69 y/o male presents after multiple bruises and bone pain, neuropathy and paraprotein general screening. Further testing showed non IgM paraprotein. There are only 2 diagnoses that makes sense so start asking questions for this very obvious guided answer.

Wtf is your problem @PIG_KITTY_DISCHARGE_SLURP

I'm almost a year into this job and this is what they're upset about? I've been smoking every couple hour it's so I don't know how they're just recently finding this out. I play on my PS5 all the time so I don't have to do actual work but apparently that's okay since I'm not smoking. The department I work with most frequently is nothing but stoners that smoke cigarettes any time they have a free minute. They need to grow the frick up and learn that some adults smoke.

Had to fly red eye and still need to do another 30 hours as well as like 400 hours that we cannot legally say and will just be between the medical board and myself. It's going to be over 3 months. Just have me do 115 hour weeks so I can knock it out in a month.

every time i post this it gets instant replies from seething autists

thx

!moidmoment !besties !r-slurs !pings

Her insta is a banger mix of sad and based

My bf is a bit of a nerdy physics guy right now, so like mega beta. I'm trying to convert him into an alpha for me, any suggestions? things which i have been doing:

• encouraging him to work out (he used to and he's still kinda strong)

• encouraging him to punish me when i misbehave

• submitting myself to him

Ive had good results so far, in the beginning he was just a shy little nerd, now he grabs and controls me whenever he wants. i have been asking him to beat me but he has refused. how can i take this to the next level? importantly:

do u think that cucking him with that girl will help in his alpha development? or will it cause a regression into beta status?

!women !cuteandvalid

!football

www.theguardian.com/us-news/live/2023/jul/19/george-w-bush-former-us-president-dies-aged-77-latest

be me

excited to celebrate Pizza Day with all my !friendsofpizzashill

jump on groomercord to wish everyone a “good sorning”

“Oh a new message from Mr. Shill himself! Maybe he got my invite for todays party!”

*reads message *

I feel the power of a thousand knives sharpen through my back like wings of a demon growing.

The fire in my eyes start to glow with rage.

You’ve just made a fricking enemy for fricking life Pizza. Expect more to join soon and I’d watch my fricking back if I were you

Sincerely,

ME and !enemiesofpizzashill

JOIN THE MOVEMENT!!

Yes groomercord iscancer, but this is worthwhile

I am making great improvements so far.

Still have to tell the neighbor about the dog once.

Other than that the sewage issue neighbor said they will handle it so I let it go.

Woke up late today. Had to wake up in the middle of the night and spend an hour attempting to train the neighborhood dog to not bark at night. As far as I can tell the dogs are trainable, but it would take weeks to create new habits at least, with daily time focus.

I am at a disadvantage because I don't have a leash, I don't give out the treats, and I don't have the advantage of choosing a training location for them. So the streets are stuck with aggressive dogs in the meantime.

Today I am focusing on flow state. I feel like I would like to wake up by 5am every morning. Then just keep working on things all the way till 9pm. The main tick I am trying to fix today is to not slow down and not hesitate between choosing tasks and just keep going down the list.

So far I appear to be doing good on continually moving from task to task. I am beginning to get comfortable with the pieces that I am currently handling. Will also push for keep working till 9pm.

Go through the python book.

I also need some advice, my laptop appears to delete documents from the downloads folder in a day when I recheck after closing the pdf on the first day. Is there any fix around this that you guys are aware of?

I know it's doing this with some files because I have had to redownload one or two files recently that I remember downloading the previous day.

Thanks for the help!

See you tomorrow!

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CLOSED

Covering for a friend remotely and patient on plavix is mad that I ordered recommended they go to the ER. I'm about 1100 miles away and I don't even know what hospital they go to typically. Go to the ER, get a CT and then follow up with somebody else because I'm only doing this given my friend is sick.

Got an email asking if I could help as on on-call ER consult to some small school full of a bunch of fricked up r-slurs. 75% are suicidal and the others just yell and scream the second they aren't given whatever they want.

I'm not some charity, I do the bare minimum to be able to practice in the ER, I'm busy as frick paying another favor and people haven't realized I truly don't give a frick. Their and the school value is worth less than my bottle of grey goose.