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\frac{-9}{v^{2}+23v+22}+0-9-9
Zero divided by any non-zero term gives zero.
\frac{-9}{v^{2}+23v+22}-9-9
Subtract 9 from 0 to get -9.
\frac{-9}{v^{2}+23v+22}-18
Subtract 9 from -9 to get -18.
\frac{-9}{\left(v+1\right)\left(v+22\right)}-18
Factor v^{2}+23v+22.
\frac{-9}{\left(v+1\right)\left(v+22\right)}-\frac{18\left(v+1\right)\left(v+22\right)}{\left(v+1\right)\left(v+22\right)}
To add or subtract expressions, expand them to make their denominators the same. Multiply 18 times \frac{\left(v+1\right)\left(v+22\right)}{\left(v+1\right)\left(v+22\right)}.
\frac{-9-18\left(v+1\right)\left(v+22\right)}{\left(v+1\right)\left(v+22\right)}
Since \frac{-9}{\left(v+1\right)\left(v+22\right)} and \frac{18\left(v+1\right)\left(v+22\right)}{\left(v+1\right)\left(v+22\right)} have the same denominator, subtract them by subtracting their numerators.
\frac{-9-18v^{2}-396v-18v-396}{\left(v+1\right)\left(v+22\right)}
Do the multiplications in -9-18\left(v+1\right)\left(v+22\right).
\frac{-405-18v^{2}-414v}{\left(v+1\right)\left(v+22\right)}
Combine like terms in -9-18v^{2}-396v-18v-396.
\frac{-405-18v^{2}-414v}{v^{2}+23v+22}
Expand \left(v+1\right)\left(v+22\right).