#Family Medical Practice

[keysboroughsuperclinic]

At Keysborough Superclinic, we are deeply committed to providing the highest quality healthcare to the growing population of Keysborough and the surrounding areas. Our dedication to patient care is reflected in our bulk billed services, ensuring that all our clinic consultations are fully covered by Medicare, making healthcare accessible to everyone, regardless of their financial situation. This offsite blog will delve into the significance of bulk billed services and the essential role of a family medical practice in maintaining community health.

What Are Bulk Billed Services?

Bulk billing is a payment option under the Australian Medicare system where the healthcare provider bills Medicare directly for the services provided to patients. This means that the patient is not charged any out-of-pocket expenses for the consultation or treatment. Instead, the healthcare provider accepts the Medicare benefit as full payment for the service.

For many Australians, bulk billed services are a lifeline, allowing them to access necessary medical care without worrying about the cost. At Keysborough Superclinic, we understand the importance of this service and are proud to offer fully bulk billed consultations, ensuring that financial barriers do not prevent our patients from receiving the care they need.

The Benefits of Bulk Billed Services

Financial Relief: One of the most significant benefits of bulk billing is the financial relief it provides. For individuals and families, especially those on lower incomes or with multiple dependents, medical expenses can quickly add up. Bulk billing alleviates this burden, allowing patients to focus on their health rather than their finances.

Accessible Healthcare: Bulk billed services make healthcare accessible to everyone. Whether you are visiting for a routine check-up or a more complex medical issue, bulk billing ensures that you can receive the care you need without worrying about the cost.

Preventive Care: By removing the cost barrier, bulk billing encourages patients to seek preventive care. Regular check-ups, immunisations, and screenings are essential for maintaining good health and preventing serious illnesses. With bulk billed services, patients are more likely to take advantage of these preventive measures, leading to better long-term health outcomes.

Continuity of Care: Bulk billing supports continuity of care by making it easier for patients to return for follow-up appointments or ongoing treatment. This is particularly important for managing chronic conditions, where regular monitoring and adjustment of treatment plans are necessary.

The Role of a Family Medical Practice

A family medical practice plays a crucial role in the health and wellbeing of the community. At Keysborough Superclinic, we are proud to be a family medical practice that serves the diverse needs of our patients. Our approach to healthcare is holistic, addressing not just the immediate medical concerns but also the broader context of our patients' lives, including their family, work, and community.

Comprehensive Care: Family medical practices provide comprehensive care for patients of all ages, from infants to the elderly. This means that families can receive all their healthcare needs in one place, ensuring continuity and consistency in their medical care.

Long-Term Relationships: At Keysborough Superclinic, we believe in building long-term relationships with our patients. By getting to know our patients and their families, we can provide more personalised care that takes into account their unique needs and circumstances.

Preventive Health: Preventive health is a cornerstone of family medicine. Our practice encourages regular check-ups and screenings to catch potential health issues early before they become serious problems. This proactive approach to healthcare can lead to better health outcomes for our patients.

Chronic Disease Management: Many patients in family medical practices have chronic conditions that require ongoing management. Our team of healthcare professionals works closely with patients to develop personalised treatment plans, monitor their progress, and adjust their care as needed to ensure the best possible outcomes.

Mental Health Support: Family medical practices are often the first point of contact for patients experiencing mental health issues. At Keysborough Superclinic, we are equipped to provide mental health support and can refer patients to specialised services if needed. We understand the importance of mental health in overall wellbeing and are committed to providing comprehensive care that addresses both physical and mental health needs.

Bulk Billing in Family Medical Practice

The combination of bulk billing and family medical practice is particularly powerful. It ensures that families can access high-quality, continuous care without the worry of financial strain. This is especially important in communities like Keysborough, where a growing population may include individuals and families from diverse socio-economic backgrounds.

For many families, healthcare costs can be a significant concern. Bulk billing helps alleviate this concern, allowing them to prioritise their health. At Keysborough Superclinic, we are committed to offering bulk billed services across all our consultations, ensuring that every patient can receive the care they need.

Why Choose Keys Health Service?

Choosing a healthcare provider is an important decision, and at Keysborough Superclinic, we strive to make that choice easier for our patients. Our commitment to quality care, combined with our bulk billing policy, makes us a trusted provider in the Keysborough community.

Experienced Professionals: Our team of doctors, nurses, and healthcare professionals are highly experienced and dedicated to providing the best possible care to our patients.

Comprehensive Services: From general consultations to specialised care, we offer a wide range of services to meet the diverse needs of our patients.

Accessible Location: Conveniently located in Keysborough, our clinic is easily accessible for residents of the area and surrounding communities.

Patient-Centred Care: At Keysborough Superclinic, our patients are at the heart of everything we do. We listen to your concerns, provide clear and compassionate communication, and work with you to achieve your health goals.

Conclusion

We believe that everyone deserves access to high-quality healthcare. Our bulk billed services ensure that financial barriers do not stand in the way of receiving essential medical care. As a family medical practice, we are proud to serve the Keysborough community, providing comprehensive, continuous care for patients of all ages. If you’re looking for a healthcare provider that puts your needs first, consider Keysborough Superclinic. Your health is our priority.

For more information or to book an appointment, visit our website at Keysborough Superclinic or call us on 03 9488 0555.

Reference URL on Ensuring Accessible Healthcare: The Importance of Bulk Billed Services

[aprill-99]

Rhys: “So let’s see if I’ve got this; you have immense shadow power, incredible combat skills, height, tattoos, secrets, dead parents, a thirst for vengeance, the weight of the world on your shoulders, a rebellion to lead, and a dragon?”

Xaden: “Yeah? I mean, there’s also my girlfriend who I’m completely in love with and 107 people under my protection but-”

Rhys: *frantically flipping through papers* “this is the hyper-intelligent girlfriend with unprecedented lightning powers? The one you speak to with your mind and call a nickname permanently?”

Xaden: “I do only have the one girlfriend. Kinda offended you’d think otherwise.”

Rhys: *signs a paper* “Adopted. The rebellion thing is handled. Me and your aunts and uncles have got this. Your new mom is going to need some time to add you and your mate to the family portrait gallery. Your bedroom is upstairs, knives are in the training ring, family dinner is every Thursday, your allowance is infinity and your curfew is never.”

Xaden: “I am…. Older than your wife?”

Rhys: “Did I fucking stutter?”

[vrepit-salt]

Reblog this if you're a high-functioning person with ADHD who has been told "you don't have ADHD" because you're high-functioning.

[rosainta]

Day 4 of Rosain Quivan’s Daily Logs

Started December 10th, 2023 at 8:24PM, Home Finished December 10th, 2023 at 10:45PM, Home Log #4

Author's Notes: Originally, I planned for this short story to be only a two-parter. However, I got so carried away with writing backstory and researching facts about the Siberian Mountains and the USSR that I ended up having enough for two more parts. I hope you don't mind, but hey, at least that means more Heavy and Medic-centred interaction in the future, heehee!

I won't say much more, but I hope you enjoy this history-compliant log, as well as all the little references sprinkled here and there!

Title: King of Hearts (Part Two) Fandom: Team Fortress 2 New Mexico, Badlands, Teufort City, The Cap Point 6:45PM, sometime during the Gravel War

"Well", Heavy begins, "it all starts when I first begin to live in Siberian Mountains with family, after escaping shoot-out in gulag."

Sniper nods, acknowledging the tough living conditions his friend had to endure to provide for his family. If he wasn't so curious about the toughened man's relationship with the team doctor, he would have diverged into another conversation entirely, mostly about survival tips. Ever since he was a child, had always dreamed of living in the mountains one day, just him and his camper van... but that is a story for another day.

"Anyway, our father had just been killed, and we had no money. We could not show face to society, or Soviets would put family back in gulag, so we head to Urals."

"Life was very hard on us, but Heavy had to protect family at all cost. We found small but safe community on far outskirt of Soviet city Magadan, where we meet with kind lady who let us settle in her late husband's house in exchange for manual work and company."

Heavy shifts in his chair and pulls a worn, leather wallet out of his pocket. Flipping through a few cards and other minuscule belongings, he eventually retrieves a small, faded picture.

"Here, this is lady", the robust Russian says softly, holding the photo out for the marksman to see and pointing at an aged figure. "Behind is woman's shoppe. If ever you visit Siberia, you must visit. Is very cozy."

The full image was of a youthful Heavy and his sisters and mother, alongside another woman wearing a red hood and light-brown coat. She seemed to be in her late 40's, but she would most likely be a lot older now, considering the aged quality of the picture. Everyone was smiling happily, with frosty snow cozily blanketing their feet. Behind them was a furnished wooden cabin, with the name "магазин джугджур", which roughly translates to "Jugjur Shop."

"Wow", the bushman half-whispered, "you must owe a lot to her if you kept a shot of her all these years."

Heavy smiles, putting the photo and the wallet back. "Yes, is true. Without her, Heavy and family would have probably frozen to death, or be captured and tortured in another city."

Sniper takes a sip of his martini. "I do have a question, though."

"Go ahead."

"How'd you make sure she wasn't a Soviet? She might'a been a secret agent and turned you in to the police, or maybe even captured you herself?"

"Ah, Heavy had same doubts too at time", he says, tipping the waitress as she brings him his drink.

"Luckily, lady was as anti-Soviet as I was. Her son, who was abroad in Moscow at time, was shot by Soviet officer during civilian massacre. It had ruined her husband, and he had committed suicide only a year after."

"The Soviets had ruined her life and her family, and she hated them with passion that is remarkable for such a nice lady. Maybe it was reason she was so eager to help us when she found out we were refugees."

"Oh. I see. I'm sorry to have brought that up, that must've been hard to recount," Sniper replies silently, slightly stunned and uncomfortable from the sudden change in mood that sprang from his question. Thankfully, Heavy senses his mood and puts his bottle of vodka down next to his martini.

"Do not worry, she is strong woman. Heavy's family takes good care of her, because she is part of us now", the giant says gently.

Sniper worried expression softens to a smile. "That's good to hear, mate."

"Anyway," Heavy continues, "family continues to live in mountains in secret for some time. We hunt bear, and... well, mostly bear, and we cut wood and help run shoppe with lady for a few years before only visiting once a month."

"Is nice, but eventually, family gets bored of seeing snow and killing bear all the time, you know?"

"Ah, yeah," the shartpshooter replies, though he doesn't quite know what to make of that, seeing as he's never done that before. Not minding, Heavy goes on.

"So, one day, Heavy takes family to go out and visit city of Magadan on mother's birthday. At time, I was blinded by boredom, and I did not consider how highly dangerous it was to bring family back to place where we could get imprisoned again."

"But, we were all hungry for something more than food, and it was special occasion after all, so we decided we would hide ourselves with thick coat hood and keep away from guards and populous area."

"At first, we were very excited to be back in a community again. We could see buildings, hear people talking everywhere, smell food that was not killed with fist. But sister Bronislava, who was still quite young at time, was most excited of us all, and she really loved being in city."

"She was always pointing at different stores we pass by, and her laughter when she heard choir boys singing near churches was infectious. However, her most favourite sight of all were boats at the port of Magadan."

"Even when she was very little, Bronislava loved travelling. She read many books on world, and her dream was to visit Paris one day and become pilot. Of course, she knew because of how Russia was at time that this dream could not be possible, but this did not stop her from dreaming."

"So," Heavy says, uncapping his vodka and pouring it into a glass "she was begging for us to go closer to port to see boat. 'Please, brother Misha, let us go on boat and sail!', she would say. But I said no- there were too many guards nearby and we would get caught for sure."

"Aw, can't let a little girl have some fun?," Sniper interrupts, teasing.

"If you don't want to be killed, then no," the towering man replies blatantly.

"Right, sorry, go on," Sniper says quickly, blushing.

"Sister Bronislava would not listen, though, no matter what Heavy or mother or sisters said to her. She would insist and insist, and we had to hold her back at one point so she would not run away herself, but she continued."

"She really wanted to go on the boats. Her whining turned to crying, and her crying turned to screaming, until it was certain a guard would catch us anyway because of how loud she was being. It was miserable and terrifying sight, and Heavy could already feel regret for having endangered and hurt family like this."

"But luckily," Heavy says with a chuckle, "her tantrum did not last very long. Just as family was about to leave and hide from inevitable imprisonment, a very interesting, travelling man tapped my shoulder from behind."

Just as Heavy utters the words, someone really does tap his shoulder. Heavy turns to meet their eyes, and immediately, he grins.

"Eavesdropping again, doktor?", he asks, pulling a chair for him to sit next to him and Sniper.

"Ooh, I simply couldn't resist! Mostly because I can still picture ze face you made when you turned around like a frightened deer", Medic exclaims, laughingly.

Heavy groans and rolls his eyes, whilst his two seatmates look at each other, both surprised and amused.

"The big, tough, scary Heavy, frightened? I'd never imagine such a thing!" Sniper chuckles, clinking his martini glass to cheers with the doctor's fizzing sparkling water.

"It was not as bad as doktor puts it, okay?", Heavy grumbles, eyes averted to their playful gazes. Still, you could tell by the way his face reddened and, again, the way his eyebrows lifted that it was, in fact, as bad as he put it.

"Whatever floats your boat, mein friend", Medic says, no pun intended. Sniper downs his martini in one go, signaling the waitress for another glass.

Wanting to change the subject, the flustered giant gets up to grab a deck of cards on a nearby table. He returns, shuffling the cards in his large, calloused hands.

"Let us continue story over game of cards, yes? I find that it will fit in well with next part."

To be continued in RQDL 5... Credits: Team Fortress 2 by Valve Image source: Team Fortress 2 Written by Rosain Quivan Cross posted on Amino ( Rosain Quivan )

[coochiequeens]

I've posted many times before about how surrogacy exploits vulnerable women and turns their babies into commodities. This article is about the impact of the fertility industry on the children themselves.

‘I slept with my half-sibling’: Woman’s horror story reflects loosely regulated nature of US fertility industry

By Rob Kuznia, Allison Gordon, Nelli Black and Kyung Lah, CNN | Photographs by Laura Oliverio, CNN

Published 10:00 AM EST, Wed February 14, 2024CNN — 

Victoria Hill never quite understood how she could be so different from her father – in looks and in temperament. The 39-year-old licensed clinical social worker from suburban Connecticut used to joke that perhaps she was the mailman’s child.

Her joke eventually became no laughing matter. Worried about a health issue, and puzzled because neither of her parents had suffered any of the symptoms, Hill purchased a DNA testing kit from 23andMe a few years ago and sent her DNA to the genomics company.

What should have been a routine quest to learn more about herself turned into a shocking revelation that she had many more siblings than just the brother she grew up with – the count now stands at 22. Some of them reached out to her and dropped more bombshells: Hill’s biological father was not the man she grew up with but a fertility doctor who had been helping her mother conceive using donated sperm. That doctor, Burton Caldwell, a sibling told her, had used his own sperm to inseminate her mother, allegedly without her consent.

But the most devastating revelation came this summer, when Hill found out that one of her newly discovered siblings had been her high school boyfriend – one she says she easily could have married.

“I was traumatized by this,” Hill told CNN in an exclusive interview. “Now I’m looking at pictures of people thinking, well, if he could be my sibling, anybody could be my sibling.”

Hill’s story appears to represent one of the most extreme cases to date of fertility fraud in which fertility doctors have misled their female patients and their families by secretly using their own sperm instead of that of a donor. It also illustrates how the huge groups of siblings made possible in part by a lack of regulation can lead to a worst-case scenario coming to pass: accidental incest.

In this sense, say advocates of new laws criminalizing fertility fraud, Hill’s story is historic.

“This was the first time where we’ve had a confirmed case of someone actually dating, someone being intimate with someone who was their half-sibling,” said Jody Madeira, a law professor at Indiana University and an expert on fertility fraud.

A CNN investigation into fertility fraud nationwide found that most states, including Connecticut, have no laws against it. Victims of this form of deception face long odds in getting any kind of recourse, and doctors who are accused of it have an enormous advantage in court, meaning they rarely face consequences and, in some cases, have continued practicing, according to documents and interviews with fertility experts, lawmakers and several people fathered by sperm donors.

CNN also found that Hill’s romantic relationship with her half-brother wasn’t the only case in which she or other people in her newly discovered sibling group interacted with someone in their community who turned out to be a sibling.

At a time when do-it-yourself DNA kits are turning donor-conceived children into online sleuths about their own origins – and when this subset of the American population has reached an estimated one million people – Hill’s situation is a sign of the times. She is part of a larger groundswell of donor-conceived people who in recent years have sought to expose practices in the fertility industry they say have caused them distress: huge sibling pods, unethical doctors, unreachable biological fathers, a lack of information about their biological family’s medical history.

The movement has been the main driver in getting about a dozen new state laws passed over the past four years. Still, the legal landscape is patchy, and the US fertility industry is often referred to by critics as the “Wild West” for its dearth of regulation relative to other western countries.

“Nail salons are more regulated than the fertility industry,” said Eve Wiley, who traced her origins to fertility fraud and is a prominent advocate for new laws.

Accountability in short supply

More than 30 doctors around the country have been caught or accused of covertly using their own sperm to impregnate their patients, CNN has confirmed; advocates say they know of at least 80.

Accountability for the deception has been in short supply. The near-absence of laws criminalizing the practice of fertility fraud until recently means no doctors have yet been criminally charged for the behavior. In 2019, Indiana became the second state, more than 20 years after California, to pass a statute making fertility fraud a felony.

Even in civil cases that have been settled out of court, the affected families have typically signed non-disclosure agreements, effectively shielding the doctors from public scrutiny.

Meanwhile, some doctors who have been found out were allowed to keep their medical licenses.

In Kentucky, retired fertility doctor Marvin YussmanMarvin Yussman admitted using his own sperm to inseminate about half a dozen patients who at the time were unaware that he was the donor. One of them filed a complaint to the state’s board of medical licensure when her daughter – who was born in 1976 – learned Yussman was the likely father after submitting her DNA to Ancestry.com.

“I feel betrayed that Dr. Yussman knowingly deceived me and my husband about the origin of the sperm he injected into my body,” the woman wrote in a letter to the board in 2019. “Although I realize Dr. Yussman did not break any laws as such, I certainly feel his actions were unconscionable and depraved.”

In his response to the medical board, Yussman said that during that era, fresh sperm was prioritized over frozen sperm, meaning donors had to arrive on a schedule.

“On very rare occasions when the donor did not show and no frozen specimen was available, I used my own sperm if I otherwise would have been an appropriate donor: appropriate blood type, race, physical characteristics,” Yussman wrote.

He added some of his biological children have “expressed gratitude for their existence” to him and even sent him photos of their own children. Yussman, who noted in his defense that he didn’t remember the woman who made the complaint, said his policy decades ago was to inform patients that physicians could be among the possible donors, though neither he nor the complainant could provide records that clarified the protocol.

The board declined to discipline him, citing insufficient evidence, according to case documents. Reached on the phone by CNN, Yussman declined to comment.

The story that really put fertility fraud on the national radar was that of Dr. Donald Cline, who fathered at least 90 children in Indiana. Cline’s case spurred lawmakers to pass legislation that outlawed fertility fraud but wasn’t retroactive, meaning he was never prosecuted for it. But he was convicted of obstruction of justice after lying to investigators in the state attorney general’s office who briefly looked into the case. Following that conviction in 2018, Cline surrendered his license. Cline’s lawyer did not respond to an email seeking comment.

Netflix followed up with a documentary about Cline in 2022 that inspired two members of Congress – Reps. Stephanie Bice, an Oklahoma Republican, and Mikie Sherrill, a New Jersey Democrat – to coauthor the first federal bill outlawing fertility fraud. If passed, the Protecting Families from Fertility Fraud Act would establish a new federal sexual-assault crime for knowingly misrepresenting the nature or source of DNA used in assisted reproductive procedures and other fertility treatments. The bill has found dozens of backers – 28 Republicans and 20 Democrats – amid a renewed effort to push it on Capitol Hill.

In this March 29, 2007 file photo, Dr. Donald Cline, a reproductive endocrinologist and fertility specialist, speaks at a news conference in Indianapolis.Kelly Wilkinson/The Indianapolis Star/AP/File

A group of advocates including Hill plans to go to DC to champion the bill on Wednesday.

To be sure, passage wouldn’t mean that any of the dozens of doctors who have already been accused of fertility fraud would go to prison, as the crime would have occurred before the law existed. But the measure would provide more pathways for civil litigation in such cases.

The push to better regulate the fertility industry isn’t without critics. It inspires unease – if not outright opposition – from some who fear any industry crackdown could have the unintended effect of making the formation of families less accessible to the LGBTQ community, which comprises an outsized share of the donor-recipient clientele.

“I think we should pause before creating additional criminal liability for people practicing reproductive medicine,” said Katherine L. Kraschel, assistant professor of law and health sciences at Northeastern University. “It gives me great pause … to say we want the government to try to step in and regulate what amounts to a reproductive choice.”

Some experts also point out that the advent of take-at-home DNA tests by companies such as 23andMe and Ancestry has pretty much stamped out fertility fraud in the modern era.

“To my knowledge, the majority of fertility fraud cases took place before 2000,” said Julia T. Woodward, a licensed clinical psychologist and associate professor in psychiatry and OBGYN in the Duke University Health System, in an email to CNN. “I think it is highly unlikely any person would engage in such practices today (it would be too easy to be exposed). So this part of the landscape has improved significantly.”

But activists in the donor-conceived community still want laws, in part to provide pathways for civil litigation, and also to send a message to any medical professional who might feel emboldened by the lack of accountability.

“Let’s say arguably that it doesn’t happen anymore,” said Laura High, a donor-conceived person and comedian who, with more than 600,000 followers on TikTok, has carved out something of a niche as a fertility-industry watchdog on social media. “Pass the f**king legislation just in case.

“Why not just out of the optics – just out of a, ‘Hey we’re going to stand by the victims.’ Let’s just do this. We know it’s never going to happen anymore, but let’s just make this illegal.”

Victoria Hill and her two children play with toys in the living room of her mother's house in Wethersfield. Laura Oliverio/CNN

‘You are my sister’

The lack of a law in Connecticut appears to have been a stumbling block for a pair of siblings seeking recourse for what they allege is a case of fertility fraud.

The half-siblings – a sister and brother – sued OBGYN Narendra Tohan of New Britain in 2021, saying he deceived their mothers when using his own sperm in the fertility treatments.

He has derailed the suit with a novel defense, arguing successfully that it amounts to a “wrongful life” case, which typically pertains to people born with severe life-limiting conditions and isn’t recognized in Connecticut. Tohan, who is still practicing, did not return an email or call to his office seeking comment. The siblings are appealing the ruling.

Madeira, the expert in fertility fraud from Indiana University, called the “wrongful life” decision absurd.

“In fertility fraud, no parent is saying that – no parent is saying I would have gotten an abortion,” she said. “Every parent is saying, ‘I love my child. I just wish that my wishes would have been respected and my doctor wouldn’t have used his sperm.’”

And then there is Dr. Burton Caldwell, who declined CNN’s request for an interview. One of his apparent biological children decided to sue him last year, even though she knows it will be an uphill battle without a fertility fraud law on the books. Janine Pierson and her mother, Doreen Pierson, accuse Caldwell – who stopped practicing in the early 2000s – of impregnating Doreen with his own sperm after having falsely told her that the donor would be a Yale medical student.

Half-sisters Alyssa Denniston, Victoria Hill and Janine Pierson pose for a portrait in Hartford, Connecticut. The three of them say they — and at least 20 others — all share a biological father, Dr. Burton Caldwell. Laura Oliverio/CNN

Janine Pierson, a social worker, thought she was an only child until she took a 23andMe test in the summer of 2022 and was floored to learn she had 19 siblings. (That number has since grown to 22.)

“It was like my entire life just came to this screeching halt,” she told CNN.

When she learned through one of her siblings that Caldwell was the likely father, Pierson said she immediately phoned her mom, who was stunned.

“We both just cried for a few minutes because it just felt like such a violation,” Pierson said.

Pierson said she decided to pursue the lawsuit even though she knows the lack of a fertility-fraud law in Connecticut could pose a challenge.

“It shouldn’t just be, you know, the Wild West where these doctors can just do whatever it is that they want,” she said.

Hill is watching her newly discovered half-sister’s case closely.

For her, the first surprise was learning the dad she grew up with wasn’t her biological father.  Although her mom had told her when Hill was younger that she’d sought help conceiving at a fertility clinic, she also said – falsely – that the doctor had used her dad’s sperm.

When Hill learned that the biological father appeared to be Caldwell a few years ago, she contacted lawyers to inquire about filing a suit, but was told she doesn’t have much of a case, so she didn’t pursue it. Now, she said, her statute of limitations is about to expire.

Last year, Hill was hit with another shattering revelation.

In May, she and her three closest friends were celebrating their 20-year high school reunion over dinner.

She was sharing the tale with them of how she learned about her biological father. Everyone was captivated, except one person – her former boyfriend. He looked like he was turning something over in his head. Then he noted that his parents, too, had sought help conceiving from a fertility clinic.

A couple months later, in July, as Hill was leaving for a summer vacation with her husband and two young children, the ex-boyfriend texted her a screenshot showing their 23andMe connection.

“You are my sister,” he said.

Fertility industry regulations in US lax relative to other countries

Hill’s high school boyfriend isn’t the only person she knew in the community who turned out to be a sibling.

“I have slept with my half-sibling,” Hill said. “I went to elementary school with another.”

What’s more, Hill said, back in the early 2000s, she lived across the street from a deli in Norwalk she often went to that was owned by twins who she later learned are her siblings.

Pierson, too, discovered recently that she’d crossed paths with a sibling long ago. She said she has a group photo from when she was a kid at summer camp that shows her on a stage and a boy in the audience. In 2022, she learned that he is her older half-brother.

“Within 20 feet of one another, and we have no idea,” she said.

In general, the bigger the sibling pool, the greater the risk of accidental incest – regardless of whether fertility fraud came into play.

“I don’t date people my age. I can’t do it,” said Jamie LeRose, a 23-year-old singer from New Jersey who has at least 150 siblings from a regular sperm donor, not a doctor. “I look at people my age and I’m automatically unattracted to them because I just, I go, that could be my sibling.”

With this in mind, activists also often advocate for laws that cap the number of siblings per donor – and that do away with donor anonymity. (Neither of these restrictions are included in the proposed federal bill.)

Other countries have instituted such regulations. Norway for instance limits the number of children to eight; Germany, to 15. Germany and the UK have banished anonymity at sperm banks.

The United States government has no such requirements – and the professional association that represents the fertility industry wants to keep it that way.

“What we have not done very much in this country is pass regulations about who gets to have children,” said Sean Tipton, the chief advocacy and policy officer for the American Society for Reproductive Medicine. “If you’re going to say you should only be able to have 50 children, that’s fine. But that should apply to everybody. It shouldn’t apply just to sperm donors.”

Regarding the concern among donor-conceived people about accidental incest, Tipton added, “if you want to be sure that before you have children with somebody, you can run DNA tests to make sure you’re not related.”

The ASRM, which often clashes with donor-conceived activists, has not taken a stance on the federal bill, Tipton told CNN.

The organization does offer nonbinding guidelines that address concerns about incest, recommending for instance no more than 25 births per donor in a population of 800,000.

Although most of the donor-conceived people who spoke with CNN for this story said they wanted to see legislative change, they also described an emotional aspect of the topic that no new law or regulation could begin to quell: a yearning to better understand one’s origins and identity. For Pierson, it was this desire, coupled with a mix of anger and curiosity, that compelled her to pay Caldwell an unannounced visit one day in 2022 – weeks after she’d learned he was most likely her biological father.

Confronting Caldwell

“I woke up that day and I had decided I didn’t want to call him,” Pierson said. “I didn’t want to give him the opportunity to say no. So I just drove directly to his house from work.”

Pierson, who lived in Cheshire at the time, describes an experience that was equal parts surreal and awkward.

After an hourlong trip, she pulled up to a large, stately house with a long driveway not far from the Connecticut coast. When she knocked on the door, nobody answered. But when a neighbor stopped by to drop something off, Caldwell opened the door. Seizing the moment, Pierson introduced herself. He let her in.

Laying eyes for the first time on her biological father, Pierson, 36, saw a man in his 80s with a slight tremor due to Parkinson’s, sporting a blue golf shirt.

He invited her inside and they sat at his dining room table.

Caldwell, she said, didn’t seem surprised – likely because Hill had made a similar visit a couple of years earlier.

“He was not in any way apologetic,” Pierson said, but she added that he did not deny using his own sperm when working in the 1980s at a New Haven clinic. She said Caldwell confessed that he “never gave it the thought that he should have … that there would be so many (children), and that it would have any kind of an impact on us.”

Pierson said Caldwell asked her questions that gave her pause.

“One thing that really has always bothered me is that he asked me how many grandchildren he had,” she said. “And he was very curious about my scholastic achievements and what I made of myself. … Like how intelligent I was, basically.”

She said their conversation ended abruptly when, looking uncomfortable, Caldwell stood up, which she took as a signal that the visit was over. Before parting ways, she asked if he would pose for a photo with her. He consented.

“I knew it would be the only time that I actually ever had that opportunity to take a picture,” she said. “Not that I wanted like a relationship with him in any way because – it was just like mixed of emotions of, you know, like, I despise you, but at the same time, I’m grateful to be here.”

Janine Pierson displays a selfie she took with Caldwell on her phone in Hartford, Connecticut. Pierson took the photo during a visit with Caldwell in 2022 and it is the only photograph she has with him. Laura Oliverio/CNN

[womenusingwords]

Baking Ice Cubes

The details… Title ‏ : ‎ Baking Ice Cubes Author ‏ : ‎ Alexi Venice Publisher ‏ : ‎ Palmer Publishing  Publication date ‏ : ‎ May 1, 2025 Available formats ‏ : ‎ ebook, paperback  Print length ‏ : ‎ Genre ‏ : ‎ legal thriller/mystery/suspense Themes ‏ : ‎ women loving women, romantic tension, courtroom drama, family, friendship, grief, mystery, suspense, intrigue, ethical dilemmas,…

[ddarianne]

Le me: goes fat scoot with zero regard of the match Medics: IMMA POCKET THIS MAN Le me: has to use minigun or else uber is wasted so no phat scoot ;A;

[jakeperalta]

somehow someone else has my phone number on their nhs file which means I've been getting all their communications for TWO YEARS. apparently they have a therapy appointment on monday so I sure hope they've got that written down somewhere since I'm the one getting texts about it

[annalyticall]

Being an adult is really cutting into my fanfic writing time

[flushotdoctor]

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[into-the-milgramverse]

I wish I could also write out something about Shidou, but like, my opinions are shaped based on combination of other people's takes, and it feels as if everyone kind of just stopped analyzing him after people figured out that his crime is related to asking the families of brain dead patients for permission to use the organs of said brain dead patients. After that, no one really went to look into his character deeper, he kinda just got boiled down to as "oh, a surgeon guy", "guy with family", "guy who takes organs", "guy who wanted to be guilty sooo bad and then got innocent twice in a row".

[centralo1]

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[justwellmiamilakes]

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[thepastisalreadywritten]

Plague Doctor Mask

On display at the German Museum of Medical History in Ingolstadt is a rare 16th-century AD, plague doctor mask — a haunting artifact from one of history's darkest periods.

These distinctive masks, with their long, curved beaks, became an enduring symbol of the bubonic plague outbreaks that ravaged Europe.

Designed to protect physicians from what was believed to be contaminated air, or "miasma," the beak was often stuffed with aromatic herbs, spices, and flowers thought to purify the air before it reached the wearer’s lungs.

Crafted from leather or waxed fabric, the mask's grotesque design combined fearsome aesthetics with rudimentary medical theory.

Circular glass eye openings protected the wearer’s eyes, while the beak's length was intended to keep the perceived toxins at bay.

Worn alongside a long overcoat, gloves, and a wide-brimmed hat, the full plague doctor outfit created an almost otherworldly figure — both protector and omen of death.

Though the masks offered some protection against splashes or close contact, they were largely ineffective against the plague itself, as the true cause of the disease — bacteria spread by fleas and rodents — remained unknown at the time.

Today, this preserved mask serves as a powerful reminder of the intersection between medicine, superstition, and fear in the face of devastating epidemics.

Visitors to the museum can glimpse the fragile line between science and belief that shaped early public health practices, offering a chilling testament to humanity's ongoing battle against infectious disease.

[inficareservices]

Family Practice Medical Billing

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[aplusfamilyhealth]

Dr. Shama Masani MD is a board-certified family practice physician in Pinellas County & Pasco County FL. We are a trusted family medicine practice serving in Holiday FL