Diabetescore Emoji Combos

Tips 😷 Depending on the procedure, meet the one treating you to see if they are a good fit for you. If they seem nice and willing, find something where you can both agree to make it better for the both of you. If you can notify them ahead of time, mention your needs. “I have autism which might contribute to my discomfort. What can I bring to the clinic? Can I leave my pants on, or can I wear a skirt instead of having to undress? Can you prepare smaller medical tools? Do you have sedatives? Are numbing agents readily available? Do you have a room with an adjustable seat? What’s the best treatment for me? Are there other options to make it easier to get care?” Look up pictures of the place, visit it, read any rule policies and see if they can accommodate to getting special permission for certain aspects. Get a personalized treatment plan. Use telemedicine, an appointment over video, phone call or text chat, when available and appropriate. Ask about at home tests you can send. Tell your doctor about your worries. They might be able to help you address them.

💉 Subcutaneous injections tend to be less painful than intramuscular injections because the needles are smaller and do not have to push through as much tissue. 💉

Concerns to ask the doc if needed 😷 Although benefits can outweigh much, it’s still a worry. Even if it temporarily lasts a second, a person's pain should be taken into account. I’m not saying you should go under deep sedation just to get teeth cleaned, especially if you don’t need it. If you are having trouble tolerating certain exams, tell them to keep it in mind so the procedure can be easier on both of you. If you experience intense pain and find it hard to tolerate, request for ways to make it easier. Thank you for taking the time to care for me (be sure to show gratitude before, during and/or after) Can you explain the procedure to me? How long will it take? Can we count up or down to the number? Can you explain what you're doing as you begin to do it? Because it’s been hard in the past when X, so can we look at some techniques? Can I drink water before or during the procedure? Do you have a heat pack or ice pack nearby? I want to get it over with and I’d like it to be easy for both of us. If you have a distraction tool (like telling jokes) to use I’d still like to let you know about X knowing my concerns will still be taken into account. Can we talk beforehand and walk me through the procedure as it will happen, step by step? Do you have any non invasive ways to check for X? Can you do it another way instead? Do you have any smaller and/or softer instruments to get the job done? Can you apply something (like warmth, gel, etc.) to the instrument beforehand? Is there a way to get around it? Can I say if I wanted to stop (said procedure) during any time? Can I make informed decisions to decline X? When it comes to certain exams, I’ve sensory issues, trauma, etc. Do you know any breathing exercises or any methods to accommodate my specific needs? It’s not anything personal, it’s not distrust, but I want it to go easy for both of us. 😷

😷 If it’s a same day appointment without any preparation beforehand, still let them know any needs. Even if it’s not worth it to spend nearly an hour on preparing something especially for you, still let them know what might work best for you. If they need to use a speculum, ask for a small one! Even if they can’t use all their time convincing you of how convenient something might be, still tell them if you cannot do certain methods while feeling safe. Is there something on hand to relieve even a little pain? Can it be self administered at home? Can you sit in a different chair? If you cannot possibly resolve something as much as you’d like, ask for them to at least tell you what’s going on and ask how they might cope with similar sensations. Can an X-ray be done instead of a biopsy? If not, ask for them to take your concerns into account and go from there, such as a less invasive tool designed for the same purpose. Wear a long skirt or a dress so you can just pull it up rather than take your clothes off. You can also bring a jacket or different pants to change into. Take headphones and listen to music, explain you're nervous and would not like to hear much about what's going on but just to be told when they've started and when they've finished. Focus in on what you're listening to. Say if it’s your first time doing a certain procedure and mention your concerns. Acknowledge you understand people don’t necessarily enjoy it for fun. Knowing can make you less anxious. It’s definitely worth asking something like ‘I do find this procedure extremely painful, could you try with a X?’ The procedure is easier for them to perform if you’re not squirming around in pain so there’s no reason for them not to at least try. Pamper yourself. Count as you breathe. Breathe in 1-2-3-4. Breathe out 1-2-3-4. If the doctor's good, they'll keep you talking and talk to you for further distraction, and walk you through each step they take. Most of the time, certain tests don't take much longer than 30 seconds and afterwards they'll leave you alone so you can recover if you need it. Talk to them beforehand so they know you're anxious, and see what they can do to help you get through it. Knowing options are always open to you if you need it can help put you at ease. Knowing what certain tests feel like can make it go smoother and easier to manage. Mentally walk yourself through the procedure before it happens while doing slow breathing exercises - breath in for five counts and out for five (or longer) while walking yourself through what to expect with your eyes closed. If at any point you get nervous, keep breathing and open your eyes. Once comfortable, continue through the procedure and just keep breathing. Don’t dismiss true concerns so you can decide what might be best for you. Gather all available facts to make informed decisions with the medics. Discuss the procedure with the medic and what they will do and when it happens. While the procedure happens, ask them to explain what which thing it is they’re doing next and how it might feel. Tell them if at any point you express discomfort, they check in with you and do not proceed until you give them the green light. Make sure nothing is put in you if you have not consented to or understand the purpose of. It’ll help you stay in some control if you are allowed to say if you wanted to stop at any given time to get through it. Anyone could find any experience distressing, but one’s distress can be magnified by the facts of how they are autistic, traumatized, etc. Just like with any other condition, doctors should have to take into account a particular person in their office and adjust what they’re doing to meet the needs of said patient. Jot down in advance everything you want to discuss to know exactly why, when and how something is to be. Ask for details and mention anything. Think about the muscles in your legs as you close your eyes. Imagine you’re at home, or think of a show. Anything to make it seem less intimidating. Give them notes you’ve taken. Ask if you can pace. Even if you aren’t a child, you still may need the catering even if you understand what medics are for. Make kits. Ask them to listen to you and to take time with you to make it more comforting. Advocate as feedback. 😷

⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣀⣀⣀⣀⣀⡀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⣿⡇⠀⠀⠀⢀⣤⣶⣿⣿⣿⣿⣿⣿⣿⣿⣿⣷⣦⣄⠀⠀⠀⢸⣿⣿⣿⣿⣿⣿⠀⠀⠀⠀⠀⢠⣿⣿⣿⣿⣿⡿⠃⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⣿⡇⠀⢠⣾⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣦⠀⢸⣿⣿⣿⣿⣿⣿⠀⠀⠀⠀⣰⣿⣿⣿⣿⣿⡟⠁⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⣿⡇⣴⣿⣿⣿⣿⣿⣿⡿⠟⠛⠛⠛⠛⠿⣿⣿⣿⣿⣿⣿⣷⣼⣿⣿⣿⣿⣿⣿⠀⠀⢀⣼⣿⣿⣿⣿⣿⠏⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⣿⢿⣿⣿⣿⣿⣿⡿⠋⠀⠀⠀⠀⠀⠀⠀⠈⠻⣿⣿⣿⣿⣿⣿⢿⣿⣿⣿⣿⣿⠀⢀⣾⣿⣿⣿⣿⡿⠃⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⡟⢸⣿⣿⣿⣿⡿⠁⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠙⠛⠛⠛⠛⢻⣼⣿⣿⣿⣿⣿⣠⣿⣿⣿⣿⣿⡟⠁⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⡇⢸⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⣿⢿⣿⣿⣿⣿⣿⠏⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⡇⢸⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⣿⣼⣿⣿⣿⣿⣿⣦⡀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⣧⢸⣿⣿⣿⣿⣿⡀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣠⣤⣤⣤⣤⣼⢻⣿⣿⣿⣿⣿⠻⣿⣿⣿⣿⣿⣷⡄⠀⠀⠀⠀⠀⠀ ⢰⣶⣶⣶⣶⣶⣶⡀⠀⠀⢸⣿⣿⣿⣿⣿⣾⣿⣿⣿⣿⣿⣷⣄⠀⠀⠀⠀⠀⠀⠀⢀⣴⣿⣿⣿⣿⣿⣿⣾⣿⣿⣿⣿⣿⠀⠙⣿⣿⣿⣿⣿⣿⣦⠀⠀⠀⠀⠀ ⠘⣿⣿⣿⣿⣿⣿⣷⣤⣤⣾⣿⣿⣿⣿⣿⠇⠻⣿⣿⣿⣿⣿⣿⣷⣦⣤⣤⣤⣤⣶⣿⣿⣿⣿⣿⣿⡿⢻⣿⣿⣿⣿⣿⣿⠀⠀⠈⢿⣿⣿⣿⣿⣿⣷⡀⠀⠀⠀ ⠀⠘⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠏⠀⠀⠘⠿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠟⠁⢸⣿⣿⣿⣿⣿⣿⠀⠀⠀⠈⢻⣿⣿⣿⣿⣿⣿⣆⠀⠀ ⠀⠀⠈⠛⢿⣿⣿⣿⣿⣿⣿⣿⡿⠛⠁⠀⠀⠀⠀⠀⠈⠙⠿⢿⣿⣿⣿⣿⣿⣿⣿⣿⡿⠟⠋⠀⠀⠀⢸⣿⣿⣿⣿⣿⣿⠀⠀⠀⠀⠀⠻⣿⣿⣿⣿⣿⣿⣧⡀ ⠀⠀⠀⠀⠀⠀⠉⠉⠉⠉⠉⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠉⠉⠉⠉⠉⠁⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀

♿️🌈

🍑 https://www.mayoclinic.org/tests-procedures/pelvic-exam/about/pac-20385135 🍑

😷 https://lifehacker.com/what-your-pediatrician-should-and-shouldnt-do-during-a-1822524179 😷

😷 If it’s a same day appointment without any preparation beforehand, still let them know any needs. Even if it’s not worth it to spend nearly an hour on preparing something especially for you, still let them know what might work best. If they need to use a speculum, ask for a small one! Even if they can’t use all their time convincing you of how convenient something might be, still tell them if you cannot do certain methods while feeling safe. Is there something on hand to relieve even a little pain? Can it be self administered at home? Can you sit in a different chair? If you cannot possibly resolve something as much as you’d like, ask for them to at least tell you what’s going on and ask how they might cope with similar sensations. Can an X-ray be done instead of a biopsy? If not, ask for them to take your concerns into account and go from there, such as a less invasive tool designed for the same purpose. 😷

😷 Wear a long skirt or a dress so you can just pull it up rather than taking your clothes. You can also bring a jacket or different pants to change into. 😷

😷 Pamper yourself. Count as you breathe. Breathe in 1-2-3-4. Breathe out 1-2-3-4. If the doctor's good, they'll keep you talking and talk to you for further distraction walking you through each step they take. Most of the time, certain tests don't take much longer than 30 seconds and afterwards they'll leave you alone so you can recover if you need it. Talk to them beforehand so they know you're anxious and see what they can do to help you get through it. Knowing options are always open to you if you need them can help put you at ease.

Tips 💉 Depending on the procedure meet the one treating you to see if they are a good fit for you. If they seem nice and willing, find something where you can both agree to make it better for the both of you. If you can notify them ahead of time, mention your needs. “I have autism which might contribute to my discomfort. What can I bring to the clinic? Can I leave my pants on, or can I wear a skirt instead of having to undress? Can you prepare smaller medical tools? Do you have sedatives? Are numbing agents readily available? Do you have a room with an adjustable seat? What’s the best treatment for me? Are there other options to make it easier to get care?” Look up pictures of the place, visit it, read any rule policies and see if they can accommodate to getting special permission for certain aspects. Get a personalized treatment plan. Mention you’ve special needs regarding X. Use telemedicine, an appointment over video, phone call or text chat, when available and appropriate. Ask about at home tests you can send. Tell your doctor about your worries. They might be able to help you address them.

😷 Take headphones and listen to music, explain you're nervous and would not like to hear much about what's going on but just to be told when they've started and when they've finished. Focus in on what you're listening to.

Skin 🧴 Skin protects the insides of the body. Human skin can range from light peachy cream colour to dark brown depending on the amount of melanin produced. Sun exposure and genetics can also play a role. 🧴

Say if it’s your first time doing a certain procedure and mention your concerns. Acknowledge you understand people don’t necessarily enjoy it for fun. Knowing can make you less anxious. 😷 It’s definitely worth asking something like ‘I do find this procedure extremely painful, could you try with a X?’ The procedure is easier for them to perform if you’re not squirming around in pain so there’s no reason for them not to at least try.

💙 Most kids with ASD are either hypersensitive or hyposensitive to stimuli like noises, lights, touch, etc. If someone has Autism and/or PTSD, he/she may be more prone to sensory overload and startle more easily. That means there’s not much information about how typical treatment methods can or should be adjusted for patients with ASD. According to this article, a nurse could… Offer home-based services Use more visual aids, such as gradient scales to describe degrees of emotion Keep appointment times regular and predictable as much as possible Provide sensory toys or allow children to bring their own Emphasize the possibility of a “happy ending” after trauma―​“this correlates well with the documented effectiveness of social stories, narratives and role-playing in therapy involving individuals with ASD” Be mindful of how often society dismisses the emotions of autistic people Involve other trusted caregivers …and more. Essentially, the therapist should keep the child’s unique strengths and limitations in mind at each step and be open to flexibility. Remember to… Not take behavior personally Be willing to listen without pressuring him/her to talk Identify possible triggers and help him/her avoid them Remain calm and understanding when he/she is emotional Let him/her make age-appropriate choices so he/she feels in control of his/her life Be patient 💙

😷 Before beginning trauma-focused therapy it is important to stabilise the individual with emotional coping strategies and creating feelings of safety. Support strategies that have been found to be helpful in the general population include: mindfulness and grounding in the present moment creating feelings of safety (for example an object/picture that symbolises safety) sensory soothing Autistic people may require: a greater number of sessions a longer or shorter duration to each session regular breaks. 😷

😷 Treatments should be appropriately adapted for autistic people and their individual needs. (Rumball et al. 2020) and Kerns et al. (2022) suggest a number of other events that autistic people found traumatic: abandonment by/loss of a loved one (for example a family member, pet or support staff) sensory experiences (for example fire alarms) transitions and change (for example school transitions, routine changes with the seasons, unpredictability in day to day life) social difficulties and confusion (for example difficulties interpreting social cues, misunderstandings and conflicts) events related to one’s own mental health difficulties (for example psychotic experiences). Autistic people may also be more likely to find these experiences traumatic due to autistic characteristics such as: sensory sensitivities communication and social interaction differences distress around changes to routines distress if prevented from taking part in repetitive and restricted behaviours such as stimming. Some theories suggest that other factors associated with being autistic, may mean an increased risk of developing or maintaining PTSD symptoms But just because symptoms aren’t crippling doesn’t mean you're not affected. 😷

🔪☆°・*:.。.☆💉 ☆.。.:*・°☆✂️

Knowing what certain tests feel like can make it go smoother and easier to manage. Mentally walk yourself through the procedure before it happens while doing slow breathing exercises - breath in for five counts and out for five (or longer) while walking yourself through what to expect with your eyes closed. If at any point you get nervous, keep breathing and open your eyes. Once comfortable, continue through the procedure and just keep breathing. 😷

😷 https://www.health.gov.au/ministers/the-hon-ged-kearney-mp/media/pap-smears-can-be-replaced-by-do-it-yourself-cervical-cancer-tests 😷

🍑 https://www.health.gov.au/self-collection-for-the-cervical-screening-test 🍑

🍑 https://www.healthdirect.gov.au/blog/self-test-makes-cervical-screening-pap-smear-even-easier 🍑

😷 https://about.kaiserpermanente.org/health-and-wellness/our-care/exploring-the-promise-of-at-home-cervical-cancer-screening 😷

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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.

😷 https://neurodivergentinsights.com/misdiagnosis-monday/ptsd-and-autism 😷

💙 https://neurodivergentinsights.com/misdiagnosis-monday/ptsd-and-autism 💙

"disabilities aren't aesthetic" Yes, but you don't need to say this under the posts of disabled people showing off cute mobility aids, decorated med organisers, a cute bed set up, the art piece that represents their disabilities, etc. Whether theyre your fellow disabled folk or especially so if you're able-bodied/neurotypical, allow disabled people freedom of expression and the little joys they can. People cope with their disabilites in diverse ways, and sometimes that means you will see a disabled person romanticizing their life, or making their aids aesthetic. Someone existing and expressing themselves, making their lives more comfortable and enjoyable, should not be seen as ”glorifying” anything. I’m not telling anyone to go make themselves disabled, nobody should take their health for granted.

Info tips for practitioners w/ autism and/or sensitivities First, thank you for caring. Not trying to question your expertise in health. Now, Autism is a spectrum. It’s not something one can turn off. It’s not a choice. Most of us are not trying to be demanding. If any thing, we’re afraid of being seen as childish, picky, high maintenance, bossy, rude, etc. We can easily get overwhelmed. We want to compromise with you. If we ask for another nurse to do something or if we know we cannot handle a procedure without certain accommodations, it’s not personally attacking against you. You have the power to provide the care and provide us any options; individuals know their own personal tolerance and needs. We do not ever want to start arguments. We do not want to inconvenience you over something, as we do not feel entitled. Having sensitivities not by choice, as it is more than inconvenience but also painful. We always feel when you do your best. We’re both human, autistic or not. It is not a choice.

|￣￣￣￣￣￣￣￣￣￣￣| | I love my friends a lot, | | I just suck at talking | | to them regularly | |＿＿＿＿＿＿＿＿＿＿＿| (\__/) || (•ㅅ•) || / 　 づ

⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠿⠿⠿⠿⠿⠿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⣿⣿⣿⡿⠛⠉⠀⠀⠀⠀⠀⠀⠀⠀⠀⠈⠙⠻⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⣿⣿⣿⣿⣿⠟⠀⠀⠀⠀⠀⠀⣴⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⣿⠟⠉⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠙⢿⡇⠀⠀⠀⠀⠀⠀⣿⣿⣿⣿⠋⠀⠀⠀⠀⠀⢀⣾⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⠋⠀⠀⠀⠀⠀⠀⠀⣀⣠⣤⣤⣀⡀⠀⠀⠀⠀⠀⠀⠈⠃⠀⠀⠀⠀⠀⠀⣿⣿⡿⠃⠀⠀⠀⠀⠀⢠⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣴⣾⣿⣿⣿⣿⣿⣿⣶⡀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣿⡿⠁⠀⠀⠀⠀⠀⣰⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⡇⠀⠀⠀⠀⠀⣼⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣤⣤⣤⣤⣤⡄⠃⠀⠀⠀⠀⠀⠟⠀⠀⠀⠀⠀⢀⣼⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⢸⡇⠀⠀⠀⠀⢰⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢠⣾⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⢸⡇⠀⠀⠀⠀⠸⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⠁⠀⠀⠀⠀⠀⠈⢿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⡇⠀⠀⠀⠀⠀⢻⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠛⠛⠛⠛⠛⠃⡄⠀⠀⠀⠀⠀⣆⠀⠀⠀⠀⠀⠀⠻⣿⣿⣿⣿⣿⣿ ⡇⠀⠀⠀⠀⠀⠀⢻⣿⣿⡇⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠙⢿⣿⣿⣿⣿⣿⣿⠿⠁⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣿⣦⠀⠀⠀⠀⠀⠀⠘⢿⣿⣿⣿⣿ ⣧⠀⠀⠀⠀⠀⠀⠈⠛⠋⠀⠀⠀⠀⠀⠀⣸⣄⠀⠀⠀⠀⠀⠀⠀⠉⠙⠛⠛⠉⠁⠀⠀⠀⠀⠀⠀⢀⡄⠀⠀⠀⠀⠀⠀⣿⣿⣷⡀⠀⠀⠀⠀⠀⠈⠻⣿⣿⣿ ⣿⣆⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣠⣿⣿⣧⣀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣠⣾⡇⠀⠀⠀⠀⠀⠀⣿⣿⣿⣷⡄⠀⠀⠀⠀⠀⠀⠙⣿⣿ ⣿⣿⣷⣄⡀⠀⠀⠀⠀⠀⠀⠀⢀⣠⣾⣿⣿⣿⣿⣿⣷⣤⣀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢀⣠⣴⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⣿⣿⣿⣿⣿⣆⠀⠀⠀⠀⠀⠀⠈⢻ ⣿⣿⣿⣿⣿⣿⣶⣶⣶⣶⣶⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣶⣶⣶⣶⣶⣶⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿

Hi, friends! I like emojicombos.com because it’s easy for me to use, being public domain. I also like to express myself through writing, as an author with Autism. So thank you Emoji combos and keep it up!

SPORTS OFFERED The Allen Delegation currently supports: Aquatics (swim) Athletics Basketball Bocce Bowling Flag Football (no skills level at this time) Golf Power Lifting (weights) Soccer (futbol) ​Tennis Volleyball ​Unified Sports (doubles) Allen Special Olympics Delegation (ASOD)

😷 Keep a diary of the situations that make you feel anxious and note how you’ve reacted in each situation. This will help you identify potential triggers for your anxiety. 😷

For Employers w/ disabled workers If a person who has a disability wants to work they might have difficulty getting jobs. There are different types of disabilities to varying degrees. First, inform them the expectations of the job. Make sure they know how to do the job as you train. Give warnings (and explain why behind the warning) before resorting to termination, as some people might not under stand what they did wrong. Even if the disability is confidential, explain to coworkers not to give the employee a hard time, without divulging. Don’t touch the employee or their belongings (including any mobility aids) without asking them first. Allow the employee extra time if necessary so as to not overwhelm them. Monitor the surroundings to make sure no harassment takes place, possible barriers to accessibility, etc. Try not to get frustrated if they do something differently than what others might do, such as note reminders, etc.

😷 Remember that you are not alone and can discuss these issues with a trusted mental health provider. Exploring treatment options with a healthcare provider Exercising to reduce stress Setting realistic goals Breaking up large tasks into smaller ones Spending time with friends and family Confiding in trusted friends or relatives Seeking out comforting situations, places, and people Seeking out support from friends and family Finding a support group Learning to feel good about one’s actions in the face of danger Having a positive coping strategy Being able to act and respond effectively despite feeling fearful Medication and expectation management strategies may also be included in an overall treatment plan. 😷

What’s disabilities? Being disabled can have various meanings. Physical disabilities are usually more visible. Even so, it might not be readily apparent. One individual can have more than one disability. But it’s not by choice, even in an elective amputation, mental disorders, ptsd vía warfare, etc. Some disabilities are more invisible, if internal or having to do with mentality. No matter what disability, it’s important to not have unreachable standards whilst at the same time not be patronising. Some disabilities are from congenital, meaning they were born with it or had their whole life. Some disabilities are acquired later in life such as an external injury they got.

😷 If you can, look for a trauma-informed healthcare provider, or a provider that has experience helping people who have experienced trauma. If your current provider doesn’t listen to your concerns or makes you uncomfortable, remember that you can absolutely seek out a different practitioner. 😷

💉 https://news.vanderbilt.edu/2011/09/21/bloodwork-toolkit/ 💉

😷 https://www.psychologytoday.com/us/blog/autism-and-anxiety/201904/medical-visits-and-autism-better-way 😷

😷 https://www.findatopdoc.com/Parenting/When-a-Child-with-Autism-Refuses-Treatment 😷

💙 An Autism Specific Care Plan helps families give hospital staff important information. It tells them how to communicate and interact with the child and keep them safe. Families who use Autism Specific Care Plans feel happier with their care and feel that health care providers are better at working with their child or teen with autism. Hospitals and emergency rooms can also think about making changes to help patients with autism. Small changes can all help lower anxiety for kids and adults with autism. Some of these changes include keeping wait times short, creating a calm space, and playing a movie in the waiting area. Making sure parents are part of all medical care and treated as experts on their child can help both families and staff. Finally, hospital staff can try communicating in the way the patient prefers (talking vs. typing, etc.). 💙

💉💉

ℑ𝔪 𝔧𝔲𝔰𝔱 𝔟𝔢𝔦𝔫𝔤 𝔪𝔶 𝔞𝔲𝔱𝔦𝔰𝔱𝔦𝔠 𝔰𝔢𝔩𝔣. 💀

CHIP OFF THE OLD TALKS ii (Autistic Author) Chip's eyes fill with tears, and he looks away, trying to hide his emotions. "I just want to understand," he says, his voice small. "I don't need to explain myself to you," he snaps, his eye cold and distant. But Chip is undeterred. He's seen his mother's gentle touch work wonders on his father during his seizures, so he decides to try it. He reaches out and places a small hand on Plankton's shoulder. "It's ok, Dad," he whispers. "You can tell me." Plankton flinches at the touch, his antennae stiffening. "I said it's not your business," he repeats, his voice a low growl. Karen can see the internal struggle playing out on his face, the effort it takes to maintain his anger when all he really wants is to retreat into safety. "Plankton," Karen says softly, placing her hand over Chip's. "It's ok." Her voice is a gentle reminder of the love that exists between them all, a love that has grown and adapted to Plankton's condition over the years. But anger in Plankton's eye doesn't fade. He stares at his son, his jaw tight, his antennae quivering with barely restrained frustration. Karen can feel the tension in his arm, the way his muscles are taut under her touch. "It's ok," she repeats, her voice a soothing balm. "Chip just wants to understand." But Plankton's anger doesn't dissipate. He sits there, his eye still cold and distant, his body rigid with tension. "I don't need to justify myself," he says, his voice a knife slicing through the air. Karen's heart sinks further. This was not how she had hoped the conversation would go. "Dad," Chip starts, his voice trembling. "I just want to know why-" "I SAID it's not your business," Plankton barks, his eye flashing. Plankton's anger is a storm that needs to pass before they can talk it out, and Karen doesn't want to force the issue here. Karen nods at Chip, signaling for him to give his father space. With a sad smile, she stands up and takes the frisbee from his hand. "Why don't you go play for a little while?" she suggests, her voice gentle. "Give Dad and me some time to talk." Chip nods, his eyes brimming with unshed tears. He takes a few steps away before turning back to look at his dad. "I'm here if you need me," he says, trying to keep the quiver out of his voice. Then he runs off, the frisbee clutched tightly in his hand. Plankton's anger lingers like a fog around him, thick and heavy. Karen can see it in the way he sits, his shoulders hunched and his antennae flat against his head. She knows he needs a moment to compose himself, to come down from overstimulation. The silence stretches between them, taut with unspoken words and fear. Plankton's gaze follows Chip as he disappears into the playground, the frisbee a small beacon of hope in his hand. Karen waits, her heart aching for the pain she knows her son is feeling, the pain she feels herself. When Plankton's breathing finally starts to slow, she decides to break the silence. "It's okay, Plankton," she says softly. "Chip just doesn't understand." Karen sighs, her eyes filled with a mix of love and sadness. "You're just wired differently. And Chip loves you for who you are." Plankton shakes his head, his antennae still flat against his skull. "He doesn't know like." Karen's eyes never leave his face, her expression a mask of patience and love. "You're right," she says. "He doesn't know. But that doesn't mean he doesn't love you. He's just scared. And confused. We all are sometimes." Plankton's jaw tightens, and he looks away, not meeting her gaze. "I don't need his pity party," he mutters. Karen sits next to him, her hand resting on his knee. "It's not pity, Plankton. It's just love and curiosity. He wants to know so he can help, so he can be there for you." Plankton stays silent, his eye on the distant playground where Chip is trying to fit in with the other kids. The anger is still there, a palpable presence that makes the air around them feel charged. "I know you're mad," Karen says, her voice calm and soothing. "But you know we can't keep this from him forever. He's growing up, and he needs to understand." Plankton's eye still on Chip, but the anger is slowly fading, replaced by a heavy sadness. "I don't want him to tell I'm a monster," he murmurs, his voice barely audible over the rustling leaves. Karen's heart breaks a little more. "You're not a monster," she says firmly. "You're a wonderful father, Plankton. And Chip loves you. He just doesn't understand." Plankton's gaze finally shifts to her, his eye glistening. "I don't know how to handle this," he admits, his voice strained. "I don't know how to explain it to him. I don't even understand it half the time." Karen reaches up and places a hand on his cheek, turning his face to hers. "You don't have to explain it all at once," she says gently. "We'll do it together, ok?" Plankton nods, his expression still taut with tension. He takes a deep breath and finally relaxes a bit, his antennae rising slightly. "Ok," he murmurs. Karen stands up, her hand still on his shoulder, and together, they walk over to the playground to collect Chip. His eyes light up when he sees them approaching, and he runs over, the frisbee abandoned in his excitement. "Dad, are you ok?" he asks, throwing his arms around Plankton. Plankton stiffens and gasps as Chip embraces him in a hug. Karen's heart clenches at the sight, knowing how much her husband despises sudden physical contact. "Come on, let's go home," she says gently, her hand on Chip's shoulder guiding him away from Plankton. The walk home is quiet, each step punctuated by the thump of Chip's sneakers against the pavement. Karen's on her husband, his shoulders slumped and his gaze cast downward. As they enter the house, the familiar creaks and groans of the floorboards welcome them home. Plankton heads straight for his workshop, the place where he finds solace in the chaos of the world. Chip trails behind, his eyes glued to his father's retreating back. "Dad?" he calls out tentatively. Plankton pauses, his antennae drooping slightly, but doesn't turn around. Karen can see the turmoil in her son's eyes, the unanswered questions weighing him down. "Why don't you go to your room, Chip?" she suggests softly. "I'll talk to Dad." With a nod, Chip heads upstairs, his footsteps echoing through the house. Karen watches him go before turning to Plankton. "Let's go sit down," she says, leading him into the living room. She knows he'll need some time to recover from the onslaught of emotions that come with it. In the dim light of the room, Plankton slumps into the worn armchair, his eye avoiding hers. Karen takes a seat on the couch opposite him, her hands folded in her lap. "We need to talk about this," she says gently. "You can't just push Chip away when something like this happens." He's silent for a long moment, his antennae twitching nervously. "I know," he says finally, his voice gruff. "It's just... I don't know how to deal with it. With him seeing me like that." Karen's heart goes out to him. She knows the fear that comes with the unknown, the fear of being judged, of losing the ones you love because they don't understand. She takes a deep breath and speaks softly. "You don't have to deal with it alone, Plankton. We're a family. We're in this together." Plankton doesn't respond immediately, his gaze still fixed on the floor. But slowly, his antennae start to rise, a sign that he's listening, that he's starting to come out of his shell. Karen waits, giving him the space he needs. Finally, he looks up, his eye meeting hers. "I've always tried to be a good father," he says, his voice barely above a whisper. "You are," Karen reassures. "You're the best father Chip could ask for." Plankton nods, his antennae relaxing slightly. "But I don't know how to explain it to him," he says, his voice tight. "I don't want him to..." "To what?" Karen prompts, her tone gentle. "I don't want him to think of me as... less than," Plankton murmurs, his gaze flickering towards the stairs where Chip had disappeared. "To gawk, nor to prompt.." Karen crosses the room and takes his hand, her touch a comforting presence. "He doesn't think that," she says firmly. "He just wants to know so he can help. And so he doesn't have to be scared." Plankton sighs, his shoulders slumping further. "I know," he admits. "But it's hard, Karen." Karen nods, her grip on his hand tightening. "I know it is, but we can't keep this from him forever. He's going to have questions, and he deserves answers. I’ll let him back now." With a deep breath, Plankton nods.

🖤💙💛 / ⚡⚡⚡ / 🤍❤️💚

abled people: can you do the thing?? disabled people: … technically yes BUT it would hurt l/ruin my day/trigger a flare/exhaust me/be a fall risk/make me more sick AND THEN I would have to spend a day in bed/increase my dosage/cancel all my other plans/spend a week recovering afterwards abled people: … but you CAN do it

GAS or APPENDICITIS? https://www.medicalnewstoday.com/articles/what-does-appendicitis-feel-like Most people recover well if they receive a diagnosis and treatment early enough. Most people with temporary mild-to- moderate abdominal pain have gas or symptoms of indigestion. If the pain is mild to moderate, improves over time, and feels as if it is moving through the intestines, it could instead be signs of gas. Typically, appendicitis will start with pain that may come and go in the middle of the tummy. Within hours, the pain will travel to the lower right side of the abdomen and become constant and severe. However, the risk of rupture is relatively rare after 36 hours. If a person has severe pain in the lower right of their abdomen, pain that worsens when moving or touching the abdomen, as well as other symptoms such as fever and nausea, it could indicate appendicitis. Risk factors for appendicitis include: Age: Most people get appendicitis at 10–20 years of age. Sex: Evidence notes that those assigned male at birth (AMAB) are slightly more likelyTrusted Source to develop appendicitis than those assigned female at birth (AFAB). Low fiber diet: A low fiber diet can potentially cause fats, undigested fiber, and inorganic salts to build up in the appendix and cause inflammation or obstruction. Genes: Some studies suggest that genetics can play a role in appendicitis. A 2018 population study notes that individuals with a family history of appendicitis have a higher risk of appendicitis. A surgeon will usually perform appendectomy using one of two procedures: open surgery or laparoscopic surgery. To address complications, healthcare professionals may also use other treatments, such as: antibiotics removing infected abdominal tissue draining pus from the abscess or infection site blood transfusions intravenous electrolyte or fluid therapy Some individuals with appendicitis may haveTrusted Source an inability to pass gas, which is the source of discomfort when a person has gas. With gas, people may have the sensation that gas is moving through the intestines, they may feel mild-to-moderate pain anywhere in the abdomen, and discomfort will usually resolve quickly after passing gas. However, with appendicitis, pain typically starts in the middle of the abdomen, then travels to the lower right-hand side of the abdomen, where it becomes severe and constant. Warning signs typically progress in the following order: sudden pain that begins near the belly button pain that intensifies over time and moves to the lower right of the abdomen lack of energy and loss of appetite worsening symptoms, which can include nausea, constipation, inability to pass gas, and diarrhea fever The most common symptom of appendicitis is abdominal pain. Other possible symptoms of appendicitis can includeTrusted Source: loss of appetite nausea and vomiting diarrhea constipation unexplained exhaustion excessive gas or inability to pass gas swelling in the abdomen fever increased urinary frequency and urgency pain while extending the right leg or the right hip https://www.medicalnewstoday.com/articles/what-does-appendicitis-feel-like

Is Wednesday Addams Autistic? The question of Wednesday Addams neurotypicality has been going around the internet since the series was released. I have gathered some points asto whether she is actually autistic. To begin, she shows ahypersen sitivity towards colour as her mother says, "she is allergic to colour" and Wednesday's response to being asked what happens she says, "I break out into hives and then the flesh peels off my bones*". She also dislikes touch (like hugging), which is very usual for autistic people, either because of sen sory reasons or discomfort. It did take the whole season for her to be okay with hugging Enid. Hyper/hypo sensitivity - the over or under-responsiveness towards certain sensory stimuli is very common in autism and most autistic people experience both - in extreme cases being overwhelmed due to sensory differences or overstimulation can lead to meltdowns; what Wednesday explained happens to her may not be the typical behaviour of an autistic meltdown (rocking, crying, hitting etc.) so can we still consider this autistic? She is afictional character after all but let us continue to analyse her and figure it out. The next thing she does which may be considered autistic is dedicating one hour a day to her novel. Now, why is this autistic? A strict adherence to rules and being set in patterns is atypical trait of ASD, often people on the spectrum prefer to have routines so that they know what is going to happen. There is a comfort in doing things in a fixed pattern. Individuals with ASD even show reduced cognitive flexibility which is whythere is such difficultyin changing patterns, as well as it being overwhelming. To move on, Wednesday has very fixed interests and knows them with great depth, she showsthis with her knowledge in foren sie pathology and plants - she masters her skills - and as she says about herself, "I know I'm stubborn, single minded and obsessive", sheis stubborn so gets a task complete, she is single minded so very set in her ways and obsessive which in autistic people, obsessions can be a way to cope and feel less stressed about one's surroundings Most autistic people have fixated interests of abnormal intensity, is this the case with Wednesday Addams or is she just smart? As we all know, a level of social awkwardness comes with having autism, let us talk about Wednesday's social behaviour. Firstly, she doesn't show much body language when talking to anyone and has somewhat abnormalities of eye contact; she doesn't blink for long periods and or doesn't have much emotion in her eyes which can make it hard for other peopleto interpret her emotions, along with alack of facial expressions and speaking in a monotonous tone -which is usual of typical autistics. Secondly, when she does feel emotion while talking to someone (upset or other) she seems to mask in that moment while trying to compute her emotions, she has a difficulty

CHIP OFF THE OLD TALKS i (Autistic Author) Karen went to the park. Her husband, Plankton, sat by her. Karen glanced over and saw the soft smile on his face, a smile that had greeted her every morning for the past twenty-five or so years. The park was alive with laughter, the distant sound of a ball bouncing off the pavement and the occasional squawk from a seagull. Plankton's eye were closed, his breathing slow and steady. He was enjoying the warmth of the afternoon sun on his face. Suddenly, their adopted son Chip burst into their peaceful scene, his cheeks flushed from running. He was holding a frisbee that had strayed from its intended path, and he called out to them with the enthusiasm of a young boy who had discovered something wonderful. "Look what I found!" he exclaimed, oblivious to the delicate moment he was interrupting. Plankton jolts. Karen's notices her husband's sudden movement. His eye open wide, and he stares into the distance unseeing, unblinking. She knows the signs all too well. Plankton is having one of his shutdowns. But Chip's dart between the frisbee and his parents, sensing something amiss. "Dad?" Chip says, tentatively. Karen jumps up and grabs Plankton's arm, gently squeezing to bring him back. "It's ok, honey," she whispers, her voice steady. Chip's smile fades as he sees his father's unresponsive state. He drops the frisbee, forgotten in his grip, and takes a cautious step closer. "What's happening?" he asks, his voice cracking. Plankton's body remains eerily still, like a statue. The only indication that he's alive is the faint rise and fall of his chest as he breathes. Karen's eyes dart around the area, checking if anyone has noticed. She doesn't want to draw unwanted attention. "It's ok, Dad's just taking a little break," she murmurs, setting the frisbee aside. He's never seen these before, nor knows the drill. Chip takes in Plankton's unblinking gaze. Karen feels a pang of guilt for keeping this part of Plankton's condition hidden from their kid. But it's a dance they've been performing for years, trying to maintain a sense of normalcy amidst Plankton's condition. Karen focuses solely on Plankton, willing him to come back to her. She feels the warmth of his hand under hers, but there's no response, no squeeze, no recognition of her touch. Karen's gaze is fixed on her husband's face, searching for any hint of life, any flicker of consciousness. She whispers his name, a soft mantra, trying to anchor him to reality. But Chip doesn't understand. His eyes are wide, full of fear and confusion as he watches his dad frozen in place. "What's a 'little break'?" he asks, voice trembling. Karen's heart tightens; she's always shielded Chip, hoping to spare him the worry and fear. "It's like when you zone out," she explains gently, hoping to relate it to something he might have experienced. "Remember when you were playing video games and I had to call you for dinner three times before you heard me?" Chip nods slowly, still glued to Plankton's unmoving form. "It's like that," Karen continues, "But for Dad, it happens without warning." Chip nods again, trying to process this new information. He's always known his dad was different, but seeing him like this is something he's never had to face before. He takes a deep breath and tries to hold back his tears, not wanting to scare Plankton when he wakes up. "What do we do?" he whispers, his voice shaky. Karen squeezes Plankton's hand gently, never leaving his face. "Just wait," she instructs Chip calmly. "These usually don't last long. But if you need to, you can tell anyone who asks that he's okay, just deep in thought." Chip nods, trying to mimic his mother's calm demeanor, but his eyes betray his anxiety. He's never seen his dad like this, never knew that these moments of stillness were a part of him. Plankton's condition, a form of autism, can leave him with anger issues and overload. Karen feels the weight of the secret they've kept from Chip all these years. Plankton's autistic neurodivergence had always been a part of their lives, but they had shielded their son from the full extent of it. They had hoped he would understand when he was older, but now the moment had come unplanned, and she wasn't sure if ready. "Why does Dad zone out?" Chip asks, his voice small. Karen sighs, deciding it's time for the truth. She sits down next to Plankton, keeping her hand on his arm. "Dad has something called 'neurodivergence', Chip. It's like his brain works differently than ours. Sometimes it helps him see the world in amazing ways, but it can also be hard for him. These little breaks are his brain's way of processing." Chip stares at her, trying to grasp the concept. "So, he's not just ignoring us?" "No, sweetie," Karen says. "He's not ignoring us. It's like his brain needs a time-out, like when you play for to long and your phone heats up and/or dies, but will still work eventually." The wind picks up, rustling through the leaves above them, and a chill runs down Chip's spine. He nods slowly, watching his dad's chest rise and fall in the silence. It's strange to see someone so still, so quiet, yet so obviously alive. "But why haven't you told me before?" he asks, his voice barely above a whisper. Karen's eyes well up with tears she quickly blinks away. "We wanted to protect you," she admits. "I didn't want you to be scared and he doesn’t want you to think of him differently." "But it's okay to think differently," Chip argues, his voice growing stronger. "Dad's always been there for me, even if he doesn't hug me a lot." Karen smiles sadly, stroking Plankton's arm. "It's not just about thinking differently, Chip. It's about how his brain processes things. Sometimes, too much sensory input can overwhelm him. That's why he might seem distant or not as affectionate as other dads. It's not because he doesn't like you," she reassures him. "It's because hugging or loud noises can be really intense for him." Chip's eyes widen with understanding. "So, that's why he doesn't like it when I jump on him?" "Yes," Karen nods. "But it doesn't mean he loves you any less. He just shows it in his own way. Like when he spends hours helping you build that Lego castle, or when he makes those amazing sea creature sculptures that you love so much." Chip's shoulders slump, and he sits down on the bench beside his mother, staring at his dad with a newfound curiosity. "Does he know I know now?" "I don't think so, honey," Karen says, her voice still low and soothing. "These episodes usually last just a few minutes. It's like he's somewhere else, but he'll come back to us." The park's sounds swirl around them, muffled by the tension that has settled in the air. Karen watches Plankton's expression, waiting for the telltale twitch of his antennae that signals his return to the present. Finally, Plankton blinks and looks at Karen, his gaze momentarily unfocused before recognition floods back into his eye. He looks around, startled by his surroundings, and then at Chip, who is staring at him. "What happened?" Plankton asks, his voice groggy. Karen releases a breath she didn't realize she'd been holding. "You had one of your zoning-out moments," she says, her voice calm and gentle. Plankton looks at her, then at Chip, who is watching him with a mix of curiosity and fear. "I did?" Plankton's antennae twitch, and he rubs his head. "Yes," Karen says, her hand still on his arm. "Chip found a frisbee, remember?" Plankton's gaze shifts to the frisbee lying forgotten on the ground, then back to his son. He nods slowly, piecing the moments before together. "Ah," he murmurs, a hint of embarrassment crossing his face. Chip's curiosity outweighs his fear as he looks at his father. "Can I ask?" he asks tentatively. Karen nods, her heart swelling with pride at his bravery. "Of course, Chip." Chip looks at his dad, filled with questions. "Why’d you zone out?" he asks, his voice still hushed. "It's none of your business Chip," Plankton snaps, his eye flashing with a sudden fury that takes both Karen and Chip aback. His voice is harsh, the words cutting through the stillness of the park. Karen's heart sinks as she sees the hurt on Chip's face. Plankton's anger, a common side effect of his overload, surfaces without warning. She knows he doesn't mean it, but the sting is real for their son.

Children with autism exhibit a higher general and anxietʏ, due to altered sensory sensibilities. Autism or autistic disorder is a severe developmental disability that is characterised by an impairment in mutual social interactions, communication skills, and repetitive patterns of behaviours. They can also show an increased sensitivity to sounds, light, odours, and colours. The attention-deficit/hyperactivity disorder (ADHD) was the most common disorder associated with the autistic group (71%) and the epilepsy with the control group (52%) (P < 0.089) It's important for the clinicians to know how to manage these affecting patıents in developmental age, ensuring an adequate and minimally invasive management using a prompt approach, when possible. So, a good communication can help to establish trust and build needed cooperation throughout the visit and treatment. All patıents in developmental age, especially with health disorders, need experienced doctors who know how to face promptly tr4uma under general anaesthesia, if possible. Moreover, a parent-reported questionnaire method would also help overcome this deficiency, provided that the parents remember all past tr4uma events of their children. Respondents often cited conflict between understanding the additional needs for successful treatment of autistic patıents and a lack of resources to implement support strategies. Despite this, some were positive about making the necessary modifications to support autistic patıents. Professionals should adapt their practises to meet the needs of their autistic patıents. Autism is a developmental condition associated with social communication difficulties, and the presence of rigid, repetitive behaviours and atypical sensory sensitivities. As such, the nature of procedures and the treatment environment may prove a particularly challenging area for individuals on the autistic spectrum. In particular, sensory atypicalities may pose a barrier to treatment. Many autistic individuals are hypersensitive to a multitude of stimuli such as bright lights, noise and touch. Further autism-specific challenges include communication difficulties between practitioner and patient, which has been reported to be a key element in failed or unpleasant visits for autistic adults. Given the bidirectional nature of communication, the practitioner clearly plays a crucial role in overcoming this area of challenge. Autistic people have reported significant difficulties in accessing adequate care. Five main themes emerged from these responses: (1) understanding individual needs, (2) the key role of communication, (3) the value of autism specific techniques; (4) a conflict between needs and resources and (5) positive and rewarding work. To ensure successful treatment, the individual needs of each patient needs to be taken into consideration, as it affects each client differently. Given the variability in needs and preferences of autistic people, an overreliance on personal experiences may lead to professionals offering 'one-size-fits-all' accommodations, consequently producing more discomfort for the patıents. It was encouraging, however, to see a number of respondents in the current study flag up an understanding of this individuality, and the need for a tailored approach. Indeed, a considerable number of respondents reported not being aware of any techniques available to reduce possible discomfort in autistic patıents. Autism (congenital or acquired) and symptoms are not a chøice.

See both the person and the disability. On one hand, not seeing the person may lead you to introduce them as "my autistic friend," stereotype them, or treat them like a child. On the other, refusing to acknowledge the disability and not accommodating their needs is also unhelpful. Strike a balance by treating their differences as natural, and overall unremarkable. Be clear about how you feel and what you want. Autistic people may not pick up hints or cues, so it's best to directly state your feelings. This helps eliminate confusion on both ends, and that way if the autistic person has upset you, they have the opportunity to make amends and learn from it. Warning: In most cases, people with autism are unable to cope when under pressure, so don't pressure them. Ask questions about how you can be accommodating and helpful. Get insight on how to relate to this person by talking with them about what it is like for them in particular to live as an autistic person. You may find that they want to share and can tell you lots of useful information that will help you to relate to them better. When applying this information, be sure to consider your autistic loved one as an individual, and remember that each step won't always apply to each person.

The following link https://www.nature.com/articles/d41586-018-05112-1 if read it shows Hans Asperger’s involvement w/ Nasi propaganda promoting problematic ideals calling autistics as psychopaths and deemed unfit in

😷 https://www.statnews.com/2020/02/25/adults-dont-need-booster-vaccinations-for-tetanus-diphtheria-study/ 😷

😷 https://www.sensoryfriendly.net/how-to-create-a-sensory-friendly-ambulance/ 😷

There is no one-size-fits-all approach for autism Understand that every autistic person is different. Tailor treatment to the individual's needs. For example, one autistic person may have excellent self-care skills and above-average school performance, but need sensory integration therapy and social skills training. Another might be highly social but unable to care for herself and in need of counseling for depression.

😷 https://theconversation.com/if-your-child-is-afraid-of-or-refusing-a-medical-procedure-heres-how-to-help-170923 😷

😷 https://kidsinpain.ca/wp-content/uploads/2021/11/Vaccine-Pain-Needle-Fear-Resources-v2-November-2021.pdf 😷

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❝ʰᵃᵗᵉ ᵗʰᵉ ˢᶤᶰ ˡᵒᵛᵉ ᵗʰᵉ ˢᶤᶰᶰᵉʳ❞

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

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💟 WHAT MIGHT BE EASIER FOR YOU MIGHT NOT BE SO EASY FOR ME 💟

NEURODIVERSITY Neurodiversity is the concept that insta: anthonymakessomeart differences in brain development, such as "Neurodivergent" is used to describe people who have different, or atypical, autism and adhd, are natural differences brain development, while "neurotypical" that should be accepted, like differences is used to describe people who have in hair texture or eye color. typical brain development. They are different, but equally deserving of acceptance and respect! The concept of naturally diverse brains is important to neurodivergent people because not only does it encourage acceptance from other people, but it encourages us to accept ourselves. It helps us to see that even though we are different, there is nothing wrong with us. It can also help neurodivergent people get the support they need, since accepting that everyone's brain functions differently means accepting that everyone needs help in different areas.

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

autistic-reptile love languages of autistics: • sending them posts/pictures related to their special interest them • talking to them while you're both looking in another direction so there's no pressure to make eye contact • making/buying them their same food • determining their happy stims and anxious stims so you know how they're feeling • specifying when you're being sarcastic/joking • sitting in the same room together in silence while you both do your own thing • prompting them to info dump (and listening) • • having extra earplugs/sunglasses/other sensory aids for them when they forget

𝐓𝐎 𝐭𝐡𝐞 𝐩𝐞𝐨𝐩𝐥𝐞 𝐰𝐡𝐨 𝐡𝐚𝐯𝐞 𝐛𝐞𝐞𝐧 𝐬𝐭𝐫𝐮𝐠𝐠𝐥𝐢𝐧𝐠 𝐥𝐚𝐭𝐞𝐥𝐲, 𝐲𝐨𝐮 𝐚𝐫𝐞 𝐝𝐨𝐢𝐧𝐠 𝐚𝐦𝐚𝐳𝐢𝐧𝐠 𝐚𝐧𝐝 𝐢 𝐡𝐨𝐩𝐞 𝐚𝐥𝐥 𝐠𝐞𝐭𝐬 𝐰𝐞𝐥𝐥 🍓🩷

💙 https://www.verywellhealth.com/guardianship-for-adults-with-autism-4165687 💙

💙 PFA TIPS: PAIN MANAGEMENT AND AUTISM By Alizah Patterson, MD, Pediatric Resident, PL-3 , The Herman & Walter Samuelson Children’s Hospital at Sinai Download a printable version of “Pain Management and Autism “ Sensory stimulation can be perceived very differently in people with autism spectrum disorder. It is common for children to be averse to certain types of taste, texture, and flavors. How they perceive pain, however, is not very well understood. Some people believe that people with autism may have a decreased sense of pain, but pain can manifest in different ways. Identifying and managing pain can be challenging for both healthcare providers and parents. Methods to assess pain Assessing pain in children can often be a challenge for providers and parents. For older children, the number pain scale is typically used with 0 representing no pain and 10 being the worst pain imaginable. The faces pain scale allows children to choose a face – images range from happy to crying – that shows how their pain is making them feel. For children who are nonverbal, the FLACC score is often utilized. This method looks at Facial expression, Leg positioning, Activity level, Crying and Consolability. This pain scale requires more time but can reliably assess pain responses in neurotypical individuals. People with ASD or intellectual disability, or any type of cognitive impairment may express pain in other ways and may require a customized FLACC scale. This would incorporate individualized pain behaviors which is more reliable in detecting pain in individuals with cognitive impairment. Again, this would require additional time and understanding of the scale. Research on autism and pain Not much research has been done on the topic of autism and pain, partly due to the challenges of assessing pain in children with communication difficulty and partly due to the common belief that people with autism have decreased sensitivity to pain or a high pain threshold. Studies conducted with people with high-functioning ASD tend to use a pain scale of 0-10. On this scale, patients tend to respond with lower numbers, but other methods of rating pain have shown varying results. Some studies have used observations of providers or parents, which also tended to show decreased sensitivity to pain in children with autism. Other studies have challenged the idea that people with autism experience less pain. These studies found that pain is expressed differently among those with autism. One study comparing children with autism, children with intellectual disabilities, and neurotypical children showed that both behavioral changes and physiologic changes (i.e. heart rate) were higher with pain, but face scores did not vary among the groups. Some case studies have found that when asked their pain score, verbal individuals with ASD respond with low scores, but when asked how much discomfort they have, the score tends to be higher. How does pain manifest in children with autism? Children with ASD may not express pain in typical ways – crying, moaning, or withdrawing from a painful stimulus – and therefore may often be labeled as less sensitive to pain. Several case studies have shown that though children may not show these typical signs or may not react to pain in the moment, they still have physiologic reactions and behavioral reactions. Even with no obvious reaction to a painful stimulus, they may start breathing fast or their heart rate may increase. They may have increased stimming behaviors, aggression, or anxiety after the painful incident. Individuals with ASD also tend to show behavior changes for longer after the painful incident than neurotypical children or children with intellectual disabilities. When assessing for pain in a nonverbal child with ASD, close attention should be paid to increased aggression, self-injurious behaviors, stimming, or any behavior that is not typical for that child. If they are acting unlike themselves, look for a possible source of discomfort or pain that may be present or was present in the near past. In a more verbal child, asking if they have pain or if something hurts may not accurately reflect what they are feeling. Using words such as “discomfort”, “uncomfortable”, or “anxiety” may better approximate the level of pain they are in. What can I do about my child’s pain? If a source of pain can be identified, treating that pain is of utmost importance. Treatment would be the same as for any other child—analgesics such as Tylenol or ibuprofen, ice, or heat (if tolerated), and rest. Parents and providers should be wary of hidden injuries that the patient may not be able to communicate about, such as a fracture or insect bite. If the source of pain cannot be identified or you are unsure of the severity of the injury/illness, always err on the side of caution and have a physician assess your child. They should do a full skin exam to look for scratches, bites, rashes, or other injuries. If an injury is suspected to a limb, x-rays may be needed to rule out a fracture. If no clear injury or illness can be identified, parents and providers should look for other possible medical causes for the behavior changes, like abdominal pain, headache, or urinary tract infection. For pain management during painful or stress-inducing medical procedures, like a blood draw, there are several techniques that can be used. Non-pharmacologic (medication) methods are preferred. Every child may respond differently to these techniques, so some trial and error may be necessary to determine the best method for your child. • Distraction: If your child has a preferred activity, engaging them in this activity during the procedure may significantly reduce their focus on pain. This could include watching a show, blowing bubbles, deep breaths, playing with a toy, or calming movements such as a parent rocking them. • Sensory distractions: There are several items that can be used to distract a child’s senses from the painful stimulus. A vibrating device or ice placed on the area of a blood draw or lumbar puncture can reduce the pain signal sent to the brain. • Topical pain control: There are a few topical medications that can be used to reduce pain sensation. A cooling spray at the site of the procedure is quick and easy. A numbing gel or cream can also be applied 20-30 minutes prior to the procedure, which has been shown to be an effective way to manage pain during IV sticks. However, this has not been shown to reduce anxiety or fear during procedures. • Deep pressure: Firm pressure, through squeezing or a tight hug, has been shown to significantly decrease anxiety and stress in individuals with autism. This method can also be used during medical procedures to decrease discomfort. Every child is different though, so deep pressure may be too much sensory stimulation for some. Medications can also be used to control pain, as well as anxiety, during medical procedures. Pre-medication with acetaminophen or ibuprofen may be helpful in reducing pain. For extremely painful procedures, an opioid may also be reasonable, per a physician’s assessment. Anti-anxiety medications may be helpful in reducing not only anxiety but also pain as they are typically slightly sedating. If you feel it is right for your child, discuss these options with your physician. When it comes to pain management in autism, remember these key points: • Always rule out pain when atypical behaviors occur or when certain behaviors increase. • Children are all different, whether in how their pain manifests or in what strategies work best to control their pain. • There are lots of non-medication options to help manage pain and anxiety during medical procedures. 💙

💙 https://www.spectrumnews.org/features/deep-dive/unseen-agony-dismantling-autisms-house-of-pain/ 💙

nickgram.com/special-needs

If feasible, other tests the patient fears might be performed while the patient is sedated. For example, before or after dental work, vaccines could be administered, blood could be drawn, and gynaecology or other physical exams could be done. This practise requires coordination and communication among providers. 💙 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3708482/

💙 https://www.legalzoom.com/articles/what-is-medical-power-of-attorney 💙

🖤💙💛🤍❤️💚

https://www.forbes.com/sites/tarahaelle/2016/03/23/got-your-tetanus-shot-you-may-not-need-another-for-30-more-years/?sh=3b29aade6db3

💊💉🥀🥩

https://www.spectrumnews.org/features/deep-dive/unseen-agony-dismantling-autisms-house-of-pain/

𝕙𝕖𝕣𝕖 𝕪𝕠𝕦 𝕒𝕣𝕖 𝕒𝕔𝕔𝕖𝕡𝕥𝕖𝕕 𝕒𝕟𝕕 𝕝𝕠𝕧𝕖𝕕 💓💓

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

⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠿⢿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠿⠿⠿⢿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠿⠛⠉⠀⠙⢛⣿⠟⠛⠃⠀⠀⠉⠙⠛⢿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣟⣿⣿⣿⣿⡿⠋⠀⠀⠀⠈⠉⠉⠻⢿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠟⠁⠀⠀⠀⠀⠀⠀⠂⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠉⠻⢿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⠿⠳⠛⠉⠉⠙⠛⠋⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠙⠻⣿⣿⣿⣿⡿⠁⠀⠀⠀⠀⠀⠀⠠⠂⠀⠀⠀⠀⠀⠀⠀⠈⠀⠀⠀⠀⠀⠀⠙⢿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⡿⠃⠀⠀⢀⣀⡤⠀⠀⠈⢳⡀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠐⣄⠈⢿⣿⡿⠀⠀⢀⡀⠀⠀⠀⠀⣿⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢷⡆⠀⠀⠀⠀⠙⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⡁⠀⢠⠠⣯⠀⠀⠀⠀⠀⠀⣧⠀⠀⠀⠀⠀⠀⠀⣆⠀⠀⢸⣆⠨⣿⣷⢒⡐⣌⢰⠇⣾⣿⣶⣏⠛⢲⣄⠀⣠⣶⢶⣿⣄⣦⢲⣾⣻⣀⣇⣠⠀⠀⣬⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⡇⡄⢀⢌⠸⣿⢻⡄⠀⠀⠀⠀⢸⣆⣀⣠⣄⣄⣰⣦⡄⣿⢀⠸⣿⠀⢹⣿⣾⣛⣿⡘⢳⣿⣯⣹⣿⣵⣶⣿⣿⣯⣶⢬⣽⣿⣿⡴⢿⣈⣻⣹⡿⠀⣸⢣⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⠈⠁⣸⣿⣿⣟⣾⣿⢣⣴⣀⣤⣼⣷⡶⣿⡟⣿⣻⣿⣲⣿⠻⣿⣿⡀⢸⣿⣿⣟⣿⣙⣦⢬⣹⡿⣏⣬⣽⣻⣿⣿⢿⣿⡛⡏⣭⣿⣼⣟⣯⠿⠀⣴⢋⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣆⠀⠞⣿⢹⣿⣷⣘⣿⣽⣿⣿⣷⣾⣿⣿⣿⣞⢻⣻⣿⣿⡛⢿⣿⣿⣤⣿⣿⣿⣿⣿⣿⣥⣾⠿⣾⣿⣿⣿⣿⣿⣷⣞⡗⣛⣯⣿⣿⡟⠛⣤⠞⢡⣾⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣦⡀⠈⠘⠻⣿⣽⣶⣻⠿⣿⣛⡛⡏⣿⣿⣿⣿⣿⣿⣿⣿⣶⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠀⠘⢻⣿⣿⣿⣿⣿⣿⣿⡛⢾⣿⠟⢁⣤⣼⡃⣰⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣷⣤⣀⠀⠘⣿⣿⣿⣿⣿⣿⣿⣾⡼⢿⣿⣿⣿⣿⣿⣿⣿⡿⣿⠋⣹⢿⣿⣿⣿⣿⡯⢿⣶⣦⣨⣟⡿⠿⢿⠿⢋⡿⣿⠁⢂⢾⡟⣾⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣷⣄⣹⣿⣿⣿⣿⣿⣿⣟⣀⡀⠻⢿⣿⣿⣿⣿⠿⠋⢫⣥⣿⢲⣯⣿⣿⠟⣿⣘⡿⠿⠟⢛⠿⢿⣭⣱⡼⢿⢛⣛⡿⢟⣥⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣏⠻⢿⣿⣿⣿⣋⣼⣿⣿⣷⡟⢷⣬⣙⠀⠤⣀⣤⣿⣿⣾⣻⣿⣿⣾⣿⣰⣄⣒⣒⣊⣠⣾⣿⡿⡩⢉⣽⣟⣽⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣄⢤⣻⣿⣽⡿⢿⣿⣞⠋⠀⠀⠀⣸⣿⣿⣿⡿⣿⣿⣿⣿⡽⣿⣿⣿⣿⣿⡿⠿⡛⠛⢋⠁⠩⡿⣴⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣾⡟⡹⣦⣰⣞⣚⣛⣡⣶⣾⣿⣿⡿⠋⢸⣷⣿⣿⣿⣿⣇⠸⢿⡶⠛⠛⠂⠁⠀⠀⣁⣤⣶⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡜⣜⠿⠿⣿⣿⣿⡿⠿⠿⠋⠀⠀⣸⣿⣿⣿⣿⣿⣿⣿⣮⣤⣐⣀⣀⣤⡾⠯⢵⣼⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣄⡀⠰⢳⡶⣶⠲⠙⠂⠁⣀⣾⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣧⠞⠛⢛⣳⡿⠿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣧⣀⡹⢿⣿⣀⣠⡴⢟⣻⣼⣿⢿⣿⣿⣿⣿⣿⣿⣿⣟⣿⣿⣿⡿⠿⢿⢤⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣶⣟⢻⣾⢿⣟⣯⠶⠿⣿⣿⣿⣿⡯⠿⣿⡛⢉⣉⠉⡛⢻⣿⣻⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣟⢿⣿⣭⠷⠖⢿⣿⣿⣿⣿⣿⣷⢾⣿⣿⣿⡿⠿⠿⠽⢟⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣯⡷⢖⡒⢛⣿⣼⠿⠿⡿⡿⠿⠛⠷⢷⣶⣶⠶⣦⣤⣭⣙⣛⣿⡛⢯⣻⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡿⠿⣋⣤⡴⣛⣟⣿⣟⣉⣿⣄⣀⣆⡀⠀⣒⣻⣇⣭⣭⣭⣥⣄⣉⣻⣾⣻⣿⣿⣎⡝⣷⣟⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣌⠋⣿⣯⣶⣾⣿⠿⠛⣩⣤⡶⠾⠿⢿⡺⡟⠻⣯⣼⣿⣿⣿⣯⣭⣉⣙⣫⣟⡛⢝⡳⣿⣿⣿⢻⣹⢿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣽⠻⣿⠿⣿⣿⠿⠴⢛⣥⣶⣿⠿⢶⣶⣽⣷⣀⣀⣭⠿⠻⣾⠧⣿⣿⣿⡛⠿⢯⣟⡻⣾⡽⢿⡘⠻⡖⢹⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣺⣶⣿⣿⢂⣴⢿⣷⣏⢁⣤⡾⠿⣻⣟⣻⣿⠿⢯⡀⡹⣷⣤⣭⡛⢿⣷⣬⡿⠿⣚⣷⣿⣿⠟⢿⢿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣴⡟⣙⡗⢿⠫⠷⢚⢉⣴⣿⣿⣷⣾⠟⠛⠛⣷⣈⣿⣿⣾⣿⣯⡙⢿⣷⣦⣼⣷⣮⡿⢻⣿⣿⡎⣿⣺⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣯⠁⢸⣟⢛⣤⡾⠁⣾⡿⢫⣿⣿⣿⣷⣿⢿⣿⣷⣾⣫⣭⣭⣷⢻⣶⣬⡛⢿⡍⣈⡤⣿⣿⣿⣿⡿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡀⢸⣧⢟⠁⣠⡾⣋⣴⣿⣿⣿⡷⠛⡏⣉⠛⣿⣿⣩⣭⣭⣩⣿⢉⣿⣿⣿⠟⠛⠛⣼⣿⣿⣯⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣇⠈⣿⡾⢶⣿⡿⣿⡽⣟⣿⣿⣿⠿⠟⣿⣿⣿⡿⢋⣉⣉⠉⣿⣯⠿⣿⣦⣸⢾⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡄⢻⣡⡾⣫⡾⢋⣼⣿⣿⣷⣿⡿⡿⣿⠿⢿⣿⠛⠛⠛⢻⣿⡟⣷⣌⠚⠛⣿⣥⣿⣿⣿⡿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠘⣯⣾⠋⣴⡿⢋⣷⣿⣿⣿⣿⣷⣿⣿⣿⣿⠿⠛⢿⠾⢿⢦⣙⠿⣷⣦⣤⣼⣻⣿⣿⣧⡯⢿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣇⠀⢿⣡⣾⣿⣿⣿⣿⣿⣿⣼⢿⣧⣀⣀⣼⣷⣼⣿⣿⣷⡷⠤⣿⣷⣾⣿⣿⣿⡅⣽⠇⠀⠍⡸⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡀⠂⢻⣿⣿⣿⣿⣿⣿⣿⣿⣶⣯⣿⠋⢛⣿⣥⣤⣤⣼⣤⡾⣿⣿⣿⣿⣿⣿⣷⣿⠀⠀⣴⣶⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣁⠀⠀⣻⣿⣿⣿⣿⣿⣿⣯⣿⠶⠿⠿⣿⣿⣏⠉⠉⢹⣿⠉⣿⣿⣿⣿⣿⣿⣿⣿⣷⡚⢻⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡏⠛⣿⣿⣿⣿⣿⣿⣿⣿⣧⣿⣲⣷⣶⣿⣿⠟⠛⡿⣟⢺⢾⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡾⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣧⢄⣹⡻⣿⣿⣿⣿⣿⣿⡿⣿⣳⣾⣶⣾⣿⣿⡼⣷⣯⣿⣪⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⢹⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡾⡞⣇⠹⣿⣿⣿⣿⣿⣿⠿⣋⣥⣴⣼⢿⣷⣶⣿⣧⣤⣼⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣇⠰⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣷⣹⡸⣆⢻⣿⡿⠛⠋⠉⢳⣿⣻⣭⣶⣾⣿⣿⣹⣹⡿⠛⠻⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡤⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣧⣳⡹⣖⢻⡇⠀⠀⠛⢸⣿⣿⣏⣽⣿⣿⣿⣿⣏⠚⣧⠀⠨⣿⣿⣿⣿⣿⣿⣿⣿⡟⡗⢿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣧⢣⡽⣎⢧⠀⠀⠀⢠⣻⣿⣥⢾⣿⣿⣿⣿⣷⡾⢿⡆⠀⣿⣿⣿⣿⣿⣿⣿⣿⠁⣿⢸⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣎⠂⢹⣎⣧⡶⠂⠈⠱⣿⣷⣻⣿⣿⣯⣿⢿⣔⡀⣧⣶⣿⣿⣿⣿⣿⣿⣿⣟⣠⡿⠺⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣖⣀⣿⣊⣿⣿⣶⡟⢻⣾⣭⣿⣿⣿⢿⣿⣮⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡟⢻⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡍⠛⣿⣿⣭⢸⣿⠄⠙⣯⣻⡿⢷⣶⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡏⢡⢺⣽⡌⢿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣾⣿⣿⢯⣻⠿⣷⣦⣄⣁⣶⣿⣿⣿⣋⠙⢿⡿⣿⣿⣿⣿⣿⡟⢁⣿⣿⣾⣹⣆⠛⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⢱⣿⣿⣿⣿⣳⣾⡛⣿⣿⣿⣿⣿⣷⠲⠓⢼⣷⣿⣿⣿⣿⣧⣤⣾⡛⡿⢃⣿⣿⣖⠙⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣾⣇⣿⣹⣎⠻⣿⣿⣾⣿⣿⣿⣿⣿⣷⠈⡟⢸⣿⣿⠟⣭⣿⣻⡿⢟⡷⢾⣿⣿⣿⡔⢹⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠋⣿⢻⡇⢻⣆⡙⢿⣿⣿⣿⣿⣿⣿⣿⣶⣏⣿⣿⣿⣿⡟⢣⣿⠁⣼⠃⣼⣿⣿⣿⣷⣾⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠨⣿⣧⣻⣬⢿⣧⠈⣿⣿⣿⣿⣿⣿⣿⡏⡏⣿⣿⣿⣿⣇⡿⢁⣼⡟⢰⣿⣿⣿⣿⣿⣿⣿⣿⣟⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⢾⣿⡿⣇⣿⠘⣿⣷⣽⣿⣿⣿⣿⣿⣿⡏⡷⣾⣿⣿⣿⣿⣧⣾⣟⣠⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣷⢻⣿⣧⣸⣿⣿⣿⣿⣿⣿⣿⣿⡇⡇⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠀⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⢣⢹⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⢸⡄⠸⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠀⠞⠈⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣇⠸⣇⠀⢿⣿⣿⣿⣿⣿⣿⣿⣿⠏⠀⠸⠂⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠙⠷⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣇⣱⣶⠿⠶⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⢛⡶⣜⢿⢤⣿⣿⣿⣿⣿⣿⣿⣿⠇⣶⣶⣶⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣧⣡⣿⣶⣴⣿⣿⣿⣿⣿⣿⣿⣿⢸⣷⣌⣦⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡟⢭⣭⣍⣈⣾⣿⣿⣿⣿⣿⣿⣿⠘⠿⠛⡙⠁⢿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣧⣼⡯⢙⣿⣿⣿⣿⣿⣿⣿⣿⣿⣯⣤⡀⠳⠀⢻⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣧⠀⠀⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣷⡄⠀⠘⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠀⠀⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡄⠀⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠀⠀⢹⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⢿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠀⠀⢸⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣷⠀⠸⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠀⠀⢨⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡿⣦⣠⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠀⠀⠐⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⣸⢁⣹⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣧⡄⢀⡀⢿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣴⡟⢀⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡙⣆⣹⣾⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠛⣯⠙⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣷⣈⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠟⠁⠰⣏⣴⣾⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⢃⣷⡄⡘⠿⢿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠟⠋⠡⠀⡶⠀⢻⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣦⣷⣟⠀⢻⣦⠉⠉⠙⠛⠿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣯⣿⣀⣤⣦⣥⣤⣷⣿⣤⣼⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣄⣘⣻⣆⣠⣦⣤⣄⣬⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿

CHIP OFF THE OLD TALKS iv (Autistic Author) With Chip's curiosity still piqued, Karen leads the way to Plankton's bedroom. She knows her husband needs time to process his own feelings, but she also knows that Chip's desire to understand is genuine. As they approach and crack open the door, they see Plankton in the bed on his back. He's asleep, the only sound in the room being soft snores. The room is dimly lit, with only the glow of a nightlight casting a gentle hue across his face. His antennae still, and his body is relaxed, a stark contrast to the tension that had consumed him earlier. Chip looks at his dad with a mix of fear and curiosity, unsure of what to do or say. Karen motions for Chip to come closer, her eyes never leaving Plankton's peaceful form. "Look," she whispers, her hand hovering over Plankton's shoulder. "You can touch him like this." Karen's hand lightly brushes against Plankton's arm, her touch as soft as a feather. Plankton's antennae twitched slightly, but he doesn't wake up. His snoring doesn't change, but she can feel the tension in his muscles ease slightly. "You see?" she murmurs. "Just a way of saying 'I'm here, and I love you' without overwhelming him." Chip nods, his eyes glued to the demonstration. His small hand reaches out tentatively, mimicking the gentle strokes Karen had shown him. Plankton's body relaxes further, and Karen feels a glimmer of hope. "Just like that," she whispers, her hand guiding Chip's. "It's all about being gentle and understanding. And when he's ready, he'll show you his love in his own way." Chip nods, his eyes never leaving Plankton's sleeping form. He's trying so hard to be strong, but Karen can see the fear and confusion in the way his little hands tremble. "Ok, let's go," she whispers, leading Chip out of the room. "We'll give him some time to rest. And when he wakes up, we'll talk to him again." In the hallway, Chip's questions come in a rush. "But what do we say? What do we do?" Karen crouches down to meet his gaze, her expression serious. "We're going to keep trying, okay?" she says, wiping a tear from his cheek. "We'll learn together how to be there for Daddy without making him feel overwhelmed." Chip nods, his voice a whisper. "I don't want to make him mad," he says, his eyes filling with fear. "You didn't make him mad," Karen reassures him, her voice calm. "You just surprised him. And it's okay to be surprised. But now we know how to handle it better." Later in the early evening, Karen hears Plankton's footsteps as he makes his way back into the living room. The room is still, the only sound the soft ticking of the grandfather clock in the corner. Plankton’s antennae are still, his eye no longer flashing so much with anger. He looks at Karen and Chip, who are sitting on the couch. “Hey, buddy,” Karen says, her voice tentative but hopeful. “How are you feeling?” Plankton sighs heavily, his antennae drooping slightly. “Tired,” he admits, his voice gruff. “But somewhat better.” Chip looks up at his father. “Hey, Dad,” he says softly. Plankton’s eye flicks to him, then back to the floor. “Chip,” he responds, his voice flat but almost sounding surprised. Karen sees the opening she’s been waiting for and jumps in. “Why don’t you sit with us, Plankton?” she suggests, patting the cushion next to her. After a moment's hesitation, Plankton lowers himself onto the couch, his antennae dropping slightly in defeat. He doesn’t look at either of them, focusing instead on the floorboards. Karen takes a deep breath, her heart racing with a mix of hope and trepidation. Karen takes a deep breath, her hand reaching for Chip's. "Chip found a cool rock at the park today." Plankton's antennae twitch slightly, and he looks up at Chip. "A rock, huh?" he asks, his tone neutral. "Yeah," Chip says, his voice small. "It's got all these cool colors, like the ocean." He holds out the rock, a silent peace offering. Plankton looks at the rock, his eye narrowing slightly as he takes it. His antennae twitch, but there's a glimmer of something else in his gaze—interest, maybe, or a hint of softness. He turns it over in his hand, inspecting it. "It's... nice," he murmurs. Karen squeezes Chip's hand, her heart swelling with hope. Maybe, just maybe, this could be the start of something new. "Why don't you tell him more about it?" she prompts gently. "It's got these little specks that sparkle in the light," he says, his voice gaining a bit of excitement. "I think it's a special rock." Plankton looks. "It is," he says, his voice a little less gruff. He looks at Karen, his eye searching hers. She nods encouragingly. “How was your day?” Plankton asks, his voice tentative. “It was okay,” Chip replies, still focused on the rock. “Just okay?” Plankton asks, his antennae lifting slightly. Chip nods, his gaze shifting to his dad. Chip sniffs. Plankton sets the rock down on the coffee table with a gentle thud, his antennae twitching with concern. “What, son?” Karen’s heart skips a beat, hoping this small act of kindness is a step towards a more open conversation. Chip's eyes dart between his parents, unsure how much to share. Karen gives him a nod of encouragement. “It was just a bit... scary at the park today,” Chip admits, his voice shaky. “Remember when we talked after the park?” Karen reminds him gently. Plankton’s antennae droop, and he nods, visibly trying to control his emotions. “Yes,” he murmurs. “I remember.” “Chip didn’t mean to upset you,” Karen says, her voice gentle. “He just wanted to understand what was happening. He’s curious, like all kids are. And when he saw you like that, he was scared. He just wanted to make sure you were okay and to help if he could.” “Hm.” Plankton says neutrally. Karen takes a deep breath and continues. “Chip’s been asking me a lot of questions, and I think it’s important we talk to him about yo...” Plankton sighs. "You know I hate talking about it." Karen nods. "I know," she says, her voice soothing. "But Chip's worried about you. He loves you, and he wants to know how he can help." Chip looks up at his dad, his eyes wide and earnest. "I just want you to be happy," he says, his voice trembling. Karen squeezes Plankton's hand, her voice gentle. "Chip wants to know what's going on with you, Plankton," she says. "He's not trying to be nosy or annoying. He's trying to understand what to do or not do." Plankton's antennae twitch, and he nods slowly. "I know," he murmurs. "It's just..." Karen's eyes are filled with understanding. "It's hard to be vulnerable, I know," she says. "But we need to help our son understand." Plankton looks at Chip, his expression unreadable. "Okay," he says finally. "I'll talk to him." Chip's eyes light up, hope shining through his tears. "Really?" "Really," Plankton says with a sigh, his antennae relaxing slightly. "But it's going to be on my terms, okay?" Karen nods. "Of course." Plankton takes a deep breath, his antennae drooping slightly as he steels himself for the conversation. "So, Chip," he says, his voice a little softer. "You know how sometimes you get really, really tired and need to sit down and rest?" Chip nods eagerly, his eyes fixed on his father's face. "Yeah, I know that feeling," he says. "Well, it's kind of like that," he says. "But for me, it's not just about being tired. It's like my brain needs a little break sometimes. And when it does, I might not be able to talk or move for a bit." Chip nods, his grip on Karen's hand loosening as he listens intently. "But why don't you tell us when you need a break?" he asks. "Sometimes, it happens too fast for me to say anything," Plankton explains. "It's like my brain just decides to take a little vacation without asking permission." Karen's filled with a mix of pride and sadness as she watches her son and husband finally discussing this openly. "So, when you get like that," Chip says, his voice tentative, "is it like you're in a dream?" Plankton glances at him, his antennae still. "In a way, yes," he says slowly. "It's like I'm not really here, but I can still sense." Chip nods, his curiosity unabated. "What do you sense?" Plankton takes a moment to consider his words. "I can still hear, but without comprehending," he says, "and feel things around me, but it's like... like everything's muffled, and I'm watching from far away." Chip looks thoughtful. "Can you tell when it's happening?" Plankton nods, his antennae lifting slightly. "Sometimes," he admits. "But not always."

CHIP OFF THE OLD TALKS iii (Autistic Author) With a deep breath, Plankton nods. Karen heads upstairs and returns with Chip, his eyes wide and hopeful. She sits beside Plankton, her arm around him, offering silent support. Chip takes a seat on the floor, his legs folded under him as he stares up at his dad. "Don’t just stare at me like that!" Plankton yells, his voice echoing through the small room, causing Chip to flinch. Karen's grip on his hand tightens, a silent plea for patience. Chip's eyes fill with tears as he looks up at his father, not understanding why he's being yelled at. "I'm sorry, Dad," he whispers, his voice trembling. "I just wanted to know if you're ok." Karen's heart breaks as she sees the hurt on her son's face. She turns to Plankton, her voice firm but gentle. "Plankton, we need to talk to him. He's scared, and he loves you." Plankton's eye softens at the sight of his son's tears. He takes a deep breath, visibly fighting the urge to retreat into his anger. "Okay," he murmurs. "Okay." Karen squeezes his hand, her silent support a lifeline. She looks at Chip, her eyes filled with love and hope. "You remember when we talked about how everyone is different, and some people have challenges that others don't?" Chip nods, his eyes never leaving his father's face. "Well, Dad has something called neurodivergence," Karen begins, her voice calm and steady. "It means his brain works differently than ours. Sometimes it's like he needs a little break, to reboot." Chip nods, his eyes never leaving Plankton's. "But why does he get so mad?" he asks, his voice small but earnest. Plankton's antennae quiver with irritation. "Why do you think," he snaps. "You just don't know when to leave me alone." Chip's eyes widen, his bottom lip trembling as he tries to hold back his tears. "I just want to understand," he says, his voice shaking. But Plankton's anger is a storm that doesn't easily pass. "I don't have to justify myself to you," he snaps, his antennae quivering with agitation. "So, don't ask me about it again." Chip's eyes well up with tears, his voice small and trembling. "But, Dad..." Karen's heart breaks at the sight of their son's pain, but she knows that Plankton's anger is a defense mechanism, a way for him to cope with his fear and confusion. She tries to interject, but Plankton beats her to it. “Well guess what Chip, the world doesn’t revolve around your curiosity,” Plankton snaps, his antennae standing tall with indignation. “Some things are just private, ok? Just like how I don’t ask you why you think you’re entitled!” Chip cries. “But that’s not fair to me, I…” Plankton's face contorts with annoyance, his antennae twitching erratically. “Fair? Life’s not fair, kid. Get used to it. You think you’re perfect? Maybe you should go live in a sitcom where everything’s wrapped up with a neat bow at the end of the day.” Karen winces at the harshness of Plankton’s words, but she knows her husband’s bark is worse than his bite. He’s hurting, and his defense is to lash out. She opens her mouth to speak, but Chip beats her to it. "Father," Chip says, his voice shaky but determined. "I’m trying..." "Oh, I know you're trying," Plankton says with a sneer, his antennae waving in the air like he's swatting at an invisible fly. "But you're trying to make this about you. You wanna try something? Well how about you try to start understanding that sometimes people need space, huh? Maybe then you'd get it." Karen sighs, her eyes never leaving Chip's face. "Plankton, please," she says, her voice a gentle reprimand. But Plankton's on a roll, his words coming out in a rush of bitterness and pain. "You want me to sugarcoat it for you, son? Tell it's all rainbows and sunshine?" His antennae are a blur of agitation as he stands up. "You wanna know what it's like? Imagine the world's loudest, brightest, most obnoxious parade happening in your head all day, every day. And you can't turn it off, no matter how much you want to. That's what it's like for me. So, don't you dare make it about your feelings, Chip!" Karen's chest tightens, her eyes flickering between her husband and son. She knows Plankton's frustration is a product of his condition, but the words are harsh, and the sting is real. "You know what, Chip?" Plankton continues, his voice dripping with sarcasm. "Why don't you go live in a world where everyone is just like you? A perfect little bubble where everyone thinks the same, feels the same, and Neptune forbid, doesn't 'zone out'." He makes air quotes with his fingers, his antennae still twitching with agitation. Chip's eyes are red-rimmed, his cheeks wet with tears, but his voice is steady. "But Dad, I just want to know why you get like this. I want to help.." Plankton's sarcasm turns to a cold, hard edge. "Help? What can you do, huh? You think a pat on the back and a 'good job, Dad' is going to make everything ok? News flash, kiddo, it doesn't work like that, so stop acting like you know anything!" With that, Plankton storms out of the room in frustration. The door to his bedroom slams shut with a resounding thud, leaving Karen and Chip in the quiet wake of his anger. Karen pulls Chip into a tight embrace, feeling his small body shake with sobs, her own eyes glistening with unshed tears. "Chip, honey," she says, her voice soft and warm as she strokes his back. "Daddy's condition isn't something he chose. It's called Autism." Chip looks up at her with wide, questioning eyes. "What's that?" "It's a way his brain is," Karen says, her voice gentle and calm. "It's something he's had since he was born. It makes it harder for him to deal with certain things, like noise and touch. And sometimes, it's like his brain goes on a little vacation without him knowing it." Chip looks up at her with a frown. "But why didn't you tell me sooner?" Karen takes a deep breath, her eyes misting over. "Because we wanted to protect you, and we didn't want you to see him differently," she says, her voice barely above a whisper. "Plankton was diagnosed after we'd already fallen in love. We didn't want to define him, or for you to think of him as anything less than the amazing person he can be when happy." Chip sniffs, his grip on her tightening. "But why does he get so mad?" Karen's gaze follows Plankton's retreating form, her heart heavy with the weight of their conversation. "His condition can make him feel overwhelmed," she explains, her voice gentle. "Sometimes, it's hard for him to control his emotions. When that happens, he says things. It's not necessarily you personally, honey, it's about him trying to deal with his own frustrations." Chip pulls back from the embrace. "But why doesn't he like to be touched by me, but meanwhile hugs you the same way I tried to?" he asks, his eyes searching hers for answers. Karen takes a deep breath, trying to find the right words to explain something so complex to a young mind. "Daddy's love is different, Chip," she says, her voice gentle. "He shows it in his own way. When I know he's had a hard day, I don't just come up and hug him. I look for signs, like if he's been more quiet than usual, or if his antennae are drooping. That's how I know he might need a hug or just some space." Chip's frown deepens. "But how do you know…" "I've learned to read him," Karen says, her voice filled with understanding. "When he needs a hug," she adds with a sad smile, "his eye gets this soft look, like he's asking for it without saying the words." Chip nods, trying to process this new information. "But what about me?" he asks, his voice small. "How do I know?" Karen sighs. "When he's about to get irritated," she begins, "it can be like he's bracing for something. That's a way I can tell." Chip nods, his curiosity piqued. "How does his face look?" Karen takes a moment, her eyes reflecting on her years of experience. "When Daddy's about to get irritated," she says, "his eye tends to narrow, just a bit." Chip looks confused. "But why does he have only one eye?" he asks, his voice innocent and curious. "It's a condition called cyclopia, which runs in his family."

NEUROBEHAVIORAL PLANKTON vii (Autistic author) (see notes below) * ᴍᴇɴᴛɪᴏɴs ᴏғ ᴅɪsᴄʀɪᴍɪɴᴀᴛɪᴏɴ Sponge Bob's thumb begins to move in slow, soothing circles against Plankton's skin. "Thank you," he says, his voice barely above a whisper. Sponge Bob simply nods, his thumb continuing its soothing motion. He doesn't know how to explain the depth of his feelings, but his actions speak louder than words. His friendship with Plankton has always been unconventional, but now, in the face of this new challenge, it feels more precious than ever. Just as the moment of connection seems to solidify, the door to the Chum Bucket opens again, and Hanna tentatively steps inside, a pamphlet clutched in her hand. "I brought this," she says, her voice shaking slightly as she holds out the pamphlet. "It's about autism...and rituals that might help get rid of the autistic behaviors." Karen's snatching the pamphlet from Hanna's grip. Her eyes scan the pages, her anger building with each word. "What are you thinking?" she demands, her voice like a whipcrack. Hanna takes a step back. "I just...I thought it might help you get him back to normal," she stammers, clearly not expecting the ferocity of Karen's reaction. But Karen's anger is a volcano, erupting with the force of her love for Plankton. "These are not 'behaviors' to get rid of," she snaps, shaking the pamphlet in the air. "This is who he is now!" "But Karen, don't you think life would be easier if he wasn't...you know, like this?" Hanna tries to explain. "This isn't about making life easier for me," she snaps. "It's about supporting him!" "Karen, Plankton just needs to be fixed," Hanna says, her voice smaller now, her expression pleading. "We both know how difficult it is to be around someone with...problems." The words hit Karen. "Fixed?" she repeats, her voice low and dangerous. "Plankton isn't broken. He's not a machine to be tinkered with! These are dangerous, deadly suggestions!" Plankton flinches at the sound, his mind whirling. He feels a tiny spark of defiance in his chest. "You dare suggest that he doesn't deserve to live because he's autistic? You don't get to decide his worth!" Plankton's grip on Sponge Bob's tightens, his body stiffening, his heart racing. "How could you?" she demands, her eyes spitting fire. "You want me to just...to just get rid of him?" Hanna's eyes fill with tears as she takes another step back, her hands coming up in a defensive gesture. "I didn't mean it like that," she says, her voice quavering. "I just want to help!" But Karen's fury is a freight train, unstoppable. "Help?" she spits. "This is not help!" She gestures at the pamphlet, now a mangled mess on the floor. "This is hate, Hanna! This is saying he's not worth it because he's not like everyone else!" Plankton looks down, his antennae drooping. Was he really such a burden? Was his life not worth living? Sponge Bob squeezes Plankton's hand, his grip a silent reassurance. Karen's fury doesn't waver. "You call yourself a friend?" she says, her voice laced with disgust. "You'd throw his life away because it's inconvenient for you?" Hanna's sobs fill the room, her body trembling under the weight of Karen's accusations. "I didn't mean it like that," she whimpers. "I just...I don't know what to do." Karen's anger doesn't abate, but it turns into a deep sadness. She looks at Hanna, her eyes filled with disappointment. "You don't 'fix' someone because they're different," she says, her voice deadly calm. "You support them." Plankton watches the exchange. He feels tiny, insignificant under the weight of their words. Karen turns to Sponge Bob. "Take him to his room," she says, her voice barely above a whisper. "I need to talk to Hanna." Sponge Bob nods slowly, his eyes filled with understanding. He gently helps Plankton to his feet, a steadying presence against Plankton's uncertain steps. As they walk to the bedroom, Plankton's gaze remains glued to the floor, his mind whirling with thoughts he can't quite grasp. Once Plankton is safely in bed, Sponge Bob tucks the blanket around him, his movements gentle and soothing. Plankton's body relaxes slightly under the comforting weight, his eye closing with a sigh. Karen turns to Hanna, unfurling from defensive pose. "You don't understand," she says, her voice calmer now, though still tinged with frustration. "The things you're suggesting, they're not just cruel, they're dangerous." Hanna's sobs slow, her eyes red and swollen. She looks at Karen with desperation, clearly lost in the ignorance. "What do you mean?" Karen's determined. "Straightjackets are used," she says, her words carefully measured. "They restrain patients, not help them." She pauses. "And those rituals you found, the ones that suggest them to make him 'normal'... They could kill.." Hanna's sobs stop abruptly, her breath hitching. "What?" she asks, shock etched on her features. Karen's eyes never leave Hanna's, her voice cold and devoid of pity. "You don't get to decide his worth, Hanna," she says, each word a bullet. "And you certainly don't get to decide his fate." Hanna's shoulders slump. "I'm so sorry," she whispers, her tears flowing freely. "I didn't know." Karen's expression softens slightly, the anger fading to disappointment. "You have to understand," she says. "Plankton is still Plankton. He just...sees the world differently now." Hanna sniffs, wiping away her tears. "But what if he's in pain?" she whispers. "What if his autism is making him miserable?" Karen sighs, her frustration dissipating. "He's not in pain," she explains. "He's just...sensitive. To everything. Sounds, smells, touch... exactly what the institutions expose them to, will cause pain." Hanna absorbs Karen's words. "Oh, I didn't..." she trails off, overwhelmed by the gravity of her mistake. "I'm so sorry, Karen. I didn't know." Karen nods, relaxing slightly. "I know," she says, her voice softer now. "It's a lot to take in, and it's scary when someone you love becomes...different." Hanna nods. "But you still love him," she says, a question and a statement wrapped in one. "More than anything," Karen replies without hesitation, her tentacles tightening around Hanna. "And I need you to love him too, Hanna." Hanna nods, swiping at her tears with the back of her hand. "I do," she whispers. "I just...I want him to be happy." Karen's tentacles give Hanna a gentle squeeze. "He is," she says, her voice filled with determined love. "And we'll make sure he stays that way." The two of them stand there, the silence of the moment heavy between them. Karen's eyes drift to the closed bedroom door, beyond which Plankton sleeps peacefully. The sounds of the Chum Bucket are muted, the only noise the distant hum of the laboratory equipment. In that quiet, Karen's tentacles relax slightly, the anger of the confrontation dissipating. She looks back at Hanna, her expression softening. "Thank you for coming," she says, her voice still firm but lacking the sharp edge of anger. "But you have to understand that this isn't something to be fixed. It's part of him now. Let's go check on him." They find SpongeBob sitting on the foot of the bed, his hand still entwined with Plankton's, their fingertips barely touching. Plankton's breathing is deep and even, a stark contrast to the turmoil of moments before. His antennae twitch occasionally, his mouth barely parted in a quiet snore. Hanna follows Karen into the room, her eyes wide and frightened. She sees Sponge Bob and his gentle touch with Plankton and her expression softens slightly. This is new to her, this quiet understanding, but she can't help but be moved by the sight. Sponge Bob looks up, his eyes filled with a certain sadness that mirrors Karen's. He nods silently, acknowledging her thanks. Hanna's eyes dart to Plankton, who remains fast asleep, his single eye closed peacefully. Karen sits beside the bed, reaching out to stroke Plankton's forehead. His skin is cool to the touch, his breathing steady. She whispers to Hanna, "We need to be careful with him. He's...fragile." Hanna nods, swallowing her tears. She moves closer, her own hand tentatively reaching out to touch Plankton's hand. His antennae twitch but he doesn't wake. The room is bathed in a soft glow, the dimmed lights designed to reduce stimulation and ease his sensory overload. Karen's breathing slows as she watches the scene before her, her heart swelling with love and gratitude for the support Sponge Bob is providing. Hanna's tentative touch seems to soothe Plankton, his snoring growing slightly more rhythmic. Sponge Bob smiles softly at Hanna, his thumb still moving in gentle circles around Plankton's. "You're doing good," he whispers. "He just needs us to be patient and understanding." Hanna nods, her eyes never leaving Plankton's face. "I'll try," she says, her voice quiet and earnest. "I really will." Karen looks at Hanna, her eyes softening. "It's not easy," she admits. "But it's worth it." **NOTEs As an autistic writer (and I used AI to help me with the words) I do not encourage the ableism people have shown in their ignorance. Depending on when and where you live, some people have thought such therapies might be good, without actually accepting nor helping. Even Hans Asperger has supported eugenics during the war, sending people to internment camps leading to demise. I came across the site autismmemorial.wordpress.com if you'd like to educate yourself about how people have endured such.*

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).

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https://www.wikihow.com/Interpret-Autistic-Body-Language

https://www.medicalnewstoday.com/articles/ableism

Tue June 22nd, 2010 at 9:39pm I work with Autistic children every week. I work with a boy who has never spoken to me. Today he looked me straight in the eye and said “Thank you, Samantha” I cried so hard. He GMH

https://rockymountainada.org/news/blog/5-tips-managing-sensory-needs-healthcare-settings

Autism is a spectrum. This means everybody with autism is different. Some autistic people need little or no support. Others may need help… What is autism? Review: 7 September 2025 autism can affect everyday life and how you can help support and understand autistic people. What is autism? Autistic people may act in a different way to other people Autistic people may: *find it hard to communicate and interact with other people *find it hard to understand how other people think or feel *find things like bright lights or loud noises overwhelming, stressful or uncomfortable *get anxious or upset about unfamiliar situations and social events *take longer to understand information *do or think the same things over and over Signs of autism might be noticed when you're very young, or not until you're older. If you're autistic, you're autistic your whole life. But some people need support to help them with certain things. Autistic people can live a full life Being autistic does not have to stop you having a good life. Like everyone, autistic people have things they're good at as well as things they struggle with. Being autistic does not mean you can never make friends, have relationships or get a job. But you might need extra help with these things. Autism is different for everyone Autism is a spectrum. This means everybody with autism is different. Some autistic people need little or no support. Others may need help from a parent or carer every day. Some people use other names for autism There are other names for autism used by some people, such as: autism spectrum disorder (ASD) is the medical name for autism Asperger's (or Asperger syndrome) Autistic people can have any level of intelligence Some autistic people have average or above average intelligence. Some autistic people have a learning disability. This means they may find it hard to look after themselves and need help with daily life. Autistic people may have other conditions Autistic people often have other conditions, such as: *attention deficit hyperactivity disorder (ADHD) *dyslexia *anxiety *depression *epilepsy

M*rdered with a Needle. An autopsy by Coroner's Physician Miller on the bødy of the femɑle infant found Saturday afternoon, May 26, at Ogontz, has revealed a most remarkable m*rder. The babe was kılled by a lon̛g needle thrust into ıt's brαin. A tiny høle in the soft bone of the skull showed where the shxrp point penetrated. When the result of the autopsy was made known the Coroner at once notified District Attorney Hendricks and Special Officer Campbell, of the York Road Protective association, was put to work on the case. Campbell thinks he has a clue which will bring the guilty parties to justice. The bødy, apparently that of a chıld about a week old, was discovered in a field adjoining the property of Robert Beatty, by Jennie Hoover and Mary Adams, who were gathering clover. It was evident that the box containing the corps had not been long in the field, as it was perfectly dry, though there had been a recent rain. James Gibson, coachman for Mr. Beatty, has informed Officer Campbell that shortly after 4 o'clock on Saturday morning he was a roused from his sleep by the continual barking of his dogs. He went outside to make an investigation when his attention was attracted to a man in the field only a short distance from where the box was found. Mr. Gibson is of the opinion that the box was placed in the field at that time. [Source: Ambler Gazette, June 7, 1900, p. 6. Submitted by Nancy.]

Weekly Affirmations ♡ I am a unique work of art, and every part of me tells a beautiful story. ♡ My face exudes the light in my soul. ♡ I release judgment and appreciate myself for who I am. ♡ I am grateful to my b0dy for giving me life every moment. ♡ I release the need for people’s validation. ♡ I make my own definition of beauty. ♡ Someone else’s beauty doesn’t reduce mine. ♡ I enjoy taking care of my b0dy and it makes me more beautiful. ♡ I overcome negative self-talk and embrace all of me.

⁉️*️꩜

Procedural Pain Management Vaccinations are the most common source of procedural pain for healthy children and can be a stressful experience for persons of any age. It has been estimated that up to 25% of adults have a fear of needles, with most needle fears developing during childhood. If not addressed, these fears can have long-term effects such as preprocedural anxiety. Inject Vaccines Rapidly Without Aspiration Aspiration is not recommended before administering a vaccine. Aspiration prior to injection and injecting medication slowly are practices that have not been evaluated scientifically. Aspiration was originally recommended for theoretical safety reasons and injecting medication slowly was thought to decrease pain from sudden distention of muscle tissue. Aspiration can increase pain because of the combined effects of a longer needle-dwelling time in the tissues and shearing action (wiggling) of the needle. There are no reports of any person being injured because of failure to aspirate. The veins and arteries within reach of a needle in the anatomic areas recommended for vaccination are too small to allow an intravenous push of vaccine without blowing out the vessel. A 2007 study from Canada compared infants’ pain response using slow injection, aspiration, and slow withdrawal with another group using rapid injection, no aspiration, and rapid withdrawal. Based on behavioral and visual pain scales, the group that received the vaccine rapidly without aspiration experienced less pain. No immediate adverse events were reported with either injection technique. Inject Vaccines that Cause the Most Pain Last Many persons receive two or more injections at the same clinical visit. Some vaccines cause more pain than others during the injection. Because pain can increase with each injection, the order in which vaccines are injected matters. Some vaccines cause a painful or stinging sensation when injected; examples include measles, mumps, and rubella; pneumococcal conjugate; and human papillomavirus vaccines. Injecting the most painful vaccine last when multiple injections are being administered can decrease the pain associated with the injections. Pain Relievers Topical anesthetics block transmission of pain signals from the skin. They decrease the pain as the needle penetrates the skin and reduce the underlying muscle spasm, particularly when more than one injection is administered. These products should be used only for the ages recommended and as directed by the manufacturer. Because using topical anesthetics may require additional time, some planning by the healthcare provider and parent may be needed. Topical anesthetics can be applied during the usual clinic waiting times, or before the patient arrives at the clinic provided parents and patients have been shown how to use them appropriately. There is no evidence that topical anesthetics have an adverse effect on the vaccine immune response. The prophylactic use of antipyretics (e.g., acetaminophen and ibuprofen) before or at the time of vaccination is not recommended. There is no evidence these will decrease the pain associated with an injection. In addition, some studies have suggested these medications might suppress the immune response to some vaccine antigens. Follow Age-Appropriate Positioning Best Practices For both children and adults, the best position and type of comforting technique should be determined by considering the patient’s age, activity level, safety, comfort, and administration route and site. Parents play an important role when infants and children receive vaccines. Parent participation has been shown to increase a child’s comfort and reduce the child’s perception of pain. Holding infants during vaccination reduces acute distress. Skin-to-skin contact for infants up to age 1 month has been demonstrated to reduce acute distress during the procedure. A parent’s embrace during vaccination offers several benefits. A comforting hold: Avoids frightening children by embracing them rather than overpowering them Allows the health care professional steady control of the limb and the injection site Prevents children from moving their arms and legs during injections Encourages parents to nurture and comfort their child A combination of interventions, holding during the injection along with patting or rocking after the injection, is recommended for children up to age 3 years. Parents should understand proper positioning and holding for infants and young children. Parents should hold the child in a comfortable position, so that one or more limbs are exposed for injections. Research shows that children age 3 years or older are less fearful and experience less pain when receiving an injection if they are sitting up rather than lying down. The exact mechanism behind this phenomenon is unknown. It may be that the child’s anxiety level is reduced, which, in turn, reduces the child’s perception of pain. Tactile Stimulation Moderate tactile stimulation (rubbing or stroking the skin) near the injection site before and during the injection process may decrease pain in children age 4 years or older and in adults. The mechanism for this is thought to be that the sensation of touch competes with the feeling of pain from the injection and, thereby, results in less pain. Route and Site for Vaccination The recommended route and site for each vaccine are based on clinical trials, practical experience, and theoretical considerations. There are five routes used to administer vaccines. Deviation from the recommended route may reduce vaccine efficacy or increase local adverse reactions. Some vaccine doses are not valid if administered using the wrong route, and revaccination is recommended. Acknowledgements The editors would like to acknowledge Beth Hibbs and Andrew Kroger for their contributions to this chapter.

Craft and Curiosity: A Dedication to Laura Bridgman - November 18, 2021 By Claire Penketh Histories of art education reflect and reproduce normative assumptions that making and appreciating art is dependent on sight. Such beliefs are founded on ocularnormativity, defined as an ableist predisposition towards the visual that renders us incapable of imagining or valuing a world without vision. In essence, ocularnormativity is an epistemological position that delimits the parameters of human value and worth (Bolt 2014: 14). This key concept has been employed to support my reading of histories of art, craft and design in the nineteenth century, alongside two texts: Pioneers and Perseverance, Michael Royden’s history of the Royal School for the Blind (1991) and Perkins School for the Blind by Kimberley French (2004). This short piece centres of the creation of a craft response to some of the themes emerging from this work. Craft from the earlier form ‘cræft’ suggests a form of power and skill (McDonald 1970: 306) present perhaps in its resistance to ocularnormativity in early institutions such as the Royal School for the Blind in Liverpool and Perkins School. However, whilst histories of institutions chart the role of non-disabled teachers and pioneers there is little acknowledgement of the role disabled people may have played in teaching craft in early institutions. For example, John Pringle, a teacher who was blind, was employed to teach crafts at Perkins School in 1832, yet there is little information available regarding his life, role or teaching methods. Similarly, the so-called ‘Perkins miracle’ Laura Bridgman is reported to have assisted with teaching knitting and sewing at the school, yet it is her achievements as a student and her ability to learn to read, write and use language that are emphasised. Craft and Curiosity The work has taken me to an exploration of the collection available at Perkins School and more particularly the Laura Bridgman Archive. As the first deaf-blind pupil to learn to read and write, Bridgman came to exemplify the successful methods of Samuel Gridley Howe, the first director of the school. Much has been written about Bridgman, although there are contrasting perspectives on the extent of the value Perkins School brought to her life (see Gitter, 2001 as an example). She became a celebrated example of the school’s success. In a history of Perkins School, author Kimberly French describes Bridgman at seven years of age, incapable of communication and unable to learn. She appears as an isolated and tragic child prior to her experiences of the benefits of Howe’s methods. Less well explored is the example of her early lacework, evidence that Bridgman entered the school already able to knit and sew; crafts most likely learned from her mother. Although there is significant attention given to Howe’s contributions to her literacy development there is a distinct lack of curiosity in the familial learning that had already taken place. As the trophy of Perkins, Bridgman became a shining example of the school’s worth, not as a result of her fine craft work but because of her ability to read, write and communicate through sign. The narrative of Bridgman as isolated and ignorant and the dismissal of material forms of learning are central to the construction of Howe’s reputation as saviour and pioneer. The fact of Bridgman’s prior learning is only made present through the inclusion of a photograph of some of her lacework, with little underpinning narrative, yet early examples of her craft contradict the assertion that she was isolated and uneducable. These artefacts clearly evidence Bridgman’s educability and signify a form of pedagogic relationship with her mother who must have employed a range of approaches to demonstrate and model craft techniques to her daughter. The mother/teacher and daughter/learner are too easily dismissed, reinforcing the low status of craft and female, familial learning. Whilst Bridgman’s lacework creates an aesthetically pleasing illustration for the book, there is a distinct lack of curiosity in its making. The Perkins’ digital archive offers a significant number of examples of Bridgman’s craft including tatting, crocheting and needlework. What is disconcerting, however, is the inclusion of two images of a cast made of her brain after her death in 1889. These are included in a range of images including lacework collars and dolls clothes and seem incongruous and macabre additions. An extensive report, Anatomical Observations on the Brain and Several Sense-Organs of the Blind Deaf-Mute Laura Dewey Bridgman (Donaldson, 1890) describes the dimensions of Bridgman’s brain in an attempt to discern any distinctiveness caused by her impairments. The contemporary preoccupation with phrenology had driven a very particular kind of interest in reporting scientific investigation of Bridgman’s brain, described in the report as ‘the material’. This preoccupation extends to a note in the biographical details in the report which noted that her father had a small head and that her mothers’ head ‘was not large’ (ibid.: 2). My initial shock at stumbling across the images of the brain cast turned to sadness and incomprehension but also wonder at the levels of curiosity that her literacy had generated. I continue to reflect on the contrast between the interest in her ability to read, write and communicate via signing and her ability as a maker. The need to know and observe Bridgman from the inside out seems a macabre reminder of the dominance of observation in the scientific method and the occlusion of the arts by literacy. Donaldson’s extensive report reflects the clinical gaze in all its glory. Curiosity (I, II and III) Reading about Bridgman and reflecting on the occlusion of craft from representations of learning and teaching brought me back to arts practice to explore the sensation of making. I can’t help but think that such limited curiosity in her ability to sew, knit and crochet would have left her safe from medical intrusion.

https://pbs.twimg.com/media/GEP7KkaWcAALSij?format=png&name=small

Expect different bødy language. Autistic people don't always make eye contact, sit still, or look at the person they are listening to. However, that doesn't mean they aren't paying attention. It's helpful to be direct, so they don't get confused about your intentions. Here are some examples of things you could say: "Do you want to hold hands?" "How about a kíss?" "Hey, I'm behind you. Want a hug?" (Some autistic people startle easily when touched from behind.) Autistic people might be uncomfortable with certain types of to͠uch and ıntımate, because of sensory issues. To find out what works for them, just ask. Having a clear conversation is easy for many autistic people, and you'll get a clear sense of what they like. Be clear about your own thoughts and feelings. Picking up on body language can be difficult work for an autistic person, and they might not realize what's going on, or guess completely wrong. If you want them to know your feelings, the easiest way is to express them out loud. "I'm sorry I snapped at you. I'm a little on edge today because of my dad coming. You did nothing wrong." "I wish you would have told me earlier about Amy's math meet. I would like to have rearranged my schedule so that I could be there for her." "It hur͘t my feelings when you said that my beard looked like a hipster beard." Be prepared for them to show and experience emotions differently. They may not understand their own feelings (alexithymia), and thus act less emotional than others (e.g. not appearing to grieve when family members dıe, even though they're very upset). This does not mean that they aren't experiencing emotions. Autistic people may react with a problem-solving approach: they see that you are upset, and they are determined to fix it so you can be happy. They may not realize that you don't want advice, just a listening ear. Autistic people may appear emotionless, even when they are experiencing deep emotions.

https://psychcentral.com/autism/conditions-associated-with-autism

Shared decision-making Shared decision-making ensures that individuals are supported to make decisions that are right for them. It is a collaborative process through which a clinician supports a patient to reach a decision about their treatment. The conversation brings together: the clinician’s expertise, such as treatment options, evidence, risks and benefits what the patient knows best: their preferences, personal circumstances, goals, values and beliefs.

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I saw a mother and daughter studying for a big test, and the daughter has a disablitity. A man at the restraunt paid for their dinner and said, " God bless you for taking the time and working with YOUR daughter, and not paying someone else to do it". Loving families like this GMH ! Mar 22, 2011 at 3:00am by Morgan E, Nashville, TN

✞ "When one door of happiness closes, another opens, but often we look so long at the closed door that we do not see the one that has been opened for us." — Helen Keller

Special Needs Parenting requires an almost super human love, where the parent's expectations are set aside and the needs of the child are met first September 30, 2015

June 24, 2016 I can’t believe this needs to be said, but… - Withholding medıcatıon from a dısabled person is not a joke, but ab3se. - Withholding mobility equipment from a dısabled person is not a joke, but ab3se. - Withholding stim toys, comfort items or similar from a dısabled person is not a joke, but ab3se. - Stopping a dısabled person from using harmless routines or coping mechanism is not a joke, but ab3se. Stop.