
‘I have a crippling health issue that's only fixed by Botox'
Headaches can be debilitating, whether they are linked to allergies, hormones, caffeine or hypertension. Perhaps the hardest to cope with are migraines, which cause mild to severe pain, typically affecting one side of the head. They can also impact your vision and make you feel incredibly sick.
Doctor Ross Perry, medical director of Cosmedics skin clinics (cosmedics.co.uk), says, 'Migraines area unique kind of headache, often characterised by pain on one side of the head, nausea, and visual disturbances such as flashing lights or temporary tunnel vision. You may also experience an aura,a sensation indicating that a migraine is about to occur.
'The exact cause of migraines is unknown, but they're thought to be triggered by spasms of blood vessels in the brain or neck area. Factors like stress, alcohol and dehydration can exacerbate them, but sometimes they can happen for no apparent reason.'
Doctor Perry explains that preventive treatments are the main approach to managing migraines, with medications available to help prevent their onset. Migraines may start when young girls get their first period, but they can begin at any time. They can persist throughout the reproductive years and into menopause.
Doctor Ross adds, 'Sadly, there's not much you can do as it's often down to genetics. However, certain measures can help manage the onset and severity, such as staying hydrated and drinking plenty of fluids.'
Drinking water and engaging in regular exercise can also help alleviate migraines triggered by hormones. It's recommended to manage stress levels through breathing exercises or yoga.'
As June marks Migraine & Headache Awareness Month, we spoke to web developer Suzi Brown, 46, from Manchester, who suffered for years before finding the perfect and unexpected cure.
'I started suffering from migraines around puberty. I remember telling my mum my head felt really heavy when I was about nine years old. For me, they feel like a vice is crushing my head, and I feel sick and dizzy at the same time. I get brain fog and memory loss, both during and after.
'The worst thing is not being able to plan – they happen without warning. I missed a festival last year because I had to leave early. Alcohol makes them worse, too. I've even had to miss family holidays abroad.
'I missed tons of work before I was self-employed, and people made comments that I was lying because it's not a disability that can be seen – although you can see when I have one, as my face and eyes are really puffy.
'It's much easier now I'm self-employed. In fact, it's one of the reasons I work for myself. If I do have to take time off, I can make up the hours, and I'm in control of my workload.
'If I catch migraines early, they can last a few hours. I take meds during the night if I feel one coming, and they're usually gone by morning. If I don't, they can last a few days or even a week.
'To manage them, I now get Botox which takes away about 80% of the migraines. I don't know how it works, but I'm thankful it does. I get some Botox on the NHS, so although it's meant to be every three to six months, it's nearer to every year due to waiting lists. So I top this up privately when I can.
"The doctor has added the sides of the head and, last time, the forehead. The latter hasn't worked,but it did wonders for my wrinkles!'

Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles


The Sun
a day ago
- The Sun
These frozen in time celebs have barely aged a day – can you guess how much time has passed between their two pics?
THE world of celebrity beauty is always full of intrigue, keeping us guessing and wondering how they do it. Recently, it seems some stars have uncovered the secret to slowing - or even reversing - the signs of ageing. 23 23 23 Good genes and a healthy lifestyle play their part, but there may be more to the glow of our favourite celebs. From subtle touch-ups to more noticeable transformations, some age-defying celebrities have barely aged since their twenties. And to show just how frozen in time these celebrities truly are, we've included side-by-side photos of them at 20 and how they look today. Can you guess how many years there are between each pic? Skin specialist and cosmetic surgeon Dr. Ross Perry reveals what they might have had done - and how much it all costs. Tyra Banks Supermodel Tyra Banks certainly knows how to strike a pose and steal the spotlight when it comes to working the cameras. At 51, she looks just as stunning as she did during her modelling days in 2000. Dr. Ross says: 'There's a reason Tyra Banks became a supermodel. 'Genetically blessed with striking facial features, though she has admitted to undergoing nose surgery in her younger years, Tyra still looks as incredible today as she did at 20. 'Her skin remains completely flawless and virtually line-free. One factor that contributes to this is her skin type. 'Black skin tends to age more slowly and show fewer signs of aging compared to lighter skin tones, primarily due to a higher concentration of melanin. 'Melanin acts as a natural sunscreen, offering greater protection against sun damage, one of the biggest causes of premature aging. 'Also, darker skin typically has a thicker dermis and more compact collagen bundles, which contribute to its firmness and resilience over time." 23 23 Answer: 31 "That said, it's highly likely that Tyra has had some tweakments along the way," he adds. 'While Tyra may have had subtle assistance to maintain her youthful appearance, it's clear that her genetics, smart skincare choices and likely a carefully curated tweakment routine have all played a role in preserving her iconic beauty.' Estimated cost of potential treatments: Botox: £1,050 a year (£350 per session, every four months) Profhilo: £950 for initial two sessions, with top-ups at £475 every 4-6 months Fractional Ablative Laser Skin Resurfacing: £2,250 for three initial sessions, plus maintenance Regular Facials: £2,400+ a year (£200+ a month) TOTAL COST OVER 31 YEARS: £161,150 Lindsay Lohan 23 23 23 Answer: 19 years She starred in Freaky Friday where she swapped lives with her mum, but it seems Lindsay Lohan has mastered the art of barely aging in real life. At 39, she's undergone the ultimate glow-up, looking like she is turning back the clock. Dr Ross Perry explains: 'In the last 18 months, Lindsay Lohan has undergone the ultimate glow-up, looking even better now than she did 20 years ago. She appears more radiant, more refreshed, and more polished. 'While Lindsay has firmly denied undergoing plastic surgery, she has openly credited her skincare regime and a few advanced aesthetic treatments for her transformation. "Among her favourites? IPL (Intense Pulsed Light) laser facials, which help to brighten the skin and reduce pigmentation for a clearer, more even complexion. "She's also a fan of Morpheus8, a cutting-edge treatment that combines microneedling with radiofrequency energy to stimulate collagen production, tighten skin, and improve texture. These are said to include a nose job, eyelid surgery, Botox, fillers, a facelift, dental enhancements, and cheek implants Dr. Ross Perry 'Lindsay's porcelain skin tone and natural freckles mean she has always had to be extra careful with sun exposure. "It's likely that daily SPF protection has been a staple in her skincare routine since childhood. "Being fair-skinned, she would be particularly prone to sun damage and premature ageing, so avoiding the sun and investing in skin protection has clearly paid off. 'If you look back at Lindsay in her 20s, there was a period when she appeared to overindulge in cosmetic treatments, most notably lip fillers, cheek fillers, and Botox. "However, her current look is a masterclass in subtle tweakments. Any previous overuse appears to have been dialled back and refined, giving her a much more balanced and natural appearance. 'The biggest rumour surrounding her transformation? A full facelift, although this has been fiercely denied. "Should this have taken place, it would typically cost anywhere between £12,000 and £30,000+, depending on the extent of the surgery and the surgeon's expertise.' Estimated cost of potential treatments: Kris Jenner 23 23 Answer: 49 years Kris Jenner has always been the ultimate matriarch, but at 69, she arguably looks better than ever. Kris has built her look alongside the Kardashian empire, where beauty and speculation go hand in hand. Dr Ross Perry explains: 'Kris Jenner arguably looks the best she ever has, fresh-faced, polished and, yes, noticeably different from how she appeared two decades ago. 'While the shift in her appearance can certainly be attributed to a skilled surgeon and a team of top-tier aesthetic experts, it's also a testament to the Kardashian brand itself. "After all, few families have built an empire on beauty, speculation, and reinvention quite like the Kardashians, and perhaps nothing captures public attention more than the 'has she or hasn't she?' conversation around cosmetic work. 'To Kris's credit, she's been fairly open about dabbling in aesthetic treatments, and it's been widely reported that she has spent upwards of half a million pounds on procedures over the years. 'These are said to include a nose job, eyelid surgery, Botox, fillers, a facelift, dental enhancements, and cheek implants. Her most recent procedure, a deep plane facelift, reportedly cost around £100,000 alone. 'But keeping up with Kris is a full-time commitment. Her current glow is said to be maintained through a mix of advanced non-surgical treatments, including:' Estimated cost of potential treatments: Mariah Carey 23 23 Answer: 36 Mariah Carey, the ultimate diva, has perfected her signature look over the years, barely changing despite the passing decades. At 56, she continues to radiate glamour, with her youthful appearance sparking rumours of subtle cosmetic enhancements. Known for her extravagant lifestyle - complete with beauty treatments like bathing in milk and hiring masseuses for hours-long pampering sessions - Mariah's approach to self-care is nothing short of iconic. Dr Ross Perry explains: 'Mariah Carey's signature look has barely changed over the years. 'Yes, there has been weight loss and weight gain, which has resulted in more of a rounded and puffy face in appearance, often leading to speculation of the overuse of fillers and rumours of a breast enlargement. "However, the procedures Mariah has no doubt done have been carefully and subtly executed. 'She is, after all, the ultimate diva, with rumours suggesting she uses milk as a beauty treatment and once allegedly paid a masseuse $1,500 (£1,144) to massage her for eight hours while she slept. "These rumours only add fuel to her brilliant 'diva qualities.' 'I don't doubt she looks after her body with a daily personal trainer, private chef, and leads a healthy lifestyle - all contributing factors to ageing well. "I'd also say she stays out of the sun, but equally, as she has such few lines, she has no doubt used Botox to fill out her lines, done in a way that lifts her eyes rather than making them droop. 'Other than that, she may have possibly had some filler to keep the youthful cheeks nice and full-looking - very much a signature of Mariah's - and then, alongside this, likely laser resurfacing on the skin and possibly Profhilo.' Estimated cost of potential treatments: Cher 23 23 Answer: 60 years Cher has always been the queen of reinvention, defying age and gravity with her timeless beauty and iconic silhouette. At nearly 80, she still turns heads, proving that age is just a number. Known for her openness about cosmetic enhancements, Cher has reportedly spent over £500,000 on procedures and treatments to maintain her youthful glow – a testament to her commitment to looking and feeling her best. Dr Ross Perry explains: 'Cher has long defied the rules of ageing and gravity, and at nearly 80, she still turns heads with her youthful glow and unmistakable silhouette. 'While she's never shied away from discussing her love of cosmetic enhancement, it's estimated that the global superstar has spent over £500,000 on plastic surgery and aesthetic treatments over the years. 'Among the most widely reported procedures are multiple facelifts, several breast augmentations, regular Botox and lip fillers, rhinoplasty, and potentially cheek implants - though Cher has always fiercely denied this rumour. 'For someone nearing 80, the fullness in Cher's cheeks is unusual. At that age, most people experience significant facial volume loss. In her case, this is likely the result of fat transfer or dermal filler rather than implants. 'To maintain her smooth, glowing skin, it is also likely that Cher regularly undergoes skin rejuvenation treatments, including laser and light-based therapies every 6-8 weeks. "Considering that around 80% of visible skin ageing is caused by sun exposure, it's safe to assume Cher stays out of the sun entirely and wouldn't dream of leaving the house without a high SPF.' Estimated cost of potential treatments: Oprah Winfrey 23 23 Answer: 51 Oprah Winfrey is the epitome of graceful ageing, looking better today at 71 than she did in her younger years. Her glow, poise, and confidence are undeniable, and her appearance remains remarkably natural. While her weight has fluctuated over the decades, giving her face a fuller or more chiselled look at different times, her skin remains smooth, luminous, and impressively youthful. Dr Ross Perry explains: 'A key factor in Oprah's graceful ageing is her genetics. 'As often noted, Black skin typically ages more slowly than lighter skin tones, largely thanks to a higher concentration of melanin, which acts as a natural sunscreen. "Melanin offers enhanced protection against sun damage, one of the primary causes of premature ageing. "In addition, darker skin often has a thicker dermis and more densely packed collagen, which contributes to long-term firmness and resilience. 'As for cosmetic intervention? It's unclear whether Oprah has ever gone under the knife, and if she has, it's been done with such subtlety that it escapes obvious detection. "Her overall look is likely a mix of excellent skincare, clever makeup artistry, and naturally good skin. 'That said, it would be reasonable to suggest that Oprah may opt for small amounts of Botox, particularly around the eye area to prevent crow's feet, along with occasional laser or light-based facials to treat pigmentation, thread veins and to maintain an even skin texture.' Estimated cost of potential treatments: Liz Hurley 23 23 23 Answer: 40 years Decades after she turned heads in that iconic Versace dress, Liz Hurley looks as radiant and youthful as ever. At 60, she seems to have unlocked the secret to ageing gracefully, blending natural beauty with a touch of aesthetic enhancement. While genetics undoubtedly play a role - her mother has aged beautifully - it's clear that Liz works hard to maintain her slim, toned physique, which could easily rival someone in their late 20s. Her thick, glossy hair, always expertly styled, completes her polished yet effortlessly youthful appearance. Dr. Ross Perry explains: 'Certainly, genetics play a part in Liz's age-defying look. 'Her mother has aged beautifully and Liz has clearly inherited those attributes. But there's also no denying that she works hard to maintain her physique. "Her slim, toned frame, often a key marker of youth, combined with her signature thick, glossy hair, gives her an effortlessly youthful vibe. 'One of Liz's most recognisable features has become her plump lips, a shape that was far less prominent during her early days in the spotlight, such as when she dated Hugh Grant. "This suggests she may have had regular lip filler, but it's been beautifully balanced and proportionate, enhancing her natural beauty without overpowering her features. 'Speculation around a facelift is ongoing, and while nothing has been confirmed, if she has had one, it's been expertly executed. "In today's world, it's less about whether someone has had work and more about how well it's been done. And in Liz's case, the result is subtle, elegant, and natural. 'To maintain her youthful glow, Liz is likely to rely on a mix of non-surgical aesthetic treatments, such as Botox to soften fine lines, dermal fillers to restore volume and Profhilo to deeply hydrate and improve skin elasticity. "Microneedling and laser treatments could also play a role in improving skin texture and stimulating collagen. "Upper eyelid surgery is another possibility, as it's a straightforward yet effective procedure for lifting sagging lids, commonly affected by age.' Estimated cost of potential treatments: Jennifer Lopez 23 23 23 Answer: 36 years Jennifer Lopez continues to amaze the world with her youthful glow and toned physique, looking at least 15 years younger than her actual age. At 56, JLo is the perfect example of how hard work, commitment, and a touch of clever beauty tricks can defy the ageing process. While her natural beauty and genetics play a role, her dedication to self-care ensures she remains as radiant as ever. Dr Ross Perry explains: 'First and foremost, JLo has been blessed with natural beauty and great genes. An inexpensive yet effective moisturiser, particularly for tackling fine lines under the eyes. Dr. Ross Perry 'Her olive skin tone also gives her a natural advantage when it comes to ageing. "Olive skin contains more melanin, the pigment responsible for skin colour, which provides a natural layer of protection against sun damage, a major contributor to premature ageing. 'But genetics can only go so far. Jennifer is famously committed to self-care. "She reportedly eats a clean, unprocessed diet full of oily fish, leafy greens, and hydration-boosting foods. "She avoids caffeine and alcohol, two known accelerators of ageing, and likely benefits from a private chef who crafts meals rich in vitamins and antioxidants. 'Her workout regime is also a key part of her youthful glow. She exercises vigorously to maintain a toned physique and promote overall wellness. "Given her skin type, it's likely JLo is careful about sun exposure, opting to get her daily dose of Vitamin D without overexposing her skin to UV rays, another major factor in skin ageing. 'Despite her natural appearance, it is likely JLo has had some subtle tweakments over the years. "These could include a small amount of Botox around the eyes, frown lines, and forehead, always with a light touch. "Some soft filler in the cheeks, where we tend to lose volume with age, could also be part of the equation. 'Other non-invasive treatments she may use include Profhilo, an injectable that deeply hydrates the skin and laser therapy to treat pigmentation and improve texture. 'Her daily skincare routine is likely meticulous. It may include a gentle cleanser, a Vitamin C serum in the morning, retinol at night, and a high-quality SPF every single day. "She's also been quoted as using olive oil on her skin, rich in antioxidants and vitamins, which is a natural way to lock in moisture and support the skin barrier. 'Interestingly, she's also rumoured to use Aquaphor, an inexpensive yet effective moisturiser, particularly for tackling fine lines under the eyes.' Estimated cost of potential treatments: Botox: £400 every 4 months Filler: £400+ Profhilo: £475 per treatment TOTAL COST OVER 36 YEARS: £91,800 Top 3 beauty products every woman should be using Hayley Walker, Beauty Expert at Justmylook shared the holy-grail products every woman needs to be using. A cleanser, SPF, and hair oil are must-haves within beauty routines. A cleanser is crucial for healthy skin as it removes dirt, oil, and other impurities for flawless skin. This skincare step not only cleanses the face and removes dirt, but also prevents breakouts and premature skin ageing, helping you maintain a healthy, youthful, and blemish-free complexion. The Aveeno Face Calm+ Restore Nourishing Oat Cleanser is a go-to of mine due to its gentle formula that soothes and restores the skin's appearance and texture. SPF is non-negotiable and should be in everyone's daily skincare routine. Even on cooler, cloudier days, our skin is exposed to the sun's UV rays which can be harmful to unprotected skin and even lead to damage. These damages include sunburn, pigmentation changes, and wrinkles which can impact the skin's texture and appearance. In some cases, prolonged exposure to UV rays can cause skin cancer. Applying SPF daily prevents these damages and protects the skin from harmful rays. I recommend the Beauty Of Joseon Rice & Prebiotic Sunscreen PA++++ SPF50+ for its lightweight, non-clumping texture that absorbs quickly for a natural finish and maximum protection. Hair oil has many benefits and should be regularly used. This treatment can strengthen and protect the hair from external stressors while improving its appearance and shine. Regularly applying hair oil can also reduce breakage and even encourage hair growth for longer, fuller locks. Hair oils also target the scalp, reducing dandruff and improving its health through exfoliation. I recommend using this deeply nourishing treatment a couple of times a week or more depending on the hair's moisture levels. The Hair Syrup Rapunzel Pre-Wash Oil Treatment is a nutrient-rich treatment that revitalises strands to promote a happy scalp and healthy-looking locks. Apply the syrup throughout damp hair before washing; massage from root to tip and allow the formula to penetrate strands before rinsing and styling.


Medical News Today
a day ago
- Medical News Today
What to know about post-traumatic stress disorder (PTSD) and migraine
Research indicates there is a link between PTSD and migraine. However, research is limited, and scientists are still learning about the relationship between the conditions. The use of binary terms such as 'male' and 'female' or 'men' and 'women' in this article reflects the language of the sources we've used. Unless otherwise noted, it's unclear whether the research we reference included participants with expansive gender do not know whether migraine contributes to the development of PTSD or PTSD contributes to the development of migraine. A 2016 review of research found that PTSD symptoms were associated with a higher likelihood of experiencing frequent headaches or migraine episodes. The review authors also noted that individuals with PTSD who are experiencing intrusive reminders of a traumatic event may be most affected by migraine episodes or headaches.A 2017 study involving pregnant women found that the likelihood of experiencing PTSD is increased in individuals with migraine. The study authors suggested that PTSD screening could be beneficial for pregnant women with migraine.A 2011 review noted that one of the possible mechanisms linking migraine and PTSD could be a dysfunction between the hypothalamic-pituitary-adrenal axis and the autonomic nervous system. The hypothalamic-pituitary-adrenal axis regulates the autonomic nervous system and manages the stress response. The autonomic nervous system consists of the sympathetic and parasympathetic nervous systems. The sympathetic nervous system activates when the body is exposed to stressful stimuli, resulting in the fight, flight, or freeze the review authors highlighted that further research into the relationship between PTSD and migraine is who suspects they are experiencing PTSD or migraine should contact a healthcare professional. A doctor can make an accurate diagnosis and recommend appropriate treatment, if necessary. Learn more about PTSD17 symptoms of PTSD explainedTypes of PTSDRelationships and PTSD: What to knowPTSS vs. PTSD: What are the differences?


Daily Mail
4 days ago
- Daily Mail
My doctor told me 'I was just getting old and to take a Panadol' but I refused to be brushed off. It saved my life
Deborah Terkely never skipped a beat when it came to her health. A busy mum-of-two running a small family business, she still made time for regular blood tests, breast checks, thyroid scans - the lot. 'I always told my doctors to make sure they checked my thyroid, because my sisters have issues,' Deborah told Daily Mail. 'My blood tests always came back perfect.' So when the then 39-year-old was suddenly struck down by her first ever excruciating migraine in 2022, she knew something wasn't right. 'It was quite confusing at the time because it was a very strange feeling. It was very debilitating,' she said. The Melbourne mum retreated to a dark bedroom, unable to move from the couch as the severe pain pulsed through her head and neck. 'I think it even took me a while to realise that it was a migraine, but it lasted for probably three days,' she said. 'It almost felt like I had a 20kg bowling ball stuck on my neck, and the weight and the pressure from that was creating so much pain that had to lie down.' When her regular painkillers weren't doing anything, Deborah's mind went to a dark place. Worried she might have a brain or spine tumour, Deborah booked in to see her long-time GP for some relief and to get to the bottom of the pain. But the response floored her. 'I explained to her what was happening, and she said to me, "Deb, you're just getting old. Maybe just take some Panadol",' she said. 'I said no to her, I knew something wasn't right. I felt let down.' Refusing to be brushed off, Deborah sought out a second opinion - and it may have saved her life. This time, the doctor immediately ordered an MRI. 'I was explaining it, and he [the specialist] was writing the script for me for the MRI right there and then,' she said. 'He said "we're not going to muck around, even if it's nothing, we're just going to have a look".' The good news? Her brain was clear. But the scan revealed something else - a three-centimetre mass sitting on her thyroid. Soon after, a biopsy confirmed it was thyroid cancer. It had already spread to her lymph nodes. Feeling shocked and still in disbelief, Deborah also felt a sense of relief to know that there was a reason behind all of her pain. 'But then it was also the fear of, "am I going to die?",' she said. Ironically, the mystery migraine disappeared just as the cancer was discovered. It had no relation to the cancer, according to her specialists. Deborah had no symptoms of thyroid cancer - no lumps or pain - and her thyroid function tests were completely 'normal' beforehand. Despite a family history of low thyroid function, Deborah's levels had never raised any red flags. Looking back, she believes the crippling headache was triggered by a stressful family situation, but it was the unintentional warning sign that led to the cancer diagnosis. She was booked in for surgery that following January, a wait that took a heavy emotional toll. The wait was excruciating, especially over the Christmas period. In a six-hour operation, surgeons removed Deborah's entire thyroid and 70 per cent of her neck lymph nodes. Many were already cancerous. 'I was in hospital for three days with two tubes coming out of my neck to drain the fluid from the surgery,' she said, 'I came home and needed the tape on for another two weeks. And then there was a lot of forced rest.' Post-surgery, she was left with a 13cm scar running from her ear down her neck. What followed was a mental battle she never anticipated. Deborah was also terrified of what her scar would look like when she took off her bandages. 'At the end of the day, my priority was to get the cancer out. I knew I was going to be left with the scar, and that's just what it is,' she said. But in a silver lining no one saw coming, Deborah's road to recovery inspired a booming business idea. Years earlier, Deborah and her husband had launched their low-tox brand, L'ada Soaps and Scents, after learning soap-making from her mother-in-law. After the surgery, she began experimenting with a scar serum to help her own healing and within weeks, even her doctor was stunned by the results. 'It was just incredible. The way [and] the speed it healed was amazing, because when I took my tape off, my scar was extremely raised,' she said. At her six-week check-up, the surgeon asked what she had been using. He said he'd never seen such fast results. Deborah shared her journey on social media to raise awareness, and followers quickly became obsessed with the fading scar and demanded the product. She hadn't planned to sell it, but the demand spoke for itself. 'My customers started messaging me, saying, "Deb, when is this serum going to be available? I'd like to try it I've got scars too",' she recalled. 'It wasn't until a number of people had come to me that I thought, well, we're in the business of helping people.' Two years on, her scar is barely noticeable, and she now wears it like a badge of honour. Deborah now has the all clear, but it never leaves her mind. 'Any unusual lumps I freak out but I just have to remind myself that I am okay and lymph nodes swell up and go down all the time,' she said. 'I now also have six monthly ultrasounds, and that's more peace of mind than anything.' Thyroid cancer is the seventh most common cancer affecting Aussie women, and the top cancer diagnosed in women aged 20 to 24, according to the Cancer Council. Cases have quadrupled since 1982, and nearly three times more women are diagnosed than men. Despite that, many cases still fly under the radar. The warning signs that people often ignore are subtle symptoms like a persistent cough, voice changes, a lump in the throat, or difficulty sleeping due to neck tightness. With more than one million Aussies living with undiagnosed thyroid disorders, Deborah says a simple ultrasound would pick it up, and a push for answers if something feels off. 'Trust your gut, get a second opinion, [and] find someone that will listen to you and give you the test that you need,' Deborah said.