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.

1. This foot thing
2. Reselling on eBay, Mercari, Facebook Marketplace
3. Handmade item business, I set up at markets. I also sell that stuff on eBay.
4. I'm working on a clothing line
5. Art commissions
6. [Just started] graphic designing logos and flyers for small businesses

So my day looks like this: 6:45 - wake up 7 - leave for work (driving 1.5 hours) 8:30 - get to work 5 - leave work 6:30 - get home and maaaaybe eat 7pm - 2:30am work on housework and my projects I have 8 hours to cram all those projects AND daily stuff in to. Then hopefully get 3 hours of sleep.

I had a call with my doctor last week about my mental health, and I had a bit of a breakdown about how much my pain is affecting me. It has just passed a year since I started feeling constant, debilitating pain that has left me pretty much housebound. I’ve been really hesitant when asking for prescription pain medication for the past year as I was hyper aware of what it could come off as as a 20 year old uni student asking, so I have just never brought it up and just asked for scans and checkups etc, and took over the counter meds daily. I was given codeine at an A&E visit during a horrible episode, and it helped although made me incredibly tired and stupid, so I wasn’t interested in asking for any more opioids.
Last week I think something in me snapped and I realised I didn’t have to live this life that is making me so anxious and depressed and I have the right to request my pain be managed, and I pretty much told him “I can’t imagine living like this for the next however many years until my surgery. I’m not functioning and it’s killing me”. He faffed about for a bit, telling me “well I’m not really sure what to do to be honest” and “I’m not sure there’s much I can do for you to help in this case” and “When you phoned today what were you hoping I’d say” and I just persisted with “I want advice on the best route for me to take to get this pain under control until I get the surgery”, and finally he offered me tramadol to take as needed (despite sounding very unhappy about it). I’ve only taken one in the past week as I’ve decided only to use them when my pain is affecting my ability to complete tasks, but when I did, oh my God. Within an hour my pain was down to a 2 (a number I very rarely feel), and after 7 hours or so it climbed back up to its usual non-flare up level. I was able to just skip a quick flare up until the baseline pain reached a level I can deal with. It doesn’t make me feel drowsy (in fact I feel a little more energised), it doesn’t make me stupid and stoned like codeine, maybe just a tiny bit more chilled out than usual.
Just knowing that I have this to fall back on when I know I’m going into a flare up has reduced my anxiety tenfold, and knowing that if I have an event or a class to show up to and I’m too sore, there’s now a chance I could make it is a security that I haven’t felt in years. I hope I won’t need them forever, but knowing I have something to pull me over until the next step is such a relief on both my mind and my body.
In conclusion, doctors who say controlled drugs are not appropriate treatments for chronic pain need to go back to school. I am so grateful toward myself for making this choice and standing up for myself.

Just getting this off my chest. It happened last month, galit na galit mama ng bf ko dahil di rako ako naka pagsabi sa bf ko na magdahan dahan kung magddrive. Lol always ko kaya sinasabihan bf ko na wag bilisan kase nga traumatized na ako. Before kase muntik na kami ma aksidente ng bf ko kase bigla syang nag overtake sa 6 wheeler truck, buti nalang andun parents nya sa likod namin nakamotor din kaya naka busina agad sila. After ng pangyayaring yun, kahit city ride lang pinagsasabihan ko na talaga bf ko na wag mag overtake at wag bilisan yung pagddrive. So back to the story, galit na galit yung mama nya sakin at ako yung pinagtataasan nya ng boses sa harap ng mga pamangkin at kapatid nya which became so inappropriate kase nababastosan ako sa ginawa nya. Sobrang hiyang hiya ako. Okay lang naman sakin na pagtaasan nya ko ng boses kung kami lang dalawa kase nagawa na nya sakin yan nuon pero sa harap pa talaga ng pamilya nila? Nagrreason out pa sya na para na din daw akong pamilya nila nung sinabihan sya ng kapatid nya na wag akong pagtaasan ng boses.
Until now di pa din ako pinapansin ng nanay nya. Sabi ng bf ko magsorry daw ako para matapos na e wala naman akong kasalanan. Nagbigay na ko ng cake sakanya for peace offering pero di nya tinanggap.
PS. Yung bf ko po pinagtanggol nya po ako sa nanay nya.

#EURUSD #60m #Forex───────────
Ensemble model * Overview: The synthetic investment attractiveness indicator equals 6 (out of +/-100). The model ensemble is uncertain with regards to future market movements.
Optimal past * Optimal past: The optimal lookback period for modelling is currently 171 candles. The market is currently bullish, appreciating by 0.0% during the latest phase.
Elliot Waves * Elliot Waves: The market's trend has changed and currently goes down.

• Elliot Waves Settings: Elliot Waves were updated. The current wavelength is 13.

Price Bound Modelling * HAR model at confidence level 95.0%: the HAR model forecasts volatility of 0.0685% in the next candle, the price will fluctuate around 1.08 and with 95.0% probability will not go below 1.08 or above 1.08.

• BRW VaR at confidence level 95.0%: in the next candle, the price will fluctuate around 1.08 and with 95.0% probability will not go below 1.08 or above 1.08.
  
• Historical simulation at confidence level 95.0%: in the next candle, the price will fluctuate around 1.08 and with 95.0% probability will not go below 1.08 or above 1.08.
  
• Multifractal range at confidence level 95.0%: in the next 256 candles, the price will fluctuate around 1.08 and with 95.0% probability will not go below 1.07 or above 1.1.
  
• Fibonacci with seven retracements: the price is likely to rebound upward from the nearest Fibonacci support of 1.08 at the level of 76.4%. The nearest Fibonacci resistance is 1.09 at the level of 100.0%.
  
• Fibonacci with five retracements: the price is likely to rebound downward from the nearest Fibonacci resistance of 1.09 at the level of 100.0%. The nearest Fibonacci support is 1.08 at the level of 61.8%.
  
• Fibonacci with four retracements: the price is likely to rebound downward from the nearest Fibonacci resistance of 1.09 at the level of 100.0%. The nearest Fibonacci support is 1.08 at the level of 61.8%.
  
• MVaR bounds at confidence level 95.0%: in the next candle, the price will fluctuate around 1.08 and with 95.0% probability will not go below 1.08 or above 1.08.
  

Forecast * MA model at confidence level 95.0%: the MA model forecasts a return of 0.0087% in the next candle, the price will fluctuate around 1.08 and with 95.0% probability will not go below 1.08 or above 1.08.

• AR model at confidence level 95.0%: the AR model forecasts a return of 0.0087% in the next candle, the price will fluctuate around 1.08 and with 95.0% probability will not go below 1.08 or above 1.08.

Stability Indicators * Generalised extreme value: According to the indicator, the market is stable

• Power law: According to the indicator, the stability of the market is uncertain
  
• Student degrees of freedom: According to the indicator, the stability of the market is uncertain
  
• Tukey lambda: According to the indicator, the stability of the market is uncertain
  

Seasonality test * Seasonality test: According to the generalised seasonality test, there are no seasonal effects on the market.
Distribution analysis * Best-fit distribution: Best-fit distribution has changed, and now it is Power
───────────
Not investment advice.
#EURUSD #60m #trading #Distribution analysis

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

#BTCUSD #60m #Crypto───────────
Ensemble model * Overview: The synthetic investment attractiveness indicator equals 23 (out of +/-100). The model ensemble suggests the market will tend to be bullish in the nearest future.
Optimal past * Optimal past: The optimal lookback period for modelling is currently 363 candles. The market is currently bearish, depreciating by 1.0% during the latest phase.
Elliot Waves * Elliot Waves: The market's trend has changed and currently goes down.

• Elliot Waves Settings: Elliot Waves were updated. The current wavelength is 3.

Price Bound Modelling * HAR model at confidence level 95.0%: the HAR model forecasts volatility of 0.5548% in the next candle, the price will fluctuate around 61268.39 and with 95.0% probability will not go below 60709.19 or above 61827.6.

• BRW VaR at confidence level 95.0%: in the next candle, the price will fluctuate around 61266.09 and with 95.0% probability will not go below 60823.77 or above 61644.63.
  
• Historical simulation at confidence level 95.0%: in the next candle, the price will fluctuate around 61266.74 and with 95.0% probability will not go below 60824.88 or above 61646.47.
  
• Multifractal range at confidence level 95.0%: in the next 256 candles, the price will fluctuate around 61906.76 and with 95.0% probability will not go below 53792.97 or above 66675.0.
  
• Fibonacci with seven retracements: the price is likely to rebound downward from the nearest Fibonacci resistance of 61774.38 at the level of 50.0%. The nearest Fibonacci support is 60497.95 at the level of 38.2%.
  
• Fibonacci with five retracements: the price is likely to rebound downward from the nearest Fibonacci resistance of 61774.38 at the level of 50.0%. The nearest Fibonacci support is 60497.95 at the level of 38.2%.
  
• Fibonacci with four retracements: the price is likely to rebound upward from the nearest Fibonacci support of 60497.95 at the level of 38.2%. The nearest Fibonacci resistance is 63050.81 at the level of 61.8%.
  
• MVaR bounds at confidence level 95.0%: in the next candle, the price will fluctuate around 61309.21 and with 95.0% probability will not go below 60773.61 or above 61623.96.
  

Forecast * MA model at confidence level 95.0%: the MA model forecasts a return of 0.0631% in the next candle, the price will fluctuate around 61310.42 and with 95.0% probability will not go below 60642.54 or above 61978.31.

• AR model at confidence level 95.0%: the AR model forecasts a return of 0.0631% in the next candle, the price will fluctuate around 61310.42 and with 95.0% probability will not go below 60838.62 or above 61782.23.

Stability Indicators * Generalised extreme value: According to the indicator, the stability of the market is uncertain

• Power law: According to the indicator, the stability of the market is uncertain
  
• Student degrees of freedom: According to the indicator, the stability of the market is uncertain
  
• Tukey lambda: According to the indicator, the stability of the market is uncertain
  

Seasonality test * Seasonality test: According to the generalised seasonality test, there are no seasonal effects on the market.
Distribution analysis * Best-fit distribution: Best-fit distribution has changed, and now it is Laplace
───────────
Not investment advice.
#BTCUSD #60m #trading #Distribution analysis

#BRENT #60m #Commodities───────────
Ensemble model * Overview: The synthetic investment attractiveness indicator equals -5 (out of +/-100). The model ensemble is uncertain with regards to future market movements.
Optimal past * Optimal past: The optimal lookback period for modelling is currently 197 candles. The market is currently bearish, depreciating by 2.0% during the latest phase.
Elliot Waves * Elliot Waves: The market's trend has changed and currently goes down.

• Elliot Waves Settings: Elliot Waves were updated. The current wavelength is 21.

Price Bound Modelling * HAR model at confidence level 95.0%: the HAR model forecasts volatility of 0.2945% in the next candle, the price will fluctuate around 82.05 and with 95.0% probability will not go below 81.65 or above 82.44.

• BRW VaR at confidence level 95.0%: in the next candle, the price will fluctuate around 82.06 and with 95.0% probability will not go below 81.73 or above 82.39.
  
• Historical simulation at confidence level 95.0%: in the next candle, the price will fluctuate around 82.06 and with 95.0% probability will not go below 81.73 or above 82.4.
  
• Multifractal range at confidence level 95.0%: in the next 256 candles, the price will fluctuate around 82.98 and with 95.0% probability will not go below 73.28 or above 86.62.
  
• Fibonacci with seven retracements: the price is likely to rebound upward from the nearest Fibonacci support of 81.54 at the level of 0.0%. The nearest Fibonacci resistance is 84.14 at the level of 23.6%.
  
• Fibonacci with five retracements: the price is likely to rebound upward from the nearest Fibonacci support of 81.54 at the level of 0.0%. The nearest Fibonacci resistance is 85.75 at the level of 38.2%.
  
• Fibonacci with four retracements: the price is likely to rebound upward from the nearest Fibonacci support of 81.54 at the level of 0.0%. The nearest Fibonacci resistance is 85.75 at the level of 38.2%.
  
• MVaR bounds at confidence level 95.0%: in the next candle, the price will fluctuate around 82.1 and with 95.0% probability will not go below 81.6 or above 82.29.
  

Forecast * MA model at confidence level 95.0%: the MA model forecasts a return of -0.0465% in the next candle, the price will fluctuate around 82.03 and with 95.0% probability will not go below 81.48 or above 82.59.

• AR model at confidence level 95.0%: the AR model forecasts a return of -0.0465% in the next candle, the price will fluctuate around 82.03 and with 95.0% probability will not go below 81.64 or above 82.42.

Stability Indicators * Generalised extreme value: According to the indicator, the market is stable

• Power law: According to the indicator, the market is unstable
  
• Student degrees of freedom: According to the indicator, the stability of the market is uncertain
  
• Tukey lambda: According to the indicator, the stability of the market is uncertain
  

Seasonality test * Seasonality test: According to the generalised seasonality test, there are no seasonal effects on the market.
Distribution analysis * Best-fit distribution: Best-fit distribution has changed, and now it is Laplace
───────────
Not investment advice.
#BRENT #60m #trading #Distribution analysis

I’m in tears while writing this. I don’t know what more I can do.
I’ve been on the waiting list 6 months already due to chronic pelvic pain and ovarian cysts which are wrecking my everyday life.
I’ve been to A&E and they just provide pain killers and say I’ll need to see a gynaecologist… easier said than done. I’ve had my GP write to the hospital a few times now also asking to be seen quicker.
I understand the current NHS scenario and that’s it’s very difficult for everyone, but I’m at a loss and feel so defeated. I don’t know what else I can do.

https://www.academia.edu/119158911
​
The change of *p > b in baṇa :
​
*pterno- > Skt. parṇá-, Av. parǝna- ‘wing’, Ps. pāṇa ‘leaf’, baṇa ‘wing-feather’
​
was explained by Georg Morgenstierne as sandhi from sentences with V#p > V#b. It makes no sense for this to only be seen here in one word, and the similar alternation in Dardic:
​
*ud-bher- ‘lift up’ > Skt. udbharati ‘raises up’, A. urbhíi ‘to fly’, *pettro- / *ptetro- > pháaṭu ‘butterfly’, urbháaṭu ‘bird’
​
is unlikely to be unrelated. This would obviously never be clear without the evidence in Dardic.
​
​
Since these words could begin with *pt- but show either metathesis or *pt > p in IIr. :
​
G. ptérux ‘wing’, Skt. pataŋgá- ‘bird’
​
*ptetro- > G. pterón, *pettro- > Skt. pátra- / páttra- ‘wing / feather / leaf’, pátatra-
​
it is likely that *pt- optionally became *bd- in Dardic and Ps. If not, why would the word for ‘fly’ so radically transform ‘bird’? If it began with *bd- (likely > *ubd- since u- and i- appear before many C-clusters), it would be much closer and ripe for analogy.
​
​
There is more evidence for this, though indirect. In many languages, the word for ‘clover’ is clearly from ‘3-leaf(ed)’ (E. trefoil, Kv. tré pṭik üs). Considering the form, with optional -ft- / -bd-, of NP šabdar / šaftal ‘clover’, it could be a compound of the type seen in :
​
*kWersir-pettro- ‘black bird’ > Av. Karšiptar-, Pahlavi Karšift (chief of birds, knows how to speak)
​
Since Av. parǝna- ‘wing’, Ps. pāṇa ‘leaf’; *pettro- > pátra- / páttra- ‘wing / feather / leaf’; etc., shows that this root had a wide range of meanings, a dialect with *ptalra > *pt- / *bdarl > *aptal / *abdar ‘leaf’ must have formed *si-aptal ‘3-leaf(ed)’ > *syaptal > šaftal (or a similar path). Most of this evidence was then lost, only being seen directly in Ps., with traces in NP and Dardic. A. šaabṛíki ‘clover’, Kh. ṣablīki ‘alfalfa’ also provide support for *-rl- here (both loans from Persian, in Strand, Morgenstierne 1936), since *l > ṛ / l or *r > ṛ / l would not be expected, and NP r does not become ṛ in words with more obvious origin. These probably require *šabdarlíki > *šabdaṛlíki > *šabdaṛíki > *šadabṛíki > šaabṛíki, etc., since *rl > *ṛl would parallel *rt > *ṛt > ṛ in native words.
​
​
Liljegren, Henrik (2010) Palula vocabulary
https://www.academia.edu/3849251
​
Morgenstierne, Georg (1927) Etymological Vocabulary of Pashto
​
Morgenstierne, Georg (1936) Iranian Elements In Khowar
http://www.mahraka.com/pdf/iranianElementsInKhowar.pdf
​
Strand, Richard (? > 2008) Richard Strand's Nuristân Site: Lexicons of Kâmviri, Khowar, and other Hindu-Kush Languages
https://nuristan.info/lngFrameL.html
​

Am I the only one that hates that Jordayla is often compared to Spelivia with only half the time and effort the ship was put together?
Jordayla isn’t a ‘bad ship’ but Spelivia is a 6 season ship in the making! The unfolding of their love story has been an almost perfect slow burn. As Olivia stated, despite the obstacles, and set backs, their feelings have remained the same from the moment they met.
For the writers to randomly place Jordan and Layla together after not having them speak or interact with each other for several seasons was already strange but and then to give them an engagement after only dating a few months, with absolutely no effort to prove the realness of their love just seemed... so weird. Especially since the showrunner said she split Spencer and Olivia up for becoming “married too quickly.” So why is being married to quickly bad for Spencer and Olivia but good for Jordan and Layla?
Now they pretend Jordan and Layla are this ‘epic love story.’ Grand enough to be sustainable for marriage before any of the other couples who have actually put in work.
It’s kind of disrespectful to Spencer and Olivia’s relationship history to pretend Jordan and Layla are on the same soulmatic level. I feel the writers jumped their relationship to the finish line way too quickly without proving why they deserve it.
Is anyone actually buying this love story?

I have applied to Università degli Studi di Milano for the Computer Science program, and my web-based admission interview is scheduled. I would like to know more about the interview experience. Specifically, I am interested in understanding the difficulty level of the interview, the types of questions that are typically asked, and the duration of the interview. If anyone has gone through this interview, I would greatly appreciate it if you could share your experience.
Thank you!
Traduzione italiana:
Ho presentato domanda all'Università degli Studi di Milano per il corso di Informatica e il mio colloquio di ammissione è programmato via web. Vorrei saperne di più sull'esperienza del colloquio. Nello specifico mi interessa capire il livello di difficoltà del colloquio, la tipologia di domande che tipicamente vengono poste e la durata del colloquio. Se qualcuno ha seguito questa intervista, gli sarei molto grato se potesse condividere la sua esperienza.
Grazie!

Hey everyone,
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The Analytics App is customizable to your needs - you can create custom dashboards, edit the default one, modify permissions, helping you track essential company metrics, identify key trends, and make data-driven decisions that enhance productivity.
An upvote here is more than appreciated: https://www.producthunt.com/posts/analytics-application-pro/

Introduction

Shared office spaces, also known as co -working spaces, have become a popular choice for businesses, freelancers, and remote workers. Creating the perfect shared office space involves careful consideration of design elements and staying abreast of current trends. Here, we explore the key components and emerging trends that contribute to the ideal co -working environment.
1. Layout and Space PlanningOpen LayoutsAn open layout fosters collaboration and communication among coworkers. It allows for easy interaction, creating a dynamic and energetic atmosphere.Private AreasWhile open layouts are important, having private areas for meetings or focused work is equally crucial. These can include private offices, phone booths, and quiet zones.
2. Ergonomic FurnitureAdjustable Desks and ChairsInvesting in ergonomic furniture such as adjustable desks and chairs can significantly enhance comfort and productivity. Ergonomic designs reduce strain and prevent health issues associated with prolonged sitting.
Breakout FurnitureIncluding comfortable breakout furniture like sofas and lounge chairs provides relaxation spots for informal meetings or breaks, promoting a more inviting and flexible workspace.
3. Technology IntegrationHigh-Speed InternetReliable, high-speed internet is a non-negotiable element. It ensures seamless connectivity for all users, supporting various business operations and communication needs.
Smart Office SolutionsIncorporating smart office solutions such as app-controlled lighting, climate control, and booking systems for conference rooms can streamline operations and improve user experience.
4. Aesthetic and AmbianceNatural LightMaximizing natural light not only reduces energy consumption but also enhances the well-being and productivity of the space's occupants. Large windows and open spaces that allow for ample daylight are key.
Greenery and Biophilic DesignIncorporating plants and elements of nature into the office design can improve air quality and create a calming environment. Biophilic design, which integrates natural elements, has been shown to reduce stress and increase creativity.
5. Amenities and ServicesOn-Site Cafes and KitchensProviding access to on-site cafes or kitchen areas where members can prepare or purchase food and beverages can improve convenience and foster a sense of community.Wellness RoomsWellness rooms or areas designated for relaxation, meditation, or exercise can help occupants manage stress and maintain a healthy work-life balance.
6. Community and CollaborationEvent SpacesHaving areas that can be transformed for events, workshops, and networking sessions encourages community building and professional development.
Collaborative ToolsProviding tools such as whiteboards, projectors, and communal tables supports group work and brainstorming sessions, making it easier for teams to collaborate effectively.
7. Sustainability PracticesEnergy-Efficient SystemsImplementing energy-efficient lighting, heating, and cooling systems reduces the environmental impact and can lead to cost savings
.Recycling and Waste ManagementSetting up comprehensive recycling and waste management systems encourages sustainable practices among members and reduces the space’s carbon footprint.
8. Customization and FlexibilityModular FurnitureUsing modular furniture that can be easily reconfigured allows the space to adapt to different needs and preferences, providing flexibility for various events and working styles.
Personalized WorkspacesAllowing members to personalize their workspaces can increase comfort and satisfaction. This might include providing lockers, adjustable decor, and customizable desk setups.

The Role of Technology in Enhancing Shared Office Spaces

As the landscape of work continues to evolve, technology has become a pivotal element in shaping shared office spaces. These innovations not only boost productivity but also enhance the overall user experience. In this blog post, we delve into the key technological advancements that are transforming coworking environments.
1. High-Speed Internet and ConnectivityReliable Internet AccessThe backbone of any shared office space is a robust, high-speed internet connection. Reliable connectivity is essential for remote work, video conferencing, and cloud-based applications, ensuring seamless operations for all members.Wi-Fi 6 and BeyondAdopting the latest Wi-Fi technologies, such as Wi-Fi 6, provides faster speeds, increased capacity, and better performance in densely populated spaces, supporting the growing number of devices used by office members.
2. Smart Office SolutionsIntegrated Building Management SystemsSmart office solutions, such as integrated building management systems, automate control over lighting, heating, and cooling, creating a comfortable and energy-efficient environment. These systems can be managed through centralized platforms or mobile apps, offering convenience and customization.Occupancy SensorsUtilizing occupancy sensors helps manage space efficiently by monitoring usage patterns. These sensors can adjust lighting and climate control based on real-time occupancy, ensuring resources are used only when needed.
3. Advanced Security MeasuresBiometric Access ControlBiometric access control systems, such as fingerprint or facial recognition, enhance security by restricting unauthorized entry. These systems are more secure than traditional keycards or passwords and provide a seamless access experience for users.Surveillance SystemsHigh-definition surveillance cameras and AI-powered monitoring systems help maintain a secure environment. These systems can detect unusual activities and alert security personnel, ensuring the safety of office members.
4. Collaboration ToolsCloud-Based PlatformsCloud-based collaboration platforms like Google Workspace, Microsoft 365, and Slack enable seamless communication and project management. These tools support file sharing, real-time collaboration, and team communication, facilitating efficient workflows.Interactive WhiteboardsInteractive whiteboards and digital flip charts are valuable tools for brainstorming sessions and presentations. They allow teams to collaborate in real-time, even with remote participants, enhancing creativity and productivity.
5. Virtual and Augmented RealityVirtual Reality (VR) Meeting RoomsVR technology is revolutionizing remote collaboration by creating immersive meeting experiences. VR meeting rooms allow participants to interact in a virtual space, providing a sense of presence and engagement that traditional video conferencing lacks.Augmented Reality (AR) for Design and PlanningAR can be used to visualize office layouts and designs, enabling better space planning and customization. By overlaying digital information onto the physical world, AR helps in making informed decisions about furniture placement and office design.
6. Mobile and Remote AccessMobile Apps for Office ManagementMobile apps designed for shared office spaces offer features like room booking, event registration, and community networking. These apps provide members with easy access to office resources and streamline administrative tasks.Remote Access SolutionsWith the rise of remote work, technologies that support secure remote access to office networks and resources are crucial. VPNs and cloud-based services ensure that members can work from anywhere without compromising security or productivity.
7. Health and Wellness TechnologiesAir Quality MonitorsMaintaining good air quality is essential for a healthy workspace. Air quality monitors track levels of pollutants and ensure ventilation systems are functioning properly, creating a healthier environment for office members.Wellness Apps and WearablesWellness apps and wearable devices can encourage healthier lifestyles by promoting physical activity, providing stress management resources, and offering health tracking features. Integrating these technologies into the office ecosystem supports the well-being of members.

Conclusion

Technology plays a crucial role in enhancing shared office spaces, driving productivity, security, and overall user satisfaction. From high-speed internet and smart office solutions to advanced collaboration tools and wellness technologies, these innovations are transforming how we work and interact within coworking environments. As technology continues to advance, shared office spaces will undoubtedly evolve, offering even more sophisticated and efficient solutions to meet the diverse needs of the modern workforce.Designing the perfect shared office space involves balancing functionality, aesthetics, and community needs. By focusing on key elements such as layout, ergonomic furniture, technology, and sustainability, and by staying aware of emerging trends, you can create a coworking environment that is both productive and enjoyable. As the nature of work continues to evolve, so too should the design of shared office spaces, ensuring they remain conducive to the diverse needs of their users.

More than 3000 accounts were created already and we have around 200 active players from different time zone. On average, we have 20-50 people online at any time of the day.
Here are some important infos about Frostforge;
Progressive 3.3.5 version, soft locked to 60 for a while, then 70, then 80. Crossfaction is ON.
Rates OF SERVER
XP x1-x4
Honor x0.5
Rep x2
Profession x2
Talent points x2
NPC Bot limited to 4 bots per player (you need around 15 players for 40man raid).
(BOT gears like Players!)

• Server is PvE, but many NPC Bots roam around PvP activated.
• You can learn all profession i
• Instant flight, instant mail, all flight path are discovered at level 1
• Server is PvE, but many NPC Bots roam around PvP activated.
• Instant BG - NPC Bots are smart and strong enough to not just turtle in the middle of WSG
• Original PvP titles reintroduced
• Defense/Weapon skills automatically learned upon leveling up
• Tier 1 to 6 are classless so you can get them for your bots
• Custom quests created so you can obtain Tier 3
• Scarab Lord / Atiesh / Onyxia chain quest fully working
• No run back upon wiping. You automatically rez at entrance
• TBC (maybe around mid-summer?)
• Customized attunements so people don't skip progression
• Defense/Weapon skills automatically learned upon leveling up
• Gold dump vendor; bags, mounts, pets, heirlooms, etc.
• Transmog any type of armoweapon
• Server events
• Since Onyxia and Naxxramas were moved to WOTLK;
• Onyxia's loot table has been added as an extra loot table to Ragnaros as a low % drop
• Every AQ40 bosses has a low % chance to drop splinters of Atiesh
• every AQ40 bosses has it's own extra loot table chance to drop Naxxramas loot. For example, Skeram has a low % chance to drop any items from Anub'Rekhan and Grand Widow Faerlina's loot table, etc.

All the details are in the changelog discord channel.
Discord
Facebook
We are looking forward to see you in-game. I hope this server will be a new home/niche for many of

Avatar: The Last Airbender and Avatar: The Legends of Korra both work quite closely together with their different tribes, though they're quite easily separated into the following
4 Airbender Monasteries / Temples ( N, E, S, W ) 1 Earth Nation ( 2 Big Cities + Kyoshi Island and some Villages) 1 Fire Nation ( No notable Cities, some Villages ) 2 Water Tribes ( North / South )
But there could be more! With all of the shb-bendinv disciplines existing I'm convinced that there should be more! More of what? Everything! Airbenders, Water Tribes, Earth Benders and mainly Fire Benders! What about all of the other sub-elements that weren't properly explored in the first two Series? Sandbending, Plant / Mudbending, Airbending / Flight, Electricity bending and then some! It's just so much potential! And seriously, Water Tribes only exist at cold places? What about warm waters? Nomadic Tribes who live wherever the current or they themselves take them? Please!
This Roleplay will take in a different time, not one with Kyoshi, Roku, Aang or Korra. You though will find out that it is a setting more akin to the times of Roku and Kyoshi without all of the technology and sudden MECHS that Korra introduced. This also takes a lot more influence from different cultures around the world.
But who are you? You're a citizen of... well how am I supposed to know? It's your character innit?
Either way, the story will be all about exploration and needing to find something or someone that's needed for the situation you're in. Depending on where you're from though it'll slightly differ and I'll have to change out the people whom you encounter on your journey!
So, what do you do if you're interested? You chat me. With your name, a lil introduction of who you are and what your character is. Some things I would NOT like to see are extremely tragic backstories, edgy characters, OP stuff / abilities or metagaming, claiming they can do something clearly out of their skill level. Other than that? Maybe a ref? A specific move they've made their own? A discord account I can reach you as? :>
Either way, I'll be seeing ya!

Hi, everyone! This is my first time posting here so please try to be nice to me. hehe char lang! so just like sa title of this post, I got married with my girlfriend, now wife, 6 months after we first met. Why am i posting? What's the catch?
It's because we got married in secret.
So ano ngayon if we got married in secret you say? Wala lang. I'm just really happy but I can't share it with the world just yet. I just want the world to know that I am now married with the woman I want to share my lifetime with and luckily I found this group so maybe I can share it here, this world right here.
I, 32F met my wife 25F in my workplace. To cut the story short, it wasn't all rainbows. She was in a long term relationship with a guy when we started going out and meron akong, sabihin nating fubu from the same workplace dati but i immediately ended it when I met her (wife). I know sasabihin niyo mga cheater, okay gets and totoo naman, some may even say na deserve ng wife ko yung narereceive niya na blackmail from her ex about posting their R18 photos and videos, and ako na aabangan daw niya ako (open for interpretation). Ang di ko lang magets, my then gf caught her ex-boyfriend cheating months bago kami nagmeet pero nag-aastang malinis yung ex-bf? Mmmm. I know may plan na sila dapat to get married this year, but not yet engaged. They were together for 5 years and alam kong baliw na baliw yung guy sakanya so diko gets kung bakit siya nagcheat. Also, my wife is out of my league, some people can't believe na pinatulan niya ako. She's really pretty, to say the least, a head-turner, bonus lang yun kasi super nice pa niya and matalino. Madami ding nagulat na hindi pala siya straight. Hindi kasi halata. My fubu? crush niya si wife. Even my gay-guy friend crush niya si wife. And I know a lot from our workplace e gusto siya, siguro from the day I met her hindi lang 10 guys yung halatang gumugusto sakanya.
Bakit kami kinasal in secret? Takot siyang icut-off siya ng parents niya. She's 25 but due to our chosen profession, she'll definitely need her parents' support pa muna and I admit diko pa kayang ibigay din yun. Sabihin niyo nalang na baliw kami. Hahahaha Sakin, I wanted to tell my parents, but since di pa niya masabi sa side niya, ganon nalang din sakin para fair so gets niyo na ba san ako nanggagaling? Only my sister and my trusted-workmate lang ang nakakalaam kasi sila yung witnesses sa wedding namin. Utah Online wedding pala just incase may curious.
Wala lang. Gusto ko lang i-share kasi I'm really happy. Also, if nadeads ako bigla tapos biglang tunugang may foul play, yung ex yung primary suspect. hahahah thank you! Cheers!

I'm a male in my thirties(30M just in case the automod is sensitive on this sub), 6'0, 169 pounds, white, the duration of this has been approximately three years. No drugs or alcohol other than a nicotine vape(switched from cigarettes a long time ago). Once every 1-3 months, during times of no stress or anxiety(I'm not an anxious person to begin with), I will feel warmth in my feet, then it goes up through my body up to my ears specifically, my vision will be slightly blurry, my pulse goes to 120-130, and my blood pressure 180-190 systolic and 100-110 diastolic. This lowers on it's own after about 15 minutes to 30 minutes. There isn't position changes on the onset of these episodes. I went to the emergency room on two different occasions for this when it first started happening. My EKG's were always fine, troponin levels were normal indicating no heart damage. My CBC's, everything was in normal range. My PCP investigated with a thyroid panel, which also resulted in normal values.
I have this every 1-3 months and I feel normal between the events, with the exception of feeling "off" for approximately a week afterward. I stopped visiting the ER when they happen because the two times that I went it seemed like what they test for is within normal ranges, so it may be a more complex issue. My vitals also go back to baseline which my normal vitals are perfect when not experiencing these episodes, so I haven't gone in a while.
Complaint: Feeling warmth and flushed throughout body, high pulse and blood pressure, slight vision issues, episodic in nature, happens every 1-3 months.
What has been tested so far: EKG - normal CBC - all values in normal range Thyroid panel - all values in normal range
What I've personally tested which could be subject to error: Auscultated for mitral valve regurgitation - I didn't hear anything Valsalva maneuver to test some autonomic dysfunctions - blood pressure reacted accordingly to each phase. Testing vitals - outside of the episodes my blood pressure, pulse, and PO2 are all within normal ranges. Blood sugar - within normal range
I setup an appointment with my PCP and I would like to see if I could suggest ideas, because my physician is really receptive and listens.
Thanks in advance for any help or suggestions.