Mercy health near me

Microdosing: sub-threshold dosing of psychedelic drugs for self-improvement, therapy or well-being

2013.10.16 19:48 ruseweek Microdosing: sub-threshold dosing of psychedelic drugs for self-improvement, therapy or well-being

This is a community for discussion pertaining to microdosing research, experiments, regimens and experiences. The most probable candidates for microdosing are psychedelics, but we encourage dialogue on the effects of any drugs at sub-threshold dosage. No sourcing of drugs allowed! Please have a look at the microdosing Sidebar ⬇️.
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2015.12.24 14:13 Quindi Ask A Therapist

A supportive community to ask questions and engage in discussion about mental health-related matters with therapists on Reddit. This sub does not replace seeing a therapist and the information provided is for resource and entertainment purposes only.
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2013.01.22 06:44 llieaay Cat Training: Tricks and Treats

Cat behaviour, cat tricks, cat training. Cats!
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2023.06.06 18:20 prevail2020 RFK Jr reflects on his father's funeral train, 55 years ago this week.

New York Senator Robert F. Kennedy was killed 55 years ago yesterday (June 5, 1968) after winning the California primary and just after giving his victory speech. His body was flown from L.A. to New York, where it's been said that the line to pay respects stretched for 25 blocks outside the cathedral. On June 8, a funeral train carried his body from Penn Station in New York to Union Station in Washington, D.C. Hundreds of thousands of people stood along the tracks in observance as the train passed.
It's of interest to me that RFK Jr., who was 14 years old, was on the train. In an interview earlier today, he was asked about this and responds (from 06:20 to 10:03). Then, from 10:03 to 11:55, he deftly shifts his response regarding an experience of 55 years ago right back to his campaign today and uses it to discuss his campaign goal of addressing what he calls the toxic polarization of American political life today. This is political rhetoric, but it's also capable advocacy.
There's a long section of the interview that begins at 18:37 regarding such topics as vaccines and the etiology of autism (18:37-29:57). After they cut for a break at 29:53, Kennedy chuckles and says to his interviewer over a hot mic, "I think you're going to get in trouble for that segment."
What's up with his voice? Early in the interview, RFK Jr. is asked about his spasmodic dysphonia (02:20-05:05). More on this disability here.
submitted by prevail2020 to RFKJrForPresident [link] [comments]


2023.06.06 18:20 SchlesingerMindy323 [HIRING] 25 Jobs in IL Hiring Now!

Company Name Title City
United States Secret Service Criminal Investigator Springfield
HCSC Claims Assistant Danville
Five Guys Crew Member - Starting at 14.00 Geneva
Five Guys Crew Member - Starting at 15.00 Wheaton
ABF Freight Road Driver, Full-time Alsip
Capital One Senior Platform Engineer (Workday Specialist) Aurora
Thriveworks Child Therapist Aurora
Capital One Senior Software Engineer, Salesforce Aurora
ABF Freight Road Driver, Full-time Bedford Park
ABF Freight CDL A Driver Beecher
ABF Freight Road Driver, Full-time Beecher
ABF Freight Class A Driver Beecher
Wintrust Financial Personal Banker Bellwood
Wintrust Financial Private Banker Bellwood
ABF Freight Road Driver, Full-time Blue Island
ABF Freight Road Driver, Full-time Bridgeview
Wintrust Financial Private Banker Brookfield
Wintrust Financial Personal Banker Brookfield
ABF Freight Road Driver, Full-time Burbank
ABF Freight Road Driver, Full-time Calumet City
UnitedHealth Group Associate Patient Care Coordinator (SSM) - Overnight - Centralia, IL Centralia
Travel Nurse Across America Progressive Care Unit - PCU RN - TravelNurse Chicago
ABF Freight Road Driver, Full-time Chicago Heights
ABF Freight Road Driver, Full-time Chicago Ridge
ABF Freight Road Driver, Full-time Country Club Hills
Hey guys, here are some recent job openings in il. Feel free to comment here or send me a private message if you have any questions, I'm at the community's disposal! If you encounter any problems with any of these job openings please let me know that I will modify the table accordingly. Thanks!
submitted by SchlesingerMindy323 to ILJobsForAll [link] [comments]


2023.06.06 18:19 skitty_bunny [UPM] pulling an all-nighter, need midnight coffee delivery recos

hi pls i am desperately kneeling sobbing tumbling somersaulting HKJSDHKFJH i neED COFFEE HELP ME HUHUHU i need to pass my exam tom but i need to study a lot of stuff pa aaAAAAAH SEND HELP
huhuhu pls i live near da school area so if anyone around here know a 24/7 coffeeshop open that has drinks that actually wake u up, comment plzplz
submitted by skitty_bunny to peyups [link] [comments]


2023.06.06 18:19 ilovethisgamebruh just started a dancer run, very confused on how to progress, how important is it to keep my job and benefactors?

just started a dancer run, very confused on how to progress, how important is it to keep my job and benefactors? submitted by ilovethisgamebruh to weatherfactory [link] [comments]


2023.06.06 18:19 OptimalShallot7956 My job wants me to apply for Medicaid so I will stay with them as a Medicaid contractor

I'm a Medicaid waiver Supports Planner. I help people get waivers to get medical services and supplies while staying in the community. I have two Bachelor's degrees in Psychology and Behavioral Healthcare. I've worked social services for 10 years. I've been with this company for 3.5 years, and while it's brutal, it's WFH and I LOVE my team and manager.
In the past 6 months, I've moved into an apartment by myself, had to get tires changed and also just dealing with current events. I am diagnosed with bipolar 2, and my anxiety has been affecting my ability to bill hours (we bill in real time. You're expected to do billable activities 35 hours out of the week). I talked to my boss and HR. Tried EAP but the therapist fell through? Asked for accommodation but I don't even know what they could accommodate. The kicker is the health insurance they offer is "high deductible". I have to pay $3000 before the insurance covers costs. I'm a single millenial female. If I had $3000 annually to cover healthcare out of my own pocket, I'd be killing it. I need to go back to my psychiatrist. I need a therapist. I need to keep up with my reproductive health. What they don't seem to understand is that if I want to see a doctor, I need to be prepared to spend $120. ANYTHING past a general check up is billed to me. Getting psych meds sorted? $120 a month (or every 2 weeks tapering Lamictal). Gyno wants bloodwork and an ultrasound? That's a charge love. I still owe LabCorp...
I applied for my local health department and got offered a job making $4000 more and from what I can tell, kick ass health insurance. I put in my months notice and my boss totally gets it (because most people in this company are married I guess and don't even use this insurance). I get a message from HR asking for a little bit of my time.
We get on and the woman says "Let's see if you qualify for Medicaid. We don't want to lose you because you can't afford the insurance. When we last talked, you seemed happy with the job and we're happy with you. Let's see your options". She then proceeded to put my age and income in the website to look at estimates for Medicaid plans. Those premiums are also high for me and I barely qualify for the assistance because of my income.
It's more than that, though. I literally tell people to see their doctors while struggling to budget to see my own. You are telling me I might qualify for Medicaid when I literally contract with Medicaid. Now I'm sitting here feeling some type of way. I hate that I have to bargain just to try and maintain my mental health to work the jobs they want me to work.
submitted by OptimalShallot7956 to antiwork [link] [comments]


2023.06.06 18:18 CompactDeLorean47 Applying for jobs as a permanent vs fixed term contract employee

24, started my current job about 3 months ago on a 12 month contract and currently hating it - the job isn't what I expected (I'm doing more than what I was told I'd be doing), co-workers aren't the greatest & I hate how this job makes me feel & how it affects my mental health.
I'm looking to switch into a different job at the moment and am currently trying to figure out my options job wise but a few days ago my supervisor approached me saying that there's now a position open for a pool for my position & another position. Essentially they'd like me to apply as they want to retain me on the team as a permanent staff and are even offering to help out with my application. Let's just say...I felt many mixed emotions when my supervisor approached me about wanting to keep me haha.
My parents' suggestion is to go through with the application to try and become a permanent full time employee as I'll have a stable job and can always quit when I find something else. They're also saying that when applying for jobs it makes you look better if you're applying as a permanent staff vs a contractor (I don't know how true this statement is?)
The thing is, because of how this job makes me feel and the fact that I really don't like what I do, the thought of going through a formal application / interview process just to be retained in the same position that I'm in is just...off-putting? I'm now struggling to make a decision on whether or not I should go forward with the application or continue with my 12 month contract...if anyone has any advice that would be much appreciated :)
submitted by CompactDeLorean47 to AusFinance [link] [comments]


2023.06.06 18:18 Impressive-Blood8781 Needing a bit of perspective regarding my salary in Cybersecurity

First time posting anything to this thread or reddit, so sorry if this isnt the right place to ask.
A bit of context, I am relatively new to the IT field, I do not have any certifications or degrees, but I do have 3 years of experience at one company with near perfect yearly reviews. I also have previous experience from when I was younger, I have installed cable and internet for both residential and businesses for several years. Often fixing clients computer issues and network issues when they asked, as a side job for extra funds and just cause it was fun to learn how to fix new computer issues. So I do have experience just not really something I can put on a resume. Ever since I have always been into computers and continued to learn more on my own.
3 years ago I was asked by my now manager to apply for the first open position for IT Analyst at my company in the east Texas area. I was then currently employeed at the company in a sales position at the time. I have always wanted to work in the IT field, just never got the opportunity to get in the field and didnt have the money or time to get a degree or certification.
The position was first posted with a range of 55-65k through email. After I interviewed and was chosen out of both internal and external candidates, I was offered 48k. I asked why it was lowered and was told it was due to my limited experience in the field. I checked my email again and found the new posting for less, maxing out at 55k. Since I always wanted to work in the IT field I accepted and figured I could prove my worth with real experience in the position, which would allow me to move up, or eventually move on to a new company that would pay me appropriately.
After 1 year my boss starts having me do Cybersecurity related tasks as he thought I'd be a good fit. He kept pushing me towards the position and told me he'd push my salary as far over 60k as he can. So after 2 years of being the IT Analyst and 1 year of doing Cybersecurity tasks during that time, he promotes me to Cybersecurity Analyst during my yearly review. The pay was 58k with the 2 years of raises included. I felt great I proved myself and showed that I had the skill set and knowledge to be a Cybersecurity Analyst. However I also felt like I was being underpaid and not appreciated for how hard I work. I wear multiple hats at the company and do way more than just Cybersecurity tasks.
After doing some market research it seemed like the median pay for my new current "Cybersecurity Analyst" position was around 64k with 2 years experience and just a high-school diploma, no degree or certs.
I talked with my boss after doing the research. He said the company wants me to get a certificate to get me to 64k, however if I do that then they won't give me a raise for 2 years he informed me cause that counts as a yearly raise. That would then set me back again to where I am feeling like I would still just be underpaid.
As far as job duties questions goes. I did 80% of the Cybersecurity Analyst job tasks for a year without any extra pay and also did some tasks within our development teams realm, and also within the network side. I love to learn so didnt mind. However, we are only a company of 200 people so there isn't a specialized role for everything leaving our IT department workers wearing multiple hats touching on more than just their job position entails. After talking to my boss about wanting to be paid a fair wage especially since I'm doing more than just my own tasks, he told me that this is what the IT field is like and everywhere you go they'll make you wear multiple hats and give you tasks that are not inside your scope without compensation and basically told me I'll have to get used to it.
Is this normal for IT workers to have to do more than what's in their realm for their job position? Or is it only like that at smaller sized companies? Our companies gross income monthly is multimillion so we are only small in employee size, not earnings. My question for salary is am I wrong about how much I should expect to be making as a person with my experience in my field?
I just feel underpaid for how hard I work and how much I have to do for the company and just want to see if my perspective on my situation is wrong. Any knowledge and advice would be greatly appreciated. :)
submitted by Impressive-Blood8781 to ITCareerQuestions [link] [comments]


2023.06.06 18:18 ilovethisgamebruh just started a dancer run, very confused on how to progress, how important is it to keep my job and benefactors?

just started a dancer run, very confused on how to progress, how important is it to keep my job and benefactors? submitted by ilovethisgamebruh to CultistSimulator [link] [comments]


2023.06.06 18:18 autoNightfury Hardcore Plateau

Hi all,
I’m a young adult and sometimes I draw on the side. I fell out of drawing almost every day as a young teenager due to major depression and I feel like that has put me back a bit skill-wise. So what, just practice, right?
Well.. I’m not sure how to criticize my art. I’m not sure what to change about it if I end up not liking it. I can’t push myself beyond my current techniques. Even if I do learn something new and apply it to my art, I still end up hating it because it’s combined with my other more underdeveloped skills, and simply makes my art inconsistent.
The amount of time and practice art takes me has only demotivated me more and more. Drawing and trying new things feels laborious because I can’t perfect it first try. I just don’t feel like I can do it at all. I feel sad when I draw, and guilty for not drawing. I just don’t feel like I can pay attention to/dedicate myself enough to a piece ever.
Growing up, I was always looked up to for my advanced skills in art compared to other people. Art was my life, and wherever I lacked anywhere else, art I could fall back on. Now I don’t feel like I have anything I’m good at due to my depression inhibiting it.
I can only compare myself to everyone I’m inspired by and I beat myself up for not being able to draw like them. I see a therapist, and she and I both know I used to love art because it was my outlet, but I was far less conscious of the quality of my art when I was younger.
How do I practice in a way that I see differences in my art? When I don’t like it, I just literally don’t feel like drawing. This could go on for months. I really hate it. I’m just a total perfectionist and I want to improve while I’m still young, otherwise I feel like there’s no purpose and that it’s simply “too late”.
I’m sorry that this mostly comes down to mental health, but if I knew how I could work on my art as a depressed person it would help me a lot. I never had any sort of art-related curriculum, I’ve always just kind of drawn, so I’m not very educated in terms of technique. What can I do? I just want to hear from other artists.
Thank you all in advance. <3
submitted by autoNightfury to ArtistLounge [link] [comments]


2023.06.06 18:18 WeirdPonytail Home health aide/nurse recommendations and tips?

My father (mid 70)) recently had a really bad fall that gave him a bad gash on the back of his head. He’s going to be discharged soon and I’m moving back in for a week or so to make sure he’s doing wound care and not pushing too hard. I’m not physically big or strong enough to take care of him as he ages, and he’s showing signs of other age related decline.
I’m thinking of hiring a (male) health aide or nurse to come help him out during the days or as needed. He’s not very active but he struggles with gait and walking due to some previous injuries, and is kind of in denial that he does need to use stuff like a rotator or use a wheelchair on bad days.
I’ve heard ads on the radio for things like Visiting Angels, but I’m otherwise clueless on how to go about finding a good fit for him and how to navigate the entire process. GNV Reddit has been very helpful in the past and I thought reaching out here for tips and suggestions could be a start. I’m hoping to find a male aide or nurse with some sort of official accreditation that can be verified. If my dad had his way he’d go on Craigslist to find any ad for a young female companion and tell me that’s who he’s hired and I’m not looking for a repeat of the ‘housekeeper’ fiasco….
submitted by WeirdPonytail to GNV [link] [comments]


2023.06.06 18:18 JebusRaptor Newbie endurance building

I am new-ish to swimming. Grew up swimming in lakes, but really just learned how to properly swim laps.
41, 5’10”, 235.
I started with a local masters team and I am doing group training three days a week for an hour. (Two months in) Big surprise, I need to work on my kicking and breathing timing….goal is long term health into old age, but maybe some light master’s competition in the meantime.
Workouts are staying in : zone 4 @25%, 3@ 30%, 2@ 25%, 1@ 20%
I am currently balancing with light weighted hiking in zone 1 for an hour on off days with two light strength training days a week.
Question: would it give me a boost to add in some low impact off days — say swimming in zone 1 and 2 for an hour?
Or am I being eager and still in the “shut up and show up to practice” stage?
submitted by JebusRaptor to Swimming [link] [comments]


2023.06.06 18:17 ezbz125 33/M/USA Looking for a new friend to chat about life with!

Oh wow where to begin. I guess a little about me. Born and raised in and around the Seattle,WA area my whole life. I love it here and it's so beautiful in Washington, but I feel a bit like I can't WAIT to get out and travel more. I have so much of the US still to see and the rest of the world. Have only been to Canada, Mexico and the UK.
Recently as of the beginning of this year I went through some rough stuff and decided that I needed change in my life. I was getting ready to move to London but things fell apart. So I packed up my stuff and moved across the state to a little town near the border of Idaho called Liberty Lake. It's sort of out in the country/mountains and is very different from Seattle...but so far I love it here. Making friends though in your 30's has proved to be a little bit challenging as I try to not hit the bars all the time anymore. I've undergone a few back surgeries and I'm really focusing on getting stronger again and being slim and fit. It's gonna be my ticket to happiness as I get older. Was finally able to get off the opioids after 7 years.
I have two black cats and am hoping to get a dog maybe later this year or next year. I love guitar and have played since I was in middle school...though I just recently started signing. One of my bucket list things is to finally get up and try open mics for the first time. Baby steps haha. I used to snowboard a lot until I get seriously injured, so I don't do that as much. But I love hiking and being outdoors. The nature here is amazing and there are mountians and lakes, trails and everything you can think of doing out here. I definitely don't miss Seattle for now.
Im starting medical school in two weeks and am going to train to be a medical assistant. I'm going to be super busy but I'm looking forward to having a new direction and goal to focus on.
I love talking and meeting new people. Especially from different parts of the world. I'm terrible at small talk and love to get right into the deep stuff. Id really love to have a penpal to chat about life with! Let's get to know each other and it'd be fun to update each other on how things are going. Just down to Earth and looking to spread good vibes.
Anyways hope you are doing well whoever and wherever you are. And you keep your chin up. Hope to hear from you. Have a great day :)
submitted by ezbz125 to penpals [link] [comments]


2023.06.06 18:17 Milo-2321 On the fence

On the fence
Just asking for opinions or 2 cents from anyone that has experience with either vehicle or just has an opinion in general. plan on purchasing a 4x4 Toyota with the 1kz-TE 3.0 turbodiesel from an importer. I want to build a camping/road trip rig but I’m torn between the Hiace and the hilux surf (basically 3rd gen 4runner). Biggest pro with the hiace is space and biggest pro with the hilux is capability. Van life appeals to me more so I’m leaning that route. Living near the beach in the panhandle of Florida.
submitted by Milo-2321 to JDM [link] [comments]


2023.06.06 18:17 Rohit9912 Steam Headless vs Windows 11 Ghost Spectre VM. Ghost Spectre wins by a mile.

Hi guys I just wanted to share my opinion on how much better Windows 11 Ghost Spectre VM is.
My specs CPU: Threadripper 1950X GPU: RTX 3070 and Quadro M2000 RAM: 64GB DDR4 2933MHZ
I have a UNRAID Server from where I have a few different services setup (jellyfin etc) and I wanted to try making a gaming vm because why not. So I have a look around and found that alot of people recommended steam headless as it used less resources, power and provided a better gaming experience. Well I gave that a go
Steam-headless was easy enough to download and setup the container and that was the only thing easy about it. I had wasted nearly 3 days trying to ensure games like miles morales, the last of Us and Evil West worked. Evil west was the easiest to setup but I couldn't get the last of Us and miles morales to run properly. It ranged from crashing on boot to crashing while my save was loading.Some of you guys might say try different version of proton, ge-proton or lutris but that didn't make a difference as i usually ended up with another issue. On top of the that I had various fps issues where the rtx 3070 should be able to handle up to 1440p 60fps Ultra settings for majority of games. It was barely holding 1080p 60fps high settings as I had major drops down to 30-40fps most of the time. So I gave up.
I then heard about windows 11 vm and gave that a go. I knew that in general windows 11 hogs alot of resources on the os itself so I had a look around for better options. Found a linustechtips video on the Windows 11 ghost Spectre edition and I tried that out. Well I'll be honest, every game worked out of the box and no more fps dps and stuttering issues. The best part was I was noticing a lower wattage from the VM when no games where being played compared to the steam-headless container. I noticed a reduction of 7w-15w of power used.
Both the windows 11 Ghost Spectre and the Steam headless were dedicated 6 cores 12 threads, 16gb of ram and ofc the rtx 3070.
Well I'll be honest if anyone is looking to setup their own gaming vm I would recommend giving OS's like tiny10 or Ghost Spectre a go and see if they would make a difference for you. Beware that VMs like tiny10 and Ghost Spectre remove alot of the core windows feature which in result have a weaker built in security, but for me I didn't really care as there isn't much personal data on the vm itself and is quite secluded with my local lan. Also the Windows VM will take the whole graphics cars and won't be shared with other containers or VMs.
submitted by Rohit9912 to cloudygamer [link] [comments]


2023.06.06 18:17 frenchhornbae second lobe irritation & butterfly backs - Help!

hello! i’ve had my seconds pierced for nearly 6 months now, and while one side is fine, the other is not. it has on and off irritation and i’m going to florida soon so i went to see my piercer to consult her about what to do. she told me it looks irritated and to just baby it (yes, with saline spray!), and acknowledged that the backing could be irritating it and we could switch it out to a flat back.
however.. my ear is pierced at a 20g with a titanium butterfly back, and she only has 18 and 16g in flatbacks. stretching it could make the irritation temporarily worse but help in the long run.
i woke up this morning with puss and a little bit of redness, and it’s clearly trapping all of the goopiness in the butterfly back.
would switching it out help me despite stretching irritation? should i take the backing off and keep the jewelry in to clean the gross stuff off the backing? LMK!
submitted by frenchhornbae to piercing [link] [comments]


2023.06.06 18:17 randomfun643677 Top surgery with Dr. Kenneth Wolf in Michigan 2023 part 1 of 2

Hello everyone, I’m interested in sharing my top surgery experience with Dr. Wolf in Bloomfield Township, MI since I haven’t seen any recent posts.
Getting scheduled:
I called his office back in March of this year to have my appointment scheduled. I was provided an email address to reach out to Dr. Wolf. I was instructed to attached two images of my chest (front view and side view). After doing this, he emailed me back within a week with his suggestion, which was double incision with nipple graft. He also included the price of $6,900. He told me to call his office and get scheduled if I’m interested. I called and scheduled my appointment. My appointment is scheduled for the end of June of this year. You will have to pay $500 up front to secure your surgery date. You will pay the remaining amount during your pre op appointment.
Pre op appointment:
This appointment was quick and easy. He and his team are super friendly. During this appointment he explained pre op and post op instructions and he also took a quick look at my chest. Afterwards, I made the final payment. If you don’t live near the office, then your pre op appointment will be done through email.
He accepts cash, major credit cards, and few other lending options listed on his website. No insurance, no debit.
My surgery is in a few weeks so I’ll keep you all updated.
Hope this helps!
submitted by randomfun643677 to TopSurgery [link] [comments]


2023.06.06 18:15 FyrestarOmega Throwback - Ben Myers' Defense Opening Statement

Thought a refresher of the opening statement presented by Myers related the case he intends to present might be helpful, since membership has grown from about two dozen people on that day until now. Using Sky News because older live Chester Standard articles are not loading correctly, but the Chester Standard link is at the bottom.
This Sky News link would also take you to the prosecution opening statements if you continue to go backwards
https://news.sky.com/story/lucy-letby-trial-live-updates-prosecution-defence-cases-outlined-nurse-12716378

Defence begins by saying 'all we have so far is a theory of guilt based firmly on coincidence'

Ben Myers KC has begun his opening statement, speaking in defence of Lucy Letby.
He begins by acknowledging to the jury how saddening the allegations are.
"It is difficult to think of allegations that could be more upsetting than these and it's difficult to think of allegations that strike harder at our desire to protect than these allegations," he says.
He says "the sympathy of everyone will rightly be with the families of the children involved in this case" and the defence is not here to "diminish" that.
He tells the jury it would be "easy for emotion to take the place of evidence" but says that would be "staggeringly unfair" to the defendant.
"There is a real danger that people will simply accept the prosecution theory of guilt," he tells the court.
"And that is all that we have so far. A theory of guilt, based firmly on coincidence."
Mr Myers tells the court blame should not be "heaped on that woman", while pointing at Letby, and says others may have made mistakes.
"Sometimes what happened was a genuine deterioration in the health of one or other of these children," he says.

'You won't get the answers simply looking at the woman in the dock'

Ben Myers tells the jury he is "barely touching" on the detail involved in this case today.
He says the defence's opening statement will not be as detailed as the four-day opening the prosecution has put forward. More detail will come later in the trial.
He says he will touch on "failings at the Countess of Chester Hospital neonatal unit that have nothing to do with Lucy Letby".
Letby was a "dedicated nurse", Mr Myers says, who "trained hard" to look after the babies at the unit and "in no way did she want to hurt them".
Letby "loved her job... cared deeply about the babies she looked after, and cared deeply for their families", the court is told.
"You won't get the answers to this case simply by looking at the woman in the dock now," he says.
"This is where she is six years after starting to face allegations like this. As you can imagine, that must be utterly gruelling for anyone."
Mr Myers says the jury "might want to keep the effect of that in mind" when they examine evidence in the case.
"Anybody who is approaching this as if it is any kind of done deal has got it very badly wrong," the court is told.
In the dock, Letby continues staring straight ahead.

Letby wrote 'I'll never have children or marry' in 'confession' note

The court is once again shown what - the prosecution says - was Letby's confession note.
But Mr Myers says these are the writings of an "anguished woman in despair" who is realising the enormity of what is facing her.
A line on the note, which is being shown to the court, says Letby has an "overwhelming fear... I'll never have children or marry... I will never know what it's like to have a family... despair."
He says the note does not "accurately reflect" what has happened, but was written by Letby while upset, who "poured her feelings onto paper as a way of coping".

'No evidence' these attacks took place, defence says

Defence KC Ben Myers is now addressing why a number of medical notes were found in Lucy Letby's possession following a search of her house.
He says she did not have them for a "sinister motive" but she was a person who "scribbled things down" and a person who "hangs onto bits of paper".
He then turns to the "coincidence" involved in the case.
"We say there is an assumption that someone is doing deliberate harm," he tells the court.
"There is no evidence of the actual events being alleged."
From using syringes to injecting air, tampering with bags of fluid or in some other way poisoning, physically assaulting children, or smothering them - the defence says there is no evidence that these attacks took place.
He returns to the case of Child E, whose mother - the prosecution said - walked in on Letby attacking her child.
Mr Myers says the evidence will not bear this out.
"The assumption of harm" and the assumption Letby is behind the harm has made the allegations "self-fulfilling".

Defence questions standard of care at Countess of Chester Hospital

Defence KC Ben Myers is now telling the jury there were shortcomings at the Countess of Chester Hospital that cannot be attributed to Letby.
"There is a question of whether this hospital should have been looking after all these children, and whether it did so to the required standard," My Myers tells the court.
"For a nurse in the neonatal unit, standing there when a child is unwell is unremarkable," he says.
"Her presence alone is now treated as sinister."

What the defence is asking the jury to consider

The defence KC tells the jury the evidence "may look daunting" to start with, but he says he will be asking them to consider five issues.
These are...
1. The birth condition of the baby.
2. Whether there were any problems in the health and care of the child leading up to the event we are considering. He says: "Things with babies like this can be unexpected... but we also say when you get down to the detail of the evidence it isn't always that clear and it isn't always unexpected."
3. Whether the prosecution expert medical evidence proves there was deliberate harm done.
4. Whether Letby was present at the time and what the evidence can establish about what she was doing if she was there.
5. If there were failings in care with the baby we are looking at, or at the unit as a whole.

'We are dealing with babies who are clinically fragile'

The defence says there were other events and "collapses" which took place when Lucy Letby was not present.
The court has been shown again a chart - first presented by the prosecution - which shows Lucy Letby was present at all 22 incidents involving the 17 babies mentioned in the indictment.
Defence KC Ben Myers says the chart does not show the "shortcomings in care, which may be the fault of others", nor does it show any other incidents which took place when Letby was not there.
"When we strip away all the surrounding detail, messages, Facebook searches, even amateur psychology, the case will come down to the medical evidence," he tells the jury.
The cause of death or deterioration in an infant is "not always clear" and there can be a "number of possibilities", Mr Myers says.
"Generally, we are dealing with babies who are clinically fragile, and their condition can change very swiftly."

Experts 'influenced by confirmation bias', says defence

Ben Myers KC is now returning to the five points that he is asking the jury to consider (see 12.59pm post) when deciding if Letby is guilty or not.
He asks the jury to "remember how quickly problems can develop" with neonatal children.
He tells the jury to listen out for any evidence that shows the unit at the Countess of Chester Hospital was "understaffed and overstretched".
He says experts can be influenced by "an overarching assumption that what has happened is a result of deliberate harm".
"The fact they are an expert does not mean this cannot happen," he says.
"Where there is no clear explanation for what has happened - and that can sometimes happen in medicine - there is a danger of an expert being drawn into an explanation of evidence that is influenced by the prosecution's theory."
He tells the jury this is called "confirmation bias".

'Doctors don't always have the answers'

The experts that will be called in the trial have "met as a group and considered their opinions jointly", defence lawyer Ben Myers KC tells the court.
He then tells the jury that the burden is not on the defendant to provide an explanation of the events that unfolded.
"Doctors don't always have the answers and nor do medical experts," he says.
"The fact that Ms Letby can't explain a particular event... does not mean she is responsible for it."
Letby remains "adamant" that she has done nothing to harm any of the children mentioned in the indictment.
Mr Myers is now turning to each of the children in turn.

Child A died as a result of 'suboptimal care' and 'lack of fluids', says defence

The defence accepts there is a "possibility" that Child A died as the result of an air embolus (an injection of air).
But Ben Myers KC says the defence does not accept on this count that it was the cause of death.
He says the care given to Child A was "suboptimal" and the infant collapsed either as a result of a "lack of fluids" or a result of the "various lines that had been put into him" and the potential they interfered with his heart rate.
The air found inside Child A can happen "post mortem".

'Nothing' to support injection of air as jury told to 'look at the practicalities'

Child B, Ben Myers KC tells the court, had been in a "precarious position from birth" and was born "blue and floppy".
He says there is "nothing" to support an injection of air, or Child B's airway being blocked.
"She had other episodes where she struggled to breathe after the time on the indictment here," he says.
Next, he moves to Child C. He tells the jury although he is moving through the cases quickly, he does not mean this to be "heavy-handed" or cause offence to the families involved but that he wants to give an overview of the defence's argument.
"We accept in this case," he says, it is a "theoretical possibility" that Child C was injected with air.
He tells the jury to "look at the practicalities of that".
Child C was born "very premature": "As a starting point, sadly, a baby like that will be vulnerable to a range of complications."
This includes being more vulnerable to infection, and Child C should have been at a more specialist unit, Mr Myers says

Absence of evidence 'does not convert it into evidence of guilt'

Child D experienced delays to her medical care and was "never able to breath unaided", the jury is told.
"She was not put on antibiotics when she should have been," Ben Myers KC says.
He says the evidence shows infection was more likely than an injection of air.
Moving to Child E - who the prosecution said was attacked in front of his own mother - Mr Myers says there was no evidence of an air injection and "no evidence of direct trauma".
"There is no clear explanation in his case of what happened," he tells the jury but says that is not a good enough reason to assume Letby was responsible.
He then moves to count six and count 15, which involved the attempted murders of Child F and Child L. The prosecution alleges they were both poisoned with insulin.
He says the absence of evidence "does not convert it into evidence of guilt".
The IV bag, which was allegedly spiked with insulin, was changed when Letby was not on shift. The sample that was analysed was taken from this bag, which Letby had not come into contact with, Mr Myers says.
"The prosecution are fixed to the theory that all is due to Lucy Letby," he says.

Defence continues to blame care at Countess of Chester Hospital

Letby faces three charges of the attempted murder of Child G. On 6 September 2015, the prosecution claims she was fed an excessive amount of milk and vomited out of her cot and onto a nearby chair.
Ben Myers KC, for the defence, says doctors say Child G was "born on the margins of viability".
"She was a high-risk baby with a history of abdominal distension and vomiting", the court hears.
The defence also says Child G had exhibited signs of infection.
Next, he says the case of Child H is "complicated by suboptimal treatment" that she received at the beginning of her life. Letby faces two charges of attempted murder, which took place on consecutive nights.
Mr Myers says this is "another example of suboptimal care" at the Countess of Chester Hospital.
"What happened at the hospital had nothing to do with Lucy Letby. Despite all of that, she was there," he says.
Child I - who it is claimed Letby tried to kill four times before "succeeding" - experienced "a series of ongoing clinical problems that may well have been inevitable given her extreme prematurity".

'The Countess of Chester Hospital was well out of its depth'

Defence lawyer Ben Myers KC says "the Countess of Chester Hospital was well out of its depth" when it came to treating Child J, who Letby is accused of murdering.
He said the hospital delivered "inadequate care" to the child, who was born with a perforated and necrotic bowel.
Nothing, Mr Myers says, can link Child J's collapse to anything Letby did.
In the case of Child K, Letby is accused of doing nothing to help as the infant's oxygen levels dropped - a consultant who looked at the child found her breathing tube was dislodged.
"Ms Letby does not agree she has done that, nor was she seen to do that," Mr Myers tells the jury.
He disputes claims from the prosecution that the newborn was sedated and couldn't move.
"We say she wasn't and she could," he says.
He says the child "shouldn't have been" at the Countess of Chester Hospital.

Screaming child 'more likely due to hunger' than air injection, according to the defence

Moving on to Child L and Child M, twin boys who survived.
Defence lawyer Ben Myers KC says "blame is being put on Ms Letby because there is no obvious alternative".
He continues: "The mere fact she is there when something happens is almost being used as an explanation for it happening."
In the case of Child N - for whom Letby faces three counts of attempted murder - he says the fact the child screamed for 30 minutes was more likely due to "hunger" than being injected with air.
One expert, the prosecution said previously, said he had never seen a neonate scream for such a long time.
Mr Myers says Child N should also not have been at the hospital.

'Signs of infection' in one triplet, and air found in another a 'natural occurrence'

There were "signs of infection" in one of the two triplets who died at the Countess of Chester Hospital, the defence has said.
Child O was found with "severe liver damage", and both he and his brother, Child P, died within the first week of their lives.
Ben Myers KC, representing Letby, says the liver damage in Child O can be attributed to CPR.
Meanwhile, any air that was identified in Child P post-mortem is a "natural occurrence" that happens after death.
"The build-up of air found in the child can be attributed to the air flowing into the baby for respiratory support," the jury is told.
"Once he collapsed it isn't clear why he didn't respond to resuscitation but that doesn't go so far as to show this was inflicted harm."
He addresses the final case, that of Child Q and says a "poorly functioning bowel is probably what led to him being unwell and vomiting".

'Where was she? What was she doing?'

After running through each individual case, Ben Myers KC, for the defence, turns to "Ms Letby and what her presence means at that time".
"It's a simple question, where was she, what was she doing?" he asks the jury.
But he tells them it is "important not to guess" because the evidence "cannot pinpoint" exactly where she was at any given moment.
"She can hardly be expected to remember," he says.
"We say there are many occasions when Lucy Letby was not there."
Some events took place when Letby wasn't there, but he says the prosecution has been selective with the events it has chosen.
Even when Letby was present "that doesn't get close to proving what the prosecution allege". He says it would be unfair to "treat presence as mere evidence of guilt".

Letby a 'young nurse who built her life around the neonatal unit'

Ben Myers KC describes Letby as a young nurse with no immediate family commitment and someone who "had built her life around the neonatal unit" and thus was willing to be called in at short notice.
"Someone in that position, in that role... is more likely to be there when deterioration happens, but that doesn't mean she made it happen," he says.
Letby will not always be able to recall specific details about children or events.
"In that regard, she is like any other witness in this case," Mr Myers says.
Regarding the medical treatment given at the neonatal unit, he says: "Nobody is going to expect perfection day in day out."
He says there were "problems with the way this unit performed that had nothing to do with Lucy Letby".

Hospital was 'downgraded': 'To blame Letby is unfair and inaccurate' - defence

Ben Myers KC tells the jury that there are other examples of "suboptimal treatment" within the Countess of Chester Hospital that are "legitimate targets of criticism".
The prosecution has "consistently" highlighted how some babies recovered once removed from Letby's orbit.
Yet the defence says: "Their improvement coincided with removal from the Countess of Chester Hospital which could not deliver, we say, on some occasions the care that was necessary or the expertise for some of the children it looked after."
Mr Myers says that blaming Letby for this is "unfair and inaccurate".
The Countess of Chester had a "lack of technical medical skills", accepted babies with too high a level of care need, and on occasion was "too busy".
He points to the fact that the hospital was "downgraded" by a clinical watchdog, and redesignated to a level one. He says the hospital "could not provide care at the level it did".

Letby 'became a target of blame' amid pressure to find explanation for high infant mortality rate

In the case of Child K, a consultant became concerned about the correlation between the presence of Letby and the rise in sudden collapses.
But Ben Myers KC says this became "self-serving and self-fulfilling" and there was evidence for his concern.
He says she "became a target of blame and wrongly so".
"If others have failed to provide appropriate care or the unit is too busy or not appropriately staff you may agree that creates a situation in which things can go wrong... mistakes made, records not kept," he tells the jury.
He says there was "pressure to find an explanation" behind the spike in infant deaths at the unit.

Defence concludes its opening statement

Amid a final call for the jury to consider the evidence, Ben Myers KC concludes his opening statement by saying: "This whole case is a complex case, it is not straightforward.
"And in that dock is a young woman who says this is not her fault."
Chester Standard's live coverage of the same is here, but their older articles have stopped loading in their entirety for me: https://www.chesterstandard.co.uk/news/23044585.lucy-letby-trial-recap-prosecution-finishes-outlining-case-defence-gives-statement/
submitted by FyrestarOmega to lucyletby [link] [comments]


2023.06.06 18:15 randomfun643677 Top surgery with Dr. Kenneth Wolf in Michigan 2023 part 1 of 2

Hello everyone, I’m interested in sharing my top surgery experience with Dr. Wolf in Bloomfield Township, MI since I haven’t seen any recent posts.
Getting scheduled:
I called his office back in March of this year to have my appointment scheduled. I was provided an email address to reach out to Dr. Wolf. I was instructed to attached two images of my chest (front view and side view). After doing this, he emailed me back within a week with his suggestion, which was double incision with nipple graft. He also included the price of $6,900. He told me to call his office and get scheduled if I’m interested. I called and scheduled my appointment. My appointment is scheduled for the end of June of this year. You will have to pay $500 up front to secure your surgery date. You will pay the remaining amount during your pre op appointment.
Pre op appointment:
This appointment was quick and easy. He and his team are super friendly. During this appointment he explained pre op and post op instructions and he also took a quick look at my chest. Afterwards, I made the final payment. If you don’t live near the office, then your pre op appointment will be done through email.
He accepts cash, major credit cards, and few other lending options listed on his website. No insurance, no debit.
My surgery is in a few weeks so I’ll keep you all updated.
Hope this helps!
submitted by randomfun643677 to Michigantrans [link] [comments]


2023.06.06 18:15 Gizferno An Ode to Gym Hogs

I recently moved to a new apartment complex and somehow lucked out because my building is right next to a pokestop and a gym! BUT, there’s one person with 6 Mystic accounts hogging the gym. My account is on Mystic so I’ve been wanting to get in the gym, but their pokémon will sit there for 2+ weeks at a time if left alone.
I trained up an Instinct account to lvl 22 or so to knock out their team. Whoever is holding those 6 accounts will keep feeding their team with golden razz berries so I can’t knock them out without help from a friend. One day, my friend and I managed to knock out their team and put our own in, but we got knocked out within minutes and proceeded to put their 6 accounts back in within 2-3 minutes of each other. It took 50(!!) minutes to get their team out thanks to all the golden razz berries.
So, I decided to knock out just one of their accounts, put one pokémon in, then let everyone be. Nope! this mf will go out of their way and use another account to knock my single pokémon in, then put theirs back in. I can’t win!
My understanding was it’s common courtesy to let others sit in the gym for 8 hours or so to get the 50 coin max, then take turns knocking each other out so everyone can get their coins. This jerk keeps knocking me out within minutes so I only get 1-2 coins. This gym hogger has me so tilted I honestly wanted to delete the app and never think about this again. This person also has 3-4+ accounts in nearly every nearby gym. I’m tired of it. My neighbors whom I’m friends with have complained about the same issue and don’t know who it can be.
Thanks for coming to my Ted Talk rant. I don’t think there’s anything I can do about this gym hogger, can I? :(
submitted by Gizferno to pokemongo [link] [comments]


2023.06.06 18:15 boinabbc 22 New NYC Data Science, Data Engineering and Machine Learning jobs

Job Title Company Location Country Skills
Founding Data Engineer Parker New York United States Machine Learning, Modeling
Data Analyst NYU Langone Health New York United States
Machine Learning Engineer Shaped New York United States Machine Learning
Data Scientist (Entry Level) Patterned Learning AI New York United States Machine Learning
Data Engineer Volta Charging New York United States SQL, Scala, ETL
Senior Data Scientist Patterned Learning AI New York United States Modeling
Data Engineer Shaped New York United States
Jr. Data Analyst / Full-Time (Remote) Better Agency New York United States Modeling
Jr. Data Analyst / Full-Time (Remote) StemHires Staffing & Recruiting New York United States Modeling
Sr Data Engineer - Freelance [Remote] Braintrust New York Remote SQL
Senior Data Engineer Patterned Learning AI New York United States SQL, ETL
Mid-Level Data Engineer Patterned Learning AI New York United States AWS
Sr. Data Engineer (RedShift) TechFetch.com - On Demand Tech Workforce hiring platform New York United States AWS, Modeling
Junior Data Engineer Patterned Learning AI New York United States ETL, SQL
Entry level Data Analyst - Full time (Remote) Better Agency New York United States Modeling, Data Visualization, Business Intelligence
Data Scientist (Entry Level) Patterned Learning AI New York United States Modeling
Data Engineer Juniper Behavioral Health New York United States Scala
Big Data Engineer Paces New York United States ETL, Modeling, AWS
Mid-Level Data Scientist-US/Canada Patterned Learning AI New York United States Machine Learning
Data Engineer - Hedge Fund - NYC (PW) MRINetwork New York United States Scala
Junior Data Scientist Patterned Learning AI New York United States Modeling
Mid- Level Data Scientist Patterned Learning AI New York United States Modeling
Hi, here are 22 New NYC Data Science, Data Engineering and Machine Learning jobs.
For more, check our Google sheet with more opportunities in Data Science and Machine Learning (updated each week) here
If you want to take some Data and ML courses, click here
Let me know if you have any questions. Cheers!
submitted by boinabbc to NYCjobs [link] [comments]


2023.06.06 18:15 ieatoutoftrashcans Do you think it's possible to ride suicide safely?I got an idea...

So. I don't know about what can really be considered safe while hopping frieght but i'mma try out an idea I had eventually do before I do I think I should make sure im not a total wingnut. Either way I guess it'll work until it doesn't, when (not if)I do try it, but hear me out right quick.
I know someone who was raised in the Amishlike community I can't spell that starts with the M, and they were taught how to sew correctly and what not,so I can trust the work to be done correctly. I was going to have them attach straps to my bibs that could easily hold my weight plus an amount of g force to be decided after I research train derailment and other relevant information so I know roundabouts what to expect up to where the g force is going to kill me anyways,successfully attached or not(within limits reasonable to expect without derailing, if derailment occurs i feel the straps arent what keeps me from dying). Testing out their durability by hanging off random less dangerous stuff around town should let me get to safe enough to try on trains. after testing and I know I won't unattach from the car if I hit a bump or slack action jerk a me around good,unless i have a real problem like derailment I should be safe cause I'll need more luck then straps I would think if im a strapped to a car that derails. But my question is, am I missing something? No one has called me stupid for thinking I could do it yet, but I don't know if they realise I'm 100 percent serious about modifying my bibs in a way that'll improve my ability to ride suicides without danger and i could even sleep safely no worries. Part of my reason is I hate sitting around a hop for days and something stops but all you can get on while it's sided out is suicide and you cant find a rideable,I was taught suicides should be avoided, with or without a dog and to be super careful if your forced into a situation where you have to ride one and never try to ride suicide with a dog you want to keep unless you can carry it while keeping a solid hold of things and you cant sleep on a suicide safely. I've heard about finding something in the yard or near the hopout like a piece of wood and wedging it into a place where you can use it to ride suicide but I feel like that's kinda hot and easy to get spotted like that and you could hide easier without wood and just strapping to the car, if done right maybe even safely riding as you would be on a grainer porch or maybe even safer then some cars?maybe opens the door to all cars having a similar safety level for someone who is prepared and has no dog.If it works well enough maybe I can figure out how to make one for dogs that's just as safe too. That sounds like the harder problem out of the two ideas if i had to guess.
But really what do you think, is it safe? or is it just 100% a bad idea? Maybe you think you could do it better your way? Enlighten me so I can try to improve the idea and continue living as a single chunk of not piecemeal person. I got the balls to try it but the brains to ask around and make sure I'm not overlooking something, before I do. Also if you think canvas (duck canvas) isn't strong enough what cloth is? what would be the best option and how much would it cost to get bibs made out of it? Carharts are made put of duck canvas im told. Possible stronger option would be using climbing rope and making a harnesslike reinforcement or even getting a climbing harness and fusing it to your bibs or attaching the straps to the nearness instead of to the bibs( I think I would like to have it being a feature of my custom bibs I made opposed to using a climbing harness to hop frieght) Sorry for rambling but with this being super not safe if done wrong, I don't want to forget any of my ideas about the possibilities of how to modify gear with wha, in which way so that I don't end up with it being a poorly communicated idea that gets misunderstood leading to my injury because of something being assumed because my inability to clearly Share my Idea. Also got any ideas how bibs altered for this purpose could be helpful in other ways to persons whom are traveling folk?if you knew you had no tunnels or similar dangers on your current route, You could use it to strap onto the top of cars and watch the stars with a full clear field of vision(maybe that's worth the risk to some people?) without risk of something throwing you off if something goes wrong leaving only the two windows of time it takes for getting into position and strapping in as well as unstrapping and dismounting for you to be in danger of being thrown. like it would be safer i guess, but i dont know if id say it was safe, more less dangerous maybe, i dont feel safe surfing,im not a fan, maybe with the straps i wouldnt expect to die as much and i could get closer to finding the top of a car a place i could ride but I still think I am not willing to take up stargazing as my new happy hoppy hobby. Suicide rides though...
Tldr-attach straps to bibs attach bibs to suicide train cars, is it safe? Yes or no? Any advice?
submitted by ieatoutoftrashcans to vagabond [link] [comments]


2023.06.06 18:15 Thegrandmistressofoz Team full of one way players is honestly one of our biggest issues

And I think this is obvious, but damn man watching Denver have 5-6 genuinely good two way players and Miami have everybody hustle their ass off to make their zone makes me jealous. We need to consolidate a good top 8 for the playoffs pretty bad. Like our current roster (talking overall, not just vs Boston because barely anybody did shit in it) has:
Harden - great offensively, terrible defensively. Has obvious playoff struggles
Maxey - good to great offensively, terrible defensively. Been pretty good in playoffs except vs Boston
PJ - almost useless offensively, good defensively
Tobias - inconsistent on both ends, can be good BUT Tobis bigger issues are his poor rebounding and loss of willingness to shoot + limited bag against good wings
Embiid - Great on both ends, health and effort withstanding. Obviously has struggled offensively in playoffs
Melton - good on both ends in the regular season but just short af, has shrunk in playoffs a fair bit now
Reed - limited offensively, pretty good defensively
McDaniels - bad offensively, decent defensively
Shake - decent to good offensively, but needs the ball to be effective. Subpar or average at best defensively.
Georges - Good offensively vs most teams but terrible vs Boston and other long teams. Terrible defensively
House - pretty decent offensively when he plays within his role, and pretty decent defensively too with some good flashes
Hell, our 8-11 might be one of the best in the league, but come playoffs that means very little. I dunno if it's possible but only the top 8 guys in any rotation matter in most playoff series. We have so many specialist we're almost forced to go deep to cover for all the roles
submitted by Thegrandmistressofoz to sixers [link] [comments]