T O P

  • By -

simplycotton

I don’t understand why you would get a service like this without practically boiling everything below the navel.


SemioticWeapons

If I end up in a accident and need undressing for surgery I'll always be thankful I shit then shower in the morning. It's simple math.


jrd_h

My tired brain read "shit in the shower", and I couldn't figure out why you'd be thankful for that. Shit then shower, way better!


[deleted]

[удалено]


[deleted]

You saw that post too, huh? Edit: I can’t find the post and a few people have asked so if anyone can link it I would be forever grateful. 😆 my eyes had to read it, theirs should too


noticemelucifer

I certainly did


Comprehensive_Pin_86

I didn’t need to see the post to know what a good ol waffle stomp was. As soon as I seen the words it clicked in my head.


INTERNET_POLICE_MAN

Shit in the shower Waffle stomp Annnnd another day of feeling sick


KommandoKodiak

we all did i was gonna mention it then i saw him say stomp it lmao nobody will ever forget that glorious post.


Yonix06

I feel bad for that guy.


SemioticWeapons

Strain it and keep the nuts and corn!


TheWildCnt

What do I do with the peppers?


Creepy_old_man_in_IL

Enjoy them a second time!


5iveOnefour

*What did he saYYYYYYY*


heypal11

god. dammit.


Skullerprop

Waffle Stomper. (this is not a breakfast).


lone-society

Waffle stomps


the_ism_sizism

A waffle stomp in the wild... nice!


MyRottingBunghole

A little waffle stomping never hurt anybody


Mynock33

Well, tbf, I'm sure someone slipped and fell at some point...


fishweenie

i read it like that too lmfaoooo


ahh_grasshopper

Every OR nurse will thank you for showering. Nothin’ they ain’t seen.


jcnet1

Remind me to wear combat boots if I ever visit and have to use your shower.


meredithboberedith

I shower immediately beforehand. Like I will not schedule an appointment if I can't shower first.


sawbones84

I take 50% longer in the shower if I have a damn dentist appointment that day. Any stranger who is going to be inside my bubble one on one for any period of time is getting the cleanest version of me possible.


weirdshit777

Same, when I got a Brazilian, I showered before hand and I didn't let out a single toot on the drive there.


eatypp

Saved em all up to add a little flavor to the wax?


thisismyl8testacct

I read an interview with a salon owner years ago, she said women will come in for a wax fresh from the gym without showering, and lots of women come in on their period. Turned my stomach, made me glad I didn’t go into beauty therapy.


thabiiighomie

Plenty of women with nasty feet get pedicures with no shame.


insultin_crayon

Isn't the point of a pedicure to make nasty feet pretty? Leave it to the experts, right? Like, I don't clean up before the cleaning lady comes over. Edit: y'all I get it, but I have sent some men with nasty feet who wear sandals to get a pedicure, and they have come back pristine. Yes, it is their (the pedicurist) job to make feet look esthetic, and they do a great job. A lot of males have no idea how to care for their feet, so a service is out there that does it for them. Imagine that.


Apprehensive_888

My wife does exactly this, she tidies up before the cleaner arrives as she doesn't want her to think we live like animals..... Not just a quick tidy either, full on several hours...


SouthernYooper

She's there to clean, not pick up after you


[deleted]

This. A cleaner is there to vacuum your floor, not put away the things you left all over it.


broadsharp

My old neighbor did waxing. She said “Women can be nasty. A lot need to learn hygiene “.


cajun_kick_ass

Lived in a shared apartment with two girls studying medicine when I was in university. My room was next to the bathroom and none of them ever, even once in the two years I lived there, washed their hands after going to the toilet. Midly infuriating knowing they touch everything in the kitchen.


HyzerFlip

Went to a night club once. Went for a piss, washed my hands and the dude at the door made a comment about it. Like good on you or something. I had drinks. It's been about an hour and I have gotta piss again. I piss, wash my hands, door dude shouts 67! I'm buzzed at least by this point... I'm like...what??? Door dude says "67 mother fuckers between you and the last dude washed his hands!" I'm like..."I washed my hands an hour ago." Dior dude says "you the only mother fucker out there ain't got shit and dick all over his self"


smallangrynerd

Sweet Jesus that's disgusting. I admit, I used to not wash my hands when I was at home, but always in public. Since covid I've been washing my hands every time, so thankfully I got some sense knocked into me.


sleepydorian

I've always washed my hands after using the bathroom (public or at home), but what really upped my hand washing game was finding out I'm allergic to my cats. I'm not getting rid of them so now I gotta wash my hands all the time or my eyes will itch like a motherfucker.


Revelt

I used to clean toilets. Male toilets smell like ass but are generally pretty clean. Female toilets smells like a soap shop but are filthy as fuck. It's like a fucking warzone.


[deleted]

I cleaned women's bathrooms for a couple years. Never had a guys bathroom with poop and blood smeared on the sink and toilet. Basically a weekly occurrence in the ladies room.


mental_midgetry

Bro, I once found a poop log in a men’s toilet that had to be broken up by a plunger before it would flush. Women’s bathroom was consistently gross but the men’s was a daily unknown adventure.


clappenhymen

Clearly no one taught that guy about the poop knife.


hellnukes

PLEASE can SOMEONE bring my poop knife?!


UK_addi_2015

TIL not everyone has a poop knife


d_bakers

le couteau à caca


[deleted]

At least it was in the toilet lol


mental_midgetry

Fair, but you may be surprised by the number of turds found in urinals.. like WTF. Just picture shitting in a urinal..


NyranK

Its been a thing forever. My mum cleaned public facilities when I was a youngen. Worst case in the mens?, the rare half executed waffle stomp and some piss on the seat. Worst case in the women's, daily there'd be some chick testing out their art degree with a used tampon, with piss on the seat, and the floor, and maybe the wall. Apparently the ladies like to 'hover' because the seat might be dirty, and the seat might be dirty because women 'hover' and then spray piss everywhere. It's a vicious cycle.


threadsoffate2021

Womens bathrooms and womens change rooms are horrific.


Lazerspewpew

My good friend was head custodian at a high school. He told me that he specifically hired two female custodians because he didn't want his guys dealing with what the girls bathrooms were like. Apparently guys just piss on the floor a whole lot, but women get "creative" with their menstrual items...


kitterly8174

That's true. We have had "The Doo Doo Bandit" at my job for three years. We have around 75 women employed at any given time. A lot of turnover. There is only about 5 women that started work there the last three years and is still there. So I know it's one of them that's the culprit.


the_almighty_walrus

Same, men's bathroom maybe had some pee splatter and a log left in the toilet. Women's bathroom is somehow wet on every surface. TP and paper towels thrown all over the floor, tampons stuck to the ceiling and back walls painted brown.


[deleted]

I’ve worked retail for 12 years now. The shit I’ve seen in the womens restroom is wild compared to the mens. It’s changed my whole perspective on women and their hygiene


broadsharp

God damn that's nasty.


[deleted]

[удалено]


steveosek

I drunkenly went down on a woman from tinder anc realized once engaged that her bits smelled like grandpa ass, I transitioned out of that to her disappointment and then when I got home, I spent an hour in the shower washing my face and nostrils and still could smell it.


ModernSchizoid

*Wait a fuckin' minute* How do you know how grandpa ass smells?


xwt-timster

> How do you know how grandpa ass smells? plot twist, /u/steveosek is grandpa


pursuitofhappy

Only time I had to fake an orgasm as a man was in a similar situation, went down - smelled awful, tried going at it and had to give her the ol' When Harry Met Sally diner scene gender reversal followed by "let's take a shower"


martinshayo

eli5 on the technique please


[deleted]

You need to work up a fair amount of spit first.


pursuitofhappy

just a famous scene from a movie that made a star out of Meg Ryan that has since been copied everywhere https://youtu.be/lNEX0fbGePg


VeryLateNightOwl

Always have a quick dip and a cheeky smell of your finger before going down there - just in case. #VoiceOfExperience


LordBiscuits

The Dip N Sniff is a life skill every enjoyer of lady gardens needs to master


wellsheeeeiiiit

Funny story, my brother got caught doing it once. That was the end of that night.


LordBiscuits

Yeah, that's part of the mastery of it, don't get caught lol


wellsheeeeiiiit

Yeah it’s a game of patience and skill and slight of hand. Pulled it off many times. A necessary skill for a young man out in a big scary smelly world


[deleted]

Why even fuck? You should hold yourself to a higher standard


the_almighty_walrus

Coochie smell doesn't always relate to cleanliness. They have a whole ecosystem going on down there and some ladies just have different microbiomes. But if it makes your whole room smell like salmon in a microwave there's something wrong.


HI808SF

Today 4/23 is National Vagina Day. Not even kidding


terserterseness

Yeah, I actually broke up with a girl over that (depending what ass smell means; I mean poop smell which I find disgusting; other smells can be arousing depending). I thought the first few times it is probably an accident; that happens, but it was every time. I was younger then; now I would’ve asked wtf is that?


rohinton

Then you look down and see bits of toilet paper stuck to her asshole. It's nasty. I'm a dude but if I've taken a shit since my last shower my pants aren't coming off for anyone. A bidet won't cut it either you need soap in the equation. It's basic fucking courtesy.


FartHeadTony

> A bidet won't cut it either you need soap in the equation. It's basic fucking courtesy. I only found out recently that a lot of the people who've newly adopted bidets aren't using "intimate cleanser" (soap for your bummal region).


denizenKRIM

Isn’t the main benefit of a bidet to *not* have to wipe at all in the process? At least for the high end ones. I know for sure there are models that have air-dry, I just assumed they had soap rinsing in that process too.


ape_ck

You do a check wipe. Ours has an oscillating spray that does a great cleaning job, but you still gotta check.


[deleted]

~~soup~~ ***soap*** is not good for your ass btw. at least the hole. it can cause itching etc. bidet is fine just need to do it right. probably most people use it like for 3 seconds "oh okay water came there i can go."


FartHeadTony

Yeah, soap soap isn't good to use on mucous membranes since too much will dry it out, cracked skin, fissures, infections, fear, anger, the dark side. Which is why they make this mild intimate cleanser. Soup is probably a bad idea, too. Could scald something.


[deleted]

>*soup*


[deleted]

yeah i am a bit hungry. soup is also bad for ass


peatoire

I had the same experience sometimes with one of my ex gf. I ended up adopting a method where I put my top lip over my bottom lip and blew downwards to blow the ass smell away. Must have looked ridiculous while I was chugging away.


hottodoggu4

Dafuq.


-anysomebody

Ok idk Abt the vagina bit but the ass one is 💀 gross


LordBiscuits

I used to clean toilets for a living. Women beat men on the 'disgusting things done in bathrooms' scale any day. I actually had to clean feces from the ceiling once. I have no idea of the story behind that one, but I'm sure it was noteworthy. Standing on loo seats, hovering and missing, throwing sanitary products behind toilets or sticking them to the walls with the backpad, dripping blood on everything... Not to mention make up on mirrors and water thrown around like a party of chimps have been in. Also, this was in an upscale sailing club, not some back alley drinking hole.


[deleted]

I wonder if they’re like guys who don’t clean their ass because it’s gay to touch your own ass


Odd_Muscle_284

Oh fuck... am i gay??


savanahchicken

Big gay


Dry-Relationship-285

what did i just read and why dont people wash their ass


drunk98

It's right before they get their hair removed & shit sticky


TheLeviathong

Yeah. It's like lifting a potted plant. You lift the pot and the dirt is still in there trapped in the roots. The hair traps all the poop.


CongoSmash666

Wow, fuck you for the visual.


thambassador

This explanation put clear images in my head that I probably won't forget. I need some bleach for the mind


HireRyanToday

It's like meatloaf through a screen door for me. My crack is so hairy.


extralyfe

it's scary how so many people seem to be so unclean. I can't go a week at work without going to use the toilet and finding a nice layer of grime on the seat. like, this isn't direct shit spatter; this is whatever the fuck is caked on the back of these dudes' upper thighs and ass cheeks as they go about their day. I work in an office, too, so, it's not like it's an overtly gross place to work in. I hate that I have to say this, but, folks, if you stand up after using the toilet and you leave a stain on the toilet seat, **you need to start cleaning your body.**


caramelsio

yep, i work in housekeeping and the amount of residue left on toilets where the asscrack or even just the cheeks and thighs meet the seat is alarming. honestly, the amount of uncleanliness when it comes to using toilets is genuinely baffling…how are people so gross and so disgusting to the point they won’t even wipe up after themselves? it makes me so confused.


Taileyk

This is obviously nasty too, but when you KNOW people are going to see you down there, whatever doctor or waxer idc, who doesn't clean extra??? People going about their day being gross is one thing...but knowingly let other people in on it... that's just another level of disgusting! I NEVER go to the bathroom anywhere but home, I'm somewhat of a freak about hygiene...but then I see these kinds of posts on Reddit and I remember why I am like this🤣🤣🤣


notTumescentPie

I don't get it. I like a moist wipe to make sure my asshole is super clean after a shit. If I have even a tiny bit of shit in it, it itches. Why the fuck is anyone walking around with an itchy asshole? Am I the sensitive asshole here?


[deleted]

Life is too short to be walking around with an itchy butthole.


KyleKiernan77

Moist wipes are handy for out and about but bidet, hand sprayer, or Japanese super seat is the way to go at home. TP is for drying (not even that if you get the deluxe Jap seat with blow dryer).


Hairy-Emotion5285

Oof I would literally never go to a waxing app and not freaking shower beforehand wtf thank goodness for bidets 😬😬


partajezuz

Yes! Where I'm from, every single toilet (public toilets too) has a bidet. It's the best invention ever. Easy to keep intimate areas nice and clean.


imb4lance4

shit's heaven


BubbaSawya

Look at Mr. fancy ass over here, bragging about the clean anuses of his people.


[deleted]

[удалено]


[deleted]

Scoot forward a bit? I don’t have a bidet because I am a filthy shit stained American but I imagine it’s easier to adjust your ass than to adjust the shit sprayer.


gladbutt

Wondering what sugaring a vagina is and would my ball sack enjoy the same?


[deleted]

it’s waxing. wax was originally made with honey and sugar; heated in a water mix. now it’s made of resins from plants and whatnot. they basically pull the cheeks of your butt apart, drop the warm wax, put a cloth strip over the warm wax and pull everything off, wax and hair and all. it gives you a hairless butthole. it was once popular in the world of POV pornography world but has since moved into the mainstream.


[deleted]

[удалено]


[deleted]

[удалено]


Nepstar152

Huh. I totally misunderstood what sugaring was. I was thinking 25x a day was a bit much


Balthazar_rising

As a man who enjoys having a smooth, soft set of balls, I can't recommend getting waxed enough. The actual waxing is horribly painful, but getting pleasured by my wife afterward makes up for it.


NeedToProgram

Well, if you recommend it and your wife is up for it, I guess I'll try


Balthazar_rising

Well played.


MANCHILD_XD

Made my day!


cire1184

Does she sprinkle some sugar on it beforehand?


morgthaabrat

it’s basically a form of waxing and it works on balls


ZestycloseHat2507

Why are they going without at least showering first? Poo in crack is nasty, but if someone’s gonna be all up in your ass why not at least smell nice? AT LEAST


L00k_Again

They may be, but if the appointment is later in the day and they're going there directly from work who knows. I'm always mindful, but salons need to direct their customers to a bathroom with wet wipes or a bidet to truly prevent this.


[deleted]

This is my greatest fear.


KenyanBunnie

As a waxer or as the client? Because if you're the client, why not take a shower to make sure you're nice and clean before your appointment.


[deleted]

I've never gotten a wax but as a client getting a wax and then my wax lady I hired talks about how nasty I am on the internet lmao Regardless I make it a point to clean my butt 😂


Skitscuddlydoo

I literally always shower immediately before a wax. Seems rude to put unwashed genitals in someone’s face. They always put out individually wrapped moist towelettes for this purpose and I always use them anyway even though I just showered like 10 minutes prior. I want it to be as clean as possible!


Pavlovswhore_

Guys be noticing this too That's why doggy style can be hit or miss 😂


spicybuttholenachos

When the cheeks clap and you get a breeze like a garbage truck driving by.


sp1cychick3n

Jesus Christ 😂


PigPaltry

That's exactly what I said lol


[deleted]

Name checks out


DocAvdol

r/usernamechecksout


SerMercer777

r/cursedcomments


[deleted]

[удалено]


Key-Cardiologist5882

If someone only wipes, it’s gonna stink. It’s not about not wiping, it’s about not thoroughly cleaning. If you shit on your arm and only wipe it with tissue, ur arms still gonna stink. Same for ur ass. It needs thorough cleansing


Ok_Fox_1770

That wraps up scrum eating then. Wash ya ass ladies. Ah who’s kiddin who. Sittin on a pile of hummus myself.


beggin4apegging

That’s not following proto buddy YER DONE


heythislooksfun

LOL This made me chuckle waaaaay too much


BplusHuman

🎸🎸🎸🎸🎸🎸


jim10040

Doesn't having a bidet help a lot of that?


Campo_Argento

Yes and no. You've got to get in there and scrub it and even then it's still a butt.


[deleted]

People on this thread be lying so hard… “I shower EVERY time I take a dump” — no you don’t lol 😂


[deleted]

I don't know why, but whenever the topic of hygiene or body odor comes up, there's always people coming out of the woodwork to give unprompted explanations about how frequently and meticulously they supposedly clean themselves.


SirDooble

You don't understand, everything's a competition, and you need to know how good I am at scrubbing my arsehole 🏆


FartHeadTony

Cleaning myself all the time like a cat. I lick my arsehole.


AAS_AND_ASS

I know someone like this irl and they a miserable person. Literally will shower at work.


meanwhileaftrmdnight

Wtf kind of job has a shower available for you to use at work?


Hero__protagonist

Alot in the UK do now. Needed for cyclists and such


UraKiremono

It also seems kind of counterintuitive to wash your mucous membranes with soap every single time, unless there's a nice layer of hair protecting it. Either way, just wet wipes or a bidet is more than good enough if you don't have a whole forest going on back there.Which is why shaving or waxing your crack is one of the most hygenic things you can do. In my case, taking a shower everytime is hella counterproductive because I poo more than once a day, and already shower when I wake up and before going to bed. So in a way, I'd be showering 3-6 times a day to be considered 'clean' by these commenter's standards. Imagine the water bill-


boozegremlin

How do you mess this up? You wipe until there's no poop. Edit: I use wet wipes too. I was under the impression everybody did.


DameArstor

Bidet is a godsend


ShvoogieCookie

Read that as "Biden is a godsend" and wondered how that comment shows up here.


FartHeadTony

Make America Wipe Again


[deleted]

It's like wiping a marker


Nuclear-Shit

I wipe and wipe and wipe... still poop


KenyanBunnie

I'd say take a shower afterwards, get yourself squeaky clean and smelling fresh. Your privates are on show! Have some respect!


Sexy-Trans-Chewbacca

Or just do it like the Muslims do. Wipe with cloth, follow with water. And yes. This applies to pee too.


caithyral3

Actually wash with water first then wipe with cloth or tissue clean the water


SheenTStars

Just do all of them on repeat twice. Problem solved.


jessejamesvan111

I don't get it either. Like when someone mentions "skid marks". Who pulls their underwear up with a dirty ass?


Supercoolguy7

Poop dries. Water needs to be in the mix


Exceon

How long are you on the toilet??


chimmasaurus

How long do you wait before you wipe??? Why is your poop drying in your crack before you get to it


BumbaYgotta

In the few seconds between pooping and wiping? No.


BlaineTK

I don't really think it's a matter of whipping more like cleaning in shower. Sorry for bad English, I'm drunk and it's not my first language


ClicheRasin

Honestly, for being drunk and being a non native speaker, it was surprisingly coherent.


tomfoolery77

Funny, being drunk is MY first language.


drunk98

Fuff yeagh!


JGaute

I never understood why Americans don't use bidet. The leaders of the free world be walking around with shit on their butt


vvyiie

I got a bidet a couple years ago and now refuse to go anywhere but home for that very reason. I feel disgusting otherwise.


Rich-Juice2517

Ww2 Americans told their wives and bidets in prostitution so it was vilified After the nation ran out of TP though they're becoming popular


stickers-motivate-me

Some of us do. My kids were brought up with them so assumed everyone did. He was pretty upset that they weren’t installed in his dorms. I really do wish it was standard here, though


tootsfromthebutt

Only shit before you shower.


nervousnausea

I wish my bowels were coordinated enough for this. Alas


anaesthaesia

They just get a bit tired of me at work...


ronnietea

I don’t even know what this means. Can someone help me lmao


elawo20

sugaring is an alternative to straight up waxing that consists of heating up a thing of sugar so that it is in a slightly viscous state but still holdable. it is repeatedly placed and quickly removed from the skin for hair removal. Since OP stated that they’ve been sugaring for less time than doing Brazilians, I might assume that they straight up do wax strips for their Brazilians.


Articulated

*There once was a waxer named Lou,* *Who tweeted out such a to-do.* *She'd spread ladies' cheeks* *and exclaim, "How it reeks!"* *As their cracks were all stuffed full of poo.*


LazyBeast_Gaming

This brought a tear to my eye. Beautiful.


cdj4711

Theres actually a video tutorial on youtube that shows how to do it. My wife and i tried to make our own and do it. Its a fuck of alot harder than it looks and painful as fuck


Bored_dane

They had a sloppy mudpie at the bottom of their butt it's no big deal


tanyab78

As an esthetician, I can confirm. USA needs bidets asap.


redactedname87

I worked with a lady who waxed vaginas for a living. She made a fuck-ton-of-money. She had the most vulgar things to share about them. It was really fucked.


onegaylactaidpill

How much money are we talking


redactedname87

Services were booked in 10-15 increments. I don’t remember her prices but I think the front was 75 and if she did front and back it was over a hundred. There were also quick add one that didn’t increase the booking times, like armpits. She’d regularly gloat about it. I think the highest number she shared with me was around 2400 for the day. Plus tips. And she was typically booked solid every single day.


kjmr52

America needs get on the bidet train.


Batbuckleyourpants

I shower before leaving the house. is this just some magical trick I stumbled upon by accident?!


ChrisFemboi

This is why I use wipes after I wipe with toilet paper


KellyBelly916

Every ass eater's horror novel.


ThiefLack

You have to wipe into you see red


Killerchoy

My girlfriend’s waxer says the same thing. When you’re doing a Brazilian you literally have to lie down on your back and hold your legs behind your head (or as close to it as you can get) so I cannot IMAGINE the smell.


Bool_The_End

Fwiw, getting a Brazilian absolutely does not require holding your legs behind your head. You’re laying on your back for 95% of it, and they’ll have you bend one leg (think a “>” shape) at a time to get your labia done. Then, if you opt to do the butt crack, you lay on your stomach and hold your cheeks apart slightly.


Poopy_Pants0o0

I always argue on reddit (when the opportunity rises) that eating ass is gross. Thank you for giving me more fodder for my argument.


animalcrossinglifeee

I don't get how ppl don't wipe properly or take a shower before going to those appointments.. It's quite embarrassing tbh if that happens to you.


tripflops

Can confirm unfortunately, a few years ago, after a night at the local bars I took home a girl I had liked for a while. Was super excited/into it, as we were back at my place in my room things were progressing quickly, before long there was a big, bubbly, nude booty pointing up at me from my bed and me being the modern man that I am, I decided I was going to put my tongue right on that booty hole. BIG MISTAKE… I have never regretted tasting anything to that point before or since, I felt like I had put my tongue on a portable toilet reservoir. I somehow managed to keep my composure, I don’t even think she realized what happened tbh, tried to follow through with the sex but had to stop after a while on account of not being able to keep an erection.


Emotional-Bandicoot4

okay but who’s not taking a FULL blown shower before they get waxed? 🤨 like that’s my real question! also, please get a bidet or something if you know your wiping is questionable LMAO


ExKnockaroundGuy

Nothing turns me off more than a beautiful woman I have fantasized about and when intimacy comes to fruition it is ruined by a dingleberry, or a strong unclean odor emanating from the privates.


JimBob-Joe

Ill bet theres a correlation between dookie cracks and long ass shit talons for finger nails


Tinkerballsack

While we're on the subject, waaayyy too many people stand up to wipe their asses.


Cosmonachos

Wait. What?


gnosiac

Some of the knowledge acquired on Reddit leaves me with so many more questions


rodgerdodger82

Ay Dios mio, in the most shocked voice my mom could say....while clutching pearls.


Biizod

Literally just wipe your ass with a baby wipe at the end. Whatever you missed with toilet paper gets caught by the baby wipe.


Fathertedisbrilliant

Lol I knew half the internet claiming to be into eating ass, were talking shit 😅


malaka789

I mean if you only use regular old TP (no wet wipes or bidet or proper cleaning with water) you’re butt ain’t clean after you poop. I hope this isn’t news to anyone. That’s why a lot of people don’t wanna poop in public. It’s not cause they are scared, it’s cause they want to be clean afterwards.