How to Keep Your Puppy Healthy: A Guide for New Owners


How to Keep Your Puppy Healthy: A Guide for New Owners
How to Keep Your Puppy Healthy: A Guide for New Owners

Bringing a new puppy into your life is an incredibly joyous experience. The boundless energy, the adorable clumsiness, and the unconditional love they offer are truly heartwarming. However, along with the excitement comes a significant responsibility: ensuring your new furry friend grows up healthy, happy, and well-adjusted. This is where understanding and practicing proper puppy care becomes absolutely essential. This comprehensive guide is designed to walk you through every aspect of raising a healthy puppy, from preparing your home to tackling common behavioral challenges. Whether you're a first-time dog owner or simply looking to brush up on your puppy care knowledge, this article will provide you with the information and tools you need to succeed. We'll cover crucial topics like nutrition, vaccination, socialization, and training, ensuring that your journey into new puppy parenthood is a fulfilling and successful one. Welcome to the world of puppy care!

Preparing for Your New Puppy

Before your adorable bundle of fur arrives, it's crucial to get your home and yourself ready. This preparation is an essential first step in responsible puppy care. A safe and organized environment will not only make the transition smoother for your puppy but will also contribute significantly to their well-being.

Creating a Puppy-Safe Home

Just like baby-proofing a house for a toddler, you'll need to do the same for your new puppy. This is a key element in puppy care, preventing accidents and potential health hazards.

Identifying and Removing Hazards

Puppies are naturally curious and prone to exploring with their mouths. Therefore, it's critical to identify and remove any potential dangers within their reach. Here are some examples to watch out for:

  • Poisonous Plants: Many common houseplants are toxic to dogs. Some examples include lilies, azaleas, and sago palms. Research which plants are harmful and remove them from areas accessible to your puppy.
  • Electrical Cords: Puppies love to chew, and electrical cords can pose a serious electrocution risk. Tuck them away securely, use cord protectors, or reroute them to be out of reach.
  • Small Objects: Buttons, coins, small toys, and anything else your puppy might swallow can create a choking hazard or cause intestinal blockage. Do a thorough sweep of your home to pick up any small items that could be a problem.
  • Cleaning Supplies and Chemicals: Store all cleaning products, detergents, and other chemicals in secure cabinets that your puppy cannot access. The same applies for medications, both human and pet related.
  • Food Items: Some human foods like chocolate, grapes, onions and garlic are toxic to dogs. Make sure food is securely stored away.

Setting up a Designated Puppy Area

Providing your puppy with a designated space will help them feel secure and comfortable. This is an important aspect of puppy care, especially during those first few days.

  • Crate Training: A crate provides a safe den-like space for your puppy. Introduce it gradually, making it a positive experience with toys and treats. Crate training is helpful for house-training and providing a space for rest.
  • Playpens: A playpen can be a useful alternative to a crate, especially if you have a larger puppy or prefer a more open space. It should be set up in a place where your puppy can still see you and feel included in the household.
  • Designated Sleeping Areas: If you choose not to use a crate, a designated bed or sleeping area in a quiet corner of your home is essential. Make sure the bedding is comfortable and easily washable.

Gathering Essential Supplies for Your New Puppy


Gathering Essential Supplies for Your New Puppy

Having the right supplies on hand from the start will make the transition much smoother for both you and your new puppy. Here’s a comprehensive list of essential items for your new puppy:

Food and Water Bowls

Choose bowls that are the right size and material for your puppy. Stainless steel bowls are durable, easy to clean, and resistant to bacteria. Ensure the bowls are stable to prevent spills.

High-Quality Puppy Food

Opt for a puppy food specifically formulated for your puppy's age and breed. This is crucial for proper growth and development. We will go into more detail on this in the nutrition section later in this guide.

Collar, Leash, and ID Tags

A properly fitted collar with an ID tag is essential for safety. Make sure the tag includes your contact information. A lightweight leash is important for walks and training.

Comfortable Bedding

A cozy bed or blanket will provide a comfortable and secure place for your puppy to rest. Choose a bed that is washable and suitable for your puppy's size.

Toys (Appropriate for Age and Size)

Toys are crucial for mental stimulation and preventing boredom. Select a variety of chew toys, interactive toys, and soft toys to keep your puppy entertained and help in the teething process.

Grooming Supplies (Brush, Shampoo)

Start grooming your puppy early to help them become comfortable with the process. A soft-bristled brush and puppy-safe shampoo are essential. We will cover this in more detail in the grooming section.

Cleaning Supplies (for Accidents)

Be prepared for accidents by keeping enzymatic cleaner on hand. This cleaner will remove stains and odors effectively, preventing your puppy from revisiting the same spots for future accidents.

Nutrition: Fueling Your Puppy's Growth

Proper nutrition is paramount for healthy puppy care. What your puppy eats during their first year directly impacts their growth, development, and overall well-being. Understanding their specific nutritional requirements is essential for providing the best start in life.

Understanding Your Puppy's Nutritional Needs

Puppies have different nutritional needs compared to adult dogs, requiring more calories, protein, and specific vitamins and minerals to support rapid growth. Therefore, this is an important part of puppy care.

The Importance of Age-Specific Puppy Food

Puppy food is specially formulated to meet these increased needs. It has a higher calorie content, and a specific balance of proteins, fats and essential nutrients to support muscle development, bone growth, and immune system health. Adult dog food may not provide enough of these essential nutrients for a growing puppy. Using puppy specific food is a corner stone of effective puppy care.

Understanding Food Labels and Ingredients

When selecting puppy food, pay close attention to the ingredient list. Look for named meat sources (e.g., chicken, beef) listed as the first ingredient. Avoid foods that are high in fillers like corn, wheat, or soy. Check for added supplements including vitamins and minerals. Reading pet food labels is an essential skill for any pet owner.

Choosing the Right Type of Food

Puppy food comes in various forms, each with pros and cons:

  • Dry Kibble: Convenient, cost-effective, and helps with dental health.
  • Wet Food: More palatable for picky eaters, higher moisture content, but can be more expensive.
  • Raw Diet: Some owners choose raw diets, but this requires careful planning and supplementation to ensure it's nutritionally balanced and safe for puppies. Consult with your vet before starting a raw diet for your puppy.

Establishing a Feeding Schedule

Consistency in feeding times and amounts is important for your puppy's digestive health and for preventing overeating. This will greatly benefit your puppy's health

How Often to Feed a Puppy

Puppies require more frequent meals than adult dogs. A general guideline is:

  • 8-12 weeks old: 4 meals per day
  • 3-6 months old: 3 meals per day
  • 6-12 months old: 2 meals per day

These guidelines can vary based on breed, size and activity level, consult with your vet if you have questions.

Measuring and Monitoring Food Intake

Always follow the feeding guidelines on your puppy food packaging. Use a measuring cup to ensure accurate portion sizes. Monitor your puppy's weight and body condition and adjust the food amount as needed to ensure that you’re maintaining a healthy weight. A key component of puppy care is watching for weight changes.

Treats: When and How to Use Them

Treats are useful for training, but should be given in moderation. Choose healthy, low-calorie treats, and limit them to no more than 10% of your puppy's daily calorie intake. Avoid giving your puppy table scraps or overly processed treats that can contribute to weight gain or digestive issues.

Water Intake for Optimal Hydration

Access to fresh, clean water at all times is essential for your puppy’s overall health. Proper hydration is a critical aspect of puppy care.

Ensuring Constant Access to Fresh Water

Keep your puppy's water bowl filled with fresh water throughout the day. Change the water frequently to keep it clean. Ensure your puppy can easily reach the bowl and encourage them to drink, especially after playtime or exercise.

Health & Wellness: Protecting Your Puppy


Health & Wellness: Protecting Your Puppy

Protecting your puppy's health is a top priority in puppy care. This includes following a vaccination schedule, preventing parasites, and keeping up with regular veterinary check-ups to ensure their best overall health.

Vaccinations: A Cornerstone of Puppy Health

Vaccinations are vital for protecting your puppy from serious and potentially fatal diseases. This is a fundamental step of puppy care and should not be ignored.

Understanding Core Puppy Vaccinations

Core vaccinations are recommended for all puppies. These include:

  • Parvovirus: A highly contagious and potentially fatal virus that affects the digestive system.
  • Distemper: A viral disease that affects the respiratory, gastrointestinal, and nervous systems.
  • Adenovirus (Canine Hepatitis): A viral infection that primarily affects the liver.
  • Parainfluenza: A highly contagious respiratory virus.

Following Your Vet's Vaccination Schedule

Your veterinarian will provide a specific vaccination schedule based on your puppy's age and breed. Typically, vaccinations start at 6-8 weeks of age and are given in a series of boosters to ensure full immunity. Always follow the schedule that your vet recommends.

Optional Vaccinations Based on Lifestyle

Your veterinarian may recommend additional vaccinations based on your puppy’s lifestyle. For example:

  • Bordetella (Kennel Cough): Recommended if your puppy will be spending time in boarding facilities, dog parks, or grooming salons.
  • Leptospirosis: Recommended if you live in or visit areas with standing water.
  • Rabies: A required vaccination at a certain age, dependent on state and local laws.

Parasite Prevention: Internal and External

Puppies are vulnerable to both internal and external parasites. Preventing these infestations is essential for your puppy’s health and well-being.

Understanding Worms and Their Impact

Puppies can contract various types of worms, including roundworms, hookworms, whipworms, and tapeworms. These parasites can cause digestive upset, weight loss, anemia, and other health problems. Regular deworming is a key part of puppy care.

Flea and Tick Control

Fleas and ticks can cause discomfort, skin irritation, and transmit diseases. Choose a vet-approved flea and tick preventative medication suitable for your puppy's age and size. Always use a preventative that is suitable for puppies of the same size and age as your new puppy.

Heartworm Prevention

Heartworm disease is transmitted through mosquito bites. Your vet will recommend heartworm prevention medications, starting at a young age. Heartworm prevention is a crucial part of responsible puppy care in areas where heartworm is common.

Routine Veterinary Check-ups

Regular veterinary check-ups are essential for monitoring your puppy’s growth and detecting any health problems early on. This proactive approach is a cornerstone of effective puppy care.

The Importance of Regular Vet Visits

Puppies require more frequent vet visits during their first year than adult dogs. These visits allow your vet to track your puppy's growth, give necessary vaccinations and parasite prevention treatments and spot any potential health issues early.

What to Expect During a Puppy Check-Up

During a puppy check-up, your vet will typically:

  • Perform a complete physical exam.
  • Check your puppy's weight and temperature.
  • Administer vaccinations and parasite preventatives.
  • Answer any questions you might have about puppy care.

Recognizing Signs of Illness in Your Puppy

It's important to be vigilant about your puppy's health and to recognize any signs of illness early. This will enable you to get your pup the care they need sooner. Being able to spot the signs of health issues is key to responsible puppy care.

Changes in Appetite or Thirst

A sudden decrease in appetite or an increase in thirst can be a sign of an underlying health problem. Changes to eating and drinking habits is a red flag you should pay attention to.

Lethargy or Weakness

If your puppy is unusually tired or weak, this could indicate illness. Puppies are normally very active, if you notice a change in your puppy's activity level it is worth investigating.

Vomiting or Diarrhea

Occasional vomiting or diarrhea may be due to dietary indiscretion, but persistent or severe episodes require veterinary attention.

Coughing, Sneezing, or Nasal Discharge

These can be signs of respiratory infections such as kennel cough.

Other Red Flags and When to Seek Veterinary Care

Other signs that warrant a vet visit include:

  • Pale gums
  • Difficulty breathing
  • Seizures
  • Unusual lumps or bumps
  • Changes in behavior

Always err on the side of caution and contact your vet if you have concerns about your puppy's health. Early detection and treatment will drastically improve your puppy's health.

Spaying and Neutering: Benefits and Considerations

Spaying (for females) and neutering (for males) are important parts of responsible puppy care. These procedures offer numerous health and behavioral benefits.

Optimal Timing for Spaying or Neutering

The ideal timing for spaying or neutering can vary based on breed, size and individual factors. Generally, vets recommend it at around six months old, but some vets may advise otherwise based on your puppy's unique circumstance. Discuss this topic with your vet to decide on the best time frame for your puppy.

Health Benefits of Spaying/Neutering

Spaying and neutering offer numerous health benefits:

  • Preventing certain cancers: Spaying reduces the risk of mammary cancer and uterine infections in females. Neutering reduces the risk of testicular cancer and prostate issues in males.
  • Preventing unwanted pregnancies: This can help reduce the number of homeless animals.
  • Reducing behavioral problems: Neutering can reduce roaming, territorial marking, and aggression in some males.

Puppy Training and Socialization

Early training and socialization are crucial for developing a well-behaved and confident dog. This is a significant part of puppy care and it will help your puppy integrate into your home and into society.

The Importance of Early Training and Socialization

The critical socialization period for puppies is between 8-16 weeks of age. During this time, puppies are highly receptive to new experiences. Early training and socialization is fundamental to developing a well adjusted and socially confident pet.

Basic Obedience Training for Your Puppy

Start with basic obedience commands such as potty training, crate training and walking on a leash as soon as possible. This will set the foundation for future training.

House training techniques (potty training)

Potty training is often one of the biggest challenges new owners face when it comes to puppy care. Consistency and positive reinforcement are key. Here are some tips to help with potty training:

  • Establish a routine: Take your puppy outside frequently, especially after waking up, eating, and playing.
  • Positive Reinforcement: Reward your puppy immediately with praise and a small treat when they eliminate outside.
  • Supervision: Keep a close eye on your puppy for signs that they need to go to the bathroom, such as circling, sniffing, and squatting.

Crate training benefits and techniques

Crate training provides a safe and secure space for your puppy and can be beneficial for house training and preventing destructive behavior. Make the crate a comfortable space for your puppy by including soft bedding and toys. Never use the crate as a punishment.

Leash training basics

Start leash training by getting your puppy used to wearing a collar or harness. Begin with short walks in a familiar environment and gradually introduce them to new areas. Use positive reinforcement to encourage your puppy to walk nicely on a leash. Leash training is a key part of effective puppy care.

Essential commands: sit, stay, come, down

Begin with simple commands like 'sit,' 'stay,' 'come,' and 'down.' Use positive reinforcement, such as treats and praise, to encourage your puppy. Keep training sessions short and fun to prevent your puppy from becoming bored or frustrated. Be consistent with the commands that you are using, so your puppy can easily learn what you want them to do.

Socialization: Exposing Your Puppy to the World

Early socialization is essential for preventing fear and aggression later in life. Exposure to different environments and experiences will allow them to grow into a confident, well adjusted dog.

Safe socialization practices

When socializing your puppy, it's important to keep their safety in mind. Only introduce them to other dogs and people that are known to be healthy and have a good temperament. Start with short, positive exposures, and gradually increase the duration and intensity of the interactions. Always supervise interactions and ensure that your puppy is not feeling overwhelmed or scared. The goal of socialization is to make sure that your puppy is comfortable in a wide variety of situations.

Importance of exposing your puppy to different sights, sounds, people and dogs

Expose your puppy to various sights, sounds, smells, and people of different ages, appearances and backgrounds to allow them to experience the world and all of the things they will see and do in the future. Start with familiar sounds, sights and people, gradually working up to new more complex environments. Exposing your puppy to new environments is a key component of puppy care.

Socialization checklists, age-appropriate interactions

Use a socialization checklist to ensure that your puppy is exposed to a variety of different things in a positive way. Here are some examples:

  • Different surfaces (carpet, tile, grass)
  • Different sounds (vacuum, car, door bell)
  • Various people (children, older adults, people of different backgrounds)
  • Different types of dogs (large dogs, small dogs, old dogs, puppies)

Always make sure your puppy is having a positive experience during the socialization period. If they seem scared or overwhelmed, remove them from the situation and try again another time with more precautions in place.

Puppy Grooming and Hygiene

Regular grooming is important for your puppy’s health and overall well-being, it is a cornerstone of good puppy care. Getting your puppy used to grooming early will ensure that it is a positive experience and a part of your regular routine.

Bathing Your Puppy

Bathing is an important part of keeping your puppy clean and healthy, however, avoid doing it too often as this can dry out their skin and coat.

How Often to Bathe Your Puppy

Bathe your puppy only when necessary, typically every few months or when they get particularly dirty or smelly. Over-bathing can strip their coat of its natural oils and lead to skin problems.

Choosing the Right Shampoo

Use a puppy-specific shampoo that is gentle and does not contain harsh chemicals or fragrances. This will help prevent skin irritation or allergies. A puppy specific shampoo is an important component of proper puppy care.

Step-by-Step Bathing Instructions

  • Brush your puppy's coat before bathing to remove tangles.
  • Use lukewarm water to avoid shocking your puppy.
  • Gently massage the shampoo into their coat.
  • Rinse thoroughly, making sure to remove all shampoo residue.
  • Towel dry your puppy immediately to prevent chills.

Brushing Your Puppy's Coat

Brushing is a vital part of your puppy care routine. It helps to keep your puppy's coat and skin healthy.

Benefits of Regular Brushing

Brushing helps remove dirt, loose hair, and prevents matting. It also distributes natural oils to keep their coat healthy. Regular brushing also allows you to check for any signs of skin issues, injuries or parasites like fleas and ticks.

Choosing the Right Brush for Your Puppy's Coat

Select a brush appropriate for your puppy’s coat type. For example:

  • Slicker brush: good for most coat types, particularly medium to long coats.
  • Pin brush: suitable for long and silky coats
  • Bristle brush: a good choice for short coats
  • Rubber brush: good for smooth coats and short hair.

How to Brush Correctly

Start by brushing gently and in the direction of the coat. If you find mats or tangles, work through them carefully with a detangling tool or your fingers before brushing. Make sure to brush your puppy frequently when they are shedding to avoid hair accumulation around your house.

Nail Trimming for Puppies

Keeping your puppy's nails trimmed is an important part of puppy care. Overgrown nails can be painful and can cause problems with your puppy's gait.

The importance of trimming

Overgrown nails can cause discomfort and can make walking difficult. Long nails can also get caught on objects and cause injuries.

Proper Trimming Techniques, avoiding the quick

Use proper nail clippers designed for dogs. Only trim the tip of the nail, avoiding the quick (the pink part of the nail that contains nerves and blood vessels). If you are unsure how to trim your puppy's nails, have your vet or a professional groomer show you.

Dental Care for Puppies

Start early with your puppy's dental care as this is an important part of overall puppy health and well being.

Brushing Your Puppy's Teeth

Use a dog-specific toothbrush and toothpaste. Never use human toothpaste, as it can be toxic to dogs. Brush your puppy's teeth daily to prevent plaque and tartar build-up.

Dental Treats and Toys

Dental chews and toys can help keep your puppy’s teeth clean. However, always supervise your puppy when they are using these items.

Ear Cleaning for Puppies

Regular ear cleaning can help prevent ear infections, especially in breeds with floppy ears. This should be part of your routine puppy care.

Regular Ear Check-ups and Cleaning

Check your puppy’s ears for redness, discharge or foul odors. Clean their ears gently with a dog-specific ear cleaner and a cotton ball. If you notice any signs of an ear infection, consult your vet. Avoid using cotton swabs, as these can push debris further into the ear canal.

Puppy Behavior: Addressing Common Challenges


Puppy Behavior: Addressing Common Challenges

Understanding and addressing common behavioral issues is a key part of responsible puppy care. Being able to train and handle behavioral problems will make life more enjoyable for you and your puppy.

Understanding Puppy Biting and Nipping

Puppy biting and nipping is a normal behavior, particularly during the teething process. However, they need to learn to control the force of their bite. Therefore, this should be addressed through training.

The reasons behind puppy biting

Puppy biting and nipping can be due to a number of factors, including teething, play, and communication. Puppies often explore the world using their mouths, so this behavior is expected.

Effective ways to redirect biting and nipping

When your puppy nips or bites, redirect their attention to an appropriate chew toy. If they continue to bite, gently remove your attention. Never punish your puppy for biting, as this can lead to fear and aggression. Use a high pitch 'ouch' and withdrawal of your attention if nipped or bitten while playing.

Dealing with Separation Anxiety in Puppies

Separation anxiety can be a common issue for puppies that get anxious when left alone. Helping your puppy learn to be content alone is an important part of proper puppy care.

Recognizing the signs of anxiety

Signs of separation anxiety include excessive barking, whining, destructive behavior, pacing, and toileting accidents when left alone.

Techniques to address separation anxiety

Gradually desensitize your puppy to being left alone by starting with short periods of separation and gradually increasing the duration. Provide them with a safe space, such as a crate or designated room. Leave them with interactive toys or a treat puzzle to keep them occupied. Never give them attention or let them out if they are exhibiting signs of anxiety.

Destructive Chewing and How to Manage it

Puppies explore the world through chewing, however, destructive chewing can lead to problems in your household. Addressing this by providing appropriate chew items is an important part of puppy care.

Providing appropriate chew toys

Offer your puppy a variety of chew toys with different textures and materials. Rotating toys can help keep your puppy engaged and prevent boredom.

Puppy-proofing and preventing destructive behavior

Puppy-proof your home by removing valuable items and making sure any potentially hazardous items are out of your puppy's reach. Keep your puppy engaged, offer them plenty of mental stimulation, physical activity, and interaction to help to prevent destructive chewing.

Barking issues

Puppies may bark for a variety of reasons, such as excitement, boredom, fear, or as an alarm. Addressing barking appropriately will help ensure your puppy's health.

Identifying what causes the barking

Take a moment to consider why your puppy may be barking. Are they bored, anxious, or scared? Identifying the reason behind their barking is essential to addressing it effectively.

Training to reduce excessive barking

Teach your puppy the "quiet" command and reward them when they are not barking. If your puppy is barking out of boredom, offer them mental and physical stimulation. If the barking continues, consult with a professional trainer or behaviorist.

Puppy First Aid

Knowing basic first aid can be life-saving in emergency situations. Therefore, every puppy owner needs to be aware of these skills as a key component of effective puppy care.

Creating a Basic Puppy First-Aid Kit

It's crucial to keep a well-stocked first aid kit available at all times for any potential emergencies. The kit should include:

  • Digital thermometer
  • Pet-safe antiseptic wipes
  • Sterile gauze pads and tape
  • Tweezers
  • Scissors
  • Emergency contact information (your vet, emergency animal hospital)
  • A copy of your puppy's medical history (vaccination schedule, any current medications etc)
  • Activated charcoal (for suspected poisoning)
  • Saline solution for rinsing eyes and wounds

Recognizing Common Puppy Emergencies

Be aware of the following common puppy emergencies so that you can quickly respond if needed.

  • Choking
  • Bleeding
  • Suspected Poisoning
  • Injuries (cuts, scrapes, broken bones)
  • Heat stroke
  • Seizures

Administering First-Aid for Common Puppy Problems

Here's how to handle some common situations:

Dealing with minor cuts and scrapes

Clean the area with antiseptic wipes or mild soap and water. Apply a sterile gauze pad and bandage, if necessary.

How to check vitals

Learn how to take your puppy's temperature, pulse and respiratory rate. These vitals are important to monitor during an emergency. The normal heart rate of a puppy is approximately 100-160 beats per minute, and the normal respiratory rate is 15-30 breaths per minute. The normal body temperature for a puppy is between 100.5 - 102.5°F. Learn to check your puppy's gums, they should be pink and moist.

When to seek immediate veterinary care

Contact your vet or emergency animal hospital if your puppy is experiencing any serious or life threatening issues, such as difficulty breathing, significant blood loss, unconsciousness, severe vomiting or diarrhea, seizures, a potential poisoning or any major injuries.

Checklist for New Puppy Owners

Use this checklist as a guide for all your puppy care needs.

Puppy Care Essentials Checklist

Task/Item Status Notes
Puppy-Proof Home Remove hazards, set up designated area
Gather Essential Supplies Food, bowls, collar, leash, bedding, toys, grooming kit
High Quality Puppy Food Age specific, balanced nutrition
Feeding Schedule Consistent timing and portion sizes
Water access Ensure constant access to fresh water
Veterinarian Visit Schedule initial health check-up
Vaccination Schedule Follow your vet's recommendations
Parasite Prevention Flea, tick, worm and heartworm prevention
Basic Obedience Training House training, crate training, leash training
Socialization Expose to various sights, sounds, people and dogs
Grooming Brushing, bathing, nail trimming, dental care, ear cleaning
Puppy First Aid Kit Create and have easily accessible
Regular Vet Check-Ups Schedule check-ups throughout the first year.

Conclusion

Raising a healthy and happy puppy requires dedication, consistency, and a lot of love. By following this comprehensive guide, you'll be well-equipped to provide your new puppy with the best possible care. Remember, the early months are critical for their development, and the effort you put in during this time will have a lasting impact on their well-being. Consistent puppy care is key to a long, healthy and happy life for your furry family member. Embrace the journey, enjoy the special bond you're building, and celebrate the countless joys that your new puppy brings into your life. Remember, puppy care is a long-term commitment, and the rewards are immeasurable.

Comments