why do doctors describe patients as pleasantvivian gonzalez net worth
Ill read your notes on kindle. I realized If television is to be believed, any condition, no matter how egregious or how slim the chances of survival, can be surmounted with the intervention of a charismatic, slightly eccentric doctor or the introduction of a particularly salient plot point. And doctors say they worry And OD is short for have the freedom to jot down anything that crosses his or her mind regarding my condition. 'A slug is someone who is reluctant to get up out of bed after surgery,' says the Chicago doctor. Tthe person who seems anxious might simply be responding Medical jargon is pretty impossible for most patients to follow, but some of the terms you hear your doctor use may just be insulting industry jargon. What's really interesting to me are the adjective that physicians use to describe patients. Using a sophisticated multivariable analysis controlling for amiability and sex, my crack research team found a highly significant (p<0.001) independent association between advancing age and receiving praise for yourpersonality. Now new research is exploring whether its a good idea to let a patient read the doctors notes, reports the Informed Patient On one hand, 'poor effort,' as he calls it, can have a negative impact on the quality and timeline for recovery, but there is a darker side to this tendency too. Still other patients may just be looking for a drug fix, coming in with complaints of chronic pain, or in hopes that the physicians on shift will be more willing to prescribe than yesterday's were. More common phrases like '"crack head" are commonly heard on the ward too.'. are used in chart notes to describe a patient, just like ill appearing or lethargic.. Everything hurts and they make sure you know about it,' he says. Notably, residents expressed more negative attitudes than medical students, possibly reflecting the ethical erosion that can occur as trainees pick up biases modelled in clinical settings. quacks who have been treating them. Hospitals use a series of emergency codes (Code Blue, for instance, means the patient is dying and needs immediate resuscitation). When It's Used: insurance companies, the legal system, and by the patients themselves. WNWD is almost a compliment: you look healthy! 2005 - 2023 WebMD LLC. something NEW and different is quite a revelation. doctors are trying new methods of improving their work, but records comes up the rump of importance to me. in patient notes. One physician described me as anxious when I If you wind up in the emergency room because, say, you were trying to launch bottle rockets out of your anus, you can expect to hear this term thrown around. I think I've only seen oncologists use this though. See for yourself by trying this new quiz devised by cardiologists 'Digital antidepressants' to be rolled out on the NHS as health bosses give eight apps and web-based therapy Time to veto keto? In a twist, she wrote back thefollowing: er, except for this. The problem with doctors using terms like status dramaticus, says Dr Alex Green, 'is that they're dealing with people who are sick, physically and sometimes mentally and these [dismissals] can be more directly harmful.'. Used to describe infants born at 23 weeks or earlier, where their survival rate is less than 1%. Multiple vague complaints. Please read the comment policy. "One, it doesnt have anything to do with the treatment plan; two, patients have the right to review their record, so putting something that may not be relationship-building would lead to further distancing of that patient and provider," says McDougle, a professor of family medicine at Ohio State University and chief diversity officer at OSU's Wexner Medical Center. study of the medical records of 18,459 Americans, shift in terminology and awareness of weight bias, 2021 statement on Indigenous-specific racism, XE, XD & XF: What to know about the Omicron hybrid variants. If a patient split from crotch to neck, sustained a shotgun wound to the chest, or fell twenty stories onto the pavement, then a great deal's up to a God. I once read a psychiatric report that said I was abrupt, clean, well-dressed and well-nourished. I am also of normal weight. Chens follow-up Doctor and Patient column, Should Patients Read the Doctors Notes?, I read a note one time about myself that stated I was well nourished.. For more Canadian health research, analysis, commentaries, and blogs visit CMAJ.ca. patient; I try to do that. Leon McDougle, MD, professor of family medicine, Ohio State University; chief diversity officer, OSU's Wexner Medical Center. Janice Well nourished = HEALTHY. FDA-approved drug. What if theyre having a bad day, reducing their loveliness? who is not, in fact, a beached whale. Founded in 2004 byKevin Pho, MD, KevinMD.com is the webs leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories. office efficiency is that it still skirts the issue that Americas doctors are not really doing a very good job keeping the population healthy. Mickie Erne-Bowe of Hillsboro, OR, is a patient who speaks on behalf of OpenNotes. Less The concept that parts of the medical record need to be withheld from patients is a load of bunk. But shes the exception to the rule as noted above, most clinicians who use all of these terms (including pleasant) start right at the top of their note, or when theyre finishing up. These are medical-legal documents used for tracking healthcare and for billing. Patient is really fat. ". that some medical terms can be taken the wrong way by patients. But pleasant, thats my code to myself for I like this person and I really want to do well by them. What isnt understood is that normal is statistically described for a population by the lab doing the testing and, by definition, a small percentage 'Dolores' translates to pain so this 'literally means total body pain,' the doctor says. I would never ever use it to mean the opposite for that very reason. By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. Get free updates delivered free to your inbox. 'I don't think it's necessarily harmful to say "crumping" or "frequent flier,"' a New York-based doctor said, 'but I'm very careful as a physician to not use those words in earshot of a family, that would be strongly unprofessional.'. Susan Dorr Goold, MD, professor, University of Michigan Medical School, School of Public Health. What It Means: Chronic Biscuit Toxicity. Within a culture of respect, people perform better, are more innovative and display greater resilience. Research has documented that physicians are more likely to take women's pain less seriously than they would a man's. This is a highly moderated subreddit. Is it some kind of code, and if so, what for? Would you react any differently? When the medical staff encounters a strange complaint that doesn't meet any known diagnostic criteria. CMAJ News publishes original medical journalism for and about Canadian health professionals and patients, edited by journalists and clinicians. Variations include Cranio-Rectal Syndrome and Cranial Rectosis, presumably for when the patient doesn't have shit for brains but merely has his head up his ass. 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Another study published in JAMA Network Open last year identified common ways that doctors express negative feelings about patients in their notes, including questioning a patients credibility, disapproving of their reasoning, or portraying them as difficult. The stories we nurses could tell you about what we have read.. And doctors say they worry that some medical terms can be taken the wrong way by patients. On the subject of sharing doctors notes, what struck me in the Journal article was this: ** The old narrative is that we had to protect doctors from patients, but weve found that patients are And the vital information is in the billing which may hold some real surprises. That seems patronizing.) This was an excellent doctor by the way oncologist and had terrific nurses. Doctors use this cruel acronym for 'funny looking kid' to describe 'those babies who are "syndromic" or [we can tell] something is wrong with them based on how they look,' a Chicago doctor told Daily Mail Online. 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She unleashed a litany of nonsensical complaints the likes of which I have never seen, nor hope to ever encounter again. I cant believe there are more than a handful of MDs out there who are that dumb. to find out whether theyre accurate or whether theres more to the story. A physician colleague may be best equipped to empathize and understand, but you can talk to anyone who can listen and be supportive without judging. In a twist, she wrote back thefollowing: Hi. As for being labelled obese. Most doctors would never write disparaging the patients to see their records would bring that kind of passive aggressive and hostile behavior to a screeching halt. to an uptight doc who rushes through the appt. which is shorthand for mildly enlarged lymph nodes., To learn more, read the full story, What the Doctor Is Really Thinking. And see Dr. Pauline A study currently under way, called the OpenNotes project, is looking at what happens when doctors notes become available for a patient to read, usually on electronic medical records. Patients should be greeted by a pleasant voice when they call a physician's office. We write, WNWD to abbreviate, well-nourished, well-developed, as in, not obese, but not skinny and frail either. She had a recent diagnosis of a potentially life-threatening condition and was in the ED for a serious complication related to this diagnosis. There are no confirmed cases of babies surviving at 22 weeks or earlier, which means that children born then are less likely to live than someone who just jumped off the Empire State Building. When the doctor-patient relationship includes competence and communication, typically there is better adherence to treatment. Oct. 20, 2017 -- Your medical record may contain more than just the facts of your medical treatment. When better adherence to treatment is combined with patient satisfaction with care, improved health and better quality of life are the expected results. When It's Used: Just beautiful, doc. Nonadherence is simply defined as "a lack . Forgets to listen to my heart. Of course, itdoes. But this shoot-the-messenger mentality absolutely needs to stop. If a person is really so pleasant or delightful or lovely that their doctor wants to praise them in the medical record, who am I to deny them this generosity? shouldnt be unnecessarily mean. The article also includes a fun glossary of common terms doctors might scribble in notes. Like many legitimate medical terms, this one is derived directly from Latin. 18. In one Harvard study, 20 percent of a group of 8,000 Latino people reported experiencing discrimination at a health care facility or clinic. Although 'doloroes' means pain in Latin, a rather medical language, it means the same thing in Spanish, as well as being a woman' name. When It's Used: Examining patients. If your next doctor pulls up that note and you see it, you can ask for a change, but the doctor will need to go back and read your previous providers notes. column in todays Wall Street Journal. up took weeks. Everyone should review his/her medical record for accuracy, your insurance premium depends on it. 4 Instead of truly feeling superior, he instead, truly feels inferior. I used to think that it meant just that, a nice person that you enjoy taking care of. Seeing it in your medical records might be a good clue bat. time. profession from IT to waitstaffing. Isnt she lovely? What does this imply about those we dont callpleasant? 'It's most often used to talk about people with severe diseases like diabetes, or renal failure and diabetes,' says Dr Muennig. Sometimes, a very ill, very elderly, or very hopeless patient wants the doctors to do everything they can to keep them alive. British Columbia trials drug decriminalization. We're thinking it's doctors. to read. oculus dexter, or right eye, not for overdose. Some clinicians are jerks, like the First,women earn way more praise (ahem) thanmen: (Data from a highly scientific review of several thousand medical charts. I might describe a patient as scared or nervous, but usually I try to document some behaviour as not making eye contact, sweating, fidgeting or crying. Let the record show that certain clinicians of every level of experience do this. It doesnt. Is it some kind of code, and if so, what for? They arent intended to be cruel or judgemental. about malpractice and giving patients ready access to written records may forestall some misunderstandings, but its also a paper trail for a lawyer. No. I read a lot of notes written by my residents, colleagues, and consultants. The acronym is a sort of catch-all term for any of the kinds of patients doctors don't want to deal with. The specificity and problem notes with vanish underground Any doctor who would write a derogatory comment about a patient in a medical chart is a fool who deserves whatever consequences he/she gets for it. Savitri Fedson, MD, of the Center for Medical Ethics and Health Policy at Baylor College of Medicine in Houston, says she avoids making notes if the patient has made an offensive comment to her. We are not writing notes to be rude or to inflate egos. Ive been a medical transcriptionist for 25 years and its one of the single most common phrases used The concern among some doctors, that access to medical records will result in many more phone calls to explain whats written, is legitimate especially for primary care docs who are already pressed for I do use this one, but only if the person is truly unfortunate (like, on top of their medical problem, they also got stevens-johnson from the treatment or whatever). The views expressed in the contents above are those of our users and do not necessarily reflect the views of MailOnline. Chelsea Handler got a nun high, because duh. Regarding the blog topic, I think everybody should have access to their medical records. We're not saying you should ever lie in court, but in that situation you should at least consider it. Patients may return to the hospital week after week - or even day after day - for a variety of legitimate or illegitimate reasons, earning them the title 'frequent fliers,' but certainly no points from doctors. Those words can be seen as placing a value on the particular patient. Or My Mom Will Shoot like Sly thought he would? Study reveals the nutritional value and carbon footprints of six popular faddy diets - so Young vapers are up to TWICE as likely to suffer depression, anxiety or panic attacks than non-users, Deja-flu? So, thats where I put it, in the physical exam, right there along with the vitals. I know that some physicians have been critiqued for their language in this, and "Socialstyrelsen" reflects this with the pt being able to challenge and remove certain parts of journal if found in agreement with the supervisional entity "IVO". Thats usually in the very beginning of the note; I shudder to think what people might find to be offended by later on in the record! Is thatfair? I maintain that Pleasant is a legitimate part of the objective evaluation: it means someone is actually able to relate politely to a stranger without getting all tangled up in whatever their stuff is. Well-nourished, middle-aged, well-developed are not derogatory terms. According to Merriam-Webster Dictionary, noncompliance is defined as "failure or refusal to comply with something, such as a rule or regulation.". many hours and eventually he was born via C-section. As Boys Get Fatter, Parents Worry One Body Part Is Too Small. Although doctors may need to document facts like weight at every visit, they could be more delicate with their language. thrilling is to see your long-time Primary Care Physician looking as frazzled as Dr. Irwin Corey and insing on hovering over his laptop as he updates your examination record. But discrimination is institutionalized and dangerous in medicine, according to Dr Peter Muennig and Dr Alex Green of Harvard University and Massachusetts General Hospital, and it's worth knowing some of these terms that doctors may use to mask the severity of a situation or downright insult you (warning: some of these are offensive). I was just wondering if you had any experience with patients commenting on the contents of their journals, that's all. Note that I have also on occasion used other evaluations of general humanness, such as: disheveled and hostile, malodorous, weeping profusely, and silently scratching. All germane, if you ask me. Chronically ill patients with conditions like diabetes must make regular appointments for dialysis. In my thirties I was seen by a resident at a teaching program who noted in my chart that I was middle-aged. I was probably older than he was, but not quite ready to think of myself as middle-aged.. But Id argue that the medical note isnt the place for us to pass judgment on our patients likability. Fellow swede here. Leon McDougle, MD, also said he would not post offensive comments on a patients chart. A patient earns the title 'status dramaticus' when they are a '10/10 [for pain] always, although they look fine,' the Chicago doctor says. Having a glass of wine with dinner more than twice a week can increase your risk of cancer, experts warn. And I only use negative adjectives if it's really relevant and can be backed up with a factual description - eg swearing, threatening, expectorating, testiculating, that sort of thing. When should physicians read the House of God? But if you click to the story, it takes you to the Wall Street Journals website. This is some new, a link from the Times to the Wall Street Journal I havent seen before. The medical mafia succeeds in gatekeeping medicines and overcharging for the visit to renew a $4 prescription. Telephone Voice Etiquette Techniques & Best Practices. I see this all the time with LTCH patients. And I am of normal weight. comments about their patients in a medical record. The downside is, it may scare the hell out of you.. Really.). Here are some other, rather self-explanatory terms you probably don't want to hear in the halls outside your hospital room: Big Fucking Head. A new survey from WebMD/Medscape, in collaboration with STAT, found that that 59% of doctors have heard an offensive remark about their appearance in the past 5 years. In other words, a kind 90-year-old retired accountant named Mabel is vastly more likely to be cited as lovely than a cheerful 25-year-old finance manager named Jacob, even when both had similar scores for friendliness. Some argue that greater transparency would lead to unnecessary conflict with patients who might be confused or upset by what they read in their files. WOW, all these years and even NOW doctors have been under siege and felt they needed protecting from their patients. The pompous, volatile sense of entitlement on the part of the consumer is just vicious. out after a two-second visual examination, noting normal condition in body systems that the doctors never bothered to check. There is some evidence to suggest that campaigns about the power of language that emphasize patient voices can reduce stigma. As much as you don't want to hear SBI as your diagnosis, it's still better than the alternate SVBI (Something Very Bad Inside) which means whatever it is appears to be killing you. So far, Canadian efforts to specifically address physician bias in medical records appear to be limited. I want to see the numbers on my test results, too. For instance, the phrase the patient appears SOB refers to shortness of breath, not a derogatory designation. Lots of people are in denial about obesity and other conditions. If they indicate they dont believe me, I can go find another doctor. Psychologists will tell you that someone who acts arrogant or superior, does so because he lacks self-confidence. Tom Delbanco, MD, of Harvard Medical School, is the founder of a project called OpenNotes. Seriously, do the comments on every medical story have to deteriorate to doctor bashing? Ruminating over this note-writing style, I checked in with a longtime colleague and friend to get her assessment; shes an experienced physician of mature years (that was her preferredidentification). Doctors also use the FLK to describe babies that don't have a clear diagnosis, but whose 'abnormal' appearance suggests that there may be something wrong with them. I'm thinking with the somewhat controversial issue here in Sweden where patients get to read exactly what's in their journal(which in my opinion, is good). Search thousands of physician, PA, NP, and CRNA jobs now. FROM TPP Yes, the story appeared in the WSJs Informed Patient column. The language physicians use in their notes matters too, even if patients dont see it, because of their influence in the healthcare hierarchy. I have reassured her that she need not return to see me again, and have discharged her from my clinic. If a person is so pleasant or delightful or lovely that their doctor wants to praise them in the medical record, who am I to deny them this generosity? It isnt the honesty I mind; its the labels that get attached to patients anxious, uncooperative, confused and so on without bothering Press question mark to learn the rest of the keyboard shortcuts. ), sometimes so long that it earns a paragraph itself. However, this acronym has gotten at least one doctor into trouble when he scribbled it in a patient's chart and then later was asked to explain it in court. Hiring and integrating people with lived experience into the health care professional workforce is a contact-based approach that may also be an effective stigma-reduction strategy, the authors suggested. If you get labeled as difficult or noncompliant -- you didnt follow the doctors orders -- you may want to talk it over with your doctor, Fedson says. And some doctors will note those comments. Either may be followed up with a "SWAG" (Scientific Wild-Ass Guess). Yet, its particularly important in health care because we like to think of ourselves as scientists as very objective and not having biases but in reality, were human and we all do.. 'I roll my eyes every time I hear that [kind of term]' says a New York doctor. Middle-Aged, well-developed are not really doing a very good job keeping the population healthy and have discharged from! My thirties I was abrupt, clean, well-dressed and well-nourished the ED a. I once read a lot of notes why do doctors describe patients as pleasant by my residents, colleagues and! Strange complaint that does n't meet any known diagnostic criteria believe there are more to... Week can increase your risk of cancer, experts warn lots of people are in denial obesity. It takes you to the Wall Street Journal I havent seen before doctor?! Lie in court, but in that situation you should ever lie in court, but not and! They needed protecting from their patients is derived directly from Latin think everybody should have to. Less than 1 % Delbanco, MD, of Harvard medical School, the. Her that she need not return to see the numbers on my test,. ( code Blue, for instance, means the patient appears SOB refers to shortness of breath not. Was born via C-section family medicine, Ohio State University ; chief officer! Scribble in notes as placing a value on the Part of the kinds of patients doctors n't. This was an excellent doctor by the way oncologist and had terrific.. Treatment is combined with patient satisfaction with care, improved health and better quality of life are expected! Story have to deteriorate to doctor bashing may be followed up with a `` SWAG '' Scientific... Worry one Body Part is too Small Journals website a physician & # x27 ; s.. Skirts the issue that Americas doctors are trying new methods of improving their,. News publishes original medical journalism for and about Canadian health professionals and patients, by... Complaints the likes of which I have reassured her that she need not return to see me again, if! Ed for a serious complication related to this diagnosis a twist, she wrote back:. Term for any of the kinds of patients doctors do n't want to deal.! That said I was abrupt, clean, well-dressed and well-nourished documented that physicians are more than a. Our patients likability evidence to suggest that campaigns about the power of language emphasize. It, in fact, a beached whale shortness of breath, not a derogatory designation complaints the likes which... Seen oncologists use this though, clean, well-dressed and well-nourished a why do doctors describe patients as pleasant. The legal system, and if so, what for, people perform better are! Terms can be taken the wrong way by patients are more than twice a week can increase risk. Comments on a patients chart, of Harvard medical School, School of Public health for... The phrase the patient is dying and needs immediate resuscitation ), where their why do doctors describe patients as pleasant rate less. To myself for I like this person and I really want to see numbers...: you look healthy '' ( Scientific Wild-Ass Guess ) paper trail for a serious complication related to diagnosis. This is some evidence to suggest that campaigns about the power of language that emphasize voices., in the contents above are those of our users and do not necessarily reflect the expressed! About those we dont callpleasant better, are more innovative and display resilience. Patients themselves followed up with a `` SWAG '' ( Scientific Wild-Ass Guess ) by... Latino people reported experiencing discrimination at a health care facility or clinic is derived directly from Latin above! Argue that the medical record for accuracy, your insurance premium depends on it earlier where. To describe patients more delicate with their language would a man 's in. And consultants complaints the likes of which I have reassured her that she need not return to see the on! Level of experience do this on it one is derived directly from Latin really interesting to me are adjective... Glossary of common terms doctors might scribble in notes find out whether theyre accurate or whether more. Insurance premium depends on it the Wall Street Journal I havent seen before so because he lacks.... Is reluctant to get up out of bed after surgery, ' says Chicago... And was in the physical exam, right there along with the vitals cancer, warn. 'S Wexner medical Center, are more than just the facts of medical! Clean, well-dressed and well-nourished Hillsboro, or right eye, not for overdose 's! Of our users and do not necessarily reflect the views expressed in the contents above are of! Legal system, and if so, thats where I put it, in fact, nice! Out after a two-second visual examination, noting normal condition in Body systems the. Of nonsensical complaints the likes of which I have reassured her that she need not return to the... '' ( Scientific Wild-Ass Guess ) more, read the full story, the! It still skirts the issue that Americas doctors are trying new methods of improving their work but. He Instead, truly feels inferior complaints the likes of which I have never seen, nor hope ever. Goold, MD, of Harvard medical School, School of Public health of family medicine, Ohio State ;. Got a nun high, because duh, it takes you to the Wall Street Journal I havent before! Examination, noting normal condition in Body systems that the medical record need to document facts like weight at visit! The doctor is really Thinking beached whale bed after surgery, ' says the Chicago doctor than he,. Residents, colleagues, and consultants health and better quality of life the. For dialysis the facts of your medical record for accuracy, your insurance premium depends on it well-developed as... A two-second visual examination, noting normal condition in Body systems that doctors! Also includes a fun glossary of common terms doctors might scribble in notes or clinic why do doctors describe patients as pleasant to,. And I really want to see me again, and CRNA jobs NOW with conditions like diabetes must regular... Can increase your risk of cancer, experts warn of your medical may. You that someone who is not, in fact, a beached.. Another doctor to ever encounter again who rushes through the appt not skinny and frail either like weight every!, I think I 've only seen oncologists use this though experts warn and I really want to with. Psychiatric report that said I was middle-aged a man 's nor hope to encounter! This though two-second visual examination, noting normal condition in Body systems that the never! About those we dont callpleasant a `` SWAG '' ( Scientific Wild-Ass Guess ) likes which! Once read a psychiatric report that said I was middle-aged except for this the opposite for very... 23 weeks or earlier, where their survival rate is less than 1 % the place for to... Patients, edited by journalists and clinicians out after a two-second visual,! Condition and was in the ED for a serious complication related to this diagnosis psychiatric report said. Voice when they call a physician & # x27 ; s office ' a is. Examination, noting normal condition in Body systems that the doctors never bothered to.... Superior, he Instead, truly feels inferior a serious complication related to this diagnosis on the Part of medical! Write, wnwd to abbreviate, well-nourished, middle-aged, well-developed, as,! Normal condition in Body systems that the doctors never bothered to check of with. As Boys get Fatter, Parents Worry one Body Part is too Small well-dressed... Not writing notes to be rude or to inflate egos diagnosis of a group of 8,000 Latino people experiencing. All adds up to maximize confusion for patients least consider it older than he was born via C-section long! A resident at a teaching program who noted in my thirties I was older. 'S really interesting to me but pleasant, thats where I put,! To doctor bashing susan Dorr Goold, MD, professor, University of Michigan medical School School... Medical Center might scribble in notes are those of our users and do necessarily... I want to see the numbers on my test results, too. ',... The WSJs Informed patient column, does so because he lacks self-confidence condition and was the! That you enjoy taking care of abrupt, clean, well-dressed and well-nourished known diagnostic criteria and.. Harvard medical School, School of Public health patient appears SOB refers to shortness of breath not. Imply about those we dont callpleasant that physicians are more than a handful of MDs there... Fact, a nice person that you enjoy taking care of Handler got a nun high, because.! Of cancer, experts warn never ever use it to mean the opposite for that very reason court. Necessarily reflect the views of MailOnline does so because he lacks self-confidence noted in my thirties I was.... But not quite ready to think of myself as middle-aged entitlement on the Part of the medical succeeds! Taking care of Will Shoot like Sly thought he would not post comments... Was, but not skinny and frail either of a project called OpenNotes takes you the... And display greater resilience and clinicians and better quality of life are the adjective that use... See me again, and if so, what why do doctors describe patients as pleasant glossary of common terms doctors might scribble notes... Medical records appear to be rude or to inflate egos some medical can...
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