#ceu talking
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i want to study this whole interaction.
“you're not a chilli anymore. i’m going to keep it.”
“you’re going to forget it there.”
“(very softly battling away tears, a lump in his throat and filled with sentiments) i won’t.”
#carlos sainz#charles leclerc#charlos#ceu talking#formula 1#scuderia ferrari#WHY DID HE NEED TO SAY THE I WONT LIKE THAT#JUST BE NORMAL JESUS CHRIST
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crystalline electronic unit my beloved
#tag:ak#silverash best girl#i feel weird calling him best girl but 'enciodes best girl' sounds even weirder to me#like it just feel wrong / dont roll off the tongue like say 'thorns best girl' yk?#ANYWAYS FREE CEU#ONE LESS CEU TO CRAFT#wait for me kal s3m3#also can we talk about 'beyond any sort of transactional relationship' lmao goodluck (?) doc
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i have no interest in buying pokemon scarlet/violet because of obvious reasons, but I love Nemona soooo much, she's soooo adorable and I need to have a character that interacts with her
#also i just think a*ceus looks cool so i wanna play it but im not gonna buy it. might see how modders have improved it and decide from there#ty talks
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y'know what I actually would love to infodump about, though? massage for fat people. because WE DON'T GET TAUGHT HOW TO DO THAT. it's all just, like. all the instructional videos and pictures in the text books are vaguely attractive thin people, and when it's chest work they're all MEN like FUCKING EXCUSE ME I think I can figure out chest work on a MAN, show me some TITS! show me some respectful, safe work on the TITS! but yeah so I actually went looking for specific resources on how to give enjoyable and effective massage on fat clients and as far as I can tell THEY DON'T EXIST??? THERE ARE NO RESOURCES???
but then I learned that I'm apparently, PROBABLY qualified to write continuing education courses, which I thought I couldn't do because I don't have a four year degree, but I DO have at least five years in practice, which is apparently GOOD ENOUGH!!! if I survive the peer review process. on the CEUs I wanna write about HOW THE FUCK TO ACTUALLY MASSAGE FAT PEOPLE GODDAMNIT.
how do I know how to do it?? well. I figured it out. but I'm exceptionally good at what I do. every single one of us shouldn't have to figure it out individually and separately. I wanna tell people.
HAVE I WRITTEN THE FUCKING THING YET?? well no. but that doesn't mean I'll shut up about it, either.
are you fat? I feel like this is a resource you should probably co-write alongside a fat person. I'm sure you've self-taught a lot of techniques that massage therapists definitely need to hear about and you should definitely share the knowledge, but I'm sure a fat masseuse has invented plenty of their own, and a fat massage client would have some wonderful insights to contribute about how it feels on the receiving end and also what to do and not do in terms of bedside manner and talking about bodies and the like.
not surprised to hear this entire population is overlooked unfortunately.
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Les Trois Mousquetaires, Chapter Seven
I love this chapter since, along with d'Artagnan, we gain a lot of valuable insight into the characters of Athos, Porthos and Aramis - who they are, how they roll, where and how they live - and we meet their manservants and learn that they, too, correspond with their masters' characteristics.
Athos
Athos' servant is Grimaud, whom Athos has trained to serve him silently, using hand signals rather than words.
"We're talking about Athos, of course," Dumas comments in this chapter. Taciturn, serious, cynical Athos who, as this chapter reveals, is never seen with a woman and never even talks about women except with bitterness and misanthropy.
This chapter holds one of the most well-known character quotes about Athos:
"Depuis cinq ou six ans qu'il vivait dans la plus profonde intimité avec ses compagnons Porthos et Aramis, ceu-ci se rappelaient l'avoir vu sourire souvent, mais jamais ils ne l'avaient entendu rire." (in short: Porthos and Aramis have often seen him smile, but they've never heard him laugh.)
We also learn that he's "barely thirty years old" and that he lives at rue Férou, in a simple appartment with a few artefacts that hint at a bygone past of splendour and rich nobility:
a richly ornamented rapier mounted on the wall that Athos refuses to use but won't sell either
the painted portrait of a noble-looking man of an older generation who bears a familial resemblance with Athos
a large chest with a family crest that is filled with letters and other papers
Porthos
Porthos has a character "opposed to Athos'", Dumas comments, describing the big Musketeer as talkative, loud, self-aggrandizing, pompous and trying to make up for a simpler, poorer family background with a lot of pretense.
Where Athos hides and tries to forget his noble past, Porthos dreams of a future full of riches and titles.
His manservant, Mousqueton, by consequence, is dressed in Porthos' re-tailored hand-me-down outfits to give his lifestyle an aristocratic sheen.
Aramis
Interestingly (and fittingly), Dumas stays vague on insight into Aramis and tells us that enough of him has been revealed already and "the rest of his character ... will show during the development".
Aramis stays very evasive about his status as an interim musketeer, and it’s not only d’Artagnan who wonders about the secret behind his career detour and - seeing that many of Aramis’ connections in his illustrious Paris network are female - whether a woman was involved.
We do learn, though, that his manservant is Bazin, a quiet, faithful, relatively educated man of many talents, dressed in black, who cannot wait for Aramis to join the Church and follow him there.
Aramis lives in a somewhat more luxurious apartment with a bed chamber leading out to a small, lush garden that shields Aramis' lodgings from all curious eyes.
D’Artagnan
Porthos finds him a manservant, Planchet, who soon finds out that the life of a manservant means a roof over one’s head, but mostly sleeping on the floor and taking a frequent beating at the master’s hands.
(One of the most uncomfortable themes of the novel is the constant, casual physical abuse of the servants which is supposed to be comical but, from a modern viewpoint, hard to watch and nothing but condemnable and inexcusable. No wonder the manservants are missing from all modern adaptions of The Three Musketeers.)
Conclusion
We walk out of this chapter having learned that:
Athos must have walked away from a rich, noble past for reasons we don’t know yet but can assume they had to do with a woman and did a number on him
Porthos is a loud, open book and deals with a bit of an inferiority complex
Aramis doesn’t like to play with open cards, is a fan of aesthetics and women, and we can’t quite get a grasp on him
“Athos”, “Porthos” and “Aramis” are all noms de guerre and d’Artagnan, despite his greatest efforts, can’t find out their real names
Favorite quote:
“L'amitié qui unissait ces quatre hommes, et le besoin de se voir trois ou quatre fois par jour, soit pour duel, soit pour affaires, soit pour plaisir, les faisaient sans cesse courir l'un après l'autre comme des ombres;”
(The friendship that united these four men, and the need to see each other three or four times a day - be it for dueling, for errands, for fun - made them constantly follow each other around like shadows.)
#les trois mousquetaires#alexandre dumas#the three musketeers#athos#aramis#porthos#d’artagnan#reread#my reading#bookblr#reading update#chapter seven
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How to be a US Pharmacist if you’re a Philippine Registered Pharmacist.
(Overview of the process ⬆️)
Maraming nagtatanong sa page ko kung paano daw maging US Pharmacist as a Filipino Pharmacist. Kaya, I'll just create a one big post about it. Oo nga pala, it's really hard to get a work visa/sponsorship from the US kung foreign pharmacist ka.
So, kung wala kang way na makapunta ng US to legally work (like a petition, etc) it'll be difficult (Unlike sa mga nurses). I'm no visa expert and won't be able to answer any at all.
but if you're already in the US (as a citizen/permanent resident) and you have a BS Pharmacy degree from the Philippines, here's for you!
First, let's talk about qualifications:
1. You have to be a licensed pharmacist in your home country first. kailangan, board passer ka muna sa Philippines. HINDI REQUIRED ang ANY work experience to qualify for the exam.
2. Your education should be a MINIMUM of 5- years if you graduated after Jan 1, 2003. Kapag 4 years lang natapos, you'll have to go back to school for another year (CLINICAL PHARMACY) or PharmD (plus 2 years). NO EXCEPTIONS. again, di naman mandatory ang pharmD. Okay na yung clinical pharmacy. Also, Not MS/PhD kasi i-evaluate siya case by case and hindi guaranteed to qualify.
Pero kung grumaduate ka before ng Jan 1, 2003, you can take the exam with a 4-year degree as long as you passed the other requirements like TOEFL, good standing w/ your license sa PH, etc.
After meeting the education requirements, no need to study again in the US.
For me, I graduated sa CEU-Manila noong 2015. Kulang yung 4- years na degree ko kaya I went back to school noong 2020-2021 (Clinical pharmacy). I'll link below my experience a full-time student sa Philippines while also working full-time in Texas.
Let's talk about the exams you need to take:
1. TOEFL (ENGLISH TEST) - there are minimum scores you need to achieve. Kahit offered ang TOEFL sa Philippines, it's only acceptable by the US kapag tinake mo siya mismo sa US territories or parts of Canada. You can take this exam with a US tourist visa. TOEFL ha, not IELTS. You can take this anytime kasi 2 years naman ang validity niya.
2. FPGEE (Foreign Pharmacy Graduate Equivalency Exam). Itong exam na ito ay para sa mga Pharmacists educated outside of the USA. Kahit sa Philippines ka grumaduate, or UK, or Canada, Australia, SAME EXAM for EVERYONE. You need to pass this exam in order for you to INTERN sa desired state mo. This exam is usually administered ONCE A YEAR DURING FALL. You can take this exam with a tourist visa. Btw, it is important to say na kahit na qualified ka na to take the FPGEE, it doesn't guarantee your US tourist visa acceptance. kaya plan accordingly.
question about how to apply? please join the PH FPGEE support group. I already posted the detailed instructions on how to file your application. here's the link: https://www.facebook.com/groups/filipinofpgeesupport/
Next step is INTERNSHIP. Once you passed TOEFL and FPGEE you're given an FPGEC certification which is a requirement for foreign pharmacists to start Internship! With internship, US tourist visa is not allowed anymore. You need to have a work visa na. Yung required hours ay depende sa state kung saan ka mag-wwork. Example sa California ay 1500 hours. Sa Texas ay 1740 hours. CHECK your RESPECTIVE state's Board of Pharmacy.
3. NAPLEX (North American Pharmacist Licensure Examination). Ito pa lang mismo ang US Pharmacy Boards. I've shared to you my experience when I took it. Ito yung exam na tinatake ng mga FPGEE passers after internship and PharmD graduates ng US. Please see my posts about sa details ng exam and my experiences. I'll link them below.
4. The last exam is MPJE/CPJE. Multistate Pharmacy Jurisprudence Examination® aka the LAW EXAM. Kahit naipasa mo yung NAPLEX pero hindi yung MPJE, you won't be able to practice as a US Pharmacist. This is a very tricky exam and it should not be taken lightly.
after you take these exams + Internships, you're now a US Pharmacists!! Good luck everyone and I encourage you to read the official BULLETINS only from the NABP site. Sila lang ang naglalabas ng official requirements and wag maniwala sa mga sabi-sabi.
If you have any questions except VISA, feel free to message me as I have taken all the exams na. I'm here to help yo Pero before you ask anything, please read this "frequently asked questions": https://theilustrado.com/faqforcc Any repeating questions won't be answered kasi nakalagay naman na diyan. 🙂
Here are the links: I included the review duration, review materials, prep, experience, etc.
Philippine Pharmacy board exam experience 2015:
Clinical Pharmacy 5th year 2021:
FPGEE 2002 experience:
US Pharmacy board exam 2023 NAPLEX experience:
Helpful Filipino US Pharmacists groups:
PH FPGEE support group
Filipino-American Pharmacists
Official USA Pharmacy website for FPGEE :
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Most magyar vagyok!
On November 2, 2023, I had my oath ceremony to become a Hungarian citizen. I learned about simplified naturalization in 2018, while working in Vienna and began looking into if I was qualified. Right after I moved to Budapest in September 2018, I started learning Hungarian at the CEU language school.
Since then, I've been working on-and-off towards this goal. From talking with my father and grandfather on the phone to learn about our family history, to calling what felt like a thousand Orthodox churches in PA to hunt down my last baptismal certificate, the journey has been hardwon. Admittedly not a morning person, I spent weeks getting up at 6 or 7 am for my 1-2x week Hungarian lessons. I practiced my grammar and speaking incessesantly on my own and with friends.
And after all that work, I finally get to call myself a Hungarian.
A huge thank you to my dad, who spent countless hours with me researching documents, ship manifestos, and family trees to get the paperwork in order. To my grandpa, for telling me about our Hungarian culture as a little kid. To Flora and Dora both, for proofreading everything, practicing with me and being my cheerleaders. And of course a huge thanks to the rest of my friends and family for their unceasing support and for not getting fed up as I spent years agonizing over all the details of my application.
It's truly a funny thing, when your dream becomes a reality.
#travel#talia does hungary#hungary#hungarian#magyar#magyarorszag#hungarian citizenship#simplified naturalization
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The Italian PM is one of only a few big names set to appear at this year’s Budapest Demographic Summit, suggesting the Hungarian prime minister’s drawing power is on the wane.
Giorgia Meloni is saving Victor Orban’s pet project this year. The Italian prime minister will be the star guest at the fifth Budapest Demographic Summit, a biennial gathering of conservative to far-right figures that begins in the Hungarian capital on Thursday.
The decision to attend the two-day event by Meloni, whose election victory last September was greeted ecstatically by Prime Minister Orban, is all the sweeter for the nationalist-populist government in Budapest, as its hopes of having a new close ally in the EU have so far been dashed.
“Meloni’s visit is highly important for Prime Minister Orban, who has become increasingly isolated in the EU since the war in Ukraine, and needs to prove to his electorate that he still has some heavyweights on his side in Europe,” Zsuzsa Szelenyi, foreign policy expert and program director of the CEU Democracy Institute, tells BIRN.
Yet it is not only Orban who might gain from the visit. “Meloni has to perform a careful balancing act. She is pursuing a more pro-EU agenda than expected, but part of her electorate cherishes Orban,” Szelenyi, the author of Tainted Democracy, a book about the global rise of populist autocracy, explains. “She has to keep her party base happy.”
Szelenyi also believes that despite differing positions on Russia, Orban and Meloni – who will also hold bilateral talks – can find common ground on EU policies, such as rule-of-law issues, which the government could then sell to the Hungarian public as a big victory and preserve Orban’s image as an influential politician within the EU.
Guest list
Judging from the roster of speakers at this year’s Demographic Summit, Orban’s drawing power certainly looks to be on the wane.
From a political perspective, the guest list is lower profile than in previous years for the simple reason that several of Orban’s Central European friends (Andrej Babis and Janez Jansa) have been voted out of office since the last conference in 2021.
Besides Hungarian President Katalin Novak – the driving force behind the summit – and Orban, the political panel will include the Hungarian prime minister’s new best friend, Serbian President Aleksandar Vucic, pro-Russian Bulgarian President Rumen Radev, Italy’s Meloni and, from further afield, Philip Isdor Mpango, the vice-president of Tanzania. One could argue he represents the world outside of Europe, as former US vice-president Mike Pence or Australian prime minister Tony Abbott did in previous summits, but perhaps with a bit less heft.
The overall guest list is written proof of Hungary’s diplomatic shift eastwards. Ministers from Kazakhstan, Turkey, Qatar, Morocco and Bahrain will speak about protecting family values and how best to support families, while a keynote speech will be delivered by the speaker of the Azerbaijani parliament, Sahiba Gafarova.
Gafarova’s biography seems a little out of line with the Hungarian government’s general illiberal narrative: she is a graduate of women’s and gender studies in the US (gender studies are virtually banned in Hungary) and has also worked as a Council of Europe rapporteur on violence against women, refugees and migrants.
The intellectual highlights will be provided by the Canadian clinical psychologist and author Jordan Peterson, a controversial but highly influential public speaker and frequent guest of Orban. He once referred to Orban as a wannabe dictator, though later told the Hungarian pro-government weekly Mandiner that, “it’s always good to have something to constantly scare people with, to demonise someone. Europe also needs a bogeyman like Donald Trump, and that is the role that Viktor Orban has been appointed to play.” Peterson has also described Orban’s pro-family policies (see box below) as “impressive”.
The Nobel Prize-winning economist James Heckman, who has done most of his research on inequality, social mobility and early childhood education, will probably offer a more scholarly approach to family policy.
Of course, no demographic conference in Hungary could take place without the participation of Christian theologians and church leaders.
Syrian Orthodox Church leader Efrem Ignac, who has publicly praised Orban for resisting Western political correctness and urged the government to prevent the EU from putting Russian Orthodox Church leader Patriarch Kirill on the sanctions list, will share his thoughts on how the church can protect families in the midst of wars. Ironically, Ignac recently moved into the restored villa of former Hungarian Communist leader Janos Kadar, which now houses the secretariat for persecuted Christians in Budapest.
Christiaan Alting von Geusau, founder and president of the fundamentalist, anti-abortion, anti-birth control, anti-divorce International Catholic Legislators’ Network (ICLN), will also take the floor. The ICLN calls contraception “intrinsically evil” and abortion a “crime against humanity”, while donating sperm and artificial insemination are “morally unacceptable”.
The Americans
Despite Orban’s growing popularity in US conservative circles, no senior US Republican politician is attending this year’s summit, with the exception of Valerie Huber, president and CEO of the Institute of Women’s Health.
Huber was former president Donald Trump’s special representative for global women’s health, and she drafted the anti-abortion Geneva Consensus Declaration, signed by mostly illiberal, autocratic regimes and whose secretariat is housed in Hungary. The Biden administration removed the US from the list shortly after being elected.
Panellists will also include Sharon Slater, co-founder of the fundamentalist Christian lobby group Family Watch International, which opposes abortion, sex education and birth control, and supports the criminalisation of homosexuality in Africa and the US.
Last but not least, the benefits of family life will be presented by Pat Fagan, a former deputy assistant secretary under former president George H. W. Bush and currently the director of the Marriage and Religion Research Institute, which describes marriage and weekly religious worship as “sources of the greatest social outcomes”, and urges young people to come to the altar as virgins.
The official budget of the conference is estimated at 3.8 billion forints (around 10 million euros), which will paid for out of taxpayer money, even as the government is being forced to scrap some of its flagship family support schemes due to budgetary problems.
Family Policy
Hungary’s demographic summits were originally intended to publicise Orban’s “Family Policy”, which comprises generous financial incentives for mostly middle- and upper-income families, such as full tax exemption for mothers with four children or cheap housing loans for young couples willing to have several children.
The results of this policy have been decidedly mixed, though. Hungary’s female fertility rate did indeed rise from 1.2 to 1.59 (children per woman) between 2010 and 2021, but fell back to 1.51 in 2022. That means Hungary has moved from the bottom of the EU to slightly above the average.
However, most demographic experts consider it unrealistic to expect that Hungary can reach a fertility rate of 2.1, the rate needed to keep the population stable. According to current calculations, Hungary’s population will shrink from 9.7 million today to 8.8 million in 2050.
The picture becomes bleaker upon learning that the government has been forced to scrap some of the incentives for urban families in 2023 due to financial constraints, in order to focus mainly on its rural constituencies. Furthermore, in 2021, Hungary nationalised all private IVF clinics, officially to boost fertility but some suspect ulterior motives about centralising the lucrative business. Although treatment in general has become cheaper, many women complain of long waiting lists and have decided to go abroad for treatment.
While many experts note how Orban has managed to sell his family policies as a huge success abroad, most of his fans outside the country have little knowledge of the chronically underfunded education and health systems that are essential for creating a truly family-friendly country.
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That being said, criticise Brazilian wags and their political views all you want, but don't think Brazilians, as a nation, stand by that, specially when the majority of us actually LIVE HERE, not abroad with tons of money, living the high life, luxurious and away from common problems. "Oh but this isn't about you" yeah, I get it, obviously, I'm not a wag, but xenophobia is real and as a Brazilian and a latina woman, I know that it's never too far from conversations like that to push us to be slandered just for the sake of it. //
parar com a xenofobia? amiga eu sou brasileira, e quando eu falei das humilhações eu estava falando especificamente dos jogadores do liverpool que gostam de achar que sao superiores pq sao cristaos e atacam 1000 minorias se for preciso para ter o bolsonaro eleito, literalmente aquela nojenta da rebeca acha que ela vai para o ceu pq apoia o bolsonaro. vai ser dificil aguentar essa gente na copa, mas so um vai ta no time principal pelo menos
stop xenophobia? friend, i'm brazilian, and when i talked about the humiliations i was talking specifically about the liverpool players who like to think they are superior because they are christians and attack 1000 minorities if necessary to have the bolsonaro elected, literally that disgusting rebeca thinks she goes to heaven because supports bolsonaro. it will be difficult to hold these people in the cup, but only one will be in the main team at least (translation)
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If you’re a member of the AAPC, you have access to a great deal of advantages as a member! Have a look at this video while we talk about the CEUs, discount rates, and profession assist you get consisted of in your subscription! Register For The Free Masterclass – http://MedicalCodingMasterclass.com/================================= Free Masterclass – Job Ready…
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5/4/24
Today, in the last two hours of my shift, one of my patients in the back part of the acute unit asked me to go get some water for her. I left and came back, and didn't see her in the day room or in her own room. Which sucks because those are the only two possible places she can be, when she's on that hall.
I swung open the first door I was afraid she'd be in. Sure enough, she was in this other guy's room, performing oral sex on him. I separated them immediately - thankfully all I had to do was tell them to cut it out - and they both went back to their rooms. We had to shuffle patients around because of that. This was a career first for me, actually; I'd heard of and seen patients trying to engage in sexual activity during my stay, but this was my first time being the one to catch patients in the act.
I was just doing CEU's during work today, because work was so calm and quiet. That swear word every nurse hates, definitely jinxed myself. One of the things I was reading up on as part of a credit was "Patients with bipolar 1 in mania may need to be in a facility to prevent them from making dangerous financial or sexual decisions." Not in those words, but really, basically the truest summary of "We've seen what kinds of decisions you will make when you're like this and we're doing this for your own good." That's this lady to a T. She's been here multiple times, always has intense RTIS and is always hypersexual. She actually asked me to let her lick me this morning, and I politely told her "no." I was hopeful she wouldn't try to go any farther than that today.
Ugh, it sucks. I've met her family and they just want her to stay on the mood stabilizers. And I've seen her when she's on the stabilizers. She's kind! She's affable and nice to be around! Perfectly respectful, so long as you treat her respectfully too! I'm always rooting for her! But she leaves, she goes off her meds, she goes into mania, she comes back.
She's got a history of trauma in her past. I don't know the details and i don't know how far back. I just know that the one family member I've personally met was talking to her and saying things like "You're living in the past, you've got to move forwards." If I can see her on her stabilizers next week, provided she's still here and stable, I might try to ask her about it.
#nursing#psych#psychiatry#dear diary#diary entry#psychosis#nurse#schizophrenia#bipolar#schizoaffective bipolar#bipolar 1#trauma
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carlos sainz in 2013 on the red bull junior team competing on the GP3 and racing with a car with the number 4 in it.
lando norris formula 2 car having a chili symbol on it.
they are soulmate in a very "and isn't it just so pretty to think that all along there was some invisible string tying you to me?" coded way.
#carlos sainz#lando norris#carlando#ceu talking#going absolutely insane and feral over this#im not well#and i will not be well#i need to sit down#oh my god. they are soulmates#455#554#idk which one is the right one#carlos sainz jr
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Religous Trauma: Two Sides of a Coin
"Slouching Towards Galilee!"
Two Signs of the Same Coin:
Healthy Religious Exerperience
or
Religious Trauma
"The Greatest Commandment: "You shall love the Lord Your God with all of your soul, mind, and strength and Love your neighbor as yourself, there is no greater commandment than this!"
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In the past month or so there have been three young men, one who is 17, and the other two 20 and 21, who are homeless, and they each love sitting down with me and talking about their religious experience in and out on the streets, and the pain and what I see as "religious trauma."
Presently I am taking a 60-unit CEU course entitled "Religious Trauma", and the course and these guys have brought much up within me, in which I am looking at the trauma I suffered and sometimes suffer in religion. I have found no therapists that understand religious trauma, for the most part, many are far away from religious experience.
And so I begin this by looking back through my life, to its very beginning, and within the context, I see both the very negative and the most life-giving experiences I have had. My faith now is very decentralized, and it has given a lot of power to my ministry. I see everyone as a child of God, without judgment and this comes from the experience of my relationship with Christ. There are two sides of the coin.
I have spent most of my life living under shame, a shame instilled in me since I was very young in the Church.
The Church taught me shame over my sexuality from masturbation to being queer; shame over depression; shame over questioning my theology; and the list continues. The Church is excellent at teaching us about our sins but ignoring the cultural and social sins of our day. The Church often gives little grace!
I know of a church trying to work with homeless people who had "nice" clothing for them to change into, and a section of pews to sit in--similar to the slaves of the past. None go there.
Some organizations require people to hear preaching before they can eat a meal.
Flipping the coin over I find my coming in touch with the spirituality of a loving caring God, a God who called me to ministry and sustained me through the hell I went through in my early years. Through my experiences in the past and now I have learned to have compassion for myself. And from that learning greater, much greater compassion to others.
I always approach people now more compassionately, giving them compassion and entering into their suffering with them.
I have been known to be mad as hell at people who throw out the "gospel" to others; I remember when Zac died, at the funeral a group of Christians shook my hand, and said, "Too bad
he was not saved," that was painful; the same group sometime later was counseling a young man on how being gay was a sin, and this young guy sliced his testicles, when I took him to the hospital, they smiled and said, "We are praying for his salvation."
Jesus cared only for love and this is the Jesus I serve, love without judgment but compassion and grace:
"The Greatest Commandment: "You shall love the Lord Your God with all of your soul, mind, and strength and Love your neighbor as yourself, there is no greater commandment than this!"
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Fr. River Damien Sims, sfw, D.Min., D.S.T.
Post Office Box 642656
San Francisco, CA 94164
www.temenos.org
paypal.com
415-305-2124
Fr. River Sims, D.Min., D.S.T.
Director
Prayer of St. Brendan!
"Help me to journey beyond the familiar
and into the unknown.
Give me the faith to leave old ways and break fresh ground with You. Christ of the mysteries I trust in You to be stronger than each storm within me.
I will trust in the darkness and know that my times, even now, are in Your hands.
Tune my spirit to the music of heaven,
and somehow, make my obedience count for You"
------------------------------------------------
(Temenos and Fr. River seek to remain accessible to everyone. We do not endorse particular causes, political parties, or candidates, or take part in public controversies, whether religious, political or social--Our pastoral ministry is to everyone!
================================
Tomorrow is Earth Day--Have thoughts of what you can do to help preserve Earth;
Three things I do is I am a vegetarian, use cloth bags for groceries and drive as little as possible, and use public transportation.
We only have to do something small and that one or two things added to everyone saves the world.
\
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Respiratory CEUs: Your Guide to Continuing Education
Welcome to A&T Respiratory Lectures! Your premier destination for advancing your knowledge in respiratory care and earning valuable Continuing Education Units (CEUs). In this blog post, we will talk about the importance of respiratory CEUs and how our platform can help you achieve your professional development goals.
Understanding the Significance of Respiratory CEUs:
Continuing Education Units (CEUs) are essential for the ongoing development of respiratory care professionals. They ensure that practitioners stay updated with the latest advancements, techniques, and best practices in the field. By earning respiratory CEUs, you not only enhance your skills but also maintain licensure and certification requirements.
The Benefits of Respiratory CEUs:
Respiratory CEUs enable you to stay updated with emerging trends, technologies, and protocols in respiratory care. Engaging in continuing education allows you to deepen your understanding and expertise in specific areas of respiratory therapy. Accumulating CEUs demonstrates your commitment to professional growth, making you more marketable for career advancement opportunities. The knowledge gained through CEUs directly translates into improved patient care, ensuring better outcomes for those under your supervision.
Why Choose A&T Respiratory Lectures for Your CEU Needs?
We offer a wide range of courses covering various topics in respiratory therapy, catering to professionals at different stages of their careers. Our lectures are delivered by seasoned professionals and subject matter experts, ensuring high-quality education and practical insights. We provide flexible learning formats to suit your schedule and learning preferences, including live webinars, on-demand videos, and interactive workshops. Plus, you can access our courses anytime, anywhere, from any device with an internet connection, making learning convenient and accessible. Take advantage of our free CEU offerings by visiting www.atrespiratorylectures.com today!
Investing in your professional development through respiratory CEUs is a strategic decision that yields long-term benefits for both you and your patients. A&T Respiratory Lectures is committed to supporting your journey toward excellence in respiratory care. Join us today and take the first step towards mastering your CEUs and advancing your career.
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When talking about cargo transportation, people often think first about containers. Yet the world of logistics offers other solutions, such as the RoRo ships, which is specific to maritime transport. RoRo is the acronym for the expression “Roll-on, Roll-off” and it describes the way a vessel carries wheeled cargo. RoRo service is available on all major shipping routes with vessels operated by International Logistics Companies in India
What is a RoRo ship used for?
RoRo ships are designed to carry cars, agricultural tractors, mining and road machinery, trucks, semi-trailer trucks and trailers, buses, industrial vehicles, lorries… Unlike LO-LO (lift-on/lit-off) vessels that use cranes to load/unload the cargo, these kinds of ships have a built-in ramp that allows the equipment to roll on and off the vessel:
on their own wheels for self-propelled machines
on handling equipment equipped with wheels for the machines that are not self-propelled. Hence they remain on this equipment throughout the sea voyage.
The ramp can normally be found on the bow side (front) or the backside (stern) of the ship, and sometimes on the sides or even on land. On most RoRo carriers, the ramp capacity is around 150 tons, it can go up to 500 tons for some vessels. Thanks to this system, the loading and unloading of the wheeled cargo are much easier and safer with these ramps than if they were done with a crane.
RoRo ships can have up to 13 decks. Most of them have a capacity of 4,000 to 5,000 CEU (car equivalent unit). However some can hold up to 8,000 vehicles. Once a vehicle is on board, it drives on covered internal liftable ramps that connect the decks to reach the location it has been assigned to, just like in a car park. Its location depends on its length, height and weight. Then it is secured with lashings.
What are the types of RoRo vessels?
Whereas ferries, cruise ferries and barges can be used to move vehicles across rivers and other short distances through the sea, the term “RoRo” is commonly used to call large deep-sea vessels used to ship vehicles. The biggest ones are able to withstand up to 10 tons of pressure per square meter, which makes them perfect for heavy cargo shipping. Apart from vehicles, they can carry high-and-heavy cargo, break bulk, special products and the heavy-duty transport of steel and paper.
Depending on the nature of the cargo carried, different kinds of RoRo vessels are used:
Pure Car Carriers (PCC) and Pure car/truck carrier (PCTC) are dedicated respectively to cars and trucks as well as car transportation. They have a box-like framework and multiple decks and some of them are larger in order to perfectly suit to bigger vehicles.
ConRo (or RoCon) vessels can accommodate both rolling equipment and containerized freight. The top decks are used for containers that are loaded/lifted off by cranes whereas the vehicles are rolled on/rolled off and stored on lower decks.
RoLo is a hybrid ship that combines roll-on and lift-off. The decks dedicated to vehicles are equipped with ramps but depending on the quay facilities at ports, a crane can also be used.
RoPax is short for roll-on/roll-off passenger, for example ferries and cruise ferries. These vessels unite carriage of private cars and commercial vehicles with passenger accommodation for shorter voyages.
Last, there are also military-types of RoRo. The Military Sealift Command (MSC) has large, medium-Speed Roll-on/Roll-off (LMSR).
What are the advantages of RoRo shipping?
Compared to traditional ships, RoRo vessels offer a number of advantages, the main ones being flexibility, operational speed and overall time saving.
The vehicles can be directly driven on to the ship at the port of loading and then drive off at the port of destination. Loading and unloading procedures only take few minutes.
Since the vehicles disembark very quickly after the ship’s docking, they can immediately continue with their route to their destination. This operating method improves the cargo delivery time.
Less cargo handling for loading and unloading at port means reduced risk of accidents and cargo damage.
Private car owners or holidaymakers who travel with their car can ship it overseas on smaller RoRo vessels and get it without having to fulfill cumbersome formalities.
Conclusion
As the demand for ro-ro shipping services continues to grow, these ships are likely to play an even more important role in the global transportation of goods. Shipbuilders are working to develop larger and more efficient ro-ro vessels which imply that the next generation of ro-ro ships is likely to feature even greater capacity and improved loading and unloading systems.
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Because I've had comparably terrible experiences with providers I really press them with questions and ask for justifications for what they're doing, but it's not supposed to be like that. Patients shouldn't have to interrogate their doctors with questions in order to get clarification and insight into what's going on. I think doctors expect this universal trust from their patients -- that they should be trusted no matter what, but the reality is that the literature is always changing in terms of evidence-based treatments for various things which means that what people learn in medical school 50 years ago may not be as relevant anymore (not saying this is the case with the thyroid thing - just speaking generally about how knowledgable certain doctors are). And because of that, if doctors aren't regularly keeping up with the literature, they can fall behind in certain areas and I think that's why it can be helpful to ask certain questions which is sort of disappointing because you would assume that doctors could be competent as a given but that's so far from true.
It's also so so difficult to be in an office asking your doctor these questions -- like it's just an awkward and inherently difficult position to be in, especially if you lean toward a more passive disposition and have a difficult time "challenging" authority figures or just being firmer in general. (I definitely relate to this difficulty which is why I have in the past just gone along with things for the sake of keeping the peace.
Anyway, all of this is to say it's definitely not your fault. It's disappointing we can't trust doctors to be competent and knowledgeable. I think a lot are, but some certainly are not and it's difficult to tell which is which.
You are absolutely right. I know that in my field we are required to complete 36 CEU’s for every license renewal (every 2 years). I don’t know what MD’s are required to do but it is pretty obvious that I have recently ran into multiple doctors who have absolutely no idea what the hell they are talking. It definitely is extremely tough for me to sit there and be the assertive one asking all the questions. I didn’t even know you were supposed to get your TSH checked every few months until about a year ago when it was mentioned to me while in treatment. It seems like asking questions is a way to hold doctors accountable. That really, really sucks. We shouldn’t have to tell them how to do their job and it’s ridiculous that’s what it’s become.
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