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Karen's Journey: Essential First Steps In the Care of a Child with Duchenne Muscular Dystrophy

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Duchenne Muscular Dystrophy (Disease Or Medical Condition) Becker muscular dystrophy DMD DBMD Karen karen crucial needed main leading chief capital wanted needful trivial extra minor key prime perfect primary ideal cold nub basal inborn inbred innate connate learned flawed wrong essence element must heart rudiment guts stuff ABCs fear trivia afflictive critical dangerous decisive desperate dire essential grave serious severe sudden urgent vital austere bald basic blunt chaste hard literal meager mere modest scant sheer simple spare stark unembellished unornamented authority backbone basis chief constituent core evidence foundation fundamental groundwork important part infrastructure origin primary element principal principle root source underpinning central elemental indispensable inherent intrinsic necessary primitive radical substratal underlying antecedent assumption axiom background backing base bedrock cause center chief ingredient crux data dictum explanation footing hard fact justification keynote keystone law nexus nucleus postulate premise presumption presupposition principal element proof reason sanction security substratum support theorem theory warrant bounden compulsory conclusive counted upon imperative incumbent on indissoluble irrevocable mandatory obligatory required requisite unalterable acute bare binding Essential essentials eSSeNTiaL early prime head premier opening leading initial primary least pioneer key basic front ahead trivial minor extra last final ending dominant champion foremost chief ruling main arch advanced eminent supreme ranking primo greatest initially originally beforehand ancient earliest endemic first indigenous native original primeval primitive primordial earlier forward in front in the forefront in the lead previously prior avant-garde breakthrough cutting-edge excellent exceptional extreme higher late leading-edge liberal precocious progressive radical state-of-the-art unconventional advancing along ante antecedently at an advantage at the head before fore forwards in the foreground onward onwards precedent precedently preceding previous progressing to the fore accomplished consummate expert finished highest major master preeminent top A-1 ace bad beyond compare boss capital choicest cool culminating finest first-class first-rate incomparable inimitable matchless nonpareil number 1 optimum out-of-sight outstanding paramount peerless perfect premium principal sans pareil second to none super superlative terrific tops tough transcendent unequaled unparalleled unrivaled unsurpassed aboriginal advance best First! First FIRST!! comment first asian f1rst firsting firsts first!!!! douchebaggery first! comments blog forums internet 1st second 2nd spam annoying champ winner baller third fourth fifth step steps comic sudden tense affecting breathtaking climactic dramaturgic dramaturgical effective electrifying emotional expressive farcical histrionic impressive melodramatic powerful sensational spectacular startling striking suspenseful the histrionical The load strain fear worry charge woe dismay sorrow onus burden stress alarm sweat bother stew health aid relief joy delight calm benefit comfort help peace ease neglect effort wariness caution concern nicety interest exertion regard prudence trouble thought heed pains apathy laziness lethargy disregard ignorance omission oversight control trust keeping aegis ward watch tend protect attend sit mind foster mother nurse nurture wait on hate hurt enjoy love want cherish desire respect like prize take to amore ardor attachment care case closeness crush devotion emotion endearment feeling friendliness friendship good will hankering heart inclination itch kindness liking passion predilection propensity puppy love sentiment shine soft spot solicitude tenderness warmth weakness yen advancement advice advocacy alleviation allowance assist assistance attention backing backup benefaction benevolence bounty charity compensation cooperation deliverance encouragement endowment favor furtherance gift giving guidance hand handout leg up lift ministration ministry patronage promotion reinforcement rescue reward salvation service shot in the arm subsidy sustenance treatment all-overs angst ants in pants apprehension botheration butterflies cold sweat creeps disquiet disquietude distress doubt downer drag dread fidgets flap foreboding fretfulness fuss goose bumps heebie-jeebies jitters jumps misery misgiving mistrust nail-biting needles nervousness panic pins and needles restlessness shakes shivers suffering suspense uncertainty unease uneasiness watchfulness willies worriment amenity assiduities civility compliment consideration deference gallantry mindfulness politeness authority countenance influence sponsorship supervision ado aggravation annoyance anxiety bellyache bustle difficulty exasperation flurry headache irritant irritation molestation nudge nuisance pain pain in the neck perplexity pest plague pother pressure problem to-do trial vexation affection attention(s) auspices Care cares care? infant youth baby kid minor bairn sprout lamb tyke tot imp cub squirt issue teen babe urchin nipper mite moppet brat chick cherub shaver kiddie adult child little one newborn suckling angelface bambino bundle buttercup button crawler deduction dividend dumpling little angel little darling little doll nursling papoose preemie tad toddler write-off youngster buck cadet chap dude fellow gamin guy half-pint junior lad little guy little shaver master punk puppy runt schoolboy small fry sonny stripling tadpole whippersnapper brood children chip off old block get heir kin offshoot offspring posterity product progeniture progeny scion seed spin-off action aim angle animus big picture brainchild conation conspiracy deliberation end enterprise game plan gimmick goal intendment intrigue lay of the land machination meaning notion object objective picture pitch plan play plot point project proposition purport purpose recipe reflection scenario scene schema scheme setup story target thinking thought trick undertaking view volition what's cooking will being biped body character creature individual life mortal personage soul wight boy descendant design human for near plus upon accompanying additionally also as companion as well at same time besides coupled with furthermore in addition to likewise moreover side by side simultaneously too with amid amidst betwixt encompassed by in dispersion through in the midst of in the thick of mid surrounded by by all of by the whole of in association with in connection with in the class of in the company of mutually out of together with with one another a step from abreast of adjacent to adjoining alongside aside at one's elbow at the edge of at the side of bordering on cheek by jowl close at hand close to close upon connected with contiguous to fornent in juxtaposition nearby neck and neck neighboring next door to nigh opposite overlooking round verging on at the hand of in the name of over supported by through through the agency of through the medium of under the aegis of via with the assistance of along with among other things as well as counting in conjunction with inclusive of made up of not to mention along among beside including W.I.T.H. WITH Duchenne sinewy burly sturdy brawny stout robust wiry hefty husky lusty mighty strong tiger tough hulky ripped ropy small thin weak beastly bestial bodily brute brutish corporeal earthly earthy feral fleshy mammalian muscular natural physical sensual untamed wild zoological able-bodied active energetic fit powerful strapping vigorous athletic beefcake beefy big bruising bulky gorillalike hulking hunk portly stocky thickset well-built coarse fibroid hairy pulpy stalky threadlike tissued veined woody able acclimatized capable enduring firm fresh hale hardened healthy hearty in fine fettle in good condition in good shape indefatigable inured physically fit resistant rugged seasoned solid sound stalwart staunch substantial tenacious unflagging well all right blooming bright-eyed bushy-tailed chipper flourishing full of life hardy healthful in fine feather in the pink lively normal potent restored rosy-cheeked safe and sound trim unimpaired virile whole animal fibrous disease Disease DisEASE curative healing iatric iatrical harmful hurting tonic sedative narcotic salutary peptic aesculapian curing medical medicative pharmaceutic remedial therapeutic medicinal Medical condition Becker Beckers becker sinewy burly sturdy brawny stout robust wiry hefty husky lusty mighty strong tiger tough hulky ripped ropy small thin weak beastly bestial bodily brute brutish corporeal earthly earthy feral fleshy mammalian muscular natural physical sensual untamed wild zoological able-bodied active energetic fit powerful strapping vigorous athletic beefcake beefy big bruising bulky gorillalike hulking hunk portly stocky thickset well-built coarse fibroid hairy pulpy stalky threadlike tissued veined woody able acclimatized capable enduring firm fresh hale hardened healthy hearty in fine fettle in good condition in good shape indefatigable inured physically fit resistant rugged seasoned solid sound stalwart staunch substantial tenacious unflagging well all right blooming bright-eyed bushy-tailed chipper flourishing full of life hardy healthful in fine feather in the pink lively normal potent restored rosy-cheeked safe and sound trim unimpaired virile whole animal fibrous DMD dmd
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