#types of ehr

[curemd-ehr-services]

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[illdothehotvoice]

Thinking about her qwq.

[imsobadatnicknames2]

Defending ratliker on main? Yikes. Besides there are white Chileans, what's your point? 🤨

Yes, anon, there are white chileans, what is YOUR point?

Like, how does the fact that there are white Chileans change the fact that:

U.S.A. imperialism is directly responsible for multiple atrocities commited in Chile, as well as several other countries in Latin America.

If you're from one fo the places affected by these atrocities, it's compeltely understandable why you'd want to joke about hating the U.S.A. and wanting the country to get nuked etc. etc.

The Americans who got pissed off about the aforementioned joke were deliberately lying by omission about the nationality of the person who made it so they could spin "third-worlder from country affected by imperialism punching up at the country that commited said imperialism" into "white european punching down at poor underprivileged americans".

That reaction aligns with a wider trend of Americans assuming (or pretending) that every criticism or mockery of the U.S.A. they encounter online is coming from a western european because it makes it easier to dismiss and allows them to avoid thinking about any uncomfortable questions regarding their country's place in global power dynamics.

I don't see how "well ackshually there are white Chileans ',:^)" meaningfully responds to any of those, so, again, yes, there are white Chileans, anon, what is YOUR point?

[trixstriforce]

this blog would be VERY full if i posted about my loz hero au here but that is not a good thing bc i have too much lore and i rewrite major plot points every other minute

[emorphistechno]

Integrating Health Information Exchange (HIE) is an effective strategy to streamline clinical workflows and improve patient outcomes. By engaging a managed service provider, the necessary resources can be procured to establish a secure HIE network. HIE involves multiple stakeholders and is a highly complex process; however, it is essential to find ways to securely exchange data between all participants.

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[legoyuri]

THE NEED TO PUT THIS ON EVERYONE OF MY FAVORITE AUTISTIC CHARACTERS PLAYLISTS

[innonurse]

Somethings, a youth mental health startup, has raised $3.2 million in funding led by General Catalyst

- By InnoNurse Staff -

Somethings is a youth-focused wellness platform that links youths between the ages of 19 and 26 with certified mentors for asynchronous support.

Read more at TechCrunch

///

Other recent news and insights

Suki, a health-tech startup, is utilizing artificial intelligence to make patient records more accessible to all doctors (Forbes)

The FDA has approved a new insulin pump and algorithm-based software to help with enhanced automatic insulin delivery (FDA)

[illarian-rambling]

My least favorite common typos ranked:

5) Ehr. Not so bad, but I do this every time I try to type 'her' and I find it all over my damn drafts.

4) Imedietly. I spell it this way every single time. It's my brand at this point. I truly think this is the superior spelling.

3) Foll. Meant to be fool. Really, I tend to do this with any repeating-letter word. Bokk. Rool. Eeg. Etc, etc.

2) Knucked. No idea why I can't remember the L in knuckled, but 'white-knucked grip' pops up at least once in all of my drafts.

1) Glenched. I hate this so much. Terrible mouth feel. Makes me wanna glench my teeth it's so bad.

[dvasva]

Tbh? I think the radiant emperor duology deserves more critique than it gets in its tag, so after stewing it over for a couple weeks and also discussing it with my friend, I have decided to do it myself.

So. Spoilers for She Who Became the Sun and He Who Drowned The World ahead.

First off, so nobody accuses me of hating the series, I liked the series. I'd say I'd give the first book a 4.5/5, I thoroughly enjoyed it, and I like both books. I truthfully skipped the fisting scene, it triggered some dysphoria that I wasn't comfortable with personally but I don't have problem with it existing in the book, it's good where it is, no changes.

No, my critiques come mostly from the second book, hwdts. Which sucks because I absolutely loved Baoxiang in it, it's a well known fact that my ideal type is pretty, really mean, characters. ('What about Madam Zhang?!!!???!? Shes mean and pretty!!' I hear you ask. Give it a second cause i will get to my beloved madam zhang) So, my critiques are mostly organized as 'The first part I didn't like in Hwdtw that signals the thing that became my biggest issue, the bits in the middle that i did like along with the bits that I felt didn't really work well, and Act 3 which is where my issues really were exacerbated.'

By the end of book one, I had a general annoyance but acceptance that Ma Xiuying was a bit of a weak character, and not weak as in 'dang shes a woman and cant fight' or any other sexist way you may interpret that, but weak as in structurally, she didn't really have as much depth as other characters. I thought she didn't have as much time put into her character as others. And yeah you could have a million character analysis essays over Ma and her place in the story and etc, but for me, her setup for the next book as potentially having conflict with Zhu or her own morals was the most interesting part of Ma. In general I think a lot of people tend to overlook this flaw partly because Ma is a cis lesbian character and the main 'love interest' in a book that is usually marketed to people as sapphic, which yeah there is certainly a sapphic relationship in the book but I think saying it's a major part of the book is really giving the relationship a load bearing wall ot isn't strong enough to carry. The Radiant Emperor Duology is not a romance, first and foremost. To describe it as a wlw romance is gonna leave people who read ot specifically for that reason kinda dissappointed by the end of book 2.

My big critiques didn't start until book two, and a particular scene, though. Ma, at the start of book two, was generally filling the niche of 'nagging wife' to zhu, which yknow, is a fine place to start from. I was a little disappointed there was no further discussion of Ma's disapproval of the morality of Zhu's actions, and in fact the dead child was pretty much entirely forgotten by Ma in favor of being Zhu's wife. Which, yknow, sure.

The Scene I had issue with happened (Spoilers once again) after Zhu finally captures Ouyang and imprisons him at her base of operations. Ma, dressed in her empressly regalia enters his room with the intention of being the bigger person. She walks in, looks at the stripped down and humiliated general who killed her father and famously is also really a women hater, and tells him she forgives him for killing her father. And then she gets upset and cries when the prideful general who hates women gives her a dressing down and taunts her and is like 'I'm glad I killed your father'? She nearly cries because Ouyang was mean to her (notably only cause he was mean to her and didn't gracefully accept her forgiveness, not because he killed ehr father) and runs off to Zhu. And Zhu responds with 'Wow, he's just a weirdo, everyone likes you and everyone in existance immediately knows you're a good person and you change people.' Which, my friend suggested before she finished the book, was a case of Zhu placating Ma and dismissing her feelings which would be an interesting dynamic.

Really my hangups with this scene come from multiple parts.

1. Ma' few character traits including being observant and reading people really well (a thing she's praised for in book 1) and having good social intuition are completely thrown out by her thinking being alone with ouyang and forgiving him would be a good idea and then her being shocked and upset when he spat on her forgiveness. And

2. Zhu's response is never once treated by the text as her dismissing Ma and placating her, and Zhu's statement despite never being shown to be true before and that moment being the first time it's ever mentioned, ends up becoming Chekov's moral purity by the end of the book, where the plot hinges on Ma being able to magically heal a damaged character's mind enough for Zhu to win in the end. Which I will get back to. There's a lot of other stuff happening between here and the end.

So, before I get back to Ma and her role in the story, I'll address some other bits from after this scene. Both problems and things I enjoyed generally.

Madam Zhang and her parallels to Baoxiang and her being the absolute queen of dissociating really was interesting (before act 3). She was a very compelling character who I completely understood and felt positively about. She had a way more interesting relationship with gender imo than Ma did, especially in book 2. I didn't really like that she was overwhelmingly shown having sexual villence done to her, that felt weirdly like a punishment. But, I did like her a whole bunch, and I liked the look we got into her head. She was probably my second, maybe third, favorite character in the whole book until Act 3.

I really, really liked Ouyangs dynamic and relationship with Zhu. The weird sexual tension between them, their weird kinda nonsexual but also kinda very sexual S&M relationship. It was somehow the most sensual, sexual part of a book that featured Madam Zhang having sex with multiple people, and Zhu going down on Ma, and a lot of other mentions of sex or scenes involving sex. Tbh I feel like, in a way, Ma was left to the sidelines for most of the book because Ouyang became the primary 'love' interest for a hot second there and the only reason Ma could get her spot back was Ouyang and Zbu's separation. Also, from what I've seen when people talk about this book, they always kinda try to express Zhu and Ouyang's dynamic as very nonsexual and nonromantic, as platonic mostly. And there is no inherent superiority of romantic over platonic, but I think to insist that it is only platonic, and not a strange swirl of romantic, platonic, sexual, frustration and relief, and a swirl of familiarity and vulnerability all wrapped into one, is doing the dynamic a bit of a disservice. And ther is, imo, very clearly a subtle hint of romantic intent and interest on Ouyang's part before he realizes Zhu has a body he hates.

Which is also another point I didn't like. Ouyang and Zhu's relationship end felt off. The entire bit with the pirates felt off, but especially how Ouyang found out about Zbu's body, and how Zhu reacted. I think Ouyang finding out second hand, from a combination of being suspicious and from Jiang saying it, was a poor way for that to be revealed. I think there was a better way for that to happen that woyld have felt more like a betrayl to zhu than this did. The fact that Zhu and Ouyang were so in tune and could see each other perfectly, but this one thing was a blind spot for both of them because of how unaffected by gender Zhu was compared to how overaffected by gender Ouyang was is a really interesting thing to explore, an interesting disconnect between two character's whose entire basis for their relationship is 'like recognizes like'. I think Zhu seeing it as a betrayl would have been more impactful if she had presented this informatuon to Ouyang herself and been rejected than how it went down. And, I think her not realizing Ouyang would be disgusted that he felt connected and felt a sameness to someone with a body he found grotesque and that he feared would have been more interesting for zhu, who views herself outside of womanhood and didnt really think that other people would not see her outside of womanhood, if she was the one who told ouyang herself.

Also, less importantly, think going into Ouyangs annoyance that zhu kept moving his target further away was a good move but it wasn't expanded on as much for my taste. I also really liked it when (spoiler) Xu Da dies, and that entire part despite some minir bits, was extremely good in that Zhu finally has tasted loss. She had, up until that point, been riding a wave of positivity, she was the underdog who won over and over again despite all the odds and despite her own reckless choices. So I did appreciate that everything went wrong for her at least once. that would have been, imo if other things were changed, a good place to end a book two in a three book series. Which will make sense as to why I mention it im a bit.

I also didn't like how Ma was nonexistant unless the plot was like 'ok we need to remind people that Ma exists.'

And there's of course other stuff but those are the main points of acts 1 and 2 that i wasn't fond of or that i liked.

Act 3 is a wholely different behemoth which can be encapsulated with 'I wish it was longer but also different' (courtesy of the convo my friend and I had).

My friend and I both agreed that we liked this kind of courtly drama game it was playing. My friend doesn't tend to like the structure or writing style of a lot of the chinese wuxia, danmei, or courtly drama translated books i read, so it was nice to know that the genre content isn't the issue for her there.

The biggest problems I had with the ending though was 1. I think Baoxiang and Ma had an interesting dynamic despite it being really rushed and how distasteful I found the entire concept of Ma being such a good wholesome goody good good person that she could change Baoxiang, quiet his demons and fix him in some way. That was annoying in an otherwise interesting dynamic. And 2. I think Madam Zhang's character traits and cleverness and all that were wiped away to make her inexplicably jealous of Ma in a way that I don't think fit her character and just served to fit a trope of jealous empress who hates the favored concubine.

So, here's my major proposed changes.

1. Ma gets sent to Khanbaliq extremely early on. Like, act one maybe after ouyang is captured early. This serves three purposes. A. Ma has something to do and is more present in the story. this could be a good xhance to let her actually feel frustrated or upset at Zhu in some tangible way that needs to be resolved or talked thru eventually. B. she gets more time to build a relationship with Baoxiang, whose entire defeat hinges on him having a strong connection with her. and C. Her absence in the other parts of the book feel less like she's being ignored or forgotten. It makes Zhu's lack of haste more than just a way to annoy Ouyang, and turns it into an interesting moral choice. Should she rush to Khanbaliq to save Ma or trust that Ma will be ok in favor of gaining power? Her lack of haste means Ouyang leaves, depressed, and she loses Xu Da, all while she doesn't even have the assurance that Ma is ok, she is truly at her lowest point with nobody with her. If Ma is in Khanbaliq and that's explored, then Zhu and Ouyang can also explore their dynamic without Ma feeling a bit like she is battling for Zhu's attention.

2. Madam Zhang is suspicious of Ma, or feels actually tangibly threatened by Ma. In act 3, Madam Zhang's anger towards Ma feels really out of place. She got exactly what she wants, she is empress, her emperor isn't interested in removing her from her position and her position isn't threatened by anyone. Baoxiang won't get rid of her, he won't demote her, he has shown zero sign of ever even considering it. So, why is Madam Zhang jealous of Ma? Imo, especially since she very clearly has dissociated into oblivion and has no love or affection for anyone anymore, and no real desire or motivation to secure her position further aside from maybe producing an heir to make sure shes taken care of after Baoxiang dies, there's no reason for her to be inextricably jealous of Ma. It kinda just erases all of Madam Zhang's political savvy and cunning into jealous, petty woman, and that sucks. If she was suspicious of Ma's intention, or Baoxiang genuinely expressed spmething that actively threatened her position, her hatred of Ma would make sense, but instead she hates Ma cause Ma is ugly and spends every night with Baoxiang. She hated rice buckets concubine cause that concubine used a lot of funds and competition genuinely made her position less stable. She needs better motivation for hating Ma.

3. As I mentioned earlier, Zhu needs to be the one to tell Ouyang that she does not have a dick. That's just all around better, it feels more like a betrayl to bare your secrets and be rejected, etc etc.

4. The duology should have been a trilogy, with book 3 starting when Zhu is at her lowest, ouyang is dead, ma is in khanbaliq, Xu Da is dead, a new guy is the emperor. This is where a book three should have started. in a series that has so many important characters, i feel like it needs more space. she's in a 10 gallon tank when really she needs a 30 gallon tank. Lots of it, especially towards the end of book 2, felt rushed and the extra book will absolutely push that back a bit and make it less rushed.

Anyways that's my critique of The Radiant emperor duology. Once Again, I liked the series, its one of my favorites i've read all year. I don't dislike it, and having a critique or opinion about something doesnt mean I didn't like the book or understand the book (because obviously if i understood it i would understand why its flawless). I liked it, there are things I wish were different, that's it.

[punchingballs]

“Bitter Reminisce.” 

JINGLIU X S/O that’s dead.  (I'm not going to explain further.)

___________________________________________________________

Jingliu was no stranger to pain and darkness, she’s suffered for more than a century dwelling in the past after all. Refusing to accept the past, denying reality and locking herself away from the world. It was a tragic notion. But she’s well aware of it. Well aware of the consequences of the actions she made.

But… How can she ever move on? 

There’s no choice but to lament. What’s done is done, the only next thing to do is to regret as you have no other choice.

“Hey…! Jingliu.” Her mind immediately flashed back to the fuzzy and happy memories you two shared together, the memories you both shared before you finally faded away like dust swept away by the wind.

You met her at a field of flowers, likewise, she met you at a field of flowers. May it be by chance, coincidence, or fate itself, that day was the most important and happiest day of her life. It was the miracle, and the start of other miracles in Jingliu’s life.

And also the very same bitter curse that she will forever shackle herself upon.

And right now, the former swordmaster of Luofu stood above the field of flowers that you two met. But what remained of the field was simply, crusty rock, and wilted petals, lying on the ground, darkened and corrupted like her mind.

The former swordmaster took a step forward, with each step she made, she reminisced of a better time with you, with the High-cloud Quintet. “...” She only let out a soft yet bitter sigh as she fought back the urge to simply wail and mourn.

Eventually her body started trembling as she tried to fight back the swirling emotions in her heart. As if her stomach was getting squeezed, and as if her heart was pierced by a cursed spear. She felt herself slowly losing the war in her head.

The more she reminisced of the time you two spent together, the more her heart wilted like the flowers that once covered these fields. “Kh…!” She once more, fought back the urge to cry. With each memory that flashed in her head, with each smile that she remembered, and with each word that you spoke to her… 

The more the pain got worse. And the more that she realized, that the past can never return.

As she simply shook her head, her legs gave up as she kneeled on the ground, helpless and in despair. Eventually the most important memory in ehr life, played again, like the chorus of a sad song about a tragic love story. Replaying in her head like a ghost that haunted her till the end of time.

“Jingliu, what type of flower do you like?” You asked while looking towards her, a small smile on your face. Jingliu’s ears perked up as she looked at you, her scarlet eyes brightening when you called her name. 

“I don’t know much about flowers.” Jingliu monotonously replied, though her tone didn’t hold emotion, her heart was filled with fuzzy and blooming happiness whenever she was with you.

“I see… But, if I had to choose what flower would suit you… then it would be a Scilla Forbesii. I always admired its nickname, Glory-Of-The-Snow.” You spoke while gently holding up a flower in your arms, you made a small ethereal smile.

Jingliu was stunned, however, she managed to make a coherent reply with a softer voice than yours. “... I see.” She simply replied, not finding the words to say to you, or not having the courage to say the true feelings she wanted to say.

“Jingliu… Are you spacing out again?” You suddenly asked her with a cheeky smirk. “At that rate, no man would ever want you!” 

“But I want you.” Is what she would like to say, but eventually she once more, chickened out and never had the chance to say those words. 

“You see, guys like girls who listen to them.” You said while gently slouching in a tree, letting a butterfly fly over towards your nose. The butterfly sat on your nose,while you paid no attention to the butterfly. 

“I see. I was simply thinking about the past.” Jingliu replied while you opened your eyes, the butterfly flew away while you gazed towards her. 

“Hm? Honestly, you shouldn’t let the past affect your future.” You suddenly said while having a nonchalant smirk on your face. 

“What do you mean?” Jingliu asked for clarification, while a bit surprised and confused by what you said.

“The past shouldn’t define you, humans are strong because they can change after all.” 

That sentence was the sentence she held deep within her heart, however. As she found herself awake from the reminisce of a century ago, she stared at the wilted flowers that she was kneeling on. A few teardrops fell from her face while she felt her heart clenching once more.

“Then answer me… now that you’re gone… what should I do?” She desperately asked while mourning, sobbing and wailing for a person that never existed anymore. She found herself staring at the ground, devoid of emotions, only the bitter void in her heart that she can’t fill up anymore. 

[mrfleshwizard]

Okay so real quick, in the trailer fizz and ozzy don't go to court, I'm 90% sure that it's about stolas amd Stella's divorce which a few sins might be present for(which I think is incredibly dumb but i dont write the show) mainly mammon who is the only one we actually saw

Misinformation passes me off so kuch so I jsut had to type this out becaus the whole court clip is leading up to 'where eis stolas we need him ehre' so no, it's not about the ins it's about Stolas(again...)

So the court episode would be even more boring.

And why do sins would be there? I understand that goatia are demons of the high status but still doesn't explain why they would be there. (And I bet Asmedues would be on Stolas side and Mammon on Stella's side becouse they are evil.)

Why do people ask "where is Stolas?" None needs him. If it was about what I firstly thought, him being there would make no sense.

But the fact the court episode would be a next pity part for the Stolas is not surprising but Irritating to say at least.

[astroyongie]

XG June Reading 2024

note: please take it lightly and have fun

Jurin

love: it seems like she is dating someone at the moment. This is someone older than her and they have been around ehr for quite some time. despite the age difference it does seem to be a serious relationship

career: she is super happy with her current idol life situation. She believes that they have the good amount of fame for their music, they have good company 8in her opinion) and the money is also well earned. overall she is happy 

self: she has been focused a lot on her own goals and on her own abilities. It feels like Jurin wants to push forward and show the world her capacities on a bigger scale. 

Chisa

love: chisa also is dating at the moment, this one person seems to be someone she works with but they aren't an idol. yet they are someone that has been able to bring her quite some comfort inside the company and insider her career 

career: she is equally happy with how things are going. Chisa believes that she is able to have the perfect harmony between being an idol and having a private life without being disrespected. she is happy 

self: despite all of that, she still struggles with her past anxieties and depression that has been going on for quite some years. she is having help for that, but there’s days where it can be quite complicated 

Cocona

love: she too, is in a relationship with the same person i have been picking up from my past readings on XG. So far things seem to be going well for her and she is just living her life according to how she wants. 

career: another member to be quite happy with how her career is going, since she has the freedom to choose what she wants to show to the public. Cocona is also very creative and she will have the opportunity to cast out her talents for the public thanks to her sponsor 

self: her health however seems to be a little more on the downside. She probably feels weak or has some issues when it comes to having heavy headaches. she just need to watch for those 

Hinata

love: Hinata is equally in a relationship and she is equally super happy with how things are going. This person and her have quite a healthy relationship and things seem to be doing well. In such cases, I don't have much to say about them. 

career: She is very hardworking and she has been doing her best in order to show the best side of herself when she is on stage. Hinata is someone who is very resilient yet has strong boundaries. everything that she shows to her fans seem to be at least 75% genuine 

self: she is fine health wise but she is also super happy overall. This girl is bright as the sun which I find ironic due to her name. 

Maya

love: Maya is actually single. She came out of a complicated relationship where there was a lot of toxic behavior happening through her partner. it seems to have taken a lot of weight from her shoulders but the pain of events that have happened to her, are still haunting her sleep

career: so far she seems to be the only one to be frustrated with how her life is going. she probably would want more for XG and she thinks that the company are delaying them and not allowing them to be more known due to certain restrictions 

self: her mental health isn't the best. she has a lot of negative and neglecting thoughts about herself and others, she restricts herself a lot from things in life (food for exemple) and she also has a very victim mind which does not help her 

Juria

love: she is single and enjoying her life. Juria is the type of girl that know she power and also privilegiate her friendships. so she has her side pookies but she doesn't have a main one since she doesn't want to get attached. she also has been spending most of her time gossip and be around people she cares/friends

career: she is so happy about her career, she is so hopeful that XG will be able to have a bigger influence as time passes. She believes that her group has the capacity for that. she also seem to have a very good career ahead of her 

self: her health however seems to be a little weak/fragile. she often tries to become too perfect which can impact her negatively. Juria also needs to be careful with her boredom that could lead to her making harsh decisions 

Harvey

love: this girl is single after coming out from a harsh breakup. At the moment there's still a lot of regret and disappointment about what has happened. she feels like she has failed this relationship, almost like she blames herself form benign abandoned by her partner 

career: she is feeling very anxious about things, about people's opinion of her and just working overall. Although she feels blessed to have such good opportunities, she often wonders if this is the right path for her. 

self: she has been self isolating a lot, she hasn't been communicating with people about her feelings and i feel like she isn't okay overall. harvey also feel like she has lost her spark in her energy 

[i43tv]

helloooww

im typing this before our schools play (IG against all odds i wa sstill abel to particpate in this MF perf9rmance lol) cuz i finally got some time 2 myslrf ,,,,

so....... hectic weekend ,, i guess

im trying 2 type everyhting i rememebrr ebcausea lot of it is a blur and im afraid ill forget mroe of what happened

i only remmeber snapshots really

,,,, sorryn4 all the tyypos

fridya was when i planened 2 run awau from my parents house ,, i wannted 2 communte 2 my grandparents house in another city .. i brought enkugj money with me 2 do so n i made sure to wear my uniform thwt day so i can get a students discount on the buses i rode

i had a rehearsal onf ridau that ended in theevnein g n afterwards i went 2 theat cafe where i boigjt the overpriced ocffee lol

t the time i culd still hear my alters speak 2 me but as the night went on i clld hear them less and less n my head hurt so so bad like my brain was made of.lead and

nd the scariest parr of it was i think i stsrted to feel less likemyself

and more like i was doing actions detemrined by someone else

whenever i felt scared about goingto my grandparents house thsts so far awya all on my onw especially at nighttime

its likethe fear was automatically stamped our n shoced away

and replaced with kust . cold deadset determinaton

but r

but that wasnt me

thst easnt me at all

everytjing was snquiet inside my head n so was my surroundings

like mentalyi was dronwing in an ofean where i was alone n i couldnt hear anything whstsoeber

im very hyperssnesitive to noisebut for ocne everutjinf was quietand the silence scared me

,,,,, god i wasnt even entirely sure where i was oging

bur i gues sosmehow whatever was contorlling me then knew

i jsut kept ging and i kept going n i rode the buses and public vehicles inneede dtonreide

i nevr reached my grandparents house

i was walkign to the next stop n i wasnt payng attention to the eoad and i neaely got eun ove rby a car

i think thwt was enougj to mae me snap out of it somehow

i wudlve cried rogjt tjere if i wasnt in themiddle of the road ajd in public

god i wanted to cry so badly

i tirned sorund and went back gomeand it wa shard to catch a ride home but iw as able to find a bus n i went bakc n whiel i was a tht ebus i texted 1 of my irls asking if i ckuld dtay foe the nigh and thank godshe said yes

i couldnt tell ehr sbout thewhole situation but i tpld her i was having a hard night n i also told her ill stay untl monday too

and sb elet me

and i cried for the firs totmethst nignt in the bathrorom st her hksue

i took a short shower and changed into clean cloth3s n got blanekts and their little foam mattress n i stayed incher room playong vdeo games n talking n i cried a bit n she let me cry

n on sautday snd sundya i gont remmebr what hapepne drhen

but i woke up this morning n i think i can handle doing te fpromance so im herennow

i plan tk try again

running away from my parents house

mentlaly i keep xalling ot running qway from home but its not reallym hkme is it

it shouldnt be anyones home

i dont mind if i have to miss acouple week sof shcool

th3 year is almsot ending anwyay

i never cared wbour school it can go burn

things will beokay when i reach my grandparents house i know it

[covid-safer-hotties]

Prevalent Metformin Use in Adults With Diabetes and the Incidence of Long COVID: An EHR-Based Cohort Study From the RECOVER Program - Published Sept 17, 2024

OBJECTIVE Studies show metformin use before and during SARS-CoV-2 infection reduces severe COVID-19 and postacute sequelae of SARS-CoV-2 (PASC) in adults. Our objective was to describe the incidence of PASC and possible associations with prevalent metformin use in adults with type 2 diabetes mellitus (T2DM).

RESEARCH DESIGN AND METHODS This is a retrospective cohort analysis using the National COVID Cohort Collaborative (N3C) and Patient-Centered Clinical Research Network (PCORnet) electronic health record (EHR) databases with an active comparator design that examined metformin-exposed individuals versus nonmetformin-exposed individuals who were taking other diabetes medications. T2DM was defined by HbA1C ≥6.5 or T2DM EHR diagnosis code. The outcome was death or PASC within 6 months, defined by EHR code or computable phenotype.

RESULTS In the N3C, the hazard ratio (HR) for death or PASC with a U09.9 diagnosis code (PASC-U09.0) was 0.79 (95% CI 0.71–0.88; P < 0.001), and for death or N3C computable phenotype PASC (PASC-N3C) was 0.85 (95% CI 0.78–0.92; P < 0.001). In PCORnet, the HR for death or PASC-U09.9 was 0.87 (95% CI 0.66–1.14; P = 0.08), and for death or PCORnet computable phenotype PASC (PASC-PCORnet) was 1.04 (95% CI 0.97–1.11; P = 0.58). Incident PASC by diagnosis code was 1.6% metformin vs. 2.0% comparator in the N3C, and 2.1% metformin vs. 2.5% comparator in PCORnet. By computable phenotype, incidence was 4.8% metformin and 5.2% comparator in the N3C and 24.7% metformin vs. 26.1% comparator in PCORnet.

CONCLUSIONS Prevalent metformin use is associated with a slightly lower incidence of death or PASC after SARS-CoV-2 infection. PASC incidence by computable phenotype is higher than by EHR code, especially in PCORnet. These data are consistent with other observational analyses showing prevalent metformin is associated with favorable outcomes after SARS-CoV-2 infection in adults with T2DM.

[theyamjam]

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