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One of my patient's was sitting in the day room at a skilled facility I am currently employed at. I observed her slumped over and drooling. She was non-responsive to verbal commands or sternal rub, etc. VS were out of range. was ed and patient was being prepared to be sent to the ER. Policy is that we and notify the family. I ed the wrong patient's family member and notified them of the transfer. The patient's name was not mentioned in the conversation nor was the room number. Conversation went as follows: "Your sister is being transferred to the ER for altered level of consciousness." They replied, "- -" < Fake patient's name And I said, "Yes, -" I reiterated their family member's name to them not the actual patient being transferred to the ER. Within seconds of me hanging up the phone I realized my error and immediately ed the family member back and informed them an error had been made and that their family member was doing well and was not being transferred to the ER. I notified the ADON of the mistake. About 10 minutes later the family member whom I had contacted in error was at the facility complaining to the administrator and about the situation. Upon completion of my shift I was issued a 3 day suspension without pay due to "A direct violation of patient's rights as protected by HIPAA" and upon return to duty from my suspension I be on a 30 day probation and if any serious violation of company policy or the employee handbook is made I am to be terminated. Is this a violation of HIPAA? How can I find out if this situation violates HIPAA? What should my next course of action be if I have been wrongly disciplined and this is in fact not a violation of HIPAA. HELP! craving an 98366 pussy to eatI've seen old guys on Silverdaddies who needed a bro, no question about it: saggy tits that looked like they'd flap in a strong breeze. Such development isn't common, but if you saw it, you'd realize your own pecs are nothing to worry about. So the program to follow involves: 1. Get real. You don't have chiseled pecs, but neither do you have tits, moobs, whatever you prefer to them. You are simply a guy a little lacking right now in the muscular development department, with a certain amount (not excessive!) of subcutaneous fat to smooth your contours. You look just fine, even if you don't resemble the guys in porn flicks. In fact, you look a lot better than just "fine". You are definitely touchable or more 2. Talk to your doctor. You mention a back injury and its sequelae; have you been taking cortisone? Or have you simply been unable to exercise much for a fairly while? 3. Get more exercise. A few months of careful bench presses do wonders for your pecs, but walk, swim, and bicycle as much as you can. You also want to work on your abdominals, taking care to include the transverse and obliques in your workout. 4. Watch your diet a little more closely, paying close attention to your intake of starch and fat. However, beware becoming obsessed with food. Perhaps the best approach is simply to increase the amount of green veggies in your diet. Eat a lot of broccoli and zucchini, for example, and you automatiy have less room for fattening foods. 5. Finally, a specific recommendation re sex: if you like to get fucked but find your back makes it uncomfortable, use a sling and stirrups. Properly set up, your body be supported so as to put no stress on your back. A rigid platform sling might work better than one of the leather ones that sags in the middle. Ask around: someone near you has a playroom set up with a sling, and would be happy to let you try it out. fat woman chat
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