How contracted immune hepatitis

Clockwork Kingdom vs Apostatic Union & Wikkans/Gods

2024.05.19 08:33 Espiryo Clockwork Kingdom vs Apostatic Union & Wikkans/Gods

Would the Clockwork King be better for the skyrealms than the Union or Wikkans and their gods, if it were in charge?
I believe there are arguments to be made for both sides.
The King was built by the people of kardova to serve their interests, as the Union was heading in a direction the kardovans and people from all over the union could not accept.
The King, in theory, should be an efficient leader who caters to the exact needs of its subjects in a timely fashion. It is incorruptible and immune to being swayed by political coercion and operates on a precise logic that governs how it should address situations as they arise. It is unbiased and unbound by human deficiencies such as greed and lacks the tricky element associated with godly dealings. The clockwork kingdom thrived and technology accelerated well beyond anything else in the skyrealms under its leadership.
On the other hand, the King is a machine built on cold logic. The King also has unchecked, absolute authority (unlike the gods who are bound by contract, or union politicians who most likely are voted in) over its subjects and has god-like power to do as it sees fit. This is not normally much of an issue, aside from the harsh punishments of utter annihilation at its discretion. But we see what happens when it starts breaking down: People suffer, people and things get erased from reality and banished to the void and memories are lost. Additionally, the corruption is alluded to being caused by the Kings tampering with reality.
But is that considerably worse than the Union or Wikkans? The Union who ruthlessly hunts and suppresses anything that conflicts with their dogma which is built on a lie, and would rather bureaucracy rule humanity? Or the Wikkans and the gods (a mixed bunch for sure) who in general stifled humanity's growth by having sole say on what magic was acceptable and would have humans utterly dependent on the fickle whims of gods?
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2024.05.19 04:52 Tatt30 “Rant”

I truly wouldn’t wish this on my own worst enemy and I don’t even have any enemies. My child is going to graduate HS next month and I can’t even bear to go, because I know my oder is going to be a distraction.(and that’s not including the immense anxiety I developed with this) I just know I’m breaking his heart and it’s breaking mines in return. I had to quit my job, because I literally had to hype myself up to get on public transportation. Then wasted money on cabs home. I’m in debt and on the verge of eviction, because I can’t get a wfh job to save my life even though I’m qualified. I’ve tried sports betting and I’m embarrassed to say how much money I’ve lost doing that.
My BB story is different than others on here. My situation did not start until about six years ago.I started getting extreme heartburn, and would vomit everyday after every meal no matter what I ate. I was in and out of different doctor’s offices everyday. After about four months I was diagnosed with H pylori and gerd, around this time I also found out I had an immuneefficiency disorder(which made sense because I’m always sick, even as a child) I was prescribed AMX, MET, multivitamins and iron to help with the immunity. The meds honestly did not feel like they were working. About two months after that I lost my mother(who had no life insurance, plz y’all get life insurance) abruptly and had to take on the responsibility of raising my little sister on top of being a single father to my own child. All of that put me in a downward spiral of anxiety and depression, so I turned to weed to help numb some of my pain. I then lost my job four months before the pandemic started. Thank goodness I had some money saved and unemployment was approved. A year later I found a job and stopped smoking, but I started to hear whispers around the office about me having bb 5 months in, I assumed it was because I still was experiencing GERD. At this point chewing a piece of gum every few hours was saving me. Three months after that I contracted three bacterial infections(from tacobell) and was on three different antibiotics to help cure that. I lost that job because I literally could not move out of bathroom. A few months later I was able to get another job at the start of the following year, but was already extremely paranoid about my bb. After nine months there I was finally told my breath does in fact smell from here to there, but not all the time. I took a short leave of absence to try and resolve the issue. I completely changed my diet to vegan and started taking apple cider gummies, also come to find out I’m allergic to something in the multivitamins. After my month was up I completely lost confidence in myself, because I knew I still had bb. I truly tried my best to work through it because I had mouths to feed. On New Year’s day 2023 I became sick with Covid for the first time. That’s when everything changed. My bb became room filling to the point where I could hear ppl coughing and sneezing, and see them covering their noses, because of this horrid smell emitting from my body. I was able to take another loa, because my boss over heard me tell my sister I was going to kms. I went to a IG and had an upper endoscopy done. “Everything was fine” and he could not smell anything. I want to a dentist(Dr. Fox) that claimed he specialized in bad breath disorders and could cure me after paying $3500 it failed. So here we are now a year later trying hundreds of different probiotics, anti fungal, toothpaste, mouthwashes, tongue scrapers. Just scraping by, broke, jobless and almost homeless. What a life!
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2024.05.19 04:44 LordofBones89 Revised Deities (3.5e): Lathander, the Morninglord

LATHANDER
The Morninglord, Commander of Creativity, Patron to Spring and Eternal Youth, Mentor of Self-Perfection, Bringer of the Dawn, Lord of Birth and Renewal
Greater Power of Elysium
Symbol Sunrise made of pink, red, and yellow gems, or a simple rosy pink disk
Realm Morninglory (Elysium/Eronia)
Alignment Neutral Good
Aliases none
Superior none (AO)
Allies Chauntea (lover), Deneir, Eldath, Gond, Ilmater, Kelemvor, Llira, Lurue, Mielikki, Milil, Oghma, Paladine, Selune, Siamorphe, Silvanus, Sune, Torm, Tyche (dead), Tymora, Tyr, Ushas
Foes Bane, Beshaba, Bhaal (dead), Cyric, Ibrandul (dead), Iyachtu Xvim (dead), Loviatar, Moander (dead), Myrkul (dead), Shar, Talona
Servants none
Servitor Creatures butterflies, celestials of all types, elysian dragons, hollyphants, radiant creatures, robins (normal and celestial), sanctified creatures, sun peacocks (normal and celestial), sunwyrms (good aligned only)
Manifestations an intense and rosy radiance that appears around objects to indicate special qualities or at confusing or dangerous junctures to indicate a safe or preferred path, and that causes those people it surrounds to be telekinetically pushed out of harmful situations, healed of all wounds, purged of any diseases, poisons, foreign objects, magical and nonmagical afflictions and deleterious effects, magical or psionic compulsions, fear, and curses, causes resurrection effects to be automatically successful, and transmits messages
Signs of Favor aster blossoms, an intense and rosy radiance with the same qualities as his manifestation, sun peacock feathers
Worshipers Aristocrats, artists, athletes, farmers, hunters of the undead, merchants, monks of the Sun Soul, peasants, performers, the youthful
Cleric Alignments LG, NG, CG
Specialty Priests Morninglord
Holy Days Midsummer morning, the mornings of the vernal and autumnal equinoxes
Important Ceremonies Song of Dawn; contracts, marriages and promises made at dawn, funerals for those not meant to be raised or resurrected
Portfolio Athletics, birth, creativity, dawn, renewal, self-perfection, spring, vitality, youth
Domains Community, Courage, Endurance, Good, Glory, Hope, Life, Protection, Radiance, Renewal, Strength, Zeal
Favored Weapon Dawnspeaker (heavy or light mace)

LATHANDER
Male Sentinel 20, Cleric 20, Morninglord 20, Master of Radiance 5
NG Medium Outsider (Extraplanar, Good)
Divine Rank 17
Init 44 (+16 Dex, +8 Superior Initiative); Senses 17-mile-radius; Listen 77, Spot 77; remote sensing (20 locations), portfolio sense
Aura divine aura (DC 78), courage (100 ft, +8 saves against fear), radiant 3/day; Languages can communicate with any living creature; Words of Creation
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AC 105, touch 57, flat-footed 95, undead 107 (+18 armor, +20 deflection, +10 Dex, +17 divine, +30 natural)
hp 1,860 (20d10 + 45d8 plus 1300), fast healing 74; divine shield 23/day (170 hp); renewal 1/day (if fall below 0 but less than -10 hit points regain 1d8 +20 hp); DR 40/epic, evil and adamantine
Immune ability damage, ability drain, banishment, death effects, disease, disintegration, electricity, energy drain, fire, imprisonment, mind-affecting effects, paralysis, poison, rebuking, sleep, sonic, stunning, transmutation, and turning
Resist acid 37, cold 37; SR 81
Fort 111 Ref 101 Will 105; +2 against evil outsiders and undead, +4 against mind-affecting effects from evil outsiders, +5 against evil spells or spells from evil characters
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Speed 60 ft. (12 squares)
Melee dawnspeaker 115/110/105/100 (55 plus 18 fire plus 18 holy plus 1 negative level vs evil plus 48 vs evil outsiders and undead plus undead disruption [Fort DC 79 or die]/19-20/x2 plus 36 fire plus 36 holy plus 2 negative levels vs good plus death [Fort DC 79, evil outsiders and undead] plus undead disruption [Fort DC 79 or die]), +8 atk vs evil outsiders and undead; or
Melee spell 80 or
Ranged spell 76
Base Atk +43; Grp +63
Atk Options Awesome Smite, Cleave, Holy Potency, Power Attack; smite evil 24/day (+20 atk, +455 damage)
Special Actions alter reality, divine blast (444 damage) 23/day, feat of endurance 1/day (+30 Con for 1 minute), destroy evil outsiders and undead 27/day as a 66th level cleric (turning check 73, turning damage 105; Heighten Turning, Intensify Turning, Multiturning, Quicken Turning), protective ward 1/day (+65 resistance bonus to one saving throw for one hour), surge of hope 1/day (when failing a skill check, attack roll, or saving throw, add 1d6 to the result), touch of life 1/day (1d6 +65 temporary hp to a single creature for one hours), zeal 1/day (take 20 on a skill check, except on checks are not normally allowed to take 20, without increasing the amount of time needed to make the check); Battle Blessing, Corona (Will DC 62), Divine Censure (Will DC 62), Epic Divine Might, Epic Divine Vengeance, Sacred Vengeance
Combat Gear dawnspeaker
Divine Spell-like Abilities (CL 65th; +1 good spells; all [fire] and [light] spells are intensified)
At will – aid, animate objects, animate plants, antimagic field, atonement, bear’s endurance, bigby’s clenched fist, bigby’s crushing hand, bigby’s grasping hand, blade barrier (DC 53), bless, bless weapon, bolt of glory, bull’s strength, charm person (DC 48), cloak of bravery, color spray (DC 48), commune, consecrate, crown of glory (DC 55), death ward, dismissal (DC 51), dispel evil (DC 52), disrupt undead, disrupting weapon (DC 52), endure elements, enlarge person, widened faerie fire, flame strike (DC 52), fire shield, fire seeds (DC 53), freedom, gate, globe of invulnerability, good hope, greater cloak of bravery, greater dispel magic, greater heroism, greater planar ally, greater restoration, greater status, greater teleport, heat metal (DC 49), helping hand, heroes’ feast, heroism, hide from undead (DC 48), holy aura (DC 55), holy smite (DC 51), holy sword, holy word (DC 54), hypnotic pattern (DC 49), iron body, lesser restoration, lion’s roar (DC 56), magic vestment, mass bear’s endurance, mass heal (DC 56), mind blank, mordenkainen’s magnificent mansion, plant growth, plane shift (DC 52), polymorph any object (DC 55), prayer, prismatic sphere (DC 56), prismatic spray (DC 54), prismatic wall (DC 56), protection from energy, protection from evil, rary’s telepathic bond, rainbow, rainbow pattern (DC 51), refreshment, refuge, regenerate, reincarnate (DC 51), remove disease, remove fear, repulsion (DC 54), righteous might, sanctuary (DC 48), scintillating pattern, searing light, sustain, spell immunity, spell resistance, status, stoneskin, sympathy (DC 55), summon monster IX (good creatures only), sunbeam (DC 54), sunburst (DC 55), tongues.
1/day – calm emotions (DC 51)
Master of Radiance Spell-like Abilities (CL 56th; +1 good spells; all [fire] and [light] spells are intensified; only usable during aura of radiance)
1/round – beam of sunlight, searing light
Morninglord Spell-like Abilities (CL 54th; +1 good spells; all [fire] and [light] spells are intensified)
1/day – daylight, searing ray (as searing light, but automatically empowered against undead)
Cleric Spells per Day (CL 54th; +1 good spells; all spells are energized and maximized; all [fire] and [light] spells are intensified)
20th (3+1/day) – heightened intensified end to strife (DC 63) (x2), heightened last judgement (DC 70), enhanced heightened intensified mass heal (DC 59) (D).
19th (3+1/day) – heightened miracle (DC 69) (x2), consecrated intensified purified sacred storm of vengeance (DC 59), enhanced empowered heightened sunburst (DC 63) (D).
18th (3+1/day) – consecrated enhanced heightened purified flame strike (DC 62) (x2) (D), intensified quickened righteous smite (DC 57), enhanced intensified righteous smite (DC 57).
17th (3+1/day) – heightened holy word (DC 67) (D), heightened know true name (DC 67), empowered intensified lion’s roar (DC 58), heightened quickened miracle (DC 63).
16th (4+1/day) – intensified mass heal (DC 59), intensified righteous exile (DC 59) (x2), intensified storm of vengeance (DC 59), enhanced quickened sunburst (DC 58) (D).
15th (4+1/day) – empowered intensified blade barrier (DC 56) (D), enhanced quickened searing erupt (DC 59) (x2), intensified mass cure critical wounds, heightened righteous glare (DC 65).
14th (4+1/day) – enhanced fire-substituted fiery searing lion’s roar (DC 58) (D), heightened quickened holy word (DC 60) (x2), empowered quickened sunburst (DC 58) (x2).
13th (4+1/day) – enhanced quickened flame strike (DC 55) (D), quickened implosion (DC 59) (x2), quickened sublime revelry, intensified weight of sin (DC 56).
12th (5+1/day) – empowered enhanced blade barrier (DC 56) (D), empowered enhanced cometfall (DC 56), intensified divine retribution (DC 55), consecrated purified sacred firestorm (DC 58) (x2), quickened visions of the future.
11th (5+1/day) – quickened amber sarcophagus, consecrated purified quickened cometfall (DC 56), sacred searing erupt (DC 59), quickened greater shield of lathander, quickened light of purity, quickened sunbeam (DC 57) (D).
10th (5+1/day) – quickened crown of brilliance, consecrated fire-substituted searing earthquake (DC 58), quickened heal (DC 56) (D), empowered fire-substituted stormrage.
9th (7+1/day) – heightened eternal rest (DC 56), quickened flame strike (DC 55), feast of champions, gate, mantle of the fiery spirit, prismatic sphere (DC 59) (D), summon elemental monolith, undeath’s eternal foe.
8th (8+1/day) – chain dispel, holy aura (DC 58) (D), illusion purge, know true name (DC 58), mass restoration, mass valiant spirit, spread of contentment (DC 58), shun the dark chaos (DC 58), consecrated purified wages of sin.
7th (8+1/day) – bastion of good, control weather, fortunate fate, quickened light of Venya (DC 53), rain of embers (DC 57), radiant assault (x2) (DC 57), rejuvenating light (DC 57), sunbeam (DC 57) (D).
6th(8+1/day) – chasing perfection, consecrate battlefield, quickened deific vengeance (DC 52), heal (DC 56) (D), fiery vision (x2), ghost trap, light of courage (DC 56), vigorous circle.
5th (9+1/day) – atonement, blistering radiance (DC 55), chaav’s laugh (DC 55), condemnation (DC 55), crown of flame, divine agility, divine retribution (DC 55), searing meteoric strike (DC 54) (x2), valiant fury (D).
4th (10+1/day) – aligned aura (DC 54), assay spell resistance (x2), aura of the sun (x2), channeled divine health, cure critical wounds, holy smite (DC 54) (D), recitation, sacred haven, sunmantle.
3rd (10+1/day) – cure serious wounds, fell the greatest foe, find the gap, flamebound symbol (x2), forced manifestation (DC 53), heart’s ease, mass align weapon, phieran’s resolve, prayer (D), protection from negative energy.
2nd (10+1/day) – detect aberration, eagle’s splendor, healing lorecall, make whole, mark of doom (x2), mark of judgment (x2) (DC 52), master’s touch, share talents, shield other (D).
1st (10+1/day) – bless water, conviction, detect taint, divine favor, endure elements (D), exorcism (x2) (DC 51), nimbus of light, ray of hope, ray of resurgence, vision of heaven (DC 51).
Orisons (6/day) – create water, cure minor wounds, guidance, light, purify food and drink, read magic.
Epic Spells Prepared 6 divine, up to Spellcraft DC 122
Epic Spells Known epic mage armor, epic repulsion, epic spell reflection, global warming, glorious light of renewal, greater ruin, hellball, nailed to the sky, nimbus, rain of fire, ruin, superb dispelling. Lathander has additionally created many epic spells that bring light and life, as well as bring ruin to the undead.
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Abilities Str 50, Dex 42, Con 50, Int 36, Wis 51, Cha 50
SQ avatar, bane of the restless, celestial fortitude, celestial minion 1/day, creative fire +20, divine grace, divinity, immortality, lathander’s light, resist fiendish lure
Feats Awesome Smite, Battle Blessing, Cleave, Consecrate Spell, Corona (Will DC 62), Divine Censure (Will DC 62), Divine Might, Divine Vengeance, Empower Spell, Energize Spell, Energy Substitution (fire), Extra Turning, Fiery Spell, Heighten Spell, Heighten Turning, Holy Potency, Improved Critical (heavy mace), Improved Initiative, Improved Turning, Maximize Spell (B), Power Attack, Purify Spell, Quicken Spell, Quicken Turning, Sacred Vengeance, Sanctify Martial Strike, Searing Spell, Weapon Focus (heavy mace), Words of Creation (B)
Epic Feats Enhance Spell, Epic Divine Might, Epic Divine Vengeance, Epic Spellcasting (B), Great Smiting (x2), Improved Heighten Spell, Intensify Spell, Intensify Turning, Multiturning, Positive Energy Aura, Superior Initiative
Salient Divine Abilities Area Divine Shield (170 hp in a 170 ft square or a 17 ft sphere or hemisphere), Automatic Metamagic (energize spell), Banestrike (evil outsiders), Banestrike (undead), Call Creatures (17 celestials with up to 37 HD), Divine Inspiration (hope), Divine Fast Healing (x2), Divine Paladin, Divine Spellcasting, Divine Weapon Focus (heavy mace), Divine Weapon Specialization (heavy mace), Earthmother’s Boon (unique salient divine ability), Energy Burst (170 ft, 136 fire damage), Energy Storm (170 ft, 17 holy and 17 positive), Gift of Life, Indomitable Strength, Life and Death (Fort DC 79 or die, 340 damage on a successful save), Lord of the Dawn (unique salient divine ability), Mass Life and Death (any number of creatures no more than 17 miles apart, Fort DC 79 or die, 340 damage on a successful save), Power of Nature, Rejuvenation (-17, -34 in Morninglory), Undead Mastery (17 creatures)
Skills Appraise 70 (78 paintings and sculptures), Bluff 82, Concentration 125, Craft (painting) 138, Craft (sculpting) 138, Diplomacy 143, Gather Information 72, Heal 125, Jump 84, Intimidate 86, Knowledge (arcana) 80, Knowledge (history) 92, Knowledge (nobility and royalty) 118, Knowledge (religion) 118, Knowledge (the planes) 118, Listen 77, Perform 145, Ride 62, Search 75, Sense Motive 82, Spot 77, Spellcraft 122, Survival 67 (75 extraplanar), Swim 82, Tumble 67
Possessions +8 full plate of the celestial battalion, dawnspeaker

Aura of Radiance (Su) The light of Lathander shines perpetually. No matter how dark it is, the Morninglord sees as though the conditions were identical to the outdoors at sunrise. This ability functions like darkvision out to 60 feet, except that he sees in color. Lathander also has a +2 sacred bonus on saving throws against spells with the darkness descriptor and a +2 sacred bonus to Armor Class against attacks from undead creatures.
Beam of Sunlight (Sp) Lathander can evoke a dazzling beam of intense light (the equivalent of a beam from the sunbeam spell) once per round as a full-round action as long as his radiant aura is active as a 56th level caster.
Blessing of Dawn (Su) The sight of the morning sun is an inspirational vision for the Morninglord. Lathander gains a +2 morale bonus on Will saves from sunrise until noon. This ability is in effect only while he can see the sun; the effect is suppressed any time he is deprived of the sight of it during this period.
Celestial Fortitude (Su) Lathander’s endurance and fortitude are enhanced against fiendish attacks. He has a +2 sacred bonus to all Fortitude saving throws against effects from evil outsiders and evil spells. Additionally, if he makes a successful Fortitude saving throw against an effect from an evil spell or evil outsider that normally deals half damage or partial effects on a successful save, he instead takes no damage and suffers no partial effects.
Celestial Minion (Sp) Lathander may summon a Medium or smaller size celestial animal (with the celestial creature template) as a standard action usable once a day. This celestial minion carries the same responsibilities as a paladin's special mount and gains the same bonuses to its HD, natural armor, Strength, Intelligence, and other special abilities that a paladin's special mount has, but only remains for 20 hours before returning to the outer plane from whence it came.
Creative Fire (Ex) The Morninglord is a creative, expressive deity. He has a bonus equal to his morninglord level on all Craft and Perform checks.
Divinity Lathander is an embodiment of ancient divine power. As such, reality is his to shape as he sees fit.
Alter Reality: Lathander may alter reality within the bounds of his portfolio. This functions as a wish spell that requires no XP or material cost. The limits of this ability are fully described in Deities and Demigods. He can additionally alter his size from Fine to Colossal and may additionally alter up to 100 pounds of objects in the same manner.
Avatar: Lathander can have up to 20 avatars at any given time. The Morninglord appears as a golden-skinned athletic male of exceeding beauty who has just fully entered early manhood. He wears noble robes constructed in the colors of the dawn, carries himself proudly, and dresses in the finest golden plate armor if attending to matters that might turn violent.
Divine Blast: Lathander can create a ray of divine power that extends for up to 17 miles, dealing up to 444 points of damage, as a ranged touch attack with no saving throw. Lathander can unleash a divine blast 23 times per day, and alter the visual, auditory and sensation-based qualities of his divine blast as he desires. Lathander’s divine blasts generally take the form of rays of fiery sunlight.
Divine Shield: As a free action 23 times per day, Lathander can create a shield that lasts 10 minutes and stops 170 points of damage from attacks. Once the shield stops that much damage, it collapses. Any damage Lathander is naturally immune to does not count towards the shield’s limits.
Earthmother’s Boon (unique salient divine ability) Chauntea is Lathander’s lover and has bestowed a degree of protection over her consort. By her grace, the Lord of the Dawn cannot be harmed by any nonmagical plant or any creature with less than 33 Hit Dice with the plant subtype. Epic creatures and creatures with equal or more than 33 Hit Dice must succeed at a Will save (DC 79) to harm the Morninglord.
Greater Turning (Su) Six times per day, Lathander may use greater turning as the granted power of the Sun domain. This is superseded by his Lord of the Dawn salient divine ability.
Lathander's Light (Su) Whenever Lathander casts a spell with the light descriptor, its area is doubled.
Lord of the Dawn (unique salient divine ability) Lathander is the sun. He is the light that drives back the darkness, the brilliant spark that lights the way out of night and the creative brilliance within every artist. His dominion over light and the sun, both physical and metaphysical, grants him a variety of powers as listed below:
Fires of the Sun: The light of the sun shields Lathander’s body. This protection renders Lathander immune to all forms of magical and nonmagical fire, with searing effects only dealing half damage. In addition, spells and spell-like abilities cast by Lathander from the Sun domain, or with the [fire] and [light] descriptors, are similarly enhanced and are always intensified.
Radiance of the Dawn: Lathander can shed light equal to full sunlight in a 17-mile emanation from his body that counters and dispels all Darkness effects unless created by a higher ranked deity. Undead and evil outsiders caught within the radius must succeed at a Fortitude save (DC 79) or be destroyed and turned into dust. Creatures vulnerable to sunlight suffer a -17 penalty to the saving throw. A successful saving throw still deals 17d8 points of damage, while creatures vulnerable to sunlight suffer 17d12 points of damage.
Spark of Creativity: Lathander is the commander of creativity, the inspiration and muse for craftsmen and artists throughout the Realms. 17 times per day, Lathander may bestow a +17 divine bonus to any Craft or Performance check, or the Efficient Item Creation feat, to up to 17 creatures for the next 24 hours. Performances and non-magical items crafted beneath the aegis of this ability always earn three times the normal gold amount and have three times the listed market price in cost. Magical items crafted with the benefit of this ability add +17,000 gp to the listed market price and increase any numeric benefit (enhancement bonuses for the purpose of attack and damage rolls, armor and save bonuses and so forth) by +4.
Spurn the Profane: Lathander uses the totality of his character level to determine the effectiveness of his ability to smite evil, turn outsiders and undead as well as any of his feats that affect the undead. His turn attempts resolve as greater turnings (as the granted power of the Sun domain). In addition, Lathander adds his paladin spells to his clerical spell list, using the sum of both lists to determine his caster level.
Wrath of the Dawn: As a standard action Lathander can generate a ray of scorching light that extends for up to 17 miles and inflicts 17d6 points of damage, half fire and half divine. As a full attack option, he can generate up to four rays, and undead and evil outsiders suffer 17d12 points of damage. In addition, Lathander can duplicate the effects of any spell with the [light] descriptor as a standard action. (CL 65th, DC 50 plus spell level).
Maximize Turning (Su) Once per day, Lathander can automatically achieve the maximum possible result on a turning damage roll. This is superseded by his natural divine powers.
Radiant Aura (Su) Three times per day, Lathander can emanate an aura of brilliant light that weakens undead creatures for one minute. The aura provides bright illumination in a 30-foot radius around him, and shadowy illumination for an additional 30 feet beyond that. Creatures that take penalties in bright light also take them while within the radius of the bright aura. In addition, undead creatures within the radius of bright light take a —2 penalty on attack rolls, damage rolls, and saving throws. Activating the radiant aura is a free action that does not provoke attacks of opportunity. While his radiant aura is active, Lathander casts spells with the light descriptor at +2 caster level. The radiant aura is the equivalent of a 5th-level spell with the light descriptor for the purpose of interacting with spells and effects with the darkness descriptor.
Rejuvenation of the Morn (Su) Dawn is a powerful symbol of rebirth and renewal. Once per tenday, Lathander may spend one uninterrupted hour before dawn in prayer. As soon as the sun rises after this prayer ritual, he gains one benefit of his choice from the following list.
· Healing up to full normal hit points (self only).
· Removal of any poisons or diseases (self only). This effect does not restore ability damage or ability drain caused by poison or disease.
· Full restoration of ability damage due to one poison or disease.
If his prayers are interrupted for even a single round, the attempt is ruined, and he must wait a full tenday to try again.
Resist Fiendish Lure (Su) Lathander has a +4 sacred bonus to all saving throws against mind-affecting attacks of evil outsiders.
Possessions
Dawnspeaker, Lathander’s gold-and-ivory mace, is a +10 fiery blast ghost strike mighty disruption heavy mace of holy power and evil outsider and undead dread. When held by the Morninglord, it also functions as a holy devastator. The DC of the weapon’s disruption and dread abilities is 79, and creatures vulnerable to sunlight suffer a -17 penalty to saving throws made to resist Dawnspeaker’s abilities. Lathander is known to loan out Dawnspeaker to questors and warriors he deems worthy and can call it back to his hand from anywhere in the cosmos.
The Morninglord also occasionally wears a set of golden +8 full plate with the powers of an armor of the celestial battalion. The bonuses are not reflected in the above statistics.
Other Divine Powers As a greater deity, Lathander automatically receives the best possible result on any die roll he makes (including attack rolls, damage, checks, and saves). He treats a 1 on an attack roll or saving throw normally and not as an automatic failure. He is immortal. Senses Lathander can see (using normal vision or darkvision), hear, touch, and smell at a distance of 17 miles. As a standard action, he can perceive anything within 17 miles of his worshippers, holy sites, objects, or any location where one of his titles or name was spoken in the last hour. He can extend his senses to up to 20 locations at once. He can block the sensing power of deities of his rank or lower at up to two remote locations at once for 17 hours. Portfolio Sense Lathander is aware of any event under the light of the sun, competition or act of artistry of the number of people involved up to 17 weeks in the past and 17 weeks in the future. Automatic Actions Lathander can use any skill related to his portfolio as a free action if the DC for the task is 30 or lower. He can perform up to twenty such free actions each round. Create Magic Items Lathander can craft any magical item that associated with heat and light, aids in self-empowerment, preserves or restores vitality or harms the undead, including artifacts.
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Eternal Rest [Ravenloft: Legacy of Blood 71]
Necromancy
Level: Cleric 6
Components: V, S, DF
Casting Time: 1 standard action
Range: Close (25 ft. + 5 ft./2 levels)
Effect: Ray (see text)
Duration: Instantaneous
Saving Throw: Will partial (see text)
Spell Resistance: Yes
This spell creates a ray of golden light that destroys one undead creature’s material body (if it has one), causing it to crumble to dust, which is then wafted away in a swirling breeze. This spell affects incorporeal undead without the usual incorporeal miss chance, and such a creature merely winks out of existence if it fails its save. If the target makes a successful save, it still takes 6d6 points of damage. If the creature has a special quality that allows it to return after destruction (such as a vampire’s fast healing power or a ghost’s rejuvenation power), the creature gains a bonus equal to its Charisma modifier on its saving throw. If such a creature fails its saving throw against this spell, it must make a successful Will save at the same DC (also with its Charisma modifier as a bonus) to return. If the creature’s method of return normally requires a saving throw (as a ghost’s rejuvenation power does), the creature must first make that saving throw, then make the Will saving throw against this spell.
You can improve your chance of success by presenting at least one object or substance that the target hates, fears, or otherwise finds repulsive or painful (such as a mirror and bud of garlic for a vampire). For each such object or substance, you gain a +1 bonus on your caster level check to overcome the target’s spell resistance (if any), and the spell’s saving throw DC increases by +1. A particular creature’s history might suggest additional objects or substances that would make the spell more effective.
This spell can also be cast when an undead creature has been physically destroyed and its remains are not present. In this case, the spell must be aimed at the spot where the creature was destroyed, and it must be used within 1 minute of the undead creature’s destruction. No attack roll is required for this use of the spell.
This spell can destroy an undead darklord’s physical form, but it cannot prevent the darklord from returning.
Rainbow [Dragon Magazine 321 68]
Conjuration (Creation)
Level: Cleric 6, Radiance 6
Components: V, S, DF
Casting Time: 1 standard action
Effect: Rainbow bow, quiver, and arrows
Duration: 1 hour / level
Saving Throw: No
Spell Resistance: Yes
A rainbow-hued longbow appears in your hand, along with a full quiver of arrows fletched with different colors. The longbow is considered a +1 longbow that the caster is proficient with. The quiver holds an endless supply of seven different colored arrows, each being made of a different material and having the following effects:
Red: +1 elemental-bane adamantine arrows.
Orange: +1 construct-bane silver arrows.
Yellow: +1 plant-bane evil-aligned arrows.
Green: +1 magical beast-bane good-aligned arrows.
Blue: +1 undead-bane lawful-aligned arrows.
Indigo: +1 aberration-bane chaotic-aligned arrows.
Violet: +1 dragon-bane cold iron arrows.
Only the caster is able to use the bow, quiver, and arrows. They appear immediately back in the caster’s possession if dropped or given away, though the caster may drop the bow and quiver to use another item, but can rematerialize them at will, as a free action. The bow, quiver, and arrows have no weight and cannot be disarmed or sundered.
Know True Name [Kalamar: Player’s Guide 3.0 177]
Enchantment (Compulsion) [Mind-Affecting]
Level: Cleric 8
Components: V, S, DF
Casting Time: 1 action
Ranged: Close (25 ft. + 5 ft. / 2 levels)
Target: One fiend
Duration: Instantaneous
Saving Throw: Will negates
Spell Resistance: Yes
You force a fiend to tell you its true name. Once you know a fiend’s true name, all spells that you cast at that creature have their save DCs increase by +4. You also gain a +4 on all checks to penetrate the creature’s spell resistance.
submitted by LordofBones89 to Forgotten_Realms [link] [comments]


2024.05.18 23:15 ChadEriksen Let's discuss ! "My own" Another Eden Hall of Fame, here's my extensive list, it's a Long read and hope you enjoy it. What is your "Best of" ? Please share your thoughts and you can use my post as template.

Hello everyone, I've been wanting to make this post for a while and now here we are ! This is a long post but ENJOY !!!
Another Eden is now 7 years old which means many stories, characters and an entire world...or rather time periods/timelines that currently exists. So here's the question, what's your Another Eden Hall of Fame ? Both Meta and Non Meta related.
Note: Remember that what I'm about to write is based SOLELY ON MY OPINION but I'm interested to see what my fellow Residents of Time's Forgotten Keep think ! Without further ado, let's start:
  1. Best Story Protagonist (Excluding Aldo): Nona
    Another Eden is composed of many stories and they are NOT always centered around Aldo which is the game's protagonist, few examples of that being Deirdre in the Knights Episodes/Nona in Apocrypha and Wryz from the recent Wryz Saga. My pick is Nona because she has BY FAR the best character development and to me she took the spotlight in the entire Apocrypha. In fact I'd argue that if Another Eden had the "Choose your Protagonist" Aldo would be the Male Protagonist and Nona would be the Female one because she's litterally the Protogonist of Apocrypha and it can be regarded as a "Game within a game" so yea that says alot.
  2. Best Side Story: Western Mythos (Song of Sword and Wings of Lost Paradise)
    The Western Mythos is the best story in my opinion (And actually alot of players do agree with me on that). The Zerberiya continent, the world, the cast of characters and the story is phenomenal from it's 1st chapter to the finale. I know that people will tell me Future Mythos is also great but it doesn't have THAT impact on me as much as the Western Mythos did.
Which is why (Rant Warning!) WFS ! WHERE'S MY WESTERN EXPANSTION !!! WHY DID YOU FORGOT THAT ZERBERIYA EXISTS ?? WE NEED MORE OF PEAK !! That is hurting me alot !! The only story which is a close second is Apocrypha but Western Mythos is the far better one and I'm thankful for Another Eden for creating that. I do hope that the Highly Rumored Eastern Mythos would be just as good because speaking of...
  1. Best Main Story: Main Story Part 2 (Tales of the East)
    There are currently four Main Stories: Main Story Part 1;Main Story Part 1.5 (Ogre Wars) ;Main Story Part 2 (Tales of the East) and the currently Main Story Part 3 (Into the Hollow).
    In my mind while having played all of those stories, I still find myself being drawn and attached to the Eastern Continent ! Because I truly love the setting ! WFS clearly nailed it and even so when you consider the amount of "Eastern" Personality characters that are in the game which is the highest in the game at 30 characters (Not counting AS/ES). Heck I'm currently replaying the Main Story Part 2 because I enjoyed it even better than the current Part 3 which from a pure gameplay sure it's better but in terms of Story/Characters and OST then to me nothing beats the Garulea Continent (Present/Past/Future and Underworld) !
Alot of people in the sub love Eastern characters, most notably u/NoWaifuN0Laifu who like Hozuki, an Eastern sensual Fox Lady so yea there's that.
This is in part why I'm extremely hyped for Eastern Mythos and I can't wait for it ! And Yukino Alter (One of the main things keeping me attached to Another Eden)
  1. Best Character Quest: Melissa
    Melissa is by far the best Character Quest and ask any veteran player and he'll tell you that. It's also the darkest and the saddest one in the entire game and it's special in the fact that Aldo IS NOT PRESENT in it at all ! Imagine THAT ! I won't say more because of spoilers but if you don't have Melissa you can just search on Youtube as her CQ is there and you can watch it ! If you have her but have not played her quest...WHAT ARE YOU WAITING for ? DO IT !
  2. Best Character: Yukino
    This is subjective and my AE subreddit flair checks out, I love Yukino so much since her introduction, apart from me having a thing for women/girls with Ice powers, her story and how she was created (Also she's Eastern as well so another point !) also her relationship to Tsukiha so no need to say more!
  3. Best Antagonist/Villain: Guildna (Main Story Part 1)
    The reason why to me Guildna is the best villain is NOT what you think it is ! Another Eden is a game centered around stories Beyond Time and Space there I said it but while there are really good villainy characters like for instance the Empress/Emperor of the Land of Mi and Shin (Again Eastern !) Garneli and Genshin but Guildna is special because he made me appreciate Main Story Part 1 alot more then the other characters, it tells you what happened if Guildna makes some impactful decisions in the storyline. Besides without Guildna there's no Aldo and therefore no Another Eden !
  4. Best Cat Companion: Kuchiba
    I love the Siamese Cat Breed and Kuchiba IS the only one in the game in whom I didn't change ever since I found her years ago in Vermillion Road (Another Eastern Reference, see what I told you)
  5. Best NPC: Some Guy
    He's Scott literally everywhere in the game. From the past to the future, from Zerberiya to Garulea, heck even in the Hollow you'll find him ! There's no way I make a list without appreciating "Some Guy" and his deeds to the game.
  6. Best Frog: Cyrus (He's Eastern aswell ! I tell you this is why the Eastern Setting is THE BEST !!)
  7. Best Main Cast Character: Guildna
  8. Best Mascot: Varuo
    If Moke wasn't released as a playable Sidekick he would have been my pick but now I have to choose the 2nd best IMO and that's Varuo. The Iconic Cat mascot in the game.
  9. Best Boss: Caroline and Justine (From Persona 5 Royal part 2 Collab)
    This boss used to be the hardest boss in the game for a long time and for good reason as it has alot of HP stoppers and has TONS of HP, while the boss has been powercrept and now easy with the recent units...back than it was a pain, another close second would be the Toova AS Manifest Battle which used to be the hardest Manifest fight in the entire game because of Toova AS insane fixed DMG and RNG involved.
  10. Best OST: エルの唄~メリナ Song of Sword and Wings of Lost Paradise ED ~ The Stifling Song Melina Edition
    The best theme for the best story in the game, everytime I hear the OST I unconsciously start humming and even start tearing up because it's JUST THAT GOOD and after playing the Western Mythos and knowing what the lyrics means...man it hits hard ! A close second is Apex Logic and Cardinal Scales ED ~ Immaculate Full Version but let's be real ! The game is full of the best OST in a game ever !
  11. Best Battle OST: Apex Logic and Cardinal Scales ~ Last Notes of the Battle Song Alter Dewey Boss Theme.
    This one is hard to choose as the game is packed full of Bangers in the Battle Theme departement but this one personally gets me all hyped...besides even you didn't reach that part of the game it still hypes you up ! A close second is First Knight and The Holy Sword ~ Dear My Dearest -Prayer of the Holy War- as I loved the Knights Episode Story so much and love the plot twist which leaves to this battle.
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Now let's go to the Meta:
  1. Best Free Character: Nona AS
    Seriously she's by far the most flexible free character in the game, yea sure it takes a bit to get her but she can give 1/3 of her stats to anyone and she can mold her kit into the unit she's devoted to including zone setting/element and attack type change etc... She's even more good when used with Aldo (And it's canon aswell as she's devoted to Aldo and loves him so much which he also does (Not in a friend way btw)) and we know SA Aldo is OP especially at 255 Light so yea !
  2. Best Zone Setter: Iphi
    To qualify for The Best, a unit doesn't just has to set a zone but it needs to have OP effects with the zone setting skill/VC and to me no one who's better at that than Iphi, her zone setting skill Walpurgisnacht is seriously broken: First of all the skill is Pre-emptive; you get the best elemental zone (Shade zone); you get Blood Contract which gives you survivability and Lunatic Risktaker; you get 5T Magic Focus and if you recast it, you get Kaleido switch to Shade element for 1T for all units...ALL OF THOSE in a single skill and moreso when you realise that these are all skills you usually see in Stellar Awakening Locked-Behind recent units in a unit released a year ago
  3. Best Damage Dealer (DPS): Xianhua
    Before Xianhua got released and broke the DPS meta, Yakumo and Sesta used to dominate that market but now Xianhua is the best end of question ! The reason being that her DPS potential is not locked behind her SA skill as most recent units does.
  4. Best True Tank: Radias AS
    Some people might argue that Radias AS is being powercrept but to me a Tank is more than just high HP/DEF/DMG Mitigation via Shield or Debuffs but to me a Tank in AE needs to have Guard and Rage and to me Radias AS is still the best one even if she's now almost 2 years old. While Alma AS is alot more recent and has all of those she's more of a Secondary DPS/Support than a tank and her Guard is conditional; Soira AS doesn't have Guard;Anabel ES doesn't have Guard nor Rage and Prai is constrained by Stun after Guard
  5. Best Support: Myunfa Alter
    I tried alot of units but to me no one can do support/sustain in the entire game than Myunfa Alter, seriously her kit is a dream to every one, she has everything you can think of, YEP EVERY.SINGLE.SUPPORT.EFFECT in her kit. If you have the fourth slot (80 light) she's even better, she support the entire party but more so the unit on her right:
* She can heal HP and MP and reduce MP consumption.
* She can tank (Tho not with Guard but with DMG mitigation such as -50% DMG taken, a 2000 Max HP Shield and insane debuffs + Buff END/SPR).
* She can set Earh/Magic Zone (3 Staff users+) and can awaken any zone.
* She can give Magic and Singular Focus.
* She can give Weapon Type DMG and Weakness Multiplier.
* She can give Status and Knockback Immunity.
* She set 3T pain/poison ignore res.
Yes everything I said above is in her kit, what's more is that she can do most of these preemptively and do you know what's more insane ! She's not bound by the Stellar Awakening System !
  1. Best Healer: Anabel ES
    She can heal 50% HP/15% MP but unlike Radias AS which can also do it in a counter, if you put her in Guiding Light she gets +50% DMG and Healing meaning she can potentially heals 100% HP ! Something only seen in EX Attacks in ES characters and that one requires complex setting.
  2. Best Pain/Poison Setter and DoT (Damage over Time) user: Pom AS
    A Best Pain/Poison setter doesn't just have to set p/p ignore res as most units can do that but can use p/p as DoT (Damage over Time) and no one can do it better then Pom. Heck 4⭐ Pom has been known for her gimmick of giving p/p if you have the appropriate equipment and there's Grasta Ores that gives +50% DMG if user is inflicted with Pain/Poison so yea.
  3. Best AF user: Miyu ES
    To qualify for this the unit has to benefit more from using AF (Another Force) either by doing more DPS in AF or get easy AF Combo Multiplier, it's been known that Thunder units are the ones who can use AF efficiently and while the current Meta revolves around DMG outside AF, some units only shines in AF and Miyu ES is just that, a close second would be Victor AS but he can be tricky to use as you need the AF Combo to 1000% for him to deal 7300% DMG Multiplier but in a Thunder Team with high SPD it's possible.
  4. Best Singer: Milsha AS
    While Singing has been powercrept by Praying, I still use Singing units from time to time and Milsha AS is by far the best from the best, seriously her 2 songs can give different Lunatic to the entire party depending on the Song being user (Sacrifice and Risktaker) and this effect can co-exist with other lunatic.
  5. Best Praying unit: Toova ES
    This one is hard as most Praying units are OP ! However for me Toova ES takes the crown by a slight margin, just set her pray and forget about her and if you have a unit which can Cover (Iphi is most used with her) then you don't have to worry about her taking DMG and breaking Prayer.
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Phew This essay took me 3 hours to write but that's how much I love Another Eden even tho the game's questionable direction does leave alot to be desired, I hope you enjoyed reading and I want to see everyone's opinion
submitted by ChadEriksen to AnotherEdenGlobal [link] [comments]


2024.05.18 19:48 healthmedicinet Health Daily News May 17 2024

DAY: MAY 17, 2024

MAY 17, 2024
submitted by healthmedicinet to u/healthmedicinet [link] [comments]


2024.05.18 16:51 stormypenny On SSP due to disability, employer expecting reduction in contracted hours

I'm dealing with an auto-immune disease that's recognised as a disability in the UK (where I currently live and work). I've been experiencing a flare-up that forced me to work at reduced hours. The specialist I've been seeing has suggested I continue to do so until my treatment starts to work. This could be anywhere from four weeks to a year+.
My manager disclosed my disability to my boss (without my consent, because I did not have a definite diagnosis at the time), and a meeting was called. I was presented with fun facts about how people with my disability cost companies a lot of money. The very strong insinuation was that if I started costing them money, I'd be dismissed.
Recently, the flare-up got even worse and I'm now stuck at home and will need to go on SSP until I can be on my feet for longer than 40 minutes.
Because of the way the first meeting was handled, I felt it detrimental to have things in writing. I requested via email that anything pertaining to my disability be communicated through writing/email. I've been denied this request (although they were "happy to be recorded"). My boss has always paid SSP in the past at full wage, and he said he'd continue to do so, even though the contract has a very generic, non specific, singular line of, "SSP will be paid."
Which sounds generous, except he said we should reduce my contracted hours. In effect, he'd just be paying regular SSP. I don’t yet know how far my employer wants to reduce my hours.
So my questions are:
  1. Can my employer make up a new contract with fewer hours just to get out of paying me my current contracted hours as per his own SSP policy? Even if I don’t agree? What happens if I disagree? I'm currently contracted to work 25 hours.
  2. Can they make me attend a face-to-face meeting if I'm uncomfortable and requested things be in writing instead? My manager has always been gunning for me and has actively made my working life a living hell with constant bullying and gaslighting. But because it's such a small company there is no HR, and although I've complained to the boss, nothing was done.
  3. I intend to quit. As I was constantly told by my manager that I’m not really needed, that the whole operation could be handled by one person, can I ask to be made redundant instead?
Further details: I've been working there for a decade. My manager was on SSP enjoying a fully paid wage after surgery. Not once was it suggested the manager's hours get reduced. I know for a fact my manager is behind my boss’ suggestion, because my manager has accomplished similar things in the past to spite me and admitted it to my face. My manager has previously disclosed a mental disorder of mine without my consent (despite promising she wouldn't).
Thank you in advance for any wisdom you might provide.
submitted by stormypenny to LegalAdviceUK [link] [comments]


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2024.05.17 21:48 Material_Baker8256 Take My Online Test for Me Reddit Take My Physics Exam for Me Reddit Take My Proctored Exam for Me Reddit Take My Statistics Exam for Me Reddit Take My Test for Me Reddit Takemyonlineexams Reddit Test Taker Reddit We Take Classes Reddit Write My Exam for Me Reddit Reddit Help

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2024.05.17 19:57 Dragon-King-of-Death One of The Most Broken Perk Combos!

Okay so I have found the most broken build in existence for the JUMPCHAIN!?! It goes something like this…..
First you need Apex Predator​ from Generic Dinosaur Gauntlet. {Apex Predator​ (600cp)}: You are the deadliest hunter to ever exist, the ultimate predator. Your instincts for stalking, tracking, hunting, and killing are peerless, quickly becoming a master at hunting any new prey in any new environment. You always know where your targets are vulnerable and the optimum way to hit them. Your luck when hunting, whether in general or for specific prey, is bordering on impossibly good. You can kill anything, even things that lack the capacity to die, and anything you kill stays dead.
With this anything you kill stays dead. Second is the Unbound By Thread perk from the Percy Jackson Jump. {Unbound By Thread (600CP)}: Coming from outside this realm, from beyond the reach of Fate itself, has made you dangerous Jumper. For instead of being bound to the prophecies of the three sisters, you exist outside as an unaffected force, unbound and unshackled. You’ll find that within your power is the strength to distort and even break the events of prophecy, defying these predetermined events with gusto. Creatures who can only be struck down by the chosen hero will fall to your blade, the doors that only open at the eve of the apocalypse will do so at your push. In addition, this condition has opened your eyes to that of Prophecy. While initially impossible to control, you may open yourself up to the spirits that be to foresee visions of the future, often through strange and hard to understand poetry, which upon interpretation can give one insight into important future events.
And the Fate-proof from The Other Harry Potter Fanfiction Jump. {Fate-proof (400 MP)}: Fate doesn’t actually exist in the canonical version of this world. Divination only shows what is likely to happen and even genuine prophecies explicitly don’t always come true. But some authors don’t get the memo and depict Fate as an extant entity manipulating things and trying to subvert free will in favor of her(always her) narratives. Luckily for you, you’re immune to such things, a prophecy about you will only be true if it is to your benefit, and even then only if you want it to, ‘fate manipulation’ type effects can only be used to your benefit, and you can ignore the fates of others and just do what you want with no consequences in such regards.
This will make you more immune to fate and fate manipulation abilities. After that is the Mystic Eyes of Balor’s Eye from the Nasuverse Jumpchain. {Mystic Eyes of Balor’s Eye (1200)}: •The original form of the Mystic Eyes of Death Perception heralding from ancient Irish myth, these eyes could be considered the original form of that rare and deadly power, possessed by the Demon God Balor. These eyes can be activated and deactivated at will. They manifest as a third eye on your forehead. The skin on your forehead seems to be torn apart as Balor's Eye forces its way out, yet no blood comes gushing out as an observer would expect. When the eye is deactivated, the skin returns to its previous state, as if it had never been ripped away. Where the Mystic Eyes of Death Perception only allow the user to view and manually sever Lines and Points of Death, Balor’s Eye is capable of viewing and severing those Lines with merely a glance. As long as you can see a Line of Death, you can sever it without effort. This does not extend to Points of Death. Those must still be manually pierced by the bearer of these eyes. If the target doesn’t have a concept of death, you can impose one on them. This manifests as a single Point of Death. However, you must pierce that point of death manually, as you would with the Mystic Eyes of Death Perception. This Point of Death will only be maintained for as long as you can keep your gaze on your target.
This will allow you to kill with just a glance and even affect beings who don’t have the concept of death. Then to enhance your killing ability would be the Old Man perk and the Azrael sword from the Fate Legends Oasis of Fantasy jump {Old Man (600)}: Assassination is an art. It’s one you realised needed to be cultivated and honed. But it is also something you realised would be better grown by others that could truly master those arts. Perhaps you felt you never could become a true assassin because you already had such a talent for death that you could no longer hide from any prey you sought. When your presence brings visions of death to your targets, it becomes impossible to hide. But that is the fate for the assassin of assassins. Your nature is that of a simple and straightforward dealer of death. Through this option, you do not have a dozen tricks or the skill to craft the perfect trap or the ability to talk your way into the heart of any man. You do not need it. Your sheer, natural power leaves even dragons and demons of the highest orders realising that they face at least an equal, if not a superior, in physical might. Your speed is such that only the greatest warriors of mankind could even recognise you had moved before their heads slip from their necks. Even should they be able to see you move, your skill in combat without a weapon or with one of almost any kind is almost on the level of the gods of war themselves. Your affinity for death is so powerful that you are not even limited to the killing of physical matter, as you can strike at and kill things even on a immaterial or conceptual level. Splitting a soul in half, cutting a demon out of a man, erasing a magical contract between two beings with a strike or destroying the lack of a concept of death by a mighty slash. Even immortal beings cease to be in your presence. It has also given you a connection to strange flames of the underworld, manifesting as powerful blue fire that you can freely summon, allowing you to attack or even teleport through the flames, as well as the ability to control sand and the desert on a enormous scale, burying entire cities in sandstorms. The one downside is that those you seek to kill can now sense the evening bell tolling for them as you approach, warning them that their death is nigh and showing them a horrifying vision of you as you prepare to strike, even if you can perfectly conceal yourself from any being. It is a good thing though, that your prey would always see your face just as they die and carry it to the next world with them. {Azrael (600)}: A huge black blade, a broadsword that looks like it was made to be wielded by a man seven feet tall. Yet, when you hold it, it does not feel any heavier than a feather. Indeed, you swing the blade as if you were a master of the sword, regardless of your actual expertise in such matters. Almost as if the sword wishes to be used in battle and will show you the way to do so. The first time you use this black blade, Azrael, in battle, you’ll discover its power. A single cut, no matter how miniscule, brings death. The mere presence of the blade will weaken and rot your foes but regardless of how strong, important or resistant the enemy may be, a cut from Azrael has a chance of killing them. The greater the cut, the higher the chance of instant death becomes. Even a mortal has a good chance to survive should you barely nick the tip of their finger but even a true and fleshly god might be utterly destroyed in an instant should your dark weapon pierce their heart. The blade kills truly, leaving no chance to return for it’s victims, and will strike without regard to the presence of the physical or not. You may import an existing weapon into this role.
This makes it so you can kill anything you want to. But the next two perks will make it vary easy to truly kill something. With To Kill A Numidium and Slayer of ManniMAKATOSH from the Elder Scrolls C0DA jump. {Slayer of ManniMAKATOSH (400)}: A mutilated and defanged form of the Time Dragon, fused with the King of Worms, made to dig up tunnels in the rust-red sugar-sand soil and rock of Masser, now little more than a Worm. It had to be taken care of - made a non-entity, the threat it posed removed, and put out of its own mindless and uncomprehending misery. You and your kin did just that - put down the godbeast of time and death, so that its wormtunnels may house the moon-mer exodites of Tomorrowind and moondrunk children of Fadomai's Favored Daughter. But, though with strange aeons and in kalpas unseen even death may die, Time is not so easily slain, for the Aurbic subgradient exists in little but the Gray Maybe. The god of Time is always on the clock, but the Clock is broken. Still, you and yours at the very least tamed the Worm. You may choose to make your attacks - and indeed, actions in general - omnitemporal, stretching back ages and forward millenia. That which you slay will turn out to have been slain by you before it was ever born, and all its actions and effects undone. That which you take will turn out to have always been yours, and will always be yours, for in every single instance of time - whether you count in zeptoseconds or oscillations of caesium atoms - it is being taken by you. The Dragon didn't Break, it shattered, and you walk among the shards. Worth mentioning is that to strike something at everytime is to strike it at everyspace and everypoint, making your attacks omnidirectional and omnidimensional, as well as omnitemporal, making it rather impossible to defend against them. Your strikes will always yield wounds. {To Kill A Numidium (600)}: The Walk-Brass of Kagrenac that says NO to all it passes over. The dwemer god of reason and gears, made to in turn unmake the falsehood of the Dream. How does one end the thing of the end? Unmake the unmaking? Negate the negation, destroy the destruction, kill the killing? You turn the unmaking into the making, NO into YES, negative into positive, and then you strike. Anumidium was made to shout NO at the creation, so you make it subvert its own purpose. Make it shout NO at itself. You can easily turn those you face inside out - much like an autoimmune disorder makes the body attack itself, you can at will make the enemy destroy itself - be it simply shooting themselves in head, or carving up their own ur-self. If that is not to your liking, you may instead turn them inside out - they will lose their powers, turn into the inverted versions of themselves, and be free for you to kill yourself, if you wish to be the great slayer yourself, instead of letting your foes go the inglorious way of suicide. And more than that, though Enantiomorph you may not be, you may take from your enemies that which they cherished. The Prime Gestalt had only his NO, and you may take that from him - in simpler terms, those you subject to this misery will have their own skills stolen, you will learn them inside out and use them to kill the foe before you. You are a self-thief, a skill-vampire and knowledge-eater. And you don't even have to cut your hands off for this!
Need I say more on those two? And then there is Godspeed and The Swallow's Dance from The Holy Man of the Church Creek jump. {Godspeed (400 CP)}: Godspeed is a devastating ability created by Hercules to defeat the Hydra. With this perk, you can replicate this feat unleashing a flurry of nine strikes in a single moment, displaying unmatched speed and precision. This technique, derived from the pinnacle of weapon mastery, allows you to manifest the power of a myth in its fullest form. When activating Godspeed, you become a blur of motion, traversing the battlefield with unmatched swiftness. Each strike you unleash is imbued with incredible power, targeting the vitals of your opponents with lethal precision. Lastly, this technique is not limited to a specific weapon, as it draws out the maximum potential of any weapon you wield, elevating it to the status of a Noble Phantasm. {The Swallow's Dance (200 CP)}: Saskai Kojiro is amongst the greatest sword masters to ever live. With this perk, you gain unparalleled proficiency in the art of swordplay, akin to Saskai's lifetime of training and dedication. With the Swallow's Dance, your movements become a mesmerizing display of grace and precision. You seamlessly execute complex techniques and maneuvers, effortlessly weaving between offense and defense. Your strikes are imbued with the same elegance and lethal efficiency as Saskai's, making you a formidable combatant. The essence of this perk lies in the ability to overlay multiple attacks at once, just like Saskai's legendary "Tsubame Gaeshi." With a single swing of your blade, you unleash a barrage of strikes that converge upon your foes from multiple angles simultaneously. You can perform this offensive technique with any weapon or ability allowing you to launch nearly unblockable attacks. Lastly, this also allows you to massively increase your damage output by multiplying your attacks three times over.
That will give you the ability to hit extremely fast multiple time at once. Then there is Armored​ ​No​ ​More​ from the Partially​ ​Kissed​ Jump. {(400​ ​CP​) Armored​ ​No​ ​More​}: Many​ ​things​ ​in​ ​this​ ​world​ ​happen​ ​only​ ​because​ ​the​ ​plot​ ​wants​ ​them​ ​to happen,​ ​and​ ​characterizations,​ ​causality,​ ​facts​ ​and​ ​events​ ​are​ ​liberally​ ​rearranged​ ​and​ ​modified​ ​to allow​ ​them​ ​to​ ​happen.​ ​Not​ ​so​ ​around​ ​you,​ ​anymore. Faced​ ​with​ ​you,​ ​Plot​ ​Armor​ ​fails,​ ​and​ ​casual coincidences​ ​no​ ​longer​ ​are.​ ​No​ ​deus​ ​ex​ ​machina​ ​will save​ ​your​ ​enemy,​ ​and​ ​no​ ​long​ ​hidden​ ​measures​ ​will​ ​come​ ​to​ ​the​ ​fore​ ​in​ ​the​ ​face​ ​of​ ​your​ ​total​ ​victory just​ ​so​ ​tension​ ​can​ ​be​ ​preserved. This​ ​extends​ ​to​ ​any​ ​of​ ​your​ ​plans​ ​too.​ ​As​ ​long​ ​as​ ​they’re​ ​robust​ ​by​ ​themselves,​ ​you​ ​can​ ​count​ ​on​ ​no freak​ ​accident​ ​of​ ​luck​ ​derailing​ ​them.​ ​People​ ​will​ ​have​ ​to​ ​work​ ​for​ ​it​ ​if​ ​they​ ​want​ ​to​ ​bring​ ​you​ ​down!
That just gets rid of plat armor. After that is the Horcruxes Won’t Help You perk from Art of The Sacrifice. {Horcruxes Won’t Help You (-600 CP)}: •Who has time to hunt down all of someone’s Horcruxes? Not you, that’s for sure. When you kill someone and that person has Horcruxes, all of the other pieces of that person’s soul die as well, no longer serving to anchor them to this world. This only works if you kill their proper body; destroying a Horcrux won’t also destroy all the other Horcruxes. In future Jumps, this will allow you to kill someone who split themselves into many bodies or minds just by killing their “original” body or mind—or, if they don’t have an original anymore, just by killing any version of them.
That will help with killing a being who can split itself into multiple parts. But to truly help you kill anything you come across is lastly, is The Capstone Boosted Sword of the Morning perk from the ASOIAF - Game of Thrones jump.
{(500cp) Sword of the Morning}: You are one of the greatest warriors to grace the face of Planetos in a generation. Your mind and body are in perfect sync with combat. You could easily analyse a battlefield to create an imaginary version of it in your Mind’s Eye to easily predict the movements of your opponent until they stop being a threat... or if they play dead. You could fight 10 men, perhaps even 20 by yourself, and come out without a scratch. Against truly skilled opponents on the level of Ned Stark in his prime, this number goes down to 4-7. This is quite straining to a baseline human, but it is possible to expand the limits of your predictions with training, unnatural modifications or perks from another Jump. You also gain a substantial increase in skill to dual wield your preferred weapon with the same level of mastery that you wield one. (Capstone Boosted): As if you were The Warrior Reborn, your martial skills across the board improve to beyond the skill of man, and your ability to kill has increased from the merely mortal, to the immortal and conceptual. You can cut into a shadow assassin and kill the binder, cut through an animal controlled by a skinchanger to kill that skinchanger, you could even permanently kill a god if one's avatar appeared before you.
With this you don’t even need to kill the core or original part just one aspect will do. And by combining all of these perks as that weapon will kill just about anything you fight against. Let me know your broken combos.
submitted by Dragon-King-of-Death to JumpChain [link] [comments]


2024.05.17 18:23 jmct16 The gut-brain and gut-macrophage contribution to gastrointestinal dysfunction with systemic inflammation

https://www.sciencedirect.com/science/article/pii/S0889159124004057 [Full read]

Highlights

Abstract

The gastrointestinal tract is one of the main organs affected during systemic inflammation and disrupted gastrointestinal motility is a major clinical manifestation. Many studies have investigated the involvement of neuroimmune interactions in regulating colonic motility during localized colonic inflammation, i.e., colitis. However, little is known about how the enteric nervous system and intestinal macrophages contribute to dysregulated motility during systemic inflammation. Given that systemic inflammation commonly results from the innate immune response against bacterial infection, we mimicked bacterial infection by administering lipopolysaccharide (LPS) to rats and assessed colonic motility using ex vivo video imaging techniques. We utilized the Cx3cr1-Dtr rat model of transient depletion of macrophages to investigate the role of intestinal macrophages in regulating colonic motility during LPS infection. To investigate the role of inhibitory enteric neurotransmission on colonic motility following LPS, we applied the nitric oxide synthase inhibitor, Nω-nitro-L-arginine (NOLA). Our results confirmed an increase in colonic contraction frequency during LPS-induced systemic inflammation. However, neither the depletion of intestinal macrophages, nor the suppression of inhibitory enteric nervous system activity impacted colonic motility disruption during inflammation. This implies that the interplay between the enteric nervous system and intestinal macrophages is nuanced, and complex, and further investigation is needed to clarify their joint roles in colonic motility.
submitted by jmct16 to IBSResearch [link] [comments]


2024.05.17 16:14 Ughleigh Out first and last photos together

Out first and last photos together
I hope this is allowed. I've commented a lot on here about my late boyfriend and how he passed from alcoholic cirrhosis. While he was in the hospital being told that he most likely wouldn't make it, he said that at least maybe he could be a cautionary tale for other people. So I wanted to share these photos. The first one is us when we first met, and the second is 4.5 years later, a couple weeks before he passed. He passed January 20, 2023 at the age of 40. If not for alcohol (he drank approx 3 handles vodka/week), he'd still be here and look like the first picture. If this can help anyone who may be struggling, that's all I'm hoping for. Don't end up like this.
He had hepatorenal syndrome and a MELD score of 54 when he died. He was coughing up blood, vomiting constantly, no appetite, lost 50lbs, hair thinned significantly, had dark urine, jaundice, ascites, hepatic encephalopathy, among other symptoms. He was in a lot of pain for a long time. He was not overweight in the second photo, his stomach was just so big due to the fluid build up. They'd drain it and it would come right back. He was also on dialysis.
The time from his hospitalization to his death was only one month. He was sober for that last month of his life but it was too late.
The PPE I'm wearing is because he contracted covid during his hospitalization. He did recover from it before he passed, surprisingly.
submitted by Ughleigh to alcoholism [link] [comments]


2024.05.16 21:15 iNEEDteaNOW When should I go to the ER for Acid Reflux? Inflammation?

25M, 125lbs, 5’9, moderately active, don’t smoke/drink, 2-4 cups of coffee daily Medications: Flovent, abuterol, Allegra most days, Benadryl occasionally Medical HX: silent asthma (for dust allergies), reguka, allergies (mostly dust mites for severe symptoms), Fam history: DAD- psoriasis, acid reflux Mom- Idiopathic ventricular arrhythmia (went into cardiac arrest once), small stroke from unknown cause (heart healthy, potentially the irregular contractions)
Okay, so I went to an urgent care because I was having asthma problems and ran out of my rescue inhaler, and I have to wait till mid June for my allergy appointment. I also noticed my right lymph node was swollen and frankly it might be considered “hard” lol. Anyways I had my medicine but I started getting chest pain while breathing in and hiccuping. I went back for that in the last week, and it had been 2-3 weeks since my last appointment at least. The last doctor told me I probably just had a viral infection, but when I went back this time the lymph node softer but still pretty swollen and firm. My left lymph node was bigger before my last appointment but it went down and it’s still down. Now the doctor gave me medicine for heartburn and I think that’s what it is, after the feeling has moved a couple days and it’s always cured by drinking water and gets worse when doing things that make acid reflux worse. My problem is that it has been nearly 3/4 of the time burning, and even after taking a PPI it still burns some while laying on my back (I tried differently). I have a doctors appointment in a week, but I was concerned due to the persistence and how often the reflux has been happening. It’s pretty painful but not like unbearable. I wanted to know what level of consistency or severity should I just go to the ER for? I don’t want to wait until I’m bleeding out honestly. I searched it up some and it seems like I definitely need to get help, but I’m not sure whether to wait for doctor or just go to ER now. The weird part is the pain started 3 days ago and I’d never had it that bad or for that long before. Idk why all of a sudden it’s long and persistent. I didn’t think it happened that way for my family, and I was concerned that the frequency might cause serious damage if it doesn’t have time to heal or rest. Can someone help me get an idea of when I should go to he ER? The urgent care already did what they could, but they weren’t sure if acid reflux was the problem. Should I go back there in the meantime?
I’ve also been having episodic allergy and immune problems. Achy and stuff fingers in morning, dry mouth in morning, red spots on knuckles, stomach ache/slowing of stomach, stuffy nose, loss of smell, occasionally skin burn feeling, and asthma. The thing is usually those things were correlated with the amount of dust allergens I had in my apartment, but now they seem to be just happening. The asthma is relatively controlled now but I was using my inhaler a few times a day a week or two ago. But usually the asthma happens first and then other symptoms come on. This feels like the inflammation is just doing separate from the dust allergens. Also I’ve gotten those falling asleep jerks that wake me before I completely sleep, and I believe sometimes they make me move and sometimes I don’t move that much but I feel like I did. Recently my prostate has also been twitching during those and sometimes before being partially asleep, and it’s hard to pee so I thin t might be swollen. I’ll feel an urge to bee but then I have to push super hard to get it out. Then sometimes I just have to pee super duper fast. You can Dm me for advice too, I just really don’t want to have anything happen to me. I personally wouldn’t care that much, but I just couldn’t imagine leaving my partner alone. So I just want to take it seriously, I could never imagine leaving my partner behind. That woulf be one of the most painful things I could ever ezpwrience.
submitted by iNEEDteaNOW to AskDocs [link] [comments]


2024.05.16 19:20 Constant_Ebb8966 My doctor wouldn’t let me take a blood test but now it makes sense why reading this (I have ghsv1 results from NAAT METHOD) I hope this helps some people who have questions about that or why doctors refuse.

Blood tests can be used when a person has no visible symptoms but has concerns about having herpes. Blood tests do not actually detect the virus; instead, they look for antibodies (the body’s immune response) in the blood.
IgM vs. IgG
When an individual contracts herpes, the immune system responds by developing antibodies to fight the virus: IgG and IgM. Blood tests can look for and detect these antibodies—not the virus itself. IgG appears soon after infection and stays in the blood for life. IgM is actually the first antibody that appears after infection, but it may disappear thereafter.
IgM tests are not recommended because of three serious problems:
Many assume that if a test discovers IgM, they have recently acquired herpes. However, research shows that IgM can reappear in blood tests in up to a third of people during recurrences, while it will be negative in up to half of persons who recently acquired herpes but have culture-document first episodes. Therefore, IgM tests can lead to deceptive test results, as well as false assumptions about how and when a person actually acquired HSV. For this reason, we do not recommend using blood tests as a way to determine how long a person has had herpes. Unfortunately, most people who are diagnosed will not be able to determine how long they have had the infection. In addition, IgM tests cannot accurately distinguish between HSV-1 and HSV-2 antibodies, and thus very easily provide a false positive result for HSV-2. This is important in that most of the adult population in the U.S. already has antibodies to HSV-1, the primary cause of oral herpes. A person who only has HSV-1 may receive a false positive for HSV-2. IgM tests sometimes cross-react with other viruses in the same family, such as varicella zoster virus (VZV) which causes chickenpox or cytomegalovirus (CMV) which causes mono, meaning that positive results may be misleading. The accurate herpes blood tests detect IgG antibodies. Unlike IgM, IgG antibodies can be accurately broken down to either HSV-1 or HSV-2. The challenge here is that the time it takes for IgG antibodies to reach detectable levels can vary from person to person. For one person, it could take just a few weeks, while it could take a few months for another. So even with the accurate tests, a person could receive a false negative if the test is taken too soon after contracting the virus.
For the most accurate test result, it is recommended to wait 12 – 16 weeks from the last possible date of exposure before getting an accurate, type-specific blood test in order to allow enough time for antibodies to reach detectable levels.
https://www.ashasexualhealth.org/herpes-testing/
submitted by Constant_Ebb8966 to HSVpositive [link] [comments]


2024.05.16 16:06 healthmedicinet Health Daily News May 15 2024

DAY: MAY 15, 2024

submitted by healthmedicinet to u/healthmedicinet [link] [comments]


2024.05.16 10:25 MDDoctorTutors How to cheat on EXAMPLIFY Exam Take my Exam Exam Soft exams TEAS exam ATI Test Bank Download Exam Examplify Bypass ARMRIT exam questions HESI exam questions RN Comprehensive Predictor Exam ATI Comp Predictor HESI Exit Exam ATI RN Pharmacology ATI RN Medical Surgical Q bank

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2024.05.16 01:26 Tough-Phrase4105 Severe Joint Pain & Swelling + Nerve Pain

TL;DR: Do you know of any autoimmune conditions that would cause inflammation leading to sudden nerve pain or sudden sciatica?
I think I have an unidentified autoimmune condition. For the past 14 days, I am experiencing a sudden onset sciatic nerve pain, numbness and tingling from my back to my toes. My quality of life is majorly impacted and I am looking for answers. I suspect this is caused by inflammation from an unidentified autoimmune condition.
27F. Joint pain & joint swelling for over 4 years. Comes on really bad and then disappears like it never happened. First noticed it after contracting COVID for the first time.
I woke up two weeks ago with a cold and sudden onset sciatica pain. I have never experienced sciatica problems before, although I have had chronic low back pain. While I recovered from the cold after a few days the sciatica pain has remained for the past 14 days. Numbness, tingling and sharp pains from back to my toes leading to extreme discomfort. It has not gone away for over 2 weeks now and has been extremely uncomfortable and out of my range of tolerance on pain - can’t sit through work meetings, can’t sleep, can’t relax etc. I haven’t been able to get comfortable in weeks in any position - sitting, standing, laying, etc.
I am seeing a PT already for another nerve related issue in my shoulder that I have had for over 10 years (old volleyball injury). I have a winging scapula, another structural problems with my shoulder that lead to nerve impingement that travels to my hand. Since I have been experiencing that for over 10 years, I know there’s no cure for nerve pain and I know it when I feel it. So the PT has been quick to help me start doing PT for sciatica and specific stretches & exercises they think will help. This is super great, but I am kind of concerned about the underlying cause which I believe is immune related. I suspect my body is inflamed from being getting sick the same day the sciatica pain started, and the inflammation hasn’t gone down yet. The weird part is I think I have been over the cold part for over a week now, but the sciatica remains. I did take a COVID test by the way and it was negative so not COVID - just had a fever, stuffy nose, joint pain, body aches, and then this sciatica all start the same day.
Saw my primary care doctor yesterday and she is not super concerned this is anything more than “normal sciatica from prolonged sitting” and “not something more serious” (unless I lose bladdebowel function or muscle weakness I should go to ER, which is thankfully not what I am experiencing). We are going to do MRI to make sure I don’t have a slipped disc or something else going on. I have told her about joint pain flare ups getting worse whenever I catch a cold, so my PCP did find that suspicious for autoimmune.
But I am trying to see if there’s possibly an autoimmune condition associated with something like sudden onset sciatica/nerve pain as a result of inflammation/joint pain? I feel like this joint pain and swelling leading to nerve pain happening around when I get sick is really starting to impact my life and I want to see if there’s certain conditions associated with this kind of thing. I also have never had sciatica problems in my life, but I feel like I need to take immediate actions to get some answers on how to prevent this ever again & what the cause of the underlying flare up is.
Thank you for your insights.
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2024.05.15 22:35 WCInvestor A Physician Disability Insurance Primer - Do You Really Need It?

A Physician Disability Insurance Primer - Do You Really Need It?
The greatest financial risk for physicians is losing the ability to turn the knowledge and skills you spent a decade learning into a huge pile of money by working in your profession for decades. There are risks that could show up in your life that would prevent you from being able to accomplish this task. One of the most common of these risks is an extended or even permanent disability. Insurance companies estimate that as many as one in seven doctors will be disabled at some point during their career. While many imagine this will occur in a sudden traumatic accident, medical illness is actually a more common cause of disability that prevents a doctor from working. Physician disability is a complicated type of insurance. This post will give you the “must-know” information to secure the best protection and help you avoid common disability insurance mistakes.

TL;DR: Key Takeaways: What Doctors Need to Know About Disability Insurance

  1. The best Disability Insurance policy is an individual, portable, own-occupation, specialty-specific policy.
  2. Purchase disability insurance from an independent agent who can show you policies from all of the major companies. We have a list of recommended Disability Insurance agents used by thousands of white coat investors each year.
  3. Buy as much disability insurance as they are willing to sell you as a resident. Include a future purchase option (sometimes called a “benefit purchase rider” or “future increase option”) and a cost of living disability insurance rider.
  4. As an attending, increase your coverage to cover both your living expenses and retirement savings if you were to work to age 65.
  5. You may get sticker shock, but the reason disability insurance is expensive is that it actually gets used. Slightly more than 1 out of 4 adults will experience a disability before they retire. Physician disability insurance agents often use a figure of 1 out of 7 doctors actually using the disability insurance they purchase. Whatever the true statistic may be, it's certainly high enough to insure against.
Do not take the risk of not having disability insurance.

What Is Disability Insurance?

Disability insurance gives you an income to live on if you become so disabled that you can no longer work.
If you become disabled, a long-term disability insurance policy pays a predetermined amount each month until you either recover from your disability or reach age 65-67. (Note: Policies vary. It is possible to buy a policy that pays to age 70 or even, for a very high premium, until death).

Why Do Physicians Need Disability Insurance?

One out of seven doctors end up having to use their disability insurance. Losing the ability to turn the knowledge and skills you spent a decade learning into a pile of money by working in your profession for decades is one of the most expensive risks that physicians face. Your most valuable asset is your ability to work.

How Does Disability Insurance Work?

Disability insurance is a pretty straightforward proposition. You buy a policy and pay your premium monthly or annually. If you become disabled, you (and your doctor) fill out the paperwork to prove it to the satisfaction of the insurance company and then they pay you the promised monthly benefit until you either recover from your disability or the insurance company meets its contractual obligation to pay the benefit.

Short-Term vs. Long-Term Disability

Disability insurance is most commonly divided into short-term and long-term.

Short-Term Disability

A short-term disability policy generally begins paying just as soon as you get disabled and then pays for a maximum period of 3-24 months. These policies are often provided by an employer as an employee benefit. Short-term disability, while inconvenient financially, is not generally a financial catastrophe for a physician saving for retirement with an emergency fund. As a result, many doctors do not buy short-term disability policies at all.

Long-Term Disability

A long-term disability policy generally does not pay immediately, but only begins to pay after a waiting period ranging from 1-24 months (typically 3 months). Then, the policy will continue to pay you a benefit each month until age 65, 67, or 70, depending on the policy. Note that a 3 month waiting period typically means your first check won't come until the end of the first month after the 3 months, so it's really a 4 month waiting period. Since losing your ability to earn a living for the rest of your life is a financial catastrophe, any doctor who is not financially independent should buy a long-term disability insurance policy.

What Does Disability Insurance Cover?

Disability insurance covers all kinds of disabilities. The best (and unfortunately most expensive) policies cover the widest range of potential disabilities.

The Definition of Disability

The most important feature is the definition of disability. Disability insurance differs from life insurance in numerous ways, but none is more significant than in defining exactly when you become disabled (and when you become enabled again). The broader the definition of disability you get in your policy, the more the policy will cost.
Unlike life insurance, where life and death are pretty black and white, disability has 50 shades of gray. You want a policy with a strong, broad definition of disability that will cover any possible type of disability? That means “true own-occupation, specialty-specific” and no limitations on things such as psychiatric conditions or addictions. This is the main difference between the “Big 5” companies and others. Even among the “Big 5,” there are slight differences. It is OK not to purchase the policy with the very best definition of disability, but the weaker the definition, the bigger the discount you should expect.

Own-Occupation, Specialty-Specific

Probably the most important aspect of the definition for doctors is that it be specific to your occupation. For instance, if I lost my left thumb, there are a number of procedures in emergency medicine that I could no longer do. I would be completely disabled from managing a busy emergency department by myself. But I could probably still go do urgent care work. A specialty-specific definition of disability in my policy would provide me with my full disability payments in addition to the money I make at the urgent care. Sometimes, the “specialty-specific” clause is inherent to the policy, and at other times it is an additional rider (a piece of paper added to the policy for which you pay an additional premium). Either way, you almost surely want to get this in your policy. Here are the various definitions, starting with own occupation and progressing to any occupation.

Own-Occupation Definition

Under this definition, your policy will pay if you cannot work in your occupation/specialty, even if you can and do work in another field and make as much money as you want.
Own-occupation policies cover people based on the occupational duties they are performing at the time of claim. If your policy includes an own-occupation definition of total disability and you are exclusively performing the customary duties of your medical specialty or sub-specialty at the time of the claim, the policy will cover you when unable to perform your specialty or sub-specialty. If you have transitioned into a different role or expanded into a new career path that requires much less direct patient contact or procedural duties, you may no longer be considered totally disabled when unable to work in your specialty or sub-specialty. This is because your “occupation(s)” involves additional material and substantial duties, no longer limited to the performance of your medical specialty or sub-specialty. In these instances, you may be considered partially disabled or not disabled at all, depending on the exact circumstances.

Transitional Own-Occupation

Your policy will pay if you cannot work in your occupation/specialty, even if you can and do work in another field. But if you exceed your previous income while you now work in another field, your monthly benefit from the policy would likely be lowered.

Modified Own-Occupation

Your policy will only pay if you can't work in your occupation/specialty AND if you are not working in another field. This definition is also sometimes called “Own-Occupation, Not Engaged” or “Own-Occupation, Not Working.”

Any-Occupation

Your policy will only pay if you cannot work in any occupation based on education, training or experience. Note that some policies are own-occupation for a couple of years and then transition to any-occupation.
One company out there (Northwestern Mutual) sells a policy with a definition that they claim is BETTER than own-occupation. They call it Medical Own-Occupation, but in reality, it is just a form of modified own-occupation. Learn more about the NML Medical Own-Occupation Definition.

Do You Really Need an Own-Occupation, Specialty-Specific Policy?

Some non-procedural physicians argue that they might not need a true own-occupation policy. They reason that if they are so disabled that they cannot practice their specialty, they probably cannot do anything else. So, they accept a less broad definition of disability to save some dollars on the premium. If you choose to do this, make sure you understand the exact circumstances under which your policy will and will not pay out.

Mental Disorders/Substance Abuse

Many policies will only cover mental illness or substance abuse-related disabilities for a period of two years. I know an attorney who couldn't practice law after developing bipolar syndrome in his 30s. It took over a decade to get it under control. He had a policy that covered mental illness indefinitely, which prevented financial catastrophe from striking him and his family.
According to the April 2011 issue of Current Psychiatry Magazine, physicians are not immune to depression and have an increased risk of suicide. Additionally, the lack of distinction between a psychiatric diagnosis and impairment stigmatizes physicians and impedes treatment.
You'll need to decide whether this is a risk you're willing to run. If you want mental illness covered like every other illness, you'll be paying more.

Presumptive Total Disability

As you well know, disability can be defined in many shades of gray. In the event of your disability, you can expect a paperwork fight between you, your physician, the disability insurance company, and maybe even your attorney. However, most policies contain a section that defines “presumptive total disability” where you can be assured there won't be much arguing from the insurance company. Even better, the waiting period will be waived and you'll start getting payments right away.
Anything short of that, and you're going to have to get your doctor to certify your disability and get the insurance company to accept it. At times, this can involve visits to multiple specialists and even hiring an attorney. Note that with some companies, presumptive disability does not need to be permanent.

Cosmetic Surgery/Transplant Surgery

Some policies will cover you if your disability is the result of cosmetic surgery or the result of donating a kidney or other body part to someone else. Others will not. Best to read your policy carefully and know what it does and does not cover.

Disability Insurance Exclusions & Limitations

Disability insurance policies generally exclude any medical conditions you have at the time of applying for insurance. For example, if you already have chronic back pain, the policy will not provide a benefit if you are disabled due to a back condition. In addition, if you admit to participating in dangerous activities such as scuba diving, rock climbing, flying, and sky-diving, the policy will likely be issued with a rider that excludes those activities from coverage. Other exclusions may also apply, such as acts of war, normal pregnancy, and foreign travel. Here is a list of common exclusions:
  • War or Act of War (this could probably be interpreted pretty broadly)
  • Active Military Duty (having served, this is pretty stupid since 95%+ of our military folks are never in any kind of serious danger of being hurt by a combatant)
  • Normal Pregnancy (don't want to work because you're eight months pregnant? Don't bother trying to get disability benefits for that)
  • Foreign Travel (varies by policy, but many don't cover you during that European vacation, much less that humanitarian trip to Sudan—read the fine print)
  • Mental/Nervous Disorder (many companies limit benefits to two years, where they might pay for “physical” disorders until you're 65 years old)
  • Medical Exclusions (any medical conditions you have at the time the policy is issued will likely be excluded, meaning if you have heart disease at the time of issuance and it leads to you being disabled five years later, the policy isn't going to pay. Again, apply when you are young and healthy and/or when you haven't had medical problems for several years to minimize this.)

Residual Disability

Residual disability refers to being only partially disabled. This may occur from the initial injury or illness or be part of the process of recovery. You generally need to buy an additional rider to cover this. Read this rider carefully, it can be a bit complicated.
Imagine developing painful lumbar radiculopathy that keeps you from working more than 20 hours a week. This is the part of your policy that will cover that. This rider will also explain how much you get if you are partially disabled. My old policy says it pays the whole benefit (total disability) if I can't earn at least 20% of my “indexed prior monthly earnings,” which is basically the money I earn at my job. It doesn't count my investments, other disability income policies, rent from a rental property, or my nonvocational activities. It doesn't pay anything if my earnings aren't reduced at least 20%. If I am making between 20%-80% of what I made previously, I get the total disability benefit times the ratio of my loss of income for that month divided by my indexed prior monthly earnings. Note that with some companies, the partial disability rider will kick in at 15%.
Some contracts use “or” in the contract and others use “and” in the contracxt. For instance, a stronger policy would trigger the partial disability rider if you had a loss of income or a loss of time or a loss of duty whereas a weaker contract would require loss of income and loss of time and loss of duty where all of those triggers must be met.

Partial Disability vs. Residual Disability

Partial disability and residual disability are generally considered to be the same thing, but there is a technical difference at some companies. For example, at one company, a partial disability rider requires total disability during the elimination period and the residual disability rider does not. With another company, partial refers to the disability, such as one that only affects one part of the body (such as one arm), while residual refers to a decrease in earnings. Either way, the key is to understand how the residual/partial rider works in the policy you actually purchase.

Recovery Benefits

A physician should consider a contract that will continuing paying them a portion of their benefits upon recovery from a disability if their income continues to be down at least 15%-20%. Most carriers will pay a recovery benefit for the benefit period although one only pays for 12 months. This is especially important for practice owners. Think if a dentist were to be disabled for 6 months and then recovers and goes back to their practice. Many of their patients may have gone elsewhere because the dentist sees his patients twice a year. It could take several years to get back to where he/she was at before becoming disabled.

Recommendations for Physicians on Disability Insurance Riders

Here's an easy cheat card to help you know at a glance what we think about all of the various riders available.
https://preview.redd.it/akf6t5iqfn0d1.png?width=800&format=png&auto=webp&s=3f8b415d0101d729fdfa51bc9147993309147d75

Who Needs Disability Insurance?

Nearly every high-income professional in their first decade or two out of school should own a policy. Your most valuable asset is your ability to work. So, if you do not own a disability insurance policy, you need to go get one, now. If you have an income, it's time to buy a policy, even if money is tight as a resident. The only exception is if you do not rely on your income to live. If you are already financially independent, it's OK not to buy disability insurance. However, even if you are frugal and married to another high earner, you may wish to still have a policy. You could both become disabled, or you could become divorced.

How Much Physician Disability Insurance Do I Need?

As a resident, you typically cannot afford to buy as much as you need, but you should be able to do so even as a brand-new attending. Basically, you need to buy enough disability insurance to cover both your living expenses and your retirement savings if you were to work to age 65 but not your taxes. Physician disability insurance payouts are generally tax-free since they are usually paid with post-tax dollars.
Note that how much you need has little to do with your income and everything to do with what you spend. The less you spend, the less insurance you need to buy. Insurance agents would love to sell you the largest possible policy (which usually works out to be about 2/3 of your gross income, but it is possible to combine two companies to get even more), so you'll need to decide how much you need on your own. Resident physicians typically buy a $5,000 per month benefit and attending physicians typically buy a benefit in the $10,000-$15,000 per month range, but there are plenty of docs who buy both more and less. If your plan in the event of disability is to rely on the income of your spouse, you may not need disability insurance at all.

Average Cost of Disability Insurance for Physicians

Unlike cheaper insurance policies like term life and umbrella policies, physician disability insurance is expensive, although not quite as expensive as your malpractice insurance. The reason it costs so much is it actually gets used. The likelihood of you acquiring a long-term disability during your working years is approximately seven times as high as your risk of dying in those years. A typical policy bought on a healthy doc in their 20s or 30s will cost something between 2%-6% of the benefit. If your monthly benefit is $10,000, expect to spend $200-$600 per month for that. Perhaps the sticker shock you get upon being quoted prices will motivate you to reach financial independence as soon as possible so you can cancel the policy.

Graded vs. Level Premiums

One way to save money on your policy is to get graded premiums. Not all policies offer this feature, but those that do will charge you less in the first few years and more in later years. Level premium policies charge you the same amount in premium every year. A graded premium policy accounts for the fact that you become more likely to become disabled as you go through life. However, it can be very beneficial to you because your need for insurance actually falls continually throughout your career as your build your retirement nest egg.
Once you become financially independent, you can drop the insurance completely. This is a good idea since the total benefits a policy could potentially pay are also dropping throughout your life (since the policy will generally only pay until you are in your mid- to late-60s). Many white coat investors who are great savers hit financial independence by mid-career. If you are one of those, you are likely to come out ahead using graded premiums instead of level premiums.

What Disability Insurance Discounts Are Available for Doctors?

Like other types of insurance, disability insurance is sold by agents who are paid commissions by the insurance companies to sell their products. It is a very competitive business. The insurance companies want agents, especially the independent agents you should be buying from, to preferentially sell their products. To incentivize the agents, they offer discounts that are only available through certain agents. Experienced, high-volume agents can often provide you with the same policy at a cheaper rate than a newer, lower-volume agent. Thus, it pays to use an experienced agent and shop around with two or three of them. Nearly every doctor should qualify for some type of discount on their policy—10%-30% premium discounts are not unusual. Types of discounts include:
  • Unisex discounts
  • Student/Resident/Fellow discounts
  • Multi-life institution discounts
  • Guaranteed Standard Issue (GSI) institution discounts
  • Association discounts
Learn more about physician disability insurance discounts.

How Do I Buy Disability Insurance?

The key to physician disability insurance is the independent agent. The agent is going to be paid a great commission by the insurance company no matter which policy you choose. Assuming policies with similar benefits, the commission isn't going to be all that different. Plus, these agents get plenty of business and none of them are starving, so they have little incentive to sell you an inferior policy for a slightly higher commission. Their reputation is worth far more than a few extra dollars in commission. Since you are (indirectly) paying the agent a very nice commission, don't feel bad about using their time and expertise to fully understand this complicated product.
For most doctors, this is a purchase that is only done once or twice in their life. Have the agent quote you different physician disability policies from each of the “Big 5” companies and show you the strengths and weaknesses of each. If you have a policy from work or your professional association, bring it in with you and have it included in the comparison. Then, you can know you made an educated decision and you can buy it and forget about it. Also, be sure to ask for a discount. The vast majority of doctors will qualify for a 5%-30% association or employer-related discount, and a top-notch agent will help you get that.

What Type of Disability Insurance Should I Buy?

There are two main types of disability policies: individual policies and group policies. As a general rule, individual policies have stronger definitions of disability. Many group policies are not own-occupation policies. Individual policies are also portable, in that you can change jobs and take them with you.

Individual Disability Policy

There are a number of benefits of an individual policy. The main one is that you are in control of all the details. You get to choose how much insurance you want to pay for. You get to choose which of the bells and whistles you are going to pay for. The policy is also “portable,” meaning you still have it if you change employers (or if your employer just decides to change the policy). As a general rule, the policy is also “stronger,” meaning it is more likely to actually pay you if you get disabled.

Group Disability Policy

A group policy provided by your employer is usually not portable, although sometimes you are allowed to take over the entire premium and take it with you. Group policies also frequently have premiums that increase every year or every five years, whereas an individual policy usually has level premiums. Group policies paid for by your employer may also pay a taxable benefit, rather than the tax-free benefit provided by an individual policy. Aside from the lower cost, the main benefit of a group policy is that it may be easier to qualify for. It may not require any sort of medical exam or blood work, and it may not ask any pesky questions about your medical conditions and dangerous hobbies such as rock climbing, skydiving, scuba diving, or flying.

How to Compare Disability Insurance Policies

The most important feature is the definition of disability. You want a policy with a strong, broad definition of disability that will cover any possible type of disability. That usually means “own-occupation, specialty-specific” and no limitations on things such as psychiatric conditions or addictions. This is the main difference between the “Big 5” companies and others.
Since disability is complicated, disability insurance policies are complicated. There are dozens of differences from one policy to another, making them difficult to compare. Use your independent agent for recommendations on what matters most. Just for an example, take a look at this chart of all the differences you could see between one policy and another.

When to Buy Disability Insurance?

You should buy disability insurance just before you become disabled. Since you don't know when that time could be, earlier is generally better. However, disability insurance is also expensive, and when you are young and poor, you have lots of other great uses for your money. A good compromise is to buy a small policy as you enter residency and then upgrade to a more robust disability insurance plan just before leaving residency. The younger you are, the healthier you are, and the fewer dangerous hobbies you engage in, the cheaper your premiums will be for the same benefit.

Best Disability Insurance for Physicians

I keep a list of those I consider the best disability insurance agents in the country. Save yourself the work of finding a good one you can trust and use the same agents that have been used by thousands of WCI readers in the past. You do not need someone local that you can sit down across the table from. It is better to have someone who has sold policies to hundreds of docs this year working with you by phone, Skype, Zoom, and email than someone you can sit down with who has only sold four policies. In addition, if there is some issue with one of these agents, I can usually help you resolve it quickly.
Information in this space rapidly changes. While we try to keep The White Coat Investor website as up-to-date as possible, our recommended agents are going to be our best source for updated information. I cannot emphasize how strongly I suggest you use them, whether buying your first policy or simply reviewing what you already have.
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2024.05.15 20:59 Purplecat1099 $INKW News. New to The Street TV Signs Greene Concepts, Inc. to a 6-Part Media Series, Contract Includes Digital Ads, Billboards, and Commercials

New to The Street TV Signs Greene Concepts, Inc. to a 6-Part Media Series, Contract Includes Digital Ads, Billboards, and Commercials
NEW YORK, May 14, 2024 (GLOBE NEWSWIRE) -- FMW Media Works' New to The Street will feature ~Greene Concepts, Inc.~ (OTCPink: INKW) ($INKW) ("Company") on its national television program. The series will span six months following the Company's business products in the bottled water and health/wellness beverage industries.
~New to the Street~ will produce and film interviews with INKW's Management and broadcast each segment as sponsored programming on ~Bloomberg TV~ and the ~FOX Business Network~. Viewers will hear and learn more about the Company's growing consumer demand for its brands, ~"BeWater™,"~ a premium artesian aquifer bottled water, and ~"Happy Mellow,"~ a CBD and vitamin-infused beverage. Management expects to talk about expanding/increasing its bottling plant's capabilities, strengthening its brand's marketing and awareness, hiring additional personnel, developing new products, seeking to add intellectual properties to its brands, and developing new business acquisitions or ~partnerships~.
All broadcasted shows will stream for 24 months on the New to The Street website, ~.~~newtothestreet.com~. New to The Street will provide social media marketing to further the reach of each broadcast. On a schedule, show previews and commercial ads will air on New to The Street's TV platforms. Digital ads will stream on New to The Street's billboard platform throughout New York City.
~Lenny Greene, CEO and President of Green Concepts, Inc., states,~ "Sales of our artesian spring water Be Water™ beverage, along with our immune-support CBD beverage, Happy Mellow, continue to grow through multiple retail and distributor lines as we continue to take portions of the thriving $303.95 billion bottled water and $4.4 billion CBD beverage markets. We are laser-focused on our business goals and always take action to meet or, better yet, exceed each of them. I am so proud of where we are going as a Company, our growth potential, and how we've overcome many obstacles placed in our path to continue toward our main company objectives. Finally, I want to say that I am very grateful to our incredible shareholders who have supported us over the last several years since we launched operations in 2020. The road to our success has not been easy, and various challenges have been thrown our way, but we have fought through and overcome them all. We have vast plans for nationwide growth, marketplace uplisting to NASDAQ, establishing foundations to assist those in need throughout the country and beyond, and, most importantly, creating products that provide tremendous health and wellness benefits to the masses. We are well on our way, and I thank each of you. I also thank New to the Street and its 'Game Changers' segment for helping us get the word out about our incredible Company. We are excited to expand the media relationship with New to the Street. We look forward to updating our consumers and shareholders with our latest developments and introducing our Company to a new, broader audience."
The Company is expanding sales and awareness of Be Water™ in areas within a 100-miles radius near and around its ~manufacturing facility~ in Marion, North Carolina, located at the foothill of the Pisgah National Forest of the Appalachian Mountains. Numerous online and retail locations, including ~Walmart~, Amazon, Whole Foods, Camping World, and other recognized outlets sell IKNW's beverages. Every label on a "BeWater™" bottle has the Company's uplifting slogan: "Now is The Time to Refresh Mind, Body, and Spirit." Be Water™ comes in 24-pack, 6-pack, and gallon-size configurations, and *Happy Mellow comes in 6-pack size configurations.
Vince Caruso, Founder and CEO of FMW Media and Producer at New to The Street TV, states, "During the next 6-months, we expect fantastic TV interviews with INKW's management team, giving us exciting business updates and developments. Many consumers reported that "Be Water" and "Happy Mellow" products have improved their health and well-being. I'm excited for our viewers to learn more about INKW product lines and how they might enhance health and wellness. We at New to The Street expect to maximize viewership interest in Greene Concepts, Inc.'s beverage business and share management's growth strategies and value propositions."
FULL PR....
New to The Street TV Signs Greene Concepts, Inc. to a 6-Part Media Series, Contract Includes Digital Ads, Billboards, and Commercials (yahoo.com)
submitted by Purplecat1099 to pennystocks [link] [comments]


2024.05.15 20:43 Salt-Friendship-1579 Customer had warts (?) & we are worried

Hey y’all, I’m on here to get educated on something, yesterday we had a customer come in with what seems to be periungual warts all over his hands, seemed to be left untreated, and touched grocery items and handed me and my coworkers cash at checkout.
The way i’d like to describe it, the hands had warts all over them, starting to take over his fingers, hands, and seemed like it was going down his upper hand at the top. there were finger nail like growths sticking out that looked like teeth and it was starting to get bigger than his actual finger nails.
I didn’t say anything to the customer, it’s not my place to judge someone for a medical problem. not only would that be unprofessional but just straight up rude and disrespectful.
He handed me money, which i held and touched the scanner where we scan food items and other cash transactions. I used hand sanitizer, but then we realized he may have touched some of the other vegetables and items in the store. I did some research on google and it says it’s extremely contagious, although i did wipe down my register and use hand sanitizer, are my other coworkers who touched the area before we cleaned alright? seeing as the cash itself can’t be cleaned should we worry about that too?
i feel so bad for the guy, but at the same time you could see it was left untreated, he touched everything, and i’m no germ-o-phobe, but it was a truly unruly sight and now i’m scared at the possibility of me, my coworkers & other customers contracting it. Also how he may come in contact with all the food items in the store.
if i could get some education on this, that would be great. we are just a little freaked out because most of our customers are elderly or have small children, and some are immune compromised.
thank you
submitted by Salt-Friendship-1579 to Warts [link] [comments]


2024.05.15 16:05 healthmedicinet Health Daily News May 14 2024

DAY: MAY 14, 2024

submitted by healthmedicinet to u/healthmedicinet [link] [comments]


2024.05.15 03:04 caramel_raez The start of my SIBO/Candida? journey

Hey everyone, I’m mainly doing this for myself as a journal but whoever wants to join along is more than welcome to me. I’m hoping this becomes a success story and for my quality of life to stop being haunted. YOU DONT HAVE TO READ ALL OF THIS
I’m a 22 year old female in the US. I currently don’t have a job as I have been let go yesterday due to my unsuspecting symptoms and lack of communication. I can’t keep up with the regular 9-5 jobs and it’s turning into a pattern of me burning myself out. I don’t have anybody to rely on other than myself and I can’t get afford health insurance at the moment.
Current Symptoms: - Extreme Fatigue/Exhaustion - SouCurdling/Spicy tummy feeling? - Nausea/Contractions (especially after physical activity and eating or drinking) - Bloating/Gas/Gurgling -Rancid Smelling Poop - Acne - Regurgitating oil/grease - Recurrent yeast - Brain Fog/Confusion - Urinary Incontinence - Body Rashes/Allergic Reactions -Sugar Cravings - Migraines - Cotten Mouth/Dehydration - Malabsorption/Continual Hunger - Thinning Hair - Weight Loss - Weak Pelvic Floor? Tight/Tense Muscles? - Food in Stools (Not often) - Drunkness Feeling After Carbs? - Acid Reflux - Depression/Anxiety - Weak Immune System
Food Sensitivities that have developed: - Dairy -Gluten - Soy - Gastric foods/spices/drinks (including onion and garlic) - Processed Foods - Broths - Sugar (Fruit and All) - Starch - Acid (Fruits/Vinegars) - Medications (NSAIDS/Anti-Acids)
Tried treatments that I can remember: -Xifaxin (2 weeks) - Ortho Molecular Ortho Spore (2-3 months worked wonders but relapsed) -Dietitian: Low Fodmap Diet (3 months didn’t help) - Reuteri - B12, VitD, other vitamin supplements - Physical Therapy - Fluconazole - Boric Acid -Laxatives (basically all) - Collagen Peptides - Plant Based Protein Powder - Yoga
Most of Background: So I have been dealing with different illnesses that is a repeated pattern since I was possibly 12 years old. I would frequently have nasty migraines, stomach bugs, food poisoning, and respiratory infections out of the blue. It gotten to the point of my family always saying “there’s always something wrong with you”, “you’re just exaggerating”.
When it came to 2017, I started gaining rashes as allergic reactions. It couldn’t be classified as hives even though it looked the part because it would sting like a bitch instead of itching. It would run through out my body whenever I ate every so often and that was only on of the reactions as I had a second of my skin swelling as if it was a mosquito bite but worse and when the swelling went down, it would leave scars behind.
I went to an allergist and nothing popped up on the regular tests, but something popped up on the chemical patch test. The name of the chemical was called Balsam of Peru, it’s mainly a preservative that is in your common foods/beverages, cleaning products, and aerosols. I continued to have random allergic reactions here and there as it wasn’t feasible to follow a diet that strict in a household like mine.
Then came the end of 2019, I was having trouble with my stomach and would randomly gag from November til Jan 2020. I would literally start throwing up even if I had nothing in my stomach. I went to doctors but they kept thinking I was pregnant and would say my vitals were fine therefore there’s nothing wrong. One day mid Jan, I had throw up for the last time but there was something different..I couldn’t get up. I lost all strength in my legs and half of my strength in my arms. I went to the hospital and they did X-rays and scans just to say there was nothing wrong and it might be a virus that hit my nervous system. The next day they boot me out with nothing. I had to learn how to walk all over again like a baby until I gained my strength with only the help of my family which took about a month. Throughout that time I was still feeling sick and gagging/throwing up.
This is the point when my mom decides to get a referral to a GI and they look through my records from the hospital to find out I was backed up with waste up to my ribs. They did a horrifying flush on me and prescribed me linzess. It was getting me to poop more frequently but I still was feeling pretty sick often, it was manageable though.
I get to college, it was a shit show, I start to get more symptoms, like brain fog and fatigue. I thought it was all in my head at this point and tried my best in school but had low performance when I was used to easy A’s. I began to have yeast infections every so often. I start getting into vaping, smoking weed, and the occasional drinking. The vaping became chronic and whenever I would drink I would have alcohol poisoning like symptoms that were uncontrollable to the point where a couple of times I ended up in the hospital to get my stomach to stop contracting. I stopped all drinking and started becoming a religious smoker to deal with my symptoms, school, work, and every other stress in my life. All it did was make my health plummet even faster.
I finally got diagnosed with SIBO at the end of 2021 and thought “finally something!”, the GI thought to cure it was to give more laxatives to get my bowels to move more frequently. Instead it would turn me into a balloon that was about to burst but could not push anything out. The GI gave up anf I decided to move on. At this point I had to take a break from school because I was so tired whenever I woke up in the morning that I either slept completely through my alarms or I couldn’t physically get up out of bed. I constantly was having stomach issues. My yeast infections started coming at least 2x a month. I had so bad urinary incontinence that I had to wear diapers. I was dealing with so much stress with family, working, trying to make ends meet, trying different doctors that never helped and telling me different things. I was dealing with a psychologically abusive bf. Nobody believed how bad I felt everyday. How hard it was for me to eat, think, overall function like a human being. My bf seen it everyday but refused to acknowledge that when he says he understood that his actions would always say otherwise. It all mentally broke me and I crashed hard.
This brings me to practically the present. I cut contact with the EX bf and parents. I’m low contact with the rest of my family. I quit vaping for good, but the damage is already done. I am now on Wellbutrin and trying to pick up the pieces that are shattered. It’s been 6 months but my symptoms are worsening instead of getting better. I can’t hold down a 9-5 job, my stomach can’t and won’t tolerate anything. I starve myself most days, drink water and electrolyte drinks whenever my stomach take it.
Everyday I feel weak, exhausted, brain fog so bad that I can’t count to 5, stomach hurt. The last thing that made me question my entire existence, Saturday night I was starving so I made rice thinking it was the safest thing. The next morning I felt so drunk that I couldn’t function, I was so dehydrated and in so much pain I went to urgent care. The doctor looked at me as if I was on drugs, refused iv, and told me my symptoms were caused by trauma, it’s all in my head. She refused a work note as well. I felt a tad bit better after some electrolytes from home and went to sleep for work. I slept through my alarms and woke up 2.5 hrs late (total 14 hrs). I couldn’t move my body, text manager. She called after the shift explaining that she isn’t letting me go because of my illness, bc I failed to tell her about the day prior so she could plan accordingly. She wants me to focus on my health, it would’ve been kind if I wasn’t already drowning in debt and couldn’t even afford rent.
The reason why I wrote everything I could is because 1. I believe a lot of this is relevant to each other regarding SIBO and Candida in some way 2. It will help me for my future
If you made it this far CONGRATS 🎉🎊 🥳 And thank you for the support!
submitted by caramel_raez to Candida [link] [comments]


2024.05.15 03:02 caramel_raez The start of my SIBO/Candida? journey

Hey everyone, I’m mainly doing this for myself as a journal but whoever wants to join along is more than welcome to me. I’m hoping this becomes a success story and for my quality of life to stop being haunted. YOU DONT HAVE TO READ ALL OF THIS
I’m a 22 year old female in the US. I currently don’t have a job as I have been let go yesterday due to my unsuspecting symptoms and lack of communication. I can’t keep up with the regular 9-5 jobs and it’s turning into a pattern of me burning myself out. I don’t have anybody to rely on other than myself and I can’t get afford health insurance at the moment.
Current Symptoms: - Extreme Fatigue/Exhaustion - SouCurdling/Spicy tummy feeling? - Nausea/Contractions (especially after physical activity and eating or drinking) - Bloating/Gas/Gurgling -Rancid Smelling Poop - Acne - Regurgitating oil/grease - Recurrent yeast - Brain Fog/Confusion - Urinary Incontinence - Body Rashes/Allergic Reactions -Sugar Cravings - Migraines - Cotten Mouth/Dehydration - Malabsorption/Continual Hunger - Thinning Hair - Weight Loss - Weak Pelvic Floor? Tight/Tense Muscles? - Food in Stools (Not often) - Drunkness Feeling After Carbs? - Acid Reflux - Depression/Anxiety - Weak Immune System
Food Sensitivities that have developed: - Dairy -Gluten - Soy - Gastric foods/spices/drinks (including onion and garlic) - Processed Foods - Broths - Sugar (Fruit and All) - Starch - Acid (Fruits/Vinegars) - Medications (NSAIDS/Anti-Acids)
Tried treatments that I can remember: -Xifaxin (2 weeks) - Ortho Molecular Ortho Spore (2-3 months worked wonders but relapsed) -Dietitian: Low Fodmap Diet (3 months didn’t help) - Reuteri - B12, VitD, other vitamin supplements - Physical Therapy - Fluconazole - Boric Acid -Laxatives (basically all) - Collagen Peptides - Plant Based Protein Powder - Yoga
Most of Background: So I have been dealing with different illnesses that is a repeated pattern since I was possibly 12 years old. I would frequently have nasty migraines, stomach bugs, food poisoning, and respiratory infections out of the blue. It gotten to the point of my family always saying “there’s always something wrong with you”, “you’re just exaggerating”.
When it came to 2017, I started gaining rashes as allergic reactions. It couldn’t be classified as hives even though it looked the part because it would sting like a bitch instead of itching. It would run through out my body whenever I ate every so often and that was only on of the reactions as I had a second of my skin swelling as if it was a mosquito bite but worse and when the swelling went down, it would leave scars behind.
I went to an allergist and nothing popped up on the regular tests, but something popped up on the chemical patch test. The name of the chemical was called Balsam of Peru, it’s mainly a preservative that is in your common foods/beverages, cleaning products, and aerosols. I continued to have random allergic reactions here and there as it wasn’t feasible to follow a diet that strict in a household like mine.
Then came the end of 2019, I was having trouble with my stomach and would randomly gag from November til Jan 2020. I would literally start throwing up even if I had nothing in my stomach. I went to doctors but they kept thinking I was pregnant and would say my vitals were fine therefore there’s nothing wrong. One day mid Jan, I had throw up for the last time but there was something different..I couldn’t get up. I lost all strength in my legs and half of my strength in my arms. I went to the hospital and they did X-rays and scans just to say there was nothing wrong and it might be a virus that hit my nervous system. The next day they boot me out with nothing. I had to learn how to walk all over again like a baby until I gained my strength with only the help of my family which took about a month. Throughout that time I was still feeling sick and gagging/throwing up.
This is the point when my mom decides to get a referral to a GI and they look through my records from the hospital to find out I was backed up with waste up to my ribs. They did a horrifying flush on me and prescribed me linzess. It was getting me to poop more frequently but I still was feeling pretty sick often, it was manageable though.
I get to college, it was a shit show, I start to get more symptoms, like brain fog and fatigue. I thought it was all in my head at this point and tried my best in school but had low performance when I was used to easy A’s. I began to have yeast infections every so often. I start getting into vaping, smoking weed, and the occasional drinking. The vaping became chronic and whenever I would drink I would have alcohol poisoning like symptoms that were uncontrollable to the point where a couple of times I ended up in the hospital to get my stomach to stop contracting. I stopped all drinking and started becoming a religious smoker to deal with my symptoms, school, work, and every other stress in my life. All it did was make my health plummet even faster.
I finally got diagnosed with SIBO at the end of 2021 and thought “finally something!”, the GI thought to cure it was to give more laxatives to get my bowels to move more frequently. Instead it would turn me into a balloon that was about to burst but could not push anything out. The GI gave up anf I decided to move on. At this point I had to take a break from school because I was so tired whenever I woke up in the morning that I either slept completely through my alarms or I couldn’t physically get up out of bed. I constantly was having stomach issues. My yeast infections started coming at least 2x a month. I had so bad urinary incontinence that I had to wear diapers. I was dealing with so much stress with family, working, trying to make ends meet, trying different doctors that never helped and telling me different things. I was dealing with a psychologically abusive bf. Nobody believed how bad I felt everyday. How hard it was for me to eat, think, overall function like a human being. My bf seen it everyday but refused to acknowledge that when he says he understood that his actions would always say otherwise. It all mentally broke me and I crashed hard.
This brings me to practically the present. I cut contact with the EX bf and parents. I’m low contact with the rest of my family. I quit vaping for good, but the damage is already done. I am now on Wellbutrin and trying to pick up the pieces that are shattered. It’s been 6 months but my symptoms are worsening instead of getting better. I can’t hold down a 9-5 job, my stomach can’t and won’t tolerate anything. I starve myself most days, drink water and electrolyte drinks whenever my stomach take it.
Everyday I feel weak, exhausted, brain fog so bad that I can’t count to 5, stomach hurt. The last thing that made me question my entire existence, Saturday night I was starving so I made rice thinking it was the safest thing. The next morning I felt so drunk that I couldn’t function, I was so dehydrated and in so much pain I went to urgent care. The doctor looked at me as if I was on drugs, refused iv, and told me my symptoms were caused by trauma, it’s all in my head. She refused a work note as well. I felt a tad bit better after some electrolytes from home and went to sleep for work. I slept through my alarms and woke up 2.5 hrs late (total 14 hrs). I couldn’t move my body, text manager. She called after the shift explaining that she isn’t letting me go because of my illness, bc I failed to tell her about the day prior so she could plan accordingly. She wants me to focus on my health, it would’ve been kind if I wasn’t already drowning in debt and couldn’t even afford rent.
The reason why I wrote everything I could is because 1. I believe a lot of this is relevant to each other regarding SIBO and Candida in some way 2. It will help me for my future
If you made it this far CONGRATS 🎉🎊 🥳 And thank you for the support!
submitted by caramel_raez to SIBO [link] [comments]


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