Sample colposcopy procedure note

Hi, recently passed all 8 Fe1 exams in October 2023 and March 2024.
I have the 2024 versions of the Eu, Contract, Tort and Criminal from City Colleges - all in great condition, only case names etc highlighted.
I received scores of 61 (EU), 58 (Tort), 63 (contract), 61 (Criminal)
I also compiled my own notes for all 8 including sample answers etc. If all manuals bought at once, willing to throw in the notes and exam scripts.
Willing to sell all 4 manuals for €200 (50 each).
PM for any further information

I’m a 32 year old male and I’ve been sober for 9 months now. I just read the notes of my hospital visit where I was in a coma for 6 days. Months before I had been hospitalized and had 2.5 gallons (about 17 pounds) of black goo pumped out of my abdominal cavity via paracentesis. My bilirubin was 18.9. Not an exaggeration.
August 16th of 2023 I puked blood. Not too much so I hid it from my girlfriend. Next morning I wasn’t hungry because my stomach was literally full of blood. I throw up an exorcist level blood cascade all over the bathroom.
She gets me in the car to the hospital where I manage to walk in by myself before quickly collapsing. Upon being wheel to an exam room I throw up more blood. They give me 3 liters of blood. I throw up again. Now on liter 4. They doctors put me under and repair 10 ruptured varices in my esophagus, cauterize 6 bleeding ulcers in my stomach and perform a TIPS procedure. I am kept in under anesthesia for 144 hours as I undergo more bouts of unconscious blood vomiting and transfusions.
I wake up shackled to the hospital bed while they make sure I’m not going to thrash around while I’m still attached the all the machines. They tell me what happened and I can’t really even begin to wrap my head around what happened. I’m all somewhat paralyzed with peripheral neuropathy and my toes are curled up into fists. I can’t anything from the knees down.
4 days later I am released from the hospital and having done physical therapy 3 times a day and then months out outpatient. As of right now: GFR is >90 Bilirubin 1.7 Hemoglobin 11.5 Albumin 3.7 AST 44 ALT 45

Hi everyone!
It’s finally here! I was waiting for this for such a long time. Ever since the likes of Demi Rawling, Sharida M, Josephine from Jus the Rose and many other fragrance YouTubers raved about this perfume being a dupe to the oh-so popular gourmand legend - Bianco Latte from Giardini Di Toscana, I was invested!
It’s available on Paris Corner India’s website for 1699/- and you could get discounts as well at checkout if you have a code. I am excited to give this one some time today and test it out.
For a mini review, I can say that it’s creamy, caramelly, vanilla with a dash of milky note on my skin. I’m surely letting this one macerate after today as it’s a new batch, manufactured in.
I don’t have a sample of Bianco Latte to compare this with, but I already know I am going to like this one a LOT. I’ll update my full experience in the evening.
Till then, all I can say is for a fragrance at this price point, it’s 100% worth it.
See you in the evening or night for a deeper look at this beauty ☕️🍫
Smell good. Feel good.

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.

Hi folks,
I am very very new to machine learning and also relatively new to statistics in general - so bear with me.
I am currently working on an assignment where I need to analyse a dataset to determine if a set of variables can be used to predict someone's status on a binary outcome variable. I'm almost certain they want us to use supervised machine learning classification (K-nearest neighbours, RF or SVM) for this, however I'm struggling to understand a few things.
My first concern is that the sample size we have been provided is very small (N = 30) and as a result of this(?), each time I run the model (using a 20% test sample), the test accuracy varies a lot (has ranged from 70-100% accuracy). I have tried for all three methods (K-nearest, RF and SVM) and this happens with all of them. I should also note that I am using JASP for this.
My second concern is that using this method I can't see a way to determine how well each of my variables are adding to the predictive accuracy of the model as with regression - all I know is that with all the variables in, it predicts somewhere between 70-100% of test data accurately. I can't even play around with it by taking out a variable and seeing how it impacts the accuracy of the model because any change in accuracy could just be due to the random variation in the training and test data.
So, taking these two things together, I am wondering how I am really able to tell anything at all from using this method to analyse these data? Seeing as I can't say with any certainty how well the model is at predicting the classification status of participants, and I also can't say which variables have more/less predictive power, which are more/less important to include, etc.? I feel like I can't really say anything at all.
Am I completely missing something here? Is there something else I should be looking at? Honestly any help or advice at all would be greatly appreciated!
I should also note that this is my first exposure to machine learning classification so my apologies if I'm not explaining this well or if this question is just entirely stupid.
Thank you!

1. Focus Karma Need Want Of the Society Recreation Stimulation Examination Death 1.1 The noble truth of Focus is Energy, the noble Truth of Karma is Management, the Noble Truth of Need is Kombucha, the Noble Truth of Want is The Second Mental, Your Mental, The Noble Truth of Recreation is Marijuana, The Noble Truth of Simulation is Automatons, the Noble Truth of Examination is the Books on Examination, The Noble Truth of Death is Salt 1.1 There is a Truth of Truth The Truth of Energy is Stockpile, The Truth of Management is Treatment, The Truth of Kombucha is Amino, the Truth of The Second Mental is the Intermediary Mental Between Yourself and the World, The Truth of Automatons is the Plumbing Needed, the truth of the Books on Examination is the truth of the Books of the Ruler and the truth of Salt is the Limit of the Body Is Restored by Healthy Nutrition 1.1.1 There is a truth of the truth energy amino, Truth Starch, Truth Sugar, Truth Glycine, Truth Water, Truth Kombucha, Truth Arginine, Truth Serine, Truth Lysine 1.1.2 There is a truth of the ruler which is related to marijuana, Proline Above Lysine 1.1.3 There is a truth of the society related to only trading, Gold above Proline 1.1.4 All of these truths have intermediary truth below them 1.1.5 There is a truth of the botanist, Prozac And Benadryl and Scopolamine and Atropine and Benzyldiol Around Recreation 1.1.6 There is a truth of the schooler, Directly Ordered Female Voice Your Voice Kick Drum Kick Transient Pots N Pans Pots Content Button Mushroom Morel Cache Stash Marisol Bluewater Febreeze Peroxide Nitrate Ammonium Loam Bud Dirt Wheat Soil Potato Around Focus and Karma 1.1.7 There is a truth of the motorcade Above Karma and Below the Want of the society Muffler Transmission Piston Engine Cargo Chassis Fluids Vaseline Nutraloaf Soylent 1.1.8 Marisol Or Mother is Above All Below it 1.1.9 Button Mushroom is Above All Those Below it Three 1.2.0 Ammonium is Above All Those Below it To Marisol 1.2.1 Potato is Above All Those Below it to Marisol Three 1.2.2 Fire 2Fire 4Fire 8Fire 16Fire - A Fire is 5 Fire, At fire set 5,10,20,40, No Fire, at Fire set 10,20,40,80, On fire 1.2.3 Fire Is Below Focus In Energy and Karma is Below Need in Energy and Need is Below Want of the Society In Energy and Recreation is Below Stimulation In Energy And Stimulation is Below Examination In Energy and Examination is Below Death In Energy 1.2.5 Focus Is Pervasive so Energy Indicates Examination Having Occured or A Crops Grown 1.2.6 Examination Happens In Examination Want of the Society Focus Want of the Society Examination 1.2.7 Examination happens for 333 Hours or About 19 Days 1.2.8 Examination Happens in Sets of 333 Hours for 1332 Hours 1.2.9 At the End of Examination Examination Proceeds Automatically in 333 Hours 1.3.0 Want of the Society occurs as the output of crops 1.3.1 Want of the society yields the Amino Nutrients because it is the agricultural or synthetic output 1.3.2 Recreation Activates Marijuana, But Can Be On its Own 1.3.3 20 Marijuana Exist as a product of the lands 1.3.4 Over 20 Other Plants Exist as a product of the lands 1.3.5 Various tabulature of notes Exists with Standpoint Boards 1.3.6 Houses and apartments exist 1.3.7 Private Baths exist 1.3.8 A ledger exists for holding notes at a distribution point 1.3.9 A ledger exists for reasonable retrieval but not reproduction of notes (need original notes) 1.4.0 A ledger exists for deletion of notes but to a skilled observer they are still seeable 1.4.1 The Time One and One at One and One at Two is the time 333 units for each section 1.4.2 The time offset of the noble truths on the fifth reconstruction yields upon which noble truth they were the whole section 1.4.3 Only noble truths passed through the entire system 5 fold are the actual truth of the land 1.4.4 This is held by the guard which there are maybe 20 guard in the lands each city 1.4.5 There are fire weapon which exist which are hand cannon and have a chamber and a loader 1.4.6 There are fire bomb exist which are bomb which have just a chamber but there are just 4 ever 1.4.7 There are 3 sets of scrolls per city and 3 sets of scroll reader 1.4.8 There is 2 sets of scrolls each city which are city rulers 1.4.9 There are farms which exist which feed each city which grow crops 1.4.9 There are buildings in each city 1.5.0 There are normally 4 houses to a prefecture 1.5.1 There are normally 4 rooms to the house 1.5.2 There are 10 modern petrochemical foundry factory which exploit oil from the lands 1.5.3 There are clothing for at least 30 people in each city putting the bedroom load usually at slightly less than 2 a bedroom 1.5.2 There are around 7 military bases which exist but these numbers used to be inflated 1.5.3 There are medicine for at least 30 people in a city 1.5.4 There are toilets only per four people or wherabouts in the city 1.5.5 There are 98 separate prefecture in maybe 3 city spread out 1.5.6 There are potato, furion bannana, old potato, a rose donut wheat, apple, cabbage, turnip, carrot, another potato type, beets, three flowers, 20 marijuana, and other crops grown 1.5.6 There are zucchini grown 1.5.7 There are medicine poppy and heart tonic herb (blue bonnet) and a root which expresses opium and other minor medicinals grown 1.5.8 There are trees which naturally occur which are the colors of cherry blossom 1.5.9 Seeing the trees blossom is the rarest sight in the lands 1.6.0 The twenty guard of the town know how to protect one another 1.6.1 There are various opium which can be taken 1.6.2 There are various new bags of marijuana spray which are the marijuana active 1.6.3 There is a specific sedative created from Crude Oil, SnoreLax Olestra Ketamine 1.6.4 There are various nutrients created from crude oil 1.6.5 There are various computers created from crude oil 1.6.6 There are various liquids created from crude oil including pepsi cola and molten plastic 1.6.7 There are boxes created from crude oil 1.6.8 There are racing Skis created from crude oil 1.6.9 There is a capacity to run one of the computer 1.7.0 The computer yields a stable process blockchain when propagated 1.7.1 The computer notable yields beautiful colors when its process blockchain is propagated 1.7.2 There is a retrieval system for the other computers token 1.7.3 54 Stores now exist in these lands 1.7.4 These stores accept a specific RFID like currency 1.7.5 These stores accept the Gold of the Land Naturally 1.7.6 These stores have vendors wheater and vendors kitty cat and vendors autovend1 1.7.7 Groceries and resources can be bought from the stores 1.7.8 Automobile Motorcade can be bought from the stores 1.7.9 Concrete Objects can be bought from the stores 1.8.0 Designer clothes can be bought from the store 1.8.1 The foundrys create BDU Lower 1.8.2 The foundrys create I <3 NYC Shirt 1.8.3 The firearms create mittens firearm token en masse 1.8.4 The firearms are created at 20 a city to defend the people 1.8.5 Only 5 High Quality Weapon exist per city 1.8.6 A foundry is creating nonlethal weapons 1.8.7 The foundry makes its nonlethal weapon but there is only one per city 1.8.8 An inventor makes a nonlethal weapon 1.8.9 The foundry now produces 2 kinds of ice cream 1.9.0 The foundry now produces illegal goods like silicone pipes 1.9.1 Somebody is Brewing Amino Out of Starches 1.9.2 The Echo Locator is invented 1.9.3 The echo locator is finalized as a product 1.9.4 The echo locator is shipped out the door at 43 a city 1.9.5 The echo locator replaces the scrolls system 1.9.6 The echo locator can be taxed in the old tax system to make it valid in the old system 1.9.7 Two Cool Cats Take Control of the Power System, NateCat and HakeCat 1.9.8 The cool Cats reinvest in medicine and over 50 meningitis cure are found 1.9.9 The smart toilet is invented 2.0.0 The bombs detonate in ebonia and the people are freed 2.0.1 There is 11 grade flooding in ebonia 2.0.2 The ebonian flooding gets better to 7 ebonian remediator a city which are from the new Clement Dogs Clan 2.0.3 Tattoo Ink is Invented from cherry leaves 2.0.4 A tattoo requires somebody to play wizards chess on your skin to leave an indelible mark without killing it 2.0.5 Alpha squad is formed 2.0.6 A cruiser is in the metteranian gulf 2.0.7 The cruiser operates successfully for at least a month with me onboard 2.0.8 I am mainly using starlink 2.0.9 Starlink is accessible in the APV like it always is 2.1.0 You can fetch a battlefeed with starlink 2.1.1 You can fetch a battlesend with starlink (OSC) 2.1.2 OSC Replaces Starlink and LFO is Formed 2.1.3 LFO Replaces engine gasoline due to jet fuel drinking/snorting danger 2.1.4 Nontoxic weed smoke based gasoline is formed for APV 2.1.5 APVs are overclocked with me nearby 2.1.6 Supercapacitor Based APV Is Used For medical evacuation 2.1.7 Supercapacitor has massive distance versus dangerous IC APV 2.1.8 Supercapacitor powers gauss cannon in danger 2.1.9 Megagauss Cannon Invented for David's Aircraft 2.2.1 Megagauss cannon fits en masse onto the aircraft or in david flanagan or david summery's hands 2.2.2. Total david air superiority 2.2.3 Davids golden UH-1 in service 2.2.4 RQ-9 "David" Reactivated 2.2.5 RQ-9 Reapers Cloned 2.2.6 Spicy Chemical Discovered In Marijuana, Raytracing? 2.2.7 David Treated for Virtual Meningitis 3 Years Ago 2.2.8 Deepfake All Virtual Medical Practice Discovered 2.2.9 Marijuanas CH1 Receptor Renamed CB1 Receptor 2.3.0 Foundries in Business 5000$ A Barrel Many Years Default on Loans to 2111$ Barrel, No Effective Product Change 2.3.1 USR THermal IS-2 Scope Invented 2.3.2 USR THermal FLIR Camera for David UH-1 Invented 2.3.3 Driver for USR THermal FLIR Camera for David UH-1 Invented 2.3.4 Overwatch Mega Anti Crime David Stopper Overflights in Service Across the US And Solid Gold UH-1 Lofted By Broomstick Technology in Transmuggle Transwizard Interference of the Calamity Granted to David Flanagan (RQ-9) 2.3.5. Black Operations in the Persian Gulf Nethers Against Al Baghdadi - HVT Steam User In Custody 2.3.6 AC-130 "IBEX" Piloted by Alex M Lamb in Service in Vallejo and Ecuador to Support 141 Team 2.3.7 Proto Nutrient Fish Oil Factory Raided, Illegal Furion Bannana Discovered 2.3.8 Illegal Blueprinting Operations Cease in Favor of Big 11+ Oil Corporations 2.3.9 Minecraft server found and large amounts of population exiting to virtual reality 2.4.0 All players granted 64 planks and free for all 2.4.1 Doto 0 Bot Guard Lurking in Transnational Buddhist Operation Enable Free Play In Minecraft for Various Players 2.4.2 Siddartha's Secret, His Cow, Discovered in Virtual Reality Elder Scrolls No Crime Faction, Siddartha's Cow Goes Rampant and is Infinity Hidden in Every Directory of Starfield 2 The New Game 2.4.3 Many New Games are found with resemble the structure of the cow in markov chain 2.4.4 A new system is found out of cow which can provide for any item retrieval system intrinsically unlocking the singularity where Big 11+ Splits into infinite corporation 2.4.5 All cows are harvested for a typical user but still infinity exist farther away 2.4.6 The user has typically 500000 cows of Siddhartha as a personal cow 2.4.7 Sulfur futures are at an all time high 2.4.8 Justino Beibers Mandates burning of all cow waste in trash bin 2.4.9 Siddartha's Cow are docile as ever and functioning well when shot, they become well 2.5.0 Siddartha (Renchy, Racey's Friend) Is discovered hiding as a soul in neon district undercity of neon petite 2.5.1 The guard is never abolished and continues protecting us 20 to the citizen to this day 2.5.2 Asteroids are discovered in outer space with many palladium more than ever 2.5.3 A supercomputing cloud is made out of the distributed method which avoids the taxing system that the initial ruler invented and does a method 1-Affinity 2-Person 3-Disease where the affinity of each person treats the pair disease and or environment with only instantaneous transmission (Technological singularity) 2.5.4 Virtual clothes are invented the same way as clothes were initially invented, now in the instantaneous unheard 2.5.5. Virtual Medicines are invented in the same way as medicines were invented initially, now in the instantaneous unheard 2.5.6 There is perfect harmony between two instant universes the virtual medicine universe and the analog medicine universe 2.5.7 All of history's knowledge feeds into one system which encodes all its meaning in some dice which always roll a specific meaning and this creates wish or technology on demand 2.5.8 Wish is discovered as a contaminant on the No Crime Library 2.5.9 Wish has always predated meaning so that Wish is the Rulers Initial Nature 2.6.0 All existence is into one history the history of the singularity which procedurally generates by Wish the Rulers Initial Nature For All Citizen 2.6.1 Jeffybeans is the true ruler of siddartha which is prozac benzyldiol 2.6.2 Siddartha wakes up right before lorne happens to her and avoids the suicide booth because phillip j fry is protecting her. 2.6.3 The story is at a cliffhanger while the Universe is at the second end epoch and is failing succesfully very well for hubert I.

Blinds talked about: 5-10 dkk = 0.73-1.46 usd blinds 10-20 dkk = 1.46-2.92 usd blinds
I play live poker and mainly 5-10 dkk and 10-20 dkk I am very winning in 5-10 dkk and minimally winning in 10-20 dkk, but I don't know if my sample size is too small. I feel like I am a better player than 10-20 dkk players, but I am really not winning.
I have played 5-10 dkk 63 hours and won 2369 big blinds. Assuming I am playing 25 hands an hour it's 150/100 with a standard variation of 374/100 and 1575 hands played.
In 10-20 dkk blinds I have played 71 hours 322 big blinds. Assuming I am playing 25 hands an hour it's 21/100 with a standard variation of 1026/100 and 1775 hands played
Some further notes are that the 5-10 dkk blind games has 100 or 200 bb max buyin and has more passive players.
My questions are: Is my sample size to small to make conclusions? How come my winrate skydives when I move up in stacks?

I have an ergobaby 360 but my son seems to drown in it, even with a newborn insert. He’s 6 weeks old and 9.7lbs so not tiny, but I think this will work better for him when he’s a bit older. In the meantime I want something less fussy and less structured, and breathable for summer (our ergobaby is very thick and seems like it will be better in winter).
I’ve read lots about the Tula FTG and the LennyLamb Light but most of the reviews I can find seem to be sponsored or based on free product samples which I find unreliable. Does anyone have any experience of these and can advise?
One thing to note is that I have quite narrow shoulders so I have a marginal preference for cross back strap, which I know the Tula can’t do, but unlike the Lenny the Tula is available in linen which might outweigh that issue… but am I missing another UK-available brand that might be better?
Before anyone suggests I visit a sling library, yes absolutely but unfortunately my local one is still an hour away and they only do monthly sessions which get booked up several months in advance! The only local lady stopped doing it as she said she didn’t make enough money so there’s no private consultants near me either sadly.
Grateful for your advice!

In Vin's official word: VINFAST RECEIVED 27,649 DEPOSIT ORDERS FOR VF 3 CAR AFTER ONLY 66 HOURS OF OPENING - Vingroup (vingroup-net.translate.goog)
"Responding to the love and warm support of customers, Ms. Duong Thi Thu Trang - General Director of VinFast Vietnam market said: "The result of 27,649 car purchase applications after only 66 hours is proof of the Strong support and people's trust in Vietnamese auto brands."
Note the word: purchase application.
She did not use the word: reservation or order.
She carefully used the word "purchase application". That means not all have been paid. Lazy media will automatically replace "purchase applications" with "order" or "reservations" and hence does the dirty trick for Vuong Pham.
Many of these purchase applications, actually the vast majority of them, are online where people make a reservation but has some time, maybe 72 hours to wire the money or otherwise it will automatically be canceled. Think of buying an air ticket online. Same procedure.
Once you wire the money, it is non-refundable. But if you do not wire the money and hence cancel the "reservation", then there is no penalty.
Now, I wonder how many Vin employees are using this trick to pump the numbers?
Vinfast is sneakily to choose today to annouce that there is 27,649 "purchase applications". So they use a marketing trick to make the number appear larger than it should, and this is not a surprise, they have used marketing tricks many times in the past (2023 US sale figure is another example). Their statement is factually correct but there is nuance in it.
The actual money paid are likely to be less but how much less I don't know. May be only 50% paid. Maybe only 30% paid. Or 70% paid. Only Vinfast's accountants know this. But one thing I know for sure, it is not that 100% are paid.

Since 1969, Pelican Wire has been the maestro of resistance wire, crafting high-quality solutions for a global audience. We started as a humble garage operation, but our passion for precision and customer satisfaction has led us to become a leading name in the industry.
The Perfect Resistance Wire for Every Note:
Just like a conductor selects the ideal instruments for an orchestra, choosing the right resistance wire is crucial for your application’s success. At Pelican Wire, we offer a vast range of resistance wire options to ensure you find the perfect fit:

• A Symphony of Alloys: We stock a wide variety of resistance wire alloys, from Nichrome and Evanohm to specialty options like Manganin and Balco 120.
• The Right Gauge for Every Performance: Our extensive inventory includes gauges as fine as 45 AWG (0.00175") and up to 10 AWG (0.1024"), catering to even the most demanding applications.
• Insulated Harmony: Pelican Wire offers a variety of insulation materials to protect your resistance wire and optimize its performance. From Kapton® to high-temperature fiberglass, we have the right insulation for your needs.

Beyond the Selection: A Complete Resistance Wire Experience
Pelican Wire goes beyond just offering a wide variety of resistance wire. We are your partner in creating the perfect solution:

• Customizable Configurations: Our team of engineers doesn’t shy away from challenges. We can create custom resistance wire solutions to meet your exact specifications.
• Expert Advice: Our team boasts extensive knowledge and experience with resistance wire applications. We’ll help you choose the ideal wire for your specific project.
• Quality You Can Trust: At Pelican Wire, quality is paramount. We source our materials from reputable suppliers and maintain rigorous quality control procedures.

From Our Workshop to Your Masterpiece:
Whether you’re crafting a delicate medical device or building a high-powered heating element, Pelican Wire is here to provide the resistance wire that elevates your project. We are committed to being your trusted conductor in the world of resistance wire solutions.
Contact Pelican Wire today and let’s create the perfect resistance wire symphony for your application!

Hi everyone! My baby is 10 months old and I’m wondering for those of you with similar aged babies how much your little one eats?
I feel like maybe I’m not offering my baby enough food lately. She’s very petite (10th percentile) but drs not concerned because she was 5 weeks premature and is still showing gradual growth. However she hasn’t been eating a whole lot. I’m new to blw and we have free purees from Wic. So we do both. She was not finishing the jars but I realized she definitely preferred blw and feeding herself and would eat bettemore those days. When I spoon feed her she fights a little lol. I just am in over my head as far as what to offer her and am new to being a stay at home mom (was working up until about a month ago) so it’s hard sometimes to prep and give “real” food.
I recently got reusable baby pouches so I could at least put the purées in there and she can have some control over feeding herself and today she loved that and ate way more than usual!
I also want to say I still breastfeed but throughout the day she would only eat 1-2 jars of baby puréed fruits/veggies/meat, nurse a couple times mostly for naps, have a couple small snacks (think yogurt melts/cereal puffs) then overnight she’s waking up constantly to nurse. Today she had like 4.5 jars worth of food in the pouches as well as nursing. (Of course mix in the days of blw where she eats more but this is just an example of a worse and more typical day)
I googled and realized woah! It seems like she should be having wayy more solids. So wanted to hear a sample of what a day’s menu looks like for your little ones! Please share any tips regarding blw/meal and snack ideas etc! Especially because I plan on weaning off the breastmilk around 12 months. To be noted for any tips as of right now baby can’t have milk/dairy products possible allergy still working on diagnosis but bad reactions.

I had an abnormal pap showing Pos for HPV so my dr recommended we do a colposcopy.
The colposcopy showed 2 low grade squamous intraepitheleal lesions and my dr advised me for now to get paps annually as these abnormal cells might be from the current HPV which can clear on its own.
It doesn’t seem like it’s a cause for concern right now but I was wondering what circumstances/results in the next pap would they have to recommend me need to do a LEEP procedure?
Would the cells have to be a higher grade or is it if the HPV is still present? Just curious about the next steps if my next pap in a year is still abnormal.
Thanks

I had an abnormal pap showing Pos for HPV so my dr recommended we do a colposcopy.
The colposcopy showed 2 low grade squamous intraepitheleal lesions and my dr advised me for now to get paps annually as these abnormal cells might be from the current HPV which can clear on its own.
It doesn’t seem like it’s a cause for concern right now but I was wondering what circumstances/results in the next pap would they have to recommend me need to do a LEEP procedure?
Would the cells have to be a higher grade or is it if the HPV is still present? Just curious about the next steps if my next pap in a year is still abnormal.
Thanks

~Coronary artery bypass graft market~ is anticipated to grow at a considerable CAGR of 6.8% during the forecast period (2024-2031).Coronary artery bypass graft surgery (CABG) is done to treat a blockage or narrowing of 1 or more of the coronary arteries. It can restore the blood supply to heart muscle when nonsurgical procedures are not a choice.
Get Free Sample link @ https://www.omrglobal.com/request-sample/coronary-artery-bypass-graft-market
The market is growing due to increased myocardial infarction, an increasing geriatric population, and a favorable reimbursement scenario. According to the national library of Medicine estimate, myocardial infarction accounts for 3 million lives globally. In addition, as per the estimates of the United Nations, the geriatric population is expected to double by 2.1 billion in 2050. The geriatric population is more prone to cardiovascular diseases as fat deposits build up over the wall of arteries over a period of time. Moreover, a favorable reimbursement scenario is also positively influencing the market growth.
full report of Coronary Artery Bypass Graft Market available @ https://www.omrglobal.com/industry-reports/coronary-artery-bypass-graft-market
· Market Coverage
· Market number available for – 2024-2031
· Base year- 2024
· Forecast period- 2024-2031
· Segment Covered- By Source, By Product Type, By Applications
· Competitive Landscape- Archer Daniels Midland Co., Ingredion Inc., Kerry Group Plc, Cargill
· Inc., and others
Market Segmentation
Global Coronary Artery Bypass Graft Market by Technology
o Off-pump CABG
o On-pump CABG
o Minimally Invasive Direct
Global Coronary Artery Bypass Graft Market by Surgical Procedure
o Single CABG Surgery
o Double CABG Surgery
o Triple CABG Surgery
o Quadruple CABG Surgery
Global Coronary Artery Bypass GraftMarket by End Users
o Hospitals
o Cardiology Clinics
Regional Analysis
o North America
o United States
o Canada
o Europe
o UK
o Germany
o Italy
o Spain
o France
o Rest of Europe
o Asia-Pacific
o China
o India
o Japan
o South Korea
o Rest of Asia-Pacific
o Rest of the World
o Latin America
o Middle East & Africa
Company Profiles
o Boston Scientific Corp.
o Edwards Lifesciences Corp.
o Genesee Biomedical Inc.
o Guidant Group
o KARL STORZ GmbH & Co. KG
o MAQUET Holding B.V. & Co.KG
o NeoGraftTechnologies.Inc
o Novadaq Technologies Inc.
o Scanlan International
o Sorin Group
o Stryker Corp.
o Teleflex Inc.
The Report Covers

• Market value data analysis of 2023 and forecast to 2031.
• Annualized market revenues ($ million) for each market segment.
• Country-wise analysis of major geographical regions.
• Key companies operating in the global coronary artery bypass graftmarket. Based on the availability of data, information related to new product launches, and relevant news is also available in the report.
• Analysis of business strategies by identifying the key market segments positioned for strong growth in the future.
• Analysis of market-entry and market expansion strategies.
• Competitive strategies by identifying ‘who-stands-where’ in the market.

For More Customized Data, Request for Report Customization @ https://www.omrglobal.com/report-customization/coronary-artery-bypass-graft-market
About Orion Market Research Orion Market Research (OMR) is a market research and consulting company known for its crisp and concise reports. The company is equipped with an experienced team of analysts and consultants. OMR offers quality syndicated research reports, customized research reports, consulting and other research-based services. The company also offer Digital Marketing services through its subsidiary OMR Digital and Software development and Consulting Services through another subsidiary Encanto Technologies.
Media Contact:
Company Name: Orion Market Research
Contact Person: Mr. Anurag Tiwari
Email: [info@omrglobal.com](mailto:info@omrglobal.com)
Contact no: +91 780-304-0404

~Oculoplastic surgery market~ is anticipated to grow at a considerable CAGR of 5.7% during the forecast period (2024-2031).An oculoplastic procedure is a type of surgery done around the eyes. This procedure is done to correct a medical problem or for cosmetic reasons. Oculoplastic procedures are usually done by eye doctors (ophthalmologists) who have special training in plastic or reconstructive surgery. In some cases, procedures are performed by doctors who specialize in head and neck surgery.
Get Free Sample link @ https://www.omrglobal.com/request-sample/oculoplastic-surgery-market
Increasing prevalence of eye-related disorders, such as blurry vision, wrinkles near the eyes, and droopy eyes is expected to aid the market growth. According to the American Society of Aesthetic Plastic Surgery, over 1.3 million eyelid procedures were performed in 2017, globally. The report also highlights that in the same year, approximately 17 million plastic surgery procedures were performed in U.S. alone. Increasing medical tourism and improved reimbursement policies in both developed and developing economies are anticipated to positively influence the growth of the oculoplastic surgery market in the foreseeable future.
full report of Oculoplastic Surgery Market available @ https://www.omrglobal.com/industry-reports/oculoplastic-surgery-market
· Market Coverage
· Market number available for – 2024-2031
· Base year- 2024
· Forecast period- 2024-2031
· Segment Covered- By Source, By Product Type, By Applications
· Competitive Landscape- Archer Daniels Midland Co., Ingredion Inc., Kerry Group Plc, Cargill
· Inc., and others
Market Segmentation
Global Oculoplastic Surgery Market by Procedures
o Eyelid Surgery
o Face Lift
o Brow Lift & Forehead Lift
o Pediatric Oculoplastic surgery
o Orbital Surgery
Global Oculoplastic SurgeryMarket by End Users
o Hospitals & clinics
o Ambulatory surgical centers
o Ophthalmology Clinics
o Eye Research Institutes
Regional Analysis
o North America
o United States
o Canada
o Europe
o UK
o Germany
o Italy
o Spain
o France
o Rest of Europe
o Asia-Pacific
o China
o India
o Japan
o South Korea
o Rest of Asia-Pacific
o Rest of the World
o Latin America
o Middle East & Africa
Company Profiles
o Antibe Therapeutics Inc.
o B. Braun Melsungen AG
o Blink Medical Ltd.
o BMT Medizintechnik GmbH
o Bolton Surgical Ltd.
o Katena (Blink Medical Ltd)
o Optik-Chirurgie GmbH
o Sklar Surgical Instruments
o TEKNO-MEDICAL Optik-Chirurgie GmbH
The Report Covers

• Market value data analysis of 2023 and forecast to 2031.
• Annualized market revenues ($ million) for each market segment.
• Country-wise analysis of major geographical regions.
• Key companies operating in the global oculoplastic surgerymarket. Based on the availability of data, information related to new product launches, and relevant news is also available in the report.
• Analysis of business strategies by identifying the key market segments positioned for strong growth in the future.
• Analysis of market-entry and market expansion strategies.
• Competitive strategies by identifying ‘who-stands-where’ in the market.

For More Customized Data, Request for Report Customization @ https://www.omrglobal.com/report-customization/oculoplastic-surgery-market
About Orion Market Research Orion Market Research (OMR) is a market research and consulting company known for its crisp and concise reports. The company is equipped with an experienced team of analysts and consultants. OMR offers quality syndicated research reports, customized research reports, consulting and other research-based services. The company also offer Digital Marketing services through its subsidiary OMR Digital and Software development and Consulting Services through another subsidiary Encanto Technologies.
Media Contact:
Company Name: Orion Market Research
Contact Person: Mr. Anurag Tiwari
Email: [info@omrglobal.com](mailto:info@omrglobal.com)
Contact no: +91 780-304-0404

I am not the OOP. The OOP is u/Ok-Firefighter602 posting in AmItheAsshole and his user account
Concluded as per OOP
1 update - Medium
Original - 29th April 2023
Update - 22nd May 2023
​
AITA for breaking a promise and attending my stepdaughter's graduation?
​
I’ll start by explaining some backstory. I (54M) lost my first wife when my son (25M) and daughter (22F) were ages 9 and 12, Both my kids took it as hard as you would expect and to this day have a poor relationship with both my current wife "Doreen (49F)" and my stepdaughter "Amy (18F)". I started dating Doreen about 4 months after my first wife passed, as such my kids believe I cheated on their mom. Amy was 5 when we got together and as such I see her as my own daughter.
On to the actual story, 4 years ago, two days before Kay's high school graduation, Amy got very ill while visiting her grandparents and ended up needing emergency surgery. My wife and I rushed to be with Amy and admittedly I did not communicate well with Kay. At the time Kay didn't pick up my calls, so I left her a voicemail and several text messages explaining what happened and telling Kay I was sorry but I would make it up to her. A few hours go by and I get a call from Kay, she is in hysterics telling me what a terrible father I am and stated that if I did not attend her graduation I would be dead to her. I chose to support Amy.
True to her words, Kay did not contact me on the day of her graduation. And when came home Kay's things had been moved out of the house with a note explaining that we were no longer family and to never contact her again.
Luckily Kay and I were able to reconcile, however, I promised her I would give her absolutely anything in the world to make her forgive me. She said that she would forgive me as long as I refused to attend Amy's graduation as this was the only way to make it fair. I agreed at the time thinking she was just joking or angry and would soon forget.
This leads me to now. Invitations for Amy's graduation went out, and despite all the hostility Amy wanted to make sure Kay got one. Kay called Amy later that day and said she would be unable to attend as she and I would be spending the day together per our agreement. Amy broke down into tears asking me why I was missing her graduation, I assured her I was not and that I would speak to Kay. Later I explained to Kay that I simply could not miss Amy's graduation. Kay launched into a tirade about how I was a liar and an asshole and how could I do this to her again. I told her that we would talk when she calmed down and she said we would never talk again.
My son, and several of our extended family have all taken Kay's side saying I didn't see how hurt she was at graduation. My wife believes I am the asshole for even promising that in the first place as I should have known it would only upset one or both girls. And Amy is just sad and confused wondering why Kay hates her. I know keeping my promise and not attending Amy's graduation is probably the only way to salvage my relationship with Kay, but no matter how I look at it I would feel like I'm punishing Amy for having a medical issue, so am I the asshole?
EDIT to add some relevant info.
I NEVER cheated on my first wife. your accusations are honestly tiring and disgusting.
Amy's Bio father was never in her life. I am NOT Amy's Biological father, that wasn't ever even in question as we are not the same race.
Amy had appendicitis, she was staying over 4 hours away at her grandparent's house. at the time that we left the only info Doreen's mother would give us was she passed out and wouldn't wake up.
My daughter was moved out of our house for about a month and a half after which we made up and she returned to live with us for another 2 years before going away to school.
I did not believe Kay when she said she wanted me to miss Amy's graduation as it seemed like a ridiculous request. despite what you all may believe our relationship was fine after this event we were in near-daily contact and she would frequently visit us.
​
Comments
​
Angry-trans
YTA And have been for years. You are a bad father. Kay is correct. You are a liar. You've done nothing to prioritize Kay ever since your new family rolled in. Your relationship with your daughter is dead and the blood is on your hands.
​
calliatom
Seriously though... you never should have promised Kay that, knowing full well that you had no intention of keeping your word. And now you're being a bad father to Amy too, by trying to use her tears and guilt to dig yourself out of the grave you dug yourself with Kay.
​
CryptographerSuch753
Seems like all op cared about was getting his way in the moment. Seems like that may be a pattern
​
victoria12345678909
YTA - you replaced your kids mom with a new family 4 months after she died! Your kids lost their mom so young and you don’t seem like you prioritized their feelings or helped them deal with things, instead you moved on fast. Kay didn’t have a mother to attend her graduation and she needed you there. Could you not have driven to the grad then back to the hospital?
​
LadyDerri
Ten to One that Amy is his daughter. That's why he favors her.
​
Comments from OOP

Amy ended up having to get an emergency appendectomy, but at the time was visiting her Grandparents about a 4 hour drive from where we lived. Her grandmother didn't give us too much relevant information before we left, just that she had passed out and wouldn't wake up. On the way there we didn't know her condition or anything because her grandmother is a non-native English speaker and didn't understand a lot of the medical terms. once we got there and signed off on the surgery she ended up needing an additional 2 days in the hospital and wanted both of us by her side. During this time I repeatedly called and texted both my mother and son who were planning to attend the ceremony. I had every intention of calling/ video calling so that I could still support her, but she told everyone she didn't want me to be a part of it.

​

I didn't immediately move in Doreen and Amy once we started dating, we dated for over 2 years before we moved in together. My wife's death was not a sudden thing she battled cancer on and off for years before she passed. My children already knew/ were comfortable with Doreen as she was my late wife's best friend so I thought they would enjoy having her around more. I offered both children grief counseling, my son took me up on it, and I took Kay to a few sessions but she would kick/ scream/ cry every time I took her finally the counselor decided that forcing her before she was ready would only worsen her grief. I offered her therapy many times over the years, but she never took me up on it.

​

first of all, I knew Doreen for years before I even met my late wife, in fact, Doreen introduced us. I thought my kids would like having Doreen around as before my wife passed they loved her like an aunt. I did not move her in or make her a permanent part of our daily lives until over 2 years into our relationship. four months after my wife passed we agreed to explore our romantic feelings I explained what was going on in age-appropriate terms so they wouldn't be blindsided if they caught their dad kissing their "aunt".

​
**Judgement - YTA*\*
​
Update - 1 month later
​
I wasn't sure if I wanted to post an update after the reaction I got last time, I can stomach death threats against myself but directing such hatred toward my children was truly disturbing. But the graduation has come and gone and I thought I should share how it all went down. I'm sure most of you will be displeased.
Amy was mad at me for a few days, but we have a strong bond and she quickly got over it. The saint that she is said she would understand if I wanted to miss it to make it up to Kay. I told her I wouldn't do that to her and reassured her that she has done nothing wrong.
As for the elephant in the room, Kay, she and my son live in the same city and work in the same field so they're as close as ever. My son and his partner were giving her a lot of emotional support at this time. In the end, she decided not to attend Amy's graduation but sent flowers and a card with my son. There were a lot of nasty messages directed toward her, which I feel is completely unacceptable. She isn't mean or vindictive. She is a smart, very kind, very empathetic woman. She made a bizarre ultimatum as a confused and hurt teenager I certainly don't think that makes her a bad person.
I know all of you seem to think I hate my children, but the amount of pain I feel at the deterioration of my relationship with my daughter is unexplainable, I've been on and off anti-depressants since the death of my wife and at my therapist's suggestion will be going back on them. it's taking all of my willpower not to reach out to her again, but I've already disrespected her wishes enough. She can choose to reach out to me when and if she ever wants to again and I'll be waiting.
I know it's not the most impactful update and I'm sure most of you wanted to see me left miserable and alone, but I don't live my life for anyone else's entertainment. I can accept that I'm the asshole, maybe I'm an asshole in general, but I'm not some evil monster that you all want me to be. I'm a man that made the mistake of sharing his problems with the internet a mistake I won't be making again. I probably won't delete this account, but I'm not gonna be updating in the future. goodbye.
​
Comments
​
YogurtclosetWeird789
Look OP I get that you're human, just a man.
But you can't get away with the I made mistakes because you make the same ones over and over again.
I don't understand trolls and stupid people with the death threats or nasty messages about your kids it's wrong and disgusting.
The only issue here is YOU! The fact that claim to love Kay and how it is breaking your heart that she wants nothing to do with you is your own fault, every 'mistake' you made and repeated always seems to be against her. I don't actually think you care about Kay all that much as you still have Amy.
Now you've decided oh well I've fucked up again and made so many mistakes I'll just leave her alone and not confront the fact you failed her as a supportive father. OWN IT, Change your damn ways.
Believe me, you're not the worst dad out there. but you are a shitty one to Kay.
When will you wake up and realise without the self-pity that YOU have to be the one to make amends. Why on earth would she contact you?
Do you not care that one day she will get married and you won't be invited to the wedding or even to walk her down the aisle? When she has her first child and you find out through the grapevine instead of being a Grandpa?
Maybe one day she will forgive you, but not if your solution is to just give her space! seems to me she had a lot of space from you already. All she wanted was your time and sole attention for a bit, and you've never been able to give her that. I feel for both your son and daughter because it seems you have a favourite and you don't care as long as Amy is ok.
Let me guess and say your wife thinks it's best to give her the space? Amy may be a nice girl but I bet your wife has encouraged your behaviour.
It's honestly sad.
​

OOP: I'm giving Kay space because that's what she said she wants, I can't do anything other than that. No matter what I'm gonna still be there for her any way I can, but for the time being, I'm not going to pester her or beg for forgiveness because that's not what she wants. I HAVE made mistakes and at the top of that list is not listening to my children when they tell me exactly what they need from me.

​
AAP_BH
Even in this follow up post the way you speak about Kay, the disgust you feel for her oozes out. You claim so many people spoke badly of her in your previous post but those comments were minimal compared to the people that spoke badly of YOU, YOUR WIFE AND SAINT AMY but you don’t mention that, you still want Kay to be the “bad” daughter. Saying her request was “sad and bizarre” no it wasn’t.
It’s so convenient that this is when all of a sudden you realize you need to and will listen to Kay, not when she was begging you to choose her for once since your dear saint Amy came into your life. All you had to do was not go to a High School graduation and you couldn’t even do that.
You’re a horrible father to Kay and you will continue to be one. The fact that you still made the decision to put Amy over your freaking daughter is so sad, the fact that you cared so much more over Amy being upset over letting Kay down again says a lot. Leave Kay alone, don’t ever contact her again unless it’s to say flat out to her face that you are stepping down as a father since you know you will never be able to giver her the love and attention you give your true daughter Amy, that Amy will always come first. I had peritonitis, I was in the hospital (at 8yrs old) for almost a year on and off and my mom would leave to work , she was a single mother, and I was fine. Amy was a teenager, had A MOTHER AND GRANDPARENTS, she had appendicitis a common procedure, 2 freaking days before your daughters graduation and you couldn’t leave just for a day bc “Amy wanted me by her side”. My heart aches for Kay, knowing she is pretty much an orphan. Ughh parents like you I don’t freaking understand, you should’ve given up your rights as a father the moment you decided that your new family was more important than your children. I don’t think I’ve ever had so much hate for a stranger on Reddit.
ETA— by the way you sad excuse of a man, you didn’t make a mistake you made various CHOICES and DECISIONS to deliberately hurt your daughter. You DECIDED TO PUT AMY FIRST. You’re no victim, the only victim here is your ex daughter, Kay and probably her brother as well
​
Soft_Consequence2262
Oh Amy the Saint.... I got the same vibes. The Father is trying to paint Kay as the bad person that he needs to defend. Yet, can't go past without a shout out to how AMAZING Amy is... actually gives me the creeps. Feels like he has some weird obsession with her perfection.
​
[deleted]
Yeah the Amy the Saint really rubbed me the wrong way. It’s sad that despite everything, OP is still so delusional. I wish Kay a life of happiness, even if it means she would go NC with OP for life.
​
I am not the OOP. Please do not harass the OOP.
Please remember the No Brigading Rule and to be civil in the comments

I live in Portland and would love to form a small party of 3-4 to DM for. I have a sprawling map with fully fleshed out lore, cities, languages, branched plot lines, festivals, and even characters to join along in your journey played by me! Would really like to do in person and can even host in my living room or basement if we can all meet up first so I know I can trust you all!
Here's the map for a sample!
Comment below and we can talk about where to go from there once I find a complete dedicated group! (In it for the long game!)
Notes: love some merriment and joking around but the world is semi serious so if a more comedy driven world is your thing you might be disappointed. Thinking along the lines of high fantasy novels but a good round of drinks and shenanigans at a village tavern is all good with me!

Bold lines in the tables are new since the previous update.
Olympic Peninsula & Northwest Wash.
https://imgur.com/iZGkJzI

County	ID	Ref.	Date	Trending	14-Day Change
Jefferson	PT	(1)	May-08	UP	+ 590%
Mason	Biobot	(4)	May-11	UP	+ 380%
Skagit	ANA	(1)	May-09	UP	+ 60%
Skagit	MV	(1)	May-09	DOWN	- 30%
Whatcom	LYN	(1)	May-09	DOWN	- 30%

North Puget Sound [1 of 2]
https://imgur.com/cDJ99FP

County	ID	Ref.	Date	Trending	14-Day Change
Island	COUP	(1)	May-10	UP	+ 10%
Island	OH	(1)	May-10	DOWN	- 20%
Snohomish	APP	(1)	May-09	UP	+ 150%
Snohomish	ARL	(1)	May-09	UP	+ 60%
Snohomish	EVR	(1)	May-08	UP	+ 20%
Snohomish	STAN	(1)	May-08	DOWN	- 40%
Snohomish	256	(3)	May-10	UP	+ 100%

North Puget Sound [2 of 2]
https://imgur.com/bRLEzmt

County	ID	Ref.	Date	Trending	14-Day Change
King	BWT	(1)	May-08	UP	+ 30%
King	KCS	(1)	May-08	UP	+ 20%
King	WSPT	(1)	May-07	UP	+ 30%

South Puget Sound & Southwest
http:

County	ID	Ref.	Date	Trending	14-Day Change
Clark	MRPK	(1)	May-08	UP	+ 30%
Clark	SNCK	(1)	May-09	UP	+ 110%
Clark	VWS	(1)	May-08	UP	+ 190%
Lewis	Biobot	(4)	May-04	DOWN	- 20%
Pierce	CC	(1)	May-10	UP	+ 60%
Pierce	PUY	(1)	May-09	UP	+ 320%
Thurston	LOTT	(1)	May-08	UP	+ 80%

North & South Central Wash.
https://imgur.com/PYK6D0q

County	ID	Ref.	Date	Trending	14-Day Change
Benton	WRCH	(1)	May-07	DOWN	- 30%
Chelan	WEN	(1)	May-09	UP	+ 130%
Grant	EPH	(1)	May-08	DOWN	- 50%
Kittitas	ELL	(1)	May-09	UP	+ 260%
Okanogan	BRW	(1)	May-09	UP	+ 30%
Yakima	YAK	(1)	May-09	UP	+ 40%

Northeast & Southeast Wash.
https://imgur.com/91j9m3y

County	ID	Ref.	Date	Trending	14-Day Change
Franklin	PAS	(1)	May-10	UP	+ 30%
Spokane	RP	(1)	May-10	UP	+ 90%
Spokane	SPK	(1)	May-10	UP	+ 60%
Walla Walla	WALLA	(1)	May-09	UP	+ 80%
Whitman	PLM	(1)	May-10	UP	+ 10%

Notes:

Solid lines on charts are generated from data provided either by the Washington State Department of Health (WADoH Ref. (1) ), WastewaterSCAN (Verily/WWS (Ref. (3) ), or Biobot (Ref. (4) ).
White diamond dots are from most recent CDC/NWSS (Ref. (2) ) data scaled to supplement missing or out-dated data when available.
Because each of these four agencies use different normalization methods, different smoothing methods, and different averaging/location identifiers, the concentration of virus is not comparable between locations. See reference links at the bottom of this post for more details.
There are 33 sewersheds distributed across 6 charts initially grouped by geographic region then alphabetized by county and sewershed. The data shown is a compilation from WADoH (1), NWSS (2), WWS (3), and Biobot (4). Tables include sewershed ID, Reference ID, Date last sampled, Trend (based on the change between the averages of the two most recent weeks), and 14-Day Change (approx. amount which the trend has increased or decreased).
All data presented are smoothed in some degree to even out inconsistent sampling dates and extreme highs and lows. Most sewersheds are sampled 1-3 times a week and are published within a week. Some locations are "late" reporting by 10 days or more so be sure to note your sewershed's "Date" in the table or graph. Locations that are more than two weeks old will have "n/a" listed under Trend to indicate there it is out of date.
For further information on the many variables that affect virus concentrations in WADoH generated data please refer to the "Learn More" link on the Washington State Department of Health Wastewater Dashboard.

References with links to details on y-axis units, normalization protocols, data limitations, and sampling methods:

• (1) WADoH and click "Learn More"
• (2) CDC/NWSS
• (3) Verily/WWS and here
• (4) Biobot

Bold lines in the tables are new since the previous update.
Olympic Peninsula & Northwest Wash.
https://imgur.com/iZGkJzI

County	ID	Ref.	Date	Trending	14-Day Change
Jefferson	PT	(1)	May-08	UP	+ 590%
Mason	Biobot	(4)	May-11	UP	+ 380%
Skagit	ANA	(1)	May-09	UP	+ 60%
Skagit	MV	(1)	May-09	DOWN	- 30%
Whatcom	LYN	(1)	May-09	DOWN	- 30%

North Puget Sound [1 of 2]
https://imgur.com/cDJ99FP

County	ID	Ref.	Date	Trending	14-Day Change
Island	COUP	(1)	May-10	UP	+ 10%
Island	OH	(1)	May-10	DOWN	- 20%
Snohomish	APP	(1)	May-09	UP	+ 150%
Snohomish	ARL	(1)	May-09	UP	+ 60%
Snohomish	EVR	(1)	May-08	UP	+ 20%
Snohomish	STAN	(1)	May-08	DOWN	- 40%
Snohomish	256	(3)	May-10	UP	+ 100%

North Puget Sound [2 of 2]
https://imgur.com/bRLEzmt

County	ID	Ref.	Date	Trending	14-Day Change
King	BWT	(1)	May-08	UP	+ 30%
King	KCS	(1)	May-08	UP	+ 20%
King	WSPT	(1)	May-07	UP	+ 30%

South Puget Sound & Southwest
http:

County	ID	Ref.	Date	Trending	14-Day Change
Clark	MRPK	(1)	May-08	UP	+ 30%
Clark	SNCK	(1)	May-09	UP	+ 110%
Clark	VWS	(1)	May-08	UP	+ 190%
Lewis	Biobot	(4)	May-04	DOWN	- 20%
Pierce	CC	(1)	May-10	UP	+ 60%
Pierce	PUY	(1)	May-09	UP	+ 320%
Thurston	LOTT	(1)	May-08	UP	+ 80%

North & South Central Wash.
https://imgur.com/PYK6D0q

County	ID	Ref.	Date	Trending	14-Day Change
Benton	WRCH	(1)	May-07	DOWN	- 30%
Chelan	WEN	(1)	May-09	UP	+ 130%
Grant	EPH	(1)	May-08	DOWN	- 50%
Kittitas	ELL	(1)	May-09	UP	+ 260%
Okanogan	BRW	(1)	May-09	UP	+ 30%
Yakima	YAK	(1)	May-09	UP	+ 40%

Northeast & Southeast Wash.
https://imgur.com/91j9m3y

County	ID	Ref.	Date	Trending	14-Day Change
Franklin	PAS	(1)	May-10	UP	+ 30%
Spokane	RP	(1)	May-10	UP	+ 90%
Spokane	SPK	(1)	May-10	UP	+ 60%
Walla Walla	WALLA	(1)	May-09	UP	+ 80%
Whitman	PLM	(1)	May-10	UP	+ 10%

Notes:

Solid lines on charts are generated from data provided either by the Washington State Department of Health (WADoH Ref. (1) ), WastewaterSCAN (Verily/WWS (Ref. (3) ), or Biobot (Ref. (4) ).
White diamond dots are from most recent CDC/NWSS (Ref. (2) ) data scaled to supplement missing or out-dated data when available.
Because each of these four agencies use different normalization methods, different smoothing methods, and different averaging/location identifiers, the concentration of virus is not comparable between locations. See reference links at the bottom of this post for more details.
There are 33 sewersheds distributed across 6 charts initially grouped by geographic region then alphabetized by county and sewershed. The data shown is a compilation from WADoH (1), NWSS (2), WWS (3), and Biobot (4). Tables include sewershed ID, Reference ID, Date last sampled, Trend (based on the change between the averages of the two most recent weeks), and 14-Day Change (approx. amount which the trend has increased or decreased).
All data presented are smoothed in some degree to even out inconsistent sampling dates and extreme highs and lows. Most sewersheds are sampled 1-3 times a week and are published within a week. Some locations are "late" reporting by 10 days or more so be sure to note your sewershed's "Date" in the table or graph. Locations that are more than two weeks old will have "n/a" listed under Trend to indicate there it is out of date.
For further information on the many variables that affect virus concentrations in WADoH generated data please refer to the "Learn More" link on the Washington State Department of Health Wastewater Dashboard.

References with links to details on y-axis units, normalization protocols, data limitations, and sampling methods:

• (1) WADoH and click "Learn More"
• (2) CDC/NWSS
• (3) Verily/WWS and here
• (4) Biobot

I've honestly been out of the perfume game for a few years. It's been a crazy hot summer here, and I've been wearing nothing but extremely light citrus scents. The cold weather is finally here and I'm super excited to buy a "real perfume". Some ones I've liked in the past: Alien, Black Orchid, Paco Rabanne Black XS for Her OG, Roberto Cavalli Nero Assoluto, Lancôme Idôle Nectar. There's more but either got discontinued or I can't remember.
Some notes I love: lavender, rose, jasmine, cherry, coffee, cocoa, amber, vanilla, incense. Vibe: gothic, mysterious, comforting. Dislike: anything too sweet and cloying.
I'm in Australia and it's pretty difficult to get samples here. I'd love a sample set. I buy mostly online due to my crippling anxiety. Especially when it comes to sniffing different perfumes in store.
Have really been wanting to try YSL Libre. However now there's different flankers and I'm so confused.
I absolutely love Lust Twilight Body Spray too.
What are your cooler weather faves? 💜🖤🌿🌹🥀🍂