3/24/2023 0 Comments Steward medical portal![]() ![]() ![]() This online tool allows you to view your medical records, appointments and more to interact and stay up-to-date with your health. With M圜hart, you have a way to be tuned in to your health at your own convenience. Patients with a Southcoast Health M圜hart account can access their health records on their Android™ devices using the CommonHealth app by syncing accounts from participating healthcare organizations.ĬommonHealth is a secure way to store all your health records in one place and share them with the services and organizations you trust.Ĭlick here to learn more! Stay Connected with Your Health Through M圜hart PortalĪt Southcoast Health, we understand that the most effective health care includes encouraging our patients to be active in their own care. See important data across seven categories - allergies, conditions, immunizations, lab results, medications, procedures, and vitals - in a simple, aggregated timeline view.Īccess Your M圜hart Information Through the CommonHealth App To be added back to the Wait List feature, simply click on the Get On the Wait List link.Įasily access and visualize your health records in the Health app on iPhone®. Once clicked, the button will change to “Get on the Wait List”. To be removed from the Wait List feature simply click on the Get off the Wait List Link. After the details button is selected, the appointment details will populate, and the link “Get off the Wait List” will show under the Prepare for Your Visit headline. Scheduled appointments will be listed on this screen and the patient can select the details button to the right-hand side. Once logged into M圜hart, select the Visits icon which can be found at the top of the screen. Patients are now able to conveniently sign documents on smartphones for health care related consents, questionnaires, and other health related forms. Patients with an active Southcoast Health M圜hart account can make an appointment for a follow-up visit with a provider or their care team using the M圜hart app on their smartphone or by logging in to M圜hart from. Scheduling follow-up visits with a healthcare provider is now easier than ever. ![]() Direct Scheduling – Appointments made easy! Also available for primary care Medicare, wellness, physical, and new patient visits. *Available for specialty office visits and new patient visits. If a patient is seeking a sooner appointment, they can let their provider’s office know about their request, enable their M圜hart notifications in their M圜hart account, and look out for their Fast Pass offer! The patient will have 3.5 hours to respond before the offer expires, and this will be noted within their M圜hart application once the offer has been made available. Once the patient reviews the Fast Pass offer in their M圜hart, they can choose to accept it or decline it to keep their previously scheduled appointment. The patient must already have a scheduled appointment to receive a notification. With Fast Pass, patients who have opted into the wait list feature will now receive an instant notification from their M圜hart App, a mobile text alert, or email if an earlier appointment time becomes available for *select appointments. Skip the wait with M圜hart’s new feature, Fast Pass! ![]() Patients are now able to edit personal information, including medications and allergies, and even pay copayments online prior to their scheduled appointment. Take advantage and save time with M圜hart’s new eCheck-In feature. Southcoast Health – Visiting Nurse Association (VNA)Īnnouncing new features in M圜hart! Introducing M圜hart eCheck-In!. ![]()
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3/23/2023 0 Comments Patio tiles![]() ![]() ![]() Designed as an accurate reinterpretation of Pietra Italia and Burgundy Limestone, these patio tiles exquisitely reproduce the elegant vein patterning of marble and the uneven markings typical of limestones. Memo is the new outdoor stone-effect collection from Marazzi. Marazzi offers a variety of stone-effect pavings for patios, including Memo, a collection entirely conceived for outdoor use, and Mystone Ceppo di Gr é 20, also available in the indoor version. They evoke memories of past times and maintain the natural flavour of outdoor locations, bringing high quality, reliability and durability to patios and balconies. Let’s see why.Īpart from being very fashionable during the last few years, stone-effect materials have high-class status: hard-wearing and elegant, synonymous with Italian chic, they fit attractively into the mood of outdoor contexts with subtlety and grace. When it comes to choosing outdoor pavings, porcelain stoneware is the ideal solution: it is high-performing and able to withstand weather, scratches, abrasion and chemicals.Īmongst porcelain stoneware pavings for patios and outdoor balconies, the stone effect is a highly suitable, very evocative option. ![]() Whether for leisure time, working dinners or lunches, or just the pleasure of being outside in fine weather, patios are places where people can come together, pleasant places for savouring the fragrances and energy that summer brings. Summer is almost with us, and with it comes the growing urge to spend time outdoors, in the open air. Stone-effect patio tiles that evoke memories of past times and embrace the natural dimension of outdoor living ![]() 3/23/2023 0 Comments Mountain duck alternative![]() ![]() Each item has a blood pressure cuff-style rubber bulb pump in one outside pocket that lets you quickly add air when cold or release it when warm. Instead of a shell for warmer days and heavier jacket for colder, you can use just one - and in many cases, skip layers. Niche performance outerwear company NuDown skipped such materials altogether and went straight to air: they offer a line of jackets and vests with built-in inflatable bladders that let you adjust the level of insulation whenever you need to, customizing the garment’s warmth over what the company claims is a flexible 40° range. What makes down, Primaloft and wool all so good for keeping you warm? They all trap air, which is the best insulator of all. Extras include an interior zippered chest pocket, an interior mesh pouch pocket, and zippered hand warmer pockets. The Wool Aire Matrix Hoody is likely the best for active cold-weather pursuits, a ski jacket style with stretchy woven wool fleece side panels for unencumbered freedom of movement during sports, a hood, and light but durable ripstop polyester (recycled) shell that has been treated for water repellency. All are insulated with 23 micron, U.S.-sourced, 100% wool fibers they’ve updated to be even softer, warmer and loftier. The company has three women’s jackets in their Wool Aire line, offering breathable, durable, lightweight warmth in an array of stylish, insulated outerwear. I have written here before about the many benefits of merino wool, my favorite active wear material, and have long owned and used many different Ibex products. Unlike down, it maintains most of its warmth even when wet. Wool has many benefits: it’s sustainable, quick drying, compressible, easy to care for and is a warm insulator. While it’s more typically found woven in layering pieces and sweaters, specialty merino wool companies like Ibex, Smartwool and Icebreaker use it in threads as insulation for winter jackets as well. ($300)Ī natural down alternative is wool. For additional protection from wet weather, it also has an abrasion resistant, waterproof, breathable shoulder overlay and helmet compatible hood, as well as waist drawstrings, zippered hand warmer pockets and zippered inside chest pocket. ![]() The SYNC Stretch Puffy’s unique shell material is also breathable and coated with an anti-microbial water repellent treatment. It uses lots of PrimaLoft Gold for a high level of thermal capacity that also maintains warmth when wet. Their Stretch Puffy jacket (shown above) is meant for on-mountain activity as well as in-town warmth and excels at both. SYNC fixes that with a proprietary stretchy knit fabric, Motion 360, for freedom of movement. ![]() While heavier “puffy” jackets keep you very warm, they typically are not great for active sports like skiing because of their restrictive fit. SYNC is a small, high-performance company based in Vail, Colorado with roots in the ski racing industry. One way to shop for down alternatives is to simply look for the PrimaLoft tag, ideally Gold, but here are some notable specific suggestions and other alternatives to down. PrimaLoft is now used by more than 500 brands worldwide, including active outdoor gear giants Patagonia, Helly Hansen and The North Face, among others. PrimaLoft insulation is divided into three categories, black, silver and gold, with the Gold Series being the highest performing. The first commercially available PrimaLoft-insulated garment was an L.L. Army as a water-resistant, synthetic alternative to down. It was originally developed in the 1980s for the U.S. Most ski and outdoor active jackets use PrimaLoft, probably the best known proprietary synthetic insulating material. The most widely used materials are Thinsulate, FullRange, PolarTec Alpha and PrimaLoft. Most high tech synthetic insulation uses polyester strands with each brand varying size and shape. ![]() ![]() ![]() funds if purchased outside the United States.īeginning of a Perfect Day copyright© 1996 by Thomas Kinkade. International money orders must be in U.S. We also accept checks, cashiers checks, debit cards, and money orders. Telephone number can be found under contact information.Ĭurrently we accept all 4 major credit cards: Visa, MasterCard, American Express, and Discover. Please call us first for the shipping charges. Mail - Send check, cashiers check, or money order by mail. Phone - Call us to place an order by telephone.įax - Fax us to place an order by facsimile. Internet - Visit the secure order form on our website to place an order When a morning dawns so bright, so clear, so bursting with beauty that you cant help but pause. 17.98 16 110.00 43 1 offer from 159.99 126 1 offer from 39.95 Thomas Kinkade Clocktower Cottage Canvas Art Thomas Kinkade Paintings Landscape Wall Art for Bedroom Livingroom Office Framed Ready to Hang 40 1 offer from 79.95 Thomas Kinkade Lakeside Hideaway 16 x 20 Brushstroke Vignette (Rich Burl) 9 2 offers from 375. Majesty, smell the crisp, pine-scented air, taste fish on the fire.Ī Perfect Day also launches a new print series, alive with theĮxhilaration of morning in the wilderness. Trip to Lake Louise in Canada's Alberta province. This summer, we're taking the girls on a painting For me, it's a lovely anticipation of a trip Nanette and I have Magnificent peaks that loom on the horizon.Ī Perfect Day is not for one day only, but for a season, a Strike horses grazing nearby coax us to ride the mountain trails into the Hearty breakfast a boat ebbing on shore whispers of plump brook trout waiting to My new painting celebrates just such a morning.ĭappled sunlight touches the treetops, leaving the valley in shade the mist risingįrom icy waters melts into the clear, warm air of day. "When a morning dawns so bright, so clear, so bursting with beauty that you can't helpīut pause to celebrate God's wonderous creation - that is my idea of the Beginning ofĪ Perfect Day. Price includes your choice of authentic Thomas Kinkade frame. This item comes with free shipping, handling, & insurance. Place your order securely online or call us to place an order by phone. Thomas Kinkade - Beginning of a Perfect Day - Christ-Centered Art Thomas ![]() ![]() ![]() Widespread acute coagulative necrosis/infarct of renal parenchyma in the setting of multifocal microvascular thrombi (clinical history of disseminated intravascular coagulation).ģ. Representative sections are submitted as follows: B1 - renal vein, renal artery and ureteral margins B2-B5 - representative sections of kidney parenchyma in relation to capsule.Ī) Medical device, removal: Pigtail catheter (gross only).ġ. There is probable intravascular thrombus. No masses, nodules or lesions are grossly appreciated. The specimen is bivalved to reveal a sharp but irregular demarcation at the cortex and the medullary interface. There are multiple surgical clips within the hilum and perihilar fat. The specimen has a smooth, glistening, pink capsule with lightly adherent fibrous tissue. There are 0.05 cm holes at every 2 cm of the device.ī) Received fresh in a container labeled "removed kidney-gross and micro" is a 138 gram, 11 x 7 x 3 cm kidney. The pathologist is employed by the lab providing the service.ĬLINICAL DATA: 26 year-old with end-stage renal disease(ESRD) due to type 1 diabetes, status post kidney, pancreas transplant with subsequent pancreas allograft removal, now with disseminated intravascular coagulation and decreased urine output and kidney allograft showing no flow to the kidney.Ī) Received fresh designated "ureteral stent - gross only" is a 15 cm x 0.2 cm piece of plastic tubing with a 1.5 cm hairpin turn at either end. SURGICAL PATHOLOGY REPORT Collected: 2/1/20XX Received: 2/2/20XX. What are the CPT® and ICD-10-CM codes for the pathologist? Review the two metabolic panels to see if one includes the tests performed.) & CBC (CBC is not included in either metabolic panels and is reported separately.)ĬALCIUM BLOOD (TOTAL): 9.3 mg/dL (8.5-10.5) (The calcium is total instead of ionized.)ĬBC: (automated) (CBC is automated with no differential.) TEST: metabolic (Metabolic Panel is a set of tests performed as a panel in CPT®. SITE: right antecubital venipuncture DISPOSITION: outpatient, fasting What are the CPT® and ICD-10-CM codes reported?ĬLINICAL INDICATIONS: The patient is a 28 year-old female for routine lab tests part of her yearly physical exam.ĬOLLECTED: 04/14/XX 13:29 PATIENT NUMBER: xxxxxxxxxxxxx ID: verified ![]() Referring physician sends the patient's Pap smear results and FISH studies which include the pathologist's interpretation and report. Pathologist does the review and the interpretation and report of the FISH probes and reports that the probes 3q26 and 5p15 are not present in this patient's cervical Pap smear specimen. The specimen is sent for both HPV testing and probe studies for the 3q26 and 5p15 genes. The patient decides to have these studies and the physician performs a Pap smear on the same day. ![]() The presence of these genes is associated with an increased risk to develop severe cervical dysplasia, and place the patient at a higher risk to develop invasive cervical cancer. The gynecologist recommends the patient have a repeat Pap smear and FISH studies to evaluate the tissue for the 3q26 and 5p15 genes which are associated with increased risk to develop cervical dysplasia.įISH studies may be ordered by gynecologist to evaluate the presence of copies of the 3q26 and 5p15 genes. The physician reviews her Pap results which indicates that this patient is at risk for cervical cancer. This report is consistent with the patient's HPV results and the patient is not at presently at risk to develop severe dysplasia.Ī 41 year-old female presents to her gynecologist to review her abnormal Pap results. The pathologist does not identify any copies of the 3q26 (Initial stain.) and 5p15 (Additional stain.) genes in the stained slide images. RESULTS: The pathologist reviews images from the slides. METHODOLOGY: Morphometric analysis Fluorescent In Situ Hybridization (FISH) using computer-assisted technology, professional component. The specimen is sent for interpretation and report by the pathologist providing consultative services. (Diagnosis used for lab.) The physician refers patient for repeat Pap smear. PROCEDURES: Surgical pathology procedure performed by a pathologist.ĬLINICAL INDICATIONS: Patient presents to her gynecologist for follow-up of an abnormal Papanicolaou (Pap) smear. ![]() ![]() ![]()
3/23/2023 0 Comments Adobe lightroom classic 10.3 mac![]() Adobe says additional presets will be added with future ACR and Lightroom presets. One of the new features Adobe is bringing to its entire lineup of Lightroom apps (as well as Adobe Camera Raw (ACR) is the addition of what Adobe is calling ‘Premium Presets.’ These presets, which are free for Creative Cloud subscribers, have been ‘created by a diverse and talented set of contemporary photographers.’ The first set of Premium Presets include presets in seven different categories: Portraits-Deep Skin, Portraits-Medium Skin, Portraits-Light Skin, Cinematic, Futuristic, Vintage, and Travel. Adobe Photoshop Express is free to download on both Android and iOS. It’s now possible to use Adobe’s Skin Smoothing feature, as well as Content Aware Healing, Face Aware Liquify and Caricature tools, right on your smartphone. ![]() In addition to downloading one of the ‘hundreds of brushes’ Adobe offers through Creative Cloud, you can also create your own bespoke brushes using the Adobe Capture app.Īdobe has also added new Retouch features in its Photoshop Express mobile app. Adobe Photoshop for iPadįirst up is an update for Adobe Photoshop for iPad that adds the ability to import and download custom brushes. ![]() In addition to updates, Adobe has also shared a detailed analysis from a third-party that shows how well the company’s new M1-native applications work compared to their intel counterparts. Adobe has announced a barrage of updates for select Creative Cloud applications, including Photoshop, Lightroom, Lightroom Classic. ![]() 3/23/2023 0 Comments Conjure animals 5e![]() If you are planning on taking and/or using the spell ask your DM ahead of time what method they will take and how you can help make it easy on them. Conjure Animals - DND 5th Edition Conjure Animals Source: Player's Handbook 3rd-level conjuration Casting Time: 1 action Range: 60 feet Components: V, S Duration: Concentration, up to 1 hour You summon fey spirits that take the form of beasts and appear in unoccupied spaces that you can see within range. In fact, as a DM I often have the player pick the creature with an option to veto the choice. Of course, there is no reason a DM would have to run the spell this way, this just seems to be the way the designers intended. Thus, the spellcaster, under this RAI interpretation, would only be able to pick one of the 4 options and everything else (CR and specific beast) would be up to the DM. In other words, the implication is that they don't have any control over the fine details of the option they pick. The options the spellcaster chooses from are broad. ![]() The design intent for options like these is that the spellcaster chooses one of them For example, Conjure Minor Elementals offers four options. Other spells of this sort let the spellcaster choose from among several broad options. But, the SAC as quoted above does give a hint as to the intent: Eight beasts of challenge rating 1/4 or lowerĪgain, according to RAW, there is no indication who picks what.Four beasts of challenge rating 1/2 or lower.3rd-level spells like fireball are supposed to mark a huge increase in power for their casters. Two beasts of challenge rating 1 or lower Conjure animals is a very powerful spell, but that’s by design. ![]() One beast of challenge rating 2 or lower.The player can only choose the broad option, not the CR or creatureįor conjure animals, the spellcaster has 4 options: There is no indication of how the DM would choose the beast, so that is left entirely up to the DM at your particular table to decide by the designers. So it is clearly intended that the DM is able to pick the monster after the player picks which option they want. The design intent for options like these is that the spellcaster chooses one of them, and then the DM decides what creatures appear that fit the chosen option. ![]() For example, Find Familiar gives the caster a list of animals to choose from. Some spells of this sort specify that the spellcaster chooses the creature conjured. However, the Sage Advice Compendium clarifies how the spell was intended to work by the designers: Any beast or fey summoned or created by a spell that you cast gains the following benefits: (1) The creature appears with more hit points than normal: 2 extra hit points per Hit Die it has. The rules as written does not define who gets to pick what or how. begingroup For reference, the feature Ruse mentioned: 'Starting at 6th level, beasts and fey that you conjure are more resilient than normal. Rules as Intended: the DM chooses the monster ![]() 3/23/2023 0 Comments Gonorrhea symptoms male![]() ![]() If you are pregnant, gonorrhea can also be passed on to your baby during vaginal birth. Gonorrhea may also cause eye infection and arthritis. ![]() It can also cause sterility if scar tissue blocks the tubes that carry the sperm. Some men experience pain and swelling in the testicles ("balls"). It can cause long-term pelvic pain and lead to infertility, miscarriages and ectopic (tubal) pregnancy. In women, gonorrhea can cause a serious infection of the womb and fallopian tubes (pelvic inflammatory disease). Without treatment, gonorrhea can cause infertility in both men and women. Gonorrhea in the anus can cause discharge, bleeding, anal itching, soreness or painful bowel movements. This may cause a sore throat and swollen glands, but it usually causes no symptoms. Oral sex can also cause gonorrhea in the throat for both men and women. ![]() Itching around the urethra (the opening to the penis) (for men).A white, yellow or green discharge from the penis (for men).Burning or discomfort with urination (for men).Change or increase in vaginal discharge (for women).Abnormal bleeding between periods (for women).Bleeding during or after sex (for women).Pain, burning, or discomfort with urination (for women).For men, symptoms usually appear in the first week after infection. Most women who have gonorrhea don't have any visible symptoms, or mistake their symptoms for bladder or vaginal infections. Signs of gonorrhea can take 2 to 10 days to show up (and sometimes even longer). Most women and some men will have no early symptoms. ![]() 3/23/2023 0 Comments Choosy pet insurance![]() Or an independent contractor State Farm agent regarding insurance products and services using State Farm Mutual Automobile Insurance Company, its subsidiaries and affiliates ("State Farm") ![]() Please stop in sometime to meet my amazing team!īy filling out the form, you are providing express consent by electronic signature that you mayīe contacted by telephone (via call and/or text messages) and/or email for marketing purposes by I am extremely grateful that I get to provide customers within and relocating to the area as well as the community of Natrona Heights with State Farm Insurance products and State Farm Financial Services to help prepare them for life’s unexpected. Having the experience working in this industry has really taught me how to provide coverage to our customers ranging from auto insurance, homeowner’s insurance, renter’s insurance, life insurance, and financial services. After several years in the financial industry in management I started my career with State Farm Insurance and opened my office. Outside of work I love to spend time with my children and my family, attend sporting events, attend concerts, spend time outdoors, and support my kids at their local sporting events. I am raising 2 amazing children Gracie and Kyle and I found this area to be a great place to raise children, because we’re miles from so many great places within and surrounding the city of Pittsburgh. I Love all Pittsburgh sports! I attended Gannon University just prior to transferring to the University of Pittsburgh where I received my bachelor’s degree in Psychology. ![]() I was born and raised in Leechburg, Pennsylvania just outside of Pittsburgh, PA. ![]() |
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