Autistickin Emojis & Text

https://autisticgirlsnetwork.org/needle-phobia-autism-and-coping-with-blood-tests-and-vaccinations/ Needle Phobia; autism and coping with blood tests and vaccinations Isabella’s story We asked Isabella if she’d like to write something after we were initially contacted by her mum, experiencing a huge lack of support for needle phobia. Isabella had become more and more unwell, but all medical professionals said they couldn’t do anything further without blood tests. The problem was nobody was supporting Isabella to be able to have the testing. From Isabella’s mum “She came home from university at Easter and after days of high temperatures she was told to go to A&E. It was here that an incredibly understanding Doctor listened to what we were saying, took into account her autism and helped to arrange for her to self-administer a finger prick test that allowed them to collect just enough blood for an initial test. To cut a long, night in A&E, story short, she was diagnosed with leukaemia and immediately admitted to hospital and is now undergoing intensive chemotherapy. The autism note on her file and the extremely understanding staff here have helped her navigate numerous bone marrow biopsies and lumbar punctures and allowed her to have tablet forms of other medications that could have been injections. We are just so grateful that we finally found medical professionals who understood, they are few and far between.” From Isabella I’d like to talk about some of the challenges I’ve faced because there’s been a lot of variation and I think it’s very important for medical staff to know what does and doesn’t work. I can now see that being taken seriously can save lives; and it scares me to know that not being listened to can put lives at risk. I think the main things I’ve experienced have been: Secondary school vaccination staff are not properly aware of additional challenges that some students may have. Looking back on my experience in secondary school, I don’t think the community nurses were properly aware that they couldn’t take a one size fits all approach. Their approach to me being too scared to have the vaccines done at school was to simply send me to the catch up clinic for it which unsurprisingly didn’t do anything because it was the exact same set up as school! Sure, they didn’t know that I was autistic (and I had no clue either) so making adjustments wouldn’t have been their first priority; though I suspect it was very obvious by the amount of distress I was very visibly showing that something wasn’t typical about what was happening. We eventually managed to go to a second catch up clinic where they did vaccinate me successfully but it wasn’t overall a successful experience I’d say and it probably did more harm than good. I made sure that I mentioned this time that I wanted them to be clear with me what was happening and they told me that they would let me put on headphones and try and relax myself before they attempted to vaccinate me. But no, they did the vaccine while I was preparing for it and made me lose all my trust in them because they had not listened properly. So when I came back for the second dose of the HPV vaccine the year after it never happened because I couldn’t trust them to make me feel calm enough to start the process of taking my blazer off because I couldn’t trust them to vaccinate me when I felt ready and not to shock me and do it too early and unexpectedly. The main thing they could’ve done that would’ve helped? I’m not sure as it was a long time ago, but I think acknowledging the existence of undiagnosed neurodivergent students (or students who are more anxious about it for other reasons too) going through vaccination who might have heightened anxiety could be a good start and being fully honest and open with them about what’s going to happen and giving them the time and space they need. I think maybe if someone had in the catch up clinic realised that I was too scared and used 20 minutes to talk through arranging another time to get it done in a more relaxed environment with numbing cream for example and reassuring me that it would be ok, I might’ve been more willing to try instead of giving up in fear. Less of a relevant point now but I think still important to mention: they could’ve reconsidered which order of vaccines to offer me. At the time, you needed 2 doses of the HPV vaccine to be fully vaccinated (or 3 if over 15) [I believe the NHS guidance is now only one dose, but may be wrong] and I can’t help but wonder if they could’ve considered that if they did scare me off vaccines completely that it might be worth giving me a vaccine where at least I’d get full protection instead of told that because I hadn’t had the second dose within 2 years that the only one they could give me was effectively useless at the time? I couldn’t help but wonder at the time if I should’ve asked them for the meningitis vaccine instead (even if I’d be given it a few months early) because at least then I’d have protection against something I knew I needed for university but was worried I’d never be brave enough to have. Because if you can’t vaccinate someone fully, surely it’s better to prioritise something that will provide full rather than partial protection? I remember thinking that would’ve been a very important conversation to have at the time but not having the confidence to raise it. I did end up leaving for university without the meningitis vaccine which I know is not good but due to the lack of support from the secondary school immunisation team, it would never have been possible. If you speak to someone willing to be understanding, it can be lifesaving. When I went to A+E and my mum explained to the doctor that my autism meant that I was completely irrationally scared of blood tests and that I hadn’t been able to have one for months I asked if I could self administer a finger prick blood test because it was the only way that I could see myself being able to do it. The doctor was incredible because she could see that even though it wasn’t “the way” of testing it, it would be the only possible way so contacted the paediatrics section of A+E to see if it would be possible and (partially because I’m 19 so close to having been a child anyway) we were told we could do it. The nurse who gave me the test and everything, was incredible! She took her time to be very clear how to administer the test and helped calm all of my nerves and feel calm and confident to do the test and allowed me to do what once felt impossible. The kindness and understanding that she had towards my fears made a once impossible challenge possible. And shortly after that we got the results quite quickly that further needle stabs would be needed because my blood results were very concerning. But this news was delivered to us by the very kind and understanding paediatric nurse who came armed with numbing cream and understanding that I was not going to be happy with the news, which I obviously wasn’t. But she gave me 5 minutes to process it which really really helped because otherwise I would’ve been too overwhelmed and probably refused. Having the same nurse who was willing to take things slower put on numbing cream and insert cannulas / do further blood tests at a pace that suited me being clear with what was happening and when and communicating clearly and checking that I felt comfortable throughout the whole process made it possible to do. I’ve had a very similar experience with all my procedures since being transferred from A+E to the teenage cancer trust ward I’m in. The nurses here are amazing and because they know that my autism makes me scared of needles they make sure that I am always given numbing cream before I need a stab and that I’m given plenty of hours’ notice which really calms my nerves and they are always clear about what happens when which has been great! And I think this is the main message I would love to try and amplify to people; pausing to understand that someone is absolutely terrified and making relatively adjustments (finger prick test over traditional blood test, numbing cream, taking things slower and clearly) can make the impossible possible. I would never have had a blood test without the support of paediatrics and genuinely if I hadn’t had that I would have just refused to do a blood test and walked out of A+E having done nothing and knowing what we know now, I could have possibly died by now without it, and that terrifies me. If A+E had not made those accommodations, I would never have known how ill I am and started treatment which is saving my life. Bio Isabella, 19. Maths student and lover of all things maths.

https://www.thearticulateautistic.com/author/jaimeaheidel/

https://juliamuppet.tumblr.com/post/621574138991181824/julias-more-being-supportive-of-her-daughters https://juliamuppet.tumblr.com/post/617851036092252160/live-blogging-my-thoughts-on-the-fluffster https://sesameworkshop.org/resources/being-a-friend/ https://sesameworkshop.org/resources/circle-of-friends/

Ａｕｔｉｓｍ ｉｓ ｎｏｔ ａ ｔｒａｇｅｄｙ 𝕬𝖚𝖙𝖎𝖘𝖒 𝖎𝖘 𝖓𝖔𝖙 𝖆 𝖙𝖗𝖆𝖌𝖊𝖉𝖞 Ⓐⓤⓣⓘⓢⓜ ⓘⓢ ⓝⓞⓣ ⓐ ⓣⓡⓐⓖⓔⓓⓨ 🅐🅤🅣🅘🅢🅜 🅘🅢 🅝🅞🅣 🅐 🅣🅡🅐🅖🅔🅓🅨 𝓐𝓾𝓽𝓲𝓼𝓶 𝓲𝓼 𝓷𝓸𝓽 𝓪 𝓽𝓻𝓪𝓰𝓮𝓭𝔂 ᴀᴜᴛɪꜱᴍ ɪꜱ ɴᴏᴛ ᴀ ᴛʀᴀɢᴇᴅy 𝐀𝐮𝐭𝐢𝐬𝐦 𝐢𝐬 𝐧𝐨𝐭 𝐚 𝐭𝐫𝐚𝐠𝐞𝐝𝐲 𝑨𝒖𝒕𝒊𝒔𝒎 𝒊𝒔 𝒏𝒐𝒕 𝒂 𝒕𝒓𝒂𝒈𝒆𝒅𝒚 𝖠𝗎𝗍𝗂𝗌𝗆 𝗂𝗌 𝗇𝗈𝗍 𝖺 𝗍𝗋𝖺𝗀𝖾𝖽𝗒 𝗔𝘂𝘁𝗶𝘀𝗺 𝗶𝘀 𝗻𝗼𝘁 𝗮 𝘁𝗿𝗮𝗴𝗲𝗱𝘆 𝘈𝘶𝘵𝘪𝘴𝘮 𝘪𝘴 𝘯𝘰𝘵 𝘢 𝘵𝘳𝘢𝘨𝘦𝘥𝘺 𝘼𝙪𝙩𝙞𝙨𝙢 𝙞𝙨 𝙣𝙤𝙩 𝙖 𝙩𝙧𝙖𝙜𝙚𝙙𝙮 𝙰𝚞𝚝𝚒𝚜𝚖 𝚒𝚜 𝚗𝚘𝚝 𝚊 𝚝𝚛𝚊𝚐𝚎𝚍𝚢 A̶u̶t̶i̶s̶m̶ ̶i̶s̶ ̶n̶o̶t̶ ̶a̶ ̶t̶r̶a̶g̶e̶d̶y̶ A͟u͟t͟i͟s͟m͟ i͟s͟ n͟o͟t͟ a͟ t͟r͟a͟g͟e͟d͟y͟ A̲u̲t̲i̲s̲m̲ ̲i̲s̲ ̲n̲o̲t̲ ̲a̲ ̲t̲r̲a̲g̲e̲d̲y̲ 🇦‌🇺‌🇹‌🇮‌🇸‌🇲 ‌🇮‌🇸 ‌🇳‌🇴‌🇹 ‌🇦 ‌🇹‌🇷‌🇦‌🇬‌🇪‌🇩‌🇾 ʎpǝƃɐɹʇ ɐ ʇou sı ɯsıʇn∀ 𝚒𝚝'𝚜 𝚊 𝚜𝚘𝚛𝚝 𝚘𝚏 𝚍𝚎𝚟𝚎𝚕𝚘𝚙𝚖𝚎𝚗𝚝 𝚍𝚒𝚜𝚊𝚋𝚒𝚕𝚒𝚝𝚢 𝚌𝚊𝚞𝚜𝚎𝚍 𝚋𝚢 𝚍𝚒𝚏𝚏𝚎𝚛𝚎𝚗𝚌𝚎𝚜 𝚒𝚗 𝚝𝚑𝚎 𝚋𝚛𝚊𝚒𝚗. 𝚊𝚞𝚝𝚒𝚜𝚝𝚒𝚌 𝚙𝚎𝚘𝚙𝚕𝚎 𝚝𝚎𝚗𝚍 𝚝𝚘 𝚑𝚊𝚟𝚎 𝚖𝚘𝚛𝚎 𝚜𝚎𝚗𝚜𝚒𝚝𝚒𝚟𝚎 𝚜𝚎𝚗𝚜𝚎𝚜 𝚊𝚗𝚍 𝚑𝚊𝚟𝚎 𝚜𝚘𝚖𝚎 𝚛𝚎𝚙𝚎𝚝𝚒𝚝𝚒𝚟𝚎 𝚋𝚎𝚑𝚊𝚟𝚒𝚘𝚞𝚛𝚜.

Going into Doctor settings Pack: Comfortable/ Loose fitting clothing like dresses, skirts Some pairs of undies Sensory items Chewing gum Ice compress Notepad Favourite blanket, pillow, plushies, fidget toys, etc.

hydrate interview the physician before the consult to make sure they are compassionate nerve patch lidocaine cream 20 minutes before to numb, emla cream butterfly needle use a baby (small) gauge needle a mild sedative twilight sleep or under another type of anesthesia midwives as an alternative Communicate your needs and discomfort... it will go a long way 💙 follow your gut feelings

DOCTORs APPOINTMENTs Before a procedure, get to meet the physician and acknowledge their authority before you mention your sensitivities. Find a way to make a compromise. Even request more time for an appointment if you want to have topical numbing agents wait to work, to discuss alternatives, etc. Before a procedure, look up the physician and/or the clinic website. Find pictures of the inner building and search for FAQ, policies, procedures, reviews, etc. Before a procedure, bring a fully charged phone and any sensory necessities such as plastic cups for water, ice pack, self testing kits, written notes and copies, etc. TIPS For CHECKs Feel the instruments and get comfortable with them. Ex: at the dentist, you’re weary of the suction straw. If no plastic cups for rinsing, ask them for some or, have them turn the suction on a low setting and feel it with your finger before they use it in your mouth. Perhaps they can put something on if you don’t like the sucking noise. See how you feel with the specific doctor. Ex: Dr. A seems hurried and strict, but Dr. B seems more empathetic. Or perhaps ask if a nurse can be in the room with you to. Try having the doctor teach you how much you can do. Ex: for a strep throat test, ask if you can swab your own throat, even have them hold your hand whilst you do it in a mirror. Or tell them the way your throat’s structure may find it easier to tilt, etc. (my search NeuroFabulous)

Dysgenesis in the brain can be a factor in autism spectrum disorders (ASD): Dendritic spine dysgenesis Atypical numbers and structures of dendritic spines in the central neurons of people with autism. This cellular pathology is also found in experimental mouse models of ASD. Cerebral cortical dysgenesis A malformation of the cerebral cortex that can occur when neural migration is defective during gestation. Symptoms include a thickened cortex, high neuronal density, and poor boundaries between the grey and white matter. Olfactory bulb dysgenesis A dysgenesis or agenesis of the olfactory bulbs and projection zones in the brain may contribute to ASD. Other neuroanatomical abnormalities in autism include: Agenesis of the superior olive, Dysgenesis of the facial nucleus, Reduced numbers of Purkinje neurons, and Hypoplasia of the brainstem and posterior cerebellum. ASD is a chronic condition with a wide range of symptoms, including difficulty with communication and social interactions, repetitive behaviors, and obsessive interests.

⋆˚࿔ 𝐈𝐬𝐚𝐛𝐞𝐥𝐥𝐚 𝜗𝜚˚⋆

FIVE Senses to ground yourself 5 things you See (eyesight) 4 things you Hear (listening) 3 things you Feel (touch) 2 things you Smell (scent) 1 thing you can Taste

ʚ‎‏ ͜ ̩͙ ︵ ̩͙ ୨ 🍓 ୧ ̩͙ ‏︵ ̩͙ ͜ ɞʚ‎‏ ͜ ̩͙ ︵ ̩͙ ୨ 🍓 ୧ ̩͙ ‏︵ ̩͙ ͜ ɞ ꔛ ۫ ✿ (๑`^´๑)🎀⭐️もっと♥ ＧＯ！ＧＯ！🎀⭐️ ʚ‎‏ ͜ ̩͙ ︵ ̩͙ ୨ 🍓 ୧ ̩͙ ‏︵ ̩͙ ͜ ɞʚ‎‏ ͜ ̩͙ ︵ ̩͙ ୨ 🍓 ୧ ̩͙ ‏︵ ̩͙ ͜ ɞ

As a neurodivergent person I find emojicombos.com a favourite site. I also write here to make others happy and to make stories inspired by events similar to my experiences, so I can come back to them on any device to. Also, I hope any person reading has a great day! -NeuroFabulous (my search NeuroFabulous)

Best Practices for Encouraging Special Interests in Children with Autism What Helps • Encouraging conversation about interest • Paying attention to non-verbal cues • Engaging in activity about interest • Allowing children to keep objects related to interest • Taking note of circumstances that promote calmness • Using interest as motivation for desired behaviors What Hurts • Treating the interest like it's boring • Ignoring non-verbal cues or gestures • Disengaging from the conversation • Forcing a discussion unrelated to the interest • Demanding that children think about other subjects • Leveraging interest as punishment

. ✧ 　 ˚　 . i will face whatever comes today with a positive attitude ♡ 　　˚ 　 . ✧　　 .

🌟 Understanding Retinoblastoma 🌟 Did you know? Retinoblastoma is a rare (but can be treatable) eye cancer that affects people usually under age 5. Early detection is key! Here’s what you need to know: 👁 Symptoms to Watch For: 👉A white glow in the pupil 👉Eye redness or swelling 👉 Vision problems 🏥 Treatment Options: 👉Chemotherapy 👉Laser or cryotherapy 👉Surgery /enucleation: removal of eye (usually in severe cases) 👶 Importance of Early Detection: With prompt treatment, many can recover fully and even preserve their vision. If you notice any unusual signs in your child’s eyes, consult a doctor immediately!

Why autistic people are like cats: - We are highly sensitive. - We don't like loud or sudden noises. - We are easily spooked and startled. - Especially because we are zoning out, like, all the time. - We love to be held and touched and petted and cuddled bUT ONLY IF IT WAS OUR IDEA! - We're picky eaters. - Easily distracted. - Solitary creatures. - Takes us a while to warm up to people and be comfortable around them. - Our idea of being "social" is just hanging around the vicinity or in the same room as other people but not necessarily interacting with them. - We are finicky, particular, meticulous creatures of habit and we have a comfort zone we will defend with our lives. - If we deem you worthy, you will be allowed into our comfort zone. - Gaining our love and trust is super rewarding because it is not easily done. Be flattered. - If you touch us unexpectedly we will flinch or jump. - We are awesome predators and get super intense about stuff one nickname for the ADHD gene is "the hunter gene") - We are cute and lovable and have a lot of personality. - Many autistic children love to feel enclosed and secure and so love secret hiding places and cubby holes (i.e., "if I fits, I sits") - We sometimes appear to freak out at nothing and scamper away for no reason but really it's because we can hear things you can't and some sounds bother us. - Because we have such hyper-sensitive senses, any snuggles you give us will be a million times more rewarding for you because you'll know and appreciate just how intensely we're enjoying them. - Please give us food or we will boop your nose in your sleep.

♡ ⋆ ° .˚ 𖧷 · ° .♡ ⋆ ♡ ⋆ ° .˚ 𖧷 · ♡ wishing you less pain wishing you less stress wishing you less depression sending you love sending you positive vibes sending you healing energy ͏ ͏please accept ♡ ⋆ ° .˚ 𖧷 · ° .♡ ⋆ ♡ ⋆ ° .˚ 𖧷 · ♡

FRIDAY, NOVEMBER 2, 2012 To those of you newly embarking on surgery these are my MUST HAVES for surgery: SURGERY SUPPLIES: Whiteboard Notebook and pen baby toothbrushes alcohol free mouthwash q-tips wet wipes travel neck pillow lots of pillows humidifier mirrors baby spoons syringes of different shapes and sizes pill crusher wrap around hot and cold packs lots of liquids (juices, ensure, water) chapstick a lot of tissues HAND BLENDER (I wouldn't have survived without this) towels power flosser Posted by Incognita at 10:49 PM

Exercise List: 1. 2-Way Stretch 2. Forward Folds 3. Extended Lift & Hold 4. Cobra Pose 5. Side Bends 6. Skipping/Jogging In Place 7. Inverting/Hanging

𓏲 　🍼　ﾟ⠀⠀ ･₊ ˚ ⠀ ࿐ 𝗒𝗈𝗎𝗋 𝗋𝖾𝗆𝗂𝗇𝖽𝖾𝗋 𝗍𝗈 𝗍𝖺𝗄𝖾 𝗒𝗈𝗎𝗋 𝗆𝖾𝖽𝗂𝖼𝗂𝗇𝖾, 𝗂𝖿 𝗒𝗈𝗎 𝗍𝖺𝗄𝖾 𝖺𝗇𝗒 ♡ 　ɞ ⠀⠀ ⠀ . 　🌸　⋆༉

hopefully my writing posts help ppl to feel understood or at least get a glimpse of all the possibilities neurodiverse ppl may experience (: (my search NeuroFabulous)

Types Deltacism (from the Greek letter Δ) is a difficulty in producing /d/ sound. Etacism is a difficulty in producing e sound Gamacism is a difficulty in producing /ɡ/ sound Hitism is a difficulty in producing /h/ sound. Iotacism is a difficulty in producing /j/ sound. Kapacism is a difficulty in producing /k/ sound. Lambdacism (from the Greek letter λ) is the difficulty in pronouncing lateral consonants. Rhotacism is a difficulty producing rhotic consonants sounds in the respective language's standard pronunciation. In Czech there is a specific type of rhotacism called rotacismus bohemicus which is an inability to pronounce the specific sound ⟨ř⟩ /r̝/. Sigmatism is a difficulty of producing /s/, /z/ and similar sounds. Tetacism is a difficulty of producing /t/ sound. Tetism is replacement of /s/, /k/ and similar sounds with /t/ and of /z/ and similar sounds with /d/.

Sleep When You're in Pain (Chronic or Acute) Sleep on your back if you have lower back pain. Some individuals may benefit from placing a pillow under their knees while in this position. Elevating the knees can take pressure off the lower back. Sleep on your side if you have neck pain. Sleep on your left side to improve your digestion. People who find side sleeping helpful during their period may benefit from placing a pillow between their knees. Experimenting with different pillow positions can help. If you have stomach cramps, try drawing your knees up to your chest in the foetal position, which may help. This position involves lying on the side and tucking the legs toward the chest. You can also sleep on your back propped up with pillows to relieve heartburn. If you have pain due to gas, try laying on your back to relieve some of the pressure off of your stomach. https://www.wikihow.health/Sleep-when-You%27re-in-Pain

Common Experiences How has the semester been going for you? Do you understand the assignment that Professor gave us in class? .. . .. What did you do over break? What sort of plans do you have for break? What did you do over the weekend? Anything interesting happen this week? How has work been? What did you think about the school team's last game? Do you know who's going to s party on day? Interests • What sort of movies have you seen lately? Have any goad boak recommendations? Have you been to any great concerts lately? Have you seen any good plays? What did you think about the ball game on day? Non-Question Topics Your surroundings: the weather, an interesting painting or decoration, a peculiar scenic detail Interesting or humorous Current events or news • officials, shared neighbors, new attractions that have recently opened Compliments on appearance changes: hairstyle, clothing, shoes, accessories Recent experiences with friends or family • Humorous story about something that happened earlier in the day or week CONVO.. Common Experiences How has the semester been going for you? Do you understand the assignment that Professor gave us in class? .. . .. What did you do over break? What sort of plans do you have for break? What did you do over the weekend? Anything interesting happen this week? How has work been? What did you think about the school team's last game? Do you know who's going to s party on day? Interests • What sort of movies have you seen lately? Have any goad book recommendations? Have you been to any great concerts lately? Have you seen any good plays? What did you think about the ball game on day? Non-Question Topics Your surroundings: the weather, an interesting painting or decoration, a peculiar scenic detail Interesting or humorous Current events or news • officials, shared neighbors, new attractions that have recently opened Compliments on appearance changes: hairstyle, clothing, shoes, accessories Recent experiences with friends or family • Humor about something that happened earier in the day or week

𝑇ℎ𝑒 𝑏𝑒𝑠𝑡 𝑎𝑛𝑑 𝑚𝑜𝑠𝑡 𝑏𝑒𝑎𝑢𝑡𝑖𝑓𝑢𝑙 𝑡ℎ𝑖𝑛𝑔𝑠 𝑖𝑛 𝑡ℎ𝑒 𝑤𝑜𝑟𝑙𝑑 𝑐𝑎𝑛𝑛𝑜𝑡 𝑏𝑒 𝑠𝑒𝑒𝑛 𝑜𝑟 𝑒𝑣𝑒𝑛 𝑡𝑜𝑢𝑐ℎ𝑒𝑑 — 𝑡ℎ𝑒𝑦 𝑚𝑢𝑠𝑡 𝑏𝑒 𝑓𝑒𝑙𝑡 𝑤𝑖𝑡ℎ 𝑡ℎ𝑒 ℎ𝑒𝑎𝑟𝑡. -𝐻𝑒𝑙𝑒𝑛 𝐾𝑒𝑙𝑙𝑒𝑟

⭑ ιѕαвєℓℓα ⚡︎

"𝖮𝗁 𝗃𝗎𝗌𝗍 𝖽𝖾𝖺𝗅 𝗐𝗂𝗍𝗁 𝗂𝗍.." 𝖣𝖾𝖺𝗅 𝗐𝗂𝗍𝗁 𝗂𝗍? 𝖳𝗁𝖺𝗍 𝗌𝖺𝗒𝗂𝗇𝗀 𝖼𝖺𝗇 𝗐𝗈𝗋𝗄 𝖿𝗈𝗋 𝗒𝗈𝗎, 𝖻𝗎𝗍 𝖨 𝖿𝖾𝖾𝗅 𝗂𝗇𝗏𝖺𝗅𝗂𝖽𝖺𝗍𝖾𝖽 𝗐𝗁𝖾𝗇 𝗌𝖺𝗂𝖽 𝗍𝗈 𝗆𝖾. 𝖸𝗈𝗎 𝖽𝗈𝗇'𝗍 '𝖽𝖾𝖺𝗅' 𝗐𝗂𝗍𝗁 𝗇𝖾𝗎𝗋𝗈𝖽𝗂𝗌𝖺𝖻𝗂𝗅𝗂𝗍𝗂𝖾𝗌. 𝖸𝗈𝗎 𝗅𝗂𝗏𝖾 𝗐𝗂𝗍𝗁 𝗂𝗍, 𝗒𝗈𝗎 𝗌𝗎𝗉𝗉𝗈𝗋𝗍 𝗂𝗍, 𝗒𝗈𝗎 𝗅𝗈𝗏𝖾 𝗂𝗍. 𝖡𝗎𝗍 𝗒𝗈𝗎 𝖽𝗈𝗇'𝗍 𝖽𝖾𝖺𝗅 𝗐𝗂𝗍𝗁 𝗂𝗍 𝗅𝗂𝗄𝖾 𝗂𝗍'𝗌 𝖺 𝗉𝗋𝗈𝖻𝗅𝖾𝗆 𝗍𝗈 𝖻𝖾 𝖿𝗂𝗑𝖾𝖽. ( emojicombos.com/neurofabulous )

✨️ ᴮᵉ ᵗʰᵉ ᶜʰᵃⁿᵍᵉ ʸᵒᵘ ʷⁱˢʰ ᵗᵒ ˢᵉᵉ ⁱⁿ ᵗʰᵉ ʷᵒʳˡᵈ✨️.

Emotional Distress Scale 0 - I feel great! This is the best I’ve felt in a long time! 1 - I’m feeling really good! There’s no distress to address. 2 - I’m feeling good. If I start feeling bothered, I can be easily distracted or cheered up. 3 - I’m okay, but there are some things bothering me. I can easily cope with them, though. 4 - I could be better. There are a few things distressing me right now. It’s not exactly easy to deal with, but I still have the skills to get through it. 5 - I’m not okay. It’s getting harder to do the things I want to do, but I can do them. My coping skills aren’t working as well anymore, but enough of them work to get me through the day. I need some support. 6 - I’m feeling bad, and it’s very hard to do the things I need or want to do. Most of my coping skills aren’t effective right now, and it’s taking a lot of energy to stay stable. I need help. 7 - I’m feeling awful. It’s hard to focus on anything but my emotions, and/or I’m avoiding things that distress me. I can’t do much but try to take care of myself, which is already hard in itself. I’m running low on, or have run out of, effective coping skills. I need a lot of help right now. 8 - I’m feeling awful, and I can’t escape it anymore. How I feel is affecting every part of my day, and I’m reaching the point where I can’t function. It’s hard to sleep, eat, socialize, etc. I need help before I can’t handle anything. 9 - This is approaching the worst I could feel. I can’t function anymore. My emotions have totally consumed me. I may be a danger to myself or others, or I may be neglecting myself. I need urgent help. 10 - This is the worst I’ve felt ever/since [last time]. I can’t care for myself at all. My emotions are so intense, I’m at imminent risk of dangerously acting on them. I need crisis support immediately. 11 - I have acted on my emotions and hurt myself or someone else. Everything else in my life is impossible to comprehend. I need medicinal and/or crisis support immediately.

Sensory inputs can be any stimuli entering through one of the sensory modalities: sight, sound, gustation, olfaction, and tactile sensations. Tactile sensations include responses to pressure and temperature. Over stimulation is the product of sensory overload. Overstimulation (OS) occurs when there is “to much” of some external stimulus or stimuli for a person's brain to process and integrate effectively. Sensory overload can be triggered by a singular event or a build up thereof. When the brain has to put all of its resources into sensory processing, it can shut off other functions, like speech, decision making and information processing. Using noise-cancelling headphones to vastly reduce external sound, which can help to stop sensory over load. Weighted sensory products, such as blankets or vests, to provide pressure and soothing proprioceptive input. Avoiding open questions – if you need their input on something, aim to use closed yes/no questions. It causes feelings of discomfort and being overwhelmed. Moving away from sources of sensory input, such as loud sounds or strong smells, can reduce these feelings. However, it is a core characteristic of autism, where individuals often experience heightened sensitivity to stimuli. It's important to note that not all autistic individuals experience overstimulation in the same way or to the same degree. Some may have a higher threshold for sensory input and be less easily overwhelmed, while others may become overstimulated even in relatively calm environments. Stimming, short for self-stimulating behaviors, is a repetitive movement or action that can include body movements, vocal noises, or sensory stimulation. It can be a way to manage excess energy, self-soothe, or cope with emotions. Stimming can also help regulate sensory input, either increasing stimulation or decreasing sensory overload. Stimming behaviors can consist of tactile, visual, auditory, vocal, proprioceptive (which pertains to limb sensing), olfactory, and vestibular stimming (which pertains to balance).

Please don't touch me or stand too close. I have an Autistic Spectrum Condition. I process sensations differently. Sometimes I Can't cope with touch or physical contact. 4 ways to manage autism, anxiety and sensory overload Choose sensory-friendly events and places Choose sensory- friendly features • Fewer lights • Less background music • Noise blocking headphones • Calming rooms • Weighted blanket Make sensory experience shorter Reduce sensory experience • Take breaks from busy, noisy and bright places • Noise blocking headphones • Sunglasses For example, a child who has difficulty with the feeling of clothing and thus has difficulty getting dressed shows hypersensitivity. As a result, that child can experience sensory overload from clothing. It is also important to know that a toddler refusing to get dressed because they are exerting their independence or would rather play or do something else is not a child experiencing sensory overload. That is not hypersensitivity. That is normal for toddlers. So choose sensory-friendly providers or products. In particular, that helps people whose anxiety is made worse by what they experience from their senses. Hollander, E., & Burchi, E. (2018). Anxiety in Autism Spectrum Disorder. Anxiety & Depression Association of America

𝑇ℎ𝑒 𝑏𝑒𝑠𝑡 𝑎𝑛𝑑 𝑚𝑜𝑠𝑡 𝑏𝑒𝑎𝑢𝑡𝑖𝑓𝑢𝑙 𝑡ℎ𝑖𝑛𝑔𝑠 𝑖𝑛 𝑡ℎ𝑒 𝑤𝑜𝑟𝑙𝑑 𝑐𝑎𝑛𝑛𝑜𝑡 𝑏𝑒 𝑠𝑒𝑒𝑛 𝑜𝑟 𝑒𝑣𝑒𝑛 𝑡𝑜𝑢𝑐ℎ𝑒𝑑 - 𝑡ℎ𝑒𝑦 𝑚𝑢𝑠𝑡 𝑏𝑒 𝑓𝑒𝑙𝑡 𝑤𝑖𝑡ℎ 𝑡ℎ𝑒 ℎ𝑒𝑎𝑟𝑡. — 𝐻𝑒𝑙𝑒𝑛 𝐾𝑒𝑙𝑙𝑒𝑟

sirenomelia sympodia (one fused foot) In sympus dipus (symmelia), both the feet are seen separately. In sympus monopus (uromelia), a single foot is present. In sympus apus (sirenomelia,) the foot is absent Discussion "Symelia" is the fusion of the lower extremities,2 and it has been classified into three types: 1) Apus- no feet, only one tibia and one femur, 2) Unipus- one foot, two femora, two tibiae, two fibulae, and 3) Dipus- two feet and two fused legs (giving the appearance of a flipper). Symmelia is basically classified according to the number of feet present. Tripodial symmelia contains three feet, dipodal symmelia have two feet, monopodal symmelia consist of one foot and apodal symmelia or sirenomelia which contain no feet and more severe form and closely related to a mermaid.

→ Conservative Treatment Philosophy ←

┈┈┈┈┈┈▕▔╲┈┈┈┈┈┈ ┈┈┈┈┈┈┈▏▕┈ⓈⓊⓅⒺⓇ ┈┈┈┈┈┈┈▏▕▂▂▂┈┈┈ ▂▂▂▂▂▂╱┈▕▂▂▂▏┈┈ ▉▉▉▉▉┈┈┈▕▂▂▂▏┈┈ ▉▉▉▉▉┈┈┈▕▂▂▂▏┈┈ ▉▉▉▉▉┈┈┈▕▂▂▂▏┈┈ ▔▔▔▔▔▔╲▂▕▂▂▂▏┈┈

⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠠⠒⠀⠐⢀⡴⠊⠉⠁⢢⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⡇⠀⣶⡶⢀⣇⢸⣿⠀⢀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣠⠕⠄⣠⠎⠀⠀⠑⣤⠔⣊⠑⠢⡀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⡔⠊⠐⠈⠁⢸⠀⠀⠀⠀⡸⠀⠀⠀⠂⠉⠢⡀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠘⡥⠀⢴⣀⠐⠀⠀⠳⠤⠤⠔⠁⠀⢀⣀⠜⠁⠀⡇⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⢣⠀⠀⠙⢿⣿⣦⣤⣶⣿⣿⣿⣿⣿⠇⢠⠀⡤⠃⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠈⢲⡀⢠⠈⠻⣿⣿⣿⣿⣿⣿⣿⠋⠀⢀⡰⠁⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠙⠤⢀⠀⠈⠙⠻⠿⠛⠋⠁⢂⡴⠃⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢩⠒⠂⠀⠤⠤⠒⠘⢣⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⡰⠃⠀⡀⠀⠀⠀⠢⡀⡀⠑⢢⡀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⡔⠁⠌⠀⠃⠀⠀⠀⣀⣁⣘⣆⣀⠈⢢⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⢠⠎⠀⡐⢠⠀⠀⢀⡠⢊⠅⠀⠀⠉⠉⠂⠀⢱⠀⠀⠀⠀ ⠀⠀⠀⠀⡠⠒⢄⡰⠱⠀⢰⠁⠈⠀⢸⡀⠀⡎⠀⡆⠀⠀⠀⣀⡀⠎⠀⠀⠀⠀ ⠀⡠⠒⠢⣧⠀⠘⡄⠀⠀⡈⠀⠀⠀⠰⠋⠉⠑⠠⣇⣀⠜⠉⠣⡀⠀⠀⠀⠀⠀ ⢀⡹⣀⠀⠀⠀⠀⠈⠠⠴⢝⡄⠀⠀⠀⠀⠀⠀⠀⢹⠀⠀⢀⢥⠅⠠⠤⡀⠀⠀ ⡎⠀⠀⣁⠀⠀⣀⣀⣀⣀⠼⠉⠒⠤⠴⢀⠄⠀⠀⢨⢱⠂⡃⠸⡀⠀⠀⠘⡄⠀ ⠈⠉⠁⠀⠉⠉⠁⠀⠀⠀⠀⠀⠀⠀⡔⠘⠀⠀⠀⣌⡲⠤⠵⡄⠑⠂⠀⠀⠰⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠇⠀⢀⠴⠊⠀⠒⠀⠀⢸⠢⡄⠀⠀⠀⡇ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢠⠃⠰⠁⠀⣠⡖⠚⠛⠲⠃⢀⠇⠀⠀⠀⡇ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢀⡎⠀⢠⠔⠊⠁⠀⠀⠀⠀⠀⠊⡇⠀⠀⢠⠃ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢨⠀⠀⠁⠀⠀⠀⠀⢀⣠⠄⠒⠙⠒⠒⠊⠁⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠲⠄⢀⣀⠠⠔⠚⠁⠀⠀⠀⠀⠀⠀⠀⠀⠀

⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣠⣴⠾⠛⠛⠛⠷⢦⣄⠀⠀⠀⠀⠀⠀⢀⣠⣤⠴⠶⢤⣄⡀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣠⠞⠋⠀⠀⠀⠀⠀⠀⠀⠈⠳⣄⠀⠀⣠⡾⠛⠉⠀⠀⠀⠀⠀⠉⠳⣄⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣰⠋⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠙⣧⣴⠏⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠘⢧⡀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣿⠀⠀⠀⠀⠀⣠⣶⣿⣷⣦⠀⠀⠀⢹⡟⠀⠀⢀⣤⣶⣦⣤⡀⠀⠀⠀⠀⢸⣇⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢿⠀⠀⠀⠀⢰⣿⣿⣿⣿⣿⡇⠀⠀⣸⡇⠀⠀⣿⣿⣿⣿⣿⣷⠀⠀⠀⠀⢀⣿⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠘⣆⠀⠀⠀⠈⠻⣿⣿⣿⡿⢁⣠⣴⣿⣧⣤⡀⠻⣿⣿⣿⣿⠏⠀⠀⠀⠀⣸⠇⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢀⣠⣽⣦⣀⠀⠀⠀⠀⠉⣡⣾⣿⣿⣿⣿⣿⣿⣿⣷⣌⠙⠋⠁⠀⠀⠀⠀⣰⠏⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣠⣶⠟⠋⠉⠀⠀⠙⠛⠷⠦⢀⣾⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣧⣀⣤⣤⣦⣤⣚⠳⢦⣤⡀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⢀⣠⣴⡾⠋⠀⠀⠀⠀⠀⠀⠀⠀⠀⢠⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣯⠀⠈⠁⠀⠀⠀⠀⠙⠻⣦⣄⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠠⣤⣴⡿⠟⠛⠁⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⠀⠀⠈⠻⢷⣤⡀⠀⠀⠀⠀⠀⠀⠀⠀ ⢀⣀⣀⣰⣶⡿⠋⠁⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠈⠛⢷⣦⣄⡀⠀⠀⠀⠀ ⣿⡟⠋⠉⠉⠀⠀⠀⠀⢠⡔⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠸⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠈⠛⢿⣍⡀⠀⡀⠀ ⢻⣇⠀⠀⠀⠀⠀⠀⢀⣏⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠠⣀⠀⠀⠀⠀⠀⠉⠻⣿⠥⣄ ⠘⢯⡀⠀⠀⠀⠀⠀⠸⠋⠲⣄⡀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠈⢿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡿⠁⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠈⣷⡀⠀⠀⠀⠀⠀⣽⠟⠁ ⠀⠈⢱⡄⠀⠀⠀⠀⠀⠀⠀⠙⣿⣷⣦⣤⣀⠀⠀⠀⠀⠀⠀⠀⠙⢿⣿⣿⣿⣿⣿⣿⣿⣿⡿⠛⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣀⣴⠿⡿⠃⠀⠀⠀⢀⡾⠁⠀⠀ ⠀⠀⠀⠛⣄⠀⠀⠀⠀⠀⠀⠀⠹⣿⣿⣿⣿⣿⣿⣶⣦⣤⣀⣀⣀⠀⠈⠙⠛⠛⠛⠛⠋⠁⠀⠀⠀⠀⠀⠀⠀⣀⣀⣴⣶⣾⡿⠋⠁⠀⠀⠀⠀⠀⢠⠏⠀⠀⠀⠀ ⠀⠀⠀⠀⠙⢧⡀⠀⠀⠀⠀⠀⠀⠙⢿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣶⣶⣶⣾⣿⣿⣷⣶⣿⣿⣿⣿⣿⣿⣿⣿⠟⠁⠀⠀⠀⠀⠀⢀⡴⠋⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠈⠛⣦⠀⠀⠀⠀⠀⠀⠘⢻⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠟⠀⠀⠀⠀⠀⠀⢠⠞⠁⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠈⠳⣦⡀⠀⠀⠀⠀⠀⠙⢿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠟⠁⠀⠀⠀⠀⠀⣀⣶⠟⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠈⠻⣦⣀⠀⠀⠀⠀⠀⠙⠿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡿⠋⠁⠀⠀⠀⠀⠀⠀⣰⡟⠁⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠈⠻⣧⡀⠀⠀⠀⠀⠀⠈⠙⠻⠿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡿⠿⠛⠁⠀⠀⠀⠀⠀⠀⠀⣠⡶⠋⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠈⢷⣦⢀⡀⠀⠀⠀⠀⠀⠀⠀⠀⠉⠉⠉⠉⠉⠉⠉⠉⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣰⠿⠋⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠉⠻⢷⣴⡀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣀⣴⠟⠉⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠈⠙⠳⠦⢤⣀⡀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢀⣠⣴⡾⠟⠁⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠉⠉⠙⠢⢶⣶⣤⣤⣤⣶⣶⠶⠾⠟⠛⠋⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀

⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣠⢖⢛⠛⡲⢦⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣼⣁⣀⣐⣀⣃⣈⣷⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⣾⠉⣉⡉⣉⡉⣉⡉⢉⡉⢉⠉⡉⣉⡉⠉⢉⡉⣉⣉⢉⡉⢉⣉⢉⣉⢉⣉⠉⣷ ⣿⠀⣏⠁⣏⡁⣧⠁⣸⡇⣿⣴⡇⣿⡁⠀⢻⡉⢸⡏⣿⣹⢸⣏⢸⣏⠈⡏⠀⣿ ⣿⠀⣌⡇⣏⡀⣌⡧⡷⣧⣿⠟⡇⣿⡀⠀⢤⣻⢸⡇⣿⢻⢸⣇⢸⣇⡀⡇⠀⣿ ⢻⣄⣈⣀⣉⣁⣈⣀⣁⣈⣀⣀⣁⣈⣁⣀⣈⣁⣀⣀⣈⣈⣈⣉⣈⣉⣀⣁⣠⡟

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