Noticethe peasants moving about, some are running up from the shoreline carrying bundles of food: Vegetables, loaves of bread, fish. Some have black and red banners draped over their shoulders. The Gold Cloaks and other soldiers are taken by surprise. In the High Sept, the Queen Dowager and her daughter the Queen are rushed out by their knights, alarmed by the howling mob that has whipped up like a storm.
From our perch on the window, we can see Aegon in all his resplendent suffering. But it is more than mere pain on his face. There is fear there as well. You can smell it on him and in the air, sour andmixed in with the stink of bandages and sickness.
Daemon storms out of the castle, down toward where his dragon, Caraxes waits. I get the sense that Caraxes has spotted us, dear reader, or at least sense Rhaelyx nearby. But Daemon never makes it to the dragon. At the Godswood, Alys Rivers stands. He confronts her but she is unfazed by his bluster.
Seasmoke flies free and later his shadow falls over another relatively new character: Addam of Hull, younger brother of Alyn who the Sea Snake has asked to be his boatswain. Addam flees as the dragon swoops down, scrambling through the trees, falling over himself in a panic to get away. But Seasmoke lands in front of him and leans down, looking every bit like a monster going in for the kill.
All told, another fantastic and gripping episode of House of the Dragon which manages to be fascinating and compelling even without large-scale dragon battles or battles of any kind. Every scene crackled this week, just like last week, and all signs point toward epic battles to round out the end of Season 2, as armies march and dragons take flight.
This is what last week and this week did. This is a war story, but in-between the battles we get character drama, court intrigue, strategy, and so on and so forth. I suspect that the final two episodes of the season will be action-packed.
Another reason we get episodes without major dragon battles is budgetary. Already, this season was slashed from 10 to 8 episodes almost certainly because of money limitations. The big difference between House of the Dragon and Game of Thrones is this show has lots of dragons and lots of battles featuring dragons and that is incredibly expensive. It also has more war in general, more big battles, all of which would be expensive even without CGI winged beasts. So we have to be a little bit patient and not expect that every episode. I say, enjoy all the juicy character drama. Think how much great stuff played out next to the bed of king Aegon this week. Both the scenes with Aemond and Aegon and Larys and Aegon were crackling good.
Dr. Bren Brown is a research professor at the University of Houston, where she holds the Huffington Foundation Endowed Chair at the Graduate College of Social Work. She also holds the position of visiting professor in management at the University of Texas at Austin McCombs School of Business.
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AN: Yeah. And I needed science in my mid-30s to prove to me that emotions were real, even though I was literally a professional musician and expressing emotion was my job. I guess the performance aspect of it made me able to separate myself. Okay, emotions are cycles that happen in your body. They are neurological events, and when I say neurological, I mean not just happening in your brain but your whole nervous system, the intelligence of your body extends to your nervous system from the top of your head to the tip of your toes and also beyond your skin. Emotions are an involuntary neurological response. They have a beginning, a middle and an end.
AN: All of that is fine and good, and it works in gazelles and it works in human beings too, but there is a barrier that gets in our way. We all know about fight and flight. Most of us even know about freeze.
EN: And you flop down, put your hands on the ground and let your body soak and release. And that, even by itself, is going to begin to release the physical chemical stuff that was happening in your body with the stress. Any movement of your body.
EN: Yes, yes, yes. Even when I first started learning the stuff, like everything, I underestimated how powerful it was, it sounded too easy, it sounded like it was kind of just like a hippie, made up thing.
EN: Right now, my whole body is like the most important thing, the most powerful thing to be aware of is sisterhood. So not just Amelia, my actual sister, but the experience of sisterhood, you being with your sister, and the idea of the ways that our book can facilitate a feeling of sisterhood among women.
The perinatal episode of care pilot is part of the maternal health reforms of NurtureNJ, a statewide campaign led by First Lady Tammy Murphy to make New Jersey the safest and most equitable place in the nation to deliver and raise a baby.
The proposed Transforming Episode Accountability Model (TEAM) would be a mandatory episode-based alternative payment model in which selected acute care hospitals would coordinate care for people with Traditional Medicare who undergo one of the surgical procedures included in the model (initiate an episode) and assume responsibility for the cost and quality of care from surgery through the first 30 days after the Medicare beneficiary leaves the hospital. As part of taking responsibility for cost and quality during the episode, hospitals would connect patients to primary care services to help establish accountable care relationships and support optimal, long-term health outcomes. The surgical procedures included in the model would be lower extremity joint replacement, surgical hip femur fracture treatment, spinal fusion, coronary artery bypass graft, and major bowel procedure. For purposes of TEAM, CMS would provide participating hospitals with a target price that would represent most Medicare spending during an episode of care, which would include the surgery (including the hospital inpatient stay or outpatient procedure) and items and services following hospital discharge, such as skilled nursing facility stays or provider follow-up visits. Holding individuals accountable for all the costs of care for an episode may incentivize care coordination, improve patient care transitions, and decrease the risk of avoidable readmission. In addition, TEAM includes a proposed voluntary Decarbonization and Resilience Initiative, through which CMS would assist individuals in increasing quality of care by addressing threats to patient health and the health care system presented by climate change.
People with Traditional Medicare undergoing a surgical procedure either in the hospital or as an outpatient may experience fragmented care that can lead to complications in recovery, avoidable hospitalization, and other high costs. This is because in a fee-for-service (FFS) payment system, providers and suppliers are paid separately for each service and procedure, potentially resulting in fragmented care, duplicative use of resources, and avoidable utilization. TEAM would test an episode-based payment approach in which the selected acute care hospitals would receive a target price to cover all costs associated with the episode of care, including the cost of the hospital inpatient stay or outpatient procedure and items and services following hospital discharge, such as skilled nursing facility stays or provider follow-up visits. Through the target price, CMS would hold individuals accountable for spending and quality performance, which can motivate health care providers to better coordinate care and improve the quality of care. TEAM could benefit people with Traditional Medicare who receive one of the included surgical procedures by potentially improving care transitions, encouraging provider investment in health care infrastructure and redesigned care processes, and incentivizing higher value care across the inpatient and post-acute care settings for the episode. Five different surgical procedures would be included in TEAM: lower extremity joint replacement, surgical hip femur fracture treatment, spinal fusion, coronary artery bypass graft, and major bowel procedure.
TEAM would be a five-year, mandatory episode-based payment model that would start in January 2026. Hospitals required to participate would be based on selected geographic regions, Core-Based Statistical Areas (CBSAs), from across the United States. The proposed TEAM design includes a one-year glide path, which would allow individuals to ease into full financial risk. TEAM would have three participation tracks: Track 1 would have no downside risk and lower levels of reward for the first year; Track 2 would be associated with lower levels of risk and reward for certain hospitals, such as safety net hospitals, for years 2 through 5; and Track 3 would be associated with higher levels of risk and reward for years 1 through 5.
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