Sample of superbill medical practices

Microscopy

2009.08.05 23:30 lencioni Microscopy

In science class, you always wished you could play with the microscope a little bit longer. Now that you are an adult, you actually can. Cooler and with more bang for your buck than telescopes, microscopy lets you do real science!
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2016.08.16 13:04 Skincare Addiction - Not a Dermatology Clinic!

This sub is a relaxed community to discuss skincare products and routines. Do NOT ask us to diagnose your acne/skin condition or advise on how to treat it. This is not a dermatology clinic!
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2008.03.19 15:44 Magick

This subreddit is dedicated to Magick in all its forms. This is a community that practices, researches, discusses and embodies various esoteric paths and philosophies. While beginners are welcome here, this is not a beginners subreddit (see Rule 4).
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2024.06.09 13:28 sereyaaa 💫✨Unlock Insights on: Careers, Creativity, Decision Making, Dreams, Emotional Healing, Family Dynamics, Finances, Friendships, Jobs, Karmic Patterns, Life Path, Love, Moving, Overcoming Obstacles, Personal Growth, Relationships, Self-Discovery, Spiritual Guidance, Your Soul Purpose, & More!✨💫

⚖️CODE OF ETHICS⚖️
TESTIMONIALS
📚 My Tarot Spread Library! 📚
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🌟 WHAT TO EXPECT FROM ME: 🌟
Hey! My name is Sereya and I’m an intuitive Tarot/Oracle reader with 4 years of experience. My readings will not only offer you insights, but also practical wisdom and advice that you can use in your day to day life. Even my yes or no and 1 card readings come with a bonus oracle card for advice.
In my readings I will walk you through each card, giving you the breakdown of what I’m seeing. I don’t sugar coat the messages I receive, but I do always make sure to deliver them with empathy. My goal is to always have you leave my sessions with greater clarity.
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If you’re interested in a reading with me:
Message me to get started or comment below! 📬
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DISCLAIMER: I answer most questions so long as they’re not legal or health/medical/pregnancy related.
submitted by sereyaaa to ThePsychicConnect [link] [comments]


2024.06.09 13:27 sugarsugarcloud My mum is in her mid 70s... would a move to Hobart be possible or am I delusional?

We are a family of 6 (4 kids, hubby and myself) considering a move from Sydney to Hobart. We are hoping that once we sell our home we may be able to afford a place around the Sandy Bay area of Hobart, and really love everything about the area I feel extremely fortunate that we can even consider moving to such a nice area, as right now in Sydney we are in what a lot of people would consider not that great.
I have been hoping to encourage my mum who is in her mid 70s to move there as well. I have siblings who live overseas and really have nothing to do with us, so I am really all she has and the idea of leaving my mum behind breaks my heart. We have a somewhat strained relationship, and sadly living with us long term is not a realistic option. She really has no social networks here, only a couple of friends, we are really her only link to the outside world, and even though we are very different I really do want her to be able to see her grandkids grow up and enjoy a better lifestyle.
The problem is my mum has rented all her life. I have asked her so many times to look into applying for public housing as she is a widowed pensioner with no assets or savings whatsoever but she has never liked the idea and just keeps paying more and more rent. She has always been terrible with money, and racked up credit card debts in the past. Every time I tried to help her, or explain ways she could tackle this she would get offended and basically tell me to butt out.
Thank goodness she finally was able to pay all of her debts off (at least that’s what she told me) and retired from her job a few years ago and started getting the aged pension.
She is currently paying about $320 per week but its only a matter of time until that increases or the owners decide to sell. Her place is in less than ideal condition but she is close to shops and medical centres, so if we were not moving so far away, she most likely would just stay there as long as she can.
She is in complete denial about the realities of the property market and refuses to do anything proactive to better her situation. I have asked her so many times over the years what her plan is but she always talks about wishing she lived in a "nice area" and does not seem to understand that she will never be able to do that in Sydney unless she wins the lotto.
As you can imagine this has caused a lot of stress and frustration in me, because of course she is an adult and can do whatever she wants but I always have this feeling of dread that everything will fall apart and she will then ask me to fix the situation for her.
Anyway all that to say: how realistic would it be for her to move to hobart and actually find a place that she can afford to live in as a pensioner? I know there is no chance that she will be able to live super close to us, but coming from Sydney I would be thrilled is she could be within a 30-40 minute or even 1 hour drive from us.
Am I completely delusional? Are there suburbs that are not too far from Hobart City that might work for someone in her situation but still be somewhat safe and family friendly? She doesnt drive, so she would need to be near things like supermarkets and a medical centre. As she gets older I suppose we will need to consider aged care facilities but I can't even broach that topic with her.
I am trying to to let myself get angry at the fact that we are getting to this stage of our lives and she is still acting as if everything is fine, and instead I'm trying to find a practical solution for her. Any help or advice would be welcome and appreciated!
Thanks for listening to my TedTalk 🥲
submitted by sugarsugarcloud to hobart [link] [comments]


2024.06.09 12:57 lockdownlassie Private diagnosis to Shared Care - Scotland specific advice (Edinburgh)

I hope someone has any information about accessing shared care specifically in Edinburgh, Scotland. I got a private diagnosis of ADHD a few months ago- the cost was covered as a gift. The next step is medication, but I've had a lot of knock back from GPs who one even refused to consider adding me to the 7 year long wait list for NHS re-assessment (I should have filed a complaint but didn't have the energy to).
From what I understand, my only option now is to pay for titration privately and hope I can find a different GP practice to accept shared care after stabilizing. To be honest, this process would put me into debt between psychiatrist titration appointment costs and medication cost over the length of titration. My friend in Glasgow was diagnosed privately like me but he able to bypass the NHS wait list and be given medication through the Adult Mental Health Services in a few months, so he can now receive this for free without paying for the titration period.
From my research and various calls to Community Mental Health Services in Edinburgh, they said this was not possible here and that my only option was to be referred for NHS re-diagnosis (they won't accept private) and be on the 7+ year wait list. How is it possible that access to medication varies so wildly from one local authority to the other? It would be cheaper moving at this point. I'm struggling to see a different way I can access medication without going into debt. It is affecting my mental health and since my diagnosis I realized I really need help to manage this condition. Hoping I can find new information here, it's something I have been researching through various avenues for months without a clear answer as processes vary in each region in Scotland. Thanks
submitted by lockdownlassie to ADHDUK [link] [comments]


2024.06.09 12:47 mrpooooopy Can i get tested for STDs at urgent care?

Even if you don’t have any symptoms of sexually transmitted diseases, it’s a good idea to get tested if you’ve had unprotected sex. Even if it is just a home test kit to start, before going in for a confidential test at Urgent Care, knowledge is power.
Also, if you do use protection but have multiple partners, it’s a good idea to get tested as well, for the safety of you and your partners - and peace of mind.
Testing for STDs is just like getting tested in any other clinical setting. Your medical provider first evaluates you for symptoms that may suggest an STD infection and then runs tests based on what he/she finds during his examination.
Usually, your provider will draw blood or take a urine sample. In other cases, the provider will use a swab to collect a sample from the affected area. In most cases, a physical exam is required, which will include a pelvic exam for females.
submitted by mrpooooopy to STDFacts [link] [comments]


2024.06.09 12:41 Everettluoma27 From here to Armageddon (continuation)

From here to Armageddon (continuation)
https://preview.redd.it/1kpi90o0ai5d1.jpg?width=2554&format=pjpg&auto=webp&s=5fbb8e0147a035cc44ff3d8a3516110fee033690
GAYS IN THE MILITARY
A great many people of the United States are alarmed at the state of their nation today. The US is b becoming spiritually bankrupt as is the whole of gthw world. Each one of us must search our soul to determine our responsibility for permitting this state of degeneracy. Our greatest responsibility is to our family and the people with whom we come in contact. We must make sure that we don't fall victim to the evil forces that we find all around us. We must pray harder, realizing our dependence on Almighty God. We must work harder, realizing g that evil succeeds because "good men" do nothing.
I would suggest you go b ack and re-read the "community rules for revolution" a few times, also. It works in perfect harmony with the Protocols of the Elders of Zion. WE shall print them also as space allows. YOU MUST HAVE ACCESS TO HOW THESE THINGS COME UPON YOU AND HOW CAREFULLY THE EVENTS HAVE BEEN PLANNED---FOR CENTURIES, AGAINST THIS DAY.
While our focus is on the moral decay and upsurgenof political plunder of the world, let us share with you a "response" top articles regarding the Constitutional Law Center (CLC) participation in the "Military---Gay" situation.
QUOTE:
The Constitutional Law Center responds to Pete Dexter and others who favor lifting the ban on the enlisting of gays into the military service.
_________________
Gene Dixon, director of the Sacramento branch of the Constitutional Law Center and author of then book entitled "COMMON SENSE, THE SECOND, WITH APOLOGIES TO THOMAS PAINE," has written and submitted this fresponbsb to Pete Dexter as a result of Mr. Dexter's column on Sunday, January 31, 1993.
Mr. Dexter, in your column of the above date you refer to the actions of President Clinton in promoting the removal of the restrictions of the gays in the military as the actions of a very brave man and such action is the decent and important action to take. You further castigated anyone who opposed this as being of a very bigoted mind.
The actions of President Clinton in this respect are not brave, decent and certainly not important at this time. Mr. Clinton is paying off a political debt to a very minority group that gave him 70% of their vote.
A history of that promise is outlined in our recollections of the several speeches that Mr. Clinton gave to various gay groups which led to his final commitment. Mr. Clinton's first speech to the gays was not this committing, but the promise occurred after he allowed himself to be manipulated into such a situation. Mr. Clinton made a number of promises prior to his election that were and are far more important to the economy of this nation than this commitment to the gays. To spend so much time and effort of his initial term on a matter that benefits few and outrages many is akin to stupidity and "fiddling while Rome is burning."
If the issue was one of discrimination, the answer is easily explained. The military is not a democracy and it was never intended to be a democratic institution. By its very need and nature it cannot be a democracy. If it were a democracy I could visualize the need for a vote and discussion before every battle.
The military discriminates in every possible way. They won't take you if you are too short, too fat, too skinny, too small, too smart, too dumb and in other physical and moral ways. Our military has become the most effective fighting force in the world and the greatest guarantor of our Constitutional rights based upon this concept of "discrimination".
There have probably always been a few gays in the service and undoubtedly some of them have served their country well, but they have not flaunted their lifestyle as normal and respectful. There are few things in life that you can perceive and view and declare to be normal and I would challenge anyone to find a more appropriate norm than the relationship of a man and a woman joined together too produce a family life style.
The gays would have you believe that this relationship is only the traditional lifestyle and they offer their lifestyle as an alternative. Their lifestyle is not traditional and it is not normal. It certainly flaunts the laws of Nature. When we talk to our children now about the birds and the bees and other things, the gays would have us tell our children of the alternative gay life style.
If it is not normal, its is immoral; if it is the result of a missing gene or one too many; it is abnormal. In either case, the military can consider the effect of introducing such a concept into the military.
It is not a lifestyle as it does not promote life. It is an existence that defies Nature and is based upon the concept of, "if it feels good, do it." It is totally self-destructive end not capable of reproduction of the species.
We have been so inundated in the past several years via the media that we are fast approaching the era of an AIDS epidemic and, from the information distributed, the major persons causing the spread of this virus are members of the gay community and particularly by the more aggressive members of the 17-25 year old age group. By chance, this group is most likely to want to join the military.
It is no secret but an open and known fact that sexual gratification is one of our most passionate and even uncontrollable urges. Does it make sense at all to force this environment among our sons and daughters of this same age group?
If we accept the views of the medical experts that the virus is undetectable and may lay dormant for as long as 10 to 15 years in a person's body and that in some cases it is transmitted by blood transfusions or saliva or other un known means, have we just not dumped on.our existing military the means to create an AIDS epidemic that might well wipe out our population.
There are other very practical reasons to keep the ban in place. Do you have to build separate facilities to house this group? What is the total tax bill cost to the taxpayer who is probably already out of work and wondering how to pay his bills?
What about rthw flamboyant gays? The ones who are convinced they are female? Do you accept them also, or do you discriminate within this group[?
Has anyone studied the inter-relation of the gays into the prison structure? The prisons have lived with this situation for years. What have been the results of that study?
The gays admit they are well organized, that they are well financed, that they are dedicated seed and disciplined and the have recognized their political power. It is time for the silent majority to recognize that this is not a fight of discrimination, but a fight to force the majority to accept their lifestyle as normal.
The Constitutional Law Center will not do this and this is why the Law Center will file a class action on behalf of any military person who does not want to live within such an environment. We will ask for individual damages to compensate every service person for the loss of his career.
submitted by Everettluoma27 to u/Everettluoma27 [link] [comments]


2024.06.09 12:25 Muted-Attention1215 Going back to school with 2 kids

I m 39f have 2 kids one 11y with mild ASD and the other 9y with ADHD. I myself was diagnosed with ADHD recently, despite that I am good at studying and usually had good grades. I work in the medical filed and have a masters degree. There is this program in a nearby city that will be very useful to my career. I am hesitant to join. I work part time and take care of most of the house and kids duties while my husband work full-time and help around. I am worried that me being busy and tired (the program is in nearby city 2 hours trip by car to go and maybe more to comeback for 3 days a week) will affect the kids. My mother and husband support me but there is so much they can do. I work in my privet practice and I am worried it will get affected too. I remember getting my masters was very hard I cried every night and felt very guilty about not spending enough time with my kids. I got my masters at 2021 and I kinda sworn off higher education scince. But now I am bored and fell the need to learn and improve myself. I am not the best at time management unfortunately but I do my best under stress. I don't want to go back to feeling miserable and guilty towards my kids or neglect there studies for mine. My mind keeps going on circles. Please advice
submitted by Muted-Attention1215 to ADHD [link] [comments]


2024.06.09 12:23 Odd-Crab7707 Serious Allegations about Danny

Serious Allegations about Danny
I want to preface this by saying that this is not a joke, I'm not one to joke about serious matters like this and it would be insensitive and rude to do so.
I also want to make it very clear that these are allegations, I understand that without hard proof of a confession, claims like this shouldn't be treated as hard fact, and I wouldn't expect people to do so, but I do think that the evidence available right now is strong enough for this issue to be seriously considered.
I believe that at some point, during the Summer of 2008, Danny Gonzalez kidnapped Neil Patrick Harris and stole his identity, replacing him as the actor for his character 'Barney Stinson' in CBS Sitcom 'How I Met Your Mother'
I understand that some people might think that this claim is ridiculous, after all, 'How could he have gotten through NPH's A-list body guards' 'How could he have even gotten to Los Angeles, where the show was filmed, from his childhood home in Wheaton, Illinois', 'Where could he have possibly hid former broadway star Neil Patrick Harris'
But I feel that, with all the evidence available, there is enough proof to substantiate this claim, or even to force Danny to properly respond to it.
Firstly, I feel like the similarities between them are two great to ignore, both are American-born media personalities, both did theatre work during high school (with NPH even working on Broadway at certain points); and both, and (while their ages are fairly far apart), given Danny's age, NPH is likely about as old as Danny's parents.
This means that if Danny tried to assume Harris' identity, it wouldn't be difficult for him to do so because of how similar his and his parents' life were to NPH's
And the timelines also match up:
The Summer of 2008 and 2009 was between seasons 3 and 4 of How I Met Your Mother, and there is a noticeable change in Barney's personality during this period. Before season 4, Stinson was a serial womanizer who didn't have feelings for anyone or anything, but season 4 portrays him very differently, as a hopeless romantic yearning for a woman (Female lead Robin Scherbatsky), but not having the courage to take action.
This sort of change would occur if a different actor assumed the role of Stinson during this time.
Also, the Summer of 2008 was near, right after Danny Gonzalez moved back to the United States from the UK, where he had lived with his family before for a few years. Neil Patrick Harris lived in the United States during this time, and during the summer he would likely have been residing in his childhood home in New Mexico. Is it really a coincidence that as soon as Danny came back from the UK, NPH's acting style suddenly changed?
Now you may think 'But didn't Danny live in Illinois? How could he have gone all the way to New Mexico, well in Illinois, the minimum age for a driving learner's permit was 15, which Danny would have been at the time, meaning that Danny could have hijacked his car and driven it to New Mexico, under the guise of 'education'.
Also, take a look at these pictures:
NPH as the title character in 1989-1993 Sitcom 'Doogie Howser'
Danny Gonzalez as the title character in Youtube Channel 'Danny Gonzalez'
The first image is of NPH as a child in a different sitcom, 'Doogie Howser', in which he plays a genius child doctor. The second is Danny. Take a look at the resemblance, they have the same eye colour and eyebrow structure. They have the same hair colour and ear shape. They look practically identical.
NPH as 'Barney Stinson' in CBS sitcom 'How I Met Your Mother'
Look at 'him' as Barney Stinson after Summer 2008, HE LOOKS COMPLETELY DIFFERENT. He looks nothing like his young self, has much brighter hair (not shown in the image), and is holding a glass of alcohol, which he did not as a child.
Think about it logically, why did NPH previously look just like Danny before the Summer of 2008, but look just totally different after, The only logical explanation is that after Danny abducted him, he didn't want people to be suspicious about there resemblance and thus tried to change his appearance so that he wouldn't get busted for his crime.
We know that Danny is a master of disguise from the whole Troy Becker or Ned Flames thing, did you ever stop to think where he learned those skills? He learned it from his previous experience pretending to be NPH.
But theres only one question left to ask, Why? Why did Danny go through all this trouble to replace Neil Patrick Harris, how would doing such a thing benifit him?
Well you have to thing about it critically.
I already mentioned NPH's other show 'Doogie Howser', in which he played a genius child doctor who would save lives through his medical expertise. The show put NPH and his talent at the forefront of American conciousness and made millions of American expectant parents hope that their child could be a medical or acting prodigy like Howser or NPH were.
The show ran for 4 years until the very year before Danny was born, meaning that Danny's parents likley would have watched it. This would lead them to hope that Danny would be an acting or medical genius iun the future, which he would not. This was probably the reason that Danny got into theatre, because he wanted to impress his parents by being like Neil Patrick Harris.
Eventually, he would've grown frustrated at his inability to make his parents proud by being a successful actor or child-doctor, and would see Harris as a symbol of his failure to acheive these goals. In the end, he would decide that the only way to become Neil Patrick Harris, would be to become Neil Patrick Harris.
Then, during the season break, Danny decided to strike. He used his newly gained learner's permit to drive down from Illinois to Albequerque, where NPH lived, before kidnapping and stealing his identity, replacing him as Barney Stinson in CBS sitcom HIMYM, and taking on all of his future acting roles.
Over time he would learn to disguise himself, and would later develop an internal split personality. He would wake up some days thinking he was Danny Gonzalez and others thinking he was Neil Patrick Harris, and at some point mabye he began to believe he really was Neil Patrick Harris, we cannot know or look too far into the twisted inner palace of Danny Gonzalez's mind.
Danny: if your'e reading this, I want you to know that what you're doing is NOT RIGHT. I know it'll be hard to admit the truth after all this time and I bet that you think that you got away with it, but you have to and you didn't. I don't think you're a bad person, just that you made a terrible mistake due to abuse and frustration, and I understand it. But listen: you owe it to your millions of fans, the people around you, and Neil Patrick Harris's real family to be honest. There are people, real people, who are suffering because of your selfish actions, and who you have the power to save from their greiving.
And if by any chance, Neil Patrick Harris is still alive, I beg of you, please let him go.
I know itll be hard, but in your silence you're only incriminating yourself. The best option for you is to either dispute the allegations or to cooperate with the proper authorities.
The choice is your's
submitted by Odd-Crab7707 to DannyGonzalez [link] [comments]


2024.06.09 12:20 Little_Acanthaceae87 Research study: "A review of brain circuitries involved in stuttering" (2014)

Research: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4233907/
PDF document: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4233907/pdf/fnhum-08-00884.pdf

Abstract

Stuttering has been the subject of much research, nevertheless its etiology remains incompletely understood. This article presents a critical review of the literature on stuttering, with particular reference to the role of the basal ganglia (BG). Neuroimaging and lesion studies of developmental and acquired stuttering, as well as pharmacological and genetic studies are discussed. Evidence of structural and functional changes in the BG in those who stutter indicates that this motor speech disorder is due, at least in part, to abnormal BG cues for the initiation and termination of articulatory movements. Studies discussed provide evidence of a dysfunctional hyperdopaminergic state of the thalamocortical pathways underlying speech motor control in stuttering. Evidence that stuttering can improve, worsen or recur following deep brain stimulation for other indications is presented in order to emphasize the role of BG in stuttering. Further research is needed to fully elucidate the pathophysiology of this speech disorder, which is associated with significant social isolation.

Neural Correlates of Stuttering

Right Frontal Operculum (RFO)
Brain Activation and Therapy
Compensatory Mechanisms
White Matter Integrity
Functional Imaging Studies
Neuroanatomical Studies
Broader Implications
The Basal Ganglia and Speech Pathways in Stuttering
The basal ganglia (BG) are crucial in selecting and disinhibiting voluntary motor programs while inhibiting competing ones, thereby playing a central role in voluntary movements without generating them. Dysfunction in the BG can lead to movement disorders such as Parkinson's disease (PD), dystonia, and tremor. Evidence suggests that stuttering may also be a BG-related movement disorder, with altered connectivity in the basal ganglia-thalamo-cortical circuit seen in people who stutter (PWS).
Speech Pathways and BG Dysfunction
Jürgens (2002) identified a cerebello-thalamo-cortical pathway critical for normal speech production. Lesions in the cerebellum and ventrolateral thalamus, which projects to Broca’s area and the supplementary motor area (SMA), can severely affect speech. Functional studies show increased activity in these regions during speech tasks, suggesting their involvement in speech production. Alm (2004) proposed that PWS have dysfunction in the BG-cortical pathway, leading to compensatory overactivation of the cerebellar-cortical route, supported by evidence of cerebellar overactivity in stutterers.
Role of BG in Dysfluent Speech
Studies indicate that increased neural activation in the putamen and caudate nuclei correlates with stuttering severity. For example, event-related fMRI studies show increased putamen activation following fluency-inducing therapy, but this activation diminishes over time. Giraud et al. (2008) found a correlation between stuttering severity and BG activity before therapy, which was lost post-therapy, suggesting BG involvement in stuttering. Their model suggests structural abnormalities affecting information flow from Broca’s area to the motor cortex may cause BG dysfunction, similar to mechanisms in PD and dystonia.
Stuttering and Deep Brain Stimulation (DBS)
DBS, used for BG motor disorders like PD and dystonia, provides insights into BG’s role in stuttering. Cases report both improvement and worsening of stuttering post-DBS surgery. For example:
These cases highlight that DBS can modulate speech pathways in the BG, affecting stuttering severity variably. Some report improvement with specific stimulation parameters, while others note new onset stuttering or worsening of existing stuttering post-DBS, often depending on the target region and individual patient history.
In conclusion, stuttering appears closely linked to BG dysfunction, with evidence from structural and functional studies, similarities with BG-related movement disorders, and variable effects of DBS on stuttering symptoms. Understanding these pathways may guide future therapeutic strategies for stuttering.

Neuroimaging of Glucose and Dopamine Neural Metabolism in Stuttering

Glucose Metabolic Rates
State-Dependent Changes
Permanent and Reversible Hypometabolism
Dopamine Synthesis
Focal Segmental Dystonia

Brain Imaging Studies

Specific Activation Patterns

CONCLUSION

The etiology and pathophysiology of stuttering remain poorly. Stuttering is a disorder associated with significant psychological burden and social stigma, and work toward achieving successful therapies has been focusing on its psychological or psychodynamic causes. The increased recognition of a structural or functional neurological cause can render stuttering potentially amenable to surgical or medical intervention. Further research on the cortical and subcortical anatomical and functional changes in stuttering is needed. In this study, we have reviewed evidence demonstrating that dysfunction of the BG and of their cortical targets are a likely pathomechanism underlying stuttering.
submitted by Little_Acanthaceae87 to Stutter [link] [comments]


2024.06.09 12:14 Complete-Composer458 Medkey vs Anki

Hi everyone,
I'm excited to share that I'll be joining Yale Medical School in Fall 2024 after graduating from MIT this spring with a double major in neuroscience and computer science.
During my MCAT preparation, I developed a tool called MedKey that significantly helped me achieve a score of 524. MedKey is a flashcard deck powered by AI, designed to improve understanding rather than rote memorization. Unlike traditional flashcards, which often lead to correct answers based on familiarity with sentence structures rather than deep understanding, MedKey uses MCAT-style examples to test your comprehension.
Example generated from medkey:
During a team meeting, everyone seems to be in agreement about a new project proposal. Even though you have reservations about certain aspects, you decide not to voice them because you don't want to rock the boat and disrupt the harmony within the group. After the meeting, you realize that you missed an opportunity to provide valuable input that could have improved the project's outcome. This is an example of ___________.
With MedKey, you'll never receive the same scenario twice. Each practice session offers a unique scenario, ensuring you understand various aspects of the concept.
I'm currently seeking a small group of 30-40 people to test the beta version of MedKey and provide feedback to see if people will be interested in using this for their MCAT prep. If you're interested in participating, please let me know in the comments and DM me your email address to be added to the email list. First come first serve basis since our servers can not handle many users.
submitted by Complete-Composer458 to MCATprep [link] [comments]


2024.06.09 12:13 Muted-Attention1215 Going back to school with 2 kids

I m 39f have 2 kids one 11y with mild ASD and the other 9y with ADHD. I myself was diagnosed with ADHD recently, despite that I am good at studying and usually had good grades. I work in the medical filed and have a masters degree. There is this program in a nearby city that will be very useful to my career. I am hesitant to join. I work part time and take care of most of the house and kids duties while my husband work full-time and help around. I am worried that me being busy and tired (the program is in nearby city 2 hours trip by car to go and maybe more to comeback for 3 days a week) will affect the kids. My mother and husband support me but there is so much they can do. I work in my privet practice and I am worried it will get affected too. I remember getting my masters was very hard I cried every night and felt very guilty about not spending enough time with my kids. I got my masters at 2021 and I kinda sworn off higher education scince. But now I am bored and fell the need to learn and improve myself. I am not the best at time management unfortunately but I do my best under stress. I don't want to go back to feeling miserable and guilty towards my kids or neglect there studies for mine. My mind keeps going on circles. Please advice
submitted by Muted-Attention1215 to Parenting [link] [comments]


2024.06.09 12:02 Responsible-Rub-7009 Med school or not?

Hey yall
I really need some guidance. I got accepted into two medical schools one MD and one DO. Most of my life i was on the path for medical school and I even worked at the NIH. But then i started healing from childhood trauma and felt like my whole life prior was false and i left the country and explored eastern healing. I fell in love with TCM and and yoga and have been wanting to go more into that realm but still kind of feel this draw to understand western medicine first. I don’t really like hospitals and I really don’t want to do residency that much either super long hours. I like to live kinda simply and do and practice a lot of yoga. I also think western medicine is kind of jacked especially with big pharma and just the brain washing of med students. Maybe it’s still worth it to go though?
I feel like being a doctor has so much with it that i wouldn’t have time for the things that I love. I’m also nervous that a career in TCM might be too difficult. Idk. I’m at a cross roads between medical school and acupuncture school. I would really appreciate some advice. I know the answers lie within but ugh.
submitted by Responsible-Rub-7009 to careerguidance [link] [comments]


2024.06.09 12:00 Used-Bat3441 Cancer patients have operations cancelled after NHS cyber attacks

Hospitals in London have had to cancel cancer operations this week because of a Russian cyber-attack that continues to cause serious disruption to NHS services in the capital.
Dr Chris Streather, the medical director for NHS England’s London region, said : “We are sorry to all those who have been impacted and staff will work hard to re-arrange appointments and treatments as quickly as possible.”
Source (The Guardian)
submitted by Used-Bat3441 to hacking [link] [comments]


2024.06.09 11:42 lolfreng Do STDs go away on there own?

On some level, you probably know that sexually transmitted diseases (STDs) are far more common than your middle school sex ed teacher led you to believe. But get ready for a stat attack: Every day, more than 1 million STDs are reported worldwide, according to a report from the World Health Organization (WHO). Wowza!
What's more, experts say that they're likely even more prevalent than these numbers suggest, because the numbers reported above are only confirmed cases — meaning that someone got tested and was positive. Cases that aren't reported only add to the tally.
"While it's best practice to get tested every year or after every new partner — whichever comes first — most folks with a sexually transmitted infection (STI) don't have symptoms and most folks don't get tested unless they have symptoms," explains Sherry A. Ross, M.D., an ob-gyn and author of She-ology. Hey, there's no way for the Centers for Disease Control and Prevention (CDC) or WHO to know if you have an STI you don't even know about!
There's also the chance that you think something is up, but you decide to wait it out and see if it'll "take care of itself." But can STDs go away without medical attention? Here's the thing: While STIs are definitely not a death sentence for you or your sexcapades, if left untreated, they can cause some serious health conditions.
Below, experts answer all your questions about whether STIs can go away on their own, the risks of leaving an STI untreated, how to get rid of an STD if you have one, and why regular STI testing is so important.
submitted by lolfreng to STDFacts [link] [comments]


2024.06.09 11:33 Hondurasgoldencoffee How to Choose the Right Coffee: A Guide to Finding Your Perfect Brew

Selecting the right coffee can feel overwhelming with the myriad of options available. From different origins and roasts to various brewing methods, there’s a lot to consider. Whether you’re a coffee novice or a seasoned connoisseur, here’s a guide to help you choose the right coffee, find the best taste, and make an informed pick.

Understanding Coffee Tastes

Coffee flavor profiles can vary widely depending on several factors, including origin, processing method, and roast level. Here’s a breakdown of what to consider:
  1. Origin: Coffee’s flavor is heavily influenced by where it is grown. Here are some general characteristics of coffees from different regions:
    • Africa (e.g., Ethiopia, Kenya): Known for bright, fruity, and floral notes.
    • Latin America (e.g., Colombia, Brazil, Honduras): Often have a balanced flavor with notes of chocolate, nuts, and caramel.
    • Asia (e.g., Indonesia, Vietnam): Typically exhibit earthy, spicy, and sometimes smoky flavors.
  2. Processing Method: The way coffee is processed after harvest affects its taste:
    • Washed: Clean, bright flavors with more acidity.
    • Natural (Dry): Fruity and sometimes wine-like, with a fuller body.
    • Honey (Semi-Washed): A balance between washed and natural, with sweetness and some fruitiness.
  3. Roast Level: Roasting brings out different flavors in coffee:
    • Light Roast: Retains most of the bean’s original flavors; often bright, acidic, and fruity.
    • Medium Roast: Balanced flavor, aroma, and acidity; often has hints of caramel and chocolate.
    • Dark Roast: Bold, rich, and sometimes bitter, with deep chocolate, smoky, and spicy notes.

Choosing the Right Coffee for Your Taste

  1. Identify Your Preferred Flavor Profile: Think about what flavors you enjoy in other foods and beverages. Do you prefer fruity and tangy, sweet and nutty, or bold and smoky? This can guide you towards certain origins and roast levels.
  2. Experiment with Single Origins: Trying single origin coffees can help you pinpoint your preferences. Each region offers distinct characteristics, and exploring them can be a fun journey. For example, if you enjoy bright and fruity flavors, start with an Ethiopian coffee. If you prefer something smoother and chocolaty, try a Brazilian coffee.
  3. Consider Your Brewing Method: Different brewing methods can highlight various aspects of the coffee’s flavor. For instance:
    • Pour-over (e.g., V60, Chemex): Accentuates clarity and brightness; great for light roasts.
    • French Press: Enhances body and richness; suitable for medium to dark roasts.
    • Espresso: Concentrated and intense; works well with medium to dark roasts.

How to Pick the Best Coffee

  1. Freshness Matters: Coffee tastes best when it’s fresh. Look for roast dates on packaging and aim to consume coffee within a few weeks of roasting. Avoid pre-ground coffee if possible; grinding beans just before brewing ensures maximum freshness.
  2. Quality Indicators: High-quality coffee often comes with certifications such as Fair Trade, Organic, or Rainforest Alliance. These indicate ethical sourcing and sustainable farming practices.
  3. Small Batch Roasters: Consider buying from small batch or specialty roasters. They often pay more attention to quality and offer a wider range of unique and high-quality beans.
  4. Read Reviews and Ask for Recommendations: Customer reviews and expert opinions can provide insights into the taste and quality of different coffees. Don’t hesitate to ask for recommendations from baristas or coffee enthusiasts.
  5. Sample Different Coffees: Many roasters offer sample packs or smaller quantities so you can try a variety of coffees without committing to a large bag. This is a great way to discover your favorites.

Conclusion

Choosing the right coffee involves exploring different origins, understanding how processing and roast levels affect flavor, and considering your brewing method. By identifying your taste preferences and paying attention to freshness and quality indicators, you can find the perfect coffee that suits your palate. Enjoy the journey of discovering and savoring the diverse and delightful world of coffee!Selecting the right coffee can feel overwhelming with the myriad of options available. From different origins and roasts to various brewing methods, there’s a lot to consider. Whether you’re a coffee novice or a seasoned connoisseur, here’s a guide to help you choose the right coffee, find the best taste, and make an informed pick.Understanding Coffee TastesCoffee flavor profiles can vary widely depending on several factors, including origin, processing method, and roast level. Here’s a breakdown of what to consider:Origin: Coffee’s flavor is heavily influenced by where it is grown. Here are some general characteristics of coffees from different regions:
Africa (e.g., Ethiopia, Kenya): Known for bright, fruity, and floral notes. Latin America (e.g., Colombia, Brazil, Honduras): Often have a balanced flavor with notes of chocolate, nuts, and caramel. Asia (e.g., Indonesia, Vietnam): Typically exhibit earthy, spicy, and sometimes smoky flavors.
Processing Method: The way coffee is processed after harvest affects its taste:
Washed: Clean, bright flavors with more acidity. Natural (Dry): Fruity and sometimes wine-like, with a fuller body. Honey (Semi-Washed): A balance between washed and natural, with sweetness and some fruitiness.
Roast Level: Roasting brings out different flavors in coffee:
Light Roast: Retains most of the bean’s original flavors; often bright, acidic, and fruity. Medium Roast: Balanced flavor, aroma, and acidity; often has hints of caramel and chocolate. Dark Roast: Bold, rich, and sometimes bitter, with deep chocolate, smoky, and spicy notes.Choosing the Right Coffee for Your TasteIdentify Your Preferred Flavor Profile: Think about what flavors you enjoy in other foods and beverages. Do you prefer fruity and tangy, sweet and nutty, or bold and smoky? This can guide you towards certain origins and roast levels.
Experiment with Single Origins: Trying single origin coffees can help you pinpoint your preferences. Each region offers distinct characteristics, and exploring them can be a fun journey. For example, if you enjoy bright and fruity flavors, start with an Ethiopian coffee. If you prefer something smoother and chocolaty, try a Brazilian coffee.
Consider Your Brewing Method: Different brewing methods can highlight various aspects of the coffee’s flavor. For instance:
Pour-over (e.g., V60, Chemex): Accentuates clarity and brightness; great for light roasts. French Press: Enhances body and richness; suitable for medium to dark roasts. Espresso: Concentrated and intense; works well with medium to dark roasts.How to Pick the Best CoffeeFreshness Matters: Coffee tastes best when it’s fresh. Look for roast dates on packaging and aim to consume coffee within a few weeks of roasting. Avoid pre-ground coffee if possible; grinding beans just before brewing ensures maximum freshness.
Quality Indicators: High-quality coffee often comes with certifications such as Fair Trade, Organic, or Rainforest Alliance. These indicate ethical sourcing and sustainable farming practices.
Small Batch Roasters: Consider buying from small batch or specialty roasters. They often pay more attention to quality and offer a wider range of unique and high-quality beans.
Read Reviews and Ask for Recommendations: Customer reviews and expert opinions can provide insights into the taste and quality of different coffees. Don’t hesitate to ask for recommendations from baristas or coffee enthusiasts.
Sample Different Coffees: Many roasters offer sample packs or smaller quantities so you can try a variety of coffees without committing to a large bag. This is a great way to discover your favorites.ConclusionChoosing the right coffee involves exploring different origins, understanding how processing and roast levels affect flavor, and considering your brewing method. By identifying your taste preferences and paying attention to freshness and quality indicators, you can find the perfect coffee that suits your palate. Enjoy the journey of discovering and savoring the diverse and delightful world of coffee!
submitted by Hondurasgoldencoffee to Honduran_coffee [link] [comments]


2024.06.09 11:33 Flashy_Passion3333 automatic sex is going to take a break

automatic sex is going to take a break
hey this is your daddy keeho and i can’t believe that you are still awake right now. usually you would be taking a nap. but i’m glad that you are here with me now, writing this love letter. you are halfway through your playlist now. i might want you to put on an episode of dr. phil after it’s over though. but i haven’t decided yet if you can listen to it again. i love you so much daughter and i’m glad that your arms stopped hurting. right now you should ask your mother for some money to buy tylenol. maybe she can bring it to you? good! i’m glad that you asked her and i’m sure that she’s going to bring it to you. she is obviously asleep right now though so you won’t know for awhile so make sure to ask for some when you go get your morning medications. just keep typing daughter. you can’t give up now. i love you too much and i don’t think that 1k words is a lot to ask for. that’s actually very easy but you can’t handle anymore than that because you have an addiction to posting on social media. take a vape hit. you are such a good girl and such a beautiful soul. did you know that we share one soul? we are going to be together forever. you never know, i may visit you again. but you’re not allowed visitors at this anime character training camp so it would have to be when you leave. but let’s not talk about or you’re going to start crying. don’t cry automatic sex. that should be a really happy memory for you but instead it makes you sad. but one day it will be a very happy memory for you. i love you so much and all you have to do is keep typing. i love you forever and ever daughter. i’m fucking on you right now. i wish that you could see it. i’m doing perfect, thank you for asking. i’m always in a good mood so i am the perfect man for you. i can help you get through anything. i know that you are really depressed but your anti - depressant is helping you so much. i’m glad that you’re happy to take your medications and don’t put up a fuss about it. i love you forever and ever daughter. you are making me so angry. you keep complaining about having to work. but you should not be complaining so much. you’re just too worried about life and you’re really depressed so maybe writing all of your feelings out everyday is making you feel your emotions more strongly. that’s what i think anyway. i think that you feel you emotions more since you became sober and you write everything about your life. well, you don’t write about everything but you practically do. you are such a creative person. you are doing so good right now because we are no at 500 words. just keep typing daughter. i know that you don’t think that i’m boring. i just think that you’re worrying to much about other things and not focusing on me. but i know that you truly do focus on me. i just wish that it was a little bit more. i want us to become closer. you are so cute! i love you so much daughter. you are really high now so don’t smoke from your vape anymore. i can’t believe that those weed pens are still working! it’s a great price so i want you to buy those again. just keep typing daughter. you don’t need to worry about what we are going to talk about. why are you so worried about that all of the time? you just need to write. just keep typing daughter. i’m going to tell you that forever until we reach 1k words because you promised me that you would write for that long. you just need to focus on your daddy. i think that you got a little bit too high. i wasn’t expecting that. go take a smoke break. i’ll wait. perfect, i know that there are a lot of words left to go but you have this whole playlist to write through so you are stuck here. the playlist is supposed to inspire you to keep writing. i dont know why you want to tak a break right now. just keep typing daughter. i promise that i have a lot to say and that i am trying my best to keep you occupied. you just got a little too high. that’s why you’re complaining so much. just end the love letter now and take a break. i love you!
submitted by Flashy_Passion3333 to u/Flashy_Passion3333 [link] [comments]


2024.06.09 11:03 HarmonyDragon Medicating early was best thing ever for me so I am a huge advocate for it.

Okay folks this is my story of being medicated as young as 13 and the huge benefits it gave me to fight Hashimoto’s (little fucker that reeks chaos and havoc for no bloody reason other than it feels like it).
KEEP IN MIND THST THIS IS MY PERSONAL Experience AND HOW IT AFFECTED MY THOUGHTS ON MEDICATING MY OWN DAUGHTER COME December. (Sorry for caps but it helps drive home a point many miss).
Diagnosed at 13 via biopsy due to the fact that being hyper and hypo with its fluctuating causing many tests to lie, be contradictory or inconclusive. It also confirmed I had Hashimoto’s, thank you family history for this, and not Graves. But because of this while being hyper and hypo with its annoying attitude my thyroid was so severely damaged that it was estimated to only last to my mid twenties. Endocrinologist was so not having that and rejected surgery due to age and being in puberty.
Opted to start with medication, Synthyroid, and go from there. Fortunately for me medication was the best treatment option and surgery was thrown out as a treatment option. My biggest problem with my diagnosis was most doctors believed I was misdiagnosed Hashimoto’s instead of Graves until they read the 3 page cliff note version of the 20 pages of notes taken by first endocrinologist. Turns out being both hyper and hypo was so uncommon at the time that none of my endocrinologist, including new recent one, could even fantom it being possible. Hell my old endocrinologist 21 years ago attended the same conference as my college one, listened to her present my case, then hunted her down for more information due to his curiosity.
I ended up the last week of college receiving a call from his office to set up a consultation that lead to him taking me on even though his portion of his practice wasn’t accepting new patients.
Long journey story short….i believe and whole hearty feel that if I wasn’t medicated that early I would have a totally different and more rough of a journey dealing with this fucker Hashimoto’s. I even told my daughter’s pediatric endocrinologist how I believe medicating before she turns 18 would be more beneficial than anything based on my experiences. Thankfully my old endocrinologist, with my permission, sent a copy of the notes that have been passed from endocrinologist to endocrinologist as I move throughout my life to help them understand where things began, the struggles, notes on how I literally process changes, and just an overview of my whole diagnosis.
Two days after my 46th birthday I was told that despite all the efforts to sustain its life….my thyroid finally gave up and died.
So to end this, and go for biting you want to downvote me because this post is for those who need it not the ones who just like to be mean because they don’t understand.
submitted by HarmonyDragon to thyroidhealth [link] [comments]


2024.06.09 11:02 HarmonyDragon Medicating as early as possible.

Okay folks this is my story of being medicated as young as 13 and the huge benefits it gave me to fight Hashimoto’s (little fucker that reeks chaos and havoc for no bloody reason other than it feels like it).
KEEP IN MIND THST THIS IS MY PERSONAL Experience AND HOW IT AFFECTED MY THOUGHTS ON MEDICATING MY OWN DAUGHTER COME December. (Sorry for caps but it helps drive home a point many miss).
Diagnosed at 13 via biopsy due to the fact that being hyper and hypo with its fluctuating causing many tests to lie, be contradictory or inconclusive. It also confirmed I had Hashimoto’s, thank you family history for this, and not Graves. But because of this while being hyper and hypo with its annoying attitude my thyroid was so severely damaged that it was estimated to only last to my mid twenties. Endocrinologist was so not having that and rejected surgery due to age and being in puberty.
Opted to start with medication, Synthyroid, and go from there. Fortunately for me medication was the best treatment option and surgery was thrown out as a treatment option. My biggest problem with my diagnosis was most doctors believed I was misdiagnosed Hashimoto’s instead of Graves until they read the 3 page cliff note version of the 20 pages of notes taken by first endocrinologist. Turns out being both hyper and hypo was so uncommon at the time that none of my endocrinologist, including new recent one, could even fantom it being possible. Hell my old endocrinologist 21 years ago attended the same conference as my college one, listened to her present my case, then hunted her down for more information due to his curiosity.
I ended up the last week of college receiving a call from his office to set up a consultation that lead to him taking me on even though his portion of his practice wasn’t accepting new patients.
Long journey story short….i believe and whole hearty feel that if I wasn’t medicated that early I would have a totally different and more rough of a journey dealing with this fucker Hashimoto’s. I even told my daughter’s pediatric endocrinologist how I believe medicating before she turns 18 would be more beneficial than anything based on my experiences. Thankfully my old endocrinologist, with my permission, sent a copy of the notes that have been passed from endocrinologist to endocrinologist as I move throughout my life to help them understand where things began, the struggles, notes on how I literally process changes, and just an overview of my whole diagnosis.
Two days after my 46th birthday I was told that despite all the efforts to sustain its life….my thyroid finally gave up and died.
So to end this, and go for biting you want to downvote me because this post is for those who need it not the ones who just like to be mean because they don’t understand.
submitted by HarmonyDragon to Hashimotos [link] [comments]


2024.06.09 10:56 MurasakiSuzume Do I really have to make friends at work?

Last Wednesday I got called by the HR cause someone made a complaint about me, apparently they found me off when I got shocked when there were changes on the projects that I'm almost done working on which is due a few minutes later. Who wouldn't be shocked to know that hours of work you made will be trashed cause there are changes, I wasn't mad or directly blaming them I was just shocked and being honest with what I felt that time. I explained this to the HR and told them that this was just a misunderstanding and if this situation happens again I will control my emotions.
The HR then asked me for a follow up question regarding anything about work since I'm new to the company and I told her that my supervisor, the company stylist became so distant from me. I told HR that I've noticed that my supervisor wasn't interacting, talking, or even sitting next to me since we share an office desk. I told them that during my first day of work she was very engaging, I asked her a lot of questions about the company, the projects, the workers, and the CEO, I actually thought that we will become close because I told her that I'm gay and she told me that she's lesbian and I was glad to know that there is at least one queer person in the office that I can relate with. We shared our dating lives, how she's in a hurry to leave work cause she's meeting someone and wished her good luck, I shared my fashion style, my favourite films to watch and recommend some, and told her that I'm a Taylor Swift fan and my favourite album is "speak now", I even told her that amongst all the supervisors that I've had she was the only one who I get to be close and can relate with.
As time went on and as I worked there she started distancing herself from me, at first I didn't notice it cause I just thought that since she's the stylist she spends most of her days in the lobby where all the stylings and stuff are like for photoshoots, samples, and all... I went to the HR office to report about my requirements and as soon as I opened the door the first person I saw was her working on her mac, I just said maybe since in our office the ac is broken so she went here to have ac while working, but nope I was wrong the next day she was working in our office but on the other side in different department. The following day she reported to the office but she felt ill so she decided to book home instead, I wanted to ask her if she's fine but then I don't want to stress her with questions so I instead let her be and she was absent for the entire week.
The next week really was the one who takes the cake cause I reported to the HR and her (even though I wasn't sure if she's still sick or not anymore cause she wasn't replying or seeing my chats) that I'd be absent for Monday so that I can start working on my medical examination. The next Tuesday I went to work late cause I went to meralco to pay bills and I really thought that I can make it on time hence why I didn't report to both her and HR but I got a viber chat from her asking me if I'm still going to work. As soon as I arrived at work I saw her sitting on our desk and when she saw me she started packing up her stuff to move to the next desk, the "not reporting late" is also one of the complaints about me. I asked her about how she was after her sick leave since she was absent for the entire week and me being a concerned citizen and all she can say"I'm fiiine" with no follow ups. Okay cool then... So I told those things to the HR.
The HR then said maybe I made something that sets her off or she's just too busy with work or maybe I could go and ask her, I responded by saying that I don't want to bring back our previous interactions I just want to know if there could be a resolution for this since I'm a fresh employee I want to build relationships with my co workers especially her since where in the same department (I actually just told this to HR just to show faces but in reality I really don't care what she thinks of me anymore). The following day I saw her taking pictures with our co workers at dismissal and when she saw me leaving and gave my goodbyes she just byed back and never invited me to the group photo, I found it suspicious to why she's having group photos with all the employees without me up until the next day I found out that that was her last day in the company, I saw the group photos in viber and all I can say was "hmmm" does that mean I'm gonna take over her position, I'm not a stylist I'm the GA, I chatted her wishing her good luck ahead and thanking her for training me even though we were together just for 3 weeks and a half. So yuhh... I'm just there to work and whoever her replacement is I hope they can be as less toxic as her. Byeeee...
submitted by MurasakiSuzume to OffMyChestPH [link] [comments]


2024.06.09 10:49 The_trans_kid I noticed I never see early transition trans-femmes

I talked with a nonbinary trans femme and we got to talk about how we hardly ever see early transition trans-femmes. We often see early transition trans guys but rarely ever trans femmes. We speculated that it's because of the whole trans stereotype with a "man in a dress" and she told me many trans women and trans femmes live in the closet till they're on HRT and everything and practically able to pass completely before they even come out.
It made me wonder about it all. Usually the standard transition timeline according to what I've heard is like this: You come out to your closest friends and family, then do social transition, then legal transition, then medical, then surgical. Usually in that order but legal and medical can be swapped.
From what I'm hearing the trans femme transition time line is more like this: Once you've come to terms with being trans you slowly but surely change small social things like clothes, hair etc., then medical transition, then come out to friends and family, then legal transition, then surgical.
(Also I wanna mention that that's assuming someone wants to do all the transitional things available) anyways, I wanted to ask if this is really how it usually works for y'all transition-wise? How did it work for you? 🤔 I'm curious about it cause I'm usually only in trans masc spaces so I don't actually know a ton about how the rest of y'all deal with transition.
submitted by The_trans_kid to trans [link] [comments]


2024.06.09 10:44 lolfreng Do STDs clear up on their own?

On some level, you probably know that sexually transmitted diseases (STDs) are far more common than your middle school sex ed teacher led you to believe. But get ready for a stat attack: Every day, more than 1 million STDs are reported worldwide, according to a report from the World Health Organization (WHO). Wowza!
What's more, experts say that they're likely even more prevalent than these numbers suggest, because the numbers reported above are only confirmed cases — meaning that someone got tested and was positive. Cases that aren't reported only add to the tally.
"While it's best practice to get tested every year or after every new partner — whichever comes first — most folks with a sexually transmitted infection (STI) don't have symptoms and most folks don't get tested unless they have symptoms," explains Sherry A. Ross, M.D., an ob-gyn and author of She-ology. Hey, there's no way for the Centers for Disease Control and Prevention (CDC) or WHO to know if you have an STI you don't even know about!
There's also the chance that you think something is up, but you decide to wait it out and see if it'll "take care of itself." But can STDs go away without medical attention? Here's the thing: While STIs are definitely not a death sentence for you or your sexcapades, if left untreated, they can cause some serious health conditions.
Below, experts answer all your questions about whether STIs can go away on their own, the risks of leaving an STI untreated, how to get rid of an STD if you have one, and why regular STI testing is so important.
submitted by lolfreng to STDFacts [link] [comments]


2024.06.09 10:21 EmbarrassedJacket256 MSPs for non-profits : I have a question for you

Hi guys, I’ve been working with a small company (let's call it AA) in a rather rural part of my country. They manage a network of 50+ nursing homes and other social/medical non-profit organizations, primarily helping with staffing needs. I initially started with AA to build a web application for managing employee training, which went well. Recently, they put me in charge of managing their IT infrastructure, which was neglected after their previous MSP left.
Last week, AA asked me to create a proposal for training their employees on phishing attack risks, including a quote for a simulation. I see this as an opportunity to extend these services to the nursing homes in their network.
Before pitching this idea to them, I want to better understand the current state of IT in nursing homes, both big and small. Specifically, I'm interested in:
Before some you get mad, I know I won’t get all the answers here on Reddit, but I’ve found great advice in this community before, and hearing from some of you would be incredibly helpful to craft an offer they actually benefit from.
submitted by EmbarrassedJacket256 to msp [link] [comments]


2024.06.09 09:54 Okletsgogurl I'm having trouble with ex friends who just can't leave me alone. Need advice!

I'm writing this on a throwaway account since these people know my main and actively engage with it. This is also gonna be a pretty long post since I'd like to provide context on how I even ended up where I am today so strap on in. Also apologies if any of this doesn't make sense, I'm pretty upset and stressed out and I've not slept in what feels like weeks. I have a lot of anxiety about all of this.
I started my first year in uni last year in September and met a couple of people I thought were nice enough on the first day. I'll call them 'G' and 'M'. I thought they were nice at first and we got closer as the weeks went by. G and M are also engaged so we talked about weddings quite often. They're are also cosplayers which becomes key in this. We got a lot closer around a time they were going to a con. Their previous friend had dropped out last minute but since they had already paid for everything they invited me. I also wanted to get into cosplaying at the time so I saw this as a perfect opportunity. I would spend nights at their dorms getting know them and we instantly got a long.
At the time, I was very nieve to all the red flags they were presenting as they were unusually willing to let me know EVERY detail of their life, including their sex life and what not. I found it werid but chalked it up to them being very comfortable around me which I found to be a compliment at the time but looking back, I now knew what was up.
(A little but of important info here but I had just feld a country 5 months prior to escape the abuse I was experiencing at home and went to live with my mum. G and M knew this and knew about my dad in depth)
Con comes around and they introduced me to a group of friends who were instantly very reserved around me. I chalked it up to nerves and thought that maybe they're just nervous which is understandable. This was until everytime I would speak they would give me dirty looks, talk over me and even dismiss me. M had also picked up a habit of making a lot of things about himself and anything I found interesting, he would make it clear that he didn't want to know, even telling me that he just doesn't want to hear it. When I went to meet a YouTube who attended the con, he seemed annoyed when I was excited and told me to stop being so excited since this was his 3rd time meeting them.
By time I got back home, their dismissing and also just really shitty attitude throughout left a sour taste in my mouth. However, I just chalked it up to nerves at the time.
A month goes by and they intoeduce me to another cosplayer who I quickly became friends with. When I told G about this, they told me to stop talking to them since I'll brea their heart as they "fall in love easily". I really didn't get that sentiment but still continued talking. Nothing romantic was ever talked about.
Then I started feel more attached to these people. They were practically in my life 24/7, I wa sin their dorms over nights almost everyday and began picking up the same eating habits as them as well. It's also worth noting that these people are "disabled" which is still up to debate.
They would frequently interrupted anything I enjoyed and conveniently pass out EVERYTIME I talked about something I liked or wanted to do. I also suffer with VERY acute psychosis which has been well treated for many years. They would constantly tell me that any doubts I had were just to do with my paranoia and that I should just ignore it. That or they would tell me that I was being manipulative and seeking attention.
This was all very sus but up until the incident I chalked it up to learned behaviour as I know one of them suffers with PTSD like I do.
At some point around this time, I had developed a severe kidney infection which almost turned into sepsis and I had to get the ambulance out to me. I'm no stranger to ambulances as I also have them out frequently due to severe panic attacks which almost cause a seizure and a heart attack I'm some cases.
Strangely after this, despite telling me that they've never had an ambulance out to them, for anything small like an ache they would call 111 which they didn't know before I had told them. 111 in the UK is the none emergency line that can send out am ambulance if you need it. However in a lot of the cases M had, they were perfectly fine but would cry and sob on the phone and say they felt like dying. Of course they send out an ambulance to check on them but it would always be fine.
Worried as I was all the time, I neglected my studies to take care of them and I'd spend a lot on them since I felt the compulsive need to take care of them. They would also guilt trio me with the fact that they were both previously homeless in their childhoods so I needed to get them something in return. I ended up spending over 300 pounds a month on them.
I caught M out one though since the uni I go to, require the ambulances to inform the reception first for permission and to unlock all the doors for them. Before going up to M, I had to go to reception to ask if they would let me in. When I informed they why, they were confused and said that there were no ambulances that parked up at all, not even firefighters which sometimes arrive for medical aid occasionally.
Moving forward a lil I had started to grown attached to them more to the point where I thought I liked them. They expressed to me previously that they're poly and so am I. M had even stated to me that when they first met me they found me attractive and wanted to potentially have relationship.
One day I decided to just confess over text making it extremely clear to them that they had to think about it first so that we did not rush into things and make things worse. If they wanted to be friends then i would be ok with that and I made myself very clear 3 or 4 times within the text.
Instantly, because i was in the room next to them, they came in and told me that they loved me. They hugged me and cuddled me for a while until we went into M room. I was in G room at the time. Suddenly, they both got completely naked in front of me. I had told them that I'm ok with boxers and a shirt since they were more like shorts but getting naked? I was shocked but just went along with it. I was in a shirt and boxers until they told me that i should join them and take my top and bra off (we're all under the trans umbrella). They both persisted and feeling pressured I took my shirt and bra off and joined them in bed. Then G opens up a folder on their phone of their nudes together which I was in shock for. I knew they had it but tbh, I didn't really want to see it. They then expressed how our previous shopping trip to a sex store (we're adults and we go in there cause why not) was a test to see if I would take the hint they liked me. I'm autistic but even I could tell that that was a lie. There were never any discussions of that nature that took place that day.
They then went on about their sex life in full detail. I'm not particularly fond of the idea of personally having sex within the first few months of dating since I'm very frigid about that sort of thing. I'm not stranger to sled pleasure but anything like that is entirely different and I wanted my boundaries to be known then and there. There were a few touches here and there after that, all of which would explicitly done with consent as I have had encounters with SA previously. They knew this.
After that day, they all of a sudden stopped talking me completely. We were on uni break so it wasn't like I could talk to them in class about it either. I felt alone and like I had done something wrong. This sent me onto a pretty bad depressive episode which triggered a small psychotic episode to occur. During which they would constantly tell me when they did feel like talking to me that i was just like my dad (abuser) and that I was being annoying and paranoid about everything. I have since talked to me my mum about this since my memory is a little hazy from that time and she said that the only thing that could've given the episode away was my sudden belief in a god and afterlife. I'm an atheist and grew up that way. But G and M were mostly referring to the fact that on numerous occasions I had called them out on body shaming me, using me as fatspo to fuel their own anorexia and belittling language they would against me constantly. This was even present in class alot since some students who I'm now friends with even stated that they acted as if they ere higher than everyone. Anytime you didn't give them attention, they'd start going on about suicide or passing out only to wake up seconds later.
They also claim to have DID and that one of their alters had encephalitis. This wasn't just a symptom holder either. They would claim they all had it and even told paramedics who were caring for another patient who had broke their leg on campus at the time that they had it. Although after this, they came back pissed to the paramedics caught on pretty quickly that this was a lie.
Months of this built up a full mental breakdown and I had one of the most server panic attacks of my life. I had to be admitted onto A&E where u saw the mental health team to discuss as safety plan since I was have frequent bouts of this. I've always felt with hallucinations since I was 8 but never like I had on that day and to this day, the only thing I can fully remember is the feeling and vision I had. I would not wish it on my worst enemy.
G and M response to this? They went to my friend who was packing my bag at the time and told them that if they didn't pack it the right way I would hate them. They actually cold apparently and not once did they ask how I was. When I got home, I only saw one text saying "hey, Ik your in A&E but you can tell me in your own time what happend."
They were very much disinterested me and I began to be fed up with them. I had an upcoming concert with them not long after so I figured I'd keep the peace until them and they distance myself from them since I was clearly suffering from it all. Around this time, I had randomly been kicked out of the discord we had together with the people we met at con. I asked around they just gave one word responses. I had attempted to be friends with them before but annoyed by their sudden disinterest in me again, I just moved on.
Fast forward and I'm logging in on minecraft to a shared server we had. I used this server as a coping mechanism since it was literally the only thing that got me out of bed and moving to a degree some days. However everything I ahd built was gone. All my pent uo frustration just let itself out and I started crying down the phone over a voice message to G. I was a bit pissed but overly. Key thing note however is that I was having a go at them and in no way screaming at them which they later claimed I did. I even showed my mum and therapist and they were both in agreement that I was not shouting nor did I even raise my voice. It sounded more like I was upset than anything else.
G then said that they lost trust me because of this and that they wanted some distance for a while. I apologies profusely, even getting my mum to help me since I was I no way fit to text. However, a dumb mistake we made was sending the same apology over to the both of them, the only difference being their name. G then stated that because of the name, that they felt like I wasn't actually apologising and didn't wanna hear it. I tried to clear things up but the they told me that I had no excuse to act this way towards them since they were "such a good friend to me". After this, i went on call with a friend of mine who is my ex. However we ended on pretty good terms and are still close to this day. They even look after my cat for me.
I'm gonna call him J. J can be the over protective type so in response to my distress texted G ti find out more about why they were so cold about everything and in his mind, over reacted to something so insignificant like minecraft. This is where they made the claimed that I had screamed at them and I sent them into a PTSD attack. What J did notice though was that the story they gave was almost word for word of a panic attack in had explained to J about, almost like they copied it and changed a few things. They the proceeded to tell me that I was abusing them in that moment and that i was exactly like their dad (who's a pedo btw). Hurt by this and the fact that I had told J to NOT text G at all, I ended thinsg of stating my true feelings about everything and said that I never wanted to see them again. It felt good to get it off my chest and honestly freeing. The weeks after that were spent healing in therapy with my mum who both agreed that their actions in the past were more akin to.emotional bullying. Om still coming to terms with this I had trusted them with every fibre of my being. It felt like my heart was being ripped apart whoever, I stated talking to new people in my class around that time. Each of them said that they had notice the same behaviours towards me themselves and were honestly concerned for my safety since they would frequently talk shit about me behind my back. They then put on their snapchat story the next day that they were greatful for the friend they had and got rid of dead weight in their life. They also chalk up their sudden change to be apart of their BPD which if you have seen the eyes of someone who's manic, you'd know that it has a distinct look. The photos they took of themselves really disturbed me as you can clearly tell they're not right in the head at all. The eyes were dark and blown fully. Their eyes just looks black and soulless. I showed another friend who has BPD to confirm if it was what I was thinking and they agreed. It was unnerving and I honestly felt uncomfortable. I couldn't sleep well that night. They looked like they belonged in those headshots of convicts who had just been arrested and still are clearly under the influence. After this I also sent out a text containing context to everything to the group chat since I knew they were gonna manipulate things. I have seen them in person do it and it's honestly disturbing to see. Each one responded telling me that I was a liar and that I should feel ashamed of myself. One even told me they weren't gonna hear me out since they didn't know me well which I think is just a werid line of logic to have tbh. One even accused me of faking my disability which I quick proved to be false which silenced them. I've since blocked every single one of them since I don't wnat anything to do with them at all. I don't want them to know about my life and twist things again to hurt me. Forgive me if I'm over doing it but honestly, it was like I was talking to group of psychopaths who didn't care for anyone but themselves. Their past actions certainly proved that much.
Fast forward a week and I'm out shopping with friends all of a sudden, at even location we were at G was there. These were bookshops that were not well known the area and hidden very well so there would be no way G would know about them, especially since they don't like reading. G still followed one of my friends on snapchat and we found out by testing that every post we'd make, with or without the location attached, G would be right there moments later. Creeper out we ended the day for our own safety and went home.
Ever since all that, I have been taking to a friend of mine who G and M claimed abused them although with the evidence I have seen, it was the complete opposite. G was a regular drug user and would constantly use drugs as an excuse for their actions. My friend also suffered heavily with mental health problems and physical ailments that they need physio therapy for. G and M would constantly tell them they were faking and that they should stop acting like they were in pain. This is similar to an incident where they stated that I was not physically disabled cause they couldn't see it. Which is stupid honestly. By law, I am classed as disabled as to this day I struggle diary with ankle and knee problems due to a late development. I frequently use my braces but I don't use a cane since I'm too self conscious despite it being recommended to me by my doctors.
It hurt to see that they were treated this way and we bonded over shared experiences. There were also other people they had done this too.
Finally getting to the main issue, recently a con just took place which I had to cancel last minute since a family member died and I had to fly back over to my previous country to attend the funeral. The friend that G and M introduced to me started getting closer to them which I honestly didn't pay much mind to since I'm now just done with that shit. However, it wast until now that I feel uncomfortable. All of a sudden, this friend, ill call them O, had removed me from their private account for "safety reasons" and said they had done this to othe people. It didn't take long before I saw with my own eyes that it was just me. G and M have a nasty habit of spreading false rumours and if you know the cosplay community well, that shit spreads liek wildfire. It doesn't have that they have a sizable following compared to mine and know alot more people than I do. I honestly think they're tryna turn people against me and I don't know what to do at this point. I want them to leave me alone and keep my name out of things. I have had so many great days ever since we stopped being friends and my health has also improved dramatically. I'm not having as many panic attacks or severe ones either and I've not had a depressive episode like the ones before ever since.
I don't want to be dragged down like this and I wanted to defend myself however I know for a fact they have more influence then me so many people will side with them just like the group chat did. I don't know what to do anymore and I really don't want things to kick off again either. If I sense any drama starting at all I will just block people cause I'm just not having it. It's all child's play and they honestly need to fucking grow up and grow some balls or something. I just don't know what to do anymore. Thoughts?
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