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martinhealthactivist · 2 years

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Emergency Medical Services County Of Lexington

Their key function is that every one personnel are skilled not only in ambulance care, however as a firefighter and a peace officer . They could also be found in smaller cities and cities, where demand or budget is too low to support separate services. This multi-functionality allows to take benefit of limited useful resource or price range, however having a single team respond to any emergency. Operating individually from the fire and police services of the realm, these ambulances are funded by local, provincial or nationwide governments.

The people who escorted the affected person to the hospital have been categorized as family member or pal, police, emergency medical services, and patient alone. The county has six emergency medical services items and eight hearth companies, all of that are volunteer fire departments. The Department of EMS presents the Bachelor’s of Science degree in Professional Health Sciences for those college students who wish to have a well-rounded background in well being sciences, however don't wish to pursue a selected skilled degree. This program additionally allows college students in pre-professional packages that change their major from particular skilled levels to use most of their course credit in the direction of this diploma. The PHS program provides broad information in each well being associated disciplines in addition to health informatics and/or administration. Graduates from this program must be suited to work in hospitals, long-term care amenities, medical insurance companies, and physicians’ workplaces; as well as changing into pharmaceutical reps, medical supply reps, hospital managers’ assistants and extra.

Poor quality of care at the hospitals will result in inhospital deaths and may finally discourage communities that may have the capability to promptly switch sufferers to such amenities (Leigh and others 1997;Prevention of Maternal Mortality Network 1995). Skilled and motivated personnel, applicable supplies, prescribed drugs, tools, coordination, and management oriented to the needs of the critically sick all contribute to make emergency care efficient medical emergency services in reducing dying and disability. Paramedical personnel refers to all individuals with medical training who're concerned in the care and transportation of patients in need of emergency medical care. The size and high quality of training range, from extremely specialized personnel with capabilities for advanced life assist to these with easy first-aid training and limited area expertise.

The denial, suspension, or revocation of a designation by the department and the appeal from that motion are ruled by the department's rules for a contested case hearing and by Chapter 2001, Government Code. A one who receives data made confidential by this chapter could disclose the information to others solely to the extent in maintaining with the approved purposes for which consent to launch the data was obtained. If the particular person doesn't pay the amount of the penalty and the enforcement of the penalty just isn't emergency medical services stayed, the division might refer the matter to the legal professional general for assortment of the quantity of the penalty. The executive commissioner by rule shall set up gradations of penalties in accordance with the relative seriousness of the violation. The government commissioner shall file the rules with the secretary of state for publication within the Texas Register. The division shall post the information the department receives underneath Subsection in summary kind on the department's Internet website.

These ideas embody equating emergency care with ambulance transportation, neglecting the position of the neighborhood and facility care supplied, and assuming that emergency departments and physicians are the only acute care assets. Such a slim view ignores the important contributions of other disciplines, abilities, and personnel. Perhaps the commonest misperception is that emergency medical care is inherently expensive and requires high-technology interventions as opposed to easy and efficient methods. Similar to online medical management, this apply allows paramedics to remotely transmit knowledge similar to important indicators and 12 and 15 lead ECGs to the hospital from the sector. This permits the emergency division to arrange to treat sufferers previous to their arrival.

The State Fiscal Year 2023 FAP first expense report will open January 3, 2023, and shut February 28, 2023. NFPA members and public sector officers could submit a question on an NFPA code or commonplace. Puts in tons of of hours into each competitively bid process and chosen vendors & applications that you can belief. Training institution types, practical skills forms, reviews of training, assertion of remediation and extra. Learn how to request the cellular simulation lab on your training, and see how you can enhance your abilities with this free state service.

Money distributed beneath this subsection shall be distributed on behalf of eligible recipients in every county to the trauma service space regional advisory council for that county. A regional advisory council's share of cash distributed beneath this section shall be based mostly on the relative geographic measurement and inhabitants of every trauma service space and on the relative quantity of trauma care provided. This subchapter governs confidential communications or data regarding a patient no matter when the affected person obtained the services of emergency medical services personnel or a doctor ems services providing medical supervision. The govt commissioner shall adopt guidelines for unannounced inspections approved beneath this part. The division or its representative shall carry out unannounced inspections in accordance with those guidelines. An emergency medical services provider shall pay to the division a nonrefundable charge of no more than $30 if reinspection is necessary to determine compliance with this chapter and the rules adopted underneath this chapter.

Emergency medical services means out of hospital acute medical care and/or transportation supplied to a affected person with an sickness or an injury which the affected person or the medical practitioner believes constitutes a medical emergency. The main aim of EMS ought to be to offer universal emergency medical care which is EMS system obtainable to all those who want it . EMS system has to deal with a big spectrum of ailments emergency medical service ranging from simple accidents to life-threateningconditions corresponding to septicemia, premature labor, myocardial infarction, polytrauma etc. The fast epidemiological transition from communicable disease to non-communicable illness has been seen in the final 20 years not simply in developed international locations but in developing countries as well .

Our volunteers are State of Michigan licensed and National Registry licensed. We have accountability to the Washoe County District Board of Health and a volunteer board of directors comprised of healthcare and business management from across the area. REMSA’s response times consistently meet or beat the requirements and it is renowned nationally for its high quality, performance and innovation. The Sunstar FirstCare Ambulance Membership Plan works with your insurance coverage to reduce back what you pay for ambulance transportation. Did the service spend money on gadgets related to car tools, durable medical gear, communications tools, personal protective equipment, training and or other? The Funding Assistance Program funding formula changed in late 2019 based on recommendations from the Wisconsin Emergency Medical Services Advisory Board.

Please have all receipts/verification of payment ready for all FAP reporting purchases. The expense reporter will want verification for every merchandise that was spent with the grant cash. For SFY 2023 FAP, you should have obtained a notice of award letter giving you two or three grant types which are SFY 2023 FAP ARPA Supplement, SFY 2023 GPR Support and Improvement, SFY 2023 EMT and EMR Education and Training . You will need to hold monitor of items spent with the FAP cash between August 1, 2022, through January 1, 2023. In addition to the SFY 2023 FAP award amounts, you will also must report any expenses made with saved funds from earlier years or Escrow Funds. Any FAP eligible 911 transporting service that obtained money from the SFY 2023 FAP Application cycle.

#healthcare

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destroyyourbinder · 4 years

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Unriddling the Sphinx: Autism & the Magnetism of Gender Transition

When people note that "trans children" tend to have autistic traits and that children with an autism diagnosis (particularly natal girls, but also boys) are massively overrepresented in the population that is referred to assessment and treatment for gender dysphoria, many trans people's (and allies') response is that it is a kind of dehumanization and denial of agency to claim that autistic people cannot be transgender, do not have the right to seek gender transition, or that they may be vulnerable to being exploited by the transgender healthcare system. Most recently, this claim has come up again with regards to a recent piece by Harry Potter author J.K. Rowling, where among many other things she notes the enormous increase in child referrals to gender clinics, including a disproportionate number of autistic children, to explain her reticence to endorse the political stances of modern transgender movements.

This is my response as an autistic woman, who was once an autistic child, who is a lesbian with experiences of gender dysphoria and who once wanted to transition to male.

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Recognizing our vulnerability to social predation and to cultural systems that we do not understand because they were not made for us is not offensive. As autistic people, it is key to claiming our autonomy as a particular kind of disabled person. We often do not recognize our limitations in reference to greater social systems not because we are "too stupid" (i.e. cognitively or intellectually limited) but because we have different value systems than neurotypical people and hierarchical institutions built for their benefit. Autism is a pervasive developmental disability, and it is a way of being. It is not merely being a "regular person" minus various clinically defined psychological capacities or skills. It is a difference across all domains of life, and as a disability that causes differences in our social and sensory perception it is also a disability that causes differences in what we want and what we care about. Both those who exhibit condescending "concern" for autistic people and those people who naively defend our right to do whatever we see fit miss this component of being autistic. It is not that we are merely vulnerable because we are missing parts of our decision-making or social skills apparatus. It is not that we are merely being unfairly denied what we want to do, and our autism is immaterial, just some excuse for the denial.

It's that we aren't recognized as having wants, only "special needs". It's that we aren't given the skills to know what it is that we want, or that it might be different from those around us. It's that we are never told how to get what we want in safe and healthy ways, or that there is even a potentially safe and healthy way to get it. It's that we are deemed automatically pathological and empty of internal experiences as autistic people. It's that we're not given any help on how to navigate our deep differences from others and how to navigate being deprived of social resources and networking in a way that doesn't tell us to just cover it up and deal with it. It's that most people who dedicate their lives to "helping" us do not care about any of these things, merely that we can be trained to act in a way that doesn't disrupt the lives of neurotypical people. Given this context, it is far more insulting to me to insist that having autonomy renders us somehow invulnerable to exploitation than to correctly perceive that we are in fact an intensely vulnerable people. By nature of our disability, we are always on the margins of social resources and social networks, and exercising our autonomy unfortunately often puts us even further outside social acceptability and social protection rather than somehow shielding us materially from the consequences of living a self-actualized autistic life. Few autistic people are prepared for this when they begin trying to make decisions "true to self" in adolescence.

I believe nearly every autistic person is traumatized from the consequences of living in this world and what others do to us. Clinicians do not usually recognize that autistic children and adults can be traumatized, that there is even anything there to traumatize. (Why else could they feel so comfortable shocking us, shackling us, or feeding us bleach?)

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I think because we are not neurotypical we often struggle to understand just why a neurotypical person would feel ok excluding us, or maybe even anyone. Many of us autistic people have little impulse to do such things, and if we do, we rarely have the social power to make someone that we've cut out of our lives unemployable, unable to access medical care, food, housing, and so on. But neurotypical institutions are set up, from top to bottom, to create hierarchies of value with extreme material difference between the top and bottom. They are set up to stratify the "worthy" people from "unworthy" people.

Autistic people are almost universally considered "unworthy" in these systems, and to the extent that we can curry favor from them we must consent to our exploitation: to entering into a transaction on neurotypical terms, where we can get some sort of worth through providing a "benefit" to this hierarchical resource system which is not made according to our value system or for us whatsoever. This is common to all marginalized people. But it is often particularly poignant to autistic people, who struggle to find community with any social group of human beings. There is no "elsewhere" for us, there is no "home". We are stuck, as they say, on the "wrong planet", and the spaceship was destroyed.

The idea that exercising our autonomy would protect us from this world rather than render us more vulnerable because we are refusing to transact correctly or refusing to provide a benefit is utterly absurd. Our autonomy is perfectly compatible with our continued social ostracization and exploitation. It usually coexists with our continued social ostracization and exploitation.

In social skills classes-- or just the wild, wild world-- you are not taught how to deal with the fact that everyone will hate you for being you. You are taught to be someone else. You are not taught about your native autonomy. You are taught about how to put your hands here or here, how to choose between actions that are condescendingly and ridiculously normal. You are not taught how to take responsibility in a way you understand, that is harmonious to your own values and others'. You are taught to hold yourself accountable for your abnormality.

So forgive me if I do not believe for one second that impersonal, well-funded medical systems that were built off of medically experimenting on intersex children and adults (the nightmares wreaked by John Money at Johns Hopkins) or psychologically experimenting on behaviorally aberrant children (UCLA, where behaviorist torturer of autistic children Ivan Lovaas tinkered with gender nonconforming children alongside conversion therapist George Rekers) have autistic people's self-defined well being in mind.

And forgive me if I do not think informed consent clinics have autistic people's self-defined well-being in mind when they're more interested in rubber stamping hormones while shielding themselves from legal liability than assisting autistic adolescents and adults, who have an intrinsically different way of understanding gendered social norms, navigate the enormous complexity of how to interface with the single most fundamental social fixation of the neurotypical world as someone who will always and automatically fail.

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I do not think most gender clinicians even have the first understanding of what it means to be autistic and what this does in and of itself to your understanding of gender and sexuality. What J.K. Rowling said in her piece-- a straightforward accounting of facts-- is far, far less insulting to me than what Diane Ehrensaft-- one of the premier "experts" in the United States on pediatric transgender cases-- published in a peer-reviewed journal on autism. In a 2018 letter to the editor reading remarkably like new-age material on Indigo Children, she writes that she likes to call autistic transgender children "Double Helix Rainbow Kids" and declares us "freed" from the restrictions of gender as "more creative" individuals. This article ends with an anecdote about an eight year old autistic female child with limited language use who begins speaking, making eye contact, and relating more appropriately with clinic staff after she is socially transitioned by her family. Ehrensaft muses, "“Could gender be an alleviator for the stressors of autism?”

She is not the only one to pontificate about the magical changes a gender transition brings on autistic children. Norman Spack (the first clinician in the US to use GnRH agonists on gender dysphoric children as puberty-suppressing drugs) claims in a coauthored, peer-reviewed 2012 paper (insults upon insults, in the Journal of Homosexuality) that in his clinical experience the symptoms of comorbid diagnoses--including "problems with social competence"-- "decrease and even disappear" with gender treatment. In the same paper, this passage appears:

Although the question of whether gender dysphoria is simply a symptom of an autism spectrum disorder has been raised by mental health clinicians in the field, we feel it is equally worth questioning the validity of an autism diagnosis among transgender youth, particularly of those diagnosed with Asperger’s disorder. Perhaps the social awkwardness and lack of peer relationships common among GID-Asperger’s patients is a result of a lifetime of feeling isolated and rejected; and maybe the unusual behavior patterns are simply a coping method for dealing with the anxiety and depression created from living in an “alien body,” as one patient described it.

Do autistic trans people-- who rightfully protest against mainstream autism organizations focusing on a "cure" for autism rather than respectful accommodations for our differences and medical needs-- know that very well-connected, very respected, and very powerful gender doctors are claiming that gender transition cures the symptoms of autism? Do autistic trans people-- who rightfully discuss the implications of denying that someone can both be autistic and hold a meaningful gender variant identity-- know that it is an active clinical debate as to whether or not their disability and all its struggles is "just" a result of somehow ending up in the "wrong body"?

If they do not, they should know that this is how doctors are perceiving the pervasive issues that the children in their care are having: not as the result of a life-long, stigmatized, but eminently livable disability, but as the result of a mystical gender failure that can be medically corrected. That essentially, the disability "goes away" so long as outsiders no longer perceive a problem with a child's conformity to gender norms. That either an autistic girl somehow is transfigured into a non-autistic child through transition, or more likely, an autistic girl's autistic behavior is unfitting for her as a girl but not for her as a boy. That the "proof" of pediatric transition's effectiveness and standard of an autistic child's happiness is how much the child wishes to participate in neurotypical society on neurotypical society's terms.

I cannot pretend that this isn't ludicrously disrespectful to autistic people, or that it isn't a total erasure of our experience as human beings. To these gender doctors, the fact that a girl might see the world in a different way and care about different things and thereby struggle in a world not made for her does not matter whatsoever, except maybe as a tokenistic "journey" she can go on alongside her wonderfully progressive and affirming doctors. What "autism" is for them is a particularly severe and inconvenient social adjustment problem which can be forcibly corrected through body modifications, should an autistic child or adult rightly note that they can't do gender right and this is causing problems for them. They are more interested-- like in a long history of abusive and even deadly "treatments" for autism-- in correcting the problem for them than for the autistic person. How convenient for neurotypical people both the gender incongruous behavior and the social noncompliance goes away once you medically modify a child to look like the other sex.

I cannot be anything but sick that "increased eye contact" is a sign an autistic child needed medical meddling in the intimate process of navigating and negotiating their sexual and gender development. I cannot trust that these doctors aren't missing enormous parts of their autistic patients' experiences, if this is what they are so gleeful to report as a positive transformation and their justification for disrupting and surveilling children's bodies. What do they think of autistic people and those who are gender non-conforming if they are so willing to believe that existing as a person with a stigmatized disability is actually just a misdiagnosis for the pseudoscientific condition of being a man in a woman's body, or vice versa?

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It takes many, many years and quite a bit of luck and support for most autistic people to fully understand and come to terms with how their autism affects them and sets them apart from both individual neurotypical people and neurotypical society at large. It takes years-- often far, far into adulthood, especially for those abused under a medical model or for those who went decades undiagnosed-- to understand the differences between social and non-social aspects of this disability.

It takes years to not resort to chalking up all of your own distress and difficulties to being a "retard".

I have not met an autistic woman yet who did not have extreme difficulty integrating her autistic differences in values with a broader sense of self that includes whatever version of herself she uses to navigate a world in which women's values are simultaneously invisible (since she has no right to determine them herself) and nitpicked to death (since it is important she complies).

In a world like this why would it not be difficult for autistic people to know when it is they are being fooled or exploited while participating in transgender communities or while seeking transgender health care? Autistic people-- especially those who are dependent on caregivers or health systems for basic care, as well as those who depend on the goodwill of their families, employers, or welfare benefit institutions to remain as independent as they can-- have to make continual compromises just to maintain enough acceptability to communicate with the outside world nonetheless do things like "make a friend", "go to the doctor", "find a job".

I do not think neurotypical people understand or care that when I speak or write it is always with a similar effort as with a second language. Language-- whether it is verbal or nonverbal, with all the extensive symbology of the neurotypical world-- does not ever get to be something other than "translation" for me. As someone with an Asperger's-profile of abilities who has studied the neurotypical world intensely for years, I have the opportunity to translate in a way that allows others to understand me at least some of the time. Many autistic people who are more affected live in the world which gives "autism" its name, where nobody cares to do the translation for us and we are left totally and utterly alone.

The 20th century philosopher Ludwig Wittgenstein (who, perhaps not coincidentally, was likely autistic) was fixated on questions about the meaning of communication. About whether a language of one could make any sense, about what it would mean to speak about something hidden from everyone else or perhaps even ourselves. In a famous passage debated vociferously, he wrote, "If a lion could speak, we would not be able to understand him."

Many have resolved the question posed by this statement by claiming that for fuck's sake, a lion is a lion, and has nothing to say.

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Gender transition appealed to me because it was cloaked in the farcical notion that there was some version of me and my body that could finally speak directly. I never quite understood the whole Adam and Eve story as an autistic child-- just don't eat it!-- but if there truly were a serpent's apple for autistic folks it would consist of this promise: that there was a world where the glass and the fog would dissolve, that we weren't covered in a repulsive and bumbling slime made of our own desires to understand, that instead of our words and hands glancing off the skin of everyone around us we could do that magic everyone else could and hold someone's heart in our hands. I was fooled because like many struggling autistic people, I wanted the problem to be me. Because then it was fixable. I would let them take my only body (which was such a sensory drag) to convert me into one of these blessed transponders that normal people were, receiving and sending all these messages like shooting stars blazing through the unimpeded vacuum of space. Without my femaleness and without the Difficulties That Should Not Be Named, I could send whatever message I wanted to whoever I wanted and it would be received, I could be gregarious, important, sexually compelling; my will and autonomy wouldn't be stifled by 140 pounds of dumpy, itchy flesh with an overbite and slack hands.

When I imagined myself as a man I didn't imagine myself like most of the childhood boys I managed to ingratiate myself with, who lisped, repeated themselves, and tripped over their own shoes. I imagined myself as a musician who was absolutely magnetic, I imagined myself as a writer with a legacy, I imagined myself telling other guys they were stupid shits and they could fuck off. I imagined being able to hold onto a football without dropping it, being able to smoke weed without getting a migraine, being able to talk without squeaking or letting out a little drool.

I thought I would finally be a human being with no embarrassments and nothing that could get me bullied in the bathroom between class. I thought when I would say "no", other people would listen. I would enter whatever mystical world it is that Ehrensaft names, made of messages and meanings, where every twist of word and piece of clothing said something, connected by a fine filament back to that Necronomicon filled with the runes of social symbology. And it would make sense.

I would become a lion, not a house cat. And the lion would speak. And we would understand him.

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It is a neurotypical narrative that this is what transition can do for you, because it is what someone else's transition does for neurotypical people. A gender transition is magical because it decodes the lion. It unriddles the sphinx. The autistic person must be happier now, because the neurotypical person is happier now. (And who has an empathy deficit?)

But if I have learned to be afraid of anything as an autistic person it is not my own neuroticism and fixations, but those of the so-called "normal people". Forget double helix rainbows: being an autistic person is like your DNA is a converted school bus trundling through the world in spray-painted glory and the whole world has an HOA. I understand why autistic people who see themselves as transgender see "concern" as the busybody stupidity of the neurotypical world. They aren't wrong. But it exists alongside other mundane and brutal busybody stupidities, such as grant funding, progressive saviorism, and psychiatric god-complexes.

To understand and resist what the neurotypical world communicates to us about our worth is not to protest back to them in their own language. I am an autistic woman and like many other autistic women I am tired of not only making myself more palatable but translating my existence into something intelligible to outsiders, who are both men and the non-autistic. Radical feminists miss one of these; trans activists and allies miss the other. But I am irrevocably othered from both.

When you are autistic you are taught only one symbolic structure. It is not your own, but it is the only medium you will ever have to communicate with any complexity. More sinisterly, it becomes the only medium we have to communicate to ourselves, the only medium we can use to work around the silent and jumbled parts of our bodies and minds. Am I hungry? It is not always obvious. To ask the question I find myself translating, even when alone.

My fantasy about lions and men was that whatever world a lion lived in and whatever he had to say, he did not need to translate, and especially never to himself. When a lion says something he does not stop to ask if he means what he says or who is saying it. When a lion looks into the water hole and sees his own reflection, he does not need to reconcile anything. The lion does not need to speak to understand himself. A lion is made of teeth and blood and claws and the lion just does.

I do not use the symbolism of transgenderism to explain the little gaps and incongruities that are my problems with gender, with my sexed body, with sexuality. It is not only a language born of neurotypical neuroses and regulation, but it is always and forever fundamentally a translation. As an autistic woman I have spent my whole life avoiding these dual facts, through both my time thinking of myself as trans and while trying to understand this whole thing afterwards: I am my body and I am not my body. Because I speak, but I do not understand. Because I understand, but I do not speak.

I will, unavoidably, always have to translate to speak and understand. But my autonomy requires that at bottom I must respect the native communication of my own body and mind. I refuse to use force or coercion to get it to talk, to interrupt its silence, to confabulate stories on its behalf, to speak for it using assumptions it cannot confirm or deny. I have to make peace with the fact that sometimes the blanks of my body or the redacted corners of my mind will say nothing. I have to make peace with the fact that translation is always inaccurate, that something is always beyond that constellation of symbols and words. The autistic body and the autistic mind have their own boundaries, and I refuse to believe that exercising my autonomy requires breaking them.

I do not know if J.K. Rowling knows this. I hope you do.

#writings #autism #detransition #reidentifying

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transfemininomenon · 5 years

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Hey, i'm actually a "truscum" i found out recently, but im a little confused on the whole ordeal. Im not even sure if i actually am truscum or not- because some posts seem to tie up with me being one but others dont, but i saw you were really against them, so i wanted to ask if you're okay with a friendly calm conversation about it? I am very confused and i just want to learn a bit more or find out if i'm wrong about the whole ordeal. Are you open to it?

i'll be honest im not sure how friendly i can be with this kind of conversation because i really truly genuinely, and i don't use this word lightly, Hate truscum and its hard for me to really be civil about the discussion. but for the sake of this and me giving you a lot of benefit of the doubt that this ask is in good faith i'll explain why i do not like the entire truscum ideology

1. i guess i'll start off with the Big One - the claim that dysphoria is Required to be trans. i'll preface this by saying that i am someone who has experienced, and currently Experiences in wildly different degrees depending on what is happening in my life, dysphoria throughout my entire life. i had my entire teenage and young adult years stolen from me by it. i won't get into details about it because that is a Very Very Personal subject for me, but needless to say dysphoria is something that was a very prevalent part of my life.

anyway. the notion that dysphoria is a Trans Requirement™ is something that i hugely disagree with. i used to think that me figuring out i was a trans woman was because i experienced dysphoria, but frankly the opposite is true. dysphoria is what made me refuse to believe i was a woman or could ever be one. it made me believe i was a man and that was all i would ever be. it wasn't until i really started experimenting with my gender and unpacking a lot of stuff i felt about myself that i started to finally realize the woman i was. i first started trying our she/her pronouns nearing four years now, and started using the name Alice a few months after that. being referred to as a woman & experimenting with different feminine things gave me such incredible feelings of euphoria that i still experience to this day whenever i discover something new about my identity.

and that is something ive heard from SO many other trans people i know. or different things too - i know people who are completely fine with their bodies, just certain words and terms never felt Right to them. because the thing with dysphoria is that it, like all things gender related, is a product of society. dysphoria only exists because transphobia exists - people are told that there are these two rigid things that you are and HERE is what makes you one of those things, and those things are drilled into you literally since birth. everything from colors to jobs to hobbies to cars to entertainment to clothing to Literally Everything is gendered, and when that happens then of fucking course there are gonna be people who don't fall in line with that, and when it's so instilled into people and seen as such societal norms of COURSE people are going to have trouble with that.

and that's not even getting into the subject of gender on a biological level. the fact of the matter is that the two sex system Isn't True and that biological sex is very complicated. intersex people exist, people with all kinds of different chromosomes exist, people of certain body types that have higher levels of different hormones exist, SO much goes into that subject that frankly narrowing it down to two things just doesn't Work

and that's the real problem at the end of the day. dysphoria only exists because of a fucked up gender binary that clashes with both biology and sociology. people are complicated on both a biological and personal level and having set binaries for things is bound to cause confusion & doubt.

like, people's identities are SUCH personal things in so many different ways. there isn't any Right Way™ to be trans. i know trans women with beards, trans women who have no interest in starting hrt, trans men who wear dresses and makeup, non-binary people who make no effort to be androgynous, i know SO many different identities and different people. because the fact is that there's no right way to be trans because nothing is inherently gendered including people's very bodies. people are themselves and there is no Right way to be themselves.

that's on top of the lack of education when it comes to the subject of gender. such a huge part too of me figuring out i was trans was literally learning that it was even a fucking option. i genuinely didn't know just Being A Girl was an option. reading up on gender stuff and researching the different idea of transitioning was intrinsic in my figuring out who i was because oh shit turns out there are people like me and that is Okay.

like, dysphoria literally could've been a non-issue for me. i could've lived in a world where i could just Exist and enjoy whatever i wanted without it being weird. i could've decided so much sooner that i wasn't happy with the way my body was growing and not spent my entire teen years being so confused why i was so sad seeing my girl peers. i could have from the start just gotten to be a girl and never have had dysphoria be part of the equation.

im not trans being i experience dysphoria. im trans because being a woman is rad as hell and it's what i wanted. im trans because changing my name to Alice was the biggest moment of my entire life. im trans because rebelling against the societal restraints of gender is fucking metal. im trans because my friends can't even remember me ever not being me now. im trans because im a great older sister. im trans because god nerfed me and i said nah thanks man but im not feeling it.

my identity and my gender are very personal and complicated things, and narrowing it down to "i experience dysphoria" is frankly insulting to me.

anyway, that's the big point out of the way, so here's some shorter ones

2. this is kinda expanding on the last point, but truscum both insisting non-binary people aren't a thing and them insisting "transtrenders" exist is hmm Bad

the sheer fact of the matter is the concept of being non-binary has existed from the oldest known records of human history on TOP of that concept being prevalent in many different cultures so what do ya know there's a healthy dose of racism involved in the denial of non-binary people. the gender binary is such a western concept and there are SO many different cultures where different gender identities exist.

and, frankly, going back to the above point that gender is fucking Fake and is a societal concept - again, of fucking course there are going to be people who see a rigid set of rules on gender and are like "well wait that doesn't fit me" so of COURSE non-binary people exist

on the subject of "transtrenders" i feel like i shouldn't even HAVE to get into this subject because of how inherently transphobic it is. the concept doesn't exist. there are people who experiment with their gender and then decide their assigned one is fine. there are people who go through all kinds of different identities. there are people who come out as a different gender and then revert back due to backlash. there are people who get told the way they present their gender is the Wrong Way™ and get branded a trender. it's a dangerous thought process that literally does nothing but serve the cis status quo and make people afraid to experiment and think about their identities.

3. the idea that Those Evil Trenders™ are stealing resources from the Real Trans People™ is, frankly, fucking bullshit. issues when it comes to trans people finding difficulty accessing healthcare comes from a transphobic society hellbent on denying us care on top of fucked up healthcare systems in general. hormones aren't some limited quality hard to acquire thing - when i started hrt transferring my prescription from my clinic to my local pharmacy was a non-issue because it's something basically any pharmacy will have for ALL kinds of different purposes. it's an issue because healthcare in general is a god damn Mess on TOP of inherent transphobia

and, frankly, truscum are directly involved in that transphobia in the medical field. unless you find an informed consent clinic you're going to have to jump through all kinds of hoops to prove you're Actually Trans™ by getting referrals from other (almost always cis) people and then get put on ridiculous waitlists to make sure you're not about to change your mind. that kind of attitude is only encouraged by truscum and it is one of the biggest source of trans people having such difficulty accessing healthcare.

4. truscum as far as im concerned are no different than any other transphobe. two years ago before i started hrt i was harassed by truscum multiple times, each time having them tell me i wasn't trans, that i was just a trender, and it genuinely boggles my mind that anyone thinks misgendering me because i disagreed with their ideology is Woke, actually. I've seen so many fellow trans women getting called men by truscum who disagreed with them. i was actively told i shouldn't start hrt because i "wasn't really trans and was gonna ruin my life"

i really hope all of people live in anger every day knowing ive been on hrt over a year and a half and am fucking Thriving

anyway that's all i got to say on the matter i realize my points became less thought out as it went on but frankly the first point is enough for me to not like truscum

(please refrain from reblogging this i don't want any clowns in my inbox)

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exposeacreep-blog · 5 years

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NINA MOGHADDAM GRAY AKA NINA FRAUD is PSYCHOTIC and a PROVEN DELUSIONAL LIAR!

She publicly talked about being a Dentist, voluntarily working in underprivileged areas, when in reality she got her Dental License REVOKED, because she LIED to numerous patients to her advantages and her mental state, who've won their lawsuits against Dr. Nina Gray resulting in her Dental License to be revoked by the Dental Board of California. Nina Gray has no choice but to work in an underprivileged Dental Office under Probation and Supervision by a Male Dentist. In the following Link you can watch her YouTube Video on how she is in DENIAL and LIES to millions of innocent people, about her current employment situation. For your information, Nina works there 7 days a week and not 3 days a week as she mentions and having multiple side Businesses, including working as an ESCORT. A source who would like to remain Anonymous told me that Nina loves to PET and TOUCH her MINOR PATIENTS, including SNAPPING PHOTOS and BOOMERANGS with her personal phone WITHOUT CONSENT of the Parent, to the point where their child got UNCOMFORTABLE. Including the occasional FILMING for her YouTube Channel by her middle aged Cameraman.

Nina is obsessed with to promote that she's a "Dr. in Beverly Hills" thus far WRONGFULLY PROMOTES "Dr. Nina Beverly Hills" when such thing does not even exist. She does not work in Beverly Hills, neither has a home there. Allegedly Nina's father has scammed his patients too. Nina has filed for BANKRUPTCY.

The Individuals she has hired for her Personal life and Youtube production ONLY VERIFIES that Nina has SEVERE MENTAL ISSUES and drops them when she's done. One former worker of hers, I will respect their privacy too, has said that Nina DOES NOT CARE ABOUT HER FANS and is only in for the MONEY.

Her STUNT ON DR. PHIL with her Daughter Nicolette was CALCULATIVE PLANNED and ORCHESTRATED, by the DESIRE OF NICOLETTE WANTING TO BE AN INFLUENCER. Prior to the Dr. Phil episode, Nicolette has made previous attempts to become a YouTube sensation, which failed, even personally showed up at Jake Paul's House and filmed it. Both Nina and Nicolette FAKED the entire "Beverly Hills Brat" Persona and even LIED ABOUT Nicolette NOT HAVING ANY FRIENDS (my friends are my handbags) when IN REALITY NICOLETTE HAS A LOT OF FRIENDS!!!

There are also rumors of Nicolette's actual age, since she went to Court without a Parental figure (Nina was in NY at that time), which is mandatory when you're a minor.

Both Nina and Nicolette Gray are FAKE and Manipulative LIARS, LYING TO THE ENTIRE WORLD, basically Con Artists. Nina for sure has some mental issues as well and that can be backed up by multiple sources who had direct contact with Nina. They all say the same thing about her. You can Google Nina Moghaddam Gray or just Nina Gray, for proof on her medical career.

Please report this Video since it's all a GROSS lie.

https://m.youtube.com/watch?v=Vge4VB7SzlY

#troll creep predator exposeacreep #submission

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deuildenoms · 3 years

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Right the first time - an open letter

To be fair, even as it is addressed to you, this open letter is not for you, simply because I have all the reasons to believe further communication with you would be utterly futile.

Let's begin this properly by saying I always admired you a lot; you were to me one of the most erudite people I knew. Unbeatable when it came to political and societal analysis, straight as an arrow when it came to your values. We are both artists. One painting of yours hangs on my wall still, several of mine used to sit in your flat - pardon me for assuming they are long gone. Pardon me as well for the length of this letter, as some things must be expressed in ways I cannot shrink.

I used to joke about how you were the pillar of my social life. You were as extroverted as I am introverted, and were the crossroad between me and many people. I indeed met the man who abused me through you.

I don't want to go into the details here. I couldn't even tell I was being abused - not the first time, not the following times, not actually until you picked up the phone that fateful day months later, and dragged me out of the pit of denial I was in, when suddenly I could no longer turn away from the fact something was wrong in my life.

I was thankful, at first.

So there goes, on one side: him, twenty-six, his boyfriend, twenty-seven, you, twenty-nine. On the other side, me, twenty-two, my two long-term romantic partners, both of them twenty-three, with who I am exclusive. We all started hanging out together like we all belonged in the same world, linked by the many values and hobbies we had in common and by what I thought were our mental conditions, as well. They were familiar with my anxiety medication. We all referred to ourselves as neuroatypical, you had ADHD, his boyfriend is autistic, and he is neurodivergent for sure. Formerly hypersexual.

You introduced me to them, but I had no idea they were non-monogamous, or even that you and his boyfriend were fucking on the regular. That I learned when he came to me and told me he liked me.

You didn't believe me when I kept saying on the phone, I didn't know they were poly, like it was impossible for me not to know-

I turned him down at first. But something greater awoke in me as he touched an ancient wound that had only begun to heal and suddenly nothing was more important than to keep the man who had shown interest in me. To hell with my own will and interests, and I understood that only later. He therefore had to be my boyfriend, although platonic, since neither of my partners would allow something sexual, and neither did I want it- to hell with my own will.

So, we met with my partners around a table one night. We defined boundaries together, to seal this new, atypical relationship. It was healthy, it had to be. As clouded as I already felt, it could only be something healthy; as used as I was to atypical relationships, as confident as I was.

The first thing he expressed was that he regretted we weren't allowed to kiss, as for himself it didn't have to mean something sexual.

It didn't keep him from kissing me. Or dry-humping me. Or push my boundaries and making a game out of it. I pushed him away at first. Before the white noise set. Before -

-to hell with my own will-

And then it was white noise, that culminated into horrid acts I can't think about without feeling like throwing up. Simple facts am sure of: I did not want it at first. He did not attract me in the slightest. I had no intention of cheating on my partners by experimenting anything with someone else.

Then here comes the inevitable dissection of why I committed the acts I did with him. I learned many words in therapy that I keep denying as they are utterly absurd and as much as they apply to many victims of rape and sexual assault, I know they couldn't possibly apply to me, couldn't they.

Under the influence.

Lack of informed consent.

My therapist used the word remote-controlled.

I'd rather the story be one of adultery caused by passion, getting carried away, being unable to resist. Though as much as I try to convince myself, there is always something tarnishing the picture; starting with the simple fact I did not want it at first. That I said no several times. Until I couldn't, he would lead and I would follow, he would tell me it was okay and I would blindly nod, hiding it from my family and the world and myself because your brain finds extraordinary ways to cope and tell you it's justified, it's the right thing, it happens for a reason.

To hell with my own will, he had interest in my body, I needed to be a body at his disposal and I committed to be just that.

When he stepped out of line, at first, I was the one to comfort him and tell him it was okay. He was formerly hypersexual; it was normal and realistic he didn't know how to restrain himself with a girl he was not allowed to fuck.

He was neurodivergent to a much higher degree than me. I was the one with a fancy degree, a higher degree of normalcy even, and a much lesser mental condition. I was the strong one and most responsible. He was just an intense dog, his words.

It was my job to keep him on a leash and my fault if I failed at doing so.

He would either tell me it was okay because in his terms it was a cuddle. Or, sometimes, that it was indeed an honest mistake, but it was okay to make mistakes, especially in an intimate setting, and he wouldn't tell anybody, it was not to be known.

Sometimes he told me I couldn't keep my pheromones in check.

I told you the first time he trampled boundaries and kissed me. You said he'd better be careful, as it was not acceptable; yet you understood him, being impulsive yourself.

But now, in hindsight: no matter what I did, who I was even, there was someone on the other side with his fangs out, ready to feast. I didn't mean for this letter to be about my own psyche or the reasons that pushed me to react a certain way faced with this. That is my psychiatrist's job. I was under the influence of someone who very visibly took advantage of me.

-with whom you sided-

I had the gut feeling something was wrong between us. From a friend of yours -not even your own mouth- I finally got word that you were taking your distances with me, because I quote, had apparently said something diminishing our friendship a lot in your eyes. What the hell.

So then, here comes that fateful phone call and here comes the seek for answers.

Turns out I had apparently told his boyfriend you were just a drawing buddy who I wasn't feeling this close to, which deeply hurt you. I apologized profusely for this is not what I had meant at any point. I believe I told him I wanted to maintain a certain level of privacy, which I still believe I'm entitled to, and I didn't want my friends, no matter who they are, to know every detail of my private romantic life, at any point. Of course, this is what I meant, but then, it turns out there's what the boyfriend understood and faithfully repeated to you.

The boyfriend also told you something else, though, didn't he. He told you that, in our relationship, with him, between his spouse and myself, everything was going perfectly fine to the point where we had sex.

You had heard, from my mouth, previously, in front of my partners, that we hadn't had sex. So, knowing everyone in the equations including my partners, you decided to step away, because you deduced that I didn't share the same moral values as you did; the principle of radical honesty, which makes this whole relationship anarchy thing possible in the first place.

Radical honesty: everyone tells everyone else everything right the first time.

Surely, I didn't respect those principles; tell this to the two friends I came to be familiar with in therapy: denial and repression.

My version was that we hadn't had sex because I couldn't accept the truth, for the sake of my partners, yes, but especially for myself.

Avoid digging too deep into this, because you'll find your lack of informed consent among all the other ugly things you convinced yourself were righteous and safe. Your brain finds a way.

He said it was either just a cuddle, or an honest mistake. If it was a mistake, his mistake, it was not to matter, and it was not to be known.

And yet, as I found out through you, he didn't exactly make the same speech to his boyfriend. We had stepped the relationship up, he told his boyfriend as a duty to make sure he was alright with it… and he was clear then, everything on my side was up to me.

No matter what I felt or had discussed with my partners, it was up to me. Too bad if I couldn't do it.

As you condescendingly explained me, you were all neuroatypical, telling each other everything right, the first time, no barrier possible per your psyche. You gave me an ultimatum in all but name; so, I told my partners the very evening. It is actually when the truth, in the form of words, poured out of my mouth, that I saw it for what it was for the first time. Also, my loved ones telling me I had been abused.

So, I thanked you, profusely, for bringing me out of denial. I cut ties with him. Actually, everything I thought I felt for him evaporated in an instant. A finger snap, and I felt like waking up. I was left with shame, incomprehension and rage.

I couldn't keep one of my partners from sending him a rage-fuelled message that sent his boyfriend whining in my DMs about how he couldn't handle this pain, that we both had made mistakes but he shouldn't have to endure all this hate. Was I responsible for the way my partner expressed his own devastation? I was not, but I am, to this day, proud he did it this way.

Then, I started telling you I had figured out something else, that I believed my consent was not respected, that it was more serious than a matter of adultery, that it was sexual assault.

And it was the last I ever heard of you.

You ghosted me, unfollowed me; gone. You were gone. Not gone from their life, though. As I later guessed, it was not about you getting away from a spicy situation because you knew everyone involved, this time.

The message was clear: you cut ties with me and didn't want to hear from me again, you sided with them.

The delivery was rather petty: no words needed because I didn't deserve to be talked to no more. I'm familiar with the technique, sadly, although I have to admit I didn't expect to see it coming from you, aka the most virulent advocate of radical honesty.

Shouldn't I have known that you wouldn't exactly apply the same rules to everyone in your vicinity? Why did you ghost me and refused to listen, even?

It is the main reason why I'm making it clear that not only I'm not expecting an answer from you, I'm pretty sure I never want any. Because, any further discussion on the reasons you left will boil down to my consent being questioned and I undoubtedly cannot accept this.

What could you believe other than I'm dishonest, lying, cheating scum who cried wolf when the tables turned-

That's fine by me, but have you ever wondered what it says about you rather than me?

A woman comes to tell you she had doubts about her consent after erratic behaviour for months. How do you decide which party is worth listening to or not?

Is it, simply and crudely, pardon my French, because you happen to be fucking his boyfriend and not me? Is it because you identify with their mental behaviour rather than mine?

Because you understand them better?

Then, of course, the truth lies in front of me now. Being an erudite activist the likes of you doesn't keep you from binding your values to fit your interests, as it has stopped no one ever in history. Being neurodivergent doesn't keep you from being a rapist. A damaged person with a fucked up past and skewed vision of sex, maybe, but a rapist no less.

An autistic female friend had come to tell me about the red flags she perceived about him during this period, how I should be wary about neurodivergent men making less efforts and using their condition as an immunity token. I couldn't hear her words, at the time.

Later, another friend confessed he had a crush on his boyfriend that vanished when he noticed certain patterns of bad faith and gaslighting. The ugly truth my naive self didn't understand slowly revealed nonetheless.

I can't say I understand them fully, but I understand myself, now, at least. I'll repeat it once more:

I was deceived, abused, put under the influence, in denial, and I couldn't say anything and I couldn't tell.

As I came to understand, the key lies within me. I am the only one who can make sense out of the situation and come to the conclusion that it was indeed rape. Whether you like it or not; you are not inside my head, and you are no one to draw conclusions.

Neither are they, neither are any of you. Neither do you share my pain and suffering today. And that’s okay. I’m healing, as shitty as it is. My partners are with me. My social life will not be the same, my sex life will not be the same, but we go forward, even if it means walking on spikes for a while.

I believe I am done here, with my story. There’s not much I expect from you, as I told you. I can no longer trust you nor can I respect you. You now belong in my eyes to this sad category of woke men who turn a blind eye when the abusers turn out to be their buddies.

There is just one thing I’ve been meaning to ask you:

If radical honesty means telling everything right the first time, what do you make of those who can't tell everything right the first time?

What do you know of those who can't tell they're being abused, who don't have your wit yet, or your experience, or your maturity, or who don't happen to have a PhD in manipulation? Who can't think or process things the exact same way you do? Who, let's dare to say it, aren't neurodivergent enough, aren't damaged enough, to be the victims in the story according to you?

If you ever come up with something to say one day that doesn’t involve questioning my consent or siding with my abuser, there is a chance my door will still be open.

There is a chance you won’t be just another sad example; otherwise, too bad.

It’s time for me to heal.

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lauramalchowblog · 5 years

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A Letter to Ms. Judy Faulkner & Mr. Tommy Thompson

By GRACE CORDOVANO PhD, BCPA

Being a patient or a carepartner can be a lonely, powerless place.

There’s no high powered legal or lobbying team to help support you in your or your loved one’s health care journey. There’s no PR team at your beck and call. There’s no advisory board, no executive committee, no assistants, no chatbots or AI-powered technology coming to the rescue. There’s no funding or a company sponsoring your efforts.

There’s no course in how to be a professional patient or carepartner.

There’s no one there in the stillness and dark of the night, when you are in the quiet of your thoughts, the privacy of your personal space, where there are fleeting moments that you don’t have to be strong and courageous. There is no one there to console you, support you as you lay there willing to make a deal with the devil for the slightest glimmer of hope, the slightest bit of clarity, or slightest bit of peace.

As a the carepartner to a loved one who is sick or disabled, many wouldn’t second guess charging head first through a thousand wielded swords if it meant a hope or a cure.

As an advocate, the majority of the work you do is self-created, self-supported, and unpaid. A calling. An undeniable, magnetic force that pulls you in because you cannot turn a blind eye no matter how hard you try. Because you cannot bear witness to human suffering and not do anything. Because you’ve been there and you can relate to another’s pain, grief, and sense of hopelessness and it is unacceptable to not help ease the heaviness of another’s burden.

As an advocate, I know I am not alone when I wonder if my advocacy work is worth it. Does it all make a difference? What did over 20 years of advocacy work improve? Are all these hours of work into the depths of the night worth it? Is the constant mental, emotional, and physical effort of being perpetually on high alert going to bring change? Do the words spoken from the podium, the panels, keynotes, workshops, fireside chats, and the discussions that ensue after handing in my lavaliere or hand held microphone cause actionable change? Does anyone listen to the podcasts and interviews and change their business strategies? Do the business cards and LinkedIn connections exchanged matter? Do the thousands of hours I’ve spent carefully and thoughtfully placing words on paper in articles and blog posts to capture the patient and carepartner voice and perspective make a difference? Does the time spent dedicated to continuing conversations across 3 social media platforms matter? Was all the time I’ve spent away from my family, my children, on the road, traveling to conferences (often at my own expense) to amplify the patient and carepartner voice worth it? Are missing family occasions, children’s games, school events, outings with friends, as well as putting one’s marriage, self-care, one’s physical, mental, emotional, and spiritual being at risk worth it?

After over 20 years of advocacy work, when I close my eyes and reflect, I cannot unsee and unhear what I have seen:

The people who have died horrible deaths because of cancer, with not a spot of dignity left.

The parents who fought tirelessly to find hope of a cure or the gift of more time with their dying child.

The people who have watched as their parents or grandparents died, sometimes slowly, unfathomable deaths, from their heart failure, dementia, cancer, diabetes, and other comorbidities.

The people who struggle with their own cancer diagnosis while caring for their aging, sick parents, and their also disabled and medically complex children.

The people who are disabled, who have been denied the critical care they need, the medical equipment and devices, and the standard of care treatments prescribed by their doctors, because insurance companies deemed them not medically necessary. Or worse, being denied their actual Medicaid.

The people living with chronic illnesses who are denied their life-saving treatments by insurance companies daily, forced to see regressions, relapses, painful, sometimes irreversible progressions of their diseases.

The tears stream down my face as I recall the hundreds, thousands, of pleas I have been faced with over the last 20 years. Pleas, stories, cries for help that break one’s soul and leave you gutted.

There is a common denominator here. These people could not get access to the information they needed for the next step in their, or their loved one’s, care. Information they needed to:

· schedule a second or third opinion appointment

· to organize a tumor board

· to consider clinical trials

· to ask the right questions

· to pick the right doctor or hospital

· to fight an insurance denial

· to do a peer to peer and expedite care needed themselves

· to make an informed decision about an upcoming surgery or procedure

· to prevent a medical error from happening

· to fight an exorbitant medical bill

· to understand their diagnosis and treatment enough to know it wasn’t too early for palliative care

· to know that it was time for hospice

This is what information blocking looks like boots on the ground.

These are the realities people face when they are living with life-altering, life-limiting, absolutely earth-shattering diagnoses.

While patients and their loved ones can’t get the information they need to make educated, empowered decisions about their care, even while actively dying, hospitals, EHR vendors like Epic, as well as MANY other entities, have ludicrously shared and sold the same patient information for commercial purposes, to “improve hospital operations”, for “re$earch”, leveraging the legal loopholes of HIPAA, stating all is legal, this is business as usual. Without needing informed, explicit patient consent. Without any effort dedicated to patient education, public awareness, and transparency under the guise of “Nothing to see here”.

As patients and carepartners, WE WILL NOT STAND FOR THIS A MOMENT LONGER.

Thank you Ms. Judy Faulkner, CEO of EPIC, for your recent letter urging some of the biggest hospital CEO’s and presidents to oppose the proposed rules to improve interoperability and grant patients access to their information. You have made it crystal clear that you are not aligned with the real-world unmet needs and the barriers patient and carepartners face daily. Thank you for illustrating what paternalism looks like in 2020.

Thank you, Mr. Tommy Thompson, former governor of Wisconsin, for your guest column on why the proposed health IT rules would be a detriment to EPIC and Wisconsin’s economy. You have made it crystal clear that the business priorities of Wisconsin are of a greater importance than legal rights and the sanctity and dignity of the lives of all the patients of this great country of the United States of America.

Thank you for helping me refocus. Thank you for helping me answer the questions and address the self-imposed imposter syndrome that can momentarily cloud one’s perception. The answer is: IT IS ALL WORTH IT.

I am more laser-focused than ever before, more confident than ever that patients, carepartners, advocates, those in authentic support of first doing NO HARM, and those in support of partnering with patients and carepartners MUST to come together.

I want all patients and carepartners to know these truths: No one is coming to save us. Together, we can save ourselves and OUR healthcare as we know it.

The time is now to #UnblockHealth. I’m ready to blow the doors off this or at least die trying.

Respectfully Yours in Unblocking Health,

Grace Cordovano, PhD, BCPA

Grace Cordovano, PhD, BCPA is a board-certified patient advocate specializing in the oncology space, a patient experience enhancer, and information unblocker.

The post A Letter to Ms. Judy Faulkner & Mr. Tommy Thompson appeared first on The Health Care Blog.

A Letter to Ms. Judy Faulkner & Mr. Tommy Thompson published first on https://venabeahan.tumblr.com

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kristinsimmons · 5 years

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A Letter to Ms. Judy Faulkner & Mr. Tommy Thompson