California’s coronavirus strain looks increasingly dangerous: ‘The devil is already here’. In August, while on location in downtown L.A. for her job as a costumer, everything — the air, the coffee shop, a nearby generator — smelled like burned rubber. It was the scent that seemed to be closest to reality, the one that reminded her of life pre-parosmia, “when everything just had the real smell.”. A homeopath prescribed bath flowers, supplements and chaga mushrooms. She sprayed Febreze in her Santa Monica home, but the perception of a horrible smell wouldn’t go away. “However, you can also isolate for 10 days, or 72 hours symptom-free, and follow CDC guidelines.” They’re smells we don’t necessarily think of, “but when they’re gone, you’re like, ‘Wait a minute,’” she said. In the current study, Datta and colleagues set out to better understand how sense of smell is altered in COVID-19 patients by pinpointing cell types most vulnerable to SARS-CoV-2 infection. In a study of 54 French patients with COVID-related anosmia, all but one recovered their sense of smell within 28 days. Experts are still learning as much as they can about COVID-19, and it isn't necessarily alarming for some loss of smell or taste to linger after the recovery period. “Until you are experiencing it, you don’t really realize how depressing it can be,” she said. Once you have smell, you think it’s there forever. There's still a lot we don't know about how that works, according to Dr. Rachel Kaye, assistant professor in the department of otolaryngology at Rutgers New Jersey Medical School. “This COVID situation with the smell loss has really put into spotlight the olfaction,” said Dr. Bozena Wrobel, a rhinologist and skull base surgeon with Keck Medicine of USC. Spices can also improve flavour. For example, loss of these senses due to … Loss of smell or taste due to COVID-19 appears to last slightly longer compared to other upper respiratory infections. For her, coffee smells like a burned tire, but worse. L.A. parents demand schools reopen, saying science and improved conditions are on their side. For me, it was like losing something very precious ... it’s like a living nightmare. Rowan is available to discuss the importance of smell and taste loss in the setting of COVID-19, and his treatment of patients trying to regain their sense of taste and smell, including how he can help their recovery through telemedicine. In her quest to overcome one of COVID-19’s strangest symptoms, Mariana Castro-Salzman was willing to try anything. Major expansion of Cal Grant financial aid proposed for state’s college students. Can the nose be retrained to detect odors correctly? She misses the scent of her 7-year-old son, salty beach air and the smell of earth when it rains. For Viviana Villaseñor, who lives in Chula Vista, everything smelled like smoke before eventually developing into parosmia. Sucking boiled sweets and mints may also help refresh your mouth before and after eating. Mysteries of COVID Smell Loss Finally Yield Some Answers ... he had lost his sense of smell. Sucking boiled sweets and mints may also help refresh your mouth before and after eating. As she started to feel better, she could pick up the scent of vanilla and thought “hallelujah, it’s coming back.” But over the next month, there was no progression. She used to love lavender, but now it makes her sick to her stomach. Smell loss can be one of the earliest signs of a COVID-19 infection. But the smell and taste loss associated with COVID-19 appears to be unique to the novel coronavirus according to Nicholas Rowan, M.D., an assistant professor of otolaryngology–head and neck surgery at the Johns Hopkins University School of Medicine. But the smell and taste loss associated with COVID-19 appears to be unique to the novel coronavirus according to Nicholas Rowan, M.D., an assistant professor of otolaryngology–head and neck surgery at the Johns Hopkins University School of Medicine. The low point was the day she didn’t realize there was a fire in her trash can until she spotted the smoke. The loss of these senses may be temporary, but it can take as long as a year for them to return, and some people will not regain them at all. By using essential oils, you … The other family members, all of whom had COVID-19, couldn’t smell the smoke. “It’s like a mind game, because you remember all the smells and tastes, but then the second you put it in your mouth it’s nothing like it used to be,” the Los Angeles resident said. Like Edelmira Rivera, millions of people worldwide have suffered changes to their sense of smell or taste after contracting COVID-19. She couldn’t eat meat or vegetables if they were grilled. Newsom pushes private seawater desalting plant over local and environmental opposition. Its Facebook group dedicated to COVID-19 smell and taste loss includes posts from people who were unable to enjoy holiday meals, mothers who can’t appreciate the scent of their newborns and members who are swapping tips on “safe foods” for people with parosmia. Here’s what experts know about how long it can last. ... It’s like a living nightmare.”. She still suffers from parosmia, the distortion of smell. So, hang in there! Research is revealing why it takes some people so long to get their sense of smell back after COVID-19 — and they say it might even be a useful, non-invasive screening tool. Smell training involves sniffing different scents and visualizing them in one’s mind. Many who’ve had COVID-19 have experienced the loss of smell and taste. Even before the pandemic, priests had been dying much faster than new ones were being ordained in Ciudad Nezahualcóyotl, Mexico, whose youngest pastor is trying to adapt to the times. A nasty cold, the flu, even bad allergies can cause nasal congestion that renders those senses useless. Instead of smelling notes of grapefruit, bergamot or rosemary, her body tells her it’s a noxious chemical scent. Some COVID-19 patients, however, experience anosmia without any nasal obstruction. The Centers for Disease Control and Prevention cites smell and taste problems as a long-term complication. A new report from Sky News reveals that some COVID long-haulers who lost their sense of smell during a bout with the virus find that their olfactory organs begin working overtime later on. The experience has become so widespread during COVID-19, a number of support groups have increasingly been catering to those who have lost their sense of taste or smell, like Abscent.org. For example, steroid nasal sprays or drops might help if you have sinusitis or nasal polyps. It gets into your psyche. A defining symptom of COVID-19 is loss of smell, and for some people, that can last weeks or months. COVID-19 symptoms and recovery vary dramatically from person to person. “I had to explain to them all the weird smells and, like, how depressing [it is] and how much anxiety you get from it.”, Your questions about COVID-19 vaccines answered. In Castro-Salzman’s case, it started out with anosmia — complete loss of smell — before developing into parosmia. Preliminary evidence demonstrates that a majority of people with COVID-19 who lose their sense of smell and taste will recover it, but there is concern it might be permanent for some, according to Rowan. “They don’t always make the right connections” when they’re attempting to regrow, Dalton said. Onions and garlic evoke a nausea that has nothing to do with their actual scent. The smells were so overwhelmingly bad, she suffered headaches. The loss of these senses may be temporary, but it can take as long as a year for them to return, and some people will not regain them at all. A showcase for compelling storytellingfrom the Los Angeles Times. The loss of smell most often showed up in mild COVID-19 where a person did not have to be hospitalized. While most people only experience mild or no symptoms at all from coronavirus infection, it can take roughly a week or so before severe illness strikes for those who do end up experiencing life-threatening symptoms. 410-955-7479 (Mondays and Fridays) 410-614-6833 (Tuesdays through Thursdays), COVID-19 Story Tip: Helping Coronavirus Patients Who Lose Their Sense of Smell and Taste. As the novel coronavirus continues to spread a strange new symptom has stood out to experts — COVID-19 appears to cause some patients to lose their sense of smell and taste.. You can buy one, or you can make your own -- whichever you’d prefer. Pamela Dalton, who studies smell’s link to cognition and emotion at the Monell Chemical Senses Center in Philadelphia, says the errant smells may actually be an encouraging sign that the olfactory receptor neurons in the nose are trying to restore their proper connections in the brain. … I don’t think we really know exactly how long this might go on.”. Very Well Health, Dec. 4, ‘Smell Training’ Could Help People Who Lost Their Sense of Smell From COVID-19 Bustle, Dec. 22, TikTokers Say Burnt Oranges Can Help Get Taste Back Post-COVID These word cops stand guard to keep language clear and simple. It’s not entirely clear what causes COVID-related anosmia (and, later, parosmia), although scientists believe the virus affects supporting cells that are crucial for the healthy function of olfactory neurons — which detect and transmit odorant information to the brain. For information on the coronavirus from throughout the Johns Hopkins enterprise, including the Johns Hopkins Bloomberg School of Public Health and The Johns Hopkins University, visit coronavirus.jhu.edu. Some studies, in fact, have found it to be the best predictor, the symptom that practically screams, “I‘ve got COVID!” (Researchers have even questioned whether smell tests are a better screening tool than temperature checks. “It means that for so many people who have lost their sense of smell, the fear of not being able to smell fire is so real,” Piccirillo said. A sewing machine, a Pacific freighter and a Detroit family’s loss: The story of one body bag’s life cycle and the hands that touched it along the way. For the 15 seconds she inhaled the scent at her kitchen counter, she visualized peppermint candy and toothpaste, which she’d had to abandon months before because the taste of mint was so awful to her. Amid rising college costs and growing economic need, leaders are proposing an expansion in Cal Grant financial aid that would nearly double the number of students receiving assistance. Grassroots memorials honoring COVID-19 victims have risen across California and the nation, trying to express in images what words cannot. Universities have launched studies on recovering smell after COVID-19, starting treatment trials using nasal rinses and essential oils. The link between Covid and smell and taste disturbance became apparent in March 2020 as the pandemic swept around the globe. A UC Berkeley IGS poll released Tuesday also found that people of color, especially Latinos and Native Americans, were hit hard by the COVID-19 pandemic. Smell training is a powerful remedy to 'rewire' the brain to sniff … Dr. Bozena Wrobel, a rhinologist at Keck Medicine of USC, advises patients on training methods to regain their sense of smell. It can take days for coronavirus symptoms to appear, longer for severe illness. “It’s like a completely different experience.”, Loss of taste or smell may be the first thing that prompts someone to get tested for a coronavirus infection. Julian Araujo, a 19-year-old Galaxy player, uses his soccer fortunes to give back to the people working in the fields of his hometown. The remedy, it turns out, has some science behind it Many people report struggling to regain their sense of taste or smell weeks, or even months, after they’ve recovered from COVID-19. A homeopath prescribed bath flowers, supplements and chaga mushrooms. To get started, sites like Abscent.com offer various tools and products that make smell … It can sometimes be the only sign. But all hope is not lost for those struggling to regain their sense of smell and taste after COVID-19. Spices, cilantro and onion suddenly tasted off. Spices can also improve flavour. Nearly 25% of Covid-19 patients who reported losing their sense of smell said they did not regain their olfactory function even 60 days after they noticed it was gone, according to a large prospective study in the Journal of Internal Medicine—a potentially pervasive loss that providers believe could affect patients' nutrition and mental health.. An overview of recovery … Coffee smells like a burned tire, but worse. New research is showing a connection between a loss of smell and taste and the coronavirus. For those dealing with parosmia, Dalton said, smell training “may be able to help reorganize the system the proper way again.” People can pick core sets of scents using something from their spice cabinet, their shampoo or any item they recall prior to the loss. But the smell and taste loss associated with COVID-19 appears to be unique to the novel coronavirus according to Nicholas Rowan, M.D., an assistant professor of otolaryngology–head and neck surgery at the Johns Hopkins University School of Medicine. Out of a list of about 34 essential oils, patients will pick the four they want to use to restore connections in the brain. Covid-19 isn't the first illness to lead to a loss of taste or smell. In the absence of widely available antibody testing, tracking smell and taste loss may represent a way to track the spread of the virus, as well as an infected patient’s immune response. Dr. Richard Doty, Director of the Smell and Taste Center at Penn Medicine Ear, Nose and Throat, outlines all you need to know about the effects of COVID-19 on your ability to smell.. How do viruses affect sense of smell? But for the 20 per cent who don't, olfactory training is an option. With his mentors dying, a young Catholic priest tries to save his diocese from COVID-19. California’s homegrown coronavirus strain is more transmissible than its predecessors, is more resistant to vaccines, and may cause more severe cases of COVID-19. He started a Facebook Covid-19 smell loss support group after he lost his sense of smell in March. The La Jolla resident tries to sniff his cologne bottle for comfort, but there’s none to be found. Patients typically lose their sense of smell and taste for an obvious reason, such as a head injury or nasal blockage. She was part of the team of reporters awarded the Pulitzer Prize for its coverage of the 2015 San Bernardino terrorist attack. Her loss of smell and taste lasted almost two months. Mysteries of COVID Smell Loss Finally Yield Some Answers ... he had lost his sense of smell. And yet, nearly a year after recovering from the coronavirus, her senses of smell and taste are still scrambled. For information from Johns Hopkins Medicine about the coronavirus pandemic, visit hopkinsmedicine.org/coronavirus. People dealing with smell dysfunction have scheduled medical appointments, joined support groups and spent months using smell kits to retrain their noses. Specifically, some individuals find themselves smelling strong odors of fish, burning, and "sickly sweet" odors where no such aromas exist. A new study ou… A new study ou… California’s rocky COVID-19 vaccine rollout dogged by poor communication, forecasting. Last medically reviewed on September 29, 2020 The lack of information is complicating efforts by city and county officials to create appointments and to plan for the administration of second doses. 8 Smell on essential oils. ), County by county, here’s how to get a COVID-19 vaccine in Southern California. In March, Brooke Adams lost her boyfriend of 10 years to COVID-19. Treating the cause can often help get your taste buds back on track. COVID-19 vaccines are now being administered to healthcare workers in the U.S. What are your questions about the timeline, the safety or the science? That danger became clear last month when a Texas teenager evacuated her family as a fire tore through their home. New research is showing a connection between a loss of smell and taste and the coronavirus. Call them enemies of the opaque. Or it can present after other symptoms. Most will recover within two to three weeks, but many thousands are still working towards recovery many months later.” For example, in a study of European patients with mild-to-moderate COVID-19, 86% reported problems with their sense of smell, while a similar percentage had … But though a majority of people recover their senses within weeks, 10% suffer long-term smell dysfunction, some researchers estimate. How one Galaxy player is cultivating compassion in the fields of Lompoc. For some, a complete recovery came after a few weeks, while others struggled for several months. To find out more about smell training, see: Sharp/tart flavoured foods and drinks such orange, lemon, lime flavours can be useful in balancing very sweet tastes. Nearly 90 percent of COVID-19 patients who lose their sense of smell or taste or both after becoming infected will see these symptoms begin to resolve within a few weeks. Ease your mind with this simple sniff test you can do at home. Pinpointing vulnerability. Piccirillo said the most popularly requested smell — one they don’t offer — is smoke. “Once you have smell, you think it’s there forever,” Castro-Salzman said. Treatment for lost or changed sense of smell. The purpose of such training, which has been used for at least a decade, is to stimulate the regenerative capacity of the olfactory system. But a few days after reading an article linking those symptoms to COVID-19, she decided to get tested for the coronavirus. “I just felt like nobody understood what I was going through. The consumption of food, she says, became a matter of sustenance rather than joy. She was positive. And yet, nearly a year after recovering from the coronavirus, her senses of smell and taste are still scrambled. Until you are experiencing it, you don’t really realize how depressing it can be. The business of olfaction restoration is booming. She cycled through lemongrass, and thought about Thai food. Turns out there is a deep state, and it fights to make bureaucratic language understandable. For example, in a study of European patients with mild-to-moderate COVID-19, 86% reported problems with their sense of smell, while a similar percentage had … A treatment called smell training can also help some people. Sometimes people are born without a sense of smell or lose it as they age. As the novel coronavirus continues to spread a strange new symptom has stood out to experts — COVID-19 appears to cause some patients to lose their sense of smell and taste.. The most common cause of smell … It’s tied to our memories, transporting us back to a person or place we love. It’s a life she desperately hopes to regain. Covid-19 isn't the first illness to lead to a loss of taste or smell. In addition, there is evidence from olfactory training studies that “the earlier you start, the better the outcome,” Dalton said. During that time, the 56-year-old said, it “felt like someone had stuck a balloon up my nose and blown it up.”. Susan Robbins Newirth, a Realtor, thought she was on the road to recovery after enduring complete smell loss for about two months beginning in March 2020. Losing one’s sense of taste is also associated with COVID-19. EL PASO, Texas — Some common symptoms of COVID-19 include the loss of taste and smell.Dr. Are they grateful they weren’t placed on ventilators, that their lungs weren’t left scarred and that they didn’t die? Yes. “It’s estimated that around half of COVID-19 patients experience changes to their sense of taste and smell. How does this work pertain to COVID-19? Smell loss is among the very first signs of COVID-19, and nearly everyone who has COVID-19 has some degree of smell loss. “The most unique finding that occurs is that patients may lose their smell and taste in an isolated fashion,” he says. Also on the no-smell list are cucumbers, meat, garlic and onions. She began sniffing essential oils every day. Smell loss can be one of the earliest signs of a COVID-19 infection. A majority of people with mild or moderate COVID-19 have reported problems with their sense of smell, and a similar percentage reported changes in taste perception. Coronavirus symptoms include loss of taste and smell, a condition called anosmia. The orange essential oil made her think of the beach and being able to eat the fruits she once loved. Dr. Richard Doty, Director of the Smell and Taste Center at Penn Medicine Ear, Nose and Throat, outlines all you need to know about the effects of COVID-19 on your ability to smell.. How do viruses affect sense of smell? On a recent afternoon, she closed her eyes and dipped her nose into a jar scented with peppermint essential oil, her hands clasped around it like a cup of coffee she no longer enjoys. She feared she would never achieve a full recovery. One of the frustrating side effects some people experience after having COVID-19 is a lingering loss of smell and taste — and some are … If you have a MyChart account, please contact your provider through MyChart. But if you’ve had COVID-19 and still can’t taste anything, it’s probably worth a try. Column One: Folding paper cranes sparks global movement to remember COVID-19 victims. She made her own kit using makeup jars, putting drops of essential oil onto a paper towel she placed at the bottom of each one. “It’s estimated about 25% of COVID-19 patients lose their sense of smell for more than 60 days even,” he adds. Although it may not affect every patient with COVID-19, loss of smell and taste is definitely associated with the disease. Losing the senses of smell and taste are among the most commonly reported coronavirus symptoms — and among the clearest indicators of the likely presence of the COVID-19 virus. A lifeline for LGBTQ Latinos on the brink of closure. The most common cause of smell … Losing one’s sense of taste is also associated with COVID-19. The process for getting a COVID-19 vaccine varies county to county. Many COVID-19 survivors say they've had changes to taste and smell for months. Many COVID-19 survivors say they've had changes to taste and smell for months. She couldn’t smell her husband or her sister. Although it may not affect every patient with COVID-19, loss of smell and taste is definitely associated with the disease. The university is currently conducting a clinical trial to see if smell training can help patients with anosmia. Your sense of smell may go back to normal in a few weeks or months. In Los Angeles, founded for Spain and a part of Mexico for generations, we pronounce our Spanish-language place names in a unique way. Twice daily, people will smell a scent and try to recall the memory of it, like picturing cutting lemons while smelling the lemon essential oil. She usually refers to the nauseating aroma that has invaded her nostrils since parosmia as “the COVID smell.”. Treating the cause can often help get your taste buds back on track. It can sometimes be the only sign. She couldn’t detect any of the fragrances. With parents and children tired of living as Zoombies — and state and federal governments pushing to reopen schools — momentum builds against the go-slow approach of the Los Angeles teachers union and L.A. school district officials. But in July, everything turned upside down once more. There are two ways viral infections can cause smell loss. Ease your mind with this simple sniff test you can do at home. TUESDAY, Dec. 1, 2020 (HealthDay News) -- Special training may help COVID-19 patients regain their sense of smell after suffering parosmia, a new British study suggests. “Right now, if you lose your sense of smell and taste, you can look for COVID testing, if available,” she said. If foods have a metallic taste, try plastic cutlery instead of metal and use glass cookware. Or it can present after other symptoms. Smell is instrumental in our perception of flavors, allowing us to differentiate strawberry from raspberry ice cream and warning us when food is spoiled. Dr. Douglas Dieterich, a hepatologist at Mount Sinai Hospital in New York City, completely lost his sense of smell when he was infected with COVID-19 in March. When Castro-Salzman lost her sense of smell and taste in early March 2020, after attending a Keane concert in Hollywood, her doctors told her it was probably a sinus infection. Flavored drinks started tasting metallic and rotten. Experts are still learning as much as they can about COVID-19, and it isn't necessarily alarming for some loss of smell or taste to linger after the recovery period. From the first stitch to the final zip: The global journey of a COVID-19 body bag. How COVID-19 Can Affect Your Sense of Smell. Loss of smell is a common symptom of COVID-19, and about 10% of patients suffer from long-term smell dysfunction, researchers say. While making Thanksgiving dinner, she had to wear an N95 mask because of the “stench” of the turkey and the onion, sage and thyme she added to the stuffing. According to Nirmal Kumar, MD, an ear, nose … Nearly a year after getting COVID-19, 27-year-old Stevie Gibbs smells almost nothing at all. Last medically reviewed on September 29, 2020 To start, you’ll need a smell-training kit. In June, the Loz Feliz resident met Dr. Wrobel and took a scratch-and-sniff test to determine her degree of smell loss. Centers for Disease Control and Prevention, Galaxy’s Jonathan dos Santos speaking different language after injury-riddled 2020, The pandemic’s toll: Lives lost to COVID-19, California legislators approve $7.6-billion COVID-19 package, including $600 stimulus checks. Under Wrobel’s advisement, Gibbs began smell training. “It happens all of a sudden and in many cases without any other symptoms.” Emerging data shows the novel coronavirus directly infects the area of the smell nerve, he adds, and this may be how the virus gains entry into its human host. How does this work pertain to COVID-19? It’s not like you break a leg and people understand that you can’t walk,” Castro-Salzman said. The loss of smell most often showed up in mild COVID-19 where a person did not have to be hospitalized. Mariana Castro-Salzman, 32, does smell training with essential oils at her home in Eagle Rock. It’s an odor, she said, that creeps up your nose “and gets into your taste buds.” And yet, she still drinks java because she needs the caffeine boost. Because of the distorted smells, a condition known as parosmia, she has endured headaches, lost weight and repeatedly broken down in tears. Jagdish Khubchandani, a professor of Public Health at New Mexico State University, said that symptoms can linger long after you have recovered from the virus. But, for long-term smell loss, that number is actually much smaller. Took steroids. At Washington University School of Medicine, research on smell loss and recovery after COVID-19 is ongoing. TUESDAY, Dec. 1, 2020 (HealthDay News) -- Special training may help COVID-19 patients regain their sense of smell after suffering parosmia, a new British study suggests. Treating the cause might help. If foods have a metallic taste, try plastic cutlery instead of metal and use glass cookware. “You’re learning to use that body part again.”. Californians broadly back COVID-19 hazard pay, protections for farmworkers, poll finds. Sharp/tart flavoured foods and drinks such orange, lemon, lime flavours can be useful in balancing very sweet tastes. More worrisome to Rowan is that someone experiencing a loss of smell and taste might not recognize they have COVID-19 and continue to expose themselves to others. “Almost like physical therapy for the olfactory nerve,” Wrobel said. She says, if you begin to experience a lost sense of smell or taste, COVID-19 testing may be an option. For Christmas, her husband gave her a nose plug. In the UK, there are 2 types of COVID-19 vaccine to … Then, six days after becoming symptomatic, I completely lost my sense of smell.I was wiping down my food tray with a Clorox wipe before setting it out in the hall when I realized I couldn't smell it. Coronavirus pandemic image copyright Getty Images Almost 90% of people who lost their sense of smell or taste while infected with Covid-19 improved or recovered within a month, a study has found. The university is currently conducting a clinical trial to see if smell … The tea suspiciously smelled of nothing at all. Visit COVID-19 testing and vaccinations for additional updates. Patients typically lose their sense of smell and taste for an obvious reason, such as a head injury or nasal blockage. From coffee that smells like burning tires, to garlic that smells like garbage, a growing number of people who contracted Covid-19 are reporting foul smells and tastes after … There's still a lot we don't know about how that works, according to Dr. Rachel Kaye, assistant professor in the department of otolaryngology at Rutgers New Jersey Medical School. Coronavirus symptoms include loss of taste and smell, a condition called anosmia. Treatment of smell loss for patients with COVID-19 centers on smell training that can be performed with essential oils or other scents. (Claire Hannah Collins / Los Angeles Times). For others, it’s the first sign of a neurodegenerative disorder, such as Alzheimer’s or Parkinson’s disease. At Washington University School of Medicine, research on smell loss and recovery after COVID-19 is ongoing. He started a Facebook Covid-19 smell loss support group after he lost his sense of smell in March. San Pedro, Los Feliz, even Los Angeles: Why do we pronounce our place names this way? Losing the senses of smell and taste are among the most commonly reported coronavirus symptoms — and among the clearest indicators of the likely presence of the COVID-19 virus. Patients typically lose their sense of smell and taste for an obvious reason, such as a head injury or nasal blockage. She saved her favorite for last: lavender. But there’s a reason the words “stop and smell the roses” continue to pop up in books, greeting cards and country music: Smell can remind us that life can be glorious. Place we love homeopath prescribed bath flowers, supplements and chaga mushrooms the Latino.. However, experience anosmia without any nasal obstruction, please contact your provider MyChart... A neurodegenerative disorder, such as a head injury or nasal polyps patient Care Options | Guidelines... 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