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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.
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⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠈⡄⠀⠀⠀⠀⠀⠨⠈⠢⣰⠀⠀⠀⠀⠀⢀⢠⠁⢠⠃⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢰⠀⠀⠀⠡⠀⢋⡈⠑⡧⠎⠀⠀⠀⠀⠈⠀⢠⠃⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢇⠀⠀⣀⠖⢀⠀⠌⠀⠀⠀⠀⠀⠀⠀⢀⠃⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢤⡮⣿⣞⣻⠎⠁⠀⠀⠁⠀⠀⠀⡄⠎⠀⠎⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣸⣾⡟⡶⣝⣦⣦⣄⣀⡀⢀⡴⠢⠀⢀⠎⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣹⣿⣿⣷⣿⡻⣧⢶⡩⢯⠾⣴⣊⠤⠤⠊⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢿⠏⢻⡿⡿⢋⡴⢟⣿⡇⢷⠊⡩⢫⢦⣄⣐⣦⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢠⣧⠈⠈⣷⣲⡟⠀⠗⢀⢻⠼⠂⡀⡀⣁⠉⠉⠁⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠁⠠⠃⠀⠀⠀⠀⠀⠀⠸⡋⠀⢀⠂⡠⣧⣴⣶⡴⣟⢿⣿⠓⡾⣿⣴⣄⢤⡠⠀⠠⠊⠀⠀ ⠈⠀⠠⡀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⡇⠀⠤⠌⠁⠛⡿⣿⣿⡷⣜⡋⣿⢮⣳⣝⣿⣀⢑⡄⢀⣀⠀⠀ ⠀⠀⠀⠀⠁⠀⠠⡀⠀⠀⠀⠀⠀⠀⠀⠀⢯⣠⡂⣪⠤⢎⣌⢙⣹⣿⢽⠻⡯⠹⣻⣻⣷⣿⣥⡽⣏⢐⣜⠁ ⠀⠀⠀⠀⠀⠀⡐⢁⠀⠀⠀⠀⠀⠀⠀⠀⠘⡽⠅⡠⡴⠛⢒⡮⠊⠋⠆⢀⣌⢭⣿⣿⣿⣾⡻⡗⢯⠩⠉⠉ ⠀⠀⠀⠀⠀⠀⠀⠸⠀⠀⠀⠀⠀⠀⠀⠠⣾⣿⣥⣆⡨⠈⢁⡛⠈⡣⢬⠿⣵⣿⢯⣺⣿⣿⡷⡻⣾⠇⢀⡀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠜⣳⣫⢆⣞⢖⠐⢆⠠⠞⠑⢒⠕⣑⡲⡿⣿⣿⣾⣪⠒⡯⣟⡤⢄ ⠀⠀⠀⠀⢠⠁⠀⠀⠀⠀⠀⠀⠀⠀⠀⢰⠓⣯⣸⢿⣷⢞⢻⣔⡠⢉⢒⡢⡼⢻⡟⢉⣲⡶⣿⢧⣿⠛⠞⠯ ⠀⠀⠀⠀⠈⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠋⣷⠟⣽⣻⢿⢇⡺⢴⣁⢁⡋⡀⡐⠞⣍⣝⠿⣺⣷⠳⡀⠀ ⠀⠀⡠⠀⠀⠘⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠁⠹⢹⢾⣼⢸⣷⣧⣼⢍⣳⣛⣻⣯⣉⣠⠵⢿⠧⣜⣼⢳ ⠀⠀⠀⠀⠂⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠘⠉⠟⣿⢧⡿⣻⣿⣿⣿⣷⡌⠛⢶⣼⣧⢼⠑⢰ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠉⠻⢷⣻⢿⣿⣿⣧⡗⠀⠀⠙⢿⢱⡾⣟ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠉⠈⠃⠁⠀⠀⠀⠀⠈⠳⣑⠣ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠈⢪
😷 If it’s a same day appointment without any preparation beforehand, still let them know any needs. Even if it’s not worth it to spend nearly an hour on preparing something especially for you, still let them know what might work best for you. If they need to use a speculum, ask for a small one! Even if they can’t use all their time convincing you of how convenient something might be, still tell them if you cannot do certain methods while feeling safe. Is there something on hand to relieve even a little pain? Can it be self administered at home? Can you sit in a different chair? If you cannot possibly resolve something as much as you’d like, ask for them to at least tell you what’s going on and ask how they might cope with similar sensations. Can an X-ray be done instead of a biopsy? If not, ask for them to take your concerns into account and go from there, such as a less invasive tool designed for the same purpose. Wear a long skirt or a dress so you can just pull it up rather than take your clothes off. You can also bring a jacket or different pants to change into. Take headphones and listen to music, explain you're nervous and would not like to hear much about what's going on but just to be told when they've started and when they've finished. Focus in on what you're listening to. Say if it’s your first time doing a certain procedure and mention your concerns. Acknowledge you understand people don’t necessarily enjoy it for fun. Knowing can make you less anxious. It’s definitely worth asking something like ‘I do find this procedure extremely painful, could you try with a X?’ The procedure is easier for them to perform if you’re not squirming around in pain so there’s no reason for them not to at least try. Pamper yourself. Count as you breathe. Breathe in 1-2-3-4. Breathe out 1-2-3-4. If the doctor's good, they'll keep you talking and talk to you for further distraction, and walk you through each step they take. Most of the time, certain tests don't take much longer than 30 seconds and afterwards they'll leave you alone so you can recover if you need it. Talk to them beforehand so they know you're anxious, and see what they can do to help you get through it. Knowing options are always open to you if you need it can help put you at ease. Knowing what certain tests feel like can make it go smoother and easier to manage. Mentally walk yourself through the procedure before it happens while doing slow breathing exercises - breath in for five counts and out for five (or longer) while walking yourself through what to expect with your eyes closed. If at any point you get nervous, keep breathing and open your eyes. Once comfortable, continue through the procedure and just keep breathing. Don’t dismiss true concerns so you can decide what might be best for you. Gather all available facts to make informed decisions with the medics. Discuss the procedure with the medic and what they will do and when it happens. While the procedure happens, ask them to explain what which thing it is they’re doing next and how it might feel. Tell them if at any point you express discomfort, they check in with you and do not proceed until you give them the green light. Make sure nothing is put in you if you have not consented to or understand the purpose of. It’ll help you stay in some control if you are allowed to say if you wanted to stop at any given time to get through it. Anyone could find any experience distressing, but one’s distress can be magnified by the facts of how they are autistic, traumatized, etc. Just like with any other condition, doctors should have to take into account a particular person in their office and adjust what they’re doing to meet the needs of said patient. Jot down in advance everything you want to discuss to know exactly why, when and how something is to be. Ask for details and mention anything. Think about the muscles in your legs as you close your eyes. Imagine you’re at home, or think of a show. Anything to make it seem less intimidating. Give them notes you’ve taken. Ask if you can pace. Even if you aren’t a child, you still may need the catering even if you understand what medics are for. Make kits. Ask them to listen to you and to take time with you to make it more comforting. Advocate as feedback. 😷
🍑 https://www.mayoclinic.org/tests-procedures/pelvic-exam/about/pac-20385135 🍑
⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣀⣀⣀⣀⣀⡀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⣿⡇⠀⠀⠀⢀⣤⣶⣿⣿⣿⣿⣿⣿⣿⣿⣿⣷⣦⣄⠀⠀⠀⢸⣿⣿⣿⣿⣿⣿⠀⠀⠀⠀⠀⢠⣿⣿⣿⣿⣿⡿⠃⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⣿⡇⠀⢠⣾⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣦⠀⢸⣿⣿⣿⣿⣿⣿⠀⠀⠀⠀⣰⣿⣿⣿⣿⣿⡟⠁⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⣿⡇⣴⣿⣿⣿⣿⣿⣿⡿⠟⠛⠛⠛⠛⠿⣿⣿⣿⣿⣿⣿⣷⣼⣿⣿⣿⣿⣿⣿⠀⠀⢀⣼⣿⣿⣿⣿⣿⠏⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⣿⢿⣿⣿⣿⣿⣿⡿⠋⠀⠀⠀⠀⠀⠀⠀⠈⠻⣿⣿⣿⣿⣿⣿⢿⣿⣿⣿⣿⣿⠀⢀⣾⣿⣿⣿⣿⡿⠃⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⡟⢸⣿⣿⣿⣿⡿⠁⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠙⠛⠛⠛⠛⢻⣼⣿⣿⣿⣿⣿⣠⣿⣿⣿⣿⣿⡟⠁⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⡇⢸⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⣿⢿⣿⣿⣿⣿⣿⠏⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⡇⢸⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⣿⣼⣿⣿⣿⣿⣿⣦⡀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⣧⢸⣿⣿⣿⣿⣿⡀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣠⣤⣤⣤⣤⣼⢻⣿⣿⣿⣿⣿⠻⣿⣿⣿⣿⣿⣷⡄⠀⠀⠀⠀⠀⠀ ⢰⣶⣶⣶⣶⣶⣶⡀⠀⠀⢸⣿⣿⣿⣿⣿⣾⣿⣿⣿⣿⣿⣷⣄⠀⠀⠀⠀⠀⠀⠀⢀⣴⣿⣿⣿⣿⣿⣿⣾⣿⣿⣿⣿⣿⠀⠙⣿⣿⣿⣿⣿⣿⣦⠀⠀⠀⠀⠀ ⠘⣿⣿⣿⣿⣿⣿⣷⣤⣤⣾⣿⣿⣿⣿⣿⠇⠻⣿⣿⣿⣿⣿⣿⣷⣦⣤⣤⣤⣤⣶⣿⣿⣿⣿⣿⣿⡿⢻⣿⣿⣿⣿⣿⣿⠀⠀⠈⢿⣿⣿⣿⣿⣿⣷⡀⠀⠀⠀ ⠀⠘⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠏⠀⠀⠘⠿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠟⠁⢸⣿⣿⣿⣿⣿⣿⠀⠀⠀⠈⢻⣿⣿⣿⣿⣿⣿⣆⠀⠀ ⠀⠀⠈⠛⢿⣿⣿⣿⣿⣿⣿⣿⡿⠛⠁⠀⠀⠀⠀⠀⠈⠙⠿⢿⣿⣿⣿⣿⣿⣿⣿⣿⡿⠟⠋⠀⠀⠀⢸⣿⣿⣿⣿⣿⣿⠀⠀⠀⠀⠀⠻⣿⣿⣿⣿⣿⣿⣧⡀ ⠀⠀⠀⠀⠀⠀⠉⠉⠉⠉⠉⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠉⠉⠉⠉⠉⠁⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀
⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠿⠿⠿⠿⠿⠿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⣿⣿⣿⡿⠛⠉⠀⠀⠀⠀⠀⠀⠀⠀⠀⠈⠙⠻⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⣿⣿⣿⣿⣿⠟⠀⠀⠀⠀⠀⠀⣴⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⣿⠟⠉⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠙⢿⡇⠀⠀⠀⠀⠀⠀⣿⣿⣿⣿⠋⠀⠀⠀⠀⠀⢀⣾⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⠋⠀⠀⠀⠀⠀⠀⠀⣀⣠⣤⣤⣀⡀⠀⠀⠀⠀⠀⠀⠈⠃⠀⠀⠀⠀⠀⠀⣿⣿⡿⠃⠀⠀⠀⠀⠀⢠⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣴⣾⣿⣿⣿⣿⣿⣿⣶⡀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣿⡿⠁⠀⠀⠀⠀⠀⣰⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⡇⠀⠀⠀⠀⠀⣼⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣤⣤⣤⣤⣤⡄⠃⠀⠀⠀⠀⠀⠟⠀⠀⠀⠀⠀⢀⣼⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⢸⡇⠀⠀⠀⠀⢰⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢠⣾⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⢸⡇⠀⠀⠀⠀⠸⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⠁⠀⠀⠀⠀⠀⠈⢿⣿⣿⣿⣿⣿⣿⣿ ⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⡇⠀⠀⠀⠀⠀⢻⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠛⠛⠛⠛⠛⠃⡄⠀⠀⠀⠀⠀⣆⠀⠀⠀⠀⠀⠀⠻⣿⣿⣿⣿⣿⣿ ⡇⠀⠀⠀⠀⠀⠀⢻⣿⣿⡇⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠙⢿⣿⣿⣿⣿⣿⣿⠿⠁⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣿⣦⠀⠀⠀⠀⠀⠀⠘⢿⣿⣿⣿⣿ ⣧⠀⠀⠀⠀⠀⠀⠈⠛⠋⠀⠀⠀⠀⠀⠀⣸⣄⠀⠀⠀⠀⠀⠀⠀⠉⠙⠛⠛⠉⠁⠀⠀⠀⠀⠀⠀⢀⡄⠀⠀⠀⠀⠀⠀⣿⣿⣷⡀⠀⠀⠀⠀⠀⠈⠻⣿⣿⣿ ⣿⣆⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣠⣿⣿⣧⣀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣠⣾⡇⠀⠀⠀⠀⠀⠀⣿⣿⣿⣷⡄⠀⠀⠀⠀⠀⠀⠙⣿⣿ ⣿⣿⣷⣄⡀⠀⠀⠀⠀⠀⠀⠀⢀⣠⣾⣿⣿⣿⣿⣿⣷⣤⣀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢀⣠⣴⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⣿⣿⣿⣿⣿⣆⠀⠀⠀⠀⠀⠀⠈⢻ ⣿⣿⣿⣿⣿⣿⣶⣶⣶⣶⣶⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣶⣶⣶⣶⣶⣶⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿
😷 https://lifehacker.com/what-your-pediatrician-should-and-shouldnt-do-during-a-1822524179 😷
A quick look at the best at-home HPV tests Most affordable at-home HPV test: Everlywell HPV Test – Female Best HPV test with medical support: myLAB Box Home HPV Test Kit Best for women under 30: NURX Home HPV Test Kit Best for quick results: iDNA 🍑 However, some tests use a urine sample instead of a cervical
⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯⣯ ⣯⣇⣇⣇⣇⣇⣇⣇⣯⠁⠀⠀⠀⠀⢻⣧⣏⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇ ⣏⣧⣇⣇⣇⣇⣇⣇⣯⠀⠀⠀⠀⠀⢠⣇⣧⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣯ ⣧⣏⣇⣇⣇⣧⣧⣯⣯⡀⠀⠀⣤⣶⣿⣧⣏⣏⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇ ⣯⣯⣇⣧⣯⠛⠉⣿⣇⣇⠀⠀⣯⣏⣇⣇⣧⣧⣇⣧⣇⣇⣇⣇⣇⣇⣇⣇⣇⣏ ⣯⣯⠟⠁⠀⠀⣤⣿⣧⣧⠀⠀⠀⠀⠀⠀⠀⠀⠀⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇⣇ ⣯⠋⠀⠀⣴⣿⣇⣧⣯⣯⠀⠀⢰⣶⣶⣶⣶⣶⣶⣇⣏⣏⣧⣇⣇⣇⣇⣇⣇⣇ ⡏⠀⠀⣾⣯⣯⣏⣧⣏⣯⠀⠀⠈⠋⠋⠋⠋⠋⠋⠋⠋⠋⣯⣧⣧⣇⣇⣇⣧⣇ ⡂⠀⠀⣇⣧⣯⣧⣇⣇⣯⣤⣤⣤⣤⣤⣤⣤⣤⣤⣤⣄⠀⠀⢫⣧⣏⣇⣇⣧⣇ ⣧⠀⠀⣿⣇⣯⣏⣯⣇⣇⣧⣏⣏⣇⣧⣧⣏⡏⠙⣧⣏⣦⠀⠀⠻⣧⣇⣇⣏⣇ ⣏⣄⠀⠈⢿⣧⣇⣇⣇⣇⣧⣏⣏⣏⣏⣯⠋⠀⠀⣼⣧⣯⣷⠀⠀⠙⣯⠏⢻⣏ ⣯⣏⣦⠀⠀⠈⠛⢿⣇⣧⣇⣧⣇⠟⠋⠀⠀⢀⣾⣇⣧⣇⣯⣿⡀⠀⠀⠀⣠⣿ ⣇⣇⣇⣏⣶⣤⣀⠀⠀⠀⠀⠀⠀⠀⣀⣤⣾⣯⣯⣯⣧⣧⣧⣇⣏⣦⣮⣮⣮⣮
💙 ASD affects each person differently meaning that people with ASD have unique strengths and challenges and different treatment needs. Therefore, treatment plans usually involve multiple professionals and are catered toward the individual. 💙
😷 https://www.psychologytoday.com/us/blog/autism-and-anxiety/201904/medical-visits-and-autism-better-way 😷
| | | | o o | | > | | \_/ | \___/ __| |__ / \ | | | | _________________| | | |_____________---__ / | |_____| | / / / /| mga / /_| _ |_\ / / / / | / / / / / / /__/ / /| /____________________/ / / /__________/___\_/_/ / | |____________________| |_| |__________________|/ | |____________________| |_| |__________________| / ____| | | | | | || | / | o o | o o || o o | / |______________|_____________||_______________|/ _______________________________________________________
💙 PFA TIPS: PAIN MANAGEMENT AND AUTISM By Alizah Patterson, MD, Pediatric Resident, PL-3 , The Herman & Walter Samuelson Children’s Hospital at Sinai Download a printable version of “Pain Management and Autism “ Sensory stimulation can be perceived very differently in people with autism spectrum disorder. It is common for children to be averse to certain types of taste, texture, and flavors. How they perceive pain, however, is not very well understood. Some people believe that people with autism may have a decreased sense of pain, but pain can manifest in different ways. Identifying and managing pain can be challenging for both healthcare providers and parents. Methods to assess pain Assessing pain in children can often be a challenge for providers and parents. For older children, the number pain scale is typically used with 0 representing no pain and 10 being the worst pain imaginable. The faces pain scale allows children to choose a face – images range from happy to crying – that shows how their pain is making them feel. For children who are nonverbal, the FLACC score is often utilized. This method looks at Facial expression, Leg positioning, Activity level, Crying and Consolability. This pain scale requires more time but can reliably assess pain responses in neurotypical individuals. People with ASD or intellectual disability, or any type of cognitive impairment may express pain in other ways and may require a customized FLACC scale. This would incorporate individualized pain behaviors which is more reliable in detecting pain in individuals with cognitive impairment. Again, this would require additional time and understanding of the scale. Research on autism and pain Not much research has been done on the topic of autism and pain, partly due to the challenges of assessing pain in children with communication difficulty and partly due to the common belief that people with autism have decreased sensitivity to pain or a high pain threshold. Studies conducted with people with high-functioning ASD tend to use a pain scale of 0-10. On this scale, patients tend to respond with lower numbers, but other methods of rating pain have shown varying results. Some studies have used observations of providers or parents, which also tended to show decreased sensitivity to pain in children with autism. Other studies have challenged the idea that people with autism experience less pain. These studies found that pain is expressed differently among those with autism. One study comparing children with autism, children with intellectual disabilities, and neurotypical children showed that both behavioral changes and physiologic changes (i.e. heart rate) were higher with pain, but face scores did not vary among the groups. Some case studies have found that when asked their pain score, verbal individuals with ASD respond with low scores, but when asked how much discomfort they have, the score tends to be higher. How does pain manifest in children with autism? Children with ASD may not express pain in typical ways – crying, moaning, or withdrawing from a painful stimulus – and therefore may often be labeled as less sensitive to pain. Several case studies have shown that though children may not show these typical signs or may not react to pain in the moment, they still have physiologic reactions and behavioral reactions. Even with no obvious reaction to a painful stimulus, they may start breathing fast or their heart rate may increase. They may have increased stimming behaviors, aggression, or anxiety after the painful incident. Individuals with ASD also tend to show behavior changes for longer after the painful incident than neurotypical children or children with intellectual disabilities. When assessing for pain in a nonverbal child with ASD, close attention should be paid to increased aggression, self-injurious behaviors, stimming, or any behavior that is not typical for that child. If they are acting unlike themselves, look for a possible source of discomfort or pain that may be present or was present in the near past. In a more verbal child, asking if they have pain or if something hurts may not accurately reflect what they are feeling. Using words such as “discomfort”, “uncomfortable”, or “anxiety” may better approximate the level of pain they are in. What can I do about my child’s pain? If a source of pain can be identified, treating that pain is of utmost importance. Treatment would be the same as for any other child—analgesics such as Tylenol or ibuprofen, ice, or heat (if tolerated), and rest. Parents and providers should be wary of hidden injuries that the patient may not be able to communicate about, such as a fracture or insect bite. If the source of pain cannot be identified or you are unsure of the severity of the injury/illness, always err on the side of caution and have a physician assess your child. They should do a full skin exam to look for scratches, bites, rashes, or other injuries. If an injury is suspected to a limb, x-rays may be needed to rule out a fracture. If no clear injury or illness can be identified, parents and providers should look for other possible medical causes for the behavior changes, like abdominal pain, headache, or urinary tract infection. For pain management during painful or stress-inducing medical procedures, like a blood draw, there are several techniques that can be used. Non-pharmacologic (medication) methods are preferred. Every child may respond differently to these techniques, so some trial and error may be necessary to determine the best method for your child. • Distraction: If your child has a preferred activity, engaging them in this activity during the procedure may significantly reduce their focus on pain. This could include watching a show, blowing bubbles, deep breaths, playing with a toy, or calming movements such as a parent rocking them. • Sensory distractions: There are several items that can be used to distract a child’s senses from the painful stimulus. A vibrating device or ice placed on the area of a blood draw or lumbar puncture can reduce the pain signal sent to the brain. • Topical pain control: There are a few topical medications that can be used to reduce pain sensation. A cooling spray at the site of the procedure is quick and easy. A numbing gel or cream can also be applied 20-30 minutes prior to the procedure, which has been shown to be an effective way to manage pain during IV sticks. However, this has not been shown to reduce anxiety or fear during procedures. • Deep pressure: Firm pressure, through squeezing or a tight hug, has been shown to significantly decrease anxiety and stress in individuals with autism. This method can also be used during medical procedures to decrease discomfort. Every child is different though, so deep pressure may be too much sensory stimulation for some. Medications can also be used to control pain, as well as anxiety, during medical procedures. Pre-medication with acetaminophen or ibuprofen may be helpful in reducing pain. For extremely painful procedures, an opioid may also be reasonable, per a physician’s assessment. Anti-anxiety medications may be helpful in reducing not only anxiety but also pain as they are typically slightly sedating. If you feel it is right for your child, discuss these options with your physician. When it comes to pain management in autism, remember these key points: • Always rule out pain when atypical behaviors occur or when certain behaviors increase. • Children are all different, whether in how their pain manifests or in what strategies work best to control their pain. • There are lots of non-medication options to help manage pain and anxiety during medical procedures. 💙
💙 https://www.spectrumnews.org/features/deep-dive/unseen-agony-dismantling-autisms-house-of-pain/ 💙
💙 https://www.verywellhealth.com/guardianship-for-adults-with-autism-4165687 💙
𝑇ℎ𝑒 𝑏𝑒𝑠𝑡 𝑎𝑛𝑑 𝑚𝑜𝑠𝑡 𝑏𝑒𝑎𝑢𝑡𝑖𝑓𝑢𝑙 𝑡ℎ𝑖𝑛𝑔𝑠 𝑖𝑛 𝑡ℎ𝑒 𝑤𝑜𝑟𝑙𝑑 𝑐𝑎𝑛𝑛𝑜𝑡 𝑏𝑒 𝑠𝑒𝑒𝑛 𝑜𝑟 𝑒𝑣𝑒𝑛 𝑡𝑜𝑢𝑐ℎ𝑒𝑑 — 𝑡ℎ𝑒𝑦 𝑚𝑢𝑠𝑡 𝑏𝑒 𝑓𝑒𝑙𝑡 𝑤𝑖𝑡ℎ 𝑡ℎ𝑒 ℎ𝑒𝑎𝑟𝑡. -𝐻𝑒𝑙𝑒𝑛 𝐾𝑒𝑙𝑙𝑒𝑟
😷 https://about.kaiserpermanente.org/health-and-wellness/our-care/exploring-the-promise-of-at-home-cervical-cancer-screening 😷
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‧
๋࣭ ⁺ 。゚༺ ˖࣪ ∗ C̸Y҉B̶E̸R̸ ∗ ˖࣪ ༻ ๋࣭ ⁺ 。゚
🦿🦾😅 https://nickgram.com/mechanical-leg
Autism is a spectrum. This means everybody with autism is different. Some autistic people need little or no support. Others may need help… What is autism? Review: 7 September 2025 autism can affect everyday life and how you can help support and understand autistic people. What is autism? Autistic people may act in a different way to other people Autistic people may: *find it hard to communicate and interact with other people *find it hard to understand how other people think or feel *find things like bright lights or loud noises overwhelming, stressful or uncomfortable *get anxious or upset about unfamiliar situations and social events *take longer to understand information *do or think the same things over and over Signs of autism might be noticed when you're very young, or not until you're older. If you're autistic, you're autistic your whole life. But some people need support to help them with certain things. Autistic people can live a full life Being autistic does not have to stop you having a good life. Like everyone, autistic people have things they're good at as well as things they struggle with. Being autistic does not mean you can never make friends, have relationships or get a job. But you might need extra help with these things. Autism is different for everyone Autism is a spectrum. This means everybody with autism is different. Some autistic people need little or no support. Others may need help from a parent or carer every day. Some people use other names for autism There are other names for autism used by some people, such as: autism spectrum disorder (ASD) is the medical name for autism Asperger's (or Asperger syndrome) Autistic people can have any level of intelligence Some autistic people have average or above average intelligence. Some autistic people have a learning disability. This means they may find it hard to look after themselves and need help with daily life. Autistic people may have other conditions Autistic people often have other conditions, such as: *attention deficit hyperactivity disorder (ADHD) *dyslexia *anxiety *depression *epilepsy
http://www.irelandoldnews.com/Cork/1856/MAY.html ~ EXTRAORDINARY FOWL.—A chicken of the Cochin China species was left at our Office to-day, by a gentleman residing in this city, which exhibits a singular freak of nature. The bird is fully formed, but, where the tail ought to be looked for, a rather imperfectly formed leg, with three claws fully developed, protrudes, thus supplying it with a leg more than the usual complement. The little animal lived for two or three days, but the mal-formation referred to was not observed until after its death.
Key messages People have a right to expect: access to the care they need, when they need it and that appropriate reasonable adjustments are made to meet people’s individual needs. This starts from the first point of contact with a hospital. This is not just good practice – it is a legal requirement. staff communicate with them in a way that meets their needs and involves them in decisions about their care they are fully involved in their care and treatment the care and treatment they receive meets all their needs, including making reasonable adjustments where necessary and taking into account any equality characteristics such as age, race and orientation their experiences of care are not dependent on whether or not they have access to specialist teams and practitioners. However: People told us they found it difficult to access care because reasonable adjustments weren't always made. Providers need to make sure they are making appropriate reasonable adjustments to meet people’s individual needs. There is no ‘one-size-fits-all’ solution for communication. Providers need to make sure that staff have the tools and skills to enable them to communicate effectively to meet people’s individual needs. People are not being fully involved in their care and treatment. In many cases, this is because there is not enough listening, communication and involvement. Providers need to make sure that staff have enough time and skills to listen to people and their families so they understand and can meet people’s individual needs. Equality characteristics, such as age, race and orientation, risked being overshadowed by a person’s learning disability or autism because staff lacked knowledge and understanding about inequalities. Providers need to ensure that staff have appropriate training and knowledge so they can meet all of a person’s individual needs. Specialist practitioners and teams cannot hold sole responsibility for improving people’s experiences of care. Providers must make sure that all staff have up-to-date training and the right skills to care for people with a learning disability and autistic people.
Weekly Affirmations ♡ I’m confident that there is a bright future ahead of me. ♡ I have everything I need to succeed. ♡ I am capable of reaching my goals. ♡ I will let go of the things that are not serving me. ♡ I am deserving of happiness. ♡ I attract success and prosperity with all my ideas. ♡ Wealth is pouring into my life. ♡ my possibilities are endless. ♡ My future ahead is bright and I am ready to grow.
Chapters Intro Touch your toes for at least 30 seconds hold ankles slowly stand up with a straight back. Lift your head a little more than parallel to the ground. stand up slowly slowly lift your hands and reach for the sky keep standing while raising your arms up reaching for the sky on tippy toes get on your toes for 30 seconds stretch your shoulders on the wall stretch your shoulders stretch lats and thighs stretch out your Latin obliques just kind of reach like that for 30 seconds yoga pose stretch your legs just kind of reach like that for 30 seconds lay on stomach and stretch stretch your lower back for 30 seconds lay on ur back and raise your lower back up cross one leg over the other laying down on the ground Touch your toes while sitting. Keep a straight back. reach for your toes while sitting down while having the leg in in a v shape do jump rope exercises stretch your hamstrings ✨
I saw a mother and daughter studying for a big test, and the daughter has a disablitity. A man at the restraunt paid for their dinner and said, " God bless you for taking the time and working with YOUR daughter, and not paying someone else to do it". Loving families like this GMH ! Mar 22, 2011 at 3:00am by Morgan E, Nashville, TN
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__ _( _)_ ( _) ( ) (_) (_) / = | ___ / \ --\_) _ | ) \ \__/ ) | | | \ / | | | | \ / | | | | \/ | | | | e | | | |__ e __| | |__| | e | |__| | || |\ \ | || | \ \ | || | \ \ | || | ) ) | || | | | | || | | | | || | | | |__||__| |__| -cfbd- || || ||__ / / / / ~~~~` ~~ ~~
__ _( _)_ ( _) ( ) (_) (_) / = | ___ / \ --\_) _ | ) \ \__/ ) | | | \ / | | | | \ / | | | | \/ | | | | e | | | |__ e __| | |__| | e | |__| | | | |\ \ | | | | \ \ | | | | \ \ | | | | ) ) | | | | | | | | | | | | | | | | | | |__| |__| |__| -cfbd- || || ||__ / / / / ~~~~` ~~ ~~
𓏲  🍼 ゚⠀⠀ ・₊ ˚ ⠀ ࿐ 𝗒𝗈𝗎𝗋 𝗋𝖾𝗆𝗂𝗇𝖽𝖾𝗋 𝗍𝗈 𝗍𝖺𝗄𝖾 𝗒𝗈𝗎𝗋 𝗆𝖾𝖽𝗂𝖼𝗂𝗇𝖾, 𝗂𝖿 𝗒𝗈𝗎 𝗍𝖺𝗄𝖾 𝖺𝗇𝗒 ♡  ɞ ⠀⠀ ⠀ .  🌸 ⋆༉
- raise arm - forward bend - raise arm with forward bend - forward bend - rotating toe touching - toe touching in t position - splits side leg touch - splits forward bend - forward spine stretch - raise arm with forward bends ↑
Tue June 22nd, 2010 at 9:39pm I work with Autistic children every week. I work with a boy who has never spoken to me. Today he looked me straight in the eye and said “Thank you, Samantha” I cried so hard. He GMH
𝑇ℎ𝑒 𝑏𝑒𝑠𝑡 𝑎𝑛𝑑 𝑚𝑜𝑠𝑡 𝑏𝑒𝑎𝑢𝑡𝑖𝑓𝑢𝑙 𝑡ℎ𝑖𝑛𝑔𝑠 𝑖𝑛 𝑡ℎ𝑒 𝑤𝑜𝑟𝑙𝑑 𝑐𝑎𝑛𝑛𝑜𝑡 𝑏𝑒 𝑠𝑒𝑒𝑛 𝑜𝑟 𝑒𝑣𝑒𝑛 𝑡𝑜𝑢𝑐ℎ𝑒𝑑 - 𝑡ℎ𝑒𝑦 𝑚𝑢𝑠𝑡 𝑏𝑒 𝑓𝑒𝑙𝑡 𝑤𝑖𝑡ℎ 𝑡ℎ𝑒 ℎ𝑒𝑎𝑟𝑡. — 𝐻𝑒𝑙𝑒𝑛 𝐾𝑒𝑙𝑙𝑒𝑟
https://nickgram.com/mechanical-arm 🦿🦾😅 https://nickgram.com/mechanical-leg
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⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⣿⣿⣿⣿⣿⣧⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣼⣿⣿⣿⣿⣿⣿⣿⣿⠋⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣿⣿⣿⣿⣿⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠀⠀⠀⠀⠀⠀⠸⣿⣿⣾⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣸⣿⣿⣿⣿⣿⣿⣿⣿⠃⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⡆⠀⠀⠀⠀⠈⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡄⠀⠀⠀⠀⠀⠀⣿⣿⣿⣿⣿⣿⣿⡇⢠⣤⣀⣤⣤⣄⣀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣰⣿⣿⣿⣿⣿⣿⣿⡿⠁⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠈⢿⣿⣿⣿⣧⠀⠀⠀⠀⠀⣿⣿⣿⣿⣷⣦⣄⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡇⠀⠀⠀⠀⠀⠀⣿⣿⣿⣿⣿⣿⣿⣷⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡆⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢠⣿⣿⣿⣿⣿⣿⣿⡟⠁⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢀⣴⣾⣿⣿⣿⣿⠀⠀⠀⠀⠀⢻⣿⣿⣿⣿⣿⣿⣿⣦⣄⡀⠀⠀⠀⠀⣀⡀⠀⠀⠀⠀⠀⠀⢠⣴⣶⣶⣄⣀⣀⣠⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣧⠀⠀⠀⠀⠀⢸⣿⣿⡟⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡿⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣼⣿⣿⣿⣿⣿⣿⡟⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣀⠀⠀⢀⣀⣀⣴⣿⣿⣿⣿⣿⣿⣿⡀⠀⠀⠀⠀⢾⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣷⣿⣿⣿⣿⡗⠀⠀⠀⠀⠀⢀⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠀⠀⠀⠀⠀⢸⣿⣿⣷⣿⣿⣿⣿⣿⣿⣿⡿⠿⣿⣿⣿⠿⠿⠛⠁⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣿⣿⣿⣿⣿⣿⡟⠁⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⣰⣿⣿⣿⣿⣿⣾⣿⣿⣿⣿⣿⣿⣿⣿⣿⠇⠀⠀⠀⠀⠈⠻⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡿⠀⠀⠀⠀⠀⠀⣼⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣦⠀⠀⠀⠀⠈⢉⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣶⣤⣄⡀⡀⣀⡀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⣿⣿⣦⣤⣄⣀⣀⡀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢻⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡿⠃⠀⠀⠀⠀⠀⠀⠀⠀⠉⠛⠿⢿⣿⣿⣻⡿⠛⠟⠉⠉⠀⠀⠀⠀⠀⠀⠘⢿⣿⣿⠿⠿⣿⣿⣿⠿⠿⣟⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡆⠀⠀⠀⠀⢸⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡄⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠘⢿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣷⣦⣴⣶⣄⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠈⠛⠛⠉⠉⠛⠿⠛⢿⣿⣿⠿⠟⠋⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠉⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⢸⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⠁⠀⠀⠀⠀⠘⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡿⠿⠿⠟⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠈⢿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣯⣿⣿⠟⠁⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠈⢿⣟⣻⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡿⠁⠀⠀⠀⠀⠀⠀⠈⠙⢻⣿⣿⣿⡿⠛⠿⠛⠉⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠈⢿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⣿⡿⠃⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠘⢿⣿⡿⠟⢻⣿⣿⣿⠿⠋⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠈⠉⠁⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠛⠿⣿⡿⠛⠛⠿⠟⠁⠈⠉⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀ ⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠈⠁⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀⠀
Symptoms of Ehlers Danlos Syndrome an increased range of joint movement (joint hypermobility) stretchy skin fragile skin that breaks or bruises easily Source:NHS
𝒽𝑜𝓌 𝓉𝑜 𝑔𝑒𝓉 𝓉𝒽𝓇𝑜𝓊𝑔𝒽 𝓅𝒶𝓃𝒾𝒸 𝒶𝓉𝓉𝒶𝒸𝓀𝓈 factors: 胃イ艶 1. if you have sensory issues, the lighting and the way the store is built can actually trigger panic attacks and sympt0ms. 2. agoraphobia is a huge factor as well. basically, you don’t want to go to places where you’ve had panic attacks and obviously get prettɥ terrıfıed. getting through it: 佳なヺ it’s not particularly easy to get through these situations. it’s hãrd to go through situations that make you uncomfortable. 【tips】 1. try to bring a fidget spinner, fidget cube, or something of sort. it will help distract you a bit. it may not work a lot, but i find it helpful. 2. have water with you, where ever you go. . 3. chew some peppermint gum or suck on some peppermint candies. it may not help a lot, but if you have a dry møuth from your panic attacks, it’ll help that symptom out. 4. pretend you’re excited. i know, it won’t be that easy, but sometimes faking one emotion, can actually make that emotion happen. try convincing yourself, “i’m fine, i’m excited! it’s okay!” (source: DARE - THE NEW WAY TO END ANXIETY AND STOP PANIC ATTACKS by Barry McDonagh) 5. accept your panic attacks and anxıety. don’t say no to anxıety because then you’re pushing it a̛way and gıvıng it more pøwer. accept that you do have this going on, but you’re NOT your anxıety. 6. taking deep breaths in and out. try different patterns, it may be hãrd to breathe, but you have to t̢ry. don’t gıve up! 7. finally, try EFT. emotiona1 freedom tapping is known to help relax you. (っ◔◡◔)っ ♥ what you can bring into your regular life ♥ there are so many things you can bring in your life and routines. get ready because i’m gonna list a lot!: 1. meditation 2. eft 3. michael sealey hypnosis 4. yoga 5. exercise 6. journaling 7. bullet journaling 8. reading 9. drinking water 10. drinking herbal teas such as - chamomile, lemongrass, lavender, and etc.. 11. dancing 12. drawing and doodling 13. singing 14. playing some videogames 15. stretches 16. melatonin 17. magnesium 18. listening to motivating podcasts, videos, or songs 19. washing your fash and smiling in the mirror 20. talking positive to yourself 21. writing stories 22. doing thinking exercises in the morning to shift your negative thinking 23. watch one of your favourite shows on youtube, netflix, hulu, or whatever 24. write down on paper, something you want to do. don’t mention your fears or think about it. do something you WANT. don’t let the fear get in the way. 25. practicing some self-care 26. go outside 27. eat some delicious food 28. open your windows and let the sunlight come in 29. take vitamin d and b12! 30. smile and don’t let your panic attacks consume you. you’re a beautiful human being.
December 15, 2013 A Special Needs Family isn't always blood; it's the people in life who celebrate your joys, understand your pain, who love to see you smile, and those who wipe away the tears
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