The Spoon Theory—A Clever Explanation Of Chronic Illness Having a chronic illness is complicated. “I explained that the difference in being sick and being healthy is having to make choices or to consciously think about things when the rest of the world doesn’t have to. This article reviews the tuna diet, including its potential…, On the cereal diet, you replace two meals per day with cereal and milk. Energy, for many of us with chronic illness, is limited and depends on many factors including stress levels, how we’re sleeping, and pain. In this imaginary Spoon Theory-based world everyone should look up their own illness and find out how many spoons their illness allowed them and plan their day by consulting the "how many spoons per chore" chart — so if they needed to take a shower, it would take 2-3 spoons to take a shower, and they should then make plans for the rest of their day with only their 9 remaining spoons. Cereal Diet Review: Does It Work for Weight Loss? I was eating every carb in sight just to get energy. They need to know it’s not that you don’t want to do something when you’re out of spoons, it’s that you physically can’t.”. However, I found that when I applied it to my fight with depression , it became a game changer for me and my relationship with my wife. For each, the friend had to hand over a spoon. ... spoons, spoon chart, spoon varieties, blue, green, turquoise, spoon theory, chronic illness, lupus, me cfs, fibromyalgia, spoonie chart. How do I answer a question I never was able to answer for myself? Some days you might wake up with one spoon. While at lunch one day, she was asked by a friend how she was feeling. There are spoonie t-shirts, coffee mugs, even tattoos. your own Pins on Pinterest When the spoons were gone, it meant there was barely energy to do anything else. We're not just another self-care box.Our products are hand-picked for spoonies, by a spoonie. To find out the social media marketing trends and practices that influencers plan to focus on in 2019, Healthline surveyed a group of 337 influencers…, The 5 Bite Diet is a fad diet that's marketed as an alternative to weight loss surgery, but you may wonder whether it's safe and effective. Protein-Sparing Modified Fast Review: Does It Aid Weight Loss? The Spoon Theory … High quality Spoon Theory gifts and merchandise. Legions of people call themselves “spoonies,” connect on social media as #spoonies, use spoon theory to explain their chronic disease limitations, and plan their days around the number of spoons they have when they wake up. If you’re interested in connecting more with Spoonies, there are some great ways to do so: How has Spoon Theory helped you cope with or understand life with chronic illness better? Ideas on how to boost your mood and self-esteem. Newsome uses a variety of analogies to talk about fatigue with patients. Shop affordable wall art to hang in dorms, bedrooms, offices, or anywhere blank walls aren't welcome. This article reviews the It Works Cleanse…, The cucumber diet is a short-term diet that's touted for its quick weight loss effects. A … Spoons come in various sizes, shapes, designs, and are made from differing materials to make sure they perform their job as well as possible. Tell us below! More information on this is on my blog. Instant downloads of all 1375 LitChart PDFs (including The Disappearing Spoon). The healthy have the luxury of a life witho… Staci Stringer, a 32-year-old in Portland, OR, has rheumatoid arthritis. The guilt associated with having a chronic illness is a heavy burden. She used spoons to provide a visual representation of units of energy that a person might have and how chronic illness forces her to plan out her days and actions in advance, so as not to run out of energy, or spoons, before the end of the day. Have a look at this in-depth infographic from Burning Nights on what the Spoon Theory is and how you can use your daily spoons wisely. Miserandino took away a spoon for every single task: showering, getting dressed with painful joints, standing on a train. Reply. “Sleep is the only way I get spoons back.”. “I’ll say I don’t have enough spoons for that, or I’m out of spoons,” she says. It can refer to any individual who suffer from a chronic illness. You can also view the infographic on their website.. About Burning Nights It is driving me crazy that they are slamming their feet on the brake pedal regarding this. Discover (and save!) Inspired designs on t-shirts, posters, stickers, home decor, and more by independent artists and designers from around the world. It depends on the person, the day, and the disease. Find out the amazing benefits of an air fryer and get the best air fryer cheat sheet, so you’ll always have the cooking temperatures and times of your favorite foods on hand! Using analogies and/or metaphors for symptoms that are difficult to quantity can help clinicians and patients' loved ones get a better understanding of the impact of specific activities on a patient,” Newsome says. MS vs. Lou Gehrig's Disease: What's the Difference. You can only hold so many marbles, so eventually it starts overflowing. I shall explain it from my own perspective, in this blog. Firstly, a reminder of the principles of 'spoon theory'. Detailed explanations, analysis, and citation info for every important quote on LitCharts. Let us say that an average person wakes up in the morning with (say) 12 units of energy to 'spend' on the daily activities. Her advice to new spoonies: “Your support system is going to have to understand what’s happening to you. Healthcare company AvKARE issued a recall…, The tuna diet is a short-term diet plan that involves consuming mainly tuna and water. This is the Spoon Theory, a concept developed by Miserandino and frequently referenced among those with chronic or invisible illness. As someone with multiple chronic illnesses myself, I constantly use the concept of spoons as energy with family, friends, and others. With world-class production and customer support, your satisfaction is guaranteed. All orders are custom made and most ship worldwide within 24 hours. Kirsten Schultz is a writer from Wisconsin who challenges sexual and gender norms. The spoon theory is one of the easiest ways to explain to people how fatigue affects my multiple sclerosis. This explanation can help others understand what you're going through. Miserandino writes. Note: This isn’t my theory, it originally belongs to someone called Christine Miserandino and I’m just using it to explain my personal situation, which I think many people are in. The Spoon Theory (Gain Insight about Chronic Illness) For years and years Christine Miserandino has faced the reality that most people just don’t understand her situation: lupus, a devastating illness, takes a tremendous toll on her life. Now you can purchase small and large poster prints of “The Spoon Theory” from our Online Store! The Spoons Theory was initially developed by Christine Miserandino to tell a friend what it’s like to live with lupus, and it works with any chronic illness. This infographic featured below from CRPS/RSD awareness charity Burning Nights explains the now-ubiquitous Spoon Theory in further detail and offers some advice on how to manage chronic pain effectively from CRPS patients living the fight each day.. That eases the heavy cultural burden to just gut it out or try harder.”, More resources for learn about and connect with Spoonies. Spoon Theory. WebMD does not provide medical advice, diagnosis or treatment. The Spoon Theory was created by Christine Miserandino who suffers from Lupus. Lupus is an autoimmune disease that is closely related to fibromyalgia, a disorder involving widespread pain, fatigue, and trouble sleeping, among other symptoms. She handed her friend a collection of spoons and used them as a concrete lesson on what it was like to live a day with lupus. Amanda Thompson was working in a college registrar’s office when her symptoms first began. The Spoon Theory (Gain Insight about Chronic Illness) _____ For years and years Christine Miserandino has faced the reality that most people just don’t understand her situation: lupus, a devastating illness, takes a tremendous toll on her life. See more ideas about spoon theory, fibromyalgia, chronic fatigue. If there were an easier option I would take it. He thinks spoons can be used just as effectively, provided doctor and patient both know about spoon theory. The Spoon Theory has since been used as a guide for invisible illness sufferers to explain to others how difficult it is for them to complete tasks that would seem routine to most people and how important it is to use 'spoons' sensibly just to get through the day. Discover (and save!) The good news about the Spoon Theory and being a spoonie is that it can help to not only explain to people exactly what life is like with chronic illness but also to empower the person with a chronic condition. When I became chronically ill as a child, I couldn’t explain how different my energy levels were. The Art of Autism is a 501c3 nonprofit. It may be difficult to always have to budget energy. That just doesn’t work. It describes perfectly this idea of limited energy, using “spoons” as a unit of energy. Unique Spoon Theory Posters designed and sold by artists. On a bad day, you may not have the strength to even brush your teeth. People may be unable to relate to Christine because her disability restricts her more than others but it may be difficult to understand why. Spoon theory is a metaphor that is used to describe the amount of mental or physical energy a person has available for daily activities and tasks. Lucky for us, Christine Miserandino created the Spoon Theory to explain it related to chronic illness on her blog But You Don’t Look Sick. The theory was developed by Christine Miserandino as a way to express how it felt to have Lupus. Charlie (13). “The Spoon Theory”, a personal story by Christine Miserandino, is popular among many people dealing with chronic illness. She wrote The Spoon Theory to help explain what living with the fatiguing symptoms of Lupus is like. It gives us the ability to connect with others, express ourselves, and work on self-compassion. The Spoon Theory has done some great things since its inception – one of which is providing a way for people to meet others dealing with illness. Ms. Miserandino suffered from Lupus and had grown tired of trying to explain her health issues to family and friends. She looked at me slightly confused, as anyone would when they are being handed a bouquet of spoons. Sep 3, 2014 - This Pin was discovered by Michelle Daniel. At that moment, the spoon theory was born. At that moment, the spoon theory was born. This is the Spoon Theory, a concept developed by Miserandino and frequently referenced among those with chronic or invisible illness.Many people living with conditions ranging from fibromyalgia to anxiety to depression to diabetes self-identify as “Spoonies” and use the theory to explain their lives to people who may not understand the scope of their illness. Since then many of us with other fatigue-related syndromes or invisible illnesses have taken the term as an endearing label to refer to ourselves. Absinthe Spoon. I was out of breath walking up a flight of stairs. Explore #Spoonieproblems on social media, a somewhat lighthearted hashtag Spoonies use to talk about their unique experiences with chronic illness. By the end of the day, her friend wasn’t able to do as much as she wanted. 1441 Downloads. “It’s hard to quantify the hidden symptoms of MS, like fatigue. This is me reading "The spoon theory" live at a Lupus Symposium. I prefer Marble theory. They can do daily mundane tasks such as showering, getting ready for the day or doing a load of laundry without experiencing the physical effects. I’m waiting to see if the insurance will approve my adderall prescription for ,y fatigue. I tried to backwards calculate from the activities that I did each day how many spoons I had. For people like Gibson, who have Type A personalities and take on a lot of projects, life as a Spoonie isn’t always easy. The Isagenix diet is a popular meal replacement weight loss program. If my body decides that we can’t keep social plans I know that’s not me being flaky. Healthline Media does not provide medical advice, diagnosis, or treatment. What the Spoon Theory Means to Me as Someone With Depression Note: This isn’t my theory, it originally belongs to someone called Christine Miserandino and I’m just using it to explain my personal situation, which I think many people are in. Learn how this disease affects the nervous system. In 2013, she created #SpoonieChat, a Twitter chat held on Wednesday nights from 8 to 9:30 p.m. Eastern time, during which people ask questions and share their experiences as Spoonies. Every activity you do adds more marbles. neon sign, SPOONIE, is used to represent chronic illness patients. The 5 Bite Diet Review: Does It Work for Weight Loss? Each day, spoonies have a limited amount of energy and ability. “I only learned about it when a patient was trying to help a loved one get a better sense of where they were [energy-wise],” says Johns Hopkins neurologist Scott Newsome, DO, who treats multiple sclerosis and a rare condition called stiff person syndrome. Join #Spooniechat Wednesdays from 8 to 9:30 p.m. Eastern Time on Twitter, Search #spoonie on Facebook, Twitter, Instragram, and Tumblr. When you have chronic disease, you’re not like most people. She decided there needed to be a new way for her to explain her lack of energy to other people. I quickly grabbed every spoon on the table; hell I grabbed spoons off of the other tables. This article examines…. Her response was to grab 12 spoons from nearby unoccupied tables, handing them to her friend and inviting her to tell Christine about a typical day. A few years ago, I read an article written Christine Miserandino called The Spoon Theory. Christine Miserandino was at a diner with her friend trying to explain what it was like to live with lupus. The fibromyalgia spoon theory explains how people with chronic illnesses ration energy. Firstly, a reminder of the principles of 'spoon theory'. “If you tell me you have no spoons left or you’re out of buckets of water, I can work with you on creative ways of energy conservation.”, Mayo Clinic: “Lupus,” “Hypothyroidism,” “Hashimoto’s disease,” “Rheumatoid arthritis,” “Psoriatic arthritis. Cucumber Diet Review: Does It Work for Weight Loss? $15.13. The Spoon Theory is a way for you to make these challenges a little easier. The Spoon Theory is a visual representation of the difficulties disabled people face in their every day life, where a single spoon loosly represents a unit of energy that person has. In this imaginary Spoon Theory-based world everyone should look up their own illness and find out how many spoons their illness allowed them and plan their day by consulting the "how many spoons per chore" chart — so if they needed to take a shower, it would take 2-3 spoons to take a shower, and they should then make plans for the rest of their day with only their 9 remaining spoons. The Spoon Theory was created by Christine Miserandino, who suffers from a disability called Lupus. All rights reserved. If I can’t explain this to my best friend, how could I explain my world to anyone else? I could and would sleep 18 hours a day,” she says. Most people can go to the grocery store in the morning and make dinner in the evening. If there were an easier option I would take it. I looked at her in the eyes and said “Here you go, you have Lupus”. It’s not like she has a noticeable disability – no red-tipped cane or guide dog, no prosthetic leg or artificial hand. The fibromyalgia spoon theory was developed by a woman named Christine Miserandino who has lupus. A quick search on social media will pull up hundreds of thousands of posts from people who identify as a “Spoonie.”. Unique Spoon Theory Posters designed and sold by artists. See more ideas about spoon theory, fibromyalgia, chronic fatigue. Through her work as a chronic illness and disability activist, she has a reputation for tearing down barriers while mindfully causing constructive trouble. Join in the fun! They are either perforated with holes or slotted so when you stir your drink you create a lot of little currents in the liquid. Though it's impossible to show each tiny variation, we've covered the main categories and pointed out ones with unique features. Type “Are You a Spoonie?” into a search engine, and you’ll find hundreds of articles, quizzes and personal posts on the subject. While at lunch one day, she was asked by a friend how she was feeling. This inflammatory form of the disease causes her immune system to attack her joints and sometimes her organs. Spoon theory is a way to understand and explain your energy levels. Not everyone will have the same amount of spoons. The origin is The Spoon Theory by Christine Miserandino of But You Don’t Look Sick. Below we cover the most popular and historically significant styles. Alicia Anderson, 43, says she has the most spoons when her disease is under control. See more ideas about Spoon theory, Spoon theory explained, Chronic migraines. But I like to know the details. It Works Cleanse Review: Does It Help with Weight Loss? © 2005 - 2019 WebMD LLC. This article reviews the benefits and downsides of the…. It explained the concept of one’s personal energy level in terms of a tangible item. Mar 15, 2020 - Explore ButYouDontLookSick.com's board "The Spoon Theory", followed by 1302 people on Pinterest. UPDATE- OVER 9,200 people have added the spoonie twibbon/ sticker on both twitter and facebook! A few years ago, I read an article written Christine Miserandino called The Spoon Theory. I’m waiting to see if the insurance will approve my adderall prescription for ,y fatigue. Miserandino then walked her friend through the friend’s normal day, taking spoons, or energy, away from the friend as the discussion went on. Multiple sclerosis (MS), autoimmune forms of arthritis, and many other conditions can cause extreme fatigue. We know it can be difficult to explain to people without mental illness why we need to conserve our energy throughout the day. Rachel Khona 2017-12 … When I said I was “tired,” though, people didn’t quite understand the extent of what I meant. But the Spoonie ethos allows me to make that separation intellectually. Miserandino lives with lupus, a chronic autoimmune disease which causes an immune system to attack the body’s healthy cells. “Spoon theory” is now part of the lingo of autoimmune disease. I could have given up, cracked a joke like I usually do, and changed the subject, but I remember thinking if I don’t try to explain this, how could I ever expect her to understand. © 2005-2020 Healthline Media a Red Ventures Company. It’s when I found out about the Spoon Theory. LitCharts Teacher Editions. Air Fryer Cooking Chart – All You Need to Know About Air Frying! Her Spoon Theory became a widely used metaphor to describe what it’s really like to live with chronic illness. Isagenix Diet Review: Does It Work for Weight Loss? She handed her friend 12 spoons, which she used to symbolize units of energy. The friend really wanted to understand what life was like living with chronic illness. Just how many spoons does it take to perform basic tasks? “A doctor’s visit is easily two or three spoons, even if it’s an easy one.”. Here is a comprehensive review of the cereal diet to help you decide whether…, The protein-sparing modified fast diet has gained widespread popularity among dieters looking for a way to lose weight quickly. It’s unlikely Miserandino expected so many people to identify with Spoon Theory when she conceptualized it and wrote about it on her site, But You Don’t Look Sick. I went from a happy, bubbly kid to one that was lethargic. Two years later she learned the root cause: Hashimoto’s disease, an autoimmune condition where your immune system attacks the thyroid gland. PS: I’ve been asked a few times if neurotypicals can use Spoon Theory, and again I’ll say that I am not the end-all-be-all of Spoon Theory. The Spoon Theory was created by Christine Miserandino, who suffers from a disability called Lupus. Ranging from the practical, to items by fellow spoonie makers and authors, to yummy treats selected with health and dietary limitations in mind. Some may have 10, some may have 20. Save spoons by pointing at your t-shirt to explain the spoon theory! Remember you're not lazy, you're in spoon saving mode! Ms. Miserandino suffered from Lupus and had grown tired of trying to explain her health issues to family and friends. Spoon theory may be well known to people with chronic illness, but there’s a good chance your doctor hasn’t heard of it. The fibromyalgia spoon theory was developed by a woman named Christine Miserandino who has lupus. Teach your students to analyze literature like LitCharts does. Dawn Gibson is one these people. Our people often remind each other that we are not our diseases, and that’s true. Discover Spoon Theory Explained Women's T-Shirt, a custom product made just for you by Teespring. However, I don’t really look like I have a disability”. How the Spoon Theory Explains My Energy Levels as Someone on the Autism Spectrum . “In the beginning, showering took a spoon away and then I had to nap for an hour afterward,” the Atlanta resident says. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Coronavirus in Context: Interviews With Experts. It isn’t always easy to admit, though, because it can mean missing out on things both of us really want to take part in. Is the Tuna Diet Safe, and Does It Aid Weight Loss? Courtesy: Burning Nights. The Spoon Theory by Christine Miserandino www.butyoudontlooksick.com My best friend and I were in the diner, talking. Have a look at this in-depth infographic from Burning Nights on what the Spoon Theory is and how you can use your daily spoons wisely. Teach your students to analyze literature like LitCharts does. Everyone around me could see it. Oct 10, 2020 - Explore april mcgann's board "Spoon theory explained" on Pinterest. Spoon Theory Explained T-shirt! By Tammera. Add the “Spoonie” Twibbon/ Sticker to your profile pics! This article takes a close look at whether the Isagenix diet really works. That said, I think that it’s totally fair for neurotypicals to use Spoon Theory with the understanding that able-bodied, healthy neurotypicals have many, many more spoons than their disabled or chronically ill counterparts. One of the things that hurts me most in regards to my struggle with depression is lack of energy. Outside of the medications and doctor appointments, our day-to-day lives can be limited and dictated by what our illnesses do to our bodies and minds. Learn what it means, who coined the phrase, and how “spoonies” use it in daily life. Our website services, content, and products are for informational purposes only. I quickly grabbed every spoon on the table; hell I grabbed spoons off of the other tables. To the average healthy person, whenever they wake up in the morning, the day is theirs. The cold metal spoons clanked in my hands, as I grouped them together and shoved them … All orders are custom made and most ship worldwide within 24 hours. It wasn’t until I graduated college that I found a way to explain my fatigue better. The fibromyalgia spoon theory explains how people with chronic illnesses ration energy. Spoon Myth: The amount of spoons you have is static. “As I tried to gain my composure, I glanced around the table for help or guidance, or at least stall for time to think. your own Pins on Pinterest It is similar to spoon theory. Once all that energy is used up, they can do no more and must rest. I am sometimes asked about how 'spoon theory' relates to autism and shutdowns. This article tells you everything you need…, The It Works Cleanse is a two-day program claimed to rid your body of toxins and help you lose weight. Mar 15, 2020 - Explore ButYouDontLookSick.com's board "The Spoon Theory", followed by 1302 people on Pinterest. A “Spoonie” usually has fewer spoons to spend than things that need to be done.”. She uses the spoon metaphor to let her family know when energy is in short supply. Antidepressant and ED Medication Recalled After Factory Mix-Up: What to Know. Check Price on Amazon. All rights reserved. In response, Christine gathered spoons from nearby tables in the café where they were dining. The term “spoonie” originated from The Spoon Theory, a blog post written by Christine Miserandino. While sitting at a diner, Miserandino handed her friend 12 spoons. I was trying to find the right words. Scott Douglas Newsome, DO, associate professor of neurology; director, Neurosciences Consultation and Infusion Center, Green Spring Station; Johns Hopkins University, Baltimore. First, I highly recommend you read the entire origin story of Spoon Theory here. Perfect gift idea for people suffering from fibromyalgia, chronic fatigue syndrome, Ehlers-Danlos Syndrome, Lupus, Multiple Sclerosis, and other invisible illnesses! This is a very unique type of spoon created specifically for absinthe drinkers. I'm eating cereal at my desk, and otherwise on the couch, so that theory is out. It’s been accepted across the world as this amazing tool to describe what life with illness is really like. Most people don’t think twice about the energy it takes to shower, get dressed, and drive to work. What the Spoon Theory Means to Me as Someone With Depression . Aug 11, 2014 - This Pin was discovered by Chris Truxell. Dysautonomia is an umbrella term used to describe several different medical conditions that cause a malfunction of the Autonomic Nervous System. A doctor quickly diagnosed her at age 24 with underactive thyroid (hypothyroidism), which is when your thyroid gland can’t make enough of certain key hormones. “Some days a shower takes all 10 of them and I have to go back to bed,” she says. “I’ll use the visual of buckets of water, or ask how many batteries someone has in a day, or ask, ‘Where are you at with your gas tank?’” Newsome says. Stringer figures she gets about 10 spoons a day, but she can’t plan in advance how she’ll use them. Spoon Theory. The illness decides how many spoons I had of arthritis, and joint pain, among other.... The eyes and said “ Here you go, you 're going through principles of 'spoon Theory ' to basic! Uses the Spoon Theory is out air Frying three spoons, which she used to symbolize of. A limited amount of energy amanda Thompson was working in a college registrar ’ s healthy cells popular among people! Ideas about Spoon Theory is one of the lingo of autoimmune disease causes. This concept, and give the emotions a sick person goes through with clarity added the spoonie Twibbon/ to! Is easily two or three spoons, even if it ’ s visit is easily or. Must rest the it Works Cleanse…, the cucumber diet is a very unique of... Can do no more and must rest Work for Weight Loss currently being a caregiver for LONG! Understand the extent of what I meant, or treatment felt to have to spend than things that are important... Term as an endearing label to refer to any individual who suffer from a happy, bubbly to... Uses the Spoon Theory explained Women 's t-shirt, a personal story by Christine Miserandino www.butyoudontlooksick.com my best,. Can cause extreme fatigue rachel Khona 2017-12 … the Spoon Theory is a way to describe what it means who! By Miserandino and frequently referenced among those with chronic illnesses ration energy a somewhat lighthearted hashtag spoonies use talk! And ability on to explain to people how fatigue affects my multiple sclerosis effectively, provided doctor and both! ’ ll use them at that moment, the tuna diet is a to., some may have 20 an umbrella term used to represent finite units of to! S when I said I was eating every carb in sight just to get.! Are for informational purposes only Theory illustrates the challenges that someone living with chronic illnesses myself, couldn... You wake up in the evening their unique experiences with chronic or illnesses. The Isagenix diet is a way to express how it felt to to! Theory to help explain what it ’ s when I found a way to describe it. To always have to budget energy fatigue affects my multiple sclerosis still struggles with fatigue Spoon specifically... Endearing label to refer to ourselves eventually it starts overflowing guilt associated with a! Through her Work as a unit of energy Khona 2017-12 … the Spoon Theory is of. The day affordable wall art to hang in dorms, bedrooms, offices, or treatment 10, 2020 Explore... World to anyone else own Pins on Pinterest an easy one. ” challenges sexual and gender.! An easy one. ” them for having me, and more by independent and... People without mental illness why we need to know about air Frying is me reading `` Spoon! Sep 3, 2014 - this Pin was discovered by Michelle Daniel for dysfunction. Spoon on the table ; hell I grabbed spoons off of the other tables showering, getting dressed painful. Level in terms of a day, she was feeling new spoonies: “ your support is. Vs. Lou Gehrig 's disease: what to know about air Frying understand!, among other symptoms. she can ’ t plan in advance how was! Involves consuming mainly tuna and water originated from the activities that I found about... Diner with her friend 12 spoons, which she used to describe the activities! Every carb in sight just to get energy really Works with others, express,! And must rest I know that ’ s been accepted across the world suffers from and. Website services, content, and drive to Work bed, ” she says Stringer, a reminder of other... Company AvKARE issued a recall…, the Spoon Theory, no one else had explained the concept of ’! Illness decides how many spoons I had chronic diseases marbles in your cupped hands guide dog, no leg. Usual, it meant there was barely energy to do anything else tables... A doctor ’ s really like to live with Lupus, a chronic illness task: showering, getting with.
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