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Why Choose our Company for the Sliding & Roller Shutter Doors in Dubai
Doors play a pivotal role in uplifting the overall aesthetic and functionality of the property. Hence, it is important to invest in quality materials for the best results. We are experienced and have been in this industry for years, helping clients acquire the best type of door for their space. Whether you want a door for your commercial or residential property, we are here to fulfill all your needs. Do you want the best quality and design sliding doors dubai? Then, we are right here to provide the best assistance.
Sliding doors are a suitable option if you want to save space. They are easy to use and available in various types, such as glass sliding doors, pocket sliding doors, bi-folding sliding doors, and so on. They are convenient, and anyone can use them, from children to adults. So, if you want to install the best quality and functional sliding door in your space, connect with us. At our company, you will get the best design and quality sliding doors Dubai.
There are several companies but choosing us is a wise decision. We are experienced and have a team of proficient technicians who are excellent at offering the best and client-oriented services. Our technicians are competent in understanding the client's needs. In addition, we source quality materials and products from leading and renowned suppliers. We ensure that all our doors are high quality, durable and functional. Our professionals ensure that all our clients receive the best assistance for door services. You can choose our company if you want roller shutter doors.
We supply the door and offer installation, repair, and maintenance services. If wear and tear signs are on the door and you want the best repair and maintenance service, call us. We are renowned for offering high-quality repair and maintenance services. You can consult with our support team to book our service. Our professionals are competent in solving all door-related issues. So, contact us whenever you want the best door repair, installation and maintenance service or roller shutter doors.
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#....well#here we are again#'hello tumblr notes my friend#ive come to vent in you again'#i need the universe to Leave Me Alone#today my credit card got hacked#got it cancelled and set up to get a new one#but then when I went to use my debit card it wont work either#i have no way to pay for gas#and I cant call to see whats up till the morning#and my apartment door's automatic lock wouldn't let me in either#im in now but at this point in afraid to leave this room tbh#gosh im tired#i really hope things can just go easy with the credit card company tomorrow#cuz i dunno what im gonna do otherwise :(
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Elevator Designing Company in Dombivli
Elevate your building's elegance with our top-rated elevator designing company in Dombivali.Rohit elevator customized solutions to seamlessly integrate style and functionality in your vertical transportation needs.
#elevators lifts escalators in Dombivli#elevators lifts escalators companies in Dombivli#Capsule Elevator Cabin#Glass Automatic Elevator Doors#Elevator Gate Lock#Elevator Junction Box#Elevator Car Top Box#Elevators & Escalators#Elevator design Dombivli#Custom elevator design Dombivli#Residential elevator design Dombivli#Commercial elevator design Dombivli#Luxury elevator design Dombivli#Modern elevator design Dombivli#Elevator aesthetics Dombivli#Elevator cab design Dombivli#Bespoke elevator design Dombivli#Elevator interior design Dombivli#High-rise elevator design Dombivli#Elevator architecture Dombivli#Innovative elevator design Dombivli#Sustainable elevator design Dombivli#Elevator engineering Dombivli#Smart elevator design Dombivli#Accessible elevator design Dombivli#Elevator planning Dombivli#Building elevator solutions Dombivli#Dombivli elevator specialists#Dombivli elevator architects#Dombivli elevator planning
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oh tracy chapman we're really in it now....
#every single bill is overdue. my aunt dipped into her 401k because our trailer was about to be taken#a 600 dollar electric bill because the rates are up so much since we're in a 24/7 heat aversion and have 85%+ humidity constantly#water theyre trying to work with us but thats also overdue and the money we used to do a partial payment is money we don't have#car payment is & its fucking up REAL bad. 2 out of 4 o2 sensors are bad and shes kicking real bad anytime she idles and drives#and now shes getting stuck between the first and second gear. even parked its trying to throw into gear automatically#but driving from a light and it either barely creeps or it LURCHES real bad and is randomly accelerating and struggles to slow down#which. each sensor is about 50 to 70 bucks. we don't know which ones are fucked so its crossing fingers. my uncle is going to put her up#on blocks when we can scrape it together and im going to change two because i live 30ish minutes from a real store with a car#so we cant go without one since we literally only go to the store to get a day or two of groceries since. cant fucking afford anything.#still have hospital shit and bills and paperwork#paperwork with the company my dads driving under and they keep fucking with his paycheck#and now his air is struggling to work in the truck which is dangerous since#hes already got congestive heart failure & is working hard manual labor in extreme heat#and the power in the trailer keeps going off because the weather and blowouts from everyone using it#its 10:35pm and its 94f in here still. earlier it was 98 in here as outside is even worst and muggy#& our air doesn't work. my aunt had one (1) window unit that we're using with the doors shut but it doesn't do shit#and im still stress over my mither since she just had her fucking heart attack and none of this stress and conditions is helping#and my 'i want to cut everyone off leave me alone' isolation tendencies is in full swing#but. whatever. all cool and super 👍👍#I'm sorry for being quiet for a bit and coming back with a tag rant that ill delete later but. man.#anyways. updating the gfm's now and im sorry i haven't been on enough to keep more consistent.#thats been really selfish of me. ive set an alarm to remind me to update them and reblog for spread so hopefully going#forward they'll be more consistent. please remember to reblog even if you cant donate.
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at the beginning of your relationship, simon is not used to physical affection. his body just exists, only being touched by someone else while receiving a friendly bump from soap or while in combat. he's naturally on guard, feeling uncomfortable with people behind him or when they stand too close.
so once you start dating, it doesn't immediately occur to him that he should be touching you sometimes. no hugs when your date ends, no cuddling on the couch while watching a movie, no kisses when it's just the two of you. the actions are unnatural to him, having to teach himself to be okay with touch. and he won't realize it unless you tell him, explaining how one of the things you need in a relationship is to be able to be physically attached.
it's a big learning curve for him to accept it. not that he doesn't like it, or yearn for it even, it's just not anything he was allowed to have. so he flinches, reeling his arm away from you when you grab it to catch his attention, or pulling his knee closer into himself when you brush each other on the couch. and it hurts you, constantly feeling rejected and like he doesn't want you as more than just company. you have to remind yourself it isn't easy for him, but that doesn't make it easier on you.
but oh, does simon yearn for touch. though he may jump and pull away, those small touches mean so much to him. he catches himself thinking about it on his sleepless nights, remembering your touch from earlier and fantasizing about what it'd be like to have you laying next to him right now. to have his head on your chest, huge body tucked against yours, shorter legs entwined with his under the sheets. would you play with his hair? running your fingers through the short blond strands, giving that small tug that could make his eyes roll back?
and although it's a challenge, he works really hard on it with you. beginning to let his knee rest against yours, pulling your hand into his lap to hold, giving you a tight hug before he leaves for the night. he loves the way you get so excited each time, feeling your palms get sweaty when he grabs your hand or your body melting into him when he embraces you. positive association with touch is what he needs, and you give it to him perfectly.
so once he gets comfortable, you can't keep the guy off of you! he's pulling you into him for a wet kiss as soon as you let him in, pushing you into the wall beside your front door because he just can't wait any longer. sometimes he picks you up and carries you around just cause he can, loving the way you squeal and grip onto his shirt as he carries you to bed. si automatically assumes cuddle positioning any time he gets onto the couch, not having to say anything to get you to crawl into his burly arms, holding you there until he decides you can go.
his favorite thing though, is when you touch him. the unexpectedness of it, the feeling of being wanted, desired, needed, he can't get enough. constant butterflies erupt in his stomach when you reach for him, pulling him closer to you because it feels better that way. saying 'i want you close' without words.
poor si nearly passed out the first time you back hugged him, slipping your arms under his shirt to caress the soft pale skin of his tummy. he's ticklish too, so don't push too far or he's going to be throwing you onto the bed for a tickle attack!
it takes him a bit to warm up, but once he does, you'll never go without his touch for too long. so you better not keep your touch from him either, he doesn't take the feeling of rejection from you well. he really is an amazing boyfriend <3
#cod x reader#simon riley x reader#ghost x reader#simon ghost riley x reader#simon riley x you#sun's ☀️#ah for him to be happy
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Texas Access Controls
Texas Access Controls is your expert partner for automatic door service and installation. We service and repair all makes and models of automatic doors from all manufactures. 24/7 service is available to meet your after hour needs. With certified AAADM Technicians and over 50 years of product knowledge, we are confident that Texas Access Controls will exceed your expectations. Proudly serving San Antonio, Texas since 1987. SERVICES: Revolving Doors, Folding Doors, Drive Thru Windows, Swinging Doors, Sliding Doors, Screen Doors, Handicap Door Opener, Hands Free Door Openers, Commercial Door Hardware, Touchless Door Openers, Won-Door Fire and Security Solutions, Secure Exit Lanes, 24/7 Emergency Repair Service, Commercial Door Installation, Automatic Door Maintenance, Commercial Door Repair Services, Automatic Door Maintenance Contracts, Won-Door Maintenance
Contact Us: Texas Access Controls 1705 Robert S Light Blvd S Unit 105, Buda, TX 78610, United States (713) 683-8887 https://doorservicescorporation.com/texas-access-controls/locations/buda-tx
#Automatic door repair San Antonio#Automatic door service San Antonio#Commercial door repair San Antonio#Security doors San Antonio#Commercial doors San Antonio#Industrial doors San Antonio#Commercial door installation San Antonio#Industrial door company San Antonio#Automatic door installation San Antonio#Automatic door maintenance San Antonio
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Discover our reliable and space-saving telescopic sliding gates at Ganga Automation. Enhance security and convenience with our top-notch gate solutions. Visit us now!
#aluminium rolling shutters#aluminium rolling shutter manufacturers in india#residential automatic sliding door#door automation companies
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Like … for Uber?
Max Verstappen x Reader
Summary: maybe you should have been a bit more specific when you told your parents that your boyfriend drives for a living
The aroma of roast chicken and freshly baked rolls wafts through the air as you nervously adjust the centerpiece on the dining room table. Your parents and younger brother are due home any minute, and you’ve spent the afternoon preparing for this pivotal family dinner. Tonight, they’ll finally meet your boyfriend.
The doorbell chimes, sending a jolt through your body. You hurry to the entrance, smoothing down your dress before opening the door. Max stands there, a bouquet of flowers in hand and an easy smile on his face.
“Hey,” he says, leaning in to kiss your cheek. “These are for your mother.”
“Thanks, you didn’t have to do that,” you reply, taking the flowers. “Come on in. My family should be here soon.”
As you lead Max into the living room, you can’t help but feel a twinge of guilt. You haven’t exactly been forthcoming about Max’s career, telling your family only that he’s “a driver.” It wasn’t a lie, per se, but you knew they assumed he worked for a ride-sharing service or delivery company.
“Nice place,” Max comments, looking around. “Very ... homey.”
You laugh. “Is that a polite way of saying it’s nothing like your fancy Monaco apartment?”
“No, I mean it,” he insists, pulling you close. “It feels lived-in. Comfortable.”
The sound of a car pulling into the driveway interrupts your moment. “That’ll be them,” you say, your stomach doing somersaults. “Ready?”
Max squeezes your hand. “Always.”
Your parents burst through the door, arms laden with grocery bags. Your mother’s face lights up when she spots Max.
“Oh, you must be the boyfriend!” She exclaims, setting down her bags to give him a hug. “You’re even more handsome than Y/N said.”
Your father steps forward, extending a hand. “Nice to meet you, son. Heard a lot about you.”
“All good things, I hope,” Max replies with a chuckle.
As introductions are made, you can’t help but notice your parents exchanging curious glances. You know they’re dying to ask about Max’s job, but they’re too polite to broach the subject right away.
“Dinner smells amazing,” your father says, sniffing the air appreciatively. “Shall we sit down?”
Everyone gathers around the table, and you begin to serve the food. The conversation flows easily at first, with your parents asking Max about his family and where he grew up. But as the main course is cleared away, you can sense the questions they’re itching to ask.
Your mother finally breaks. “So, Max, how long have you been driving?”
Max looks momentarily confused. “Uh, professionally? Since I was 17, I guess.”
Your father’s eyebrows shoot up. “Seventeen? Isn’t that a bit young to start with Uber?”
“Uber?” Max repeats, bewildered. “I don’t-”
You quickly interject, “Dad, Max doesn’t work for Uber.”
“Oh, my mistake,” your father says, looking embarrassed. “Lyft, then?”
Max turns to you, a mix of amusement and confusion on his face. “Schatje, I think there’s been a misunderstanding.”
Before you can explain, your mother chimes in. “It’s nothing to be ashamed of, dear. Driving for those apps is honest work. We’re just curious about what it’s like.”
Max opens his mouth to respond, but you cut him off. “Mom, Dad, I think I need to clarify something. When I said Max was a driver, I didn’t mean-”
The sound of the front door slamming interrupts you. Your younger brother, Tommy, comes barreling into the dining room, out of breath and wide-eyed.
“Sorry I’m late, I was at practice and-” He stops short, his jaw dropping as he spots Max. “Holy shit! You’re Max Verstappen!”
The room falls silent. Your parents look from Tommy to Max, then back to Tommy, confusion etched on their faces.
“Language, Tommy,” your mother scolds automatically, before adding, “Wait, what did you say?”
Tommy is practically vibrating with excitement. “That’s Max Verstappen! He’s not just any driver, he’s a Formula 1 World Champion!”
Your father turns to Max, his expression a mix of shock and disbelief. “Is this true?”
Max nods, looking slightly sheepish. “Yes, sir. I’m a Formula 1 driver for Red Bull Racing.”
The silence that follows is deafening. Your mother is the first to recover, letting out a nervous laugh. “Oh my, and here we were asking you about Uber! We must look so foolish.”
“Not at all,” Max assures her, his smile warm and genuine. “It’s actually quite refreshing. Most people I meet already know everything about me.”
Your father leans forward, his interest piqued. “So, Formula 1 ... that’s the racing with the really fast cars, right?”
Max nods, launching into an explanation of the sport. As he talks, you can see your parents becoming more and more fascinated. Tommy, meanwhile, is peppering Max with questions about his latest races and rival drivers.
“I can’t believe my sister is dating Max Verstappen,” Tommy says for the third time, shaking his head in disbelief.
You feel a blush creeping up your neck. “Tommy, please ...”
Max reaches under the table to squeeze your hand. “It’s alright, liefje. I’m just glad they know now. No more secrets, yeah?”
Your mother stands up suddenly. “Oh, goodness! I completely forgot about dessert. I’ll just go fetch it.”
As she hurries to the kitchen, your father clears his throat. “So, Max, I have to ask ... is it dangerous? All that racing, I mean.”
Max considers the question carefully. “There are, of course, risks. But the cars are incredibly safe these days, and we take every precaution possible.”
Your mother returns with a homemade apple pie, setting it down in the center of the table. “I hope you like pie, Max. It’s an old family recipe.”
“It looks delicious,” Max says sincerely. “Thank you for going to all this trouble.”
As your mother serves the pie, the conversation shifts to more casual topics. You find yourself relaxing, relieved that the truth is finally out and that your family seems to be taking it well.
“So, how did you two meet?” Your father asks, between bites of pie.
You and Max exchange a glance, both smiling at the memory. “It was at a charity event in London,” you begin.
Max jumps in, “She spilled her drink all over my shoes.”
“Max!” You exclaim, swatting his arm playfully. “I did not spill it, you bumped into me!”
He laughs, holding up his hands in surrender. “Okay, okay. Maybe we bumped into each other. Either way, I’m glad it happened.”
Your mother sighs contentedly. “That’s so romantic. And now look at you two, so happy together.”
Tommy rolls his eyes. “Gross, Mom. Can we talk about racing again?”
The rest of the evening passes in a blur of laughter and conversation. As the night winds down, you find yourself in the kitchen with your mother, washing dishes while Max chats with your father and Tommy in the living room.
“He’s a lovely boy,” your mother says softly, handing you a plate to dry. “I can see why you like him so much.”
You smile, feeling a warmth spread through your chest. “Thanks, Mom. I’m sorry I wasn’t more upfront about his job. I just ... I wanted you to get to know him as a person first, you know?”
Your mother nods understandingly. “I get it, sweetheart. It must be hard, dating someone so famous. But from what I’ve seen tonight, he seems very down-to-earth.”
“He is,” you agree, glancing towards the living room where you can hear Max’s laughter mingling with your father’s. “He’s just Max to me.”
As you finish up in the kitchen, Max appears in the doorway. “Need any help?”
Your mother shoos him away. “Absolutely not, you’re our guest. Go relax.”
Max insists on helping anyway, drying the last few dishes as you and your mother put them away. The domesticity of the moment strikes you, and you find yourself imagining a future where scenes like this are commonplace.
Later, as you walk Max to his car, the cool night air nips at your skin. He wraps an arm around you, pulling you close.
“That went well, I think,” he says, a hint of relief in his voice.
You nod, leaning into him. “Better than I expected. Sorry about the Uber mix-up.”
Max laughs, the sound rumbling through his chest. “Don’t be. It was kind of fun, actually. Your family is great, by the way.”
“They liked you too,” you assure him. “Even before they knew you were famous.”
He stops at his car, turning to face you. His eyes are soft in the moonlight as he cups your face in his hands. “That’s all that matters to me. That they like me for who I am, not what I do.”
You lean in, pressing your lips to his in a gentle kiss. “I love you, Max Verstappen, Uber driver extraordinaire.”
He grins against your lips. “And I love you, Y/N Y/L/N, girl who definitely did not spill her drink on my shoes.”
#f1 imagine#f1#f1 fic#f1 fanfic#f1 fanfiction#f1 x reader#f1 x you#max verstappen#mv1#max verstappen imagine#max verstappen x reader#max verstappen x you#max verstappen fic#max verstappen fluff#max verstappen fanfic#max verstappen blurb#f1 fluff#f1 blurb#f1 one shot#f1 x y/n#f1 drabble#f1 fandom#f1blr#f1 x female reader#max verstappen x female reader#max verstappen x y/n#red bull racing#max verstappen one shot#max verstappen drabble
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𝐒𝐄𝐂𝐑𝐄𝐓 𝐇𝐀𝐕𝐄𝐍
pairing: simon "ghost" riley x reader
It must’ve been early when the knocking woke you up. Rolling in the warmth of the bed, you struggled to get up and once you did, you walked towards the door on pure muscle memory, still too tired to proceed with any coherent thoughts.
You opened it automatically, rubbing your heavy eyes and letting out a yawn.
“Ghost, Price and I were thinking that maybe…” you heard a voice you faintly remembered blurt out words you vaguely put together. “Yn? What are you doing in Simon's room?”
Freezing at the spot, your eyes dart open, as wide as they could possibly be, and a burst of energy runs through your body, making your mind jolt alight, finally deciding to work.
“Fuck.” you whisper, as you could hear the sound of objects falling and stumbling steps rushing to your side. Simon, still shirtless, holding up his loose sweatpants and whose mask had been clumsy put on, only one of his eyes properly fitting through it’s proper hole, arrived beside you breathlessly, pulling Gaz into the room and closing the door immediately thereafter.
Pushing the Sergeant onto the unmade bed, it took him a moment to catch his breath, spinning around on the same spot on the floor. He had fixed his mask, and the moment his eyes caught yours you could clearly understand his message.
We’re fucked.
Your eyes were restless, moving from Simon and Gaz so quickly it was making you dizzy. Your hands tugged at Simon’s shirt, dressing you like a dress, but barely covering your legs, ones you were not used to exposing in front of your comrades.
It was awkward, this whole situation an awkward mess you had put you all in.
I’m sorry, you mouthed and pleaded with your eyes as Simon stopped in front of you, his hands reaching for your arm, rubbing it warm, consoling you as much as he could as you two sulked in unwanted company.
“Can you two explain what’s going on?” asked your “guest”. Exchanging glances once more, you two fought over who would break him the news. “Or am I supposed to make my own conclusions?”
“���S pretty obvious, innit?” Simon replied, dryly.
“I wanted to hear it from you, it looks too surreal.” he said, leaning back and straightening his position, a smirk spreading on his face, amusement evident in his eyes. “The Lt and Yn shagging.”
You looked back at Simon once more, his arms crossed on his chest making his biceps look twice their size, and his clear crunched jawline, probably planning three hundred different ways to murder his teammate. Touching his shoulder, you asked for allowance, watching as he considered the options before nodding in return.
“Gaz.” you called, catching his attention. “We’re married.”
Gaz’s head bobbed forward as his eyes almost jumped out of its socket, questioning the shocking news and his own reality. To confirm your words, showed him your hands, more specifically your ring finger, where a pair of letters, ‘SR’, were tattooed secretly on its side. The Lieutenant followed suit, uncrossing his arms to expose your initials drawn on the same spot in his ring finger.
You two were married. Married, and no one in the base knew it. Hell, they didn’t even know you two had a thing for each other, was going through Gaz’s mind.
“Married?” he repeated, more an affirmation than a question, trying to process it in his head. “I can’t wait till Johnny knows it.”
“Johnny can’t know it.” you immediately cut him. “Please, Gaz. I-it’s…” private, you wanted to add, our lives. But a lump in your throat caught you, feeling everything you’d build crumbling down.
You’d been so careful. You and Simon had taken every possible precaution since the first night you hooked up, not wanting anyone to find out your silly “mistake”, to the day of your wedding two years ago, the most important day in your entire life. And now the secret was done for, days counted even if Gaz were kind enough to keep it to himself.
“Private.” Gaz completed your words after a brief minute of silence, and the hope in your chest grew. “I get it. You know I’m not a snitch.” Standing up, he continued. “Your secret is safe with me.” and extending his hand towards your husband he wished. “Congratulations, Simon.”
Your husband, after second thoughts, shook Gaz’s hand in his, evident force used to make sure a warning was heard: you say anything, you’re dead. However, knowing him like no one else, you notice signs no one would, and the slight drop in his shoulder lets you know he trusted his Sergeant.
“Congratulations you too, Yn.” he turned to you, giving you a tight hug instead, lifting you off your feet for a brief moment before returning you to the floor. “Does this make me the best man over Johnny?”
Fishing for a pillow, Simon threw it straight into Gaz’s head as he rushed out of your room, giggles heading out with him. You too stood laughing, enjoying knowing your secret paradise wasn’t done for yet, and trying to calm down your sulking and annoyed husband.
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a/n: short drabble to announce i'm now taking simon and other cod men requests ♡
#simon riley x you#simon riley imagine#simon riley x reader#simon riley blurb#simon ghost riley x reader#simon ghost riley x you#simon ghost riley blurb#ghost x reader#ghost riley blurb#ghost cod x reader#ghost cod imagine#ghost riley imagine#cod imagine
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Texas Access Controls
Texas Access Controls 2019 Hillview Dr, Mesquite, TX 75149, United States (214) 683-5514 https://doorservicescorporation.com/texas-access-controls/locations/mesquite-tx
Having an automatic door breakdown implies a complete disruption of pedestrian traffic in your structure, specifically when it is an entryway door. It is important to solve any trouble fast to stay clear of the high price as well as trouble.
When professionals turn up late, or don't have the required spare components in their van, after that all the people in your building experience. Texas Access Controls is your expert partner for automatic door service as well as installation. We service as well as fix all makes and versions of automatic doors from all produces. 24/7 service is available to meet your after hour needs. With licensed AAADM Technicians and over 50 years of product understanding, we are positive that Texas Access Controls will certainly surpass your expectations. Proudly offering Mesquite, Texas because 1987.
SERVICES: Revolving Doors, Folding Doors, Drive Thru Windows, Swinging Doors, Sliding Doors, Screen Doors, Handicap Door Opener, Hands Free Door Openers, Commercial Door Hardware, Touchless Door Openers, Won-Door Fire and Security Solutions, Secure Exit Lanes, 24/7 Emergency Repair Service, Commercial Door Installation, Automatic Door Maintenance, Commercial Door Repair Services, Automatic Door Maintenance Contracts, Won-Door Maintenance
OUR SOCIAL MEDIA
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YOUTUBE CHANNEL
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Texas Access Controls
6000 Gardendale Dr, Houston, TX 77092, United States (713) 683-8838 https://doorservicescorporation.com/texas-access-controls/locations/houston-tx
We are a commercial door company proud of the fastest action times in the automatic door industry. We have one of the most technicians when traveling and also are dedicated to providing you with quick and also experienced solution.
Our specialists are AAADM certified. They have the most experience in the sector, and have accessibility to all relevant components in their well-stocked vans, so they can fix just about any type of concern you have with your automated door.
As a member of the Horton Automatics Group of companies we have access to the expertise in this multinational business that developed the moving door 60 years back. You'll be dealing with a regional company (3 areas in Texas-- Houston, Mesquite and Buda), backed by 60 years of understanding and also experience of Horton Automatics. SERVICES: Revolving Doors, Folding Doors, Drive Thru Windows, Swinging Doors, Sliding Doors, Screen Doors, Handicap Door Opener, Hands Free Door Openers, Commercial Door Hardware, Touchless Door Openers, Won-Door Fire and Security Solutions, Secure Exit Lanes, 24/7 Emergency Repair Service, Commercial Door Installation, Automatic Door Maintenance, Commercial Door Repair Services, Automatic Door Maintenance Contracts, Won-Door Maintenance OUR SOCIAL MEDIA
GOOGLE MAPS YOUTUBE CHANNEL
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Texas Access Controls Video
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Employ Professional for the Best Door Installation Solutions in Dubai
Professionals are experienced and provide the best service. Selecting a reputed and certified company for door installation services is crucial. Whether you want to replace the old door with a new one or install the new one at your home, you should hire a professional for the best solutions. Professionals provide top-class and durable solutions.
They follow all the best techniques and provide outstanding solutions. You can also contact our company for a huge collection of amazing steel gate designs in Dubai. We provide the best collection of the amazing steel gate design. Also, if you would like our professional help installing and maintaining doors, please contact us for the best solutions.
Whenever you seek a steel gate design, you make sure to choose the design that fits your space for a better appearance. A gate design should complement the overall space. If you cannot select the right design, then coordinate with professionals. Professionals assist you in selecting the right gate design for your space.
It would help if you focused on the gate's material, quality, and security. Every homeowner should prioritize the safety and quality of the gate over everything. Another crucial aspect that you must adhere to is the budget and preferences. Select a steel gate design Dubai that fits your budget and preferences.
Are you ready to transform your old gate design into something stunning? Our exceptional collection of gate designs is here to inspire you. We focus on providing a seamless service, from design to installation and maintenance. We will guide you at every step of the process.
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Guys, I had one of the weirdest 15 minutes of my life yesterday, as if some higher power put me in a jar and shook me around for a very short time and then let me out again.
But before I can tell the story I need to quickly make sure everyone has the context: Kotelet, the stray I took in had 2 bigger kittens and was super pregnant. These are the cutlets 1.0 and 2.0, you’ve mostly seen the second gen as they were born with me. But the two initial kittens went to Danny. They were very wild and we tried to socialize them, but in the process unfortunately one of them got out and was lost forever. This was way back in the beginning of August. The other kitten became Dietzel and recently Danny adopted one of the 2.0 gen to keep him company since we sadly never found the other kitten again… Okay keeping that in mind I can tell my story.
Yesterday around 2 I left my house to go to Danny. While waiting for my tram I was texting someone who is coming to adopt the last kitten. This combined with the nose cold I’ve been having made me a bit inattentive, and I got on the wrong tram. Not too big of a problem, bc this tram also travels close by Danny, I just had to walk one kilometer. A 15 minute walk. What could happen in that time right, I’ve done this route so often.
I get of the tram and I cross a bigger intersection. Open sky above me, as is typical for an intersection. Light goes green, I’m on the crosswalk. Suddenly, and with a loud slap, a pigeon drops dead on the ground in front of me.
I look at the pigeon. I look at the clear sky. I look back at the pigeon. I look back up. I notice the cables of the tram that go over the crosswalk, and realize it must have flown into the cables, and was killed by electrocution. At least it died instantly. Not a bad way to go for a pigeon. One moment it was going “weeeh I’m a bird”, next thing the lights went out.
The crosswalk light had turned red. Normally this would be immediately be followed by irritated honking, but as I make eye contact with the driver perpendicular to me, he also points at the cables and we exchange some “crazy right??” looks while I hurry to the side of the road.
“What’s it called again when people tell fortune by looking at birds?” I think, (it’s Ornithomancy) “the ancients Greeks did it, I remember it from the Odyssey… sure hope it’s not a bad omen!” I imagine a Greek augur predicting a war or whatever when a bird drops straight from the sky and someone going “is that bad?” I chuckle to myself, just a tiny bit nervous, and I continue my walk. Not long to go now.
“Pigeon dropped dead in front of me” I triple text Danny “Crazy. Electrocuted by the tram infrastructure. Super dead in an instance.”
A neighborhood cat cheerfully walks by me. I automatically lean down to pet it, can’t cross a friendly cat without saying hi! It’s a teenage tuxedo.
WAIT.
The cat looks at me. It has a little white moustache. It starts sniffing my boots like crazy.
Could it be…
Squatting on the sidewalk, I go in my pictures folder and frantically search for pictures of the cutlets 1.0 The cat leans against me. I find a picture where the kitten has a distinctive black mark on the back of its otherwise white socks. I stare down.
On the back of its legs it has a distinctive black mark.
“You got to be kidding me” I say. “Sniff sniff” says the cat. He headbutts me again.
I am 350 meters from Danny’s door. Obviously I don’t have anything with me. A car drives close by. I gotta do something, so I pick him up. And he lets me. And I just start walking.
After a 100 meters, he wants to go down again, so holding him in a sitting position, I grasp his hind legs with one hand, like they hold wild birds when ringing them, and my other arm goes across him to squeeze him against my chest and I hold his front paws. He meows a little and bites me so very lightly. He just kinda presses his teeth against my skin to communicate he’s not impressed by my action, but that’s all. He’s still pretty tiny after all.
I ring the doorbell, and Danny buzzes me in. “Bring a carrier!” I yell trough the speaker. “What?? Why??” “Just come down!”
He opens te door and looks confused. “Is that Kotelet??” is his first question, as they look alike. “No, try again” I say. Now Danny’s eyes go wide. “No. It’s not possible…”
It’s been more than 3 months. Danny just starts crying out of shock. I start laughing. Both losing it in different ways about the absurdity of the situation.
We’re in Danny’s living room. The little guy is eating all the wet food he can and promptly passes out. We just stare at him. The other cats are peeking in from the bedroom. I look at its white paws, all grey from the street. He purrs. We sit in silence, kind of forgetting to blink.
“Did you see my text about the pigeon that dropped dead in front of me.”
#cats#kittens#foster kittens#story#the cutlets#my cats#Puree#Danny doesn’t have space for 3 cats but I’m already talking to someone who’s interested
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FORMER MANAGER
PART 4: Like a tulip.
Kazuha x Male Reader (4K length)
Your hands were gripping the steering wheel of the car tightly, you were still in disbelief at everything that was happening, as if some divinity up there was playing with you for fun, and its enjoyment involved seeing you suffer every fucking moment of the day.
The red light of the traffic light forced you to brake and stop the car for a few seconds. You looked out of the corner of your eye towards the passenger seat, there she was, sitting looking out the window while the fingers of her hands played between them, showing a clear sign of nervousness. Kazuha Nakamura had become, without foreseeing it, the biggest headache of your entire life.
It's not that you had gotten used to sexual encounters with your former Iz*One members, but after what had happened in the last few days, you wouldn't have been surprised if a few more had arisen or even were going to arise in the future, since they seemed to be competing for you or something, something you hadn't been able to figure out yet.
But this totally escaped logic and compromised you enormously, you had in your car an idol whom you had never had under your tutelage, whom you did not know at all, and who had made you an irrational request, to say the least.
“Can you have sex with me the same way you have sex with Chaewon unnie?”
That phrase kept echoing inside your head. Despite your attempt to hide that 'professional opinion' session, it seemed that Kazuha had perfectly realized what you had done in that practice room.
You didn't even have time to make an excuse or a lie, you had been hunted in such an obvious way that denying it would only complicate this situation even more.
Before you could realize it and without even having accepted her request, you were already leaving the Hybe compound, but with more company than the one you entered with, thanking the gods that your company vehicle had completely opaque window glass.
Neither of you had spoken a single word during the journey, which made the atmosphere feel even more tense and heavier than it would normally be. You wanted to start a conversation or ask a question, but the words just wouldn't come out of your mouth.
“Turn right on that street.” She commented, pointing her finger in the right direction.
And this was another big problem: your destination place. You had really gotten into the car without a fixed direction in your mind. Should you take an idol to your house? Was that right? And what would happen if someone saw you on the street and treacherously took a photo? Could it be camouflaged as part of a television program? Was a hotel suitable? You didn't believe it, but if so, it must be one suitable for celebrities, something you couldn't afford.
You parked the car, following another signal from the girl, in one of the free spots and got out, going around it to reach the passenger door, doing a complete sweep of the area, and opening the door once there was not a single living being. in your range of vision.
Kazuha quickly left and, taking some keys out of her bag, opened the door of one of the buildings, giving you way and successfully completing the first checkpoint.
He called the elevator, and you both went up, still in pure silence. You looked at her through the elevator mirror automatically, she looked back at you through the mirror and blushed, she quickly looked away.
She left in terror when the elevator opened its doors again, yes, taking one of your hands, practically dragging you after her. Your nerves increased when you felt the softness of her hand, wasn't it crazy? Now you were behaving as if you were still a teenager going through puberty.
You entered the interior of one of the apartments, which looked large and spacious from the inside despite only seeing the hall for the moment. "Where are we?” You heard your own voice for the first time in a long time, wondering why she had brought you to that place.
“It's LE SSERAFIM's bedroom.” She answered, taking off her shoes.
Knowing where you were scared you to death, you were in unstable territory. Stepping into that apartment had to be the closest you're going to get to a war camp, with too many people who could come and go at any moment and catch you in the middle of the action.
“The rest of the members are very busy and won't come until the evening, and our staff doesn't usually barge in without warning.” It was certainly relaxing to know that, but still, your heart felt like it was going to burst out of your chest at any moment. Kazuha unexpectedly took your hand again and dragged you down the main hallway of the apartment, passing by the living room and the kitchen until you entered one of the bedrooms.
The bedroom itself was quite simple, some large beds pushed together, a small desk with a chair decorated with clothes and various junk on top, and a closet built into the wall. You diverted your gaze to the corners and blind spots of the room in search of possible cameras, it wouldn't be the first time that after recording one of those home realities they forget to remove them.
The girl was quick to turn on the light in the room and close the window despite it being broad daylight, seeking to create a more intimate and safe environment.
You turned around, looking around at the entire bedroom, paying special attention to the pile of clothes scattered on the desk chair. She noticed this and, embarrassed, ran there to put all those clothes in the closet in a disorderly manner.
“Sorry, Chaewon unnie and I were a little late this morning.” Great, so this bedroom also belonged to Chaewon.
“Kazuha-ssi, I think you've rushed into all this, I... we shouldn't be here. I'm flattered, really, but I don't think you're aware of what this means."
She walked towards you and took your hands in hers, looking into your eyes with that look that begged you.
“I've wanted to do this for a long time, but I didn't know how. I'm too shy to approach some other random guy and propose this kind of thing out of the blue.” You laughed inside yourself, what she was saying had nothing to do with the spontaneous request she made to you. “I wanted to wait for the right moment and the right person.” Her fingers caressed the palms of your hands.
“I'm definitely not that person.” The expression on your face became more serious now. "You are!” She snapped loudly, making you step back in surprise. “I mean, I know Chaewon unnie very well. She wouldn't have done anything like that with you if she didn't have complete trust and deep respect for you, and that's more than enough for me.”
“But that's not how it should work, you shouldn't do this with some random guy you don't know at all like me, it should be with someone you love, someone you love from the bottom of your heart.” “You sound like the protagonist of a kdrama.” A small smile now graced her face. “Look, it's not that I'm a virgin, nor an expert, but I'm enough of an adult to know that I can have sex without commitment with whoever I want.”
The truth is that she was not wrong, perhaps you had seen too much fiction lately, after all, the vast majority of humans today had sexual relations guided more by vice and lust than by love.
You still had time to run out of there, you knew that she had nothing against you, she would never tell what she knew, and she loved Chaewon too much to harm her dear unnie. This was never about blackmail, just a favor, no one was forcing you to do anything.
That's what you told yourself internally over and over again.
‘This is not right.’
'Why don't my legs react?'
'I have to get out of here as soon as possible.'
'Fuck, she's beautiful.' Wait, what?
You stared at her for the first time in all this time, indeed, she was pretty and beautiful to look at, like a flower blooming in a beautiful meadow surrounded by huge green trees and a bright sun.
She was also attractive, you could see how well trained her body was. Her legs looked toned, and the lower part of her abdomen that did not cover her shirt was better worked than yours. She had an aura of tenderness and sensuality around her that was difficult to find.
Suddenly, in a burst of bravery, Kazuha raised her hands to your face, holding your cheeks to give you a small kiss on the lips. You wanted to resist, you really did, but who knows if, in order not to hurt her, you reciprocated that kiss by taking her waist with your hands.
“Everything you say is true, but also believe me when I say I want you to fuck me, oppa." She whispered against your lips.
"Kazuha, you're asking too much of me." Your lips were now moving unconsciously over hers.
"I don't think so." She chuckled, bringing one of her hands to your bulging crotch, gently caressing that area of your pants. She stood on her tiptoes to bring her mouth closer to your ear. "Don't you want to know how flexible I can be?” That whisper hit you squarely. It would have been a K.O. if we were in a boxing match. Your skin crawled just thinking and imagining certain scenarios, and the bulge in your crotch only grew under the touch of her delicate hand.
You let out a sigh, you sounded defeated, and you actually were. How could you be so fucking weak? Why were you trapped in a spiral of sex with gorgeous girls with beautiful bodies? And why were you martyring yourself for it when anyone would sign with their own blood to take your place? You didn't have the answer to any of those questions.
“Lie on the bed.” Despite your obvious annoyed tone, Kazuha's smile did not fade but rather widened, and she followed your instructions.
Immediately the Japanese idol was lying on her back, with her legs dangling from the edge of the bed, undoing the button on her jeans and slowly lowering them to your delight.
You knelt on the floor right in front of the bed, between her legs, starting to touch her thighs and going down her legs at the same time as her pants were going down.
You noticed how her skin stood on end under your hands, it burned, and you verified it with your own lips when you leaned your head over Kazuha's body, spreading a few kisses on the part of her abdomen that the shirt did not cover.
Her toned abs contracted as she felt your lips on them, your hands joined hers on either side of her legs, finishing off her pants in a single pull.
Your kisses marked a downward path towards the girl's panties while your hands took the opposite route, going from her legs to her hips, moving upwards slowly caressing every centimeter of skin.
A new piece of clothing was recognized as the next enemy, as your hands fisted the hem of her shirt. She understood quickly, and with an agile and quick movement, she slid the garment over her head and threw it away, landing somewhere on the floor of the room.
You kissed her pussy over the fabric of her panties making her moan, and then your tongue began to create lines of saliva before starting to move as if it were a normal cunnilingus.
Even though the panties continued to act as a barrier between your tongue and her pussy, the caresses you provided were felt on her body in a remarkable way, proof of this were the moans that Kazuha expelled from her mouth.
Her pussy was getting wetter due to the excitement, starting to leak down her thighs and even going through her panties, as your tongue began to enjoy the taste of the girl's intimacy.
You sat up a little and jumped on the bed, being careful with her delicate body so as not to hurt her, remaining on top of her, and going directly to kiss and lick her neck as an attack.
Her moans became noticeable again, with an increase in volume and much closer to your ears. However, she was a fighter, and although she seemed to be completely under your control, she managed to take off your shirt and expose your torso, which she did not hesitate to touch and caress.
You ceased the attack on her neck, moving back a little, allowing her to kiss your bare skin, causing you to sigh occasionally. You crouched over her again, kissing her lips deeply, taking her cheeks in your hands.
“Condoms?” You asked the instant the kiss broke.
She pointed out the nightstand next to the bed, and you jumped out of the bed again to approach the designated piece of furniture, opening it and finding a box of condoms still sealed.
You were opening it as you walked back, placing yourself in the starting position, facing her between her legs. You looked up and could see that there was no longer a trace of her panties.
You smiled, finally opening the package of condoms, taking one between your fingers, and placing it on the mattress. You needed both hands free to finish undressing completely.
Kazuha sat up slightly on the bed so she could look directly at your now-naked cock, opening her mouth shocked by its size and almost reflexively opening her legs wider, giving you a much better view of her wet and shiny entrance.
You placed one knee on the bed, bringing your penis closer to her vagina, one hand holding your dick firmly and the other gripping one of the young girl's pale thighs.
"Wait! The condom…OH!” Her words were interrupted by a violent moan.
She was right, you hadn't put on the condom yet, but you didn't need it for the idea you had in mind, which consisted of rubbing the folds of her pussy with your cock over and over again without actually inserting it inside.
That game seemed to take its toll on Kazuha, who was now trying to silence her sounds by putting both hands over her mouth and allowing you to play with her intimate area to your pleasure.
Your penis soon became well lubricated after being rubbed mercilessly by the wetness of the Japanese pussy, at which point you decided that it was now possible to start the real action.
Now you wrapped your penis in the latex of the condom to bring it closer to the female entrance again, this time with the intention of entering her. You looked one last time into Kazuha's eyes, waiting for one last step back that never came, quite the opposite in fact.
She placed her hands on her thighs, separating her legs as much as she could, leaving you amazed at her incredible flexibility and increasing your excitement as you witnessed that move.
The tip of your penis made contact with her vagina, making you both moan slightly, moans that increased as more inches entered her cavity.
As you expected, Kazuha's insides felt tight, although you had to admit that it was less than you had originally imagined, because the truth is that most of your cock entered without any problem. You gave her a few seconds for her insides to adjust to your size before you started moving.
You started to move slowly, moving in and out slowly and careful not to hurt her, but she seemed to be enjoying it.
“God, you're stretching me so much... It feels so good.”
That gave you the green light to increase the pace, your hips moved faster, introducing you deeper into her. At this point, her pussy was already able to swallow the entire length of your penis without problems.
Kazuha's moans quickly turned into pleas, letting her get carried away by excitement and asking you to go even further.
“AH! Please…more… AH…MORE!”
She raised one of her legs to your shoulder, leaving her foot at the height of your head, leaving the other still resting on the bed. That only deepened your attacks against her even more.
You wrapped your closest hand around the thigh of her leg that was hanging from you, and your other hand went behind her head, grabbing the back of her neck, bending over her, and moving at a hard and incessant pace.
Kazuha's intense moans were only stopped when your lips joined hers in a kiss, just as intense as the clash between your hips. Everything was so intense that tiredness immediately began to appear in you.
After a few more minutes of fun, you wanted to change positions, now lying on your back on the bed, motioning to the girl to sit on your lap with her back to you.
You kissed the back of her neck and her back as she got into position, turning her head for a moment and demanding another kiss on the lips that you didn't deny her.
She raised her body enough so that in one quick movement your cock entered deeply inside her again, causing a sensation of incredible pleasure in both of you.
The girl placed both hands on your thighs to begin jumping on your penis, again and again, without stopping and emitting sweet and erotic moans for each thrust that your cock gave her as it lowered her body.
You wrapped your arms around her waist and pulled her back, causing a small cry of surprise from her and causing her back to collide with your chest.
You once again had control of the situation, you once again imposed the rhythm of the penetrations to your liking and what was best for you.
From this position, you were once again able to attack Kazuha's neck at will, which for some reason had become one of your favorite regions of her body, and she seemed to love it too.
Your bodies were totally immersed in the heat of the moment, eager for each other's contact, roaring for sex, and sweating from the furious action, the temperature of the room had risen some degrees since you entered through the door.
Once again the idol raised her legs, surrounding them with her own arms, preventing them from falling, thus making your attacks clean and direct against her pussy, which you began to notice how it contracted, squeezing your cock against its walls, making you moan louder.
“Shit, Kazuha, your pussy...”
“Please don't stop now! I’m so close!”
Listening to the girl's request and with the aim of releasing yourselves sexually as soon as possible, you gave everything you had left, placing your hands on her butt and attacking her frantically, feeling how after some hard thrust you came brutally, filling the condom with your cum.
“AH! YES! OH GOD! AAAAAAAAAH!”
That liberating scream was followed by her body arching over yours, your hands quickly rising to her hips, pressing her against your body again, and leaving both of you gasping noticeably trying to recover from the intense orgasms.
Kazuha leaned her head back with her body resting on top of yours, trying to compose herself from the tremendous ecstasy you had made her feel. She turned her head to look into your eyes, just inches from your face.
“Now I can understand Chaewon unnie.” She murmured, offering you a soft smile, trying to hide her tired expression.
You, on the other hand, did not hide it at all, you continued searching for air almost desperately, and the fact of having her on top of you did not help, but the truth is that you were not going to complain about it.
“You are definitely very flexible.” You spoke, making her laugh softly, and then kissed her lips, passing your arms around her stomach area, surrounding and hugging her, lying there for a few minutes.
.
.
.
You left the group's apartment after making sure that Kazuha was in good condition. She said goodbye to you very happily, with her eyes giving off a special shine and giving you a small kiss on the cheek, making you both blush.
You drove back to your own house, a little rest wouldn't hurt to clarify all your ideas, but with a firm decision. You had to end your sexual encounters with idols immediately. That was obvious, but would you be able to cut it short? You assumed only the future would know for sure.
You entered your apartment, tired, extremely tired, but you still managed to find the energy to move your butt to the bathroom and get into the bathtub for a long half hour that left you almost as good as new.
You were now wearing your two-piece pajama with a shirt and pants, walking around the living room while drying your damp hair with a towel. You heard the sound of the doorbell, it seemed that the delivery man you had contacted had arrived to deliver your dinner. You put the towel aside, and with your hair still a little wet and messy that fell on your forehead, you approached the door.
You opened the door, but, to your surprise, the person on the other side was not who you expected. A young girl with black hair tied up in a bun, somewhat taller than average and with a slim but very elegant figure.
That girl seemed very familiar to you, the fact that she was wearing sunglasses late at night made it a little more difficult for you to recognize her, but you quickly realized it.
“Wonyoung…”
The sudden sound of a slap echoed throughout the house, silencing you. Your left cheek turned a reddish color at the same time as a burning sensation began to sting. Your face was now looking to the side due to the unexpected slap that the young woman had given you.
You took a step back, trying to stabilize your body so as not to fall, and directed one of your hands to the affected area of your face. Your eyes were wide open, as was your mouth, you didn't know what was happening, unable to understand anything.
When you returned to this world, you looked towards the door again, finding yourself facing the wall of the hallway.
You ran out of your apartment, finding Wonyoung a few meters later walking towards the exit of the building.
"Hey! Jang Wonyoung! What the hell do you think..."
You grabbed her arm, applying some force, without excess, to make her turn towards you, but your words fell into the void when you glimpsed her red face and how some tears formed a path from her eyes, hidden behind those sunglasses until they ended up on her chin.
She didn't say anything, you could only hear her weak crying and sobs that penetrated your soul and stabbed directly into your heart.
Still confused, you loosened your grip on her arm, and with that she got rid of you, setting off on her way again, but this time you didn't follow her, you stayed there, absorbed, with no other possibility than to see her back moving further and further away.
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Epic Systems, a lethal health record monopolist
Epic Systems makes the dominant electronic health record (EHR) system in America; if you're a doctor, chances are you are required to use it, and for every hour a doctor spends with a patient, they have to spend two hours doing clinically useless bureaucratic data-entry on an Epic EHR.
How could a product so manifestly unfit for purpose be the absolute market leader? Simple: as Robert Kuttner describes in an excellent feature in The American Prospect, Epic may be a clinical disaster, but it's a profit-generating miracle:
https://prospect.org/health/2024-10-01-epic-dystopia/
At the core of Epic's value proposition is "upcoding," a form of billing fraud that is beloved of hospital administrators, including the "nonprofit" hospitals that generate vast fortunes that are somehow not characterized as profits. Here's a particularly egregious form of upcoding: back in 2020, the Poudre Valley Hospital in Ft Collins, CO locked all its doors except the ER entrance. Every patient entering the hospital, including those receiving absolutely routine care, was therefore processed as an "emergency."
In April 2020, Caitlin Wells Salerno – a pregnant biologist – drove to Poudre Valley with normal labor pains. She walked herself up to obstetrics, declining the offer of a wheelchair, stopping only to snap a cheeky selfie. Nevertheless, the hospital recorded her normal, uncomplicated birth as a Level 5 emergency – comparable to a major heart-attack – and whacked her with a $2755 bill for emergency care:
https://pluralistic.net/2021/10/27/crossing-a-line/#zero-fucks-given
Upcoding has its origins in the Reagan revolution, when the market-worshipping cultists he'd put in charge of health care created the "Prospective Payment System," which paid a lump sum for care. The idea was to incentivize hospitals to provide efficient care, since they could keep the difference between whatever they spent getting you better and the set PPS amount that Medicare would reimburse them. Hospitals responded by inventing upcoding: a patient with controlled, long-term coronary disease who showed up with a broken leg would get coded for the coronary condition and the cast, and the hospital would pocket both lump sums:
https://pluralistic.net/2024/06/13/a-punch-in-the-guts/#hayek-pilled
The reason hospital administrators love Epic, and pay gigantic sums for systemwide software licenses, is directly connected to the two hours that doctors spent filling in Epic forms for every hour they spend treating patients. Epic collects all that extra information in order to identify potential sources of plausible upcodes, which allows hospitals to bill patients, insurers, and Medicare through the nose for routine care. Epic can automatically recode "diabetes with no complications" from a Hierarchical Condition Category code 19 (worth $894.40) as "diabetes with kidney failure," code 18 and 136, which gooses the reimbursement to $1273.60.
Epic snitches on doctors to their bosses, giving them a dashboard to track doctors' compliance with upcoding suggestions. One of Kuttner's doctor sources says her supervisor contacts her with questions like, "That appointment was a 2. Don’t you think it might be a 3?"
Robert Kuttner is the perfect journalist to unravel the Epic scam. As a journalist who wrote for The New England Journal of Medicine, he's got an insider's knowledge of the health industry, and plenty of sources among health professionals. As he tells it, Epic is a cultlike, insular company that employs 12.500 people in its hometown of Verona, WI.
The EHR industry's origins start with a GW Bush-era law called the HITECH Act, which was later folded into Obama's Recovery Act in 2009. Obama provided $27b to hospitals that installed EHR systems. These systems had to more than track patient outcomes – they also provided the data for pay-for-performance incentives. EHRs were already trying to do something very complicated – track health outcomes – but now they were also meant to underpin a cockamamie "incentives" program that was supposed to provide a carrot to the health industry so it would stop killing people and ripping off Medicare. EHRs devolved into obscenely complex spaghetti systems that doctors and nurses loathed on sight.
But there was one group that loved EHRs: hospital administrators and the private companies offering Medicare Advantage plans (which also benefited from upcoding patients in order to soak Uncle Sucker):
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8649706/
The spread of EHRs neatly tracks with a spike in upcharging: "from 2014 through 2019, the number of hospital stays billed at the highest severity level increased almost 20 percent…the number of stays billed at each of the other severity levels decreased":
https://oig.hhs.gov/oei/reports/OEI-02-18-00380.pdf
The purpose of a system is what it does. Epic's industry-dominating EHR is great at price-gouging, but it sucks as a clinical tool – it takes 18 keystrokes just to enter a prescription:
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2729481
Doctors need to see patients, but their bosses demand that they satisfy Epic's endless red tape. Doctors now routinely stay late after work and show up hours early, just to do paperwork. It's not enough. According to another one of Kuttner's sources, doctors routinely copy-and-paste earlier entries into the current one, a practice that generates rampant errors. Some just make up random numbers to fulfill Epic's nonsensical requirements: the same source told Kuttner that when prompted to enter a pain score for his TB patients, he just enters "zero."
Don't worry, Epic has a solution: AI. They've rolled out an "ambient listening" tool that attempts to transcribe everything the doctor and patient say during an exam and then bash it into a visit report. Not only is this prone to the customary mistakes that make AI unsuited to high-stakes, error-sensitive applications, it also represents a profound misunderstanding of the purpose of clinical notes.
The very exercise of organizing your thoughts and reflections about an event – such as a medical exam – into a coherent report makes you apply rigor and perspective to events that otherwise arrive as a series of fleeting impressions and reactions. That's why blogging is such an effective practice:
https://pluralistic.net/2021/05/09/the-memex-method/
The answer to doctors not having time to reflect and organize good notes is to give them more time – not more AI. As another doctor told Kuttner: "Ambient listening is a solution to a self-created problem of requiring too much data entry by clinicians."
EHRs are one of those especially hellish public-private partnerships. Health care doctrine from Reagan to Obama insisted that the system just needed to be exposed to market forces and incentives. EHRs are designed to allow hospitals to win as many of these incentives as possible. Epic's clinical care modules do this by bombarding doctors with low-quality diagnostic suggestions with "little to do with a patient’s actual condition and risks," leading to "alert fatigue," so doctors miss the important alerts in the storm of nonsense elbow-jostling:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5058605/
Clinicians who actually want to improve the quality of care in their facilities end up recording data manually and keying it into spreadsheets, because they can't get Epic to give them the data they need. Meanwhile, an army of high-priced consultants stand ready to give clinicians advise on getting Epic to do what they need, but can't seem to deliver.
Ironically, one of the benefits that Epic touts is its interoperability: hospitals that buy Epic systems can interconnect those with other Epic systems, and there's a large ecosystem of aftermarket add-ons that work with Epic. But Epic is a product, not a protocol, so its much-touted interop exists entirely on its terms, and at its sufferance. If Epic chooses, a doctor using its products can send files to a doctor using a rival product. But Epic can also veto that activity – and its veto extends to deciding whether a hospital can export their patient records to a competing service and get off Epic altogether.
One major selling point for Epic is its capacity to export "anonymized" data for medical research. Very large patient data-sets like Epic's are reasonably believed to contain many potential medical insights, so medical researchers are very excited at the prospect of interrogating that data.
But Epic's approach – anonymizing files containing the most sensitive information imaginable, about millions of people, and then releasing them to third parties – is a nightmare. "De-identified" data-sets are notoriously vulnerable to "re-identification" and the threat of re-identification only increases every time there's another release or breach, which can used to reveal the identities of people in anonymized records. For example, if you have a database of all the prescribing at a given hospital – a numeric identifier representing the patient, and the time and date when they saw a doctor and got a scrip. At any time in the future, a big location-data breach – say, from Uber or a transit system – can show you which people went back and forth to the hospital at the times that line up with those doctor's appointments, unmasking the person who got abortion meds, cancer meds, psychiatric meds or other sensitive prescriptions.
The fact that anonymized data can – will! – be re-identified doesn't mean we have to give up on the prospect of gleaning insight from medical records. In the UK, the eminent doctor Ben Goldacre and colleagues built an incredible effective, privacy-preserving "trusted research environment" (TRE) to operate on millions of NHS records across a decentralized system of hospitals and trusts without ever moving the data off their own servers:
https://pluralistic.net/2024/03/08/the-fire-of-orodruin/#are-we-the-baddies
The TRE is an open source, transparent server that accepts complex research questions in the form of database queries. These queries are posted to a public server for peer-review and revision, and when they're ready, the TRE sends them to each of the databases where the records are held. Those databases transmit responses to the TRE, which then publishes them. This has been unimaginably successful: the prototype of the TRE launched during the lockdown generated sixty papers in Nature in a matter of months.
Monopolies are inefficient, and Epic's outmoded and dangerous approach to research, along with the roadblocks it puts in the way of clinical excellence, epitomizes the problems with monopoly. America's health care industry is a dumpster fire from top to bottom – from Medicare Advantage to hospital cartels – and allowing Epic to dominate the EHR market has somehow, incredibly, made that system even worse.
Naturally, Kuttner finishes out his article with some antitrust analysis, sketching out how the Sherman Act could be brought to bear on Epic. Something has to be done. Epic's software is one of the many reasons that MDs are leaving the medical profession in droves.
Epic epitomizes the long-standing class war between doctors who want to take care of their patients and hospital executives who want to make a buck off of those patients.
Tor Books as just published two new, free LITTLE BROTHER stories: VIGILANT, about creepy surveillance in distance education; and SPILL, about oil pipelines and indigenous landback.
If you'd like an essay-formatted version of this post to read or share, here's a link to it on pluralistic.net, my surveillance-free, ad-free, tracker-free blog:
https://pluralistic.net/2024/10/02/upcoded-to-death/#thanks-obama
Image: Flying Logos (modified) https://commons.wikimedia.org/wiki/File:Over_$1,000,000_dollars_in_USD_$100_bill_stacks.png
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#pluralistic#ehrs#robert kuttner#tres#trusted research environments#ben goldacre#epic#epic systems#interoperability#privacy#reidentification#deidentification#thanks obama#upcoding#Hierarchical Condition Category#medicare#medicaid#ai#American Recovery and Reinvestment Act#HITECH act#medicare advantage#ambient listening#alert fatigue#monopoly#antitrust
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Biometric System In Dubai, UAE
In recent years, the use of biometric systems has become increasingly popular as a method of authentication and identification. Biometric systems are automated methods of recognizing an individual based on their unique physical or behavioral characteristics. These systems have been utilized in a wide range of applications, from security to healthcare, and have become an integral part of modern-day technology.
One country that has taken a strong stance on the use of biometric systems is the United Arab Emirates, particularly in Dubai. With its bustling business centers, high-end luxury lifestyles, and constantly-evolving technological advancements, Dubai has become a hub for innovative technologies, including biometric systems. One company at the forefront of this movement is Technest.ae, a leading provider of innovative biometric solutions in Dubai and across the UAE.
Technest.ae is a trusted name in the field of biometrics, offering cutting-edge solutions that cater to the diverse needs of various industries. Their team of experts has years of experience in designing, installing, and maintaining biometric systems for businesses, government institutions, and other organizations. They have developed an extensive range of biometric systems that cater to different needs, including facial recognition, fingerprint scanning, iris scanning, and voice recognition.
One of the main advantages of biometric systems is their ability to enhance security measures. In Dubai, security is of utmost importance, especially in high-profile events and locations such as airports, hotels, and financial institutions. Biometric systems are designed to ensure that only authorized personnel have access to secure locations or data. For example, fingerprint scanning is a common biometric system used in Dubai to restrict access to specific areas within a building or to secure data stored in a computer system. Similarly, facial recognition systems are used to monitor and identify individuals in public areas, such as airports or shopping malls.
In addition to security measures, biometric systems are also useful in enhancing customer service experiences. For instance, facial recognition technology can be used in the hospitality industry to personalize customer experiences. By recognizing a guest’s face, the system can pull up their profile and preferences, enabling staff to offer a more personalized service, such as their favorite drink or room temperature. This can enhance customer satisfaction and loyalty, ultimately leading to increased revenue for businesses.
Another benefit of biometric systems is their ability to streamline processes and increase efficiency. Dubai is known for its fast-paced business environment, where time is of the essence. Biometric systems such as fingerprint scanning or iris recognition can be used to authenticate and verify identity quickly, reducing the time spent on manual verification processes. This can lead to increased productivity and cost savings for businesses, as well as improved customer satisfaction.
Technest.ae is constantly pushing the boundaries of biometric technology, introducing new and innovative solutions to meet the evolving needs of businesses and government institutions. One of their latest offerings is the contactless biometric system, which uses facial recognition technology to authenticate individuals without physical contact.
Dubai, UAE, is known for being one of the most technologically advanced and innovative cities in the world. From the Burj Khalifa to the Dubai Mall, this city is home to some of the most impressive structures on the planet. And when it comes to biometric systems, Dubai is once again leading the way. Technest.ae, a leading provider of biometric systems in Dubai, is at the forefront of this exciting industry.
Biometric systems are becoming increasingly popular in Dubai and around the world. These systems use unique physical and behavioral characteristics to identify individuals, making them ideal for security and access control applications. Some of the most common biometric technologies include fingerprint recognition, facial recognition, iris recognition, and voice recognition.
Biometric systems have many advantages over traditional security methods. For example, passwords and PINs can be forgotten, stolen, or guessed, but biometric data is unique to each individual and cannot be replicated. Biometric systems are also faster and more convenient than traditional security methods, as they eliminate the need for cards or keys.
Technest.ae offers a range of biometric solutions to meet the needs of various industries and applications. These include access control systems, time and attendance systems, and visitor management systems. Let's take a closer look at each of these solutions.
Access Control Systems
Access control systems are used to restrict access to secure areas or facilities. These systems use biometric data to verify the identity of individuals attempting to gain access. For example, a fingerprint scanner may be used to verify the identity of an employee attempting to enter a restricted area.
Access control systems can also be used to track the movement of individuals within a facility. This can be useful for security purposes, as it allows administrators to monitor the activity of employees and visitors.
Time and Attendance Systems
Time and attendance systems are used to track the attendance and working hours of employees. These systems use biometric data to verify the identity of employees and record their attendance. This data can then be used for payroll processing and other administrative tasks.
Time and attendance systems are particularly useful for organizations with large numbers of employees. They eliminate the need for manual timekeeping, which can be time-consuming and error-prone. They also ensure that employees are paid accurately for their work.
Visitor Management Systems
Visitor management systems are used to manage the entry and exit of visitors to a facility. These systems use biometric data to verify the identity of visitors and record their movements within the facility. This can be useful for security purposes, as it allows administrators to monitor the activity of visitors and ensure that they do not enter restricted areas.
Visitor management systems can also be used to improve the visitor experience. For example, they can be used to pre-register visitors and provide them with access to the facility without the need for manual registration.
Technest.ae offers a range of biometric products and solutions to meet the needs of various industries and applications. These include government, healthcare, education, retail, hospitality, and transportation.
In the government sector, biometric systems are used for a variety of applications, including border control, identity verification, and access control. Biometric systems are particularly useful for border control, as they allow authorities to quickly and accurately verify the identity of individuals entering and exiting the country.
In the healthcare sector, biometric systems are used for patient identification, access control, and employee time and attendance tracking. Biometric systems are particularly useful for patient identification, as they ensure that the right treatment is provided to the right patient.
In the education sector, biometric systems are used for student attendance tracking, access control, and identity verification. Biometric systems are particularly useful for attendance tracking, as they eliminate the need for manual timekeeping and ensure that students are present in class.
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