Reflection of History Emojis & Text

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https://www.nature.com/articles/d41586-018-05112-1

NEWEST GUIDELINES ON CANCERS SCREENING OF THE WOMB COMPARED TO PREVIOUS RECOMMENDATIONS SUGGESTED for AFAB people aged ~25-65 yrs. old 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

AGES 2020 Updated guidelines for screening 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 *detects even the slightest change in the, even if not potentially problematic *said cancer usually aggravated by hpv viruses; the hpv vaccine for it currently only protects against a certain amount of hpv virus; therefore can still get tested if vaccinated. *hpv is a type of virus which can be dormant if you've ever been ‘active’

ColoGuard is (FDA)-approved stool test and can be done at home Noninvasive, convenient, affordable, acceptable alternative to a colonoscopy for many people have a much higher acceptable sensitivity than colonoscopy for colon cancer. ↑

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

𝚂𝙴𝙿𝚃𝙴𝙼𝙱𝙴𝚁 – 𝟸𝟶𝟸𝟹 𝚂𝚞|𝙼𝚘|𝚃𝚞|𝚆𝚎|𝚃𝚑|𝙵𝚛|𝚂𝚊 ------------------------------- 𝚡𝚡|𝚡𝚡|𝚡𝚡|𝚡𝚡|𝚡𝚡|𝟶𝟷|𝟶𝟸 𝟶𝟹|𝟶𝟺|𝟶𝟻|𝟶𝟼|𝟶𝟽|𝟶𝟾|𝟶𝟿 𝟷𝟶|𝟷𝟷|𝟷𝟸|𝟷𝟹|𝟷𝟺|𝟷𝟻|𝟷𝟼 𝟷𝟽|𝟷𝟾|𝟷𝟿|𝟸𝟶|𝟸𝟷|𝟸𝟸|𝟸𝟹 𝟸𝟺|𝟸𝟻|𝟸𝟼|𝟸𝟽|𝟸𝟾|𝟸𝟿|𝟹𝟶

Do need the pap smear test if a virg!n and/or not s*xual active? You may not necessarily require, unless... You want to plan on having offspring To check for as*ault (such as ab*se) A family relation has had female reproductive cancer if contemplating feticidal abort1on If getting some reproductive apparatus if any of the above applies to you, the circumstances might be different regarding whether or not you as a virg!n should get one if you're not active The pap smear test only checks for cancers caused by the hpv transmitted virus which is transmitted vía such contact If you're not virg!n you may have hpv (said cancer causing virus, which the pap checks you for) dormant in your system

💙 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. 😷

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

💙 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.). 💙

💙 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. 💙

can yall stop flooding the site with nonsense, parents should watch what their kids are doing 🙌😊🤍

這不是你該撕開的『壁紙』 星期一，我想出了一個完美計劃，甚至沒有人知道我和他是朋友。星期二，他 從他父親那兒偷了槍。星期三，我們決定在第二天的動員大會採取行動。星期 四，當整個學校的師生都在體育館時，我們就在門外等著。 我將用槍指著從體育館先走出來的人。然後，他將拿著槍，進入體育館爆破。 我走到輔導員奎恩先生面前，朝他的臉開了三槍，最終，他往後跌入體育館 內，奄奄一息。 槍聲震耳欲聾，禮堂傳來尖叫聲；不過，還沒有人發現我們。 我把槍遞給他，低聲說：”到你了。” 他跑進體育館，開始射擊，而我緊隨其後。 他尚未擊中任何人。孩子們都爭先恐後地躲起來。這是一場混亂。 我跑到他身後，把他撲倒，我們扭打在一起。 我從他手中奪下槍，把槍對準他，然後奪走他的命。 我成功封口了。 星期五，我被譽為英雄，這的確是一個完美的計劃。 原文作者：Huntfrog

🍑 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. 🍑

開學日 每個人都喜歡上學的第一天，對吧？新的一年，新的課程，新的朋友。在現實 中的沈悶破壞所有樂趣之前，開學日是充滿潛力與希望的一天。 我喜歡開學日有幾種原因，例如，我有一種力量，當我看著別人時，我可 以……感覺到他們周圍有種光，是個彩色的輪廓，能顯示這個人「還能活多久」。 我遇到的大多數和我年齡相仿的人都被一種純綠色的色調包圍，這意味著他們 還有許多餘命。 有一些人的光環是黃色或橙色，這往往意味著車禍或其他悲劇。 真正有趣的是當他們的光環進入光譜的紅色端時。有時，我會看到某些人神似 行走的紅燈，這些都是被謀殺或自殺的人。 看著他們，知道他們時日不多，可真讓人著急。 考慮到這點，我總是很早到教室，這樣我就能偵察同學的命運。 第一個走進來的孩子渾身散發著紅色光芒。我在心裡嘻笑地說：太糟糕了，兄 弟。但隨著人們不斷走進教室，他們都有著同樣強烈的光芒。最終，我在窗戶 上瞥見了我的玫瑰色倒影；但我驚呆了，不敢動一根汗毛。 我們的教授走了進來，鎖上了門，他的光環是令人作嘔的綠色。 原文作者：Zenryhao

一生中最幸福的一天 我看著即將成為岳父的人握著他女兒的手穿越走道，當名為「婚禮進行曲」的 背景音樂響起，他的臉上有淚珠滑落的痕跡。 我想這是因為這提醒了他，幾分鐘後，他將看著我牽著他女兒的手，為她戴上戒指。 他走上祭壇，我握著她的手，笑得合不攏嘴，這是我一生中最幸福的一天。 新娘的父親跪在地上，開始哀求：「求你了，我已經按你的要求做了，拜託把 我的女兒還給我。」 我瞪了他一眼：「閉嘴，別再破壞這一刻了。如果你坐下來享受儀式，也許我 會告訴你她身體的其他部分藏在哪裡。」 原文作者：recludus

支離破碎的意外 當晚的事故在他的腦海反覆播放： 紅燈亮了，但他的著急使車子加快了速度。一個橙色的模糊物體從他的右邊飛 來，在一瞬間，劇烈的顛簸襲來，那個騎自行車的人從他的引擎蓋上滾過，掉 在人行道上，消失在黑暗中。 喇叭聲激烈地響起，他驚慌失措，踩下油門，從混亂中尖叫著沖向黑暗，顫抖 地盯著後視鏡，直至返家。 「你為什麽要跑，你這個白癡？」 他從未犯過罪，但現在他正通過想象牢獄之災，以及失去事業、家庭、未來的 可怕以懲罰自己。 「為什麽不現在就去找警察？你請得起律師。」 某人敲打蓋伊-哈爾弗森的前門，他腳下的世界崩塌了。 警察找到了他。他除了應門外，什麽也做不了，逃跑只會讓事情變得更糟。他 的身體在顫抖，他起身走到門前，打開門。一位警察站在門廊的燈光下。 「哈爾弗森先生？」這位面無表情的警官問道。他發出了一聲失敗的嘆息。 「是的，讓我 — 」 「非常抱歉，但我恐怕有一些壞消息。 你兒子的自行車今天晚上被一個肇事逃逸的司機撞了……他當場死亡，我為你 感到遺憾。」 原文作者：minnboy

上帝的鬥士 「如果上帝存在，為什麽世界上會有這麽多的邪惡？」 這是一個常見的問 題，但它是錯位的。所有的事物都必須有平衡。光明和黑暗。善與惡。聲音和 寂靜。沒有一個，另一個就不能存在。「那麽，如果這是真的，那麽上帝就不 做任何事情來打擊邪惡？」 這可能是你腦海中的問題。 「上帝當然會無情地與邪惡鬥爭。我是達塔利安，他最神聖和正義的天使之 一。我在地球上遊蕩，在我發現的地方處置邪惡。我殺死那些你永遠不想知道 的怪物。我將之完全粉碎，這樣你就可以在晚上睡覺。你們人類不知道你們中 有多少人因為我的工作而活著。」 但是史達林呢？希特勒？泰德-邦迪？開膛手傑克？”嗯，那些是我不得不讓他 們活著的小人物。為了平衡。我摧毀的那些人是….，可怕、卑鄙到不該活著 的程度。有趣的是，雖然我敢打賭你從未在任何宗教的文本中聽說過達塔利安 這個名字，但我打賭你聽說過我。例如，美國人稱呼我為：嬰兒猝死綜合症。 原文作者：KMApok

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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. ~

"Pap smear or cytology—collects cells so they can be checked for changes caused by the human papillomavirus, the most common transmitted infection in the United States." says Jessica Rubin, MD, an OB/GYN with Northwell Health. “HPV causes almost all cases of said cancer, and you’re not at risk of HPV until you’ve been active. When you’re younger, your immune system is so healthy, you’re more likely to clear the virus on your own,” notes Rubin. "Pap tests (or Pap smears) look for cancers and precancers. Precancers are cell changes that can be caused by the human papillomavirus (HPV). If not treated, these abnormal cells could lead to cancer." -Dolly Penn, M.D., M.S.C.R., Medical Officer, Healthcare Assessment Research Branch, Healthcare Delivery Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute; and Abbey B. Berenson, M.D., Ph.D., Director, Center for Interdisciplinary Research in Women’s Health, Professor of Obstetrics and Gynecology, University of Texas Medical Branch

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spewystuey • 3y ago • Doctor in the UK here The NHS information on the pap (smear test we call it here) is fairly comprehensive: https://www.nhs.uk/conditions/cervical-screening/why-its-important/ The recommendation here is if you have ever had any such contact then you should have regular screening. In the UK you may choose not to have screening if you've never had said contact, as a) the majority of change and cancers are caused by HPV, which is transmitted and b) changes and cancers not caused by HPV don't tend to be detected by screening (the pap smear) but by symptoms (intermenstrual abnormal discharge) instead You should never feel pressured into an examination., and you always have the option of declining to answer a question, receive all or any part of an examination, or have an investigation such as a blood test or imaging study. It's called "shared decision making" and I encourage all patients to ask 3 questions if they're ever unsure: What are my options? What are the pros and cons of each option for me? How do I get support to help me make a decision that is right for me?

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̸̎͞/̄͆̅ ̎ ̄͆͆̅̅ ̎̿͞͞͞͞͞͞͞͞ι̚ ̈ ̄

(○｀д´)ﾉｼ Σ(っﾟДﾟ)っ

✋😨✋ 🔫😂💰

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

Your doctor should explain what they are doing during every step of the exam. If you have any questions or don’t feel comfortable with what they’re doing, don’t hesitate to speak up!

nah yall stfu about this drama, its literally cooling over. literally so many ppl have been asking yall to js stop abt ‘inappropriate’ combos, and their right. u idiots yk that this is an emoji website right? fr ive been seeing a bunch of ppl advocating for this to end. im upvoting all of em rn. anyways id put my discord but uh nvm now¯\_(ツ)_/¯

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Consider these tips to mentally prepare for your exam: Use relaxation techniques or distraction. Relaxation techniques, such as deep breathing, guided imagery and mindfulness, can be beneficial leading up to and during your exam. Also, throughout the exam, you can close your eyes, inhale through your nose for four seconds and then exhale through your mouth for four seconds. You may want to listen to music or watch a video to distract your mind. You also can bring a partner, family member or friend to talk to during the process. Talk to your health care provider. Let your provider know you are nervous and explain how you are feeling. Ask as many questions as you need and seek advice on how to make the exam easier, such as different positions and/or using a smaller speculum to ease discomfort or pain. You can ask your provider to talk you through the exam step by step so that you are prepared for what is about to happen. If you have health anxiety, fear of the unknown or body dysmorphia, it's important to let your provider know so he or she can help you through the exam. Say "stop" if you are in pain. You can ask your provider to stop at any time if you are uncomfortable or in pain. Reward your efforts. Congratulate yourself on what you have achieved by doing something that makes you happy, such as going to lunch with a friend, watching a movie or reading a new book.

ᶜᵒⁿᵈⁱᵗⁱᵒⁿˢ ᵒᶠ ᵗʰᵉ ᴾʳⁱⁿᶜⁱᵖˡᵉ ᵒᶠ ᴰᵒᵘᵇˡᵉ ᴱᶠᶠᵉᶜᵗ ᵀʰᵉ ᵖʳⁱⁿᶜⁱᵖˡᵉ ᵒᶠ ᵈᵒᵘᵇˡᵉ ᵉᶠᶠᵉᶜᵗ ˢᵗᵃᵗᵉˢ ᵗʰᵃᵗ ⁱᵗ ⁱˢ ᵐᵒʳᵃˡˡʸ ᵖᵉʳᵐⁱˢˢⁱᵇˡᵉ ᵗᵒ ᵖᵉʳᶠᵒʳᵐ ᵃⁿ ᵃᶜᵗⁱᵒⁿ ᵗʰᵃᵗ ʷⁱˡˡ ᵖʳᵒᵈᵘᶜᵉ ᵇᵒᵗʰ ᵍᵒᵒᵈ ᵃⁿᵈ ᵇᵃᵈ ᵉᶠᶠᵉᶜᵗˢ ᵃˢ ˡᵒⁿᵍ ᵃˢ ᵗʰᵉ ᶠᵒˡˡᵒʷⁱⁿᵍ ᶜᵒⁿᵈⁱᵗⁱᵒⁿˢ ᵃʳᵉ ᵃˡˡ ᵐᵉᵗ‧ ᵀʰᵉ ᵉˣᵃᵐᵖˡᵉ ˢʰᵒʷⁿ ᵇᵉˡᵒʷ ⁱˢ ᶠᵒʳ ᵗʰᵉ ᵗʳᵉᵃᵗᵐᵉⁿᵗ ᵒᶠ ᵃⁿ ᵉᶜᵗᵒᵖⁱᶜ ᵖʳᵉᵍⁿᵃⁿᶜʸ⸴ ʷʰᵉʳᵉ ᵗʰᵉ ᵖʳᵉᵇᵒʳⁿ ᶜʰⁱˡᵈ ⁱˢ ᵈᵉᵛᵉˡᵒᵖⁱⁿᵍ ⁱⁿ ᵗʰᵉ ᵒᵛⁱᵈᵘᶜᵗ‧ ᴵᶠ ᵗʰᵉ ᶜʰⁱˡᵈ ᶜᵒⁿᵗⁱⁿᵘᵉˢ ᵗᵒ ᵍʳᵒʷ ᵗʰᵉʳᵉ⸴ ᵗʰᵉ ˢᵃⁱᵈ ᵗᵘᵇᵉ ʷⁱˡˡ ᵉᵛᵉⁿᵗᵘᵃˡˡʸ ʳᵘᵖᵗᵘʳᵉ ᵃⁿᵈ ʷⁱˡˡ ᵐᵒˢᵗ ˡⁱᵏᵉˡʸ ᶜᵃᵘˢᵉ ᵗʰᵉ ᵈᵉᵃᵗʰ ᵒᶠ ᵇᵒᵗʰ ᵗʰᵉ ᵐᵒᵗʰᵉʳ ᵃⁿᵈ ᵗʰᵉ ᶜʰⁱˡᵈ‧ ᴬˢˢᵘᵐⁱⁿᵍ ʳᵉ ⁱᵐᵖˡᵃⁿᵗⁱⁿᵍ ⁱˢ ⁿᵒᵗ ᵖᵒˢˢⁱᵇˡᵉ⸴ ˡᵃᵖᵃʳᵒʰʸˢᵗᵉʳᵒˢᵃˡᵖⁱⁿᵍᵒᵒᵒᵖʰᵒʳᵉᶜᵗᵒᵐʸ ᶜᵃⁿ ᵇᵉ‧ ᶜᵃⁿᵒⁿ ˡᵃʷ ʳᵉᑫᵘⁱʳᵉˢ ᵗʰᵃᵗ ᵗʰᵉ ᵈᵉˢⁱʳᵉᵈ ᵉᶠᶠᵉᶜᵗ ᵐᵘˢᵗ ᵇᵉ ᵃᶜᶜᵒᵐᵖˡⁱˢʰᵉᵈ ⁱⁿ ˢᵘᶜʰ ᵃ ʷᵃʸ ᵃˢ ᵗᵒ ᵇᵉˢᵗ ᵃˢˢᵘʳᵉ ᵗʰᵉ ˢᵘʳᵛⁱᵛᵃˡ ᵒᶠ ᵇᵒᵗʰ ᵐᵒᵗʰᵉʳ ᵃⁿᵈ ᶜʰⁱˡᵈ‧ ᵀʰᵘˢ⸴ ᵗʰᵉ ᵃᵖᵖʳᵒᵛᵉᵈ ᵐᵉᵗʰᵒᵈ ᵒᶠ ᵗᵉʳᵐⁱⁿᵃᵗⁱⁿᵍ ᵃ ᵖʳᵉᵍⁿᵃⁿᶜʸ ⁱˢ ᵏⁿᵒʷⁿ ᵃˢ “ᵇⁱʳᵗʰ⸴” ᵘˢᵘᵃˡˡʸ ᵒᶜᶜᵘʳʳⁱⁿᵍ ᵃᵗ ᵃᵇᵒᵘᵗ ⁿⁱⁿᵉ ᵐᵒⁿᵗʰˢ’ ᵍᵉˢᵗᵃᵗⁱᵒⁿ‧

Date: 15/12/22 Autistic qualities such as differences in how we understand what our body is feeling (interoception), our experience of pain (hypo/ hyper sensitivity) and difficulties in noticing and identifying how we feel (alexithymia) Nurse practitioners and doctors may have a limited understanding of the unique and significant ways in which autism and its associated issues impact a patient’s experience of a given medical procedure. This means that the particular supports that might help to alleviate discomfort could be lacking. We might encounter resistance to our own attempts to self- regulate and take care of our sensory and emotional needs during the appointment. We may even experience medical gas lighting or invalidation when attempting to express our experience or request much needed accommodations ( we know that this happens at higher rates amongst female presenting people, people of colour and those with additional learning disabilities in our community). For those of us with a history of these types of experiences, just being in a medical environment could feel threatening and unsafe. * Autistic person with a particular set of qualities and traits, this is not a prediction of what others might encounter or an attempt to generalise my own experience to the broader community. Date: 15/12/22

ᴱᵐᵖʳᵉˢˢ ᶜʰᵉⁿ ⁽ᴶⁱᵃʲⁱⁿᵍ⁾ ᴱᵐᵖʳᵉˢˢ ˣⁱᵃᵒʲⁱᵉ ᴳᵒⁿᵍʸⁱ ᶜⁱʳᵘⁱ ᴬⁿᶻʰᵘᵃⁿᵍ ˣⁱᵃⁿᵍᵗⁱᵃⁿ ʸⁱˢʰᵉⁿᵍ ᔆᵘ ⁽孝潔恭懿慈睿安莊相天翊聖肅皇后⁾ ᴱᵐᵖʳᵉˢˢ ˣⁱᵃᵒʲⁱᵉˢᵘ ⁽¹⁵⁰⁸–¹⁵²⁸⁾, ᵒᶠ ᵗʰᵉ ᶜʰᵉⁿ ᶜˡᵃⁿ, ʷᵃˢ ᵃ ᶜʰⁱⁿᵉˢᵉ ᵉᵐᵖʳᵉˢˢ ᶜᵒⁿˢᵒʳᵗ ᵒᶠ ᵗʰᵉ ᴹⁱⁿᵍ ᵈʸⁿᵃˢᵗʸ, ᶠⁱʳˢᵗ ᵉᵐᵖʳᵉˢˢ ᵗᵒ ᵗʰᵉ ᴶⁱᵃʲⁱⁿᵍ ᴱᵐᵖᵉʳᵒʳ‧ ᔆʰᵉ ʷᵃˢ ᵗʰᵉ ᵈᵃᵘᵍʰᵗᵉʳ ᵒᶠ ᶜʰᵉⁿ ᵂᵃⁿʸᵃⁿᵍ ⁽ᵈ‧ ¹⁵³⁵⁾‧ ᔆʰᵉ ʷᵃˢ ˢᵉˡᵉᶜᵗᵉᵈ ⁱⁿ ᵗᵒ ᵗʰᵉ ᵖᵃˡᵃᶜᵉ ᵒᶠ ᵗʰᵉ ᴶⁱᵃʲⁱⁿᵍ ᴱᵐᵖᵉʳᵒʳ ⁱⁿ ¹⁵²²‧ ᴸᵃᵗᵉʳ ᵗʰᵃᵗ ʸᵉᵃʳ ˢʰᵉ ʷᵃˢ ᵃᵖᵖᵒⁱⁿᵗᵉᵈ ᵉᵐᵖʳᵉˢˢ ᵘᵖᵒⁿ ᵗʰᵉ ʷⁱˢʰ ᵒᶠ ᵗʰᵉ ᵉᵐᵖᵉʳᵒʳ'ˢ ᵃᵘⁿᵗ, ᵗʰᵉ ᴱᵐᵖʳᵉˢˢ ᴰᵒʷᵃᵍᵉʳ ᶻʰᵃⁿᵍ‧ ᴮᵉᶜᵃᵘˢᵉ ᵒᶠ ᵗʰᵉ ᵗᵉⁿˢᵉ ᵖᵉʳˢᵒⁿᵃˡ ʳᵉˡᵃᵗⁱᵒⁿˢʰⁱᵖ ᵇᵉᵗʷᵉᵉⁿ ᵗʰᵉ ᴱᵐᵖᵉʳᵒʳ ᵃⁿᵈ ʰⁱˢ ᵃᵘⁿᵗ, ʰᵒʷᵉᵛᵉʳ, ʰᵉ ᵈⁱᵈ ⁿᵒᵗ ᵗᵃᵏᵉ ᵃ ˡⁱᵏⁱⁿᵍ ᵗᵒ ᶜʰᵉⁿ‧ ᴵⁿ ¹⁵²⁸, ˢʰᵉ ᵇᵉᶜᵃᵐᵉ ᵖʳᵉᵍⁿᵃⁿᵗ‧ ᴰᵘʳⁱⁿᵍ ᵗʰᵉ ᵖʳᵉᵍⁿᵃⁿᶜʸ, ᵗʰᵉ ᴱᵐᵖᵉʳᵒʳ ᵉˣᵖᵒˢᵉᵈ ʰᵉʳ ᵗᵒ ᵃ ᶠⁱᵗ ᵒᶠ ʳᵃᵍᵉ, ʷʰⁱᶜʰ ᶜᵃᵘˢᵉᵈ ᵃ ᶠᵃᵗᵃˡ ᵐⁱˢᶜᵃʳʳⁱᵃᵍᵉ‧ ᵀᴵᵀᴸᴱᔆ ᴰᵘʳⁱⁿᵍ ᵗʰᵉ ʳᵉⁱᵍⁿ ᵒᶠ ᵗʰᵉ ᶻʰᵉⁿᵍᵈᵉ ᴱᵐᵖᵉʳᵒʳ ⁽ʳ‧ ¹⁵⁰⁵–¹⁵²¹⁾ ᴸᵃᵈʸ ᶜʰᵉⁿ ⁽陳氏; ᶠʳᵒᵐ ¹⁵⁰⁸⁾ ᴰᵘʳⁱⁿᵍ ᵗʰᵉ ʳᵉⁱᵍⁿ ᵒᶠ ᵗʰᵉ ᴶⁱᵃʲⁱⁿᵍ ᴱᵐᵖᵉʳᵒʳ ⁽ʳ‧ ¹⁵²¹–¹⁵⁶⁷⁾ ᴱᵐᵖʳᵉˢˢ ⁽皇后; ᶠʳᵒᵐ ᔆᵉᵖᵗᵉᵐᵇᵉʳ ¹⁵²¹⁾ ᴱᵐᵖʳᵉˢˢ ᴰᵃᵒˡⁱⁿᵍ ⁽悼靈皇后, ᶠʳᵒᵐ ᴼᶜᵗᵒᵇᵉʳ ¹⁵²⁸⁾ ᴱᵐᵖʳᵉˢˢ ˣⁱᵃᵒʲⁱᵉ ⁽孝潔皇后; ᶠʳᵒᵐ ¹⁵³⁶⁾ ᴰᵘʳⁱⁿᵍ ᵗʰᵉ ʳᵉⁱᵍⁿ ᵒᶠ ᵗʰᵉ ᴸᵒⁿᵍᑫⁱⁿᵍ ᴱᵐᵖᵉʳᵒʳ ⁽ʳ‧ ¹⁵⁶⁷– ¹⁵⁷²⁾ ᴱᵐᵖʳᵉˢˢ ˣⁱᵃᵒʲⁱᵉ ᴳᵒⁿᵍʸⁱ ᶜⁱʳᵘⁱ ᴬⁿᶻʰᵘᵃⁿᵍ ˣⁱᵃⁿᵍᵗⁱᵃⁿ ʸⁱˢʰᵉⁿᵍ ᔆᵘ ⁽孝潔恭懿慈睿安莊相天翊聖肅皇后; ᶠʳᵒᵐ ¹⁵⁶⁷⁾

Date: 15/12/22 Support Tips: Preparation: in order to best prepare some actions might include ~ Considering your sensory needs- pack a bag with sensory aids such as headphones, earplugs, coloured glasses, stim tools, comfort items and so on to support your comfort whilst at your appointment. Considering your communication needs- perhaps take a trusted friend or family member to support with verbal communication, a hospital passport that you can share with staff or notes including scripted comments or responses that you can refer to during the appointment to support with or replace verbal speech. Wear suitable clothing that can be easily taken on and off. To minimise uncertainty, research what is involved in the procedure before attending so that you have a good idea what to expect. Write out a list of questions to avoid relying on memory during a potentially stressful experience. Plan your travel route in advance and leave plenty of time to get to your appointment to minimise anxiety and allow time to adjust to the environment upon arrival. Engage in calming, grounding techniques prior to the appointment start time. During: whilst at the appointment it may be helpful to ~ Ask for the nurse practitioner to talk you through the procedure in full before it commences, preferably with use of images or demonstrations with relevant equipment. Be open about which aspects of the experience you might struggle with as an Autistic person and request particular adjustments. Engage in grounding techniques such as mindful breathing. Hold on to a stim object that is comforting or acts as a stress reliever. Listen to music to support self-regulation. Share your concerns or worries with the nurse practitioner to invite reassurance or helpful advice. Remember your reason for attending and why it is important for you. Aftercare: following the procedure, it is a good idea to plan in some time for self-care and self-regulation, some ideas might include ~ Get yourself into a sensory safe space where things feel predictable and calm (for e.g. a quiet room with dim lighting, weighted blanket etc). Arrange to debrief/chat to a friend or another supportive person about your experience after leaving your appointment. Arrange to meet with a trusted person following the procedure to support you with getting back home or perhaps to do something you might enjoy together. Engage in your dedicated interest. Acknowledge your achievement in attending and getting through the appointment. Journal about your experience to help with emotional processing. Engage in your favourite stim to release any tension that may remain in your b0dy. Allow yourself to physically rest or sleep once back at home. Date: 15/12/22

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

̸̇̎/̸̄̿̅̎̎̅͆ ͆͆͆͆̔̿͞ ͆̅̿̄͞ ̿ ̄̇̿̚ ̎ ̎͆

ᴵᶠ ʸᵒᵘ ᵃʳᵉ ᵃ ᵀᵒᵐᵇˢᵗᵒⁿᵉ ᵀᵒᵘʳⁱˢᵗ⸴ ʸᵒᵘ ᵃʳᵉ ᵃʷᵃʳᵉ ᵗʰᵃᵗ ᶜᵉᵐᵉᵗᵉʳⁱᵉˢ ᵃʳᵉ ʳⁱᶜʰ ʳᵉᵖᵒˢⁱᵗᵒʳⁱᵉˢ ᵒᶠ ʰⁱˢᵗᵒʳʸ⸴ ᵃʳᵗ⸴ ᵃʳᶜʰⁱᵗᵉᶜᵗᵘʳᵉ⸴ ᵃⁿᵈ ˢᵗᵒʳⁱᵉˢ‧ ᵀʰⁱˢ ᵀʳᵃⁱˡ ⁱˢ ᵃ ᶜʳᵉᵃᵗⁱᵛᵉ ʷᵃʸ ᵗᵒ ᶜᵒᵃˣ ᵒᵗʰᵉʳˢ ⁱⁿᵗᵒ ᵗʰᵉ ᵍʳᵃᵛᵉʸᵃʳᵈ ᶠᵒʳ ᵃ ᶜʰᵃⁿᶜᵉ ᵗᵒ ᵉˣᵖˡᵒʳᵉ ʷʰᵃᵗ ⁱˢ ʳᵉᵃˡˡʸ ᵗʰᵉʳᵉ ᵃⁿᵈ ᵃᵈᵐⁱʳᵉ ᵗʰᵉ ᵐᵒⁿᵘᵐᵉⁿᵗˢ ᵃⁿᵈ ˢᵗᵒʳⁱᵉˢ ᵒᶠ ᵗʰᵒˢᵉ ʷʰᵒ ʰᵃᵛᵉ ᵍᵒⁿᵉ ᵇᵉᶠᵒʳᵉ‧ ᴾʳᵉˢⁱᵈᵉⁿᵗ ᴶᵒʰⁿ ᶠ‧ ᴷᵉⁿⁿᵉᵈʸ ˢᵃⁱᵈ⸴ “ᴬ ⁿᵃᵗⁱᵒⁿ ʳᵉᵛᵉᵃˡˢ ⁱᵗˢᵉˡᶠ ⁿᵒᵗ ᵒⁿˡʸ ᵇʸ ᵗʰᵉ ᵐᵉⁿ ⁱᵗ ᵖʳᵒᵈᵘᶜᵉˢ ᵇᵘᵗ ᵃˡˢᵒ ᵇʸ ᵗʰᵉ ᵐᵉⁿ ⁱᵗ ʰᵒⁿᵒʳˢ⸴ ᵗʰᵉ ᵐᵉⁿ ⁱᵗ ʳᵉᵐᵉᵐᵇᵉʳˢ‧” ᶜᵉᵐᵉᵗᵉʳⁱᵉˢ ᵃʳᵉ ᵃʳᵗ⸴ ʰⁱˢᵗᵒʳʸ⸴ ᵍᵉⁿᵉᵃˡᵒᵍʸ⸴ ᶜˡᵃˢˢ⸴ ʳᵉˡⁱᵍⁱᵒⁿ ᵃˡˡ ʳᵒˡˡᵉᵈ ⁱⁿᵗᵒ ᵒⁿᵉ‧ ᴺᵒʷ⸴ ʸᵒᵘ ᶜᵃⁿ ‘ᵛⁱˢⁱᵗ’ ᵃ ᶜᵉᵐᵉᵗᵉʳʸ ᵒⁿ ˡⁱⁿᵉ‧ ᵂʰⁱˡᵉ ⁱᵗ’ˢ ⁿᵒᵗ ᵗʰᵉ ˢᵃᵐᵉ ᵃˢ ˢᵗʳᵒˡˡⁱⁿᵍ ᵗʰʳᵒᵘᵍʰ ᵃ ʷⁱⁿᵈʸ ᵃᵘᵗᵘᵐⁿᵃˡ ᶜᵉᵐᵉᵗᵉʳʸ⸴ ˢᵉᵃʳᶜʰⁱⁿᵍ ᶠᵒʳ ᵃⁿ ᵃⁿᶜᵉˢᵗᵒʳ’ˢ ᵍʳᵃᵛᵉ⸴ ⁱᵗ ᵈᵒᵉˢ ᵐᵃᵏᵉ ˢᵉⁿˢᵉ ⁱᶠ ᵗⁱᵐᵉ ᵒʳ ᶠⁱⁿᵃⁿᶜᵉˢ ᵃʳᵉ ʰᵒˡᵈⁱⁿᵍ ʸᵒᵘ ᵇᵃᶜᵏ ᶠʳᵒᵐ ᵐᵃᵏⁱⁿᵍ ᵗʰᵉ ᵗʳⁱᵖ‧ ʸᵒᵘ ᶜᵃⁿ ˢᵗⁱˡˡ ˡᵒᶜᵃᵗᵉ ᵃⁿ ᵃⁿᶜᵉˢᵗᵒʳ’ˢ ᶠⁱⁿᵃˡ ʳᵉˢᵗⁱⁿᵍ ᵖˡᵃᶜᵉ ᵒⁿ ᵗʰᵉ ⁱⁿᵗᵉʳⁿᵉᵗ⸴ ᶜᵒᵐᵖˡᵉᵗᵉ ʷⁱᵗʰ ᵃ ᵖʰᵒᵗᵒ⸴ ᵒⁿ ˢⁱᵗᵉˢ ˢᵘᶜʰ ᵃˢ ᶠⁱⁿᵈᵃᵍʳᵃᵛᵉ‧ᶜᵒᵐ ᵃⁿᵈ ⁱⁿᵗᵉʳᵐᵉⁿᵗ‧ᶜᵒᵐ ᶜᵉᵐᵉᵗᵉʳʸ ᵒᶠᶠᵉʳⁱⁿᵍ ˢᵒᵐᵉᵗʰⁱⁿᵍ ᶠᵒʳ ᵉᵛᵉʳʸᵒⁿᵉ; ʰⁱˢᵗᵒʳʸ⸴ ᵃʳᶜʰⁱᵗᵉᶜᵗᵘʳᵉ⸴ ᵃʳᵗ⸴ ʷᵃˡᵏⁱⁿᵍ ᵗᵒᵘʳˢ ᵃⁿᵈ ⁿᵃᵗᵘʳᵉ⸴ ᵃˡˡ ⁱⁿ ᵃ ˢᵉʳᵉⁿᵉ ᵃⁿᵈ ᵇᵉᵃᵘᵗⁱᶠᵘˡ ˢᵉᵗᵗⁱⁿᵍ‧ ᴰᵃⁿ ᵂⁱˡˢᵒⁿ⠘ ᴵ ˢᵗᵃʳᵗᵉᵈ ᶜᵒˡˡᵉᶜᵗⁱⁿᵍ ⁱⁿᶠᵒʳᵐᵃᵗⁱᵒⁿ ᵃᵇᵒᵘᵗ ᵗʰᵉ ᶠᵃᵐⁱˡⁱᵉˢ ᵃⁿᵈ ᵗʰᵉ ᵖᵉᵒᵖˡᵉ ʷʰᵒ ᵃʳᵉ ᵇᵘʳⁱᵉᵈ ᵗʰᵉʳᵉ‧ ᴬ ˡᵒᵗ ᵃᵇᵒᵘᵗ ʰᵒʷ ᵗʰᵉʸ ᵈⁱᵉᵈ ᵃⁿᵈ ʰᵒʷ ᵗʰᵉʸ ˡⁱᵛᵉᵈ⸴ ˢᵒ ⁱᵗ’ˢ ᵏⁱⁿᵈ ᵒᶠ ᶠᵃˢᶜⁱⁿᵃᵗⁱⁿᵍ‧ ᴺᵒᵗ ᵒⁿˡʸ ᵈᵒ ʷᵉ ʰᵃᵛᵉ ᵇᵘʳⁱᵃˡ ⁱⁿᶠᵒʳᵐᵃᵗⁱᵒⁿ ᵒⁿ ᵗʰᵒᵘˢᵃⁿᵈ ᵒᶠ ᵖᵉᵒᵖˡᵉ⸴ ʷᵉ ʰᵃᵛᵉ ʷʰᵃᵗ ᵗʰᵉʸ ᵈⁱᵈ ᶠᵒʳ ᵃ ˡⁱᵛⁱⁿᵍ ᵗʰᵉⁱʳ ʳᵉˡᵃᵗⁱᵛᵉˢ⸴ ʷᵉ ʰᵃᵛᵉ ᵃˡˡ ᵏⁱⁿᵈˢ ᵒᶠ ⁱⁿᶠᵒʳᵐᵃᵗⁱᵒⁿ⸴ ᶜᵒᵒˡ ˢᵗᵒʳⁱᵉˢ‧ ᵀʰᵃᵗ’ˢ ᵗʰᵉ ʰⁱˢᵗᵒʳʸ ᵖᵃʳᵗ ᵒᶠ ᵗʰᵉ ˢᵗᵘᶠᶠ ᴵ ˡⁱᵏᵉ‧ ᴵ ˡᵒᵛᵉ ⁱⁿᶠᵒʳᵐᵃᵗⁱᵒⁿ ᵃⁿᵈ ᴵ ʰᵃᵗᵉ ᵗᵒ ˢᵉᵉ ⁱⁿᶠᵒʳᵐᵃᵗⁱᵒⁿ ᵈⁱᵉ ʷⁱᵗʰ ᵗʰᵉ ᵖᵉᵒᵖˡᵉ‧ ᴵ ʳᵉᵐᵉᵐᵇᵉʳ ʷᵃˡᵏⁱⁿᵍ ᵃˡᵒⁿᵍ ᵗʰᵉ ᵍʳᵃᵛᵉˢ ᵃⁿᵈ ᵇᵉⁱⁿᵍ ᶠᵃˢᶜⁱⁿᵃᵗᵉᵈ ʷⁱᵗʰ ᵗʰᵉ ⁿᵃᵐᵉˢ ᴬˡᵒʸˢⁱᵘˢ⸴ ᴱᵈʷⁱⁿᵃ⸴ ⱽⁱᶜᵗᵒʳⁱᵃ⸴ ᴺᵃᵗʰᵃⁿⁱᵃˡ‧ ᵀʰᵉʸ ᵃˡˡ ˢᵒᵘⁿᵈᵉᵈ ᶜʰᵃʳᵐⁱⁿᵍ ʸᵉᵗ ᵒˡᵈ ᶠᵃˢʰⁱᵒⁿᵉᵈ‧ ᴬˢ ᴵ ᶠⁱᵍᵘʳᵉᵈ ᵒᵘᵗ ᵗʰᵉ ᵃᵍᵉˢ ᵒᶠ ᵈᵉᵃᵗʰ ᶠʳᵒᵐ ᵗʰᵒˢᵉ ˢᵗᵒⁿᵉˢ⸴ ᴵ ʷᵒⁿᵈᵉʳᵉᵈ ᵃᵇᵒᵘᵗ ᵗʰᵉ ˡⁱᵛᵉˢ ᵒᶠ ᵗʰᵉ ᵖᵉᵒᵖˡᵉ ʷⁱᵗʰ ʷʰᵒˢᵉ ⁿᵃᵐᵉˢ‧ ᴴᵃᵈ ᵗʰᵉʸ ᵐᵃʳʳⁱᵉᵈ? ᴰⁱᵈ ᵗʰᵉʸ ʰᵃᵛᵉ ᶜʰⁱˡᵈʳᵉⁿ? ᴴᵃᵈ ᵗʰᵉʸ ᵇᵉᵉⁿ ʰᵃᵖᵖʸ? ᴴᵃᵈ ᵗʰᵉʸ ʰᵃᵈ ᵃ ᵍᵒᵒᵈ ˡⁱᶠᵉ? ᴬⁿᵈ ᵗʰᵉⁿ ᵗʰᵉʳᵉ ʷᵉʳᵉ ᵗʰᵉ ᵉᵖⁱᵗᵃᵖʰˢ⠘ ᴰᵉᵃʳ ᴮʳᵒᵗʰᵉʳ⸴ ᴿᵉᵐᵉᵐᵇᵉʳᵉᵈ ᴬᵘⁿᵗ⸴ ᴮᵉˡᵒᵛᵉᵈ ᵂⁱᶠᵉ⸴ ᵃⁿᵈ ᴼᵘʳ ᴮᵃᵇʸ – ᵗʰᵒˢᵉ ʷᵉʳᵉ ᵗʰᵉ ˢᵗᵒⁿᵉˢ ᵗʰᵃᵗ ᵃˡʷᵃʸˢ ᵍᵃᵛᵉ ᵐᵉ ᵖᵃᵘˢᵉ‧ ᴵᵗ ʷᵃˢ ᵗʰᵉ ʳᵉᵃˡⁱᶻᵃᵗⁱᵒⁿ ᵗʰᵃᵗ⸴ ʸᵉˢ⸴ ᶜʰⁱˡᵈʳᵉⁿ ᵉᵛᵉⁿ ᶜᵒᵘˡᵈ‧ ᔆᵒ ʷʰᵉⁿ ˢᵒᵐᵉᵒⁿᵉ ᶜᵒᵐᵉˢ ᵒᵘᵗ ʰᵉʳᵉ ᵃⁿᵈ ᵛⁱˢⁱᵗˢ ᵃ ᵍʳᵃᵛᵉ⸴ ᴵ ᶜᵃⁿ ˢᵃʸ⸴ ʸᵒᵘ ᵏⁿᵒʷ⸴ ⁵⁰ ʸᵉᵃʳˢ ᵃᶠᵗᵉʳ ˢᵒᵐᵉᵒⁿᵉ’ˢ ᵖᵃˢˢᵉᵈ ᵃʷᵃʸ⸴ ⁱᵗ’ˢ ᵏⁱⁿᵈ ᵒᶠ ᶜᵒᵒˡ ᵗᵒ ᵇᵉ ᵃᵇˡᵉ ᵗᵒ ᵗᵉˡˡ ᵗʰᵉᵐ ᵃ ˢᵗᵒʳʸ ᵃᵇᵒᵘᵗ ᵗʰᵉ ᵖᵉʳˢᵒⁿ⸴ ˢᵒᵐᵉ ˡⁱᵗᵗˡᵉ ˢᵒᵐᵉᵗʰⁱⁿᵍ ᵗʰᵉʸ ᵈⁱᵈ ⁿᵒᵗ ᵏⁿᵒʷ‧ ᴬⁿᵈ ʸᵒᵘ ʲᵘˢᵗ ʷᵒⁿᵈᵉʳ ʷʰᵒ ᵗʰᵉʸ ʷᵉʳᵉ‧ ᴵ ᵗʰⁱⁿᵏ ʷᵉ ᵒʷᵉ ᵖᵉᵒᵖˡᵉ ᵗʰᵉⁱʳ ʰⁱˢᵗᵒʳʸ‧ ᵀʰⁱˢ ᵃᵖᵖˡⁱᵉˢ ⁿᵒᵗ ᵒⁿˡʸ ᵗᵒ ᵗʰᵒˢᵉ ʷʰᵒ ʰᵃᵛᵉ ʳᵉᶜᵉⁿᵗˡʸ ᵖᵃˢˢᵉᵈ ᵇᵘᵗ ᵃⁿᶜᵉˢᵗᵒʳˢ ᶠʳᵒᵐ ᵍᵉⁿᵉʳᵃᵗⁱᵒⁿˢ ᵇᵃᶜᵏ‧ ᵀʰᵉ ᴵⁿᵗᵉʳⁿᵉᵗ ᵐᵃᵏᵉˢ ᵈᵉᵗᵉᶜᵗⁱᵛᵉ ʷᵒʳᵏ ᵐᵒʳᵉ ᵖᵒˢˢⁱᵇˡᵉ ᵃⁿᵈ ᵐᵘᶜʰ ᵉᵃˢⁱᵉʳ ⁿᵒʷ‧ ʸᵒᵘ’ˡˡ ᵇᵉ ˢᵘʳᵖʳⁱˢᵉᵈ ʷʰᵃᵗ ⁱˢ ᵒᵘᵗ ᵗʰᵉʳᵉ‧

Half of the antibodies generated by the tetanus vaccine may last up to 14 years, which is longer than previously thought (This is known as the half-life.) However, research published in Clinical Infectious Diseases points to the possibility that these regular boosters may not be necessary for adults who've been childhood vaccines. A 2016 study that looked into tetanus immunity in 546 adults found that the vaccine provided at least 30 years of protection. In general the CDC Trusted Source suggested receiving tetanus vaccinations no more than every 10 years. "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."

🪫

ᵀʰᵘʳˢᵈᵃʸ ᴬᴾᴿᴵᴸ ¹, ²⁰²¹

ᶠᴱᴮ ²⁹，²⁰²⁰

⁰⁴|⁰⁷|²⁰²¹

2⃝0⃝2⃝3⃝

r/TwoSentenceHorror 11 hr. ago SkullStar “I only want two kids; no more, no less”, my husband reassured me as I smiled. The twins went inside the house and as my husband's pregnant mistress crossed the street, my foot pressed on the gas pedal.

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

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

Thorny people, get out of here. There could be little kids just trying to find cute kaomoji's, then see your horrible stuff. Copy & Paste this, and Submit it to spread the message #bekind #stopthethornys 12/6/2023

🍑 https://paautism.org/resource/pelvic-exam-social-story/ 🍑

😷 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.

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

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

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

😷 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. 😷

🍑 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. 🍑

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 for cervical cancer

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

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

👹👺🩸👺🔪🔪😡⛓🧨😡😈😈💀💣☠️👺😡☠️💀🩸🩸😈👹👹🔪

(ง ◉ _ ◉)ง "૮₍ ˶•⤙•˶ ₎ა

👨+🤜👧=🙋+🧑‍⚖️+👮🏽‍♀️+⛓️+⚖️+🚨+🚓+🚔+👮+🐕‍🦺+🏃+👨+🔫=🪦

━╤デ╦︻

凸( •̀_•́ )凸╾━╤デ╦︻( -_•)╦̵̵̿╤─

✋🔪☠️

Krillin The Goat "🔥

🧂🔋

🤸‍♂️ 🦽🏌️

18+

♿️🌈

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

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

ℑ𝔪 𝔧𝔲𝔰𝔱 𝔟𝔢𝔦𝔫𝔤 𝔪𝔶 𝔞𝔲𝔱𝔦𝔰𝔱𝔦𝔠 𝔰𝔢𝔩𝔣. 💀

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!

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.

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.

💉 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 😷

˚∧＿∧ 　+ —̳͟͞͞🪃 ( •‿• )つ —̳͟͞͞ 🪃 —̳͟͞͞🪃 + (つ　 < —̳͟͞͞🪃 ｜　 _つ + —̳͟͞͞🪃 —̳͟͞͞🪃 ˚ `し´

ᕙ( ᗒᗣᗕ )ᕗ

https://www.femininesexualalchemy.com/blog/smear-test

Autistic and Being Startled Easily... @neurodivergent_lou Autistic people may struggle with being startled easily, whether that be by a sudden phone call or someone walking into a room. This is something that autistic may experience more intensely than non-autistic people for a variety of different reasons. Autistic people may be 'startled' easily due to hyper-sensitivity to sensory input. For example, for autistic people noise may feel increasingly amplified. The sound of someone coming into a room can be incredibly startling and sudden. Sensory overwhelm isn't necessarily just about the noise itself but can also be related to the layers of sound or unpredictability of it, As autistic people, we may struggle with feeling on edge a lot of the time and being in 'fight or flight mode'. For example, the world can generally feel unpredictable and we may have repeated past experiences of being misunderstood (e.g. due to autistic communication differences). This feeling of being on edge can contribute to being easily startled. It also feels related to how autistic people experience focus and attention. Autistic people may have a tendency toward hyper-focus and getting almost lost into a subject of interest. We may also end up deep in thought or dissociate. This can mean that someone coming into the room can feel particularly disruptive. The shift in attention can be difficult too. One minute your attention is absorbed in a certain thing and then suddenly a person walks in, makes you jump and shifts your attention completely. The theory of monotropism suggests that autistic minds tend to have their focus pulled more intensely towards a smaller number of interests at any given time, leaving less processing resources for other things. Another part of this is waiting to potentially be startled and the stress of waiting for this. For example, if we are waiting for a phone call, it can be stressful anticipating a sudden loud noise. It can make us feel on edge and unable to do anything else.

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

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.