Spyke

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adhd

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How do you cope with these things!?!

I realized how many extra steps I was going through to mask, and that the end product, behavior, was made off wildly wrong assumptions about what people or situations expected of me. And when I realized that, I wanted that fucking time and energy back. I found my own language to describe my own thoughts and feelings and just put that out there. It's weird and vulnerable at first but my doctor seemed to understand. Meds made space in my brain to learn and unlearn different things. Stimulants helped get through the turmoil of chores. Anti-anxiety made the urge to please quieter. It's my life, I want to feel good in it, as authentic as possible, as comfortable and natural. I didn't know the color of my hair, had been dying it for 30 years, that was a nice surprise. Like they said, make the best of this, you should feel good. If something is hard, figure it out so it's easier from here on forever, think if how good it will feel when the hard thing today is easy. Reduce sugar

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STICK

Not a boy or man, and I have a REALLY good stick I found in middle school, 26 years ago. And some other pretty good sticks to. Everyone loves a good stick

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How come they don't make generic drugs for cats and dogs. I love my sisters buddy to death. Its just weird that all my meds are generic but animals are name brand. I just hate spend 250 every 3 mon.

A lot of pet meds are people meds and can be filled at regular pharmacies. A lot of pharmacies can get generic versions of your pets meds. You get your vet to call in scripts to the pharmacy, or get a written prescription, a lot of vets are charging fees for online pharmacy interactions, but less than their fill fees, 3$ vs 15$. Fill fee is the base fee no matter what comes next, 5 pills or 500, they'll get that minimum. For Heartworm, and Flea and tick prevention the old standbys exist affordably in Ivermectin and afoxolaner, and are available over the counter. Getting priced out of petship is real. Private equity.. blah bleh blah

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Dunning-Kruger

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Fig 1 is a modified emotional change curve applied in learning and business settings. The term "Valley of Despair" is used in both concepts, and it's cool, memorable verbiage, but it shouldn't imply relation between Dunning-Kreuger and the change curve

https://forfengdesigns.com/tips-on-clawing-your-way-out-of-the-valley-of-despair-when-you-are-starting-a-new-business/

Image description: A modified emotional change curve from Evocon with Y-Axis being "attitude during change process" and X-Axis is time. There are 6 emotional phases described on this chart: 1. Neutral attitude, no knowledge; 2. Initial excitement, motivated; 3. Denial, indifferent, passive, apathy; 4. Resistance, frustration, doubt, anxiety (this phase falls below neutral and is described as "The Valley of Despair"); 5. Exploration, energized, small wins, creative; 6. Commitment, enthusiasm, problem solving, focus, team work.

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The Fuck Tree

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This article is helpful, I think it's "gay sex" bc it's the MSM community that cruises in that particular forest. Verse other locations for dogging, which isn't a queer culture thing, it's a voyeuristic & exhibitionist activity

https://www.the-fence.com/the-fuck-tree/

But yeah. Just a good tree to fuck on, however the orgy at midnight is very well attended by MSM

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Live Updates: Police Hunt for Gunman After UnitedHealthcare C.E.O. Is Killed in Midtown Manhattan

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You were right the first time. Switching to a "value-based" model in 2023 is late and probably only bc gov repercussions. I've been out of the industry 10 years, but was doing "value-based" trials at one of Dallas/FTW (Texas, US) largest hospital systems with Medicare, Medicaid, Aetna, BCBS, and other carriers back in 2014. It was a secondary initiative to an Obama era push to modernize healthcare (read put docs on electronic systems) called "Meaningful Use". Early adopters were rewarded, and by 2015 or 16 were being fined if they weren't electronic, eprescribing, and interoperable. Before all this doctors made the most money on procedures, and there was no money in treating chronic illness. To reverse that incentive, enter "value-based" blah blah. So United here, after the vertical integration of their own pharmacy (can make up their own prices on meds) and their own doctors (can pay themselves whatever they want for services provided) only Then, did they move to a value-based model. See, only once they were sure they could capture profits elsewhere they aligned with the industry, at least the public payers.

This point is not as evil as using AI to automatically deny claims.. But that context should undermine the seemingly altruistic adoption of a "value-based" model. It was a gov mandate from 2008, and they probably got some form of punishment for being so late to adopt.

The payers are the most responsible for high costs in the American healthcare system, full stop. Then for-profit hospitals and urgent cares.