any recognised treatment for ketamine addiction means that many heavy users exist beyond the radar of local drug services.

An outreach worker at the drug charity CRI in Brighton told me that Nancy came into the project a few years ago to discuss worries over her ketamine use, but she missed her next appointment and never returned. Her dad Jim says Nancy refused attempts at getting her psychiatric or medical help because she had a phobia about visiting doctors and hospitals.

As with a growing number of parents of people killed through drug taking, Jim says the government is doing virtually nothing – beyond its rarely visited, zero credibility website Talk to Frank – to inform children about drugs. He wants to see a change in drug policy that is more focused on education and care than inaction and criminalisation.

“I hate it that we live in a world where we prefer to turn the other cheek and ignore what is happening on our doorstep. Brighton is a wealthy area, but in reality it’s like Brighton Rock; it still exists on two separate worlds. We need to care for people who have drug problems, not treat them as outcasts. The government needs to listen to the advice of experts rather than the Daily Mail. Prohibition causes more problems than it solves.”

But for a lot of people who get into trouble with drugs, the real problem is mental health issues. And in modern Britain, that some kids are using potent drugs like ketamine to deal with depression and a feeling of dislocation with the world, is tragic.

“I was quite depressed,” 21-year-old Nancy said after coming out of hospital in 2011. “K takes your mind to a different world so you forget the bad stuff. But in the end, ketamine becomes the bad stuff.”

Just read this. That is terrible. I feel sorry for her family and for the people who are addicted to this.

Surely obsessively abusing anything to the point of malnutrition is never going to be a healthy thing to do? Am not defending ket particularly and I know a lot of teens do seem to be using it an unhealthy amount, but.. I didn't think it was a great article anyway.

Agreed!

That does rather leap out as being probably the cause of such severe damage so young. To me the article talks more about the problems of addiction than necessarily of ketamine itself. Using any substance so excessively you stop eating and drinking will end up destroying your body. I'm open to the possibility that ketamine can cause specific issues (bladder being the main one (along with going nuts and stuff)) but abuse cocaine at those kinda levels for that long, throw in longternm malnutrition and dehydration cos you're so wrapped up in... presumably talking about how great cocaine is and how great you are cos you take cocaine or whatever and you probably won't live too long either. Suspect that goes for many drugs.

It's a very sad story but it strikes me as a combination of mental and/or emotional issues combined with addiction resulting from wishing to escape those issues. It's a common enough thing and kills people that age (and younger and older) daily. It's the addiction bit that's the problem - or more specifically the underlying causes for that addiction as I generally think of addiction as a symptom of a deeper issue.

Agree with this - The article does seem more about addiction, mental health and poor malnutrition. It seems more a case of "Leah Betts and E" when the media tried claiming that ecstasy had killed her but in fact it was water. And videos of that were played to us in school - in fact it wasn't until I came to EADD that I in-fact found that to be untrue and thus do not as easily accept things from the media on drugs, as I would in the past.

I probably wouldn't phrase it quite like that - and also wouldn't link it to any specific individual case cos we can never know the details of specific instances - but, broadly speaking, I concur, Issy. Whilst there are surely some people who simply get caught out by an addiction, I'm reasonably sure the majority of instances are much as you suggest - could be anything cos it's the underlying causes that are the real problem and when they are left to fester there's no real reason to try to break the addiction cos it still tends to do what it's used for: to block and to blot out those underlying issues. Without knowing the real details of this particular case, what is described sounds like depression. Using drugs to escape depression is hardly uncommon. In fact it's recommended medical practice. Actually with ketamine sometimes oddly enough - highly effective antidepressant... but ideally not at several grammes a day without food, fluids and sleep playing more than the flimsiest of roles.

Yea I think it's about more Nancy---and other young kids' unresolved issues, depression. and their need to "constantly escape reality and themselves" that needs to be looked at. I do agree that children should be made more aware of different drugs and their affects. That should be a basic HR protocol, in my opinion.

Evey
 
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Shambles quote "To me the article talks more about the problems of addiction than necessarily of ketamine itself. Using any substance so excessively you stop eating and drinking will end up destroying your body" I agree

Addictive behaviour is addictive behaviour it doesn't matter what the drug or activity is really. People plug into different drugs for different reasons (popularity at the time,price,availability) They provide a pleasurable relief from a difficult reality. All drugs/behaviours are equal in their ability to fuck you up. The person that is an addict but functional holding down a job versus the junkie on the streets - The only difference is often social class or lower sense of self esteem v's higher sense of self esteem to let things go so far to end up on the street as opposed to maintaining an illusion of sobriety by holding a job and relationship down but struggling with addiction.

This.

Greatly put.
 
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