Papanicolaou Smear Emoji Combos

🍑 If you’re nervous or have a lower pain threshold there are a few things you can do to help reduce any potential discomfort. Before When you schedule your appointment ask if you can take ibuprofen an hour before your appointment. Over-the-counter pain medication can reduce the feeling of discomfort. Ask someone to come to your appointment with you. You may feel more comfortable if you bring someone you trust with you. This could be a parent, partner, or friend. If you’d like, they can stand next to you during the Pap smear or they can simply wait in the waiting room — whatever makes you feel more comfortable. When Pap smears are uncomfortable it’s often because there’s a sensation of pressure in the pelvic region. Urinating beforehand can relieve some of this pressure. In some cases, your doctor might request a urine sample so be sure to ask if it’s OK to use the restroom beforehand. During Ask your doctor to use the smallest speculum size. Often, there are a range of different speculum sizes. Let your doctor know you’re worried about the pain and that you’d prefer a smaller size. If you’re worried it will be cold ask for a plastic speculum. Plastic speculums are warmer than metal ones. If they only have metal speculums ask them to warm it up. Ask your doctor to describe what’s happening so that you aren’t caught off guard. If you’d prefer to know exactly what’s happening as it’s happening ask them to describe what they’re doing. Some people also find it helpful to chat with their doctor during the exam. If you’d rather not hear about it ask if you can wear headphones during the exam. You could play relaxing music through your headphones to help soothe any anxiety and take your mind off of what’s happening. Practice deep breathing during the exam. Breathing deeply can soothe your nerves so try to focus on your breath. Try to relax your pelvic muscles. It may feel instinctual to squeeze your pelvic muscles when you feel pain or discomfort but squeezing could add pressure to your pelvic region. Deep breathing may help you relax your muscles. Speak up if it hurts! If it’s painful, let your provider know. 🍑

😷 https://www.upi.com/Health_News/2021/03/30/cervical-cancer-hpv-screening-researchers/2991617114237/ 😷

😷 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. 😷

https://www.kristiangevinemd.com/pap-smears/

💉 I'll have it done under general anaesthetic. 💉

HPV test may be a superior form of screening. Thus far results from studies demonstrated that primary HPV testing detects cervical neoplasia earlier and more accurately than the Pap smear ♥️

🖤 https://i.pinimg.com/originals/b6/6f/95/b66f9588647e1c9678fb42c2f75eff1d.jpg 🖤

🍑 https://www.nyp.org/news/alternative-to-pap-smear-could-reduce-cervical-cancer-deaths 🍑

🍑 https://www.nhs.uk/conditions/cervical-screening/what-happens-at-your-appointment/ 🍑

🍑 https://flo.health/menstrual-cycle/health/symptoms-and-diseases/your-first-pap-smear 🍑

If thinking about female screening is too much, you can ask your doctor to take your name off the cervical screening automatic invitation list until you feel stronger. Please be aware that you may be asked why you want your name removed. 🍑 It is also important to remember it is your choice whether to go for said screening and, if you do go, you are in control of the test. 🍑 You may find it helpful to: Ask them to talk you through the test beforehand and show you the speculum and brush. Tell them what words or phrases you prefer or are comfortable with, to help them avoid any language that may be distressing. Tell them how heavy or light their touch should be, or not to touch certain areas if possible. Ask whether you can insert the speculum yourself, if that would feel more comfortable. Ask for a longer or double appointment. This allows you a little extra breathing space before and after the test, so you can take the appointment at a pace that is more comfortable for you. Knowing your limits Remember that if you feel unsafe, uncomfortable or distressed, it is your right to stop or pause the test at any time – whether you simply want a short time to collect yourself, or you would prefer to leave altogether. 🍑 https://www.jostrust.org.uk/forum

🍑 In Scotland and Wales you are invited every 5 years between age 25 and 64. Smear tests can help stop you getting cervical cancer. It is your choice whether to have a smear test. Some carers, guardians, doctors or nurses don't think women with a learning disability need a smear test. All women between age 25 and 64 are asked if they want to have a smear test. 🍑

If thinking about female screening is too much, you can ask your doctor to take your name off the cervical screening automatic invitation list until you feel stronger. Please be aware that you may be asked why you want your name removed. 🍑 It is also important to remember it is your choice whether to go for said screening and, if you do go, you are in control of the test. 🍑 You may find it helpful to: Ask them to talk you through the test beforehand and show you. Tell them what words or phrases you prefer or are comfortable with, to help them avoid any language that may be distressing. Tell them how heavy or light their touch should be, or not to press certain areas if possible. Ask whether you can insert the speculum yourself, if that would feel more comfortable. Ask for a longer or double appointment. This allows you a little extra breathing space before and after the test, so you can take the appointment at a pace that is more comfortable for you. Knowing your limits Remember that if you feel unsafe, uncomfortable or distressed, it is your right to stop or pause the test at any time – whether you simply want a short time to collect yourself, or you would prefer to leave altogether. 🍑 https://www.jostrust.org.uk/forum

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. 😷

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.

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

Cͨaͣrͬdͩiͥoͦрⷬhͪoͦвⷡiͥaͣ (feͤaͣrͬ oͦf hͪeͤaͣrͬᴛⷮ dͩiͥs͛eͤaͣs͛eͤ oͦrͬ hͪeͤaͣrͬᴛⷮ aͣᴛⷮᴛⷮaͣcͨᴋⷦs͛). нⷩeͤmͫoͦрⷬhͪoͦвⷡiͥaͣ (feͤaͣrͬ oͦf вⷡloͦoͦdͩ). Noͦs͛oͦcͨoͦmͫeͤрⷬhͪoͦвⷡiͥaͣ (feͤaͣrͬ oͦf hͪoͦs͛рⷬiͥᴛⷮaͣls͛). Рⷬhͪaͣrͬmͫaͣcͨoͦрⷬhͪoͦвⷡiͥaͣ (feͤaͣrͬ oͦf mͫeͤdͩiͥcͨaͣᴛⷮiͥoͦn). ᴛⷮoͦmͫoͦрⷬhͪoͦвⷡiͥaͣ (feͤaͣrͬ oͦf mͫeͤdͩiͥcͨaͣl рⷬrͬoͦcͨeͤdͩuͧrͬeͤs͛ liͥᴋⷦeͤ s͛uͧrͬgeͤrͬiͥeͤs͛). ᴛⷮrͬaͣuͧmͫaͣᴛⷮoͦрⷬhͪoͦвⷡiͥaͣ (feͤaͣrͬ oͦf iͥnjuͧrͬy).

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

→ Conservative Treatment Philosophy ←

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.

😷 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. 😷

😷 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.

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.

😷 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.

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

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

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

ᶜᵉᵐᵉᵗᵉʳⁱᵉˢ‧ ᵂʰᵃᵗ ᶜᵃᵐᵉ ᵗᵒ ʸᵒᵘʳ ᵐⁱⁿᵈ; ᶠᵃᵐⁱˡʸ? ᴾᵉᵃᶜᵉ ᵃⁿᵈ ᑫᵘⁱᵉᵗ? ᴹᵒⁿᵘᵐᵉⁿᵗˢ? ʸᵒᵘ ᵐⁱᵍʰᵗ ˡᵒᵒᵏ ᵃᵗ ᵃ ʳᵃⁿᵈᵒᵐ ᵍʳᵃᵛᵉ ᴴᵉʳᵉ ˡⁱᵉˢ ᔆᵐⁱᵗʰ ¹⁹ˣˣ⁻? ᴰᵒ ʸᵒᵘ ʷᵒⁿᵈᵉʳ ᵃᵇᵒᵘᵗ ᵗʰᵉ ᵖᵉʳˢᵒⁿ? ᴵ ʷᵒᵘˡᵈ'ᵛᵉ ᵇᵉᵉⁿ ᵃⁿ ⁱⁿᶠᵃⁿᵗ ʷʰᵉⁿ ʰᵉ ᵖᵃˢˢᵉᵈ‧‧‧ ᵂᵃˢⁿ'ᵗ ᵍʳᵃⁿᵈᵖᵃ ᵇᵒʳⁿ ⁱⁿ ᵗʰᵉ ˢᵃᵐᵉ ʸᵉᵃʳ? ᴴᵒʷ ᵈⁱᵈ ᔆᵐⁱᵗʰ ˢᵖᵉⁿᵈ ʰⁱˢ ᵗⁱᵐᵉ? ᵂᵃˢ ᔆᵐⁱᵗʰ ˢᵃᵗⁱˢᶠⁱᵉᵈ ᵇʸ ᵗʰᵉ ᵗⁱᵐᵉ ʰᵉ ᵈⁱᵉᵈ⸴ ᶠᵘˡᶠⁱˡˡⁱⁿᵍ ᵃˡˡ ʰⁱˢ ᵈʳᵉᵃᵐˢ? ᵂᵃˢ ⁱᵗ ˢᵘᵈᵈᵉⁿ ʷʰᵉⁿ ⁱᵗ ʰᵃᵖᵖᵉⁿᵉᵈ⸴ ᵒʳ ʷᵃˢ ⁱᵗ ᶠᵒʳˢᵉᵉⁿ? ᵂʰᵉⁿᵉᵛᵉʳ ᴵ ᵍᵒ ᵗᵒ ᵃ ᵍʳᵃᵛᵉʸᵃʳᵈ⸴ ᴵ ᵗᵉⁿᵈ ᵗᵒ ʷᵃⁿᵗ ᵗᵒ ᵉˣᵖˡᵒʳᵉ ⁿᵉᵃʳᵇʸ ᵍʳᵃᵛᵉˢ; ʳᵉᵃᵈⁱⁿᵍ ᵗʰᵉ ⁿᵃᵐᵉˢ⸴ ᵗʰᵉⁱʳ ˡⁱᶠᵉᵗⁱᵐᵉ‧‧‧ ᴰʳʸ ˡᵉᵃᵛᵉˢ ᶜʳᵘⁿᶜʰ ᵃˢ ᴵ ʷᵃˡᵏ ᵈᵒʷⁿ ᵃ ʳᵒʷ‧ ᴵ ᶜᵃⁿ'ᵗ ʰᵉˡᵖ ᵇᵘᵗ ʷᵒⁿᵈᵉʳ ᵃᵇᵒᵘᵗ ᵗʰᵉ ᵖᵉᵒᵖˡᵉ ʷʰᵒᵐ ᵗʰᵉ ᵐᵉᵐᵒʳⁱᵃˡˢ ᵃʳᵉ ᶠᵒʳ‧ ᴸᵒᵒᵏˢ ᵇʳᵃⁿᵈ ⁿᵉʷ; ᵒʰ⸴ ⁱᵗ ˢᵃʸˢ ²⁰ˣˣ ˢᵒ ⁱᵗ ᵐᵘˢᵗ ᵇᵉ ʳᵉᶜᵉⁿᵗ‧ ᴬᵐᵃᵇᵉˡ; ʷʰᵃᵗ ᵃ ᵇᵉᵃᵘᵗⁱᶠᵘˡ ⁿᵃᵐᵉ! ᴬᵐᵃᵇᵉˡ‧‧‧ ᴿⁱᵍʰᵗ ⁿᵉᵃʳ ᵗʰᵉⁱʳ ᵇⁱʳᵗʰᵈᵃʸ‽ ᴬ ʰᵉᵃʳᵗ ˢʰᵃᵖᵉᵈ ᵍʳᵃᵛᵉ‧‧‧ ᴵ ᶜᵃⁿ'ᵗ ʰᵉˡᵖ ᵇᵘᵗ ʷᵃⁿᵗ ᵗᵒ ᵏⁿᵒʷ ᵃᵇᵒᵘᵗ ᵗʰᵉ ᵖᵉᵒᵖˡᵉ‧ ᔆᵒᵐᵉ ᵃʳᵉ ʸᵒᵘⁿᵍᵉʳ ᵗʰᵃⁿ ᵒᵗʰᵉʳˢ ʷʰᵉⁿ ᵗʰᵉⁱʳ ᵗⁱᵐᵉ ᶜᵃᵐᵉ‧ ᵂʰᵃᵗ ʰᵃᵖᵖᵉⁿᵉᵈ? ᴴᵃᵛᵉ ᵗʰᵉʸ ᵃⁿʸ ᶠᵃᵐⁱˡʸ? ᔆᵒᵐᵉ ʰᵃᵛᵉ ᵐᵃⁿʸ ᶠˡᵒʷᵉʳˢ ᵖˡᵃᶜᵉᵈ‧ ᴬʳᵉ ᵗʰᵉ ʳᵒˢᵉˢ ᵃʳᵗⁱᶠⁱᶜⁱᵃˡ ᵇᵉᶜᵃᵘˢᵉ ᵗʰᵉʸ ˡᵒᵒᵏ ˢᵒ ᶠʳᵉˢʰ‧‧‧ ᴵ ˡᵒᵛᵉ ᵗʰᵉ ᶜᵒˡᵒᵘʳˢ! ᴮᵘᵗ ᴵ ᵗʳʸ ⁿᵒᵗ ᵗᵒ ʳᵘˢʰ ᵇᵉᶜᵃᵘˢᵉ ⁱᵗ'ˢ ᵃ ˢᵃᶜʳᵉᵈ ᵖˡᵃᶜᵉ‧ ᴱᵛᵉⁿᵗᵘᵃˡˡʸ⸴ ʷʰᵉⁿ ᴵ ˡᵉᵃᵛᵉ⸴ ᴵ ˡᵒᵒᵏ ᵇᵃᶜᵏ ᵃᵗ ᵗʰᵉ ᶜᵉᵐᵉᵗᵉʳʸ ʷʰᵉⁿᶜᵉ ᴵ ᶜᵃᵐᵉ‧ ᴬˡˡ ᵗʰᵉ ᵖᵉᵒᵖˡᵉ ʰᵃᵛᵉ ᴬ ˡⁱᶠᵉ ˢᵗᵒʳʸ ʷᵒʳᵗʰ ᵗᵉˡˡⁱⁿᵍ ᵃⁿᵈ ᵏⁿᵒʷⁱⁿᵍ‧ ᴵ'ᵐ ˢᵉʳᵉⁿᵉ ʷʰᵉⁿ ᵇʸ ᴵ ᵍᵉᵗ ᵗᵒ ᵗʰᵉ ᶜᵃʳ‧ ᴿᵉᵐᵉᵐᵇᵉʳⁱⁿᵍ ᵃ ˡᵒᵛᵉᵈ ᵒⁿᵉ ᵈᵒᵉˢⁿ’ᵗ ⁿᵉᶜᵉˢˢᵃʳⁱˡʸ ⁿᵉᵉᵈ ᵗᵒ ᵉⁿᵈ ᵃᵗ ᵗʰᵉ ᶠᵘⁿᵉʳᵃˡ ʰᵒᵐᵉ ᵒʳ ᵐᵉᵐᵒʳⁱᵃˡ ˢᵉʳᵛⁱᶜᵉ‧ ᴬ ᵗᵃᵖʰᵒᵖʰⁱˡᵉ ⁱˢ ᵒⁿᵉ ʷʰᵒ ᵗᵃᵏᵉˢ ᵃⁿ ⁱⁿᵗᵉʳᵉˢᵗ ⁱⁿ ᶜᵉᵐᵉᵗᵉʳⁱᵉˢ⸴ ᵗᵒᵐᵇˢᵗᵒⁿᵉˢ⸴ ᵒʳ ᵐᵉᵐᵒʳʸ ᵒᶠ ᵖᵃˢᵗ ˡⁱᵛᵉˢ‧ ᵀʰᵉʳᵉ ᵃʳᵉ ˢᵒ ᵐᵃⁿʸ ᵈⁱᶠᶠᵉʳᵉⁿᵗ ʳᵉᵃˢᵒⁿˢ ʷʰʸ ᵖᵉᵒᵖˡᵉ ˡⁱᵏᵉ ᶜᵉᵐᵉᵗᵉʳⁱᵉˢ ᵃⁿᵈ ᵗʰᵉʳᵉ ᵃʳᵉ ˢᵒ ᵐᵃⁿʸ ᵖᵉᵒᵖˡᵉ ʷʰᵒ ᵈᵒ‧ ᴴᵃᵛᵉ ʸᵒᵘ ᵉᵛᵉʳ ᵗʰᵒᵘᵍʰᵗ ᵃᵇᵒᵘᵗ ⁱᵗ? ᴰᵒ ᶠʳⁱᵉⁿᵈˢ ᵃⁿᵈ ᶠᵃᵐⁱˡʸ ᵗʰⁱⁿᵏ ᵗʰⁱˢ ⁱˢ ᵒᵈᵈ⸴ ᵒʳ ᵈᵒ ᵗʰᵉʸ ˢʰᵃʳᵉ ᵗʰⁱˢ ⁱⁿᵗᵉʳᵉˢᵗ ʷⁱᵗʰ ʸᵒᵘ? ᴰᵒ ʸᵒᵘ ˡᵒᵛᵉ ʳᵉᵃᵈⁱⁿᵍ ᵗʰᵉ ᵉᵖⁱᵗᵃᵖʰˢ? ᵀʰᵉʸ ᶜᵃⁿ ᵇᵉ ᵗʰᵒᵘᵍʰᵗ ᵖʳᵒᵛᵒᵏⁱⁿᵍ⸴ ʰᵉᵃʳᵗ ʷʳᵉⁿᶜʰⁱⁿᵍ ᵃⁿᵈ ˡᵒᵛⁱⁿᵍ‧ ᴳᵉᵗᵗⁱⁿᵍ ᵃ ˡⁱᵗᵗˡᵉ ᵍˡⁱᵐᵖˢᵉ ⁱⁿᵗᵒ ᵗʰᵉ ᵖᵉʳˢᵒⁿ’ˢ ˡⁱᶠᵉ⸴ “ᴮᵉˡᵒᵛᵉᵈ ᶠᵃᵗʰᵉʳ⸴ ᔆʷᵉᵉᵗ ᴬⁿᵍᵉˡ”‧ ᵂʰᵉⁿ ᵗʰᵉʸ ʷᵉʳᵉ ᵇᵒʳⁿ⸴ ʷʰᵉⁿ ᵗʰᵉʸ ᵈⁱᵉᵈ‧ ʸᵒᵘ ᶜᵃⁿ ˡᵉᵃʳⁿ ˢᵒ ᵐᵘᶜʰ ᶠʳᵒᵐ ʳᵉᵃᵈⁱⁿᵍ ᵗʰᵉ ᵗᵒᵐᵇˢᵗᵒⁿᵉ‧ ᴰⁱᵈ ᵗʰᵉʸ ʰᵃᵛᵉ ᵃ ᶠᵃᵐⁱˡʸ⸴ ᶜʰⁱˡᵈʳᵉⁿ⸴ ᵖᵃʳᵉⁿᵗˢ⸴ ˢᵖᵒᵘˢᵉ? ᵂᵉʳᵉ ᵗʰᵉʸ ⁱⁿ ᵗʰᵉ ˢᵉʳᵛⁱᶜᵉ⸴ ᵃⁿ ᵉˣᵖˡᵒʳᵉʳ ᵃⁿ ᵃʳᵗⁱˢᵗ⸴ ᵃ ᵖᵒᵉᵗ? ᴵˢ ⁱᵗ ᵗʰᵉ ᵇᵉᵃᵘᵗʸ ᵒᶠ ᶜᵉᵐᵉᵗᵉʳⁱᵉˢ? ᵀʰᵉ ᵖᵃʳᵏ ˡⁱᵏᵉ ˢᵉᵗᵗⁱⁿᵍ ʷⁱᵗʰ ᵒʳⁿᵃᵗᵉ ᵗᵒᵐᵇˢᵗᵒⁿᵉˢ‧ ᵀʰᵉ ᵖᵉᵃᶜᵉ ᵃⁿᵈ ˢᵉʳᵉⁿⁱᵗʸ‧ ᵀʰᵉ ᵈᵉᶜᵃʸⁱⁿᵍ ᵗᵒᵐᵇˢᵗᵒⁿᵉˢ ᵒᶠ ʷᵒᵒᵈ ⁱⁿ ᵃ ᵍʰᵒˢᵗ ᵗᵒʷⁿ‧ ᴿᵉᵐⁿᵃⁿᵗˢ ᵒᶠ ʸᵉˢᵗᵉʳʸᵉᵃʳ‧ ᴬ ˢᵗᵒʳʸ ᵒᶠ ᵃ ᵗⁱᵐᵉ⸴ ᵒᶠ ᵃ ᵖˡᵃᶜᵉ ᵃⁿᵈ ᵗʰᵉ ᵖᵉᵒᵖˡᵉ ʷʰᵒ ˡⁱᵛᵉᵈ ᵃⁿᵈ ᵈⁱᵉᵈ ᵗʰᵉʳᵉ‧ ᴵˢ ⁱᵗ ᵗʰᵉ ᵃʳᶜʰⁱᵗᵉᶜᵗᵘʳᵉ ᵗʰᵃᵗ ᵈʳᵃʷˢ ʸᵒᵘ? ᵀʰᵉ ᵇᵉᵃᵘᵗⁱᶠᵘˡ ᶜᵃʳᵛᵉᵈ ᵗᵒᵐᵇˢᵗᵒⁿᵉˢ ᵃⁿᵈ ˢᵗᵃᵗᵘᵉˢ‧ ᵀʰᵉ ˢᵗᵃⁱⁿᵉᵈ ᵍˡᵃˢˢ ᵃⁿᵈ ʷʳᵒᵘᵍʰᵗ ⁱʳᵒⁿ‧ ᴹᵘᶜʰ ᵗⁱᵐᵉ ᵃⁿᵈ ᵗʰᵒᵘᵍʰᵗ ᵍᵒ ⁱⁿᵗᵒ ᵗʰᵉ ʳᵉᵐᵉᵐᵇʳᵃⁿᶜᵉ ᵒᶠ ᵃ ˡⁱᶠᵉ ᵗʰᵃᵗ ᵒⁿᶜᵉ ʷᵃˢ‧ ᴿᵉˢᵖᵉᶜᵗ ᵗʰᵒˢᵉ ᵗʰᵃᵗ ᵃʳᵉ ᵍᵒⁿᵉ ᵃⁿᵈ ᵗʰᵉ ᵖˡᵃᶜᵉ ᵒᶠ ʳᵉᵐᵉᵐᵇʳᵃⁿᶜᵉ⸴ ᵉⁿᵈˡᵉˢˢˡʸ ᶠᵃˢᶜⁱⁿᵃᵗᵉᵈ ᵇʸ ᵖᵉᵒᵖˡᵉ ᵃⁿᵈ ᵗʰᵉⁱʳ ˢᵗᵒʳⁱᵉˢ‧ ᴰᵒ ᵗʰᵉʸ ʰᵃᵛᵉ ᵃ ˢⁱᵐᵖˡᵉ ʳᵉᶜᵗᵃⁿᵍˡᵉ ᵒᶠ ᵐᵃʳᵇˡᵉ ᵒʳ ᵃⁿ ᵉˡᵃᵇᵒʳᵃᵗᵉˡʸ ᶜʰⁱˢᵉˡˡᵉᵈ ᵃⁿᵍᵉˡ? ᴬʳᵉ ᵗʰᵉʳᵉ ᶠˡᵒʷᵉʳˢ⸴ ᵃⁿᵈ ᵈᵒ ᵗʰᵉʸ ˡᵒᵒᵏ ᶠʳᵉˢʰ? ᵂʰᵃᵗ ʰᵃᵖᵖᵉⁿᵉᵈ ᵗᵒ ⁱᵗ'ˢ ⁱⁿʰᵃᵇⁱᵗᵃⁿᵗˢ? ᴾʳᵒᶠᵉˢˢᵒʳ ᴰᵃᵛⁱᵉˢ ˢᵃʸˢ ʰᵉʳ ˡᵒᵛᵉ ᶠᵒʳ ᵍʳᵃᵛᵉʸᵃʳᵈˢ ˡᵉᵃⁿˢ ᵐᵒʳᵉ ᵗᵒʷᵃʳᵈ ᵇⁱᵇˡⁱᵒᵖʰⁱˡⁱᵃ ⁽ᵃ ˡᵒᵛᵉ ᵒᶠ ᵇᵒᵒᵏˢ⁾ ᵗʰᵃⁿ ⁿᵉᶜʳᵒᵖʰⁱˡⁱᵃ “ᵒʳ ᵃⁿʸ ᵒᵗʰᵉʳ ᵉᑫᵘᵃˡˡʸ ᵍʳᵒˢˢ ᵒʳ ᵐᵒʳᵇⁱᵈ ᵈᵉʳᵃⁿᵍᵉᵐᵉⁿᵗ‧” ᴵⁿ ᵗʰᵉ ᵉⁿᵈ⸴ ˢʰᵉ ʳᵉʲᵉᶜᵗˢ ᵗʰᵉ ᵗᵉʳᵐ ᵗᵃᵖʰᵒᵖʰⁱˡᵉ ᵃⁿᵈ ᵈᵉᶜⁱᵈᵉˢ ᵗᵒ ᶜᵃˡˡ ʰᵉʳˢᵉˡᶠ ᵃ ᶜᵉᵐᵉᵗᵉʳⁱᵃⁿ‧ ᴵᵗ’ˢ ʲᵘˢᵗ ᵐᵃᵈᵉ ʰᵃᵖᵖʸ ᵗᵒ ᵏⁿᵒʷ ˢᵒ ᵐᵃⁿʸ ᶜᵉᵐᵉᵗᵉʳʸ ᵒʳᵍᵃⁿⁱᶻᵃᵗⁱᵒⁿˢ ᵃʳᵉ ᵒᵘᵗ ᵗʰᵉʳᵉ⸴ ᵈᵒⁱⁿᵍ ᵗʰᵉ ᵍᵒᵒᵈ ʷᵒʳᵏ⸴ ʳᵉˢᵉᵃʳᶜʰⁱⁿᵍ ᵃⁿᵈ ᵈᵒᶜᵘᵐᵉⁿᵗⁱⁿᵍ ᵃⁿᵈ ᵖʳᵒᵗᵉᶜᵗⁱⁿᵍ ᵗʰᵉˢᵉ ᶠʳᵃᵍⁱˡᵉ ᵖˡᵃᶜᵉˢ‧ ᴱᵃᶜʰ ᵗᵉˡˡⁱ ᵃ ˢᵗᵒʳʸ ᵗʰᵃᵗ ⁱˢ ᵘⁿⁱᑫᵘᵉˡʸ ᵗʰᵉⁱʳ ᵒʷⁿ‧ ᴬ ᵗᵃᵖʰᵒᵖʰⁱˡᵉ ᵇʸ ᵈᵉᶠⁱⁿⁱᵗⁱᵒⁿ ⁱˢ ˢᵒᵐᵉᵒⁿᵉ ʷʰᵒ ⁱˢ ⁱⁿᵗᵉʳᵉˢᵗᵉᵈ ⁱⁿ ᶜᵉᵐᵉᵗᵉʳⁱᵉˢ⸴ ᵍʳᵃᵛᵉˢᵗᵒⁿᵉˢ⸴ ᵃⁿᵈ ᵗʰᵉ ᵃʳᵗ ᵃⁿᵈ ʰⁱˢᵗᵒʳʸ ᵗʰᵃᵗ ᵍᵒᵉˢ ᵃˡᵒⁿᵍ ʷⁱᵗʰ ᵗʰᵉᵐ‧ ᔆᵒᵐᵉ ᵗᵃᵖʰᵒᵖʰⁱˡᵉˢ ᵃʳᵉ ᵃˡˢᵒ ⁱⁿᵗᵉʳᵉˢᵗᵉᵈ ⁱⁿ ᶠᵘⁿᵉʳᵃˡˢ ᵃⁿᵈ ᶠᵘⁿᵉʳᵃʳʸ ᵗʳᵃᵈⁱᵗⁱᵒⁿˢ ᵒᵛᵉʳ ᵗʰᵉ ʸᵉᵃʳˢ‧ ᵀᵃᵖʰᵒᵖʰⁱˡᵉˢ ᵃʳᵉ ⁿᵒᵗ ᵍʰᵒᵘˡⁱˢʰ ᶠᵒˡᵏˢ ʷⁱᵗʰ ᵈᵉᵃᵗʰ ᵒᵇˢᵉˢˢⁱᵒⁿˢ‧ ᴵⁿ ᶠᵃᶜᵗ⸴ ᵗʰᵉʸ ᶜᵃⁿ ᵇᵉ ᑫᵘⁱᵗᵉ ᵗʰᵉ ᵒᵖᵖᵒˢⁱᵗᵉ‧ ᵀᵃᵖʰᵒᵖʰⁱˡᵉˢ ʷᵃⁿᵗ ᵗᵒ ᵏⁿᵒʷ ᵃᵇᵒᵘᵗ ᵗʰᵉ ᵖᵉᵒᵖˡᵉ ᵇᵘʳⁱᵉᵈ ⁱⁿ ᶜᵉᵐᵉᵗᵉʳⁱᵉˢ‧ ᵀʰᵉʸ ʷᵃⁿᵗ ᵗᵒ ˡᵉᵃʳⁿ ᵃᵇᵒᵘᵗ ᵗʰᵉ ʰⁱˢᵗᵒʳʸ ᵒᶠ ⁱⁿᵈⁱᵛⁱᵈᵘᵃˡˢ⸴ ᵃⁿᶜᵉˢᵗᵒʳˢ⸴ ᵃⁿᵈ ᵉᵛᵉⁿ ᵗʰᵉ ᶜᵒᵐᵐᵘⁿⁱᵗʸ‧ ᴬⁿᵈ ʷʰᵉⁿ ʸᵒᵘ ᶠⁱⁿᵈ ᵃ ᵍʳᵃᵛᵉˢᵗᵒⁿᵉ ᵗʰᵃᵗ ˡⁱᵗᵉʳᵃˡˡʸ ᵗᵉˡˡˢ ʸᵒᵘ ᵗʰᵉ ᵖᵉʳˢᵒⁿ’ˢ ˢᵗᵒʳʸ⸴ ⁱᵗ ᶜᵃⁿ ᵇᵉ ᵃᵐᵃᶻⁱⁿᵍ‧ ᴮᵉ ᶜᵒⁿˢⁱᵈᵉʳᵃᵗᵉ ᵒᶠ ᵒᵗʰᵉʳˢ‧ ᴵᶠ ᵃ ᶠᵘⁿᵉʳᵃˡ ⁱˢ ⁱⁿ ᵖʳᵒᵍʳᵉˢˢ ᵒʳ ᵖᵉᵒᵖˡᵉ ᵃʳᵉ ᵛⁱˢⁱᵗⁱⁿᵍ ᵃ ᵍʳᵃᵛᵉ⸴ ᵐᵒᵛᵉ ᵗᵒ ᵃⁿᵒᵗʰᵉʳ ˢᵉᶜᵗⁱᵒⁿ ᵒᶠ ᵗʰᵉ ᶜᵉᵐᵉᵗᵉʳʸ‧ ᴰᵒ ⁿᵒᵗ ˢᵗᵃⁿᵈ⸴ ˢⁱᵗ ᵒʳ ˡᵉᵃⁿ ᵃᵍᵃⁱⁿˢᵗ ᵐᵒⁿᵘᵐᵉⁿᵗˢ‧ ᴬˢᵏ ᵖᵉʳᵐⁱˢˢⁱᵒⁿ ᶠʳᵒᵐ ᵗʰᵉ ᶜᵉᵐᵉᵗᵉʳʸ ᵒᶠᶠⁱᶜᵉ ᵇᵉᶠᵒʳᵉ ᵈᵒⁱⁿᵍ ᵃ ᵍʳᵃᵛᵉˢᵗᵒⁿᵉ ʳᵘᵇᵇⁱⁿᵍ; ᵗʰᵉʸ ᵐᵃʸ ⁿᵒᵗ ᵇᵉ ᵃˡˡᵒʷᵉᵈ‧ ᶠᵒˡˡᵒʷ ᵃˡˡ ᵖᵒˢᵗᵉᵈ ᶜᵉᵐᵉᵗᵉʳʸ ʳᵘˡᵉˢ‧

https://www.sheknows.com/health-and-wellness/articles/2148908/study-unnecessary-pap-smears-teens/

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

https://www.acpjournals.org/doi/10.7326/M14-0701

🍑 https://research2reality.com/health-medicine/cancer/hpv-test-pap-smear-alternative-cervical-cancer/ 🍑

ᴬˡᶠᵒⁿᶻᵒ ᴼʳᵗᵉᵍᵃ ᴮᴵᴿᵀᴴ ²² ᴶᵃⁿ ¹⁹⁴⁰ ᴬᵘˢᵗⁱⁿ⸴ ᵀʳᵃᵛⁱˢ ᶜᵒᵘⁿᵗʸ⸴ ᵀᵉˣᵃˢ⸴ ᵁᔆᴬ ᴰᴱᴬᵀᴴ ²⁵ ᶠᵉᵇ ¹⁹⁴¹ ⁽ᵃᵍᵉᵈ ¹⁾ ᴹᵉⁿⁱⁿᵍⁱᵗⁱˢ⸴ ᵗᵘᵇᵉʳᶜᵘˡᵒˢⁱˢ‎ ᔆᵒⁿ ᵒᶠ ᔆᵃˡᵛᵃᵈᵒʳ ᴼʳᵗᵉᵍᵃ ᵃⁿᵈ ᴾᵉʳᶠᵉᶜᵗᵃ ᴹᵉᵈⁱⁿᵃ‧

ᴬⁿᵃˢᵗᵃˢⁱᵃ ᴼʳᵗᵉᵍᵃ ᴮᴵᴿᵀᴴ ᴬᵖʳ ¹⁹¹⁶ ᴰᴱᴬᵀᴴ ²⁰ ᴶᵘⁿ ¹⁹²⁴ ⁽ᵃᵍᵉᵈ ⁸⁾ ᵀᵃᵒˢ⸴ ᵀᵃᵒˢ ᶜᵒᵘⁿᵗʸ⸴ ᴺᵉʷ ᴹᵉˣⁱᶜᵒ⸴ ᵁᔆᴬ ᴮᵁᴿᴵᴬᴸ ᴺᵘᵉˢᵗʳᵃ ᔆᵉⁿ̃ᵒʳᵃ ᵈᵉ ᴰᵒˡᵒʳᵉˢ ᶜᵉᵐᵉᵗᵉʳʸ ᶜᵃⁿᵒⁿ⸴ ᵀᵃᵒˢ ᶜᵒᵘⁿᵗʸ⸴ ᴺᵉʷ ᴹᵉˣⁱᶜᵒ⸴ ᵁᔆᴬ ᴾᵃʳᵉⁿᵗˢ⠘ ᶠʳᵃⁿᵏ ᴼʳᵗᵉᵍᵃ ᵃⁿᵈ ᴰᵉˡⁱᵃ ᔆᵃⁿᵗⁱˢᵗᵉᵛᵃⁿ ᶜᵃᵘˢᵉ ᵒᶠ ᵈᵉᵃᵗʰ⠘ ᴮʳᵃⁱⁿ ᵀᵘᵐᵒʳ ᴳʳᵃᵛᵉˢⁱᵗᵉ ᴰᵉᵗᵃⁱˡˢ ᶠᵘⁿᵉʳᵃˡ ʰᵒᵐᵉ ᵐᵃʳᵏᵉʳ ⁻ ⁿᵒᵗ ᶜᵒᵐᵖˡᵉᵗᵉ ⁱⁿᶠᵒʳᵐᵃᵗⁱᵒⁿ

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/

Half of the antibodies generated by the tetanus vaccine may last up to 14 years, which is longer than previously thought, van Oers says. (This is known as the half-life.) But some people produce fewer antibodies than others, he notes. Antibodies don't tell the full story either, he explains. "Your body will also remember tetanus, even if you are low on antibodies," he says. "Your body will immediately see it as foreign, and then your B-cells, which are antibody-manufacturing cells, will crank out antibodies as soon as the threat comes on."

DID YOU KNOW the Tetanus vaccine lasts 14~30 yrs against lockjaw: you can get vaccinated every decade or so…

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

https://cruzterrasanta.com.br/lista-completa-de-santos-e-icones-catolicos/

💙 https://www.aucd.org/template/news.cfm?news_id=14472&id=17 💙

https://i.pinimg.com/originals/b6/6f/95/b66f9588647e1c9678fb42c2f75eff1d.jpg

nickgram.com/special-needs

In general, the CDCTrusted Source recommend receiving tetanus vaccination every 10 years. However, research published in Clinical Infectious Diseases points to the possibility that these regular boosters may not be necessary for adults. 💉 A 2016 study that looked into tetanus immunity in 546 adults found that the vaccine provided at least 30 years of protection.

https://www.cdc.gov/cancer/dcpc/research/articles/pelvic-exams-pap-tests.htm

😷 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. 😷

😷 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. 😷

😷 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. 😷

😷 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. 😷

💙 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 💙

😷 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://www.yalemedicine.org/news/colon-cancer-home-test 💙

🍑 https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/cervical-biopsy 🍑

🍑 https://www.mayoclinic.org/tests-procedures/pap-smear/about/pac-20394841 🍑

https://nickgram.com/mechanical-arm 🦿🦾😅 https://nickgram.com/mechanical-leg

𝐹𝑎𝑟 𝑏𝑒𝑦𝑜𝑛𝑑 𝑡ℎ𝑒 𝑠𝑢𝑛𝑠𝑒𝑡, 𝑏𝑢𝑡 𝑛𝑒𝑣𝑒𝑟 𝑓𝑎𝑟 𝑓𝑟𝑜𝑚 𝑜𝑢𝑟 𝑙𝑜𝑣𝑒 ᥫ᭡.

⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⡠⠄⠒⠒⠐⠒⠢⢄⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⡠⠊⠙⣈⣔⣂⠀⠀⠀⠀⠀⠙⢄⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢀⠜⠀⠀⡾⡁⢠⢣⠀⠀⠀⠀⢀⠀⠀⠣⡀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⡌⢠⠀⢸⠋⠉⢸⡄⠀⡄⠀⠀⢩⡄⠀⢨⡷⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⡸⠀⡆⠀⡇⠀⠀⣈⢧⠀⣧⠀⠀⢸⡇⠀⢸⠾⣣⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢀⠃⢀⡇⠀⠠⢤⣴⣽⡼⠢⠼⣦⣤⣼⢿⠀⠀⡸⢣⠆⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⡘⠀⢸⢇⠀⠲⣶⣒⣟⡜⠀⠀⣙⣿⣹⣿⠁⠀⡇⡟⡞⡀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⡇⡇⢸⢸⡰⡇⠀⠉⠁⠀⠀⠀⠀⠉⠉⢸⠀⠀⡇⠁⢿⡇⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢰⢇⢸⢸⣧⣶⡀⠀⠀⠀⠒⠂⠀⠀⠀⣌⠀⠀⣷⡀⣦⠇⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣾⣼⢾⡼⠏⡟⢗⣄⠀⠉⠛⠋⠀⢀⡴⡏⠀⢰⣿⣧⡟⠆⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠉⠁⠀⠉⣦⡇⠸⢛⠿⣦⣀⣠⣴⠝⢻⠁⠀⡌⡷⠻⠁⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢀⡼⣛⠇⠀⡀⠀⢸⠀⠀⡇⠀⡌⠀⠰⠑⣴⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⣀⠀⠤⠤⢤⣤⣔⠛⡙⡍⠀⡔⡏⠀⠀⢻⢢⠁⢠⣧⢄⠈⠃⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⡔⠊⠁⠀⠀⡠⠤⠤⠀⠀⢨⠇⠐⠠⢧⡉⢃⡰⢉⡌⢀⡿⠣⡅⠙⠒⠂⠤⢀⡀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⢰⠀⠀⠀⠀⠀⠣⡀⠀⠀⡰⠉⠳⣄⠀⠀⠈⢇⡰⢩⢁⢾⣀⡤⠟⡉⠐⠒⠀⡤⠈⠑⢆⠀⠀⠀⠀⠀ ⠀⠀⠀⡄⠀⠀⠀⠀⠀⠀⡇⢀⠞⠀⠀⢠⠱⠀⠀⠀⢨⡅⡌⡎⣸⠇⠀⠀⠘⡄⠀⡔⠁⠀⠀⠸⠀⠀⠀⠀⠀ ⠠⠤⠀⡇⠀⠀⠀⠀⢀⠎⡠⠃⠀⠀⢀⣆⠃⠀⠀⢀⣾⣷⡇⢃⢻⡼⡄⠀⠀⠘⠄⢆⠀⠀⠀⠀⠂⠤⠤⠀⣀ ⢫⠐⠒⠓⠀⠤⠄⠀⣸⣜⣡⠴⠖⠋⠉⠀⠀⠀⠱⠈⢎⡝⢨⠺⣼⠯⡙⠒⠦⣄⣈⢆⣎⣀⣀⠀⠤⠤⠄⠒⠍ ⠀⠣⡀⠀⠀⠀⠀⠀⠀⠀⠉⠉⠀⠐⠒⠒⠠⠄⠀⡇⠀⠀⡆⣠⠌⠁⠒⠒⠒⠈⠉⠉⠀⠀⠀⠀⠀⠀⢠⠊⠀ ⠀⠀⠑⠰⠀⠠⠤⠄⣀⣀⡀⠀⠀⠀⠀⠀⢰⠀⠀⡇⠀⡀⡇⡏⠀⠀⠀⠀⠀⣀⣀⠀⡤⠤⠄⠀⢀⠐⠁⠀⠀ ⠀⠀⠀⡆⠀⠀⢀⠔⢹⠀⠈⠉⠁⠒⠂⠤⠼⡆⡰⠀⠀⡇⠰⡑⠄⠤⠒⠉⠁⠀⠀⢰⡀⠀⠀⠀⠸⠀⠀⠀⠀ ⠀⠀⢠⠀⠀⠀⠀⠀⠀⡀⠀⠀⠀⢠⠀⠀⢠⠙⠁⠀⠀⠇⠀⢰⠀⠀⠀⠀⠀⠀⠀⠘⠱⠀⠀⠀⠀⡆⠀⠀⠀ ⠀⠀⢸⠀⠀⠀⢀⠀⠀⢇⠀⠀⠀⠘⡄⠀⠘⠀⠀⠀⠀⢀⠀⠈⠀⠀⠀⠀⠀⠀⠀⡇⠀⢣⠀⠀⡠⠃⠀⠀⠀ ⠀⠀⠀⢣⠀⠀⠎⠀⠀⠀⣷⡄⠀⠀⠇⠀⠀⠀⠀⠀⠀⢸⠀⠀⠀⠀⡀⠀⠀⢀⠼⠀⠀⠀⢢⡔⠁⠀⠀⠀⠀ ⠀⠀⠀⠀⢃⡌⠀⠀⠀⠀⠇⡎⠀⠀⢠⠀⠀⡾⠀⠀⠀⢸⠀⠤⠀⠀⡇⠀⢀⢤⠂⠀⠀⠀⠀⢣⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⡜⠀⠀⠀⠀⠀⢀⠀⢏⠁⠚⢄⡀⡇⠀⠀⠀⢸⠀⠀⠀⢀⠗⠊⠀⢸⠀⠀⠀⠀⠀⡘⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⢆⠀⠀⠀⠀⠀⢸⠀⠈⡄⠀⠀⠈⠃⠀⠀⠀⠈⠀⠀⠒⠁⠀⠀⠀⠿⡀⠀⠀⠀⠰⠁⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠘⠀⠀⠀⠀⠀⡸⠀⢠⠛⡄⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠸⠀⢡⠀⠀⠀⠀⢣⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⡆⠀⠀⠀⠀⢠⢣⠀⢇⠀⠘⠀⠀⠀⠀⠀⠀⠀⡄⠀⠀⠀⠀⠐⠁⢀⠜⠀⠀⠀⠀⠀⢃⠀⠀⠀⠀ ⠀⠀⠀⠀⡇⠀⠀⠀⠀⠀⢸⠀⠀⠑⢄⠀⠀⠀⠀⠀⠀⠀⡇⠀⠀⠀⠀⠀⢀⠎⠀⠀⠀⠀⠀⠀⠈⢆⠀⠀⠀

https://cdn3.imginn.com/387762319_18398179666057483_4773269364175687854_n.jpg?https://scontent-iad3-2.cdninstagram.com/v/t39.30808-6/387762319_18398179666057483_4773269364175687854_n.jpg?stp=dst-jpg_e35_p640x640_sh0.08&_nc_ht=scontent-iad3-2.cdninstagram.com&_nc_cat=107&_nc_ohc=dYenWSO_PmsAX8a-s3W&edm=AP_V10EAAAAA&ccb=7-5&ig_cache_key=MzIwOTg3MTc0MDI0MTkzMjEwMg%3D%3D.2-ccb7-5&oh=00_AfCCiUlxbpZNNoPhX43KR4RweuGrVklK7gEGaAN7SDaHPA&oe=65679215&_nc_sid=2999b8

2020 ACS 2012 ACS 2018 USPSTF Age 21‒24 No screening Pap test every 3 years Pap test every 3 years Age 25‒29 HPV test every 5 years (preferred) , HPV/Pap cotest every 5 years (acceptable) or Pap test every 3 years (acceptable) Pap test every 3 years Pap test every 3 years Age 30‒65 HPV test every 5 years (preferred) or HPV/Pap cotest every 5 years (acceptable) Pap test every 3 years (acceptable) or HPV/Pap cotest every 3 years (preferred) Pap test every 3 years (acceptable) Pap test every 3 years, HPV test every 5 years, or HPV/Pap cotest every 5 years Age 65 and older No screening if a series of prior tests were normal No screening if a series of prior tests were normal No screening if a series of prior tests were normal and not at high risk for cancer

⠀⠀⠀⠀⠀⠀⠀⠀⢀⣴⣾⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣷⣄⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⢀⣠⣾⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣷⡄⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⣠⣾⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣆⠀⠀⠀⠀⠀ ⠀⠀⠀⣼⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣇⠀⠀⠀⠀ ⠀⠀⣴⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣆⠀⠀⠀ ⠀⣸⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡄⠀⠀ ⠀⣿⣿⣿⣿⣿⣿⣿⣷⢿⣿⣿⣿⣿⣿⣿⣿⣿⢻⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡀⠀ ⢀⣿⠘⣿⡿⣿⣿⣿⣿⡎⢿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⢿⣿⣿⣿⣿⣿⣿⡇⢿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣧⠀ ⠈⣿⠀⢿⣿⢹⣻⣿⣯⣿⡄⢻⣿⣿⣿⣿⣿⣿⡿⣿⣿⣿⣿⢸⣿⣿⣿⣿⣿⣿⣿⢸⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡞⣿⣿⣿⡄ ⠀⣿⡄⠘⣿⡇⢿⣿⡿⡜⢿⣀⣹⣯⠿⠟⠛⠋⠁⠉⠉⠉⠈⠀⢿⣿⣿⣿⣿⣿⣿⢸⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⢻⣿⣿⣧ ⠀⢿⣇⠀⠹⠿⠌⠋⠋⠉⠉⠉⠁⠀⣀⣠⡤⠶⢶⣶⣶⣶⣿⣿⣿⣿⣿⣿⣿⣿⣿⡆⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡆⣿⣿⣿ ⠀⠀⢻⡤⠖⣒⣢⣄⠀⠀⠀⠀⠀⠀⠀⡟⠀⠀⠈⢿⠓⣻⡿⠋⠀⣿⣿⣿⣿⣿⣿⡇⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⢻⣿⡟ ⠀⠀⠀⢹⣌⣠⠶⣾⣷⡄⠀⠀⠀⠀⠀⠀⠀⢀⢀⣀⣽⠋⠀⠀⠀⢹⣿⣿⣿⣿⣿⡇⣿⣿⣿⣿⣿⣿⣿⣿⣟⣿⣿⣿⣿⣿⠿⠋⠀ ⠀⠀⠀⢸⣿⣿⡄⠘⠭⡇⠀⠀⠀⠀⠀⠀⠀⠈⠻⠛⠀⠀⠀⠀⠀⠘⣿⣿⣿⣿⣿⡇⢸⣿⣿⣿⣿⣿⣿⣿⣷⢿⣿⣿⣿⠟⠀⠀⠀ ⠀⠀⠀⢸⣿⣿⡍⠳⢾⠇⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣿⣿⣿⣿⣿⣧⢸⣿⣿⣿⣿⣿⣿⣿⣿⠸⢛⠟⠁⠀⠀⠀⠀ ⠀⠀⠀⢸⣿⣿⣇⢀⠊⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢻⣿⣿⣿⣿⣿⢸⣿⣿⣿⣿⣿⣿⣿⢿⠔⠁⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠨⣿⣿⣿⡌⣷⣄⠠⠄⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⣿⢸⣿⣿⣿⣿⣿⠿⠋⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⣿⣿⣇⠹⡌⠉⠁⠀⠀⠀⠀⣀⡤⢤⣴⡶⠀⠀⠀⠀⠀⠀⠘⣿⣿⣿⣿⠋⣾⢹⣿⣿⠋⠁⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⣿⣿⣯⠀⠹⣄⠀⠀⠰⣯⣵⢟⣋⣽⡋⠀⠀⠀⠀⠀⠀⠀⠀⣿⣿⣿⣿⠀⣿⠸⠟⢹⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⢸⣿⣿⠀⠀⠙⢦⡀⠀⠈⠿⠿⠿⠛⠁⠀⠀⠀⠀⠀⠀⢀⣴⣿⣿⣿⡿⠀⠉⠀⠀⠘⡇⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⢸⣿⣿⠀⠀⠀⢸⣿⣦⡀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣠⠴⠋⠀⣿⣿⣿⡇⠀⠀⣀⣠⣤⣧⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⣿⣿⡀⠀⠀⠀⢻⣿⣿⣄⠀⠀⠀⠀⠀⣀⣴⠛⠁⠀⠀⠀⣿⣿⣿⣷⣶⠿⠛⠋⠉⠘⡆⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⢸⣿⡇⠀⠀⠀⠸⣿⣿⣿⣦⣀⣠⣴⡟⠋⢹⠀⠀⣀⣠⡴⣿⣿⣿⠇⠀⠀⠀⠀⠀⠀⢸⡄⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀

it’s okay if … ⁀➴ you do nothing some days ⁀➴ you made a mistake ⁀➴ you struggle to accept help ⁀➴ you are overthinking it ⁀➴ you are not there yet ⁀➴ you keep your ideas to yourself ⁀➴ you aren’t yet ready to change

2020 Update 2012 old 2018 former rec. Ages <25 No screening Pap test every 3 years Pap test every 3 years Age 25‒29 HPV test every 5 years (preferred) , HPV/Pap cotest every 5 years (acceptable) or Pap test every 3 years (acceptable) Pap test every 3 years Pap test every 3 years Age 30‒65 HPV test every 5 years (preferred) or HPV/Pap cotest every 5 years (acceptable) Pap test every 3 years (acceptable) or HPV/Pap cotest every 3 years (preferred) or Pap test every 3 years (acceptable) Pap test every 3 years, HPV test every 5 years, or HPV/Pap cotest every 5 years Age 65 + No screening if a series of prior tests were normal No screening if a series of prior tests were normal No screening if a series of prior tests were normal and not at high risk for cancer

https://www.cancer.gov/news-events/cancer-currents-blog/2020/cervical-cancer-screening-hpv-test-guideline

https://www.jostrust.org.uk/information/cervical-screening/what-happens-during-cervical-screening

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

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

https://www.kristiangevinemd.com/yearly-pap-smears/

🍑 https://www.cancer.gov/news-events/cancer-currents-blog/2020/cervical-cancer-screening-hpv-test-guideline 🍑

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

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

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

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

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

😷 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 😷

https://www.abc.net.au/news/2018-03-06/hpv-diy-tests-will-save-lives-doctors-say/9514916

💙 https://www.medicalnewstoday.com/articles/320132 💙

“Oh, you can't help that," said the Cat: "we're all mad here. I'm mad. You're mad." "How do you know I'm mad?" said Alice. "You must be," said the Cat, "or you wouldn't have come here.” —Alice in Wonderland.

⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⢿⠿⠻⠛⠛⠻⠿⢿⣿⣿⣿⣿⣿⣻⣿⢿⣿⢿⣟⣿⢿⣻⡟⠻⣟⢿⣿⣻⢿⣟⣿⡿⣿⡿⣿⢿⡿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣽⣾⣿⡷⠟⠃⠉⠈⠁⠀⠀⠀⠀⠀⠀⠀⠈⠙⢿⣿⣷⣿⡽⣿⢾⣟⡿⣾⣟⣧⠀⡀⠀⠉⡗⣿⢯⣿⣳⣿⣻⣽⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡿⠋⠁⠀⠀⠄⠀⠡⠐⠀⠀⠀⠀⠀⠀⠀⠀⠀⠻⣿⣿⣿⣿⣻⡾⣟⣷⣟⢡⠅⠀⠀⠀⠀⢸⣿⣳⢿⣳⣯⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⡿⣿⣟⣿⣟⣿⣽⣿⢯⣿⣯⣿⢯⣿⠚⠀⠀⠀⠠⠂⠁⠀⠀⠂⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢹⣷⢿⣻⣿⣿⣿⣽⣾⣿⠀⠀⠀⠈⠀⠈⣿⣷⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣷⣿⣿⣿⣯⣿⢿⣻⣾⣿⣿⣽⣿⡻⠁⠀⡠⠈⡌⠀⠀⠀⠀⠔⠀⠀⠂⠀⠀⠀⠀⠀⠀⠀⠀⠀⢻⣿⢯⣷⣿⣻⢿⣿⢿⣷⣦⠀⡀⠀⡈⣿⣿⣟⣯⣿⣾⣿⣽⣷⣿ ⣿⣿⣽⣯⣿⣽⣭⣿⣽⣯⣿⣽⣯⣽⣭⣿⠝⢈⠬⠠⠑⠁⠀⠀⠀⠁⠀⡈⠀⠀⠀⡀⠀⡀⠐⠀⠀⠀⢀⠀⠘⣽⣯⣽⣭⣯⣿⣽⣯⣯⣽⠐⠉⠂⠀⣿⣭⣿⣯⣿⣽⣯⣿⣽⣽ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡿⢋⠄⠢⠐⠈⠀⡀⠄⠀⠂⡄⠁⠀⢃⡄⣄⠀⢁⠄⠈⠠⢀⠆⢄⠠⡀⠀⢹⣿⢯⣿⣟⣿⣿⣿⡿⠃⠀⠀⠀⢰⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣯⢚⡅⠂⠀⠠⠐⠀⡀⢔⡂⣄⡀⠀⠀⣈⡇⠈⠑⢘⠈⣒⠄⠈⠁⠠⣞⠌⡀⠀⠹⣿⣯⣿⡿⠛⠉⠑⠒⠂⠀⡀⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡿⣡⢣⡴⣃⣤⣾⠁⢀⠀⠆⢟⠀⠘⠟⠻⠳⠿⣆⠀⡠⣾⠟⡻⠻⠋⠐⣅⢢⠈⢂⠠⠙⢾⡟⡁⠀⠀⠀⠀⠀⠀⠀⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣷⣮⣠⢑⡀⠀⠀⠊⠀⠀⠀⠀⠀⠑⠊⠀⢠⣠⣶⣾⣶⣦⣵⣄⡀⠐⠠⠄⠀⠀⠀⠀⠀⣴⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣧⡀⠀⠀⠀⢀⣐⣀⣀⣀⡀⢀⡾⠟⠛⠛⠛⢻⠉⠁⠀⠀⠀⠀⠀⠀⠀⣠⣾⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣻⣿⣿⣿⣟⣿⣽⣿⢯⠿⠷⠟⠟⠳⣦⣴⣾⠿⠟⠉⠉⠉⢉⠁⠀⡀⢀⠠⠀⠡⠤⠀⠂⠀⠀⠀⠁⣀⣴⣿⣿⢿⣿⣾⢿⣾⣿⣻⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡏⣑⣀⣤⣤⣴⡾⠟⠉⠁⠀⠀⠀⠀⠀⠐⠀⠡⠂⠀⠀⠀⠀⠀⢀⣀⣤⣶⡆⣿⣿⣿⣿⣿⣿⣿⣻⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡿⠿⠫⠥⠤⠀⠤⠄⠀⡀⢀⠀⠀⠔⠊⠀⠀⣀⣠⠄⠂⠈⠁⠀⡉⢻⢁⣿⣿⣿⣿⣷⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠿⠛⠉⠁⠀⠀⠀⠀⠀⠀⠀⠀⡪⠀⠀⠀⢀⣀⣤⣶⣾⣿⣿⡆⠠⢈⣤⣾⣶⣿⣸⣿⣿⣿⣿⢿⡿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡿⠛⠉⠀⠀⠀⠀⠀⢀⠀⠀⡀⢠⠔⠂⠁⢀⠤⢔⣾⣿⣿⣿⣿⣿⣿⣧⣴⣾⣿⣿⡿⢯⠟⠛⠉⠉⠉⠈⣡⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣦⡀⠀⢀⡄⠂⠈⠀⠤⠤⠐⡁⢠⠖⠁⢁⢢⣿⢿⣿⣿⣿⣯⣿⣿⡿⠟⠋⠉⠁⠀⠀⠀⠀⠀⠀⢀⣴⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣷⣷⣄⠀⠀⡀⠀⢀⠩⠂⢡⠂⢀⢀⣿⣿⡧⣿⣿⣿⣿⡟⢭⠲⠒⠒⠂⢠⠤⠀⠀⠐⠀⢨⣾⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡿⠢⡀⢀⠔⠁⠀⢰⠁⢠⢣⣿⣿⣿⣿⡿⣿⣷⣿⡧⠀⠀⠀⡠⠄⠃⠀⠉⡅⣔⣴⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠃⠀⡍⠁⠀⠀⢠⠂⢠⢣⣋⣭⣽⣶⣶⣷⣿⡙⣿⡁⠀⠄⠈⠀⠀⠀⠀⡠⣼⣿⣿⣿⣿⡿⣿⣿⢿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡏⠀⠜⠀⢀⡀⡄⡎⢠⣿⣿⣿⣿⣿⣿⣿⣿⣿⡿⠋⠁⠀⠀⠀⠀⠀⠀⣀⠴⡹⣿⣿⣿⣷⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣇⠔⢃⠭⣴⣶⣶⣵⣾⣿⣿⣿⣿⣿⣿⣿⣿⠿⠃⠐⠀⠑⠂⠀⠀⠀⣠⠂⠀⡸⢊⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣷⣥⣤⣤⣼⣿⣿⣿⣿⣿⣿⣿⣟⠛⠋⠉⠀⠀⠀⠀⠀⠀⠀⠀⠀⠐⡄⢔⣪⣶⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣾⣽⣻⡿⠄⠀⠨⡂⠠⠀⠀⠀⠀⠀⠀⠀⠀⣼⣾⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡿⠟⠋⠀⠀⠀⠀⠀⠐⡀⠈⠂⠂⠈⣁⣤⣶⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⢛⠛⠋⠛⠛⢿⣿⣿⣿⣿⡿⠟⠁⠀⠀⠀⠀⠀⠀⡀⢄⡠⠃⠀⣠⣴⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⢁⢀⠀⢀⠀⠀⠀⠀⠁⠀⠁⠀⠀⠀⠀⣀⣠⣶⣤⣶⣿⣷⣶⣶⣿⣿⣿⣿⣿⢿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣶⢀⠐⢀⠀⠀⠀⠀⠀⠀⠂⠀⠀⠰⣾⣿⡇⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⢘⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣦⣄⣠⣶⣶⣶⣶⡾⠃⠀⠀⠀⢹⣿⣇⣹⣿⣿⣿⣿⣿⣿⣿⣿⣿⡿⠀⠀⢹⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⢿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡟⠁⠀⠀⠀⠀⠀⣿⡷⣼⣿⣿⣿⣿⣿⣿⣿⣿⣿⠁⠀⠀⠀⠻⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿

⣤⣤⣤⣤⣤⣤⣤⣿⣾⣷⣮⣶⣵⣬⣿⣽⣯⣿⣽⣯⣿⣽⣯⣿⣽⣯⣿⣽⣯⢿⣽⣯⣿⣽⣯⣿⡽⣯⣿⣽⣯⣿⡽⣯⣿⣽⣯⣿⣽⣾ ⣿⣯⢷⣫⡽⣾⣹⢷⣻⡽⣳⡽⣞⣳⢯⡾⡵⣏⡾⣵⣫⢾⡵⢯⣾⣱⢯⡾⣽⣽⢾⣱⢿⡼⢧⡿⣼⣳⢯⢾⣵⣫⣟⡷⣏⡾⣵⣻⣾⢿ ⣿⣯⠷⣯⡽⣏⡿⣞⣳⣽⢳⣿⣹⣭⢷⣻⡽⣽⡽⣯⣛⣯⣽⡻⣶⣻⢯⡷⣏⡿⣯⢟⡾⣽⣏⣷⣻⡼⢯⣻⢶⣛⣾⡽⣝⣽⢳⡷⣿⣿ ⣿⣯⣟⣳⢯⣻⡵⣯⢷⣫⣟⣯⢷⣫⢯⢷⣟⣟⡾⣳⣟⣮⢷⣻⡽⣽⣛⡾⣽⣳⢯⢿⣹⡟⣾⡵⣳⡟⣯⢷⢯⣿⣺⣟⣳⢾⣯⢷⣿⣻ ⣿⣷⣫⢯⣟⣳⠿⣽⣞⣷⣻⠾⣽⣽⣫⣟⡾⣞⣽⠷⢾⠙⠚⠷⠹⢷⣯⣟⣶⣯⣟⣭⢷⣻⣳⢟⣷⣻⢽⡞⣿⣼⣛⣾⢻⣛⡾⣽⣟⣿ ⣿⣷⣯⡟⣾⣽⢻⡗⣯⡞⣯⣿⡗⢳⠛⣾⠁⠁⠀⠀⠀⠀⠀⠀⠀⠀⠀⠈⠙⣾⣽⡞⣯⣷⢻⣯⣿⡞⣯⡟⣷⣾⢹⡞⣯⡟⣽⣶⣿⣿ ⣿⡷⣾⣽⣳⢯⣟⡽⠏⠋⠉⠀⠀⠁⠀⠀⢀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠈⠀⠀⠁⠹⠻⣞⣟⣾⢳⣿⣹⣟⡾⣵⢯⣟⡷⣻⣳⡽⣷⣿ ⣿⣟⡷⣽⣫⠿⠃⠁⠀⠈⠀⠀⠀⠀⠀⢀⠀⠀⠀⢈⡀⠂⠀⠀⠀⠀⠀⠀⠀⠀⠀⡈⠀⢌⠺⣽⣻⢮⡷⣯⡽⣯⣟⡾⣽⢷⣯⣟⣿⣽ ⣿⣯⣟⡷⡛⠁⠀⠀⠀⠀⠀⠀⠀⠀⠂⢸⠀⢀⠌⠑⠊⢤⡀⠁⠐⠅⠁⢄⠀⠀⠀⠀⢓⠤⠁⡈⠫⣟⡷⣯⣽⣳⢾⣽⣻⢿⡾⣽⣿⣻ ⣿⡷⣟⠌⠀⠂⡠⠊⠀⠀⠀⠂⠁⠀⠸⠘⣈⠎⣀⠀⠠⠀⣑⡄⠀⠀⠘⢄⠀⢀⠰⢀⠀⠩⣷⣿⢤⡈⢽⡷⣯⣻⣟⡾⣿⡽⣟⡷⣿⢿ ⣿⣟⡁⡐⠀⡌⠀⠀⠀⡀⠁⠀⠁⠄⡀⠅⡇⠀⠀⢀⠀⢰⠁⠈⢂⡀⠄⠀⠱⣄⠑⢀⠄⠄⠘⣿⢯⣟⣮⣻⢷⣻⣾⣟⣷⣻⣽⣻⢿⣿ ⣿⣗⠔⠀⠀⠀⠀⠠⠐⠀⠈⢀⠀⠀⡀⠀⢃⡀⢀⠀⢀⠅⠀⠀⠀⢱⣄⠀⠀⠘⣦⡀⠀⠈⠄⢸⣿⣻⣞⣟⡿⣯⢷⣞⣷⣻⢾⡽⣿⣻ ⣿⡟⠀⠀⠀⠀⡐⠀⢀⠂⠁⠀⠆⠀⢀⠀⢸⠀⠁⠑⡊⠀⠀⢈⠀⠈⢓⣢⡆⠀⠘⣗⣤⣴⣮⣿⣳⣟⡽⣯⢿⣽⣻⣞⡷⣯⢿⡽⣿⣻ ⣿⡇⠀⠀⠀⠁⢀⠀⠂⠀⠄⠀⢇⠀⠀⡀⠈⡇⡀⠈⠁⠀⠐⠀⢀⠔⠉⢪⢛⣹⣯⠿⠻⢯⡷⣿⣟⣯⢿⣽⣻⣞⡷⣯⢿⡽⣯⣟⣿⢿ ⣿⡇⠀⠀⠈⡀⠄⠀⠂⠈⢀⠀⠸⡄⠀⠀⡀⢸⠰⠀⡀⠐⠀⠁⠃⠀⡜⣱⠟⠑⢌⣃⡄⠐⠀⠀⠀⠀⢿⣷⣻⢾⣽⢯⡿⣽⣳⣯⣿⣿ ⣿⡇⠀⠀⠁⠀⡀⠂⠀⠁⡀⠠⠀⢻⡀⠀⠀⠈⢋⡕⠂⠀⠐⠀⡀⠤⡿⠻⠒⠒⠊⠉⠁⠀⠀⠀⠀⡀⣿⣯⢿⣻⢾⣻⣽⣟⡿⣷⣿⣾ ⣿⡇⠀⠀⠈⢀⠀⠄⠁⡀⠄⠀⡀⠀⢳⠀⠀⠂⠈⢣⠀⠀⠀⠁⠀⠈⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠡⣻⡿⣯⣟⡿⣽⣾⣽⣻⢷⣿⣽ ⣿⡇⠀⠀⠁⠀⢀⠀⠆⠀⢀⠰⠀⠀⠸⢷⠀⠀⡀⠀⢷⡀⠀⠁⠰⠀⠀⠆⠁⠀⠁⢀⠀⠀⠀⠀⠆⠀⣸⣿⣏⣿⣹⡿⣾⣷⢿⣏⣿⢿ ⣿⡇⠀⠀⡀⠁⢀⠠⠀⠂⢀⠀⡐⠀⢸⣼⣧⡄⠀⠀⠀⠱⢄⠀⠀⠄⠁⠠⠀⠁⡀⠂⠀⠁⡀⠂⠀⠞⡁⣿⡿⣾⡽⣿⡷⣿⢯⣟⣿⣿ ⣿⣷⠀⠀⠀⠂⠀⠄⠀⠐⠀⠠⠀⠀⣜⡎⠀⠈⠠⡔⠀⠀⠈⠣⡀⠀⠀⠐⠀⠁⢀⠠⠈⢀⠀⠄⠁⠀⠁⢿⣿⣳⣿⢷⡿⣯⣿⢯⣿⣾ ⣿⡏⡇⠀⠐⠀⠁⢨⠀⠀⠂⠁⠠⠀⠸⡥⠀⠀⡰⠁⠉⢦⢄⡀⠙⢦⡀⠀⠈⢀⠀⡀⠄⠀⠠⠀⠂⠀⠀⠈⣿⣯⢿⣻⣿⣽⢯⣿⣟⣾ ⣿⣿⡼⡀⠀⠈⢀⠀⡅⠀⠀⠁⠂⢀⠀⠹⢄⡀⠘⢆⣠⢠⠓⢈⠵⣤⣻⡀⠀⢀⠀⠀⠀⠀⣀⣀⣤⣤⣶⣿⣿⣻⡿⣟⣾⣯⣿⣟⣾⣿ ⣿⡿⣿⣟⣄⣀⣀⡀⡨⡀⠀⠁⠀⠂⢀⡀⠈⣿⣿⣲⡖⠖⠒⠉⣄⡈⢦⢹⡀⠀⠀⢑⡮⠛⠉⠙⣿⣿⡿⣯⣷⡿⣿⣻⣯⣷⡿⣯⣿⣾ ⣿⡿⣿⡿⣿⣿⣿⣿⣿⣷⣶⣴⣦⣤⣅⣈⣡⣿⣿⣿⣿⣶⣆⣈⠁⠃⠘⡆⣧⠀⢀⣾⡄⠀⠀⠀⠈⠙⢿⣿⣽⡿⣟⣿⡷⣿⣻⡿⣷⣿ ⣿⡿⣟⣿⣿⣽⣾⣟⣷⡿⣿⢿⣿⢿⣿⣿⣿⡿⣿⣿⣟⣾⣻⢿⣿⣿⣾⢘⣗⢠⢸⣿⣿⣆⡀⠈⠀⠀⠀⠉⠻⢿⣿⣯⣿⣟⣿⣽⣿⣾ ⣿⣿⢿⣿⣾⣿⣽⣿⢿⣿⢿⣿⣿⣿⢿⣯⣷⣿⣿⣿⣻⢾⣽⣻⣞⣷⡻⣻⡟⠂⣾⣿⣟⣿⣿⣷⣦⣀⡀⠀⢀⠀⠙⢻⢷⣿⣯⣿⣾⢿ ⣿⡿⣿⣿⣿⣟⣿⣿⣿⣻⣿⣿⣿⣾⣿⢿⣿⣿⣿⣳⢯⣟⣾⣳⣿⣾⣷⢿⠉⠀⣿⣿⡟⠛⠿⠻⢻⢿⣿⣷⡈⠡⡀⠀⢳⣝⢿⣷⡿⣿ ⣿⣿⢿⣿⣽⣿⣿⣿⣿⣿⣿⢿⣷⣿⣻⣿⣿⣻⢾⣽⣻⣞⣷⣻⣞⣿⣷⣀⠀⠀⣿⡿⣿⡌⠀⠀⣀⠳⢿⣿⣿⣧⡑⠄⠀⢻⣷⣻⣿⣿ ⣿⡿⣿⣟⣿⣯⣿⣿⣯⣷⣿⣿⡿⣿⣿⡿⣽⣻⢿⡷⣟⣾⣳⣟⡾⣽⢾⣻⣷⣶⢿⣻⣽⣿⣍⡍⢸⠘⣸⡝⠻⣿⣿⡴⠀⠈⣿⣿⣿⣽ ⣿⣿⣿⣿⢿⣿⣻⣼⣿⡿⣟⣿⡿⠿⠿⠿⢿⣻⣟⡿⣿⣧⢿⣼⣻⣟⣿⣻⢿⣼⣿⣿⢿⣼⣻⣿⡄⠀⢻⡇⠀⣿⣿⣿⠃⠀⣿⣿⣟⣿ ⣿⣿⣾⣿⣿⢿⣿⣿⣻⣿⠟⠁⠀⠀⠀⠀⠀⠙⢿⣽⣳⢿⣟⣾⣷⢿⣞⡿⣯⢿⣻⡿⠿⣞⣷⣻⣾⣞⠈⠗⣶⠉⣿⣿⡇⠀⢼⣿⣟⣿ ⣿⣷⣿⣿⣻⣿⣿⣿⡟⠁⠀⠀⠀⠠⠐⠀⢀⣀⡤⠽⣯⣟⣯⢷⣯⣟⡾⣽⢯⡿⣽⣇⠀⢹⣷⣻⣞⣿⣧⡀⡾⡄⠘⣿⣷⠀⣻⣿⣟⣿ ⣿⣿⣽⣿⣿⢿⣿⡞⠁⠀⠀⠠⠁⢀⠀⣌⠁⠀⠀⠀⢻⣽⣞⡿⣾⣽⣻⡽⣯⢿⣽⣻⣧⠈⣿⣳⣟⣾⣻⣿⢟⢇⡼⣿⠛⢠⣿⣿⣻⣽ ⣿⣟⣿⣿⣾⣟⣾⠁⠀⠀⠈⠀⠄⠂⠀⠸⠤⣤⠐⠀⠈⣿⡾⣽⣳⢯⣷⣻⣽⣻⣞⣷⣻⡿⣟⣷⣻⣞⡷⣟⠂⢘⡖⠫⣧⣿⣿⣿⣻⣿ ⣿⣿⡿⣿⣿⢿⣿⣤⣤⣴⣤⣦⣤⣤⣦⣤⣤⣤⣥⣥⣤⣿⣿⣷⣯⣿⣾⣷⣯⣷⣿⣾⣷⣿⣿⣷⣿⣾⣽⣯⣤⣾⣤⣤⣼⣿⣿⣟⣯⣿

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⧣₊˚﹒✦₊ ⧣₊˚ 𓂃★ ⸝⸝ ⧣₊˚﹒✦₊ ⧣₊˚ /) /) (｡•ㅅ•｡)〝₎₎ About Uugrimaa! ✦₊ ˊ˗ . .╭∪─∪────────── ✦ ⁺. . .┊ ◟﹫ Name : Uugrimaa . .┊﹒𐐪 Age : 10 . .┊ꜝꜝ﹒Pronouns : ? . .┊ ⨳゛Sexuality : ? . .┊ ◟ヾ Likes : hearts,cats,emojicats . .┊﹒𐐪 Dislikes : poop,heat (-18-),haters . .┊ ◟﹫ Extra : no ╰───────────── ✦ ⁺. ⧣₊˚﹒✦₊ ⧣₊˚ 𓂃★ ⸝⸝ ⧣₊˚﹒✦₊ ⧣₊˚

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🐶,𝑳,🐾,✮,⋆˙.

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⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠁⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠈⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⡀⠀⡀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠐⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⡀⠎⠂⠅⡃⠅⠒⠈⠄⡌⠀⠢⡀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢠⠀⠀⡬⡡⡗⡣⣼⡊⡦⡰⠄⠅⠀⠈⠀⢄⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢌⡆⡤⠷⠓⣀⢀⡓⡁⡇⢅⣋⠂⠃⠰⡀⠈⢂⠀⠀⠀⠀⠀⠀⠀⠀⠐⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⡢⠍⠫⠆⢡⡇⠥⢇⡂⠠⣠⠌⢌⠟⠈⠋⡬⠈⠄⠀⠀⠀⠀⠀⠀⢀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⡍⠄⣛⠅⠹⡅⡀⡙⡇⠠⡽⡑⣀⠂⠀⠅⠸⠂⠠⠅⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣏⠘⢓⡇⠊⡕⠢⢮⠂⠀⡄⠂⢐⠂⠀⠁⠀⠄⠘⡁⠀⠀⠀⠀⠈⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣯⢘⡐⠡⠀⡗⠅⠕⠀⠄⠄⡁⠠⠁⠀⡁⠀⡀⢈⠂⠀⠀⠀⠀⠂⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠈⢟⠄⠀⠝⠅⣅⣩⠀⠐⡡⠄⠔⠈⠀⢅⠀⠠⠄⢢⠠⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠈⠭⠃⠀⠀⠀⠀⠀⠀⢍⠷⠁⠀⠱⠂⢡⠀⢡⠀⡀⠀⠄⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⡇⠀⠀⠀⠀⣀⡀⠀⠀⠀⠀⠀⠀⠀⡸⠀⢤⠀⠀⠀⡁⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠧⡀⠀⠀⠀⠘⡌⠉⠉⠁⠀⠀⠀⡠⠇⠰⢰⠀⠀⠀⡁⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠙⢆⠀⠀⠀⠀⠉⠒⠋⠀⢀⠞⠁⣄⢨⠈⠈⠀⠀⡀⠀⠀⠀⠀⠀⠀⠀⡀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠄⠀⠀⠑⠦⠤⠤⠤⠤⠒⠋⠁⠇⠀⠀⢀⠈⠁⠀⠀⠁⠀⠀⠀⠀⠀⠀⠀⠁⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠂⠀⠈⡂⠀⠅⠀⠀⠀⠀⠃⠀⠂⠀⠌⠐⢐⠂⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢂⠀⠂⠀⠀⠑⠀⠀⡃⠀⠁⡀⠄⠀⢄⠈⠀⡁⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⡀⠀⠂⠁⠀⡀⠀⠁⠄⠄⠂⡀⢀⠀⠂⠨⠀⡀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠂⠂⠐⠀⠀⠀⡁⠐⡀⠠⠄⠀⠀⡑⠠⠀⠃⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⡐⠀⠀⠄⠂⠀⠃⠀⡄⠘⠀⠀⠁⢢⠀⠇⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠈⠀⠀⢰⠀⠀⠀⠀⠀⠀⠀⠀⠈⠋⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀

I was diagnosed with breast cancer and wasn't expected to survive the night. The night I was expected to pass, my whole team surprised me at the hospital. They took shifts, and made sure I always had someone to talk to. 3 years later, they still GMH. Dec 31, 2014 at 11:00pm by spittinmoose

LOVEGIVESMEHOPE TEXT POST Me and my “soul mate” have known each other since second grade. A few years ago, he told me he has cancer and was going to dıe in a year. He also said that he loved me and wanted to spend that year with me. 3 years later, he’s cancer free and still mine. 13 YEARS AGO ON SEPTEMBER 11, 2010 AT 6:40 PM

Prequel A prequel is a film that is set before the original film. Sequel The most popular type of follow-up there is, a sequel picks up after the original/previous film. Whether that means directly after the previous film’s events, or 10 years after makes no difference – as long as it follows up directly, without any other project being in the way. Midquel Also called an interquel, a midquel is… well, something in the middle. Taken within a franchise, it’s the latest entry, but acts as a sequel to one or more of the original films, and in the same time acts as a prequel to others. Otherwise, it can also take place inside a single film – that for instance features a long time skip that is not explored as part of the original project, but the midquel comes back and explores it instead. Examples include Alien vs Predator, Terminator Salvation, Red Dragon, Solo: A Star Wars Story, and The Scorpion King. so an interquel occurs between two already-established stories. If "Story Z" follows "Story X," but there is room between the two for another story, you could add "Story Y" as an interquel. An example of this in mainstream media would be Black Widow because this story takes place after the events of Captain America: Civil War and before the events of Avengers: Infinity War even though Avengers: Infinity War had already been released by this time. Inquel An inquel is a story that takes place within a gap of time in another story. If Story X has a period of time that is rushed through without being fully explored, that would give an author the opportunity to later go back and write an inquel. These are not common, but an example of this would be Bambi II, which occurs during the established events of Bambi. It explores the time period when Bambi is still a fawn and his mother has just died. It ends prior to the time when Bambi is shown as an adult in the first movie. trequel A work following a sequel; the third in a series, particularly of films. synonym ▲ Synonym: threequel Paraquel A paraquel isn't something you come across very often, but this is a story that occurs within the same world at the same time as another story. This means you will likely see overlapping characters and scenes, though they probably won't all be the same. If an author writes a story of the same events from another character's perspective, that would be a paraquel. If "Story X" and "Story Y" are happening at the same time to two different characters within the same world, the two stories would then be paraquels of each other. My book, The Heart of Everton Inn, is a paraquel in relation to The Secret of Drulea Cottage because the two stories are taking place at the same time, but The Heart of Everton Inn features Adaira Stubbins as the main character, whereas Briony Fairborn is the protagonist of The Secret of Drulea Cottage. Circumquel This type of story has events occurring before "Story X" and events occurring after "Story X." I can't recall ever watching a movie or reading a book with this type of story, and it seems like it would be very difficult to create a compelling one. I would think that making two separate stories (a prequel and a sequel) would be a better stylistic choice than putting both past and future events into one story. postquel (Blend of post- +‎ sequel.) (narratology) A work of fiction which is set after the events of an earlier installment in a series but is not an immediate sequel. C.S. Lewis's The Lion, the Witch and the Wardrobe was followed by four sequels beginning with Prince Caspian, but also an inquel (The Horse and His Boy) and a prequel (The Magician's Nephew)

🐰, 🩺 , 🍼 doctor , boyfriend

My best friend has the most beautiful hair. People always comment on it. This year, when my mom was diagnosed with cancer, she was the first person I told. A week later she came into school with all of it gone. Mar 19, 2011 at 5:00pm by Rebecca, California

I saw a teenage girl with cancer at a theme park. Her whole life, she wanted to go on a big rollercoaster, but she wasn't tall enough. One by one, people got out of line and waited behind her & they said, "We're not getting on until she does." Citizens who fight for our children GMH Mar 25, 2011 at 9:00am by Lauren, CA

http://www.sos.mo.gov/images/archives/deathcerts/1954/1954_00037183.PDF HANSON, Darrell Anthony - 14Y white male school boy - b: Dec 15 1939 Corder, Lafayette Co, MO - d: Dec 7 1954 Henry Co, MO - fth: James Hanson - mth: Thelma Hammond - usual res: Rt 4, Clinton, Henry Co, MO - informant: Mrs. Thelma Church, Clinton, MO - cause: bladder cancer - bur: Dec 9 1954 Englewood Cemetery (H), Clinton, Henry Co, MO - filed as: Darrell A. Hanson, file no: 37185 http://www.henrycomo.us/Death%20Records/hdeath.html

https://theconversation.com/never-had-a-pap-smear-now-theres-a-diy-option-for-you-70706

Potential causes of abnormal or unclear Pap smear results: HPV, which is the most common cause an infection, such as a yeast infection a benign, or noncancerous, growth hormone changes, such as during pregnancy immune system issues This doesn’t necessarily mean that you have cancer. But it does mean that your doctor will probably want to do more testing.

Pap smear checks the cells and is sensitive to any abnormalities or inflammation It does not screen for all cancer or any other gynecologic cancer. It does not automatically mean you have cancer. There may not even be anything wrong. ~

My Brenda was diagnosed with ovarian cancer and given 6 months to live. A year later she was still fighting when my grandma was diagnosed with stage 4 pancreatic cancer. Brenda spent every second of her last days on Earth caring for her mum. Her selflessness GMH. Jan 1, 2015 at 11:00am by Abigail, Carmel, Indiana

A boy was dying of cancer and needed an expensive brain surgery, but his family, broke and desperate, couldn't afford it. His 8 year old sister Tess took her piggy bank savings to a pharmacist in order to buy a 'miracle'. It just so happens that the right man witnessed the little girl's tears at the pharmacy counter: a neurosurgeon. He performed the surgery for free. Jun 18, 2009

r/TwoSentenceHorror 2 hr. ago PandorazPokemon ϟ ѕcrσll dσwn αll thє wαч The young doctor frowned as he finished telling me the cancer had spread to my lymph nodes. "That's alright," I said, as I eyed him up and down; "it's about time for a new body anyway."

I saw a teenage girl with cancer at a theme park. Her whole life, she wanted to go on a big rollercoaster, but she wasn't tall enough. One by one, people got out of line and waited behind her & they said, "We're not getting on until she does." Citizens who fight for our children GMH Mar 25, 2011 at 9:00am by Lauren, CA

A little girl was dying of cancer and her younger brother had a match for the bone marrow she needed. The doctors told him it was a matter of life and death. After he had the surgery, he asked the doctors how long he had to live. He thought if he gave his bone marrow to let his sister live he would die - but he did it anyway. May 20, 2010 at 1:00am by Anonymous

I lost my hair from chemotherapy and became very self-conscious.A few days ago I caught a boy about my age staring at me. I had a rant at him about how he shouldn't stare at people because they look different.He looked down at his feet and said 'I wasn't staring because you're bald, I was staring because you're beautiful. His tolerance GMH Mar 23, 2011 at 12:00pm by Leeds, England

http://www.henrycomo.us/Death%20Records/hdeath.html HAKE, Leonard S. - 38Y married white male farmer - b: Jul 12 1912 Montrose, Henry Co, MO - d: Apr 14 1951 Jefferson Barracks, St. Louis, MO - fth: Anthony J. Hake - mth: Mary Calwei - spouse: Angeline E. Hake - usual res: Rt 2, Fair Grove, Greene Co, MO - informant: VA Hospital Records, Jefferson Barracks, MO - cause: cancer of pharynx - bur: St. Ludger Cemetery, Deepwater Twp, Henry Co, MO - filed as: Leonard S. Hake, file no: 15136 http://www.sos.mo.gov/images/archives/deathcerts/1951/1951_00015132.PDF

　 . ✧　　 　　˚ 　　　 . ✧　　 　　 ˚ 　　　 . ✧　　 　　 ˚ 　　　 repeat after me: i am strong and beautiful 　　　 . ✧　　 　　 ˚ 　　　 　 . ✧　　 ˚ 　　　 　 　　 ˚ 　　　 　 . ✧　　 　　˚ 　　　 . ✧　　 　　 ˚

︵‿︵‿୨♡୧‿︵‿︵ this is your journey — it’s completely normal to grow and change. it’s okay to outgrow people and let go of things that no longer serve you ꒰❤︎꒱

˚　　　　✦　　.　　. 　  ˚　　 . ✦　 ˚　 . ✦　 ˚　. Here’s to women. To the women who support and lift each other up. Women who try their hardest to better themselves. Women who never give up. You are strong, loved, powerful and gorgeous 🥂 ˚　　　　✦　　.　　. 　  ˚　　 . ✦　 ˚　 . ✦　 ˚　.

2020 ACS 2012 ACS 2018 USPSTF Age 21‒24 No screening Pap test every 3 years Pap test every 3 years Age 25‒29 HPV test every 5 years (preferred) HPV/Pap cotest every 5 years (acceptable) Pap test every 3 years (acceptable) Pap test every 3 years Pap test every 3 years Age 30‒65 HPV test every 5 years (preferred) HPV/Pap cotest every 5 years (acceptable) Pap test every 3 years (acceptable) HPV/Pap cotest every 3 years (preferred) Pap test every 3 years (acceptable) Pap test every 3 years, HPV test every 5 years, or HPV/Pap cotest every 5 years Age 65 and older No screening if a series of prior tests were normal No screening if a series of prior tests were normal No screening if a series of prior tests were normal and not at high risk

AGES 2020 Update 2012 old 2018 former rec. Under <25 No screening asymptomatic virgins can request Pap test at age 21 Pap test every 3 years Age 25‒29 HPV test every 5 years (preferred) , HPV/Pap cotest every 5 years (acceptable) or Pap test every 3 years (acceptable) Pap test every 3 years Pap test every 3 years Age 30‒65 HPV test every 5 years (preferred) or HPV/Pap cotest every 5 years (acceptable) Pap test every 3 years (acceptable) or HPV/Pap cotest every 3 years (preferred) or Pap test every 3 years (acceptable) Pap test every 3 years, HPV test every 5 years, or HPV/Pap cotest every 5 years Over 65 + No screening if a series of prior tests were normal No screening if a series of prior tests were normal No screening if a series of prior tests were normal and not at high risk for cancer

A boy was dying of cancer and needed an expensive brain surgery, but his family, broke and desperate, couldn't afford it. His 8 year old sister took her piggy bank savings to a pharmacist in order to buy a 'miracle'. It just so happens that the right man witnessed the little girl's tears at the pharmacy counter: a neurosurgeon. He performed the surgery for free. t irnyALSP posted on Jun 18,2009 g7.00pm

︵୨୧︵‿୨୧‿︵୨୧︵ small joys in life— scented candles, coffee, sunsets, listening to your favourite songs, talking to people you love, hugs, all things pink and cute