#Wound Care Documentation Software | Explore Tumblr posts and blogs

blackswaneuroparedux · 4 years ago

Text

Anonymous asked: I really enjoyed your book review of Sebastian Junger’s Homecoming. Perhaps enjoyment isn’t the right word because it brought home some hard truths. Your book review really helped me understand my older brother better when I think back on how he came home from the war in Afghanistan after serving with the Paras and had medals pinned up the yin yang. It was hard on everyone in the family, especially for him and his wife and young kids. He has found it hard going. Thanks for sharing your own thoughts as a combat veteran from that war. Even if you’re a toff you don’t come across as a typical Oxbridge poncey Rupert! As you’re a classicist and historian how did ancient soldiers deal with PTSD? Did the Greeks and Roman soldiers even suffer from it like our fighting boys and girls do? Is PTSD just a modern thing?

Part 1 of 2 (see following post)

Because this is subject very close to my heart as a combat veteran I thought very long and hard about the issues you raised. I decided to answer this question in two posts.

This is Part 1 and Part 2 is the next post.

My apologies for the length but this is subject that deserves full careful consideration.

Thank you for your lovely words and I especially find its heart warming if they touched you. I appreciate you for sharing something of the experience your ex-Para brother went through in coming home from war. I have every respect for the Parachute regiment as one of the world’s premier fighting force.

Working alongside them on missions out in Afghanistan I could see their reputation as the ‘brain shit’ of the British Army was well deserved. They’re most uncouth, sweary, and smelliest group of yobbos I’ve ever had the awful misfortune to meet. I’m kidding. The mutual respect and the ribbing went hand in hand. I doff my smurf hat to the cherry berries as ‘propah soldiers’ as they liked to say especially when they cast a glance over at the other elite regiments like HCav and the guards regiments.

Don’t worry I’ve been called a lot worse! But I am grateful you don’t lump me with the other ‘poncey’ officers. Not sure what a female Rupert is called. The fact that I was never accused of being one by any of those I served with is perhaps something I take some measure of pride. There are not as many real toff officers these days compared to the past but there are a fair few Ruperts who are clueless in leading men under their charge. I knew one or two and frankly I’m embarrassed for them and the men under their charge.

I don’t know when the term PTSD was first used in any official way. My older sister who is a doctor - specialising in neurology and all round brain box and is currently working on the front lines in the NHS wards fighting Covid alongside all our amazing NHS nurses and doctors - took time out one evening to have a discussion with me about these issues. I also talked to one or two other friends in the psychiatric field too. In consensus they agree it was around 1980 when the term PTSD came into usage. Specifically it was the third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-lll) published by the American Psychiatric Association in 1980 partly because as a result of the ongoing treatment of veterans from the Vietnam War. In the modern mind, PTSD is more associated with the legacy of the Vietnam War disaster.

The importance of whether PTSD affected the ancient Greeks and Romans lies in the larger historical question of to what extent we can apply modern experience to unlock or interpret the past. In the period since PTSD was officially recognised, scholars and psychologists have noted its symptoms in descriptions of the veterans of past conflicts. It has become increasingly common in books and novels as well as articles to assume the direct relevance of present-day psychology to the reactions of those who experienced violent events in the historical past. In popular culture, especially television and film dramas, claims for the historical pedigree of PTSD are now often provided as background to the modern story, without attribution. Indeed we just take it as a given that soldier-warriors in the past suffered the same and in the same way as their modern day counterparts. We are used to the West to map the classical world upon the present but whether we can so easily map the modern world back upon the Greeks and Romans is a doubtful proposition when it comes to discussing PTSD.

Simply put, there is no definitive evidence for the existence of PTSD in the ancient world existed, and relies instead upon the assumption that either the Greeks or Romans, because they were exposed to combat so often, must have suffered psychological trauma.

There are two schools of thought regarding the possibility of PTSD featuring in the Greco-Roman world (and indeed the wider ancient world stretching back into pre-history, myth and legend) – universalism and relativism. Put simply, the universalists argue that we all carry the same ‘wetware’ in our heads, since the human brain probably hasn’t developed in evolutionary terms in the eye blink that is the two thousand years or so since the Greco-Roman Classical era. If we’re subject to PTSD now, they posit, then the Greeks and the Romans must have been equally vulnerable. The relativists, on the other hand, argue that the circumstances under which the individual has received their life conditioning – the experiences which programme the highly individual software running that identical ‘wetware’, if you will – is of critical importance to an individual’s capacity to absorb the undoubted horrors of any battlefield, ancient or modern.

Whichever school one falls down on the side of is that what seems to happen in any serious discussion of the issue of PTSD in the ancient world is to either infer it indirectly from culture (primarily, literature and poetry) or infer it from a comparative historical understanding of ancient warfare. Because the direct evidence is so scant we can only ever infer or deduce but can never be certain. So we can read into it whenever we wish.

In Greek antiquity we have of course The Illiad and the Odyssey as one of the most cited examples when we look at the character traits of both Achilles and Odysseus. From Greek tragedy those who think PTSD can be inferred often point to Sophocles’s Ajax and Euripide’s Heracles. Or they look to Aeschylus and The Oresteia. I personally think this is an over stretch. Greek writers do; the return from war was a revisited theme in tragedy and is the subject of the Odyssey and the Cyclic Nostoi.

The Greeks didn’t leave us much to ponder further. But, with rare exceptions, the works from Graeco-Roman antiquity do not discuss the mental state of those who had fought. There is silence about the interior world of the fighting man at war’s end. So we are led to ponder the question why the silence?

This silence also echoes into the Roman period of literature and history too. Indeed when we turn to the Roman world, descriptions of veterans are rare in the writings that survive from the Roman world and occur most often in fiction.

In the first poem of Ovid’s Heroides, the poet writes about a returned soldier tracing a map upon a table (Ov. Her. 1.31–5):

...upon the tabletop that has been set someone shows the fierce battles, and paints all Troy with a slender line of pure wine: ‘Here the Simois flowed; this is the Sigeian territory, here stood the lofty palace of old Priam, there the tent of Achilles...’

This scene provides an intimate glimpse of what it must have been like when a veteran returned home and told stories of his campaigns: the memories of battle brought to the meal, the crimson trail of the wine offering a rough outline of the places and battlefields he had experienced. The military characters in poems and plays show a world in which soldiers are ubiquitous, if somewhat annoying to the civilians. Plautus, for instance, in his Miles Gloriosus, portrays an officer boasting about his made-up conquests – the model for the braggart in A Funny Thing Happened on the Way to the Forum – and Juvenal complains about a centurion who stomps on his sandalled foot in the bustling Roman street.

Despite this silence, compelling works have been written that interweave vivid modern accounts of combat and its aftermath with quotes from ancient prose and poetry. At their best, these comparisons can illuminate both worlds, but at other times the concerns of the present-day author are imposed on the ancient material. But the question remains are such approaches truthful and valid in understanding PTSD in the ancient world?

So if arts and literature don’t really tell us much what about comparative examples drawn from military history itself?

Here again we are in left disappointed.

According to the Greek historian, Herodotus, in 480 B.C., at the Battle of Thermopylae, where King Leonidas and 300 Spartans took on Xerxes I and 100,000-150,000 Persian troops, two of the Spartan soldiers, Aristodemos and another named Eurytos, reported that they were suffering from an “acute inflammation of the eyes,”...Labeled tresantes, meaning “trembler,”. It is that Aristodemos later hung himself in shame. Another Spartan commander was forced to dismiss several of his troops in the Battle of Thermopylae Pass in 480 B.C, “They had no heart for the fight and were unwilling to take their share of the danger.”

Herodotus again in writing about the battle of Marathon in 490 B.C., cites an Athenian warrior who went permanently blind when the soldier standing next to him was killed, although the blinded soldier “was wounded in no part of his body.” Interestingly enough, blindness, deafness, and paralysis, among other conditions, are common forms of “conversion reactions” experienced and well-documented among soldiers today

Outside the fictional world, Roman military history tell us very little.

Appian of Alexandria (c. 95? – c. AD 165) described a legion veteran called Cestius Macedonicus who, when his town was under threat of capture by (the Emperor-to-be) Octavian, set fire to his house and burned himself within it. Plutarch’s Life of Marius speaks of Caius Marius’ behaviour who, when he found himself under severe stress towards the end of his life, suffering from night terrors, harassing dreams, excessive drinking and flashbacks to previous battles. These examples are just a few instances which seem to demonstrate that PTSD, or culturally similar phenomena, may be as old as warfare itself. But it’s worth stressing it is not definitive, just conjecture.

Of course of accounts of wars and battles were copiously written but not the hard bloody experience of the soldier. Indeed the Roman military man is described almost exclusively as a commander or in battle. Men such as Caesar who experienced war and wrote about it do not to tell us about homecoming.

It seems one of main challenges when we try to see military history through the lens of our definition of PTSD is to first understand the comparative nature of military history and what it is we are comparing ie mistaking apples for oranges.

The origin of military history was tied to the idea that if one understood ancient battle, one might fight and, more importantly, one might lead and strategise more effectively. In essence, much of the training of officers – even in the military handbooks of the Greeks and Romans – was an attempt to keep new commanders from making the same mistakes as the commanders of old. Military history is intended to be a pragmatic enterprise; in pursuit of this pragmatic goal, it has long been the norm to use comparative materials to understand the nature of ancient battle.

The 19th Century French military theorist Ardant du Picq argued for the continuity of human behaviour and assumed that the reactions of men under the threat of lethal force would be identical over the centuries: “Man does not enter battle to fight, but for victory. He does everything that he can to avoid the first and obtain the second....Now, man has a horror of death. In the bravest, a great sense of duty, which they alone are capable of understanding and living up to, is paramount. But the mass always cowers at sight of the phantom, death. Discipline is for the purpose of dominating that horror by a still greater horror, that of punishment or disgrace. But there always comes an instant when natural horror gets an upper hand over discipline, and the fighter flees”

These words offer insight to those of us who have never faced the terror of battle but at the same time assume the universality of how combat is experienced, despite changes in psychological expectations and weaponry, to name but two variables.

Another incentive for scholars and researchers is to turn to comparative material has been the growing awareness of the artificiality of how we describe war. A mere phrase such as ‘flank attack’ does not capture the bloody, grinding human struggle. Roman authors – especially those who had not fought – often wrote generic descriptions of battle. Literary battle can distort and simplify even as it tells, but if the main things are right – who won, who lost, and who the good guys are – the important ‘facts’ are covered. Even if one intends to speak the truth about battle, the assumptions and the normative language used to describe violence will affect the telling. We may note that the battle accounts in poetry become increasingly grisly during the course of the Roman Empire (perhaps owing to the growing popularity of gladiatorial games),while, in Caesar’s Gallic War, the Latin word cruor (blood) never appears and sanguis (another Latin word for blood) only appears in quoted appeals (Caes. B. Gall. 7.20, in the mouth of Vercingetorix, and 7.50, where the centurion M. Petronius urges his men to retreat). The realities of the battlefield are described in anodyne shorthand. In much the same way that the news rarely prints or televises graphic images, Caesar does not use gore, and perhaps for the same reason – to give a sense of reportorial objectivity.

Another element in the interpretive scrum is a given author’s goal in writing an account in the first place: Caesar, for example, was writing about himself, and he may have been producing something akin to a political campaign ad. Caesar makes Caesar look great and there is reason to believe that, if he was not precisely cooking the books, he did give them a little rinse to make him look more pristine. Given the many factors that complicate our ability to ‘unpack’ battle narratives, Philip Sabin has argued that the ambiguity and unreliability of the ancient sources must be supplemented by looking at the “form of the overall characteristics of Roman infantry in mortal combat”. Again the modern is used to illuminate that which is obscured by written accounts and the “the enduring psychological strains” are merely unconsciously assumed.

These legitimate uses of comparative materials have led to a sort of creep: because military historians have used observations of how men react to combat stress during battle to indicate continuity of behaviour through time, there appears to be a consequent expectation that men will also react identically after battle. This creep became a lusty stride with modern books written about the ancient world and PTSD.

After I finished my tour in Afghanistan I read many books recommended to me by family and friends as well as comrades. One of these books is well known in military circles - at least amongst the thinking officer class - as an iconic work of marrying the ancient world and the modern experience of war. I read it and I was touched deeply by this brilliant therapeutic book. It was only months later I began to re-think whether it was a true account of PTSD in the ancient world.

This insightful book is called Achilles in Vietnam by Jonathan Shay. Shay is psychiatrist in Boston, USA. He began reading The Iliad with Vietnam veterans whom he was treating. Achilles in Vietnam, is a deeply humane work and is very much concerned with promoting policies that he hoped would help diminish the frequency of post-traumatic stress. His goal was not to explain ancient poetry but to use it therapeutically by linking his patients’ pain to that of the Iliad’s great hero. His book offers a conduit between the reader and the experiences of the men that Shay counsels. In the introduction to this work he makes a nod to Homerists while also asserting the primacy of his own reading:

“I shall present the Iliad as the tragedy of Achilles. I will not glorify Vietnam combat veterans by linking them to a prestigious ‘classic’ nor attempt to justify study of the Iliad by making it sexy, exciting, modern or ‘relevant’. I respect the work of classical scholars and could not have done my work without them. Homer’s poem does not mean whatever I want it to mean. However, having honored the boundaries of meaning that scholars have pointed out, I can confidently tell you that my reading of the Iliad as an account of men in war is not a ‘meditation’ that is only tenuously rooted in the text. “

After outlining the major plot points around which he will organise his argument, he notes, “ ‘This is the story of Achilles in the Iliad, not some metaphorical translation of it”.

The trouble was and continues to be is that many in the historical and medical fields began to rush to unfounded conclusions that Shay, on the issue of PTSD in the ancient world, had demonstrated that the psychological realities of western warfare were universal and enduring. More books on similar comparative themes soon emerged and began to enshrine the truth that PTSD was indeed prevalent throughout the ancient world and one could draw comparative lessons from it.

Perhaps one of the most influential books after Shay was by Lawrence Tritle. Tritle, a veteran himself, wrote From Melos to My Lai. It’s a fascinating book to read and there are parts that certainly resonate with my own experiences and those of others I have known. In the book Tritle drew a direct parallel between the experiences of the ancient Greeks and those of modern veterans. For instance, Xenophon, in his military autobiography, presents a brief eulogy for one of his fallen commanders, Clearchus. Xenophon writes that Clearchus was ‘polemikos kai philopolemos eschatos’ (Xen. An. 2.6) – ‘warlike and a lover of war to the highest degree’.

Tritle comments:

“The question that arises is why men like Clearchus and his counterparts in Vietnam and the Western Front became so entranced with violence. The answer is to be found in the natural ‘high’ that violence induces in those exposed to it, and in the PTSD that follows this exposure. Such a modern interpretation in Clearchus’ case might seem forced, but there seems little reason to doubt that Xenophon in fact provides us with the first known historical case of PTSD in the western literary tradition.”

Arguably in the West and especially our current modern Western culture is predicated at baulking at the notion of being ‘war lovers” as immoral. But such an interpretation speaks more of our modern Christianised ambivalence towards war; to the Spartans and Athenians the term would not have had a negative connotation. ‘Philopolemos’ is, in fact, a compliment, and the list of Clearchus’ military exploits functions as a eulogy. There are points where his analysis does not adequately address the divergences between ancient and modern experiences.

For all the talk of our Western culture being rooted in Ancient Greece and Rome we are not shaped by the same ethics. Our modern ethics and our moral code is Christian. There is no such thing as a secular humanist or atheist both owe a debt to Christianity for the way they have come to be; in many respects it’s more accurate to describe such people as Christianised Humanists or Christian Atheists even if they reject the theological tenets of the religious faith because they use Christian morality as the foundation to construct their own. Many forget just how brutal these ancient societies were in every day life to the point there would be little one could find recognisable within our own modern lives.

Now we come to third point I wish to make in determining where the Greeks or Romans actually experienced PTSD. This is to do with the little understood nature of PTSD itself. As much as we know about PTSD there is still much more we don’t know. Indeed one of the most problematic and complicated issues is the continued disagreement around the diagnosis and specific triggers of the disorder which remain little understood. We have to admit there are competing theories about what causes PTSD but, in terms of experiences that make it manifest, there are essentially three possible triggers: witnessing horrific events and/or being in mortal danger and/or the act of killing – especially close kills where the reality of one’s responsibility cannot be doubted. The last of these was strongly argued in another scholarly book by D. Grossman, On Killing, the Psychological Cost of Learning to Kill in War and Society (1995).

Roman soldiers had the potential to experience all of these things. The majority of Roman combat was close combat and permitted no doubt as to the killer. The comparatively short length of the gladius encouraged aggressive fighting. Caesar recounts how his men, facing a shield wall carried by the taller Gauls, leaped up on top of the shields, grabbed the upper edges with one hand, and stabbed downwards into the faces of their opponents (Caes. B. Gall. 1.52). As for mortal danger, Stefan Chrissanthos in his informative book, Warfare in the Ancient World: From the Rise of Uruk to the Fall of Rome, 3500BC-476AD, puts it this way: “For Roman soldiers, though the weapons were more primitive, the terrors and risks of combat were just as real. They had to face javelins, stones, spears, arrows, swords, cavalry charges, and maybe worst of all, the threat of being trampled by war elephants.”

Such terrors are regularly attested. During his campaign in North Africa, Caesar, noting his men’s fear, procured a number of elephants to familiarise his troops with how best to kill the beasts (Caes. B. Afr.72). It should also be noted that it was not unusual for the reserve line to be made up of veterans because they were better able to watch the combat without losing their nerve. Held in reserve, they had to watch stoically as their comrades were injured and killed, and contemplate the awful fact that they might suffer the same fate. This was not a role for the faint of heart.

However, while the Romans certainly had the raw ingredients for combat trauma, the danger for a Roman legionary was much more localised. Mortars could not be lobbed into the Green Zone, suicide bombers did not walk into the market, and garbage piled on the street did not hide powerful explosives. The danger for a Roman soldier was largely circumscribed by his moments on the field of battle, and even here, if he was with the victorious side, the casualties were likely to be light: at Gergovia, a disaster by Caesar’s standards, he lost nearly seven hundred men (Caes. B. Gall. 7.51). In his victory over Pompey the Great at Pharsalus, his casualties numbered only two hundred (Caes. B. Civ. 3.99).

So we are left with the disturbing question: were the stressors really the same?

This is the part where I also defer to my eldest sister as a doctor and surgeon specialising in neurology and just so much smarter than myself.

My eldest sister holds the view in talking to her own American medical peers that despite similar experiences in Afghanistan and Iraq, British soldiers on average report better mental health than US soldiers.

My sister pointed out to research study done by Kings College London way back around 2015 or so that analysed 34 studies produced over a 15-year period (up to 2015) and found that overall there has been no increase in mental health issues among British personnel - with the exception of high rates of alcohol abuse among soldiers. The study was in part inspired the “significant mental health morbidity” among U.S. soldiers and reports that factors such as age and the quality of mental health programs contribute to the difference between the two nation’s servicemen and women.

She pointed out that these same studies showed that post-traumatic stress disorder afflicts roughly 2 to 5% of non-combat U.K. soldiers returning from deployment, while 7% of combat troops report PTSD. According to a General Health Questionnaire, an estimated 16 to 20% of U.K. soldiers have reported symptoms of common mental disorders, similar to the rates of the general U.K. population. In comparison, studies around the same time in 2014 showed U.S. soldiers experience PTSD at rates of 21 to 29%. The U.S. Department of Veteran Affairs estimated PTSD afflicted 11% of veterans returning from Afghanistan and 20% returning from Iraq. Major depression was reported by 14% of major soldiers according to another study commissioned by RAND corporation; roughly 7% of the general U.S. population reports similar symptoms.

It’s always tough comparing rates between countries and is not a reflection of the quality of the fighting soldier. But one finding that consistently and stubbornly refuses to go away is that over the past 20 years reported mental health problems tend to be higher among service personnel and veterans of the USA compared with the UK, Canada, Germany and Denmark.

However my sister strongly cautioned against making hasty judgements. And there could be many variable factors at play. One explanation is that American soldiers are more likely than their British counterparts to be from the reserve forces. Empirical studies showed reservists from both America and British troops were more likely to experience mental illness post-deployment. It was also worth pointing out that American soldiers also tended to be younger - being younger and inexperienced as well as untested on the battlefield, service personnel would naturally run the risk of greater and be more vulnerable to mental illness.

In contrast, the elite forces of the British army, such as your brother’s Parachute Regiment or the Royal Marines, were found to be the least affected by mental illness. It was found that in spite of elite forces experiencing some of the toughest fighting conditions, they tended to enjoy better mental health than non-elite troops. The more elite a unit is or more professional then you find that troops tend to enjoy a very deep bonds of camaraderie. As such the social cohesion of these fighting forces provides a psychological protective buffer. Not for all, but for many.

More intriguing are new avenues of discovery that might go a long way to actually understanding one of the root causes of PTSD. According to my sister, recent research carried out in the US and Europe and published in such prestigious medical journals as the New England Journal of Medicine (US) and the Lancet (UK), seems to establish a causal link between concussive injury and PTSD.

One recent study looked at US soldiers that concerned itself with the effects of concussive injuries upon troops after their return from active duty during the war in Iraq.

Of the majority of soldiers who suffered no combat injuries of any sort, 9.1 per cent exhibited symptoms consistent with PTSD. This allows a baseline for susceptibility of roughly 10% of the population. A slightly higher number (16.2%) of those who were injured in some way, but suffered no concussion, also experienced symptoms. As soon as concussive injuries were involved, however, the rates of PTSD climbed dramatically.

Although only 4.9% of the troops suffered concussions that resulted in complete loss of consciousness, 43.9% of these soldiers noted on their questionnaires that they were experiencing a range of PTSD symptoms. Of the 10.3% of the unit who suffered concussion resulting in confusion but retained consciousness, more than a quarter (27.3%) suffered symptoms. This suggests a high correlation between head trauma and the occurrence of subsequent psychological problems. The authors of the study note that ‘concern has been emerging about the possible long term effect of mild traumatic brain injury or concussion...as a result of deployment related head injuries, particularly those resulting from proximity to blast explosions’

Although these results are preliminary, if confirmed they have profound implications for anyone trying to understand the nature of warfare in the ancient world, especially the Western world.

So why does it matter?

In Roman warfare, wounds were most often inflicted by edged weapons. Romans did of course experience head trauma, but the incidence of concussive injuries would have been limited both by the types of weapons they faced and by the use of helmets. Indeed the efficacy and importance of headgear for example can be deduced from the death of the Epirrote general Pyrrhus from a roof tile during the sack of Argos. It is likely that the Romans designed their helmets with an eye to blunting the force of the blows they most often encountered. Connolly has argued that helmet design in the Republican period suggests a crouching fighting stance (see P. Connolly, ‘The Roman Fighting Technique Deduced from Armour and Weaponry’, Roman Frontier Studies (1989). However my own view is that the change in helmet design may signal instead a shift in the role of troops from performing assaults on towns and fortifications when the empire was expanding (and the blows would more often rain from above) to the defence and guarding of the frontiers.

While the evidence is clear that concussion is not the only risk factor for PTSD, it is so strongly correlated that it suggests that the incidence of PTSD may have risen sharply with the arrival of modern warfare and the technology of gunpowder, shells, and plastic explosives. Indeed, accounts of shell shock from the First World War are common, and it was in the wake of that war that those observing veterans suspected that neurological damage was being caused by exploding shells.

For soldiers of the Second World War and down to our modern day, an artillery barrage is like an invention of hell.

As one American put it in his memoirs of fighting the Japanese at Peleiu and Okinawa, “I developed a passionate hatred for shells. To be killed by a bullet seemed so clean and surgical but shells would not only tear and rip the body, they tortured one’s mind almost beyond the brink of sanity. After each shell I was wrung out, limp and exhausted. During prolonged shelling, I often had to restrain myself and fight back a wild inexorable urge to scream, to sob, and to cry. As Peleliu dragged on, I feared that if I ever lost control of myself under shell fire my mind would be shattered. To be under heavy shell fire was to me by far the most terrifying of combat experiences. Each time it left me feeling more forlorn and helpless, more fatalistic, and with less confidence that I could escape the dreadful law of averages that inexorably reduced our numbers. Fear is many-faceted and has many subtle nuances, but the terror and desperation endured under heavy shelling are by far the most unbearable” (see E.B. Sledge, With the Old Breed at Peleiu and Okinanwa, 2007).

The psychological effect of shelling seems to result from the combined effect of awaiting injury while at the same time having no power to combat it.

There is another aspect that I alluded to above which is the psychological and societal conditioning of the Roman soldier. In other words a Roman male’s social and cultural expectations of his place in the world. Feelings of helplessness and fatalism were probably a less alien experience for most Romans – even those in the upper classes. In general, the Romans inhabited a world that was significantly more brutal and uncertain than our own.

This another way of saying that the Roman and 21st century combat are very different in a variety of ways that subject the modern soldier to a good deal more stress than the legionary was ever likely to suffer. And the Roman’s societal preparation – his life before the battle – was far more robust than that we enjoy today.

Take infant mortality. In the modern developed world, our infant mortality rates are about ten per thousand. In Rome, it is estimated that this number was three hundred per thousand. Three-tenths of infants would die within the first year, and an additional fifth would not make it to the age of ten - 50% of children would not survive childhood. Anecdotal evidence supports these statistics: Cornelia, the mother of the Gracchi, gave birth to twelve children between 163 bc and 152 bc; all twelve survived their father’s death in 152 bc, but only three survived to adulthood. Marcus Aurelius and his wife, Faustina, had at least twelve children but only the future emperor Commodus survived.  

Then look at how that child grows up. The typical Roman child would be raised in a society that readily accepted ultra-violent arena entertainment, mob justice, frequent and bloody warfare as a fact of life. This was reinforced by religious and societal encouragement to see war as natural and beneficial, open butchering of food animals, a total lack of support structures for the poor and less able.

Compared to the legionary our modern soldier has been protected from such realities to a greater degree than at any other point in history, and will thus be far less well prepared for the horror of a warfare that contains far more stress factors than for a man who might fight a handful of battles in his military career, with long periods of relative calm in between, state of war notwithstanding. Modern special and elite forces training often emphasises the brutalisation and ‘rebuilding’ of the recruit in readiness for this step into darkness, but it seems likely that no such conditioning would have been needed two thousand years ago.

I would argue that we experience war very differently from the way the Romans did. Our modern identity is defined far more by our Western Christian heritage than our Western Classical roots. They are in fact world apart when it comes to ethics and morality. Consider the fact that when we talk of war and killing today we often do so through conflict between our civilian moral codes – which offer the strict injunction not to do violence to other human beings – and wartime, when men are commanded to violate such prohibitions. It is a terrible thing to try to navigate ‘Thou shalt not kill’ and the necessity of taking a life in combat.

It is sometimes the case that the qualities that make the best soldier do not make the best civilian, a point amply attested in Greek poetry by heroes such as Heracles and Odysseus.

The Romans, for their part, celebrated heroes such as Cincinnatus, who could command effectively and then leave behind the power he wielded to return to his humble plough. It is important, however, when evaluating combat and its effects in the ancient world, that we do not read our ambivalence about violence onto the Romans. They inhabited an empire whose prosperity was quite openly tied to conquest.

As M. Zimmerman writes in his academic article, “Violence in Late Antiquity Reconsidered’ (2007), “The pain of the other, seen on the distorted faces of public and private monuments, or heard in the screams of criminals in the amphitheatre, reassured Romans of their own place in the world. Violence was a pervasive presence in the public space; indeed, it was an important basis for its existence, pertaining as it did not only to victories over external enemies but also to the internal order of the state.”

Violence then was both the means and the expression of Roman power. The Roman soldier was its instrument. The Roman warrior then would have brought a different perspective to lethal violence, and would have had a far more restricted moral circle to his modern counterpart – his friends and family, clan, patron and clients, as opposed to millions of fellow citizens via the internet and social media.

Part II follows next post

#question #ask #PTSD #war #roman #greek #classical #legionary #spartan #mental health #depression #trauma #warfare #british army #mental illness #homecoming #soldiers #combat veterans #veterans

46 notes · View notes

fandom-necromancer · 4 years ago

Text

I’m only human

This was prompted by an amazing anon! Enjoy!

Fandom: Detroit become human | Ship: Reed900 (Warnings: gun related injury)

‘Gavin! Duck!’ The human let himself fall immediately and only due to Nines advanced preconstruction software he had made it in time. The hail of bullets pierced the wall behind Gavin a second later. Nines had taken cover behind a wall and waited for the immediate fire to subside, then turned around and emptied his magazine, before dropping behind a counter to reload. He heard Gavin shoot his own gun and turned to see what was happening. With shock he noticed that the man was about to leave relative safety to pursue the attackers that had decided to make a run for it. Normally, Nines wouldn’t have worried so much as Gavin was well trained, but they had just been caught whilst investigating the place and the man didn’t wear a bulletproof vest. This was too much of a risk.

Cursing, Nines hurried to reload and stepped out of cover to follow Gavin. He sprinted after the man that had already made it to the next room. It was the large kitchen of the restaurant they were in, but still the door they had entered through had been the only one, so he had the attackers cornered. And they knew it. Maybe it was panic, maybe it was them thinking to have the two detectives outnumbered, but they began shooting at them once again and this time, Nines wasn’t fast enough. He leapt for Gavin to make him fall to the ground next to the middle isle, but Gavin had already been shot twice in his arm. ‘Stay down!’, Nines ordered unforgivingly and took Gavin’s hand to show him how to press on the wound. Then he stepped out, both their guns in hand and made them pay for shooting his partner. As they laid on the ground groaning, Nines decided not to go through the procedures and arrest them all. Not when Gavin needed his help.

‘I called the DPD for backup as soon as we met them, Gavin’, he reassured the man as he knelt down next to him. ‘They will be here soon. I also called an ambulance. You will be fine, trust me.’ ‘Yeah? Because it hurts like a bitch, I can tell you that.’ Nines nodded, taking over pressurizing the wound as he could scan for damage. Gavin had suffered multiple fractions from the gunshots and was in severe pain. That he was awake at all was a miracle. But that also meant he couldn’t move him. Nines had to wait until the paramedics came to them. He already hated waiting under normal conditions, but this was outright torture.

Thankfully it didn’t take too long and when the police stormed the place to find all presumed members of the drug ring neutralized, the paramedics rushed in to treat both Gavin and the persons Nines had shot down. But the RK900 didn’t care what happened to their suspects, he was solely focussing on Gavin, telling the paramedics what he had already diagnosed and watched them closely as they stabilized Gavin’s arm and transported him outside. Nines had to stay at the scene to explain what happened and oversee the transport of their suspects, but more than anything he had wanted to stay with Gavin on the ride to the hospital. At least he was linked to their feed because of a sympathetic android on the team, but that was little comfort when he knew his love was hurt.

At least Connor understood as he offered to take over the case as soon as possible. So, six hours later, when everything was documented and the restaurant had been searched to the last corner, Nines could finally leave to meet his human at the hospital. Gavin had already been discharged when he arrived, the bullets themselves removed, his arm bandaged and in a cast. Nines opened the door for him and helped him sit down. Then he drove them back home. The whole way back, he was entirely silent and ignored the careful glances Gavin threw his way. He just parked their car in front of their house and helped Gavin inside. The man kicked off his shoes and struggled with his leather jacket that was only on his uninjured arm and draped over his shoulder on the other side. Nines took it from him to hang it up and then walked over to the kitchen. His human had lost a lot of blood, he needed energy to produce new cells. Also Nines was angry and if he didn’t do anything else to distract him, he would shout at Gavin and that was the last thing he wanted to do at the moment. He had furiously grabbed a paprika to cut it, nearly crushing it in his hand. His first cut already had far too much strength in it as the knife got stuck in the cutting board.

‘Nines?’ The voice was careful, and the android closed his eyes, sighing and hoping the anger would subside. He had to keep calm. Gavin didn’t have a preconstruction software. He had to try and hope for the best. And although he knew to rely on Nines in those situations, the heat of the moment could get to his head. This was normal for humans. He hadn’t gotten hurt on purpose. Still, he could have died and then… And then… ‘You are pissed’, Gavin stated. ‘What’s wrong?’ ‘What’s wrong?!’, Nines asked, turning around. He had forgotten he still had the knife in hand and distributed the few pieces of vegetable all over the counter. He tried once again to breathe deeply, but it didn’t work as good for androids as it did for humans. ‘Gavin, you could have died. You got hurt because of your stupid stubborn wish to… I was scared, Gavin. I’m scared still. I could have lost you. Had I not been there in time…’

Gavin stepped closer to him and loosened his grip on the knife, instead taking his hand in his free one. ‘But it worked out. I’m here. You were there in time.’ ‘And what about next time?’, Nines asked, looking into Gavin’s eyes. ‘You can’t promise me this is how it ends every time you run to do something risky.’ ‘No, I can’t’, Gavin nodded and smiled at him. ‘But what should I do? I can’t change who I am. Can’t change what instinct dictates when it takes over. If I could preconstruct every eventuality like you, love, then I could. But I’m only human.’ He let go of Nines’ hand to reach up and cup his cheek instead and smiled when the android closed his eyes and leaned into the touch. ‘You could quit’, he whispered quietly. ‘You could stop being a Detective. I could work for both of us. I’m mostly bulletproof.’

Gavin actually laughed. ‘Me? Quit being a detective? Nines, that’s out of the question. Why should I do that?’ ‘To stay safe? To keep living? To be with me longer?’ The android had opened his eyes now and looked directly at Gavin. The man swallowed at seeing the raw emotion in them. The android had really been scared to shits when he had been shot, hadn’t he? And he still worried for him and hoped to convince him. Unfortunately, that really was impossible. ‘Nines, I can’t. I can’t just… No, I can’t quit my job!’ ‘I will already lose you!’, the RK900 spoke up louder this time with more vigour. ‘I know the day will come that I will lose you. But I want it to be in many years when you are old, and your body just can’t keep up renewing your tissues. I want it to be in peace after a long life lived together. I don’t want it to be now, not today, not tomorrow, not even in ten years. Can’t you understand that?’

‘I understand’, Gavin sighed and took a step back, trying to look as collected as possible. ‘I understand that this is what you want. Hell, I want the same thing. But I also want to keep doing what I do. What is a long life worth if you haven’t lived a day of it, huh? I like being a cop. Hell, it isn’t a job with good reputation and one half of the population hates you and the other half pretends not to. But phck it, I feel like I do something. Like I move something and do something good. I’m proud of being a Detective. I worked hard to get where I am and I won’t just drop it because you say so, no matter how logical the reasons might be. No matter how right you are, okay? This is my life.’

Nines blinked at him twice, then looked to the floor, all strength gone from his pseudo-muscles. ‘But it’s dangerous. You will get hurt again. I don’t want to see you in pain. I don’t want to lose you.’ Gavin cursed and stepped closer to pull Nines in a half hug, keeping his injured arm and shoulder out of it. ‘But you will be by my side whatever happens. You have my back; you will always be there to warn me.’ ‘I can’t be always there.’ Gavin sighed. ‘Okay, then how about this: You are in pain right now. Do you think I want to see you like this? All worried and close to tears? No. I learned my lesson today. Nines, I will try my best. I promise. That’s all we humans can do. I will try to be more careful and listen to you. And not always run after the next criminal just because maybe I get one more to arrest. I will try to be better. But I won’t quit my job. Okay? A compromise?’ Nines pressed himself closer against Gavin.

‘Okay’, he caved in then. ‘But promise me one thing: If you try your best and it doesn’t work and you get injured on the job yet again, you quit. Without wriggling out of the deal again. That’s the only way I’ll accept your compromise.’ Gavin nodded against the android’s shoulder. ‘Okay. You can record this to have proof: I, Detective Gavin Reed, promise that if I ever get hurt on the job again, I will quit my job the very next day.’ ‘Recording saved’, Nines stated and smiled at his human. ‘Wait, you actually-‘ ‘Yes. And now sit down on the couch, I will clean up the mess I’ve made and cook you something. At least now we get to spend some more time together.

#detroit become human #dbh #Reed900 #RK900 #Gavin Reed #The first day Gavin is back on the job he cuts his thumb on a piece of paper and Nines savagely plays his recording #checkmate Gavin you are becoming a stay at home dad #okay that's kinda crack but hey it could lighten the mood

25 notes · View notes

dragonrajafanfiction · 4 years ago

Text

CYOA: Gotcha

“I was invited directly. If you don’t believe me, you can ask him yourself.”

You deliver this line with utmost confidence. This man was a waiter, someone who would be beneath a rich, young aristocrat like you were pretending you were. You were also a hybrid and was only briefly surprised that the waiter was one as well.

You could thank Chu Zihang later for exposure to what a truely frightening bloodline purity was like. This guy, while a hybrid, didn’t give off nearly the same shockingly inhuman aura as him.

The waiter let out a quiet hmph at your poise, but he still hesitated briefly, putting the business card down on the booth and walking away. “Please wait here.”

You see him disappear further into the restaurant, behind the dark wood counter of a bar. He picked up a phone and dialed the number. As a hybrid you had a much higher auditory sense than a normal human and could hear the conversation.

“Stravinsky brought a guest. This is a sensitive meeting. Did he say anything about it?” A pause. “Not sure. This person not one of us.”

The waiter nodded once and hung up the phone. He picked up a menu and wordlessly beckoned you inside. You can finally see the spacious interior. A live jazz band was playing, a svelte women in a skimpy gown crooned into microphone on a small stage. The tables were shrouded in darkness and cigarette smoke.

You’re led to a large round table and you and Stravinsky recognize each other right away.

With him other men in business attire were seated. You assume that they’re hybrids as well. They eye you with moderate annoyance. One that looked Asian ignored you completely. Another a women with mahogany colored skin, gave you the flash of the whites of her eyes, stood up and left the table.

You get the distinct feeling that you’re not welcome here but you have no choice but to wade into this river full of crocodiles.

“I guess it’s a little late for introductions.” You hand Stravinsky your business card with your fake ID on it. Your name, a made up entity called Alpha Corp. Supposedly, you’re a successful software engineer.

Stravinsky pockets it without looking at it. “Gentlemen, where are your manners? Don’t tell me that we’re closing recruitment now that we’re so close to our goal.”

Your ears perk up and you look around, more intently now.

The Asian man finally gives you a bit of attention. “I kind of feel sorry for you. You were probably expecting a business opportunity. But this is a religious meeting.”

You look him straight in the eye and reply quickly. “What’s the difference?”

Stravinsky snorted with laughter, ducking his head. “Do I know how to pick them or what? I caught this young blood bidding 50 million on the Eye of Horus. Don’t be so close minded. We are all clearly a believers in the power of the gods.”

He leaned forward. “Besides, I’m in need of a play-tester for a very important game.”

His eyes sparkled in the dark as he gazed at you, not as an equal but like a predator, eying prey through the bars of a cage, imagining all the things he would do to you once he got his claws into you. You’d have to be careful.

“Tell me the details you want, but shouldn’t we introduce ourselves first?” Names, contact information... these were what Chu Zihang told you to acquire.

“We don’t use our real names here.”

The smartly dressed black woman returned to her seat and you nod to her. She flicks her eyes at you and says nothing.

“This is Amber Isle.” He says nodding to the woman. “This is Agate Image.” he says of the Asian man.

As he introduces the people in turn, you immediately notice a pattern. The inclusion of a precious stone and the letters A.I. You file that away for later.

“And what’s your religion?”

“You should know the answer to that, if you’re in here.” Stravinsky lifted a bottle of wine and poured it into a glass to offer it to you. “Hybrids... they have a certain smell. Yours is faint... but it’s definitely there.”

“You’re going on like that? It’s a little embarrassing.” You take the wine.

Agate snorts. “If its embarrassing for you, imagine how it is for us. We’ve told him again and again, stop bringing his new hires to high level meetings.”

“I want to let them know what working with us has to offer.” Stranvinsky took on a wounded tone. “You don’t think its effective? It’s far more effective than your habit of picking them up off the street.”

He sounded pretty proud of himself. “And if I agreed to your game, what would you do?”

You obliquely reminded him that you haven’t agreed to anything yet. You need more information.

The woman next to him was strangely silent but she wasn’t ignoring you any longer, but watching you like a hawk. Her eyes were sharp. She didn’t trust you and that much was obvious.

You take a sip of the wine, meeting her eyes.

“Ah. Remember what I said about defeated death at the end of the game? What if it wasn’t a game? What if it could actually be done?”

“Immortality is a fairy tale...”

“And yet every major religion preaches about it doesn’t it?” Stravinsky says slyly. “And we know what group who has perfected the art.”

“You’ve figured out dragon egg-making?”

You squint your eyes in shock. After the 4 kings were created, they were split into pairs. Both twins were born from special eggs. This combination of Alchemy and Technology was a mystery to even the oldest of Hybrids. So long as the dragon could make an egg after birth, once it died it could be reborn into the world. The only way to kill a dragon king was after birth, preventing it from creating its egg.

“You’d still have to be a dragon to do it. And you’re just a hybrid. No offense.”

“I wouldn’t expect you to believe it just by my say so.” He slid his cellphone forward and you hone in on it. There’s a video playing. A bright complicated alchemical circle, runes and what looks like an urn. “Is that an authentic dragon egg?” You ask, but you’re really focused on a certain icon. A text message has been received.

You reach for the phone as though to hit pause and accidently swipe down. A text message and a phone number catch your eye. But you pretend its a mistake and pause the video to examine it.

Stravinsky takes the phone back however. “Do you believe me now?”

“I do...” You say cautiously, while you mentally record the phone number you just saw in your memory. “How many others are involved in this?”

“Many? To know more, we’ll need you to agree to be one of us.”

You look at the other members of the table all of them scowling at you.

“Is this solely your decision?” You ask.

“You’ve already seen too much. I’m afraid we can’t let you leave.” Agate moves his jacket slightly to the left to reveal the gun hidden at his chest. “Sorry. It’s not much of a choice.”

Stravinsky scoffed. “For the rich and the strong, there is always a choice. I swear, you think you’re still part of the Yakuza.”

Agate’s eyes narrow to slits. “You just showed a highly classified document like it was an introduction pamphlet!”

You glance at Stravinsky who seemed to be enjoying his colleagues ire. But the man did have a point. He invited you to this restaurant, he knew you were a hybrid... what else was he assuming about you?

Fear starts to creep in. Was he behind the missing agent? Was he looking for his next victim? Laying obvious bait to trap the new target from Cassell?

“The truth is, I’m a software engineer. I work at the pleasure of my clients.” You say, setting the wine glass back on the table. “I can consult on any matter they like. At its heart, my job is to find solutions to client problems.”

“I don’t know about this egg business... but if you hire me as a consultant, you can both be rid of me and insure confidentiality as business partners.”

Glances were exchanged around the table and you secretly hope that they agree to this and not drag you down some dungeon and sacrifice a goat or something.

“I think this is acceptable.” The black woman, Amber, sighs and nods once.

Agate’s eyes go round. “I don’t agree with this but I suppose I have no choice now.”

“I guess that means you’re hired...” Stravinky also seems disappointed. Maybe he liked goat rituals.

Deep relief overwhelms you to your core. “Now, I take it you have a secure way to contact me? One we can freely use?”

It was Amber who pushed forward a different card. This one only had a QR code on it. “You’ll be able to obtain that information here. Any software needs we have, we’ll be in touch.”

Much to your surprise she offers her hand to you. When you shake it, it feels strangely pebbly. Your eyes go wide. This woman... she had scales!

Her hand squeezes around yours. “Soft... just like an IT professional.” She purrs. “Failure won’t be tolerated. Neither will betrayal.”

She lets you go and you try to slow your pulse.

Stravinsky elbows you sharply. “She’s quite something isn’t she?”

You manage to hold your cool facade when you get out of the restaurant. You weren’t a smoker or a drinker, but right now, you really wished...

Your hands are in your pockets to hide how much they were shaking. You could still feel the scales on the back of her hand, the sight of the dragon king egg case. The gun. How close were you to dying in the restaurant?

After you walked around the block you flag down a cab to take you back to your hotel.

You take off your dress clothes and look at the clock. 3 am.

The phone buzzes. You put it on speaker phone. “Report.”

But you’ve barely had time to collect your thoughts!

You make the best report you can. “Okay, so that’s what I’ve got.” Putting the QR card on the table, you massage your shoulders. You’re tempted to ask if you can go home now.

All of a sudden you’re interrupted by a critical voice. “You agreed to be hired by them?”

“I...” You weren’t sure what to say to this. “I had to find a middle way.”

“No... this is good. Because you’ll be in contact and you’ll be paid. That gives us two contacts. However, EVA will be monitoring both. I recommend you work remotely. These people are too dangerous for your level.”

You breathe a sigh of relief. “Thank you, sir.”

“Take a break and rest up. We’re going to have to get you out of Munich. Were you followed?”

“Not that I saw, sir.”

“I’ll put out some security guards for you.”

Was Chu Zihang that concerned for your safety? He hung up abruptly.

You can’t think to do much more. You were too tired to even put on your PJs. You just lay on the bed and stare at the ceiling.

You don’t remember your eyes closing, but you’re awakened by a sound.

Your cellphone is buzzing and vibrating erratically. Lines of green text descend in a cascade across the screen and then it goes black with only two words. “Gotcha.”

What do you do???

--------------------------------------

A. Jump behind the bed.

B. Call for help.

C. Throw the phone from the window.

#Dragon Raja #Text Based Game

10 notes · View notes

recruitingjobsincanada · 4 years ago

Text

Recruiting Jobs In Canada

Are you seeking out Recruiting Jobs In Canada for the employment carrier in 2021? Or, do you want a job consultancy carrier in Canada? If sure, then accurate information for you. To get a higher task and employment provider to your favourite vicinity like Toronto, Vancouver, Edmonton, Calgary and lots of extra. They are the pinnacle and high-quality recruiters in Canada in 2021.

if you are attempting to find jobs in Canada for foreigners, then those recruitment employers in Canada will assist you to discover the nice jobs for you in the favored vicinity.

The primary factor extra complex than getting the right staffing and skills in Canada is dealing with employment arrangements for foreign people. Canada has visible sizable increase in the infrastructure, power, improvement and method industries in recent years.

That increase has generated massive demand for exceedingly knowledgeable, trained and skilled specialists, which include engineers, executives, researchers, chemists, and architects.

There has been an growth in Canadian employers hiring foreign people for those skilled and regularly revel in-intensive positions. it may be hard to locate the right recruiters and expertise.

Why to seek advice from an Employment organisation to discover a job?

In keeping with the survey, extra than ninety percentage of agencies in Canada use recruitment businesses to lease personnel. Recruiting consultancy to play a mediator role in assisting organizations to discover the satisfactory skills and people to discover the right job.

In contrast to company recruiters, recruiters at hiring corporations have access to all forms of jobs at multiple businesses protecting an extensive spectrum of industries and task positions. If corporations and your opposition are the use of them, you must be too. Right here are a few points of motives to seek advice from an employment employer for both the employers and task seekers.

CAN save you TIME AND stress

try OUT JOBS earlier than YOU commit

potential FOR more options

IT’S less complicated to say NO

only practice TO serious businesses trying to lease

REPRESENTATIVES ARE notably inspired TO GET YOU positioned

THEY recognize THE proper human beings

help AND assist

At secondary 10 careers of the destiny school and college graduations, it’s entirely expected to listen to an audio system asking children to follow their passion. The notion is that inside the occasion that you attempt to earn sufficient to pay the payments carrying out something you adore, you’ll paintings greater diligently at it, and achievement and flourishing will follow.

but in truth, it doesn’t typically workout that manner. At the off chance that the field you feel generally active about is in decay, like journalism, seeking after it is able to imply severa long durations of battle, definitely attempting to get and maintain a line of labor. also, if the positions you’re ready to find out don’t pay a living pay, you could revel in taking care of the bills on any occasion, when you’re applied.

software program Developer

software program engineers plan and compose the product that sudden spikes in call for devices like computers and smartphones. a few engineers make programs for precise duties, while others paintings on the working frameworks used by networks and working structures. Software improvement consists of finding out what customers need, making plans and trying out software to deal with the ones troubles, making actions up to greater hooked up tasks, and maintaining up and documenting the software improvement technique to make certain it maintains to work efficiently afterward.

scientific and fitness offerings manager

hospital therapy is a main and convoluted business. Giving attention to patients is simply critical for it. There’s additionally paintings of making plans preparations, gathering payments, retaining clinical records, and organizing with different fitness offerings companies. clinical and fitness managers regulate each such sporting event, leaving medical care companies with greater possibilities for their sufferers.

Postsecondary instructor

Any trainer who teaches students beyond the excessive college level may be termed as a postsecondary teacher. 10 careers of destiny those teachers can teach any problem but the demand is rising speedy for scientific, commercial enterprise, and nursing teachers. alongside teaching lessons, postsecondary teachers often take part in studies, distribute books and papers, and set off students about choosing a university foremost and accomplishing their expert goals.

Nurse Practitioner

A nurse practitioner, or NP, is a type of nurse with greater instruction and more authority than a registered nurse (RN). in place of honestly helping experts, NPs can carry out a full-size lot of a consultant’s capacities themselves. A NP can analyze illnesses, advise meds, and deal with an affected person’s trendy attention.

financial supervisor

Each employer, from a nook supermarket to a Fortune 500 company, wishes to manage cash. at the off chance that the commercial enterprise is adequately huge, it would hire a financial manager to manipulate that facet of the commercial enterprise. The financial supervisor monitors an affiliation’s pay and spending, looking for processes to amplify advantages and diminish expenses. They make monetary reviews, oversee ventures, and help direct the affiliation’s drawn-out economic targets.

management Analyst

management professionals, in any other case referred to as management specialists, help companies discover approaches to run all of the more proficiently. they arrive into an enterprise and note its methods, speak with a team of workers, and have a look at economic statistics. At that point, they encourage supervisors at the maximum talented technique to lower charges (for example, by using the same paintings with much less fee) or lift earning (as an example, by using expanding the degree of an object an organisation can supply in a day).

physical Therapist

physical therapists help people with wounds or sicknesses that cause ache and affect motion. They use techniques like stretches or distinctive sports and body control to assist patients with enhancing their portability and lessen torment.

creation manager

On the point when you pass a creation site, you often see severa production workers fascinated by the involved profession of a building. creation supervisors aren’t commonly obvious on the scene, but, they’re generally there in the back of it. From taking into consideration the underlying rate issue to directing people to make certain the work is up to code, they’re associated with each segment of the shape cycle.

statistics security Analyst

groups rent statistics safety analysts to guard their laptop networks and frameworks from cybercrime. Those professionals introduce antivirus programming and distinct shields to make certain records are being covered, look ahead to protection penetrates and examine them once they show up and intermittently take a look at the community to look for holes a programmer should abuse. They likewise make recovery plans that intend to assist the networks with getting their framework operating within the event of an assault. Which could consist of removing harmful software programs from the computers and reestablishing statistics from backups.

laptop and information structures supervisor

A pc and records frameworks manager is answerable for all the laptop-associated sporting events inner an organization or other association. The paintings can include analyzing pc desires, prescribing actions as much as the framework, introducing and keeping up computers and programming, and coordinating other laptop-related experts, like programming engineers and records protection investigators.

#Recruiting Jobs In Canada

1 note · View note

nny11writes · 5 years ago

Text

Master Post: How to Do Things and Stuff

Alright, it’s done. Here’s a list of resources, blogs, websites, books, and master posts to help you draw, write, adult, learn ASL, wtf is make up and what do you use it for, and eating of $4 per person per day (Yay SNAP benefits). Honestly, I’ve been doing this for a few hours and I’m too tired to keep going on right now. Might reblog again another time with updates/additionals, just let me know what you want tutorials on! In the interest of not making a super long post, here’s the viewable google doc. Full list below the “keep reading”. https://docs.google.com/document/d/1crJphYIqvPUI1dd0pd_8lsJdAycLhwChfrOc76IX1Ls/edit?usp=sharing

Art:

· Painting Tutorials – My Modern Met

· Drawing Pretty Much Anything – Javi Can Draw!

o I’ve been watching his videos on Youtube, but he also has a website which I’m linking to

o Tutorials he puts out includes the research he did and tutorials he found provided to you as well so you can see multiple tutorials

o Includes:

Drawing Human Figure, Gestures, Facial Expressions, Hands, Feet, Shoes, Clothes, Glasses, Dynamic Poses, Perspective, Backgrounds, Color/Shading, and more

· Hand & Feet Tool – Line of Action

o All the Line of Action tools are a series of images that you can view for as little or long as you’d like to practice drawing from references. Class Mode allows warm ups and breaks otherwise it’s all the same length.

· Animal Drawing – Line of Action

o You can select for all animals, all mammals, no insects, insects/arachnids/other creepy crawlies, reptiles & amphibians, and more!

· Faces & Expressions – Line of Action

o Like both above you can select what kind of expression and also select for male, female, or all models.

· Figure Study Tool – Line of Action

o Choose from all, nude, or covered for all, male, or female models

· How to Draw Fire – envatotuts+ by Monika Zagrobelna

o I found that the tutorials from envato tuts+ all had some hefty “material requirements”, despite that I’m linking them because I think there’s something to be gleaned from the step by step process show.

· How to Draw Ice and Icicles With Pencils – envato tuts+ by James Butler

· How to Draw Dragons – Monika Zagrobelna

· How to Draw and Animate Wings – Monika Zagrobelna

· Lip Sync Mouth References - DarkmaneTheWerewolf

· Best Free Drawing Software for 2019

o Yes this is a top 6 list, I found it useful to at least learn about a few options before diving deeper into a program

· Beginner’s Guide to SketchBook Pro

o I’ll be taking a look around for other types

· Getting Started with Krita – David Revoy

o Krita is a free software for digital art, this tutorial is older and somewhat out of date, still some good advice for using it is included. I’d also rec looking at krita’s website for some of their more specific tutorials.

· MyPaint Manual/Wiki - MyPaint

· 8 Colored Pencil Techniques for Beginners – My Modern Met

· Digital Coloring Tutorial – Martina Naldi

· A Guide on Digital Shading for Beginners – Leigh G.

· Digital Brushes - AaronGriffinArt

Writing:

· Writing With Color: Writing and Resources centered on racial & ethnic diversity – tumblr

o I can’t sing the praises of this tumblr enough, please check them out! They offer not only resources and writing about/by poc, they are also open for Q&A

· Fantasy Name Generator

· Developmental Milestones birth-5 years

o Writing kids is hard

· General Writing Tips from a Beta Reader- Julia Writes Books

· Traumatized Character Profile

o A read only doc you can download to help serve as a quick reference for teen/adult characters with trauma. This includes a section to choose what complicates trauma, any PTSD symptoms, comorbidities, triggers, symptom details, the traumatic event(s), some world building options including stigmas, groups, media presentation, and more, and outside support for the character

· Writing Travel – Jean Johnson

· Writing Muslim Character - missandaei

· Writing Jewish Characters – writingwithcolor

· Branches in Judasim – Rose Lark Publishing

· Resources for Writing Sketchy Topics

o Medicine, Characters, Illegal Activity, Black Market, and Forensics

o Be careful, this has potentially triggering information/descriptions

· Torture, Interrogation, Physical Evidence, Techniques, Survivors, and More - ScriptTorture

o Be careful, this has potentially triggering information/descriptions

· Writing Medicine/Medical Issues - ScriptMedic

· Poetry Structure & Devices – Words N Stuff

· Resources for Describing Emotions – Words N Stuff

o This includes showing emotions (not telling), body language associations, hiding emotion, writing extreme emotion, emotion without making character self aware, how to write specific emotions, emotional wounds, and motivation

· How to Info Dump without sounding Like It – It’s A Writer Thing

· The Thin Line Between Character Strengths and Flaws – Jami Gold

o How tempting was it to post EVERYTHING from Jami? V E R Y!

· General Posts About Writing Skills/Concepts to Improve Stories – Jami Gold

· General Posts About Editing Your Story – Jami Gold

· Writing Prompts – Writing Prompts Tumblr

Adulting

Giant How to Master Post including:

· Household skills (budgeting, fix blown fuse, unclog toilet, sharpen knife, etc)

· Cooking Skills (is produce ripe, expired foods, sanitation, to make rice/pasta/eggs/etc, using ovens/stand mixers etc, putting out grease fires, and more)

· Health Skills (CPR, self save if choking, treat frostbite/burns/bleeding, signs of Stroke)

· Mental Health Skills (recognizing problem drinking, how to choose therapist, coping with grief, etc)

· Relationship/Social Skills

· Job Hunting Skills

· Misc (sew on button, change oil, jump start car)

Make Up for Beginners (Huda Beauty)

This talks about different kinds of make up and what they are for

Learning ASL

ASL Rochelle has free youtube videos to get you started

Good and Cheap by Leanne Brown – Eating on $4 per person per day

This is a link to the PDF of the book, no purchase necessary, designed for people living on SNAP and as a resource to help people out and not as a challenge.

#how to #tutorials #master post #masterpost #how to draw #how to write #how to adult #adulting #reference #for reference #may update again another day #please feel free to add to this post/tell me what you want added to the google doc #if there's something you want to know but are nervous to look for yourself #let me know and I will look it up #and/or ask my librarian sister to help me find resources online #whichever way gets you what you need

55 notes · View notes

paintlung01 · 4 years ago

Text

European Peptide Culture.

Cgmp Peptides.

Content

What Does Mg Of Collagen Indicate?

S23 S4 Sr9009 Sarms S Collection Research Study Stack Sarm Fluid Dropper Chemical.

Fitness And Body Building.

Numerous Males Are Utilizing Online Medicines For Bodybuilding, But They Aren't Safe.

Lgd.

Boost the Metabolism - When carbohydrates are digested, an enzyme called AMP is generated. AMP is very important for the body since it breaks down fats found in the cells. Excess amounts of fatty acids in the cells are converted into acetylcholine, which causes insomnia, drowsiness and poor memory. Peptides can help in preventing such effects. Peptides can stimulate the production of acetylcholine in the liver and help in getting rid of the toxins that cause drowsiness and insomnia. It can also enhance the functioning of the brain.

Whether peptides are taken internally, ingested, or used as a supplement, they do offer some benefits. These benefits include increased energy, better skin, and enhanced immune function. However, just like any other nutrient or substance in your body, you should be careful about trying to overuse them. Excessive intake may have a number of unpleasant side effects. In the case of peptides, excessive use may lead to serious health complications, including death.

What Does Mg Of Collagen Suggest?

Peptides can be found in many health and beauty products. You can use them topically to treat a variety of skin ailments. They may even be used internally to treat a variety of diseases. Peptides are also found in supplements that are used by body builders to add extra protein to their diet. Many athletes take them to build lean muscle mass.

Global Biosimilar Therapeutic Peptides Market Report 2020: COVID-19 Impacts, Growth and Changes - Forecast to 2030 - Yahoo Finance

Global Biosimilar Therapeutic Peptides Market Report 2020: COVID-19 Impacts, Growth and Changes - Forecast to 2030.

Posted: Thu, 07 Jan 2021 14:58:00 GMT [source]

Peptides are small protein molecules that have powerful functions in the body. They have the power to penetrate the blood and enter cells. Peptides are used as immune enhancers and also for treating many other diseases and conditions. Here we will be discussing the various Peptides advantages and their uses.

S23 S4 Sr9009 Sarms S Collection Research Stack Sarm Fluid Dropper Chemical.

There are two types of peptides. One is alpha-ketoglutarate, and the other is beta-ketoglutarate. Both serve different purposes in your body. Alpha-ketoglutarate is an easier way to produce energy. It is used for muscle development and repair. On the other hand, beta-ketoglutarate produces more oxygen and increases metabolic functions.

Can you mix retinol and peptides?

Do Mix: Retinoids + Peptides Dr. Mariwalla says it's a great idea to use both a retinoid- and peptide-based night cream at bedtime. “You get the collagen-building effects of the retinoid, but it also works to improve the penetration of the peptide cream, which can help improve skin's firmness,” she explains.

Prevent Cancer - Peptides are capable of enhancing the immune system and fighting against viruses and bacteria. Research indicates that peptides can stop the growth of cancer cells and even kill cancer cells. Peptides are effective in cancer prevention because they directly attack cancer cells without harming healthy cells in the body. This is different from chemotherapy, which messes up the DNA of healthy cells in the body and inhibits their ability to fight against diseases.

Health And Fitness As Well As Body Structure.

Strengthen the Immune System - There is a vast network of amino acids which are responsible for a wide range of biological processes in the body. One of them is insulin. Insulin is produced by the pancreas and is responsible for many functions. However, it can also cause damage to the pancreatic islet cells if it is not given enough attention. In order to protect the pancreatic islet cells, peptides can be given to enhance the immune system.

youtube

The muscles in the body can be strengthened. When you lift weights, your body uses the muscles to move the weight. The more muscles that you have worked, the more calories that you can burn. As your muscles are strengthened, you will be able to exercise more frequently and for longer periods of time. plenty of software may lose some weight, but you will typically gain lean muscle mass.

Several Males Are Using On-line Medicines For Body Building, Yet They Aren't Safe.

Muscles may be repaired more quickly. peptides uk’s free information BPC157 Sweden have long used peptide supplements to build muscle. The faster the process of recovery, the quicker you can get back to training. Peptides can help speed this process.

Anti-Inflammation - Peptides can actually help in decreasing the swelling of the joints, reducing the pain caused by arthritis and reducing inflammation of the heart, to mention a few. It also prevents damage to the cells around the joints. Proteins are the building blocks of our body and they too form proteins in the body. When we are injured or over stressed, our body releases some proteins which form fluids in the injured areas. This may not seem like a big deal but as we get older this is one of the main reasons for joint deterioration and the associated pain. Peptides can help to inhibit the production of these fluids which means that there will be less fluid to trigger the pain signals.

Lgd.

There are right Saudi Arabia bpc157 how does it work for you associated with peptides. There are even more potential uses. Peptides are extremely healthy and well documented in scientific research. This documentation alone should give you enough reasons as to why you should include these natural proteins in your diet. If you want to learn more about the benefits of peptides, talk to your physician today.

If you are new to this product or any one of its ingredients, we recommend completing a patch test first.

The needle-free formula assists to combat expression creases by minimising muscle contractions while boosting collagen synthesis to noticeably plump the skin tone.

Where examines describe foods or aesthetic products, results may differ from person to person.

Hormonal agent or peptideMajor cells areas in the gutPrincipal understood actionsGastrointestinal peptides, their website of expression and also significant features.

Client testimonials are independent and also do not represent the sights of The Hut Team.

Proteins may be used to encourage wound healing. When muscles are damaged, it can take longer for them to heal. Muscle supplements can speed up the process of recovery. They can also promote new tissues to grow and develop.

Peptides are available from many sources. You may find them in milk, meat, fish, eggs, poultry, beans, and soy. While you may eat some of these products without negative consequences, there may be undesirable side effects associated with them. For instance, some of these proteins may cause intestinal gas or cramps.

Boost the Immune System - Peptides are excellent for boosting the immune system. They enhance the function of the immune cells and also help in warding off disease and other illnesses. As a result of their actions, your body will be protected from all types of diseases, including cancer.

Help in Metabolism - The peptides are also capable of metabolizing fatty acids and glucose. This means that they can aid in weight loss. Our bodies release excess fats through the sweat glands. These released fats are used for energy but excess sugars and carbohydrates are converted into stored fat. Peptides can help in the conversion of carbohydrates into energy thereby reducing weight.

Verisol collagen peptides approved by ANVISA for use in food supplements - Nutritional Outlook

Verisol collagen peptides approved by ANVISA for use in food supplements.

Posted: Mon, 21 Dec 2020 08:00:00 GMT [source]

Protein may be taken in a variety of forms. The best option is to choose whey protein. It is the most highly regarded form of protein. It contains all of the necessary amino acids that your body needs. You may have heard of people having success using casein protein.

#BPC157 EU #BPC157 Europe #information BPC157 EU #information BPC157 Europe #EU BPC157 how does it work #Europe BPC157 how does it work

1 note · View note

workerscompfl41-blog · 4 years ago

Text

6 Items to Keep an Eye out for when Choosing a Employees Compensation Company

Staff compensation insurance plan is required for some companies, thus choosing a staff reimbursement company may seem to be a simple undertaking. However, your choice isn't quite as easy as this indicates, also it can effect your business 's prospective customers. The objective of work-comp is easy: to safeguard employees as well as companies. This "no real surprise " coverage protects the two parties when a worker is hurt on the job. It insures hospital treatment for the wounded worker. In addition, it provides compensation for lost wages should they're not able to go back to function throughout retrieval. Subsequently, the company is shielded against suits due to injuries. As a policy, you gain the most whenever you choose a company that serves as a partner, invested in the accomplishment of your company. Work-comp is needed, however it can be an benefit that shields your visitors as well as your base line.

Customer service

Your company should be easy to get whenever you have questions or concerns regarding asserts, superior payments, workplace protection or anything else. Since you believe carriers, ask about the different types you'll work with. While customerservice is normally the very first level of contact, you might also utilize agents from claims, underwriting, premium consultation, and also the security and hazard department -- if your provider has a single (it should).

Expertise

Numerous large insurance businesses which provide work comp also provide other forms of insurance. Your broker 's first suggestion might be to package your company insurance policies together with just one carrier. For some businesses, this approach will enhance your own policy and choice administration. But to get the absolute most value for your superior, pick an organization which focuses on workers compensation insurance policy.

An technical insurance carrier can help you save you money in the future. Its pros deeply have an understanding of the location 's job comp laws and may equip one in order to avoid lawsuits and other prospective costs associated with workplace events. Specialised carriers also often possess value-add apps that benefit you for proactive hazard reduction, off-setting your premium costs.

Safety tools and service

Your job comp carrier should share your target of trying to keep your employees safe in the office. After it all 's in everyone else 's attention -- yours, your personnel ', and the company 's -- to avoid injuries in the first place in place of handle the consequences of unsafe working requirements and practices.

Safety reward programs

Your premium is based on your self explanatory, category codes and e-mod. But some carriers benefit policy-holders with money back when they show that protection is their priority. By way of example, Missouri Employers Mutual pays yearly security benefits. Policy-holders may bring in high dividends by having safety programs with things such as documented safety policies, regular basic safety training and a return to work schedule.

Promises management support

When an injury occurs, properly managing your claim will end in the very best outcome for the employee and your company. Managing claim charges can positively impact your e-mod and cut back on your premium. Workers compensation companies aren't outside to avoid paying maintain expenses -- they want successful results, just like you. Ask what your company has in place to make sure an wounded employee are certain to receive the finest possible care as swiftly as possible. A valuable company should also have resources that will help you intend to get an injured worker 's return to get the job done.

Pick a workers settlement company sensibly

The policy details of your policy will be the same from carrier to carrier. In the event you need more infomation concerning it, you need to get in touch with an expert concerning thisparticular, For instance florida workers compensation is expert within this particular subject. This 's the reason why it's 's crucial to obtain a work comp provider which offers significantly more compared to a plan. When talking your final decision with your broker, enquire for potential carriers' client service, experience, protection resources along with value-add software. The company that provides the most value on the superior may not have the best price tag at face value. Designed using the appropriate questions, you can get a provider that will help you guard your organization as well as your staff.

#workers compensation

1 note · View note

pipenancy2-blog · 4 years ago

Text

Nursing Soap Note

Nursing SOAP note is what nurses use to separate all the insignificant information about patients from significant information. It shows what is happening to patients in a neat and organized way. This makes it easier for other healthcare members to understand and care for patients more effectively. What Does SOAP Stand For? There are four components that form these notes that make up the acronym S-O-A-P:  S is for subjective, or what the patients say about their situation. It includes a patient's complaints, sensations or concerns. In most cases, it is the reason the patient came to see the doctor Here are some examples:  The patient complained of a severe pain on the right side of his head.  The patient stated having a sore throat and chills.  The patient mentioned feeling itchy all over her body.  The patient was worried about not being able to sleep for three days.  The patient wanted to see the doctor for his annual physical.  O is for objective, or what the nurses 'observe' in the patients. It includes facial expressions, body language and test results. Nurses can conduct a physical examination where more data is obtained. Some examples include:  The patient grimaced when moving his right leg.  The patient avoided direct eye contact.  The patient's blood pressure reading was high.  The heartbeat sounds irregular.  The skin felt cool and clammy.  A is for analysis or assessment. Nurses make assumptions about what is going on with the patients based on the information they obtained. Although these assessments are not the medical diagnosis that health care providers make, they still identify important problems or issues that need to be addressed. Some examples include:  The patient is at risk for stroke.  The patient seems very anxious.  The patient is having difficulty breathing.  The wound looks like it is infected.  The patient did not have a physical last year.  P is for plan. Nurses make decisions about how to provide care based on the patient's specific needs and abilities. The interventions also have to be realistic and measurable so their effectiveness can be evaluated. This can include treatments, medications, education, and consults to other members of the healthcare team. Nursing SOAP Note Format: How to Write Writing in a nursing soap note format allows healthcare practitioners to conduct clear and concise documentation of patient information. This method of documentation helps the involved practitioner get a better overview and understanding of the patient’s concerns and needs. Below are ways you can effectively write a SOAP note:  Subjective – What the Patient tells you This section refers to information verbally expressed by the patient. Take note of the patient ’s complete statement and enclose it in quotes. Recording patient history such as medical history, surgical history, and social history should also be indicated as it can be helpful in determining or narrowing down the possible causes. It can be written like this: Subjective: Patient states: “My throat is sore. My body hurts and I have a fever. This has been going on for 4 days already.” Patient is a 23-year-old female. Prior to this, patient says she had a common cold and whooping cough then progressed to the current symptoms.  Objective – What You See This section consists of observations made by the clinician. Do a physical observation of the patient’s general appearance and also take account of the vital signs (i.e. temperature, blood pressure etc.). If special tests were conducted, the results should be indicated in this section. Using the previous example, we can write the objective like this: Objective: Vital signs represent a temperature of 39°, BP of 130/80. Patient displays rashes, swollen lymph nodes and red throat with white patches.  Assessment – What You Think is going on. This section tells the diagnosis or what condition the patient has. The assessment is based on the findings indicated in the subjective and objective section. This section can also include diagnostic tests ordered (i.e. x-rays, blood work) and referral to other specialists. nursing soap notes Using the same example, the assessment would look like this: Assessment: This is a 23-year-old female with a history of common cold and whooping cough and reporting for a sore throat, fever, and fatigue. Clinical examination suggests bacterial pharyngitis due to swollen lymph nodes and the presence of white patches on the throat.  Pharyngitis  High Fever (caused by pharyngitis)  Fatigue  Plan – What You Will Do about It This section addresses the patient’s problem identified in the assessment section. Elaborate on the treatment plan by indicating medication, therapies, and surgeries needed. This section can also include patient education such as lifestyle changes (i.e. food restrictions, no extreme sports etc). nursing soap note Additional tests and follow up consultations can also be indicated. With the same example, the plan section can be written like this: Plan:  Acetaminophen – take every 6 hours x 5 days  Penicillin (500mg) – once a day for 5 days  No labs or consults. Follow up after 5 days if symptoms persist or worsen. Drink plenty of water and intake Vitamin C What is auditor and how can I Use it for Nursing SOAP Note? Healthcare professionals can use auditor, the world’s #1 inspection software, to digitally gather SOAP notes and improve the quality and continuity of patient care. Create SOAP notes in digital format and easily update and share with teammates Collect photo evidence for a more informative and descriptive patient record Save completed SOAP reports in safe cloud storage Easily share your findings with other healthcare clinicians and avoid losing track of patient records by securely saving it in the cloud using auditor Facilitate digital sign-offs to verify acknowledgment of SOAP assessment. 5 Tips and Tricks for Writing Successful Nursing Soap Note 1. Don't assume the first complaint is the chief complaint The Subjective section of SOAP notes is supposed to provide context for later sections, so if nurses record a chief complaint that is not aligned with the Assessment and Plan, the entire note may read off kilter. Authors Valerie Lew and Sass a Ghassemzadeh caution nurses against assuming the first reported complaint is the chief complaint. Instead, they encourage clinicians to have patients share information about all their complaints to sass out what might be the primary issue. 2. Double check your EMR entries for errors Nursing SOAP notes may seem like second nature if you're an experienced RN, but make sure you take time to proof your work. Something as simple as a typo can change the entire meaning of your note, and there have been cases where nurses wrote pristine SOAP notes in the wrong patient's online chart. A few minutes of extra care can go a long way to reducing these types of errors. 3. Connect diagnosis with intervention Veronica Anza lone, RN, has 16 years of healthcare experience. She's reviewed a lot of charts from many perspectives, and says it's important for nurses to chart with reimbursement in mind." The last seven years of my career have been spent working within the healthcare revenue cycle," says Anza lone, "including five years reviewing medical records for medical necessity and coding appeals. In many instances, a case was made for appropriate reimbursement because the nurses caring for the patient, whose claim was in question, carefully connected their nursing interventions and rationales to their assessment." 4. Don't make assumptions about the person reading your notes Anza lone also says nurses shouldn't make assumptions about who might read charts in the future. It's not always another clinician; lawyers, reimbursement decision makers and others may read nursing SOAP notes." With my experience in retrospective chart review, detail matters," says Anza lone. "As we are taught in school: if it is not documented, it did not happen. A nurse should not take for granted that the person reading their note will know that the standard of care has been met." 5. Limit the Assessment portion of soap nursing notes to appropriate information Remember that nursing SOAP notes should be comprehensive, but concise. That requires including the appropriate information in each section, but leaving out extraneous notes or opinions that don't belong there. For example, the Assessment should only include notes regarding the diagnoses being managed and the overall progress of the patient. Advantages and Disadvantages The major advantage of the SOAP documentation format is it's widespread adoption, leading to general familiarity with the concept within the field of healthcare. It also emphasizes clear and well-organized documentation of findings with a natural progression from collection of relevant information to the assessment to the plan on how to proceed. However, the format has also been accused of encouraging documentation that is too concise, overuse of abbreviations and acronyms and that it is sometimes difficult for non-professionals to decipher. DeVito and Snyder-Meckler (1995) have also suggested that a sequential, rather than integrative approach to clinical reasoning is encouraged, as there is tendency by the health professional to merely collect information and not assess it[3]. They feel that the emphasis on the problem-orientated approach to documentation is misplaced and that it is not conducive to clinical decision-making. One major difficulty with SOAP notes for physiotherapists is the lack of guidance on how to address functional outcomes or goals. Having said that, the format is not so rigid that it cannot be adapted to take this into account. Conclusion In conclusion, a SOAP Notes are short documents that shows current, past and continuous regimen of a patient. These notes will stay within a patients’ medical history for future reference. Moreover, they are easy to interpret into a computer. If well written and it is organized then you will be able to present your case within a few minutes. SOAP Notes are easy once you get the hang of them. So don’t stress as they will become habitual in your day to day workings.

#nursing essays #nursing soap note #nursing soap notes #soap note project

1 note · View note

carnistcervine · 6 years ago

Text

Anima Machine Pets AU

Here's an idea, an AU of my Anima Machina AU where CyberLife manages to actually achieve what they set out to accomplish with the Anima project. Basically if CyberLife could competently program something for fucking once. Of course one could probably appropriate the idea into a normal DBH AU, but I branched it off my Anima Machina AU because it already comes with an explanation of how CyberLife controls deviants. :D

With the deviancy problem effectively solved, they set out to capture and recall all of their previous models.

Once rounded up, rather than destroyed, they are (forcefully) given the Vinclum program used to control anima.

CyberLife issues a public statement, blaming a virus and mistreatment for deviancy. Kamski also takes control of the company.

Kamski is not handing over any of his Cloes though.

Just forget about that.

While a new generation of androids is drafted up, all of the captured androids are fixed up after being given the program and are put into containment facilities.

CyberLife also pilfers landfills for android parts and fixable androids.

The previous generations of androids are effectively all demoted to companion models and containment facilities are fashioned into shelters. Like pet shelters.

Anyone that wishes to purchase/adopt any of these androids must go through a thorough vetting process first. While CyberLife is sure that they've taken care of deviancy, they are very careful to avoid giving androids to anyone that might trigger it to happen again. Anyone who has committed a violent offense or if CyberLife has good reason to believe may mistreat/misuse/reinstate deviancy in the androids are blacklisted and banned from adopting/purchasing from shelters.

When adopting an android, they make you sign all sorts of waivers and legal documents, absolving CyberLife of any wrongdoing should your android go haywire.

Of course there are different levels associated with adoptable androids, green=completely safe/has not harmed a human, yellow=safe/may have given a non-critical injury to a human, red=warning/critically wounded and or killed a human, black=dangerous. Only people with a spotless record and absolutely no history of violence towards androids can adopt red or higher.

Examples- the Jerrys would be green, Kara would probably register as yellow, Echo would be red, Connor would be black.

Also, considering that at least a few of the adoptable androids would be anima, a buyer could potentially end up being technically haunted. :'D

Also-also, yes, I could totally see CyberLife doing this. Their only concern is making money, hell they'd probably just continue android sales with an android/human civil war raging if they could get away with it.

Now with an imaginary scenario/thing under the cut-

Imagine going into one of these facilities-

You walk into CyberLife's shelter, and see the place is a little similar to an animal shelter. Only the cages are more like the holding cells in a jail.

A clerk greets you as you walk in. He's a human too! Though, you suppose you shouldn't be surprised given recent events.

You slowly walk through the store. There are various androids contained in different cells. Some are looking at you, others seem distracted/preoccupied with the objects in their cells. The vast majority are given a green color code, however a few are yellow.

There is a cell labeled Rupert Travis, it's color coded green. The android inside seems preoccupied with caring for two pigeons he's contained with.

"Ah, that one seems to have a strange affinity for birds. A great choice if you happen to own any birds!"

You move on to a yellow cell labeled Ralph. He's taking care of a few succulents.

The salesman appears uncomfortable. "We aren't sure about this one... The state it was in when we found it, it may have killed someone... but there was not enough evidence to support the theory."

A cell with three androids in it catches your eye. None of them look at you, they're all busy playing together. They almost look like a small family. Two green labels and one yellow. Luther, Alice, and Kara.

"Cute family aren't they? Deviants are strange machines, the virus seemed to create a very accurate simulation of life."

You notice another cell with multiple androids in it. It's a green cell labeled Jerry. They're all smiling at you.

"Oh yes, Jerry! It is programmed to behave in a very friendly manor. It's good if you want to see a smiling face every day."

You look the sales clerk in the eye and ask him if you can go downstairs. He reluctantly agrees. "Since your record is completely spotless, fine."

Downstairs a pair of androids catches your eye. A red labeled Echo, and a yellow labeled Ripple. You recognize that the pair are Traci models.

The salesman rubs the back of his neck. "While I am sure that you and I are both very well aware of their original purpose, it is advised that you do not attempt to engage in... sexual conduct with any Tracis. Or any models in general. Just leave them alone."

You keep walking, seeing more red cells. Simon, Josh, North. Simon and Josh are quietly minding their own business, and North is playing with a bouncing ball. She casually glances at you for a few seconds before going back to bouncing the ball against the wall of her cell.

Finally, you reach the black section. The first thing you notice is that all the models, except for one are looking at you.

The only one not looking at you is labeled Markus, and he's reading a book.

The androids looking at you are mostly identical. You can see cell after cell of androids pressed against the transparent cell window and soft brown eyes giving you a slight puppy-dog face.

"Why are they doing that?"

"Oh, the RK800s? They're very clever models, they're designed with software to adjust to and manipulate human psychology. They've probably figured out that you're their ticket out of this place and are attempting to garner sympathy."

"Well it's working."

The puppy faces intensify.

"You shouldn't have said that."

Beyond the RK800s are more models, similar, and vaguely familiar.

"RK900s? I thought those were going to be used for the war?"

"There were some... problems... activating these particular units. While they haven't harmed anyone, the company has decided to re-purpose them anyway. Most RK900s however, will be allocated for military use."

The RK900s tracked your movements, their heads swiveling like security cameras. It was really creepy.

You return your attention to the RK800s, pointing to the nearest one.

"This one, I want this one."

"Look, I know it's not my job or really my place to say this but, I would really suggest against adopting any of these units. They're all potentially very dangerous."

"But he's so cute!"

"It's only manipulating you."

"It's my money and I've been green-lit!"

"Customer, no."

"Customer, yes."

After paying the adoption fee, along with many other fees, and signing an ungodly amount of paperwork, you came home with ex-terminator android.

That's how you ended up with a killer-robot turned android pet.

Honestly, this is all just proof that I'm having way to much fun with this concept. :')

29 notes · View notes