Flutter in chest with cough8/22/2023 ![]() ![]() The reader is permitted to make one copy of the information displayed for his/her own non-commercial use. The information, content and artwork provided by this website is intended for non-commercial use by the reader. Neither Doctors Hospital, or any of their affiliates, nor any contributors shall have any liability for the content or any errors or omissions in the information provided by this website. Remember: There is no adequate substitution for a personal consultation with your physician. Your individual health status and any required medical treatments can only be properly addressed by a professional healthcare provider of your choice. The information on this website is provided as general health guidelines and may not be applicable to your particular health condition. (UHS), a King of Prussia, PA-based company, that is one of the largest healthcare management companies in the nation. If the victim is conscious, give them an adult aspirin with waterĭoctors Hospital of Laredo is owned and operated by a subsidiary of Universal Health Services, Inc. Loosen tight clothing around the neck and waist, and be calm and reassuring that medical help is on the way While waiting for emergency help to arrive, help the victim get into a relaxed sitting position, with the legs up and bent at the knees, to ease strain on the heart Tell the dispatcher where you are and that someone is having a heart attack. If you suspect someone you’re with is having a heart attack:Ĭall 9-1-1 or your local access number for emergency medical service. Post emergency rescue numbers, as well as the telephone numbers of your doctors, on or next to each of your phonesĪdvise family and friends to call for emergency care if chest pain lasts more than a few minutes Know in advance which hospitals in your area provide 24-hour emergency cardiac care. Take the following emergency actions ahead of time if you or a family member has a heart condition or is at risk for a heart attack: ![]() Do not assume that you are just having indigestion or a panic attack. It’s important to know that any of these symptoms also can be present with a heart attack. Heart palpitations usually accompany a panic attack, shortness of breath and anxietyĬhest-wall or muscle pain from exercise or injury can be made worse when the sore area is pressed with a fingerīreathing pain of respiratory infections can be made worse by coughing and deep breathing In addition, women often experience physical symptoms for as long as a month before a heart attack.īurping, belching, heartburn, nausea and a sour taste in the mouth usually accompany indigestion Many women never have chest pains before a heart attack, although most men do. Heart attacks can mimic simple health conditions such as indigestion, panic attack, respiratory infection or sports injury. Remember - seconds count, so don’t delay. If you experience heart attack symptoms, or recognize these symptoms in another, call 9-1-1 immediately. Not all of these warning signs occur in every attack. If you believe you are having a heart attack, call 9-1-1 immediately. Doctors Hospital of Laredo Expansion Project.Post COVID-19 Outpatient Rehabilitation. ![]()
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Best invoicing system for freelancers8/22/2023 ![]() ![]() Square Invoices also lets customers accept ACH transactions, which brings it up to speed with other billing and invoicing products on the market. And if Square’s free online invoicing plan isn’t enough for you, its $20-a-month Plus plan offers additional support for midsize and growing businesses with heftier invoicing needs. If your business fits into one of those categories and you’re already using Square’s mobile credit card reader, it just makes sense to go with Square Invoices. Billing-wise, the product integrates perfectly with Square Point of Sale-a preferred point of sale and payroll system for restaurant owners, food truckers, and retailers. Like Square’s payroll app, Square Invoices is geared towards contractors-its free contract templates are easy to fill out and send alongside your estimates, invoices, and bills.īut freelancers and contractors aren’t the only business owners who can benefit from Square Invoice. With its invoicing app, you can send free estimates, then instantly convert them to invoices on mobile once a client approves. Square Invoices is also very easy to use. There’s no monthly subscription fee or client limit-instead, you get unlimited invoices. Square’s free invoicing app, Square Invoices, lets you charge clients and receive payments anywhere, anytime. As a trade-off, though, it offers one of the easiest to use accounting apps, with a rating of 4.7 on the App Store and 3.9 on Google Play. On the other hand, QuickBooks Online’s mediocre invoice templates are still better than those you get with QuickBooks Self-Employed, which we don’t recommend to self-employed freelancers who want a professional, high-quality invoice generator.Īlso, QuickBooks Online has one of the highest starting prices of any basic accounting software for non-accountants. QuickBooks Online’s invoicing tool isn’t all that customizable, professional, or aesthetically pleasing. You’re looking at a 2.9% plus $0.25 transaction fee with QuickBooks Payments-but note that that’s still cheaper than many other payment processing fees. There’s a catch, of course (isn’t there always?): QuickBooks Payments' fee climbs depending on the type of payment you’re accepting, and transaction fees are higher for bills paid through invoices. However, while you can get only QuickBooks Payments with an existing QuickBooks Online subscription, its transaction fees are notably affordable: swiped fees are just 2.4% plus $0.25, cheaper than any other provider on our list. ![]() QuickBooks Online is an extremely popular accounting system, but most Intuit QuickBooks products, including Intuit QuickBooks Online, are far from cheap. For what it’s worth, Zoho Books is an excellent (and affordable) accounting solution-but since Zoho lacks an integrated payroll solution, its accounting and invoicing software work best for freelancers and solopreneurs with no employees. Zoho Invoice has one notable downside: it only syncs with Zoho Books, not with other accounting software options like FreshBooks or Xero. Customer self-service portals and automatic estimate approvals.Multicurrency support and multiple payment gateways.Expense tracking, including receipt scanning.Built-in time tracking and project management.Plus, even though it isn’t a total accounting solution, Zoho Invoice includes additional features that compare to and even exceed a lot of standard accounting software offerings, such as these: (And if you need more than 1,000 invoices, you can contact Zoho directly to discuss a custom invoicing plan.) ![]() You can send invoices to an unlimited number of clients, and while Zoho does have an invoice limit, it’s 1,000 invoices a year-more than enough for most freelancers, solopreneurs, and small to midsize businesses. Zoho Invoice’s completely free invoicing software includes customizable invoices with professional templates. ![]() Er scribe nyc8/22/2023 ![]() ![]() Stanford Medical School’s Clinical Observation and Medical Transcription (COMET) Fellowship
![]() ![]() ![]() " Clip Studio Paint" directly launches the drawing app ► " Clip Studio" launches main managing app or whatever it is, you can also launch Paint from it ► more plugins can be added later by request, imported directly from program, or just add them to " \Sandbox\CLIP STUDIO PAINT STUDIO 1.5 EN\CLIP STUDIO PAINT\" folder and similar, like the installed version, and at next startup the portable will recognize your new files. ► you can delete any exe you don't use and rename exe as you want. Works for both portable and install version materials pack (~850 Mb): official addons, extract and follow instructions. ![]() main package (~480 Mb): 1 data file (.svm) 4 exe files (read below!) → More updated portables and less unnecessary size! ability for me to release a small program update through these separate files, without having to make the whole thing form scratch for each update. svm packages -useful for plugins Brain fog test online8/22/2023 ![]() Effects of vitamin B12 supplementation on cognitive function, depressive symptoms, and fatigue: A systematic review, meta-analysis, and meta-regression. Lupus brain fog: A biologic perspective on cognitive impairment,ĭepression, and fatigue in systemic lupus erythematosus. Fibrofog and fibromyalgia: A narrative review and implications for clinical practice. Cognition, mood and sleep in menopausal transition: The role of menopause hormone therapy. about-arthritis/types/fibromyalgia/articles/fibro-fog.php Doxorubicin chemotherapy-induced "chemo-brain": Meta-analysis. Symptoms-Diagnosis/MS-Symptoms/Cognitive-Changes Hormonal influences on cognitive function. You can learn more about how we ensure our content is accurate and current by reading our editorial policy. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. If you need help finding a primary care doctor, then check out our FindCare tool here. Keeping a food journal can help you determine if your diet contributes to brain fog. The doctor may also conduct allergy testing or a sleep study to check for a sleep disorder. Other diagnostic tools may include imaging tests to look inside the body, like X-rays, magnetic resonance imaging (MRI), or computerized tomography (CT) scans. ![]() poor liver, kidney, and thyroid functionīased on the results, your doctor will determine whether to investigate further.For example, someone with hypothyroidism may have brain fog along with hair loss, dry skin, weight gain, or brittle nails.īlood work can help your doctor identify the cause of brain fog. You should let your doctor know about other symptoms you might have. Brain fog may signal an underlying issue, so a doctor will conduct a physical examination and ask about your: Talk with a doctor if you have a persistent lack of clarity that worsens or does not improve.Ī single test cannot be used by a doctor diagnose brain fog. autoimmune diseases, like lupus, arthritis, and multiple sclerosis.Other conditions that may cause brain fog include: People who have fibromyalgia may experience similar fogginess on a daily basis, according to a 2015 research review. For example, brain fog is a symptom of chronic fatigue syndrome, which involves persistent fatigue for a prolonged period of time, according to 2020 research. Medical conditions associated with inflammation, fatigue, or changes in blood glucose level can also cause mental fatigue. Lowering your dosage or switching to another drug may improve your symptoms.īrain fog can also occur after cancer treatments. Brain fog may be a known side effect of these medications, according to 2021 research. If you notice brain fog while taking medication, talk with your doctor. Removing trigger foods from your diet may improve symptoms. If you have food allergies or sensitivities, brain fog may develop after eating certain foods. Vitamin B12 supports healthy brain function, and a vitamin B12 deficiency can bring about brain fog, according to a 2021 research review. Dietĭiet can also play a role in brain fog. Similarly, a drop in estrogen levels during menopause can cause forgetfulness, poor concentration, and cloudy thinking, according to 2019 research. ![]() ![]() This change can affect memory and cause short-term cognitive impairment. Levels of the hormones progesterone and estrogen increase during pregnancy. Hormonal changes can also trigger brain fog, according to 2018 research. Sleeping too little can lead to poor concentration and cloudy thoughts. Poor sleep quality can interfere with how well your brain functions, according to 2021 research. When your brain is exhausted, it becomes harder to think, reason, and focus. StressĬhronic stress can increase blood pressure, weaken the immune system, and trigger depression, according to 2017 research. ![]() Once you identify the underlying cause, you can begin fixing the problem. There are several explanations for why brain fog happens. ![]() Jobst compression garments8/22/2023 ![]() ![]() ![]() Gradient compression stockings are most beneficial for the following leg complaints: Who can benefit from wearing compression stockings?Īnyone's legs can feel better while wearing gradient compression stockings, especially if you spend a lot of time sitting, standing or in a sedentary position.helping prevent the development of post-thrombotic syndrome that may occur several months after the DVT. controlling the swelling in the leg that occurs with DVT or blood clot in the leg, and 2. Knee length gradient compression stockings are often prescribed for a patient who has sustained a deep vein thrombosis (DVT) or blood clot in the leg. Why are compression stockings prescribed after a blood clot (DVT) in the leg?.Invoices can be printed out from the "My Account" section under "Previous Orders." If you find that your insurance company will pay for your stockings, you would still need to pay for them out of pocket, and then submit an invoice from us to your insurance company for reimbursement. We only accept credit cards, checks, PayPal, Checkout by Amazon, and FSA/HSA as payment. No, we do not bill any insurance companies directly. Do you bill insurance companies directly?.For example, some doctors instruct their patients to wear on level of compression in a pantyhose style and then wear a knee-length compression stocking over the compression pantyhose. Yes, there is an additive effect with compression stockings. Can I wear one compression stocking on top of the other instead of wearing a higher compression stocking?.Please contact your insurance carrier to determine if stockings are a covered benefit. Some insurance plans will cover the cost of compression hosiery if the stockings are prescribed by a physician and the compression is greater than 20 mmHg. Medicare will not pay for these items even with a prescription from your doctor. Will my insurance or Medicare cover compression stockings?Ĭompression stockings are a non-covered service under Medicare Part B.If swelling or varicosities are present above the knee, then a thigh or pantyhose style may be a better choice. How do I know what length stocking I need?Ī knee-length gradient compression stocking is generally recommended to prevent or manage signs and symptoms of chronic venous insufficiency or other causes of lower leg swelling and skin changes.Check with your insurance plan to see if they cover compression stockings and their documentation requirements However, some insurance plans require a doctor's prescription. Ready to wear and standard off the shelf compression garments do not require a prescription. The Jobst stockings that contain latex are: ![]() Latex can be used in textiles in two forms: Dry natural rubber and natural rubber latex. Latex is a natural substance that comes from the rubber tree. Each sock or stocking is not specific to a right or left foot unless otherwise noted. If the product you are looking at is called ".Stockings" or ".Socks" (plural), then you know it is a pair. Are the stockings/socks sold in pairs, or individually?Īll of our garments come in pairs (two socks or two stockings) except where otherwise noted. ![]() Flutter valve mucus removal device8/22/2023 ![]() ![]() You should also sterilise your Flutter once a week by either: It is important to wash your Flutter daily in warm soapy water, rinse and allow to air dry. The manufacturer’s supporting information should include specific recommendations on how to do this, so keep it safe for future use. It is important to keep your Flutter clean to avoid bacteria growing on it, which may cause more infections. This may be because you have more secretions, they may be thicker so more difficult to clear, or you may be getting more breathless and not able to tolerate your usual airway clearance in one session. ![]() During an exacerbation (a worsening of your symptoms) you may find it beneficial to increase the number of times you clear your airways through the day. Each session usually takes 20 to 30 minutes. This will depend upon the amount of sputum you usually produce. How long and how many times? Your respiratory physiotherapist will advise you on how many sessions you should do a day. Find a time and place where you can comfortably complete the full session and make airway clearance part of your daily routine. This will ensure the nebulised antibiotic can get into the smallest airways and be more effective. If you have a nebulised antibiotic, use this after your airway clearance. This will help open your airways, allowing air and secretions to move more easily and prevent you from feeling wheezy. It is advisable to use your bronchodilator (also known as a reliever which is usually blue in colour, for example Salbutamol, Ventolin, about 10 to 15 minutes before you try to clear your secretions. Limit the number of huffs to one or two to reduce the chance of becoming wheezy or starting a coughing fit.Īirway clearance is most effective when used in combination with your inhalers or nebulisers.If done correctly, as you breathe out you should hear crackles which may be quite subtle and quiet if there are not many secretions, or louder and more coarse if there are a lot of secretions.Avoid huffing too hard as excessive force may make you wheezy.The secretions should move upwards so you can cough them up or perform a short, sharp huff to move them into your mouth.You should feel your tummy muscles working to push out the air.Open your mouth to an ‘O’ shape and huff the air out, as if trying to steam up a mirror. ![]()
Easy hip hop dance moves video8/22/2023 ![]() ![]() Additionally, having a set time in your schedule each day dedicated specifically to practice allows you to have a routine and improve upon your skills consistently. Tracking your improvements and successes helps to motivate and encourages you to keep going and push yourself further in order to perfect your skills. First, it is incredibly important to prioritize your goals for practicing and strive to improve upon them every time with self-awareness. ![]() Here are several strategies to follow that can help you to practice and maximize your performance in any sport or physical activity. When it comes to becoming an expert and truly mastering your moves in any activity, practice is the only way to reach perfection and success. So keep exploring, and have fun! Strategies for Practicing and Perfecting Your Moves With so many different dance styles and endless combinations, anyone can find their own unique style. ![]() On the other hand, breakdancing is more kinetic and can include various acrobatic skills and spins as part of the routine. Hip-hop is a combination of many different dance styles that focus on free-styling and getting creative with your movements. Jazz, on the other hand, is all about improvisation, with movements and steps that vary from each performance.įinally, for those looking for something a little more modern, there are styles like Hip-hop and Breakdancing. It requires an immense amount of strength, focus, and discipline to perfectly execute a ballet routine. Ballet is a classical art form with strict structure and technique. Starting with the basics, two of the most widely adapted dance styles are Ballet and Jazz. Whether you’re a beginner exploring dance for the first time, or an experienced dancer looking to branch out, a look at the various dance styles can help you find the one that fits you the best. From classic ballet and jazz, to more modern styles like hip-hop and breakdancing, it’s worth exploring your options to find the best fit for you. You won't regret it! Introduction to Different Dance Stylesĭancing has been a part of human culture for centuries, but with so many different styles, it can be hard to keep track of them all. Join her on the journey toward being a healthier version of you. Tune into her channel to find tutorials, reviews, and takeaways on everything from dance moves to motivation. Amanda Tanigawa's YouTube channel is the perfect spot to learn dance, get in shape and improve physical fitness, and build a healthy lifestyle through pop music as a hobby. ![]() Maui vacation packages 20218/22/2023 ![]() From the moment you set foot on Hawaiian soil (and enjoy the scent of your obligatory lei), you’ll be transported to another world - one where you live in a Waikiki resort, take your breakfast by the beach, and spend the day boating to a hidden island or snorkelling with sea turtles. That’s the thinking behind this all-inclusive experience on Oahu. While a multi-island trip is great, to really experience a place, you need to spend more than a few days there. 8 Days on Oahu - Aloha Hawaiian Vacations Rates include round-trip airfare, lodging, and a rental car, and they vary depending on your departure airport, dates, and length of stay. Described as a “self-drive” Maui getaway, you’ll pick up your rental car on arrival and can spend the following days however you please, whether that’s driving the scenic Hana Highway or laying by the pool at your hotel. The trip’s big costs - flights, rental car, and lodging - are bundled, but it’s up to you to determine where you eat and what you do. This six-day adventure on Maui offers the ease of an all-inclusive vacation without losing the traveller’s anonymity. Hawaii Aloha Travel tailors the trip to fit your budget and expectations so prices vary. Rates include airfare, lodging, a rental car, breakfast and dinner each day, and a selection of excursions such as visiting Kona Coffee Farm and diving with manta rays. On this six-day, all-inclusive vacation, you’ll experience all that and more, thanks to the included rental car, activities, and central, four-star accommodations. If you have your heart set on visiting an active volcano or experiencing some stark black-sand beaches, there’s nowhere better than the island of Hawaii (Big Island). Single-island all-inclusive vacations 6 Days on Hawaii (Big Island) - Hawaii Aloha Travel To lend a hand, we’ve done the legwork and checked out some of the Aloha State’s travel companies and their best all-inclusive Hawaii vacation packages. That’s why travellers looking for a one-stop-shop should seek out vacation planning companies that bundle together flights, meals, lodging, transportation, and activities under one flat rate. ![]() But where to start? While Hawaii is home to plenty of beautiful, centrally located resorts - like Waikiki’s Ritz-Carlton Residences, ‘Alohilani Resort, and Outrigger Waikiki Beach Resort - all-inclusive resorts aren’t common. ![]() Witch on broom harry potter8/22/2023 ![]() A number of other players mounted on broomsticks would attempt to pierce the bladder, with the first who successfully did so being declared the winner. The main ancient games that provided some inspiration for Quidditch were:Ī goal post in an early version of QuidditchĪ game by the name of Stichstock originated in Germany and consisted of a single wizard acting as a guardian or goalkeeper, trying to protect an inflated dragon bladder. ![]() The beauty of Quidditch was that it took the best aspects of all its predecessors, added its own unique twists, and ended up as a game that would remain popular with the masses for centuries. All of these archaic broom games were popular in localised areas, but none had the vast appeal that Quidditch did. In truth, Quidditch probably owed a debt to a number of its forerunners in making it as successful as it became. Most wizards probably buy their brooms for the same reason they buy wands from Ollivander - they could make their own, but nowhere near as well.While Quidditch was the first (and so far, only) broomstick-based game to attain near-worldwide popularity amongst the wizarding people, it was certainly not the first broomstick game. While wizards have learned ways to improve their brooms since medieval times, such as casting Cushioning Charms on them to make them more comfortable, it's still very likely that a skilled broom-maker could make them better than an average wizard. Once broomsticks became more comfortable, they were flown for pleasure rather than merely used as a means of getting from point A to point B.” Quidditch Through the Ages “By the twelfth century, however, wizards had learned to barter services, so that a skilled maker of brooms could exchange them for the potions his neighbour might make better than himself. Before that, they were only used as a necessary form of transport. The charms placed upon it arc similarly basic: it will only move forwards at one speed it will go up, down and stop.” Quidditch Through the Agesīroom sports like Quidditch don't really take off in popularity until brooms became more comfortable - which was only after wizards started bartering, and getting brooms from wizards who were better at making them. A).Ī thick knotty handle of unvarnished ash, with hazel twigs bound crudely to one end, it is neither comfortable nor aerodynamic. “A medieval broomstick on display in the Museum of Quidditch in London gives us an insight into Lochrin’s discomfort (see Fig. Guthrie Lochrin, a Scottish wizard writing in 1107, spoke of the ‘splinter-filled buttocks and bulging piles’ he suffered after a short broom ride from Montrose to Arbroath.” Quidditch Through the Agesįor the most part, the broomsticks wizards made themselves were of fairly low quality - they couldn't fly particularly well, and they were uncomfortable. ![]() A German illuminated manuscript of this period shows three warlocks dismounting from their brooms with looks of exquisite discomfort on their faces. “Records show that witches and wizards in Europe were using flying broomsticks as early as AD 962. The first brooms tended to be very uncomfortable, and weren't very pleasant to fly on. ![]() Wizards did all make their own brooms at one point, but they were nowhere near as good quality as the brooms used by modern wizards, like the ones Harry flies on. It would work, but likely not as well as one they'd buy. This is, broadly speaking, the point of labour specialization ![]() However, as that quote hints, doing this limits the quality of the broom available to you you can't make a broom better than your own skill, so if you want a better broom you have to trade someone for it:īy the twelfth century, however, wizards had learned to barter services, so that a skilled maker of brooms could exchange them for the potions his neighbour might make better than himself.Īn arbitrary wizard, working out of their garage, is unlikely to be able to produce a broom of similar quality as someone who has spent years practicing the craft. Quidditch Through the Ages Chapter 1: "The Evolution of the Flying Broomstick" This is, in fact, the origin of flying broomsticks, and they started out being made by the individuals using them (emphasis mine):Īs wizarding families in made their own brooms, there was enormous variation in the speed, comfort, and handling of the transport available to them. If you can cast the enchantment, you can make the stick fly. Fundamentally, a flying broomstick is just an enchanted stick. ![]() AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |