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Walnut Creek

I have been running my Sunday clinic out of the Perfect Balance Pilates Studio since August 2017.  It’s a wonderful space with great energy and super peep like Susan Liebowitz.  Too busy to take care of yourself on weekdays? No problem, Sundays are the perfect time for taking care of yourself, and we are here for you!

It’s a quiet and professional setting with ample on- and off-street parking.

Driving Direction from Orinda/Lafayette

If you are coming from Orinda or Lafayette, 

  1. Go east on CA-24
  2. Continue on CA-24 E to Walnut Creek. Take the I-680 N exit from CA-24 E
  3. Follow Ygnacio Valley Rd
  4. Briefly after you pass N. Main St, you’ll find Walnut Creek Financial Plaza to your right, before N. Broadway. 
  5. The studio is on the 2nd floor of Building B of the plaza 

Driving Direction from Danville/Alamo

  1. Go north on I-680
  2. Follow I-680 N to Ygnacio Valley Rd in Walnut Creek. Take exit 46B from I-680 N
  3. Use the right 2 lanes to turn right onto Ygnacio Valley Rd
  4. Follow Ygnacio Valley Rd
  5. Briefly after you pass N. Main St, you’ll find Walnut Creek Financial Plaza to your right, before N. Broadway
  6. The studio is on the 2nd floor of Building B of the plaza

Driving from Pleasant Hill/Concord

  1. Take I-680 S to N Main St in Walnut Creek. Take exit 47 from I-680 S
  2. Continue south on N Main St. Drive 
  3. Make a left onto Ygnacio Valley Rd
  4. On your right, you’ll find Walnut Creek Financial Plaza, before N. Broadway
  5. The studio is on the 2nd floor of Building B of the plaza 

San Francisco

I am phasing out my practice in San Francisco so I can focus on Walnut Creek.  I will continue to see existing patients, however, I am not accepting new patients in San Francisco.

 

Questions? Just ask!

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FAQ about Acupuncture

What is acupuncture?

Acupuncture is a medical modality that entails the insertions of fine needles into a patient’s body to effect the betterment of health. It is largely known as a key component of the Traditional Chinese Medicine (TCM), although the use of needles for health is well documented in other cultures. Today, acupuncture is WHO recognized therapy that is practiced around the world. It is a holistic, cost-effective, and safe modality for health maintenance, wellness, and pain management.

How does acupuncture work?

Acupuncture delivers its efficacy through restoring the homeostatic process and re-balances the physiological processes.

At the most basic level, acupuncture relaxes the nervous systems and the musculature to remove residual stress responses and increase blood circulation. As a result, the mind is calmer and the body carries less tension. The blood circulation is enhanced, the cortisone level is lowered, the body has fewer alarms to deal with so it can focus all the resources toward a more optimal health. Acupuncture also stimulates the body’s central nervous system to release endorphins and reprogram the neuromatrix, both are essential in helping to manage chronic pains.

There are many theories as to how acupuncture actually works. When acupuncture points are stimulated, it causes a dull ache or other sensations in the muscle. One theory holds that the stimulated muscle and sensory neurons send a message to the central nervous system (the brain and spinal cord), causing the release of endorphins (naturally produced pain killers) and other neurotransmitters (body chemicals that modify nerve impulses), which help block the message of pain from being delivered to the brain and have other regulatory effects as well.

What happens during acupuncture treatment?

As in all medical visits, your acupuncturist will examine you and your conditions through Q&A’s, physical examinations (palpation, etc.), visual inspections to diagnose the causes and prescribe appropriate course of treatments, which include acupuncture, herbal prescriptions, etc. Acupuncture needles are sterile, pre-packaged, disposable, and hair-thin. Skilled acupuncturists insert the needles at prescribed locations quickly and painlessly to the patients. The needles are placed at various depths, depending on the point locations and the applications.

Wear loose fitting clothing so your acupuncturist can access the points. Exercise good hygiene, refrain from heavy perfume. After the needles are inserted and stimulated, they stay in place from a few minutes up to 30 minutes.

In a treatment series, the acupuncturist will combine different points, needling techniques, and adjunct techniques such as electrical stimulation and moxibustion. These combinations help stimulate new sources of healing as the patient’s response to treatment is observed.

What conditions are treated with acupuncture?

Acupuncture is a highly versatile modality, with applications that range from muscular dysfunctions, pain management, allergy, menstruation dysfunctions, post surgery care, to facial rejuvenation, and many more. In 2003, the WHO published a list of diseases and disorders for which acupuncture has proven to bring positive therapeutic effects. For the complete list, refer to WHO and Acupuncture.

In the US, acupuncture is most often associated with treating and managing intractable pains, particularly chronic pains, myofascial pains, headaches, menstrual pains. For certain conditions, such as cancer, acupuncture is used as an adjunct palliative care procedure that relieve complications from surgeries and chemotherapies. It reduces the frequency and magnitude of pain and increases the quality of life.

What does acupuncture feel like?

You may feel a slight prick when the needle is inserted, but it is much less than the prick you feel during an injection, since the needles are much thinner. You may feel a heaviness, numbness, tingling or mild soreness after the needles have been inserted. A feeling of deep heaviness or numbness, called “Deqi” (pronounced duh chee) means the treatment is working. The patient tells the acupuncturist “yes” when he or she feels this.

Is acupuncture safe?

Yes! By law, acupuncture must be performed with disposable needles under clean, sterile conditions, it is highly unusual to have any complications. One of the advantages of acupuncture is that the incidence of adverse effects is substantially lower than that of many drugs or accepted medical procedures used for the same conditions.

However, it is important to keep in mind that all modalities are potentially hazardous when it’s applied inappropriately or carelessly. It is possible to drive the needle too deep and damage a vital organ, however, it is precisely for this reason that all licensed acupuncturists must go through rigorous training and certification to ensure they are aware of the risks and are qualified to perform this importantly task prudently.

Is there something I should do to prepare for my acupuncture treatments?

It’s always a good idea to arrive at your acupuncture a little early to give yourself a chance to relax into the session. Because needle insertions must be applied to bare skin when we do acupuncture, please wear loose and comfortable clothes that would allow access to your body. Most of time, I would place needles on the abdomen and upper/lower back, so an overall or a one-piece dress is not ideal (but gowns and blankets are available, in case you need to change).

I commonly palpate and needle points on your lower extremities, so tights, panty hose, or skinny jeans will be a bit hindering. I also commonly use points along the arms, on the shoulders and the neck.

What should I do after an acupuncture treatment?

After receiving an acupuncture treatment, patients usually feel relaxed and a little sedated, akin to waking up from a slumber. So afford yourself a little time to gather your faculties and focus before embarking on tasks that require concentration, like for example driving.

How often should I be treated with acupuncture?

This is one of the most commonly asked questions. And the honest answer to that question will always be “it depends on you and your conditions”. For most acute chief complaints such as a seasonal cold, muscle tensions, etc., patients often achieve their treatment goals after one or two sessions. For more chronic chief complaints, for example allergies, digestive dysfunctions, dysmenorrhea, then more sessions are required. this is especially important for injuries that were caused by repetitive use and life style. I always tell patients that we need to get “ahead of the count” with the treatments. Meaning, the cumulative benefits of the treatments must exceed the re-injuries and damages that incur between treatments. Therefore, once you factor into the patient’s overall health, age, life style, habits, and so on, pinpointing a specific number of treatments becomes more difficult.

I always advocate allocating four sessions for two weeks, twice a week. Within one week, we should be able to observe and quantify the effectiveness of the treatments. This gives both the patients and the practitioners good idea of how well the treatments are working and whether to continue, or to change or to stop all together. The four-treatments-in-two-weeks rule establishes has proven to be an effective guideline for patients to monitor and evaluate the effectiveness of the treatments.

What are some guidelines to follow if I decide to try acupuncture?

Acupuncture is a modality, a very effective and powerful modality. However, it is not “magic”, so you can not just rely on acupuncture and expect everything to work itself out. Heed your acupuncturist’s and/or primary care provider’s advice on necessary diet and life style changes.

Do the needles hurt? Is acupuncture painful?

In a nut shell, no they shouldn’t. If an acupuncturist applies good needling techniques, it would not be painful at all. However, we must keep in mind that pain is, above all, a subjective experience that is highly influenced by factors such as state of mind (nervousness, anxiety, fatigue), trust, and so on. I value helping patient ease and relax into the session so I can lead you through a beneficial and enjoyable session.

Also, to put things in perspective, the diameter of typical hypodermic needles ranges from 1.6 to 0.8mm, while that of typical acupuncture needles ranges from only 0.25 to 0.15mm. The super thin needles, coupled with the quick hand techniques I have developed over the years, I apply the needling in just a fraction of second. It’s so quick in fact that most of the time the patients don’t even notice the needle has already been inserted.

How do I make the most of my acupuncture treatments?

The initial treatment is arguably the most important appointment because it helps the practitioner to be acquainted not just with your chief complaints, but also your overall health history, constitution, life style, etc. This is the reason the initial appointment takes longer and costs more.

Meridian’s initial intake form is there to help you elaborate on your health history, so we insist all patients to take the time to fill out the online initial intake form as completely as possible prior to the appointment. That way we can use the valuable clinic time for diagnosis and treatments instead of filling out paperwork.

Does the medical field approve of acupuncture?

Yes. There are more than 16,000 licensed acupuncturists in the United States and 3,000 physicians who perform acupuncture as part of their medical practice. The World Health Organization currently recognizes more than 40 medical problems — including pain, gastrointestinal, gynecological, and respiratory conditions as well as sports injuries — can be helped by acupuncture treatment. Lastly, in 1996, the U.S. Food and Drug administration (FDA) reclassified acupuncture needles, regulating them as it does other medical devices. Acupuncture needles most now be manufactured according to single-use standards of sterility and are intended for general use by qualified practitioners.

Will my insurance policy cover acupuncture treatment?

Some insurance companies will pay for acupuncture treatment. Because each insurance provider has different restrictions, it is best to consult with your provider to determine if your treatment will be covered.

What Is Acupuncture

What is acupuncture?

Acupuncture is a medical modality that entails the insertions of fine needles into a patient’s body to effect the betterment of health. It is largely known as a key component of the Traditional Chinese Medicine (TCM), although the use of needles for health is well documented in other cultures. Today, acupuncture is WHO recognized therapy that is practiced around the world. It is a holistic, cost-effective, and safe modality for health maintenance, wellness, and pain management.

How does acupuncture work?

Acupuncture delivers its efficacy through restoring the homeostatic process and re-balances the physiological processes.

At the most basic level, acupuncture relaxes the nervous systems and the musculature to remove residual stress responses and increase blood circulation. As a result, the mind is calmer and the body carries less tension. The blood circulation is enhanced, the cortisone level is lowered, the body has fewer alarms to deal with so it can focus all the resources toward a more optimal health. Acupuncture also stimulates the body’s central nervous system to release endorphins and reprogram the neuromatrix, both are essential in helping to manage chronic pains.

There are many theories as to how acupuncture actually works. When acupuncture points are stimulated, it causes a dull ache or other sensations in the muscle. One theory holds that the stimulated muscle and sensory neurons send a message to the central nervous system (the brain and spinal cord), causing the release of endorphins (naturally produced pain killers) and other neurotransmitters (body chemicals that modify nerve impulses), which help block the message of pain from being delivered to the brain and have other regulatory effects as well.

Other experts believe that acupuncture works by transmitting signals via the fascia. Fascia is like a thin sheath that surrounds all of the body’s muscles. Some acupuncturists consider the meridians to represent myofascial chains – which helps explain why stimulating an acupuncture point in the lower leg can affect the back or other areas. Interestingly, research shows that acupuncture points have a lower electrical resistivity than surrounding areas. In a practical sense, the meridian system provides a navigable energetic map of the body for acupuncturists to locate and treat many conditions.

What happens during acupuncture treatment?

As in all medical visits, your acupuncturist will examine you and your conditions through Q&A’s, physical examinations (palpation, etc.), visual inspections to diagnose the causes and prescribe appropriate course of treatments, which include acupuncture, herbal prescriptions, etc. Acupuncture needles are sterile, pre-packaged, disposable, and hair-thin. Skilled acupuncturists insert the needles at prescribed locations quickly and painlessly to the patients. The needles are placed at various depths, depending on the point locations and the applications.

Wear loose fitting clothing so your acupuncturist can access the points. Exercise good hygiene, refrain from heavy perfume. After the needles are inserted and stimulated, they stay in place from a few minutes up to 30 minutes.

In a treatment series, the acupuncturist will combine different points, needling techniques, and adjunct techniques such as electrical stimulation and moxibustion. These combinations help stimulate new sources of healing as the patient’s response to treatment is observed.

What conditions are treated with acupuncture?

Although acupuncture is not a “cure-all” treatment, it is very effective in treating several diseases and conditions. Acupuncture is most effective at treating chronic pain, such as headaches, menstrual cramps and low back, neck or muscle pain. It can also be used to treat osteoarthritis, facial pain, spastic colon, and repetitive strain conditions. Acupuncture also can improve the functioning of the immune system (the body’s defense system against diseases).

For certain conditions, such as cancer, acupuncture should be performed in combination with other treatments.

What does acupuncture feel like?

You may feel a slight prick when the needle is inserted, but it is much less than the prick you feel during an injection, since the needles are much thinner.

You may feel a heaviness, numbness, tingling or mild soreness after the needles have been inserted. A feeling of deep heaviness or numbness, called “Deqi” (pronounced duh chee) means the treatment is working. The patient tells the acupuncturist “yes” when he or she feels this.

Is acupuncture safe?

Yes. When acupuncture is performed with disposable needles under clean, sterile conditions, it is highly unusual to have any complications.

One of the advantages of acupuncture is that the incidence of adverse effects is substantially lower than that of many drugs or accepted medical procedures used for the same conditions.

Lastly, it is important to keep in mind that all modalities are potentially hazardous when it’s applied inappropriately or carelessly. It is possible to drive the needle too deep and damage a vital organ, however, it is precisely for this reason that all licensed acupuncturists must go through rigorous training and certification to ensure they are aware of the risks and are qualified to perform this importantly task prudently.

Types of acupuncture

There are many different styles of acupuncture. Practitioners of Acupuncture Physical Medicine (APM) palpate the body (examine the body by touch) to locate reactive areas and myofascial (muscular) constrictions. Points are selected and stimulated to relieve symptomatic areas based on the relationships of meridian acupuncture theory. Practitioners trained in APM also locate and deactivate “trigger points” using an advanced needling technique. Triggers points are extremely common in pain conditions and cause referred pain and other symptoms of dysfunction in nearly everyone’s life at one time or another.

What should I do after an acupuncture treatment?

It is best to bring someone with you on your first acupuncture treatment so that you will have transportation home. This is because acupuncture has a very calming effect. You may feel overly relaxed after the treatment and shouldn’t drive. No matter how good you feel after the treatment, it is important not to overextend yourself. You should take it easy for a few days after the treatment. In addition, it is important to continue taking your prescribed medications.

How often should I be treated with acupuncture?

Unlike herbs or drugs, acupuncture treatments rely entirely on the patient’s ability to heal. The number of treatments required depends on each person’s condition and response to acupuncture. One acupuncture session does not usually result in relief of pain. One or two sessions a week for five to six weeks is the normal course of treatment. Your physician will discuss with you how many treatments you should have and how often you should have them.

What are some guidelines to follow if I decide to try acupuncture?

Don’t rely on acupuncture for treatment of chronic or serious illness unless you see a physician first. Acupuncture may not be the only way to improve your condition. Your health care provider may recommend acupuncture treatment along with other treatment methods such as physical therapy or medication.

In addition, try acupuncture for at least 5 or 10 treatments before giving up.

In a nut shell, no they shouldn’t. If an acupuncturist applies good needling techniques, it would not be painful at all. However, we must keep in mind that pain is, above all, a subjective experience that is highly influenced by factors such as state of mind (nervousness, anxiety, fatigue), trust, and so on. I value helping patient ease and relax into the session so I can lead you through a beneficial and enjoyable session.

Do the needles hurt? Is acupuncture painful?

Also, to put things in perspective, the diameter of typical hypodermic needles ranges from 1.6 to 0.8mm, while that of typical acupuncture needles ranges from only 0.25 to 0.15mm. The super thin needles, coupled with the quick hand techniques I have developed over the years, I apply the needling in just a fraction of second. It’s so quick in fact that most of the time the patients don’t even notice the needle has already been inserted.

How do I make the most of my acupuncture treatments?

The initial treatment is arguably the most important appointment because it helps the practitioner to be acquainted not just with your chief complaints, but also your overall health history, constitution, life style, etc. This is the reason the initial appointment takes longer and costs more.

Meridian’s initial intake form is there to help you elaborate on your health history, so we insist all patients to take the time to fill out the online initial intake form as completely as possible prior to the appointment. That way we can use the valuable clinic time for diagnosis and treatments instead of filling out paperwork.

Does the medical field approve of acupuncture?

Yes. There are more than 16,000 licensed acupuncturists in the United States and 3,000 physicians who perform acupuncture as part of their medical practice. The World Health Organization currently recognizes more than 40 medical problems — including pain, gastrointestinal, gynecological, and respiratory conditions as well as sports injuries — can be helped by acupuncture treatment. Lastly, in 1996, the U.S. Food and Drug administration (FDA) reclassified acupuncture needles, regulating them as it does other medical devices. Acupuncture needles most now be manufactured according to single-use standards of sterility and are intended for general use by qualified practitioners.

Will my insurance policy cover acupuncture treatment?

Some insurance companies will pay for acupuncture treatment. Because each insurance provider has different restrictions, it is best to consult with your provider to determine if your treatment will be covered.

My Clinical Approach

Acupuncture, like any craft or art, is not practiced as a monolithic school of thought.  Yes, all acupuncture entails insertions of file filiform needles for the purpose of effecting therapeutic changes.  And yes, the origin of acupuncture school of though is rooted in the traditional Chinese medicine.  However, there is a huge variation in how it is practiced, meaning, how the points are selected, needled and the conditions diagnosed varies tremendously from one patient to another, etc.

So, I want to give you more details my clinical approach.  Now, why would you care as a patient?  Well, for the following reasons:

  1. the work I do is interactive and closed-loop, meaning, there is a lot of palpations, feedback, and verification all done in real time.  So unlike your typical Traditional Chinese Medicine (TCM) approach, my approach entails certain level of passive participation from the patient.  The payback, of course, is more accurate and comprehensive treatments that yield better result.  And that takes time and expertise.
  2. Depending on your needling preference, you may like gentler insertions and manipulations or more vigorous.  By and large, how vigorous you stimulate the body, ie, the whole De Qi claim, in my opinion is more academic than clinically necessary.  So it helps to know about the default approach of your acupuncturist.
  3. Although most patients don’t want to know about all the nitty gritty details of why an acupuncturist works on certain areas or what he is trying to do, patients in generally do want to have certain level of understanding of the high level treatment strategy and focus.

My approach

It does not matter to me what the patient’s chief complaints (ie, the reason you come to see me in the clinic at the first place) are, I always following sequence:

  1. Constitutional treatment of the abdominal area
  2. Constitutional treatment of the back
  3. Targeted treatment for lingering chief complaints
  4. Supplemental herbal medicine

Constitutional Treatment of the Abdominal Area

So this is where I begin, systematically palpating your abdominal areas for tenderness, pains, hardness, and temperature.  For the treatment, I utilize the famed Kiiko Matsumoto approach extensively.

For each positive finding (eg. tender, painful, ticklish, hard, or cold), I will press my finger on the appropriate distal points on your arms, legs or feet re-palpate the problem spot.  I will solicit your subjective feedback on whether the tenderness/ache lessens or dissipates with my point selection.  And if no improvements are reported, I will look for an alternate points.  The needle will only be inserted on the point that yields the most benefits.  From my side, I am constantly monitoring if the selected acupuncture point reduces the muscular tension of the palpated area.  So, I am verifying the correctness of my point selection based on your feedback as well as the level of softening of muscular tension.  And this process is repeated until all the problem areas around the abdomen have been addressed.  If the mid section of your abdomen is particularly stubborn and/or cold (from poor blood circulation), I will supplement the treatment with warm needle, which further relaxes the abdominis muscles.

Now, why do we bother doing all this, especially when you come in for a shoulder pain or knee pain.  What does the softness have to do with my pain elsewhere?  For two reasons:

  1. I am practicing holistic medicine, meaning, I am not just treating your symptoms. I am treating your whole body.
  2. Most people carry their stress around their abdomen, this is especially relevant for white collar professionals who have to think around the clock.  Over time, the accumulated stress responses manifest as unrelenting muscular tension around the abdomen, which inadvertently keeps signaling the body that it is dealing with stressful situations.  This is subtle yet prevalent as most people have no prior knowledge of the tension they are carrying around the abdomen until I palpate them.
  3. The acupuncture session relieve these accumulated muscle tensions, which in term, clears the latent stress signals that the muscles are sending back to the brain.  So, the body now has “fewer” distracting battles to fight and it can now focus on fixing things that require the most resource.
  4. People who habitually consume cold food and beverages, eg. beers, cold liquid, cold salad, ice cream, also tend to have a cold mid-section without ever realizing how that can negatively impact their health.  For example, allergies, low back pains can all at least partially attributed to the cold rigid middle section.  The front abdominal constitutional treatment definitely helps improve the aforementioned conditions.
  5. When the middle section is hard and unyielding, it affects your balance and freedom of movements.  As a result, you are prone to overuse certain muscles and often that results in low back pain or knee pain.

Constitutional Treatment of the Back

Once the front treatment is complete, I will have you lay on your stomach so I can work on your back. 

I will palpate along the inner Urinary Bladder (UB) meridian to identify any problem area (ie, tender, ache, hard).  Again, the same process utilized in the front constitutional treatment will be applied to the back area.

The rationale for treating the back is very similar to the front treatment.  It’s all about taking away as many residual stress signals that your body is carrying so you can feel more centered and relaxed and heal faster.

For the back treatment, again, the Kiiko Matsumoto approach offers amazing results and it is again my starting point for the back treatments.

Targeted treatment for lingering chief complaints

The reason for saving the targeted treatment at the end is simple.  It is difficult to deliver desired clinical results if the patient has so many latent lingering issues that distract them from functioning properly and smoothly, particularly if the chief complaint is related to some kind of pain or dysfunctions (like stress, insomnia, allergy).  By centering the patient, I can now work on the chief complaint more effectively and efficiently.

At this point, patient’s pain complaint usually has noticeably reduced.  However, I will continue the treatment, this time, with the balance method pioneered by Dr. Richard Tan.  Whilst I use Kiiko Matsumoto approach for the well-being of the abdomen and the back, I use the Balance Method for specific pain complaints, particularly the skeletal muscle pains and joint pains on the extremities and the neck.  The Balance Method, again, entail a feedback from the patient to help ascertain the most effective point, for this patient’s specific condition.  Like the Kiiko approach, the Balance Method also utilizes points on the limbs, although with a bit more emphasis on the hands and forearms and feet and the legs (as opposed the thighs).

The Balance Method is specially effective for targeting specific pains, the primary reason why people turn to acupuncture in the US.  It combines the traditional meridian and point layout with a modern system-based diagnostic approach, and it is one of my key clinical approach.

Lastly, for people who have super stubborn tight muscles or a vicious cycle of healing and re-injury from sports or physical labor, I will finish the treatment with direct needling coupled with electrical stimulation.  However, this approach is only applicable to well-define pathology of skeletal muscles.  As a matter of fact, my initiation to acupuncture treatment was direct needling with electrical stimulation on my hamstrings, gluts, and quadriceps.  This is a viable and effective approach for skeletal muscles, but I would not apply to anything else.  Electrical stimulation takes a little getting use to.  And the name sounds a lot worse than it actually is.  But it’s not bad at all.

Patent Herbal Medicine and Supplements

I am increasingly emphasizing the importance of herbs because they are fantastic complement to acupuncture treatments and they help the patient stay on the healing path between acupuncture sessions.

I prescribe only patent formulas from Sun Ten and Standard Process because of their undisputed quality.  I never prescribe raw herbs.

For certain situations, for example, seasonal cold or chronic constipation, I would shun acupuncture and prescribe only the herbs for the patients.

So that gives you a summary of what to expect in my clinic.  Because all the steps I go through, it is often for the session to last more than an hour.  So if you have any time requirement, you should tell me ahead of time. 

If you have any questions about how I can help you with your condition, please feel free to contact me.  I also encourage all patients to take advantage of my free 20 minutes phone consultation before making the initial appointment.  I will confess that I almost never answer the clinic number because I am usually with a patient during business hours, and you would not believe how many obnoxious telemarketing calls I get everyday.

 


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