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MEDizzy - Medical cases, medical videos, medical school notes, MCQ's. Join global community of HCP's

2018.01.08 12:04 GiorgioMD MEDizzy - Medical cases, medical videos, medical school notes, MCQ's. Join global community of HCP's

This is subreddit created for medical professionals who want to discuss amazing medical cases, watch useful medical videos and share inspiring pictures. All about Medicine!!!
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2013.07.10 22:21 Dvdrummer360 Medical Questions

Having a medical issue? Ask a doctor or medical professional on Reddit! All flaired medical professionals on this subreddit are verified by the mods.
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2008.12.01 17:48 Raddit

We aim to become the reddit home of medical imaging professionals and lay-users interested in medical imaging.
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2024.05.21 22:06 DesignerTruck What “Good Writing” means in a Shonen Jump Manga Kagurabachi and the problem of Art and Taste

People on social media often talk about “good writing” as if it has some formula we can ascertain. Writers through the centuries have written style guides, academics have come up with narrative theories, but good writing is not something that is canonically accepted or formally laid out. This discourse is reductive. Great works get elevated by a consensus overtime, criticism and analysis follows.
Im doing the same in this post ….I realize the irony, but just because there is no universal standard of “good writing”, this doesn’t mean we can’t talk about it… to facilitate critique, to teach the craft of writing and to have a common understanding.
The reason I’m talking about this is to illustrate why even though “good writing” is useful, it is also reductive, due to tastes, the purpose of a work, genre etc. I have to build the framework to deconstruct it lol. The reason we feel compelled to put “good writing” in quotations imo is this very duality, we acknowledge the utility of the discourse and why it is reductive simultaneously.
Anyway, this is far from encompassing mind you, and im not an authority, these are just some personal thoughts based on reading books by others who are way smarter than me and how people talk about the craft of writing. Theres also way more categories than 4, but these heuristics work for the purposes of casual discussion and avoiding dreaded terms like “peak” and “mid” as if those constitute an argument in themselves.
Also in reality, these categories intertwine and reinforce one another, creating a work that is more than the sum of its parts.

1.Plot

How does the narrative move from point a to b? What are the events in the story taking place, the story beats, how are they sequenced? Does it have good hooks, foreshadowing, a long term plan, goals for the protagonist? For weekly manga, is it interesting week to week, by volume, by arcs? What are the narrative devices used, 3 act structures, kishotenketsu, freytags triangle, The heroes journey, more avant garde sensibilities. Is the plotting complementing the tone, and themes and genre the work is in? Plotting is the machinery of the narrative, how events move, pacing, planning.

2.Themes

What are the ideas and motifs explored by a work? What is the tone, the emotions, the symbolism, the message of the story? Themes can be singular or multifarious, and shallow or deep. Themes aren’t always immediately accessible, and are not an account of the explicit events of the narrative.There is a subtlety to its execution. Much thematic analysis is subtext, metaphor, analogy. Good theming in writing is not just how deep an idea is, or how well it is communicated, but how it is infused into all aspects of a work…. dialogue, characters, arcs etc.

3.Character writing

The 5 cs of storytelling. A character in conflict makes choices that have consequences that lead to change. What are the characters motivations, why are they doing things, what is their back story, is their behavior consistent, how does their journey reinforce the themes and ideas? Mostly though, are the characters relatable and fleshed out, do we see them as a person and not just a collection of images and words. With an ensemble of characters, how do their dynamics bounce of each other, and do these dynamics feed into the narrative well? Friends, rivals, mentors, romantic interests, antagonists…. all these have different roles to play in a narrative.

4.Worldbuilding

How believable is the world that is being crafted? How intricately are the details laid out? Does this feel like an alternate universe with internally consistent rules? Do we know the physics, the biology, the economics, the politics of this world and how does this impact the characters, the motifs, the plot itself. People most often apply worldbuiilding to fantasy and sci fi stories, as they have to actively construct an alternate or speculative universe, but grounding real world details ,history and scope in stories based in our world also requires this. Not to mention much fantasy and sci fi symbolism is based on our worlds myths. Worldbuilding is not just about scale but believability, it can be vast or intimate.

Evaluating Shonen Jump's roster through this lens…..is interesting

Ive said before that bad writing gets weeded out by jumps system, but “good writing” isnt the only important thing in the magazine. Theming and hooks and art and appealing characters matter quite a bit as well. However, I think Jump does require consistency, but some series are exceptional in certain areas.
-One piece is obviously a monument to worldbuilding, not just within jump but all of manga. Its long form storytelling not only creates a dense believable world, it feels consistent and alive thanks to the characters and places luffy explores. The real strength of it though is how the worldbuilding reinforces and highlights its themes and motifs, freedom and control, amplifies its sense of adventure and doles out plot hooks as it escalates in scale over time.
-Akane banashi has different strengths, its focuses on character and themes. It very quickly establishes akanes personality, her drive and pluckiness, but also her motivations regarding her father. Then within the first arc, its exploring interesting ideas regarding art. The first arc for example is about authentic artistic expression vs needing to be responsive to the audience and crowd, which akane learns very quickly. Its a fundamental question in art, but it makes it fun and engaging using a spokon format, and weaves it into her story as well.
Other series are consistent across categories without focusing on one. Undead unluck has an ambitious high concept, breakneck plotting, solid character writing, interesting themes that feed into its power system and characters, and worldbuilding that takes the term more literally.
Its interesting looking at what series focus on, and what seems to be prioritized by jump. This varies by genre and the expectations therein. Character writing is very important in a romance for example which is what blue box focuses on and is great at, whereas a battle shonen needs to have good plotting to ensure it remains interesting and engaging from week to week.
Conversely when you look at series that get axed, you often notice weaknesses in one or more of these categories. These are pretty well documented, I dont need to go over examples, as figuring out what a series does poorly is much easier than figuring out what works.
Obviously im not an arbiter of quality or taste and we can disagree on the merits of different series and which works are the best, but this is just to illustrate how having common frameworks can at least facilitate discussion that starts on the same page. If people have an analysis of different series using this ,id like to read it lol.
Anyway, I hope you get the point. And now we shall use this to examine why this framework is reductive, using the example of Kagurabachi.
So in another post, I responded to someone with my thoughts on the merits of Kagurabachis writing, and thought it was a good launching point for a discussion.
This was the response in question I made regarding Kagurabachi.

On Kagurabachi and its polarization

Kagurabachi is fascinating, because you always get diametrically opposed opinions on the series, people who like it will focus on the positive and people who don’t will do the opposite.
If we take the categories I mentioned with regards to “good writing”, Plotting, themes, character writing and worldbuilding, I think it delivers in the ways that it needs to for its genre and audience....but with obvious weaknesses that others can point to as well. Its superficial appeal obviously does a lot of heavy lifting, but there is more to it as well.
Kagurabachi actually has very good plotting imo, moving the narrative from a to b, foreshadowing, sequencing, pacing. Its engaging, and its uses narrative structure well. The Sojo arc uses both a 3 act structure and kishotenketsu for example, while still being entertaining. It also blends cinematic composition with narrative form.
In terms of themes, it isnt deep literature, but it has ambition. The sojo arc examines authorial intent with regard to the blades, chihiros protect the weak vigilantism vs sojos destructiveness, and chihiro winning because he accepts different interpretations, which his father encouraged him to do himself. "death of the author" etc. Other characters have other philosophies, hiyuki is government control, kyora is transactional ethics. The blades are an allegory for weopons of destruction.
However, in terms of character writing and worldbuilding, I wouldnt say its bad per se, but it is very underdeveloped. We only have some inkling about chihiro and char, and a little of hakuri, but the rest of the characters have very little elaboration so far. The thing is the story is so laser focused on plot and theme, it overlooks this aspect a little too often.
On worldbuilding, its a really interesting alternate history japan setting, but nothing about it has been fleshed out to any realistic degree. People are still guessing at it. This extends to the power system as well, which is relatively unexplained, which some have an issue with. Thats a matter of preference though.
Saying kagurabachi is mid in every way is fine for one to say, but I disagree on this assessment of all its aspects of writing. It is certainly "mid" in certain aspects, but it has strengths as well ...which is why its resonating imo. It is also only 31 chapters in, so I reserve full judgement till at least a few more arcs are done.
This eithe or mentality on writing gets reductive imo. Kagurabachi is great on plotting, good on themes, but mediocre on character writing and worldbuilding. Its 2/4. But the sum total of the writing of a work is also an amalgamation that is more than the sum of its parts, but im going on too long here anyway lol.
For now its plotting and themes can sustain interest, but in the long run, it needs to flesh out its characters and worldbuilding imo. This is all to be determined.
But honestly, its an accomplished work for a rookie mangaka who is 23 years old.

Whats the problem?....why “good writing” is still reductive

This post worked as a response on social media, but I just want to point out why it is reductive as well.
1.”Good writing” cannot be separated from what a work is trying to do.
Kagurabachi may be a tale focused on plot and themes, and elaborating on worldbuilding may get in the way of that. We don’t know how long the story is as well, it could be 100 chapters, it could be 300. Side character focus may also get in the way of its laser focused theming, an elaborate power system bogging down the cinematic qualities. Just using heuristics doesn’t work until we know the scope of a work in its entirety and what its trying to do. This doesn’t mean we cant critique, it just means it bears keeping in mind as a story evolves.
2.Manga is not just a written form, it also tells its story through art. Art analysis is part of “good writing’’
People throw around expressions like “show don’t tell” for good reason, but the exposition of a mixed media form like manga is more complicated than just words. Composition and choreography are buzzwords …what do they mean? Composition pertains to a single panel and how it is laid out, choreography is how we move from panel to panel. Kagurabachi has cinematic composition …you hear people say this, it uses dynamic “camera” angles and staging, blocking etc etc , its choreography communicates speed and its also legible. It also tells its story, its part of its writing. The build up to the sojo fight, a wide shot then close ups, using the language of samurai movies and western films like kill bill. This creates a tone. The battle ends in a chapter, mere seconds in universe. The themes I mentioned before highlighted by this framework. Art does the heavy lifting.
3.Genre and audience expectation
Different genres have different standards, expectations, metrics. What makes a good slice of life is different to what makes a good battle shonen. Moreover, the demographic matters as well. Childrens literature and YA novels have different evaluative criteria than classical literature….and of course so does a shonen jump manga. There are tropes, motifs, conventions that if you arent privy to, will undermine analysis.
Kagurabachi is a battle shonen, but it is influenced by cinematic form and the aesthetics of western media as well. Part of why I find it interesting is because I am a fan of cinema and graphic novels, but this comes with the baggage of needing to understand blended media forms and cultural analysis. Hokazono has said kagurabachi is a vision of japan as cool, as seen through the prism of western media, but written by a Japanese man. This context is important.
Shonen Jump manga specifically also have a set of expectations people have talked about. The book, “the shonen jump guide to making manga” has an interesting set of ideas not just about how to make manga, but about character writing, page and panel flow, theme , readability etc… that lots of mangakas speak about to make it big in the magazine. Surviving in the magazine means considering this, the demographic, the constraints of jumps toc system , and how to appeal to a wide enough audience.
4.The Problem of “taste” and “preference”
Philosophers in aesthetics debate preference and taste. Can we separate out preferences from critique? Immanuel Kant called this the distinction between judgment and perception. Literary criticism has all kinds of schools of thought, I won’t get into it. The core point is, can we determine good writing independent of our tastes? Part of media literacy is understanding this, that there is debate and we should know this.
Beyond academic discussion, how does this impact discourse on social media? Some people assume if they don’t like something, that means that it is bad. Others think that they aren’t biased and can assume some degree of objectivity.
Kagurabachi has a very specific tone, its not going to appeal to everyone. Some will like it for it , some wont. Just because it doesnt appeal to you doesn’t mean its “badly written”, but just because it does appeal to you, doesnt mean its “well written”. This is what some call the aftertaste of taste. It infects how we analyze and critique art. The only mature thing to do imo, is acknowledge it.
I like kagurabachi so I am biased. I should disclose this. This doesn’t mean I cant critique it, but its an inevitable part of analysis that I feel honest critique should entail. That was one thing missing from my original post though.
Whether Kagurabachi has “good writing” or “bad writing” will not be solved by me or anyone else, it’s a consensus that may emerge over time, one that not everyone will agree on either.
Part of generating that consensus is continued discussions about this though, using whatever frameworks or heuristics, but discussion that is informed, critical, and constructive.
submitted by DesignerTruck to WeeklyShonenJump [link] [comments]


2024.05.21 22:05 JeveStobs1984 Obtaining Mellenox/NVidia Licensing Costs/Download

I've had quite a bit of fun over the last several weeks building a new Proxmox Hyperconverged Ceph Cluster and using some used Mellanox SN2700 switches we picked up, however the one thing I'd like to change is not using a SONiC image I built myself (it's own huge pain in the ass to be honest, and I can't see to get a clean build).
I've put in inquiry's to Nvidia directly, as well as through some channel partners on Cumulus licensing costs, but it is taking forever to hear back. I'd be open to Nvidia's Sonic and Onyx too but it seems like support for those is waning.
Does anyone have any advice on this front? Basically looking for a stable NOS that has MLAG support built-in....I'm not the first one on this subreddit to bring it up, but I'd like to see what people's experience lately has been?
Thanks in advance for any advice.
submitted by JeveStobs1984 to networking [link] [comments]


2024.05.21 22:02 RandomAmbles (Cosmopolis) After The Northern Court {Year 0004, January}

Random had stood and made his case Before The Northern Court of the Arch Fae and it had gone... well?
He had dealed and bargained, tricked and charmed, willed and won a place for human nature among the spirits of the frozen top of the world. At one point, he'd used a small trick he'd learned from a game to create tiny auroras and used his knowledge of the cosmos to convince the arch fey of the north that he was the regent of Polaris, come to bridge the elemental metals of the deep Earth with the stars. It had technically been a lie, but they'd bought it.
Still, there was a feeling deep in the pit of his stomach that told him that this was not over yet, and almost as soon as he had the thought, he woke in the mountain cave he'd wandered to in order to seek out the Fay, with a splitting headache, short of breath. By the faint embers left in the dark cave, he could see the snow had pilled up in front of the cave entrance and the room had filled with smoke from the fire while he meditated.
*crap*
He tried standing up to get over to the entrance as fast as possible. Immediately, his vision blossomed into blooms of pain and he had to still himself.
Ok. Bad idea. That was absolutely horrible.
Slowly then.
On hands and knees he struggled forward, low to the ground, trying to control his increasingly urge-driven gasping breathing, as if through a house on fire. Reaching the snow-covered entrance, he tried to melt it with a simple thermal spell from his fingers... to find that nothing at all had happened. His magic was simply gone. Without breath, he could neither maintain concentration nor incant words of power upon the world.
But he could dig.
And crawl.
And try to tunnel with his arms outstretched.
Utill a numb purple hand, and then an arm, and a shoulder and a head and a body emerged into the freezing dark night air, which cut into his lungs like shards of ice. But he was alive.
And as breath slowly returned to him, after an hour or so of lying exhausted, completely spent in his vaguely warm cloak on the terribly cold, empty snowy plain, he realized something strange...
But he wasn't really sure what it was at first.
And then he noticed:
He was looking up at the sky.
And the strange thing was that the sky seemed to be looking down at him, Polaris ever so slightly above the center of his vision.
And just as he noticed this, as if in answer, it burst into aurora brighter than any he had ever seen.
And then he noticed something else, perhaps the oddest thing of all:
His own arm, outstretched, the five points of his fingers reaching out on their own and casting the colors into the sky.
"huh... that's... really cool."
And then he fell unconscious.
...
A day later, a search party that had set out to find him and followed the aurora to the mountains north of cosmopolis found his body, cold and frostbitten, but alive. They brought him back and placed him in a hot spring to recover.
submitted by RandomAmbles to wizardposting [link] [comments]


2024.05.21 22:00 MadMedic21 Another Comprehensive Guide From a Caregiver and ACLr Recipient

Hi all! First off, so glad this sub reddit exists because it was a life saver when I was making decisions on my own ACLr and knowing what to expect from surgery. I'm a 2x cancer surviver, Paramedic, Rugby player, and now have been a caregiver to my partner who just celebrated 3 months from her own ACLr. I collected a bunch of advice and tips and tricks that I have used both during cancer treatment, my own experience with ACLr, and now through care taking my partner through hers. I know there have been guides before, but mine is a bit different and aimed at caregivers so I thought I'd post it here since ya'll helped me so much instead of it just circulating the rugby community every time a teammate or friend has to have ACLr or some other reconstruction. Hope it's allowed and helps!
A Cancer Patients Guide To Knee Reconstruction Recovery
A Comprehensive Guide To Surviving and Thriving In the Pre and Post-op Period Built From The Perspective of Caretaker and Patient.
Before The Date
__/__/____

Preparation

It is important to adequately prepare for surgery in the weeks and days leading up to the procedure. A significant period of immobility and reliance on support can be expected immediately post-op and will vary by procedure and personal experience. Physical modification of living space and thorough preparation allows for the immediate post-op period to be free of emergency store runs and the small inconveniences that can add up to big frustration. Not having food and drink nearby as well as other essentials may be a small deal now, but can turn into a big deal when you can no longer get those things for yourself. While physical preparation (home modifications, adaptive tools, meal prepping, etc.) are important, mental preparation is crucial to the long term success of the repair. Making small, achievable goals in the immediate post-op period and maintaining a long sighted view of recovery will make the pain and immobility that is initially experienced more bearable. Additionally, social support through a partner, family members, or friends is an essential part of recovery, as is maintaining contact with sports teams or other social groups during rehabilitation.

General PEARLs

Days Leading Up To Surgery

Day Of And Immediate Post-Surgery Phase

submitted by MadMedic21 to ACL [link] [comments]


2024.05.21 21:57 XPORShaun New XPOR Version Available - v5.8.5.0

Major Feature Improvements:
Minor Feature Improvements:
Minor Bug Fixes:
All Version Releases - https://xpor.com/eng/all-version-updates
submitted by XPORShaun to xpor [link] [comments]


2024.05.21 21:57 autumnxthrowaway PAT — Pits (sorry, Pets) As Therapy

PAT — Pits (sorry, Pets) As Therapy
Yours truly was out and about at a busy dog show a few days ago, wandering around their many stalls of random training tidbits and pooch beds more luxurious than those for humans, when I stumbled upon the view above (photo not mine but from the day of the event). Surely not, I thought on a double-take, but indeed there it was – the representative of the therapy dog stand that morning was none other than probably the worst candidate only an extremely disgruntled recruiter could pick.
I didn’t go up to them, partly because I also thought “fuck that” in the moment, and partly because by the afternoon the dog had magically disappeared from the stall – but I did do some digging later. For context, the volunteer dogs for this charity have to pass a character test before they can go out into the public, and this one had passed last year. It has then appeared multiple times on their official page but of course without a mention of the breed. For comparison, another dog that passed at a similar time was subsequently only posted once and introduced with its breed, even though it was very clearly your friendly neighbourhood lab.
Now, I may be no certified expert in dog body language, but I daresay it doesn’t take a genius to tell the difference between calmness and stress/avoidance. In multiple of the videos and images the dog features in, all I can see is ears pinned right back and whale eyes – one of the photos while being hugged by a minor. Because as we all know, “laid back and perfect for working long hours in loud places with vulnerable people” shares a spot in the pitnutter thesaurus with “not actively mauling anyone”.
So in that sense you could say the dog was “well-behaved”, but personally, I find a quiet non-crazy bully much more terrifying than the barking/lunging/screaming ones. I’m sure they sold visitors the OWNER NOT BREED kool-aid followed by a TOTAL NANNY DOG desert, and I’m sure there are fluke fighting-breed dogs just as there are sheepdog flukes, but when the Border Collie on your next farm over isn’t interested in sheep he doesn’t then randomly decide a human must die because they turned towards it at a 67 degree angle instead of the usual carefully calculated 63,5.
I don’t have much more to say other than – are there not quite enough XL Bully deaths in the UK at the minute for them to consider such blatant advertising bad taste? Shame on you, PAT.
submitted by autumnxthrowaway to BanPitBulls [link] [comments]


2024.05.21 21:56 Scary_Gurl HRT Help Needed

HRT Help Needed
I’ve been trying to figure out what is (isn’t) happening with my HRT and not sure what to look at or have my clinic look at.
In a nutshell, I am a 43yr MTF and I started HRT almost 3 years ago. For the last 2.5 years I have not observed any significant physical changes. The first 6 months were great, but then things tapered off and has been minimal/mostly masculine since.
Physically, my body feels and functions similar to pre-HRT. Erections are easy to achieve and maintain, even on bica. During the first 6 months, they were the exact opposite, difficult to achieve and maintain.
T and E levels have been consistently good and I have tried a variety of medications (see images).
I had an appointment with an endocrinologist a couple months ago, but it seemed pointless as they had no ideas, no additional labs, nothing to investigate, and had me start bicalutamide to see if it helps. I have not noticed any changes after starting bica.
I’m wondering if there is something biologically happening/preventing things or if I have reached the end of the HRT road.
After dealing with this for 2 years, I don’t have much hope for improvement.
submitted by Scary_Gurl to DrWillPowers [link] [comments]


2024.05.21 21:56 Correct-Canary1799 Dealing with brothers being treated better than me

Hello, I’m a 19 year old revert girl from England so preferably sisters only, however I believe a male perspective on this would be interesting, as maybe i could be incorrect. For the past 4 months and especially all through my teen life my brothers have been making rude comments towards me, picking on almost everything I do. I have a particular interest and they mock it, mock how I look, mock my body etc. last night one of my brothers decided to joke about something deeply traumatic i had experienced in front of his girlfriend and my mum. Bear in mind he is a year older than me and therefore an adult, his behaviour is surprising. my main issue is that my mother brushes off his behavior saying "men will be men" "boys mature slower than girls" "he doesn't understand", however i knew if i made these kind of comments my mum would kill me. She is extremely defensive over his behavior, and even tries to explain that he has ADHD. If i tell my mum i feel anxious about exams, or believe religon/therapy helps people overcome these specific things, i am some crazy mental lunatic who has too many problems. I have washed these boys clothes every day, cooked for them every day, washed and up after them every day and i almost feel this deep resentment because of the unfairness, how if i merely react i am in the wrong. i am attempting to study to get into medical school and focus on my deen since im currently having to hide it, and this is becoming a major struggle. The only thing thats stopping me from absolutely loosing it is Islam haha. any advice would be appreciated
submitted by Correct-Canary1799 to islam [link] [comments]


2024.05.21 21:54 ForeverExhausted17 HELP. 28 years worth of messed up symptoms but doctors say I’m normal.

I’m at my wits end and I really need some help or direction. I (28f) have always had issues with my hormones. I’m average height and weight and my family has a history of low hormones but not anything that’s been treated by a doctor.
I didn’t have a period until I was 17 and that was only after multiple sonograms, ultrasounds, blood tests, and putting me on estrogen/progesterone to medically induce a period. Back then, I was told I was too skinny so my body wasn’t producing hormones like it should. There was also talk about possibly having PCOS. Once my body started menstruating on its own with the help of birth control, my periods were awful and painful. I had suicidal ideation while I was on birth control so I stopped taking it.
Afterwards, my periods would start and stop randomly for years. I think I went almost a year without a period and then ended up having one for 6 weeks straight. At this point, I went to an OBGYN and she told me I could have a partial hysterectomy due to my severe side effects of birth control. At 26, I had my uterus removed and that has been one of the best decisions I made. The OBGYN found lots of endometriosis during this process as well.
But lately I’ve become more aware of symptoms that I probably should’ve taken account of before. No libido, extreme fatigue, irritability, really hot sometimes and sweat during the night, muscle weakness and loss.
I had been looking at previous hormone tests and they all fall in the “normal” range. I’ll be honest, I don’t know how to read all of them but the testosterone test. My T serum test peaked at 19 years old with 25 ng/dL. My most recent serum test before my hysterectomy was 14 ng/dL and records show it has steadily dropped over the years. I recently had a free testosterone direct blood test done and it came back as 0.8 pg/mL.
Every single test has been labeled as normal but I still have all these weird symptoms. I have an appointment with an endocrinologist next month but I’m afraid they’ll say the same thing. I know google doesn’t hold much weight but everything I’ve looked at has said at least my testosterone is low. But no doctor has said anything is low.
I just want to live a normal life and feel good in my body again. Please help or give advice, anything at all!! I feel so alone and like I’m going nuts.
submitted by ForeverExhausted17 to WomensHealth [link] [comments]


2024.05.21 21:53 tbone13579 Alcoholic looking for some information

I’m a (25m) recently sober alcoholic. My drinking habits ranged from a few beers a day to 15 beers a day and some weeks none at all so it was all over the place. I drank for about 5 years. I have been having really bad medical anxiety about having done damage to my body by drinking. I have had tons of blood work and scans done and everything has come up fine other than some GERD but I am still worried about my liver and kidneys and wanted to know what are some signs I should be looking out for. I had a liver enzyme test recently and that came back fine.
submitted by tbone13579 to AskDocs [link] [comments]


2024.05.21 21:52 DiemAlara Had a fascinating conversation with a rules lawyer.

Said rules lawyer had a plan, see. Become a god and annoy people with the most intrusive mass surveillance system any world had ever known so that they could pretend the rules on targeting shit don't exist and counter their magic from another plane.
Not a great start, but I figured some amusing insanity could follow, might as well indulge for a bit. How on earth does one supposedly become a god?
Apparently the first step is to cast Leomund's tiny hut. Then you cast fabricate to turn the hut into an undead corpse. Reason for why this clearly nonsensible thing can supposedly be done?
'Cause a magic item can make objects out of force. Supposedly means that force is thus a raw material, and can be used in place of anything. And what's more, using fabricate supposedly makes it so that the force doesn't disappear when the spell maintaining it ends.
Some wild shit. But the best part is that, obviously, making something out of force is unnecessary as you can just obtain its raw materials, so I wondered why the hell you'd even bother.
Supposedly, if you use force as opposed to raw materials, it's not susceptible to DM fiat. Makes up a rule saying you can use Leomund's tiny hut as a crafting supply and he's doing it because he thinks the DM's going to say he doesn't have the right materials.
'Course, fabricate makes mention of the fact that you can't actually make an object if you don't know how to craft it out of raw materials, and that the thing you create can't be magical. So the notion that you'll be creating it out of magical force kinda explicitly doesn't work, and the notion that any character in existence can fabricate a working corpse is absurd.
But then it goes one step beyond, for the objective is to return this supposed fake corpse to a state of undeath that it was never in, and in so doing replicate the magical abilities it never actually had. Something fabricate explicitly can't do, but what are rules to a lawyer?
Only problem there is that there really isn't a way to revive an undead. You can turn humanoids into undead pretty easily, but turning what was once an undead back into a functioning one is fairly complicated. But the lawyer had a plan.
True polymorph into a Dybbuk.
Only problem there is that Dybbuk can't possess undead corpses. They also can't possess fabrications made out of pure force formed into the shape of an undead corpse. But there, he has a solution!
Cast Nystul's magic aura on the fabrication to make it appear to divination and magical senses as though it were a humanoid. Actual, literal Road Runner logic where painting the image of a tunnel onto a rock surface allows some birds to run through it.
'Course, to that, I raised a question. Supposedly, according to this misinterpretation of what Nystul's does, you would be able to cast it on an ooze.
A brainless, skullless ooze.
Does said ooze, now appearing to supernatural senses as though it were a humanoid, have the ability to fall victim to an intellect devourer's ability to eat a target's brain and inhabit its skull?
The answer to this question, supposedly, was yes.
As a result? Supposedly you're now capable of using fabricate to replicate the magical ability of any being in existence by turning into a Dybbuk to take control of corpses made out of magic under the effect of an illusion that makes sensory spells and effects misread them as humanoid in origin. And instead of using this to contest Asmodeus's control over the denizens of hell, the best way to use this power is to turn into a lich, make a surveillance state over the entire world, and use it to annoy wizards by occasionally counterspelling them.
Which is fun as a thought experiment, absolutely. But what I don't get is why someone would bother trying to convince anyone else that any of it was legal.
submitted by DiemAlara to dndnext [link] [comments]


2024.05.21 21:51 Atlas-Rising-Up AITA for not wanting to be friends with my new coworker?

I am so sorry for how long this is, but there's quite a bit to cover.
I am a 28F mechanic who works for a rather large dealership in my city. I love my job, I love working on cars, and I love the men that I work with. It's like having an army of brothers that would do anything for me, and I have genuinely never had such a wonderful and supportive workplace environment.
Until "Collin" (26M) started about 6 weeks ago.
Before I start with him, I want to tell you about my "superpower." When I was very, very young, my mother noticed that I had this uncanny ability to detect "bad" people. Even as a toddler, there were certain people I didn't want near me or holding me for seemingly no reason. If they tried, I would scream until they left me alone. If said people tried to pick me up anyway, she'd snatch me away from them and tell them that I said no and to leave me alone. When they'd ask why or push that I "didn't know what [I] wanted," she'd shut them down and say that me not wanting that was reason enough. She's never, ever questioned my "ability" and instead leaned into it and helped me nurture it (especially after certain charges came out about a previous church member that I was uncomfortable around).
Back to Collin. Obviously, that's not his real name, but what is real about him is how... creepy he is. It was evident to me the moment I first met him, but I didn't want to come off as judgemental. My "superpower" has never been wrong, but I have a problem setting boundaries when I'm on the clock because I never want to be the "problem child" for a company. As the only female mechanic, I'm even more aware of that, so I tend to walk on eggshells out of fear of being treated differently.
With Collin, it's a little hard to explain, but to start, he's got personal space issues. As in, I have an issue with how little he respects my personal space. An example: I keep snacks in one of my toolbox drawers for when I and my teammates are too busy to stop and eat a proper lunch. A few days ago, I was bent over and fishing around for a protein bar when I felt him walk up behind me. Of all the angles he could've approached me from, he picked directly behind me and got so close that I felt him brush up against my butt. I immediately shot up and told him to back the fuck up. He tried to play it off as an accident, but I told him, quite loudly, that it's not an accident to sneak up on someone like that and touch them. When he saw a few of my coworkers looking over at us, he quietly made a comment about me overreacting, and walked away.
A few days before that, as I was working on a car, he came up to my toolbox and just took an impact gun. It wasn't mine; I was borrowing someone else's because mine was being repaired. So I stopped him and told him to put it back. He asked me why. This was weird to me because, as far as he knew, it was mine and if I said no, he should've just left it at that. So, I said, "Because it's not yours and I said no. Please put it back." "It's not yours either," is what he said. He tried to walk away with it. At this point, I physically stepped in front of him and said "All the more reason for you not to take it. It isn't mine to lend out. Please put it back." He then asked me if he had a problem sharing. I asked him if he had a problem with respecting boundaries.
Y'all... the look Collin gave me sent chills down my spine. At that moment, he glared at me like my ex did right before he put my head through a wall, and I was actually scared. I swallowed that fear and stood my ground, even though I just wanted to curl up and disappear. He must not be used to people standing up to him because he just sighed in annoyance and slammed the impact down on my bench, then walked away. He, thankfully, avoided me for the rest of the day.
Since those two situations have happened, I've asked for my friend/coworker, "Evan," to make a new group chat for that handful of us that hangout after work because I wasn't comfortable with Collin having access to my phone number. Evan had added him, without asking the rest of us, when they'd gone to a theme park together a few weeks prior. I'd opted out because I didn't want to hang out with Collin, but they used the group chat to communicate plans and such. Evan agreed to make a new group chat so that I feel safer.
Now, finally , the reason I am writing this post is because of what happened yesterday. I may have overreacted? My fiancé thinks I acted well within reason, but sometimes my anxiety makes me believe that I go overboard, even if I'm being perfectly rational. I'm not sure if that's the case here or not.
I caught Collin fishing around in my toolbox. Except, this time, it was the drawer that I keep my purse in. It's not a secret that it's there; every morning when I walk in, my coworkers see me put it in that specific drawer. I used to keep it with the snacks, but the men I work with are a little more old fashioned and won't even go near my purse, so they'd get hesitant when they saw it near the snacks. I moved drawers so they could freely grab food when I was too preoccupied to personally hand them something in order to avoid my purse. It was no bother to do so, but boy did it bother me when I saw Collin huddling over that drawer with my purse in it.
I shouted with my whole chest, "What the fuck do you think you're doing?" He immediately stood up and started mumbling about needing a certain tool, to which I bombarded him with questions like, "And you were just going to take it? That's not even where any of them are! Why were you going through my purse, you creep?" He couldn't keep up to answer any of my questions, but as far as I was concerned, he wouldn't have been able to come up with a good enough excuse because it's quite well known that that's the place where I keep my personal belongings. It got to the point where I was just yelling at him, and other coworkers had to come pull me away from Collin because I was getting increasingly aggressive. I was so mad, in fact, that I didn't even realize that he was getting aggressive too, and the reason why Evan and "Peter" had to pull me away is because Collin was getting in my face and calling me names. When I try to think about it now, I don't remember hearing that. I was so angry, that all I could really hear was the blood pumping in my body.
I had to sign a write up this morning. Absolutely fair, seeing as how I lost my shit and all professionalism in the workplace. I'm annoyed because this is my first write up, but management needs something to prove they "punished" me in some way for my behavior. What I'm not okay with is Collin telling people that I flew off the handle for no reason. Then this guy has the nerve to approach me today and tell me he forgave me for the way I treated him yesterday and that he hopes we can be friends in the future. I might be the asshole because I told him, calmly, that "I never want to be friends with someone who is so apathetic and disrespectful when it comes to boundaries and personal space" and that I'd appreciate it if he left me alone in the future. Now he's moping and saying I didn't even give him a chance before being a bitch to him.
Am I the asshole? Did I overreact?
submitted by Atlas-Rising-Up to AITAH [link] [comments]


2024.05.21 21:50 Sosuki A warning to those on forest FB exchanges

I have entered my own hell...
I first attended EF in 2018 and absolutely fell in love with it but it was around this time that I started medical school and have been unable to attend again till this year. I am having my bachelorette party and I wanted to impress the party guests with the absolute blast that can be RV camping. Of course, without loyalty I could not get an RV pass. So I immediately put myself on the waiting list and have been hopeful that by some miracle I can get one. So my sorry ass took to all the FB groups to try to score a pass and it has been scammer after scammer NONSTOP.
I give each reply a chance, they say they have a pass, face value… perfect! Well I begin to vet their profile, clearly nothing posted since 2019… okay, suspicious. They say they will do paypal g&s but get aggressive and mean if I don’t reply in 10 minutes. Suspicious, block. They want to talk and exchange funds on telegram, block. Their profile randomly disappears, okay scammer. I reverse image search their profile, find real person of account they stole, scammer.
Finally, a guy says he's just trying to get some money back. He hates the “scammers.” He says he's different, tells me I can trust him. Then asks for my number and says I have to verify the code he sent to me… NOPE. I am done, we will see yall in GA camping! I am almost to the point of creating a fake account just to waste these f*ckers time and stop them from actually taking money from the hard-working festival goers that just want freaking tickets. Rant over.
submitted by Sosuki to ElectricForest [link] [comments]


2024.05.21 21:50 Mysterious-Trip4335 Induced menopause?

Hi all, Sorry if this has been asked before...wondering if anyone here has done induced menopause for endo? My gyno mentioned it as an option for me, as progesterone does not seem to be doing the trick. There is limited information online and I don't get back to see my doctor for another month to grill her with questions. I have tried basically all the birth control, and several variations of progesterone. Aside from the obvious question about the symptoms...can anyone provide a little information about their experience? Is it a pill? An injection? Once your body went through menopause, do you have to keep taking the medication? Did your endo symptoms improve after? My gyno says surgery would mostly be pointless, due to my age they would leave my ovaries and the endometriosis can return to them, or basically any organ by the sounds of it... Appreciated in advance. Been dealing with this for what feels like my entire life (first period at 9 yrs old) and am extremely tired and defeated.
Thanks!!
submitted by Mysterious-Trip4335 to endometriosis [link] [comments]


2024.05.21 21:46 MechanicNaive7114 Relationships/Friendships

I feel like I'm a piece of shit. I have basically pushed everyone away, I feel like my friends stayed with me out of convenience or they are scared of leaving me or simply feel pity. I deal with lots of mental health issues. I wouldnt want to necessarily self diagnose but I think I have ocd /bipolar.
I have obbessive tendencies,I want the person/people to like me and see me positively. If I fuck up I get very upset then angry then depressed then angry then FURIOUS then sad. I want to spam them to get them to forgive me or to give me attention. That's basically how I ruined my relationship with a girl by my mood swings and constant neediness.
I know I'm an asshole about this but my friend(1) has like a sensory thing that she cannot wash the dishes until they MARINATED in water and do it the next day. I'm the opposite, I have to clean them in lots of soap lots of water. And before I eat I have to smell each dish and utensils. Drinking water is a huge issue, smell 3 times, rinse 3 times, then I can drink some water. Sometimes I avoid drinking water for the fear of smell or taste of the water from the cup. When she talked about it for like the 2nd time, I commented " EW EW EW". Few hours later she texted me privately saying how my behaviour was unacceptable and hurtful.
Prior to that, another friend (2), love her dearly. Some back story, I deal with lots of issue with eating, body image and body confidence. That friend(2) said that she lost 5kg. Then tagged me saying "OP's turn 🤭". I was FURIOUS ABSOLUTELY FURIOUS!!!! I thought she was saying my turn to lose weight. After all this friend (1) says I was being overly dramatic and I was reading between the lines. And friend (2) just wanted my opinion/praise on her achievement. I felt otherwise but I did not want to argue.
*I have apologised to the both of them. Friend (2) was very nice and loving. Friend (1) is ignoring me. I feel intense hatred to her as I am typing.
I'm now having mixed feelings about my friends and the WhatsApp friend group. I feel the urge to just ghost them until someone wants me specifically. I feel like I'm bothersome and annoying. I will be archieving the group because the urge to text is high. I fucking hate this. I feel like I'm starting to hate them.
submitted by MechanicNaive7114 to Vent [link] [comments]


2024.05.21 21:45 Mrmovingman I realized my family hates me after my dad got cancer

I want to write this here since I'm a fan and to get some advice since my post keeps getting removed from other subs. I came home about 5 months ago after deciding that I wanted to take a break from college because of burnout. I had been begging my father to send me back to our home country to refresh and get back to school, and about a month ago, he agreed because he had been wanting to go to the doctor where there isn't as long a wait to get a consultation as it is here so we went together. Unfortunately, he had to go back to the U.S. about a week later since the doctor told him his condition was severe and that he needed to get further tested since they didn't have that kind of equipment and especially not for cheap as our home country is a 3rd world country, we have a healthcare plan in the U.S. that covers most things anyway. Not even a couple hours later after he landed, we got the news that he had colon cancer and that he had to go into surgery in a couple of days.
My family all collectively decided that because I wasn't "doing anything" and because my mom didn't want to put in the effort of learning how to take public transport even though she's lived here for 5 years, I was the one who had to take care of my dad. They flew me back the next day. When I landed, I didn't even have time to rest after traveling internationally with our suitcases. I was pretty much told by my grandmother to get food ordered and head straight to the hospital to take care of my dad, and I did. In a way, I was happy that I was finally being helpful to my parents. My dad was in the hospital for about 10 days. For those 10 days, I fell asleep by his side in a chair almost every day, calling and texting family to update them on his condition; every few hours, the nurses and doctors would come in to give him meds and talk to him. I would pretty much be awake for all those days with only a couple of hours of sleep as I would be the one to have to translate for him and to tell them of any questions he may have. I only left the hospital to take public transport for an hour and return home to shower. But honestly, that wasn't hard at all; it was the way that my family and even my father would talk about me that made me depressed.
My aunt slashed out at me because I called my other aunt a shared Uber from the hospital to her house to not spend a lot of money; she called me a penny pincher and said that I put her in danger by doing that at night, but she later apologized. My father would call me useless and tell me that I was worth nothing and that I might as well stay home because I was doing nothing to support him. This triggered me as my mom had been telling me that stuff my entire life, and hearing it from my father made me feel like those words were true. I tried to push it aside and forget about it; I knew that he was just probably easily agitated at the hospital because of all the medicine and needles and having his surgery pushed back. But his behavior hasn't changed; if anything, he became more hateful towards me.
A couple of days ago, I woke up to them and my grandmother talking in the living room and calling me all types of things. Useless, worth nothing, unhelpful, berating my entire existence just because I couldn't get on the line with my father's doctors to make his appointments due to the lines were always busy saying that I couldn't even do that. After they changed the topic, I went out pretending to have just woken up and called the doctors in front of them. I was finally connected with the doctors and got the appointments for him. My grandmother thanked me and told me that I was so helpful for doing all of this and being the backbone of the family through this challenging situation at such a young age. Honestly, I couldn't even look at her, knowing she could say that not even an hour after she talked behind my back, criticizing me. I wasn't surprised that my mom was in on it, but so was the aunt I mentioned before, my grandmother, and my father. Some days after that, I accompanied my father to one of his appointments again to translate for him, and after I relayed the fact that my father needed chemo to my family, they all got angry at me for saying that even though that was what the doctor had told me point blank. They contacted a family friend who works at the hospital to ask him if this was true, and he said that it was, but it was likely only to be preventive. They never apologized for questioning me and calling me a liar, even though what I said was precisely what the doctor had told me. I mean, I'm 18; I don't think I'm supposed to have the medical knowledge to know what type of chemo a patient needs.
I thought I could get over this entire situation since this is stuff that I have had to deal with my whole life from my mother but to hear those exact words from my father and my other closely related family is making me fall into crippling depression again. To listen to those things from people I thought cared about me and wanted to watch me succeed to find out this is what they really think about me. He was supposed to be my good parent. I don't know what to do anymore nowadays. Even getting up from my bed to use the bathroom seems like a chore. I've just slammed my mind with media every waking hour so that I don't think about it anymore, but the words they said are always looming at the back of my mind.
submitted by Mrmovingman to ComfortLevelPod [link] [comments]


2024.05.21 21:44 Zak_F03 The Principality’s Diplomatic Passport

The Principality’s Diplomatic Passport
Principality of Zakistan Diplomatic Passport Description
Cover Design: The diplomatic passport of the Principality of Zakistan is distinguished by its deep Bordeaux red color, symbolizing the nation's rich heritage and diplomatic prestige. The front cover is embossed with the national seal of Zakistan in a metallic gold hue. The seal features a majestic olive tree, representing peace and prosperity, encircled by the national motto, "Unity, Honor, Progress," inscribed in the three official languages of Zakistan: Zakistani, English, and French.
Interior Front Page: Upon opening the passport, the interior front page showcases an intricate design of the symbolic olive tree, set against a subtly patterned background that combines elements of traditional Zakistani art and modern aesthetics. This page also contains a unique passport number printed with holographic ink that changes color when viewed from different angles, enhancing security.
Main Photo and Information Page: The main photo page of the passport includes the holder's photograph, personal details, and various high-security features to prevent forgery. Key elements include: - Holographic Overlay: A transparent film embedded with holographic symbols of Zakistan’s national icons, including the olive tree, a dove, and a laurel wreath. - Infrared Ink: Invisible under normal light but visible under infrared light, used for printing the passport holder's name and other sensitive information. - Tactile Laser Engraving: The passport holder’s details are also laser engraved, providing a tactile element that is difficult to replicate. - Microtext: Small, intricate text that is only readable under magnification, featuring excerpts from Zakistan’s constitution and national poems. - Edge Seals: Laser-engraved edge seals on the photo page ensure the integrity of the document and make it evident if any tampering occurs.
Visa Pages: The passport contains numerous visa pages, each featuring a distinct national symbol of Zakistan, showcasing the country’s rich cultural heritage and natural beauty. Pages 12-13 are particularly notable for their depiction of the stunning Oakwood Castle, an iconic historical landmark. The image of Oakwood Castle is printed using a combination of traditional and modern techniques, including: - Watermark: The castle image is integrated into the page as a multi-tone watermark, visible when held up to light. - UV Reactive Ink: Elements of the castle and surrounding landscape glow under UV light, revealing hidden details and enhancing security. - Embossing: The Oakwood Castle is subtly embossed, providing a tactile feel and adding another layer of security. - Intaglio Printing: This technique is used for printing the national symbols on each visa page, giving a rich texture and raised feel to the designs.
Additional Security Features: - Biometric Chip: Embedded within the passport’s back cover, this chip securely stores the holder's biometric data, ensuring swift and accurate identification at border controls. - Rainbow Printing: The gradient technique used in printing makes it difficult to reproduce the pages accurately using conventional methods. - Optical Variable Ink: This ink changes color when viewed from different angles and is used for the national emblem and certain texts within the passport. - Threading: Security threads woven into the pages contain microtext and are visible only under certain light conditions, adding another layer of counterfeit protection.
The Zakistan diplomatic passport is a testament to the nation's commitment to security, heritage, and technological advancement. It not only serves as a travel document but also as a symbol of national pride and identity for Zakistani diplomats and dignitaries worldwide.
submitted by Zak_F03 to Zakistan [link] [comments]


2024.05.21 21:42 SeanMoss-1 Psilocybin for mecfs treatment?

Firstly, I am not a therapist. I am a 43-year-old male who has been very much weakened by MEcfs. There is a profound physical aspect to CFS, but it very much has a psychological underpinning. It seems that The only people who recover are those that use mind body approaches as a spouse by John Sarno, Howard Schubiner, etc. I am very weak, and am entering in this information via voice. For this reason, there might be some errors, such as the misspelling of CFS.
I have tried psilocybin in two CONTEXTS before. One was a macro dose of 1.5 g. I felt that the experience was pleasant. However, as the mushrooms were wearing off, I developed areas of my body in which it felt, my skin was burning, and went through waves of anxiety. I felt like I went into a lesser trip again the following day. I experienced closed visuals that made it impossible. The only way I can calm down with my eyes open. All of the problems sided after a week. after a week, I took a prescription medication, and this caused an exacerbation of problems that last another week. Additionally, I have I experienced a lesser withdrawal from the Macrodosing, that went away after a few sessions all in all, didn’t have any lasting benefit, though during individual sessions, I felt that I was a state of levity at sometimes. I feel that psilocybin might help me progress with my condition, buried, trauma, etc. However, I am very much worried about the idea of HPD, hallucinogen, persisting, perceptual disorder, or symptoms of the that just last well beyond when they should. Considering it took a while to get down to baseline, and after my back road, I wonder if I might be a specially . Predisposed to. I have used ketamine lozenges before, and have a prescription for them. I’ve only used them a few times, and I found that they didn’t do much in terms of helping me access anything deep within my psyche. This is a potential alternative to be psilocybin, and one less downside, potentially, but also potentially less upside as well.
I think from here on, I’m not going to bother making any paragraph breaks. It’s just too hard on my arm. The only reason I’m considering this is because I had a very meaningful synchronistic event which I believe might be pointing me toward this course of action as a treatment modality. of course, that which I experienced could’ve just been a wild coincidence. If it was coincidence, it certainly defied the laws of probability. No one here can tell me whether I will be safe, using psilocybin or not. I am wondering what the chances are of the bad at weighing the good. in forums in which people discuss negative experiences from the substances, including HPD, there is a substantial responder bias. The same can be set of forums in which people discuss healing benefits that they’ve had. It should also be mentioned that I’m currently taking 2.2 mg of fluoxetine per day. I have had a great deal, difficulty, discontinuing, fluoxetine, and I’ve been tapering down by a small amount over a long period. My psychiatrist informs me that, contrary to popular belief, there is no risk of taking psilocybin with fluoxetine so far as serotonin syndrome is concerned , I wonder if the fluoxetine at this would noticeably attenuate my experience. Roughly 50% of SRT receptors are block at. this dosage. If I were to hold off until being completely off of the fluoxetine, I would be looking at many more months before use. I’m very frustrated at my physical weakness and my lack of progress. More than anything I just want to get my life back. it seems like a key feature of the feeding MECFS, and fibromyalgia for that matter, is to become INDFFERENT to the symptoms. Ironically, those that do develop each HPPD from the substances say that reaching this point of indifference is the only thing that cures them as well. Considering I have a condition that is perpetuated by a lack of indifference, I do wonder if I would be more predisposed to HPD, and then on the other hand, there are those that said that psilocybin has helped their MEC massively. at this point the last thing I want put myself in a state where I’m functioning far worse as a result of a lingering trip that just won’t go away. Any thoughts that you have on this would be very much appreciated. Thank you.
submitted by SeanMoss-1 to askatherapist [link] [comments]


2024.05.21 21:42 Zak_F03 Principality of Zakistan Diplomatic Passport

Principality of Zakistan Diplomatic Passport
Principality of Zakistan Diplomatic Passport Description
Cover Design:
The diplomatic passport of the Principality of Zakistan is distinguished by its deep Bordeaux red color, symbolizing the nation's rich heritage and diplomatic prestige. The front cover is embossed with the national seal of Zakistan in a metallic gold hue. The seal features a majestic olive tree, representing peace and prosperity, encircled by the national motto, "Unity, Honor, Progress," inscribed in the three official languages of Zakistan: Zakistani, English, and French.
Interior Front Page: Upon opening the passport, the interior front page showcases an intricate design of the symbolic olive tree, set against a subtly patterned background that combines elements of traditional Zakistani art and modern aesthetics. This page also contains a unique passport number printed with holographic ink that changes color when viewed from different angles, enhancing security.
Main Photo and Information Page: The main photo page of the passport includes the holder's photograph, personal details, and various high-security features to prevent forgery. Key elements include: - Holographic Overlay: A transparent film embedded with holographic symbols of Zakistan’s national icons, including the olive tree, a dove, and a laurel wreath. - Infrared Ink: Invisible under normal light but visible under infrared light, used for printing the passport holder's name and other sensitive information. - Tactile Laser Engraving: The passport holder’s details are also laser engraved, providing a tactile element that is difficult to replicate. - Microtext: Small, intricate text that is only readable under magnification, featuring excerpts from Zakistan’s constitution and national poems. - Edge Seals: Laser-engraved edge seals on the photo page ensure the integrity of the document and make it evident if any tampering occurs.
Visa Pages: The passport contains numerous visa pages, each featuring a distinct national symbol of Zakistan, showcasing the country’s rich cultural heritage and natural beauty. Pages 12-13 are particularly notable for their depiction of the stunning Oakwood Castle, an iconic historical landmark. The image of Oakwood Castle is printed using a combination of traditional and modern techniques, including: - Watermark: The castle image is integrated into the page as a multi-tone watermark, visible when held up to light. - UV Reactive Ink: Elements of the castle and surrounding landscape glow under UV light, revealing hidden details and enhancing security. - Embossing: The Oakwood Castle is subtly embossed, providing a tactile feel and adding another layer of security. - Intaglio Printing: This technique is used for printing the national symbols on each visa page, giving a rich texture and raised feel to the designs.
Additional Security Features: - Biometric Chip: Embedded within the passport’s back cover, this chip securely stores the holder's biometric data, ensuring swift and accurate identification at border controls. - Rainbow Printing: The gradient technique used in printing makes it difficult to reproduce the pages accurately using conventional methods. - Optical Variable Ink: This ink changes color when viewed from different angles and is used for the national emblem and certain texts within the passport. - Threading: Security threads woven into the pages contain microtext and are visible only under certain light conditions, adding another layer of counterfeit protection.
The Zakistan diplomatic passport is a testament to the nation's commitment to security, heritage, and technological advancement. It not only serves as a travel document but also as a symbol of national pride and identity for Zakistani diplomats and dignitaries worldwide.
submitted by Zak_F03 to micronations [link] [comments]


2024.05.21 21:40 Friendly-Dig-7396 ACL injury? Patella Alta?

ACL injury? Patella Alta?
31F. I'm a long distance runner, never been injured, and just ran my 6th marathon a month ago—felt amazing no issues at all. I took two weeks off and when I started back up again I kept getting a pain in my lateral knee/ lateral back of knee that would start up about 1 mile in and I'd have to stop. Knee never swelled or was painful to touch, there was no inciting incident. I only feel pain when running and at rest I feel a little pressure/swollen like feeling in the front of my knee. Went to ortho urgent care and a nurse ordered an MRI after the x-ray was normal. I'm very confused by the findings and can't get to an Ortho for a month. Nurse called me and was basically like idk where the pain is coming from and she was also confused by the report and was just like PT and brace. But everything I'm reading about Patella Alta sounds bad? Anybody have any thoughts on this? Struggling...
MRI Results: INDICATION: Lateral right knee pain
Technique: Multiplanar imaging right knee
COMPARISON: X-rays 5/10
Results: Small joint effusion, synovitis. No popliteal cyst.
Patellar tendon, quadriceps tendon, popliteus tendon, medial and lateral collateral ligamentous complexes are intact. Patellar retinacula are intact. Posterior cruciate ligament intact.
Anterior cruciate ligament is grossly intact, thickened in appearance with T2 hyperintensity which may reflect subacute on chronic sprain. No anterior tibial translation, no marrow contusion.
Joint spaces are well preserved. No fracture identified. Patella alta. Grade II/III chondromalacia patella.
No definitive meniscal tear.
IMPRESSION: MRI RIGHT KNEE
  1. Thickened poorly defined T2 hyperintense ACL which may reflect sequela of subacute on chronic sprain. No anterior tibial translation. Correlate with exam for ACL laxity/integrity
  2. No meniscal tear
  3. Patella alta, grade II/III chondromalacia patella
  4. Minor joint effusion. Medial plica. No significant popliteal cyst
submitted by Friendly-Dig-7396 to Orthopedics [link] [comments]


2024.05.21 21:35 icyphnx The Churning of Earth, the Tearing of Flesh, the Cracking of Bone

The night was bone-chillingly cold. The slightest whisper of a breeze nipped at my exposed ears and drafted unpleasantly within my overly large winter coat. The black, barren trees stood unmoving like sentinels bearing ominously down upon either side of the sleet-slick street, which was lit only by dim street lamps that, other than creating a dull yellow reflection on the otherwise unlit pavement, seemed to do nothing against the oppressing dark of this fateful December night.
I had passed through a wrought iron gate twenty minutes before, the gate that separated a cozy subdivision from this eerie, undeveloped stretch of road that seemed to be dropped in the middle of the forest. I could think only of my warm, lively hearth and a nice, hot cup of tea between my palms, which now, instead of being pressed against warm porcelain, were being stabbed by my untrimmed fingernails as I tightened my fist onto the leash and plunged the other still deeper into my coat.
This night was the culmination of weeks of investigation on a missing person’s case turned sour. A man named Arthur Smith had reported his four daughters missing, then hung himself three days later when we couldn’t find anything. Oddly, Arthur’s body went missing from the morgue shortly after. The only trace left was an incredible amount of flies, and we were displeased to see that every drawer was leaking a mixture of blood and embalming fluid because the refrigerant pipes burst. When we opened them up, the neck of every corpse had been slit.
Eventually, through good detective work, we were able to connect some dots, and that led us to where we were now: We were now on a manhunt for a suspect that was last seen at a gas station about a mile up the road, not two hours earlier. We checked a network of cameras to see that he had headed for the woods, grabbed the hounds, and here we were.
My colleagues and I were spread around in different parts of the forest with the police force’s seven bloodhounds. I got stuck with Old Ben, the force’s droopiest and most seasoned canine. He was partially blind and notorious for not obeying commands. He didn’t even respond to a dog whistle, which was why some of my colleagues thought his hearing was shot. I doubted this theory, though, because sure enough, when somebody whispered the word “biscuit,” Old Benny perked up and started wagging his tail.
Another ten minutes found Old Benny and I at the end of the once seemingly endless street, with the streetlamps and pavement stopping abruptly at the edge of the woods, which had not entirely swallowed up a bulldozer. Old Ben stopped and sniffed the air for a moment, then plunged down a path in the woods to our right. It was a dirt path, not two feet wide, overgrown and partially washed out, making it an unpleasant and muddy journey from here on out.

My flashlight was now the only source of light illuminating our way. Its beam slid over roots and rocks that jutted out of the path at odd angles and briefly swept over the nearest trees, bringing them out of the shadow for a moment. I felt claustrophobic as they bore down upon me and upon the path. The only sound was my deep breathing, my sloppy footsteps, and Benny’s blundering in the mud about ten feet in front of me.
The path turned in such a way that I could see faint moonlight up ahead, but a cloud soon covered the moon and removed the slight comfort its light had provided. I continued following the curve of the path, and pointed my flashlight up ahead. Suddenly, everything was pitch black, as my flashlight had just gone out without a flicker. I was especially annoyed because firstly, I had just replaced the batteries earlier that week, and secondly, I caught a glimpse of the dark outline of what seemed to be a small cottage up ahead, which was now invisible in the darkness.
To my surprise, Benny stopped as soon as the light went out, which made it easy for me to replace the batteries with the ones that I always carried around in my service belt. To my dismay, Benny did not continue walking when the light flickered back on, even when I started tugging on his leash. He simply sat in the mud and peered at the cottage in the distance, which I knew for a fact he couldn’t see. The cottage was incredibly run down, but I couldn’t see much more, as it was just at the edge of my flashlight beam.
I began feeling uneasy when Benny started whimpering and backing away, tail between his legs. Our dogs were trained to bark when they found something, not stand still, and certainly not whine and back away. Old Ben had never been a skittish animal; I had never seen him act like this before. I peered back at the cottage, suspecting something more sinister than I was originally prepared for.
I tied Benny loosely around a nearby tree, so he could pull away if need be, pulled out my handgun, and continued on. Not fifteen seconds later, I was hit with the smell of blood and wet dog, and heard whimpering to my left. I told Benny to stay, and turned to find him where I left him, about twenty yards behind me, looking at me like I was insane. I bent down and examined the source of the noise, only to find one of our bloodhounds laying just off the path and covered in a mixture of mud and its own blood. It was missing its hind legs and was shivering badly. I cursed and dispatched it with a quick slit with my utility knife, then unclipped its collar and stuffed it into my pocket before turning away. I did not want to alert the suspect of my position. I grew worried about the location of my colleagues, as our dogs were trained not to run off. I also wondered what kind of predator would have taken only the hind legs of an animal. I tried not to think about it as I continued on.
As the cottage grew nearer, I was able to make out a few broken windows reflecting my light back at me. Through these I was able to see that the inside of the cottage was pitch black, the darkest black I had ever seen. I walked closer still, and I couldn’t stop looking into the darkness of the cottage. The darkness was so potent it seemed to be spilling over the window sill into the crisp night air. I felt consumed. My heart began pounding within my chest, and I felt colder than ever as I stepped toward the gravel path that led around to the left of the cottage. The sudden change in surface and the sound of my feet crunching upon the gravel seemed to break my trance, and I shuddered.
I didn’t know why I had felt so trapped, and I didn’t like it. Something was definitely wrong with this situation, and my feelings of dread intensified as I followed the gravel path around to the front of the cottage.
A dripping noise interrupted my thoughts and temporarily washed the dread from my mind. I paused. I determined it was coming from the direction I was headed, but I couldn’t see the front door yet as the porch was draped with ivy. I was suddenly hit with the putrid smell I knew all too well: the smell of death. It hit my nostrils like a truck and returned my feelings of dread all at once. I shined my beam to the front steps.
There was a dark, red liquid trickling gently down the steps, pooling under the porch: blood. I looked up onto the front porch, now visible, and saw the torso of a man hanging from his neck about three feet away from the front door. His legs were nowhere to be seen, though there was a blood trail leading into the house, and his glistening entrails swayed sickeningly with the light breeze. Blood was pooling below him, trickling down the steps, and down through the cracks in the porch. It had begun coagulating, and dark swirling orbs rotated in the puddle each time a drop splashed down. I looked up again at the carcass and recognized the man as our suspect. There was frost beginning to form at the edges of his mouth and over his glassy eyes, but his exposed entrails were still steaming. Furthermore, the blood dripping from his wound was still deep red in color. The back of my neck prickled and I knew this man had not been hanging for very long. No, not very long at all.
I raised my pistol and nudged the front door open. I was again hit with the smell of death, though now much stronger, so strong I could scarcely draw breath. The inside of the cottage was unbelievably dank, and the darkness seemed to eat the quivering beam of light I pointed out in front of me, so I couldn’t see ten feet forward.
I heard a sharp crack and I bolted my gaze to my feet. I had just stepped on a human rib. Suddenly the cottage came alive with creaking and shuffling. I heard flies buzzing all around me. I heard a raspy rushing noise to my right. I shined my flashlight to where I thought the noise was coming from, but all I saw was a bloodstained floor and darkness out in front of me. I took a step toward the noise, and the beam of light revealed the glistening mangled corpse of a man, missing most of his skin, hunched in the corner of the cottage. His whole torso was heaving, and I saw the rushing noise was coming from the base of his throat, where a large gash was opening and closing with every breath, spraying flecks of fluid. Maggots wriggled out of his wound, and black purge fluid trickled from his soupy eye sockets, his missing nose, and his gaping mouth. He was missing most of his teeth, and one of his cheeks was rotted through.
I was frozen in place with fear, until, to my horror, the man’s mangled arm rose and reached out to me. At this I aimed and put a bullet through his partially exposed skull, splattering a putrid mist on the wall behind him. Instead of slumping over, as I prayed he would, the man slowly levitated into an upright position as though controlled by a puppeteer. Skin began regrowing around his legs, his torso, and eventually his skull, which sprouted two bloody horns out of his forehead. This being had the likeness of Arthur Smith, though I sensed it was no longer him. I placed two rounds into his torso, and the being staggered, but the bullet wounds simply closed with sickening squelching sounds. I backed away slowly, and he simply stood in the corner and leered at me with burning black eyes and a disconcerting grin.
I continued to back away slowly, placing one more round between his eyes. His head jerked back, but still it healed and he seemed unbothered. I bolted around and headed for the door. I jerked the handle but it wouldn't budge. I tried kicking it down, which was something I was very practiced at, but still, the rotten oak planks held fast against my will. I turned around, back against the door, firearm at the ready, and stared into the blackness. Everything was quiet once again. Despite the temperature, cold sweat beaded upon my brow and dribbled down my neck.
Suddenly I felt a rumbling that seemed to come from the very depths of the Earth. A splitting and splintering sound came from what I presumed was the center of the cottage, and I was soon showered with bits of wood and stone that nicked my exposed skin and drew droplets of blood. I noticed my back was no longer pressed against the back of the door, though I was not moving. The floor seemed to be carrying me slowly in the direction of the noise. I was frozen in place, and found that I could not change my trajectory.
My flashlight beam found the edge of a large hole in the floor. I saw dark, root-like tendrils sprout from the hole and rush across the floor with the sound of scraping and splintering. They then returned to the hole, and they had within their grasp six bare human bodies, which I horrifically realized were those of my now former colleagues. I watched in horror as their pale naked bodies were folded, torn, ripped, and broken in the churning earth. The sound of tearing flesh and cracking bone was deafening and filled the darkness of the cottage. The mass of mangled flesh formed into one chunky, glistening mound in the center of the hole. It began pulsing and rising, and horrible screams rang in my ears. I watched in horror as the mass formed a humanoid figure that rose up ten feet out of the hole and bent over against the ceiling. It was facing away from me, but its raspy voice seemed to mix seamlessly with the screams directly in my ears.
“The churning of earth, the tearing of flesh, the cracking of bone”
At this it let out a booming laugh that reverberated in my skull and shook the foundation of the building. The cottage once again came alive, but now more than ever before. Shutters were opening and closing, floorboards were rattling, flies swarmed in a huge mass around and around the room, blocking the beam of my flashlight and obscuring my view of the figure. I felt my legs quiver along with the rest of the cottage. I looked down at a red book with its pages fluttering in the still air. I dove for it and slammed it shut, and the cottage grew still. I paused for a moment, but the giant figure began turning towards me. I bolted around to see that the door was now open, but the hung corpse was clinging to the top of the door frame, now very much alive. Its entrails were still swinging freely from its short leap, and the rope lay severed and frayed upon the ground.
I paced towards the door, dumping the rest of my magazine into the corpse, which to my relief fell to the ground with a squelch. I hopped over the body and sprinted out the front door, away from the cottage, down the dirt path. I could still hear the screams of the damned faintly in the distance, and the earth began rumbling once again underneath my feet. I continued running back along the path, trying not to think about what I had witnessed. I paused for a moment to catch my breath, and shivered in the now relentless sleet.
The pounding of the earth became the distant rumble of thunder in the distance. By the time I had gotten back to the paved road, I was soaked to the bone in cold sweat and freezing rain, and I was covered up to my thighs in mud from the path. My coat was snagged and torn in places from the splinters of wood and from branches along the path.
When I finally got back to my car, I saw a leash leading underneath it, and found Old Ben, crouched below, tail between his legs. I scooped him up and plopped him in the passenger seat, entirely disregarding the former cleanliness of my car, as it was now covered in mud and dog hair. I cranked up the heat and sped off towards the station to report what I had witnessed.

We never did find that cottage again. Other guys went back to where I was and failed to find the path, but they did find the dismembered bodies of my colleagues hidden under the bulldozer at the end of the street. I was charged with the deaths of my colleagues and was thrown into a mental institute, but I don’t mind it much. There are people here that are far more insane than I am. The worst part is my occasional perception of a distant rumbling, and during thunderstorms I’m a whimpering mess.
I have been disciplined three times for writing symbols on the walls that I can’t get out of my head. I draw them in my blood so they stand out more and resemble what I see. I have found that once they are on the wall, they stay out of my head. Unfortunately, I haven’t finished writing them all out yet. The first time I started I got really close to finishing, but then I found myself strapped to a hospital bed.
The worst part of my new existence is the nightmares. I am plagued by images of my former colleagues: their pale dismembered bodies, the sound of cracking bone, their blood on my hands, their shrieks of pain, and the taste of flesh.
submitted by icyphnx to nosleep [link] [comments]


2024.05.21 21:29 Maia-2018 lamictal rash

i’ve been on lamictal for about 6 months now. it was pretty tough titrating up but i made it to a dose that i feel great on! honesty this is probably the happiest 6 months i’ve ever had. yes there’s been ups and downs and i’m still anxious but for the first time my mood does not control me. i’ve even lost weight from starting to focus on my health and fitness! i’ve made new friends and have overall been content and stable. well over the last week i’ve noticed a rash forming on my shoulder and it now has spread across my whole chest. it’s not super red or itchy but it’s definitely raised skin and spreading. i haven’t changed any meds, or body wash or really anything so i have no idea what’s causing it. i reached out to my psychiatrist yesterday and he told me even tho it’s rare to get a rash after being on lamictal for awhile, to stop it immediately. so i didn’t take my dose last night and im waiting for him to call me back about next steps. now i’m wondering if i shouldn’t have said anything at all and maybe im overreacting. this is my 6th medication ive tried. anyone have a similar experience? or have had to go cold turkey off lamictal?
submitted by Maia-2018 to BipolarReddit [link] [comments]


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