Gastrostomy tube nursing care

CARE Centre for Internationally Educated Nurses

2014.10.01 18:57 care4nurses CARE Centre for Internationally Educated Nurses

We are looking to connect and educate nurses from all over the world who are looking to enter the Canadian healthcare workforce. Whether you are already a registered or practicing nurse in Ontario or are looking to emigrate, CARE Centre is here to assist you in all your endeavours. Let's work together to empower the internationally educated healthcare in Canada.
[link]


2024.05.15 15:52 FyrestarOmega r/lucyletby has reached 10,000 members! Here's what the subreddit is and is not

The trial of Lucy Letby ran for 10 months from October 2022 through verdicts rendered in August 2023. lucyletby is NOT a true crime subreddit. From the first days of the trial, this subreddit has followed the evidence presented in court via public reporting. Verdicts were rendered in August 2023, which this subreddit acknowledges to be true and accurate, and discussion here takes place within that framework.
The verdicts in Lucy Letby's trial have already been ruled safe by an initial appeals judge, and a ruling from the full court of appeals is expected any day. A public meeting for the Thirlwall Inquiry is to be held tomorrow. This subreddit will cover and discuss any and all news that emerges from these proceedings.
The evidence in Lucy Letby's trial is vast and complicated. Here are some recommended starting points
The specific verdicts recorded in August 2023
The Trial of Lucy Letby podcast on Spotify
The Trial of Lucy Letby podcast on Apple Podcasts
This subreddit has compiled all of the available daily reporting, and our discussions thereof, in our subreddit wiki. A chart of the babies with birthdate, gestational age, birth weights, charge, verdict, and method/alleged method is also found there.
In UK trials, after closing speeches conclude, the presiding judge sums up the evidence given by both sides and presents it before the jury. His summary took five days to present, and can be found here:
Day 1, July 3 Children A-C
Day 2, July 4 Children D-G
Day 3, July 5 Children H-J
Day 4, July 6 Children K-P
Day 5, July 10 Child Q
The attempted murder charge related to Child K is scheduled to begin next month. We are not permitting new discussion of previously presented evidence at this time, in line with UK reporting restrictions and contempt of court rules. resources do exist at the links above. When the retrial begins, we shall do our best to consider the trial afresh, without making comparison to the first trial until after its conclusion.
Much criticism has been lodged against Subreddit Rule 3 and its related removal reason. The language is based in the jury's judicial role as the Trier of Fact. This is a consistent role across jury trials in both the UK and the US. "In law, a trier of fact or finder of fact is a person or group who determines disputed issues of fact in a legal proceeding (usually a trial) and how relevant) they are to deciding its outcome."
Users from outside the UK would do well to familiarize themselves with the legal structure of a UK criminal trial (including what a majority verdict is and why they are normal), and the culture of the NHS, which has marked differences from privatized health care and at-will employment normal in the US.
We do not permit posts or discussions that run contrary to evidence and outcomes legally accepted, because such sources have not survived cross examination the way that admitted evidence has. This trial has attracted much misinformation, and that is where we choose to draw the line.
Our decision to not platform certain articles or websites is an informed one, made with the experience and knowledge of the information within. Here I will quote longtime subreddit member u/SleepyJoe-ws, who expressed this well:
UK reporting restrictions aside, it is this sentiment that riles up so many of us. We have spent (far, far too many) hours poring over each and every detail of the case and trial reported in the press - some of us for years. The accounts of the parents and the pathology/ radiological evidence of deliberate harm to these defenceless little babies is absolutely gut-wrenching and the stuff of nightmares. We also have the utmost respect for the jury who no doubt will be very traumatised after suffering through hundreds and hundreds of hours of distressing testimony and evidence over a trial that lasted the better part of a year. It seems the jury took their time to carefully consider each and every charge on its own merit, finding guilty where they believed it was due, not guilty when they believed the case was not proved and not returning verdicts when they couldn't decide. I cannot imagine the impact that this long, painstaking trial has had on the parents of the babies who died, those who have children who survived but were permanently maimed, the siblings who survived (think the surviving triplet sibling of O and P!!!), the jury, prosecution, the police, and even the defence team. In addition, Letby's conduct on the stand, as portrayed via the reading of court transcripts by CS2CR (now temporarily removed) was infuriating, puerile and antagonistic.
The saga of Lucy Letby has been one of the most horrifying in modern history that I have ever encountered. I am a medical specialist and the thought that someone could commit such atrocities under our noses is terrifying. I have worked with countless young nurses just like Lucy. But yet, it has happened before that healthcare practitioners have committed the worst of the worst - murder of their vulnerable patients. And it WILL happen again. To think otherwise is simply naive.
Lucy Letby was afforded a top barrister and legal team via the British public purse for her defence, as are all accused. All accused persons are entitled to a barrister and legal team of equal qualification and reputation to that of the prosecution. Letby got this. She is also entitled to raise an appeal, which she is doing. For now, we respect the work of police, prosecution, former jury and the current court system. Once reporting restrictions are lifted, we can discuss any compelling new evidence introduced. But please, any journalist relying on Richard Gill and Sarrita Adams needs to have a good, hard look at themselves. Hence the resistance and animosity you have met in this sub.
The internet is a vast, wild west. If you wish to discuss the article further, go to some place whose mods do not have the same respect and consideration for the parents, deceased and surviving infant victims, the police, prosecution and jury. Go to some place that doesn't have the same respect for the rule of law. But that place is not here.
We are happy you have found this subreddit, and look forward to your participation with the understanding of this post.
submitted by FyrestarOmega to lucyletby [link] [comments]


2024.05.15 15:41 Loser_Baby_19 "Boo is living the best life with his family!" - Pete Moss, May 2024

“Boo is happy and VERY healthy” - Pete Moss
Greetings fellow simian lovers, long time no see. Been busy with personal things lately so haven't had the time to post recently. Just a brief post today and will definitely create more soon when I have the time available (noticed our boy Pete with new content on his YouTube pages, oh I can't wait to roast them, just when Pete thought he was safe LOL).
Anyhoo, wanted to highlight a picture of Boo that Pete posted days ago on his social media pages, as well as highlight a thumbnail on Boo's YouTube page that FAH-Q-All and I noted.
Noticed anything?
Correctomundo.
According to Pete, Boo is SO ‘healthy’ and so VERY ‘happy’ that he has to post older Boo photos on his social media pages instead of what Boo looks like now. See how Pete posts a stylized picture of younger Boo in happier days painting instead of how Boo looks now? See how Pete posts an old Boo photo as the video thumbnail of his most recent and newer Boo YouTube video? And of course Pete continues to post old Boo clips to mislead the public.
It's amusing but also pathetic to see a few people questioning what happened to Boo since they never see him anymore, to which Pete gives the standard canned reply that Boo is ‘healthy’ and ‘happy.’ And I noticed that he changed the way he mentions that Boo is featured on his live videos; before Pete made it seem like Boo was seen every night on his live videos like the old days and now he's modified his response to infer that Boo is shown selectively at times on the live feeds.
If Pete thinks Boo is so ‘healthy’ and ‘happy’ nowadays, then why does he not post a picture of what Boo looks like now instead of using something based on what Boo looked like years ago. Why does he keep posting old Boo videos instead of making meaningful new ones? This guy, man, he really does take his fan base for fools.
Two years of seeing Monkey Boo suffer under this ignorant owner who continues to gaslight, lie, ignore, and cover things up because his narcissistic ego refuses to acknowledge the errors of his ways. He cares more about himself than the true welfare of his monkeys. He truly is not fit to own any wild animals.
submitted by Loser_Baby_19 to MonkeyBoo [link] [comments]


2024.05.15 15:37 RationalSchizo812020 *PSA* Real life Street Stars: Possibly a Controlled Influencer Psyop

*If anyone takes the time to read and would like to share, feel free to repost and accept the credit, I don't have enough karma to share anywhere else relevant and could care less. All I ask is that you repost it in full and not cherry pick the information you agree or disagree with or whatever will get the most karma. I would like to avoid exactly what I'm describing in the post below. If any claims I make turn out to be false, I'll update and eat my words.*
(I obscured celebrity and influencer names to prevent fans from seeing the post and flagging it)
I saw someone posted an interview with (O *rlando Brow *n) from the channel Real life street Stars and wanted to put out a little PSA for this community. The channel has recently been growing in subscribers because of a 2020 interview with a 90's R&B artist named (J -aguar W r:ight ), who claims to have suffered abuse of all types that she during her time in the industry, and claims she was blacklisted for fighting back. Now she claims she's been on a mission for the last 20 years to bring down the vast networks of famous sex criminals she has firsthand knowledge of. In her first two interviews she speaks pretty eloquently and drops a lot of facts about the industry. Enough to get people sucked in. You'll see in her latest interviews the lady is clearly struggling heavily with some serious mental health and rumored substance issues.
I truly have empathy for her and (O rland,o B row-n,) because they are obvious examples of the Hollywood machine chewing up celebrities, especially with mental illness, and spitting them out. Both of them have publicly struggled for years, and around 2020, were both homeless and started doing YouTube interviews with obscure content creators where they were paid next to nothing to share their traumas with their viewers and creators who use these traumas to form false narratives and clickbait video titles that either are completely false or that are buried in an 8 hour live stream containing a thirty second audio clip that was stolen and reposted from another exploitative content creator's interview. Not only is it taking money out of their pockets, but also monetizing off their trauma, stealing their content and viewers, and harming their credibility even further due to them being blatantly false or misleading the viewers into thinking their all day live stream talking about the aforementioned video and accompanied by a slideshow is the primary source. One thing I've learned is most people will believe or immediately dismiss most information without even trying to read it. If you choose to go down this rabbit hole you should definitely start with their Insta pages and check out the last couple months. Without people majorly censoring and heavily editing their content, you can tell that they are doing this intentionally to hide the fact they are exploiting trauma survivors for petty cash. If you're still not wary, start with their latest interviews they're both total shit shows. Recently with the (Di +ddy stuff and Ka;tt William ,s) interview going viral, the channel "real life street stars" has blown up. Even more so in the last couple weeks with all the K- Anon stuff attracting people to their channels. If you choose to go down the rabbit hole I just beg you to please research ANY claims from ANY content creator and find a source before sharing. A lot of the time they are spitting celebrity fan fiction juxtaposed with occasional pieces of truth and (Jagua /r Wri /ght) was pretty damn convincing until about a year ago.
A lot of people get sucked in with ( Jag !uar W !right's ) first two interviews because she clearly had them prepared for a long time and was reading from a script. Now she's just exploiting the algorithm and spamming clickbait interviews with the craziest titles possible, thus contributing to the same exploitation she claims to be fighting against. This is not to say all her claims are bullshit, both most are recycled 90s and early 2000's gossip that is new to Gen z mixed with any breaking celebrity news or gossip that is big in the media. To make her stories sound more legit she'll Forrest Gump her way into every story and leading people into believing she was a big time celebrity, but these interviews and her instragram scamming are what she's most known for. The last interview she claims to have taken a boat to Epstein Island where she rescued two young girls who were trafficked and then talks about the Dark Web, "Red Rooms," that are pretty well known to be internet myths because if they were real they'd be invite only and require blackmail to access so no one is gonna talk about it even if they do exist. It amazed how many videos popped up overnight repeating her claims as facts and spreading the virus of media manipulation. If you're still thinking, "Hey, you never know!" She also claims these snuf. f videos and videos of celebrity orgies sell for 500 million dollars, which would be enough to build a whole chain of your own red rooms or throw your own Hollywood sex parties and join the fun. I know some people will probably still be curious, but just watch her 2020 interview the rest are trash, also anything with (O r.lando B,rown) is recycled lies mixed with more lies, with a couple buzzwords he's probably required to say so they can add trending topics to their video tags and get a lascivious title.
Another recent example of blatant manipulation is all the shit with (D j A ^kademics) the past couple days. His court records have been public for months with a vivid description of him and two friends drugging and raping a girl that was obviously premeditated and not his first rodeo. He is also now being sued for defamation because he pretty much told his fans she was drunk and asking for it then regretted it later and went on to say he didn't even know she was at the house until the next morning and blamed it on his friends. Meanwhile the court documents clearly show a rap with an e kit being administered and them finding his spermicide which was the same type found in the r word kit. They also describe video evidence of his two friends doing the same thing while she was unconscious, but he screenshotted a section and posted it in his defense saying clearly she was down. There are also identical allegations to the ones made against (D-rake) stating he has a history of hitting up sixteen year olds and grooming them until they turn eighteen and repeated history of similar drug related s. crimes. It took one post on his twitter and his fans started harassing the poor girl for months. The same thing happened to the lady who was a victim of (N$icki Min _aj's) husband who was doxxed by her fans for not dropping the charges. The next day AK was acting like it was all gravy and if anything gained even more followers. This is a brilliant example of why (Dra! ke's) line about being too famous to be a predator is so stupid. Almost as stupid as blatantly defaming the woman who appears to have more the enough evidence to beat him in a civil suit. Which is almost as stupid as he pretended to be during the (e- bony kin g) livestream where he was obviously ignoring the thousands of comments mentioning anything related to sexual crimes, while talking shit on the guy who successfully blackmailed his handler even after possibly being blackmailed himself on the same stream. This stupidity can only be surpassed by the millions of fans who are still watching his content instead of the news and continue regurgitating the lies of someone so fucking stupid who is most likely a s offender. These are the same ones who automatically dismissed the rumors and instantly believed the dog in the kennel story, the same who believed his alibi, and the same people who are the reason most survivors don't come forward and choose not to accept inconvenient truths right in front of their eyes.
Interestingly enough the portal.njcourts.gov site containing A.k's full court documents were offline for hours last night and a certain sight has banned reposting it for fear of doxxing, another great way to quell any dissent amongst the the ranks. Server's crashing often happens when there is a huge influx of web traffic or a site has been a victim of a DDOS attack, which is just an artificial version of the former that uses bots instead of people. I could talk forever about how fucked things are, but this is simply the world we live in. I really want to drive home the point that in order for any movement to retain credibility, everyone needs to stop sharing any type of info unless they're from a verified, reputable source and define the difference between facts and your opinions as clearly as possible. A couple million hits on youtube, twitter memes and tiktoks, and gossip blogs with broad information being deciphered by mostly idiots don't count as credible. Most of these influencers and blogs have been bought and paid for years ago and usually are biased toward certain celebrities based on the perception of whoever's sharing or whoever pays them the most. For a while now rumors have been circulating of influencers doing shady shit in Dubai for the ultra wealthy. Lot's of ties were made to Dra .ke, but have very little supporting evidence. The blind items containing the rumors also made it so anyone could decode the clues, and as soon as these posts made it on to the Kendric kl amar the moderator crew began the "conspiracy," crackdown. It took one mention of q-anon and the majority of the community jumped ship out of fear of association because "Q-anon bad, they're all scizophrenic." Overnight theories that once had been consensus were completely dismissed after being deemed conspiratorial. A couple of days later, the were forced to place a blanket ban on anything them deem, "conspiracies," regardless of it's validity due to their inability to moderate the amount of incoming posts which are almost always spammed at least ten times a day for the next week. This is the exact thing that was done with q, anon and pizzagat, e stuff back in the day. They'd find the nuttiest people to use as an example so they could paint the whole movement in the same light, then dismissed all related information, and completely censored any discussion on most major platforms. I don't subscribe to either, but they were undeniably on to something. The problem was the disinformation campaigns and general stupidity. One was quashed almost overnight because a crazy guy shot into the front window of a pizza shop and it somehow hit their computer and obliterate their hard drive containing possible evidence. The lessons is truth in every lie and it's not hard to find if you know where to look, it's what you do with it that defines who you are as a person. Some people can't handle the truth because it conflict's with their world view and those who do usually suffer because of it. If everyone does their part though, no one would have to die a martyr in its pursuit.
I've noticed a recent pattern of influencers proliferating the spread of false information especially in relation to any sa allegations. This trend really took off when (Kat -t Will/iams's) interview went viral and helped to revitalize his career and reputation. Since then many copycats have come out of the woodworks, hoping to cash in on the trend. Some other common media suppression trends and manipulation tactics to watch out for are synthetic smear campaigns dedicated to destroying the credibility of anyone with alternative beliefs, and it's gotten exponentially worse throughout the years. A great example is all the shit (Y,e). had to deal with through the years, even prior to his antisemitic remarks and all the other famous people who spoke up about their industries and were silenced. (D av+e Chapp? elle) used to talk a lot about the tactics used to humiliate and destroy many influential black men who dared to challenge the system. Another case that's similar to Ak's is the (T/or y La^ne z and M ,egan T (hee Stallio, n) trial. If you look at the court records, it's obvious the shooting was part of a larger altercation. He still might have shot her, but she at the least totally lied her ass off about the actual story to avoid incriminating friends while ensuring they could hit him with a ten year sentence. Not long after (Me ..gan THE" E S !tallion) won three Grammy's and was voted woman of the year, then disappeared off the face of the earth until her manager sued her a couple weeks ago for having sex in front of him and threatening his job over it. There are countless other celebrities and influencers who are clearly wiling to say anything for money, and those who aren't usually have some blackmail on them. There is such an abundance of glaringly obvious disinformation campaigns in the media and most are accepted as gospel without question or are suppressed if they reveal too much, raise too many questions, or start to sway public opinion. Another very common example of this phenomena is the mass release of information that paints a positive image of the celebrity while containing the same buzzwords related to controversies they don't want popping up on anywhere near the top of Google. This keeps any relevant information limited to the most recent AI generated bullshit that plays the algorithm game the best. While doing my investigation, it was unbelievably difficult finding any relevant information from before 2020, and often had to use Duckduckgo to filter out any articles written after 2023. Even then every search engine required extremely specific search terms, which would often still provide me with the exact same results. It got so bad I considered switching to Yandex.
Recently all the things I've discussed have seemingly been kicked into overdrive, especially over the last few weeks. This leads me to believe that a lot more is going down behind the scenes than most realize. I believe the day will come soon when everyone who actively fought to dismiss peoples opinions out of ignorance will be forced to accept these truths whether they like it or not I was a victim myself last week when I shared a detailed, neutral commentary on a rap feud and was shadow banned from a popular subreddit and ignored by it's moderators. This same subreddit is currently deleting any and all information related to the subject I covered. This is why I wanted to raise awareness if this doesn't get suppressed as well. Karma requirements and shadow bans that can sometimes circumvent the use of Vpn's on all connect devices, lead me to believe Reddit as a whole may also be at least partially compromised.
Chances are the same people who promote biased garbage and obvious lies are the same ones who will scroll right past any post containing more then three sentences and the ones who spread any lie they are told without question and accept everything at face value. My personal favorites are the ones who don't read past the title and clog up the comments while obscuring valuable information because they want the spark note version. This is all by design. They are the sheep the government count on to help them consolidate their wealth and power. More and more people are waking every day though. I encourage anyone new to conspiracies to really keep all this in mind going forward, especially with the proliferation of AI powered disinformation bots that dominate your front pages and control the majority of content. If you want to fight against this and keep your freedom of speech, this is a call to arms. To anyone who values the truth, the powers that be will do anything they can to try to censor any public dissidence. Remain steady in your search for truth, and learn how to effectively help other join you in lifting the veil. Stay strong in your convictions and don't allow other's to moderate your options, your beliefs, or your truth.
Thanks for Reading
-The Original Random Moniker
submitted by RationalSchizo812020 to DarkKenny [link] [comments]


2024.05.15 15:37 AntelopeMedium2401 5 day PAO recovery update

Hi all, I thought I should post an update to my PAO recovery since many of you were very helpful in the weeks leading up to surgery. I am 17 (female) and got a PAO on my right hip. I was admitted and operated on Friday and was discharged Monday evening. I was nervous leading up to it, but since it was an early morning surgery, I didn’t have much time to spiral. The best part is that the drugs knock you out so the worst is over quickly. So when I woke up I didn’t need to worry about the surgery, it just happened and now then I needed to deal with the recovery. I was surprisingly in good spirits, but I don’t remember much from the first night. I did throw up above five times and did not eat a thing until the next day. I wasn’t in too much pain thanks to the nurses who were really kind and caring. The night time nurses were a bit abrupt however. I needed to change positions every few hours and the night nurses did it rather violently and did not seem to care much when I specified what hurt.
That was the first night. They made me walk the next afternoon which was terrible. The drugs made me lightheaded and I only walked about ten steps and then fell asleep once I was back in bed. They made me get up a second time later in the day and it was much better. I didn’t go any further, but I didn’t feel dizzy and I was able to stay awake once I was back in bed.
On Sunday, so the second night, they took out my catheter, the drain leading from my hip, all the monitors and the IV. Some friends visited and I was a lot more comfortable with my pain levels.
On Monday, after the third night, they prepared to discharge me. I had to pass the stairs test and actually did more than the physio expected of me. I practiced going to the bathroom multiple times, got my X-rays, talked to a resident and went over my medication plan. A really kind nurse washed my hair and helped me take a sponge bath and change my clothes. Then I was cleared to leave.
Back at home I wished I was in the hospital just one more night. It was a little scary doing everything with just the help of my parents, but I survived and was much more comfortable in my own bed. I am taking less medication than what was prescribed and I think I am progressing a good amount each day. Even if the progress is that I can squeeze my abs for three seconds longer than the day before.
If you’re still reading here, thanks I know this is long, but if anyone has questions I’m happy to answer or post more updates as time goes on. Overall, I would say the hospital team really contributed to how I feel, I can’t stress how kind the nurses were. I would also say that a lot of my worries have been eased mostly just because the surgery has happened, which would be the best advice I would give someone who is stressed about their upcoming surgery.
Anywaysssssss that’s all!!!!
submitted by AntelopeMedium2401 to hipdysplasia [link] [comments]


2024.05.15 15:35 Fun-Relation-4852 First bestzv1/zvbest order

First bestzv1/zvbest order
Ordered: April 23rd // Shipped: April 29th // Received: May 15th
It was my first time ordering after seeing some positive reviews on YouTube.
Germany Home 24/25: Fan Version. Fits true to size, material feels really great. No complaints on that jersey.
Bayern Munich Home 23/24: Player Version. Fits really tight compared to another rep Player Version that I own in S. Material feels really good, as well as the printing. No complaints. PS: I know it’s the wrong sponsor for the women’s team but my plan is to get the shirt signed and framed so i don’t care.
FC Barcelona Home 23/24 Karol G Special: Fan Version. Fits true to size, Material feels okay, a little bit on the cheaper side compared to the Germany jersey. Neck is a bit off but not noticeable while wearing. The number print is perfect, while the name print is a bit transparent, especially on the red areas it’s noticeable. But otherwise no complaints.
FC Barcelona Home 22/23: Fan Version. I have another one of these from a different seller (you can find it on my profile). Fits true to size, material feels good, a bit better than the 23/24 kit but still cheaper than the adidas shirts. Printing has the same „issue“ like the 23/24 kit. Otherwise still happy with it and no other complaints.
FC Barcelona x Patta Hoodie: The sizing chart was weird because it said that I should go with a size M (normally I wear size S). So I got a Size M and it fits perfectly. Trust on the size chart, if you want to get one yourself. The Hoodie feels very good and not cheap at all. The printing is also very nice. I might update you after I washed it, if everything’s fine after that. I really love this one to be honest, might become my new favorite hoodie!
submitted by Fun-Relation-4852 to Soccer00 [link] [comments]


2024.05.15 15:31 Monoheinztoo For the Humans that help me : The Angel in Whiterobe

The idea : Make a HFY stories without other species and take place on modern day earth, the goal highlight the most important component of humans, Humanity
Trigger warning : Heavy Suicide Theme
As Dr James walks to the rooms, he takes one deep breath. “Good morning Rudy, how was your sleep last night ?” he said from near the opened door. Rudy sight is now directed toward the incoming voice from the door. He sees one man in white robe holding a tablet accompanied by male nurse in his back*. Ah, here come the doctor’s.*
“I don’t want to talk with you, I just want to be gone from this world”, followed by shrieks from the patient. “I don’t have any reason to live, please let me goo”, *useless me can’t even finish the job*. The sentence is followed by a loud growl from Rudy as he tries to escape the bed restraints put on him.
The doctor was taken aback by such a strong reaction, Rudy can see that doctor James' face changes from a slight smile to what he assumes is the doctor's thinking face. “Aah I know !! Jamal, can you watch Mr Rudy for me? I have to take something from the outside” as James voice breaks the awkward silence that hangs in the room. Rudy is confused by the doctor's reaction.
Doctor James leaves the room as is, *no one wants to help me anyway*. Rudy could not help but to feel disappointment at the doctor as he went out, doesn’t matter my time here is short anyway. The room is filled again with silent awkwardness as the black nurse just stood in the door watching Rudy every moment. His brilliant brown eyes looking sharply at him, he felt nervous, *please let me go* .
After what felt like eternity the doctor came back to the room with one bag in his hand and laptop in another, *looks like a new model from zeon*. “Is that zeon zenith 12? “ his mouth bluntly said, *wait, noo?!!*. Dr James stopped by his bedside, looking a little bit surprised and quickly nodded “Yes, this is zeon zenith 12, are you a tech enthusiast ?”. Rudy did not answer, he gazed away from the doctor. “Well, looks like you know some tech update for the very least”.
Scrieeek……….. . “Ach…!!” Rudy covered his ear as the sound of metal chair scraping the floor ring aloud. “Ooh sorry Rudy, I did not know you’re sensitive to loud noises, i’ll be careful next time ” as doctor James stops the chair movement. Rudy stays silent, as Dr James takes a seat on a chair beside his bed. “So I know you don’t want to talk to me about your problem right now” James then grabbed the food table, “So instead why don’t we just watch some cute cat video i curated for this”.
Rudy turn his head back to James again this time confused looks clearly drawn in his face, is*n’t his job try to talk me out of suicide?*. “You want to talk about your problem now?” Rudy then looks away again from the doctor “Yeah I thought so. So why don’t we just watch this video and for a moment forget everything about the problem and just watch the video ?” Rudy did not turn his gazes, *how could i forget it if only bad things happened to my life?.*
His face began to puff up as he held back tears, “Alright if you don’t want to, I’ll watch it myself”. Meowing can be heard from his back, wait he seriously does it ?!. Rudy turn back his gaze toward the doctors with a slightly furious face, he looks focused on the video that played from his laptop. As doctor James looks back at him “want to watch ?” Rudy once again threw his gazes away. “Alright ” bruk.., the sound of the heavy laptop being placed in the food table and the sound of meowing continue. Rudy tried to look away still, but the cute voice made him curious, and feel awed. He finally looks at the video playing, he looks at the laptop intentley, almost like a child watching their favorite cartoons.
Rudy for this moment in time and space, he forget his problems, his shitty work at john’s pizza, his loud and inconsiderate upstair neighbor, his neighborhood that is brimming with trash and the gunshot he hears every night, his nonexistent love life, his friend who left him after uni, his grade from uni and highschool, his parents, and his past. For this moment he lives in the present, not overthinking about the past or the future.
They watch the video, both attentive in their own way, transfixed to the screen like a moth to a lamp. Through dozens of cute cat compilation videos they watch together, his face begins to relax from constant fury and agony to a more neutral tone. Then finally without realizing it he, smiled a little.
Chee-klick, a bright flash hit him. His arms reflectively move to cover his face but can’t because of the arm restrained to his bed. “Hey, why are you take a photo of me without **my permission !!!**”. “Oh I’m sorry for that, I just saw you smiling while watching the video so I need to take that” James explained. “I smile ??” Rudy asked as he felt dumbfounded by the word. “Mhemmm, here’s take a look “ Dr james then flip his phone and let Rudy take a look at his screen.
*I smile, does that mean i don’t want to die, no no no that can’t be right i want to die i can’t feel happiness anymore, if life is not happy then, then…..* . “Ah you know looking at it again you smile looks beautiful so I hope i can see more of your smile” Dr James said with a big smile on his face.
Now that Rudy takes a look at his face, he sees it now, his face. His bright eyes that are colored like sapphire, his blonde hair looks like it was made from gold, his face is soft but unmistakable masculine quality, his dark green shirt underneath his white robe. From his broken mind he sees a hope in the form of what seems like an angel to him. *He is… handsome*. His tan cheek is now adorned with light pink.
“Well that is one of the reasons, the other one is I need to make a report to Stephen charities that finance your stay in here”, *ah well that makes more sense*. His face gets back to a neutral tone. “Well, if you want to remove the photo, I can make an ex…”, “No, just give them the photo I can’t pay with my saving, and my insurance will probably not give the money” Rudy said with a stern voice, his face followed similarly but James can notice a hint of Sadness in there.
“With your consent, oh and also our session must end here i’m afraid, i have another appointment scheduled ” As dr James looked at his tablet that he brought from the beginning. “Don’t worry we have another session tomorrow” dr james put the tablet in the bag and shutting down his laptop. “Tomorrow our session will start at 8.30 am and end at 10.30 am so about 30 minutes off from today”. Dr James, who has already finished picking up his stuff then looks at Rudy, “So I hope you look forward to our session tomorrow”.
“Wait doctor James”James stops on his way to the door as he hears his patient call. ” I look forward to it too, and and thank you for today!” Rudy said as he shut his eyes out of embarrassment. “Yeah, your welcome, see you tomorrow Mr Rudy” unbeknownst to Rudy who still closed his eyes, James is smiling now just a little and more genuine.
“Come on Jamal , let’s go” creek.. The sound of the closing door allows Rudy to open his eyes again. Rudy began to process what just happened in his first season, “Is it that easy to actually made me not commit?, do I still have the will to live or does he give it to me?,”, and the last thought made him flustered “did i get charmed by him ?”.
As he overthink his head began to hurt “Stupid Rudy, very stupid"he muttered to himselt. "Well, if I survive and become a burden, I will make sure he take for his responsibility in this”
Hello everyone, i hope you enjoy this short story. The idea come to me after reading a lot of HFY that put emphasis on human physical traits. I feel like there is a need of hfy stories that focused on what i think the most impressive part of human Humanity and our bonds. I'm also intrigued by the idea of HFY story that is based on modern 21st century without no magic or alien, i feel like we human are already impressive now without any exageration of circumtances or another species to be compared too.
I'm gonna remind you all that our path to get here is literally unique and very impressive, and even without sci-fi tech we already have control of this earth akin to God. And even though our future is fraught with uncertainty, the odds are with us. Our form maybe flawed, but so does this universe so let us reach the infinite together !!.
submitted by Monoheinztoo to HFY [link] [comments]


2024.05.15 15:21 Entire-Leader-7080 Tubal Ligation Postpartum

Can anyone tell me there experience with getting their tubes tied in the hospital after giving birth? I am 38 weeks pregnant with my second, and I’ve been debating getting the procedure the entire pregnancy. I always knew I only wanted 2 kids, so that’s not the issue. Im mostly concerned with how it will effect my postpartum recovery and ability to bond and take care of the new baby. Doctors tend to downplay female reproductive procedures, so I thought I could get a more realistic view of what to expect from people on here! Any insight would be greatly appreciated!
submitted by Entire-Leader-7080 to 2under2 [link] [comments]


2024.05.15 15:20 OhNoAnotherAnalyst [WTS] Trijicon TA55A 5.5x50 ACOG .308 Red Chevron Reticle with ADM QD Mount; Troy Industries Micro HK Style Front; Vortex Pro Series Scope Rings; Centurion Arms 10.0” C4 Rail; Magpul M-LOK Bipod Adapter; KRISS Picatinny Hand stop; SureFire RM45 Scout Mount; POF-USA Triple Port Muzzle Brake 5/8x24

Timestamp
All parts have low/no salt or wear except where specified.
Prices are FF shipped to CONUS; (add +3% if you want G&S).
Dibs rules apply (Must call dibs then PM). Bundle request beats Dibs
NOTE: There’s some scammer out there pretending to be high flaired users. I will not initiate a chat with you if you dibs something and I definitely won’t mention or verbally insist on F&F. Please be careful!
-Trijicon ACOG TA55A - Red Chevron .308; very low salt; American Defense Mfr. QD mount; comes with original Trijicon scope pouch; purchased in 2023; photo demonstrates tritium life- (it’s way more focused and clear with less scope shadow IRL!) $1200 shipped (Or best reasonable offer)
-Troy Industries Micro HK Style Front; pristine - never mounted; $85 shipped
-Centurion Arms C4 Rail; Like-New MPN 0609-10; 10-inch; With Milspec Barrel Nut; very low salt!; $190 shipped
Magpul Bipod Adapter; very low/no salt - $15 shipped
-KRISS Picatinny handstop; no salt; $40 shipped
-Hera Arms Adjustable Gas Block System with integrated gas tube; MPN 11.03.05 - Pistol Length; extremely low profile!; $80 shipped
-2x SureFire RM45 Scout Mount; excellent condition; $45ea shipped 2 LEFT
-Vortex Optics Pro Series Riflescope Rings 34mm tube diameter - 1.45” center height; $60 shipped
-Vortex Optics Pro Series Riflescope Rings 30mm tube diameter - 0.90” center height; $60 shipped
-Primary Arms GLx 4.5-27x56 Sunshade $25 shipped
-AR-10 Dustcovers; “308 WIN” and Blank; $11ea shipped
-POF-USA Triple Port Muzzle Brake; 5/8x24; Brand New; $50
-POF-USA “God Bless America 🇺🇸” AR-15 dustcover - $11 shipped
submitted by OhNoAnotherAnalyst to GunAccessoriesForSale [link] [comments]


2024.05.15 15:12 fisherE41 Tuesday, May 14th Jobs Update

Here is your Tuesday update of the best job listings for today.
See more details and apply here: https://search.hiredgood.com/search
submitted by fisherE41 to jobbit [link] [comments]


2024.05.15 15:05 LostInYarn75 53M stroke, PAS patient

My brother had a stroke two weeks ago. He's a nonsmoker (allergic), rarely drinks (and when he does, very little), but he is morbidly obese (6'2", roughly 350 lbs), and has had high blood pressure for years that was left untreated.
The chain of events, as best I understand it, is :
1) morbidly obesity lead to chronic high blood pressure (PAS, as best i understand it). 2) due to this, he had a stroke. 3) due to the stroke, he had a seizure. 4) he fell during the seizure and broke his arm. (Non displaced fracture of the humerus. Absolutely the least of his concerns.)
Upon admission to the hospital, his systolic pressure was 220.
Right side occipital stroke has been confirmed. Two weeks out, he has sensation on the left side, but no movement and still no vision. His higher functions are still intact, thankfully. But his body is currently not exactly happy.
He spent a week on life support, beginning approximately 36 hours after he was admitted. He is still on a GI tube. His swallow reflex is unknown as they haven't been able to test it yet.
The day before yesterday, he was stepped down from ICU and had spent two hours seated. However yesterday, he was found non responsive. He returned to ICU. The doctor believes that the non responsiveness was due to not enough oxygen due to sleep apnea. So He's now on a CPAP.
We have been told that due to it being a right side stroke the healing process will take longer and to expect a 6 to 12 month healing process.
My question for you is: my mother, a retired nurse who jumps straight to worst case scenario, has been leaving information out "to protect me." Am I correct in believing that he is a long way from being in the safe zone and that his life is very much still at risk? What are realistic expectations for his recovery?
Please feel free to use medical terminology and please just be straight forward.
submitted by LostInYarn75 to AskDocs [link] [comments]


2024.05.15 15:04 celestebcg My amazing Bi-Salp Experience at 25!

A lot of write posts about peoples experience with their Bi-Salp helped me prepare for mine so I thought I would post about my personal experience!!
So about three years ago, I got my copper IUD placed. I didn’t want to try any hormonal birth control because I tend to be hormone imbalanced, considering I got my period when I was nine years old and I already had ovarian cyst when I was 12 I didn’t want to add to the mix. For the first two years of me having it because my wedding ended up getting postponed due to Covid January 2023, I got married started my first year with the copper IUD being actually sexually active. I always loved my IUD because of the presence of no side effects. Other than the fact that my periods were terrible my periods would fluctuate from being seven days to eight days to 14 days to 20 days long. Throughout the month, I would always spot and have random cramping and then on the day cycle or the day leading up, I was already spotting a lot.. I would take 800 mg of ibuprofen every four hours for the entirety of my period because I could not Barrett all of this medication definitely affected my gut health. Towards the fall of last year, I felt like my cycles were getting a little lighter. Finally I thought I’m about to be three years with this may be it will be regulating a little more soon even with the copper had an extreme paranoia of anxiety, but I didn’t realize how extreme my anxiety is now that this risk of getting pregnant I felt was so prevalent, even though I had a obsess over people and I didn’t use any other form of birth control like condoms because I didn’t really like how it felt. I was always paranoid sitting on the toilet for hours waiting for everything to come out not doing anything for two weeks out of the month I include my period and then my ovulation week because that would also make me more paranoid. The last few months of a light cycle I got the worst cycles I had ever gotten they lasted about three weeks with giant clotting and in general I would always be having to wear. Diapers. I would wear a diaper with a pad on the inside of it and I would go through that every hour and a half so my blood loss was intense after my cycle I would get super lightheaded and the worst part is that I have always been chronically anemic my whole life I’m also vegetarian. I don’t eat meat.. It was a perfect storm. The anemia was being affected by the IUD blood loss and then I was diagnosed with heavy menstrual hemorrhaging. so in January, I decided to go to the doctor and see if there was any other options. Still, I knew that birth-control with hormones was not some thing I wanted. I was referred to a minimally, invasive, OB/GYN surgeon, and I asked about getting a Bi-Salp. he spoke to me about the whole process, and I was very excited that day we decided to take my IUD out, which thankfully was not as painful as the torturous insertion. His plan was let’s see how my natural cycle after. Take the IUD out if my bleeding regulates and I’m not losing as much blood. Would be a good option, but then it will be evident that the IUD is not the cause and that it’s a further issue and then they were considering doing a hysterectomy so that I would no longer get a cycle and I wouldn’t have to worry about my anemia by taking the IUD out sure enough my cycles got better two months and my cycles went from a two week. 22 Would be a good option, but then it will be evident that the IUD is not the cause and that it’s a further issue and then they were considering doing a hysterectomy so that I would no longer get a cycle and I wouldn’t have to worry about my anemia, but by taking the IUD out sure enough my cycles got better two months and my cycles went from a two week period to a 2 to 3 day. to 3 day period. Not even days after removing my copper IUD I felt so much relief. I felt a fullness disappear that I didn’t even realize was there in the first place and a lot of other things changed to my skin got clear and overall I felt less anxious. I believe that the copper in the IUD had been causing me some sort of copper toxicity. so after two months, I called the doctor and told him that my period had gotten better so I went back and we schedule the Bi-Salp. So I went two months without any birth control and stayed away from my husband. Lol, thankfully at the end of the two months I was able to get my surgery and a week before my surgery. I went to a regular visit with my OB and they did an ultrasound and they saw that they’re good possibly be a polyp on my uterus so when they went in to do my procedure, they also did a Oppie with to see if there was any polyps and remove the polyps that were there. They also found some cysts that they removed and I also had some endometriosis growing on my left tube and ovary thankfully they were able to remove! For the surgery and leading up to it, I stayed away away from any foods that would make me gassy and anything that would constipate me. I was drinking MiraLAX in my tea every night for the week leading up to the surgery.
Surgery day of: On the morning of the surgery, I was advised to not take my Vyvanse, which I use for anxiety and ADHD. So I skipped it and just drink water since I have been fasting since 10 PM the night before. When I arrive to the hospital, I was able to go to the bathroom thankfully and then started getting prepped for surgery. They obviously had me do a urine test and then got me set up with my IV where they would insure all of my meds this was very painful, but I sat and waited before I was feeling loopy. They gave me the anti-stress and anxiety medication before they administered the anesthesia and suddenly I was knocked out. All I remember is walking into the surgery room and thinking wow this is like Grey’s Anatomy and then knocking out next thing, I remember I wake up in the room and I am very groggy and out of it. Thankfully, the anesthesia did not cause nausea. The hardest part during this transition was getting me to pee because I kept wanting to fall asleep so badly but they kept telling me if I didn’t pee then I wouldn’t be able to go home to finally sleep so I was bloated and swollen And I finally peed the second time. After that, I was discharged and my family did a great job at trying to keep me awake while we drove home because I was asleep in the car that could get nauseous and throw up, which would hurt my belly from making those kind of movements. Thankfully, I got home and I knocked out on the couch. I woke up dazed and confused but feeling a lot better and refreshed. I felt good for about an hour and then the pain started, but not any sort of abdominal pain from the surgery itself. It was just the Thankfully, I got home and I knocked out on the couch. I woke up dazed and confused but feeling a lot better and refreshed. I felt good for about an hour and then the pain started, but not any sort of abdominal pain from the surgery itself. It was just the pain from the gas pain from the laparoscopic surgery. This pain was definitely intense and it progressed my worst day was the day after the surgery. But that same night after the surgery was difficult because I could not find any position where I was comfortable. I was taking Gas-X every two hours charcoal pills every two hours and ibuprofen and Tylenol alternated every four hours. They gave me OXY if I wanted to take it, but I never did because I didn’t wanna get constipated and I really didn’t feel any pain that the oxy could resolve pain medication does not resolve gas pain. First night I slept propped up with a lot of pillows around me holding my belly holding me from every position where I could put more weight to add pain to my body well, I didn’t really sleep that night, but I tried to sleep, but I rested upright on the couch and I was up maybe every hour going to pee and walking around because the best advice I could give is just walk as much as it hurts. Everything hurts with these gas pain so I feel better to be walking around in pain than to be sitting down, knowing that I’m not actually resolving any of the gases that is the only way the gases will escape your body. That was exhausting because I could not sleep as much as I wanted to. the day was extremely painful trapped in my ribs. It felt like someone had a split my ribs but again I had no tenderness or soreness in my abdomen no cramping anything like that. I complain the most and the most uncomfortable part of everything was just being very very bloated and not being able to suck in my stomach. I’m naturally a very thin person so having my stomach was frustrating because none of my clothes fit me comfortably. The bloating started from the top of my rib cage all the way down. But I kept up with charcoal pills and Gas-X, and I’m thinking the charcoal definitely help because I would notice a difference after taking that even more so than the Gas-X. I finally was able to go to the bathroom after the surgery and thankfully it was a smooth transition to going into the bathroom. I’m sure the MiraLAX helped because of that and I had hardly been eating because my stomach was so swollen and were so severe that even one bite of food in my stomach would make everything swell up even more and it it would hurt me. So those first few days I kept it very light. The second night after the surgery was another miserable night. I almost cried that night because I thought I was gonna lose my mind. I hadn’t slept or napped all day because the pain would prevent me from being able to rest in a comfortable position and then all night again, I did not sleep, those were the hardest 2 nights. The following day I saw a tiny bit of progress with the gas pain. But eventually, I think I got used to it by Saturday surgery having been Monday. I felt significantly better still very swollen but better. Sunday I left the house for the first time got ready put normal clothes on. The loosest clothes that I had. And that was nice to finally leave the house and try to do something normal, came back and was definitely exhausted and rested for the rest of the day by this point I was no longer taking any pain medication. Just the charcoal pills. By Monday I was feeling significantly better. I had gotten my cycle over the weekend and it was not a very painful cycle. Just a little bit of mild cramping and bleeding but nothing crazy on Wednesday. I had my follow up appointment a week and a half after surgery and I was cleared for all activity and just told to be careful with how heavy things are when I lift them to stay away from anything more than 30 pounds. I had sex for the first time in three months because of the fact that I had no birth control before my surgery for those two months when they had taken my IUD out. It was a little bit painful because my body had gotten used to sex and no penetration at all. Very quickly my bodygot used to it again. And I enjoyed it so much. I was scared to have an orgasm because I had heard online that some people complained of cramping after the orgasm, but I had no cramping at all only enjoyment. The fact that I was able to do everything I wanted without any anxiety that I would get pregnant without having to do anything to prevent that was liberating and it literally has improved my sex life incredibly and just the short amount of time today I am 2 1/2 weeks postop. And I feel great. My incisions are healing really well and I’m about to start using scar tape for the scars. I have barely any gases. My stomach is as flat as it normally is, and I’ve been feeling wonderful. The only thing I noticed after my surgery was a little bit of breaking out right after the surgery, but they said that that was normal since a lot of the drugs and medicine they put into your system for surgery is basically detoxing after you come out of surgery so it comes out of your body in different ways. I do not regret this surgery. It has completely changed my mindset towards life. I feel free finally. I’m sure my age has a lot to do with my recovery time and overall I’m a very sickly person for my age so I was expecting for this recovery to take me weeks to months, but I am feeling wonderful. I’m about to be the maid of honor for a wedding this Friday and I feel no restraint and dancing or anything of this sort. I’m grateful I didn’t get any soreness or pain in my abdomen after the surgery and that all I had to deal with was the severe gas pain. I know that is not everyone’s experience, but that was mine and I’m very happy with it. Just wanted to share some details on how everything went and hopefully this can be helpful to someone. Thankfully, my insurance covered most of the procedure and all I had to pay was $1,500. I have never been happier with a decision in my life.
submitted by celestebcg to sterilization [link] [comments]


2024.05.15 15:03 myassured Dementia Home Care Assured Home Nursing

Dementia Home Care Assured Home Nursing submitted by myassured to u/myassured [link] [comments]


2024.05.15 15:02 L0neMedic Questioning my own abilities at this point.

Hey!
Let me explain, I’m a 30 year old paramedic who was recently dismissed from a nursing paramedic to RN program about 11 months ago at this point. I was in the program with a ton of my friends who went on to succeed in the program and graduated a week ago. I’m beyond happy for my friends and told them that I wish them nothing but success. For me, I feel like a failure and I have second guessed myself so many times now that at times I feel like maybe I “over estimate” my own intelligence. I consistently always think I’m dumb and never good enough to do what my friends are capable of doing.
I’ve had goals of wanting to get my RN before the age of 30 and get my critical care and move on to ICU and possibly CRNA one day but the fact that I couldn’t pass a nursing program really makes me second guess if I’m over estimating who I am as a person.
I made it to my second semester out of three before being dismissed over dosage calculations. I’m readmitted back in the program that starts back up in August where I start back in my second semester but I am greatly questioning my ability to do this. I’ve even wanted to join the Airforce and do flight nursing as a officer but now that I’m 30 and will be 31 the time I graduate and still need a BSN, I’m greatly feeling like I’m behind in life and will not be able to obtain my goals anymore and I have a constant fear that I will die with regrets and I don’t want that.
I’m seeking advice from anyone who has felt this way? I’m always constantly studying. I use Anki to help with space repetition, PowerPoints, simple nursing, registered RN, Nexus nursing and Elsevier Sherpath questions to help test myself. I ever have the NCLEX book and use questions from that and still I question my own ability to do this.
If I’m not perfect, I feel like a failure and all I want to be is successful for my wife and I feel like I won’t be.
submitted by L0neMedic to nursing [link] [comments]


2024.05.15 15:01 micro_mir Advice on Obese Dog

Hi everyone,

My grandma is going into a nursing home in a few weeks and has to rehome her incredibly obese dog. She has been over feeding this dog for the entire time she has had her. We tried to get her to give her a healthy diet but she will not.

Anyways, this dog is obese, never goes outside, and is incredibly hyper active. I feel so bad for the poor thing, but no one in my life is going to be able to properly care for her and get her down to a healthy weight/train her.

We want to find her a home and we suspect she's a kind of Border Collie mix, but we have no idea what to do with her. She's going to require extreme patience and dedication so we don't want to just put her in the pound or give her away to just anyone. She's like grossly obese so I don't think she should go to some random first time dog owner.

I don't even know where to start with looking for a home. We live in Connecticut but if anyone knows any good rescues in any surrounding states I'd bring her there as well.
She's a really good girl which is why this is so hard for me. The dog is incredibly smart and when my grandma was hospitalized in the past we got her down about 5lbs in two weeks with diet and exercise. She also very quickly learned how to go to the bathroom outside (with some accidents). Then when we brought her back with clear instructions my grandma followed what we said for a few weeks then reverted. I felt horrible.
Thank you for any advice
submitted by micro_mir to Connecticut [link] [comments]


2024.05.15 14:59 crimsontape This week's grocery review - Sales for May 16th to May 22nd - Lots of BBQ items and excellent corn deals! But, cucumber pricing is down quite a bit. Nice spread of sales on tomatoes. LOTS of blueberry and strawberry deals around! Some good mango and cherry sales, too. Fewer sales on fresh chicken an

(As always, flyers are out Wednesdays, most store sales for the new flyer start on Thursdays)
Adonis
Farm Boy
Farmers Pick (can be a little late on their flyer) (https://www.farmerspick.ca/flyer-specials)
Food Basics
FoodLand
Freshco (price matcher)
Giant Tiger (*note the VIP prices; sales begin today) (price matcher)
Green Fresh Supermarket (Vanier) (check https://greenfreshottawa20.wixsite.com/greenfreshottawa)
IGA (price matcher)
Independent
Loblaws
Provigo
Maxi (price matcher)
Metro
No Frills (price matcher)
Produce Depot (usually a little late on the flyer) https://producedepot.ca/
Real Canadian Superstore (price matcher)
Sobeys
Super C
T&T Supermarket https://www.tntsupermarket.com
Walmart
Costco (Note that these are the online/shipped prices - reduce each item by $3 for in-store pricing)
Jean Coutu (new sales start Fridays)
Shoppers Drug Mart (new sales start Fridays)
Some additional references!
submitted by crimsontape to ottawa [link] [comments]


2024.05.15 14:58 L0neMedic 30 years old and feel like I’m going to be stuck.

Hey!
Let me explain, I’m a 30 year old paramedic who was recently dismissed from a nursing paramedic to RN program about 11 months ago at this point. I was in the program with a ton of my friends who went on to succeed in the program and graduated a week ago. I’m beyond happy for my friends and told them that I wish them nothing but success. For me, I feel like a failure and I have second guessed myself so many times now that at times I feel like maybe I “over estimate” my own intelligence. I consistently always think I’m dumb and never good enough to do what my friends are capable of doing.
I’ve had goals of wanting to get my RN before the age of 30 and get my critical care and move on to ICU and possibly CRNA one day but the fact that I couldn’t pass a nursing program really makes me second guess if I’m over estimating who I am as a person.
I made it to my second semester out of three before being dismissed over dosage calculations. I’m readmitted back in the program that starts back up in August where I start back in my second semester but I am greatly questioning my ability to do this. I’ve even wanted to join the Airforce and do flight nursing as a officer but now that I’m 30 and will be 31 the time I graduate and still need a BSN, I’m greatly feeling like I’m behind in life and will not be able to obtain my goals anymore and I have a constant fear that I will die with regrets and I don’t want that.
I’m seeking advice from anyone who has felt this way? I’m always constantly studying. I use Anki to help with space repetition, PowerPoints, simple nursing, registered RN, Nexus nursing and Elsevier Sherpath questions to help test myself. I ever have the NCLEX book and use questions from that and still I question my own ability to do this.
If I’m not perfect, I feel like a failure and all I want to be is successful for my wife and I feel like I won’t be.
submitted by L0neMedic to StudentNurse [link] [comments]


2024.05.15 14:57 pohltergiest Mountains all around

Mountains all around
Stupid stupid sleeping mat why won't it just have all the holes at once instead of having a new one each night. I've cut my remaining patches such that I'll have enough to cover 20 holes if necessary. I'll go to war with this thing before I give in and buy a new one. I patched the thing on the roof of the tent by dribbling water on it til I found bubbles. I'll do it again tonight and probably find more. Nasty holes. Terrible holes.
Anyways I slept fine, just a little interrupted. Every day I feel like I'm not sick and every morning I still am. Maybe today's the day. I dragged my ass in the morning, not moving too quick. The spot we picked was nice and chilly to let us sleep a little longer, nobody bothered us under the bridge this time. Last night we had a real treat in the form of a golden sunset over the mountains, hues of orange and pink lighting up the evening sky. It was very lovely. I forgot to mention we met another person doing a long distance ride, we've seen this person a few times since leaving Tokyo. Japanese travelers love pinning a piece of paper on their back that says where they're off to if they're traveling some ridiculous distance, for this person it was Tokyo to aomori. A respectable distance, but he nearly fell over when we showed him how far we've gone.
Eventually we got moving and did some sightseeing. The castle in aizuwakamatsu was rebuilt in the 60's as a museum, so we read about the history of the area. In a nutshell, it used to be called Aizu up until the local clan sided with the shogunate during the Meiji restoration and caught the wrong end of a brutal smackdown. In a way it felt framed in such a way that they didn't deserve it, and the subsequent suppression of the local people has left a simmering resentment. The city was renamed Wakamatsu, but is now aizuwakamatsu, and many t-shirts for souvenirs just say Aizu. The history of the city prominently includes the story of the Byakkotai, the "white tiger unit". They are hailed as heroes, but were teenagers who rushed into battle unprepared and were either slaughtered or committed suicide after hiding in a cave. Only one survived after a failed suicide to tell the tale. I guess things were different in the past, but poorly trained child soldiers killing themselves out of clan loyalty just strikes me as a tragedy, not a heroic epic. You know who disagrees? Fascist Italy and the Nazis, both of which donated monuments to the shrine for the Byakkotai and both of which remain to this day.
Alongside this bizarre tableau was the hexagonal shrine with a wooden spiral staircase, the only Edo period wooden structure still around and one of the oldest in the world. Honestly I'm surprised they let people walk through it, it felt so old. But they managed to build a double helix tower many hundreds of years ago and I was duly impressed. The ancient rafters and walls were covered in paper pasted to the walls to indicate a particular pilgrim was there. None of the old timey stickers looked new, as I imagine if people still did it the shrine would be covered like feathers on a bird. People did feel the need to scrawl their names in the wood of the wall directly, though. The whole place looked like it is in need of refurbishment and maybe someone to scold people with pocket knives.
After the shrine, we stopped to get some sandwiches at a conbini and then a drug store to get me better meds. The bufferin just wasn't working and I needed something to help me clear the congestion in me. We found some better meds and in took those. The feelings of having taken meds that really didn't work well and the stress of the heat of the day got to me and I had to stop and have a big cry. I hope I get better soon. We'll be stopping for a few days soon, I'll plan to just rest in bed. Doing a whole week of craziness followed by a week of biking in hot weather while a cold racks me has brought me to a low.
Naturally, when I get real low, that's when I feel the need to do big emotional processing. I knew it would happen eventually, though I'm impressed I could avoid it for three quarters of the trip. I wanted time and space to do some thinking, some crying, and some healing. The topic is private, of course. There was a bike path that led from aizuwakamatsu to kitakata to the north and we followed that, the depths of my thoughts so severe that I barely even acknowledged I was moving at all. Bryce told me later we were going pretty fast, so I guess it's good we were somewhere I could be on autopilot. The views in the valley were lovely, the panoramic mountains ringing the bowl shaped valley we were in. We biked towards snow capped mountains, but I was fully turned inwards, my process taking all of my focus.
Before too long we were in kitakata, a city that reminded Bryce of Roblin in Manitoba. It was a pretty quiet place, and rural too. It was known as one of the big three ramen regions in Japan, the second of which we've seen. We found the place that is most well known in Japan for kitakata ramen and got in line there. It was busy, as to be expected, but we got in relatively fast. We got the usual, whatever was the house special with extra chashu for protein. While the noodles were excellent, we both found the broth a bit boring, a pork on pork experience. It didn't taste particularly deep or complex, and was almost simple to a fault. Perhaps we've reached the limits of our tastes here, but it was just okay to our palate.
We got back on the bike route north, hoping it would continue a bit further before we had to get on the mountain highway. We would have to eventually, as no other roads led through the mountain pass. The bike route wasn't listed on the map, but was in front of us, so we pressed on. Much like the previous section it was a raised lane with gentle curves, likely an old rail line. This path eventually spit us out near an onsen, and then we were on our own. The road we wanted to take onto the highway was unexpectedly closed, so we had to detour up a road that went on top of a dam nearby. We enjoyed seeing some more wisteria, the ones around here growing wild and festively adorning trees in pale purple blossoms.
The dam was big, and had a road on top to ride on. I wanted to see the penstock and the spillway, the latter far below the road we biked on. Below in the shadow of the dam was a defiant onsen, oddly juxtaposed against the huge forward wall of the dam. We took some time to figure out what road would take us up to the highway which was some 100m above the dam. One road went into a tunnel and seemed a sure bet from the road signs near it, the other wound around the dam reservoir and disappeared into the woods. Looking at our maps, one said the road would continue and join up later, the other two disagreed saying the road ended. I voted for the sure bet, Bryce agreed but bet me a rice ball the road went through.
The tunnel indeed brought us up to the road, which was less of a road and more a series of bridges interspersed with tunnels piercing the mountaintops. It felt like we were on a great arc that hit the tips of every mountain, the gentle gradient of the road more important than anything else. We appreciated the easier climb, but the tunnels were tricky. Many of them had construction ongoing, so we were escorted through one set of tunnels to avoid stopping traffic in the single lane that switched directions periodically. At each tunnel entrance we worried the construction worker would bar our way but most were friendly, apologizing but firmly telling us where to go. As we approached a very long tunnel, an excitable construction worker stopped us and told us many things, but the best parts we could gleam were that the tunnel ahead was very long and we needed to have lights on inside.
The tunnel was indeed long, the longest we've been permitted in this far at 4km. The tunnel was completely straight too, giving a bizarre feeling of being in an infinite tube, perspective lines perfectly converging. The perspective made it feel like we were going uphill, but my speed told me it was downhill. Very confusing. Eventually we made it out and begun a very long and coasting descent, the grade again just gentle enough that we could coast at full speed and not tap the brakes. Usually we bike up the mountain just to waste the energy on brakes on the way down, here we could coast a lovely 10km, perhaps getting a little chilly from the lack of pedaling.
Yonezawa was our destination for the day, and despite really wanting to take it easy we still somehow did 100km. Tired and dirty, we took our biking clothes to a laundromat and went for dinner at a Chinese place. We had a black bean pork dish that was sticky and good, a chili fried chicken dish that was delicious but full of bones, and a fried rice that was mediocre at best. Waiting for our laundry to come out of the dryer, we had some snacks and commented that this city was extremely quiet at night. Not much activity going on here.
Bryce had a park in mind for camping, so we went there. We landed up making our way to the back of the park and found a spot to camp behind a few trees in a weedy area. Nobody should care we're here, but we're near a train line and every so often a passenger train roars by with big booming noises. Hopefully it doesn't run too early, but we might get woken up.
With the new meds, this evening is feeling better than days previous, though I have a lot on my mind for processing right now. A good sleep will help with that.
submitted by pohltergiest to RainbowRamenRide [link] [comments]


2024.05.15 14:53 pcmastergamez Can S24U have just as good photos as Pixel 8 Pro if using raw and editing?

Hey everyone,
I'm looking for a new phone and I know people talk about how pixel 8 pro has better camera for photos and the s24 ultra has better video quality. I'm curious how much better is the pixel's photo quality? the videos on YouTube use auto mode for their comparisons so I'm not sure if the comparisons are the optimal quality from the phones. I'm curious if someone used s24 ultra in a raw format and edited photos , would it be able to match pixel 8 pro's quality? Keep in mind I don't have pets etc so I don't care about shutter speed or capture fast moving subjects. I like Samsung's customisation and flexibility as a phone but the camera is why I'm making this post. I tried iPhone 15 but it's way too limited in the user experience for my taste. Another question I have is regarding skin tones, iPhone makes people have a more saturated look and pixel is more accurate, but with s24 could I edit a raw photo and make the photo match my skin tone and what I see in real life? Or is it baked into the photo so I can't?
My camera use would be to take travel photos and videos to post on Instagram, and to take portraits of friends and have them taken of me to get high quality photos for social media.
I'm in the UK and price difference isn't a consideration since there are deals for both phones occasionally.
Thanks in advance :)
submitted by pcmastergamez to GalaxyS24Ultra [link] [comments]


2024.05.15 14:51 Purplecat1099 $TREIF NEWS Treatment. com AI and Novus Health Partnership Expands Access to its Global Library of Medicine (GLM)

VANCOUVER, British Columbia, May 15, 2024 (GLOBE NEWSWIRE) -- Treatment.com AI Inc. (CSE: TRUE, OTC: TREIF, Frankfurt: 939) (“Treatment”) is pleased to announce it has signed a Collaborative Agreement with Health Care Services International Inc (o/a Novus Health). (“Novus Health”) to explore utilization of Treatment’s proprietary Global Library of Medicine (“GLM”) to further enhance Novus Health’s Health Risk Assessment programs.
Treatment is partnering with Novus Health, an acknowledged leader in health navigation supporting over 1.5 million members and their families. Over the past 7 years and in collaboration with hundreds of global healthcare professionals, utilizing our proprietary algorithms, Treatment has built one of the world’s most intelligent, personalized healthcare AI engines, the Global Library of Medicine (GLM). Working with a number of leading North American Health Insurers, Novus Health has built a trusted navigation platform that simplifies health care experiences by bringing together everything an individual needs to successfully manage their care journey.
Treatment and Novus Health also intend to explore mutually beneficial opportunities through the partnership, this will include Health Risk Assessment and Medical Second Opinion.
The collaboration also allows Novus Health and Treatment to work closely on testing and development of further new mutual joint commercial applications and/or solutions. The intent of this collaboration is to promote the development, installation, testing, validation, and commercialization of one or more novel solutions that further the goals of both companies and proactively impact the health insurance market.
Dr. Essam Hamza, CEO of Treatment, comments: “We are very excited to partner with a recognized leading healthcare firm in Novus Health. There is a near term opportunity to implement our proprietary AI diagnostic tools into the solutions offered to their vast customer base. However, with this collaboration we also have an opportunity to extend into new mutually developed tools and solutions that have the ability to further improve health care efficiency and patient outcomes.”
Jamie Marcellus, CEO of Novus Health, comments: "We are excited about the potential for Treatment.com’s AI to augment our services. Their platform offers the possibility of unparalleled efficiency and accuracy in health risk assessments, drawing insights from vast data sets to detect patterns and predict potential risks. By leveraging these tools, our members can make better informed decisions swiftly, enhancing care and enabling proactive interventions to mitigate health threats effectively.”
About Treatment. com AI Inc.
Treatment.com AI is a company utilizing AI to positively disrupt the healthcare sector and impact current inefficiencies and challenges. Over the past 7+ years and with the input of hundreds of healthcare professionals globally, Treatment.com AI has built the world’s most intelligent, personalized healthcare AI engine, the Global Library of Medicine (GLM). Providing the highest qualified clinical information and support to all healthcare professionals, the GLM delivers >92%+ accuracy on first diagnosis as well as providing recommended tests (physical and lab), x-rays, and billing codes. The platform’s quality and transparency are unrivaled, as the GLM provides an explanation of every step and likelihood associated with every symptom. Treatment.com AI also focuses on the next generation of healthcare professionals supporting Medical and Nursing schools, who utilize the GLM to help enhance the future clinical skills of their students. Treatment.com AI is focused on using AI for good and utilizing its GLM platform to bring the possibility of health equity and inclusion for disenfranchised communities.
About Novus Health
Novus Health connects people with care and is a leader in health navigation. We deliver personalized support, reputable information, and health-related services in one single destination, using technology to help individuals make informed health decisions. In doing so, we create value for our partners while improving their members’ and customers’ health and well-being.
FULL PR...
Treatment.com AI and Novus Health Partnership Expands Access to its Global Library of Medicine (GLM) (yahoo.com)
submitted by Purplecat1099 to pennystocks [link] [comments]


2024.05.15 14:50 wildflowerr59 Umbilical Hernia - experience thus far. Do you think I can start doing yoga next week?

Detailed experience and some questions about an umbilical hernia post op here.
Mid March 2024 I felt a small lump on the top part of my belly button. It was never there before so I went to an urgent care, they said nothing to worry about because it causes no pain, some fat got stuck and it will contract/ expand. They did not call it a hernia, and when I asked if it was a hernia, they said no. There was 0 pain or any issues involved other than it poked out a little bit so since they said its fine, I went on with my life.
Fast forward to April 10th and my friend and I did a 30 min yoga session and a 30 upper body dumb bell workout (dumb bell weights being 1 10lb if exercise uses 1 weight. 2 8lb if one was being used in each hand) around 9am. (Side story, in 2021 I was in a T bone car crash so now I have L3-L4 in my back that's herniated and scoliosis. Since then after after PT for that incident I have done stretching/yoga everyday for 20-45 mins a day and my whole life ive been active and in sports so I like working out so I do workouts 5x a week. It was a whole rebuild post car crash and took a while to get to where I am now but my back hurts a lot and ive tried many treatments for it.) All was normal, she left and then I was going to chill for a couple hours before work that afternoon. Around 11am a sudden sharp pain hit me while I was sitting at my desk, I was thinking it would pass, well it did not . The ache/ pinching feel did not stop and I texted my RN friend around 3pm and he said its the hernia from weeks before and to go to urgent care. I hate going to the doctor and also do not have insurance (story for another day) but it was 5pm , still in severe pain so I drove to a different urgent care 1.5 miles away. They sent me to the ER because as soon the dr had me lay down and she barely touched the lump I started crying due to pain, said it could be strangulated and they dont want to touch it w/o imaging. My BF ,now home from work, took me to the ER where they gave me morphine, hated the feeling of that, and then did a catscan. Results was a fatty umbilical hernia. They said not strangulated and a piece of fat got stuck and then it couldnt retract back in, surgery is the only way to fix it. I asked how I got it , they said most likely born with it and it never caused a problem until now. I read that this is mostly due to pregnancy's (never been pregnant) , overweight (my whole life ive been 105-110 lbs) and heavy weight lifting (which I dont do.) They said in a few days the pain should slowly die down and dont worry its highly unlikely to be anything worse, just painful. I went home in the middle of the night.
They said follow up with with a gastrologist, which I did 5 days post ER visit (learned those people are in demand I called 6 offices in the area and that was the soonest they could get me in.) He confirmed I need surgery. Then 2 days after that saw the surgeon, he discussed my options of open vs laparoscopic and mesh vs no mesh. He suggested open , no mesh because its small and a very standard operation . Since hes the DR and specializes in this, I said ok.
Surgery was April 23. Was only at the hospital from 10am-3pm. They said I was under for 45 mins, all went well. Post op that day I was surprised I didnt feel more pain was only minor(due to whatever they gave me), they wheel chaired me to the car and I got a smoothie and so tired. Throat hurted a moderate amount, from the tube. Pretty much slept then on out til the next day.
Post OP day 1, horrible all over. pain in the ab area, was super sleepy, getting up/down from bed was a whole situation and hurt. For medication i could take ibuprofen and acetaminophen and oxycodone for the first few days, im not a codone fan so just was doing ibuprofen and acetaminophen. Throat was so sore, I didnt finish the smoothie until halfway thru this day. Took like 3 naps and was just tired.
Day 2-4 Pretty much the same thing. Very very sleepy, just walked around the apartment to try to get the blood flowing, very very slow. Abdominal area swollen. Barely ate, even brothy soups did not want to go down. Sore throat (had to get liquid OTC med cause i could not swallow the pills.) The strange thing was I was unable to hold sentences, talking took everything out of me. Around sentence 3-5 I would just be out of breath. Weight was 98 lbs due to not eating (pre surgery for the 2ish weeks I ate half of my normal meals because it would push after eating and hurt .) Day 3 was horrible constipation like severe, my BF even took me to see the surgeon for this and about the breathing. He said the breathing will get better over the next few days and to take a bottle of miralax. So the miralax helped but i got hives all over my sides from it(first time taking a laxative.) Pre surgery no one told me to get on a stool softener.
Day 5-8 slow improvements, the same issues as above but less bad. sore throat was gone by this point but talking was still not normal, better tho. I was doing 2-3 walks outside for 10-15 mins. Back was killing me, because im slouching all the time due to the abs, my back was on fire with pain, esp standing up and walking. Honestly this point back hurt more than front when walking.
Day 9-12 Breathing normal. Can talk normally now. Walking 4 times a days for like 20 mins, walking speed slower than normal . Back still hurting so much. I was icing my back more than my front . Fatigue wearing off. Eating regular meals, smaller portion than normal.
Day 15 I had my 2 week checkup, he said healing is great. Should be no issues. Do not lift more than 15lbs for another 4 weeks(til this point he said dont lift more than 10lbs) I can now go swimming . I asked about when can I do stretches and yoga because my back is bad, he said wait another 2 weeks, start slow, do not work the abs, anything like a crunch move is a no go. Then in another 4 weeks slowly resume workouts and build up from there.
Day 16 - now everyday the hernia area is improving, I can bend down mostly ok now. Getting up and down from bed is still not normal, I do a turn to the side and push myself up with my arm to get up from laying down. Fatigue gone. Walking 3-4 miles a day . Most of the day the incision does not bother me but i get the occasional tug / ach here and there. Still mildly swollen, DR said it would be 4-8 weeks before completely not swollen. The biggest pain right now is my back from bad posture and I assume the abs making the back work more.
So thats my detailed hernia story.
Questions being when and what moves do you think I can do for stretching as the dr was not specific at all other than if it hurts dont do it and dont use your abs. When walking my back is on fire after about a mile and I sit and rest, just due to back. I would get acupuncture but I cant lay on my front. I did chiro, some meds a while back and both didnt do much. To those of you who had surgery, did you also feel the major shortness of breath for a week or so post op?
TLDR: Open surgery for fatty umbilical hernia. first week was hell but now onto week 3 its been improving. What kind stretching do you think is safe for now? Doctor said you can start stretching/ yoga that does not use the abdominal area around 4 week mark. I'm so stiff.
submitted by wildflowerr59 to Hernia [link] [comments]


2024.05.15 14:46 feculentjarlmaw A Story About Jack: How a post on reddit forced a malignant narcissist and serial abuser of women to face consequences for the first time.

The internet is a strange place, inadvertently designed to bring out the best and worst in people. People can be whoever or whatever they want to be. For predators and malignant narcissists and who live in their own delusions to begin with, it's like a hunting ground. They can create whatever persona they wish, fill their victims' heads with lies and half-truths that paint them out to be someone they are not, and by the time their victim actually meets them, it's too late - they've already created an image in their mind of this perfect person the narcissist has convinced them they are, and it usually takes time before the curtain comes down, the lies fall apart, and the mask breaks away.
I'm no saint, and I've learned my own tough lessons from the internet. I grew up under not-so-great circumstances, only getting 5 years of education before I turned 18 and was largely raised by a computer screen. Along the way, I catfished a woman in her mid-20's when I was 14-16 years old. It wasn't intentional at first, I told everyone that I was in my mid-20's and I worked as a bouncer at a bar in NYC. I never meant any harm, I was just raised by a computer and spent all my time alone playing MMOs and learned quickly that if I told people how old I was, they'd stop playing with me. So a bouncer seemed like a job I could bullshit about easily enough, and I was a big dude at 6'1 260lbs so I figured I could maybe pass it off as legit if it ever got hectic.
I started playing with this woman in her 20's and her husband frequently. We became friends fast, and soon we were virtually inseparable on the game. Her marriage ended up not working out, and after they separated she told me she had feelings for me. I should've admitted I wasn't who I said I was then, but I was young and dumb and she was the only real friend I had, so I kept up the ruse. Eventually I did come clean, and she broke it off with me not long after. We stayed friends, albeit with my heart hurting pretty bad, for a few months afterwards - until she met Jack.
When she first told me about Jack, he sounded like a great catch. He had his own IT business in Canada, was a couple years older but not by much, and she was infatuated with him. Obviously I was crushed and didn't handle it well, being a practically feral teenager at the time, so not long after they started getting serious she ghosted me altogether. I was around 17 at the time, and shit started going off the rails for me. After I got out of juvie, I started drinking heavily on a near-daily basis and selling and doing drugs. This led to a lot of pathetic, inebriated, desperate attempts to contact her and apologize for how I acted.
After months of being ignored, eventually grief and regret turned to anger, and finally acceptance. When the pain passed and I came to my senses a bit, I had an epiphany and realized that if I loved her as much as I thought I did, the best thing for both of us would be to let her go. I was a high school dropout with no job, selling drugs to get by. She had 2 kids, and what kind of life could I provide for them? She made the right choice, my age and the fact I made a grown woman fall in love with a teenager not withstanding, and as bad as it hurt I realized it was selfish of me not to accept the way things were and leave her alone, so I did.
10 years or so later, I had gotten my shit together. Worked my way up from cleaning dead shit out of swimming pools, to an entry level position at an environmental consulting firm, to a Project Manager at one of the largest firms in the field in the DC area. I'd met someone, got her pregnant, and for some reason I felt a pull to contact her again. Not to rekindle an old flame, but because she had been a tremendously positive influence on my life in a time where I had few. She was the first good thing I had in my life at a time when I was sleeping on old blankets on a hard floor in an abusive home, and what I'd held onto from our time together wasn't our romantic relationship, it was the best friend I'd ever had. And something made me want to tell her that all that work she put into getting my head right wasn't in vain, and I'd finally made it out of the gutter.
So I messaged her on Facebook, and to my surprise she actually responded. We started talking again, and soon it was back to every day. When my baby mama got back on drugs and turned abusive and was putting my daughter's life in jeopardy on a near-daily basis, she was the one who convinced me I could fight for custody - that I had to fight for custody. So I did, and I won, and I've had full custody of of my daughter since she was 6 months old and for the 10 years since.
But eventually we parted ways again. I'd started seeing someone, and part of me knew I couldn't commit to another woman while I was still carrying on with her. Our relationship had started turning romantic again, and she had dropped some hints about old Jack that would come to the forefront later, but she wasn't ready to leave him and I didn't want to be that guy, so I sent her a message explaining why we had to stop talking, apologized, and ghosted her.
7 more years went by after that night. The relationship I abandoned her for soured quickly when I found out that chick was a carbon copy of my baby mama, and I quit dating to focus on my career and raising my daughter. But on the long, 2+ hour commutes each way from work, I often found myself stuck pondering the "what ifs". What if I hadn't ghosted her? What if our age gap wasn't there, and we'd never had to split up to begin with? I knew in my soul I was never going to find someone like her again, but I made peace with it. I imagined her happy life, her kids with Jack, and convinced myself I made the right choice.
Then COVID hit, and near the start of it, I stumbled on a post on reddit about this dude who sent his high school sweetheart a message many years later apologizing for how he treated her and telling her how her presence impacted him, and I thought to myself, "Hey, I did that!". So I started writing a reply, and for the first time told the story of this girl and I. I'd never told a soul about what happened with us, not even my family or closest friends. Maybe it was the stigma of having an online relationship back in those days that carried over, or maybe it was just too personal to share with my friends or family. It got long, so eventually I just decided to start a new thread. When I was done, it was so long I figured no one would ever read it, but I hit submit anyway and put my phone down and got back to work.
Well, I was wrong. People did read it - a lot of people. Soon my phone started blowing up. Thousands of comments, hundreds of DMs, people offering me book deals and asking if they could have the rights for a screenplay or have me on their podcasts. It was fucking surreal, and being generally a private person who tries to fly under the rader, it got overwhelming fast. Eventually I reached out to her again on Facebook, warned her about what happened, and apologized for putting her business out there.
She didn't respond for a couple weeks, and when she did we started talking again almost immediately. And then in mid-April 2020, she told me that she needed to talk to me. She spilled everything, and told me exactly who Jack was. How he would hack into her devices to spy on her, threaten to kill her and her partner if she ever left him, say vile things to her and her daughters, calling the young girls cunts and bitches. How he alienated all her friends and family, and kept them all isolated in the house her parents bought them that he would rarely leave.
And I felt deceived too. All those years I'd convinced myself that she was happy, that she got together with Jack and was living the life she deserved. In reality, Jack intentionally got her pregnant not long after he flew out to her state the first time. He quickly moved into her house, and refused to work or provide not only for her kids or their kids, but for the other 3 children he abandoned in Australia and Canada who he had no relationship with, with 3 different women he victimized in the same manner. When she was 8 months pregnant with their first kid, she was working nights doing hospice care while he sat on his ass playing videogames all night and talking to his ex. In 17 years, this fucking loser with 7 kids by 4 women worked a grand total of 5 weeks, quit his job, claimed he got PTSD from the experience, and somehow manipulated his way into getting SSDI for it. They survived off SSDI and her parents' charity for years.
But Jack was reading all of this, because like I mentioned earlier, he was hacking her devices and watching us talk remotely. Jack knew the jig was up, and slowly started to unravel. She told him she wanted a divorce, and that she was not going to sever her friendship with me again. And he pretended to take that well, going as far as to try to befriend and manipulate me. He tried every trick to keep her he'd done for years - telling her he was going to get help and would change first, then when that failed he made suicide threats and somehow got his therapist to call her and tell her as long as she didn't leave him he wouldn't kill himself, and then he tried to intimidate her. Eventually he went off the rails completely and sexually assaulted her when he thought she was sleeping.
She called me from her parents' house crying the night it happened, and I convinced her to file a police report. She did, and a couple weeks later Jack got removed from the home, served with a protective order, and charged for sexual abuse. This of course did nothing to stop Jack - he broke into their house a couple days later when she and the kids were out to upload a folder of revenge porn to his Google Drive under the guise of wanting to drop off a cake for her birthday.
Then the stalking started. Jack would relentlessly message her all day and night on Facebook, switching between rage, trying to garner sympathy, convince her he would change, and threatening self-harm. We later found out via a cyber forensics report that he was hacking into the laptop she had taken with her while she hid at her parents' and had been so bold as to steal her Victim Impact Statement and send it to all his World of Warcraft buddies as a joke.
And he didn't just stalk her, he came for me too. Constant unauthorized attempts to access my accounts for everything from Windows to my bank, spam calls and emails - shit, the wormy little fuck even got his friends to stalk my social media and pretend to be strangers to gaslight me. I ignored all of it, and he got desperate enough to send me a lovely message attempting to extort and blackmail she and I, claiming he had "all my posts" but wouldn't do anything with them if I called him. The tipping point for me is when he subscribed to my small YouTube channel - which had nothing on it but 3 videos of my daughter. That veiled threat wasn't lost on me.
But Jack fucked up. I don't know if he thought his insane nonsense would scare me off, or if in his delusions he really thought he was the bad mother fucker he convinced himself he was, but Jack didn't know jack about me. I'm a crazy fuck too, and while he was sitting on his fat ass playing World of Warcraft all day every day for the past couple decades, I was selling drugs and hanging with some of the grimiest mother fuckers Baltimore had to offer. I've seen and experienced a lot of real violence outside a computer monitor, and the prospect of a violent resolution to this saga didn't phase me a whole lot. I'd spent years trying to be a better person and avoid conflict, but I sure as shit wasn't afraid of it either. Leading up to this point, I was already trying to calm myself down and talk myself off the ledge and not pack my guns and drive out there to keep watch until the police did their thing and put him away, which took a lot longer than it should have - this fucking guy violated his protective order 80 times in just a couple weeks.
So I called him, and he spent the next 26 minutes crying over the phone like a drunk little bitch, while I tried my best to be kind and to talk him off the ledge. And yes, I did record it, and yes it is hysterical listening to it now in hindsight, and yes I still have the recording. Anyway, I told him he was scaring the shit out of her and the kids, and he promised to leave us alone and I told him if he could chill the fuck out I would try to talk her into giving him more access to the kids. The next day, she got an email from her first ex-husband - Jack had reached out to him with a link to my reddit post trying to get help from him to come after me, which he promptly shut down and sent to her.
The next few weeks were terrifying as Jack descended further into madness and became more scared and desperate. He knew she was gone and not coming back, and he was facing real charges and real jail time, and while Jack is a fucking moron in a lot of ways, I'm sure he knew a fat, greasy computer nerd with a sex offense conviction wasn't going to have a good time in County. Jack was a murder-suicide waiting to happen, the police were doing nothing to stop his stalking, and I felt powerless to help her. Eventually after he sent her $50 over PayPal at 4:00am with what appeared to be a suicide note, I had enough. I called the DA's office, asked them why the fuck this was being allowed to happen, and promised them I'd been taking meticulous notes and if anything happened to her I would be taking it straight to the media. The DA told me if I was going to make threats the conversation was over, but sure enough he was finally arrested not long after.
Ironically we had remained platonic friends through most of this, but the shared experience of dealing with this psycho brought us closer together and things quickly changed. We knew he wasn't going to stop when he got out of jail, I felt responsible for her safety after my stupid reddit post started this chain of events that led to Jack's unraveling, and with the world seemingly coming apart during COVID, decided if we were ever going to meet it felt like it was now or never. So I booked a plane ticket across the country, spent a week with her and her family, and a few days after I came home she flew out to visit me and meet my family.
We went into it with no expectations. I fully accepted we might not click and our relationship would go back to being platonic. For my part, I just wanted the closure of finally meeting this person who had such a profound impact on my life before COVID mutated or something and killed us all.
But we did click, and the next two weeks were life-changing. I met and cooked for her entire extended family the day after I arrived, and it went well. While I was there I got her mom's email address, and after I went home I had an idea. I knew her parents had met in DC, so I emailed her mom and asked her for a list of places that were special to her, and she told me about the church her parents had met in. I asked her to keep our conversation secret so it would be a surprise, and she did.
So when she comes out to the east coast, I take her on a tour through DC and park the car a few blocks down the street from the church. As we're walking by, she notices the church and comments on how beautiful it is.
I keep it cool and respond, "Yeah, that's a pretty important place.".
She looks at me and says, "Oh? Why's that?".
"That's where your parents met.".
She audibly gasps, giddily bounces a bit, starts to cry, and we pulled down our masks (fuckin covid) and kiss. Her reaction is easily one of the greatest memories in my life. What I didn't know at the time, was that her parents had told her about that church since she and her siblings were kids. When the church changed denominations, the church took the angel statue off the top and brought it back to her home state, and her parents had taken them to see it a few times throughout her childhood.
Anyway, getting sidetracked here, the sappy love story stuff is a different story altogether.
A month after we met for the first time, I had quit my job, sold everything I couldn't fit in my sedan, and she flew back out and drove across the country with my daughter and I.
Sounds crazy as hell, and it was, but it worked out better than it should have. I got a good job making more than I did back home right away, her kids loved me, and my daughter loved her and adjusted to her new home fast. And by the time Jack got out of jail for felony cyberstalking, sexual abuse, and Intimidation of a Witness in a Domestic Violence case, we had cameras all over the house, and I had taught my fiancee how to shoot - which she quickly became better than me at.
But Jack's time in jail didn't slow him down, and the 2-10 year suspended sentence didn't deter him at all. As a matter of fact, on his first day out one of the first things he did was start trying to hack her accounts again. He managed to con an elderly couple he knew threw World of Warcraft from a different state into letting him live with them, and from there he spent a lot of time and energy stalking us and hacking our devices to the best of his ability. He also convinced these poor, very stupid elderly people from his videogame to bankroll a lengthy, expensive divorce. Somehow a man who hadn't worked in almost 20 years managed to run us into over $50,000 in legal fees in two years. How a marriage with zero assets turned into a two year battle when both parties were officially in poverty before the divorce, or how the family courts never saw through the bullshit is beyond me.
To Jack's credit, he did a pretty good job remaining a thorn in our side. Largely due to the complete and utter ineptitude and indifference of the police and District Attorney who could and should have put a stop to his bullshit at any point in that time. Old Jack got hit with a permanent criminal stalking injunction and a 10-year protective order along with his probation, and no amount of effort on our part would get the police, DA, or probation to put a stop to it, despite mountains of evidence.
He successfully managed to draw the divorce out right up to the wedding we planned a year and a half prior, with his attorney putting in motion after motion to delay the process. With all our family and friends coming from all over the country and as far away as Japan, we accepted our wedding would just be a celebration and not an official wedding. Until the night before the wedding, she got a call from her attorney - he had made a call to the clerk's office at the court and got her to move the paperwork to finalize the divorce to the top of the pile, and she was officially divorced. Our wedding would be a real wedding after all, and despite Jack's best efforts, he lost again. We had the wedding on a remote ranch that we rented for a week, and foolishly decided to cater and decorate ourselves, which would have been a colossal undertaking without the extra 4 hours to drive into town and get our marriage certificate at the courthouse. But we pulled it off and it was everything we could have hoped for and then some, and we were officially married.
Jack of course didn't stop after the divorce was finalized. The list of shit he tried to do to us before and after that is too long to spell out in an already too long post, but here are some choice bits:
He wrote a demented letter to the oldest of his kids with her who severed her relationship with him, calling my wife and her mother "vipers and cowards" and promising we would "answer for what we've done sooner or later".
He continuously hacked our computers, miscellaneous accounts tied to our emails, and any other devices he could get into - dropping in remotely via Amazon Alexa, phones, etc.
He set up bots to send us thousands of spam emails, sign us up for dozens of international newsletters all at once, and requests for consultations for things like solar panel installations.
He told the kids vile lies about my wife and I, although the most egregious was when he used a court-ordered therapy appointment with his second oldest daughter to accuse me of distributing child porn, told the therapist I am an "evil man", and told him I wasn't safe to be around his daughters. This led to her being forensically interviewed by the police, where she spelled out what happened, but of course they did nothing.
He gave the two youngest children cell phones to sneak into our house, with Google accounts activated and location tracking turned on.
He sent packages to our house 5 times in the space of a few months, one of which was addressed to himself and contained nothing but a bag of Stevia and a pack of gum. These packages generally came to our door the day before his scheduled visitation with the kids.
During this time my bank account was hacked four times in the span of just a few months with nearly identical fraudulent charges. In each of these instances, I had completely changed my bank account information.
He filed false reports with CPS twice, alleging we were beating the children, locking them in the closet, and not feeding or bathing them. This led to a CPS agent coming to our house to investigate.
We brought all this to the police over and over as it happened, and they did nothing. The DA running the case wasted 5 months subpoenaing a fake email address that we told them when we reported it was fake and spoofed. After finding out about that, we went to the DA's office to find out what the fuck was going on. A Victim's Advocate met with us, and was horrified about how the case was handled, looked up the prosecutor assigned to the case, rolled her eyes and said "Oh...it's Stephanie", confirming what we already knew - this prosecutor was completely incompetent, an elect3d politician moonlighting as a prosecutor. She called us the next day to tell us the actual DA called a meeting and a warrant was put out for Jack's arrest. For some inexplicable reason, they pulled the warrant back, and the advocate told us it was because the DA was pursuing more serious charges.
Then, they stonewalled us. The Victim's Advocate we had met with that actually tried to help us was moved off our case, and the new one assigned refused to talk to us or return our calls. The few exchanges we had with her, she made it abundantly clear she had the DA Office's interests in mind and not ours. We decided to just stay quiet and let the process play out and hope for the best, up until we received an email on Friday night before Election Day from the Detective telling us Stephanie had closed the case. I assume she didn't want her incompetence coming to light, and didn't want to shut the case down before Election Day knowing we would be on the warpath.
Eventually, Jack caught wind that he was officially under criminal investigation, but clearly had no idea they were never going to press charges. He got quiet for a bit, until he was ultimately let off probation early. We still get the occasional reminder he's out there watching, but his fear of going back to jail and the belief it might happen cowed him a bit. So instead he harasses us through the family courts, filing constant bullshit motions with no evidence to support them, and for some reason the courts let it continue. Somehow a man who makes ~$800 from SSDI and is only paying $30 a month total to support his 3 kids with my wife is able to fund tens of thousands of dollars worth of legal proceedings every year, and no one in the family courts has ever stopped to ask how he is paying for it or why all this money isn't being spent on supporting these children.
But despite Jack's best efforts, his bullshit hasn't worked. My wife and I have been together for four years soon, and married for two. His kids call me dad and hate his guts, only seeing him because the courts force them to. I continue to advance in my career, landing two major promotions in the past 2 years and now running a division in one of the largest companies in my field in this part of the country. I just enrolled in college to go back to school and get a degree in family law with a focus on domestic violence. The most frustrating part of the whole experience with ol' Jack was having no one to turn to when all the institutions who were supposed to keep this from happening ignored us, and even though I'll be well into my mid 40's before I accomplish my new goals, I plan to advocate for domestic violence victims and do everything I can to lobby for change to these laws to keep as many people as I can from going through what my wife and I did. I learned that the only way to beat these people at their game is to play on the same field right along with them, and that's what I intend to do.
My wife went back to work too once she healed from some of the trauma, making $30 an hour as a personal assistant for a fella who's had two movies made about his life. Our kids struggled a bit with school and dealing with all their biological parents' issues, but they quickly turned it around and have been excelling. We're all happy, healthy, and doing better now than ever.
As for Jack? Well, he's pushing 50 and still spending his days alone, playing World of Warcraft and jerking off in this old couple's basement. Nothing has changed there, and now he's too fat, old, and visibly an enormous fucking loser to victimize women in the same way he did in his youth. I have no doubts he'll find another victim eventually, probably when these old weirdos bankrolling his life now finally wise up, but one thing Jack forgets is that karma is a mother fucker, and I have a giant database of evidence that I can and will send out to whoever I please to help pull that mask down and keep him from doing this to someone else. Nothing is more appealing to a potential love interest than hearing their man cry like a drunk bitch for 26 minutes to the man he claims stole his wife, while simultaneously admitting to sexually assaulting said wife.
As wonderful as it would have been for Jack to go to prison where he can't hurt anyone again, there is some catharsis knowing Jack will forever be in a prison of his own making. His children want nothing to do with him, and he'll never see them graduate or walk them down the aisle. Jack will die miserable and alone, and in his narcissistic delusion will still be blaming everyone else for the colossal failure of his life, while continuing to fail to grasp the one thread that ties all his misery together - himself.
And since he somehow manages to find and stalk most of my social media, I'd wager Jack will end up reading this too. I hope he does in all honesty. And Jack, if you are reading this, I want you to know that you can kick, flail, manipulate and lie, cry and complain until you're red in the face. None of it matters. You don't matter. You'll leave this world alone, as sad and bitter as you are now, and the world will be a better place for it.
submitted by feculentjarlmaw to stories [link] [comments]


2024.05.15 14:42 LeonAdelmanMD EM Workforce Newsletter: 48 States & The Feds Don't Require a Doctor in the ER

EM Workforce Newsletter: 48 States & The Feds Don't Require a Doctor in the ER
An emergency department should have a physician on-site. Seems obvious, right?
According to a Virginia College of Emergency Physicians poll, “97% of respondents in Virginia believe that patients presenting to an emergency department deserve physician-led care.”
However, 48 states do not require a physician to be present in licensed emergency departments. Many of those states defer to the federal Critical Access Hospital regulations, which stipulate that EDs must staff “a doctor of medicine or osteopathy, a physician assistant, a nurse practitioner, or a clinical nurse specialist, with training or experience in emergency care.”
To read the rest of the post, head to: https://open.substack.com/pub/emworkforce/p/48-states-and-the-feds-dont-require
https://preview.redd.it/7a6h78aa5l0d1.png?width=1272&format=png&auto=webp&s=7c2857d2d04ecccaf29865690cf583f883a68e6c
submitted by LeonAdelmanMD to emergencymedicine [link] [comments]


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