Search Results: Fissure

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What a pain in the ass!

Name: Garth
Gender: Male
Age: 44
Location: South Africa
Hi, I fissured my butt sometime ago and I think it has healed. I have undergone a Lateral Sphincterotomy twice – inner and outer. Unfortunately the area is now VERY sensitive and when I defecate the area ‘screams’ in pain. The softer my stool the worse the pain. When my stool is firm, the pain is less. Will this go away? Is there any medication that I can use?

Everyone in my audience please listen up! I am not a medical doctor, nor do I play one on the internet. The Dr Dick moniker I use refers to my Ph.D. I am a clinical sexologist or a sex therapist if you prefer, not a physician. Get it? Got it? Good!

That being said, anal fissures are a common proctological problem, especially for the heavy ass play crowd. An anal fissure is a tear at the anal tissue. The most common complaint is pain in the anal region during and after taking a dump, itching and possibly some bleeding. Pain and irritation result in spasm of the internal anal sphincter muscle, which then fails to relax during defecation further aggravating the condition.ass-pain

The lateral sphincterotomy you mention is a surgical procedure that removes the fissure. This operation remains the primary form of treatment for chronic anal fissure.

From all that I could learn from my medical consultants, if your surgeries healed properly you shouldn’t be experiencing pain, let alone “screaming pain” when you shit. We all understand that the area will continue to be sensitive, but the pain you describe is not a good sign. You may very well have an infection. You need to have that looked at ASAP. This is nothing to roll around with.

Here’s a tip for all everyone in my audience: pain, of any sort, is one way our body talks to us. Its message is: things are not as they should be; get it fixed NOW. Sometimes the pain will subside when we stop doing something…like holding our hand too close to a flame, or being flogged senseless by Christian Grey. Some pain will only subside when a condition is fixed…like getting a cavity in one’s tooth filled. Other pain, like the emotional pain that come with depression is harder to soothe, but it is important to try. Finally, pain like Garth is experiencing means something is very wrong. And if not attended to immediately, things will only get worse.

Good luck

Whataya Think?

Name: Alyssa
Gender: Female
Age: 26
Location: Vancouver
I’ve recently begun dating a very nice, attractive guy who has a unique fetish. He’s very sweet and complimentary in real life but when we play he likes to say dirty and very insulting and frankly pretty outrageous things about my mouth. I have enjoyed it when we’ve played this way but I kind of wonder deep down if he actually likes my mouth or not. He says it’s just a fetish and he thinks it’s beautiful. Can you give me some insight into this?

Seems to me, Alyssa, if the BF only does this trash talk during sex, then it is, as he insists a fetish. I recommend that you not try to read anything more into it than that. Don’t over think it and don’t second-guess this harmless fetish. In fact, you ought to revel in the fact that you have a man that enjoys something a little out of the ordinary. And hey, why not give dirty talk a try yourself. You can, you know. All ya gotta do is get into the same mind set as the BF, and give him as good as you get. I can pretty much assure you that this will turn his crank, big time.i just can't

Name: Baux
Gender: Male
Age: 18
Location: Colorado
I’m a young gay guy; I have been having anal sex on the bottom since I was 14 years old. There have been no more than 15 guys, though I’ve probably had sex around 50 or so times. Recently within the last few months, sex has stopped feeling good. The initial burn caused by penetration won’t go away. I truly do want to keep having sex; do you have any idea why my ass is suddenly so sensitive?

Wow you sure are precocious, my friend!

And yes, I do have some idea why your ass is suddenly so sensitive. I’d be willing to guess that you may have developed an anal fissure.

An anal fissure is a tear in the lining of the anus or anal canal. The fissure can be painful and may bleed. For more information on this; search my site using the term, “Anal Fissure.”

This is nothing to fool around with, pup. Have yourself checked out by a physician ASAP. Remember, our bodies often offer us warning signals when something isn’t right. A painful burning sensation is one such warning signal. Please, attend to this right away. Take yourself to a community free clinic for screening if you don’t have a general practitioner you can rely on.

Good luck

Down, but not out

Name: Roger
Gender: Male
Age: 70s
Location: Saugatuck Michigan
Hi– linked to your very interesting site via Allkink. My question: last year I underwent radiation on my prostate; it was enlarged and had cancer cells. Apparently it did the job, since my PSA is way down and the Dr. says I’ve shrunk, and am healthy otherwise. But since then I am almost totally impotent (don’t get erect when I want to, though sometimes get semi-erect at random times). I can still orgasm, but don’t ejaculate; sometimes a little clear fluid dribbles out afterwards. Curiously, I could still ejaculate during and right after the radiation treatments, but not now. Also in general a noticeable decrease in libido. Needless to say, very annoying.

I’m gay, solo, in my 70s, celibate since mid-1980s when I tested HIV-, and a dedicated bottom. I knew I was at risk, and “safe-sex” just didn’t turn me on. I’ve been using dildos of all sizes for years. Now, insertion has become a little painful (kinda stings, like the first times way back when), but after several tries they go in OK. Those of larger girth or not-very-smooth texture are really difficult, and I’ve pretty much given up on them (though “John Holmes” still works!). There is occasionally a little blood on the dildo afterwards, but bleeding doesn’t persist, and Dr. says I have no hemorrhoid. The radiologist did warn me that the treatment might produce scar tissue in the colon. Is that a possibility?

I hate to think that I ought to give up altogether on my little pleasures, but would welcome you advice/opinion. I haven’t discussed this with my urologist, whom I don’t know very well, but did bring it up with my (female) GP, who didn’t seem overly concerned and merely suggested lots of lube, which was not news to me.PMB110

Wow, Roger, that was a mouthful. I am so delighted that you wrote in. I love hearing from folks in their 60’s 70’s and 80’s who are still enjoying a rich and fulfilling sex life, even if it is by themselves. I am of the mind that self-pleasuring can be some of the most rewarding sex available to a person at any age. And nowadays, with all the amazing sex toys on the market, one can enjoy solitary sexual pleasure like never before.

I’ve written and spoken a lot about prostate issues including the aftermath of cancer treatments. May I suggest that you take a look at the CATEGORY section on the sidebar of my site? There you will find a category labeled “Health Concerns.” There are subcategories for “Anal Fissures,”  and one for “Prostatectomy.”  I realize that you haven’t had a radical prostatectomy, but your situation is very similar to those men who have. If you click on either of those two subcategories you will find loads of useful information in both written and podcasts form.

In the meantime, let me see if I can address some of your questions in a nutshell. You ask about possible scar tissue from radiation therapy. The short answer is; yes, scar tissue is possible, even probable. And as we all know scar tissue is not nearly as pliable as regular tissue. Scar tissue also MR01034has fewer nerve ending than normal tissue. You could be injuring yourself without even knowing it since the sensations in your ass are considerably less then they once were. I’d be willing to guess that this might be the source of the bleeding you report. Maybe you need to retire the really big toys, like the John Holmes, and enjoy something more modest for the time being. Another suggestion is to try an inflatable dildo.  or a smaller insertable that vibrates.  There are several on the market. You can find several in My Stockroom. The advantage to something like the inflatable dildo is that you could insert something relatively narrow  and inflate to a larger size once inside. This would avoid ramming a big dildo in bum from the get go. And a vibrating insertable would add stimulation without the length or girth.E477

As to your erection issues; yeah, I hear ya. Aging alone will take its toll on the hydraulics that give us wood. When you couple that with the trauma of invasive surgery and/or radiation therapy, well it’s no wonder stiffies elude us. I tell the men that I see in my private practice, who are similarly challenged as you, to use a cock ring  to assist in getting the best boner possible under the circumstances. A penis pump works pretty well too, if you want to go the distance.  I have lots more to say about these devices if you care to hear about it.

C923Also, several men I know with erection concerns are taking a cue from the women folk and employing a vibrator in their sex play. There are the insertable kind, as I’ve already mentioned, and there are external ones too. Have you given this option a thought? The extra stimulation a vibrator can produce will increase blood flow and thus a more substantial boner. I have a whole lot more to say about this too if you care to write to me for that information.

In the end, it will be desire that will continue to propel you to further enjoy yourself and the pleasures your body has to offer. I wish you continued lust and many more years of healthy and life-affirming sexuality.

Good luck

The Open Relationship Model

Podcasts will resume next Monday, September 6th.

Deviating from the norm. Is it worth it?

Since the launch of the Sex EDGE-U-cation podcast series in early 2009; I’ve been hearing from a lot of people who are considering opening their relationships to include additional partners to augment their primary relationships. People point to the increasing media attention polyamory is garnering as a way of justifying their interest.

It’s true; polyamory is enjoying an efflorescence in popular culture these days. But this mirrors the spike in interest that swinging had a couple of decades ago. This suggests to me that there is a fissure at the foundation of the dominant relationship model of the monogamous heterosexual, reproductive pair. All the sociological underpinnings of why our culture promotes this paradigm aside, I think it is undeniable that there is a level of dissatisfaction on the part of many who initially bought into this model as the only way to live, love and raise small herds of children. But is it?

People may feel trapped in the traditional expression of a committed relationship. But while they may be second-guessing the party line, they are equally wary of throwing open the doors in a haphazard way, and rightfully so.

I’ve been reading a lot about polyamory lately. It seems it’s the topic du jour in all the women’s magazines. Do open relationships really work?
—Cameron

For starters, the viability of an open relationship depends on the maturity level of the people who are considering opening up their sexually exclusive relationship. And how much they’re willing to work at communicating with one another through all the little details that such a decision entails. One thing for sure, I am willing to go on record to say that the devil, in this case, really is in the details.

That being said, there are a few things us sex researchers know for sure. In most cultures, people claim to practice sexual exclusivity, which is commonly referred to as monogamy. Although I think that’s a misnomer. Monogamy literally means having one union, which as we all know tells us nothing about the sexual expression either or both partners are supposedly sharing in.

Lifetime sexual exclusivity (being sexually involved with only one person for one’s entire life) is rare. Serial sexual exclusivity (having a series of exclusive relationships over one’s life) is much more common. And despite knowing that we humans do not mate for life, we continue to presume that sexual exclusivity, or monogamy is the only legitimate form of coupling.

This, unfortunately, leads to our culture’s obsession with cheating—that is, having sex with someone outside of a monogamous relationship. And frankly, what I know about humans, human relationships and human sexuality; I can say for certain that fidelity is not necessarily a genital issue. One can indeed be faithful to someone else and still have the freedom to express him/herself sexually with others. It happens all the time. In these cases, fidelity is to the relationship and the agreements, parameters and boundaries mutually agreed upon by the partners. Which gets me back to my opening comment about the need for communication. Of course, it’s much easier to presume that everyone in a relationship is working under the same rubric, but that kind of presumption is a fool’s paradise.

Another shortcoming of setting up sexual exclusivity or monogamy as the only legitimate type of coupling is that it diminishes all the other types of relationships that flourish, albeit in a more covert way. And here I’m talking about an array of open relationship models—and polyamory. The fact that we’re only now hearing about these non-traditional relationships shouldn’t suggest to you, or anyone, that they don’t exist; or that they aren’t practical alternatives to the traditional monogamous model, or that they aren’t practiced by a lot of people. They do and they are! It just means that most people in non-traditional relationships know not to go public in a society that would denigrate them for their lifestyle choices. That’s how things are here in the good old US of A; and I’ll wager it’s also true for the rest of the world. Am I right, or am I right?

Open relationships and polyamorous relationships work because the people in them adhere to some basic tenets about how to conduct themselves.

First among them is the notion that these alternative relationships must be chosen; they can’t be mandated. If one or another of the persons considering an open or poly relationship is being pressured to go along with the flow, or is fearful that he/she will be alone if he/she doesn’t comply with the will of the other(s). That kind of emotional duress will not work.

Each person in the relationship needs to take responsibility for the choices he/she is making. If you’re not up for the task, or if this kind of arrangement is not compatible with your personality type, don’t attempt to override that. You will only jeopardize the relationship for the other(s) involved. However, if the idea appeals to you, give it your best shot. I can guarantee that it will be a learning experience. Just remember, exploring something and having it carved in stone are two very different things.

Second, communication is key. The more complex the relationship structure, the greater the need for open lines of communication. Know your boundaries and express them clearly. Ask questions; never assume you know something when you don’t.

Third, know yourself! You must be able to deal with your emotions, particularly jealousy, in an up-front, adult way. This is often much easier said than done. If you need to be the center of attention just so you can feel good about yourself, or you have serious territorial issues—this is mine, this is mine, and THIS is mine!—then alternative relationship models are probably not for you.

Know what keeps you even keel in terms of what you need and what you are able to give. There has got to be a healthy tension between these two things. If you’re the kind who gives too much and resents not being rewarded for your gifts, stay away from alternative relationships. Or if you are so needy that you can’t stand it when someone else is enjoying his/her time in the sun; open or poly relationships are decidedly not for you.

You should also know that alternative relationships, of whatever stripe, are, for the most part, on the fringes of what society will accept. And some are outright taboo. This doesn’t mean you will have to slug it out on your own in a vacuum of support. On the contrary, you will, no doubt, find that the people who are living contrary to the expectations of the popular culture are often a whole lot more generous with their support and compassion then those following all the rules.

You will find that your support system will shift from more traditional sources like traditional family, church and community to alternative sources like clubs and social groupings of other like-minded individuals as yourself. A common mistake made by those in non-traditional relationships is to take their problems and issues to their traditional support systems. This rarely works because the traditional support system will inevitably blame the non-traditional relationship setup for the problem. This is not true, of course, but how would those in traditional relationships know otherwise.

I always suggest that those in non-traditional relationships bring their issues to a non-traditional support system. Here you are less likely to encounter judgments about your life choices and more help with overcoming the problems at hand.

In the end, it’s your call. Are the potential rewards as well as challenges associated with an open relationship worth taking more than the voyeuristic peek behind the curtain that the women’s magazines provide you?

Good luck!

Clean Up On Aisle 6!

Name: Leonel
Gender: Male
Age: 32
Location: DC
How much wear and tear does anal sex cause to the rectum? Are there long-term hazards other than the chance of infection from poor hygiene?

As we all know by now, ass play is not just for the gays any more. And while there have been strong taboos surrounding anal sex in the past, mainly because ass fuckin was associated with homosexuality, these taboos are finally and rapidly breaking down. And not a moment too soon!

It is important to remember that while some people find the idea of cornholein’pegging006.jpg repugnant, others find it stimulating, exciting, and a normal part of their sexual intimacy. And since all of us have assholes and each one comes equipped with a load of pleasure-giving nerve endings, people of both genders and all sexual persuasions are discovering the joys of anal play. Be it a finger, a dildo, pegging, a butt plug or a good old-fashioned dick-in-the-ass fucking; ass play is all the rage.

Studies suggest that somewhere between 50 – 60% of gay men have anal sex on a regular basis. A slightly small percent of straight folks are now experimenting with butt play. Commercially produced porn, particularly of the straight variety, is now brimming over with back door action. Curiously enough, only a few years ago, this was a relatively rare fetish. Now it’s like totally mainstream. Funny how things like that change so quickly.

In terms of wear and tear and long-term hazards, I’d say that if you treat your hole with the respect it deserves; you can be sure that it will give you a lifetime of pleasure. But be aware that different sexually charged orifices — asshole, mouth, cunt — have different tolerance levels for what they can endure. We’d all do well to respect these individual limits.

The first thing to say about anal sex, particularly casual butt-fucking, is always use a condom and use lots of water-based lubricant. This will be your front line protection against HIV and other STI’s. Your ass is a very receptive place, but the tissues therein are also pretty delicate. It’s not uncommon to develop cuts and fissures that can become infected if a modicum of care isn’t used during ass play — with yourself or another. That’s why Dr Dick always suggests that you get to know your hole and its limits before your share your be-hind with someone else.

butt-fuck102.jpgA man’s ass has something very unique that a chick’s ass does have. It’s his prostate. We’ve talked a lot about this in the past, but here’s a brief overview. A guy’s prostate is a small walnut-shaped gland a couple inches inside his hole. When massaged by a finger, dildo or a cock it is the source of incredible sensations. Even though women don’t have a prostate, anal stimulation can be just as pleasurable for them. One word of caution though; gals, be sure to keep whatever you’ve had in your ass — fingers, toys, what have you — out of your pussy. To do otherwise, will invite a yeast infection, like candida, don’t ‘cha know.

Because the inside of our ass and rectum doesn’t have the same sort of sensory nerve endings that we have on our skin, we can damage our innards by inserting sharp or rough objects in our ass. So always trim your fingernails before playing with yourself or others.

Never put anything up your ass that could slip in and get caught behind your anal sphincter. Your toys should be long enough, have a flared end, or a handle that you can keep hold of. Of course, never insert anything in your bum that could break.

I always recommend that the novice ass fucker start his or her ass exploration with a finger or two. This cuts down on the expense of buying toys, at least until you discover if you like this kind of play or not. Once you’ve got the hang of digital stimulation and you’ve discovered all the joy spots you can reach, you can move on to the vast array of toys and implements that are especially designed for your butt pleasure. If you’re stumped by what toys to buy, check out my Product Review Page or my Sex Toy Awareness feature for some ideas. Of course your ass play may include a nice stiff cock, but it doesn’t have to.

Name: Michael
Gender: Male
Age: 23
Location: Minneapolis
I’m a 23-year-old bisexual paraplegic. Hey ya have to be available for whatever comes your way when you’re in a chair, right? I got this way in a really stupid alcohol related diving accident three years ago. So ok, I fucked up.
I was just getting my groove on sexually before the accident, nothing serious, fooled around with my cousin Jack and got a severe case of blue balls with this chick, Amber, I used to date. Anyhow, I’m finding it hard to connect with guys or girls for a bit of fun so I thought I’d write you and ask for advice. By the way, the equipment still works, sort of.
I think most people think disabled people can’t have or don’t want sex. I would like to have a relationship with someone who doesn’t pity me, but is hot for me. I have this really developed upper body, like a gymnast, and people tell me I have a handsome face. That should be enough to get me laid, right? Is there such a thing as a wheelchair fetish?

You’re a fuckin’ treasure, darlin’! I mean it. If you come across as upbeat self-effacing, humorous and sexy in person as you do in this message you shouldn’t have any problems getting laid. Ahhh, but of course, writing for online sex advice from a total stranger is probably a whole lot easier than wheeling up to another hot dude or sizzlin’ chick and suggesting a torrid session of the old slap and tickle, huh?

Yet despite the inherent discomfort and difficulty of being that upfront, that’s preciselywheelchair8.jpg what’s gonna get you laid. It’s all in the presentation Michael. Self-confidence and charm trumps disability every time. Unfortunately, many people think that “paralyzed from the waist down” means “there’s nothin’ goin on down there.” It’s your job to change their perception about that. Now, I’m not suggesting you be a dick about this. Just be your own sweet self and put it out there as natural as can be. You’re entitled to some good lovin’, just like the rest of us. And just like the rest of us, you’re gonna have to learn how to ask for what you want.

While I completely understand you’re not looking for a mercy fuck from someone who will take you out of pity. There may be a number of potential partners out there who’d jump your bones as a novelty…at least at first. I certainly wouldn’t turn my nose up at these folks if I were you. Because a novelty fuck is a teachable moment when you can show the benighted dude or chick what you can do.

paraplegic1.jpgIf you see yourself as a sexual being and put out a sex-positive vibe, I am confident that you will connect with folks. Make eye contact and smile. If you’re leering at her tits or focused on his package, you’re objectifying a potential partner. You don’t want that to happen to you, so don’t do it to anyone else. Consider coming up with a few choice lines that’ll call attention to all the sexual things you can do. Like, “The old legs don’t work so good, but there’s nothing wrong with my mouth and tongue.” Get the picture?

As for wheelchair fetishists, they’re out there honey. Just like the amputee/devotee fetishists I’ve talked/written about. There are even paraplegic porn stars. Just think, this could be the beginning of a whole new career move for you.

Do an internet search using the key words wheelchair fetish. I did and found a couple of really amazing sites: www.gimpsgonewild.com and www.paracathy.com. Check ‘em out.

Just remember, each of us has one kind of disability or another, yours just happens to be really obvious.

Name: Maggie
Gender: female
Age: 36
Location: Reno
I’m faced with a real problem. I consider myself pretty open minded about most things, including sex. Hell, I live and work in Reno, for god sake. I’ve encountered my share of kinksters in my day, but mostly at a distance. Now the kink is right on my doorstep, or should I say right in my bed. My muscular, well-built boyfriend, a guy who does erotic dancing for a living, wants to wear diapers in our sex play. WTF? I never saw this coming. I thought this guy was a normal as they came till last week when he showed up at my place wearing diapers under his workout pants and he wanted me to baby him. I pretty much lost it. Help me understand what’s going on here.

What we have here, darling, is a fella with a diaper fetish, but you’ve already figured that much out on your own, right? This particular fetish is associated with a paraphilia called infantilism. It seems to be growing in popularity, or at least it’s way more out of the closet these days than ever before. The internet offers several sites that cater to Adult Babies and Diaper Lovers. (The shorthand being: AB/DLs) They feature adult sized baby things — diapers, clothes and baby toys, you name it.

Why would anyone, least of all your hunky stripper boyfriend, be into this? Well, there’sadult_baby004.jpg lots of speculation about that — ranging from traumatic early life experiences to the simple desire to be babied. So I guess you’ll just have to ask him what’s up with him, because the source of his urges may be very particular to him.

I want to quickly point out that none of this actually involves real babies or children. And while infantilism and diaper fetishes are pretty benign as far as fetishes go; I certainly can see how the eroticism in a relationship can go right out the window when such a thing is introduced by surprise. I mean, if you are all hot for this dude because he’s hunky and masculine and stuff, and he surprises you with diapers and wants you to mother him; that could easily put the kibosh on the whole sex thing right away.

So I gotta ask, are you into this guy enough to try and understand and perhaps even indulge his particular kink? Or is this just too much, even for an open-minded gal like you, to bear? If you want to go the route of trying to understand, I do have some thoughts.

If you can abide a little diaper play with the BF, I think he’d be eternally grateful. I’m sure it wasn’t easy for him to come out to you like he did. I do encourage, however, that you to set some boundaries. Let him know, in no uncertain terms, what you will and will not tolerate. Then stick to your guns. You might want to suggest a trade off; you’ll indulge him his diapers and whatnot just as long as his freak doesn’t cross over into your intimate sex life together.

Name: Edmond
Gender: male
Age: 30
Location: Sidney
I want to try jelqing. What do you know about it? Does it really work?

Jelqing refers to various repetitive massage techniques that claim to increase the size — both in length and girth of a guys cock. The origin of the word is unclear; some say it’s a corruption of “jerk-off”. I doubt that, but whatever!

The folks promoting these exercises refer to them as “natural” because they don’t involve any of the myriad stretching and pumping devices that are available. The claim is that all you need to “grow” your johnson is your two hands, some lubricant and a whole lot of free time every single day.

i_love_my_penis.jpgLike all the other products and devices designed to appeal to all the guys who suffer from big-penis envy, jelqing has spawned a substantial internet industry. There are endless tutorials, guides and programs…at a substantial cost, designed to assist men in implementing these very simple exercises.

There are jelqing online communities, message boards and forums for devotees to update each other on the gains they are making in size. They also share their own custom-developed exercises. No doubt because this is a do-it-yourself sort of deal, jelqing has become the most popular penis enlargement method in America.

There’s a basic jelqing daily workout that lasts from 30-60 minutes. The exercises start with a warm bath or a hot compress applied to the cock to increases blood flow. This gets your schlong ready for the exercises that follow. You can only jelq when your dick semi-erect, don’t ‘cha know. It won’t work if you got a full-on stiffy.

Apply lubricant to your dick. Then firmly grip and completely encircle the base of your cock, ensuring that blood flowing into your dick doesn’t escape, ya know, kinda like using your hand as a cockring. Then you milk your member moving your hand towards your dickhead forcing the blood toward the end of the cock. This is supposed to expand things and make you “grow” a bigger one. The average workout usually consists of around 100-200 of these movements. Doesn’t that sound like fun?

The proponents of jelqing insist this is not jack off session, although one can see how it can easily become one. If these exercises stimulate you to the point where you shoot your wad, that’s pretty much the end that exercise period. Also, if you’re jelqing too much or too hard you could hurt yourself and be in bigger trouble than havin’ mini meat. The claim is that after several months of this, you should see a size increase, both in girth or length. I seriously doubt that, since what you gain in length you pay for is loss of girth.

I am told that effective jelqing demands an hour or more each day for at least a year for exercises to be effective. I mean, who has that kind of free time on his hands? No wonder most men fail to complete their jelqing programs.

So I suppose if having a bigger cock is worth the time necessary to “grow” one with this kind of program, knock yourself out. It seems an utter waste of time to me.

Good luck ya’ll

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