This is possibly more of a "Thinking Out Loud" post, but would like to hear others opinions.
This is my current situation:

• Main office has 3220 HA Pair - License renewals are due in 9/24
  
• One medium office with 420 - Licensed until 7/28
  
• Five small offices with PA 220s - just wild fire
  
• 400 Prisma Access licenses with 2 service connections - Prisma Access renewal is on January 2025
  

 
 
After the recent firmware debacles, high price increases for renewals, sub-par tech support service, lack of customer support engagement, I've beginning to wonder if continuing with Palo Alto as our Firewall / SASE vendor is the best choice for the near future.
I've been talking to peers about what they've been doing, some are coughing up the money and not thinking, others have evaluated other vendors, such as CATO networks or even Fortinet.
What have you done in your situation to either make sure that either staying with PANW is best or if you'll be moving away, why the new vendor works better for you.
TIA

Hi, I find myself in a pickle right now and Im kind of looking for some guidance. Im 25(F) and im currently on my senior year of computer science, however I keep failing this class and it seems as if I cant pass said class, plus the fact that this job market is making me extremely anxious since I see some of my peers still struggling in order to find an internship these days. Currently im only missing about 27 credits but for some reason Ive been thinking about switching to nursing, however if I do that I will be starting from zero what di you guys think?

I've been facing ADHD symptoms my entire life which has caused significant trauma and emotional damage to me. As a child I would constantly skip or forget to do my homework assignments which continues until now (Freshmen in college). This led to many many teachers conferences and emails where they would tell my parents, "Your child is so smart he just doesn't work hard and apply his mind." I was also a gifted program student and read online that ADHD is more common in gifted students than others. I am very disruptive to my peers and friends during work and am constantly distracted. Of course those of y'all with ADHD know about the symptoms so I don't need to explain everything, but these reasons and many more (Chronic losing things, rejection sensitivity, poor time management, failing classes in college, etc...) have led me to schedule a neuropsych evaluation for ADHD which is tommorow morning. What can I expect, what kind of tests do they administer? What do these tests check for and what's the difference between an ADHD and normal person taking these tests? What are the psychologists gonna ask me about? Also, please feel free to share about your own diagnosis process. I am interested in reading about what I'm getting myself into.

It is crucial for students to prioritize their mental health and well-being in an increasingly fast-paced and digitally linked environment. With the growing recognition of the need of all encompassing support networks by educators and parents, educational technology, or EdTech, is emerging as a potent instrument for cultivating mindfulness and advancing favorable outcomes of mental health.

1. Mindfulness Apps and Meditation Platforms: The capacity of mindfulness techniques to lower stress, sharpen attention, and increase general wellbeing has become widely acknowledged in recent years. In response, EdTech businesses created a plethora of platforms and apps for mindfulness that are tailored to the needs of students. These applications provide guided breathing exercises, stress-reduction methods, and meditation sessions that are specific to the difficulties that students have. Students who practice mindfulness on a daily basis can develop resilience, cope with the demands of their studies, and keep a healthy work-life balance.
   
2. Wellness Tracking Tools: Prioritizing health is very important in ones life, so that they can take precautionary and healthy practices which can also be termed as Self-Care. Students can keep track of their stress levels, mood, and sleep patterns over time with the help of EdTech solutions that have wellness tracking capabilities. Students can learn important information about their mental health patterns and causes by tracking their feelings and activities. Certain platforms employ artificial intelligence to evaluate this information and offer tailored suggestions for stress reduction and self-care tactics. Tools for tracking wellness enable students to actively manage their mental health by promoting self-awareness and contemplation.
   
3. Virtual Counselling Services: For students, getting mental health care can be an overwhelming process, particularly if they are experiencing obstacles like stigma or a lack of resources. By providing students with discreet and easily available virtual counseling services, EdTech companies are helping to close this gap and supporting students no matter where they are. Students can schedule solitary or group sessions with certified therapists and counselors via safe video conferencing platforms. These online counseling programs give students a secure setting in which to talk about their worries, experiment with coping mechanisms, and get one-on-one help for handling mental health issues.
   
4. Digital Well-Being Platforms: Students are spending more and more time online, therefore it's critical that they develop positive digital habits that promote their general wellbeing. In order to meet this demand, edtech businesses are creating digital well-being platforms that encourage responsible technology use. These systems provide features like notifications for taking breaks, app usage analysis, and screen time tracking. Digital well-being platforms help lessen the detrimental effects of excessive screen time on mental health by encouraging students to evaluate their digital behaviors and create healthy boundaries.
   
5. Peer Support Networks: Students' resilience and mental health are greatly enhanced by peer assistance. Through online forums and communities, EdTech platforms are enabling peer relationships and support networks. These platforms give students a forum to talk about their experiences, encourage one another, and discuss coping mechanisms for both personal and academic difficulties. Peer support networks help to a positive school culture that promotes mental health and well-being by creating a sense of belonging and solidarity.
   

Completing a comprehensive education requires not only focusing on mental health assistance but also including mindfulness practices. With the help of a wide range of tools and resources provided by EdTech, students can prioritize their wellbeing, learn to handle stress, and develop mindfulness. Teachers and parents may create a nurturing learning atmosphere where students feel appreciated, encouraged, and equipped to succeed academically and emotionally by utilizing cutting-edge technologies.

education #stressmanagement #self-care

https://www.reddit.com/usetalentserve/

Hello. I need the certification on course 4 and course 5 of modern robotics for my university. I'll be indebted if you guys can grade my assignments as the deadline for my submission is approaching fast.
Please find the links attached below:
a) https://www.coursera.org/learn/modernrobotics-course5/pee4GXby/determining-the-stability-of-an-assembly/review/fgrJVBOMEe-P9A5WPJ-uPQ
b) https://www.coursera.org/learn/modernrobotics-course5/peeBbZj5/evaluating-form-closure/review/TJm_nRM6Ee-SiQr__F2bEQ
c) https://www.coursera.org/learn/modernrobotics-course4/peea9WwD/a-search/review/V5SMNRK4Ee-kCxIR2pxVqQ
d) https://www.coursera.org/learn/modernrobotics-course4/peeyCetp/sampling-based-planning/review/ZjqhCxKVEe-Jdw4P_7cRcQ

DAY: MAY 15, 2024

• 5-15-2024ALZHEIMER’S DISEASE PROCESSES WITHOUT SYMPTOMS. HOW IS THAT POSSIBLE? Everyone experiences aging in their own way, and factors such as genetics, lifestyle and environment play a role in this process. Some individuals reach the age of 90 or even 100 in good health, without medications or brain disease. But how do these individuals maintain their health as they age?
• 5-15-2024COULD A LOW-CAL KETO DIET HELP EASE ACNE? In a small pilot study, some young women looking to lose weight on a low-calorie keto diet got an unexpected benefit: Their acne began to clear up. “These findings represent an opportunity to control a skin disease that affects most teenagers and many adults at some point in their lifetimes, causing distress, embarrassment, anxiety and low self-confidence among sufferers, robbing them of their quality of life,
• 5-15-2024FIGHTING FAT AND INFLAMMATION: SCIENTISTS DEVELOP NEW COMPOUNDS The menthyl esters of valine (MV) and isoleucine (MI) are multi-faceted molecules with enhanced anti-inflammatory and anti-obesity activities. The discovery and development of such molecules can result in newer classes of therapeutic drugs to treat a wide range of metabolic disorders. Credit: Gen-ichiro Arimura from Tokyo University of Science Modified derivatives of natural products have led to significant therapeutic advances and commercial success in recent times. Menthol is a naturally occurring cyclic monoterpene alcohol found in various plants,
• 5-15-2024TREATMENT OPTIONS INCLUDE ALTERNATIVES TO CHEMOTHERAPY, EXPERT EXPLAINS Chemotherapy is usually the first treatment doctors try to treat lymphoma, including the two most common forms: non-Hodgkin and Hodgkin. But alternatives to chemotherapy are developing, as first-line treatments and as backup options, explains Stephen Ansell, M.D., Ph.D., hematology chair and hematologic oncologist at the Mayo Clinic Comprehensive Cancer Center. Lymphoma is a blood cancer that begins when a germ-fighting white blood cell, called a lymphocyte, mutates and rapidly multiplies
• 5-15-2024CHECKING YOUR BELLY BUTTON CAN TELL YOU A LOT ABOUT YOUR HEALTH Navels, belly buttons, innies or outies … whatever term you use, your umbilicus may have plenty to tell you about the state of your health. For some, they are the thing of nightmares—omphalophobia (the fear of belly buttons) is a real condition. For others, they are a fashion accessory to be shown off in a crop top, or decorated with a body piercing. Whatever your feelings about belly buttons, one thing’s for sure—it once joined you to your mother
• 5-15-2024STUDY FINDS H5N1 VIRUS FROM 2022 MINK OUTBREAK CAPABLE OF INEFFICIENT AIRBORNE TRANSMISSION Direct contact transmission, weight loss, and survival for ferrets infected with A/mink (H5N1). Four donor ferrets were inoculated with A/mink (H5N1) and 24?h later each donor was paired with a contact in the same cage. Nasal wash samples were collected every other day for 13 days, and weight loss and clinical signs were monitored. A, B display viral titers from donor and direct contacts,
• 5-15-2024STUDY SHOWS COMBINING JOYFUL ACTIVITIES WITH ‘SAVORING’ THERAPY SHOWS POSITIVE MENTAL HEALTH RESULTS AMONG YOUNG PEOPLE With rates of depression rising among young people on university campuses, a team of SMU researchers found that combining two different therapeutic approaches demonstrated effectiveness in improving students’ overall mental health. Their findings show that students receiving behavioral activation (BA) therapy augmented with savoring (S) experienced improvements in positive and negative mood. Behavioral activation is a therapeutic approach that alleviates depression by increasing engagement in meaningful activities,
• 5-15-2024AI-BASED SURGICAL PREDICTION MODELS HAVE LIMITS Prediction models generated by machine learning are being increasingly used in medicine to identify risk factors and possible outcomes, especially for total joint replacements of knees and hips—although researchers warn that machine-generated predictions are currently being drawn from a limited data pool. “Machine learning has great potential for processing ‘big data’ and has proved its undeniable capability, although it is not free of issues,
• 5-15-2024STUDY FINDS FRONT-OF-PACKAGE NUTRITION LABELING RESULTS IN HEALTHIER PRODUCTS A study finds that a food labeling system introduced by the French government in 2017 resulted in healthier products. The study of Nutri-Score, a voluntary labeling system that assigns a simple letter grade based on nutrition, is believed to be the first to examine how food manufacturers responded to the change. Using detailed product and nutrition data from 2014 to 2021,
• 5-15-2024EXPERT EXPLAINS PUBLIC HEALTH CONCERNS ON AVIAN FLU Using genetically engineered mice expressing a specific variant of HLA, researchers uncover the instrumental role of this protein in the development of drug eruptions. They found that when HLA binds to an antiviral drug, abacavir, it can lead to the formation of defective proteins, which trigger a stress response in the endoplasmic reticulum, ultimately cascading into drug eruption. This implies that HLA is involved in previously unknown signaling pathways and processes that go beyond its traditionally accepted role within the immune system.
• 5-15-2024EXPLORING THE MECHANISM BEHIND DRUG ERUPTIONS IN THE SKINUsing genetically engineered mice expressing a specific variant of HLA, researchers uncover the instrumental role of this protein in the development of drug eruptions. They found that when HLA binds to an antiviral drug, abacavir, it can lead to the formation of defective proteins, which trigger a stress response in the endoplasmic reticulum, ultimately cascading into drug eruption.
• 5-15-2024STUDY PROVIDES BLUEPRINT FOR HYBRID-VIRTUAL HOME VISIT MODEL TO SUPPORT PATIENTS WHO DO NOT LIVE CLOSE TO A HOSPITAL a team developed and successfully tested a hybrid-virtual home visit model that provides care to veterans who do not live close to a VA health care facility.
• 5-15-2024HOW SCIENCE IS CHANGING THE GAME IN SPORTS Digital twins of athletes allow athletes and coaches to evaluate performance and trial technique changes. It’s an open secret that the countries that win the most medals in the Olympics and Paralympics combine talent and technology. Athletes are preparing for the next three Olympics and Paralympics in Paris in 2024
• 5-15-2024STUDY REVEALS HOW PRACTICE FORMS NEW MEMORY PATHWAYS IN THE BRAIN The effects of optogenetic inhibition on WM task performance. a, The experimental set-up. b, The delayed-association WM task trial types; licking was assessed during the 3?s choice period, with early- and late-delays periods noted. c, Learning progress across eight sessions, measured on the basis of the percentage of correct responses. d, Learning session example
• 5-15-2024A MEDITERRANEAN DIET CAN EASE SYMPTOMS OF STRESS AND ANXIETY, SAYS STUDY It’s no secret that the Mediterranean diet is good for your health. Already recommended to reduce the risks of bowel cancer, heart disease, and dementia, new research shows that the Mediterranean diet can also reduce symptoms of stress and anxiety.
• 5-15-2024ENHANCING PATIENT RESPONSE TO CANCER IMMUNOTHERAPY
• 5-15-2024LONGER SPRINT INTERVALS CAN IMPROVE MUSCLE OXYGEN UTILIZATION COMPARED TO SHORTER INTERVALS
• 5-15-2024NEW EVIDENCE FOR USE OF ANTI-INFLAMMATORY THERAPY FOR PREVENTION OF RECURRENT VASCULAR EVENTS IN STROKE
• 5-15-2024STUDY PAVES THE WAY FOR AN ACTIVE AGENT AGAINST HEPATITIS E
• 5-15-2024RESEARCHERS DEVELOP METHOD TO MONITOR PATIENTS WITH SPINAL MUSCULAR ATROPHY USING SOUND WAVES
• 5-15-2024INFERTILITY TREATMENT FOUND TO DOUBLE THE RISK OF POSTPARTUM HEART DISEASE
• 5-15-2024A PROMISING APPROACH TO INTRAOPERATIVE CANCER DIAGNOSIS
• 5-15-2024HOW ROGUE NEUTROPHILS HELP LUNG CANCER SPREAD
• 5-15-2024WOMEN PHYSICIANS ARE UNDERREPRESENTED AND FEEL LESS IMPACTFUL IN CANCER TREATMENT PLANNING VIRTUAL MEETINGS
• 5-15-2024ONLY 20% OF U.S. NONPROFIT HOSPITALS INVESTED IN HOUSING AS PART OF THE FEDERAL COMMUNITY BENEFIT MANDATE
• 5-15-2024NEW STUDY LINKS AUTISM SPECTRUM DISORDER TO DISRUPTED DEVELOPMENTAL DOPAMINE
• 5-15-2024STUDY FINDS SEVERE ISCHEMIC STROKES ARE RARE IN PATIENT POPULATION
• 5-15-2024CYCLIN D1 EXPRESSION MAY BE A BIOMARKER FOR PENILE CANCER
• 5-15-2024GUIDELINE ISSUED FOR PEOPLE WITH EPILEPSY WHO MAY BECOME PREGNANT
• 5-15-2024NEW CARDIAC RESEARCH COULD SAVE WOMEN’S LIVES BY IMPROVING DETECTION OF HEART FAILURE
• 5-15-2024PATIENTS REPORT SIGNIFICANT SYMPTOM REDUCTION WITHIN A SINGLE INTEGRATIVE MEDICINE ENCOUNTER
• 5-15-2024STUDY LINKS PROTEIN SECRETED BY BLOOD VESSELS TO DRUG-RESISTANT CANCER
• 5-15-2024RESEARCHERS EXPLORE THE ROLE OF OF TRANSPOSABLE ELEMENTS IN MYOCARDITIS
• 5-15-2024STUDY REVEALS IMMUNOTHERAPY’S POTENTIAL IN BOOSTING IMMUNE SYSTEMS OF OLDER INDIVIDUALS
• 5-15-2024CANADIAN HOSPITAL DATA SHOW LONGER, COSTLIER STAYS FOR PATIENTS EXPERIENCING HOMELESSNESS
• 5-15-2024SCIENTISTS WANT TO KNOW HOW THE SMELLS OF NATURE BENEFIT OUR HEALTH
• 5-15-2024STUDY FINDS TWO GENES OF THE GERMLINE ARE ESSENTIAL FOR THE DEVELOPMENT OF BRAIN TUMORS IN DROSOPHILA
• 5-15-2024EVALUATING A NEW GROUP TRAINING TOOL FOR THE PREVENTION OF DEMENTIA
• 5-15-2024RESEARCH CHALLENGES LINK BETWEEN MOTOR IMPAIRMENT AND BRAIN INJURY
• 5-15-2024RESEARCH CHALLENGES LINK BETWEEN MOTOR IMPAIRMENT AND BRAIN INJURY
• 5-15-2024CHIROPRACTIC ASSOCIATED WITH LOWER LIKELIHOOD OF TRAMADOL PRESCRIPTION IN ADULTS WITH SCIATICA
• 5-15-2024UNVEILING THE IMPACT OF JOB LOSS ON THE HEALTH OF IMMIGRANTS IN GERMANY
• 5-15-2024HEALTH CARE INTERPRETERS IMPORTANT FOR HEART ATTACK REHABILITATION, SAYS STUDY
• 5-15-2024RESEARCHERS FIND MICROPLASTICS IN CANINE AND HUMAN TESTICULAR TISSUE
• 5-15-2024ANTISEIZURE MEDICATIONS CAN PRODUCE LIFE-THREATENING REACTIONS
• 5-15-2024ADULTS WHO HAD DIFFICULT CHILDHOODS ARE NOT RECEIVING SUFFICIENT MENTAL HEALTH CARE, FINDS CALIFORNIA STUDY
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• 5-15-2024PREVENTING PEDIATRIC FALLS
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• 5-15-2024TREATMENT-RESISTANT DEPRESSION LINKED TO BODY MASS INDEX: STUDY
• 5-15-2024HOW DID THE COVID-19 PANDEMIC AFFECT OLDER ADULTS’ TECHNOLOGY USE?
• 5-15-2024STUDY FINDS LINK BETWEEN BMI TRAJECTORIES AND FRACTURE RISK IN LATE ADULTHOOD
• 5-15-2024STUDY FINDS REDUCED RISK OF BREAST CANCER FOLLOWING BARIATRIC SURGERY IN WOMEN WITH HYPERINSULINEMIA
• 5-15-2024FEWER US OVERDOSE DEATHS WERE REPORTED LAST YEAR, BUT EXPERTS ARE STILL CAUTIOUS
• 5-15-2024PRE- AND POST-SURGICAL IMMUNOTHERAPY IMPROVES OUTCOMES FOR PATIENTS WITH OPERABLE LUNG CANCER, PHASE III STUDY FINDS
• 5-15-2024NEW METHOD USES TAU PROTEIN DEPOSITION PATTERNS TO PREDICT ALZHEIMER’S SEVERITY
• 5-15-2024OLDER NATIVE AMERICANS MAY EXPERIENCE HIGHER LEVELS OF COGNITIVE IMPAIRMENT THAN PREVIOUSLY THOUGHT
• 5-15-2024RESEARCHERS DEVELOP INNOVATIVE PLATFORM FOR MODELING HUMAN MUSCLE DISEASES IN WORMS
• 5-15-2024CLIMATE CHANGE IS LIKELY TO AGGRAVATE BRAIN CONDITIONS, STUDY FINDS
• 5-15-2024NEW STUDY SHOWS CONTINUED HIGH EFFECTIVENESS OF HPV VACCINATION IN ENGLAND
• 5-15-2024FAT-ENLARGED AXILLARY NODES ON MAMMOGRAM MAY INDICATE HIGHER CVD RISK
• 5-15-2024NOVEL INHIBITOR INSIGHTS OFFER PATHWAY TO PREVENTING PXR-ASSOCIATED DRUG RESISTANCE
• 5-15-2024THE DOCTOR IS IN… BUT WHAT’S BEHIND THEM? STUDY REVEALS IMPACTS OF TELEHEALTH BACKGROUND SETTINGS
• 5-15-2024HIGH TELEHEALTH USE TIED TO INCREASED HEALTH CARE UTILIZATION, COST
• 5-15-2024NEW BIOMARKER IDENTIFIED TO DIAGNOSE ALZHEIMER’S IN ASYMPTOMATIC STAGES
• 5-15-2024U.S. DROWNING DEATHS RISING AGAIN AFTER YEARS OF DECLINE
• 5-15-2024STUDY FINDS ASTROCYTIC PH REGULATOR CAN REPAIR BLOOD-BRAIN BARRIER, REVERSE BRAIN DAMAGE CAUSED BY ISCHEMIC STROKE
• 5-15-2024DISPARITIES SEEN IN CARBAPENEM-RESISTANT ENTEROBACTERALES BLOODSTREAM INFECTION OUTCOMES
• 5-15-2024WHY IS WHOOPING COUGH SURGING IN THE UK? FALLING VACCINATION RATES MAY BE THE ANSWER
• 5-15-2024CARDIAC REHAB IS A PROVEN BUT UNDERUSED THERAPY IN WOMEN, BUT TAILORED RESOURCES AIM TO CHANGE THAT
• 5-15-2024IRON FUELS IMMUNE CELLS—AND IT COULD MAKE ASTHMA WORSE
• 5-15-2024NEW POSSIBILITIES FOR CELL THERAPIES AND PERSONALIZED MEDICINE
• 5-15-2024HIGHER INCOME REDUCES STROKE MORTALITY RISK BY A THIRD, NEW STUDY SHOWS
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• 5-15-2024LOW TESTOSTERONE IN MEN ASSOCIATED WITH AN EARLY DEATH
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• 5-15-2024BLUETOOTH TRACKING DEVICES PROVIDE NEW VIEW INTO CARE HOME QUALITY
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• 5-15-2024RECOGNIZING THE PHYSICAL AND EMOTIONAL TOLL THAT CARING FOR A LOVED ONE WITH A CHRONIC CONDITION HAS ON THE CAREGIVER
• 5-15-2024DIFFICULT WORK ARRANGEMENTS FORCE MANY WOMEN TO STOP BREASTFEEDING EARLY—HERE’S HOW TO PREVENT THIS
• 5-15-2024DAY-LONG WORKSHOP IN COGNITIVE BEHAVIORAL THERAPY FOUND TO EFFECTIVELY REDUCE DEPRESSION IN 16- TO 18-YEAR-OLDS
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• 5-15-2024SCIENTISTS UNRAVEL GENETIC BASIS FOR NEURODEGENERATIVE DISORDERS THAT AFFECT VISION
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• 5-15-2024RESEARCHERS IDENTIFY NEW MARKER FOR BREAST CANCER PROGNOSIS
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• 5-15-2024HOW THEY IMPACT LIFESPAN IN VERTEBRATES
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• 5-15-2024IF YOU’VE TRIED MEDITATING BUT CAN’T SIT STILL, HERE’S HOW—AND WHY—TO TRY AGAIN
• 5-15-2024RESEARCHERS DETERMINE THE MUTATIONS THAT PROTECT MICE FROM B-CELL CANCERS
• 5-15-2024UP TO 246 MILLION OLDER PEOPLE MAY BE EXPOSED TO HEAT RISK BY 2050 DUE TO GLOBAL WARMING
• 5-15-2024MORE RESEARCH SUPPORTS ANDROGEN TREATMENT FOR BREAST CANCER
• 5-15-2024UNDERSTANDING THE ROLE GUT MICROBIOME–BRAIN INTERACTIONS PLAY IN SOCIAL DECISION-MAKING
• 5-15-2024NEW STUDY IDENTIFIES MECHANISM OF IMMUNE EVASION OF SARS-COV-2 AND VARIANTS
• 5-15-2024RESEARCH SHOWS RECENT RELEASE FROM JAIL A BIG RISK FACTOR FOR SUICIDE
• 5-15-2024RESEARCH COLLABORATION DEVELOPS LIFESAVING ‘ARK’ TECHNOLOGY FOR CHRONIC KIDNEY DISEASE PATIENTS
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• 5-15-2024TECH ALONE CAN’T REPLACE HUMAN COACHES IN OBESITY TREATMENT, STUDY FINDS

Since kindergarten I have struggled immensely with executive function. I was always losing my jacket or backpack, always had to borrow a pencil, forgot to turn in my homework (if I remembered to do it, which was highly unlikely).
I also did struggle to pay attention. I was always called out in front of the class for "staring into space" or fidgeting with stuff on my desk. It often took people multiple attempts to get my attention and I would often only get half of a list of instructions through my head even if it was explained clearly multiple times.
I was always in time out, and by middle school I was always in detention or summer school. I had many teachers pull me aside and ask if I'd been evaluated for ADHD, so I eventually brought it up to my mom who was NOT on board, going off about big pharma and people faking mental illness to avoid improving themselves and stuff like that.
I let it go for years, BARELY graduated highschool, and immediately dropped out of college because I just couldn't do it. I lingered for years until finally my mom came around begging for forgiveness and offering to help pay to get me tested.
Results: Autism Spectrum Disorder.
Honestly, that didn't really surprise me because I have also always struggled socially, MUCH more than my peers, but what did surprise me and what I immediately asked was... "Where is ADHD?"
He explained that I my test did conclude that I have attention issues, but that such a thing can also be the result of autism.
I don't fully understand, why have two separate diagnosis then? Is ADHD solely for people who don't struggle socially, meaning if you do then it's not possible to receive an ADHD diagnosis?
If someone could explain this like I'm 5, I would appreciate it so much <3

In today's rapidly evolving educational landscape, fostering a growth mindset among students is paramount. But how can we effectively promote this mindset in the digital realm? Let's explore the transformative potential of online assessments in nurturing a growth-oriented approach to learning.
Online assessments, when strategically designed and implemented, offer far more than just evaluating knowledge retention. They serve as powerful tools for instilling resilience, adaptability, and a passion for continuous improvement. Here's how:
Embracing Mistakes as Opportunities: Traditional assessments often penalize mistakes, fostering a fear of failure. In contrast, online assessments can be structured to provide immediate feedback, encouraging learners to view mistakes as valuable learning experiences rather than setbacks.
Personalized Learning Journeys: By tailoring assessments to individual learning styles and preferences, online platforms empower students to take ownership of their learning journeys. Through adaptive questioning and targeted feedback, learners are guided towards areas where growth is most needed, reinforcing the belief that intelligence is not fixed but malleable.
Building Confidence through Progress Tracking: Transparent progress tracking features inherent in online assessment platforms enable students to visualize their learning trajectory over time. Celebrating incremental successes, no matter how small, reinforces the belief that effort leads to improvement, thereby nurturing a resilient mindset in the face of challenges.
Fostering Collaboration and Peer Learning: Online assessments can be designed to encourage collaboration among peers, fostering a sense of community and collective growth. Through group discussions, peer reviews, and collaborative problem-solving activities, students learn to appreciate diverse perspectives and support one another's learning journeys.
Promoting Reflective Practice: Incorporating self-assessment components into online learning modules encourages students to reflect critically on their own learning processes. By articulating their strengths, weaknesses, and areas for improvement, learners develop metacognitive skills essential for lifelong learning and personal growth.
In conclusion, online assessments hold immense potential not only for gauging academic proficiency but also for nurturing a growth mindset conducive to success in an ever-changing world. By leveraging the interactive and adaptive nature of digital platforms, educators can empower students to embrace challenges, persist in the face of setbacks, and ultimately realize their full potential.
To delve deeper into this topic, check out the insightful article here.
Join the conversation: How do you incorporate online assessments to foster a growth mindset in your educational setting? Share your experiences and insights in the comments below!

OnlineAssessments#GrowthMindset#EdTech#Education#DigitalLearning#StudentEngagement#PersonalizedLearning#AdaptiveLearning#Metacognition#ContinuousImprovement

Australia PR for Nurse from IndiaIf you are looking for Australia PR for a Nurse from India then there are several options available to a registered Indian nurse seeking permanent residency in Australia. The General Skilled Migration program, which encompasses the Subclass 189 Skilled Independent visa and the Subclass 190 Skilled Nominated visa, is one popular route. These visas are point-based and require the fulfilment of certain requirements, such as age, English language competency, skills evaluation, and character and health standards.
Employer sponsorship, such as that provided by the Regional Sponsored Migration Scheme (subclass 187) or the Employer Nomination Scheme (subclass 186), is another possible route. A qualified employer must sponsor the nurse for a post in Australia to obtain one of these visas.
To successfully negotiate the complexities of Australian immigration law, the nurse must thoroughly investigate, comprehend, and apply for each pathway. They should also get expert counsel or assistance from an immigration consultant.
Why is AUSTRALIAN REGISTRATION – Nursing and Midwifery Board needed for Australia PR for a nurse?
The Australian Nursing and Midwifery Board (NMBA) has to have registered you as a Registered Nurse for you to be able to work in Australia and apply for Skills Assessment. In addition to deciding on issues about registration, endorsement, notation, and compliance for nurses, midwives, and students, the NMBA also establishes policy and professional standards for the nursing profession. The following viewpoints are included in the registration standards:
• Past Criminal Records
• Fluency in the English language
• Professional indemnity insurance policies;
• Recent Practice;
• Ongoing Professional Development
Which skill assessment body is required for Australia PR for Nurse?
You need to take a skills evaluation to qualify for a permanent resident visa. The Australian Nursing & Midwifery Accreditation Council (ANMAC) is the authority for assessing skills for registered nurses. It can evaluate internationally qualified nurses or international students who have completed their nursing degree program in Australia and are registered there, as well as those with an equivalent qualification and registration in New Zealand. The following list of three primary eligibility pathways:
Full Skills Assessment: You are eligible for a full skills assessment if you are not registered in Australia and have a degree in Nursing from outside Australia. For example: India, Pakistan, Bangladesh etc.
Australian Visa Application for Registered Nurses (Nurse Visa Australia)
A variety of visas are available for Australia PR Visa from India. Registered Nurses to apply for immigration to Australia, including the following:
Skilled Independent Visa (Subclass 189): For skilled professionals subject to a points system who wish to live and work in Australia and apply for permanent residency on their own, the visa (subclass 189) is a permanent residence permit. These days, applicants must score substantially higher on the Points in order to be invited, due to the government's limited allocation of spots for this category and the fierce rivalry among applicants
Skilled Nomination Visa (Subclass 190): For skilled professionals who meet certain requirements and wish to work and settle in Australia, the visa (subclass 190) is a permanent residence permit. An Australian state or territory government agency must nominate the application. The need for nurses in Australia is high and is expected to remain so, particularly during and after the Covid-19 worldwide pandemic. If their profession is listed as a state occupation, qualified registered nurses may be eligible to seek for a nomination to the Australian state.
Skilled Work Regional Provisional visa (Subclass 491): Itis a temporary residency permit for skilled professionals who meet the requirements and wish to work and reside in Australia. An Australian state or territory government agency must propose the applicant, or a qualifying relative must sponsor them. After the necessary requirements are satisfied, the holders of this visa may then apply for the subclass 191 Skilled Regional (Permanent) visa.
The Temporary Skill Shortage Visa (Subclass 482 visa): It permits foreign workers whose designated occupation is on the approved occupation lists to be hired on a temporary basis by an approved business sponsor. The visa validity period for jobs involving registered nurses may be up to four years. If the necessary requirements are met, the visa may be renewed. After meeting the necessary requirements, sponsored nurses may submit an additional application for a permanent resident visa under the 186 Employer Nomination Scheme.
Employer Nomination Scheme (Subclass 186): workers who wish to work in Australia and apply for Permanent Residency through their employment opportunity can do so using the Employer Nomination Scheme visa (subclass 186). An authorized Australian employer must nominate a candidate for this visa in the first phase, and the candidate must then apply under the nominated stream. It is a component of the program for permanent employer-sponsored visas. If their employers are prepared to help them, sponsored nurses may be able to apply straight for permanent residency through this route.
How to apply for Australia PR for Nurses from India?
There are usually multiple steps involved in becoming a registered nurse and moving to Australia from India. This is a broad synopsis of the procedure:
Step 1 : Verify Your Eligibility: The first step is to determine if you are qualified to practice nursing in Australia. To make sure your credentials fit Australian requirements, you will need to have them evaluated by the Australian Health Practitioner Regulation Agency (AHPRA) and the Australian Nursing and Midwifery Accreditation Council (ANMAC).
Step 2. English Language Proficiency: You must take an authorized English language test, such as the PET or IELTS, to establish your English language Proficiency Score.
Step 3. Apply for Registration with AHPRA: After fulfilling the requirements for eligibility, you can apply to the Australian Health Practitioner Regulation Agency (AHPRA) for registration. In Australia, becoming registered is required to practice nursing.
Step 4. Skill Assessment through ANMAC: The Australian Nursing and Midwifery Accreditation Council (ANMAC) must evaluate nurses' skills. This evaluation confirms that your credentials and abilities meet Australian requirements.
Step 5. Submit your Expression of Interest (EOI): The first step in applying for a points-tested visa is to submit an Expression of Interest (EOI) via the SkillSelect system. Once submitted, you must wait for the Invitation to apply (ITA).
Step 6. Submit the documents and visa fee: Once an applicant receives his or her ITA then they need to submit their documents along with the Visa fee.
Step7. Wait for your Australia PR: Once the Australian immigration authorities process your documents and application and approve them you receive your Australia PR.
Because immigration rules and procedures are subject to change, it is advised that you speak with a registered migration agency or immigration consultant for the most recent information and advice about your situation
How will Aptech Visa help with Australia PR for Nurses?
1. Aptech Visa helps the applicants with documentation.
2. Aptech Visa also helps the applicants with gaining the required license.
3. We will get the nurse registered under AHPRA.
4. Prepare the portfolio as per the requirement.
5. Enroll with NCLEX
6. Get your skill assessment
7. Help the applicant throughout the process.
For more information, you can refer to https://www.aptechvisa.com/blog/is-it-easy-to-immigrate-to-australia-as-a-nurse-from-india and you can also connect with our Australia Immigration Consultants at 9289289006, 7503832132.

My LO (4 mo) refuses to nurse while awake and we are getting him evaluated for oral ties. He will nurse to sleep and nurses all night. I've started giving him bottles while he's awake but i don't have a stash currently so I always have to pump beforehand. My supply is decent but I'm working to bring it up. Im only able to pump 2 oz at a time in the morning, sometimes 3, if hes not fed for a bit. What's the best way to go about this ? He also has a dairy allergy and don't want to start introducing formula now, and he probably wouldn't take to it anyways. This is all new to me as he was previously ebf with no bottles. I basically am giving him what little I pump while he naps and then topping him off at the breast to put him to sleep, then pumping while he sleeps. Anyone have experience or advice?

Wanted to get some insights from you all.
Where I work, we keep a job evaluation guideline which helps us evaluate whether a certain position is leveled at a particular level. A typical job evaluation process starts with the job description, job analysis (asking detailed questions about the nature of work, etc), comparison with size of organization and all that, before aligning with region.
Typically this guideline is maintained within HR and is not shared to the managers.
I have one manager who is pushing to get this document. He said his motive is to understand the levelling. However we know him long enough to know that his real motive is to build up his case to justify promotion. He kept on comparing himself with his 'peers' at bigger manufacturing plants. Unfortunately because of the size of organization, he pretty much has reached the max already. We have informed him about this but he still is in denial.
In any case, I'm in the opinion of: "OK fine. If you really want to know, let me show you but I will show you the right way. Not just send you a file." So I am planning to walk him through the details of the process (which might also include showing him the guideline that we use).
However, I'm afraid I might regret this if he took a hold of the file and ran with it.
Has anyone faced a similar dilemma? What did you do? Any precautions?

contemplating whether to stay or not sa current job.
pros:

• ⁠the job pays well (benefits, salary)
• ⁠madali compare sa previous work ung workload
• malapit lang sa bahay

cons:

• ⁠12hrs work schedule morning&nightshift (4days work,3 days dayoff & 3days work 4 days dayoff) -dahil 12hrs yung sched, kapag night shift .. kunware papasok ka ng 11pm today tapos uuwi ka ng 11am kinabukasan pa. Nakakadrain ng energy. Honestly kung yung 12hrs pero pasok mo... 6-6, 7-7, 8-8, 9-9 kaya ko pa tiisin eh. -actually kinuha ko lang tong offer kasi need ng money dahil ako yung breadwinner & wala na ibang offer pero now nag iisip naman ako kung tatagal ako sa ganitong set up
  
• KPI is shitty (evaluation includes peers performance, sinasama pati not related sa work sa evaluation, kasama sa KPI kapg ppsok ka ng dayoff/restday OT.. so kumbaga the more na pumapasok ka during restday kung may ibang mag VL, better... mas tataas grade mo sa KPI pero for me kasi, nagmumukhang sapilitan para sa grade, eh minsan gusto ko di pumasok habang restday ko)
  
• workmates na hapit sa libre everytime onsite, nagpaparinig na may manlibre. Nagkaka anxiety ako everytime nasa onsite. Much better na wag magsalita para hindi mabaling sayo ung atensyon. madali naman sila kausap kapag may question about work pero feel mo may backstabber awra sila. Kaya mas gusto ko wfh para may peace of mind -honestly, magkaka peace of mind lang ako ng konti kung magreresign sila . kaso imposible naman na magsabay sabay silang mag resign 🫠
  
• isang manager, ang way to small talk is about your appearance, hair , weight.. kahit hindi sakin/hindi ako ung napapansin.. parang ang awkward. ang tahimik ko kasi kaya di ako napapansin haha.
  

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• My Mission: Thank you for taking the time to read my Reddit post. I take what I do very seriously and I always strive to get the highest possible grades for all students who entrust me with their coursework.
• Closing Words: Please feel free to reach out to me if you're sincerely interested in having help you with your school work. I am available via text and phone almost 24/7/365.

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Exploring Noida's Best Educational Opportunities: From Play Schools to Preschools
Are you a parent residing in Noida, perplexed about the best educational opportunities for your little one? Navigating through the variety of play schools and preschools in Noida can be overwhelming, but fret not! Let's delve into the realm of early childhood education in Noida unearth the gems that promise a nurturing environment for your child's growth development.
Play Schools: Where Learning Begins with Play
are the first stepping stone in your child's educational. These institutions recognize the significance of play in early childhood development. Here's why a play school experience can be beneficial for your child:
Holistic Development: Play schools focus on fostering your child's cognitive, social, emotional, and physical development through age-appropriate activities.
Learning Through Play: Children engage in play-based learning, where they explore, experiment, and discover the world around them in a fun and interactive manner.
Socialization: Play schools provide a platform for children to interact with peers, building essential social skills and friendships.
Top Play Schools in Noida
Pika Kidz: Play schools in Noida serve as the first vital step in your child's educational journey. These establishments understand the importance of play in the early development of children. Here's why a play school experience at Pika Kidz, the best day care in Noida, can benefit your child
Preschools: Building a Strong Foundation for Future Learning
Transitioning from play schools to preschools marks a crucial phase in your child's educational voyage. Preschools in Noida offer a structured curriculum designed to prepare children for formal schooling. Here's why preschool education is vital:
Academic Readiness: Preschools introduce basic literacy and numeracy concepts, laying a strong foundation for future academic success.
Critical Thinking Skills: Children are encouraged to think critically, solve problems, and express their ideas creatively.
Language Development: Preschools focus on language enrichment, helping children enhance their communication skills.
Notable Preschools in Noida
Pika Kidz: Transitioning from play schools to preschools signifies a crucial phase in your child's educational progress. Preschools in Noida provide a structured curriculum aimed at preparing children for formal schooling. Here's why preschool education plays a pivotal role
Choosing the Right Educational Path for Your Child
When selecting a play school or preschool in Noida, consider the following factors:
Curriculum: Ensure that the institution's curriculum aligns with your child's learning needs and goals.
Facilities: Look for schools with well-equipped classrooms, play areas, and safety measures.
Teacher-Child Ratio: Opt for schools that maintain a low teacher-child ratio for personalized attention.
Parent Involvement: Evaluate the school's approach towards parental involvement in the child's learning journey.
Remember, each child is unique, so choose an educational institution that resonates with your child's individuality and nurtures their potential.
Conclusion
From fostering creativity in play schools to laying a strong educational foundation in preschools, Noida offers a plethora of educational opportunities for your child's formative years. By exploring the top play schools and preschools in the city and considering essential factors, you can pave the way for a bright and fulfilling educational journey for your little one. So, embark on this exciting quest of discovering the best educational opportunities in Noida and witness your child blossom into a confident and curious learner!

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Chapter 1: the event
It was the fall of my intern year as I bean my off service trauma rotation. This month was ubiquitously notorious for being the most labor intrusive and least productive rotaion of our emergency medicine program. Knowing this I entered with the intention of simply surviving the month.
Another intern and I let’s call them A for sake of ambiguity, we’re the first emergency medicine residents to roste on the trauma services that year. A shaky start would be an understatement. In the words of chance the raper “like my grama with the Parkinson’s playing operation.” Would better describe it. Medically we did well. We were very competent and completed our work daily, but communication and coordination was non existent. Our Cheifs had informed us that Tuesday was our day of and the Trauma cheif residents had minimum communication with us, or our Cheifs as it seams when A and I did not report on Tuesday they sternly made their dissatisfaction known.
I have struggled with insomnia sense the age of 10. Had 2 sleep studies by this point in my life and been prescribed nearly every sleeping aid on the market. The 80-94 hr work weeks of our trauma rotaion only worsened my insomnia. My lack of sleep likely contributed to a less than prime adaptive immune system and 2 days out of my trauma rotaion I contracted strep like symptoms with associated nausea, requiring me to call for a sick day the next day. No the first day that I felt too ill to work. I was not fully aware of the reporting process. I reported to my Chiefs, but I did not believe I could come to work tomorrow with amble time and notice, however I was somewhat delayed in letting their Cheifs know, because the surgical chiefs rotated every few days and I did not know who my was going to be the next day. The second day which I had to call out sick I was able to locate the cheif for the next day and reprot according to our university’s protocol, which requires that if a resident feels they are not fit for work they must not come in and the university must have staff coverage without any fear or implementation of punitive actions.
I had finally survived to the last week of my trauma rotaion and I could see the light at the end of the tunnel. What I could not see was the pile of stress, shitty diet, lack of mental well ness and sleep deprivation which I was pushing down to reach the light. By this time I had seen a psychiatrist regularly for sleep medication. I had mentioned to him that I had been experiencing more stressed lately and feel that I might be depressed. he reassured me that it was likely only due to my circumstances, given the difficulty of the trauma rotation and wish to reassess once the rotation was over. Looking back I had to fill the habit of drinking more than I usually do. My only on nights before I have days off became 1-2 beers every other night. All of this repressed unhealthy shit finally pushed bad on September 23rd. That night I was at work even later than usual, I stayed up later than usual and couldn’t seem to fall asleep. With the stress of only having minimal sleep and knowing I only had 2 more days of trauma left, I took an extra dose of my sleeping medication.
I opened my eyes to the fighting sight of sun beaming in my window and I instantly knew I was late. (Sense I hadn’t seen the sun in a month) . Due to my need for scrupulous sleep hygiene I have been sleeping with my phone of and away for me. I rushed to grab it and watched as the little Apple logo seamed to glow on the screen for an eternity. Then in conjunction with its fading I saw 3 missed calls from my director, a text from college A and 2 missed calls from the surgical director. Still, I was able to calm myself, knowing that resident A had been late to this rotation by a few hours 2 other days and nothing came of it. I called my director back and he asked me to report to his office where I was greeted by my director, my coordinator and another emergency medicine facility.
With the only explanation of: “we just want you to get better”, I was handed a letter, to my relief it did not entail my termination, but a declaration of administrative leave and a requirement to undergo an evaluation at a well known university in Florida.
Lake any other savvy millennial, I did my research. By research I mean numerous google searches and screeches thru the depts of redit. To my dismay I discovered that in order for a residency program to fire you, they must first initiate an administrative suspension. I would soon find out however, being terminated would have been a delightful outcome compared to what ensued.
I spend the next few weeks in the wallos of regret and depression. I indulged in higher qualities of alchohol then I ever have before. I all but ceased communing with peers, and abruptly stoped any physical activity I had once enjoyed. Frightened as I was I was ensured, it will be ok “we just want you to get better”
Chapter 2 The evaluation : guilty until proven innocent I did exactly as instructed and scheduled an evaluation, I supposed that this was either a mental evaluation to assess if I’m fit for work with plans of termination or it actually was an evaluation to better treat my insomnia. To this day I regret my ignorance, and wish I had researched the process more. The Hindi / sand-skrt idea of Hamsa 🪬 is that in order to do any good you must have full knowledge or else good intentions can result in harm. I truely believe my director had good intentions, however but him and I did not have full knowledge of the nature of this evaluation.
Looking back see how easily I could have avoided my troubles by asserting legal aid at this point or even by researching this evaluation process more in depth. If one searches impaired practitioner program which I now know this evaluator works for, the search entire will populate 5 or 6 layferms along side their home website and there is a valid reason for this.
If one every finds themself in this process I employ you to bring a DSM to your evaluation or at least be familiar with the most common use disorders in the DSM-5, because your evaluation will turn into a dance of questions where the evaluator attempts to trap you in a round about way to stating something that may qualify for one of the diagnosis. I have provided an image from the DSM-5 below outlining AUD, which the evaluator concluded that I had the most severe from:
Image
Example***** Here are 10 examples of how he fraudulently assessed me taken directly from his assessment note.

1. Evaluator: Have you ever stoped drinking in the last year.

Me: yes I stoped every week day, I was only drinking on the weekends, until two weeks ago.
-Evaluator uses stoping and starting every week to qualify for 2 or more unsuccessful attempts to stop in the last year “There is a persistent desire or unsuccessful efforts to cut down or control alcohol use.”

1. Evaluator Have you ever had withdrawal symptoms

Me no
Evaluator Well Have you ever had a hangover? You know that’s a from of acute withdrawal
Me: yes in college, I had a few but that was years ago and I’m pretty sure the pathophysiology is different.
Evaluator uses this to count for withdrawal symptoms even tho is was more than a year ago

1. Evaluator: Have you even taken your sleeping medication on a day or night which you drank? Me: Yes, I took my prescriptions are prescribed but I never drank close to bed

Evaluator: qualified this as dangerous behavior with alcohol (where the DSM gives examples such as unprotected sex and drunk driving). The sleeping medication I was on is not a benzodiazepine therefore it is not deadly with alcohol. I personally have seen many patients in the ED who have taken their entire bottle of the medication and drank copious amounts, we just monitor them over night and rehydrate them

1. Evaluator Has anyone told you you drink to much or been worried about you Me: No I drink much less than my friends

Evaluator what about your girlfriend? Me: well she actually doesn’t drink at all she doesn’t like it. She often buys me beer for The Weeknd’s tho. One time we went to a movie and she got a little irritated because I waited for beer then complained about them not having any craft beer. So she said, “you couldn’t have just said no” and drank something else. However, she apologized after and said it’s worth waiting if it’s my only day off.
Evaluator said this qualifies for continued drinking despite causing significant relation consequences, ie divorce.

1. Evaluator : you have sleep issues I hear, and your chart says you’ve had depression in the past, don’t you know that alcohol can effect your sleep and mood Me: yes that’s why I never drink within 3 hours of sleep.

Evaluator but you knew this and still drank
Evaluator: qualifies for drinking despite unwanted physical or psychological effects (this should be recurring to effects the alcohol is causing, I have had insomnia sense the age of 10 long before I took my first sip)
7 evaluator you were late for work and told my you had a drink the day before
Me: Yes but I was late because I didn’t sleep and took double my sleeping meds, I will never do that again
Qualifies for 2 significant work or school issues in the past year ( a therapist and other psychologist ensured me that being late on or a few days doesn’t count they typically are getting fired or failing) ( moreover, this would assume I was late do to drinking it’s self and also assume if happened more than once)

1. • Alcohol is often taken in larger amounts or over a longer period than was intended

He never once asked anything related to this question yet said I qualified in his final report 9. A great deal of time is spent in activities necessary to obtain alcohol, use alcohol, or recover from its effects. The evaluators logic here was sense I was late for work and I had 2 beers the day before I must be taking long to recover from it (this is assuming I missed due to alcohol)

1. Tolerance drinking more to require the same effect: this he checked as true in his final note however it was never even discussed in our evaluation. I did mention to him that I’ve been drinking more than I had earlier in the year frequency wise, but they said nothing to do with quantity or needing more.
   
2. Wanting to drink so bad you can not think of anything else: this is the only qualification of SAUD my evaluator said I did not have.
   

Moreover, without legal help I was not aware that I could obtain a second evaluation or even oppose going to get evaluated at all, but that wouldn’t have mattered seeing I still thought this was for my health and wellbeing as seen when I was asked why do you think you are here to today, to which I replayed “so that I can be evaluated to see what is needed to get back to work”.
To maks the ordeal more infuriating the evaluator continues to ingratiate himself and lie through the process telling you, “it will be fine as long as you are 100% honest”, “anything you say in here is between you and me” or “you slipped up once with your meds, I know your residnecy program they will probably just want a few more out patient tests”
Two weeks later I received a phone call right before I left for an out of state vacation to visit my nice for her birthday. During the call I was informed that I would be required to complete a partial hospitalization program (PHP) lasting “6-10 weeks” which would coast from 15-50 grand not including doctor visits or housing which is billed separately. I suppressed this inconvenience, enjoyed my vocation and reported when I returned, knowing that I must complete this soon so I may return to work with due to the fact that my payed time off would soon be diminished. At this time I had not yet heard of the organization PRN.
Chapter 3 Guilty till proven innocent: The diagnosis
Shell shocked I arrived to a in patient psychiatric unit and was rapidly cleared to progress to treatment without detoxification. During my 90 day of forced rehabilitation I met a few other individuals who were unjustly and fraudulently forced into treatment. I began to look up to one of these such members of the men’s community, who I will refer to as patient X for ambiguity sake.
Unlike me patient X did have alcohol use disorder. He spent many clinic days drinking to avoid alcoholic withdraws. The curious component of his story is that he admitted his depravity, saught help and through his own journey became sober. The bodies at be, namely his local physician, Health monitoring program, rejected his personal path to sobriety and forced him to undergo 90 days of in patient treatment before he could practice medicine again. When he checked in to rehab he had been sober for over a year.
Ask for Stories of people from online
As for me I spend many sleepless nights pondering how consuming a legal substance in a moderate amount could throw me into significant legal financial issues. My labs my toxicology, my story and my collateral from colleagues from colleagues all indicated light to moderate alcohol use but my evaluators word stood as the word of God.
More frightening was the director of this rehabs acknowledgment of this. The director who happens to also coincidentally be the evaluator, stated to me as well as to staff on multiple occasions: “ I suggest inpatient treatment for everyone who is reported”. “This is safer for me not to miss anyone who could harm patients, and I figure there must be a reason someone reported them.”
I am still elucidating the reason why I was determined guilty and proven innocent, however I can say from my 90 day stent that the majority of the patients at this rehab needed to be there. This program is saving lives of both providers and patients, however it is destroying the lives of those wrongfully accused.
Chapter 4 your lisense rehab or jail : Upon arivil I was sent to a detox hospital underwent a medical examination and was “one of the lucky ones” who required no detoxification and could report directly to PHP. Like everyone else, I spent 90 days in a PHP, being as 6-10 weeks is simply a lie they tell patients to decrease the change of resisting the treatment. When discussing the topic one therapist sated “if we told patients 90 days they would never come.” She then attempted to justify the treatment by outlining the story of a patient she had called who “didn’t make it to treatment” and killed themselves”. It is my belief that it is not the lack of PHP which impelled such professionals to take their life, but them realizing that they now will be obliged to undergo 90 days of PHP, 5 years of PRN monitoring with a loss of autonomy and hundreds of thousands of dollars taken from them that induced their hopelessness. For even if these professionals were truly mentally unstable in their addictions, in every case it was only following a phone call where they were informed they must undergo treatment that they took their life’s. By this time I still haven’t the slightest clue what PRN was.
Despite the security these programs provide for many my 6 main issues with them can be summarized in : 1. Kick backs: evaluators are directors of treatment clinics 2. The reported are guilty till proven innocent 3. The price, the overflow of money these places drag in from both patients and state universities is appalling, they charge separately for every visit and test 4. Although they make the claim that they are individualized, they are anything but. Every patient gets the same stay and treatment from the doctor drunk on the job and the one who was late to a shift 5. They force voluntary treatment. remember that friendly evaluator who promised he had your best interest at heart, so you opened up and told him everything about your substance use/ developmental / family history, well if you don’t stay for 90 days he will be “normally obliged” to tip the board of medical off to you.

1. The programs have overstepped their intended jurisdiction. -these programs work well if they function how they were intended at their inception. Cite original purpose. Originally these programs were designed to protect physicians and civilians from impaired practitioners; being healthcare workers who were impaired at work. Over the years, these organizations have extended their authority to encompass individuals with substance use disorders When not at work and also those who are in training to become healthcare professionals. Take for example myself compared to a physician who is impaired at work. A doctor who arrived for duty under the influence would surely benifit from the extensive testing, therapy and accountability enforced via these programs. In accordance the 20,000$ per year cost is appropriate when only making up roughly 7% of their yearly salary vs nearly half of a residents. In my case with my loss of income from employment, coast of treatment and monitoring, this year I will be required to pay 20,000$ to work. Yes, I will be losing money to work. Even if did indeed have a substance use disorder this level of monitoring wouldn’t not be considered appropriate.

Dispite all of the miscomings of this System My time spend in PHP was indeed helpful, as I believe it would be for anyone. Time for exercise, a reprieve from work and weekly counseling. A sample structure of my day to day schedule is provided below for insight:
Structure The general structure of these rehabitation centers is as follows: 1. One week of orientation phase, where you are not allowed in electronics or contact with the outside world world. Therefore, if you’re going, bring some things you would like to read or study. 2. In phase 2, you can use your phone however you cannot leave campus. You must stay in the dorm on campus. These shitty 1 room run down apartments with two other roommates will cost you about $1000 a week, they are required for at least four weeks and they are billed separately, no insurance will help you out here. 3. In phase 3 you can commute to campus if you beg your therapist and live very close. Whether you’re on campus or living off-campus, you are allowed to leave up to four hours per day. If you commute, you’ll be required to take a sober link decide you must Breath, alcohol test into every 6 hours. Like everything else in this program you must pay for this separately, a few hundred dollars a week. You advanced to other phases by completing assignments, however, assignments are limited by required built-in time, intrusive, scheduling, and reviewing. Therefore, if you do everything as rapidly as possible phase 1 will take one week phase 2 will take three weeks.
Every day schedule:
7:30: wake up, report to the front desk to inform them that you haven’t ran away yet and take and prescribed medications. They keep all your medications and require that you report to take them; for me this was antidepressants in an attempt to dispel the depression I contracted from being forced into treatment and whatever off label medication they were attempting to treat my ADHD with, since control medications were forbidden.
8 am: community group assessments This consisted of other patients presenting their assignments amongst the large group, on the weekends this was often an hour later and 12 study regularly took the place of assignment presentation.
10 am: process group. This was a two hour group therapy session with 6 to 12 other professionals in a therapist and training or occasionally a licensed mental health therapist.
1 pm: recreation This was generally about an hour of some sober themed craft or activity. Once a week this time slot was used for yoga.
2 pm: this was another time slot used for patients to present assignments as well as for individual therapy sessions. Each patient had one individual therapy session lasting 30 minutes per week.
3pm: This was time allotted to work on assignments or go to the gym on your sex specific scheduled gym day.
5pm: this time was used for guest speakers or another 12 step study group.
6 pm : this was generally an off-campus 12 step group
10 pm: report to the front desk and let them know you still haven’t ran away and take and Medication which are prescribed to take at night, then return to your cot bed in your room with 1-2 other roommates.
I found the community to be one of the most beneficial aspects of the PHP program. I was in a cohort of chill ass professionals of the same occupation who were always there to help each other.
Assignments The curriculum of the PHP consisted of assignment based on every step of the 12th step program. Generally, a patient would be required to complete an assignment on their own, review it with other patients, then faculty and finally present the assignment in front of the whole treatment group. You’re only given one assignment at a time and there are multiple steps to each which all requires scheduling this ensures that no matter how determined a patient is a full 90 days of treatment is required to complete all the assignments.
AA structure -the obsolete nature of AA has been verified in numbers studies, but I will refrain from divulging here and lend that endeavor to Dr. Lance Dodes very thorough discussion on the subject,in “the sober truth “
In all sincerity, if I truely did have a severe use disorder this experience could have been life saving. I only wish I could have used my 50 grand for someone who has spent their life time In addictive without reprieve. My first conversation when I was given my phone back was how I wish my father could be able to attend this PHP.
Chapter 5 reporting and PRN Self reporting What they ask you What you should tell them
There’s a third-party agency called professional resource network. Every state has their own. This agency works as a liaison between you and whatever credentialing service your occupation requires. Essentially they ensure your monitoring after treatment. Stake governments and licensing boards trust them, mainly because they monitor with the highest level of intrusiveness. This alleviates much work for state governments and licensing boards because once an individual is being monitored by a professional resource network, then they are deemed appropriate for duty and no further investigation/litigation needs to occur, as long as the monitored individual completely complies.
Because I was never impaired at work I was never reported to this agency. The general workflow of things someone would report you to professional resource network, then the resource network would contact you, and then you would be required to report for an evaluation at a treatment center, which would inevitably result in a suggestion I’ve treatment at that given treatment center. In my case I was sent to the treatment center without PRN being involved. Thus, two weeks into treatment. I was notified by my therapist that I needed to call PRN and self report. I attempted to resistance given that I did not have a problem and was not individually seeking help. I asked what happened if I didn’t self report. I was told that in order to stay in the treatment program I had to report to PRN. This meant either I report to PRN or I get kicked out of the treatment program and lose my job.
When you report to PRN they will ask you why you are in treatment. They will then list off every substance imaginable, asking you if you have ever tried the substance and when your last use was. Ultimately, they will obtain your discharge information from your treatment center, so it is in your best interest to report only what was found in your biochemical testing. If it wasn’t in your hair, I would argue that you don’t have a use disorder regarding that substance and it’s not relevant. I don’t believe it’s important for them to know that you smoked weed when you were 12.
Chapter 6 The contract:
Before being discharged from a treatment facility, a professional resource network will have you sign a contract. A little known fact which I was oblivious to is that contracts can be negotiated. Though this isn’t it possible, it is highly improbable that you can negotiate your contract since PRN has a power to delay your clearance to return to work.
Contractor almost never personalized, and I have not heard of a contract which is not a five-year agreement. You will sign releases of information so that PRN has access to all of your information which was gathered at the treatment facility. You must have a therapist, psychiatrist, primary care, doctor, and a addiction, medicine psychiatrist. You assign releases of information for all of them. You will be required To commit to: 1. three mutual aid meetings a week which you must log. I log smart recovery meetings. 2. Weekly therapy sessions with an approved mental health therapist from their list 3. Monthly doctors appointments with an addiction medicine psychiatrist 4. Yearly appointments with a primary care physician 5. Monthly appointments with a psychiatrist 6. Daily check-ins on a random drug testing app ( you will agree to weekly urine tests, a peth test 4 times a year, a hair test twice a year and a little caveat that says anything else they deem, clinically reasonable) 7. Quarterly update reports which you are required to obtain from a workplace monitor, therapist, addiction, medicine, psychiatrist, primary care physician and any other doctor you are seeing. 8. You must upload all of your prescriptions into a mobile application every single time you get them refilled and are not allowed to take them until they are approved. 9. Attendance of a PRN group via zoom. This is a local group you are assigned along with other monitored practitioners. There is a fee of roughly 130$ a month to attend this required group. For me all of these requirements coast around 20,000 a year. If you ever have a positive test even if it is the result of contamination from rubbing alcohol or unintentional ingestion of alcohol/ allergy medication your contract will rest to 5 years from the time of positive test. Once your five year contract is completed, you must ask to be released from monitoring. At that point they will search for any reason to keep you under monitoring. This could be dilute urines, daily check ins or a week where you did not attend mutual aid meetings. Every certification and license which you apply for will likely ask you if you were under a monitoring program/ have been treated for substance use. You must give an explanation and check yes. As far as licensing programs are concerned, if you were under the monitoring of PRN, you are safe, however they group practitioners who have had behavioral issues with practitioners who were diverting drugs from work. Therefore, keep in mind that you will be labeled as a sever addict.
7 Back to work and only work. During treatment your only goal is to return to work, however when you return your experience will be drastically distinct from what you remember. For me, I was now working in isolation. Missing six months of my training meant that no other Resident was on the same rotation as me. My coworkers at all formed friend groups. When I returned I was greeted with much concern for my well being. No one would speak to be about my absence, however everyone knew there is only one reason a resident would leave for 6 months then return. My Accdeemic meetings were consisting of attending telling me “I have a target on my back now” and “ I have to preform even better than others” in the light of my time missed. If this wasn’t alienating enough, the majority of Resident events, sponsored by recruiters and my university revolved around alcohol to which I had to give some excuse to why I can not partake with others. I’m fortunate that I do not have an addiction, because these stressful conditions along with the daunting amount of dead and requirements imposed by PRN are enough to make any addict relapse. While I was at treatment, I was in the dative with Samyr stories a physicians whose addictions got the best of them. Physicians who did not make it to treatment, often taking their own life. These stories were presented as a warning. Your addictions will kill you without our treatment was the message. When, in reality I did not hear one story in which the addiction killed physician. Every physician who didn’t make it to treatment took their life after being told they must report to a treatment facility. Perhaps they knew what this entailed and it was not their addiction or getting caught which caused them to end their lives, but the unmanageable and often unreasonable burden that treatment would put on their lives.
9 How to escape So your fucked your in PRN and should be or you should and now your recovered and want to terminated your contract.

1. You ask to be released early done at 1/2 time ( good luck)
2. You have “good reason” (no one has ever been let out of contract because of this reason, the verbiage is far too vague)
3. You serve all your time and they let you out(maybe, as discussed earlier, they would do everything they can to keep you in your contract as long as your practicing)
4. You can’t practice medicine anymore

10 Layer up butter cup : I cannot emphasize the extent to which legal help is required in this process. You much seek it and seek it early. Lawyers can provide many avenues to you early in the process. Once you have committed to treatment, gone for evaluation or are in a PRN contract , this is very little that you or legal help can do. Spend a few thousand dollars when you are accused and save the 20-30,000 later.
After you have been evaluated if you disagree as I did, then this is the process you must undergo. 1. Hire a occupation, defense, lawyer 2. Prove you don’t have an addiction, this is done by having an alternative evaluator with similar credentials state that either you don’t have an addiction or that PRN’s level of monitoring is not medically appropriate ( this will need to be a multi day neuropsychological evaluation, which will cost about $5000). 3. Your lawyer must draft in writing that the medical level of monitoring is not required such as another medical professional and send this to PRN 4. PRN will tattle on you to the board of medicine. 5. The board of medicine will conduct an investigation. 6. At the end or when they believe they have enough reasonable evidence to the board of medicine will suspend your license or claim, you must comply with the PRN contract to practice. 7. At this time your lawyer will defend you in the state court against the board. This is costly but much less than the coast of a 5 year PRN contract 8. If you win you will likely suggest an alternative level of care such as gonna get therapy every week. If you lose, than you wasted a fuck ton of money and are still bound by your PRN contract.
Overall this entire process has coast me Over all coast:
My finances for this year only including PRN and rent are as follows:
120-200$ every week for testing 480-800/ month
65 every week for therapy 195/month
125 every month for PRN group
About 50-69 every month for 2 doctor apts
So at least 745$/month at the lowest
Treatment at the recovery center coast 20,000 for me out of pocket and
I wasn’t payed for 6 months with no FMLA because I am a first year. At the 1 year mark I will have made 26,000 this year after taxes And payed About 29,000 on PRN alone
Rent is 1,000 so that’s 12,000 a year
Just in rent and PRN alone I will be at 26,000- 41,600 -15,600.
I will be in debt by at least 18,000 at the 1 year mark
Coast of treatment center 20,000 (with insurance) For each year of PRN roughly 20,000 Add that to 6 months of attending salary which was delayed due to my treatment time: at least 150,000 Layer coasts along with other evaluations 25,000 Missing 6 months of residency pay 30,000 Coast of 1 year in monitoring: 245,000 Coast of 5 years 325,000
If my case progress to a trail I will require an extra 20,000 in court coasts
Chapter 11 My secondary eval: Dr sushi After I arrived at my treatment center I challenge my evaluation multiple times. Each and every time I was discharged and often accused of alternate mental health/ substance abuse issues to discourage my advances. I was never given the opportunity to undergo alternative assessment, however PRN guidelines state that you can obtain a second option within 7 days of your first. This is a mute point, however, because you will not receive the results of your evaluation until over a week after it is conducted and the second evaluation must be conducted by another PRN hired evaluator of their choosing. During my stay in rehab I contacted PRN multiple times to attempt another evaluation/ legal help. They warned against both stating they were a “waste of money” and “pointless”.
After completing my treatment with the guidance of many addiction, experienced physicians, mental health counselors and psychiatrists recommendations I sought in a secondary evaluation. I chose a highly qualified professional with over 30 years of experience to conduct an extensive neuo psycho social evaluation of me. One that I was sure would be more extensive than the evaluation I received at treatment and more importantly an unbiased evaluation.
The results from my evaluation not only showed that I did not have a substance abuse problem warranting PRN level monitoring, but also that PRN was falling to allow adequate treatment of other conditions such as my ADHD. My evaluation showed my ADHD was not only untreated by PRNs attempt at using non controlled medication, but also in the top 3% most severe presentations of ADHD. My evaluator went on to explain my results by questioning why my treatment center even mandated I undergo neuro cognitive evaluation. The only neurodiverse findings were my IQ, my dyslexia and my ADHD. However, a neuo cognitive examination can be billed separately by treatment centers, therefore they always recommend one.
Chapter 12 Amongst its greed, intrusive nature and faulty accusations, professional recourse network function highly proficiently at the task they were designed to; protective physicians and patients from physicians who are impaired at work. In this domain they save lives, offer second changes and protect the public. When they act beyond their intended jurisdiction by imposing unnecessary monetary demands on practitionersin training, accuse practitioners without proof or act on behavior exemplified outside of a work setting they unjustly and inappropriately attack the week and innocent.
Proposed reform: As a trainee my universities malpractice insurance covers me for mistakes made at work. If a learner mistakenly harms a patient, then the university stands on their behalf. If the learner does something wrong under a teachers direct guidance, then the teacher is at fault. This makes sense logically as well as pragmatically. The state entrusts large amounts of money to hospital systems and universities to train resident physicians. A portion of this money is allocated to malpractice insurance. This should extend to accused impairment.
Suppose a training university was required to cover rehabilitation and monitoring of a resident of whom they claim is impaired. Alternatively they have the option of firing the trainee. This would reduce the number of innocent trainees being accused of impairment, make the process of rehabilitation more fair and provide a better use for tax payer derived dollars, which hospital systems are given to train residents. The truly impaired could still seek help, less false accusations would be made and with the employers having the ability to fire at the moment of impairment, there would be less chance of impairment at work.

I had a LP two weeks ago and the post-LP headache was absolute hell. Ended up so bad that the hospital that did the LP admitted me for a week. Crippling headaches and nausea within minutes of sitting up, as bad as a full-blown migraine.
Something I hadn’t been told before the procedure is how important hydration is before and afterwards. Apparently one is supposed to drink a LOT of water before and after the procedure, plus try to remain horizontal for as much as possible over the following couple of days.
I wasn’t told any of this and in fact was told by a nurse that I can’t go to the toilet afterwards (not true) so I avoided drinking. Big mistake.
Hydrate, people, don’t be like me!!!
Interestingly, I found a study that showed a big difference in headache and especially severity from IV hydration before and after the procedure- https://www.neurology.org/doi/10.1212/WNL.82.10_supplement.P1.260#:~:text=CONCLUSIONS%3A%20IV%2Dhydration%20(500,evaluate%20this%20pattern%20of%20results.

We had a family member who recently went to the ER to be voluntarily committed. They were dropped off in the evening. When next of kin (my partner) called the next morning, the nurse said they were being INVOLUNTARILY committed and transferred to a psych ward 50 miles away. The hospital refused to elaborate further and that we would need to contact the psych ward for further information.
A little background on this family member. They started having hallucinations approximately 5 years ago. They believed the government had implanted a machine in their body and were monitoring them. They drove around with a bible wrapped with aluminum foil to “screw up the governments satellites”. They also stated that they don’t sleep and haven’t slept in over 4 years. They were dx with schizophrenia but their partner and immediate family have not elaborated further.
I also believe they may be bipolar. This person has purchased 5 cars in a 30 day span. They even went so far as to buy a couple of their employees cars. They went yet another step further and purchased all 7 nieces and nephews in the family remote controlled ride on cars (think Ferraris, Lamborghinis, Bentleys, etc that cost $500-$600 each). They have also had extreme lows that coincide with the winter months.
Recently, this person has been driving around erratically for the last month or so. Apparently, they spent $6K on gas last month alone. They drive because if they stop moving or are standing still, they feel vibrations and feel the need to keep moving to prevent the “negative neutrons” in their body. They’ve said they have crashed into guardrails and trees and drive up and down the street of their ex’s home. There are definitely a lot more incidents that have happened but this is the most recent one within the last week.
So my question is this —> what could possibly be happening at the psych ward? We heard they got an evaluation today and was dx with psychosis and they are starting them on medication. What would be the tx plan from this point forward and how would my family member need to improve in order to be released? Also, what could potentially change a voluntary commitment into an involuntarily one?
Apologies if I left out useful information as my family is all very new to this. I’m happy to elaborate for clarity, if needed.

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By employing a combination of financial, social, environmental, and qualitative metrics, businesses can gain a comprehensive understanding of the ROI of their CSR initiatives and make informed decisions to enhance their impact and sustainability efforts.

Hi all!
I graduated with my B.S. in bio sci and am career switching to nursing, pursuing ABSN vs ADN. Leaning to the ADN because much cheaper, less intense, and I don’t mind the extra year it takes to get my RN, then later find a hospital that will subsidize my BSN (also gives me time to build an entrepreneurial side hustle but that’s a question for another post). However I heard mixed reviews on being able to get a job with an ADN. I’m now living back home in the bay after finished undergrad and would like to remain in CA when I get my RN, and I’m wondering what the job prospects are as an ADN RN in California.
I heard from a peer that job prospects are tough with an ADN in the Bay Area and was encouraged to move to SoCal after I get my RN to get experience and finish my BSN, then I can come back to the bay.
Anyone have any insights on getting a job with your ADN in California?