American family insurance cedar rapids iowa
Emergencies and cruises really don't mix.
2023.06.10 08:27 SilenceHeathen Emergencies and cruises really don't mix.
First and foremost, make sure you have travel insurance when you want to take a cruise just for the medical costs. They'll make you pay them upfront but you should be able to get some reimbursement afterwards.
What brought about this lovely statement was a defibrillator fire in my grand uncle that frightened him. Granted, after it freaked him out, it fired twice in rapid succession. He went down to medical where we learned his electrolytes were out of balance which was already my and my grandmother's guest (pharmacist and rn respectively) and they wanted to fly him out that evening and make my grand aunt find her own way back to him.
After talking it over, it was decided to wait until our port today to take him to the hospital and have his defib double checked and whatnot. Medical watched him for 36 hours roughly despite paperwork to check him AMA so they wouldn't put him on a plane by himself, and they charged 25,000 to play babysitter.
Grandmother signed papers to take care of an agreed 2,000 in additional early disembark fees, but the service desk shoved all of their charges onto our room number because my aunt had prepaid cash to dip into with no credit card. When my grandmother protested that she never agreed to pay medical, we were subtley threatened about having difficulty when it came time to disembark. (This is a whole other matter that my stateside family intends to tackle tomorrow... anyways)
I'm definitely never stepping foot on one of these hellships again. I wasn't really enthused with my experience overall, but I'm more than soured now.
Gotta love emergency healthcare!
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2023.06.10 06:34 flippenphil (OFFER) Trauma Center, the little mermaid, super troopers 2, yesterday, marauders, mr. holmes, scary stories, a thousand words, the dark tower, big hero 6, jungle cruise, strange world (REQUEST) Ambulance, the Menu, ISO on bottom / offers
MA = Movies Anywhere
GP = Googleplay
[?] = unknown definition
title = pending trade
If a title is no longer listed = It has been traded
COMBO Films - 2film: My Girl 1 & 2 SD =MA
- 3film: Mall Cop / Zookeeper / Boom SD =MA
- 3film: Night at the Museum: Trilogy SD =MA
- 3film: The Other Guys, Step Brothers, Talladega Nights SD =MA
- 4film: The Magnificent Seven Collection HD Vudu
- 6film: Joe Dirt, Benchwarmers, House Bunny, The Animal, Deuce Bigalow, Master Of Disguise SD =MA
MOVIES - SONY BUFF PASSES (Current) - 1
- Universal Rewards (Current) - 1
- 10 Clover Field Lane HD Vudu only
- 12 Rounds 2 Reload HD =MA
- 101 Dalmations HD =MA
- 101 Dalmations (Googleplay) HD =MA
- 127 Hours (iTunes Redeem) SD =MA
- 1917 HD =MA
- 2 Guns (iTunes Redeem) HD =MA
- 2 Guns HD =MA
- 21st Jump Street HD =MA
- 21st Jump Street SD =MA
- 22nd Jump Street SD =MA
- 3 From Hell 4K (Vudu Or iTunes)
- 47 Ronin HD =MA (MA Redeem, Vudu Kills Code)
- 47 Ronin =MA 4K (iTunes Portion)
- the 5th Wave SD =MA
- A Dogs Way Home HD =MA
- A Good Day To Die Hard HD = MA
- A Good Day To Die Hard (iTunes redeem) SD = MA
- A Haunted House (iTunes Redeem) HD =MA
- A Madea Christmas HD Vudu
- A Madea Family Funeral HD (Vudu / iTunes OR GP)
- A Million Ways To Die In The West [unrated] (iTunes Redeem) HD =MA
- A Monster's Call HD =MA
- A Monster's Call (iTunes Redeem) HD =MA
- the A-Team (iTunes Redeem) SD =MA
- A Thousand Words SD Vudu
- A Quiet Place HD Vudu Or iTunes 4K
- A Walk Among Tombstones (iTunes Redeem) HD =MA
- About Last Night HD =MA
- Admission (redeems In iTunes) HD =MA
- the Adventures Of Tintin SD (Vudu Or iTunes)
- After Earth SD =MA
- the Age Of Adaline HD Vudu
- Alex Cross HD Vudu
- Alpha and Omega 3: Great Wolf Games HD Vudu
- Alice Through The Looking Glass HD =MA
- Alien Covenant HD (4K If iTunes Redeem) =MA
- All the Devil's Men HD Vudu or iTunes
- Alpha SD =MA
- Alvin And The Chipmunks: Chip Wrecked (iTunes Redeem) SD =MA
- Alvin And The Chipmunks: The Road Chip HD (4K If iTunes Redeem) =MA
- the Amazing Spiderman HD =MA
- the Amazing Spiderman SD =MA
- the Amazing Spiderman 2 HD =MA
- the Amazing Spiderman 2 SD =MA
- Amelia (iTunes Redeem) SD =MA
- American Assassin HD Vudu/GP/iTunes
- American Made HD =MA
- American Girl: Mckenna Shoots For The Stars HD =MA
- American Hustle HD =MA
- American Hustle SD =MA
- Anchorman 2 HD (Vudu Or iTunes)
- And So It Goes HD =MA
- the Angry Birds Movie HD =MA
- Annie (2014) HD =MA
- Annie (2014) SD =MA
- Annihilation HD (Vudu Or iTunes) Split
- the Art of Self Defense HD =MA
- Arrival HD Vudu or iTunes 4K
- Arthur (iTunes redeem) SD =MA
- Arthur Christmas SD =MA
- Assassin's Creed HD (4K If iTunes Redeem)=MA
- Atomic Blonde HD =MA
- Atomic Blonde (iTunes Portion) 4K =MA
- August Osage County HD Vudu
- Avengers: End Game HD (googleplay) =MA
- Avengers: Infinity War (googleplay) HD =MA
- Babylon A.D. (iTunes Redeem) SD =MA
- Bad Boys For Life HD =MA
- Bad Boys For Life SD =MA
- Bad Grandpa HD Vudu Or iTunes (split)
- Bad Moms (iTunes) HD =MA
- Bad Moms HD =MA
- Bad Words (iTunes Redeem) HD =MA
- the Bank Job HD Vudu
- Barbie & Her Sisters In A Puppy Chase HD =MA
- Battle Of The Year HD =MA
- Battleship 4K =MA (iTunes Portion)
- Battleship HD =MA
- Baywatch (Vudu-HD Or iTunes-4K)
- Beethoven Treasure Tail (iTunes Portion) HD =MA
- Beethoven Treasure Tail HD =MA
- Begin Again HD Vudu
- Beirut HD =MA
- Big Hero HD (4k if iTunes redeem) =MA
- Big Hero HD (googleplay) =MA
- the Best Man Holiday HD =MA
- the Best Man Holiday (iTunes Redeem) HD =MA
- Big Miracle (iTunes Redeem) HD =MA
- the Big Short HD Vudu Or iTunes (split)
- the Big Wedding HD Vudu Or iTunes
- the Big Wedding SD Vudu
- the Big Year (iTunes Redeem) SD =MA
- Black Nativity [Extended] HD =MA
- Black Swan (iTunes Redeem) SD =MA
- Blackhat HD =MA (iTunes Portion)
- Blockers HD =MA
- Bloodshot SD =MA
- Blue Jasmine HD =MA
- Boo! A Madea Halloween HD V/I/GP
- the Book Of Life HD =MA
- Boss Baby HD =MA
- the Bourne: Identity HD =MA
- the Bourne: Identity (iTunes Redeem) 4K =MA
- the Bourne: Legacy HD =MA
- the Bourne: Legacy (iTunes Redeem) 4K =MA
- the Bourne: Supremacy HD =MA
- the Bourne: Supremacy (iTunes Redeem) 4K =MA
- the Boy [unrated] HD =MA
- the Boy [unrated] HD =MA (iTunes portion)
- the Boy Next Door HD Vudu Or iTunes (split)
- Boyhood HD Vudu Or iTunes (split)
- Braven HD Vudu or GP
- Brian Banks HD =MA
- Bride Wars (iTunes Redeem) SD =MA
- Brides Maids (iTunes Redeem) HD =MA
- Bridge Of Spies HD =MA
- Bring It On: Cheersmack HD =MA
- Bring It On: Cheersmack (iTunes Redeem) HD =MA
- Broken City HD Vudu
- the Butler HD Vudu
- the Bye Bye Man HD =MA (iTunes Portion)
- the Cabin In The Woods SD Vudu Or iTunes (split)
- the Cabin In The Woods HD Vudu Or GP
- the Call SD =MA
- the Call Of The Wild (googleplay) HD =MA
- the Call Of The Wild HD =MA
- Captain Phillips HD =MA
- Captain Phillips SD =MA
- Captain Under Pants: The First Epic Movie HD =MA
- Carrie [2013] (Vudu or GP) HD
- the Case For Christ (iTunes Redeem) HD =MA
- the Case For Christ HD =MA
- Casino Royale HD V/GP
- Cedar Rapids (iTunes Redeem) SD =MA
- the Change Up (iTunes Redeem) HD =MA
- the Change Up Unrated (iTunes Redeem) HD =MA
- Chappie SD =MA
- Chasing Mavericks [2012] HD =MA
- the Choice HD (iTunes, Vudu Or GP)
- the Choice HD (Vudu Only)
- Chronicle HD =MA
- Chronicle (iTunes Redeem) SD =MA
- the Chronicles of Narnia: The Voyage Of The Dawn Treader (iTunes Redeem) SD =MA
- Chronicles Of Riddick [unrated] (iTunes Redeem) HD =MA
- Cloudy With A Chance Of Meatballs 2 SD =MA
- Coal Miner's Daughter HD = MA
- Coal Miner's Daughter HD = MA (iTunes portion)
- the Commuter HD V/i/GP
- Concussion (will Smitch) HD =MA
- Concussion (will Smitch) SD =MA
- the Condemned 2 HD Vudu
- Contraband (iTunes Redeem) HD =MA
- the Counselor HD =MA
- Countdown [wwe films] HD Vudu
- Cowboys And Aliens (iTunes Redeem) HD =MA
- the Croods (iTunes Redeem) SD =MA
- Cruella HD =MA
- Cruella (Googleplay) HD =MA
- Cult Of Chucky [unrated] HD =MA
- Cult Of Chucky [unrated] HD =MA (iTunes Redeem)
- Curse Chucky (iTunes Redeem) HD =MA
- Curse Of Chucky HD =MA
- Daddy's Home HD Vudu / 4K iTunes (split)
- Dallas Buyers Club HD (iTunes Redeem) =MA
- Danny Collins HD (iTunes Redeem) =MA
- the Dark Tower HD =MA
- Dawn Of The Planet Of The Apes HD (4K If iTunes Redeemed) =MA
- the Day The Earth Stood Still (iTunes Redeem) SD =MA
- Dead In Tombstone [unrated] HD =MA
- Dead Man Down SD =MA
- Deadpool HD (4K If iTunes Redeemed) =MA
- Deadpool 2 [super dooper cut] HD =MA
- the Descendants (iTunes Redeem) SD =MA
- Deliver Us From Evil SD =MA
- Despicable Me (iTunes Redeem) SD =MA
- Despicable Me 2 (4K iTunes) =MA
- Despicable Me 2 HD =MA
- the Devil Inside SD Vudu
- Devils Due HD =MA
- Diary Of A Wimpy Kid (iTunes Redeem) SD =MA
- the Dictator SD Vudu
- Die Hard: A Good Day To Die (iTunes Redeem) SD =MA
- the Dilemma HD =MA
- Dirty Dancing SD Vudu
- Dirty Grandpa SD Vudu
- Disney Nature: Monkey Kingdom HD =MA
- Disney Shorts Collection HD =MA
- Divergent HD Vudu
- Divergent [4k Itunes] or [GP-HD]
- Divergent Series: Allegiant HD Vudu
- Divergent Series: Allegiant SD Vudu
- Divergent Series: Insurgent HD Vudu/GP (iTunes Split)
- Divergent Series: Insurgent SD Vudu
- Django Unchained HD Vudu
- Dom Hemingway HD =MA
- Downsizing HD Vudu & iTunes 4K
- Downton Abbey The Movie HD =MA
- Dracula Untold (iTunes Redeem) 4K =MA
- Dracula Untold HD =MA
- Draft Day HD Vudu/iTunes Split
- Draft Day SD Vudu
- Dragon Heart 3 (iTunes Redeem) HD =MA
- Dragon Heart 3 HD =MA
- Dredd HD Vudu Or iTunes (split)
- Dredd 4K (Vudu Or iTunes) Or GP-HD
- Drive (2011) HD MA
- the Duel SD Vudu
- the Duff HD Vudu
- Dumb And Dumber To (iTunes Redeem) HD =MA
- Dying Of The Light HD Vudu
- E.T. (iTunes Redeem) SD =MA (from bluray)
- E.T. HD =MA
- E.T. SD =MA
- Escape Plan HD Vudu
- Edward Scissorhands HD =MA
- Elysium SD =MA
- the Emoji Movie HD =MA
- Empire State HD Vudu
- End Of Watch (iTunes Redeem) HD =MA
- Ender's Game 4K Vudu/iTunes Split
- Ender's Game HD Vudu/iTunes/GP
- Enough Said HD =MA
- Epic (iTunes Redeem) SD =MA
- Epic HD =MA
- Escape Plan HD Vudu
- the Equalizer HD =MA
- the Equalizer SD =MA
- Ex Machina HD Vudu
- Exodus: Gods And Kings HD (4K If iTunes Redeemed) =MA
- the Expendables 2 HD Vudu/iTunes/GP
- the Expendables 3 4K Vudu
- the Expendables 3 [unrated] HD
- the Expendables 3 HD Vudu Or iTunes (split)
- Extraction HD Vudu
- Fast & Furious 1 (iTunes Redeem) HD =MA
- Fast & Furious 1 HD =MA
- Fast & Furious 2 (4K iTunes) =MA
- Fast & Furious 3 HD =MA
- Fast & Furious 4 HD =MA
- Fast & Furious 4 (iTunes Redeem) SD =MA
- Fast & Furious 5 Extended (iTunes Redeem) HD =MA
- Fast & Furious 5 Extended HD =MA
- Fast & Furious 6 Extended (4K iTunes) =MA
- Fast & Furious 6 Extended HD =MA
- Fast & Furious 7 Extended HD =MA
- Fast & Furious 7 Extended (4K iTunes) =MA
- Fast Furious 8 Extended 4K =MA
- Fast Furious 8 Extended HD =MA
- Fast Furious 8 Theatrical 4K =MA
- Fast Furious 8 Theatrical HD =MA
- the Fault In Our Stars HD (4K If iTunes Redeem) =MA
- the Fault In Our Stars HD =MA (no Upgrade)
- the Favourite HD =MA
- Fences HD VUDU or iTunes 4K (split)
- Fifty Shades Darker [unrated] (iTunes) HD =MA
- Fifty Shades Darker [unrated] HD =MA
- Fifty Shades Of Grey [unrated] HD =MA
- Fifty Shades Of Grey [standard] 4K (iTunes Redeem) =MA
- the Fighter HD =MA
- Finding Dory (googleplay) HD =MA
- Finding Dory HD (4K If iTunes Redeem) =MA
- Finding Nemo (googleplay) HD =MA
- the Finest Hour HD =MA
- the Finest Hour (googleplay) HD =MA
- the Five Year Engagement (iTunes Redeem) HD =MA
- Flight HD (Vudu / iTunes Split)
- Footloose (2011) SD (Vudu Or iTunes)
- Frank & Lola HD =MA
- Fright Night 2 UR HD =MA
- the Front Runner SD = MA
- Frozen HD (4K If iTunes Redeem) =MA
- Frozen (googleplay) HD =MA
- Frozen (sing Along Edition) HD =MA
- Frozen (sing-along Edition) (googleplay) HD =MA
- Frozen Ground HD Vudu
- Fury HD =MA
- Fury SD =MA
- G.I.Joe Retaliation HD Vudu Or iTunes (split)
- the Gambler HD (Vudu / iTunes Split)
- Gemini Man HD Vudu Or iTunes (split)
- Get On Up (iTunes Redeem) HD =MA
- Get The Gringo (iTunes Redeem) SD =MA
- Ghost In The Shell [2017] HD Vudu Only
- Ghost Rider Spirit Of Vengeance SD =MA
- Ghostbusters HD =MA
- Ghostbusters: Answer The Call & Extended HD =MA
- Gifted HD =MA
- the Girl In The Spidersweb SD =MA
- the Girl On The Train =MA 4K (iTunes Redeem)
- the Girl On The Train =MA HD
- the Giver HD Vudu
- Gladiator Vudu or iTunes 4K
- Glee The Concert (iTunes Redeem) SD =MA
- God's Not Dead 3: A Light In Darkness HD =MA
- Gods Of Egypt HD Vudu (and iTunes 4K split)
- Gods Of Egypt SD Vudu
- Grace Unplugged HD Vudu
- the Grand Budapest Hotel HD =MA
- Grease Vudu =HD (itunes portion kills code)
- the Great Wall (iTunes Portion) 4K =MA
- the Great Wall HD =MA
- the Greatest Showman HD =MA
- the Grey (iTunes Redeem) HD =MA
- Grown Ups 2 HD =MA
- Grown Ups 2 SD =MA
- Guardians Of The Galaxy Volume 1 HD =MA (no 4K Upgrade)
- Guardians Of The Galaxy Vol. 2.0 (googleplay) HD =MA
- Guardians Of The Galaxy Vol. 2.0 4K =MA
- the Gunman HD =MA
- the Gunman (iTunes Redeem) HD =MA
- Hacksaw Ridge HD Vudu iTunes Or GP
- Hail, Caesar! HD =MA
- Hail, Caesar! (iTunes Redeem) HD =MA
- Halloween Kills Extended HD =MA
- Hammer Of The Gods SD Vudu
- Hansel & Gretel [unrated] HD Vudu / HD iTunes (split)
- Hands of Stones HD Vudu
- the Hangover (iTunes Redeem) SD =MA
- Hardcore Henry HD =MA (iTunes redeem)
- Harvey (1950) (iTunes Redeem) HD =MA
- the Hateful Eight HD Vudu Or GP
- the Haunting In Connecticut 2 Ghosts Of Georgia HD Vudu
- the Heat HD =MA
- the Heat (iTunes Redeem) SD =MA (will Send First)
- Heaven Is For Real HD =MA
- Heaven Is For Real SD =MA
- Hell Or High Water SD Vudu
- Hellboy (2019) 4K Vudu/iTunes/(GP HD)
- Here Comes The Boom SD =MA
- Hidden Figures HD (4K If iTunes Redeem) =MA
- Hillsong: Let Hope Rise HD =MA
- Hocus Pocus (googleplay) HD =MA
- Holiday Inn (iTunes Redeem) HD =MA
- Home Again HD =MA
- Home Alone 4K =MA
- Home Alone HD (4K If iTunes Redeem) =MA
- Home Alone 2: Lost In New York HD =MA
- Homefront (iTunes Redeem) HD =MA
- Homefront HD =MA
- Honey 2 (redeems In iTunes) HD =MA
- Honey 2 HD =MA
- Hop (redeems In iTunes) HD =MA
- Hop HD =MA
- Hope Springs HD =MA
- Horton Hears A Who (iTunes Redeem) SD =MA
- the Host (iTunes Redeem) HD =MA
- Hostiles 4K Vudu/iTunes/(GP HD)
- Hotel Transylvania SD =MA
- Hotel Transylvania 3 SD =MA
- Hours SD Vudu
- House With A Clock In Its Walls HD =MA
- How To Train A Dragon 2 HD =MA
- the Hundred Foot Journey (googleplay) HD =MA
- Hugo SD (Vudu Or iTunes)
- the Hunger Games HD Vudu
- the Hunger Games: Catching Fire HD Vudu
- the Hunger Games: Mocking Jay Part 1 HD Vudu
- the Hunger Games: Mocking Jay Part 2 HD Vudu
- I See You HD Vudu (no itunes)
- I, Frankenstein HD Vudu/iTunes/GP
- Ice Age: A Mammoth Christmas (iTunes Redeem) SD =MA
- Ice Age: Dawn Of Dinosaurs (iTunes Redeem) SD =MA
- Identity Thief (iTunes Redeem) HD =MA
- the Ides Of March HD =MA
- In Time (iTunes Redeem) SD =MA
- Incarnate (redeems In iTunes) HD =MA
- Independence Day Resurgence HD =MA (no Upgrade)
- Independence Day Resurgence HD (4K if iTunes Redeemed) =MA
- Inferno HD =MA
- Inglorious Bastards (iTunes Redeem) SD =MA
- Inside Out HD (4K If iTunes Redeemed) =MA
- Inside Out (google Redeem) HD =MA
- Insidious Chapter 2 SD =MA
- Insidious: the last key SD =MA
- Internship (iTunes Redeem) SD =MA
- the Interview HD =MA
- the Interview SD =MA
- Into The Spider-verse SD =MA
- Iron Man 3 (googleplay) HD =MA
- Iron Man 3 HD (4K If iTunes Redeemed) =MA
- Jack Reacher SD Vudu
- Jack Reacher HD Vudu (4K itunes split)
- Jack Ryan: Shadow Recruit HD Vudu Or iTunes
- Jarhead 2 [unrated] HD =MA
- Jarhead 2 [unrated] HD =MA (iTunes portion)
- Jarhead Law Of Return HD =MA
- Jason Bourne HD =MA
- Jason Bourne 4K =MA (iTunes portion)
- Jaws HD =MA
- Joe SD Vudu
- John Wick 4K (Vudu,iTunes Or HD-GP)
- John Wick SD? Dvd (Vudu/iTunes/GP)
- John Wick : Chapter 2 HD (Vudu,iTunes Or HD-GP)
- John Wick 3 4K (Vudu,iTunes Or HD-GP)
- Joy HD (4K If iTunes Redeemed) =MA
- Joy HD =MA
- Jumanji: Welcome To The Jungle SD =MA
- Jumper (iTunes Redeem) SD =MA
- the Jungle Book [2016] (preorder) HD =MA
- Jungle Cruise (googleplay) HD =MA
- Juno (iTunes Redeem) SD =MA
- Jurassic Park (4K iTunes) =MA
- Jurassic Park HD =MA
- Jurassic World (4K iTunes) =MA
- Jurassic World HD =MA
- Jurassic World: Fallen Kingdom HD =MA
- Just Wright (iTunes Redeem) SD =MA
- Justin Bieber: Never Say Never HD VUDU / iTunes (split)
- Keeping Up with the Jones (4K if iTunes Redeem) = MA
- Kevin Heart: Let Me Explain HD
- Kickass 2 (iTunes Redeem) HD =MA
- Kickass 2 HD =MA
- Kidnap HD =MA
- Kidnap (iTunes Redeem) HD =MA
- Killer Elite (iTunes Redeem) HD =MA
- Killing Them Softly HD Vudu
- Kin HD Vudu/iTunes/GP
- the Kingsman: The Golden Circle HD (4K If iTunes Redeem) =MA
- the Kingsman: The Secret Service HD (4K If iTunes Redeem) =MA
- the Kingsman: The Secret Service SD (Vudu) =MA
- Knight And Day (iTunes Redeem) SD =MA
- Knocked Up (iTunes redeem) HD =MA
- Kung Fu Panda 3 HD =MA
- the Last Exorcism Past2 SD =MA
- Last Knights HD Vudu
- the Last Stand HD
- Last Vegas SD =MA
- the Last Witch Hunter SD Vudu
- the Legend Of Hercules HD Vudu
- Les Miserables [1998] HD =MA
- Les Miserables [2012] (redeems In iTunes) HD =MA
- Les Miserables [2012] HD =MA
- Let's Be Cops HD (4K If iTunes Redeem) =MA
- Life HD =MA
- Life As We Know It (iTunes Redeem) SD =MA
- Knight And Day (iTunes Redeem) SD =MA
- Life Of Pi HD (4K iTunes Through Foxredeem) =MA
- Lightyear (googleplay) HD =MA
- the Little Mermaid HD =MA
- the Little Mermaid (googleplay) HD =MA
- Little Women (2019) HD =MA
- Lockout (unrated) SD =MA
- the LOFT (iTunes Redeem) HD =MA
- Logan HD (4K If iTunes Redeem) =MA
- Logan Lucky HD =MA
- Logan Lucky 4K (iTunes) =MA
- the Lone Ranger (googleplay) HD =MA
- the Lone Ranger HD =MA
- Lone Survivor HD =MA
- Lone Survivor 4K (iTunes Redeem) =MA
- the Longest Ride HD ( 4K If iTunes Redeemed) =MA
- the Longest Week HD Vudu
- Looper SD =MA
- the Lorax (iTunes Redeem) HD =MA
- the Lorax HD =MA
- the Lord of The Rings: Return Of The King HD =MA
- the Lords Of Salem HD Vudu
- Love Actually (iTunes Redeem) SD =MA
- Love Actually SD =MA
- Love & Mercy HD VUDU
- Love & Other Drugs (iTunes Redeem) SD =MA
- Machete (iTunes Redeem) SD =MA
- Madagascar 3: Europe's Most Wanted HD =MA
- Madea's Neighbors From Hell The Play SD Vudu
- Madea's Witness Protection HD Vudu Or iTunes
- Madea's Witness Protection SD Vudu
- Maggie HD Vudu Only
- Maleficent (googleplay) HD =MA
- Maleficent HD (4K If iTunes Redeem) =MA
- Maleficent: mistress of evil (googleplay) HD =MA
- Mall Cop 2 SD =MA
- Mamma Mia! (iTunes Redeem) SD =MA
- Mamma Mia! Here We Go Again HD =MA
- the Man With The Iron Fists (iTunes Redeem) HD =MA
- Marauders HD Vudu
- the Marine 4 HD Vudu
- the Marine 6: close quarters SD =MA
- Marley & Me (iTunes Redeem) SD =MA
- the Martian HD (4K If iTunes Redeem)=MA
- Mary Poppins HD =MA
- Mary Poppins (googleplay) HD =MA
- Mary Poppins: Returns (googleplay) HD =MA
- the Maze Runner HD (no Upgrade)
- the Mechanic: Resurrection HD Vudu or GP portion. (itunes option "may" work)
- the Mechanic: Resurrection SD Vudu
- Megan Leavey (iTunes Redeem) HD =MA
- Megan Leavey HD =MA
- Men In Black 2 HD =MA
- Men In Black 3 HD =MA
- Men In Black 3 SD =MA
- Middle School: The Worse Years Of My Life HD Vudu/GP or iTunes split
- Midway 4K Vudu/iTunes or GP
- Mike & Dave Need A Wedding Date HD (4K If iTunes Redeem) =MA
- Minions (4K iTunes) =MA
- Minions HD =MA
- Miss Peregrine's Home For Peculiar Children HD (4K iTunes redeem) =MA
- Miss Peregrine's Home For Peculiar Children HD =MA (Vudu Redeem)
- Mission Impossible: Fallout HD (Vudu or iTunes)
- Mission Impossible: Ghost Protocal HD (Vudu Or iTunes)
- Mission Impossible: Ghost Protocal Dvd (Vudu)
- Mission Impossible: Rogue Nation (HD Vudu Or iTunes 4K)
- Mom's Night Out SD =MA
- Moneyball HD =MA
- Monte Carlo (iTunes Redeem) SD =MA
- the Monuments Men HD =MA
- the Monuments Men SD =MA
- Moonlight HD Vudu
- Monster's University (googleplay) HD =MA
- Mortal Instruments SD =MA
- Mostly Ghostly: Have You Met My Ghoulfriend? (iTunes Portion) HD =MA
- Mostly Ghostly: Have You Met My Ghoulfriend? HD =MA
- the Mountain Between Us HD ( 4K If iTunes Redeem) =MA
- Mr. Holmes HD Vudu
- Mr. Peabody & Sherman HD =MA
- Mr. Popper's Penguins (iTunes Redeem) SD =MA
- Mud HD Vudu
- Mulan Original Cartoon (googleplay) HD =MA
- the Mummy: Tomb Of The Dragon Emperor (iTunes Redeem) SD =MA
- Muppets Most Wanted (googleplay) HD =MA
- Muppets Most Wanted HD =MA
- My All American HD =MA
- My All American (iTunes redeem) HD =MA
- My Big Fat Greek Wedding 2 (redeems In iTunes) HD =MA
- My Big Fat Greek Wedding 2 HD =MA
- My Life As A Zucchini (redeems In iTunes) HD =MA
- Nebraska HD Vudu
- Nerve SD Vudu
- Night At The Museum Or Night At The Museum: 2 [pick One] HD =MA
- Night At The Museum 2: Battle Of The Smithsonian (iTunes Redeem) SD =MA
- Night At The Museum 3: Secret Of The Tomb HD ( 4K If iTunes Redeem) =MA
- Night School [extended] HD =MA
- No Country For Old Men HD Vudu Or GP
- No Escape HD Vudu
- Noah HD Vudu Or iTunes (split)
- Non-stop (iTunes Redeem) HD =MA
- Non-stop HD =MA
- Norm Of The North HD (iTunes Or GP)
- Norm Of The North HD Vudu Only
- Now You See Me 4K Vudu/iTunes/GP
- Now You See Me HD Vudu
- Now You See Me HD Vudu/iTunes/GP
- Now You See Me 2 SD Vudu
- Oblivion HD =MA
- Office Party HD VUDU or iTunes (split)
- Olympus Has Fallen HD =MA
- Olympus Has Fallen SD =MA
- the Oranges (itunes redeem) SD =MA
- the Other Woman HD =MA
- Ouija: Origin Of Evil (iTunes Redeem) HD =MA
- Overcomer SD =MA
- Oz The Great And Powerful (googleplay) HD =MA
- Oz The Great And Powerful HD =MA
- Pacific Rim: Uprising HD =MA
- Paddington HD Vudu
- Pain & Gain HD Vudu Only
- Paranormal Activity 2 HD (Vudu Or iTunes)
- Paranormal Activity 3 SD Vudu (try iTunes at your own risk)
- Paranormal Activity 4 HD (Vudu Or iTunes)
- Paranormal Activity Ghost Dimension HD (Vudu or iTunes)
- Parental Guidance HD =MA
- Parental Guidance (iTunes Redeem) SD =MA
- Parker HD =MA
- Parker SD =MA
- Passengers HD =MA
- Patriots Day HD Vudu (or 4K iTunes)
- Paul [unrated] HD =MA (iTunes Redeem)
- Peanuts Movies HD ( 4K If iTunes Redeem) =MA
- Penguins Of Madagascar HD =MA
- Percy Jackson: Sea Of Monsters HD =MA
- Perks Of Being A Wallflower HD Vudu Or iTunes SD (split)
- Peter Pan 2: Return To Never Land (googleplay) HD =MA
- Philomena HD Vudu
- Pirates Of The Caribbean: Dead Men Tell No Tales (googleplay) HD =MA
- Pirates Of The Caribbean: Dead Men Tell No Tales HD =MA (iTunes kills code)
- Pirates! Band Of Misfits SD =MA
- Pitch Black [unrated] (redeems In iTunes) HD =MA
- Pitch Perfect HD =MA
- Pitch Perfect [iTunes redeem 4K] =MA
- Pitch Perfect 2 HD =MA
- Pitch Perfect 2 HD (4K If iTunes Redeem) =MA
- Pitch Perfect 3 HD =MA
- Pixels SD =MA
- Planes (googleplay) HD =MA
- Planes HD =MA
- Planes Fire And Rescue (googleplay) HD =MA
- Planes Fire And Rescue HD =MA
- Planes, Trains & Automobiles HD (Vudu or iTunes)
- Playing For Keeps SD =MA
- Pompeii HD =MA
- Pompeii SD =MA
- Possession HD Vudu (SD iTunes)
- Predators (iTunes Redeem) SD =MA
- Premium Rush SD =MA
- the Prince HD Vudu
- Prometheus HD =MA
- Prometheus (iTunes Redeem) [?] =MA
- Promised Land (iTunes Redeem) HD =MA
- the Protector 2 SD Vudu
- Public Enemies (iTunes Redeem) SD =MA
- Public Enemies (iTunes Redeem) HD =MA
- the Purge (4K iTunes) =MA
- the Purge HD =MA
- the Purge: Anarchy HD =MA
- the Purge: Election Year HD =MA
- Queen Of Katwe (googleplay) HD =MA
- Queen Of Katwe HD =MA
- R.I.P.D. (redeems In iTunes) 4K =MA
- R.I.P.D. HD =MA
- Ralph Breaks The Internet (googleplay) HD =MA
- Rambo HD (Vudu,iTunes4K Or GP)
- Rambo: Last Blood 4K (Vudu,iTunes Or HD-GP)
- Ramona And Beezus (iTunes Redeem) SD =MA
- Rango HD Vudu Or 4K iTunes (split)
- Real Steel (iTunes Redeem) SD =MA
- Reasonable Doubt HD =MA
- Red 2 HD Vudu
- Red Sparrow HD =MA
- Redemption HD Vudu
- Reprisal HD Vudu
- Resident Evil: Retribution HD =MA
- Resident Evil: Retribution SD =MA
- Resident Evil: Welcome To Raccoon City HD =MA
- the Revenant HD =MA
- Ricki And The Flash SD =MA
- Riddick [unrated] HD =MA
- Riddick [unrated] (redeems In iTunes) HD =MA
- Ride Along (iTunes Redeem) HD =MA
- Ride Along HD =MA
- Ride Along 2 (iTunes Redeem) HD =MA
- Rio HD =MA
- Rio (iTunes Redeem) SD =MA
- Rio 2 HD =MA
- Rise Of The Guardians HD =MA
- Rise Of The Planet Of Apes (iTunes Redeem) SD =MA
- Risen SD =MA
- Robin Hood (1973) [Disney-animation] (googleplay) HD =MA
- Robin Hood (2018) Vudu/GP HD or iTunes 4K
- Robocop 2014 HD Vudu Or GP
- the Rocker (iTunes Redeem) SD =MA
- the Rocky Horror Picture Show HD =MA
- Runner Runner HD =MA
- Rush HD =MA
- Safe HD Vudu Only
- Safe House (iTunes Redeem) HD =MA
- Safe House HD =MA
- Same Kind Of Different As Me HD Vudu Or iTunes (split)
- Samson HD =MA
- Santa's Little Helper HD =MA
- Sausage Party HD =MA
- Savages 4K (iTunes Redeem) =MA (unsure Which Version)
- Saving Mr. Banks HD =MA
- Saving Mr. Banks (googleplay) HD =MA
- Scarface 4K (iTunes Redeem) =MA
- Scarface HD =MA
- Scary Stories To Tell In the Dark 4K (Vudu/iTunes or GP)
- Schindler's List =MA HD
- the Scorpion King 3: Battle For Redemption (iTunes Redeem) HD =MA
- the Scorpion King 3: Battle For Redemption HD =MA
- the Scorpion King 4: Quest For Power (iTunes Redeem) HD =MA
- the Scorpion King 4: Quest For Power HD =MA
- Seal Team 8: Behind Enemy Lines HD (Vudu Or Googleplay)
- Search Party HD =MA
- Search Party (iTunes Redeem) HD =MA
- the Secret Life Of Pets HD =MA
- the Secret Life Of Pets (4K iTunes) =MA
- the Secret Life Of Pets 2 HD =MA
- the Secret Life Of Walter Mitty HD =MA
- See No Evil 2 HD Vudu
- Seeking A Friend For The End Of The Earth (iTunes Redeem) HD =MA
- Selma HD (redeems In iTunes) HD =MA
- Seventh Son (iTunes Redeem) HD =MA
- Seventh Son HD =MA (iTunes Portion)
- Sex Tape SD =MA
- the Shack HD Vudu Or iTunes (split)
- Shrek: Forever After (the final chapter) HD =MA
- Showdogs HD =MA
- Sicario 4K w/ googleplay portion
- Sicario 4K Vudu or iTunes
- Silver Linings Playbook HD (Vudu Or Googleplay)
- Single Mom's Club HD
- Sisters [unrated] (iTunes Redeem) HD =MA
- Sisters [unrated] HD =MA
- Skin Trade HD Vudu Redeem
- Skyfall HD (Vudu Or Googleplay)
- Skyfall SD (iTunes)
- Skyscraper HD =MA
- Sleepless (iTunes Redeem) HD =MA
- Slumdog Millionaire (iTunes Redeem) SD =MA
- the Smurfs 2 HD =MA
- the Smurfs 2 SD =MA
- Snitch HD Vudu
- Snow White & The Huntsman (4K iTunes) =MA
- Snow White & The Huntsman HD =MA
- Snowden HD =MA
- Snowden (iTunes Redeem) HD =MA
- Son Of God HD =MA
- Sonic The Hedge hog 2 4K (Vudu or iTunes)
- the Spectacular Now SD Vudu
- Spectre 007 HD Vudu/GP/iTunes
- Spider-man: Far From Home HD =MA
- Spider-man: Far From Home SD =MA
- Spider-man: Homecoming HD =MA
- Spider-man: No-way Home SD =MA
- Split HD =MA
- the Sponge Bob Movie: Sponge Out Of Water HD Vudu / iTunes (split)
- Spy [unrated] HD =MA
- St. Vincent HD Vudu
- Stand Up Guys HD Vudu
- the Star SD =MA
- Star Trek [1] HD (Vudu Or iTunes)
- Star Trek [2] Into Darkness HD (Vudu Or iTunes)
- Star Trek [3] Beyond HD (Vudu Or iTunes)
- Star Wars: Force Awakens HD =MA (Vudu - No Upgrade)
- Star Wars: the Last Jedi HD (4k if iTunes redeemed) =MA
- Star Wars: the Last Jedi (Googleplay) HD =MA
- Star Wars: Rise Of The Skywalker 4K =MA
- Star Wars: Rise Of Skywalker (googleplay) HD =MA
- Step Up Revolution HD Vudu Or (iTunes Quality Unknown)
- Straight Out Of Compton (iTunes Redeem) 4K =MA
- Straight Out Of Compton [unrated] HD =MA
- Strange World (googleplay) HD =MA
- Street Kings (iTunes Redeem) SD =MA
- Super 8 HD Vudu Portion
- Super Buddies (googleplay) HD =MA
- Super Troopers 2 HD =MA
- the Sword In The Stone (googleplay) HD =MA
- Taken (theatrical slip) SD =MA
- Taken (Extended slip) SD =MA
- Taken 2 HD =MA
- Taken 3 (extended) HD =MA
- Ted (iTunes Redeem) HD =MA
- Ted [unrated] HD =MA
- Ted 2 (iTunes Redeem) HD =MA
- Teenage Mutant Ninja Turtles HD Vudu/iTunes split
- Teenage Mutant Ninja Turtles: Out Of The Shadows HD Vudu/iTunes split
- Temptation HD Vudu
- Temptation HD Vudu or Google Play (ask for this one for GP)
- Terminator Dark Fate HD (Vudu Or iTunes)
- That Awkward Moment SD =MA
- That's My Boy SD =MA
- the Theory Of Everything (iTunes Redeem) HD =MA
- Think Like A Man SD =MA
- Think Like A Man Too SD =MA
- This Is 40 (iTunes Portion) HD =MA
- This Is The End HD =MA
- This Is The End SD =MA
- Thor Love And Thunder 4K =MA
- Thor Love And Thunder HD =MA
- Thor Love And Thunder (googleplay) HD =MA
- Thor Ragnarok (googleplay) HD =MA
- Thor Ragnarok HD (4K If iTunes Redeem) =MA
- the Three Stooges [the movie] (iTunes redeem) SD =MA
- Tinker Tailor Solder (iTunes Redeem) HD =MA
- Tinkerbell And The Legend Of The NeverBeast HD =MA
- Top Gun HD Vudu & Unknown iTunes (split)
- Total Recall (1990) HD Vudu
- Total Recall (2012) [theater & Extended] HD =MA
- Total Recall (2012) SD =MA
- Tower Heist (iTunes Redeem) HD =MA
- Toy Story 4 (googleplay) HD =MA
- Tracers SD Vudu
- Trainwreck (iTunes Redeem) HD =MA
- Transformers: Age Of Extinction HD (Vudu Only)
- Transformers: Age Of Extinction SD Vudu
- Transformers: Dark Of The Moon HD Vudu
- Transformers: Dark Of The Moon SD Vudu
- Transformers: The Last Knight (digital Cut) HD Vudu Or iTunes 4K Split
- the Transporter (iTunes) SD =MA
- Trauma Center 4K Vudu/iTunes/GP
- Tremors 5: Bloodlines HD =MA
- Tremors 5: Bloodlines (iTunes Redeem) HD =MA
- Tremors 6: A Cold Day In Hell HD =MA
- Trolls HD =MA
- True Grit HD Vudu (iTunes Split)
- Trumbo (iTunes redeem) HD =MA
- the Trust SD Vudu
- Turbo (iTunes Redeem) SD =MA
- Turbo HD =MA
- Twilight: Breaking Dawn Pt 2 HD
- Unbroken (iTunes) HD =MA
- Unbroken HD =MA
- Underworld: Awakening SD =MA
- Underworld: Bloodwars HD =MA
- Unfriended HD (iTunes Portion) =MA
- Unfriended HD =MA
- Unknown (iTunes Redeem) SD =MA
- Unstoppable (iTunes Redeem) SD =MA
- Vampires Suck (iTunes Redeem) SD =MA
- Valerian And The City Of A Thousand Planets HD Vudu
- Venom HD =MA
- Venom SD =MA
- the Vow SD =MA
- Walking With Dinosaurs HD =MA
- Wallstreet 2: Never Sleeps (iTunes Redeem) SD =MA
- Wanderlust (iTunes Redeem) HD =MA
- War Of The Planet Of The Apes HD (4K If iTunes Redeem) =MA
- War Room HD =MA
- War Room SD =MA
- Warcraft (4K iTunes) =MA
- Warcraft HD =MA
- Warm Bodies HD Vudu
- Warm Bodies HD Vudu/GP/ iTunes (4K iTunes Split)
- the Watch HD =MA
- Water For Elephants (iTunes Redeem) SD =MA
- We Bought A Zoo (iTunes Redeem) SD =MA
- the Wedding Ringer SD =MA
- Werewolf: the Beast Among Us UR HD =MA
- Wanderlust (iTunes Redeem) HD =MA
- Wanted (iTunes Redeem) SD =MA
- What Happens In Vegas (iTunes Redeem) SD =MA
- What To Expect When You're Expecting HD
- Whats Your Number (iTunes Redeem) SD =MA
- When The Game Stands Tall HD =MA
- When The Game Stands Tall SD =MA
- White House Down SD =MA
- Why Him? HD (4K If iTunes Redeem) =MA
- Widows HD =MA
- Wild Card HD Vudu
- Winchester HD Vudu/GP/iTunes
- the Witch SD Vudu
- the Wolf Of Wall Street HD Vudu (and 4K iTunes Split)
- the Wolfman (iTunes Redeem) SD =MA
- the Wolverine (iTunes Redeem) [SD?] =MA
- the Wolverine (unrated) HD =MA (must redeem on MA)
- the Woman In Black SD =MA
- Won't Back Down HD =MA
- Wonder HD (iTunes, Vudu Or GP)
- Woodlawn HD =MA
- Woodlawn (iTunes Redeem) HD =MA
- World War Z HD (Vudu Or iTunes)
- X Men Apocalypse HD (4K If iTunes Redeem) =MA
- X Men Days Of Future Past HD (4K If iTunes Redeem) =MA
- X Men Days Of Future Past HD =MA
- X Men First Class (iTunes Redeem) SD =MA
- X Men Origins Wolverine (iTunes Redeem) SD =MA
- XXX: Return Of Xander Cage HD Vudu (or iTunes Split)
- Yesterday HD =MA
- Young Adult HD Vudu
- the Young Messiah (iTunes Redeem) HD =MA
- Zero Dark Thirty HD =MA
- Zero Dark Thirty SD =MA
- Zootopia (googleplay) HD =MA
TV Series Marked Vudu Only
- Nurse Jackie Season 6 HD Vudu
- Orange Is The New Black Season 1 SD Vudu
- True Detective Season 3 HD Vudu
ITUNES Only
- Game Of Thrones Season 1 HD iTunes Only
- Game Of Thrones Season 2 HD iTunes Only
- Game Of Thrones Season 3 HD iTunes Only
- Game Of Thrones Season 4 HD iTunes Only
- True Detective Season 3 HD iTunes Only
ITUNES Only MOVIES - No Port - Marked - Abduction SD (iTunes)
- the Act Of Valor SD (iTunes)
- the Adventures of Tin Tin HD (iTunes)
- Alex Cross SD (iTunes)
- All Eyez On Me HD (iTunes)
- Annihilation HD (iTunes)
- Bankok Dangerous SD (iTunes)
- the Bank Job SD (iTunes)
- the Big Wedding HD (iTunes)
- Book Club 4K (iTunes)
- Brooklyn's Finest SD (iTunes)
- the Corrupted [2020] (iTunes)
- Criminal 4K (iTunes)
- Daybreakers SD (iTunes)
- the Dictator HD (iTunes)
- Divergent 4K (iTunes)
- Divergent Series: Allegiant 4K (iTunes)
- Divergent Series: Insurgent 4K (iTunes)
- Don Jon SD (iTunes)
- the Expendables [first movie] SD (iTunes)
- the Expendables 3 [unrated] HD (iTunes)
- Family Guy Its A Trap (iTunes)
- Forbidden Kingdom (iTunes)
- G.I.Joe The Rise Of The Cobra (iTunes)
- Gamer iTunes SD (iTunes)
- Ghost In The Shell 4K (iTunes)
- Gods Of Egypt 4K (iTunes)
- Hansel & Gretel [unrated] HD (iTunes)
- the Happytime Murders (apple Tv)
- the Haunting In Connecticut (iTunes)
- Hot Tub Time Machine SD (iTunes)
- House At The End Of The Street SD (iTunes)
- Hercules 4K (iTunes)
- Hot Tub Time Machine (iTunes)
- the Hunger Games [4k Itunes] or [GP-HD]
- the Hunger Games: Catching Fire [4k Itunes] or [HD GP]
- the Hunger Games: Mocking Jay Part 1 [4k Itunes] or [HD GP]
- I Feel Pretty (apple Tv)
- Jack Reacher 4K (iTunes)
- Jack Reacher: Never Go Back 4K (iTunes)
- John Wick 4K (iTunes)
- Immortals (iTunes)
- Interstellar 4K (iTunes)
- La La Land 4K (iTunes)
- Labor Day HD (iTunes)
- the Last Witch Hunter 4K (iTunes)
- Limitless (iTunes)
- the Lincoln Lawyer (iTunes)
- Machine Gun Preacher (iTunes)
- Mission Impossible: Fallout HD (iTunes)
- Monster Trucks HD (iTunes)
- Movie 43 (iTunes)
- Noah HD (iTunes)
- Office Christmas Party 4K (iTunes)
- One For The Money [Bluray] (iTunes)
- Pain & Gain HD (iTunes)
- Paranoia (iTunes)
- Paranormal Activity 2 HD (iTunes)
- Paranormal Activity 3 HD (iTunes)
- Paranormal Activity 4 HD (iTunes)
- Paranormal Activity 5: The Marked Ones HD (iTunes)
- Pet Sematary 2019 4K (iTunes)
- Pink Panther 2 (iTunes)
- the Raven SD (iTunes)
- Red Dawn SD (iTunes)
- Rogue Warfare HD (iTunes)
- Safehaven (iTunes)
- Same Kind Of Different As Me HD (iTunes)
- the Shack HD (iTunes)
- the Spirit SD (iTunes)
- Star Trek SD (iTunes)
- Star Wars: The Clone Wars SD (iTunes)
- Step Up Revolution (iTunes)
- Teenage Mutant Ninja Turtles (tmnt1) 4K (iTunes)
- Teenage Mutant Ninja Turtles 2: Out Of The Shadows 4K (iTunes)
- Terminator: Dark Fate 4K (iTunes)
- Texas Chainsaw [2013] (iTunes)
- Titanic (iTunes)
- Transformers: Age Of Extinction 4K (iTunes)
- Transformers: Dark Of The Moon 4K (iTunes)
- Transformers: the Last Knight 4K (iTunes)
- Transporter 3 SD (iTunes)
- Warm Bodies SD (iTunes)
- What to Expect While Expecting SD (iTunes)
- Wonder 4K (iTunes)
- Xxx Return Of Xander Cage 4K (iTunes)
CANADIAN CODES: GOOGLE PLAY / ITUNES MARKED I do not know any of these port
- Black Water (GP) Can. (NOT MA)
- Hitman Agent 47 (GP/iTunes) Can.
- Kingsman: the Golden Circle (GP/iTunes) Can.
- the Wolverine (GP/iTunes) Can.
WANT LIST Titles I am looking for submitted by
flippenphil to
uvtrade [link] [comments]
2023.06.10 05:57 Dry-Organization236 23 Bowman - Auto nonauto
2023.06.10 05:32 ChaosReignUnderUs Matchday Thread: All Games 6/10 (June 10)
NISA
Time (Eastern Time) | Home | Away | Link |
6:00 PM | Flower City Union | Gold Star FC Detroit | Link |
7:00 PM | Maryland Bobcats FC | Savannah Clovers FC | Link |
7:30 PM | Club De Lyon FC | Michigan Stars FC | Link |
NISA Nation
Time (Eastern Time) | Home | Away | Link |
6:00 PM | Lobos FC | AS Los Angeles FC | - |
10:00 PM | JASA RWC | Modesto City FC | - |
Eastern Premier Soccer League
Time (Eastern Time) | Home | Away | Link |
7:30 PM | Nova FC | Estudiantes FC | - |
7:30 PM | NY Pancyprian Freedoms | NY Greek Americans | Game In Frame |
Midwest Premier League
Time (Eastern Time) | Home | Away | Link |
2:00 PM | Troy United FC | 1927 SC | Michigan Soccer Network |
2:00 PM | Cedar Rapids Inferno SC | Club Atletico St. Louis | - |
5:00 PM | Indy Boyz FC | Steel City FC | - |
6:00 PM | AIM SC | West Michigan Bearings SC | - |
6:00 PM | AFC Columbia | Southeast Soccer Academy | - |
6:45 PM | Liquid Football | Futsal Factory Academy | - |
7:00 PM | Livonia City FC | United West FC | - |
7:30 PM | Bavarian United SC | Edgewater Castle FC | - |
7:30 PM | Chicago House AC | Czarni Jaslo | Sports Broadcast Solutions |
8:00 PM | Thundercats SC | Cedars FC | - |
8:30 PM | RWB Adria | Berber City FC | - |
Gulf Coast Premier League
Time (Eastern Time) | Home | Away | Link |
4:00 PM | Gulf Coast United | Florida Roots | - |
6:30 PM | Hattiesburg FC | Union 10 FC | - |
7:00 PM | Crescent City FC | BRSC Capitals | - |
7:15 PM | Gaffa FC | Central Louisiana FC | - |
7:15 PM | FC Sharp Keys | Daggers CTX | - |
7:15 PM | StrikerZ DFW | Shreveport United | - |
7:15 PM | Pensacola Bay United | SOWEGANS SC | - |
Southwest Premier League
Time (Eastern Time) | Home | Away | Link |
7:00 PM | ARIZONA SAHUAROS | SPORTING ARIZONA | - |
8:00 PM | SANTA CLARA SPORTING CLUB | HAYWARD FC | - |
Cascadia Premier League
Time (Eastern Time) | Home | Away | Link |
5:30 PM | Nido Aguila 2 | Mt. Rainier F.C. | - |
9:00 PM | Snohomish County | Seattle Celtic | Youtube |
submitted by
ChaosReignUnderUs to
NISA [link] [comments]
2023.06.10 04:12 chameleonflower Advice on parking downtown (for a concert)?
Hi, I live in Iowa City but I’m not super familiar with Cedar Rapids. There’s a concert I’m going to in July at the Alliant Energy powerhouse. I was just wondering if anyone had any tips for parking? I see on the venue website that you can reserve parking through parkmobile (I don’t think I can do it for my event yet because it’s too far out still). Would this be the best way? Or should I just try to find a parking ramp on the day of? I’d like to be in walking distance if I can 😅 Thank you for any advice!
submitted by
chameleonflower to
cedarrapids [link] [comments]
2023.06.10 03:43 Cadoc7 UW and Premera signed their new agreement
Premera Blue Cross and UW Medicine announced June 9, a new multi-year agreement, effective July 1, 2023. The agreement allows UW Medicine to continue as an in-network provider for Premera members.
The two organizations began negotiations several months ago with a mutual goal of reaching an agreement that balances fair compensation for the healthcare system and continued access to high-quality, affordable care for UW Medicine patients and Premera members.
"This agreement represents our shared commitment to making healthcare work better," said Lee McGrath, executive vice president of healthcare services, Premera Blue Cross. "We appreciate our customers' patience as we worked tirelessly to ensure continued access to the innovative, high-quality care UW Medicine provides."
"The new contract represents a collaboration between two organizations that provides stability in today’s rapidly changing healthcare environment," said Dr. Tim Dellit, interim chief executive officer, UW Medicine, and interim dean, University of Washington School of Medicine in Seattle. "I am delighted that we can continue to provide in-network access to the high-quality care at UW Medicine for all of our Premera patients and families."
The agreement announced today will ensure that there is no disruption for Premera members who receive care at UW Medicine. It applies to all Premera lines of business, including commercial, Premera Blue Cross individual, LifeWise Assurance Company (student insurance) and Medicare Advantage.
I noticed the new statement on the UW website when I went to schedule my annual checkup.
https://www.uwmedicine.org/premera submitted by
Cadoc7 to
Seattle [link] [comments]
2023.06.10 01:58 the_divine_counsel Others experiencing American family insurance intentional claim payment delays?
Anybody else having intentional claim payout delays regarding the most recent April storms that hit Illinois in April? Apparently from my chats around the various obviously happy employees there, there is actually a known regional office of American family that causes delays, doesn’t respond to customers, etc. well, apparently I have happened upon them. I have a basic cut and dry claim for storm damage but 3 inspections, a lost inspection report and many many unreturned calls later I’m looking into taking legal action and have filed a case with the Illinois dept of insurance.
submitted by
the_divine_counsel to
Insurance [link] [comments]
2023.06.10 01:40 fitznerd Nanny jobs in Iowa
I’ve noticed there aren’t too many agencies out here. I’ve found only one so far. How else do you find out about nanny jobs in Iowa? Specifically around Iowa city or the Cedar Rapids area. Any tips/advice would be great!
submitted by
fitznerd to
Nanny [link] [comments]
2023.06.09 21:57 JC3FL [WTS] American Eagles, Philharmonics, Libertads, Upper Deck Hockey, Maples, Bars, Rounds, Skull Coins, Terracotta Army, Stackers, and a Kilo
Proof and
Album ** Silver **
8 7 - 1985 Engelhard Prospector 1 oz .999 Silver Rounds Eagle Back - $34 ea
7 - 2015 Republic of Ghana Year of the Goat Skull 999 Silver Coin with COA (serialized on edge) - $35 ea
Lot of 4 - 2014 Canada Maple 1 oz .999 silver coins (milk spotty) - $111
2000 Sacagawea 4 oz .999 Silver with 24k Gold layered Commemorative Round in Capsule - $114
2001 Liberty 4 oz .999 Silver with Gold Highlighting Commemorative Round in Capsule (toning) - $114
2018 Fiji * Terracotta Army * 5 oz .999 Silver with Bag and COA - $158
4 3 - Scottsdale 10 oz .999 Stacker bars - $273 Shipped Ea, All: $1075 Shipped
2 -
Scottsdale 20 oz .999 Silver Poured Bar - $530 ea shipped
Tube of 20 - 2014 Austria Philharmonic 1 oz .999 Silver Coins (milk spots) - $540 Shipped
2017 Upper Deck Grandeur Hockey Complete 20 - 1 oz .999 Coin Colorized Set with all packaging (NOTE: I ONLY pulled one out of the packaging. I noticed they are stamped with serial numbers. I DO NOT KNOW IF ALL THE COINS HAVE THE SAME SERIAL NUMBER. TALK TO ME IF THIS IS IMPORTANT - $590 Shipped
IGR 1000 Gram (1 Kilo) .999 Silver Bar Sealed with COA - $830 shipped
Tube of 25 - 2016 Libertad 1 oz .999 Silver Coins - $930 Shipped
** Gold **
1/10 oz .999 Apmex Round - $220 shipped
PENDING 5 - 2008 American Silver Eagle 1 oz .999 Coins (some light scratches) - $33 ea PENDING 4 - American Silver Eagle 1 oz .999 Coins (2001, 3-2009) (spots and marks) - $33 ea; All:130 4 - Engelhard 1 oz .999 Silver Bars Landscape - $34ea Engelhard 1 oz .999 Silver Bars Portrait - $34 2016 Canada Maple 1/10 oz .999 Gold Coin (a few small marks) - $220 shipped PENDING 2 - 1986 American Silver Eagle 1 oz .999 Coins - $43 ea; Both: $85 PENDING Lot of 6 - 1990's American Silver Eagle 1 oz .999 Coins(1990, 91, 92, 94, 95, 97) (toning and light scratches) - $200 Shipped
Payment: PREFERED Zelle, Cashapp, Paypal Friends & Family (Please leave Comment box empty), PayPal Goods & Services (please add 3%), Personal Check, Money Order
Insurance available at Buyer Expense Shipping: Less than $199 -> $5
$200 + -> Free
submitted by
JC3FL to
Pmsforsale [link] [comments]
2023.06.09 20:42 PritchettRobert506 [HIRING] 25 Jobs in OH Hiring Now!
Company Name | Title | City |
Best Service Heating & Cooling | Part-time Customer Service Rep | Whitehall |
Best Service Heating & Cooling | HVAC Technician | Whitehall |
American Family Insurance | Senior Security Consultant | Akron |
Ohio University | Assistant Director, Access and Inclusion and Senior Assistant Director, Access and Inclusion | Athens |
Ohio University | Director of Diversity Affairs | Athens |
Ohio University | Director of Diversity Equity & Inclusion | Athens |
Beckett Springs | Outpatient Registered Nurse | Camp Dennison |
VineBrook Homes, LLC | Director, Accounts Payable & Utilities | Catawba |
Clean Harbors | Cleanpack Chemist | Cleveland |
Beckett Springs | Registered Nurse (RN) | Cleves |
Zipline Logistics LLC | Operations Associate | Columbus |
Green Bay Packaging, Inc. | Maintenance Technician - Electrical | Cuba |
VineBrook Homes, LLC | Director, Accounts Payable & Utilities | Dayton |
Kettering Health Network | CMA | Dayton |
ProMedica | LPN | Defiance |
ProMedica | Licensed Practical Nurse (LPN) | Defiance |
Quantum Health | Digital Accessibility Lead | Dublin |
VineBrook Homes, LLC | Director, Accounts Payable & Utilities | Englewood |
ProMedica | Registered Nurse (RN) | Fostoria |
ProMedica | RN | Fostoria |
Valley View Healthcare Center | Scheduling Coordinator - RN/LPN/STNA | Fremont |
L3Harris Technologies | Specialist, Quality Engineering | Goshen |
Beckett Springs | Registered Nurse (RN) | Harrison |
L3Harris Technologies | Specialist, Quality Engineering | Harrison |
Beckett Springs | Outpatient Registered Nurse | Harrison |
Hey guys, here are some recent job openings in oh. Feel free to comment here or send me a private message if you have any questions, I'm at the community's disposal! If you encounter any problems with any of these job openings please let me know that I will modify the table accordingly. Thanks!
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2023.06.09 17:07 ToastTurtle Reliq Health signs six contracts in Calif., Fla., Nev.
Reliq Health signs six contracts in Calif., Fla., Nev.
2023-06-09 09:06 ET - News Release
Dr. Lisa Crossley reports
RELIQ HEALTH TECHNOLOGIES, INC. ANNOUNCES SIX NEW CONTRACTS IN CA, FL AND NV
Reliq Health Technologies Inc. has signed six new contracts with physician practices in California, Florida and Nevada. These new contracts are expected to add over 3,000 new patients to Reliq's iUGO Care platform by the end of Q1 calendar year 2024, at an average revenue of $65 per patient per month.
"We are very pleased with our continued traction in California, Florida and Nevada," said Dr. Lisa Crossley, chief executive officer at Reliq Health Technologies. "The southern U.S. states are a particularly attractive market segment for Reliq due to demographics. With many older Americans choosing to move south in retirement, there is a very large population of Medicare-covered patients in these states who are eligible for Reliq's services. The three states where we have the largest number of patients -- California, Florida and Texas -- make up over 25 per cent of the total U.S. population, with over 90 million residents. The new clients will be using the iUGO Care remote patient monitoring (RPM), chronic care management (CCM) and behavioural health integration (BHI) modules to improve health outcomes and reduce the cost of care for their chronic disease patients. We expect to add over 3,000 patients to the iUGO Care platform by the end of March, 2024, through these contracts, at an average of $65 per patient per month with an expected 75-per-cent gross margin. All six practices will go live next month."
About Reliq Health Technologies Inc.
Reliq Health Technologies is a rapidly growing global health care technology company that specializes in developing innovative virtual care solutions for the multibillion-dollar health care market. Reliq's powerful iUGO Care platform supports care co-ordination and community-based virtual health care. iUGO Care allows complex patients to receive high-quality care at home, improving health outcomes, enhancing quality of life for patients and families, and reducing the cost of care delivery. iUGO Care provides real-time access to remote patient monitoring data, allowing for timely interventions by the care team to prevent costly hospital readmissions and emergency room visits.
We seek Safe Harbor.
Link:
https://www.stockwatch.com/News/Item/Z-C!RHT-3420266/C/RHT submitted by
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2023.06.09 16:49 AdamLikesBeer Weekend Rundown June 9th - 11th
Around Town:
- Murder on the Orient Express (Guthrie Theater - All Weekend)
- It’s Not the Heat, It’s the Stupidity (Dudley Riggs Theatre - All Weekend)
- An American Tail: The Musical (Children's Theatre Company - All Weekend)
- The Prom (Chanassen Dinner Theatre - All Weekend)
- Ain't Misbehavin' (Capri Theater - All Weekend)
- Sherwood: The Adventures of Robin Hood (Theater In the Round - All Weekend)
- Going Out, Coming In Exhibition (Mill City Museum - All Weekend)
- Warehouse District Live (1st Avenue - All Weekend)
- Illenium (The Armory - All Weekend)
- 2023 Ton Up Rockers Spring Social (Eagles Club 12pm)
- Prince Celebration 2023 (Paisley Park - All Weekend)
- Wayne Marshall (Northrup - All Weekend)
- Minnesota Irish Music Weekend (Celtic Junction Center - All Weekend)
- Columbia Heights Citywide Garage Sale (Da Heights - All Weekend)
- Explore West St. Paul Days (West St Paul - Fri & Sat)
- Ryan Hamilton (ACME Comedy Club - Fri & Sat)
- Viking Motorcycle Show (Minnesota State Fairgrounds - Fri & Sat)
- Father Hennepin Festival (Mississippi Point Park - Fri & Sat)
- Excelsior Art on the Lake (Downtown Excelsior - Sat & Su)
- MS 150 (Minnesota - Sat & Sun)
- Tower Days (Lakeside Lions Parks - Sat & Sun)
- MAC Autocross MOWOG Series (Minnesota State Fairgrounds - Sat & Sun)
- 8th Annual Chalkfest (Maple Grove - Sat & Sun)
Friday
- DJ Abilities (7th Street Entry 8pm)
- Mendota After Hours: When Minnehaha Flowed with Whiskey (Sibley Historic Site 6pm)
- Joseph (The Fitzgerald Theater 7pm)
- Emerson Avenue Band (Lake Harriet Bandshell 7:30pm)
- Giggly Squad (The Fillmore 7pm)
- All Ages Pride Day (Can Can Wonderland -119pm)
- Admiral Fox & Joe Bartel (Amsterdam Bar & Hall 7pm)
- Beyond The Trees (Mill Ruins Park 12pm)
- Michael Franti & Spearhead (Utepils 5-10pm)
- Pullstring (Loring Park 7pm)
- Blue Red Roses, Suzy Plays Guitar and The Beavers (Palmer's Bar 6pm)
- Tyler Haag (Minnehaha Bandstand 7pm)
- Andrea von Kampen (Turf Club 8pm)
Saturday
- St Paul Summer Beer Fest (International Bazaar 1-5pm)
- Fresch Fest (Green Room 7pm)
- Matchbox 20 (Treasure Island 7pm)
- Golden Valley Pride Festival (Brookview Park 12-6pm)
- Symphony Ball (Orchestra Hall 4-12am)
- Seltzer Fest (Canterbury Park 2pm)
- F1rst Wrestling St Paul Summer Slam (Clutch Brewing 2-5pm)
- Just Try It! Let's Go Sailing (Wayzata Yacht Club 1pm)
- Laamar (Turf Club 8pm)
- St. Paul Pride Festival (DT STP 10am)
- Open Streets East Lake (East Lake St 11-5pm)
- Yam Haus (Uptown Theater 6pm)
- Superbus Maximus vs Freaque (Cedar Cultural Center 7pm)
- Cindy Lawson, The Silent Treatment, Crush Scene and Submarine Secrets (Palmer's Bar 6pm)
- Bike the Arb (Minnesota Landscape Arboretum 8-10am)
- The Bad Plus (First Avenue 7pm)
- Juneteenth Jubilee (Mill City Museum 9am)
- The Black Market Eat. Shop. Vibe. Connect. (Case Building 2-7pm)
- 5 year Anniversary Fashion Show (The Fitting Room 5-8pm)
- Queer Prom (The Treasury 7pm)
- Uptown Summer Kickoff Bar Crawl (Up-Down 9pm)
- Rival Sons (The Fillmore 7pm)
- PRIDE Market Series (Lakes & Legends Brewing 12-4pm)
- Bow Tie Make & Take (Minnetonka Rockler 9:30am)
- Tim Snow (Crooners 6pm)
- Nascar Aloe (7th Street Entry 7pm)
- Microgreens! Kids Cooking Classes - Spring Rolls (Seward Co-op 1pm)
- PRIDE or DIE (Modist Brewing 2-7pm)
- The Queers and Teenage Bottlerocket (Cabooze 7pm)
- BIPOC Business Expo (Eastside Neighborhood Services 12-6pm)
- 5k/10k Beer Run (10k Brewing 11am)
- 2023 Spring Swing Big Band Hangar Dance (Commemorative Air Force Minnesota Wing 6pm)
- Jolie Holland (Icehouse 9pm)
- Unicorn Art Show – A Fantasy Art Show (Jackson Flats 3-9pm)
- Rosé Fest 2023 (Kellogg Mall 3-8pm)
- The High & Mighty Band (Birch's on the Lake 8-11pm)
Sunday
- Haunted Like Human (Underground Music Cafe 6pm)
- Rosie (7th Street Entry 7pm)
- The Fairlanes (Lake Harriet Bandshell 2pm)
- Irish Diplomacy (Lake Harriet Bandshell 5:30pm)
- Flip Phone (Surly Brewing 3pm)
- Twin Cities World Refugee Day 2023 (Centennial Park 12-5pm)
- Bulldog Races (Canterbury Park 2pm)
- Birding for Beginners (Wood Lake Nature Center 1pm)
- Birding at Lakewood (Lakewood Cemetary 9am)
- Stuck Lucky (Day Block Brewing 7pm)
- Vintage Market (Disco Death Records 11-4pm)
- Kickin' It For Kidney's Kickball Tournament (Rice & Arlington Field#3 4-7pm)
- Pickleball Social and Tournament (Lucky Shots 1-4pm)
Sports
- Toronto VS Twins (All Weekend)
- Iowa AT Saints (All Weekend)
- Indiana AT Lynx (Friday 7pm)
- Montreal VS Loons (Saturday 6:30pm)
- Los Angeles AT Lynx (Sunday 6pm)
I have had suggestions for a patreon or something of the sort in the past. I do this because I like to provide whatever tiny help I can to the community. BUT I also like to raise money for Gillette's Children Hospital every year. So if you have some virtual loose change you can help me help dem kids here:
https://www.extra-life.org/participant/482633 Links
Be da real MVP and add anything I missed below.
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2023.06.09 16:48 AdamLikesBeer Weekend Roundup 6/9-11
Around Town:
- Murder on the Orient Express (Guthrie Theater - All Weekend)
- It’s Not the Heat, It’s the Stupidity (Dudley Riggs Theatre - All Weekend)
- An American Tail: The Musical (Children's Theatre Company - All Weekend)
- The Prom (Chanassen Dinner Theatre - All Weekend)
- Ain't Misbehavin' (Capri Theater - All Weekend)
- Sherwood: The Adventures of Robin Hood (Theater In the Round - All Weekend)
- Going Out, Coming In Exhibition (Mill City Museum - All Weekend)
- Warehouse District Live (1st Avenue - All Weekend)
- Illenium (The Armory - All Weekend)
- 2023 Ton Up Rockers Spring Social (Eagles Club 12pm)
- Prince Celebration 2023 (Paisley Park - All Weekend)
- Wayne Marshall (Northrup - All Weekend)
- Minnesota Irish Music Weekend (Celtic Junction Center - All Weekend)
- Columbia Heights Citywide Garage Sale (Da Heights - All Weekend)
- Explore West St. Paul Days (West St Paul - Fri & Sat)
- Ryan Hamilton (ACME Comedy Club - Fri & Sat)
- Viking Motorcycle Show (Minnesota State Fairgrounds - Fri & Sat)
- Father Hennepin Festival (Mississippi Point Park - Fri & Sat)
- Excelsior Art on the Lake (Downtown Excelsior - Sat & Su)
- MS 150 (Minnesota - Sat & Sun)
- Tower Days (Lakeside Lions Parks - Sat & Sun)
- MAC Autocross MOWOG Series (Minnesota State Fairgrounds - Sat & Sun)
- 8th Annual Chalkfest (Maple Grove - Sat & Sun)
Friday
- DJ Abilities (7th Street Entry 8pm)
- Mendota After Hours: When Minnehaha Flowed with Whiskey (Sibley Historic Site 6pm)
- Joseph (The Fitzgerald Theater 7pm)
- Emerson Avenue Band (Lake Harriet Bandshell 7:30pm)
- Giggly Squad (The Fillmore 7pm)
- All Ages Pride Day (Can Can Wonderland -119pm)
- Admiral Fox & Joe Bartel (Amsterdam Bar & Hall 7pm)
- Beyond The Trees (Mill Ruins Park 12pm)
- Michael Franti & Spearhead (Utepils 5-10pm)
- Pullstring (Loring Park 7pm)
- Blue Red Roses, Suzy Plays Guitar and The Beavers (Palmer's Bar 6pm)
- Tyler Haag (Minnehaha Bandstand 7pm)
- Andrea von Kampen (Turf Club 8pm)
Saturday
- St Paul Summer Beer Fest (International Bazaar 1-5pm)
- Fresch Fest (Green Room 7pm)
- Matchbox 20 (Treasure Island 7pm)
- Golden Valley Pride Festival (Brookview Park 12-6pm)
- Symphony Ball (Orchestra Hall 4-12am)
- Seltzer Fest (Canterbury Park 2pm)
- F1rst Wrestling St Paul Summer Slam (Clutch Brewing 2-5pm)
- Just Try It! Let's Go Sailing (Wayzata Yacht Club 1pm)
- Laamar (Turf Club 8pm)
- St. Paul Pride Festival (DT STP 10am)
- Open Streets East Lake (East Lake St 11-5pm)
- Yam Haus (Uptown Theater 6pm)
- Superbus Maximus vs Freaque (Cedar Cultural Center 7pm)
- Cindy Lawson, The Silent Treatment, Crush Scene and Submarine Secrets (Palmer's Bar 6pm)
- Bike the Arb (Minnesota Landscape Arboretum 8-10am)
- The Bad Plus (First Avenue 7pm)
- Juneteenth Jubilee (Mill City Museum 9am)
- The Black Market Eat. Shop. Vibe. Connect. (Case Building 2-7pm)
- 5 year Anniversary Fashion Show (The Fitting Room 5-8pm)
- Queer Prom (The Treasury 7pm)
- Uptown Summer Kickoff Bar Crawl (Up-Down 9pm)
- Rival Sons (The Fillmore 7pm)
- PRIDE Market Series (Lakes & Legends Brewing 12-4pm)
- Bow Tie Make & Take (Minnetonka Rockler 9:30am)
- Tim Snow (Crooners 6pm)
- Nascar Aloe (7th Street Entry 7pm)
- Microgreens! Kids Cooking Classes - Spring Rolls (Seward Co-op 1pm)
- PRIDE or DIE (Modist Brewing 2-7pm)
- The Queers and Teenage Bottlerocket (Cabooze 7pm)
- BIPOC Business Expo (Eastside Neighborhood Services 12-6pm)
- 5k/10k Beer Run (10k Brewing 11am)
- 2023 Spring Swing Big Band Hangar Dance (Commemorative Air Force Minnesota Wing 6pm)
- Jolie Holland (Icehouse 9pm)
- Unicorn Art Show – A Fantasy Art Show (Jackson Flats 3-9pm)
- Rosé Fest 2023 (Kellogg Mall 3-8pm)
- The High & Mighty Band (Birch's on the Lake 8-11pm)
Sunday
- Haunted Like Human (Underground Music Cafe 6pm)
- Rosie (7th Street Entry 7pm)
- The Fairlanes (Lake Harriet Bandshell 2pm)
- Irish Diplomacy (Lake Harriet Bandshell 5:30pm)
- Flip Phone (Surly Brewing 3pm)
- Twin Cities World Refugee Day 2023 (Centennial Park 12-5pm)
- Bulldog Races (Canterbury Park 2pm)
- Birding for Beginners (Wood Lake Nature Center 1pm)
- Birding at Lakewood (Lakewood Cemetary 9am)
- Stuck Lucky (Day Block Brewing 7pm)
- Vintage Market (Disco Death Records 11-4pm)
- Kickin' It For Kidney's Kickball Tournament (Rice & Arlington Field#3 4-7pm)
- Pickleball Social and Tournament (Lucky Shots 1-4pm)
Sports
- Toronto VS Twins (All Weekend)
- Iowa AT Saints (All Weekend)
- Indiana AT Lynx (Friday 7pm)
- Montreal VS Loons (Saturday 6:30pm)
- Los Angeles AT Lynx (Sunday 6pm)
I have had suggestions for a patreon or something of the sort in the past. I do this because I like to provide whatever tiny help I can to the community. BUT I also like to raise money for Gillette's Children Hospital every year. So if you have some virtual loose change you can help me help dem kids here:
https://www.extra-life.org/participant/482633 Links
Be da real MVP and add anything I missed below.
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2023.06.09 16:41 chancebone1990 Hopefully this guy can change...
2023.06.09 12:26 pediatricnephrology1 Nephrotic Syndrome: Understanding Symptoms, Causes, and Management
Introduction Nephrotic syndrome is a complex kidney disorder characterized by a specific set of symptoms, including edema (swelling), proteinuria (excessive protein in urine), hypoalbuminemia (low levels of albumin in the blood), and hyperlipidemia (elevated levels of lipids in the blood). It can affect both children and adults, with varying causes and treatment approaches. In this blog post, we will delve into the details of
nephrotic syndrome, exploring its causes, symptoms, and management options. Our expert for this discussion is Dr. Sidharth Kumar Sethi, a renowned pediatric nephrologist specializing in the treatment of nephrotic syndrome.
Understanding Nephrotic Syndrome Nephrotic syndrome occurs when the kidneys' filtering units, known as nephrons, become damaged, leading to a disruption in their normal function. This damage can result from various underlying conditions or diseases. The most common cause of nephrotic syndrome in children is minimal change disease, which typically responds well to corticosteroid treatment. However, some cases, such as those associated with focal segmental glomerulosclerosis, may be resistant to corticosteroids and may progress to kidney failure, potentially requiring renal transplantation.
Symptoms and Diagnosis The hallmark symptoms of nephrotic syndrome include swelling in various parts of the body, particularly the legs and around the eyes, due to fluid retention. Proteinuria, which causes foamy urine, is another key indicator. Hypoalbuminemia and hyperlipidemia can be detected through blood tests. To diagnose nephrotic syndrome, a thorough evaluation is necessary, including a medical history assessment, physical examination, and laboratory tests. A kidney biopsy may also be performed to determine the underlying cause of the condition.
Management and Treatment The management of nephrotic syndrome involves addressing the underlying cause, relieving symptoms, and preventing complications. Dr. Sidharth Kumar Sethi emphasizes the importance of individualized treatment plans based on the patient's age, medical history, and specific condition. For children with minimal change disease, corticosteroids are commonly prescribed and have shown significant success in achieving remission of proteinuria. However, some children may experience relapses and require further treatment. In cases of steroid-resistant nephrotic syndrome, alternative treatment options may be explored, including immunosuppressive medications and other targeted therapies. Dr. Sidharth Kumar Sethi's expertise in pediatric nephrology enables him to develop comprehensive treatment plans that prioritize the well-being and long-term outcomes of his patients.
Dr. Sidharth Kumar Sethi Kidney & Urology Institute He was trained as a Fellow (International Pediatric Nephrology Association Fellowship) and Senior Resident in Pediatric Nephrology at All India Institute of Medical Sciences and Division of Pediatric Nephrology and Transplant Immunology, Cedars Sinai Medical Centre, Los Angeles, California. He has been actively involved in the care of children with all kinds of complex renal disorders, including nephrotic syndrome, tubular disorders, urinary tract infections, hypertension, chronic kidney disease, and renal transplantation. He has been a part of an 8-member writing committee for the guidelines of Steroid Sensitive Nephrotic Syndrome and an Expert committee involved in the formulation of guidelines for Pediatric Renal Disorders including Steroid Resistant Nephrotic Syndrome and urinary tract infections. He has more than 30 indexed publications in Pediatric Nephrology and chapters in reputed textbooks including Essential Pediatrics (Editors O.P. Ghai) and “Pediatric Nephrology” (Editors A Bagga, RN Srivastava). He is a part of the Editorial Board of “The World Journal of Nephrology” and “eAJKD- Web version of the American Journal of Kidney Diseases”. He is a reviewer of Pediatric Nephrology related content for various Pediatric and Nephrology journals
Conclusion Nephrotic syndrome is a complex kidney disorder characterized by specific symptoms and underlying causes. Early diagnosis and appropriate management are crucial for achieving remission, preventing complications, and ensuring the best possible outcomes for patients. Dr. Sidharth Kumar Sethi, an esteemed pediatric nephrologist, brings extensive knowledge and expertise to the field of nephrotic syndrome treatment. His individualized approach and focus on evidence-based practices make him a trusted resource for patients and their families.
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 submitted by
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2023.06.09 09:07 DBCooper_OG There is no place like Nebraska
I grew up in rural Lincoln, I lived in Lincoln for college, and moved to LA almost 20 years ago. There's a whole network of Nebraskans out here, it's really one of a kind. And we get a lot of compliments for our midwest accents, enthusiastic naivete, and our straightforward demeanor. We know how to work hard, we're polite, humble, hospitable, family-oriented, we're well educated, and generally a lot of fun to be around. And Husker football is literally famous, there's no lack of opinions on how... I digress. To put it plainly, there's a lot to take pride in for Nebraskans.
Generally speaking, and perhaps our hugest source of pride, is that we've always taken care of ourselves, and have thrived doing so. We have innovated and provided general access to state-of-the-art agricultural, medical, and fintech opportunities, have some of the cleanest environments in the entire US, we're a formidable player in green energy, we have a unicameral and divide our electoral votes, Omaha Steaks sets a worldwide standard, we give back to the Fed (Nation) more than we borrow, etc; and there is a sense from living there that you can go anywhere in the entire State and find fellow Nebraskans who are polite, well-educated, and eager to find common ground - at the very least we'll have a beer with ya. Much like out here in LA, by simply being a Nebraskan (or first degree acquainted) you're entitled to our kinship worldwide; very few Americans can claim such an honor.
Nebraskans also recognize that there isn't, or at least hasn't, been a wide gap in classism. You can be Warren Buffett and visit a drive-thru every morning, and we could think nothing of it. The Nebraska community is relatively small, and so the contractor who built your house, your insurance agent, accountant, teacher, pastor, organist, nurse, babysitter, bartender, barista, the student who you see at the coffee house, these are all folks who literally live next door to you and call Nebraska home. True Nebraskans understand that they're all our neighbors and are all entitled to the same world-famous Nebraska-brand respect. Although there was some distinction between neighborhoods when I called Lincoln home, there was literally nowhere in the city my friends or I would avoid. We're all in it together, trying to make it The Good Life for ALL Nebraskans. I love Nebraska.
But this year is certainly different. I haven't been away for so long that Nebraska should be unrecognizable. How is it that I read news of our neighbors hating each other over trivial, personal matters? That shit used to NOT be important! Nebraska used to be a SAFE haven against the crazy outside world, a place where you felt comfortable around your neighbors because, like you, they're Nebraskans! All of 'em!
Get your shit together folks, we have literally a GLOBAL reputation to uphold of being good people. Let's take care of our fellow Nebrakans, we bleed Husker Red all the same. I know we are better than this b.s. I'm hearing about, go out and vote to correct these mistakes. Please, vote for yourselves and for all the rest of your fellow Nebraskans out in the world upholding REAL Nebraskan values.
Show 'em what ya got, good 'ol Nebraska, you.
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2023.06.09 08:56 Snovasys25 4 Facts You Didn’t Know About the Remote Workforce
4 Facts You Didn’t Know About the Remote Workforce The remote workforce is on the rise, but there are still a lot of
misconceptions about remote work in different countries.
Here are four facts you didn't know about remote work in America.
- Remote work is in demand across all industries
According to the Bureau of Labour Statistics, in April 2018, 42% percent of employed Americans were "self-employed," which includes freelancers and independent contractors.
That's up from just 26% percent in 1997. With that being said, even though more jobs being done remotely now than ever before, many people have misconceptions that it's just for creative types or consultants—but freelance jobs span every industry and skill level possible.
There are several reasons for this trend. For one ,
remote work can offer a better work-life balance. Employees working from home or in coworking spaces can often avoid commute times and have more flexible hours. Additionally, remote work can be an excellent option for parents or caregivers who need to be available for their families.
Another reason for the growing popularity of remote work is that it's simply more efficient in many cases. Advancements in technology have made it simple to stay in touch and productive when working remotely.
- Remote work isn't just a millennial thing
According to a 2020 poll from Flex Jobs, millennials are more likely to work remotely than older generations.
61% of millennials surveyed said they were "enthusiastic" about the prospect of
working from home, while only 42% of Generation X-errs and 32% of baby boomers felt the same way.
But the data shows that remote work is gaining popularity across age groups. Various factors are influencing this recent phenomenon; among them is the rapid increase in the availability and use of personal electronics and high-speed digital internet connections.
What's more, the study found that remote work is not just a millennial thing. Most remote workers are over the age of 35.
So, if you're considering switching to remote work, know that you're not alone. Plenty of us are doing it, and we love it!
- Remote workers aren't all freelancing full-time
According to a study by Global Workplace Analytics, 72% of people who telecommute do so at least 1 day per month for their primary employer.
So while we hear a lot about freelancing and remote jobs, there's a lot of people who work remotely and full-time for their primary job.
The demand for remote workers is high in the United States, especially among millennials. A recently published report shows that about half of US workers consider themselves better suited for work from home as an alternative. The presence of flexible schedules, no commuting, no required commute, and remote working are just some of the many reasons that working remotely is an excellent capability.
Of course, working remotely has its share of difficulties. For instance, it is impossible to maintain motivation when you are not working.
- Remote work isn't just technology-related
While remote work is most often associated with tech companies, according to The Balance, there are remote opportunities in pretty much every industry.
Whether in the arts, healthcare, retail, education, or science… there's a job out there for you! So why is remote work so popular? There are several reasons. First, it offers a great deal of flexibility and independence. Workers can often set their hours and work anywhere they want (including from home).
Second, remote work tends to be very technology driven. This means that workers need to be comfortable using various types of technology, including computers, tablets, and smartphones.
Finally, remote work is often more productive than traditional office work. To build a remote team and a company, you must equip with tools and techniques to get the insight and work to A
To get insight, Time, Champ is the perfect software to manage your remote team and project simultaneously.
Time Champ offers productivity features to ensure that teams stay focused and on task.
- Website and App Monitoring
- Detailed Reporting
- Optional Screenshots
- Customizable Productivity Settings
- And many more
Take the next step
See Time Champ in action!
Watch our on-demand demo webinar Want to know more?
Book a Demo Don’t have Time Champ?
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2023.06.09 07:05 NoPersonality4860 Cedar Rapids movie (2011)
I just watched this and it was pretty funny!! I haven’t heard anyone talk about it before,so I thought I’d post it on here incase anyone is interested. I definitely recommend it! :)
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2023.06.09 06:53 SectorComplex8079 "All over but the Shouting" achievement guide
TLDR: Be anti-communist and attack Truman often.
Visits: All in NY
VP: Earl Warren
Difficulty: Normal
Q1: 1 option
Q2: Absolutely not. This is a perfectly reasonable measure, designed to prevent a strike in one industry from crippling the American economy.
Q3: I've supported the Israeli state from the beginning. I'm glad that Truman came around, but he absolutely sent the wrong message by vacillating on this issue until the very last moment.
Q4: Not only will I speak about this issue, but I will use it to attack Truman. I've supported civil rights all along, while Truman seems to have come around at the 11th hour, and for transparent political gain.
Q5: Not only is this a serious issue, but Harry Truman is complicit in it. It is no secret that he is, along with most Democrats, complacent on the issue of Communist infiltration.
Q6: I support our current airlift and hope that it leads to an agreeable conclusion.
Q7: I will talk about what I have accomplished in New York -- public works, a balanced budget, anti-discrimination laws, business creation, and funding for teachers and universities. This is the future of our party.
Q8: Eastern Seaboard
Q9: I think there are definitely programs that the federal government can get involved in to improve public health, but I also support our current system of private care and insurance.
Q10: This is something that we will research and consider seriously over the next four years. I'd have to see the details of any proposal before I could give my opinion.
Q11: We are the only thing standing between the world and global domination by the Soviets. I'm prepared to take any measure to prevent the advance of Communism.
Q12: What Truman really means when he calls this the "Do-Nothing" Congress is that they won't pass a program for national health insurance or the drastic expansion of Social Security. I will attack Truman for calling a pointless session for his own political purposes.
Q13: I support Social Security, but I think the program is most solvent in its current form.
Q14: I can't make a conclusive statement on this issue. I'm sure that between myself and Congress we can work out a good solution once I'm elected.
Q15: Eastern Seaboard
Q16: I support the Marshall Plan and believe that it is a force for the future peace and prosperity of our world.
Q17: We have already passed the Taft-Hartley Act and a modernized system of price supports for food, and their effect can clearly be seen in the drop in inflation since 1947. I'm confident this trend will continue.
Q18: I support the HUAC, although I do wish it could be a little more aggressive in its rooting out of Communist influence.
Q19: I support this Amendment as a necessary step towards the political health of this nation. We need to, periodically, have a fresh point of view in government. Ours is not an imperial nation.
Q20: We are clearly overcrowding our urban areas at the moment. At the very least, we can expand the federal highway system to make more areas accessible to families and developers.
Q21: Seaboard!
Q22: Only if we had clear assurances that other nations would not develop a nuclear bomb, and a means of enforcing those assurances.
Q23: Anyone can see that I've supported road development throughout my career, and I think this would be a positive step for the country.
Q24: Guess.
Q25: New York itself
Conclusion: With this guide, and honestly these aren't the best answers probably, you should win comfortably from 0.4 to 1 percent more than Truman. It's a pretty easy achievement if you know the winning points for the 1948 GOP.
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2023.06.09 04:56 Money-Camera1326 Bleeding post cold knife cone biopsy
Female- 32 years of age. PMH: 2 miscarriages, one live birth. Small non cancerous tumor in thyroid with normal thyroid function. Les than 1 cm. High risk HPV positive. No idea what kind. Normal height and weight. BMI 25. No other medical history. Back on May 24 I had a cold knife cone biopsy to remove and diagnose some high-grade cell changes on my cervix that had glandular involvement. Fast forward to June 1 and I was informed that I had negative margins, and that my next Pap smear should be in a year. They also did a D & C to make sure that I didn’t have cell changes up inside my uterus. The sales weren’t cancer yet but they were very high grade. That D&Ccame back negative for any type of abnormal cells. So on June 3 I went back to work where I have to stand and walk around for 12 hours. If you guessed it, I’m a nurse. The first day went well. I had some mild spotting which I had had since the procedure, but on the second day I went back to work, which was the fourth of June I hemorrhaged at the end of my shift. I was promptly wheeled straight down to the ER where I showed the ER doctor, my pad that I soaked in one second and a handful of paper towels that I bunched up and shoved into my pants because I was bleeding out of my pants, and into my scrubs, and all over everything. I stopped moving immediately and I laid down, and the bleeding slowly came to a halt, and all I had was clots coming out of me that were about the size of a tennis ball to a baseball. By the time the doc took a look, he did not see any active bleeding and my hemoglobin was very good so they sent me home. The next morning I hemorrhaged again before I even got out of bed. That time I bled out the side of an adult diaper and all over my floor. I called my dad who took me to the ER and I bled a bunch more and had clots come out but because I stopped moving and I laid there for hours upon hours I ended up stopping bleeding by the time the ER doctor looked. He said that he believed that the bleeding was somewhere behind my incision site so he called the OB/GYN who was caring for me and she was out of state, but she advised him to paint monsels solution onto my cervix. So he put two coats of that and I actually stopped bleeding for the rest of the day. The following day I had light pink spotting that has gotten progressively darker so I saw the OB/GYN on Tuesday and she just painted some silver nitrate over the incision site. After that my spotting stopped again, however, today I stopped back into her office because I saw all of the silver nitrate fall out and I was back with bright, red ketchup, stain looking spotting. She painted silver nitrate again just to make us both feel better. She told me to go back to the ER and call her if I soak through a Pad again rapidly, but other than that to expect some bleeding.. I just don’t feel comfortable even standing up. I feel pressure down there and it just doesn’t seem right.. it feels kind of like a pinch and I never had pain before this. And of course, now what I’m having is actual red blood bleeding, but I am just trying to lay down and do nothing…I haven’t had fevers and I haven’t felt crummy, but all I do is sit down. I do still have to go to the store and buy groceries because I have a four-year-old so I literally use one of those electric carts and anywhere else I go someone from my family just pushes me in a wheelchair. I still have to wash dishes, but I do that sitting down in a chair. It’s so weird, but I have had this hemorrhage issue before after a miscarriage. I ended up having retained tissue but that was really painful and this hasn’t hurt until tonight. Tonight I’m just feeling some pressure down there that I haven’t felt before Sidenote, there is no way that I’m pregnant because I haven’t had sex in almost a year. But they did check my hCG, which was like zero so that’s not even a possibility. I just don’t know where to go from here because I’m supposed to return to work in a week and I’m not sure if I just have to lay down for an entire week straight. And I don’t even know how I’m gonna do that, because I have a small child to take care of. I’m gettin so upset because I literally have to work and I’m just waiting for it to hemorrhage again only to go to ER and get sent home 90 more times. This isn’t getting better. Every doc who looks says sutures look good. I’ve been examined a total of 6 times. I can only go to my hospital due to insurance.
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2023.06.09 04:29 Bubzoluck [30 min read] The Opioid Epidemic before the Opioid Epidemic - Exploring Morphine Derivatives and the First Opium War (Part 1)
| Hello and welcome back to SAR! I have written and rewritten this post a few times now and I think I have landed on a format I am happy with. When we talk about the impact of medicine on history its important to get the context right, and I think I have found a way to talk about our topic. So what is it? No chemical is more important to the world of medicine than Opium, okay maybe Penicillin, but today we will say its Opium. Principally an analgesic (anti-pain), the Opium Poppy allowed for humans to take away pain in great degrees and further development on the natural chemicals has opened up surgery and post-op recovery. While we tend to look at the recent Opioid Epidemic as the only issue regarding Opiates, history reveals to us a very similar precursor. Also please head over to u/jtjdp post about morphine derivatives here! She does an amazing job explaining the higher level concepts of medicinal chemistry that I just wouldn’t do justice. Alright, enough quibbling, let’s get to the good stuff. Disclaimer: this post is not designed to be medical advice. It is merely a look at the chemistry of medications and their general effect on the body. Each person responds differently to therapy. Please talk to your doctor about starting, stopping, or changing medical treatment. How Much do you Know About Pain? To be alive is to feel pain, and emo sentiments aside, this is one of the biggest biological properties of the central nervous system. When you think about it, how does the body take external stimuli and allow you to recognize it? The answer is the sensory nervous system which is responsible for sensing many different types of stimuli: temperature, pressure, pain, and chemicals. These sensory neurons carry the information from the extremities and transmit it up the spinal cord into the brain for processing. From there the brain alerts you to the issue allowing you to correct whatever problem is causing the pain. Let’s take a look: https://preview.redd.it/36yiuubbjw4b1.png?width=660&format=png&auto=webp&s=a8dc870ed6d879d67dce1eb126b86ba5acb9bc69 - We call these receptors Nociceptors and activation of these neurons in the periphery leads to a signal being sent towards the spinal cord. Those peripheral nerves eventually complex with the Dorsal Horn of the spinal cord and interface with the central nervous system to transfer the pain signal. This signal is then sent Ascending to the Thalamus where the pain signal is recognized and initiates a response (such as pulling your hand away from the hot stove). But that’s not the full story, the brain also sends signals back down Descending to modify the incoming signal and dampen it. Its this modifying that makes pain fade over time when you aren’t focusing on it—otherwise the brain would be overwhelmed by the repetitive signal and continuously think injury is still happening. Now let’s divide this process into its two parts, first up the Ascending pathway.
https://preview.redd.it/w6751owcjw4b1.png?width=896&format=png&auto=webp&s=122f8b2c615f741d848ed0171a574b1353a34038 - As the Action Potential travels from the periphery towards the Spine it causes the influx of Calcium into the Presynaptic Neuron. This neuron is what carries the original signal to then transfer into the Spine for further traveling. Eventually we reach the Synapse where the finger-nerve and spine meet and we get the transfer of information via Neurotransmitters. In this case, two chemicals are released: Glutamate and Substance P (which literally stands for Substance Pain). Glutamate will activate two receptors (AMPA and NMDA) which are Excitatory and stimulate the continuation of the pain signal up to the brain. Substance P activates the NK1 receptor which enhances the frequency of the pain signal (the throbbing) and the intensity of the pain burst. So to simplify, Glutamate allows the signal to be passed up to the brain but depending on the strength of the original pain signal more or less Substance P is released which modulates the strength and attention-grabbing nature of it. Okay great, we sent the pain pathway up and it will get processed in multiple different parts of the brain. But the brain can’t have that signal stinging it so it must send information back down to dampen that pain signal. This is where that aforementioned Descending pathway comes in. Above you can see how the blue line reaches down out of the brain and back into the spine to turn ‘off’ the signal. This is the basis of Analgesia or pain relief.
https://preview.redd.it/audgj8kfjw4b1.png?width=668&format=png&auto=webp&s=c3b58c520e8298e20f787d70e053948c3817c565 - Okay so now we have to divide the action of the Descending pathway which acts to dampen and modulate the original signal coming into the brain. Now, normally at rest this Descending neuron is inhibited so any fresh incoming signal is not inhibited from the get go but once that pain signal does come in, we get the good stuff! In response to pain the brain releases substances called Endorphins which activate the mu Opioid Receptor (MOR) located on the Descending pathway. Now MOR are inhibitory in nature so they are inhibiting the inhibitory resting state of neurons, or in other words, are allowing the Descending neuron to activate. And this is an important fact to recognize, Opiates do not inhibit pain, they inhibit the physiology of the nervous system that prevents modulation of the pain signal.
- Once the inhibition is inhibited, the Descending neuron is free to release two neurotransmitters onto the nerve that was carrying the original pain signal. Both Norepinephrine and Serotonin are released to activate their respective receptors which inhibit the release of Substance P and Glutamate thus decreasing the incoming pain signal. Likewise MOR receptors are found directly on the incoming nerve and further prevent the release of Glutamate and Substance P as well as being found on the Ascending neuron preventing the activation of the NMDA/AMPA and NK1 receptors. The result: dampened incoming signal and decreased pain sense being sent to the brain.
The Stars Align in the Shape of a Poppy https://preview.redd.it/nfygsi0hjw4b1.png?width=731&format=png&auto=webp&s=60c0b13cdad3d7b7b64f78d6294465f081839f61 To start our story about Opiates we need to turn to the great precursor—Opium. Opium itself is not a chemical but rather a really thick liquor (called latex) that contains a high concentration of Morphine (and some Codeine). There are 38 species of Poppy plants but only two produce Opium is great enough supply that it is worth farming them and humans have been cultivating these varieties for as long as we have known about the plants. When humans settled into Mesopotamia (near modern day Iraq), Poppies were one of the few plants grown in plots as large grain or vegetable fields (meaning that they were thought of as valuable as food). Throughout the Greek age of medicine (pre-500 BCE) through the Islamic medicinal revolution (500 BC-1500 AD), Opium was a major component of treatment, assisted suicide, and poison. In fact its through the rise of the Muslim Caliphates that we see the export of Opium to other parts of the world, especially through the Mediterranean Sea once the Crusaders return. Opium trading to the East via the silk roads was an almost continuous affair since time immemorial and Pakistan was a major growing area for the Eastern Poppy trade. - By the time after the Crusades (11-13th centuries), we start to see the West’s fixation on Opium. For many reasons Europe didn’t develop many psychoactive plants to the same degree as more humid/hot climates like Africa, the Middle East, and India. This is why the importation of Opium (and also Marijuana) was such a trade commodity and staple in the development of Western medicine. During the Renaissance and the revival of Greek philosophy we start to see the re-fascination with Opium and by the 1600s we see merchants importing Laudanum into Europe for recreational and medicinal use. The standard use of Tincture of Opium (which is Opium dissolved in ethanol, a DEADLY combination) was a particularly favorite preparation which was prescribed to the lowest day-worker all the way up to kings.
- The importation and use of Opium exploded in the late 1700s once the British conquered a major Poppy growing region of India. This region (western India and most of Pakistan) was originally slated to grow cotton like the American colonies but the region wasn’t wet enough to sustain the plant—it could however grow copious fields of Poppy plants to create Opium. Throughout the 18th century the British Raj became the largest exporter of Opium to Europe and after the discovery that Mercury and Arsenic may not be safe, Opium took over their duties. By 1780 almost all major remedies incorporated the use of Opium in some capacity and with the huge supply, it was incredibly cheap.
https://preview.redd.it/1cspu1ukjw4b1.png?width=578&format=png&auto=webp&s=4e81b6d401a1806f39592e802b0bd5ab6df9a2e8 - Poppy wasn’t only important to the British for its medicinal properties but also to bolster the huge amount of loss they were incurring in global trade to one trade partner—China. After she made contact with China in the mid-1500s, Britain starting to import HUGE amounts of tea as the Brits became literally addicted to the substance. By 1800 a full 15% of the ENTIRE British Empire’s revenue was being spent on importing tea, that’s 30 million pounds per YEAR, leading to a massive trade deficit. This means that more money was being sent to China literally enriching a foreign country while the British public was getting their fix on the black stuff. Oh and just in case you think things haven’t changed, Britain still accounts for 42.6% of the world’s tea consumption—seriously Brits, ever heard of coffee? Anyways, all this money leaving the British economy to be spent on non-Empire sustaining commodities was a major national security risk for the British. It would be different if they were importing gunpowder like the Dutch were or Silver as the Spanish had but literally they were consuming the riches they were spending the money on.
- Remember too that the British were not in the best position by the turn of the 19th century—they had just lost their colonies in the Americas, involvement in the Napoleonic Wars killed a generation of men, and the push to develop industries over public health led to a focus on fast growth rather than smart growth. One of the results of the Napoleonic Wars was the British occupation of the Island of Java which developed a very potent Opium which was traded with Chinese merchants regularly. Soon British merchants realized they could rebalance the trade deficit by selling Javanese Opium into China but the small island was unable to produce enough Poppies to meet the demand. So Britain turned to another one of its colonies, India.
https://preview.redd.it/iiu2j8emjw4b1.png?width=707&format=png&auto=webp&s=d6f54a00fe47739db6545be913c186e4560195d4 - India by the end of the 1700s was a bit of a challenge. The British hold on the subcontinent was firm but they couldn’t grow the cash crops they wanted. Indian cotton was nothing compared to Egyptian or Southern American (i.e. Virginia/North Carolina/Georgia) cotton and the Indian tobacco was known for being bitter. But by the 1770s the British government realized that Poppy was an easy crop to grow and the demand across the border with China was an easy market; British traders brought their cargo to small islands off the coast of China where it was sold for silver. Initially the Chinese didn’t mind the sale of Opium in their territory—when the British traders collected the silver from the sale they would almost immediately use it to buy Chinese goods, thus driving tax revenue for the Chinese government.
https://preview.redd.it/andjwt0qjw4b1.png?width=644&format=png&auto=webp&s=730782fa74a65c111a62f05024445656b81f9811 - But if you buy Opium, people are going to use that Opium. By the 1810s all trade with foreigners was restricted to just one port, Canton, and slowly the city started to develop a habit for the drug. The use of mind altering substances was curtailed pretty quickly for hundreds of years in China—the Ming Dynasty banned tobacco in 1640 and the Qing banned Madak (a powdered Opium containing tobacco) was similarly banned in 1729. But by 1790 more and more Chinese citizens were becoming addicted to the substance; what started as a recreational drug slowly became a crippling addiction that took hold over Canton. For a rigid society, the crippling Opiate addiction was a moral corruption for the Qing government and forced them to curtail Opium importation in 1780 and then an outright ban in 1796.
https://preview.redd.it/mw9oflprjw4b1.png?width=879&format=png&auto=webp&s=5640d0bc425726fbd471b8dcf8954222afc49fc5 - Knowing just how devastating the Opium was having on the inhabitants of Canton, as well as how it spread further inland, British merchants kept peddling their drug. Older ships with larger hulls were converted into floating warehouses and parked just outside of navigable waters. Once set up, Opium smugglers would pull up, purchase the Opium and avoid any oversight by the Chinese government to prevent the sale of the drug. Following their mother country, American merchants started to sell Turkish Opium, an inferior variety, at a much cheaper rate leading to drug peddling competition with more and more tons of Opium being sent into China. This drove down the price of Opium considerably which ultimately increased the demand.
- This demand eventually led to reversal of trade, meaning that more silver was leaving China to pay for Opium than the British were using to pay for Chinese goods. American and European traders could show up in Canton with holds full of Opium, sell it off for a profit, and then make a tidy silver profit to bring back to Europe. Likewise the importation of cheap machine-made cotton, furs, clocks, and steel into China driving down domestic profits.
Let’s Look at the Drugs a Bit https://preview.redd.it/y4uwbc1tjw4b1.png?width=548&format=png&auto=webp&s=71f79278925a92ea052d1ae390a495f0496966b2 https://preview.redd.it/pf709wmujw4b1.png?width=918&format=png&auto=webp&s=91cdf3fdd56db4beb95f07f340d24bb7ef7e9cf3 Stepping away from the history a bit, let’s introduce the Family. Okay so we understand how pain is sent to the brain and how it modulates but there is so much more to the mu Opioid Receptor and that’s not the only kind of Opioid receptor that we have. The two most clinically useful receptors are the Mu and Kappa Opioid Receptors (KOR) because they result in analgesia but there is a Delta Opioid Receptor (DOR) that is worth mentioning. The majority of the Opiates that we know and love are Mu agonists but there are some very interesting Kappa agonists that are worth mentioning as well. https://preview.redd.it/eg9toikwjw4b1.png?width=587&format=png&auto=webp&s=027d16b15bd7e195205513a3034eb5610ba88537 - Above is a chart that shows the binding affinities of select Opiates to the Mu receptor. The smaller the number is, the more tightly they bond. Now affinity is different than potency—potency is a measure of how much drug (in g) is required to produce the same effect. So even though morphine has a higher affinity than fentanyl, fentanyl has a MUCH more potent effect (which is why it can be so dangerous, you only need a little). Now many of the opiates cause the same effect so I want to spend more time on what makes them all so different:
- First up we have the 5-Ring Morphinians which are derived from the natural product Morphine. These structures have 5 component parts: an aromatic benzene ring (A), a completely saturated bridge ring (B), a partially unsaturated ring with an alcohol attachment (C), a piperidine heterocycle above the rest of the structure (D) and finally a ether linkage between the top and bottom of the structure to keep it fairly rigid (E). Truthfully we are only going to focus on two locations—firstly the top alcohol (red circle) can be methylated to form Codeine, a natural Prodrug of Morphine. A Prodrug is one that is biologically inactive but goes through an initial metabolism once ingested that makes it active.
https://preview.redd.it/hx3zwwcyjw4b1.png?width=725&format=png&auto=webp&s=bf238a61c14c183cf081da027074a3eb1a11b1f0 - In fact it’s this initial metabolism of Codeine that makes it very interesting. In order for Codeine to exert any pain relief it needs to be converted to Morphine which actually exerts the desirable properties. This is done by the liver enzyme CYP2D6 which is a pretty minor pathway for Codeine—only about 10% of the Codeine is actually converted to Morphine to have some action. Because of this 2D6 dependent pathway we have to be careful about administering drugs that might inhibit the 2D6 pathway because that would mean we are preventing codeine from being active. Drugs like Fluoxetine (Prozac) and Paroxetine (Paxil) are strong 2D6 inhibitors and so if we administered Codeine to someone taking this drug they’d never get any benefit from the Codeine. In addition there are genetic/ethnic differences that pharmacists can account for such as 2D6 activity. If you are someone with very little 2D6 activity then you would also not convert Codeine to Morphine and thus get no action from the drug—this may be a reason why some people say Codeine doesn’t work for them. Another reason could be that they are Rapid Metabolizers and quickly convert the Codeine to Morphine and thus get a massive hit quickly after ingestion—in that cause you’d need a much smaller dose than another person for the same effect.
https://preview.redd.it/cvbelexfkw4b1.png?width=919&format=png&auto=webp&s=ed6f1683761a69b87bd0de12834a76c1f089a31f - A different drug that is the opposite of Codeine is Hydromorphone (Dilaudid) which has a Ketone on ring C. This ketone and the lack of the double bond on this ring increases the lipophilicity of the drug and increases its ability to penetrate into the brain and thus have a greater effect. In fact Hydromorphone is 5-10x more potent than Morphine due to its greater ability to penetrate into the brain and increased receptor affinity for the mu receptor. Because the A ring OH is not capped with a methyl group, we don’t need to rely on 2D6 to metabolize Hydromorphone into an active drug form which again increases the activity of this drug compared to Codeine.
- So combine these two structural changes—the capped OH on ring A as seen in Codeine and the increased affinity found with the ketone in Hydromorphone and we get Hydrocodone (Norco, Lorcet). Well in this case you’d get a drug that has very good affinity for the mu receptor (better than codeine) BUT is still reliant on the small 2D6 pathway for activation (worse than morphine). In this regard only about 10% of Hydrocodone is active at a time. We can see this effect in the relative doses for equivalent effect: to match the effect of 30mg of Morphine, we’d need only 7.5mg of Hydromorphone (more active) but need 200mg of Codeine (less active).
https://preview.redd.it/la2oqttgkw4b1.png?width=845&format=png&auto=webp&s=0155a6506a5038a6dad7987572a8eabaab75205a - This brings us to our last drug of this class, Oxycodone which has a special OH group found on Ring B. What you’ll notice is that Oxycodone has that capped OH on ring A so it requires metabolism through 2D6 just like Codeine and Hydrocodone. When it is uncapped it becomes Oxymorphone which has 3 times as much effect as Morphine BUT that extra OH makes Oxycodone an exclusive Mu receptor agonist. Unlike the other drugs which may go to other receptors causing side effects (more on this later).
https://preview.redd.it/ftdg9l8jkw4b1.png?width=489&format=png&auto=webp&s=e2ceeb6172294b69574f5b929d0a218f481c7e41 https://preview.redd.it/yos35mojkw4b1.png?width=677&format=png&auto=webp&s=0e72e94694147c303defe123d88b048e6ca3369a - Next up I want to look at some Mu opioid receptor Antagonists or those than inhibit the function of the opioid receptor. Looking at the first two drugs, Naloxone and Naltrexone, we can see that they have the structure similar to Hydromorphone so they would have incredible brain penetration and affinity for opioid receptors BUT they contain that funky Nitrogen tail. Now normally there is a short methyl tail that is required for the function of Morphine but by adding a bulkier tail the drug is able to fit inside the receptor but prevent activation. What’s most important about these two drugs is that they have much more affinity for the receptor than other opiates. We can see this effect in the graph above: when no Naloxone is present, Fentanyl occupies the opiate receptor about 75% of the time. But as soon as Naloxone is administered that number drops swiftly (within minutes)--this is because Naloxone has a higher affinity for sitting in the receptor than Fentanyl. Think of it like the bully Naloxone coming up and pushing the poor defenseless Fentanyl off the swings so the bully can play on it (except in this instance Fentanyl is causing an overdose and we need to save someone’s life).
https://preview.redd.it/61dx2mwokw4b1.png?width=594&format=png&auto=webp&s=4740b8395ca83304d5e0a756004b119976c621f2 - Buprenorphine is similar but it is a Partial Agonist instead of being a full antagonist. Buprenorphine is not a 5-ring Morphinian byt a 6-ring Oripavine that has a few different modifications. The biggest additions is that it has the bulky Nitrogen tail found in full Antagonists but it has this funky C ring tail which fights the antagonism. The result is a tug of war between the antagonism of the Nitrogen tail and the agonism of this new C-ring tail resulting in Partial agonism—so if you took Buprenorphine you’d notice a markedly decreased pain relieving ability but importantly there is a ceiling effect, its much harder to overdose on Buprenorphine than other full agonists. In addition in the second graph we can see that Buprenorphine has the greatest affinity for the receptor than our other agonists which prevents someone from taking a more potent opiate while taking Buprenorphine. In this case the bully is already sitting on the swing and scaring away the other kids thus preventing them from having a turn (and potentially causing an overdose). This does mean that if someone was taking a more potent drug (like Fentanyl) and then took Buprenorphine, it would cause withdrawal just like Naloxone or Naltrexone.
https://preview.redd.it/x9wcb8xqkw4b1.png?width=912&format=png&auto=webp&s=d09a59a927363d3864eebfd29cb05215e9f0234b - Speaking of withdrawal, let’s take a look at how that happens. Remember that the pain signal is caused by the activation of AMPA and NMDA receptors from the peripheral nerve. AMPA is a type of receptor called a G-Protein Coupled Receptor or GPCR which in this case is linked to an Excitatory G-protein which leads to the activation of the nerve. When AMPA is activated, the G-protein (Ga) activates an enzyme called Adenylate Cyclase (AC) which increases the production of pro-activity cAMP—or in simpler terms—when AMPA is activated, it leads to an increase in levels of pro-pain molecule cAMP. The Opioid receptor is also a GPCR but it is linked to an inhibitory G-protein which prevents the action of Adenylate Cyclase and thus leads to a decrease in cAMP levels. So Opiates prevent pro-pain cAMP signaling from continuing.
- In the second graph we can see how tolerance forms. Initially (A), Adenylate Cyclase and cAMP levels are not affected by having opiates even though their ability to push along the pain signal is blocked. After a few hours, the leftover cAMP is degraded and cAMP levels start to drop significantly (B). In response to these levels going down, the activity of Adenylate Cyclase starts to increase and increase (C) which raises the level of cAMP. This rise in Adenylate Cyclase activity opposes the action of the opiate which necessitates the need for increased doses of Opiates and is why tolerance forms. As sustained inhibition of Adenylate Cyclase continues, the body upregulates Adenylate Cyclase activity to create more cAMP and to combat this we increase the dose.
- Now what if after years of taking an Opiate we suddenly administer Naloxone, an Opiate antagonist. Well after weeks to months of taking an Opiate, the level of Adenylate Cyclase activity is WAY above baseline. When you administer the antagonist, suddenly Adenylate Cyclase is able to produce a TON of cAMP that normally is blocked which leads to a MASSIVE amount of downstream signaling. The result is intense nausea and vomiting, stomach cramps, fever, anxiety, insomnia, and cravings. Thankfully the withdrawal process ends after about 72 hours but is one of the worst experiences someone can go through which is why proper down-tapering of Opiates is extremely important.
A Change in Trade Policy https://preview.redd.it/bb4eb0ltkw4b1.png?width=628&format=png&auto=webp&s=321048bd5d5edf8877aede887c3fcb7aa387a0e4 Oh, you’re still here. Neat! So by the 1820s the Qing dynasty was running into many problems regarding Opium. Firstly they needed the Opium taxes to fund their efforts to put down the White Lotus Rebellion and retain power. But after almost 30 years of trade the effects on Chinese communities could not be ignored along with local officials operating under the imperial trade department, the Hong, profiting from bribes to allow Opium. Regardless of initial efforts things were getting out of hand for the Qing government. In 1800, about 4000 chests of Opium or 560,000 pounds entered the country but by 1830 that number exploded to 20,000 chests or about 3 million pounds. But more than the amount of Opium actually entering the country was the incessant rudeness of the British government to open trade. - One of the “problems” for the British traders was how clamped down trade was with China. By 1800 all trade was limited to just Canton and the Hong was a strict master of trade. Foreigners were not allowed to appeal decisions made by the Hong and only Chinese traders could sell goods further inland than Canton. Traders chafed against this extreme oversight and sent hundreds of letters to the Hong requesting special dispensations which were summarily denied. Things changed significantly in 1834 when the Chinese trade was de-monopolized away from the East India Company allowing any private trader to get involved in the Eastern trade.
https://preview.redd.it/cvbkq7vukw4b1.png?width=669&format=png&auto=webp&s=9340d153989a2f8c32a72792554f86be77e1f4eb - In August of 1834, the British sent Lord William John Napier to Macau as superintendent of Chinese trade with the explicit order to follow all Chinese regulations. Thinking he knows best, Napier decided that the restrictive Chinese trade system was too restrictive and sent a letter to the Viceroy of Canton. This was unheard of—NO foreign traders were allowed to speak directly with Chinese officials and the Viceroy refused to accept it. So why not double down by ordering two British ships to BOMBARD two Pearl River forts as a show of force? Luckily Napier died of Typhus almost directly after else it would have resulted in a full blown war.
- In 1839 the Qing government appointed Lin Zexu as the Opium czar to completely eradicate the Opium trade from China. Lin banned the sale of Opium in China completely, set up rehabilitation centers for those affected by the drug, and put addicts to work to distract them while detoxing. Lin demanded that all Opium supplies must be surrendered to Qing authorities and any Chinese citizen disobeying the order would be punishable by death. He even went as far as closing the Pearl River Channel, trapping British traders in Canton and seizing their Opium warehouse stockpiles.
- The replacement for Napier was Admiral Sir Charles Elliot who protested the seizure of the Opium stockpile but knew that they could do nothing. He ordered all Opium ships to flee and prepare for battle which caused Lin Zexu to beseige a group of traders inside a Canton warehouse. Elliot convinced the traders to cooperate with the Chinese government and surrender their stock, saying that the British government would compensate for the lost Opium (which he had no authority to do). During April and May 1839 the British (and American) traders to surrender 20,000 chests of Opium which was burned for three days outside Canton. Following the burning, trade resumed to normal except no more Opium was allowed. Like many other instances of the government removing legitimate sale of a drug, the black market increased markedly.
- In July 1839 a new scandal rocked the British-Chinese trade system; two British sailors became drunk and beat a man death outside of his village. In response, Superintendent Elliot arrested the two men and paid compensation to the villager’s family for the loss of the man but Elliot refused to hand over the sailors to the Qing government. Lin Zexu saw this as a blatant disregard for Chinese law—afterall traders needed to understand that they can’t just come to China and violate Chinese law as they saw fit. Elliot offered to hold a trial on a British ship in front of Chinese officials to show that the men would not get off free. This incident would start the smoldering.
- On September 4th, Elliot sent two ships to Kowloon to buy food and provisions from Chinese peasants. While approaching the harbor, three Chinese war junks gave permission to the two British ships to trade but that permission was rescinded by the commander of Kowloon fort. Elliot fumed against the slight and said that if the British were not allowed to trade by 3pm, he would fire on the fort. 3pm passed and the British opened fire on the fort causing the Chinese junks to return fire. The fighting continued for 7 hours until nightfall and Elliot had to prevent the British officers from pressing the attack, thus ending the Battle of Kowloon. Having driven off the Chinese ships, the British purchased the supplies they needed while the Kowloon commander claimed that both ships were sunk and 50 British sailors killed.
- The reaction in Britain was about as much as you expect. Prime Minister Palmerston sent out letters to the Governor General of India to prepare marines to invade China and another letter to the Chinese Emperor telling him that Britain would send a military force. He sent a letter to Superintendent Elliot to set up a blockade on the Pearl River and capture Chusan Island. He also instructed Elliot to accomplish the following objectives:
- Demand the respect as a British envoy from the Qing Government.
- Secure the right for British law to be doled out on British subjects
- Get recompense for destroyed British property, especially the illegal drugs that they destroyed
- And most important, End the Canton System thus opening up China to free trade for the first time, ever.
Alright this is where we will leave things off for now, on the brink of war with China. Stay tuned! submitted by Bubzoluck to SAR_Med_Chem [link] [comments] |
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liberalgunowners [link] [comments]