Starting Chemo July 2012

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  • virginiab
    virginiab Member Posts: 205
    edited September 2012

    I remember the night sweats when I went through menopause; I didn't get the daytime hot flashes too much. I think that instant menopause has to be more dramatic because of the fast withdrawal of hormones instead of  the normal gradual process. Those of us who got through menopause normally before meeting up with chemo have it much easier, as we got to face the hot flashes and the emotional ups and downs of menopause separately rather than having them bundled up with chemo SEs. I feel for you younger gals! Please know that the menopause symptoms will calm down and (for most women) disappear entirely with time. It does get better!

  • _Ann_
    _Ann_ Member Posts: 769
    edited September 2012

    virginab, thanks for providing some hope for an end to the horrible sweating.  I try to ignore it, but it does get tiring after a while.

    Maddie57, I came to the same conclusion about old injuries and chemo.   It's like it finds every former problem you ever had in your body and makes it flare up again.  I'm really curious what's going on.  Makes it seem like things that were healed were never really healed, they had just stopped hurting.  Now they hurt again. 

  • Itsalltemporary
    Itsalltemporary Member Posts: 38
    edited September 2012

    Hi Ann - I am struggling with instant menopause too! More concerned about the long term - how I will get my body functioning close to normal in the future without being able to add estrogen back in - but I guess once the chemo and radiation is over, there will be plenty of time to work on that!

    Anyone out there doing 6 rounds of TC? I just had my 4th of 6 treatments and it was really tough! Congrats to all of you who are done after 4 chemo rounds - you made it through! I can't wait to be part of the no-more-BGC-club! We all look forward to hearing about your radiation goes. Hope it is easier than chemo. Thanks for being our pioneers and sharing your experiences with all of us that are right behind you!

  • Lifeonitsside
    Lifeonitsside Member Posts: 250
    edited September 2012

    I am having a complete breakdown tonight. I feel like this disease has taken so much away from me that I've worked so hard for. Had to drop out of college, take a leave of absence from my job, try to keep this very beautiful relationship going while battling ghosts from my past. I left an abusive marriage seven years ago to rebuild and just felt like I was getting there and then this. And all I can think tonight is - it's not fair. It's just not fair. Nothing is fair. I hope I cry it all out tonight and wake up in the morning feeling better about everything. But for tonight, it's just not freakin' fair.

  • virginiab
    virginiab Member Posts: 205
    edited September 2012

    Hey, ItsAllTemporary--

    I am currently struggling with a decision about 4 or 6 rounds of CT. Like you, I have finished the first 3. When I signed up for chemo, the doctor had previously talked about 4 rounds, as part of a clinical trial, and then she talked about 6 rounds when I declined the trial. So I asked her if we actually know that 6 rounds are more effective than 4. She shrugged her shoulders in a "no, not really" gesture and said we DO know that 6 rounds of AC are more effective than 4 rounds of AC. So she said I could choose. She set up the schedule as if I'm doing 6, so they only had to run stuff by the insurance guys once, but on the orders that went to the chemo nurses it said "4 or 6 rounds." So I am at the point to decide. I'm leaning toward 4, but I'm still collecting what little information I can find. Today I browsed through 29 pages of article descriptions on PubMed. I found some interesting tidbits, but no actual relevant data.

    Anyway, I understand that 6 looks like forever from here, and yet 3 means that it is halfway done. I can't really claim that it's all downhill from here because we both know it's a bumpy ride. Even though our diagnostic summaries look pretty similar, you are certainly younger than my 66 years and that's a whole other set of issues for you, and probably what justifies 6 rounds for you. 

    I'm wishing you a smooth ride the rest of the way, even as a lot of our cohort wanders off to their respective next steps. 

    I hope and expect that most of us will keep coming back to this thread for a long time, because we will always be women "Starting Chemo in July 2012"-- even long after the chemo has ended.

    Hugs to all.

  • Itsalltemporary
    Itsalltemporary Member Posts: 38
    edited September 2012

    Oh Lifeonitsside - wish I could say just the right thing to make sure feel better. This disease can't take away all of what you have accomplished so far - thats yours to keep. Its just going to stall you from moving forward for a bit. But when its over - you'll get that momentum right back. Hang in there - be strong! We are all right by your side (you just cant see us :)

    Virginiab - after reading the posts on this site- I asked my doc about the 4 vs. 6 issue. He said something very similar to yours...there is no data to date demonstrating that 6 TC treatments gets a better result that 4, but there are trials going on now. My doc has told me over and over that he is very conservative, so he strongly recommended 6. I figure I am two thirds of the way through and as much as I want to be done - I can hang in there for another 2 treatments (or 6 weeks). Good to know we are at least hearing similar things from doctors in two different parts of the country!

  • _Ann_
    _Ann_ Member Posts: 769
    edited September 2012

    (((Lifeonitsside))) I hope you get some relief after letting the anger and tears flow. 

  • Maddie57
    Maddie57 Member Posts: 296
    edited September 2012

    Hi Lifeonitsside - Boy have you had it tough. You have every right to have a melt down. Get yourself a drink, tea, coffee whatever relaxes you and some easy to swallow junk food. Make sure you are on your own and really wallow in your depression!! Sob for a few hours - grieve for what you have lost and are having to face and get it out of your system. You will feel so much better in the morning. As I said make sure you are on your own - it is not easy to really let go if there is someone else there. The breast clinic sister has said she has never seen me cry and I don't usually let it get me down, but I did have one really, really bad day when the BS told me the skin over the TE was so thin I would not be able to do any exercise for at least a year. This line from a song always made the hairs stand up on the back of my neck even before any of this happened - "The wolves they howled for my lost soul, I fell into a big black hole...". Boy did that describe how I felt that day, and I sobbed from the bottom of my boots on and off all day. I felt much better the next day!! If you can leave an abusive relationship you are one strong woman - you can get through this.

    Ann and teeballmom  - have you tried Evening Primrose Oil for the menopausal symptoms? I have heard it helps, but check with your Onc first, as I am not sure if it contains Estrogen.

    PAeaglesfan- thanks for the good wishes. I am on premeds for chemo. Guess they will just have to be a bit stronger for the 3rd one.

    With regards 4 or 6 chemos it is a difficult choice. It depends on your risk of spread. I had 2 tumours, but apparently as my sentinel nodes were clear  my risk of spread is small. I have only been offered 4 chemo treatments, but will be on herceptin for a year. I think I  am happy with 4 as a precaution.

  • Melrosemelrose
    Melrosemelrose Member Posts: 3,018
    edited September 2012

    Itsalltemporary & Virginiab- I am 5 weeks PFC after 6 rounds of Cytoxan/Taxotere.  I am participating in the Herceptin B-47 clinical trial which chemo protocal is 6 rounds.  I also knew before I volunteered for the clinical trial that I would be having 6 rounds of chemo.  So the idea of having just 4 rounds was not in the picture for me.  No matter what, I just wanted to do whatever I had to do to make sure the big nasty was truly gone and not lurking or travelling somewhere in my body.  Yes, I know it may feel like everyone else will be done and finished by the time you complete the 6 rounds but it has turned out not the case with me.  The women I started out with in chemo that are on different regimens are just now getting their last treatments of Taxol/Taxotere.  Once you've had the 3rd round of chemo, you are on the downhill side of your time in chemoland.  It means only 3 left, then 2 left and then only 1 left.   Patience, my friends..... patience.   FYI:  My hair fuzz started to make its comeback after the 4th round; it tried again after the 5th round and really made a big effort 3 weeks after my final chemo.  It was like my hair follicles said " Now is our time to blossom and comeback since we don't have to contend with that chemo anymore!"

    Wishing minimal side effects and easy times in the chemo chair!!!

  • emilybrooke
    emilybrooke Member Posts: 98
    edited September 2012

    Good Morning everyone -

    Life I am sending you the biggest {{HUG}} I can. I hope you allowed yourself to cry and that you are feeling better this morning. This disease does take a tremendous amount of energy, spirit, and hope out you at times but it cannot take away all that you have accomplished before it and all that you will do after it. You've been a huge support for so many of us, with the right words or advice and know we are behind you!

    About these menopause symptoms -I have some hot/cold flashes and I sweat occasionally at night. I'm 31 and going on 6 weeks w/o getting my period. I recall at one point the doctor saying that the drugs could put my body into menopause but I am unsure if this is what it actually occuring now. I will definitely be asking the onc about this later in the week when I see her to get my clearance to begin Taxol on Monday.

  • _Ann_
    _Ann_ Member Posts: 769
    edited September 2012

    Question for the Taxol veterans-- do you still have to get a blood draw before each infusion?

    Going for my pre-AC#4 blood draw today.  I'm so sick of being stuck with needles!  It's tough to even get myself to get in the car and go.  The thought of 12 weekly blood draws and infusions is pretty daunting, even without Neulasta (was told I won't need that with Taxol).

  • stride
    stride Member Posts: 470
    edited September 2012

    itsalltemporary: I'm in the fourth round of six of TAC. Fifth is next week. So I'll still be lurking around the chemo boards for a little longer. Is anyone starting to feel muscle burning/fatigue? This started for me just a little bit here and there at the end of the third cycle. Still not terrible, but I'm really worried about what condition I'll be in after the last two treatments.

    I've been having what I think are allergy symptoms. Itchy eyes, watery nose. Onco nurse said chemo can create allergies in people who have never had them. It's amazing what this stuff does. Fortunately, it also kills cancer.

    Lifeonitsside, you sound like a very strong person to have made it through all of those challenges. You're kind of inspirational, really.

  • SusanHG123
    SusanHG123 Member Posts: 414
    edited September 2012

    Yesterday was my day to cry all day, want to stick a fork in my eye, and call it done. Today is better. A smidge. This #%&%& takes everything and then some. I know all any of us do is live the day-to-day cancer train. 

    I was not offered 4 versus 6 of AC. Was told 4 AC followed my 4 dose dense taxol every other week, The weeks I have Taxol will also have herceptin. The alternate weeks will also have herceptin. Then will have herceptin every 3 weeks to reach 52 weeks. Then who knows what. Know surgery, another drug, and 33 rounds of radiation await being punched on my train ticket.

    My feet and ankles are swollen. Blisters in my mouth and down. My finger tips are peeling and swollen as are toes and feet. As an old peds nurse--yes I have hoof and mouth disease.  

    Another MUGA scan Thursday morning, another MRI Friday morning, meeting with breast surgeon Friday @ noon.

    To each-sweet dreams.  

  • mamabr
    mamabr Member Posts: 83
    edited September 2012

    I hope you are feeling better Lifeonitsside. I don't know what to say except I feel for everyone when we are having the hard days....and we all have our hard days and weeks. When I had my blood drawn today there was a man there I recognized. I thought he was one of my daughter's old soccer coaches. But then I remembered I recognized him because I saw him when he was doing his chemo training. I remember thinking that day (chemo training day) really sucked (amoung other days). When I saw him that day, I remember thinking what a sucky day it must be for him too. Everything was so scary on that day.... Now I was seeing him getting all hooked up with the chemo bags, his mom with him. I felt like holding out my hand, to say I know, I know this really sucks. But, of course, I didn't....that would have been awkward and he would think I was off my rocker. I just smiled...maybe next time I'll talk to him. When I see everyone in the room I just wonder about their stories. Everyone seems so nice and I know they all have a story. Anyways.....best wishes to everyone!

  • roadwarrior28
    roadwarrior28 Member Posts: 301
    edited September 2012

    Hi all. I'm starting Taxol Friday and I'm a nervous wreck. I'm done so well with AC and had no side effects other than hair loss really, and for some reason I'm terrified of Taxol. I feel like I'll have a panic attack in the chemo chair. Making matters worse I have to be there at 8 to meet with my onc but chemo doesn't start till 12...all that time to think about it...

  • Maddie57
    Maddie57 Member Posts: 296
    edited September 2012

    Hi Susan HG - you have a tough regime!! I am so sorry about the sores, digits and ankles - that would be enough to make anyone depressed!! Hang in there - big hug from me.

    Stride- I noticed the muscle burning in my thighs after cycle 2 - only occasionally and not too bad. Only have my third one Monday, so will let you know. My fingers and toes are now almost permanently slightly numb right at the ends whereas before it came and went. Can't say it is sore - just weird. I have read the runny nose is caused by the hairs thinning in your nose, and the runny eyes are because of the eyelashes thinning. Apparently if you use an earbud, and coat the inside of your nose with vaseline it stops the allergen touching the mucous membranes. Some hayfever sufferers also coat the eyelash line. Hope this helps you.

    Ann - you will always have bloods taken before your chemo. It's a wonder we have any blood left!! They have to check your platelets and white cells etc are normal enough for your body to withstand a dose of chemo. If they didn't do this the chemo dose could kill you or make you seriously ill.

    Roadwarrior- as you have done so well on the AC I am sure you will do equally well on the Taxol. Most of us who have suffered with Taxol or Tamoxifen seem to have suffered with terrible joint pains. You look young and gorgeous, and I don't think this will be an issue for you. The neuropathy is a different matter. I only have it very slightly so far - not enough to worry me as I told Stride- maybe it will get worse I don't know. We are all so different. I wish I could be there for your first treatment to give you some support. My sister goes with me for my chemo treatments- is there anyone to go with you? Let us know how it goes- big hug !!!

  • roadwarrior28
    roadwarrior28 Member Posts: 301
    edited September 2012

    Thanks Maddie57! My husband goes with me to every treatment and works out of the chemo room :) All the nurses and staff are so accomodating there and always wheel in a table for his laptop. 

    I have had bone pain from the Neulasta shot but it usually goes away after a day or two. I'm actually wondering if that shot is even necessary with Taxol - will ask my onc. As far as neuropathy, I've been "dousing" myself with vitamins B6 and B12 in hopes of preventing it. Will have to wait and see I guess... 

  • Maddie57
    Maddie57 Member Posts: 296
    edited September 2012

    Hi Roadwarrior- is the Neulasta shot the one to encourage your white blood cells. They call it something different here. If so- the onc was not sure when I had my first reaction if it was the Taxotere or the injection to encourage white blood cells. She lowered my dose of Taxotere, so she would not have to give me that injection- just in case it was the culprit. She said with the lower dose it was not necessary,so it is worth asking about it.

  • roadwarrior28
    roadwarrior28 Member Posts: 301
    edited September 2012

    Yes, Neulasta is for white blood cells and I always feel the pain right around my marrow bone. Usually when I go in for the next treatment, my white blood cell count is twice the normal limit. 

  • boobzilla
    boobzilla Member Posts: 58
    edited September 2012

    Stride, I am on TAC-4th treatment will be September 20, and every 3 weeks, neoadjuvant before surgery. Before next treatment I will see breast surgeon for check in.   My least favorite SE is the mental fog and exhaustion, which for me lasts about 4-6 days or so. I said from the beginning I would not let my weight drop,as my Oncologist and Nurse Pract emphasized that nutrition, caloric intake, and filtering toxins out of kidneys and blood as the chemo runs through, were of utmost importance. So, though my taste buds are slightly affected, as is my sense of smell (like a spidey sense!), my appetite is good and I continue to eat everything I was eating before.  Recently I didn't want to eat anything 'smokey'.  I did get tired of plain water pretty quick, but I just mixed in a shot of apple, cranberry juice, or gatorade or other drinks to mix it up. It definitely feels like my side effects are dragging a bit longer than they were earlier on, which the doctor said may happen (cumulative), but I take good care of my skin scalp, and overall mental well being (besides the occasional breakdown of course) , by staying as active as I can (friends, social functions, time spent with wife, and just good 'ol stress relief). Monday, for the first time in years I got out my Tennis racuet from High School and hit for 20 min or so with my wife. I had cleared it with doctor during last chemo, and as long as I don't overdo it they said it was good for me. I get my treatments Thursdays and Neulasta shot Friday, and then am quite annihilated for 5-6 days between all the digestive (I get constipated) and other lovely side effects. This past Saturday I went to a pro Baseball game and Sunday to a good friend's baby shower. So the Monday I went back to work I was a little tired (I go out for 11 days for treatment and recovery and then go back to work for 7 days before next treatment).  But the work and its regular stressors have helped keep my mind sharp and engaged in my 'professional' life as much as possible, which for me has helped tremendously. 

     I just want this thing to shrink enough to get it out of me, and then start the next phase (radiation)....ugh.

  • _Ann_
    _Ann_ Member Posts: 769
    edited September 2012

    Maddie57, thanks for the reply re blood draws.  I tell myself it's silly to spend time dreading something that only hurts for less than a second, so maybe I'll get over it.  Asked for the smaller (butterfly) needle yesterday, took a xanax prior, but it still hurt.

    Roadwarrior, I'm hoping for a good Taxol experience for you.  It's scary starting a new drug once you've gotten used to the old one.  Fear of the unknown and all.   

    I think I was told I will not have the standing order for Neulasta with Taxol. 

  • boobzilla
    boobzilla Member Posts: 58
    edited September 2012

    Life-I had a day like that a few days ago, and yesterday....feels like an asteroid hit you. The combo of all you 'were' (and still are!), and the strength with which you will emerge will build the bridge out of this for you. Sometimes we have to cry this out-moodswings and all. Feels like we're nuts when it 'comes on' and won't let go until its out. So unpredictable sometimes, but it too shall pass. Keep smiling and staying creative to keep that brain moving:) Big hugs and smiles to everyone on this complicated inner missions.

  • Maddie57
    Maddie57 Member Posts: 296
    edited September 2012

    Hi Ann,

    There is a spray and cream which numbs the skin - Emla. The cream takes an hour to work, but the spray is instant, so that would be your best bet. They must have some, as they put it on children. Ask them to put some on the skin before your injection. You have enough to contend with without worrying about the blood test. Who cares what the staff think - needles are obviously something that cause you a lot of stress. 

  • emilybrooke
    emilybrooke Member Posts: 98
    edited September 2012

    Road my onc told me that once I start Taxol (next Monday) I will probably only get the Neulasta shot for every other treatment. She explained that Taxol does not effect the WBC as much as AC did. I am definitely going to double check this info with her on Monday. My feelings are similar to yours - my onc said I had an "Easy" time with AC so the prospect of Taxol has my head imagining all kinds of crazy things.

    Susan I am not sure if I've mentioned this before - sorry chemobrain here- but you and I appear to be on the same treatment plan dose dense 4 AC , 4 Taxol with Herceptin every week for eight weeks of Taxol then switch to Herceptin every 3 weeks for the year. I went for my muga scan today in prep for Herceptin.

  • Madelyn
    Madelyn Member Posts: 93
    edited September 2012

    Lifeonitsside-I pray things get better for you.  I'm so sorry for all that is compounding in your life right now.

    Roadwarrior and Emilybrooke- It's crazy as everyone says Taxol is easier but somehow I was sooo nervous before it.  It could be that we were used to AC and now we have to get used to something else.  I just had my #2 Taxol treatment this morning.  The benedryll knocks you on your butt.  This is definitely not the chemo treatment to drive yourself ...you will need someone to drive you.  I started at 10:00am I was out by 12:30.  The first Taxol treatment will be longer as there can be some allergic reactions, they will monitor you very closely.  I did not have any reactions.  

    I do not have herceptin, just taxol.  

    You get more steroids administered with Taxol than you do with AC.  Last week I was alphabetizing the spice rack again, and cleaning the basement.  

    You come home and sleep because of the benedryl.  And BTW when they administer the benedryl, you might get a littlke Restless Leg attack.  I remember TellBallMoM saying her left leg twitched and was uncomfortable-same thing with me.  You just have a hard time getting comfortable in the big girl chair as you get very sleepy.  Right now the benedryll has worn off and I feel fine.  I know I will take Ativan tonight to help fall asleep.  Maybe some tossing and turning but fine.

    Friday the steroids will wear off but I will not have the "down" day like AC--THIS IS SO MUCH BETTER THAN AC!!!!!!! 

    Nails are another concern on Taxol.  I just use Sally Hansen "Hard as Nails" everyday.  No problems yet.

    I did tell my MO that I feel the "Restless Leg" at night, not srong but mildly...she said no holding anything cold or hot.  When the weather gets colder wear gloves outside.  Keep slippers outside the bathroom as to not walk on cold bathroom floors.  Any hot and cold sensations aggravate nerves in our hands and feet.

    I am going to the acupuncturist next week ..I'll let you know how that goes.

    Every minute is a little bit closer to the finish line...

    Madelyn 

    I said it before and I'll say it again...a little restless leg is soooo much better than the "crap queasy half speed mack truck hitting feeling" of AC. 

  • Lifeonitsside
    Lifeonitsside Member Posts: 250
    edited September 2012

    Went to the support group at WeSPARK today and feel so much better now. Tara, the facilitator, was great at putting my crazy anxiety and emotions into perspective without diminishing them. She gave me some good advice on how to approach my DBF about a few things I need from him at this point due to my neediness from my treatment. And... I actually got a wig from them. It's actually very cute - short and sassy, just the way I like my hair. It's kind of sandy blonde, which is weird cuz I've been coloring my hai black for the past few years. Gonna spring it on my BF tonight. He told me a whiles ago he thinks wigs are sexy so we'll see...



    Thanks for all the love these past few days. Been a huge help.

  • stride
    stride Member Posts: 470
    edited September 2012

    Boobzilla, sounds like you're doing pretty well with this. Staying active now will definitely help later. But tennis, that's great! I'm mostly just walking and doing some easy calisthenics. My chemo is neoadjuvant too, and the tumor has already shrunk by more than half. 

    Your work schedule sounds really good. How did you work that out with your employer? Do you have to take unpaid leave for those 11 days?

    I'm burning through sick and vacation time pretty quickly, and I'm probably going to have to request unpaid FMLA leave if this fatigue continues. I get chemo on Wednesdays and take the Wednesday-Friday off. I try to work from home the following Monday-Wednesday, but those days are rough and I'm not very productive. Occasionally I have to hand stuff off to coworkers, which I feel really bad about.

    Today I went to work in the morning and just hit a wall. It was surprising and frustrating because I'm mid-cycle. But I was so tired, sore and drippy I thought I might be coming down with a cold or flu. So I came home at lunch, napped for two hours and then worked from home. My bosses will give me that flexibility every once in awhile, but this cannot be a regular pattern.

    In the very first week I went to work on the Friday after chemo, day 3 in the cycle. I can't imagine trying that now. How the heck do some people have chemo and then just go to work later that day? I can't even relate to that.

    Maddie57, thanks for the vaseline tip. I'm going to have to try that. These allergies, or whatever they are, tend to be worst in the middle and end of each cycle, which I don't understand. There must be something in the chemo, or maybe the steroids, that treats the allergies, and then the symptoms return.

    Ann, do they take a lot of blood? For me the blood tests are just a pinprick in the finger. They shouldn't need much for a blood cell count. 

  • _Ann_
    _Ann_ Member Posts: 769
    edited September 2012

    stride, they take 2 vials every time from me.  They do a complete blood panel, not just the white cell count.  I've never had a finger prick test from a lab.  It's always at least one vial. 

  • teeballmom
    teeballmom Member Posts: 322
    edited September 2012

    Road warrior: I remember being so worried about my forts Taxol/Herceptin that I had made myself nauseated before I walked in the cancer center's front door. As Madelyn mentioned I got restless leg syndrome during the Benadryl the first time. What they did yesterday is increased the nfusuin time from 30 minutes to 45 minutes and it helped a lot. Thank goodness. With my Taxol I get a bag with 50 mg of Benadryl combined with decadron then when that is done they give me a bag go Zantac. I am in and out of sleep but never completely out of it (at least yesterday I wasn't). I was listening to an older man's conversation with another patient and he had such a calming voice I was enjoying his voice. Very interesting since I thought I was only among a few that no linger plan for the future and just live day by day. This man does the same thing but he said it in such an eloquent way. Come to find out he was a Humanities Professor years ago. I can just imagine listening to a voice like that in class. It would have lulled me to sleep every day. Anyway, this Taxol/Herceptin ionfusion went well except I am now anemic. The ONC does not want me to get my transfusion so I am being recommended to drink homemade bone marrow beef soup and eat more of my grass fed organic beef we have on hand. I'll do anything except eat liver to get this rbc counts up.



    Madelyn: I had the Japanese acupuncture last Friday. I felt so good afterwards but will need to save up if I want to go again. $90 for each visit is not doable right now. Lots of school expenses for our little ones already.



    Good luck to everyone receiving treatment this week and no/minimal side effects.



    Take care.

  • cvmarilyn
    cvmarilyn Member Posts: 179
    edited September 2012

    I told my oncoloist about the Stand Up to Cancer thing and he told me I do not have permission to check an web sites except for Travelocity and Expedia :)  I like him.  For all that each of us is going through the important thing to remember is that it will hit each of us differently and we will each have our outcomes.  It's good to share but we have to remember to keep things in perspective.

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