Contra costa health plan advice nurse
Weight loss
2023.06.08 13:46 Vedasure_123 Weight loss
| Achieving Long-Term Weight Loss: Effective Strategies, Healthy Habits, and Expert Advice Discover practical solutions, healthy habits, and professional advice for achieving long-term weight loss. This informative blog offers important insights and actionable suggestions to assist you in starting a successful weight loss journey and improving your overall well-being. Starting a weight loss journey can be both difficult and gratifying. If you want to lose weight and live a better lifestyle, this comprehensive blog is your go-to resource. We look at successful tactics, healthy habits, and professional advice to help you lose weight and improve your overall health. Understanding the essential tactics that promote long-term results is the first step in laying the groundwork for sustainable weight loss. Our blog delves into evidence-based approaches, such as calorie deficits achieved by a well-balanced diet and regular physical activity. We discuss how important it is to create realistic goals, track progress, and stay inspired throughout your weight reduction journey. Creating healthy behaviors is essential for long-term weight loss and overall health. We offer practical advice on eating mindfully, portion control, including nutrient-dense meals, and staying hydrated. We also discuss the need for regular exercise, stress management, quality sleep, and maintaining a good outlook. Adopting these healthy behaviors can help you optimize your weight loss efforts and lay the groundwork for long-term success. Our site also emphasises the importance of seeking professional guidance and support. We examine the role of healthcare experts such as licenced dietitians and nutritionists in creating personalised meal plans, managing nutritional shortfalls, and providing professional advice. Furthermore, we examine the benefits of joining weight loss support groups or employing a certified fitness trainer. These products can provide useful insights, motivation, and accountability along your weight loss journey. Long-term weight loss goes beyond fad diets and quick fixes. Our blog focuses on the significance of making lifestyle changes that improve overall well-being. We discuss the benefits of eating a well-balanced, whole-food diet that focuses on providing your body with the proper nutrients. #weight loss#weight log#health https://vedascure.in/weight-loss/ Weight Loss submitted by Vedasure_123 to u/Vedasure_123 [link] [comments] |
2023.06.08 13:36 Affectionate_Crab773 Health insurer is dropping coverage for weight loss meds
My employer just announced that starting July 1st our health plan provider will no longer cover semaglutides like Ozempic and Wegovy for weight loss. Looking for advice here--is anyone currently paying out of pocket for Oz? What is the price tag?
What other options are out there if your insurance won't cover this?
I have lost 43 pounds since September & my weight has now stabilized at 152 pounds, BMI now at 23, down from 31. (normal range versus obese range) My blood pressure has gone down significantly & the pain in my arthritic knees is nearly gone! Previously I was having to get knee injections & do physical therapy.
I fear gaining the weight back if I can no longer afford this medecine. Crazy thing is my health insurer will still cover bariatric surgery for weight loss. But they are saying the monthly cost for Ozempic is just too high, at over $1,000 per person. Any advice is very appreciated!
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2023.06.08 13:36 ThrowRA_NBAThankYou The NBA Finals might have damaged my (40F) relationship with my boyfriend (44M)
My boyfriend and I have been together for four years. We do not live together. Our relationship has been loving and supportive, the sex is amazing, and I think we’re both good communicators.
On a few occasions, he mentioned to me that I didn’t say “thank you” after receiving a gift from him. He’s given me some pretty amazing gifts and I don’t think he’s being unreasonable to want me to say thank you. I appreciate his thoughtfulness and selflessness when it comes to gift giving. Also, I’m quick to say thank you in other social situations, like holding open a door or getting help with a task.
Recently, he took me on a vacation to see two NBA Finals games. We both love sports, so it was exciting for both of us. Truly a once-in-a-lifetime experience. We had a wonderful time. During that trip, I did nice things for him: woke him up every day with gentle kisses instead of having to hear a jarring alarm clock. I drove most of the time because I like driving and he doesn’t like the stress of it. But it wasn’t until the last day that he mentioned something about a thank you and I quickly responded, “Oh, gosh, I didn’t say thank you, did I?” During that conversation, I reiterated I was sorry for my carelessness and thanked him profusely for the trip and everything he did for me. I promised improvement in thanking him for gifts and gestures, which I think is reasonable, but I couldn’t promise perfection. He agreed to these terms and everything seemed fine.
Here's where I sheepishly admit that gift giving fills me with anxiety. I've always been bad at giving gifts, so much so that I've asked all family and friends to stop giving me gifts under any circumstances. This way, I don't have any favors to return and won't forget to send thank you notes or whatever is considered good manners in these situations. I've completely opted out of Christmas and plan my own birthdays, complete with buying myself birthday gifts. So far, everyone's been fine with this.
In a cruel bit of irony, my boyfriend feels like he’s been taken advantage of before and needs to hear thank you so he understands he’s being appreciated. It’s an emotional necessity for him. After our conversation on the final day of our trip, we flew home. I thought things were fine, but the next day, he was in despair.
What happened next was a long phone conversation with the following highlights:
- He was upset I hadn’t thanked him for the trip. I got upset because I thought we’d already talked this through.
- I cried because he talked to me like I had screwed up again, and I didn’t understand what I’d done wrong.
- He started reading off instructions for how to say thank you in a condescending way. I called him out and he apologized for it. But it hurt my feelings.
- We both agreed, again, that his ask wasn’t unreasonable and that I was doing my best to adhere to it. I even mentioned putting notes in my calendar to help me remember to do the things he needs.
Two days later, he’s
still agitated about the situation and that we might break up. But that's not in danger because neither of us is talking like the relationship is in trouble. Personally, I don’t know that there’s much advice to give about this—save for therapy, I suppose—since it’s a worry about a situation that hasn’t happened.
At this point, the TL;DR seems to be…
Receiving thanks is vitally important for his emotional health and
Giving thanks gives me anxiety and it's difficult for me to remember to do and
This may, at some point, cause us relationship trouble.
So how do we manage his worry about this? And how do I cope with a relationship that I now know will be such an emotional minefield that I'm afraid to accept anything from him for any reason? We're both so worn out.
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2023.06.08 12:55 Popular_Argument_138 My (30F) husband (35M) might be having an emotional affair
This is probably gonna be lengthy because it’s been going on for awhile.
My (30F) husband (35M) has a relationship with a coworker that just makes my spidey-sense tingle.
For context, we've been together for almost 5 years and got in engaged in February 2020, right before Covid hit. And my husband started the job he is at now back in September 2020. He instantly clicked with one of the girls (he’s the only man in the office), let’s call her Molly, and couldn’t stand anyone else. At first, I had no issues towards her, not even when she mentioned to him that she was gonna “creep” my facebook. Or when she would just always compliment my eyebrows, only my eyebrows, asking whether I got them done, or I do them myself.
Flash forward to May 2021, and we were on vacation with my sister and her fiancé, starting to plan our destination wedding. The whole time we were out planning, he would be snap chatting her, and at one point he snapped a picture of my sister (we look nothing alike), and she asked him if it was his fiancé or her sister, which I thought was kinda weird for someone who said they were gonna creep someone’s social media, or just for the fact that I knew he showed her a picture of me before (our engagement photos) But it wasn’t weird enough I really thought anything of it.
In August 2021, I found out I was unexpectedly pregnant, so we decided to have our wedding a whole year early. In September 2021, I was hospitalized for 4 days, with an infection that if the antibiotics didn’t work and I ended up needing surgery, I would lose the pregnancy. 4 days I sat in the hospital by myself, even though he was off of work. My husband (then fiancé) only came to visit one of the days I was there, for a couple of hours, and the whole time he snap chatted Molly, and was asking me about my eyebrows, again. Didn’t even try to comfort me about the fact I had to turn my phone off because my family was bombarding me with messages of my dad’s infidelity.
We got married in October 2021, and it was a beautiful, last minute ceremony (I planned it all by myself without any input from him), that he really wanted to do before the baby came. Toward the end of October, we went to see a professional hockey game since my boss offered us tickets right on the ice by the team. As we were there, he was telling me one of his friends was also there, and he showed me a Snapchat his friend sent him. Once that Snapchat finished, it went back to his inbox of messages and I seen his coworker wrote him. He didn’t open it while I was looking, and I as turned my attention back to the game, out of the corner of my eye I seen him turn his phone away from my view and start typing. I didn’t say anything until a couple days later and I asked if this was something I should worry about and he assured me it was nothing, and that she was even trying to convince her boyfriend to have a baby so I literally had nothing to worry about. I expressed it was weird that she was had to “convince” her long time boyfriend to have a baby, especially at the time I was pregnant. But, I let it go thinking it was just my hormones.
After this, I noticed he would be texting her or snapping her, even more outside of work. He gets out at 4:30, and would sometimes be texting her until 8:30-9:30pm. Eventually in late November, we traveled to see his favorite football team,. I got him super good seats, that were expensive, for his birthday, booked a hotel, and we made a weekend of it. This time when I seen his Snapchat, I noticed they were best friends on there. And that was just a huge red flag for me.
The following night, after we got home, I asked him about her being his best friend on Snapchat and expressed how uncomfortable it made me, and expressed that I’ve had this feeling in the past and brushed it off and I was actually right about the situation. He told me I couldn’t take my past out on him. That he would never cheat on me. I asked him to delete her off Snapchat and only converse with her where the messages could be recorded (text message and g-chat at work). He said he would just delete his whole Snapchat account. Now, my husband is super outgoing and really likes his social media so this felt weird to me, and I told him it was strange he’d to go to such an extent for a coworker. I also told him I didn’t want him bringing her up to me at any time (he talked about her a lot). He also posted a picture of me to social media that weekend with a cowboy filter, mentioning “sometimes I’m his wife, sometimes a cowboy, but I’ll always be his baby mama”. Molly commented on the post and emphasized “always be your baby mama” with laughing emojis, which my husband reacted with a laughing emoji too. Even though I expressed in the past how I felt about being called his baby mama (I don’t like it), and one of the reasons he pushed to get married before the baby was born was because he promised his grandma he wouldn’t have a kid before marriage. I’m not only the mother of his child, but his wife, and by calling me his baby mama, he’s down playing my role in his life.
We got into an argument about it all and didnt talk for a few days. We work opposite schedules, so instead of going to stay with my parents and having to answer questions, I would avoid the times we would be at home together because I needed some space. Eventually he texted me to apologize, and said that I need to trust him. That he would never cheat on me. I told him no one thinks they’re gonna cheat, and he don’t know how he would react when put into that situation, but I would like him to avoid even being put into that situation where it’s a possibility since our bodies do have physiological reactions, and I have experienced that before personally. He told me he would delete her off Snapchat and only talk to her through text or g-chat so if I wanted to read the messages I could. That he never meant to make me feel like he was prioritizing her, and didn’t stop to think how he’d feel if the roles were reversed.
I never asked if he deleted her off Snapchat, I figured I should at least trust him to do what he says. But I have gone through his messages with her and most of it is innocent. There was one message where she took a screenshot of her conversation with one of the techs where she asked him to take her for a ride in his corvette, and she sent it to my husband and said “look who asked me out”. My husband asked her “isn’t he married”, and she responded “don’t tell anyone though”.
My husband knows I have gone through his phone, like he told me I could, but has made indirect comments about how nobody should go through their SO phone. Relationships are all about trust, etc. he also snap chatted me a picture of all the conversations he had going with the office girls on g-chat, and I noticed Molly’s history was turned off. I asked him if he knew this and he said “lol yeah”. After a few months of not bringing her up, and sneaking away to text her back instead of doing it in front me (like going to the bathroom, or stopping in the middle of walking to type), then he started to casually bring her back into our conversations again.
In April 2022 I gave birth to a beautiful baby girl. I had to have an emergency c-section, so once the baby came out, I told my husband to go with her and the nurses. A couple of weeks after, my gut told me to check his messages. I did and I seen he sent a picture of my baby to Molly 10 minutes after she was born, after he sent it in a group chat to his parents and sister. She got a picture before my parents and siblings. She got a picture while I was still cut open on the table and I didn’t even get to see my until 5 minutes after he sent Molly the picture. When I asked why he sent her a picture 10 minutes after she was born, he said “because she asked for one”. My baby was also born late at night. This was the hardest part to swallow. He only knew this girl for a year and half, and she was so important that she got pictures immediately? After the most important people of in his life? He didn’t even send pictures to his best friend that he’s been friends with for over 20 years, until late the next morning.
While I was on maternity leave, his manager asked him to work a half hour later to close on the days his “bff” (what his manager called Molly) had to close. I told him this made me uncomfortable, them being alone for a half hour, and that his manager knew he wouldn’t say no to closing just because it was with her. This entire 1st year of postpartum, I definitely feel like we’ve grown apart in our relationship. Of course we’re navigating being new to parenthood, but it just seems like he’s always angry with me. Making snide remarks. Giving me dirty looks. And still just coming home talking about Molly.
I finally got to meet Molly at his work holiday party, and it was completely awkward. Not only did she barely say hi to me, she almost didn’t even shake my hand i had extended out to her, but her boyfriend treated my husband coldly (he normally makes friend with everyone, anywhere he goes). We put our jackets to sit by them, and went around to mingle some more, and she let someone move them so we couldn’t sit by them, and then they ended up leaving extra early. The vibes were just totally off.
The most recent incidence was he was talking to our daughter, and I was listening and made a comment about something he said and he told my daughter that I’m always eavesdropping and reading. I asked what he meant, and he said “you know, since you read through my messages”, and I told him to ask me the last time I went through his messages, so he did, and I told him that I haven’t since a couple weeks after my baby was born. He said this was shocking and he didn’t know if it was a good thing or not that I trust him.
This also isn’t the first issue we’ve had over a coworker. At his previous job, I seen him messaging a coworker talking stuff about me and how he didn’t think I would be helpful after construction was done in our house. When I confronted him, he cried and begged me not to leave him. He even stopped talking to her. Which makes his reaction with this situation regarding Molly more suspicious to me.
I can’t tell if I’m going crazy, or if my husband has feelings for Molly. He’s also had conversations with her mom (says she calls the office). Writes on her Facebook wall about random things teasing her (which is his love language). I feel like he treats her the way he treats me and he shouldn’t be treating anyone else like he treats me. He even talks to her more than me. And most times we talk, it’s about the care for our daughter. Even when we’re intimate, he seems different than he did before meeting her. I feel like I’ve been going outta my mind the last year trying to make sense of this, holding resentment. And I just don’t feel comfortable to keep bringing it up, and having the same conversation again. So here I am on Reddit, looking for advice on my situation
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2023.06.08 11:35 Terrible_Humor_8061 What route to go to look into medical neglect for my late father?
My rather recently passed away at the young age of 59. It’s been a rough few years battling through his proudness to get him to doctors to then him being there often with still not a lot of answers.
To start, we were constantly told he had TB. He worked in the merchant navy for around 35 years so suspected he picked it up then and it laid dormant. I (25) was out of the threshold for my TB shot at school so never received one. My step sisters and mother all did receive one - however my mother lived and cared in close proximity and whenever I would return home I would also stay there. We never received any information regarding TB, I was never recommended a shot. It’s my understanding it’s rather contagious.
We didn’t believe it was all down to TB, as he had lost weight rapidly, was lethargic, tired all the time. Couldn’t walk the stairs anymore, had water retention everywhere. A pop up lung health check that was recommended to everyone in the area (so not prompted by actual GP’s) showed up a cloud on his lung which would then be put down to suspected COPD and lung cancer.
By this point he was very weak, around 6/7 stone at 6ft. It would be difficult to propose an actual biopsy. Whilst understandable medically, he was sent back home with antibiotics, vitamins and fattening shakes. The antibiotics made him worse, and the doctor recommended he stopped taking them.
So for around a year - he was on vitamins, shakes and inhalers. These were still difficult to retrieve from our local pharmacy. As time went on my mother pressed my father to allow her to speak on his behalf which was a challenge but happened around March this year where he was so now weak we had to attain a special bed, commode, just in case meds from the Macmillan nurses we’d been put in touch with. These would only come round when rang for, maybe a 2 week check up where they would check his oxygen levels etc (which more than often wouldn’t even show at all).
We had to press for our local gp (who we are familiar with and been with for 40+ years) to come round and evaluate my father, we were told if a doctor didn’t come out at all a post mortem would have to take place in the event of his passing. He came round and still said TB.
In the last day of his passing, we presumed he was suffering a stroke, we rang the macmillan nurses, they didn’t do any physical tests or do anything, just rang about for advice, this prompted a Locum doctor to attend a few hours later. Again didn’t do anything, recommended we rang dove house to get him there into a more comfortable place. He had been lying on his (bad) lung for around 4 hours, unable to drink, eat, barely breathe. It was down on the doctors notes that he had refused treatment.
This was never the case - he wasn’t allowed certain treatment due to his weight, but put a lot of effort into gaining, but his health got the better of him and didn’t allow him to move forward.
The doctor said due to this being down on his records, he couldn’t do anything further - and left. He died about an hour later. The ambulance to dove house was 6 hours away.
We asked for a post mortem to get a proper answer. He died of COPD, lung cancer, tumor embolus and pneumonia. Our gp up until this point was still saying TB. Even the day after when we tried to obtain a death certificate - he was arguing with my mother it was more than likely TB.
Whilst I understand with the outstanding health problems, he ultimately would’ve died due to these factors. I just don’t believe he should’ve when he did, with the lack of attempt at care over the years. He was due to go into the hospital 3 days before he passed, but due to miscommunication they never came to pick him up and then it fell on a bank holiday, it got pushed to 5 days after. He died on the Sunday. (3rd day)
Going forward I’m understandably sad, angry and wanting answers. Me nor my family want any money, anyone sacked. We just don’t want this to happen to anyone else, and for some kind of justice for my father who fought till the very end. I understand this is abit much for a Reddit sub - but I think it’s the best place to start. Him and my mother weren’t married and he had no will so I am the next of kin if that’s any useful information.
Thank you to anyone who reads and gives advice.
Edit: england
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2023.06.08 11:27 helpimitchy97 How can I (25F) get over how my boyfriend of six years (25M) treated me in the past?
Me (25f) and my boyfriend (25m) have been together for nearly six years. In those six years we have been relatively happy but there have been some issues along the way. The issue that I’m facing is that at the time of these issues I forgave him and we sort of fixed things and moved on but now I am feeling resentment against him, despite these things happening years ago in some cases.
A major problem for me was his lack of effort when it came to household chores which went on for about two years. I cried, begged and pleaded for him to change and wash up a dish once in a while but he never did. I said that I was basically done with the relationship and then he did change and is now more proactive with cleaning etc. I still felt slighted but we moved on.
Another issue was that I was a nurse during Covid and had a mental breakdown. He was extremely unsupportive and during this time I continued to do all of the household labour. I would explain my feelings to him and he would (sadly, not exaggerating) stare into the distance and not say anything in response. Again, after a few months he started making more effort in terms of emotional support. I chose to forget about it and move on.
I’ve made it clear that I regard viewing porn as cheating and I am so against it because of how it affects women. I recently saw in his Reddit history that the majority of what he looked at on Reddit was porn. This was explained away as ‘curiosity’. We were two months away from an international move so I chose to get over it.
These things all happened roughly 1-3 years ago, so why NOW am I so angry? I was angry and let down at the time, of course, but I stayed because he did change his behaviour. He now is largely a great partner. He does housework without me asking, he plans things for us to do together, he’s always checking in on my emotions and how I’m doing. He’ll send me cute memes throughout the day. Why is it that he’s changed but now the anger that I felt at the time is magnified? He has no idea that I feel this way and we are just continuing on as normal but I can’t shake this feeling.
TL;DR - Boyfriend made a few mistakes throughout our relationship. He is now a great partner but I’m struggling to forget his past transgressions.
Does anyone have any advice for how I can get past these feelings?
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2023.06.08 11:20 epitaphcat22 So tired of all the "experts" scaring parents!
I'm on this sub a lot during my MOTN feeds. I've spent hours googling things I didn't know I needed to be afraid of or worried about after reading some posts and comments. Can I just say that I am so tired of hearing about medical professionals, lactation consultants, mother in laws, etc. scaring new parents into feeling inadequate and like we're doing something wrong? The number of times I've seen a post to the effect of "my ped/LC said this, what should I do" or stories of conflicting expert advise is so aggravating. Why is there no continuity of care among these professionals and how do they not realize they're essentially preying on already anxious parents?
I spent three days in the hospital after LO was born and was met with nurse after nurse with different advice on getting baby to latch. They had me try every intervention and tool they had. Day three nurse actually wanted me to stay another day (on that god forsaken bed) just to get more help. I met with an LC and was set up with the three step method and told to stop breastfeeding after 10 minutes and supplement while I pumped. Little man was born early and struggled to stay awake while feeding and had a shallow latch. I was constantly anxious and questioning whether I could BF at all. I spent hours crying about my useless boobs and feeling like I wasn't being allowed the opportunity to just try and figure out what worked for us because I was listening to the experts, after all.
After a major breakdown, I finally just cold turkeyed all the interventions and the LCs plan and just tried. We went slow, supplemented as needed. We figured it out. I made sure he wasn't hungry by supplementing, but I didn't rip him off the boob after 10 minutes, I didn't hand express into my electric pump as prescribed by my LC. After about two weeks of tears and major anxiety that I was failing my baby, we figured it out and now he's a master boober.
I know there is great advice out there and great professionals, and not everyone is like this. I'm just so tired of seeing expert advice cause so much pain and fear, and experts completely disregarding mental health as a factor when prescribing opinions. Sometimes things take time. Sometimes babies are perfectly content with the three step method or the nipple shield, and sometimes they just need an opportunity to practice this whole eating thing.
If you're still with me, thank you for reading my 3am rant.
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2023.06.08 11:17 DrkiranReddyCh Orthopedic Specialist in Hyderabad Dr Kiran Reddy Chennuri
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2023.06.08 10:27 Sufficient_Potato876 I(23f) don't know if I should leave my boyfriend (20m) or stay with him after many toxic things have happened.
I (23f) have been dating my current boyfriend(20m) for about a year now. We started dating last year in July. Long post. Before I met my current boyfriend, let’s call him Andy, I used to do only fans it was a way for me to make money during covid but eventually I stopped doing it, I deleted my OF account about a year before Andy & I met but was still selling content to one or two clients who I had formed a friendship with. When Andy & I started getting serious I decided that I would stop selling content & just find a normal job because I could tell he was the type of guy who wasn’t too keen on it from prior conversations we had, so I never actually told him that I sell content. I had told my clients that I would be finishing soon & would do it one more time as like a “ closing down sale “They all agreed & bought one last round of content, I planned to completely stop and then tell Andy about what I used it, that obviously didn’t happen .. after a night out drinking I had left my phone unlocked on my bed & Andy proceeded to go through it, he saw the chats between me & a client & he took it as I was cheating on him & I was still sleeping with other guys, I explained the whole thing to him but I could see he was really hurt by it & didn’t really understand, keep in mind at this point we had only been dating for about 2 weeks maybe 3. I kept trying to tell him that it was just a job & I never meant for him to find out this way I could see how much it was affecting him so I tried everything in my power to try & gain his trust back & to try to fix the situation. I do realise I was wrong in this situation and it was up to me to try fix it, and that's what I thought I did. I have never really liked how he acts on social media and that was always something at the beginning of our relationship .. in about September we were laying in bed and he kept getting messages on Snapchat, I left it for about an hour of Andy and this Snapchat person talking till eventually I asked him whos he's talking to so much. He then said it was just some random girl on Snapchat that thinks he's cute and wanted to talk to him, I had a problem with this and asked him what the fuck? and how does he think that's okay? he said he's not flirting back with her so what's the big deal.. this turned into a huge fight and for the first time he threw the fact that I used to do only fans in my face. I knew it was bound to happen to I accepted it but still explained to him that I'm not okay with him talking to girls who are actively flirting with him especially if he's not going to tell them he has a girlfriend once again I thought we had resolved this issue. I then started to notice that he would like a lot of girls' posts and would comment under a lot of their posts commenting on their bodies and how they look. I again spoke to him about this and again he blamed him for doing it on the fact that I used to do only fans and again I just took it and tried to understand. I thought he and I were good until Jan of this year when I found out that he was talking to a lot of other girls as well as flirting with them and letting them flirt with him and was sending them topless photos of himself all the time as well as asking other creators if he can buy nudes from them. I was devastated when I found out and when I confronted him about it he again blamed me and the fact that I used to do only fans, at this point I had enough and told him he needs to stop blaming me for all the shitty things he does, I know I did a messed up thing by not telling him but he can't keep blaming me. This broke a lot of my trust in him as I had thought we had worked through those issues and had moved past them but clearly, we hadn't. He had been doing all of this all from September to November but I only found out in Jan. I had told him that he had broken my trust and that I would need some time to process all of it, and he promised me he would change & he realised how immature he was being. Over the next couple of months after Jan things seemed to be getting better but I did struggle to trust him which was causing even more issues between us but we were both determined to stay & make it work, I had full access to his phone and his socials and he had full access to mine... I thought we were doing fine until about 2 months ago when he had gotten a girl's number & saved it under a guys name, I asked him about it and at first he lied to me & said it was the girl's boyfriend's number then eventually told me it's actually her number that she was an old school friend but he just didn't want to to find out that he had gotten a girls number ( he had deleted all the girls off his phone a few months prior as a way to prove to me that he's serious about us, I didn't ask him to do this, he did it then told me about it afterwards )I was pissed, to say the least, now yes I'm crazy but I'm not completely crazy where I don't want him to talk to other girls. I just want him to be respectful of our relationship while talking to them, i was pissed about the fact that he lied straight to my face about it & again it turned into a fight about the fact that he did it because I don't trust him so he thought it would be better to just hide it from me. At this point, I was pretty over our relationship & over always being on edge because of him... We were in such a bad space I honestly didn't think we were going to last but we did & we spoke about it & things started getting better...
I recently found another girl that he had asked to buy nudes from on Snapchat in October and again I was pretty hurt, I brought this up to him & he said he doesn't understand why I'm so upset about it if it happened last year & we've already fought about it a few times, I explained to him that yes it happened long ago & yes we have fought about it but every time I find a new person he tried to get nudes from or that he flirted with it still hurts just the same, it's a thing of while I thought we were happy & in love, he was flirting with other girls.
Now we have spoken about this & i asked him why he did it so much & so often and he said he's never been in a serious relationship and he's always used to be having a backup girl if the relationship he's in doesn't work out but with me he doesn't have one & doesn't want one and it used to scare him so that's why he did it but as our relationship has grown he's realised he doesn't want a back up and I'm all he wants & that for a long time he struggled with the fact that I did onlyfans but that now he truly is over it & that he really struggled with the lifestyle I used to live ,I used to go out every weekend & I had a lot of male friends who have absolutely no respect for my relationship so In the beginning of our relationship Andy would always see my guy friends as his competition & as a threat so he saw it as he needs to have all these girls just incase I leave him for one of my friends ( I cut all my guy friends off pretty early on in our relationship but would still see them whenever we went out which also stopped being as frequent as we started getting more serious )
After everything that has happened, I don’t see Andy the same way I did... I don’t feel the same love for him as I did.. don’t get me wrong I still love him with my whole heart it just feels different... it feels tainted now... I feel like I can’t be as open & happy with him as I once was after him hurting me so badly.. & now I do understand that I messed up in the beginning but I tried to fix it.. he just used it as cover to do whatever he wanted... I’m now at a point where I don’t know if I want to be with him or not anymore , I do love him but I just don’t feel the same... I get annoyed with him so easily now, I prefer it when he’s at work because then I don’t have to be around him much... I have thought maybe he & I should go To counselling to try to overcome all of this but is that even worth it? He seems fine with me & still wants this relationship & recently has been putting in a lot more effort than he ever has before but I just don’t know if it’s too late & my heart has already moved on from him...
Please give me advice! I am very much in two minds about what to do because in every other aspect he is amazing, he's caring & calm with me and is patient with me when it comes to my mental health, my family loves him and he's amazing to my animals.. So for the most part is great I just don't know if the bad outweighs the good anymore
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2023.06.08 10:03 RobertCarlous The Importance of Patients Primary Care
When it comes to maintaining good health, having access to quality
primary care is essential. Patients Primary care forms the foundation of the healthcare system, serving as the first point of contact for patients seeking medical assistance. In this blog post, we will explore the significance of primary care in promoting overall well-being and discuss the numerous benefits it offers to patients.
Understanding Primary Care Primary care is the initial and ongoing healthcare provided to patients by physicians, nurse practitioners, and other healthcare professionals. It serves as the first point of contact for patients, addressing a wide range of health concerns, from minor illnesses and injuries to chronic conditions and preventive care.
Primary care is characterized by its comprehensive and continuous nature. It focuses on preventive measures, health promotion, disease management, and coordination of care.
Primary care providers establish long-term relationships with their patients, enabling them to understand their medical history, individual needs, and preferences.
The Role of Patients Primary Care in Disease Prevention Prevention is better than cure, and primary care excels at this. Primary care physicians play a crucial role in promoting disease prevention through various strategies:
1. Routine Check-ups:Patients primary care providers recommend regular check-ups to assess overall health, detect potential issues, and provide preventive care measures.
2. Immunizations: Primary care ensures patients receive appropriate vaccinations, protecting them from preventable diseases and reducing the risk of outbreaks.
3. Screenings and Early Detection: Primary care includes screenings for conditions like cancer, diabetes, high blood pressure, and cholesterol. Early detection enables timely interventions and improves treatment outcomes.
4. Lifestyle Counseling: Primary care providers offer guidance on healthy living, including nutrition, exercise, smoking cessation, and stress management. They help patients adopt positive lifestyle changes to prevent diseases.
Continuity of Patient Primary Care One of the unique aspects of primary care is the emphasis on building long-term relationships between patients and their primary care providers. Continuity of care offers several benefits:
1. Better Coordination: Primary care providers serve as the central hub of a patient's healthcare, coordinating various aspects of their medical needs, including referrals to specialists, diagnostic tests, and follow-up care.
2. Personalized Treatment Plans: Patients primary care providers understand their patients' medical history, values, and preferences, enabling them to create individualized treatment plans tailored to their unique needs.
3. Improved Patient Outcomes: Continuity of care leads to better patient outcomes, as primary care providers can track changes in health, monitor chronic conditions, and intervene promptly.
Comprehensive Health Assessment Primary care physicians conduct comprehensive health assessments that go beyond treating a specific illness or injury. They consider various aspects of a patient's health, including physical, mental, and emotional well-being. This holistic approach ensures that patients receive comprehensive care:
1. Physical Health: Primary care providers perform routine physical examinations, monitor vital signs, and order necessary lab tests to assess physical health and identify any potential issues.
2. Mental Health: Primary care providers screen for mental health conditions like depression, anxiety, and stress. They provide counseling, therapy, and referrals to mental health specialists when needed.
3. Emotional Well-being: Primary care providers create a safe and supportive environment, actively listening to patients' concerns and addressing their emotional well-being as an integral part of overall health.
Management of Chronic Conditions: Partnering for Better Health Patients with chronic conditions greatly benefit from the ongoing care and support provided by primary care physicians. Primary care plays a crucial role in managing
chronic illnesses:
1. Disease Monitoring: Primary care providers monitor chronic conditions, adjust treatment plans, and ensure patients receive appropriate medications and therapies.
2. Patient Education: Primary care providers educate patients about their chronic conditions, including self-management techniques, lifestyle modifications, and warning signs that require medical attention.
3. Collaborative Approach: Primary care providers collaborate with specialists and other healthcare professionals to develop comprehensive care plans that address the specific needs of patients with chronic conditions.
Coordination of Specialty Care Navigating the complex healthcare system can be overwhelming for patients. Primary care acts as a guiding light by coordinating specialty care when needed:
1. Referrals: Patients primary care providers assess the need for specialized care and make referrals to appropriate specialists, ensuring patients receive timely and specialized treatment.
2. Care Coordination: Primary care providers coordinate with specialists, ensuring seamless communication, sharing of medical records, and a comprehensive understanding of the patient's healthcare journey.
3. Advocacy: Primary care providers serve as advocates for their patients, helping them navigate the healthcare system, understand treatment options, and make informed decisions.
Mental Health Support: Addressing Emotional Well-being Mental health is an integral part of overall well-being. Primary care providers play a vital role in identifying and managing mental health conditions:
1. Mental Health Screenings: Primary care providers conduct mental health screenings to identify symptoms of common mental health conditions and initiate appropriate interventions.
2. Counseling and Therapy: Primary care providers offer counseling and therapy services to address mental health concerns, providing support, coping strategies, and referrals to mental health specialists as needed.
3. Collaboration with Specialists: Patients primary care providers collaborate with mental health specialists to ensure patients receive comprehensive care for their mental health needs.
Health Promotion and Patient Education Empowering patients with knowledge about their health is a fundamental aspect of primary care:
1. Health Promotion: Primary care providers engage in health promotion activities, encouraging patients to adopt healthy behaviors, make informed choices, and prevent diseases.
2. Patient Education: Primary care providers offer educational resources, personalized guidance, and preventive measures to empower patients to take an active role in their health management.
3. Shared Decision-Making: Patients primary care providers engage patients in shared decision-making, involving them in treatment planning, discussing options, risks, benefits, and aligning care with their values and preferences.
Accessibility and Cost-Effectiveness Accessible and cost-effective healthcare is crucial for ensuring that everyone can receive the care they need:
1. Healthcare Disparities: Primary care plays a crucial role in reducing healthcare disparities by providing accessible care to underserved populations, improving health outcomes, and promoting equity in healthcare.
2. Early Intervention and Prevention: Primary care focuses on prevention and early intervention, reducing the need for expensive and invasive treatments, thereby minimizing healthcare costs.
3. Efficient Resource Utilization: Primary care providers help patients navigate the healthcare system efficiently, ensuring appropriate utilization of healthcare resources and reducing unnecessary healthcare expenditures.
Conclusion Patients primary care is the cornerstone of a well-functioning healthcare system. By providing comprehensive, patient-centered care, primary care physicians enhance the overall well-being of individuals and communities. From disease prevention and management to mental health support and patient education, primary care plays a vital role in promoting and maintaining good health. So, make primary care your ally on your journey towards a healthier life. Your health matters, and primary care is here to support you every step of the way.
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2023.06.08 09:44 Affectionate_Emu5292 Am I overthinking?
I need some advice regarding my friendship with my BFF. (A long one but please read)
My BFF and I both met and married our men around the same time (with 3-6 months of each other. She got married first and they became a blended family with no kids together. my husband and I got engaged, then I got pregnant and we married after our son was born. My husband and I are a blended family. 1 together and he has 3 and I have 2 . Our kids love each other and they all love to love on their baby brother.
My BFF & I talk all the time and of course vent about our husbands but I do keep some stuff reserved for just my marriage. Lately I have noticed some things with her. Idk if she’s in competition with me or jealous but idk how to bring it up without trying to accuse her of anything in case I’m overthinking it (I’m naturally a overthinker and an empath).
Whenever I say I want something or show her something online that ima ask my husband for, she says her husband already bought it for her and it’s on the way. Now I don’t mind us having the same things ( I know companies make hundreds of products) but it’s the tone. Almost as if she is saying “haha I got it first”.
Now I wasn’t the one who originally noticed it. My sister (my BFF, my sister and i have a group chat) & my husband both brought it to my attention at separate times and that’s what made me start thinking is something else going on.
She has vented to me about her husband and how detached he is and they are pretty much like roommates. They don’t have sex besides once every other month they have been married going on 2 years. I, of course gave healthy suggestions, like role play, date nights, getting it in randomly in the laundry but she refuses to even try these things. She complains that my husband and I have sex too much but in the same breath will say she wish her and husband had sex as much as me and mine. (The question came up during a game night for her 21 yr olds birthday). Sometimes I feel like I’m giving advice but she won’t take it. I have started asking her during conversation “do you want my advice or am I just being a listening ear” so I can know how to support her.
Sometimes I can’t even tell her my good news because she always make me feel bad for having some many good things going on in my life. I can say “oh I can’t hang Saturday, we have date night” and she will say “eww y’all always together, what do you need a date night for” or “I came first, cancel your plans and hang with me instead”. The few times her and her husband have a date night planned and I asked her to hang out, I usually say “enjoy and have a shot for me”. I don’t get the problem of actually enjoying spending time with my husband. We have very busy lives so little things like going to target together makes me happy and we just like to talk. My husband and I can laugh and talk for hours. She gets upset when she calls and he’s around. I have to explain to her we were just having a convo when she called and she will say something smart like “well call me when you have time to talk to me which will probably be tomorrow cause your always talking to him”.
I guess I’m getting at the energy is not being reciprocated.
Recently my husband got a job offer and doing all the HR stuff to start soon and will be making almost $80k a year. I work full time as well but also received a job offer so our income will about well over $100k. Me being excited about this because I can finally rebuild our savings and save to purchase land so we can build our home from the ground up, I told my BFF. Not trying to rub it in but just wanting to share the good news with her because I was so excited and she says “must be nice”. I ignored it and didn’t say anything else. During this same conversation we started talking about Amazon and spending habits. Her and her husband were at our home and my husband heard me say I was hungry. While he was talking to her husband, he walks over and hands me his wallet. I asked him what it was for and he tells me to get dinner for everyone (them included). I asked for a spending limit and he said “just get whatever you want and make sure it’s enough for everyone”. Me and her leave and she says “must be nice to have a man just spoil you. The fact you can touch his wallet. I bet you have access to his accounts”. I quietly confirmed that I did and she goes on a rant about how I always ended up with the good ones and she gets the bums that have her paying all the bills. I just changed the subject to the music on the radio.
There has also been other smart remarks but I over look it and say to myself “she my best friend and she didn’t mean it like that” but I think I need to start taking it how she said it.
Am I crazy? I love her to death but it’s starting to hurt my feelings and effecting my mental health.
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2023.06.08 09:08 Sea-Phase-7999 Best Retirement Plans In India 2023
Retirement Plan Retirement is an exciting phase of life that allows you to enjoy the fruits of your labor and pursue your passions. However, to make the most of your golden years, it's crucial to plan ahead. Retirement planning helps ensure financial stability, enabling you to lead a comfortable and fulfilling life. In this blog post, we will explore some essential tips for effective retirement planning.
Start Early: One of the most critical factors in retirement planning is time. The earlier you start saving and investing for retirement, the better. Time allows your investments to grow through compounding, making a significant difference in the long run. Begin by determining your retirement goals, estimating your expenses, and creating a budget that includes regular contributions to retirement accounts.
Assess your Financial Health: Before diving into retirement planning, assess your current financial situation. Evaluate your assets, debts, and income sources. Calculate your net worth and determine your monthly cash flow. Understanding your financial health will help you make informed decisions and set realistic retirement goals.
Set Clear Retirement Goals: Define your retirement goals to give your planning process direction. Consider the lifestyle you desire during retirement, travel plans, healthcare needs, and any specific hobbies or activities you wish to pursue. Setting clear goals will help you determine the amount of money you need to save and guide your investment strategy.
Estimate Retirement Expenses: To plan effectively, estimate your retirement expenses. Consider factors such as housing, healthcare costs, daily living expenses, leisure activities, and unexpected emergencies. Analyze your current spending patterns to get a rough estimate. It's better to overestimate your expenses to ensure you have enough funds to cover any unforeseen circumstances.
Save Consistently: Make saving for retirement a priority. Set up automatic contributions to retirement accounts, such as a 401(k), IRA, or pension plan. Contribute the maximum amount allowed, or at least aim to contribute enough to receive any employer matching contributions. Consistent saving, even small amounts, can add up significantly over time.
Diversify your Investments: Diversification is key to managing risk and maximizing returns. Avoid putting all your eggs in one basket by investing in a mix of assets such as stocks, bonds, real estate, and mutual funds. Diversifying your investment portfolio reduces the impact of market volatility and provides stability and growth opportunities.
Consider Professional Advice: If you're unsure about managing your retirement planning alone, consider seeking professional advice. Financial advisors can help you analyze your goals, create a personalized retirement plan, and guide you through investment decisions. They have the expertise to optimize your portfolio and ensure you stay on track to meet your retirement goals.
Stay Informed and Adjust: Retirement planning is an ongoing process. Stay updated with changing economic conditions, tax laws, and investment opportunities. Periodically review your retirement plan and make adjustments as necessary. Life events, such as marriage, children, or health issues, may require revisions to your goals and financial strategy.
Conclusion: Retirement planning is a vital step toward securing your financial future and enjoying a comfortable retirement. By starting early, setting clear goals, saving consistently, diversifying investments, and staying informed, you can make your retirement years truly rewarding. Remember, a well-executed retirement plan brings peace of mind, enabling you to live the life you've always dreamed of during your golden years.
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2023.06.08 09:05 blubbercopter TX, unsure of what to do...
Apologies in advanced if something doesn't exactly adhere to reddit etiquette, and/or if the flair doesn't match my subject matter. I'm very new to this site and only really lurk if anything.
There's a mix of things I'm dealing with and I'm not sure what to do about any of it. I'm not even sure where to start explaining my situation. Sorry in advanced if it occasionally derails, because there's a ridiculous amount of things to summarize and skim through.
In January 2023, I (27F) moved by myself, halfway across the country, to Texas to escape semi-unethical living conditions with my family (threatening to force religious conversion onto me, not supporting me in getting mental health treatment for autism/trauma/etc. Generally a toxic living environment, despite "wanting the best" for me). A "friend" (22M) offered to take me in, else I would've been homeless, perhaps even dead due to the winter storms.
We met online via discord in May 2022, and he quickly charmed me by telling me how he wanted to learn about others' perspectives, so he could grow and better himself as a person. Long story short, he was a convincing liar and a terrifying abuser.
I don't think I have enough significant physical evidence of his abuse; aside from a single recording of an argument we had (out of several dozens that happened throughout the months), photographs of small scars on my hands (from the unethical job he set me up with), and symptoms of trauma/PTSD that I can't even officially confirm yet (despite the fact that the anxiety tied with my traumas are debilitating enough to keep me unemployed for over a month now). There's also a number of my other friends (both online and not) who witnessed me defending him (a classic sign that gaslighting and abuse was happening), but I don't think that carries any legal weight.
In April of 2023 I moved out, into a better and much healthiehappier living situation. 2-3 weeks afterwards, I quit the toxic job and completely blocked my abuser. Prior to the cut-off and after moving out, he had lectured and threatened me over taking tupperware that I accidentally bought duplicates of (he hardly used them anyway, as he did delivery for almost all of his meals, and even refused to refridgerate leftovers, so it didn't make sense that he'd even want to keep my tupperware). Upon cutting him off, he tried to follow through on another threat, that involved trash-talking me and "exposing the truth about me" in hopes that people he knew I liked would instantly drop me. "Because friendships are fickle like that". It obviously didn't work.
Anyway, I digress. I don't know if I have enough legal leverage (or lawyer funds for that matter) to press charges for the abusive matters. I don't know about that process at all and what results would come of it. However, when we were still "friends", he admitted to me (via spoken word, nothing written as far as I remember) that he paid someone on the dark web for illegal and exploitative content, supposedly because he was bullied online and consequently convinced he might actually like it. He hated it, supposedly. I don't know now if it's the truth or not, due to how much he lied and went behind my back before. He did still engage with the illegal activity, which is grounds enough to report him, right?
I'm very scared to report this, however. I'm weighing some of the odds, due to my lack of knowledge of the matter. I also understand that I have responsibility as a victim and as a witness, but not everything works out IRL as it does on paper. I have his exact information (full name, address, phone number, current employment, even a vague memory of what car he drives) that will all be valid until July.
If I somehow report a tip on the illegal content he obtained, anonymously or not, there's a chance he'll know I'm the one who reported him. He doesn't know where I live, so while I'm not 100% in physical danger, he's highly intelligent and will do everything he can to track me and inflict harm on me (he talked about murderous ideations with me before in a joking matter, even after I told him I was very uncomfortable with it). We live relatively close to each other, so there's still some degree of risk. It also puts the people I'm currently living with at risk, and I don't want anything to happen to them because I'm trying to do the right thing.
The best case scenario is that upon reporting him, he ends up in prison. No harm done to me, anyone in the future, or to those that have helped me escape him. Worst case scenario, he manages to convince law enforecement that he's innocent, and he comes after my life. Another "worst case" scenario is that he WAS being honest about hating the illegal content, which would've been deleted prior to a potential search & seizure. I'd potentially be in trouble if there turns out to be no evidence for my claim, which terrifies me in its own right, because I have no family willing to bail me out if I'm the one who's locked up instead. I could also get locked up because I "waited" so long to report it, so there's a chance that I could legally be seen as an "accomplice" for not reporting it immediately.
I want to be done with the trauma he has caused me. But as much as I want to prevent him from harming other people in the future, I also don't wanna be "petty" and "go back" to do something "bad", seemingly just to "get revenge and ruin his life" or whatever. If anything, I'd prefer he get intensive correctional treatment for his malice and twisted mentality, rather than just to "rot". I want justice served and for people to be protected, but I'm also terrified of the very likely idea that I could get hurt by attempting something in the wrong way.
What would be my best move here? What evidence would I need, should I choose to report him for something? Should I even do it, or do I not have enough qualifying evidence or leverage? Will I get in trouble if my abuser manages to cover his tracks well enough? Or am I actually being petty with all of this and need to learn to let the past go?
My plan for now is, if I go take action, to download all logs from our discord DMs (for evidence of threats), along with organizing any audio and photographic evidence of what happened while living with him. That way, I have everything ready to submit stored in one place. If there's anything else I can do, I'd greatly appreciate the advice.
Apologies for the long post, thank you all for reading/hearing me out.
TLDR: Considering reporting my abuser for a much heavier crime than domestic violence, despite potentially insignificant evidence thereof.
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2023.06.08 09:02 Complex_Matter_2775 engineering/stem majors, any advice for a freshman?
was planning on writing an update since my last post about coping before winter finals, but it ended up being too long so i'm just here to ask for advice again. if you replied under that post or pm'ed me, just know i've been coming back to your replies/messages very often bc they've brought me comfort during my struggles. i'd like to reply to everyone from that post soon, but if you see this before i do that, thank you.
gonna try to keep this as short as possible. to sum up, i'm a freshman in civil engineering, and i'm struggling about the same as, if not worse than, last quarter. been trying my best to study for my finals bc they're my last chance at passing my physics and math classes. honestly, i don't think i can get anything higher than maybe a C+ if im lucky bc i completely failed my midterms. aka, my gpa is going to tank, and if im even the slightest hopeful, my GPA might be a 2.7-2.8 by the end of my freshman year.
been looking around, hearing people's stories, and reading the advice they have. been trying to tell myself its not the end of the world if i get C's this quarter bc it truly isnt. i know i have plenty of time to bring my GPA up and plenty of time to get internships, do research, etc. to make up for my GPA. plenty of time to fix my study habits bc people said you get better and learn to work harder as you go. and plenty of time to get the help i need for my mental health.
but of course, as anyone else would, i still have my worries. and despite how i can definitely bring up my gpa, it seems to be harder to raise in comparison to how quickly it drops. im anxious about upper divs bc it doesnt seem to get easier, not unless my personal growth is faster than the rising difficulty in my classes. i've also been concerned about whether or not i'll end up switching majors too bc stem is really giving me a run for my money, but i put that thought away for a bit bc the idea of having to consider a different major when all i can imagine myself in is civil engineering was making my head spin.
i feel like i had more to say, but my brain is getting muddled, im sorry. again, i dont mean to sound like im whining if it came off that way somewhere along the line of me explaining.
so for anyone who's been able to recover from a shit freshman year, anyone who's been given advice for similar situations, etc, do you have any insight to pass down? did it get better for you during your time here? did you end up raising your GPA the way you wanted or end up switching to a major you were happier with?
and specifically for engineering/stem majors, what do you think is important towards getting a job after graduating? how much does your GPA really weigh in these situations? did you go to grad school or were you able to find a job after undergrad? all these questions are just food for thought if you do have any advice!
thank you, and wishing everyone luck on their finals!
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2023.06.08 08:38 Kodi_Tech What questions should investors be asking about the commercial property sector following recent collapses of lenders?
As an expert in the commercial property sector, there are several important questions that investors should be asking following the recent collapses of lenders. These questions can help assess the potential impact on the sector and guide investment decisions. Here are some key questions to consider:
- How does the collapse of lenders affect the availability of financing for commercial property investments?
- Understanding the impact on financing options is crucial, as it can affect the feasibility of new investments and refinancing existing properties.
- What is the overall stability and health of the commercial property market in light of these collapses?
- Assessing the market's resilience and potential vulnerabilities can provide insights into the broader implications of the lender collapses.
- Are there any specific sectors within the commercial property market that are more heavily impacted by these collapses?
- Certain sectors, such as retail or hospitality, may be more vulnerable due to changing consumer behaviors and economic uncertainties.
- How have rental incomes and property valuations been affected by the lender collapses?
- Understanding the impact on cash flows and property values is essential for evaluating the potential return on investment.
- What measures are being taken to address the fallout from the lender collapses and stabilize the commercial property sector?
- Keeping track of regulatory actions and industry initiatives can provide insights into the steps being taken to mitigate risks and restore confidence.
- Are there any opportunities arising from the lender collapses in terms of distressed asset acquisitions or renegotiation of lease terms?
- Evaluating potential opportunities resulting from market disruptions can help investors identify value-driven investments.
- How can diversification and risk management strategies be employed to navigate the uncertainties caused by the lender collapses?
- Exploring diversification across property types, locations, and funding sources can help mitigate risks associated with lender failures.
- What contingency plans should be in place to protect investments in the event of further lender collapses or market downturns?
- Having a robust risk management strategy that considers potential worst-case scenarios is essential for protecting investment portfolios.
By asking these questions and conducting thorough due diligence, investors can gain a deeper understanding of the implications of lender collapses and make informed decisions regarding their commercial property investments. It is also recommended to seek advice from experienced professionals in the field, such as real estate consultants or financial advisors, to navigate the evolving landscape successfully.
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2023.06.08 08:26 PrakashGuptapg Should You Outsource Medical Transcription Services? Let’s Find Out
Doctors and other healthcare professionals take notes each time they encounter a patient. The interaction details, a person's current prescriptions, any over-the-counter medications, and possible symptoms are all covered in the notes. For a patient to receive the care and treatment they require, accurate records are necessary. Someone must translate the notes into text and store them in the patient's electronic health record (EHR) to prevent them from being misplaced in the crowd.
When it comes to medical transcription, medical practices primarily have two possibilities. They have the option of using an internal team of transcribers or contracting out the transcription to a different party. While internal transcribing has some advantages, many healthcare organizations may discover that outsourcing their
medical transcription services in Australia is a more effective solution.
What are Medical Transcription services? Medical transcription services entail the translation of recorded medical records and doctor dictations into written documents. These papers may include discharge summaries, progress notes, physical exam reports, medical histories, and more. Medical transcriptionists are skilled workers with a thorough knowledge of medical jargon who can faithfully copy these reports.
Benefits of Medical Transcription Services 1. Improved patient records in terms of correctness and quality The ability to enhance the precision and caliber of patient data is one of the main advantages of medical transcription services. Medical transcriptionists are highly skilled individuals that focus on accurately and completely transcribing medical dictation into reports. You can make sure that your patient records are accurate and comprehensive, which is essential for providing high-quality patient care, by outsourcing your medical transcribing requirements to a reliable service provider.
2. Cost-Effective As the industry standard is to simply charge you by the line (which is 65 characters), you only pay for the outcomes when you outsource. Divide the Word Count by 65 to determine the number of lines you should be paying for. Choosing the
best transcription Services in Australia not only helps you save money on administrative, HR, and training expenses but also enables you to spend less on equipment and maintenance.
3. Qualified Personnel You won't ever need to hire a medical transcriptionist again, which is a huge advantage for offices with multiple specialties where it may be difficult or even impossible to find one who is knowledgeable about the vocabulary and ins and outs of those specific specialties. By choosing a
medical transcription company in Australia, you can be guaranteed that the various dictations will be typed by experts in that field.
4. Flexible solutions Services for medical transcribing can offer adaptable solutions to fit your healthcare practice's particular requirements. A reputable medical transcription service provider can provide a variety of options to match your unique needs, whether you need a single dictation to be transcribed or have continuous transcribing demands. This adaptability can aid in improved resource management for your medical practice and guarantee correct and current patient data.
5. Compliance with regulations The use of
medical transcription services in Australia can also assist your medical practice in adhering to legal requirements. Medical transcriptionists are highly skilled specialists that are knowledgeable of the most recent rules and regulations in the field. You may be sure that your patient records adhere to rules and standards by outsourcing your medical transcription requirements to a reliable service provider.
6. No Need to Purchase or Maintain Equipment In-house transcription often necessitates the purchase of hardware and software to set up and maintain. Your team will need a simple mechanism to playback, stop, and start those voice recordings if they plan to transcribe documents from recorded voice files. An audio file player, headphones, and a foot pedal are frequently needed playback accessories.
A microphone and recorder for doctors to use while taking notes are typically required in addition to the speech recognition software itself when using it internally. You will need to spend time instructing your employees on how to utilize the equipment in addition to making the equipment investment.
7. Minimizes the Risk of Burnout You could see that individuals are busy even during sluggish moments if you take a glance around your medical practice or stroll around a hospital. All that busyness frequently causes burnout, which is tiredness and decreased effectiveness brought on by excessive levels of workplace stress. Everyone in the healthcare sector, from nurses and doctors to those in administrative positions, is susceptible to burnout. Finding strategies to lessen the workload on your internal team, such as outsourcing what you can, may assist reduce stress and burnout.
Conclusion Healthcare professionals can gain from a
medical transcription company in Australia in many ways, including time savings, improved accuracy, better patient care, cost-effectiveness, and higher security.
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2023.06.08 07:51 nickpanther 36M - Looking for a buddy who understands dieting and fitness
36M Looking for a buddy who has a background in diet and fitness.
Background: Although everyone has their own ideas as to what athletic is, I would consider myself a fairly athletic person. In terms of cardio, I've always enjoyed high intensity cardio activities, and wouldn't be that hard for me to get back to the same cardio levels I once was. Through my years of fitness, one thing I've noticed is that the body is an amazingly adaptable tool. No matter what I threw at my body, it has always stayed in a "skinny fat" state.
Plan: I am currently getting back my cardio, by running or doing the elliptical daily. This stage is nearly done. I am planning on starting crossfit shortly.
Eating: I'm a bit of a health nut, and enjoy eating at home and eating healthy. I believe my issue is that my macros are off and I don't really track them.
Goal: I'm hoping to find someone who will mentor me in a sense to help me find food choices that will help me lose my excess weight. Once that is done, I may consider losing additional fat. The idea behind crossfit, is that I noticed that my body enjoys cardio + high intensity weight training, so I'm hoping that I can add a couple of inches of mass doing it.
Where you come in: as I mentioned above, I'm looking for someone with knowledge in dieting/cutting that will be able to help me. I'm guessing weekly check ins, but open to what works with your schedule. You don't have to be personal trainer level, but someone who understands macros, or has successfully lost fat before.
What I can offer: I can offer general life mentorship/advice, as well as a daily chat companion.
Although I'm open to anyone, I would prefer someone in North America, just due to similar time zones.
I'm not sure if I'll find what I'm looking for in this sub, but if there might be a better place to post this, please let me know.
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2023.06.08 07:37 Signal-Blacksmith404 I’m definitely going to blow my f*cking lid!!! Side note: not my MIL but hope to be marry to him later on
Hey ya’ll! I’ve posted on here before but I think I should share this and a slight update since my last post. First I do want to let you know that the reason that I didn't post on AITA is because of the rules about the paragraphs. I also feel with my story it fits well here then on there. I definitely need a rant more than advice and feel like I should vent it out while I still can before I go crazy. So here you go.
I've known for a while that my boyfriend's mother has not liked me but now I say enough is enough. We are coming up on our 1 year anniversary next month (July 2nd) and I love this man with all of my heart. I never want to leave him and he has treated me better than any other guy I've dated. He's like every man any woman could dream of, loyal, caring, loving, big hearted, and just overall an amazing guy. I would say three months or so into the relationship is when I noticed she had some issues with me but unsure as to why so I left it alone because I thought there was nothing wrong. Boy could I have been anymore wrong than that.
Around 6 months into our relationship is when the issue with Christmas plans and the weather turned into a temper tantrum of her not getting what she wanted. If you don't know what I'm talking about I can summarize it for you but if you want the full story please go read it in this group. To summarize it is that it was a dangerous blizzard where I live and it was hitting the same week as Christmas but would end Christmas day. The news stations were sending out alerts saying to keep off the roads unless for emergencies, did she listen? Nope. That day I told him not to drive or go with his parents because of how bad the roads were, logical thinking right? Not to her no. She threw a temper tantrum and blamed me for things that weren't my fault. After that eventful day, there was another out burst about a few weeks later but you can read that yourselves in the other post and there wasn't a whole lot to go into detail about to just type it out again.
Now after me not going to family gatherings for a while and being invited to my boyfriend's uncle's birthday, I was tempted on going to the event but with his mom's last attack on me I felt I shouldn't go. With it being a really good restaurant that I love along with my convincing boyfriend saying that nothing would happen, I decided to go as I wanted to hang out with the family and eat some good chinese food. While family members were finishing up or have been done eating we are just sitting there talking amongst ourselves when the topic of health comes up. I go and say, "I'm thinking about getting off birth control because of me being tired all the time and the weight I've been gaining", everyone was fine with that except her. She buts in with, "are you going to be switching to anything else?". I respond with, "Not really as I want to give myself a break from birth control in general and don't want anymore weight gain." She then blurts out of her mouth, "If you get pregnant, I'm going to f!cking shoot you." Yeah are you getting angry as well reader? So was I. I'm glad I didn't explode on her in front of the entire family in a public place unlike her saying something like that just to be an a$$hole. I told my boyfriend I had to step outside because I needed a breather and I just walked out of the restaurant and as soon as I did I called my mother. I started crying but not that I was hurt no, it was because I was frustrated and wanted to tell his mom to f!ck off. My boyfriend was saying that I was making a big scene and making a big deal out of it but I told him, "How would you feel if someone said that to you?" and after that he didn't say anything. After our conversation, he went and cussed his mom out. She did apologize for what she did but I felt it wasn't authentic and meaningless.
Since then there has been complaining and her making last minute plans when we have already had something planned weeks prior, irritating isn't it? She has also showed up to the house we live in with his grandmother unannounced and putting her nose where it don't belong. Now her, her husband, his youngest brother, and my boyfriend are going on a road trip down to Bartlesville, Oklahoma for his aunt's wedding and I know of her so-called plans of having a "serious talk" with my boyfriend while they are down there. For those wondering, I have anxiety and don't like being too far from home and I have never been out of my state anytime in my life. I've known about this so-called "serious conversation" for a couple weeks and I've told him I don't feel comfortable with him going on this trip if this serious talk is about her trying to make him break up with me along with it ruining the fun of a family road trip. He really wanted to go on this trip to get out of the state and see his family from his mom's side that he hasn't seen in a long time. He has already left as of yesterday for the trip and I feel like an a$$hole for saying what I said but I don't feel great that our relationship is being constantly attacked by his mother and being constantly stressed by her remarks and the drama that follows. I'm done trying to be civil and I want to so badly get our own place to live and tell her she's not allowed to come over just to go no contact with her. Am I a horrible girlfriend for wanting my boyfriend to get away from his b!tch of a mother and us getting our own place where she is the only one not allowed at our house?
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2023.06.08 07:06 Vegetable-Mark930 Any suggestiongs for possible career moves or jobs?
I graduated with a B. Sc. in Biochemistry with Honours (because I wasn't excited to do only bio courses -- too much memorization or only chem courses -- not a fan of calculus in chem and I actually enjoyed Science in high school) and yes, I had silly aspirations to do med school (but sadly not smart enough to do well in MCAT). I completed my Honours project in Organic Synthesis and I enjoyed working with my professor, but had no plans of doing Master's since I was tired of being in university and being in student debt.
I graduated during 2020 (yay covid) and applied everywhere I could. My lack of work experience definitely was a big stumbling block. After 8 months, I received only 1 interview which was for the position as a Quality Control Analyst at a start-up pharmaceutical company for $16/hr. I was desperate and took the position, but that was a mistake lol. It was definitely a steep learning curve. The training was completely irrelevant to the actual sample testing. I ran HPLC, GC, UV, TOC and a few other equipment. I think I adjusted well to the high stress environment, but the manager was the type to micromanage and call you out when you needed to work overtime (ps. you don't get paid overtime because it's your fault). The reason I had to work overtime was because there were only 3 weighing scales (2 analytical balances and 1 micro-analytical balance) and 30 people in the lab. There is a long wait time to weigh your reagents for your HPLC mobile phase and samples depending on the test done. There were also not enough fume hoods for everyone (only 5). Plus, all of our equipment is secondhand and constantly malfunctioning. Inventory of the standards were a mess. Our lab has constantly brought up all these issues with the manager and they said they'll fix it but nothing ever happened. I tried to hang on to this job telling myself that once I get experience here, I can get a job in another less toxic lab. I started applying to other labs after my 1 year of experience, but I never got an interview. Fast forward to 8 months later, the company wanted to expand the lab by moving to a new location which would add 30 more minutes to my commute. I was already getting up at 6:00 am to come to the lab early at 7:30 am (even though my shift is at 8:00 am) and staying late till 5:30 pm (even though my shift ends at 4:30 pm). We had no 15 min breaks and only 1 hour lunch break. There were some days I was able to leave earlier, but some days, they give you more samples at 4:00 pm so you end up staying later. There were alot of more issues with this place like their high turnover rate in the Quality Control and Production departments. They're always looking to hiring more people. I also noticed that if an analyst worked harder, they would give that analyst more samples as opposed to another analyst who would only have 1 sample for the day and that analyst would spend the time just talking with other people. Essentially, I hit my breaking point 1 year and 8 months into the job and asked my friends if there was a position at any of their workplaces.
By some miracle, my friend referred me for a Clinical Research Assistant role at her workplace and I got the job in spite my lack of experience in clinical trials. I enjoyed the environment and slower pace that the office brought. I was so used to being constantly on my feet and making sure that I was finished with a certain task by a certain time. Those habits still carry on to my new job. I enjoy working with my immediate coworkers and I find the job easy enough once I understood the regulations. My only annoyance is the slow uptake in recruiting patients for one of my studies. My study was designed by a nephrologist new to clinical research and he's been pushing me to increase the recruitment rate due to the expiry date of funding. I'm trying not to pressure myself for something I can't control. It's not like I can force patients that are about to go on dialysis to do this study when they don't feel well. This is definitely one of my biggest annoyances. We had to open another site for recruitment and now, I travel to two hospitals to recruit patients, but I'm not getting any parking reimbursement. I've asked for advice from senior coworkers and my manager about how I can increase recruitment. They told me that I'm already doing well and not to be too pushy for recruitment.
My current job is at $20.66/hr and also offers nephrologists as a supervisor for your thesis to complete a Masters in Community Health Science (I still have to pay for the courses myself), but I'm not sure if I can see clinical research as a career since it's entirely dependent on patient recruitment (some patients are very difficult to work with especially sick ones) and I can't see myself working in a lab again. Does anyone have advice for possible career moves?
I'm willing to get back into studying again, but preferrably not more than 2 years long. I'm tired of learning info I won't use in the actual workforce (would rather not do a PhD). I've heard good things about Regulatory Affairs and Data Analyst. I'm the type to work hard and may work slower because I am very detail-oriented. I've even thought of just abandoning the physical and health sciences altogether and switching to computer science for a higher wage. I don't want to job hop after 1 year and 3 months from this job so I'll stick it out for maybe 1-2 years.
Please note: I live in Canada in one of the lesser provinces of Manitoba. Our job market may be terrible, but I'm not financially able to move elsewhere (Note: Student debt). Apologies if I seem whiny and stressed out over the little things. Just tired from the grind and having no decent benefits or paid vacation time.
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2023.06.08 07:03 Vegetable-Mark930 Any tips for possible career moves?
I graduated with a B. Sc. in Biochemistry with Honours (because I wasn't excited to do only bio courses -- too much memorization or only chem courses -- not a fan of calculus in chem and I actually enjoyed Science in high school) and yes, I had silly aspirations to do med school (but sadly not smart enough to do well in MCAT). I completed my Honours project in Organic Synthesis and I enjoyed working with my professor, but had no plans of doing Master's since I was tired of being in university and being in student debt.
I also graduated during 2020 (yay covid) and applied everywhere I could. My lack of work experience and the pandemic shutting things down were definitely big stumbling blocks. After 8 months, I received only 1 interview which was for the position as a Quality Control Analyst at a start-up pharmaceutical company for $16/hr. I was desperate and took the position, but that was a mistake lol. It was definitely a steep learning curve. The training was completely irrelevant to the actual sample testing. I ran HPLC, GC, UV, TOC and a few other equipment. I think I adjusted well to the high stress environment, but the manager was the type to micromanage and call you out when you needed to work overtime (ps. you don't get paid overtime because it's your fault). The reason I had to work overtime was because there were only 3 weighing scales (2 analytical balances and 1 micro-analytical balance) and 30 people in the lab. There is a long wait time to weigh your reagents for your HPLC mobile phase and samples depending on the test done. There were also not enough fume hoods for everyone (only 5). Plus, all of our equipment is secondhand and constantly malfunctioning. Inventory of the standards were a mess. Our lab has constantly brought up all these issues with the manager and they said they'll fix it but nothing ever happened. I tried to hang on to this job telling myself that once I get experience here, I can get a job in another less toxic lab. I started applying to other labs after my 1 year of experience, but I never got an interview. Fast forward to 8 months later, the company wanted to expand the lab by moving to a new location which would add 30 more minutes to my commute. I was already getting up at 6:00 am to come to the lab early at 7:30 am (even though my shift is at 8:00 am) and staying late till 5:30 pm (even though my shift ends at 4:30 pm). We had no 15 min breaks and only 1 hour lunch break. There were some days I was able to leave earlier, but some days, they give you more samples at 4:00 pm so you end up staying later. There were alot of more issues with this place like their high turnover rate in the Quality Control and Production departments. They're always looking to hiring more people. I also noticed that if an analyst worked harder, they would give that analyst more samples as opposed to another analyst who would only have 1 sample for the day and that analyst would spend the time just talking with other people. Essentially, I hit my breaking point 1 year and 8 months into the job and asked my friends if there was a position at any of their workplaces.
By some miracle, my friend referred me for a Clinical Research Assistant role at her workplace and I got the job in spite my lack of experience in clinical trials. I enjoyed the environment and slower pace that the office brought. I was so used to being constantly on my feet and making sure that I was finished with a certain task by a certain time. Those habits still carry on to my new job. I enjoy working with my immediate coworkers and I find the job easy enough once I understood the regulations. My only annoyance is the slow uptake in recruiting patients for one of my studies. My study was designed by a nephrologist new to clinical research and he's been pushing me to increase the recruitment rate due to the expiry date of funding. I'm trying not to pressure myself for something I can't control. It's not like I can force patients that are about to go on dialysis to do this study when they don't feel well. This is definitely one of my biggest annoyances. We had to open another site for recruitment and now, I travel to two hospitals to recruit patients, but I'm not getting any parking reimbursement. I've asked for advice from senior coworkers and my manager about how I can increase recruitment. They told me that I'm already doing well and not to be too pushy for recruitment.
My current job is at $20.66/hr and also offers nephrologists as a supervisor for your thesis to complete a Masters in Community Health Science (I still have to pay for the courses myself), but I'm not sure if I can see clinical research as a career since it's entirely dependent on patient recruitment (some patients are very difficult to work with especially sick ones) and I can't see myself working in a lab again. Does anyone have advice for possible career moves?
I'm willing to get back into studying again, but preferrably not more than 2 years long. I'm tired of learning info I won't use in the actual workforce (would rather not do a PhD). I've heard good things about Regulatory Affairs and Data Analyst. I'm the type to work hard and may work slower because I am very detail-oriented. I've even thought of just abandoning the physical and health sciences altogether and switching to computer science for a higher wage. I don't want to job hop after 1 year and 3 months from this job so I'll stick it out for maybe 1-2 years. Please note: I live in Canada in one of the lesser provinces of Manitoba. Our job market may be terrible, but I'm not financially able to move elsewhere (Note: Student debt). Apologies if I seem whiny and stressed out over the little things.
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2023.06.08 07:02 kanbreze Laxatives For Weight Loss: Do Laxatives Help You Lose Weight, Results, Side Effects, Alternatives
In the quest for quick and easy weight loss solutions, some individuals turn to laxatives as a potential aid. Laxatives are commonly used to relieve constipation, but their misuse for weight loss purposes has gained attention. In this article, we will explore the effectiveness of laxatives for weight loss, discuss potential results and side effects, and present alternative strategies for achieving healthy and sustainable weight loss.
PhenQ is a natural dietary supplement designed to help men and women lose weight quickly and safely.
- The Truth about Laxatives and Weight Loss:
Laxatives are not designed for weight loss. They work by stimulating bowel movements and increasing the frequency of bowel evacuation. This process may lead to temporary water weight loss and a reduction in bloating, giving the illusion of weight loss on the scale. However, laxatives do not target fat loss, and any weight reduction is not a result of actual fat burning.
2. Understanding Results and Side Effects: Using laxatives as a weight loss method can have several harmful consequences. While the initial water weight loss may occur, it is quickly regained once the body rehydrates. Furthermore, laxative misuse can disrupt the body's natural digestive process, leading to electrolyte imbalances, dehydration, and potential damage to the gastrointestinal tract. Prolonged laxative use can also result in dependence, where the body becomes reliant on laxatives to maintain regular bowel movements.
3. Alternatives to Laxatives for Healthy Weight Loss: a. Balanced Diet: Focus on consuming a well-rounded diet that includes a variety of nutrient-rich foods, such as fruits, vegetables, lean proteins, whole grains, and healthy fats. This approach supports overall health, provides necessary nutrients, and promotes sustainable weight loss.
b. Regular Exercise: Engaging in physical activity regularly helps burn calories, build muscle mass, and improve overall fitness. Incorporate a combination of cardiovascular exercises and strength training to maximize weight loss and maintain a healthy body composition.
c. Portion Control: Pay attention to portion sizes and practice mindful eating. By being aware of the quantity and quality of food consumed, you can manage calorie intake and prevent overeating.
d. Hydration: Drink an adequate amount of water throughout the day to support digestion, regulate appetite, and promote overall well-being. Staying hydrated also aids in maintaining healthy bowel movements.
e. Seek Professional Guidance: Consulting a registered dietitian or healthcare professional can provide personalized advice and guidance tailored to your specific needs and goals. They can help create a balanced meal plan, offer exercise recommendations, and address any underlying issues contributing to weight gain.
PhenQ is a natural dietary supplement designed to help men and women lose weight quickly and safely. Conclusion:
While laxatives may provide temporary relief from constipation, they are not an effective or safe method for weight loss. Their misuse can lead to adverse side effects and have minimal impact on actual fat loss. Instead, focus on adopting healthy lifestyle habits such as a balanced diet, regular exercise, portion control, hydration, and seeking professional guidance for sustainable and long-term weight loss. Remember, the key to a healthy body is achieving a balanced weight through wholesome practices rather than relying on quick-fix solutions.
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2023.06.08 06:41 rotundfire FAT legal & financial services?
I've been having trouble finding financial professionals that I'm happy with. I've switched CPAs 3 times in 3 years. None have been terrible, but the first two missed basic things on my return, and took days to reply to simple questions. Similarly, I've been putting together an estate plan, and am not getting the level of service I was hoping for from my current attorney.
For health stuff, I pay for a concierge medical practice, which has been a great use of money. For $25k/yr, I get a doctor who does house calls, answers my texts right away, and is very knowledgeable.
I'm hoping to find a similar level of service for tax, and legal (primarily T&E, but also misc contract reviews questions...etc). My needs are pretty basic (W-2, a few K-1s, need to setup a living trust and maybe SLATs in the future), and I realize $25k/yr is probably overpaying, but I'm looking to save time here not money. I specifically don't want an AUM based wealth management firm though. I want to manage my investments on my own, and while I can justify ~$25k/yr, I can't justify $100k+/yr.
I was thinking that maybe a multi-family office would provide these services, but all the ones I've found look like they focus on portfolio management, when what I want is a company that focuses on the other stuff: taxes, estate planning, misc personal legal advice. Does that kind of shop exist, and what would it be called?
I'm based in San Francisco CA, so any recs around here would be ideal!
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