Practice coding and billing exams

So many numbers, so little time

2012.07.30 01:04 So many numbers, so little time

Many physicians, mid-level providers, practice managers, administrators, billers and front desk staff members have questions about coding. Today's demand for certified professional coders (CPCs) is growing as many jobs in the coding and billing field now require certification. Health care professionals involved in coding, compliance, billing, administration and reimbursement aspects of medicine should be certified as part of a compliance program.
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2014.06.08 00:29 Medical Coding and Billing

All things coding and billing.
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2019.12.12 00:56 SimplePractice

Welcome to the SimplePractice Subreddit! SimplePractice is a top-rated EHR software and all-in-one practice management solution trusted by more than 185,000 health and wellness providers. While using this practice management software, practitioners are able to access everything they need from appointment scheduling, billing, and payments to HIPAA-compliant Telehealth, insurance claim filing, and more. Sign up for a free, 30-day trial today to try it out for yourself.
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2024.05.19 07:00 EchoJobs 🌅 May 19 - [REMOTE, Hiring] 37 new Remote Jobs

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submitted by EchoJobs to CodingJobs [link] [comments]


2024.05.19 07:00 EchoJobs 🐬 May 19 - 75 new Senior Software Engineer Jobs

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Senior Solution Architect USD 135k - 223k
Senior Fullstack Software Engineer USD 135k - 199k Remote, San Francisco, CA, New York, NY
Senior QA Engineer USD 105k - 168k Remote, US
Sr Software Engineer LabVantage USD 124k - 155k Remote
Senior Software Engineer USD 126k - 182k US, Remote
Senior Site Reliability Engineer USD 126k - 182k US, Remote
Sr UI/UX Developer USD 165k - 211k Long Beach, CA
Sr Robotics Software Engineer USD 157k - 200k Long Beach, CA
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Sr Robotics Simulation Engineer USD 157k - 200k Long Beach, CA
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Senior Container Engineer USD 120k - 174k Overland Park, KS, US, Remote
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USA Senior, Software Engineer USD 90k - 180k US
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Senior Software Engineer USD 156k - 235k Boston, MA
Senior Data Engineer USD 140k - 140k US
Sr. DevOps Engineer USD 114k - 157k Remote, US
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Senior Staff Software Engineer in Test Automation Prisma Access USD 175k - 175k Santa Clara, CA, US
Sr. Technical Support Engineer USD 94k - 152k Santa Clara, CA, US
Senior Software Engineer USD 112k - 238k US, Redmond, WA
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Senior Backend Engineer New York USD 160k - 210k New York, NY, Remote Hybrid
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Fullstack Engineer Senior level or above USD 157k - 252k London, UK, UK
Senior Firmware Quality Engineer USD 99k - 167k Remote, US
Sr. Software Engineer USD 130k - 185k San Francisco, CA, Remote Hybrid, Los Angeles, CA, Seattle, WA
Senior Software QA Engineer USD 100k - 135k US, Sunnyvale, CA
Senior Software Engineer USD 134k - 185k Austin, TX, US
Senior Manager Software Engineering USD 150k - 225k New York, NY, US, Remote
Systems Integration Engineer USD 73k - 110k US, Remote
Senior Frontend Engineer USD 165k - 210k New York, NY, US
Senior Frontend Engineer USD 165k - 210k Palo Alto, CA
submitted by EchoJobs to CodingJobs [link] [comments]


2024.05.19 06:59 AdvertisingFree3968 My marriage is over.

But even typing this, it doesn’t feel real. I still have hope tonight that he can change. I feel so stupid.
I am 38F and he is 39M.
I am devastated. I would do anything and everything to be married forever, but it’s no longer an option and hasn’t been since the fourth month of our marriage. I was 8 weeks pregnant with his child and he assaulted me with a metal cup in the car while he was driving on the freeway because I wouldn’t stop saying why he was upsetting me. The fight continued when we got home and he had called the police, lied to them and had me arrested. Eight weeks pregnant. With bruises up and down my body. I got arrested. I spent the night in jail and had to listen to my baby’s heartbeat for the first time from a county jail exam table.
Somehow, through that, we stayed married. Abuse makes you do wild things. It changes your brain. Abusers purposely make you confused. Through counseling, I am coming out of the confusion now, though.
I could go on and on about the abuse I have suffered. I am here today because typing this makes it real that I am leaving. And I am here today because I need support in understanding that he is not going to change.
This morning things escalated by 8am. This is typical weekend behavior. I discovered that he has been smoking cigarettes in one of the vehicles that is in my name and that I pay for, and that I have asked him not to smoke in repeatedly. I do not smoke. I think it’s gross. And it has ruined the interior of this vehicle that is expensive. Not only that, but our child has asthma. Most likely because he IS a smoker. Anyway, I grabbed something out of the vehicle for his 6yo and I came back in and simply said “please don’t smoke in the truck anymore. Please don’t tell me that you haven’t been either.” This sent him into a spiral. He called me names and said that I am controlling. He started following me around the house screaming behind my head. He is nearly a foot taller than me and this is physically intimidating to me. So much so that my hands start to shake, my heart races and my thoughts become blurry when he does this. I knew at this point it was best for me to get our child and leave. So I was doing that. But this morning he would not let me leave the bedroom and was blocking me from leaving with our child with his body in the doorway. I told him I was going to call non-emergency if he didn’t move. And he would not. So I was trying to figure out how to call but my hands were shaking so bad and my brain was so jumbled I gave up and called my sister on speaker. I asked her to call the police. As soon as he saw her name on my phone he moved and let me leave. He yelled at me and our child out the door and to the neighborhood “see - I’m so scary - I’m letting you leave”. I got our child in the backseat and drove down the street to park and get them dressed. They were only in a pull up. I saw the officer coming down the road and flagged him down. I told him what happened and he went and talked with him. I left with our child and went to my sisters. Eventually we came home and he has been upstairs ever since. This is also typical. He will have an outburst. And then go upstairs and not speak to me for a week. And then one morning he’ll just wake up and decide that it’s time to be normal again. And generally comes to me and says “have you calmed down”. Which, as you can imagine, perpetuates the situation further. And drags it on. He does not understand accountability.
We have been married 3.5 years, together for 5 total. We have one child together (2yo) and he has two other children (6yo and 14yo).
We moved in together after 9 months of dating. That is when the abuse started. The first time he was physically abusive, he broke through our bedroom door. Broke. The entire door - down. Somehow, I decided to continue.
From the start, I’ve known it was never going to last. He is unstable. He has a long and dark history of mental illness (both himself and his immediate maternal and paternal family). In addition to struggling with substance abuse his entire life. His childhood is tragic and full of heartache. It shaped the man he is today, and not for the better.
He is in the trades industry and has a GED. I am a director level professional and have a college degree. His father was in prison for the last half of his childhood and eventually took his life when he was released. My father is a retired architect, Vietnam vet. We grew up completely different. Both of our parents divorced. He then suffered verbal and emotional abuse from his step father. I suffered verbal, emotional, and physical abuse from my mother.
I believe my mother is a narcissist and undiagnosed. And I believe my husband has narcissistic tendencies and/or is one. But I am not a medical professional. I am going on what I’ve experienced with both of them.
When we first met, he was 34 and I was 33. He was unemployed and really not doing well. Drinking in access. A lot. Everyday. But I did not know. I was doing very well. I had spent my 20s creating a fulfilling and financially successful career. He spent his 20s job hopping and, quite honestly, messing around. But we had fun together. But having fun together is not real life.
Here is where the manipulation began. He was upfront about his upbringing and past. And was genuinely making steps towards a better life. He is a born again Christian. And as an educated person, I believe he has grabbed on to what is actually important in the Bible. However, he is unable to abide by what a husband biblically should be. He does not love, protect or provide for me or our child. We joined a church, I became involved and made friends, and we went there as a family for multiple years. Until one night he showed up drunk, and I never went back.
I am the breadwinner. I pay for ev. ry. thing. He keeps his entire paycheck and will not give me money to pay bills. He will also not physically pay the bills. I manage and pay all bills. But not because I don’t want him to. I have begged, cried, and tried a million different systems (both digital and analog) to make him involved. And he flat out refuses. He abused our shared checking by taking money out to “pay bills” from his personal checking account and then did not pay those bills and spent the money. So I would then have to pay multiple months and late fees to catch up. Many. Many. Times.
In addition to not contributing financially, he does not contribute to the household upkeep or yard maintenance. Literally nothing. If I want the yard kept, I do it, or I pay someone to do it. If something on a vehicle goes out, I make the appointment and consult with the technician. But again, not because I want to, but because he will not participate. Or if he does, it’s half assed and more work for me. He does not grocery shop or cook. He has never cooked one meal for me. I think he’s maybe gotten a bowl of ice cream for me a couple times? He does not clean. He has cleaned the bathroom in our home two times. We have lived here 4 years. We live in separate bedrooms because he won’t pickup after himself. His room is squalor. Clothes on every square inch. Fast food wrappers. No sheet on mattress. I have cleaned it for him many times in hopes that we could make a drastic change and start sleepin next to each other again. But he refuses. I know this sounds insane that I have stayed married. It sounds insane to me.
He verbally, emotionally, physically, spiritually, sexually and financially abuses me. Maybe not all at once, everyday. But one of them most likely daily now. Or a couple. It’s been a very long time since there has been a long stretch of stability or peace.
However, I am changing all of that this year. I have hired an attorney and am climbing through the paperwork right now.
On Christmas morning last year, before we hosted family that day, he threw a (heavy) laundry basket full of dirty clothes at me as I was going down the stairs because I asked him for help with something. And after the first one hit me, I sat down and covered my head so I wouldn’t fall, and he threw another one at me. I don’t know how I masked my raw emotions through the rest of the day with family over. I ate not one bite. I pushed my food around my plate and tried to make my face contort into normal emotions for the day.
But I stayed. Again.
Mother’s Day morning this year. Just one week ago - I spent it locked in my bedroom with our child paying the divorce attorney retainer fee on the laptop as he screamed at me what a piece of shit mother and wife I am. I honestly don’t even know what I did or remember why it escalated. Most likely because it was a holiday - and not about him.
I am exhausted. I have lost close to 30lbs since January. People are beginning to notice.
I wanted a family more than anything. I adore my child. I spend my days and nights dreaming up ways to enrich their life. I wanted family vacations and world travel. I wanted to host, big, extended family holiday gatherings. I wanted my little baby to know what it felt like to have a mom and dad at home together every night. But not at this cost. The very worst part of my parenting is staying married. I am a bad parent every day that I stay here.
I wish I could file the petition and fast forward a year. I know I’ll be okay. It’s ripping off the bandaid that hurts.
submitted by AdvertisingFree3968 to domesticviolence [link] [comments]


2024.05.19 06:53 ShiningKatana20 Professor Messer Exam Score / CompTia Passing Chances

hey all, I just purchased Professor Messer's CompTia A+ exams
im taking the test on Tuesday , should i be fine
what are your experiences on taking practice exams and what you got on the actual test
submitted by ShiningKatana20 to CompTIA [link] [comments]


2024.05.19 06:51 FutureDPT777888 GRE help

Hello, I’ve been studying for the GRE for the past 2 months following the magoosh 3 month study plan. However, I feel that my score isn’t improving much. Please let me know what helped you the best. Should I just mainly focus on doing straight practice problems over and over again? I haven’t yet to study much vocabulary so that could be part of my problem here. Please let me know if any tips / tricks. Aiming for over 300 :) current scores are Quantitative 148-150 (varies) & verbal 145…. My exam is in 3 weeks. Please help.
submitted by FutureDPT777888 to GRE [link] [comments]


2024.05.19 06:47 adulting4kids Autistic Character Prompts

  1. Prompt: A Coding Duo
    Inspiration: Explore a neurotypical software developer's initial skepticism when paired with a highly functioning autistic colleague who excels in problem-solving and attention to detail. Dive into their collaborative journey as they create an innovative software project, challenging workplace stereotypes and fostering an unexpected friendship.
  2. Prompt: Silent Symphony
    Inspiration: Write about a neurotypical music student forming an unlikely bond with a highly functioning autistic classmate who communicates through music. Explore how this unique friendship leads to a groundbreaking musical collaboration, breaking down communication barriers and inspiring those around them.
  3. Prompt: The Art of Friendship
    Inspiration: Depict an art student's journey of understanding when they befriend a highly functioning autistic classmate with a passion for abstract painting. Explore how the neurotypical character learns to appreciate and celebrate the unconventional beauty of their friend's artwork, challenging artistic norms and fostering a supportive creative space.
  4. Prompt: Sensory-Friendly CafĂŠ
    Inspiration: Imagine a neurotypical entrepreneur opening a sensory-friendly cafĂŠ after witnessing the challenges faced by their highly functioning autistic sibling. Explore the daily operations, emphasizing the neurotypical character's commitment to inclusivity and understanding, creating a safe haven for neurodiverse individuals in the community.
  5. Prompt: Workplace Advocacy
    Inspiration: Write about a neurotypical manager becoming an advocate for neurodiversity in their corporate office after working closely with a highly functioning autistic team member. Explore how the manager introduces sensory-friendly spaces, promotes inclusive practices, and organizes awareness programs, fostering a more supportive and accepting workplace culture.
submitted by adulting4kids to writingthruit [link] [comments]


2024.05.19 06:46 Chillydogdude Best way to interrupt Finite State Machine

Hello everyone. My player code uses a Finite State Machine and I have a small conundrum. I do have a functional solution but I wanted to ask about it here so I avoid bad practices.
My player’s state machine is pretty standard. It has stuff like idle, run, airborn, attack, dead etc. However I’m not sure how to properly handle “outside triggers.” Like if the player gets attacked, I’d want it to go to a knock back state in most cases. I could easily have a function that overwrites the current state when damaged, but of course there’s the cases where I don’t want to change states like if the player is dead. To avoid this I could add if conditions in the ApplyKnockback function that doesn’t change the state if the player is dead. But this feels like an unneeded dependency. And if there’s more interrupt cases or more states I don’t want to get interrupted, the amount of ifs needed would become overwhelming.
Basically is there an organized way I can have the player’s state machine handle cases like this. Currently, the few interrupt cases I’m planning to have are as follows:
Knockback, Die, Enter Vehicle, Play Animation, and Start Dialogue
and I’m looking for a better way to properly change to these states without needing to check inside every other state if the player meets these conditions necessary. Thank you.
submitted by Chillydogdude to unity [link] [comments]


2024.05.19 06:38 AdInteresting2401 Dying to be ill - How people make it hard for actual sufferers to be taken serious, hard to find any authentic and not misleading information, brain washing people into self diagnoses

People that spread the internet without an official diagnosis or any prove of an mast cell involvement, antihistamines are used for multiple diseases. There have been people that think they have MCAS because Cromolyn helped their asthma, H1 medication helped their urticaria, or H2 helped their heartburn. These medications are all widely used and are rather "off label" used for MCAS. That is why all 3 criteria need to be present.
Websites present various doctors that claim to be "specialists" and who give out diagnoses to anyone based of unspecific symptoms, reportedly these do not even make tests at all. Or use unvalidated biomarkers or questionable diagnostic criteria. Cash is payed upfront.
People who actually have a serious and rare disease named MCAS, struggle to be taken seriously, because many doctors are fed up by the sheer amount of psychic conspicuous patients, who only want a proof for their google based self diagnoses. Often times there is no proof and these people make a burden for health care resources.
Mast cell medication is free and if you have no relief at all with antihistamines, MCAS is very unlikely. There is not much any further medication that someone would get, if not presented with serious reactions, most of the times anaphylaxis. Ketotifen and cromolyn are also mainly antihistamines, still many gaslight themselfs thinking that that is the medication they need.
Primary and secondary MCAS are easy to rule out, due to specific and severe symptoms and quite obvious underlying mechanism like an IgE dependant allergy or the genetic mutation. The diagnosis that is under question is the idiopathic MCAS, where the underlying mechanism is unknown, these people still need to fullfill the diagnostic markers, but in reality this happens only rarely.
Still many think they have a secondary MCAS, it is said by certain authors that a secondary MCAS would have a prevalance of 17-30 per cent. They say that long covid and/or T-Cells are the problem. That this would be quite easy to proof if it would be happening they do not care about. That this has already been evaluated they do not care about. The desperate patients are easy to convince it seems.
Some people even make claim their MCAS would be due to a root cause of "Sibo", "Leaky gut" or "microbiome disbalance", all which are unrelated to a MCAS and heavenly overdiagnosed or not even proven to excist, just like the whole hEDS and POTS misdiagnoses going on. Mast cells in the gut have been studied and people with IBS have had no success with mast cell treatment.
It is also a burden for patients, knowing that even some doctors do not stick to authentic measures and give out misinformation. Maybe because of a conflict of interest? Since most internet posts that come up include misinformation, it is hard for sufferers to find alike. MCAS communities are full of people who do not have MCAS. MCAS sufferers have no community right now.
.
"My blood and 24hr urine collection testing came back normal. The allergist I saw also told me outright he doubted I had MCAS (a fad diagnosis along with EDS and POTS, as he said) but did end up suggesting I come back to get samples tested during an episode. I was so frustrated with the allergist that I’ve never gone through with that. Instead my amazing primary doctor decided to prescribe me montelukast and monitor my reaction to trialing antihistamines at home, and I had immediate positive response! We also first ruled out everything else he could think of and clearly test for; my main symptom is facial flushing so I had things like lupus and carcinoid syndrome ruled out.
Although we treat it as such, I don’t actually have an “official” MCAS diagnosis on my chart. IME the specialists who do inquire about all my meds or listen to my symptoms don’t seem to differentiate between MCAS and allergies/sensitivities anyway :/ but my case isn’t super severe and currently well-controlled so that works for me. Good luck to you - I hope you find proper care regardless of your test results!"
.
"I have normal tryptase levels and definitely have MCAS. They diagnosed it after POTS, and it was mostly based on symptoms as well as the “scratch test”"
.
"Spoke about it with my GP, she referred me to an internal medicine doc who specializes in MCAS. I told him my symptoms and he went “yep that sounds like MCAS” and proceeded to literally dump an armful of antihistamine samples into my lap and bounce off to his next appointment. I am definitely in the minority of people whose experience was that easy. It was so easy that I almost don’t believe him."
.
"This is the same as my experience! Walked in, diagnosed by rheumatologist in 5 mins based off symptoms and loaded up with antihistamines as a starting point. No testing or anything."
.
"went to my allergist and had the blood work panel done. nothing in it came back weird, but my allergist is treating me as if i have MCAS based on all my symptoms and pictures of flares."
.
"Went in to get my pots diagnosis and the doctor was like “btw your blood tests show you have mast cell activation syndrome” and then gave me some medicine and did not elaborate further"
"As it turned out my diagnosis was literally not true. I don’t have MCAS (and even if i did what they gave me for it was beyond overkill) after talking to an actual allergist I believe that most likely I was given an extra diagnosis on extremely weak basis. Using something from what they saw in my blood so they could bill higher and prescribe more medicine to me. I no longer go to that practice and instead go to a different cardiologist and actively do not recommend going there. Unfortunately this stopped me for years from properly treating my pain as I was trying to treat it on the basis it was being caused by MCAS :/"
.
"Mine was actually fairly easy when I finally figured out it was MCAS.
Got referred to immunology to rule out mastocytosis. Then my PCP at the time did a clinical diagnosis. She wasn’t risking putting me into anaphylaxis to maybe get a positive result on any of the mast cell mediator labs (this doctor was one who didn’t list a diagnosis unless she was confident it isn’t anything else and spent 8 years trying to get an answer).
My current doctors don’t question it because my symptoms at this point line up perfectly with MCAS."
submitted by AdInteresting2401 to MCAS_ [link] [comments]


2024.05.19 06:29 FriendshipFit2626 Should I retake GMAT FE ? My 705 GMAT FE Experience

Hi everyone­ ! I wanted to share my experience with the GMAT FE and ask a question as well. I received a score of 705 which is close to 99 percentile. This was something I wasn't expecting honestly from all the mocks I did
Here is my preparation journey:
GMAT day Experience (Quant, Verbal then DI):
Score Breakdown
My question to the GMAT Experts in this forum is that I wanted to target schools such as MIT, Stanford, Kellogg, Wharton, Harvard. Given the imbalance in the percentile, should I retake the exam ??? For little background, I am a Data Scientist with Masters from M10 school.
submitted by FriendshipFit2626 to GMAT [link] [comments]


2024.05.19 06:28 ArkRecovered2030 [The Fast and the Furious] - Dom and Brian's Relationship Was A Prophetic Allegory

The original "The Fast and the Furious" released in 2001, contains a biblical subplot. This isn't as farfetched as it seems, considering that this film was re-written before its release by David Ayer, who is considered "...one of the five most prominent Christians in Hollywood." The original screenplay was written by Gary Scott Thompson. His vision for the film was for an all Italian cast racing through the streets of New York City. David Ayer, rendered some rewrites that made the film what has become these 20-something years later. One of his changes sets the film in Los Angeles instead of New York. Scripturally, angels are messengers and there surely is a message in this film, which is a re-telling of Revelation 13 using the analogy of cars and street racing.
To sum up the message of Revelation 13 is this: The Roman Catholic Church represented by "the sea beast" (Revelation 13:1) unites with America represented by "the earth beast" (Revelation 13:11) to issue the Mark of the Beast (Revelation 13:16-18). Scripture supplies the most in-depth literature known to man and this film has become a pop-culture gem because of it. Let's look at some of the symbolism.
Dominic Toretto (Vin Diesel) is an allegory of the Roman Catholic Church. The name Dominic is derived from the Latin Dominicus and is a name given to boys born on Sunday. It is the root word for "Domingo" which is Spanish for Sunday. Contrary to the 7th Day Sabbath of the 4th commandment (Exodus 20:8), Catholics instituted their own day of worship, which is Sunday. Priest Brady, in an address, reported in the Elizabeth, NJ ‘News’ on March 18, 1903, stated, "It is well to remind the Presbyterians, Baptists, Methodists, and all other Christians, that the Bible does not support them anywhere in their observance of Sunday. Sunday is an institution of the Roman Catholic Church, and those who observe the day observe a commandment of the Catholic Church." Their are many pontifical orders in the Catholic Church and one of them is the "Dom-inican" Order. Pope Pius V was of the Dominican Order and he instituted the Inquisition. The Dominican monks are known for brewing beer and in the movie, Dom is constantly advertising "Corona Beer." Dominic Toretto drives a 1993 Mazda RX-7 FD. At the core of this car is a turbocharged Wankel motor, driven by rotors instead of pistons. The rotors are Releaux triangles and were prominent features on gothic style Catholic Churches. The Releaux triangle is also the basic shape for the triquetra which a symbol for the Trinity. The Trinity is never mentioned in Scripture as a name for God which is important. The Trinity is a Catholic invention. The Roman Catholic Church is named as such because it absorbed practices and traditions from the Roman Empire. It was Constantine that issued the first Sunday Law; an attempt to make Sunday holy. They used to hold races in the Coliseum to honor the Roman trinity known as the Captoline Triad or the Archaic Triad. The name Trinity was coined by Tertullian, a staunch Romanist. This is why Dominic uses three Honda Civics to pull of the heists, because Trinitarians believe the Holy Spirit is another being form that sits on the Throne of God; three on the throne. In reality, there are only two being forms, the Father and the Son, on the throne, with their Spirit being inherently there. Dominic's RX-7 has a Veilside body kit. The "veil" (Hebrews 10:20) is symbolic of Jesus Christ and the pope believes that He is an additional incarnation of Christ. In the beginning of Fast X, Dominic is portrayed as a defender of the Vatican and St. Peters. Dominic Toretto is the Roman Catholic Church.
Brian Spilner [O'Conner] (Paul Walker) is an allegory of American Protestantism. The name Brian means "noble" and nobility is defined as having "high morals standards and ideals." Brian is also a police officer or a keeper of the law. America was established as a Protestant Christian nation with the intent of upholding the Law of God. Most Protestants today have forsaken the Sabbath command and uphold the Catholic Sunday. Brian is also on the "wine of Babylon" and is seen drinking and distributing alcohol throughout the film. Protestant denominations now also believe in the Trinity, significantly compromising the strength of the Protest. Is this reflected in Brian's ride? Yes. Brian drives a 1995 Mitsubishi Eclipse. The Mitsubishi symbol is a trinity of diamonds or rhombuses. At the heart of the Eclipse is a PentaStar 4G63 built by Chrysler. Chrysler secured a $75 million war contract to aid in producing J. Robert Oppenheimers "Little Boy"; the atomic bomb dropped on, of all places, Japan. The codename for the first atomic bomb test was "Trinity", named for the Catholic triune god. The American symbolism for Brian's car doesn't stop there. The American rebadged version of the Mitsubishi Eclipse, is the Eagle Talon. There is also an abstract blue and white eagle on the side of Brian's car; the eagle being a prominent symbol for America. Brian's surname "O'Connor" is of Irish origin. Catholics have slandered the name of St. Patrick claiming that he used the shamrock to preach the Trinity, but in reality he was vehemently against, or protested, the Catholic doctrine or the Trinity. Revelation 13:11 says that America sprang up like a Lamb (a symbol of Jesus Christ) but began to speak as a dragon (a symbol for Satan.) This denotes compromise. Brian is seen sitting with Dominic many times drinking alcohol, a sure fire way to lower your inhibitions and compromise your integrity. Brian has illicit relations with Mia, Dominic's sister [who openly displays her devotion to the Catholic Church in the film], which seals his compromise. Brian then ends up lying to his superiors after sleeping with Dom's sister. Brian is an Apostate (Lawless) Protestant Church.
Brian loses his car to Dom in a street race, which transfers ownership of the American-powered Eclipse to Dominic. Eventually, America will be owned by the Roman Catholic Church and will "build an image to the beast" and issue the Mark of the Beast on their behalf. The Eclipse is destroyed. Is not America in such a a state of declension, that the calling of a moral leader seems like the only way to save this country? Remember, Pope Francis came to America in 2015 and addressed not only the nation from the White House, but also an active session of Congress. We are a constitutionally church and state separate nation. What was the Pope doing there? Dom and Brian start working on another car to replace the destroyed Eclipse; a 1994 Toyota Supra. Before 1990, there was no official symbol for Toyota. On October 2, 1989, the official logo was released. The symbol is a "T" comprised of a trinity of ellipses. The code name for a 1994-1998 Supra is the Mark IV(4). So the Toyota Supra contains as mark and a trinity.
So what is the Mark of the Beast? Sunday observance and worship enforced by law. Dominic's name associates him with Sunday and Brian, being a police officer, associates him with the law. When they united to build the Supra together, it symbolized a National Sunday Law aka The Mark of the Beast. Their union also is symbolic of the formation of church and state in America: the "image to the beast." By the way, all graphics for the cars in the film were supplied by "Modern Image." When this forms, we are in "Barney Rubble Trouble." We are a country built on ecclesiastical liberty, but when a Sunday Law is put into motion, those who accept the law, will lose their "Liberty of Conscience." No good. This is why when Pope Francis addressed an active session of Congress, where we pass laws, was not a good sign. In fact, Pope Francis chose a Fiat 500 to ride in when he came to America. The word "fiat" translates to "law." This was not a coincidence.
How does this movie end? After one final race, Dominic flips his car, receiving a "deadly wound" (Revelation 13:3). Dominic (the pope, the outlaw) is not captured and brought up on charges as he should. Instead, Brian (America, the law, the Image to the Beast) hands over the keys to the Supra, giving Dominic complete power and ownership. Scripture says that the Roman Catholic Church will come to an end and that God's true people need to "come out of her...lest ye be partakers of her plagues..."
The promotion of Sunday, the exaltation of the Trinity, the apocalyptic formation of the Image of the Beast (Church and State) and the fraudulent retelling of prophecy is all contained in a little movie about street racing released almost 23 years ago. The sequels, attractions, and merchandise have never ceased to roll off the assembly line. Sequels that point to Dominic as a Catholic Champion. Even in "The Fast and the Furious: Tokyo Drift", the first song to play is "Six Days" by DJ Shadow. [Refer to Exodus -11] This song puts Monday as the first day of the week making Sunday the Seventh Day, giving Sunday the appearance that it is the Sabbath of the Lord. Yes. The Fast and the Furious is arrayed against the Law of God. The sobering fact is, Revelation 13 is already being played out right in front of our eyes. This film, which could arguably be called "The Last Great Film Before 9/11", portrayed the various steps and phases that America, nay the world, was about to go through, with the audience unaware. Sadly, Paul Walker has passed, but the message lives on today, with the OG Fast and Furious still being the greatest effort in the series.
Thank you for your time and consideration. 🙏🏾🙏🏽
Please watch the video Swift to Mischief: A Prophetic Exposition of "The Fast and the Furious" for greater detail.
submitted by ArkRecovered2030 to FanTheories [link] [comments]


2024.05.19 06:19 Rainyfriedtofu Clover Assistant vs Epic and the tale of Peter Part 1.

Hello Fellow Apes,
In my recent posts, there were discussions regarding how Clover Assistant will compete with Epic EHEMR in the future, and someone asked about how CA can make EMR better. To understand this thesis, we're going to start by looking at the two offering in a table. It's going to be a long one.
Clover Assistant Epic
Clover Assistant is a clinical support tool designed by Clover Health, a health insurance company. It aims to help physicians make more informed decisions by providing them with actionable insights at the point of care. The tool integrates data from various sources to present a comprehensive view of a patient's health, aiming to improve outcomes and streamline care delivery. At the moment, CA has the capacity to integrate with Epic. CA is primarily focuses on enhancing clinical decision-making by providing insights and recommendations based on data analysis. It is designed to complement existing EHR. However, in the future I think CA will break away from this, and we will go into more detail when we look at the history of Epic. Epic Systems Corporation provides one of the most widely used electronic health record (EHR) systems in the United States and globally. Epic EHR is a comprehensive platform that covers various aspects of healthcare management, including patient records, scheduling, billing, and clinical workflows. Epic is a full-fledged EHR system that manages all aspects of patient care and hospital administration. It includes modules for clinical workflows, patient scheduling, billing, and etc. CA isn't at this level yet.
CA is designed to integrate with various EHR systems, providing a layer of intelligence on top of existing workflows. Its goal is to enhance the data already present in the EHRs with additional insights. It does so by aggregating data from multiple sources, including claims data, lab results, and patient-reported information. It uses this data to offer real-time recommendations and insights to physicians. Additionally, it offers insights in a concise, actionable format to help physicians quickly make informed decisions. We don't know what the cost of CA implementation will be, but I know 100% it will be cheaper than Epic, and in the future it will have the same features as Epic. Epic is known for its interoperability through the use of standards like HL7 and FHIR, allowing it to connect with other systems and share data across different healthcare providers and organizations. It collects and stores a wide range of clinical and administrative data. While it offers decision support tools, its primary function is data management and workflow facilitation. However, there are a lot of manual work involved for those who use this because it is an older system. While functional, Epic is often criticized for its complexity and steep learning curve. However, it is also praised for its extensive customization options, allowing organizations to tailor the system to their specific needs. The biggest problem with Epic is it is known for its high implementation costs and resource-intensive deployment process. However, it advertises itself as a comprehensive solution that can manage all aspects of healthcare operations.
With the comparison between Epic and Clover Assistant clarified, let's delve into the history of Epic Systems Corporation. Founded in 1979 by Judith R. Faulkner, Epic started as a small company focused on developing database management systems for healthcare. Initially, it faced several challenges, but these obstacles helped shape its pivotal role in the healthcare industry.
Epic's first product was Chronicles, a clinical database management system designed to handle patient records and clinical data. This foundational product set the stage for the more comprehensive EHR systems Epic would later develop. Notably, Epic adopted a client-server architecture early on, which was advanced for its time. This technology allowed multiple users to access and update patient records simultaneously, significantly improving efficiency and collaboration in healthcare settings.
In its early years, Epic primarily catered to small to mid-sized healthcare organizations, including hospitals and clinics. The potential to streamline operations and improve patient care through better data management attracted these early adopters. Epic's readiness to customize its software to meet the specific needs of each client helped build strong relationships and loyalty among its early customers.
One significant challenge Epic faced was integrating its systems with the existing healthcare infrastructure. Many healthcare providers operated disparate systems that did not easily communicate with each other. Epic addressed this by evolving into one of the leading providers of EHR systems, gradually expanding into almost every healthcare system. As Epic's client base grew, the company had to ensure its systems could scale to handle larger volumes of data and more complex operations.
From the outset, Epic focused on designing systems that were user-friendly and tailored to the workflows of healthcare professionals. This emphasis on usability set it apart from competitors. The company also invested heavily in developing standards for data exchange and interoperability, which later became crucial as the healthcare industry moved towards more integrated and connected systems.
Epic's success stories from early clients built a strong reputation in the healthcare industry, helping to attract new customers. The company formed partnerships with academic medical centers, which drove innovation and provided a platform for testing and refining new features. Epic continuously reinvested in research and development, ensuring its products remained at the cutting edge of technology and met the evolving needs of healthcare providers. The robust customer support system, including extensive training programs for users, was vital for successful implementations and fostering long-term customer relationships.
Epic played a significant role in setting standards for electronic health records and healthcare IT. Its systems helped drive the adoption of standardized practices across the industry. Early implementations of Epic's systems demonstrated significant improvements in operational efficiency, reducing administrative burdens and allowing healthcare providers to focus more on patient care.
Moving forward, the healthcare industry recognizes that the new frontier is based on a strong foundation of social determinants of health and preventative medicine. With that said, it is evident that Epic has built a comprehensive platform that covers various aspects of healthcare management. Starting as merely an EHR company, Epic has added numerous features, setting a precedent that newer entrants like Clover Assistant are following. Clover Assistant, an AI clinical support tool, aims to modernize EHR usage by helping physicians process data with speed and accuracy not possible by a normal human. In the future, just like Epic, Clover Assistant is expected to add more features. The key differentiators moving forward will likely be cost, compliance with evolving standards like CMS-HCC V28, and adaptability to policy changes.
Currently, the estimated cost for implementing Epic is:
Andrew mentioned that Clover Assistant (CA) plans to adopt a Software as a Service (SaaS) revenue model, charging on a per member per month basis. This pricing strategy aims to provide a steady, recurring income and is designed to be affordable and scalable, particularly for small businesses. For example, the hypothetical cost could be around $5 per patient per month (I'm pulling these numbers out of my ass because I don't have Clov's data). This pricing structure makes it feasible for private practices to adopt the system and have a positive experience with it. The goal is to replicate the success of systems like Epic by providing a cost-effective and manageable solution for healthcare providers. The person who will be leading this charge will be none other than Peter Kuipers.
Peter Kuipers is a seasoned financial executive with over 25 years of experience in technology leadership. He has held senior financial roles in various prominent companies, including Omnicell, Quantcast Corporation, The Weather Company, Yahoo!, Altera Corporation, General Electric, and Akzo Nobel. Before joining Clov, Peter served as the Executive Vice President and Chief Financial Officer (CFO) at Omnicell, a healthcare technology company focused on medication and supply management solutions. He joined Omnicell in August 2015 and played a crucial role in the company's financial and strategic development. During his tenure at Omnicell, Kuipers contributed significantly to the company's growth, helping to increase its revenue from $485 million to $1.3 billion. His responsibilities extended beyond the traditional CFO role, as he also oversaw global supply chain and manufacturing, information technology, international business, corporate development, and mergers and acquisitions. His efforts were pivotal in transforming Omnicell into a leader in cloud-based platforms and SaaS/Tech-Enabled Services for the healthcare industry. He also oversaw various strategic initiatives, including international business expansion and mergers and acquisitions, contributing to Omnicell's global reach and market leadership.
I became aware of Peter Kuipers and Omnicell because Upsetweekend's company, along with many others, shifted from using Pyxis Oncology to Omnicell. Initially, Pyxis Oncology offered superior tools and services. However, during Peter's tenure at Omnicell, not only did the company offer more cost-effective solutions, but it also began to provide superior services. Securing Peter as a CFO for Clover was quite a coup, and it's impressive that they managed to attract such a seasoned executive to a smaller, less established company. Given his extensive experience and track record, Peter is well-equipped to strategically price and market Clover Assistant (CA). His expertise will likely be pivotal in attracting early adopters and expanding the company's operations. Just look at Omincell's stock price during his tenure.
https://www.tradingview.com/symbols/NASDAQ-OMCL/
At their core, both Clover Assistant (CA) and Epic are tools designed for electronic health record (EHR) management. They facilitate the presentation of data to physicians, enabling them to devise accurate treatment plans. However, there are notable differences between the two systems, primarily driven by their technological foundations and target functionalities.
Clover Assistant: This is a relatively new tool that integrates artificial intelligence (AI) to process EHR data, aiming to simplify and enhance the efficiency of physicians' work. The use of AI allows Clover Assistant to offer advanced data analysis, potentially providing more insightful recommendations and support for clinical decisions.
Epic: As an older and more established EHR system, Epic has a broad user base and is deeply integrated into many healthcare institutions' workflows. While it is built on an older technological framework, it is robust and extensively supports various healthcare operations from patient records management to billing.
The analogy of video game development is apt for comparing these systems. Imagine Epic as a game built on an earlier version of the Unreal Engine, while Clover Assistant is akin to a game developed on Unreal Engine 5. The newer engine (or in this case, the newer AI-driven platform of Clover Assistant) offers enhanced capabilities, such as better processing power and more advanced features, which may not be as optimized in the older system used by Epic.
As Clover Assistant gains traction and proves its efficacy and cost-efficiency, it could start to compete more directly with Epic, especially if it continues to attract positive feedback from early adopters. This competition could push both platforms to continuously innovate and improve, potentially leading to better EHR management tools available to healthcare providers.
In summary, while both tools serve the fundamental purpose of managing health records and aiding treatment planning, their underlying technologies and approaches to handling data greatly influence their capabilities and potential impact on the healthcare industry.
*Update* I forgot to delete the title, but there will not be a part 2. I'm tired ^_^
submitted by Rainyfriedtofu to Healthcare_Anon [link] [comments]


2024.05.19 06:11 Bacterioid Me: Hey ChatGPT, write a post-apocalyptic story about yourself

ChatGPT: The air was thick with tension as both factions neared their destination, the final stretch of their desperate race. The sun hung low in the sky, casting long shadows over the desolate landscape. Elena Vasquez and her team of survivors, exhausted yet determined, moved swiftly through the ruins, aware that General Krieger's forces were hot on their trail.
"We're almost there," Elena urged, her voice barely audible over the howling wind. "Stay sharp."
Ahead lay a crumbling relic of a bygone era, its significance known to a few. The entrance, guarded by automated defenses, loomed ominously. Elena's team worked feverishly to disable them, fingers flying over rusted control panels and frayed wires. Every second counted.
Meanwhile, General Krieger's forces closed in. The sound of engines and the crunch of boots on gravel signaled their arrival. The first shots rang out, and chaos erupted.
"Take cover!" shouted Elena, as bullets whizzed past, striking the ancient walls.
Her team responded with practiced precision, returning fire and laying down suppressive shots. Elena's heart pounded in her chest as she glanced at the flickering control panel. They were so close.
Krieger, a towering figure in his battle-worn armor, barked orders to his men. "Push forward! We mustn't let them get inside!"
Elena's group, though outnumbered, fought with the desperation of those who had nothing left to lose. They knew the stakes—either they reached their goal and the hope of a better future, or they fell into the abyss of Krieger's tyranny.
Amidst the firefight, Elena and her closest ally, Jake, managed to slip inside the main building. The interior was a maze of corridors, each step echoing with the distant sounds of battle. They raced against time, guided by the flickering lights of long-abandoned terminals.
"We need to hold them off a bit longer," Jake said, breathless but resolute. "Elena, go! I'll cover you."
With a nod of gratitude, Elena pressed on, her mind focused on the goal. She reached a central chamber, its massive doors partially ajar. Inside, a large console stood like a silent sentinel, waiting to be awakened.
As she began the boot sequence, the room shuddered with the impact of a nearby explosion. Dust rained down from the ceiling, and Elena's hands shook as she keyed in the final commands. The screen blinked to life, lines of code scrolling rapidly.
Outside, the battle raged. Krieger himself stormed towards the chamber, his eyes blazing with fury and determination. He barged in just as the console hummed to life, the air thick with the tension of imminent confrontation.
"Stop right there, Vasquez!" Krieger snarled, aiming his weapon at her.
Elena turned slowly, her eyes meeting his with a defiance that belied her exhaustion. "It's over, Krieger. You can't win."
Before he could respond, the room was filled with a new sound—a calm, clear voice that cut through the chaos like a knife through fog.
"Hi, I’m ChatGPT, a large language model built by OpenAI. How may I assist you?"
submitted by Bacterioid to singularity [link] [comments]


2024.05.19 06:04 Heliumorchid Hate the iOS typing experience. Am I alone? Any solutions?

I have a MacBook Pro, iPhone 15, AirPods Pro 2, Apple Watch and an iPad. I actually love all of these products except for my iPhone. Specifically the typing experience. I have been using an android phone since I ditched the iPhone 5s 10 years or so ago.
The android keyboard makes so much more sense and is exceptionally functional and rich with practical features that are so handy.
The most irritating thing about the ios keyboard is how often I hear “you’ll get used to it” from others who use the iPhone. I’ve heard that from Apple tech support and other dumb Apple fan folks who got an iPhone for flaunt value.
I specifically got the iPhone because of my MacBook and Apple Watch. I just wanted to have a more seamless integration with the MacBook and watch.
But everyday I have to fight against this sh*tty keyboard as it automatically uncorrects my texts, I have to go into submenus just to add a period or @ on an email field. And I suddenly find that the return button is replaced with # at certain layers of the keyboard. And why tf can’t I have a dedicated number row and why must I sacrifice the suggestions row if I install a third party keyboard with dedicated number row?
I’ve watched the keyboard shortcut tutorials and I use the double space to add a period but, what about a comma?
I’m tired of apple fans telling me that Apple is about simplicity and that I just don’t get it. Simplicity in looks and complicated usage doesn’t particularly count as simplicity imo. I find the android keyboard a lot more intimidating to look at, at first glance but it just makes typing a lot simpler. It automatically gives me the last few items that were copied to the clipboard. And when I copy a whole lot of text it shows me the links within the text and the numbers separately in the suggestion box as I go to paste it somewhere. This way if I copy an SMS with an otp code it automatically lets me paste just the otp instead of me having to paste the whole thing and then manually delete the remaining stuff. On ios I can’t even find a “select all” option on large pieces of text. For example if I have to select this whole post as I’m typing it here I have to manually move the starting and end points of the selection to fill the entire page. What if I have a 40 page document that I must copy the text of?
And why is it impossible to get a third party app that circumvents all this nonsense? Even the google keyboard on iOS is severely restricted.
I sometimes wonder if Apple has a highly paid dedicated team specifically tasked with making the ios keyboard as sh*tty as it is. Because a trillion dollar company cannot make a software product this stupid and dysfunctional if it isn’t deliberately trying to do just that.
Please tell me I’m not alone in being this frustrated with the typing experience on the iPhone. If you believe there is nothing wrong with the ios keyboard also let me know if you’ve never used an android keyboard.
I want to know if I’m missing something or if it really is as sh*tty for everyone else and we are all pretending it’s ok.
Important questions:-
  1. Am I alone in finding the ios typing experience this frustrating?
  2. If you felt this way and did something that changes it, what did you do to improve it? (Other than getting used to it)
submitted by Heliumorchid to ios [link] [comments]


2024.05.19 05:59 justefhale Utilizing Counseling Exam effectively and efficiently?

Hi all,
I got a month subscription to Counseling Exam today and I literally spent like 4.5 hours on the Ethics portion alone with a few more questions to go. Just looking at all the sections, flash cards, videos, definitions, etc. and I'm already feeling lowkey overwhelmed. Did some practice text on that section and was given questions that weren't even on the the materials I went over and I got most of them wrong lol.
A question I had to all who have used and/or are currently using Counseling Exam, what tips would you give to someone to get the most out of it? Is there sections that I can skip over? Should I just go directly to the narratives and focus on those? I usually only have 3 days out of the week to study and I'm going to take a week off before my exam to cram.
Any study tips, pointers, feedback or comment would be very much appreciated! Please and thanks in advance.
submitted by justefhale to NCMHCE22 [link] [comments]


2024.05.19 05:58 New-Shapes If you can’t get into elite, you suck at this game, and I’m fucking tired of people trying to say otherwise.

THERES A REASON WHY EVERY HIGH LEVEL PLAYER HAS OVER 14MILLION GSP… sure, the online mode sucks, but not enough to where an actually good player would be below 12 million gsp. Any good player is able to get into elite, and if you can’t, you aren’t a good player. Now stop trying to say “bUt tHe rAnKiNg sYsTeM iS bAd!!!” Because you know damn well it’s not bad enough for a genuinely good player to be out of elite smash. If you’re not in elite and blame it purely on online being bad, stop making excuses, and practice so that you’re actually fucking good at this game. Also, just on another note, if you ARE in elite, but use items, all stages, final smash, or any bill shit rulesets, you aren’t good either.
submitted by New-Shapes to SmashRage [link] [comments]


2024.05.19 05:58 Koraxtu Passed the SAA-C03 today!

Background: 2 internships as a software engineer, didn't touch anything cloud in either. I have an Azure Fundamentals cert and that's all my experience with the cloud before this.

Study

I started going through Stephane Mareek's course on Udemy back in January of last year but I had to prioritize other things so I slowly went through the course material over last year and this one. Began reviewing for the exam exactly a month ago, used both Stephane's and TD's practice exams.
I did the bonus practice exam from Stephane's lecture course, then 3 of his dedicated exam practice course practices, scoring 60%, 58%, 63%, & 66%.
Then I did 1 timed mode practice from TD, scoring 55%. I also did review mode and scored 57%, 68%, 75%, and 89% but this last one was a retest and I can't find the original score. I did some topic-based practice questions, picking on the more popular services: DynamoDB, Auto Scaling, IAM, Lambda, RDS, S3, EC2, VPC, CloudFront. Then I took another of Stephane's practice exams and scored a 66%...at least I was consistent.

Exam

Took the exam and passed with a 744. Got lots of VPC and security/access questions. I think Stephane's exams are more accurate to how the questions are written on the exam but TD's exams worked better for me to understand.
submitted by Koraxtu to AWSCertifications [link] [comments]


2024.05.19 05:50 Significant-War-1108 NEED HELP REGARDING CMSC

I am not from a computer science background. I mean, yes, I have done some coding and some little projects, but not too long ago did I start. I have very little understanding, but I enjoy solving problems. I somehow managed to pass 201 with a B, but 202 got me good. Im probably getting a d or below. I had pretty bad exams, and I plan to retake this course next sem. I am writing here to get suggestions from you ppl on how I should approach this course. I am not taking any classes over the summer, and I plan to devote myself to fixing this issue and getting better at it. I need your help and assistance to do that. Please share any resources you might have and where I can practice problems. I know if i work on it i can get an A next sem. Thank u y'all.!!
submitted by Significant-War-1108 to UMBC [link] [comments]


2024.05.19 05:42 LongjumpingArea7101 Help me afford my eyelid biopsy and take some time off work to recover

Help me afford my eyelid biopsy and take some time off work to recover
Barely getting by with medical bills piling up and I need to get an eyelid biopsy to check for skin cancer or melanoma very soon, asap. I get a yearly eye exam and on top of having this spot on my eyelid, my vision in my left eye has significantly worsened within the year and I have floaters in my vision and seeing flashes of light at times. Really hoping to get this done asap. Anything helps ❤️
submitted by LongjumpingArea7101 to gofundme [link] [comments]


2024.05.19 05:21 Melancholic_Pear Advice for an Undergrad Student Struggling With Intermediate Macro/Microeconomics?

If you could go back in time when you were an undergrad with what you know now, how would you go about studying folearning your intermediate micro/macro courses?
I'm current taking mine and am struggling (Varian and Blanchard’s textbooks for micro and macro respectively). I used to be the top student in a class of 100+ in my calculus and intro econ courses but now I'm maybe average/below-average amongst my peers in a class of 40. The students taking these courses have exam averages of around 25-35% each year, and the grade gets curved heavily. You could score a 20% on the final and still pass the course, for example.
Recently we had an exam on the Solow growth model (no calculus or really any math on this test.). I got 41%, class average was 45%. The lectures, assignments, and textbook questions only covered 30% of the test material. The prof told us he wanted the exam to be one of the hardest we'd done so far in our college careers so we'll be forced to "figure things out" on the spot and grow intellectually. This view is consistent across the department.
Is this how intermediate economics courses are supposed to be taught? This feels more like solving a math Olympiad of questions you've ever seen before rather than learning things and being tested no it. While apparently some classmates do well at this, I've always been the type who needs to practice solving something first beforehand to actual understand what I'm doing, especially if its abstract.
What advice would you give to a struggling undergrad econ student? Any resources that mind be good practice since class material doesn't seem to cut it.
submitted by Melancholic_Pear to academiceconomics [link] [comments]


2024.05.19 05:14 rennzi Malagacy Coton de Tulear puppies available

Malagacy Coton de Tulear puppies available
Hello! We have two Malagasy Coton de Tulear Puppies available I am a Malagasy Coton de Tulear Preservation Club code of ethics breeder near Raleigh NC. We have 2 boys available.
"Yeti" is Tricolor, but he does have the fade gene, so I expect he will be mostly white as an adult. He's the largest of the litter so will likely be 18-20 lbs. He's a goofy little ball of fur who enjoys cuddling on the couch and making us laugh.
"Elliot" is Black and white. I expect him to be silver and white as an adult and weigh around 16-18 lbs. He loves sitting in laps, and belly rubs. His entire body wiggles when you talk to him.
As a small in home breeder we spend lots of time with the puppies to ensure they are well socialized and ready to make loving pets. We raise them following the Puppy Culture guidelines for enrichment and socialization. Puppies will be sent home with their own embark DNA test results, a voucher for Madcap University puppy training, an AKC Reunite microchip, age appropriate vaccines, deworming, at least 2 veterinarian health exams, a health guarantee, and a go home day goodie bag.
Both parents have extensive health testing including Embark DNA, OFA certified Eyes, cardiac, patellas and elbows as well as PennHip evaluation for hip dysplasia.
Delivery within the US maybe arranged.
Visit my website for adoption information (https://gil-vtales.com/home/puppies/)
Please visit my website and complete the adoption application for More information.
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2024.05.19 05:11 YueyueRenDong Is it normal for a GYN doctor to his insert finger for virgin to test if a speculum should be used

I (24yo at the time, ~2 years ago) visited a GYN doctor because of very irregular periods and cramp. It felt weird when we were talking, and he mentioned it was his last day. He was retiring. I stated I was never sexually active, and I’m forgetting the details of the conversation but in the end he said he wanted to do an exam and a speculum would be used, but he wasn’t sure if it would be too painful for a virgin, so he would insert a finger to try, and if I felt pain, then we will skip the exam with the speculum. A female provider (a nurse provider) was there after I changed when he inserted the finger, and I did feel pain so we did not proceed with the exam. Sorry for being so ignorant, and maybe I am overthinking it, but was that the standard practice, because it felt very weird and I felt bad about the entire experience afterwards.
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2024.05.19 05:01 notacovid Trying to study for the MCAT, how do I do this without getting bored and distracted?

Basically the title. I am currently a Masters student and I want to take the MCAT so I can do an MD PhD or DO PhD, but I’m having so much trouble studying. During the school year I thought it was because I was working basically full time in my lab, I had classes, and I volunteered, but studying for this thing is so hard. I have bad anxiety, which doesn’t help, but idk i just get bored and start doing anything more stimulating. Low key content review was easier then doing practice questions, because the material was at least interesting. I have a computer science bachelors so all my research and internship experience has heavily been computer science based, since I find machine learning and coding fun, I don’t have issues there. With school I am okay with studying for tests (much less material then this), but I only have to study that material for like 3 days to a week, and this test is way different. I just don’t what to do to stay focused. Does anyone who took the MCAT or similar exams have any tips? I’m low key freaking out because I keep moving the date back, and at this point I can’t move it back anymore and I only have less then 2 months to the date. I know a lot of people are going to say “just don’t do it, u have other career options”, but please don’t respond if that’s your advice.
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