Steve Bannon’s Ignorance on Mental Health

 *** This post may be triggering if you are suffering from postpartum depression (PPD) and are sensitive to negative news events***

Here I am, posting again….wow, it’s now 3x in one month.  I haven’t posted with such frequency in a long time.  Guess you can say the state of this country is heavy on my mind.  I had said in my last post that I wasn’t going to talk politics since this site is dedicated to maternal mental health.  I was planning to stick to that guideline.  But then I hit a snag in my plans, thanks to a post I read about Bannon, the individual that Trump has selected to be his chief strategist.  Bannon made a comment about mental health that triggered me so much it had me flashing back to the trigger that set me off on a 6-year journey to publish a book about my postpartum depression (PPD) experience.  What trigger is that?  Well, if you’ve been following my blog for some time and/or you read my author bio, you would know that Tom Cruise and his There’s no such thing as a chemical imbalance comment triggered me back in 2005.  But the outcome of the trigger was good, as I have my blog and book as the end result. And yes, I do thank TC in my Acknowledgments.

There’s nothing good about this trigger related to Bannon, though.  TC is just an ignorant actor. But Bannon is an ignorant white supremacist who will have a role in the White House and will have far more negative consequences than TC ever had.  Bannon made a statement that the cure for mental illness is to spank your children more.  Excuse me?  What.The.Fuck. (oops, forgot to use $ or other symbol to fill in for the “u” for the very first time…..there’s a first time for everything, as they say).  I’ve truly had it with this whole election.  I’ve had it with all the hatred, misogyny and bigotry.  With the cheeto about to become our President and the alt right using him as a tool to ensure there are at least 4 years of revenge for the 8 years they had to suffer under President Obama, they have populated the leadership team with known racists (Bannon, Sessions, Flynn) and ensuring that racism racism becomes the new normal.  My passion for matters related to racism stems from my being bullied as a child for my race.  But I’m not going to digress here (even though anti-bullying is my other passion)……

Note: If you’re a Trump follower trolling this blog post and thinking I’m bullying Bannon or Trump, then think again.  Bullying is DIRECT harassment to them personally.  I’m exerting my 1st amendment right voicing my thoughts on my own blog.  Thank you very much.

<directing myself back on track….>

Bannon, just like I’ve been wishing to tell Tom Cruise in person, I wish I could tell YOU in person, if you’ve never been through mental illness yourself, then:
Shut the f*ck up.  
Shut.Your.Ignorant.Mouth.Up.  

And get educated about mental illness and how it REALLY works.  It’s not mind over matter, you dimwit.  Take a few minutes to read a blog post that may help you see the light when it comes to PPD.  There are plenty of articles from health organizations and blog posts on the Internet for you to learn the TRUTH behind mental illness.  But I’m pretty sure you won’t bother to spend a second to read anything because you think you know it all, don’t you.

Here’s where, if I could be granted 3 genie wishes, one of them would be to make all haters/bigots switch places with the ones being hated and the ones who keep insisting that mental illness is mind over matter to switch places with those who are battling a mental illness (e.g., depression, PTSD, bipolar disorder, etc.).  You will learn in an instant that the logic you’ve been upholding is COMPLETELY WRONG.  See my past post on this titled “All It Takes Is One Day.”  One day to experience a mental illness yourself, firsthand……THAT’S ALL IT TAKES to snap you to reality and stop living in a world based on assumptions (that only make a$$es out of you).

And speaking of backwards, as women, we should not let ourselves be dragged backwards when it comes to our rights. We must stand up for ourselves and for each other.  We must work harder than ever to support organizations that will help us stay on track when it comes to mental health and women’s rights, especially during the time that women are most vulnerable–i.e., before, during and after childbirth.  Please join me in doing this!

If you’re a mom suffering from PPD right now, please be comforted in knowing that there are plenty of people in this country and around the world who care enough to make it a goal to help moms like you.  Please reach out to me, reach out to others with blogs, Facebook pages….we will help you get through this.

You WILL get through this.  I got through it stronger than ever before, and so can you!

Peace to you.

Hats off to Chicago Med

I just watched my 3rd episode of “Chicago Med”….yet another brilliant TV show created by Dick Wolf of “Law & Order” fame. My only regret was not discovering this show sooner! This show has a thoughtfully-written script and characters realistically portrayed by a great cast in a way that–much like “House” in its first season–draws you into each episode.  Oliver Platt plays the Chief of Psychiatry at Chicago Med, and I think he’s doing an awesome job!  The best part about “Chicago Med,” IMO,  is the fact that it’s the only show, as far I’m aware, that affords a weekly story line delving into the realm of mental health.  Yes, MENTAL HEALTH.  There are multiple story lines happening concurrently with the cast, but from I’ve seen from the 3 episodes I’ve watched, the focus of each week’s episode is primarily about a situation involving mental health.  Not just an occasional acknowledgment here and there during a whole television season that yes, there are health issues that aren’t entirely medical in nature (think Dr. House and his addiction to vicodin for his “pain”) but a FULL story line each and every week dedicated to at least one person struggling with a mental health issue.

Finally, prime time television is taking a serious stab at shedding light on mental health!  For that, I am grateful.  You know why? Because we need to talk more about mental health conditions.


Depression…..PTSD…….Suicide……Obsessive Compulsive Disorder…..Bipolar Disorder….Self Harm….Eating Disorders…..Postpartum Depression…..Sociopathy……Borderline Personality Disorder…..Schizophrenia……etc.


 

Every single person out there knows someone who has experienced one or more of these mental health issues.  You wouldn’t know that, though, because the tendency is for people to hide these things thanks to misconceptions spawned by the very little that we do know about them.

Thank you, “Chicago Med,” for shining a light on mental health.  I look forward to future episodes, and hope that more and more people will start watching the show.  My hope is that “Chicago Med” will prompt other show producers/directors to create more shows like this, realizing the need to make mental health a part of our daily discourse and encourage discussions and curiosity about these conditions and create a mentality that “Hey, a mental health condition deserves to be diagnosed and treated the same way as, say, diabetes or a heart condition.”

Keeping mental health conditions swept under a rug and a mystery from the public create a taboo mentality that mental health conditions don’t deserve to be treated and you should just “snap out of it” or stop imagining that you even have any kind of condition in the first place.  Part of the problem is that mental health conditions are, as quoted in the episode tonight, “invisible.” In tonight’s episode, Dr. Ethan Choi (played by Brian Tee) continues to battle the effects of his PTSD from serving in the military.  His girlfriend Vicki makes a reference to mental health conditions as being difficult to diagnose/treat because they don’t necessarily exhibit any physical symptoms and/or there doesn’t appear to be a medical explanation for those symptoms.  Modern medicine and technologies are making headway–albeit slowly- in assisting doctors and psychiatrists to confirm and/or make diagnoses via brain scans.  The patient under Dr. Choi’s care in tonight’s episode appeared to also be a victim of PTSD from being in combat, but it was through Dr. Choi’s keen observations that they ultimately determined the patient had excessive scar tissues near his heart that caused the sound of his heart beating to echo loudly in the poor guy’s head.  So, he wasn’t imagining things and he most certainly wasn’t suffering from PTSD like he was insisting from the beginning!  And of course, no one believed him!  This is where I applaud the writers for writing a script that shows that, even though someone may appear to be suffering from a mental health condition, you can’t assume that there isn’t a physical or medical explanation for what the person is experiencing until you take the time to determine the root cause for a patient’s experience.  Just like depression has a scientific explanation, like a hormonal and/or neurotransmitter imbalance, there is a biological explanation behind every mental health disorder. And it’s the task of research scientists to figure that all out, and I pray they hurry the heck up because we are losing too many people each year to mental illnesses!  But I digress…..

I end this blog post with a call for “Chicago Med” to include an episode or two on postpartum depression. We desperately need an episode that informs the public of the difference between postpartum depression and other postpartum conditions like postpartum OCD, postpartum psychosis and postpartum bipolar.  Please, please, please, Dick Wolf and team of writers: please reach out to Postpartum Support International today and collaborate together on a series of episodes on postpartum mood disorders.

If you look at the statistics, how can people NOT produce more shows on a topic that touches so many lives?

 

 

AFSP Out of the Darkness Walk on 10/25 in New York City

Suicide has claimed and continues to claim the lives of all too many people. Last month, the life of someone in the postpartum depression (PPD) community was lost to suicide. Her name was Naomi Knoles. I’ve previously walked to raise money for PPD. Now, I will be joining with thousands of people nationwide to talk in AFSP’s New York City Out of the Darkness Community Walk to benefit the American Foundation for Suicide Prevention.

AFSP walk

I would appreciate any support that you give me for this very important cause.  Whether it be a donation (even $5 will help toward my goal of raising $888) or helping to spread the word (by spreading the word we are helping to combat stigma and generate more interest around the country and even the world to understand the suicide prevention challenges ahead of us), your help can help make a difference!

Based on the results of an AFSP poll, 55% of people have had people contemplate suicide, attempted suicide and/or know someone who died by suicide. With more than 39,000 people dying by suicide each year in the U.S. alone, we must do better in terms of the way we view mental health issues, increase mental health services, and train people to provide telephone and in-person support (whether they be paid staff or volunteers). Veterans, mothers, teens, etc……these individuals losing their struggles to suicide leave behind loved ones whose lives will never be the same.

Please click here to view my page and make a donation:  ‬http://afsp.donordrive.com/index.cfm?fuseaction=donorDrive.participant&participantID=846404.

I thank you from the bottom of my heart.

Sincerest regards,
Ivy

#‎AFSPTeam4Life‬

What Food Sensitivities Might Mean in the Grand Scheme of Things

This morning, I saw a post in my Facebook feed about yesterday’s article by Rachel Rabkin Peachman in Motherlode (NY Times) titled “Picky Eating in Children Linked to Anxiety, Depression and A.D.H.D.”  This was not the only article that was motivated by yesterday’s Journal of the American Academy of Pediatrics article titled “Psychological and Psychosocial Impairment in Preschoolers With Selective Eating” in which Nancy Zucker, Ph.D., eating disorders specialist, and associate professor, psychology and neuroscience, Duke University Medical Center, Durham, N.C. shares her findings.  There was also a Medline Plus article yesterday titled “Severe ‘Picky Eating’ May Point to Mental health Issues in Kids” and Wall Street Journal article by Sumanthi Reddy titled “What Picky Eating Might Mean for Children Later.” I know this isn’t about postpartum depression (PPD), but as I’ve said before, PPD has its roots earlier in life, which is why I choose to blog about and spread awareness about those roots.  I also want to tackle feelings of guilt and shame felt by mothers over things like picky eaters and food sensitivities. For example, a kid may have food sensitivities that are biological in nature, so there is absolutely zero reason for a mother to feel guilt/shame over the situation.  Sure, you should do what you can to introduce new foods slowly over time (remember, do all things in moderation and you can’t go wrong), but forcing a child to eat something when he is hell bent against it will not help matters one bit.  The approach of “If a child refuses to eat, don’t give him anything to eat and send him to his room; he’ll eat whatever you give him if he is hungry enough” is not the way to go at all, IMO. Dr. Zucker has also indicated that having kids eat processed foods (like chicken nuggets….either the frozen variety or the McDonald’s variety) should not alarm or cause parents to feel guilt/shame, since consistency in texture and taste is important to a child who might be tentative/uncertain overall and especially when it comes to eating.  Some experience sensory overload and become overwhelmed easily when it comes to taking in everything via their senses of smell, vision, hearing….and taste.   These kids have difficulty processing all the stimuli around them and go on sensory overload.  Chicken nuggets aren’t like broccoli.  They’re not bitter little tree lookalikes with little “leaves” and mushy in some cases, hard to chew in other cases, depending on how they are cooked or how fresh they are. In the Medline article, Dr. Zucker states:

They have a stronger sensitivity to the world outside and to how their body feels. That sets them up to have more vivid experiences — more intense food experiences, more intense emotional experiences. None of that is pathological, but it could be a vulnerability for later problems.

You may want to ask yourself whether you are a picky eater (and if so, whether you are also hypersensitive to smell, noise, visual cues and oral textures).  Here are the results of my self examination:

  • Picky eater?  check (for my daughter, not sure if I was once a picky eater, but I don’t believe I am that picky.  I won’t eat everything, and I think that’s absolutely normal)
  • Hypersensitive to smell? check for me (I can smell things that have caused people to liken me to a canine)
  • Hypersensitive to noise? check (I can hear things that have caused people to liken me to a canine; high-pitched grinding of subways to a halt, subtle background noises at work that all my co-workers don’t hear/tune out yet are highly distracting and irritating to me)
  • Hypersensitive to visual cues? check (for my daughter; whereas, I have extremely myopic vision, so I can’t say this applies to me; my sense of smell and hearing more than make up my lack of vision)
  • Hypersensitive to oral textures? check (for my daughter; I’m not sure if I was like this as a kid)

While a distaste for broccoli is not indicative of an issue since it’s fairly common for kids to refuse to eat it (it’s like beer and some other drinks and foods that take a few tries before you acquire a taste for it), when food aversions and smells becomes too overwhelming for a child as to prevent him from being able to tolerate eating out altogether, that’s when you know you have a case of extreme sensitivity for which parents should seek professional help (as the study has found a greater likelihood of depression or social anxiety later in life).  When a child has a limited number of foods he/she likes and can tolerate being exposed to other foods without any issues, that’s when there is a moderate sensitivity to food.  Moderately picky eaters usually broaden their palate over time, much like my daughter is doing slowly but surely, much to my relief!  Some children have a limited diet due to physical reasons such as acid reflux, which is not easy to figure out when a baby experiences this (from drinking milk and then after an intro to solid foods).  It’s not like the baby can tell you that she has acid reflux or feels sick drinking or eating certain things.  Hence, the trial and error and much anxiety and concern that ensue….not fun in the least! From the Motherlode article:

[Picky] eaters are not simply stubborn or tyrannical children whose parents have given in to their culinary whims. Rather, the research reveals that picky eaters have a heightened sensitivity to the world that is innate. “Their sensory experience is more intense in the areas of taste, texture and visual cues. And their internal experience may be more intense, so they have stronger feelings,” said Dr. Zucker, who is also director of the Duke Center for Eating Disorders. “They’re sensitive kids who may be anxious or a little depressed; so cutting up fruits into funny shapes is not going to do the trick for these kids.”

Also:

“It is a reminder that food is not a stand-alone issue and that it plays a role in the big picture of development,” said Dr. Laura Jana, pediatrician at the University of Nebraska Medical Center and co-author of “Food Fights: Winning the nutritional challenges of parenthood armed with insight, humor, and a bottle of ketchup.” “How kids behave around food relates to how they interact with the world in general. It doesn’t surprise me that some kids who are really tentative around food might be really tentative in life.”

I am so glad the research was performed and results shared across major news outlets like the NY Times, Wall Street Journal, etc. and subsequently shared all over social media.  The information is very critical and can make a hugely beneficial impact to parents struggling with their kids’ tastes for food know when to get help versus when to chalk up as something kids will grow out of as their palates broaden and become “more sophisticated.”  Per the Motherlode article, approximately 20% of children are picky eaters, so you can see it’s a fairly common challenge faced by parents.  And per Dr. Zucker, there is a correlation between picky eating and mental health challenges down the road, like depression and/or anxiety.

This Loss Could Be Any Parent’s Loss

I just posted the next paragraph on my Facebook timeline, but I wanted the post to reach more people, as this loss could have been any other parent’s loss.  Although it has nothing to do with postpartum depression (PPD), remember that I do occasionally post about teenage matters, including teen angst, self confidence and depression arising from a combination of environmental and biological factors.  How good or bad a teen’s experiences are, how well they are able to communicate about/share what they are thinking/feeling (with anyone, not just with our parents), and how well they are educated PRIOR TO adolescence on what to expect concerning our physical AND emotional changes that come with adolescence….these are all KEY in helping teens get through any challenges they face.  Here is where I want to quote an excerpt from my book: “Knowledge is power. That is one of my most favorite sayings, simply because it makes so much sense. Knowledge, which has a tremendous normalizing effect, is key in keeping fear at bay, since fear typically rules in the presence of the unknown.”

A fellow alum’s 8th grader, Cayman Naib, from the Philly area had gone missing last Wed night. I do not know his mother, but I have been having a very hard time processing this young boy’s sudden taking of his own life.  [And so here I am, blogging to let my feelings out]. It is so important to be alert and sensitive to our kids’ emotions, especially as they grow older and enter their teens. We’re all adults, we’ve been there. But I believe today is much different than when any of us grew up. It seems there is more pressure than ever before academically, athletically, socially, etc. Being a teen is a time that is filled with much turmoil that we may or may not even realize what our kids are actually thinking, as they may not understand their feelings and feel unable to share them with us. Impulse and emotional roller coasters reign. Such difficulty in controlling emotional impulses (with depression possibly mixed in) can cause a young individual who doesn’t know any better to feel like it won’t get better and they just want to end their pain the quickest way possible. So, please, talk to your children and make sure they understand what emotional changes may accompany physical ones once adolescence comes.

Like so many that have been following this story, I was praying for a different outcome.  My heart breaks not just because this is a loss suffered by a fellow alum.  My heart breaks knowing that this is a tragedy that would easily have happened to any parent with a young teen.  My heart breaks remembering how many times I myself had contemplated running away from my problems as a teenager because I didn’t know how to cope with them, I felt like I didn’t have anyone to talk to that would understand what I was going through, and I felt like I just wanted to end it all (but thankfully never did).  Tragedies like this make me want to dedicate the rest of my life to preventing other kids from wanting to (and succeeding at) taking their own lives.

If you are a teenager and reading this, please know that:

YOU MATTER
YOU WILL GET THROUGH THIS
YOUR LIFE IS FILLED WITH SO MUCH PROMISE
I DIDN’T FEEL THAT WAY AS A TEEN
BUT I’M TELLING YOU NOW THAT LIFE IS WORTH LIVING
PLEASE STAY STRONG

All It Takes Is One Day

A few months ago I had somewhat of a falling out with a friend due to a meme that he posted on Facebook.  If it were just the meme, that would be one thing.  But it was my comment and his ensuing attacks on my comment that were biting (WHY????) and completely lacking in empathy that completely turned me off.  The meme had a “Just snap out of it” tone.  It implied that depression should not be used as a cop out or excuse to not succeed.  I can’t post that meme here to help illustrate why it elicited my perturbed and upset reaction, because I don’t recall what exactly the meme said and I wasn’t about to look through months of feeds of this person’s just to find it.  If it were just the one meme, then I might have just passed up on it.  But it’s a number of things that led up to it.  You see, there was history to this.

Have you ever had FB “friends” post things that pop up on your FB feed that grate on your nerves because they reflect just how disparate your ways of thinking really are?  Well, this person’s posts made me ponder how we could be friends if we had such different mindsets (e.g., extreme right versus moderate left, women’s reproductive rights, mental health).  After a while, I started noticing a trend from his occasional far-off-the-cliff remarks, which really made me think he was a troll (yes, that’s how bad it sometimes got).  His remarks showed just how unable he was to be empathic.   I have tried to explain on numerous occasions my viewpoint that is from a person who has experienced postpartum depression (PPD) to this person (just as I’ve had to explain to others with similar mindsets as this individual).  But it just was not sinking in.  There was no getting it.  It was like trying to get water out of a rock.  At some point, you just have to call it quits.  And so I did.

The friendship is still there.  I just can’t handle the posts anymore.  So, that person is no longer in my Close Friends feed, which I’ve had to resort to, as I’ve mentioned in prior posts.  I’m sure others have been in the same position.  We all have to pick and choose our battles….prioritize in order to get by each day.  There are some FB “friends” who have filtered my posts out since a couple years ago.  A couple years ago, I was posting things way more frequently than I am now, and they were about a variety of things (e.g., PPD, bullying, politics, rape, women’s reproductive rights)….essentially, negative news (that is REALITY…what happens out there in the real world that people have a hard time acknowledging) that people go out of their way on a daily basis to avoid because that is their self preservation tactic.  Hey, I get it.  After all, that’s what I’m doing now with this one individual.  I don’t have all of my FB “friends” in my Close Friends feed because they either never, ever post anything on FB or they never, ever interact with me (so what’s the point, right?).  Again, priorities.

With this experience, I understand the road before us to educate people on and de-stigmatize depression and other mental health-related matters is EXTREMELY DAUNTING.  While there is a very large number of individuals that are active on social media (blogs, Twitter, Facebook, Youtube, etc.), speakers who travel the world, and book authors who try to take on this daunting task each day, we still need to make sure we reach everyone–whether they are fighting a battle with depression or other mood disorder, or whether they are like my hard-headed friend who just fails to get it.  Everyone is NOT getting the message.   IGNORANCE AND STIGMA are to blame for that.  The biggest challenge by far in terms of reaching everyone is the fact that there will always be people who hear about experiences and continue to be unable to get it…..either willfully or because they want to but are unable to.   The former group will NEVER change their mindsets because they think they know it all; that everyone has the ability to SNAP OUT OF IT; that depression is a choice when in reality it is far from a choice.  The latter group is because they have no idea what it’s like to be depressed (like I was before I had PPD) and would like to understand but fail to be able to.  I have many friends who fall in this latter category.

Well, this is why if I had the ability to wish something to happen and make it happen, I wish that everyone would experience what it’s like to be depressed (not blue or sad, but truly depressed) one day.  ALL IT TAKES IS ONE DAY. It is only then that everyone will truly get it.

Writing is Good for You

My first blog post of the year is motivated by an article that appeared in my Facebook feed yesterday titled Science Shows Something Surprising About People Who Love to Write, by Rachel Grate.  I have been fortunate enough to experience the benefits of writing, so I just wanted to emphasize the importance of writing as a means of therapy and for greater mental and physical well-being.

Growing up, I hated to write papers. It was probably because I hated the books assigned to us for reading and having to write papers for every single one of them—all in short order and on a non-stop basis. Reading these books and writing papers on them had no meaning for me. Sorry to offend the book lovers out there, but just being candid here about how I felt about my school assignments. Back then, I didn’t believe there was any benefit from doing all this.  Especially since I sucked at writing papers. I lacked the patience to read books back then, and I still lack patience today.  I started writing/journaling my thoughts pretty much for the first time, ever, after my daughter was born. And let me tell you….if it weren’t for writing my book and blogging, I would NOT be where I am today—a much healthier and happier person overall!

Well, regardless of whether you write like a JK Rowling or some other well-known novelist, writing can provide both psychological and physical health benefits. Studies, some of which are mentioned in Ms. Tate’s article, have shown that expressive writing can improve mood, reduce stress, reduce the occurrence of illnesses, lower blood pressure, and even promote recovery from illnesses or the healing of physical wounds faster. When there is an improvement of mood and reduction in stress, it makes sense that one is usually able to sleep better.

One study found that blogging might trigger dopamine release, similar to the effect from running or listening to music.

I do realize the ability to sleep better with less stress is a general statement and that there are, in fact, exceptions.  Depression is one example in which medication may be needed to combat insomnia. I’ve been there. I know.  And it’s NO mind over matter thing.  It’s neurochemical.

Expressive writing is when you write about something that is causing stress in your life….from difficulties at work, at home, in your marriage, as a new mom or as a teen having friendship or bullying trouble in school……to emotional traumas such as a current and/or past abusive situation, coping with a mental health disorder, etc. Writing my book and most of my blog posts that were motivated by anger involved extracting all my thoughts from my head and putting them down on paper. This process–what I refer to as regurgitation, rumination, digestion and then transformation of thoughts into words that appear online in my blog or on paper in my book—enabled me to fully process my emotions. To this day, I continue to find great relief in getting my thoughts out on Facebook and/or my blog (depends on what is causing me grief) whenever I am annoyed or upset about something that happened 1) during my commute to/from work, 2) at work, 3) in the news, or 4) online. I have said this previously that every time I get my words out, I feel lighter….like a heavy weight is being lifted off my back.

Instead of obsessing unhealthily over an event, [one] can focus on moving forward. By doing so, stress levels go down and health correspondingly goes up.

As I stated in my interview with Dr. Walker Karraa over two years ago, the process of writing my book helped transform me into a different person…a much healthier person both mentally and physically. I experienced a metaphorsis, thanks in huge part, to writing.

I don’t know if it’s a coincidence or not, but ever since 2-3 years ago, which is right around the time I published my book that took me since 2005 to write, I have experienced fewer illnesses. I used to get sick many times throughout the year, without fail, especially in the winter where I would fall victim to frequent colds, the flu, and chronic bronchitis (since I am very superstitious, I am going to knock on wood now as I say all this). Are we supposed to experience fewer illnesses as we get older? Maybe so, but for me it makes an awful lot of sense that there is a direct correlation between levels of happiness and your state of health.  Especially when the scientists and their research show a correlation between happiness and stronger immune systems (and levels of inflammation).

So, if you are reading this post and don’t typically write, then you may want to consider picking up the pen (or putting fingers to keyboard) and writing more starting this year.  You won’t regret it!