Autism isn’t one disorder, a genetic analysis shows

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This topic -- sure.
I'm not so surprised.

Because of how the diagnostic itself is mostly behavioral, disregarding internal mechanisms that involves and causes said behaviors.

I'm rather baffled why others do not think of that way instead -- that the idea that similar behaviors can have completely different reasoning behind it.

Just what is so special with autism that other conditions and circumstances can be ruled out from whatever confusion?

But then again, most people do not think about neurodivergency at it's core, only the ideas around it.

Let alone specifics.



And personally?

I'm just one of the too fortunate types who had a room to discern if something really is a part of my wiring or not.

Even more fortunate; the ability to remove something that isn't a part of my wiring for good.

All I can confidently say that mental illness is not in my genetics, and that neurodivergency isn't something that runs in my family.

I had a healthy birth.
And the mismanagement I had from a set of immature parents is more like their own ignorance by assuming I'm like them (NT) -- everything else is something most people went through in socioeconomic sense.

Because if I'm an NT, then why the heck is my reaction to the same adversities so different from peers?
But then, my reactions are also different from NDs too. At first I chalked it off as cultural until I met other autistics within my country.
Still different from them despite similar or worse of circumstances.

Really, the only thing that truly stood out to me that made me different from NDs and autistics alike is my own mother and her bloodline, and then there are my reactions.
Everything else made me different from NTs and everyone else allistic.

Gained Number Post Count (1).
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Lose more time here - Updates at least once a week.

From above cocerning Huckleberrys writing from several posts above:
Brilliant elucidation of current beliefs on development or lack of development of individuals on the Spectrum and other potentially associated neurodiverse. ( so called disorders.) .Thank You . It might be of consequence to consider that often ,People whom have had various brain damaged conditions . The brain ,with some effort or time . Can rewrite past neural deficits
in the brain . .Which I have observed 1 st hand in Head Trauma recovery centers . On some extremely massive scales
that I was not able to comphrend ,but saw the results. With earnest rehabilitation efforts by staff at Rancho Los Amigos,head trauma inpatient rehab center. Watched a hemisphere-ectomy , then eitnessed a non verbal accident victim become verbal again in three months after his surgery .And this may not directly relate to function deficits in a genetic abnormality for abilities for the actual function development of tendrils or neurites , if in fact, that is actually influenced by genetic abnormalities.
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Often I might wonder if this is a direct cause and effect.On account of the brain also managing autonomic nervous system functions ,apetite , breathing , resperation/presperation. And these functions do not normally appear to have serious deficits in function often . So apparently the effects of Autism appear regionally specific in the brain processing/ abilities that develop, So , this is why Am stressing the concepts of methods of teaching to engage learning abilities
particular to the given individual, As with any learning new neural sequences( wiring) have to form grow and be reinforced. To grow connections and strengthen them. And appear to have learned/ gained abilities . If only methodology of instruction is fitting to the learning capabilities. IMHO
It is very interesting about the research with seniors gaining function in As parts of their brains become impaired with lesions in specific areas of the brain. Thank you

We're writing about a published study.
Okay: regarding the diagnosis and how it's made, the problem is the genetic part.
By genetics, I don't mean heredity, but they are two different concepts.
But if in an autistic individual, the distinction between purely genetic causes in that specific case and other causes as well is the part of the discussion that doesn't make sense to me at all.
I've written about it, but perhaps the post is too long, I understand.
Prenatal: an unborn child is already autistic, I mean exactly that.
It's not that they will later become autistic: that's what I mean.
Among other things, a US president (Bill Clinton) welcomed the idea of ​​Nobel Prize winner Renato Dulbecco, who asked who could fund genomics studies.
He asked in 1995, and Clinton, I believe, welcomed this idea in 2001, with a contribution of $100 million.
Previously, genetics was studied gene by gene, but not as a whole.
His idea is not a given because before this request, accepted by a few states, including the then very democratic USA, it marked a decisive moment for the history of humanity as a whole and for its future.
Is autism special?: we haven't yet clearly defined it, of course it is special, many other things are, but let's be clear.
You write about what happens after, okay.
But after.
I mean before.
Not about the diagnosis.
But about the precise etiology: if they say it is also behavioral, I think of two things:
1) Yes, it is because it is diagnosed after the year 1.5/2 years, and it's serious that we do it later.

Afterward, we create dysfunctions that we could avoid in people; we're harming them, but we could be doing some good instead.

We could also evaluate before conception: there are specific methods.

We could apply the genetic studies that already demonstrate this.
That is, during gestation. To then understand how best to act immediately and not at 5/10/20/30/40/50/60/70/80 years of age, and even later if the person is still alive.

The difference is that if the cause is only genetic, we can change how to intervene immediately and not in adulthood.

The concept doesn't get across: afterward it's too late, but why should we think we should intervene later?
A) Medical sadism
B) Unknown hypothesis

If something can be done, why don't we do it?
I understand in the third world where putting together a meal a day is very difficult.
Some people are still dying of hunger as I write this.

But in our Western countries and elsewhere: we can finally do things right without waiting for the aftermath. The aftermath is a disaster for some—I'm thinking of the very serious—but also for the serious, moderately serious, that is, anyone with autism.
If we see a person bleeding to death, we work to help them immediately. We don't wait for their cells to reorganize through cellular plasticity; we do it right away.

If we find a child alone in the cold and prevent him from dying of hypothermia, he's terribly ill, we call for help immediately.

On the other hand, we do nothing except wallow in the thought: that person can be helped later, because the years (years) pass and we (as doctors) don't care about research on the aftermath. We emphasize what already exists, if anything.

Because genetics is clear, and if we don't all know what some genes are and they duplicate in the meantime, that while happens before birth.

Of course, by not doing anything and waiting for The Wonderful Wizard of Oz to arrive, a behavior is neuroplasticized and it turns into damage!
A healthy birth in an autistic birth, under ideal conditions, will still be an autistic birth sooner, not later.
The lack of understanding of this aspect leaves me perplexed.

Regarding illnesses, some are clearly genetic and some are hereditary, which is why tests are done before bringing a child into the world unless one is completely unaware of the whole thing.
Mental illness can be genetic.
But that doesn't mean it's hereditary.

If a woman has four children, they can be perfectly healthy and have nothing, or at least have a very high percentage of them having it; it's not a 1=1 concept.
;a 1 very possible, if anything.

1 autistic.
I mean.
If we then intervene around the age of a year and a half, we obtain enormous results. Doctors are able to discern the recommendations of their pediatrician colleagues according to guidelines, not the obvious fears of parents who find themselves with children who will inevitably live poorly or not at all in this society that will be alien to them.

I know with me, my Asperger's (with all the usual traits) comes with OCD and perhaps some ADD. My OCD is more the type where I have to check things (like locked doors) multiple times and count things to make sure they are still where I left them. I feel the urge to do things the same way each time. I often feel like if I stare at something once, I need to stare at it a second time.

Though my attention span used to be longer, I feel like anymore it is hard to to focus on something that is not interesting to me for a given length of time. I tend to want to focus on my interests instead -- writing, house plans, roller coasters, music, etc.

I know some of us on the spectrum can have trouble recognizing faces, especially if that person is not seen in the same capacity as we typically associate them with. For example, if were to see the local librarian at a ball game, I might have trouble determining who it is because they are out of the environment I usually see them in.

As far as genetics go, I have always had this feeling about it. I feel like most of us on the spectrum have the gene, passed down through our family ancestry, but it may take something to turn that gene on to activate the autism. For me, I had oxygen deprivation at birth and had to be delivered by C-section. That could have been the incident that turned my autism gene on.

Welcome.
You write, and I seem to see myself in so many of what you write.
OCD: now I do the same thing, doorstep!
Keep in mind that I overcame a very severe OCD at the age of 16.
Maybe I was clever. I certainly succeeded because my mind could. I'm writing this because it's a disorder that's not easy to resolve, even with medication, even with multiple medications at once.
Psychiatry was my subject.
Try this: multiply the actions you perform by the square of the mathematical square of these actions.
At 16, it was so intense that I spent hours doing pointless things.
Then I figured out how to overcame it without medication.
I like studying them,

but don't take them. Until I was 20, I didn't even take an aspirin; I had neuralgia for three days.

OCDs are like in the summation phase. The human mind, and not just the human mind, to be honest, makes them practicable.
Because they are inherently summed; if you add, you can repeat the action multiple times; that's the mechanism.

So I thought: what if I multiplied them instead?

Usually, those with a mathematical and musical mind have a propensity for this.
But with a mathematical mind, you can come up with one or more solutions for every problem.
I wondered: what if I put a system bug in my OCD? What would happen?
Done!
I worked on this for weeks.
Until I dismantled it.
Because it kept coming back.
Multiply it by itself and then by itself again, like a musical note without interruption.
I don't know if age favored me; some brain areas stabilize after 16, or maybe the amygdala hadn't grown in size yet.
It plays a crucial role in processing threatening stimuli, consolidating emotional memories, and triggering behavioral and physiological reactions associated with these emotions.
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I love music.
I've worked on writing and blueprints.
I've never been on a roller coaster!
Even as a child, I had a strange passion for small roller coasters called Apple Caterpillars
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"I know some of us on the spectrum may have difficulty recognizing faces, especially if that person isn't seen in the same light we normally associate with them. For example, if I saw the local librarian at a baseball game, I might have trouble recognizing who he is because he's outside the environment I usually see him in."
The exact same thing happens to me!
And I'm not prosopagnosic, but I have a slight delay in recognizing faces, even 2 seconds.
I recognize my neighbors by their license plates, or by their dogs!
I look at the dogs first, then them, and then say hello so I don't make a mistake!

Sometimes I don't say hello to anyone, partly because I'm busy thinking about other things.
People get offended if I don't say hello.
I don't do it on purpose.
I'm very kind to people.
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The lack of oxygen caused my brother's 100% disability.
Maybe you were in the breech position?
Not born prematurely, I think.
That's a serious problem.

A cesarean is the routine birth in Italy.
Don't worry. Unfortunately, it's devastating for mothers, but hopefully an epidural was used.
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I didn't write about it to avoid complicating matters, but there's more than one gene.
The point is that they're present prenatally.
Those are inherited, then they mutate in autism.
But they don't mutate after birth, they mutate before birth.

I'm writing here because scientific research and genetic studies are along these lines.

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Imagine a sound: do we create it or reproduce it?
Does it already exist in instruments?
But also in humans.
And not only can some dogs exhibit behaviors similar to those associated with autism, although the formal diagnosis is unofficial and is sometimes called Canine Dysfunctional Behavior (CDB). These dogs may exhibit repetitive behaviors such as tail chasing, hypersensitivity to sounds and light, anxiety about change, and difficulty with social interaction, manifesting, for example, a lack of eye contact and poor physical interaction. The cause is unknown, but it is believed to have a genetic basis.

Here, they would answer that they learn them through imprinting: Pavlovian!
Or by learning from their parents...
The strange thing is that we are deficient precisely in copying behaviors. Let's see if an autistic child does the same things as a neuritypical?
Let's try making a phone call near a NT child and doing the same thing with an autistic one.
The atic one won't copy it. While the neurotypical one will...
But also pointing if he wants something: I never did that.
Usually children point to what they want...
how they look: they don't follow you with their gaze, very laterally; there are patents in use now for eye tracking.
A doctor of mine who also published in Nature and other international journals has a patent on this.
At the first visit, observe how he directs himself.

§

His gaze. Mine immediately caught his attention.
He kept me in for two hours during the first visit, and only told me at the end.
Then I went through the various evaluation steps. Then, countless written tests, always in front of at least two researchers.
Many here write about being afraid of not being autistic and pretending to be. But with one or more diagnoses from specialists, it's impossible.
If anything, we ourselves are skeptical first: it took so many diagnoses from DSM4 and DSM5 and two ICDs, and then, after so much objective evidence, I wrote about it.
Before this, I didn't even write about it.
Consider that at least 60 of family members are autistic: if genetics isn't 100% the cause...

I understand that autistic people, especially, tend to think that if something is written in textbooks like the DSM, it's 100% valid.
But they update the DSM every so many years, there must be a reason why!

It means it's imprecise.
The last one puzzles me.
Post-publication research diverges from the nosography of levels and even subcategories.
Sorry for the long post. It bothers many.
I'm sorry: I understand.

Well I have autism and also a benign(so far) genetic mutation, I only say so far because the doctors who've looked at it haven't seen an exact case of it before...so they don't know if it would effect me more as I age as I'm the only one they know of that has it.

But idk if I have another genetic mutation, what is to say my autism wasn't also a genetic mutation. Perhaps autism doesn't just have one cause, but we can be sure Tylenol is not what causes it...like sure take away abortion rights, close down rural hospitals and don't even let pregnant woman have a Tylenol. That'll really give it to autism...!

To Huckleberry Finn on post:

"The lack of oxygen caused my brother's 100% disability.
Maybe you were in the breech position?
Not born prematurely, I think.
That's a serious problem." Quoted post from Huckleberry Finn

I got tangled up in the cord while in the womb. My mother recalled the medical staff stating something wrong and that the baby's heartbeat is getting weak. The doctor rushed in, his medical case sliding across the room. They tilted the table downward so my mother was angled down on her head. She got the old fashioned kind of anesthesia and an emergency C-section was performed. I spent a little bit of time in an incubator. When my mother came out of anesthesia she thought I was a goner.

Researchers have studied how events during or shortly after birth may affect a child’s brain development. While no single factor causes autism, some evidence suggests that birth complications could increase the risk, particularly in babies showing signs of distress (like oxygen deprivation). (This is from the Birth Injury Justice Center taken from medical research.)

Oxygen deprivation during birth, known as hypoxic-ischemic encephalopathy (HIE), is a serious birth injury that can cause lasting neurological damage. This occurs when a baby does not receive enough oxygen before, during, or shortly after delivery.

When the brain is deprived of oxygen, critical functions such as cognitive ability, sensory processing, and communication may be affected, areas often linked to autism.

Research suggests that babies who experience oxygen deprivation at birth have a higher risk of developing autism-like symptoms later in life.

While some cases of HIE are unavoidable, others occur due to medical negligence, such as failing to detect fetal distress, delaying a necessary C-section, or mismanaging umbilical cord complications.
This is quoted from Beam Legal Team taken from medical research.

I dislike the term "damage" when it is connected to something that I consider a gift. While many with autism are negatively affected by it, I have mostly enjoyed it. I enjoy the special intense interests. I find it cozy to be alone doing my own thing. I was an only child, and I preferred it that way. I had some close friends, but I didn't have to live with them. The "damage" referencing I am aiming at here is not with anyone here on this forum, but with groups like Autism Speaks and the general consensus of people out in the world who don't understand autism and what it is.

Sorry, this is a sensitive topic.
I'm sorry I reminded you of unpleasant events.

My brother suffered a serious injury.
I think he also got caught in the umbilical cord, but his siblings.

One of his words struck me: there were three of us.

In fact, my mother had nightmares the night she said, "Don't take my children away from me."

So perhaps it was an innate memory, or, as logically, dictated by my mother's stories.

He's NT, and even though he has a WAIS-measured IQ of 63, he usually answered TV quiz shows correctly.

A famous one was "The Millionaire."
Several times he got the right answer before me.
Once, he won that theoretical million because he answered every question on the quiz correctly.
A few hours ago, I asked him if he remembered any names and people I remembered very well from his childhood; he's six years older than me.
But my memory goes back a year and a few months.
I don't use any techniques.

I was struck by how much worse he's gotten.
He doesn't remember anything.
But about many other things.
As if life had simply passed through him, brushed past him.
I think his brain volume is shrinking.

I watch him carefully when I ask him things.
My mother died of Lewy body dementia.
I also studied neurology: I had sleepless nights studying a lot.
His diagnosis was wrong initially.
He changed neurology centers three times.
Until he found the right one.
She relived it like in The Awakenings (De Niro-Robin Williams, Oliver Sachs film)
Then in short it has 5 stages.
At the fifth, you die.
The discussion here would be very extensive.
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So yes, a friend's son was born prematurely: initially they thought he would die.
Then he was put in an incubator.
Then he was very strange in his movements, speech, actions, thoughts...

Now almost 2 meters tall, he does things that few of us could do, he paints very well, he plays very well.
But he speaks very little: almost like a verbal no.

It has had an impact on him, who is autistic.
Thanks to his mother, he has made enormous progress.
His non-competitive IQ is 102.
But he is disabled: his mother has to help him with everything for his social life.
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Yes, Glider, the lack of oxygen causes serious damage to a child.
In your case, it seems to me that you've brilliantly overcome any potential damage, from the way you describe and reason, and what you do in life is mentally above normal, compared to people born in optimal conditions.

Autism: I know it's present in us from an early age, before birth, but the conditions you described can certainly worsen the situation; what you write makes sense.

Published research doesn't mean it's accurate—that is, it clearly increases the risk of brain damage—but it does mean that autism is already present in us. I used to be passionate about reading all the research, even on autism; I read everything published since the early 2000s.
The important sites are different.
We know nothing about some: the Chinese ones, for example, only let through what they want because it's not very relevant, while they keep what's relevant to themselves.

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Sorry because by expressing my thoughts on this, I indirectly wrote something that may have been annoying because you, your parents included, experienced it as a trauma.
Sometimes it would be better not to reiterate concepts that are not to be waived, to increase sensitivity towards those who might be bothered by them.
I'm sorry if that's the case.
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I'll read the research you mentioned anyway.

Dono: You're special because you always think positively

I tend to think coldly, as if logic always prevails over emotions.

I don't think that's a good thing from a human perspective.
Whereas you clearly express a positive bias, always, even when the topic changes.
You're very good at emotional communication, I can tell, because I'm not.

Sometimes I seem cold to others.

You know, some tennis players who weren't and aren't icy—Borg, Sinner, Lendl...sorry for the comparison, but a quote from Lendl struck me months ago: "Everyone thought I was a robot, but no one ever tried to have a real conversation with me."
He was human when Sinner (robot ) lost one of his tennis finals.
He comforted him.
In theory: two pieces of ice who understood each other.

Sometimes I imagine them autistic, though not at a very high level, let's say.
Being outside the box doesn't bring much sympathy, even in sports.

A little autistic isn't worth using here, but outside the box is.

I like people who are loyal, honest, and who never deviate from their proper behavior.

§

Maybe it depends on how we mentally reprocess past experiences.
That is: how we are internally.

Yet I know I'm not bad at this.
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I'm replying to your post about walking past people at a sporting event (I think that's what you wrote).
And they look at you in a different way.

It happened to me too today. I'm not sure what they were thinking.

But the temptation to stop and ask them was intense.
I gave up because I didn't know what reaction it would provoke in them.

I tend not to be afraid even when there are many or potentially dangerous people.
This is something I'll pay for sooner or later, I think!

I think the others were looking at you because your facial expressions weren't consistent with what they were thinking.
That is: devoid of empathy.
Which is something you're a millionaire at compared to me!

You're also atypical compared to the average instinctive sympathy here.

I don't know about myself: who knows!

In real life, I generally seem nice, they tell me.

But not to everyone.

*I think that instead of trying to get bogged down in dialogue, a short, precise, and cutting ironic or sarcastic quip is more appropriate.

Normal people don't like to talk about anything but trivial things.

Argh!

HF

Nothing about my birth experiences or growing up with Apserger's leaves any bad or ill feelings for me. I have always embraced and enjoyed my differences. I have often called Asperger's my best friend. I enjoy it. It is who I am.

As for being positive all the time ... hee hee.

I've actually been ranting tonight on Wrongplanet on different forums. If you read those, you might see me a little differently on certain areas.

Thank you for your post. As always ... most informative.

Tonight I am stressed out due to the family television with the same Sherlock TV show on all day. Yuck! I don't like modern things -- TV, movies, and music included.

Good to hear from you again. We'll keep in touch.

I appreciate differences too!
I always forgive other people. When an older person passes away, we lose all their history, their knowledge. Some have immense knowledge, and behaviors that I like and can only dream of.

But also cultural differences: even those that stress me out because they're too emotional, like the Brazilian one compared to ours, which is much more staid.

I used to read a lot of ethical comics about both Brazil and the US (from many decades ago):

Here, if you go out and wander around, you only hear foreign languages ​​being spoken.
You know, when we had colonies in Africa, people were also brought to our cities. The first time my fellow citizens saw a dark-skinned person, I don't know how to define it without using the wrong racial or ethnic terms—sorry, if that's the case... people knew and locked themselves in their homes.
Now it's normal for it to happen, and it's our wealth, but ethnic groups also come from other countries, including Eastern Europe. We integrate some, and others we don't; we leave them on the social margins.
We're also stupid because we don't understand many things.

We feel invaded.
But there are two stages: first, chaos when maybe 30,000 Albanians arrive, then the aftermath when those people have been with us for at least one or two generations; they're like us!
By the way, many regions are a mix of Austrian, Norman, and Slavic.
Here, where they are now, they have French in their dialect.
Some speak with their own mannerisms.
French is perhaps the language I appreciate most in the world.
German reminds me too much of my region and sounds bad, harsh.
French, on the other hand, sounds good.
Like English, in Tuscany and Veneto, it's very popular with UK and US citizens.

Ehm!
Asperger's syndrome in my case was and is a bit of a disaster.
But honestly, I'd never want to change who I am. I wouldn't fit in with a neurotypical!
Connected and disconnected/connected!
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Sherlock Holmes was a wonderful English TV series, but I don't remember which one. We used to air many British series, including Doctor Who and, I think, all the others (you can still find them on specialty channels).

I loved Sherlock Holmes: I think he's emblematic of Asperger's.
I don't like all the series made about him, though.

The Swedish series!
The German ones!
And the French ones.

Now it doesn't come from those countries much.

From yours, however, often!

The Japanese ones made Japan known.
Most Italians adore that country.

The differences are essential.
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I read your replies, and you continue to inspire me with positivity and enthusiasm.
Hey, you're quicker than me at posting!

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I'm also happy to see you're here.

So , will hope this post is being in line with the topic.But have done a bit of research on Autism , and also Lyme disease.
Allow me to share a Dr Shoemakers theory and a Psyche doc, I interacted with online over 20 years ago . And a interesting and unique commonality they had dscovered in their testing for their respective patients as well as a Dr Yang of Southern Calif. Whom I worked with and was treated by , And my intention is not to conflate illnesses/ disorders .
And these seperate and not known to each other made some observations to me concerning these two seperate disorders .
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In blood testing consistently it seemed they all had discovered through specific blood testing. That common pathogen was detected ,sometimes more than one. A known bacteria Borrelia Burgdorphi . 1 st identified by Dr.William Burgdophi
It is a direct relative to the Syphillus bacteria .It has a checkered history ,in history.Ocassionally it was accompanied by Strains of Bartonella and Basbesia(relative to malaria) , All three disabling by themselves. And all very opportunistic in the human organism
Seems according to what I have read. Generally a Healthy human immune system seems to keep them in check.
But if there is a insult to the immune system thhat overwelms it. Especially if a prolonged situation. These bacterias
become less dormant . And they can overwelm the immune system. In some cases a long protracted illness, even death
can occur .( personal experience). The spirochete one, Borrelia, is able to cross the blood brain barrier . Like Syphillus can cause big changes in a person overall .Occassionally it has been found than this Spirochete can cross the through the umbilical cord during conception. You might come to your own conclusions ,about how that could possibly relate to neuro developmental disorders . Of all sorts.
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None of this is controversial. They all have been documented,All three Bacteria each respond to a different type of Antibiotic . The curious thing is if they are not addressed simutaneously and the bacterial loading remains high in the bloodstream. It becomes much more difficult to disable the other two .
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Medical Establishment: These three bacteria and their resulting interaction with each other , at different loadings in the bloodstream cause a variety of Symptoms. Of other seemingly different disorders . It is not in the interest of the medical community to have the symptoms of the varying disorders , many medical practices specialize in ,get resolved by the remediation of the bacterias in the Bloodstream. And The laboratories that test blood for these things are not equipped to get good or solid results. Regarding the bacterial levels in anyones blood test. Except for a very few.
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Consequently ,noone can get a proper diagnosis, And the Doctors and specialists go one treating the symptoms of the side effects of the varying bacterial levels of these parasitic bacteria in the blood . And the popular concensus is that these bacteria do not exist of the leveks are irrevolent.
Unless you spend 1000.00 USD out of pocket to have a specialty labratory. That is familiar, with the life cycle of these bacteria . To analyse your blood, that cannot be more than 3 days old. And packed in ice for transport. Due to the fact that the bacteria cannot live outside of a living host for more than the above mentioned time frame.
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This is not conjecture, but based on personal experience with other researchers. Owners of Labratories and a variety of MDs and Phds. over 20 + years.
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SORRY FOR THE WALL OF TEXT. but if it were broken down, the disparate information would not be conclusive.
In order to orotect myself , I must include a medical disclaimer:Check with your own physician before making any decisions based on these writings

Please consider older aged parents or parent that have been through medical situations or traumas may qualify as having weakened immune systems at the time of any particular given persons birth. btw.
Be As Well As You Can .