"In order to write about life, first you must live it." ~ Ernest Hemingway

Category: death (Page 1 of 2)

A Story Of Euthanasia

I was alone at my favorite restaurant today and the waitress had just set my meal down in front of me. I started to eat and all of a sudden, memories rushed into my head; memories so powerful that the tears threatened to come.

Eat, I told myself.
Hurry up and eat and you can cry in the car.
So I did.

And I cried all the way home. As I was driving home, I realized that the second I got home, I needed to finally write about this. I promised myself that much at least.

It’s been a little over 9 months since my dog, Molly, died. And while I’ve wanted to write about it, I haven’t.

I couldn’t.

I’m not exactly sure what makes today different. Maybe because I promised myself I would. Maybe it is because I have this nagging little voice in my head that is telling me that it has to be written today because soon, someone else is going to need this story….a story that I wish I could have read 9, 10, or 15 months ago.


Molly was my almost 16 year old basset hound/black lab mix rescue. She was my constant, faithful companion for 13 of those years. She was more than a dog to me; she was my child. I couldn’t imagine a life without her.

But this story isn’t about her life. It is about her death and the process of having to make the decision to end her life.

I had noticed one day in the Fall of 2016 that Molly’s breathing seemed labored. In addition, she was more fatigued than usual. Our vet couldn’t see her that day and recommended we take her to the E.R. After many stressful hours, she was diagnosed with probable heart failure.

For me, that was the beginning of the end.

My husband and I talked and decided to proceed with medication to manage her heart failure. At this point in her life, at 15 years old, she had slowed down considerably and had some hearing loss. To be honest, I had been mentally preparing myself for years that her advancing age meant we would soon have to make some difficult decisions.

We started with two medications and then took her to see a veterinary cardiologist. She said that yes, she had heart failure and when I asked, said that she thought Molly would probably be able to be managed on medications for roughly 2 years. We left there with several more medications and in addition to medications she was already on for arthritis and a thyroid problem, her list totaled 8 different medications.

Molly actually improved for several months but then her breathing got worse again. The cardiologist told us her echocardiogram showed worsening of the heart failure. Medication doses were increased.

At this time we also started to notice some changes in her behavior that indicated she may have dementia. And, her hearing was getting worse. I had a conversation with our regular vet about when we would know that it was “time.” She talked about how many people make the decision to euthanize when the dog stops eating, appears to be in a lot of pain, or isn’t enjoying life anymore.

Molly didn’t seem to be in pain; she was on a pain medication for years for arthritis. She was eating, although not as much as she used to. However it was becoming obvious that she was starting to struggle. The dementia was getting worse. Her breathing, at times, was getting worse, and her quality of life was worsening.

I remember one afternoon, a few weeks before she died, I was lying down on the couch, on my back. Molly was always an affectionate snuggler but she did something new that afternoon. She got up from her spot by my feet, climbed up on my belly and chest, and rested her head so that we were practically nose to nose. She looked me right in the eye. It was spooky.


I can’t really explain how I knew.
But I did. 
I knew she was telling me she was ready to go.

So why did it take us several more weeks (2? 3?) then to euthanize her? I think there were many reasons. I was waiting for my husband to say, “it’s time.” (this is something we only discussed very recently…about how I knew before he did that it was time). He would point out that she still enjoyed being outside sometimes or that she was still eating. At times her breathing wasn’t as bad. I was waiting for one of our two vets to say, “it may be time.” Neither ever did.

I was OK with euthanizing Molly. Well, as OK as anyone can be I suppose. The last thing in the world that I wanted was for her to suffer. But I was caught up in the thought of, “what if I am wrong…what if it is too soon?”

I was afraid of murdering her.

But I couldn’t get rid of that nagging feeling from that day on the couch when she looked at me. And I was actually thinking about that as I walked into our house one day after about 2 hours of running errands. Something didn’t smell right.

I walked into our living room to find several small piles of stool. Not even diarrhea. Just regular stool and it seemed like she thought she was outside. She had been incontinent of urine on and off for many, many months, but the stool? That had only happened one time in all the years I had her and it was due to her getting into something outside when she was 4 years old and not being able to get outside to the bathroom in time.

And that did it for me.
I knew.

I knew that she had to be really confused to do that inside the house. I could live with accidents in the house. Hell, I had been dealing with urine for a while. But it symbolized how much she was struggling, and likely suffering. Things were just going to get worse.

I called my husband at work and told him we were putting her down. I called our regular vet and told them I wanted to make an appointment to have her euthanized. I was shaking so hard, I dropped the phone at one point. We chose a day the following week  when neither one of us had to worry about going to work for a few days afterwards.

Since we first found out she had heart failure, we were making the most of our time left with her. We got 7 months of appreciating every single moment with her. But after I made the appointment, I told my husband I wanted to take her to the beach one last time. Years ago that would have meant a full day trip with several hours of exploring.


We had a glorious 30 minutes with her on that beach. She was almost like her old self again, until then she wasn’t, and we decided it was time to go.

Two days after that beach trip, it happened again. It was a Tuesday and she was scheduled to be euthanized on Friday. She was lying on my bed and I had been checking in on her a lot because it seemed like her breathing was more labored. The beach trip, which included 4 hours in the car, was probably too much for her but I was OK with that because she enjoyed it so much.

I laid next to her on the bed and she turned to face me and it was there again…that look. The look that said I’ve had enough.

I cried and stroked her head.
I called the vet.
I called my husband and told him I moved up the appointment to the next morning.
He asked if I was sure because it was my birthday. I told him that I couldn’t prolong her suffering just because it was my birthday. It was the right thing to do.

Molly died on May 3, 2017.
The events of that day are for another time, another blog entry.

So what’s the point in writing all this? Sure, it’s a bit cathartic but God knows I’ve had plenty of people to process this with since last year.

This is about more than that. It’s about letting whomever reads this know that if you are in this same situation, the situation of choosing death over life, or mercy over suffering, or even compassion over selfishness, you can do this.

Know that there is no “right” time.

If you are taking the time to find your way to this particular post, I know you love your pet. And when you make this kind of decision out of love, you cannot be wrong. You are not giving up on your pet. And for God’s sake, don’t buy into the whole, “I’m murdering her/him” thing.

You WILL NOT be wrong.

Since last May, I have beaten myself up several times about if maybe we should have put Molly down sooner. Maybe we should have done it when she was first diagnosed with heart failure. That was actually some of the memories that revisited me today during my lunch.

But then I stopped to think about my motives. Did we keep her alive all those months because we couldn’t bear to let her go? No. It was a process of trying to give her a good life while managing a significant illness.

What I will say to someone who is wondering when the right time is to euthanize a pet: listen to your gut. Don’t overanalyze because it just makes the situation worse. Pay close attention to your pet. You know him or her better than anyone. If your pet gets sick with something that will eventually kill them (heart failure, liver disease, cancer, etc.), make some tentative decisions about how far you are willing to go with their treatment. Think about the kind of life you want for your pet, and for you and your family. And lastly, don’t let a vet, family member, or anyone else push you into decisions that in your gut, you know are not in the best interest of your pet.

I know, it’s hard.
Hard is an understatement.
I won’t lie.
It’s an agonizing process.

But in the words of my hero, Glennon Doyle,
“We can do hard things.”


Molly around 8 years old
Molly at 14 years old

Life’s Challenges

I promised myself I would not go through another day without blogging. I noticed this past weekend that it has been almost three months since I posted anything. I have done some writing since my last blog post, but it was writing done just for me. That is one of my biggest challenges with having a blog; being an authentic writer while still not doing damage to other people in my life.

A LOT has happened since August. It’s funny because I kept telling myself, “Oh this would make a great blog post” or “I should write about this.” But sometimes I get like that: I just want to experience life without feeling obligated to write about it all the time.

In August, my husband and I took a dream trip to Ireland. It was a trip we had been talking about since we started dating over six years ago. We had the money saved but I kept stalling on planning it due to my health issues and my fears about being in another country with said health issues. I finally got over that and we had this amazing eleven day adventure (with prednisone on board to get me through the adventure) of Northern Ireland, Co. Donegal, Co. Mayo, Co. Galway, Co. Offaly and one of the Aran Islands. That is a topic I will still probably blog about at some point in the future!

About a week after we got home, we got SLAMMED with one crisis after another, some major, some annoying. We had some large, unexpected expenses, an unwell family member, a major family relationship conflict, and then our fifteen year old dog, Molly, ended up in the E.R. and was diagnosed with congestive heart failure. We had to make a decision and we decided to go ahead and bring her to a cardiologist for treatment. She is doing better in regards to her heart, but the side effects of the medications have made life much more challenging for my husband and I. And if you’ve ever had an elderly dog, you know the expense that comes with keeping them comfortable.

Molly has also had some challenges just in terms of getting old. It would appear that she has very little, if any, hearing and this past weekend we noticed that maybe her eyesight is becoming an issue. We did decide that we will likely not go any further in pursuing treatment when the next medical crisis for her comes along. We were hoping for her to get through this Christmas and with less than two weeks to go, that possibility looks very likely.

That was all in September. In October, we got news that one of my closest friends, Steve, who had been living with Stage 4 colon cancer for over two years, was getting sicker. We are an hour and a half away from him and his family, so a lot of October was spent traveling back and forth and spending as much time with him as possible.

On November 5th, my friend lost his brave battle.

That experience with him was life changing for me and it was one that requires and deserves so much more than what I am going to write here today.

A story for another time.

Then on November 24th (Thanksgiving Day), my sister-in-law, Stacie, passed away very unexpectedly. This was made more difficult by the fact that we live fourteen hours away from where she lived. She was the first person my husband ever told me about when we started dating. I knew her death was going to be earth shattering for him.

I just realized this afternoon that I still have not fully processed her death.

As I am writing this, I think it is hitting me that I have been in survival mode since August, even with the vacation. One day at a time.

Get things done.
Be present.
Just get through the next hour.
You can do it.
You can survive this.

And I did. Of course the stress contributed to a major autoimmune flare for which I am currently on a three week run of prednisone for…one of my tougher prednisone runs, that is for sure. And, I have been having some issues with anxiety which has not been a major issue for years. But, I have people helping me with that and more importantly, I know how to help myself through that.

My attitude right now is to go into Christmas taking care of myself as much as possible. This has meant making some changes to our routine and traditions this year. It has meant a lot of tolerance and understanding from my husband towards me and from me towards my husband. The past few months have reminded me of how important it is to choose well when it comes to a life partner.  It has also reminded me of how very important it is to choose well when it comes to the people we surround ourselves with.

Isn’t that mostly what life is about though? Going through life with people? In the past few months I have learned so much about myself, my husband, and who is going to be there at times when the phone rings at 8am and your friend of thirty years tells you he has about two weeks to live and you are in the car headed out of town less than an hour later, not sure of when you will be back and what your life will look like when you do get back home.

Those are the moments that define you.
And the people who loved me through it are the ones that remind me of how rich my life is.

Go love your people.
Tell them.
Show them
Put your phones away and be with them.

Ushering Them To The Other Side

Do Not Stand At My Grave And Weep

Do not stand at my grave and weep,
I am not there, I do not sleep.
I am a thousand winds that blow.
I am the diamond glint on snow.
I am the sunlight on ripened grain.
I am the gentle autumn rain.
When you wake in the morning hush,
I am the swift, uplifting rush
Of quiet birds in circling flight.
I am the soft starlight at night.
Do not stand at my grave and weep.
I am not there, I do not sleep.
Do not stand at my grave and cry.
I am not there, I did not die!
Mary Frye (1932)


One of my biggest fears is dying. It always has been. To be honest, I am not sure if my excessive fear is typical because nobody ever talks about it, at least not in my social circle. I hear all these stories of how people have made their peace with the fact that they are dying or going to die and I cannot wrap my head around that. I do admire and respect these people because to me, it seems like they have a strong faith; one that gives them the courage to face what may come next. I wish I had that courage when it comes to death and dying.

It’s not like I have lived this sheltered life of perfect health and harmony. I have had experiences that have had the potential of ending up on the other side: a cancer diagnosis, a car accident where my life flashed before my eyes as my car slammed into a guardrail several times on the highway, a heart procedure that came with all the usual risks. There have been occasions where I have considered the possibility of ending my own life. Seems ironic that I would consider that idea considering my fear of death, but people think all kinds of crazy things when they are in desperate situations.

I think my fear has to do with the unknown of life after death. Despite my Christian beliefs, I do not feel one hundred percent assured that there is this eternal life after we leave our body. Or maybe a better way to put it is that I don’t know what this eternal life truly looks like. What does it feel like after you die? Do we feel anything? Do we have internal thoughts like we have now? Are there bright lights and angels singing when our soul ascends into heaven? What if there really isn’t a heaven? Too many unknowns for me. Maybe not enough faith.

I had the opportunity recently to be with someone as they died. I had never experienced that before. I have had people close to me die, but I was never present when the actual event took place. For weeks, I have been trying to gather my thoughts and words together to describe how being present with someone you love, as they leave this life, can change a person but the words would not come through the wall of emotional grief that still sits in my heart and my mind. Hence why this entry feels so disjointed to me. But I know that some of the words have to be written because until I get them down, I will not be able to write about anything else.

People talk all the time about the wonders of being born. The miracle of life. A new baby signifies joy and happiness. People gather around the new baby and usher him or her into this world with love and devotion. My experience of being present with my mother-in-law as she died was that the process of dying and death itself deserves just as much love and devotion as the process of being born. However I am not sure that most of our culture recognizes that fact. Maybe because to most of us, it is such a sad event. Maybe because we are already mourning our own loss. But it’s not just about us and our own loss. It’s about the person who is dying. Their needs. We are not alone when we are born. I think we should not be alone when we die. Unfortunately, we do not get to choose how or when we die so oftentimes, dying alone is inevitable.

I watched my fiancé and one of his sisters keep vigil at their mother’s bedside for well over twelve hours before she left us. One of them on one side and one on the other, always touching her in some way. I watched, while stroking her head, my mother-in-law take her last breath. A moment that is permanently etched in my memory. A memory that often comes back to me in my dreams, or even sometimes as a nightmare. But as difficult of a process as it was to be involved with, I saw during those twelve plus hours that it wasn’t just the sadness that filled that room, but the love. The love between a son and his mother. The love between a daughter and her mom. The comfort and love that was unfailingly given to my mother-in-law during her last hours was just as important, probably even more important, than the love she received the day she was born.

I have come to recognize that being with a person as they prepare to leave this earth is a privilege and one of the greatest things that we can do for another human being. Is it gut wrenching and one of the most difficult things one might ever do? Absolutely. But it is an opportunity that many people do not get. An opportunity to remind your loved one how much they are loved because I truly believe that your words are heard. It’s an opportunity to say goodbye. It’s an opportunity to gracefully usher a person to their final destination.

To be honest, it has taken me some time to get to this perspective. The visual images of my mother-in-law in her last hours still weigh heavy in my mind when I least expect them to. However when I consciously and intentionally think back to that day, it is not the memories of her physical state that jump to my mind first. No, not at all. It is the other things. Hearing the quiet whispers of reminiscing between my fiancé and his sister at 3am as I nodded off in the empty bed beside them. The loving words spoken by my fiancé to his mother. The image of my sister-in law holding her mom’s hand. The movement of my mother-in-law’s hand indicating that she could hear us. The grace and strength that my fiancé demonstrated. My own strength. The moment that she did not take another breath after hearing her breathe for twelve hours; the sign that she was finally at peace.

I pray for my mother-in-law that she is in a much better place, wherever that may be. A place where she experiences no pain, disappointment, sadness, or loss. A place where she can rest and be filled with all of the happiness and joy that she so richly deserves. A place where love constantly surrounds and cradles her. A place that perhaps may be called, heaven.

Mother By Chance…Mother Through Love

“Biology is the least of what makes someone a mother. ” ~ Oprah Winfrey

Before I met my fiance, Chuck, I was married once before and engaged once before that. This gave me one past mother-in-law and one past mother-in-law to be. Neither of which I was close to. I got along fine with both of them, but the mother-in-law to be moved to Tennessee about a month after my ex-fiance and I started dating. I saw her maybe once during the entire course of our three year relationship. She and my ex-fiance were not particularly close so there was not a lot of effort on either side to visit.

My ex-mother-in-law (hopefully you are still following this) and I got to know each other a bit but then she went kind of crazy and just stopped talking to us right after our wedding. She wouldn’t return phone calls, letters, nothing. At first I thought it was me, but after a confrontation with her where I showed up alone on her doorstep demanding some answers as to why she cut her son and I out of her life, I realized it had nothing to do with me. According to her, my ex-husband had secretly severed ties with her and was lying to me about it. It was him that was the issue. I did not believe her at the time and down the road I did found out that my ex-husband was a pathological liar so to this day, I don’t know who was telling the truth; although I suspect that maybe she was all along. You can all see why that marriage ended.

Do you know that when you Google search quotes about mother-in-laws, there is not one positive quote to be found?

When I started dating Chuck, his mom, known to me as both “Nana J” and “Mom”, was living with Chuck’s brother, sister-in-law and their three boys in a town approximately two hours from where we live. I remember being nervous as hell the first time I met her and I remember exactly why: because she was so important to Chuck. But the first visit went well, as did every other visit after that.

We would go visit her every other month or so and typically there would be a house full of people during our visits and Mom didn’t talk too much during these visits when everybody else was around. Rather, she would mostly sit and listen to everyone else conversing. Because of her physical limitations and her desire to stay put at home, she never wanted us to take her out anywhere so all of our visits would take place in the comfort of her home.

Things changed though one Saturday when Chuck and I went to visit. His brother and his family went away for the afternoon and it was just Chuck’s mom and his sister-in-law’s mother, Lu, at the house. Chuck’s mom was not feeling well and resting in bed that day but one of us needed to keep an eye on Lu, who was in the living room. We took turns doing this so it gave me the opportunity to sit and chat for quite a while with Mom alone; without Chuck and without interruption. To me, this was definitely the turning point in our relationship.

What I realized during that visit was that I truly liked Chuck’s mom. Not just because she was his mother, but because of the person she is. Of course I had always liked her but now I was getting to really know her. She is a straight shooter and you never have to guess what she is thinking. She has a heart of gold and a quick wit to match. At a time where I am still trying to find my way amongst Chuck’s family, she takes a genuine interest in getting to know me as a person and not just as her son’s fiancee. She makes me feel like I matter.

About two weeks after that visit, Mom was hospitalized, which was the first of several hospitalizations in the next few months. We started visiting her with increasing frequency and each of those visits brought Mom and I closer. I don’t know if it was because it was usually just the three of us visiting together at the hospital or because of the circumstances with her being ill. Maybe both. But those visits became so precious to me. She would tell me story after story about Chuck and his siblings growing up. I learned more about his deceased father. We talked about a lot of different issues facing the world today. I had the opportunity to tell her bits and pieces about my own family and upbringing. We laughed like crazy. We established a bond. She was no longer Chuck’s mom, but a part of my family as well.

On the long drive home from one of our visits with Mom at the hospital, I burst into tears. And I don’t mean the gentle roll down your cheek kind of tears. These were the chest rising, sobbing kind. Because I knew. Even though a doctor had not said so yet at this point, I knew something was terribly wrong with Mom. The weight loss over the past year, the decline in her physical abilities, the bone pain, the mysterious things showing up on her lung CT scans, her history as a smoker, her lack of appetite, all of it.

But…
We were just getting to the good, part her and I.
And now there was not going to be enough time.

We finally got the official news approximately two weeks before this past Christmas that Mom was terminal. A failing heart and a mass in her lungs She did not want to pursue any further testing or treatment and Chuck and I support her in that decision. Chuck was devastated by the news and my first priority was, and will continue to be, to support him through this process. This is after all, his mother. The one that gave him life and raised him to be the incredible man that he is today. They have had fifty-five years together. I am so grateful to her for making sure that someone like him exists in this world.

I was struck hard by the news of her limited time left with us. Not to say that I was surprised by the news, but I began to feel an enormous sense of loss. At first, I felt like I didn’t have a right to feel like that. This was not about me after all. This was Chuck’s mother who was dying. At least that is what I told myself. But what I began to realize was that yes, I was very sad for Chuck and his loss but because of the time in which we have been able to connect and bond so much, I realized something more.

I love her.
It was going to be my loss as well.
Certainly not on the same level as Chuck’s, but a great loss all the same.

Mom has since moved to a rehab facility and is waiting for nursing home placement. We continue our visits; oftentimes Chuck and I go together and sometimes I go alone. I treasure every single moment that I am in her presence and I don’t take one minute of it for granted. We still continue to bond although because of her physical state, our visits are much shorter. My only regret, or rather wish, is that I had met Chuck sooner so that I would have had the blessing of spending the time with her that others in his family have had the privilege of having.

I will admit, it is difficult to watch someone you love deteriorate from week to week. It is even harder to watch your partner slowly lose his mother. My marriage to Chuck may still be four months away but I do not have the luxury of time. It is not on my side. I do not have the piece of paper that signifies that I am officially her daughter-in-law. But she will now and forever be to me, my second mother. The one given to me by chance and through love.

Hang On As Tight As You Can

 
 
“I’ll lean on you and you lean on me and we’ll be okay.” ~ Dave Matthews Band
 

It is the day after Christmas and I am sitting here thinking of all the blog entries I want to write. My writing has taken a nose dive recently for a variety of reasons and I can always tell when it has been far too long since I have done any writing. Whole sentences and paragraphs start to form in my head in the middle of the night when I am fighting my enemy, the evil insomnia. Or I will be having a conversation with someone and sometimes find my mind wandering to all the thoughts in my head that I want to get written down.

Today is my day to get my mind and spirit back to my passion. To be honest, over the past month or so, I have been so distracted and overwhelmed, that I couldn’t even concentrate long enough to put all of those sentences and paragraphs together. But like so many other times, it was my fiance, Chuck, who gently reminded me with one of his Christmas presents, that writing is the one of the things in this world that I need to do.

He is so good like that; paying attention to what is going on with me and supporting me. I used to worry that because of my illness, he gets the short end of the stick, having to be the strong one more often than not. We have only been together a little over two years and we have endured our share of challenges, in regards to life, my health and, as all couples do, our relationship. Usually though when some type of challenge faces one of us, the other person is in a good enough place to be a strong support. But then what do you do when:

One of you gets so sick that you are hospitalized for five days. And more testing and uncertainty follows.

One of you is having a lot of stress at work.

Your dog gets sick enough to require four vet visits in one week and multiple tests.

One of your cars breaks down.

One of you has been hurt by someone you love and trusted.

One of you is faced with the possibility of another autoimmune illness.

One of you has a sister who undergoes life changing surgery.

One of you is told that you have a growth on your gallbladder that has a remote possibility of being malignant and you have to make a decision about whether it is worth the risk of surgery.

Christmas is fast approaching.

One of you is told that your mother is dying.

And all of this happens within the time frame of one month.

So what do you do? What do you do as a couple with so little time under your belt when both of you are stressed beyond limits that you think you can handle?

They say that love conquers all but I am not sure I agree with that anymore. Rather, I think love, friendship, determination, faith, compassion, selflessness, and most of all communication conquers all. Because once you are committed to someone, experiencing crisis is no longer a solo event. You have to be able to not only support your partner in their struggles, but deal with your own feelings as well. It is easy to get caught up in your own challenge of just getting yourself through the day, but it’s no longer just “your” day. The day belongs to both of you.

I cannot speak for my fiance but for myself, in the past month, if I was trying to be there as a support for him, I rose to the occasion. Almost to an extreme. If I knew he was stressed out and then asked me how I was doing, I would sometimes downplay something going on with me. I think there is a time and place for that, depending on the seriousness of what which each person is going through, but I am here to say that for the most part, it doesn’t work well. Because he knows me so well, he then worries more. Being a martyr for your partner’s sake is not the answer. Open and honest communication is.

We are by no means on the other side of the current challenges that we face and we may not always get it right, but I can say what has worked well:

*We ask each other “how are you today?” It seems like such a basic question but if you are in a relationship, think about the last time you actually asked your partner that question.

*By sitting down together, we have learned to prioritize the most immediate needs of the week, day, and even hour. It may be him traveling to Boston Christmas morning to spend time with his mother, knowing that I physically can not make the trip that day. It could be me doing some Christmas shopping for him so that he is freed up to deal with other things.

*We make sure we connect as frequently as possible and make each other the priority right now. I will actually consciously have to stop whatever I am doing sometimes and make sure that I have not been so wrapped up in my own problems and stress that I have not made myself emotionally available. On the flip side, I will also ask him if he needs time alone.

* Make sure we laugh together every single day, at least once.

* Depend on other people. Historically, both of us are terrible at this and the events of the past month have taught us that not only is it okay to ask for help, but that you also need to know who you can depend on for help. Especially when you need a listening ear. One human being cannot be all things to another.

Finally, and maybe most importantly, we hang onto each other as tight as we can.

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