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.

Iam 15 years old and iam a incel. I’ve never had a girlfriend, never been in a relationship and haven’t even talked to a female since 2022. The one thing that I want in my life is a girlfriend. All I want is a girlfriend. I want someone to text and talk about our day. I want to tell her that she the most precious thing to me because if I had a girlfriend, they would be my only reason to live. Right now I have no reason to live. And I have been struggling with this ever since I hit puberty. I want to experience love. I want to kiss and have sex with her. I want to make love and have fun. I bet there’s a 15 year old couple having sex right at this fucking moment!! I hate them!!! I fucking hate every single couple I see in public. I hate every single man in public. I hate every single woman in public. I hate the man because I always assume that he’s living a much greater life than me. A life with love, excitement, sex and friends. I hate them!!! And I hate the woman for giving the scummy shitty men there attention and pussy!! Why must they give there love to mother fuckers that would cheat on them. I guess thats every women’s type? My inceldom has caused me a lot hatred. I dont know why im like this. I dont know how people can never have girlfriends and be virgins and be so happy. I have this one really good acquaintance, and he’s been single his whole life, and has never had sex or even kissed a girl just like me. But hes so postive. It’s frustrating. How can people not care as much as I do about girls. He tells me that he could care less about having a girlfriend, and that he’s waiting for the right one. And hes older than me!! He’s like 17 and he’s doesn’t care about girls and is struggling with virginity just like me but he is happy with his life. How is that possible!!! I feel like there is something wrong with me. Why do i put my self worth on relationships. I see everyone have them. My closets acquaints have had relationships. Why haven’t I? I get im ugly as fuck and unenjoyable to be around, but I see uglier people with bad bitches!!! I hate this. this shit is so frustrating. I hate when I see happy couples in public and online. And what i hate the most is when I see readings here on Reddit talking about having sex as a teenager like it’s a normal thing!!! Teens talk about having sex with their girlfriends and It frustrated me because they have girlfriends and even worse there having sex!!!!! I hate them. I genuinely hate them. My heart is filled with envy, lust and hatred. Why cant i be a normal teenager and have sex like everybody else. I hate everyone and myself included for this. I think about committing mass crimes for this!! I dont know why, but i feel like it’s everybody’s else is fault and society that ima a incel virgin, and I feel like they have to pay. I think about mass murder on my school and In public. I already have experience with weapons, so whats stopping me from going outside and just shooting everyone for making me such a outcast. Jesus. I know it’s fucked up what I said. But in truth, I’m lost & fucking scared and I hate myself and I cry to myself everyday. I’m so disappointed of what I’ve become. No one wants to be my girlfriend, and no one wants to be friends with me. I need help but im scared. Who the hell im i suppose to talk to about this. I have no one. How the fuck im I suppose to tell someone im depressed because im too lonely and have no girlfriend. WHO the fuck im i suppose to tell this too??! I dont understand why im filled with hatred. Im so scared for myself. What the fuck im I even suppose to do about this?? It’s not like it’s something I can control. I hate being an incel and an outcast. What the fuck do I do? :(

Hi Folks just a quick one, things are a bit odd in the soup. Bt levels are rising and a strong -Bz has been recorded. Bit hard to pinpoint where it is coming from, it could be a from a CIR (Co-rotating Interaction Region) which is a fold in magnetic soup our planet travels through.
This is an alert for photographers only, and I can't see it getting to visible levels like last Saturday. Be aware that the moon is pretty bright atm and doesn't set till just after midnight which may inhibit shots. Keep your eye on the Bz levels before you head out to take shots, it may fizzle.
Check the links in my previous posts for the best sites and pages to follow developments.
https://services.swpc.noaa.gov/images/aurora-forecast-southern-hemisphere.jpg
Lead in time on the NOAA forecast above is currently 57minutes. The hemispheric power in the upper atmosphere has gone from 40GigaWatts to 65GigaWatts in the last 15 minutes indicating that the magnetic field around our planet is charging up for aurora activity. A sudden 25GigaWatt increase is worth noting.

To believe in myself and the things I’m capable of doing. The fact that I’m continuing to prove to myself that I’m almost down for anything. I have been and done and seen. As life does, it will continue and repeat. But the big factors are that I am the one making these choices. I know some haven’t been handled the best way i could have. I have learned to be able to bypass my feelings about certain responsibilities. People drop people all the time. You can have it all one moment and just like that! Gone the next. Everything you worked so hard for. To be fair it’s an every man for themselves kind of game. Or so that’s how it’s always been in my world. It doesn’t have to be either. I want to travel to a new world. One like mine but not. To find something that doesn’t come by force but by nature. A force of nature.
Need….
Understanding my surroundings. Stop trying to take control of everything. You can not be in more than one place at a time. Your mind and body and soul must be present in the now of things. You will miss opportunities and experience living both 10 steps behind and 10 steps forward. Like a mad women you’ll go insane and lose everything. Although it feels like I’m constantly losing, it isn’t so. I have to see the big picture. The love you have to give should be sacred and protected. Earned and cherished. I know that I might feel like I do not have the rights.. that I’ve balanced my good and my bad. That karma has given me this sorrow as a gift for choosing to do wrong. But that is also a form of my own doing. When making a decision I had two thoughts;1. hurt those as they hurt you… 2. Love those as you want to be loved.. it doesn’t seem wrong.. but when you’re blinded by pain.. you think getting even will make you feel better.. in the moment.. it might.. but the bittersweet factors of life. Love always hurts with bitter confusion. Either way.. good or bad.. No power moves in darkness. Darkness is just the construction of consumption. When fighting your demons becomes too much. Everything goes blank. An empty vessel. To be corrupt with the ideas and thoughts of battle. To always be on guard. As for the brighter side of things. There is always a choice. A path to take. It’s a place without time. You can do or be and choose endless possibilities as you see fit. Everything you can carry.

 Need…. 

To respect myself. Give credit when it’s due. Fight for my right to voice my feelings no matter how crazy someone may think I am. Never be afraid to speak ever again. Even if no one listens.. someone is always listening.. have the courage. Stick to your gut, learn to listen to what you truly need not what makes everyone happy or comfortable before you are. Selfish is with a bad intention. Self understand and self worth are embracing your spirit and being in a group that celebrates the same.

Need….. 

So, I ask this question often when I meet new people—especially considering my circumstances. I have been in 4 relationships and 3 flings; I am still friends with those 3 flings and friends with one of my exes. My opinion has been and will always be that yes, you can, but it is complicated and situational. She also happens to be my latest ex. We broke up in 2021 but were friends for over 8 years before that and all three 3 years after that. To this day, we are still friends, we have told every potential partner that we are and will still be friends and have received mixed answers. Her current partner is cool with it(although from the fact she hasn't mentioned them in almost 6 months, I'm worried it ended badly for her), which was dope and very mature of them; my latest potential partner was also cool with it, although I began to friendzone her because she may be an alcoholic, and that's a bit terrifying to already see in a college student. Mind you, I like to drink too, but I only drink maybe twice- 3 times a month, if at all. She was doing it daily and was extremely reckless with the drinking. Anyway, I want to ask this cause often I think people don't quite understand how being friends with your Ex could be possible. Or if they do think so they think it can be easy.
I want to try and show that, yes, you can be friends, but it takes a lot of communication and tribulation. Honestly, It just depends on whether you both are willing to go through years of challenges to reach the goal of a true friendship. we almost pushed each other away because it was becoming extremely challenging, especially when we talked about each other's escapades after our breakup; we also both went through a lot of other issues in our lives, and that made it all the more challenging. But we got through it, and now we are both extremely comfortable talking to each other. Sometimes, there are days when I miss them romantically, but they quickly get squashed the cause of the fact that I realize it's not that I want to be with them, but it's, in fact, that I want to be with someone. Nonetheless, it worked for me and her, and I think if more people took the approach of giving space but keeping in touch, setting boundaries, and possibly going to some therapy lol, just cause you can most definitely be friends with an ex. But again, the real question is whether they are worth it.
Anyway, I would love to hear your opinions; I imagine most of you will straight up say now, though, which is understandable; I mean 3 of the 4 I don't even talk to, even to the point that I forgot their names, not something I am proud lol, but hey gotta solve trauma somehow.

The world doesn’t become unattractive because you are exclusively with someone. That should be obvious but to me it takes awhile to get used to. I used to police myself and feel shame if I recognized an attractive person other than my partner. I’ve stopped doing that to myself, for the most part. People are hot. And it irks my nerves, I’m working through it, but as a woman in this society (born and raised by addicts/narcissists) I find myself wanting to please my partner by changing myself; and/or desiring to be everything he wants in a woman. Yet no matter what I change, there will always be a beautiful person to notice. It’s trauma, I know, but, hey men, got any advice for someone who is healing themselves and building their self worth?

In today’s article we are going to tell you about Tank Stars Mod APK. Which is a very wonderful and very adventurous. But this game is made in an arcade style which will give dynamism and excitement to the gameplay and colorful drawing graphics will perfectly match with the overall picture of the game. It is worth paying attention to unusual units of technology with complex weapons. Which will give a completely different look to shooting and make the gameplay even more special. Do you want to enjoy a game that feels fun and fresh? Tank Stars Mod APK will help you do this.
This is the best game where you can test your marksmanship, enjoy with your friends and challenge opponents from all over the world. This is actually a very adventure game in which you get many levels and as you progress in the levels, your levels start becoming more difficult. And players regret only playing the hard levels. Tank Stars Mod APK is one of the attractive and famous games from the market leading game developer and publisher Casual Azur Games with more than 100 million downloads worldwide. Tank Stars has won the hearts of millions of gamers with its fun and unique gameplay.
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Tank Stars Mod APK will take place in various diverse and unique terrains such as mountainous battlefield, battle bay, deadly grasslands, steel hills and much more. Learn the game map and gain ground to defeat enemy tanks as quickly as possible. If you have worms. Love wargames like Hills of Steel, Vought or Shellshock Live. Then our action military game is made just for you. Be careful once you start playing this tank io game it won’t let you go.

Background : I am 21M about to turn 22. I am a recent engg. grad. I earn well for my experience (atleast according to standards of my country). I have a brother (15M) and Mom (43). My dad passed away 2 years back and my mom was always a stay-at-home-mom/doing gigs as a hobby, never as a neccessity.
My mom started to work when my dad passed but was treated v. poorly at the workplace she joined and was paid pennies for working 8-9hrs. She was fired after 6 months. She's been unemployed since then. I want her to have a comfortable life and I earn enough to provide (although at the cost of delaying my own plans for future). Recently she's started taking things for granted, asking for more and more money. Made me join a job that I hated when I got laid off just because "I should not forget that I have responsibilites" which I don't disagree. She just lays around at home doing nothing, not even the gigs she used to do. I asked her to get a job or atleast do something productive (not asking to make money, just do something atleast, start a venture, just anything other than laying around) where she starts crying and being emotional and says "Have I become a burden to everyone", "Pay me back for the years I spent raising you", "You're being hurtful", I don't know how to answer to that.
I endup becoming the villan. My brother says that I am being a tyrant just because I earn and provide doesn't mean I get to tell them what to do. My mom gossips to my nan (her mom) where I am portrayed as a bad son who in turn gossips to my aunts. None of them know or care about what I went through or am going through. I didn't come home for 6-7 months after my dad died and no one bothered to call. Not even my brother and mom (apart from the occasional one from her). My brother's a teen and I know kids that age have "f*ck you stay away you worthless pos" attitude towards authority figures but goddamn does it hurt. I feel like an ATM being tossed around.
My dad left some property which now my mom owns. I asked for a loan on my half of the inheritance to my mom for masters (I can't get an education loan without collateral or really bad terms) she agreed first but stated that I would be abandoning any right to the inheritance if she does that which I agreed to but later she refused stating its her property and my half is the of what will be left of it and my brother needs it more than me for his education (I paid for my own college fees). Whatever's left after that will be divided.
I feel like my mom's the kid and I'm the parent. I see everyone my age cruising around, getting a break and I envy them. Yes I make waaaaaaay more than what my peers by god's grace make but that's at the cost of my mental health. Also making money amounts to nothing since all my money goes to my family.
Am I greedy or irresponsible for wanting a break? How do I deal with this.

Hi everyone,
So a little context, when I was a kid I was in love with FF7 when it released. I thought it was amazing.
At the time, I thought this game is so good, it's going to become a collecters item. So, I bought an additional copy (UK) which I have saved in near pristine condition. Never opened and still in the origional cellophane wrap. There is a small crack in one corner but otherwise it's seemingly preserved as per the day I bought it.
I was just wondering how much this might be worth now if I was to sell it?, as someone I spoke to a while back said they were getting quite valuable.
I also have FF8 too which I preserved, but I assume that's not quite as sought after?
Any insight would be appreciated.
Edit: Just checked and they are the "platinum" version.

We often sacrifice much for those we cherish showing them how much we care but sometimes they disappoint Us by exploiting our kindness for their own gain. They might seem friendly when they need something but once they've gotten what they wanted they vanish like a bird in flight so how can we regain control of such situations.
Today we delve into nine crucial aspects of interaction between men and women drawing inspiration from the stoic philosophy that has withstood the test of time. By avoiding these nine actions we can swiftly notice positive changes in our relationships empowering ourselves in the process so if you are experiencing difficulties in your relationship take a seat open your minds and let's embark on this enlightening journey together.

Number 1 - Don't reshape your life to fit others

Imagine trying to build a puzzle with pieces that just don't fit together causing frustration and confusion at every turn that's what it feels like when you try to conform to others expectations, it's like Seneca said everywhere means nowhere, trying to do too much at once leaves you feeling lost and unsure of where you're headed instead of trying to blend in like a chameleon, it's time to stand out like a shining star in the night sky. Be proud of who you are and the things that make you different, don't let others dictate how you should live your life it's time to take control and walk your own path.
Remember your life is your own story to write not someone else's so let your true colors shine and paint the world with your authenticity and purpose.

Number 2 - Don't ruin your life by being too obsessed with someone

Don't let your life revolve solely around others like a satellite stuck in orbit. When you focus too much on someone else it's easy to lose sight of your own dream and what makes you special instead of nurturing your own goals and aspirations you find yourself constantly catering to their needs and desires neglecting your own thirst for fulfilment as the wise Marcus Aelius once said, nowhere can a man find a quieter or more untroubled retreat than in his own soul.
When you become too entangled in someone else's world it disrupts your balance casting you into the shadows and stripping away your sense of worth. Break free from their hold and stop being a mere satellite to their planet, your life isn't a supporting act in someone else's story.
You're the lead role the star of your own Journey, always remember that and never let anyone dim your brilliance.

Number 3 - Don't let anything harm your mental health or happiness

Prioritizing someone else's happiness over your own mental well-being is like giving away your flashlight in the dark leaving yourself stumbling and lost. When you neglect your own health to cater to someone else's needs you're essentially surrendering control of your own happiness instead of finding fulfilment, you end up in a cycle of trying to please them while your own spirit's plummet.
It's crucial to take a step back and reclaim ownership of your life. Your mental health and happiness are invaluable assets that shouldn't be compromised or traded away rather than playing a supporting role in someone else's narrative seize the spotlight and become the protagonist of your own story. Protect your inner peace and joy with unwavering determination strengthen your resilience and refuse to let anyone steal your happiness, your mind belongs to you alone and you have the power to shape your own destiny.

Number 4 - Don't push friends or family away for someone else

Don't keep your distance from your friends and family just because you're really into someone else, it's kind of like cutting off branches from the tree that's holding you up each friend and family member is like a branch that's always been there to help you, if you start pushing them away it's not just about losing friends, you're also weakening the support system that's been there for you.
Plato once said people are like dirt, they can either nourish you and help you grow as a person or they can stunt your growth and make you wilt and die.
When you isolate yourself from your loved ones just to seek approval from someone else you're picking a tough road, take the initiative to rekindle those significant relationships, nurture your support system your friends and family form an Irreplaceable Network serving as your bedrock and source of strength. Embrace the steadfast companions who have stood by you through thick and thin.

Number 5 - Don't invest too much time in them

Don't pour all your precious time into someone else's bottomless well of need, it's like tossing your most valuable asset into into a dark abyss. Each moment you devoted excessively to them is a moment of your life slipping away forever.
Time is your greatest treasure not a bargaining chip in someone else's endless demands as Seneca wisely observed it is not that we have a short time to live but that we waste a lot of it by surrendering all your time to someone else you're forfeiting the most vibrant moments of your existence.
Reclaim your time it belongs to you alone not to anyone else. Don't allow them to overshadow your entire life, seek equilibrium invest your time thoughtfully cherish it and allocated to endeavors that ignite your passion foster growth and bring you fulfilment, remember you wield authority over your own time don't fritter it away on someone who may not value its significance.

Number 6 - Don't reveal everything about your past especially the tough times

Revealing your entire past to someone is like unfolding every hidden aspect and challenge you've encountered. Your past especially the difficult aspects is deeply personal.
It's the narrative of your own Journey that helped you navigate through tough times, it's not something to divulge for others to take pleasure in or pass judgment on. Discussing all your past Secrets means you're revisiting old challenges. Now You're vulnerable to potential harm or exploitation, keep your secrets securely held within yourself not everyone deserves access to them. Only disclose what is necessary while safeguarding the core elements of your narrative.
This is what fortifies you and ensures your protection, don't relinquish your defenses to someone else, exercise caution in choosing whom to confide in. Your life story belongs exclusively to you, it's not for others to casually revel in.

We often sacrifice much for those we cherish showing them how much we care but sometimes they disappoint Us by exploiting our kindness for their own gain. They might seem friendly when they need something but once they've gotten what they wanted they vanish like a bird in flight so how can we regain control of such situations.
Today we delve into nine crucial aspects of interaction between men and women drawing inspiration from the stoic philosophy that has withstood the test of time. By avoiding these nine actions we can swiftly notice positive changes in our relationships empowering ourselves in the process so if you are experiencing difficulties in your relationship take a seat open your minds and let's embark on this enlightening journey together.

Number 1 - Don't reshape your life to fit others

Imagine trying to build a puzzle with pieces that just don't fit together causing frustration and confusion at every turn that's what it feels like when you try to conform to others expectations, it's like Seneca said everywhere means nowhere, trying to do too much at once leaves you feeling lost and unsure of where you're headed instead of trying to blend in like a chameleon, it's time to stand out like a shining star in the night sky. Be proud of who you are and the things that make you different, don't let others dictate how you should live your life it's time to take control and walk your own path.
Remember your life is your own story to write not someone else's so let your true colors shine and paint the world with your authenticity and purpose.

Number 2 - Don't ruin your life by being too obsessed with someone

Don't let your life revolve solely around others like a satellite stuck in orbit. When you focus too much on someone else it's easy to lose sight of your own dream and what makes you special instead of nurturing your own goals and aspirations you find yourself constantly catering to their needs and desires neglecting your own thirst for fulfilment as the wise Marcus Aelius once said, nowhere can a man find a quieter or more untroubled retreat than in his own soul.
When you become too entangled in someone else's world it disrupts your balance casting you into the shadows and stripping away your sense of worth. Break free from their hold and stop being a mere satellite to their planet, your life isn't a supporting act in someone else's story.
You're the lead role the star of your own Journey, always remember that and never let anyone dim your brilliance.

Number 3 - Don't let anything harm your mental health or happiness

Prioritizing someone else's happiness over your own mental well-being is like giving away your flashlight in the dark leaving yourself stumbling and lost. When you neglect your own health to cater to someone else's needs you're essentially surrendering control of your own happiness instead of finding fulfilment, you end up in a cycle of trying to please them while your own spirit's plummet.
It's crucial to take a step back and reclaim ownership of your life. Your mental health and happiness are invaluable assets that shouldn't be compromised or traded away rather than playing a supporting role in someone else's narrative seize the spotlight and become the protagonist of your own story. Protect your inner peace and joy with unwavering determination strengthen your resilience and refuse to let anyone steal your happiness, your mind belongs to you alone and you have the power to shape your own destiny.

Number 4 - Don't push friends or family away for someone else

Don't keep your distance from your friends and family just because you're really into someone else, it's kind of like cutting off branches from the tree that's holding you up each friend and family member is like a branch that's always been there to help you, if you start pushing them away it's not just about losing friends, you're also weakening the support system that's been there for you.
Plato once said people are like dirt, they can either nourish you and help you grow as a person or they can stunt your growth and make you wilt and die.
When you isolate yourself from your loved ones just to seek approval from someone else you're picking a tough road, take the initiative to rekindle those significant relationships, nurture your support system your friends and family form an Irreplaceable Network serving as your bedrock and source of strength. Embrace the steadfast companions who have stood by you through thick and thin.

Number 5 - Don't invest too much time in them

Don't pour all your precious time into someone else's bottomless well of need, it's like tossing your most valuable asset into into a dark abyss. Each moment you devoted excessively to them is a moment of your life slipping away forever.
Time is your greatest treasure not a bargaining chip in someone else's endless demands as Seneca wisely observed it is not that we have a short time to live but that we waste a lot of it by surrendering all your time to someone else you're forfeiting the most vibrant moments of your existence.
Reclaim your time it belongs to you alone not to anyone else. Don't allow them to overshadow your entire life, seek equilibrium invest your time thoughtfully cherish it and allocated to endeavors that ignite your passion foster growth and bring you fulfilment, remember you wield authority over your own time don't fritter it away on someone who may not value its significance.

Number 6 - Don't reveal everything about your past especially the tough times

Revealing your entire past to someone is like unfolding every hidden aspect and challenge you've encountered. Your past especially the difficult aspects is deeply personal.
It's the narrative of your own Journey that helped you navigate through tough times, it's not something to divulge for others to take pleasure in or pass judgment on. Discussing all your past Secrets means you're revisiting old challenges. Now You're vulnerable to potential harm or exploitation, keep your secrets securely held within yourself not everyone deserves access to them. Only disclose what is necessary while safeguarding the core elements of your narrative.
This is what fortifies you and ensures your protection, don't relinquish your defenses to someone else, exercise caution in choosing whom to confide in. Your life story belongs exclusively to you, it's not for others to casually revel in.

We often sacrifice much for those we cherish showing them how much we care but sometimes they disappoint Us by exploiting our kindness for their own gain. They might seem friendly when they need something but once they've gotten what they wanted they vanish like a bird in flight so how can we regain control of such situations.
Today we delve into nine crucial aspects of interaction between men and women drawing inspiration from the stoic philosophy that has withstood the test of time. By avoiding these nine actions we can swiftly notice positive changes in our relationships empowering ourselves in the process so if you are experiencing difficulties in your relationship take a seat open your minds and let's embark on this enlightening journey together.

Number 1 - Don't reshape your life to fit others

Imagine trying to build a puzzle with pieces that just don't fit together causing frustration and confusion at every turn that's what it feels like when you try to conform to others expectations, it's like Seneca said everywhere means nowhere, trying to do too much at once leaves you feeling lost and unsure of where you're headed instead of trying to blend in like a chameleon, it's time to stand out like a shining star in the night sky. Be proud of who you are and the things that make you different, don't let others dictate how you should live your life it's time to take control and walk your own path.
Remember your life is your own story to write not someone else's so let your true colors shine and paint the world with your authenticity and purpose.

Number 2 - Don't ruin your life by being too obsessed with someone

Don't let your life revolve solely around others like a satellite stuck in orbit. When you focus too much on someone else it's easy to lose sight of your own dream and what makes you special instead of nurturing your own goals and aspirations you find yourself constantly catering to their needs and desires neglecting your own thirst for fulfilment as the wise Marcus Aelius once said, nowhere can a man find a quieter or more untroubled retreat than in his own soul.
When you become too entangled in someone else's world it disrupts your balance casting you into the shadows and stripping away your sense of worth. Break free from their hold and stop being a mere satellite to their planet, your life isn't a supporting act in someone else's story.
You're the lead role the star of your own Journey, always remember that and never let anyone dim your brilliance.

Number 3 - Don't let anything harm your mental health or happiness

Prioritizing someone else's happiness over your own mental well-being is like giving away your flashlight in the dark leaving yourself stumbling and lost. When you neglect your own health to cater to someone else's needs you're essentially surrendering control of your own happiness instead of finding fulfilment, you end up in a cycle of trying to please them while your own spirit's plummet.
It's crucial to take a step back and reclaim ownership of your life. Your mental health and happiness are invaluable assets that shouldn't be compromised or traded away rather than playing a supporting role in someone else's narrative seize the spotlight and become the protagonist of your own story. Protect your inner peace and joy with unwavering determination strengthen your resilience and refuse to let anyone steal your happiness, your mind belongs to you alone and you have the power to shape your own destiny.

Number 4 - Don't push friends or family away for someone else

Don't keep your distance from your friends and family just because you're really into someone else, it's kind of like cutting off branches from the tree that's holding you up each friend and family member is like a branch that's always been there to help you, if you start pushing them away it's not just about losing friends, you're also weakening the support system that's been there for you.
Plato once said people are like dirt, they can either nourish you and help you grow as a person or they can stunt your growth and make you wilt and die.
When you isolate yourself from your loved ones just to seek approval from someone else you're picking a tough road, take the initiative to rekindle those significant relationships, nurture your support system your friends and family form an Irreplaceable Network serving as your bedrock and source of strength. Embrace the steadfast companions who have stood by you through thick and thin.

Number 5 - Don't invest too much time in them

Don't pour all your precious time into someone else's bottomless well of need, it's like tossing your most valuable asset into into a dark abyss. Each moment you devoted excessively to them is a moment of your life slipping away forever.
Time is your greatest treasure not a bargaining chip in someone else's endless demands as Seneca wisely observed it is not that we have a short time to live but that we waste a lot of it by surrendering all your time to someone else you're forfeiting the most vibrant moments of your existence.
Reclaim your time it belongs to you alone not to anyone else. Don't allow them to overshadow your entire life, seek equilibrium invest your time thoughtfully cherish it and allocated to endeavors that ignite your passion foster growth and bring you fulfilment, remember you wield authority over your own time don't fritter it away on someone who may not value its significance.

Number 6 - Don't reveal everything about your past especially the tough times

Revealing your entire past to someone is like unfolding every hidden aspect and challenge you've encountered. Your past especially the difficult aspects is deeply personal.
It's the narrative of your own Journey that helped you navigate through tough times, it's not something to divulge for others to take pleasure in or pass judgment on. Discussing all your past Secrets means you're revisiting old challenges. Now You're vulnerable to potential harm or exploitation, keep your secrets securely held within yourself not everyone deserves access to them. Only disclose what is necessary while safeguarding the core elements of your narrative.
This is what fortifies you and ensures your protection, don't relinquish your defenses to someone else, exercise caution in choosing whom to confide in. Your life story belongs exclusively to you, it's not for others to casually revel in.

So I’ve been running a campaign now for around 4ish months. The party is composed of two veteran players of around 5 years each, and 3 brand new players. As such, there are a lot of debates and moments where we have to slow the game down to explain what each player can do, which I’m all for. I’ve been itching to play DnD for a while, and I love helping people get into fantasy in general.
One of my players in particular, though, has been making a ruckus, for lack of a better term. He’s one of the newer players, so there’s been plenty of moments he wants to do something and I have to explain situations in which he can or can’t do something. Again, that’s no problem. The problem stems more from his innate chaotic nature, especially as it relates to other characters. I’m going to give a few situations that I found weird, and I want to know if I’m being an AH in this situation or if this really does sound crazy. I’ll refer to problem player as J for now.
The players are playing in a world in which humans are a primarily dominant race, and not many other races other than elves or dwarves have even been heard of. He’s playing a gnome, and so there’s been multiple NPCs who have talked to his character like he’s a child, or referred to him as such. Another party member (also a gnome) finds this funny, and has played into it a few times to get more info on things the party has done, such as acting like a child to get info from strangers or discounts for things in shops. All fine and dandy, the party plays into it. J, however, finds this incredibly irritating, and oftentimes starts arguments or physical altercations with NPCs who do this. One time, he started a fight to the death with a group of NPCs, and found that to be okay. Since the rest of the party barring one other person didn’t find it frustrating, I let it slide.
Another situation, one of the other party members finds a secret room in which he finds a pretty valuable gem (around 100gp in value). J hears this out of character, and when the party member finds his way back to the group, he starts interrogating him, and asks to make an insight check. I ask why J wants to do this, and he says “I don’t trust him”. I ask him what he’s done to betray his trust, and he says nothing, so I bring up the concept of metagaming. J’s primary out of character reason for interrogating the guy was because he knew about the gem, and he couldn’t separate that from his character. I say, no harm no foul, I’ll just tell people individually if they find things of value from here on, but he should be mindful of what his character knows. In character, J uses the spell “Locate Object” to find objects near him worth more than 50gp. I tell him that the character who reunited with the party has an item worth more than 50gp, and now he begins to interrogate him. This frustrates me, because there’s no reason that I could think of that doesn’t involve his out of game knowledge of the gem, and I’m still a bit frustrated about it because J holds this grudge over the other character 5 sessions later.
Another situation, J and the party are nearing the end of their first dungeon. As magic isn’t common in the world I’ve made, I wanted to include a decent amount of magical items for them to find near the end. The party works together and finds these magic items, which include 1 magical ring, 2 magical amulets, 2 magical cloaks, and 3 +1 magical weapons (I know it’s a lot, but this dungeon also took 3 sessions to complete). Upon my announcing of these items, J’s character grabs every single item, stuffs them into his Sack of Holding, and says “We’ll talk about trading later.” I ask him why he doesn’t want to give anything to any of the other players, and he just says that he got to them first. Keep in mind, his character is a bard, so while he could use them, I find that some of the items were tailored more towards the barbarian, rogue, and warlock of the party. He has yet to give any of these items up, and has “Raised the price” of the items due to some statements other characters have made about the incident.
This is all in game, of course, but there have been multiple statements and attempted actions that he wants to take where he has, and I quote, “Tried to make you miserable as a DM”. These includes but are not limited to:

• Stating that attempting to SA’ing a guy who wanted to arm wrestle a party member in a tavern was “totally okay”
• Trying to combo spells in such as way that he could drop a big enemy from 270-ish feet in the air so they take 270d6 falling damage (he found some method online)
• Multiclassing into Artificer (which I’m more than okay with!) for the sake of making a magical, repeating Aquaribus loaded with life-steal dragon shot (calculated to deal 1d8+3d6+1d4 damage by his own account, and he stated should only cost around 1000gp to make)
• A direct quote, “i want to go on a casual genocide run through a small town”
• Keeping half a zombie head around for his “long rests”
• Training a familiar to steal gold and other small valuable items from other party members
• Purposefully fighting and killing multiple NPCs because “that’s what my character would do”
• For lack of a better term, metagaming (he spent a few hours doing everything he could on his character sheet to milk every point of damage he could from every action)
• Has used damaging spells on other player characters when they disagree with him (particularly vicious mockery). He got a party member within 3 hp of going down, and laughed when told this)

I’ve chalked a lot of this up to him being a new player, and have had conversations with him about keeping the game entertaining for all of the party members, which is where I became super conflicted. Most of the party seems to find it fine, which is why I’m conflicted on if I’m right to feel frustrated. On one hand, if the party is okay with this course of action, I’m cool with it. On the other, this seems like it’s quickly becoming a murder- hobo party, which I’m not sure that I want to DM for. I’ve spent 2 years writing and creating this world, its inhabitants, its NPCs, and to see it approached in this way frustrates me. Which is another reason why I think I may just be overreacting, as I’m very attached to what I’ve created.
Is this something I’m overreacting to? Or is this a genuine problem, and what can I do to fix it? I’ve spoken to them a few times, but it only seems to work for a session. If I was to ask him to leave, then every other player would probably also leave, which makes me even more hesitant to do anything.

I removed all 4 wisdom teeth today, currently in pain and non stop bleeding. Placing my aligners back in wasn’t even a thought. Not sure how some people said they were able to do it after the surgery but it’s bad for me. Told my ortho, they said that the aligners may become tighter and that it’s best to wait until the blood stops.
I personally don’t think it’s worth putting them back in considering all the stress on my teeth and the pain and all. Anyone else have experience with pulling wisdom teeth mid Invisalign treatment? Wish I got it done before starting treatment.
Is it bad if I leave my aligners out for 3+ days? As long as I wear them for an extra 3 days? I won’t be switching to the next weekly set until I fulfill the wear time.
Yeah, it feels weird having them out but it’s something completely out of my control. Treatment delayed now for sure but it is what it is.
Let me know about some your experiences with removing wisdom teeth in the midst of your Invisalign treatment.

As specialists in tree care, we at Smith’s Tree Service often see how construction and development can pose threats to our green companions. It’s an issue close to our hearts and our expertise. In this article, we’ll dive deep into why preserving trees is crucial during construction projects and how to do it right. We’re drawing from years of hands-on experience and deep-rooted knowledge to guide you through protecting these vital natural assets.

Why Tree Preservation Matters

Environmental Impact: Trees are not just beautiful. They play a pivotal role in environmental management. They improve air quality, store carbon, and stabilize the soil. In urban areas, trees contribute to reducing the urban heat island effect, making our cities cooler.
Economic Advantages: It’s not only about aesthetics—trees increase property values. Studies show that properties with well-maintained trees are often valued higher, providing economic benefits to homeowners and communities.
Health Benefits: Trees are linked to better mental and physical health. They reduce stress, encourage outdoor activities, and even decrease recovery times from illness with their calming presence.
Community and Social Value: Green spaces foster social cohesion. They’re venues for community activities and form an essential part of local identity and heritage.

Planning for Preservation

Early Integration: The best time to think about tree preservation is during the earliest planning stages of construction. By considering the existing treescape, planners and developers can design around these natural assets, integrating them into new developments.
Professional Consultation: Engaging with professional arborists, like our team at Smith’s Tree Service, early on can save countless headaches later. We can assess the health and structural stability of trees and identify which ones are worth saving and how best to protect them.

Effective Protection Strategies

Establish Protective Barriers: Before the first bulldozer arrives, physical barriers should be established around trees designated for preservation. These barriers protect the trees from physical damage and prevent soil compaction around their root systems, which can be devastating.
Mind the Critical Root Zone (CRZ): The CRZ is the area around a tree where the roots are most concentrated and where most of the tree’s feeder roots are located. Keeping this area undisturbed is crucial for the tree’s survival.
Use the Right Equipment: Sometimes, lighter or specialized construction equipment is necessary to minimize the impact on preserved trees. Techniques like air spading can be used to safely work around roots without damaging them.
Regular Monitoring: Trees under stress may not show immediate signs of damage. Regular monitoring by qualified arborists throughout the construction process can catch issues before they become fatal, allowing for timely interventions.

Aftercare Post-Construction

Assessment and Recovery: Once construction is completed, trees need to be assessed for stress or damage. An effective recovery plan, which may include pruning, mulching, or even more intensive treatments like root therapy or disease management, can help trees return to health.
Ongoing Maintenance: Post-construction care is vital. Regular health checks, proper pruning, and pest management contribute to the longevity and vitality of preserved trees.

Conclusion: Building with Nature, Not Against It

Preserving trees during construction isn’t just about protecting individual trees; it’s about maintaining the ecological balance, enhancing the quality of life in our communities, and respecting the legacy of natural beauty that has been entrusted to us. As development continues to encroach on natural spaces, integrating tree preservation is a testament to a forward-thinking, environmentally-conscious approach to construction.
For those planning a construction project, consider how you might impact the existing landscape and how you might preserve it. At Smith’s Tree Service, we’re here to help, ensuring that your green assets are protected and thrive alongside your new developments. After all, when we care for our trees, we care for our future.
Schedule you free estimate now : https://smithtreeservices.com/free-estimate/