Speculum Emojis & Text

.s’etihw-non yllaicepse ,selamef fo egatnavda nekat evah nem sic etihw naisacuac emos citamelborp woh esingocer dna smitciv eht rebmemer su tel .nemow kcalB nacirfA tiolpxe ot detnevni erew hcihw s’muluceps gnisu s’pap lanoitnevnoc .yrotsih tsicar retfa ledom s’muluceps nredom ruo woh fo yrotsih eht llet ll'ti ,knil eht daer uoy fi gpj.d1ffe57f2c24bf8769c1e7468859f66b/59/f6/6b/slanigiro/moc.gminip.i//:sptth knil gniwollof eht

🍑 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 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

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

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. 😷

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

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

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

😷 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 🍑

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

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.

😷 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.

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 *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’

😷 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. 😷

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. 😷

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. ~

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

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

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

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

▄︻╦══- - - ҉ ҉

̸̇̎/̸̄̿̅̎̎̅͆ ͆͆͆͆̔̿͞ ͆̅̿̄͞

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?

"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

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

̸̎͞/̄͆̅ ̎ ̄͆͆̅̅ ̎̿͞͞͞͞͞͞͞͞ι̚ ̈ ̄

(○｀д´)ﾉｼ Σ(っﾟДﾟ)っ

✋😨✋ 🔫😂💰

DID YOU KNOW the Tetanus vaccine can last from 14 to 30 yrs against lockjaw; you can still get vaccinated every decade or so

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!

😷 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. 😷

😷 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. 😷

💙 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. 😷

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)_/¯

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’

ⓘ

📢❗

👊💥🩸

👩‍⚕️🪵♀️

📄ℹ️

💥🤕🩸

♀️🔬🧪

👀💡

😠👊😠

♀️🧑‍⚕️🔬

📌ℹ️

🔪🩸😱😭

♀️🔬✅

ℹ️➡️👤

⚔️💥🎯

🌸🔬✅

👉🧠💡

💥👊⚔️

🔬🫀

ℹ️👀

🏹🏹🏹➡️💥

🌸🔬🩸

📣ℹ️

💥👊💢

👩‍⚕️🔬🧪📄

📢📄

🛡️⚔️➡️🏰

♀️🔬🩺

📝➡️

🔪🩸😵💀🚨

ℹ️👉

👊👃🩸

🗣️❓📑🚫➡️⚖️🏛️💥

💪💥🤕

📧📧🚫➡️➡️➡️🧑‍⚖️👨‍💼🤯

🔪👤❗

ℹ️🔁🚫➡️🧑‍⚖️🏛️❓

👉❗

➡️💥

👨🍈🍈

♀️〇🔬

👉📝

💥🚁🚓

🏋️‍♂️💉😟

🩺👩‍⚕️🔬

ℹ️➡️👀

🏹🛡️➡️🏰💥

👩‍⚕️🌸

🏥♀️🔬

🖕📸

😠👊➡️🤕⚖️

🩺🫰

♀️🔬👩‍⚕️

👀📌

🔪👤

👩‍⚕️🫰

👩‍⚕️♀️🔬

⌨️💥❓🚫🧑‍⚖️👨‍💼ℹ️➡️

🔪🩸😢👊

♀️🔬🩸

HT🖐️✌️ℹ️ℹ️🚫👉👉👉ℹ️🧑‍⚖️🏛️ℹ️🤔🅿️