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.

The lonely 25 :( boy is an introvert who has never been in a relationship. I just need someone to have daily conversations with for a long-term friendship and I want to know how to approach girls. Naturally, I'm available at all times. Is there anyone who can assist me?

I am finishing my BA in English and Communications. I had some statistics and data courses there, my grades weren't great though. Overall graduating grade is good however (upper second class honors). From during my studies I have the following experience: 2 x 3 month internships in PR & marketing (agency + nonprofit), 1 x 8 month 20h/week B2B marketing with product marketing, demand gen and events (tech startup), 1 x 12 month 20h/week B2C marketing with more focus on analytics and data driven digital marketing, seasonal campaigns (FANG). I also did nearly 2 years of volunteering at my nonprofit university newspaper where i did the following: acquisition of finances through paid ads, social media, online articles both writing and managing, content planning, events for recruiting, print magazines both writing and managing, selling the magazines, general managing of other volunteers (i was editor-in-chief, quite time consuming overall).
I now want to apply to entry level jobs that: - set me up for good pay in the future - are more analytics centric, because I like the work and think it is fairly secure - are somewhere in Europe, but preferably english-speaking (I also speak German and a little French)
So now I want to maximise my chances: what specific analytics certifications or anything else should I do/get? I am insecure and scared about getting a good job that I like. Also, should I get a (free) masters instead of starting now maybe? In general, what is my best long-term plan of action? Do I need a portfolio already?

I was using RG35XX to this point but I wanted to change for something horizontal. I play mostly GB and SNES games so RGB30 seemed to be an ideal choice. I have it for a week now and it’s hard to say, but it’s nothing but a disappointment.

1. I barely can charge it. I knew it had some issues with chargers but I had no idea there are such many issues. I checked almost all of my chargers and cables and nothing worked. After a while a discovered that it’s charging with an old 5W Apple charger, so this one brick is mh only way to make it work
   
2. There are huge battery drain issues. I can charge battery to 100%, turn off the device (not sleep, turn off completely) and two days later I have 60%. It’s not reliable at all, what’s the point of having a handheld device that I need to charge every day, even when I’m not using it.
   
3. There are problems with software. I installed latest version of Rocknix and have a lot of bugs. Battery percentage is still an issue, I’m not sure if that’s software or hardware issue, but it shows 0% for most of the time. When I charge it, it goes to the 100%, then after reboot it shows 0% again. Except of that, I can’t connect to my home network for some reason and I have some strange glitches in some games. I tried to install ArkOS but I can’t get past the splash logo screen, I tried many methods of flashing and it just doesn’t work
   
4. D-pad quality is just bad, Anbernic is better. Rest of the buttons are ok but d-pad is just awful
   
5. I tried to get a replacement or refund but Powkiddy seems to ignore all my messages. They’re not replying at all.
   

So yeah, huge disappointment for now. I was so hyped because technically it fits all my needs (form factor, 1:1 screen, yellow color <3) but what I have now is practically useless peace of plastic. I’m waiting for release of RG35XXSP or just buy H and be done with Powkiddy
How’s your experience with this device? Am I just unlucky or reviewers doesn’t care about long term usage, just review and never use again?

WIBTAH to use the coma of my ex’s father in the custody battle
Hi! This story will require quite a bit of context (that can be found here https://www.reddit.com/AmItheAsshole/s/2Vo9S0QKF1). I need to both vent and find some advice, so any input is appreciated. Long story short, my (F26) ex Fitz (M 32) keeps finding reasons to sue me to get full custody of our son Tim (M5). He sued several times in the past, but now everything went too far.
After a previous fierce custody battle we had an iron tight co parenting agreement. It took ages to reach one as he kept trying to include clauses just to make my life miserable. Right after graduating, when Tim was around 1 yo, in the middle of our custody battle, I would take Tim to work with me a lot. I would have long hours at the beginning, trying to make a name for myself, while Fitz was trying to paint me as a negligent mother for leaving Tim with a nanny while studying, back during finals. Hence, every other day after 4:30, when most people would go home, my mom would drop Tim at my lab and he would stay and play next to me in my office until 8 when we would go home. I would offer him plenty of attention as I would mostly run time consuming simulations that would require little involvement from my side.
Knowing this, Fitz fought tooth and nail to stop me from doing this, knowing how much easier this made our life. I work in a lab that focuses on various incurable diseases research. I almost never get in touch with the biological side as I am in the modelling team, doing mostly maths and coding. My office is in a different building than the lab and Tim has only ever been in my own office, far from the biological material. However, in the end, after arguing that my workplace is dangerous, Fitz managed to get a clause that would prevent me from having Tim with me at work. In order not to have it sound personal, the clause stated that Tim was not to be taken in any place with a BR factor greater than 1, unless his safety would be at play.
Where we are from, the BR factor of an establishment measures the risk of getting an infectious disease. Any biological lab has it greater than 1, by default, even if they do not work with any viruses . During the pandemic, all hospitals got their BR increased over 1.
Now, after an emergency, Fitz sued me for breaching our agreement. He has had a private detective in me for the better part of the past two years and kept trying building a case against me for “repeatedly violating our contract “. He kept using petty situations, like Tim being alone with my dad for 2 minutes into the men’s room at the mall while my mom and I are right in front of the door, waiting for them, even though my dad is not on the pre approved list as he has epilepsy. Or me not having an epi pen at my home because I gave it to Fitz as his was about to expire and it was his turn to pick up Tim who has severe allergies, even though our agreement said to have one at all times. (Just to make it clear, I bought a new one before getting Tim back). He also tried to paint me as a danger for having had seen a psychiatrist in highschool and early college. The reason was an eating disorder, nothing that could be any danger, which Fitz was aware of.
Even though all his so said proofs and breaches of contract were silly, with the most serious one described in the linked post, the trial got very intense, with him attacking me on a personal level. While we live in a big city, it quickly became the biggest gossip in our community, being on the lips of all the moms from pre school, most of them siding with me. Unfortunately, as much as I tried and couldn’t keep it all from Tim, since he was asked lots of questions by the kids at pre-school who heard about the situation. He became very stressed and started having night terrors.
I tried to reason with Fitz for Tim’s sake with no luck. 2 days ago, Fitz’s sister, Mia, came to see me. She wanted to give me something that could end all the stress Tim was under.
Almost 3 years ago, Fitz’s dad had a heart attack and almost died, but made a miraculous recovery. While he was in a coma, Fitz and Mia took Tim to the hospital to see his grandfather for what was thought to be the last time. Fitz’s entire family agreed there was no point in telling me, since I was very empathetic about the entire situation and even suggested that Tim and I could go visit him in the hospital once I picked him up from Fitz. They refused, however, since Tim already visited him, but did not mention this to me. She gave me texts to prove everything she was saying, and showing that Fitz knowingly breached our agreement and hid this from me for years on purpose.
My lawyer says that since this event occurred before all the ones he tries to use against me, it could get the entire case dismissed immediately, since it would have voided the parenting agreement we had. He guarantees me a win nonetheless, it would just take longer if we don’t use this. My parents think I should be the bigger person and not use it, as it is cruel and I should be an example for Tim for when he will be older. They insist that I would be in the wrong, especially since I would win nonetheless. I, however, just want to end this nightmare for good, and take care of the emotional health of my son.
I don’t know what I should do or how I should protect Tim at this point as I believe he should have a father and he and Fitz are really close, but at the same time, Fitz does hurt Tim a lot these days.

I’ve manifested a lot of different things successfully through LoB. Money, grades, trips, etc. and I tend to get results relatively quickly when I set a goal. However, I’ve had about 3 failed SP missions over the past 2 years. Before y’all yell at me, hear me out. I go about these missions the SAME way that I go about my other goals that I have achieved with ease.
I don’t know why it’s only when it comes to a relationship with SP that I don’t get results.
It’s weird though because I have manifested smaller scenes with SPs, then I go ahead and try to envision a relationship that doesn’t come to pass.
For example, in my last SP mission I was doing my 2xSH everyday for three months. In the last week, I was actually overseas and in his city for a week and I ended up finding out that he moved to f*cking France through the grapevine. So I reflected on my process, tried to envision a scene with money where I get $600 and tell my coworker I had ‘really good night tonight’ and that came true. The same damn day.
So what the f*ck am I doing wrong?

Dans le domaine de la maintenance automobile, l’efficacité est essentielle. De la mise au point du moteur à la permutation des pneus, chaque aspect de l’entretien du véhicule contribue à sa longévité et à ses performances. Cependant, un élément souvent négligé mais crucial est le nettoyage des roues. Les méthodes traditionnelles impliquant un récurage manuel peuvent prendre du temps et demander beaucoup de travail. C'est là qu'intervient le lave-roues automatique du groupe Tecnoter, révolutionnant notre façon d'aborder l'entretien des roues. Traitement de l'eau
Le lave-roues automatique change la donne dans l’industrie automobile, offrant une commodité et une efficacité inégalées. Conçu avec une technologie de pointe, ce système innovant rationalise le processus de nettoyage, garantissant des roues impeccables avec un minimum d'effort.
L’une des caractéristiques les plus remarquables du lave-roues automatique est son interface conviviale. Grâce à des commandes intuitives, les opérateurs peuvent facilement personnaliser les paramètres en fonction de différentes tailles de roues et niveaux de saleté. Cette adaptabilité en fait une solution polyvalente pour une large gamme de véhicules, des voitures compactes aux camions lourds.
De plus, l’efficacité du Lave-Jantes Automatique se traduit par un gain de temps important. Ce qui pourrait prendre des heures avec des méthodes de nettoyage manuelles peut désormais être accompli en une fraction du temps. Cela augmente non seulement la productivité des entreprises automobiles, mais améliore également la satisfaction des clients en réduisant les temps d'attente. Baie de lavage
La technologie derrière le lave-roues automatique est à la fois puissante et respectueuse de l’environnement. En utilisant des agents de nettoyage avancés et des systèmes de recyclage de l'eau, il minimise la consommation d'eau tout en maximisant l'efficacité du nettoyage. Cette approche respectueuse de l'environnement s'aligne sur les normes modernes de durabilité, ce qui en fait un choix responsable pour les entreprises souhaitant réduire leur empreinte environnementale.
De plus, la durabilité et la fiabilité du lave-roues automatique garantissent des économies à long terme. Sa construction robuste et ses faibles besoins de maintenance signifient moins de temps d'arrêt et des dépenses de réparation réduites, offrant ainsi un solide retour sur investissement aux entreprises de toutes tailles. plateforme de lavage
En conclusion, le lave-roues automatique du groupe Tecnoter représente un changement de paradigme dans les solutions de nettoyage automobile. Son efficacité, sa polyvalence et son respect de l'environnement en font un outil incontournable pour tout centre d'entretien de véhicules moderne. L'adoption de cette technologie innovante élève non seulement les normes de nettoyage, mais favorise également l'excellence opérationnelle dans l'industrie automobile.

Remember SM...remember when they did the coolest thing by giving a bunch of older characters new designs. Like we got Red and Blue, Colress and Grimsley, HECK even Annabel! A character who was only in the BF in emerald, (a game Game Freak wants you to forget about...).
So why not do this again?

Here is my top 5 characters I want to cameo in the gen 10 games

5. Drasna

Very underrated E4 Member...
I want to know if Zinnia is her kid or not, if not kid, like maybe...niece?
It would cool if she and her family were a sect of draconids that specialize in the sinnoh legendary dragon pokemon, and she was interested in the legendary dragon pokemon of Gen 10...since we know every generation has to have a legendary dragon pokemon.

4. Nemona

Love or hate her, Nemona is one of the most popular characters of Gen 9. I would argue before Kieran and Carmine, it was her by a long mile. Still might be.
I would love to see her again, because she might have finally taken Geeta's place as La Primera, and it would be really funny if she is just a superboss like Cynthia. Go into a house, and then BOOM...Nemona!
"Hi I'm Nemona! I'm La Primera of Paldea. Things have been stressful...but fun! Battling all of the new trainers in the paldea league-wait you look like a trainer...a strong one. ME. YOU. BATTLE. YES?!"
Show slight growth as she talks about how becoming La Primera opened her eyes to the responsibilities that Geeta had, and how she wishes to do her do best to honor her example.
Just please...KEEP her the same, ON sight persona. PLEASE.

3. Drayton

I feel out of the entire blueberry league, including Lacey, Drayton has to be coming back again...like I feel they set him far too well to replace Drayden as gym leader.
Like Drayden's other grandchild, he is a prodigy but unlike Iris he is a SLACKER.
Which feel like could be translate well if bro is just on vacation to the another region and they could further his character saying he finally graduted blueberry but still doesn't want to come home.
Could be a fun six sages type quest/glitterai where you follow him around and get more of his story.
I'm going to assume it's because Drayden is getting up there in age, and he feels he won't be able to set an example as the heir. And perhaps this story has a dark ending with Drayton being called by someone (assuming it's Iris) that Drayden has passed.
Bro then leaves but thanks the player for following him around by giving him Draco Meteor, which would be really cool since Iris and Drayden did that in BW1, so it kinda leaves something to the imagination....hm.

2. Hau

Now, I feel if any character that needs a chance in the spotlight again...I think it should be Hau.
Like he forever plagued by being "the smiley rival" because SM didn't have that many facial expressions for anyone that wasn't the aether family (minus Mohn). Like Drayton, he is a prodigy, but unlike Drayton...he is a bit more upfront with his insecurities.
In SM, there are moments in the story when Hau gets visibly upset he isn't strong: like when Lily gets kidnapped, or when Gladion accused of holding back, or when he still can't beat the player in their final battle.
USUM gave his character more focus, giving a lot more urge to battle and win, while still keeping his level headed persona. He even got to be the champion fight for the game, that is arguably the hardest in the franchise. Good on him.
When he returns...he should be the kahuna of Melemele Island*. There is no excuse why he couldn't be. They SHOULD make my bro a BADASS gigachad like that guy from* Moana.
Like make everyone think Hau is the coolest dude ever.

1. Bianca and Cheren

Now, I know picking two for one is kinda unfair...BUT COME ON.
These two were the first rivals that actually felt like characters instead of just being tropes.
Blue was literally just cocky anime rival, Silver was the edgy criminal rival, May and Brendan were the rivals that have a crush on the protag,
Wally and Barry were close but the story of the games don't really have time to dwell on them... unlike Cheren and Bianca.
Like they these two were a perfect example of pokemon fans at the time of BW1's release date, ambitious yet kinda clueless about what to do with their ambition.
So what if, after nearly 12-13 years, we finally see them in the games and learn what they have been up to.
Like I want to see if Bianca has become professor and if Cheren finally has a beard to cover up that baby face he has lmao.
IF RED AND BLUE CAN COME BACK...why can't them?

Hey yall, I never been one to post anything on Reddit. This is my first time on this sub too so I don't know how yall talk to each other on here so ill try to keep this short.
My ex and I have been broken up for about 10 months now and the last time I spoke to her was through text 5 months ago. I basically told her how I felt about her still, how much I missed her and how I wish I could have done more in the relationship. I ended it with how I would love to still be with her and hoping she would give me a second chance. I should also state that I said that if she felt I was being too clingy or pushy to ignore and to not even respond to the message, regardless if she responded or not I would respect her decision. She never responded. Its been 5 months and it appears her response, is no response.
We broke up on good terms, it was life circumstances that caused us to break up. I did notice that before the break up she became distant and even told me that she need time to her self. I knew that the relationship would come to an end. After a few days she told me that she just can't give me what I need, that she loved me and that she hopes we can still cherish this friendship that we had together. Over the course of a few months she checked up on me and as did I. We also broke up a month before her birthday and I still sent her the gifts that I wanted to give her prior to our break up. She said she loved them. A few days into the new year I texted her I hope she's doing well and she said the same to me and that I deserve nothing but the best in life. A few days after this, I sent her the message on how I felt about her and what we once had.
Its almost my birthday, in just a few days really. And as I was getting my journal to write down some thoughts I had, I saw the card she had given me last year. I forgot I had left it near my writing area. I opened it and began crying as I read what she had wrote. It reminded me of what we once had, of how happy I truly was back then. To be loved by someone in this world and to be accepted by someone.
I know it's been almost a year, but everyday since the break up I think about her. For the first few months it was hard but I kept trying and trying to move on and heal. It was easy on some days but most days were difficult. I don't even know how I was able to go on and not contact her after I told her how I felt but I somehow kept going, I kept living. I feel suicidal, there are days were I want to end my life, but I don't because I don't want to hurt my family. I don't do it because I know I'm stronger than my mind. I don't do it because I know there's so much more to life.
Im going to be 25, and she was my first ever girlfriend; I know sad. She was my first kiss and prior to this I only ever been in talking stages and I've done an incredible transformation for myself prior to meeting her. I was 225 lbs and I slimmed down to 170 in about a year. I became more social and confident and then one day I met her at work. We actually sat close to each other at our training then 2 months into our work we were assigned to sit next to each other. Slowly but surely we became talking to eachother and eventually we were attracted to each other and we began dating. We only dated for 6 months. But in those 6 months I never felt so happy. I never felt so loved and cared for. I never felt accepted before until I met her.
I know this wasn't short by any means and my thoughts are all jumbled and unorganized but I just had to get this of my chest. I just need a reminder that I'll be okay. That I'll get over this heart break and that I'll be just fine being alone. I know happiness comes from within and that the only person to will be with me is me, and that being kind to myself is the most important thing to being mentally healthy. So to me, writing this and hoping someone relates or someone can wish me luck is a way of healing.
Sorry for making a long and unorganized post yall, I just had to clear my mind. Thank you for reading and I hope you have a good day, take care.

Hi there, I started following and checking charts this year. I made few successful trades and also invested in few stocks for long term. My portfolio is 240k€ now. I been reading stuff on reddit, mostly on wallstreetbets, i know, not the best source of informations. For newcomers do u recommend any books, or yt channels? I thinking to go to full time trading.

Hey all,
Long story short, I'm using a part of the Edward Conze translation of Questions of King Milinda to write a final paper on how Buddhism and Daoism handle the concept of "the self" for my Asian Philosophy class. Anyway, you can probably guess from the title that I'm struggling to understand what a certain part of it is trying to say. Here's the excerpt with the part I'm struggling with in bold:

c. Personal identity and Karma The king asked: 'Is there, Nagasena, any being which passes on from this body to another body?' 'No, your majesty!' ' If there were no passing on from this body to another, would not one then in one's next life be freed from the evil deeds committed in the past?' 'Yes, that would be so if one were not linked once again with a new organism. But since, your majesty, one is linked once again with a new organism, therefore one is not freed from one's evil deeds.' 'Give me a simile!' 'If a man should steal another man's mangoes, would he deserve a thrashing for that?' 'Yes, of course!' 'But he would not have stolen the very same mangoes as the other one had planted. Why then should he deserve a thrashing?' 'For the reason that the stolen mangoes had grown because of those that were planted.' 'Just so, your majesty, it is because of the deeds one does, whether pure or impure, by means of this psycho-physical organism, that one is once again linked with another psycho-physical organism, and is not freed from one's evil deeds.' 'Very good, Nagasenal'

I take this to mean that even though the victim of theft didn't originally plant the mangoes, they still got them from somewhere, which means harming the mango victim is by extension harming the original grower. If this is a decent take on it, that's great. But I still don't understand what that means in terms of how Buddhism "preserves karma" from "one life to the next," especially compared to Hinduism.
To be honest, I'm not even using this specific part in my paper. I just found this class extremely interesting and enriching. Really, I'm just asking for some discussion about it!

I’m talking long term relationship, not just some one-night fling. What progression is best for this type of thing? I’ve never had a girlfriend before, and I’m assuming it’s because I’ve been using the wrong chord progression when approaching women.
And before you say it, yes, I try 0-3-5ing every single time, but still no luck 😭

Hello all,
Long post ahead. I'm asking a lot, so I know an answer to each question would be too much to ask for. However, it would be really helpful if anyone could answer any one of them.
I am someone considering making General Practice my career. I don't know any GPs on a personal level to ask any of my questions. So, for the past few months, I have been doing intensive reading about GP online. However, I have seen a lot of contradicting opinions. Therefore, I made this account so that I could clear my doubts instead of waiting for each and every post on Reddit to see if it answers my queries. I hope this is the right place to ask. If not, please feel free to redirect me.
1.What do you see as the future of GPs in the UK?
I recently read a post about removing PAs from GP practices. Also, how long do you think ARRS will exist? Will these become extinct in the near future? When the realization that these increases workload rather than decreasing it sets in, will the funding be cut and go back to how it was? Some posts about how the job market for locum and salaried jobs have saturated quickly, yet still unable to meet demand, have been seen online. Will the removal of ARRS change this? (Of course, if it's possible).
2.The NHSE plans to increase GP training places by 6,000 in 2031, which is nearly a 2,000 increase. Will such a move make it capable of solving the GP shortage in the UK? A lot of discussions about grueling long hours, like 10-12 hour days for GPs, are often mentioned. Can an increase in GP training places, which essentially increases the number of GPs, reduce this workload?
3.What is the reality about GP working hours for a salaried position? Of course, partners will work long hours, but what are the usual hours for a salaried GP? I saw an article stating that a 3-day part-time work week essentially amounts to 36 hours, even for a salaried position. Initially, I thought this to be an exceptional scenario, but the more I read, the more I realize this is a common scenario. Some even say that if a GP appears to work only three days, they may probably work on other days to catch up with pending referrals, paperwork, etc. Is this a bit of hyperbole, or is it a fact?
4.How will privatization affect primary care? Will it be essentially profit-driven, potentially making it more grueling for employees?
5.Most posts about GP will have a comment about "CCT and flee," with many mentions of Australia, New Zealand, and Canada. What about Ireland? Is there any specific reason Ireland is not mentioned frequently, especially when its proximity to the UK is closer than the other countries?

Full disclosure, this is all hypothetical, and my meager holdings of Alphabet are below double digits.
However, Alphabet has been going down a bad path, and the management is hollowing out the value of this tech giant for short term profit. I understand Alphabet needed to reorganize and slim down. Yet, there are strategic reductions, and then there is peacocking to investors for short term gain.
I think a lot of Google’s problems have stemmed from Sundar mismanagement of the company. The company has only iterated on existing products, and it has failed to innovate at all. It is inevitable to some degree, but it shouldn’t have happened so quickly. Alphabet had years of a head start and the best talent in the market.
In sum, I think the recent reductions and policies are really trading short term gains for the long term viability of the company. These are opinions to an extent, but it is hard to defend the management given any recent headline.

Hi, so I withdrew quickly off my Prozac (20mg - have been taking it for ten years) about 5 months ago, as I was in a relationship and wanted the libido side effects to cease, which they did. I had brain zaps for a month but nothing too bad, I noticed myself getting down over the months which is weird because I didn’t have depression before taking it (took it for anxiety). Suddenly a month ago, I had a really bad panic attack in the passenger seat of a car, it felt so physiological and there was no real trigger. Now I’ve been getting panic daily and it’s ruining my job. My question is - is it possible to get long term withdrawal symptoms from SSRI withdrawal, and is it possible to develop severe panic disorder from withdrawal also? If so, I probably have to go back on. Thank you.

The goal here is to get a perfect score, everyday, no matter how long it takes you. Of course you can move, pan and zoom.
Lowest time wins, although this is more a personal challenge, to be patient and persevere.
Comment below on how you found hints, what made it difficult... That's half the fun of the challenge!
Challenge link for today:
https://www.geoguessr.com/challenge/ZSSAHAh4HvqQrPe1

I don’t want to get into it to avoid getting amped up but how do you guys mitigate stress when working for a bad tech company? I’ve worked in tech for almost a decade and it’s never been this bad.
The main issue for me is horrible management, to the point where there’s no accountability and a lot of pressure on our team - I’m angry every day because my job is so ridiculously difficult. My manager likes to impress other teams by having us take on work we are not qualified to do, including but not limited to legal requests that have legal terms I don’t understand and I constantly have to research legal documents to understand what the hell I’m reading. The work I do is high-risk AF I’ve voiced my concerns as I never went to law school and I’m constantly ignored and told to “just do it”. If I mess up, it falls on me, not management. I work in technical support, yet I do so many stupid workflows that don’t fall into that category. This is just one example. Am I just being a brat and do I need to suck it up or is this abnormal?
Today I had to take a mental health day and almost put in my resignation - I’m applying daily and just want to get out of here. My old company was acquired by a bigger one last year and this entire year has been hell. My mental and emotional health has def taken a dive. Does anyone have a good way to deal with work stress like this? I feel like I just need to compartmentalize until I can leave.