Occupational therapy quotes

Occupational Therapy

2010.12.21 04:23 big_gordo Occupational Therapy

This is a subreddit to celebrate all things Occupational Therapy. Whether you are an OT, know an OT, want to be an OT, or just want to hang out with some OT's, you are welcome here.
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2009.04.30 17:26 1729taxis Occupational Therapy

A community for OT Practitioners. To share, learn and grow together.
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2021.09.05 03:28 anabanane1 OccupationalTherapyCA

Welcome to OccupationalTherapyCA, a subreddit for Canadian OTs or aspiring OTs to discuss all matters related to this wonderful profession.
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2024.05.16 14:17 novaonthespectrum What bugs me the most about these two

Their insistence and outright delusion that Abbie is a "typical teenager doing typical teenager things." There's a difference between setting her up to do the best she can with the hand she's been dealt in life, and outright ignoring the hand she's been dealt in life in favor of just pretending she's like every other teen. They're setting her up for daily discomfort and permanent failure because they want to insist that she's going to be a coffee barista riding her adaptive bike to work every day. She's 19 now, how long can they carry on that delusion before it becomes apparent even to them and EVEN to their most devoted followers that it will never happen? (The followers going on with the delusion are even worse.) Till she's 21? 25?
The truth is Abbie is at the level of a 2 year old baby at most. There's nothing wrong with that. It's not her fault. It's not something she or they need to be ashamed of; birth is a lottery and things happen. She doesn't want her nails painted. She doesn't want to go to loud music festivals and be ripped from her comfort zone to go traveling to a strange place every month. She doesn't want prom (I LOVE Night to Shine and have attended myself, but let's be real, Abbie isn't enjoying it and the attendees who were on Abbie's level usually just stayed in the calming/sensory room). She wants music, toys, food, magazines to rip, and her comfortable spot on the couch. And while I understand that she can't just lie around at home all the time, she needs activities that match her cognitive level and not purely activities that her parents, brother, Summer, etc enjoy.
I remember an old video from about 3 or 4 years ago where Abbie was watching a toddler show--maybe it was Barney I forget--and she was HAPPY, like genuinely happy and not the "happy" Asa and Priscilla insist she is in every video. She was bouncing, had a real smile on her face, making happy vocals especially when the musical parts come on. And Priscilla was standing there crying about how "sad" it was because her 16-ish-year-old loved Barney so much. That's cool that your daughter's happiness and enjoyment makes you sad, Priscilla. I'm sorry you didn't get the mini me you wanted but don't make that your daughter's problem. Get therapy to learn how to accept who she really is. There've been videos where Abbie's received sensory toys from fans, relatives, etc and she had a genuinely fun time playing with them but her parents would either take them away because they were "annoying" or because "they're not age appropriate." Get over it and accept that there's no "age appropriate" and your daughter is 19 by chronological age only, and let her have what she ENJOYS. Enough with the fantasies about a coffee barista riding her bike to work. Yes, there are plenty of places and programs that employ special needs adults but the reality is Abbie isn't capable of performing even the most rudimentary tasks required to maintain employment, even in these programs. She was taken out of her vocational program likely for this reason, don't give me BS about "she graduated early." Abbie's life is that of a toddler forever, and these two need to accept and prepare for that reality instead of shoehorning her into this teenage fantasy she'll never be able to maintain.
Just to give an example of a channel that does what Asa and Priscilla SHOULD be doing for Abbie, there's a channel I follow on Tiktok of a girl with Angelman Syndrome and her family. This girl is on the same cognitive level as Abbie, around 2 years old at age 16. Her AWESOME family, instead of exploiting her and trying to force her to fit into neurotypical fantasies, accepts that. She has a room full of Squishmallows and fun sensory toys, she has an occupational therapist come in weekly to help her with motor skills and walking, she gets glowsticks and water tables and dangling keys and she loves them, etc. And her mother isn't making money off of the videos of her, she's uploading them to show what life is like for someone living with a rare condition and what their family life is like. They are an extremely close knit and loving family and all of the siblings do everything they can to get their sister involved--on HER level. Her mom doesn't try to force her to be just like her neurotypical siblings or attend all of the activities they attend. This is what Fathering Autism could have been if A & P weren't just delusional, narcissistic, and greedy.
submitted by novaonthespectrum to fatheringautismsnark [link] [comments]


2024.05.16 13:30 Successful_Fish4662 Has anyone put their child in occupational therapy?

My daughterโ€™s school district put in a referral request today (sheโ€™s 4.5). If yes, did you find it helpful? (sheโ€™s being monitored for potential ADHD, but for now we are starting OT)
submitted by Successful_Fish4662 to ParentingADHD [link] [comments]


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

Chapter 1: the event
It was the fall of my intern year as I bean my off service trauma rotation. This month was ubiquitously notorious for being the most labor intrusive and least productive rotaion of our emergency medicine program. Knowing this I entered with the intention of simply surviving the month.
Another intern and I letโ€™s call them A for sake of ambiguity, weโ€™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 โ€œlike my grama with the Parkinsonโ€™s playing operation.โ€ 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 universityโ€™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 couldnโ€™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 hadnโ€™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: โ€œwe just want you to get betterโ€, 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 โ€œwe just want you to get betterโ€
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 Iโ€™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 ๐Ÿชฌ 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 โ€œThere is a persistent desire or unsuccessful efforts to cut down or control alcohol use.โ€
  1. Evaluator Have you ever had withdrawal symptoms
Me no
Evaluator Well Have you ever had a hangover? You know thatโ€™s a from of acute withdrawal
Me: yes in college, I had a few but that was years ago and Iโ€™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 doesnโ€™t drink at all she doesnโ€™t like it. She often buys me beer for The Weekndโ€™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, โ€œyou couldnโ€™t have just said noโ€ and drank something else. However, she apologized after and said itโ€™s worth waiting if itโ€™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 youโ€™ve had depression in the past, donโ€™t you know that alcohol can effect your sleep and mood Me: yes thatโ€™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 didnโ€™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 doesnโ€™t count they typically are getting fired or failing) ( moreover, this would assume I was late do to drinking itโ€™s self and also assume if happened more than once)
  1. โ€ข 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 Iโ€™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 wouldnโ€™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 โ€œso that I can be evaluated to see what is needed to get back to workโ€.
To maks the ordeal more infuriating the evaluator continues to ingratiate himself and lie through the process telling you, โ€œit will be fine as long as you are 100% honestโ€, โ€œanything you say in here is between you and meโ€ or โ€œyou slipped up once with your meds, I know your residnecy program they will probably just want a few more out patient testsโ€
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 โ€œ6-10 weeksโ€ 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 menโ€™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: โ€œ I suggest inpatient treatment for everyone who is reportedโ€. โ€œThis is safer for me not to miss anyone who could harm patients, and I figure there must be a reason someone reported them.โ€
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 โ€œone of the lucky onesโ€ 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 โ€œif we told patients 90 days they would never come.โ€ She then attempted to justify the treatment by outlining the story of a patient she had called who โ€œdidnโ€™t make it to treatmentโ€ and killed themselvesโ€. 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 lifeโ€™s. By this time I still havenโ€™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 donโ€™t stay for 90 days he will be โ€œnormally obligedโ€ 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 wouldnโ€™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 youโ€™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 youโ€™re on campus or living off-campus, you are allowed to leave up to four hours per day. If you commute, youโ€™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 havenโ€™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 havenโ€™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. Youโ€™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 โ€œthe sober truth โ€œ
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
Thereโ€™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 Iโ€™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 didnโ€™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 wasnโ€™t in your hair, I would argue that you donโ€™t have a use disorder regarding that substance and itโ€™s not relevant. I donโ€™t believe itโ€™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 isnโ€™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 โ€œI have a target on my back nowโ€ and โ€œ I have to preform even better than othersโ€ in the light of my time missed. If this wasnโ€™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. Iโ€™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 didnโ€™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 โ€œgood reasonโ€ (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 canโ€™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 donโ€™t have an addiction, this is done by having an alternative evaluator with similar credentials state that either you donโ€™t have an addiction or that PRNโ€™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 wasnโ€™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 thatโ€™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 โ€œwaste of moneyโ€ and โ€œpointlessโ€.
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.
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2024.05.16 08:02 intercostalspaces Documentation Manual for Occupational Therapy 5th ed. Edition by Crystal A Gateley (Author) - Publisher โ€ : โ€Ž Slack; 5th ed. edition (November 21, 2023) - Language โ€ : โ€Ž English - FORMAT: ORIGINAL PDF/PRINT REPLICA - ISBN-10 โ€ : โ€Ž 1638220603 - ISBN-13 โ€ : โ€Ž 978-1638220602

Documentation Manual for Occupational Therapy 5th ed. Edition by Crystal A Gateley (Author) - Publisher โ€ : โ€Ž Slack; 5th ed. edition (November 21, 2023) - Language โ€ : โ€Ž English - FORMAT: ORIGINAL PDF/PRINT REPLICA - ISBN-10 โ€ : โ€Ž 1638220603 - ISBN-13 โ€ : โ€Ž 978-1638220602 submitted by intercostalspaces to ANYPDF [link] [comments]


2024.05.16 06:04 zr5vq9 Jordan Petersonโ€™s grandmother

Hello everyone, remember when Jordan Peterson dreamed about having sex with his grandmother. And H3 reacted to it. I actually have an explanation for that. It is called Vicarious Traumatization.
https://en.wikipedia.org/wiki/Vicarious_traumatization
Basically, when you are a psychologist, you spend many hours per week listening to sexual assault victims telling their stories. As you are listening to these stories, the images plays in your head, and you can try to not think about it, but it will eventually appear in your dreams. In other words, you donโ€™t have to experience a traumatic event, in order to feel traumatized. You can feel traumatized vicariously, simply by listening to stories or watching pictures or videos of traumatic events. Thatโ€™s why I hate it when H3 fans spam that quote of Jordan Petersonโ€™s dream. Itโ€™s not a joke. Itโ€™s an actual trauma response.
Also, they say many Reddit mods have vicarious trauma. If you spend many hours reading the unhinged ramblings of maniacs. It messes with your head. Itโ€™s an entire ordeal. Because they say Reddit mods deserve free therapy paid for by Reddit, all because of vicarious trauma.
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2024.05.16 05:11 toewoes Brother in ICU - need help understanding

27M, approx. 140-150 pounds, 5โ€™6โ€ Located in Seattle, WA
Wanting to see if I can get some information or clarification here on the outlook for my brother or what could have possibly happened to him.
My family just found out this week that my brother has been in ICU for the past 2 weeks, the nurses were unable to get into his phone, but somehow when our other brother texted him on Monday they were able to get his number and call. Brother in the hospital has been sedated, so was unable to provide any emergency contacts.
The doctor said he was brought in completely unresponsive and when they took his BAC it was equivalent to someone drinking 1.5L-2L of hard liquor, but Iโ€™m not sure what the level was. At one point he was considered fatal, but he is now considered critical. He has been intubated during this time and on dialysis. They have tried to remove the ventilator 3 times, but have had to reintubate each time due to his oxygen crashing and then his kidneys not doing well. We are not entirely sure on any brain damage sustained since heโ€™s quite sedated. He was last off the ventilator on Monday 5/13 for 7 hours, but had to be put back on. The doctor said he has 48 more hours on the ventilator then they need to try again and we will have to decide what to do from there, like a tracheotomy and long-term care facility. He has developed severe pneumonia and pulmonary edema from the ventilator, is what I am told.
Basically I am just trying to understand what could have possibly happened and what the outlook might be. From my research patients arenโ€™t typically intubated with alcohol poisoning, but he must have been so severe. Another point is that he could have done this on purpose to end things, so Iโ€™m not sure he would have much will if he were to be permanently disabled.
Is tracheotomy the next step if he canโ€™t breathe on his own? Is that a good quality of life? Will he be able to function? Again, not sure on brain damage. And clearly if he pulls through he will need intensive occupational, respiratory, physical, and psychiatric therapies.
Please forgive me for any medical terminologies I have misused, Iโ€™m a tech sales gal but trying to understand what the heck is going on.
I would like to add that his mom and our brother were able to make it to him today and brother in hospital recognized them and seemed relieved almost, but he wasnโ€™t really coherent and didnโ€™t squeeze their hands. But this sounds positive.
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2024.05.16 05:09 Extension-Bus5466 Question for the supporters of "Palestinian liberation:"

Note: I am using quotes on phrases like "Palestinian liberation" because the existence of an occupation is disputed. I am not looking to discuss the actual status of the conflict is right now. The situation is what it is and fighting over labels and language isn't necessarily productive.
With that being said...
Most of the proponents of "Palestinian liberation" support "the end of the Israeli occupation," a Palestinian state "from the river to the sea," and the "right to return" for the Palestinian people. Anti-Zionism, with which most protesters seem to align themselves, seeks to completely abolish the state of Israel. With this in mind, I am just curious how you envision a post-war Palestine.
I understand the history--I am not looking for a debate about who was right in 1948 and so on. I recognize that both the Palestinian people and the Israeli people have experienced significant losses and the current conflict is a tragic situation for millions of people. I am not interested in invalidating either the Palestinian people nor the Israeli people and saying that one or the other doesn't exist. Clearly, both groups feel strongly about their national identity and we can't ignore that.
Given the ACTUAL situation now, let's say Hamas were able to take control and govern the state of Palestine (from the river to the sea, without the existence of Israel), where do the Israelis go? Do they become citizens of Palestine? Do they have to leave? Where do they go? What happens to their homes? How does a Hamas government handle the existence of Jews? Christians?
I have tried to look this up and I can never find an answer. Without invalidating the question and attacking why we got here, is there a vision for a post-war free Palestine?
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2024.05.16 05:09 Nuyturah Abdominal pain after doing a bar kip, with persistent pain in first few months. Currently, inconsistent pain increases with some physical activity or food intake. No diagnosis to date.

Background
Demographic: White, male, age 30, 5' 5", 175 +/- 5lbs.
Lifestyle: Active (workout 3-4x per week), Desk/Physical work split of 90/10%.
Complaint: Abdominal injury and pain (1 year and 8 months since injury), presently inconsistent pains levels between 3-5/10 and consistent lingering discomfort (1-2/10).
Medication: No consistent medications, no allergies.
Drug use: alcohol (1-3x per month), non-smoker.
History of the Injury
Late August of 2022, I hurt myself doing a kip on horizontal bar outdoors. Right after raising my feet to the bar and kicking my legs out I felt a sharp pain in my abdomen. (I've done this and similar moves many times before through my 20s, while exercising)
Bar kip example: https://www.youtube.com/watch?v=YRPFWdelsDY
I couldn't stop slouching and crunching my abdomen. Stretching backwards and straightening my posture was very discomforting. The severe pain subsided in a day but in the following months I couldn't stretch my stomach and had to sleep on my back with pillows under my knees to keep a flexed/crunched posture. Sleeping on the side was discomforting, because the stomach would hang to the side, bringing up the pain.
In 3 months, I felt better. However, there were always some flare-ups of pain.
Pain Description: The pain always feels along "horizontal lines", on 1-3 locations at a time, around the belly button level, below, or above it, with varying intensity of pain. Through my personal touch/observation, these horizontal lines of pain are always along tendinous inscriptions of the ab structures. Sometimes I feel lower 1 or two lines in pain. Other times itโ€™s one of the upper line(s).
Tendinous inscriptions image: https://test.usabcd.org/courses/lk-native-ld2-basic-ugra/lessons/lknative-rectus-sheath-block/topic/3-anatomy-the-rectus-abdominis-muscle/
Causes of Pain from Movement: Pain flare-ups happen when moving heavy objects rapidly (without prior prep), pulling something heavy from ground, rapidly stretching the abdominal area, or a day after the occasional exercise. Jumping and landing on ground from 1 ft. or above can make me brace my abdomen, leading to some pain as well. Twisting my torso side to side could also make pain worse, stretching one side of the abdomen, especially if twisting in my full range. Slight turns are okay.
Causes of Pain from Food: Flare-ups also happen immediately after eating specific foods, like sunflower seeds, nutty bars, and when a bit bloated from eating. Trigger of this pain doesn't need to be a substantial amount of food either. Sometimes just a bite or two gets the sensation going.
Pain Relief: Often immediately after having bowel movement there is some pain relief. If pain is not too intense, and more of a discomfort, bowel movement can sometimes end the discomfort
Medical History and Pain Progress Timeline
Slow increase in physical activity and exercise. Some running. With a good warm up, stretching the abdominal area isn't too painful (though I did not stretch the area at this time)
Rare ab exercises can feel discomforting, and some pain returns the day after.
Jumping high or landing from high jumps/drops can bring about the pain or worsen it.
Bloated stomach, or consumption of some foods (as mentioned above) can feel discomforting or even painful along 1 or more " horizontal lines". Bowel movement often relieves discomfort and even pain.
Post colonoscopy I did not return to physical activities and PT as the pain lingers on and is too consistent and limiting to do much in terms of consistent exercise.
Self-medication: On a few occasions, I tried to apply heat or cold, which didnโ€™t help with pain much. But the cold helped numb things down. Heat helped to warm the abdomen and make some movements easier for a short time.
Rare/inconsistent instances of ibuprofen use (around 400-600 mg). Can't remember how effective pain relief is.
Massage/poking: Generally, I do it when I feel pain or discomfort along the horizontal lines. Massage, poking, deep massage does NOT reduce the pain for me. Sometimes even makes me feel the pain more. But mentally feels good to do and feel out where I feel it.
Present day condition (May 2024)
Some pain flare-ups with physical activities, infrequent feeling of discomfort after food (for both, often relieved through bowel movement).
Concern: While pain level has overall gone down since 1.5 years ago, I am not certain what I should and should not do, given there is no diagnosis or clear understanding of cause of pain. The occasional pain increases made me curious if someone had an experience with pain like this. Doctor's appointment all have lead to little to no improvement.
Additionally, I sense a lot of dismissiveness in all the doctors and specialist for this entire timeline described above, where with no results to show on diagnostic tests, I am sent home to "rest" without any hypothesis or brainstorming, and telling me "come back if pain gets worse". It gets worse and I run another round of catching doctors for, what feels like, waste of time with more tests, same questions and same story being told over and over to each new referred specialist I see.
Note: I asked the doctors on multiple occasions to review the MRI images or query a radiologist to do so as there are 100s of frames. I genuinely don't believe that initial look at it was done properly, with only 1 page report showing "unremarkable" for all metrics they looked at. I don't sense that my pain patterns (which I described extensively to every doctor and the radiologist) were accounted for when looking through any of the tests done.
Thanks in advance for any feedback!!!
[Previously posted on with no luck so far.]
submitted by Nuyturah to DiagnoseMe [link] [comments]


2024.05.16 05:07 thankyoutrish โ€œFor A Fortnight Thereโ€: Denial and The Torturous Cycle of Suppression

โ€œFor A Fortnight Thereโ€: Denial and The Torturous Cycle of Suppression
Hi everyone! Today I wanted to share my personal interpretation of Fortnight. From my perspective, Taylor is engaging in a dialogue with herself in which she comments on the complexities of self-denial and suppression that we sometimes resort to in order to conform or appease others (Note: I admit I may have projected my own personal struggles onto the lyrics of the song, but still wanted to explore these concepts in her music).
I was supposed to be sent away But they forgot to come and get me I was a functioning alcoholic โ€™Til nobody noticed my new aesthetic
From my perspective, she intended her closeted self to be โ€œsent awayโ€ (suppressed) to the point of extinguishment. But this part of herself couldnโ€™t be completely erased, and so it was instead ignored and left to linger. As a result, this self remains trapped in a limbo (locked inside a vault?), neither fully alive nor dead, but rather exists as a powerless observer of her own life.
I always interpreted the line about alcoholism as her saying that alcoholism was what her new aesthetic was and that nobody noticed that she was using alcohol to numb her closeted feelings. After no one acknowledged what she was doing, she stopped โ€œfunctioningโ€ and began to unravel, letting herself go because it seemed like no one would notice if anything was wrong with her anyway.
\"I was a functioning alcoholic\" as illustrated in the Anti-Hero music video.
https://preview.redd.it/duk44miy7b0d1.jpg?width=960&format=pjpg&auto=webp&s=6a62bb040e6b044fd3adcdaf6c14f769c75dffde
All of this to say I hope you're okay But you're the reason And no one here's to blame But what about your quiet treason?
She of course desires happiness and there are external influences out of her control preventing this for her, but she must also acknowledge the possible role she, too, plays in contributing to her own unhappiness by continuing to ignore this side of herself. While she obviously canโ€™t blame herself for the homophobia that unfortunately continues to endure in our modern society, she must also recognize her own contribution to her struggles through the continued neglect and numbing of her closeted self with unhealthy coping mechanisms (such as the alcoholism mentioned).
She is committing โ€œquiet treasonโ€ because she is not only denying her own needs in this sense, but could also be adopting harmful behaviors preventing her from finding self-acceptance such as compulsory heterosexuality (comphet) and internalized homophobia. The term โ€œquiet treasonโ€ captures the betrayal of self through silent compliance with societal norms that deny her true identity and well-being.
\"What about your quiet treason?\"
In the music video for Fortnight, Post Malone (whom I- as well as many others on this sub it seems- interpret as another version of Taylor herself) is one of the doctors administering the electro-shock therapy, and also the one who pulls the plug on the procedure upon witnessing the pain it inflicts on her. Electric shocks were historically used on homosexuals as part of aversion therapy in an attempt to change an individual's sexual identity to align with heterosexual norms. The paradox of Post Taylor both engaging in and stopping the procedure could symbolize Taylor's internal struggle with self-acceptance.
Taylor discussing internalized misogyny in the Miss America documentary.
And for a fortnight there, we were forever Run into you sometimes, ask about the weather Now you're in my backyard, turned into good neighbors Your wife waters flowers, I wanna kill her
Despite her efforts, she can't completely suppress this closeted part of herself and it resurfaces periodically, every once in a while for a fortnight. In these moments, she grapples with accepting this aspect of her identity, finding brief periods (โ€œfor a fortnight thereโ€) where it seems like she might finally succeed and find freedom from the closet.
But heteronormative societal norms and homophobia ultimately cause her to retreat from fully embracing her queer identity and coming out. She may also wrestle with feelings of self-doubt and the need for validation from others. Nevertheless, her closeted self remains a constant lurking presence, haunting her from beneath the surface of her shallow encounters (โ€œask about the weatherโ€).
I see the โ€œgood neighborsโ€ as symbolizing the heterosexual relationship she maintains to keep the public satisfied and to avoid confronting her struggles with her queer identity. The neighbors (her and her public boyfriend) are considered โ€œgoodโ€ because they adhere to expectations and are approved by the fans, media, and the public.
At the beginning of Miss Americana, Taylor says that her \"entire moral code, as a kid and now, is a need to be thought of as good.\"
When she says, "Your wife waters flowers," I envision her addressing her own husband in this scenario, where the "wife" symbolizes the version of her that has conformed to traditional, domestic heteronormativity.
While there's nothing inherently wrong with being a traditional wife, it contradicts her true self and what she desires as a queer woman (โ€œNo deal, the 1950s shit they want from meโ€ from Lavender Haze). This conflict is further illustrated when her closeted self expresses a desire to "kill her," representing a desire to kill the โ€œherโ€ thatโ€™s in a heterosexual relationship participating in the facade of the perfect wife because the public desires it, leaving her closeted self feeling bitter and abandoned because she was not chosen instead.
All my mornings are Mondays stuck in an endless February I took the miracle move-on drug, the effects were temporary
Monday is the first day of a new week, when the week starts over. The fact that all of her mornings are Monday mornings could symbolize a perpetual return to the start of a constant cycle of internal conflict. This also reminds me of a quote from the 1999 film Office Space, in which one of the characters says to another โ€œSounds like somebodyโ€™s got the case of the Mondays.โ€ The phrase was said to refer to the depression one experiences when having to return to work after the weekend (or maybe in this case, the fortnight).
\"The case of the Mondays:\" Taylor depicted in an office setting, reinforcing a sense of monotony and tedium in her life.
I find it interesting she describes the month of February as endless, despite it being the shortest month of the year. Considering the idea of repeated cycles mentioned throughout this analysis, this brings to my mind the 1993 film Groundhog Day in which the plot centers around a man who becomes stuck in a time loop on February 2nd (Groundhog Day) and must relive this same day over and over again.
From the 1993 film \"Groundhog Day,\" in which a man is forced to relive the same day in February repeatedly.
The Groundhog Day tradition itself originates from Pennsylvania, Taylor's home state, and revolves around the superstition that if a groundhog emerges from its burrow on this day and sees its shadow, it retreats back into its den which predicts an extended winter. But if it does not see its shadow, spring will arrive soon.
This may be a reach, but you could think of this as Taylor trying to โ€œcome outโ€ of her burrow (the closet) only to be startled by her shadow self (her anxieties and fears, the parts of herself sheโ€™s afraid of sharing with the public) which causes her to retreat back into hiding for what feels like another inevitable winter.
Taylor's shadow self.
And I love you, it's ruining my life I love you, it's ruining my life I touched you for only a fortnight I touched you, but I touched you
She may yearn to embrace who she is and continue pursuing her love for writing and performing music, but may have had to make difficult sacrifices in this realm in order to progress in her career. The pressure to uphold these sacrifices, despite the heavy burden they impose, could stem from a desire to avoid disappointing various stakeholders in her life like the public, her fans, and even her own family. This may have led her to prioritize her music career and fame over the freedom to openly express her sexuality.
It's clear she cherishes her career and the doors that fame has opened for her, but the continuous suppression of her sexuality over time has taken a toll on her mental health. The song carries a sense of robotic resignation and defeat, reflecting her closeted self's enduring wait. It seems her closeted self has nearly given up hope, clinging to those rare "fortnights" when Taylor could truly feel whole and not just a hollow facade to please others.
Concerned over appearing ungrateful for voicing her struggles with fame?
And for a fortnight there, we were together Run into you sometimes, comment on my sweater Now you're at the mailbox, turned into good neighbors My husband is cheating, I wanna kill him
This time she alters the final line in this verse to tell us her husband is cheating and she wants to kill him. In conjunction with my other interpretations, Iโ€™m guessing sheโ€™s hinting that her husband is unfaithful due to her unhappiness in their relationship influenced by her closeted sexuality. In considering that this is a beard sheโ€™s with, the line could suggest a contracted arrangement that allows both partners to seek affairs outside of their artificial relationship.
Her desire to โ€œkill himโ€ could symbolize the deep unfairness she feels in being in a loveless lavender marriage that she never wanted. Over time, her resentment towards him has grown, mirroring the enduring chill and discontent of โ€œendless February.โ€
Meet the \"good neighbors.\"
Thought of callin' ya, but you won't pick up 'Nother fortnight lost in America Move to Florida, buy the car you want But it won't start up 'til you touch, touch, touch me
The line โ€œThought of callinโ€™ yaโ€ makes me think back to when Taylor answers the phone in Look What You Made Me Do and she says, โ€œIโ€™m sorry / But the old Taylor canโ€™t come to the phone right now / Why? Oh, โ€˜cause sheโ€™s dead.โ€
My interpretation is that her closeted self is thinking of calling the old Taylor, the one who perhaps embraced her sexuality and true self more freely in her youth. This is the Taylor before she โ€œlearned civilityโ€ and โ€œused to scream ferociouslyโ€ any time she wanted (from Seven). But the old Taylor wonโ€™t pick up the phone, because she has been โ€œkilledโ€ off in favor of Taylor the Brand.
\"I'm sorry, but the old Taylor can't come to the phone right now...\"
"Another fortnight lost in America" represents yet another missed opportunity to fully embrace her sexuality and take pride in it enough to come out. The ongoing disappointments from these lost fortnights, coupled with the anxiety over the potential judgment she could face as well as the risky impact it could have on her career, can make denial and suppression feel necessary just to get through another day in America.
submitted by thankyoutrish to GaylorSwift [link] [comments]


2024.05.16 04:24 SydneyGal7 Occupational therapy USYD OCCP1103

Hey guys, is the oral assignment hard in OT cause Iโ€™m doing it in June and Iโ€™m so nervous. So they ask you loads of questions? And like does anyone have tips from experience? Like what to put in your notes that u bring it etc?
submitted by SydneyGal7 to usyd [link] [comments]


2024.05.16 03:54 suknom4 Tips for occupational therapy

Hello. Firstly sorry if what I write sounds like shit, my english is probably not the best and Im not feeling too good right now so that doesnt make it easier to be careful about what makes sense grammatically and what doesnt. Ive suffered from depression for a very long time now. What I have realized is that sometimes it helps at least a little bit to have something to do that is not lying in bed but is a little bit productive but doesnt need any concentration. For example cleaning up my room or walking to the supermarket and buying food and cooking something. Not that I would always be able to do that but sometimes when I do it I can feel a lot better afterwards. It can also help a lot to spend time with people that I like but unfortunately I dont have too many friends, I am a pretty lonely guy. I wanted to ask whether you have any tips what else I could do to feel better. (I do run/ride bike but I suffer from a knee injury which deprives me of the valuable running meetings I had with a guy from uni.) I search for something that is in some way a little bit productive (like buying groceries or tiding up my room) and forces me to do something with my hands or walk around a little bit. Do you have any ideas or something that helps you? Thank you for all your help!
submitted by suknom4 to depression [link] [comments]


2024.05.16 03:42 cloudycute21 5 year friendship down the drain

Need advice from other Christians who have dealt with this situation
Friendship breakup after 5 years
My best friend of 5 years yesterday decided to walk away from our friendship (I think). Yesterday I got baptized and was extremely happy about it and was surrounded by so much love and positivity, except from my best friend, who does not share the same religious beliefs. We have always been respectful of each others beliefs and I do not force my religion down his throat. This person does not like any religion and is agnostic/atheist/decider. He knew prior to becoming friends me that Im Christian also.
Tbh his actions ruined what should have been one of the happiest days of my life. I posted the video of my baptism with my testimony and afterwards he texted me asking why I got baptized and I politely explained it. Then he texted โ€œtbh I miss your non religious era, now your a like Jesus freakโ€ (for context I went through a rough time with a difficult medical diagnosis affecting my mom and walked away from Christianity for a year, but have since came back). I was taken aback but I just said lol, and then he replied with โ€œoh I wasnโ€™t joking.โ€ I then responded with โ€œtbh I donโ€™t want to argue about thisโ€ to which he replied โ€œI donโ€™t necessarily want to argue itโ€™s just weird for me that my best friend represents so much about what I hate about societyโ€
I then politely explained my beliefs and how Christianity has brought so much happiness and joy in my life. I also explained how for me itโ€™s more about the personal relationship with Jesus (other Christians understand) and how I donโ€™t condemn hateful Christians (those who use homophobia, racism, etc. and use their religion as an excuse) but I know by having my beliefs i am also associated with people who are. I also said I have respect for his beliefs. To this he responded โ€œNo I know all of that. I never thought you were any of those things, I just think that itโ€™s difficult morally for me to be best friends with someone whoโ€™s becoming so religious to the point where itโ€™s a massive part of your personality. And I donโ€™t know how to express that without hurting your feelings.โ€ After this, he then stated how he knew by saying something heโ€™d get this reaction but he didnโ€™t want to hurt my feelings, from my perspective then why even say something.
Later he then expressed how he feels like Iโ€™ve changed since becoming a Christian and it concerns him when I post bible verses or go on trips with members of my church. However, after to talking to several friends all of which Iโ€™ve been friends with 6+ years, everyone has said I really havenโ€™t changed much personality wise. Heโ€™s concerned that we are becoming too different and will drift apart, however he doesnโ€™t think starting a huge argument will push me awayโ€ฆmakes no sense. I have always been respectful of his agnostic views (I donโ€™t criticize him, I donโ€™t bombard him with the gospel or bible verses) and he cannot seem to be respectful of me when Iโ€™ve been nothing but kind and patient. He seems to think itโ€™s okay to criticize my beliefs but the moment I say something about his, Iโ€™m wrong and made out to be the AH.
Another thing that has happened in my life is Iโ€™ve gone to school to be an occupational therapy assistant (OTA). He has never been much of a people person and it seems like he always has a negative comment to say since Iโ€™ve started this as well. He thinks when I post stuff about my program or OT, Iโ€™m being โ€œfake.โ€ I have also made changes to my wardrobe to be more professional for my career and church, I wear stuff that other people my age wear in these same places and he criticizes my fashion when I feel happy and confident in what I wear.
Tbh with this whole situation Iโ€™m taken aback as he hasnโ€™t expressed anything like this before and it also really hurt my feelings. I wish for everything good to come to him and for him to be happy, but I donโ€™t know how to feel about this whole conversation and losing my best friend of 5 years. Any advice?
TLDR: after being baptized, my friend started an argument and wanted to throw away our whole relationship over beliefs Iโ€™ve had that he has previously never expressed negatively towards and feels like ive โ€œchanged into a Jesus freak.โ€ He hurled a bunch of insults at me when Iโ€™ve been nothing but supportive and respectful of him. Help?
submitted by cloudycute21 to lostafriend [link] [comments]


2024.05.16 01:12 Outrageous-War-8932 Ovarian Cancer Suppression (National Institute of Health)

Direct quote from The National Institute of Health website linked.
โ€œIvermectin, as an old anti-parasite drug, can suppress almost completely the growth of various human cancers, including ovarian cancer (OC). However, its anticancer mechanism remained to be further studied at the molecular levels. Ivermectin-related molecule-panel changes will serve a useful tool for its personalized drug therapy and prognostic assessment in OCs.โ€NIH Website Article
submitted by Outrageous-War-8932 to cancerfight [link] [comments]


2024.05.16 00:50 infectedPegasus Israeli right to defend itself

Does Israel have a right to defend itself? How does Israeli occupation break international law? Would it be legal for other countries to declare war on Israel? How high is the likelihood of another global conflict (World War Three)?
What about the evangelical mania over Jerusalem and the second coming, is it harmful? Why and how are wealthy people investing in war? What means are they using to justify war to the armies fighting?
Is being anti-Israeli occupation anti-semetic? Are Palestinian people less entitled to the land than Jewish people?
What are the current solutions to the conflict? Should the international community arrest Israeli war criminals? Are Israeli citizens responsible for the war crimes being committed?
This war in Gaza feels like the end of the world. Some people actually believe these are the end times. Are all Abrahamic fundamentalists just doomsday cultists vying for the same land, weaponizing ego and love as an excuse for endless killing? Why was the enlightenment so inflammitory, how did the ideas of secularism and communism cause the previous two global conflicts? What is a โ€œcounter-revolutionary movementโ€? What is โ€œimperialismโ€?
Please comment your ideas below, I would love to hear opinions from people living in Israel right now. This topic is fascinating to me and I really want to know everything I can about it.
Disclaimer: I have a deep respect and reverence for Jewish culture and used to be a zionist
Disclaimer: I may be using AI in some responses in order to provide quotations and citations from academia, AI is a tool and very helpful to me for quoting academic journals i have read as well as constructing comprehensive and complete responses.
submitted by infectedPegasus to IsraelPalestine [link] [comments]


2024.05.16 00:28 WarriorMelee Got in trouble for showing Demon Slayer to 9yo cousin

To be completely fair, theyve seen some really dark crap. So I thought"Im bored lets watch this" They were completely fine with it, but they are also a (d)ucking bigmouth. They told their mom (the second she got home might i add and I quote) "HE LET ME WATCH AN MA RATED SHOW WHERE THERE WAS TONS OF BLOOD AND PEOPLE GOT RIPPED LIMB FROM LIMB" I want to die lol. Therapy in the comments.
submitted by WarriorMelee to KimetsuNoYaiba [link] [comments]


2024.05.16 00:08 Fluffy_strawberrycow OT programs near Texas

Are there any accelerated or combined bs/ms occupational therapy programs near or in Texas?
submitted by Fluffy_strawberrycow to OccupationalTherapy [link] [comments]


2024.05.15 23:53 shaneka69 CANCER ZODIAC - UNEXPECTED INCOME! TAROT READING MAY 2024

CANCER ZODIAC TAROT READING - UNEXPECTED INCOME MAY 2024

https://www.youtube.com/watch?v=cJ5mIkLhCyY
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2024.05.15 23:46 smartybrome Free courses for 16 May 2024 are available now. Redeem the discounts fast as they may expire anytime.

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2024.05.15 23:46 smartybrome Free courses for 16 May 2024 are available now. Redeem the discounts fast as they may expire anytime.

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2024.05.15 23:12 SherlockHolmesOff YouTube Pet Peeves

Hi, Iโ€™m here to obviously vent. Iโ€™d like to call out people who peeve me out on YouTube. So Iโ€™m gonna list it out. If you disagree, that is fine. Just going to list things that make me MAD. Get my itches itchy. Make my boots timber. Not directed to anybody except people who do this, if you do this, please take time to realizeโ€ฆAnyway. Obviously donโ€™t go harassing people who do this. This is just my pet peeve.

1 - People who comment first who arenโ€™t actually first and second commenters. Nobody cares that youโ€™re first or second like? Please leave. Why do you feel the need to address the fact that youโ€™re first? Do you want love? Likes? Itโ€™s not working, for me at least.

2 - People who thank peopleโ€ฆon YouTube for their likes. If this is you, please donโ€™t do this. People who say, โ€˜MAMA IM FAMOUSโ€™, โ€˜Thx for the likes!!โ€™, or โ€˜Never got this many likes before.โ€™ Please stop. I donโ€™t care whether you got that amount before or not! Donโ€™t thank me, thank your humor or people liking what you said. These people genuinely annoy me, if this is youโ€ฆ Iโ€™ve already unlike your comment.

3 - People who donโ€™t quote a video correctly. You just watched the video. The person in the video literally said โ€œI like baking eggs and hamโ€ then youโ€™re going to comment with a quote talking about โ€œThey really said โ€˜I like eggs, bacon, and sausage.โ€™ ๐Ÿคฃโ€ Where did you hear that? They did not say that! Are you delusional? Maybe.

4 - People who feel the need to be inspirational. Sir, this is a video for people to vent. We donโ€™t need you, Sherlock, to tell me โ€œitโ€™ll all get better.โ€ IVE BEEN LIKE THIS FOR YEARS. NOT YET IN THERAPY. Plus, people know itโ€™ll get better and if they donโ€™t, oh well, who are you? Can I just have a bad day? Get out, dude.

5 - People who self-censor themselves. They will not always delete your comment. โ€œI donโ€™t give a shitacobeanthethirdonlyfansinthecourtoksoboom about this video.โ€ Please stop. Especially if they do โ€˜sh#tโ€™. LEAVE.

6 - People who are obviously bots or trying to promote their channel. People who say โ€œI am better than this YouTuber.โ€ Like if you were, I would be watching you, wouldnโ€™t I? Your channel sucks. Iโ€™ve watched a lot of your videos and the fact youโ€™re commenting on someone elseโ€™s channel to promote yoursโ€ฆhow low can you go?

7 - โ€œDonโ€™t read my channel name.โ€ Iโ€™ve read it, now what? I read the banner, Iโ€™ve read the video, Iโ€™ve clicked the link, now Iโ€™m in clarity. Youโ€™re still not getting a sub, you wreck.

8 - People who obviously copied the comment from somewhere else, using the same joke that everybody in the comment section is using or trying to act original. Those people make me mad. Weโ€™ve seen the same people use this same joke. You are not like them. We know itโ€™s stolen, stop trying to be funny with that lame copied joke. Be creative.

9 - People who use โ€˜Broโ€™ in their comment, expecting it to be funny because it word for their little brother. No, bro did not think he was flying. It was joke. OR people who correct others grammar.

Lastlyโ€ฆ

10 - The WHOOOSH community of YouTube. People who get offended, correct grammar. Like get a load of Mr. Fucking grammar police! Promise to say Youโ€™re next time! When you learn to have a laugh, you will be happy.

Anyhow, thatโ€™s it! Good day and if youโ€™re on this list, have the day you deserve.
Tl;Dr: people who feel the need not to read the entire thing. ๐Ÿซต๐Ÿฝ
submitted by SherlockHolmesOff to youtube [link] [comments]


2024.05.15 22:53 shaneka69 CANCER ZODIAC - UNEXPECTED INCOME! TAROT READING MAY 2024

CANCER ZODIAC TAROT READING - UNEXPECTED INCOME MAY 2024

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