Loretta came from a shelter in Texas. SAFE Now Animal Rescue saved Loretta from that shelter in February 2020. On the way up to Illinois, they stopped in Oklahoma where Loretta had 8 puppies in the hotel bathroom (she originally had 11, but 3 didn’t make it). Once the puppies were adopted, Loretta was spayed, and then the rescue noticed that she was limping on her left rear leg. Sure enough, she tore the cranial cruciate ligament. With the foster owner being close friends with Dr. Dave and Amber Ihrke, Loretta was brought to Colonial Manor Animal Hospital on May 20, 2020, for a TPLO on her L stifle.
I met her on May 21, 2020 when she was staying in the clinic after her surgery. She was being fostered at the time, and because I fell in love with her the first second I saw her, I knew I wanted to try to adopt her. I had been looking to adopt a dog for almost a year at that point, but never found a dog that would be a good fit for the household, until Loretta. Working for IPC, I knew I was a good owner for her because I knew exactly how to care for her post-op as well as later in her life if her mobility was affected from arthritis, and I knew she would be a good fit for my family because of how sweet she is. Dr. Dave at CMAH talked to the foster owner and the rescue owner about a me being interested in adopting her when they came to pick her up on May 22, 2020. I then adopted Loretta on May 27, 2020.
Since being adopted and completing her treatment plan, Loretta is back to completely normal mobility, loves to runIMG_2441 around the yard, watch all the squirrels, clean up any and all food-related messes on the floor, and her favorite thing to do is cuddle as close to you as possible getting as much love as she can! With the resources at IPC and the ability to bring her and work on her every day, Loretta was able to recover quickly and smoothly, and now she loves coming to work with me and saying hi to all of her friends to get as much attention as possible from everyone.
Loretta is a wonderful patient! She never complains about anything, she recovered perfectly from her TPLO, and she loves to see us! She is the friendliest, happiest dog. It is always a joy to see her walking around the clinic and to see how well she is doing with her mobility and health. We love having her around!
Dr. Dave, Colonial Manor Animal Hospital
Loretta came to us from SafeNow rescue after cranial cruciate repair. She immediately won the hearts of the entire IPC team, especially Michelle, who was her primary therapist. Michelle worked with Loretta nearly every session and she had profound improvement in her weight-bearing and mobility after surgery. In the end, Michelle decided to adopt Loretta and give her a forever home…a very happy ending.
Dr. Amber Ihrke, Loretta’s IPC veterinarian
What can I say about Loretta? I love her!!!! She is always so excited to be here and work with us. After recovering from her TPLO surgery, she has been a great demo dog for teaching new technicians and interns about rehab or to practicing restraint techniques. She is very happy to do anything for food and attention and is especially good at cleaning up all the crumbs of treats on the floor at the end of the day. She is like a celebrity when she walks into the building! We all look forward to seeing her!
Katie, Loretta’s IPC Therapist
Each month we ask our POTM to choose an organization to share that is close to their heart. This month Loretta’s family has selected SAFE Now Animal Rescue, who rescued Loretta!
We’re an Animal Rescue & Foster group that is dedicated to Saving Animals From Euthanasia Now. We are an all volunteer animal rescue and adoption organization based in Manhattan, Il. We are dedicated to providing humane care and shelter for abandoned, abused, and unwanted animals. We get dogs with no options and help them find their own family. Some of the dogs come from shelters, others are from owners who have found themselves unable to care for a loved pet. Unfortunately, there are so many animals that need help that we have almost always been operating at capacity. Our hope is to grow and save more dogs. Finding the animals suitable new homes and increasing public awareness of the responsibilities of pet ownership are our main goals.
Meet our March Patient Of The Month, Dee, who practically grew up in our clinic because her mom was an employee! Since Dee was friendly and always around, she was often used to train new therapists and demonstrate new techniques. As she got older, she unfortunately developed back and elbow issues, but they were successfully managed because of her regular therapy sessions which consisted of underwater treadmill, exercise, massage, and laser.
Last spring she decided to up the ante and injure her knee. On examination, Dr. Martin suspected a partial CCL tear, so off to the surgeon she went. Her surgery was postponed due to other health issues, so pre-hab therapies such as exercise, massage, laser and acupuncture were started to manage pain and strengthen her other limbs. She eventually had a Tibial Plateau Leveling Osteotomy (TPLO) in November 2019, performed by Dr. David Wilson at Blue Pearl Pet Hospital.
“Dee was always so patient with me when I started training at IPC. She allowed me to practice my exercise and massage techniques and was always willing to give me lots of kisses! It was an honor to treat her post TPLO surgery and I am so proud of how far she’s progressed since starting the program! I am still seeing improvements with her and am excited to see how much stronger she gets; no more injuries though!” -Rika, Dee’s primary therapist
Massage, laser, Assisi Loop treatments, and lots and lots of icing were started immediately following surgery to reduce inflammation, swelling at the surgical site and manage her pain. Due to her conformation, the repair angle was steep, so she was put on extra restriction- which she fortunately didn’t mind.
One month post-op, her team felt she ready to start active therapies to help regain muscle mass, so she progressed to underwater treadmill and therapeutic exercise. While Dee isn’t the biggest fan of the underwater treadmill, she can be bribed to stay up front with peanut butter. Three months later, Dee was given the clearance by Dr. Wilson to return to normal activity! The collaboration and open communication between her surgeon and rehab team contributed greatly to her successful recovery.
“Dee is a treasure who was my first patient at IPC! She has always been a bit of an overachiever when it comes to hurting herself, so she keeps us busy! Dee never fails to make us laugh- we love her so much” -Dr. Kelli Martin
Dee was as adopted as a puppy after her foster parents knew they couldn’t let her go. Her daily life involves stalking her cat siblings, wuh-wuhing for food, cuddling and being the laziest pit bull around. She recently started competing in Nosework competitions, which has helped keep her mind active while recovering. Dee can’t wait to go on pack walks in the spring and thanks to her therapy, she’ll be able to keep up with her buds!
“I am incredibly grateful for the amazing care Dee has received over the years as I was fortunate to have the best rehab team at my disposal. I can’t imagine what her mobility would look like without them- they are simply the best!” -Liz
Make A Difference
Each month we ask our POTM to choose an animal related organization to spotlight during his or her “reign”. Dee’s family has asked us to tell you about CRISP.
Chicagoland Rescue Intervention and Support Program (“CRISP”) provides low or no-cost services to help Chicago pet owners keep their pets rather than surrendering them to the city shelter. If pets cannot be kept by their owners, then CRISP will network to help place them immediately with a rescue group or no-kill shelter to bypass the city shelter completely.
After having surgery to repair a torn cranial cruciate ligament (CCL) in September 2018, Finn was referred to us by his primary care veterinarian. He had an evaluation where it was noted that he was painful, barely placing weight on his leg and had lost a significant amount of muscle. Finn completed 8 weeks of rehabilitation, but showed only slight improvement and began to show neurological signs. He was referred to a neurologist, who determined that he actually had a torn meniscus.
Finn went back to his veterinarian who repaired the tear, but he unfortunately did not improve. Finally we referred him to Dr. David Wilson, DVM, DACVS-SA at Blue Pearl Pet Hospital to remove his hardware and revise the surgery in May.
Finn came back for a recheck in August and he had improved greatly. After 4 weeks of twice weekly therapies, Finn showed incredible progress and was able to wean off his pain medications. After 8 weeks he looked so good that he was able to graduate to a more maintenance level of once weekly therapies consisting of underwater treadmill and exercise/massage/laser!
“Finn is one of my favorite patients and it feels so great to see the improvement he’s made over the past year. It’s awesome to see him back to being his old goofy self!” -Renee, one of Finn’s therapists
Finn was adopted from Chicago Canine Rescue in 2012 when Maria and her family were looking to add a family member after losing their previous dog. Maria quickly fell in love with “Brownie” who was listed as a small dog. 7 years later, the small, timid dog named Brownie is now a 115 lb, outgoing dog named Finn.
“After a year, 3 surgeries and many therapy sessions, Finn is pain free, medication free and running and jumping just like his old self! Finn boards on his therapy days and when I come to pick him up he does not want to leave! Special shout out to the Patient Service Coordinators for the tremendous welcome that he always gets. That’s why IPC, you are ALL AMAZING!” -Maria, Finn’s dedicated mom
“A day in the life of Finn….Wake up on the couch…go lay on the deck….chase the squirrels (been a while since he has been able to do that. He actually caught one the other day, I am sorry to say)….go potty…back to laying on the deck…eat breakfast…go in the house to lay on his chair by the window…bark at every dog that walks down the street…either sleep on that chair or get in the car and go to therapy and have the best day…eat dinner…have a couple treats…lay on the deck…go for a walk….lay on his bed waiting for me to go up to bed so he can have the couch…to go to sleep for the night”
Make A Difference
Each month we ask our POTM to choose an animal related organization to spotlight during his or her “reign”. Finn has asked us to tell you about the organization that saved his life, Chicago Canine Rescue.
Chicago Canine Rescue Foundation exists to give many of these animals a second chance at a forever family. We love the underdog!
Meet the fantastic French Bulldog pair, Beau Jangles & Coco Chanel. These two seem to capture everyone’s hearts wherever they go and IPC is no exception. They are so popular that therapists Katie, Tiffany and Michelle “fight” over who gets to see them!
Beau Jangles came to us with left rear lameness. It was determined that the cause was cranial cruciate disease and medial patellar luxation which would require surgery to correct. Beau had a tibial plateau leveling osteotomy (TPLO) surgery and started therapy within days. He did excellent with his treatment program and was back to almost full weight bearing within eight weeks!
Coco was diagnosed with bilateral hip dysplasia. While rehabilitation cannot reverse hip dysplasia and osteoarthritis, targeted therapy can address pain, compensatory issues and improve gait biomechanics. Coco was prescribed weekly sessions of underwater treadmill, therapeutic laser, massage, therapeutic exercises and Adequan injections. After an eight week program, she was not only more comfortable, but was able to go on 20 minute walks with only occasional lameness.
“It was amazing to see how fast Beau recovered from his TPLO surgery with rehab, and even though Coco’s hips are terrible on x-ray, you would never tell by looking at her since she runs around like a maniac!” – Michelle, BS, CVT
“The day they successfully completed their rehabilitation programs was the happiest and most devastating day for us. We were all excited that they were back to normal function, but also sad that they wouldn’t be able to see them weekly anymore! We are all counting the days until their 30 day rechecks” -Tiffany, CCRA
Kris brought Coco home after losing her beloved Boston Terrier, Gizmo. Despite her initial sweet demeanor, Coco went from cute and cuddly to a fun loving and crazy girl within the first couple months. Later, Kris decided that Coco needed a friend and brought Beau home who has been calm and loving since he was a puppy. “Although Beau can give Coco a run for her money, she is the alpha dog who demands all the toys to be her own”. -Kris
After Coco was diagnosed with hip dysplasia, I was looking for alternative care and got very excited with all that IPC has to offer, especially in terms of pain management. These are all the things I would absolutely and do for myself, so having it available for my beloved dogs is fantastic! -Kris
Beau and Coco have since graduated from their formal programs, but their home exercise programs are crucial to their continual success. “Their mom does great with their home programs, which is hard with one dog let alone two!” -Katie, CVT, CCRVN, CVPP
Everyone treated us like we were their most important clients. When Dr. Amber got right on the floor with Beau instead of putting him on a cold metal table, I knew I made the right choice. Her clothes were even covered in fur from her other patients which showed me that she cared- that meant the world to me.
According to Watson’s mom Kirsten, September 6, 2008 was the BEST DAY EVER! She met Watson at an animal shelter who was shy and nervous initially, but quickly warmed up to play with his new Golden Retriever brother Dylan. Once he successfully completed puppy training, it was recommended they get involved in dog sports like agility. He started training with Hawk City K9 in early 2009 which helped reinforce their training in a fun way and made them more of a team. They caught the agility bug and started competing in agility in 2015 and will compete in his first scent work competition shortly!
We started with IPC as Watson was getting older and I wanted to help maintain his strength and stamina. IPC came highly recommended for conditioning and we had come to know some from the team through agility and scent work. From our first go-round for conditioning, Watson was stronger and able to play longer and run faster. He also recovered faster from a busy weekend with less soreness.” -Kirsten
Unfortunately Watty tore his cranial cruciate ligament (CCL) which required a Tibial Plateau Leveling Osteotomy (TPLO) surgery in November 2018. He met with Dr. Deanne Zenoni and Laura who created a plan which included underwater treadmill, laser, massage, exercise, and chiropractic sessions.
“I trust the team to help keep Watty safe while recovering and rebuilding strength. During recovery, sessions were a stress-free happy break from our otherwise restricted recovery time at home. And he LOOOOVES his IPC team. As we continue to rebuild/maintain, IPC helps push us to new challenges. Watson’s “creative” mind loves new challenges (which sometimes includes finding new ways to cheat) but his therapists have his number.” -Kirsten
Watson was a pro at all his therapies and progressed quickly. He still continues coming for maintenance therapy since graduating from his formal program in February.
Watson enjoys sleeping-in and will abandon his bed only once he hears the sweet sound kibble in his bowl. He keeps an eye on the house and hood most of the day. He enjoys long walks reading the neighborhood paper (sniffing every tree, leaf, blade of grass, crack in the sidewalk, person walking by… ). Weekend morning walks were made for walks at the convergence of smells from at least 2 brunch spots at his favorite park.
While Watson is a master napper, he loves finding ways to get treats through his at-home exercises and learning new tricks that support his rehab.
Make a difference!
Each month we ask our POTM to choose an animal related organization to spotlight during his or her “reign”. In honor of his late brother Dylan, Watson has asked us to tell you about Charge Against Cancer.
When the Stroup’s became empty nesters, they decided a companion animal would be a great additional their family, specifically a beagle. Buddy came from a reputable breeder in 2009 who had already socialized him with cats and children. He was a healthy dog until he tore both of his cranial cruciate ligaments (CCLs). Integrative Pet Care’s services were recommended by his surgeon at MedVet Chicago to speed up his recovery.
“We first met Buddy in early October 2018 following a tibial plateau leveling osteotomy (TPLO) procedure on his left rear leg. As he would also require another TPLO on the right side, it was advised he begin a rehabilitation program with weight loss in order to achieve the most successful outcome possible. Despite some residual post-operative stifle edema (swelling) and areas of discomfort elsewhere on his body due to the changes in his bio-mechanics, Buddy always seemed pretty happy to come in for his rehab visits!” -Dr. Melissa Trupia
After his second surgery, Buddy was prescribed an 8 week treatment plan which included therapeutic laser, massage, dry-needling, manual therapy, underwater treadmill, and therapeutic exercises. “Buddy came in after each of his knee surgeries which were performed roughly a month apart with significant bruising, swelling, and heat present at his knees. Laser therapy was performed at his first visit and significant improvements observed by his owners and therapists. At his second visit, there was a significant decrease in heat, swelling, and bruising leading me to term him the ‘laser poster dog.’ -Tiffany, Buddy’s main therapist
“After completing his formal treatment plan, Buddy continued with a maintenance plan to continue working on his sit posture, strengthening his rear limbs and improving his overall mobility during walks. Buddy is now walking around without showing signs of pain or discomfort in his rear limbs.” -Valerie
The staff at IPC has been informative and caring and Buddy gets excited when we are driving there!
Ernie first had a Tibial Plateau Leveling Osteotomy (TPLO) surgery to correct his left torn cranial cruciate ligament (CCL) in January 2017. Unfortunately, he needed to have the plate removed the following November. One month later, his mom Dr. Katie Simpson scheduled an evaluation at Integrative Pet Care. Dr. Simpson is the Internal Medicine veterinarian on staff at Premier Veterinary Group, so she knew what an important part rehabilitation would play in his recovery
Ernie met with Dr. Megan Ridley who devised a custom program that included pain management modalities such as laser, massage and acupuncture as well as strengthening therapies like underwater treadmill and exercise. At the time it was suspected that Ernie had a right CCL tear, which would also be monitored.
Ernie did great with all of his therapies and formed a special bond with his therapist Lindsey. “I’m pretty sure Ernie thinks he just comes to IPC to snuggle with his girlfriends. He has the best attitude and is always willing to do what you ask of him, but if you give him half a chance he’ll be curled up in your lap without a second thought!”
Last August he developed joint fluid around his knee, which has since decreased. Most recently Ernie went back to surgery for a TPLO on his right knee. He came back to IPC immediately after and his recovery has gone smoothly. He started off with massage, laser, and acupuncture. Underwater treadmill was just added back in and he’s doing great in it! Despite Ernie’s multiple surgeries and long road to recovery, he has remained the sweet, goofy guy that he has always been.
Ernie’s typical day involves sleeping in, belly rubs, naps and more naps, and his favorite activity is playing in the snow!
“I chose IPC because of their great reputation and the friendly atmosphere.” -Dr. Simpson
Make a difference!
Each month we ask our POTM to choose an animal related organization to spotlight during his or her “reign”. Ernie has asked us to tell you about Bialy’s Wellness Foundation.
“Bialy’s Wellness Foundation helps families and rescue organizations care for pets with special needs, particularly those with mobility issues from paralysis, amputation, neurological or birth defects, and other diagnosed ailments.”
We met Grace two weeks after having a Tibial Plateau Leveling Osteotomy (TPLO) surgery in June to repair a torn cranial cruciate ligament (CCL). She had been an incredibly active dog her entire life, so her parents were ready and willing to get her back into shape. They had previously been to IPC with another dog, so they knew it was the place to go!
An eight week custom rehab plan was created by Dr. Megan Ridley which started with massage and laser to reduce inflammation and swelling. Grace and her brothers had always competed in agility and swimming was a favorite activity, so it was a happy day for all when she was given the clearance to start the underwater treadmill! Since her parents were so diligent with home exercise, massage, and restriction, Grace looked better and better every week.
“IPC has been extremely beneficial in getting her back to her normal self in a relatively short period of time.” -Grace’s dad Andy
Andy also gave us a glimpse into her daily life: “Her day begins with a long walk around the neighborhood, then back home for breakfast, which she’s usually barking at me because I’m either doing it wrong or not making it fast enough. While I’m at work she spends most of the day sleeping and resting up for our nightly adventures which include trips to Begyle Brewing where her mom works, or to other restaurant or tavern patios in the neighborhood. She is more than happy to roll over on her back for belly rubs and/or squinting her eyes when she sees someone she knows and really likes, especially all her girlfriends at IPC: Caitlin, Liz, Lindsey, Erin, Renee, Sarah, and Hannah (to name a few).”
“I am always greeted with a goofy grin, squinted eyes and a happy tail which keeps wagging throughout her entire appointment. Grace and her parents are a pleasure to work with!” -Lindsey, CCRA, CCMT
Make a difference!
Each month we ask our POTM to choose an animal related organization to spotlight during his or her “reign”. Grace would like to give a shout out to As Good As Gold.
As Good as Gold – Golden Retriever Rescue of Illinois is dedicated to the rescue, care and adoption of Golden Retrievers and golden mixes who are in need. In addition, As Good as Gold educates Golden Retriever guardians and the general public about the importance of spaying/neutering, positive training methods, diet and exercise, appropriate medical treatment and humane care
Integrative Pet Care was recommended by Gigi’s primary care veterinarian after she went through a series of health setbacks. She was recovering from her 2nd failed Tibial Plateau Leveling Osteotomy (TPLO) surgery on her right leg, and had a ruptured cranial cruciate ligament (CCL) on her left. She was also in the middle of treatment for Steroid-Responsive Meningitis. Gigi was limping, in pain, bloated, and had gained 10lbs from the high dose of steroids. She was grumpy all the time, had no interest in balls, which were her LIFE pre-illness and surgery.
Amy brought Gigi in for an evaluation where she met with Dr. Megan Ridley. She was prescribed a program which consisted of pain management modalities like laser and massage in the beginning, which Gigi could not get enough of! Once her pain was under control, exercise and underwater treadmill were introduced for weight loss and strengthening. Gigi has done incredibly well with her therapies and has remained stable.
IPC’s policy of allowing pet owners to attend therapy sessions and learn how to continue therapy at home from therapists was essential in Gigi’s transformation. She gets so excited to see Doris for her weekly hydrotherapy. -Amy
Since starting therapy, Gigi went from only being able to slowly walk for 3 minutes on the treadmill to walking at an incline for 20 minutes. She is so much happier and feels much more confident and strong with walking and running around. Ball is life again!
Today Gigi spends most of her day with a ball in her mouth. She loves to play fetch, tug of war, and will finally let it go to have it thrown again. Repeat a thousand times. When not playing with her ball, Gigi enjoys napping in the sun, pressing her face against the window during her neighborhood watch shifts, and manipulating people into giving her what she wants with her big sad eyes and baby like cry. She is silly, goofy, and has a way of making everyone she meets feel like the most important and exciting person in the world in that moment.” -Amy
“Amy and Gigi are such a great duo who I always look forward to working with!” -Doris, Gigi’s therapist
Make a difference!
Each month we ask our POTM to choose an animal related organization to spotlight during his or her “reign”. Gigi has asked us to tell you about CRISP.
CRISP provides free services to help Chicago pet owners keep their pets rather than surrendering them. And if we can’t help you find a way to keep your pet, our network of Chicago dog and cat lovers will help you place them immediately with a rescue group or no-kill shelter to bypass the city shelter completely.
Sasha is a 15 year old chow mix who first pranced through our doors hoping to find relief for her arthritis which was starting to slow her down about 5 years ago. She was prescribed a treatment plan which consisted of twice weekly strengthening modalities such as resistance pool and exercise, as well as acupuncture, massage and laser therapy which were used for pain management. Sasha began to improve, so she was put on a once weekly program and underwater treadmill was added.
Her mom Beth gave us history on Sasha, as well as a glimpse into her daily life: “I went to the Anti-Cruelty Society on Grand Ave. in May 2003 because they had advertised some cute puppies on the news. I told myself I wouldn’t adopt unless a dog really made an impression on my heart. When I got there, all the puppies were gone so I took a lap around all the cages. None of them seemed right for me. As I was leaving I took a look in the waiting area and spotted a lady and her son playing with a little peach fuzzball. That lady had my dog! As fate would have it, they put her back. I swooped in and took her from her cage and sat with her. She was mine from the first moment and has been my precious best friend for 15 years.
Sasha starts pacing at 6:30am which is my alarm clock. I start my coffee and line up her many pills to shove down the chute (she doesn’t fall for the “pills wrapped in something yummy trick”). She’s loaded into the wagon for a ride to the park to see her neighborhood friends. (She can’t walk to the park and back anymore so we need a little help from the wagon everyday). Once we’re done socializing and I get ready for work, she’s off to daycare (Pooch hotel) where she gladly comes to hang out with her “school friends.” She hangs there while I work. I pick her up, get her daily report and head home in time for dinner. It’s a long day for her so she snoozes most of the evening, gets endless kisses and hugs from mom, a couple chews on her beloved bully sticks, with her ice packs on her back and the Assisi loop targeted at her poor joints. Last pills of the day and off to bed.
Sasha has had joint issues, elbows and rear legs since she was 6 yrs old. She had a TPLO surgery on back right leg, cruciate ligament on left rear leg, an elbow replacement on her front right elbow and two arthroscopic procedures in her left front elbow to remove bone fragments from osteoarthritis. Needless to say my girl has had a rough go on all four legs— mobility and limited pain relief options—brought our Vet to recommend IPC. And I’m so glad she did!
With Sasha’s all four limbs being affected with stiffness and pain and her limited options with pain medications, we had to explore other ways to manage her pain and assist her with mobility so she can live her best life. Sasha immediately fell in love with Emma and will do anything she asks Sasha to do and Dr. Zenoni has given Sasha such care. Sasha has done water treadmill, laser therapy, floor exercises, laser therapy, tens machine and acupuncture. Regardless of the therapy, Sasha is willing to try it all if Emma and her I ask her to. Liver treats don’t hurt either!
IPC has been a godsend and a necessary part of her life for the last 3 years.
Sasha has beaten the odds all her life. Within a month of adopting her at 10 weeks old, she contracted parvovirus and was given a 50/50 chance of survival. It was a rough beginning but she made it through and has withstood 10 surgeries for her many joint and other ailments throughout her life. Through it all, she has faced every hurdle with bravery, sweetness and some of that Chow stubbornness. I’ve learned so much about life and myself through her eyes and in a blink 15 years has passed by. I thank God everyday that she’s my girl—I just couldn’t have pictured my life without her.”
Sasha is a special lady who I look forward to seeing every week. She has been through so much and I’m proud to be part of her team! -Emma, Sasha’s therapist
Make a difference!
Each month we ask our POTM to choose an animal related organization to spotlight during his or her “reign”. Since she is a sassy senior herself, Sasha has asked us to tell you about Young at Heart.
Young at Heart’s mission is to rescue and rehome senior dogs and cats, to educate the public on the benefits of adopting older pets and their care, and to reduce the euthanasia rate for adoptable senior pets.