That's what I feel now. :'(

Can someone me. so last night i was with my girl and i ended up with a peanut butter jar in my anus. sadly we have tried to pull it out but its well stuck in there : ( any ideas how to get it out?

The affordable care act has expanded mental health and substance abuse benefits to 62 million people and is an addition to the mental health parity act of 2008. the changes and additions require mental health coverage in small group and individual plans where people were not previously covered. what is the biggest benefit of these changes? what major challenges are still associated with mental health coverage? explain your reasoning.

A46-year-old man with a history of hypertension and hypercholesterolemia visits the physician for a routine followup. the patient's job involves a lot of travelling, and he admits to occasionally forgetting to take his medications with him when he travels. he complains of several episodes of chest pain in the past few months. the pain is sharp in nature, mainly over his lower chest and epigastrium, and tends to come on when walking. he believes these episodes are due to indigestion and has been taking antacids. there is a family history of heart disease, and his father died of a heart attack at age 48. on physical examination, his blood pressure is 150/80 mmhg and heart rate is 86/min. his lungs are clear to auscultation. cardiac auscultation reveals normal rate and rhythm, without rubs, gallops, or murmurs. there is no pedal oedema. he is sent for an exercise stress test. five minutes into the test, he develops st depression of 3mm in leads v1-v5. the st segment depression is greater than 0.12 seconds in duration and the stress test is stopped. which of the following is the most appropriate next step in management? - coronary angiography- holter monitor- no further tests are required- repeat stress test with thallium- upper gastrointestinal endoscopy