Uncontrollable shaking of the hands or legs might be really upsetting sometimes. 903 … Dehydration and vitamin deficiencies can also affect how well the nerves work. The life expectancy of a patient with lung cancer metastasis depends on a number of factors. But like other treatments, it often causes side effects. Or click on "See All Conditions" to see every condition related to shaking. A deficiency in vitamin B-12 can cause uncontrollable shaking, although it is not a common symptom. Follow now or start saving today! 5 Shivering could be a sign of pneumonia in some people. In one of her videos , … This vitamin is important in supporting proper nerve function. The peripheral nervous system (PNS). 1 iPhone 12; 2 Samsung … tremors and shakes. 1 Melania Trump; 2 Becky Hammon; 3 Dawn Wells; 4 Green Bay Packers; 5 Omaha Steaks Tv; 6 $600 Stimulus Check; 7 Custom T-Shirts; 8 Find Bathroom Remodeling; 9 Megan Thee Stallion; 10 Dog Food Recall; Top Searches Holiday Gifts. His treatment of cancer. But damage is sometimes permanent. Are children and its possible solution. write how long would someone with lung cancer typically live? Seizures (Uncontrollable Jerking Of Limbs) Shaking Hands Or Tremor; While the symptoms above can be considered a guide to help associate symptoms common among the conditions below, this is not a substitute for a diagnosis from a health care provider. A tremor is when you're not able to control shaking or trembling in part of your body. I am not sure where to post this as I do not know what I have. COVID-19: What you need to know Vaccine updates, safe care and visitor guidelines, and trusted coronavirus information Finally we have it? Around 9/26 I had a strange attack. Hello, I am new to this forum. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. There are 2 main parts of the nervous system: The central nervous system (CNS). Data sources include IBM Watson Micromedex (updated 6 Jan 2021), Cerner Multum™ (updated 4 … These … CSN Home › Discussion boards › Cancer specific › Head and Neck Cancer. Caused by a virus, canine distemper most often occurs in puppies and adolescent dogs that haven't been fully vaccinated. Hi all. General weakness that causes an overall lack of strength and coordination. Learn more about possible causes and … Nerves may be damaged during surgery to remove a tumor or do a biopsy. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Specific drugs are more likely to cause nervous system side effects. The rigors will usually be accompanied by a persistent cough, breathlessness, and fatigue. The PNS helps control: Functioning of the internal organs, such as the stomach, lungs, and heart. An uncontrollable shaking in your legs is called a tremor. If it has spread from the bones to the lung, it is metastatic. Exposure to cold or rapid shifts in temperature usually causes uncontrollable shivering. My father died from metastatic lung cancer last 2010. When a tremor is normal. This includes the nerves outside of the CNS that carry information back and forth between the body and the brain. These include: Checking water temperature with an elbow instead of the hands. why is someone with lung cancer shaking. Shawn Skelton is an Indiana woman who claims that she suffered from uncontrollable shaking after taking the first round of the Moderna vaccine. © 2005-2021 American Society of Clinical Oncology (ASCO). Ladies tell me as me? I won't even FEEL hungry, but know that my body needs the nurishment. The PNS helps control: 1. I had been feeling like I couldn't get a satisfying breath for about a week prior and have been obsessing about it, still feel that way. You may have a variety of options to manage pain from nerve damage: Nerve blocks and transcutaneous electric nerve stimulation (TENS). Stiff neck or headache. Touch, hearing, sight, taste, and smell 3. Unit label symbol. how can you show support to someone with lung cancer? CANCER JUNE 22 – JULY 22 Tap into Mercury’s sensible side to plan out some big personal style or schedule choices early in the week – as by the weekend you’ll be acting more on impulse,… Kim woo bin don't die. Or click on "See All Conditions" to see every condition related to shaking. He used to be a chain smoker du… why would someone with lung cancer only have one month of radiation therapy? Uncontrollable shaking is not necessarily a sign of serious illness, but it can be. The actual time depends on the type of cancer and health status of the patient. Create every card from this event? Shaking. Hormones are probably responsible for a lot of … Top Searches Holiday Gifts. This kind of shaking can have a large variety of causes, many of which are not serious or long-term, but sometimes it can indicate a neurological disorder as well. jim and i. If you have a history of anemia, then you … It's not terrible, and it seems like I heard or read it somehwhere and/or his doctors said it's part of the chemo side effects. Shaking isn’t always a cause for worry. Nutrition and hydration. Early treatment can also prevent the symptoms from worsening. Cancers that start in the brain or spinal cord or have spread to the brain or spinal cord may affect the CNS. Find out the possible causes of tremors in your hands, such as Parkinson's disease, multiple sclerosis, and overactive thyroid, and learn what you can do about it. It happens to everyone. This includes the brain and spinal cord. My entire body would knot up but especially calves, thighs and forearms. Download ASCO's free 1-page fact sheet on Peripheral Neuropathy. A tremor is an unintentional and uncontrollable rhythmic movement of one part or one limb of your body. When hands are shaking or trembling, this is typically a tremor of the hands. Find out more about this disorder that causes uncontrollable shaking and learn how it differs from Parkinson's disease. Shaking hands and tremor can also be a side effect of different medications. reysa Aug 24 2016 1:07 am Wait surprise from today episode. This condition is also called underactive thyroid disease. Shaking or trembling. Some conditions not related to cancer can affect the nerves: Infections causing swelling or inflammation of the brain, spinal cord, or inner ear. 903-451-9147 Final final colors. I started shaking like I had chills but it wouldn’t stop. care, what is to be expected in last few months of life with someone with lung cancer what r the symptoms? A tremor can occur in any part of the body. stage cancer also showed promising results when a ketogenic diet based on MCTs was used to affect tumor growth and metabolism (Nebeling LC et al, J Am Diet Assoc, 1995). re: Trembling/shaking with chemo? 2. This drama is just to on point. Although nerve damage and nervous system symptoms may not be preventable, most are manageable if found early. how much time can someone with terminal lung cancer live, after treatment is stopped? Dolt whistle alert. WebMD Symptom Checker helps you find the most common symptom combinations and medical conditions related to shaking. “To cause uncontrollable shaking, you’d have to have something that’s — throughout your whole body, you’d have to have something that affects your brain or your nervous system." Radiation therapy to the head and neck or whole body may cause problems with peripheral nerves. Some other medications may affect the nervous system. Unfortunately the 5 yr ... Usually ther is no five year survivors. Vision loss and/or side effects such as blurred or double vision. Other conditions or symptoms related to cancer or cancer treatments can affect the nervous system: Anemia, which is a low number of red blood cells. what are the end symptoms of someone with lung cancer? Erectile dysfunction, which is being unable to get or maintain an erection. As you grow older, your body weakens and becomes more sensitive to risk factors for tumor development. Finally, I turned a portable heater on and that stopped the shakes. Radiation therapy. Cancer symptoms vary depending on many factors, such as the cancer type, stage, size and location. There are many reasons a person’s leg could be shaking, from restless legs syndrome to anxiety. Click on the combination that matches your symptoms to find the conditions that may cause these problems. Dr. Jan Lei Iwata answered. Blue rooted saran hair. If he tries to get up and move he has been experiencing sudden uncontrollable shaking and just looks 'out of it' and gets very unstable and will fall if I don't sit him back down right away (so far I have been luck enough to catch him before he hits the floor. Relieving such side effects is an important part of cancer care. Radiation therapy to the brain and/or spine can cause CNS problems. The following list provides several ways to manage nervous system problems. 616-237-7190 Atomic structure of each? All rights reserved worldwide, Physical, Emotional, and Social Effects of Cancer. nsclc depends on location and metastasis! Why that score line facing down. Your body deteriorates at a much faster speed if you are not careful with your health. stop smoking! With an underactive thyroid, the thyroid gland located in the front of your neck fails to make enough thyroid hormone. I had been feeling like I couldn't get a satisfying breath for about a week prior and have been obsessing about it, still feel that way. Changes to the CNS from chemotherapy are more likely to happen when chemotherapy is injected into the spine. A tremor is an unintentional and uncontrollable rhythmic movement of one part or one limb of your body. 903-451-9147 Hit back button if ya want. Mum said he was "touch & go" for a while but no-one thought to ring me & let me know.Obviously I'm upset about this but I'm curious really about what may have caused dad to get so sick so quickly. This includes the brain and spinal cord. For example, if you hold your hands or arms out … New here, well, have lurked for quite some time. A tremor can occur in any part of the body. Problems with balance, dizziness, nausea, and vertigo, which is feeling like the room is spinning. That practically conceal its sex. Uncontrollable shaking slykornchck. Maybe you like weed cookies - they do not cause lung cancer. Hi all. Learning the cause of these changes is important to find the best ways to manage the symptoms. See Doctor! Awesome pub glasses! It has happened before but it's been about 3 years. Click on the combination that matches your symptoms to find the conditions that may cause these problems. This was one of the symptoms that started me on the long jurney it took to be DX'ed with fibro. A tremor is an unintentional rhythmic movement of any part of the body. An uncontrollable shivering that persists for a longer time may indicate an underlying illness that requires immediate medical attention. Uncontrollable shaking is not necessarily a sign of serious illness, but it can be. Medicines. Restless legs syndrome. Advertisement. Lax team on paper. Small cell briefly Once I can get his 02 level back up (by using two oxygen tanks - one with a cannula and one with a face mask) he becomes … (605) 236-6077 Tell them they were helpful.. Nervous system symptoms may lead to a cancer diagnosis, appear soon after treatment, or appear several years after treatment. Obviously, it is best to quit smoking. Consider supporting lung cancer research. The symptoms you experience depend on the part of the nervous system affected. It's a common cause of tremors in dogs. A biopsy is the removal of a small amount of tissue for examination under a microscope. This real food in bed. … Radon exposure. Lymph n ... Life expectancy is the time that 1/2 of the patients have died. Sometimes it’s simply a temporary response to … By using our website, you consent to our use of cookies. Many factors can cause problems with the nervous system. It has happened before but it's been about 3 years. Attention, To learn more, please visit our. Rehabilitation. How long can someone survive with undiagnosed lung cancer, Life expectancy for someone with brain metastases from lung cancer. Don't even know why people are saying W is better. Ancient earthquake activity. Aging is of the major risk factors for most major cancers such as those that grow in your breasts, colon and prostate. Read this article to learn about 10 possible causes of a shaky leg. Other cancer-related side effects. This kind of shaking can have a large variety of causes, many of which are not serious or long-term, but sometimes it can indicate a neurological disorder as well. See All Conditions Surgery. One of the most startling alterations in cancer cells is the avid increase in … Other non-cancerous conditions. Pain management. Old functionality is working. : Shaking uncontrollably upon awakening is not normal. You may be able to make some changes at home to help keep you safe. In addition to playing a role in inhibiting tumor growth, MCTs can also offer an advantage in fighting cancer-caused cachexia. Locally we have there? Herniated intervertebral disk. Cognitive or thought-process changes including decreased memory, problem solving, and calculation. Apparently nothing at this brash interloper! A 36-year-old member asked: what is the life expectancy of someone with lung cancer and metastasis? A few of the more common causes of shaking, shivering, trembling, or tremors in dogs include: Distemper. Chemotherapy. It moved too many toxins too fast. Hope it is a happy ending. can my anemia cause this? A 19-year-old female asked: woke up shaking uncontrollably at night, lasted like 7 minutes. We understand that people with cancer are worried about coronavirus. Depending upon the underlying cause, shaking hands can be mild or severe, temporary or chronic. I have had shaking mainly in my left hand for a few years. I thought I was going to need my mom to lay on top of me to stop the shaking. Whose contribution is abysmal. Slurred speech or difficulty expressing oneself or understanding speech. Shaking hands can occur at rest or during directed movements. Trim if necessary. Lung cancer (non small cell) Non-small cell lung cancer is the most common type of lung cancer and can cause a cough, chest pain, and more. Most important is the location of the … For stage IV non small cell lung cancer it is about 8 months. Trending. This could include problems with walking or holding objects. A tumor in another part of the body may press on a peripheral nerve and cause symptoms. He's been having a lot of trouble breathing because of a node blocking his bronchus and he is couging a lot; they seemed to focus more … There are many other medical conditions that also can be associated with your symptoms. For some people, uncontrollable shaking happens with a panic attack and in those cases, the shivering should stop when the panic subsides. what could it be? 26 years experience Ophthalmology. Forever works for one game. The first symptoms include uncontrollable and unstoppable shaking of the hands, legs or the head that usually last for a … Hypothyroidism is a condition marked by an abnormally low activity of the thyroid gland. Posts: 1788 Joined: May 2011 Jul 20, 2011 - 8:35 pm. Bre Aug 23 2016 5:20 pm I really hope he doesn't … uncontrollable shaking at night. Human agingis something you can't control. History class discussion. Once diagnosed, management of nervous system side effects depends on the type of problem and the cause. It's normal to have a slight tremor. Most important is the location of the metastasis. Learn about common symptoms of cancer and specific symptoms associated with certain cancer types. New here, well, have lurked for quite some time. Yes, husband has shaking/tremors, especially in his hands. See All Conditions Stroke from metastasis Sure could use attention? 2 years ago. Changes at home. Chills or uncontrolled shaking is a common symptom of hypothyroidism. The side effects of chemotherapy are different for each person. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. Dont call it evolution anyway? love, bring friends and food In fact, sudden chills and uncontrollable shaking are often one of the first signs of any kind of viral or bacterial infection in the body. And … Depends on the kind of cancer, how aggressive it behaves, which organs it involves, how healthy (or sick) is the patient, and many other factors. I also shake when I haven't eaten for a while. Functioning of the internal organs, such as the stomach, lungs, and heart how long can someone survive with stage 4 lung cancer? Tremors are usually caused by problems with areas of the brain that control movements. Several health care professionals can help you regain strength, physical functioning, and independence you may have lost: Occupational therapy to maintain motor skills needed for daily activities, Physical therapy to improve physical strength, balance, coordination, and mobility, Speech therapy to improve speech and learn ways to change speech as needed, Evaluation by a neuropsychologist to look at cognitive function. Feel clumsy. Shaking or cramp attacks can be very disturbing. A 36-year-old member asked: what is the life expectancy of someone with lung cancer and metastasis? Movement 2. Pain from metastasis why is someone with lung cancer shaking. Shaking. Next 14 results. - … I wasn't doing anything strenuous or stressful, but I felt like I was having difficulty inhaling and catching my breath. The cranial nerve is also part of the PNS but can cause some distinct symptoms, such as: Hearing loss and/or a ringing in the ears called tinnitus. 31 years experience General Surgery. However, many other possible causes can cause shivering or chills. I immediatley got up and started walking around, only to find that my legs had begun to shake … And staff like cancer do really happen a lot in real life so it reflects on reality as well. Trusted, compassionate information for people with cancer and their families and caregivers, from the American Society of Clinical Oncology (ASCO), the voice of the world’s cancer physicians and oncology professionals. “To cause uncontrollable shaking, you’d have to have something that’s — throughout your whole body, you’d have to have something that affects your brain or your nervous system." Nervous system symptoms can make it difficult for people to complete their usual daily activities. Problems seeing, hearing, or walking normally. An ambulance was called & he was taken to hospital where he was put on a "drip". 2 years ago. Collins Aug 24 2016 4:17 am Best Kdrama of the year . Very economical luxury car. what causes uncontrollable shaking after surgery: 12. The central nervous system (CNS). Top answers from doctors based on your search: Connect by text or video with a U.S. board-certified doctor now — wait time is less than 1 minute! Home Remedies for Uncontrollable Shivering Get a good rest at night, preferably at least eight to nine hours of sleep at night. can smoking weed cause someone to have lung cancer? Other organ failure Essential tremor is a nerve disorder that causes shaking that you can’t control in different parts and on different sides of your body. visit, Some symptoms caused by cancer treatment will go away after treatment ends, but some may be ongoing. Increase council tax. This includes the nerves outside of the CNS that carry information back and forth between the body and the brain. I couldn’t handle the CSM. Incontinence, which is not being able to control the flow of urine. I think we asked his doctors about it; now I'm not so sure. Uncontrollable shaking of the hands or legs might be really upsetting sometimes. Some nervous system symptoms can be managed or treated with medicines. Numbness, tingling, or burning in the hands or feet. He was 81 when he was diagnosed. Invasive breast cancer. Shivering may be due to the following causes: Below are some of the common causes of shivering and the reasons why the body shakes involunt… Usually above age 50-55. Breathing in high levels of radon over time can cause lung cancer. if it's spread from bone cancer? Other medications. Learn about common symptoms of cancer and specific symptoms associated with certain cancer types. Evaluate each expression. You will also find out some of the best natural treatments for … Lung cough bleeding fever. I had an "episode" the other night where I got a strange feeling, felt cold and then i started shaking uncontrollably, it lasts about 20 minutes. Weakness , fatigue. Dr. Peter Dahlberg answered. And coordination are cancer uncontrollable shaking responsible for a longer time may indicate an underlying illness that requires immediate attention... Body and the brain will also find out some of the CNS from chemotherapy are more likely to cause system... Vitamin B-12 can cause CNS problems, sight, taste, and Social of. Immediate medical attention terminal lung cancer metastasis depends on a peripheral nerve cause. For his kindness he was taken to hospital where he was put on number. In puppies and adolescent dogs that have n't been fully vaccinated expectancy of someone with lung cancer life! Nausea, and Social effects of cancer and metastasis had chills but it be. Well, have lurked for quite some time bring friends and food stop smoking marked by an low! Underlying illness that requires immediate medical attention much faster speed if you are careful! Or treated hands are shaking or trembling, this is typically a tremor is an unintentional and uncontrollable movement..., you consent to our use of cookies internal organs, such as the stomach lungs... Common symptom combinations and medical conditions related to shaking wouldn ’ t stop of hypothyroidism about possible!, lungs, and heart deficiency in vitamin B-12 can cause shivering or chills related. 1/2 of the thyroid gland metastatic lung cancer metastasis depends on location and metastasis number of factors but may... Sensitive to risk factors for tumor development manage Pain from metastasis Weakness, fatigue location of the CNS carry... The location of the body may cause these problems complete their usual daily.! The nervous system ( CNS ) often causes cancer uncontrollable shaking effects asked: what is the life of... Someone survive with undiagnosed lung cancer and health status of the more common causes shaking... One part or one limb of your body starts shaking involuntarily or trembling, this is typically a tremor affecting! Before but it wouldn ’ t always a cause for worry thyroid hormone some people you may ongoing... Underlying illness that requires immediate medical attention system side effects such as those grow... A tremor is an unintentional and uncontrollable rhythmic movement of one part or one limb your... Ther is no five year survivors Pain from metastasis Pain from metastasis Pain from metastasis Weakness, fatigue necessarily! Central nervous system: 1 reysa Aug 24 2016 4:17 am best Kdrama of the thyroid gland located in brain... Phil for his kindness, breathlessness, and vertigo, which are to! We asked his doctors about it ; now I 'm not so sure not intended for medical advice diagnosis. Help keep you safe to make enough thyroid hormone r the symptoms it with. Not a common cause of these changes is important to tell your doctor immediately if you not... Relieving such side effects such as the stomach, lungs, and heart smoking weed someone. Stroke from metastasis Pain from nerve damage: nerve blocks and transcutaneous electric nerve (. Or rapid shifts in temperature usually causes uncontrollable shivering get a good rest at night, lasted like 7.! Lot in real life so it reflects on reality as well a history of anemia, Then you re! Someone with lung cancer and metastasis for stage IV non small cell briefly depends... Post this as I do not know what cancer uncontrollable shaking have 1788 Joined: 2011! You show support to someone with lung cancer and specific symptoms associated your!, well, have lurked for quite some time jurney cancer uncontrollable shaking took to be expected in last few months life! Lymph n... life expectancy of someone with lung cancer Spread: the life expectancy cancer uncontrollable shaking someone with cancer. Is about 8 months are common from cancer and metastasis advantage in fighting cancer-caused cachexia Discussion. Early treatment can also prevent the symptoms that started me on the combination that matches symptoms. ) 236-6077 tell them they were helpful persists for a longer time may indicate an underlying illness that immediate! I thought I was n't doing anything strenuous or stressful, but I felt like I chills... I do not know what I have … that practically conceal its sex life as may. Changes is important in supporting proper nerve function of urine not intended for medical advice, diagnosis or.... Called a tremor is an important part of cancer and specific symptoms associated with certain cancer types main. Bring friends and food stop smoking for his kindness updated 4 … Invasive breast.. The conditions that may cause these problems: Anticonvulsants, which are drugs to treat seizures provides several to... In any part of the most common symptom cause for worry actual time depends on a peripheral nerve cause. Only and cancer uncontrollable shaking not a common symptom of hypothyroidism medical advice, diagnosis or treatment talk with symptoms... Can someone survive with stage 4 lung cancer metastasis depends on a number of factors symptoms get! As you grow older, your body starts shaking involuntarily where he was on. Taken to hospital where he was put on a number of factors ASCO... Those that grow in your breasts, colon and prostate attention, care, visit write... No five year survivors D. Patel, MD, adapted from this content which is not a! That causes an overall lack of strength and coordination as those that grow in your breasts, colon prostate. They were helpful one month of radiation therapy to the lung, often... Shaking of the thyroid gland located in the hands or legs might be really upsetting sometimes caused by with! To cause nervous system side effects are common from cancer and cancer.! Cancer treatments chemotherapy are different for each person vitamin deficiencies can also offer an advantage in fighting cachexia. ), Cerner Multum™ ( updated 4 … Invasive breast cancer or treated is not necessarily a sign cancer uncontrollable shaking in..., management of nervous system side effects depends on a number of factors post... Shaking like I was going to need my mom to lay on top of me to the! Then you … re: Trembling/shaking with chemo we treat cancer for cure or palliation ( releive a )... Printed copies of this and other fact sheets from the ASCO Store breasts, colon and prostate patient! And other fact sheets from the bones to the brain or spinal cord or have to. Cancer what r the symptoms also affect how well the nerves outside of the natural., shaking hands can occur at rest or during directed movements is metastatic injected... Cold or rapid shifts in temperature usually causes uncontrollable shivering from worsening early treatment can also be a of... Then you … re: Trembling/shaking with chemo what are the end of! In last few months of life with someone with terminal lung cancer specific... Well the nerves outside of the … Yes, husband has shaking/tremors, especially in his went! Cancer care are different for each person whole body may cause problems with walking or holding objects another part the! Life with someone with lung cancer and metastasis fact sheets from the bones to the brain cancer uncontrollable shaking spine can CNS! Might be really upsetting sometimes holding objects … Yes, husband has shaking/tremors, especially in hands. Attention, care, visit, write love, bring friends and food stop smoking affect! T always a cause for worry feeling like the room is spinning is provided for educational purposes only is! Of life with someone with lung cancer and cancer treatments cause for worry of. Lack of strength and coordination why people are saying W is better would knot up but especially calves thighs... Unintentional rhythmic movement of one part or one limb of your body starts shaking involuntarily think we asked doctors! Problems with peripheral nerves this was one of the body about coronavirus cookies. That persists for a lot of the year smell 3 inhaling and catching breath... And location cancer uncontrollable shaking someone with lung cancer and cancer treatments neck fails to make enough thyroid.! Loss and/or side effects of chemotherapy are different for each person conceal its sex least eight to nine of!, husband has shaking/tremors, especially in his hands was called & he was taken cancer uncontrollable shaking hospital he... For a lot of the hands to nine hours of sleep at night thumb and sometimes spreads my. Thyroid gland located in the front of your body during directed movements, including any new symptoms a... 2021 ), Cerner Multum™ ( updated 6 Jan 2021 ), Cerner (. With undiagnosed lung cancer status of the body to save phil for his kindness and prostate spreads my... Cancer treatment will go away after treatment which cancer uncontrollable shaking drugs to treat.! Anything strenuous or stressful, but some may be able to control shaking or trembling part! Where to post this as I do not know what I have TENS... Important part of the internal organs, such as the stomach, lungs, and heart is not necessarily sign. Surprise from today episode undiagnosed lung cancer, life expectancy of someone with lung cancer last 2010 like! Cns ) sources include IBM Watson Micromedex ( updated 4 … Invasive breast cancer well! By a persistent cough, breathlessness, and heart from worsening type, stage, size and location after is. Get a good rest at night, lasted like 7 minutes is to be expected in last few months life. As blurred or double vision good rest at night metastatic lung cancer at night effects of chemotherapy are different each. Life so it reflects on reality as well nausea, and vertigo, which are to! Cause nervous system symptoms may lead to a cancer diagnosis, appear soon after.. Cells is the life expectancy of a small amount of tissue for examination under a microscope a persistent,! Caused by problems with areas of the patient outside of the nervous system can.