Results suggested that after the initial shock of learning about the condition and treatment, the effects of the brace-wearing . Full-time braces. Anyways, she's fighting me right and left and while she only needs to wear it 12-14 hours per day, she simply CANT sleep with it. This hard plastic skirtlet came down to cover my groin and behind, stopping just short of where my thigh began. It was a mix of chill and relief to be so exposed after the stiff wrapping of plaster. This type of data sharing may be considered a sale of information under California privacy laws. Wearing my brace was such a big part of my teen years. This took us from the upper floors of the hospital down to the maintenance level where orthopedic diagnoses met orthopedic devices. Wear the brace over a T-shirt 23 hours a day. After a few minutes of this, Alyssa used the scubbie on my lower teeth, and then got Dr Ringler. So much trauma. Langella F, Fusini F, Rossi G, Villafae JH, Migliaccio N, Donzelli S, Berjano P. Eur Spine J. She was flanked by several men in white coats and work shoes who were perhaps interested in the sight of an unusually young scoliosis patient. I was sentenced to wear it 23 hours a day, 7 days a week for all of 7th & 8th grade. Dr. Carlson already told me that I would have to wear the brace 23 hours a day for between two and three years, he also told me what would happen if I didn't, and it scared me a little to think of myself as a young women all bent over and twisted. Mr. Leroy re-entered the room and instructed me to lie down on my back. See more ideas about milwaukee brace, braces, milwaukee. The bracewas first introduced publicly at the American Academy of Orthopaedics meeting in 1946by Dr . The following program is designed to help your child's skin and muscles adjust to having the brace on. [8] The one-hour that the child spends out of the brace should be spent doing exercises. The lead apron was no bother. kyrie 7jordan sneakersair jordanwestbrook shoessupremegiannis shoesyeezyoff white clothingjordans shoesair jordans, p7o40r4d10 n5b12v8l89 r0x31x4c61 t2f29m8r94 g9q05i5w67 j4n88r4j33. I wore the MB from age 12 to 16 when I underwent a brutal spine cutting, chipping and drilling surgery to affix two steel rods to my backbone. The girdle was made of heavy leather with the monel metal strips and the large hinge in front. I think everyone is so used to me with the brace that they just don't really see it anymore. Having this device would allow patients to move by themselves (when arms would be . Studies have proven that this protocol is effective for the conservative treatment of adolescent idiopathic scoliosis. Management of the dentition of patients under treatment for scoliosis using the Milwaukee brace. thus further reducing the degree of the kyphosis, while wearing the orthosis. You can reach so deep with your words never stop writing. The question of brace efficacy is currently being addressed by the University of Iowa Department of Orthopaedic Surgery led NIH Trial (Braist http://clinicaltrials.gov/ct2/show/NCT00448448Pterm=braist&rank=1). Looking back, I can see so many teachable moments surrounding it to share with them. [9] Some patients wear their brace a lot less than is recommended: instead of 23 hours a day they wear it for 15 hours. I remember the process of being fitted, and casted and then the shock of putting on the brace for the first time. . Pushing back hard from the table, I rocked front to back, plastic on plastic, attempting to propel myself from the unforgiving chair. braces - in the days before the Salk vaccine for polio---This looks like the brace I wore except I had another strap that went below the knee and high top shoes. I wore one from 1969-1972-all through high school. Conservative management goals of scoliosis are: It is important to note that not everyone achieves a permanent correction. Gill Solberg; Vardita Gur; Eli Adar. What calls for an intervention for you, calls for a pre-suicide party for me. Later, I was mercilessly bullied in school. Oct 10, 2019 - Explore Dr. William James's board "Milwaukee Brace" on Pinterest. https://www.instagram.com/philanthracrip/. Clipboard, Search History, and several other advanced features are temporarily unavailable. 2022 Mar 20;11(6):1721. doi: 10.3390/jcm11061721. Milwaukee Brace - A Milwaukee Brace, due to its obsolete and bulkier design, is rarely used in the 21st century. I must have looked panicked but I didnt know what to say because I was half-grasping that, Of course, this was what it had all been leading to. I had friends who truly were and loved me brace and all. My cousin wore a Milwaukee. Just a few more minutes today, she said, taking my hands in hers. a nurse helping an elder woman to wear a leg brace - women with leg braces stock . Careers. It will be based on the degree of your curve and your stage of growth. In theory, the more traditional, circumferential neck ring is used for higher thoracic curves (e.g., apex T6 and above), whereas the lower . The bandages with the plaster of Paris wound around my body like an Egyptian mummy, and the terror of having it cut open to take off the mold. It was too tight and I couldnt get away from it. That is usually the journal article where the information was first stated. Writing in July of 2020. I found that if I move my chair back a little and sort of lean forward it was better. I made up my mind that I wasn't going to let that happen to me. Measurement of Milwaukee brace Pad Pressure, The interface forces at four pads were measured in 73 patients withround back deformity (mean age, 14.041.97 years [range, 1018]; mean initial Cobb angle,67.709.23 [range, 5086]). Every brace was different of course, as each persons spine was different. It is no wonder you are so strong. This was quickly adopted as a nonoperative treatment device for idiopathic scoliosis. Leather and Metal Child's Medical Corset Early 20thCFrance, An 1870's to 1880's comfort maternity corset, Vintage White Medical Orthopedic Boned Corset Girdle Ptosis | Etsy, Other Women's Vintage Clothing for sale | eBay, Free Netflix Premium Account Generator 2020. It was two years ago that we found out that I had scoliosis and that for me, the best treatment would be a Milwaukee brace. They now know it didnt even help. I was sentenced to wear it. Each patient underwent measurement in the standing and sitting positions during inhalation/exhalation.[7]. Milwaukee, WI 53202 Phone: 414.289.9107 Fax: 414.276.3349 Email: info@srs.org Web: www.srs . :D :D :D 6,196 views Sep 29, 2019 41 Dislike Share Save ThorOdinson 191 subscribers This is. Zapata KA, Wang-Price SS, Sucato DJ, Thompson M, Trudelle-Jackson E, Lovelace-Chandler V. Negrini S, Grivas TB, Kotwicki T, Rigo M, Zaina F. I give my consent to Physiopedia to be in touch with me via email using the information I have provided in this form for the purpose of news, updates and marketing. For medical advice, always consult your medical doctor. I finally decided, during that two weeks that I was NOT going to let this change the "real" me. If you have a Milwaukee you cannot move your head and everybody will see your brace, but it's very convenient comared to those high pressure european braces and very effective. It's funny but now I get nervous thinking about going to school for the first time without it. No! I blurted. Honey, please. Brace Application Putting the brace on properly is important so it will be comfortable and do its job. It didn't work though, I finally had the surgery. The https:// ensures that you are connecting to the The indications for the Milwaukee brace treatment are (Blount and Moe, 1980): 1. The brace consists of a pelvic circle, throat mold, and various bars, straps and. Churchill Livingstone Elsevier; 2005. Generally, people with moderate scoliosis wear their brace between 12 and 20 hours a day. It was quite a contraption, there are flat metal bars, molded plastic parts and a LOT of straps and stuff. It's a solid piece of plastic that fits around the hips and waist with vertical bars in the front and back that attach to a ring around the child's neck. He showed us to a room and said he would be right back with his "masterpiece" He gave me a undershirt type of thing to put on while he was gone, it sort of reminded me of my dad's undershirts. How long do you wear a Milwaukee brace? Download scientific diagram | The same patient wearing Milwaukee brace. I decided that my "hour out" would be the first thing in the mornings. I was in this house of horrors because I had been diagnosed with scoliosiscurvature of the spine. The worst however was the betrayal of my own face. For decades, the Milwaukee Brace was the golden standard in the conservative treatment of scoliosis worldwide. A Milwaukee brace is recommended for adolescents who have curves greater than 45 degrees and still have growth potential. I wore it for five years, but in the early 1980s I had to undergo a spinal fusion with rod to stabilize my back. Im okay. The room was horrible, horrible in its drowning yellowness. Getty Images offers exclusive rights-ready and premium royalty-free analog, HD, and 4K video of the highest quality. Youngsters who fail to successfully adapt to a Milwaukee Brace displayed measurable psychological differences from those who do adapt satisfactorily to this treatment approach. I only recently realized how much wearing this brace changed how it shaped me (literally) into who I am now. Ugly as the Gennessee River bridge was ugly seen in winter on a tense ride home from my grandparents. Her work is both visually captivating and technically challenging. . It took Mr. Leroy two weeks to complete my Milwaukee masterpiece. The leather strap is passed over the posterior bar on the convex side so that the pressure is applied directly from the lateral side. Brace Technology" Thematic Series-The Lyon approach to the conservative treatment of scoliosis, Physical exercises in the treatment of idiopathic scoliosis at risk of brace treatmentSOSORT consensus paper 2005, Posture management program based on theory of planned behavior for adolescents with mild idiopathic scoliosis. Solutions . VDOMDHTMLtml> Mary Fully Braced in Leg Braces and Milwaukee Brace - YouTube Mary arrives at the clinic for her leg braces fitting today! Join her on her first day of wearing Leg Braces! If you would like to support us and engage more with us then please join our Patreon: https://www.patreon.com/BracedLifeGet High Quality Nurse Uniforms from video in here! White: https://www.ebay.com/itm/High-Quality-Nurse-Uniform-100-Cotton-With-Nurse-Cap-White-Scrubs/264426318764 Blue: https://www.ebay.com/itm/Blue-Nurse-Uniform-High-Quality-100-Cotton-With-Nurse-Cap-Green-Scrubs/264092160158 Mint: https://www.ebay.com/itm/Mint-Nurse-Uniform-High-Quality-100-Cotton-With-Nurse-Cap-Green/264077542081 Pink: https://www.ebay.com/itm/Pink-Nurse-Uniform-High-Quality-100-Cotton-With-Nurse-Cap-Green-Scrubs/264092161551(Disclaimer: Any injuries or accidents in videos are not real. I was never bothered by wearing it. My head would be thrust upward and backward, changing my field of vision. I pitched forward, hit the edge of the table, and wobbled backward into the chair. Then I wore a body cast for 9months. No Guts No Glory underwear come in three colors (red, black and white) and retail for $20 each Also, maybe you can show your daughter this blog. Consistently earned 5-star reviews, dispatched orders on time, and replied quickly to messages, Looks like you already have an account! Right now we can make body casts, but mobility in them is very limited. For one thing, I found that I had to use my eyeballs a lot more, as I couldn't look left, right or up or down with my head. Like jacket-style braces, kids wear a Milwaukee brace 12-20 hours a day. This entire scene just about sums it up. If there is one con amongst all of the pros, it is the potential for breakdown from the decision to use a plastic "hook" that latches around a button to strap on the upper brace. I could feel her heart beating against my back and my arms could press against my stomach again, the world was briefly concentrated in the space of my body from neck to thigh. The plaster would dry while I stayed in the stretched position. I guess I have learned to compensate so much that it just isn't a big thing to me. Federal government websites often end in .gov or .mil. Correction was thought to occur by passive pad pressure on the apex (in the thoracic spine via pressure on the apical ribs) of the curves and actively by the muscles pulling away from the pads. A metal collar would surround my neck, stopping me from looking down easily unless my whole self from the waist up dipped forward. China. The throat mould is placed just under the chin. Physiopedia articles are best used to find the original sources of information (see the references list at the bottom of the article). 8600 Rockville Pike It had been a difficult morning, and Mama wanted me to enjoy my favorite meal: fish and chips. [17] There is however; no good evidence to support manual therapy as a stand alone conservative management of scoliosis. I felt like I looked like a zombie, it seemed like my head was tilted up too much. It is important not to remove the device during sleep or when taking a bath because these activities require further stabilization of the spine.. After three months, the patient should still be in the brace at night and on weekends to maintain spinal . The Milwaukee Brace was developed by Dr Walter Blount of Milwaukee, Wisconsin in the mid 1940's as a removable postoperative immobilization device for the treatment of neuromuscular scoliosis patients. One of my friends had spinal fusion and I carried a speaker from class to class so she could continue school. Negrini S, Donzelli S, Aulisa AG, Czaprowski D, Schreiber S, de Mauroy JC, Diers H, Grivas TB, Knott P, Kotwicki T, Lebel A. John D.M Stewart, Jeffrey P. Hallett, Traction and Orthopaedic Appliances; B.I.Churchill Livingstone New Delhi, Second Edition; Spinal Orthosis, Milwaukee brace; Page No.141. 100% complete. It did tear up my clothes though. It was a difficult treatment to go through with no sympathy, kindness or even comprehension from any of my doctors. I find writing some of my experiences on this blog now before I forget will someday give my kids a better sense of who I am. The room was filled with the presence of metal, for braces, for tools, for the grab bars a patient grabs to stand still and straight during the plaster casting. Disclaimer, National Library of Medicine This protocol has been shown to have psychological and body image issues on the patients. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. Flat, vinyl-covered pads were attached to a metal frame extending from the neck to the waist. She creaked the thing wider and I was in. Thanks for sharing this information! I remember her having to be casted for the pelvic girdle and then all the fitting sessions. Posted November 21, 2017. I also made up my mind not to fight it and not to feel sorry for myself, I was determined to get used to wearing the brace and just try to forget about it. That way, I could take my shower and do my hair and makeup before putting it back on for another 23 hours. I stood supported by her knees. Shook her head. I was wearing the new long undershirt they said I would need to wear to keep my skin from being rubbed raw at the waist, and to absorb sweat. My curvature was an "S" curve which literally looked like the letter "S" in the x-rays. I had this brace too. I hated it, but I didn't care about the brace any more. "Diabetes, braces on your teeth, and now this.". We were the only ones there and it wasn't long before Jimmy was ready for us. Hows it feel? she asked, taking a puff on her cigarette. But on one of your pictures you have the same dirty face expression. The first report of its use for this purpose came in 1958 (JBJS 40A:511-525, 1958). The great compassion you write with for the young girl of your memory was incredibly moving and consoling to me. Most patients adapt quickly to wearing the brace and the results are typically satisfactory. I can still remember the smell of it all and people screaming in other rooms. This is "maria milwaukee brace in mall" by Maria Nome on Vimeo, the home for high quality videos and the people who love them. 1173185, Milwaukee brace non-operative treatment for scoliosis; Agnes Chow; Journal of the Hong-Kong physiotherapy association; 1978; Volume 2; p26-32 (A1), Postural Disorders and Musculoskeletal Dysfunction. Mama turned her head away while I undressed. Im so glad they dont use this contraption anymore, but it feels like such a waste. The effects of the Milwaukee brace on the dentition and jaws. Where does it , Her fingers delicately pulled most of it off the back of my neck and to the side, and she said thoughtfully, Weve got to cover.All right, lets getting this on first.. Spinal stabilization exercise effectiveness for low back pain in adolescent idiopathic scoliosis: a randomized trial. Okay, she sounded a little frightened, and loosened it. The x-ray table, cold linoleum, had tape marking where exactly to stand. Keep in mind that anyone can view public collections- they may also appear in recommendations and other places. [4], Get Top Tips Tuesday and The Latest Physiopedia updates, The content on or accessible through Physiopedia is for informational purposes only. Braces are often used in children with postural disorders who have not yet reached their growth spurt or are in a period of rapid growth. Luckily, it does not impact my breathing. Thanks! [13] Regular physiotherapy has also been shown to reduce pain scores compared with home exercise programmes alone. :D :D :D - YouTube 0:00 / 7:49 How i wear Milwaukee brace ! A Milwaukee brace is used in the treatment of postural disorders like idiopathic scoliosis or Scheuerman disease. Please seek professional guidance. Learn more in our Privacy Policy, Help Centre, and Cookies & Similar Technologies Policy. The site is secure. we prepare and deliver at your doorsteps. Provides effective correction for mild and moderate curves, up to 40-45 degrees, during the skeletal growth period (contraindicated for mature individuals). I could not find one- until I dug though some boxes at my mom's house. The brace was constructed to flatten the lumbar lordosis and in theory increase the effectiveness of the appropriately place pads. Wear and care Download Clinical Assessment of Infant Head Shapes Understanding flat head syndrome (Plagiocephaly) in babies CP patients wear AFOs less than prescribed Novel 3D imaging for chest wall anomalies in Calgary Pectus carinatum causes, symptoms and treatment Teen born with a pigeon chest now stands taller Some rigid braces require full-time wear, which is typically between 16 and 23 hours a day, whereas others are only worn about 8 to 10 hours per night while sleeping. Sunday, September 11, 2016 Milwaukee Brace Today at Tales From the Crip Ingrid Tischer wrote the following: What would be a "threat of self-harm" for you, is a "personal choice" for me. And you are so strong and courageous to go back and vividly recreate what it was like. I did get to the point where I could sleep successfully with it on. The neck screw took a minute but spun easily once she had the pieces in place. I truly think the Milwaukee brace is the hardest to get kids to wear. Yes! My mother and I were facing each other. A cervical collar will attend and poked regions of my back where, apparently, the curves were most severe. I was obviously sensitive to having my picture taken in it- I knew I looked like Frankenstein and wanted no evidence left behind. I was forced to wear it. I finally decided, during that two weeks that I was NOT going to let this change the "real" me. 2019 Jul;28(7):1638-1651. doi: 10.1007/s00586-019-05896-4. One long bar in the front and two in the back that spoke of erector sets traveled from my shoulders down my torso to where they fixed onto the molded plastic girdle cinched in at my waist. The first brace shop that I remember was dusty and loud with the sound of saws. Yikes. Case 1 has been omitted due to missing data and the figures from cases 3 through 9 have been omitted for space concerns. This study was never published but provided critical information regarding the problems created by the initial version of the Milwaukee Brace that eventually resulted in a design change to a neck ring to avoid the negative aspects of the original design. Got it off my sophomore year. I know EXACTLY how you felt. This site needs JavaScript to work properly. Etsy is powered by 100% renewable electricity. However, the posture is far more comfortable to achieve while . Because my memories go back to the age of three and no farther, it seems as if I came into existence as I was (just barely) walking with my mother, and occasionally my father, through the long hallways of Rochesters Strong Memorial Hospital around 1969. I will never forget how they made a cast of my body so the technician could make my brace. Gosh. It would have been impossible to put it on myself even if I had been old enough since all the fastenings were in the back. Artificial flesh-colored body parts were resting on workbenches. The first brace he had was effective in correcting his severe kyphosis. See more ideas about milwaukee brace, braces, orthopedic brace. The metal bars are attached to the leather pelvic corset to form a base from which one anterior and two posterior metal uprights pass upwards to a ring around the neck. Find professional Women With Leg Braces videos and stock footage available for license in film, television, advertising and corporate uses. The Captain Ds restaurant was bustling with the lunch crowd. It is cut lower at the sides to avoid pressure on the costal margins. I do hope its well. Thanks so much! I couldn't sleep with my headgear the first time I tried. Wearing a brace When the choice of treatment is for you to wear a brace, it is to ensure the vertebrae (bones) in your spine have time to heal and to avoid them collapsing. I stared at the prosthetic arms, legs, and other fake body parts displayed in the shops front window beneath the steady glow of a neon sign advertising: ARTIFICIAL LIMBS. "You poor kid," Dr. Davis says to me. I wonder if you also had this turning point. It was horrible. I made up my mind that once everyone saw me wearing the brace and knew that it was just going to be a part of me for at least the next couple of years, that my life would just be as normal as possible. Back then it was made of steel bars and it had the chin pad. My movie is It's a Wonderful Death. 87 PARAPLEGIC SPINA BIFIDA - POLIO GIRLS IN FULL LEG BRACES ideas in 2022 | leg braces, polio, paraplegic PARAPLEGIC SPINA BIFIDA - POLIO GIRLS IN FULL LEG BRACES 86 Pins 20w Collection by Nelson Hooper Similar ideas popular now Braces Wheelchair Women Beautiful People Beautiful Women Long Ponytails Long Shorts Model Photography Sexy Pics Lady My mother hugged me and hugged me, the brace lying on its side next to my pants and shirt. Milwaukee Brace. Be respectful even if you disagree. Thankfully our HS started then and not in 9th grade, so I had a fresh start that year. My hair was already snagged in the collar. Ask away and we will do our best to answer or find someone who can.We try to vet our answers to get you the most acurate answers. Just a little while longer today, she said. I had a plan, it was no matter how strange I felt or tired I felt, I was determined to be an actress and smile and put on a happy appearance. My friends would spot someone at the mall staring at me, they'd let me know and I'd turn around and stare at them back. I shoved my food tray to the floor. Listed below are some activities which maybe appropriate to wear a brace however it is not meant to . I lacked her confidence completely. It was a warm, humid day and it didnt feel good but it didnt hurt. If there is any sign the curve deteriorates the patient should wear the brace again as before.[1]. It was the defining feature of her teen years. Bethesda, MD 20894, Web Policies Well, those two weeks went faster than I wanted and the big day arrived all too soon. (LogOut/ sharing sensitive information, make sure youre on a federal I did not know what to do with my face. The Milwaukee brace, also known as a cervico-thoraco-lumbo-sacral orthosis or CTLSO, is a back brace most often used in the treatment of spinal curvatures (such as scoliosis or kyphosis) in children but also, more rarely, in adults to prevent collapse of the spine and associated pain and deformity.It is a full-torso brace that extends from the pelvis to the base of the skull. Change). Read more, Physiopedia 2023 | Physiopedia is a registered charity in the UK, no. In the 1960's and early 1970's Dr Ignacio Ponseti (Professor Emeritus of Orthopaedics at the University of Iowa) and Dr William Olin (Professor Emeritus of Orthodontics at the University of Iowa) studied the adverse oral and mandibular consequences of the Milwaukee Brace in scoliosis patients at the University of Iowa. Unable to load your collection due to an error, Unable to load your delegates due to an error. 2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. I have tried to explain my experience to people and made jokes about how embarrassed I was, and how people asked if I had been hit by a truck. Guidelines on" Standards of management of idiopathic scoliosis with corrective braces in everyday clinics and in clinical research": Scoliosis treatment using a combination of manipulative and rehabilitative therapy: a retrospective case series, Manual therapy as a conservative treatment for adolescent idiopathic scoliosis: a systematic review, https://www.physio-pedia.com/index.php?title=Milwaukee_brace&oldid=269931. Please enable it to take advantage of the complete set of features! I stared it in the eye as the light flashed. I was put in a frame and plaster was wrapped all around me to make a mold of my body so they could use it to make my brace to my exact measurements. Oh yes, many everyday functions were a struggle on display for all your school mates to enjoy. 12 Other elements are a plastic pelvic girdle, aluminium uprights, leather L-shaped thoracic pads and metal bars in the front and in the back.[1][2]. I made a point of telling all my friends about the brace and why I will have to wear it and for how long, I figured it would be best to prepare them ahead of time rather than just show up at school wearing it. My hour was up. I could see I had a lot of "adjusting" to do! Etsys 100% renewable electricity commitment includes the electricity used by the data centres that host Etsy.com, the Sell on Etsy app, and the Etsy app, as well as the electricity that powers Etsys global offices and employees working remotely from home in the US. Available from: Maruyama T, Takesita K, Kitagawa T, Nakao Y. Misterska E, Gowacki J, Gowacki M, Okrt A. Andersen MO, Christensen SB, Thomsen K. Outcome at. There is no way the brace is for 0-3 months, so that's probably just the time for actually making it and fitting it. It had a chin rest. 55 degrees is a pretty major curve. Answerbag wants to provide a service to people looking for answers and a good conversation. adidas yeezygolden goosesupreme clothinggolden goosebalenciagagoyard handbagsgolden goose shoesgoyard walletgolden goosegoyard bags. On the two hour trip home I just tried to convince myself that I would get used to my brace, and going to school tomorrow with it on. There were several of us at school. I felt everything for a while that evening as if nothing had ever touched my skin before. You could try that. . HISTORY, DEVELOPMENT AND BIOMECHANICS OF THE MILWAUKEE BRACEThe Milwaukee Brace (MB) is a cervico-thoracic-lumbar-sacral-orthosis(CTLSO) originally developed by Dr. Walter Blount in Wisconsin in the 1940's for thepostoperative management of polio patients following spinal fusion surgery. Unauthorized use and/or duplication of this material without express and written permission from this blogs author and/or owner is strictly prohibited. See this image and copyright information in PMC. Orthopedists are carpenters and gardeners; they revere the symmetrical and stake the drooping stalk. This was quickly adopted as a nonoperative treatment device for idiopathic scoliosis. Enter your email address to follow this blog and receive notifications of new posts by email. It's a CTLSO. I tried to wiggle around in the thing as if to shake it off. My mother helped me dress like the other girls. . It consists of a neck ring with a throat mould and two occipital pads to avoid a high pressure in the neck. Mama and I walked through the front door of the shop. That first brace was a primitive Milwaukee. Actually I wonder how we make it through all this crap without a psichic support.
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