Harvesting lesson plan 1-2 grade

A Place for Reading Teachers

2014.08.13 02:10 Njdevils11 A Place for Reading Teachers

This sub reddit is for literacy teachers to share strategies, tips, pitfalls, and successes. All teachers are welcome, but this sub is dedicated to teaching emerging and elementary literacy skills.
[link]


2024.05.16 10:23 StunningConcentrate7 Slower speeds even when devices on same WiFi

reposting from: https://discuss.zerotier.com/t/slower-speeds-even-when-devices-on-same-wifi/20128
Hi
I’m using ZT to share selfhosted apps with my family.
While sharing media files, I noticed that transfer speeds are slow even when devices are on the same local WiFi.
To investigate, I set up Librespeed on my laptop. Then I did speedtests via my Android phone, connecting to my laptop. Both devices are on my home WiFi router which supports ~100Mbit/s speed between devices.
I don’t know exact overhead of encryption on ZT, but getting only one-third network bandwidth seems too less.
I checked sudo zerotier-cli peers which shows me “DIRECT” connection to phone, beside its local IPv4 address as I would expect.
```
200 peers
62f865ae71 - PLANET 111 DIRECT 4583 199706 50.7.252.138/9993 778cde7190 - PLANET 242 DIRECT 19600 199565 2605:9880:400:c3:254:f2bc:a1f7:19/9993 aaaaaaaaaa 1.12.2 LEAF 376 DIRECT 16463 16463 aaaa:aaaa:aaaa:aaaa:aaaa:aa:aaaa:aaaa/39787 cafe04eba9 - PLANET 182 DIRECT 19600 199617 84.17.53.155/9993 cafe9efeb9 - PLANET 298 DIRECT 19600 199500 2605:9880:200:1200:30:571:e34:51/9993 aaaaaaaaaa 1.12.0 LEAF 204 DIRECT 4583 4369 192.168.29.109/9994 ```
Last one is my phone. I intentionally changed the path for the first LEAF and ztaddr for both before posting here.
My phone has MIUI 12.0.3, Android version 10. The ZT version as reported on footer of application is 1.12.0-3. I installed it via Play Store.
On my laptop, I have EndeavourOS. zerotier-one -v shows 1.14.0.
Is there any way I can go about troubleshooting this issue? Can I somehow conclusively verify that the connection from phone to latpop is indeed peer - to - peer?
Thanks.
tl;dr - Even when devices are on same WiFi, I get one third the speed that my router can support, if I use ZT.
submitted by StunningConcentrate7 to zerotier [link] [comments]


2024.05.16 10:21 Galaxy_Light_1 Advice on whether to choose Medtech or Nursing?

Hi, I plan to get a 2nd degree. In terms of:
  1. Employability abroad
  2. Toxicity (I prefer less stressful job bet.the two as I'm getting older. 30)
Which one is better?
submitted by Galaxy_Light_1 to medschoolph [link] [comments]


2024.05.16 10:21 Defiant_Buy_101 The diagnosis delemia: behind the multi million dollar industry of healthcare monitoring

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.
submitted by Defiant_Buy_101 to legaladvice [link] [comments]


2024.05.16 10:21 ufka1 4 in ceiling speakers setup separate from home theater

Purchased a home with 4 in-ceiling speakers (builders grade) in living room but don't plan on using it for home theater. I'm not an audiophile and we don't watch TV in this room often enough to justify buying a 9.x AVR. At first I was thinking of getting a Sony STRDH790 7.2 AVR to get a basic setup going and only use the two rear ceiling speakers as Atmos. Most likely my setup will be 3.1 but in order to use the ceiling speakers as Atmos from all the AVRs I've seen I would need at minimum 7.x.
Is there another solution to power all 4 ceiling speakers for music only instead of buying a 9.x AVR. I know Sonos is an option, but is this the only option? Thanks in advance.
The cost of the Sony AVR and Sonos would be $1150 so another $650 for the 9.x is not a dealbreaker, just seeing what other options are out there.
submitted by ufka1 to hometheater [link] [comments]


2024.05.16 10:21 David_Fonts Which PC: Better CPU or better RAM?

I'm gonna buy a PC with the exact same GPU (Nvidia RTX 4070 Super) and other similar components, except for the CPU, motherboard and RAM generation. Could you help me decide which one should I get? I play every type of videogames, from Warzone to Elden ring to newer releases and I plan on playing on my 1440p 165hz monitor. I'm conflicted, because I don't know which one would run better for gaming and ALSO which one would be best future proofed (I know everything will be obsolete soon, but anyways). These are the two options:
Option 1: CPU: Intel Core i7-14700F Motherboard: B760M DDR4 RAM: 32GB DDR4 3.200MHZ Cooling System: Liquid
Option 2: CPU: Intel Core i7-12700F Motherboard: B760M DD5 RAM: 32GB DDR4 5.200MHZ Cooling System: Air Cooler
Price is almost the same.
I appreciate your opinions! Thanks!
(English is my second language, I'm sorry for any misspelling and/or if something doesn't make sense)
submitted by David_Fonts to PcBuild [link] [comments]


2024.05.16 10:19 Galaxy_Light_1 Advice on whether to choose Medtech or Nursing?

Hi, I plan to get a 2nd degree. In terms of:
  1. Employability abroad
  2. Toxicity (I prefer less stressful job bet.the two as I'm getting older. 30)
Which one is better?
submitted by Galaxy_Light_1 to MedTechPH [link] [comments]


2024.05.16 10:19 Edward9487 Which lens should I bring to EU travel

Hi all, I currently upgrade my A7M2 to A7C2 and a 50 1.4 GM together. I am also planning my honeymoon to GB/FCH/IT this October.
Here are all my lens and I wonder which 2 to bring. (I might just bring 2 at most)
  1. Sony 55 1.8
  2. Sony 85 1.8
  3. Sony 50 1.4
  4. Tamron 28-200
  5. Tamron 20 2.8
  6. Sony 2470 ZA F4 (first lens but so bad)
I've heard you need at least a 16mm or wider for traveling to Europe, but after considering for a while between16-35/17-28 at beginning, I finally got the 50 1.4 at this time which I think might be used more often for daily. But I'd still like to check with you guys do I really need to get one more for this 2 weeks trip?
Thank you!
submitted by Edward9487 to SonyAlpha [link] [comments]


2024.05.16 10:17 Electrical-Cook-6804 Laptops or Virtual Desktops

I'll keep this short just looking for some direction.
Current state:
600 Users. Majority on site with limited WFH.
30% Laptops/70% Desktops split
Hybrid Infrastructure - M365 and On-premise ERP
ERP will continue to stay on-premise due to its heavy data/network/CAD workload.
WFH is a mixture of remote desktop to RDS farm or remote desktop to users office workstation.
Future state:
I am looking to move to a model where we can be more agile in the way we work and respond to DR scenarios. Recent event was a simple plumbing issue which meant we had no running watetoilets for a week. This was enough to call on our DR plan and move users home. This has been the first real scenario since COVID but since then we have grown and acquired.
My options at this stage is:
  1. Increase our laptop workforce, but I am hesitant due to the reliance on heavy workloads.
  2. Look at a Citrix or similar VDI environment and move to thin clients.
As much as moving to laptops is the simpler solution, I still like the desktop model but open to your thoughts and experiences.
submitted by Electrical-Cook-6804 to ITManagers [link] [comments]


2024.05.16 10:11 Scared-Gift8980 Profile Pensions - £50 Amazon gift card

Profile Pensions offers an easy way to combine, save, and access (from age 55) your pension online.
They currently have an offer to get a £50 Amazon gift card when you sign up with a referral link and transfer a pension or make a pension contribution of £1,000 or more.
When I signed up I had a pension pot from my first job that I transferred across which was really easy to do.
Sign up steps:
  1. Sign up with a referral link & enter your email address
  2. Set up your account from the link sent to your email, your national insurance number will be asked for at this point. You'll also answer questions that will help determine what portfolio your money will go into, you can choose between things like cautious and adventurous.
  3. Transfer a pension of £1,000 or more (I think this did take a few weeks to go through for me from what I remember but I didn't have to do anything after requesting it) or set up a one-off pension contribution or set up regular pension contributions, again totaling £1,000+.
The terms state 30 days after your purchase your reward will be emailed to you however they do run a bit slow in sending them out, at least they did for me. The best thing to do if its been over 30 days since your payment went through is go into your inbox and send them a message, when I did this they credited the gift card to me the next day!
They have a small annual fee that ranges between 0.82%-0.87% depending on the plan you're on.
Sign up to Profile Pensions here & get a £50 Amazon gift card
nonref
Reward T&Cs
submitted by Scared-Gift8980 to beermoneyuk [link] [comments]


2024.05.16 10:11 Galaxy_Light_1 Medtech or nursing?

Hi, I plan to get a 2nd degree. In terms of:
  1. Employability abroad
  2. Toxicity (I prefer less stressful job bet.the two as I'm getting older. 30)
Which one is better?
submitted by Galaxy_Light_1 to OffMyChestPH [link] [comments]


2024.05.16 10:04 Hot_Bandicoot_3839 Beginner's Guide to Configuring TrueNAS

Beginner's Guide to Configuring TrueNAS
https://preview.redd.it/m45mcme8vq0d1.jpg?width=1200&format=pjpg&auto=webp&s=0d836ec3e7d12f6ae66df3e737f1d16c7940b5da
Do you require a gadget with a large amount of storage capacity? TrueNAS is a storage software that is excellent for safeguarding documents, music, video, and photo information. It also makes sharing and accessing it from many devices simple. We made a guide to help you set up TrueNAS CORE on your computer and get your TrueNAS data back. You will also learn what kind of PC TrueNAS CORE needs to be set up.

TrueNAS System Installation Requirements

Many various system setups are compatible with TrueNAS. Still, the system requirements for TrueNAS CORE may be different for you based on how your equipment is set up and what you plan to do with your machine.
Needs include:
Processor: A two-core AMD x86_64 or an Intel 64-bit processor will do.
RAM: For a better experience, at least you should have 8GB of RAM.
Storage: You need sixteen GB SSDs or at least two identical hard drives to set up TrueNAS.
Networking: WiFi is incompatible, hence you need an Ethernet cable.

How Do I Configure TrueNAS for Data Recovery?

Initially, TrueNAS CORE installation could appear difficult. Here we listed all of my experience to facilitate your job. Run TrueNAS with little to no problems at all. Steps below guide you through the TrueNAS setup.
Step 1. Construct a bootable disk or include the installer on a device.
Obtain the software and install it on the TrueNAS-enabling device. Installing can then begin. Two approaches are mentioned below to accomplish that:
  • Include it into something.
  • Make a bootable drive.
Get the TrueNAS CORE installation tool and put it on a DVD or USB stick so you can add the program to a device. Next, connect the unit to your PC.
To make a drive that works, you need to use a tool to copy the setup software to a USB stick and then set up the stick to boot. In general, the second way is faster and easier than adding the software by hand.
Step 2. Restart the computer and choose the installation drive as the startup drive.
Upon completion of the previous step, restart the system.
Once more the installation options will appear. Hit Enter or click OK to start configuring the TrueNAS core.
Next, you'll see the TrueNAS computer setup options. Click Install/Update to initiate TrueNAS CORE setup.
A list of the available drives is displayed on the following screen. Go for the boot drive instead of the file disk. If you're not sure which one is the boot device, check the disk sizes. Usually, the start device is smaller than the storage disk; to access it, use Space and the arrow keys.
There will appear an alert window. Go ahead and hit Yes and OK.
Step 3. Start over to start building.
Next, restart TrueNAS CORE so that you can start setting it up. Any changes you make to TrueNAS while it is still being set up need to be restarted for them to take effect.
You have to restart because not doing so will undo all the changes you made during the download. The device will also start up with the new software and operating system.
Step 4. Run the application.
After the computer restarts, proceed with the installation and configuration of TrueNAS.
Selecting between UEFI and BIOS booting TrueNAS CORE is now your task. The software will select one of the two depending on how you configure it. For those who are unaware, most of the time UEFI functions best with newer hardware and BIOS with older hardware. Furthermore influencing the choice will be the operating system and software requirements.
Finishing the process should just take a few minutes.
Step 5. Hard Restart and Delete the Install Communications
When installation is finished, a message will appear advising you to restart the machine and delete the installation files. To restart, click OK before removing the program CDs. Then you're through.

Software Recovery of TrueNAS Data

While they might not always be successful, there are methods to restore TrueNAS data.
  • Many factors influence how quickly you can recover lost data on TrueNAS CORE, including the type of data and how long ago it was lost.Regular backups are the best way to keep your info safe.
  • You can still use recovery tools from outside sources, like the BLR NAS recovery tool.
  • It's easy to get back lost info on TrueNAS with this software. It's very easy to do.
  • Open BLR Tools and pick NAS Recovery from the choices for NAS and Linux once the installation is done.
  • BLR Tools will look for free NAS disks on its own. Then you should choose the TrueNAS device where the data was lost.
  • TrueNAS may connect to the data recovery tool remotely once you enter the required information. Just click "Connect."
  • BLR Tools starts searching your TrueNAS for missing or deleted files as soon as the connection is established. Select the files you want to have returned from the discovered list after the check is complete.
  • Ultimately, select the location for the recovered files and hit "Recover."

In the end

Photos, music, and documents—all of your files—are safe and easily accessible with TrueNAS CORE as storage software. It serves as the foundation for storage software that functions on specialized storage systems and virtual machines among other devices. The fact that there are both free and premium versions of the software is its wonderful feature.
Then, after reading about the requirements for your computer to run TrueNAS, use our simple setup instructions. To immediately recover TrueNAS data, just follow the BLR Tools instructions.
submitted by Hot_Bandicoot_3839 to datarevivalsquad [link] [comments]


2024.05.16 10:02 BeTheLight514 I 23M believe I emotionally cheated on my girlfriend 23F did I?

I 23M have been dating my girlfriend 23F for 3 years. I’ve always been against cheating and so has she. We both agreed that cheating is over friendly behavior such as flirting and anything beyond that. In the 3 years we’ve been together I’ve never flirted with another woman or anything beyond that.
Now this is where the issue begins. About 1 year before I met my girlfriend. I was in a friend group of 3 individuals. It was me and two girls. I developed a crush on one of the girls and eventually this led to feelings. I wasn’t in love with her but I did have feelings for her. Anyway, this girl was already committed so I NEVER confessed or even tried anything with her. I respected the friendship and the relationship and acted appropriately at all times.
Eventually this friend group faded and by the time I met my girlfriend the contact with them was pretty much gone. Either way I’ve always been against having close female friends because I have my girlfriend who is my best friend. I believe I ran into the girl once during the first year of my relationship but it was just a quick greeting and asking how everything was and nothing else.
So about 2 months ago. I went to the church where we this old friend group knew each other from. I was aware that the girl I had a Crush on ended up moving away so I did not expect her to be there at all. If not I wouldn’t have gone.
I was going to see the congregation which I was close with back then as well as the other people who I knew as it had been a while. To my surprise, she was there as well. Our interaction was normal all the way through and we sat together during the service. I noticed she dyed her hair black and gave her a normal compliment saying it looked good on her. It was an honest compliment I was not trying to flirt with her or anything like that.
Now the issue is that I started feeling old feelings again. I don’t know why but I did. I found out she was going to be there for a while so I did want to hang out again. Not alone at all. With other people from the church whether we were in the church or outside of it.
I found myself going to the church 3 more times in hopes of seeing her. I told my girlfriend I wanted to hang out with everyone including the girl but it was really mainly to see my ex crush. All my feelings were interior I never flirted with the girl, I never made a move, I never tried anything. As far as the ex crush is concerned, there’s no reason for her to believe that I had a crush on her or what I was feeling in the moment.
I ended up seeing her twice after the initial time, so a total of 3 times I saw her. The second time it was normal chatter and the third time as well. This all took place at church and around others. I honestly wanted to be around her was all. I texted her once to ask about hanging out as a group with the other people from church and then later to confirm one of my other friends schedule and when he was free. I texted her asking her when was the time of one of the events the church was hosting, and I texted her once to ask her if they needed help setting up for a separate event. That was the end of the convos. It wasn’t anymore than that.
I ended up confessing to my girlfriend the real reason I kept wanting to go to the church. I told her it was really to see the girl who used to be a good friend of mine. I did it behind her back and she was obviously hurt. I made it clear no flirting happened or anything beyond that which is true. She forgave me and that definitely did break trust as I did lie about why I was going. Yeah I wanted to see the others but it was mainly for the old friend.
So my girlfriend is aware 100% that anytime AFTER the initial visit to the church, I went to go see the girl but she just does not know about the things I was feeling. I want to tell her because I believe she needs to know in order to decide if she wants to stay in the relationship. I knew 100% I was not gonna Cheat on my girlfriend because I love her to death and that’s out of character for me. I would never hurt her in that way. It’s messed up but I just wanted to be around the old friend because those old feelings felt nice. I was never planning on acting on them in any way but I still acted on them in a way but continuing to go. Anyway, the girl went back to her city and I kept going for a few weeks but quickly stopped going. All those stupid old feelings ended up fading rather quick and I knew it was nothing but reminiscing or nostalgia. Whatever you wanna call it. It doesn’t justify it though
I take full responsibility for my actions and I’m expecting my girlfriend to break up with me when I do confess. I just wanted to hear what people thought of the situation. Did I emotionally cheat or did I not?
Whether I did or not will not stop me from confessing. Thank you all for your input.
TL;DR I’m confessing to my girlfriend that I believe I emotionally cheated on her
submitted by BeTheLight514 to relationship_advice [link] [comments]


2024.05.16 10:01 Cranes_Varsity The Importance of a Robust Corporate Training Program

In today's fast-paced and ever-evolving business environment, companies must continually adapt to new challenges and opportunities. One crucial element that enables businesses to stay competitive and innovative is a robust corporate training program. In today's fast-paced and ever-evolving business environment, companies must continually adapt to new challenges and opportunities. One crucial element that enables businesses to stay competitive and innovative is a robust corporate training program. These programs are designed to enhance employees' skills, improve their performance, and align their goals with the organization's objectives.
In this blog, we will explore the importance of corporate training programs, their key components, and how they can be implemented effectively.

Why Corporate Training Programs Matter

1. Enhancing Employee Skills and Knowledge

Corporate training programs provide employees with the necessary skills and knowledge to perform their jobs effectively. Whether it's technical training, leadership development, or soft skills enhancement, these programs ensure that employees are well-equipped to handle their responsibilities and contribute to the company's success.

2. Improving Employee Performance and Productivity

Well-trained employees are more efficient and productive. They understand their roles better, can navigate complex tasks with ease, and are more likely to produce high-quality work. This, in turn, leads to improved overall performance and productivity for the organization.

3. Boosting Employee Morale and Job Satisfaction

Investing in employee development shows that the company values its workforce. This can lead to higher job satisfaction, increased morale, and greater employee engagement. When employees feel supported and appreciated, they are more likely to remain loyal to the company and perform at their best.

4. Aligning with Organizational Goals

Corporate training Courses help align employees' skills and performance with the company's strategic goals. This ensures that everyone is working towards the same objectives, fostering a cohesive and collaborative work environment.

5. Attracting and Retaining Top Talent

Companies that offer robust training and development opportunities are more attractive to top talent. Prospective employees look for employers who are committed to their growth and development. Moreover, existing employees are more likely to stay with a company that invests in their future.

Key Components of an Effective Corporate Training Program

1. Needs Assessment

Before designing a training program, it's essential to conduct a needs assessment to identify the skills gaps and training requirements within the organization. This involves analyzing job roles, performance data, and employee feedback to determine the specific areas that need improvement.

2. Clear Objectives and Goals

Setting clear, measurable objectives for the training program is crucial. These goals should align with the organization's strategic priorities and be communicated to all participants. Clear objectives help ensure that the training is focused and effective.

3. Comprehensive Curriculum

A well-rounded training program should cover a range of topics relevant to the employees' roles and the company's needs. This may include technical skills, industry-specific knowledge, leadership development, communication skills, and more.

4. Engaging Delivery Methods

The success of a training program often depends on how the content is delivered. Interactive and engaging methods, such as workshops, e-learning modules, simulations, and group activities, can enhance learning and retention. It's also important to consider different learning styles and preferences.

5. Experienced Trainers and Facilitators

Having knowledgeable and experienced trainers is essential for effective training. Trainers should not only be experts in their fields but also skilled in teaching and facilitating learning. They should be able to connect with employees and create a positive learning environment.

6. Continuous Evaluation and Feedback

Regular evaluation of the training program is necessary to ensure its effectiveness. This can be done through feedback surveys, assessments, and performance metrics. Continuous improvement should be a key focus, with adjustments made based on feedback and outcomes.

Implementing a Successful Corporate Training Program

1. Gain Executive Buy-In

Securing support from top management is crucial for the success of any training program. Leadership should understand the value of employee development and be willing to allocate the necessary resources and budget.

2. Create a Culture of Learning

Promote a culture that values continuous learning and development. Encourage employees to take ownership of their growth and provide them with the time and resources to participate in training programs.

3. Leverage Technology

Utilize technology to make training more accessible and flexible. Online learning platforms, virtual classrooms, and mobile learning apps can help reach employees across different locations and provide on-demand training.

4. Tailor Training to Individual Needs

Recognize that employees have different learning needs and career aspirations. Offering personalized learning paths and opportunities for career development can enhance the relevance and impact of the training program.

5. Measure and Celebrate Success

Track the progress and impact of the training program through key performance indicators (KPIs) and success stories. Celebrate achievements and milestones to motivate employees and highlight the benefits of continuous learning.

Conclusion

A robust corporate training program is a vital investment for any organization aiming to thrive in today's dynamic business landscape. By enhancing employee skills, improving performance, and fostering a culture of continuous learning, companies can achieve their strategic goals and maintain a competitive edge. Implementing an effective training program requires careful planning, ongoing evaluation, and a commitment to employee development. With these elements in place, organizations can unlock the full potential of their workforce and drive long-term success.
submitted by Cranes_Varsity to u/Cranes_Varsity [link] [comments]


2024.05.16 10:01 knoober69 Seeking Tips for My First Quarter Triathlon and Beginner Gear Recommendations

I'm excited (and a bit nervous) to share that I've signed up for my first quarter triathlon! As a newbie to the triathlon world, I'm looking for any tips or advice that could help me prepare and perform well on race day.
Specifically, I'm wondering about:
  1. Training Tips: What should I focus on in my training leading up to the event? Any recommended training plans or resources?
  2. Race Day Strategy: How should I pace myself during the swim, bike, and run segments? Any tips for managing transitions smoothly?
  3. Gear Recommendations: As a beginner, what are the essential pieces of gear I should invest in? I'm particularly interested in recommendations for a trisuit and wetsuit that are suitable for someone just starting out.
Any advice, personal experiences, or gear suggestions would be greatly appreciated.
submitted by knoober69 to triathlon [link] [comments]


2024.05.16 10:01 AutoModerator IF YOUR NAME IS DAVID, DO THIS ON MONDAYS

https://www.youtube.com/shorts/XIdus1PkoRM
david
david's bridal
david sanborn death
david adelman
attenborough david
arquette david
about david beckham
about david goggins
about david warner
about david jones
david bridal
beckham david
baldacci david
b david jewelry
brooks david
bridal david
benavidez david
book david goggins
byrne david
berkowitz david
camp david
craig david
cazzie david
caleb plant vs david benavidez
cameron david
cost of david lloyd membership
crosby david
caruso david
children of david beckham
cassidy david
david dastmalchian movies
damiano david
david jones david
david bowie david bowie
duchovny david
de gea david
david gilmour david gilmour
d david morin wikipedia
d davidson
david soul david soul
ew david
edgar david
elmo larry david
eyewear by david beckham
e david scott
emerson joseph david
everest david sharp
ex girlfriend of david licauco
eddings david
earl david
david fincher movies
fr david
fofana david
friedberg david
fincher david
foster david
friends david arquette
frum david
frost david
fletcher david
david gilmour tour
david gilmour tour 2024
david goggins wife
david goggins book
goliath and david
goggins david
gilmour david
guetta david
grann david
geffen david
giuntoli david
glatzel david
david harbour movies and tv shows
hasselhoff david
how is david attenborough
how is david beckham
harbour david
h david werder
how is david jason
how to be david goggins
david in the bible
david isaacman
david iacono movies and tv shows
david in spanish
david in hebrew
is david attenborough
is david mccallum
is david bowie
is david beckham
is david schwimmer
is david goggins
is david kushner
i david plaza
david jeremiah radio
david jeremiah books
john david washington
jason david frank
jonathan david
john david washington movies
joanna david
joseph david emerson
jennifer bet-david
jacques louis david
joel david moore movies
juan david borrero
david krumholtz movies and tv shows
david kushner tour
david kushner daylight lyrics
keith david
keith david movies and tv shows
king david
king david in the bible
king david hotel bombing
karen david
king david hotel
kara david
kevin david lehmann
killer david fincher
david lynch movies and tv shows
david laid
david lucas
larry david
larry david net worth
larry david wife
laurie david
leslie david baker
labyrinth david bowie
life of david gale
lee david
lutalo david
lynch david
david montgomery stats
mark david chapman
michelangelo david
mccallum david
miller david
montgomery david
moyes david
martin david
movies with david bowie
movies with david spade
david name meaning
david njoku stats
no david
nabil david huening
netflix david beckham
net worth david beckham
nelson david
net worth larry david
net worth david schwimmer
niven david
net worth of david goggins
net worth david foster
david oyelowo movies and tv shows
david of nypd blue crossword
once in royal david's city lyrics
one day david nicholls
on king david
order of david baldacci books
oyelowo david
old david beckham
ornstein david
ortiz david
olusoga david
patrick bet david
patrick bet david net worth
pizza david
perfume david beckham
pull up record david goggins
pastrnak david
p david table tennis
platt david
pawson david
david quarles
david quinn detective wife
queen and david bowie under pressure lyrics
queen david bowie
qvc david venable
que significa la estrella de david
quotes david goggins
quotes by henry david thoreau
quien fue david en la biblia
queens plaza david jones
que significa david
raya david
real madrid david beckham
roses david austin
rockefeller david
robinson david
reinbacher david
ross david
robertson david
david sanborn songs
david spade movies
star of david
statue of david
sir david attenborough
st david's day
story of david and goliath
songs by david bowie
seaman david
superman david corenswet
silva david
solomon david
david thewlis movies and tv shows
david tennant tv shows
tim david
the star of david
tennant david
thoreau henry david
tepper david
thewlis david
the cross of david
t david harris
t david downs
david ugwoegbu
david underhill
david upchurch obama
unruly david mitchell
una healy david haye
under pressure david bowie
unbelievable craig david
uriah heep david copperfield
ultra marathon david goggins
ushuaia david guetta 2023
unlocking the bible david pawson
david vs goliath
david vs goliath survivor
voco st david's cardiff
victoria and david beckham wedding
victoria and david beckham kids
villa david
victoria and david beckham net worth
von erich david
vegas david copperfield
vine of david
david weekley homes
david white
who is david beckham
where is camp david
who is david goggins
warner david
who is david foster
who is david attenborough
who is larry david
who is david choe
who is david copperfield
david xanatos
david xu
david xavier
david x lucy
david x daniel
david xie
x files david duchovny
xavier david
x factor peter david
x files david
xrp david schwartz
x factor david walliams
x39 david schmidt
x factor david
david x men
x david sacks
david yurman bracelet
david yurman rings
david yurman necklace
david yurman earrings
david yeomans new job
young david beckham
young larry david
young david attenborough
young david
yankutudde by david mp3 download
young david bowie
young david tennant
youtube david bowie
young david hasselhoff
young david gilmour
david zwirner gallery
david zayas movies and tv shows
david zhang
ziva david
zion david marley
ziggy stardust david bowie
zodiac david fincher
zoolander david bowie
zaslav david
zara larsson david guetta
zandstra david
ziegler david
zwirner david
david 03
david 007
david 08
david 013 photos
007 david niven
00s david beckham
david saw 0.5
david's perfume #01
0nce in royal david's city
02 st david's cardiff
0nly_david tiktok
  1. the wager by david grann
08 haimes david a
06_david
saw 0.5 david
13/08/21 david raya
david 1988 cast
david 1997 cast
david 100 foreskins
david 1988 trailer
david 1988 full movie
david 14
david 1000 yard stare
1776 by david burke
1776 david mccullough
1978 camp david accords
10 mahavidya david kinsley
1 david ortiz drive
14 day trial david lloyd
1998 world cup david beckham
10 mahavidyas david kinsley pdf
1 david lane yonkers ny
1 david myers parkway
david 200 foreskins
david 23
david 21 day fast
david 2025
david 24 art light
david 2024
20 david meaning
20 david
20 david swat
24 david palmer
2 week trial david lloyd
2000cc david putra bike
247 david stone
2003 david beckham
2 davids lane ossining ny
247 david sanders
david 33 years in prison
david 300 leg extension
david 3 16
david 3d scanner
david 3 choices
david 37
david 3 loom
david 3d model
30 david meaning
316 david low way
3 month membership david lloyd
3d star of david
3 month trial david lloyd
3 mighty warriors of david
3aw david armstrong
3 david brainerd drive
335 david warner
3 david statues
david 400 men
david 4 painting
david 400 pullover
davis 4x4
david 4 police
david 4 20
david 4x4.com
46 david street hampton
425 david street albury
4x4x48 david goggins
41 david street thorneside
4847 david s. mack drive
49ers david lombardi
48 hours david temple
40 percent rule david goggins
48 hours david pearce
444 key of david
david 5 stones
david 5 procedure
david 5 smooth stones
david 5 stones scripture
david 5 star restaurant
david 51
5 years david bowie
50 david meaning
5 lessons from the life of david
5 facts about david attenborough
5 giants david faced
51 david street kitchener
5 stones of david
50 david
5 stones of david sermon
500 david j stern walk
david 60 days in reddit
david 6 feet under
david 600 lb life reddit
david 60 days in season 5
david 6.8
david 60s photographer of celebs and criminals
david 600 lb life season 10
60th birthday rose david austin
60 minutes david byrne
600 lb life david
60 days in david
60 minutes david grann
60 minutes overtime david byrne
600 lb life david and benji
68 david crescent hillarys
620 man david baldacci
6 feet under david
david 775
david 70s show
david 7 art light
david 716 menu
david 75 mg
7 days craig david
7 characteristics of david
70th birthday rose david austin
7 days craig david lyrics
72 david close ocean view
7 lessons from the life of david
73 david street cambridge
73 psalms of david
75 hard david goggins
70s david bowie
david 8 x reader
david 80s singer
david 8 quotes
david 8 alien covenant
david 8 villains wiki
david 84 verse 6
david 8 fanart
8 is a lot of legs david
80s david bowie
8 simple rules david spade
821 david baker way
885 david low way marcoola
870 david low way marcoola
885 david brown tractor
80th birthday rose david austin
874 david manchester road
880 david brown
david 90210
david 90 day fiance sheila
david 925 yupoo
david 911
david 90 day fiance ukraine
david 90 day fiance instagram
david 90 day fiance season 5
david 90 day fiance spain
david 90 day fiance job
90 day fiance david and sheila
90 day fiance david and annie
90 day fiance david and lana
90 day fiance evelyn and david
90210 david gail
9711 david taylor dr
90s david beckham
90210 david silver
990 david brown
995 david brown
submitted by AutoModerator to globalpromo [link] [comments]


2024.05.16 09:59 Snoverz Application Advice

I am a rising senior in college planning on taking a gap year. This summer my main focus is studying for the MCAT which I plan on taking in August. I wanted some suggestions as to what I can focus on to make my application stronger. I want to accumulate more shadowing hours but I am conflicted as to whether I should try to obtain more research experience or continue with my clinical work. Please let me know if you have any suggestions :)
  1. Shadowing (8 hours)
  2. Dr. ***, Dr… (combine) - 8 hours
  3. Clinical (500+ hours)
  4. PCA at Cancer Institute - 475 hours
  5. Hospital volunteer - 40 hours
  6. Non-clinical (70 hours)
  7. Book Pals volunteer - 10 hours
  8. Ronald Mcdonald volunteer - 20 hours
  9. Semester of Service - 50 hours
  10. Leadership (100+ hours)
  11. President and Chapter Founder
  12. Tridelta chair of philanthropy St. Judes
  13. Research (300 hours)
  14. Wet Lab Lab Research Associate - 70 hours
  15. Clinical Lab Research Associate - 230 hours ( no posters/publications )
  16. Paid Work (500 Hours)
  17. Nanny/ babysitter - 500 hours
submitted by Snoverz to premed [link] [comments]


2024.05.16 09:59 erfdan Clarification on Zigbee Hubs and smart light relays

Hey All,
I'm just getting into the smart home world and wanted to ask for some advice and clarification. (Keep in mind that I'm located in Australia so my options are a bit more limited for smart home devices).
I'm planning to get a Home Assistant Green Hub and connect it with multiple Aqara Door Sensors T1 (Zigbee) which is from what I heard the best door sensor for responsiveness and battery life.
Now I can't wrap my head around it or find information on it exactly but would I need both a Skyconnect USB (which I'll already be getting for some sonoff relays) and Aqara E1 Hub to connect it the door sensors to home assistant or would just the Skyconnect I am getting sufficient enough without needing the E1 Hub in this case?
I also have another side question, For my light switches (10-12) mainly I am tossing up between getting: 1: Shelly 1 Plus relays (Wifi) Or 2: Sonoff Smart Relay ZBMINIL2 (Zigbee) - They both cost the same here in Australia and I do have access to the neutral wire behind switches so there's no issue there for the Shellys)
I have a decent mesh system in a sense where I have 4-5 Google Nest Mesh Routers/Points around the house. I will probably end up going with Shelly 1 Plus relays for some other things in the house like Garage doors while also going with Zigbee for door sensors so I'll have integration for both eventually. I just wanted to hear some advice on which one you guys would prefer between the 2 at least mainly for relays behind light switches (couldn't find any better options in Australia unless you have suggestions).
Any help or guidance would be appreciated!
submitted by erfdan to homeassistant [link] [comments]


2024.05.16 09:59 Defiant_Buy_101 The diagnosis delemia: behind the multi million dollar industry of healthcare monitoring

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.
submitted by Defiant_Buy_101 to u/Defiant_Buy_101 [link] [comments]


2024.05.16 09:58 shinedenverco Residential Power Washing Tips From A Pro

Are you ready to revitalize your home's exterior and give it that fresh, clean look? Power washing is a highly effective method to remove dirt, grime, mold, and mildew from surfaces like siding, driveways, decks, and fences.
However, achieving professional-grade results requires more than just blasting away with high-pressure water. Here are some expert tips from a seasoned pro to ensure your residential power washing project is a success:
  1. Assess the Surface: Before starting, carefully inspect the surfaces you plan to power wash. Note any areas with heavy buildup, cracks, or damage that may require special attention or repairs before cleaning.
  2. Choose the Right Equipment: Invest in a high-quality pressure washer suitable for residential use. Consider factors like pressure settings, flow rate, and nozzle options to match the equipment to the specific surfaces you'll be cleaning.
  3. Use Proper Technique: Maintain a consistent distance between the nozzle and the surface being cleaned to avoid damage. Start with a wider spray pattern for larger areas, then switch to a narrower pattern for stubborn stains or detailing work.
  4. Prep the Area: Clear the area of obstacles, debris, and fragile items that could be damaged by the force of the water. Cover delicate plants and landscaping with plastic sheeting or tarps to protect them from overspray.
  5. Use the Right Cleaning Solution: For tough stains, mold, or mildew, pre-treat the surface with a suitable cleaning solution before power washing. Be sure to follow the manufacturer's instructions and test the solution on a small, inconspicuous area first.
  6. Work from the Bottom Up: Start at the bottom of the surface and work your way up to prevent streaking or drip marks. This allows the cleaning solution to effectively loosen dirt and grime as you progress.
  7. Rinse Thoroughly: After applying the cleaning solution and power washing, thoroughly rinse the surface with clean water to remove any remaining residue. Pay close attention to corners, crevices, and textured surfaces to ensure a uniform clean.
  8. Practice Safety Precautions: Wear appropriate protective gear, including safety goggles and gloves, to shield yourself from flying debris and chemicals. Use caution when working on elevated surfaces or near electrical outlets and fixtures.
  9. Regular Maintenance: Keep your home's exterior looking its best by scheduling regular power washing sessions, especially after seasons with heavy rainfall, pollen, or other environmental factors that can cause buildup.
Ready to transform your property and elevate its curb appeal to new heights? Take the plunge today with confidence, knowing that Shine Window Cleaning of Denver is here to help you every step of the way. With our expertise and dedication to excellence, we'll ensure that your home receives the refreshing clean it deserves, leaving it looking radiant and revitalized for years to come.
submitted by shinedenverco to u/shinedenverco [link] [comments]


2024.05.16 09:58 racoonicom Please tell me if i have a chance in the job market

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?
submitted by racoonicom to marketing [link] [comments]


2024.05.16 09:56 shwoopypadawan Needing urgent advice (Study abroad program gone wrong, ~1day to being on the streets)

I'm currently in Berlin, Germany, and about to be homeless for 2 weeks on the streets. I signed up for a study abroad program from my university, which I just graduated from last semester. I paid the application fee, got picked, paid for my own flight here and back, and then got a scholarship from an alumni couple in the department I got my degree in, and that scholarship paid for the rest of the trip.
I worked my ass off doing research and selling a bunch of my stuff to get the plane tickets because I'm pretty broke. I was excited for this trip because I was accepted into a German university for graduate school and figured I'd get a good introduction to living in Germany, and to be honest, Berlin itself has been great, all the locals I've met have been very nice to me, but my professors and everyone working from my university have been really unprofessional and tricky and now I'm in an unsafe position.** EDIT to add that when I say Friday I mean tomorrow, so I have about 1 day until getting kicked out of the hotel.
Long explanation, skip to the bottom for a TLDR:
Before I even got on a single plane, I found out customer service for my phone carrier and I had a misunderstanding a month ago when I bought my international plan and found out about 3 days in advance that my phone would be a brick here. I told the professor immediately and she said worse case scenario she would help me get a working phone when I landed, since it's kind of needed for basic safety. Just half a day before the first flight, I got bitten by a few deer ticks and said I might also need help scheduling a doctors appointment when I land, because our travel insurance required a working phone number and it was too late for me to make an appointment before my flight. The professor said that was fine and I would be helped with that as well, so I got on the first plane in full confidence.
When I landed, a day passed without either thing being handled, and that was fine by me, but then multiple days passed and the professor kind of just waved it off. I'd started to feel a little unwell and asked the professor to help me find a doctor and she said it was just jetlag.
One of the first days of the program we went to a restaurant, and the seating was a very small reserved room with our entire 20+ cohort in it. I have CPTSD and am claustrophobic and knew immediately that I did not want to sit there, so I asked the professor if she could help me ask the staff request a seat for me in the outside dining area, or, if one wasn't available, that I could just sit outside on a nearby bench and skip dinner. She told me the room was reserved for us and this was on the itinerary so I HAD to sit there, and when I again said I didn't think I could, she demanded I sit there again and condescendingly asked me if I really couldn't or just didn't want to. I started to cry as quietly as possible and then that suddenly made her understand, so we went outside and I explained that, in my opinion, trying to force any adult to do something they're uncomfortable with and have said "No" to is bad enough to me normally, but since I have a disability, it's also ableist. I tried to frame that sentiment in a "I'm sure you didn't mean it this way" kind of way but she still took offence to the criticism and I think that led to the rest of this.
After that happened I was feeling more ill and the professor said, "Oh, do you think it's lyme? Because if it was lyme you'd have a rash. It's probably still jetlag". At this point I said again that I needed some help getting a working phone number and medical advice from a doctor and she told me to take responsibility for myself. I'd bought myself a SIM card but it needed some unexpected trouble shooting and everything was in German (I know some German but only around A2 level and absolutely none is required for this program), so I'd already tried to help myself, and again could not schedule myself an appointment without a working phone.
I asked the professor if she could put her phone number in just to let the appointment scheduling process complete and she said no. I asked if she had any other ideas and she again told me to figure it out. I wound up walking 20 minutes through Berlin alone with no working phone to a doctor's office unannounced, barely able to fill half the sign in sheet and navigate the language barrier, and successfully got the antibiotics I needed and a lyme diagnosis. The nurse even asked why I came alone. Thankfully for me everyone in the doctors office including the doctor was very very nice to me despite the curveball I through them.
Not long after all that the professor sent an email with me cc'd in to the office of international affairs at the university, and the email said, in effect, "This student said they have a disability and can't stick to the itinerary and therefore I think they're not a good fit for this program and should go home." I immediately responded that that wasn't accurate, that I just could not sit inside a restaurant or other very cramped space, etc. Then I figured while I was at it I'd tell them about the total lack of care for my safety or wellbeing here. After sending that email the professor confronted me and tried to pretty much intimidate me into admitting everything was all my fault or something, I honestly have no clue, I think she was just upset and trying to make me feel better somehow. I think my criticism really got to her and made her kind of just hate me and that she wanted to make me make her feelings make sense. No clue honestly.
Anyway, after that the office of international affairs reached back out to me and were acting way nicer than they were when I first enrolled in this program, which felt sus, but I was haggard and miserable and wanted to be able to trust them so I did. They told me if I was considering coming home early for my own health and safety, that I could unenroll that night to make sure the alum who gave me a scholarship would at least be refunded, but that I had to do it that night since it was the last day to drop for a refund. I said I wasn't sure if I wanted to leave the program, and they said if you're considering it unenroll and if you want to stay after further discussion then we can probably just go ahead and re enroll you.
So I did it. The next day I'm scheduled to meet with someone who told me the day or so before that she would be my advocate and that she was there to listen to and represent me, and when I join the zoom meeting, it's her, but also two other people from the international affairs office. They're telling me my return flight has already been scheduled and everything and that they were sending out a person to chaperone me on the flight, because, though it was totally ignored on my flights here, I'd mentioned at the very start of the application process that I'd been a human trafficking victim before and ideally wanted to fly with someone instead of alone. All of this had less than a 24 hour turnaround from me unenrolling.
I realized hours after unenrolling that I don't want to leave the program, I just want to actually be allowed to engage in the program as it was advertised and as it was promised, and that leaving the program, to me, feels like capitulating to the professor being an asshole to me and like removing liability from the university. In short I think I pretty much got tricked into unenrolling. I told them I didn't want to leave early and they told me they already scheduled everything and got a refund for my hotel room, so if I don't take the flight back Friday, I will be homeless on the streets for 2 weeks until the flight that I personally purchased for the 31st, and that since I hit the unenroll button, my housing, health, or safety will no longer be the universities problem after Friday.
So, the fuck do I do with this, ya'll got any advice? I could really use some. Or even just some support haha.
TLDR: Got tricked into hitting unenroll button after damaging professors ego, most likely purposely tricked to absolve the university of responsibility because how the profs were treating me and everything I described probably did make me a liability even if not my fault, but I'm mad and I'm enjoying Berlin and don't want to leave or let the university get away with risking my health and safety multiple times with no apologies.
submitted by shwoopypadawan to college [link] [comments]


2024.05.16 09:55 Fine-Chart-5607 Job Offer - DATA /AI Engineer - any questions?

There is any extra-questions I should consider asking before taking this offer? What do you think?
1. PERSONALIA
2. EMPLOYER PROFILE
3. CONTRACT & CONDITIONS
4. SALARY
5. MOBILITY
6. OTHER
submitted by Fine-Chart-5607 to BESalary [link] [comments]


http://rodzice.org/