#public health research jobs near me

[rj-drive-in]

Super-Adventures! Department:

Disclaimer: Your math is not wrong. This story was written in the 1990s.

DOCTOR’S ORDERS © 2023 by Rick Hutchins

Though the office was large, it seemed small, crowded as it was with paraphernalia. Stacks of magazines, journals, and other publications filled almost every square inch of floor space. There was the Journal of the American Medical Association, the Lancet, Nature, the New England Journal of Medicine, the American Journal of Public Health, and more. These had to be kept on the floor because the many shelves were occupied by encyclopedias, reference books, and bound copies of research papers.

At the desk, within the pool of light cast by the reading lamp, sat a man of gigantic proportions. He was tall and wide. His girth was of a magnitude normally associated with obesity, but he had not an ounce of fat. His hair, which included a wide mustache and a heroic beard that fell halfway down his chest, was flaming red.

Frowning, he studied the reports on the desk before him.

The first outlined the utter incompetency of the paramedics who had transported the patient; this was in the province of the Risk Management Committee, which he chaired, and he put it aside for the next meeting.

The second report was of even more interest.

Patient number 097967-7, Donny Brookes, had succumbed to multiple trauma, including severe internal injuries, massive hemorrhaging, and cerebral contusions. The pathologist’s report described a man approximately fifty years of age. However, the man’s companions had given his age to the admitting clerk as twenty-two. Quite a discrepancy.

A summary follow-up form attached revealed that the injuries had been sustained in the parking garage of the Greater Boston Museum of Antiquities.

Rising slowly from his chair, the man moved to the closet and opened it. He took from a hanger a long, white lab coat, which was made of a material that seemed to almost glow from within. As he ceremoniously slid his arms into the sleeves of the lab coat, he spoke aloud, in a deep voice that rumbled like an avalanche down the slopes of Mount Olympus.

“This is a job…for Doctor Zeus!”

*****

Framed by the Prudential Building and the John Hancock tower, the late summer sun descended in the west, casting long shadows. A black Cadillac, polished to a glistening finish, waited near the entrance to the old wing of the hospital. Beside the vehicle stood a very proper man in a dark suit; tall and lean, with the profile of an eagle and a fringe of brown hair surrounding his bald head like an olive wreath, he was the model of decorum.

When Dr Zeus strode from the building, his white coat billowing like a cape, the chauffeur efficiently opened the car’s rear door.

“Thank you, Theophilus.”

“Yes, sir.”

Closing the door, Theophilus quickly moved around the car and took his place in the driver’s seat. Starting the engine, he awaited instructions.

“Take me to the precinct house,” commanded Zeus. “And while I am there, I would like you to make some inquiries for me.”

“Yes, sir.”

*****

“As you can see, the facts are simple,” said Captain Bonita Innocent from behind her desk, as Dr Zeus perused the official police report. The captain, in her early thirties, had a strong, bronze face and piercing eyes as black and shiny as her hair. Her blue uniform shirt was unbuttoned just a bit further than regulations permitted. “The victim, his girlfriend, and another couple were visiting the Museum of Antiquities when they were attacked by a street gang. The victim was brutally beaten and died en route to the hospital.”

“But the others were unhurt.”

“Roughed up, knocked down, that’s all.”

“And the only thing stolen was the victim’s belt.”

“Right.”

“Curious,” grumbled Zeus.

“These street gangs,” said the captain disgustedly, “will kill you for whatever’s trendy this week-- sneakers, jacket, belt.”

“Perhaps,” Zeus mused. “Why did it take so long for the ambulance to reach the hospital?”

“The driver says he hit a traffic jam and had to go the long way.”

“He lies!” proclaimed Dr Zeus. “They deliberately delayed their arrival so that this man would perish.”

“But why?”

Zeus did not answer. “You have confirmed the victim’s birth year as 1946 AD.”

“Positive ID,” said Innocent firmly. “That’s the funny part. His friends are all in their early twenties and insist that he was in his early twenties. But, even with his injuries, it’s obvious that he was an older man.”

Zeus closed the report and put it down, his eyes drifting to Innocent’s open collar. “Dr Zeus wishes to reward you for your assistance, woman,” he said. “What do you do for recreation when you are off duty?”

She smiled. “Rhythm gymnastics.”

“Ah, truly a woman fit for…”

Beep beep beep

“Damn it!” thundered Zeus, fingering his pager. “That is Theophilus. I must go.”

“Okay,” said the comely Latina. “But don’t be a stranger.”

*****

Both hands on the steering wheel, Theophilus negotiated the black Cadillac through the roaring anarchy of Storrow Drive. Night had fallen and headlights and brake lights swirled around the car like a storm of comets. Dr Zeus leaned forward in the back seat.

“Proceed,” he said.

“Your guesses all proved correct, sir,” replied Theophilus, his voice even. “Records show that Donald Brookes was a graduate student in archaeology at Boston University in 1968. He traveled extensively in Greece and participated in Professor Kendall’s dig at Senekos.”

“Aha!” boomed Zeus.

“Furthermore, The late Mr Brookes’ girlfriend informed me that this was indeed their second trip to the museum. On their first visit, they won free passes for a return visit; the museum, however, claims that no such passes were ever awarded.”

“Aha!”

“Lastly, she told me that a museum curator was present after the mugging and was involved in heated conversation with the ambulance attendants before the trip to the hospital.”

“And you have the information on this curator, Theophilus?”

“I do, sir,” he replied. “An expert on Hellenic folklore.”

“Yes, everything fits, Theophilus!” roared Dr Zeus. “By the blistered heels of Hermes! To the Greater Boston Museum of Antiquities, with alacrity!”

*****

It was quiet, as only an empty museum can be. In the dimness that permeated the Hall of Ancient Greece, a gaunt man, hair gray and face furrowed with age, shuffled obsessively from display case to display case, exhibit to exhibit with endless, fanatical devotion. He was not aware of the giant figure who entered the hall until a voice boomed out.

“Hear me, mortal,” said Dr Zeus. “I have come for the Atropion.”

The aged man spun around in surprise and fear. “Who’s that?!” he croaked. “Get out of here or I’ll call the police!”

“The police will come when I see fit to summon them,” growled the doctor, moving closer. “You are Ambrose Dorian, curator of this museum. You have engaged a murder to be committed and stolen the ancient Atropion.”

The curator’s sour face lengthened with pickled loathing. “Whoever you are, you’re obviously a cretin.”

“No, mortal, I am a Classical Greek!” roared Zeus. “Don’t they teach you people anything?!”

Slowly, accusingly, Dr Zeus paced back and forth before Dorian. “Donald Brookes visited this museum a month ago,” he said. “At that time, you recognized his belt buckle for what it truly was: The Atropion, an ancient relic which once extended the life of Agamemnon of Senekos for two centuries and was now doing the same for Brookes. You tricked Brookes into returning with a contrived tale of free passes. Then your hired Visigoths beat him and stole the prize. Finally, you bribed the paramedics to delay their arrival at the hospital long enough for the man to die. You are now in possession of the Atropion, in the hopes that it will preserve your own fading existence.” His eyes darkened. “Return it now.”

“I don’t have it,” Dorian said weakly.

Dr Zeus frowned and the air thickened with the smell of ozone and the crackle of electricity. A rumbling rose up from all around them; the glass cases and exhibits trembled violently. Eyes shifting nervously, Dorian fumblingly produced the small bronze artifact from a pocket and handed it over.

“You do not deserve this, mortal,” said Zeus, safely pocketing the Atropion. “Perhaps Donald Brookes did not deserve it, either, but neither did he deserve to die.” He pointed a judgmental finger at the curator, blue St Elmo’s fire swirling around his hand. “By divine right, I could obliterate you where you stand with a lightning bolt from the blue. But that is not how things are done in this country: You will be tried by a jury of your peers. Theophilus!”

“Here, sir,” said the faithful manservant, emerging from the shadows.

“Call the police.”

“Yes, sir,” he replied, taking a cellular phone from his jacket and dialing. “And may I say, sir, it is good of you to abide by the laws of the land.”

Dr Zeus shrugged. “When in Rome…”

*****

Conference Room 6-B, which faced east, received little natural light in the afternoon; fluorescent bulbs in the ceiling illuminated the long table, which was fully occupied.

Dr Zeus sat at the head of the table. “Call to order,” he boomed, his index finger drumming on the tabletop like a gavel.

The Risk Management Committee, fifteen professionals representing the various medical and administrative divisions within the hospital’s organizational structure, turned its collective attention to its imposing chairman.

“First item on today’s agenda:” intoned Dr Zeus solemnly. “’Proactive Management of Moral Insufficiency in Paramedical Service Providers.’”

The Committee sighed.

#short story #short fiction #fantasy #superheroes #pulp heroes #ancient greek mythology #rick hutchins #rjdiogenes

[theveterinarians]

What Is a Veterinary Hospital?

A vet hospital is an institute that has centers for treatment, immunization (inoculation), synthetic insemination, medical intervention as well as treatment of animals, pet dogs, tiny pets as well as birds. Vets are associated with r & d as well as act as experts for governmental organizations, exclusive business, and also the armed force. Veterinary Medication is a field that has a substantial effect on individuals's lives as well as the earth. It is a broad as well as varied field that consists of pet and also human health, nutrition, public wellness and environmental protection. Contact the blais veterinary hospital & clinic for high quality health care for your pet.

It is also a very rewarding career with chances in all elements of vet method. From the family farm to the research laboratory, a veterinarian's job is essential for making certain that the world's food supply is risk-free and also healthy for people, which pets are well-treated and healthy and balanced. On top of that, veterinary health centers are a vital part of the animal care system in developing nations. They assist in rebuilding as well as boosting a nation's animals manufacturing and also animal health and wellness systems after a disaster or dispute.

The style of a vet health center must be created with the objective of avoiding the intro of virus from going into as well as colonizing the center. To this end, ventilation should be very carefully considered during the preparation and style process. Ventilation experts should perform routine examinations to make certain that the airflow equilibriums in each area of the center. A reliable communication system between veterinary workers is essential to ensure that information is sent properly from one participant of the group to another. This needs that participants choose when, where and also exactly how to communicate, and then precisely interpret that info.

Failure to connect may lead to missing crucial information, which can substantially impact person care. Because of this, a vet medical facility must strive to advertise a healthy and balanced work society and also motivate personnel to participate in the assessment of the hospital's procedures. This can be done by involving all veterinary workers in personnel surveys and testimonials, as well as by creating a society where everyone seems like they can speak up. For individualized pet care, take a look at the animal hospital near me.

A veterinary medical facility must have a tidy, risk-free atmosphere where all employees are trained and also have the tools they need to do their duties effectively. For instance, all veterinary professionals need to be learnt infection control treatments and have a current certificate of conclusion of the course. Vet clinical errors are a crucial worry in vet care as well as can trigger a lot of harm to individuals. Whether these errors are caused by a blunder or an accident, they can leave clients experiencing permanent or fatal harm.

This research suggests that a veterinary medical facility can minimize the risk of these errors by promoting a society where all events are explored and reported. This will certainly boost the possibilities that any type of errors that are found will be attended to prior to they get to the client. It is critical to ensure that all vet hospitals have an occurrence reporting program in place where a vet doctor or specialist can report any type of occurrence that has taken place.

This can be done by establishing a web link on the hospital's web site and also enabling any individual that has seen an error to fill in a volunteer online report form. Check out this related post to get more enlightened on the topic: https://en.wikipedia.org/wiki/Veterinary_medicine.

[xtruss]

Annals of Inquiry: Surveillance and the Loneliness of the Long-Distance Trucker

A new book shows how electronic tracking systems have failed to make trucking safer. But they have helped companies spy on their workers.

— By Gideon Lewis-Kraus | January 31, 2023

Illustration By Nicholas Konrad/The New Yorker; Source photographs By Getty Images

In 2011, Karen Levy, a doctoral candidate in Princeton’s sociology department, spent the summer as a research intern at Intel’s offices near Portland, Oregon. Her official remit was fuzzy and open-ended, but the company had at one point emphasized its resolve to find use cases for its chips in vehicles. Levy hadn’t thought much about vehicles per se, but her mixed academic background—she was also trained as a lawyer—predisposed her to reflect on situations that dramatized the peculiar relationship between formal codes (the realm of the law) and practical expediency (the realm of the ethnographer). The road, it occurred to her, was the site of our most common and thoroughgoing encounter with rules; it was also the scene of our most routine and matter-of-fact disregard for them. Take, as an example, jaywalking. It remains technically criminal in many places, but the enforcement of the prohibition is typically neither expected nor desired. Levy’s work is often about the wiggle room that makes social life possible. As she put it to me recently, “What do we really mean when we say a rule is a rule? When do we not mean it?”

While in Oregon, Levy happened to hear an NPR segment about new restrictions on the wiggle room afforded to long-haul truckers. Since the nineteen-thirties, truckers had been reasonably encumbered by restrictions on the number of hours they were allowed to work. These regulations relied upon self-reports manually inscribed in paper logbooks, which truckers were obligated to provide upon inspection. These logbooks, however, were easily falsified; at the end of the day, or at the end of a trip, the trucker retrofitted his journey to accommodate the law. This was an open secret: truckers called them coloring books, or even swindle sheets. Road safety, however, was a real issue. For decades, regulators had debated the introduction of electronic logs—tamper-proof devices, hardwired to trucks’ engines, that could digitally track the time truckers spent behind the wheel. Truckers were, to put it gently, resistant to the idea. Long-haul trucking is not a good job (it’s poorly paid, lonely, bad for your health, and dangerous), but at the very least it was compensated by access to mythological status: truckers, as captains of their own ships, enjoyed the freedom and romance of the open road. Trucking was a vocation for the stubborn. By 2012, a federal mandate was a fait accompli, and, even if the trappings of autonomy had always been more symbolic than material, the deployment of digital trackers was received as a status insult.

Later that week, Levy took public transit to Jubitz, a “nice, big truck stop” near the Washington border, to see what it felt like to strike up unsolicited conversations with truckers and get a lay of the land. Levy, whose prose and conversation is starry with exclamatory asides, told me, “I went up to people at the bar, and it was really fun! Truckers turned out to be really forthcoming—they have lots of stories nobody asks them to tell. These days, we talk about ‘essential workers’ all the time, but nobody likes them or thinks positively of them—despite the fact that, as they like to say, ‘if you bought it, we brought it.’ ” When she returned to Princeton that fall, she told her adviser, Paul DiMaggio, that she’d become enmeshed in the tribulations of truckers. DiMaggio is extremely well regarded as a sociologist—his landmark 1983 article “The Iron Cage Revisited,” on the bureaucratization of the professions, is one of the field’s all-time most cited papers—but, in a previous life, he had been an aspiring songwriter on the Nashville scene, and frequented honky-tonks in the nineteen-seventies. He not only supported the project but promptly set her up with a trucker playlist—including Dick Curless’s “A Tombstone Every Mile” and Dave Dudley’s “Six Days on the Road.” (Many classics of the genre have an air of dark prophecy; among Levy’s favorites is Ronnie Milsap’s “Prisoner of the Highway.”)

Levy went on to visit truckers in eleven states: “The nice thing about truckers is you can find them anywhere, and if one place isn’t great you can go down the road to the next truck stop and see who’s there.” Levy grew up not far from Indianapolis, and at first she looked for men in Colts jerseys; as an invitation to expound on their expertise, she sometimes asked them how they’d get from, say, Portland to West Lafayette, Indiana, which they could invariably answer off the top of their heads. Her initial encounters did not go all that well. She told me, “I was an idiot. I literally didn’t understand what people were saying—what words were coming out of their mouths. There’s all of this lingo—‘reefer,’ ‘chicken coop,’ ‘reset your seventy.’ I went home and bought a CB slang dictionary on eBay, and learned that a ‘reefer’ is a refrigerated truck, a ‘chicken coop’ is an inspection station, and ‘resetting your seventy’ means restarting your weekly time clock with a thirty-four-hour break.” She continued, “My conversations were not that useful at first except that it was all interesting, and then, of course, you pick it up—subscribing to all these newsletters, reading the trade press, and now, more than eleven years later, I still read that stuff. I listen to ‘Road Dog Trucking,’ a satellite-radio channel that hosts call-in shows for trucking professionals.” In the past few months, those shows have invited her to appear as a guest.

Levy’s splendid new book, “Data Driven: Truckers, Technology, and the New Workplace Surveillance,” is a rigorous and surprisingly entertaining ethnographic portrait of a profession in transition. Although truckers have always been technologically savvy subjects—they were early adopters of such new technologies as CB radio—they now had to grow accustomed to life as its object. When she began her field work, electronic logging devices—E.L.D.s—were a looming threat on the horizon. In 2017, they became a legal requirement, but their industrial applications have gone well beyond the basic federal mandate. Trucking companies realized that they could enhance these devices to do things such as track fuel efficiency in real time. In one sense, this was an old story: strict managerial oversight in the service of productive rationalization was a hallmark of the Industrial Revolution. In another, however, the extension of such scrutiny to the fundamentally antinomian culture of trucking was a relevant novelty. With the pandemic, remote workplace surveillance of the otherwise aloof has become an increasingly common intrusion. Truckers, as she said in an interview with the trucker show “Land Line Now,” were “the canaries in the coal mine.”

The process of picking up on a community’s linguistic practices inevitably entails coming to understand how that community regulates itself—the norms, customs, and other structures that make up a given social order. The sociologist Harvey Molotch has drawn a contrast between the “actual order” of practitioners and an “apparent order” legible to outsiders. The former tends to allow room for fluidity and discretion not officially recognized by the latter. Levy, who is now on the faculty of the information-science department at Cornell, likes to teach Alvin W. Gouldner’s “Patterns of Industrial Bureaucracy,” a mid-century ethnography carried out at a gypsum mine. She told me, “Gouldner writes about ‘mock bureaucracy,’ this idea that there are all these rules in place that nobody really follows, or follows only in certain situations. There was a rule that you couldn’t smoke in the mines—which sounds fine to me now, but back then that was a big deal—but managers would enforce it only when the insurance inspectors were around.” This deviation from the apparent order wasn’t merely a resigned concession to ungovernability. She went on, “The lack of enforcement got them in good with the workers, and helped the management-worker relationship.”

The use of electronic logging devices in trucks, Levy argues, represents an example of how “we impose apparent order to the detriment of actual order.” From the perspective of apparent order, the problem of trucking safety—the job ranks eighth on the list of occupational fatality rates—is driver fatigue. Truckers are tired because they drive too many hours. They drive too many hours because they were not only permitted but effectively encouraged to falsify their logbooks. If the problem is compliance, the solution is to take accountability out of the discretionary sphere of human activity and rely instead on mechanism. You use technology to force truckers to tell the truth.

Levy takes pains to point out that there was nothing great about the historical “actual order” of long-haul trucking—it’s inequitable, unjust, exploitative, and unsafe. As one trucker told her, “There are a lot of men out there who—there wouldn’t be food on the table, frankly, and the lights wouldn’t be on at home if they weren’t breaking the law and if they weren’t using drugs. And it’s not about having a party, because it’s not a fucking party. It’s very much not a fucking party.” But the older regime did represent, for better or for worse, a stable if makeshift equilibrium: truckers retained their sense of rough-and-ready dignity in command. They decided how best to get from point A to point B; they relied on expert interoception to know when they were fatigued, and stopped when they felt they needed to stop; and they evaluated the weather and determined the proper maneuvers. This is no longer the case. Levy quotes one exchange between a trucker and his dispatcher, conducted over the two-way messaging service often installed along with the E.L.D., to capture the sense of constant oversight:

12:57 PM Firm: Are you headed to delivery?

1:02 PM Firm: Please call.

2:33 PM Firm: What is your ETA to delivery?

2:34 PM Firm: Need you to start rolling.

2:35 PM Firm: Why have you not called me back?

3:25 PM Driver: I can’t talk and sleep at the same time.

3:37 PM Firm: Why aren’t you rolling? You have hours and are going to service fail this load.

3:44 PM Firm: You have hours now and the ability to roll—that is a failure when you are sitting and refusing to roll to the customer.

3:51 PM Firm: Please go in and deliver. We need to service our customers. Please start rolling. They will receive you up to 11:30. Please do not be late.

4:14 PM Driver: Bad storm. Can’t roll now.

4:34 PM Firm: Weather Channel is showing small rain shower in your area, 1-2 inches of rain and 10 mph winds ???

The obvious objection is that these dignitary concerns, important as they are, seem irrelevant when weighed against the reality of highway fatalities; we might, as a society, consider this a reasonable trade-off, even if the truckers themselves bristle at the oversight. But, as so often happens, the attempt to impose an “apparent order” from above has seemingly backfired: the data from the first few years under the E.L.D. mandate have shown that the devices may lead to an increase in trucking accidents. The bulk of Levy’s book is devoted to explaining why the curtailment of personal judgment has had such poor results. For one thing, she says, imagine that your grandmother expects a visit to discuss your inheritance, and she knows it’s going to take you eleven hours to get to her home. Most of us would understand that to mean “about eleven hours,” and if taking a break for a coffee (or a 5-Hour Energy, or even one of the more advanced stimulants apparently on offer under the counter at some truck stops), or slowing down over a snowy pass, meant a half hour of delay, presumably Grandma wouldn’t mind. But if Grandma said that you had exactly eleven hours or she’d write you out of the will, Levy says, you’d drive “like a bat out of hell” to get there.

The E.L.D. mandate has also had unfortunate second-order effects. There’s already considerable turnover in the trucking industry, but frustration with the mandate has sent a disproportionate number of veteran drivers into early retirement. Truckers with thirty or forty years of experience have been replaced by eighteen-year-old “baby drivers” with fresh commercial driver’s licenses, and these drivers are, unsurprisingly, less safe. The mandate has also inadvertently altered the compliance landscape. The devices provide (theoretically) tamper-proof logs, but actual enforcement remains a matter for the police. Cops, as Levy found while embedded with the state police, have not taken easily to the new regime; they often can’t understand how the boxes are supposed to be read, which undermines their authority at weigh stations. (Levy points out nicely that a shared bewilderment or resentment about E.L.D.s can at times engender the rare moment of trucker-cop solidarity.) In part because police officers find these interactions stressful or unpleasant, the phase-in period of the mandate saw them waving through trucks with E.L.D. decals, on the assumption that the truckers were in conformity with regulations. Truckers, who aren’t stupid, immediately pursued a strategy of “decoy compliance,” purchasing decals on the black market even when their trucks weren’t in fact equipped with electronic monitoring. The data showed that regulatory compliance increased dramatically since the advent of the mandate, but it remains unclear if what was being tracked, at least initially, was actual compliance or merely its guise. (Also, some truckers just smashed their E.L.D.s with a hammer. Levy devotes a fascinating chapter to such strategies for mutiny, yet she’s careful not to narc on her informants.)

All of this, Levy maintains, was predictable insofar as the mandate was designed to solve the apparent problem rather than the actual one. The problem was not that truckers lied. The problem is the industry’s economic structure. Truckers are paid on a per-mile basis—“If the wheel ain’t turnin’, you ain’t earnin’ ”—which means that all of the time they spend resting, or refuelling, or looking for scarce parking, or being detained by slow shippers at their destination is uncompensated. Truckers are exempt from the Fair Labor Standards Act of 1938, so they’re not paid overtime. Beginning in the late nineteen-seventies, the trucking industry underwent rapid deregulation. Shipping costs fell dramatically, but so did wages. In 1980, the median income for a trucker was a hundred and ten thousand dollars in today’s dollars; today, the average trucker brings home less than half of that. Solidarity has proved elusive. The Teamsters were once powerful, but the percentage of truckers with union membership has declined to the low single digits.

As Levy puts it, “By using digital surveillance to enforce rules, we focus our attention on an apparent order that allows us to ignore the real problems in the industry, as well as their deeper economic, social, and political causes. Under the apparent order envisioned by the ELD, the fundamental problem in trucking is that truckers cannot be trusted to reliably report how much they work, and the solution to that problem is to make it more difficult for them to fudge the numbers. But under the actual order, the problem in trucking is that drivers are incentivized to work themselves well beyond healthy limits—sometimes to death. The ELD doesn’t solve this problem, or even attempt to do so.”

Yet the story in trucking, as in so many other domains, continues to be one in which technological patches are sent in search of ostensible bugs. One of the advantages of Levy’s longitudinal commitment is that she’s witnessed wave after wave of prediction that self-driving trucks are just around the corner—that two million long-haul truckers will be put out of work at one fell swoop. That has not come to pass, and Levy believes that it’s unlikely to happen anytime soon. Artificial intelligence might not drive the truck, but it has nevertheless been awarded a role to play. It powers, for example, an array of prototypes that will likely define the future of automated oversight: biometric cameras that can monitor truckers’ eyelids for fatigue, or biometric vests that can detect a heart attack. It seems plausible that blanket hours-of-service regulations could be abandoned altogether in favor of thoroughly personalized restriction; the machines will decide when and for how long rest is warranted. Even if dreams of driver replacement as such are in retreat, Levy writes, these surveillance technologies “represent a distinct and simultaneous threat: a threat of compelled hybridization, an intimate invasion into their work and bodies. AI in trucking today doesn’t kick you out of the cab, it texts your boss and wife, flashes lights in your eyes, and gooses your backside. Though truckers are, so far, still in the cab, intelligent systems are beginning to occupy these spaces as well—in the process, turning worker and machine into an uneasy, confrontational whole.”

This sounds grim, but Levy emphasizes that she has nothing against technology per se, and she notes that there are certainly ways in which E.L.D. systems might serve driver interests: if they gave greater visibility to long, uncompensated detention times at ports, that would be an important step toward making one of the industry’s neglected problems more tractable. This might seem like a standard-issue “to be sure” concession, but arguments such as these—and their deployment in a book with the wry, elegant, engraved-wood tone of mid-century sociology—serve to differentiate Levy’s account from the current state of technology criticism. Her work recalls the variety of pre-techlash misgiving exemplified by such critics as Evgeny Morozov, who coined the term “solutionism” to describe Silicon Valley’s intuition that all problematic symptoms could be alleviated with technological palliatives. In the eleven years since Levy began her study, criticism of technology seems half-hearted or incomplete if it makes no reference to eugenics.

This has been, in some ways, a counterproductive turn. Such inflammatory rhetoric drives away the sorts of engineers who might otherwise be open to learning about the difference between apparent and actual orders. In an interview she gave last year, Levy said, “There’s kind of a stereotype that computer science is a really asociological discipline, and that people in tech view the world through an engineering lens without any regard for social life—but my own experience doesn’t bear this out at all. The students I meet are so eager to reflect deeply about the normative stakes of what they’re doing and to integrate social-scientific knowledge into their world views.” (They still frown, she told me, when they’re assigned titles such as “Patterns of Industrial Bureaucracy.”) Over the past decade, Silicon Valley rationalists have given mimetic energy to concepts like “Chesterton’s fence,” the idea that no reform measures should be undertaken until one understands why and how a given system was set up in the first place. They might not have had to resurrect such a principle from obscurity if they’d been exposed to a century of social-scientific reasoning. No engineers are likely to seek out such exposure if they suspect that faculty members in science, technology, and society departments regard them as eugenicists.

The subtleties of Levy’s account can easily get a little lost between the increasingly divergent extremes of technology discourse. She told me, “There’s one thing that’s hard to get across in talking about the book, which is that the goal was never to say, ‘Hey, we should go back to the way things were.’ The not-as-good tech criticism tends to valorize work or the old way of doing things, the craft of labor, and I’ve been trying really hard to not say, ‘I think everyone should go back to breaking the law flagrantly and being exploited for their labor.’ The point is that the technology provides a hint that there’s some other change that’s needed. The future is not to leave tech out of it and go back to how things were ten years ago, even if that’s what a lot of truckers want. It’s easy for people to be, like, ‘Yeah, smash the fucking thing’—well, maybe, or maybe not.” ♦

[trentondentist]

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Many oral experts operate in exclusive techniques, but a small portion of them work in health centers or local wellness systems. Oral experts also take pleasure in excellent settlement and are very demanded. Oral college is a four-year program. The majority of institutions require a bachelor's level. If you wish to go into oral college with a pre-med degree, you might be able to avoid some of the needed science programs. However, most aspiring dental specialists choose a bachelor's degree in biology or chemistry. Oral colleges are an affordable procedure, as well as admissions are usually figured out by quality point standard, minimum rating on the state exam, and also referrals from previous professors. A few schools supply accelerated admissions after two or three years of undergraduate research. It's a good idea to obtain a work in the dental occupation prior to putting on oral college, to help reduce your trainee lending financial obligation.

The dental occupation entails interactions with clients of all ages and also cultures. They make use of the most recent analysis and treatment techniques to diagnose and also deal with oral illness. They also show the public concerning dental wellness and also disease avoidance. They carry out professional treatments to restore as well as change teeth, including making use of oral implants. Some dental experts specialize in treating gum tissue condition, or periodontal illness. These dental professionals utilize prescription antibiotics to kill particular sorts of microorganisms. They also identify and also deal with gingival cells condition, which can impact the health of other crucial organs. Dental colleges have come to be significantly diverse, as developments in dental research have actually included genetic engineering, proceeded growth of new products, and web links between dental as well as systemic illness. Visit this link for more info on the best dental care expert on this page.

In fact, the Initiative to Incorporate Oral Health and also Medication unites leaders in academic community as well as health care to change the occupation. During the initial two years of oral college, pupils will certainly get fundamental guideline in the scientific research of dentistry. Throughout the 3rd as well as fourth years, pupils will certainly take part in medical researches in energetic oral practices. For more information about this topic, click here: https://en.wikipedia.org/wiki/Dentistry.

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[conceptpestcontrol]

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Although it is true that authorities have made significant strides in banning harmful pesticides, DDT is just one example. There is still much more to do. You can find many other pesticides still being sold to the public with a little bit of research.

It is a well-kept secret that companies who work with chemical pesticides have done a wonderful job of hiding. What chemicals do to pests is also what they do to humans. Many health conditions are caused by these chemicals. These include neurological and immune disorders, Hodgkin’s disease, certain cancers, and certain birth defects. These chemicals also attack the nervous system in the same manner as pesticides.

Untold damage is being done to the planet by a variety of these chemicals, which is another well-kept fact. They negatively impact the Ozone layer and pollute ground and surface water. Should we keep using such chemicals? There are better alternatives...

Natural Pest control near me is an effective and safe option. It is also very friendly to the environment, but does not compromise our health. There is no reason to use pesticides against different pests. These dangers are important to remember.

Boric Acid is a key ingredient in many chemical pesticides. (If Borax is mentioned, it is the exact same substance). It is a natural pesticide (insecticide/fungicide). It is very effective in eliminating termites, roaches and ticks. The powdered version of the acid is effective in keeping these pests away. It also acts as a fire retardant, antiseptic, and preservative, and can even get rid of certain odors.

It is safe for pets and humans, unless taken in large quantities. It has been found in many products that are in direct contact with the body. Boric Acid can be found in antiseptics, eye wash and salves. It has been compared with regular table salt to give an idea of its safety for humans. You will be amazed at how powerful and natural this Best Pest Control in Dubai agent is.

Boric Acid is one of many natural pesticides that are very effective. Garlic can also be used to repel pests. You can easily plant garlic among your herbs or flowers to make a natural pesticide.

Are you concerned about red spider mites damaging your tomatoes? These dangerous chemicals are not recommended. You can just plant garlic around them, and they will be gone forever. Are you a homeowner with fruit trees? Garlic is a great way to deal with these pests. You can keep the rabbits away by making a paste out of garlic and spraying it onto your sweet potato plants.

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Peppermint and spearmint are good pesticides. These pesticides can easily spread so be sure to take precautions. Oil Geranium makes it easy to deal with red spider mites and cabbage worms. Horseradish will keep potato bugs at bay. Hyssop will help keep the bugs out of your grape arbors and cabbages. It is best to not plant it next to your radishes, as they are very similar.

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Certain insects can be used to effectively combat pests. If you are looking to eliminate plant-eating insects, Ladybugs and Praying Mantis can be purchased. These are readily available at garden centers and online suppliers.

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[lowincomeassistance]

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Introduction: Whether you’re looking for a place to call home, or you just want an affordable alternative, finding low income apartments near me is essential. You can get started on your search by checking out our list of the best places to live in America according to poverty levels. Once you’ve found what works for you, it’s time to start measuring the progress made. To do that, you need to track apartment rents and trends over time. With that information under your belt, you can make informed decisions about which areas are worth investing in.

How to Find Low Income apartments near me.

A Low Income apartment is a shelter, housing or living quarters that is provided to people who are low in income. In order to find a Low Income apartment near you, start by researching apartment complexes and searching for properties that fit your budget and needs. You can also use online resources like Apartment Finder or an apartment search engine to help you find a property that’s perfect for you.

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[ccrpsorg]

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Eren Jaeger is a Selkie

Modern!AU, Selkie!AU

Selkies are creatures originating from Celtic and Norse mythology. When the selkie sheds their coat, they become a human. Rumor has it if you take a selkie's coat, they're going to be forced into a relationship with you and can't return to the water.

Warning: Adapted selkie lore. The last three canons are also not SFW!!

Image: The Birth of Venus by Sandro Botticelli

First of all, Eren absolutely detests the curse that has been placed on the selkie people.

He's like hmph! hmph! 😤😤 "How dare our people have their freedom be stolen from them by a mere coat!" Tatake! TATAKE!

You're a marine researcher and rescuer that works at a research institute. Another pleasure craft happens to "accidentally" pollute the ocean again, causing an oil spill near the beach where you work and study.

Thankfully, the amount isn't major, but it's still a danger to the marine life and habitats so you and your team go out and your job is to help the animals that were caught in the middle.

Your team brings back a horribly aggressive northern elephant seal. He's completely uncooperative, snaps at your teammates' fingers, tries to escape, and knocks over all of your tools. You'd think that he consider this "rescue" thing a major inconvenience, even though he's covered in oil and might have other health issues.

You all eventually decide to leave him to his own devices in a locked room and try again the next day where he's hopefully calmer because sedating him didn't work. Your coworker tried.

You accidentally leave your lunch bag at the rehabilitation center and you only notice late at night. Groaning to yourself, you drive out to the beach to get it back.

It's only when you're crossing the shore when you see a ??? butt naked man lying unconscious on the sand ??

You have half a mind to call the authorities, but you realize that he's covered in oil, the only thing he has on him is a surprisingly nice coat, and you figure that he might have been robbed or worse since he's not waking up no matter how much you try to nudge him.

You figure that he might just be another adrenaline junkie since it's illegal to swim on this specific part of the beach. There are no lifeguards, the water is incredibly rocky, and it's nighttime as well. It's also meant for thriving marine life and having humans in this area would drive them off. He's already hurt, and you know that calling the police won't do anyone any favors, so you hope he isn't a murderer and drags his heavy ass all the way back to your car.

He sleeps all the way through the car ride (you threw his coat over him to hide his hips) and you hope that no one sees you pull a 6'0" naked body back to your home.

You check him for injuries and can't find any, so you hope that he can just sleep it off. Quickly changing him into a shirt and sweats, you figure the only thing left to do is wash his coat for him and get all the oil, sand, and seawater out of it.

When Eren wakes up the next morning he immediately knows that he's in a human's place and that his coat is gone. He's about to go into a rage he swears 😡😡

Inwardly he's like, "MY FREEDOM?? MY FREEDOM." all pouty-like and crosses his arms.

But then you walk up with nothing but smiles, and you say, "Oh! Good! You're awake! I'm glad you're okay!" Before he can cuss you out, saying that he would never love you even though he's now forced to be in a romantic relationship with you, you give him a packed breakfast, his cleaned and dried coat, and you send him out the door saying that he might get caught for public indecency next time.

And even though he hates the selkie curse, the instincts are still engrained in his brain so the moment you shut the door he's just standing there ;;; in shock??? 🧍🧍

Half of him is saying that he has his freedom now and he can go back, but the other half is saying ??? you don't want me??? am I undesirable to you???

You clearly took his coat, he can smell it in your fabric softener, but you gave it back to him even though you guys are technically spouses now.

The next few days are a whirlwind. You come back to work realizing that the angry seal actually managed to escape and even though your coworkers are saying "Thank God," you're still worried since the spill hasn't been cleaned up yet.

Eren spends his days half in the ocean and half hiding behind rocks looking like an anime schoolgirl too shy to talk to his crush as he looks at you in your cute little rashguard or your research institute uniform. 👉👈

Eventually, he comes to the conclusion that you're the perfect human spouse!!! No other human would value his freedom like this, so he's like okay 🥰 you're perfect I'm consenting and we can get married and have lots of seal babies now.

He's a bit unsure of how to approach you, but you're sure that you catch a flash of that brown hair every now and then when you continue to rehabilitate other animals.

But then one day one of your work friends attempts to take you out on a date and Eren just comes sprinting up looking absolutely betrayed and furious that you would flirt with someone when you're supposed to be happily married to him.

You just let the biggest HUH? leave your lips when you see him again. AND HE'S STILL. BUTT. NAKED.

He drags you away and even though you're the most confused you've ever been in your entire life, it's hard to get angry at an extremely handsome brunet who gives you large green puppy eyes and acts as if his behavior is completely normal.

You just let your jaw drop at the end of his explanation and go, "...But we're not married!!!"

Cue Eren furrowing his dark brows and saying, "You took my coat though." He grabs your hand and places it on his bare chest. "This heart is yours now."

The selkie reveal drops extremely casually like he's telling you that he's the armored titan or something.

When you don't believe him, best believe he's going to do that dramatic jacket flip and turns into a seal before your eyes.

It takes you a while to get over your "I'm going crazy" phase, but then you decide that even though you're technically "together" by selkie rules, you say that you don't feel anything for him, so it would be unfair for both of you to be in a relationship.

To Eren, that's translated as, "Oh, I have to court them the human way."

He first relies on his instincts on what "courting" is. Imagine when you're at work, a large seal just drops a bunch of edible fish in front of you because he's proving that he can provide for the family.

When that doesn't work out, he goes to Armin and asks for ways to get you to like him. Armin tells him that humans like pearls and one day your coworkers just see you speedwalking as a seal attempts to flounder after you with several oysters in its mouth.

Next, he just tries to give you his coat forcefully. Like you just find it in your car, on your work desk, in your house. When you confront him about it he's like 🥰🥰 oh that's strange... how did that get there? hahaha anyway!!! let's be together now!! I'm stuck with you!!

Even though Eren is pretty...pushy... his efforts do actually start wearing you down. He's attractive and fit, he put time and energy into getting you to like him, and when he catches you on the beach alone, he talks to you about you as a person and you, in turn, learn about what kind of person he is. It's hard not to love someone when they look at you like you're the reason why the ocean is beautifully blue.

Selkie!Eren is clingy!!!! When he starts to live on land more than the ocean to be with you, he's just pouty and upset when you have to go to work. You know when you get a new puppy and they just trash the place because they miss you and don't know any better? That's Eren.

He doesn't understand why you have to work when he can just provide for you himself.

Doesn't like human clothes so he just walks around your home still bare. Eventually, you become desensitized to it and you don't even blink when a 6'0" naked man hangs off of you trying to get your attention.

You tell him that he can't go out with you and your friends unless he puts on some clothes and he just wears some pants and like his coat and you're like ,,,, okay I can still see your man titties like what's the point you're trying to make Eren.

I wanted these headcanons to be SFW, but Selkie!Eren legitimately doesn't understand pulling out and contraceptives. He's a horn dog but he also goes by animal instincts and so he's confused as hell going ?? we are supposed to have many pups !!

The northern elephant seals are also known for being extremely loud during mating season. Make of that (in human form!!!) what you will.

Also imagine having hot seggs on top of his coat. Okay. Send tweet.

#eren jeager x reader #eren x reader #eren headcanons #eren yeager #eren #eren x y/n #aot x reader #aot imagines #aot #snk headcanons #snk imagines #snk x reader #snk #shingeki no kyojin #attack on titan #eren jaeger #eren fluff #eren aot #I was writing my mermaid levi fic when I thought of this #i debated turning him into a leopard seal since theyre aggressive

[byologee]

an actually practical guide to being premed and getting into med school by someone who did it successfully

Majors and Classes:

Personally I feel you should choose a major that will be complementary to your premed studies-- something STEM or social science based that overlaps with your premed classes and will allow you to take upper level science classes that relate to physiology, disease and illness, pharmacology, etc. HOWEVER do not let this deter you from majoring in a non-bio STEM area like biochem or from pursuing a different science or liberal arts major.

That being said, consider double majoring in Public Health because it is very relevant to premed and going into medicine.

Make sure you take the correct order of bio and chem classes. This is important so that you take classes at the appropriate time when you have the appropriate skill level and so that you do not have any gaps in your premed education or major classes.

Be aware of what upper level bio and chem classes require prereqs that are not a part of your major requirements or premed requirements; for example some upper level bio classes require microbio which is not a premed requirement at all schools NOR always a major requirement. Plan your underclassmen years accordingly to allow you to fit in certain prereqs for upper level classes.

If you plan on taking lower level lab intensive courses, take them as an underclassman-- they will prepare you with basic lab skills you can apply to upper level classes and to irl lab work, plus most of your classmates will be underclassmen. You do not want to take these lower level lab intensive courses as an upperclassman. You will be bored and probably annoyed.

Take an intro level public health class as an underclassmen to see if you are interested in public health; this will also be relevant to your med school apps.

Gen chem 1 and orgo 1 are weedout classes. Many people will switch from premed and/or bio to public health or prePA after taking gen chem 1 and orgo 1. This is normal; don’t be judgemental. If you’re the one switching to public health or prePA, don’t feel bad or ashamed.

Do not take orgo 1 or 2 with super hard progressors. It’s just not worth it. Many people say that harder orgo progressors prepare you better for the MCAT, but this is false as the MCAT does not have a lot of orgo on it. Many people will fail out of orgo even without super hard professors. Set yourself up for success by taking orgo profs with good reputations, not profs with reputations for failing everyone, being purposefully difficult, or just nasty.

If you take a (relatively) “easy” professor for orgo 1, under no circumstances should you take a hard prof for orgo 2. You will suffer.

The best way to study orgo 1 and 2 is to memorize all the reactions. Copy reactions until you have them memorized. Then you can simply apply what you’ve memorized to synthesis reactions. This works for NMR too, just memorize what NMR specs look like and apply.

Always go to TA office hours for gen chem 1, 2 lab and orgo 1, 2 lab. The lab reports are very difficult and the TAs can help you more than professors can. Professors will be mostly absent for labs. TAs will know what’s up.

You do not need to take biochem 2 for the MCAT, biochem 1 will suffice as it generally covers amino acids and proteins and not respiration and metabolism. Most of the biochem on the MCAT is about amino acids and proteins; all metabolism can be self-studied. (This is my opinion to save you time, if your advisors tell you otherwise LISTEN TO THEM and not me).

If you take AP psychology you do not need to take intro psych.

You need to take a sociology course for the MCAT and premed reqs. You should take The Sociology of Deviance if offered at your college as this is more relevant to the MCAT than intro socy.

If you have to take a professional writing class for Gen Eds, try to take a science writing or health professions writing course as these will be relevant to you.

Take stats even if you don’t have to as it is very relevant for understanding papers.

If you switch to another pre-health path like prePA or prepharm you will generally have to take different prereqs. Clear this with your advisors and come up with a plan.

Med schools like to see a diversity in courses and not just science courses, so you need to take at least 8 humanities credit hours. Diversify your college education and take interesting and relevant humanities courses; this will also help with CARS on the MCAT.

Research

Many medical schools want you to have research experience. You can do clinical research or bench research.

You should start research early, either 2nd semester freshman year or summer before sophomore year.

The best advice is to research professors and PIs in the BSCI and public health departments and email ones you are interested in about working in their lab. You can do this before 2nd semester freshman year or during that semester. Email example: Hi Dr. X, I am an undergraduate freshman at UMD and am looking for research opportunities in X field. I discovered your lab and read your paper, “X,” and am very interested in this subject! Elaborate on what interested you I was wondering if there are any open positions in your lab for an undergraduate researcher. I have taken X, X, X, courses. I would be interested in working in your lab for 2 years. Please let me know if you have any openings! Best, X

PIs generally look for undergrads to commit to 2 years of research, but you can quit earlier if you feel like it. This is also why you should do research earlier-- that way you are not cramming it in during your upperclassman years.

The goal is to get some abstracts, posters, presentations, and maybe a pub out of it, but these things aren’t absolutely necessary.

Clinical Experience

Med schools like to see 10 months of continuous clinical experience, which translates to about 200 hours. However, this number is too low and to be really competitive for med school apps you should aim for 1000 hours if not more.

The best way to gain clinical experience is to work part time as a scribe, CNA, MA, or tech. You can take CNA and MA courses the summer before sophomore or junior year and apply to positions online. CNA/MA gives you a lot of experience working with patients. Scribing gives you a lot of experience working with doctors and seeing what they do. It’s best to start clinical experience sophomore year or junior year so you can gain enough hours prior to applying.

You should also have clinical volunteering hours which you can get by volunteering at hospitals such as Children’s or Shady Grove or any other local hospital. Other clinics also accept volunteers, you just have to look around. Check your health professions advising office (hereon abbreviated as HPAO) for their recommendations and job listings if available.

You can also shadow doctors. Your HPAO may have a continuously updating list of physicians in your area who are available to shadow. You can also genuinely just email local providers. Note that you will need to shadow a DO if applying DO.

Check your HPAO listserv for job openings and clinical volunteering opportunities.

You can find jobs by googling “CNA job near me” or “scribe job near me” and browsing postings on Indeed and other job sites, or alternatively postings on hospital sites.

Community Service

Med schools like to see 10-12 months of continuous community service, or around 200 hours. This is too low, and you should aim for around 600 to be a competitive applicant.

Join school listservs and look for volunteer postings. Go to your school’s First Look Fair or college organization fair (usually held at the beginning of each semester) and sign up for emails from clubs that do volunteering or other various organizations. There are many organizations on campus that do volunteering and service.

Ideally you want to work with marginalized communities off campus. This sounds shitty but you want to work with communities who need it. You should also aim for a sustained service opportunity, not a once a month thing but a weekly, continuous experience. Volunteering through clubs and societies like the women’s premed organization are not valid experiences.

Google local homeless shelters, women’s shelters, STD testing clinics, and food banks-- these are all really good places to volunteer at. You can also volunteer at crisis hotlines.

You can also utilize clinical experience for community service, so volunteering at a hospital, clinic, urgent care, etc. But you also need non-clinical community service, so make sure to prioritize both.

Consistency is key. Doing an experience for a longer period of time (ex. 4 hours every week for 10 months- year) is very valuable. Even doing an hour of volunteering at the same place every week for two years is great. Building relationships, gaining experience, understanding consistency-- med schools value this. Long term experience is very important.

Extracurriculars

You should also be involved in extraneous, non-community service based organizations and extracurriculars. It’s ok if these organizations include some aspect of community service. This can also include paid-positions that are not clinical.

Examples include campus ministries, sports, dance, art clubs, music/choir, social, restorative, and environmental justice organizations, interest groups, tutoring, co-ed frats, etc.

Joining societies, like the American Women’s Medical Association or your college’s namesake Pre-Med Society is a great way to do extracurriculars, build your resume, and get leadership experience. You can also join major-specific societies.

Check with your HPAO for a list of pre-health societies you can join. Your college will also have a website or list of clubs and orgs you can investigate.

Med schools like to see that you are well-rounded, so having a variety of experiences is important.

Advising

It is extremely important that you build a relationship with your advisors. It is very important that you outline all the classes you want to take with them and when AND that you meet with them every semester. Discuss your plans with them, ask questions, ask for suggestions and tips. If you make any major or minor changes you need to speak with them too. They are a resource; use them.

You will also need to build a relationship with your pre-med advisors at your HPAO. You may need to do an intro workshop to be able to meet with an advisor at your HPAO.

Meet with an HPAO advisor every semester to outline your courseload, volunteering, clinical work, extracurriculars, and application plan. Your HPAO advisor will help you craft a narrative for med school apps and can help advise you with regards to coursework and what opportunities to pursue. They can help you decide when to take the MCAT, when to apply, devise a school list, etc. so it’s best to start meeting with them early. The better your relationship with your HPAO advisor, the stronger the recommendation letter you’ll get from them.

If your grades drop you NEED to speak with an HPAO advisor. You should be checking in with them every semester to go over your grades and course history and make sure you are on the right track to apply. This is really really crucial.

If your HPAO offers workshops for applying to med school, crafting a school list, financing med school, writing a personal statement, etc. then GO TO THEM. Utilize the resources that are available to you.

Make sure you are on your HPAO listserv.

If your HPAO offers peer to peer advising consider using this resource to speak with current college students who are going through the application process.

2 Areas Med Schools Look At: Leadership + Diversity and Inclusion

These are two hot topics med schools care about. Here is how to address them.

Leadership: there are numerous ways to gain leadership experience; getting elected to a leadership position in a club or organization, being a TA or UA, getting a management position at your job, or being any kind of team leader in a community service endeavor. The important thing is that you are able to express what you learned and how you grew or changed from that experience, plus how you will apply what you learned in the future.

Diversity and Inclusion: Hot topics in medicine right now, my advice is to read about diversity and inclusion in medicine and what it means-- read articles, op-eds, peer-reviewed papers, etc. There are a few ways to go about this issue; one is to find out what is unique about you that you can contribute to medicine, the second (and most important) is to work with underserved and marginalized communities. Being able to express in med school apps and interviews that you understand the difficulties faced by marginalized groups and are committed to better health and wellness outcomes is REALLY important. Being able to show awareness about diversity in medicine is so key. To do this, spend time working with the marginalized and underserved through community service and clinical work. Be able to show med schools that you understand and care about diversity and inclusion.

You should be thinking about leadership and diversity/inclusion throughout all four years of undergrad-- how will you incorporate these things into your app?

Letters of Rec

Getting letters of rec (you will need 5-6) is very important. To do this you will need to build relationships with the following…

Professors: You will need recommendations from 2 science professors and 1-2 non-science professors. To get recs you need to go to office hours, ask questions in class and outside of class, email profs questions, stay after class to ask questions, participate, show an interest in what they are teaching. Office hours are important unless the class is small. Build relationships with professors ALL THROUGHOUT undergrad. Go to office hours even if you don’t have questions, especially in junior and senior year. Go and ask them to review prior tests and papers. Ask if you can explain concepts to them to get clarification. Listen to other peoples’ questions, piggyback off them. A prof is not going to write a LOR unless they know you.

Physicians: You need to have clinical experience to get an MD LOR. And you NEED an MD or DO LOR. Get the clinical experience, then ask whatever physician you worked with the most for an LOR. Many will say you do not need a DO LOR to apply to DO schools; I cannot advocate for this as I was told by my premed advisor that I needed one. Be safe and get one if you plan to apply DO.

Other: If there is anyone else who knows you well and can write a strong LOR, ask them. Your boss, manager, volunteering organizer, team leader, club sponsor-- whomever.

Committee Letter (CL): Many med schools require these. Your college probably has a unique CL process. Go to workshops, research, and ask your advisors how this process works. Maintain a relationship with your premed advisors to obtain a good CL letter.

Building a Narrative

This is talked about a lot junior and senior year when you are applying, but it’s important to think about building your narrative all four years of undergrad.

What this means is that you want to center your application around a theme or common experiences. You want to build a cohesive resume of common volunteering, clinical, and extracurricular experiences that complement each other. You should be able to summarize all of your experiences and draw a narrative about you based on what you have done.

For example, my narrative centered around marginalized and underserved communities as well as social and restorative justice. I used my volunteering experience with marginalized, underserved kids and my experience working with traditionally underserved patients to explain why I want to be a physician, what my medical vision and mission is, and what I have learned about medicine. Because I am interested in family medicine I was able to tie my experience working with the underserved into my goal of improving community health and welfare among marginalized groups. I also discussed how my passion for social and restorative justice ties into my clinical experiences and how I plan to integrate this passion into my practice of medicine.

One of my friends centered her narrative around being a Spanish-speaking person of color AND the descendent of physicians and how this has shaped many of her experiences in medicine and healthcare.

You don’t have to plan out your experiences to conform to a pre-chosen narrative. You do have to be able to draw common themes and lessons from your experiences, however.

MCAT

Talk to your premed advisor about when to take the MCAT and what classes you need to take prior to taking the MCAT. Ideally you want to take biochem 1, physics 2, and sociology of deviance before taking the mcat along with all other prereqs.

You also want to take the MCAT before applying (ideally) so that you can craft an appropriate school list. Your MCAT will give you a boundary for which schools you can apply to. Think of the MCAT as a checkpoint you must pass to apply to certain med schools.

Many people start content review six months before their test. Some start 2-3 months prior. Do what you think is comfortable.

You can use books or purchase review courses (Kaplan, Princeton Review) or use free online review content (Khan Academy).

Practicing how to take the test is more important than content review. What that means is that doing practice tests will help you more than reviewing content. Take as many practice tests as you can (AAMC makes their own).

Do a practice test one day, review what you got wrong the next day. Repeat this enough times and you will do well on the MCAT (511+).

Don’t anticipate retaking the MCAT. But don’t exclude it as a possibility either, so plan when you take the MCAT accordingly.

General Advice:

ALWAYS listen to your premed advisors. Do not elevate advice given by random strangers (including me) on the internet above advice given by your advisors. They know you. They know your history, your transcript, your personality. Us internet people do not. Trust your advisors. They know what they are doing.

Take everything said on the internet by supposed med school app experts, med students, doctors, premeds, SDN mods and commenters, premed redditors, and other random internet people with a BIG grain of salt. We don’t always know what we are talking about.

Limit the amount of time spent on SDN and premed reddit as well as other premed online forums. It can get unhealthy real fast.

You don’t have to study all the time. It’s ok to take breaks and have fun.

Don’t be afraid to reach out and get help or ask questions. Everyone else is struggling too. Your professors want you to do well.

Do non-science related things. Give your mind a break and diversify your experience.

Failing a test is not the end of the world. Many people fail tests and classes. You won’t be alone. Always remember that the curve exists.

If you are having a problem, talk to your professors and TAs. They are there to help.

Study with people. Quiz each other. Make study guides and ask each other questions. Help each other out.

Utilize campus resources- tutoring, study groups, yoga classes, conferences and seminars, counseling, etc.

Buy the MSAR when you start building your school list. It will make comparing schools so much easier.

A B or even a C is not going to ruin your chance of getting into medical school. People get in to med schools with 3.1 GPAs. You will be ok if you fail one test, have a few Cs or Bs, withdraw from a class, etc.

Getting into med school is more about fit than anything else. It’s not about how smart you are or how good your GPA or MCAT is. Everyone has a 4.0 Everyone has a 528. What matters is fit-- who you are, what you believe, what your values are, what your aspirations are-- and how you can demonstrate these things through your application, interview, and overall experiences. Remember that top tier schools are research-oriented (Einstein, Baylor, Johns Hopkins, Harvard, Stanford, NYU, Duke, Mayo, UChicago, Mt Sinai) whereas other lower tier will be more community focused.

ALL med schools (excluding caribbean med schools and a few DO schools, looking at you DMUCOM and LECOM) are valid. All med schools are good med schools. Med school is med school is med school. You will come out with an MD or DO and you will get into residency.

Always apply DO. Just do it. DO is great, DO is a viable option and good opportunity. Do it. Do not exclude it.

Links and other Resources:

AAMC: MD applicants, helpful resources in general https://students-residents.aamc.org/preparing-medical-school/preparing-medical-school

AACOM: DO applicants https://www.aacom.org/become-a-doctor/how-to-apply-to-osteopathic-medical-college

MSAR: handbook to med schools (MD) https://students-residents.aamc.org/medical-school-admission-requirements/medical-school-admission-requirements-applicants

AAMC’s how to apply to med school https://students-residents.aamc.org/applying-medical-school/applying-medical-school

AAMC’s FAQ and tips to creating a good app: https://students-residents.aamc.org/ask-experts/ask-experts-create-winning-application

Why Diversity Matters in Healthcare https://explorehealthcareers.org/career-explorer/diversity-matters-health-care/

#premed #prehealth #studyblr #med school #mcat #my posts #mine

[theculturedmarxist]

Posted on December 29, 2021 by Yves Smith

Forgive me for doing a cursory job on such an important and sorry set of Covid developments. But I had really intended this to be a holiday week and instead I’m up to my eyeballs in family duties. But the raw facts are so bad that to a fair degree, they speak for themselves.It’s become painfully evident that the “follow the science” and Biden Administration campaign promise to act as the adults in the room are a sick joke. Policy all politics. Public health long ago left the barn and is now in the next county. Biden threw in the towel on Monday after having promised on the campaign trail to shut down the virus:

While constitutionally, public health is indeed a state and local responsibility, the Feds have the say over interstate commerce, and they also have many other powerful levers they can pull though their bully pulpit, data collection and dissemination, and their ability to fund nationwide programs. We’ve instead had not just inconsistent, often inaccurate, and actively damaging messaging (“if you are vaccinated, you are protected”; “the vaccinated can stop masking”) but also making things worse by not understanding how poor the CDC’s data is (something the agency has abjectly failed to address) and believing their own spin.

The latest is the CDC making horrendous decisions based on its own crap information. The agency admitted that its December 18 estimate, that Omicron represented 73% of all cases, was too high and the point estimate should have been 22.5%.

This CDC bad call, just like its 2020 fail on test kits, has real world implications. IM Doc had been complaining that his hospital could no longer get Regeneron when his patients were clamoring for it. He learned from his mafia that the CDC had believed its 73% Omicron estimate and based on monoclonal antibodies not being effective against Omicron, it wasn’t cost justified. IM Doc is sure some of his patients have Delta and he now can’t treat them properly.

Yet alarmingly, we are also seeing, Saint Fauci and Rochelle Walenksy, despite their repeated abject failures, act as they are in running Covid policy, in defiance of Biden and the states. Fauci tried to assert authority over the airline industry during his Sunday talk show rounds by pumping for a vaccine mandate for domestic air travel. This was extremely presumptuous in light of:

The industry lobbying Congress during formal testimony for an end to masking, based on the claim that planes have super duper filtered air (yes, but what about the guy near you coughing or talking and his Covid cooties getting to you before a filter?)

Delta [the airline] petitioning for reducing vaccine quarantines to five days for the fully vaccinated…despite evidence that for Delta [the variant], and even more so for Omicron, the vaccines do little if anything to reduce spread

Many employers retreating from the >100 employee Federal vaccine mandate while it is in legal play, demonstrating they are not on board

The real possibility that the Supreme Court will overturn or restrict the employer mandate, and that could have implications for other Federal vaccine schemes

On Monday, the Administration capitulated to Delta’s request and reduced the recommended quarantine to five days, and Fauci reversed himself on a vaccine mandate for flights.

Even former Administration backers were gobsmacked. From the Financial Times:

Eric Topol, director of the Scripps Research Translational Institute in California, said: “It seems pretty chaotic. You have an announcement yesterday on isolation guidance with no data, no evidence, nothing. And this is from an administration that says it wants to stick to the science.

“Then today, we have the drastic changes to their genomic estimates. The last 24 hours show that the credibility of the agency is lower than it has been at any point during this administration.”

Topol has even more unkind words in The very bad day at the CDC, which I strongly urge you to read in full. He makes clearer than the press does the degree of the CDC’s data failure.

Scientist GM’s take on the quarantine reduction:

So now if you work in, for example, retail or fast food, your boss can force you to come back to work on Day 6, where you will proceed to infect all customers you interact with.

Also, people will die on the job because of this. How is that going to play out in practice?

You test positive, then you go through the flu-like phase of COVID. A lot of people will not at all be in any shape to come back to work on day 6, many are still really sick at that time.

But bigger problem comes later — you have come back to work, you start your shift, then the day-10 rapid deterioration kicks in, at which point you need to be in the hospital ASAP. But you just started your shift and will be fired if you leave so you try to carry on.

One hypothesis about why we no longer see people randomly dropping on the street as was the case early on on in China, Iran, Italy, etc. is that everyone is aware of COVID now and has tested positive before it gets to that point and is thus either in hospital or isolating at tome. While those people randomly dropping dead were the rapid deterioration or heart attack/stroke cases that thought they had the flu at the time nobody was aware of COVID and were thus were freely walking around.

We are about to test that hypothesis now…

P.S. This is straight up premeditated mass murder at this point

He added:

It includes HCWs [health care workers], but this is definitely not about them.

They could have been handled with a specific provision.

And that provision could have been temporary.

And it could have been to the effect of “if you test positive, you are assigned to the COVID ward, but you must absolutely not step foot in the oncology department next to the chemo patients”.

This is nothing of the sort — this is a permanent irreversible policy shift for everyone.

So from now on wherever you go to buy anything you have to be aware that the people working there might be on their Day 6…

IM Doc confirmed the management response:

The ERs and urgent cares in the affected areas are being cremated as we speak. The hospital units not so much – at least yet. You should hear some of the horror stories I am hearing from colleagues.

It has indeed now risen to the level of a public health menace.

After years of nurse mis-treatment, on top of COVID burnout, firing tons of staff over vaccine mandates – and now seeing whole units being quarantined – they see the writing on the wall.

The only one of those issues that is readily fixable is changing the quarantine time. Calling in the National Guard is simply not going to do much at all – as they are finding out the hard way right now.

So much for the whole argument that the vaccine people have had – I DO NOT WANT TO GET CARE FROM AN UNVACCINATED HCW – Well now you are going to get care from a HCW who may very well still be contagious.

This is a clusterfuck of obscene proportions. I can scarcely believe what I am seeing.

And if we are to hold Biden to his word – why would anyone listen to the CDC anymore – this is not a federal problem as of his speech today. Why is the CDC even making proclamations like this.

And he confirmed shortly that his hospital’s personnel department had sent out a “celebratory e-mail,” for those coming off the new shortened quarantine to contact their supervisor pronto since there were many open shifts.

Other news tidbits are similarly damming if you have a modicum of the backstory. The Financial Times tells us Biden’s promised 500 million home test kits are yet to materialize:

Last week, the US president announced that the federal government would respond by distributing 500m at-home tests. Speaking to reporters on Wednesday, Biden said his administration had “a bit of progress” on distributing the test kits.

In fact, the normally Democrat-friendly Vanity Fair broke the story that the Administration had nixed an October proposal of a mass home test program by Christmas. On top of that, Biden hadn’t even signed a contract when he announced his scheme; a Johns Hopkins expert said it would likely be a year before the kits were distributed.

Walensky, like Fauci, is also operating well beyond her authority. She not only fell in line with Fauci on giving in to the airlines on the length of recommended quarantines, but she also appointed herself as arbiter of broad social policies:

Neither Fauci nor Walensky were subject to any democratic approval process. Decisions about non-health impacts are none of her business and should be left to those who are supposed to be in charge. Unfortunately, there appears to be a gaping power vacuum and she’s all too willing to seize ground.

A final issue, which will get only brief treatment, is putative experts and the press are pushing every bit of Omicron hopium they can find, to the degree that they are baldly misrepresenting research….which even if the spin were accurate, should be treated with caution. We still don’t know enough about Omicron to be certain of much save its very high level of transmission and resistance to vaccines and monoclonal antibodies. As Lambert put it:

If you believe in the precautionary principle, then you don’t amplify “emerging data” where the policy implication is to do nothing.

One reader with a medical background sent a link to the hopium in question, a very small South African study where the title of the preprint, Omicron infection enhances neutralizing immunity against the Delta, flat out misrepresents what the data actually says. As GM said:

The PR spin is profoundly misleading and the opposite of what the data says, but unfortunately in this case the scientists themselves are to blame as they are pushing that narrative too.

The data shows little actual cross immunity.

I would not be surprised if Omicron burns through the whole world and then in mid-2022 it all starts again in some part of the world with a new strain….

Here is the first Delta/Omicron cross-neutralization data:

https://secureservercdn.net/50.62.198.70/1mx.c5c.myftpupload.com/wp-content/uploads/2021/12/MEDRXIV-2021-268439v1-Sigal.pdf

There is some cross-neutralization, but if you look at the unvaccinated subjects, half of them were below the limit of detection at the follow up. Which was two weeks after the initial presentation.

So they were infected with Omicron but are not showing appreciable neutralization against Delta.

Overall, including the vaccinated, titers went up 14.4x against Omicron, but 4.4x against Delta.

Which is touted as great protection against Delta, but it really is not, as titers are going down from there.

This might be enough to push Delta down in the short term, though it will not be a fast displacement into oblivion.

But it will do nothing against future variants a year from now.

And yet what does the abstract of the paper say?

The increase in Delta variant neutralization in individuals 39 infected with Omicron may result in decreased ability of Delta to re-infect those individuals. Along with emerging data indicating that Omicron, at this time in the pandemic, is less pathogenic than Delta, such an outcome may have positive implications in terms of decreasing the Covid-19 burden 42 of severe disease

Which fits well with a very disturbing trend over the last few weeks — most of the top scientists in South Africa have come out in support of the governmental policy of abdicating completely from infection control and have given statements in the spirit of “Omicron is mild and will end the pandemic”.

I have no information of why that is being done, but the suspicions are obvious and natural — this has all the hallmarks of political pressure from on top.

Because those people do/should know better scientifically.

And even if the “mild” narrative were true (the UK’s Imperial College is not on board, and the UK, between having an actual national public health service plus regular surveys of 100,000 people, has some of the best Covid data in the world), that is not necessarily good news. It appears if anything that more are getting symptomatic Omicron than Delta. In particular, note the relatively high level of symptomatic Omicron in children and young adults who have robust immune systems and showed a much lower level of symptomatic cases under Delta…and this with much more of the population, even young adults and teens, vaccinated than before.

The reason for concern is that a new, reasonable size study (n>500) found that 67% of those who had mild to moderate Covid developed long Covid. There’s no reason to think Omicron will be more forgiving.

Yet the CDC keeps digging its hole even deeper:

The Administration can barely keep up its pretense of being in the business of protecting the public. Every man is now on his own, at least in the US.

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