text:
Sharing Secrets
By Maria Gervits
Maria Gervits
"I feel bad…" Amy whispered, then paused.
I'm a family-medicine resident, and I was doing my gynecology rotation, which involved spending a few days at a Planned Parenthood facility. This was my first day. I'd been assigned a patient to shadow: a young woman named Amy, who was here to have a first-trimester abortion.
I'm a fan of Planned Parenthood's work providing high-quality, affordable contraceptive and gynecological care. In college, when I lost my health insurance, I'd gone to Planned Parenthood for birth control. Now, as a doctor in training, I was curious to see how the clinic worked from the inside.
I'd found Amy sitting with a young man in the waiting room. She was twenty-seven, with large, expressive eyes.
After she'd had an ultrasound, we crossed the hall to the laboratory. Amy squeezed her eyes shut and giggled nervously as the nurse found her vein and filled a tube with her blood. Then we went to the counselor's office, where Amy was asked a myriad of questions.
She had been pregnant once before and had a four-year-old son. She and her current partner had been together for three years and had been using an intrauterine device (IUD) for birth control. Unfortunately, this had been expelled, resulting in Amy's current pregnancy.
During this lengthy interview, my mind wandered back to a conversation with my grandmother a few months prior. I'd been sitting at her kitchen table, stirring a cup of herbal tea.
"Where do they have you working now?" she asked as she handed me a bowl of honey and a spoon with her gnarled, arthritic hands.
"Obstetrics. I'm delivering babies," I replied, spooning honey into my tea.
"That's nice. You know, when I had your aunt and your mother, back in the Soviet Union, there was none of these fancy pain-medicine shots they put in your back nowadays."
"I know, babushka, I know," I said, rolling my eyes. I'd heard this so many times.
Sipping my tea, I wondered aloud: "So you had my aunt, and then my mom eight years later. Why did you wait so long to have another baby?"
"We couldn't afford it," she replied simply, settling down across from me with her teacup.
I thought she would leave it at that, but after a moment she said, "I did get pregnant once. When your aunt was about a year and a half old."
I replaced my teacup in the saucer, surprised. This was news. I'd thought I knew everything about my grandma.
"What happened?" I asked.
"I had an abortion," she said matter-of-factly, spreading raspberry jam on a roll. "We were poor. All three of us lived in one room in a communal apartment, sharing the bathroom and kitchen with three other families. Your grandfather and I earned pennies at the factory. I worked the day shift, and he worked nights, so we could take turns staying home with your aunt. We couldn't afford day care. We would all have starved if I went through with the pregnancy and had to stop working."
"So what did you do?"
"Well, abortions were illegal–Stalin wanted to increase the population. But I heard there was a woman in my neighborhood who knew what to do." She absentmindedly took a bite out of the roll and looked off into the distance.
"I went to her house, and she put a catheter into my womb. Then I went home. I was worried, because for hours nothing happened. I just walked around with a catheter between my legs. Finally, the blood started to come. And that was that."
I pictured my grandmother lying on a couch in a dim room as an older woman inserted a nonsterile catheter through her cervix. As much as I respected this woman for helping other women in need, I also felt horrified: my grandmother could have died of an infection or had some awful complication. I had heard of things like that happening in the US in the days when abortions were illegal.
"Why haven't you ever told me about this?" I asked.
"It never came up," she shrugged. "I haven't thought about it in a long time."
"Okay, we're all finished here." The Planned Parenthood counselor's voice brought me back to the present.
A nurse whisked us away to another waiting area, thronged with women of various ages, races, ethnicities, shapes and sizes.
I tried to picture my grandma here and wondered if she would have preferred this place to a stranger's living room.
Before long, the charge nurse called Amy's name, then led us to his office.
"You've been medically cleared for a manual vacuum-aspiration procedure," he told Amy. He gave her an ibuprofen tablet. "Take this; it will help with cramping during the procedure."
When the charge nurse stepped out of the room, I asked Amy a few questions. She told me about her job, her family and her boyfriend, the young man in the waiting room.
"He's going to take me back to my job," she said. "It's not far, so I'm not missing too much work."
Whenever Amy mentioned her boyfriend, she looked uncomfortable. The counselor had asked her if her partner was abusive or threatening, and she'd firmly responded, "No." But I wondered if there was more.
"You seem nervous," I observed.
"I feel bad…" she whispered, then paused. Her eyes were bright with tears. Before she could say more, the charge nurse returned and led us into the procedure room, where another nurse, a physician and a doula were waiting.
What does Amy mean? I wondered. Does she feel bad about her pregnancy? Does she regret choosing to get a termination?
The nurse got Amy a cool compress for her forehead, and the doula held her hand and distracted her with conversation as the family-medicine physician quickly performed the procedure, then inserted an IUD. The whole thing took no more than five minutes, and Amy did not seem terribly uncomfortable.
Soon Amy was reclining in a soft recovery-room chair, warm packs soothing her back and abdomen. She looked relieved.
"What did you mean before, that you feel bad?" I asked.
"I think he's mad," she said vaguely, her eyes growing sad.
"Your boyfriend?"
She nodded. "I think he wanted the baby, to keep me around."
"We haven't been doing so well," she said. "He's an actor; he's always off performing. He gets a lot of attention from other women, but he's very jealous whenever I talk to any man. We've been fighting a lot."
"Ah," I said. Understanding began to dawn. "Are you thinking of leaving him?"
"Yes, and I have my son to think about. I can't have another baby right now," she said firmly.
Ah. I got it. Amy was already a single mom to her son. She didn't want to be in the same situation with a second child.
My heart filled, thinking about this decision she'd had to make. I felt honored that she'd confided in me. And I wondered how my grandma had felt, making this decision a half-century earlier. Looking ahead, I hoped that I would be able to help women like them in my future practice.
I squeezed Amy's hand.
"Thank you for letting me shadow you," I said, then stood to go.
Amy smiled and waved goodbye.
Leaving the room, I glanced back one last time. Amy's eyes were closed. She seemed at peace.
I thought I'd go home and call my grandma.
Maria ("Masha") Gervits is a family-medicine resident in the Residency Program in Social Medicine at Montefiore Medical Center in the Bronx. She grew up in the Bronx and attended Albert Einstein College of Medicine. "There, during the transition ceremony marking the start of clinical rotations, a professor read a story about one of his patients and encouraged us to keep a journal to honor and remember our patients and reflect upon our experiences on the wards. I took this advice to heart and have been writing ever since."
Story editor:
Diane Guernsey
doctor stories, ob/gyn, social issues, abortion, women's health
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8 thoughts on "Sharing Secrets"
Pris Campbell, Ph.D.
Such a good story. Too often, women who have abortions are castigated for their decisions, but there are times when a baby is simply impossible. That time came for me in my early thirties. My life circumstances involved ten hour work days, the father unwilling to be part of a babies care either financially or physically….. I decided immediately that there was only one decision. I went to a women's clinic and got very good care. Do I wish now that I'd had that child? If circumstances had been different I would have but they weren't.
JSanchez
Wow!! Very touching story and I visualized the whole story with the in depth description of your experience. Glad you shared this with us.
Thank you for the honesty in this piece. This is an important story to tell.
Thanks for a beautifully written and well paced story.
janice mancuso
An important, beautifully written, story. I shared it on Facebook.
Warren Holleman
I loved this story too. Maria's grandmother and my mother were of the same generation, and although my mother was from eastern North Carolina, not the USSR, Maria's story brought back memories of stories my mother told me. When the Roe v. Wade debate stirred up in the 1970s, I assumed my mother would be opposed to legalized abortions, but I was wrong. As a nurse and later nurse anesthetist in the 1940s, 50s, and 60s, she had witnessed the bad results of nonsterile home abortions–both among friends and relatives and in her professional work. She also told me how she was often called into the hospital to assist with illegal middle-of-the-night abortions–these were for the daughters of doctors and lawyers and those with money and influence. Which of course ruffled her egalitarian feathers. So for her practical considerations trumped moral ones. Just as Prohibition against alcohol created more problems than it solved, so had the prohibition of safe, legal abortions.
Eleanor Streicker
I have moved so far from that waiting room and sometimes I forget, but this piece brought me right back there.
I wear my "PPNYC Health Care for Every Community" t-shirt with pride.
Keep writing. I'm going to call my grandma.
Joyce Adams, MD
I loved this article. I did my residency in Social Pediatrics at Montefiore Medical Center, too. I retired recently from a university teaching position, but I miss the interactions with my patients. As physicians, we are honored to be able to hear each person's story and offer what help we can in times of emotional distress and pain. My adolescent patients are very wise at times, and it is so rewarding to be a small part of their journey to adulthood.
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text:
Unisys intros new services, software and blade servers
Unisys Corp.'s new services, software and hardware focus on server infrastructure that can adapt to quickly changing business needs.
Bridget Botelho
Editorial Director, News
Unisys Corp. has announced new services and software from partner companies, including Scalent Systems Inc. and Enigmatec Corp. to assist IT in managing its changing infrastructure needs. The company also rolled out new blade server offerings on Tuesday, Feb. 19.
The new Infrastructure Management Suite of services and software marks a strategic redirection for Unisys, said Brian Daly, a spokesperson for the company. Though service has always been central to Unisys' business -- service generates some 87% of the company's revenue -- in recent years the company spent a lot of time on hardware development, and service became an afterthought, Daly said.
The services for Blue Bell, Pa.-based company now focuse on creating "real time infrastructure," which Unisys defines as an infrastructure that can adapt to changing business events, Daly said. When a cell phone company rolls out a new product, for example, it may suddenly need thousands of phones in a single day and that requires additional computing power. Unisys' software and services offerings are designed to help businesses adjust in the face of these fluctuating IT requirements.
Stronger service, greater business adaptability
Unisys' new Infrastructure Management Suite, includes the following features:
Virtual Orchestration, a service to manage virtual environments through automation.
Data Center Migration, a service to help clients create more efficient data centers or transition to new ones.
Disaster Recovery Automation and Repurposing, a service to help users rearrange IT infrastructure on a moment's notice for disaster recovery purposes.
The Test and Development Infrastructure Automation service helps IT repurpose infrastructure and use that infrastructure for multiple projects simultaneously.
These new services are designed to help IT manage heterogeneous virtual and physical environments. Using the Test and Development Infrastructure Automation service, for example, IT asset reconfigurations can take as little as three to five minutes, whereas previously it could have taken days. This means that between 8 a.m. to 4 p.m., IT can run infrastructure for one development project, then reconfigure it and between 4 p.m. and midnight use the same infrastructure for another project . This enables companies to use IT assets more efficiently, reduce overall data center "footprint," reduce power and cooling requirements – all in the service of saving money, Daly said.
In support of the new Infrastructure Management Suite, Unisys offers middleware including uOrchestrate, which is based on software from London-based Enigmatec to automate IT business processes, like keeping service-level agreements within policy, and uChargeback software developed by Unisys to oversee and measure resource usage so costs can be charged back to the business responsible for those costs.
Another new product. Unisys uAdapt software, enables IT to repurpose server assets on demand and is based on software from Scalent Systems.
"Repurposing is a key component of the solution stack; it gives users the ability to change a server's personality based on conditions," said Al Bender, the vice president and general manager of real-time infrastructure at Unisys.
Later this year, Unisys plans to add governance products for IT compliance and new provisioning software.
In pulling together all aspects of provisioning and managing a virtualized computing environment -- one that includes inclusive of servers, storage, software and services -- Unisys' Infrastructure Management Suite should reduce the time normally required for IT to deploy a virtualized IT environment and lead to lower operational costs, said Jean Bozman, a research vice president for IDC's Enterprise Platforms Group.
"Reducing the learning curve needed to get virtualization projects done … is the central value proposition here," Bozman said.
Pricing for Unisys' software and services was not provided, because prices vary depending on the type of software, services and infrastructure.
Unisys rolls out new servers
Unisys has designed its new blade and midrange servers with efficiency in mind. The idea is to reduce computing resources, power consumption and associated costs, said Colin Lacey, vice president of systems and storage at Unisys.
The new ES5000 family of blade servers has flexible I/O configuration options and local and remote management interfaces. Computing resources can be added on demand to reduce idle resources and improve both power and cost efficiency, Unisys said.
Unisys has offered other blade servers under its ES3000 server line for midrange companies, but discontinued them because they "were tactical offerings to meet the special needs of a limited number of customers," Daly said.
"The new ES5000 family of blade servers that Unisys will offer in March 2008 [is] designed to address key requirements, such as performance, power efficiency and flexibility of I/O configuration, for a broader range of enterprise customers," Daly said.
This new blade server has high bandwidth [and] redundancy, is expandable, and allows for different network fabrics. The ES5000 can scale up to 16 blades and 32 processors. The ES7000 up to 32 processors in a single instance, said Lacy.
Unisys has also enhanced its ES3000 family of midrange servers. The new model, ES3215L, is a two-socket quad-core server based on an Intel Xeon processor. Unisys has also upgraded its existing ES3220, ES3220L and ES3420L servers to the latest quad-core Intel Xeon processors with Intel Virtualization Technology (Intel VT), which can optimize virtual machine performance on hardware. The new ES3000 models are available immediately.
ES5000 blade server configurations with hard drive and a LAN/SAN connectivity switch is priced from $17,500. For the ES3000, base configurations of model ES3215L with hard drive are priced from $3,000.
In the second quarter of 2008, Unisys also plans to expand its ES7000 family of high-end enterprise servers with a quad-core eight-processor server. Later in the year, Unisys plans to roll out its next generation of scalable ES7000 servers, the first development to exploit the Unisys/NEC alliance for server design and manufacture, which began in February 2006.
Let us know what you think about the story; email Bridget Botelho, News Writer.
Also, check out our news blog at serverspecs.blogs.techtarget.com.
Unisys launches new servers: News in brief – SearchDataCenter
Unisys' Enterprise Server deal improves control – ComputerWeekly.com
Unisys/Microsoft collaboration challenges Unix ... – ComputerWeekly.com

redpajama_set_name: RedPajamaCommonCrawl


text:
BSLS_IDENT("$Id: $")

//@PURPOSE: Provide common non-primitive operations on 'bdlt::DayOfWeek::Enum'.
//
//@CLASSES:
//  bdlt::DayOfWeekUtil: functions operating on the day-of-week enumeration
//
//@SEE_ALSO: bdlt_dayofweek
//
//@DESCRIPTION: This utility component provides a 'struct',
// 'bdlt::DayOfWeekUtil', that serves as a namespace for functions operating on
// the day-of-week enumeration.
//
// This component provides the following (static) methods:
//..
//  'add'                      Determine the day of the week that results from
//                             shifting a given 'bdlt::DayOfWeek::Enum' value
//                             by a given (signed) number of days.
//..
//
///Usage
///------
// This section illustrates intended use of this component.
//
///Example 1: Basic Usage
/// - - - - - - - - - - -
// Suppose we have some event occurring every ten days.  Today is the day of
// the performance, assumed to be a Friday, and we want to know when the
// previous one took place and when the next one will be.
//
// First, we create a 'bdlt::DayOfWeek' variable for the current day:
//..
//  bdlt::DayOfWeek::Enum current = bdlt::DayOfWeek::e_FRI;
//..
// Next, we calculate previous and following event days using the
// 'bdlt::DayOfWeekUtil::add' function:
//..
//  bdlt::DayOfWeek::Enum previous  = bdlt::DayOfWeekUtil::add(current, -10);
//  bdlt::DayOfWeek::Enum following = bdlt::DayOfWeekUtil::add(current,  10);
//..
// Finally, we verify the resultant day-of-week values:
//..
//  assert(bdlt::DayOfWeek::e_TUE == previous );
//  assert(bdlt::DayOfWeek::e_MON == following);
//..

#include <bdlscm_version.h>

#include <bdlt_dayofweek.h>

#include <bsls_cpp11.h>

namespace BloombergLP {
namespace bdlt {

                            // ====================
                            // struct DayOfWeekUtil
                            // ====================

struct DayOfWeekUtil {
    // This 'struct' provides a namespace for common non-primitive procedures
    // that operate on 'bdlt::DayOfWeek::Enum' values.

    // CLASS METHODS
    static BSLS_CPP11_CONSTEXPR DayOfWeek::Enum add(DayOfWeek::Enum dayOfWeek,
                                                    int             numDays);
        // Return the 'DayOfWeek::Enum' value that is the specified (signed)
        // 'numDays' from the specified 'dayOfWeek'.  Note that
        // 'DayOfWeek::Enum' is closed under this operation (in the expected
        // manner).  For example, the following hold 'true':
        //..
        //  DayOfWeek::e_MON == DayOfWeekUtil::add(DayOfWeek::e_SUN,  1);
        //  DayOfWeek::e_SAT == DayOfWeekUtil::add(DayOfWeek::e_SUN, -1);
        //  DayOfWeek::e_SAT == DayOfWeekUtil::add(DayOfWeek::e_SUN,  6);
        //  DayOfWeek::e_MON == DayOfWeekUtil::add(DayOfWeek::e_SUN, -6);
        //  DayOfWeek::e_SUN == DayOfWeekUtil::add(DayOfWeek::e_SUN,  7);
        //  DayOfWeek::e_SUN == DayOfWeekUtil::add(DayOfWeek::e_SUN, -7);
        //  DayOfWeek::e_MON == DayOfWeekUtil::add(DayOfWeek::e_SUN,  8);
        //  DayOfWeek::e_SAT == DayOfWeekUtil::add(DayOfWeek::e_SUN, -8);
        //..
};

// ============================================================================
//                        INLINE FUNCTION DEFINITIONS
// ============================================================================

                            // --------------------
                            // struct DayOfWeekUtil
                            // --------------------

// CLASS METHODS
inline
BSLS_CPP11_CONSTEXPR DayOfWeek::Enum DayOfWeekUtil::add(
                                                     DayOfWeek::Enum dayOfWeek,
                                                     int             numDays)
{
    // The '+ 7' prevents a negative result.

    return static_cast<DayOfWeek::Enum>(
                  (static_cast<int>(dayOfWeek) - 1 + numDays % 7 + 7) % 7 + 1);
}

}  // close package namespace
}  // close enterprise namespace

#endif

// ----------------------------------------------------------------------------
// Copyright 2018 Bloomberg Finance L.P.
//
// Licensed under the Apache License, Version 2.0 (the "License");
// you may not use this file except in compliance with the License.
// You may obtain a copy of the License at
//
//     http://www.apache.org/licenses/LICENSE-2.0
//
// Unless required by applicable law or agreed to in writing, software
// distributed under the License is distributed on an "AS IS" BASIS,
// WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
// See the License for the specific language governing permissions and
// limitations under the License.
// ----------------------------- END-OF-FILE ----------------------------------

redpajama_set_name: RedPajamaGithub


Home > The Forums > High end Anyone have a faulty pair of HD650's they want to sell?.
Anyone have a faulty pair of HD650's they want to sell?.
If you have one transducer working on one side (one ear working). I'm ready to pay to make up the full pair over here. One side died for me. Thanks.


text:
GPS Portland Phoenix é uma agremiação esportiva da cidade de Portland, Maine. Atualmente disputa a Premier Development League.

História

O GPS Portland Phoenix foi fundado em 2009 após a aquisição dos direitos da franquia do que antes era o Cape Cod Crusaders. Seu primeiro jogo oficial foi no dia 9 de maio de 2009 contra o Westchester Flames.

Em 2012 a empresa Global Premier Soccer adquiriu a equipe e adicionou o GPS ao nome.

Ligações externas

Clubes de futebol do Maine
Clubes de futebol fundados em 2009
Equipes da USL League Two

redpajama_set_name: RedPajamaWikipedia


text:
Image credit: Angelus News
How can these morons sleep at night knowing most of America hates them?
During today's live show, CNN's Chris Cuomo outrageously referred to Senator Marco Rubio (R-FL) as "Mr. Bible boy" before handing off the show to Host Don Lemon.
According to Breitbart, Lemon said, "The information you have is wrong. The data you have is wrong. This has already been investigated. So, for you Trump people who are out there, supporters, on the fence, if you are going to watch this on social media, the president said nothing on that call last night. None of it was true, except for the fact where he said this is Trump media, and there you go. It's a self-fulfilling loop, a self-fulfilling prophecy that's happening in Georgia. That's another story. It's a feedback loop that just keeps going around with just disinformation, disinformation, disinformation."
Cuomo responded, "I think you nail what we have to focus on also. Look, Trump, I believe, will be remembered as the worst. We've never seen anybody abuse the office the way he has, not in our lifetime. But the people, those who remain, the Kevin McCarthys, the people in the House, the people in the Senate."
Smug Don Lemon butted in and said, "Embarrassing, embarrassing."
Then in reference to Sen. Ted Cruz (R-TX) and Sen. Rubio, Cuomo added, "Who are enabling this, who are complicit in it? You know, The man he called Lyin' Ted, the man he called Little Marco. You know, Mr. Bible boy, you know, he's got a Bible quote for every moment. He just never speaks truth to power or acts on any of it, in the interest of his own state or of this country. They remain, and they all know what they're doing is bogus. They know what they're doing on the 6th is bogus."
And the liberal media continues to push their lies to the American…
BREAKING: CNN Sides With Republicans, Democrats Speechless!
Okay, what the heck is going on?!?
Melania Trump Comes Under Fire
You won't believe what was said.


text:
Acridini is a tribe of insects in the subfamily Acridinae,  of the insect family Acrididae and are sometimes called "silent slant-faced grasshoppers". It was firstly described as Truxalis Conicus in 1781

Description
Insects of this tribe are usually slender and like other members of the subfamily Acridinae lack stridulatory pegs and are silent.

Genera
This tribe includes several monotypic Australian genera; the Orthoptera Species File lists:.
 Acrida Linnaeus, 1758 (widespread in Old World & Australasia)
 Acridarachnea Bolívar, 1908 (Africa) monotypic:
 Acridarachnea ophthalmica Bolívar, 1908
 Caledia Bolívar, 1914 (Australia) monotypic:
 Caledia captiva (Fabricius, 1775)
 Calephorops Sjöstedt, 1920 (Australia) monotypic:
 Calephorops viridis Sjöstedt, 1920
 Cryptobothrus Rehn, 1907 (Australia, synonyms Austrobothrus Sjöstedt, 1921, Exobothrus Sjöstedt, 1936) monotypic:
 Cryptobothrus chrysophorus Rehn, 1907

 Froggattina Tillyard, 1926 (Australia) monotypic:
 Froggattina australis (Walker, 1870)
 Keshava (insect) Gupta & Chandra, 2017 (India)
 Keshava barnawaparensis Gupta & Chandra, 2017
 Keshava jugadensis Gupta & Chandra, 2017
 Keshava shishodensis Gupta & Chandra, 2017
 Perala Sjöstedt, 1921 (Australia) monotypic:
 Perala viridis Sjöstedt, 1921
 Rapsilla Sjöstedt, 1921 (Australia) monotypic:
 Rapsilla fusca Sjöstedt, 1921
 Schizobothrus Sjöstedt, 1921 (Australia)  monotypic:
 Schizobothrus flavovittatus Sjöstedt, 1921

References

External links

Acrididae
Orthoptera tribes
Taxa named by Pierre André Latreille


text:
Sven Ribbing kan syfta på:

 Sven Ribbing (död 1577), godsägare
 Sven Ribbing (1588–1640), godsägare
 Sven Ribbing (1652–1711), lagman


Birthday Songs, Hindi, and Oldies.
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