Centers for hearing care liberty ohio

Alcoholics Anonymous

2010.09.14 02:32 mbannonb Alcoholics Anonymous

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2018.06.18 09:50 The unbreakable line between humanity and atrocity

We have drawn the line and refuse to let Trump tear apart migrant families. We will not cease our acts of protest until he repeals this policy of dehumanization and torment, unconditionally and without reprisal.
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2023.06.09 07:29 Affectionate-Bend267 Decision Day/Reunion Reactions

My predictions were: Yoly and Xander together - and everyone else going home solo.
Honest reactions to decision day: Stoked Yoly chose Mal, because Mal is insanely awesome. And so is Yoly.
I yelled NOOOOO when Tiff proposed, and when when Sam said 'yes' to Aussie.
So fucking relieved and proud that Xander did NOT pick Vanessa.
Did NOT fucking like how Yoly showed up without her ring on and let Xander pour her heart out like that because she "wanted to hear where Xander was at". Hard situation and a self-centered move. It doesn't matter where Xander was at, you'd already made a choice.
I realize now that Yoly is selfish in that particular way.
When Mal would say how hard Yoly's situation was and "I am going to support my partner", I kept waiting for Yoly to chime in with something about supporting Mal, but I think she was too absorbed in her own experience.
Xander and Mal are fucking iconic. Such solid, loving, generous humans.
Sort of neutral on Lexi and Rae. Glad they both proposed to each other... Didn't love how Lexi laid into Rae, and bullied her when shit was hard.
Reunion Reactions:
Mildred: - I got in a friendly debate with my housemate after the scenes with Aussie and Mildred. I said "I grew up with someone talking to me like [Mildred] and I would have walked out too." I thought Aussie bouncing in THAT circumstance was healthy and legit. - The way Mildred talked about her domestic violence towards Tiff and then cited Tiff not opening a bank account or connecting with her kid as justification... Nah! Where there is smoke there is fire. Where there is physical abuse there is psychological abuse. And that is what abusive people do. They tell you that the violence they do to you is your fault. - She seemed to have NO self-awareness about how effed up the situation was. Despite being so violent that Tiff called the cops, she was still crowing about being a victim?! - I'm sure it was unhealthy all around but nothing absolutely nothing excuses trying to harm a partner like that. - I think Tiff kept it classy all things considered. They tried to push back, didn't stoop low or call Mildred names or any of that, and then left when it was too much. - Also, Mildred's comment about the eyeliner?? I was like "Babe, you're literally wearing it right now..." also, wasn't there a scene with her doing her eye make-up in the show. Slippery slippery stuff like that makes my danger bells blare.
Vanessa: - Matured a teeeeeny tiny bit, but not much. Still tried to stir up drama when there isn't any and then doesn't get it when people are calling her on being manipulative.
Mal and Yoly: - "Happily broken up." Ouch! Coming from Mal that hit. - Bummed to hear that Yoly was hiding behind partial truths with Mal like that. - I was so impressed with Mal's fierce trust, and that's definitely who she is, but if Yoly was sending her unsolicited messages reassuring her that she was her pick, it makes it make more sense. - Mal came out of this season looking like such a legend. I'm such a huge fan.
Sam: - Get out!!! She is so amazing, patient, mature, compassionate, and Kind. She deserves better than a partner who keeps her in the closet. She deserves to be wildly chosen and celebrated.
Aussie: - Hope they're getting the therapy and support they need.
Rae and Lexi: - Feel neutral about them
Xander: - Respectful til the end. Things didn't work out with Yoly but they they didn't say anything against her. I wish them the fucking world! I hope they find happiness.
submitted by Affectionate-Bend267 to UltimatumQueerLove [link] [comments]


2023.06.09 07:27 KissingClitsInTheBay 29 [M4F] #SouthBay / Anywhere! - Seeking needy Pillow Princesses 💕 Enthusiastic, sensual Switch wants to worship and adore You 🔥Lay back, relax, and let me take care of You 🙏

Greetings, my dearest! 💘
Simply put: I'm absolutely fiending to provide You with pleasure, attention, and bliss til youve had Your fill.! ♥️
I lustfully await that piercing gaze that we share when you look down at me... Shakingly anticipating the feeling of my tongue finally making contact with You; My hands exploring and rubbing You from head to toe.
I want your toes to curl, your legs to tremble, your entire body and existence to quake; Awating my next decision on how to make You feel.
Seconds seamlessly transform into hours; Every winking moment melded together in a hazy bliss... I want our experience to affect your days, your routine. You sitting at your desk, out running errands, doing work. Laying in bed, scrolling on your phone....
I want you to feel your pulse down there. When your body tries to recall the feeling, the sensations that you felt during our encounter.
And, the same goes for me and the days of my own. Thinking about You, recalling our time together; I want to be a barely functional mess...!
I lean towards the Switch-y side... 💕 So, if You need me be more dominant 🔥 and pin Your wrists down to the bed, administer some spanks and gripping before/during/after I service You, etc...
Or, if You want to unleash some pent-up dom feels, yourself..! 🤐 I can also be more submissive, and be sooo good for You, while You use me. And my mouth, tongue; And sit and use my face until you've had your fill. 💝
Important Things! (Was a great show on Comedy Central! Also, lists are awesome!):
• This experience is all about You! I want to make You feel and know that You are the very center of the universe when you're spending time with me ❤️ I want to cater to every/any one of Your needs to the best of my abilities! 🙏💕
• Absolutely NO reciprocation needed and NO actual sex/PIV intercourse. (Upon request and conversation: perhaps 🤔) BUT: Strictly cute, intimate cuddles; and hand/mouth usage only!👄🖐 🥄 🥄
• I can host You in an upscale hotel/suite 🏨 You're my pillow princess!!! I truly want to pamper You in the heights of luxury and relaxation. Plus, air conditioning and random hotel TV shows/movies, amirite?! 💕 (Again, upscale locations only!)
• Before/During/After Care, Cute/spicy pillow talk, and Cuddles/Spooning, Massages and Rubs of all kinds will gladly (and enthusiastically!!!) be provided upon request! ❣️
• If no 'care' is desired, I also have no problem with making this a "cum-n-go" situation; Where You cum all the times You need before Your departure from me. 🤷🏽‍♂️
• Privacy and Discretion guaranteed ✅💯 I'm here for You and Your needs! And am not looking to interfere with any relationships/arrangements you have going on..! I am, however, more than open to meeting up with You again; If my services leave a nice impression...😌
• I absolutely ADORE feedback; Both verbal and non-verbal!!! So moaners, loud ones, body quakers, and (squirters) to the front! 🤷🏽‍♂️😅 Don't be shy!!! Let it ALL out when You're with me 😏
Whether it's a 'dead bedroom' situation... Or a case of the person in your life "just not doing it right"... To single ladies looking to break a dry spell... To ladies just looking for good ol' general indulgence!
I'm here for You🙏 Your bliss and delight are truly my own! Leading to this beautiful, endless, infinite cycle of giving and receiving 💕 Let's experience it, together!!! ✅♥️
I know what I'm doing; And I can't wait until You've finally tried the difference between someone who merely guesses and scoffs at your needs and pleasure........
And someone who is truly there for You and knows what they're doing. 💯🔥
The pillow princess experience You thought never existed, is out there..! You just haven't experienced me yet 🤤❣️Let's change that, ASAP!
Some random, quick stuff About Me:
• 29 M , South Bay based, Single 😛, DDF, Expert cuddler and cunnilinguist, Orally fixated..! Gives hella good rubs and massages; Great kisser 😘
• INFJ x Libra Sun (w/ lots of Scorpio ♏️ in my natal chart 🔥 ) for those who keep count of those...!
• 5'9" 185lbs athletic, broad shouldered, warm n' cuddly dad bod, with warm, skilled hands 🙌 420 and alchy friendly 💨 🌿 🍺
important geotags / locations:
South Bay preferred, but mobile all across The Bay for the right chemistry 🧪 !
San Jose (all areas), Santa Clara, Mountain View, Sunnyvale, Palo Alto, SJSU, Stanford, Cupertino, Campbell, Los Gatos, SJC San Jose Airport, SFbayarea
Bay Area ladies, visitors: PM / Reddit Chat Me, and let's get started on what You're in need of the most..!
Definitely NOT my first rodeo here on Reddit (with numerous successes!!); So chatting, finding a mutual vibe will be of vital importance for both parties. 💯
SFW Pics / pic links, ready to send over!
Can't wait to hear from You!
-E
Edit: Some dude has been plagiarizing my post here and on RAOMD 🙄 Ignore that poser and get with a real lover!! 😎
And low effort messages/PMs will be ignored, and will lead me to rightfully assume that You're a bot/selleeven worse... a dude xD Reach out with some humanly stuff, please 😭😅
submitted by KissingClitsInTheBay to SFr4r [link] [comments]


2023.06.09 07:20 glimpseofgod readings & spellwork available ♥︎

♥︎ readings; you'll get an in-depth and super-detailed psychic reading which will answer your burning question! you'll also get a free follow-up session where you can ask any questions for any clarity you need.
i'll tap into my psychic abilities, use tarot, and connect with both my spirit guides and yours to give you the best guidance possible.
i'm able to cover all areas of your life or any topic you choose.
no sugar coat - i'll deliver the message exactly as it is. not what you want to hear, but what you need to hear.

♥︎ spellwork: if you have a request that you haven't seen elsewhere, i offer custom spell for your specific needs. whatever you're wishing for, this spell will work its magic in your favor.
i'll be the one casting the spell, so no physical items will be sent your way. this is NOT A SPELL KIT for you to figure out on your own because i'll take care of 100% of the work involved & you're completely hands-free.
my spells are white magick. that means no harm to you or others. you won't have to worry about any negative repercussions from my magick. only positive energy, my loves! ♥︎

my reviews
about me & my shop's policy
dm for prices ♥︎

love, light, & blessings!
⊹-- alexa
submitted by glimpseofgod to MeowTarot [link] [comments]


2023.06.09 07:18 Upstairs-Tennis-3751 I cannot tell if I have an eating disorder

I’m not sure if this is the right place for this post but I’m hoping it is. For the past few months, my parents and doctors have brought up concerns that I’m not eating enough and not gaining the weight I should be gaining (I’m currently very underweight). My doctor has said that I have anorexia (not nervosa, just lack of appetite) and is threatening to send me to an anorexia ward if I don’t gain weight soon. All this hubbub has had me really contemplating if I actually have anorexia or disordered eating. It’s hard, because I’m someone who analyzes myself a lot but also tends to have clouded judgment in diagnosing myself with things. I’ve been skinny my whole life, and honestly take a lot of self-esteem from it as I was complimented on it my whole life. I notice that I like outfits that show my figure the best, and whenever I hear people’s height and weight I automatically compare my own to assure myself that I’m skinnier. I also don’t always eat three meals a day if I can get away with it, and honestly enjoy hunger pangs; I feel some sense of accomplishment or perseverance? Writing this all out, it sounds like unhealthy behavior, but I’m unsure if this really constitutes an eating disorder. I have no desire to lose weight, and am not distressed about the idea of gaining it, I simply do not care to gain weight even if it means my health is better. Occasionally I feel motivated to be healthier, but it always fades away in favor of doing nothing. I’m sorry if this is too long a post, and kudos to whoever sticks around to read it, but I’d greatly appreciate any advice possible.
submitted by Upstairs-Tennis-3751 to EatingDisorders [link] [comments]


2023.06.09 07:16 wsppan Today In Phishstory - June 9th

# Today In Phishstory - June 9th Brought to you by tiph-bot. Beep.
All data extracted via The Phishnet API.

Phish

Phish, Tuesday 06/09/2009 (14 years ago) Asheville Civic Center, Asheville, NC, USA
Gap Chart, Tour: 2009 Early Summer Tour
Set 1 : Kill Devil Falls , The Moma Dance , Sample in a Jar , Stash , Dog Faced Boy , Gumbo , Tube , Lengthwise , Divided Sky , When the Cactus is in Bloom 1 , Bold As Love
Set 2 : Backwards Down the Number Line > Ghost > Fast Enough for You , Halley's Comet > Maze , Alaska 1 , Theme From the Bottom , Golgi Apparatus , Possum
Encore : Loving Cup
1 Phish debut.
Jamchart Notes:
Backwards Down the Number Line - "Type I" version with great strumming by Trey and a short outro jam that > to "Ghost."
Show Notes:
This show featured the Phish debuts of When the Cactus is in Bloom and Alaska. Before Dog Faced Boy, Trey explained that while living with Fish, he wrote Dog Faced Boy, Tube and Gumbo based on entries in one of Fish's journals. During Dog Faced Boy, Fish left his drum kit and lay down in front of the stage because he didn't need to sing the song. Lengthwise (performed a cappella ) was played for the first time since July 28, 1998 (233 shows). Bold as Love was played for the first time since October 6, 2000 (74 shows).
Listen now at Phish.in!
Phish, Friday 06/09/2000 (23 years ago) On Air East, Shibuya-ku, Tokyo, , Japan
Gap Chart, Tour: 2000 Summer Japan Tour
Set 1 : Axilla > Taste , Billy Breathes , Poor Heart > Golgi Apparatus > Funky Bitch , The Moma Dance > First Tube > Chalk Dust Torture
Set 2 : Tweezer , Bouncing Around the Room 1 , The Mango Song , The Squirming Coil > Gotta Jibboo > Meatstick 2 > Tweezer Reprise
Encore : You Enjoy Myself
1 Brief outro solo from Trey, which replaced the usual closing guitar lick. 2 First Meatstick to feature Japanese lyrics.
Jamchart Notes:
Funky Bitch - Atypically improvisational must-hear monster.
Chalk Dust Torture - Winning fans in Japan. This huge first-set-closing version raises hell and ends, but then there's a second ending that concludes cacophonously.
Tweezer - Atypically slow but monstrously improvisational version that has several peaks and valleys before speeding-up and concluding in a melodic, triumphant, must-fucking-hear manner.
The Mango Song - Ending jam segment stretches the limits of the basic jam with some nice rhythmic variation, but still stays "in bounds."
You Enjoy Myself - Deeeep, funky jam/groove, and the return of the B&D; segment!
Show Notes:
The Moma Dance included Funky Bitch teases and Tweezer included Funk #49 teases. This was the first ever Meatstick to feature Japanese lyrics and Trey flubbed the words while attempting to sing them. Bouncing included a brief outro solo from Trey, which replaced the usual closing guitar lick. This show was re- broadcast on Japanese television.
Listen now at Phish.in!
Phish, Friday 06/09/1995 (28 years ago) Red Rocks Amphitheatre, Morrison, CO, USA
Gap Chart, Tour: 1995 Summer Tour
Set 1 : My Friend, My Friend , Divided Sky , Strange Design > The Oh Kee Pa Ceremony > AC/DC Bag > Theme From the Bottom , Taste , Sparkle > Run Like an Antelope
Set 2 : Split Open and Melt , The Wedge , Scent of a Mule , Cavern > David Bowie , Acoustic Army , Sweet Adeline , Slave to the Traffic Light
Encore : The Squirming Coil
Jamchart Notes:
Run Like an Antelope - Unusual jam. Sort of off-key. Sort of evil. Dissonant and anti-melodic. No real peak; it just fades into "Rocco."
Split Open and Melt - Improvisational playing in several sections tests the rhythmic and melodic standards for "SOAM" in this solid version.
Show Notes:
Part of the soundcheck's jam consisted of 25 or 6 to 4.
Listen now at Phish.in!
Phish, Thursday 06/09/1994 (29 years ago) Triad Amphitheater, Salt Lake City, UT, USA
Gap Chart, Tour: 1994 Summer Tour
Set 1 : Llama , Guelah Papyrus , Rift , Down with Disease > It's Ice > If I Could > Maze , Fee 1 , Suzy Greenberg
Set 2 : Split Open and Melt , Glide > Julius , Halley's Comet -> Scent of a Mule , Ginseng Sullivan 2 , Mike's Song > I Am Hydrogen > Weekapaug Groove , Golgi Apparatus
Encore : Highway to Hell
1 Trey sang verses through megaphone. 2 Acoustic and without microphones. Fish on Madonna washboard.
Jamchart Notes:
It's Ice - Good rocking jam with excellent Fish and solid Trey (of course Page is great).
Mike's Song - The 1st jam is rocking and ass kicking, with a clever little "Tweeprise"-like walk up. The 2nd jam is basically a non-vocal version of something very "Simple"-like. Just listen and you'll hear it. The return to "Mike's" has more crazed '94 scream-infused power action.
Show Notes:
Trey sang the verses of Fee through a megaphone. Ginseng Sullivan was performed acoustic without microphones and featured Fish on Madonna washboard.
Listen now at Phish.in!
Phish, Saturday 06/09/1990 (33 years ago) The Wetlands Preserve, New York, NY, USA
Gap Chart, Tour: 1990 Tour
Set 1 : Possum , Lawn Boy > Reba , Dinner and a Movie > Bouncing Around the Room > Tweezer , Uncle Pen > Mike's Song > I Am Hydrogen > Weekapaug Groove
Set 2 : Whole Lotta Love Jam > Harry Hood , The Man Who Stepped Into Yesterday > Avenu Malkenu > La Grange , Fee -> Foam , The Oh Kee Pa Ceremony > Suzy Greenberg > Run Like an Antelope , Hold Your Head Up > Terrapin > Hold Your Head Up , Harpua , Good Times Bad Times
Encore : Take the 'A' Train > Contact
Jamchart Notes:
Foam - -> in from "Fee." Groovy and excellent Page section with solid backing from Mike and Fish. It's all good from there.
Run Like an Antelope - Good exploratory version that gets nicely beyond the standard. Great tension, dissonance and experimental jamming.
Show Notes:
Harpua included Funkytown teases and 'A' Train contained a Dixie tease from Trey. The band launched into the second set-opening Whole Lotta Love Jam as the DJ had been spinning the original Zeppelin version. The opening act was The Aquarium Rescue Unit.
Listen now at Phish.in!

Trey Anastasio

Trey Anastasio Trio, 2023-06-09 Mission Ballroom, Denver, CO, USA
Setlist: https://phish.net/setlists/trey-anastasio-trio-june-09-2023-mission-ballroom-denver-co-usa.html
Tour: Not Part of a Tour
Show Notes:
Trey Anastasio Band, 2006-06-09 Verizon Wireless Amphitheatre - Charlotte, Charlotte, NC, USA
Setlist: https://phish.net/setlists/trey-anastasio-june-09-2006-verizon-wireless-amphitheatre-charlotte-charlotte-nc-usa.html
Tour: TAB - Early Summer 2006 Tour
Show Notes: This single set performance was as the opening act for Tom Petty & The Heartbreakers. This setlist is unconfirmed as recordings of the performance do not circulate.
Trey Anastasio Band, 2002-06-09 Tower City Amphitheatre, Cleveland, OH, USA
Setlist: https://phish.net/setlists/trey-anastasio-june-09-2002-tower-city-amphitheatre-cleveland-oh-usa.html
Tour: TAB - The Dectet Summer 2002 Tour
Show Notes: The rendition of "Plasma" from this gig appears on Trey's live CD of the same name. Trey performed "Ray Dawn Balloon" acoustic.

Mike Gordon

Mike Gordon, 2015-06-09 The Pageant, St. Louis, MO, USA
Setlist: https://phish.net/setlists/mike-gordon-june-09-2015-the-pageant-st-louis-mo-usa.html
Tour: Mike Gordon - Summer 2015 Tour
Show Notes:

John Fishman

Jazz Mandolin Project, 2004-06-09 32 Bleu, Colorado Springs, CO, USA
Setlist: https://phish.net/setlists/jon-fishman-june-09-2004-32-bleu-colorado-springs-co-usa.html
Tour: Fish - Jazz Mandolin Project Summer 2004 Tour
Show Notes:

Page McConnell

Page McConnell, 2007-06-09 Bogart's, Cincinnati, OH, USA
Setlist: https://phish.net/setlists/page-mcconnell-june-09-2007-bogarts-cincinnati-oh-usa.html
Tour: Page McConnell Spring & Summer 2007 Tour
Show Notes: This setlist is unconfirmed as recordings of the show do not circulate.
submitted by wsppan to phish [link] [comments]


2023.06.09 07:15 ShivelyS Necro minion build for dungeons

I didn't play d3 so I don't know if it will ever happen but do you think it would be possible for blizzard to somehow fix minions to not make nightmare dungeon runs with them to be a nightmare?
I have leveled with my wife 1-50 as minion/blight build and I loved it. Then we jumped into nightmare and while for map progression or normal dungeons it seems still OK for nightmare dungs I can't deal with minions. When we are trying to gather a pack or two it seems impossible because minions refuse to stick togethewith us so the monsters spread. They have no targeting at all why won't minions target my primary target. My build was centered around frost mages getting my essence back and warriors generating a corpse. And they did... Get me corpses on the outsides of the pack fight which was useless to me. Didn't care much about during normal dungeons but in nightmare i want to go decently fast so I don't need random corpse under one enemy i want them in the middle of the pack to pop CE.
When we try to skip few packs at least half of them die in the process (yes I have invested into the minions can't take more than 30%hp). And honestly while skipping I don't want to have to think about trying to scythe a pack from time to time just to get a corpse and use a priest to heal them up.
At first i thought ok maybe it's just non nightmare gear issue. And minions would get more durable with nightmare level gear. So I switched to bone spirit run some more (currently at 58) got a decent gear for my minions and tried it again and obviously 1st issue was not resolved but to my surprise 2nd wasn't fixed either and they still kept dying during skipping.
For now I'm going back to my bone spirit build and go through 70-100 getting bone spirit gear. I would be OK with it as its kinda satisfying to watch them to go boom but also it's way less engaging as its basically just going boom and waiting for cd to go off and trying to get as much essence in the meanwhile. My minion/blight seemed more interesting and engaging. Is there any decent blight build without minions? Many skills from blight affect you and minions and I feel like without minions I will not have enough output to have good dmg due to lack of good burst damage sources. With minions I could have mostly dots and debuffs as the minions were doing pretty solid dps.
TLDR Do you think blizzard can/will do something to make minions better and targeting and not annoying in end game dungeon? Is anyone playing minions in mid and endgame and not hating it?
And just changing topic a bit.. One more rant. For gods love. Please change blighted CE animation on the ground. The ice and poison (fire is OK, and no I'm not color blind it's just with all that's happening this shit covers the floor too well) aoe from the enemy are invisible at all when you pop few corpse.
submitted by ShivelyS to diablo4 [link] [comments]


2023.06.09 07:13 Fhiszy How do I tell my parents I don’t want the car they bought me?

I know this title may sound bad but please hear me out. I am 16 and my family lives on a pretty tight budget. I’m not given much, but I am grateful for anything I do get. I was recently surprised with a 98 chevy s10 short bed. This car was bought for $750. I was so excited and even cried when I got it because I was so thankful that they took their own money and bought me a vehicle. But when I looked closer I was a little put down.
Of course there is only so much you can get out of a cat for $750. but this needs a lot. Windshield, wiper motor, water pump, Manifold leak, and tires just to name a few. There is even more things that aren’t working properly that need to still be diagnosed.
This car is supposed to be ready for me to be able to get to school in august which is about 2 months away. the problem is that my parents are very big procrastinators. I know my dad more than anyone and i know that this will not be done in time.
Also, if you look this car up, it is insanely small and feels unsafe. it has two seats and absolutely no room to the point i get anxiety just sitting in it. It is also a manual, which i know how to drive, but is so impractical for my needs. Being a new driver, a manual car is a lot more for me to focus on.
Although I am a car guy, i do not care about the visual and cosmetic parts of a first car. as long as i am comfortable and feel safe i am fine. but this car gives me neither of these things.
I currently have a part time job making about $150 per week but i only work two days a week which is hopefully going to be more soon. I want to sell the car they gave me and use my own money and whatever i can get from the car to find something more practical for my needs, but i’m scared to tell this to my father because i don’t want to sound ungrateful when i truly am very grateful. i am not one to complain about much, but when is comes to something that i will be driving a lot and spending money on gas i want it to be something i feel safe in.
submitted by Fhiszy to Advice [link] [comments]


2023.06.09 07:11 lordmikethenotsogood The call that doesn't end...

A long long time ago, in a town not too far from where I am now, I did quite a turn in a call center for mobile phones. After a couple years, and with the impending smartphone boom, I managed to work my way into a Tier 2 tech support position. Which was awesome: fewer fights about late fees and other miscellaneous crap, I got more buttons I could press--and oh BOY do I like buttons--and a little relief from handle time concerns.
Now, at the time, the dominant smartphone was named after not a fruit, but a berry. For a while EVERYONE thought they needed them for email, and the messaging thing was cool, and they had the little ball thing that moved the cursor around, but unless you had used the damn things from the days of the monochrome predecessors, they were just a pain in the ass to learn. Or teach.
Scene set, call beeps in, and the customer care agent lets me know, this gal just got her new device and wanted to know how it worked, and because of the type of device, they figured they should get her to us. What did she need help with exactly, I ask, looking at my schedule and seeing my looming break time...to which I get a noninformative 'iunno, can I bring her on through?'
Well, at least you were nice enough to conference the call pal. Sure.
And for the next two and a half hours, I answered every question there was to be answered about this phone. How to email. How to navigate the menus. How to browse the web. How to send messages. Many of these things at least twice. Maybe even the rules to BrickBreaker a couple times. Break time came and went, lunch time came and went, managers were checking to make sure not that I was ok, but that my phone wasn't messed up. And then, seemingly satisfied, she wanted to let my manager know how well I did.
Blissfully, my manager was out. But I could send her to her voicemail and she could leave a message...and yes, she'd get a call back Monday. Finally, I'm free.
Come Monday. Manager calls back. Gets showered with praise for me. Has more questions. And manager has me call her back to help again. At least on that I got my damn break first.
submitted by lordmikethenotsogood to talesfromcallcenters [link] [comments]


2023.06.09 07:10 Mountain-Sea-6974 Under eye milia

Under eye milia
Can we discuss options to help remove under eye milia. I have had it for years and it really bothers me but I haven’t seen any reduction after using certain skin care such as AHA BHA toners.
If anyone has any success stories I would love to hear them! ❤️

milia

submitted by Mountain-Sea-6974 to SkincareAddiction [link] [comments]


2023.06.09 07:08 Various-Doctor-34 Why does everybody hate Andrew Tate so much for no reason?

I don’t understand why so many people hate Andrew Tate so much, especially women, even Muslim women. He’s fighting against feminism and all these degenerate ideologies. He’s done more for the Ummah than most of us could ever in our lives.
What bad has he done? He’s motivated men to take care of themselves, control themselves, and be good fathers, husbands, and role models and he wants women to be comfortable at home with their husbands and be great mothers, wives, and role models. I understand he might have said bad things in the past, but overall, he generally makes great points like how traditional gender and family roles are being destroyed, and how Islam is the only religion that doesn’t tolerate degeneracy. Of the bad things he says, he’s just being a charactepersona most of the time, and even if he was being serious, this was all before he converted to Islam.
It’s annoying to hear people’s justification for their hatred of our brother Tate by saying “he’s a misogynist”, “he’s a sx traffickerpist”. Unfortunately in a society like this, people just want to do anything to make him guilty, even though he’s not even in jail anymore and is not proven guilty yet. Those same people who hate the Tate brothers, they would also be proudly cheering and enjoying themselves fully at some Chris Brown concert or some rapper like 6ix9ine, and funny enough, they actually objectify women with such filthy slurs and even abuse women, yet they get way more respect than our brother Andrew Tate does. Again, since Andrew Tate converted to Islam, all of his sins are washed away. Even if he is guilty, though the world would hate him, we got to support him and make sure he doesn’t do those things again. Many of the Sahaba also did worse things than him, and even some of them attempted to kill our beloved prophet (saw), and he forgave them after they converted. The double standard is that when some celebrity who is lgbt or liberal converts, just because they appear to be nice, they get praised heavily, but when somebody like Andrew Tate converts, they get massive amounts of hate.
Why don’t we give Andrew Tate another chance, whether he’s innocent or guilty? There’s this Hadith saying that “help your brother, whether he is oppressed or an oppressor”. This is not saying that if he’s guilty, that we condone what he did. This means that we support him in the sense that he would stop doing the crime and would make reparations to the victim.
Lastly, while Andrew Tate mainly says good things, he does have flaws too, but just like any other Muslim, we are all learning something new every day. If he does any sort of mistake or sin publicly after his conversion, he should just be privately informed and that we pray Allah guides him and us all.
submitted by Various-Doctor-34 to TraditionalMuslims [link] [comments]


2023.06.09 07:07 StudMuffinNick I hope this happens...

So I'm on page 370, the chapter is "Three Women". Please no spoilers past this!!
Okay, so a couple things that I think will be revealed soon but I want to make a guess anyway:
  1. I'm 98% the "Illianer" with Egeanin is Bayle Domon! Did he just give up being a ship captain or potential husband to become Eganin's da'covale?? doesn't that mean "property" or something? I was sure they were gonna get married. And Egeanin was going to leave the Seanchan back when they were still in Tanchico. But now she's a captain with him as "property"?
  2. I really think/hope Mat escapes Ebou Dar with that weirdo Valan Luca. I had a previous post 3 whole months ago where I mentioned how much I liked him, so I am hoping Mat escapes using his menagerie so I can get an exchange between Mat and him.
I had another but I forgot. But this leads me to another thing about this book. There are parts when I think the Seanchan could be understood/acceptable. For instance, the parts where it explains how trade never really stopped and people were free to go and come as they want. Also hearing Tuon (who was just introduced) and others talk and be "normal" people, I start to empathize with them.
Then we get to a part where sul'damare literally petting damane and I forget every liking them. I think if not for literally enslaving women with access to the One Power, I would like them a lot better. I don't care that they're an invading force and threatening our MCs as that's expected in their positions. But every time they bring up the damane (you know, like the sul'dam 'taking them out on walks in the stable yard') I just will never like them.
submitted by StudMuffinNick to WoT [link] [comments]


2023.06.09 07:03 Jolly-Avocado6053 Advice on what i should do Me (15 f) and a guy we will call him Leon (15 m)

We met each other trough online school and we started following each other on instagram and started chatting with each other. After a few months it was summer break and i have never met him irl so i asked if he wanted to hangout and he agreed and we arranged a meeting to meet up. He asked me if it would be okay to bring some of his friends (our mutual classmates) to our meeting and I agreed even though I would have preferred at the time to it to be only me and him but i didn’t want him to feel uncomfortable because we were meeting for the first time so I said yes anyways. When I was talking to him online he was very sweet and kind, he was funny as well and showed a lot of interest in me. When I meet up with the group it was 1 girl 2 boys so that means leon, leons best friend, and his girl best friend. Leon’s best friend and leons girl best friend were also dating at this time. btw all of them followed me on instagram and were my classmates as well. Anyways I meet up with the group and the first thing I hear is leon say awkwardly hi to me and leons girl best friend says “come on” as he distance himself from me. I didn’t know what they meant with that but i shaked it off. I hand shaked with leons girl best friend and she wasn’t really taking me seriously i tried to interact with the group multiple times after that by asking them what we are going to eat and some other stuff but they were just talking with each other and ignoring me. I thought that maybe it’s just the start and it will eventually get better later and less awkward. We started walking for a while and i was walking with leons boy best friend while leons girl best friend was walking with him and jumping playfully on him which I found very cringe and I didn’t understand what was the point of me walking with her boyfriend while i should be getting to know leon, I didn’t interact with her boyfriend because I didn’t want her to think that I was trying something so I distanced myself and kept my mouth shut. After a while of walking we sat down at a restaurant and we ordered food. Still they were ignoring me and nobody was making eye contact with me or talking to me. They were talking between eachother and even talking to people on the phone. So I did the same after a while. They were treating me like air. The only question i got asked was if I got my cola from leons boy best friend. Later we were walking and leons girl best friend was giving leon her purse and her boyfriend her sprite and she even demanded from Leon to give her his fries when they were at the restaurant. After a while she said she got tired so we sat down at a bench. I sat down with leon on a bench and his friends at a another bench. He was having his back turned to my face and that’s when I got enough. I called a taxi and said my goodbye and went home, when I was saying goodbye it was only leons boy best friend that said bye back and leon and the girl didn’t even care. I was very sad and upset since everything seemed okay online so idk why I was ignored the whole time. It honestly hurt. After a while of meeting them I had no contact with any of them and neither did they with me. I had as well had a gut feeling about one of them unfollowing me so I checked and it was the girl’s boyfriend that is also my mutual classmate has unfollowed me. Leon and the girl didn’t. I pretty confused and i unfollowed leon and the girl since I felt like they had something to do with it. After some days passed i contacted leon and asked him if he wants to meet again another time and he said that he will see. I was pretty upset with his answer because I think that he messed up pretty bad so he should at least be happy that I’m even reaching out after what he has done. I blocked him and haven’t contacted him again since. Btw this all happened 1 year ago and i have social anxiety. I feel pretty annoyed at the situation because I really liked him and idk what I did wrong I would really like to reach out to him and have us try to go out again but this time only me and him. But idk if he would want to anymore. I feel like this group meeting was a sabotage but idk. What’s ur opinion? Should i reach out to him again? If so what do I say? Any opinion and idea would help a lot thank you for reading.
submitted by Jolly-Avocado6053 to teenrelationships [link] [comments]


2023.06.09 07:01 Illustrious-Leave937 Mourning an old friendship that can never be fixed.

Hey, so I’m a 20 year old college student. You know during this age you gain and lose a lot of friends. You are learning about yourself more than ever. For the past couple of months I have been thinking about my old friend I had, who was my old roommate. We were so close and had so much in common. Unfortunately the friendship ended in like six months of knowing each other. It’s been a little over a year since I officially cut her off and blocked her on like everything. Lol she ended up blocking me back on some things too. Anyway even though six months seems so short, we got so close during that time and were so vulnerable to each other. I genuinely thought she was gonna be friend for years after, I never expected it to end so quickly. For some reason every time I see her in person or come across her social media it brings up so many emotions and makes me feel sad. I don’t understand why I’m kinda still bothered by her and it’s been a little over a year. I tried to give myself space to feel what I had to feel. When I was considering reaching out to her, to clear the air it’s like something just kept holding me back and I never did. Even after we stopped being friends I kept finding out more reasons to really dislike her. I don’t want to hate her or anyone I grew apart from but it’s just like ughh. It’s like I can’t fully heal and move past it. I just want to let it go, stop caring, and be unaffected by seeing her or any of her social media post that come across to me. I don’t know what I’m expecting from this post but I guess I just want to hear from anyone who might have experienced this too and any advice they have for me. Thanks for reading.
submitted by Illustrious-Leave937 to FriendshipAdvice [link] [comments]


2023.06.09 07:00 Joylime Bargaining with the spleen (spoiler: it goes badly)

Hello! Ok. I’m a projector with splenic authority and a completely open sacral (no gates). I looove human design, it’s the only thing in my life that is clear. I also experience my splenic authority different from how people tend to describe it: I can hear it over and over, quite clearly, in its quiet, present, non-dramatic voice.
Deconditioning the open sacral… where to even start? All my life I’ve longed for energy, meditated on its mysteries, fallen asleep involuntarily most days but found deep sources of inspiration other days, tried to cling to those sources… etc. Sacral energy has been the holy grail of my life. I have coded it straightforwardly as a desirable virtue.
When I started studying HD, it still took a few months for me to realize that something was going on with my relationship to sacral energy, that I shouldn’t structure my life around pursuing it. I had a fascinating experience that I talk about on here a lot, of immediately applying what I knew of HD and being invited into a really fun and life-changing situation with a band full of manifesting generators. My spleen did tell me it was ok - it also told me to be sort of vigilant. My sacral was just blissed out though…
Anyway, what happens in bands? People bone. I ended up having this delightful chemistry with this manigeni dude, got the 34-20 personality sun/earth, got 59 defined to my doubly-defined 6, 7 centers defined as opposed to my two (he doesn’t have root or emotional, I only have root and spleen). The chemistry was overpowering and I was enjoying the balancing act of enjoying him without being overwhelmed until he confided in the group that his marriage was ending. Then it didn’t matter what my spleen or anybody said. We were making out pretty much immediately. I was on fire. I felt like a volcano. Almost feverish. I would have gotten physically sick just from the passion if I hadn’t practiced mindfulness. I can’t say it was pleasant. I can’t tell you what my spleen was saying. I was not about to listen.
Dude lives in another country - he was visiting for a year - when he got back he did get divorced btw so the next time he came he was single and a bit more open. This dumb motherfucker was high on a midlife crisis and said all kinds of stuff to me that hit my insecurities and open centers. No one has ever actually wanted to date me before. This dude was using the L word super fast, saying he wanted me to move to where he was, wanting to rent a house, etc
I knew he was in a midlife crisis and I also knew he was a Gemini sun Leo moon/rising so he was running his mouth and being romantic. I thought I knew better than to take him at his word. I knew we weren’t in love. But I really liked him, and I’ve got all these open centers, and also I want to move to Europe. The band got together a little tour in his hometown, and he wanted me to come stay with him as long as a tourist visa would allow. I opted to come for half that time, bc I have a dog at home… and he was saying he wanted me to be his Girlfriend, he was gonna show me off, his kids were gonna love me, all this stuff.
Y’all my spleen just said NO
I asked if he was the one 🥰 and my spleen said NO But we are perfect for each other on paper (open G talking)… maybe he could be the one?? NO OK…. Can we have a lot of fun sex though? Oh sure…
So I thought OK, cool, he’s not the final frontier but he clearly likes me a lot, we will have a fun romance, I’ll get one of these jobs (he’s super charismatic and his conscious sun is in the 4 line so as soon as he told his friends I was looking for work openings just dropped out of the sky), we will negotiate what our relationship is gonna be, I’ll get my European visa, play some cool music…
Ok. What I’ve found with the spleen is that when I ignore it, I think I’m “purchasing” something at the expense of something else. For example, say I ask if I should eat a milkshake and my spleen says no, but I really want the delicious taste of the milkshake so I figure my spleen is just warning me about calories or something. Then I get the milkshake and it’s like poisonous and I spend two days in the hospital. Like you don’t even get what you think you want. It’s not up to you. And I already had this learning experience.
Anyway, writing to you from this sleepy small city in Europe, in the fourth of six weeks of what has been one of the most painful emotional experiences of my life. This motherfucker was uncomfortable with me the moment I got off the plane, spent a few weeks triggering my deepest wound, and “broke up” with me three weeks in. Shit sucks. Hurts so much more than I thought it would, given I knew it wasn’t going to be a real thing. Have been almost delusional. Spleen is very quiet.
Before I came, I experienced sooooo much fear. It was so disproportionate to what i rationally understood the risks were. I wasn’t about to cancel my trip but I did try to change the ticket, to no avail. My spleen told me “Don’t get on the plane” but I was just not gonna ditch the band on their European tour.
Anyways, I won’t be ignoring my spleen anymore. Taking things a moment at a time. I feel profoundly disoriented and momentumless at the moment, but I knew better, man. Not just from my spleen. I just wanted my little romance!! (12th house Venus, but I also got libra sun and libra rising… I’ve never had a romance)
Also like the frontman of another band I play with died while I was away… idk it’s been horrible lol
Undefined center deconditioning is real… and you can’t bargain with the spleen. You can’t! NO CHOICE
I am still applying for the one job. It’s mine if I want it. My spleen is telling me to sit with the variables and feel them out… but it is giving me a hint, the hint isn’t what I want to hear but I know better than to fight it at this point. But I think considering the job deeply will be orienting.
Well, anyway, here’s to a life of improvisation.
submitted by Joylime to humandesign [link] [comments]


2023.06.09 06:57 YinToYang My Journey with Final Fantasy VII

I think like many of us on this reddit forum. Final Fantasy VII (The OG 97 Release) was one of if not our first introduction to the Final Fantasy Franchises.
Final Fantasy VII is really special in a way to me. When I was a kid I spent most of my younger years making regular visits to my local children's hospital. It sucked big time. I was a mess of a child. Born 2 weeks early, had a cleft palate, terrible hearing, teeth that didn't grow or couldn't grow in properly. You name it. I probably experienced it lol.
The hospital is never a fond place for us as kids. We're all scared. It's foreign territory to us with a bunch of strangers, screaming and crying kids who also don't want to be here, and hospitals are just sometimes pretty depressing places. With how frequently I went there it was always a trial but my mom(Best Single Mom in the World BTW) always had something that helped make the visits easier...Video Games.
My Mom raised me on her own since day 1. Always had her parents and her sisters to rely on but she was a tough woman raising a kid on her own. And I wasn't a cheap kid as you can tell with all the visits I had regularly to the hospital. Thank you Canadian Health Care System haha. Thankfully mom helped make the visits go by a little smoother with my Gameboy with Pokemon Blue.
So let's fast forward to the year of 98(I'm in Grade 4 this year). Here I am being lined up for what was probably...my twelfth surgery since I was born. This was easily one of the top three hardest surgeries I had to deal with. It was a bone marrow transplant for the roof of my mouth because my mouth hadn't fully developed properly with me being born two weeks early.
The surgery went off without a hitch but I was bedridden in the hospital for a month having to re-learn how to stand because I was in fucking bloody agony just trying to stand on my own two feet let alone walk. So I was spending every day learning how to stand again and then finally walk again so I could go home and recover in the comfort of my own home.
When I finally was able to come home. My mom during some of the times she had to leave me alone with my grandparents at the hospital wanted to buy me a present for how much of a trooper I was through this surgery day in and day out. She knew it was hard being stuck in the hospital for a month especially with not many fun things to do. The tiny tv my private room had only really had river dancing for something to watch or Simpsons in French lol. And every time I'd ask for them to reel in the tv that had the sega genesis hooked to it so I could at least play something to pass some time they would never bring it. Hell my mom spent every one of those days sleeping in the chair beside my hospital bed constantly watching over me.
So when I finally got home. My mom brought out the present she got me. It was my first Playstation 1 and with it a copy of Final Fantasy VII. My mom went to the local video game store in our neighborhood and asked the clerk what he'd recommend for game to invest to long hours into, with lots of adventure, and story, and magic, and fantasy. The clerk recommended Final Fantasy VII. Thank you mystery clerk.
I would get so lost in the world of Gaia and Cloud Strife's adventures. I had Cloud's Blade Beam when I first met Aerith because I just liked exploring and getting lost in all the random battles. I'd cry for the first time when the events of the Forgotten City would happen. I actually ran to my mom, eyes stained with tears over what happened struggling to tell mom how sad I was when that death happened and how much I wanted to figure out a way to save Aerith.
Playing Remake on my PS4 and seeing Rebirth's trailer today just really reminds me how much Final Fantasy VII impacted my life and revisiting this world, re experiencing everything in a new light, seeing these characters come together again for a new adventure. It really tugs at the heart strings.
Now hopefully I can get a PS5 soon so I can finally play Interlude(No Spoilers please. Still managing to avoid most of them lol) and get my hands on Rebirth DAY ONE.
Happy Final Fantasy VII Rebirth Trailer Release Day y'all.
I'd love to hear how much 7 impacted all of you too.
submitted by YinToYang to FFVIIRemake [link] [comments]


2023.06.09 06:57 AutoModerator [Genkicourses.site] ✔️Dan Koe – Digital Economics Masters Degree ✔️ Full Course Download

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There is one thing that separates those who make it in the digital economy and those who don’t.It’s the quality, articulation, and perceived originality of their content.The content you post has to make sense to the people you attract.Everyone has a different voice and tone that they resonate with. That they are congruent with and trust.It has to change their thought patterns or behavior — that’s what makes you memorable.That’s what separates you from the sea of people posting surface-level copy-cat style posts.Example and putting my money where my mouth is:
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submitted by AutoModerator to GenkiCourses_Cheapest [link] [comments]


2023.06.09 06:57 techbunnyo Squeaky Shoes!?!?!

About 3 weeks ago I had a hearing test and was very surprised to find out I had some moderate and severe hearing issues. A few days later and I got my first hearing aids and after learning how to use them and take care of them, I had to walk to reception and I heard my shoes were squeaky.
My husband had been waiting in the car for me and when I got in and I told him “I have squeaky shoes!” He looks at me and says “you’ve never heard that before?“ To which I replied “NOPE!” He then told me that he hears my squeaky shoes coming down our hallway to our apartment and he knows I’m home.
It turns out my shoes are always squeaky!
I’m hoping this gave you little bit of a chuckle!
submitted by techbunnyo to CasualConversation [link] [comments]


2023.06.09 06:56 Fold_Happy Pharmacy Insurance and PA

My daughter has idiopathic hypersomnia. The treatment for IH is the same as for narcolepsy. CVS is denying the claim for the prescription that was deemed medically necessary last year when they initially denied the claim. I was told it would stay on file. The doctors’ office is basically done dealing with the pharmacy and insurance after the latest denial and have not filed an appeal. I have to file the appeal, which is fine, and after speaking with CVS pharmacy benefits, I understand why the doc is done.
CVS is denying the claim because the medication is only approved for three conditions- narcolepsy, OSA, and shift work sleep disorders. They won’t even fill it. I explained that IH and narcolepsy are very similar and the medication my daughter takes is listed by Mayo, Cleveland, and virtually every reputable provider as the first choice in treatment. They repeated that she didn’t have the three conditions listed and was not eligible for the medication. I asked what meds were approved for IH. The first option she listed was the brand name for the generic drug that my daughter was being prescribed and they were denying. Additionally, I explained that the 3 medications mentioned were all the same as the denied drug and the last option was rohypnol, which cannot be filled at a pharmacy.
CVS told me to submit an appeal, but submitting an appeal can still mean it is denied. Or we can repeat the testing and hope that she has one more episode of REM in one of the sleep stages so that she can be diagnosed with narcolepsy instead of IH. The algorithm is denying conditions and medications that were nearly identical. I assumed that speaking to a person meant critical thinking skills would make it obvious how ridiculous the whole thing was. Nope. They still didn’t understand.
CVS told me that the doctor should just file the appeal. I explained that they last year, all of the information was on file, and appealing a medically necessary condition every year was not part of their duty once they have already proven the medication is medically necessary, it is alifelong incurable condition, that requires no additional testing. CVS wanted to know how they were supposed to know my daughter still needed the medication. I told her that the prescription is how they know she still needs it.
I think pharmacy benefits have gotten so used to just denying everything and using it as a means of security. My insurance was not very happy to hear that CVS suggested solution was to repeat an expensive round of testing to justify paying for a generic drug that is standard in the treatment of a diagnosed condition. I got a Good RX coupon and since it is for Meijer, at least I am not giving CVS any more money than I already am. Sleep disorders tend to run in families. I could not figure out why my last refill for the same medication was only 15 days. It has something to do with the number of pills they will cover in a 30 day time period. I have been trying to stretch my 15 day prescription to 30 days, my daughter hasn’t had hers for a week. We are hella sleepy in this house right now. I just don’t understand how insurance is able to dictate the care that we receive to this extent. We see the doctor every 6 months so that the prescription can be refilled and they can prove to the feds that they aren’t writing fraudulent prescriptions. Can I file a complaint with someone in my state or federally?
submitted by Fold_Happy to HealthInsurance [link] [comments]


2023.06.09 06:53 MasterpieceLazy4364 Am I just sensitive or are some friends just really selfish?

I have this one friend that ever since she got a boyfriend, she started to drag everyone into her drama. For context, her family does not like her boyfriend for racial reasons (messed up I know) and her sister doesn't like her boyfriend because he doesn't like her and is kind of mean to her (at least from what she told me). So now, the friend with the drama only rants to me about the issue, and pretty much thinks about him as the center of her life. She pushed away most of her friends because of him and even admitted to me that since she's with him, she doesn't think she needs friends. I mean, I'm supposed to be her friend so that kinda hurts. Anyway, if we don't talk about her boyfriend, she would have nothing to talk about. She hasn't even asked me how I'm doing within the past few months. I took note because I was starting to realize how one sided everything felt.
Anyway, one day, her sister lied to her saying that I called her boyfriend a walking red flag (which I didn't) and she came angrily texting me asking how I felt about her boyfriend. She started to get super mad at me, but then all of a sudden switched up and said that I was entitled to my own opinion but I should keep it to myself "unless asked." And even when I told her that I didn't say that about him, she was still upset with me. Am I overreacting for feeling like I'm just being used right now? I set a boundary with her and told her that I don't want to be brought into the issue anymore because its between her and her family and that it puts a lot of pressure on me to solve things. She acknowledged it but now she still only messages me to talk about her life, and never asks about mine. I'm always the one asking how she's doing. I know she doesn't care about me as much as I expected her too and that I should lower my expectations, but it sucks because it seems like almost every friend I make only wants me for therapy purposes.
submitted by MasterpieceLazy4364 to friendship [link] [comments]


2023.06.09 06:53 CertainKaleidoscope8 RN Asking for advice/opinions from my First Responder family

I'm an ICU RN with some experience in trauma, but I have never been a first responder and don't pretend to be. However, I have had several occasions where I'm the only person with any training whatsoever at the scene of an accident.
The first time a kid ran into traffic and got hit by a car. I was pretty new at the time, my only experience was with elderly patients on tele in the hospital, and nobody else stopped. I called 911 and waited with the kid, not moving them. To give an idea of my incompetence at the time, EMS arrives, asks me to hold C-spine, and I was like "I don't know what you need I'm just a tele nurse." The medic told me what to do and I left when I was told to.
The second time a car was crunched off the road, people are standing around looking worried, and I stopped and basically asked if EMS was on the way. They were, so I waited with the patient, did a rudimentary Neuro exam, verified they were alive and suggested to everyone that we not move them. EMS arrived and I left when I was told to.
Since then I have learned about scene safety and basically if I see lights I keep driving, if I stop and EMS is on the way I leave, because there's usually nothing I am going to do that is helpful on the side of the road after a 12 hour shift of titrating pressors, completing mindless busywork, and possibly mtp and post mortem care back when I worked trauma. I'm mostly useless and I know this.
So tonight after my second day of orientation at me new job, second day of nine in a row, I see a crunched car on the center wall with airbag deployment and a possible body. I have quit trauma (twice) because I cried on the way home, had nightmares, and basically felt like shit. I'm trying CVICU again because MICU is boring and NICU is crazy people with tubes in their head.
EMS isn't there. I pull over in a turnout, walk to the scene (IDK if it's safe) and find the sole occupant of the vehicle standing on the side of the road saying they're fine. There was a kid there who stopped because nobody else did, he asks "are you a nurse?" And I said yes. He shook my hand (overkill) and asked me what I do when I come across these situations. I told him I wait for EMS because even tho I've been a trauma nurse they're the experts in the field.
Nobody has called 911, they're all fairly confused, and there's a crunched car in the middle of the road with angry drivers zooming around it like they're late for the birth of their first child. Police show up and drive the crunched car noisily off the road, and want everyone off the road because the aim of the cop is probably scene safety and at this point I'm just going to do as I'm told.
So I left. I passed the kid who got her out of the car, who was waiting in his vehicle with a safety vest and other equipment so idk if he just comes prepared for road emergencies or has related job.
TLDR the point of all this is what the fuck should I do in these situations? I feel like I should do something but I'm mostly useless other than calling 911 and saying "don't move" if they haven't moved, and doing a rudimentary assessment which is also useless because when asked for report I'm like "they're alert, oriented, breathing, and have been in an accident" which is fairly obvious information to any professional responding to the situation in a professional capacity.
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2023.06.09 06:49 ChoiceBird6731 Was I unethical here?

I’m a new therapist who has been licensed for only about 6 months now. I have a client (hurt turned 16) that I’ve been seeing since i started 6 months ago that discussed they were having a birthday party and was experiencing a lot of anxiety about nobody coming after this has reportedly happened to them before. Self-esteem is a major issue with them and we’ve done a lot of work trying to deconstruct negative self-concepts around nobody wanting to be their friend and others being too embarrassed to want to hang out with them. They and their mother invited me.
I made the decision to attend and my ethical reasoning was that it was not only important for me to convey that i am genuinely interested in getting to know them and that I care, but that i could also do some real-time therapeutic intervention in a moment that was giving them a lot of anxiety. Before attending, i covered with the client and their mom that, for the sake of confidentiality, I would leave it up to them how they want to introduce me and suggested that I could refer to myself as a friend of the family if asked.
Long story short, i got in trouble with my boss who said and i quote “you’re their therapist, not their friend. No exceptions”.
I’m curious to hear what other people’s thoughts are on this situation? Was i wrong for going? I would appreciate any and all perspectives.
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2023.06.09 06:47 Rainyfriedtofu Attempt at explaining AI by other healthcare providers

Hello fellow Apes,
I am supposed to be playing D4 with my kids but instead I am writing this post for you. It's ok. I'm having fun because I'm actually into talking about this shit. Anyway, I was inspired to write an explanation regarding other companies used of AI based on u/Sandro316 's reply from this post I made earlier https://www.reddit.com/CLOV/comments/144na72/the_reasons_why_big_names_are_linked_with_this/. I'm posting it here to we can highlight this topic, and the information doesn't get lost in the comments section.
The purpose of this post is to explain in laymen terms what these companies are doing in AI from the perspective of a healthcare administrator. A little bit about my background. I started out in healthcare research and did my fellowship at NIH. I have 13+ years of experience working at director and c level positions in healthcare and social services. I'm also a big computer geek, and I current have my staff working on an AI system so I can train staff faster and equip them with the skills to help clients/consumers/patients navigate the complex healthcare and social service systems that we have in California. With that said, let get started.
As a side note, I will make another post regarding the patents CLOV has which pertain to how its AI's is and will be functioning in the future.
Humana for example is mainly focused on improving the customer experience and streamlining administrative tasks
https://www.forbes.com/sites/neiledwards/2020/03/02/why-doesnt-your-healthcare-insurer-use-ai-like-humana-does/?sh=f6faed5608ea
This article is using a lot of big words to explain to you that they trying to build a system that mimic Kaiser and a automated call bot that will hopefully answer all of your questions. Here is a same quote
" Call Center Experience
Humana members call for many reasons: understanding a claim status, inquiring about benefits eligibility, placing orders for new or re-filled prescriptions or appealing a medical coverage decision.
The answers to these questions are stored in different information systems. The company uses artificial intelligence and intelligent automation to help bridge gaps between systems. The aim is a better call experience. "
This is just a small reduction of the current problem regarding claim processing. They are not giving providers a better tool to process claims faster and more accurately. They are just improving their call bot.
The rest of the stuff that was wrote in the article are just Humana trying to copy Kaiser's current system. IF you have Kaiser and appreciate how fast and seamless they make some process such as drug refill, you should get a rough idea of what Humana's AI is trying to achieve.
"United is a little closer to Clover with their optum subsidiary but it is mainly focused on improving patient outcomes by getting them care faster and with the right physician for their case."
https://emerj.com/ai-sector-overviews/artificial-intelligence-at-united-health/
This is exactly what you think it is. They are creating an AI to hopefully understand patients and providers communication better so that they can route them to the appropriate people to process the claim. The reason why United is doing this way go back to the comments I made in my previous posts. They are a very old healthcare company that has a lot of money. However, because their system is so old and deeply rooted in their money making process, it is hard for them to build something like CA which can process treatment, make recommendation, and process the claim--"giving providers more time to treat patients instead of doing paperwork." Want to know what happen when a provider fuck up on their claim? They delay your treatment until the claim is approved by the insurance. This is what United System is trying to reduce with AI.

This second part of their AI is exactly what CA is currently doing. While Optum and United are in development of a system that they still have to figure out how to integrate into their legacy system without causing catastrophic errors--CA is being used and has proven to improve healthcare outcomes and reduce cost (MCR). As a side note, if you think integrating, migrating, or switching to a new system is easy, just take a look at the shit show that is redetermination for Medi-caid that is currently going on. So many people are being dropped from Medi-caid and they don't even know it.
As for the rest of the article and the fancy words they used, it's fucking Kaiser. I'm sorry that I get annoyed, but whenever I read an article that used fancy words to trick laymen people, I get mad. I advocate for the people with 9th grade literacy, and this kind of shit are just describing Kaiser's system which is the current king of primary care if you haven't heard about it. Their system is used at the role model at so many meetings, it's not even funny. They have amazing coordinated care because they are the insurance and provider.
Anyway, next article..
"Oscar is again trying to improve outcomes by routing members to the correct place. Then also improve efficiency."
https://www.hioscar.com/deepdive/oscar-strategy
The AI being deploy here is to reduce the amount of fraudulent claims basically medical misuses. I'm actually very knowledgeable about Oscar, and they not investing in AI as much as they should. They are just improving their current system to detect bad claims and speed up the processing time.
In summary, CLOV's current competitors are trying to build AI on top of their current medical billing systems/platforms. Consequently, due to the limitation of those systems/platforms, they are not able to innovate as much as CA. By the end of the day, their system is still heavily reliant on a human being on insurance side to process the claim and another human being on the provider side to file the claim correctly.
This is very different than providing providers with the tools to
1) process claims
2) make recommendation on what claims (treatment) should be used based on the data from previous patients.
The big problem with health insurance companies now a day is they are so out of touch with the amount of time a provider need to invest into their staff to understand each company's process to file claims, reconciliation, out of network referral, and etc so they keep finding ways to make it easier for their staff while introducing a bunch of new rules and procedures that are not helping providers. Providers cannot provide services without authorization. Authorization should not require a fucking manual for every god damn insurance company. Ever wonder why you have to check whether your provider accept your insurance? What you are really checking is whether or not they are vendorized or are on the panel to bill the insurance company. Low payout and complicated procedures for processing claim and vendorization are barriers to care.
The only company that even come close to CLOV is United and they are still in development. CLOV's AI is live with multiple patents. https://www.reddit.com/CLOV/comments/144pi0m/clover_health_54_patents_from_2018_to_2023/
The best analogy I can give here to compare Tesla (pre-big-ass company) to GM during the EV1 era. GM made the first electric car and was much bigger than Tesla. Tesla was testing out it's battery powered roadster. However, Tesla had years to test out building their car, battery, and production line.
While CLOV is working on testing and proving the profitability of its AI, other companies are just in the process of developing them. Some of them aren't working on it at all.
Before I forgot, all of the healthcare company mentioned above are basically trying to reduce their turnaround time for when a claim is submitted for both new and prior authorization.
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