Ascension st vincent patient portal

The Windward Islands were used for the planting of rice.

2023.06.09 23:11 FakeElectionMaker The Windward Islands were used for the planting of rice.

The Windward Islands were used for the planting of rice.
Between 1510 and 1600, Port Reale and Santa Lucia were the only Western producers of it, causing rice to become a staple food in Europe (especially Leansque)
On the other hand, the indigenous peoples of the archipelago were enslaved and forcefully converted to Christianity. From 1530 onwards, the indigenous slaves were replaced with African ones; by 1560, the Island Carib were an extinct ethnicity.
The Islands managed to survive two invasions by the Netherlands and England, until the War of Spanish Succession, when the English successfully invaded Grenada, St. Lucia, St. Vicent and Royales; Martinique and Barbados fell as a result.
Martinique remains a British Overseas Territory to this day, while each of the other islands has become independent.
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2023.06.09 23:08 Roseartcrantz Things I’ve tried to learn in my time as a Standardized Patient

I never thought I would find my dream field. I got diagnosed with a kidney autoimmune disorder so severe that I was diagnosed and on treatment within a month. Full-time work was out of the question, and I wasn’t good at it anyway. I was able to scrape by as an actor, networking, getting gigs here and there, using the public speaking skills to advocate for chronic illnesses with lawmakers. Every insurance switch meant finding new doctors and trying to suss out the competent ones from the not so competent ones, always conscious that they know more than I do, and trying to balance learning about my health without “well I DID MY OWN RESEARCH!ing.
Becoming a standardized patient seemed like the perfect job. Part-time, putting my awesome short term memorization skills to use, and it was a chance to be acting, but without the drama of actual productions. I could be real people doing routine things.
SPs come in a few general categories, retired folks, parents looking for some flexible income, and actors. I spent time reading about the medical school experience and how students feel about SPs, the good, the bad, the annoying.
dId nOt sHoW EmPAThY WhEn i (79) SaID tHaT My fAtHeR HaD DiEd 20 YeArs AgO
dId nOt aSk aBoUt mY HoBBIes DuRiNg sOCIaL HiStORY
HaD A VoIcE ThAt i fOuNd aNnOyInG AnD HaNdS WeRe cOlD.
I decided that to be a good SP, I needed to do a few things:
  1. Understand how medical school even works. (Don’t judge me, shit’s complicated!) What you focus on each year, how a rotation doesn’t necessarily mean that’s your passion, what percentage of your time is simulation and the insane amount of other lectures, tests, and work you do. And the pressure. I’m just a small part of your super busy schedule, I get that.
  2. Understanding what kind of encounter is scheduled, and tailoring to it. If you’re learning some new clinical skills, no case, orientations, etc. I smile at you, give you the fake name I made for myself when not assigned, and tell you that I’m here for you to practice on, and that you’re not gonna hurt me. (This works really well for pelvic exams, weirdly enough. A reassured student is usually better with a speculum than a nervous one.) If you’re percussing for my liver, do it till you find it! I will admit I do have to grit my teeth with blood pressure cuffs sometimes, but I blame the design.
  3. If it is a case, I put a ton of effort into looking the part, but not cartoonish. I act my ass off. Slight accents, different slang, I can be teen or I can be 45 or anything in between. (Although I probably look like a CW “teen” lmao.) I can cry on cue. Maybe just slight eye watering, all the way to sobbing (except my nose runs like a fountain, gross.) I’m not saying this to be like bragging or whatever, I just really want it to feel real. For dark stuff, like being suicidal or child abuse, things like that, I put myself in that place mentally. I picture how and why I did whatever I did. I justify it, and then the appointment is the consequences and I react to those.
  4. I can do this because I also can straight up let it go at the drop of a hat. Even between rounds. Some actors really struggle with that, but I don’t. It’s not skill, it’s luck.
  5. I’m honestly pretty generous with my evaluations, not that I lie or excuse things that should be dinged, I’m not a huge part of a grade usually and I’m still honest. But when I write comments, I tend avoid criticisms about things that don’t actually matter. I don’t care if a student spends a lot of time taking notes if I can tell they’re at a place where they need to, I don’t mind a little awkwardness (obviously there’s a limit but few reach it) and as much as I hate when they’re overly sympathetic about information I give them, I know it’s how they’re taught, that other SPs might ding them if they aren’t, and that eventually they’ll find their groove. You have to learn the rules by the book and then when you get your practice you kind of have more leeway.
I just want you all to know that I’m honestly so proud of you all and respect what you guys go through and why you’re doing it. I appreciate being able to see what you guys really think, and when SPs help and when they don’t, and I really hope that I stay in the simulation field and can make a difference for the people who are training to make a difference too.
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2023.06.09 22:21 blindsight List of completed LitRPGs (final version, possibly)

In protest of Reddit's API changes, I have just finished deleting as much of my post and comment history as possible. I have heard that this list has been useful for many readers over the years, so I am reposting the list as a new post here, instead of a comment.
I expect I will be using Reddit very little, if at all, going forward. I will not be updating this list any longer.
Thank you all! It's been fabulous being part of this community.
Each subsection has my favourites near the top, then aren't really in order.

Complete LitRPGs:

Threadbare series (including Small Medium and Dragon Hack) by Seiple (suggested order: trilogies TB1, SM, DH, TB2) Limitless Lands by Henegar Master Hunter K by From Hell World Tree Online by Hooper New Game Minus by Lin (and Street Cultivation, but it's not a LitRPG) Light Online by Larcombe Eternal Online by Reynolds Retired S-Rank Adventurer by Wolfe & Falcon Life Reset by Kuznits Blessed Time and Viceroy's Pride by Plamann Towers of Heaven by Milan CivCEO by Karevik Forever Fantasy Online by Aaron and Bach (great series, but very limited progression; max level from the beginning) This Trilogy is Broken (a.k.a. This Quest is Bullshit! from Royal Road) by Valentine (a.k.a. Nixia) War Aeternus by Dean PrimeVerse by Billiau Everybody Loves Large Chests by Iliev (NSFW gore, nudity, demons raping each other but asexual protagonist doesn't understand sexuality and is mostly uninvolved) Somnia Online by Hanna The Dungeon Alaria by Kern Rise to Omniscience by Oster The Idle System by Pegaz Last Born of Ki'darth by McGowen Accidental Traveler (two complete trilogies) by Davis Savage Dominion by Chmilenko & Penman The Last Warrior of Unigaea and The Feedback Loop by Cooper Factory of the Gods (a.k.a. Keldora) by Raizman (complete arc; once *Dinosaur Dungeon** concludes, this series will continue.)* Nova Online by Knight Axe Druid by Johns Tower Climber and Arcane Kingdom Online by Tanner Emerilia by Chatfield Euphoria Online by Tucker Aether Gate Online by Hultberg Chronicles of Ethan (and standalone sequel Overpowered Howard) by Monk System Apocalypse, Adventures on Brad, and Hidden Wishes by Wong Combat Codes by Darwin is great, but it's /ProgressionFantasy Below here I haven't read yet: Death's Mantle by Cooper Space Seasons by Chapman Heroic Villain, and Bathrobe Knight by Dean Metagamer Chronicles by Hunter Fall of the Black Seraph by O'Kelley (a.k.a. The Genesis Game by Locke) Afterlife Online by Finn The Iron Teeth by Straughan Dungeons of Perdition by Basu Pangea Online by Rowland The Weaponized by Deckard Never Die Twice and Kairos by Durand (a.k.a. Void Herald on RR) Headshot Online by Siege Trinity of the Kairos by Sinclair Chronicles of Wycon by Moore Abduction Cycles by Cressman They Called Me MAD and The Houndsman by Pal The Bright Lord by Knowles Nora Hazard by Corvin Beast Realms by Jones Arena Manager by Opo Frostworld by Peel Magnus by Prime Metamorphosis Online by Grey Alterlife by Moss Underverse by Cajiao The Orzare Chronicles by O Toole Alpha Physics by Kozlowski Legends of Ascension by Hultberg Badges of Dorkdom by Hodges Star Divers by Landry Legendary Farmer by Elizabeth Oswald Class Shift by Sean Oswald Ten Realms by Chatfield The Weight of it All by Thorn Phase Shift by Johnson Voidbringer Campaign by Hall Sky Realms by Osgood Cultivator vs. System by Valerios Uniworld Online and Glendara Awakens by Brooks Freedom Online by Lingard Enora Online by Adams Harbinger by Keene Bad Luck Charlie (a.k.a. Dragon Mage) by Baron Apocosmos by Gkirgkiris Real-Time Starcommander by Gregory Dungeon Realms by Yang Death's Favorite Warlock by Dean The Game of Gods by Kern Tower Apocalypse by Cassius & Tang Real-Time Starcommander by Gregory Hack, Slash & Burn by Herzman Cowboy Necromancer (some novellas to follow) & Tokens & Towers by Cooper Apocalypse Gates (and I think other series) by Schinhofen (I've heard there are lots of sex scenes and he's known for "secret harems")

Standalone LitRPGs:

How to Defeat a Demon King in Ten Easy Steps by Rowe Tales from the Upgrade by Henegar The Card Job by Falbo (I used to also include The Crafting of Chess, but it now has a sequel. Regardless, it's already a complete story in 1 volume.) Leveled Up Love by Wong and Marshall Battle Spire by Miller Kaiju: Battlefield Surgeon by Dinniman (trigger warning: gore, abuse of various types) Below here I haven't read yet: Zombie Slayer by Milan Axilon99 by Cox The Ridden by Kern Aether Frontier by McCoskey Royal Bodyguard and Just A Bronze by Richter Hazelhearth Hires Heroes by Willison Nigmus Online by Barnett An Old Man's Journey by Allanther Toothless by Thomas

Sci-Fi LitRPGs:

(this is my attempt to include science fiction stories with LitRPG elements, but that focus on the science-fiction implications of VAI/games, not on progression)
Continue Online by Morse Virtual Realities by Schott Puatera Online by Chapman (the first three books have very little /ProgressionFantasy elements; later books are a bit more typical of the genre)

Series that can be read as complete with a midway stopping point, but have been continued:

The Gam3 by Yap (a sequel series started in August on RR, but book 3 ends a complete story) Nova Terra by Ring (to be continued in Forgemaster )

Series that are on permanent (?) hiatus but at a stopping point that could be an ending:

Desire by Milan (not harem... Really poorly-named series! Milan calls it complete, but it's an open ending.) Monster Hunter NYC by Cooper (harem) Below here I haven't read yet: Greystone Chronicles, Shadow Sun, The Darkelf Chronicles and Mars System Reboot by Willmarth

Dungeon core series:

Elemental Dungeon (a.k.a. Bone Dungeon) by Smidt Dungeon Crafting, Dungeon Fairy, Dungeon World, Station Core, Dungeon of Chance and Holiday Dungeon Core by Brooks Derelict by Henegar (complete trilogy; more books to come) Divine Seed (a.k.a. Tree Dungeon) by Karevik Bio Dungeon by Logue and Brooks Divine Dungeon by Krout (imho stronger as a complete trilogy, but it's also a complete series at five books.) Guild Core by Reynolds Futuristic Dungeon Core by Grant Below here I haven't read yet: A Lonely Dungeon (RR) by cathfach Cat Core and War Core by Henegar Blue Core by InadvisablyCompelled (adult content chapters marked; I assume so they can be skipped)

Complete web serials:

Worth the Candle by Wales The Infinite Labyrinth by Vincent Archer The Humble Life of a Skill Trainer by altonsleet Mother of Learning by nobody103 is amazing, but it's /progressionfantasy not LitRPG. Below here I haven't read yet: Vainquer the Dragon by Void Herald Azarinth Healer by Rhaegar (book 1 on KU, epilogue to follow still) Everybody Loves Large Chests by Exterminatus (trigger warning: rapey demon sex, gratuitous gorey violence) (also Small Chests Are Fine Too) more NSFW than KU version? Epilogue by Etzoli Damage=MA: A Rolling Stone LitRPG by zechamp Death Singer by geminirand Or maybe just peruse COMPLETE-tagged stories on Royal Road.

Russian-translated complete LitRPG series:

Level Up by Sugralinov Dark Herbalist by Atamanov The Way of the Shaman by Mahanenko (ending on book 6) AlterWorld by Rus Below here I haven't read yet: Galactogon by Mahanenko Animus and Chronicles of KieraFreya by Anderle Mirror World by Osadchuk Realm of Arkon by Akella An NPC's Path by Kornev The Neuro by Livadny Clan Dominance by Mikhailov The Final Countdown by Ulengov

Asian translated LitRPGs:

Master Hunter K (on KU) by From Hell Solo Leveling/I Alone Level Up by Sung-Lak Infinite Competitive Dungeon Society and Everyone Else is a Returnee by Toika The Legendary Mechanic by Peija Seoul Station Necromancer by Jin Rebirth of the Thief Who Roamed the World by Mad Snail Reincarnation of the Strongest Sword God by Lucky Old Cat Emperor of Solo Play by D-Dart borderline LitRPG: Throne of Magical Arcana by Cuttlefish That Loves Diving A Returner's Magic Should be Special by So-Nan Below here I haven't read yet: Demon King by Toika Advent of the Archmage by Mo Xiang Night Ranger by Dark Blue Coconut Milk Warlock of the Magus World by The Plagiarist Desolate Era by I Eat Tomatoes The Second Coming of Gluttony by Ro Yu-jin And there are a lot of complete translated cultivation web serials; search over at /ProgressionFantasy or /NovelTranslations for recs. I also expect this list is missing many complete series. Please recommend any you think are worth reading!

Harem series

World Seed by Miller Reborn by Jackson Reborn as a Baron Lord by Yang Wolf King's Lair by Drake
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2023.06.09 21:34 PoopieKitty Seeking advice: lower pelvic pain and retroperitoneal lymphadenopathy

40/F. About 6 weeks ago I started feeling pain in my lower left pelvis that I thought was an ovarian cyst. It is pretty constant and radiates to my groin and across my abdomen at times. It has gradually gotten worse over the weeks. I often get cysts that come and go, so I didn’t think much of it. However, I saw my fertility Dr and I had a transvaginal ultrasound that said everything looked normal, with no cysts seen.
Two weeks later I had a saline ultrasound that noted “nodular thickening” in several areas of my endometrial lining (6mm) and narrowing of the lower part of my uterus. They don’t seem overly concerned, because I recently had a blind biopsy that came back normal (EndomeTrio) and also ReceptivaDx that came back positive for possible endometriosis and/or hydrosalpinx. They ordered a Hysteroscopy and exploratory lap, as they suspect endometriosis or my tubes are the culprit for my pain and said they will likely remove my tubes while they’re in there. Those aren’t scheduled until August.
In the meantime, I went to my GP who said it’s probably just diverticulitis. They ordered blood work (the usual stuff) and a CT scan, but I can’t do the IV contrast, so I only did oral contrast. I can do MRI IV contrast, but they said I have to do CT for insurance purposes. They just called and said my blood work and CT were normal. I went onto my patient portal and read the CT report myself and it states everything is normal, except “borderline peritoneal lymphadenopathy with enlarged nodes no greater than 10mm in the short axis diameter”. I looked that up online and it literally keeps saying cancer and high mortality rate if spread to these lymph nodes. I left a message and they’ll “try” to call back Monday. I am convinced I have cancer and I’m dying and everyone is taking their time. :(
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2023.06.09 21:15 WagyuTheBull Zomedica Launches Revolutionary TRUVIEW(TM) Digital Microscope with Advanced Optics, Automated Slide Preparation, and Telepathology Services

ANN ARBOR, MI / ACCESSWIRE / June 9, 2023 / Zomedica Corp. (NYSE American:ZOM) ("Zomedica" or the "Company"), a leading innovator in veterinary medicine offering diagnostic and therapeutic products for companion animals, announced today the launch of the revolutionary TRUVIEWTM digital microscopy platform, featuring the proprietary TRUprepTM system that automatically prepares slides, along with LiquiViewTM liquid lens technology that provides best-in-class images.
Microscopic examination of blood and cytology fluids is the standard of care in the veterinary industry and is utilized by essentially every veterinary practice. The groundbreaking all-in-one TRUVIEW system combines LiquiView advanced optics, TRUprep automated slide preparation and tele-pathology with an easy-to-use interface to ensure consistent quality to boost veterinarian diagnostic confidence. The LiquiView advanced optics system will provide the highest quality slide images on the market, leading to better diagnostics for the pet.
Preparing cytology slides and making blood smear slides can be critically important to cellular investigation and diagnosis. However, the effectiveness and accuracy of that interpretation depend on the quality of the slide. The TRUVIEW microscope features the TRUprep automated slide preparation system, eliminating the need for manual slide preparation because all the traditional manual slide preparation steps, including smearing, drying, fixing, staining, washing and drying, are handled by the TRUprep system, assuring consistent high-quality slides, while saving 5-10 minutes of technician time for each slide to improve productivity and workflow.
TRUVIEW's digital imaging and telepathology component is an easy-to-use interface providing veterinarians with multiple diagnostic options, including reading the slide directly on the microscope, reviewing the slide digitally from a remote computer through the Company's myZomedica® web portal, or sending the image to a Zomedica pathologist for external review and consultation. This will result in boosting veterinarian confidence in providing a consistent, reliable diagnostic result.
"The innovation of the automated slide prep feature has been a critical need in the industry for years," stated Bill Campbell, VP of Imaging at Zomedica. "We have taken every step to make it easier than ever for clinics to have consistent slide quality, reduce human error and waste and deliver reliable results every time. By automating this critical step, the TRUVIEW microscope significantly improves the efficiency of veterinary practices, enabling veterinarians to save staff time and focus more on diagnosing their patients," continued Campbell.
"The development of the TRUVIEW microscope has been a project I have been following closely", said Dr. Matt Connolly of Connolly Animal Clinic. "Having a microscope that automatically smears and stains the slide produces very consistent quality, with the resulting image resolution better than manually prepared slides. With TRUVIEW in our lab we are more efficient, and it helps us provide the best medicine possible."
"The TRUVIEW microscope represents the latest innovative technology launched by Zomedica," said Larry Heaton, CEO of Zomedica. "By combining advanced optics with automated slide preparation, we are providing veterinary professionals with a powerful tool that enhances their diagnostic capabilities and streamlines their workflow.
"We're launching the TRUVIEW system at this weekend's PacVet conference and then offering it initially to practices participating in Zomedica's Customer Appreciation Program by utilizing our TRUFORMA® diagnostic platform. The microscope will be placed in practices with no upfront capital required through a monthly subscription service in addition to fees for slide interpretations that will produce high margin revenue for the Company. As we build inventory, we'll widen the launch as essentially all veterinary practices could benefit in several ways from adoption of the TRUVIEW system as they will receive quality images, professional interpretation and positive impacts on both workflow and cash flow", concluded Heaton.
Zomedica acquired the assets of Revo Squared in July of 2022 and has been actively working to enhance their product line and prepare for the launch of the TRUVIEW platform. TRUVIEW products are manufactured by Zomedica at its Global Manufacturing & Distribution Center in Roswell, GA.
To learn more about the TRUVIEW microscope and be among the first to experience its transformative capabilities, please visit Zomedica's website at
About Zomedica
Based in Ann Arbor, Michigan, Zomedica (NYSE American: ZOM) is a veterinary health company creating products for companion animals by focusing on the unmet needs of clinical veterinarians. Zomedica's product portfolio will include innovative diagnostics and medical devices that emphasize patient health and practice health. It is Zomedica's mission to provide veterinarians the opportunity to increase productivity and grow revenue while better serving the animals in their care. For more information, visit
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2023.06.09 19:30 FenixOrion Los hospitales en USA

So estos drogos se emputan porque les preguntan porque andan todos krikos en un hospital...
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2023.06.09 19:01 Due_Abalone73 help identifying the digital piano/ keyboard st vincent uses in marry me 2/27/2009

help identifying the digital piano/ keyboard st vincent uses in marry me 2/27/2009 submitted by Due_Abalone73 to AnnieClark [link] [comments]

2023.06.09 18:20 PritchettRobert506 [HIRING] 25 Jobs in MO Hiring Now!

Company Name Title City
Grasse & Associates Journeyman Plumber Saint-Louis
Lifepoint Rehabilitation Occupational Therapist (OT) PRN Cape Girardeau
Five Guys Crew Member - Starting at 15.00 Chesterfield
City Year Academic Tutor & Mentor (Entry Level, Paid, Full-time) Excelsior Springs
Five Guys Diner Manager Fenton
Fabick Cat Technician - Utility Worker Fenton
Fabick Cat Rental Technician - Field Service Foristell
UniFirst Route Service Manager - UniFirst Kansas City
Lee's Summit Medical Center RN Lees Summit
Lee's Summit Medical Center Registered Nurse (RN) Lees Summit
City Year Academic Tutor & Mentor (Entry Level, Paid, Full-time) Napoleon
Five Guys Crew Member - Starting at 17.00 O'Fallon
Five Guys Shift Lead - Starting at 15.75 Saint Charles
Five Guys Shift Lead - Starting at 17.00 Saint Louis
Bethesda Health Registered Nurse (RN) Ballwin
Bethesda Health Certified Nursing Assistant (CNA) Ballwin
Bethesda Health RN Ballwin
Belton Regional Medical Center Registered Nurse (RN) - Hiring Now! Belton
Belton Regional Medical Center Clinical Nurse Coordinator Med Tele Belton
BAYADA Home Health Care Adult and Pediatric Home Care, LPN Blue Springs
The Bungalows At Branson Meadows Dietary Aide Branson
BAYADA Home Health Care Pediatric Home Care, LPN - Weekends Branson
University of Missouri Columbia Assistant Professional Practice Professor Centralia
UnitedHealth Group Patient Access Representative - SLU Hospital - Saint Louis, MO Chesterfield
UnitedHealth Group Associate Patient Care Coordinator (SSM) St. Mary's Hospital - Saint Louis, MO Chesterfield
Hey guys, here are some recent job openings in mo. Feel free to comment here or send me a private message if you have any questions, I'm at the community's disposal! If you encounter any problems with any of these job openings please let me know that I will modify the table accordingly. Thanks!
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2023.06.09 18:05 UnDead_Ted The Psychology of Temptation: A Lesson in Pastoral Wisdom from James Ross Blackburn

The Psychology of Temptation: A Lesson in Pastoral Wisdom from James Ross Blackburn

One of the great blessings of the epistles is being able to watch the writers pastor their people. Yes, the epistles are full of theology, but they are written by and large to specific persons or people, with particular pastoral concerns in mind. What we have, then, are not just treatises on the character of the Gospel, but windows into the dealings of pastors with their people. We have much to learn on both counts.
The epistle of James is full of pastoral wisdom, both for ourselves and for those we serve. Of course, these go together. As Paul reminded Timothy, “Keep a close watch on yourself and on the teaching. Persist in this, for by so doing you will save both yourself and your hearers” (1 Tim 4:16). The following will look at what we might call a psychology of temptation, a teaching of extraordinary perception and precision from James to his people, given so that they might stand faithfully in the face of temptation.


The wages of sin is death. That is apparent, if we have eyes to see. Adultery destroys marriages. Gluttony degrades one’s health—mentally, spiritually, and physically. Covetousness constricts the heart, making one increasingly unable to love. Lying destroys trust, and therefore destroys relationships. This much is plain. It is easy to see sin for what it is when we see its effects down the road, when the marriage is irrecoverable, the heart attack has occurred, or the job has been lost.
What is not so apparent is how we get to this point. When advanced, it is apparent that sin brings forth death. When in its embryonic stages, it is not so apparent. Sin begins imperceptibly, growing until it can be seen for what it is. In other words, great sin doesn’t just happen in a moment, but over time.
James gives us an insightful account of how sin works in James 1:12-18:
Blessed is the man who remains steadfast under trial, for when he has stood the test he will receive the crown of life, which God has promised to those who love him. Let no one say when he is tempted, “I am being tempted by God,” for God cannot be tempted with evil, and he himself tempts no one. But each person is tempted when he is lured and enticed by his own desire. Then desire when it has conceived gives birth to sin, and sin when it is fully grown brings forth death. Do not be deceived, my beloved brothers. Every good gift and every perfect gift is from above, coming down from the Father of lights, with whom there is no variation or shadow due to change. Of his own will he brought us forth by the word of truth, that we should be a kind of firstfruits of his creatures.
James begins with a tremendous encouragement. Interestingly, the Greek word for trial in James 1:12 has the same root as the words for temptation in the rest of the passage. Why the ESV chose to translate the word differently (unlike, for example, the KJV, which translated the root consistently) I don’t know. However, we are on good grounds to read the verse as follows: “Blessed is the man who remains steadfast when faced with temptation, for when he has stood the test he will receive the crown of life, which God has promised to those who love him.” The encouragement is threefold. First, the Lord will reward those who stand when tempted. Even as it presents an opportunity for sin, temptation brings opportunities for faithfulness, growth, and reward, as James indicates at the beginning of his letter (James 1:2-4). Secondly, we are to expect temptation. Being tempted does not mean that we are sinful, weak, or that we have done something wrong. Rather, experiencing temptation is normal. Even Jesus was tempted, yet remained without sin. Finally, James implies that withstanding temptation and loving God are one. In other words, those who love God are those who withstand temptation. From the outset, James hints at the means of dealing with temptation—believing in the goodness of God. We’ll return to this later.
Shifting Blame
James then makes a stark and important claim: God does not tempt. On the surface, this may not seem necessary to say, for who when tempted blames God? Actually, it is more common than you might think. We see it as far back as Eden, when Adam, seeking to justify himself after eating the fruit, told God “The woman whom you gave to be with me, she gave me fruit of the tree, and I ate” (Gen 3:12). By reminding God that God gave him the woman who gave him the fruit, Adam blames both Eve and God. In other words, Adam justifies himself by citing the circumstances of his sin. And, implicitly, the God of his circumstances.
That begins to feel more familiar. Legion are the ways in which we blame others for our sin. “If she hadn’t said that….” “If he were less selfish and more considerate….” “If pornography wasn’t so available….” “If I only had more money….” In other words, rather than looking to ourselves, we are quick to blame the circumstances of our sin for our sin. In so doing, we blame God. Rather than giving thanks in all circumstances (1 Thess 5:17), we blame the author of our circumstances. Or, similarly, we blame who God made us to be. Excuses like “he’s only human,” or “boys will be boys” locate our sin not in our rebellion, but in our humanity, thereby implicitly blaming God. Blaming ensures we will never get to the root of the problem, for in blaming we fail to identify the source. Just like the doctor who misdiagnoses the cause of a disease cannot expect his patient to recover, so for the one who misdiagnoses the root of sin.
Yielding to Desire
What is that source? James is clear: “each person is tempted when he is lured and enticed by his own desire.” Here we get to the root. Temptation draws its strength from desire. This explains why not everyone is faced with the same temptations. The lure of internet pornography is a serious temptation for one man, while for another it is not. Both have the same access, only one is tempted. What is the difference? James would say that the difference is desire. The opportunity to gossip exists for all, yet some gossip and others do not. Why is this? Some want to, others do not.
Importantly, James does not say that desire is sin. Rather, he says that desire when it has conceived gives birth to sin. James here uses the analogy of sex and childbearing to illustrate how this works. First, there is conception, which occurs when a woman gives herself to a man. As in conception, desire must be received, even embraced. Said differently, consent must be given for desire to be conceived.
To return to the example of sexual sin, what happens when a married man sees another woman and is attracted to her? How does he respond to the temptation? Does he look a second time, or does he divert his eyes? Desire is conceived in the second look. What of a married woman who is tempted to harbor disrespectful thoughts of her husband, or romanticized thoughts of another man? Desire is conceived in the lingering.
Herein lie the beginnings of sin. Of course, sin in its early stages is undetectable, and it is certainly hidden, perhaps even from the sinner himself. Over time, however, sin grows—little by little, day by day, thought by thought, act by act—until it is birthed, and then seen for what it is. Yet even at this point, sin hasn’t reached the height of its destructiveness. A student can cheat and get away with it for a season, and in fact can benefit from it as he seeks to get ahead in his class. But as he makes peace with dishonesty, it seeps into other areas of his life—his friendships, his job, his marriage. Having begun with an act of dishonesty, he has become dishonest. And things begin to fall apart. While sin can be indulged for a time when its effects are not fully apparent, there will come a time when his friends don’t trust him, he is charged with embezzling, and his marriage ends. At this point, it becomes plain that sin really does bring forth death. That which we gave quarter to in its beginnings has grown to devour us in the end.
The Scriptures simply tell us to flee. Examples abound: “Flee from sexual immorality” (1 Cor 6:18), “flee from idolatry” (1 Cor 10:14), “flee youthful passions” (2 Tim 2:22). We don’t trifle with temptation, we don’t make allowances, and we don’t take refuge in the fact that others aren’t bothered. Like Joseph, who fled Potiphar’s wife even to the point of leaving his garment, we flee. We either flee temptation, or we receive it. Our refusal to flee means we have already decided.


As a wise and caring pastor, having shown both the subtle beginnings and the tragic consequences of sin, James turns to the solution. Let me mention two things.
The Character of Deception
First, he warns against deception: “Do not be deceived, my beloved brothers. Every good gift and every perfect gift is from above, coming down from the Father of lights, with whom there is no variation or shadow due to change.” This warning also takes us back to Eden. What enticed Eve to eat the fruit but deception, in this case the serpent’s insinuation that every good and perfect gift did not come from God? The serpent’s great lie was that the good life could be found apart from God and his ways. In effect, the serpent attacked God’s character by saying that He was not good, and therefore sought to deny good gifts to Adam and Eve.
This same lie is at the root of sin today. Years ago, upon leaving a church I had served for a summer, the minister (who had become a dear friend and mentor) gave me a hug, looked me in the eyes, and sent me off with words I have never forgotten: “Always remember that Satan wraps his temptations in pretty packages.” I have found that to be true. Satan wants to be seen as the giver of good gifts. Satan’s gifts, of course, are not what they appear, for what is attractively offered brings about death when received. This is true of all manner of sin—sexual sin, gossip, the satisfaction of speaking unkindly, holding onto a grudge, or hoarding money. James, therefore, makes it clear that the God whose goodness we are tempted to doubt is One who gives good and perfect gifts. And He does not change. In the end, James calls us to trust God, and therefore to trust His ways are good. It is no coincidence that James goes on to speak of God’s law as “the law of liberty.” James understands that, despite what Satan might lead us to believe, the law of God is meant for freedom, not bondage.
Being convinced of God’s goodness helps us deal with our wayward desires that make temptation so powerful. Thanks be to God, we are not victims of our own desires. In this “follow your heart” world, we can learn to lead our hearts. For instance, the Proverbs call us to “Keep your heart with all vigilance, for from it flow the springs of life” (Prov 4:23). How do we do this? The Scriptures give much guidance here, but let me mention several of Jesus’ sayings. When Jesus says “where your treasure is, there will your heart be also” (Luke 12:34), he suggests we can lead our hearts through how we spend or invest money. When he says “out of the abundance of the heart the mouth speaks” (Luke 6:45), he implies that we can guide our heart by speaking in a way that is gracious and edifying. When he says “Your eye is the lamp of your body” (Luke 11:34), he suggests that we can shape our desires by what we allow ourselves to behold. A man who gazes upon his wife alone, never allowing himself to gaze upon another woman, will find that his desires for pornography or fantasy begin to fade. A selfish man can become generous by practicing generosity, whether he feels like it or not. Perhaps this is not all we can do, but it is something we must do. In the end, shaping our desires is about the transformation of the heart: “Delight yourself in the LORD, and he will give you the desires of your heart” (Psalm 37:4), the implication being that, as we delight in the Lord, he transforms our desires into ones that he can fulfill. It is possible to get out in front of temptation by seeking to form, or re-form, our desires. But this will only happen to the extent that we believe God is for us, and that His ways are life and peace.
Loving the Beloved
Secondly, as he warns them against deception, James reminds his people of who they are, and of God’s disposition toward them. He addresses them tenderly—“my beloved brothers.” Exactly who loves them? God? James himself? I suspect the answer (which may be intentionally ambiguous) is both. As a pastor, James is genuine in his love for his people. It is precisely the failure to love their people that disqualified the shepherds in the Old Testament and the Pharisees in the New (Ezek 34; John 10). But James is certainly speaking of God as well, because in the very next sentence he speaks of God as the Father who gives good gifts. For that’s what fathers who love their children do. This is crucial, for James knows, as Paul did, that God’s kindness leads us to repentance. For the people to receive James’ admonition as from God, they must know that James loves them and, even more, that God himself loves them.
This leads to the final point. James reminds us that the crown of life, given to those who resist temptation, is given to those who love God. As mentioned above, James draws a parallel—those who resist temptation are those who love God. Here we get to the root of the issue, our love for God. The Scriptures are clear that a choice must be made, for one cannot love God and sin at the same time: “If anyone loves the world, the love of the Father is not in him” (1 John 2:15), “you cannot serve God and money” (Luke 16:13), “friendship with the world is enmity with God” (James 4:4).
How do we love God? By knowing who He is, and in particular who He is for us. As noted above, James speaks to his people as those whom God loves. James makes this explicit later in his letter when he writes in James 5:8-11:
Establish your hearts, for the coming of the Lord is at hand. Do not grumble against one another, brothers, so that you may not be judged; behold, the Judge is standing at the door. As an example of suffering and patience, brothers, take the prophets who spoke in the name of the Lord. Behold, we consider those blessed who remained steadfast. You have heard of the steadfastness of Job, and you have seen the purpose of the Lord, how the Lord is compassionate and merciful.
In the end, it is a call to establish their hearts by remembering the character of God, who was the strength of the prophets before them. James picks up on this by assuring the people that the Lord is compassionate and merciful, alluding to the most complete description of the Lord’s character to be found anywhere in the Bible: “The LORD, the LORD, a God merciful and gracious, slow to anger, and abounding in steadfast love and faithfulness…” (Exod 34:6; cf. Num 14:18; Psalms 86:15; 103:8; 145:8), the same description used of Jesus, the one “full of grace and truth” (John 1:14).
It is well known that James does not speak overmuch of the love of God, or speak explicitly of the death and resurrection of Jesus for our sins. Why he does not isn’t exactly clear to me, save that James wrote what he felt he needed to write to his people. After all, a pastor can’t say everything at once, nor is it usually wise or appropriate to try. Nevertheless, we see implied in James what John says explicitly: “We love because he first loved us” (1 John 4:19). And we know that because He is the giver of every good and perfect gift, even the gift of His Son.

W Ross Blackburn

Is the Rector at Christ the King Anglican Fellowship in Boone, NC. He holds a PhD in Biblical Studies from the University of St. Andrews and has over 20 years of ministry experience. He is a member of the St. Anselm Fellowship of the Center for Pastor Theologians.
submitted by UnDead_Ted to TheDailyDose [link] [comments]

2023.06.09 18:01 Kollv Will this impact the market? (13 more countries now qualify for visa-free travel to canada.)

Will this impact the market? (13 more countries now qualify for visa-free travel to canada.)
The list is:
Antigua and Barbuda Argentina Costa Rica Morocco Panama Philippines St. Kitts and Nevis St. Lucia St. Vincent and the Grenadines Seychelles Thailand Trinidad and Tobago Uruguay
submitted by Kollv to TorontoRealEstate [link] [comments]

2023.06.09 18:00 sfrealestatediscuss 216 Yerba Buena Ave: 4 Bed(s), 2.5 Baths(s), Single-Family Home in St. Francis Wood/Miraloma/West Portal (2,954 Sq. Ft.) - $2,795,000

submitted by sfrealestatediscuss to SFRealEstateListings [link] [comments]

2023.06.09 18:00 sfrealestatediscuss 325 Teresita Blvd: 3 Bed(s), 2 Baths(s), Single-Family Home in St. Francis Wood/Miraloma/West Portal (2,072 Sq. Ft.) - $1,088,000

submitted by sfrealestatediscuss to SFRealEstateListings [link] [comments]

2023.06.09 17:53 Oxkush 5 Caribbean countries out of 13 now qualify for visa-free travel to Canada

Canada is a destination of choice for people looking to visit, do business or reunite with family and friends.
Travellers can now apply for an electronic travel authorization (eTA) instead of a visa when travelling to Canada by air
Visa-free air travel will make it faster, easier, and more affordable for thousands of travellers to visit Canada for up to six months for either business or leisure.
Congratulations to the following Caribbean countries that made it on the list
The follow countries also qualifies for visa-free travel to Canada
For more information please visit
Immigration, Refugees and Citizenship Canada
submitted by Oxkush to AskTheCaribbean [link] [comments]

2023.06.09 17:19 Heartfeltzero WW2 Era American Memorial Card for Vincent C. Dapsis. Details in comments. (Member of the 17th Airborne).

WW2 Era American Memorial Card for Vincent C. Dapsis. Details in comments. (Member of the 17th Airborne). submitted by Heartfeltzero to WorldWar2 [link] [comments]

2023.06.09 17:18 Heartfeltzero WW2 Era American Memorial Card for Vincent C. Dapsis. Details in comments. (Member of the 17th Airborne).

WW2 Era American Memorial Card for Vincent C. Dapsis. Details in comments. (Member of the 17th Airborne). submitted by Heartfeltzero to MilitaryHistory [link] [comments]

2023.06.09 17:17 Heartfeltzero WW2 Era American Memorial Card for Vincent C. Dapsis. Details in comments. (Member of the 17th Airborne).

WW2 Era American Memorial Card for Vincent C. Dapsis. Details in comments. (Member of the 17th Airborne). submitted by Heartfeltzero to Militariacollecting [link] [comments]

2023.06.09 16:45 Raokairo Is every single doctors office backed up beyond their ability to help?

I have a huge problem. I’m in a great amount of pain in my shoulder. I woke up and this intense searing pain just pulsed through it. It’s deep, like a rotator cuff issue I think. It’s not an emergency by any means and I don’t want to burden potential patients with something that isn’t life or death, but I’m in so much pain I can’t concentrate.
I used to use St Luke’s of Blue Valley but they never answer my calls, treat me like a fucking wallet and literally never get back to me even on their stupid app. And now apparently they’ve moved and I never knew that. I’m sick of St Luke’s health system in general. It’s complete garbage that people who need to see a doctor have to wait months to see the doctor they’ve already established a relationship with. What is that?
I called HCA Belton to try to establish with a new doctor, but they’re months out for new patients. Once you get in apparently you can get same day appointments easily but that’s just what the receptionist said. It’s still over a week for me to see a fucking NP.
I don’t know what to do at this point. Urgent care facilities don’t have any resources that don’t send you fifty different places for labs, and the hospitals direct you to small practices that can’t handle the amount of people thrown at them. What do I do? I literally cannot understand what I’m supposed to do in a healthcare system that doesn’t care about my pain.
submitted by Raokairo to kansascity [link] [comments]

2023.06.09 16:05 Dr_GIR Tim Benz: New Steelers embracing the idea of training camp at St. Vincent College

Tim Benz: New Steelers embracing the idea of training camp at St. Vincent College submitted by Dr_GIR to Triblive [link] [comments]

2023.06.09 13:55 IIWIIM8 Global COVID Cases For 09JUN23

Summary As Of: 09JUN @ 11:59 GMT
Countries 229 + 2
Cases 690,076,997
Deaths 6,889,520
Recovered 662,524,478
Active Cases 20,662,999

Countries reporting new cases: 9

Countries reporting new deaths: 4

Countries reporting increased Active Cases: 10

Countries reporting decreased Active Cases: 11

Complete Chart
Data Source
With Active cases w/No Active cases w/All cases rcvrd
Cntry’s 217 10 2
Cases 690,076,997 10 2
Deaths 6,889,520 394,849 0
Rcvrd 662,524,478 38,474,190 1,959

Past 7 day totals of new: cases, deaths, recoveries & actives. With 3 & 7 day averages.

Date Cases Deaths Rcvr’s Actives
02JUN 36,379 156 29,709 20,774,091
03JUN 27,075 20 42,994 20,780,035
04JUN 24,221 45 76,730 20,729,996
05JUN 21,101 228 73,936 20,699,643
06JUN 29,984 349 34,217 20,742,006
07JUN 15,490 101 52,423 20,706,858
08JUN 8,117 29 39,584 20,675,362
3 Day Avg 17,864 160 42,075 20,708,075
7 Day Avg 23,195 133 49,942 20,729,713

Cases, Deaths, Actives by Continent

Cont Cases Deaths Actives
Europe 249,525,389 249,525,389 245,527,767
N A 126,803,132 126,803,132 122,758,349
Asia 217,730,245 217,730,245 201,417,837
S A 68,765,535 68,765,535 66,478,824
Africa 12,824,652 12,824,652 12,085,761
Oceania 14,427,323 14,427,323 14,255,234
World 690,076,997 690,076,997 662,524,478

Countries with Active Cases

Country Cases Deaths Recoveries Actives
USA 107,167,524+ 1,166,408+ 105,308,406+ 692,710-
India 44,992,293 531,886 44,457,720 2,687
France 40,107,811 167,424 39,887,439 52,948
Germany 38,428,685 174,352 38,240,600 13,733
Brazil 37,625,916 703,291 36,249,161 673,464
Japan 33,803,572 74,694 N/A N/A
S. Korea 31,789,625 34,827 31,513,256+ 241,542-
Italy 25,870,833 190,517 25,560,511 119,805
UK 24,618,436 226,278 24,380,579+ 11,579-
Russia 22,942,458 399,226 22,379,263 163,969
Turkey 17,232,066 102,174 N/A N/A
Spain 13,890,555 121,416 13,718,476 50,663
Australia 11,622,345 21,062 11,567,426 33,857
Vietnam 11,617,220 43,206 10,639,180 934,834
Mexico 7,621,062 334,167 6,869,584 417,311
Iran 7,612,065 146,278 7,366,948 98,839
Indonesia 6,809,821+ 161,820+ 6,637,404+ 10,597-
Poland 6,517,330+ 119,621 5,335,940 1,061,769+
Colombia 6,369,916 142,780 6,190,683 36,453
Greece 6,086,580 37,014 6,026,960- 22,606+
Austria 6,078,685 22,516 6,051,520 4,649
Portugal 5,590,047 26,804 5,557,584 5,659
Ukraine 5,556,030 112,394 5,437,314 6,322
Chile 5,287,757 64,497 5,223,174 86
Malaysia 5,104,772 37,100 5,050,356 17,316
Israel 4,826,780 12,540 4,798,473 15,767
Belgium 4,799,762 34,350 4,762,179+ 3,233-
Thailand 4,745,043 34,163 4,692,636 18,244
Canada 4,681,257 52,645 4,600,600+ 28,012-
Czechia 4,642,347 42,805 4,598,925 617
Switzerland 4,405,938 14,452 4,389,875 1,611
Philippines 4,152,210 66,481 4,073,013 12,716
South Africa 4,076,463 102,595 3,912,506 61,362
Romania 3,405,206 68,193 3,334,163 2,850
Denmark 3,182,019 8,727 3,173,023- 269+
Hong Kong 2,904,315 13,819 2,878,170+ 12,326-
Sweden 2,710,983 24,409 2,684,089- 2,485+
Serbia 2,542,603 18,057 2,522,011- 2,535+
Singapore 2,481,404 1,727 2,149,583 330,094
Iraq 2,465,545 25,375 2,439,497 673
New Zealand 2,387,201 4,400 2,372,212 10,589
Hungary 2,202,990 48,874 2,152,155 1,961
Bangladesh 2,039,911 29,451 1,998,448 12,012
Slovakia 1,866,857 21,167 1,845,647 43
Georgia 1,843,707 17,087 1,776,548 50,072
Jordan 1,746,997 14,122 1,731,007 1,868
Ireland 1,712,938 8,998 1,702,235- 1,705+
Pakistan 1,581,080 30,660 1,538,689 11,731
Norway 1,485,102 5,528 1,478,502- 1,072+
Finland 1,480,896 9,798 1,468,295- 2,803+
Kazakhstan 1,411,831 13,848 1,383,020 14,963
Slovenia 1,344,109 7,100 1,328,006 9,003
Lithuania 1,320,858+ 9,687 1,310,227+ 944-
Bulgaria 1,308,129+ 38,402+ 1,267,864+ 1,863-
Morocco 1,274,180 16,297 1,256,151 1,732
Croatia 1,273,871 18,266 1,255,405 200
Guatemala 1,254,286+ 20,204+ 1,231,291+ 2,791+
Lebanon 1,238,364 10,930 1,087,587 139,847
Costa Rica 1,233,482 9,379 860,711 363,392
Bolivia 1,199,962 22,386 1,168,943 8,633
Tunisia 1,153,361 29,423 N/A N/A
Cuba 1,114,429 8,530 1,105,747 152
UAE 1,067,030 2,349 1,054,525 10,156
Ecuador 1,062,275 36,019 1,025,747 509
Panama 1,040,230 8,624 1,030,855 751
Uruguay 1,038,774 7,634 1,030,944 196
Mongolia 1,010,034 2,179 1,007,147 708
Nepal 1,003,353 12,031 991,311+ 11-
Belarus 994,037 7,118 985,592 1,327
Latvia 977,891 6,344 971,406 141
Saudi Arabia 841,469 9,646 827,923 3,900
Azerbaijan 831,873 10,280 821,572 21
Paraguay 810,827 19,934 N/A N/A
Bahrain 722,093 1,565 720,390 138
Sri Lanka 672,500 16,876 655,615 9
Kuwait 665,942 2,570 660,237 3,135
Dominican Republic 661,176 4,384 644,785 12,007
Myanmar 639,475 19,494 618,398 1,583
Palestine 621,008 5,404 615,445 159
Moldova 620,574 12,118 504,142 104,314
Estonia 619,051 3,001 524,990 91,060
Venezuela 552,695 5,856 546,537 302
Egypt 516,023 24,613 442,182 49,228
Qatar 513,995 690 512,997 308
Libya 507,264 6,437 500,826 1
China 503,302 5,272 379,053 118,977
Ethiopia 500,914 7,574 488,134 5,206
Réunion 486,588 921 418,572 67,095
Honduras 472,619 11,116 N/A N/A
Armenia 449,203 8,750 435,162 5,291
Bosnia and Herzegovina 402,998 16,347 379,084 7,567
Oman 399,449 4,628 384,669 10,152
North Macedonia 348,281 9,677 337,068 1,536
Zambia 343,995 4,058 339,858 79
Kenya 343,312 5,688 337,309 315
Albania 334,726 3,602 329,428 1,696
Botswana 329,938 2,801 327,049 88
Luxembourg 319,959 1,232 316,690 2,037
Brunei 307,686 225 243,601 63,860
Montenegro 291,911 2,828 288,614 469
Algeria 271,844 6,881 183,055 81,908
Nigeria 266,675 3,155 259,953 3,567
Zimbabwe 265,139 5,695 258,888 556
Uzbekistan 253,662 1,637 241,486 10,539
Mozambique 233,417 2,243 228,805 2,369
Martinique 229,975 1,102 N/A N/A
Afghanistan 222,368 7,919 200,275 14,174
Laos 218,310+ 758 N/A N/A
Iceland 209,191 229 N/A N/A
Kyrgyzstan 206,890 2,991 196,406 7,493
Guadeloupe 202,836 1,017 N/A N/A
El Salvador 201,785 4,230 179,410 18,145
Trinidad and Tobago 191,496 4,390 187,078 28
Maldives 186,672 316 163,687 22,669
Ghana 171,657 1,462 170,161 34
Namibia 171,310 4,091 167,099 120
Uganda 170,775 3,632 100,431 66,712
Jamaica 155,063 3,550 102,987 48,526
Cambodia 138,837+ 3,056 135,735+ 46-
Rwanda 133,194 1,468 131,647 79
Cameroon 125,036 1,972 122,807 257
Malta 118,815 839 117,412 564
Barbados 107,794 593 106,971 230
Angola 105,384 1,934 103,419 31
Channel Islands 101,717 228 101,321 168
French Guiana 98,041 420 11,254 86,367
DRC 96,890 1,467 84,489 10,934
Senegal 88,999 1,971 87,024 4
Malawi 88,728 2,686 85,651 391
Ivory Coast 88,331 835 87,497 -1
Suriname 82,563 1,406 N/A N/A
New Caledonia 79,922 314 79,605 3
French Polynesia 78,590 649 N/A N/A
Eswatini 74,670 1,425 73,116 129
Guyana 73,265 1,298 71,936 31
Belize 70,782 688 70,085 9
Fiji 68,921 883 67,029 1,009
Madagascar 68,289 1,425 66,862 2
Sudan 63,993 5,046 58,708 239
Cabo Verde 63,974 414 63,474 86
Mauritania 63,715 997 62,471 247
Bhutan 62,672 21 61,564 1,087
Syria 57,608 3,164 54,370 74
Burundi 53,762 38 53,569 155
Seychelles 50,937 172 50,750 15
Gabon 48,992 307 48,674 11
Andorra 48,015 165 47,563 287
Papua New Guinea 46,864 670 43,982 2,212
Curaçao 45,986 295 44,720 971
Aruba 44,200 236 42,438 1,526
Tanzania 43,078 846 N/A N/A
Mauritius 42,576 1,050 40,814 712
Mayotte 42,027 188 N/A N/A
Togo 39,500 290 39,209 1
Guinea 38,563 468 37,757 338
Bahamas 38,084 844 36,366 874
Isle of Man 38,008 116 N/A N/A
Lesotho 34,790 723 25,980 8,087
Faeroe Islands 34,658 28 N/A N/A
Haiti 34,246 860 33,361 25
Mali 33,150 743 32,331 76
Cayman Islands 31,472 37 8,553 22,882
Saint Lucia 30,052 409 29,095 548
Benin 28,014 163 27,847 4
Somalia 27,334 1,361 13,182 12,791
Micronesia 26,459 65 N/A N/A
Congo 25,375 386 24,006 983
Solomon Islands 24,575 153 N/A N/A
San Marino 24,298 125 24,167 6
Timor-Leste 23,450 138 23,102 210
Burkina Faso 22,056 396 21,596 64
Liechtenstein 21,446 94 21,351 1
Gibraltar 20,550 113 16,579 3,858
Grenada 19,693 238 19,358 97
Bermuda 18,860 165 18,685 10
Nicaragua 18,491 225 4,225 14,041
South Sudan 18,368 138 18,115 115
Tajikistan 17,786 125 17,264 397
Equatorial Guinea 17,229 183 16,907 139
Tonga 16,817 13 15,638 1,166
Monaco 16,804 67 15,992 745
Samoa 16,763 31 1,605 15,127
Marshall Islands 16,098 17 16,079 2
Dominica 15,760 74 15,673 13
Djibouti 15,690 189 15,427 74
CAR 15,368 113 15,200 55
Gambia 12,626 372 12,189 65
Saint Martin 12,303 63 1,399 10,841
Vanuatu 12,019 14 11,976 29
Greenland 11,971 21 2,761 9,189
Yemen 11,945 2,159 9,124 662
Caribbean Netherlands 11,682 38 10,476 1,168
Sint Maarten 11,051 92 10,905 54
Niger 9,931 312 8,890 729
St. Vincent Grenadines 9,631 124 9,493 14
Guinea-Bissau 9,614 177 8,929 508
Macao 9,347+ 122 3,487 5,738+
Comoros 9,109 161 8,939 9
Antigua and Barbuda 9,106 146 8,954 6
Liberia 8,090 295 7,783 12
Sierra Leone 7,762 126 N/A N/A
Chad 7,701 194 4,874 2,633
British Virgin Islands 7,305 64 N/A N/A
Cook Islands 7,128 2 7,106 20
Turks and Caicos 6,588 38 6,529 21
Palau 6,011 9 6,000 2
St. Barth 5,494 6 N/A N/A
Nauru 5,393 1 5,347 45
Kiribati 5,037 24 2,703 2,310
Anguilla 3,904 12 3,879 13
Wallis and Futuna 3,550 8 438 3,104
Saint Pierre Miquelon 3,452 2 2,449 1,001
Tuvalu 2,805 0 0 2,805
Saint Helena 2,166 0 2 2,164
Montserrat 1,403 8 1,376 19
Niue 820 0 814 6
Tokelau 5 0 0 5
Total: 690,076,997 6,889,520 662,524,478 20,662,999

Countries with no active cases: 2

Country Cases Deaths Rcvrd
Falkland Islands 1,930 0 1,930
Vatican City 29 0 29
2 Total: 1,959 0 1,959

Countries with all cases rcvrd: 10

Country Cases Deaths Rcvrd
Argentina 10,054,251 130,509 9,923,742
Cyprus 660,854 1,364 659,490
DPRK 4,772,813 74 4,772,739
Eritrea 10,189 103 10,086
Netherlands 8,610,372 22,992 8,587,380
Peru 4,507,363 220,673 4,286,690
Saint Kitts and Nevis 6,602 48 6,554
Sao Tome and Principe 6,587 80 6,507
Taiwan 10,239,998 19,005 10,220,993
Western Sahara 10 1 9
Total: 38,869,039 394,849 38,474,190

International Conveyances: 2

Class Cases Deaths Rcvrd
Diamond Princess 712 13 699
MS Zaandam 9 2 7
2 Total: 721 15 706

Countries/Territories who do not report Active or Recovery case numbers: 19

Country/Territory Total: 19
British Virgin Islands Faeroe Islands French Polynesia
Guadeloupe Honduras Iceland
Isle of Man Laos Martinique
Mayotte Micronesia Paraguay
Sierra Leone Solomon Islands St. Barth
Suriname Tanzania Tunisia
submitted by IIWIIM8 to nCoV [link] [comments]

2023.06.09 13:40 SnooCats6607 Nurses not doing their jobs...on-call, portal messages, work notes, etc...

Is it just me, or are our practices ruled by administrators and nurses? When I say nurses are "not doing their jobs" I don't mean they are lazy a-holes (though in rare cases that also is accurate) but that an environment has been set up where their skills/authorities are not being utilized, while responsibilities beneath what is appropriate for us as physicians are pushed upon us and we have no say in it.
For example. Being on-call. 90% of these calls are useless, and most can be handled by an RN on-call. Why are we on-call at all? "Dad's (89 year old) atorvastatin was sent to the wrong pharmacy by the doctor at his appointment at 4:59PM and he is out of medication." Or the "My 2 year old has a fever and isn't breathing right, hasn't had a wet diaper all day, is throwing up." It doesn't take a doctor to handle most of this. When a prescription is needed or some advanced clinical expertise required, the call should be forwarded on to the physician, but I don't think we should be fielding this BS. They do it during the day, and sometimes they provide advice and make decisions above and beyond what is appropriate for their credentials. Then, once the clock hits 5PM, they go home and we're on call to deal with it.
Second example. Portal messages. In most cases in my practice, everything is forwarded to the provider. "I have joint aches and was bit by a tick, what should I do?" It goes first to the RN. They forward it with no inquiry for additional info straight to us. I don't have time to engage in a back and forth portal appointment.
Other examples...just exercising some clinical common sense. Person asks for an ozempic refill. Well...what was their most recent dose, when is it due to be given again, etc? And once you figure that out, why not state it in a message with the medication pended/proposed to me to sign off. Saves me a dozen clicks and mindless digging through the chart while I have 2 patients waiting in rooms.
Work notes. Someone wants one at the end of their appointment, while I have prescriptions to send and an actual chart note to write and the next patient just got into their room. Patient is at the front desk 45 seconds later asking why the note isn't done. RN comes to tell me they still need their note. How about the nurses do it? What does it need to say, what dates? And in general I don't think providers should be having to type out these work notes at all. I worked with a doc once, in urgent care, who straight refused to write the notes. The nurses wrote them, entered the dates, and he signed them. Not the case in the primary care place I am now.
Appointment intakes and history gathering. Why isn't it done the day beforehand? Why does the nurse need to spend 5 minutes asking what the patient's pain level is and whether they feel safe at home? Why do I need to search through mountains of garbage documents like PT notes and refill requests just to find their most recent colonoscopy or tetanus? Why aren't nurses doing this for us, the day before?
In general I just feel these practices are set up where we are very much employees with no control. Possibly, we have much less control compared to the RNs and even LPNs. They control the schedule, the triaging, and they forward a ton of inappropriate stuff on to us and we're left doing scut work.
submitted by SnooCats6607 to FamilyMedicine [link] [comments]

2023.06.09 11:49 AhavaKhatool St. Vincent de Paul facility aims to help get unsheltered people out of the heat

St. Vincent de Paul facility aims to help get unsheltered people out of the heat submitted by AhavaKhatool to ArizonaBenZona [link] [comments]

2023.06.09 10:12 Potential-South-4889 Sapphire still failing to fail - curaleaf too

Just got my latest meds. Once again, no hassle, no pain.
Go to sapphire portal, push buttons.
wait a day or two for email from curaleaf; pay. meds arrive next day or the day after.
this has been my consistant experience more or less for almost two years.
I'm sorry people report problems, but i honestly cant say i have had any real ones (slight frustration with curaleaf's payment idiocy about a year ago tbh).
just bringing a little balance, and no, i have no 'relationship' with either whatsoever other than being an ordinary fee and prescription paying patient. (if they want to pay me to be an ambassador, that would be great :)), but i would always make that clear.
submitted by Potential-South-4889 to ukmedicalcannabis [link] [comments]