Carolina east internal medicine cape carteret

i need to send my counselor a school list by next week and i have no clue where i want to go—help?

2023.06.09 08:08 whatwasimeanttodo i need to send my counselor a school list by next week and i have no clue where i want to go—help?

DEMOGRAPHICS
asian female
urban northeast
upper middle class (aid would be nice, but not vital)
selective public school (think similar to nyc’s shsat schools)
i’m intending to major in history of science/science technology and society with a premed focus, might also want to study journalism or education/child development
ACADEMICS
gpa: my school doesn’t send a gpa to colleges, but i have all a’s/a+’s
no class rank
we’re not allowed to take ap’s until junior year, and can only take up to two classes. i took ap biology and ap french this year, and self-studied ap english lit. next year, i’m planning on taking ap bc calc and ap gov, and self studying apush, ap psych, and ap english language. all classes offered are honors level, and i am in “advanced honors” math.
next year, i’m going to be a teaching intern for a ninth grade biology class.taken precollege programs at smith and columbia, harvard’s online bioethics program, competitive test-based science program, nyu urban journalism this upcoming summer (free, selective)
TESTING
sat: 1560 (790 ebrw/770 math), august 2022
AWARDS
grand concours (national french exam) platinum in 2021, gold (2nd in nation, first in region, $400 cash prize) in 2023
most likely national merit/ap scholar
a magazine i edit for won first place at scholastic two years ago
i’ve placed second and third regionally at science bowl if that counts?
i also was nominated for and won the ncte “promising young writers award” in 8th grade if that counts for anything? they said i could put it on college apps but i’m not sure
PUBLICATIONS
currently have one biology article where i’m credited for translation under review
hoping to publish a review article related to my research over the summer
EXTRACURRICULARS
editor-in-chief of school newspaper (12), managing editor (11), opinions section editor (10), staff writer (9), in the process of starting an initiative to mentor students at our affiliated elementary school’s newspaper
lab research internship (summer after 10-12), planning to submit to regeneron, established relationship between that lab and my school so now we send someone there every year
president and treasurer of science tutoring club geared toward providing underprivileged elementary school kids with hands on science lessons (10-12), founding member (8)
journalism team leader and english tutor for a nonprofit geared toward connecting chinese diaspora and teaching kids in rural china english (8-12)
assistant principal (likely co-principal next year) cellist in school string ensemble, been a member since 9th grade. also part of selective chamber orchestra group
science bowl student coach (9-12)
write and edit for three science publications at my school (environmental science, general science, science news)
admin work for local hospice (11-12)
volunteer in patient comfort and transport for local hospital (11-12)
nominated and selected as a student mentor for younger incoming students (11-12)
nominated and selected to be a writing mentor for younger students (12)
selected to participate in school’s research seminar program (basically teaching lab skills and research presentation), helped select future participants (10-12)
tutored in french and math (10-12)
work reception and billing for my mother’s pediatric private practice (10-12)
worked and volunteered at my local public library (7-10)
all added up, i should have around 400 volunteer hours (library, hospice, hospital, lab) by the time i apply
RECOMMENDATIONS/ESSAYS
i think i’m a pretty good writer! not comfortable sharing what my essays about here but my english teacher complimented it
counselor - 8-9/10
ap bio teachetutoring club advisoteaching intern supervisor next year - 9-10/10 (knows me very well and is familiar with my work outside the classroom, did really well in her class)
history teacher - 9-10/10 (he’s the one who encouraged me to study history of science in the first place)
lab mentor - 7/10 (doesn’t know me super well, but very respected in his field)
PREFERENCES
would like somewhere with a liberal arts focus since i’m interested in interdisciplinary studies/preparing for med school while still getting a well rounded humanities education.
would like to not have every single class be enormous.
i’d like to stay in the north—nowhere south of the carolinas. northern california/chicago is cool with me, but i don't want to go to new york city.
all i know is that i would like to try for harvard (possible rea?) since their history of science/medicine and society program is amazing, but that’s a huge reach. brown’s bs/md program also seems great, but again—huge reach for anyone i feel like.

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2023.06.09 05:39 genericfluser MMTC license applicant list

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2023.06.09 04:29 Bubzoluck [30 min read] The Opioid Epidemic before the Opioid Epidemic - Exploring Morphine Derivatives and the First Opium War (Part 1)

Hello and welcome back to SAR! I have written and rewritten this post a few times now and I think I have landed on a format I am happy with. When we talk about the impact of medicine on history its important to get the context right, and I think I have found a way to talk about our topic. So what is it? No chemical is more important to the world of medicine than Opium, okay maybe Penicillin, but today we will say its Opium. Principally an analgesic (anti-pain), the Opium Poppy allowed for humans to take away pain in great degrees and further development on the natural chemicals has opened up surgery and post-op recovery. While we tend to look at the recent Opioid Epidemic as the only issue regarding Opiates, history reveals to us a very similar precursor. Also please head over to u/jtjdp post about morphine derivatives here! She does an amazing job explaining the higher level concepts of medicinal chemistry that I just wouldn’t do justice. Alright, enough quibbling, let’s get to the good stuff.
Disclaimer: this post is not designed to be medical advice. It is merely a look at the chemistry of medications and their general effect on the body. Each person responds differently to therapy. Please talk to your doctor about starting, stopping, or changing medical treatment.

How Much do you Know About Pain?

To be alive is to feel pain, and emo sentiments aside, this is one of the biggest biological properties of the central nervous system. When you think about it, how does the body take external stimuli and allow you to recognize it? The answer is the sensory nervous system which is responsible for sensing many different types of stimuli: temperature, pressure, pain, and chemicals. These sensory neurons carry the information from the extremities and transmit it up the spinal cord into the brain for processing. From there the brain alerts you to the issue allowing you to correct whatever problem is causing the pain. Let’s take a look:

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We call these receptors Nociceptors and activation of these neurons in the periphery leads to a signal being sent towards the spinal cord. Those peripheral nerves eventually complex with the Dorsal Horn of the spinal cord and interface with the central nervous system to transfer the pain signal. This signal is then sent Ascending to the Thalamus where the pain signal is recognized and initiates a response (such as pulling your hand away from the hot stove). But that’s not the full story, the brain also sends signals back down Descending to modify the incoming signal and dampen it. Its this modifying that makes pain fade over time when you aren’t focusing on it—otherwise the brain would be overwhelmed by the repetitive signal and continuously think injury is still happening. Now let’s divide this process into its two parts, first up the Ascending pathway.

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As the Action Potential travels from the periphery towards the Spine it causes the influx of Calcium into the Presynaptic Neuron. This neuron is what carries the original signal to then transfer into the Spine for further traveling. Eventually we reach the Synapse where the finger-nerve and spine meet and we get the transfer of information via Neurotransmitters. In this case, two chemicals are released: Glutamate and Substance P (which literally stands for Substance Pain). Glutamate will activate two receptors (AMPA and NMDA) which are Excitatory and stimulate the continuation of the pain signal up to the brain. Substance P activates the NK1 receptor which enhances the frequency of the pain signal (the throbbing) and the intensity of the pain burst. So to simplify, Glutamate allows the signal to be passed up to the brain but depending on the strength of the original pain signal more or less Substance P is released which modulates the strength and attention-grabbing nature of it. Okay great, we sent the pain pathway up and it will get processed in multiple different parts of the brain. But the brain can’t have that signal stinging it so it must send information back down to dampen that pain signal. This is where that aforementioned Descending pathway comes in. Above you can see how the blue line reaches down out of the brain and back into the spine to turn ‘off’ the signal. This is the basis of Analgesia or pain relief.

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Okay so now we have to divide the action of the Descending pathway which acts to dampen and modulate the original signal coming into the brain. Now, normally at rest this Descending neuron is inhibited so any fresh incoming signal is not inhibited from the get go but once that pain signal does come in, we get the good stuff! In response to pain the brain releases substances called Endorphins which activate the mu Opioid Receptor (MOR) located on the Descending pathway. Now MOR are inhibitory in nature so they are inhibiting the inhibitory resting state of neurons, or in other words, are allowing the Descending neuron to activate. And this is an important fact to recognize, Opiates do not inhibit pain, they inhibit the physiology of the nervous system that prevents modulation of the pain signal.
- Once the inhibition is inhibited, the Descending neuron is free to release two neurotransmitters onto the nerve that was carrying the original pain signal. Both Norepinephrine and Serotonin are released to activate their respective receptors which inhibit the release of Substance P and Glutamate thus decreasing the incoming pain signal. Likewise MOR receptors are found directly on the incoming nerve and further prevent the release of Glutamate and Substance P as well as being found on the Ascending neuron preventing the activation of the NMDA/AMPA and NK1 receptors. The result: dampened incoming signal and decreased pain sense being sent to the brain.

The Stars Align in the Shape of a Poppy

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To start our story about Opiates we need to turn to the great precursor—Opium. Opium itself is not a chemical but rather a really thick liquor (called latex) that contains a high concentration of Morphine (and some Codeine). There are 38 species of Poppy plants but only two produce Opium is great enough supply that it is worth farming them and humans have been cultivating these varieties for as long as we have known about the plants. When humans settled into Mesopotamia (near modern day Iraq), Poppies were one of the few plants grown in plots as large grain or vegetable fields (meaning that they were thought of as valuable as food). Throughout the Greek age of medicine (pre-500 BCE) through the Islamic medicinal revolution (500 BC-1500 AD), Opium was a major component of treatment, assisted suicide, and poison. In fact its through the rise of the Muslim Caliphates that we see the export of Opium to other parts of the world, especially through the Mediterranean Sea once the Crusaders return. Opium trading to the East via the silk roads was an almost continuous affair since time immemorial and Pakistan was a major growing area for the Eastern Poppy trade.

By the time after the Crusades (11-13th centuries), we start to see the West’s fixation on Opium. For many reasons Europe didn’t develop many psychoactive plants to the same degree as more humid/hot climates like Africa, the Middle East, and India. This is why the importation of Opium (and also Marijuana) was such a trade commodity and staple in the development of Western medicine. During the Renaissance and the revival of Greek philosophy we start to see the re-fascination with Opium and by the 1600s we see merchants importing Laudanum into Europe for recreational and medicinal use. The standard use of Tincture of Opium (which is Opium dissolved in ethanol, a DEADLY combination) was a particularly favorite preparation which was prescribed to the lowest day-worker all the way up to kings.
- The importation and use of Opium exploded in the late 1700s once the British conquered a major Poppy growing region of India. This region (western India and most of Pakistan) was originally slated to grow cotton like the American colonies but the region wasn’t wet enough to sustain the plant—it could however grow copious fields of Poppy plants to create Opium. Throughout the 18th century the British Raj became the largest exporter of Opium to Europe and after the discovery that Mercury and Arsenic may not be safe, Opium took over their duties. By 1780 almost all major remedies incorporated the use of Opium in some capacity and with the huge supply, it was incredibly cheap.

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Poppy wasn’t only important to the British for its medicinal properties but also to bolster the huge amount of loss they were incurring in global trade to one trade partner—China. After she made contact with China in the mid-1500s, Britain starting to import HUGE amounts of tea as the Brits became literally addicted to the substance. By 1800 a full 15% of the ENTIRE British Empire’s revenue was being spent on importing tea, that’s 30 million pounds per YEAR, leading to a massive trade deficit. This means that more money was being sent to China literally enriching a foreign country while the British public was getting their fix on the black stuff. Oh and just in case you think things haven’t changed, Britain still accounts for 42.6% of the world’s tea consumption—seriously Brits, ever heard of coffee? Anyways, all this money leaving the British economy to be spent on non-Empire sustaining commodities was a major national security risk for the British. It would be different if they were importing gunpowder like the Dutch were or Silver as the Spanish had but literally they were consuming the riches they were spending the money on.
- Remember too that the British were not in the best position by the turn of the 19th century—they had just lost their colonies in the Americas, involvement in the Napoleonic Wars killed a generation of men, and the push to develop industries over public health led to a focus on fast growth rather than smart growth. One of the results of the Napoleonic Wars was the British occupation of the Island of Java which developed a very potent Opium which was traded with Chinese merchants regularly. Soon British merchants realized they could rebalance the trade deficit by selling Javanese Opium into China but the small island was unable to produce enough Poppies to meet the demand. So Britain turned to another one of its colonies, India.

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India by the end of the 1700s was a bit of a challenge. The British hold on the subcontinent was firm but they couldn’t grow the cash crops they wanted. Indian cotton was nothing compared to Egyptian or Southern American (i.e. Virginia/North Carolina/Georgia) cotton and the Indian tobacco was known for being bitter. But by the 1770s the British government realized that Poppy was an easy crop to grow and the demand across the border with China was an easy market; British traders brought their cargo to small islands off the coast of China where it was sold for silver. Initially the Chinese didn’t mind the sale of Opium in their territory—when the British traders collected the silver from the sale they would almost immediately use it to buy Chinese goods, thus driving tax revenue for the Chinese government.

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But if you buy Opium, people are going to use that Opium. By the 1810s all trade with foreigners was restricted to just one port, Canton, and slowly the city started to develop a habit for the drug. The use of mind altering substances was curtailed pretty quickly for hundreds of years in China—the Ming Dynasty banned tobacco in 1640 and the Qing banned Madak (a powdered Opium containing tobacco) was similarly banned in 1729. But by 1790 more and more Chinese citizens were becoming addicted to the substance; what started as a recreational drug slowly became a crippling addiction that took hold over Canton. For a rigid society, the crippling Opiate addiction was a moral corruption for the Qing government and forced them to curtail Opium importation in 1780 and then an outright ban in 1796.

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Knowing just how devastating the Opium was having on the inhabitants of Canton, as well as how it spread further inland, British merchants kept peddling their drug. Older ships with larger hulls were converted into floating warehouses and parked just outside of navigable waters. Once set up, Opium smugglers would pull up, purchase the Opium and avoid any oversight by the Chinese government to prevent the sale of the drug. Following their mother country, American merchants started to sell Turkish Opium, an inferior variety, at a much cheaper rate leading to drug peddling competition with more and more tons of Opium being sent into China. This drove down the price of Opium considerably which ultimately increased the demand.
- This demand eventually led to reversal of trade, meaning that more silver was leaving China to pay for Opium than the British were using to pay for Chinese goods. American and European traders could show up in Canton with holds full of Opium, sell it off for a profit, and then make a tidy silver profit to bring back to Europe. Likewise the importation of cheap machine-made cotton, furs, clocks, and steel into China driving down domestic profits.

Let’s Look at the Drugs a Bit

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Stepping away from the history a bit, let’s introduce the Family. Okay so we understand how pain is sent to the brain and how it modulates but there is so much more to the mu Opioid Receptor and that’s not the only kind of Opioid receptor that we have. The two most clinically useful receptors are the Mu and Kappa Opioid Receptors (KOR) because they result in analgesia but there is a Delta Opioid Receptor (DOR) that is worth mentioning. The majority of the Opiates that we know and love are Mu agonists but there are some very interesting Kappa agonists that are worth mentioning as well.

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Above is a chart that shows the binding affinities of select Opiates to the Mu receptor. The smaller the number is, the more tightly they bond. Now affinity is different than potency—potency is a measure of how much drug (in g) is required to produce the same effect. So even though morphine has a higher affinity than fentanyl, fentanyl has a MUCH more potent effect (which is why it can be so dangerous, you only need a little). Now many of the opiates cause the same effect so I want to spend more time on what makes them all so different:
First up we have the 5-Ring Morphinians which are derived from the natural product Morphine. These structures have 5 component parts: an aromatic benzene ring (A), a completely saturated bridge ring (B), a partially unsaturated ring with an alcohol attachment (C), a piperidine heterocycle above the rest of the structure (D) and finally a ether linkage between the top and bottom of the structure to keep it fairly rigid (E). Truthfully we are only going to focus on two locations—firstly the top alcohol (red circle) can be methylated to form Codeine, a natural Prodrug of Morphine. A Prodrug is one that is biologically inactive but goes through an initial metabolism once ingested that makes it active.

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In fact it’s this initial metabolism of Codeine that makes it very interesting. In order for Codeine to exert any pain relief it needs to be converted to Morphine which actually exerts the desirable properties. This is done by the liver enzyme CYP2D6 which is a pretty minor pathway for Codeine—only about 10% of the Codeine is actually converted to Morphine to have some action. Because of this 2D6 dependent pathway we have to be careful about administering drugs that might inhibit the 2D6 pathway because that would mean we are preventing codeine from being active. Drugs like Fluoxetine (Prozac) and Paroxetine (Paxil) are strong 2D6 inhibitors and so if we administered Codeine to someone taking this drug they’d never get any benefit from the Codeine. In addition there are genetic/ethnic differences that pharmacists can account for such as 2D6 activity. If you are someone with very little 2D6 activity then you would also not convert Codeine to Morphine and thus get no action from the drug—this may be a reason why some people say Codeine doesn’t work for them. Another reason could be that they are Rapid Metabolizers and quickly convert the Codeine to Morphine and thus get a massive hit quickly after ingestion—in that cause you’d need a much smaller dose than another person for the same effect.

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A different drug that is the opposite of Codeine is Hydromorphone (Dilaudid) which has a Ketone on ring C. This ketone and the lack of the double bond on this ring increases the lipophilicity of the drug and increases its ability to penetrate into the brain and thus have a greater effect. In fact Hydromorphone is 5-10x more potent than Morphine due to its greater ability to penetrate into the brain and increased receptor affinity for the mu receptor. Because the A ring OH is not capped with a methyl group, we don’t need to rely on 2D6 to metabolize Hydromorphone into an active drug form which again increases the activity of this drug compared to Codeine.
So combine these two structural changes—the capped OH on ring A as seen in Codeine and the increased affinity found with the ketone in Hydromorphone and we get Hydrocodone (Norco, Lorcet). Well in this case you’d get a drug that has very good affinity for the mu receptor (better than codeine) BUT is still reliant on the small 2D6 pathway for activation (worse than morphine). In this regard only about 10% of Hydrocodone is active at a time. We can see this effect in the relative doses for equivalent effect: to match the effect of 30mg of Morphine, we’d need only 7.5mg of Hydromorphone (more active) but need 200mg of Codeine (less active).

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This brings us to our last drug of this class, Oxycodone which has a special OH group found on Ring B. What you’ll notice is that Oxycodone has that capped OH on ring A so it requires metabolism through 2D6 just like Codeine and Hydrocodone. When it is uncapped it becomes Oxymorphone which has 3 times as much effect as Morphine BUT that extra OH makes Oxycodone an exclusive Mu receptor agonist. Unlike the other drugs which may go to other receptors causing side effects (more on this later).

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Next up I want to look at some Mu opioid receptor Antagonists or those than inhibit the function of the opioid receptor. Looking at the first two drugs, Naloxone and Naltrexone, we can see that they have the structure similar to Hydromorphone so they would have incredible brain penetration and affinity for opioid receptors BUT they contain that funky Nitrogen tail. Now normally there is a short methyl tail that is required for the function of Morphine but by adding a bulkier tail the drug is able to fit inside the receptor but prevent activation. What’s most important about these two drugs is that they have much more affinity for the receptor than other opiates. We can see this effect in the graph above: when no Naloxone is present, Fentanyl occupies the opiate receptor about 75% of the time. But as soon as Naloxone is administered that number drops swiftly (within minutes)--this is because Naloxone has a higher affinity for sitting in the receptor than Fentanyl. Think of it like the bully Naloxone coming up and pushing the poor defenseless Fentanyl off the swings so the bully can play on it (except in this instance Fentanyl is causing an overdose and we need to save someone’s life).

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Buprenorphine is similar but it is a Partial Agonist instead of being a full antagonist. Buprenorphine is not a 5-ring Morphinian byt a 6-ring Oripavine that has a few different modifications. The biggest additions is that it has the bulky Nitrogen tail found in full Antagonists but it has this funky C ring tail which fights the antagonism. The result is a tug of war between the antagonism of the Nitrogen tail and the agonism of this new C-ring tail resulting in Partial agonism—so if you took Buprenorphine you’d notice a markedly decreased pain relieving ability but importantly there is a ceiling effect, its much harder to overdose on Buprenorphine than other full agonists. In addition in the second graph we can see that Buprenorphine has the greatest affinity for the receptor than our other agonists which prevents someone from taking a more potent opiate while taking Buprenorphine. In this case the bully is already sitting on the swing and scaring away the other kids thus preventing them from having a turn (and potentially causing an overdose). This does mean that if someone was taking a more potent drug (like Fentanyl) and then took Buprenorphine, it would cause withdrawal just like Naloxone or Naltrexone.

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Speaking of withdrawal, let’s take a look at how that happens. Remember that the pain signal is caused by the activation of AMPA and NMDA receptors from the peripheral nerve. AMPA is a type of receptor called a G-Protein Coupled Receptor or GPCR which in this case is linked to an Excitatory G-protein which leads to the activation of the nerve. When AMPA is activated, the G-protein (Ga) activates an enzyme called Adenylate Cyclase (AC) which increases the production of pro-activity cAMP—or in simpler terms—when AMPA is activated, it leads to an increase in levels of pro-pain molecule cAMP. The Opioid receptor is also a GPCR but it is linked to an inhibitory G-protein which prevents the action of Adenylate Cyclase and thus leads to a decrease in cAMP levels. So Opiates prevent pro-pain cAMP signaling from continuing.
- In the second graph we can see how tolerance forms. Initially (A), Adenylate Cyclase and cAMP levels are not affected by having opiates even though their ability to push along the pain signal is blocked. After a few hours, the leftover cAMP is degraded and cAMP levels start to drop significantly (B). In response to these levels going down, the activity of Adenylate Cyclase starts to increase and increase (C) which raises the level of cAMP. This rise in Adenylate Cyclase activity opposes the action of the opiate which necessitates the need for increased doses of Opiates and is why tolerance forms. As sustained inhibition of Adenylate Cyclase continues, the body upregulates Adenylate Cyclase activity to create more cAMP and to combat this we increase the dose.
- Now what if after years of taking an Opiate we suddenly administer Naloxone, an Opiate antagonist. Well after weeks to months of taking an Opiate, the level of Adenylate Cyclase activity is WAY above baseline. When you administer the antagonist, suddenly Adenylate Cyclase is able to produce a TON of cAMP that normally is blocked which leads to a MASSIVE amount of downstream signaling. The result is intense nausea and vomiting, stomach cramps, fever, anxiety, insomnia, and cravings. Thankfully the withdrawal process ends after about 72 hours but is one of the worst experiences someone can go through which is why proper down-tapering of Opiates is extremely important.

A Change in Trade Policy

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Oh, you’re still here. Neat! So by the 1820s the Qing dynasty was running into many problems regarding Opium. Firstly they needed the Opium taxes to fund their efforts to put down the White Lotus Rebellion and retain power. But after almost 30 years of trade the effects on Chinese communities could not be ignored along with local officials operating under the imperial trade department, the Hong, profiting from bribes to allow Opium. Regardless of initial efforts things were getting out of hand for the Qing government. In 1800, about 4000 chests of Opium or 560,000 pounds entered the country but by 1830 that number exploded to 20,000 chests or about 3 million pounds. But more than the amount of Opium actually entering the country was the incessant rudeness of the British government to open trade.

One of the “problems” for the British traders was how clamped down trade was with China. By 1800 all trade was limited to just Canton and the Hong was a strict master of trade. Foreigners were not allowed to appeal decisions made by the Hong and only Chinese traders could sell goods further inland than Canton. Traders chafed against this extreme oversight and sent hundreds of letters to the Hong requesting special dispensations which were summarily denied. Things changed significantly in 1834 when the Chinese trade was de-monopolized away from the East India Company allowing any private trader to get involved in the Eastern trade.

https://preview.redd.it/cvbkq7vukw4b1.png?width=669&format=png&auto=webp&s=9340d153989a2f8c32a72792554f86be77e1f4eb

In August of 1834, the British sent Lord William John Napier to Macau as superintendent of Chinese trade with the explicit order to follow all Chinese regulations. Thinking he knows best, Napier decided that the restrictive Chinese trade system was too restrictive and sent a letter to the Viceroy of Canton. This was unheard of—NO foreign traders were allowed to speak directly with Chinese officials and the Viceroy refused to accept it. So why not double down by ordering two British ships to BOMBARD two Pearl River forts as a show of force? Luckily Napier died of Typhus almost directly after else it would have resulted in a full blown war.
In 1839 the Qing government appointed Lin Zexu as the Opium czar to completely eradicate the Opium trade from China. Lin banned the sale of Opium in China completely, set up rehabilitation centers for those affected by the drug, and put addicts to work to distract them while detoxing. Lin demanded that all Opium supplies must be surrendered to Qing authorities and any Chinese citizen disobeying the order would be punishable by death. He even went as far as closing the Pearl River Channel, trapping British traders in Canton and seizing their Opium warehouse stockpiles.
The replacement for Napier was Admiral Sir Charles Elliot who protested the seizure of the Opium stockpile but knew that they could do nothing. He ordered all Opium ships to flee and prepare for battle which caused Lin Zexu to beseige a group of traders inside a Canton warehouse. Elliot convinced the traders to cooperate with the Chinese government and surrender their stock, saying that the British government would compensate for the lost Opium (which he had no authority to do). During April and May 1839 the British (and American) traders to surrender 20,000 chests of Opium which was burned for three days outside Canton. Following the burning, trade resumed to normal except no more Opium was allowed. Like many other instances of the government removing legitimate sale of a drug, the black market increased markedly.
In July 1839 a new scandal rocked the British-Chinese trade system; two British sailors became drunk and beat a man death outside of his village. In response, Superintendent Elliot arrested the two men and paid compensation to the villager’s family for the loss of the man but Elliot refused to hand over the sailors to the Qing government. Lin Zexu saw this as a blatant disregard for Chinese law—afterall traders needed to understand that they can’t just come to China and violate Chinese law as they saw fit. Elliot offered to hold a trial on a British ship in front of Chinese officials to show that the men would not get off free. This incident would start the smoldering.
- On September 4th, Elliot sent two ships to Kowloon to buy food and provisions from Chinese peasants. While approaching the harbor, three Chinese war junks gave permission to the two British ships to trade but that permission was rescinded by the commander of Kowloon fort. Elliot fumed against the slight and said that if the British were not allowed to trade by 3pm, he would fire on the fort. 3pm passed and the British opened fire on the fort causing the Chinese junks to return fire. The fighting continued for 7 hours until nightfall and Elliot had to prevent the British officers from pressing the attack, thus ending the Battle of Kowloon. Having driven off the Chinese ships, the British purchased the supplies they needed while the Kowloon commander claimed that both ships were sunk and 50 British sailors killed.
- The reaction in Britain was about as much as you expect. Prime Minister Palmerston sent out letters to the Governor General of India to prepare marines to invade China and another letter to the Chinese Emperor telling him that Britain would send a military force. He sent a letter to Superintendent Elliot to set up a blockade on the Pearl River and capture Chusan Island. He also instructed Elliot to accomplish the following objectives:
  - Demand the respect as a British envoy from the Qing Government.
  - Secure the right for British law to be doled out on British subjects
  - Get recompense for destroyed British property, especially the illegal drugs that they destroyed
  - And most important, End the Canton System thus opening up China to free trade for the first time, ever.

Alright this is where we will leave things off for now, on the brink of war with China. Stay tuned!

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2023.06.08 18:55 DiscoverDurham Things to Do in Durham this Weekend (June 8-11)

Check out our full Durham events calendar.
If you'd like to add an event to our calendar, submit an event here. Please check with the event organizers to see if events change due to weather. Have a great weekend!

American Dance Festival

BODYTRAFFIC at Reynolds Industries Theater

Widely acclaimed for its “peerless dancers” who “can do it all from hip-hop to ballet” (LA Dance Chronicle), the company is composed of artists who received their training at some of the finest schools throughout the world, and its smashing repertory includes the works of renowned contemporary choreographers.
Thu, Jun 8 at 7:00 p.m.
Sat, Jun 10 at 7:30 p.m.
$27-43

2023 ADF Fête at Parizäde

Dance the night away with BODYTRAFFIC and enjoy delicious food and drinks.
Thu, Jun 8 at 9:00 p.m.
$150

Rennie Harris Puremovement American Street Dance Theater at Page Auditorium

The acclaimed work Nuttin’ But A Word by Rennie Harris pushes the boundaries of street dance vocabulary and forces its audience to view street dance through a different lens. Challenging the viewer’s perspective of street dance or Hip-hop dance and its culture, Nuttin’ But A Word takes you on a dramatic and abstract journey while twisting, matching, juxtaposing, and pulling vocabulary and music in ways unimaginable. Harris chooses to end this work in a traditional Hip-hop celebration, which Africanists may refer to as the Bantaba.
Friday, Jun 9 at 7:30 p.m. ($30-45)
Saturday, Jun 10 at 1:00 p.m. (Children’s Matinee - $12)

Multi-Day Event

Triangle Restaurant Week

A week-long celebration of culinary excellence designed to incorporate the premier Raleigh, Durham, Chapel Hill and surrounding area restaurants
Participating restaurants offer special three-course menu options and fixed pricing
No reservations, tickets, or passes are required
Today - Jun 11
$20-50

Venue Weekend Schedules

Events at DPAC

Thu, Jun 8 at 7:30 p.m. - Indigo Girls with Full Band
Fri, Jun 9 at 7:00 p.m. and 9:30 p.m. - Shane Gillis

Events at The Carolina Theatre

Fri, Jun 8 at 8:00 p.m. - The Monti: Freak
Sat, Jun 10 at 9:00 a.m., 12:00 p.m., 3:00 p.m., 6:00 p.m. - Dancing Through the Decades

Events at The Pinhook

Fri, Jun 9 at 9:00 p.m. - Severed Fingers / Austin Lucas / DJ Melanoma
Sat, Jun 10 at 8:00 p.m. - Burlesque: The Rainbow Connection – Boom Boom’s Big Gay B-day Review
Sat, Jun 10 at 10:00 p.m. - No Visa X The Conjure
Sun, Jun 11 at 8:00 p.m. - Kym Register + Meltdown Rodeo / Tami Hart / Dunums

Events at Motorco Music hall

Thu, Jun 8 at 6:00 p.m. - Drag Trivia

Events at The Fruit

Fri, Jun 9 from 2:00am - Sat, 10 2:00am - SUB: Terranean
Fri, Jun 9 from 10:00 p.m. - 2:00 a.m. - HOUSE OF HER : An All Girls Pride Party
Sat, Jun 10 from 9:00pm - 2:00 a.m. - Cosmic Gate

Live Music at Blue Note Grill

Fri, Jun 9 at 6:00 p.m. - The Duke Street Dogs
Fri, Jun 9 at 9:15 p.m. - Crones of Anarchy
Sat, Jun 10 at 7:30 p.m. - Addison's Playworld / Durham High Get-Together

Events at Moon Dog Meadery

Thursdays - Free Board Games
Thu, Jun 8 at 7:00 p.m. - Trivia
Fri, Jun 9 at 8:00 p.m. - 2nd Friday Blues Dance Night
Sat, Jun 10 at 8:00 p.m. - An Offering to Bragi

Live Music at Sharp 9 Gallery

Fri, Jun 9 at 8:00 p.m. - Angela Bingham w/Jim Ketch Quintet
Sat, Jun 10 at 8:00 p.m. - Frankie Alexander Quartet

Events at Arcana

Thu, Jun 8 - Pridechata and Tarot with Rene
Fri, Jun 9 - Queer Joy: A Party and Fundraiser for Bodily Autonomy and Tarot with Virginia
Sat, Jun 10 - Tarot with Heiltje
Sun, Jun 11 - Jay Hammond & Quran Karriem and Tarot with Emily

Events at Rubies on Five Points

Thu, Jun 8 at 8:30 p.m. - Step Friends with Gentle Junior, Megabitch
Fri, Jun 9 at 10:00 p.m. - Renaissance Disko Presents: Body Tempo
Sat, Jun 10 at 9:00 p.m. - Shallow Cuts: Mad Mix Beyond Thunderpop!

Events at Durty Bull Brewing Company

Thu, Jun 1
- 5:00 p.m. - 9:00 p.m. - Food Truck: Tacos Mama Chava
- 7:00 p.m. - 9:00 p.m. - Thursday Trivia with Nick
Fri, Jun 2
- 5:00 p.m. - 9:00 p.m. - Food Truck: Tacos Paradise
- 8:00 p.m. - 11:00 p.m. - Open Mic Stand-up Comedy
Sat, Jun 3
- 12:00 p.m. - 8:00 p.m. - Food Truck: My Taste of Caribbean
- 12:00 p.m. - 3:00 p.m. - Durty Dog Day
- 4:00 p.m - 6:00 p.m. - Live Music: Peridot Sun
- 6:00 p.m. - 10:00 p.m. - Bull Durham Screening Series
Sun, Jun 4
- 1:00 p.m. - 3:00 p.m. - MotoGP Watch Party
- 2:00 p.m. - 4:00 p.m. - Hammered Trivia with Thor

Live Comedy at Mettlesome

Thu, Jun 8 at 7:30 p.m. - The Uproar, a sketch comedy show
Thu, Jun 8 at 9:00 p.m. - Standup Comedy Open Mic
Fri, Jun 9 at 7:30 p.m. - The Uproar, a sketch comedy show
Fri, Jun 9 at 9:00 p.m. - Well Seasoned
Sat, Jun 10 at 6:00 p.m. - Improv 101 Graduation Showcase
Sat, Jun 10 at 8:00 p.m. - The Racket - Pride Edition!
Sat, Jun 10 at 9:00 p.m. - Sounds Gay, I'm In
Sat, Jun 10 at 10:00 p.m. - The Alphabet Hour

Events at Glass Jug Beer Lab in RTP

Thu, Jun 8 from 6:00 p.m. - 9:00 p.m. - Beer Garden Jam Sessions
Fr, Jun 9 from 5:00 p.m. - 8:00 p.m. - RTP Food Truck Fridays
Sat, Jun 10 from 5:00 p.m. - 8:00 p.m. - Beer Garden Jam Sessions

Events at Glass Jug Beer Lab in Downtown Durham

Thu, Jun 8 from 7:00 p.m. - 9:30 p.m. - Live Music in the Taproom
Jun 8-11 from 6:00 p.m. - 9:00 p.m. - Weekend Food Trucks

Thursday, Jun 8

Thirsty Thursdays at Dashi

Each month Dashi's Thirsty Thursday drink specials revolve around a monthly theme – spirits, cocktails, special ingredients, brand, location, etc. – with new sips every Thursday. Learn more about upcoming themes on their website or visit them in person – there's always something new to try from their expansive bar!
5:00 p.m. - 10:00 p.m.

Vinyl Night with DJ Deckades at Gizmo Brew Works

Enjoy fresh vibes on the patio with DJ Deckades. Bring your own vinyl to share or just listen to what the DJ is spinning.
6:00 p.m. - 9:00 p.m.
Free admission

Boulders & Brews Meetup at Triangle Rock Club - Durham

Show up and climb at TRC Durham, then head over to Hi-Wire for some brews. Don't worry if it's your first time or haven't bouldered before; everyone's welcome.
Your first visit to the gym with the Meetup includes free admission and gear rental, and subsequent visits with the meetup are $15 and include harness rental (outside of meetups, day pass rates of $19 apply and do not include rentals).
6:30 p.m. - 8:30 p.m.

Trivia Night w/Big Slow Tom at Clouds Brewing Brightleaf Square

Join Clouds Durham for Big Slow Tom's Trivia Night, every Thursday. Win some prizes, drink some beer, and show your smarts.
Enjoy $4 select draft and $5 rotating bartender's choice all night.
7:30 p.m.
Free admission

Friday, Jun 9

Tasting at Ten at Counter Culture Coffee

Every Friday morning at 10 am, Counter Culture Coffee opens their Training Centers to coffee lovers who want to learn more about Counter Culture Coffee’s high-quality, sustainably sourced menu.
10:00 a.m.
Free, but donations accepted

Saturday, Jun 10

Durham Farmers’ Market at Durham Central Park

The Durham Farmers’ Market offers locally grown fruits and vegetables, meats, eggs, cut flowers, artisanal cheeses and breads, home-baked pies, honey, handmade chocolates, preserves, local wines, handmade soaps, fresh pasta, and artwork of all sorts!
8:00 a.m. - 12:00 p.m.
Free admission

South Durham Farmers' Market at Greenwood Commons Shopping Center

The market strives to support new and growing farms and vendors in the greater Durham area, and they are also home to some of the most iconic Durham brands around.
8:00 a.m. - 12:00 p.m.
Free admission

parkrun Durham at Southern Boundaries Park

A free, fun, and friendly weekly 5k community event. Walk, jog, run, volunteer, or spectate. It's up to you!
8:00 a.m.
Free admission

Crafternoons at Gizmo Brew Works

Free pint with purchase of craft box. Choose from a variety of craft packages available for all ages.
12:00 p.m. - 10:00 p.m.

Sunday, Jun 11

Al Strong Presents Jazz Brunch at Alley Twenty Six

Al Strong, the Grammy-nominated jazz trumpeter, composer and recording artist, will bring a rotating lineup of musicians to perform during Sunday brunch at Durham's Alley Twenty Six. Weather permitting the band will perform in the bar’s namesake alley.
Brunch from 10:30 a.m. - 2:00 p.m.
Music 12:00 p.m. - 2:00 p.m.

Food Truck Rodeo at Durham Central Park

Most trucks accept credit cards but an ATM machine is on site as well. Free parking is available in nearby lots. Bring a blanket or a lawn chair so you can enjoy a relaxing and enjoyable Durham afternoon with friends and family.
12:00 p.m. - 4:00 p.m.
Free admission

Public Tour at Duke Chapel

Learn about the history, architecture, and life of Duke Chapel in this tour, which is free and open to the public. The tour begins at 12:15 p.m., or immediately following the conclusion of the Sunday morning service, and lasts approximately forty-five minutes.
No reservation is required but if you plan to bring a large group please notify us in advance. Meet the docent on the front steps of the Chapel.
Paid parking is available on a first come, first served basis in the Bryan Center Parking Lot at 125 Science Drive. ADA parking is available in the Bryan Center Surface Lot at the same address.
12:15 p.m. - 1:00 p.m.

Trivia at Navigator Beverage Co.

Hosted by the Triangle’s Trivia team, Hammered Trivia, gather your team and post up to compete for prizes and enjoy an afternoon of great drinks, great friends, and great games.
2:00 p.m. - 4:00 p.m.
Free admission

Running Art Exhibits

upstART Gallery: A Jim Lee Project at Pop Box Gallery

upstART Gallery will host its first group show at Pop Box Gallery & The Art Chose Me’s residency in Old East Durham. The show features 27 artists who were selected through an open call review process. Artists were challenged to create work especially for this unique space, scaled 1:12 (one inch = one foot).
Wed-Sat from 12:00 p.m - 6:00 p.m.
Runs through Jul 1

Exhibit at 21c Museum Hotel

Truth or Dare: A Reality Show
- Runs through March 2024
Open 24 hours
Free admission

“Extra-Spectral” at the Durham Art Guild Truist Gallery

This exhibit highlights several NC-based artists that, on the surface, use colors that are “extra” (which is where their commonality ends) to evoke their intent through a combination of this color with forms and imagery as well as the concepts embedded in color’s many identities. Artists Jane Cheek, Jerstin Crosby, Zach Storm, Tonya Solley Thornton and Leif Zikade all require color to play a primary role in their work and their relationship to an audience.
Mon–Sat from 9:00 a.m. - 9:00 p.m. and Sun from 1:00 p.m. - 6:00 p.m.
Runs through June 4
Free admission

Donna Stubbs, Featured Artist at 5 Points Gallery

5 Points Gallery in downtown Durham introduces a new exhibit featuring the work of our member artist, Donna Stubbs. Donna uses an archaeological approach to painting, as she lovingly photographs her surroundings and unearths discarded items in thrift stores to create abstract mixed media works.
Free admission

Chieko Murasugi & Renzo Ortega at Craven Allen Gallery

An exhibition featuring both abstract and figurative works by two artists with international backgrounds. The SEQUENTIAL exhibition invites the observer on a visual journey, generating an organic relationship between the artworks and the gallery's visitors. Through the dynamics of color, form, ideas, and narratives, Chieko Murasugi and Renzo Ortega seek to generate a dialogue and the experience of art appreciation with the audience.
Sat, May 20 at 5:00 p.m. - 7:00 p.m. - opening reception
Runs through July 8

Spirit in the Land at the Nasher

Spirit in the Land is a contemporary art exhibition that examines today’s urgent ecological concerns from a cultural perspective, demonstrating how intricately our identities and natural environments are intertwined. Through their artwork, 30 artists show us how rooted in the earth our most cherished cultural traditions are, how our relationship to land and water shapes us as individuals and communities
Tue-Fri from 10:00 a.m. - 5:00 p.m. Sun from 12:00 p.m. - 5:00 p.m.
Runs through Jul 9
Free admission

Andy Warhol: You Look Good in Pictures at the Nasher

Andy Warhol: You Look Good in Pictures explores the breadth of the artist’s relationship with photography through several distinct bodies of work including screenprints of celebrities, all of which were taken from photographs, a group of Polaroids and black and white snapshots illustrating his social circles, and an early silent film of the curator Henry Geldzahler from 1964.
Tue-Fri from 10:00 a.m. - 5:00 p.m. Sun from 12:00 p.m. - 5:00 p.m.
Runs through Aug 27
Free admission

Art of Peru at the Nasher

This gallery features ceramics, textiles, metalwork and carvings produced by ancient cultures across what is known as present-day Peru.
Tue-Fri from 10:00 a.m. - 5:00 p.m. Sun from 12:00 p.m. - 5:00 p.m.
Runs through Dec 2
Free admission

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2023.06.08 16:58 PritchettRobert506 [HIRING] 25 Jobs in NC Hiring Now!

Company Name	Title	City
BAYADA Home Health Care	Registered Nurse	Albemarle
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Nu-Tec Systems	Customer Service Representative	Mooresville
The Adecco Group	Warehouse Associate	Apex
The Adecco Group	Storeman	Apex
The Adecco Group	Warehouse Worker	Apex
Whole Foods Market	Assistant Store Manager	Asheville
CarolinaEast Health System	RN, Nursing Resource	Bayboro
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CarolinaEast Health System	Home Health RN, Home Health	Bayboro
American National Bank and Trust Co.	Relationship Banker - Floater	Burlington
CarolinaEast Health System	Cardiologist 86360	Camp Lejeune
Duke Health	Registered Nurse (Experienced RN) - Adult PACU - Duke University Hospital 36hrs	Chapel Hill
Duke Health	Registered Nurse (RN) - Duke Health - General Surgery Trauma Stepdown (Unit 8300)	Chapel Hill
Duke Health	Registered Nurse (Experienced) - Duke University Hospital - Operating Room - Orthopedics - PRN	Chapel Hill
Five Guys	Shift Lead - Starting at 16.00-18.00- Northcrest	Charlotte
Schleich GmbH	Manager Ecommerce	Charlotte
Duke Health	Service Access Nurse - Oncology Cancer Diagnostic Clinic Durham, NC	Durham
Duke Health	Registered Nurse - Duke University Hospital - General Medicine Stepdown (8 East) - PRN	Durham
Duke Health	Gastroenterologist	Efland
Duke Health	Surgical Technologist-Operating Room	Efland
Duke Health	Registered Nurse (New or Experienced RN) - DUH - Adult Medicine Stepdown (4300)	Efland
Travel Nurse Across America	Progressive Care Unit - PCU RN - TravelNurse	Elizabeth City
UniFirst	Maintenance Custodian - UniFirst	Fayetteville

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submitted by PritchettRobert506 to NorthCarolinaJobs [link] [comments]

2023.06.07 23:52 studentpuppy Help with anxiety meds for my dog

Hi! I have a small dog (16 lbs), spayed female, 6-8 years old, extremely adorable, with no health conditions except periodontal disease and occasional bilious vomiting. We live in an east coast city in the US.
When I got my dog 5 years ago, she had been a stray for her entire life up to that point and was extremely scared of a lot of things. We’ve worked slowly on her fears, and she does really great with almost everything now, including men, crowds, and other dogs! However, she still gets extremely distressed about a few things I cannot avoid: thunde fireworks, being in the car, and going to the vet.
My vet gave me trazadone for her anxiety shortly after I got her, and from what I’ve seen, I don’t think it works for her. I want to stress that I am not opposed to medicating her for anxiety, especially for predictable triggers like long drives or the vet, and I take anxiety medicine myself. However, when she takes the trazadone before vet appointments, she essentially appears to be stoned but still anxious, like a human who smoked too much weed. She moves slowly, stares vacantly, and seems a bit confused, but she still shakes, pants, and cowers to the same extent as when she’s not medicated at the vet. I mentioned this to my vet at her most recent visit, and asked if there was anything else she could take for anxiety instead, since this doesn’t seem to be working for her. He said that despite the external signs of stress, she is feeling calmer internally when using the trazadone. If this is the case, that’s great, but that doesn’t entirely make sense to me. Is it possible the trazadone is working for her? And if not, how would you recommend convincing my vet to let her try something else?

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2023.06.07 22:27 strabosassistant Essay [v0.9 2 of 2] Pitchforks to an Android Fight: How A.I. destroys the class power balance

Part 2 of 2: All constructive criticism is welcome and the more specific, the better.

Bringing a pitchfork to an android fight

This leaves the ruled with the sole strategic deterrent of their collective potential for violence. The deterrent is twofold:

Their potential as agents of coercive violence on the part of intra-class competitors
Their collective power as a ‘mob’ or mass movement that if necessary can overwhelm through numbers (a la Bastille)

In societies, where the institutions of legitimacy are hereditary, intra-class rivalries are more likely given the largely unconditional and irrevocable nature of legitimacy conferred by birth. No effective mechanism can remove class membership without challenging the legitimacy of the institution conferring membership.
Privileges and special treatment are often accorded to members of the same class in external societies with matching institutions of legitimacy. These privileges can even hold in wartime where either special treatment during capture or prohibitions against shedding ‘royal’ or ‘noble’ blood set class members apart from the ruled populace of either society.
This irrevocability of status limits the ability of a class to neutralize rogue members. Even if rejected by other class members, rogue members are often able to still garner support internally and externally based on their claim to legitimacy as in the case of James Francis Edward Stuart.
This inherent instability results in the courting of the ruled by competing members of the ruling elite as agents of violence. It can be as gross as the direct financing of the Clodian and Milonian gangs by Caesar and his opponents or the actual bidding war for the Roman Imperial purple by Didius Julianus. Or it can be as professional as purchasing the services of condottieri during the Italian city-state conflicts. The commonality is gathering enough of the ruled to bludgeon other members of the ruling elite into submission.
The 20th century saw the beginning of the end for hereditary institutions of legitimacy. The Chinese and Russian Communist revolutions as well as the ascent of Nazism in Germany represented the rise to power of ideologies that were fatally antagonistic to the aristocracy) and royalty. The post World II breakup of the British Empire - especially in India - saw the removal of more hereditary rulers as former colonies coalesced into independent modern nation-states. Even the former imperial leader saw radical institutional shakeups. The Labour Party’s victory in the 1945 elections started Great Britain’s transition from hereditary legitimacy as well culminating in the House of Lords Act 1999 and its following updates. In less than 100 years, a substantial portion of humanity transitioned their institutions of legitimacy and the basis of ruling elite power.

The end of elite intra-class conflict

Modernity has seen the irrevocable legitimacy of birth and descent replaced with the conditional legitimacy of intellectual compliance with the ruling elite’s philosophy or ideology. This phenomenon is most easily discerned in the Soviet Union, Communist China and other formecurrent Communist countries.
Elites were subject to constant surveillance and purged for even small infractions of ideological deviation. Surveillance was pervasive - so pervasive that in East Germany it was estimated that there was one Stasi (secret police) informer for every 6.5 citizens. Once identified as deviants, purged members were de-legitimized prior to removal in tightly controlled trials where ‘extracted’ confessions were presented as damning evidence of ideological nonconformity. This ‘delegitimization’ was so effective that popular uprisings on behalf of purged members were/are virtually nonexistent. With no legitimate claim or access to energy in the system, the purged members are rendered powerless to raise groups of the ruled to save them.
In Western Europe and the vast majority of the Anglosphere, credentialism is the preferred institution of legitimacy and can be revoked unlike inherited nobility or spiritual superiority. Credentialism (nominal meritocracy coupled with ideological compliance) forms a framework of class control slightly less punitive, yet every bit as pervasive as the Communist regimes.
In a credentials-based system, the institutions that bestow credentials - such as elite universities - represent a significant chokepoint of control over ruling elite members.
Attendance has its privileges. In the United States, Ivy League and Ivy League plus graduates are overrepresented in the upper echelons of US government, business and non-profit institutions. Currently 8 out of 9 US Supreme Court justices are graduates of just two law schools: Yale and Harvard Law. 4 out 5 of the last US Presidents graduated from Ivy League schools.
However, despite representation as a ‘meritocracy’, admission to and attendance at these institutions are not contingent solely on merit. The most obvious exceptions being legacy preferences and affirmative action. Legacy preferences and affirmative action are non-merit criteria for admission that enables ruling elites to play gatekeeper and prefer members of their class or preferred candidates for addition to the class.
Less obvious though is the implied ideological conformity to become a member of these credential granting institutions. During the 1950s and 1960s, the whiff of Communist sympathies could blacklist an individual from these institutions. In present times, differing views on gender, race, immigration or even ‘lack of personality’ can bar an individual from admission, cause rescission of admission or expulsion from these credential granting institutions. Earned credentials can be revoked for academic disagreement if it buts against the class consensus as is the case in California where disagreement with the ‘consensus’ over COVID now allows medical license revocation.
Technology makes possible the ubiquitous yet decentralized class policing to maintain conformity in the West. Stray comments from years in the past during literal childhood are now grounds for exclusion or ‘cancellation’. Social media and cancel culture allows class coordination in real-time with everything captured on phones and immediately shared on Twitter, Tiktok, Instagram to generate instant class outrage and cancellation - all without recourse to a government institution. There’s no longer a need to ‘eliminate’ someone when a bot can post inciting content that results in the loss of credentials, employment and social status for the problematic individual.
Whether the punitive Communist system or the slightly less punitive yet every bit as controlling Western system, the revocable nature of legitimacy in both systems enables modern elites to resolve intraclass disputes without having to resort to mass violence. Expulsion from the institutions of legitimacy is possible without death and can be instantaneous since unlike birth-descent legitimacy which only ends upon death, removal of a credential or Party membership doesn’t require the individual to be found, seized and killed. A few keystrokes and boom! - virtual death.
This ease and swiftness of delegitimization means class dissidents are less likely to be able to garner and maintain enough popular support necessary to violently contest for supremacy.
While beneficial to the ruling class, this removes participation in the informal violence of intraclass conflict within the ruling elite as a path of advancement or accommodation for the ruled. The ruled are no longer needed to maintain the intra-class balance.

We need pitchforks. Lots of pitchforks.

The ruled populace’s sole remaining leverage is to act as members of the formal security institutions of the society such as the armed forces or law enforcement.
The structure of the armed forces mimics the same control structure as other social institutions with the officers corps overpopulated with members of the ruling elites and the bulk of recruits from the other strata of society.
In the US, the bulk of the enlisted recruits - 80% - 90% of the total - are from households under $100k annual income. With an average income of slightly over $50,000, these recruits’ household incomes are significantly below the top 10% annual income average of $173,000 .
Doing the bulk of the fighting and dying has meant that the ruled populace has enough strategic value to the ruling elite as violent counterbalances to external elites that accommodations in energy distribution and class membership are a grudging but recurring feature of political history.
There’s a roughly direct relationship between conflict severity and the level of accommodation. The violent global paroxysms of the 20th century (WWI, WW2, the Korean War) saw the advent of socialized medicine), the GI Bill and other concessions throughout Western Europe and the Anglosphere. The Cold War saw the further growth of the welfare state in the societies of the West as well the advent of a series of development/aid programs directed towards the developing world. The ruling elites of the West and the Communist bloc competed with accommodations to shore up their popular support domestically and globally in case of another world conflict that might be nuclear and apocalyptic in nature.
The Vietnam War represented the beginning of the end of this type of popular accommodation in the United States. The usual inequities of socioeconomic status vs combat exposure were hyper-magnified as college and health related exemptions allowed many scions and aspiring members of the ruling elite to avoid the conflict altogether.
This left the armed forces composed of draftees - disproportionately from the lower socioeconomic classes - commanded by the few volunteer members of the ruling elite. The results were disastrous. Social justice protests, McNamara’s Morons, ‘fragging’ and other disciplinary and performance issues - caused by the imbalanced force structure - proved such a toxic stew that the US moved to an all-volunteer force in 1973.
The move to a professional army removed the need for broad-based popular consent to ensure force cohesion during conflict (or so the theory went). And with the decreased need for broad-based support, the US ruling elites began to contract the post-World War accommodations and welfare-state.
First to suffer was veteran treatment as the soldiers exposed to Agent Orange were denied compensation and care for the myriad health problems resulting from their exposure. The 1980s saw the beginning of the end for The Great Society welfare state and culminated with the ‘end of welfare as we know it’ being signed into law by President Bill Clinton in the 1990s. Offshoring began in the 1980s and accelerated with NAFTA and China’s accession to the WTO. This coupled with the Reagan-Bush-Trump tax cuts further eviscerated the middle class which typically provides the bulk of armed forces recruits.
Initial impacts on operational readiness appeared during the first Gulf War, Afghanistan and the second Gulf War but were ameliorated by extended and repetitive use of reserve forces. However, recruiting has plummeted across the board and the soldiers that fought the last three American conflicts are aging out of service eligibility. In 2022 and 2023, it is projected that all branches except the Space Force will have failed to meet recruitment goals.
The likelihood that new recruitment techniques will improve the situation are grim as the Army estimates that only 23% of the 17-to-24 year olds in the US would even qualify as recruits. The other 77% are unable to pass the basic armed forces entrance exam or are too overweight/obese to meet minimum fitness requirements.
A shrinking pool of recruits has not impaired the ruling elites’ willingness to engage in armed conflict to achieve their geopolitical goals. Currently, the United States and its NATO allies are engaged in a proxy war in Ukraine against Russia. The United States, Taiwan, Australia, South Korea, Japan and the Philippines stand on the verge of conflict over Taiwan and access to the South China Sea.
All of the actors in these brewing or ongoing conflicts are experiencing some degree of demographic decline with severe population declines projected for Russia, Ukraine, China, South Korea, Japan and much of Europe. The United States is projected to be buoyed by immigration however the native birth rate has already plummeted below replacement levels.
This leaves the ruling elites with the confounding situation where the current economic and political institutions they control have ennervated the ruled populace to the point it impairs their ability to project power externally. Rebuilding the middle class that provides the bulk of recruits would necessitate major structural changes that would greatly lessen their class’ control and at least a generation of time for enough children to be born to erase the recruitment deficit.
Reversing 40-years of rigged economic and political policy alone would represent a Herculean task. But couple this with natural class resistance to any loss of control egged on by the psychopathy of the class leaders, the necessary changes are improbable to the point of impossible.
With no change and conflicts on the immediate horizon, the ruling elites have one solution left to them to replace the dispossessed recruitment pools of the middle class - artificial intelligence and autonomous weapons.

Move over humans. It’s time for something scarier.

A.I. powered weapons offer a number of advantages over human combatants. Not only does A.I. already demonstrate tactical superiority against human opponents in simulation, but its unique nature is particularly appealing to the ruling elites.
Without conscience or kinship ties or moral safeguards, the A.I. soldiers will pursue any objective regardless of the dubious nature of the orders. History would have been markedly different if A.I. soldiers had been present in the Soviet Union during the hardline coup against Gorbachev or available to the Arab rulers during the Arab Spring. Implementing Asimov’s Laws of Robotics would be foolhardy in a combat android but even if implemented, the noted problems of AI control could result in unintended casualties.
Additionally, as non-humans, casualties no longer equal declining morale in the armed forces and society as a whole. The Vietnam War demonstrated the impact of seeing body bags of soldiers returned home. During the Afghanistan, Gulf and Iraq wars, this type of footage was banned (until 2009) to stop the type of social unrest that occurred during the Vietnam War when the public was faced with the direct cost of conflict. It is doubtful that humans will see injured or killed A.I. soldiers in the same empathetic light as they do human casualties. Risky missions start to have acceptable loss levels and this change enables more aggression on the part of ruling elites.
But the greatest advantage of the new A.I. soldier is that there is absolutely no need for accommodation by the ruling elites to the ruled populace to maintain their base of power. A newer, remorseless and completely obedient purveyor of violence is now available to the ruling elite. It makes no demands beyond bare functioning and feels no emotional remorse for immoral acts.
These A.I. soldiers that are capable of maintaining the developed world’s strategic parity to the global masses’ numbers can be also used internally to quell any possible dissent or mass movement. A.I. generally offers unlimited potential for surveillance and internal class discipline but coupled with advances in robotics, it will offer an ethics-free physical enforcer to combat protests like Sri Lanka, Canada, the Netherlands and the United States. There are no repercussions available for the A.I. soldier since they have no personhood or control so even the spotty administration of ICC justice isn’t a deterrent. Already law enforcement agencies in Los Angeles, New York and other jurisdictions are deploying robotic dogs - which is eerily reminiscent of the usage of attack dogs by oppressors through history. An A.I. soldier that was used for similar purposes would have no fear of punishment or injury or fear at all unlike the officer or even the dog in past situations.
Attempts to control this new technology and A.I. soldiers are manifesting in calls for A.I. regulation and licensing by the ruling elites of the US and Western Europe. The potential for positive change through a human-A.I. partnership is tremendous and widespread availability has the potential to provide the ruled populace with substantial technical and economic advancements without the overhead of the ruling elite. Citing the danger of extinction by A.I. while simultaneously continuing development of the technology highlights how disingenuous the call for regulation is by the ruling elites. In reality this is a call to restrict any dangers presented to their institutional control of education, finance and healthcare as well as their monopoly of violence within society.
The future is grim for the ruled populaces of humanity. At a time that technology could power the solutions to climate change, economic collapse and space exploration, the technology is being evolved and restricted to prop up the ruling class’ domination. And with no bargaining chips left - whether as producers or gangs or soldiers - the real extinction crisis may not be for humanity as a whole but for the ruled.

Appendix: A Classical Case of Control

Pre-Marian reforms

In the pre-Marian reform Roman Republic, strict divisions were made between patricians )and plebeians with severe restrictions on political and religious participation placed on the plebeian class. Military service was strictly limited to property owners to ensure that the landowning class maintained a monopoly on violence. A credo of tribal superiority ranking Roman -> Latin -> Italian -> non-peninsulars was embodied legally in tiered political membership of Citizen -> Latin Rights holder -> Foreigner. Membership was zealously policed by officials called censors who were initially exclusively patrician.
The patricians of Rome were successful in maintaining their monopoly of power until a series of secessio plebis (Latin: withdrawal of the commoners or secession of the plebs) or general strikes by the plebeian class forced the patricians to cede some power, privileges and land to the plebeian class. Faced with complete economic standstill, a series of accommodations were made to maintain the viability of the power structure itself.
This cession of power was largely illusory though. While technical class distinctions were removed, the old patrician class and the wealthiest of the plebeian class merged through co-option and intermarriage to form a new nobility that enforced their new collective will through property qualifications restricting political participation.
This new nobility fought any further accommodations to middle and lower classes such as the Gracchan, Marian and Livian reforms. The brothers Gracchi and Livius Drusus) were killed and Marius died in the middle of a civil war with Sulla and his noble adherents.
Conquest and the resulting ubiquity of slavery destroyed any further economic leverage the lower classes had. With literally millions of slaves now cheaply available, laborers, craftspeople, shopkeepers and domestic employees were dispossessed of their livelihoods as slaves replaced them in their jobs. Small landholders were driven off their farms and into the urban stews as the treasure of conquest inflated the price of real estate astronomically.

Post-Marian reforms

The Marian reforms left one avenue for the lower classes - the military. As the rich and powerful (Marius v Sulla, Pompey v Caesar, Augustus v Antony) fought each other for supremacy within their own class, the poor were courted with numerous concessions and bonuses to serve as soldiers for the powerful.
While always at the whim of the commander (barring assassination) who was always a member of the ruling class, military necessity served as a check on the ruler's ambitions. Armies need soldiers and another ambitious member of the same class could always bribe or recruit soldiers with better terms to topple the current leader. A degree of class balance was a necessity to preserve the power structure.
For those who couldn’t or wouldn’t join the army, panem et circenses (bread and circuses) dulled the need for rebellion. Gladiator games, free food distributions and occasional money distributions maintained a docile subsistence-based population that remained fairly quiescent until the late Western Empire despite depredations by the landed elite and nobility.
The system despite all its inequities suffered along for multiple centuries until external pressures and the depredations of the nobility overwhelmed the economic and military capacity of the Empire and resulted in its fall in 476 CE. But it’s important to note that the system wasn’t overthrown from within but overwhelmed from the outside.

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2023.06.07 22:01 drmairiey MARRIAGE AND DIVORCE SPELLS +27763766744 IN NEWYORK, MALAYSIA, AUSTRIA, ICELAND, BOTSWANA, NAMIBIA

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2023.06.07 21:58 drmairiey LOST LOVE, MARRIAGE AND DIVORCE SPELLS IN CANADA, SWAZILAND, CALIFORNIA, JAMAICA, UK, UKRAINE, TURKEY,MINESOTA

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2023.06.07 12:00 Tigrannes On this day in History, June 7

TODAY IN HISTORY June 7
Ancient World
421 – Emperor Theodosius II marries Aelia Eudocia at Constantinople (Byzantine Empire).
Middle Ages
879 – Pope John VIII recognizes the Duchy of Croatia under Duke Branimir as an independent state.
1002 – Henry II, a cousin of Emperor Otto III, is elected and crowned King of Germany.
1099 – First Crusade: The Siege of Jerusalem begins.
1420 – Troops of the Republic of Venice capture Udine, ending the independence of the Patria del Friuli.
Ealry Modern World
1494 – Spain and Portugal sign the Treaty of Tordesillas which divides the New World between the two countries.
1628 – The Petition of Right, a major English constitutional document, is granted the Royal Assent by Charles I and becomes law.
1654 – Louis XIV is crowned King of France.
1692 – Port Royal, Jamaica, is hit by a catastrophic earthquake; in just three minutes, 1,600 people are killed and 3,000 are seriously injured.
Revolutionary Age
1776 – Richard Henry Lee presents the "Lee Resolution" to the Continental Congress. The motion is seconded by John Adams and will lead to the United States Declaration of Independence.
1788 – French Revolution: Day of the Tiles: Civilians in Grenoble toss roof tiles and various objects down upon royal troops.
1800 – David Thompson reaches the mouth of the Saskatchewan River in Manitoba.
1810 – The newspaper Gazeta de Buenos Ayres is first published in Argentina.
1832 – The Great Reform Act of England and Wales receives royal assent.
1832 – Asian cholera reaches Quebec, brought by Irish immigrants, and kills about 6,000 people in Lower Canada.
1862 – The United States and the United Kingdom agree in the Lyons–Seward Treaty to suppress the African slave trade.
1866 – One thousand eight hundred Fenian raiders are repelled back to the United States after looting and plundering the Saint-Armand and Frelighsburg areas of Canada East.
1880 – War of the Pacific: The Battle of Arica, the assault and capture of Morro de Arica (Arica Cape), ends the Campaña del Desierto (Desert Campaign).
1892 – Homer Plessy is arrested for refusing to leave his seat in the "whites-only" car of a train; he lost the resulting court case, Plessy v. Ferguson.
1899 – American Temperance crusader Carrie Nation begins her campaign of vandalizing alcohol-serving establishments by destroying the inventory in a saloon in Kiowa, Kansas.
1905 – Norway's parliament dissolves its union with Sweden. The vote was confirmed by a national plebiscite on August 13 of that year.
1906 – Cunard Line's RMS Lusitania is launched from the John Brown Shipyard, Glasgow (Clydebank), Scotland.
World Wars
1917 – World War I: Battle of Messines: Allied soldiers detonate a series of mines underneath German trenches at Messines Ridge, killing 10,000 German troops.
1919 – Sette Giugno: Nationalist riots break out in Valletta, the capital of Malta. British soldiers fire into the crowd, killing four people.
1929 – The Lateran Treaty is ratified, bringing Vatican City into existence.
1938 – The Douglas DC-4E makes its first test flight.
1938 – Second Sino-Japanese War: The Chinese Nationalist government creates the 1938 Yellow River flood to halt Japanese forces. Five hundred thousand to nine hundred thousand civilians are killed.
1940 – King Haakon VII, Crown Prince Olav and the Norwegian government leave Tromsø and go into exile in London. They return exactly five years later.
1942 – World War II: The Battle of Midway ends in American victory.
1942 – World War II: Aleutian Islands Campaign: Imperial Japanese soldiers begin occupying the American islands of Attu and Kiska, in the Aleutian Islands off Alaska.
1944 – World War II: The steamer Danae, carrying 350 Cretan Jews and 250 Cretan partisans, is sunk without survivors off the shore of Santorini.
1944 – World War II: Battle of Normandy: At Ardenne Abbey, members of the SS Division Hitlerjugend massacre 23 Canadian prisoners of war.
1945 – King Haakon VII of Norway returns from exactly five years in exile during World War II.
Cold War
1946 – The United Kingdom's BBC returns to broadcasting its television service, which has been off air for seven years because of World War II.
1948 – Anti-Jewish riots in Oujda and Jerada take place.
1948 – Edvard Beneš resigns as President of Czechoslovakia rather than signing the Ninth-of-May Constitution, making his nation a Communist state.
1955 – Lux Radio Theatre signs off the air permanently. The show launched in New York in 1934, and featured radio adaptations of Broadway shows and popular films.
1962 – The Organisation Armée Secrète (OAS) sets fire to the University of Algiers library building, destroying about 500,000 books.
1965 – The Supreme Court of the United States hands down its decision in Griswold v. Connecticut, prohibiting the states from criminalizing the use of contraception by married couples.
1967 – Six-Day War: Israeli soldiers enter Jerusalem.
1971 – The United States Supreme Court overturns the conviction of Paul Cohen for disturbing the peace, setting the precedent that vulgar writing is protected under the First Amendment to the United States Constitution.
1971 – The Alcohol, Tobacco, and Firearms Division of the U.S. Internal Revenue Service raids the home of Ken Ballew for illegal possession of hand grenades.
1971 – Allegheny Airlines Flight 485 crashes on approach to Tweed New Haven Airport in New Haven, Connecticut, killing 28 of 31 aboard.
1975 – Sony launches Betamax, the first videocassette recorder format.
1977 – Five hundred million people watch the high day of the Silver Jubilee of Queen Elizabeth II begin on television.
1981 – The Israeli Air Force destroys Iraq's Osiraq nuclear reactor during Operation Opera.
1982 – Priscilla Presley opens Graceland to the public; the bathroom where Elvis Presley died five years earlier is kept off-limits.
1989 – Surinam Airways Flight 764 crashes on approach to Paramaribo-Zanderij International Airport in Suriname because of pilot error, killing 176 of 187 aboard.
1991 – Mount Pinatubo erupts, generating an ash column 7 kilometres (4.3 mi) high.
Modern World
2000 – The United Nations defines the Blue Line as the border between Israel and Lebanon.
2017 – A Myanmar Air Force Shaanxi Y-8 crashes into the Andaman Sea near Dawei, Myanmar, killing all 122 aboard.
Featured
1494: The Treaty of Tordesillas
Spain and Portugal divided the New World by drawing a north-to-south line of demarcation in the Atlantic Ocean, about 100 leagues (555 kilometers or 345 miles) west of the Cape Verde Islands, off the coast of northwestern Africa and then controlled by Portugal.

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2023.06.07 11:45 No_Dig1868 Top 10 Doctors Around The World

Health is our greatest treasure and with incredible specialists. We all know that there is a better chance for a healthier population.
The government has established a massive number of health institutes or health caring centers in their countries so that people should not compromise when it comes to health.
Also Read: Top 10 Countries That Produce the Most Doctors
List Of Top 10 Doctors Around The World
Here is a list of the 10 best doctors in the world:

Dr. William A. Abdu, M.D, M.S.

Dr. Abdu is an Associate Professor of Orthopedics and of The Dartmouth Institute Medical Director at Dartmouth-Hitchcock Medical Center
Dr. Abdu got his accreditation in 1985 from Tufts University. He is a pioneer in the study and treatment of spine-related conditions. He hones surgery of the Spine, including Cervical, Thoracic and Lumbar Disorders, Disk Herniation, Spinal Stenosis, Spondylolisthesis, Spondylotic Myelopathy, Spinal Cord Injury, and Spine Trauma. Also, he had discovered many new techniques for spine treatment.

Dr. Myles. B. Abbott, M.D.

Dr. Myles is also one of the best-known doctors of Pediatricians in the world. He graduated from the University of Miami Leonard M Miller School of Medicine in 1972. He treats the problems of growth and child development.
Dr. Myles currently practices at East Bay Pediatric & Medical Group and is affiliated with Alta Bates Summit Medical Center Alta Bates Campus and Children’s Hospital & Research Center Oakland.

Dr. Fouad. M. Abbas, M.D.

Dr. Abbas is a well-known Gynecologist/Oncologist. His specialization field is Oncologist of Obstetrician and Gynecology. He is also considered to be one of the best doctors of Oncology in the world. The term Oncology is the study of cancer.
Dr. Abbas graduated from the University of Maryland School of Medicine in 1986. Currently, he is affiliated with Medstar Harbor Hospital and Sinai Hospital Of Baltimore.

Dr. Khalid Abbed, M.D.

Dr. Khalid is a famous doctor of Neuro. He is an Associate Professor and Chief of the Spine Section in the Department of Neurosurgery. His area of clinical interest is in the treatment of spinal disorders.
Dr. Khalid obtained his bachelor’s degree in Biological Sciences from the University of Illinois in Champaign-Urbana in 1993. He continued his education in the same University and received his Doctor of Medicine degree with Honors in 1999. Currently, he is working at Yale as a Director of the Spine Surgery Department. Many consider him the best doctor in the world.

Dr. Naresh Trehan

Dr. Naresh is a famous Indian cardiovascular and cardiothoracic surgeon. He was born on August 12, 1946, in Delhi, India. He obtained a medical degree from King George’s Medical College in Lucknow.
Dr. Naresh was also the founder, executive director, and chief cardiovascular surgeon of Escorts Heart Institute and Research Center (EHIRC), New Delhi, India. At present, he is serving as a Chairman and Managing Director and Chief Cardiac Surgeon of MedantaTM-The Medicity, one of the largest multi-specialty hospitals at Gurgaon, Haryana.

Dr. Arthur Reese Abright, M.D.

Dr. Reese is also one of the best doctors of Psychiatry. She treats the problems of depressions and mind-related problems.
Dr. Reese got her accreditation from The University of Texas Southwestern Medical School. She is also an expert on mood disorders and anxiety. Currently, she is working as a Professor of Psychiatry at Icahn School of Medicine at Mount Sinai. She is also affiliated with Mount Sinai Services Elmhurst Hospital Center and New York Medical College at present.

Dr. Corrie T.M Anderson, M.D.

Dr. Anderson is also one of the best doctors in Pediatric Anesthesiologist around the world. He received his A.B. with Honors in Biochemistry from Harvard University and Doctor of Medicine (M.D) from Stanford University School of Medicine in 1982. He can be truly crowned as “world best doctor”.
In 2001, Dr. Anderson became the director of the program for Pediatric Pain Medicine in the Department of Anesthesiology at Seattle Children’s Hospital. He is also a professor of anesthesiology and associate professor of pediatrics at the University of Washington School of Medicine.

Dr. Mark. F. Aaron, M.D.

Dr. Aaron is also one of the best doctors in cardiologists. His specialization is Cardiovascular Disease. The term Cardiology is related to the heart and its problems.
Dr. Aaron got his accreditation from the Duke University School of Medicine in 1992. Currently, he is affiliated with River Park Hospital, Saint Thomas West Hospital, and Henry County Medical Center.

Dr. Sudhansu Bhattacharyya, MBBS, MS, MCH

Dr. Sudhansu is also one of the best Indian Cardiovascular Surgeons. He obtained MBBS and M.S. General Surgery from Ahmedabad. He had invented, designed, and patented a few surgical instruments, the most important ones being Atrial Retractor for Mitral Valve Replacement and Internal Mammary Artery Retractor for taking down bilateral Internal Mammary Arteries.
Before entering into the practice world, Dr. Sudhansu served as a full-time Professor for Cardiothoracic surgery at Sheth G.S. Medical College & K.E.M. Hospital. At present, he is affiliated with Bombay Hospital And Medical Research Center, Breach Candy Hospital, Mumbai, and Lilavati Hospital & Research Center, Mumbai.
10. Dr.Mona.M.Abaza, M.D.
Dr. Abaza is a specialized doctor in ENT Otolaryngologist, Adenoidectomy, esophagoscopy, Nasal airway surgery, and tracheostomy. She is a world-famous ENT Doctor and treats problems of the ear, head, nose, throat, and neck.
Dr. Abaza graduated from the Medical College of Pennsylvania in 1991. She is affiliated with Children’s Hospital Colorado At Memorial Hospital Central and the University Of Colorado Hospital.
Conclusion
Since the dawn of time, the profession of a doctor is one of the most appreciated jobs in the world. Being a doctor implies a great responsibility, as almost every day the nature of somebody’s life (or the life itself) is in their hands. Since the medical field is a vast and ever-expanding field, there is no direct answer to who is the best doctor in the world. Doctors are specialized and trained in different field

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2023.06.07 00:17 shawnd300 Ideas to get to South Africa - departing USA 6/23 through 6/26

Quick summary: What are my options to get to CPT/JNB in J/F departing USA between 6/23 and 6/25 for 2 adults, 1 lap infant (willing to do 1 adult + lap infant on one reservation and 1 adult separate but has to be on same flight) for an out of pocket of less than $1,200? 300k AA, 100k UR, 115k MR, 149k Alaska, 81k Cap1 (should be 155-175k within 2 weeks)
Background: Fully booked a cape town trip in May 2022 for late June/early July 2023. Qsuites booked via AA both ways. Our child was born in July 2022 and we just completed getting a passport a week ago. Went to add a lap infant to our reservation and it appears nearly impossible to get a Qatar rep to deliver on this ticketing as of a few months ago. After a few attempts and reading forums, data points, it appears to be a near impossibility now. We canceled the flights and assumed this was just another failure to redeem points we've been accumulating and trying to use since COVID canceled a couple other big international itineraries we had planned. My wife gave up on the trip entirely while I held/hold some hope for being able to make it happen.
Today, I found 7/2 avail. for CPT-IAD w/ a connection to our smaller east coast city in J and booked the 3 of us (2 adults and 1 lap child). Not the greatest redemption at 110k/pp but definitely the best routing and a lot cheaper than I've been seeing.
How can I best go about getting to CPT or JNB with departures out of the US (preferably central or East coast) in a solid J/F. Based on my time off work, I'd need to depart US between 6/23 and 6/25? 2 adults, 1 lap infant and hoping to keep out of pocket costs under $1,200 (this is increased from what I'd normally be comfortable with)

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2023.06.06 14:09 Jhonjournalist Numerous Kidney Sufferers in Gaza Fight for Their Lives

Due to a lack of medical care and supplies, more than 1,200 Palestinians with renal ailments in the besieged coastal enclave of Gaza are experiencing significant health problems.
These patients run the risk of not being able to attend their scheduled dialysis appointments and are subject to serious health risks, according to the Hamas-controlled health ministry in Gaza.

A Medicinal Scarcity

The Gaza Strip has been without diagnostic tests for more than 18 months as a result of the Israeli occupation’s ban on the delivery of mobile imaging equipment and X-rays. After the Palestinian Islamic Hamas movement seized power in the region in 2007, the blockade was put in place.
As a result, patients like Samia al-Jammaly, a kidney disease sufferer in Gaza, must wait a long time for their routine blood tests at al-Shifa Hospital.

Over 1,200 Palestinians face renal issues in Gaza due to inadequate medical care.
Gaza Strip faces an 18-month diagnostic test ban due to Israeli occupation.
Gaza patient suffers agony; calls for international pressure on Israel.

Without distinguishing between healthy and sick individuals, the Israeli occupation punishes everyone in Gaza, seriously deteriorating their health. Dialysis treatments for kidney patients in Gaza frequently run up to four hours and are administered through a tiny plastic tube.
Another patient from Gaza, Sameh al-Ayoubi, experiences persistent agony and is unable to access any other kind of care. Al-Jammaly and Al-Ayoubi call on the international community to put Israel under pressure to lift its restrictions on medical supplies and equipment so that patients can freely travel between Gaza and the West Bank.
10% of the world’s population is afflicted by chronic renal disease, which is ranked 18th on the list of fatal illnesses.
Learn More: https://www.worldmagzine.com/health-and-medical/numerous-kidney-sufferers-in-gaza-fight-for-their-lives/

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2023.06.06 12:37 boutell New US CHAdeMO chargers in May 2023

Here are all of the new US CHAdeMO (Leaf fast-charging) stations that rolled out in May 2023, according to the U.S. Department of Energy.
There were 124 "new" CHAdeMOs added in May. To put it in perspective, there were 112 CHAdeMO chargers added in April. I think the pace of CHAdeMO rollout has stabilized, while the pace of CCS rollout is still increasing. This makes sense given that only Nissan still makes a CHAdeMO car.
Some of these chargepoints will be "refreshes," e.g. the provider replaced them with faster chargers etc. Some may be incorrect. This report is only as good as the Alternative Fuels Data Center data.
We all know that CHAdeMO is a legacy format and will eventually go away, but clearly Nissan and their partners are continuing to support it for the time being. This shouldn't be surprising. After all, you can still buy a new Leaf.
If you'd like to know about new chargers along your routes right away, or reading these monthly reports is just frustrating in your state, I've set up a free service that provides email notifications only when new stations actually open. You can sign up at evpov.com. I built it to help EV owners like myself (especially my fellow Leaf owners). You can pick other plug types as well.
To streamline this post, multi-chargepoint locations are listed with the number of chargepoints first, so that's why the post is shorter than in previous months.

➡ CA (1) Fairfield Inn & Suites 8700 Spectrum Pkwy Bakersfield, CA 93308 (1) MOSSY CDJR DC 1 1875 Auto Park Ave Chula Vista, CA 91911 (3) DC CORRIDOR CHEVRON C DC 2 25032 W Dorris Ave Coalinga, CA 93210 (1) South Coast Collection (SoCo) 3303 Hyland Ave Costa Mesa, CA 92626 (1) SCPPA SCPPA CPE200T 1160 Nicole Ct Glendora, CA 91740 (1) Mojave Air & Spaceport (Building 1) 16922 Airport Blvd Mojave, CA 93501 (1) Albertsons 1345 (Morro Bay, CA) 730 Quintana Road Morro City, CA 93442 (1) CircleK - Palm Desert, CA 78005 Country Club Dr Palm Desert, CA 92211 (1) Hilton Garden Inn 20 Advantage Ct Sacramento, CA 95834 (1) BoA Hillcrest CA0-120 (San Diego, CA) 737 UNIVERSITY AVE San Diego, CA 92103 (1) WinCo Foods - Vacaville #60 855 Davis St Vacaville, CA 95687 ➡ CO (1) CITY OF ASPEN RIO GRANDE L3 427 Rio Grande Pl Aspen, CO 81611 (4) CSG EV BOULDER PL4 1500 Pearl St Boulder, CO 80302 (1) CircleK - Colorado City, CA 8950 S Interstate 25 Colorado City, CO 81004 (2) GPM INVESTMENTS 4590 DC1 8105 N Academy Blvd Colorado Springs, CO 80920 (2) KUM & GO CRAIG PL2 700 East Victory Way Craig, CO 81625 (1) DINO WELCOME DINOSAUR PL1 101 Stegosaurus Freeway Dinosaur, CO 81610 (2) PIKES PK CHARGE BA.CA.MI LLC #2 11027 US-24 Divide, CO 80814 (3) ANNEX SITE GEORGETOWN PL2 1120 Argentine Street Georgetown, CO 80444 (4) KUM & GO RIFLE PL4 705 Taugenbaugh Boulevard Rifle, CO 81650 (2) KUM & GO SB SPRINGS PL2 80 Anglers Drive Steamboat Springs, CO 80487 ➡ FL (1) JNKNS JACKSONVI DC FAST 2 11107 Atlantic Blvd Jacksonville, FL 32225 (1) Starbucks 9200 FL-228 Macclenny, FL 32063 (1) Ocean Cadillac 17800 Ipco Road Miami, FL 33162 (1) Sun Plaza 6339 W Colonial Dr Orlando, FL 32818 (1) BHY CHARGER 1 9915 E Adamo Dr Tampa, FL 33619 (1) Chase Bank - 5601 Red Bug Lake Rd 5601 Red Bug Lake Rd Winter Springs, FL 32708 ➡ GA (1) GEORGIA POWER EPICENTER DC1 135 riverside parkway SW Austell, GA 30168 (1) JACKSON EMC GAINESVILLE 1000 Dawsonville Highway Gainesville, GA 30501 ➡ IN (1) AVON HYUNDAI SALES 8775 E 36 Avon, IN 46123 (1) HOC CHARGERS CHARGER #1 4200 E 96th St Indianapolis, IN 46240 ➡ KS (1) HATCHETT FRONT_WEST 11200 E Central Ave Wichita, KS 67206 (1) HATCHETT BACK EAST 11330 E Central Ave Wichita, KS 67206 ➡ KY (1) JEFF WYLER FH EXPRESS 250 949 Burlington Pike Florence, KY 41042 ➡ MA (6) MASSPORT TNC 4 226 Porter St Boston, MA 02128 (2) MASSPORT TAXI 4 56 Harborside Dr Boston, MA 02128 ➡ MD (2) POTOMAC EDISON ROCKY GAP DC1 16701 Lakeview Rd NE Flintstone, MD 21530 ➡ ME (1) DARLINGS HYUNDA SALES CHARGER 2 439 Western Ave Augusta, ME 04330 (2) IRVINGOIL ME-FFLD-L3-0001 206 Center Rd Fairfield, ME 04937 (1) MOBIL ONTHEWAY STATION 1 1930 Lisbon Street Lewiston, ME 04240 (1) MOBIL ONTHEWAY STATION 2 1938 Lisbon St Lewiston, ME 04240 ➡ MI (1) Belle Isle DC Fast Charge 176 Lakeside Dr Detroit, MI 48207 (1) Evergetic Charging Spa 330 South Martin Luther King Junior Boulevard Lansing, MI 48915 ➡ MN (1) WINNER GAS BROOKDALE DR 1500 Brookdale Dr Minneapolis, MN 55444 ➡ NC (1) CAPE HATTERAS AVON PIER DCFC2 41001 North Carolina Hwy 12 Avon, NC 27915 (1) AEMC- AEMC HQ FAST 125 Cooperative Way Hertford, NC 27944 (1) Chestnut Arbor 2925 Weddington Matthews Rd Matthews, NC 28105 ➡ NE (1) ERNST CHARGER 1 EAC CHARGER 615 23rd St E Columbus, NE 68601 ➡ NJ (1) ShopRite Carteret - Wakefern #511 801 Roosevelt Ave Carteret, NJ 07008 (2) FREEHOLDHYUNDAI VERIZON 1 4075 9 Freehold Township, NJ 07728 (2) CLASS 3 CHARGER HYUNDAI-2 250 Rte 4 Paramus, NJ 07652 (1) CIRCLEAUTOGROUP CH- CPE250 1 641 Shrewsbury Ave Shrewsbury, NJ 07702 (1) ROUTE 1 HYUNDAI CPE-250-02 3905 US 1 South Brunswick Township, NJ 08852 (1) ROUTE 1 HYUNDAI RT1-01 3913 US-1 South Brunswick Township, NJ 08852 ➡ NY (1) AAA WESTCENTRAL DC FAST CHARGER 100 International Dr Amherst, NY 14221 (2) KEELER STATION 6 1111 Troy Schenectady Rd Latham, NY 12110 (1) LEXUSMIDDLETOWN STATION 1 3496 US-6 Middletown, NY 10940 (3) BOB JOHNSON BOB JOHNSON KIA 3817 W Henrietta Rd Rochester, NY 14623 ➡ OH (2) CRESTMONT DRIVECRESTMONT2 2961 Center Rd Brunswick, OH 44212 (1) Hampton Inn - Canton 5256 Broadmoor Cir NW Canton, OH 44709 (1) JEFF WYLER EXPRESS 250 Loop @ Far Hills Centerville, OH 45459 (1) DONWOODAUTO DW CHEVY 2 12916 OH-664 Logan, OH 43138 (1) JEFF WYLER CORP 4- DC FAST 401 Milford Pkwy Milford, OH 45150 (1) Friendship Kitchen 70 3800 E. State Rd. Port Clinton, OH 43452 (1) Friendship Kitchen 83 4024 Hayes Ave. Sandusky, OH 44870 ➡ OK (1) EDMOND HYUNDAI EDMOND 4 14137 N Broadway Ext Edmond, OK 73013 ➡ OR (1) PGE IBEW 48 15937 NE Airport Way Portland, OR 97230 ➡ PA (1) DOYLESTOWN 024B1000008033 4465 W Swamp Rd Doylestown, PA 18902 (2) LIBERTY CHARWASH PL 2 2595 Maryland Road Willow Grove, PA 19090 ➡ PR (2) BMW AUTOGERMANA CPE 250 PKNG 2 106 Calle Acuarela Guaynabo, PR 00969 (2) BMW AUTOGERMANA FTZ120KW-2 1086 Ave. Muñoz Rivera San Juan, PR 00919 ➡ SC (1) Travelers Rest Municipal Complex 125 Trailblazer Dr Travelers Rest, SC 29690 ➡ TN (4) I24 EXIT11 STATION 1 (LL) 701 Sango Road Clarksville, TN 37043 (2) DISTRICT 2 STATION 1 (L) 28 S Park Ave Hohenwald, TN 38462 (2) LAWRENCEBURG STATION 2 (R) 2347 Hwy 43 N Leoma, TN 38468 (1) MB OF MEMPHIS STATION 1 5401 Poplar Ave Memphis, TN 38119 ➡ TX (1) Plaza de Oro 4450 W Jefferson Blvd Dallas, TX 75211 ➡ UT (2) VOLVO CAR USA SANDY DC 2 56 W 9000 S Sandy, UT 84070 ➡ VA (2) KOONS HYUNDAI STATION 1 1880 Opitz Blvd Woodbridge, VA 22191 ➡ WA (2) HANSON MOTORS HM3 QUICKCHARGE 2300 Carriage Loop SW Olympia, WA 98502 (1) Walmart 2539 - Spokane Valley, WA 15727 E Broadway Ave Spokane Valley, WA 99037 (1) 7054 -Vancouver, WA 98664 (10314 SE Mill Plain Road) 13014 SE Mill Plain Rd Vancouver, WA 98684 ➡ WI (1) BERG HYUNDAI VLI-L3-PDI-4 2900 N Victory Ln Appleton, WI 54913 (1) Wheelers Chevrolet of Coloma 1978 Charles Way Coloma, WI 54930 (1) Wheelers Chevrolet GMC of Marshfield 2701 S. Maple Ave Marshfield, WI 54449

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2023.06.06 12:32 boutell New US CCS chargers report for May 2023

Here are all of the new US CCS (Level 3 fast-charging) stations that rolled out in May 2023, according to the Department of Energy. These chargers are suitable for most new EVs on the market, except for:

Tesla drivers who haven't bought the official CCS adapter yet. Certain older Teslas need additional work done to accept the adapter.
Leaf owners like me, and some owners of older cars that also use CHAdeMO. If you drive a Leaf, or an older CHAdeMO car, see my matching post in leaf.

Some of these chargepoints will be "refreshes," e.g. the provider replaced them with faster chargers etc. Some may be incorrect. This report is only as good as the Alternative Fuels Data Center data.
There were 222 CCS charge points added or refreshed in May 2023, which is up from 171 in April. For comparison, there were only 74 new CCS charge points in May 2022. Things are speeding up.
"What about CCS charging at Tesla superchargers?" Tesla is in the process of rolling out their "magic dock" for non-Tesla cars, but so far in very few locations. If they start doing this at scale and reporting it to the Alternative Fuels Data Center then it will be reflected here.
"What about Ford vehicles with NACS (Tesla) plugs?" They are not on sale yet. Current-generation Ford vehicles have CCS plugs. The next generation will have NACS (Tesla) plugs, but will also support CCS via an adapter.
If you'd like to know about new chargers along your routes right away, or just prefer not to check this list monthly when new openings are rare in your area, I've set up a free service that provides email notifications as soon as they open. You can sign up at evpov.com. Or not! I don't really have a business plan here, I built it to help EV owners like myself.
To streamline this post, multi-chargepoint locations are listed with the number of chargepoints first, so that's why the post is shorter than in previous months.

➡ AR (1) Franklin's Charging Little Rock 724 Woodrow St Little Rock, AR 72205 ➡ AZ (6) 942 E Parma Street (US-CMK-NVL-2A) 942 E Parma Street Gila Bend, AZ 85337 (1) Kroger Frys 62 (Mesa, AZ) 554 W Baseline Rd Mesa, AZ 85210 ➡ CA (1) Fairfield Inn & Suites 8700 Spectrum Pkwy Bakersfield, CA 93308 (1) MOSSY CDJR DC 1 1875 Auto Park Ave Chula Vista, CA 91911 (3) DC CORRIDOR CHEVRON C DC 2 25032 W Dorris Ave Coalinga, CA 93210 (1) South Coast Collection (SoCo) 3303 Hyland Ave Costa Mesa, CA 92626 (1) SCPPA SCPPA CPE200T 1160 Nicole Ct Glendora, CA 91740 (1) Chase Bank - 925 N Hacienda Blvd 925 N Hacienda Blvd La Puente, CA 91744 (1) WOODLANDHILLS ABB 24KW 01 22006 Erwin Street Los Angeles, CA 91367 (1) 7071 - Merced, CA (2020 Childs Ave) 2020 Childs Ave Merced, CA 95341 (1) Mojave Air & Spaceport (Building 1) 16922 Airport Blvd Mojave, CA 93501 (1) BMW MONROVIA OFF NETWORK 01 1425 Mountain Ave Monrovia, CA 91016 (1) Albertsons 1345 (Morro Bay, CA) 730 Quintana Road Morro City, CA 93442 (1) 3333 Fruitvale Ave 3333 Fruitvale Ave Oakland, CA 94602 (1) 7126 - Oakley, CA (5540 Bridgehead Road) 5540 Bridgehead Road Oakley, CA 94561 (1) CircleK - Palm Desert, CA 78005 Country Club Dr Palm Desert, CA 92211 (1) Hilton Garden Inn 20 Advantage Ct Sacramento, CA 95834 (1) BoA Hillcrest CA0-120 (San Diego, CA) 737 UNIVERSITY AVE San Diego, CA 92103 (1) WinCo Foods - Vacaville #60 855 Davis St Vacaville, CA 95687 ➡ CO (1) CITY OF ASPEN RIO GRANDE L3 427 Rio Grande Pl Aspen, CO 81611 (4) CSG EV BOULDER PL4 1500 Pearl St Boulder, CO 80302 (5) 1 Flatiron Crossing (US-ME8-73R-2B) 1 Flatiron Crossing Broomfield, CO 80021 (1) CircleK - Colorado City, CA 8950 S Interstate 25 Colorado City, CO 81004 (2) GPM INVESTMENTS 4590 DC1 8105 N Academy Blvd Colorado Springs, CO 80920 (2) KUM & GO CRAIG PL2 700 East Victory Way Craig, CO 81625 (1) DINO WELCOME DINOSAUR PL1 101 Stegosaurus Freeway Dinosaur, CO 81610 (2) PIKES PK CHARGE BA.CA.MI LLC #2 11027 US-24 Divide, CO 80814 (4) ANNEX SITE GEORGETOWN PL4 1120 Argentine Street Georgetown, CO 80444 (4) KUM & GO RIFLE PL4 705 Taugenbaugh Boulevard Rifle, CO 81650 (2) KUM & GO SB SPRINGS PL2 80 Anglers Drive Steamboat Springs, CO 80487 ➡ CT (1) BOA East Hartford CT2-120 (Hartford, CT) 805 E Main Street East Hartford, CT 06108 (1) HARTFORD BMW ABB OUTSIDE 1 Weston Park Rd Hartford, CT 06120 ➡ DE (1) First State Chevrolet 22694 DUPONT BLVD GEORGETOWN, DE 19947 ➡ FL (1) JNKNS JACKSONVI DC FAST 2 11107 Atlantic Blvd Jacksonville, FL 32225 (1) Simon Tampa Premium Outlets (Lutz, FL) 2300 Grand Cypress Dr Lutz, FL 33559 (1) Starbucks 9200 FL-228 Macclenny, FL 32063 (1) Ocean Cadillac 17800 Ipco Road Miami, FL 33162 (1) Sun Plaza 6339 W Colonial Dr Orlando, FL 32818 (1) Simon Orlando Vineland (Orlando, FL) 8200 Vineland Ave Orlando, FL 32821 (1) Simon Tyrone Square (St Petersburg, FL) 6901 22nd Ave N Peterburg, FL 33710 (1) BHY CHARGER 1 9915 E Adamo Dr Tampa, FL 33619 (1) Chase Bank - 5601 Red Bug Lake Rd 5601 Red Bug Lake Rd Winter Springs, FL 32708 ➡ GA (1) GEORGIA POWER EPICENTER DC1 135 riverside parkway SW Austell, GA 30168 (1) JACKSON EMC GAINESVILLE 1000 Dawsonville Highway Gainesville, GA 30501 ➡ IL (1) Castle Chevrolet North 175 N Arlington Heights Rd Elk Grove Village, IL 60007 (1) Sunrise Chevrolet 414 E N Ave Glendale Heights, IL 60139 ➡ IN (1) AVON HYUNDAI SALES 8775 E 36 Avon, IN 46123 (1) SHRM CHRG MERCEDESBENZFW 7227 W Jefferson Blvd Fort Wayne, IN 46804 (1) HOC CHARGERS CHARGER #1 4200 E 96th St Indianapolis, IN 46240 (1) Sullivan Cadillac 4040 SW College Rd Ocala, IN 34474 ➡ KS (1) HATCHETT FRONT_WEST 11200 E Central Ave Wichita, KS 67206 (1) HATCHETT BACK EAST 11330 E Central Ave Wichita, KS 67206 ➡ KY (1) JEFF WYLER FH EXPRESS 250 949 Burlington Pike Florence, KY 41042 ➡ LA (1) All Star Automotive 12730 Airline Highway Baton Rouge, LA 70817 (1) Target T1469 (Monroe, LA) 4103 Pecanland Mall Dr Monroe, LA 71203 ➡ MA (6) MASSPORT TNC 4 226 Porter St Boston, MA 02128 (2) MASSPORT TAXI 4 56 Harborside Dr Boston, MA 02128 (1) Littleton Electric Light & Water Department 39 Ayer Road Littleton, MA 01460 ➡ MD (2) POTOMAC EDISON ROCKY GAP DC1 16701 Lakeview Rd NE Flintstone, MD 21530 ➡ ME (1) DARLINGS HYUNDA SALES CHARGER 2 439 Western Ave Augusta, ME 04330 (2) IRVINGOIL ME-FFLD-L3-0001 206 Center Rd Fairfield, ME 04937 (1) MOBIL ONTHEWAY STATION 1 1930 Lisbon Street Lewiston, ME 04240 (1) MOBIL ONTHEWAY STATION 2 1938 Lisbon St Lewiston, ME 04240 ➡ MI (1) Belle Isle DC Fast Charge 176 Lakeside Dr Detroit, MI 48207 (1) Meijer 254 (Hudsonville, MI) 4075 32nd Ave Hudsonville, MI 49426 (1) Evergetic Charging Spa 330 South Martin Luther King Junior Boulevard Lansing, MI 48915 (1) Genesis Cadillac 19900 E Nine Mile Road St Clair Shores, MI 48080 (1) MBSTL ENTRANCE ABB 1048 Hampton Avenue St. Louis, MI 63139 (1) Range USA Ypsilanti 660 James L Hart Pkwy Ypsilanti, MI 48197 ➡ MN (1) WINNER GAS BROOKDALE DR 1500 Brookdale Dr Minneapolis, MN 55444 ➡ MO (1) GM - Allen Christian Buick GMC Inc 724 W Business US Highway 60, Dexter, MO 63841 (1) Store 290 Joplin - 2101 S. Prigmore &I44 2101 S Prigmore Joplin, MO 64804 ➡ MS (1) 1685 High St 1685 High St Jackson, MS 39202 ➡ NC (1) CAPE HATTERAS AVON PIER DCFC2 41001 North Carolina Hwy 12 Avon, NC 27915 (1) Westcott Buick GMC 2410 S CHURCH ST BURLINGTON, NC 27215 (1) 9960 Poplar Tent Rd 9960 Poplar Tent Rd Concord, NC 28027 (1) AEMC- AEMC HQ FAST 125 Cooperative Way Hertford, NC 27944 (1) Capital Hyundai of Jacksonville 2325 N Marine Blvd Jacksonville, NC 28546 (1) Chestnut Arbor 2925 Weddington Matthews Rd Matthews, NC 28105 ➡ NE (1) ERNST CHARGER 1 EAC CHARGER 615 23rd St E Columbus, NE 68601 ➡ NH (1) Berlin City Chevrolet 545 MAIN STREET GORHAM, NH 03581 (2) Tanger Tilton Under Armour 06-07 120 Laconia Road Tilton, NH 03256 ➡ NJ (1) ShopRite Carteret - Wakefern #511 801 Roosevelt Ave Carteret, NJ 07008 (1) Lester Glenn Freehold 3712 Rte 9 Freehold, NJ 07728 (2) FREEHOLDHYUNDAI VERIZON 1 4075 9 Freehold Township, NJ 07728 (2) CLASS 3 CHARGER HYUNDAI-2 250 Rte 4 Paramus, NJ 07652 (1) CIRCLEAUTOGROUP CH- CPE250 1 641 Shrewsbury Ave Shrewsbury, NJ 07702 (1) ROUTE 1 HYUNDAI CPE-250-02 3905 US 1 South Brunswick Township, NJ 08852 (1) ROUTE 1 HYUNDAI RT1-01 3913 US-1 South Brunswick Township, NJ 08852 (1) Lester Glenn Buick-GMC 230 RTE 37 E TOMS RIVER, NJ 08753 (1) Lester Glenn Chevrolet 398 Rt 37 Toms River, NJ 08753 ➡ NY (1) AAA WESTCENTRAL DC FAST CHARGER 100 International Dr Amherst, NY 14221 (2) KEELER STATION 6 1111 Troy Schenectady Rd Latham, NY 12110 (1) LEXUSMIDDLETOWN STATION 1 3496 US-6 Middletown, NY 10940 (1) Lerner NYC Station Plaza (Port Jefferson Station, NY) 5145 Nesconset Highway Port Jefferson Station, NY 11776 (3) BOB JOHNSON BOB JOHNSON KIA 3817 W Henrietta Rd Rochester, NY 14623 (1) Burr Truck Level 3 DC Fast Charge 2901 Vestal Rd Vestal, NY 13850 ➡ OH (1) Serra Chevrolet 3281 S Arlington Rd Akron, OH 44312 (1) Tim Lally Chevrolet 24999 Miles Rd Bedford Heights, OH 44128 (2) CRESTMONT DRIVECRESTMONT2 2961 Center Rd Brunswick, OH 44212 (1) Lambert Buick GMC 2409 FRONT ST CUYAHOGA FALLS, OH 44221 (1) Hampton Inn - Canton 5256 Broadmoor Cir NW Canton, OH 44709 (1) JEFF WYLER EXPRESS 250 Loop @ Far Hills Centerville, OH 45459 (1) DONWOODAUTO DW CHEVY 2 12916 OH-664 Logan, OH 43138 (2) WAG ABB STATION 1 8457 N Springboro Pike Miamisburg, OH 45342 (1) JEFF WYLER CORP 4- DC FAST 401 Milford Pkwy Milford, OH 45150 (1) Friendship Kitchen 70 3800 E. State Rd. Port Clinton, OH 43452 (1) Friendship Kitchen 83 4024 Hayes Ave. Sandusky, OH 44870 (1) Serpentini Chevrolet of Strongsville 15303 Royalton Rd Strongsville, OH 44136 (1) Don's Automotive Group 720 N SHOOP AVE WAUSEON, OH 43567 (1) Bush Auto Place 1850 Rombach Avenue Wilmington, OH 45177 ➡ OK (1) EDMOND HYUNDAI EDMOND 4 14137 N Broadway Ext Edmond, OK 73013 ➡ OR (6) 12000 SE 82nd Ave (US-H8H-UM5-2A) 12000 SE 82nd Ave Happy Valley, OR 97086 (1) PGE IBEW 48 15937 NE Airport Way Portland, OR 97230 ➡ PA (1) DOYLESTOWN 024B1000008033 4465 W Swamp Rd Doylestown, PA 18902 (2) LIBERTY CHARWASH PL 2 2595 Maryland Road Willow Grove, PA 19090 (1) Bergeys Inc 518 RTE 309 colmar, PA 18915 ➡ PR (2) BMW AUTOGERMANA CPE 250 PKNG 2 106 Calle Acuarela Guaynabo, PR 00969 (2) BMW AUTOGERMANA FTZ120KW-2 1086 Ave. Muñoz Rivera San Juan, PR 00919 ➡ RI (1) Paul Masse Chevrolet 1111 Taunton Ave East Providence, RI 02914 ➡ SC (1) Travelers Rest Municipal Complex 125 Trailblazer Dr Travelers Rest, SC 29690 ➡ TN (4) I24 EXIT11 STATION 1 (LL) 701 Sango Road Clarksville, TN 37043 (2) DISTRICT 2 STATION 1 (L) 28 S Park Ave Hohenwald, TN 38462 (2) LAWRENCEBURG STATION 2 (R) 2347 Hwy 43 N Leoma, TN 38468 (1) MB OF MEMPHIS STATION 1 5401 Poplar Ave Memphis, TN 38119 ➡ TX (1) Friendly Chevrolet 2754 North Stemmons Way Dallas, TX 75207 (1) Plaza de Oro 4450 W Jefferson Blvd Dallas, TX 75211 (1) Shell 3302 S Eastman Rd Longview, TX 75602 (1) 3220 Gulf Fwy 3220 Gulf Fwy Texas City, TX 77591 ➡ UT (2) VOLVO CAR USA SANDY DC 2 56 W 9000 S Sandy, UT 84070 ➡ VA (1) BLACKWELL D1 4874 Riverside Dr Danville, VA 24541 (1) Fleet Management Site (For Testing Purpose Only) 512 Herndon Pkwy Herndon, VA 20170 (6) 2577 Jeb Stuart Highway (US-TDM-SCC-1C) 2577 Jeb Stuart Highway Meadows of Dan, VA 24120 (5) 2203 Franklin Road Southwest (US-TUJ-L2K-2C) 2203 Franklin Road Southwest Roanoke, VA 24014 (6) 437 Tiffany Drive (US-CHT-WF7-2C) 437 Tiffany Drive Waynesboro, VA 22980 (2) KOONS HYUNDAI STATION 1 1880 Opitz Blvd Woodbridge, VA 22191 ➡ VT (1) Cody Chevrolet 364 RIVER ST MONTPELIER, VT 05602 ➡ WA (1) 7112 - Bellevue WA (12903 NE 20th Street) 12903 NE 20th Bellevue, WA 98005 (1) 7060 - Burlington, WA (1790 South Burlington Blvd) 1790 South Burlington Blvd Burlington, WA 98233 (1) 5507 - Everett, WA (901 Casino Road) 901 Casino Road Everett, WA 98204 (1) 7025 - Everett, WA (13131 Bothell Everett Hwy) 13131 Bothell Everett Hwy Everett, WA 98208 (1) 4397 - Kelso, WA (1700 Allen Street) 1700 Allen Street Kelso, WA 98626 (1) 7063 - Olympia, WA (1725 Evergreen Park Drive SW) 1725 Evergreen Park Drive SW Olympia, WA 98502 (2) HANSON MOTORS HM3 QUICKCHARGE 2300 Carriage Loop SW Olympia, WA 98502 (1) 7096 - Sequim, WA (51 Carlsborg Road) 51 Carlsborg Road Sequim, WA 98382 (1) Walmart 2539 - Spokane Valley, WA 15727 E Broadway Ave Spokane Valley, WA 99037 (1) 7054 -Vancouver, WA 98664 (10314 SE Mill Plain Road) 13014 SE Mill Plain Rd Vancouver, WA 98684 (1) 7059 - Woodinville, WA (13023 NE 175th St) 13023 NE 175th St Woodinville, WA 98072 ➡ WI (1) BERG HYUNDAI VLI-L3-PDI-4 2900 N Victory Ln Appleton, WI 54913 (1) Wheelers Chevrolet of Coloma 1978 Charles Way Coloma, WI 54930 (1) Wheelers Chevrolet GMC of Marshfield 2701 S. Maple Ave Marshfield, WI 54449

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2023.06.06 11:23 Kyle_JRS School List Help!

Hi all, now I got my ECs and MCAT done for this upcoming cycle, I need help deciding my final school list.
Stats:
cGPA: 3.99 / sGPA: 4.0
MCAT: 514 (129/124/131/130) I hate CARS
ECs:
- clinical exp: ~250hrs (volunteering during COVID, volunteering at Alzheimer's clinic)
- shadowing: 20 hours (10 hours: online, 10 hours: in-person / family med)
- non-clinical volunteer: TA for 3.5 years (300hrs), writing braille books for 4 years (200hrs), teaching Korean in a club for 2 years (100hrs), short-term local volunteer (less than 50 hrs)
- research: 2 years in one lab & 1 year in another lab (no pub, poster) (~1000hrs total), lab research intern (300 hrs)
- leadership: executive member in teaching club for 1 year, TA leader for 1 year
Others:
- first gen American & ORM

My current school list:
Albert Einstein University
Emory University
Geisinger Commonwealth School of Medicine
New York University Long Island
Ohio State University
Penn State University
Stony Brook University
Thomas Jefferson University
SUNY Downstate Health Sciences University
Brown University
University of Arizona Phoenix
University of California Los Angeles
University of Central Florida
University of Cincinnati
University of Colorado
University of Iowa
University of Maryland
University of North Carolina
University of Rochester
UPitt
Western Michigan University
Saint Louis University
Rush University
Loyola University
Tulane University
Are there any schools that I should get rid of? Do I have too many?

submitted by Kyle_JRS to premed [link] [comments]

2023.06.06 09:57 travellingwings east coast vacation spots

The East Coast of the United States is a treasure trove of breathtaking destinations, offering a myriad of experiences for travelers of all kinds. From stunning natural wonders to vibrant cities, the East Coast boasts an impressive array of vacation spots that are waiting to be discovered. In this article, we will highlight some of the top East Coast vacation spots, but for a comprehensive guide, be sure to check out the full blog post at Travelling Wings: www.travellingwings.com/40-best-east-coast-vacation-spots.

Mystic, Connecticut: Nestled on the shores of Long Island Sound, Mystic exudes a charming coastal vibe. With its historic seaport, captivating maritime history, and renowned Mystic Aquarium, this quaint town is one of the must-visit East Coast vacation spots.
Bar Harbor, Maine: Located near Acadia National Park, Bar Harbor is a picturesque coastal town renowned for its stunning landscapes and outdoor adventures. From hiking along scenic trails to exploring the charming streets filled with boutiques and eateries, Bar Harbor stands out among the best east coast vacation spots.
Charleston, South Carolina: With its cobblestone streets, antebellum mansions, and vibrant culinary scene, Charleston is a haven for history enthusiasts and food lovers alike. Immerse yourself in the city's rich heritage as you stroll through its beautiful gardens and soak up the Southern charm that defines the best east coast vacation spots.
Cape Cod, Massachusetts: Stretching out into the Atlantic Ocean, Cape Cod is a beloved summer destination known for its sandy beaches, picturesque lighthouses, and charming seaside villages. Explore the Cape's coastal beauty, indulge in fresh seafood, and create unforgettable memories at one of the top east coast vacation spots.
Miami, Florida: A vibrant city bursting with energy, Miami offers a unique blend of stunning beaches, lively nightlife, and diverse cultural experiences. Immerse yourself in the vibrant art scene, savor delicious cuisine, and soak up the sun along the iconic South Beach, making it one of the top east coast vacation spots.

Conclusion: The East Coast of the United States is home to a multitude of incredible vacation spots, each offering its own unique charm and allure. From historic towns to breathtaking coastal landscapes, the possibilities for exploration are endless. For a comprehensive guide to the 40 best East Coast vacation spots, be sure to visit the full blog post at Travelling Wings: www.travellingwings.com/40-best-east-coast-vacation-spots.. Get ready to embark on an unforgettable journey and discover the wonders of the East Coast's top vacation spots!

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2023.06.06 09:22 StatementSpecial8647 Nutraceuticals Market Size, Scope and Forecast to 2029

The global nutraceuticals market size was valued at USD 390 billion in 2022 and is expected to grow to USD 659.78 billion by 2029 at a CAGR of 7.8% during the forecast period 2023-29. It also includes market size and projection estimations for each of the five major regions from 2023 to 2029. The research report includes historical data, trending features, and market growth estimates for the future. Furthermore, the study includes a global and regional estimation and is further split by nations and categories within each region. The research also includes factors and barriers to the nutraceuticals market growth, as well as their impact on the market's future growth. The report gives a comprehensive overview of both primary and secondary data.
View the detailed report description here - https://www.precisionbusinessinsights.com/market-reports/global-nutraceuticals-market
The global nutraceuticals market segmentation:
1) By Product Type: Functional Food, Functional Beverages, Dietary Supplements, Personal Care
2) By Formulation: Oral Solids, Oral Liquids, Parenterals, Others
3) By Application: Bone Health, Cognitive Health, Gut Health, Heart Health, Immunity, Nutrition, Weight Management, Others
4) By Distribution Channel: Hospital Pharmacies, Retail Pharmacies, Online Pharmacies
The nutraceuticals market report helps to provide the best results for business enhancement and business growth. It further helps to obtain the reactions of consumers to a novel product or service. It becomes possible for business players to take action for changing perceptions. It uncovers and identifies potential issues of the customers. It becomes easy to obtain the reactions of the customers to a novel product or service. It also enlightens further advancement, so it suits its intended market.
The nutraceuticals market research report gives a comprehensive outlook across the region with special emphasis on key regions such as North America, Europe, Asia Pacific, Latin America, and the Middle East and Africa. Globally, U.S. and Japan are the most developed markets for nutraceuticals, due to the consumer acceptability in these countries. In the Asia-Pacific region, India and China are expected to show huge potential opportunities owing to changing lifestyles. In the Indian market, the consumption of alternative herbal medicines and supplements (usually Ayurveda and homeopathic) is expected to have a slight effect on the nutraceuticals market. India promises lucrative potential to nutraceutical product manufacturers, through customization of their products to include natural and herbal ingredients. Germany in Europe region and Israel in the Middle East region have emerged as the key innovation hubs of the nutraceuticals industry.
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The important profiles and strategies adopted by nutraceuticals market key players are General Mills Inc. (U.S.), Alphabet Holding Company, Inc. (The Nature's Bounty Co.) (U.S.), Herbalife International Inc. (U.S.), Koninklijke DSM N.V (Netherlands), PepsiCo, Inc. (U.S.), Groupe Danone (France), Bayer AG (Germany), Abbott Laboratories (U.S.), Chobani LLC (U.S.) covered here to help them in strengthening their place in the market.
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2023.06.05 01:26 theyoungriddler Help with my school list? Low stat af (<3) and mediocre MCAT

before immediately stating "do not apply", would really really appreciate if people could look at my stats/experiences and give me advice. thank you!
Demographics:
ORM, 25F, and resident of Georgia.
Stats:
cGPA: 2.75 (includes smp)
sGPA: 2.65 (includes smp)
SMP at RWJMS: 3.38 gpa
Dunno if this is useful info but:
last 90 credits cGPA/sGPA: 3.1/3.1
last 60 credits cGPA/sGPA: 3.3/3.2
MCAT 2x: 506 (126/124/125/131) & 509 (128/124/126/131)
**I lost a parent during college and that fucked up 2 years of classes for me which is why even with the smp my gpa doesn't really budge. i do have an upward trend. i graduated college with a 2.62 lol.
Extracurriculars/Clinical Experience:
25 hours - Shadowing
400 hours - Medical Assistant (ongoing)
800 hours - Leadership in Sorority & Student Government
1000 hours - Established a program that provides free menstrual products to students on undergraduate campus (still involved)
250 hours - RWJMS Research Intern (1 abstract publication & conference presentation)
480 hours - Physical Therapy Aide
100 hours - Background Acting for Film/TV Productions
5000 hours - Jobs: front desk at a dorm and a restaurant delivery driver
125 hours - Volunteering
MD schools
Albany Medical College
Chicago Medical School at Rosalind Franklin University of Medicine & Science
Creighton University School of Medicine
Drexel University College of Medicine
Eastern Virginia Medical School
Frank H Netter MD School of Medicine at Quinnipiac University
Geisinger Commonwealth School of Medicine
George Washington University School of Medicine and Health Sciences
Hackensack Meridian
Howard University College of Medicine
Loyola University Chicago Stritch School of Medicine
Medical College of Wisconsin
Meharry Medical College
Mercer School of Medicine
Morehouse School of Medicine
Nova Southeastern University Dr. Kiran C. Patel College of Allopathic Medicine
Pennsylvania State University College of Medicine
Robert Larner, M.D. College of Medicine at the University of Vermont
St. Louis University School of Medicine
Tulane University School of Medicine
University of California, Los Angeles David Geffen School of Medicine
University of Colorado School of Medicine
USF Health Morsani College of Medicine
Virginia Tech Carilion School of Medicine
Wake Forest University School of Medicine
Wayne State university School of medicine
West Virginia University School of Medicine
DO schools
A.T. Still University SOM - Arizona
Alabama COM
Midwestern University - Arizona COM
Arkansas COM
Campbell University Jerry M. Wallace SOM
Midwestern University - Chicago COM
Edward Via COM - Auburn
Edward Via COM - Carolinas
Edward Via COM - Louisiana
Idaho COM
Kansas City University COM - Joplin Campus
Kansas City University COM - Kansas City
Lake Erie COM
Lincoln Memorial University DeBusk COM
Michigan State University COM
New York Institute of Technology COM
Philadelphia COM - Georgia Campus
Philadelphia COM - South Georgia
Philadelphia COM
Rowan University SOM
Western University of HS COM of the Pacific - Oregon
William Carey University COM
University of Pikeville Kentucky COM

submitted by theyoungriddler to premed [link] [comments]