List of All Articles with Tag 'dam'

Gogglebox star Ellie Warner has announced that she has given birth to a son she shares with her boyfriend Nat Eddleston, while co-star Pete Sandiford and his wife Paige Yeoman have welcomed a newborn girl. Both new parents confirmed the arrivals while appearing on Friday’s (2 June) episode of the Channel 4 show, giving viewers a glimpse at the children. Warner, 32, introduced her newborn as she handed the baby to her sister Izzi. Later, she shared a picture of her son on Instagram, who she has named Ezra. The picture sees baby Ezra sleeping in a cot underneath a yellow blanket. She wrote: “Sweet baby Ezra, he has made our lives complete, we love you so much son.” Meanwhile, Sandiford also confirmed his wife Paige Yeoman has given birth to their second child, a baby girl, on Friday’s show. Appearing on the segment with his sister Sophie, Sandiford is seen holding his baby, before saying to Sophie: “Did I tell you her full name? We think we’re going to call her Evie Sylvie Sandiford.” Sandiford and his wife Paige welcomed their first son Jimmy in August 2021 and wed last year. Announcing his baby news, Sandiford told his son Jimmy in a sweet clip that he was about to become a big brother. He joked: “Jimbers, you’re going to have a little brother or sister coming. You’re going to have to milk it.” Hairdresser Warner confirmed she and boyfriend Nat were expecting their first child together back in December. She confirmed her pregnancy on a Gogglebox episode, appearing alongside her sister Izzi, to who she showed her ultrasound scan. Warner, who has been dating her boyfriend Nat Eddleston since 2018, reflected on the moment she showed her mother her pregnancy scan. “When I showed mum the picture she said, ‘Oh can I take a picture,’ and you didn’t even look at it for two minutes,” she said. Izzi responded: “I did! I told you where the things were, I’ll stare at it a bit longer just to make you happy.” Warner and her sister Izzi first appeared on Gogglebox in 2015 after Warner was reportedly approached by a friend who worked on casting for the show. Sandiford and his sister have been fan favourites since they joined the show in 2017. Read More Triathlete proudly shares ‘beautiful’ racing photo where she bled through swimsuit while on her period A Place In The Sun’s Jonnie Irwin admitted to hospital amid terminal diagnosis Prince William overheard telling Kate to ‘chop chop’ at Jordan royal wedding Sarah Beeny shares health update after all-clear from breast cancer Meet the unconventional couple behind Escape to the Chateau Vanessa Feltz shares horrifying Rolf Harris encounter during live interview

Social media influencer Jackie Miller James is fighting for her life after entering a medically induced coma just one week before she was set to give birth to her first child. The 35-year-old content creator suffered from an aneurysm rupture, which led to severe brain bleeding and injury. According to a GoFundMe campaign established by her sister Natalie Miller, James was found immediately by her husband, Austin, at their California home. She was rushed to a hospital where doctors performed an emergency C-section to deliver her daughter, while simultaneously performing brain surgery. The newborn, whose name was not disclosed, was taken to the neonatal intensive care unit (NICU) where she remained for 12 days. James remains in a medically induced coma, her sister said, and has since undergone five separate brain procedures one week after the incident. “Jackie is expected to remain in the ICU for weeks and will continue to be hospitalized for months,” she wrote. Alongside the GoFundMe page, her family included a picture of James meeting her newborn daughter while still in a coma. “Jackie’s husband and family have not left her side since the incident,” Natalie said. “They are navigating taking care of a newborn in the ICU while fighting to keep Jackie alive.” The family members added that they likely would have lost both James and her daughter if they “arrived a few minutes later at the hospital”. “Jackie is continuing to fight for her life each day and we are optimistic she can beat the odds by surrounding her with the right specialists and methods of therapy. While the road will be long, we are committed to bringing Jackie home to her daughter and husband.” The GoFundMe, which has since raised more than $170,000 towards its $250,000 goal, was started to “provide a way for family and friends to help Jackie secure the highest level of care,” including speech therapy, physical therapy, home modifications, and alternative therapies once they know the effects of her aneurysm. Jackie Miller James is known for her beauty and lifestyle social media content with 36k followers on Instagram. She and her husband Austin, who were married in April 2022, announced their baby news on Instagram earlier this year. In March, they revealed they were expecting a baby girl. “I still can’t believe it! Can’t wait to meet this angel in May,” she captioned the video. Fans have since flooded James’ comments section with well-wishes for the influencer. “Praying for you and your family Jackie and can’t wait for the day you get to see your beautiful baby girl,” read one comment under her most recent Instagram post. “Sending all the prayers possible around you and your family,” said someone else. Read More TikTok influencer hospitalised for traumatic brain injury after horse falls on her at Arizona ranch Miss Universe finalist Sienna Weir dies aged 23 from tragic horse riding accident Influencer films travel nightmare as hostel fire claims luggage and passports TikTok Influencer hospitalised for after horse falls on her at Arizona ranch Alix Earle claims she was ‘stranded’ in Italy after villa turned out to be ‘scam’ Bioré apologises after influencer references school shooting in pore strips ad

Each year, rising temperatures and longer days in summer encourage Britons to seek out bodies of water to cool off and have fun in. Swimming, paddleboarding and other water-based activities can provide a wholesome day for families and friends, whether that’s in lakes, rivers, or at the seaside. However, there are a number of safety measures individuals should remember when taking part in these. It comes after several people had drowned in rivers, lakes and in the sea in recent weeks, with four deaths occurring over the Spring Bank Holiday weekend alone. The incidents have prompted warnings from police reminding people to be “vigilant to the dangers of the coast and follow water safety advice”. The Royal Life Saving Society UK (RLSS UK) has also issued a safety warning for people planning to be around open water, regardless of whether you consider yourself a strong swimmer. Lee Heard, charity director at RLSS UK, said: “Sadly we see an increase in young men drowning in the summer months and we have tragically seen a number in the past few weeks during the warmer weather we have had. We don’t want to see any more families experience the devastating and sudden loss from drowning.” He added: “We urge people to consider what could happen, understand that the water is colder than it looks, and not take risks if they are not experienced with being in cold, open water. “Whether you are heading to the coast for the bank holiday weekend or even just planning a walk along a river, please ensure that you take precautions to ensure the safety of yourself of those you are with. We want everyone to enjoy the bank holiday but to so with water safety in mind.” When swimming in open water, people should consider the risks involved before jumping in, particularly because bodies of water can be much colder than people realise. Getting straight into very cold water can lead to cold water shock. According to the National Water Safety Forum, this is the body’s short-term, involuntary response to being suddenly immersed in cold water, and is considered to be a principal underlying factor in drowning. When a person gets into cold water very suddenly, the blood vessels in the skin close, which results in increased resistance to blood flow. The heart has to work harder to pump blood around the body, which leads to increased blood pressure. At the same time, the body experienced a “gasp” response as well as a dramatic change in the breathing rate. The person will be unable to keep their breath steady for a while after they first get into the cold water. “The effect of these can lead to a sense of panic, inhalation of water, leading in some circumstance to a cardiac arrest,” the forum says. Cold water shock can be managed by wearing a well-fitting wetsuit and entering the water slowly. However, if a person has had an accidental fall into cold water without a wetsuit, the forum recommends using a technique called “float-first”, which involves tucking your legs and floating on your back, focusing on staying tucked and controlling your breathing until you feel you can self-rescue or be helped by others. When planning to go swimming in open water, people should check if the area is lifeguarded, has a safe-swim zone or is under any kind of supervision. A list of designated bathing waters in the UK, provided by the Environment Agency, also name many sites that are not supervised. In the instance that the water you are entering is not supervised, the forum recommends asking yourself if you have the right knowledge and experience to establish if conditions are suitable. It warns people to be particularly cautious in quarries and reservoirs, which can be “deceptively deep and cold throughout the year”, as well as in rivers with weirs and fast-flowing water, and potentially polluted locations. Heard adds: “If you or someone else finds themselves in difficulty in the water, it’s vital to remember the Water Safety Code: whenever you are around water you should stop and think to assess your surroundings and look for any dangers; stay together when around water and always go with family and friends; in an emergency call 999 and ask for the Fire and Rescue service when inland and the Coastguard if at the coast. “Finally, float to live, if you fall in or become tired, stay calm, float on your back and call for help, or if you see someone in the water, throw something that floats to them and resist temptation to go in.” Read More Mother’s warning after viral TikTok hack left skin peeling from her face How one hay fever medication helped my fight against the pollen bomb Dermatologist horrifies viewers by discussing mites that live in your skin How one hay fever medication helped my fight against the pollen bomb FDA warns against using off-brand versions of Ozempic, Wegovy for weight loss The £4 hay fever tablet that ‘cures all symptoms’

NBA Commissioner Adam Silver said that the league has "uncovered a fair amount of additional information" in relation to Memphis Grizzlies star Ja Morant and a video which surfaced on social media in May appearing to show him flashing a gun while in a vehicle with others.

Former National League Cy Young award winner Corbin Burnes has been named as a potential player to keep an eye on ahead of the trade deadline.Every single MLB season, fans follow every rumor and report about how the team can improve at the trade deadline. Whether that's bringing in a player...

NBA Draft Rumors: Brandon Miller could slide all the way to No. 5With the NBA Draft quickly approaching, Brandon Miller's talent is undeniable, but concerns still persistent among potential suitors.Despite averaging 18.8 points per game, there's hesitation around drafting 6-foot-9 fo...

Spring has always been a transformative season for me. As the the weather improves, so, too, does my mood. But there has always been one thing that makes the move from winter much, much worse: my hay fever. Like one in 10 children and one in four adults, according to the Met Office, I have always suffered with hay fever. With that number rising year on year too, it’s likely that if you don’t get symptoms yourself, you’ll know someone who does. For me, the worst symptom has always been unbearably itchy, watery eyes, although the constant sneezing isn’t that much fun either. Other symptoms include itchy mouth, ears and throat, coughing, a blocked nose and many more. For a few years I took prescription strength Loratadine (Clarityn), which worked for a while, up to a point. The symptoms reduced but I was always able to tell when it was a day with high pollen in the air because my eyes would still itch and the sneezes would come and go. If it was the best the doctor could do, then I’d just have to put up with the remaining symptoms, which were reduced. Eventually, Loratadine stopped being as effective. I mentioned it in passing to my GP when I was there for an appointment about something else. “We’ll try something different,” she said. Enter Fenofaxidine. It seems too much to say that Fenofaxide changed my life but, in hay fever terms, it was a total gamechanger. The medication stopped my symptoms instantly. No more sneezing, no more itchy eyes, no more hay fever. Obviously, I’m not a medical professional but it didn’t stop me telling everyone I know with hay fever to speak to their doctor about it. My mum, also a lifelong sufferer, saw the same effects as I did. So when I saw an advert last year for Allevia (a brand name for over-the-counter Fenofaxidine), I knew the potential its declassification could have on hayfever sufferers in the UK. I wasn’t surprised when it sold out after going viral on TikTok last year. One review said: “This actually works. I’m impressed. My eyes are not bulging because they are itching. I feel good, I can enjoy the sun,” she said. Hay fever isn’t life or death, nor should it be treated as such, but for someone whose mood is so dramatically increased by spending time outside it has made quite a big difference to me – the simple pleasure of being able to enjoy the sun. Read More The popular £4 hay fever tablet that ‘cures all symptoms’ Festival checklist 2023: Camping gear, clothing, beauty and more essentials Why do we get hay fever and what are the symptoms?

Spring has always been a transformative season for me. As the the weather improves, so, too, does my mood. But there has always been one thing that makes the move from winter much, much worse: my hay fever. Like one in 10 children and one in four adults, according to the Met Office, I have always suffered with hay fever. With that number rising year on year too, it’s likely that if you don’t get symptoms yourself, you’ll know someone who does. For me, the worst symptom has always been unbearably itchy, watery eyes, although the constant sneezing isn’t that much fun either. Other symptoms include itchy mouth, ears and throat, coughing, a blocked nose and many more. For a few years I took prescription strength Loratadine (Clarityn), which worked for a while, up to a point. The symptoms reduced but I was always able to tell when it was a day with high pollen in the air because my eyes would still itch and the sneezes would come and go. If it was the best the doctor could do, then I’d just have to put up with the remaining symptoms, which were reduced. Eventually, Loratadine stopped being as effective. I mentioned it in passing to my GP when I was there for an appointment about something else. “We’ll try something different,” she said. Enter Fenofaxidine. It seems too much to say that Fenofaxide changed my life but, in hay fever terms, it was a total gamechanger. The medication stopped my symptoms instantly. No more sneezing, no more itchy eyes, no more hay fever. Obviously, I’m not a medical professional but it didn’t stop me telling everyone I know with hay fever to speak to their doctor about it. My mum, also a lifelong sufferer, saw the same effects as I did. So when I saw an advert last year for Allevia (a brand name for over-the-counter Fenofaxidine), I knew the potential its declassification could have on hayfever sufferers in the UK. I wasn’t surprised when it sold out after going viral on TikTok last year. One review said: “This actually works. I’m impressed. My eyes are not bulging because they are itching. I feel good, I can enjoy the sun,” she said. Hay fever isn’t life or death, nor should it be treated as such, but for someone whose mood is so dramatically increased by spending time outside it has made quite a big difference to me – the simple pleasure of being able to enjoy the sun. Read More The popular £4 hay fever tablet that ‘cures all symptoms’ Festival checklist 2023: Camping gear, clothing, beauty and more essentials Why do we get hay fever and what are the symptoms?

Queer Eye star Tan France and his husband Rob France have welcomed their second baby together via surrogate. The 39-year-old reality TV star confirmed the birth of their son, Isaac, on Instagram. “Welcome baby boy #2, Isaac France, born this past weekend. He completes our little family perfectly,” he captioned the post, which featured the new family of four. The Next in Fashion host also shared his thanks for their surrogate, writing, “And a huge thank you to our incredible warrior of a surrogate, for giving us the greatest gift one could ever give.” In the comments, France’s fellow Queer Eye co-stars rushed to congratulate the couple on their newest addition. Bobby Berk wrote, “My babies havin babies,” while Karamo Brown said: “So happy for the world to meet your new beautiful baby!!! What a blessed family!” “Awee Tannay!!!! Cutest family,” commented Jonathan Van Ness. France announced on 13 April that he and his illustrator husband were welcoming a new addition to their family summer. In August 2021, the parents welcomed their eldest son, Ismail, who was born prematurely. In a video clip posted to Instagram, France revealed that the couple have been wanting to expand their family for a “long time”. “Hard to believe it was two years ago today we announced Ismail was on his way! And today – we couldn’t be prouder to share that he’s going to be a big brother!” France captioned the post. “Becoming dads has been our greatest joy, and we are so excited to grow our family with the help of our wonderful surrogate.” The British-American fashion designer previously recalled the moment he and his husband learned their surrogate was pregnant last December. “We were over the moon,” France said in an interview with People in April. “It was the best feeling ever. I mean, it felt almost as shocking as the first time. I was overjoyed, in tears, I couldn’t believe that it had finally happened again. It was just the most incredible feeling.” France explained that the couple decided to have another child because they wanted their son Ismail to have a built-in best friend that was also close in age. "We wanted him to have someone that will be his person that he’s tethered to,” France told the outlet. “I’m really close with my siblings and my husband is really close with his, so we wanted to create a family where [our child] would have more support other than just Rob and I.” He added the most exciting part about expecting another baby is that Ismail will “have somebody hopefully for the rest of his life that he gets to call his person”. While he revealed that the couple already know the sex of their unborn baby, they won’t be sharing it with fans just yet. However, the two have already picked out a name for baby number two. Speaking to People, France also gave insight into the couple’s “wonderful” relationship with their surrogate, whom he praised as an “incredible woman.” “The only thing that’s different is that she’s out of state,” said France, who lives in Salt Lake City, Utah. “So we don’t get to see her in real life as much, but we see her on FaceTime or Zoom. We text regularly, and so it’s been great.” In August 2021, Tan France and husband Rob welcomed their eldest child Ismail seven weeks earlier than his due date. The newborn spent three weeks in the NICU (newborn intensive care unit) before he was taken home. “Give our son a warm welcome,” France captioned a photo of the parents smiling with their son. “Ismail France, born July 10th.” “He came seven weeks early, so he’s been in the NICU for the past three weeks,” he wrote. “But, today, we finally got to bring him home. We love him so, so much. Like, fully obsessed.” France added that their surrogate was “doing so great” post-labour and they “couldn’t be more grateful for the greatest gift in our lives.” Read More Tan France reveals his grandfather used to make knockoff Disney products Queer Eye’s Tan France welcomes first child after surrogate gives birth seven weeks early Queer Eye’s Antoni Porowski engaged to boyfriend Kevin Harrington How a hay fever medication transformed my life Dermatologist horrifies viewers by discussing mites that live in your skin ‘Unsupportive backgrounds’ make LGBT+ youth twice as likely to have suicidal thoughts – report finds

Today's USMNT rumors include Tyler Adams to Newcastle, Johnny Cardoso to Napoli andBrian Schwake to Brighton.USMNT rumors: Tyler Adams to NewcastleThe USMNT contingent at Leeds United will now be looking to get out of the club following their drop down to the Championship. Weston McKennie h...

A dermatologist has shared a video about the eight-legged mites called Demodex that live in our pores, which viewers have found either alarming or insightful. Dr Scott Walter, who is based in Denver, Colorado, posted a clip to the social media platform TikTok, in response to a prompt that asked: “What is something you found out late in life you should have known earlier but just didn’t?” Dr Walter’s first video, posted earlier this month, explained what the Demodex mites were. He began his video by describing them as “eight-legged creatures living inside the pores of your face right now”. The microscopic mites live in hair follicles and oil glands on the face, neck and chest, and feed on sebum and oil produced by pores. They are generally harmless, but too many can cause irritation and infection in the skin. Dr Walter has since posted two more videos about the mites after viewers were shocked and disgusted upon learning of their existence. In one video, he “catches” several mites that live on his own face and puts them under a microscope. The dermatologist explained that the Demodex mites live in “everyone’s faces”, adding: “Some people have more than others and that’s what [is] thought to contribute to the pathogenesis of rosacea.” Rosacea is a skin condition that occurs when round red spots and pustules appear on the face. Other symptoms include burning and stinging sensations, permanent redness and small blood vessels in the skin becoming visible. @denverskindoc ♬ original sound - Dr. Scott Walter MD | Derm Dr Walter continued: “Don’t believe me? I’m going to try and catch some of my own, like a Pokemon, next week and show you under the microscope.” The clip has been watched more than 10.5m times since he posted it and garnered thousands of comments from people who were thoroughly freaked out by the information about Demodex mites. “My whole face itches, how to get rid of them please?” one person asked. Another added: “This is one of those things I would’ve been fine not knowing about.” In a follow-up video, Dr Walter apologised for bringing viewers’ attention to the existence of Demodex mites. @denverskindoc Replying to @voice_of_hers can you treat Demodex? Here's how we do as dermatologists... But not everyone needs to treat it! #demodex #demodexmite #rosacea #folliculitus #todayilearned #newfriends ♬ original sound - Dr. Scott Walter MD | Derm “I am sorry I told you about Demodex,” he said. “Is your whole face itchy because of them? Probably not. But can you treat them? Yes.” He added that the mites also lay eggs on the skin and they can hatch even after treatment. “They’re our friends,” he said. “Accept them. They’re here to stay.” However, concerned viewers can treat Demodex mites if they have skin conditions like rosacea or severe folliculitis, which is when hair follicles become inflamed. Dr Walter pointed to topical treatments such as metronidazole, topical ivermectin, sulfer sulfacetamide washes and permethrin, as well as oral therapies that are used in more severe cases. His most recent video showed him fulfilling his promise to “catch” Demodex mites living on his own face and revealing them under the microscope. @denverskindoc Replying to @kaaat0709 Even I was not fully prepared for this: Demodex Mites: can I catch them all?! #demodex #demodexmite #rosacea #nerdingout #dermatologist #microbiology ♬ original sound - Dr. Scott Walter MD | Derm He did so by placing cellophane tape across his forehead and nose before going to sleep. The following day, he placed the stripes of clear tape under the microscope, which revealed three Demodex mites that had been living in his pores. Speaking over the video, he zoomed into one of the mites and said: “That right there is a Demodex mite and I’m kind of freaked out that I actually have them.” He zoomed in even further and showed the mite moving some of its legs, which indicated it was still alive. According to WebMd, small numbers of Demodex mites living in the skin can be beneficial as they remove dead skin cells and extra oil. People with skin conditions that cause irritation and inflammation should consult a dermatologist before beginning any treatments. Read More Fans praise Jay-Z for his dancing as daughter Blue Ivy takes the stage at Beyoncé’s concert Parents defend Nick the Fairy Godmother’s apprentice at Disneyland after viral video Woman stunned by response after putting her credit score on Hinge profile Dermatologist horrifies viewers by discussing mites that live in your skin ‘Unsupportive backgrounds’ make LGBT+ youth twice as likely to have suicidal thoughts – report finds The £4 hay fever tablet that ‘cures all symptoms’

Young LGBT+ people who weren’t supported at home and school are more than twice as likely to have had suicidal thoughts and feelings than supported peers, a new report has found. Those from unsupportive backgrounds are also nearly twice as likely to have self-harmed, nearly half as likely to say they are happy in adulthood (43% vs 85%), and more than three times as likely to ‘never or rarely’ feel optimistic about their future – according to the findings from Just Like Us. The LGBT+ young people’s charity surveyed 3,695 people aged 18-25, including 1,736 LGBT+ young adults from across the UK. The ‘Positive Futures‘ report also found unsupported young LGBT+ people were significantly more likely to have experienced panic attacks and depression. What does an ‘unsupportive background’ mean? “An unsupportive time growing up can look like being bullied at school, never hearing that it’s OK to be LGBT+, facing family rejection and even estrangement, and not having any role models to look up to – all simply because you are LGBT+,” Amy Ashenden, Just Like Us interim CEO, told PA Media. “Sadly for lots of LGBT+ young people today, that remains a really gruelling reality. When we look at the research findings, we can see it’d be foolish to think growing up LGBT+ is not still incredibly tough.” How can you help support young LGBT+ people? Ashenden added: “Anyone who cares for and about young people has a role to play – whether or not you think they might come out as LGBT+ one day. We are calling particularly on parents, guardians and teachers to be more vocal in their support for LGBT+ people from the outset. “From the research, we know that LGBT+ young people wish they’d had these conversations from nursery age, which simply looks like saying: LGBT+ people exist and I support them. I’m proud to be an ally. “As a parent, you could mention a TV character or a person you know who is LGBT+ and you could mention how you admire their courage to be out and proud, or talk to them about how they are free to be who they are, different gender expressions included, and that you don’t agree with the harmful things sometimes said about trans people,” Ashenden said. Listening without judgement If a young person tells you they’re worried about coming out as LGBT+ and you’re unsure how to respond, remember there can be great value in just being a supportive listener. “The most important thing when a young person feels vulnerable or scared about coming out is providing a safe and supportive environment for that person to share their feelings, and to help them overcome their anxieties,” said Robert Common, an LGBT psychotherapist and founder/group CEO of The Beekeeper House. “Your role is to listen, and to allow them to express themselves without fear of judgement. You don’t need to be there to offer solutions – and be mindful of giving advice you’re not sure will be helpful or effective. You should remind them that they aren’t alone; there are many support groups and resources out there to help them.” Common added that ‘coming out’ isn’t just one conversation, either. For some young people, there may be anxiety about whether they will be accepted. “There’s a misconception that coming out is one big momentous point in time, but in reality, it’s a process. Although it shouldn’t be this way, the journey of acceptance can take a long time for some individuals, including family,” Common explained. “Young people in this situation should know that they should always come out on their own terms, whilst prioritising their safety and wellbeing. “If they do feel at risk from coming out to family, [gently encourage] them to talk through what the risks might look like and how to make contingency plans if they are faced with any kind of negative reaction or discrimination.” Signposting and community If a young LGBT+ person needs support and is facing difficulties, there are organisations that can help. Signposting them towards these can be a helpful step. For example, Common suggested: “The Albert Kennedy Trust (akt.org.uk), for LGBT young people who are homeless or living in a hostile environment. They can help with finding emergency accommodation as well as employment, education and training for those who need to support themselves.” Finding community can also be helpful – and “crucial for individuals that feel isolated or alone”, Common added. “The LGBTQ+ community is diverse, so when speaking to someone coming out, you can encourage them to see which parts of that community they identify with and relate to the most.” Many mental health charities like Mind (mind.org.uk) also offer specific advice for LGBTQ+ people, and the LGBT+ anti-abuse charity Galop (galop.org.uk) can provide support to those who have experienced violence or abuse. Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live As Pride Month begins: 5 LGBTQ+ icons who have helped shape pop culture and history 10 ways to explain dementia to children How to make your home summer ready