Introduction: Ensuring the health and well-being of our children is of utmost importance, and when it comes to their vision, it becomes even more critical. Children require specialized care to address their unique eye health needs. In Ghatkopar, Mumbai, parents can find solace in the expertise and dedication of Dr. Jatin Ashar at his renowned Pediatric Eye Care Clinic. With a passion for pediatric ophthalmology and a commitment to providing comprehensive eye care, Dr. Ashar has become a trusted name in the field. Let's delve deeper into the exceptional services and compassionate approach offered at this esteemed clinic.
Unraveling the Pediatric Eye Care Clinic: Situated in the heart of Ghatkopar, the Pediatric Eye Care Clinic is a state-of-the-art facility equipped with the latest technology and a child-friendly environment. Dr. Jatin Ashar, a distinguished pediatric ophthalmologist, leads the clinic, bringing years of experience and expertise to benefit his young patients.
The expertise of Dr. Jatin Ashar: Dr. Jatin Ashar is a prominent figure in pediatric ophthalmology, known for his compassionate approach and commitment to excellence. His exceptional credentials and extensive knowledge have made him a sought-after professional in the domain. Dr. Ashar completed his medical education at reputed institutions and pursued specialized training in pediatric ophthalmology. He has worked with numerous children, addressing various eye conditions and providing practical solutions tailored to their unique needs.
Eye Specialist In Ghatkopar Dr. Jatin Ashar Director and Chief Operating SurgeonMD (AIIMS), DNB, FICO (UK), FAICO & a fellow of L V Prasad Eye Institute Cataract, Cornea, and Refractive surgery specialist Soft-spoken, compassionate, and an intellectual man, Dr. Ashar trained at the prestigious ‘All India Institute of Medical Sciences’, New Delhi; one of Asia’s best! After his post-graduation, he completed his fellowship in Cornea and Anterior Segment from the world-renowned L. V. Prasad Eye Institute. Later on, he was appointed as the main cornea consultant at the ‘New Tertiary Care Center’ at the same institute. Our remarkable sensitivity to patient's needs and providing the warmth of compassionate healing make us stand apart. Technology is mandatory for high standards of care and Mumbai Eye Care understands that. We use only the latest technology and best-in-class equipment throughout the hospital.
Comprehensive Pediatric Eye Care: At the Pediatric Eye Care Clinic, Dr. Jatin Ashar and his dedicated team offer a wide range of services to ensure optimal eye health for children. They specialize in the diagnosis, treatment, and management of various eye conditions affecting infants, children, and adolescents. Some of the key services provided at the clinic include:

1. Comprehensive Eye Examinations: Dr. Ashar conducts thorough eye examinations to assess visual acuity, eye movement, and overall eye health. These examinations help identify refractive errors, amblyopia (lazy eye), strabismus (crossed or misaligned eyes), and other ocular abnormalities.
2. Vision Correction: The clinic offers a range of corrective measures, including prescription glasses and contact lenses, to address refractive errors like nearsightedness, farsightedness, and astigmatism. Dr. Ashar ensures that the vision correction options provided are comfortable, safe, and tailored to each child's needs.
3. Treatment of Eye Conditions: Dr. Jatin Ashar specializes in the diagnosis and treatment of various eye conditions, such as amblyopia, strabismus, pediatric cataracts, congenital glaucoma, and genetic eye disorders. He adopts a multidisciplinary approach, combining the latest medical advancements with personalized care.
4. Eye Muscle Surgery: When necessary, Dr. Ashar performs eye muscle surgery to correct strabismus, improving the alignment of the eyes and restoring binocular vision. These surgical interventions are conducted with utmost precision and care to achieve optimal outcomes.
5. Parental Guidance and Counseling: Dr. Ashar understands the importance of parental involvement in the care of their children's eyes. He provides guidance and counseling to parents, educating them about common eye conditions, preventive measures, and strategies to promote good eye health in children.

Child-Centric Approach: Dr. Jatin Ashar and his team prioritize creating a warm and child-friendly environment at the clinic. They understand that visiting a doctor can be intimidating for young patients, so they go the extra mile to ensure a comfortable experience. The clinic is designed to engage children and ease their anxiety, with colorful décor, interactive toys, and friendly staff who are adept at handling children of all ages.
Conclusion: Dr. Jatin Ashar's Pediatric Eye Care Clinic in Ghatkopar stands as a beacon of hope for parents seeking exceptional eye care for their children. Driven by a passion for pediatric ophthalmology and armed with extensive knowledge and expertise, Dr. Ashar offers comprehensive eye care services that address the unique needs of young patients. With a child-centric approach and a commitment to excellence, Dr. Ashar and his team are dedicated to safeguarding and enhancing the precious gift of sight in children.
Name: Mumbai Eye Care Address: 101/102, Sai Vaibhav CHS, Nr. Vikrant Circle, Ghatkopar (East), Mumbai-400077 Phone: +91-8451045934, 8451045935, 022-25066699 Website: www.mumbaieyecare.com Website: www.mumbaieyecarecornealasik.com

Introduction Prostate issues can significantly impact a man's quality of life, leading to uncomfortable symptoms and affecting overall well-being. In recent years, medical advancements have introduced innovative treatment options, such as Prostate Embolization, offering a minimally invasive alternative to traditional surgical procedures. Dr. Ajit Yadav, a renowned specialist in Delhi, has been at the forefront of providing this breakthrough treatment to patients, revolutionizing the management of prostate conditions. In this blog post, we will explore the significance of Prostate Embolization and shed light on Dr. Ajit Yadav's expertise in delivering this advanced procedure in Delhi.
Understanding Prostate Embolization Prostate Embolization is a minimally invasive procedure used to treat benign prostatic hyperplasia (BPH) or an enlarged prostate. BPH is a common condition that affects men as they age, causing urinary symptoms such as frequent urination, weak urine flow, and urinary retention. While surgery, such as transurethral resection of the prostate (TURP), has been the standard treatment for BPH, Prostate Embolization provides a less invasive option with promising outcomes.
During the Prostate Embolization procedure, tiny particles are injected into the arteries supplying the prostate, blocking blood flow to the enlarged tissue. This targeted occlusion of blood vessels leads to the shrinkage of the prostate, relieving symptoms and improving urinary flow. The procedure is performed under local anesthesia, with most patients experiencing minimal pain and a shorter recovery time compared to traditional surgery.
Dr. Ajit Yadav: Pioneering Prostate Embolization in Delhi Dr. Ajit Yadav is a highly skilled and experienced interventional radiologist based in Delhi, specializing in Prostate Embolization. He has earned a stellar reputation for his expertise in the field and is widely regarded as a pioneer in introducing this groundbreaking treatment option in the region. Dr. Yadav's commitment to providing personalized care and his unwavering dedication to his patients has made him a trusted name in the medical community.
Dr. Ajit Yadav MBBS,DNB (Radiodiagnosis)
Dr. Ajit K Yadav is consultant at Department of Interventional radiology, Sir Gangaram Hospital, New Delhi. After receiving a medical degree at the Pt BDS PGIMS, Rohtak, he served as medical officer at rural government hospital for 6 months. He completed residency training in radiodiagnosis at Sir Gangaram Hospital. He was national board certified in 2011, and went on to complete a fellowship in Interventional Radiology at GRIPMER, Delhi. He also visited MD Anderson cancer center, Houston, Texas, USA for short term fellowship in 2013. He attended short training programme on TACE at Seoul National University Hospital, South Korea in 2014.
Dr. Yadav’s clinical interests include uterine artery embolization for minimally invasive treatment of uterine fibroids and post-partum hemorrhage, Bronchial artery embolization for hemoptysis, minimally invasive oncologic interventions (including transarterial chemoembolization, radioembolization and radiofrequency tumor ablation), and percutaneous interventions. In addition, he offers minimal invasive procedures for various diseases like Benign prostatic hyperplasia, Varicose veins, Liver diseases and traumatic bleeding.
His research interests include interventional treatment of liver malignancy, a topic in which he has written peer reviewed publications. He has authored more than 15 papers in the field of interventional radiology. He has also presented his work in numerous national and International meetings. In addition to clinical activities, he is an active teacher of residents including Interventional Radiology fellows.
He is a member of several professional organizations, Indian Radiological and Imaging Association (IRIA), Indian Society of Vascular and Interventional Radiology (ISVIR), and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE). He is actively involved in Delhi chapter of ISVIR.
Dr. Yadav's Approach to Prostate Embolization As a compassionate practitioner, Dr. Ajit Yadav focuses on individualized patient care, ensuring that each patient receives the highest quality treatment tailored to their unique needs. He adopts a comprehensive approach to Prostate Embolization, ensuring that patients are well-informed and involved in every step of their treatment journey.

1. Patient Evaluation: Dr. Yadav begins by conducting a thorough evaluation of each patient's medical history, symptoms, and diagnostic tests. This evaluation helps him determine the appropriateness of Prostate Embolization as a treatment option.
2. Treatment Planning: Based on the evaluation, Dr. Yadav formulates a personalized treatment plan, explaining the procedure in detail, its benefits, and any potential risks or side effects. He addresses any concerns or questions the patient may have, ensuring they are fully informed and comfortable with their decision.
3. Prostate Embolization Procedure: Dr. Ajit Yadav performs the Prostate Embolization procedure with precision and expertise. He employs state-of-the-art imaging techniques to guide the catheter to the prostate arteries, delivering the embolic particles accurately and effectively.
4. Post-Procedure Care: Dr. Yadav provides comprehensive post-procedure care, closely monitoring the patient's progress and ensuring their comfort and well-being. He offers guidance on recovery, self-care measures, and any necessary follow-up appointments.

Benefits of Prostate Embolization with Dr. Ajit Yadav Choosing Prostate Embolization with Dr. Ajit Yadav offers several advantages:

1. Minimally Invasive: Prostate Embolization is a minimally invasive procedure, resulting in less pain, minimal scarring, and a shorter recovery time than traditional surgery.
2. Effective Relief: Prostate Embolization has shown remarkable efficacy in relieving symptoms associated with an enlarged prostate, leading to improved urinary flow and a better quality of life.
3. Personalized Care: Dr. Yadav's customized approach ensures that each patient receives tailored treatment and individual attention, promoting optimal outcomes and patient satisfaction.
4. Advanced Expertise: With extensive experience in Prostate Embolization, Dr. Yadav brings a wealth of knowledge and expertise to every procedure, instilling confidence in his patients.

Conclusion Prostate Embolization has emerged as a game-changing treatment option for men suffering from an enlarged prostate. Dr. Ajit Yadav's pioneering efforts and expertise in delivering Prostate Embolization in Delhi have transformed the lives of countless patients, offering a minimally invasive solution with significant benefits. Suppose you or a loved one is experiencing symptoms related to an enlarged prostate. In that case, consulting with Dr. Ajit Yadav can be the first step towards regaining your quality of life and experiencing lasting relief.
Name: Interventional Radiology India Address: Sir Ganga Ram Hospital, Old Rajendra Nagar, Delhi - 110060 India Phone: 011 42251897, +91 - 9958474870 Website: www.interventionalradiologyindia.com

Background: 19F, I was diagnosed with a thyroglossal duct cyst late August 2022 after noticing a fairly solid lump on the front and center of my neck (which moves up and down when I stick my tongue in and out) around where an Adam’s apple would’ve sat if I had male anatomy. Went to a doctor, they ordered an ultrasound, and the doctor said it was a thyroglossal duct cyst. I got a referral to an ENT, who at the end of September 2022 did a quick glance at my neck, got me to move my tongue around, and looked with one of those long thin cameras down my throat via my nose. He put me on a wait list for surgical removal (I believe the sistrunk procedure?). I’m still waiting for that surgery now.
While the cyst doesn’t really hurt to the touch or anything, I can feel it pressing against things when I swallow and it’s quite uncomfortable. A few days ago, I started experiencing some mild constant pain above my right collarbone, around the middle of it. I’m not sure, but I think there may be a small hard-ish knob/lump around that location based on comparing to how the left side feels, but I have no idea if it’s always been that way or if it’s even really there vs if it’s just my muscles that are irritated or some natural asymmetry.
The doctor and the ENT I saw were both very rushed when seeing me and seemed to just want to get me out of the door ASAP, and the last time I had that sort of experience with a doctor they had told me “you’re fine” about something that was not actually fine, so unfortunately I’m a little distrusting now (I’m trying to get over it, but it’s taking time). I know based on the symptoms this is almost definitely the correct diagnosis of the lump, and that the chances of this type of cyst being cancerous are around 1% based on google, but the things that are bugging me are:

1. Looking at photos of myself over the years, it’s not visible at all in early 2020. The earliest photo I could find where I saw any visible evidence of it being there was early 2021 (I would’ve been nearly 17). My understanding of this type of cyst is that it’s usually diagnosed before the age of 10, so it seems a little odd to me that it visibly changed that much when I was a teenager.
   
2. There’s a picture in the comments with a photo I took of an ultrasound that was taken of the cyst in November 2022. Most pictures I’ve seen online show a dark empty space (which means fluid filled if I’m understanding correctly? I’m a physicist, not a med person lol), but mine clearly has some kind of solid tissue or debris in it. Is this normal for a cyst or could this be cause for concern?
   
3. With this new pain above my collarbone and the maybe knob, my mind went to the worst place possible and thought “swollen lymph node close to the cyst? It must be cancer!”, which I know is an overreaction and highly unlikely, especially at my age, but I’ve met too many young people with incredibly rare diseases to completely rule it out on the basis of “it’s super unlikely”.
   

Basically I just want to know if I should chill out and talk to my therapist about finding ways to distract myself from this until the surgery finally gets scheduled, or if I should be talking to my GP about getting a second opinion / (politely) nagging the ENT’s office about taking a closer look.

High-Intensity Focused Ultrasound (HIFU) is a cutting-edge technology used in the treatment of various medical conditions, including cancer and cosmetic enhancements. HIFU treatment has gained significant popularity in Delhi over the last few years, and many medical centers now offer HIFU treatment in the city. This article aims to provide a comprehensive guide to HIFU treatment and the cost of HIFU treatment in Delhi.
How does HIFU work?
HIFU treatment uses high-frequency sound waves to target and destroy cancer cells or to tighten the skin. The treatment does not require any incisions, and there is no downtime required. HIFU treatment in Delhi is performed by a qualified medical professional who uses a special device to deliver high-frequency sound waves to the targeted area. These sound waves create heat, which destroys the targeted cells.
Benefits and cost of HIFU
One of the main benefits of HIFU treatment is that it is a non-invasive procedure. Unlike traditional surgery, HIFU treatment does not leave any scars. The patients can return home on the same day as the procedure, eliminating the need for an overnight hospital stay. This makes the treatment much more convenient for patients who may have busy schedules.
The cost of HIFU treatment in Delhi can vary depending on several factors, including the area being treated, the extent of the treatment, and the medical center where the treatment is performed. It is essential to keep in mind that the cost of HIFU treatment may not be covered by insurance, so patients should check with their insurance provider before undergoing the treatment.
In conclusion, HIFU treatment in Delhi is a safe and effective option for patients looking for a non-invasive procedure to treat various medical conditions. It is especially beneficial for patients who are looking for a convenient and less invasive treatment option. As with any medical treatment, patients should consult with a qualified medical professional before undergoing HIFU treatment to ensure that it is the right option for their specific needs.
Source : https://cosmeticsurgeryclinicindelhi.blogspot.com/2023/06/revolutionizing-medical-treatment-rise.html

I am looking for a new hobby that is centered around a small, precision task. To give you some context, my current hobby is watchmaking. And I am beginning to waver if I want to continue with it.
As much as I've loved the journey, 99% of watches fall under the same design, so there's only so many times I can do basically the same watch while keeping it interesting. I have tried diving into antique pocket watches, but good luck finding replacement parts if something breaks. Plus, watchmaking is the exact opposite of an inexpensive hobby. You can cheap out on some things, but after a certain point, some repairs require extremely specific tools that are either 1) New production, and sometimes only manufactured by one company, which drives up the price, or 2) Antique, and no longer produced, which causes bidding wars, which drives up the price.
I've done a few of these Metal Earth kits, which are stamped sheet metal shapes that you cut and assemble and crudely fasten together to form an object like a space shuttle. They're cool, but not very technically challenging, plus you can't really do much with the models after you've completed them.
I would like some suggestions for new hobbies. Something small and technical, that requires precision, like watchmaking, except with more variability, not as much of a hit to my wallet, and without the limitations in parts/tools inherent in the hobby. I already like to build my own circuits, which is in line with what I want. I would also like to avoid potentially messy hobbies, so nothing that has ink or paint.
Thanks

I know Ray often spoke of how mental woes were almost always invariably tied with metabolism.
I feel that was true -- prior to having BDD I did in fact have better health, but after having BDD for years it seems almost impossible to go back 100% to before having BDD like issues.
As BDD I basically always have mental health issues with appearance which lead to drug experimentation, etc. Basically I think I'm ugly or such even if most others don't exactly think it.
I fear taking pics of myself. I've had 2 girlfriends who pursued me but once health slips, BDD goes in full swing. So I always have BDD, but when my health is peak, the BDD "effects" are very weak but still there. I have had 0 friends for 12 or so years & avoid exes mostly due to fear I will run in to them in my local area and them see any flaws in my face or body & I'm terrified of not looking exactly how I looked when I formerly was closer to them, or etc. if that makes sense.
Like when feeling really good I don't fear my looks, pics/camera, etc. But when ill -- which is most of the time -- I can't even go outside or be around people because I become paranoid over my looks.
This condition started after 25. I don't believe in mental health therapy, so I don't bother with that.
But it's hopeless, I have tried cosmetic surgery but to no avail, I always have visual flaws in my mind. Face too long, or one feature off, or harmonization is slightly off, or shoulders too narrow, etc.
The BDD ties in with fear of socializing because I fear people will see some major flaws on me and get grossed out. So when BDD is high/metabolism is low, I can't even be close or talk to people.
But when at "my best" (which is below 100% since I was in my mid-twenties) I could more naturally be closer to people and stuff. I figured BDD is related to serotonin as it implies isolation tendencies.
But with the poor metabolism I have to starve or else I do heavy binge eating, then it takes days to not feel sick/endotoxin like symptoms constantly in this negative spiral.
So what I'm really wondering is, does anyone know of any way to properly keep BDD in check? It seems the severity worsens depending on health, but I cannot 100% eliminate the mental issues. Still worry if taking photos with others, still worry others are seeing micro-flaws, etc. It's not even ongoing anxiety as I almost never feel anxiety since discovering Ray Peat but pure isolation-like withdrawal from 99% of people. Like not going outside, heavy drinking in the past/drugs, etc.
I just can't seem to become happy with how I look consistently, so this often leads to impulse eating, formerly binge alcohol drinking, hormone abuse (androgens) for body composition, sedatives to induce sleeping or antibiotics to reduce gut pain/swelling/distention, and cycle-repeating.
Do any others think this is something improvable possibly with an environment change? I feel the whole negative spiraling i nto BDD started with my current life/family/circumstances at 25, so maybe I should consider a new lease on life? I just feel trapped in the stress -> BDD -> exaggerated impulse/anger -> more BDD -> more impulse/drug abuse/etc. then I get in to a "downer" state, extreme withdrawal, just lie in bed 8+ hours like in depression/haze, then slowly start over.

I am walking on egg shells. I am 22 years old and when I was 18 I fell in love with an alcoholic. Young and naive I thought that I could some how change him. Fast forward I decide to get cosmetic surgery and I am recovering. My now husband has hit me multiple times in his sleep and the most recent time when I gasped when he touched my side he told me that I was being dramatic. I have so much empathy for people and yet I am married to someone who only cares for themself. He drank alcohol from the time we got here until now. He is somehow mad and I don't understand what about. He lied to me telling me that he would be better by 3pm and my stupid ass believe him. I don't know how to leave. I want to. I want to experience someone who loves me without having to drink an uncomfortable amount everyday. I payed for the hotel. I payed for the surgery and he is still mad. It makes me hate myself so much. This makes me feel like I am a child again trying to get love from my bipolar mom. When I try to have a conversation with him he is dismissive and rude. Any favor I ask ends with an attitude. I can't move I can't drive and I can barely walk for 10 minutes alone. He told me to take my garments off so he could wash them but instead he feel asleep. Im scared to tell him that it has to be washed soon because im not suppose to be out of it for more than 1 hour a day. It had now been about 2 1/2 hours. He threatened to him himself the other night. I am living in hell and I have never cried this much over anything. It's psychological terror that I live through everyday. I have not enjoyed sex because he wants it a certain way every time and he talks about sharing me with other people. I don't enjoy being shared because he always gets mad at me and it starts a fight that makes me cry. I have cried for three days in a row and I can't tell anyone. I scheduled a therapy appointment and I can't wait to release the bell that I have been living with to someone else. I am so depressed and I have never been this sad in my life. He just woke up from his nap and I know that if I bring it up to him he would act oblivious. It hurts me so bad I am in literal pain and mental pain. My support system is weak when it comes to my husband. I can't believe he drank so much alcohol and decided to take it out on me. I always feel so defenseless because he has a gun. I know that one day he is going to be so drunk that he does something and doesn't care what he does. The comments that he makes are questionable. I just want an apology for the hurt. I can't believe that I am the dramatic one in this situation. He constantly calls me out of my name and doesn't care that he does. My one response to such abuse is to shut down and stop talking completely and that's what I result to because when I try and use any skills I get from therapy he acts as if they are stupid and useless. I scheduled an official therapy appointment with the two of us. It is going to be the first one in a long time and I have to let it out. My anxiety is worse, my depression is worse. I have a strong personality but sometimes it falls weak because I am with a weak man. No not physically but emotionally psychologically and spiritually he is weak. I don't think I deserve that for my life. Hopefully one day I have enough courage to fly away and be the bird that I have always wanted to be. He has decided to drink while taking me back home. He says it's to "fix his mistake" he made me promise that I don't hate Hume but the truth is I do. Just like I said on our wedding day. He is going to get alcohol as we speak this will never end. I hate myself for even considering being in a relationship with him I deserve so much better than this. How did I settle. I am going to be 26 one day and have no kids because I choose this life for myself. I want to be a mother. I want a happy family and Pinterest photos even though we fought in between snaps. I love the concept of family. I don't feel like a family anymore. I have tried to build with home but every time I put up a block he takes three down. Wheather it be calling me out of my name of drinking so much we argue. He is so mean when he drinks. It seems almost like he doesn't want to stop. The deadline that he gave me to be okay was today at 3pm but here we are he is headed to the Liqour store as we speak to start the cycle over again.

Hi Helpful REDDIT Humans,I wrote this letter, below the numbered points, for the Betterment of the Group, along with the input of my co-workers. I uploaded this letter to the Town Hall site for the February 10th, 2023 meeting for reduced hours or think out of the box for the retainment of staff. We are burnt out and no one is listening. I don't even think they even read the letter we submitted below. I modified some of this for protection. We are a Union workplace, I have not involved the Union.

1. We followed up a month later in March to Mike, Jeff, Liz and our manager Kelly (who likes to please leadership) and asked if they have come to any decisions, and also said if we could set up an appointment with any of them and it was CRICKETS.
2. Two weeks later we followed up again and invited any of them to our floor to talk to us. Again, met with CRICKETS. No one is replying to us.
3. We sent a 3rd follow-up a week later and asked to meet or they come to our floor. This time I included the National President of our company.
4. We finally got a response when we sent it the the National guy!!!! The state Leadership, Mike and Jeff and Director Liz were not happy about this and We finally got a response that said that we have been spoken to by management several times over the last few months regarding there will be no changes to the FTE. This is how they are going to retain nurses for the current shortage.
5. I replied that he received misinformation and no one came and talked to us. I asked 10 of my co-workers if they recall anyone talking to us about reducing hours or working 4-10's and no one recalls anyone coming to our floor.
6. Director Liz comes down to our floor the next day for our 0720 huddle unannounced huffing, puffing and pissed. She has her arms crossed and said she s here to talk but nothing is going to change. So we asked if we can try out 4-10 hours shifts. She said yes, but no reduction in FTE or the use of PRN's (as needed nurses).
7. I asked my manager Kelly for a blank schedule with how many nurses a day we need for the week, we took all the vacation requests for June and made it work using 21 nurses and no PRN staff!! We needed only 4 PRN nurses for the end of June to grant everyone the time off they asked for!!!!!
8. I submitted it to Director Liz and AGAIN had to follow-up a week later of what they thought. I asked my manager how the meeting went and she said they are running the numbers and I told her to please send this information out because the staff, at this point is demoralized. She did and it has been 2 weeks.
9. THIS IS WHERE WE NEED HELP. They just want us to go AWAY. This is very dysfunctional and neglectful. What is our next step? It has been 4 months of this.

​
THIS IS THE INITIAL LETTER WE SENT IN FEBRUARY:
To: Mike - Regional President Jeff, MD - President, Executive Medical Director From: Gastroenterology Staff - RN’s and MA’s Re: Flexible Schedules to Reduce Burnout and Increase Quality of Life Hello Mike and Jeff Thank You for holding this Town Hall meeting for the Region employees. We would like to take this opportunity to share with you our thoughts, ideas, feelings, and concerns regarding our life here in GI. Please know, GI is a wonderful place to work, our team is dynamic and patient care is fulfilling. As healthcare professionals, we are always looking for ways to improve patient safety and member satisfaction, improve our efficiency and make Kaiser Permanente Thrive. Our concern and frustration are that the required full-time employment (FTE) is unThriving many of us into the ground. It is demoralizing and makes it challenging to create a work-life balance. We have tried going the normal route of speaking to our managers. We have been told by Kelly our manager, that GI leadership says to talk to the Union, and we have spoken to the Union ad nauseam about this. A petition was circulated in the three GI departments to garner support for addressing FTE, which is below and shared with Nate our Union representative. Nothing has come of it. Union Reps have spoken to Steve, who is Kelly's Boss and it ends there, we have no idea if he presents it to Liz, who is the Ambulatory Surgery Center Admin. We are trying a new route, going from the top down. Our People Pulses reflect our dissatisfaction on several levels, but we never get to go over them as a Department to see if we can make improvements and talk about issues. We feel as though we are not Seen or Heard. Company has approximately spent $160,000 training Eight nurses that have left for three 12 houfour 10 hour shifts or went PRN THIS YEAR. Because Five/8 hour days are not sustainable. It takes approximately 2 months to train a nurse to get them up and running and a year or two to feel seasoned in GI. It is very stressful for the department to keep training people only to have them leave because the FTE is a 1.0 and then they realize the required hours are not sustainable. At the end of our workday, and work week we have very little time or energy to take care of family, home responsibilities and ourselves. As RN’s and MA’s our jobs in GI are very dynamic, physically, mentally and emotionally demanding. Physically we are constantly moving beds in and out of rooms, adjusting beds and patients for each case, getting patients ready for their procedures, making beds, and restocking supplies. During procedures some patients require a great deal more hands-on, applying pressure on the abdomen to help the doctor advance the scope through the colon, upper endoscopies may require us to hold hands, and or bracing the patient to help the DR. perform the procedure. Mentally we always have to be on. We are always assessing patients. Pre-oping patients many skills and assessments. During intra-op we are constantly assessing patients for safety and ensuring patient comfort, documenting the many patient assessments, and medication administered all while taking biopsies, cauterizing polyps, inking sites in the colon, dilating the esophagus, getting through tortuous colons, etc.
Also, many of the patients are anxious/angry or are being diagnosed with cancer and other GI diseases, all of which require extra care and can be emotionally draining. Our many work demands are unique to this department. Demands, that make us both love our job and also a need to create a balance of self-care to help us fulfill the Kaiser Permanente Mission. Quite simply, many of us are burnt out: There is increased absenteeism - which costs Company $ Increased employee turnover - which cost Company $ Increased employee workplace stress between employees - which costs Company $ Decreased employee trust, loyalty, motivation and morale - which costs Company$ Decreased employee productivity - which costs Company $ Harm to Company's Reputation and decreased respect for the organization’s mission and vision - which costs $ Please consider that St. Joe’s has openings for part-time work with benefits. GI in Oregon has 4/10 hour shifts, so does GI in California, California barely has a lot of 1.0’s, So it can be done, and it has been done at Kaiser in the past. Please consider changing the required FTE to 0.8 for Full Time/and the flexibility for 4-day/ 9-hour shifts, and 4-day /10-hour shifts for the RNs, and MAs. This would be beneficial and the staff would have the flexibility to schedule healthcare appointments for themselves and their families, get their car fixed, take their pets to the vet, increase their quality of life, and decrease stress. As we prioritize patient care, we also want all of our coworkers to have the ability to take care of themselves and their families. We have attached a screenshot of the seniority lists at all three GI locations. I think it's important to mention the inequality of FTE distribution across the three locations- Franklin has a much higher number of over all 1.0's, 13 total. All the 1.0 staff are getting resentful of fellow co-workers' lower FTE. Franklin alone has lost 5 - 1.0 just that have left Franklin GI this year. People who left (or are leaving) that were 0.6-0.8 FTE who then had their positions posted as a 1.0: Robin 0.7 last day 3/3 Heidi 0.6 People who left due to being unhappy with a 1.0 FTE in GI: Matthew - moved out of state Sara - went to KASC Lone Tree - 3/12’s Sara - went to KASC Franklin - 3/12’s Jane - went to Minors Lone Tree - 4/10’s Anna - went to Minors Rock Creek 4/10’s Jason - left for reduced hours outside of Kaiser Heidi - just gave her notice and is going to Ortho PRN Chanda-left procedures to do fibroscans With a 10-hour day shift this would allow us to; call patients, scrub schedules, and have a list of patients that can come in the next day when we see an opening. For example, a doctor had 3 cases fall off that cost Kaiser $3,000 - $1,000 per 30 minutes. We have about a 11 percent no show rate at Franklin, we could improve that by calling patients and filling in the gaps if the patient cancels with another patient. Scrubbing the schedules and increasing profits for Kaiser..there are so many ways we can be more dynamic and profitable. We can start a little earlier to set up our rooms, right now we have 15 minutes. Since Kaiser is coming down on the Doctors to do more and more and more, they are coming into our rooms earlier and earlier because Kaiser is making them do more in the same amount of time. It’s RUSH, RUSH and RUSHing all around. Please let us know how we can help support our case for a .8 FTE and/or 4 ten hour shifts. Thank you for your time and attention to this matter as it is very important to many, if not all of the RNs in the Colorado GI departments. If this doesn’t make it to the Town Hall, would you please respond to us regarding your thoughts about our letter, People Pulse, and maybe a visit to our Unit? It would mean a lot to hear a rationale instead of deaf ears and the word NO all the time, Or we can’t change it, because your schedule revolves around the Doctor’s schedule. Why is it so hard to TRIAL and/or TRY DIFFERENT schedules out to see if it makes an improvement? Thank you for your time and for listening to us, GI Colorado The letter below was from GI, circulated July 2022 Dear Company, We, the Employed Registered Nurses (RNs), Advanced Practice Providers (APPs) and Local 7 Healthcare Professionals, are respectfully requesting that full time employment (FTE) hours be reconsidered.
As committed employees of Company, we share the mission to deliver quality health care to every member. Our training to assess and care for our patients demands we be at our best with every patient contact, prioritizing patient safety and wellbeing. Currently new Registered Nurses are being hired at a 1.0 FTE, whereas RNs in the past have been hired at .9 and there are long term RN’s that are employed at a .8, .7 and .6 FTE. A five day, forty-hour work week does not allow for a balance between work and life, and limits flexible scheduling options for many RN and APP positions.
Kaiser invests a considerable amount of time to train newly hired RNs, and APPs. These new hires are initially excited to be a part of a respected and prestigious organization. They soon learn that the demands and inflexible scheduling are not conducive to creating a balance between career and family responsibilities or interests outside of work. We are hearing from our colleagues that they will not apply for a position that requires a forty-hour work week. We are losing good people to other organizations so that they can maintain a work life balance. As RNs, APPs, Local 7 Healthcare Professionals who value our careers as health care providers for Kaiser Permanente Members, we respectfully request that full time employment be flexible and part time positions be offered to allow for a work life balance. We are available to have an in person meeting to discuss this in further detail. Thank you for your serious consideration, GI https://www.thepermanentejournal.org/doi/10.7812/TPP/05-092 Some takeaways from the article: “If we’re not taking care of ourselves, then how can we take care of our members future and to our reputation,” from the late Bernard Tyson. He goes on to say, “They are critical to our future because we depend upon people to deliver our health care. Sure, technology and well-calibrated equipment are also key tools in health care delivery, but it’s the people who bring the experience to life for our members and key stakeholders. Plus, in order for us to be respected in our field and viewed as America’s health leader, we must walk our talk.” Supporting a work environment that promotes employee health, wellness, and work-life balance is directly aligned with KP and Labor Management intentions and goals. KP leaders will continue to demonstrate our commitment to the wellness of our workforce by caring and respecting the physical, emotional, and spiritual well-being of employees and physicians.” Work-Life Balance: Care Instructions - https://healthy.kaiserpermanente.org › health-wellness As America’s health leader, we must walk our talk. https://www.theskimm.com/money After dealing with labor shortages and employee burnout, companies are taking things up a notch with work perks in 2023. And we’re not just talking about lunch stipends or ping-pong tables in the office. It’s called proactive rest. And it’s more than just taking your vacation days. Because waiting until you’re burned out to take care of yourself is so 2022. What is proactive rest? Proactive rest is how some companies are stepping up to prevent employee burnout at work, according to a Gartner workplace trends report. Instead of only relying on PTO, workplaces are adjusting their policies to give their employees breaks and flexibility. It's similar to active recoveries in fitness — rather than taking a full day of rest from working out, you might opt for a walk or some stretching instead. At work, proactive rest might look like: No-meeting blocks. When your company designates certain hours or days for no meetings. Flexible lunch breaks. Meaning, employees can choose when they take their breaks. Mandatory breaks. And that could be in addition to lunch. It may look like “wellness time” for you to take naps in the afternoon. Four-day work weeks. As in, getting the same amount of work done in fewer days — with no pay cuts. Office closures. That could mean a week-long company-wide break or summer Fridays. So you can switch from “TGIF” to “TGIT” from June through September. View post on Instagram Why is proactive rest important? Prioritizing rest can help companies boost productivity. It may sound counterintuitive, but a Gartner survey found a 26% increase in performance at companies that incorporated proactive rest. Plus, it could incentivize people to apply for jobs at these companies — and even slow turnover rates. Because burned out employees are more than three times likely to look for new jobs. For employees, burnout is still extremely common. And being able to get ahead of it can help avoid having to recover from burnout later on. Building rest into the work calendar can help encourage employees to actually use it. Because Americans aren’t the best at taking their PTO, even when it’s offered. And they typically put in extra hours: The average employee worked nine unpaid hours per week in 2022. If it sounds like hustle culture, it is. While it may be helpful for climbing the corporate ladder, it might come at the expense of your mental health. View post on TikTok theSkimm Companies are taking extra measures to keep employees’ mental health in check in 2023. Because free office snacks just aren’t cutting it anymore. And having the freedom to take care of yourself now can prevent you from struggling down the road.

This guest post by SHRIMOYEE NANDINI GHOSH is based on two essays about the men and women of Kunan Poshpora, that appeared in the Kashmir Reader dated 1 September 2013, and 13 January 2014.

Beneath the horrors of the mass rape committed by Indian troops in the twin villages that night in February 1991, lies the untold story of systematic torture of men, carried out by the same forces with the precision and deliberation of a planned military operation.
In June 2013, a Public Interest Litigation filed in the Jammu and Kashmir High Court, by fifty Srinagar based women, supported by human rights group Jammu and Kashmir Coalition of Civil society (JKCCS) had resulted in a Magisterial order for the further investigations of the mass and gang rape by Indian army personnel of the women of Kunan, and neighbouring hamlet Poshpora, in Kupwara District of North Kashmir on the night of February 23rd-24th 1991. The police, it appears from the lack of any remotely investigative activities in the villages to have done little if anything, by way of following the court order in the last six months. On 14 September, 2013 they asked for and were granted an additional three months time for further investigations, without notice to the survivors who are legally represented in the case.
However, the closure report, which police had failed to file for twenty – two years, and which had been presented before the Magistrate of Kupwara just weeks before the Public Interest Litigation, in March 2013, had yielded several important previously unavailable official documents. These included a hand drawn police map, a nominal roll of 125 army personnel (including several officers) who were admittedly part of the operation and in Kunan-Poshpora that night, statements from victims, witnesses and army men mentioning specific locations, times and incidents, and the official medical reports of some of the rape victims. JKCCS had decided after some deliberation that if the police did not appear to be doing any investigations, they would themselves, aided by the new documents, attempt to rescue from oblivion the events of that night. Over the last three months, they have been engaged in a process of interviewing villagers, explaining to them what the police papers say, seeking clarifications, and attempting to piece together as coherent a narrative as possible given the constraints of resources, the lapses of memory, the reticence of rage, grief and repeated recounting, and the deaths of crucial witnesses. On 24th August 2013, I accompanied a team of human rights lawyers and researchers from JKCCS to the village of Kunan, on one of their visits. I was told that their interviews with those of the women who wished to speak was almost complete, and the day’s planned interviews were mostly with men from the village. Previous conversations, as well as police statements showed that interrogation centres had been set up in the village during the operation, and witnesses referred to extreme and extensive torture of men, but this was not specifically recorded in the First Information Report, and formed no part of the official list of crimes that occurred that night, which consists of rape, house trespass and illegal confinement.
As in the police documents, Kunan Poshpora has become inscribed as a story of rape in Kashmir’s public memory. But something else also happened that night. A crime so commonplace in that age of cordons and crackdowns that even the men who were its victims, barely thought to mention it, attending instead like the rest of us to the outrage of the raped women. As Ahmad Ameen put it, ‘They let us go home after the crackdown, in the morning at about 9 am.’ [Some men were bleeding; others were barely conscious and had to be carried. One man told us he crawled home on all fours].‘That’s when we realised what had happened. What they had done in every house. Then all hell broke lose.’ Several of the men were somewhat laconic when the interviews began. ‘Joh karte hai, wahi kiya’, Rahim Dar said. ‘They did what they do.’ And indeed they had– with wood, water, electricity–those universal implements for the infliction of finely calibrated pain. JKCCS believes on the basis of preliminary conversations that between hundred to a hundred and twenty men from the two villages were tortured that night. A total of twelve men were interviewed during the course of the day I visited, by three teams of researchers. I think it was after the fourth time I heard mention of medical treatments for sexual dysfunction, that the true irony of the ‘emasculation’ metaphors that are so abundant in talk about the Kunan-Poshpora rapes dawned on me. What I often dismiss as misplaced patriarchal indignation had been repeatedly made flesh that night. ‘Oh! Come on’ I want to say aloud, every time I hear or read the words ‘rape’ ‘our women’ and ‘impotency’ in close proximity–‘It’s NOT about you!’, but this time it was. And it involved wires, needles and a portable DC battery.
A kind of unmooring from the realms of human language has characterised the description of the Kunan Poshpora rapes. District Magistrate S.M Yasin’s report speaks of being unable to put down in ‘black and white’ the acts committed by the ‘beasts’ for instance, and the rape survivors themselves talk of the chaos of a toofaan, of foul smelling shaitaans apparating through their black-outs and disassociated states as they lay in the dark . But, as I listened to the men, ranging in age from 90-year-old Lal Dar (68 at the time of the torture) to 40 year old Manzoor (18 in 1991) their torture seemed to bear a somewhat different relationship to language and the world. What happened to them was nailed to a scaffolding of banal bureaucratic and military terms—interrogation, information, identification, search, cordon, crackdown—and tethered to mundane physical objects and familiar places–-buckets, logs and planks of wood, helmets, torchlights, batteries, wood sheds, barns, streams and trees. As the men spoke I began to picture that night, not as an endless orgy of a horde of rampaging beasts, but as a quiet and efficient military operation, carried out by trained men. Four companies of men from the 4th Rajputana Rifles, 68th Mountain Brigade commanded by a Colonel K.S. Dalal, in fact, as the army itself admits in police statements. Alpha and Delta Companies were deployed in the outer cordon, Bravo and Charlie in the search and interrogation. While teams of ten to twenty soldiers, sometimes headed by an officer who they were heard referring to as ‘Sir’, went on a systematic house to house search, rooting men out of their beds, demanding to be taken immediately to militants or hidden weapons, strip searching them and burying them in the snow, their comrades were otherwise engaged. Most of the commissioned officers were deployed at the ‘interrogation centres’ according to the army. Two kuthars (large barn like outbuildings for storing grain, fodder and cattle) within yards of each other, belonging to Asad Dar and the village numberdar (revenue official) Aziz Shah, and Abli Dar’s home, on the main lane of Kunan’s maze of winding alleys, were quickly commandeered and their lofts or rooms converted into make shift ‘interrogation centers’, while their compounds formed a holding space for the men. All three were provided with the same basic equipment – a bench fashioned out of planks of wood, a large wooden log, a bucket of chilli water, a couple of wires connected to a radio battery forming a crude live-circuit, assorted sticks and ropes, a few chairs, and somewhere to suspend the men from–but adaptations were made according to available resources and geography. For instance, in Asad Dar’s yard through which the village stream ran, repeated dunking in its icy depths formed part of the standard procedure. At two of the compounds, Aziz Shah’s and Abli Dar’s where firewood was stored in the wood-shed a bonfire was lit, around which parka-clad soldiers chatted and drank, and villagers recovered from their water treatments. At Asad Dar’s kuthar a tall, fair and somewhat chubby faced officer sat on a chair before a wireless set, giving orders and flashing his torchlight. Downstairs, in all three yards, men squatted or stood in the snow waiting for their possible turns on the equipment. Occasionally when they went up, they saw a neighbour or brother who was before them in line, slumped on the floor at the head of the stairs. Some like Salim Dar, whose brother was a surrendered militant, paid a visit to two of the three centers. He still walks on crutches as a result.
The village of Kunan has changed in twenty-two years. It is no longer ‘the huddle of thatched and wooden houses’ that journalists described in 1991 (‘Indian Villagers Tell of Mass Rape by Soldiers’, The Independent, March 19, 1991). Buildings have been torn down, and rebuilt in brick, cement and tin. The chashma (natural spring) that emerged from the earth behind Aziz Shah’s kuthar has dried up, and only a muddy depression now marks the spot. Ghulam Afzal walked with us around the hamlet amidst squawking chickens and curious children, pointing out the sights– ‘this is where the Abli Dar’s old kuthar stood, that there- is his new house…this is the wood shed in which I hid, this is the nallah along which Naba ran, this used to all be clear ground then…’ For some reason, seeing those buildings brought home to me an intimation of what it was like to be a man from Kunan-Poshpora on that night, in a way even their words hadn’t.
What was it like, I found myself imagining, to be squatting in your own snowy barn yard, drowning in your tin bucket, broken and blubbering on your hard granary floor, blinded by chillies from your own store? And then all the hypotheticals began, as my mind ran on and on. How did it feel I wondered to hear the sounds coming from the village? Yah Khudaiyo! Yah Khudaiyo! Could you hear them over the sounds of the interrogation? Pakistan, Militants, Samaan, Information, Bol Saala! Could you hear them over the groans of your neighbours? Could you hear them over your own yells? Which was worse–to definitely identify the scream of a loved one, or merely contemplate if it was them, through the fog of your insensibility? What was it like to be told you could leave in the morning, to be given painkillers by the army doctor, (Capt. Dr Shyam Sundar accompanied the unit according to his own police statement), to come home and realise what had seemed so far like a recurring nightmare—another crackdown, agonising but vaguely familiar –had been another kind of visitation altogether? And then, to unable to leave or get help for two days, because of the army siege around the village? To have no family or neighbours to turn to, because everyone you knew, was in precisely the same state as you? What kind of courage did it take to be Abdullah the compounder, from neighbouring Trehgam who snuck into the village using the back route through Chopan Mohalla, to deliver what analgesics and first-aid he could knowing it to be hopelessly inadequate? Or most unimaginably of all, to be Abdul Wani. To return from an over night business trip to Srinagar and find your front door broken, your two sons in bed electrocuted, your wife and three daughters raped, and your family’s barn turned into the village torture chamber? How does one live with such knowledge? And having held one’s peace for twenty two years, how does one begin to tell a stranger with a note book, not about what was done to the women, not about what was done to the never to be named teenaged girls, but what was done to you, to your own aging and scarred body, all those many years ago?
That night is full of other kinds of silences, not as innocent but just as tortured. What can one say of Abdul Ghani, the police constable who was related to several families in the village who accompanied the soldiers on their rounds, and signed a ‘No Objection Certificate’ (NOC) the next morning stating that the villagers had no complaints? He appears in many accounts like some kind of will o’ the wisp with a torch light— relaying messages between houses and family members; accompanying one man back to his home to fetch more firewood, allowing him to peep in through the windows and see his wife on the kitchen floor but not to enter; giving water to a woman with a broken spine; getting locked in a cow shed for remonstrating with soldiers; carrying a cousin home on his back in the morning, weeping as he related what he had witnessed. How do we begin to disentangle the betrayal, the subversion, the unlooked for kindness of it all? Constable Abdul Ghani Dar’s statement of what he heard, saw, and did that night, would have formed a crucial part of the prosecution evidence, if the case ever comes to be tried in a court of law. But ‘unidentified gunmen’ murdered Abdul Ghani in his bed in 1993, pumping thirty bullets into his gut, rendering his words hearsay, and obliterating them from the legal record.
Several other critical eyewitnesses have died in twenty two years, including Sharif-ud-din Sheikh who led the fight to get the police report registered and the case heard in the State Human Rights Commission. Some have died as a result of their rape or torture that night, others from age, bullets or disease. By some estimates from villagers, fifteen of the rape survivors have had hysterectomies. Along the way I lost count of the many other surgeries, unsuccessful treatments, chronic aches, intolerable pains and nameless ailments I heard described. One, however stood out. Lal Dar, whose knee was shattered by a rifle-butt early in the proceedings, and who spent most of the night sprawled in the snow outside his home watching the comings and goings of the men, said that he subsequently had two surgeries, the second to remove his knee cap. He said he could not bend his left leg any longer. He finds it hard to pray.

A Meeting in the Park
Impressions and reflections on meeting the survivors of the mass rape at Kunan Poshpora, at the Sher- e-Kashmir Park in Srinagar on Human Rights Day, 2013

It came as a surprise. I don’t think any one, even amongst the organisers of the event at Sher- e Kashmir Park, on December 10th, had expected that women from the two villages would come. It was assumed that the survivors would be represented by members of the Village Committee, elderly men folk from Kunan and Poshpora, themselves survivors of the mass torture that took place on the night of February 23rd-24th, 1991. But the women had come, almost thirty of them. They had arrived in Srinagar by Matador van, leaving their homes in Kunan and Poshpora at seven in the morning, when the frost was still hard on their windows. I had met some of them before, but it was different seeing them here in Srinagar. I couldn’t remember all their names; their biographies had come detached from their faces. Many of them hugged me.
I remembered S. though, one of the more outspoken survivors I had met— her sharp, twinkly eyes behind thick, black rimmed granny glasses, her wide smile full of crooked teeth, in a face wrinkled and brown like a walnut. We had met at Kunan, in August 2013, when I accompanied a legal research team, from Jammu and Kashmir Coalition of Civil Society (JKCCS) who was representing them in their recently renewed litigation against the Indian army. She had spoken fiercely about the injustice of it all; the many outrages that she read about everyday in the papers, her desire to see such criminals behind bars for life. Her anger was loud and visceral. But when it came to the actual events of that night, she had refused to answer any questions. She had a terrible headache, she said. She could not wait, she had blood pressure, she was dizzy—she had to leave, she always felt like this when she thought of that night, she would not talk to us anymore. It was the only interview that had to be abandoned half way. Today, she was complaining about the long journey, ‘bumping-bumping-bumping all the way.’ ‘We should have come by Sumo’, she grumbled. But, it seemed to me that despite this, she couldn’t quite mask her delight at being out in the sunshine. In the open, amidst the falling leaves, outside the shadows of their men folk, their kitchens, their village, the women grew garrulous. S. told me of her daughters, one married to a doctor, the other working at the Social Welfare Department. At one point, Gul Fatima, from the Association of Parents of Disappeared Persons, wife to a disappeared man, came over to the group of Kunan Poshpora’s women. ‘Where are you from?’ she asked them. ‘From Kupwara’ S. replied, naming the district. Then, a shadow seemed to cross her face. ‘Kunan – Poshpora’ she said. We’re here from Kunan Poshpora.’
Many of the women from Kunan Poshpora, did not wish to be photographed. The cameras made them uneasy. Some of their children, and grand children they said, did not know their stories. They huddled together and covered their faces with scarves, but the photographers persisted. It felt undignified– cringing behind shawls, cowering under ‘We Demand Justice for Kunan Poshpora’ posters, being asked to join the circle and sit in the appropriate place like an errant schoolgirl, when one had wandered away to avoid the cameras. In 2004, Manipuri women activists protesting the rape and killing of Thangjam Manorama had shocked us by their dramatic inversion of the figure of the cowering and shamed raped woman. Stark naked, they had stood in front of the Assam Rifles Base at Imphal, holding a banner that read ‘Indian Army Rape Us’. The photograph had made headlines across the world. I thought of it as I pleaded with a particularly intrusive photographer on behalf of the women to ‘please respect their privacy’. At this, he turned around and asked me, ‘Why have they been asked to come here, then?’ .I didn’t really have a good answer. It is true. We do need them. We want to have their pictures. We want to put faces to their tragedies, to commemorate their losses and violations. We need them to remind us that we remember, that we have not lost the battle against forgetting yet.
After I got home, the women of Kunan Poshpora, and their attitude to the news-cameras, made me think of a question. Would the agitations against the Shopian rapes in 2009, have been so angry, so volatile, so strong, if Asiya and Neelofar had lived? If they had survived, would we have heard of them at all? And if we had, what particular stories would we hear? Perhaps their rapes would have been covered up, as so many have been in the villages of Kunan and Poshpora, in the name of marriages, families, reputations, futures, for the sake of preserving innocence. A raped dead body makes for an uncomplicated heroine– worthy of both victimhood, and martyrdom. But a living rape survivor is a different being altogether. Her speech and her silences are more fraught. The women of Kunan Poshpora have been voices, not victims through these twenty three years. They have spoken back to the forces of occupation, before media crews, independent fact finders, the police, the state human rights commission and the courts of law. But, they constantly remind us– by covering up before our cameras, by getting dizzy, by blanking out, by her reticence before our questions, that we are all incriminated in her secret yet public shame.

https://kafila.online/2014/01/20/kunan-poshpora-the-other-story-shrimoyee-nandini-ghosh/

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Dr. Brad Yentzer, MD is a Dermatologist in Freeville, NY and has over 17 years of experience in the medical field. Dr. Yentzer has extensive experience in Skin Cancer & Excision, Cosmetic Skin Procedures, and Skin Conditions. He graduated from Thomas Jefferson University in 2006. He is affiliated with Cayuga Medical Center at Ithaca. His office accepts new patients

Brad Yentzer
Dr. Brad Yentzer, MD is a Dermatologist in Freeville, NY and has over 17 years of experience in the medical field. Dr. Yentzer has extensive experience in Skin Cancer & Excision, Cosmetic Skin Procedures, and Skin Conditions. He graduated from Thomas Jefferson University in 2006. He is affiliated with Cayuga Medical Center at Ithaca. His office accepts new patients

Hello Reddit Community!
Today, I'd like to shed some light on a subject that many of us are curious about - the Brazilian Butt Lift (BBL) procedure, particularly at Zaren Clinic in Turkey ( https://zarenclinic.com/bbl-turkey/ ). This isn't about a personal experience, but rather a comprehensive description of what one can expect when considering this procedure at the Zaren Clinic.
Located in the stunning city of Istanbul, Zaren Clinic has made a name for itself in the realm of cosmetic surgery, specializing in procedures like BBL. Blending a high standard of care with state-of-the-art facilities, Zaren Clinic is known for its professional approach, both before and after procedures.
At Zaren Clinic, the first step in your BBL journey involves an in-depth consultation, where your questions are addressed and a personalized plan is crafted. The surgeons on their team are highly experienced, not only in the field of cosmetic surgery at large but also specifically within the BBL procedure. They strive to ensure that each patient has a thorough understanding of the procedure, the risks, the recovery process, and the realistic results they can expect.
The clinic itself exudes an atmosphere of calm and confidence, with advanced technologies at their disposal to ensure the surgery is as efficient and successful as possible. The staff is known for their warm hospitality, helping to alleviate the natural apprehensions that come with such procedures.
As for the BBL procedure, it's performed with careful precision, aiming to enhance the patient's natural proportions. Pain management and post-surgical care are prioritized, making sure that the patient is comfortable and on track for a successful recovery.
The aftercare provided by Zaren Clinic is a key part of their service. Regular follow-ups and a dedication to patient wellbeing helps facilitate a smooth recovery and high levels of patient satisfaction.
For those considering a BBL, Zaren Clinic emerges as a highly recommended choice. Their commitment to medical excellence, patient satisfaction, and affordable pricing creates a compelling case for anyone looking to improve their body contours.
While it's always advisable to conduct thorough research and consider personal health factors before deciding on such procedures, Zaren Clinic stands as a reputable option for a BBL procedure in Turkey.
This is purely a descriptive overview based on the information available about Zaren Clinic. Feel free to ask any questions you might have, and I'll do my best to help answer them!
Best regards,

Brad Yentzer
Dr. Brad Yentzer, MD is a Dermatologist in Freeville, NY and has over 17 years of experience in the medical field. Dr. Yentzer has extensive experience in Skin Cancer & Excision, Cosmetic Skin Procedures, and Skin Conditions. He graduated from Thomas Jefferson University in 2006. He is affiliated with Cayuga Medical Center at Ithaca. His office accepts new patients

A magic contract , just a drop of your blood and I will fulfill your wish . The contract is activated by paying BCN cryptocurrency to the wallet 26uF9rT17YzgD5CA1u92MR3XJCJcPL8XGd7rGzbRpMdDJYmonHMQMuXfNCezqRpKfLJf5dmANoy6uA2bGtZ3uT5fJMCFPtn
The execution and speed of the contract depends on the amount credited to the wallet . The higher the amount , the faster the magic contract will work . To activate a magic contract , you need to print it on a piece of paper , drop a drop of your blood into the center of the contract and set fire to the sheet . If you use the contract and do not transfer the reward to the wallet account , you will receive a curse instead of fulfilling your wish . Good luck my friend Muggle . Jump spoke to you . https://photos.app.goo.gl/KPJxoqDhYeyx1sU67 Drop a drop of blood on the contract and burn it .

Introduction: When it comes to the health of our children, we want nothing but the best. In the realm of pediatric nephrology, where the care and treatment of kidney disorders in children take center stage, finding a proficient and compassionate specialist becomes paramount. Fortunately, parents in Delhi can rely on the expertise and dedication of Dr. Sidharth Kumar Sethi, an esteemed pediatric nephrologist who has earned a reputation for providing exemplary child kidney care in the bustling capital city.
Understanding Pediatric Nephrology: Pediatric nephrology deals with the diagnosis and management of kidney disorders in children, including congenital abnormalities, urinary tract infections, kidney stones, nephrotic syndrome, and kidney failure. It is a specialized field that requires not only medical expertise but also a deep understanding of the unique needs and challenges faced by young patients.
Dr. Sidharth Kumar Sethi: A Beacon of Hope Dr. Sidharth Kumar Sethi stands out as a shining beacon of hope for children with kidney conditions and their worried parents. His extensive knowledge and unwavering dedication to his young patients make him one of the leading pediatric nephrologists in Delhi. Dr. Sethi possesses a holistic approach to child kidney care, prioritizing not only the child's physical well-being but also their emotional and psychological health. Kidney Disease Care especially for Children Dr Sethi at Medanta, The Medicity is the leading Pediatric Nephrologist providing diagnostic and treatment services for children with conditions of the kidney, especially Nephrotic syndrome, Glomerular disorders, rare tubular disorders, and Chronic Kidney disease. Our team is the leading dialysis and renal transplant service center for children.
Dr. Sethi & team believes in personalized care that focuses on individual patient and family needs. Our team understands the challenges many of our families face when trying to access the care they need. Our caring goes beyond diagnostics and treatment. Our team is nationally recognized for their innovation, experience, dedication, and expertise. We have the newest dialysis technology and provide comprehensive kidney transplant care to children of all ages.
Expertise and Qualifications: Dr. Sethi has an illustrious academic background, having completed his MBBS and MD (Pediatrics) from renowned institutions. He subsequently pursued his DM (Nephrology) at a prestigious medical college, where he gained specialized expertise in pediatric nephrology. Dr. Sethi's continuous pursuit of knowledge and innovative treatments keeps him at the forefront of his field, ensuring that his patients receive the most up-to-date care available.
Comprehensive and Compassionate Care: Dr. Sethi firmly believes in the importance of a comprehensive approach to child kidney care. From accurate diagnosis and advanced treatment options to ongoing management and emotional support, he ensures that every child receives personalized care tailored to their specific needs. Dr. Sethi collaborates closely with his young patients and their families, involving them in every step of the treatment journey, and fostering trust and empathy along the way.
State-of-the-Art Facilities: Dr. Sethi practices at a leading medical institution in Delhi, equipped with state-of-the-art facilities and cutting-edge technology. These advanced resources enable him to provide accurate diagnoses and deliver precise treatment plans, ensuring the best possible outcomes for his patients.
Holistic Approach: What sets Dr. Sidharth Kumar Sethi apart is his holistic approach to child kidney care. He understands that managing a kidney condition involves more than just medical intervention. Dr. Sethi focuses on empowering children and their families with knowledge, guiding them toward a healthy lifestyle, and addressing any psychological or emotional concerns they may have. His emphasis on comprehensive care helps children not only cope with their condition but also thrive.
Conclusion: Dr. Sidharth Kumar Sethi stands as a beacon of hope for children with kidney disorders and their families in Delhi. His remarkable expertise, combined with a compassionate approach, ensures that every child receives the best possible care. Dr. Sethi's dedication to staying at the forefront of pediatric nephrology, his state-of-the-art facilities, and his emphasis on holistic care make him the go-to specialist for child kidney care in Delhi. With Dr. Sethi, parents can rest assured that their children are in the hands of a skilled and empathetic professional, committed to their health and well-being.
Name: Pediatric Nephrology India Address: Division of Pediatric Nephrology, Kidney Institute, Medanta, The Medicity, Gurgaon, Haryana, India, 122001 Phone: 0124-4141414 Website: www.pediatricnephrologyindia.com

Are you seeking professional orthopedic care in the Begumpet area? Look no further! Dr. Srinivas Kasha is a highly skilled and experienced orthopedic doctor specializing in various orthopedic conditions, including knee joint arthroplasty, bone specialist services, and hip replacement surgery. With a commitment to providing exceptional medical care, Dr. Srinivas Kasha is recognized as one of the best orthopedic doctors in Hyderabad.
Comprehensive Orthopedic Care in Begumpet
When it comes to orthopedic care, having a specialist you can trust is paramount. Dr. Srinivas Kasha offers comprehensive and personalized treatment plans tailored to each patient's unique needs. With a deep understanding of orthopedic conditions and the latest advancements in medical technology, Dr. Srinivas Kasha ensures that every patient receives the highest standard of care.
Knee Joint Arthroplasty Expertise
Knee joint issues can significantly impact one's quality of life. Dr. Srinivas Kasha specializes in knee joint arthroplasty, a surgical procedure that involves replacing a damaged or worn-out knee joint with an artificial implant. With his expertise in this field, Dr. Srinivas Kasha has helped numerous patients regain their mobility, reduce pain, and improve their overall quality of life.
Bone Specialist Services
As a trusted bone specialist in Hyderabad, Dr. Srinivas Kasha diagnoses and treats a wide range of bone-related conditions. Whether you're dealing with fractures, osteoporosis, or other bone disorders, Dr. Srinivas Kasha is dedicated to providing accurate diagnoses and effective treatments. With his extensive knowledge and experience, you can trust him to guide you through your bone health journey with utmost care and expertise.
Hip Replacement Surgery Excellence
If you're in need of hip replacement surgery, Dr. Srinivas Kasha is the go-to surgeon in Hyderabad. With a focus on precision and patient-centered care, Dr. Srinivas Kasha ensures successful hip replacement procedures, alleviating pain and restoring function for patients suffering from hip joint issues. His commitment to excellence and advanced surgical techniques have earned him a reputation as a top hip replacement surgeon in the region.
Why Choose Dr. Srinivas Kasha?
When it comes to your orthopedic health, selecting the right doctor is crucial. Here are some compelling reasons why Dr. Srinivas Kasha should be your trusted orthopedic specialist:

1. Experience and Expertise: Dr. Srinivas Kasha has a wealth of experience in the field of orthopedics, with a focus on knee joint arthroplasty and hip replacement surgery. His expertise ensures optimal outcomes for his patients.
2. Patient-Centered Care: Dr. Srinivas Kasha believes in a patient-centered approach to healthcare. He takes the time to understand each patient's unique needs and works closely with them to develop personalized treatment plans.
3. State-of-the-Art Facilities: Dr. Srinivas Kasha operates in modern, well-equipped facilities, utilizing the latest advancements in medical technology to deliver the best possible care.
4. Compassionate and Supportive: Dr. Srinivas Kasha and his dedicated team prioritize patient comfort and support throughout the entire treatment journey, providing reassurance and guidance every step of the way.

Contact Dr. Srinivas Kasha Today
If you're in search of the best orthopedic doctor in Hyderabad, Dr. Srinivas Kasha is the ideal choice. With his exceptional expertise in knee joint arthroplasty, bone specialist services, and hip replacement surgery, you can trust him to provide the highest quality orthopedic care. Don't let orthopedic conditions hold you back—take the first step toward a pain-free and active life by scheduling a consultation with Dr. Srinivas Kasha today.
Conclusion:
In conclusion, if you are in need of expert orthopedic care in the Begumpet area, Dr. Srinivas Kasha is the orthopedic doctor you can trust. With his extensive experience, specialized expertise in knee joint arthroplasty and hip replacement surgery, and commitment to patient-centered care, Dr. Srinivas Kasha stands out as one of the best orthopedic doctors in Hyderabad.
Dr. Srinivas Kasha offers comprehensive orthopedic services, addressing a wide range of conditions and providing personalized treatment plans tailored to each patient's needs. Whether you require knee joint arthroplasty, bone specialist services, or hip replacement surgery, Dr. Srinivas Kasha's advanced skills and dedication to excellence ensure that you receive the highest quality care.
Contact Info:
Mon - Sat: 10:00 AM - 5:00 PM
Kims Hospital 1-8-31/1, Minister Road, Krishna Nagar Colony, Begumpet, Secunderabad, Telangana 500003.
Mail Id: [email protected]
Phone: +91-9948047649

Unpacking the Light Police. Light Pollution News.
Show Link: https://lightpollutionnews.com/podcast/unpacking-the-light-police/
Subscribe: Apple Podcast Spotify Google Podcast
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Guests:
John Barentine of Dark Sky Consulting, LLC.
Kaitlyn Evans, Conservationist.
Show:
I was busted by the light police. They had a point, Dana Milbank of the Washington Post.
Dana Milbank purchased a home in, soon to be not, rural Virginia. At night he kept the formerly vacant property lit to the degree that spurned one commentator to call it “spaceship lighting.”
Milbank recaps being visited by the “light police,” a group of concerned citizens who help educate neighbors and instill a sense of pride in the brilliance of their starry night skies.
At first, he was taken aback, but later, not only did he appreciate their efforts, but he also converted his blinding always on, white light flood lights to warm 2700 Kelvin motion sensing lights.
Per Ruskin Hartley, executive director of the International Dark Sky Association, “for 4.5 billion years there was no artificial light at night. It’s really only in the last five human generations that we transformed that. It’s one of the most profound transformations of our environment.”
Many of you may recall an earlier story, way back in our Hormone of Darkness episode, showcasing concerns by local residents prior to a 760 house (now 761) plus town center development moving into the Culpepper County, VA area. Per the Rappahannock News, this development features “a resort style swimming pool, clubhouse, tot lot, and multiple sports fields and sports courts, all connected by a network of biking and walking trails.”
The forgotten medieval habit of ‘two sleeps’ by Zaria Gorvett of the BBC.
Gorvett opened my eyes to something I never knew about, the medieval custom of two sleeps. For those of you unaware, two sleeps are exactly what it sounds like.
Folks would partake in a communal nap, complete with rigid sleeping arrangement conventions, between 9 – 11pm, then awaken for a few hours to do everything from hang out to brew beer! In fact, the idea of multiple sleeps crossed cultures and was found in places as far from Europe as indigenous South America.
How can one’s circadian rhythm make sense of all of this?!
Well, for starters, until the invention of the alarm clock, which humorously was invented by a clocks salesman so he could wake up and sell more clocks, people had no firm way to wake up at a consistent time. The industrial revolution enforced a new circadian standard.
And there’s some science behind this! In the 1992 study, In Short Photoperiods, human sleep is biphasic, researcher Thomas Wehr found that after four weeks of 10 hour days, his subjects began to engage in this two sleep cycle, involving a one to three hour period for which they became awake and engaged in between.
Want to Learn About Light Pollution? There’s a mini-course for that!, Jennifer Sensiba of Clean Technica.
Quoting Sensiba, “As I got older, I traveled a lot more and saw the problem more for what it is. Not only did I see that in many places there is no refuge from it, but I also saw that it was slowly growing worse. Places that had been dark 30 years ago had more and more light creeping upon the horizon.”
If you’re interested in learning more, or more importantly, know someone who might benefit from learning more, Sensiba links up to an International Dark Sky Mini-Course on light pollution, call it Light Pollution 101!
There’s a Play Date at the National Museum of Natural History: Lights Out exhibit!
But unfortunately, by the time you listen to this, and hell, by the time we talk about this, it has passed.
Ann Arbor named best place for sunrises, sunsets in Michigan. Sarah Parlette for Click on Detroit.
Evidently gambling websites have decided to honor April’s International Dark Sky week in a strange new content marketing campaign, which was to rank the best places in each state to see sunrises and sunsets. My favorite one, “Ann Arbor named best place for sunrises, sunsets in Michigan,” comes from Click on Detroit, whereby a quote “study” examined Michigan’s most populated cities.”
According to Click on Detroit, “to celebrate International Astrology Day on Saturday, staff at Great Lake Stakes, a Michigan online gambling news site, looked at light pollution in the five most populated cities around the Mitten state to determine which offers the best views every morning and evening.”
Star bathing is the new outdoor travel trend we should all be trying for Summer 2023, according to Amy Beecham at Stylist.
Evidently, as an attempt to destress and promote mindfulness, romanticism about sleeping under the stars has birthed a 70% increase in searches for the term ‘star bathing’ on Hipcamp. And to be sure, “Hipcamp recommends checking a stargazing calendar which outlines major astrological events – like supermoons, pink moons, and star showers.”
“Industry Must Face an Inconvenient Truth — Most LED Lights at Night are Unhealthy”
Dr. Martin Moore-Ede, a circadian clock expert, recently published an article in LEDs Magazine chastising the lighting industry for not recognizing and reigning in the negative externalities of its products. Per the piece, such effects are, obesity, diabetes, depression, cancer, and more.
He cites three categories of industry responses, making the correlation that long term Denial or outright Ignorance of the Facts, may result in “asbestos-scale liabilities or draconian regulations.”
Per the piece, a recent survey by the Circadian Light Research Center of 2,697 peer reviewed scientific articles confirmed that human circadian clocks are highly sensitive to blue wavelengths, and that exposure to such wavelengths leads to major health disorders.
Moore-Ede calls for the industry to harvest the “commercial opportunity” to greatly limit future liability by creating and managing its own standards for circadian modulated lighting.
Unpacking the Wallpack, by Dan Weissman in LD+A Magazine.
Weissman, who recently purchased a telescope for his family in Cambridge, MA, discovered that the scope could only afford him views of some solar system objects and a few brightly burning stars.
The ire of Weissman’s pen takes the shape of a rectangular fixtures, be it box like or simply a panel these days, that typically hang off the side of an exterior wall or above an exterior door. “Devoid of aesthetic value” this light is often put up under the “pretense of security and safety” by “recommended practices and adopted municipal codes.”
Weissman recognizes labels that often accompany, what he calls, “Glare bombs,” including “contractor-select,” “energy efficient,” or “light pollution friendly.”
Further, per an earlier LD+A article, such lighting driven by its extreme contrasts is exceedingly common in minority communities where light is weaponized as a tool of power. It becomes a “device of alienation, creating a zone of control and separation.”
Weissman recognizes that the true reason such fixtures are selected often comes down to cost. He recognizes that it may take equally as much cost to persuade building and homeowners away from such lighting into the realm of more responsible, lower lumen, shielded lighting.
Weissman calls for producers of these glare bombs to be labeled as polluters, putting them in line with fossil fuel manufacturers and PFAS makers.
Songbirds, dusk and clear skies: Scientists explore migratory flights, by Erin Blakemore.
Bird migration season is ending here in the Mid-Atlantic. I was lucky enough to catch several Baltimore Orioles and Indigo Buntings last week. Researchers looked at 400 songbirds from 9 major species, “including the yellow-rump warbler, American redstart and Bicknell’s thrush.”
The question they hoped to answer was how are these birds so darn precise in identifying the best time to take off for their nightly migration? Scientists found that 90% of the migrating birds in the study took off within 69 minutes of dusk. A “much narrower takeoff window,” that even shocked the research team!
Per the study, taking off at night is all about maximum flight time. In addition to being able to precisely schedule their take offs, a feat that every airline I’ve flown with over the past few years has proven inept at, birds also are apparently good meteorologists! They often depart when the atmospheric pressure rises over a day’s span. Other factors also trigger migration, including sex, age, and celestial cues.
‘Lights Out’ initiative appears to be saving birds from crashing into Philly buildings by Sophia Schmidt.
Preliminary results indicate that bird death counts are down 70% at one Market Street tower, since it began its participation in Lights Out. As we spoke about on a previous show, birds utilize the stars to navigate, but city lights can disorient the birds. Combine the lights with reflective or transparent glass, and that spells fatal trouble for our migrating warblers!
Per Keith Russell, a program manager for urban conservation with Audubon Mid-Atlantic, “We’ve lost almost a third of our birds – and [collisions] contributing to that. If we’re going to want to preserve the bird populations here in North America, we have to look at these types of problems. And this is a preventable one.”
The Knoxville, TN Zoo is offering up what they call “Twilight Tours” per WVLT 8. Each event will feature a guide to showcase nocturnal critters.
I did something similar in Singapore years ago. The zoo had very dim lights in the exhibits – and they kept those lights dim as you walked so that you didn’t lose your night vision. It was a very different and, might I say, peaceful experience than the typically chaotic daytime zoo.
Flashlights posing major threat to nesting sea turtles. Fox35 Orlando
Apparently, a single flashlight can deter female sea turtles from coming onto a beach and nesting. Florida, as I did not know, is home to 90% of the sea turtle nests across the world, so losing sea turtles can affect the global ecosystem.
One visitor to Cocoa Beach stated, “Just leave them alone. Stand back and look. You don’t need a flashlight.”
Another, “It’s not super surprising because more buildings go up, more technology. As it increases, nature and stuff like that decreases,” said Zoe Jovaag, whose grandfather used to take her on walks to see sea turtles.
Capture the Dark 2023 officially is under way!
The International Dark Sky Association opens up its annual photo contest complete with prizes across eight categories and an additional People’s Choice category. Voting begins on July 3rd, entries must be received by June 30th.
City Tests Traffic Light That Only Turns Green for Drivers Who Obey the Speed Limit. Erin Marquis for Jalopnik.
And hey, you better not speed in Brossard, Quebec….otherwise you may be waiting around for a while. Brossard is testing out a new traffic light that will stay red until it senses oncoming traffic. However, it will only change to green if the car is going the speed limit. Per the Jalopnik article, “FRED [the French acronym for “educational traffic calming light] forces fast drivers to stop and gives them a chance to reconsider their life choices.” Such lights are already used in Europe, but this will be the first for the Great White North.
Why the Greatest Threat to Star-Gazing Isn’t Light Pollution, and this comes to us from Dorin Elin Urrutia at Inverse.
Elin Urrutia writes, in her compelling piece, that the greatest threat to star-gazing is actually the weather. Citing notable examples of the Mount Stromlo Observatory in Australia (which burnt down due to bushfires) and the Arecibo Observatory in Puerto Rico (which sustained structural damage following the winds of Hurricane Maria).
While the threat of human-caused climate change has presented new challenges, Elin Urrutia references proactive burns that saved Los Angeles’ Mount Wilson Observatory from flames in 2020.
On a similar note, ABC News (the Australian Broadcasting Company, not to be confused with the American Broadcasting Company), brings us “A World Without Darkness Could Be a Reality within a Few Years.”
Per Carol Redford of Astrotourism Western Australia, “There are some people in the world now who don’t actually experience darkness anymore. They’re in a city like Beijing, Toyoko, or London. In all those big cities, it’s never dark, it’s always light. During the day of course with the sun, but then during the night with all of the artificial light. They’re not experiencing darkness, and definitely not seeing those beautiful stars…”
In the 66 years since the implementation of the UN Convention on the Peaceful Use of Outerspace, around 11,000 satellites orbit the Earth. But it’s about to get wayyy busier. Driven by innovations that have led to dramatic reductions in costs, over the next ten years, Per attorney Steven Freeland, it’s anticipated that somewhere between 100,000 to 500,000 objects will be sent up. Let me pause on that for a second.
On the travel front, we stay in the land down under, “Aussie region determined to keep its darkness is a stargazer’s dream” by Chantelle Francis of News.com.AU.
The town of Swam Reach, population 270, resides in a 3200sq km region of Southern Australia that received its International Dark Sky Reserve status over three years ago. On a scale of darkness between 0 – 22, the River Murray Dark Sky Reserve at Swam Reach, measures in at a whopping 21.9!
Tourism has become a growing business. The reserve hosts numerous telescope pads and offers tours of the night sky. There’s hope that an observatory and/or planetarium may also arrive in due course.
Best smart lights for outdoors in 2023, Brittney Vincent of CBS Essentials.
Oh there’s a lot not to love here, but it does fall in line with last month’s ‘Lumens are Coming’ article.
For those of you who feel the need to light your trees, because for some reason they need light at night I guess…I’ll try and pretend it’s not solely for ostentatious and narcissistic reasons. By the way, does anyone remember when those were negative characteristics?
The article features spotlights that can be programmed to over 16 MILLION colors including…lucky for us, ALL shades of white….which you can also do for a 500 lumen flood light set.
And hey, Ring now has solar path lighting. Don’t worry though, the fixtures themselves put out up to 80 lumens of sideways light.
You know, it’s astounding when you look at some of these pictures. The amount of redundant lighting. It honestly makes no sense to me. You have a porch light, which lights up the path. Path lighting, which lights up the path. And, in the one picture, god awful frontward facing flood lights, which also light up the path. How bright do you need these paths!? I digress. But the lumens are indeed coming.
LDS Church will get to light up its Heber Valley Temple after all, but the faith didn’t get everything it wanted, Blake Apgar of the Salt Lake Tribune.
The Church of Jesus Christ of Latter-day Saints fought hard to rid itself of any nighttime lighting responsibility by pressuring Wasatch County, Utah officials to approve new lighting rules that would enable the church to light a proposed new temple the same way it does for every other temple.
The Church received permission to uplight the temple, enabling an exception to be made in Wasatch’s rather stringent nighttime lighting rulebook. However, the temple will be restricted by the level of lumens it can use, and it must have exterior lighting turned off an hour after sunset or an hour after normal business hours.
Smart Street Lights Market is Expected to Hit USD 14,751.1 million at a 23.4% CAGR by 2030, Market Research Future Press Release
The pandemic is officially over, smart street lighting is about to boom. Combine the rush to LED fixtures with the Internet of Things, and expect to see street lights moonlighting as traffic and parking monitors, air quality meters, and more. Not to mention, “it is anticipated that camera-connected smart street lighting will increase road safety by lowering the likelihood of accidents and criminality.”
Texas now has 7 dark sky communities for spectacular star gazing, Sana Ameer, MRT.
Let’s cheer on the city of Bee Cave, everyone! Bee Cave joins a growing list of dark sky places already in the Lone Star State, including 2 Dark Sky Sanctuaries, 5 Dark Sky Parks, and 1 Dark Sky Reserve. Nighttime is alive and well in some parts of Texas!
Our Afraid of the Dark article is a bit scary! Hilton Head’s dark roads and pedestrians are deadly combo. What the town is doing about it, Blake Douglas at The Island Packet.
Per the article, 9 pedestrian and cyclist fatalities occurred since 2018, with five occurring after dark. Prior to that period, there were 28 recorded deaths from 2000 – 2016, with 20 of them taking place after dark.
In 2018, an 11 year old resident was struck and killed while walking her dog across an intersection one night. Lighting advocates began taking shape in what otherwise is a very conservation focused island. Hilton Head, SC has a limited number of street lights, priding itself on “avoiding light pollution and blending nature with construction.”
Lighting advocates appear to be, at the very least, asking for flashing crosswalk lights on the island to indicate when an individual is crossing.
It should be noted that the article shows a chart of 9 after-dark-deaths since 2014, only two of them occurred at crosswalks. In fact, during the same time frame, 6 additional deaths occurred at crosswalks during the daytime.
As a whole, the National Safety Council reports that 74.5% of pedestrian deaths occurred at night, whereby 39.1% took place in lit areas and 35.38% took place in unlit areas.
Bryan Bloch, an auto safety expert, surmises that car companies bear some of the blame – producing cheap or ineffectual headlight fixtures, and drivers themselves, who don’t realize that they need to regularly clean their headlight lenses.
Despite opposition from residents, it appears that Hilton Head will be receiving lights at two new intersections and possibly more depending on engineering studies currently in progress.
Is lighting the key variable here? Is more light going to solve pedestrian deaths?
Our featured research article of the month comes to us from Animal Conservation, “Manipulating spectra of artificial light affects movement patterns of bats along ecological corridors.”
Bats are already known to have a wide range of responses to artificial light at night (also known as ALAN). Fast flying species tend to be more opportunistic in the presence of ALAN while slower ones tend to be more light averse. We know that “long wavelengths and reduced intensity” can minimize their environmental effects on bats. It’s not unheard of for bats to travel upwards of “tens of km per night.” Furthermore, bats are very dependent on the landscape and the structures within those landscapes.
Despite the nuances between species, the consensus is that ALAN, especially high intensity ALAN, negatively affects bats. This study attempted to answer what exactly bats do when they encounter ALAN – how do they react depending on different types of ALAN.
The study used three different light fixtures – one green, one red, and one white. The control was devoid of light fixtures. The researchers attempted to ascertain the behavior of bats as they encountered lights adjacent to woody areas. The researchers looked at three different bat groupings based on their foraging-echo location behavior, that being one of open field foraging, forest edge foraging, and narrow space – or more aptly forest foragers.
Researchers found that open and edge foraging bats increased their activity close to white and green lights, and to a lesser extent red lights. However, narrow space bats were more likely to veer away from all colors of lighting. Edge foragers were also less likely to cross a white light.
The positive effects of white and green light on open and edge foraging bats appear to be attributed to the accumulation of insects around light sources containing more blue light.
The nighttime sky over Oahu will be lit up with green lasers in the coming days. Here’s why. Hawaii News Now
Before we close up today, do you live in Hawaii? I know I wish I did!
If so, do you recall seeing green lasers streak across the night sky? Well, the Army Corps of Engineers was using lidar at night to complete a coastal mapping survey.
Why did they survey at night? Specifically, why did they do this between midnight to 5am? Simply b/c the airspace is so busy, that time was the only chance they had to complete the survey. The remaining survey was completed during daytime hours.

Might one's orbs possess a color of violet?

Oh, fair maiden, whose eyes doth shine like the violet flower in the meadow or violet eyes in dreams. How sweet and gentle they doth appear, as if the heavens themselves have bestowed upon thee a gift of beauty. May thy gaze never fade, and may thy loveliness endure for all eternity.
Mystical, gorgeous, and entrancing are the purple orbs. Verily, 'tis a rare sight to behold, but lo and behold, the iris may don a hue of purple or violet, brought forth by a mutation, inflammation within the ocular sphere, or albinism. 'Tis the absence of melanin, not a particular hue, that begets all ocular shades save brown. Pray tell, doth amethyst irises existeth? Verily, 'tis true that purple irises doth exist, but only under rarest of circumstances, such as certain ocular maladies. Verily, the hue of violet doth reign supreme amongst the purple irises. Verily, there be other hues such as lilac and indigo. Verily, 'tis a beauteous and uncommon hue of the eyes.
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The lack of hue doth make the light disperse into a spectrum of hues upon striking the iris. Verily, the hue of one's eyes doth depend on the measure of melanin present. They may be green, hazelnut, dark blue, or even purple.
The irises of those with azure orbs are devoid of hue. Verily, 'tis discovered that the color of blue doth lie in the eye of the beholder. Forsooth, it doth seem that the reason for this be akin to why the heavens doth appear azure. The ether of the sphere and the orbs of some individuals doth disperse beams of light. Verily, this doth cause the ambience and the irises of certain folk to appear blue.
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Albinism

Verily, albinism doth be a genetic malady that doth lessen the amount of melanin within the corpus. Verily, 'tis oft the case that the conjunctiva doth suffer from a lack of melanin. Hark! With scarce levels of melanin in the ocular orbs, the iris may don a hue of blue, crimson, or violet.
Verily, Violet is a rare and true ocular hue, a subtype of blue. Verily, the pigment of melanin, tinted in hues of violet, doth require a precise structure of the iris, so as to scatter light in such a way as to bring forth the violet shade.
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By virtue of the additional reflection of light upon crimson blood vessels, certain irises doth present themselves as purple, instead of blue.
Verily, this hue doth reign supreme in those of albinistic nature. Verily, 'tis believed that the genuine violet irises cannot exist sans albinism. Verily, this beauteous violet hue doth arise from a dearth of pigment and the reflection of crimson light from blood vessels in the irises. Verily, thou may deem it false, but prithee, know that yon natural purple irises doth exist. By virtue of their pale tint, purple orbs are oft referred to as "violet eyes."
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Verily, as per studies, the iris doth seem crimson in the absence of melanin, forsooth, as the light doth reflect off the blood vessels of the eye. Whence there exists a modicum of melanin, yet not ample to engender a blue hue, crimson protrusions doth blend with a mere hint of azure, begetting feeble lilac or lavender hues within the orbs.
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What ho! Pray tell, what doth cause the hue of amethyst to adorn one's eyes?

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Hark! Melanocytes doth release melanin, a substance akin that doth react with the sun's rays to create pigmentation. The irises of a tender babe lack the full-grown melanocytes. Thusly, the color of the iris doth change as it doth grow. Verily, the vast majority of newborns doth possess hazel irises. Verily, a scant few babes of the Caucasian ilk are born with irises of gray orblue eye color. As they doth age, their ocular hue mayhap shall alter.
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Heterochromia

Hark! Heterochromia, a malady where each orb bears a distinct hue. Verily, a solitary orb may be of a brown hue whilst its twin is of the same shade. The root of this issue doth remain uncertain at present.
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Hark! What manner of affliction is this that plagues thee? Waardenburg syndrome, thou sayest? Pray tell, what doth this malady entail?
Blindness, pallid complexion, locks, and orbs doth marketh the Waardenburg syndrome, a cluster of hereditary ailments.
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Malignancy of the ocular organ.
Whilst iris tumors may oft be asymptomatic, tumors of the eye may bring about a change in the hue of thine eye. Verily, albinism is an affliction passed down through generations, wherein the body doth not produce or produceth scarce pigmentation. Verily, this malady is linked to the purple eye syndrome.
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Verily, the irises of Caucasians may be of blue or gray hue, depending on their genetic constitution. Henceforth, if a babe is born to a dame with gray orbs and a sire with blue orbs, the offspring may bear either hue or a blend of the twain.
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Verily, the affliction known as Fuchs conjunctivitis doth trouble mine eye.
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Hark! Fuchs uveitis syndrome doth cause inflammation in sundry parts of the ocular orb. Verily, some learned scholars doth opine that in certain cases, this affliction may alter the visage of the orbs. Verily, inflammation may bring forth a hue of blue or purple in the irises.
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Pray, what be the rarest color of eyes?

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Verily, this is one of those inquiries that doth appear to possess a facile resolution, yet it doth not. Verily, there doth exist a debate concerning the rarest hue of ocular orbs. Verily, this doth owe to the truth that "rare" is a relative notion, forsooth, as one eye hue may be exceedingly uncommon in one region of the globe and exceedingly prevalent in another.
Pray, doth the hue of purple mark the rarest of eye colors? Verily, eyes of purple hue are a rarity, yet akin to eyes of crimson shade. Verily, a mere fraction of one percent of the world's populace doth possess such ocular hues. Verily, 'tis a sad truth that violet or crimson irises are not a natural gift bestowed upon mankind. Verily, certain irises may seem as if they bear a violet hue under particular luminous or cosmetic circumstances.
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Doth thy orbs appear crimson? Pray, what hue doth thine eyes possess?

Verily, be it green or blue, in pictures thou mayst seem to possess eyes of crimson hue. Hark! The crimson eye effect doth transpire when the pupil of the eye cannot close with haste in response to the illumination. Verily, the dazzling light of the flash doth entereth the eye through the pupil, doth reflecteth off the retina at the rear of the cornea, and doth exiteth through the pupil anon. Verily, by reason of the profusion of blood at the rear of the retina, the camera doth capture this reflected light, which doth appear as crimson red.
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Verily, pink irises doth catch mine eye.

Albinism, wherein the dearth of hue in the ocular orbs obstructs the reflection of light from the vessels of blood beneath the retina, may lead to eyes of pinkish hue.
Hath thee ever wished thy irises were of a different hue whilst thou didst gaze upon thy reflection? Mayhap thou hast coveted thy friend's verdant eyes or wished thou hadst the hazel orbs of thy beloved celebrity.

Pray tell, is it possible for your eyes color can change? Verily, doth one's ocular hue transform with time?

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Verily, we seeketh not to alter the essence of thine sight, but to ensure that no forewarnings of an ocular malady that may imperil thy vision doth go unnoticed.
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