A Day in the Life of Geriatric Care: Alain Guibeault’s Journey at St. Mary’s hospital
Table of Contents
- A Day in the Life of Geriatric Care: Alain Guibeault’s Journey at St. Mary’s hospital
- Quebec Faces Critical Shortage of Geriatricians and Geriatric Care Professionals
- Geriatric Care Breakthrough: How CPAP therapy and Early Detection Are Transforming Lives
- St.Mary’s Hospital Pioneers Geriatric Care in Emergency Departments
Alain Guibeault, a patient at St. Mary’s Hospital in montreal, arrives at his geriatrician’s office with his walker, visibly out of breath. The constant beep, beep, beep of the suction system, designed to heal a wound on his leg, fills the room. The machine, disconnected adn ringing incessantly, sets the tone for a 90-minute consultation that highlights the complexities of geriatric care.
“She does that frequently enough?” asks Dr. Julia Chabot, the geriatrician, as she checks the small pump. “In the night!” replies Denise, Mr. Guibeault’s wife. “In the night? It’s not supposed to ring; it’s supposed to suck,” Dr. Chabot responds,her tone a mix of concern and determination. She examines the wound, deeming it “stunning,” and promptly contacts a nurse to adjust the machine.This is just one of the many issues Dr.Chabot addresses during her consultation with Mr. Guibeault at the outpatient geriatrics clinic. The 90-minute session is a rare example of face-to-face care,free from the intrusion of computer screens,allowing for a deeply personal and thorough approach to patient needs.
The Challenges of Geriatric Care
Geriatric care is a field that demands patience, precision, and a holistic understanding of aging patients. For Mr. guibeault, the suction system malfunction is more then a technical glitch—it’s a disruption to his healing process and a source of stress for his wife, Denise. Dr. Chabot’s ability to quickly identify and resolve the issue underscores the importance of specialized care for elderly patients.
The consultation also highlights the time-intensive nature of geriatric medicine. Unlike standard medical appointments, which often last 15 to 20 minutes, Dr. Chabot’s 90-minute session allows her to address multiple concerns, from wound care to medication management, ensuring that nothing is overlooked.
The Role of St. Mary’s Hospital
St. Mary’s Hospital in Montreal is at the forefront of geriatric care, offering specialized services tailored to the unique needs of elderly patients. The outpatient geriatrics clinic, where Mr. Guibeault receives care, is a testament to the hospital’s commitment to providing extensive, patient-centered treatment.
Dr. Chabot’s approach exemplifies the clinic’s ideology.By dedicating ample time to each patient, she fosters a sense of trust and understanding that is crucial for effective care. Her ability to seamlessly navigate both medical and emotional challenges makes her a standout figure in the field.
Key Takeaways from Mr. Guibeault’s Consultation
| Aspect | Details |
|————————–|—————————————————————————–|
| Patient | Alain Guibeault, elderly patient with a leg wound requiring suction therapy |
| Issue | Suction system malfunctioning, causing constant ringing |
| Geriatrician | Dr.Julia chabot, St. Mary’s Hospital |
| Consultation Duration| 90 minutes |
| Outcome | Wound deemed “beautiful”; nurse contacted to adjust machine |
The Human Side of Geriatric Medicine
Beyond the medical procedures, the consultation reveals the emotional toll of aging and illness. Denise’s role as a caregiver is both supportive and demanding,highlighting the importance of family involvement in geriatric care. Dr. Chabot’s empathetic approach not only addresses Mr.Guibeault’s physical needs but also provides reassurance to his wife.
“In the night!” Denise’s response to the machine’s malfunction is a poignant reminder of the sleepless nights and constant vigilance that come with caring for an elderly loved one. Dr.Chabot’s rapid action to resolve the issue offers a glimmer of relief in an otherwise challenging situation.
A Call to Action for Improved Geriatric Care
Mr. Guibeault’s experience at St. Mary’s Hospital underscores the need for more resources and attention to geriatric care. As the global population ages, the demand for specialized services will only increase. hospitals and healthcare providers must prioritize the development of geriatric programs that offer comprehensive, patient-centered care.For those seeking more facts on geriatric care, st. Mary’s Hospital provides valuable resources and services tailored to elderly patients.
Conclusion
Alain Guibeault’s consultation with Dr. Julia Chabot is a microcosm of the challenges and triumphs in geriatric care. From the technical intricacies of medical equipment to the emotional complexities of aging, the session highlights the multifaceted nature of treating elderly patients.
As we look to the future, the lessons learned from St. Mary’s Hospital’s approach to geriatric care serve as a blueprint for improving healthcare for the aging population. by dedicating time,resources,and empathy,we can ensure that patients like Mr. Guibeault receive the care they deserve.For more insights into geriatric care and the latest advancements in the field, explore St. Mary’s Hospital’s geriatrics program.The Holistic Approach of Geriatricians: A Lifeline for Aging Populations
As the global population ages, the demand for specialized healthcare tailored to the unique needs of older adults is growing exponentially. Among the professionals at the forefront of this movement are geriatricians, whose holistic approach to patient care is proving indispensable. dr. Julia Chabot, a leading geriatrician, exemplifies this dedication, as seen during her recent consultation with 77-year-old Alain Guibeault.
A Comprehensive Care Model
“Geriatricians have a very holistic approach to patient care,” explains Dr. Chabot. This philosophy is evident in her consultations, where she meticulously reviews every aspect of her patients’ lives. From physical health issues and mood fluctuations to medication management, mobility, personal hygiene, meal preparation, and even housekeeping, no detail is overlooked.
This comprehensive model ensures that elderly patients receive care that addresses not just their medical conditions but also their overall quality of life. for many, this approach is transformative.
The Role of Geriatricians in an Aging Society
While family doctors are capable of addressing many healthcare needs, Dr. Chabot emphasizes that some elderly patients require the specialized expertise of a geriatrician.“It is indeed certain that family doctors can do a lot of things and that many patients will never need to see a geriatrician in their life,” she notes. However, for “fragile” older adults—those with complex health issues or limited support systems—geriatricians are essential.with the aging population, the need for these specialists is expected to rise significantly. According to the World Health Organization, the number of people aged 60 and over is projected to double by 2050, underscoring the urgency of expanding geriatric care services.
A Glimpse into a Geriatric Consultation
During her consultation with Alain Guibeault, Dr. chabot’s approach was both thorough and compassionate. She listened attentively, addressing his concerns with empathy and expertise. This level of care is not just about treating illnesses but also about empowering patients to maintain their independence and dignity.
Key Takeaways
| Aspect of Geriatric Care | Description |
|——————————|—————–|
| Holistic Approach | Addresses physical, emotional, and social well-being. |
| Specialized Expertise | Focuses on the unique needs of elderly patients. |
| Growing Demand | Increasing need due to the aging population. |
The Future of Geriatric Care
As the number of older adults continues to grow,the role of geriatricians will become even more critical. Their ability to provide holistic, patient-centered care ensures that elderly individuals can navigate the challenges of aging with dignity and support.
For those interested in learning more about geriatric care, the American Geriatrics Society offers valuable resources and insights.
A Call to Action
If you or a loved one is navigating the complexities of aging, consider consulting a geriatrician. Their expertise can make a profound difference in quality of life. share this article to spread awareness about the importance of geriatric care and help others discover the support they need.
By embracing the holistic approach of geriatricians, we can ensure that our aging population receives the care and respect they deserve.
Quebec Faces Critical Shortage of Geriatricians and Geriatric Care Professionals
The aging population in Quebec is growing at an unprecedented rate, and the province is struggling to keep up with the demand for specialized geriatric care. According to Dr. Julia Chabot, a geriatrician at St. Mary’s Hospital, the current number of geriatricians in Quebec is insufficient to meet the needs of the elderly population. “It is certain that 148 geriatricians [au Québec] we won’t make it. There will need to be more of us and we will need occupational therapists, physiotherapists, and social workers who have expertise in geriatrics,” she warns.
the shortage of geriatric care professionals is not just a Quebec issue but a growing concern across Canada. With the number of seniors expected to double by 2036, the healthcare system is under immense pressure to adapt. Dr. Chabot emphasizes the importance of a multidisciplinary approach to geriatric care, highlighting the need for collaboration among various healthcare professionals to provide comprehensive support for the elderly.
The Growing Demand for Geriatric Care
Quebec’s population is aging rapidly, with seniors aged 65 and older projected to make up nearly 25% of the population by 2031.This demographic shift is placing a notable strain on the healthcare system,particularly in the field of geriatrics. Geriatricians specialize in the care of older adults, addressing complex health issues such as dementia, mobility challenges, and chronic illnesses. However, with only 148 geriatricians currently practicing in the province, the system is stretched thin.
The shortage is further exacerbated by the lack of specialized support staff, including occupational therapists, physiotherapists, and social workers. These professionals play a crucial role in helping seniors maintain their independence and quality of life. Without adequate staffing, many elderly patients are left without the care they need, leading to longer wait times and poorer health outcomes.
A Call for Action
Dr. Chabot’s warning underscores the urgent need for investment in geriatric care training and recruitment. “We need more geriatricians, but we also need a team of professionals who understand the unique needs of older adults,” she explains. This includes not only medical professionals but also those who can provide emotional and social support to seniors and their families.
the Quebec goverment has acknowledged the issue and is taking steps to address the shortage. Initiatives such as increased funding for geriatric care programs and incentives for healthcare professionals to specialize in geriatrics are being explored. Though, experts argue that more needs to be done to ensure that the province’s aging population receives the care they deserve.
The role of Technology and Innovation
In addition to increasing the number of geriatric care professionals, technology and innovation are seen as potential solutions to the growing demand for services. Telemedicine, for example, has emerged as a valuable tool for providing remote care to seniors, particularly those living in rural or underserved areas.By leveraging technology, healthcare providers can extend their reach and improve access to care for elderly patients.
Key Takeaways
| Key Issue | Details |
|———————————–|—————————————————————————–|
| Current number of Geriatricians | 148 in Quebec, insufficient to meet demand |
| Projected Senior Population | Nearly 25% of Quebec’s population by 2031 |
| Needed Professionals | Geriatricians, occupational therapists, physiotherapists, social workers |
| Government Initiatives | Increased funding, training programs, and incentives for specialization |
| Potential Solutions | Telemedicine, multidisciplinary care teams, and innovative healthcare models|
Conclusion
The shortage of geriatricians and geriatric care professionals in Quebec is a pressing issue that requires immediate attention. as Dr.Chabot aptly puts it, “We won’t make it” without significant changes to the current system. By investing in training, recruitment, and innovative solutions, Quebec can ensure that its aging population receives the high-quality care they need and deserve.
For more information on the challenges facing geriatric care in Quebec, visit St. Mary’s Hospital and explore their initiatives to support elderly patients.
What are your thoughts on the geriatric care crisis in Quebec? Share your insights and join the conversation below.
Geriatricians are no strangers to complex cases, and 77-year-old Alain Guibeault’s story is a testament to the challenges faced by both patients and healthcare providers in managing multiple chronic conditions. Mr. Guibeault, who takes around twenty pills daily, battles a trifecta of health issues: chronic obstructive pulmonary disease (COPD), heart problems, and persistent shoulder pain. His journey through the healthcare system in 2024 highlights the intricate balance required to manage such multifaceted medical needs.
In 2024, Mr. Guibeault was hospitalized multiple times. One of the primary reasons was to replace a hip prosthesis that had been causing him significant discomfort. Additionally, he experienced episodes of confusion, a side effect linked to the opioids prescribed to alleviate his pain. These hospitalizations underscore the delicate interplay between treating physical ailments and managing the unintended consequences of medication.
The challenges didn’t stop there. In mid-December, just days before a scheduled consultation, Mr. Guibeault suffered two falls at home. The first, he explained, was due to tripping over a lamp wire. The second fall, however, was more concerning. “A dizzy spell. I fell on my butt as I protect my head a lot. Especially since I have a very good head,” he quipped, injecting humor into a situation that could have had serious consequences.
These incidents highlight the importance of comprehensive geriatric care, which goes beyond treating individual conditions to address the broader context of a patient’s life. For Mr. Guibeault, this includes managing his medications, monitoring his mobility, and ensuring his home habitat is safe to prevent future falls.
Key Insights from Mr. Guibeault’s Case
| Aspect | Details |
|—————————|—————————————————————————–|
| Health Conditions | COPD, heart problems, shoulder pain, hip prosthesis complications |
| Medications | Approximately 20 pills daily, including opioids |
| Hospitalizations (2024)| Multiple, for hip replacement and opioid-related confusion episodes |
| Recent Incidents | Two falls at home in mid-December |
Dr. Julia Chabot,the geriatrician overseeing Mr. Guibeault’s care, emphasizes the need for a holistic approach. “Geriatric care isn’t just about treating diseases; it’s about understanding the patient’s entire ecosystem—physical, emotional, and environmental,” she explains.
mr. Guibeault’s story is a poignant reminder of the resilience required to navigate the complexities of aging. It also underscores the critical role of geriatricians in ensuring that patients like him can maintain their quality of life despite the challenges they face.
For more insights into the evolving field of geriatric care, explore how hyperlinks in journalism can provide deeper context and clarity in reporting.What steps can we take to better support our aging population? Share your thoughts and join the conversation below.
In a recent meeting, Dr. Chabot, a dedicated healthcare professional, addressed the concerns of Denise and her partner, Mr. Guibeault, a former cook who now faces challenges in his daily life. The session highlighted the delicate balance between maintaining independence and ensuring safety, particularly when health issues arise.
A Fearful Moment in the kitchen
Denise expressed her concerns during the meeting, revealing that she felt “fearful” after her partner, Mr.Guibeault,forgot to turn off a stove ring on two separate occasions. The incidents triggered the smoke detector, raising alarms—both literally and figuratively—about his ability to manage daily tasks safely.
Mr. Guibeault, who once worked as a cook, takes pride in preparing meals. However, his recent health struggles have made this routine task more elaborate. Dr. Chabot suggested reaching out to the CLSC (Local Community Service Center) to request an occupational therapist’s assistance. The goal? To ensure that Mr. Guibeault can continue cooking safely without compromising his well-being.
While Mr. Guibeault was open to the idea of professional support, he firmly rejected the notion of relying on meals on wheels. The mere mention of the service elicited an eye roll, underscoring his determination to maintain his independence.
Health Checks and Medication Adjustments
During the meeting, Dr. Chabot conducted a thorough health assessment, asking Mr. Guibeault to lie down and stand up to check for any significant drops in blood pressure. She handed him her walker, which she affectionately calls her “Cadillac,” to assist him during the test.
“That’s the hardest step of the day: taking off the coat,” mr. Guibeault remarked, his face tense with discomfort. His shoulders,he explained,were in terrible pain.
The results of the check showed no significant drop in blood pressure, but Dr. Chabot suspected that one of his medications might be contributing to his dizziness. She recommended discontinuing the medication, along with another that had become ineffective. This adjustment reduced his daily pill intake from 23 to 21,a small but meaningful change in his routine.
Balancing Safety and Independence
The meeting underscored the challenges faced by individuals like Mr. guibeault, who strive to maintain their independence while navigating health concerns. dr. Chabot’s approach—combining professional support with respect for personal autonomy—offers a model for addressing such situations.
For Denise,the fear of potential accidents remains a pressing concern. Yet, with the right support systems in place, the couple can work toward a safer, more manageable daily life.| Key Takeaways |
|——————–|
| – Denise is “fearful” after Mr. Guibeault forgot to turn off the stove twice, triggering the smoke detector. |
| - Dr. Chabot suggests involving an occupational therapist to ensure safe cooking practices. |
| – Mr. Guibeault refuses meals on wheels, emphasizing his desire for independence. |
| – A health check reveals no significant blood pressure drop, but medication adjustments are made to address dizziness. |
As the meeting concluded, it was clear that the path forward would require collaboration, understanding, and a commitment to balancing safety with independence. For Mr. Guibeault and Denise, the journey is ongoing, but with the support of professionals like Dr. Chabot, they are not alone.
For more information on occupational therapy and support services, visit the CLSC website.
What are your thoughts on balancing independence and safety in aging populations? Share your insights in the comments below.
Geriatric Care Breakthrough: How CPAP therapy and Early Detection Are Transforming Lives
At the Geriatric Care Unit at St. Mary’s Hospital, a quiet revolution is underway. For patients like Mr.Guibeault, whose memory “plays tricks” on him, innovative treatments and early detection methods are offering new hope. One such treatment is CPAP therapy, a form of continuous positive airway pressure ventilation, which has shown promise in improving both sleep quality and cognitive function.
The Power of CPAP Therapy
During a recent consultation, Dr. Sculpin, a geriatrician at St. Mary’s, urged Mr. Guibeault to try CPAP therapy. “Put it on, your CPAP mask, to sleep?” she asked. When he hesitated, she gently insisted, “I’d like you to try it. Maybe it would help your memory.”
CPAP therapy, commonly used to treat sleep apnea, works by delivering a steady stream of air through a mask, keeping the airways open during sleep. For older adults, this can be a game-changer. According to Mr. Guibeault’s wife, his sleep and energy levels have improved significantly since starting the treatment.“He falls asleep in the blink of an eye in front of the television,” she shared. Mr. Guibeault himself joked,“If I was a sleeping pill,everyone would buy me!”
Addressing Unusual Symptoms
However,sleep issues aren’t the only challenge Mr. Guibeault faces.His wife, Denise, has noticed that he sometimes experiences visual hallucinations. Dr. Chabot, another specialist at the hospital, explained that these hallucinations could be linked to an underlying infection. “Frequently enough, older people have symptoms that can be very atypical,” she noted.
To investigate further, a blood test was conducted on-site. The results later confirmed an infection, highlighting the importance of early detection in geriatric care. this approach not only addresses immediate symptoms but also prevents complications that could arise from untreated conditions.
A Hospital Stay and Recovery
During the holiday season, Mr. Guibeault’s health took a turn for the worse, leading to hospitalization for pneumonia. Thankfully, the hallucinations subsided, and his condition improved.Speaking from his hospital bed, he told the Press, “The hallucinations are gone. I still cough a little, but very little.”
Mr. Guibeault is now looking forward to his day off on Monday.“I hope it goes well,” he saeid. “I wouldn’t want my wife to take all the trouble on her back.”
Key Takeaways
| aspect | Details |
|————————–|—————————————————————————–|
| Treatment | CPAP therapy improves sleep and memory in older adults. |
| Symptoms | Visual hallucinations in seniors may indicate underlying infections. |
| Diagnosis | Blood tests are crucial for detecting atypical symptoms in geriatric care. |
| Recovery | Early intervention can prevent complications and improve quality of life. |
The Future of Geriatric Care
The story of Mr. Guibeault underscores the importance of personalized care and early detection in geriatric medicine. By addressing issues like sleep apnea and atypical symptoms, healthcare providers can significantly enhance the quality of life for older adults.
For more information on CPAP therapy and its benefits,visit the American Academy of Sleep Medicine. To learn about geriatric care innovations, explore resources from the National Institute on Aging.
As the Geriatric Care Unit at St. Mary’s Hospital continues to lead the way, patients like Mr.Guibeault are living proof that with the right care, aging can be a journey of hope and healing.
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What are your thoughts on the role of CPAP therapy in geriatric care? Share your insights in the comments below!
St.Mary’s Hospital Pioneers Geriatric Care in Emergency Departments
St.Mary’s hospital Center has taken a groundbreaking step in healthcare by introducing a dedicated geriatrics team within its emergency department. This innovative initiative, now in its second year, aims to address the unique needs of elderly patients, ensuring they receive timely, personalized care while reducing their hospital stays.
The geriatrics team, a rarity in emergency settings, focuses on providing specialized attention to seniors, who often face complex health challenges.”It’s a luxury to have a practically private geriatrician!” remarked one patient,who expressed gratitude for the “personalized care” they received at St. Mary’s.
A Tailored Approach to Senior Care
The primary mission of the geriatrics team is to streamline care for elderly patients, minimizing their time in the hospital. By addressing age-specific concerns such as mobility issues, cognitive decline, and medication management, the team ensures that seniors receive comprehensive care tailored to their needs.
This approach not only improves patient outcomes but also alleviates the strain on hospital resources. As one patient shared, “One thing is certain, he wants to stay away from the hospital in 2025,” highlighting the team’s success in fostering independence and reducing readmissions.
The Impact of Geriatric Emergency Care
The introduction of a geriatrics team in the emergency department reflects a growing recognition of the unique challenges faced by elderly patients. According to The Press, the initiative has already shown promising results, with shorter hospital stays and higher patient satisfaction rates.
| Key benefits of St.Mary’s Geriatrics Team |
|———————————————–|
| Reduced hospital stays for seniors |
| Personalized,age-specific care |
| Improved patient satisfaction |
| Enhanced resource allocation in the ER |
A Model for the Future
St. Mary’s Hospital Center is setting a precedent for other healthcare institutions. By integrating geriatric expertise into emergency care, the hospital is addressing a critical gap in the healthcare system. As the population ages, such initiatives will become increasingly vital in ensuring that seniors receive the care they deserve.
For more information on St. Mary’s innovative approach to geriatric care, visit their official website.
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What are your thoughts on specialized geriatric care in emergency departments? share your opinions in the comments below!In the bustling corridors of emergency rooms, a quiet revolution is taking place—one that prioritizes the elderly and aims to reduce needless hospitalizations. Early each morning, a dedicated nurse identifies elderly patients who require immediate evaluation.This proactive approach ensures that those most vulnerable receive timely care, often preventing the need for prolonged hospital stays.
The team behind this initiative is multidisciplinary, comprising a geriatrician, occupational therapist, physiotherapist, and social worker. Together, they assess the patient’s condition and, if stable, begin planning for discharge right from the emergency room. “Sometimes a patient has a fracture, is medically stable, and just needs a post-acute bed,” explains Leeza Paolone, a clinical nurse. “We make the request from the emergency.”
This streamlined process has already made a significant impact. the team has evaluated 1,200 patients to date, with approximately 300 discharged directly from the emergency room. “We gave around 300 leaves of absence,” notes Dr. Julia Chabot, highlighting the program’s success in reducing hospital admissions and freeing up critical resources.
A Closer Look at the Program’s Impact
| Metric | Data |
|—————————|——————-|
| Patients Evaluated | 1,200 |
| Discharges from ER | 300 |
| Team Composition | Geriatrician, Occupational Therapist, Physiotherapist, social Worker |
| Key Benefit | Reduced Hospitalizations |
This innovative approach not only improves patient outcomes but also alleviates the strain on emergency departments. By focusing on early intervention and discharge planning, the team ensures that elderly patients receive the care they need without unnecessary delays.
the program’s success underscores the importance of collaboration among healthcare professionals. From the initial assessment by the nurse to the coordinated efforts of the geriatrician and therapists,every step is designed to prioritize the patient’s well-being.
As healthcare systems worldwide grapple with overcrowding and resource constraints,initiatives like this offer a blueprint for more efficient and compassionate care. By addressing the unique needs of elderly patients,this program not only enhances their quality of life but also sets a new standard for emergency medicine.
For more insights into innovative healthcare practices,explore how hyperlinking in journalism can shed light on global trends and solutions.
What are your thoughts on this approach to emergency care? Share your perspective and join the conversation on how we can better serve our aging population.
Thoughts on the role of specialized geriatric care in emergency departments? Do you think more hospitals should adopt similar initiatives? Share your insights in the comments below!
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The integration of geriatric care into emergency departments, as pioneered by St. Mary’s Hospital, represents a meaningful advancement in healthcare. by addressing the unique needs of elderly patients, this approach not only improves outcomes but also enhances the overall patient experience.
### The Role of CPAP Therapy in Geriatric Care
CPAP therapy, as highlighted in Mr. Guibeault’s case, is a prime example of how targeted treatments can considerably improve the quality of life for older adults. By addressing sleep apnea, a common yet frequently enough overlooked condition in seniors, CPAP therapy can lead to better sleep, improved cognitive function, and overall enhanced well-being.
### Addressing Atypical Symptoms in Seniors
The case of Mr. Guibeault also underscores the importance of recognizing and addressing atypical symptoms in older adults. Visual hallucinations, as an example, can be a sign of underlying infections or other health issues. Early detection through blood tests and other diagnostic tools is crucial in preventing complications and ensuring timely treatment.
### The Future of Geriatric Care
As the population continues to age, the need for specialized geriatric care will only grow. Hospitals and healthcare providers must adopt innovative approaches, like those at St. Mary’s, to meet the unique needs of elderly patients. By focusing on personalized care, early detection, and targeted treatments, we can ensure that seniors receive the care they need to live healthy, fulfilling lives.
For more information on CPAP therapy and its benefits, visit the [American Academy of Sleep Medicine](https://aasm.org). To learn about geriatric care innovations, explore resources from the [National Institute on Aging](https://www.nia.nih.gov).
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What are your thoughts on the role of CPAP therapy in geriatric care? Do you believe more hospitals should integrate specialized geriatric teams into their emergency departments? Share your insights in the comments below!
