Icd procedure code for hida scan

For those who's been working with Ionic since the v1/v2 days, there was an app called Ionic View which lets you share work-in-progress app.
The last I've heard about the app was from this blogpost: https://ionic.io/blog/ionic-view-sunsetting-on-9-1-18
So looks like Apple has forced their hand but how come Expo is still alive and kicking?
Expo for React Native lets you scan a QR code and it basically lets download and run a fully functioning app.
I now work with Windows and Expo gives you a great dev experience but providing immediate feedback when making changes. I know there's livereload but that still requires you installing the app while connected via USB.
I really think having something equivalent to Expo for Ionic/Capacitor will attract devs to move to Ionic.

There's a lot of discussion about EMRs, I know. As a solo provider, I've got charm but lack customer service. I requested to buy a practice management and billing system months ago, but haven't received a response, so I'm moving on.
There are so many options to review. I like Athena, which demands a minimum of $1300/month or 10.1%, but for a solo psych practice using just a few CPT codes and ICD10s, all outpatient with no procedures, this feels exorbitant.
AMD is cheaper, but a colleague mentioned having to develop all their psych templates from scratch, which was expensive. The interface requires frequent saving, which is cumbersome. The software and add-ons cost about $450, but billing will add another $500+, and their pricing is not very transparent.
Optimantra is another option that seems appealing. Its e-prescribing is quirky, redirecting to a third-party website for handling prescriptions, which seems like a makeshift solution. The cost is around the mid $300s, which might seem basic and inexpensive, but I'm open to it.
Valant looks promising on paper. It offers built-in measures, which is great since I currently pay for Outcomemd for access to similar features. The price is about $400, but some reviews mention frustrations and hidden costs.
I was initially enthusiastic about Kareo, but they failed to meet a critical requirement—I had two non-negotiables—and were dishonest, leading to them billing me for services they couldn't deliver. Additionally, their billing practices are problematic, and Tebra, their parent company, has proven to be quite unethical.
Icaanotes create great notes but it a very data interface. Aesthetics matter as I am looking at this 10 to 12 hours a day.
Does anyone have any thoughts or suggestion? My first choice is Athena but I absolutely cannot justify paying $1300 to bill 99214 for depression and anxiety - not doing complex coding or procedures.
Always all input is appreciated it is made more meaningful to explain, justify or otherwise qualify a simply negative or positive review/comment.
TIA

I took a screenshot of my Google authenticator QR code so I could scan it on another device. Well, that screenshot was seen by a few people due to careless mishap - and it would have been easy for someone to scan it or get a pic of it.
My question is: how much of a security risk is this? My Google password is solid and private. What can be done with just the qr code??
Thanks!

I received this Torras Case Ostand 360 Spin for S24 Plus and wanted to share my thoughts about it.
What I wanted out of the case are two main things, a kickstand and also be magsafe compatible. This case does do those two things, but I'll mention one potential issue later.
Firstly when you receive the phone case packaging, everything is fairly nicely presently and put together, you receive a little QR code warranty card that you can scan.
Now for the case itself, has a good quality feel. The sides has this almost textured, slightly bumpy leather feel which is quite nice. I wished the volume and power buttons had some ridges or different texture to differentiate the buttons. The back the is the clear but smoked-out black color, with a slim cut out for the camera and flash. The has a matte-ish and slightly soft feel that does not attract fingerprints or smudges which is great. All the cutouts line up perfectly, and the back of the case is perfectly flush, nothing protruding out. I even noticed that four corners on back are ever so slightly sticking out, to help the back from keeping scratched which is a subtle touch and attention to detail in design. The case is not too heavy weighing 50 grams and doesn't add a lot of thickness while adding adequate drop protection.
Looking at the kickstand, there is a little notch at the top which allows you to easily pop out of the Ostand ring and prop up the phone. The Ostand ring can be used to make the phone stand in portrait mode (in a few different degrees) or landscape mode. The Ostand ring itself is made out of metal and feels robust. Pulling out the ring feels good and the hinge also feels solid and strong. The ring itself has a slightly soft or matte finish.
Now for the Magsafe compatibility, the magnets itself are quite strong and compatible with any magsafe accessory. For example I have this Magsafe aluminum phone holder, and the Torras case magnets do holds well to the phone holder. However I only have one point of criticism, it is that the ring stand hinge will move when you move the phone around. So for example, in the picture I showed the phone can just flop down if it's being moved. So my only suggestion to make the magsafe better is to make it so that the stand can be held down in place in someway so they hinge won't move while being attached magnetically to something.
Overall I'm quite satisfied with this Torras Ostand case, it is high quality and has good build material and feels great in the hand. It also has great functionality with the Ostand 360 Spin kickstand and also it can add magsafe compatibility to your samsung phone.

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It's Michele from Take On Bar Exam Coaching. I got blocked from my own post. smh. Shenanigans??? So, I'm posting this info hoping that I can interact with you.
Super happy that some of you are taking advantage of the Free 15-page Civ Pro QList that will help you study the law actively (and not passively by highlighting and re-reading). I really want to hear what you think. And, yes, I really will give another sample QList for your remarks. Good or bad.
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Let me start off by saying I’ve been diagnosed with bpd almost 5 years ago I’m going to be 30 in December. I was doing better in a lot of ways because two years ago I spent all my savings and was broke and from that in debt now but paying it off. It caused a lot of problems in my marriage because I hid how bad it was until it was too late. We’ve gotten much better and even went to therapy. We have a daughter almost 3 years old and we have been married for 2 years. Just for added context.
Fast forward to the last 8 months or so. I think as per usual with my bpd it’s been little things that have slowly started chipping away at me. I released last spring I was in some high of mania because I just look back at videos and everything and can’t relate at all. It’s depressing actually. Since then my new boss has been extremely gross with comments since he became our area manager. And for some context I work in a warehouse that scans and loads packages. My previous boss was also male but was the best fun hard working and he never made me feel uncomfortable in fact I was employee of the month at this job. Fast forward to changes at work my main boss is moved to another area and this guy gets moved to ours. I was always hard working always staying the latest. Because I don’t hate this job it’s fairly easy and no dress code can bring food in and eat as needed.
This guy has made so many inappropriate comments about how I have a nice smile, did I go to gym it looked like I lost weight etc. there more but he knows I’m married and have a kid. At this point. I stopped even wanting to say hi I was extremely short with him only engaging with anything that had to do with my job. I think that’s what slowly broke me was everyday I know he’s there I was calling off all the time I’m happy I haven’t lost my job. And for those asking about reporting it. As much as I hate it I don’t want to lose my job or get moved somewhere else I love my area and my coworkers he’s the only problem.
Then I think from that it made me hate makeup which I love and enjoyed getting better at but as he made comments and attention to me I decided I didn’t want to add to it. So I stopped. It makes me sad because it was fun and I was getting better. I was making content online and getting some pr! Which made me feel like I was getting somewhere.
Between my boss, not feeling interested in my one hobby, I’ve been having a hard time because last year I had also worked hard and my fixation was working out and eating in a calorie deficit and I was happy . I gotten really tone and was working on strength training. Now I don’t like how I do anything anymore. Between work, my daughter, my relationship, and still doing some content creation it’s hard . I think because I hate everything time I do my makeup now I don’t feel good enough like I’ve lost my skill over time. I gained some weight back (because my birth control) so I want to work out again. I hate all the content I make. So I’ve been reaching onto buying stuff again not to the point I’m in trouble but enough that I need to stop. I want to feel happy and I just don’t . I love my daughter and my husband but I feel so detached and dissociating from everything. Sometimes I feel like when I’m on that mania high is the only time I can be happy. It’s not often it’s rare and I don’t want to spend spend spend to chase that feeling. Because we do want to renovate our home, and have one last kid in the next few years. I still gave my own debt to pay down and it feels so hallow when I know how much work it’ll take til we are comfortable again. Just venting
Edit: I guess to add on I don’t feel good enough. I feel like I need xyz to be this ideal version of myself. I don’t feel good enough as me and I don’t feel good enough as a creator always comparing myself which is my own issue. It’s hard. The thing is I’m aware enough to know that no one around me is making me feel this way it’s all my own self. My own thoughts pushing me lately

The local T-Mobile store REQUIRES that I have my ID scanned in order to give me a replacement SIM card (old SIM card was kept by vendor after getting a local SIM card in another country).
I'm not comfortable with having my ID scanned for privacy and data collection reasons. I absolutely don't trust T-Mobile and their affiliates with my ID information. The only other option is for them to send a one-time code to my phone, but I don't have access to my phone number until I get a new SIM card. I have an old SIM card but I'm told it's expired. Online support through the app chat (I can't log into the desktop browser because of two-factor authentication) says it will take 1-3 days to get a new SIM card in the mail. I need my phone because of all the companies and services (including my work and school) using two-factor authentication).
How is it not good enough for a local store to just verify my identify with my government ID, they must scan it and collect biometric information? Even when I call I mute my phone and use the dialpad because I don't want them creating voice recognition data. I get not everyone cares about this but I do and it's frustrating that this is a requirement.

Big ups to Accidentally Adopted for inspiring this white hot dumpster fire. Enjoy, or don't I have shenanigans elsewhere that need my attention.
“So we’re screwed?”
“Well, Neb, let’s go over the day's events. Pirates have boarded, they’ve blown away our communications relay, all but slaughtered us and those of us who survived are stuck in the safe room with no control over the ship, so-”
A third voice flatly interrupted the condescending tirade. “Specimen’s loose.”
“And now the specimen is loose. Yeah Neb, I think we’re screwed.”
Four scientists were all gathered in the ship's safe room. They were all that remained. Pared down from a crew of over two dozen they were the only ones that happened to be close, or perhaps lucky, enough to make it to the final bulwark.
“But we’re in the safe room. They can’t get in here, right? We just have to wait them out, wait for help?”
That question belonged to Trest, the youngest and most inexperienced of the lot. She had just earned her apprenticeship and had come to Kem’s ship wide-eyed and primed for adventure. But fate occasionally has a cruel sense of humor, so her first foray into the stars would be her last, it seemed.
Kem turned to face her, he didn’t want to be mean, he really didn’t. But the time for pleasantries and comforting lies had passed. The poor lass needed to know what they were facing so that she could make peace with whatever god it was she prayed to.
“I’ll humor you Trest,” he quipped “Let’s assume that these particular pirates are the special kind of bland that happen to be the only crew that galavants around without plasma cutters. They’ve already cut out our comms. They’ll simply steal everything of value, everything of no value, anything else not nailed down, and blow our engines. Doesn't matter if they can’t get in, there is a finite amount of oxygen in this room. With no signal or signature, we’ll be corpses before anyone even realized we were missing.”
He could see the tears begin to well in her eyes as the realization washed over her. Perhaps he could have used a little more tact in his hypothetical, but the stress of being about to be consigned to the void was weighing on him. He made a mental note to apologize to her in the afterlife.
He was also not trained or ready to deal with a blubbering intern, so he decided to distract himself with more pertinent matters.
“What are they up to out there?” He asked Wren, purposely avoiding the torrential sob storm that Trest was about to unleash.
“No idea.” Wren huffed as he tossed his tablet to the side, “After they broke the locks on the specimen’s cell, they cut the feed. We’re stuck blind and waiting now.”
Kem’s frills rippled. It was one thing to be trapped waiting for death, but to do so with no inkling as to the estimated arrival time of the Great Winged Guardian was a different beast altogether. Fortunately, or perhaps, unfortunately, the universe grew tired of its malicious malarky and decided not to leave the beleaguered scientists in bated anticipation as the muffled roar of a plasma cutter opposite the security door broke through the air.
Instinctively the four moved toward the back wall, away from their impending demise. Not that it mattered much, there really wasn’t anywhere to go. The loud thunk of the safety interlock being cut, and the scraping metal on metal of the door being pried open gave finality to the doomed researcher’s situation.
Two Korrivian pirates strode through the threshold. Their armoured carapace would be more than enough to ward off any feeble assault the biologists could muster. Their mandibles were hungry clacking at the sight of new, succulent prey.
Oh good Kem thought They’re not just the steal your stuff kind, they’re also the kill and eat you kind. And currently, he was very much hoping that they would choose to do it in that order.
So it came as a minor relief when one of the insects raised its rifle towards him. It then came as a major shock when the pirate was suddenly relieved of his weapon. And one of his arms.
The bug didn’t even have time to register the missing appendage when the stock of his former rifle became intimately acquainted with his face plate. He crumpled to the ground in a heap of twitching chitin. His associate turned to face this unexpected intrusion only to be met with the same weapon slamming down on the top of his head, shattering whatever minuscule cluster of neurons that passed for a brain it had once had.
The quartet had no time to feel any relief, however, as their would-be savoir turned out to be the thing of their nightmares set loose. It was the specimen. It stood over the pirates, skin glistening and breathing heavily, likely examining its most recent handiwork. It took a long deep breath and dropped the rifle to the floor with a loud clang. This led to Trest letting out a petrified yelp. Bad move. The specimen took notice and looked up. It scanned the petrified group of academics until its predatory eyes landed squarely on Trest. It bore its teeth and raised one of its hands, waving it back and forth violently in some aggressive hunting display.
Wren and Neb took measured steps to distance themselves from poor Trest, who appeared to have, for some reason or another, attracted the targeted ire of the bloodthirsty beast. Kem, however, was made of slightly stiffer stuff and took his role as expeditionary leader rather seriously, so he stepped between the beast and the quivering intern. After the violent display the specimen just put on he seriously doubted that this gesture would make any difference, but at least he could make a good show of it, and maybe provide the girl a few more moments of precious life.
The specimen recoiled slightly and looked almost offended. It shook its head back and forth a few times.
“Friend,” it said as it pointed a single digit toward a violently trembling Trest. “Friend sing me.”
The three others turned toward her looking for clarification on the bizarre statement. Her frills deepened with embarrassment. She had been, admittedly, more than a little unsettled to be in such close proximity to what could best be described as a walking war machine, so while running her experiments she had taken to singing hatchery rhymes softly to herself to soothe her nerves. The bizarre creature had mistakenly thought she was singing to it, though given her current precarious predicament, she thought better of correcting it.
Neb would be the voice to ask the question that now lingered in everyone’s mind. “Wait. How the hell does it know how to mimic our speech? Where could it possibly have learned that?”
The specimen it seemed had anticipated that question, or at the very least one in the same vein. It cocked its head to one side “See-know, same not same.” Its face seemed to condense, it tried to clarify, “Learn speaks. Learn space.”
“Great” Wren moaned “All it knows is gibberish.”
“No, I don’t think that it's gibberish.” Neb retorted. “I think it’s trying to communicate. I’m fairly certain we can decipher what it's trying to say if we look at it scientifically. We have to work backwards; extrapolate from incomplete data.” He began pacing as he was wont to do when faced with a particularly vexing quandary.
“Learn space is fairly obvious, it’s likely analogous to one of our schools or academies. Learn speaks is more difficult, but seeing as it was able to use the singular for Trest’s singing and used the plurality for speaking, combined with the speed at which it picked up words from our language we can reasonably surmise that it wasn’t actually learning to speak per se, but likely was learning languages, or at least something adjacent like linguistics. Same-not-same is a different challenge.” His pacing became more erratic as he fell deeper into the linguistic mystery. “Likely something that is close, but not the exact same.” His eyes lit up as the pieces began to fall into place “Something similar! See-know is a little more difficult…I think that, in conjunction with similar, we can assume it to be comprehension, or at the very least understanding.”
Neb’s tail smacked the floor with insight “Recognition! So if we combine all the data points, of course factoring in interpretation errors, I think it’s trying to say that it has pattern recognition and picked up our language because it was studying them at an academy!” Neb’s pride at deciphering the solution quickly gave way to abject terror “Wait…if it has pattern recognition…and was studying at an institution…that would mean…NO! No. Nononononononono.” He pointed a shaky phalange at the specimen “It’s a sentient! We’ve been running experiments on a sentient!” Neb collapsed to the floor, embracing himself in a fetal position at the revelation, incoherently rambling about “moral failings.”
The specimen looked slightly upset at Neb’s existential crisis “Hurt.” It said as it pointed to the whimpering mess
“No, not hurt. Stupid.” Kem hoped his simplified answer would suffice, but the empty stare he received indicated the opposite.
Though it couldn’t fully understand Kem its ability to perceive and react to change did lend weight to Neb’s theory. This gave him an idea to truely test the sentient capabilities of the specimen. He stared down the one working computational station in the room. Show time.
Kem made a gesture to the specimen to follow as he walked over to the console, and much to his surprise it dutifully followed him without any hesitation.
He booted up the translation matrix input program. The screen flickered and a crude picture of a dwelling appeared. “Speak,” Kem said.
The specimen narrowed its eyes at the image before it turned to Kem and lifted its shoulders briefly.
Kem scoffed. “You. Speak.”
It stared back at the picture for a moment, before bringing up one of its hands, moving it in a way that created an odd clicking sound. It then growled something in a strange dialect that he assumed was its mother tongue. The image changed and the specimen belted out something else.
Shit, it's figured it out. Looks like Neb was right Kem reasoned. As the specimen continued to work through the images brought up on the console, he made his way over to Neb, plucking the earpiece from his incapacitated colleague.
He made his way back to the specimen, as it was finishing up with the program, and let out a short cough to grab its attention. He offered up the earpiece and pointed to the side of his own head. The specimen took it and moved its head up and down. With some difficulty, it managed to seat the piece on its alien anatomy.
“Hello? Is this better? Is it easier to understand?” Kem asked the specimen.
Its face contorted briefly, “Yeah…yes. Better. Thank you.”
“It won’t be perfect, syntax, idioms and grammar may become distorted or incorrect, but it’s a logarithmic learning algorithm. The more we speak, the clearer it will become, you understand?”
The specimen nodded its head. “Yeah, I get it. What I don’t get, however,” Kem flinched at the sudden shift in tone from the specimen “is why we didn’t just do this off the hop. It would have made everything easier!”
This decidedly posed a problem for Kem. He could lie, and risk pissing the specimen off. Or he could tell the truth, and risk pissing the specimen off. As science is the pursuit of truth and to his core he was a scientist, he went with the latter.
“We didn’t know you were a sentient,” he said quietly.
“What?!” the specimen seemed incensed. “When you scooped me up, did you not notice the cities? The signals? The satellites? Like I get it, it’s not Star Trek-level space shit, but surely that level of civilization should have given it away.”
There was a strange silence as no one apparently wanted to answer the question. The specimen once again regarded the others in the room, all of whom had suddenly, simultaneously found the floor incredibly fascinating.
Kem sighed, the next answer may be more difficult, but seeing as thus far the specimen had been fairly amenable, he pressed on. “You were purchased.”
“WHAT!? WHY!?”
Kem’s tail flicked non-commitally. “Because grant funding has been sparse recently. To get any appreciable amount, a shattering discovery needs to be made. One of my crewmen said he “knew a guy” as it were, and it turns out his contact was good. So we pooled what little funding we got, along with some of our own savings, and purchased you, stasis pod, and all. You were billed as an exotic, unknown, apex ambush predator. Something that’s relatively difficult to get one's hands on.”
The specimen stared blankly at him for a few moments before bursting out in a fit of laughter. “Buddy, you got railroaded. I may be one of those things. But if that’s what you were paying for, you got scammed.”
“How’s that?” asked Kem.
“For starters, I ain’t apex. I could rattle off a dozen animals that would beat my ass, half of them prey, off the top of my head.” the specimen explained “Plus, not an ambush predator, there’s persistence hunting in my lineage, sure, but not something we’ve done for a long time. All in all, we’re pretty bland. I think the ‘unknown’ thing is the only category I qualify for.”
“Persistence predation? That would explain why our experimentation was going awry, we were chasing the wrong path!” Kem froze, in the excitement he had accidentally, explicitly, revealed their ethically dubious enterprise. He looked back to the specimen who seemed to have not reacted to the information.
“I do apologize. Had we known about your sentience, we wouldn’t have performed such invasive procedures.”
The specimen let out a strange snort “You call those invasive? Hell, I’ve had worse blood draws at the lab. I do wonder though, what was your end goal with all this? Surely some blood draws, and alien Xrays weren't it."
Kem gulped. This was the question he was dreading. "We...well we were going to make you as comfortable as possible, then we would have euthanized you and performed a dissection. All painless, I swear, and it was for science. I can only hope you aren't terribly cross with us. As commander of this operation I take full responsibility and can only request you direct your rage toward me."
The specimen let out a heavy breath "Oof, I'm glad it didn't come to that."
Kem glanced to the bodies of the still twitching pirates "As am I. Again, I offer my deepest apologies. Please do not harbor resentment for my crew."
The specimen waved a hand dismissively at him. "Look, other than the weird mix-up where you assumed I wasn’t a person, this whole trip has been a ride on easy street. So no, I’m not angry.”
This made very little sense to Kem, if he had been kidnapped, mistaken for a beast, and had experiments performed on him he would be more than a little miffed. So for the Nth time today, he decided to be bold. “I’ll risk overstepping, but why aren’t you at least a little mad?”
“Because this is so objectively absurd. If you had told me six months ago, that I’d be bouncing around a starship, waxing alien cockroaches to save a bunch of walking Geico ads that thought that I had the cognitive capacity of an ant and had plans to vivisect me, I would have asked if you were smoking crack cocaine, but…” The specimen gesticulated widely around the room “Here we are!”
The specimen thought for a moment. “Wait…you said stasis pod and all? Hell, it may be longer than six months, but my point stands. All of this, it’s insane.”
“Insane as it all may be,” Kem said as he wandered back to the console “Now that we’ve cleared up this, uh, unfortunate misunderstanding, I think it would be beneficial for all parties to get you back where you came from.”
He pulled up a holographic galactic map and turned back to the specimen, whose demeanor had once again shifted, this time it emanated an air of disappointment.
“Something the matter?” He asked.
“Well, it’s just that, where I’m from, this would literally be a once-in-a-lifetime opportunity.” It paused “I was kind of hoping you’d allow me to stay, even if for just a while. A grand space adventure sounds pretty neat.” It pointed to the map “‘Sides, that might as well be written in hieroglyphs, don’t know if I could find Earth even if I was chomping at the bit for it.”
Kem thought on this, there was a lot of potential to having such a creature around. If he could somehow convince it to allow experimentation to continue, even at a reduced rate, the data provided could be invaluable, not to mention recrewing would be infinitely easier with the level of protection the specimen could offer. He prepared himself to negotiate with all the tact that he could muster, but the specimen seemed ready to do his job for him.
“I ain’t no freeloader. I’d be willing to pull my weight, hell I’d be willing to let you keep running your experiments, with the euthanasia and dissection bits off the table, of course.” It offered.
Kem was shocked. Not only was the specimen ready to work to earn its stay, but it had also willingly offered its body for science. He was practically salivating at the academic prestige, not to mention the grant funding that would roll his way. There was no chance he was going to let this opportunity slip through his webbed fingers.
“No cutting you open. Seems a reasonable compromise.” He hissed with amusement “I’m sure we can make reasonable accommodations to facilitate your stay, if you’re certain. Though if you do find yourself lacking anything, once we crew up, feel free to ask.”
“I think I'm alright. I’m a creature of few earthly comforts, all I need is the clothes on my back and-”
The specimen stopped mid-sentence, glancing down briefly at its own form. Its face twisted into one of abject horror. Realizing, seemingly for the first time, that in this entire escapade, it had been naked as the day it was hatched.
“Actually, there is one thing,” it added quickly “You guys got a towel? Bit chilly in here.”

Greetings fellow redditors and coders, I started my coding journey back at January, when I started to learn C++ at my community college. This said intro to coding course covers just the basics of procedural programming (I'm not too sure if that is the technical term for non Object Oriented Programming) such as:
variable declarations/types/expressions/assignments
some string/char manipulation (for a lack of a better term)
Booleans
if-else branches
fowhile loops
vectors/arrays
functions
The online textbook I'm using is Zybooks, and other than the required labs I need to do for a grade, I don't really find the non-graded practice problems really interesting to do. A lot of the times I either finish the said practice lab in like 20 - 30 minutes, or I spend little over a hour figuring out a practice problem, just to get more frustrated than its worth. In addition, for the most part I feel somewhat comfortable of the core concepts being taught in this course. However, there are some concepts I feel more shaky on such as functions, vectors, or loops. But I feel like with given practice, and me not getting really frustrated, I hope to get comfortable with these concepts. At the current moment, I recently registered for the next programming class which would focus more on the Object Oriented side of C++ over the summer (2-month long course), in hopes to better concentrate on programming, before I go back with the normal full-time class load. I wanted to get everyone's opinion on good resources to get practice problems or projects that covers topics in a more fun format. I've seen some sites online that tried to mix gaming elements with coding problems, but I am not sure if those are even good in general. On top of that too, for C++ and other C-Family languages, is there any other sites similar to Cplusplus.com, that is also accurate and or up-to-date, that you guys can recommend? Lastly, is there any techniques/recommendations from your time as a programmer to help with debugging and or solving coding problems, I've heard that programming is like 90% planning and 10% coding itself. So far I had a hard time to put this into practice, and I think its the driving reason of my frustrations in some of the problems I tried. Also, if there happens to be anyone who has experience in Machine Learning or Computer Vision on this subreddit, do you guys recommend it to new undergrads, since my goal at the moment is to go down the more Machine Learning path when I progress throughout my degree! Sorry for the lengthy post, however I am open for any suggestions y'all bring in this discussion! :)

Sometimes, our furry friends seem to have boundless energy, zipping around the house like tiny furry tornadoes. But what if this energetic behavior isn’t a sign of a happy, playful pup, but rather a symptom of an underlying health condition? Hyperthyroidism, a condition in which your dog’s thyroid gland produces too much thyroid hormone, can cause a whole host of issues, from excessive thirst and urination to weight loss and hair loss.
While it may sound scary, fear not, pet parents! This post will delve into the world of hyperthyroidism in dogs, outlining the causes, signs, and, most importantly, treatment options to get your pup back to his or her happy, healthy self.

Under the Hood: What is Hyperthyroidism?

Let’s get down to the nitty-gritty. The thyroid gland is a butterfly-shaped gland located in your dog’s neck. This gland is responsible for producing thyroid hormones, which play a vital role in regulating your dog’s metabolism, growth, and development.
In a dog with hyperthyroidism, the thyroid gland goes into overdrive, pumping out an excessive amount of thyroid hormones. This hormonal imbalance can wreak havoc on your dog’s body, leading to a cascade of signs and symptoms.

Uh Oh! Is My Dog Hyperthyroid?

So, how do you know if your once-placid pup might be suffering from hyperthyroidism? Here are some telltale signs to watch out for:

• Hydration Station: Is your dog suddenly lapping up water like there’s no tomorrow? Excessive thirst, also known as polydipsia, is a classic sign of hyperthyroidism.
• Frequent Flyers: Accompanying this insatiable thirst is an increase in urination, known as polyuria. This is because the excess thyroid hormones are causing your dog’s kidneys to go into overdrive, producing more urine to get rid of the extra hormones.
• ** bottomless Pit:** Is your dog inhaling their food and still begging for more? Increased appetite, known as polyphagia, is another common symptom of hyperthyroidism. This is because the extra thyroid hormones are revving up your dog’s metabolism, causing them to burn calories at an accelerated rate.
• Racing Heart: That thump-thump in your dog’s chest might be a little too fast if they have hyperthyroidism. An increased heart rate, known as tachycardia, is a common sign of this condition.
• Shedding Like Crazy: Is your furniture perpetually coated in a fine layer of fur? Hair loss, known as alopecia, is another symptom of hyperthyroidism. The extra thyroid hormones can disrupt the normal hair growth cycle, leading to excessive shedding.
• Restless and Rascal: Is your once-calm canine suddenly bouncing off the walls? Hyperthyroidism can cause hyperactivity, restlessness, and anxiety in dogs.

Causes of Canine Hyperthyroidism

Now that we’ve explored the signs of hyperthyroidism, let’s shift gears and investigate the culprits behind this condition. The most common cause of hyperthyroidism in dogs is:

• Thyroid Tumors: These can be benign (non-cancerous) or malignant (cancerous). In most cases, these tumors are benign; however, they can still cause the thyroid gland to produce too much thyroid hormone.

While thyroid tumors are the most frequent culprit, a few other less common causes of hyperthyroidism in dogs include:

• Iatrogenic Hyperthyroidism: This occurs when a dog is given too much medication for hypothyroidism (an underactive thyroid gland).
• Lymphocytic Thyroiditis: This is an autoimmune disease that can cause the thyroid gland to become inflamed and overactive.

Diagnosing Doggy Hyperthyroidism: A Trip to the Vet

If you suspect your dog might have hyperthyroidism, it’s crucial to schedule an appointment with your veterinarian. They will perform a thorough physical examination and may recommend some diagnostic tests, such as:

• Blood tests: These can measure the levels of thyroid hormones in your dog’s blood.
• Thyroid scan: This imaging test can help visualize the thyroid gland and identify any abnormalities.
• Fine-needle aspiration: This minimally invasive procedure involves collecting a small sample of cells from the thyroid gland for analysis.

I have CP stage 1-2. I'm struggling to keep down enough water and can only eat 2 saltines per hour. I have hypoglycemia often, my fingertips are always tingling. I currently have high bilirubin 1.5 and low lipase. I can't really eat because I always feel so full. Even just drinking water irritates it. My CTs are all totally normal, but my ERCP was abnormal and showed fibrosis banding and I have hypoglycemic shock episodes. Hospitals will not keep me, they just tell me it's not their problem, and that once my sugar is 100, out the door you go, keep eating crackers and see a doctor sometime.
I can't keep down jello or sugar water, or honey. I can't eat pretzels, and I can't take any supplements. I can't even take my Miralax. I can barely take Sucralfate at night, because I can't drink water fast or I get sick.
That said I am compiling things to do, how to see what is wrong with me. How to get treatment. My personal thought is that my biliary ducts probably aren't draining well if I constantly feel full and have high bilirubin - I feel like they're probably inflamed, but I'm not sure.
I thought of asking my gastro doctor for a HIDA scan, or MRCP, vitamin workup, and I wanted to discuss a spinal stimulator. Is there anything else I might have missed? Does anyone have advice?
To add something useful for you all, right now in Charleston MUSC is testing using stem cells to stop pain in pancreatitis. I signed up. It's a type of stem cell that has been useful for other things. There's also someone testing ascetic acid to destroy all pancrelipase areas of the pancreas but leaving alone all insulin areas. I'm really praying to the universe that one of those will become a thing for us all. Let's keep hoping.
Thanks for reading.

At the most random moments my Lenovo Yoga 7i will restart it’s self saying “your device ran into a problem” with a blue screen and QR code for support. But the screen doesn’t last long enough for me to scan the code or take a picture of the screen. Im trying to take an accounting quiz right now and it has done that twice in the last 15 minutes!!! Luckily the quiz allows me to go back in and continue. And the battery seems to go pretty faster than advertised. What should I do?

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Hi guys. Long story short, i went to a l4 apprenticeship in a big bank in the uk. Big reason why i didnt go uni- growing up my dad was a big gambler and used my pocket money throughout school for his vices. I had big emotional burdens and didnt see the value of education before uni, because of how i was made to see it. It was pushed more as fear rather than a self investment- YOU HAVE TO GIVE UNI TO STUDY ENGINEERING LAW WHATEVER U NEED A JOB GO A TOP UNI RETETET it was never influenced as a valuable thing to have for education sake. I worked hard to get the grades my parents wanted in school and they were never happy with me. It was never enough, which is why i took an unconventional route and dint go to uni.
Also, the financial insecurity from the gambling made me scared of going cause idk how i would go through uni with my dad constantly asking to ‘borrow’ money from me. So i didnt go. I worked my ass off to get this apprenticeship despite all of the competition and got it. When i got it, the quality of the education was terrible but i didnt care. When i wasnt doing the course i was doing very easy work and i didnt mind cause it was all from home and i was comfortable. The course barely taught you the foundations and basics (it was a tech l4 not saying the apprenticeship provider) and the work was dead easy. Too easy… to the point where j didnt realise at the time i wasnt even properly trained the skills to even do the job.
I always wanted more in my life and had dreams of studying a creative degree, but as i said the nature of my upbringing didnt allow me to do this. it led me to hate education and just want to work which is why i chose this over uni. The first 2 yrs when i was 18/19, i was getting paid alot but i barely done much because of lack of proper training,supervision and the apprenticeship was shit. I also worked form home full time so i didnt even build any people skills, which u build in uni or having a proper training at work. After i got my qualification, i was put into a clerical position in my workplace. my intention was to do l4 apprenticeship then l6 after but then that didnt work out because of where i was placed right after the apprenticeship. i have to come in everyday in office i never work from home and i spend all of the day scanning paper and learning nothing. and although i know i am very lucky ti have a job i hate it. I have applied for multiple positions in and out of my workplace, im either overqualified or underqualified.
Since i have come to the job, i have really seen the value of uni and an education.
Not going uni- i feel like ive missed out on so much. apprenticeships are held at such a high regard, people say dont go to uni cause ur not guaranteed a job. but what people dont understand about uni is that it should be seen as more than a workforce machine- you build and elevate yourself, you meet new people, you experience, you learn new interests etc. its not about the expenses as u only live once. its about the self development and how much u push yourself. i feel like ive been rhe same person since 18 as i didnt grow in the apprenticeship. i just got complacent thinking my skills will get me a job, not knowing theres so much more to it.
My friends will be graduating soon and even though i know theyre not guaranteed a job, i feel like theyre way better off compared to me. i feel like i havent developed as a person over the years and my skillset and knowledge is so weak. The reason why i didnt go is as stated above, but i want to go back. I know id be a mature student but i think i need to start again. My parents wont be able to support me, i will only have £4k student finance a year and thats a big reason why i dint go. When i got my trust fund at 18 for £4k my mum took half of my money because over the years from my dads gambling shes suffered fianncially too, so the financial and emotional insecurity that i felt at 18 that led me not to go uni in the first place is coming back.
I have so many options- either i go back but ill have to move out- ill be estranged, not much money in savings to support me for 3 yrs (ill be 24 graduating from a bsc if i go back in september), or another thing.
My workplace offers a degree program (degree apprenticeship) which is a stronger program and has a better learning course (l6). i am able to skip modules due to my l4. i enquired about this but my manager said that they cannot attest that the degree will benefit me as my role doesnt benefit from it right now, along with the fact that they cant attest i have the knowledge. BUT. I have skills. I know code and stuff. Maybe not to a degree level but i taught myself so many different things over the years. dont want to delve deep into my skills but i know i can make something work. I have been speaking to a mentor that is highly skilled and experienced and educated in the field i want to get into, so i have that for tutoring. My plan is to work my ass off to show my employer that i have the skills needed for the degree and it can benefit the team.
My plan-my team is full of old people. 5 people 35 ish and everyone else are grandparent aged. The place is very old fashioned, not great in technology. I want to use my little skills that i gained to try find ways to bring some sort of revolution to my department. even if i dont build amazing things as obviously im not degree educated, i want to be able to use the skills i have to influence decisions and even build something. i can work my ass of for a year, along with doing certifications in my desired industry to prove to my manager that i can do the next level and deserve an education.
My managers seem supportive (i hope- I never told them my plan of this, but i told them my aspirations to pursue a further education and what career i want to go to and they said they will look into what i can do for the team and how many hours in my role i can use towards this). if i can build projects to prove what i am capable of then i hope they may give me a chance. i wont have to leave my role that is a decent salary for my age. also, it will build my project management and people skills. earning the degree also means that i will continue to value tan education rather than just going into uni cause its the easiest option.
only thing is i will be working full time and studying too so it wont be like the apprenticeship where id have more time with my studies. i would probably end up either be working and studying until i graduate. also i wont get the uni experience, but i will be able to elevate my people skills and learn to build relationships and plant seed with people which i lack the skill of.
I think the only thing is that, i lack so so so so so much people skills which was a result of not going uni. i even asked someone at my church that i barely know to help me with this, after now i realised that it was a terrible decision because now they think im only going church to help with my degree. that wasnt my intention but this proves the importance of a university experience and an education- u learn how to connect and build relationships with others before asking about something so drastic. i didnt think about that before and now i think i broke that bond. but i will just say that this was a learning experience.
another option i have is moving out the country, living a simple life and studying an online degree while doing that? ive just been so depressed and i want a change with my life. i have so many options. over the years ive spent so much on luxury things but i never invested in myself which resulted into what i am now. i feel like a failure. my family from back home and here see me as a failure because i didnt go to uni. i want to forget that and just be led by the vision i see for myself.
i want to be better. i dont want to sit and feel sorry for myself. i want to be educated. i want to reach my potential. i want to grow as a person. i want to contribute to the world. i dont want to live this way. i need to let go of the past- how i viewed education is not what education is. education is a beautiful thing.
to all grads or students rn- whether or not ur worried about a job, are struggling after uni to find a job or have other things, just know that u done well for urself. whatever u studied, it could be psychology or medicine or nutrition, the main thing is your investing in yourself. even if u never use ur degree, i want you to know that uni wasnt a waste of time. trust me, u would rather have a degree and no job for a while than a job but feeling lost with no degree or foundational knowledge.
degrees arent just about jobs. infact, i dont think degrees should be about jobs at all. degrees teach u how to perceive the world, because what you study gives u a unique perspective on everything u interact with in ur life. there is no such thing as a real degree or useless degree. idc if the job prospects are low, aslong as u take it seriously and work hard for what u want things fall into place.
its a waste of time to go if ur only going because ur parents told u to study a certain degree. thats y i went through the apprenticeship route to avoid that. sm young ppl in my workplace dropped out of uni, even this one guy dropped out 3 months before uni finished to do the apprenticeship cause he didnt enjoy his course.he didnt graduate and he only done nursing cause his parents wanted him too. they prob have a diff perspective to me tho cause they already had the uni experience, so even without the degree they still had some sort of education.
to new apprentices (maybe not degree ones) i dont want this post to implement fear into your path, but i just want u to read this as a reminder to not be complacent. dont think that not going uni means u dont study. work as hard as u can. an education is beyond a degree. i have seen things happen so many ways. the other people in my cohort didnt go uni but got a promotion and are doing rly well, and the other ones are in the same position as me. one even admitted to having lost all of their knowledge from the apprenticeship because of their clerical position. and laziness.
please push yourself to grow in ur lifetime. even if its not uni just dont let this be you. i hope that i do better so that when i grow up, i can be who i aspire to be. not this. i hope i can learn to build and influence, so when i have children they dont see education in a fearful and toxic way like i did. i want them to go uni and invest in themself or just invest in themself in general. not this. i hope to God that is can make this work. please let me know what your thoughts are. i will accept any sort of cussing out trust me, but just let me know what i can do to exalt in this after the cussing.

*posted with approval from moderator*
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