#Magazine for Healthcare Hospitality

[entrepreneurinsights]

Entrepreneur Insights | Magazine for Healthcare Hospitality

Entrepreneur Insights represents the several sub-brands that focus on various needs of people and aspire to be one of the top-rated service providers/manufacturers.

[zaraillustrates]

I was commissioned by Hopkins Children’s Magazine to illustrate an opening spread about the complex care team at Johns Hopkins Children’s Center. 

The illustrated patchwork quilt represents the care team’s crucial role of bridging gaps in the treatment of children with complicated conditions.

© Zara Picken 2024 www.zarapicken.com

[glowettee]

study motivation notes | by mindy @glowettee

hi angels! ✨ i've been getting so many sweet messages about staying motivated with studies, and i wanted to share my thoughts with all of you. as someone who dreams of becoming both a doctor and ceo (yes, we can do both!), i understand how overwhelming academic pressure can feel.

let me tell you something that changed everything for me: motivation isn't just about forcing yourself to study - it's about falling in love with your future. when i feel tired or discouraged, i close my eyes and imagine future me in a white coat, helping patients while running my own healthcare (or journaling + skincare) business(es).

this vision keeps me going even during the hardest days. the secret to staying motivated isn't just about having perfect study schedules or aesthetic notes (though i do love my pink highlighters and cute sticky notes!).

it's about understanding why you're doing this. my psychology studies have taught me that intrinsic motivation - the kind that comes from within - (i've talked about this before) is so much stronger than external pressure. i've noticed that on days when i feel completely unmotivated, it's usually because i've lost touch with my 'why'.

so i take a moment, light my favorite vanilla candle, and write in my journal about my dreams. sometimes i even create little vision boards on pinterest (my current one has hospital corridors next to business magazines - yes, i'm that girl!). here's something i've learned in my past ap psychology class: our brains love small wins. instead of thinking "i need to become a doctor," which feels huge and scary, i break it down into tiny goals. today's win might be understanding one biology concept really well, or finishing one chapter of my business studies. these little victories create dopamine releases that keep us motivated!

i've also discovered that environment matters so much. i created a cute study corner in my room with soft lighting, my favorite plushies, and inspirational quotes. when i sit there, my brain automatically goes into study mode. it's like my own little med school prep sanctuary! remember angels, it's okay to have bad days. sometimes i cry over calculus (literally me yesterday), and that's totally fine! the key is to be gentle with yourself while staying committed to your dreams.

i like to think of myself as both the student and the cheerleader - pushing myself forward but also offering comfort when things get tough. one thing that really helps me is connecting with others who share similar dreams. if it's my pre-med club friends or my business club besties, having people who understand your journey makes everything feel less lonely. we support each other, share resources, and sometimes just vent about how hard everything is (while eating cookies, of course!).

the path to achieving our dreams isn't always aesthetic study sessions and perfect grades. sometimes it's messy, sometimes it's hard, and sometimes it feels impossible. but, that's exactly what makes it beautiful. every challenge you overcome is shaping you into the amazing doctor, ceo, lawyer, content creator, or whatever you dream of becoming.

remember, you're not just studying for a test or a grade. you're building the foundation for a life where you'll help others, make a difference, and achieve things beyond your wildest dreams. every formula you learn, every concept you master, is a tiny step toward that future.

sending you all my love and motivation! believe in yourself the way i believe in you. ✨

always here for you, mindy 🤍

[importantwomensbirthdays]

Mona Hanna

Dr. Mona Hanna was born in 1976 in Sheffield, England. While working as a pediatrician in Flint, Michigan, Dr. Hanna reviewed patient records and noticed higher percentages of children with elevated lead levels. She shared her findings, which state officials unsuccessfully tried to discredit. Dr. Hanna became a leader in the effort to publicize and confront the Flint water crisis. She was named one of TIME Magazine's 100 Most Influential People in 2016. In 2019, Dr. Hanna received the Vilcek-Gold Humanism in Healthcare Award, and in 2024, she won the National Humanism in Medicine Award. Dr. Hanna is the founding director of the Pediatric Public Health Initiative, a joint effort between Michigan State University and Hurley Children's Hospital to address the impact of lead exposure on Flint.

[raikantopenis]

Theerapanyakul Foundation Hospital

What would happen if the Theerapanyakuls were a dynasty of doctors instead of criminals? - A silly and self indulgent AU

Korn: cardiac surgeon, transplant specialist. Classic god complex paired with irrealistic expectations for everyone, especially his own children.

Kinn: general surgeon, colorectal surgery specialist. Temperamental, but meticulous. Expects people to read his mind. Fucked (almost) every OR nurse he worked with. He chose a surgical speciality to appease his father, but honestly he would have preferred something less invasive.

Tankhun: Planned to go into cardiac surgery, but avoids contact with patients after a traumatic experience. Works in theoretic medicine. Has unlimited research funds thanks to his family, which he uses to model the pathophysiology of extremely rare diseases in goldfish. There's like a grand total of 5 people around the world who understand his papers. They are actually groundbreaking, just in a very niche area.

Kim: still a singer, gives no fucks.

Vegas: maxillofacial surgeon. Failed to get in medschool on the first try, so he did Dentistry first and then General Medicine. Hardcore. Despite being fucking terrifying, maxillofacial surgery is not as well respected as Kinn's field.

Macau: is not expected to go into medschool. If he had to chose a speciality, he'd like to become an ortho bro.

Porsche: young hotshot paramedic. Thinks he knows better than everyone, and flirts with everything that moves. Very dedicated. Patients love him, doctors hate him. Absolutely no work-life balance.

Chay: is told not to pursue a carreer in healthcare daily by a very tired Porsche Pete: prenatal ICU nurse. Looks and acts adorable. The literal strongest.

Arm: biostatistican of Tankhun. Riddled with the impossible task of turning the weird fish his boss plopped down his desk into coherent data.

Pol: jack of all trades. Has been observed to work in every department, but no one's really sure what his actual role is. (It's committing medical malpractice for Tankhun.)

Big: the only male nurse in the general surgery ward Kinn has not fucked. (Actually, every nurse in the hospital is male, because Kinnporsche) Is vocally planning murder every time he has to register a patient Porsche has brought in, and read the complete bullshit Porsche calls "documentation".

Ken: secretly works shifts at general surgery and maxillofacial surgery as well. Biggest gossip.

Chan: That nurse. Queen of the motherfucking needles. Can create venous access in a geriatric patients with no functioning veins by throwing a canule at him like a darts. His department would probably run smoother if he was in charge and not some stupid doctor.

Tay: anesthesiologist. Highly skilled but prefers to work behind the scenes. Spends most of his day solving crossword puzzles and reading fashion magazines in the OR, while complaining that Kinn takes too long (again), and he'll have to work overtime (again). He is always correct. Saved Kinn's ass multiple times. 

Time: OBGYN. Chronically late. Dismissive attitude. Not only did he fuck every nurse, intern and assistant, he fucked some husbands of his patients as well.

Nampheung: dermatologist. Does not age.

Gun: Failed to get into medschool.

[scifigeneration]

From science fiction to telemedicine: the surprising 150-year history of long-range medical treatment

by Debbie Passey, Digital Health Research Fellow at The University of Melbourne

In 1874, a surgeon in South Australia telegraphed wound care instructions for a patient 2,000 kilometres away. A few years later, in 1879, a letter in The Lancet medical journal suggested physicians use the telephone to cut down on unnecessary patient visits.

As the telephone and telegraph spread, the idea of telemedicine – literally “healing at a distance” – inspired science fiction writers to conjure up new ways of treating patients across great distances.

Real-world technology has developed in tandem with scifi speculation ever since. Today, certain kinds of telemedicine have become commonplace, while other futuristic tools are in the offing.

The radio doctor and the teledactyl

In his 1909 short story The Machine Stops, English novelist E.M. Forster described a telemedicine apparatus that, when telegraphed, descends from the ceiling to care for patients in the comfort of their home. His story is also the earliest description of instant messaging and a kind of internet – both important for real-life telemedicine.

In 1924, Radio News magazine printed a cover story showing the future “Radio Doctor”. The cover depicts a physician examining a patient through a screen. Although the magazine story itself was a bizarre fiction that had little to do with a radio doctor, the imagery is evocative.

In a 1925 cover story for Science and Invention, US writer Hugo Gernsback describes a device called “The Teledactyl” (from tele, meaning far, and dactyl, meaning finger). The device uses radio transmitters and television screens to allow a doctor to interact with a patient. The added twist – the physician touches the patient using a remotely controlled mechanical hand set up in the patient’s home.

Gernsback was a futurist and pioneer in radio and electrical engineering. Nicknamed the “Father of Science Fiction”, Gernsback used fictional stories to educate readers on science and technology, and often included extensive scientific details in his writings. He helped establish science fiction as a literary genre, and the annual Hugo Awards are named after him.

From seafarers to spacefarers

The radio was important for early telemedicine. In the 1920s, physicians across the globe started using the radio to evaluate, diagnose, treat, and provide medical advice for sick or wounded seafarers and passengers. The radio is still used to provide medical consultation to ships at sea.

In 1955, Gernsback returned to the idea of distance medicine with “The Teledoctor”. This imaginary device uses the telephone and a closed-circuit television with mechanical arms controlled by the physician to provide remote patient care. Gernsback said the doctor of the future “will be able to do almost anything through teledoctoring that he can do in person”.

In 1959, psychiatrists in Nebraska started using two-way closed-circuit televisions to conduct psychiatric consultations between two locations. This is considered one of the first examples of modern-day telemedicine. Early telemedicine networks were expensive to develop and maintain, which limited broader use.

In the 1960s, NASA began efforts to integrate telemedicine into every human spaceflight program. By 1971, a telemedicine system was ready for trial on Earth – in the Space Technology Applied to Rural Papago Advanced Healthcare (STARPAHC) program. Using a two-way television and radio connection and remote telemetry, the program connected Tohono Oʼodham people (then known as Papago) with nurses and physicians hundreds of miles away.

The internet and a pandemic

It wasn’t until 1970 that the word telemedicine was officially coined by US doctor Thomas Bird. Bird and his colleagues set up an audiovisual circuit between the Massachusetts General Hospital and Logan Airport to provide medical consultations to airport employees.

From the 1970s onward, telemedicine started gaining more traction. The internet, officially born in 1983, brought new ways to connect patients and physicians.

Satellites could connect physicians and patients across greater distances without the need for two-way closed-circuit televisions. The cost to develop and maintain a telemedicine network decreased in the 1980s, opening the door to wider adoption.

In his 1999 science fiction novel Starfish, Canadian writer Peter Watts describes a device called the “Medical Mantis”. This device allows a physician to remotely examine and perform procedures on patients deep beneath the ocean’s surface. In the early 2000s, NASA’s Extreme Environment Mission Operations started testing teleoperated surgical robots in undersea environments.

The evolution of telemedicine has kept pace with advances in information and communication technology. Yet, throughout the 1990s and early 2000s, telemedicine remained little used.

It took the global COVID pandemic to make telemedicine an integral part of modern healthcare. Most of this is consultations via video call – not so far away from what Gernsback envisioned a century, though so far without the robotic hands.

What’s next? One likely factor pushing real-world telemedicine to match the dreams of science fiction will be developments in human spaceflight.

As humans progress in space exploration, the future of telemedicine may look more like science fiction. Earth-based monitoring of astronauts’ health will require technological breakthroughs to keep pace with them as they travel deeper into space.

[440mxs-wife]

The Deal With Love

Pairing: Dr. Leonard “Bones” McCoy x F!Reader. Other Characters: Jim Kirk, Nyota Uhura, Christine Chapel, Dr. Jordan Wallace, Dr. Dylan Clark, Martin Sinclair (OMC’s).

Word Count: 9316 

Warnings: Fake dating, friends to lovers, well-meaning friends, alcohol consumption, some angst, conniving businessmen, but FLUFFFFFY ending.

Summary: One night, Dr. McCoy shows up at the bar owned by James T. Kirk, The Space Dock, with a problem. He’s about to close a deal with a major hospital, which will benefit his clinics. The hospital execs invite Dr. McCoy and his wife to their charity gala, where they hope to finalize the deal. However, Dr. McCoy isn’t married, so he asks the Reader to pose as his girlfriend, and she agrees. Only problem is, they have feelings for each other that have so far gone unspoken. Will they be able to go back to being “just friends” after the deal is done, or will there be heartbreak?

A/N: If you’ve been tagged here, it’s because you’ve interacted one or more times on a McCoy story of mine, or we’re moots. Whether you like or reblog, I am eternally grateful for your support. If anyone else would like to be tagged on any future Karl Urban character postings, or would rather leave the Crazy Train, please let me know. Thank you, and enjoy the show!

*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*

Leonard McCoy had wanted to be a doctor for as long as he could remember. He read nearly every medical textbook and magazine article he could get his hands on. As a junior and senior in high school, he received special permission to help out in the nurse's office. That's also where he happened to meet his best friend, James T. Kirk, or "Jim", as he was known around school.

After graduation, their paths diverged for a time, with Leonard headed to medical school, while Jim opted to pursue a degree in business. Several years later, Jim was the owner of a highly successful bar in downtown San Francisco, called The Space Dock. Only the best bartenders in the city worked at Jim's club, where the line frequently stretched around and down the block, starting on Thursday nights.

Leonard, on the other hand, spent his years slowly building his first neighborhood clinic into a total of three successful ones. His clinics provided the best care in the city, regardless of a patient's financial status. Each clinic worked in general medicine, while also specializing in one other particular area of health care. It was this model that caught the attention of Martin Sinclair, the CEO of one of the top healthcare facilities in the city, Bayview General Hospital.

Tonight, Leonard was invited to meet with Sinclair and several of the board members to discuss a business matter. The board wanted to propose the acquisition of the McCoy clinics, bringing them under the hospital's umbrella. Leonard would still be very much involved in the day-to-day operations but would have access to more and better technology to serve his patients.

After drinks and an expensive meal, Sinclair asked Leonard for his thoughts on the business proposal. In his mind, Leonard was jumping for joy at the opportunities being presented to him. On the outside, though, his poker face was in control. "I appreciate the offer, which I must admit is rather generous. However, I hope you understand when I say I'd like to discuss this with the other members of my staff at the clinics," he responded.

Sinclair and the other board members all assured him they understood, and after dessert, they all walked out to the valet station. Everything was going well at this point, with each side thinking they had the upper hand. While they were waiting for their vehicles to be brought around, Sinclair turned to Leonard. "Oh, you must invite your wife to join us at our next event. My wife is always looking to meet new people and make friends," he remarked.

Leonard gulped. "My-my wife?" he questioned.

"You are married, aren't you?" another board member asked. At the look on Leonard's face, he explained. "We're all married. You see, we find that when a colleague is married, it shows a certain amount of stability in his life, someone who's going to stick around. Not someone who we spend all of our time training, only to have them leave to go to some other hospital. So, when do we get to meet her?" he wondered.

"Well," Leonard began. "Thing is, I'm not married," he admitted. "N-not yet, anyway," he hastily added when he saw the faces of his potential co-workers. "I do have a girlfriend, though. A wonderful woman, who I've been involved with for almost five years. Been thinking of asking her to take the leap, but I haven't found the perfect moment yet," he sheepishly grinned.

The group burst into laughter and some of them clapped a hand on Leonard's shoulder. They all agreed that Leonard should bring his girlfriend to the hospital's charity gala, scheduled to occur in three weeks. Sinclair and the others hinted that they also hoped Leonard would have a decision on their offer by that date. He assured them that he would consider their offer, and in the meantime, he would be needing two tickets for the gala.

*~*~*~*~*~*~*~*~*~*~*~*~*~*~*

After he left the restaurant, Leonard headed for The Space Dock, to hang out with Jim and get his opinion on the deal. He needed some outside perspective, and he knew Jim would help him on that front. Leonard was still nursing his first glass of top-shelf bourbon when his eyes fell on you. He was usually around on Friday nights, watching as you made and served drinks to a packed club. However, this being a Wednesday night, he was surprised to see you working.

Leonard's eyes followed you as you took a tray laden with drinks over to a table of boisterous patrons playing cards. You set each drink in front of its recipient and smiled before turning to leave the table.

What happened next nearly had Leonard catapulting out of his seat. He watched in horror as one of the men reached out to try and pull you onto his lap. Fortunately, at the last second, you scurried out of the man's reach, then returned to confront him. As you spoke, his face seemed to get more and more pale and when you left again, he had a terrified look in his eyes.

You returned to the bar to wipe off your tray with a wet cloth, then smiled as you turned your attention to Leonard. "Oh, good evening, Leonard, how's everything going?" you asked.

"Going all right, everything okay with you? I saw what almost happened over there, what did you say to him?" Leonard wondered.

"I reminded him that his son, Mason, was a student in my class, and that I know his wife. I also mentioned what would happen if he or any of his friends with him tonight try to pull a stunt like that again," you replied.

"Really? What did you say you would do?" he couldn't help but ask.

You leaned in closer, and Leonard followed suit. "Um....I told him that if it happened again, I'd have to tell his wife about it at the next parent-teacher conference," you smirked. "He knows she's kinda scary about stuff like that."

Leonard threw his head back and burst into laughter. "Here I thought I was going to have to teach him a lesson in how to treat a lady, but you handled it just fine, darlin'," he remarked.

"While I appreciate the sentiment, I've handled worse before. Used to work in my uncle's bar when I needed money for college. Most of the customers were ex-military, a relatively good bunch for the most part. But occasionally we got a wannabe in there or some hotshot recruit who thought he could say or do whatever he wanted," you shrugged. "Now if you'll excuse me, I need to fetch some more bottled beer from the cooler."

*~*~*~*~*~*~*~*~*~*~*~*~*~*~*

Leonard shook his head and watched as you walked through the swinging doors leading to the walk-in coolers. It wasn't long before Jim was standing in front of him, wiping down the bar top. "Hey Bones, what brings you in here? And on a Wednesday of all days?" he asked.

The doctor gave Jim a quick smile, then told him about the dinner meeting he had with the execs from Bayview General Hospital. Leonard explained the particulars of the board's offer, and what it all would mean for his practice. Then he brought up the unusual conversation that occurred outside at the valet station. "I mean, it was beyond weird. He said they're all married, that it represented 'stability' in a person's life," he grimaced at the memory of the conversation.

Leonard motioned with his thumb to where you were clearing the empty tables, while still keeping an eye on your rowdy table of customers. "What's she doing here tonight? It's only Wednesday, and if I'm not mistaken, she has a job as a 2nd-grade schoolteacher in the morning," he pointed out.

"My regular Wednesday bartender called out with a family emergency, so she volunteered to take the the extra shift," Jim shrugged.

"That's got to be tough, working all week as a schoolteacher, then here on the weekends," Leonard mused. He watched as you now washed glasses behind the bar.

Jim kept his eyes on his friend while Leonard observed your routine of washing and rinsing the glassware for the bar. "Yeah, but she does it all with a smile. Hey, what are you going to do about a girlfriend or fiancée for this gala thing?" he asked, changing the subject.

Leonard's concentration on you broke for a quick second to respond. "Hmm? Oh, the hospital gig. Don't know yet," he murmured, his eyes back to observing you. "I wonder if....nah," he shook his head.

Jim started to catch on to Leonard's train of thought. "Why not?" he asked. "C'mon, she's perfect! Second grade schoolteacher, wholesome occupation. Plus, the two of you have been friends for a long enough time that it'll be believable that you two are a couple," he explained.

"Hmm. Wow, I can't believe I'm saying this, but Jim, you might be right," Leonard chuckled. "Doesn't hurt to ask her, right?"

You chose that moment to bring over a tray of washed glassware, and latched on to the end of Leonard's question. "Ask who, what?" you wondered.

Jim looked from Leonard to you and grinned. "You know, I just remembered, I've got some paperwork to do in my office. I'll catch up with you two later," he winked and patted your shoulder on his way out.

"Len? Everything all right?" you asked.

It was now or never, Leonard thought. "Do you have a minute? I have something I'd like to talk with you about," he started. You flashed him one of your beautiful smiles, which gave him the courage to share the events of his evening and to ask for your help.

*~*~*~*~*~*~*~*~*~*~*~*~*~*~*

After he finished giving you the details of his plan, you silently digested the information. While he spoke, you were leaning forward, but now you were reclined in your chair, your palms flat on the table in front of you. It was a rather unusual thing to ask of you: pose as his girlfriend/fiancée to impress a bunch of hospital execs for a business deal.

The decision should have been a no-brainer. Do this favor for a friend by wearing a fancy dress to an upscale event with dinner and drinks. But in your case, it wasn't exactly that clear-cut of a decision anymore. Especially since lately, your feelings for Leonard had tiptoed across the line of simple friendship and into something more.

Sure, by the time Leonard came in on Friday nights, he usually had a grumpy look on his face. One that sometimes took until halfway through his second bourbon to begin to disappear. The other bartenders generally steered clear of Leonard until that point, except for you.

In your eyes, Leonard is exhausted and stressed-out from giving everything he has to treating his patients to the best of his ability. You admired him and couldn't imagine doing what he does, or how he does it, day in and day out, all with the utmost grace and dignity. The least you could do was pour the man a drink to help him relax from a day like that.

Leonard found himself studying your face, looking for any indication of your thoughts about his plan. "Well?" he prompted, breaking you out of your concentration. "What do you think? I'm willing to throw in some cash, or prizes, if that helps," he chuckled nervously.

You grinned at his attempts to alleviate any tension, or to possibly influence your decision. "Oh, no, no, Len. You don't have to do anything like that. I'll do this for you, no strings attached," you affirmed. Given the potential for heartbreak, you were aware that you may regret this, but there was no way you could turn him down. His friendship meant too much for you to do that. Somehow, you'd have to learn to live with the consequences, should they arise.

Just as Leonard thought it was about to all fall apart when you seemed to hesitate, you surprised him by agreeing to his plan. And though you'd said, "no strings attached", Leonard knew his heart was already somewhat tethered to yours. Perhaps these thoughts he's been having of something more with you aren't that unrealistic after all.

Leonard relaxed in his seat at the bar and reached out to take your hand in his. "Well, I don't quite know how to thank you for this, darlin'," he drawled. "They told me the gala was about three weeks from now. As soon as I have the exact date, I'll let you know, in case you need to go shopping or something," he mentioned. "At least let me help you by covering that expense."

You tapped your chin, pretending to think, then turned to Leonard. "Hmm. I s'pose I can live with that," you replied with a smile. "I'm sure I will need to get something to wear, at some point anyway. Not much call for a ballgown and high heels in my 2nd-grade class," you chuckled, as did Leonard. "But my dress remains a secret until that night," you advised, holding up your index finger.

"Fair 'nuff, sweetheart," Leonard grinned.

The two of you chatted for a little while longer until it was time for Leonard to head home. He hardly ever stayed much past eleven on Fridays, and it was now edging close to midnight. "I'll be here Friday night, as usual, so I'll see you then," he remarked. Before he left, he took your hand in his and pressed a kiss to the back of it, then gave you a roguish wink.

Your eyes followed Leonard as he walked out of the bar and into the night. The navy-blue dress slacks he was wearing clung perfectly to his backside. The top two buttons on his white dress shirt were open, giving you a tantalizing hint of his broad chest. His suit jacket was slung over one shoulder as he waved goodbye to Jim with his other hand.

Jim stood next to you and observed the way you ogled his best friend with your lips slightly parted as you watched him leave the bar. It wasn't until the door closed that you snapped your mouth closed and returned to the task at hand. "So, did Bones have anything interesting to say?" he smirked.

Your head swiveled in Jim's direction, and you rolled your eyes at the smug look on his face. "Oh, shut up, Jim," you muttered.

*~*~*~*~*~*~*~*~*~*~*~*~*~*~*

Later that night after your shift at the bar, you were reflecting on Dr. McCoy's offer as you relaxed on your couch. All you had to do was to pretend to be the woman in his life, long enough for him to sign the agreement for the business deal. After the hospital's charity gala, you could break up with him, and you go back to being just friends. He made it sound uncomplicated. But will it really be that easy?

You could tell yourself all you want that you agreed to his plan because it was about one friend helping another. However, it wasn't that simple, considering your feelings for Leonard, even though you were sure he didn't return them. This arrangement made you wonder if or how you could ever go back to being "just friends", after you'd known what it was like to be his. As your eyelids drooped, your thoughts drifted back to that night when you'd first met Leonard.

>>Flashback

"Good evening, what can I get for you?" you greeted with a bright smile.

Leonard seemed to wince at your cheerfulness. "Bourbon. Please," he grumbled.

You delivered his drink and watched as he threw it back in one go. "Another?" you asked, to which he nodded. "Rough day?" you wondered as you replenished his drink.

Leonard paused mid-sip on his second drink. "Look, I know that bartenders are supposed to be great listeners, but please. I just want to enjoy my drink without anyone trying to shrink my head, especially one of Jim's new bartenders," he muttered. "No offense."

"None taken, but I have a deal for you. I have a joke for you, and if you don't laugh or crack a smile, your next drink is on me. However, if I do get a laugh or smile, no matter how small, you have to say something nice," you proposed.

Leonard's head tilted in curiosity and said he'd take your deal. You told your joke, but you think you messed up the punch line, because Leonard had no reaction. "Guess that means you owe me a drink, darlin'," he remarked.

"I reckon I do," you replied as you poured his next drink, then introduced yourself. He gave his name in return, and he watched as you ran the bar with precision, charm and grace. Throughout the night, you checked in with him, offering little tidbits about your life, while he did the same. You noticed that as the evening progressed, his time between refills got longer, while his laughs and smiles were more frequent.

Eventually, it was time for him to leave, but not without flashing you a smile and mouthing, "thank you". Whether that was thanks for your care and conversation or for making him smile, you didn't care. You had made a difference and that was enough for you.

>>End of Flashback

From that very first interaction with Leonard, a beautiful friendship was born. He came in every Friday night after work, and you got to meet his and Jim's other friends. Soon after meeting everyone, you were welcomed into the friend group as if you'd been there from the beginning. It was a feeling you didn't want to lose, especially once your arrangement with Leonard was over.

Noticing the time, you got up from the couch and stepped into the shower, praying that the hot water would ease your aching muscles. You also hoped it would relax you enough to the point that your brain would slow down enough to let you sleep. For now, you decided to let things happen naturally between you and Leonard, and try not to overthink the situation. Easier said than done, but I've got to try, you thought as your head sank into the pillow.

*~*~*~*~*~*~*~*~*~*~*~*~*~*~*

"Well, it's about time," Uhura remarked. You had invited her to lunch because you needed a semi-neutral third party to help sort through your emotions.

"Wait, what's that supposed to mean, 'it's about time'?" you asked.

"I mean exactly that, it's about time Leonard wised up and asked you out on a date," she clarified.

"I suppose it is technically a date. I get all dressed up in a beautiful ballgown, Leonard picks me up from my place and we go to this hospital charity gala thing," you explained. "I'm there so that Len can project an image of 'stability' to the board members. They're all married, and if they think we're together, they'll want to do this deal with him."

Uhura rolled her eyes. "You two, I swear," she muttered under her breath. "Do you not see the way Leonard looks at you? Wh-when we're at the bar and you bring over the next round of drinks, his eyes follow your every move. They stay glued to you until you get back behind the bar," she stated. "I'm tellin' you, that man is smitten with you."

"Nuh-uh, he watches so that if I start to have any trouble because the tray is too heavy or something, he can jump in and help," you countered. "Doesn't mean he has feelings for me, or that he's 'smitten' with me, or anything else like that," you grumbled.

Uhura waved off your feeble explanation. "Never mind that. What happens after the hospital's thingamajig? Does everything go back to 'normal' with you and McCoy?" she wondered.

That's the sixty-four thousand dollar question, isn't it, you thought. "I suppose so, I mean, I don't think either of us have thought that far ahead. Once he signs the contract and the deal goes through, he said I could break up with him and we'd go back to being friends," you explained.

As if Uhura could hear your thoughts, she remarked, "But you're thinking, 'what if that's not what I want', right?" You nodded at her keen observation as she reached over and covered your hand with hers. "Then you have to tell him. Take the leap and trust that Leonard will be there to catch you," she added.

You took a deep breath as you considered Uhura's words. "I'll keep it in mind. For now, I need your help to find a gown that will blow his socks off," you grinned.

"I can definitely help you with that, let's go!" Uhura exclaimed.

*~*~*~*~*~*~*~*~*~*~*~*~*~*~*

Across town, a meeting was being held between Dr. McCoy and the two chief physicians at his other clinics. He explained the terms of the deal with Bayview General Hospital, and what it would mean, especially with patient care. The conversation took a turn similar to yours and Uhura's when Leonard mentioned that he would be going to the hospital charity gala with you.

"Really? It's about damn time," remarked Dr. Jordan Wallace, one of his colleagues.

Leonard turned his surprised look towards Dr. Wallace. "Now, what's that supposed to mean?" he wondered.

"It means, Dr. McCoy, that we've been waiting for you to ask her out on a date since you first told us about her," answered Dr. Dylan Clark, another of his colleagues.

Leonard shook his head. "It's not like that between us, we're just friends who have known each other for a long time. They'll assume she's my girlfriend, and why should I correct their assumption?" he pointed out. "I suppose, technically, it is a date. We'll both be dressed up in our best, I'm picking her up from her house, and she'll be by my side for the evening," he explained.

Drs. Wallace and Clark looked at each other, unable to believe that Dr. McCoy, their friend and mentor, was this clueless about his feelings for you. "So, there's nothing more between you? This is only a business deal? What happens after the deal is signed, do you go back to being 'just friends'?" Dr. Clark wondered.

Leonard took a deep breath before answering. "I guess we haven't thought that far ahead, you know, about 'after'. It's not like I haven't ever entertained thoughts of something more with her," he admitted with a wry grin.

"What's so special about her anyway?" Dr. Wallace asked.

"Where do I start?" Leonard grinned. "She's intelligent, selfless, compassionate and has a great sense of humor. Her day job is a 2nd-grade schoolteacher, which should qualify her for sainthood on that alone. But she also works weekends at Jim's bar for some extra cash. On top of everything else, she's one of the most beautiful women I've ever met," he finished.

"Oh yeah, you're gone for this woman, Doc McCoy," Clark chuckled, as did Wallace. "My advice to you is to tell her how you feel. She sounds like an amazing person, and from what you've told us, you'd be perfect for each other. Take the leap and trust that she'll be there to catch you."

Leonard waved his hand to try and get the meeting back on track. "All right, all right, enough about my love life," he grumbled good-naturedly. "So, what are our thoughts on Bayview's offer?" he inquired, getting back to the business at hand.

*~*~*~*~*~*~*~*~*~*~*~*~*~*~*

After lunch with Uhura, you had found the perfect gown, a floor-length burgundy one with tulle overlay and cap sleeves. It had gold sequins on the bodice, at the waist and on the skirt. You found a pair of gold pumps along with some earrings and a necklace to match.

When you got home, you phoned Leonard to let him know so he could match his pocket square to the color of your dress. "Not even a hint as to what it looks like, darlin'?" Leonard chuckled.

"Not even a little hint, Len. A girl has to have some mystery about her. Keeps a man guessin'," you added with a grin you hoped he heard through the phone.

"Well, all right. I s'pose I'll let you have your mystery, sweetheart. Can't wait to see you this Friday, though," Leonard replied softly. "You'll be all dressed up like a princess, while I play the part of the frog," he joked.

"Fortunately for you, a princess can turn the frog back into the prince with only one kiss. And I will be more than happy to bestow one on you. Even though you're already a prince in my book," you remarked shyly.

"That's mighty kind of you to say, sugar," Leonard replied quietly. "Sweet dreams, darlin'," he responded.

"Sweet dreams of you, Len," you whispered, then hung up.

*~*~*~*~*~*~*~*~*~*~*~*~*~*~*

On the night of the gala, your friends Uhura and Christine came over to help you get ready. As you'd told Leonard, there wasn't much occasion for a ballgown and fancy shoes in your classroom. For this reason, you desperately needed your friends as reinforcements. Luckily, Christine was an expert with hair, which she put into a classic updo for you, with a few loose, wispy tendrils to frame your face.

Uhura was your cosmetics expert, keeping it at neutral colors for the most part. While at the same time, she was subtly enhancing your "existent beauty", as she'd called it. However, you were having trouble sitting still for her to apply the eyeliner and mascara. She finally stopped and asked you, "All right, what's going on? I can't finish your makeup if you don't stop fidgeting. What's wrong?"

You let out a breath you didn't know you were holding. "It's just....tonight might not be as easy as I thought it would be. I mean, yeah, sure, it'll be great when he holds my hand, or puts his arm around my waist, but that's because we're pretending," you explained. "We're putting on an act for those hoity-toity hospital execs so they'll sign this deal with him. What if I make a mistake and blow everything? And....I don't want it to be pretend anymore," you finished in a small voice.

"Oh, honey," Uhura brought you into a hug, being mindful of your hair. "It's going to be all right. Leonard will be by your side the whole night, and he won't let anything happen to you. Just relax and follow his lead. You two have been friends for such a long time that this should almost be like second nature to you," she pointed out.

"Yeah, you're right. If something's going to happen, it should do so naturally, as it would if no one is watching," you mused.

"Exactly, keep it natural. If you want to hold his hand, reach for it. If you need to hold his arm, take it," Christine chimed in. "And if he wants to kiss you, well," she grinned. "Then lock your lips with his and hold on for the ride," she cackled.

Once the laughter died down, Uhura returned to her task of your makeup. As soon as she finished, she and Christine helped you step into your gown and zipped it up. You slipped your feet into a pair of gold pumps with a low heel and headed out to the living room, where you'd left your jewelry. Right after you'd secured your crystal earrings in place, there was a knock at the door and you froze in place.

"He's here," you whispered, your hand rising to cover your mouth.

Uhura rolled her eyes with a grin as she rose from her chair. "Relax, honey, I'll get the door, even though I know it's for you," she smirked. She checked the peephole, turned to you with a wink and a nod of her head. You nodded back and waited with bated breath as she turned the doorknob.

The sight that greeted you was one for which you were not prepared: Leonard McCoy in a tuxedo. The man was devastatingly handsome enough as it was, no matter what he wore, but a tuxedo?? He was a menace to be sure, but in the best of ways. "Good evening, Dr. McCoy. Won't you please come in?" Uhura prompted.

"Thank you, Nyota, I....," Leonard's voice trailed off when his eyes landed on you. "Whoa, sweetheart," he whispered. "You look absolutely exquisite this evening. Truly breathtaking," he added with a warm smile.

"Good evening, Leonard. And thank you," you returned his smile a bit shyly. "You look rather dashing yourself. Charming and handsome is quite the lethal combination, I'll have to keep my eyes on you," you teased. In front of you was the box that held your jewelry for the evening, the necklace still in the case. "Oh, um, excuse me a moment, last part of getting ready," you motioned to the box.

Leonard stepped over to where you were fiddling with the clasp on your necklace with shaking hands. He covered your hands with his own and eased the delicate chain from your hold. "Allow me," he murmured. You turned your back to Leonard and watched as the pendant with your birthstone came into view. An involuntary shiver coursed through your body when Leonard's hands brushed the soft, short hairs at the nape of your neck, which did not go unnoticed.

His hands traveled from your shoulders and down the length of your arms, capturing your delicate hands in his larger ones. Leonard gently nudged you to pivot until you were facing him, a tender smile on his face. "Pretty as a picture, darlin'," he remarked, causing the heat to bloom in your cheeks.

"Hey, that's a great idea," Christine chimed in, holding up her phone. Leonard slipped his arm around your waist, tugging you closer to his side, while you moved to rest your left hand against his chest, palm side down. "Smile," she prompted.

Leonard had shifted so he was facing you more than he faced Christine's camera. His right hand lightly covered your left one, and his eyes focused solely on you. The corners of his mouth twitched upwards in a secret smile, one you were glad only you could see. "I am one lucky man tonight," he whispered. "Shall we?" he asked, to which you nodded.

You picked up your gold, quilted-leather handbag and dropped your phone inside to join your wallet. Leonard held out his arm, so you curled your hand around it and he tucked it close to his side. "Time for us to go. I bid you good evening, ladies. I'll try to have her home at a reasonable hour," he chuckled.

"Take all the time you want, it's not like she has a curfew or anything," Uhura snorted with laughter, which earned her a glare from you. Christine caught the exchange between you and Uhura, which caused her to break out into laughter as well. Leonard grinned and shook his head as he led you out to his car.

Christine pulled up the picture she took of you and Leonard and sighed. Uhura stepped over to peer over Christine's shoulder and let out a sigh. "They're so in love with each other, but neither one of them will admit it. That picture says it all," Uhura remarked while Christine nodded in agreement. "Send that to me, will ya?" she asked.

*~*~*~*~*~*~*~*~*~*~*~*~*~*~*

At the event, you and Leonard were the last of your group to arrive, but that was to be expected. He introduced you as his girlfriend, and explained that you have been together for about five years now. Leonard mentioned that you had met at Jim's bar, and how he knew as soon as he met you, that he wanted to get to know you better.

It made your heart flutter to hear Leonard say that, but you wondered if it was part of the act, or if he truly meant it. You pushed it to the back of your mind when Leonard guided you out onto the dance floor.

As you swayed back and forth, there was a softness in his eyes. Leonard pulled you closer to his side and his hand covered yours, which was laying flat against his chest. When he moved to rest his cheek against the side of your head, you could feel him smile.

After dancing, it was time to find your assigned table for the sit-down dinner. Somewhere between the main course and dessert, the men adjourned to discuss the business proposal from Bayview General Hospital. That left you to fend for yourself with their wives, but you were determined to keep up the façade for Leonard's sake.

Martin Sinclair's wife asked you what you do, and you responded that you were a 2nd-grade school teacher. You earned some polite nods and murmurs of affirmation from a couple of the wives. However, you also got the feeling that the other wives were not known to work outside the home, if ever or at all.

You scanned the room and noticed that the other executives had left Leonard by himself at the bar, sipping a bourbon, no doubt. As gracefully as possible, you excused yourself from the table to check on him.

Not knowing whether the meeting went well or not, you approached Leonard with caution by carefully laying a hand on his bicep. "Len, is everything okay? Where did the others go?" you asked. When he turned to face you, you were greeted with the widest smile you'd ever seen on him.

Leonard looked like he could hardly contain his excitement. "Everything went smoothly, they walked me through the points of their offer. All three clinics will remain open, we continue to serve patients, with no changes in the staff levels. Everyone gets to keep their jobs, and we can all keep doing what we love," he gushed. In a rush of enthusiasm, he pulled you into his arms, lifting your feet off the ground as he gently twirled you around.

When your feet were finally back on the floor, you stayed within Leonard's tender embrace. "All this time," he murmured as his fingers tucked a strand of hair behind your ear. "We've known each other all these years. How am I only now realizing that--" his last thought was interrupted by his phone ringing in his pocket. He explained that it was Dr. Wallace calling to see about the deal, and nodded when you indicated you were going to freshen up.

*~*~*~*~*~*~*~*~*~*~*~*~*~*~*

As you were leaving the ladies' room, you had only opened the door at a small crack when you heard two of the executives talking about the deal. They were congratulating themselves at getting Leonard to accept their terms, a few of which sounded different than what Leonard had told you.

One of them said that one of Leonard's clinics would have to close, because it wasn't profitable to accept all patients without adequate insurance. You decoded that it meant staff would be let go, and the city would lose a valuable and much-needed healthcare resource. Leonard would never agree to a deal that included those terms, thus you had to tell him before he signed anything. You waited until the men left the restroom area, then made your way back to the table.

Leonard checked his watch, anxious at the amount of time you were away from him. He was just about to go and look for you when you had returned to the table. "There you are sweetheart, I was about to send out a search party," he teased. His smile dropped when he saw the look on your face. "Is everything all right?" he asked quietly, growing more nervous by the minute.

"Not really, and I need to talk to you before you sign anything," you rushed out, then moved to a corner of the room near your table.

Leonard's face shifted to a look of concern as he rose from his chair and joined you. "Sweetheart, what's going on?" he wondered.

You relayed what you had heard on your way out of the ladies' room. When you got to the part about the clinic closing and the staff changes, Leonard waved his hands in front of you. "Wait, stop, that's not what's in this deal. They assured me--" he remarked, but you interrupted him.

"I think they told you whatever they needed to so that you would sign their deal. One of them said that it wasn't profitable to accept patients without 'adequate insurance coverage'. That was the reason they were closing one of the clinics," you explained.

Leonard vigorously shook his head. "No, no, you must have heard them wrong. Let's get back to our table so we can finish our evening," he demanded, reaching for your hand.

You pulled your hand out of his reach. "You can't sign that deal, Leonard. Please don't. You've worked so hard to get to where you are, and you're doing so much good for the city. I am immensely proud of you for that. But these men don't have your best interests at heart. All they see is profit and loss," you muttered.

"Can't you see what this deal means to me and my staff? To my patients? We can keep serving our patients like we always have, except now we'll have access to so many more resources! This deal is a good thing!" he exclaimed.

"Not if it comes at the expense of your patients, your staff and yourself," you replied sadly.

Leonard paused for a moment. "You know, it all must look so simple when viewed from the perspective of a 2nd-grade school teacher and part-time bartender," he shot back, his hands on his hips.

"What exactly do you mean by that?" you retorted.

"I mean, it's kind of hard to take the advice from someone whose biggest decision is what subject to teach a bunch of second graders every day. Meanwhile, I need to consider how I can best meet the needs of my staff and my patients. On top of that, I have real life-and-death situations to deal with." He watched as the color drain from your face at his response. Once the words were out of his mouth, he wanted nothing more than to cram them back in.

"Is that what you think about my job? About me? That my profession is inferior to yours, or that I am somehow 'less than'?" you countered. When Leonard didn't respond, you dropped your gaze to the floor. "Right. Well, you got your deal. Therefore, you no longer need me, so now we can break up. And I don't ever want to see you again," you croaked. "Goodbye, Leonard," you whispered. You picked up the skirt of your gown and rushed back to the table and grabbed your handbag before running out of the venue.

"NO! Sweetheart, wait!" Leonard shouted. He started to race after you, but was stopped by Mr. Sinclair.

"Is everything all right, Dr. McCoy? Looks like a little trouble in paradise, if you ask me," Sinclair smirked.

Leonard looked the hospital CEO in his eyes. "Yeah, well, I didn't ask you. The reason we were arguing was because of something she heard about your business proposal. You know, the part where you close one of my clinics and people lose their jobs. I believe you forgot to mention that in our agreement. I'd hate to think you'd lie to me about such an important aspect of the deal," he challenged, crossing his arms over his chest.

For his part, Sinclair looked nervous for about a half second, then quickly recovered. "Is that what she's up in arms about? Dr. McCoy, she's a school teacher. What does she know about making such complex business deals? Besides, we were going to discuss the staffing issue with you after the deal was signed. That way, we can decide how to best incorporate your resources with ours," he lied smoothly.

Leonard ran his hand over his face as he realized you'd been telling the truth and prevented him from making the biggest mistake in his life. Well, one of the biggest anyway. "I don't believe this. First of all, how dare you insult my girlfriend like that! Especially when she was right about you. Secondly, why would you lie to me about something this important?" he huffed. "Never mind, I don't care to hear your reasons or your excuses. Deal's off," he snapped on his way out of the ballroom.

As soon as he burst out of the front doors, Leonard's eyes frantically searched up and down the street, praying for a glimpse of you. A flash of gold caught his eye just as you finished tucking your skirt inside the taxi and you closed the door. Leonard ran and shouted for the taxi to stop before it pulled away from the curb, but it was too late and you were too far away. He pulled out his phone and dialed your number, only to have his call go directly to voicemail. With a string of curse words, he tried to call you again and again, with the same result.

Leonard slumped against the building trying to catch his breath, while silently mulling over what he'd lost this evening. He blew the deal, but for a good reason and he had no regrets about his decision to do so. There was no good reason for what happened with you, though, and there were oh so many regrets. He trudged to the valet station and handed over his ticket. Time to head home and see how long it would take to drown his sorrows in bourbon before he simply passed out.

*~*~*~*~*~*~*~*~*~*~*~*~*~*~*

When the taxi dropped you off, you noticed that Christine's and Uhura's vehicles were still in your driveway. No doubt they want to hear how the evening went, you thought with a grimace. You fumbled in your handbag for your keys, but stopped when Uhura yanked open the door. Her eyes grew wide at seeing you alone on your front porch with Leonard nowhere in sight.

"Did I see you get dropped off by a taxi?" she asked. You nodded and dropped your gaze to the ground, not wanting her to see your face with your eyes red and puffy from crying. She stepped back enough to allow you to enter the house. You stepped out of your shoes, then picked them up and took them to your bedroom. "What happened? And where's Leonard?" Uhura inquired.

You heaved a deep sigh. "I need to get out of this dress first, then I promise I will answer all of your questions," you replied wearily. Before she closed your door, Uhura unzipped your dress so you could step out of it and put it back on the hanger. Once you had changed into your pajamas and fuzzy slippers, you stopped in the kitchen for a glass of water, then took a seat on the couch.

"The evening started off so well. Every time Leonard introduced me to someone as his girlfriend, all the butterflies in my stomach took off in flight. Deep down, I knew it was for show, but at the time, I didn't care. Anyway, we had a couple of dances before a lovely dinner. Then, right before dessert and coffee, Leonard and the execs stepped away to discuss the deal," you explained.

"Leaving you with the wives, I assume. That must have been fun," Christine muttered, rolling her eyes.

You chuckled softly and nodded. "It was okay. All part and parcel of the whole 'fake girlfriend' gig, I suppose," you mused. After taking a long drink of your water, you continued. "I saw Len standing by the bar, so I went over there to see how it went. He was so happy when he told me that they want to do the deal and explained some of the terms. I think he was about to say something important, but one of the doctors from his clinic was calling him for an update. So I excused myself to the restroom."

"All good, so far. What happened next?" Uhura asked.

"When I was coming out of the ladies' room, I heard two of the execs talking about the deal. Their terms were very different from what Leonard told me. I waited for them to leave then I returned to the table. I must've looked upset, because Leonard and I stepped aside, then I told him what I'd heard," you remarked.

"And how did he take it?" Christine wondered.

You took a deep breath and dropped your gaze to your hands, where your fingers were twisting in your lap. "Um....not well? I guess? He didn't believe me, said I must have heard wrong. I tried to convince him not to sign anything, because they were lying to him just to get him to agree to the deal. Then he...." your voice trailed off.

"Go on, what did he say next?" Uhura inquired in a tight voice.

"He said uh....he-he kind of indicated that as a 2nd-grade teacher, I have a rather simple view of things. That I couldn't possibly understand how complicated this deal is, or how beneficial it will be for everyone," you swallowed back a sob.

"He said that??" Christine gasped.

You nodded slowly. "I told him that if that's what he thinks of my job, of me, then he didn't need me anymore since he got his deal. I said we could break up now, and I didn't want to ever see him again. After that, I ran back to the table, grabbed my purse, and bolted out of the venue. One of the valets hailed a taxi for me, and Leonard's been blowing up my phone ever since I left." From the couch cushion next to you, a text notification sang out, so you held up your phone for Uhura and Christine to see.

Uhura made a noise of disgust, then scowled and held her hand out. You passed over your phone, which she promptly turned off then handed back to you. "There. Leave it off for the night, and you can decide in the morning if you want to talk to him," she advised, and you nodded in response.

*~*~*~*~*~*~*~*~*~*~*~*~*~*~*

The weekend passed without any contact from you, which did nothing but fuel Leonard's concern for you. As far as he could tell, his text messages went unread and he had no idea if you listened to his voicemails. He went to The Space Dock on Saturday night, hoping to catch you at work. Jim told him that you'd taken the weekend off for personal reasons, deepening Leonard's anxiety about you.

That night after the gala, Leonard indeed went home and had more than a few swigs of bourbon. He wanted to drown out the memories of the evening, even though it had all started so well. Leonard was proud to introduce you to everyone as his girlfriend, something he wished was his reality, not fiction. The two of you even enjoyed a couple of turns around the dance floor before sitting down for dinner.

After the main course, the business portion of the evening occurred, where Sinclair and the others outlined their proposal. Everything seemed good on paper: no staff reduction and no clinic closures, just business as usual with access to more technology. He shook hands with Sinclair and the others, who advised him that the contracts would be sent to his office for signatures.

It all started to fall apart after you got back to the table and told him what you'd heard. You tried your best to convince Leonard that this deal wouldn't benefit him the way he thought it would. Problem was, he was too wrapped up in seeing its advantages that he didn't want to believe in anything that would threaten it.

So he lashed out and said those awful things to you, belittling your profession, diminishing your sense of self. Leonard could swear he witnessed the exact moment your heart shattered into thousands of pieces from the force of his words. And the light leaving your eyes was something he never wanted to see again as long as he lived, especially since he was responsible. You ran out before he could catch up to you and the taxi took you away from him before he could stop it.

*~*~*~*~*~*~*~*~*~*~*~*~*~*~*

Monday morning found Leonard at his desk, which was full of paperwork that needed various levels of his attention. Instead, he stared at his phone, willing you to answer at least one of his text messages or respond to one of his voicemails. Even if you told him to never contact you again, it would be some kind of answer. He was about to call Uhura or Christine for an update on you, when the door to his office flew open.

"What in the hell did you do that night?" Jim thundered. Leonard's office assistant, Abby, was close behind, trying to pull Jim back out of the office.

Leonard motioned to Abby that everything was okay and that he would take care of the situation from here. She nodded and closed the door behind her, then Leonard turned his attention to his visitor. "Now, Jim I-" he started.

"She quit, Leonard. My best bartender quit. Said she was sorry, and that it was for personal reasons, but she refused to elaborate. Now, I'm aware of her agreeing to be your pretend girlfriend, thus I can only surmise that something terrible went down that night because of it. So, out with it. What did you do?" Jim demanded, his arms crossed over his chest.

Leonard took a deep breath before responding. "Okay. Here's what happened," he relented, then ran through the events of that night. Jim eased himself into a chair and as he listened, he did a thorough review of Leonard's appearance. Dr. McCoy had a weekend's worth of stubble, coupled with a defeated expression on his face. Whatever happened, Jim could see that it greatly affected both of you, because he knew you weren't faring much better.

When Leonard finished his story, Jim sat back in his chair and let out a heavy sigh. "Wow. What are you going to do now?" he asked.

"I don't know, Jim. Right before you walked in, I was about to call Christine or Uhura to see if they would at least tell me how she was doing. However, I'm pretty sure they won't tell me anything. 'Girl Code' and all, I suppose," Leonard muttered, then he turned his sad expression to Jim. "I need to know how she is and explain how sorry I am for what I said," he implored. "And I have to tell her how I feel."

Jim thought for a few minutes then sat up in his chair and leaned his elbows onto Leonard's desk. "I have an idea, but it's nothing elaborate," he started.

"Go ahead. At this point, I'll do just about anything to get her back. She deserves the world, and I want to be the one to give it to her," Leonard declared.

Jim clapped his hands, then rubbed them together with glee, the complete opposite mood he had when he walked in. "Okay then. Here's what we do," he grinned.

*~*~*~*~*~*~*~*~*~*~*~*~*~*~*

"All right, class, when I get back, we'll start the next chapter for Where the Red Fern Grows," you promised. "For now, finish up your math worksheets from earlier today, otherwise please sit quietly until I return," you directed. A few moments ago, you'd received a text message from Margaret, the principal's assistant, asking you to please come down to the office.

When you were still a few feet away, you gasped in shock to see Leonard standing there with a bouquet of white and yellow tulips and pink roses. You stopped short in your path to the office, not wanting to be seen. Just as you turned around to go back to your classroom, Margaret called out your name and you cursed under your breath. Leonard's eyes caught yours and you could see the apology and regret, but you weren't exactly ready to forgive him quite yet.

"Margaret, what's this all about? I was getting ready to start our reading session when you called me down here," you narrowed your gaze. "I really don't have time for this. Besides, I told you that I don't want to ever see you again. I'm going back to my class," you directed at Leonard, then turned on your heel and started walking down the hall.

Leonard rushed out of the office and managed to catch your arm, which you promptly removed from his grasp. "Wait, please sweetheart, I need to talk to you," he pleaded.

"You said enough that night, Leonard McCoy. Your feelings about me and my chosen profession were made quite clear at the gala. I hope you still got everything you wanted after I left," you replied. "Now if you'll excuse me, my class is waiting to see what happens next with Big Dan and Little Ann," you remarked as you resumed your path back to class.

This time, Leonard didn't stop you, only stared after you to see what room you went into then wandered after you. He only got a few steps when Margaret tapped his shoulder, a laminated card on a lanyard in her hand. "If you're going to be roaming these halls, you must have a visitor's badge," she explained.

Leonard slipped it over his head then gave Margaret a brief smile. "Thank you."

"Listen. I don't know what's going on with you two. All I know is that in these past few weeks, she's been smiling a little easier and seems happier. I hope you work out whatever it is between you, because she's one of the best 2nd-grade teachers we have. You'll find her in Room 23B," Margaret winked.

Leonard's face broke out into a huge toothy grin. "Thank you, Margaret. I don't intend to let her get away," he winked back and headed for Room 23B. When he arrived, he noticed that the glass window by your door was covered in construction paper cutouts of stars. Each star had a student's name on it, and at the top of the window read the caption, "Reach For the Stars".

He peered into your room, where you were reading from a well-worn, leather-bound book, Where the Red Fern Grows. Although he couldn't hear your words aloud, Leonard could tell from your facial expressions that you were bringing the story to life. It was at that moment he saw how much of your heart and soul were invested in your profession. He understood more now why his words had hurt so much that night.

Leonard was about to walk away when a student turned towards the door and caught his eye. The student must have said something to you, because you stopped reading and quickly left your seat. You marched towards the door and yanked it open. By the time you slipped out into the hallway, you were fuming. "Are you out of your mind? How dare you interrupt my class time!" you hissed.

He held up his hands, pleading with you. "Wait! Please! All I want is a chance to explain myself. If you want nothing more to do with me after that, I promise I'll respect your decision," Leonard promised.

You shook your head. "No, you need to go home, Leonard, because I cannot have this conversation with you right now," you retorted. You spun on your heel and reentered your classroom, pulling on the door to close it behind you. However, it didn't completely latch, leaving a sliver of opportunity.

Leonard took a deep breath, checked the bouquet in his hand and nudged open the door. He saw your eyes widen with each step until he was standing before you at the front of the room. "I don't believe this! Leonard, please, now is not the time for--" Leonard stopped your rant with a swift press of his lips to yours.

At first you fought the urge to give in to what you've wanted since you first met Leonard, so you don't return his kiss. Not at first, anyway. But Leonard was persistent and didn't let your resistance deter him in the slightest. "I'm sorry, but this was the only way I could think of to get you to stop talking," he murmured.

Suddenly you were aware that twenty-five pairs of eyes were trained on the two of you, which caused a heat to bloom in your cheeks. "Um, don't look now, but we have an audience," you replied sheepishly.

You looked at the faces of your students, some smiling, but all fully paying attention to the drama unfolding before them. No doubt your real-life story was more interesting than the book your class was currently reading. You were their beloved teacher, and they had to see how it would play out.

At this realization, you snapped back to reality and the situation at hand. "Just answer me one thing, Leonard. Was any of it real for you? The stories, the compliments, did you mean any of it? I know what we said when we started this, but I've wanted it to be real for a long time. I-I am in love with you, Leonard McCoy," you declared softly.

Leonard audibly sighed with relief. "Sweetheart, of course it was real. I meant everything I said about you. When we met, how happy I was to be with you these past five years....how beautiful you were that night," he revealed. "And still are," he whispered. "I'm in love with you, too," he affirmed.

You tenderly cradled his jaw and stroked his cheek with your thumb, smiling when you felt him lean into your touch. "Class, what do you say? Show of hands for inviting Dr. McCoy to join us for the rest of class," you called, your eyes still trained on Leonard. Every hand shot straight into the air. "It's just me reading Where the Red Fern Grows," you murmured.

A grin slowly stretched across his face, then he leaned forward to touch his forehead to yours. "Good thing Margaret set me up with a visitor's badge, huh?" Leonard chuckled. "I would love to join you and your class," he remarked.

"Remind me to thank Margaret on my way out today," you giggled. Leonard nodded, then took your hand in his and pressed a kiss to the back of it. He picked up an empty chair and positioned it near your chair at the front of the room. When you reopened the book, you winked at Leonard before returning to where you'd left off in the story.

*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*

Tags: @marvelouslytrekking @spacedancer1701 @anna-phora @hailbop1701 @writercole @lassie-bird @never--doubt @phoenixisred @wayward-dreamer @erindiggory @strangesgirls @dumpsterhippie @genevablog26 @lokis-deares @medicatemedrmccoy @rooweighton @mamamercurymist @d-doki-doki @malmeansbad @imamotherfuckingstar-lord​

[useless-catalanfacts]

No sé si has vist la controvèrsia que hi ha hagut amb la editorial Ivréa aquest cap de detmana per twitter on sembla que han estat bloquejant a gent només per preguntar si anaven a traduir mangues en català.

https://twitter.com/samfaina_visual/status/1672900791982538755?cxt=HHwWhoC2qYWaq7cuAAAA

https://twitter.com/ryuzakyy7/status/1673009848319967235?cxt=HHwWhoC8rfrl3LcuAAAA

https://twitter.com/elmangazin/status/1673015937698594819?cxt=HHwWhoC84bPI37cuAAAA

🤦 No ho havia vist, no.

The social media managers of the publisher house Ivrea are angry that some Catalan people have asked them (with full respect) if they will ever publish some mangas translated to Catalan too (for context, this publisher has a headquarters in Barcelona but only publishes in Spanish). The comment that started it all was this one (in Spanish, so the publisher can understand without complaining):

Translation: Hi @/Ivrea, my niece asked me if some day she'll be able to read #SpyXFamily in Catalan? She's starting to get into manga now thanks to Dr. Slump and Night Guardians and she would love to read it in her mother tongue.

The official Ivrea account blocked Samfaina_visual right after saying this, and tweeted saying these are bad faith comments and that it looks like this is a troll. Ivrea has blocked the other users who commented saying they would like it too or showed support in favour of Samfaina_visual.

There's a Catalan online magazine that talks about mangas called Mangazine, they were blocked by Ivrea too because they reported about this happening, even though they have many times reviewed Ivrea's mangas (which is a way of promoting them without getting paid btw, they're not even thankful for that). They sent a very respectful message to Ivrea asking why they and other Catalan people who post about mangas were blocked, and Ivrea answered a very angry text full of anti-Catalan stereotypes (for no reason, nobody had brought them up before) and pure hatred for the Catalan language, and ends by saying that they will sue for hate crimes against Spanish. For having asked if they will publish in Catalan.

(It's the 3rd link. It's quite long so I'm not translating the full thing but if someone wants to know and doesn't speak Spanish, let me know and I will translate it)

See what we have to deal with? The mere fact that we still exist is treated as a hate against them, just because we survived these centuries of persecution and illegalization, resisted and didn't give in and abandon our language and culture to substitute them for the Spanish ones that they keep telling us are so superior. Nothing against Spanish, we would just like to be able to live in our language, like they have the right to live in theirs. But apparently that's a hate crime. This is the treatment that marginalized languages get in Spain.

I hadn't seen this case before anonymous sent me this ask, but it did not suprise me at all, taking into account the amount of Catalanophobia there is. Very often there are cases like this, or where Catalan speakers are denied healthcare in public hospitals in Catalan-speaking territories because the staff are Catalanophobic: an example from last month, where a man was being served dirty food and denied water and mistreated by the hospital staff in Palma; or when a man called an ambulance and the person who answered the emergency number refused to call the ambulance until he repeated it all in Spanish and started giving him lessons on the phone saying why he must speak Spanish and that "you are not Catalan here" for some reason instead of calling the ambulance; or when a doctor refused to treat a patient for not speaking in Spanish, when this patient had a psychic disability and Catalan was the only language she spoke; or the many, many, many, many, many, many cases where doctors have refused to attend Catalan speakers because they spoke to them in Catalan. Or how people are kicked out of services like a hotel, a bank, a taxi, a petrol station (this one with an extra of anti-Catalan slurs), a press conference, or an airplane for speaking Catalan. Or the way that the Spanish police arrests or fines people just for speaking Catalan (again, many, many, many, many, many, many, many, many, many times) and sues them because speaking Catalan to a policeman is considered disrespect of authority. Or the hoards of Catalanophobic insults that content creators who make stuff in Catalan get online, or the way that tragedies like airplane crashes and terrorist attacks are celebrated on Spanish social media because Catalan people died, or the way that Spanish nationalists (talking about individual citizens here, not just the police) have beaten people up for their ideology, even the Facebook group of Spanish people living in London called to "hunt independentists", among others. And this is without getting into what the Spanish media say or, even worse, the politicians, that reaches points like a mayor of PP (the Spanish conservative party) that publicly said "we must erradicate Catalan and its carriers" (I translate as "carrier" the term "agente portador" which is the wording used for someone who carries and spreads an illness).

All of these cases happened here in Catalan-speaking territories btw, it's not like we go somewhere else and expect to be attended in our language (unlike others ehem), it's in our own country that we're not allowed to use our language.

So, yeah.

[eaglesnick]

“Those who do not learn history are doomed to repeat it” -  George Santayana,

Wes Streeting has announced a new regime for NHS hospitals, with OFSTED type league tables and the sacking of under performing managers. Hospital trusts can expect to be ranked on a range of indicators such as finances, delivery of services, patient access to care and the competency of leadership. Top performing trusts will be given more money and greater freedom on how that money is spent.

I have no idea how effective these reforms will be but Streeting would be well served to remember the negative impact the introduction of OFSTED league tables had on schools and teaching staff.

For years concerns were voiced regarding the heavy handedness of OFSTED, its crude reporting format and its negative effects on staff moral. The suicide of head teacher Ruth Perry, having had her school downgraded by OFSTED from  “Outstanding" to " Inadequate”, led to an inquiry into the whole OFSTED process. This inquiry described OFSTED as “toxic” and "not fit for purpose". We can only hope Streeting’s new hospital inspectors will not make the same mistakes.

Wes Streeting and his new inspectors would do well to remember   the social context within which individual hospitals operate.

In education it was found that :

“A school in a poor area is five times more likely to be ‘failing’ than affluent areas”  (tes magazine: 16/06/18)

In other words, the more deprived an area, the more likely it is for schools to be judged by OFSTED as “failing” or “inadequate”. It cannot be a coincidence that social class seems to play a major role in the success of a school as measured by the narrow focus of OFSTED.  Will the same bias apply when hospitals are being judged under Wes Streeting’s new NHS inspection regime?

Wes Streeting is a keen advocate of utilizing AI within the NHS.

"AI has the potential to revolutionize healthcare by improving efficiency, reducing waiting times, and enhancing patient outcomes. We must embrace this technology to ensure the NHS can meet the demands of the future."  (29/06/23)

Taking Wes Streeting advice I consulted AI when  asking this  question:

“Is there a link between the social class of an area and the success of hospitals serving that area?”

Unsurprisingly, AI found there was indeed a very strong connection  between the two.

“Yes, there is a link between the social class of an area and the success of hospitals serving that area. Research has shown that hospitals in more deprived areas often face greater challenges, which can impact their performance and outcomes. These challenges include higher rates of chronic illnesses, greater healthcare needs, and limited resources. As a result, hospitals in lower socio-economic areas may struggle to achieve the same outcomes as those in more affluent areas.” (Copilot: 13/11/24)

I hope Wes Streeting’s new NHS inspectorate takes this obvious connection into account when compiling their reports but the news headlines today suggest otherwise.  The media talk of "naming and shaming”, sackings and the withholding of money from “failing hospitals". 

Just as has happened in schools, this will lead to a further demoralisation of NHS staff working in socially deprived areas, recruitment and retention problems and a  worsening of NHS hospital services in those areas.

It would seem that despite the findings if the OFSTED Inquiry, as far as Wes Streeting is concerned lessons have NOT been learned.

[locustheologicus]

This is the Catholic Church

Cardinal Dolan of the Archdiocese of New York, who gave the opening inauguration blessing a week ago, responds back to JD Vance’s attack on the Church in the video above. On a radio show he also said this.

I was really disappointed with what he said on ‘Face the Nation’ the other day. And I don’t mind telling you, somewhat hurt. This was not only harmful, this was inaccurate. You heard what he said: ‘Oh, the bishops, they’re pro-immigrant because of the bottom line, because they’re making money off this.’ That’s just scurrilous. It’s very nasty, and it’s not true,

The USCCB has also responded to JD Vance reminding him that the social ministries of the Church "remains a work of mercy and a ministry of the Church." and while some programs may take federal money to help operate these services "these funds are not sufficient to cover the entire cost of these programs." America magazine shares further insight into the Church's refugee program and the use of funds for these programs. There is no profit motive here and JD Vance knows that, even if he does not know or understand why the Church operates social ministries. That may be true of other Catholics as well so this may in fact be a teachable moment to educate our Catholic community on the nature of social ministry.

Catholic Charities is the social ministry arm of the Church. Catholic hospitals fulfill the healthcare ministries, Catholic Schools and Universities operate the educational ministries, and Catholic Charities are responsible for the social service ministries which we tend to call social ministries.

Social ministry, along with education and healthcare ministries, are Christian ministries that emerged from the example of Jesus and the apostles. In preaching the Kingdom of God they healed, taught, and provided for the needs of those they served. The two famous feeding of the multitudes depict the origins of social ministry which surface in Acts 2:44-45 and becomes institutionalized with Deacons having the responsibility to distribute to the needs of the community.

“All who believed were together and had all things in common; they would sell their property and possessions and divide them among all according to each one’s need.”

As the Church develops into a defined institution they eventually employ almoners who are officers of the Church responsible for the distribution of alms (donations) and supervising charitable works. These officers were considered prominent officials and some nations had the position of “grand almoner” that oversaw charitable programs within a kingdom or region. Eventually this position evolved into the professional field we now call social work and in the church we continue to operate these through our social ministries including Catholic Charities and Catholic Relief Services.

The work that we do to serve the social needs of all people including the immigrant and refugee is a crucial part of our identity. We prophetically stand on all issues of life and dignity and this includes those who are migrants and marginalized just as much as it includes the unborn and dying. JD Vance and Catholics who question our resolve will need to reflect further on what it means to be a Catholic. The Church is ready to provide religious formation on our social values and ministries. Cardinal Dolan and Msgr. Sullivan from the Archdiocese of New York are publicly providing these right now.

I am a social minister who works at Catholic Charities and I am proud of the work we do for the Church and the community. At Catholic Charities we are able to bring to life our cherished Catholic social teachings by assisting those in need. We have a number of Catholic saints who have been pioneers in this ministry including Pierre Toussaint, Elizabeth Seton, Fr. Michael Mcgivney, Mother Cabrini, and Msgr. Bernard Quinn. In Brooklyn we Catholics have a proud history of finding creative ways of serving the poor, orphans, seniors, mentally ill, and immigrants since the 1850’s. This is our legacy and this is not about to stop simply because JD Vance and others do not understand or appreciate the mission of the Catholic Church.

Finding creative ways does mean being open to a diverse funding stream and partnering with government and community organizations to broaden our ability to assist our local communities but these for us are a means to an end. To be clear our end is the Gospel message and our social teachings.

As I said this may be a teachable moment and perhaps the reader would want to further discover the nature and history of our social ministries. If so may I recommend a book I recently wrote on this very topic: "The Field Hospital Church: Catholic Social Teaching and Ministry."

[eucanthos]

Jackie Nickerson (US, 1960)

Field Test photobook (published by Kerber Verlag) also highlights how indispensable the material has become to humanity. Brought into focus by Covid-19, subjects’ faces might be shrouded by industrial mesh, shielded by surgical masks beneath, some wear protective gloves and hospital scrubs. There are even Polaroids of healthcare workers in full PPE.

Field Test was conceived and shot long before the pandemic. In fact, she came up with the idea in 2014, when she travelled to Liberia to cover the Ebola outbreak for Time magazine.

https://www.1854.photography/2021/01/jackie-nickerson-field-test/

[entrepreneurinsights]

Entrepreneur Insights | Magazine For Business Stories

Best Entrepreneur Magazine for business stories in India. Entrepreneur Insights write and published magazine for Business Stories. These Entrepreneur Magazine provide the best knowledge for business stories in India.

[radish-lesbian]

A reminder that the US faces a tragic and Orwellian reality, where women are not allowed to make the best medical decisions about their own bodies and lives.

Stories from women who have suffered under these barbaric laws below the cut.

On July 10, 2022, Yeniifer (Yeni) Alvarez-Estrada Glick died along with her unborn child due to pregnancy complications. She was not informed of the dangers of her high-risk pregnancy, and abortion or early delivery was not given as a life-saving option for her.

https://www.newyorker.com/magazine/2024/01/15/abortion-high-risk-pregnancy-yeni-glick

On August 9, 2023, Miranda Langley gave birth to fatally conjoined twins who died briefly after. While she survived, she had to have a c-section to remove them, an invasive abdominal surgery. In Texas, she could not have had an abortion, even though the twin’s death was guaranteed. Pregnancy never comes without risk, especially in abnormal pregnancies where the regular procedures and body’s functions are disrupted.

In July, 2023, three women testified about their heartbreaking experiences of nonviable pregnancies and the inaccessibility of abortion. One, a woman who, despite being told ‘miscarriage was an inevitability’, went into septic shock delivering her dead baby. Another, a woman whose baby did not develop a brain stem, but was forced to carry her to term. The final one, a mother carrying twins, one of whom was nonviable, putting her and the other unborn child at risk. Despite this, Texas blocked her abortion. She was able to scramble and make it to Colorado, where a simple short procedure ensured that her other twin was delivered healthily. The lawsuit failed on the grounds that it was in the past, caused by the doctors, and the Center for Reproductive Rights said: “It begs the question: Does the state think that the only person who would have standing to challenge an abortion law is a woman who comes to court with amniotic fluid or blood dripping down her leg?”

Kate Cox also received tragic news of her fetus’s nonviability. As she was actively pregnant, she contacted the Center for Reproductive rights. Their lawyers went to work and got an order that would have allowed her to terminate this dangerous pregnancy. However, misogynist dictator Attorney General Ken Paxton “channeled the full power of the state to stop her, threatening hospitals, appealing to the state’s highest court and ultimately getting the order blocked.”

She was able to leave the state to receive the termination and proper healthcare, in part thanks to the support and national attention the case had drawn.

Why did Ken Paxton think he knows better than judges and doctors and the mother herself? Why are these men so hell-bent on strong-arming forced births? Well, as Dr. Jones says,

“It’s not about life. It’s about control.”

As she also points out, without universal healthcare, not only are women being forced to give birth or undergo surgery for these fetuses, they also have to pay for the costs.

How close must a woman be to death before a doctor can save her? How deep and devastating does the wounds from the pregnancy need to be before she can receive help? WHY are the decisions about this being made by those with no knowledge of pregnancy and all its complex factors? It is outrageous, plain and simple. It is misogyny, controlling women and their bodies and forcing them to risk their lives and health.

I encourage you to read all the linked articles in their totality. They are heartbreaking and the suffering these women faced didn’t need to happen. Never forget that this is not normal. Encourage all your friends and family to advocate for reproductive healthcare.

[muqtadaraudi]

thehealthgrades

Healthgrades is a U.S.-based company that provides comprehensive information about physicians, hospitals, and healthcare providers. Founded in 1998 by Kerry Hicks and colleagues, the company has amassed data on over three million U.S. healthcare providers. Healthgrades is part of RVO Health, a partnership between Red Ventures and Optum, which is a division of UnitedHealth Group.

The Healthgrades website offers a platform where users can search for doctors, dentists, and other healthcare professionals. It provides details such as board certifications, types of procedures offered, hospital affiliations, and accepted insurance plans. Additionally, the site features patient reviews and ratings, allowing individuals to evaluate healthcare providers based on factors like communication skills, office staff friendliness, and ease of scheduling urgent appointments.

In 2011, Time magazine recognized Healthgrades as one of its "50 Best Websites," highlighting its utility in helping consumers make By January 2014, the platform was attracting approximately 17 million unique visitors monthly, according to comScore data. Many companies and health plans have integrated Healthgrades' information into their offerings to assist participants in selecting appropriate healthcare providers.

Healthgrades evaluates hospitals based on risk-adjusted mortality and in-hospital complications. Its analyses are derived from approximately 40 million Medicare discharges over the most recent three-year period available. The company assigns 1-, 3-, and 5-star ratings to providers, indicating outcomes that are worse than expected, near predicted levels, and better than expected, respectively. However, some critics have raised concerns about the reliability and validity of these ratings, citing a lack of transparency in the methodology.

Over the years, Healthgrades has faced criticism regarding the accuracy of its information. A 2004 report by the Rocky Mountain News highlighted inaccuracies in physician disciplinary records, and a 2016 Consumer Reports article noted instances where malpractice suits were not disclosed on physician profiles. Additionally, some users have expressed concerns about the authenticity of reviews and the company's handling of provider information.

In 2021, the Healthgrades.com marketplace was acquired by Red Ventures, leading to the formation of RVO Health in partnership with Optum in 2022. This collaboration aims to combine content, chronic condition communities, and tools to enhance consumer healthcare experiences.

Despite criticisms, Healthgrades remains a widely used resource for individuals seeking information about healthcare providers. Users are advised to consider multiple sources and consult directly with healthcare professionals when making decisions about medical care.

[sarkarinaukari123]

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