#Family Medical Practice
Explore tagged Tumblr posts
Text
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
0 notes
Text
It’s 2024 and Mads and Hugh are still choosing violence against us.
4K notes
·
View notes
Text
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?”
#incorrect quotes#fourth wing incorrect quotes#fourth wing#incorrect acotar quotes#acotar#crossover#who wants to write it?#bat boys#xaden riorson#rhysand#you cannot tell me im wrong#Xaden would be adopted in 0.8 seconds flat#Violet and gwyn can hang out#Rhys and Azriel might have to fight over custody#Violet would have a lot of fun with the valkyries#Brennan has things to say about Night Court medical practices#Tairn Sgaeyl and Andarna have a lot of thoughts about Byraxis#if Xaden is 23 than he is factually at least 2 years older than the oldest we’ve seen Feyre and that’s objectively fucking funny#Rhys is in his Dad era and even if he weren’t Xaden is everything he looks for in adoptive family and IC members#Rhys thinks Xaden is baby brother shaped and Xaden thinks Rhys is a weird powerful guy who might be able to help him win the rebellion#Xaden needs a nap#Xaden is adaptable and he’ll roll with this#but damnit all if he’s not bringing Violet with him#Violet is sure something about this is funny#crack fic#crossover fic
2K notes
·
View notes
Text
rin, who finds out you’re pregnant way before you do bc he has ur entire cycle calendar synced onto his phone
#ILL SO …. sooo ill over this man#LISTEN …. listen ….. he would absolutely hve ur entire vitals on his phone#ur Apple medical ID is right next to his in case of anything#knows ur blood type n all bc hello ??? ur both practically family what if something happened to u#even knows what ur allergic to so ofc he has ur period cycle synced up to his phone#when u start feeling nauseous n sleeping in even more hes like ‘ok this be weird but whatev she’s probs just tired’#BUT WAIT#the little notif on his phone tells him ur late for abt 2 weeks#when ur RARELY ever late n he just …. KNOWS#bc ur so clingy n teary n moody#n every time he tries to initiate seggsy time u push him away bc ‘my body hurts baby’#oh my goddhfj#the way how he would just …. malfunction during practice#someone ‘accidentally’ kicks a ball to his head (shidou) n he just stands there completely DUMBFOUNDED#suddenly everything. makes sm sense#baby daddy!rin my beloved 🤕🫶🏻#tw. pregnancy#dawn.txt
914 notes
·
View notes
Text
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.
#my psych whose been practicing for 40 yrs said I have ADHD then my family who have no medical or psych knowledge are like NUH UHHHH#yes I did relatively well in paramedic school and college and I learn quickly#YES I am advancing in my career#but it was the most difficult things I've ever done plus I had to seek out therapy and medication#like#ADHD kicks my entire ass every day#it's a fucking disability for a reason!#adhd#actually adhd#add#neurodivergent#neurodiversity#akira screams into the void#disability#adhd masking
44 notes
·
View notes
Text
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
#usa#Fertility industry#Burton Caldwell#Fertility fraud#huge groups of siblings made possible in part by a lack of regulation#Accidental incest#Most states have no laws against fertility fraud#huge sibling pods#unethical doctors#unreachable biological fathers#a lack of information about their biological family’s medical history#Nail salons are more regulated than the fertility industry#At least 80 doctors have used their own sperm to impregnate their patients#Marvin Yussman#Dr. Donald Cline fathered at least 90 children#Protecting Families from Fertility Fraud Act still hasn't passed into law#wrongful life#OBGYN Narendra Tohan is still practicing#Large sibling pods in the same community#Norway limits the number of donor conceived children to eight#Germany limits donor conceived children to 15#Germany and the UK have banished anonymity at sperm banks
16 notes
·
View notes
Text
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 )
#tf2#team fortress 2#tf2 heavy#tf2 sniper#tf2 medic#heavymedic#backstory#ussr#siberia#background characters#tf2 siberian shop lady#tf2 bronislava#tf2 heavy's mother#tf2 heavy's family#tf2 yana#tf2 zhanna#team fortress two#writing#writing practice#part 2#rosain quivan's daily logs#i accidentally ended up writing way more than expected on one part that now I need to make more ahhhhhh#more heavy medic stuff in future though so yay
40 notes
·
View notes
Text
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
#the weirdest thing is they're local to my area too so it started when i was away at uni and got a phone call from my local hospital#and i freaked out thinking someone in my family was there but it turned out they were trying to call this other person#so i explained at the time it was the wrong number#but clearly the message did not get passed on#because since then I've had various vaccine reminder texts and prescription collection reminders#i tried contacting the pharmacy and the gp practice to be like 'please tell this person when you see them they have the wrong number down'#but nobody is listening so every so often i get told about this stranger's medical information#and it's always referring to the same hospitals and services that i would use because they live nearby#it's all very disconcerting#talking
30 notes
·
View notes
Text
Being an adult is really cutting into my fanfic writing time
#family medical emergencies and homebuying expenses and community obligations oh my#next chapter of katabasis was supposed to come out like a week ago but i've got things like 'choir practice' and 'loan applications' to do#so uhhh it's gonna be another week at least
10 notes
·
View notes
Text
.
#So I'm putting all this in tags because I'd prefer it not get out into wider Tumblr. I pondered even posting it but I think some of y'all#are following the drama and/or praying for my family so I figured I'd post an update. Just pretend there are commas and it's all readable.#Got a hearing date today. February 6th. Now I need to get affidavits and medical records. Not much to do in the way of affidavits because#either he made sure no one saw anything or I made sure. (Shame is a heckuva thing.) I really need the medical records from the assault.#Can't get them because I am currently without ID. I am currently without ID because I have had a beginner's permit for ~10 years now and#those have to be renewed in-person every year. Can't get to DMV to get it renewed because... no car. Can't use Uber because you have to#provide your own car seats and where am I going to put three car seats while I'm at the DMV? Can't use bus because... bus lines.#...it's stressful.#Also I'm still not sure about the theology of all this but it's also impossible not to see the Hand of God in freeing me and the boys from#this man so either God will help me work out the theology of it later or I'll ask Him when I get to Heaven.#Practically speaking I will not ever permit him and the boys unsupervised contact again if I can help it because he WILL neglect them#at best and physically hurt them for his own amusement and/or beat them up because of his temper at worst.#...anyway any and all prayers are appreciated.
11 notes
·
View notes
Text
i’m gonna be so for real, if things don’t start changing for me in good ways i will be disappearing off the face of the earth
#Rasp Rambles#vent#my mental health is already in a shitty state and i am already considering multiple different ways to end my own fucking life#suicide mention#like i’m genuinely hanging on by the thinnest fucking thread only because i have friends that care about me. i don’t want any of them to be#sad about me dying. i’d say the same for my family but i don’t they ever have really given a shit about me so what does it matter.#i’ve been forced to be the perfect; quite child my entire fucking life and that was never good enough. i had to be kind and respectful#even though none of the adults in my family ever really were that to me. and the ones who were didn’t stay that way for long. it truly#sucks so fucking badly that i can’t get away from any of them. i don’t have a job because mental health issues; some physical health issues#and my lack of drivers license and car. i can’t financially support myself. i never get to fucking leave the house and go anywhere but the#store or my grandparent’s house with my mom and sister. i have ONE irl friend who i’m not even sure considers me a friend because#we haven’t gotten to hang out much since i graduated in 2023. i have practically no fucking support system in the physical world.#i don’t get to do fun things i enjoy that aren’t internet related besides drawing. but artblock and general depression are doing their#damn best to prevent me from even enjoying the creative process at all. one may think its difficult to feel lonely when you’re living in a#house with at least one other person but its fully fucking possible apparently. for me at least. i really wish my mom would actually get me#a therapist or psychiatrist i can see in person but we all know that’ll never fucking happen because again; she doesn’t fucking care enough#to make any actually helpful attempts to get me medicated for whatever the fucks going on in this stupid head of mine.#sorry for being incredibly fucking depressed and mad at 3am. it will happen again unfortunately for all of us.
4 notes
·
View notes
Text
it seems that in the absence of my eldest sibling, the family dynamic has shifted to place the weight of the Eldest Daughter Syndrome™ (gender neutral) on my shoulders :D :D :D
#making sure my twin eats sleeps and doesn't hurt himself? been doing that since I knew what love was#now I'm also handling mother's emotional breakdowns AND dueling fathers medical emergencies!#add that on to cooking and cleaning and making sure everyone's schedules are aligned I'm practically running this household!#YIPPEE /s#how did kai do this#WHY DID I HAVE TO SPLIT WITH MY THERAPIST AT THIS EXACT TIME PERIOD IN MY LIFE I AM NOT EQUIPPED FOR THIS#THERE IS NO ONE I CAN TALK TO BC ALL MY FRIENDS WILL RELAY THIS TO MY TWIN AND I DONT WANT HIM TO HEAR ALL THIS#HOW DID KAI DO THIS?#I knew that she was the MVP of the household but now I have a brand new shiny appreciation for just how much he did for the entire family#no wonder he's having the time of his life in Korea she doesn't have to deal with all this shit no wonder she doesn't want to come back#god I miss her#I really don't know what I'm doing#vent#tw vent
12 notes
·
View notes
Text
hey siri how do I stop feeling gutwrenchingly anxious in the guilt way for using the treatment methods available to me to not be in constant misery
#starlight personal#it’s very bizarre to have my life going objectively well - work is good! personal life is good! family is good!#and still be very mentally ill and feel like I’m faking it even though I know damn well I ain’t scream-sobbing every couple of days alone in#my apartment for attention because What Attention??? my cat????? Bug is never moved by my tears she cares only for string and wires#like I know that cannabis has been immensely helpful to getting me to fucking sleep on a regular schedule and that’s integral to -#my functioning and I know that having emergency klonopin in the event of a total breakout is helpful#and I KNOW that my PMDD and depression and anxiety are very treatment resistant and ketamine is the only thing that’s provided any -#meaningful relief and logically I know I’m not abusing any of these#I’m getting a promotion at work I still go out to see friends regularly I have hobbies I have a girlfriend (??? Wild right)#like clearly these things are working because i’m better now than i was for years leading up to now#SO LIKE. DON’T STOP USING THE THINGS THAT HELP. LOGICALLY THIS MEANS THESE ARE GOOD FOR ME#I always roll my eyes when ppl go off their meds b/c they’re feeling better like babes that’s what the meds are meant to do#if you stop taking them you stop feeling better - but it’s REALLY HARD to get past the cultural conditioning#the feeling that ‘but I can white knuckle my way through this I can force myself to live without’ like WHY BITCH#WE DON’T HAVE TO LIVE WITHOUT#AND ALSO. WE’RE STILL GENERALLY MISERABLE BRO. EVEN WITH OUR LIFE IN A BETTER PLACE!!!#DO YOU NOT THINK THIS MEANS THAT WE SHOULD USE WHAT WE KNOW WORKS TO BE LESS MISERABLE#basically it’s really hard to not feel like a loser when the only things that help are ‘fun’ drugs like weed and psychedelics#I feel like I’m being a hedonistic reprobate which 1) is actually kinda cool now that I wrote it out#2) @ myself were not a good enough liar-faker that every medical professional we see wouldn’t pick up on that if that was our motivation#time to remind myself that it’s arrogant to think I could trick many trained professionals without actively trying tbh#that generally helps me get out of my self-pitying ‘ohhhhh I’m awful and lazy and bad and abusing substances’ spiral#to be very mentally ill on main it is weirdly reassuring to be like ‘just as my fanon interpretation of obi wan kinda hates himself but is -#practical enough to take care of himself even when it makes him cringe and want to scratch his face off; I too am aware that self-care is -#radical and punk and In Fact Necessary to beat back the dark and live in the light with hope so yes even though I doubt and -#feel squiggly and guilty about it I’m not going to NOT prioritize my health and well-being b/c self-hatred and self-denial benefits no one’#thank you inner obi wan i love projecting my issues onto you mwah mwah mwah smooches for my favorite boy!!!!!#and smooches for me I’m going to be proud of myself gosh darn it even if I have to fake it at first#see I wouldn’t be able to be nice to myself like this if I hadn’t been doing ketamine treatment for a year IT WORKS BRO KEEP IT UP#SCHEDULE THE DAMN APPOINTMENT AND CLEAN YOUR BONG
4 notes
·
View notes
Text
afa;ldf;lakdflk;asdf urgh sorry i've been MIA i unexpectedly got super busy with the grant and my grand rounds and having to pick up shifts for people with emergencies/illnesses/moving PLUS my 'graduation' is tomorrow so i'm all over the place AHHHHH
#... AND fellowship number 2 starts in literally 12 days WHY DONT I HAVE MY SCHEDULE YET#i really REALLY wanted to finish the path to paradise by end of june but honestly i dont think that's happening#the most batshit thing i did on monday is cover for a shift at hospital A from 8am-6pm then cover a shift at hospital B from 8pm to 7am.#and they were both INSANELY busy#the first is just a consult shift so it wasn't too bad#but the second is my icu community shift and GOD#this person coded at 2am and i probably didn't leave her side until at least 5 am#its just INSANE. INSANE that i didn't get called before she coded#like i think the reason all my codes at this hospital get ROSC is because these people would NEVER have coded at the academic one#and this is FAR from the first time this has happened#you. you let this woman. sit on the floor. with BPs in the 70s. for HOW long? you left this OTHER woman completely obtunded on a bipap?!?!?#for DAYS?!?!??!?! WITHOUT TALKING TO THE ICU?! AND ONLY CALLED WHEN THEY GOT HYPOTENSIVE?!#this is horrifying. like legitimately. must be nice to practice shit medicine and when your patient crashes just wipe your hands and let#the icu doc deal with the fallout#i realize i signed up for this#but it always feels crappy when i can't tell families 'yeah no the reason your loved one is dying is probably because they were mismanaged'#and i'm gonna keep it real with you chief. its the racism too#hospital A is in the rich part of the city#hospital B is close to the border with mexico#less densely populated/less desirable areas hire less desirable doctors (all staff really)#its often like 30% people who care about the community#and 70% of people who can't get jobs elsewhere#and the economic disparity even between branches of the SAME HOSPITAL SYSTEM is staggering#healthcare in america is a fucking joke#also. like.#in rich person hospital A monday#got a consult for this guy who is a 'medical mystery'#seen at a bunch of different hospitals by a lot of different doctors#...and i'm 90% sure the way he got his lung disease is by crushing up pain and/or anxiety meds and injecting them#but see the reason no one suspects this. is because he's a wealthy white man
4 notes
·
View notes
Text
Supermassive games made something that was almost perfect and then decided to make several much worse things before reeling it back to something decent that makes the same damn mistake the first game made without any of the first game’s charm and cleverness to make up for it. Like you’ve had the time to figure out this professional video game thing maybe you should start acting like it lol
#ra speaks#personal#sorry I’ve been in an until dawn mood lately and it’s like. gosh they were so close to making a game I could unironically say was amazing#their major flaw was the appropriation of Native American culture (like they could have been generic cannibal monsters you didn’t have to#call them that to make them scary that monster design was on point)#and then. in the quarry. which I dare to say is a decent sequel to until dawn.#MAKES THE SAME DAMN MISTAKE OF STEREOTYPING OOOO SPOOKY ROMANI TAROT MAGIC#like bruh do you. do you even call up somebody from the demographics you’re representing#and be like hey is this fucked up or nah?#like you’re a professional studio that’s a real thing you can do#and I don’t like the new cut scenes in until dawn they were PART of the story not some separate entity from it#anyways rant abt the bad stuff over gosh until dawn had such a fantastic story. the reveal and the twist are unparalleled.#literally my only issue is the monster cultural aspect like that’s such a solid game and story#and I guess the treatment of josh as a character but tbh the story of it seems fairly logical#these people got my sisters killed. I’m going to scare the hell out of them as revenge. no one will get physically hurt.#like yeah I would do that too dude. especially if I had a family background in film and practical effects.#and tbf his friends react pretty realistically for kids not knowing how to handle their friend having#a legitimate mental health crisis that stems from undiagnosed and erroneously medicated psychosis/schizophrenia#in addition to being hunted by literal monsters#the quarry was fun and campy the way until dawn was but there was no iconic bait and switch and also an antagonist uses the g slur so like#sorry it’s objectively not as good of a story
15 notes
·
View notes
Text
proud to announce that i finally rewatched s2e5, which was the only barrier between me and the next chapter of grogu and the beroya >:3c
#htonl speaks#i got excited about it too! i'm Inspired Once Again#well okay a decent amount of that was alternately being pissed off about ahsoka's montrals and lekku#and wondering about the logistics of Huge Headpiece#BUT I ALSO GOT EXCITED ABOUT GROGU'S POV so it's cool#hey did u know that some medications make u so so sleepy. and the drs can just prescribe them to u#i've gotten used to it now but other things taking up my writing time include: i live close to my family now#my dad had his cancer surgery! we're watching movies together every weekend bc he's frustrated with not being able to move#he was literally biking 16 miles per outing until the week b4 the surgery#he's 100% fine the biopsy said like 90% chance the cancer hadn't spread beyond the removed organ#but surgery hurts and recovery takes a minute so he's grumpy#before i moved back here i wanted to move closer to lake michigan but i really love being able to hang out with my dad so much......#maybe i will try to find an apartment with a view of a more local lake?#altho if it's not a great lake it's practically a pond >:T
8 notes
·
View notes