72 Hour Call as a Chief Surgery Resident

Рет қаралды 320,993

Dr. Daisy Sanchez, MD

Ай бұрын

72 hours covering general and colorectal surgery as a final year resident.

Пікірлер: 323

@jimreddyreddy3243 Ай бұрын

What doctors are doing should be illegal. The hospitals have to have a better solution than to work that much. Much respect .

@mjradi4371 Ай бұрын

Not enough doctors

@reddbendd Ай бұрын

1. There are limits to the amount of hours the residents can get paid to work. 2. This is a surgical specialty. Definitely dont do anything surgical (even ob/gyn) if you dont want long, busy call shifts. Psychiatry residents RARELY work this much. Not all doctors work the same amount 3. I went into medicine specifically for the 16 and 24 hour in-house call shifts available to CRNAs. If they were illegal, I would not be interested in anesthesia

@ownthispwn Ай бұрын

@@reddbendd Laughing at the fact that you believe #1 is being enforced. Good joke.

@ownthispwn Ай бұрын

@@mjradi4371 Which is weird because there's more pre-med students than ever before, yet always shortage of doctors. Weird how that works right? Almost like they want to drain all they can out of 1 doctor

@lifecolors4250 Ай бұрын

@ownthispwn not all pre med at the end decide to go to med students

@JCH726 13 күн бұрын

The fact they make a surgeon work this many hours in a row is mind boggling. Makes zero sense. Obviously it’s not your fault. The system is totally messed up. You are amazing!

@kaylaventure Ай бұрын

This video is a prime example of how busy a doctor is. She filmed this during the winter holidays and it is now being uploaded. More power unto you Dr. Sanchez!

@thedaisysanchez 20 күн бұрын

Omg, this is so trueeee haha!

@l36726 24 күн бұрын

Whenever I think I have had a long day at work and I am exhausted and feel like I cannot go on, I will think of you. Thank you for taking care of people.

@thedaisysanchez 20 күн бұрын

Thank you so much! :)

@sparrowpoint6738 Ай бұрын

Dr. Sanchez, Thank you for studying for years, sacrificing most of your life, and working so hard to be come a surgeon so that you can help us all when we really need it.

@thedaisysanchez Ай бұрын

Thank you so much for being here!

@antoinette8713 29 күн бұрын

& AGAIN I will say…. how in the world are football players, reality tv cast making MILLIONS?!?!?! yet the amazing selfless kind hardworking dedicated ones who are putting their lives on line &/or saving lives, not even make much $@all??? not even for all they do!! my son within past year has enlisted in the army & when I tell u what hes already missed out on, all hard work he’s done & when he told me that he makes like $2500 month I wanted to throw up!! Thank God for giving us heros/angels such as Drs police officers nurses military etc…. Thank you for all u do❤❤❤❤

@qetsiyah1766 22 күн бұрын

I completely understand what you mean & am empathetic to your situation, however, it’s important to realize that salaries are based on how profitable an industry is. Football is extremely dangerous & it’s not uncommon for athletes to have body issues post retirement. Furthermore, football is a multibillion dollar industry, how is it fair for that revenue to stay with team owners and not the players? Furthermore, most actors aren’t extremely rich (it’s not uncommon for ones in LA to work Uber in between gigs). Once again, if they are making the big bucks, it’s because the film industry is a very profitable business, evident by how many people consume television & film on a day-to-day basis. I’d much rather the athletes and actors make the money rather than CEOs who know little about how hard it is to become an amazing athlete or actor.

@AdrianaSanchez05 9 күн бұрын

@@qetsiyah1766 I think the issue is that millions or billions of dollars are put into the military, but not the actual people that are risking their lives on duty it’s going to weapons and what not. Same concept with being a cop or doctor. Health insurance is crazy these companies and hospitals make millions but aren't properly paying their workers who are saving lives/risking their lives. Whereas football may be dangerous but it’s for entertainment reasons, they put themselves on the field knowing they can get hurt but will have millions at the end of it. People get deployed and killed or severely handicapped and their family isn't left with much because they weren't making much.

@rodrigorinomoguzman1907 4 күн бұрын

I completely understand you, but to be honest I don’t study medicine for the money haha and if you ask a lot of my friends they will tell you the same, we knew well before we started that we had to work a lot and even work in two different places in the day just to make money to pay bills, but when we see patients who are in pain and we can help them that’s what pushes us to continue everyday, helping people and taking their pain away is just amazing, or even if we can’t help them, just to talk to them and make them comfortable is something that very few people have the privilege of doing.

@teeski693 17 күн бұрын

These hours are not necessary. Maybe in the past they had a purpose but now it’s dangerous and can cause deadly mistakes. No one makes good decisions when they’re exhausted.

@AmmaLove24 Ай бұрын

It doesn't make any sense to work a surgeon this hard. If someone is going to cut into my body they better be well rested and relaxed. If not the chance of making a mistake is high. It shouldn't be allowed.

@KaylaBlack1 29 күн бұрын

I work in theatre daily, sorry to tell you but the surgeons are for sure not rested… They are just very good at there job, but i have definitely seen overly exhausted surgeons operating.

@aminah761 20 күн бұрын

Yea this is scary 😢

@allisonsheppard1368 Ай бұрын

Night shift SICU nurse here!! We love our surgery residents. Y’all are incredible. Keep it up, your hard work, I know is not going unnoticed!

@thedaisysanchez Ай бұрын

Thank you so much! SICU AND NIGHT SHIFT - girl I know you a great nurse!

@celestesalero3334 6 күн бұрын

You are literally such a GREAT ROLE MODEL ! the fact that you are on the go and have time for your family is INSANE!!! your daughter will look at this and be proud of you !!

@masterkart7183 Ай бұрын

You are my biggest inspiration & whenever I am a plastic surgeon, I will still be keeping up with your journey. Super woman 🙏🏽

@thedaisysanchez Ай бұрын

Thank you so much! I appreciate you being here and BEST of luck on your journey!

@user-ci2tq4tz6d Ай бұрын

I dont know whats more impressive your work or how you mange to sustain work life balance Edit: I appreciate the love I’m getting on this comment I say Impressive sparingly, because on one hand the life style she has is slowly killing her and we shouldn’t normalize it and think its healthy or sustainable for even a second and on the other hand masochism and grind culture is the only way you can justify this work load. Surgery will really break you apart just to build you up again lol.

@thedaisysanchez Ай бұрын

Thank you! I definitely try to maintain a positive attitude but it is not hard and the system is not the best! There is so much room for improvement. I do wish my life was actually balanced but unfortunately we make sacrifices for a better future!

@ENIIPAUL Ай бұрын

Not the coffee calculations so you don’t get palpitations for me😂😂. Welldone Dr Sanchez💪🏽💪🏽

@thedaisysanchez 20 күн бұрын

Hahahaha, basically story of my life

@chelseabueso4011 Күн бұрын

As I watched this I repeatedly asked myself “How is she doing this” and you still had enough energy to make a KZfaq video 😅 I have so much respect for you 💗💗💗

@jenniferbooth9348 Ай бұрын

Loved your last comment on how you would love to follow through with all of your patients. That tells me how dedicated you are as a surgeon and you care about your patients and well being. I find medicine fascinating. I always wanted to be a surgeon but life gets in the way.

@impossibl3girl564 Ай бұрын

You are a great inspiration, thank you for taking the time to make these insightful and well put together videos!

@thedaisysanchez Ай бұрын

Thank you so much for your kind words!

@SashaKondrasov Ай бұрын

You are amazing. Thank you for sharing your journey!

@thedaisysanchez 20 күн бұрын

Thank you for watching!

@ejc_8888 Ай бұрын

Yay, another video. New subscriber from London. My god I had no idea how hard you guys work doing this!!! Huge thanks from us all that needed your service and surgeons around the world. How long can one sustain these kind of hours! Your so inspiring and incredibly beautiful 💖🙏🏻

@thedaisysanchez Ай бұрын

Thank you so much! I appreciate you being here and taking the time to watch my video!

@AS-du8hu Ай бұрын

I luv that you love the follow up with your patients. This is so me as well.

@thedaisysanchez 20 күн бұрын

I do! I have a hard time moving on if I don't know the outcome!

@laudet95 10 сағат бұрын

Wow, thank you for doing this ! You are incredible !!

@shannamckinley9343 Ай бұрын

Love these videos. Such an inspiration to me. Thank you Dr. Sanchez for this content ❤

@thedaisysanchez Ай бұрын

Thank you so much for being here!

@meghalipal3151 29 күн бұрын

I dont know and care what others have to say...but surely you are my inspiration...i keep coming back to watch your videos again and again to get my sanity back ...and keep pushing myself and try to stay very positive throughout...lots of love from INDIA❤

@AET1689 22 күн бұрын

Wow! That is all I can say ! You are an amazing human making so much happen at your hospital; home & beyond! I’m impressed & inspired

@thedaisysanchez 20 күн бұрын

THANK YOU!

@hunterzehnacker4062 Ай бұрын

I have went on a deep dive of this channel and I love it !!!

@thedaisysanchez 20 күн бұрын

Yay! Thank you!!!

@amb817 Ай бұрын

Dr. Sanchez, this is the first video I’ve seen from you and instantly subscribed. You’re amazing and can’t wait to watch more of your videos

@thedaisysanchez 20 күн бұрын

Thank you so much for being here!

@rachelzwicker8731 20 күн бұрын

Same here!

@nicolegillespie37 Ай бұрын

You have a great mentality with all of this ❤

@thedaisysanchez 26 күн бұрын

Not always but I try! haha

@ktar7189 Ай бұрын

Hi Dr daisy Sanchez hope you had a good weekend and week much love from southwest Springfield Missouri

@thedaisysanchez 26 күн бұрын

Thank you so much! Have a great weekend!

@randomuser2105 Ай бұрын

I hope you make more videos like this! Being able to see the more ins and outs of your day to day as a doctor/resident is super helpful as a premed

@thedaisysanchez Ай бұрын

I'm definitely trying - just tough to make the time, haha!

@ckgonzales6743 4 күн бұрын

This is mind blowing! WOW - you have amazing stamina and an amazing attitude.

@bravosierra2447 22 күн бұрын

We are watching this person working to exhaustion. The medical system seriously needs to be reformed. Try to look after yourself Dr Sanchez.

@dmd2803 Ай бұрын

You work so hard!! its so inspiring❤ keep up the good work Dr

@thedaisysanchez Ай бұрын

Thank you! I appreciate it!!

@michellereneephillips 22 күн бұрын

Thank you to you and all hospital staff for the hard work and long hours ❤❤❤❤❤❤❤❤❤❤❤❤❤ I’m so sorry we / the system / the government hasn’t worked out a better way or solution so you can be thriving and not just surviving due to workload and hours.

@sailboatrn7372 Ай бұрын

Love that you have your name and creds embroidered on your scrub cap!! Excellent idea!! Your daughter is precious ❤️ Hubs had a chole and he said it hurt more than his Triple CABG!!

@thedaisysanchez 20 күн бұрын

OMG that is so crazy! Hope he is doing well!

@sailboatrn7372 20 күн бұрын

@@thedaisysanchez thanks he is!! 25 years later!!

@ValentinaAman-jk7jf 13 күн бұрын

Thank you for posting! I am interested in neurosurgery as a female and seeing other women in the medical field is so inspiring.

@alyssagoyco3193 16 күн бұрын

Watching liking and subscribing to help fund her next trip bc lord knows how much she deserves another vacation 💐💐🙏

@amyc4406 Ай бұрын

Girl…GOD BLESS YOU❤❗️

@thedaisysanchez 20 күн бұрын

God bless YOU!

@yashasa968 Ай бұрын

motivated me , hats off , amazing work !!

@Ch4se6 Күн бұрын

My mom is a doctor and honestly I have so much respect for you and every doctor. People don’t realize that you basically give up so much stuff and experiences while you’re in medical school. You sacrifice so much and all people say “ they make so much money “ duhh they worked their ass off and continue to do so every time they get to work ! People don’t realize how much work you do as a doctor! I never saw my mom but she made sure to be as involved as she could while working ❤

@melrehder7179 22 күн бұрын

I have so much respect for people who work shifts and jobs such as this, you guys are incredible!!

@thedaisysanchez 20 күн бұрын

Thank you so much!

@cristinaolteanu4057 2 күн бұрын

Dr. Sanchez we (the other residents) need your secret to being so positive and finding the time to do it all. Also we need your tips for being so confident on camera and just vlogging. Such an inspiration!

@tanyamartinez1007 Ай бұрын

I’m exhausted now 😩

@RaymoreRockStarMom 9 күн бұрын

I wanted to thank you for everything you do in this world 🌎❤ I was mpo three mths. Gallbladder. They wanted to send me to the mayo clinic in Oklahoma. It was sad times. 3 ercps. With gave me pancreatitis, set us back 2 wks. Nothing could get my stones out. I was in some small percentile of a small/ narrow GI tract. I ate relatively healthy, wasnt over weight, 30 yr old. It was KU med and St. Joseph that teamed up to put a stint through my liver and dilate my bial duct to release the stones. I kept it in about a week. That pain was insufferable. I was on morphine the entire time and 97 lb by the time I left. I have such respect for you and those who saved my life. 💕

@jinathosain9751 Ай бұрын

I wonder how you guys handle so much stress 😮 that's literally insane. hats off to you 🔥💪🏻

@thedaisysanchez 20 күн бұрын

We're only human - I just try to learn positive coping skills!

@estefaniasangines6341 Ай бұрын

Video nuevo!!!! llegando a casa de guardia, no había mejor sorpresa :-) :-) Saludos desde España de una R3 Cir vascular!!

@patrickmcevoy3257 11 күн бұрын

Doc thank u for taking care of patients doctor's are special people 72 hours working do doctors every rest thank you doc

@reginageorgetownuni Ай бұрын

thank you for being so realistic showing the life of a doctor! its tough and demanding but where would the world be without doctors

@thedaisysanchez 20 күн бұрын

It really is tough but I'm lucky to have a lot of support!

@NhiaYang-ul9sb 16 күн бұрын

Thank you 🙏 y a life saver saving life love what y do 🥰

@zhase9736 Ай бұрын

I am also a resident young mom, you are such an inspiration

@thedaisysanchez 20 күн бұрын

That's amazing!!

@Aleena8700 Ай бұрын

Your amazing I don't know how you do it but I'm thankful you do! You help so many people ❤❤❤

@thedaisysanchez 26 күн бұрын

Thank you so much!

@Aleena8700 26 күн бұрын

@@thedaisysanchez 😘

@jordanvlogs8585 Ай бұрын

Big respect for this kind of profession ❤

@thedaisysanchez 20 күн бұрын

Thank you!

@jordanvlogs8585 20 күн бұрын

@@thedaisysanchez hello doc! ur welcome. Doc can I ask for some financial help for my studies?🥺 I’m a 2nd year medical student also (BS NURSING) studying here in Philippines. Any amount will do for my tuition, allowances, transpo, apartment fee this upcoming sem 3rd year. 🙏🙏🙏

@eminaroses2138 Ай бұрын

Bless you and your family 🙏🩷

@citypulp Ай бұрын

Do surgeons retire early? How is this sustainable? I had noooo idea surgeons were back to back to back like this.

@lifecolors4250 Ай бұрын

Well I saw very old suregeons who don't retire early so it depends on the person, some prefer to become professors

@benjaminnhlam2867 Ай бұрын

Attending surgeons don't work this hard. They still work relatively hard compared to all other specialties (averaging 60-70 hours a week) but they don't do resident calls like this. They do all the surgeries but don't do all the scut work. Plus the attending salary helps.

@hisbrideandwhitecoat Ай бұрын

Hola Doctora! Fourth Year med student and incoming Pediatrics intern. I love you showing your comal y las quesadillas se me antojaron jaja. Felicidades por representar a nuestra gente. Bendiciones, exito!

@thedaisysanchez 20 күн бұрын

Jaja, las quesadillas are my go to! Buena suerte en todo y felicidades por tus logros!

@Wanda838s 10 күн бұрын

This video has truly been a source of motivation for me! I'm so grateful for the encouragement. Thank you so muchhh💚🥹

@reginageorgetownuni Ай бұрын

im currently prepping for the licencing exam and thank you so much for this brief glimpse into my future

@thedaisysanchez 20 күн бұрын

Oh that's so exciting! Best of luck to you!

@elisabethwo8819 Ай бұрын

Thank you for this Video

@1200kevin1 Ай бұрын

Excellent video. Keep up the good work

@thedaisysanchez 20 күн бұрын

Thank you, thank yoU!

@1200kevin1 20 күн бұрын

@@thedaisysanchez you’re welcome

@json2960 Ай бұрын

I don't know how you do it staying up so long,but God bless you....

@matchafries3975 Ай бұрын

I love your videos this is pushing me through school! It does look very tiring and hard and omg those hours are just insane but I personally like this workstyle so thank you and wishing you the best and take don't forget to take care of your health and self!

@thedaisysanchez Ай бұрын

Thank you so much!!

@xblackchristmas Ай бұрын

The amount of coffee and sugar to sustain you throughout the 72 hr shift 😵‍💫 you're amazing for still being so positive and tired! If it were me, my eyebags and dark circles would be so bad.

@thedaisysanchez Ай бұрын

Thank you so much!

@AllieRhoades Ай бұрын

You’re truly amazing! Plus putting out content, girl you are insane, such an inspiration 🤍

@thedaisysanchez Ай бұрын

Thank you!! It's not easy but I really appreciate all the support and positive feedback!

@ellynbridji1247 Ай бұрын

I am a 4th year medical students, my main dream is to become a Neurosurgeon Inshaeallah, I'm so struggling with my studies and this video gave me so much motivation thank you so much ❤❤❤

@pinkstrwberry8 23 күн бұрын

you got this ! 🤍

@aminah761 20 күн бұрын

May Allah make it easy on 😊😊

@NoemiPerez-lm5gg 12 күн бұрын

HAY NO PERO QUE VALOR!!! MUCHAS BENDICIONES PORQUE PERSONAS COMO TU SE NECESITAN EN ESTA VIDAA

@JoseBarrios-bn7nx Ай бұрын

You are amazing Daisy!!! What you do is super human. Unfortunately, this is the inhumane way we teach our future healthcare providers. While there has been some improvement in the way we train our non surgical specialties, the surgical specialties remain draconian. So for those medical students deciding on their specialty, buyers be aware 😢

@kjeldschouten-lebbing6260 25 күн бұрын

The docters buffet was actually pretty slick when I was in as a patient. They always condoned it when a patient comes to grab food (the food was always better), as the only patient that knew how to even get there where only a hand full that have been there a LOT.

@jeffarmstrong142 28 күн бұрын

A real Wonder Women! Much respect Doc. Cheers.

@knzay Ай бұрын

Not to be dramatic but 72 hour call should not be allowed

@toningwithtayla3857 Ай бұрын

Agreed!!

@DestinyshanteMD Ай бұрын

Definitely not great for patient care bc I’m sure you can imagine mistakes happen when you’re sleep deprived 😢

@KevinCamacho-ih8cv Ай бұрын

@@DestinyshanteMD thats why I wonder how surgeons are allowed to experiment on people when they’re sleep deprived

@danneyxxx6614 Ай бұрын

It shouldn’t. That’s how deadly mistakes happen and hospitals will cover it up and no wonder surgeons are cranky and have attitudes cause they tired as hell!

@user-nv6wl9ik8i 28 күн бұрын

They have sleeping rooms she showed it in the video

@AlexaLopez-cu7me Ай бұрын

queen. such inspo in so many ways !!

@Dil_se_dr Ай бұрын

From seeing her first yr residency to the chief resident it’s really 😭💝

@jenniferbooth9348 Ай бұрын

I just discovered your channel. My gosh you look tired. I give you props though. I agree these hours need to change bc this can’t be safe for you as a surgeon. Obviously you love what you do and I love seeing female surgeons!!!! Can I ask how you decided on general surgery? I’ve had my gall bladder out after my third baby. That was more painful than labor!!! First ER told me 3 hour wait and I’m like nope off to the next ER. Keep up the good work, you definitely a role model for the younger generation!!! PS your daughter is adorable.

@silent_rose4484 14 күн бұрын

It never fails to amazes me how long surgeons can work. I was meant to to get a surgery done today but they cancelled it as they didn't know what my cysts were lying on and they re looked at the scans.

@kaleadreamaremylife7688 Ай бұрын

I could watch you 24/7….you’re such a badass

@thedaisysanchez Ай бұрын

Thank you so much!

@toningwithtayla3857 Ай бұрын

Very concerning that doctors work this much 😬😬

@aminah761 20 күн бұрын

Yesss

@valerienun7602 Ай бұрын

Hard work will pay off Orgullo Mexicano

@utkarshdharia07 Ай бұрын

Lots of love from India ❤

@CJ-ds7fz 25 күн бұрын

My respects for u 🙌🏻 I'm a l&d nurse work 12hr shifts i can barely do that😅

@Maryland101 Ай бұрын

You are my inspiration

@trishemerald2487 Ай бұрын

My Spidey senses tell me that the rise in gall bladder surgery may be related to the recent Ozempic craze.

@az.az466 Ай бұрын

The medical/hospital industry should make a policy to require all the surgeons to maintain a clean SHORT nails with NO nail polish. The surgeon should NOT have long nails!!! I am speaking off a bad experience that I had with a surgeon with a long nails!

@aminah761 20 күн бұрын

Exactly I worked in sterile processing for 16 years no nails or polish was allowed no makeup jewelry neither

@linnsoltwedel Ай бұрын

What an amazing sound when the baby was born! :D Would not get tired of that one. Is it all over the hospital?

@thedaisysanchez 26 күн бұрын

YES! It's everywhere and I love it!

@monephaengland3223 Ай бұрын

How often do you have to do 72 hour call? Also, does attendings do these shifts? Lastly, if a big case came in between the time you should have went home and the time to come back to work do you have to just stay?

@onlyminmi Ай бұрын

I wanna be a surgeon amd your videos are such a motivation

@thedaisysanchez Ай бұрын

Thank you so much! Best of luck on your journey! :)

@Mr_Smackle Ай бұрын

72 hour call is disgusting. I knew on my surgery rotation it was NOT for me, i skipped my 7th 12 hour shift in a row they required for med students cause its retarded to work that much when youre literally PAYING to be there. Im so glad there are people like you to do this cause we need great surgeons. Ill be over here enjoying my upcoming intern year with 6 months of electives, no call and no nights. Then off to rad onc to work banker hours :D

@sis33 Ай бұрын

i lovee these videos

@judyluce3141 Ай бұрын

My mom had the Hartmans procedure due to extensive diverticulitis, 5 cm abscess in the sigmoid colon.

@cathelainedianeong9411 Ай бұрын

1st year medical student. hope i can be like you one day! :D

@zahra_fx Ай бұрын

You are the best 😔💗.

@vitoria6841 12 күн бұрын

Happened to find this video and, being a medical student myself, I already love the way you talk about your cases and your routine, loved to see it, give us the details 🥰

@mil_sa4374 Ай бұрын

I am sorry, but I couldn't not ask this question...when are you supposed to sleep? I mean, one all-nighter is enough to make me a zombie, how are you capable of performing tasks requiring precision and sharp mind to complete?

@glorias.2930 Ай бұрын

What happens if your nanny cancels or gets sick? My gosh, you are superhuman! ❤

@alv.jaddee 3 күн бұрын

i hope to be able to have the same career as you some day :)

@DrB_84 Ай бұрын

That's MORE consults than I do myself!! That's doctor's lounge food looks EXACTLY like the one I had during training-except the food was kinda worse smh

@amason5332 Ай бұрын

Seriously want to know. Are there rules that come with Surgeons and their health? For ex. Medication- What if said medication causes drowsyness. Can you still perform a surgery? What if you have a mental illness like ADHD/MDD/BP ect. Does that affect you being able to work legally?

@user-ck7qf7uq6e 24 күн бұрын

You’re beautiful and you’re amazing !!!

@sabineholzmann5358 3 күн бұрын

Helloooo! I have a question, is there any website or place where I can get videos to watch on surgeries being performed? I don't study medicine because I'm scared of it and in general don't think I'm capable of going through it but I REALLY enjoy being able to learn little things about the body the more I watch it. And in cases of emergency where no medical help is accessible I could step in. Long story short I just want to watch it and learn lol. Thank you!

@anianoelle7033 Ай бұрын

Did you ever get pushback for wearing lashes as a surgical resident/in the OR? I’m starting residency in July, and I want to start getting lashes bc I’m too lazy for makeup in the morning and wanna look a little bit put together lollll😂

@kartikeytyagi9271 Ай бұрын

In India, residents get on an average 5-6 hours sleep PER WEEK

@12Gavv 7 күн бұрын

nice video! question when your intern was off, you had to manage everything yourself, and you had to round all the patients ie 40 patients and come up with a plan for each one, i suppose, some patients where complex, and upon doing the management/plan do you liaise with someone else for further help or?! idk, hats off doing all by yourself!