As the title says, I F(23), have a crush on my F(25) coworker and we both have happy relationships. (both of us are queer but 1 in a hetero). This isn’t going anywhere but I just really want to share with SOMEONE how I feel.
I’ve been working at this newer job for about a year now. My coworker Leti has been there for roughly 4 years. We work on the same floor but on different ends of the building. Our jobs are very similar and sometimes we have lunch together in a group with others but I don’t get to work with her directly. When I first arrived Leti was immediately open, warm, and welcoming. She has made an effort to make me feel included but it’s not just me, I have noticed she has amazing connections with everyone. She’s so funny and kind to all those around her. Everyone always has a smile when they are talking with her. Her smile is contagious and her energy radiates in the room.
I’ve found myself getting nervous around her and feeling like I stumble over my words a bit. I notice i’m making reasons to go talk to her and to be around her or share random work stuff. We will spend our breaks together every so often laughing and talking the whole time. Shes helped me adjust to my new job and gave me her number to text her if I needed. She’s reached out to start a small project with me where we meet weekly to work together. I feel like she always laughs at my jokes, compliments me, and is super supportive.
Recently Leti has asked me if I wanted to hangout outside of work and go get some drinks. I excitedly agreed and we are making a plan to hangout next week.
I think she is just really kind and friendly and simply wants to make a friend but I can’t help but get butterflies when I talk to her. She’s so beautiful and her energy is so bright, gentle, and grounding(she’s an earth sign).I feel so connected to her and drawn in by her personality. She is a one of a kind person. I don’t know how I am supposed to calmly hangout with her outside of work when I am crushing this hard.

I am experienced software engineer Specialized in java in backend (spring boot , sql MySQL). Have also worked in front end tech like angular and javascript.
I looking for some part time and freelance work.
I am open some other wfh part time jobs
Any leads will be helpful and gratefully
I am also available to teach mathematics upto class 10 seba and cbse any boards
I need to support myself to sustain in Guwahati

I went to Canada not long ago for my husband’s job. While me,him and his coworkers were talking in the room, somebody opened a window. At this time, 2-3 people (including myself) casually said that we instantly thought about jumping out of the window. One girl became horrified and said she could never imagine having such thoughts. She said she has heard other people say their intrusive thoughts allowed and they genuinely scared her. I guess I just assumed everybody has extreme intrusive thoughts.

Just got broken up earlier today. We just celebrated our 1 year anniversary where he booked us a hotel in Chicago for a night and took me out for a nice dinner. We also celebrated Mother’s Day with his family and he took me to another nice dinner when we got home. He also paid for my pedicure earlier this week. We went to a concert last night. The reason why I’m so hurt is because I just got laid off from my job last week. It just feels like such cruel and inconsiderate timing. He offered for us to not go on the Chicago trip because I was feeling so down but I told him I just wanted to enjoy spending time with him. We were also going to Purdue to pack up stuff from his apartment. We got there on the morning of Mother’s Day and I wasn’t feeling great so I just stayed in bed for awhile. He brought it up when he broke up with me and said I should’ve helped him pack sooner. I’m just so hurt, how can someone be so unempathetic and not understanding? He didn’t even give me a chance to work on things, just bottled it all up and let it out. Even though he preached open and honest communication. I was open and honest about everything so we could resolve any issues without resentment building up. Just hurt about everything and feeling like he just played with my feelings or emotionally manipulated me and wanted to get this all off my chest. Hope you all are having a better day than me 😔💖

Hi everyone,
I recently relocated to Tokyo and I'm trying to break into the finance job market here. However, I don't speak Japanese and will need work-sponsorship for my visa.
​
Background:
- Degree in Applied Economics
- 8 years of experience in an international finance company
- Specialties: Portfolio Management, Credit Lending, Risk Management
- Most recent role: Strategy and Operations Manager
​
I'm targeting companies like J.P. Morgan, Citi, American Express, and HSBC. I'm also open to opportunities in tech and consulting companies.
Does anyone have suggestions on how to navigate the job market in Tokyo given my background and language limitations? Any advice or resources would be greatly appreciated!
Thank you!

Chapter 1: the event
It was the fall of my intern year as I bean my off service trauma rotation. This month was ubiquitously notorious for being the most labor intrusive and least productive rotaion of our emergency medicine program. Knowing this I entered with the intention of simply surviving the month.
Another intern and I let’s call them A for sake of ambiguity, we’re the first emergency medicine residents to roste on the trauma services that year. A shaky start would be an understatement. In the words of chance the raper “like my grama with the Parkinson’s playing operation.” Would better describe it. Medically we did well. We were very competent and completed our work daily, but communication and coordination was non existent. Our Cheifs had informed us that Tuesday was our day of and the Trauma cheif residents had minimum communication with us, or our Cheifs as it seams when A and I did not report on Tuesday they sternly made their dissatisfaction known.
I have struggled with insomnia sense the age of 10. Had 2 sleep studies by this point in my life and been prescribed nearly every sleeping aid on the market. The 80-94 hr work weeks of our trauma rotaion only worsened my insomnia. My lack of sleep likely contributed to a less than prime adaptive immune system and 2 days out of my trauma rotaion I contracted strep like symptoms with associated nausea, requiring me to call for a sick day the next day. No the first day that I felt too ill to work. I was not fully aware of the reporting process. I reported to my Chiefs, but I did not believe I could come to work tomorrow with amble time and notice, however I was somewhat delayed in letting their Cheifs know, because the surgical chiefs rotated every few days and I did not know who my was going to be the next day. The second day which I had to call out sick I was able to locate the cheif for the next day and reprot according to our university’s protocol, which requires that if a resident feels they are not fit for work they must not come in and the university must have staff coverage without any fear or implementation of punitive actions.
I had finally survived to the last week of my trauma rotaion and I could see the light at the end of the tunnel. What I could not see was the pile of stress, shitty diet, lack of mental well ness and sleep deprivation which I was pushing down to reach the light. By this time I had seen a psychiatrist regularly for sleep medication. I had mentioned to him that I had been experiencing more stressed lately and feel that I might be depressed. he reassured me that it was likely only due to my circumstances, given the difficulty of the trauma rotation and wish to reassess once the rotation was over. Looking back I had to fill the habit of drinking more than I usually do. My only on nights before I have days off became 1-2 beers every other night. All of this repressed unhealthy shit finally pushed bad on September 23rd. That night I was at work even later than usual, I stayed up later than usual and couldn’t seem to fall asleep. With the stress of only having minimal sleep and knowing I only had 2 more days of trauma left, I took an extra dose of my sleeping medication.
I opened my eyes to the fighting sight of sun beaming in my window and I instantly knew I was late. (Sense I hadn’t seen the sun in a month) . Due to my need for scrupulous sleep hygiene I have been sleeping with my phone of and away for me. I rushed to grab it and watched as the little Apple logo seamed to glow on the screen for an eternity. Then in conjunction with its fading I saw 3 missed calls from my director, a text from college A and 2 missed calls from the surgical director. Still, I was able to calm myself, knowing that resident A had been late to this rotation by a few hours 2 other days and nothing came of it. I called my director back and he asked me to report to his office where I was greeted by my director, my coordinator and another emergency medicine facility.
With the only explanation of: “we just want you to get better”, I was handed a letter, to my relief it did not entail my termination, but a declaration of administrative leave and a requirement to undergo an evaluation at a well known university in Florida.
Lake any other savvy millennial, I did my research. By research I mean numerous google searches and screeches thru the depts of redit. To my dismay I discovered that in order for a residency program to fire you, they must first initiate an administrative suspension. I would soon find out however, being terminated would have been a delightful outcome compared to what ensued.
I spend the next few weeks in the wallos of regret and depression. I indulged in higher qualities of alchohol then I ever have before. I all but ceased communing with peers, and abruptly stoped any physical activity I had once enjoyed. Frightened as I was I was ensured, it will be ok “we just want you to get better”
Chapter 2 The evaluation : guilty until proven innocent I did exactly as instructed and scheduled an evaluation, I supposed that this was either a mental evaluation to assess if I’m fit for work with plans of termination or it actually was an evaluation to better treat my insomnia. To this day I regret my ignorance, and wish I had researched the process more. The Hindi / sand-skrt idea of Hamsa 🪬 is that in order to do any good you must have full knowledge or else good intentions can result in harm. I truely believe my director had good intentions, however but him and I did not have full knowledge of the nature of this evaluation.
Looking back see how easily I could have avoided my troubles by asserting legal aid at this point or even by researching this evaluation process more in depth. If one searches impaired practitioner program which I now know this evaluator works for, the search entire will populate 5 or 6 layferms along side their home website and there is a valid reason for this.
If one every finds themself in this process I employ you to bring a DSM to your evaluation or at least be familiar with the most common use disorders in the DSM-5, because your evaluation will turn into a dance of questions where the evaluator attempts to trap you in a round about way to stating something that may qualify for one of the diagnosis. I have provided an image from the DSM-5 below outlining AUD, which the evaluator concluded that I had the most severe from:
Image
Example***** Here are 10 examples of how he fraudulently assessed me taken directly from his assessment note.

1. Evaluator: Have you ever stoped drinking in the last year.

Me: yes I stoped every week day, I was only drinking on the weekends, until two weeks ago.
-Evaluator uses stoping and starting every week to qualify for 2 or more unsuccessful attempts to stop in the last year “There is a persistent desire or unsuccessful efforts to cut down or control alcohol use.”

1. Evaluator Have you ever had withdrawal symptoms

Me no
Evaluator Well Have you ever had a hangover? You know that’s a from of acute withdrawal
Me: yes in college, I had a few but that was years ago and I’m pretty sure the pathophysiology is different.
Evaluator uses this to count for withdrawal symptoms even tho is was more than a year ago

1. Evaluator: Have you even taken your sleeping medication on a day or night which you drank? Me: Yes, I took my prescriptions are prescribed but I never drank close to bed

Evaluator: qualified this as dangerous behavior with alcohol (where the DSM gives examples such as unprotected sex and drunk driving). The sleeping medication I was on is not a benzodiazepine therefore it is not deadly with alcohol. I personally have seen many patients in the ED who have taken their entire bottle of the medication and drank copious amounts, we just monitor them over night and rehydrate them

1. Evaluator Has anyone told you you drink to much or been worried about you Me: No I drink much less than my friends

Evaluator what about your girlfriend? Me: well she actually doesn’t drink at all she doesn’t like it. She often buys me beer for The Weeknd’s tho. One time we went to a movie and she got a little irritated because I waited for beer then complained about them not having any craft beer. So she said, “you couldn’t have just said no” and drank something else. However, she apologized after and said it’s worth waiting if it’s my only day off.
Evaluator said this qualifies for continued drinking despite causing significant relation consequences, ie divorce.

1. Evaluator : you have sleep issues I hear, and your chart says you’ve had depression in the past, don’t you know that alcohol can effect your sleep and mood Me: yes that’s why I never drink within 3 hours of sleep.

Evaluator but you knew this and still drank
Evaluator: qualifies for drinking despite unwanted physical or psychological effects (this should be recurring to effects the alcohol is causing, I have had insomnia sense the age of 10 long before I took my first sip)
7 evaluator you were late for work and told my you had a drink the day before
Me: Yes but I was late because I didn’t sleep and took double my sleeping meds, I will never do that again
Qualifies for 2 significant work or school issues in the past year ( a therapist and other psychologist ensured me that being late on or a few days doesn’t count they typically are getting fired or failing) ( moreover, this would assume I was late do to drinking it’s self and also assume if happened more than once)

1. • Alcohol is often taken in larger amounts or over a longer period than was intended

He never once asked anything related to this question yet said I qualified in his final report 9. A great deal of time is spent in activities necessary to obtain alcohol, use alcohol, or recover from its effects. The evaluators logic here was sense I was late for work and I had 2 beers the day before I must be taking long to recover from it (this is assuming I missed due to alcohol)

1. Tolerance drinking more to require the same effect: this he checked as true in his final note however it was never even discussed in our evaluation. I did mention to him that I’ve been drinking more than I had earlier in the year frequency wise, but they said nothing to do with quantity or needing more.
   
2. Wanting to drink so bad you can not think of anything else: this is the only qualification of SAUD my evaluator said I did not have.
   

Moreover, without legal help I was not aware that I could obtain a second evaluation or even oppose going to get evaluated at all, but that wouldn’t have mattered seeing I still thought this was for my health and wellbeing as seen when I was asked why do you think you are here to today, to which I replayed “so that I can be evaluated to see what is needed to get back to work”.
To maks the ordeal more infuriating the evaluator continues to ingratiate himself and lie through the process telling you, “it will be fine as long as you are 100% honest”, “anything you say in here is between you and me” or “you slipped up once with your meds, I know your residnecy program they will probably just want a few more out patient tests”
Two weeks later I received a phone call right before I left for an out of state vacation to visit my nice for her birthday. During the call I was informed that I would be required to complete a partial hospitalization program (PHP) lasting “6-10 weeks” which would coast from 15-50 grand not including doctor visits or housing which is billed separately. I suppressed this inconvenience, enjoyed my vocation and reported when I returned, knowing that I must complete this soon so I may return to work with due to the fact that my payed time off would soon be diminished. At this time I had not yet heard of the organization PRN.
Chapter 3 Guilty till proven innocent: The diagnosis
Shell shocked I arrived to a in patient psychiatric unit and was rapidly cleared to progress to treatment without detoxification. During my 90 day of forced rehabilitation I met a few other individuals who were unjustly and fraudulently forced into treatment. I began to look up to one of these such members of the men’s community, who I will refer to as patient X for ambiguity sake.
Unlike me patient X did have alcohol use disorder. He spent many clinic days drinking to avoid alcoholic withdraws. The curious component of his story is that he admitted his depravity, saught help and through his own journey became sober. The bodies at be, namely his local physician, Health monitoring program, rejected his personal path to sobriety and forced him to undergo 90 days of in patient treatment before he could practice medicine again. When he checked in to rehab he had been sober for over a year.
Ask for Stories of people from online
As for me I spend many sleepless nights pondering how consuming a legal substance in a moderate amount could throw me into significant legal financial issues. My labs my toxicology, my story and my collateral from colleagues from colleagues all indicated light to moderate alcohol use but my evaluators word stood as the word of God.
More frightening was the director of this rehabs acknowledgment of this. The director who happens to also coincidentally be the evaluator, stated to me as well as to staff on multiple occasions: “ I suggest inpatient treatment for everyone who is reported”. “This is safer for me not to miss anyone who could harm patients, and I figure there must be a reason someone reported them.”
I am still elucidating the reason why I was determined guilty and proven innocent, however I can say from my 90 day stent that the majority of the patients at this rehab needed to be there. This program is saving lives of both providers and patients, however it is destroying the lives of those wrongfully accused.
Chapter 4 your lisense rehab or jail : Upon arivil I was sent to a detox hospital underwent a medical examination and was “one of the lucky ones” who required no detoxification and could report directly to PHP. Like everyone else, I spent 90 days in a PHP, being as 6-10 weeks is simply a lie they tell patients to decrease the change of resisting the treatment. When discussing the topic one therapist sated “if we told patients 90 days they would never come.” She then attempted to justify the treatment by outlining the story of a patient she had called who “didn’t make it to treatment” and killed themselves”. It is my belief that it is not the lack of PHP which impelled such professionals to take their life, but them realizing that they now will be obliged to undergo 90 days of PHP, 5 years of PRN monitoring with a loss of autonomy and hundreds of thousands of dollars taken from them that induced their hopelessness. For even if these professionals were truly mentally unstable in their addictions, in every case it was only following a phone call where they were informed they must undergo treatment that they took their life’s. By this time I still haven’t the slightest clue what PRN was.
Despite the security these programs provide for many my 6 main issues with them can be summarized in : 1. Kick backs: evaluators are directors of treatment clinics 2. The reported are guilty till proven innocent 3. The price, the overflow of money these places drag in from both patients and state universities is appalling, they charge separately for every visit and test 4. Although they make the claim that they are individualized, they are anything but. Every patient gets the same stay and treatment from the doctor drunk on the job and the one who was late to a shift 5. They force voluntary treatment. remember that friendly evaluator who promised he had your best interest at heart, so you opened up and told him everything about your substance use/ developmental / family history, well if you don’t stay for 90 days he will be “normally obliged” to tip the board of medical off to you.

1. The programs have overstepped their intended jurisdiction. -these programs work well if they function how they were intended at their inception. Cite original purpose. Originally these programs were designed to protect physicians and civilians from impaired practitioners; being healthcare workers who were impaired at work. Over the years, these organizations have extended their authority to encompass individuals with substance use disorders When not at work and also those who are in training to become healthcare professionals. Take for example myself compared to a physician who is impaired at work. A doctor who arrived for duty under the influence would surely benifit from the extensive testing, therapy and accountability enforced via these programs. In accordance the 20,000$ per year cost is appropriate when only making up roughly 7% of their yearly salary vs nearly half of a residents. In my case with my loss of income from employment, coast of treatment and monitoring, this year I will be required to pay 20,000$ to work. Yes, I will be losing money to work. Even if did indeed have a substance use disorder this level of monitoring wouldn’t not be considered appropriate.

Dispite all of the miscomings of this System My time spend in PHP was indeed helpful, as I believe it would be for anyone. Time for exercise, a reprieve from work and weekly counseling. A sample structure of my day to day schedule is provided below for insight:
Structure The general structure of these rehabitation centers is as follows: 1. One week of orientation phase, where you are not allowed in electronics or contact with the outside world world. Therefore, if you’re going, bring some things you would like to read or study. 2. In phase 2, you can use your phone however you cannot leave campus. You must stay in the dorm on campus. These shitty 1 room run down apartments with two other roommates will cost you about $1000 a week, they are required for at least four weeks and they are billed separately, no insurance will help you out here. 3. In phase 3 you can commute to campus if you beg your therapist and live very close. Whether you’re on campus or living off-campus, you are allowed to leave up to four hours per day. If you commute, you’ll be required to take a sober link decide you must Breath, alcohol test into every 6 hours. Like everything else in this program you must pay for this separately, a few hundred dollars a week. You advanced to other phases by completing assignments, however, assignments are limited by required built-in time, intrusive, scheduling, and reviewing. Therefore, if you do everything as rapidly as possible phase 1 will take one week phase 2 will take three weeks.
Every day schedule:
7:30: wake up, report to the front desk to inform them that you haven’t ran away yet and take and prescribed medications. They keep all your medications and require that you report to take them; for me this was antidepressants in an attempt to dispel the depression I contracted from being forced into treatment and whatever off label medication they were attempting to treat my ADHD with, since control medications were forbidden.
8 am: community group assessments This consisted of other patients presenting their assignments amongst the large group, on the weekends this was often an hour later and 12 study regularly took the place of assignment presentation.
10 am: process group. This was a two hour group therapy session with 6 to 12 other professionals in a therapist and training or occasionally a licensed mental health therapist.
1 pm: recreation This was generally about an hour of some sober themed craft or activity. Once a week this time slot was used for yoga.
2 pm: this was another time slot used for patients to present assignments as well as for individual therapy sessions. Each patient had one individual therapy session lasting 30 minutes per week.
3pm: This was time allotted to work on assignments or go to the gym on your sex specific scheduled gym day.
5pm: this time was used for guest speakers or another 12 step study group.
6 pm : this was generally an off-campus 12 step group
10 pm: report to the front desk and let them know you still haven’t ran away and take and Medication which are prescribed to take at night, then return to your cot bed in your room with 1-2 other roommates.
I found the community to be one of the most beneficial aspects of the PHP program. I was in a cohort of chill ass professionals of the same occupation who were always there to help each other.
Assignments The curriculum of the PHP consisted of assignment based on every step of the 12th step program. Generally, a patient would be required to complete an assignment on their own, review it with other patients, then faculty and finally present the assignment in front of the whole treatment group. You’re only given one assignment at a time and there are multiple steps to each which all requires scheduling this ensures that no matter how determined a patient is a full 90 days of treatment is required to complete all the assignments.
AA structure -the obsolete nature of AA has been verified in numbers studies, but I will refrain from divulging here and lend that endeavor to Dr. Lance Dodes very thorough discussion on the subject,in “the sober truth “
In all sincerity, if I truely did have a severe use disorder this experience could have been life saving. I only wish I could have used my 50 grand for someone who has spent their life time In addictive without reprieve. My first conversation when I was given my phone back was how I wish my father could be able to attend this PHP.
Chapter 5 reporting and PRN Self reporting What they ask you What you should tell them
There’s a third-party agency called professional resource network. Every state has their own. This agency works as a liaison between you and whatever credentialing service your occupation requires. Essentially they ensure your monitoring after treatment. Stake governments and licensing boards trust them, mainly because they monitor with the highest level of intrusiveness. This alleviates much work for state governments and licensing boards because once an individual is being monitored by a professional resource network, then they are deemed appropriate for duty and no further investigation/litigation needs to occur, as long as the monitored individual completely complies.
Because I was never impaired at work I was never reported to this agency. The general workflow of things someone would report you to professional resource network, then the resource network would contact you, and then you would be required to report for an evaluation at a treatment center, which would inevitably result in a suggestion I’ve treatment at that given treatment center. In my case I was sent to the treatment center without PRN being involved. Thus, two weeks into treatment. I was notified by my therapist that I needed to call PRN and self report. I attempted to resistance given that I did not have a problem and was not individually seeking help. I asked what happened if I didn’t self report. I was told that in order to stay in the treatment program I had to report to PRN. This meant either I report to PRN or I get kicked out of the treatment program and lose my job.
When you report to PRN they will ask you why you are in treatment. They will then list off every substance imaginable, asking you if you have ever tried the substance and when your last use was. Ultimately, they will obtain your discharge information from your treatment center, so it is in your best interest to report only what was found in your biochemical testing. If it wasn’t in your hair, I would argue that you don’t have a use disorder regarding that substance and it’s not relevant. I don’t believe it’s important for them to know that you smoked weed when you were 12.
Chapter 6 The contract:
Before being discharged from a treatment facility, a professional resource network will have you sign a contract. A little known fact which I was oblivious to is that contracts can be negotiated. Though this isn’t it possible, it is highly improbable that you can negotiate your contract since PRN has a power to delay your clearance to return to work.
Contractor almost never personalized, and I have not heard of a contract which is not a five-year agreement. You will sign releases of information so that PRN has access to all of your information which was gathered at the treatment facility. You must have a therapist, psychiatrist, primary care, doctor, and a addiction, medicine psychiatrist. You assign releases of information for all of them. You will be required To commit to: 1. three mutual aid meetings a week which you must log. I log smart recovery meetings. 2. Weekly therapy sessions with an approved mental health therapist from their list 3. Monthly doctors appointments with an addiction medicine psychiatrist 4. Yearly appointments with a primary care physician 5. Monthly appointments with a psychiatrist 6. Daily check-ins on a random drug testing app ( you will agree to weekly urine tests, a peth test 4 times a year, a hair test twice a year and a little caveat that says anything else they deem, clinically reasonable) 7. Quarterly update reports which you are required to obtain from a workplace monitor, therapist, addiction, medicine, psychiatrist, primary care physician and any other doctor you are seeing. 8. You must upload all of your prescriptions into a mobile application every single time you get them refilled and are not allowed to take them until they are approved. 9. Attendance of a PRN group via zoom. This is a local group you are assigned along with other monitored practitioners. There is a fee of roughly 130$ a month to attend this required group. For me all of these requirements coast around 20,000 a year. If you ever have a positive test even if it is the result of contamination from rubbing alcohol or unintentional ingestion of alcohol/ allergy medication your contract will rest to 5 years from the time of positive test. Once your five year contract is completed, you must ask to be released from monitoring. At that point they will search for any reason to keep you under monitoring. This could be dilute urines, daily check ins or a week where you did not attend mutual aid meetings. Every certification and license which you apply for will likely ask you if you were under a monitoring program/ have been treated for substance use. You must give an explanation and check yes. As far as licensing programs are concerned, if you were under the monitoring of PRN, you are safe, however they group practitioners who have had behavioral issues with practitioners who were diverting drugs from work. Therefore, keep in mind that you will be labeled as a sever addict.
7 Back to work and only work. During treatment your only goal is to return to work, however when you return your experience will be drastically distinct from what you remember. For me, I was now working in isolation. Missing six months of my training meant that no other Resident was on the same rotation as me. My coworkers at all formed friend groups. When I returned I was greeted with much concern for my well being. No one would speak to be about my absence, however everyone knew there is only one reason a resident would leave for 6 months then return. My Accdeemic meetings were consisting of attending telling me “I have a target on my back now” and “ I have to preform even better than others” in the light of my time missed. If this wasn’t alienating enough, the majority of Resident events, sponsored by recruiters and my university revolved around alcohol to which I had to give some excuse to why I can not partake with others. I’m fortunate that I do not have an addiction, because these stressful conditions along with the daunting amount of dead and requirements imposed by PRN are enough to make any addict relapse. While I was at treatment, I was in the dative with Samyr stories a physicians whose addictions got the best of them. Physicians who did not make it to treatment, often taking their own life. These stories were presented as a warning. Your addictions will kill you without our treatment was the message. When, in reality I did not hear one story in which the addiction killed physician. Every physician who didn’t make it to treatment took their life after being told they must report to a treatment facility. Perhaps they knew what this entailed and it was not their addiction or getting caught which caused them to end their lives, but the unmanageable and often unreasonable burden that treatment would put on their lives.
9 How to escape So your fucked your in PRN and should be or you should and now your recovered and want to terminated your contract.

1. You ask to be released early done at 1/2 time ( good luck)
2. You have “good reason” (no one has ever been let out of contract because of this reason, the verbiage is far too vague)
3. You serve all your time and they let you out(maybe, as discussed earlier, they would do everything they can to keep you in your contract as long as your practicing)
4. You can’t practice medicine anymore

10 Layer up butter cup : I cannot emphasize the extent to which legal help is required in this process. You much seek it and seek it early. Lawyers can provide many avenues to you early in the process. Once you have committed to treatment, gone for evaluation or are in a PRN contract , this is very little that you or legal help can do. Spend a few thousand dollars when you are accused and save the 20-30,000 later.
After you have been evaluated if you disagree as I did, then this is the process you must undergo. 1. Hire a occupation, defense, lawyer 2. Prove you don’t have an addiction, this is done by having an alternative evaluator with similar credentials state that either you don’t have an addiction or that PRN’s level of monitoring is not medically appropriate ( this will need to be a multi day neuropsychological evaluation, which will cost about $5000). 3. Your lawyer must draft in writing that the medical level of monitoring is not required such as another medical professional and send this to PRN 4. PRN will tattle on you to the board of medicine. 5. The board of medicine will conduct an investigation. 6. At the end or when they believe they have enough reasonable evidence to the board of medicine will suspend your license or claim, you must comply with the PRN contract to practice. 7. At this time your lawyer will defend you in the state court against the board. This is costly but much less than the coast of a 5 year PRN contract 8. If you win you will likely suggest an alternative level of care such as gonna get therapy every week. If you lose, than you wasted a fuck ton of money and are still bound by your PRN contract.
Overall this entire process has coast me Over all coast:
My finances for this year only including PRN and rent are as follows:
120-200$ every week for testing 480-800/ month
65 every week for therapy 195/month
125 every month for PRN group
About 50-69 every month for 2 doctor apts
So at least 745$/month at the lowest
Treatment at the recovery center coast 20,000 for me out of pocket and
I wasn’t payed for 6 months with no FMLA because I am a first year. At the 1 year mark I will have made 26,000 this year after taxes And payed About 29,000 on PRN alone
Rent is 1,000 so that’s 12,000 a year
Just in rent and PRN alone I will be at 26,000- 41,600 -15,600.
I will be in debt by at least 18,000 at the 1 year mark
Coast of treatment center 20,000 (with insurance) For each year of PRN roughly 20,000 Add that to 6 months of attending salary which was delayed due to my treatment time: at least 150,000 Layer coasts along with other evaluations 25,000 Missing 6 months of residency pay 30,000 Coast of 1 year in monitoring: 245,000 Coast of 5 years 325,000
If my case progress to a trail I will require an extra 20,000 in court coasts
Chapter 11 My secondary eval: Dr sushi After I arrived at my treatment center I challenge my evaluation multiple times. Each and every time I was discharged and often accused of alternate mental health/ substance abuse issues to discourage my advances. I was never given the opportunity to undergo alternative assessment, however PRN guidelines state that you can obtain a second option within 7 days of your first. This is a mute point, however, because you will not receive the results of your evaluation until over a week after it is conducted and the second evaluation must be conducted by another PRN hired evaluator of their choosing. During my stay in rehab I contacted PRN multiple times to attempt another evaluation/ legal help. They warned against both stating they were a “waste of money” and “pointless”.
After completing my treatment with the guidance of many addiction, experienced physicians, mental health counselors and psychiatrists recommendations I sought in a secondary evaluation. I chose a highly qualified professional with over 30 years of experience to conduct an extensive neuo psycho social evaluation of me. One that I was sure would be more extensive than the evaluation I received at treatment and more importantly an unbiased evaluation.
The results from my evaluation not only showed that I did not have a substance abuse problem warranting PRN level monitoring, but also that PRN was falling to allow adequate treatment of other conditions such as my ADHD. My evaluation showed my ADHD was not only untreated by PRNs attempt at using non controlled medication, but also in the top 3% most severe presentations of ADHD. My evaluator went on to explain my results by questioning why my treatment center even mandated I undergo neuro cognitive evaluation. The only neurodiverse findings were my IQ, my dyslexia and my ADHD. However, a neuo cognitive examination can be billed separately by treatment centers, therefore they always recommend one.
Chapter 12 Amongst its greed, intrusive nature and faulty accusations, professional recourse network function highly proficiently at the task they were designed to; protective physicians and patients from physicians who are impaired at work. In this domain they save lives, offer second changes and protect the public. When they act beyond their intended jurisdiction by imposing unnecessary monetary demands on practitionersin training, accuse practitioners without proof or act on behavior exemplified outside of a work setting they unjustly and inappropriately attack the week and innocent.
Proposed reform: As a trainee my universities malpractice insurance covers me for mistakes made at work. If a learner mistakenly harms a patient, then the university stands on their behalf. If the learner does something wrong under a teachers direct guidance, then the teacher is at fault. This makes sense logically as well as pragmatically. The state entrusts large amounts of money to hospital systems and universities to train resident physicians. A portion of this money is allocated to malpractice insurance. This should extend to accused impairment.
Suppose a training university was required to cover rehabilitation and monitoring of a resident of whom they claim is impaired. Alternatively they have the option of firing the trainee. This would reduce the number of innocent trainees being accused of impairment, make the process of rehabilitation more fair and provide a better use for tax payer derived dollars, which hospital systems are given to train residents. The truly impaired could still seek help, less false accusations would be made and with the employers having the ability to fire at the moment of impairment, there would be less chance of impairment at work.

i (18f) work part time 12.75h with one 45 minute break at a bakery. i’m the only one there. there is a sign that says i’m on break at the front of the shop. sometimes if i finish my lunch early, i will sit in the shop and hide behind the boxes. unfortunately i cannot hide very very well due to the open nature of the shop and customers can spot me if they look well
sometimes they come up to me during my break and ask for something, and i simply point to the “on break” sign. this happens rarely though.
one customer was very upset that i did this and demanded to be served so to avoid conflict i acquiesced. however he wrote an email to the company to complain about me .
HR got back to me to tell me to serve customers in the shop no matter what. i also got a pay cut. however in my country it’s illegal to make workers work for more than 12 hours in the day.
i know it’s technically my fault for being early to finish lunch and return to the shop, but i do try my best to hide. i value my 45 mins break so much. i do think i have the right to refuse customers service but at the same time i feel bad because it’s my job to serve them, except when it’s not.
i’m quite conflicted as to whether it’s my fault or not. AITA?

Today was economics exam. My centre was around 38 km away but was a pretty good centre with cooperative people and teachers.
Paper was like some questions from the deep corners of NCERT and some lame ass questions to make sure cutoff won't fall too low. Whatever it was, it was unexpected. Like a normal approach of a examinar should be to just test the understanding of students and his grasp of the basics for further studies. This paper was like examiner was a history teacher who opened economics book to form a paper and he just picked some random lines and framed the questions like AI even worse than that.
There were 10 questions of 2 case based studies. The lamest thing I have ever witnessed in my life. It was not at all a passage for an economics exam but a dam comprehension of 6th grade. Even a science student can score 50 marks in them I'm dam sure.
Overall, conclusion is that paper was not made from the perspective to test abilities of a student, it was just made to get cutoffs and finish the job. Personally, I was scoring 170-190 in PYQs and mocks even I scored 200 in one of the free mocks of SPCC, but I was struggling in 25 questions in the paper. I solved 4 of them with tukka, 5 in a doubt, 10 was exempted, 6 left untouched. Was wishing for 200, now just wishing for 150+.

I (23 F) have worked for an events management company for the last 9 months. My event runner role opened up because the company started hiring an events supervisor. The woman who previously had my job (Kelly, 37 F) is now in the supervisor role.
About 2 months into my job, Kelly started making nasty comments and getting angry at me over seemingly nothing. Recently, it’s escalated.
I have spent the last 4 months organising a big event, this includes booking acts, booking the venue, scheduling the day, finding volunteers, receiving invoices etc.
It is my first time doing anything like this, and the event was set to be a success.
The day before the event, as we were finishing setting up, I got a call to say my sister (who has previously had a brain aneurysm) was being rushed to the emergency department. My colleague Kelly told me not to worry as it’s probably just a precaution.
After work, I spent the entirety of that evening running back and forth to the hospital to make sure my sister had everything she needed. She was dizzy and struggling to balance herself and walk, slow speech etc. That night the emergency dept said she’d had a stroke, and was transferred to an acute ward at the hospital.
As I knew I had to help manage the event, I went to the venue the next morning with 3 hours sleep and terrified I might lose my sister. I was worried work would be angry if I let them down.
Kelly and our main boss asked how my sister was doing, and I told them what had happened. Kelly has been awful with me since.
I asked how long the ‘clean up’ after the event had taken in previous years, and she said “It will be done when it’s done, we all want to go out”. She was going to an afterparty, I was going to see my sick sister.
I stayed on regardless and I cleared the majority of the site, and she was still angry with me when I said I had to go at 5pm (I worked the full day with no lunch break, she didn’t help to ease the pressure at all despite the supposed shared responsibility).
I went into work yesterday and we’re now organising a new event. I asked Kelly what my responsibilities would be on the day. (These events are attended by 10,000+ people, it’s a complex process, and I have no prior experience). She snapped at me, told me to stop asking her questions and said I “never use my initiative”. Another colleague overheard this and told me I should speak to my boss, which I plan on doing when things have settled with my family. I left at midday to work remotely, and cried on the bus home.
She has made nasty comments about me being 5 minutes late back from lunch when she arrives in office 2 hours late, and has previously got angry at me for ‘walking too loud’. I feel like I’m being bullied and don’t understand why. I work hard and get my work done to a high standard.
Now my grandfather has also been rushed to hospital with a heart attack. I don’t know what to do.
AITA if I take the time off work during a busy period, to support my family and because of my colleagues behaviour?

I contemplated sharing all of these since the first two happened so long ago, but they’re eerie enough that I think that they should be shared. I have two stories from when I was young, when I was around age 5-6. Though they were over 20 years ago, the first one I remember vividly and the other occurred later yet I can’t recall that one much at all. However, my mom tells that story like it was yesterday so I’m pretty sure my brain blocked it out or something.
So for context, my mom had me when she was 20 and was a single parent for a while. My father was completely out of the picture, so we lived with her childhood best friend in different apartments when I was young. So one night, it was dark but not extremely late (like 7-8) and I was coloring in the kitchen while my mom was in another room. I vividly remember a knock coming from the sliding glass door only a few feet away from where I was. I turned to see a middle aged man with a sinister smile, pointing at the handle to let him in. I immediately screamed, which scared this guy off, and my mom ran in and called the cops. My mom later told me he was peeping at my her and her best friend for a while but this was the first time I had seen him and that he attempted to come in. Apparently he had left… evidence that he was there a couple of times but I don’t think the cops ever got him. But the rest of the time we lived there, my mom had security from her job (House of Blues) sleep over a lot for protection.
The next encounter is one I don’t remember happening but the story still terrifies me because of what might be out there and how easily these things can happen. It was a different apartment, like a townhouse, but only a few blocks away from where the other thing happened. There was a couple that lived across the street and my mom always got very strange vibes from them. The man would openly stare at me (around age 6) and my mom’s best friend’s niece (who was 11) when she would stay over, which would prompt my mom to angrily yell at him for being creepy for staring at us the way he was, calling him a perv. My mom’s best friend thought she was being paranoid but then at some point, I was playing outside, and that same man lured me over into his apartment with his dog. It didn’t take long for my mom to notice I was gone… it wasn’t even 10 minutes before she ran over to come get me. The couple acted like nothing was wrong and that I just wanted to see their dog but she freaked out on them. When we were home, I told her that he took pictures of me with their dog and she called the cops. They were kicked out but the pictures were never found… which creeps me the hell out to this very day.
The most recent creepy encounter was also with my mom but it was about 6 months ago. I’m still not sure if this was us being paranoid or if we were being followed but it felt wrong. We went to the mall looking for shoes for my wedding and started at Belk. My mom had to use the restroom so I went off on my own and while I was browsing, I got annoyed with this guy wearing a baseball hat because he seemed to be constantly in my way or hovering. It struck me as odd that he kept ending up around me in the women’s shoes section and I got annoyed with him quickly, shooting him a glare that seemed to back him off a bit. The aisles for shoes are short so I noticed him walking toward another man with a newsboy cap on the other side of the section with his arms crossed. I wouldn’t have thought much of it except the two spoke briefly before baseball cap guy made another round through the section. I’m not sure how to put it but they seemed out of place, like almost dirty or something, and I felt weirded out so I pulled out my phone to text my husband and pretended to look busy until my mom came back. She eyed the baseball cap guy lingering around but I felt much safer when she arrived, and I loudly complained a bit about the selection and “surroundings” so we headed somewhere else. We went into a bunch of different stores and when we were on the other side of the mall at an Earthbound (trendy hippie store if you’re unfamiliar), my mom made a loud comment how she kept seeing a guy in the same stores we were in. In the moment, even though I did have a strange feeling, I waved it off to keep browsing since I don’t go to the mall often and wanted to enjoy the day with my mom. She said she must be going crazy when I blew it off but the next store was when my mom’s suspicions grew into a serious full blown anxiety attack. I honestly was still oblivious to this guy but I saw how she was looking around a lot, had us weaving through people and quickly going down aisles. Like I said, I still wasn’t paying attention to the people around us so I bought a couple of things but as soon as I had my bags, my mom yanked me and rushed us out. While we were walking, she grew serious, kept glancing behind us and told me how she didn’t feel right about this guy with a newsboy cap and thought we were being followed. I took a look back for myself and sure enough, the man she described, and I finally recognized him as the same guy I briefly saw in Belk an hour or so ago, just left the same store we did and was walking toward us. He was by himself, looking down, carrying no shopping bags. We ducked into the first store we came across and the employees picked up on our frantic and nervous energy. When asked if we were okay, we told them what was going on and they stood in front of us, hiding us from view and assured us that we were safe. We didn’t see him (or the other guy with the baseball cap) after that but it spooked us to the point where we couldn’t even enjoy our day out anymore so we went home.
This same mall is known to be unsafe and honestly, this whole city is rampant with human trafficking so even though it could have been just paranoia, we anticipated the worst. Interestingly enough, this same mall recently posted a policy that visitors under 18 need to be accompanied by an adult after 4pm on Friday and Saturdays along with safety guidelines on how to stay safe. So there’s that.
Stay alert and aware of your surroundings. Trust your gut. I don’t walk alone without my phone in my hand, and I call someone anytime I’m in a parking lot or gas station. It’s sad but it’s always been hard to ever feel safe when I’m alone.

I am aware my feelings are harsh/unsympathetic and may indeed be burnout/exhaustion from EPing for 9mos. I also have a job in mental health where I can only be patient, empathetic and non judgmental. There might be some compassion fatigue happening. Still, I have to get my real feelings off my chest as I sit here sick and tired doing yet another night pump.
To my sister and friends and everyone giving up on breastfeeding and pumping because it’s inconvenient, they didn’t ‘like it,’ they want to sleep through the night, smoke pot, drink alcohol, etc: you are literally just not tough enough to handle this and do what’s best for your child.
I see so many posts about miserable moms proudly stopping and doing what’s best for them. It’s literally not about you. You have one job- to give your child the best possible chance at health and happiness in their life. Breastmilk is so beneficial any amount you can contribute is worth doing. In my eyes there is nothing wrong with supplementing or combo feeding. You just can’t give up because this is hard. I am never so grateful my child is on 80-90% breastmilk than when we’re sick and I can fight it off myself and pass on these antibodies and white blood cells.
I am so sick of pretending that formula is fine. I don’t think cow’s skim milk powder and oil and powdered vitamins are fine. I don’t eat processed shit food- why is it ok to give to baby? I’m filled with resentment when I see moms in my life crack open a can of formula and my clock is counting down until the next uncomfortable pumping session. Why do I have to keep acting supportive when they throw in the towel? I want to shout you’re just weak. I literally saw comments on this sub that said the WHO should recommend exclusively formula feeding because it’s better for everyone. What a complete crock of shit. To all the formula moms claiming their child is so healthy because of their weight- I want to say there are so many markers of health that are not weight related! You are burrowing your head in the sand. I felt ragey at an appt this week because there was an enfamil poster in the waiting room.
For me it is motivating to look at the ingredients list on the formula package and know my time and efforts are in service of another. I feel like I can go on with this when people validate the benefits and get real. Seeing others quit motivates me to keep going. You do have to be so so tough. You do have to reach within yourself and reflect on what this means to you. You can do this. Don’t give up. Every single drop is worth it. I recognize your sacrifices and give you pumping moms so so much credit. You are selfless and doing the right thing.

I know almost nothing about DW or DW+ other than Ben can't seem to make his wife wet.
Ok, so facts:
1) Adam killed 20% of ACS ad $ in order to do this 'toon. Hence one must believe his team did the math and dropping Friday ACS was worth it to make whatever the fuck this thing is and it is not a vanity project.
2) Adam must be paying these people. Some of them surely must have an opportunity cost. Hence not doing it for free. And, I assume the acting union gets involved.
3) There is some Spain tax thing going on. Which is why a lot of the credits have spanish names.
4) DW+ paid for this and thought it'd generate $.
Now questions:
1) Who owns this? DW or Adam?
2) Any idea on what the tax thing is? And, doesn't that kind of fly in the face of DW's mission?
3) In other shows on DW+, do they put them out weekly or do a big drop like netflix?
4) Isn't this a headshot to your career in Hollywood?
5) Any idea how many episodes will be in season 1?
I hate that I spend more time thinking about this than the ACS idiots collectively did.
Ok, Adam has a huge podcart (maybe?). Easily reaches enough people that he can sell out 4 shows a weekend in nowhere, IN.
'toon takes a long time to make. In other words, Adam had a bunch of warning to pimp the ever-loving fuck out of this disaster.
Adam can reach a bunch of ears, so how about this for a marketing campaign that cost him nothing...? (why am I better at their jobs than they are?):
1) When a new episode comes out each week. Have a different actor on and do some highlights of the show and maybe some bits as them each in character. You know Adam "wrote" on JKL. Late night shows have been following this format for decades. It is why the star goes on. You know it is part of their contract to do the press tour and late nights. Yes, I know he kind of has people from the show on, but he could do so much more with it. This isn't a new idea. It is literally why the late night shows exist. Adam worked on JKL and talked about how he was a goto guest because JKL was too small potatoes for stars to come on and pimp their movies / shows. Adam knows how this works.
2) Have Lynch ::shudder:: write some Mr. B bits every show (he already does the opening). Adam does 5 min as Mr. B each show.
3) Once a month or so, have the entire cast on (even if some need to be remote) and do a 10-minute improv with everybody in character.
4) Have everybody do ads for the show. "Hi this is Rosenne. I play whatever the fuck she plays, Watch Mr. B on DW+ each sunday" then do a bit of freestyle comedy as the character.
5) Adam is on morning radio and "good morning " to pimp his books. Why haven't I heard him on DC101? Or seen him on Good Day DC? I'm sure people will claim due to the DW connection. No chance. They need content. I've watched a tour of Josh Brolin's personal writer's hut. It was on the level of Huel and the rocks. I've watched the weather guy take a paintball to the nuts. They will go get video of HS students running the mile. Adam would be a "get" for them.
Adam has a platform and an audience. He should be pimping the FUCK out of this show. Why isn't he. No chance he thinks it sucks (it does). He really must be this stupid and lazy.

DC Next Proudly Presents:

THE NEW TITANS

In Shadow of Kestrel
Issue Nine: War Dove
Written by AdamantAce, GemlinTheGremlin & PatrollinTheMojave
Edited by Deadislandman1 and Voidkiller826
 
Next Issue > Coming Next Month
 
 
“Raven!”
Slade’s gruff voice pierced through the deafening, wave-like roars in Raven’s head, but the rage was too much to bear. Her hands sizzled as hellfire danced in her palms, her body readying for another attack. She locked eyes with a reptilian soldier, dismounting his simian steed and charging on foot, but as she lunged forwards to strike him, she watched a man fly into her path. Slade Wilson caught the young Titan’s hand and pushed, throwing Raven backwards.
“Come on, kid, snap out of it!” But as Slade’s words fell on deaf ears, he felt the familiar sting of a fist to his jaw, a crack echoing in his ears. He recoiled from the attack but powered through his injury and stood his ground. Sinking his heels into the ground, he locked eyes with the girl before him. Her face seemed contorted and uncanny, as if all of the rage she was feeling was pouring out of her. She groaned angrily as she thrusted her head downwards, her forehead making contact with Slade’s teeth, before pulling her head back up again in preparation for another attack.
Before she could make one, however, one of the lizardmen had almost reached the warring duo’s sides, and as he lunged forward with his long spear, he made contact with Raven’s side. A small rip formed in the side of Raven’s outfit, which seemed to only anger her further. However, it did seem to distract her enough; Mar’i fired off a single Starbolt which struck only the ground - a warning shot.
“Raven! Please!” the half-Tamaranean cried out. But the Raven she knew was buried under unfathomable amounts of fury; she ignored her teammate’s call and instead flew forwards and swung out at the reptiloid. The strike glowed with red flame, sending the creature skidding across the floor, barely conscious. Slade spotted a flash of something else on her face, as if she was finally able to fight back against the endless rage - pain, perhaps, or anguish. But in an instant, it was gone.
That flicker of something other than white-hot anger was enough for Slade.
He clutched his side as his still open wound began to ache, the bandages feeling wet with fresh blood. His jaw felt crooked, and as he gritted his teeth, it felt as though they sat differently atop each other. And yet, he clutched his staff tightly in one hand, and with the other he beckoned to Raven.
“Kid, you’re fighting it, I know you are!” Slade felt his mouth filling with blood rather than saliva.
Within a moment, Raven’s attention was locked on the white-haired man once again. She fired bolt after bolt of black and red flame, but Slade was still dextrous despite his pain. He dodged and dived, weaving through the fire, until he finally managed to make contact with his opponent. He drove his staff into her chest and pushed his weight against the weapon, forcing her backwards. She rose into the air, a black mist pouring from her arms and over her face, a large ghostly corvid taking her place. He felt the deathly cold shadow of the bird’s wing fall over him, his feet leaving the ground as she scooped him into the air.
He looked down at the ground far beneath him. A fall from this height would kill anyone, he thought, let alone someone beaten half to death.
Then, as a verdant bolt of energy struck it in the side, Raven’s Soul Self shrieked and the shadows retreated inwards. Slade felt himself falling through the air for a second, then two, before he felt his back collide with something soft and cushioned. As he looked up, he met the gaze of Conner, who soared to the ground in an instant, placing the snow-haired man on the ground and giving a swift nod.
Raven let out a pained, frustrated yell as she returned to the ground, aided by a grappling line expertly positioned by Tim, and in response, Conner jetted off towards the sound of her cries. Slade’s feet faltered beneath him, and he stumbled to keep his balance. His breathing was laboured and his vision was becoming fuzzy. It felt as though, he realised, all the blood loss and violence he had suffered over the past few hours were finally catching up to him. Was this what dying felt like?
“Slade!” shouted a voice, followed by the dulled drumming of hurried footsteps. Slade pulled his hand across his face to wipe away the mental haze and drops of blood. It was Don, sprinting towards him. When Slade felt Don clasp him by shoulders, he realized just how slowed he was by his injuries. “Plan?,” Slade coughed out.
“You’ve seen what she can do. I only see one way out of these without one of the kids getting hurt. I’d do it myself, but I’m out of practice and this is too important to leave to chance.” Don looked around anxiously, his face betraying that he had a lot on his mind. “I’m giving you the powers of a god.” Slade opened his mouth to ask a question, a million came to mind. He glanced across the battlefield. Through a blurry film, he saw Raven’s Soul Self bat Conner away with its wing. He careened into the trunk of a thick tree, uprooting it with a deep crunch. “Are you sure?,” Slade asked, breathless.
“I’m not losing another Titan.” Don squeezed his eyes shut. His grip on Slade tightened as pale, almost blinding light enveloped them. It felt warm. No, better than that: it felt peaceful. With his enhanced senses, Slade could hear his erratic heartbeat slow. Fleeting visions bubbled up in his mind, opening up his awareness beyond the wildest dreams of Project Veritas. He felt rivers of magical energy flowing through the air and earth. Each of them spiralled towards a depression. Towards Raven, he knew instinctively. Iridescent blue light spread outward from his shoulders. It washed over his body armor, bleaching the jet black panels until his entire body shone with radiance. The pain from wounds old and new faded, replaced by serenity - and power. Don opened his eyes again and sighed gently; a concoction and joy, relief, and quiet mourning.
“There,” Don remarked. Slade felt lighter, less angry, less burdened. He looked down at the iridescent light enveloping his body. Magical energy buzzed against the surface of his skin. “The powers of the Dove - officially yours.”
Slade sucked in a nervous breath. “Don…” Even rejuvenated, he was still lost for words.
“They’re yours now,” Don smiled weakly. “Now go earn them. There’s a Titan in dire need of our help.”
Conner floated out of the dense jungle, rubbing his forehead. “Is Slade glowing or do I have a concussion?”
Slade looked over at Raven. She seemed less erratic, her movements driven by her brain rather than her gut. Tim’s staff batted fiercely against her, each strike buffeting her back more and more, but it was clear to Slade that Raven was not any weaker physically - her mind, however, was another story.
Slade began marching towards her, the ache in his side dulled. “Raven. You’re strong. Fight this rage inside of you.” Raven glared at him, a spark of something in her eyes, as she swooped in towards him at top speed. As she neared him, however, Slade readied his staff, stretching it out in front of him. As the tip of the weapon struck Raven, a beam of white energy coursed through her, as if she had been struck by lightning, and her body was flung backwards across the dirt.
Slade danced a hand over his rifle, but something felt different. He pulled it into his hands and inspected it swiftly; nothing seemed out of order. Raven rose slowly from her supine position, snarling softly to herself. Her movements had slowed, the expression on her face becoming closer to horror than rage. She was doing it.
“You’re nearly there, kid,” Slade soothed, his words suddenly like butter. He watched Raven’s shoulders start to relax. “That’s it. Just fight this, Raven. You’re almost there.”
Despite her tremendous progress, Raven’s blistering fury won out once more, and she charged a large bolt of hellfire in her hands. Slade fiddled with his rifle and crossed his fingers. There was a standstill between the two. Slade analysed his rifle again; there was something different about the barrel, as if it had been swapped out for another similar model. The stock felt lighter, too, as if the weight had been–
Raven roared at him, swiping wildly with glowing fists, and in an instant Slade instinctively pulled the trigger.
What fired from the gun was not a silvery bullet, but a familiar glowing bolt of white light, cloud-like in appearance. As it struck Raven, she sucked in a deep breath, the energy engulfing her. Her face softened and her posture relaxed. Then she swung out for the man’s weakened side, his bandages poking through the aura of light. And yet, as he stayed steadfast, not even attempting to dodge the attack. Sparks flew from the point of contact. Slade just readied another shot and fired.
Her body swayed with the blow. Slade closed the gap between them and focused on the new warmth he felt, concentrating it into his staff as best he could. Then, as he held it out in front of him at arm’s length, he swiped at Raven and struck her in the side of the shoulder. Each blow seemed to be more effective than the last, but as Raven’s movements continued to slow, Slade held fire.
“You’re doing it, Raven,” Slade encouraged. He watched as the other Titans surrounded Raven, each of them ready for any further attacks. Everyone watched with bated breath as their teammate and friend thrashed and recoiled from the hit. Her breathing was rapid, although it felt closer to panic than unabashed fury. She clasped her hands over her head, groaning. Then, suddenly, she stopped.
Her face had softened completely, her jaw slack, and tears filled her vision. She looked up at Slade with a comfort in her eyes. The aura emanating from him was pervasive and contagious, and although she had felt lost in a sea of impossibly vast emotions, its warmth and comfort cut through. The anger was still there somewhat, the last remaining dregs still working its way out of her system, but the comfort, the peace that Slade was providing was the anchor for her to stabilise herself. She had only ever seen this kind of power when Don…
Raven’s eyes widened as she realised what that meant. She collapsed to her knees, suddenly feeling the bone-deep fatigue her rage had suppressed. Her teammates rushed in around her. Mar’i dropped to a knee by her side and put a hand on her shoulder. “It’s OK. You’re safe. Everyone’s OK.”
“Don I’m—” She wiped away a stream of tears, stumbling her way out of the emotional vortex she’d been sucked into. “I’m so sorry. I don’t know what happened. I’ve lost control before, but never like this.”
Don looked older. Creases ran across his forehead and around his eyes. His smile hadn’t changed. “Raven, my brother and I got those powers when I was a kid. We didn’t ask for them. We weren’t ready for them. We didn’t know how to use them, let alone control them.” He laughed dryly, recalling Hank. “I don’t regret anything. Giving my powers to Slade is the best thing I’ve done with them in years. I know Hank would feel the same way.”
In the moment of silence that followed, Raven rose to her feet and pulled her cloak tightly around herself. She was still shaking. Tim’s eyes drifted from her to Slade. “Something’s gnawing at me. Kestrel’s powers are weakened in Skartaris. Don’s…” He coughed, “Slade’s powers are amplified. If this place is what affected you—”
Mar’i’s face flashed with recognition, “—your powers must be tied to the Lords of Order and Chaos!”
Tim furrowed his brow. “Maybe.” He hardly had time to consider further when a thundering crack tore open the sky. Two bolts of swirling energy - one red and one blue - met above them, forming a swirling portal at their vertex. The Titans readied their weapons, expecting the worst.
“It’s them.” Slade murmured, still put off by his uncanny awareness. Terataya and T’Charr descended from the sky, one wreathed in mist, the other, magma. The two elementals stopped a few feet above the ground, hovering.
Terataya was the first to speak. Even at a whisper, her voice reverberated through the air. “I don’t usually care for surprises, Don, but this was a pleasant one.” A thin smile appeared on her face.
“Slade Wilson.” Terataya’s neck turned at an unnatural angle to face him. “You wield the powers of Order with great skill. Who understands the dangers of unchecked War better than a soldier. Become my champion. Protect the balance.”
Slade took a step back, then glanced at Don.
“She’s right.” Don said, with only a hint of hesitation. “It took me years to use the powers like you used them today. You’re a natural.”
Slade looked at his hands, still gently pulsing with pale blue light. “Thanks.” He allowed himself a weak smile. “But no thanks.”
“What.” T’Charr’s voice boomed.
“It doesn’t take Zatanna to realize an old soldier like me makes a piss-poor Avatar of Peace. I fight for a living, and I’m not deluded enough to think that makes me good at anything but fighting. If you want someone who understands the need for balance, Don just sacrificed everything special about him for it.”
Don raised an eyebrow. “None taken.”
“His actions today were noble, but they do not make up for years spent squandering the gift.”
“Squandering? The Titans wouldn’t exist today if he hadn’t pulled them together. Everything they’ve done. Everything they’ve achieved for your balance wouldn’t have happened without him, including stopping that monster you made.”
“Watch your tone, mortal.” T’Charr threatened.
“There may be a vein of truth to his words, lover.” Terataya said. “But *if we were to restore Don Hall’s power, we would need assurances. His indecision led down this path.”*
Rocks ground against each other as T’Charr landed beside Don. “You would have weeks, not years, to select a counterpart and return to your duties.”
Don’s response was instantaneous. “I’ve made a decision.”
“You’ve decided if you’ll take up the mantle of Dove again?”
Don nodded. “And who should be the new Hawk.”
Terataya giggled. “Full of surprises today. T’Charr?”
“We should discuss this.” He said. “In private.”
The three of them vanished, leaving the Titans and Slade alone on a battlefield riddled with bits of dino meat and ape fur.
 
○○ Ⓣ ○○
 
“You don’t think they’re gonna come back in like, 200 years, right?” Conner asked. He sat beside the depowered Slade Wilson, who was downing aspirin to make up for the sudden deficit in peace energy.
“I don’t know.” Tim said. “But we should give them more than fifteen minutes.”
As if on cue, the skies opened again. Again, the chromatic energy lit the sky and again a portal opened its swirling maw. This time, however, it wasn’t two elemental Lords to descend. Raven squinted to make the figures out.
“Oh my god.” Conner said, having a far easier time with his super-vision.
“What? Who is it?” Tim asked.
“Donna!” Mar’i shouted. She shot off the ground towards her. Her black combat armor was replaced with a crimson and white bodysuit studded with stars that seemed to twinkle as the light shifted around her. The sword at her side was gone too, replaced with a coiled loop of rope suffused with the same brilliant energy. The two collided into an embrace, spinning through the air as they held each other tightly.
Don was the first to land, restored with the powers of Dove. He looked stronger than ever, and maybe more importantly, happier. Even Tim’s typical thoughtful brooding has been pierced by an unimpeachable joy.
“I don’t understand,.” Raven said. “S-She’s alive. How is this possible?”
“I knew there was only one person who could be trusted with the powers of War, with Hank’s abilities.” He scratched the back of his neck, a bit guilty. “And she’d been staring me in the face for years. It took some doing, but eventually T’Charr and Terataya saw that too.”
Donna landed beside him, Mar’i only a step behind. By now Conner had stepped forward. He tried not to choke over his words. “I’m sorry. If I’d—”
Donna didn’t let him get the words out before pulling him into a grapple-turned-hug that quickly grew as the rest of the team piled in. Slade flicked another aspirin into his mouth.
“Danyah!” A voice called out from over the ridge. It was Travis, mounted atop a fanged reptilian creature in the vague shape of a horse and flanked on either side by his gold-armored honor guard. He broke into a gallop, stopping just short of the Titans. “When I saw the skies, I feared the worst. Is it really you? Has sorcery brought you back to us?”
“It’s me, Travis. A Lord of Chaos brought me back.”
“Not to interrupt,.” Slade said, still nursing his wounds. “But did either of you ask them to bring us back to Chicago?”
“I…” Don grimaced. “Donna, how do we get home?”
“How did you get here? Surely you could return the way you came.” Travis said.
“No, we can’t.” Tim said, pressing a few buttons on his wrist’s holographic display. “Whatever magic pervades Skartaris is also causing some extreme time dilation. I can’t guarantee we’d return to the 21st century, or even to Earth.”
“I spent a decade in Skartaris and returned to Earth nearly two centuries later. It’s the influence of Chaos. We’d need a Skartaran mage of overwhelming power to stabilize our return.” She spat the word mage with disgust. Travis’s expression seemed to confirm the reputation of Skartaran spellcasters.
Before their anxiety could spiral, the sky above began to churn. Moments later, the ground shook as a violent bolt of lightning cleaved the air, striking with such ferocity that all but Conner and Donna were flung backward. Mar'i skidded across the damp undergrowth, her senses overwhelmed by the acrid scent of ozone. Her mind was racing; their victory was hard fought, and she doubted they had much left in the tank for another confrontation. She dug her hands into the ground and pushed herself up as she choked from the smell. The Warlord Morgan and his military guards snapped to attention, forming a protective ring around the crater that now marred the earth.
From the smoking pit, a figure rose, unfolding from a crouch like something out of Terminator. Adorned in a red and white jumpsuit that accentuated his lithe build, the young man's appearance was marked by a red cowl and goggles, with sandy brown hair rebelliously spilling out.
Conner squinted through the dissipating smoke, murmuring under his breath, “A speedster?” The Flashes had had a variety of different sidekicks and other allies over the years, but none of them recognised this one
With a nonchalant flair that seemed at odds with the charged atmosphere, the newcomer greeted them. “Hey, everyone chillax. I'm here to get you guys back home.”
Donna, ever the leader, stepped forward and spoke with a commanding curiosity, now emboldened with the war aura of Hawk. “And who are you exactly? Why should we trust you with such a claim?”
Flashing a cheeky grin, he tilted his head and responded, “Well, I’m a speedster for one. Name’s Impulse. If I run fast enough, then I can… well, I guess bend time.”
Behind Donna, the group exchanged sceptical glances. Raven's face remained shadowed by recovery, Mar'i and Conner braced for action, and Tim discretely checked his gadgets, no doubt for something that he could use on a speedster should the need arise.
“Yeah, we figured that much,” Don cut through the tension, his voice calm yet insistent. “Who sent you?”
Impulse chuckled, his demeanour remaining unfazed by their scrutiny. “Look, the details aren't the fun part. Trust me, I can get us back.”
As a silence thick with doubt and scepticism settled over the group, Impulse seemed to realise his casual assurances weren't sufficient. With a theatrical sigh, he reached up and removed his mask, revealing a face familiar to both Mar'i and Raven.
“Brody!?” Mar'i exclaimed, her surprise echoing through the clearing as she stared at the boy who had once hobbled through their college classes with his leg in a cast.
The young man’s grin widened, his eyes sparkling with mischief and a hint of pride. “Actually, it’s Bart.”
 
○○ Ⓣ ○○
 
When Slade emerged from the shower, his skin was glistening with moisture, the water tracing the contours of his scars. He wrapped a stark white towel around his waist, and crossed the plush carpet to sit on the edge of the hotel room bed. He released a slow, deep breath; it was a good job the speedster kid arrived when he did. The notion of being stranded in an alien land or, worse, a different time had gnawed at him with a ferocity that was hard to admit. Without Bart’s intervention, every one of Slade’s meticulously crafted plans would have been utterly dashed.
Facing him, a wall-mounted mirror caught his rugged reflection. Drawn to his own image, Slade studied the scars that mapped his trials, the slick white hair that crowned his head, and the deep lines etched into his face. A familiar discomfort nagged at him, focusing his attention on his right eye. Unable to alleviate the irritation through the skin, Slade exhaled heavily and carefully removed the eye altogether. The movement, fluid and practised, spoke of years of adaptation.
He placed the prosthetic gently on the bed beside him and as he massaged the socket, a decades-old habit, his mind wandered. He wasn't accustomed to keeping the prosthetic in for extended periods. Showering with it had been an uncomfortable experiment in necessity - he didn't like it, but understood the importance of maintaining the facade. The Slade he would have people believe he was would have never lost an eye, because that Slade had led a life far from by the darker paths Slade had truthfully trodden.
His thoughts wandered to his brief time wielding the potent powers of Dove, and Slade felt a twinge of regret at their loss. The clarity and strength those powers had provided were intoxicating, yet he recognised that he had a more important goal, one he couldn’t compromise. His current role demanded not the accumulation of power but the perfection of his deceit, ensuring that all believed he was not the Slade Wilson they knew, but a Reawakened, more innocent doppelganger.
Now, with the glass eye resting beside him, Slade stared at his unmasked visage. Maintaining the myth of the noble Slade was critical. The ruthless mercenary, the World’s Deadliest Killer - those identities had to remain buried. The Titans had believed him enough to entrust him with divine powers, their faith a testament to his performance, but the game was far from over; in fact, it was entering its most critical phase.
 
 
Next: Return to normality in The New Titans #10
 

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Chapter 1: the event
It was the fall of my intern year as I bean my off service trauma rotation. This month was ubiquitously notorious for being the most labor intrusive and least productive rotaion of our emergency medicine program. Knowing this I entered with the intention of simply surviving the month.
Another intern and I let’s call them A for sake of ambiguity, we’re the first emergency medicine residents to roste on the trauma services that year. A shaky start would be an understatement. In the words of chance the raper “like my grama with the Parkinson’s playing operation.” Would better describe it. Medically we did well. We were very competent and completed our work daily, but communication and coordination was non existent. Our Cheifs had informed us that Tuesday was our day of and the Trauma cheif residents had minimum communication with us, or our Cheifs as it seams when A and I did not report on Tuesday they sternly made their dissatisfaction known.
I have struggled with insomnia sense the age of 10. Had 2 sleep studies by this point in my life and been prescribed nearly every sleeping aid on the market. The 80-94 hr work weeks of our trauma rotaion only worsened my insomnia. My lack of sleep likely contributed to a less than prime adaptive immune system and 2 days out of my trauma rotaion I contracted strep like symptoms with associated nausea, requiring me to call for a sick day the next day. No the first day that I felt too ill to work. I was not fully aware of the reporting process. I reported to my Chiefs, but I did not believe I could come to work tomorrow with amble time and notice, however I was somewhat delayed in letting their Cheifs know, because the surgical chiefs rotated every few days and I did not know who my was going to be the next day. The second day which I had to call out sick I was able to locate the cheif for the next day and reprot according to our university’s protocol, which requires that if a resident feels they are not fit for work they must not come in and the university must have staff coverage without any fear or implementation of punitive actions.
I had finally survived to the last week of my trauma rotaion and I could see the light at the end of the tunnel. What I could not see was the pile of stress, shitty diet, lack of mental well ness and sleep deprivation which I was pushing down to reach the light. By this time I had seen a psychiatrist regularly for sleep medication. I had mentioned to him that I had been experiencing more stressed lately and feel that I might be depressed. he reassured me that it was likely only due to my circumstances, given the difficulty of the trauma rotation and wish to reassess once the rotation was over. Looking back I had to fill the habit of drinking more than I usually do. My only on nights before I have days off became 1-2 beers every other night. All of this repressed unhealthy shit finally pushed bad on September 23rd. That night I was at work even later than usual, I stayed up later than usual and couldn’t seem to fall asleep. With the stress of only having minimal sleep and knowing I only had 2 more days of trauma left, I took an extra dose of my sleeping medication.
I opened my eyes to the fighting sight of sun beaming in my window and I instantly knew I was late. (Sense I hadn’t seen the sun in a month) . Due to my need for scrupulous sleep hygiene I have been sleeping with my phone of and away for me. I rushed to grab it and watched as the little Apple logo seamed to glow on the screen for an eternity. Then in conjunction with its fading I saw 3 missed calls from my director, a text from college A and 2 missed calls from the surgical director. Still, I was able to calm myself, knowing that resident A had been late to this rotation by a few hours 2 other days and nothing came of it. I called my director back and he asked me to report to his office where I was greeted by my director, my coordinator and another emergency medicine facility.
With the only explanation of: “we just want you to get better”, I was handed a letter, to my relief it did not entail my termination, but a declaration of administrative leave and a requirement to undergo an evaluation at a well known university in Florida.
Lake any other savvy millennial, I did my research. By research I mean numerous google searches and screeches thru the depts of redit. To my dismay I discovered that in order for a residency program to fire you, they must first initiate an administrative suspension. I would soon find out however, being terminated would have been a delightful outcome compared to what ensued.
I spend the next few weeks in the wallos of regret and depression. I indulged in higher qualities of alchohol then I ever have before. I all but ceased communing with peers, and abruptly stoped any physical activity I had once enjoyed. Frightened as I was I was ensured, it will be ok “we just want you to get better”
Chapter 2 The evaluation : guilty until proven innocent I did exactly as instructed and scheduled an evaluation, I supposed that this was either a mental evaluation to assess if I’m fit for work with plans of termination or it actually was an evaluation to better treat my insomnia. To this day I regret my ignorance, and wish I had researched the process more. The Hindi / sand-skrt idea of Hamsa 🪬 is that in order to do any good you must have full knowledge or else good intentions can result in harm. I truely believe my director had good intentions, however but him and I did not have full knowledge of the nature of this evaluation.
Looking back see how easily I could have avoided my troubles by asserting legal aid at this point or even by researching this evaluation process more in depth. If one searches impaired practitioner program which I now know this evaluator works for, the search entire will populate 5 or 6 layferms along side their home website and there is a valid reason for this.
If one every finds themself in this process I employ you to bring a DSM to your evaluation or at least be familiar with the most common use disorders in the DSM-5, because your evaluation will turn into a dance of questions where the evaluator attempts to trap you in a round about way to stating something that may qualify for one of the diagnosis. I have provided an image from the DSM-5 below outlining AUD, which the evaluator concluded that I had the most severe from:
Image
Example***** Here are 10 examples of how he fraudulently assessed me taken directly from his assessment note.

1. Evaluator: Have you ever stoped drinking in the last year.

Me: yes I stoped every week day, I was only drinking on the weekends, until two weeks ago.
-Evaluator uses stoping and starting every week to qualify for 2 or more unsuccessful attempts to stop in the last year “There is a persistent desire or unsuccessful efforts to cut down or control alcohol use.”

1. Evaluator Have you ever had withdrawal symptoms

Me no
Evaluator Well Have you ever had a hangover? You know that’s a from of acute withdrawal
Me: yes in college, I had a few but that was years ago and I’m pretty sure the pathophysiology is different.
Evaluator uses this to count for withdrawal symptoms even tho is was more than a year ago

1. Evaluator: Have you even taken your sleeping medication on a day or night which you drank? Me: Yes, I took my prescriptions are prescribed but I never drank close to bed

Evaluator: qualified this as dangerous behavior with alcohol (where the DSM gives examples such as unprotected sex and drunk driving). The sleeping medication I was on is not a benzodiazepine therefore it is not deadly with alcohol. I personally have seen many patients in the ED who have taken their entire bottle of the medication and drank copious amounts, we just monitor them over night and rehydrate them

1. Evaluator Has anyone told you you drink to much or been worried about you Me: No I drink much less than my friends

Evaluator what about your girlfriend? Me: well she actually doesn’t drink at all she doesn’t like it. She often buys me beer for The Weeknd’s tho. One time we went to a movie and she got a little irritated because I waited for beer then complained about them not having any craft beer. So she said, “you couldn’t have just said no” and drank something else. However, she apologized after and said it’s worth waiting if it’s my only day off.
Evaluator said this qualifies for continued drinking despite causing significant relation consequences, ie divorce.

1. Evaluator : you have sleep issues I hear, and your chart says you’ve had depression in the past, don’t you know that alcohol can effect your sleep and mood Me: yes that’s why I never drink within 3 hours of sleep.

Evaluator but you knew this and still drank
Evaluator: qualifies for drinking despite unwanted physical or psychological effects (this should be recurring to effects the alcohol is causing, I have had insomnia sense the age of 10 long before I took my first sip)
7 evaluator you were late for work and told my you had a drink the day before
Me: Yes but I was late because I didn’t sleep and took double my sleeping meds, I will never do that again
Qualifies for 2 significant work or school issues in the past year ( a therapist and other psychologist ensured me that being late on or a few days doesn’t count they typically are getting fired or failing) ( moreover, this would assume I was late do to drinking it’s self and also assume if happened more than once)

1. • Alcohol is often taken in larger amounts or over a longer period than was intended

He never once asked anything related to this question yet said I qualified in his final report 9. A great deal of time is spent in activities necessary to obtain alcohol, use alcohol, or recover from its effects. The evaluators logic here was sense I was late for work and I had 2 beers the day before I must be taking long to recover from it (this is assuming I missed due to alcohol)

1. Tolerance drinking more to require the same effect: this he checked as true in his final note however it was never even discussed in our evaluation. I did mention to him that I’ve been drinking more than I had earlier in the year frequency wise, but they said nothing to do with quantity or needing more.
   
2. Wanting to drink so bad you can not think of anything else: this is the only qualification of SAUD my evaluator said I did not have.
   

Moreover, without legal help I was not aware that I could obtain a second evaluation or even oppose going to get evaluated at all, but that wouldn’t have mattered seeing I still thought this was for my health and wellbeing as seen when I was asked why do you think you are here to today, to which I replayed “so that I can be evaluated to see what is needed to get back to work”.
To maks the ordeal more infuriating the evaluator continues to ingratiate himself and lie through the process telling you, “it will be fine as long as you are 100% honest”, “anything you say in here is between you and me” or “you slipped up once with your meds, I know your residnecy program they will probably just want a few more out patient tests”
Two weeks later I received a phone call right before I left for an out of state vacation to visit my nice for her birthday. During the call I was informed that I would be required to complete a partial hospitalization program (PHP) lasting “6-10 weeks” which would coast from 15-50 grand not including doctor visits or housing which is billed separately. I suppressed this inconvenience, enjoyed my vocation and reported when I returned, knowing that I must complete this soon so I may return to work with due to the fact that my payed time off would soon be diminished. At this time I had not yet heard of the organization PRN.
Chapter 3 Guilty till proven innocent: The diagnosis
Shell shocked I arrived to a in patient psychiatric unit and was rapidly cleared to progress to treatment without detoxification. During my 90 day of forced rehabilitation I met a few other individuals who were unjustly and fraudulently forced into treatment. I began to look up to one of these such members of the men’s community, who I will refer to as patient X for ambiguity sake.
Unlike me patient X did have alcohol use disorder. He spent many clinic days drinking to avoid alcoholic withdraws. The curious component of his story is that he admitted his depravity, saught help and through his own journey became sober. The bodies at be, namely his local physician, Health monitoring program, rejected his personal path to sobriety and forced him to undergo 90 days of in patient treatment before he could practice medicine again. When he checked in to rehab he had been sober for over a year.
Ask for Stories of people from online
As for me I spend many sleepless nights pondering how consuming a legal substance in a moderate amount could throw me into significant legal financial issues. My labs my toxicology, my story and my collateral from colleagues from colleagues all indicated light to moderate alcohol use but my evaluators word stood as the word of God.
More frightening was the director of this rehabs acknowledgment of this. The director who happens to also coincidentally be the evaluator, stated to me as well as to staff on multiple occasions: “ I suggest inpatient treatment for everyone who is reported”. “This is safer for me not to miss anyone who could harm patients, and I figure there must be a reason someone reported them.”
I am still elucidating the reason why I was determined guilty and proven innocent, however I can say from my 90 day stent that the majority of the patients at this rehab needed to be there. This program is saving lives of both providers and patients, however it is destroying the lives of those wrongfully accused.
Chapter 4 your lisense rehab or jail : Upon arivil I was sent to a detox hospital underwent a medical examination and was “one of the lucky ones” who required no detoxification and could report directly to PHP. Like everyone else, I spent 90 days in a PHP, being as 6-10 weeks is simply a lie they tell patients to decrease the change of resisting the treatment. When discussing the topic one therapist sated “if we told patients 90 days they would never come.” She then attempted to justify the treatment by outlining the story of a patient she had called who “didn’t make it to treatment” and killed themselves”. It is my belief that it is not the lack of PHP which impelled such professionals to take their life, but them realizing that they now will be obliged to undergo 90 days of PHP, 5 years of PRN monitoring with a loss of autonomy and hundreds of thousands of dollars taken from them that induced their hopelessness. For even if these professionals were truly mentally unstable in their addictions, in every case it was only following a phone call where they were informed they must undergo treatment that they took their life’s. By this time I still haven’t the slightest clue what PRN was.
Despite the security these programs provide for many my 6 main issues with them can be summarized in : 1. Kick backs: evaluators are directors of treatment clinics 2. The reported are guilty till proven innocent 3. The price, the overflow of money these places drag in from both patients and state universities is appalling, they charge separately for every visit and test 4. Although they make the claim that they are individualized, they are anything but. Every patient gets the same stay and treatment from the doctor drunk on the job and the one who was late to a shift 5. They force voluntary treatment. remember that friendly evaluator who promised he had your best interest at heart, so you opened up and told him everything about your substance use/ developmental / family history, well if you don’t stay for 90 days he will be “normally obliged” to tip the board of medical off to you.

1. The programs have overstepped their intended jurisdiction. -these programs work well if they function how they were intended at their inception. Cite original purpose. Originally these programs were designed to protect physicians and civilians from impaired practitioners; being healthcare workers who were impaired at work. Over the years, these organizations have extended their authority to encompass individuals with substance use disorders When not at work and also those who are in training to become healthcare professionals. Take for example myself compared to a physician who is impaired at work. A doctor who arrived for duty under the influence would surely benifit from the extensive testing, therapy and accountability enforced via these programs. In accordance the 20,000$ per year cost is appropriate when only making up roughly 7% of their yearly salary vs nearly half of a residents. In my case with my loss of income from employment, coast of treatment and monitoring, this year I will be required to pay 20,000$ to work. Yes, I will be losing money to work. Even if did indeed have a substance use disorder this level of monitoring wouldn’t not be considered appropriate.

Dispite all of the miscomings of this System My time spend in PHP was indeed helpful, as I believe it would be for anyone. Time for exercise, a reprieve from work and weekly counseling. A sample structure of my day to day schedule is provided below for insight:
Structure The general structure of these rehabitation centers is as follows: 1. One week of orientation phase, where you are not allowed in electronics or contact with the outside world world. Therefore, if you’re going, bring some things you would like to read or study. 2. In phase 2, you can use your phone however you cannot leave campus. You must stay in the dorm on campus. These shitty 1 room run down apartments with two other roommates will cost you about $1000 a week, they are required for at least four weeks and they are billed separately, no insurance will help you out here. 3. In phase 3 you can commute to campus if you beg your therapist and live very close. Whether you’re on campus or living off-campus, you are allowed to leave up to four hours per day. If you commute, you’ll be required to take a sober link decide you must Breath, alcohol test into every 6 hours. Like everything else in this program you must pay for this separately, a few hundred dollars a week. You advanced to other phases by completing assignments, however, assignments are limited by required built-in time, intrusive, scheduling, and reviewing. Therefore, if you do everything as rapidly as possible phase 1 will take one week phase 2 will take three weeks.
Every day schedule:
7:30: wake up, report to the front desk to inform them that you haven’t ran away yet and take and prescribed medications. They keep all your medications and require that you report to take them; for me this was antidepressants in an attempt to dispel the depression I contracted from being forced into treatment and whatever off label medication they were attempting to treat my ADHD with, since control medications were forbidden.
8 am: community group assessments This consisted of other patients presenting their assignments amongst the large group, on the weekends this was often an hour later and 12 study regularly took the place of assignment presentation.
10 am: process group. This was a two hour group therapy session with 6 to 12 other professionals in a therapist and training or occasionally a licensed mental health therapist.
1 pm: recreation This was generally about an hour of some sober themed craft or activity. Once a week this time slot was used for yoga.
2 pm: this was another time slot used for patients to present assignments as well as for individual therapy sessions. Each patient had one individual therapy session lasting 30 minutes per week.
3pm: This was time allotted to work on assignments or go to the gym on your sex specific scheduled gym day.
5pm: this time was used for guest speakers or another 12 step study group.
6 pm : this was generally an off-campus 12 step group
10 pm: report to the front desk and let them know you still haven’t ran away and take and Medication which are prescribed to take at night, then return to your cot bed in your room with 1-2 other roommates.
I found the community to be one of the most beneficial aspects of the PHP program. I was in a cohort of chill ass professionals of the same occupation who were always there to help each other.
Assignments The curriculum of the PHP consisted of assignment based on every step of the 12th step program. Generally, a patient would be required to complete an assignment on their own, review it with other patients, then faculty and finally present the assignment in front of the whole treatment group. You’re only given one assignment at a time and there are multiple steps to each which all requires scheduling this ensures that no matter how determined a patient is a full 90 days of treatment is required to complete all the assignments.
AA structure -the obsolete nature of AA has been verified in numbers studies, but I will refrain from divulging here and lend that endeavor to Dr. Lance Dodes very thorough discussion on the subject,in “the sober truth “
In all sincerity, if I truely did have a severe use disorder this experience could have been life saving. I only wish I could have used my 50 grand for someone who has spent their life time In addictive without reprieve. My first conversation when I was given my phone back was how I wish my father could be able to attend this PHP.
Chapter 5 reporting and PRN Self reporting What they ask you What you should tell them
There’s a third-party agency called professional resource network. Every state has their own. This agency works as a liaison between you and whatever credentialing service your occupation requires. Essentially they ensure your monitoring after treatment. Stake governments and licensing boards trust them, mainly because they monitor with the highest level of intrusiveness. This alleviates much work for state governments and licensing boards because once an individual is being monitored by a professional resource network, then they are deemed appropriate for duty and no further investigation/litigation needs to occur, as long as the monitored individual completely complies.
Because I was never impaired at work I was never reported to this agency. The general workflow of things someone would report you to professional resource network, then the resource network would contact you, and then you would be required to report for an evaluation at a treatment center, which would inevitably result in a suggestion I’ve treatment at that given treatment center. In my case I was sent to the treatment center without PRN being involved. Thus, two weeks into treatment. I was notified by my therapist that I needed to call PRN and self report. I attempted to resistance given that I did not have a problem and was not individually seeking help. I asked what happened if I didn’t self report. I was told that in order to stay in the treatment program I had to report to PRN. This meant either I report to PRN or I get kicked out of the treatment program and lose my job.
When you report to PRN they will ask you why you are in treatment. They will then list off every substance imaginable, asking you if you have ever tried the substance and when your last use was. Ultimately, they will obtain your discharge information from your treatment center, so it is in your best interest to report only what was found in your biochemical testing. If it wasn’t in your hair, I would argue that you don’t have a use disorder regarding that substance and it’s not relevant. I don’t believe it’s important for them to know that you smoked weed when you were 12.
Chapter 6 The contract:
Before being discharged from a treatment facility, a professional resource network will have you sign a contract. A little known fact which I was oblivious to is that contracts can be negotiated. Though this isn’t it possible, it is highly improbable that you can negotiate your contract since PRN has a power to delay your clearance to return to work.
Contractor almost never personalized, and I have not heard of a contract which is not a five-year agreement. You will sign releases of information so that PRN has access to all of your information which was gathered at the treatment facility. You must have a therapist, psychiatrist, primary care, doctor, and a addiction, medicine psychiatrist. You assign releases of information for all of them. You will be required To commit to: 1. three mutual aid meetings a week which you must log. I log smart recovery meetings. 2. Weekly therapy sessions with an approved mental health therapist from their list 3. Monthly doctors appointments with an addiction medicine psychiatrist 4. Yearly appointments with a primary care physician 5. Monthly appointments with a psychiatrist 6. Daily check-ins on a random drug testing app ( you will agree to weekly urine tests, a peth test 4 times a year, a hair test twice a year and a little caveat that says anything else they deem, clinically reasonable) 7. Quarterly update reports which you are required to obtain from a workplace monitor, therapist, addiction, medicine, psychiatrist, primary care physician and any other doctor you are seeing. 8. You must upload all of your prescriptions into a mobile application every single time you get them refilled and are not allowed to take them until they are approved. 9. Attendance of a PRN group via zoom. This is a local group you are assigned along with other monitored practitioners. There is a fee of roughly 130$ a month to attend this required group. For me all of these requirements coast around 20,000 a year. If you ever have a positive test even if it is the result of contamination from rubbing alcohol or unintentional ingestion of alcohol/ allergy medication your contract will rest to 5 years from the time of positive test. Once your five year contract is completed, you must ask to be released from monitoring. At that point they will search for any reason to keep you under monitoring. This could be dilute urines, daily check ins or a week where you did not attend mutual aid meetings. Every certification and license which you apply for will likely ask you if you were under a monitoring program/ have been treated for substance use. You must give an explanation and check yes. As far as licensing programs are concerned, if you were under the monitoring of PRN, you are safe, however they group practitioners who have had behavioral issues with practitioners who were diverting drugs from work. Therefore, keep in mind that you will be labeled as a sever addict.
7 Back to work and only work. During treatment your only goal is to return to work, however when you return your experience will be drastically distinct from what you remember. For me, I was now working in isolation. Missing six months of my training meant that no other Resident was on the same rotation as me. My coworkers at all formed friend groups. When I returned I was greeted with much concern for my well being. No one would speak to be about my absence, however everyone knew there is only one reason a resident would leave for 6 months then return. My Accdeemic meetings were consisting of attending telling me “I have a target on my back now” and “ I have to preform even better than others” in the light of my time missed. If this wasn’t alienating enough, the majority of Resident events, sponsored by recruiters and my university revolved around alcohol to which I had to give some excuse to why I can not partake with others. I’m fortunate that I do not have an addiction, because these stressful conditions along with the daunting amount of dead and requirements imposed by PRN are enough to make any addict relapse. While I was at treatment, I was in the dative with Samyr stories a physicians whose addictions got the best of them. Physicians who did not make it to treatment, often taking their own life. These stories were presented as a warning. Your addictions will kill you without our treatment was the message. When, in reality I did not hear one story in which the addiction killed physician. Every physician who didn’t make it to treatment took their life after being told they must report to a treatment facility. Perhaps they knew what this entailed and it was not their addiction or getting caught which caused them to end their lives, but the unmanageable and often unreasonable burden that treatment would put on their lives.
9 How to escape So your fucked your in PRN and should be or you should and now your recovered and want to terminated your contract.

1. You ask to be released early done at 1/2 time ( good luck)
2. You have “good reason” (no one has ever been let out of contract because of this reason, the verbiage is far too vague)
3. You serve all your time and they let you out(maybe, as discussed earlier, they would do everything they can to keep you in your contract as long as your practicing)
4. You can’t practice medicine anymore

10 Layer up butter cup : I cannot emphasize the extent to which legal help is required in this process. You much seek it and seek it early. Lawyers can provide many avenues to you early in the process. Once you have committed to treatment, gone for evaluation or are in a PRN contract , this is very little that you or legal help can do. Spend a few thousand dollars when you are accused and save the 20-30,000 later.
After you have been evaluated if you disagree as I did, then this is the process you must undergo. 1. Hire a occupation, defense, lawyer 2. Prove you don’t have an addiction, this is done by having an alternative evaluator with similar credentials state that either you don’t have an addiction or that PRN’s level of monitoring is not medically appropriate ( this will need to be a multi day neuropsychological evaluation, which will cost about $5000). 3. Your lawyer must draft in writing that the medical level of monitoring is not required such as another medical professional and send this to PRN 4. PRN will tattle on you to the board of medicine. 5. The board of medicine will conduct an investigation. 6. At the end or when they believe they have enough reasonable evidence to the board of medicine will suspend your license or claim, you must comply with the PRN contract to practice. 7. At this time your lawyer will defend you in the state court against the board. This is costly but much less than the coast of a 5 year PRN contract 8. If you win you will likely suggest an alternative level of care such as gonna get therapy every week. If you lose, than you wasted a fuck ton of money and are still bound by your PRN contract.
Overall this entire process has coast me Over all coast:
My finances for this year only including PRN and rent are as follows:
120-200$ every week for testing 480-800/ month
65 every week for therapy 195/month
125 every month for PRN group
About 50-69 every month for 2 doctor apts
So at least 745$/month at the lowest
Treatment at the recovery center coast 20,000 for me out of pocket and
I wasn’t payed for 6 months with no FMLA because I am a first year. At the 1 year mark I will have made 26,000 this year after taxes And payed About 29,000 on PRN alone
Rent is 1,000 so that’s 12,000 a year
Just in rent and PRN alone I will be at 26,000- 41,600 -15,600.
I will be in debt by at least 18,000 at the 1 year mark
Coast of treatment center 20,000 (with insurance) For each year of PRN roughly 20,000 Add that to 6 months of attending salary which was delayed due to my treatment time: at least 150,000 Layer coasts along with other evaluations 25,000 Missing 6 months of residency pay 30,000 Coast of 1 year in monitoring: 245,000 Coast of 5 years 325,000
If my case progress to a trail I will require an extra 20,000 in court coasts
Chapter 11 My secondary eval: Dr sushi After I arrived at my treatment center I challenge my evaluation multiple times. Each and every time I was discharged and often accused of alternate mental health/ substance abuse issues to discourage my advances. I was never given the opportunity to undergo alternative assessment, however PRN guidelines state that you can obtain a second option within 7 days of your first. This is a mute point, however, because you will not receive the results of your evaluation until over a week after it is conducted and the second evaluation must be conducted by another PRN hired evaluator of their choosing. During my stay in rehab I contacted PRN multiple times to attempt another evaluation/ legal help. They warned against both stating they were a “waste of money” and “pointless”.
After completing my treatment with the guidance of many addiction, experienced physicians, mental health counselors and psychiatrists recommendations I sought in a secondary evaluation. I chose a highly qualified professional with over 30 years of experience to conduct an extensive neuo psycho social evaluation of me. One that I was sure would be more extensive than the evaluation I received at treatment and more importantly an unbiased evaluation.
The results from my evaluation not only showed that I did not have a substance abuse problem warranting PRN level monitoring, but also that PRN was falling to allow adequate treatment of other conditions such as my ADHD. My evaluation showed my ADHD was not only untreated by PRNs attempt at using non controlled medication, but also in the top 3% most severe presentations of ADHD. My evaluator went on to explain my results by questioning why my treatment center even mandated I undergo neuro cognitive evaluation. The only neurodiverse findings were my IQ, my dyslexia and my ADHD. However, a neuo cognitive examination can be billed separately by treatment centers, therefore they always recommend one.
Chapter 12 Amongst its greed, intrusive nature and faulty accusations, professional recourse network function highly proficiently at the task they were designed to; protective physicians and patients from physicians who are impaired at work. In this domain they save lives, offer second changes and protect the public. When they act beyond their intended jurisdiction by imposing unnecessary monetary demands on practitionersin training, accuse practitioners without proof or act on behavior exemplified outside of a work setting they unjustly and inappropriately attack the week and innocent.
Proposed reform: As a trainee my universities malpractice insurance covers me for mistakes made at work. If a learner mistakenly harms a patient, then the university stands on their behalf. If the learner does something wrong under a teachers direct guidance, then the teacher is at fault. This makes sense logically as well as pragmatically. The state entrusts large amounts of money to hospital systems and universities to train resident physicians. A portion of this money is allocated to malpractice insurance. This should extend to accused impairment.
Suppose a training university was required to cover rehabilitation and monitoring of a resident of whom they claim is impaired. Alternatively they have the option of firing the trainee. This would reduce the number of innocent trainees being accused of impairment, make the process of rehabilitation more fair and provide a better use for tax payer derived dollars, which hospital systems are given to train residents. The truly impaired could still seek help, less false accusations would be made and with the employers having the ability to fire at the moment of impairment, there would be less chance of impairment at work.

My father was adopted. He passed away a few years ago. His adoptive parents were from the Christian Science faith and I think it was an internal adoption. I have no other information. I will dig out his birth certificate.
He was born in California and grew up in St Louis, Missouri. He was in the navy first as a Marine then later working as a deck hand on the USS Kitty Hawk as he could not keep his rank on reentry. Would love to know more about my heritage.
From My Heritage I have found my Parent's 1st cousin but she has not replied and chatted to my 3rd cousin's son and I can see his family tree.
Would love some help.