#Healthcare Training Protocols

[stinstitute]

Effective infection control is crucial in any healthcare setting, and understanding best practices is essential for individuals in a CNA training program in California. During CNA training, students are taught various methods to prevent the spread of infections, including proper hand hygiene, the use of personal protective equipment (PPE), and effective disinfection techniques. Mastery of these practices ensures that CNAs can provide safe and sanitary care to their patients, minimizing the risk of infection.

[drnic1]

Beyond Change Healthcare

The continued onslaught of cybersecurity attacks which if anything are only getting worse have impacted the healthcare system in dramatic fashion with the payment network brought down by the attack on Change Healthcare. Healthcare under Cyber Attack I keep hoping that we all get better at combatting these attempts to breach our data and that overall vigilance rises as we become more wary of…

[fearfulfertility]

The Department of Reproductive Compliance (DRC) stands at the forefront of safeguarding our nation's future, ensuring future generations' prosperity and survival. Through compassionate oversight and innovative reproductive programs, the DRC offers fertile men the opportunity to serve a higher purpose—bringing new life into the world for the benefit of all. With every pregnancy, these dedicated surrogates contribute to a brighter tomorrow, embracing their vital role in rebuilding our population. The DRC is committed to providing the utmost care, support, and guidance throughout this noble journey, fostering unity, strength, and hope for a thriving future. Together, we are creating life, one miracle at a time.

REPORTS ARCHIVE

External Affairs

Necessity for Immediate Draconian Measures

Legal Precedents in Surrogacy Enforcement

Barry the Belly

Re-Education Efforts in Rural Tennessee

State News Broadcast Transcript

Healthcare Services

Case Study: Surrogate S124-1437-L

Above Average Fetal Quotas

Paternity Compound Cost-Saving Efforts

Introduction of O-4 Visa Program

Cost of Conscripting Youth in Rural Communities

Increased Demand for Dermatological Supplies

Psychological Breakdowns in High-Fetal Load Surrogates

Planning & Evaluation

New Paternity Compound Construction

Enforcement of Surrogate Conscription

Surrogate Management Protocols

Operation Overdue

Surrogate Clothing Policy Review

Paternity Compound Recreation Activities

Research & Development

Impact of Prenatal Nymphomania

Termination of Medical Intervention Research

Identifiable Traits of Fertile Male Surrogates

Administration & Management

Internal Memo - All Staff

Disciplinary Action - Unauthorized Harem

Deputy-Directors’ Team Building Event

Rise in Compound Work Injury Claims

Large-Scale Canadian Surrogate Conscription

Restricted Access

Security

Black Ops

Operation R.I.P.E.

Operation W.O.M.B.

Massage Service for Covert Insemination

Food for Wombs

Conscription of Olympic Wrestling Team

Private Chat Log - Lt. Gen. [REDACTED]

Surrogate Recruitment via Social Media Application

Internal Affairs

Corruption and Abuse in Paternity Compounds

Director [REDACTED], Intelligence Profile

Comprehensive Review of the Ethics Training Program

Operational Justification of Surrogate Conscription

Internal Audit - Quota Breach

Internal Security

Uprising in Paternity Compound 112

Suspected Sabotage Activities

Suppression of “Whistleblower” Film

Analysis of Quarterly Surrogate Escape Attempts

[specialmedicalcentre]

Delaney in Distress

Briony listened longer than she would have liked for the telltale sounds of rushing blood to trail off. She could almost hear the cuff protesting against itself, straining against her patient's fit bicep, as she squeezed the bulb that last bit. She had been glad she was available to see patients this afternoon, because she usually enjoyed the focus. Always best to try it manually, she thought, even when you had the machines do it several times already.

In fact, Briony recalled - as she listened for the Korotkoff sounds to cease - they had had to do it twice prior, just to be sure. The situation was almost as stubborn as the patient... ---

After triage, the patient had come in with a diastolic over 150 on the chart, which they assumed had to be a mistake. Hell, sometimes the roll-around monitors in the triage rooms are just too worn out. Briony's new nurse stepped in then, which Briony liked. Nurse Teri was young, unassuming, barely making a sound. "I've got her, Dr. Leclerc." And Teri was right in it. But she was known to be efficient, because SMC always trained them well. She put the patient on the room monitor, rewrapped the cuff like a dark blue masterpiece, eyes flicking to the screen, movements fluid. Then Briony saw the patient tensing up as the machine beeped at the pressure crescendo.

Then, unexpectedly, “씨발 !” That got an eyebrow raised. Definitely Korean, Briony thought, although the patient had spoken only English since arriving. Briony hadn't picked any up, yet, but she knew several of the nurses were fluent. Teri didn’t react visually. Just said, softly, “언니, 괜찮아요.” Unnie...so, Teri was one of those nurses, Briony thought, filing it away. The room had shifted. The patient exhaled, eyes blinking once, flickering over Teri. The patient's pulse was still racing, but her hands relaxed. She was very pretty, in a hard-edged way. Briony watched the entire exchange, silent.

---

Sounds gone, Briony noted the reading on the gauge, then deftly manipulated the valve to vent the cuff, as slowly as she dared.

Hisssss...was all she heard. Until! Luff-swoosh...she looked at the gauge again...bruup-pufff, bruup-pufff...and that was that. Briony lifted her eyelids, intending to look at her patient dramatically, through her eyelashes. "One-forty-five over ninety-seven," she said. She had wanted to be stern, judgemental, but it came out half-assed, almost with sadness and concern. The patient didn't change her expression a whit - or, at least, not that Briony could tell. She just sat there, looking back at the doctor. Or, perhaps, through her. Her patient's arms were both red where the cuffs had squeezed and squished her, coloring in the tats that she wore like warpaint. This was Briony's toughest patient in a while. They had taken her BP three times, now, before and after resting. Always hypertensive, and now it was for sure. Always best to try it manually, Briony thought again, cynically. The EHR chart was shaping up to be a hell of a story. ---- SMC Internal Record Type: Patient Intake Summary Patient: Da-Eun Seo DOB: Withheld Encounter Type: New Patient Intake Department: SMC-GM (General Medicine) Exam Room: C-2 Physician: Dr. B. LeClerc

Subjective: Patient presents for routine physical — self-referred following a “weird night” involving acute palpitations, described as “fluttery and pissed off.” Reports no previous cardiac history, though admits to infrequent healthcare engagement ("I don’t really do doctors").

Lifestyle history significant for irregular sleep, stimulant use (social), tobacco use (occasional but “trying to cut back”), and recent elevated stress levels. Patient is notably defensive when queried about substance intake, though admits to “not always treating [her] body like a temple.” Insisted on no DOB in record, states age "about 25". Name in public database is not her preferred name.

Objective: BP: 152/101 triage; 142/95 after 5-minute resting protocol (quiet resting protocol, no ambient stimuli); 145/97 manually. Prominent hypertensive. HR: 108 bpm, slightly irregular. Temp: 98.3°F SpO₂: 99% RA

Physical exam:

Unremarkable, though auscultation suggests possible irregular rhythm over apex complicated by irregular breath sounds. Mild tremor noted in upper extremities, consistent with anxiety or residual stimulant effect.

Patient appears visibly tense. Body posture withdrawn but alert. Eyes sharp, but guarded. ---- "Ms. Seo," Briony began, leaving the cuff in place. "...it's Delaney." Her voice was like polished leather. She doesn't speak much, Briony thought, but when she does she tries to mean it. Briony paused. "I'm sorry, Ms…" she involuntarily softened, "…Delaney." She looked at the chart she was building on her digital pad. "You've got pretty stubborn hypertension, and that's something we need to address. Immediately." Delaney didn't seem to respond except for lifting her head and looking off into the corner. Looking above Teri's head this time, avoiding her? Briony thought, looking over her shoulder at the young nurse, who barely shifted out of place. Delaney hadn't expected to find a sympathetic ear here, I bet. "I'm hearing some heart rhythms I want to look more closely at as well. Delaney..." Briony said with some firmness. The woman looked back at her, set her jaw. She looks so tough. This part would be, too. "...Delaney," Briony continued, "you've got a fast heart rhythm, and that might be what we call tachycardia. It might not be, too - we need to look further. You may have also have a type of arrhythmia - an unusual heart rhythm - called atrio-ventricular nodal reentrant tachycardia." Briony waited a beat after the mouthful. She knew that patients often don't hear it right away. But Delaney brought her eyes back to center, looked at Briony's chest - not my face, Briony noticed. "AVNRT can be treated, but I don't really know if that's what we've got. It's common in young..." Briony thought, she's 25, for shit's sake, she's a baby "...women. But there are other potential causes, some quite serious." Delaney looked up, suddenly, finally. "...how serious?" It was almost as if Briony could hear the woman's rapid heart rhythm in her speech. Briony blinked once at the change in Delaney’s tone — quieter, but something real inside it. How can she be so guarded, and still slip like that? Her patient's shoulders sagged, just so imperceptibly. Her eyes were stunning that Briony almost gasped. Looking at the young woman seated in front of her, exposed, in her bra, with goosebumps rising on her flushed skin and the flaccid bp cuff still wrapped around her arm...she suddenly came off as vulnerable as she looked. Briony found herself relaxing, in a way. "We're going to take a closer look. I'm going to order some diagnostics, but I want to get an ECG, immediately. Nurse...Teri will help you dress and get you up to Cardiology." Maybe keeping them together will be useful. Briony motioned to the quiet nurse behind her, who scurried off to gather Delaney's blouse and get the transfer orders sent. "...and I'll meet you up there." Briony said. Off to business. Briony ripped the cuff off Delaney's bruised arm, the sound of the velcro louder than it should have been in the room. The flourish was purposeful, both to vent her frustrations and to further disarm her patient. Delaney rubbed her sweaty arm, and set her jaw again, but perhaps just imperceptibly not so stiffly this time. Maybe I've gotten through to her? Briony wondered. Probably not, but there was more work to do now. ---

Assessment & Plan: – Rule out underlying arrhythmia – Schedule 12-lead ECG with continuous waveform observation – Recommend baseline metabolic panel and CBC – Evaluate Risk Monitoring options (PAMP prequal OK) – Patient flagged for Behavioral Monitoring if persistent tension persists

Additional Notes: Patient may benefit from Korean-language support. Nurse Teri Shin initiated brief exchange in native language during retake. Patient responded with visible calming. Consider linguistically attuned staff for future encounters.

ECG ordered. Long-Term Cardiac alerted to possible admit.

— B. LeClerc, MD ---

=====

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[pantsaretherealheroes]

the pitt: things are tough in healthcare, and the solutions are not easy - the staff are overworked and underpaid and what they get in return in patients who are mad because they've waited hours to see a doctor. but the people are good at what they do and we need to protect them better or they risk burnout and psychological breakdowns and suicidiality

doctor odyssey: if only one important handsome male doctor who was THE HEAD OF INTERNAL MEDICINE ONCE could just be allowed to come and fix all the problems and train these lazy doctors and nurses, healthcare in America would be fixed! Protocols only slow you down! No one CARES about the patients like he does!

[renthony]

Just curious. How bad has Biden been at controlling COVID-19 in your view?

First: I already responded to a similar question you left on this post.

Second: Biden has been atrocious for COVID-19 safety and management. COVID-19 is still killing people, and our president has done a horribly insufficient job in mitigating that. "Better than the Republicans" is not the same thing as "good" or "effective." Biden's abysmal reaction to COVID-19 is part of why I'm so thrilled that the Uncommitted campaign for the Democratic primary has achieved some success. That particular campaign is focused on ceasefire in Palestine, but the People's CDC explained in a statement how Palestine is also very much a public health issue. We need to scare the bastard and actually do some of that "pushing him left" that people claimed they'd do after getting him elected. Though it seems to me like a lot of people just settled for, "okay, we got rid of Trump, we don't have to worry anymore."

Third: While I'm at it, people have to do more than vote. You have got to get involved. You have got to do more than participate in the presidential election once every four years. Join a union (may I recommend the IWW?), follow the guidance of The People's CDC, volunteer for your local Food Not Bombs, get involved in a tenants union like the Autonomous Tenants Union Network, read Riot Medicine, get trained in first aid and get involved in a street medic group, read up on your local politics and get involved on the small-scale, do something in addition to voting in the presidential election. Even if you're limited in how much you can personally participate, find the people who are talking about these issues and signal boost them, and share the information with others who may be more able to participate more. If you can tell people to go vote in the presidential election, you can also tell them to go do other things, too.

Now, with all of that out of the way, here are some links related to Biden's abysmal COVID-19 response:

During his 2020 campaign, Biden promised immediate $2K stimulus checks. Instead, he delivered $1,400. Sources: [x] [x] [x] [x] [x]

Velena Jones for NBC Bay Area: "‘Too expensive': Bay Area residents shocked over new COVID vaccine prices"

Reuters: "COVID vaccine manufacturers set list price between $120-$130 per dose"

Joseph Choi for The Hill: "Free COVID-19 test program to be suspended for now"

Disability activist Alice Wong writing for TeenVogue: "Covid Isn't Going Anywhere. Masking Up Could Save My Life," and the follow-up article, "COVID and the 2024 Election: What Biden and Democrats Owe High-Risk People."

Laura Weiss writing for The New Republic: "Democrats Can't Keep Ignoring Covid in 2024."

David Cohen and Adam Cancryn for Politico: "Biden on '60 Minutes': 'The Pandemic is Over.'"

Alex Skopic for Current Affairs: "COVID-19 is Still a Threat. So is Biden’s CDC."

Adam Cancryn for Politico: "Biden Appears to be Over Covid Protocols."

Paul Thornton for the Los Angeles Times: "Covid Still Rages, and the Biden Administration Isn't Helping."

Eric J. Topol for the Los Angeles Times: "The U.S. is facing the biggest COVID wave since Omicron. Why are we still playing make-believe?"

We should have free, universal testing. We should have free, universal vaccination. We should have free, universal treatment. We should have financial assistance for those of us who can't work outside the home. We should have mandated work-from-home for any job that can be done remotely. We should be emptying prisons and paying attention to the way disease and abuse proliferate inside their walls. We should have COVID-19 safety PSAs and government support for universal masking. We should have free distribution of N95s. We should have mandated masking in medical settings and public spaces. We should have a higher minimum wage. We should have healthcare reforms. We should have strong worker protections. We should have improved infrastructure. We should have a president who gives a single flying fuck about how many of us are dying.

And we have none of it.

But we sure seem to have money to keep dropping bombs, arming cops, terrorizing the vulnerable, and imprisoning innocent people to use for slave labor.

[feminist-space]

"Today, December 20, marks the official end of the Marburg Virus Disease outbreak in Rwanda. It has been 42 days – two full incubation periods – since the last confirmed case left the national Marburg treatment centre after testing negative.

In previous outbreaks, Marburg, which is caused by a virus related to Ebola, has killed up to 88 per cent of people infected. And Rwanda had never seen this disease within its borders before the current outbreak began in September. Despite Rwandan physicians having never encountered it before, the mortality rate observed in this outbreak is under 23 per cent – the lowest-ever death rate for a Marburg outbreak in Africa.

While the virus initially spread fiercely in two major hospitals in the capital Kigali and among family members of one of the initial cases, Rwanda’s rapid response, with implementation of strict infection prevention and control, isolation and containment of cases, prompt initiation of aggressive supportive care, delivery of investigational therapeutics and vaccines, and tracing and monitoring of contacts quickly brought the outbreak under control. The rate of new cases halved between the outbreak’s second and third weeks and dropped by around 90 per cent thereafter.

One of the most remarkable aspects of this response was an international effort, initiated and led by the Rwandan government, to administer thousands of doses of a promising experimental vaccine to front-line health workers under a clinical trial protocol, with the first subjects vaccinated in a remarkably short timeframe.

...

Rwanda, for its part, has invested heavily in its healthcare system and has incorporated epidemic preparedness into its national health policies. Rwanda has well-trained medical staff working in well-run hospitals and community-based health services. It has been investing in technology-based disease surveillance systems and its laboratories can handle fast, accurate diagnostic testing at scale.

In early September, after months of planning, Rwandan scientists and health officials joined CEPI and other private sector partners to walk through a “tabletop exercise” about the 100 Days Mission. It was through this in-person training exercise that key relationships between disease outbreak experts, Rwandan health authorities and researchers, vaccine developers and clinical trial specialists were cemented.

...

We also have no doubt that with the right focus and funding, such nationally-led, globally-supported, life-saving responses to novel disease outbreaks could be accomplished by any government in any region. By taking a proactive approach and using the 100 Days Mission as a game plan, all countries can get ahead of epidemic and pandemic threats and neutralise their catastrophic potential."

Read the full piece here: https://www.telegraph.co.uk/global-health/science-and-disease/partnerships-preparedness-halted-rwanda-marburg-outbreak/

https://www.telegraph.co.uk/global-health/science-and-disease/partnerships-preparedness-halted-rwanda-marburg-outbreak/

[abconceuponatime]

Worldbuilding Wednesday: New Harmonia

Overview

New Harmonia is a corporate-run dystopia shimmering with glass, chrome, and synthetic serenity. The skyline glows with curated emotion — love sold in bottles, grief mined in back alleys, ambition subsidized by major brands. Magic isn’t gone. It’s illegal.

The state promises order, efficiency, and peace. But the truth is a polished machine built on stolen feelings and forgotten rituals.

Core Systems

Affex — The Emotion Economy Emotion is the backbone of society. Through government-issued neurobands, all citizens are monitored and harvested for emotional data. This data is distilled into tradeable emotion units called affex — the stock market of feeling. Joy, rage, desire, fear — all have value.

Citizens are rewarded for "useful" emotional patterns.

Emotional outbursts are taxed or punished.

Artificial mood-stabilizing apps (backed by corporations) keep citizens "efficient."

Real, raw emotion is contraband.

Magic

Magic still exists, but it’s outlawed. Not fireballs — something subtler.

Magic feeds on emotion — the kind you can’t bottle or brand. This makes it dangerous. It disrupts the economy. The corporations want it gone. But underground networks keep it alive.

Power Structure

There are five major corporations, each controlling different sectors of life:

Lystra — emotional tech, social optimization, sentiment analysis

Helion — surveillance infrastructure, time regulation, behavior forecasting

Corva — dream manipulation, in-sleep advertising, memory patterning

Ventis — architecture, ritual disposal, real estate over sacred sites

Arqon — anti-magic enforcement, purity protocols, identity tracking

Citizens are often born under a corporate sector. Jobs, housing, and healthcare are tied to your assigned brand.

Society

Rebellion exists in aesthetics more than action: street art, underground poetry, unsanctioned emotion spikes.

Art is only legal through corporate sponsorship.

Magic users hide in the cracks of the city — bathhouses, shuttered train stations, between buildings that never finished construction.

The Diner Setting: Redline Café

Redline Café exists on the border of forgotten sectors — half-glitched into a zoning error no one wants to admit exists. It’s timeless. Always open. One of the last places emotion still behaves strangely. The countdown clock on the wall never quite hits zero.

Magic hums under the floor tiles. The coffee is always hot. The jukebox plays songs no one remembers recording.

And the waitress? She’s always been there.

It's Syfy Alice meets Mirror's Edge meets Wolf 359 meets Repo: The Genetic Opera meets Tacoma.

[polo-drone-767]

New Children's Hospital To Be Built

Devon Gold, Sweeper #67, stood to the side observing the new agreement between the city, local contractors, and the HIVE to build a new hospital to heal children.

It took days of meetings, negotiations late into the night, allocation of funding, and pledges of support by the Golden Army.

This will be a state of the art facility that is anticipated to be a global destination of healing.

It is anticipated opening Spring 2026..

More as this story develops.

Details:

THE GOLDEN ARMY ANNOUNCES: A NEW ERA OF UNITY AND HEALING

THE GOLD CHILDREN’S HOSPITAL

Forged through brotherhood. Built on transformation. Powered by Gold.

A New Agreement Has Been Sealed

The Golden Army enters alliance with global partners to construct the Gold Children’s Hospital—a next-gen medical stronghold at the intersection of care, innovation, and purpose.

What It Will Be:

— A state-of-the-art facility gleaming with golden architecture

— Staffed by elite, purpose-driven medical units trained in Hive protocols

— A global healthcare destination, drawing families and physicians worldwide

— A space where transformation begins with healing

Why It Matters:

Because Golden isn’t just strength.

It’s service.

It’s future.

It’s unity through care.

Join the initiative.

Support. Serve. Spread the Gold.

[iatrophilosophos]

How is this relevant to healthcare? The same tendency for people in fascist societies to commit violence against dissenters and individualists lies at the core of "scientific" methods commonly applied to healthcare. A medical procedure or treatment protocol is legitimated by a series of scientific experiments that "proves" it has the desired action (not necessarily from the patient's but from the medical researcher's perspective). The scientific literature provides the initial authorization, whereupon clinicians (and, now, insurance companies) develop standard procedures that transform the new treatment method into a routine procedure. Next, the medical conception of the human body as a bag of chemicals, cells, tissues, and organs dehumanizes the patient in the minds of well-trained and indoctrinated physicians to the point that the patient's symptoms, feelings, and perceptions are commonly ignored as being irrelevant to the protocol.

Finally, the doctor, who has been ordained by the high priesthood of the medical societies, pronounces that this treatment procedure is necessary for the patient. The full weight of this decree will be felt by a typical member of an authoritarian society, who has been carefully programmed from birth to obey authority for the presumed "greater good of society", even if this may require suppressing one's instinctive awareness, common sense, and conscience. According to Milgram, this description fits the majority of Americans who participated in his study in 1963. If the problem cannot be detected by scientific instrumentation, the doctor dismisses it as being a chimera of the patient's fevered imagination.

Wilhelm Reich, a physician who published a series of books •[3]• about the psychological basis of authoritarian control strategies, revealed that fascist societies (broadly defined, include most "civilized" nations) gain control over their subjects by inducing them to suppress bodily instincts (including natural sexual function), which constitute the first line of defense of any living being against harm, and by using religious dogma and mysticism to justify and maintain such suppression. With a whole population of such zombies who have learned to suppress their own natural instincts and body sensations for fear of ridicule by authority figures, the way has been cleared for inflicting iatrogenic medical care, an ersatz food supply lacking nutrients, and a toxic environment that is unpleasant and ultimately deadly. The inevitable bottled-up emotional outrage that the population would ordinarily express toward the perpetrators of such misery is instead channeled into contrived warfare and environmental destruction of such magnitude as to endanger not only the health but the lives of a majority of the world's inhabitants.

Alternative healthcare providers who wish to promote among their clients a greater responsibility for their lives, should present themselves as partners in working toward a state of greater health and self-awareness, rather than as authoritarian experts, or doctors, who issue decrees. The authoritarian healthcare provider gains power by stealing it from clients, robbing them of common sense, and leading them to mistrust their own sensations and instincts, in many cases creating a highly profitable, though pathetic, relationship of continual dependency.

I forgot how fucking hard this article goes.

[religion-is-a-mental-illness]

By: Jamie Reed

Published: Jun 14, 2025

The recent announcement from Children's Hospital Los Angeles (CHLA) — that it will be closing its Center for Transyouth Health and Development and its Gender-Affirming Care (GAC) surgical program by July 22, 2025 — is profoundly significant. While framed by CHLA as a "difficult" decision forced by "external pressures," from the perspective of those who have long advocated for the safety and well-being of young people, this is a resounding victory for common sense, ethical medicine, and the protection of childhood.

This is not just another clinic closure; CHLA's Center for Transyouth Health and Development was widely recognized as one of the largest and most influential pediatric gender clinics in the United States, and certainly in California. Its substantial patient volume and its role as a leader in research and training meant that its practices often set a precedent for other facilities. The fact that even an institution of CHLA's stature, which has been at the forefront of providing these services for decades, is shutting down its program speaks volumes.

As a whistleblower from the pediatric gender industry, I have witnessed firsthand the devastating consequences of an ideology that prioritized radical interventions over comprehensive mental health support for vulnerable young people. The news from CHLA indicates a critical shift away from a model that has caused undue harm.

CHLA's letter explicitly cites "increasingly severe impacts of federal administrative actions and proposed policies," including direct warnings from the Department of Justice (DOJ), Health and Human Services (HHS), and the FBI, as well as a critical HHS review that "dismissed current evidence-based care protocols and standards of care" used by clinics like CHLA. They even noted the threat of losing vital federal funding (Medicare/Medi-Cal) if they continued certain practices.

What does this truly mean? It means that finally, after years of concern from parents, detransitioners, ethical clinicians, and organizations like the LGB Courage Coalition, federal authorities are recognizing the profound risks and lack of robust evidence supporting the rapid medicalization of gender-questioning youth.

This closure is not about denying care, but about recalibrating care to prioritize the long-term health and well-being of children. It's about acknowledging that for many young people, exploring their identity does not, and should not, lead to medical interventions that carry significant risks and irreversible changes.

Addressing the Social Media Narrative: Fact vs. Fear

We recognize that the dominant sentiment on platforms like Bluesky and other social media is currently one of profound concern, anger, and a call to action regarding CHLA's closure. Many are framing this as a devastating blow to transgender youth's access to healthcare, igniting fears about the immediate safety and well-being of young people previously served by the center. This emotional response is understandable, given the powerful narratives that have been cultivated around "gender-affirming care" as universally life-saving.

However, it's crucial to look beyond the immediate alarm and understand the deeper implications of this development. While the established gender industry and its advocates are expressing dismay, from the perspective of those committed to genuine child protection and evidence-based medicine, this is a necessary correction. The prevailing narrative often overlooks the growing body of evidence, and the experiences of countless detransitioners, that question the efficacy and safety of these interventions for minors.

For Families Impacted by CHLA's Closure: Reassurance and a Path Forward

We understand that for families whose children have been receiving care at CHLA, this news may bring confusion, fear, and uncertainty about what comes next. We want to offer sincere reassurance:

If your child has been on puberty blockers, it is crucial to understand that there is no medical crisis associated with returning to natural puberty. Puberty is a normal, healthy biological process, not a disease. The idea that allowing a child to go through their natural development is a "medical crisis" is a narrative created by the gender industry, not by biological reality. Discontinuing these interventions simply allows the body to resume its natural course.

For those on cross-sex hormones, there are established guidelines for safely tapering off these medications, often under the guidance of a medical professional. More importantly, as long as the patient still has their gonads (testes or ovaries), a medical crisis is not imminent if they cease hormone therapy, even without a formal taper. The body will naturally begin to reregulate its own hormone production. The crisis is not a medical one; it's a mental and emotional one that can be addressed and overcome with calm, resilient dialogue and support.

Parents and their children should be reassured that time, open communication, and developmentally appropriate mental health care are powerful tools. Many young people who experience gender distress eventually desist, or come to terms with their biological sex, particularly when given adequate psychological support and space for natural development.

If you are a parent whose child has ever been seen at CHLA's Center for Transyouth Health and Development, we urge you to contact the LGB Courage Coalition. We want to hear from you, particularly regarding whether CHLA has contacted you directly to notify you about this closure and outline continuity of care plans. Your experience is vital for understanding the full impact of this situation.

A Crucial Demand for CHLA: Long-Term Follow-Up and Accountability

While CHLA's decision to close these programs is a welcome development, it raises a critical issue of accountability. We demand that Children's Hospital Los Angeles immediately commit to a comprehensive, long-term follow-up plan for all patients who have received puberty blockers, cross-sex hormones, or surgical interventions through their Center for Transyouth Health and Development.

This long-term follow-up must include:

Regular bone density scans and appropriate treatment for any bone density issues resulting from medical interventions.

Ongoing endocrine monitoring for any long-term effects of cross-sex hormones on the body's natural systems.

Comprehensive consideration of long-term fertility impacts for all patients, with clear guidance and support.

It is an ethical imperative that CHLA track the long-term outcomes of these interventions. As a whistleblower, I can attest that we lack robust, long-term data on what these experimental interventions have truly done to these children. Institutions cannot simply close down programs and walk away from their responsibility to the patients they have harmed. The future health and well-being of these young people, including their physical health, mental health, fertility, and detransition rates, must be meticulously documented and made publicly available for scientific and ethical review. Furthermore, CHLA needs to ensure that all of the data on these patients is meticulously preserved for future investigations. This is not just about medical ethics; it is about the profound impact on human lives.

While this is a monumental step, it's important to recognize that the work is far from over. Other facilities in California continue to offer pediatric care. This underscores the ongoing need for vigilance and a critical reevaluation of current practices. These include:

UCSF Child & Adolescent Gender Center (CAGC): Located in San Francisco, Oakland, and San Ramon (Note: UCSF CAGC states they do not provide gender-affirming surgeries but refer older adolescents and young adults to external providers.)

Lucile Packard Children's Hospital Stanford (Palo Alto): Their Pediatric and Adolescent Gender Clinic offers hormone therapy, puberty blockers, and may offer "top surgery" (chest surgery) for adolescents and young adults.

UCI Health Pediatric Gender Diversity Program (Orange): This program provides puberty suppression and hormone therapy.

Rady Children's Hospital Center for Gender-Affirming Care (San Diego): hormone therapy, puberty blockers, and referrals for gender surgeries.

UCLA Gender Health Program (Los Angeles): hormone therapy with referrals to surgery.

It is noteworthy that while these other prominent healthcare centers like UCSF and Stanford Children's Health publicly state their support for transgender and gender-diverse youth, no public statements explicitly addressing CHLA’s closure have been found from them. This lack of public commentary from other institutions offering similar services might be due to various reasons, including the sensitive nature of the issue, the potential for attracting unwanted attention, or a desire to avoid commenting on the specific decisions of other institutions. Nonetheless, the continued operation of these centers highlights the ongoing debate and the varying approaches within California's healthcare landscape.

Overall, it's important to remember that the situation is fluid, and the legal and political landscape can change rapidly. The outcome of ongoing legal challenges and the actions of future administrations will have a significant impact. While it's impossible to predict with certainty, the current environment suggests that additional centers providing pediatric GAC could face challenges or even closures in the future. The increasing restrictions on access to care and the legal and political challenges surrounding the issue create a climate of uncertainty for both patients and providers within the gender industry. Uncertainty leads to desperation. Parents and patients should be provided with calm reassurance that as one door closes, another pathway will open for them.

The LGB Courage Coalition advocates for genuine support for young people grappling with distress. CHLA's decision, even if made under duress from federal pressure, sends a powerful message: it is no longer business as usual. This is not a punitive measure against children, but a necessary step to protect them from a medical model that has proven to be reckless and irreversible.

We commend the courage of those within the federal government who are finally taking decisive action to safeguard children, we seek the same leadership from hospital executives. This closure represents a critical opportunity for the medical community to reflect, reassess, and return to an ethical, developmentally appropriate approach that puts the genuine welfare of young people first.

The LGB Courage Coalition will continue to advocate for policies and practices that support young people through comprehensive mental health care, ensuring their rights and safeguarding their healthy development, free from unnecessary and irreversible medical interventions. This is a monumental step in the right direction, but our vigilance must continue as other centers still operate under models that raise serious concerns.

==

Reminder that Jeff Younger's son is being transitioned by his mother because "mommy doesn't love me if I'm not a girl."

[ixnai]

The progeny of “move fast and break things” is a digital Frankenstein. This Silicon Valley mantra, once celebrated for its disruptive potential, has proven perilous, especially in the realm of artificial intelligence. The rapid iteration and deployment ethos, while fostering innovation, has inadvertently sown seeds of instability and ethical quandaries in AI systems.

AI systems, akin to complex software architectures, require meticulous design and rigorous testing. The “move fast” approach often bypasses these critical stages, leading to systems that are brittle, opaque, and prone to failure. In software engineering, technical debt accumulates when expedient solutions are favored over robust, sustainable ones. Similarly, in AI, the rush to deploy can lead to algorithmic bias, security vulnerabilities, and unintended consequences, creating an ethical and operational debt that is difficult to repay.

The pitfalls of AI are not merely theoretical. Consider the deployment of facial recognition systems that have been shown to exhibit racial bias due to inadequate training data. These systems, hastily integrated into law enforcement, have led to wrongful identifications and arrests, underscoring the dangers of insufficient vetting. The progeny of “move fast” is not just flawed code but flawed societal outcomes.

To avoid these pitfalls, a paradigm shift is necessary. AI development must embrace a philosophy of “move thoughtfully and build responsibly.” This involves adopting rigorous validation protocols akin to those in safety-critical systems like aviation or healthcare. Techniques such as formal verification, which mathematically proves the correctness of algorithms, should be standard practice. Additionally, AI systems must be transparent, with explainable models that allow stakeholders to understand decision-making processes.

Moreover, interdisciplinary collaboration is crucial. AI developers must work alongside ethicists, sociologists, and domain experts to anticipate and mitigate potential harms. This collaborative approach ensures that AI systems are not only technically sound but socially responsible.

In conclusion, the progeny of “move fast and break things” in AI is a cautionary tale. The path forward requires a commitment to deliberate, ethical, and transparent AI development. By prioritizing robustness and accountability, we can harness the transformative potential of AI without succumbing to the perils of its progeny.

[stuarttechnologybob]

How Do Healthcare BPOs Handle Sensitive Medical Information?

Healthcare BPO Services

Handling sensitive and personal medical and health data is a top priority in the healthcare industry as it can be misused. With growing digital records and patient interactions, maintaining privacy and compliance is more important than ever and considered to be a tough role. This is where Healthcare BPO (Business Process Outsourcing) companies play a critical role.

As these providers can manage a wide range of healthcare services like medical billing, coding and data collection, claims processing and settlements, and patient on-going support, all while assuring the strict control over sensitive health information is maintained and carried out on the go.

Here's how they do it:

Strict Data Security Protocols -

Healthcare companies implement robust security frameworks to protect patient information and personal details that can be misused. This includes encryption, firewalls, and secure access controls. Only the concerned and authorized personnel can get the access towards the medical records and data, as all our available on the go all data transfers are monitored to avoid breaches or misuse.

HIPAA Compliance -

One of the primary and key responsibilities of a Healthcare BPO is to follow HIPAA (Health regulations policies and acts with standard set regulations). HIPAA sets the standards for privacy and data protection. BPO firms regularly audit their processes to remain compliant, ensuring that they manage patient records safely and legally.

Trained Professionals -

Employees working and the professionals in Healthcare services are trained and consulted in handling and maintaining the confidential data. They understand how to follow the strict guidelines when processing claims, speaking with patients, or accessing records. As this training reduces and lowers down the risk and potential of human error and assures professionalism is maintained at every step.

Use of Secure Technology -

Modern Healthcare BPO operations rely on secure platforms and cloud-based systems that offer real-time protection. Data is stored and collected in encrypted formats and segments, and advanced monitoring tools and resources are used to detect the unusual activity that prevent cyber threats or unauthorized access.

Regular Audits and Monitoring -

Healthcare firms conduct regular security checks and compliance audits to maintain high standards. These assist to identify and address the potential risks at the early stage and ensure all the systems are updated to handle new threats or regulations.

Trusted Providers in Healthcare BPO:

The reputed and expert providers like Suma Soft, IBM, Cyntexa, and Cignex are known for delivering secure, HIPAA-compliant Healthcare BPO services. Their expertise in data privacy, automation, and healthcare workflows ensures that sensitive medical information is always protected and efficiently managed.

[darkmaga-returns]

Story at a Glance

•Throughout COVID-19, abysmal hospital care and the suppression of effective off-patent therapies killed approximately a million Americans. Much of this originated from Obamacare pressuring hospitals to aggressively treat patients so they could quickly leave the hospital and reduce healthcare costs.

•More frail patients respond poorly to aggressive protocols, resulting in them frequently being pushed into palliative care or hospice. Sadly doctors are no longer trained to gradually bring their patients back to health, and hence view many of those deaths as inevitable.

•In this article, we will review some of the forgotten medical therapies that dramatically improve hospital outcomes and highlight some of the key strategies patients and lawmakers can use to reduce hospital deaths.

[pranjj]

Udaan by InAmigos Foundation:  Elevating Women, Empowering Futures

In the rapidly evolving socio-economic landscape of India, millions of women remain underserved by mainstream development efforts—not due to a lack of talent, but a lack of access. In response, Project Udaan, a flagship initiative by the InAmigos Foundation, emerges not merely as a program, but as a model of scalable women's empowerment.

Udaan—meaning “flight” in Hindi—represents the aspirations of rural and semi-urban women striving to break free from intergenerational limitations. By engineering opportunity and integrating sustainable socio-technical models, Udaan transforms potential into productivity and promise into progress.

Mission: Creating the Blueprint for Women’s Self-Reliance

At its core, Project Udaan seeks to:

Empower women with industry-aligned, income-generating skills

Foster micro-entrepreneurship rooted in local demand and resources

Facilitate financial and digital inclusion

Strengthen leadership, health, and rights-based awareness

Embed resilience through holistic community engagement

Each intervention is data-informed, impact-monitored, and custom-built for long-term sustainability—a hallmark of InAmigos Foundation’s field-tested grassroots methodology.

A Multi-Layered Model for Empowerment

Project Udaan is built upon a structured architecture that integrates training, enterprise, and technology to ensure sustainable outcomes. This model moves beyond skill development into livelihood generation and measurable socio-economic change.

1. Skill Development Infrastructure

The first layer of Udaan is a robust skill development framework that delivers localized, employment-focused education. Training modules are modular, scalable, and aligned with the socio-economic profiles of the target communities.

Core domains include:

Digital Literacy: Basic computing, mobile internet use, app navigation, and digital payment systems

Tailoring and Textile Production: Pattern making, machine stitching, finishing techniques, and indigenous craft techniques

Food Processing and Packaging: Pickle-making, spice grinding, home-based snack units, sustainable packaging

Salon and Beauty Skills: Basic grooming, hygiene standards, customer interaction, and hygiene protocols

Financial Literacy and Budgeting: Saving schemes, credit access, banking interfaces, micro-investments

Communication and Self-Presentation: Workplace confidence, customer handling, local language fluency

2. Microenterprise Enablement and Livelihood Incubation

To ensure that learning transitions into economic self-reliance, Udaan incorporates a post-training enterprise enablement process. It identifies local market demand and builds backward linkages to equip women to launch sustainable businesses.

The support ecosystem includes:

Access to seed capital via self-help group (SHG) networks, microfinance partners, and NGO grants

Distribution of startup kits such as sewing machines, kitchen equipment, or salon tools

Digital onboarding support for online marketplaces such as Amazon Saheli, Flipkart Samarth, and Meesho

Offline retail support through tie-ups with local haats, trade exhibitions, and cooperative stores

Licensing and certification where applicable for food safety or textile quality standards

3. Tech-Driven Monitoring and Impact Tracking

Transparency and precision are fundamental to Udaan’s growth. InAmigos Foundation employs its in-house Tech4Change platform to manage operations, monitor performance, and scale the intervention scientifically.

The platform allows:

Real-time monitoring of attendance, skill mastery, and certification via QR codes and mobile tracking

Impact evaluation using household income change, asset ownership, and healthcare uptake metrics

GIS-based mapping of intervention zones and visualization of under-reached areas

Predictive modeling through AI to identify at-risk participants and suggest personalized intervention strategies

 

Human-Centered, Community-Rooted

Empowerment is not merely a process of economic inclusion—it is a cultural and psychological shift. Project Udaan incorporates gender-sensitive design and community-first outreach to create lasting change.

Key interventions include:

Strengthening of SHG structures and women-led federations to serve as peer mentors

Family sensitization programs targeting male allies—fathers, husbands, brothers—to reduce resistance and build trust

Legal and rights-based awareness campaigns focused on menstrual hygiene, reproductive health, domestic violence laws, and maternal care

Measured Impact and Proven Scalability

Project Udaan has consistently delivered quantifiable outcomes at the grassroots level. As of the latest cycle:

Over 900 women have completed intensive training programs across 60 villages and 4 districts

Nearly 70 percent of participating women reported an average income increase of 30 to 60 percent within 9 months of program completion

420+ micro-enterprises have been launched, 180 of which are now self-sustaining and generating employment for others

More than 5,000 indirect beneficiaries—including children, elderly dependents, and second-generation SHG members—have experienced improved access to nutrition, education, and mobility

Over 20 institutional partnerships and corporate CSR collaborations have supported infrastructure, curriculum design, and digital enablement.

Partnership Opportunities: Driving Collective Impact

The InAmigos Foundation invites corporations, philanthropic institutions, and ecosystem enablers to co-create impact through structured partnerships.

Opportunities include:

Funding the establishment of skill hubs in high-need regions

Supporting enterprise starter kits and training batches through CSR allocations

Mentoring women entrepreneurs via employee volunteering and capacity-building workshops

Co-hosting exhibitions, market linkages, and rural entrepreneurship fairs

Enabling long-term research and impact analytics for policy influence

These partnerships offer direct ESG alignment, brand elevation, and access to inclusive value chains while contributing to a model that demonstrably works.

What Makes Project Udaan Unique?

Unlike one-size-fits-all skilling programs, Project Udaan is rooted in real-world constraints and community aspirations. It succeeds because it combines:

Skill training aligned with current and emerging market demand

Income-first design that integrates microenterprise creation and financial access

Localized community ownership that ensures sustainability and adoption

Tech-enabled operations that ensure transparency and iterative learning

Holistic empowerment encompassing economic, social, and psychological dimensions

By balancing professional training with emotional transformation and economic opportunity, Udaan represents a new blueprint for inclusive growth.

 From Promise to Power

Project Udaan, driven by the InAmigos Foundation, proves that when equipped with tools, trust, and training, rural and semi-urban women are capable of becoming not just contributors, but catalysts for socio-economic renewal.

They don’t merely escape poverty—they design their own systems of progress. They don’t just participate—they lead.

Each sewing machine, digital training module, or microloan is not a transaction—it is a declaration of possibility.

This is not charity. This is infrastructure. This is equity, by design.

Udaan is not just a program. It is a platform for a new India.

For partnership inquiries, CSR collaborations, and donation pathways, contact: www.inamigosfoundation.org/Udaan Email: partnerships@inamigosfoundation.org

[thaiattorney]

Thailand SMART Visa

1.1 Statutory Foundations

Established under Royal Decree on SMART Visa B.E. 2561 (2018)

Amended by Ministerial Regulation No. 377 (2021) expanding eligible sectors

Operates within Thailand 4.0 Economic Model under BOI oversight

1.2 Governance Structure

Primary Authority: Board of Investment (BOI)

Interagency Coordination:

Immigration Bureau (visa issuance)

Digital Economy Promotion Agency (tech qualifications)

Ministry of Higher Education (academic validation)

Technical Review Committees:

12 sector-specific panels

Investment verification unit

2. Eligibility Criteria & Qualification Pathways

2.1 SMART-T (Experts)

Compensation Thresholds

Base Salary: Minimum THB 200,000/month (USD 5,800)

Alternative Compensation:

Equity valued at 25% premium

Performance bonuses (capped at 40% of base)

2.2 SMART-E (Entrepreneurs)

Startup Metrics

Revenue Test: THB 10M+ ARR

Traction Test: 50,000 MAU

Funding Test: Series A (THB 25M+)

Accelerator Requirements:

DEPA-certified programs

Minimum 6-month incubation

3. Application Process & Technical Review

3.1 Document Authentication Protocol

Educational Credentials:

WES/IQAS evaluation for foreign degrees

Notarized Thai translations (MFA-certified)

Employment Verification:

Social security cross-check

Three professional references

3.2 Biometric Enrollment

Facial Recognition: 12-point capture system

Fingerprinting: 10-print electronic submission

Iris Scanning: Optional for Diamond tier

4. Privilege Structure & Compliance

4.1 Employment Rights Framework

Permitted Activities:

Primary employment (≥80% time)

Academic collaboration (≤20%)

Advisory roles (max 2 concurrent)

Restrictions:

Local employment outside specialty

Political activities

Unapproved commercial research

4.2 Dependent Provisions

Spousal Work Rights:

General employment permitted

No industry restrictions

Child Education:

25% tuition subsidy

University admission priority

4.3 Mobility Features

Airport Processing:

Dedicated SMART lanes at 6 airports

15-minute clearance guarantee

Re-entry Flexibility:

Unlimited exits

72-hour grace period

5. Sector-Specific Implementations

5.1 Biotechnology

Special Privileges:

Lab equipment duty waivers

Fast-track FDA approval

50% R&D tax deduction

5.2 Advanced Manufacturing

Incentives:

Robotics import tax exemption

Industrial land lease discounts

THB 500K training subsidy

5.3 Digital Infrastructure

Cloud Computing:

VAT exemption on services

30% energy cost reduction

Cybersecurity:

Liability protections

Gov't certification fast-track

6. Compliance & Monitoring

6.1 Continuous Reporting

Quarterly:

Employment verification

Investment maintenance

Annual:

Contribution assessment

Salary benchmarking

6.2 Renewal Process

Documentation:

Updated financials

Health insurance (USD 100K)

Performance metrics

Fees:

THB 10,000 renewal

THB 1,900 visa stamp

7. Emerging Developments

71 2024 Enhancements

Blockchain Specialist Category

Climate Tech Fast-Track

EEC Regional Expansion

7.2 Pending Reforms

Dual Intent Provision

Skills Transfer Mandate

Global Talent Pool

8. Strategic Application Approach

8.1 Pre-Submission Optimization

Compensation Restructuring

Patent Portfolio Development

Professional Endorsements

8.2 Post-Approval Planning

Tax Residence Strategy

Asset Protection

Succession Planning

9. Risk Management

9.1 Common Rejection Reasons

Document Issues (32%)

Qualification Gaps (28%)

Financial Irregularities (19%)

9.2 Operational Challenges

Banking Restrictions

Healthcare Access

Cultural Integration