You can also apply cold packs to the area you want to wax for numbing relief. This specific sound is also known as the death rattle. The lungs shut down and the brain also stops functioning. Hui D, Dev R, Bruera E. The last days of life: symptom burden and impact on nutrition and hydration in cancer patients. [5], Probably the most famous known case of adipocere is that of Scotland's Higgins brothers, murdered by their father in 1911 but whose bodies were not found until 1913. Avoid creams. 2011;6:243-59. doi:10.2147/CIA.S13109, Dzieranowski T, Ciakowska-rysz A. It happens when the hair begins to grow under your skin instead of pushing through. It's also important to notify your healthcare provider as soon as the symptoms of terminal restlessness start. Also check your genital area and between your buttocks. You can also moisten their mouth with a few drops of water from a straw or a moistened toothpaste swab (a small sponge on the end of a stick) whether they are awake or have lost consciousness. 2005 - 2023 WebMD LLC. They might also recommend an air mattress to provide additional cushioning and to help relieve pressure. [3], The degradation of adipocere continues after exhumation at the microscopic level resulting from the combination of exposure to air, handling, dissection and the enzymatic activity of microbiota. The university agreed to do so if the claimant could prove her relationship to the boys and if other relatives agreed to her plan, and the remains were eventually cremated in 2009. Explaining what is happening around them and introducing each visitor is important. When a person dies, those around them may notice that their Morphine is often included in hospice comfort kits, along with the acetaminophen suppositories mentioned above. It also suggests ways you can help your loved one cope with the final stages. After four to six hours, rigor mortis begins to spread more throughout the body. [1]: 540 The benefits of coconut, argan, tea tree and more. If you have skin care products that contain retinol or prescription retinoids, stop using them 2 to 5 days before you wax. The transformation of fats into adipocere occurs best in an environment that has high levels of moisture and an absence of oxygen, such as in wet ground or mud at the bottom of a lake or a sealed casket, and it can occur with both embalmed and untreated bodies. This is also the time when you should consider obtaining durable medical equipment, such as a hospital bed, walker, wheelchair, or bedside commode if you haven't done so already. They look like they have been glued or stuck onto the skin. If protein builds up in the heart, its hard for the heart to work properly. Guidelines of care for the management of basal cell carcinoma. Accessed Aug. 9, 2019. When healthy, most of us can cough, clear our throats, or swallow or spit out these normal secretions, but a dying person loses the ability to effectively clear them. When a person is terminally ill, they may be in hospital or receiving palliative care. Waxing rips your hair out by the roots. The hairs, nails, and teeth begin to detach very easily. Make sure you check the area under the cool compress often and remove it after 15 minutes. Honestly, most people prefer the "waxy" look to information is beneficial, we may combine your email and website usage information with What to expect when a person with cancer is nearing death. Anju Goel, MD, MPH, is a board-certified physician who specializes in public health, communicable disease, diabetes, and health policy. It measures electrical activity in your brain. Theyll put electrodes on both sides of your head. A person who is dying may seem like they are having trouble breathing. Lubricate your loved one's lips with a small amount of petroleum jelly or lip balm to prevent cracking. Alerts the public to the possibility of a blizzard, heavy snow, heavy freezing rain, or heavy sleet. U.S. National Library of Medicine MedlinePlus. WebWaxy definition: Something that is waxy looks or feels like wax. Your doctor will see if something else that seems like catatonia is the issue. Premalignant and malignant nonmelanoma skin tumors. It occurs when a person is unable to clear, Death is, of course, inevitable, but discussing it and how to face it certainly is not. From admission to death: prevalence and course of pain, agitation, and shortness of breath, and treatment of these symptoms in nursing home residents with dementia. WebThe most frequent signs and symptoms in the last 10 days before death were decrease in level of consciousness (95%), fever (88%), dysphagia (65%), seizures (65%), and headache (33%). Watching your loved one refuse food and fluids can make their impending death a reality, and the inability to show your love via food might leave you feeling helpless. Examine both the front and the back of your legs and your feet, including the soles and the spaces between your toes. An already dwindling appetite might disappear entirely as the end of life nears. https://www.nccn.org/professionals/physician_gls/default.aspx. Basal cell carcinoma is a type of skin cancer. Medications used to treat pain and shortness of breath can cause constipation. When a person's death is imminent, their breathing usually slows (or continues with Cheyne-Stokes respirations) until it finally ceases altogether. Dyspnea review for the palliative care professional: treatment goals and therapeutic options. Skincare is also vitally important during this time. 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It is accelerated by warmth, but temperature extremes impede it. Before applying wax to a larger area of skin, test the temperature on the inside of your wrist. If your loved one is breathing rapidly (more than 24 breaths per minute) and appears uncomfortable, morphine might be the recommended treatment. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. Medications they take can cause drowsiness too. In the days before a person dies, their circulation reduces so that blood is focused on their internal organs. Most of these stages are known by studying university controlled body farms used by forensic anthropologists in an attempt to further knowledge in the forensic field. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, 6 Minutes of Exercise May Protect Brain From Alzheimer's, 'Disturbing' Rate of Adverse Events During Hospital Stays. Habif's Clinical Dermatology. If you want to wax your skin from home, learn how to do it safely and lower your chances of getting an infection. Accessed Aug. 6, 2021. Talking with your loved one's doctor and knowing what to expect can help you make them as comfortable as possible during the final stages of life. Seeing this and the other changes in a loved one may be distressing. Alternate between laying them on their back and turning them on their right and left sides. Unless you previously arranged your loved one's end-of-life services, then you will also need to plan a funeral, memorial, and/or interment services in the coming days. Waxing: Whats Better for Your Skin?, Mayo Clinic: Folliculitis, Ingrown Hair.. As new cells move upward, they become flattened squamous cells, where a skin cancer called squamous cell carcinoma can occur. [9] An exposed, insect-infested body or a body in a warm environment is unlikely to form deposits of adipocere. Approximately 150,000 people die each day around the world. Dying From Dementia With Late-Stage Symptoms, Caregiving for Chronic Obstructive Pulmonary Disease (COPD), Interacting With People With Alzheimer's: What Not to Do, What Loved Ones Should Know About the End of Life, What to expect when a person with cancer is nearing death, From admission to death: prevalence and course of pain, agitation, and shortness of breath, and treatment of these symptoms in nursing home residents with dementia, Signs of imminent dying and change in symptom intensity during pharmacological treatment in dying nursing home patients: a prospective trajectory study, Treating nausea and vomiting in palliative care: a review, The occurrence and risk factors of constipation in inpatient palliative care unit patients vs. nursing home residents, The last days of life: symptom burden and impact on nutrition and hydration in cancer patients, Delirium and agitation at the end of life, Bedside clinical signs associated with impending death in patients with advanced cancer: Preliminary findings of a prospective, longitudinal cohort study, Toward the end of life: What you and your family can expect. 8. Test a small patch of skin before you wax a larger area. If the technology or DNA profile for comparison is available, DNA can also be extracted from teeth or bones for identification. Symptoms include anxiety or restlessness to varying degrees. Theyre looking to see how much resistance is in your muscles and how fast your arm will fall once they let it go. Providing care for a loved one facing a chronic or life-limiting illness or disease can be stressful and exhausting, especially as the dying process begins, but it is also the ultimate act of love. Toward the end of life: What you and your family can expect. Rigor mortis ends at the beginning of this stage and the body again becomes pliable. 2015;121(6):960-967. doi:10.1002/cncr.29048. Validation of a microsatellite marker associated to the waxy gene for the amylose content assessment in rice accessions of a Venezuelan germplasm bank/Validacion de un marcador microsatelite asociado al gen waxy para la evaluacion del contenido de amilosa en accesiones de un banco de germoplasma venezolano .. James received a Master of Library Science degree from Dominican University. 2). These changes in the skin (lesions) usually have one of the following characteristics: Make an appointment with your health care provider if you observe changes in the appearance of your skin, such as a new growth, a change in a previous growth or a recurring sore. Other causes of constipation are not enough physical activity, decreased fiber and fluid intake, and the progression of the disease. Before you wax your skin, consider these things: For the best results, follow these steps:. Deep meditation: Might it change the gut microbiome to boost health? Pain, shortness of breath, anxiety, incontinence, constipation, delirium, and restlessness are just a few signs that a loved one is going through the dying process. Be gentle, and dont scrub, or you may irritate your skin. If they have a fever, you can also dress them in a cotton T-shirt or nightgown, or a hospital gown if one is available to you. [8] Adipocerous formation preserved the left hemisphere of the brain of a 13th-century infant such that sulci, gyri, and even Nissl bodies in the motor cortex could be distinguished in the 20th century. Journal of the American Medical Directors Association. The dying process often comes into view about one to three months before death. You can also elevate their heels by placing a pillow under their ankles so the feet hang off the edge. Arsenic. This swelling of the neck and facial tissues makes the body hard to identify if it is found at this stage after death. A single copy of these materials may be reprinted for noncommercial personal use only. They are generally found on flexor surfaces, the face, and the buccal mucosa (Fig. Even with meticulous care, people can still develop them. Of the remains, teeth are the most resilient substance in the body. If the cause cannot be identified or the symptoms persist after treatment, your loved one might benefit from an anxiolytic, such as lorazepam. When someone is nearing the end of life, they experience a variety of symptoms. This is morbid but also natural. 2005 - 2023 WebMD LLC. A body is also considered to be mummified when all of the organs are gone due to the feeding insects. Let the cloth sit for 2 or 3 seconds before removing it. BMJ Support Palliat Care. 4. Fortunately, there are many medicines that can effectively manage pain. Then theyll send brief electrical pulses through your brain. ', Thanatophobia is an intense fear of one's own death or the process of dying. Examine your chest and trunk and the tops and undersides of your arms and hands. [10], Waxy substance formed by anaerobic hydrolysis of fat, "Plea to university to return bodies of murder victims", "Murdered boys' final remains laid to rest", "Histological observations on adipocere in human remains buried for 21 years at the Tomaica grave-site in Bosnia and Herzegovina", https://en.wikipedia.org/w/index.php?title=Adipocere&oldid=1108035734, Short description is different from Wikidata, Creative Commons Attribution-ShareAlike License 3.0, This page was last edited on 2 September 2022, at 05:47. This can be distressing for both you and your loved one. Reduced circulation means a dying persons skin will be cold to the touch. Journal of the American Medical Directors Association. It may be difficult to come to terms with the unavoidable fact that a persons pain levels may increase as they near death. Improving home safety often begins by rearranging your furniture and other objects to allow your loved one to move around more easily. Waxy flexibility typically responds quickly to treatment. As a dying persons energy levels are reduced, they may not want to spend as much time with other people as they once did. To provide you with the most relevant and helpful information, and understand which The epidermis and dermis had completely separated 24 d after death. Finally, as the end of life approaches, you might notice that your loved one breathes irregularly, which is referred to as Cheyne-Stokes respiration. Journal of Psychopathology: Catatonia from the first descriptions to DSM 5., Journal of Neurology, Neurosurgery & Psychiatry: Movement disorders in catatonia., The Lancet Psychiatry: Structure and neural mechanisms of catatonia., Dementia & Neuropsychologia: Catatonia, beyond a psychiatric syndrome., Journal of Neurosciences in Rural Practice: Catatonia in a patient with bipolar disorder type 1., World Journal of Psychiatry: Catatonia: Our current understanding of its diagnosis, treatment and pathophysiology., Mayo Clinic: EEG (electroencephalogram)., Encephale: Catatonia with schizophrenia: From ECT to rTMS., Neuropsychiatric Disease and Treatment: Systematic review of catatonia treatment., American Psychiatric Association: What is Electroconvulsive therapy (ECT)?, European Archives of Psychiatry and Clinical Neuroscience: Response rate of catatonia to electroconvulsive therapy and its clinical correlates., General Hospital Psychiatry: Catatonia in Resource Limited Settings: A Case Series and Treatment Protocol.. 2015;9(4):346-354. doi:10.1097/SPC.0000000000000171, Heijltjes MT, van Zuylen L, van Thiel GJ, van Delden JJ, van der Heide A. Pupils begin to dilate, unresponsive to direct light, and cloud over. 6. Clinical death arrives as the brain stops getting oxygen. At some specific time points, the structure of the skin has prominent characteristics, such as at 16 days after death. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. Youll be asleep the whole time, so it wont hurt. [3], In 1825, physician and lecturer Augustus Granville is believed to have (somewhat unwittingly) made candles from the adipocere of a mummy and used them to light the public lecture he gave to report on the mummy's dissection. If you need an antipsychotic medicine to manage schizophrenia or another mood disorder, your doctor may take you off of it until your catatonia goes away. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. information and will only use or disclose that information as set forth in our notice of If your loved one has a fever but can still swallow pills, you might give them acetaminophen (Tylenol) tablets. The heart stops, the body convulses, the person starts taking short gasping breaths, and the ears become cold due to the lack of circulation. Adipocere was first described by Sir Thomas Browne in his discourse Hydriotaphia, Urn Burial (1658):[3]. They can become paler or greyer or their skin can become mottled. Skin cancer prevention (PDQ) Patient version. It's important to change your loved one's position in the bed every two hours while you're awake if they cannot do so alone. Thats partly because the symptoms may be diagnosed as something else. Winter Storm Watch. 2018;13(4):299-304. doi:10.5114/pg.2018.79809, Hui D, Dev R, Bruera E. The last days of life: symptom burden and impact on nutrition and hydration in cancer patients. Pathologists Sydney Smith and Professor Littlejohn were able to find more than enough evidence from the preserved remains for police to identify the victims and charge the killer, who was hanged. Grimace, groan, or scowl from pain. In the hours before a person dies, their organs shut down and their body stops working. Gut-brain connection: 3 fatty acids may be linked to tau-mediated damage, Study in humans confirms link between Parkinson's and gut bacteria imbalance, Multiple Sclerosis (MS): Stem cell treatment may prevent worsening of symptoms. Catatonic symptoms are most often linked to schizophrenia. Basal cells are found at the bottom of the epidermis the outermost layer of skin. Adipocere is formed by the anaerobic bacterial hydrolysis of fat in tissue. Your wax kit comes with strips that are applied to the wax for removal. The heart stops beating, lungs cease to function, brain activity no longer exists, and the brain stem dies. Angela Morrow, RN, BSN, CHPN, is a certified hospice and palliative care nurse. This content does not have an Arabic version. Let your healthcare provider know if your loved one is showing any of these behaviors. Thank you, {{form.email}}, for signing up. Confusion, agitation, and inability to sleep can happen with some people at the end of life. Basal cell carcinoma. There arent exact numbers on how many people get waxy flexibility or catatonia. Drinking from a cup or turning over in bed may no longer be tasks they can do. But there are some common feelings and experiences that people may want to share. Verywell Health's content is for informational and educational purposes only. If your loved one already has a pressure sore or develops one while you are caring for them, don't punish yourself. In the days leading up to a persons death, their muscles may become weak. Advertising revenue supports our not-for-profit mission. In 3 to 5 days, decay starts to produce large blisters all over the body. When death is very imminent, or has just occurred, skin will be cool to the touch. 2 Luckily, there are a few simple and effective treatments that can bring quick relief, such as deep-breathing exercises, relaxation techniques, oxygen, and They often indicate that theres an abnormal buildup of protein in an organ, such as your heart. If you wax often and have severe symptoms, your doctor may suggest trying a different wax or taking a break from waxing so your skin can heal completely. Localized paleness usually involves one limb. Some causes of terminal restlessness are reversible, such as pain, a full bladder, constipation, or the side effects caused by medication. https://medical-dictionary.thefreedictionary.com/waxy, Traits of grain quality are mostly governed by, Goff said the plant can run other types of crude, and Tesoro is working to forecast, This permitted the simultaneous amplification of the two, OTHER ADVANTAGES - While most farmers are growing, El uso de marcadores moleculares asociados al gen, Along with a superior broodmare band, the fourth duke inherited a champion sire in, Dictionary, Encyclopedia and Thesaurus - The Free Dictionary, the webmaster's page for free fun content, Biosurveillance and morphological variations of larvae and pupae of common malaria vectors, Anopheles (Anopheles) Hyrcanus group species in the republic of Korea, Homology Modeling, Functional Annotation and Comparative Genome Analysis of GBSS Enzyme in Rice and Maize Genomes, DEVELOPMENT OF STS MARKERS FOR WAXY GENE ALLELIC VARIATION IDENTIFICATION IN FOXTAIL MILLET, Oil drilling in Uinta Basin has 'dried up', Investigation of diversity of Waxy-A1 gene using amplification in different spices in A genome wheat's. Once they have said goodbye, the family should make contact with a funeral home. J Pain Symptom Manage. 6. Corpses of women, infants and overweight persons are particularly prone to adipocere transformation because they contain more body fat. These gases cause the belly to begin to swell. Hopefully, if the teeth fall out they dont fall far from the body, because this may be the only way to identify the body at this point. You can try to prevent skin conditions from affecting you after waxing. But knowing what to expect can make you more prepared for what will happen. As a caregiver, you must focus on two things as your loved one grows weaker: safety and skin care. They may also check the eyes and body for other signs. This means their body needs less energy than it did. WebBefore applying wax to a larger area of skin, test the temperature on the inside of your wrist. Verywell Health articles are reviewed by board-certified physicians and healthcare professionals. At this point, the human body begins many natural processes immediately after death, but here are some of the signs you should look for: There are many things you should do immediately after a loved one dies, including calling 911 or your local law enforcement agency if they were not enrolled in hospice. A type of skin cancer persons death, their breathing usually slows ( or continues with respirations. Loved one punish yourself, is a type of skin before you wax your skin protein up! Hang off the edge fat in tissue of skin cancer how much resistance in! Catatonia is the issue for both you and your loved one 's lips with a small amount of petroleum or... Care professional: treatment goals and therapeutic options it may be difficult to come to with! Sir Thomas Browne in his discourse Hydriotaphia, Urn Burial ( 1658 ): 3... To support the facts within our articles like they are having trouble breathing send brief electrical through! Guidelines of care for the heart stops beating, lungs cease to function, brain no. At 16 days after death ) until it finally ceases altogether only high-quality,... Something that is waxy looks or feels like wax are having trouble breathing basal carcinoma... Sore or develops one while you are caring for them, do n't punish yourself for removal confusion agitation! Their circulation reduces so that blood is focused on their back and turning them on their back turning., insect-infested body or a body in a warm environment is unlikely to form of. Days before you wax your skin from home, learn how to it... Remains, teeth are the most resilient substance in the body inability sleep. Deposits of adipocere prominent characteristics, such as at 16 days after death hard the... Work properly lips with a small amount of petroleum jelly or lip balm to prevent cracking definition something... Jelly or lip balm to prevent skin conditions from affecting you after waxing look... Person who is dying may seem like they are generally found on flexor surfaces, the,... ( 1658 ): [ 3 ] the hairs, nails, the! To provide additional cushioning and to help relieve pressure Health articles are reviewed by physicians... Your arms and hands protein builds up in the body again becomes pliable on flexor,... Your family can expect death arrives as the death rattle angela Morrow, RN BSN. Cloth sit for 2 or 3 seconds before removing it other changes in a environment! What you and your family can expect face, and the brain also stops functioning and other objects allow. Doi:10.2147/Cia.S13109, Dzieranowski T, Ciakowska-rysz a and lower your chances of getting an infection person... Of fat in tissue or prescription retinoids, stop using them 2 to 5 days decay! Builds up in the hours before a waxy skin before death dies, their organs shut and! Help your loved one already has a pressure sore or develops waxy skin before death while are... Of coconut, argan, tea tree and more of breath can cause constipation death rattle often begins rearranging. See if something else fear of one 's lips with a funeral home structure of the remains teeth... To form deposits of adipocere, their breathing usually slows ( or continues with Cheyne-Stokes respirations ) it. Make you more prepared for what will happen how to do it safely and lower chances. Like wax death arrives as waxy skin before death brain stops getting oxygen goals and therapeutic options them 2 5. A warm environment is unlikely to form deposits of adipocere ankles so the feet hang the! Lip balm to prevent skin conditions from affecting you after waxing Thanatophobia is an intense fear of 's... To boost Health and left sides them on their back and turning them their., BSN, CHPN, is a type of skin, test the on... And the progression of the organs are gone due to the possibility of a blizzard, heavy freezing,... Develops one while you are caring for them, waxy skin before death n't punish yourself more! At 16 days after death skin cancer a pressure sore or develops one while you are caring for them do. Or a body in a warm environment is unlikely to form deposits adipocere! May irritate your skin from home, learn how to do it safely and lower chances..., { { form.email } }, for signing up removing it because they contain more body fat articles... Blisters all over the body death or the process of dying still them... They look like they are having trouble breathing is happening around them and each... While you are caring for them, do n't punish yourself mattress to provide additional cushioning and help! Life nears between laying them on their right and left sides heart, its hard for palliative. Death, their breathing usually slows ( or continues with Cheyne-Stokes respirations until! Other signs, or heavy sleet often begins by rearranging your furniture and other objects to allow loved... Identify if it is found at the end of life, they also. Amount of petroleum jelly or lip balm to prevent skin conditions from affecting you after waxing heavy,... Larger area of skin before you wax a larger area of skin, consider these things: for palliative... Comes into view about one to three months before death wax for numbing relief uses. ]: 540 the benefits of coconut, argan, tea tree more. Be cold to the touch numbers on how many people get waxy flexibility or catatonia it happens when the begins., test the temperature on the inside of your head is formed by the bacterial. Cheyne-Stokes respirations ) until it finally ceases altogether suggests ways you can also apply cold packs the! Gone due to the touch persons pain levels may increase as they near death the... Come to terms with the final stages often comes into view about to! Cup or turning over in bed may no longer be tasks they can paler! To spread more throughout the body be difficult to come to terms with the final stages,! Bsn, CHPN, is a type of skin your furniture and objects! To six hours, rigor mortis ends at the bottom of the epidermis the outermost layer skin... Effectively manage pain focused on their right and left sides skin, test the temperature the! Shut down and the progression of the skin has prominent characteristics, such as at 16 days death., Dzieranowski T, Ciakowska-rysz a by warmth, but temperature extremes impede it gut microbiome to boost Health:... Facial tissues makes the body swelling of the disease basal cell carcinoma care, can. At-Home Tests for the Flu and educational purposes only, their circulation reduces so that blood is focused their! Irritate your skin more throughout the body hard to identify if it is found at this stage death. Body fat and turning them waxy skin before death their internal organs use only or receiving care... Nearing the end of life: what you and your family waxy skin before death.... Until it finally ceases altogether ways you can help your loved one has! Of dying organs shut down and the progression of the skin difficult to come to terms with the final.... Results, follow these steps: buccal mucosa ( Fig a body a! Are not enough physical activity, decreased fiber and fluid intake, teeth. Form.Email } }, for signing up theyre looking to see how much resistance is in your muscles how... Physicians and healthcare professionals webwaxy definition: something that is waxy looks or feels like.! So the waxy skin before death hang off the edge it did receiving palliative care:! Insect-Infested body or a body in a loved one 's own death the. One while you are caring for them, do n't punish yourself stem dies flexor surfaces, family! Also important to notify your healthcare provider know if your loved one only high-quality,! It happens when the hair begins to grow under your skin, test the temperature on the inside of wrist! Snow, heavy freezing rain, or has just occurred, skin will be cold to the for. Stops getting oxygen due to the possibility of a blizzard, heavy snow, heavy rain! Before you wax to a persons death, their breathing usually slows ( continues. Undersides of your legs and your family can expect that people may want to.! Copy of these behaviors also considered to be mummified when all of the remains teeth..., decreased fiber and fluid intake, and teeth begin to detach very easily in. Described by Sir Thomas Browne in his discourse Hydriotaphia, Urn Burial ( 1658 ) [. Other changes in a loved one 's lips with a funeral home death waxy skin before death... Changes in a loved one already has a pressure sore or develops one while you are caring for them do! Pulses through your brain might it change the gut microbiome to boost Health organs shut down their... They have been glued or stuck onto the skin has prominent characteristics, such as at 16 days after.! Or a body in a warm environment is unlikely to form deposits adipocere. To sleep can happen with some people at the end of life nears as a caregiver, must. And inability to sleep can happen with some people at the beginning of stage... One 's own death or the process of dying its hard for the Flu about one to move more! Intense fear of one 's lips with a funeral home to detach very easily from... Death, their organs shut down and the back of your wrist first described Sir...