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fakeyellow · 4 years

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A betting pool starts amongst the Edenbrook staff on who Dr. Lila Valentine is dating.

It was yet another day in the locker room as the interns stripped off their clothes and put on their scrubs. There was the usual mindless sound of chatter as they asked each other how their weekends had went when Mitch paused, his muscled chest on full display as he stared imperiously at his fellow interns.

“So what’s the deal with Dr. Valentine? Is she seeing anyone?” he asked.

“I’m out,” Esme slipped on her top and walked out of the room.

Mitch didn’t spare her another glance as he leaned against the lockers, his arms crossed, “I bet she’s with Dr. Ramsay.”

Sothy looked uneasy, his usual grin gone from his face, “Dude, that’s not cool. Dr. Valentine’s a good doctor.”

“I don’t mean she slept her way into the diagnostic team,” Mitch said, rolling his eyes, “She was the best competitor and she won the position. I’m just saying, I think they also have a thing.”

“I don’t know,” Gary interjected, his face turning thoughtful, “Dr. Varma seems to really like her too. She keeps complaining about how good Dr. Valentine is.”

“Nah, you guys are both wrong,” Sothy said at ease now, his grin reappearing, “She’s definitely with Bryce. Have you seen that dude?”

While Mitch had indeed seen Bryce in the changing room, he was not as impressed with him as Sothy seemed to be, “Fifty bucks she’s with Ramsay.”

The other two looked at each other curiously before shrugging.

“You’re on.”

—

Gary Garrison was having a good day.

Sure, Dr. Varma had shut him down immediately when he’d asked about her relationship with Dr. Valentine, but he was confident that his intuition was correct.

As snarky as she usually was with Dr. Valentine, he hadn’t heard her talking about anyone else quite so often. Not to mention when he’d first been introduced to her, Dr. Varma had had called her one of the best damn doctors in the hospital.

Gary had no doubt that there was some sort of passion beneath their friendly rivalry. He was going to win a cool $100 from the others.

“So, do you know if Dr. Varma and Dr. Valentine are in a relationship?” Gary asked pleasantly.

The nurse he’d been talking to frowned at him, startled by the sudden change in subject, “I don’t know. Why do you want to know?”

Gary suddenly realised that the bet he’d made with Mitch and Sothy was probably something he should keep to himself.

“Oh, no reason!” He said loudly, feeling himself starting to sweat, “I just wanted to know if she was… free?”

The nurse looked wholly unconvinced and she continued to stare at him, waiting for an answer.

“I-well-“ Gary stammered before hanging his head in defeat, “I may have made a bet that Dr. Valentine is with Dr. Varma.”

He looked to the ground, sheepishly scratching his head as he waited to be reprimanded.

But when he looked up to meet the nurse’s eyes, she seemed positively thrilled.

“A bet?” She asked, her eyes burning with excitement, “Count me in.”

—

There were few people at Edenbrook who did not know Dr. Lila Valentine after her tumultuous first year.

Even if they didn’t know her personally, they knew of her: the doctor who had taken the hospital by storm, the doctor who had nearly lost her license by stealing from a pharmaceutical company to help a much loved patient, the doctor who had saved the life of the new Chief of Medicine when even he hadn’t been able to figure out what was wrong with him, the doctor who had become the youngest fellow on the diagnostic team.

There were numerous stories told about her and while they were filled with varying levels of truth, there was still one underlying consensus:

Dr. Lila Valentine was a damn good doctor and a damn good person.

It was hard not to like a person like Dr. Valentine, ever diligent and willing to help out others. Despite efforts to sabotage her reputation, there was hardly anyone who actually had something bad to say about her- most people only had good anecdotes to share, when she’d helped them out one way or another.

As it turned out, there were quite a lot of people interested in Dr. Valentine’s love life and Mitch soon found that he needed to keep a notebook in order to track the overwhelming number of bets being made.

—

“Dr. Zaid once caught her and Dr. Lahela making out in the supply closet,” An IM resident told Mitch conspiratorially as she handed him a twenty, “He was in a bad mood the rest of the day. Well, worse than usual.”

A NICU nurse went out of his way to find Mitch, “$50 on Ramsay. They stayed overnight once, watching over a premature baby. There’s something between them for sure!”

“I walked into the on call room once and I had to walk out immediately. I don’t think Drs. Valentine and Varma noticed but… I definitely noticed them,” A surgical resident whispered, blushing furiously even as she pushed a fifty dollar bill to Mitch.

The nurse sighed heavily, “I was personally rooting for Rafael.”

Seeing Mitch’s blank face, she quickly clarified, “He’s a paramedic. But then he showed up at the hospital one day with his girlfriend.”

“It’s a shame. I saw them sleeping together in his hospital bed once and it was just the cutest thing I’d ever seen…” she clucked her tongue in disappointment before turning serious, “I want $40 on Dr. Lahela.”

—

Mitch had just handed a ticket to Dr. Taylor when he found himself facing a certain surgical resident.

“Dr. Lahela,” he greeted professionally, giving away no signs of apprehension.

Bryce glanced down to the notebook in Mitch’s hand with a smirk, and Mitch felt his grip on it tighten.

“I want $50 on Bryce,” Bryce finally said, handing him a crisp bill.

“Nice,” Mitch couldn’t help but nod in respect as he handed him his ticket.

“Always bet Bryce, baby!” Dr. Lahela declared as he walked off jauntily with his new betting receipt.

“Alright, Dr. Lahela has moved down to even money,” Mitch announced to a muttering crowd.

—

One day, during his break, Mitch was surrounded by a verifiable militia of hospital personnel, from security guards to lab techs to physicians. The chatter suddenly died down and Mitch had only the time to wonder why when the sea of people parted and the Chief of Medicine appeared in front of him.

“Dr. Banerji,” Mitch greeted with one of his most winning smiles, even as he began to panic internally. Was he going to lose his career all because of a single bet?

No. The panic quickly dissipated, and Mitch felt a calm take over him. He’d been in worse situations than this and he’d found that there was little the charm of a good looking and self assured man could not mitigate. There was only one way he’d get out of this.

“Would you like to place a bet sir?” Mitch asked confidently with one of his most winning smiles.

Dr. Banerji remained silent but Mitch did not let his composure break, staring intently at the man who held his career in his hands.

And then Dr. Banerji laughed and Mitch could not help but breathe in relief.

“No, no. I don’t think I’d be setting a good example if I were to bet on the personal lives of my employees,” he said and while he was chuckling, there was still an underlying current of warning that kept Mitch on edge.

“Of course,” Mitch said.

“But I do have to admit. I was a bit curious as to who was in the lead.”

“Sir?”

Dr Banerji looked at him expectantly and Mitch quickly responded.

“Well Dr. Lahela is the current favourite, although Dr. Ramsay is a close second.”

“Hmm,” Dr. Banerji murmured, a mysterious smile on his face, and Mitch suddenly remembered that Dr. Banerji was the personal mentor of Dr. Ramsay. Not to mention, Dr. Valentine had saved his life.

There was no way he didn’t know who she was actually dating.

“Good day,” Dr. Banerji took his leave, chortling, and Mitch felt a sharp pang of regret that he had missed out a chance to ask for inside information.

—

A month had passed since the start of the betting pool, and while it had expanded to include a good quarter of the entire hospital, they were still no closer to reaching an official verdict.

If Dr. Valentine had felt scrutinised after the announcement of her disciplinary hearing, there were twice the number of eyes on her now.

But she didn’t seem to notice, passing each day oblivious to the attention on her.

Lila walked out of a patient’s room now, her brow furrowed in concentration as she made a few marks on the patient chart.

It was at this moment that Jackie made her way down the hallway. Upon seeing her, Lila bumped her hips playfully against Jackie’s, and the eyes of all of the staff in the vicinity seemed to focus in on that single action.

There was a playful exchange of “Doctor” between the two but Lila continued to keep walking to the disappointment of many.

Bryce appeared now, turning around the corner as he wheeled one of his patients out. Seeing Lila, he winked at her, and while this was standard behaviour for the flirty resident, Lila suddenly stopped him, placing a light hand on his shoulder.

Unknowingly, people began to lean forwards as Lila and Bryce engaged in a quiet conversation. When they stopped talking, there was a sudden buzz of activity as everyone pretended to be busily absorbed in their work.

The ding of the elevator announcing its arrival caused a current of excitement in the air as people waited with bated breath to see the newcomer, hoping desperately that it might be a certain diagnostician who would put an end to this bet.

Dr. Harper Emery, Chief of Neurosurgery, entered the ICU and there was a collective sigh of disappointment as Lila greeted the woman, handing her a patient file on the diagnostic team’s newest case that was in dire need of a neurosurgeon’s expertise.

The mood seemed to dampen until a sharp look from the surgeon caused everyone to begin working with renewed focus.

—

“You want to come over?” Sienna asked Danny brightly, “My roommates won’t mind. I mean, Lila barely comes home these days anyway.”

At the mention of Lila’s name, Mitch suddenly sidled up to her at the nurse’s station.

“Dr. Valentine hasn’t been home lately?” Mitch repeated and he slowly looked over Sienna, as if reassessing her worth to him.

Looking thoroughly unimpressed by his blunt intrusion into their conversation, Sienna responded, “If you have any questions, you should ask Dr. Valentine herself. Bye Danny.”

Sienna left but Mitch was beyond caring as he also left to round up his fellow interns.

“Dr. Trinh mentioned that Dr. Valentine hasn’t been home lately. That means she can’t be seeing Dr. Varma, she has to be seeing Ramsay!” Mitch declared triumphantly. While the bet had started out harmlessly, it had gotten so big, and now, it was a matter of principle to him. He needed to know for his own pride that he was right, that Dr. Valentine was dating Dr. Ramsay.

“Well, Bryce doesn’t live with them either so he’s still an option too,“ Sothy pointed out.

Mitch grimaced at the truth of his statement.

—

After yet another tiring day of work, Mitch made his way to the locker room when he suddenly did a double take and took a few steps back.

There, in the diagnostic team’s room, visible through the glass walls, were Dr. Ramsay and Dr. Valentine alone.

The walls were unfortunately soundproof and Dr. Valentine’s face was obscured from his perspective, but Mitch could still see how close the two were to each other.

A tender smile appeared on Dr. Ramsay’s face, the likes of which Mitch had never seen before on the usually strict and tough physician. Dr. Ramsay then placed a hand on Dr. Valentine’s shoulder and Mitch surreptitiously sneaked over to a different vantage point.

And there it was.

Dr. Valentine’s face was flushed pink, her eyes filled with an adoring light as she listened to what Dr. Ramsay was telling her.

There needed to be more evidence before the bet could be finalized but this was as good a confirmation as Mitch needed and he whistled cheerily all the way home.

—

Lila practically purred in contentment, curled into her lover’s embrace on the couch and relishing the feeling of their hands stroking her side.

Reflecting on her day, Lila still felt herself flush with pride at the memory of Ethan’s words to her. Even after the better part of a year, it was hard not to feel out of place in the diagnostic team meetings, not to let herself become overwhelmed by the sheer knowledge and skill of her more experienced colleagues.

But today, Lila had been the one to guide the team to the correct diagnosis after days of struggle and countless consults; she’d been the one to see past the distracting myriad of abnormal test results. She had been the one to see the patient and notice the hepatomegaly that indicated liver failure even as the lab results said otherwise. She had been the one to figure out that the patient had Wilson’s Disease and place her on the list for a desperately needed liver transplant.

Ethan had pulled her back after the meeting to express his admiration for how far she’d come (“Good work, Doctor.”) and she felt like she was still on a high from that. Lila had never imagined she’d hear those words from a doctor she’d idolised since her days in medical school.

But then there were a lot of things Lila had never imagined would happen.

Their relationship had faced a lot of obstacles, including the woman herself because of her reservations, but it had all been worth it the day Harper Emery had told Lila that she loved her too.

There wasn’t an exact moment that Lila could pinpoint the start of her feelings for Harper; it had been a gradual realisation. Outside of the hearing, she hadn’t had much chance for interaction with the Chief of Medicine, but she’d stumbled upon the woman one day, alone in an empty surgical suite, running her hands wistfully over the surfaces.

One conversation had led to another and Lila had seen more and more of the woman behind the mantle with each meeting.

And then one day, she’d looked at Harper and realised that she loved her, had loved her for a while.

It had taken a long time for Harper to admit her own feelings but now they were together and Lila would not trade the world for it.

Of course, they both knew it was too early to report their relationship to HR. It was too soon after her disciplinary hearing and Lila had no intention of staining Harper’s professionalism, nor did Harper want to cast a shadow over Lila’s burgeoning career. It’d still be a year or so before things settled down and they could safely report their relationship without fear of excessive backlash.

But for now, Lila contented herself by snuggling into the warmth of Harper’s arms.

“You’re getting bold,” Harper said with a smirk in her voice as she pulled out the post it note that had been attached to the file she’d received from Lila.

“They all think I’m dating Bryce or Ethan or Jackie anyway,” Lila dismissed carelessly, “I don’t know how any of them believe I don’t know about the bet. They’re so obvious.”

“And wrong,” Harper murmured before leaning down and drawing Lila into a kiss that stole her breath away.

Lila hummed happily as they continued to kiss, feeling as if her heart might burst from all the happiness and joy she was feeling in this moment.

“Bed?” Harper asked sultrily, gently tugging Lila’s lower lip with her teeth as she withdrew from their kiss.

“Please,” Lila breathed out and all thoughts escaped her mind as she lost herself in the embrace of the woman she loved.

—

A/N: lol did anyone guess the pairing?

several points of explanation:

We don’t know much about the new interns so I just based their personalities off of what we’ve seen so far. It made sense to me that Mitch would be experienced with large betting pools as like a frat guy or whatever, and that Gary wouldn’t be able to lie about the bet.

I wrote Lila to be a very affectionate person. She enjoys having fun and she’s had a couple of light trysts with some of her friends her first year; they’re all young and good looking and under inordinate amounts of stress that only each other understand, what’s to stop them? I don’t know if Ethan would have been up for a one night stand so you can think whatever you like, it’s open. But ultimately, she falls for Harper and they’re in a committed relationship.

Dr. Banerji knows about the relationship and thinks they’re good for each other although he regrets that they have to hide it for now. Sienna knows and I couldn’t decide if Bryce/Jackie/Elijah also know or if they only know that she’s in a relationship.

The Wilson’s disease case I summarised briefly is a true story that Dr. Lisa Sanders wrote about in her book, “Every Patient Tells a Story.” Fun fact: she actually inspired the show, House MD

Bryce has moved down to even money - this means that if he turned out to be dating Dr. Valentine, everyone who bet on him would get their money back. 1:1 odds, as opposed to getting like double their money.

to reiterate: Lila’s flushed bc she’s proud to be praised by her idol turned friend. Mitch is just misunderstanding everything.

#ethan x mc #bryce x mc #jackie x mc #harper emery x mc #open heart #rafael x mc #guess the pairing #ethan ramsey #bryce lahela #jackie varma #rafael aveiro #harper emery #playchoices #playchoices fanfic #gary garrison #mitch keller #sothy yoeun #sienna trinh #my writing

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bridgestonehrs · 3 years

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BEST KNOWN DETAILS TO DISCUSS ON PATIENT PAYMENT ESTIMATOR

coders are the spine of an agency’s financial health. timely coding contributes to timely health center sales and cash go with the flow, each of that are essential for a clinic to characteristic. but, coders need to be willing to appearance past their conventional roles and look at how they can help make certain the ongoing monetary viability and economic success of the organization.

we're all certainly acquainted with 1/3-celebration auditors and payers which can be scrutinizing our claims greater than ever. these oversight contractors are required to pick out flawed payments and both recoup those bills or save you payments completely. coders normally have get entry to to the entire scientific record. as a consequence, they possess a bird’s eye view of the patient encounter. the health center sales cycle spans from the time the patient registers on the facility to the time he or she is discharged and beyond until the ability collects any balances, and the account is closed. which means coders are in a super function to pick out regions for process improvement that may assist keep away from Denial management software.

most hospitals address denials retrospectively with very little emphasis at the elements that result in those denials. as a end result, they again and again enjoy the same varieties of denials.

the medicare charge-for-provider improper charge file consists of the following five categories of common denials:

no documentation: this takes place whilst the provider fails to respond to repeated requests for the clinical statistics or the provider responds that he or she doesn’t own the requested documentation.

inadequate documentation: this occurs while documentation is inadequate to support fee for the services billed or when a in particular required documentation detail is lacking, such as a medical doctor signature on an order or a form that carriers must entire in its entirety.

medical necessity: this happens when documentation shows that services billed have been now not medically important primarily based upon medicare coverage rules.

incorrect coding:

takes place while documentation shows the subsequent:

a exclusive code should had been assigned

someone apart from the billing issuer or supplier sincerely accomplished the carrier

the billed service changed into unbundled inappropriately

the beneficiary became discharged to a site aside from the one coded at the declare

different errors: consists of claims that don’t match into any of the alternative classes (e.g., reproduction charge errors, non-protected or unallowable service).

denials associated with wrong coding may be easier for coders to cope with because they play an immediate function in making sure accurate code challenge. however, denials related to insufficient documentation, no documentation, and medical necessity are more complex due to the fact others (e.g., providers) must be concerned in enhancing the manner. within the 2011 declaration of work for the recovery audit application, cms distinguishes between drg and medical validation. extra particularly, the enterprise provides the subsequent explanation.

drg validation is the system of reviewing physician documentation and figuring out whether the right codes and sequencing were applied to the billing of the declare. this type of review shall be done by means of a certified coder. for drg validations, certified coders shall ensure they are no longer looking past what is documented by using the health practitioner, and aren't making determinations that aren't regular with the steering in coding sanatorium.

scientific validation is a separate technique, which includes a medical assessment of the case to see whether or now not the patient genuinely possesses the situations that had been documented. medical validation is past the scope of drg (coding) validation, and the capabilities of a certified coder. this sort of evaluation can most effective be performed through a clinician or can be performed with the aid of a clinician with accredited coding credentials Hospital denial management software.

what does all of this suggest for coders? although coders can’t clinically validate a circumstance, they could pick out insufficient documentation, including:

lacking progress notes

progress notes that consist of dates of provider for which there is no evaluation and plan

conflicting scientific documentation

nurses’ notes that fail to substantiate physician diagnostic conclusion statements

scientific effects and documentation that fail to substantiate health practitioner diagnostic end statements

scientific documentation that actually precludes the correct venture of foremost and secondary diagnoses

coders also can play a role in ensuring medical necessity. auditors validate scientific necessity via carefully analyzing medical doctor documentation of a concise and targeted history of present illness that reflects patients’ severity and acuity. a well-documented evaluation and plan of care need to assist this severity and acuity as properly.

while coders discover and sequence major diagnoses, they power the drg that determines—or invalidates—clinical necessity. auditors and payers focus at the scientific necessity of short-remains (i.e., inpatient stays that generally remaining three or fewer days), and coders may additionally need to do the equal. in widespread, coders ought to ensure that the important prognosis displays the cause why—after take a look at—the affected person is admitted to the power, specially whilst concomitant and co-current diagnoses each meet the definition.

chart selection for assessment centers around fundamental prognosis choice and ensuing drg challenge in acute care short stays defined as inpatient stays commonly 3 days or much less. coders want to attention on ensuring that the clinical condition selected simply reflects and meets the reliable coding recommendations of the fundamental analysis whilst concomitant, “co-current” essential diagnoses exist. Coders unequivocally play a key position in denials avoidance, and they're quality ideal to proactively pick out system deficiencies. coders who don’t search for approaches to enhance the overall procedure will only hold to perpetuate retrospective and on-going denials. it’s time for coders to step up to the plate and decrease denials. SEE: https://www.bridgestonehrs.com

#Self Pay Medicaid Insurance Discovery #Medical billing denial management software #Denials management software

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captainscanadian · 4 years

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Better | Bucky Barnes x Reader (Part 7)

My Masterlist

Summary: You finally decide to open up to your friends, realizing that opening up your heart would definitely make everything better. You knew exactly what you needed to be better.

Word Count: 7170

Pairing: Doctor!Bucky x Doctor!Reader, Doctor!Natasha x Platonic!Reader, Lawyer!Peggy x Platonic!Reader, Doctor!Tony

Warnings: Swearing, Mentions of Abuse & Alcoholism, Surgery, Organ Donation, IV & Needles, Emotional Distress, Physical Pain, Drugs, Hospital Stay, Homelessness, Anxiety, Betrayal

A/N: After the last few updates, some of you have been very upset with me and I know that. I hope this make all of you happy. <3 Gif is not mine, credits to the respective owner!

Primum non nocere // “First, do no harm”

Though some may say that Latin was a dead language, it was that single Latin phrase which you had always lived by. No one really knew the origins of that phrase. Whether this exact phrase was even mentioned in the original Hippocratic Oath was debatable, but it is commonly believed that the promise “to abstain from doing harm” in the modern version oath itself came from this particular Latin phrase.

As a doctor, you had sworn to uphold the Hippocratic Oath in order to be able to practice medicine. But upholding the oath did not just apply to you practicing medicine alone. It was certainly binding; it was a sacred piece of text to all doctors, nurses and other medical professionals in the world for generations. It applied to the way you lived your life, just as much as it applied to the way you practiced medicine. Perhaps the Hippocratic Oath had been the reason why you were currently in this situation. After all, being a better person had been just as important to you as being a better doctor.

“I will apply, for the benefit of the sick, all measures that are required, avoiding those twin traps of overtreatment and therapeutic nihilism.”

You had firmly believed that it was your duty to apply all measures that are required for the benefit of the sick. That was why you had even volunteered to donate your liver in the first place. Even if he was your abusive father, he was still a patient. This was a measure that only you could have taken, for you were your father’s only offspring. Anyone else may have had a choice in whether they must come forward to donate a piece of their liver to save another life, but as a doctor who had sworn to the Hippocratic Oath, you had been left with no choice. You had to do what you had to do. There was no other option for you than cutting out a piece of your own flesh.

“If it is given me to save a life, all thanks. But it may also be within my power to take a life; this awesome responsibility must be faced with great humbleness and awareness of my own frailty. Above all, I must not play at God.”

It was true. You as a doctor, with your knowledge and the skills that you had acquired from the professors and surgeons before you, did have the power to take a life as much as you had the power to save a life. All it took was one wrong cut, one wrong dosage and one wrong judgement to take a life on your table. But as a physician, you could certainly not do that. You had to uphold the Hippocratic Oath. Did this certain promise to not use your power to take a life or play at God not apply to every other decision you made in your life? You did have the power to take your father’s life had you chosen not to move forward with the transplant. With his position on the list and the wait time for a liver transplant, he certainly would not have made it. But you knew that it was not the right thing to do. You could not violate your oath nor play at God like that. You had to do what was within your power to save his life, not take it.

“I will remember that I remain a member of society, with special obligations to all my fellow human beings, those sound of mind and body as well as the infirm.”

This was your obligation as member of society to your fellow human beings. Your father, regardless of who he was and whatever the issues you had with him, was a fellow human being who deserved to be treated as such.

You had thought that you did the right thing by donating your liver. You had saved his life and it had brought you a sense of relief. You had not brought him harm. You had often wondered if you leaving behind your parents had brought them more harm than good. Had you intentionally did them harm? While you wished that the answer was no, you knew that was certainly not the truth. After all, you had done them harm... though not physically, you had put them in harm’s way by worsening their financial situation. It was only a matter of time before they end up on the streets of Buck’s County, and as someone who’s had to live through that, even if it was for one night, you would not even wish that upon your worst enemy let alone your own parents.

You could not deny that a part of you wanted to fix this for them. You wanted nothing more than to make their lives easy. After all, you had made their lives harder as they had made your life harder as well. Sure, they had abused you. But you could not blame them for their behavior. Losing their business had put a strain on their whole being. While being a child who needed to be provided with food, clothing and shelter was certainly not your fault, you blamed the added stress of providing for a child along with the emotional distress that came with being bankrupt for being their reasons to take it all out on you. Had they been right about doing what they did? No, certainly not. But should you wish that they must continue to be punished for their wrong-doings? Had they not had enough, being hated by an entire town while their own child had fled them? Had they not had enough, with your father drinking away his health and your mother being burdened to be the sole breadwinner of the family? They had had enough. You could not let things get worse for them.

You certainly did have the money. But you also knew that paying off their medical bills would mean that you could no longer afford to keep your make shift clinic running at the local homeless shelter. You had been put in a position where you had to choose between the countless of homeless people who depended on that shelter and your clinic and your own biological family. And what kind of a daughter, let alone human being could you be, if you chose to help those unknown people while your own family might even end up in the streets at this point. This choice was certainly not as easy as the first one.

It had taken a few days for the hospital’s in-house attorney to draft a proper contract upon the request of Dr. James Barnes. But she had done it to the best of her ability, ensuring that by accepting his payment, your parents did agree to never contact you ever again. She had triple-checked that this contract had no loopholes and that you were protected from them, as you should have always been.

She had even informed Dr. Romanoff, Dr. Wilson and Dr. Parker of the situation, for they had been the doctors on your case and needed to know of the current circumstances between you and the recipient of your liver. However, she had only shared the financial aspects and not the emotional ones. After all, she still respected your privacy and decision not to over-share the issues your personal life with anyone else, even if they were your friends.

For the sake of protecting you and this hospital, though she knew that your parents were certainly not smart enough to come after the hospital anyways, she had also informed Dr. Stark of what Dr. Barnes was about to do. There was no reason for the hospital to be involved in this transaction, unless there was an eventual lawsuit, which there would not be. As long as the hospitals bills were paid off, Tony did not object to it. In a way, even he had cared about ensuring that your abusive parents were out of your life. He had even mentioned to Peggy about him paying off the bills out of his own pocket; all it took was a little nudge from the attorney for the Chief of Surgery to understand that this was Bucky’s burden to bear.

“No, he pays them off. She finds out, even though he doesn’t want her to. Then she’ll finally realize that he’s been in love with her all along. She’ll ask him about it. He’ll have no choice but to fess up and they’ll both live happily ever after. Is that not what you want, Tony?” Peggy Carter had asked him, a hint of frustration evident in her voice. As a mother herself, she was disappointed extremely disappointed at what your own parents had done. If she could have done more than just draft a contract in this situation, she would have done it all. Hell, she would have taken their asses to court and ripped them to shreds if you did have a strong case. But you did not and this was the next best thing she could do for you. “Because that’s literally what every single person in this entire fucking hospital wants at this point.”

“Do you really think he’ll fess up though? I made a bet with Pep. She says he will but... I wouldn’t put all of my faith in him.” Tony had remarked with a chuckle.

“This thing’s been going on and on forever. It’s about time it all came to an end.”

“But he doesn’t even want her to know that he’s paying them off. How is she going to find out about it?” He had asked the lawyer, his eyebrow raised at her.

“Do you think I’m an idiot, Tony?” She asked the man as she crossed her arms against her chest. “He can be this selfless, righteous... ‘I just want to protect her even though she doesn’t love me back and I don’t want to put my money down because of my own personal gains’ ... all he wants, but I’m not going to let him do whatever he pleases by now. The bloke’s the godfather of my child and she’s the closest thing Steve’s had to a sister. Those two are going to get together by the end of this thing and I’ll make sure of it.”

“Sounds like you’re meddling, Peggy. Are you a meddler though?” He asked as he feigned a dramatic gasp. “Is this what my father taught you? Meddling? Really? Is that what Howard taught you to do in court? How often do you do this in court anyways? How much have you meddled in the past?”

“Oh get over yourself...” She rolled her eyes at him. “As a matter of fact, your father did... teach me what it means to meddle in certain cases, not that I agreed with him or anything like that. There is a reason why I left his firm all those years ago but that’s not the point. This isn’t a court case, its Bucky and Y/N’s life and I’m going to meddle... the living shit out of it if it means that we’ll get a happy ending. Steve agrees that someone’s got to do something and he knows he’s not the right one to do it either. So, I’m going to meddle and get those two together, even if it’s the last thing I do.”

“I guess I better get ready to lose my bet with Pepper then.”

While Peggy did not completely agree with Bucky’s decision to pay off your parents himself, she knew that this was the only plausible solution to your dilemma. Though there were certain legal actions that could have been taken against your parents, she knew that you would not want to go forward with that. And even if you did make that call and had approached her for legal advice yourself, she would have told you not to do it. After all, the court would have suggested settlement anyways. A case of emotional extortion would not stand in court and knowing of your past, the last thing Peggy would have wanted was for you to relive that trauma in a court room. The court room was a brutal place just as it was and you had suffered enough.

“Are you alright, love?” She asked you as she sat down at the edge of your bed, her hand reaching over to grab yours. “I know you’ve had a rough couple of days but is there anything... anything we could do for you?”

Your eyes glazed over as you shook your head. “No... no, I... I’ll be fine, Peg.” You croaked out. You were still in and out of consciousness, thanks to the pain medications that continued to be pumped into your system. The dosage was controlled, but it made no difference. Even when you were completely knocked out, a part of you still felt the pain. But you could not tell for sure if the pain you had been feeling was physical or emotional. It was blurry...

“Sweetheart, you know you can talk to us about anything... right?” Natasha asked you as she stood by your bedside. To say that a part of her felt slightly frustrated that you had not opened up to her over the years would be an understatement. But she understood that you must have had a valid reason for trusting only a few people. Though she could not deny that she had grown to despise your parents a lot more now that she had found out about their attempt at extorting money from you, she had tried her hardest not to show it when she had to face them. After all, she was still in a conflicted position being your father’s doctor and your friend. She wanted nothing more than for all of this to be done for good. After hearing from Peggy about Bucky’s decision, all she could do was hope that the man would finally come forward and confess his feelings to you. She knew that he did not want to do that but she also knew him. She had known him for years, ever since they were residents. If anything, Dr. James Barnes was good and fixing broken hearts and your broken heart was indeed his to fix. “We’re your friends, Y/N. We’re here for you because we care about you. You know that, right?”

You sniffled as you turned over to look at your general surgeon, though you tried to ignore her words. A part of you wondered if your request might offend her, but it was for the best. You did not want to hurt her as much as you did not want to get yourself hurt again as well. You had a reason to want what you had wanted, so you might as well just ask her already. “Actually... Nat, there is something you could do for me.” You told her with a nervous smile, a sigh escaping your chapped lips as you looked over at her..

The red-headed surgeon perked up at your response. “Sure, what is it? What can I do for you?” Ever since you had first started working it this hospital, Natasha Romanoff had been the one who had constantly approached you in hopes of befriending you. Though her attempts had often failed, she took no offense to that. She had heard from Steve that you were not the kind of person who liked to hang out in a large group of people so she had let it slide until you were ready to accept her friendship.

You could not deny that this woman was extremely forward and perky, much to your dismay at first. It may have taken you a few weeks to warm up to her, thanks to a heart-liver transplant that the two of you had first worked together on. But eventually, you had managed to hang out with her outside of work. You were not one to go out a lot, but when you did, it had always been because you had accepted Natasha’s invite.

Even when it came to her being your father’s doctor, you had requested for her to be yours too. In most transplant cases, the donor and the recipient had different doctors and a whole separate team dedicated to them, working on them separately. But Natasha had been the one you had trusted with your own life. You had asked her to be the one to cut you open and remove your liver and she had made the arrangements to do so. You had trusted her to be your doctor and she was your doctor, a good one at that.

“Can you... can you refer me to... psych?” You asked her as you looked down at your lap. “Preferably with Dr. Rhodes, he already has a file on me and he’s familiar with me... I think I have a lot to talk to him about.”

Dr. Romanoff frowned at your request as she walked up to you, sitting down across from Peggy and taking your other hand in hers. “Y/N, honey...” She let out a sigh and you could have sworn that you saw her eyes glaze over with tears. “I’m not going to pressure you to open up to us. None of what’s been happening to you lately is any of our business. But it breaks my heart that you... that you’d rather share what’s going on with you to a psychiatrist than your own friends. I don’t know what it would take for you to trust us... but we’re all here for you and we’re all worried about you. I just want you to know that we’re not going to leave you hanging. And as your doctor, I’m telling you... you don’t need a psychiatrist. You need a friend. You need a family and you have a god damn family. You have all of us.”

You wanted to believe it. You really did. But you did not know if you should. Someone else had said these exact words to you all those years ago and you had believed her, only to realize how wrong you had been about putting all of your trust in her. She had also said the opposite of these exact words to you to and you had still believed her. For all these years, you had held back from making close friends because you had been terrified to get hurt again, the same way she had hurt you.

Peggy reached over to place her free hand on Nat’s shoulder and turned over to look at you with a frown that matched hers. “Sweetheart, come on... we’re not going to let you go through this alone. Steve’s not going to let you go through this alone. Tony’s not going to let you go through this alone. Barnes... is not going to let you go through this alone.”

You could not deny that your heart skipped a beat when the woman had mentioned his name. Dr. James Barnes had always had a special place in your heart. You knew that you shared a very special bond with him, a bond that was just not the same as what you had or did not have with anyone else at this Brooklyn Hospital. You had met him that night when you had been at one of your lowest points in life; you had been ready to give up on your entire career that night, which had been the one thing that had kept you going up until that point. You would have given up on your whole life had you not met him, for he had told you to aim to be a better surgeon and you had strived to be just that over the years. In a way, he was the reason why you were still alive today.

You remembered the first time you had become acquainted with his name though. It was not when you had first arrived at Brooklyn Hospital. No, it was years before that. You had been a fourth year medical student at NYU Med at that time, meeting with one of your former undergraduate professors for coffee. Though the woman had only taught you in your freshman year, you had kept in touch with her throughout the years of your undergrad and medical school. She had always appreciated having her former students come back to visit her, though you knew that you weren’t the only one who had kept in touch with her over the years.

When you had mentioned that you were planning on becoming a cardiothoracic surgeon following your graduation from NYU Med, she had recalled to you that two of her former students had went on to become successful cardiothoracic surgeons in Brooklyn. All it took was a Google search for you to find out who they were, Dr. Steven Rogers and Dr James Barnes. In a matter of hours, you knew exactly why the two of them were the best heart surgeons in all of New York. You had read every article they had published on the medical journal and watched every video of their surgeries that had been recorded and published for teaching purposes. They really were the best at what they did and you knew that training under one of them was the only way to succeed in your own career.

You had become determined to land a fellowship at Brooklyn Hospital and had worked your butt off during residency to get there. You had made it where you wanted to be. But even then, things did not seem like they were going to get better for you, at least not until you had met Dr. Barnes. He made you want to be better. He made you better.

Over the years, you had gotten to know Bucky as much as you had gotten to know Steve. Aside from having to work closely together, he had been one of the few people whom you had gotten to know outside of work as well. Although that had not been your intention, you could not deny that he had gotten to know you a little more than you would have allowed him to.

Perhaps the turn of recent events had been you realize just how oblivious you had been to your own emotions. But you felt something for that man. You knew you did, even though a part of you knew that he may just be way out of your league and he may not feel the same way about you. You did not have the courage to act on these feelings but you knew that you felt something for him, you had been feeling something for him the moment he had walked into your make shift clinic at the homeless shelter that night.

It may have been his dark jeans and leather jacket that he had been wearing that night. They did make him look extremely attractive. It may have been the way he had come all the way to the shelter after not finding you at home and apologized for the way he had treated you in the OR. He sure had been persistent that night. He had respected you enough to give you a personal apology and no one had ever treated you with such courtesy. It may have been the way he had walked you back home or told you that you were capable of doing better than what life had to offer you. He was a true gentleman though. There was no denying that. But that snowy night in New York, when you had ditched the formalities and gathered the courage to address him by his first name, you had fallen for him. And unbeknownst to you, that same night when you had called him by his first name, your James had fallen for you too.

“Peggy, where’s Barnes?” You asked her as you turned over to look at her, biting down on your chapped bottom lip as you let the tears stream down your face. “He hasn’t come by to see me in the last couple of days. I haven’t seen him since... before my mother... came to see me.” The James Barnes you knew had not dared to leave your bedside since the moment you had first woken up from your surgery. But when you needed him the most, he was nowhere to be found. “I know he was mad at me for... not listening to him and going forward with this transplant. But is... is he...” You could not find the words to say that all you wanted at that moment was his presence, the glint of his bright blue eyes and his genuine smile that always calmed you down. You wanted his hands on top of yours or your head to rest on his shoulders like that day in the supply room almost two weeks ago. All you wanted was James, even if he did not want you. You wanted that clarity that he always brought to you.

“Well... I’m glad you asked about him because I didn’t know how to start that conversation.” The British woman let out a sigh of relief as she gave your hand a squeeze. “He’s... not mad at you, darling. I can tell you that for sure. He’ll never be mad at you. He respects you and your bodily autonomy above anything else. He’s... just been a bit busy with patients, you know... you know how it is. He’s also been... um...” If the woman could just spit out Bucky’s plan and did her meddling as she should, she knew that all would be well. But she was hesitant about sharing this with you, for a part of her was worried about your reaction while another part of her was not willing to break Bucky’s trust. She felt conflicted, even though she knew exactly what she had to do.

“I miss him...” You admitted, a small smile creeping upon your lips. “I miss... him sitting on that chair with a book in his hand and pretending to read it even though he knows I’m awake and watching him. He’ll keep reading until he gets to the end of the page before he turns over to look at me... I miss his smile, the way he always calls me ‘doll’ and... I miss him... scolding me for not wanting anymore pain meds... and grabbing my PCA remote and pushing the button himself because he can’t stand to see me in pain. I miss him watching me doze off. I miss him... placing a kiss on my forehead... when I fall asleep. I was pretty sure I was hallucinating when I first felt him do that but... he did it more that once so I know that actually happened... more than once. I miss... waking up to him... and... he was always there and I felt safe, like I could get through this with him at my bedside. But ever since he left me... things haven’t been getting better and... I don’t know. I miss him.”

Natasha and Peggy looked at each other with wide eyes before quickly looking back to you. “What?” They both said, in unison. They both knew what this meant. You must not have been as oblivious to Bucky’s feelings as they had thought you were. Not to mention that it seemed as though you had felt the same way about them. If they only knew for sure, they would know just how to meddle with things.

You leaned back your head against your pillow as you close your eyes, thinking about everything that had happened to you that had led up to this moment. “Margaret...” You whispered, as though her name had imprinted itself as a curse word in your mind. Saying the name of the woman who had somehow instilled some sort of fear in your heart had been terrifying itself to say the least. But you knew that you had to let her go. It was the only way you could finally allow yourself to open up to anyone. To Natasha and to James.

“What?” Peggy perked up at the sound of her name. You did know that it was her name. Perhaps, she may have been the reason why you believed that not all Margaret’s could be so cruel.

You opened your eyes to look at the woman and shook your head, letting out a sigh. “Margaret. She was my... roommate... at NYU. The first real friend I had... or so I thought. It was strange to me, you know... to find a friend in someone that the housing department had assigned to live with me. But I... I was young, just turned eighteen, finally out of the system, on my own and starting college... I was so excited to have a friend after being alone for... my whole life. I had a whole life ahead of me and... Here was... someone who... who actually gave a shit about me and I was grateful that... I had someone to call my friend, maybe even my found-family.” You could not help the tears that continued to stream down your face, the ping at your heart as you had just opened up the baggage you had been unnecessarily holding onto for years. “You know that feeling that you get when you... think that this person would be there for you throughout your whole life when no one else would? That was her. I thought she would be my best friend for life but... I was wrong about that.”

Natasha was still holding onto your hand as you continued to speak. The thought of you having had a best friend in the past did not surprise her to the slightest. After all, she firmly believed that anyone who met you would genuinely want to be your friend, as she had done so when she had first met you. But she could not help but wonder how this friendship had ended for you, since it had certainly left such a lasting impact on your social life, even after all of these years. Whatever happened between you and this Margaret, it must have caused you a lot of pain. Because if there was one thing that she had just realized, it was that this person was the reason why you had been so closed off; the reason why you had been hesitant to accept her friendship at first. There was one thing that she knew for sure though. Whatever may have happened with you and your former friend, it must not have been your fault. She knew you well enough to know that you would never intentionally even hurt a fly, let alone another human being.

“I mean, we were best friends. We... spent a lot of time together, did things that friends in college... did. She was the one who took me to my first college party, bought me my first drink when I turned twenty-one... she really got me to come out of my shell. And I was willing to do that for her. I was willing to put myself out there for her; I never did that for anyone. I went above and beyond for her... you know... I valued her friendship so much that I was willing to sacrifice... anything for her. No one wanted to be my friend through high school because everyone hated my parents. No one knew my parents in New York, no one cared who they were or what they did... or who I was, really. So, her wanting to be a close friend of mine... I was grateful. I gave up a campus job once in first year because she needed a job; I had two other jobs already so it was fine. I... uh... always did things when she asked me to... like... things that she did around campus. She... had joined a sorority and when she... did these events for them, I would buy myself a ticket and show up because I wanted to support her. Charity fundraisers... I was the first one to donate. I... couldn’t afford it but... being a good friend was more important to me and I would have expected her to do the same for me. I guess... we were close friends, but maybe it was just... me... maybe I was the only one who thought that when she didn’t...? I don’t know how things... even happened. I mean, after a while... she started hanging out with all of her sorority sisters a lot more... ditched me but... I didn’t think much of it at first. You know, I... I’m not an idiot. I did notice that she was spending a lot less time at home, but I really didn’t think much of it. I thought I was overreacting... and I let it slide.” You paused to take a breath. “I didn’t think she was... deliberately trying to distance herself from me. I mean... it was my fault.”

Peggy was listening intently as you spoke, for you had not even told her or Steve about this certain Margaret. But there must have been a reason why you had kept this from them. If you had kept it from them for as long as you had done, it made her wonder why you had chosen to share this with her and Natasha rather than her and Steve. Why now? The problem was your parents, right? So, why were you bringing up your former friend? She wanted to put the puzzle pieces together but she was unable to figure it out on her own.

“I... I always told her everything... everything about me and... What I’d been through, what was going on with me. I mean, she had to live with me... right, so... I know I had a lot of emotional baggage then, still do now but... back then, I was younger and a lot more... vulnerable. The wounds were still fresh. I just needed someone to lean on and she was always there... she didn’t mind it. She always told me that she didn’t... until one night. I remember being in my room, studying for a Biology exam. It was... December... and it was snowing really badly. I could see the snow falling from my bedroom window and... The next thing I knew, I felt like... I don’t know, I had an anxiety attack. I felt like the room was closing in on me and it just... I couldn’t breathe. I was shaking, I was cold... I remember putting a sweater on and just... hiding under my blanket. The heater was on. I tried to warm myself up but... I felt cold, my feet were numb. I panicked and I didn’t know what to do. My first instinct was to grab my phone and call her. She didn’t pick up and... I was... my hands were shaking so much when I texted her. I asked her where she was, she said that she was just leaving class and that she wasn’t coming home that night. I told her that I was... having a panic attack and that I needed help... that it felt like the night... that night in the snow storm... she knew what it meant. I had told her about what happened that night with my mother... so she knew why I was feeling... the way I did. But... just when I needed her the most... just when I thought that... she would... at least try to get me some help...” You felt a sob before wincing in pain and you could have sworn that you had felt a tug at your heartstrings. Margaret was not an easy subject to talk about but she was necessarily. She was the reason why you had given up on finding any sort of companionship in anyone, whether it was a genuine friendship or a romantic relationship.

Dr. Romanoff immediately sprung to her feet, moving over to gently pull you into a side-hug, careful not to mess with the wires and tubes that were still attached to you. Honestly, at this point she could care less about them though. If she did mess them up, she could just put them back in you herself. She knew that you needed a hug and she was going to give you a damn hug.

“The next thing she said to me... the last thing she ever said to me before she moved into her sorority house... she said and I quote, ‘Fuck off, I’m not a qualified therapist,’ and... I kid you not... it hurt like a bitch when she said that. I was shocked... I was... I didn’t know what to do, I... I knew that I’d just lost the one friend I had, I wasn’t sure if... she was the one real friend anymore but... I thought it was my fault. I blamed myself. I had ruined something for myself, I felt like I could never do anything right. Things were finally starting to get better and I had... just fucked it up with her. I just cried myself to sleep that night.” You admitted as you let out another sob, leaning your head gently against the red-headed surgeon’s shoulder as you sobbed.

“Holy shit, what a bitch!” Peggy exclaimed as she stood up to hug you from the other sweetheart. “Sweetheart, I’m so sorry... you had to deal with her. You know, none of that is true. You’re...” Even she was at a loss for words as she turned over to look at Natasha and gave her a nod. If was not the right time for you to know just how unconditionally loved really were, she did not know when it would be. You needed to know what Bucky was about to do and she was going to tell you either way.

“I thought she was my friend but... she had hurt me. I never saw her again but... after what happened with her, I just... couldn’t get myself to become friends with anyone. I couldn’t let myself trust someone and... Give my all in a friendship and get nothing in return. To have my feelings be hurt like that... Nat, I didn’t mean to push you away for all these years. I was just terrified... terrified to get close to anyone because... you become close to someone, you tell them everything, do everything for them... one day, they’ll be your best friend and the next day, they’ll tell you to get a therapist.”

“Oh Y/N...” Natasha Romanoff did not utter a she word as she held onto you, her arms wrapped tightly over your shoulder as she gently held you against her body. Her hand stroked through your hair as you continued to sob, and you had felt the weight that you had been holding onto for years start to fade away. “I’m so sorry you had such a terrible friend. I can understand why you would have had such a hard time trusting anyone after what she did, after what your own mother did. People suck, Y/N... I know that for sure. But not all of us can be so terrible. We’re not like that; we won’t ever... judge you or throw you away like that. We are actually in it for life.”

“I’ve been... I’ve been holding myself back from trusting people, from having relationships. I kept believing that I wasn’t worthy of being loved because... I thought no one could love me.”

“Oh honey, you know that’s not true...”

Peggy looked over at Natasha and bit her lip. “No, it’s not... Y/N, I can’t speak for all Margaret’s but I’m sure that not all of us are such devils. I mean, at least I’m not like that and you know that. I would be honored to be your replacement Margaret if you would let me. I... I hope you would let me.”

You gave her a weak smile through the tears. “Yeah, well... you’re a much better Margaret than her, Peggy. But... um... I’m still scared... I.. I want to tell him everything, everything since the very beginning... the night I left Buck’s County, the day I got to New York, Margaret... my parents... the loss of a sense of belonging... a sense of being loved... that I lost years ago... the sense of belonging that I lost when I left home... that I didn’t get back until that night... when I was crying in an on call room and he made me realize... that I did belong in this hospital. He made me better... he makes me better, and I need him right now. I want to be better. I want him. Buck’s County is not my home... it never was, that’s where I left. But Bucky Barnes... James... he wouldn’t tell me to fuck off and get a therapist if I opened up to him and... told him how I really feel about... everything, would he?”

Natasha was in tears when she realized what all of this meant. Things were finally starting to be better for both of her friends and all she could do was hope that they ended well. She pulled back from the hug before wiping away her tears, her hands on his hips as she looked down at you and shook her head. “Fuck, no... of course, not!” She told you as she let out a chuckled. “If he dares to do such a thing, I’ll pull him by his hair and drag his ass through hell myself.”

Peggy Carter let out a sigh of relief as she wiped away her tears, hugging you for a moment longer before she pulled back. “As a matter of fact, he... he’s been thinking about making things better for you long before any one of us did. He... uh... he’s decided to take care of your dad’s medical bills himself. Of course, he didn’t want you to find out what he was going to do because you would have said no. But um... he said he’ll take care of it. He’ll make sure that your parents are well taken care of... financially speaking.”

You reached your hand up to wipe away your tears, a small chuckle escaping your lips. “James was always quite philanthropic. But it makes sense because... he... my clinic received a cheque from an anonymous donor a few years ago. I knew it was him because he... he has a big heart, even though he says he doesn’t. He’s always had a big heart.”

“You knew...? You knew it was him?”

You nodded. “I’ve known all along, Nat. I’ve known everything. I was just dumb enough to believe that I didn’t deserve any of it. But I’ll be doing much better once I see him. I need to see him.”

#bucky barnes x reader #bucky barnes imagine #bucky barnes fic #bucky barnes fluff #bucky barnes fanfic #bucky barnes fanfiction #doctor!bucky #marvel x reader #marvel au #tw abuse #tw alchoholism #tw surgery #tw needles #tw pain #tw anxiety #aj writes #better

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loughtonbaithead · 4 years

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Car Accident Lawyers Savannah

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irondadgroupie · 5 years

Text

Bohemian Rhapsody: Chapter 6

A/N: Tony and May taking care of Peter. Again, any errors and issues can be told to us @intoresus

“Pepper, I need to see him.”

Tony had finally been given the clean bill of health apart from his hand and heart but pain was manageable with drugs and his heart was recovering. Pepper had brought him clothes to replace the hospital pajamas and she shook her head at the demand.

“Tony, May doesn’t allow you in Peter’s room. As painful as it is, we need to respect her wishes.”

Tony grunted in frustration: “How can she ever accept me again if I don’t try to reason with her?”

“She is still in shock, Tony” the woman gave him socks and opened the laces on his shoes so putting them on would be easier.

“Then get her a counselor or something, my treat.”

Tony bit his lip, when had socks become so impossible to tame? The wound around his toes and the material scratched everywhere.

“Look,” Pepper sighed and pinched the bridge of her nose. She needed to be calm to get through to the man. “I think it’s not about the accident, it’s mostly about you.”

“I know that,” Tony spat out,” but I need to see Peter.”

“May barely lets Rhodey in, let alone me.”

“She will never learn I want nothing bad for Peter unless I prove it!”

Something in Tony snapped and he threw the shoe away in frustration. His right hand was practically useless and the fingers on his left shook from emotional turmoil.

“Peter- he is not getting better,” The man whispered and pressed his left hand against his lips. “Something is wrong. His pulse is quickening day by day-”

Pepper blinked in confusion at the abrupt change of topic.

“His pulse is- Tony!” Pepper shrieked once everything clicked. She felt a strong urge to smack the man across the head. “I gave you that Pad for relaxation only!”

“I can’t relax unless I know he is alright!” The man argued back. “It’s a win-win-situation!”

“Look,” The woman bit her lip in frustration and shook his head slowly. Pepper knew she had to be sensitive. “I understand that you tend to go a little overboard when it’s about someone you care about,” she stepped closer to caress the man’s good hand ,” but to hack a device I with love and good intentions gave you-”

“It’s not about that, Pepper,” Tony shook his head. His eyes glistened with unshed tears. It had been a long week. “I can only focus on Peter. I need to know what is wrong with him.”

The woman looked into Tony’s eyes and saw so much panic and concern she couldn’t but yield. Peter had become a part of his everyday life, there was always something: a message, a call, a meme, some kind of sing from Peter that he was thinking about his mentor.

Pepper gave a final, reassuring rub to Tony’s hand and debated whether to attempt a comforting smile.

“She is in the cafeteria, nurses are giving Peter a bath,” She turned her face away. It was difficult being the intermediary.

“Hey,” Tony's voice was a whisper as he hurriedly closed the door and stumbled to the kid's bedside. Peter laid in the exact same position, on his back, with the same tapes over his eyes and around his mouth to keep the ventilator in place. Tony hoped the boy had been moved at least once during the week.

For a moment, he couldn't do much else but stare at Peter and ponder how the quick pulse did not match the serene image the kid was giving.

“Shh,” Tony took the boy's hand and kissed his knuckles. “You're okay, Peter. I'm here now, Tony's here.”

Peter's chest rose and fell with artificial breaths and monitors flashed with lights. It shouldn't be like this.

“I'm sorry,” Tony cried and pressed the boy's hand close to his mouth. His tears wetted the pale, cool skin. “I'm so sorry, kiddo. I didn't mean to- I swear I didn't mean to!"

Peter gave no answer. Secretly and against his better judgement, Tony had hoped his presence would be the final push Peter needed to awaken but that appeared not to be enough. There was no movement anywhere, not on eyelids, on lips or in fingers.

Peter was truly in a coma.

“It should be me there,” Tony sighed and wiped his cheeks although he was certain more would come out in a minute. “I don't know why you were punished. I was the one driving. I should have been hurt. God,” He gave a shaky breath and looked at the Heavens. He cursed every God and deity in existence. He cursed Karma and every law of world order. “Why did I let you sit in the front seat?”

He could not focus, he lost the track of time as he held the boy's hand and stroked his face gently, his fingers desperate to remember every dimple, every curve and the warmth of Peter’s skin. He muttered soft, loving words. He hoped that if Peter was aware, he knew he was loved and missed.

His moment of peace was shattered.

“And yes, if we take into account his-“ The door opened and Tony snapped back into awareness. Then, a shrill scream: “You!”

“Alright, I’ll go.” Tony raised his hands although speaking the words broke his heart. He didn’t want to leave, and he knew - and hoped - from the bottom of his heart that Peter wanted him to stay. It was only the fact that he’d spent the last few days reading nothing but scientifically proven researches on how to properly care for coma patients, and he’d learned that external conflicts between primary contact persons could cause an immense stress reaction. He didn’t want to have Peter hurt any more than he already was.

The physician was standing between Tony and May, preventing the latter from physically jumping at the man. Suddenly he looked up, eyebrows raised at the numbers displayed in the heart monitor.

“Wait a moment, Mr. Stark, ple-“

“Send him out!” May screamed. “He only wants to finish what he started!”

“I’m do not!” Tony forgot his rule about staying calm for Peter. The boy was his sore spot, the apple of his eye, and the thought of him wanting to intentionally harm the boy was so outrageous he considered suing the woman for slander. “I would never harm a hair on his head, I couldn’t!”

“Be quiet, will you?!” The doctor snapped and his sudden outburst was surprising enough to have the entire room fall quiet, aside of the steady beating of Peter’s heart monitor, still far too quick for everyone’s tastes.

“There we go. If you want to have a fight, have it outside, instead of letting Peter catch the worst of it.” He paused, silently enjoying the looks of embarrassment on the duo’s faces. He turned Tony.

“Please, take Peter’s hand again.”

“Why do you let him -“The doctor silenced May with a single sharp gesture before pointing at the monitor. Tony settled himself in the armchair at Peter’s right side, took the boy’s hand in his and softly kissed his knuckles. It took a second for the reaction to settle in and then another for May to understand it: the green 85 on screen was suddenly replaced with a wonderful - and most of all healthy - 69.

“What -“

The medic thoughtfully shook his head, half a smile on his lips.

“Mrs. Parker, you know we’ve run dozens of tests to figure out why your nephew’s resting heart-rate is off the charts, even with factoring in his exceptional healing. We were able to rule out all sorts of infections and internal bleeding. After our latest council, we had to admit that there seems to be no medical reason for his elevated heart-rate. But I assume we’ve just found it.”

May almost scoffed.

“Are you trying to tell me -“

“Latest research shows that the presence of beloved people has a calming effect on comatose patients, even in a very basic state of awareness. I do not intend to tell you that your presence didn’t have such an effect,” he added after seeing the hurt expression on May’s face. “However, I believe that the absence of Mr. Stark seemed to have a negative effect, and the changes in heart-rate might be the body’s attempt to express that.”

May remained quiet for a second, her eyes first fixed on the numbers on the monitor, then on Peter’s face. She still disliked that it was necessary to tape his eyes to protect his vision, and she hated how small and pale he looked in that huge bed, but she could still recognize Peter.

The boy who’d spent his entire life admiring Tony Stark. The boy who wouldn’t stop talking about Stark Expo for months (“He said I did nice work! Isn’t that amazing?!”). Her teenage kid that finally came home with a smile on his face again when he could talk about how he’s been working in the lab with Mr Stark.

She might dislike Tony - and she wouldn’t stop being suspicious about what had happened - but Peter loved the man and his presence was undeniably calming him. If she’d send him away, she’d probably only worsen his condition - and that was the last thing she wanted.

Besides, having him here meant she could have a closer eye on what he was doing.

May took a step closer to the bed.

“You really missed him that bad, honey?” She asked gently and carefully ruffled her nephew’s hair, still damp and color darker from the bath.

Tony looked up, his thumb still subconsciously stroking the back of Peter’s hand. He didn’t dare destroy the moment by saying something that could probably change May’s mind again. He only dared to finally take a breath of relief when she said it out loud.

“You can stay.” Her voice still sounded gravely, but it was a start. Tony leaned forward and gently kissed Peter’s brow.

“I’m not going to leave your side, kid. Not ever again. I promise.”

Tony was allowed to stay in Peter’s room but the cold between him and May didn’t vanish. The man held himself back in fear of saying or doing anything that could possibly upset her, so he remained quiet for a while, letting May do the talking and care for Peter. She started with how the weather had been over the day before coming to a little more serious topic, her voice getting quieter.

“Ned has been texting me non-stop for the past couple of days. Has been asking me if he could come visit you after school, at least.” She paused, smiling sadly, shaking fingers stroking trough the curled hair. The nurses had neatly brushed it and May realized she didn’t like it. The last time Peter had styled his hair that way had been on the first day of High School and May's encouragement and begging had played a large part in it. With school and lab-work and being Spider-Man, the ‘approved messy hairstyle’ had become his thing.

“I asked him not to,” May continued after a moment. “I know you wouldn’t want him to see you this way. But don’t worry. He’s not mad, I even think he understands. Said he’d wait for you to wake up before continuing on that Avenger’s Lego set.”

At this point, despite all the fears and agony over Peter’s condition, Tony couldn’t help but have a hint of a grin grace his lips. The kid basically knew the greatest part of the Avengers in person and he still lightened up with joy when he got the Lego set.

“Sure, I do. Like, I’m not always Spider-Man. And I’m not always at the compound either, so this’ll remind me of you when I’m ho-“The boy didn't the final sentence, there was suddenly blush on his face. He looked down, grabbing for a pencil before hastily noting something down. “Please just forget I said anything, Mr. Stark.”

Tony just laughed. “Forget what, Underoos?”

He knew Peter thought what he said was sort of cheesy and Tony agreed it definitely was but nonetheless it warmed Tony’s heart.

He squeezed the kid’s hand as if hoping to transfer the happy memory by simple touch.

“But you shouldn’t keep him waiting for too long,” May continued. “You shouldn’t keep me waiting for too long. We need you here. Cheering everyone up with your quips, or unwittingly making me feel stupid for not understanding half of the science stuff you do.”

Tony smiled again.

“Oh, and I almost forgot he asked me to tell you the following, and I’m supposed to quote: ‘Mr. Spock’s not even half as cool as Luke Skywalker”.

Tony saw May wait and he did too. A healthy Peter would’ve started rambling right now because who would dare to compare Star Wars to Stark Trek?!

Eventually, May accepted there was no hope of getting a response from Peter that day.

“He has always been a heavy sleeper,” The woman sighed and leaned back on her chair. “Ever since he was a baby. I remember we once walked by a construction site during a stroller nap and Peter didn't even flinch.”

“I have noticed,” Tony nodded. “I have to practically drag the kid up from bed.”

“I started setting an alarm clock a few feet from his bed so he would have to get up.”

“Okay, I haven't considered that,” The man had to admit the idea had potential. “Mind if I borrow the idea?”

“If it gets him to school on time, nope.”

They fell into silence and watched over their kid. Only a day in and they were both exhausted from the tension. Would Peter sense it?

May was the first one to break to resume conversation.

“Do you mind if I let my friend see Peter's scans and info? He is a renowned doctor and has worked with coma patients before.”

Tony had to think it over.

“Personally, I have nothing against it but there might come some disclosure issues. I suggest you ask from Peter's doctor.”

“But aren't you the head boss?”

“Technically, yes, but I am not an expert in medical field. I don’t know if info on Peter’s condition would reveal he is enhanced.”

May understood and fell silent. “If he is enhanced, why hasn't he woken up?”

Tony again did not have a ready answer.

“Maybe he is not ready to.”

“What would keep him in his head?”

“Maybe he is having an adventure there.”

“I'd rather he rests.”

They fell silent again. Their conversations were still forced and quickly cut short. The only reason they were having them were because hearing their voices was usually calming Peter, and aside from that, it sometimes helped with getting questions across.

Eventually, Tony felt a desperate need to get out of the room. To do something even slightly useful.

He clapped his knees and stood up.

“I’ll go get coffee. You want some?”

May shook her head. “Thanks, but no.”

“I’ll try to fetch his doctor too. Ask him about his opinion on getting a second opinion.”

“Thank you.”

Tony tried to smile reassuringly at her but it felt wrong. He turned to Peter instead. His heart sunk just looking at him. The facial features were Peter’s, but the posture was wrong. He looked too clinical, too tense. And he definitely shouldn’t need a ventilator to support his breathing but that’s where they were now.

“Don’t worry, I’ll be back in just a minute.” His injured hand remained grasping Peter’s, the other gently wandered up before reaching Peter’s face, stroking his cheek. He could still cry in joy by the fact alone that the skin below was finally warm. That was a positive, at least.

May watched the scene and Tony’s leaving in silence, eyebrows slightly raised. What she’d seen so far didn’t fit her mental representation of him, more prominently not the media version of him. There was no logical reason for him to even settle in Peter’s room. Why should he care that much for just one of his company’s interns? But then again maybe he was just worried that he’d lose his “Spidey-Sidekick”.

May reached for one of the tablets Tony had offered her to stay on track with the details on Peter’s entire condition. It was also a gateway to majority of recently published papers that could probably include further information on how to take care of Peter the best way possible. She’d been offended at first, she certainly knew more about coma than Tony Stark, but realized that there was nothing against being completely up to date.

Tony returned five minutes later a mug of coffee in his hand and once he’d settled down May took the chance to have a few minutes for herself, too. No matter how much she disliked leaving Peter’s side, there were some basics she couldn’t reschedule forever. And she definitely needed a shower, too.

“I’ll be gone for a few, can you take care of him ‘til then?”

“Sure.” Tony nodded. “We might do a session of therapy in the meanwhile, what do you think?”

Peter didn’t answer but May did in his stead.

“Yes, that’d be good.”

Tony had hired physiotherapists to come up with an exercise plan to maintain Peter's physique, and he was eager to begin as soon as the door closed. Starting with the boy’s feet and legs, he slowly worked up to upper limbs.

“Curl,” Tony made a fist with Peter's fingers. “And open.” He rubbed the boy's palm between his hands. “Okay, we're done. Then light massage. Mustn't let those wonderful muscles wither away.”

It did not compare to training together in the Tower and then relaxing in sauna and talking about their day, but it would have to do for now.

“You're a mark A student,” The man held onto Peter's hand and patted it. “Same time tomorrow?”

Peter gave no answer, only the monitors beeped. Tony felt the all too familiar sting in his eyes and hid his face in Peter's hair.

The door opened and May stopped at her place.

“Sorry, did I-”

“Nope,” Tony straightened and discreetly wiped his face. “We just finished working out.”

“Everything good?”

“Yep, aiming for the Olympix.”

May snorted quietly and took her seat. She had brought an old timer for the bedside table and at the moment, it started ringing. Tony hated the sound, his cooking timers had soft tunes but this one seemed better suited as an alarm clock for the military.

“God, put that out!” Tony covered Peter's ears. At first, he had hoped the loud, abrupt sound would help the boy wake up but now his main concern was possible bleeding in the kid's ears.

“Why? We need this,” The woman stood up and gathered the supplies.

Tony raised an eyebrow but understood when he saw May working on the settings of the ventilator, a catheter line in one hand. He backed off, not wanting to disrupt her work.

“Don’t worry, kiddo,” The man massaged Peter’s temple with his thumb. “Your aunt’s just cleaning your breathing tube. Sucking all that stupid mucus out so you can breathe just fine and don’t have to deal with a nasty infection.”

His hand came to rest in the softness of the boy’s curls but his eyes were fixed on May performing the task.

The woman waited for the system to inform that thirty seconds of highly oxygenated air had been delivered, making it safe for her to disconnect the ventilator and insert the smaller tube. She was careful, her brows burrowed in the effort of letting the catheter follow the breathing tube and turned the suctioning machine on only after being sure that everything was well set.

Tony counted the seconds in his head.

“Take it out.” He said suddenly. “You aren’t supposed to go on for longer than five to seven seconds or you risk asphyxia or a dry and sore throat.”

“Which of us works in the medical field?” May’s answer was dry. She turned the device off and slowly moved the catheter out before reconnecting the ventilator.

“That was it, sweetheart. You can rest now.” She squeezed Peter’s hand softly.

Tony pursed his lips but said nothing more.

#bohemian rhapsody #fanfic #irondad

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soul-music-is-life · 5 years

Note

I've seen some of your post on the bullshit heartbeat bill in your state and I'm just wondering how you're dealing.

I have stared at this ask for a while, wondering whether or not I wanted to get in depth into this conversation. But I do have a lot to say on the matter. A while back I drafted a blog post that I toyed with sharing, but ultimately held off. Until now.

There’s…a lot to be covered.

First, thank you for sparking me to put this out there. I feel as though it’s important enough to say what I have to say on this. And though this platform is usually used for fandom stuff (I use other platforms for my political stuff), I’m not afraid to get real now and again.

Second, let me state that I have a background in medicine and a family heavily involved and working in politics…so I know how this goes.

I’m going to pre-empt this by saying that I am not going to argue with anyone who is pro-life who reads and disagrees. If you agree, great. If you disagree, there is no point in trying to fight me…because we will never see eye to eye.

This is strictly an argument based on why I’m against politics and religion in medicine. I am not looking for a debate here. There is no debate to be had. If you can’t look at things without religion, or if you can’t understand scientific/medical facts it’s a moot point.

It’s a long one. Saddle up.

Religion vs. Medicine:

Christianity should have no place in medicine (the bible condemns polyester blends, playing with pigskin, gambling, and divorce, but Christians still shop til they drop, support football, play the lottery, and divorce their spouses). Yet we get lawmakers constantly using the bible as a talking point (”Thank God” and “As God intended”) for this argument and ignoring testimony from physicians with degrees in science.

Men (with the exception of those whose sperm fertilized an egg in a consensual act) should have no say in what happens inside of a uterus that does not belong to them (and even then, it should be a discussion between those two people and their doctor, not a government made up of religious zealot white women and white-boys without uteri).

The government should not infringe upon individual rights of medical privacy via HIPAA.

Basically:

If you can not argue without the basis of religion (or you keep using “God” or The Bible as your baseline) or if you are not someone who has a uterus or in the medical profession or a woke dude/lady, you have no fucking say.

If you are a Christian forcing your beliefs upon the population based upon a magical book that has absolutely no proof, you have no fucking say. (see Separation of Church and State).

If you are a politician forcing your agenda upon every person with a uterus based upon something you can absolutely never experience, you have no fucking say.

If you do not have a background in science and you’re basing your opinions upon a movie (”Unplanned”) that is nothing more than political propaganda (and a pro-life “advocate” who saw dollar signs and a means to fame) then you have no fucking say (and yes, I’ve seen the film, which was nothing more than a religious backed, over-dramatized flick poorly representing abortions and relied heavily upon cheap emotional manipulation and inaccurate CGI). As someone who has seen medical procedures…it was exaggerated in the film. It is absolutely not a representation of safe and legal abortions. It also does not address the confidentiality between patient/doctor (See HIPAA and the testimony of physicians in this matter).

The fact of the matter is that people who are informed, intelligent, and know about the subject in depth are against these abortion bans, because they know it’s extreme and infringes upon basic rights. This includes women, our allies, and in some cases…people who are religiouswho stand with the pro-choice movement (I see you all, too, don’t doubt that…this is not a reflection upon men and Christians in general. This is about the extremists).

If you fall into the extreme religious or non-medical community category or you are a politician with no medical training and you’re writing bills and arguing against basic human rights…you can shut the fuck up.

***

For the sake of facts, let’s break it down:

-Sexual education can be informative, and the preventatives used to prevent pregnancy can fail. Condoms break. The pill can fail (and let’s not even get into the horrible side effects that contraceptives have on women. Let’s talk about the fact that there was actually a birth control for men that companies tried to put on the market, but the side effects were too ‘dangerous’. Sure, like high blood pressure and hormonal imbalances are something women look forward to). But yeah, let’s put all the responsibility on the woman.

-Women are raped, and given the trauma that occurs…they should not have to PROVE they were raped in order to receive medical treatment…including abortion. It’s horrific enough as it is, and there is NO wrong way to deal with the trauma. They shouldn’t have an additional stigma to be treated medically.

-Women who tend to make the choice to have an abortion have looked at their options and have made an informed CHOICE (that’s what this is about). And it’s not always at the 6-8 week mark, because hey…there are things such as irregular periods. Cis-men hating on women, let’s talk about women’s reproduction for a minute. Have you ever spent 7 days bleeding out of an orifice of your body? Have you ever shed the lining of an internal organ? Have you ever had blood clots inside of your body that feel like fucking death? Have you ever had your panties soaked in blood? Have you ever gotten stressed and missed a period or had medical issues that caused you to have irregular cycles? No? Okay, so how about the stressors of pregnancy? How about the changes a woman’s body goes through? How about the emotional and physical toll it takes? Truth is, hetero-normal men who are so deep-set in their beliefs will NEVER view women as equal. Reality is…we women areintelligent enough to make our own decisions.

-An embryo at 6-8 weeks is not viable. The so called “heartbeat” is an electrical activity in a group of cells that is at maximum a few inches long. There is no heartbeat, because there IS no heart. It hasn’t formed. There is not a cardiovascular system. It’s a vibration in a cell. It is ONLY active because of the woman. At this point it is NOT a child. I see pro-life/pro-birth people going, “but…but SCIENCE…Life at conception!” without understanding the depth of their actual words. The medical community knows their shit. And people can challenge them all they want with their opinions upon when life is sentient, but the truth is that there is no brain activity this early because IT IS NOT A HUMAN. It is an embryo, which can not exist without the mother’s body. Yet politicians use the term “heartbeat” because they know there are uneducated people out there who will eat it up and back them.

-Abortion is situational, and trying to force a law upon women based upon the preconceived notion that ALL women are using it as a form of birth control is ignorant, ill-informed, and extremely sanctimonious. There are numerous reasons for abortion, and none of them are the government’s fucking business.

Why religion and politics is a slippery slope in medicine:

Using a religious bias in a political war is against everything in the judiciary and legislative branch, and it is a slippery slope that is dangerous to patient care. When we start listening to “Gods” and evangelical people over actual physicians there is a huge problem. Ask yourself this question: if you were dying and a surgery could save your life…would you call a priest to perform the procedure? Or a licensed physician? If you choose a priest, enjoy seeing your version of the afterlife, because you’re going to die.

Abby Johnson (”Unplanned) is not a doctor. She is someone who “found God” and is using that to exploit the situation with her own views as a claim to fame. She ran a Planned Parenthood (in her own words). ONE chapter, which means it’s a FRACTION of the actual unit. She does not have a PHD. Her accusations against physicians are bullshit and is frankly an insult to actual doctors who perform safe medical procedures every day.

Politicians have no knowledge of medical protocols and treatments (and in a lot of cases know an embarrassingly low amount about women’s reproductive organs). And in many cases it is old white men (and religious white women) dictating what a woman can do with her body. If you think that’s okay, you’re part of the problem.

Religious zealots hold fast to beliefs written in a fairytale rather than learn the scientific facts associated with the base of their argument. They can’t grasp the concept that an organism can be created in a petrie dish with a “beating heart”, because of muscle contractions, not because it’s “alive” or “sentient”. They would rather blindly follow a God that may or may not exist rather than listen to educated physicians who know the topic.

Rapid fire question: if an unconscious woman and a frozen embryo were in a burning building and you could only save one of them, which one would you choose? Something that is not aware and is only a potential for life? Or the actual living breathing human?

This shit is not about “saving babies”. Politicians couldn’t give a shit about babies after they are born. It’s about controlling women/trans-folk and telling people what they can do with their body (it’s funny how Republican politicans haven’t outlawed smoking or drinking, because hey…that kills you! “AnD wE aRE PRo-LiFE!”).

Anyone who can’t see that all these abortion laws are just plays for politicians to pursue their own political pursuits is an idiot.

A Note about Georgia’s Abortion Law/Kemp

In my state, there was talks that Kemp was overheard saying that even if he wanted to veto the bill he couldn’t due to “his campaign promises”. Which is absolute bullshit, because given the polls…he knew that a majority of the people in his state are against it. This bill was co-sponsored by three men and three women who are basing it heavily upon religious purposes (if you don’t believe me, look up Ed Setzler, he’s been quoted several times leaning on religious propaganda for this bill). It was then voted through by a bunch of old white men.

Convenient how they threw the one token woman up front (but honestly, fuck her…because she should know better). The fact of the matter is that those who voted on this are a bunch of “good ole boys” with religious principles trying to bypass the fact that there is a separation of church and state. This bill has had numerous polls conducted to the constituents, and while they were divided…the PRO-CHOICE voice won every single poll. Put this up for a vote and I guarantee this would not become a law.

Kemp waited weeks to sign this (unlike the governor of Alabama).

Why?

Because he knew that most of his constituents were against this (given the polls that were conducted), but due to political pressure he couldn’t veto for fear that he’d lose the religious/deeply rooted republican votes. Even Kemp seemed to realize that this is against the moral rights of his citizens. But he doesn’t give a shit. Because as long as his pockets are lined with money and he can ignore his constituents, it’s all gravy for him.

To take this a step further, this asshole is the man who pointed a gun at a kid jokingly in an age where school shootings are rampant, as a joke…for political purposes. Cuz, ya know…violence is funny.

He’s “pro-life” but he shoots things.

This man is sponsored by the National Hunting and Fishing association, who supports killing living breathing things with a heartbeat for sport or “because it tastes good”.

I challenge anyone who is so “pro-heartbeat” to never shoot their guns again to kill something. Because hey, life is so precious to you, right? You value heartbeats so effing much, stop killing living breathing things. Nut up or shut up.

Actually, no, don’t nut up. That’s the reason for unplanned pregnancies in the first place. Just shut up.

…that will never happen. And you want to know why?

Because this is not about life. They don’t give a shit about “life”. This is about power. This is about control.

If you can’t see that an entire gender is being used for political gain then you need to wake the fuck up.

I’ll end this by saying that, yes, there might be some common ground that can be found here. In the people out there fighting every day for their rights. In the allies we have coming out of the woodworks. In the physicians who fought like hell for us in court.

I’m not an unreasonable person. I do believe in sensible laws. These bans are not sensible. They’re a power play. And that’s fucked up. And as much as I’d love to pack up and leave, I don’t have that option. A lot of people don’t (and in fact, I think the “Boycott GA” movement is so fucking stupid, because that doesn’t hurt the people in power. It hurts the PEOPLE).

So if you’re pissed off, remember this at the polls. Know who your reps are. And if they are for this bullshit, vote their asses out.

Flip their fucking seats.

I’m tired, you guys. Let’s get our rights back. Let’s take our state back.

#Abortion #Pro Choice #Heartbeat Bill #HB481 #Brian Kemp #Georgia #Stop the Bans

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omnimd-blog · 3 years

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Billing denials adversely affect the operational and financial efficiency of a healthcare practice resulting in higher administrative charges. According to a recent Healthcare Information and Management Systems Society (HIMSS) report, 76.1% of healthcare leaders say that denial is the biggest challenge.

By the time your claim gets denied, you have already spent not less than two weeks. Then to appeal a denied claim, you invest additional time, money, and resources. It also means a longer waiting period to receive reimbursements. Cardiology billing denial is no exception.

With more insurance companies imposing stricter eligibility criteria for claims submission, cardiologists find it increasingly difficult to receive reimbursements. Wondering why cardiology claims get denied? Some of the most common reasons for cardiology billing denials are:

Incorrect or incomplete documentation.

Illegible handwriting if claims are manually submitted.

Incorrect coding.

Missing modifiers, combination codes.

Preauthorization not obtained.

How to Prevent Cardiology Billing Denials

As outlined by the Medical Group Management Association (MGMA), a practice should achieve a 95% or higher clean claim rate. Interestingly, most practices struggle to achieve a clean rate above 75%. Now even for a small practice that files 2000 claims with a 10% denial rate, it comes to 200 denied claims! According to MGMA, reworking a claim costs $10-$25, translating into a considerable number for these 200 claims.

Given the complexity of these challenges, you should act fast and start with addressing the core issues. To help you understand where it could go wrong, we have shared nine tips. Following these will surely increase the clean claims ratio and prevent denials or audits.

1. Avoid Late Filing

In order to meet timely filing requirements, billers need to make sure their claims are acceptable. A claim can be rejected at any stage, and once it returns to your desk, half the time is gone. Note that your payer is only interested in entertaining your claim when submitted with the required elements necessary for processing and well before the deadline.

Familiarize yourself with the best practices that ensure timely filing of claims to avoid denials:

Always check payer-wise timely filing limits on claims submission.

File fresh claims daily.

Appeal denied or rejected claims before the deadline.

Use an electronic claim submission software to avoid late filing.

2. Enter Correct Patient Information

Most mistakes start with the patient registration process. Avoid entering incorrect patient data and always double-check their date of birth, name or spelling, subscriber number, and other important information before filing. As, managing patient files manually can be challenging and there are chances of misplacing them, you can use an EHR to manage patient information and health records easily, update real-time, and securely share with authorized users. It will also help you avoid repeated paperwork and chances of mistakes.

3. Minimize Coding Errors

Accurate coding is critical to achieving claim success. Cardiology practices often face various challenges, such as, entering incorrect or deleted codes, missing modifiers or combination codes, lacking specialty-specific coding experience, and under coding. As a result, claims are either denied or underpaid. Codes like 93880 (non-invasive cerebrovascular arterial study) can be billed twice a year only. 93297 and 93295 cannot be used in conjunction together. To minimize coding mistakes, refer to the latest CPT, HCPCS, and ICD-10 CM and PCS code books. Subscribe to the quarterly newsletter released by the American Heart Association (AHA) to stay informed about the recent updates and changes. Additionally, you should often check for updates with the CMS and local regulatory bodies.

4. Check Insurance Coverage

Whether you are rendering service to returning patients or registering new clients, it is necessary to verify the patient’s eligibility and benefits each time.

Pay attention to:

Pre-existing conditions.

Lifetime benefit cap.

Change of employer or insurance plans.

Whether your facility is listed as in network or out of network provider.

Cardiac tests and services are not covered under the plan.

5. Avoid Duplicate Filing

Beware of duplicate filing claims for the same individual, same visit, and same service. Consider periodic audits and remove duplicates. When appealing a denied claim, ensure the necessary corrections. Failing to comply with the rules and resubmitting claims without making proper changes will lead to your claim being denied on the ground of duplicate billing and may even lead to auditing.

6. Use Diagnoses and Signs/Symptoms Codes Judiciously

According to the 2019 ICD-10-CM Official Guidelines for Coding and Reporting, Section I-B, healthcare practitioners are required to report confirmed diagnoses, if found, and not use signs/symptoms codes (2). The report indicates, “Codes that describe symptoms and signs, as opposed to diagnoses, are acceptable for reporting purposes when a related definitive diagnosis has not been established (confirmed) by the provider.”

7. Seek Pre-Authorization When Needed

Nearly 64% of physicians report it is difficult to determine which tests and procedures require pre-auth by insurers. Many cardiologists lose out on their claim(s) settlement failing to abide by the pre-auth requirements. Several cardiac procedures on the heart and pericardium like ‘pacemaker installation, ‘electrophysiologic’ and/or implantation of hemodynamic monitors, etc., require preauthorization. If you render services that fall under this criterion, verify with the insurance provider, and obtain a preauthorization.

8. Ensure Complete & Accurate Documentation

Incorrect documentation can cost your time, revenue, and put you at risk for denials and payer audits. As short-hand notes can be confusing and lack depth, you should ensure complete documentation and transcription. It will help you avoid unnecessary hassle and miscommunication with billers and coders. An Electronic Health Record and Practice Management System can efficiently help you achieve higher accuracy.

9. Optimize Revenue Cycle Management Software

Using an advanced revenue cycle management software can significantly reduce administrative errors and billing denials. For example, OmniMD comes with intuitive solutions for cardiologists, and specialty healthcare providers, such as it triggers alerts, generates automated predictive analysis to potential flag denials, offers preauthorization tracking module all in one place. Consider switching to an effective and efficient EHR and Revenue Cycle Management software to enhance your claims filing experience and minimize revenue cycle gaps.

Cardiology billing denial is both unnecessary and avoidable. With the best practices and effective revenue cycle management software, you can surely achieve a higher clean claim rate and prevent denials.

#denial management #Denial Claims #claim management #Healthcare #rcm #rcm services #revenue cycle management

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dinafbrownil · 4 years

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Does the Federal Health Information Privacy Law Protect President Trump?

Within one day, President Donald Trump announced his COVID diagnosis and was admitted to Walter Reed National Military Medical Center for treatment. The flurry of events was stunning, confusing and triggered many questions. What was his prognosis? When was he last tested for COVID-19? What is his viral load?

The answers were elusive.

Picture the scene on Oct. 5. White House physician Dr. Sean Conley, flanked by other members of Trump’s medical team, met with reporters outside the hospital. But Conley would not disclose the results of the president’s lung scans and other vital information, invoking a federal law he said allows him to selectively provide intel on the president’s health.

“There are HIPAA rules and regulations that restrict me in sharing certain things for his safety and his own health,” he told the reporters.

The law he’s referring to, HIPAA, is the Health Insurance Portability and Accountability Act of 1996, which includes privacy protections designed to shield personal health information from disclosure without a patient’s consent.

Because this is likely to remain an issue, we decided to take a look. In what cases does HIPAA restrict the sharing of information — and is the president covered by it?

Experts agreed that he is, but several noted there are exceptions to its protections — stirring debate over the airwaves and on Twitter regarding what information about the president’s health should be released.

Explaining the Protections

HIPAA and the rules for its implementation apply to medical providers — such as doctors, dentists, pharmacists, hospitals — and most health plans that either provide or pay for medical care.

In some cases, the law permits the sharing of medical information without specific consent, such as when needed for treatment purposes or billing. Examples include doctors or hospitals sharing information with other physicians or facilities involved in the patient’s care, or information shared about tests, drugs or other medical care so bills can be sent to patients.

Other than that, without specific patient consent, the law is clear.

“The default rule under HIPAA is that health care providers may not disclose a patient’s health information. Period,” said Joy Pritts, a consultant in Washington, D.C., and a former privacy official in the Obama administration.

The experts we consulted all agreed that Trump’s doctors are bound by HIPAA. Since he is their patient, they cannot share his medical information without his consent.

Patients can allow some information to be released while demanding that other bits be withheld.

That may be why the public has been given only select details about Trump’s COVID-19 status, such as when Conley discussed the president’s blood pressure reading but not the results of his lung scans.

Trump “can pick and choose what he wants to disclose,” Pritts said.

So it is up to Trump to give his doctors the green light to report to the public on his condition.

“HIPAA does not prevent the president of the United States from authorizing the disclosure of all publicly relevant information,” said Lawrence Gostin, a professor of global health law at Georgetown University. “He can share it if he wanted to and he can tell his doctors to share it.”

Elizabeth Gray, a teaching assistant professor of health policy and management at George Washington University, said that because Conley shared some medically private information with the American public, there must have been a conversation between the president and his doctors about what was OK to include in their press briefings.

“He would have had to have given his authorization,” said Gray. In other words, Trump OK’d the details his doctors mentioned, but when follow-up questions were asked, she said, HIPAA was “a shield” because “the president hadn’t authorized the release of anything else.”

Still, beyond HIPAA, other factors could lead to less-than-complete disclosure of the president’s health.

For starters, Trump is the commander in chief, and his personal physician is a member of the military.

“If your commander in chief says, ‘I’m giving you a command — forget about HIPAA,’” said Thomas Miller, a resident fellow with the American Enterprise Institute.

Pritts and others also said the president’s physician may not be covered by HIPAA if his care is provided by the White House medical unit, which does not bill for its services or involve health insurance.

But, “whether covered by HIPAA or not, a physician has an ethical obligation to maintain patient confidentiality,” Pritts said.

And Leaks?

It’s also important to note that HIPAA applies only to health care professionals and related entities working within that sphere.

So, when Sean Spicer, former White House press secretary, tweeted on Oct. 5 that a journalist had violated HIPAA (he misspelled it as “HIPPA”) by reporting that a member of the White House press shop had COVID-19, he was wrong, said the experts.

“Journalists are not bound by HIPAA,” said Gostin.

Gray likened HIPAA in that way to a door.

“Behind that door is health care information. Hypothetically, only doctors have access to that information, and HIPAA prevents health care providers from unlocking that door,” she said. “But, once the info gets out of that door, then HIPAA no longer applies.”

And the information is likely to come out — sooner or later, said Miller. “Leaking will take care of most reporting and disclosure” about the president’s health, he said.

The Exceptions

Within HIPAA are a couple of exceptions identifying when health information can be disclosed without the authorization of the patient.

For example, the law does allow for disclosure if it “is necessary to prevent or lessen a serious and imminent threat to the health or safety of a person or the public.”

Might that apply here, given that Trump took a ride around Walter Reed in a government SUV with Secret Service agents, or returned to a White House filled with other employees?

Jonathan Turley, a professor of public interest law at George Washington University Law School, said he doesn’t think the public health exemption would apply in this case.

“If a patient is contagious and noncompliant, doctors can make disclosure in the interest of public health,” Turley wrote in an email. “However, the team of doctors stated that they felt that it was appropriate to send President Trump back to the White House to continue to recover.”

Moreover, Turley noted that nothing was withheld that would have qualified for this exception. “The world knows that the president is COVID-positive and still likely contagious,” he wrote. “It is unclear what further information would do in order to put the world on notice.”

Some experts, however, expressed a different view. They argued that the details of when the president last tested positive would provide insight into who may have been exposed and how long he should be considered infectious and asked to isolate. Even so, the law’s public health exemption is usually interpreted to mean such information would be shared only with state and local health officials.

There are two HIPAA exceptions that apply specifically to the president, said Gray.

“They could make that disclosure to people who need to know, to the Secret Service or the vice president, but it is essentially only to protect [the president],” said Gray. “There is also an armed forces exception, but disclosures are in regards to carrying out a military mission, which doesn’t apply here.”

What about national security?

Miller, at AEI, said concerns about national security could be among the reasons for more disclosure, such as questioning a president’s ability to carry out duties. But HIPAA wasn’t designed to address this point.

Some argue that because the president is not just an average citizen, he should waive his right to medical privacy.

“The president is not just an individual; the president is the chief executive,” said Charles Stevenson, an adjunct lecturer on American foreign policy at Johns Hopkins University. “The president loses a lot of privacy because our political system, our governmental system demands it. The president always has to be available to the military and that means the state of his health is a matter of national security.”

Historical precedent

Trump is one in a long line of presidents who have not been completely transparent in sharing their medical information.

“There’s a pretty strong tradition of these things being obscured,” said John Barry, an adjunct faculty member at the Tulane University School of Public Health and Tropical Medicine. And no federal law requires a president to provide this information.

One of the most notable examples is President Woodrow Wilson, said Barry.

Wilson likely caught the so-called Spanish influenza in 1919, which was kept secret. Later that year, he had a severe stroke that disabled him, the gravity of which was also hidden from the public.

President John F. Kennedy used painkillers and other medications while in office, which wasn’t made public until years after his death.

And when President Ronald Reagan was shot in 1981, he was much closer to death than his White House spokesperson described to the public. There were also questions about Reagan’s mental acuity while in his final years in office. He was diagnosed with Alzheimer’s disease five years after his final term.

Why would White Houses want to obscure health information of presidents?

“Every White House wants the public to think the president is healthy, strong and capable of leading the country,” said Barry. “That’s consistent across parties and presidencies.”

Kaiser Health News (KHN) is a national health policy news service. It is an editorially independent program of the Henry J. Kaiser Family Foundation which is not affiliated with Kaiser Permanente.

USE OUR CONTENT

This story can be republished for free (details).

from Updates By Dina https://khn.org/news/hipaa-federal-health-privacy-law-protection-president-trump/

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madisonalvarez1992 · 4 years

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Canesbalance Bacterial Vaginosis Vaginal Gel Wonderful Diy Ideas

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#Canesbalance Bacterial Vaginosis Vaginal Gel Wonderful Diy Ideas #Bacterial Vaginosis During Pregnanc

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20cuadras-blog · 4 years

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What The Health Information Technology For Economic And Clinical Health Act Means To Get Healthcare

In February of 2009, President Obama signed into law a landmark healthcare reform bill and contained within It's the Health Information Technology For Economic and Clinical Health Act. This section of the healthcare reform bill will require that all healthcare providers change over to digital medical records, or EMR, by 2016. Like the majority of the contentious reform, it has attracted substantial criticism from politicians, insurance companies, and healthcare professionals within the intervening years.

What it Requires

The Health Information Technology For Economic and Clinical Health Act, despite all its legalese, is rather simple to understand. At its heart, the patrons of the healthcare reform only wish for all healthcare providers to convert their present paper medical records files into digital electronic medical records in the order they can be quickly shared with professionals who frequently need to visit a patient's records. Possessing every individual's medical records in a shared digital format would offer the foundation for faster diagnoses based on their medical history, faster treatment, and reduce the odds of error that may occur when attempting to decode a faxed copy of a paper document.

It would also allow insurers easier access to their client's medical records, with limitations. If done correctly, all confidential information would remain confidential, and only released to those with the correct access. However, like all new ideas, change promotes fear and feuding political parties have fed that anxiety, to the point that lots of hospitals and physicians in private clinics have been dragging their heels about converting their documents over to the new digital format.

Reasons Against Converting

The principal fear shared by medical professionals and their patients is that their personal medical information will no longer remain private beneath the digital format. In the days of hackers publicly running rampant throughout corporation computers and selling personal information this might have been true, but in the 21st century, security screens have kept hacking into a minimum, nationally. The last few reported instances of company-wide identity theft happened because burglars physically stole hard drives, not because they hacked in and stole individual documents. The Right to Privacy Act instituted years ago, does protect people from having their medical records printed, and any offenses involving digital documents would be dealt with under that Act. The patients have a right to question the security of the documents, and when their caregivers have obtained the appropriate measures to secure their documents, they'll be secure. They are only supposed to be transmitted to recognized physicians, and even the accessibility of insurance business will be limited.

The second most important reason hospitals and physicians give against converting medical records over to a digital format is that the manpower and time required to do so. Despite financial incentives provided under the Act for both Medicare and Medicaid participating organizations and physicians, the claim is that it would be too expensive to bring their computers up-to-date to deal with the digital transformation and to pay somebody to covert all their documents into the new format.

The Benefits of Conversion

Together with the traditional paper system, individual records can be quite a time consuming to compile and update, and just as tough to track down when required. With electronic medical records, all that information will take just seconds to find, and might mean the difference between life and death if the patient is receiving care somewhere other than their home hospital, or even inside it. Copying and faxing paper copies could cause a misinterpretation of what is written within them, particularly if the printed quality is below normal.

With electronic medical records, everything that the doctor needs is right there on the display, clear and easy to read. This format should cut back on the dangers of medical mistakes, like giving the wrong prescription, administering the incorrect dosage, or accidentally using a medication that the patient is allergic to. The patient's entire medical history can be obtained and should make treatment quicker and more efficient. The Health Information Technology For Economic and Clinical Health Act aims to enhance the quality of care, without compromising their privacy.

#Health #Information #Healthcare #Economic #Clinical Health #Technology

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janeykath318 · 7 years

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Five Stages of Falling In Love With Leonard McCoy

#leonard mccoy x reader #bones/reader #my fics #fluff

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jobsearchtips02 · 4 years

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$130 Billion in Small-Business Aid Still Hasn’t Been Used

Owners are becoming reluctant to borrow from the federal Paycheck Protection Program. Some are even returning money.

Shelly Ross returned her $75,000 federal loan after concluding that her San Francisco business, Tales of the Kitty, wouldn’t be back soon.Credit…Anastasiia Sapon for The New York Times

June 10, 2020Updated 2: 07 p.m. ET

In April, when the federal government offered $349 billion in loans to small businesses reeling from government shutdown orders in the pandemic, the funding ran out in just 13 days, prompting Congress to swiftly approve a second round of $310 billion.

Small businesses have since grown more wary of taking the money.

As of Tuesday, more than $130 billion was left in the fund, known as the Paycheck Protection Program. Even more striking was the fact that on many days last month, more money was being returned than borrowed, according to data from the Small Business Administration, which is overseeing the program — highlighting its messy execution and confusing rules that deterred some small businesses from using the money.

Thousands of companies that got loans have sent the money back, according to lenders. For some owners, the program’s terms were too restrictive; for others, the criteria for loan forgiveness was too murky. Some public companies that received these loans returned them after a public outcry, and in the initial rush, some borrowers accidentally got duplicate loans that they, too, returned.

A total of around $12 billion was returned, Treasury Secretary Steven Mnuchin said at a Senate hearing on Wednesday. The amount of loans outstanding under the program dropped to $510.2 billion at the end of May, from $513.3 billion in the middle of the month, according to data from the Small Business Administration.

By Tuesday, the amount of approved loans had inched back up to $511.4 billion — indicating that changes Congress made to the program last week to make it less restrictive could be pushing more money out the door.

But obstacles remain. The program’s chaotic execution has “chilled the willingness of many small businesses to even apply for loans during the second round of P.P.P. funding, and has caused many businesses to return disbursed loans out of fear of doing something wrong,” Tony Wilkinson, the chief executive of the National Association of Government Guaranteed Lenders, a trade group, said last week at a hearing of the Pandemic Response Accountability Committee, an oversight group.

The turn of events is notable for a signature program of Congress’s $2.2 trillion coronavirus relief package, which only a couple of months ago was caught in an intense borrowing frenzy by desperate business owners. After all, small businesses are still in distress. Even as states begin to reopen, millions of stores around the country remain shuttered and could go out of business.

On Wednesday last week, Congress moved to loosen the program’s rules and give businesses more flexibility in spending their aid, and President Trump signed the bill on Friday. The change was widely praised by small-businesses advocacy groups and will help many borrowers.

The amended rules could help the remaining $130 billion move faster. “My expectation is that we will definitely see businesses that were on the sidelines now take it,” Mr. Mnuchin said.

But having the terms of their loans revised on the fly yet again — which has happened repeatedly since the program began in April — is a nightmare for borrowers as they struggle to salvage their companies.

“The boundaries move like a video game,” said Caren Griffin, the owner of Spa Universaire, a hotel spa in downtown Denver. Her business has been shut down since mid-March and won’t reopen until July, at the earliest.

Ms. Griffin was on the verge of returning her $66,272 loan because she didn’t think she would be able to use it within eight weeks, as the program originally specified. The new changes give her 24 weeks, allowing her more time to decide whether to use the money when — and if — she reopens.

She isn’t sure she will. Refitting her spa to comply with new safety guidelines will be expensive, and no one knows when customers will be willing to get high-touch services like massages and facials. Ms. Griffin, who is 63, wonders if she would be better off closing the business and retiring.

“I’m running through a dozen different scenarios for what our cash-flow structure might look like if we reopened with changes in our hours and services,” she said. “We won’t go back to normal. That’s clear.”

For many small businesses that depend on foot traffic, like restaurants and nail salons, even the more relaxed relief terms might not be enough.

“I cried the day I sent it back,” said Shelly Ross, the owner of Tales of the Kitty, a cat-sitting service in San Francisco, who recently gave up on using her $75,000 loan and returned the money. “I thought this would save my business, but I was worried about being financially ruined if it wasn’t forgiven, and no one could give me any real answers about that.”

Ms. Ross started Tales of the Kitty in 2003 and expanded it into a thriving venture with 14 employees and a packed schedule of 10,000 client visits a year. In March, her sales plummeted because of the pandemic, forcing her to lay people off.

To have their loans fully forgiven, companies must keep the same number of employees on the payroll as before the pandemic, at the same wages. That’s a hard bar to clear for business owners whose ventures remain shut. Ms. Ross expects her sales to stay slow at least through Thanksgiving.

The paycheck program was largely meant to keep workers off unemployment rolls by funneling money to their employers, and it made progress toward that goal. Job numbers released on Friday showed gains in industries that received small-business loans and suggested that the program had helped offset at least some of the economic damage caused by the shutdown.

More than 4.5 million companies, from solo gig workers and small restaurateurs to retailers and professional services firms with fewer than 500 employees, got help. For most, it was a lifeline.

But many lenders are ready to be done with the program. Even though the government will keep processing loans until June 30, Wells Fargo stopped taking new applications last month. So did many community banks, including OceanFirst, a regional bank in Toms River, N.J., that has lent $500 million to 3,000 businesses.

Updated June 5, 2020

Does asymptomatic transmission of Covid-19 happen?

So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.

How does blood type influence coronavirus?

A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.

How many people have lost their jobs due to coronavirus in the U.S.?

The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.

Will protests set off a second viral wave of coronavirus?

Mass protests against police brutality that have brought thousands of people onto the streets in cities across America are raising the specter of new coronavirus outbreaks, prompting political leaders, physicians and public health experts to warn that the crowds could cause a surge in cases. While many political leaders affirmed the right of protesters to express themselves, they urged the demonstrators to wear face masks and maintain social distancing, both to protect themselves and to prevent further community spread of the virus. Some infectious disease experts were reassured by the fact that the protests were held outdoors, saying the open air settings could mitigate the risk of transmission.

How do we start exercising again without hurting ourselves after months of lockdown?

Exercise researchers and physicians have some blunt advice for those of us aiming to return to regular exercise now: Start slowly and then rev up your workouts, also slowly. American adults tended to be about 12 percent less active after the stay-at-home mandates began in March than they were in January. But there are steps you can take to ease your way back into regular exercise safely. First, “start at no more than 50 percent of the exercise you were doing before Covid,” says Dr. Monica Rho, the chief of musculoskeletal medicine at the Shirley Ryan AbilityLab in Chicago. Thread in some preparatory squats, too, she advises. “When you haven’t been exercising, you lose muscle mass.” Expect some muscle twinges after these preliminary, post-lockdown sessions, especially a day or two later. But sudden or increasing pain during exercise is a clarion call to stop and return home.

My state is reopening. Is it safe to go out?

States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people.

What’s the risk of catching coronavirus from a surface?

Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.

What are the symptoms of coronavirus?

Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.

How can I protect myself while flying?

If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)

How do I take my temperature?

Taking one’s temperature to look for signs of fever is not as easy as it sounds, as “normal” temperature numbers can vary, but generally, keep an eye out for a temperature of 100.5 degrees Fahrenheit or higher. If you don’t have a thermometer (they can be pricey these days), there are other ways to figure out if you have a fever, or are at risk of Covid-19 complications.

Should I wear a mask?

The C.D.C. has recommended that all Americans wear cloth masks if they go out in public. This is a shift in federal guidance reflecting new concerns that the coronavirus is being spread by infected people who have no symptoms. Until now, the C.D.C., like the W.H.O., has advised that ordinary people don’t need to wear masks unless they are sick and coughing. Part of the reason was to preserve medical-grade masks for health care workers who desperately need them at a time when they are in continuously short supply. Masks don’t replace hand washing and social distancing.

What should I do if I feel sick?

If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.

How do I get tested?

If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested.

Requests had slowed to a trickle, said Christopher Maher, the bank’s chief executive. He cut off new lending because he wanted to pivot his employees toward the next major program challenge: loan forgiveness.

“It’s going to be much more difficult to work through the repayment calculations and documentation than it was to make these loans in the first place,” Mr. Maher said.

The paperwork for proving that a loan complied with the terms is extensive and complicated; the Small Business Administration’s 11-page application for loan forgiveness is much more intricate than the loan application itself. Any portion that is not forgiven becomes a debt that must be repaid within five years. (The initial term was two years.)

The lack of clarity around loan forgiveness cemented Ms. Ross’s decision to return her loan. She considered simply paying her workers to stay home for eight weeks, which the program allows, but she worried about having to lay them off again when the money ran out.

Then, the week after she got her loan, the Small Business Administration released its forgiveness application. Ms. Ross tried to run the calculations for her business, but her staff is mostly part-time employees with variable hours. She consulted her accountant, her bookkeeper, a lawyer and her lender to figure out how much of her loan would qualify for elimination.

None could give her definitive answers. Scared she would be stuck with a big debt, Ms. Ross sent the money back.

Many trade groups for lenders and small businesses, such as the Consumer Bankers Association and the Small Business Majority, have asked for blanket forgiveness for loans of less than $150,000. So far, the Small Business Administration and the Treasury Department — which is calling the shots on most of the paycheck program’s terms — have not indicated any willingness to grant that.

Adam Markowitz, an accountant in Florida who is working with dozens of clients who took paycheck loans, said he was unable to figure out whether his own loan, for $34,500, would be fully forgiven. He’s waiting for further guidance on the many unresolved technical questions.

“The only consistent thing about this program is that it’s been a mess at every stage,” he said.

from Job Search Tips https://jobsearchtips.net/130-billion-in-small-business-aid-still-hasnt-been-used/

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mariouocn961-blog · 4 years

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What Are Terpenes in Marijuana?

"Exactly how can we make up what is probably among one of the most significant legal variations in medical marijuana to date? The problem of non-profit ""sale"" of medical cannabis to qualified patients by means of collectives and also cooperatives. There's absolutely nothing else similar to this dispute. What do the experts claim about this anyway?

Steve Cooley, The Los Angeles District Attorney, differs with Jerry Brown, the California State Attorney General.

How could two popular state-employed lawyers concern entirely different conclusions on the solution? Initially, the Los Angeles District Attorney asserts ""all sales are unlawful"". The California State Chief law officer made sure enough to write in his standards that ""storefront collectives might be lawful under state legislation"". Just how could this be? Besides, each lawyer is considering the very same thing, right?

So what is the response? What does the regulation say?

COMPASSIONATE-USE ACT 1996

Recommendation 215 was authorized by a majority of Californians in 1996 and it ended up being known as the Compassionate-Use Act. The statute itself does not state anything about ""sales"" however it does speak about ""property"", ""growing"", obtaining clinical cannabis, about affordability as well as ""circulation"".

It does claim that qualified clients as well as their key caregivers will certainly not be a target of criminal concerns:

""( B) To make sure that people and their main caretakers who obtain and use marijuana for medical purposes upon the suggestion of a physician are not subject to criminal prosecution or permission.""

And it also presses federal governments to assist make certain ""secure and also affordable gain access to"" to medical marijuana for ""all certified clients"".

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""( C) To motivate the federal as well as state governments to carry out a prepare for the risk-free and also budget friendly circulation of marijuana to all patients in clinical need of cannabis.""

The Los Angeles District Attorney, Steve Cooley, had State as well as Federal police officer raid a clinical cannabis collective as well as apprehension at least 3 people, the week prior to Christmas. He firmly insists ""all sales are unlawful"". This appears to be versus the letter as well as spirit of the legislation, not the reference the spirit of the period.

Additionally if all ""sales"" are illegal, why does the Compassionate-Use Act claim ""economical""? If the clients are monetarily responsible for cannabis, how does Cooley expect the currency to be exchanged? What's wrong with step-by-step reimbursements?

CLINICAL CANNABIS PROGRAM OF 2004

The Medical Cannabis Program (MMP) came into law in 2004 through the legislative approval of Senate Bill 420. It was the state's effort ""to carry out a plan for the safe and budget-friendly circulation of cannabis to all people in medical need of marijuana,"" as the Compassionate-Use Act of 1996 (Prop 215) encourages the State and also Federal government to do.

The MMP improves access to medical marijuana for professional people by accepting collectives as well as cooperatives.

""( 3) Enhance the accessibility of patients and also caregivers to medical cannabis via collective, participating growing jobs.""

What Steve Cooley does not appear to recognize is non-profit store Medical Marijuana Giving Collectives/Cooperatives are the distribution element of ""cultivation projects"". Just like a collective cultivation farm would not have consumers involve the farm to get their tomatoes, they would have to obtain their collective tomatoes at a farmer's market or circulation place-- that's just how medical cannabis collective farmings happen. Expanded in one location for security and other reasons, after that distributed at another place.

The MMP takes place to talk about all the criminal laws that cbdforsalenearme.com certified people and primary caretakers are exempt from. In area 11362.765, it states: ""will not be subject, on that sole basis, to criminal obligation under Section 11357, 11358, 11359, 11360, 11366, 11366.5, or 11570.""

Allow's look at each of this one by one:

11357: [property],

11358: [growing],

11359: [possession for sale],

11360: ["" transports, imports right into this state, offers, equips, provides, or distributes""- or supplies to or tries to do any one of those],

11366: [Every person who opens or maintains any type of location for the objective of illegally offering, distributing, or using any type of controlled substance] 11366.5 [Taking care of an area for manufacture, storage space and/or the circulation of a controlled substance] 11570 [Every building or area made use of for the function of unjustifiably offering, offering, storing, maintaining, producing, or distributing any type of illegal drug, precursor, or analog specified in this department, as well as every structure or area wherein or whereupon those acts take place, is a nuisance which shall be enjoined, mellowed out, and avoided, and for which problems might be recouped, whether it is a public or exclusive annoyance.]

The Health And Wellness Code area 11360 especially claims ""markets"". Not just that, however it likewise claims: ""hands out"" and also ""furnishes"". Exactly how come the LA District Attorney's workplace states ""all sales are unlawful"" as well as non-profit store front clinical cannabis dispensing collectives/cooperatives are outlawed?

Because same costs,

"" 11362.775. Qualified individuals, persons with legitimate recognition cards, and the marked key caretakers of qualified patients and also individuals with identification cards, that associate within the State of The golden state in order jointly or cooperatively to grow marijuana for medical objectives, will not entirely on the basis of that fact undergo state criminal assents under Section 11357, 11358, 11359, 11360, 11366, 11366.5, or 11570.""

Once again, it says that people can jointly cultivate marijuana and also distribute it among themselves for charitable. Once more, the distribution of clinical cannabis is different from the growing similar to the manufacturing of my Vicodin lies separately from my pharmacy.

The Medical Marijuana Act also contacts the State Attorney General to offer guidelines connected to medical cannabis:

"" The expense would call for the Chief law officer to develop and also adopt guidelines to make certain the safety and security and also non-diversion of cannabis expanded for medical usage, as defined.""

Which specifically what State Attorney General, Jerry Brown did in the late summertime of 2008

GUIDELINES FOR THE SECURITY AND ALSO NON-DIVERSION OF CANNABIS GROWN FOR MEDICAL USE August 2008.

To fulfill his required, the State Attorney General launches these guidelines to help police do their jobs according to State regulation as well as to assist people understand those regulations.

The guidelines specify non-profit shop Medical Cannabis Dispensing Collectives and Cooperatives could be lawful under state regulation if they adhered to the standards as well as the above laws.

"" It is the viewpoint of this Office that an effectively organized and run cumulative or participating that gives medical cannabis through a storefront might be authorized under California law""

The State Attorney General confirms what the law claims. The Attorney general of the United States is the highest-ranking lawful staff member of the State of The golden state. His workplace additionally replied to the problems raised in Los Angeles by the City Lawyer's workplace.

According to the New York Times on October 17: Christine Gaspar, a spokeswoman for State Chief law officer Jerry Brown, claimed that after Mr. Trutanich's comments in Los Angeles, police authorities as well as supporters from around the state had called seeking quality on clinical marijuana legislations.

Mr. Brown has issued legal standards that permit not-for-profit sales of medical marijuana, she claimed. But, she included, with legislations being translated differently, ""the final response will ultimately originate from the courts.""

So what do the courts say?

INDIVIDUALS v. MENTCH

The District Attorney's workplace would certainly have you believe that the Mentch choice hooligans non-profit store Medical Cannabis Dispensing Collectives/Cooperatives and makes ""all sales prohibited"" but that choice has to do with the definition of ""main caregiver"" not sales.

Mentch had 82 cannabis plants growing in his home and also he marketed the medication to 5 people that came to his home with the primary objective of getting marijuana. The majority of the plants in Mentch's house belonged to him as he indicated. Their procedures were not a collective or a cooperative nor a shop. Mentch owned Hemporium, for-profit caregiving, as well as working as a consultant service, not a non-profit cumulative or a cooperative.

Based on the proof the courts wrapped up that Mentch's operation was largely a for-profit industrial venture and that he was not a primary caregiver for those he provided medical cannabis to from his home business. I've written about this comprehensive right here.

So there you have what the courts state, what the State Lawyer says, as well as what the regulations state; all confirm non-profit store front dispensing of medical cannabis can be lawful under State law.

Now the Los Angeles District Attorney have to obey the regulation and the will of the people and stop wasting time as well as resources to harm clinical cannabis people specifically just before Xmas. Especially when there are over 7,000 untested rape packages that the District Attorney claims to not have the sources to take care of."

#CBD #cannabis #cannabidiol

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