Kaiser permanente online continuing education
Raddit
2008.12.01 17:48 Raddit
We aim to become the reddit home of medical imaging professionals and lay-users interested in medical imaging.
2009.02.12 20:00 Water & Wastewater Treatment
A place to talk about the water and wastewater treatment industry.
2014.06.18 20:38 Ewoknophobia University of Utah IT Professionals
This subreddit has been decommissioned and is no longer used or monitored.
2024.05.21 22:09 Dancingcarebear How to professionally approach issues regarding group projects
Scenario: Student A - States he is "fed up" because of the "lack of support" on our group project.
- He states that his sleep averages 4 hours since last week and have other better things to do.
- Also feels extremely stressed out.
- Wants to just do all of the paper work himself to get it over with.
Student B (me) - Helped set up the Google documents for everyone to access and I helped filled out the introduction page.
- Sincerely expressed that I am still here to help contribute for the report due this Wednesday and he is not alone.
- In addition, I suggested that he should try to step away from the paper and try to take a deep breath.
- I acknowledged that I saw the suggestions on our Google document but have not gotten the opportunity to respond on the suggestion. That he is not alone and I'm in a similar boat as him.
- I expressed that he should allow Student C to contribute on the report so that he doesn't feel over whelmed doing the paper himself.
- Stated I am still willing to help out.
Student C - Hasn't participated yet
- MIA
- Not really communicating unless she needs something
Aftermath: - Student A shut down doors on everyone to have the opportunity to contribute on the paper before the due date, regardless of me expressing that there is still reasonable time left for everyone to contribute.
- He went ahead and still continue to do on the report & still resulting feeling "fed up" and stressed out after completing the whole assignment himself and turning int the whole report online himself.
- He admitted privately to me that he doesn't want to communicate with everyone after this whole project is over
- Everyone feels like sh*t and everyone looks bad.
Question: How do you communicate with a person like Student A and find a peaceful solution regardless of the aftermath?
What solutions are available to break awkwardness & not being a stranger?
Should I still say thank you that he completed the work himself or would that just increase his ego?
Was Student A unprofessional and is not able to handle working under stress?
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2024.05.21 22:08 No_Guest1023 Broken up with after 8 years
It's been over a year now since. Highschool sweethearts, love of my life since I was 16 and he was 18. Even then I knew there were red flags, but he was an 18 year old and I told him exactly what I wanted and he agreed. We were good for the most part, at least I thought so. He always had his inconsiderate moments but Wes work it out - or rather I'd just move by because I wanted to nurture the relationship.
He broke up with me several times before. Once because of health thing I couldn't control. Another because he was supposedly having job and money issues he wanted to figure out alone. Another because I moved in with him and his grandma after a house fire and he got tired of me being in the same room as him when I didn't move out quick enough because my family struggled to find a home. There were a couple other occasions I know I missed. Each time I let him go with love and wished him the best, but told him I was sure he was my person. He always came back. Despite the fact that for years he wanted to sow his oats, explore, see what was out there. I encouraged him to do what he needed but he assured me that he wanted to be with me.
I knew when he was having doubts. He'd get hot and cold, grow distant at odd times. He liked sexy pictures of girls online - and when I saw him doing it I worked up the courage to say that it made me uncomfortable and he was defensive at first before apologizing. He did it again a year later and had no remorse. And used the opportunity to tell me he'd been thinking about breaking up with me around my birthday. He admitted that to me on other occasions too. He pushed me to take a job in another state because he knew it would be an excuse to leave me. And he always discussed doubts about our relationship with other people, one of those people being one of my best friends since I was in middle school.
He broke up with me this last time a month before our 8 year anniversary. He said he didn't want to live together and struggled to see a future. He wanted to get numbers and show up his friends with no game. He said he didn't know who could satisfy him emotionally, mentally, sexually (except maybe a threesome ((his words))). But he wanted to be single. Unlike the last time he announced it to our friend group in a prewritten message, changed his status, removed our pictures, and went out to the bar two days later and asked for a mutual friend's number.
He did a lot to continue to hurt me. Including trying to come back out of jealousy.
- asked for the mutual friends number
- liked my mom's provocative pictures on Instagram
- he didn't remember the year I was born
- he only treated me like a friend in group settings
- he never knew how to comfort me
- didn't defend me to his grandma who called me a gold digger even though I never asked him for a penny
- always used me to gauge his feelings
- got a 21 year old girlfriend
- called me crying to say he could only envision a future with me, but then said he actually wanted to be with the new girlfriend and that he actually didn't feel anything romantic for me despite all he said during our 6 hour in person talk
- hit on his "best friends" ex and got nudes from another one
He wants to come back, and I've been able to tell him no despite him saying everything he knows I want to hear. But I know I dragged out the pain for a year. He finally blocked me after I wasn't responding how he wanted. And I know it's for the best and I should have blocked him myself but I love him so much. I'm grieving all over again. I just want to rant I suppose. Or get reassurance. Or be told I'm stupid and need to get over it.
Sorry this was so long. I left out so many things. Just feeling really anxious today and wanted to get it out.
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2024.05.21 22:07 Faithhal Boston's Leading SEO Company: Driving Digital Success for Businesses
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2024.05.21 22:06 Faithhal Elevate Your Digital Presence with the Premier SEO Company in Boston
In the vibrant hub of Boston's business landscape, staying ahead in the digital realm is not just advantageous; it's essential. With consumers turning to search engines to discover products and services, securing a prominent position in search results can be the difference between thriving and merely surviving. Enter the expertise of the leading SEO company in Boston, poised to revolutionize your online visibility and drive sustainable growth.
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Moreover, the best SEO companies in Boston excel in technical optimization, fine-tuning your website's backend to meet the stringent requirements of search engine algorithms. From enhancing site speed and mobile responsiveness to implementing structured data markup, these companies leave no stone unturned in their quest for SEO excellence. By ensuring that your website is not just visible but also user-friendly and accessible across devices, they lay the foundation for sustained success in the competitive online landscape.
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Furthermore, Boston's premier SEO companies offer ongoing monitoring, analysis, and optimization to ensure that your SEO strategy remains effective and adaptive in the face of evolving algorithms and market dynamics. By tracking key metrics such as organic traffic, keyword rankings, and conversion rates, they provide actionable insights that drive continuous improvement and maximize your return on investment.
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2024.05.21 22:06 justvirgothings my bf’s ex is obsessed with our relationship
I'm not sure who to talk to about this. The people in my life think I'm overreacting and should ignore it, and it's ruining my relationship by bringing it up to my partner. I'm aware that I need to get therapy, but in the meantime I'm posting on Reddit and asking for advice.
I'm 25 and I've been in a couple relationships before, but I've never experienced RJ until now.
I've been dating my boyfriend for two years. We never argue or fight, except about this situation. Shortly after we started dating, I noticed a random girl would watch my Instagram stories daily. When I clicked on her account, it showed that I was blocked (so she thinks I don't know she's looking at my story, but it still shows up for some reason). Naturally I was suspicious and asked my boyfriend if he knew her. He said no. The stalking continued, so I asked him again. This time, he admitted it was a girl he used to talk to. It bothered me, but I tried to move on. However, she kept stalking me online and blocking me afterward, so I couldn't ever block her back. Then it escalated to her friends and mom checking my profile. I asked my boyfriend again if their relationship was more serious, and he finally admitted they had a serious relationship. His lying upset me, but he said she was unstable, and he wanted to avoid bringing her up.
It's been two years, and she hasn't given up. I've gone private on all my accounts, but I still get about 20 fake profiles consistently trying to access my pages, and the same fake accounts with 0 followers try to follow my boyfriend too. Even after deleting social media, I still have obsessive thoughts. I can't stand that someone from his past is trying to get a reaction out of me, and it's working.
I constantly feel resentment building until I cause yet another fight with my boyfriend about it. Neither of us wants to confront her because we feel that's what she wants. I've never engaged with her, but this situation is constantly on my mind, and I don't know how to move on. Knowing his ex is obsessed with him and our relationship has caused me to spiral into toxic RJ thinking.
I constantly wonder about their relationship and what memories they shared to make her harass his new girlfriend years later. I wonder how great their relationship was for her to never move on. And I’m jealous of that because OUR relationship has been affected because of her. I feel like my boyfriend is sick of me and this topic, and I don't blame him. Who wants to constantly be reminded of their ex?
It sucks that someone from his past is trying to insert herself into our relationship, and I guess my self-esteem is so low that it’s working. I hate her for how she's gotten into my head, and I wonder what our relationship would be like if none of this had ever happened. I know it's super irrational, but I resent him for ever loving someone who could cause me this much pain.
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2024.05.21 22:04 Alone-End-202 How Long Does It Take to Get CompTIA A+ Certification?
If you need help to pass your comptia exam, contact us via
WhatsApp: +1 (213) 594-5657 Call: +1 727 456 9641 Here's what I found out about how long it takes to get CompTIA A+ certification:
- Preparation duration: The training duration for CompTIA A+ certification is about five to six months, but you can reduce this duration if you can figure out the best way to study for CompTIA A+.
- Exam duration: Each of the two exams (Core 1 and Core 2) takes about 90 minutes.
- Renewal duration: The CompTIA A+ certification is good for three years from the date you pass your certification exam, and you can renew it for additional three-year periods through CompTIA’s continuing education program.
CompTIA A+ certification is an excellent starting point for IT careers, and it consists of two separate exams, each focusing on different domains of IT knowledge. Would you like to know more about CompTIA A+ certification?
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2024.05.21 22:00 martpies [For Hire] I am helping students achieve their academic goals by providing personalized tutoring services in MATHS/PHYSICS/COMP.SCI
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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
- Pre-surgical rehab is an essential part of recovery and can improve immediate outcome so if it is a resource available to you- use it!
- Learn the basics of your procedure such as reconstruction technique, graft type, surgeons recovery timeline, where you will do your rehab, and what you should expect going into and coming out of surgery. Knowledge is power and can give a sense of control and set reasonable expectations in a situation that is otherwise out of your control.
- Seek out positive experiences and recovery stories from other people who have had your procedure and gather as much advice as possible from resources such as ACL. Know that some people will have negative experiences, everyone is an individual, and that much of your long term recovery is in your control.
- Expect and learn to advocate for yourself or the person you are taking care of. Be vocal and honest with any needs you may have and understand that issues may come up in the immediate post-operative time that you as a patient or caregiver may have to contact your surgeon to resolve. Familiarize yourself with who to call and when *before* you leave after surgery, as well as being quick to call with any questions or problems that arise. It is better to be told that what you are experiencing is normal than to sit with the anxiety of the unknown.
- Create a folder with all relevant information: Surgeons name, procedure information, follow-up appointment dates and times, phone numbers, emergency contacts, facility of choice in an emergency situation, and any other important information. Maintain this folder throughout your recovery and add paperwork as it comes.
Days Leading Up To Surgery
- Contact support people and confirm any arrangements that have been made including but not limited to: Who is taking you to/from surgery, child or pet care, transportation to first PT appointments, meals, etc.
- Recommended Items we found essential:
- Ice Machine (Polarcube, etc) if at all possible
- Recommend checking facebook marketplace or other second hand options, as they cost hundreds new but can be found for $40 or so used.
- Studies have shown these do actually reduce pain and lend to earlier mobilisation and our experience has shown this to be essential not just immediately post-op but in the weeks and months afterwards so if you *can* obtain one you absolutely should.
- Large sweatshirt and oversized shorts for surgery day, especially if you wear a bra, as putting clothes on after surgery can be a struggle and it’s easiest to just throw on a sweatshirt and shorts that fit over your post-op bandages and brace.
- In particular, we found a blanket hoodie to be very useful both for going home and the first few days as it could stay on when moving around/when napping.
- Neck Pillow
- Helps with reading or other activities during long hours spent in bed or on the couch and really helped in the first two days to prevent neck strain and provide head positioning during napping.
- Large pillows for body positioning and elevation of the leg
- We found cheap, giant, dog beds from places like TJ Max or Marshalls to be more affordable than specialty products
- A large, thin, dog bed (or blanket) rolled into a tube and secured with stretch bandage or tape around the surgical leg and brace helped significantly with comfort during sleep so that the leg was padded, comfortable, and the other leg didn’t get roughed up from the brace.
- A shower chair
- Can be found used at second hand stores like Goodwill, or cheap online
- Easy substitute is a chair covered in a trash bag
- Allowed showering the second day post-op which was a huge mental boost and relieved physical discomfort and achy muscles
- Extra large leg cast cover
- Can be found cheap online
- Placed around outside of brace covering the entire leg initially, we then found it easier to place on the leg and place the brace outside of the cover for the remaining healing period for the incisions: We did this after the first PT appointment when it was safe to take off the brace for short periods while laying down. We acquired a second post op brace from a friend (you can find on eBay for cheap) and it was amazing to have, as we could let it dry after showering and immediately put her post op brace back on.
- Foldable stool
- Great for elevating the leg during transfers, while on the toilet, etc.
- Lap Desk
- Great for eating on the couch or in bed, but we also found it useful as a side table for holding drinks/meds/remotes/books that could be taken to whatever room they landed in at the time
- A small table works as well, really just anything that can be used to set things on within arms reach
- Assortment of sodas, water, seltzers, snacks, etc.
- There is no way to know what you will want and when, but when you want it it’s nice to *have* it available
- Appetite often decreases after surgery so make sure to have favourites on hand so that when you *are* hungry you have it immediately before your body changes its mind
- A big bucket
- We used a soft plastic beach type bucket from the dollar store, it was extremely useful to have to put small items in, a small towel, a spare water bottle, extra meds, baby wipes, etc.
- Also doubled as an emergency puke bucket, as you never know when a sudden bout of nausea might hit in the first day or two after surgery
- Extra reusable ice packs and bags of ice
- Your home ice maker will not be able to keep up with the demands of constant icing the first week or so
- Reusable ones are great for ‘hot spots’ and short trips where you can’t take the ice machine
- Extra steri-strips and assortment of bandages
- Sometimes there’s extra leakage, sometimes your steri-strips come off and you need to slap a new one on, sometimes you’re allergic to the ones they put on you at the hospital. Always consult a medical professional, but it’s handy to have these on hand just in case.
- We also used a bulky padded bandaid to keep the brace off the healing incisions once the large post-op dressing was taken off which helped immensely.
- Compression sleeves
- Aside from helping with swelling these also provided a layer of protection under the post-op brace
- We found cheap ones at Wal-Mart (copper brand) but also just bought a cheap pair of leggings a size down and cut off one of the legs to use before getting a more expensive one once swelling had fully subsided after a few weeks. Your leg will change so cheap works great at first, then you can get something a bit more substantial when you know what you’ll need long term. Now she wears high compression socks to sleep 3 months out.
- Slide on shoes
- Self explanatory, bending down to put on shoes becomes a chore after surgery. Avoid flip flops or other styles that can become a trip hazard.
- Baby Wipes/Dude Wipes/etc.
- Wiping down after you get home from surgery can help prevent that icky feeling and restore some sense of normalcy, then can be used over the next few days before you can shower more normally
- Lotion and chapstick
- Hospitals dry out your skin big time, and lips are often cracked post surgery from intubation/LMA placement
- Small, easily labelled tupperware containers
- Regular pill containers are too small to hold pain meds, OTC pain meds, anticoagulants such as aspirin, supplements, and edibles or other small things you take with your medication. We got small tupperware boxes with lids from the dollar store.
- We found it very convenient to have six sets of meds set up and labelled with times which meant we never missed doses and could leave the next dose of meds at bedside, take them with us when going to appointments, and keep up with what had been given and when.
- Small notebook to record med times and other important information
- Two extra changes of clothes already setup and ready to go
- Compression device
- We are athletes so we already had leg compression sleeves but these days off brand versions can be bought online cheap. Studies have shown these lead to reduced pain, increased mobilisation, reduced the chance of blood clots, and there is even some evidence they help with bone healing.
- We used it 3 days post op and beyond and her range of motion was significantly improved after the first time.
- A yoga strap
- Excellent for strapping to the brace and moving the surgical leg
- If possible, pick up post-op medications prior to surgery to prevent any unexpected delay in obtaining them. If this is not possible, verify that the prescription can be filled the day of the surgery by your selected pharmacy and that it has been filled prior to leaving after your surgery. Controlled substances cannot be transferred to another pharmacy without a new prescription sent directly from the provider. You do not want to be trying to get in contact with a physician in the hours after surgery, unable to manage pain, before the pharmacies close for the night.
- Do a thorough clean of your living area, it will make the time after surgery when you cannot independently do normal activities more bearable and a neat organised space is easier to function in when your body is not cooperating. Take special attention to removing tripping hazards and clearing a wide path from wherever you plan to spend your recovery and the bathroom.
- Plan to spend the first couple of days in one spot and on one floor and set up that area the day before surgery. If you have a downstairs bathroom a floor mattress or well setup couch can be your landing pad until you are more mobile and is the easiest during the immediate post-op period. That being said, if you don’t, it’s easier to get upstairs by sliding up on your bum immediately post-op when your pain is still well controlled than realise that you have no bathroom downstairs a few hours later when the pain has started to set in. Wherever you intend to land, plan on staying there at least a couple of days and bring all your supplies to that area. Plan to lay with your surgical leg on the outside of what you are laying on, this makes transferring easier.
- Have your recovery bed setup the day before surgery and prepared for when you return before you leave the day of, including blankets and your supply table setup.
- Meal prep, whether that means cooking or getting easy to make microwave meals is up to you. You won’t feel like cooking and neither will your caretaker the first few days. High protein, easy to eat meals are key! We had chicken and broccoli casserole, egg and sausage frittata, and lots of applesauce the first few days and it was a lifesaver not to have to think about meals.
- Spend some time mentally preparing for the long haul of recovery and make long term plans that fit within your timeline. For example, we planned to attend a rugby game five days after surgery *but* planned nothing else for that day and the next day. We also planned hiking trips the next fall, and other events appropriate for her timeline along the way that could be looked forward to and keep up morale. Remember that this is temporary and that it is okay to be recovering and resting, expect hard moments and days but keep things planned so you don’t get stuck in those down places.
- Eat your favourite meal and eat well the day before surgery. Your body needs fuel to recover and fasting the day of surgery sucks. As weird as it sounds, after multiple surgeries, the pre-surgery night meal of whatever I want is one shiny thing in a crappy situation to hold on to.
- Plan for what you want your first meal to be and consider making a playlist for the ride to and from surgery. Small things, again, help maintain a sense of control and comfort in a situation where you are largely out of control and these things can be done with friends or support people in the days leading up to reduce anxiety and pass time.
- Hit the gym, take a walk, do a hike, visit places or do things you enjoy but won’t be able to do in immediate recovery! We took my partners knee to one last tournament before her surgery, it helped pass time and kept spirits high.
Day Of And Immediate Post-Surgery Phase
- Maintain fasting starting at whatever hour you are told. Some people can drink clear liquids up to a certain point, others are completely nothing by mouth. Your instructions will guide you on this.
- Before leaving home double check that everything is set up how you need it and place a blanket, pillow, drink, and snack of choice in the car. You may or may not need it but if you do it is important to have. Make sure your ice packs are in the freezer ready to go!
- Bring your own post-op snack if you are picky or have food allergies, otherwise you’re stuck with whatever graham cracker and applesauce combo the facility gives you.
- Go with the flow, or as I always say “surrender”. Feel what you feel, have a cry in the car before you go in, listen to your playlist, bring your blanket or other comfort items into pre-op, tell your support person what’s going through your mind, tell your pre-op staff how you’re doing, ask all the questions, and most importantly just do what you have to do. For some people surgery can be overwhelming and the loss of control frightening, but fighting only makes it worse, so whatever you are just be it. I’m pre-op pacer myself, but some people just snuggle up under some warm blankets and wait. Either way, just let the waves take you where they go and know you’re along for the ride. Remember that future you with a healthy joint thanks you for what you’re doing today.
- Speak frankly with your anesthesiologist and utilise any pain control or anxiety control options given to you. There is no award for least meds taken or toughest patient of the day. If a nerve block is available, know that you can request sedation for its placement, and utilise that option if at all possible.
- Caregivers should bring something to keep them entertained and be prepared for a long period without update once surgery has started. Honour your feelings as well, it can be tough to watch someone you care about go through this! Consider having someone to act as a support person for you as well through text or phone, that way you can divert your own worries or struggles to them and away from the person having surgery while still making sure you are also taken care of.
- Make sure that pain is well controlled before leaving after surgery. You have more options there than you will at home and getting things under control once pain has become unbearable can be very difficult.
- Make sure you note when the next dose of medication is due, what medication they should be taking, and write it down.
- Double check contacts from your surgeons office and add any post op paperwork to your folder in case you need the information later.
- If your post-op meal requires picking up, or your prescription, try and do that immediately after leaving surgery even if you are not hungry yet. This is the most comfortable you will be for a while and your support person will be unable to leave for at least that day and night. I have been known to peruse the big gas station after surgery in search of snacks, my partner however simply waved to the nice people at the drive through and napped the rest of the way home before eating some hours later.
- Once you get home crash wherever you plan on spending the rest of the time. Don’t have friends or family over that first day. Just go ahead and sleep through the rest of the anaesthesia and get comfortable.
- Try and keep your home cool, and consider keeping the room dim for the first few hours if not days. Sleep is precious and pain meds can make you hot, and getting hot can lead to nausea. It is better to have the home cool and the person snuggled under blankets and comfortable than be trying to cool someone down who just had surgery and got too hot and is now dizzy, nauseous, and miserable. The least stimulation for the first little while the better, and naps will happen throughout the rest of the day and over the next few days. A cool, dim place lets this happen much easier than a bright, warm place where they might be overstimulated or awakened by noise or activity.
- If allowed, try and activate the quad muscle immediately after returning home and once every few hours by having them squeeze it and feeling for contraction while in the brace. Some people will be able to begin range of motion exercises immediately and if so, make sure to do them as soon as allowed even if that means just helping them by doing gentle manual range of motion movements in the brace.
- If it’s not already on, begin continuous icing as soon as you come out of surgery either by meticulously timing the replacement of ice packs or with the ice machine. Make sure to check the ice machine, replace ice as often as needed, and keep it on *continuously* for the next few days. For us this meant I checked it at every medication dose throughout the night and added ice during that time as well. We went through frozen mini water bottles and bags of ice like crazy the first week.
- Elevate the surgical leg as high as possible, placing support under the heel and calf but not directly under the knee to promote extension and prevent more headaches with gaining range of motion later on.
- We found that icepacks directly under the knee helped tremendously with the discomfort associated with this.
- Anticipate that bathroom trips will not be fun or easy and take them extremely slow. As a caregiver allow the person to guide you on what they need and don’t need your help with and avoid grabbing or moving someone unexpectedly. Standing, acclimating to being upright, and then proceeding to the bathroom is the best way to do things and rushing will only result in frustration for both of you. A rolling chair or wheelchair can be helpful, but for some people standing up and sitting down is harder than just moving on to the bathroom. Pay attention as a caregiver and know that it is possible they may need your help getting off the toilet or back from the bathroom so be close by and available should that happen. For the first few days do not lock the bathroom door in case of an emergency.
- Place chairs or things to sit on around your path to the bathroom, kitchen, etc. And consider a small backpack or using a rolling chair to carry items around the house.
- Once you know when your next dose is, set alarms for each time your doses are due. If using the med boxes this makes doing meds and keeping track very easy, as they are each labelled with a time and all we had to do was open the box and take the meds instead of finding each bottle and dosing each med individually each time. As the days went on we were able to re-label and time the boxes as needed and remove meds as needed or adapt to what was needed when sleeping or up during the day.
- For example day 1 would look like:
- First post-op doses at 4pm box: 250mg tylenol, 10mg oxycodone, 5mg edible.
- 8pm box: 250mg tylenol, 10mg oxycodone, 800mg ibuprofen, 10mg edible, 12.5mg diphenhydramine (itching and sleep), stool softener, and regular night time meds.
- Midnight box: 250mg tylenol, 5mg oxycodone, 5mg edible.
- 4AM: 250mg tylenol, 5mg oxycodone, 800mg ibuprofen, edible (if nauseas or restless).
- 8AM box (preparing to get up): 250mg tylenol, 10mg oxycodone, 5mg edible, aspirin, stool softener, normal morning meds.
- 12pm: 250mg tylenol, 10mg oxycodone, 5mg edible, 800mg ibuprofen.
- Repeated on time, reducing pain med dose as tolerable, and refilling boxes 1x a day.
- If possible do scheduled tylenol (paracetamol) and ibuprofen (or another NSAID), alternating them on the dosing schedule, and take them religiously even through the night. This also goes for additional pain medications, which you will also need to wake to take through the night if you are prescribed for at least the first night.
- Staying on schedule might mean waking up in the night, but it’s better to be awoken to take meds than to wake up in pain and spend several hours trying to get it under control. You may find you seldom need them if your nerve block is in place, or you may just not need very much at all during your recovery. It is easier to trial run this after the first day by stretching out the time between doses from 4 to 6 to 8 and then potentially off entirely, but everyone will have their preferences.
- Eat a small snack with every med dose and keep emergency meds (extra pain med doses, nausea meds, etc.) at bedside as well as the next set of meds due so they can be taken when it is time.
- We found that edibles were a great addition to pain and nausea control after surgery. There are medication options available and having at least one option for nausea is advisable for the first few days after surgery when anaesthesia and medication can really make you want to puke.
- Expect absolutely nothing in the first few days post-op. Some people will feel well enough to move around, others will not be able to do anything but get up to use the bathroom. Expecting nothing is better than expecting more and being disappointed or frustrated. I would highly suggest not making plans until your first follow up 7 or so days after surgery.
- Be obsessive about icing, meds, any PT you have been given, and keeping track of appointments. Give yourself the best start to your recovery that you can and you will thank yourself later!
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2024.05.21 21:58 RedeemedWanderer Lets debate this one!
When it comes to securing your cryptocurrency, the choice of hardware wallet is crucial. While Ledger has its supporters, especially those influenced by prominent figures in the crypto world, it's important to understand why Trezor, with its open-source software, is a superior choice. Here's a detailed and persuasive explanation that addresses the key issues with Ledger and highlights the advantages of Trezor.
Transparency and Security Open-source software means that the code is publicly available for anyone to review and audit. This transparency is a cornerstone of cryptocurrency, ensuring that the software is secure and free from hidden vulnerabilities. Trezor’s software is completely open-source, which allows independent security experts to examine the code and identify any potential issues. For instance, in 2017, the open-source community quickly addressed a potential flaw in Trezor’s system, reinforcing the device’s security.
Trust Through Verification In the cryptocurrency space, the principle is "Don't trust, verify." Trezor embodies this principle by allowing anyone with technical expertise to verify the security of its code. This means you don't have to rely solely on the company's assurances; you can see for yourself that there are no hidden backdoors or malicious code. This level of transparency is impossible with Ledger’s closed-source software, where users must take the company's word for its security measures.
Issues with Ledger
Lack of Transparency Ledger uses closed-source software, meaning the code is proprietary and not available for public review. This lack of transparency forces users to place a high level of trust in the company, which contradicts the decentralized and trustless ethos of cryptocurrency. Closed-source software can contain vulnerabilities or backdoors that only the developers know about, potentially putting users at risk.
Security Incidents Ledger has had several notable security incidents that highlight the risks of closed-source software. In 2020, Ledger suffered a significant data breach, exposing the personal information of over 270,000 customers. Although the breach did not directly compromise the hardware wallets, it raised serious concerns about Ledger’s overall security practices.
Furthermore, in 2018, a security researcher discovered a vulnerability in Ledger’s hardware wallet that could allow an attacker to install malware. Due to the closed-source nature of the software, it took Ledger several months to release a firmware update to fix the issue. During this time, users were potentially exposed to risk.
Potential for Data Release Ledger, as a closed-source company, can be compelled by legal authorities to release user data if subpoenaed. This means that in certain circumstances, your personal information and transaction history could be handed over to government agencies. Trezor, on the other hand, operates on an open-source model and is committed to user privacy. The open-source community would resist any attempts to undermine user privacy, providing an additional layer of protection against unauthorized data release.
Why Trezor is the Better Choice!
Adherence to Decentralization Principles Trezor’s open-source philosophy is not just about transparency; it is about adhering to the core values of cryptocurrency. Decentralization and transparency are foundational principles that ensure no single entity has control over the network. Trezor’s commitment to open-source software aligns perfectly with these principles, whereas Ledger’s closed-source approach introduces unnecessary trust in a centralized entity.
Community-Driven Security The strength of Trezor lies in its community. The open-source model means that developers and security experts around the world can contribute to its security and functionality. This collaborative approach ensures continuous improvement and rapid responses to potential threats. Ledger’s closed system, however, limits community contributions, potentially slowing down the identification and resolution of security issues.
True Ownership and Control By choosing Trezor, users are not just purchasing a product; they are embracing the principles of true ownership and control over their assets. The transparency and accountability of open-source software ensure that users have full control over their hardware wallets. This stands in stark contrast to Ledger, where the lack of transparency undermines the security and trust that users should be able to place in their wallet.
Conclusion While prominent figures may endorse Ledger, it's essential to look beyond endorsements and understand the fundamental differences between closed-source and open-source software. Trezor’s open-source nature provides unparalleled transparency, security, and adherence to the principles of decentralization. The issues with Ledger, including its lack of transparency, history of security incidents, and potential for data release, underscore the importance of choosing a hardware wallet that truly aligns with the ethos of cryptocurrency.
By choosing Trezor, you are not only ensuring the highest level of security for your assets but also supporting the principles of transparency and decentralization that make cryptocurrency revolutionary. Trusting in open-source systems means trusting in a community-driven approach to security and innovation, which is the foundation of a secure and trustworthy crypto ecosystem.
Disclaimer: The information provided in this text is for educational purposes only and should not be considered financial or investment advice. Please conduct your own research and due diligence. Do not blindly follow or listen to advice, even from wealthy individuals. Always make informed decisions based on your understanding and consult with a trusted advisor if needed. The views and opinions expressed in this discussion are those of the author and do not necessarily reflect the official policy or position of any other individual, organization, or company mentioned.
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2024.05.21 21:49 Nigerianfox [Routine Help] Advice on clearing out pores
As a guy I take almost no effort into taking care of my skin and as the years pass by I notice im looking a little crusty and dusty and would like to start taking care of my skin.
I bought st ives black head clearing scrub and used it but did not notice any change in my clogged pores but my skin did feel supple. I saw online of people using pore extractor tools or blackhead scraping tools so should i be clearing out my pores via scraping/extracting first before I start used the st ives black head clearing scrub so that way it can get inside of the pores or will the scrub eventually clear out my pores after continued use?
Thanks for the tips and hopefully I can look like those tik tok filters in the near future lol
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2024.05.21 21:46 Messy_Heart_97 Why do people lie about where they are from, knowing that their accent can give them away?
I recently met someone online, he told me he was from a specific place but in the first voice note I already knew he wasn't from there and I have never understood why people do that. I'm proud of where I'm, I've a strong accent that makes it clear I am not American, therefore it's silly for me to pretend to be from somewhere else and I will never go to class to lose my accent to continue lying.
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2024.05.21 21:43 DogsAndPickles Jobs for pattern seekers. The hope is in the comment where I see it’s possible to circumvent the pressure of the test. The tests that are hard are tests that are open to misinterpretation. I am good at math and science tests but can’t learn fast enough in school.
2024.05.21 21:42 kuhlecow I (24F) I’m not sure if I should move 300km away from my family to enter a relationship with someone (22M) I’ve been seeing for 10 months
Hey everyone, I think I managed to get myself into a pretty complicated situation. I’m honestly pretty lost and I don’t know what to do anymore.
Here’s some backstory: In September 2022 I moved 300km away from my family because I enrolled in university. The problem was that I only started this whole thing because my (ex) best friend (24F) wanted to move and study there. At that time we’ve been friends for like 15 years and I had no friends besides her. So I was really afraid of her leaving me and decided to join. I was really scared to move so far away (6h drive by train, i don’t have a car) from my family but ultimately did it.
That was of course a pretty dumb decision. I ended up being really unhappy there and was doing a lot of drugs and other unhealthy stuff. Me and my friend are not even friends anymore. I was always regretting that decision and I also chose a random degree because I didn’t know any better.
So last year in July I tried Online dating and met a guy who’s really nice and we met a few times. But then I had to leave in August for a semester abroad and I was gone for about 4 months. We had been texting for that time. After I came back in December, I visited him again in January and it was (again) really nice.
Afterwards I travelled back to my family (because I tried to be with my family whenever I could) and suddenly an extreme existential crisis hit me. I’m not joking, I felt like I couldn’t go on anymore. I was extremely overwhelmed with my whole situation and especially that constant travelling between university and my family. I started to question everything. I was shaking constantly. I felt extremely anxious and stressed. And so ultimately I decided to move back to my family to start a vocational training instead of university.
But two weeks ago the guy I’ve been seeing invited me to go to a music festival with him and some friends. I went and stayed with him for a week. I really enjoyed the time with him and he did too and there was definitely a strong connection. So today I asked him if we want to make things official and he said he would love to, but he just can’t handle a long distance relationship. Especially he would stay at university for at least another five years and I would be done with vocational trading in three years. We were both really sad and had to cry a lot. I decided to leave because I really needed some time to process everything. Before I left he said he is going to miss me a lot and that we both need to think about things.
I’m honestly in so much pain right now because I really want to be with him and I’m regretting everything I’ve done. If I would’ve stayed in that city I could be in a relationship with him right now. Now I’m seriously considering moving back there. I could continue my vocational training there. But after all I’m not sure if that’s a good decision. But to be honest I also wasn’t happy with moving back to my family anyways. It felt like a huge step back and I wasn’t sure if that was the right decision. Something tells me this wouldn’t be a smart decision at all but I’m honestly not sure anymore what a smart decision even is. I just feel like I’m doing everything wrong.
What would you do in that situation? I’d really appreciate some advice.
Ps: I might add some info later in case I forgot something.
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2024.05.21 21:41 AffectionateEscape43 Looking for some advice on TEFL and Language School stuff
Hey all, I've researched the hell out of this idea and now I figured it's time to turn to some real people for some input. I hope I've come to the right place. I'm currently moving into my senior year of university (studying English) in the United States, and I have just completed a TEFL certification. My ultimate goal is to work as a teacher in Japan, and I'm trying to put everything in place to make it successful. I looked into ALT positions that I could go to straight out of college, but I've found it is probably better to get some experience teaching and being in Japan (plus working on my Japanese lol).
I am planning to attend a Japanese language school in the fall of 2025 for around a year (grants you a student VISA). Which would allow me to work part-time as well, I figured this would improve my Japanese greatly and make me a better candidate. I am also planning to complete my Master's in education during this time (online). My girlfriend lives in Nagoya currently, so I was planning to split rent and things with her to make things cheaper, ultimately I was thinking I could hunt for jobs afteduring my time at the language school, and I don't mind being an ALT if that's what I have to do in between finding something a bit better for the future.
My question is, does this seem feasible to those of you who have done something similar? What kind of qualifications do you all have? I have experience tutoring, mentoring, and coaching athletes and students as well. I'm not looking to live lavishly (obviously by my choice of study lol) but I want to set myself up for success while being together with my girlfriend in the process, even if that means doing this for a while and then moving back to the States for better pay.
Thank you all for reading!
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2024.05.21 21:40 yuwaditya Social Media Marketing Courses in Pune
| In the dynamic world of digital marketing, staying ahead of the curve is crucial, and mastering social media marketing can be the ultimate ticket to success. If you're based in Pune and eager to enhance your skills, you're in luck! Pune boasts several topnotch courses that can equip you with the knowledge and practical experience you need. Here’s a roundup of some of the best social media marketing courses available in Pune: 1. Indian Institute of Digital Education https://preview.redd.it/0h30o26o1u1d1.png?width=2160&format=png&auto=webp&s=214e5e876efb2a58059b22c55269af5d6746121f Indian Institute of Digital Education aka IIDE offers Digital Marketing Courses both in offline and online modules that are great for anyone who wants to learn about digital marketing. From SEO to social media and creating content, they cover it all. They're always updating their courses to include the newest trends in digital marketing. They have courses under various titles such as Advanced Certification in Digital Marketing with 4 months of duration and a Professional Certification in Digital Marketing & Strategy which is as long as 6 Months. One of the best things about IIDE's courses is that they're completely free. So, one can take the joy for their courses at their convenience. 2. Digital Vidya https://preview.redd.it/cykc1uwq1u1d1.png?width=1200&format=png&auto=webp&s=b0de0c8c8d50e09978463236069298d1fd46b45a Digital Vidya’s Social Media Marketing Certification course is comprehensive, covering everything from social media strategy and content creation to analytics. It’s packed with practical projects and case studies to ensure you get hands-on experience within the timespan of 3 months. This course is available both in online and offline modules. Digital Vidya’s office is set up in Pune too for physical classes. 3. Lavenir Institute of Professional Studies (LIPS) https://preview.redd.it/uho2a2gi1u1d1.png?width=646&format=png&auto=webp&s=e5c5a6800df09d3aa5265637b1b10dca4333df88 LIPS’ Social Media Marketing course offers practical training on social media campaigns, content strategy, and analytics. Their Pune-based Classroom curriculum is designed to provide hands-on experience with various social media tools and platforms within the timespan of two months. These courses are tailored to provide you with a blend of theoretical knowledge and practical skills, ensuring you’re well prepared for the digital marketing challenges ahead. Whether you're a beginner just starting out or a professional looking to upgrade your skills, these programs in Pune offer valuable insights and training to help you succeed. Happy learning! submitted by yuwaditya to u/yuwaditya [link] [comments] |
2024.05.21 21:35 Nuclearplesiosaurus A&P future in rocketry/space
Hey all! I’m a 24m currently a year into my apprenticeship as an A&P. Currently with the facility I work for, I do maintenance on GA aircraft Pipers, Mooneys, & Cessna as well as the maintenance, restoration, and modification of Beechcraft T6 II, T-34 A, B, & C’s. I’ve learned a lot and continue to learn more and more each and every day. That said, my heart is really set on using my future A&P to work on rockets, defense, or even on future space programs. With Artemis gearing up plus a whole lot more in the aerospace industry and the shortsge of mechanics/engineers, I figure i’m you g enough to be able to be apart of this kind of stuff at some point. I know that making the jump from propelleturbine craft to rockets is a monumental reach however I feel that with my knowledge and drive, this is something i’d be able to attain in my lifetime. If not rocketry, i’d at the very least like to work on future aircraft with advanced propulsion like what Hermeus is doing with their turboramjet engine. This kind of stuff REALLYYYYY interests me.
While i’m still apprenticing, I figure now would be a good time for me to ask if anybody here has gone the route that i’m talking about and what it took for you to get where you are now. I have some college education, I was chasing a BA in physics before I had to drop due to financial strain, but going back is an option if need be. While not preferred, I could also look into enlisting in USN, USAF, or USSF to help me further along these goals however i’d really like to stick as a civilian.
Any help anybody here could offer would be greatly appreciated. Thank you!
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2024.05.21 21:32 Critical_Argument976 AITA For holding a grudge against my mother?
I (25F) am the oldest child of my family. My mom (45F) and step dad (41M) have another child together (11F). Growing up I was the only child, only grandchild and only niece of the family. I won’t deny that I was spoiled but that was mainly from my grandparents. My mom was a single mom up until I was 13 when she married my step dad. Unfortunately, because of that I was raised primarily by my grandparents. I have nothing negative to say about them. They have been there for every milestone in my life and raised me to be a successful person. My mother, on the other hand, is the opposite. She’s absent for majority of my milestones due to work or some event with my sister. This is all just for some background to the actual situation.
For my birthday this year I wanted a small and quiet dinner with my family. I had made reservations for a restaurant at 5pm. My bf (23m) and my best friend (25f) were also in attendance along with my family. Initially, because of my strained relationship with my parents, I was just going to have dinner with my grandparents but my grandma suggested inviting them as a way to maintain a civil relationship. She went ahead and called them and told them the time and date of the dinner. Initially they said to push it back because my sister had a sport practice that night so I rescheduled for 6pm. The night of the dinner I show up at 6 along with my bf, grandparents and best friend. We ordered drinks and appetizers and waited for my parents and sister to come. When they finally got there it was 40 minutes after the initial reservation. I kept my mouth closed and didn’t say anything in order to maintain peace. Since it was my birthday my grandparents and best friend had brought their gifts for me to dinner. Personally, I’m a sentimental person and enjoy cards with personalized notes and don’t really ask for any presents. My family is aware of my preference and always bring up how they never know what to get me usually in a joking matter. When my step dad and mom asked what I wanted for my birthday at the table I told them I had been looking at a vacuum online if that’s something they’d like to get me as a practical gift. My step dad then reached into his wallet and threw money at me across the table and told me to buy it with that. The table was silent after and I just said thanks and the evening continued on as nothing happened. This was about 4 weeks ago and have yet to speak to my mother or step father about what happened. There’s an event coming up for my sister soon and my grandparents asked me to attend and show her support. I love my sister but I want by no means to see my mother or step father. My grandparents are aware of this and are asking me to let things go and maintain the peace. Wibta if I held my grudge and refused to associate with my parents?
To add some additional context, my grandparents paid for the dinner for everyone that evening. I also received a text from both of them for my birthday but that was the only contact I had with them on the day of.
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2024.05.21 21:31 sar_b88 Spread the word. Copy and paste. All you’re doing is educating people on the SEC 201 rules that prevent short-sellers from continuously driving a stock price down.
⚠️PLEASE READ AND SHARE REGARDING SEC 201 RULE ⚠️Make sure you're setting your buy limits as high as possible, which is 10% above market price. DON’T WORRY, you’ll only be charged market price. TELL EVERYONE!! $FFIE STRONG 💪🏼
Buying just one share at a time is best, spread out over time. YES, it’s a pain in the butt, but anything worthwhile is. I CAN’T DO THIS ALONE THOUGH!!
STRATEGY: PLACE BUY ORDERS WITH LIMITS SET 10% ABOVE THE CURRENT MARKET PRICE. All it takes is 1 share, but needs to be all day. You will only end up paying the market price, but will restrict shorts from bidding below that. THIS IS HOW WE CAN REALLY PUT OUR POWER IN NUMBERS TO WORK.
- Alternative Uptick Rule: • Rule 201 introduces the "Alternative Uptick Rule," which is designed to prevent short selling from driving down the price of a stock excessively.
- Triggering a Circuit Breaker: • The rule is triggered if a security's price declines by 10% or more from the previous day's closing price. Once triggered, the rule imposes restrictions on short selling for the remainder of the day and the following day.
- Short Sale Price Test Restrictions: • After the circuit breaker is triggered, short sales of the affected security are only permitted if the price is above the current national best bid. This means that a short sale can only occur at a price higher than the highest current bid, preventing short sellers from continuously driving the price down.
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2024.05.21 21:28 invoclass Tech Educators Wanted! Build Your Online Course.
2024.05.21 21:24 3-eyed-crowe Everglades University
In the era of unprecedented human advancement, the world's scientific breakthroughs unlocked not only the secrets of technology but also the long-forgotten realms of magic. Dr. Ravenfrost, a visionary scholar and practitioner of both science and the arcane arts, recognized the need to bridge the gap between humans and mythical creatures. With unwavering determination, she founded the EU, a prestigious institution dedicated to the education and integration of both humans and mythical beings.
Located in the heart of a mystical forest, the university stands as a beacon of hope and unity in a changing world. Its halls are open to students of all backgrounds, fostering an environment of inclusivity and understanding. Here, humans learn the ancient arts of magic alongside elves, dwarves, and other legendary beings, while mythical creatures gain insight into the wonders of human technology.
Under Dr. Ravenfrost's guidance, students explore the depths of spellcasting, potion brewing, and enchanted craftsmanship, while also delving into the intricacies of robotics, quantum mechanics, and artificial intelligence. Together, they unravel the mysteries of the universe, forging bonds that transcend species and fostering a new era of cooperation and harmony.
Yet, amidst the wonders of EU, dark forces lurk in the shadows, threatening to disrupt the fragile peace between humans and mythical creatures. As students navigate the complexities of their studies, they must also confront ancient prophecies, mythical beasts, and sinister conspiracies that threaten to plunge the world into chaos once more.
But with courage, knowledge, and the bonds of friendship forged within the hallowed halls of EU, they stand ready to defend their world and ensure that the light of hope continues to shine bright, illuminating the path to a future where humans and mythical creatures walk hand in hand.
https://discord.gg/UspvJ9Qe submitted by
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2024.05.21 21:24 Efficient_Divide7702 Why do I feel guilty over giving my mother silent treatment?
I (30F) have always had a rocky relationship with my parents. Being the only child, I had to play therapist and dealt with their helicopter parenting. I was never able to sustain emotional connections and friendships due to me not being able to hang out with friends, etc.
My mother's rule was "friends need to stay at school." I was not allowed to wear certain clothing. I wanted to wear skirts and dresses (when i first wore one, it resulted in a 4 day fight and silent treatment). Never was allowed to go out or just simple dates until I begged and cried to let me go. Never was able to have a relationship until 22, and that was a shitshow in the start as well.
I was, however, in school clubs and could get away with it because it counted towards school credits and would help me get some scholarships.
My dad would let me have some freedom as he pushed me to go on a school trip overseas (chaperoned by school staff) through a HS program. My mom had issues initially but didn't say much as my dad was on my side. My dad sometimes would agree with her just to agree or get influenced as well on certain things because she then would give him a silent treatment as well.
Anyway, I wanted to get a job as I was transitioning from HS to college, and again, it was a huge thing. She convinced my father that it was a bad decision that I worked. And won't focus on school. Mind you was a honor roll student throughout HS. I was able to get my first job again through a loophole at school where I could also get credits for working if my supervisor gave me good evaluations and got paid. I didn't get my driver's license until later on, so she would have to drop and pick me up EVERYWHERE, so i rushed to finally get one. I wanted to move away for college thinking that I would be able to have more freedom, but then they moved with me to save money on room and board. I would sometimes have evening classes, and sometimes, my mother would stand outside if I was even a little late from college (I am 21 at this point) coming back. Couldn't make new friends at school, had to beg my mom let me go out so friendships would always fall out.
I learned quickly that the only way I could get control over my life is my moving out. So I got a full time job (another huge issue) when I was in my last year of college, I started applying like crazy to be in a different cities to get my food in the door for my career. And I was able to get a job and move away.
A thing to note is that I had to do this quickly when my mother was out of the country. Otherwise, as always, it was going to be a huge issue. She had a huge problem with it, of course, once she found out and kept telling my father to stop me (he was not with her when she was out of the country). It was all like "why she always like this? Why can't she sit still at home?"You are letting her get in trouble," etc. My dad was whatever, as he didn't think I would actually get the job, but I did. I still remember they thought the offer letter was fake and tried to verify it. It was legit, and so I moved.
Soon, my bf moved in with me to the new city (another problem initially). But it died down a lot, and she toned down her behavior whenever he would be around. Image is a huge thing for her.
But still would still take jabs under the table (like when i got a small tattoo and colored my hair). I ignored it because if she was direct about it, I didn't want to address it.
The final straw that broke me was last week, I had been in contact with some friends that I made who also moved away for college, etc. This was a friend who kind of understood me as her mother was like that too, but she moved to be next to her father and away from her mom.
So she suggested that we can go to a festival together since she just finished her masters degree. I was elated and said yes. I am currently in my masters program, so I felt I deserved a little break.
Also, through therapy I realized that my relationship with my bf was very codependent and clingy and we have had problems due to that a lot so I wanted to work on myself and do my own things to get better to be more emotionally independent.
I mentioned it to her that I am thinking of going to the festival to another country depending on time off and money.
She kept asking where I didn't tell her where because I sensed it was going somewhere.
She started by saying if I asked my bf if he was okay with me going. Recently, I have noticed she usually says that when I do something, she doesn't agree with it, and when i say he has no problem with it doesn'tseem to digest well with her. I told her first I don't need permission, and second, he is okay with it as he will be with his friends.
Then she got furious and said that no, I can't go and if I did she would never talk to me again. I was confused because this is not someone I met like online like 2 days ago. It was actually one of my best friends in middle and HS school that I had before we both moved away and kept contact through the phone. Also, I am 30 freaking years old.
She then continued that if I had to go, it would have to be with my bf only. I told her that was ridiculous and I was not asking for permission or money. I was just informing her, and then she lectured me about always starting something new, and one day, I would get in trouble, etc. and lose my job and everything.
So I went off on her and asked exactly what the problem was. Why did she always had an issue with everything. She has been emotionally unavailable throughout my childhood, pushed me away when I needed her, and used me as a catharsis whenever issues occurred between her and my father. When i would confront my father, she would quickly switch sides, leaving be baffled. If I used to cry, she would tell me I was faking it with crocodile tears. She has no friends so I still let it go and talked to her because at the end of the day I feel guilty and now I am an adult and still didn't want a strained relationship with her.
TLDR: My mother who has always been controlling, told me, a 30 year old that if I traveled with anyone other than my bf she won't talk to me again as I would get myself in trouble. I feel guilty for giving the silent treatment to her as I have always been the one that reaches out first after these situations. How do I cope with this feeling? I have been thinking that maybe I was in the wrong and should just talk to her, apologize, and tell her I am not going.
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2024.05.21 21:16 Significant_Power159 Dr. Sateesh Arja: Pioneering Excellence in Health Professions Education
| https://preview.redd.it/0nwimm9hxt1d1.jpg?width=1680&format=pjpg&auto=webp&s=0e0c71ae5096e5b5e829728ce701cb89559efa72 In the realm of healthcare, education stands as the cornerstone of progress. It is the driving force behind innovation, patient care, and the cultivation of future leaders in medicine. Recently, the field witnessed a significant leap forward with the remarkable achievement of Avalon University School of Medicine’s own Dean, Dr. Sateesh Arja, who graduated with a Ph.D. in Health Professions Education, specializing in Leadership and Management, from the prestigious Massachusetts General Hospital (MGH) Institute of Health Profession Education (IHP). https://preview.redd.it/g2f13osfxt1d1.jpg?width=500&format=pjpg&auto=webp&s=2910498ace5d85ad2b6f26ce56f4bca88d0ad80e Dr. Arja’s dissertation, titled “Impact of Accreditation on Continuous Quality Improvement Process of Undergraduate Medical Education Programs,” delves into the critical nexus between accreditation practices and the continuous enhancement of undergraduate medical education. This groundbreaking study sheds light on how accreditation serves as a catalyst for driving improvements that benefit medical students, educators, academic leaders, programs, and the broader public. At the heart of Dr. Arja’s research is the recognition of the transformative power of accreditation in shaping the landscape of medical education. By meticulously analyzing the intricate interplay between accreditation standards and quality improvement processes, his work not only illuminates the challenges but also presents innovative solutions to optimize educational outcomes. The significance of Dr. Arja’s achievement is amplified by the academic environment of MGH IHP, renowned for its unparalleled commitment to excellence in healthcare education. As part of the Massachusetts General Hospital, which boasts the most extensive hospital-based research program in the United States, MGH IHP stands as a beacon of innovation and scholarly pursuit. Learn more: https://avalonu.org/dr-sateesh-arja-pioneering-excellence-in-health-professions-education/ submitted by Significant_Power159 to AUSOM [link] [comments] |
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