‘Sexting’: A New Crisis for Relationships?

‘Sexting’… So what is it anyway? ‘Sexting’ by definition is sending or receiving sexually explicit messages or photos by mobile phones or other social media. This is a trend that has increased steadily through the years as more and more people have utilized phones as their main method of communication. In fact, 88% of adults have engaged in some kind of ‘sexting’ within the context of a relationship according to a paper called: “Reframing Sexting as a Positive Relationship Behavior.” 2Is ‘sexting’ more common than we believe or are these research studies just turning up coincidences with this type of behavior? Emily Stasko, at Drexel’s University in Philadelphia, surveyed 870 heterosexual individuals and found that more ‘sexting’ was associated with a higher level of sexual satisfaction. 2These are just two studies, you might say, and don’t represent the population at large. Well, another way to look at this is that technology is something that most people (in larger cities or suburban areas) concentrate on daily. People are very involved with social media on mobile phones, computers & tablets. They are using these social media applications for various reasons (i.e. Facebook, Instagram, Twitter, WhatsApp, Tumblr, Vine, Snapchat, etc). Is there any reason to think, even for a minute, that people are not using technology to date or enhance their present relationships? People all over the country (and the world) have access to texting/messaging, social media, and video chatting (Facetime, Viper, etc.). It is extremely easy to use any of these modalities in the context of a relationship.So how do people view ‘sexting?The problem is that not everyone defines ‘sexting’ the same way. Is it the sending of sexually explicit or provocative messages? Is it primarily the sending of sexual images? Some people see it as one, the other or even as both. This has been unclear because there have been various opinions about the subject. ‘Sexting’ may not be limited to just messaging but could also include the use of Twitter, Facebook, Skype and Facetime, as well as, other social media platforms. This could also mean sending sexually explicit video or showing nude body parts while video conferencing. This complicates matters even more and broadens the current definition.Most people have really warmed up to the idea of ‘sexting’ and according to the research, previously cited, a very high number of people have engaged (and continue to engage) in this behavior. These research studies and surveys have focused on how ‘sexting’ can improve relationships and rekindled sex lives. However, there is a darker side as well. This article focuses on those individuals that use ‘sexting’ as a way of seeking excitement, sex, and/or attention outside of their present relationship. The lines are sometimes blurred with regards to virtual or internet relationships because they are not viewed as being “real.”Is ‘Sexting’ outside of a relationship considered cheating?That is a good question. We already know that ‘sexting’ or sending these sexually provocative messages can really enhance a committed relationship. However, what happens when people send these types of messages outside of a committed relationship? How is ‘sexting’ viewed among the general population?”A 2013 Huffington Post article of 1,000 U.S. adults found that 85 percent of women and 74 percent of men consider ‘sexting’ a form of cheating.” 1′Sexting’ outside a relationship can be exciting especially for those individuals that are looking for ‘that extra something’ in their lives. Perhaps these individuals love their spouses or partners but seem to have ‘lost’ the passion or excitement in their relationship. For other individuals, maybe they are looking to find someone else online or in a virtual sense (i.e. via texting, online websites or other media) that they can flirt with and is considered “safe.” That could fall into the “grass is greener on the other side of the fence” scenario. A person may be very happy or mostly satisfied with their partner but think that they might be able to find something better outside their relationship.Other scenarios could include men or women that seem to feel as if they are invisible to their partners or spouses due to over demanding careers, children, mental illness, physical illness, alcoholism, etc. These individuals may find that through ‘sexting’ with a 3rd party that they can feel loved, desired and even sexy. It is through this media (and possibly other reasons) that people justify their actions and tell themselves that they are not cheating because there is no physical relationship.Is this behavior wrong? Is it cheating? There are various reasons why an individual may decide to engage in ‘sexting’ outside of his/her relationship but what is the intention exactly? Some people may believe that due to the virtual nature of ‘sexting’ that it isn’t necessarily wrong. ‘Sexting’ doesn’t have to involve physical contact and it could just be chalked down to a simple fantasy (or something that they don’t intend to pursue). It may have started as something very innocuous (like work-related messages sent to a colleague, coworker or fellow student) but then it moved forward to a more sexual type of relationship.However if a person is deleting texts, hiding cell phone bills, or being secretive about this virtual relationship then it seems that he/she has become more involved with someone other than a spouse or partner. This person is now thinking about another person, sending pictures to that person, and possibly wishing he/she could spend time with that other person. If we are looking at the health of a marriage or relationship, any time someone else becomes involved, that health has now been compromised. We could also argue that the commitment toward the relationship or marriage has waned because of the 3rd party that is now part of the equation.Case Examples:Maria and Thomas (not their real names) have been married for 3 years but have been together for about 12 years. Thomas had been dealing with anxiety issues for his whole life but had developed a drinking habit to numb the intense feelings that he dealt with on a daily basis. This drinking problem had become so bad where Maria had found him passed out on the couch a few times after work and he spent a good amount of time drinking with colleagues. This situation caused her to feel very detached and distrustful of Thomas. She didn’t feel as if Thomas loved or desired her and that his drinking had become his new relationship. Maria decided to contact a former male friend from school with which she began a ‘sexting’ relationship. She never sent any sexually explicit photos of herself to this other person but the messages they shared were very provocative.Maria never had any intentions of actually cheating on Thomas but she just felt lonely and unattractive. She sought companionship with someone that showed interest in her and chose to continue this ‘sexting’ relationship for a couple of months. She mentioned that this person made her feel sexy and desirable. She also felt good that someone was interested in her and although this person requested to meet her in person, she never did. Maria had some guilt that she was busy sending messages to someone other than her husband yet she continued. She got so frustrated with Thomas that she even ‘sexted’ this friend of hers while her husband was next to her on the couch.Now, although this behavior of Maria’s was not having a physical affair it was an emotional affair. Maria was tired of trying to get through to her husband about his drinking and lack of interest in her. She spent a good amount of time looking for affection outside her relationship because her husband was not available to her. When Thomas found out about this ‘sexting’ relationship that Maria had started, he was devastated that she would do such a thing.Maria made the decision to seek therapy to discuss her concerns and disappointment in herself and her relationship. Obviously she realized that while her marriage was not in the best state that she needed help to put things into perspective. After a few sessions, Maria wanted to bring her husband to join in the sessions. These sessions were spent having both of them discuss their feelings and how they were each disappointed with one another. Maria was able to discuss how she felt undesirable and lonely while Thomas received validation for his anxiety issues. Thomas was confronted for his alcohol abuse and how that was affecting their relationship. This couple was able to communicate, forgive each other and move forward.—A second couple, Julio and Gabrielle (not their real names) were not so lucky. Julio started ‘sexting’ with another woman he met online just after the birth of his daughter. He had been unhappy with Gabrielle for some time however just didn’t know how to communicate his feelings. He had come from a family in which communicating feelings was highly discouraged. So while his wife was pregnant and tired a good portion of the time, Julio was online looking for some attention.At first, things were very mild. He sent a few texts here and there just looking to see if other women were interested. However, once his daughter was born, Julio spent a lot of time on his phone. He ‘sexted’ with a particular woman with whom he had a connection at work and in the car. He also deleted all of the messages because he didn’t want his wife to become suspicious or to find them ‘by accident.’ So he was able to keep up this front for some time…a good 6 months.However, one day he wasn’t so careful. Julio forgot to delete some messages and his wife looked at his phone while she was up in the middle of the night feeding the baby. She was appalled and devastated at what she found. Gabrielle chose not to say anything right away because she wanted to see if she could catch him or get him to admit to this behavior. And one day she was able to do just that. She found him in the bathroom taking pictures of his genitals and sending the pictures & messages. She confronted him on the spot and but he denied ever meeting up with this woman. Gabrielle realized that they needed some serious help and sought therapy.She communicated that she loved Julio and wanted to keep their marriage intact but was not going to accept this type of behavior from him. Julio was able to finally, after some encouragement, to communicate that he had been unhappy with Gabrielle for years. He stated that he only married her because she had become pregnant with his daughter but he didn’t feel that the two of them were very compatible. She also found out in therapy that Julio had lied about meeting up with the woman that he was sending messages to and that they had been dating. It was at this point that Gabrielle and Julio decided to separate because their relationship was not reparable.So what should you do?If you have found yourself interested in finding attention outside your marriage or relationship, it is important to ask yourself some important questions.What do you want to accomplish? What are your intentions? Have you found that you are not interested in maintaining your marriage or relationship? What is the reason you are trying to connect with someone else? Are you looking for some attention because you are not getting it at home? Are you seeking out something more exciting or compatible than your partner/spouse? Or is your relationship salvageable with the help of someone who can encourage better communication and engagement? Are you just looking to make you’re your partner/spouse jealous? These questions need to be answered before the relationship deteriorates past the point of no return.If you decide that you are simply not interested in continuing with your present relationship, then some honest dialogue needs to occur with your spouse or partner. It is important to communicate your feelings and to allow this other person the opportunity to hear that the relationship is over. This allows your partner to start the process of grieving the relationship and eventually moving on. Hopefully, you are able to provide some support and compassion for your spouse or partner and allow for a more amicable separation.————-However if you have recently found out that your spouse or partner has been involved in a ‘sexting’ relationship, it is important for you to maintain composure. It is completely normal to have intense emotions regarding the situation however it will not help in the communication process. Please ask questions about this other relationship and find out about your partner’s intentions. It is important to know if your spouse or partner is interested in continuing with your relationship and ending the other one or not. It is helpful to have an objective 3rd party there to help both of you to determine in which direction you both want to travel.Emotions will be high in either situation especially for the person that has just found out about this outside relationship. If you are too deeply hurt by your spouse or partner’s ‘sexting’ relationship to stay with him/her, then this must also be addressed. Each person deals with highly emotional situations in different ways. One couple might be able to communicate effectively even in difficult situations while another couple might not be able to be in the same room together. So it is important to know how your spouse or partner will react in this situation and find a way to come to a workable conclusion that best fits both of you.ConclusionSince ‘sexting’ has become such a popular activity among adults in monogamous relationships and with those that are dating based on the research provided in this article, it is important for everyone to be more knowledgeable regarding the topic. The research shows that ‘sexting’ can enhance a monogamous relationship. The case examples show two different scenarios that can ensue. If people are unhappy in their present relationship and choose to utilize ‘sexting’ to find excitement with another person, the end result could be relationship or marital dissolution.Couples are encouraged to seek out help. A counselor, therapist or psychologist can help couples to find their way through this situation. If a relationship has been extensively damaged by ‘sexting’ (through which a physical relationship may or may not have begun), there are important feelings on both sides that need to be addressed. Depending on the desires of both people involved, these relationships can be saved but does take time to rebuild trust and confidence. Since most of these relationships consist of one (or both) persons seeking out someone else, it is vital to encourage verbal communication about the things that each person views is lacking in the relationship. Feelings need to be communicated and each partner or spouse needs to have the opportunity to express him/herself. Forgiveness plays a HUGE part in this type of situation. Each person has to ask him/herself if forgiveness is an option and if so, they can proceed toward creating a new relationship together. They can do this by spending time together and discussing how to satisfy each other’s needs. Only after these important issues have been brought up can the couple begin to move forward on a new path toward happiness.References:1. Rebecca Adams, “A Look Inside The Insidious and Adulterous World of Sexting,” Huffington Post, http://www.huffingtonpost.com/2014/12/02/sexting-cheating_n_6185288.html?utm_hp_ref=sexting2. Rachel Zimmerman, “Sexting Among Adults May Be More Common Than You Think, Survey Suggests,” WBUR’s Common Health Reform & Reality, http://commonhealth.wbur.org/2015/08/sexting-adults-relationships

Why No One Talks About Equipment Anymore

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Incredible Lessons I’ve Learned About Detectors

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The Essential Laws of Detectors Explained

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What a Pharmacy Technician Does

What Does a Pharmacy Technician Do?I have been writing articles on why and how to become a pharmacy technician, but some recent feedback has made me realize I left out the obvious. What is it that pharmacy technicians do in a pharmacy? Most people figure they help the pharmacist enter prescriptions and count pills. This is true for an outpatient pharmacy, also called a retail pharmacy, but there are many roles for pharmacy technicians in healthcare. The rest of this article will list different types of pharmacy settings and the roles that pharmacy technicians have in these settings.Community/Retail Pharmacy:I have worked retail, and I prefer other settings; however, it is where a large percentage of pharmacy technician jobs are found. What a pharmacy technician can do is determined by the state they work via state laws and rules. In general, technicians cannot provide clinical information to patients or be the final check for prescriptions. In some states, technicians are allowed to provide information on over-the-counter (OTC) medication (ie, medications that do not require a prescription, such as, acetaminophen and ibuprofen). Pharmacy technician tasks include, but are not limited to:• Collecting patient information (insurance and personal information as needed)
• Entering and processing prescriptions in the computer system
• Filling and selling prescriptions
• Requesting refills from doctor offices for patients
• Compounding medications that are not commercially available
• Ordering medications
• Restocking shelves
• Answering the phone
• Working with insurance companies on approving payment for certain medications
• Maintaining the cash register and conducting accounting functionsHospital Pharmacy:There are many different roles for pharmacy technicians in a hospital pharmacy. I know this type of pharmacy best since this is where most of my work has been. The most common are technicians who work in the central pharmacy. In addition we have decentralized techs, sterile compounding techs, billing techs, OR techs, narcotic techs, database techs, automation techs, team lead techs, and buyer techs. These technicians as a whole perform the following tasks, but not limited to:

• Filling new orders, this includes a variety of medications from oral medications to specially prepared sterile compound medications (including chemotherapy meds)
• Answering the phone
• Tubing medications (if the pharmacy has a pneumatic tube station)
• Preparing medications for delivery
• Delivering medications
• Assisting floor pharmacists with medication histories
• Assisting floor pharmacists with IV drip checks
• Handling missing dose calls
• Billing medications where nurse charting does not bill
• Maintaining the pharmacy database
• Restocking operating rooms and anesthesia trays with appropriate medication
• Dispensing and tracking all controlled substances throughout the hospital
• Maintaining automation equipment [automated dispensing cabinets that store medication on nursing units, automatic fill systems (typically called Robot-Rx)]
• Purchasing of all medication and supplies needed in the pharmacy
• Leading and managing the technician workforce, including upkeep of schedulesLong-Term Care Pharmacy:I have worked at a couple of long-term care pharmacies, and I think it is a great place to be a technician. They typically employee a lot of techs because the work load lends itself to a lot of technician tasks. These pharmacies provide the medication needs for nursing homes, assisted living facilities, and psychiatric facilities. The typical pharmacy is located in a warehouse. It does not have an open pharmacy for people to come to; they receive orders by fax and deliver all medications via couriers or drivers to facilities. The oral medication is filled in blister packs (cards of 30 tabs that are used to provide a 1 month supply of medication), or some other mechanism that provide the facility with an extended amount of medication doses that can be safely and cleanly kept until doses are due. Pharmacy technician tasks include, but are not limited to:• Filling new and refill orders (different from hospital because of the number of doses provided)
• Processing new order and refills coming through the fax machine
• Order entry of prescriptions and printing of labels for fill techs
• Sterile compounding of medications (although there aren’t as many sterile compounded medications as a hospital, there are still enough that most long-term care pharmacies have a few techs specialize in sterile compounding
• Billing medications to homes
• Controlled substance dispensing and documentation
• Ordering medications and supplies
• Restocking medications that are returned that are still suitable for reuse.Home Infusion Pharmacy:These pharmacies primarily care for patients that require some form of IV or other non oral medication, and want to receive the therapy at home (hence the name home-infusion). I have also worked in a home-infusion pharmacy. As a tech I had a lot of experience in sterile compounding, and found my self in any position that needed a IV room tech. Pharmacy technician tasks include, but are not limited to:• Compounding sterile preparations in the clean room
• Preparing supplies associated with sterile medication administration for delivery
• Billing medications delivered to patients home
• Coordinating deliveries of medications with patients
• Entering orders in the pharmacy order entry systemNuclear Pharmacy:No, I have not worked in a nuclear pharmacy (I am sure you were staring to think I got around quite a bit, but I have been in pharmacy for about 17 years). I have some friends who work in a nuclear pharmacy. The hours are interesting; they usually come in at about 3 AM and work until about noon. These types of pharmacies make radioactive compounds and they need to be made in a way that when they are delivered to the hospital or clinic administering them, that the dose has degraded to a specific amount. Without going into too much detail, these medications have short half-lives. So they have to time the compounding of the product with the time it takes to deliver the medication and the time the patient is to receive the dose. The job pays well, but as you can imagine, there are not a ton of these positions available. Pharmacy technician tasks include, but are not limited to:

• Preparing radioactive products
• Cleaning and preparing sterile compounding areas
• Entering orders into the pharmacy system
• Coordinating dose due times with deliveries and preparation
• Billing products to hospital or clinicHealth Plans/HMO Pharmacy Group:I saved this one for last because it is a lot different. Most healthcare plans have a pharmacy department. They manage the pharmacy benefit of the health plan. I have worked with my companies health plan and have spent some time with the pharmacy department. Pharmacy technician tasks include, but are not limited to:• Answering phone calls and providing support for patients on the pharmacy benefit
• Reviewing prior authorization requests
• Providing support to physicians and drug companies for information requests
• Supporting the pharmacists in the department with database and projects as neededAs you can see, pharmacy technician roles can be very diverse. The best advice I can give you is to figure out what setting you would most like to work in and obtain some experiential hours in that setting. I have found that the type of pharmacy you train in is typically the type of pharmacy you end up working in.