This is a replay of a recent episode because February is American Heart Month. Craig and Karey Packard share their inspiring story about facing an unexpected health crisis that forever changed their lives. They recount how the life-saving power of CPR played a critical role in a miraculous outcome. Their story is one of faith and resilience and a good reminder of the power of preparation in the event of the unexpected.
Craig and Karey Packard live in Londonderry, NH. They have been married for 36 years and have 4 children and 2 grandchildren.
Craig did his undergraduate work at Tufts University, completed medical school at the Uniformed Services University of the Health Sciences, and later added a Masters in Public Health from Harvard. He served as a doctor in the US Air Force for 26 years before retiring from the military in 2011 after which he worked in the Occupational Medicine field for an additional 10 years before fully retiring. He was board-certified in Family Medicine, Aerospace Medicine, and Occupational Medicine.
Karey graduated from Clarion State College with a degree in accounting after which she received an Associates degree in paralegal studies at George Washington University. She had to leave the workforce when their oldest son was diagnosed with leukemia and with the frequent military moves, she never returned to the paid workforce. Among her numerous volunteer roles, she has worked for the American Heart Association as an advocate for CPR training and heart health for the past decade.
[00:00:00] Craig: I got a call from the fire chief saying, are you aware that EMS has dispatched an ambulance to your residence? And I was totally confused. I'm like, what? You know, what, what, why would they need an ambulance at an empty house? I get another call. Are you aware the ambulance is at your house? And I said, yes, but I'm wondering what's going on. And he said, they're performing CPR on your wife. Of course, I floored it.
[00:00:33] Carole: Welcome to Wisdom Shared, where my guests on the front lines of their experiences are the experts and where connection inspires change. My guests today are Craig and Karey Packard. They are here to share how an unexpected health crisis changed their lives and how the lifesaving power of CPR, well, saved a life.
Craig and Karey's journey is one of faith, unexpected miracles, as if miracles are ever expected. I bet we're all familiar with the power of preparation. It makes us calm and makes us feel empowered. We all probably remember at least one incident when we were in school and the teacher asked a question that had you prepared the day before or the night before, you would have known the answer and you felt unprepared.
But let's say you had studied the night before and you knew the answer. Remember that feeling of relief? Now, let's say you had taken a CPR course, not expecting you'd ever have to use CPR, but your work made you do it. For whatever reason, you got trained. And then you find yourself in a room where someone actually collapsed and you are the only one with the skills to save them.
Had you not taken that CPR training, you most likely would have witnessed a sudden death. Now you are a hero. More importantly, you saved a life. We are going to hear a story of how a young daughter saved her mom's life because she happened to have recently taken a CPR class. Let's listen.
Welcome to Wisdom Shared. I like to start by explaining to my audience how I met my guests and especially when it's on the fly, which this certainly was right, Craig?
[00:02:28] Craig: Absolutely.
[00:02:29] Carole: We met on the Bluebird lift.
[00:02:32] Craig: At Mount Snow.
[00:02:33] Carole: At Mount Snow, and we were chatting. That's about a, what a seven minute ride. And well, asking where you're from. And then that led to this and this and this, and you were speaking about Karey and how she's your wife. And she wasn't here because she was on another side of the mountain that was a little bit easier. And that, I don't know what led you to tell me that she had a cardiac incident.
You did complete medical school. And then received a master's in public health from Harvard. You served as a doctor in the US Air Force for 26 years before retiring from the military in 2011. You were board certified in family medicine, aerospace medicine - I have not even ever heard of that - and occupational medicine. And then you worked in occupational medicine for 10 years, and then you fully retired.
And Karey, you graduated from Clarion State College with a degree in accounting. And then you got a associate degree in paralegal studies at George Washington University. You now volunteer as an advocate for CPR and support the American Heart Association in any way that you can. I'm honored to have you here. I appreciate your trust and your desire to share your stories.
Karey, tell us what your day was like when the first episode that you remember happened and then what you remember next after that.
[00:04:04] Karey: Well, unfortunately I don't remember the event or most of the 10 days before it. So, all I have is what our youngest daughter, Melanie, told me, who was with me at the time.
[00:04:17] Carole: What did she say happened?
[00:04:19] Karey: It was just she and I cleaning the house. We were renting a house in Yorktown, Virginia. It was our retirement military mule. We were cleaning. We sat down to have lunch and our oldest daughter was on the phone. And I said, hold on a minute and put the phone down. And Melanie said I looked like I was having a seizure.
So I guess I was just shaking. So she picked up the phone and told that to our other daughter, Nikki, who was on the phone. She was in Pennsylvania where she had been in college and she was staying with my parents for the summer. And Nikki said, oh, well you better hang up and call 911. So that's what she did and she was able to start CPR until the sheriff arrived.
The way that everything happened, we feel like was just set up by God, because most of the time I would have been in that house alone cleaning. We had a dog and he was at the temporary lodging facility at the base and you're not supposed to leave pets alone in the room. But for whatever reason that day, he was in the room alone, and she was with me.
Even before that, she was a volunteer gymnastics coach at the YMCA, and she was required to take CPR and first aid training, even as a volunteer.
[00:05:53] Craig: She was 16.
[00:05:54] Karey: Yeah, she was 16 and a junior in high school.
[00:05:59] Carole: Wow, so that was, that was a question, you know, how does, I didn't know how old she was. I kind of assumed she was older actually by what you were saying, because for someone to A, know CPR and then B, do the CPR, you don't think of a kid being able to do that or having been trained.
[00:06:18] Karey: Yep. She was 16 and she was a pole vaulter and she had been a gymnast. So she was pretty strong. Not only did she know CPR, she could do it effectively by knowing what to do as opposed to the 911 operator having to explain every little step of the way.
She did CPR till the sheriff showed up first. He happened to be in the neighborhood, so he showed up and then he relieved her and then the ambulance was just a couple of minutes behind him. And all of this, you know, the sheriff was in the neighborhood. What are the chances that that would happen? And also, the fire department was just about a block and a half away, so they were really fast.
So, anyway, it was a long haul after that. I was in the hospital, in the ICU, for 23 days, and then a rehab hospital for 28 days. They did keep me alive. I had to learn how to walk again and everything.
[00:07:22] Carole: And now, how is your function and your ability to do the things that you want to do?
[00:07:27] Karey: Oh, it's not what it was, and it's not what I would wish that it was, but we're learning to be happy with what we do have.
I mean, when they tell you you may never walk on your own again, and not only to be able to now be walking and skiing. Now, I can't say my skiing's any worse, because it was never good in the first place, but at least I can get out there, and I may not be able to ski all day, but it's okay. I take more breaks than them. That's okay. I ski by myself. I skied by myself before this because nobody wanted to wait for me.
[00:08:04] Carole: Craig, from your viewpoint, I imagine, well, clearly, obviously, it's a whole different perspective on what it was like for you that day. So why don't you just walk us through an abbreviated experience that you had. Where were you when this happened? And take us through what happened with you?
[00:08:24] Craig: Yes. I still had 10 days of work before my retirement date change of command. I had that, and then a retirement ceremony, I was still wrapping up things. And so I had to go to work and I was about to go into a meeting and I got a call from the fire chief saying, are you aware that EMS has dispatched an ambulance to your residence? And I was totally confused. I'm like, what? You know, what, what, why would they need an ambulance at an empty house? I mean, there's not even a knife in the drawer to cut yourself. You know, I couldn't imagine. Karey had no health problems other than allergies.
That was the only medicine she's on. We knew nothing about any heart problems or anything at the time. So I couldn't imagine what was going on and I asked and he said, I can't, that's all the information I have. So I'm scratching my head, I tried calling her cell phone, there was no answer. So I said to my deputy, you know, you're going to have to take this meeting, I've got to drive up to my house and see what's going on.
And so I left. In route home, which was only about a 15 minute drive from the base, I get another call. Are you aware the ambulance is at your house? And I said, yes, but I'm wondering what's going on. And he said, they're performing CPR on your wife. And I, the shock, I can't describe the shock of hearing that. Not only that hearing it, but I was surprised they told me that over the phone.
I'm behind the wheel. And of course, I floored it. I'm going through red lights, you know, try to get home. And so I got home just as they were bringing her out on a gurney to the ambulance with my daughter in tow. And they said we had to shock her a couple of times. She was in ventricular fibrillation. We got the rhythm back.
We're heading to the medical center in Newport News, and so I said, all right, I'll follow you. So I took Melanie in my car, and we followed the ambulance, and we got to the ER. They allowed me back in the treatment area where they had a large picture window overlooking the trauma base. And so I could see them transfer her off the gurney on there, etc.
And the hospital chaplain came up and introduced herself. Yeah, I kind of let her know what I knew, which was very little. And we're watching them work on her. And I could clearly see the monitor. And suddenly it flat lined. I thought, oh, Lord. So they again started CPR in the ER there, and I'm looking at the monitor.
Usually that's not a shockable rhythm. It didn't look like V fib, it looked like asystole, no heartbeat at all. So, I thought, this could be the end. That rhythm usually doesn't come back. And so the chaplain and I started praying, and while they were shocking her, and they got the rhythm back. Long story short, she gets transferred up to the cardiac ICU unit.
She had a very low blood pressure. During the CPR, she had vomited and aspirated, meaning getting her lunch into the lungs, which is never good. So they were having trouble oxygenating her, she was on 100 percent oxygen on the ventilator with a very high pressure setting on the ventilator, just trying to get enough oxygen to the tissues.
And then through the rest of that day, her blood pressure went down and down and down. Until at midnight, they couldn't get the blood pressure above 80 systolic, the top number. And the ICU attendant came to me and said, I'm sorry, there are four pressors or four drugs that can be used to raise blood pressure.
She's on the maximum dose of all four and we can't get her blood pressure high enough to sustain life. In addition, her lungs are so bad at this point that we can't ventilate her enough, get her enough oxygen, so she is not going to survive the night. And if your kids want to say their final goodbye, you better call them in now.
The two kids, Melanie and Brett, the two that were In town, Nikki was on her way from Pennsylvania, but the two that were in town, three of us stood around the bedside in total shock because we still can't understand why this happened to a healthy 50 year old. And we prayed and basically said, God, you know, we don't understand this, but please spare my wife, spare their mother, bring her through this, please.
We have nothing else to offer but our prayers. At that hour, things stopped getting worse. I wouldn't say they were good, because her blood pressure, her oxygen, everything was still ridiculously low. The blood gases, the, the numbers that we look at, I had never seen anything that severe where someone survived.
But she made it to the morning. In the morning, they brought in a neurologist to examine her, and came out afterwards to talk to me, and he said, there are 20 reflexes or signs of brain activity that I look for. I can only find four. So he said, this is a non-survivable event. And even if she did survive, she'd be profoundly brain damaged for what she's gone through already.
So that, that was another kick in the teeth. And so now you're, you know, we don't know, what do you pray for? You know, do we pray for survival? I didn't want her to survive and be a vegetable without function. So again, we said a prayer. God, we don't know what's going on. It's in your hands, please do what's best with her.
She was unconscious on the ventilator. So we knew she wasn't suffering, but I wasn't yet ready to turn off the ventilator either. And it wasn't about five hours later, I was sitting in the room and she opened her eyes. And at first I thought I was seeing things and I said, Karey, Karey, you know, I grabbed her hands.
Can you hear me? Of course, she couldn't talk. I said, if you can hear me, squeeze your right hand. And there was just a barely perceptible squeeze of the right hand. Can you squeeze the left hand? And she could do, can you wiggle your right foot, your toes? And she was able to, which shows higher brain function, which kind of throws out everything the neurologist said as far as brain damage.
So that's the first indication that I said God is doing something miraculous here because this is, this is unbelievable. So I collected our address books and got every email that I could find from all of our friends, acquaintances, people we've been stationed with in the military over the last 26 years.
And I sent out an email explaining what was going on and asking for prayer. Here's what we need. And through her recovery, every day I would send out an update. And every day, the prayers would be very specific, you know, okay, looks like she's got pneumonia, we need the fever to break, we need the antibiotics to work, and within 24 hours, we get an answer to that prayer.
Of course, her kidneys failed, because, She had acute renal failure from the low blood pressure and low oxygen. So she had to go on dialysis. She had shocked liver. You know, every organ system took a major hit from the events that she had those first 24 hours. We need the blood pressure to come up, and that gradually started to recover.
We need the oxygen to get better, and that gradually got better. At day 10, they said if she's not extubated, if they don't take the breathing, to about, by day 10, she needs a tracheostomy through the neck to breathe more permanently. And so we prayed that she would be off the ventilator by day 10 and day 10, she came off the ventilator.
And we found out later, we knew a lot of people through all the moves and the people we'd met through the military. We found out people on five continents were praying for her. When we put, pieced everything together later, I mean, it was, it was just incredible. Our church supported us. Our relatives came into town to hold vigil when it was still uncertain whether she was going to survive.
The church would come in every evening, set up some tables, and put out a spread of food. And they would feed us and our relatives and feed the nursing staff in the ICU and everything. It was just an incredible show of Christian love and support and even the hospital chaplain says I've never seen a family so well loved by your community So it was just a great example of Christ's love in action So eventually the prayers were answered.
She wasn't even healthy enough to get the cardiac catheterization. We still didn't know for days into this what caused it or why it happened. She finally got catheterized and they said, no, her coronary arteries are wide open. This wasn't a heart attack. But the echo showed that her ejection fraction, which is the percent of blood pushed out of the heart with each contraction, normally it's about 60 percent.
Her initial one was about 15 percent. So the heart was only working at about one quarter strength, which is barely enough to sustain life. We found out later when they did some genetic testing that she had what looked like a cardiomyopathy that was genetically based. They said it doesn't match any of our known chromosomal abnormalities that we know of.
But it's in the same location, and she has a different gene, a different allele, that most people don't have, and so it looks like it was a genetic condition that just did not manifest itself until she was 50 years old, and probably from the stress of the move, etc.
[00:18:27] Karey: We know now that it is genetic. I have an identical twin sister, she has the same thing.
[00:18:34] Craig: Yeah, she was tested afterwards, her twin sister, and they found she had a low ejection fraction, and same chromosomes. So, she got an internal defibrillator, just as Karey did, for prevention.
[00:18:50] Carole: Craig, what were the doctors saying to you? You being a doctor is just such an interesting perspective, the faith based explanation and the medical explanation. Can you tell me about that intertwining of worlds?
[00:19:04] Craig: It was interesting because the neurologist that said that she was going to be, that this was a non-survival event, he came back the next day for a follow up exam in the ICU and examined her. And by then, of course, she was following commands. And so he came out and, and I didn't look to embarrass him, but I asked, have you seen anything like this? Do you have any explanation for this, that this is not a work of God?
And he said, I don't know. And he kind of went off in a huff. And I think he was honestly embarrassed, but no explanation, you know, the ICU attendings, we had discussions and they've said, we've never seen anybody survive this type of event with these numbers, with the oxygen, with the blood pressure, with the blood gases, you know, all the blood tests.
I had a lot of colleagues that came over from the military hospital to visit in those first few days. And I would show them the numbers, we'd open the chart, we'd go through the chart, put my doctor's hat on, and they'd leave shaking their head going, there's no other explanation. We found out later, the room that they had put us in was the last room in the ICU.
And when it became more apparent she was going to survive, the nurses confided that they said that's the death room, you know, that's got the most privacy. We put people in that room so that the family members can have a little bit of peace in the last few minutes of the person's life. And, you know, they started calling her Miracle Girl.
So there really was no other explanation from a medical standpoint, and it was, as I said, kind of a series of miracles and things that you say, well, this had to line up, and this had to happen, and this had to happen. You know, her kidneys came back to full functioning. Now that's, you can say that's not necessarily a miracle because that happens a lot after acute renal failure to have no evidence of a problem now. Considering she was on dialysis for several weeks, supporting her.
The brain function, we've never seen any indication that there's any problem with the brain as a result of this. So, you know, we look at this as a miracle of God. But at the same time, if our daughter hadn't had CPR training and wasn't able to do that, I mean, that's what enabled this. CPR was the bridge to God's miraculous healing. So Karey's taken it upon herself to be an advocate and a voice for CPR training.
[00:21:37] Carole: Anything you want to say about the CPR, how, if someone listens to this and wants to know what's your advice, the best way, we're busy people, but we want to get this CPR because clearly it's important.
[00:21:51] Karey: I have a few points that when I have the opportunity to speak, and I have spoken several times through the Heart Association in different venues, there are a couple points to be made for CPR. The biggest one is that 80 percent of cardiac arrest happen inside the home. 89 percent happen outside of a medical setting.
So, that's saying that another 9 percent happens someplace else, the grocery store, a football game, a walk, you know, on, well, we have the rail trail, you know, if you're just out for a walk, maybe you're walking the dog, whatever, you're at church. It's outside of a hospital setting. But only 11 percent of that 89 percent of people survive because CPR is not started soon enough.
So, your likelihood for survival doubles or triples if CPR is started immediately. And it's not just the immediately part, it also needs to be effective. How do you get effective CPR? That would be like our daughter, knowing ahead of time how to do it, how fast to do it, how hard you have to push. I mean, I've always been surprised when I've taken the CPR classes at how hard you actually have to push.
And I think that's the biggest thing for effectiveness. You can do CPR, but if you're not doing it the right way, you're not helping. Taking the class only takes 30 minutes. 30 minutes. You don't have to get certified. You're not trying to be a professional rescuer. You just need to learn how to do it and to practice it to know where and how hard. That's the biggest thing.
[00:23:45] Craig: Because you may be likely doing it to a family member or a close friend. So, you're getting it for your family, your relatives, your friends.
[00:23:59] Karey: There have been studies that say 70 percent of people would not feel comfortable giving CPR. Because either they don't know because they've never had a class or they're not confident that they would do it properly. By taking the class, you're giving them the confidence to feel that they can make a difference in someone's life.
[00:24:23] Carole: What do you think about taking CPR online? Is that something that people do now or just recertified or?
[00:24:31] Karey: It's not going to be as effective, especially the first time. You really need to know how hard you need to push. That's one of the biggest eye-openers for me after my event. I was always CPR certified when my kids were growing up and I was a Girl Scout leader and a Cub Scout leader, but I never seemed to think it was that hard back then, but after my event, I found that it was a lot harder for me. So I think knowing how hard to push, you can only learn by doing it in person.
[00:25:02] Carole: On a mannequin.
[00:25:03] Craig: On a mannequin.
[00:25:04] Karey: On a mannequin, yes. Yes, not on a real person. Okay.
[00:25:09] Craig: And there's a lot of concern that some people have that, I don't want to put my mouth on a stranger's mouth for breaths. And because of that, or partly because of that, partly because of the science, the CPR is now moving away to just compressions only.
If you're the sole rescuer, the most important thing is doing the chest compressions. very much to circulate the blood through the heart and only if you get a second rescuer do you add the breathing or if you have a professional medical person do you try to do it with the breathing. So don't let that stop you. You can learn how to do chest compressions, lifesaving compressions And a lot of it too is the familiarity when somebody unexpectedly drops dead in front of you That's not an event that people are mentally prepared for.
And so you have to have had the training or kind of thought through the scenarios and gone through the motions. And that's what allows you to perform it correctly. If you're doing it off of the 911 operator, trying to explain where you put your hands and what you do and how fast, the person's going to have less of a successful outcome because you're not familiarized with it.
It's still going to be a shock. My daughter, she doesn't like to talk about it because it was very traumatic having to do CPR on your mother. But because she had had the familiarization with it, she could be cued by the 911 operator. Is there a pulse? No. Start CPR. It gives you something to do while you're waiting for that paramedic ambulance to show up. And give the definitive electricity to the heart that is needed.
[00:26:51] Karey: The other thing that people often ask about when you're doing CPR, what if I hurt them? And that's often what will prevent somebody from pushing hard enough. And there is a good possibility that you might break some ribs. And that's okay, because you know what? If you don't do that, that person may die. It's the effectiveness of doing it.
[00:27:16] Carole: Is there anything that you wish I had asked you that I didn't, or anything you want to say?
[00:27:20] Karey: Do you want me to tell the story about why I got involved with the Heart Association?
[00:27:25] Carole: Sure.
[00:27:26] Karey: So, Melanie was at a track meet, and that track meet, I think she was only pole vaulting. So after pole vaulting was over, I went up into the stands. And I was sitting there. There weren't very many people up in the stands because it was a cold, windy day and there was a man sitting a couple rows behind me and he was complaining to a friend who he was there with. His employer wasted a lot of money and everybody's time the day before by making them sit through a CPR and first aid class all day long.
He was so mad. He said, it is such a waste of time and money because we know that CPR doesn't work anyway. And I, I just couldn't contain myself. And I turned around and I said, look, I didn't mean to be eavesdropping. There's nobody else around and you weren't being very quiet. I said, I wouldn't be here today if my daughter didn't do CPR. CPR works. My 16 year old can do it. You can do it. There's nothing that you could ever say and tell me that CPR doesn't work because I'm here because it did. Well, that man was so embarrassed. He got up and he left.
But ever since then, I can't tell you how many times I've heard other people say the same thing. A kid at a school, an elementary school, on the playground, and a teacher went down. Somebody ran for the school nurse. He was in fourth grade, did CPR. I mean, there's not a minimum age that you have to be to do it.
You have to be strong enough to do it effectively, but anybody can be that first person. The statistics that the Heart Association has say that by doing CPR, you can double or triple the person's chance of survival, but again, it needs to be started quickly and it needs to be done effectively. Like I said, if you're not pushing hard enough, you're not necessarily helping that person.
[00:29:43] Craig: If you don't have an AED available or on the way within the first several minutes, you know, CPR alone is not going to save the life, the electricity to the heart that restarts at normal rhythm is what's ultimately going to save them, but it's a bridge. It's a required bridge. And as Karey said, if you don't do CPR, the odds of survival go down much more quickly than if you were pushing some blood through that heart by mechanically compressing the chest.
So CPR alone? Yeah, that's not going to help you. If the heart has stopped, if it's fibrillating, if it's not contracting properly, CPR alone won't help, but it's the bridge to the lifesaving AED treatment that hopefully is on the way with the paramedics or something, and it's good to see that AEDs are all around. We've got one in our church lobby, we've got, you know, you see them in libraries, you see them just about every gym. A lot of police officers now carry them in the trunks of their car.
[00:30:46] Carole: Oftentimes, yeah, you see it on the wall, so that just doubles your chances of saving somebody, right, if, you know.
[00:30:54] Karey: So, there are two things I'd like to say about that. Statistics show that every minute that you delay CPR reduces the survival rate by 10 percent for every minute. If there's an AED around, the nice thing about that is the instructions, when you open it up, the instructions are right there.
[00:31:21] Craig: Many models will talk to you.
[00:31:23] Karey: Yeah.
[00:31:24] Craig: They'll walk you through it.
[00:31:26] Karey: And it'll tell you what to do. Familiarity with the AED and how it works and the process is probably a good thing to have, kind of like CPR, but it doesn't have the learning curve in terms of where to press and how hard to press for CPR. This is just a, you put this here, you put this here and move everybody away and push the button.
[00:31:49] Carole: You make a good point in the CPR class. At a minimum, they'll demystify that AED because, well, if it's on the wall and nobody uses it, there's no point just to have the courage to say, hmm, let's open the box. And when I was trained, it couldn't have been easier, but people don't know that.
[00:32:07] Karey: Right. And they're not always in plain sight, although we took a trip this last summer to Ireland and Scotland, and I found it kind of funny that they actually have AEDs on the outside of public buildings.So, if somebody's outside on the sidewalk and having a heart attack, you just grab the AED.
[00:32:27] Carole: Thank you so much. There's a lot of great wisdom that you shared and I really appreciate it.
[00:32:34] Karey: All right.
[00:32:34] Craig: Great.
[00:32:35] Carole: Thanks again.
[00:32:36] Karey: Bye. Bye.
[00:32:38] AED Voice: Plug the pad connector cable into the AED if necessary and prepare to let the AED analyze the heart's rhythm. Don't touch person. Analyzing. Clear. Be ready to deliver a shock if the AED determines what is needed. Shock advised. Press flashing shock button. Clear. Push the shock button to deliver a shock and immediately start CPR, beginning with compressions.
Shock delivered. One and two and three and four and five and six and seven and eight and nine.
[00:33:21] Carole: Now it's time for me to tell you what I consider to be my elephant in the room. And I'm not proud to say this, but it took meeting Karey and Craig to push myself to take an online CPR course, a recertification to relearn CPR and AED skills. I have taken many mandatory live certifications and recertification courses through the hospital where I worked.
Then I stopped taking the recertifications. And I never felt good about that, but I was just never motivated, never felt like I had the time to take a CPR course. And now that I am taking one, it's really thanks to Craig and Karey, and they did me, and I hope they're doing you a great service to recommend highly that all of us, and our kids, get certified. It's not hard. It doesn't take much time, and what could be better than saving someone's life?
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