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10 jili slot game withdrawal FORT LAUDERDALE, Fla. (AP) — Republican senators pushed back on Sunday against criticism from Democrats that Tulsi Gabbard , Donald Trump's pick to lead U.S. intelligence services , is “compromised” by her comments supportive of Russia and secret meetings , as a congresswoman, with Syria’s president, a close ally of the Kremlin and Iran. Sen. Tammy Duckworth, D-Illinois, a veteran of combat missions in Iraq, said she had concerns about Tulsi Gabbard, Trump's choice to be director of national intelligence . “I think she’s compromised," Duckworth said on CNN’s “State of the Union," citing Gabbard's 2017 trip to Syria, where she held talks with Syrian President Bashar Assad. Gabbard was a Democratic House member from Hawaii at the time. “The U.S. intelligence community has identified her as having troubling relationships with America’s foes. And so my worry is that she couldn’t pass a background check,” Duckworth said. Gabbard, who said last month she is joining the Republican party, has served in the Army National Guard for more than two decades. She was deployed to Iraq and Kuwait and, according to the Hawaii National Guard, received a Combat Medical Badge in 2005 for “participation in combat operations under enemy hostile fire in support of Operation Iraqi Freedom III." Duckworth's comments drew immediate backlash from Republicans. “For her to say ridiculous and outright dangerous words like that is wrong," Sen. Markwayne Mullin, R-Oklahoma, said on CNN, challenging Duckworth to retract her words. “That’s the most dangerous thing she could say — is that a United States lieutenant colonel in the United States Army is compromised and is an asset of Russia.” In recent days, other Democrats have accused Gabbard without evidence of being a “Russian asset.” Sen. Elizabeth Warren, a Massachusetts Democrat, has claimed, without offering details, that Gabbard is in Russian President Vladimir “Putin’s pocket.” Mullin and others say the criticism from Democrats is rooted in the fact that Gabbard left their party and has become a Trump ally. Democrats say they worry that Gabbard's selection as national intelligence chief endangers ties with allies and gives Russia a win. Rep. Adam Schiff, a California Democrat just elected to the Senate, said he would not describe Gabbard as a Russian asset, but said she had “very questionable judgment.” “The problem is if our foreign allies don’t trust the head of our intelligence agencies, they’ll stop sharing information with us,” Schiff said on NBC's “Meet the Press.” Gabbard in 2022 endorsed one of Russia’s justifications for invading Ukraine : the existence of dozens of U.S.-funded biolabs working on some of the world’s nastiest pathogens. The labs are part of an international effort to control outbreaks and stop bioweapons, but Moscow claimed Ukraine was using them to create deadly bioweapons. Gabbard said she just voiced concerns about protecting the labs. Sen. Eric Schmitt, R-Missouri, said he thought it was “totally ridiculous” that Gabbard was being cast as a Russian asset for having different political views. “It’s insulting. It’s a slur, quite frankly. There’s no evidence that she’s a asset of another country,” he said on NBC. Sen. James Lankford, another Oklahoma Republican, acknowledged having “lots of questions” for Gabbard as the Senate considers her nomination to lead the intelligence services. Lankford said on NBC that he wants to ask Gabbard about her meeting with Assad and some of her past comments about Russia. “We want to know what the purpose was and what the direction for that was. As a member of Congress, we want to get a chance to talk about past comments that she’s made and get them into full context,” Lankford said. Adriana Gomez Licon, The Associated Press

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ST. THOMAS, Virgin Islands (AP) — Javohn Garcia scored 16 points as McNeese beat Illinois State 76-68 on Friday. Garcia also contributed seven rebounds for the Cowboys (3-2). Brandon Murray shot 4 of 10 from the field and 5 for 7 from the line to add 13 points. Sincere Parker shot 4 for 8 (2 for 5 from 3-point range) and 3 of 4 from the free-throw line to finish with 13 points. Ty Pence led the way for the Redbirds (3-2) with 14 points and six rebounds. Malachi Poindexter added 13 points for Illinois State. Logan Wolf had 11 points. The Associated Press created this story using technology provided by Data Skrive and data from Sportradar .CHARLESTON, S.C. (AP) — Kobe Sanders scored 27 points, including five of six from the free throw line in the closing minutes, and Nevada pulled away late to beat Oklahoma State 90-78 for a fifth-place finish at the Charleston Classic on Sunday. Nevada's lone loss in its first six games came in the tournament's opening round when the Wolf Pack fell to Vanderbilt 73-71. Javascript is required for you to be able to read premium content. Please enable it in your browser settings.Larry Page, Google Co-Founder, Said He'd Leave His Fortune To Elon Musk Over Charity Because Of His Plans 'To Go To Mars To Back Up Humanity'

The cash has been awarded from Police and Crime Commissioner (PCC) Dan Price's SWAP Fund. Projects set to receive a share of the funds include those supporting boxing and girls' rugby clubs, youth zones, community radio initiatives, organisations helping the most vulnerable in society, and efforts to tackle anti-social behaviour. In Warrington, funding has been earmarked for eight groups. These are Warrington Open Door at Christmas, Cheshire Mix 56, Warrington Girls' Community Rugby League, Friends of Longbarn Park, Think F.A.S.T Academy CIC, Warrington Youth Zone, 2Engage CIC, and Heartstart Lymm CIC. The SWAP Fund, launched in September, is a pot of... Tabitha WilsonAP News Summary at 6:28 p.m. ESTInterest rate cut fuels increase in home sales: London-St. Thomas Association of RealtorsMenarini Group and MEDSIR Present the Phase III Study ADELA: A New Therapeutic Strategy for Advanced Breast Cancer

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SANTA CLARA — As the 49ers’ season comes to a close amid an avalanche of missed games, Dominick Puni remembers the one that got away. The one snap, that is. It happened with 9:28 to play in the first quarter of an eventual 30-13 win over the New England Patriots in Week 4. Puni took a blow to the stomach on a 1-yard run by Jordan Mason. “I had one snap where I got the wind knocked out of me and they told me to stay down so I missed one snap this year,” Puni said Saturday as the 49ers (6-9) concluded preparations to host the Detroit Lions (13-2) Puni, a rookie third-round draft pick out of Kansas, will be in his usual spot as the starting right guard Monday night as the 49ers close out their home schedule. Jake Brendel will be the center. The rest of the offensive line will be determined at some point before kickoff. Spencer Burford, the third 49ers’ left tackle, was declared out with a calf injury, along with left guard Aaron Banks (knee), linebacker Dre Greenlaw (calf) and defensive end Robert Beal Jr. (ankle). Right tackle Colton McKivitz is listed as questionable but didn’t practice all week with a knee injury. Also questionable were safety Ji’Ayir Brown (ankle), linebacker Tatum Bethune (knee) and cornerback Charvarius Ward (personal matter). Banks is expected to be the 14th player to go on injured reserve, although Bethune is eligible to be activated from I.R. If McKivitz doesn’t play, the 49ers starting line could consist, from left to right, of newcomer Charlie Heck at left tackle, Nick Zakelj at left guard, Brendel at center, Puni at right guard and Austen Pleasants, a recent practice squad promotion who signed on Dec. 17, at right tackle. Coach Kyle Shanahan characterized the challenge of playing mix-and-match this way: “You try to keep it simple for them, try to categorize stuff in groups, and the guys next to them just, they try to communicate as much as possible and you try to help him out,” Shanahan said. Puni, who has established himself as a foundation piece going forward, finds himself possibly being in the unusual position of dispensing advice and wisdom at age 24. “With these tackles, whoever is going to play next to you, you’ve got to tell them some things,” Puni said. “If you just get here you’re not going to know all the tricks of the offense. Other than that, I’m just going try and control my one-eleventh and do my job. It is exciting though.” Puni’s 938 snaps are the most on the team — two more than McKivitz and three more than Brendel. Remarkable when you consider Puni had to nearly avert his eyes during some recent film study of his own practices and game tape when he first arrived as the 86th overall pick of the draft. “I went back to rookie minicamp, the fall camp, the first three training camp practices, just to see how bad I was when I first got here compared to now,” Puni said. “It’s like a night and day difference. When you get here, you don’t know the offense, you don’t know the technique. Yet by the third training camp practice, Puni (6-foot-5, 315 pounds) was the starter. He’s never relinquished the position and health permitting isn’t likely to be out of the lineup for years. “I got a lot of reps with the (first team) and that’s the only reason I was able to do so well early in the year,” Puni said. Puni credits linemates such as McKivitz, Brendel, Banks, Burford and Trent Williams as well as line coach Chris Foerster for helping to bring him along, but it’s clear he’s been a quick learner who wears durability as a badge of honor. While the outside world fixates on who should and shouldn’t play regardless of injury on teams out of the playoffs, Puni’s outlook is appealingly old school. “You don’t ever want to miss a snap,” Puni said. “If you can be out there, you’ve got to play. The last thing I want to do is bring a backup guy in who has been sitting on the sidelines and now he’s got to go in and I don’t think that’s fair. If I can play, I’m going to play.” Running back Isaac Guerendo (foot, hamstring) was a full participant in practice and wasn’t given a status after missing the Miami game, meaning the 49ers should get another look at their fourth-round draft pick as a lead back. “It was good to have him back,” Shanahan said. “We had a full speed practice (Friday) and he looked good. So no holdbacks. He’s good to go.” Also good to go is fullback Kyle Juszczyk, who missed the two previous days with an illness. Ward, who lost his 23-month old daughter in October, is awaiting the birth of his son and currently away from the team. It’s not difficult to look at 49ers tight end George Kittle and hard-nosed Detroit coach Dan Campbell as kindred spirits. Kittle likes what he’s seen of Campbell from afar. “When you have a head coach who played, and the way he played was gritty and kind of nasty but beloved by all his teammates, it’s easy to play for a guy like that,” Kittle said. “He seems like a really easy guy to play for, makes them grind and earn every second, but you want people like that who hold you to a standard. It’s awesome to see the Lions have gotten to that. but it’s our job to take them down a little bit.” Former 49ers running back Ricky Watters (1991-94) and wide receiver Anquan Boldin (2013-15) did not make the cut to the round of 15 to be considered for induction for the Class of 2025 in the Pro Football Hall of Fame. Shanahan spent a lot of time around the 49ers when his father was offensive coordinator and Watters turned into a game-changer in both the pass game and run game. “I was only in middle school, so I can’t act like I really knew strategically what was going on,” Shanahan said. “But he was a really cool player. I loved talking to him and hanging out with him up in Rocklin at training camp.” Mike Holmgren, a San Francisco native who was a 49ers assistant from 1986 to 1991 as quarterbacks coach and offensive coordinator, is a coach finalist.

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Householders and businesses will continue to suffer the worst effects of flooding until the State puts in place an early flood warning system, the country's leading independent weather forecaster has said. Alan O'Reilly, who runs Carlow Weather, said if such a system was in place — at a cost of around €9m — people in areas worst hit by the weekend's Storm Bert could have been better prepared. A major clean-up operation is continuing after the storm caused widespread flooding and damage to homes and businesses. Towns and villages across Cork, Kerry, Limerick, Galway, and Donegal were hardest hit, experiencing torrential flooding. Met Éireann had issued a red weather warning — it's highest alert — for Cork and Galway. But Mr O'Relly said an early warning system, delivering specific flood alerts, could have helped people better prepare. “If you know how much rain is falling on upland areas and match that data with existing river water levels, it is possible to get reasonably accurate localised flood predictions,” he said. For around the €9m this Government spent on phone pouches, you could set up a national early warning system that could give people warnings between one or two hours ahead “There does not appear to be the political will to create a national system." It is estimated up to around 1,000 homes and businesses were damaged by flood waters in counties including Donegal, Mayo, Galway, Limerick, Kerry and Cork. Up to 80 roads had to be closed, a landslide occurred near Shramore, Newport, Co Mayo, and a section of road in Leenane, Co Galway, was swept away. Record water levels were recorded in places, including the River Feale at Listowel, where the levels reached were the highest since records began in 1946. Flooding scheme to reopen On Sunday, Enterprise Peter Burke announced is planning to reopen the Emergency Humanitarian Flooding scheme “as a matter of urgency” to provide support for businesses impacted by severe weather events. However, Mr O’Reilly said the cost of such State support could be a lot less if both people and businesses were given better and more specific flood warnings. “This is not rocket science by any stretch of the imagination,” he told the Irish Examiner. “We will continue to see severe weather events in the coming months and years, so it should make sense for there to be an early warning scheme in place nationally.” Met Éireann did not respond directly for a request to comment. However, in a November 11 email to Mr O’Reilly, a member of Met Éireann's Flood Forecasting team said: “With regard to information provided directly to the public, we communicate flood risk through general weather warnings and broadcasts. “Releasing raw data directly to the public would present a risk to public safety due to the high likelihood of misinterpretation and confusion.” Met Éireann also said “significant progress” has been made in the development of the Flood Forecasting Centre, as part of the National Flood Forecasting and Warning Service. It said that, with further development of the service, it envisages more flooding information can be made more widely available. However, until then, anything other than the general information it provides on its website “will not be available to the public for the foreseeable future”. Mr O’Reilly said: “The average member of the public is not looking for the raw data. What they want to be told is the extent to which their area is going to be flooded and roughly when." Check out the Irish Examiner's WEATHER CENTRE for regularly updated short and long range forecasts wherever you are.US says terror designation doesn't bar talks with Syrian rebel group

New Jersey drones are perplexing the FBI, the Office of Homeland Security, and state police

Opposition warns Australia-Israel relationship at ‘lowest ebb in decades’Regional West Foundation annual appeal seeks to support its mission of excellence in health careLPGA, USGA to require players to be assigned female at birth or transition before pubertyThe large mysterious drones reported flying over parts of New Jersey in recent weeks appear to avoid detection by traditional methods such as helicopter and radio, according to a state lawmaker briefed Wednesday by the Department of Homeland Security. In a post on the social media platform X, Assemblywoman Dawn Fantasia described the drones as up to 6 feet in diameter and sometimes traveling with their lights switched off. The Morris County Republican was among several state and local lawmakers who met with state police and Homeland Security officials to discuss the spate of sightings that range from the New York City area through New Jersey and westward into parts of Pennsylvania, including over Philadelphia. The devices do not appear to be The dronees wereffffflown by hobbyists, Fantasia wrote. Dozens of mysterious nighttime flights started last month and have raised growing concern among residents and officials. Part of the worry stems from the flying objects initially being spotted near the Picatinny Arsenal, a U.S. military research and manufacturing facility; and over President-elect Donald Trump’s golf course in Bedminster. Drones are legal in New Jersey for recreational and commercial use, but they are subject to local and Federal Aviation Administration regulations and flight restrictions. Operators must be FAA certified. Most, but not all, of the drones spotted in New Jersey were larger than those typically used by hobbyists. The number of sightings has increased in recent days, though officials say many of the objects seen may have been planes rather than drones. It’s also possible that a single drone has been reported more than once. Gov. Phil Murphy and law enforcement officials have stressed that the drones don’t appear to threaten public safety. The FBI has been investigating and has asked residents to share any videos, photos or other information they may have. Two Republican Jersey Shore-area congressmen, U.S. Reps. Chris Smith and Jeff Van Drew, have called on the military to shoot down the drones. Smith said a Coast Guard commanding officer briefed him on an incident over the weekend in which a dozen drones followed a motorized Coast Guard lifeboat “in close pursuit” near Barnegat Light and Island Beach State Park in Ocean County. Coast Guard Lt. Luke Pinneo told The Associated Press Wednesday “that multiple low-altitude aircraft were observed in vicinity of one of our vessels near Island Beach State Park.” The aircraft weren't perceived as an immediate threat and didn't disrupt operations, Pinneo said. The Coast Guard is assisting the FBI and state agencies in investigating. In a letter to U.S. Defense Secretary Lloyd Austin, Smith called for military help dealing with the drones, noting that Joint Base McGuire-Dix-Lakehurst has the capability "to identify and take down unauthorized unmanned aerial systems.” However, Pentagon spokeswoman Sabrina Singh told reporters Wednesday that “our initial assessment here is that these are not drones or activities coming from a foreign entity or adversary.” Many municipal lawmakers have called for more restrictions on who is entitled to fly the unmanned devices. At least one state lawmaker proposed a temporary ban on drone flights in the state. “This is something we’re taking deadly seriously. I don’t blame people for being frustrated," Murphy said earlier this week. A spokesman for the Democratic governor said he did not attend Wednesday's meeting. Republican Assemblyman Erik Peterson, whose district includes parts of the state where the drones have been reported, said he also attended Wednesday's meeting at a state police facility in West Trenton. The session lasted for about 90 minutes. Peterson said DHS officials were generous with their time, but appeared dismissive of some concerns, saying not all the sightings reported have been confirmed to involve drones. So who or what is behind the flying objects? Where are they coming from? What are they doing? “My understanding is they have no clue,” Peterson said. A message seeking comment was left with the Department of Homeland Security. Most of the drones have been spotted along coastal areas and some were recently reported flying over a large reservoir in Clinton. Sightings also have been reported in neighboring states. James Edwards, of Succasunna, New Jersey, said he has seen a few drones flying over his neighborhood since last month. “It raises concern mainly because there's so much that's unknown,” Edwards said Wednesday. “There are lots of people spouting off about various conspiracies that they believe are in play here, but that only adds fuel to the fire unnecessarily. We need to wait and see what is really happening here, not let fear of the unknown overtake us." —— AP reporters Mike Catalini in Morrisville, Pennsylvania; and Wayne Parry in Point Pleasant, New Jersey, contributed to this report.

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hen Dr. Amandeep Bhalla enters the the outside world melts away. There are no phone calls to take, no MyChart messages to return, no strict timetables to adhere to. The priority is clear: the person on the table. A beating heart and breathing lungs. Hands that someone in the waiting room is eager to hold again. Bhalla thinks of his newborn daughter and his aging parents, of every life that intertwines with the one lying, unconscious, on his operating table. It’s a "tremendous honor," a "fantastic gift" to be trusted like this, the spine told Newsweek from his Long Beach, California, office—and there is nothing more important than being worthy of that trust. "When a patient is under the only thing in the world that everybody in the room is focused on is the patient," Bhalla said. Each year, 15 million Americans have some sort of surgery, according to the American College of Surgeons. These patients give control of their bodies—and oftentimes, their lives—to a surgeon who was likely a stranger until just before the Such complete trust is increasingly rare in the health care industry, which is bleeding public confidence year over year. In 2023, 56 percent of Americans rated the honesty and ethical standards of medical doctors "high" or "very high," according to Gallup’s most recent Honesty and Ethics poll. That’s a 9-point decrease from 2019. But despite this surgeons say they are busier than ever. Ambulatory surgery centers are springing up by the thousands. Cosmetic surgery procedures increased 19 percent between 2019 and 2022, according to data from the American Society of Plastic Surgeons. Some elective surgeries saw particularly high growth rates during the same time period, like breast reductions, which rose 54 percent. Plastic surgeries do have social media on their side, as online testimonials stigma surrounding cosmetic procedures. But plastic’s resurgence doesn’t stand alone. In almost every specialty, surgeries hardly skipped a beat during the COVID-19 pandemic, even after nonemergent procedures were canceled in March 2020. Surgeries rapidly rebounded through the fall of that year—returning to baseline operation rates and, in some specialties, even exceeding them. While WHO and UNICEF blamed COVID-19 for the "largest continued backslide in vaccinations in three decades," patients returned to operating rooms While some Americans ignored doctors’ warnings not to self-treat the virus with many gave surgeons total authority and went under anesthesia. Do surgeons have something other doctors don’t, a magic touch that No magic, surgeons told Newsweek. Just touch. In today’s health care system, the gaps between patients and physicians can feel —but surgery demands that doctors cross that divide and understand their patients from the inside out. Surgeons are hands-on professionals in an increasingly hands-off world. That intimacy cultivates trust, physicians, patients and industry professionals told Newsweek. Dr. Tiffany Perry specializes in neurosurgery at Cedars-Sinai in Los Angeles and is among the nation’s top 150 spine surgeons (according to Newsweek’s latest ranking of America’s Best Spinal Surgeons). Each year since 2016—minus a brief during the pandemic—she has spent two weeks operating in Uganda. There, people tend to be more to medical professionals. "It’s almost like stepping back in time to where we used to be here [in the U.S.]," Perry said. "But [in Uganda] they aren’t living in the same consumer, heavily resourced and educated environment, where the ability to all of these conditions is at their fingertips." American patients come to their appointments with pages of questions. They’ve seen their lab results on MyChart and want to talk through the details. They have a friend who was paralyzed by back surgery, a neighbor who is still in pain after their procedure. Amid all the noise, they and reassurance. Perry prefers questions over emphasizing that "none of us it’s something that is earned." She offers patients space to and takes time to address them, never checking the clock. But nowadays, there’s a skepticism spreading through communities, and physicians must work harder to overcome it, Perry said. This skepticism was in part an outgrowth of the COVID-19 pandemic, according to the 2022 Edelman Trust Barometer. Nearly half of the 1,000 U.S. survey respondents said the pandemic decreased their confidence "that the health care system is well-equipped to handle major health crises," while 55 percent expressed worry that medical science is "being used to support a specific political agenda." Meanwhile, social media use is at an all-time high, making it easier than ever to access and share Americans’ faith in their ability to make informed health decisions dropped 10 percentage points from January 2017 to March 2022, according to Edelman’s survey—and unvaccinated respondents said they relied on internet searches, friends, family and even "no information" over the advice of their doctor. Nearly one in five Americans trust health influencers more than medical professionals, and 20 percent turn to TikTok before their doctor when seeking treatment for a health condition, according to a 2022 survey from CharityRx. "There’s a huge information asymmetry," said Bhalla, who practices at MemorialCare Long Beach Medical Center and is also on Newsweek’s latest ranking of America’s Best Spinal Surgeons. "Over time, there’s been increased access to the web and social media. There’s more There’s more marketing-driven information. There’s a lot of published material from less reliable sources. And I think that has added to the confusion or some of the difficulty around establishing trust." But as Americans drink from a bottomless well of "health information," many physicians are thirsting for time. That’s a problem, according to Dr. Louis Bucky, who is named among the country’s top 30 surgeons for facelift, liposuction and eyelid surgery on Newsweek’s latest ranking of America’s Best Plastic Surgeons. "Patients come in with much more information, whether that’s correct information or not," Bucky said from his personal practice in Philadelphia. "You need to have time to either or confirm accuracies." Most of today’s doctors don’t have the bandwidth between the electronic health records’ data entry requirements and insurance companies’ time-consuming prior authorization process. To provide guideline-based care for an average 2,500-patient load—and document it all correctly— would need to work 26.7 hours per day, according to a 2022 study in the Journal of General Internal Medicine. But to a patient who waited weeks for an appointment, a doctor’s hurry might come across as apathy. Trust usually comes down to "the provider seeing [the patient] as a person," said Caitlin Donovan, senior director of outreach and communications at the National Patient Advocate Foundation. Patients want a doctor who takes time to ask about their lives and customize a treatment plan—not one who barely makes eye contact before scribbling a script and sending "A lot of times, [patients] see a doctor for 15 minutes and know they’re being billed or their insurance is being billed for hundreds of dollars," Donovan said. "The majority of Americans now are very distrustful of the medical system, simply because of the way billing practices have trended and the high costs which are not corresponding with their health outcomes." Enter the internet, free of charge and open 24/7. Many people can reason that TikTok is not equivalent to a medical professional, said Kristin Lunz Trujillo, an assistant professor of political science at the University of South Carolina who researches misinformation and health attitudes. But it can provide more thorough, immediate feedback than some patients are getting from their physicians. Whether or not that feedback is accurate, "it’s more accessible," Lunz Trujillo said. "It’s something [patients] have agency over, that [they] can try, whereas the medical system has problems they can’t really overcome or don’t have as much agency with." Despite the internet’s ease, many people still crave a physician’s expertise. More doctors are transitioning to to concentrate their time and attention on a smaller number of patients. These patients pay thousands of dollars in annual fees, allowing their physician to take on a fraction of the caseload while slashing their administrative burden. In return, paying clientele get more time with their docs and more personalized experiences. One major draw of concierge medicine is accessibility. Under many models, patients can contact their physician anytime—which is appealing, as pain doesn’t wait for the next available appointment. Dr. Vinay Kamat, who pioneered concierge care at St. Louis-based BJC HealthCare in 2020, told Newsweek he is constantly available to his patients and even visits them if they are hospitalized. The model also gives Kamat time to build trust by sharing medical knowledge with his patients. In the digital age, patients have more questions than they used to—but it’s an important part of a physician’s job to give them answers that inform the shared decision-making process, he said. There’s already an element of concierge care in surgical specialties. The setting is naturally intimate, requiring hours of hands-on labor that uniquely ties the surgeon to the outcome. No one gets operated on after a 15-minute appointment, save for emergencies. Many plastic surgeons serve primarily cosmetic patients, so they don’t have to deal with insurance companies or clinical quotas, according to Dr. Ashley Amalfi, chair of the American Society of Plastic Surgeons’ social media committee and women’s plastic surgery forum. She also stands among the top 185 breast augmentation surgeons on Newsweek’s latest ranking of America’s Best Plastic Surgeons, and practices at the Quatela Center for Plastic Surgery in Rochester, New York. Amalfi can see a patient for 90 minutes at a time if she pleases and can control every aspect of their experience—from the scent in the room to the soundtrack. "It’s almost like we have become more of a hospitality industry as opposed to true medicine," Amalfi said. Perry echoed this idea, telling Newsweek time "is different in surgery than other professions." At Cedars-Sinai, the neurosurgeon works in a more traditional setting than Amalfi and has less control over the clinical environment. Yet her specialization still allows her the time and "luxury" of close listening, she said. While a primary care provider might hear about a headache, and weight gain—all in one visit—highly specialized surgeons can get more specific. And they have to: After all, they’re going to be working inside of that patient. Perry also performs hands-on evaluations and goes over patients’ scans with them, validating their pain as she works out a plan. "Validation is what we [humans] all want," she said. "It doesn’t matter if we want validation because we’re sad, if we want validation because we’re in pain. It’s giving the patient that moment to understand, ‘I get this. I can’t feel your pain, but I understand, and let’s try to formulate a plan together that’s going to be acceptable for you.’" This human link is also important in Bhalla’s practice. Many of his patients arrive with a "fear of the unknown, perhaps of a loss of control." When technology is involved in the procedure, he eases patients’ nerves by reminding them he is still guiding the surgery. "Patients may have built a trust with their surgeon, but they likely would not have built the same level of trust with a piece of equipment," he said. There is no margin for error in medicine. But even the most precise technologies—more accurate than a human being alone—can be met with skepticism from patients. Machines can improve outcomes and move the needle toward health, but they alone cannot provide care. Pain demands comfort, which begs a human touch, surgeons repeatedly told Newsweek. Surgery is one of few specialties where the treatment is another human being—their hands, mind, time. Not "take this medication" or "exercise more." Rather, "I’m going to dedicate this day to you," and "the burden of is not all on you." In order to pull off a successful surgery, the doctor must accompany the patient from start to finish, according to Dr. Camille Cash. She is named among the 185 best surgeons for breast augmentation and eyelid surgery on Newsweek’s latest ranking of America’s Best Plastic Surgeons. Cash has emphasized patient education since launching her Houston-based private practice in 2002. She listens to patients’ concerns, hopes and insecurities—and, as a mother, she meets them with empathy. When she explains a procedure, she uses as little jargon as possible, careful not to or confuse. Then she delves into the details of the patient’s life. "What do you do for a living? Do you live with a partner? Do you have children? Are there stairs in your home? Is the bedroom on the same floor as the kitchen? Are you planning to travel soon?" The answers confirm if the timing is right for surgery, and help Cash provide a detailed post-operative plan for the patient. It can take months to recover, and Cash makes sure every day is covered: How will the patient get food and rest? Who will take the kids to school in their absence? "We’re going to be here to walk [patients], 100 percent, through all the steps and the procedures," Cash said. Bucky places a similar emphasis on aftercare at his plastic surgery practice in Philadelphia. In addition to Bucky Plastic Surgery, he owns the Bucky Body Center to provide for patients, including lymphatic massages and red-light therapies (which deploy colored light to stimulate blood flow and endorphin production and decrease ). When patients come in for surgery from out of town, he has a nurse stay overnight at their hotel. That nurse is trained to check in at the right times, and if the patient has concerns, someone is there to help. Trish Clarke, a patient of Bucky’s, appreciated this after her surgery. She had excess skin removed from her neck after losing weight and recalls Bucky coming to her hotel the next morning to check in and remove her bandages. Her nurse was accessible by text anytime she needed advice in the following weeks. Elsewhere in the health care system, "you feel like more of a number," Clarke said. "But when somebody is going to have you asleep and cut you open, I feel like there does need to be a bit more trust there." Perhaps surgery has held patients’ trust not despite the it requires, but because of it. Risk demands granular attention, and surgeons’ reputations are directly tied to their procedures—a much more delicate stitch than the one between a physician and a prescription. Bucky shares a name with his practice; his photo is the first thing you see on his website. "Besides the patient, I’m probably the second person who is completely invested in their outcome," he said. "How a patient feels about their experience is very important because it has my name associated with it. And my name impacts my children, my my friends, in a very front-and-center concept. In plastic surgery—appearance—you can’t hide it." Patients are reassured by that human connection, the idea that their surgeon has a personal stake in their well-being. "Some of my happiest patients have had complications but felt like they were dealt with optimally and honestly," Bhalla said. "They believe they got care that was earnest, and people feel good when they feel like they were treated honestly and taken care of to the best of someone’s ability." Bhalla lets patients choose the music they listen to as they go under anesthesia. As their vision dims, they hear something familiar, comforting, personal. They know they’re in good hands and the subject of Bhalla’s unwavering attention. He focuses. And then he gets to work. – sala operacyjna – chirurg – znieczulenie – zabieg chirurgiczny – słabnące zaufanie – nadszarpywać coś, podkopywać coś – masowo – środki przeciwpasożytnicze – wzbudzać zaufanie – przypominający otchłań – luka, przerwa – pełen szacunku – wyszukiwać coś (np. informacje) – pragnąć zrozumienia – bezwarunkowa wiara – zasługiwać na bezgraniczne zaufanie – zgłaszać wątpliwości – szerzący się, rozprzestrzeniający się – fałszywa informacja – dezinformacja – powiększenie piersi – rozwiać/wyjaśnić nieścisłości – lekarz pierwszego kontaktu – wysoki rachunek – medycyna osobista/ abonamentowa (model opieki zdrowotnej, w którym pacjenci płacą roczną lub miesięczną opłatę za dostęp do bardziej spersonalizowanej opieki medycznej) – niestrawność – być u steru – leczenie – wzbudzać strach – terapia rekonwalescencyjna – stan zapalny – całkowita uwaga – wrażliwość – współmałżonek Read the text and answer the following questions: 1. What does Dr. Amandeep Bhalla prioritize when he is in the operating room? 2. How does Dr. Bhalla describe the trust patients place in him? 3. How has public confidence in medical doctors changed in recent years? 4. Despite the decrease in trust, what trend is observed among surgeons? 5. How does social media influence patients’ perceptions of medical procedures? 6. What challenge does Dr. Tiffany Perry note about American patients compared to those in Uganda? 7. What issues contribute to the distrust in the medical system? 8. What is concierge care, and how does it attempt to address the problem of trust in the medical system? First, match the words to form collocations and verb phrases that will help you describe the issue presented in the article. Next, write down a sentence using each collocation and verb phrase. The sentences you create should relate to the topic being discussed in the text. ( ) operating tremendous ethical online unconditional rampant health concierge care system faith honor medicine skepticism standards testimonials room cultivate raise rely on trust customize provide come in go under recovery treatments health influencers anesthesia concerns internet searches trust a treatment plan for surgery Students will participate in a discussion about trust in the medical field, particularly in surgery. Task elements: 1. Recall and write down three key points from the text that Dr. Bhalla emphasized about his role and responsibilities as a surgeon. 2. Discuss in pairs/small groups the reasons why trust is critical for surgeons according to the text. 3. Think of two ways surgeons can build trust with their patients despite the prevalence of misinformation online. 4. Design a brief outline for a program aimed at improving trust between doctors and patients. Include at least three specific strategies or activities that would be part of the program. Present your outline to the class. Complete the following summary using information from the text. When Dr. Amandeep Bhalla enters the _________, he focuses completely on the patient. He feels a deep _________ and responsibility in being trusted with someone’s life. This level of trust is rare in today’s healthcare, where public confidence is _________. Despite skepticism, surgeries remain in high demand, partly due to the human connection surgeons provide. Surgeons like Dr. Bhalla and Dr. Perry believe trust is earned through _________ care and personal attention. This approach helps them overcome patients’ fears and skepticism, particularly in a time of widespread _________.The large mysterious drones reported flying over parts of New Jersey in recent weeks appear to avoid detection by traditional methods such as helicopter and radio, according to a state lawmaker briefed Wednesday by the Department of Homeland Security. In a post on the social media platform X, Assemblywoman Dawn Fantasia described the drones as up to 6 feet in diameter and sometimes traveling with their lights switched off. The Morris County Republican was among several state and local lawmakers who met with state police and Homeland Security officials to discuss the spate of sightings that range from the New York City area through New Jersey and westward into parts of Pennsylvania, including over Philadelphia. Javascript is required for you to be able to read premium content. Please enable it in your browser settings.

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