Coronavirus - Monadnock Community Hospital

The Monadnock Region has not yet seen the surge of COVID-19 patients as originally projected by the CDC (Center for Disease Control). This is good news for all of us. Our community’s commitment to stopping the spread of the virus has saved lives and has prevented a situation that could have potentially overwhelmed Monadnock Community Hospital. We have had many weeks to prepare and make adjustments to our normal operations. Some of the adjustments include: setting up new protocols for caring for COVID-19 patients, finding new sources of supplies and personal protective equipment for our medical staff and employees, expanding our bed capacity from 25 to 40, and implementing tele-health for continued routine care for our many outpatients and patients who traditionally visit our physician offices. MCH feels well prepared for what we now know may be a long haul of dealing with this deadly virus. Until we have a vaccine or wide spread systematic testing of the population, many of our precautions will have to remain in place. We are following NH Department of Public Health guidelines for testing and have an adequate number of tests to accomplish this. At this time, we do not have the ability to do widespread testing. Such a system will come at the guidance of the CDC and the NH Department of Health and Human Services.

We are closely following prediction models used around the country to plan for both the short term and the long term. We, like many hospitals are beginning to plan to re-introduce elective appointments and procedures in a safe manner, while still protecting the health our community. The routine delivery of healthcare will continue, often using technology in new ways to limit exposure of our patients and healthcare workers. All agree that this restoration of services must be done slowly and carefully. The process will be less like turning on a light switch and more like a sunrise.

This pandemic has put enormous strain on almost every industry in the world. The hospital’s normal revenue stream has dropped significantly which is creating challenges. The hospital has been actively applying for all available funding including loans and grants. To date, MCH has been successful in obtaining advanced payments from Medicare to help with cash flow and has applied for Payroll Tax Deferment. The hospital has also received some payment from the Federal CARES Act funds and is applying for FEMA reimbursement. MCH remains focused on long term sustainability.

We cannot overstate our gratitude for the support we have received on many fronts. Local manufacturers and individuals have donated significant amounts of PPE (Personal Protective Equipment) and our congressional representatives and senators have advocated in support of our hospital obtaining much needed supplies. This support means so much for the safety of our front line caregivers and for that we are grateful. Community members have reached out with gifts of food and personal items for our staff. Many contributors have donated to our COVID-19 Fund. Thanks to a very high level of community support on every level, we are well-prepared to care for our patients. We will get through this together!

As part of MCH’s surge planning, a need was identified for housing of staff members who live with an immune-compromised family member. Staff members living with someone in a high-risk category may wish to stay apart from their normal home while working at MCH to minimize risk of exposure for their loved one. Over one month ago, MCH was contacted by the MacDowell Colony in Peterborough, and The Barbara C. Harris Center in Greenfield. Both organizations are closed to their normal guests and offered use of their campuses for housing MCH staff members, free of charge. This option has been a godsend for MCH staff needing a place to stay for the short term. They have a comfortable and peaceful place to stay while working hard at MCH. And they have the added peace of mind knowing that they are not going to potentially expose a loved one in a high-risk category. “It’s just great that these two amazing facilities have offered such generosity to our staff. This is one of many examples of how the community has rallied behind MCH to support our healthcare workers. And it’s the kind of partnership that you see in a small community” said Cyndee McGuire, President and CEO of MCH. Several other local lodging facilities have offered their rooms to MCH at reduced rates.

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Monadnock Community Hospital is proactively preparing for a surge in patients, recruiting volunteers to staff an alternate care site should it become necessary for treating non-COVID-19 related patients. “The next week or two are going to be the peak weeks in New Hampshire,” Peterborough Fire Chief Ed Walker said at a virtual Select Board meeting last Tuesday. The hospital typically has 25 beds available for patients; they’ve increased that to 40, and have a supply of seven ventilators crucial for keeping advanced COVID-19 patients alive. “I feel good about our plans,” MCH CEO Cyndee McGuire said Friday. “We have increased our beds to 40, we have plans in place for when we hit certain numbers, we certainly feel confident about our ventilator supply right now, and we’re feeling really good about where we are with our personal protective equipment.” McGuire said the hospital receives shipments of COVID-19 swab tests from the New Hampshire Department of Health and Human Services a couple times a week, meaning there are usually around 100 tests available at a given time for MCH’s curbside testing process. Patients with physician’s orders to be tested pull their vehicles up beside the emergency room, where hospital personnel in full facemask and protective gear perform the test – a long Q-tip-like swab up the nose – before sending it off to the state for results. Read the full article on the Ledger Transcript >> [post_title] => MCH ramps up ahead of potential surge [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => mch-ramps-up-ahead-of-potential-surge [to_ping] => [pinged] => [post_modified] => 2020-04-21 09:47:58 [post_modified_gmt] => 2020-04-21 13:47:58 [post_content_filtered] => [post_parent] => 0 [guid] => https://monadnockcommunityhospital.com/?p=29868 [menu_order] => 0 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw ) [3] => WP_Post Object ( [ID] => 29726 [post_author] => 2 [post_date] => 2020-04-09 15:54:57 [post_date_gmt] => 2020-04-09 19:54:57 [post_content] =>

Following the guidance of the CDC and the New Hampshire Department of Health & Human Services latest health alert recommendations, Monadnock Community Hospital recommends that all staff and patients wear a mask or facial covering in public settings when social distancing is difficult. Patients arriving for an appointment at the main hospital campus or at a satellite practice should wear a mask or a facial covering. This policy includes appointments at the lab, radiology, surgery or a provider’s office. If patients arrive without a mask, they will be given a mask upon entry to wear for their entire visit.

As a reminder, MCH is also asking that outpatient visitors be limited to one healthy adult accompanying a minor, or one healthy adult accompanying a patient who needs assistance. If you have questions, please call your provider’s office.

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Monadnock Community Hospital has taken in almost 4,000 donated cloth masks in the past month. That represents an incredible effort by our community’s sewers. Many thanks to all! While MCH still needs more fabric masks, we are now expanding our efforts to coordinate fabric mask supplies for all regional healthcare providers in the hospital’s primary service area. As needs are identified, the hospital will assist those organizations by passing on some of the donated masks from the community.

Several community volunteers stepped up to lead the mask effort last month, and they have put together a successful collection process. Using the current drop-off system will be the most efficient way to collect masks and get them to where they are needed most.

MCH wants to encourage sewers to continue their work and drop off at the 5 community drop-off locations listed below. All mask styles are welcome. The N-95 mask covers and the “Deaconess-style” mask have been the most useful, but there are many other patterns circulating, and healthcare providers will gratefully accept those as well. A volunteer team is collecting the donations and bringing them to MCH. A team at MCH sorts the masks and will start to allocate to community healthcare partners based on their needs.

If you are interested in sewing masks, you can find more information on the MCH website COVID-19 face mask page.

PLEASE do not bring the masks directly to the hospital; they are trying to limit traffic as much as possible.

Organizers are using five community drop-off locations:

Jaffrey Grade School (School Street, Jaffrey)
First Service Title Company (Main Street, Jaffrey)
Rindge Memorial School (School Street, Rindge)
Peterborough Town Library, rear entrance (Concord Street, Peterborough)
Grapevine Family & Community Resource Center (Aiken Street, Antrim)

Each building has an overhang, and there will be a container in which to leave the masks underneath the overhang. The masks will be collected daily and delivered to the hospital. When you leave masks, organizers ask that you please leave your name, address and phone number so that they can acknowledge your generous contribution.

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As part of its COVID-19 proactive surge planning, Monadnock Community Hospital is creating a database of volunteers who are willing and able to help support our staff and patients if needed. Our goal is to include interested volunteers for tasks on-site at MCH, tasks at one of the hospital’s medical practices, and tasks to be performed remotely. Registered volunteers will be contacted with information about specific volunteer opportunities as needs arise. “Community volunteers are an important part of our ongoing planning efforts to be able to care for our community during this pandemic. All of us at MCH are inspired by the community support we have received on many levels. We look forward to welcoming volunteers onto our team!” Cyndee McGuire, President and CEO.

In an effort to best coordinate this effort, the hospital asks that volunteers not call MCH directly.

Anyone willing to register as a volunteer is encouraged to complete the sign-up form on the Monadnock Community Hospital’s COVID-19 page.

If you have trouble with the link, please email us at mchcovid19volunteers@gmail.com or call Sharon Smith at 603-924-6146.

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MCH opened its Incident Command process on Feb 26^th and has been planning for weeks in areas such as Logistics, Supplies, Safety, Resource Planning, and Surge Capacity.

The purpose of the surge plan is to prepare MCH employees for an influx of patients with COVID-19. Furthermore, this plan will establish triggers for different phases of the plan that will include staffing and supply requirements for each phase. Postponing non-essential surgeries and procedures, limiting visitors and access to the facility, setting up specific respiratory clinics for adults and pediatrics were all part of the initial phase of the Surge Plan. These actions have freed up capacity at the hospital. MCH is normally a 25-bed Critical Access Hospital and the surge plan has increased total beds to 40. COVID-19 patients who are admitted to MCH will be cared for in a dedicated area equipped with ventilators when needed. Ultimately the plan includes post discharge care for patients including providing telemedicine support, coordinating with Home Health Care, and connecting patients with other community resources. The phases of the plan roll out depending on the number of patients who are in the facility and those who are presenting for care.

“MCH has repurposed sections of the hospital to add beds and care for patients with COVID-19 or other illnesses. Managing infectious disease is part of everyday business for a hospital. COVID-19 may present us with a volume of patients that we don’t normally see, but our hospital is ready. We are working with the Department of Public Health and the other hospitals in the state to best coordinate our resources.” Cyndee McGuire, President and CEO

In conjunction with the Department of Health and Human Services and with assistance from the National Guard, an Alternative Care Site is being planned to further support potential surge at Keene State College. The kind of care most likely to be provided at this site will be care to patients who do not have to be hospitalized in an acute setting, or care of those who are post discharge from an acute care setting. MCH is working with Cheshire Medical Center, Dartmouth-Hitchcock Keene along with other community organizations to staff and support the alternate care site.

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Monadnock Community Hospital is working towards creating a path for patients to see their doctors remotely, as response to the COVID-19 outbreak has opened up new avenues for accessing care remotely. Telehealth visits use a video and audio connection from doctor to patient, and allow the patient to access medical care without leaving their home. It can be used by doctors, therapists, and other health care workers. Monadnock Community Hospital has already begun the process of doctors consulting with patients via video, and is on track to be able to provide greater access to that service – on a limited basis – within two weeks. Dr. Greg Neilley, an internist and geriatrician at Monadnock Internal Medicine, said he’s been able to meet with several patients so far using a video call. While telehealth consultations aren’t always appropriate – there is no way to run certain tests, or physically listen to a patient’s lungs or heart, for example, and most critical emergencies will still require an Emergency Room visit. But for many patients, they can receive a similar level of care as if they were in the same room as their doctor. Read the full article on Ledger Transcript >> [post_title] => A new kind of house call: Coronavirus leads to increased telemedicine use [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => a-new-kind-of-house-call-coronavirus-leads-to-increased-telemedicine-use [to_ping] => [pinged] => [post_modified] => 2020-04-21 09:53:46 [post_modified_gmt] => 2020-04-21 13:53:46 [post_content_filtered] => [post_parent] => 0 [guid] => https://monadnockcommunityhospital.com/?p=29870 [menu_order] => 0 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw ) [8] => WP_Post Object ( [ID] => 29576 [post_author] => 2 [post_date] => 2020-03-27 11:51:56 [post_date_gmt] => 2020-03-27 15:51:56 [post_content] =>

Monadnock Community Hospital (MCH) was notified on March 22^nd by the NH Department of Health and Human Services (DHHS) that a patient who was tested at our hospital is positive for COVID-19, the disease caused by the new coronavirus. All proper precautions were taken with this patient to ensure the least amount of risk to our patients, colleagues and visitors. The team was prepared to care for this patient and followed protocols appropriately. Our preparedness efforts around the virus are in line with the Centers for Disease Control (CDC) and DHHS guidelines. We are unable to provide specific information on the patient. We are working with DHHS to evaluate and understand if there are people who have been in close contact with this patient who may have had exposure.

“As your community hospital, we frequently and effectively provide care for those with infectious diseases. We have been preparing for the potential presence of the virus in our broader community and we are confident in our ability to maintain the health and safety of our staff, patients and visitors. As a reminder, we all must be vigilant in following appropriate steps to protect ourselves, including physical distancing, and hand hygiene standards. I am so proud of our team at MCH and grateful for their amazing dedication and teamwork over the past few weeks. We will get through this together.” Cyndee McGuire, President and CEO.

Importance of Physical Distancing and Proper Hand Hygiene

The virus is thought to spread mainly from person-to-person; between people who are in close contact with one another (within about 6 feet) or through respiratory droplets produced when an infected person coughs or sneezes. The Medical Staff at MCH stresses the importance of physical distancing during this critical time. Please stay at home as much as possible and avoid close contact with others. Proper hand hygiene and physical distancing are the best ways to avoid getting COVID-19.

We continue to work in partnership with DHHS. Know that your community hospital is here for you during this difficult time. Please call your primary care clinician if you have questions or concerns. You can find more information and resources about COVID-19 on our website as well as www.nh.gov/covid19 and www.cdc.gov

Temporarily Consolidated Primary Care Offices

“Your Primary Care Offices and Clinicians remain available to you. We are minimizing face to face visits and providing telephonic support wherever we can and providing face to face visits when necessary. More robust Telehealth options are forthcoming. These efforts are also consistent with CDC and NH DHHS recommendations." Dr. Luc Shippee, Monadnock Internal Medicine and Medical Director for Monadnock Health Partners

In an effort to conserve resources and best care for our community, MCH has temporarily consolidated primary care offices.

Patients of Monadnock Family Care - will temporarily be served at either Monadnock Internal Medicine or Monadnock Regional Pediatrics.
Patients of New Ipswich Family Medicine will temporarily be served by Jaffrey Family Medicine.
Patients of Rindge Family Practice will temporarily be served by Jaffrey Family Medicine.

Clinicians of the consolidated practices are serving MCH in a different capacity during this time. Due to the high volume of calls, please limit calling your Primary Care Office only if you have an urgent health concern.

Still Accepting Donations of Personal Protective Equipment

To address the nationwide shortages of healthcare supplies, MCH continues to accept donations of unused masks, face shields, goggles, isolation gowns, gloves and hand sanitizer. "We are very grateful for the generous donations we are receiving from individuals and businesses in our community, it is a tremendous help to our staff. No donation is too small.” said Cynthia McGuire, President and CEO.

We are asking for only new items please, still in the package. Donations can be dropped off at Monadnock Community Hospital, Loading Dock #2, Monday – Friday, 8 a.m. – 4 p.m. MCH, 452 Old Street Rd, Peterborough, NH. For questions or if you would like to make donation arrangements for drop off at an alternative location or time, please contact Laura Gingras, VP Community Relations and Philanthropy, at: 603-924-4666 or Laura.Gingras@mchmail.org

MCH Welcomes Homemade Fabric Masks

According to the CDC, fabric masks are a crisis response option when other supplies have been exhausted. MCH has seen an outpouring of support to make fabric masks to be used to cover clinical masks so that the clinical mask can be reused. The fabric masks will be washed and used again as well.

If you are interested in sewing masks, the pattern and instructions can be found on the MCH website, COVID-19 page, and also on this Facebook page. If you have questions, please email or call Sadie Halliday at 603.660.2321 or Sadie.Halliday@beangroup.com, or Cathy Maki at Cathy.Maki@mchmail.org.

PLEASE do not bring the masks directly to the hospital; we are trying to limit traffic as much as possible.

We are using five community drop-off locations:

Jaffrey Grade School (School Street, Jaffrey)
First Service Title Company (Main Street, Jaffrey)
Rindge Memorial School (School Street, Rindge)
Peterborough Town Library (Concord Street in Peterborough)
Grapevine Family & Community Resource Center (Aiken Street, Antrim)

Each building has an overhang and there will be a container in which to leave the masks. The masks will be collected daily and delivered to the hospital. When you leave masks, could you please leave your name, address and phone number so that we may acknowledge your generous contribution.

[post_title] => COVID-19: An Update from Monadnock Community Hospital [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => mch-sees-first-case-of-covid-19 [to_ping] => [pinged] => [post_modified] => 2020-04-17 08:46:50 [post_modified_gmt] => 2020-04-17 12:46:50 [post_content_filtered] => [post_parent] => 0 [guid] => https://monadnockcommunityhospital.com/?p=29576 [menu_order] => 0 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw ) [9] => WP_Post Object ( [ID] => 29523 [post_author] => 2 [post_date] => 2020-03-23 10:08:20 [post_date_gmt] => 2020-03-23 14:08:20 [post_content] => Monadnock Community Hospital was notified yesterday by the NH Department of Health and Human Services (DHHS) that a patient who was tested at our hospital is positive for COVID‐19, the disease caused by the new coronavirus. All proper precautions were taken with this patient to ensure the least amount of risk to our patients, colleagues and visitors. The team was prepared to care for this patient and followed protocols appropriately. Our preparedness efforts around the virus are in line with the Centers for Disease Control (CDC) and DHHS guidelines. We are unable to provide specific information on the patient. We are working with DHHS to evaluate and understand if there are people who have been in close contact with this patient who may have had exposure.

“As your community hospital, we frequently and effectively provide care for those with infectious diseases. We have been preparing for the potential presence of the virus in our broader community and we are confident in our ability to maintain the health and safety of our staff, patients and visitors. As a reminder, we all must be vigilant in following appropriate steps to protect ourselves, including physical distancing, and hand hygiene standards. I am so proud of our team at MCH and grateful for their amazing dedication and teamwork over the past few weeks. We will get through this together.” Cyndee McGuire, President and CEO.

If you have a fever or symptoms of lower respiratory illness (e.g., cough, shortness of breath), please call you primary care clinician. Do not go to your Clinician’s office or to the Emergency Department. You will be triaged over the phone and will be given instruction for next steps regarding your care. We continue to work in partnership with DHHS. Know that your community hospital is here for you during this difficult time. Please call your primary care clinician if you have questions or concerns. You can find more information and resources about COVID‐19 at our website www.monadnockhospital.org as well as www.nh.gov/covid19 and www.cdc.gov [post_title] => MCH reports first case of COVID-19 [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => march-23-press-release [to_ping] => [pinged] => [post_modified] => 2020-04-17 08:39:41 [post_modified_gmt] => 2020-04-17 12:39:41 [post_content_filtered] => [post_parent] => 0 [guid] => https://monadnockcommunityhospital.com/?p=29523 [menu_order] => 0 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw ) [10] => WP_Post Object ( [ID] => 29519 [post_author] => 2 [post_date] => 2020-03-22 19:13:48 [post_date_gmt] => 2020-03-22 23:13:48 [post_content] =>

Thank you so much for your interest and care. Orders for standard/disposable masks are on long back-orders, due to both demand and supply chain issues. Other hospitals across the country are reporting the same supply concerns. According to the CDC, fabric masks are a crisis response option when other supplies have been exhausted.

“Prior to modern disposable masks, washable fabric masks were standard use for hospitals,” said Dr. Michael Lindberg, Chief Medical Officer for MCH. “We will be able to sterilize these masks and use them repeatedly as needed. While it’s less than ideal, we want to do our best to protect our staff and patients during this pandemic.”

A group of community volunteers have stepped up to coordinate this effort for MCH. If you are interested in sewing masks, the pattern and instructions can be found here.

If you have questions, please email or call Sadie Halliday at (603) 660-2321 or Sadie.Halliday@beangroup.com, or Cathy Maki at Cathy.Maki@mchmail.org.

PLEASE do not bring the masks directly to the hospital; we are trying to limit traffic as much as possible.

We are using five community drop off locations:

Grapevine Family & Community Resource Center (Aiken Street, Antrim)
First Service Title Company (Main Street, Jaffrey)
Peterborough Town Library (Concord Street in Peterborough)
Jaffrey Grade School
Rindge Memorial school (Conant Way, Jaffrey)

[post_title] => MCH is welcoming fabric masks from our community as we prepare for COVID-19 [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => mch-is-welcoming-fabric-masks-from-our-community-as-we-prepare-for-covid-19 [to_ping] => [pinged] => [post_modified] => 2020-04-17 08:38:06 [post_modified_gmt] => 2020-04-17 12:38:06 [post_content_filtered] => [post_parent] => 0 [guid] => https://monadnockcommunityhospital.com/?p=29519 [menu_order] => 0 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw ) [11] => WP_Post Object ( [ID] => 29518 [post_author] => 9192192 [post_date] => 2020-03-19 12:03:18 [post_date_gmt] => 2020-03-19 16:03:18 [post_content] => Yesterday, the White House announced a call-to-action for anyone who can donate any expendable personal protective equipment (PPE) to address the nationwide shortages that healthcare providers are facing. Monadnock Community Hospital echoes the urgent local need and requests donations of unused masks, goggles, face shields, isolation gowns, gloves and hand sanitizer.

Donations can be dropped off at Monadnock Community Hospital, Loading Dock #2, from: 8 a.m. – 4 p.m., Monday – Friday.

"Monadnock Community Hospital has made strategic decisions and adjustments to best utilize our supplies. There is a nationwide shortage of PPE supplies and we need to address our depleting stock," said Cynthia McGuire, President and CEO. "No donation is too small." For questions or if you would like to make donation arrangements for drop off at an alternative location or time, please contact Laura A. Gingras, VP, Philanthropy and Community Relations at: 603-924-4666 or Laura.Gingras@mchmail.org

Directions:

Monadnock Community Hospital, 452 Old Street Rd, Peterborough, NH. Once on the MCH campus, take your first left and drive to the far left side of the campus. Ring the bell at Loading Dock #2. Visit COVID-19 Main Info Page [post_title] => Requesting Donations of Unused Masks, Face Shields, Isolation Gowns, Goggles, Gloves and Hand Sanitizer [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => requesting-donations-of-unused-masks-face-shields-isolation-gowns-goggles-gloves-and-hand-sanitizer [to_ping] => [pinged] => [post_modified] => 2020-03-24 16:44:32 [post_modified_gmt] => 2020-03-24 20:44:32 [post_content_filtered] => [post_parent] => 0 [guid] => https://monadnockcommunityhospital.com/?p=29518 [menu_order] => 0 [post_type] => post [post_mime_type] => [comment_count] => 0 [filter] => raw ) ) [post_count] => 12 [current_post] => -1 [in_the_loop] => [post] => WP_Post Object ( [ID] => 29952 [post_author] => 2 [post_date] => 2020-04-28 10:44:49 [post_date_gmt] => 2020-04-28 14:44:49 [post_content] =>

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WP_Post Object ( [ID] => 29518 [post_author] => 9192192 [post_date] => 2020-03-19 12:03:18 [post_date_gmt] => 2020-03-19 16:03:18 [post_content] => Yesterday, the White House announced a call-to-action for anyone who can donate any expendable personal protective equipment (PPE) to address the nationwide shortages that healthcare providers are facing. Monadnock Community Hospital echoes the urgent local need and requests donations of unused masks, goggles, face shields, isolation gowns, gloves and hand sanitizer.

Donations can be dropped off at Monadnock Community Hospital, Loading Dock #2, from: 8 a.m. – 4 p.m., Monday – Friday.

Directions:

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