#Community Health Systems Locations

[yourusatoday]

Community Health Systems Inc. Locations: A Comprehensive Overview

Introduction to Community Health Systems Inc.

Community Health Systems Inc. (CHS) is one of the largest publicly traded hospital companies in the United States. With a vast network of hospitals and healthcare facilities, CHS is committed to providing quality healthcare services to communities across the nation.

Locations Overview

The geographic presence of Community Health Systems Inc. spans multiple regions, encompassing a diverse array of hospitals and outpatient facilities. Understanding the distribution of these locations provides insights into the company's reach and accessibility.

Geographic Presence

North America

Other Regions

Distribution of Locations

Hospitals

Outpatient Facilities

Geographic Presence of Community Health Systems Inc.

North America

Community Health Systems Inc. primarily operates in North America, with a significant concentration of hospitals and healthcare facilities across the United States. From rural communities to urban centers, CHS plays a vital role in providing accessible healthcare services to diverse populations.

Other Regions

While CHS's primary focus is on North America, the company may also have a limited presence in other regions, potentially through strategic partnerships or international expansion efforts. However, its core operations remain centered on serving communities within the United States.

Distribution of Locations

Hospitals

Community Health Systems Inc. operates a wide network of hospitals, ranging from community-based facilities to tertiary care centers. These hospitals provide comprehensive medical services, including emergency care, surgery, obstetrics, and specialized treatments, catering to the healthcare needs of patients across different demographics.

Outpatient Facilities

In addition to hospitals, CHS also maintains outpatient facilities, such as clinics and ambulatory care centers, to deliver primary and specialty care services outside of traditional hospital settings. These outpatient facilities offer convenient access to preventive care, diagnostics, and outpatient procedures, supporting holistic healthcare delivery.

Conclusion

In conclusion, Community Health Systems Inc. maintains a robust network of hospitals and outpatient facilities, primarily concentrated in North America. With a commitment to serving communities and improving healthcare outcomes, CHS continues to expand its geographic presence while upholding its mission of providing quality, patient-centered care.

[reasonsforhope]

Scientists have developed a new solar-powered system to convert saltwater into fresh drinking water which they say could help reduce dangerous the risk of waterborne diseases like cholera.

Via tests in rural communities, they showed that the process is more than 20% cheaper than traditional methods and can be deployed in rural locations around the globe.

Building on existing processes that convert saline groundwater to freshwater, the researchers from King’s College London, in collaboration with MIT and the Helmholtz Institute for Renewable Energy Systems, created a new system that produced consistent levels of water using solar power, and reported it in a paper published recently in Nature Water.

It works through a process called electrodialysis which separates the salt using a set of specialized membranes that channel salt ions into a stream of brine, leaving the water fresh and drinkable. By flexibly adjusting the voltage and the rate at which salt water flowed through the system, the researchers developed a system that adjusts to variable sunshine while not compromising on the amount of fresh drinking water produced.

Using data first gathered in the village of Chelleru near Hyderabad in India, and then recreating these conditions of the village in New Mexico, the team successfully converted up to 10 cubic meters, or several bathtubs worth of fresh drinking water. This was enough for 3,000 people a day with the process continuing to run regardless of variable solar power caused by cloud coverage and rain.

[Note: Not sure what metric they're using to calculate daily water needs here. Presumably this is drinking water only.]

Dr. Wei He from the Department of Engineering at King’s College London believes the new technology could bring massive benefits to rural communities, not only increasing the supply of drinking water but also bringing health benefits.

“By offering a cheap, eco-friendly alternative that can be operated off the grid, our technology enables communities to tap into alternative water sources (such as deep aquifers or saline water) to address water scarcity and contamination in traditional water supplies,” said He.

“This technology can expand water sources available to communities beyond traditional ones and by providing water from uncontaminated saline sources, may help combat water scarcity or unexpected emergencies when conventional water supplies are disrupted, for example like the recent cholera outbreaks in Zambia.”

In the global rural population, 1.6 billion people face water scarcity, many of whom are reliant on stressed reserves of groundwater lying beneath the Earth’s surface.

However, worldwide 56% of groundwater is saline and unsuitable for consumption. This issue is particularly prevalent in India, where 60% of the land harbors undrinkable saline water. Consequently, there is a pressing need for efficient desalination methods to create fresh drinking water cheaply, and at scale.

Traditional desalination technology has relied either on costly batteries in off-grid systems or a grid system to supply the energy necessary to remove salt from the water. In developing countries’ rural areas, however, grid infrastructure can be unreliable and is largely reliant on fossil fuels...

“By removing the need for a grid system entirely and cutting reliance on battery tech by 92%, our system can provide reliable access to safe drinking water, entirely emission-free, onsite, and at a discount of roughly 22% to the people who need it compared to traditional methods,” He said.

The system also has the potential to be used outside of developing areas, particularly in agriculture where climate change is leading to unstable reserves of fresh water for irrigation.

The team plans to scale up the availability of the technology across India through collaboration with local partners. Beyond this, a team from MIT also plans to create a start-up to commercialize and fund the technology.

“While the US and UK have more stable, diversified grids than most countries, they still rely on fossil fuels. By removing fossil fuels from the equation for energy-hungry sectors like agriculture, we can help accelerate the transition to Net Zero,” He said.

-via Good News Network, April 2, 2024

[ivesambrose]

🤍 WHAT YOU'RE MANIFESTING NEXT 🤍

1. 2. 3.

Starting off new pick a cards with something sweet and simple that everyone can look forward to.

To book a personal reading with me DM or email me at ivesambrose@gmail.com

Masterpost

Services Offered

Thank you for the tip

Picture 1

Its likely you've felt rather helpless and alone, as though life has been testing you to the point it feels like a schedule to get to them and tick them off in your mental notepad once done. It is likely you've felt extra strained in your home environment or hometown, you may have attempted to leave but something or the other comes your way. You may have felt consistently blocked or unable to leave or unable to find a solution to a problem you've been facing in regards to your house or family.

A small part of you then decided to turn the worst case scenarios in your favour somehow. One of the ways being, "all of these sufferings will be rewarded. At least, mine will." I imagine you said this to yourself through gritted teeth. I want to tell you that the first thing you're manifesting is learning and accepting that suffering for rewards and accomplishments as poetic as they sound, shouldn't be the default settings you function under.

You're manifesting -

• A solution and clarity. No more illusions that worry you from taking the next step or making a decision.

• A community that allows you to bloom. New friends and network.

• Relocation.

• An end to apathy and boredom.

• An end to turmoil, stagnation and feeling of lack and helplessness.

• The beginning you've been anticipating as everything ends around you.

Timings: The coming 3 months.

Picture 2

You may have felt a lack of proper guidance in your life. That no matter what mentor came through or what ever path you sought to follow, everything somehow got complicated when you looked up to it. So many contradictions and so many lies. So you decided the only constant guidance are your own experiences and intuition. There's a life of adventure you seek, a career that lets you live the way you've wanted, for your words to inspire others without coming off too preachy and pretentious. Life has lacked stability likely due to external forces because you've time and time again done your best to obtain the stability that had been taken away from you. There's an intention you had set some time back and that is finally coming into fruition. Thing is, you knew it was going to happen anyway no matter how dire it seemed, you just needed to water this intention by directing your energy to it. You're manifesting -

• Increase in creativity with the energy to express it as well. Feeling in charge of your life. Leading rather than being led.

• Travelling to foreign locations for higher education or job/career. A career that lets you travel or involves travel.

• More money or increase in finances in general.

• More things or subjects to learn and achieve proficiency in.

Timings : Sooner than you expect. (Likely Gemini season for some)

Picture 3

You don't really shy away from challenges but certain incidents have made you question your faith and entire belief systems, later people and lastly yourself. You're trying to find a middle ground for yourself and also wondering how many transformations till your quiet breakdowns stop. Some of you really want to leave, something that brought you comfort is only bringing you anxiety now and giving you extreme mood swings. It seems as though you're wondering if any efforts you're putting into what you want is even worth it. Quiet your mind for some time. Even for a minute. Till the minutes eventually pass and your mind feels quiet for once. It's okay to have a head full of no thoughts at times. You're manifesting -

• Emotional regulation.

• Better health.

• Luck and expansion.

• Knowledge that you can put into use.

• For some better relationship with a maternal figure or their parents.

• Sudden wealth or unexpected wealth or property.

• Protection from distrustful and downright vindictive energy.

• Success, recognition and enjoying the fruits of your labour. Succeeding in anything you've been wanting to manifest for yourself actually. No extra steps or rules and regulations to follow. Simply acceptance.

Timings: Within 2 months.

[justdiptych]

Trans issues are rarely brought up in the Fallout series. Fallout 2′s cut Environmental Protection Agency location was apparently slated to include 'Top Secret Research into Gender Modification', but there's little suggestion what that content would have actually included. Also, the pre-war USA was a fascist hellscape that was actively hostile to human rights - witness, for example, a federal information release about the New Plague, which conflates contagion, socialism and queer sexuality, and encourages readers to report anyone displaying any of the above for 'quarantine' - so pre-war trans communities likely drew as little attention to themselves as possible. More recently, two non-binary characters (Burke and Orlando) have been introduced in Fallout 76's expansions; their roles have been relatively minor.

All that said… the Auto-Doc technology we see in Fallout 2 and New Vegas would be an absolute boon for trans patients. Auto-Docs can synthesise and administer medications, including hormone treatments (the models in the Sierra Madre Villa Clinic can dispense adrenaline, for instance). Any medications not already available can be added to the Auto-Doc's database by a knowledgeable user - this is how the cure to Jet addiction is manufactured in Vault City.

Auto-Docs are also capable of all manner of surgeries. Cosmetic surgery is not unheard of in the Fallout universe - Rivet City’s Horace Pinkerton and Diamond City’s doctors Crocker and Sun all offer it - but Auto-Docs can go even further. Advanced models can even alter a patient’s entire skeleton, with minimal scarring: Fallout 2′s Chosen One can can have their skeleton reinforced, without any Charisma penalty (unless they opt for the heavier, more invasive upgrade), and New Vegas’ Courier can have their spine and central nervous system replaced with a synthetic alternative. Auto-Docs can even give a patient a new voice - Christine Royce tragically had this done to her without her consent, but this does demonstrate show the procedure’s viability for a willing user.

Whether or not the major medical companies of the Falloutverse would sign off on such uses of their tech, breaking and customising Auto-Doc programming seems to have been a simple matter. A suitably sympathetic or motivated physician could have easily started a trans health clinic that could address the bulk of their patients’ medical needs - hormone treatment, surgery far more advanced than exists in the real world, and even voice alteration.

In short, there is absolute, copper-bottomed, canon-compliant room in the wasteland for fully automated transing of genders, and I hope the devs will recognise and embrace this fact.

[fatehbaz]

Chicago, Illinois is often considered to be on the periphery of the plantation. William Cronon's famous narrative of Chicago's relationships with the "Great West" positions the burgeoning city at the edge of American expansion into plantation agriculture in the Midwest and industrial farming on a national scale. [...] [W]e could also characterize the city as an anticipatory hub between the twin plantation figures of the pre-war American South and America's 20th century colonies [in Central America, the Philippines, and beyond]. During the Reconstruction years, Chicago emerged as a logistical center, channeling America's railroads and telegraph lines into itself. As parts of this communications node, Chicago newspapers and military police served to convert white anxieties about Black migration from the plantation South into new techniques and technologies of prediction that became transportable across a newly imaginable informational plane of US imperialism. [...] [I]n Chicago between 1875 and 1890, [...] white anticipations of African American migration from plantations in the South were translated into new information sciences and policing techniques that made their way to plantations in places like the Philippines. [...] [S]uch feelings were fundamental to linking plantations which at first seem so spatially and temporally distant. [...]

---

On May 3, 1879 the Chicago Tribune published a greatly anticipated investigatory series entitled, “The Negro Exodus: Causes of the Migration from the Negro’s Point of View” [...] the latest in a long sequence of deeply uneasy reports dating from 1860. From its location at the communicative center of all major US rail and telegraph lines, the Chicago Tribune undertook an imagined responsibility to inform its Midwestern audience of Black peoples’ movements and behaviors. [...] At the climax of the “Negro’s Point of View” series, [...] May 3, the Chicago Tribune presented its showstopping report from its correspondent in Vicksburg, Mississippi entitled “Letters Written by Negroes in Kansas to their Friends South”. In this report, the writer discusses his skepticism of earlier methods of [...] interviews with Black migrants. [...] [The newspaper] conducted its fact-gathering through the mass surveillance of Black peoples' letters [...] [to assess] inner motivations [...] about Black peoples’ “perceptions, enjoyments, and reasons” [...]. Such informational appetites became the anticipatory basis for 20th century enumerative practices. As Colin Koopman argues, informational fastening, or the atomization and separation of facts from Black peoples’ bodies, became commonplace during the Great Migration in the practice of racial statistics, criminology, and health policy directed at Black migrants [...]. [T]his desire for packaged information was itself made transferable into geographies beyond Chicago, and beyond the United States.

---

White Chicagoans’ prolonged concern over predicting Black behaviors and intentions materialized in 1877, when the city became a central hub of militarized response to a nation-wide railroad strike. Adjutant General Richard C. Drum, who commanded the Military Division of the Missouri (Western Frontier) in Chicago from 1873 to 1878, took control of Chicago’s military response to the Great Railroad Strike of 1877. In 1879, after his final year in the city, Drum moved to Washington, DC and proposed the establishment of the Military Information Division (MID) [...]. The MID, which formally established in 1885, maintained close ties to Chicago's local information collection system, adopting a Bertillon identification system of collecting and storing intelligence cards at the time that the National Association of Chiefs of Police established their central bureau of identification in Chicago in 1896 [...]. By the tun of the 20th century, Chicago's police force had expanded tenfold [...], and Drum's MID had amassed over 300,000 intelligence cards [...].

---

The affective atmosphere into which the MID intensified its own predictive techniques later traversed the Pacific Ocean into the Philippines. Alfred McCoy argues that the American introduction of communication technologies and surveillance techniques in governing the Philippines constituted the United States’ first information revolution (McCoy 2009: 18). Colonial police trained in the anxious habits of the MID, rendered the Philippines a laboratory for securitized speculation. McCoy further contends that these informational “capillaries of empire” embedded themselves into the Philippines’ plantocratic-security state as well as US domestic surveillance practices. I add to McCoy’s argument by suggesting that trained feelings of white apprehension translated into imperial mechanisms for governing the Philippines through systems of intelligence cards, telecommunications infrastructure, policing units, and management sciences. Reminiscent of the psychological investigatory projects that saturated Chicago’s public life, the MID and its successors developed techniques for psychological examination and personality typing led by another Chicagoan, Harry Hill Bandholtz. [...] Bandholtz sharpened the MID's informational sciences by training Philippines police forces in the neurotic art of collecting every imaginable fact about Filipino behaviors [...].

---

Ultimately, the US colonial plantocracy in the Philippines built its authority around information infrastructures which had been trained on apprehensive practices and feelings emanating from Chicago’s racialized geography. [...]

[T]he informational networks that extended from the image of the American South, through the anticipation of Chicago's public, [...] animated the governance of colonial plantations in the Philippines [...].

---

All text above by: Jolen Martinez. "Plantation Anticipation: Apprehension in Chicago from Reconstruction America to the Plantocratic Philippines" (2024). An essay from an Intervention Symposium titled Plantation Methodologies: Questioning Scale, Space, and Subjecthood. The symposium was introduced and edited by Alyssa Paredes, Sophie Chao, and Andrés León Araya. The symposium was hosted and published by Antipode Online, part of Antipode: A Radical Journal of Geography. Published online 4 January 2024, at: antipodeonline.org/2024/01/04/plantation-methodologies/ [In this post, bold emphasis and some paragraph breaks/contractions added by me. Presented here for commentary, teaching, criticism purposes.]

[nasa]

Our Roman Space Telescope’s Dish is Complete!

NASA engineers recently completed tests of the high-gain antenna for our Nancy Grace Roman Space Telescope. This observatory has some truly stellar plans once it launches by May 2027. Roman will help unravel the secrets of dark energy and dark matter – two invisible components that helped shape our universe and may determine its ultimate fate. The mission will also search for and image planets outside our solar system and explore all kinds of other cosmic topics.

However, it wouldn’t be able to send any of the data it will gather back to Earth without its antenna. Pictured above in a test chamber, this dish will provide the primary communication link between the Roman spacecraft and the ground. It will downlink the highest data volume of any NASA astrophysics mission so far.

The antenna reflector is made of a carbon composite material that weighs very little but will still withstand wide temperature fluctuations. It’s very hot and cold in space – Roman will experience a temperature range of minus 26 to 284 degrees Fahrenheit (minus 32 to 140 degrees Celsius)!

The dish spans 5.6 feet (1.7 meters) in diameter, standing about as tall as a refrigerator, yet only weighs 24 pounds (10.9 kilograms) – about as much as a dachshund. Its large size will help Roman send radio signals across a million miles of intervening space to Earth.

At one frequency, the dual-band antenna will receive commands and send back information about the spacecraft’s health and location. It will use another frequency to transmit a flood of data at up to 500 megabits per second to ground stations on Earth. The dish is designed to point extremely accurately at Earth, all while both Earth and the spacecraft are moving through space.

Engineers tested the antenna to make sure it will withstand the spacecraft’s launch and operate as expected in the extreme environment of space. The team also measured the antenna’s performance in a radio-frequency anechoic test chamber. Every surface in the test chamber is covered in pyramidal foam pieces that minimize interfering reflections during testing. Next, the team will attach the antenna to the articulating boom assembly, and then electrically integrate it with Roman’s Radio Frequency Communications System.

Learn more about the exciting science this mission will investigate on Twitter and Facebook.

Make sure to follow us on Tumblr for your regular dose of space!

[satellitebroadcast]

Horrific scenes emerge from the new massacre carried out by the occupation, in which IOF warplanes targeted displaced people taking shelter inside Al-Zaytoun "C" School in Gaza City, in the northern #Gaza Strip. At least 17 martyrs mostly women and children have ascended so far, including a fetus in his mother's womb (video). Glory to the martyrs.

The IOF also opened fire on ambulance teams north of Rafah City in the southern Gaza Strip.

Palestinian Ministry of Health: Preliminary... 5 workers from the Ministry of Health have been martyred and others injured as a result of the targeting of the Ministry's warehouses in the Musbah area in the southern Gaza Strip a short while ago. Ambulance crews are unable to reach the location to recover the martyrs and assist the wounded. The Ministry of Health calls on all international organizations and concerned authorities to intervene in order to protect and save the injured from the area. Palestinian Ministry of Health September 21, 2024

Government Media Office, Gaza:

The "israeli" occupation army committed a horrific and brutal massacre by bombing Al-Zaytoun "C" School in Al-Zaytoun neighborhood, south of Gaza City. This brutal massacre claimed the lives of 21 martyrs so far, including 13 children, 6 women, and a 3-month-old fetus. Additionally, this crime resulted in 30 injuries, 9 of which were children who had limbs amputated, while the remaining injuries were severe burns. Moreover, 2 individuals are still missing. This horrific massacre, committed by the occupation, is part of the genocide being carried out by the "israeli" occupation. The number of displacement and shelter centers bombed by the occupation has reached 181. This crime comes amid the dire health situation in Gaza and northern governorates, home to 700,000 people. The remaining hospitals in these two areas are unable to provide adequate healthcare services due to the occupation's destructive plan to completely dismantle the health system. We condemn the "israeli" occupation for committing this horrific massacre and the ongoing massacres against civilians, children, and women. We call on all countries of the world to denounce these continuous crimes against displaced persons and civilians. We hold the "israeli" occupation and the U.S. administration fully responsible for the ongoing genocide war and the continuation of these massacres against civilians in the Gaza Strip. We also hold them accountable for the targeting and bombing of shelters and schools. We call on the international community and all global and international organizations to pressure the occupation to stop the genocide war and halt the waterfall of blood in the Gaza Strip.

[batboyblog]

Things Biden and the Democrats did, this week #12

March 29-April 5 2024

President Biden united with Senator Bernie Sanders at the White House to review Democratic efforts to bring down drug prices. President Biden touted his Administration’s capping the price of insulin for seniors at $35 a month and capping the price of  prescription drugs for seniors at $2,000 a year. Biden hopes to expand both to all Americans through legislation next year with a Democratic congress. The President also praised Senator Sanders' efforts as chair of the Senate Health Committee which has lead to major drug manufacturers capping the price of inhalers at $35 a month. “Bernie, you and I have been fighting this for 25 years,” Biden said “Finally, finally we beat Big Pharma. Finally.”

The White House gave an update on its actions around the Francis Scott Key Bridge disaster. The federal government working with state and local governments hope to have enough of the remains of the bridge cleared to partially reopen the Port of Baltimore by the end of the month and have the port working normally by May. The Administration has already released $60 million in emergency money toward rebuilding and promises the federal government will cover the cost. The Department of Labor has released $3.5 million for Dislocated Worker Grants and plans up to $25 million to cover lost wages. The Small Business Administration is offering $2 million in emergency loans to affected small businesses. The Administration is working with business and labor unions to keep workers at work and cover lost wages.

Vice-President Harris and EPA Administrator Michael Regan announced $20 billion to help finance tens of thousands of climate and clean energy projects across the country. The kinds of projects that will be financed through this project include distributed clean power generation and storage, net-zero retrofits of homes and small businesses, and zero-emission transportation. 70% of the funds, $14 billion, will be invested in low-income and disadvantaged communities. The project is part of a public private partnership so for every 1 dollar of federal money, private companies have promised 7 dollars of investment, bring the total to $150 billion for ongoing financing of climate and clean energy projects for years to come.

The Department of Transportation announced $20.5 billion in investments in public transportation. This represents the largest single investment in public transit by the federal government in history. The money will go to improving and expanding subways, light rail, buses, and ferry systems across America. The DoT hopes to use the funds to in particular expand and improve options for public transport for people with disabilities and seniors.

The Departments of Energy and The Treasury announced $4 billion in tax credits for businesses investing in clean energy, critical materials recycling, and Industrial decarbonization. The credits till go toward 100 projects across 35 states. 67% of the credits ($2.7 billion) will go to clean energy, wind, solar, nuclear, clean hydrogen, as well as updates to grids, better batter storage, and investments in electric vehicles. 20% ($800 million) will go to to recycling things like lithium-ion batteries, and 13% ($500 million) to decarbonization in industries like automotive manufacturing, and iron and steel.

The Department of Agriculture announced $1.5 Billion in investments in climate-smart agriculture. USDA plans to support over 180,000 farms representing 225 million acres in the next 5 years move toward more climate friendly agriculture. 40% of the project is reserved for disadvantaged communities, in line with the Biden Administrations standard for climate investment. $100 million has been reserved for projects in Tribal Communities.

The Department of the Interior approved the New England Wind offshore wind project. To be located off Martha’s Vineyard the New England project represents the 8th such off shore wind project approved by the Biden administration. Taken together these projects will generate 10 gigawatts of totally clean energy that can power 4 million homes. The Administration's climate goals call for 30 gigawatts of off shore wind power by 2030. The New England Wind project itself is expected to generate 2,600 megawatts of electricity, enough to power more than 900,000 homes in the New England area.

The Department of the Interior announced $320 Million for tribal water infrastructure. Interior also announced $244 million to deal with legacy pollution from mining in the State of Pennsylvania, as well as $25 million to protect wetlands in Arizona and $19 million to put solar panels over irrigation canals in California, Oregon and Utah. While the Department of Energy announced $27 million for 40 projects by state, local and tribal governments to combat climate change

[dandelionsresilience]

Dandelion News - September 8-14

Like these weekly compilations? Tip me at $kaybarr1735 or check out my new(ly repurposed) Patreon!

1. Pair of rare Amur tiger cubs debuting at Minnesota Zoo are raising hopes for the endangered species

“[The Minnesota Zoo’s] Amur tigers have produced 57 cubs, [… 21 of which] have gone on to produce litters of their own, amounting to another 86 cubs. […] “They’re showing a lot of resiliency, which is something that we work hard for in human care. We want these animals to have a lot of confidence and be able to adapt to new environments just as they’re doing today.””

2. Powered by renewable energy, microbes turn CO₂ into protein and vitamins

“The team designed a two-stage bioreactor system that produces yeast rich in protein and vitamin B9. [… The protein] levels in their yeast exceed those of beef, pork, fish, and lentils. […] Running on clean energy and CO2, the system reduces carbon emissions in food production. It uncouples land use from farming, freeing up space for conservation[… and] will help farmers concentrate on producing vegetables and crops sustainably.”

3. JCPenney Launches Apparel Collection Aimed At Wheelchair Users

“A major department store is rolling out a new line of clothing specifically tailored to meet the needs of women who use wheelchairs featuring options for both everyday wear and special occasions. [… The clothing have] modifications like zippers located for easy access, pocket positioning and extended back rises optimized for the seated position and shorter sleeves to limit interference with wheels.”

4. Snails bred in Edinburgh Zoo sent to re-populate species in French Polynesia

“Thousands of rare partula snails bred at Edinburgh Zoo are to be released in French Polynesia to restore the wild population of the species.The last surviving few of the species were rescued in the early 1990s[….] 15 species and sub-species [are being bred in zoos for repopulation], the majority of which are classed as extinct in the wild.”

5. [NH Joins 19 Other States] to Provide Essential Behavioral Health Services Through Mobile Crisis Intervention Teams

“[CMS] approved New Hampshire’s Medicaid State Plan Amendment for community-based mobile crisis intervention teams to provide services for people experiencing a mental health or substance use disorder crisis. […] The multidisciplinary team provides screening and assessment; stabilization and de-escalation; and coordination with and referrals to health, social, and other services, as needed.”

6. Recovery plan for Missouri population of eastern hellbender

“It is expected that recovery efforts for the Missouri DPS of the eastern hellbender will reduce sedimentation and improve water quality in the aforementioned watersheds, which will also improve drinking water, as well as benefit multiple federally listed mussels, sport fish and other aquatic species.”

7. How $7.3B will help rural co-ops build clean power—and close coal plants

“[The funds are] serving about 5 million households across 23 states [… to] build wind and solar power, which is now cheaper than coal-fired power across most of the country. […] Some of it will be used to pay down the cost of closing coal plants[….] federal funding could help co-ops secure enough wind, solar, and battery resources to retire their entire coal capacity by 2032, cutting carbon emissions by 80 to 90 percent and reducing wholesale electricity costs by 10 to 20 percent[….]”

8. Native-led suicide prevention program focuses on building community strengths

“[Indigenous researchers have] designed programs that aim to build up a community’s endemic strengths, rather than solely treating the risks facing individuals within that community. By providing support and resources that enable access to Alaska Native cultural activities, they hope to strengthen social bonds that build resilience. […] “In a Yup’ik worldview, suicide is not a mental health disorder, and it’s not an individual affliction, it’s a disruption of the collective.””

9. Another rare Javan rhino calf spotted at Indonesia park

“A new Javan rhino calf has been spotted in an Indonesian national park, the facility's head said Friday, further boosting hopes for one of the world's most endangered mammals after two other […] calves were spotted earlier this year at the park, which is the only habitat left for the critically endangered animal.”

10. Transparent solar cells can directly supply energy from glass surfaces

“[Researchers have] unveiled a method of supplying energy directly from glass of buildings, cars, and mobile devices through transparent solar cells. […] It has also succeeded in charging a smartphone using natural sunlight. It also proved the possibility that a screen of a small mobile device can be used as an energy source.”

September 1-7 news here | (all credit for images and written material can be found at the source linked; I don’t claim credit for anything but curating.)

[rottenpumpkin13]

Just thinking about some Kunsel Whump. Like, of the soldiers he is the most generic and easily overlooked. I feel like he is the cog that holds most of the department together. It’s like a stage technician. If the job is done right, nobody will notice you, but do it wrong? They are the first person to get the complaints.

Anyway, Kunsel goes missing for a day. Be it captured by the enemy or the Turks, or just called in sick but nobody knows that because he is usually the person who knows who in the roster is away or sick or where they are stationed without looking anything up.

Chaos.

Picture him getting captured by an enemy faction while out on a solo mission, but no one notices at first because he's usually the guy in charge of logging the mission details and updating the status reports at the end of the day.

The only reason the 49th floor isn't more chaotic the next day is because Lazard hasn't yet given up on his men—not even when Zack accidentally triggers the emergency lockdown system while trying to alert the department about the infestation, sealing several escape routes and trapping some of their own troops in the middle of an infestation of monsters that escaped from the labs.

Everyone's struggling to deal with the monsters as the lack of efficient communication makes it impossible to coordinate attacks or know the precise locations of each operative (Kunsel was also responsible for maintaining the communication system).

Genesis: Where's Kunsel?? I can't get through to anyone on the lower levels!

Angeal, fighting off a monster: He wasn't at the usual briefing this morning. Sephiroth, have you seen him?

Sephiroth, looking at a dead monster while going through the motions of self reflection: I haven't, which now leads me to believe that he's missing.

Zack, also fighting off a monster: This is bad! This means he never got back from his assignment yesterday! What if he's hurt? Or in danger!? OR DEAD? Man, I'm the worst friend ever!

Genesis: I never realized how much we rely on him until now. I feel simply horrid that we—Sephiroth please don't mourn the dead specimen.

Angeal: I know what you mean. He must hate us now. We have to get him back now. Before it's too late!

Cut to enemy territory, where Kunsel sits at a table, a steaming cup of tea in hand, surrounded by the members hanging on every single word he says, while looking over a map of Midgar.

Kunsel: Yeah, your plan of attack makes no sense. You need to deploy a diversion in sector 7 to drive Shinra's forces away from sector 0, and then use the undercity to move in.

*The enemy group is in awe*

Enemy commander: Impressive! We could use someone of your expertise to lead us from now on. We'll be devoted to you and you alone.

Kunsel: Tempting, but I have to decline.

Enemy commander: Ah, I see. You're loyal to Shinra and SOLDIER alone.

Kunsel: Not really. It's just that the health benefits are great, I have game night with the boys every Friday, and me and Zack got movie tickets for next Saturday.

*Kunsel sips his tea*

Kunsel: Plus Tuesdays are taco days at the mess hall.

[mariacallous]

An air raid alert has just started when Victoria Itskovych joins a Zoom call from Kyiv. “It’s, like, a usual situation,” she says. “But really, it’s not usual.” February 24 will mark the second anniversary of Russia’s full-scale invasion of Ukraine. For nearly two years now, Kyiv has been under bombardment. Some weeks, people have to trudge to their shelters night after night, checking text alerts and Telegram channels to figure out where the missiles are falling and when it’s safe to come out—although, it’s never really safe.

That relentless stress, and the trauma of losing family, friends, and colleagues on the front, has taken its toll. A poll by the city government last year found that 80 percent of residents reported symptoms of post-traumatic stress disorder. Russia’s full-scale invasion of Ukraine has exposed the whole of Ukrainian society to battle shock. “We’ve all suffered from this,” says Itskovych, who is director of the Kyiv City Council’s IT department. “Almost every person has somebody who was injured or died during the war, or lost their home or lost their health.”

In the face of such widespread injury, the Kyiv government has turned to Ukraine’s now-famous civic tech infrastructure for help. As the war enters its third year, the municipal government is starting to build a citywide system for providing mental health support to citizens. It’s a vast challenge, but also a unique opportunity—the first time that such a mass-trauma event has happened to a society that has already built the tools of digital government. Dealing with the mental health impacts of the invasion will be absolutely vital to keep society resilient, functioning, and committed enough to repel the invaders. It’s also the key to Ukraine’s postwar recovery, laying the groundwork now for a society that can rebuild itself physically and psychologically from the horrors of war. “This is the future of our society,” Itskovych says. “We are building the basis for the resilience of the community itself.”

At the heart of the plan is the Kyiv government’s digital platform, Kyiv Digital, which it launched in 2017. Before the invasion, it was largely used to manage parking and public transport, and to notify residents of disruptions to services such as road closures or power outages. When the war began, those notifications became more urgent: incoming attacks, the locations of bomb shelters, and the safest routes to reach them. Like other parts of Ukraine’s civilian technology, the city pivoted its tools to keep people safe and support the war effort, bootstrapping and rewiring the systems at pace.

“The first changes to the notifications we did in hours,” says Oleg Polovynko, adviser on digitalization to Kyiv’s mayor. Since then, the digital teams have been engaged in a constant cycle of innovation, trying to figure out what services they can bring online. The war has pushed them to act more quickly, to adapt tools they have and invent things that don’t exist.

They’ve expanded tools for civic participation, letting citizens vote on petitions, send feedback to the city government, and ask for help, such as financial support to repair bomb-damaged homes. And they’ve collected a lot of data, which is how the Kyiv government has been able to measure the scale of the city’s distress—and people’s reluctance to seek help. Of the 80 percent of residents who show signs of trauma, “40 to 45 percent are afraid to have contact with doctors who can help,” Polovynko says.

But this is only half of the problem that needs solving. For those who do want to seek treatment, there simply aren’t enough resources to help them. Clinical psychologists are supposed to limit the number of patient consultations they do in a day, so they don’t burn out. Before the full-scale invasion, Inna Davydenko saw a maximum of four patients daily. Today, Davydenko, a mental health specialist at the City Center of Neurorehabilitation in Kyiv, sees twice that number. When we speak, she’s just finished a video call with a soldier stationed near the front, whom she’s helping cope with stress and anxiety.

Even before the war massively increased the number of people dealing with trauma, depression, and anxiety, Ukraine’s medical system suffered from an underinvestment in mental health provision. “In most hospitals, you have maybe one psychologist. In good hospitals, it’s maybe two,” Davydenko says. “A lot of people need psychological help, but we can’t cover everything.” There is simply no way that the current system can grow to match the enormous jump in demand. But, Davydenko says, “almost every Ukrainian person has a smartphone.”

This is exactly what Polovynko and Itskovych want to exploit, using Kyiv Digital’s platforms and data to digitize mental health support for the city, and so close the gap between need and resources. Their project will focus first on those they’ve identified as being most vulnerable—war veterans and children—and those most able to help others: teachers and parents. The next six months of the project will be a “discovery stage,” Polovynko says. “We need to understand the real life of our veterans now, of the children, of the parents, what’s their context, how they survive, what services they use.”

The project will track people through the process of recovering from trauma, monitoring the treatments they ask for and the ones they receive, their concerns as they move through the mental health system, and their outcomes. Once the team has a detailed map of services and bottlenecks, and data on what’s working and what’s not, they can match individual needs with treatments. A full roll-out is scheduled for early 2025.

“It doesn't mean that the whole chain of the service will be absolutely digital,” Itskovych says. Some patients may be directed to group therapy or one-on-one meetings with psychologists, others will be given access to online tools. The aim, she says, is to create efficiency, to close the service gap, but also to provide comfort, meeting people where they are. “For a big part of our clients, there is more comfort with getting the service online, in different ways. Some people are not comfortable meeting a specialist one-on-one; they prefer a digital way to get the service.”

The project is being supported financially and operationally by Bloomberg Philanthropies, a charitable organization created by former New York mayor and Bloomberg founder Michael Bloomberg. James Anderson, head of government innovation at the organization, says that the project comes at a critical time for Kyiv, where people continue to suffer even though global attention has shifted away to other crises.

“There's always a tremendous amount of attention when the immediate crisis hits,” Anderson says. “But mayors continue to have to deal with the human costs of crises, long after the newspapers have turned to new subjects. That’s certainly what we sense and see in Kyiv.”

The size of the challenge in Kyiv is clearly daunting. But, Anderson says, there are reasons for optimism. Cities have got better over the past two decades at responding to common crises, such as Covid-19, which also required rapid, mass digitization of services. “Every crisis is distinct and different, and awful, in its own way,” Anderson says, “but there are lessons learned.” The Kyiv government, and Ukrainian society more widely, have demonstrated a capacity for rapid innovation to meet urgent needs, and Anderson hopes that success in this project could see it replicated internationally. “This is not the last war. This is not the last crisis,” he says. “I think Kyiv has lessons that they can share with cities around the globe.”

For Kyiv, and Ukraine, the crisis won’t end when the war does. “Psychological health is the number one problem for Ukraine,” Davydenko says, before correcting herself. “Number one is Russia, number two is our psychological health,” she says. “PTSD is our future.”

[faeriekit]

Health and Hybrids (XX)👽👻💚

[I can't remember the original prompt posters  for the life of me but here's a mashup between a cryptid!Danny, presumed-alien!Danny, dp x dc, and the prompt made the one body horror meat grinder fic.]

🖤Chapter navigation can be found here🖤 Click to browse previous updates.

💚 Ao3 Is here for all parts (now featuring mediocre mouseover translations, only available on a computer)

Where we last left off... A LOT of readers google what an "ostomy bag" is! Danny reestablishes his comfort with the Arabic numeral system!

Trigger warnings for this story:  body horror | gore | post-dissection fic | dehumanization (probably) |  my nonexistent attempts at following DC canon. On with the show.

💚👻👽👻💚

The next time Diana comes to visit her charge, her gloves are blue. Her scrubs are a pale pink. She is given a new face mask, and a new hair net, and walks through the double doors without needing to be buzzed in.

Alright. Perhaps the boy is not genuinely “her charge”. Still, he is hers to protect and to keep; although her position is, officially, as security to the medical team working with their young patient, the medical team knows as well as she does that the boy does not genuinely intend harm.

Is he prone to outbursts? Perhaps, but very few of them are powered. It is entirely understandable too, according to the mental health professionals on board the Watchtower: trauma affects how well one comports oneself and how one interprets their environment. They may see things, hear things, or misunderstand things, and believe they are under threat. The circumstance makes for a great deal of residual fear and mistrust.

Diana was once raised amongst communities of women with few untouched by battle fatigue. She recognizes the signs of lost time and of reawoken fear. She understands what battle-weary warriors are truly fighting against.

A doctor and a nurse mumble a greeting as Diana passes by them. “Morning, Wonder Woman.”

“Good evening,” Diana returns, eyes crinkling. One nurse visibly glances out the window—and then smiles, sheepishly, having forgotten their location in space. Time zones on the Watchtower are often…flexible; Diana, however, has only just returned from her day job. “How is the patient?”

A doctor jerks their head towards the monitor. It is only ever left on if no one else is in the room; privacy is key to recovery. The active monitor means that the medical team has left him alone for now. “Take a look. You might have to go kid wrangling again, Ma’am.”

Alright. Diana obliges them.

On the monitor, in little stick-figure form, are three figures, all sitting or crowded around the room’s singular bed. Her patient sits in his little white gown, legs still as ever, as Impulse drapes himself across the bedspread, and Robin (ex-Robin? Third Robin? Doesn’t he have a new name now?) stands at the bedside.

The Speedster wiggles, mouthing out words she can’t hear without a microphone. Robin is focused on something in his hand—a tablet, perhaps? If Impulse is chattering into the air, then Robin is short on answers; her charge, in comparison, looks back and forth between them, likely unable to understand what the two are up to.

Diana’s mask catches her sigh. “Busy, are they?”

“Do you think you can hold the red one down long enough for a refresher on proper PPE usage?” the doctor begs. The question appears to be genuine. “They just zoomed in a little bit ago. We’ve been trying not to disturb them, but without masks and gloves…”

…Her charge was still at risk for possible contamination or infection, as they couldn’t get consistently accurate test results on his immune system. Diana hummed. She could see the problem.

“I shall. Buzz me in, if you will.”

“Yes, ma’am!”

The door clicks open. Diana strides through, unafraid of teenagers or similar ilk, and content with her position as designated scolder.

And, to his credit, the Robin at her charge’s bedside recognizes Diana’s lack of enthusiasm with the situation, and winces with artful precision. Silly boy— as if Diana would believe that any Bat would be ashamed of breaking a rule if they had already chosen to break it. She cannot help but be fond of each Bird’s eccentricities in their own ways. Robin hides the contraband food in his hand behind his back.

Impulse, however, hardly notices her approach, draped over her charge’s casts as he is—a whiteboard in his hand, furiously scribbling away at whatever attempt at communication he has decided to test today. Having met several male teenagers in her recent years, there is a decent chance he has been drawing genitalia as well.

Diana politely coughs into her mask. The gesture is entirely performative. Robin responds by hiding a separate can of energy drink—opened—on the side table behind him, in the hopes of hiding it from view.

Impulse, who failed to notice her arrival, continues to scribble. Occasionally there will be a burst of superspeed, but it will be in contained little bursts. He likely either wants to preserve the marker, or he is taking more care with his attempted art than usual.

Her charge looks up.

His eyes are still a concern—glazed with a green film, they jitter back and forth ever so slightly when he tries to focus on any one object in particular. He hasn’t indicated any discomfort with his eyesight, however, so it hasn’t been addressed beyond documentation.

The crack in his face—from two inches above his white, nebulous hairline and trailing down to his chin—is visible evidence of an injury or gouge of some sort, with new pink skin all around the edges as the only visible sign of inhuman levels of healing. Diana has seen a number of scars, and a number of healed, gaping wounds, but it is occasionally unsettling to set eyes on her charge and see the still-healing brain matter, skull, and inner sinus cavity through a viscous, green, not-quite-organic wound filling material.

There seems to be a consistent rate of healing, though. Diana can only hope that recovery is possible.

“Good afternoon,” Diana greets softly. Her charge’s discolored fingers flex as his face turns to look at her. “Are you well?”

His green-tinged lips part and then come together again. He’s not not paying attention—he listens very well, and has begun to use certain words in English to compensate for his need for communication. That being said, Diana has little idea what he is and is not capable of understanding.

Impulse, however, finally recognizes the newest occupant in the room. “Wonder Woman! Uh—we totally had permission to be here this time! Promise!!” he offers, immediately switching from someone gleeful to see her from someone remembering their misdeeds.

Diana is very lucky that her mask covers her fond smile. If it is her job to be stern today, she ought to live up to the task. “Did you, now?”

Impulse beams sheepishly, and rolls off of the casts of a bemused half-alien boy. “Yes! Remember last time when the nurses all said I could ‘come whenever’ and ‘bring a friend’ and—“

“You were asked to buzz in ahead of time and put on your protective gear?” Diana finishes, wry. Before she is able to scruff him appropriately, however, the superpowered boy is already gone and back—now with an askew hairnet, an upside-down surgical mask, and gloves a size too large for his hands.

“So I did that!” Impulse protests, the mask moving unnaturally over his face. “Look! All dressed up!”

It is a well-intended last minute effort. Alas, it would all be for naught. Diana scoops up a squawking speedster by the nape, and a now-blinded-by-a-misplaced-surgical-mask Robin, and trots them both back to larger medical.

“One moment!” Diana tosses back to her charge, who is, understandably, concerned.

Still. It takes Wonder Woman, two nurses, and a paraprofessional to successfully sanitize and gear up an uncooperative speedster. Robin sulks through the entire process, but capitulates to it with more grace.

Her charge’s green eyes shine and his fingers curl around his few personal possessions as Diana returns to him his companions; she wishes, so dearly, that she could ruffle his pale hair. “All done!”

The teenaged heroes sprawl across his bed just as casually as they had before—if better prepared for their environment. Robin largely gives her charge his space, careful not to impede where he isn’t wanted, but Impulse freely shares affection that her charge, at least, does not visibly deny.

Diana has her own routine to complete. She heads for the intravenous injection bags, pulls out a fresh one, and cracks the seal. After that, it’s shaking to mix the concoction and a fresh replacement.

Impulse grabs one of the toys off of her charge’s side table and brings it into his lap. The board is tilted, and all the slotted-in pieces fall out. He spends some time sorting them by shape, and then by color, until her charge lifts trembling fingers to pick them up, very carefully, one by one.

She’s impressed. His pincer grasp recovery has not been consistently smooth sailing. “Excellent work,” she praises.

Robin looks up from his tablet. Impulse looks back at her and beams. Her charge gives her a brief look, observes that she doesn’t need anything from him at the moment, and gets back to sorting the little pieces back into their allotted slot.

Impulse rests his chin on the steel arm bar of her charge’s cot. The pose seems…uncomfortable. “Hey, Tim. He got them all right.”

Timothy Robin taps away at his tablet—no doubt taking down documentation of his own. Diana can’t help but feel affection; every Bat and every Bird is so nosy, but if she wants to actually see those notes on her charge, she will have to press Batman for them with a reasonably-sized threat.

“Really?” Robin asks, eyes on the screen. “Do you think the pieces were matched based on color, or actual understanding of the numerical system?”

Diana looks down, line in her hand as she reconnects the intravenous bag. The toy in her charge’s lap is a mock clock face. Each of the numbers is printed onto the removable piece, in different cut-out shapes, and painted different colors.

The atmosphere changes. The air itself tastes different—something like electricity sparks on her tongue. And then it’s gone.

“No, he’s looking to put the clock face back in order, specifically,” Impulse confirms. Ah. Speedforce. Diana should have been able to recognize the feeling by now. “He’s kind of annoyed, actually. It’s like a baby toy.”

“Well, it is a baby toy.” Robin taps away.

“Yeah, that’s why it’s annoying. He knows he should be able to do it.”

Impulse buzzes again, and her charge hums, stuffing his flat hand between the board and the sheet until he can tip it over without grabbing at it. He repeats the same process, the only difficulty stemming from his shaking grip and his shaking eyes.

The urge to pull him close and pet his hair is understandable, Diana reminds herself, but not conducive to his long-term comfort. She smiles at him, as best as she can behind a surgical mask, and discreetly checks his drainage bags to see if they need replacing while she’s already close.

“All’s well,” she declares at last, finished with anything that isn’t social. Thankfully, having two teenagers in the room takes care of her charge’s most frequent issue—boredom. She claps her hands together, and her charge looks up at her, eyes vibrating. “Do you require anything?”

Her charge looks at her. Her charge looks at his friend. “Ouatair?” he tries to enunciate, tongue thick against the green-filled split in his hard palate. “Pleese?”

“Ithinkhewantssomewater,” Impulse rushes to translate, but Diana already knows this request. The water provided is chilled in a refrigerator, and it takes no time for her to find sanitized cup and straw—steel, so as to be safe when dropped, and relatively uncrushable, with a handle for simple gripping.

She presents it to him grip-first. His expression is grateful, and frustrated. No warrior wishes to be in the position of needing constant. Diana can understand the wish to do things on his own.

“Soon,” Diana offers, voice a whisper. “You’re already better off than before.”

Her charge grumbles into his cup. His tongue, half-green, finds the straw for him; he chomps down on the straw, slurps as loudly as he can, and sulks.

Teenagers. Diana finds herself unable to understand how Bruce has so many of them, and understands perfectly well how easy it is to take on a child in need and make them your own.

The cup goes back onto the side-table, half-empty.

“Hey,” Robin starts again. He puts his tablet to the side. The white board is pulled out of Impulse's hands and goes onto her charge's lap, and with only a little whining. “How’s this?”

Her charge mumbles something neutral. His eyebrows scrunch together, but he takes the offered blue marker from Impulse and lets the boy uncap it for him.

“Yeah, it’s more adult or whatever,” Impulse encourages. Her charge sticks out a green-mottled tongue, but takes the marker to the white board and writes. Robin peers over his shoulder to watch. “It’s just the alphabet. A, B, C, D~!”

Her charge hums the tune back to him, continuing seamlessly where Impulse left off. The teen hero beams.

Diana stills.

“Yeah, you got it!” Impulse encourages, and peeks over the edge of the board to see her charge hard at work. His letters are wobbly, certainly, and there are some that he misses, but the alphabet song is a longstanding English-language tradition. He know it. He knows it by rote.

“You missed the ampersand,” Impulse points out. Her charge scowls through the fissure in his face.

…There is no reason for Diana to get excited. Yet. Robin-the-former is already jotting down his own notes, pleased with his observations. There are many reasons and many ways this teenager might have picked up the song. J’onn famously picked up on Earth’s radiowaves before being transported to Earth; this could be further evidence that her charge has some connection to Earth, or it could be a connection to something more bizarre and unusual.

There is no shortage of unusual events these days.

And, of course, Diana runs out of things to do. She smooths down her charge’s blanket, which he hardly notices in his frustration. She refills his water. She is tempted to go grab her copy of The Art of War from her bag in the other room, which she has read before, but which she is rereading at behest of Bruce’s newest initiative: Tactical Book Club. She is optimistic about the opportunities for further education this will provide her comrades-in-arms, if not underwhelmed by the reading material. As long as the teenage heroes are in the room, Diana is obligated to remain with them, in the event that the danger level might…fluctuate. A book would give at least the semblance of privacy to the three.

Her charge makes a noise. “Hay!”

Diana looks up. In shaky hands, resting on his lap, he holds up a largely complete alphabet. There are one or two shaky letters—thorn, which is fairly common, and eth, perhaps less so—but otherwise carefully drawn, very neatly done.

“Excellently done,” Diana praises. The alphabet is a triumph of the physical work it takes to heal.

Her charge beams through his craggy face, buzzing with delight.

"I dunno," Impulse teases, upside down on her charge's legs. "They're kinda wonky."

The boy's face scrunches, smears the color away with a swipe of his arm, and draws something else.

The board shakes with his exertion as he lifts it back into place on his lap, and Diana allows herself to sigh, audibly; sure enough, as she had expected, there is a misshapen, blue, cartoon representation of a penis.

Robin full-on cackles with surprise, but Impulse falls of the bed with laughter.

Unfortunately, it is now Diana's job to figure out how to scold a teenager, and one who speaks no known language besides. Based on the resulting expressions she earns, Diana is unsure if the scolding works, but. Well.

...She tried.

[cranquis]

Your recent reblog made me sad, but also makes a lot of sense. I've been following you since I was in medical school, and I'm now in my fifth year of specialty training (I am not American). I did occasionally wonder why I've been seeing less of the kind of content you used to put out.

All I can say is - thank you for the work you do. I've seen enough online to get an idea of what you must face on a daily basis. I think I'm lucky that somehow, the doctor-patient relationship overall hasn't deteriorated to such an extent where I live (yet at least), but I definitely understand the frustration and despair of trying to communicate with people who aren't coming into the conversation in good faith.

You've always been a kind of role model for me in terms of your passion for your work and your open sharing about your faith. I guess I just wanted to say that I hope you find hope and joy in your work, even if those you serve aren't wise enough to appreciate what you do for them.

Hi, my colleague! Hey first of all, thank you for your kind words of encouragement and affirmation. Negative med-related interactions (online or in person) anymore just roll off me, but the positive ones still give my heart a thrill! :) And congrats on your continued journey down the medical pathway.

Second, I'm glad your message gives me the chance to clarify for all my long-time Cranquis Pants* that I still do enjoy my work. I have been doing the exact same Urgent Care job in the exact same location (with quite a few staff turnovers) ever since I finished residency 17 years ago! I still enjoy the bulk of my patient interactions, I continue to hone my diagnostic skills, I feel very confident in my procedural skills, I have a reputation in our local medical community as a reliable and thorough physician, and I have a loyal group of patients who routinely nag me to "quit urgent care and become a regular doctor so we can be your primary care patients". My staff likes and respects me (despite my best efforts to ruin that on the daily, with my puns etc); I like my staff and appreciate the hard work they do in the face of the same administrative and societal opposition that I encounter; I am not distressed when little kids freak out during physical exams (and my success rate of turning those frowns upside down with playful interactions and silly sound effects is pretty darn good).

I am blessed with amazing work-life balance, more than the majority of Family Medicine-trained physicians I suspect. I carry no pager, I take no call, I leave my work at home when I go home. I know my schedule months in advance, I have a shift template that gives me plenty of week-long stretches off, and I have my Sabbaths 100% free to attend church and spend time with my family. My pay is decent and my benefits are solid, my debts get paid and I have a roof over my head. My kids and wife are happy to see me come home. Personally, I really have nothing to complain about.

But the bloom is off the rose for my profession as a whole. The politics and trends of the US health care system continues to disenfranchise physicians, devaluing the years and $$ invested in becoming physicians, over-valuing patient satisfaction scores and inexpensive labor and glitzy administrative initiatives and staff rumor mills more than evidence-based, experience-driven clinical medicine. The power structure is upside down, as if doctors ought to be automatically doubted and disdained by pharmacists, insurance companies, administrators, patients, and APCs because of their systematic educational journeys and reliance upon scientific evidence.

And one of the saddest results is watching medical professionals turn on each other. The fragmentation and super-specialization of every aspect of medical care creates artificial "us v. them" scenarios; specialists and primary-care battling over who does the paperwork for pre-op visits and FMLA, ER and Urgent Care arguing about how much workup should be undertaken by the UC when the patient is obviously going to need ER management, primary-care so overwhelmed with insurance-required goals that their patients can never get same-day/soon-day appointments, pharmacies so understaffed that it's easier for them to tell the patients that "the doctor never sent the prescription" when in reality ...

I could go on.

I miss the old days (said the geezer on the internet), when I could enthusiastically support a pre-med student's dreams of getting into medical school and "helping people as a doctor someday." Now I wince at the idealism in a high-schooler's eyes, and try to find a nice way to say "there's more options for helping people than just becoming a doctor... be sure you have your motivations straight, because medicine is not what it was even 10 years ago..."

So hope and joy in my career? Hope for the profession of physicians, I have little. But I make the joy in my practice when I can make it, and I only expect to find joy in my non-medical time with family and hobbies and travel and friends and the lifestyle which my medical career still does make more feasible than otherwise.

*Probably not the term historically assigned to "fans of this blog", back when I posted frequently -- it's been a minute -- but if not, SHOOT that was a missed opportunity.

[ivesambrose]

PAC : September 2024 Mini Messages

1. 2. 3.

And we're almost in fall 🍁

To book a personal reading with me DM or email me at ivesambrose@gmail.com

Services Offered

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Picture 1

You'll be feeling the urge to socialize or reconnect with friends and loved ones this month. Likely even connect with new people that inspire you and reignite a spark within you. It seems like as you're headed for autumn you begin to experience your personal spring. There's a lot in your mind and heart and it's been repressed there for quite some time now because you haven't found the right means to express them or the people to express them to but this: shall change. I see you wanting to maintain more balance and diplomacy in your life this month instead of extremes. In a way you've told yourself, "Hey I've done enough push and pull, let me allow things to fall in place." A lot of you might focus on regulating your nervous system, some of you might be starting therapy or just being more attentive about your mental health. Some of you might collaborate or work with others especially if you're an artist or creator of any kind. I also see a select few coming out of hiding and gaining the confidence to put themselves out there. This month will also end on a joyful note for you. You'll also be pursuing something your heart feels really called to. You'll also feel cherished and cared for, this could be from a special someone or your friends and family or the community you're proud of. You'll feel a lot less alone, you never really were.

Picture 2

Leaving all that heartache behind. Bit by bit. Holding your life by the reigns by finding the courage within. There's no need to wait for anyone to help you through this, just begin. I know certain anguishes weigh rather heavily but it doesn't have to be a permanent resident there. A lot of you are planning on moving away from a present location that hasn't been bringing you peace you'l likely end up executing it before this year ends. Sometime around this month itself you'll find yourself feeling emotionally renewed. Opportunities coming up that you had been praying for since long but you feel nervous taking up because emotional fulfillment somehow feels scary to you. Feel the fear and do it anyway. Take the plunge because it'll lead to you feeling proud and successful of yourself. I also see a peak in finances or you saving up enough to afford something that makes you really happy. If you have pets you'll be spending more time with them or even consider adopting one. You'll start finding joy in the things you used to years back. Hold onto this feeling. For some reason the song, 'Innocence' by Avril Lavigne came through for this pile as well. If you resonate deeply with music, then this song definitely has a message for you.

Picture 3

A mental breakthrough. I see you being assertive and maybe even cut throat with your goals. I also see a lot of you disciplining your mind to the maximum. Correcting any negative thought and assumption. You'll also find yourself emerging victorious no matter what situation you're facing. There's a specific turn of events and fate for you. Fall overall is a significant time for this pile. I see you embracing joy diligently, making new friends and connections and making plans with your loved ones. You have chosen to let your inner child experience everything they have been forced to let go of. Do not dim your own light this month. You were meant to shine. You were meant to stand out. Some of you might also have a significant secret admirer as well. They see you as the break of dawn after a dark and solemn night and want to pretty much make you feel the same it seems. You'll find yourself wanting to relax more and allow things to come to you. Stressing and forcing on the other hand might lead to discord and feeling burnt out. It seems as though you had been fearing the worst but there has been a pleasant change of plans for you. You will be starting a new chapter in your life, you'll be rather stubborn about it too, brainstorming quite a bit, might encounter a few conflicts here and there but nothing good team work can't solve. This will eventually lead you to the version of you that you have in mind.

[allthecanadianpolitics]

As the number of Canadians finding themselves unable to make ends meet grows, the calls for a basic income are intensifying. Currently, there are two bills, S-233 and C-223, whose passing could open the door to the creation of a livable basic income program for which any low-income Canadian can qualify. Like the Canada Child Benefit or Old Age Security, a livable basic income should be available to anyone whose earnings fall below the poverty line. No means testing. No questions asked. No shame nor stigma. “It’s just basic justice that people have enough money to survive” and to ensure “that people aren’t living in poverty in a wealthy country,” says Evelyn Forget, a professor of economics and community health sciences at the University of Manitoba. Instead, now, Canadians whose yearly gross income falls below the low-income cut-off — which ranges between $18,941 and $72,814 depending on location and household size — are consistently stripped of their agency, autonomy and dignity when they apply for income supports.

Continue Reading.

Tagging: @politicsofcanada @abpoli

[rjzimmerman]

Here's the link to the report from the Union of Concerned Scientists described in this story from EcoWatch:

A new report from the Union of Concerned Scientists (UCS) has found that Tyson Foods dumped hundreds of millions of pounds of pollutants into U.S. waterways from 2018 to 2022. The pollutants came from company facilities including slaughterhouses and processing plants.

UCS analyzed publicly available data from the U.S. Environmental Protection Agency (EPA) and found that Tyson Foods processing plants released 371.72 million pounds of pollutants into waterways from 2018 to 2022. Half of the pollutants were dumped in waterways of Nebraska, Illinois and Missouri. The group published the findings in a report titled Waste Deep: How Tyson Foods Pollutes US Waterways and Which States Bear the Brunt.

“As the nation’s largest meat and poultry producer, Tyson Foods plays a huge role in our food and agriculture system and has for decades exploited policies that allow big agribusiness corporations to pollute with impunity,” Omanjana Goswami, co-author of the report and an interdisciplinary scientist with the Food and Environment Program at UCS, said in a press release. “In 2022, the latest year for which we have data, Tyson plants processed millions of cattle and pigs and billions of chickens, and discharged over 18.5 billion gallons of wastewater, enough to fill more than 37,000 Olympic swimming pools.”

Waterways in Nebraska had the most wastewater pollutants dumped by Tyson Foods plants, about 30% of the total or 111 million pounds, UCS reported. The pollutants dumped in Nebraska included 4.06 million pounds of nitrate, which a 2021 study linked to increased risks of central nervous system cancers in children.

According to the National Provisioner, Tyson Foods is one of the top meat and poultry processing companies in the U.S. From 2018 to 2022, it generated 87 billion gallons of wastewater, based on EPA data. This wastewater can include pathogens and microorganisms (such as E. coli) and slaughterhouse byproducts, such as body parts of animals, feces and blood.

As noted in the report, the dumped pollutants contained high amounts of nitrogen (34.25 million pounds) and phosphorus (5.06 million pounds), which can contribute to algal blooms in waterways. As UCS pointed out in its analysis, many Tyson Foods facilities are located near waterways that are home to threatened and endangered species. 

The facilities are also positioned near historically underserved communities, leading to additional pollution near and burden on vulnerable populations.

“Pollution from these plants also raises environmental justice concerns,” Stacy Woods, co-author of the report and research director for the Food and Environment Program at UCS, said in a press release. “We know from previous research that almost 75% of water-polluting meat and poultry processing facilities are located within one mile of communities that already shoulder heavy economic, health or environmental burdens. In mapping these plants, we found Tyson largely fit that pattern, with many plants located near communities where people live with more pollution, less socioeconomic and political power, and worse health compared to other areas of the United States.”

The report provides insight into a larger problem. As The Guardian reported, meat processing pollution in the U.S. is much higher and goes beyond Tyson Foods.

“There are over 5,000 meat and poultry processing plants in the United States, but only a fraction are required to report pollution and abide by limits,” Goswami told The Guardian. “As one of the largest processors in the game, with a near-monopoly in some states, Tyson is in a unique position to treat even hefty fines and penalties for polluting as simply the cost of doing business. This has to change.”