Remote nurse practitioner jobs

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Chapter Four

1. … we were enslaved [משעבדים, MeShoo`eBahDeeYM] to fundamentals [ליסודות, LeeYÇODOTh] [of] the world.

“The word τα στοιχεια [ta stoikheia], the elements ... meant (a) the letters of the alphabet… (b) the elements of which a thing was composed, as the fire, air, earth, and water of which the world was thought to be constituted; (c) the elements of the universe, the larger cosmos, including the sun, moon, planets, and stars; and (d) the spirits, angels, and demons which were believed to ensoul the heavenly bodies, traverse all space, and inhabit every nook and cranny of earth, particularly tombs, desert places, and demented persons. These spirits were said to be organized like human governments. In Rom. [Romans] 8:38 Paul calls them ‘principalities’ and ‘powers.’ And vss. [verses] 9 and 10 of our present chapter indicate that he has them in mind in vs. 3. …
Paul … includes in ‘the elements of the universe’ all sub-Christian ideas and observances, both Jewish and Gentile. He regards these ‘elements’ as slave drivers who frighten men with curses for not propitiating them by observance of special days and seasons, food taboos, dietary fads, and circumcision. In Christ he declared his independence of Fate, Fortune, Luck, and Chance, and from astrology, the counterfeit religion and bastard sister of astronomy, whose practitioners exploited the superstition that the stars controlled men’s lives from birth to death.” (Stamm, 1953, TIB vol. X pp. 521 & 522)
“The elements of the world] A mere Jewish phrase, יסודי עולם הזה yasudey ‘olam hazzeh, ‘the principles of this world;’ that is, the rudiments or principles of the Jewish religion. The apostle intimates that the law was not the science of salvation; it was only the elements or alphabet of it.” (Clarke, 1831, vol. II p. 387)

1. But [אבל, ’ahBahL] as that was filled the time, sent forth, Gods, [את, ’ehTh] His son, born [of] woman, and subject [וכפוף, VeKhahPhOoPh] to instruction.

“The four words, το πληρωμα του χρονου [to pleroma tou khronou], the fullness of the time, express a whole philosophy of history. The Hebrew prophets and Jewish apocalyptists believed that their God was the creator of the universe and arbiter of the destinies of all men and nations. Nothing could happen that was not his doing, either directly or indirectly through angels and men. He had a time for everything, and everything happened exactly on time. … The completion of this present age would be marked by a blood-red revolution, in which all good men and good works would be ground under the heel of the tyrant, while the wicked reigned supreme. Then suddenly God would intervene with the lightning of judgment to snatch the world from the mouth of the bottomless pit and restore it to Paradise, whence it had fallen with the sin of Adam. Sorrow and sighing would flee away, and the Messiah would reign with the perfection of a theocratic king.
At this juncture, says Paul, when the appointed period of history was ‘full,’ god sent his Son γενομενον εκ γυναικος, γενομενον υπο νομον [genomenon ek gunaikos, genomenon upο nomon], ‘born of woman, bοrn under law.’ … Jesus was not only born under law, but was subject to it all his life. ...The ‘yoke’ of the Torah demanded that he observe the customs of his forefathers, such as wearing phylactery and prayer fringes, ceremonial washing of hands before eating, giving thanks at mealtime, praying at stated times, bringing tithes and sacrifices, and obeying the Ten Commandments.” (Stamm, 1953, TIB vol. X pp. 522 & 523)
Not to mention circumcision, kashrut, and the prohibition of associating with gentiles.
“Sent forth refers to God’s sending of his Son from his pre-existent state in heaven (I Cor. [Corinthians] 8:6; Phil. [Philippians] 2:6-8; Col. [Colossians] 1:15-17). Yet this Son was born of woman. There is nothing in these words, or elsewhere in Paul’s letters, to prove or disprove that he knew the story of the miraculous conception. His point here is that the Christ, although he was the pre-existent Son of God, did not come into this world with a body composed of celestial substance, but was woman-born like all other human beings. … It was very different from the conception of royal sonship in Ps. 2, where the king is called God’s ‘Son; because he has been chosen to be the Messiah. In Paul, Jesus is God’s Son by nature, and his Christhood follows by virtue of this sonship. This belief was the fundamental cause of the split between the Jews and the Christians. The lowly birth, the obscurity of Nazareth, and the fact that Jesus was a common laborer, constituted a grievous scandal in the eyes of all who were expecting their Deliverer to come riding on a chariot of clouds wielding the lightning of judgment. Paul’s gospel contradicts every form of hyperspirituality that fixes a gulf between God and his material world. On the other hand, his conception of the coming of Jesus was poles removed from the pagan stories of the births of heroes, savior-gods, and kings, whose legends were freighted with illicit relationships and lawless conduct like the lives of the devotees who had created them in their own image.” (Stamm, 1953, TIB vol. X pp. 523-524)
“Nothing is said explicitly about the Son’s preexistence, which is at most implied … born of a woman: … The phrase is derived from the OT [Old Testament, the Hebrew Bible] (Job 14:1 …). So born, Jesus submitted to the law by being circumcised and thus became capable of falling under its curse. But lest the Galatians draw a wrong conclusion, Paul [and The Interpreters’ Bible] does not mention Jesus’ circumcision. Instead of genomenon, ‘born,’ some patristic writers read gennomenon, and understood this ptc. [participle] as referring to Mary’s virginal conception; but this is anachronistic interpretation.” (Joseph A. Fitzmyer, 1990, TNJBC p. 787)

1. Accordingly [לפיכך, LePheeYKhahKh], you are not [אינך, ’aYNKhah] a slave anymore [אוד, ’OD], for if [כי אם, KeeY ’eeM] a son, and, if a son, then [אזי, ’ahZahY] also heir from favor [מטעם, MeeTah`ahM] [of] Gods.

“This is Paul’s proclamation of emancipation.” (Stamm, 1953, TIB vol. X p. 528)
………………………………………… Worry of Shah’OoL to Galatians [verses 8–20]

1. In [the] past, in a time that you did not know [את, ’ehTh] Gods, you slaved [את, ’ehTh] who that in their nature [שבמנהותם, ShehBeMahHOoThahM] were not Gods.

“The Jews never ceased to ridicule idols and denounce idolaters… They demoted the old gods to the rank of demons and made a list of detractive names for them: angels, shepherds, princes; kings, emperors, benefactors, heroes; demons, personifications, idols, nonentities. Some were living, some dead; some were good, but were not God. Most of them were bad, and their idols were but images of ‘things of nought.’ …
Paul did not deny the existence of these beings whose ignorant worshipers called them gods, but he declared that they did not partake of the nature of God (I Cor. 8:4-6). God permitted them to plague mankind to punish sin, especially the sin of participating in the sacraments of the Gentile cults (I Cor. 10:19-22; 11:28-31). But Christ had conquered them and no Christian needed to fear them.” (Stamm, 1953, TIB vol. X p. 529)

1. Behold, you are honoring days and new-[moons], seasons [מועדים, MO`ahDeeYM] and years.

“Days like the Sabbath and Yom hakkippurim [“Day of Atonement”] are meant; months like the ‘new moon’; seasons like Passover and Pentecost; years like the sabbatical years… Paul can see no reason for a Gentile Christian to observe these.” (Joseph A. Fitzmyer, 1990, TNJBC p. 788)
…
…………………………………………
Two the covenants [verses 21-26]

1. Say to me, you, the wanters to be subject to Instruction, have you not heard [את, ’ehTh] the Instruction?
2. Is it not written that to ’ahBRahHahM there were two sons, the one from the maid [האמה, Hah’ahMaH] and the second from the woman the free [החפשיה, HahHahPhSheeYah]?
3. But [אך, ’ahKh] [the] son [of] the maid was born according to [לפי, LePheeY] the flesh, and however [ואילו, Ve’eeYLOo] [the] son [of] the free upon mouth of the promise.
4. The words the these, they are a parable to two the covenants: the one from Mount ÇeeNah-eeY [Sinai], the birther to slavery, and she is HahGahR [“The Sojourner”, Hagar].

“It is well known how fond the Jews were of allegorizing; every thing in the law was with them an allegory: their Talmud [ancient commentary] is full of these; and one of their most sober and best educated writers Philo, abounds with them…
It is very likely, therefore, that the allegory produced here; St. Paul had borrowed from the Jewish writings; and he brings it in to convict the Judaizing Galatians on their own principles: and neither he, nor we, have any thing farther to do with this allegory, than as it applies to the subject for which it is quoted; nor does it give any license to those men of vain and superficial minds, who endeavour to find out allegories in every portion of the Sacred Writings; and by what they term spiritualizing, which is more properly carnalizing, have brought the testimonies of God into disgrace. May the spirit of silence be poured out upon all such corrupters of the word of God!” (Clarke, 1831, vol. II p. 390)
“Allegorical interpretation rests upon the belief that every word, figure of speech, and grammatical form in scripture has a special ‘spiritual’ significance besides its literal meaning. The theory is that the God who dictated it meant more than rests on the surface and that while he said one thing, he also meant something else in addition to the literal sense… The Greeks had long since applied the method to explain away the immoral things which the gods said and did in Homer… Then Greek-speaking Jews, like Philo Judaeus, employed it apologetically to read Greek philosophy into the O.T. [Old Testament, the Hebrew Bible], proclaiming that Moses had said all these good things long before and better than Homer and Plato.
The wonder is that Paul has so little allegory. His restraint is explained partly by his training as a Pharisee. The rabbis were suspicious of any interpretation of scripture that tended to make Jews lax in their observance of the law. Jews with Gnostic leanings, and those who considered some of their ancestral customs outmoded, could resort to allegory to justify their philosophy and conduct, while maintaining that they were the spiritual superiors of the conservatives who held to the letter of the law … His argument, however, is never strengthened by allegorical symbolism and typology, for these are convincing only to those who by imagination can find them so. Rather, as in Rom. 9-11, he introduces unnecessary complications such as the moral difficulties involved in predestination. His gospel does not rest on the quicksands of allegory, a specious method of interpreting scripture. Its interpretations are of interest to the historian not as correct representations of what the writers and first readers of the Bible had in mind, but only as source materials for understanding the life and thought of the allegorists themselves.” (Stamm, 1953, TIB vol. X p. 540)

1. Hagar signifies [מסמלת, MeÇahMehLeTh] [את, ’ehTh] Mount ÇeeNah-eeY, that is in Arabia, and parallels [ומקבילה, OoMahQBeeYLaH] to Jerusalem of our day, for she is in slavery with her sons.

“… why does Paul mention Arabia…? Possibly because Mt. Sinai is in Arabia[?], which is Ishmaelite territory; he thus associates the Sinai pact with the eponymous patriarch of Arab tribes … Paul thus suggests that the law itself stems from a situation extrinsic to the promised land and to the real descendants of Abraham. Paul’s Jewish former co-religionists would not have been happy with this allegory.” (Joseph A. Fitzmyer, 1990, TNJBC p. 788)

1. But [אבל, ’ahBahL] Jerusalem from ascended [מעלה, Mah`eLaH], [the] daughter [of] freedom [חורין, HOReeYN] is she, and she is mother to us.

“The Jerusalem which now is was a most unholy “Holy city”, full of injustice, violence and murder, and subject to the cruel and wicked rulers imposed by a Gentile empire. But over against this Jerusalem of slavery lay an ideal celestial city, unseen at present, but destined soon to supersede it. Paul called it the Jerusalem above. Sarah, the free-woman, was the ancestress of its citizens, who were the people of faith and of freedom in Christ…
Paul speaks of Jerusalem above, because this new city of freedom already exists in heaven where Christ is, where dwell the souls of those who have died in Christ. But it also exists on earth as the church, the body of Christ, whose members are colonists from heaven sent to prepare men for the full establishment of God’s kingdom at Christ’s second coming (Phil. 3:20; Col. 3:1-3).
The biblical root of this conception of an ideal future and heavenly Jerusalem is Isa. [Isaiah] 54. Other descriptions appear in Ezek. [Ezekiel] 40-48; Zech. [Zechariah] 2:1-13; Hag. [Haggai] 2:6-9; Tob. [Tobias] 13:9-18 Ecclus. [Ecclesiasticus] 36; Pss. Sol. [Psalms of Solomon] 17:33. Historically the expectation assumed three forms. According to the earliest hope, God would build the new Jerusalem in Palestine and make it the capital of his theocratic world government. The plan of this glorious city was graven upon the palms of his hands (Isa. 49:16). From this idea it was but a step, especially for those influenced by Greek ideas, to think of this ideal Jerusalem as already existing in heaven. According to the Apocalypse of Baruch, God had shown it to Adam in Paradise before he sinned; to Abraham on the night mentioned in Gen. 15:12-21; and to Moses on Sinai, when he gave him the heavenly pattern for an earthly tabernacle (II Baruch 4:1-6; cf. [compare with] Heb. [Hebrews]12:22). The third conception combined these two ideas. The Jerusalem which was ‘above’ would come down to earth to be established in Palestine in place of the city that ‘now is’ (cf. Rev. [Revelation] 3:12, 21:2; II Esdras 7:26; 13:36; 10:54).
So the new Jerusalem belonged to both worlds and to both ages, to heaven and earth, to the present and the future. Its constitution was the new covenant, and its citizens were the men of faith in Christ, a new kind of freemen who traced their spiritual ancestry through the line of Isaac and his mother Sarah as heirs of God’s promise to Abraham. As for Ishmael and his tribe, they were the men of law, predestined to be slaves forever. Needless to say, the Judaizers found Paul’s allegorical exclusion of themselves utterly unacceptable. They believed that the Torah was God’s blueprint for all creation, and that it would be observed forever in the new Jerusalem. That, they said, was why God was going to purge the old city – to establish an order of life in which perfect obedience to his law would be possible.” (Stamm, 1953, TIB vol. X pp. 541-542)
“…it was a maxim among the rabbins, that, ‘Whatsoever was in the earth, the same was also found in heaven; for there is no matter, howsoever small, in this world, that has not something similar to it in the spiritual world.’ On this maxim, the Jews imagine that every earthly thing has its representative in heaven: and especially whatever concerns Jerusalem, the law, and its ordinances. Rab. Kimchi, speaking of Melchisedec, king of Salem, says, זו ירושלים של מעלה Zu Yerushalem shel me’alah – ‘This is the Jerusalem that is from above.’…
There is a spiritual Jerusalem, of which this is the type; and this Jerusalem, in which the souls of all the righteous are, is free from all bondage and sin: or by this, probably the kingdom of the Messiah was intended; and this certainly answers best to the apostle’s meaning, as the subsequent verse shows.” (Clarke, 1831, vol. II p. 391)

1. That see, is written:

“Chant, barren, not birthing, [רני עקרה לא ילדה RahNeeY ahQRaH Lo’ YahLahDaH] burst chanting and shouting, not travailing, [פצחי רנה וצהלי לא-חלה PeeTsHeeY ReeNaH VeTsahHahLeeY Lo’-HahLaH] for multitudinous are sons of her deserted than [מי, MeeY] sons of her mistress [כי-רבים בני-שוממיה מבני בעולה KheeY-RahBeeYM BeNaY-ShoMahMeeYHah MeeBeNaY BeooLaH].”
“A telling item in the counterpropaganda of the legalists was the argument that even among the Christians only a radical fringe consisting mainly of foreign Jews, of whom Paul was one, were proposing to abandon the law of Moses. …
In one respect his quotation of Isa. 54:1 does not fit Paul’s allegory. It was Sarah, the mother of freemen, who possessed the husband, and Hagar, the slave, who was the deserted woman. As usual with Paul’s illustrations (cf. Rom. 7:1-4; 11:17-24), the details cannot be pressed without making them go lame …
The Isaian figure to describe the plight of Jerusalem during the Babylonian exile grew out of a common experience in Hebrew family life. Childlessness, particularly the failure to bear sons, was great grief and disgrace. Such was the sorrow of Jerusalem; but the prophet bade her look forward with courage to the time when all her scattered children would come back to her (Isa. 54:3). God was her ‘husband,’ and he would treat his faithful remnant with everlasting lovingkindness, making them more numerous than the former population and giving them a heritage of great peace and prosperity (Isa. 54:13-17).” (Stamm, 1953, TIB vol. X p. 542)
“The prophet’s words are addressed to deserted Zion, bidding it rejoice at the return of the exiles.” (Joseph A. Fitzmyer, 1990, TNJBC p. 788)

1. But you, my brethren [τεχνα, tekhna, “children”], you are the sons of the promise, as was YeeTsHahQ [“He Laughed”, Isaac].

“The Judaizers claimed that Abraham had obeyed the law of Moses by anticipation, and that God’s promise was his reward. Consequently the descendants of Isaac were children of promise only if they followed Abraham’s example in obeying the law. Paul turned it the other way about: the promise must be taken on faith, not as credit for obedience.” (Stamm, 1953, TIB vol. X p. 542)

1. And just as [וכשם, OoKhShayM] that then pursued, [רדף, RahDahPh] the son that was born according to [לפי, LePheeY] flesh, [את, ’ehTh] the son that was born according to the spirit, yes, also now.

“In Gen 21:10 Sarah, seeing Ishmael ‘playing’ with Isaac and viewing him as the potential rival to Isaac’s inheritance, drives him and his mother out. Nothing in Gen is said of Ishmael’s ‘persecution’ of Isaac, but Paul may be interpreting the ‘playing’ as did a Palestinian haggadic explanation of Gen 21:9 (see Josephus, ANT. [Antiquities] 1.12.3§215 …” (Joseph A. Fitzmyer, 1990, TNJBC p. 788)
“A rabbinical tradition of the second century A.S. interprets the Hebrew participle מצחק [MeeTsHahQ, “play”] (LXX παιζοντα [paizonta] in Gen. 21:9 to mean that Ishmael’s ‘playing’ became so rough that Isaac’s life was in danger. This son of a slave is said to have shot arrows at Isaac to kill him, and Paul’s statement shows that some such tradition was current in his day. He applied it to the Judaizers who were trying to force the Christians to observe the whole law of Moses, and to the unbelieving Jews who were excommunicating the Christians and their families and getting them into trouble with the civil authorities (1:5; 4:17; 5:10; I Thess. [Thessalonians] 2:14-16).” (Stamm, 1953, TIB vol. X p. 543)

1. But what says the Written [Scripture]?

“Banish [גרש GahRaySh] the maid and [את, ’ehTh] her son, for not will inherit [יירש, YeeYRahSh], son [of] the maid [האמה, Hah’ahMaH], with son [of] the free.”
“The quotation is from Gen. 21:10 … The speaker of these words is Sarah, who is filled with rage against Hagar and Ishmael. Abraham is represented as greatly grieved, but God is said to have sanctioned the demand of the cruel and jealous wife….
This story was one of the effects and one of the causes of the perpetual feud between the Israelites and the tribes that descended from Ishmael. The Hebrews were so sure that God wanted them to have Palestine that they found no moral difficulty in saying that it was God himself who had overruled Abraham’s conscience (Gen. 17:18-21). They affirmed that Ishmael’s character and destiny had been predetermined (Gen. 16:12). Consequently, even his circumcision at the age of thirteen could not make him a member of God’s chosen people. However great this innocent victim of a family feud might become by virtue of the halfhearted blessing conceded by an uneasy conscience (Gen. 17:20-21), he and his descendants were barred forever from the higher blessing. Theirs was to submit to the religious imperialism of the most favored nation or die. Moreover, all Abraham’s other sons except Isaac were barred from the promise and sent away ‘unto the east country’ (Gen. 25:5-6). And yet while all this was said to be the Lord’s doing, it was in the same breath declared to be the doing of the human actors in this drama of the nations. Sarah herself was said to have suggested that Abraham become a father by her Egyptian slave girl. Then, too, it was explained that Hagar’s flight from the cruelty of her mistress was voluntary, making her, rather than the callous compliance of Abraham, responsible for her plight ‘in the wilderness, by the fountain in the way to Shur’ (Gen. 16:7).
Paul’s use of Abraham’s expulsion of Hagar and her child has its parallel in the equally heartless treatment of Esau which he employs in Rom. 9-11 in his longer discussion of the divine process of selection. Here too it was assumed that the hatred generated by centuries of war for the possession of Palestine lay in the heart of God. “I hate Esau,” said Malachi (1:3), making God the speaker; and Rom. 9:6-13 presses it to the utmost limit of predestination. But the love of God in Christ Jesus made Paul’s heart better than his inherited doctrine … When the history of the struggle for the possession of “the Holy land” is allegorized to justify a doctrine of “election” which foredooms countless souls to an eternity of torment in a future hell, it becomes as morally atrocious as it is irreconcilable with Paul’s gospel.
Nevertheless Paul’s allegory gives the historian an insight into Paul’s mind as he wrestled with the insoluble problem of God’s sovereignty and human freedom.” (Stamm, 1953, TIB vol. X pp. 543-544)
“Paul bids the Galatians rid themselves of the Judaizers – and, ironically enough, obey the Torah itself.” (Joseph A. Fitzmyer, 1990, TNJBC p. 788)

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“Well, nursing is a thankless job” is it at all possible to change this culture/narrative? Why is nursing a thankless job? It should be one of the most thanked jobs.

Q-Centrix is hiring a Clinical Data Lead - Oncology
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It's really a load of bullshit. TLDR of the situation is my coworkers decided to have a baby shower for my pregnant coworker. Inviting all the employees and having refreshments and greeting the mom to be.
Now as you can guess, I'm not into that. I specifically told the manager "I will do what you need me to do but I don't want to get involved. I don't want to contribute more. " And I did my job, I sent out a message to all the employees advertising the event like they wanted.
Well, that pregnant coworker, S, is a nurse and spends much of her day in the field. She will only be in the office for about an hour at lunchtime. So now my coworkers are blaming ME for "putting it together last minute" and "not leading the planning" when I SPECIFICALLY said I wanted NOTHING TO DO WITH THIS EVENT. I was NEVER going to lead it, or contribute my time or money, or do anything more than exactly what I said I would, and did.
I can't believe the audacity of them to do this. We talked it through but... I'm mad about it. How dare they accuse me (WHO THEY KNOW IS CF) when I was never involved AT ALL in the planning or execution of this stupid event.
They now want to call the whole thing off. I said "I have to disagree because I just notified over 120 people and I will not say 'lol just kidding no event'. I disagree strongly with doing that." So now we're just going to have a cake and not even do lunch which is my only motivation for this at this point. I just wanted chick Fil a, man.
I need to talk to the manager of this and clear things up. I cannot fathom why she would assume I would do more when I extremely specifically said "I will send out the invitations but nothing more" and she said "ok"
??????? So baffled.

So I'm potentially being let go from my position as an International Tax Accountant II at my workplace. I work on a very small team 3-4 people and the job is 100% remote. I have a little background for you though. I am 35 years old and a medically retired veteran of the USAF. I was injured in 2014 suffering a severe traumatic brain injury, the injury caused me to be medically retired in 2017 when I was 29. I then moved to Colorado and got my bachelors degree in Accounting, finished in 2020 then went to grad school for my Master of Accountancy finishing Summer of 21.
​
I started working at Deloitte as a member of their international tax group in July 2021. The job was great but I wasn't a fan of just being a small fish in a huge pond so I made the move after a year to Eide Bailly. I only worked at Eide Bailly for 3 months before leaving for my current company in October of 2022. At my new company their training is awful and I'm expected to figure things out on my own. When I go to my superior she will take some time before getting back to me about my question and a lot of times wont respond.
​
Yesterday I met with the director of Tax at my company and she told me that I'm not advancing as quickly as they thought I would and they will reassess things at the end of the month. The entire team has been very quiet with me and not really answering any questions. I'm assuming the issue is because of my disability which I have which I have tried rectifying as best as possible.
​
Good news is I passed FAR in May! So I'm still going for my CPA, should I continue to do that before applying to other jobs or should I start looking right away? I've never been fired before so this is new to me.

hi new grad nurse here!! i was just offered a job on the medsurge unit w a really great hospital, but i'm also interviewing on the CICU unit for a children's hospital which i always believed i wanted to do. my interview for CICU isn't until the 20th of june, but the recruiter of the medsurge unit is asking me to talk about the offer ASAP. how do I tell the job recruiter that I am waiting on another offer before making my final decision?
I do not want to come off as rude or unwilling to take the position because I truly do consider working at the first hospital too, but I know myself, and I like truly weighing out my options before making big decisions like this :(
I made a pros and cons list for both hospitals, and the two most important factors were pay and the type of shift. medsurge pays $5 more per hr starting day shift, but the hospital is rotating with 3 weeks day and 3 weeks night...
what should I do?

Hello-I am a 43 year old female. I had the first sign of HS at 8 years old, but not diagnosed until I was 21. In the student health clinic at my university of all places.
When I was first diagnosed, I was a severe case, under my arms, groin, and under my breasts. I tried everything recommended back then, and still had to have grafts under my arms and a large breast reduction. My groin was still a mess. I was afraid of surgery in that area, and never pursued it. To say that area is battered would be an understatement.
And then last summer, I started with flairs on my waist line on my right side. They’re quite painful. I was in a high level of stress for about 8 months (I lost my job, and had to move states to gain employment in my field). I was broke, depressed, and stressed about everything. When I moved to where I live now, I immediately established with a dermatologist. We tried some things. I we tried remicade, and now cosentyx. During it all, I was in some type flare. Nothing was working. The dermatologist would occasionally write me a prescription for pain medication. As a last resort, he said removing the diseased tissue is the only way to solve this. So, I agreed.
I had a large portion of my waistline remover, and the 10 inch incision about 1/2 inch below where my pants sit. Surgery was on 2/24/23. It was an out patient procedure. She basically made a flap and then sewed my skin together. Unfortunately, she did not remove ALL of the diseased tissue. And almost immediately the HS tunneled directly to the incision. It caused me to miss an additional week do work.
Since that time, I’ve had to wear a bandage in that area. I’ve been on antibiotics for months. It’s puffy and hard one day, but not the next. The only thing that is constant is the pain. I saw the surgeon every week for over a month. I had appointments with my PCP. I was having severe pain back in April and I went to ER (It was a Sunday afternoon). They did an ultrasound, and did not see any cyst or abscess underneath that area. It’s literally just the tunneling. Anyway, the dr gave me a pain pill in the ER and then sent me home with 10 more. Ok. I stretched them as long as I could. I was finally able to get in with my PCP the week before Memorial Day. During the visit, I told her that I’m in a debilitated state. I have to work from home about 90% of the time. My house is a mess. I haven’t been cooking. I’m pretty depressed. The dr and I (she is a family med resident) discussed my history, what has transpired since my surgery, my trip to the ER. We agreed that she would start me on Aleve and gave me 8 ultram for the severe days. To be clear, that was 8 for 14 days. Meanwhile, I was messaging her via the EMR. I told her I was still having pretty intense pain. I didn’t hear back for a couple of days. And then June 3 happened…
I woke up on Friday and my side was basically burning. It was hurting so badly. I called and tried to get in with my PCP, or another of her associates, but nothing was available. Well, I made the mistake of going to the ER. It was not busy. When I checked in my BP was 158/100. I was struggling. The ER Dr listened to me and stated that I needed a CT to make sure there isn’t anything that the US can’t see. I also had another US. And a bunch of blood work. They also gave me a shot of morphine. The surgical resident came down to see me. And then 2 hours later I was discharged. I got upset. I told them that I refused to leave until someone help me. Not give me drugs, but help me. Figure something out. I then asked for a patient advocate, and was told I had to call them. I was upset at that point. I regrettably yelled at the nurses, and for that I actually feel bad. The dr told me that my PCP has to help me. But she isn’t either. My pain was completely dismissed. I believe they called security because I saw one walking back that way. So? I left. I got in my car and just balled. I was mortified. Embarrassed. In pain. And no one cared to help even though I asked.
Forward to that evening. My PCP responded to my message. She wants to start me on Lyrica. I said yes, can I also have some more ultram for the acute pain. Today, I received a message from her stating that I need to speak to a behavioral pain specialist and that I may have complex region pain syndrome. I looked it up. It seems to be phantom pain. She also suggested that start on a course of narcan. To be clear, I signed a pain contract when she wrote me the ultram prescription. I do not take drugs for the sake of taking drugs. I’m in real pain, it isn’t fake or in my head, it’s the HS. I’m at my wits end. What do I do? I’ve been labeled a drug seeker for advocating for myself.

I have about 10k in cc debt I have had for too long, probably over 7 years (22% APR)
I have $10,860 in my 401k from a past employer. I am currently in nursing school for my second degree. I am sick of this cc debt and with the high interest it is near impossible to pay off, especially now that I am not working as I am in an accelerated/condensed program.
I know you can avoid the 10% penalty if you use it for education. My school loans are low(er) interest, I am covered by them to finish out the degree. I will get loan repayment help from my first job and PSLF after 10 years so I am less worried about my school loans.
I am contemplating withdrawing from my 401k to pay off this debt. I am not sure how the penalty works if I am in school, but using it for cc debt. In doing the math, even if the 10% fee applied, that would leave me with $10,300 to pay off all of the cc debt.
[I took out a personal loan years ago for 14k to pay off other cc debt, and am down to 7k with a reasonable APR of 7% so I plan to just continue on with that for now]
I know withdrawing from a 401k is a "bad" idea. I am 32 and I know I will restart a 401k as a nurse within the next year and would rather get this debt off my shoulders. I have 5k in my savings.
I am looking for opinions on my plan

Hi there , are you in need of a highly skilled and experienced system hacker? He helped me retrieve my deleted files, text messages and call logs. He can as well control devices remotely and lots more. What got me most was his offer of a total refund within 24 hours of any unsatisfactory services but i didn’t have to use that option because He got the job done! He is very affordable and charges way less, contact
darkdantehackingagency AT GMAIL DOT COM
Many services she can render include: Social Media Hack( Snapchat, WhatsApp, Instagram, Facebook/Messenger, Twitter, Viber etc.), GPS Location Tracking, Recovering of lost bitcoin/ bitcoin account, Incoming calls Restriction, Intercepting and Retrieving Instant Messages, Grade Hacking, Credit Score Increase, USSD Control Commands, WhatsApp Spy, Viber Spy, Facebook/Messenger Spy, Skype Spy, Hacking into Databases of all kinds, Calendar Monitoring, Internet Usage Monitoring, Remotely Accessing SMS, Game Hacking and Cracking, Key Logging, Remote Email Spying, and more. Also Colleges/University upgrades, mobile phone hack and provider, Clearing criminal record, clear your bank debt and mortgage, retrieve deleted files, private investigator, crypto currency wallet hijack, erase leaked sex tape of all kinds. What made me had trust in her was her offer of total Refund of any displeasing services but i didn't have to use that Choice.

Airbnb is hiring a Senior Programs and Business Operations Manager
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Just graduated from my masters program and have two internships to choose from this summer. The regular actuary internship is at a mid sized company in the middle of nowhere at a place I definitely don’t want to work in if I got a full time job, but it is directly an actuary internship in the type of insurance I want to do, and I got along really well with the team. Additionally, the company does offer some remote jobs that I could potentially get if offered a full time roll there.
The other is at a big, multinational firm and is in Philadelphia and has full time roles in New York, which is where I want to work eventually.
The Philadelphia job however isn’t straight actuary work, and instead more of a consulting / product management job where I’d be working with the pricing actuaries at the company to implement the new software and pricing models and answering their questions about it. My manager says it’s “actuary adjacent” and that he wants someone who’s planning to become an actuary to do the role because they’ll need to understand everything conceptually and answer the high level questions from the actuaries, but I wouldn’t be doing direct actuary work in the role.
It seems like a great opportunity to have an internship at a big company and to be able to make connections with my boss and lots of actuaries at the company, but I’m a bit worried that since it’s not a straight “actuary internship” I’ll have trouble getting a full time actuary job once the internship is over.
Anyone further along in their career have any advice with this? If anyone wants to know which companies or to look at the job postings for either just tell me and I’ll send a DM.

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