Lsu ochsner patient portal

PSLF Forgiveness and Sweet Refund? 🤞🏾

2023.05.31 01:22 Pryncess121 PSLF Forgiveness and Sweet Refund? 🤞🏾

PSLF Forgiveness and Sweet Refund? 🤞🏾
So... I have been in a limbo state because of transfers and timing. This speaks to receiving PSLF forgiveness prior to Sweet settlement finalizing and wondering if I'll get a refund as I'm in the full class. I'm thinking (hoping) so with negative balances showing? Unsure but will continue to be patient. Long detailed history below for context lol. Just sharing because nobody had been able to tell me anything other than Mohela saying "if you get PSLF forgiveness you won't get a refund."
-I went to Argosy University, applied for BD in January 2022. I am considered full class in the Sweet Settlement. -I attended school 2006-2009. Loans originally with AidVantage I believe, then consolidated and transferred to Sallie Mae/Navient. Once I started working in nonprofit, I started PSLF program and loans transferred to Fed Loan. - I've been keeping up with PSLF certifications over the years. I got notice about the PSLF waivers, and my payment counts last year were updated from 26 to about 78. I expected PSLF forgiveness to come within the next few years. -Last summer got notice about transfer to Mohela, and I had submitted new PSLF forms that were still processing. They transferred over to Mohela as processing along with my loan balances around Sept 2022. -January 4, 2023 I logged into Mohela to check status of my forms and saw a $0 balance. Also had a $0 balance onSl Student Aid but no notice. Finally talked with Mohela who verified I was considered PSLF direct to discharge and my loans were forgiven. They generated a letter for me and uploaded to my portal. They said my PSLF was granted in November 2022 but it was taking up to 90 days to notify borrowers. -Sweet settlement finalized January 28, 2023. No change since then on Student Aid or Mohela. I updated my AidVantage account login and contact info just in case anything there changed. -I got a random email from AidVantage this morning (5/30/2023) that looked like an automated email about payment pause and forbearance. Which didn't make sense because I have no loans. I then logged in to look at my account. All had zero balances which was expected, but then I clicked loan details to expand and the negative balances appeared.
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2023.05.31 01:05 Lalber516 Is this Bad?

So a few months ago I started waking up dizzy when I got out of bed. After being up for a little while it would go away. Then about 3 weeks ago the dizziness wouldn’t go away and I called my Dr. He thought Vertigo and sent me to ENT. Who says no vertigo but your blood pressure is really high (160/113) went back to PCP and he prescribed me a baby dose Amlodipine and sent me to a cardiologist just to placate me as he still thinks it vertigo. The cardiologist ordered the tests above to see why by Blood Pressure was all of a sudden heigh along with the fact my face flushes for not reason ( PCP said hormone, as I’m 48)crazy anxiety and some heart fluttering. Looking for an adrenal tumor called Pheochromocytoma. Tests took over a week to come in and the cardiologist is out of the office for a few days but I can see the results on the patient Portal. Called my PCP and he still thinks it’s nothing but I’m kind of freaking out!
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2023.05.30 22:29 evilpenguins PGT-A results dispersion: A rant

I had my second ER three weeks ago on May 9th. It's been almost two weeks since I received word that my biopsies were received by Progenesis, but I still haven't gotten the call with results (last time I had them six days after they received the biopsies).
I called Progenesis today (May 30th) to see if I could find out whether I'm at least close in the queue, only for them to tell me that my clinic has had my results since Thursday the 25th and never called me!
I call my clinic for them to say, "oh, we know we've had them but the person with the Progenesis portal access has been out on vacation, she'll be back tomorrow so we'll call you then". How is there only one person at this entire clinic with access to this portal!? Did they not think, hmm, maybe while this person is on vacation someone else should get access so we can give our patients their results in a timely manner??
I know that in the scheme of things the extra five days of waiting for results won't kill me. It won't change my timeline, we're still planning on a July FET (assuming we get at least one euploid), so it didn't delay plans for a FET this cycle or anything. But DAMN this process is so full of waiting and I'm so annoyed that I had this much more waiting to do when I really should not have had to. I just needed to vent to people who will understand, because my husband is being infuriatingly sanguine about this.
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2023.05.30 22:04 SylleeMage Right Side Pain (not related to appendix) Mystery

Hello! I am 38F with PCOS and Fibromyalgia. Since the beginning of March I have had horrible side pain on my right side starting 2 weeks after my period. Imaging has ruled out issues with my appendix. I unfortunately do not have the images but I do have the radiologist reviewed results. I think my right ovary is swelling but I can't be positive because the US documentation from my normal OBGYN doesn't have the measurements of the ovary on it like my hospital ones do. It seems to happen about two weeks post period and I am looking for some options that when/if I am in pain next week (as it will be two weeks after) then I can ask for. Or if there is anything I should be asking my doctor for test wise.
Last time I ended up hospitalized due to the high white blood cell counts and they wanted to observe me for any possible infections I could have. Blood Cultures were negative, and I ended up being released once the tests were normal again.
The pain itself subsides after a few days. It comes on pretty suddenly and it makes it hard to stand up straight. 4mg of morphine only helps with radiating pain in the rest of my abdomen.
I do have other results, as well but the White blood Cell Counts and CRP were the main reason I was hospitalized last time.
Whilte Blood Cell counts 3/9/2023 – 14.9 th/mm3 4/28/2023 – 27.6 th/mm3 4/29/2023 – 12.6 th/mm3 4/29/2023 - 8.5 th/mm3
C reactive Protein
Apr 29, 2023 4.5 mg/dL
Apr 30, 2023 4.7 mg/dL
Imaging results:
4/28/2023 7:17 PM
No acute intra-abdominal process. Normal appendix.
EXAM: CT ABDOMEN PELVIS FOR APPENDIX CLINICIAN'S HISTORY: rlq pain, unremarkable US, hx of ovarian cysts - HISTORY REPORTED TO TECHNOLOGIST: RLQ abdominal/pelvic pain, hx of PCOS. Abnormal UA today COMPARISON: 3/9/2023. ·Dose reduction techniques using the adjustment of the mA and/or kV according to patient size and/or use of AEC or iterative reconstruction were used in the acquisition of this exam.· TECHNIQUE: Multiplanar noncontrast CT of the abdomen and pelvis. Findings: Suboptimal evaluation of the abdominal organs and bowel due to the lack of contrast. Unremarkable visualized lungs and heart. Unremarkable liver, spleen and pancreas. The gallbladder is surgically absent. Unremarkable adrenal glands and kidneys. No renal stone, hydronephrosis or hydroureter. Unremarkable urinary bladder and uterus. Unremarkable stomach, small bowel, colon and appendix. No bowel obstruction or inflammation. No free intra-abdominal air or fluid. No lymphadenopathy. No destructive osseous lesions.
  1. No acute intra-abdominal abnormalities. 2. Suggestion of a 12 mm hyperdensity within the endometrial canal. Recommend nonemergent pelvic ultrasound for further evaluation. 3. Diffuse hepatic steatosis.
3/9/2023 7:07 PM
EXAM: CT ABDOMEN-PELVIS W CONT CLINICIAN'S HISTORY: rlq/pelvic pain x 3 days, unremarkable outpatient TVUS. hx PCOS. eval for evidence of appendicitis, ureteral stone, colitis v other - HISTORY REPORTED TO TECHNOLOGIST: Sharp RLQ/right pelvic cramping that comes and goes for the past 3 days. COMPARISON: None. ·Dose reduction techniques using the adjustment of the mA and/or kV according to patient size and/or use of AEC or iterative reconstruction were used in the acquisition of this exam.· IV CONTRAST DOSE: IV Contrast Administered: 97 mL of OMNIPAQUE 300 mg/mL. TECHNIQUE: Contrast enhanced CT of the abdomen/pelvis. Portal venous phase images acquired. FINDINGS: Diffuse hepatic steatosis. Cholecystectomy. Mild prominence of the extrahepatic bile duct likely secondary to postcholecystectomy state. Normal pancreas and spleen. Splenule. Normal caliber small bowel. Normal appendix. No pericolonic inflammation. Normal adrenal glands and kidneys. No suspicious solid renal mass. No hydronephrosis. Normal mildly distended urinary bladder. Suggestion of a 12 mm hyperdensity within the endometrial canal (602/101 and 601/74). Grossly normal appearance of both ovaries. No abdominopelvic lymphadenopathy. No large destructive osseous lesions. The visualized lung bases are clear.
No acute intra-abdominal process. Normal appendix.
Unremarkable transabdominal exam with no evidence of ovarian torsion.
4/28/2023 6:30 PM
EXAM: US PELVIS TRANSVAGINAL W DOPPLER CLINICIAN'S HISTORY: right sided pelvic pain, acute - HISTORY REPORTED TO TECHNOLOGIST: as above COMPARISON: 3/9/2023 TECHNIQUE: Pelvic ultrasound performed with multiple images obtained. FINDINGS: Transabdominal imaging was obtained. The uterus and endometrium are unremarkable. The right and left ovaries are unremarkable with normal color and spectral Doppler flow. Uterus Size: 11.8 x 4.2 x 6.0 cm Endometrium Stripe Thickness: 5.8 mm Right Ovary Size: 3.8 x 2.1 x 3.4 cm Left Ovary Size: 3.1 x 2.7 x 2.8 cm Free Pelvic Fluid: None
  1. Negative pelvic ultrasound.
3/9/2023 11:35 AM
EXAM: US PELVIS TRANSVAGINAL CLINICIAN'S HISTORY: episodic pelvic pain Pelvic pain in female HISTORY REPORTED TO TECHNOLOGIST: same as above COMPARISON: None. TECHNIQUE: Pelvic ultrasound performed with multiple images obtained. FINDINGS: Findings: Generous size uterus. No mass. Endometrial thickness upper limits of normal. No endometrial lesion, fluid or hyperemia. Cervical cysts. Normal size ovaries with normal blood flow and small bilateral follicles. No adnexal mass or free fluid. Uterus Size: 11.7 x 4.7 x 5.7 cm Endometrium Stripe Thickness: 13.3 mm Right Ovary Size: 4.0 x 2.2 x 2.2 cm Left Ovary Size: 3.1 x 2.5 x 2.4 cm Free Pelvic Fluid:
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2023.05.30 21:45 ymrtn7 Neoplasm of uncertain behavior

Hi all, slightly pooping my pants. I went to get a skin biopsy today for my psoriasis. I was checking the patient portal and in the doctor's note section she wrote "neoplasm of uncertain behavior", does that mean she suspects i have skin cancer or is all this standard? I just had a thyroidectomy due to cancer so I'm nervous
submitted by ymrtn7 to Psoriasis [link] [comments]

2023.05.30 21:06 Lucky-Pomegranate-80 Thyroid Nodules TI-RADS

40f. Factor V Leiden. No drugs, no meds, rare alcohol use. Thyroid nodules- felt one on my neck and have had a scratchy voice lately (probably allergies), but followed up JIC. Normal labs. Normal BMI.
Trying to understand what makes these nodules rated TI-RADS 4. I got the image disc from the tech. The radiologist info on my patient portal was very bare and from what I can view just states they are all TI-RADS 4 and gives recommendation for follow up and comparison to clinical presentation.
What characteristics give the nodules this category? Trying to Google is never helpful, so thought I’d try asking an actual doctor :)
Follow up with my doctor isn’t for a while. Is it fine to wait a couple months to see her? Any questions I need to ask her?
Photos in link. TIA!
submitted by Lucky-Pomegranate-80 to AskDocs [link] [comments]

2023.05.30 21:00 The_Fallen_1 [THJVerse] Arcane Starfarers - ep 37 - Welcome committee

First / Previous / Next
Daniel patted Corporal Seling’ten on the back as he took over the console on the bridge from him, preparing for the day ahead. He checked all the readouts and found that they were all roughly what he was expecting, so he settled down as Hannah'rah did the same next to him.
"Good morning, everyone," Captain Harris began, addressing the whole bridge. "Word has just gone out that all ground operations have concluded, and everyone and everything is safely up in orbit. We're just waiting for confirmation before we depart the system. Make sure you're all ready to jump."
The bridge chorused an affirmative, and Daniel quickly checked his sensors to find them no different to normal, before he looked over his shoulder to Milla, who was apprehensively taking her seat in her humanoid form. A few moments later, the neural interface built into her chair began to extend sensors and non-invasive probes around the back of her neck and the top of her head, and she closed her eyes as the system ran through the standard checks. After a couple of minutes had passed, she nodded to the Captain, confirming she was ready.
"Oprin, I suggest taking one of the spare seats at the back of the room. Passing through a portal can be disorienting the first few times," Captain Harris warned the Langan.
"Of course, thank you for the warning," Oprin replied, sitting down and staring at the planet on the screen.
"Captain, transmission from the Batlow," Lieutenant Commander Sentrela informed her.
"Attention all ships, this is Vice Admiral Braun, we will be jumping in five minutes. Make sure preparations are complete by then," the comms announced.
“Signal our acknowledgement,” the Captain ordered. “Set the ship to jump alert.”
Daniel quickly glanced at the alert lighting as it suddenly lit up with a purple hue, and a single audial alert sounded, indicating the fore and aft compartments should be exited, and airtight doors sealed. The safety precautions were almost always irrelevant, but due to the increased strain on Gaters when jumping large ships, people were moved to the safest place on the ship in case of a failed jump, just in case the initial mana spike of the ship entering the portal disrupted the Gater, or they ended up flagging under the prolonged strain of the full length of the ship being transported.
“Affinity, perform standard jump checks,” Captain Harris instructed the VI.
“Affirmative, Captain,” Affinity replied. “Gater link established. Coordinates locked. All personnel are within safe boundaries. Mana levels are optimal. All systems report green. Final readiness is up to the Gater.”
“Ready,” Milla confirmed.
“Signal the fleet that we’re ready,” Captain Harris ordered.
Daniel looked at his sensors, reading the outputs to see if anything looked off with the other ships, but everything looked within normal parameters. He did notice a sudden spike of EM radiation from the direction of the planet’s moon for less than a second, but when he scrutinised it with other sensors, he found no signs of anything out of place, and a thorough scan with the gravitational sensors confirmed that there was nothing there. He logged the reading for it to be investigated at a later date in case the sensor was malfunctioning after being exposed to heightened radiation for a while, and then looked up as a series of mostly purple flashes appeared on the screens around him as the fleet prepared to jump.
He looked back at Milla as a faint purple portal opened within the ship’s shields, noticing the fierce level of concentration on her face. After a few moments, the ship began to slowly edge forwards, and Milla began to grit her teeth as the prow pierced through the portal, but the system didn’t send out any warnings of portal fluctuations, so the ship continued forwards. Before too long, the purple boundary reached the bridge, causing a flash in the back of Daniel’s eyes, and it carried on to the rear of the ship. He focussed back on Milla to find that she was hyperventilating, and the instant the all clear signal was sounded, she slumped backwards in her chair as the strain suddenly lifted off her mind.
Daniel immediately got out of his chair and ran over to Milla, catching her before she fell out of her chair and alerting everyone around them that something wasn’t right. Captain Harris immediately turned her attention to them, cutting herself off part way through confirming their location. He quickly checked Milla’s pulse and breathing, confirming that she wasn’t in a serious condition. With the Captain’s help, he lowered her down onto the floor, and a medical team rushed onto the bridge, seemingly alerted by another member on the bridge. They performed a few checks of their own, shifted Milla onto a stretcher, and rushed her off to the infirmary.
“Report to the fleet that our jump was successful, but our Gater was incapacitated,” Captain Harris ordered, breaking the silence of the bridge as Daniel returned to his seat.
“Copy that, Captain. Two freighters are reporting the same situation,” Lieutenant Commander Sentrela replied. “Apparently the spike of radiation hitting the spell-based radiation shields once the last tech-based shield emitter passed through was too much for them to bear, and the strain rendered them unconscious.”
“That matches what I’m seeing in the jump data,” Commander Santlen’coln told the Captain.
“Alright, there’s not a lot we can do about that now, and Milla is being taken care of, so we should proceed with the task at hand,” Captain Harris told everyone, turning her attention to the rocky planet nearby, which was covered in large bodies of water and had a noticeable Earth-like atmosphere. “Follow the fleet to the station-”
“Captain, I’m detecting multiple portals opening up nearby,” Daniel warned her as he noticed the sensor spikes. “All but one are Navy transponders…. Captain, it’s The Providence.”
“... Deities…” Captain Harris mumbled.
“... Captain, we’re receiving a transmission from The Providence,” Lieutenant Commander Sentrela warned her. “It seems to be different from the one the rest of the fleet is receiving.”
“Let’s hear it,” she replied.
“Greetings, crew of the Trailmaker, this is Celenamartra speaking, though I am not the only Deity present,” the comms announced as the feed of a gigantic green Dragon appeared on the main screen, adorned with a moderate amount of gold jewellery as she sat upon a padded cushion. “Firstly, I’d like to congratulate you on your successful mission. Rescuing another species from extinction is no small feat, even without any major hiccups along the way.”
“You honour us, Goddess,” Captain Harris replied, bowing her head.
“Secondly, I’d like to request permission to come aboard.”
“O- of course!” Captain Harris agreed, locking up firmly.
“Thank you, Captain Harris. You are clear to enter our perimeter for docking,” Celenamartra informed her, cutting the comms.
“... Lieutenant Commander Skrnumm, take us in.”
“... Aye, Captain,” the Dwarf replied, slowly piloting the ship towards the four kilometre long ivory and gold ship, as much a work of art as it was a functional transport.
“Lieutenant Commander Sentrela, what were the other ships told?” Captain Harris asked.
“They were thanked and instructed to head to the station,” Lieutenant Commander Sentrela explained.
“Right. Let’s see what happens. Prepare the guard of honour.”
Daniel stood next to Hannah’rah near the end of the assembled guard of honour, facing straight forwards and listening out for the faint clunk of the airlock doors opening, and catching the sight of a silver Dragon with an artificial wing boarding the ship in a smaller form, followed by what was obviously Celenamartra behind them, with another silver Dragon following up the rear. The procession stopped shortly after boarding the ship, as the Goddess and the Captain exchanged words outside of Daniel’s earshot, and it then resumed, proceeding onwards until the Goddess stopped right in front of Daniel.
“Daniel Hardbrooks, Hannah’rah, please follow me,” Celenamartra requested, her voice soft but with an underlying tone that made them both eager to comply.
Hannah’rah stepped forward without a second thought, but Daniel blinked in disbelief, before suddenly coming to his senses and falling in next to Hannah’rah behind the Goddess. They continued on, quickly reaching the end of the guard of honour, but continuing on deeper into the ship.
“Left here,” Celenamartra instructed her forward guard, turning the group around a corner. “Ok, no need to keep it as formal anymore, and there aren’t any dangers on this ship.”
The guards turned into their humanoid forms and headed to the back of the group without a word.
“Hannah’rah, it’s been a few years, how are you doing?” the Goddess asked.
“I’m doing fine, thank you. I’m sure you already know all the details though,” Hannah’rah replied. “How are you doing?”
“I am doing well as well, thank you. I even managed to lug my main body out here,” the Goddess chuckled.
“... What…?” Captain Harris almost inaudibly mumbled.
“My Mother works for her Champion, so I spent a lot of time around the Goddess as I grew up,” Hannah’rah quickly explained.
“That you did,” Celenamartra confirmed, heading towards the next corner and poking her head around. “Oprin Asten, how nice it is to finally meet one of your kind in person.”
There was a sharp yelp from around the corner as Oprin realised she had been found out, and she slowly appeared from around the corner. “Sorry if it seemed like I was hiding.”
“It’s fine, you were just curious but nervous, I understand,” the Goddess assured her as the group began to walk again. “I’m Celenamartra, and yes, I am a Deity, though not as how you would describe one, am I right?”
“... I don’t think so. To us, a Deity is something fundamental to life, like our star, water, air, and soil.”
“I see. And by our definitions, a Deity is a being with the ability to permanently alter the laws of reality, and does not conform to the normal standards of mortality. For example, this body is little more than a puppet, as my true self doesn’t exist in the material world, nor does it really exist anywhere in particular, it just does. This is my original body though, so while it is effectively little more than a puppet, it is special to me.”
“Original body?” Oprin asked.
“I was once mortal myself, uncountable numbers of millennia ago, long before even the Dwarves first worked metal. This body is the one I was born with, and I’ve kept it alive, even after my ascension. I must apologise for cutting our conversation short, as there is something I must do now, but I promise we can talk more after. Follow me if you wish.”
“That’s ok, thank you for your time,” Oprin replied, glancing at Daniel as she joined him.
The Goddess led the group further into the ship, quickly arriving at the infirmary, and her two guards took their positions either side of the door. One of them flagged Captain Harris and Oprin to wait outside, while the other waved Daniel and Hannah’rah through behind the Goddess. Once inside, all the medical staff quickly stopped what they were doing and stared at the new arrivals.
“Thank you, everyone, for all your hard work. I ask for some privacy with the patient, if that is not disruptive?” Celenamartra requested.
“Of course, Great Keeper of the Forest,” Dr Leresan replied, bowing before her and making Daniel remember that despite being a Dragon, she was strongly associated with nature and life.
Daniel was unsure of what to do now though, as formality made him want to leave the room with the medical staff, but all other signs indicated that he should remain here with the Goddess. He looked up at the Dragon, finding her staring at him, as if expecting an answer.
“Thank you for saving the life of my Granddaughter, Daniel,” the Goddess repeated. "The incident with the Ridgerider would have turned out much worse if you and the Marines didn't board that ship and save everyone."
"Oh, you're welcome. It was just a part of my duty," he replied.
"That may be, but you saved her when I could not interfere, and I am truly grateful. If there is anything I can do for you, let me know," she offered.
"Thanks, but that's not necessary," he replied, wondering if being polite just cost him an amazing opportunity.
"Take your time to think and let me know if you change your mind," she replied, walking over to the side of the bed Milla was resting on.
"Is she going to be ok?" Hannah'rah asked.
"Yes, she's just in a very light coma from the strain and shock on her system. She'll wake naturally in a few hours, but the delay isn't necessary," Celenamartra explained, smiling as Milla's eyes slowly opened. "Don't get up too quickly. You need to rest."
"... Nan?" Milla asked. "... What are you doing here?"
"Originally the plan was to officially welcome the Langan, but when you had your incident, I decided to visit you first instead."
"What happened?"
"A high strain portal incident. You got the Trailmaker safely back in UPC space, so everything is fine now. Just rest."
"Ok…. Where's everyone else?"
"They weren't able to attend at such a short notice for various reasons, nor were they aware this might happen. Your friends, Daniel and Hannah'rah, are both here though," the Goddess pointed out, directing Milla's attention to them as she assumed her humanoid form.
“Hey, you two. I hope I didn’t scare you,” Milla told them as she sat up.
“Not too badly,” Hannah’rah lied, sitting down in a chair next to her bed.
First / Previous / Next
submitted by The_Fallen_1 to HFY [link] [comments]

2023.05.30 19:38 Lamort_de_Twitch Scammer Alert

Scammer Alert
Seemed hella legit, had a real doctor login, sent a script to cvs and made a patient portal and even called on facetime and ran thru everything with me, but blocked me before the prescription went active. He scamming with hella good methods, so be careful. Uses a hospital with the name “A Plus Medical PC”
submitted by Lamort_de_Twitch to pillsporn [link] [comments]

2023.05.30 19:09 Feisty_Fuel1570 Had my first fertility consult today..I’m overwhelmed 😔

Had my first fertility consult today..I’m overwhelmed 😔
After 3 losses, I finally swallowed my pride and made a consult. The appointment was great, but I found it incredibly overwhelming on the next steps. They have a whole sheet of labs and procedures to do next, which I know is to be expected. I guess I’m just processing that this is what it’s going to take to possibly “keep” a pregnancy. Just need to vent and process with those who get it 💗💗💗💗
submitted by Feisty_Fuel1570 to recurrentmiscarriage [link] [comments]

2023.05.30 16:09 Feeling-Client7275 Endo disagrees with TRT dosing and schedule

Finally found a somewhat agreeable Endo to get my TRT covered under insurance. However there's some discrepancies. She claims it's unusual for HCG and Test Cyp to be prescribed together and that an AI isn't ever necessary. She was really cool though in discussing it and I brought up that it seems to be a pretty common thing and I've read on studies backing it. She actually was curious about the studies and admitted to it being a while since prescribing or working with patients taking testosterone.
I currently dose 3x a week - she said that was odd and usually only does once a week. Take HCG - she thought it was odd to take this with testosterone AI taken as needed - she suggested that you shouldn't need an AI and I explained how I've noticed when my estrogen levels felt elevated that I would take .25mg, most but since changing to 3x weekly injections it hasn't been needed as opposed to when I did twice weekly. My low before getting on TRT was 338ng/dL which dropped from about 550 the year prior despite making major lifestyle improvements and symptoms getting worse.
Should I attempt to show her current practices and explain further how this has worked for me and it's going on a year? She was really chill and didn't seem opposed to learning about these studies I was reading on. I've been on test for almost a year now and it has significantly improved my life and all the sides I was having prior have pretty much gone away.
She ended up ordering me labs to see where I sit now and suggested I can stop taking test BUT continue HCG and then said we can chat about everything more through the online patient portal as well.
submitted by Feeling-Client7275 to trt [link] [comments]

2023.05.30 15:59 YaaliAnnar NoP: Lost and Found (56)

First Previous
Memory Transcription Subject: Vani, Venlil Surgeon
Date [Standard Human Reckoning]: 2136-10-22
Secluded in the comfort of our cabin, I found myself savoring the rare moments of peace with Johan. The bustling camp did not afford us the luxury of privacy, and this precious pocket of calmness felt like a gift. Lying on the bed together, we did not feel the need to fill the silence with words or engage in any couple of activities. I felt an inherent satisfaction in just lying there together.
"Vani," Johan's voice filled the quiet cabin.
"I'm... I'm afraid of going back," he confessed.
I considered his words before asking, "Do you have many friends back in Jakarta?"
His gaze stayed on the ceiling as he replied, "Other than Snop... not. I guess, in a twisted way, that's a kind of luck?"
I watched as he rolled onto his side to face me, his eyes searching mine. "I count myself beyond fortunate to have met you." His fingers stroked my mane. His light touch felt heavy and comforting. "Even if we were in Jakarta when they implemented the quota they would have let me evacuate with you."
For a while, we just lay there, appreciating each other, our silent exchanges speaking volumes.
When we arrived at the ship, it was still the second or third hour of the day. I forgot when I fell asleep, but Johan's alarm woke us up the same. When we stepped out of our cabin, we found Tresn and the siblings lounging in the common area. Tresn now had the prostheses in his paws. The device twitched every now and there. Meanwhile, the siblings were engrossed in their thoughts or busy with their pads.
In the common area, we had our first meal aboard the vessel. We sat near the window, our portal to the world outside. Through the clear pane, the black water merged with the black sky, and I felt like being suspended in a void. Yet, despite this sense of absolute stillness, the ship flew above the water at a speed above fifty meters per second. Sometime after we had cleared our plates, our surrounding transformed. The sun, breaking the confines of the horizon, began its ascent. Although we were facing away from this bright ball in the sky, its effect was no less mesmerizing. Dawn overtook the black sky. First, the once pitch-black sky took on a shade of deep purple. A transition to an intense, deep red followed it soon after.
Perhaps two or three hours after the sunrise, the coastline of Cirebon began to emerge, peeking out from the edge of the horizon. Its unblemished skyline shone in stark contrast to the devastation reported in Jakarta.
Elangkasa joined us in the common area before we landed.
"Hi folks." They greeted me. "So, I might have forgotten to tell you all that you'll go to Purwakarta Sector 12 as volunteers."
"We don't mind." Said Johan. "I'm glad if I can be of help."
Elangkasa then briefed us on our job in Purwakarta Sector 12, Bolad and I would join the health workers. Johan and Cynthio had put aside their differences, nodding in agreement when Elangkasa assigned them to service and maintain the drones for rescue. Snop agreed when they asked her for help in construction with her skills in operating machining tools.
The armed forces had commandeered this once bustling commercial hub and had transformed it into a temporary base and staging area just like in Banjarmasin. Once we disembarked, Bolad and I joined Johan in his van again. A map of the region appeared on the dashboard. A red pinpoint marked the ovation where the bomb fell and a circle around it, the area of effect.
My classes both in Venlil Prime and Earth did not teach me about orbital bombardment and here I learned that one needs to get into a bunker in times like this. Because, for tens of kilometers, the bomb would heat the air to the point of causing tissue damage. The map showed a region where you will face severe burn injury if you stayed outside when the explosion happened. Amid the circle depicting the zones of devastation, one stark red marker pulsated with disconcerting energy. It lay within the severe heat zone. Its constant glow commanded my immediate attention.
"Johan," I ventured, pointing at the glaring red marker that almost seemed to taunt us, "That red marker there is your home, is it not?"
His eyes shifted from the barren road to the display, taking in the red beacon that represented his home. "Yeah…" He let out a sigh, heavy with desolation within the confines of the vehicle. "I wonder what's left of that house now."
As we drew nearer to the affected area, I steeled myself for the scenes of destruction. However, the buildings seemed to have withstood the assault better than I expected. Of course, we could see the scars of the attack, the shockwave shattered windows and some structures had superficial cracks. A general sense of disarray permeated our surroundings, but the core structures stood against the odds.
Cities and towns dotting the outskirts of the Greater Jakarta Province had been retrofitted with camps to accommodate the droves of displaced people emerging from the ruins of the once-thriving metropolis. In recent days, the tide has started to turn. Able-bodied survivors moved back towards their shattered homes, driven by the urge to reclaim and restore what they could salvage from the debris.
Our journey led us to the city of Purwakarta, a place I remembered from a past excursion with Johan. We had once visited the city's reservoir, taking in the tranquil beauty of the idyllic landscape. The city has changed now. A bustling hive of activity transformed the city as it took refuge for those fleeing the destruction.
Because of the scale of the destruction, we didn't have a single "camp" as we had for the gojids. The refugee districts were divided into Sectors. We pulled into sector twelve as the midday sun reached its zenith, casting almost no shadow on the ground. Prefabricated buildings of varying sizes formed an ordered chaos across the city's outskirts.
Everywhere we looked, people occupied themselves in a frenzy of activity. Here, soldiers oversaw the transport of food and materials. There, health workers moved to check from the habitation unit to the habitation unit. Engineers collaborate with helper and builder drones to perform maintenance and construction. All around, people took on roles they never imagined they would, united by the common goal of survival and restoration.
Despite the dire circumstances, the humans put on determined faces. Humans made the majority of camp inhabitants, but I spotted two arxurs here, their imposing presence always accompanied by a human minder. Both of them shot a look in disgust at Tresn, while humans looked at the defector with an equal part of concern and curiosity.
Elangkasa led us through the camp. First, we passed the engineering quarter where my human and the siblings parted from us. Another trip led us to the medical complex, where we saw medical personnel moving with well-practiced efficiency to care for the injured. A conglomeration of tents and prefabricated buildings all bearing the red crystal symbol made up the hospital. The bustle here felt different, it had an undercurrent of urgency threaded through the ordered chaos.
At the entrance of the hospital's administration building a zurulian had waited for us. Her short stature did not deter us. Upon noticing us, however, her expression turned sour.
"I have a feeling I'm not supposed to be here." Said Tresn. "Maybe... I can get to the habitation unit?"
"You need some help with physiotherapy. Can you bring him there, Elangkasa?" said Bolad.
"Yeah, take that to a human health worker. I'm not going to treat it." The zurulian said with a huff.
"I am Bolad, and this is Vani." The gojid introduced ourselves.
"I'm Rawan, the medical Coordinator for Sector Twelve, Shift Two."
My stomach rumbled, a reminder that it was midday, mealtime according to Earth's cycle.
Sensing my discomfort, Rawan commented. "Hungry already? Well, we are on a lunch break right now. Follow me," leading us away from the hospital administration.
According to the map, there exist two dining areas, located far from each other. The one Rawan brought us to, served plant-based meals for species with a herbivorous diet, the other was where arxurs and their human minders feast.
Stepping into the hall felt comforting. It felt as if an invisible barrier dampened the harsh sounds of the bustling camp outside, replaced by the familiar din of a busy dining hall. Members of Federation species, like us, gathered here. I saw zurulians, colleagues of Dr. Rawan, along with several gojids who had responded to the call for assistance in the rescue, relief, and rebuilding efforts.
The dining procedure here was not like what we had at the camp. Instead of autonomous carts coming around to deliver our meals, we had to stand in line. Humans manned the serving counters, dishing out meals onto trays as we moved along. The menu today consists of a stir-fried noodle and rice combination, named "Nasi Mawut".
After getting our portions, we selected an empty table, the tantalizing taste in the air from our tray deepened my hunger and anticipation. We set down our trays, and with a collective eagerness, took our seats.
"To be honest," Rawan began, her gaze sweeping over the crowded dining hall before returning to her meal, "This is often the highlight of my day here." She gestured towards her plate and scoffed, "Imagine that, I, a zurulian, looking forward to a predator's meal."
"To be fair," I retorted, "this meal is not prepared from ingredients they acquired from hunting."
Rawan chuckled a high-keening sound that made her sound like she was in distress. "Sometimes," she mused, her eyes thoughtful as she poked at her food, "I do wonder why they feel the need to consume flesh when they can subsist on meals such as these."
Not wanting to engage in a sensitive debate with a superior officer we had just met, I opted for silence, focusing instead on the pleasant taste of the Nasi Mawut before us.
A voice broke the quiet chatter around us. A gojid, appearing youthful by their standards, made his way toward our table with a casual gait. A broad smile adorned his face as he acknowledged us. "Hey, doctors! Fancy seeing you here again."
"Greetings," Bolad replied with a courteous nod. "I hope the presence of arxurs has not caused you undue distress?"
I looked at the gojid's hip and saw a familiar scar. I recognized him as the one gored by the sheep back at the camp.
A robust laugh escaped from the gojid, his face brightening up. He waved off Bolad's concerns, "No worries, Doc. We've got a human minder assigned to us to keep those predators in check. And we also have a buddy system, safety in numbers, you know."
"That is good to hear," Bolad responded. Although my facial annotator had learned a lot about gojids' gestures and expressions, it kept interpreting Bolad's emotion as a blank.
A small device strapped to the gojid's wrist chirped. The gojid glanced at it before looking back up to us with a swift nod. "Ah, duty calls. Well, it was nice chatting with you, Doc!" With that, he swung around, his round figure merging with the crowd as he strode towards the exit.
Once the gojid departed, Rawan, Bolad, and I continued to sit and chat over the remains of our meal. Bolad and I shared stories about our experiences in the gojid camp in Kalimantan. The pervasive sound of a resounding announcement filled the hall, halting our exchange. An impersonal voice echoed from the overhead speakers.
"Shift Two! Your break time will be over in ten minutes. I repeat. Shift Two! Your break time will be over in ten minutes." The forceful announcement marked the conclusion of our pause, a reminder of the tasks that awaited us.
"Well, that's our cue," the medical coordinator announced, getting up from her seat. Her hands reached for her tray but having to maneuver in bipedal mode made the action seem awkward.
"Allow me," I offered, reaching for her tray to assist. "I'll carry it to the collection point."
"Thank you," she responded.
As I made my way to the collection point, Bolad engaged Rawan in a conversation. "How many shifts are there in a day?" he queried.
Rawan turned to Bolad. "We work with a four-shift rotation. The humans initially wanted three, due to their unusual stamina," she explained.
Once we discarded the tray Rawan led us back to the medical complex of Sector Twelve.
"Our main goal here is to offer immediate care to the injured and aid in their recovery." She started when we passed the gate of the medical complex.
Rawan gestured towards a cluster of tents assembled off to the side. A perpetual flurry of activity surrounded them as people carried patients in and out on stretchers. "These are our triage tents," Rawan explained. "New patients are first brought here for evaluation. Depending on the severity of their injuries, they are then dispatched to the appropriate sections for treatment. Bolad, you'll be stationed here. Your expertise in general medicine will be invaluable in assessing patients."
Our tour continued, taking us through the maze of the field hospital. We walked past prefabricated structures, erected with solid synthetic materials.
"These," Rawan proclaimed, her paw sweeping towards the buildings, "are our operating theaters. We haven't been able to install remote surgical facilities. Though, given your preference, that shouldn't be an issue..."
"I do favor direct surgery," I confessed, revealing a bit of my past.
Rawan halted, her sharp gaze taking both of us in. Her snout was positioned between Bolad and me looking at us from her peripheral vision. "I've reviewed both of your files," she said, focusing her attention on me. "I've worked with your kind before. You have your use in times and places like this."
Neither Bolad nor I questioned her use of the term "your kind", but we all know what she implied here.
"Now, it's time for you to report to your stations," Rawan instructed us, her tone leaving no room for debate. "The human health workers already in the field will brief you on the specific protocols we've established here."
The moment I crossed the threshold into the operating theater, I was confronted with an open fracture. The sterile operating rooms of the past, where I donned a vacuum suit to prevent my fur from contaminating the environment, seemed a world away. Here, a disposable robe was all that separated me from my patient. I plunged into hours of repairing human bodies, and I feel more useful than I had ever felt before. As valuable as my previous role of determining causes of death was, I feel a satisfying gratification in saving lives.
As I immersed myself in the demanding tasks of the medical field, my mind sometimes drifted toward Bolad. While my duties were straightforward, applying proven techniques and procedures, Bolad grappled with the daunting responsibility of determining the course of our patient's treatment. His role dictated the trajectory of their recovery or, in the worst cases, their demise. The magnitude of such a responsibility could be soul-crushing, and I wished that it did not burden him.
Before I knew it, a new team arrived ready for me to hand over my job to them. The end of our shift brought us to a prefabricated habitation unit, a space similar to our quarters in the camp. Due to spatial constraints, the unit contained three bunk beds instead of the usual row of mattresses.
When Bolad and I arrived at our living quarters, we found Johan, the siblings, and Tresn already present. They all gathered around a table, engrossed in a spirited card game.
"Vani! Bolad!" Johan looked up from his hand of cards, a warm smile spreading across his face. "How was your day?"
Bolad answered before I could. "I had to watch people die."
A stark silence filled the air. Johan's smile faltered as he bit his lip.
"Bolad was assigned to the triage area," I clarified, stepping in to defuse the tension.
"But you can request a rotation if the stress becomes too much," I offered, directing my words at Bolad as I hoisted myself onto an unoccupied chair. "What about you two?" I inquired, shifting the focus onto Johan and his siblings.
"We had to program the drones and-" Johan began, but Cynthio interrupted his explanation.
"They removed all the restrictions," Cynthio said. "We got to work with unrestricted synthetic intelligence! What we had to do felt less like programming and more like... talking with them." The joy and excitement on Cynthio's face were obvious even without my facial annotator.
Tresn placed a card onto the pile in the middle of the table, interjecting a question that caught us off guard. "By the way… how difficult is it to get to Sector Ten?"
"You could walk there if you wanted. Why do you ask?" Johan responded, curious about the sudden interest in another sector.
"There's someone I want to meet," Tresn admitted, a hint of hesitation in his voice.
"Hmm…" Snop considered, tilting her head. "We have about two or three hours before the breaking of the fast. How did you come to know this person?"
"The Internet," Tresn replied.
"Oh…" Snop replied, her face attempting to maintain neutrality and almost failing.
Intrigued by Tresn's unexpected online connection, we decided to accompany him on the short journey to Sector Ten. Leaving our habitation unit, we found ourselves navigating the ad hoc alleyways of Camp Sectors. Humans of all ages hustled past us, their faces a mosaic of determination and sorrow, each one bearing the weight of rebuilding amidst the ruins.
The further we ventured towards Sector Ten, the more conspicuous the increase in the arxurs' presence became. Given their nocturnal tendencies, I surmised that most Arxurs preferred anything but the second shifts.
Upon reaching the main plaza of Sector Ten, Tresn pulled out his pad, fingers dancing over the screen to access a social media site. I saw intensity in his actions, as he engaged in a private chat with a rapid succession of texts. He scanned his surrounding and his instinctive predatory gaze locked onto a specific figure in the bustling crowd, a human who was also looking around. An arxur shadowed him, their movements synchronized as if orchestrated by a shared rhythm.
Tresn wheeled first and we followed him toward the pair, our formation taking on a semi-circular shape around them. The human had close-cropped curly hair and his upper revealed his arm. A band covered his right arm and there was something off about the rest of that limb. The skin looked too smooth.
"Wait…" Snop, ever the observant one, pointed a finger toward the human, her voice laced with recognition. "I think… I know you."
The human responded by pointing back at Snop. "Aren't you Snowpaws?"
She nodded in affirmation. "Yeah, and you're… Jagomerah?"
A smile of confirmation danced on the human's lips. "Yeah."
Johan, who had been watching the interaction unfold, broke into a musing grin, "Jagomerah… that has to be a screen name," he remarked, shifting his gaze toward Tresn.
"Tresn," Johan began, an amused undertone in his voice, "You have been chatting with furries haven't you?"
"Scallies." Both Snop and Jagomerah corrected.
submitted by YaaliAnnar to NatureofPredators [link] [comments]

2023.05.30 15:41 SicarioBadger Why would an I49.9 (Arrhythmia) code be in my diagnosis list?

28 Male
2 PE's, Perforated Ulcer repaired via Laparotomy.
2x 5mg Apixiban, 2x 40mg Protonix, 2x 40mg Faratidine, 2-4x Karafate.
Good day everyone. in my ongoing journey of figuring out my health issues, I had a HIDA scan done the other week to see if my symptoms are caused by my gallbladder. (22 May 23). I was checking the patient portal for my GI specialist to see if the results had come in on 25 May 23. record looked the same with no updates. I checked again on 29 May 23, and the results of the HIDA scan still hadn't come back, but I noticed a new diagnosis in my record, I49.9 (Unspecified Arrhythmia).
Is there any reason as to why this would show up in my record on my GI Specialist's Patient Portal, but not on my PCM's Patient Portal? my only thought would be if they saw something on the HIDA scan that my specialist ordered, but it was my understanding that the only thing the HIDA scan could see was the radio-tracer they injected into me, being focused onto my livegallbladder area.
Is this code something that I should be asking questions and getting answers about? I have been having periodic chest pains since my first PE.
submitted by SicarioBadger to AskDocs [link] [comments]

2023.05.30 10:08 Williamson-BS How I Successfully Obtained a Study Visa to Canada: My Journey and Tips

Hi fellow Redditors,
I wanted to share my experience and provide some insights on how I managed to secure a study visa to Canada. Going through the process can be daunting, but with the right approach and preparation, it's absolutely achievable. Here's a breakdown of my journey and some tips that might help you on your own study visa application:
Research and Choose the Right Program and Institution:
Before starting the visa application process, it's crucial to research and select a program and institution that aligns with your academic goals and interests. Consider factors like the reputation of the institution, course curriculum, location, and potential career opportunities. This will not only strengthen your visa application but also ensure you make the most of your education abroad.
Understand the Requirements:
Familiarize yourself with the specific requirements for a study visa in Canada. Visit the official website of Immigration, Refugees and Citizenship Canada (IRCC) to get accurate and up-to-date information. Key requirements typically include an acceptance letter from a designated learning institution, proof of financial resources, and a valid passport.
Financial Planning:
Demonstrating your ability to finance your studies and living expenses is an essential part of the visa application. Create a comprehensive financial plan, including tuition fees, accommodation costs, healthcare coverage, and other necessary expenses. Make sure to provide sufficient evidence of your financial resources, such as bank statements, sponsorship letters, or scholarship awards.
Start Early:
Begin your visa application process as early as possible. Gathering all the required documents, filling out forms, and meeting various deadlines can take time. Starting early will not only reduce stress but also give you ample time to address any unexpected delays or challenges that may arise.
Seek Professional Guidance:
Consider consulting with a reputable immigration advisor or consultant who specializes in Canadian study visas. They can provide expert guidance, review your application materials, and help you navigate the complex immigration system. While this is optional, it can significantly increase your chances of success and provide peace of mind throughout the process.
Pay Attention to Detail:
Ensure that all the information you provide is accurate, complete, and consistent across all application forms and supporting documents. Pay attention to spelling, grammar, and formatting to present a professional and well-organized application. Missing or incorrect information can lead to delays or even visa rejections.
Prepare for the Interview (if applicable):
In some cases, you may be required to attend an interview as part of the visa application process. Be prepared to answer questions about your study plans, financial arrangements, and future prospects. Research common interview questions, practice your responses, and remain calm and confident during the interview.
Be Patient:
The visa application process can take time, and it's important to remain patient throughout. Stay updated with your application status through the IRCC's online portal or tracking system. If there are any delays or concerns, reach out to the appropriate authorities for assistance.
Remember, every visa application is unique, and the process can vary based on individual circumstances. This post is based on my personal experience, and it's always recommended to consult official sources and seek professional advice to ensure you have the most accurate and up-to-date information for your specific situation.
I wish you all the best in your study visa journey to Canada! Feel free to ask any questions or share your own experiences in the comments below.
submitted by Williamson-BS to CanadaVisa [link] [comments]

2023.05.30 07:15 bizzclassified_01 Pharma Franchise Companies in Chandigarh

Introduction Are you looking for opportunities in the pharmaceutical industry? Consider starting a pharma franchise business in Chandigarh, then reach online portal Bizzclassified which helps you to find the perfect Pharma Franchise Companies in Chandigarhas per your requirements and business profile. In this article, we will explore the world of pharma franchise companies in Chandigarh, their benefits, the top companies in the region, and how you can start your own successful venture. So let’s dive in!
What is a Pharma Franchise? A pharma franchise is a business model in which a pharmaceutical company grants permission to individuals or entities to market and sell its products within a specific geographic area. The franchisee operates as an independent business and pays a franchise fee or royalty to the parent company. All the details are clearly mentioned on Bizzclassified business portal.
Benefits of Pharma Franchise Companies
Pharma franchise companies offer several advantages for entrepreneurs and professionals looking to enter the pharmaceutical industry:
Established Brand: By partnering with a reputable pharma franchise company, listed in Bizzclassified you gain access to an established brand name and reputation, which can help you attract customers and build trust in the market.
Product Range: Pharma franchise companies provide a wide range of products, including medicines, drugs, supplements, and healthcare products. This diverse portfolio allows franchisees to cater to various market segments and increase their revenue potential.
Marketing and Promotional Support: Franchise companies which are list in Bizzclassified portal often provide marketing and promotional materials, such as brochures, visual aids, and product samples, to support their franchisees’sales efforts. This assistance can save time and resources for new businesses.
Training and Guidance: Many pharma franchise companies offer training programs to educate their franchisees about product details, marketing strategies, and regulatory compliance. This training equips franchisees with the necessary knowledge and skills to run a successful business.
Lower Risk: Compared to starting a pharmaceutical manufacturing unit from scratch, investing in a pharma franchise business carries lower risks.
Factors to Consider When Choosing a Pharma Franchise Company Product Portfolio: Evaluate the company’s product range and ensure it aligns with the market demand in your target area. A diverse portfolio will allow you to cater to a wider customer base and increase your chances of success.
Reputation and Track Record: On Bizzclassified portal we can easily check reviews of the company’s reputation, customer feedback, and market presence. A reputable and reliable pharma franchise company will enhance your credibility and make it easier to establish your business.
Support and Training: Assess the support and training provided by the company to its franchisees.
Profitability and Pricing: Understand the profit margins and pricing structures offered by different pharma franchise companies. Compare the financial aspects and choose a company that provides a fair and profitable business opportunity.
Marketing Strategies for Pharma Franchise Companies Effective marketing strategies are crucial for the success of pharma franchise companies. Consider the following approaches:
Digital Marketing: Leverage the power of digital marketing to reach a wider audience. Build a professional website, optimize it for search engines, and engage in content marketing, social media marketing, and paid advertising.
Medical Representatives: Hire and train a team of competent medical representatives who can promote your products to doctors, hospitals, and healthcare professionals. Provide them with the necessary marketing materials and support.
Partnerships and Collaborations: Establish strategic partnerships with hospitals, clinics, and other healthcare institutions. Collaborate with doctors and medical professionals to gain their trust and recommendation for your products.
Attend Medical Conferences and Exhibitions: Participate in relevant medical conferences and exhibitions to showcase your products and network with potential customers and partners. These events provide an excellent platform for brand visibility and lead generation.
Patient Education Programs: Conduct patient education programs to raise awareness about specific health conditions and the importance of appropriate medication. This approach helps build trust and establishes your brand as a reliable source of information.
Future Outlook of Pharma Franchise Companies in Chandigarh The future of pharma franchise companies in Chandigarh looks promising. As Bizzclassifiedon line business portal provides an online platform to pharma company to register themselves here and visible to all. With advancements in healthcare technology, increasing healthcare expenditure, and a growing population, the demand for pharmaceutical products is expected to rise.
To stay ahead in this competitive industry, pharma franchise companies need to embrace innovation, invest in research and development, and focus on providing personalized healthcare solutions. Adapting to changing.
submitted by bizzclassified_01 to u/bizzclassified_01 [link] [comments]

2023.05.30 04:43 rxsangria Advice from a pharmacist on prior authorization process for Wegovy

tl:dr; An extensive post on prior authorizations, copays, coupons and getting Wegovy covered. Recommended reading if you haven't started the process yet, want to get Wegovy covered on your insurance, or if your prior auth request was rejected. I talk about copays, the prior auth process for first doses and for dose increases, and what kinds of things you might need to qualify to get Wegovy covered by your plan.

I want to preface this post by stating that I am a pharmacist, but not currently working as a pharmacist. I have loads of experience dealing with insurance companies and the prescription billing process. I worked in a retail pharmacy for 25 years. I have also worked for an insurance company as a pharmacist. I started Wegovy 3 weeks ago and I had to go through a 6 week process of cooperating with my doctor's office and the insurance company to get it covered, and I wanted to share the process I went through and some tips for anyone trying to get it covered for themselves.
I cannot promise that following what I have done will work for you, each plan does it's own thing and make their own decisions.
I will not be discussing supply issues here, this is not the post for that.
I started with visiting the website and looking at what indications the med was for. Indications mean which medical conditions and symptoms has the drug been approved by the FDA to treat. According to the Wegovy website , " WEGOVY® (semaglutide) injection 2.4 mg is an injectable prescription medicine that may help adults and children aged ≥12 years with obesity (BMI ≥30 for adults, BMI ≥ 95th percentile for age and sex for children), or some adults with excess weight (BMI ≥27) (overweight) who also have weight-related medical problems to help them lose weight and keep it off. Wegovy® should be used with a reduced calorie meal plan and increased physical activity"

This information gave me clues as to what the insurance company is expecting for the basic qualifications in the prior authorization request:
  1. BMI 30 or above, or BMI 27 or above with weight related health issues
  2. Reduced calorie meal plan
  3. Increased physical activity
There are more qualifications that each insurance company will require to make sure that the medication is deemed appropriate for you. I had the basic qualifications, so I felt like I had a good chance of getting it covered. I did some more research. I googled "Wegovy Prior Authorization Criteria" and found some links for some common insurance plans. I didn't find mine, so I checked out a few of the ones listed to see what other kinds of criteria my insurance might want. This pdf was helpful and I thought was a good example: Wegovy Caremark Criteria . This form gives their interpretation of what their specific conditions are for coverage, and if I met those, I felt I probably qualified under my own plan.
I talked with my doctor, she had done prior auths for Wegovy before so she knew a few of the things they wanted, so she took notes and had her assistant send in the prior authorization request with the following information:
  1. Has the patient tried a structured diet (keto, vegan, DASH, etc) in the last 12 months? yes, Keto and other low carb. stopped due to cholesterol levels
  2. Has the patient tried a behavioral weight loss plan (Weight watchers, Noom, etc) in the last 12 months? yes, Noom. It helped somewhat, but was too expensive for me.
  3. How much exercise does the patient participate in per week? Gym membership? Walking 3 times per week for 30 minutes, no gym membership
  4. What's the patient BMI? 36
  5. Does the patient have any obesity related health conditions such as obstructive sleep apnea, dyslipidemia (high cholesterol), hypertension (high blood pressure), or type 2 diabetes? yes. apnea, dyslipidemia, hypertension.
The initial request was sent in to the insurance. According to them, the initial request was missing information. My plan requires the remaining information to be submitted to them by the provider within 24 hours of the initial request in order to process the authorization. Since it was after 5pm, they said they were not able to contact the office, so they sent a fax request for more information. Of course my office doesn't look at faxes as soon as they come in, they are busy seeing patients!
The 24 hour deadline came and went, and I received a rejection letter in the mail from the insurance plan. I called them for more information on the letter, to find out what information was missing and what needed to be done.
Here are the questions I asked and their answers (THESE ANSWERS ARE SPECIFIC TO MY PLAN, YOURS WILL PROBABLY BE DIFFERENT):
  1. What information is missing from the original authorization request? A statement from the provider that the patient is not pregnant and patient has no contraindications to using the medication. (A contraindication is any reason why a person should not use the med, like having thyroid cancer or being allergic to the active ingredients)
  2. How can the provider submit that missing information to you? An appeal needs to be filed. The provider needs to send a letter or another prior authorization request to us that includes the missing information.
  3. Can I start the appeal process myself? You can start the appeal process, but we will still need information from the provider.
  4. Does the form need to be faxed to you or sent to you online? The provider can submit either by fax or via an online prior authorization service. Either way works for us.
  5. If my office faxes you, is there a specific form that they need to use? No, just their own standard office prior authorization form works.
  6. Is there any other information or requirements that the original prior authorization request missed? No, just those 2 items.
  7. How long does the authorization process take? After the appeal is received by our office, we have 28 days to review and give a determination.
  8. How will I know if it has been approved? Do you contact me or the pharmacy? We will contact your doctor's office first, and you will receive a letter in the mail with the determination. You may also call us back anytime over the next couple of weeks to check the status. It will be given a due date, and we can let you know what date has been assigned once we have received the appeal.
Satisfied that I had gotten all of the answers I needed, I emailed the medical assistant at the office and requested that they send the additional information to my insurance and start the appeal. I emailed the questions and answers that I received during my phone call to give her all the information she might need to get the request submitted properly. I was SUPER NICE AND PATIENT with her, as I know she has loads to do and might not be able to get to it right away. I told her in the email that I appreciated all the time and effort she was giving to help me get this covered.
After a couple of days, I received an email from the assistant with a notification that the insurance company wanted me to sign a release form to allow the assistant to 'vouch' for me for the appeal.
The rest was just waiting and checking back with the insurance plan about once a week. It was approved after about 3 weeks of checking back.
SUCCESS! The approval was for the first strength, Wegovy 0.25mg weekly. The whole process was about 6 weeks because I didn't want to bug my medical assistant more than once a week.

Now the question is: do I need another prior authorization for a new dose? I called the insurance company again. Questions and answers (again, these are SPECIFIC TO MY PLAN) :
  1. Do I need another prior authorization to go to the next dose for Wegovy? Yes. But the process is a little easier for the dose increases.
  2. What is that process? Do they have to send all the original information again for the new dose? The provider submits a generic prior authorization request, but this time, the only real notes that need to be included are a statement to the effect of "Dosage increased per FDA recommendation".
  3. I am expecting to have several dose increases. Does each prior auth have to be done separately, or can the provider request all the doses at once? First, I need to tell you that prior authorizations can be requested up to 30 days before the prescription is filled. Because of that, the provider can only request 2 doses at a time. If they use an online form, they would need to send the dose requests separately. If they fax us, they can just write in the comments or cover letter "Wegovy 0.5mg AND Wegovy 1mg".

My plan is to send these questions and answers to my medical assistant again, a few days before my next appointment, with a reminder to her that I will be asking my provider to increase to the next dosage, Wegovy 0.5mg, and expect to increase to the next strength 28 days after, and ask SUPER NICELY if she would please send that prior authorization request for the next 2 doses after my upcoming appointment so there's not a big delay in being able to received my next dose.

  1. Figure all this out ahead of time so you aren't disappointed and/or waste a trip to the doctor or waste everyone's time if you don't meet the qualifications for your insurance plan. There are so many people involved in getting you this med, that if in the end you don't end up getting it, it's a huge waste of time and resources. Just think of all the people involved: the scheduler for the appointment, the med assistant, the provider, the person submitting the prior authorization request at the office, the pharmacy technician, the pharmacist, the prior authorization people at the insurance company, etc.
  2. You can contact your insurance plan before you even talk to your doctor. Ask to speak to a pharmacy services representative, and if they are not able to answer your questions, ask to speak to a representative in the pharmacy prior authorization department. Ask all the questions listed above, write all the answers down and take them to your doctor if you qualify.
  3. Make an agenda before your appointment. Write down all the answers to the qualification questions that you discovered by contacting your insurance company, and hand it to your assistant at the beginning of the appointment, so it's easy for your provider (or scribe) to just throw it in your office note at the appointment.
  4. Pretend like your medical assistant or prior authorization specialist at your provider's office has no clue. What I mean is that they know how to submit the authorization, but there are so many insurance plans that there is no possible way for them to know each plans process and requirements for the authorization submission for each medication. A lot of times it's a trial and error thing. Send it and see if it 'sticks', if not, change it up and send it again. It's a heck of a lot easier on them (and more efficient for you) if you give them the requirements that you learned by calling your insurance ahead of time.
  5. While you wait for a determination, calling and asking your pharmacist "is it covered yet" is NOT helpful and it actually costs the pharmacy money! Each time a claim is submitted or attempted - sent to your insurance plan through the computer, there is a charge for the transmission. It's best to keep in contact with your insurance plan and call them daily or weekly, or visit your plan's online portal to see if they have updated the authorization. They also get cranky when you keep calling - they are busy as heck!
  6. Sometimes even after the prior authorization has been approved, it might still reject at the pharmacy. When claims are processed through that have dollar amounts higher than $1000, they often will get 'stuck' at the processor. I believe it's a code 78 rejection. The pharmacy technician will need to contact the help desk to get this resolved (phone number should be provided in the claim rejection information).
  7. Be patient.
Quick note on copays. When you contact your insurance plan about the requirements for coverage, ask at that time what YOUR copay for the med will be, once it's approved. A lot of things determine what that amount will be. Do you have a high deductible plan? If so, even though it's "covered" it could just apply to your deductible and you will still see a very high dollar amount at the pharmacy.
If you don't find that out ahead of time you could go through this entire process only to find out at the pharmacy that it's still $1200 a month because of a deductible or it's a certain 'tier'. How frustrating!! and then you will probably get mad at the pharmacy because you went through all that trouble and it's still too much. (It's not their fault!)
Do you have a coupon? Do you qualify? The Wegovy website has a coupon or payment assistance plan that you can sign up for that can take a certain dollar amount off your copay. READ THE FINE PRINT! If you have an insurance plan that is funded by the government such as Medicaid, Medicare or Tricare, you are not allowed (by law) to use a coupon if it's billed to that plan. They also can rescind or modify the offer at any time, so if it doesn't work for you don't @ me.
Good luck!
Also - vote for people that will fight for a better healthcare system in the US because this whole process is just UGH
submitted by rxsangria to WegovyWeightLoss [link] [comments]

2023.05.30 00:18 Cold_King_4661 School List Help

Hello everyone,
I've been making a list looking at mostly low or mid-tier MD schools as well as DO programs. I would say my weakest point is my MCAT (getting the some score twice) but GPA is high from Umich and I have a variety of ECs decently high in the hour count.
I know I'm kind of backed into the corner with stats so any help with additional schools would be nice! Not trying to let any slip through the cracks. I haven't really sorted yet by which schools are OOS friendly. I know it kind of looks like any old application lol. Pretty strong LORs especially from my Spanish professor since I want to serve hispanic populations (e.g. Florida).
cGPA: 3.92
sGPA: 3.96
MCAT: 510 x2 (biggest red flag)
Undergraduate: University of Michigan
ORM, Indian
Michigan resident
350 hours Patient Care Attendant - Working with high risk patients (e.g. suicide, fall risk, dietary restrictions, etc) and ensuring vitals are in check, etc.
Projected more with this and Clinical Volunteer job I just landed
Non-clinical Volunteering/Employment
350 hours as Wheelchair Sports Instructor - Worked with individuals with physical limitations and ran clinics in basketball, tennis, and track.
75 hours Homeless Shelter Volunteer
200 hours as a Library Technician on campus
450 hours in cardiac electrophysiology research - Learned basic lab techniques and had one poster presentation.
200 hours cancer health policy research.
50 hours total:
30 hours with physiatrist in pain management (D.O though)
20 online
Club Tennis, Cultural Dance Team choreographer, Weightlifting, Blood Drive club founder, Mentorship chair for a club as well as a mentor. Decent amount of leadership.
MD Schools:
Michigan State
Albany Medical College
Cooper Medical School
Eastern Virginia
George Washington
Loma Linda
Medical College of Wisconsin
Nova MD
Penn State
UMiami (Dream)
U Missouri
U Toledo
*Need to add some more
submitted by Cold_King_4661 to premed [link] [comments]

2023.05.29 23:43 IzzyCherrryyy Lab results would lead me to believe I do not have lupus

20F taking Bystolic for high bp. Howdy! Unfortunately I have POTS, and hyper mobile eds. So I see a lot of docs lol. Many of which have told me to see a rheumatologist for my positive ana along with some troubling symptoms. Raynauds, hair loss, weakness, extreme fatigue, mouth sores. Eventually I went to visit a rheumatologist last week. My results came in, in my patient portal. Positive Ana, homogeneous pattern, 1:80 titer (had been higher prior) but aside from that it seems my c3 is normal c4 is normal and dsdna is normal. Obviously I will have to see what my doc has to say but, has anyone seen anything like this and gotten answers on where these symptoms could be coming from? Just hoping to find some answers so I can hopefully start feeling better.
submitted by IzzyCherrryyy to AskDocs [link] [comments]

2023.05.29 22:44 No_Arm_4312 A billing question I have from a recent appointment

Hey everyone, I was hoping you all could help me understand my current bill a bit better.
I had a doctors appointment about 7 months ago and just received a nearly $900 bill for it. I had been to this office twice but I had met a different doctor the times before. It is in-network and all I've ever had was a $5 copay.
Here's some information about the appointment itself if it helps.
I was in a bit of a rush to see a doctor because I had found a solid lump on one of my testicles and I was pretty concerned about it. I scheduled the soonest appointment I could and that happened to be with a new doctor.
I was at the office for around 20 minutes, the doctor was only in the room with me for about 5-10. The lump was very small, when I tried finding it I couldn't so the doctor gave me a referral to an ultrasound location. I ended up going to a different ultrasound doctor I found on my own.
They sent the images to my doctor who messaged me via their patient portal that it is a "benign calcified nodule".
I received the bill on Friday. Looking at the details I see Office Vst Lvl III - 99203 (CPT®)
The only other bill on my account is for an appointment I had 1 month earlier at the same location. The total was about $200 more but my insurance covered all of it. This appointment was just to discuss a medication I had been taking for mental health. It lasted longer than the $900 appointment. The code is as follows Office Visit Lvl IV - 99204 (CPT®)

I've tried reading around online to understand the difference and why one would be covered and another wouldn't but I'm kind of hopeless when it comes to this stuff. Tomorrow I'll call my insurance and the doctors office to see if maybe it was just a mistake.
I appreciate any help.
submitted by No_Arm_4312 to CodingandBilling [link] [comments]

2023.05.29 22:28 Aisling_The_Sapphire Subnautica: The Definitive No-Spoilers Guide For New Players

Updated May 2023
I recently changed Reddit accounts and it's been about a year, so it seemed prudent to repost this for visibility. :)

Link to the Below Zero guide - This is an interactive map of the crater. However, be warned that it will show the general location of things you need to find. This can be toggled but if you have zero point of reference for the places mentioned in this guide, this map should provide one.

General tips are at the bottom, however, they rely on you having played at least part of the way through the game so I don't recommend checking them until at least part 3, AKA "Going Traveling"

Subnautica is a game primarily about exploring your environment while overcoming the trepidation that the game sets up in you over doing so. Although there isn't a perfect guide to being able to clear the game, there also isn't an unambiguous path of progression for the player, either.
Consequently new players often find themselves at an impasse in terms of progression and where to go. The following is a no-nonsense, straight to the point guide on how to progress, but it's not a bible. You can do most of this just by exploring and wandering around.
A blind playthrough is critical to the first time player experience. This is often true of every game but for Subnautica it makes or breaks the whole story - you need to have no idea what the hell is going on the first time you clear the game. If you spoil it for yourself you will regret it, please believe me in this. This guide is meant to give you a nudge when you find you don't know where to go next, it's not really meant as a walkthrough, even though it can be used as one. Do yourself a favor friends, don't go wandering /subnautica or the wiki too much and this guide will not lead you astray. It is written specifically for brand new players.

The Beginning

When you first arrive on 4546b, you find yourself with basically nothing. You're hungry, thirsty, your lifepod is broken and your cookies are gone. The Aurora is burning (and you nearly did too) but despite all that, you're alive and this planet is about to get some Ryley in it.
The environment around you has most of what you need to get started. The metal scrap strewn around the shallows provides an easy source of Titanium while you can break limestone and sandstone to get the minerals you need for your starting tools. You'll want the quartz you find for glass.
Although you have a number of options for making equipment, at this stage I don't recommend using resources for the air pump or pipes. Truth is they don't really have much use; they create a breathing line from the surface for when you're diving, but they're expensive and there's better alternatives in your near future.
Once you have a scanner and knife, take the time to scan everything you can. All the local wildlife can be scanned and most of the flora.
Your objective at this point is to build a repair gun, knife, seaglide, flashlight and scanner.

Branching Out

Now that you've got your basic tools and you can get around a little, it's time to begin exploring. At this point you've seen the deeper waters on the edges of the kelp forest.
It's time to go take a look.
The red grassy plains have what you need to progress to deeper waters. You'll want to explore the wrecks there. There are four grassy plains surrounding the shallows at compass points and cave systems exist in three of them which will become relevant later, but are largely out of your reach for now. It is out here that you will find fragments necessary for an important task you must complete soon. Raiding the aurora will require the laser cutter you learn to make here. You'll also want a propulsion cannon, which you can find the fragments to near the side of the Aurora. DO NOT GO AROUND THE BACK OF THE AURORA. SERIOUSLY. You are not prepared for that level of giggling insanity yet.
By now you've fixed the radio and may have triggered the sunbeam event, in which case you will want to go follow that. Give yourself the full span of time to go to the island and explore unless you'd prefer to explore after the event, but don't let yourself get distracted by what you find there and miss the ship arriving. The signals you've been getting are important prompts and need to be checked out when possible, so make sure you take the time to do that. Also, when you go to either island DO NOT PARK YOUR SEAMOTH NEAR THE BEACH. DO NOT PARK YOUR SEAMOTH NEAR THE BEACH. There is a real risk of it phasing through the ground and becoming inaccessible and then you'll end up on this subreddit asking how to get it back like the other 5 guys a week. Seriously.
Also note that bringing an ion cube to the top of the mountains caves will let you do something interesting up there, but I won't be specific. A scanner room at this spot is ideal not just to track the reaper leviathan on the eastern side of the island but there is quite a lot of shale and lithium here as well, which is probably something you're gonna want.

Going traveling

At this point you should have a seamoth, your basic tools, a laser cutter, propulsion cannon and lead suit. You are prepared. It's time to go to the Aurora... but only if you've gotten the communication from Alterra with the captains door code. Otherwise, you must wait for that radio event. You can go explore the ship anyways of course, but not having the code means you can't get into the captains room, requiring you to go back and get it later. So it's up to you. You can open the door anyways if you get the code off the internet or something but since the game gives it to you anyways, you can always wait for the prompt. If not, the door code is 2679
If you have a cyclops I don't recommend taking it, since reapers hang out at the front and back ends of the ship. However, a seamoth is small enough to fit through the broken superstructure of the ship at the front and thus avoid this danger. There are two ways to access the ship and although it seems impossible, you CAN in fact climb up to access the open one. Otherwise, you can use the prop cannon to move the debris out of the way of the door near water level. Be sure to take the time to explore inside and use the carry-all bags to leave stuff you want to keep from the ship out the front so you can come back and pick it all up later. There's lots of useful stuff in there.
As a side note here, the leech-like things that annoy you in the reactor room are called Bleeders. I hate Bleeders personally, but I noted that if you grab one with the propulsion cannon and fling it into the wall out of sheer spite then other bleeders will be attracted to the body, which makes grabbing and doing the same to them quite easy. Clearing the entire room of those little #*([email protected]'s only takes a couple minutes.
You can get the codes for various rooms inside from the PDA's you find. Also note that some doors can only be opened once you repair them. Sometimes the Aurora glitches and these repair sections don't work but because the ship has two entrances, you can always go around the back to clear the whole thing, which is... annoying. If you don't mind being patient, leaving the Aurora and doing other things for awhile will reset the wreck, allowing you to come back later and potentially be able to repair the doors then.
The codes for the ship are:
Cabin No. 1: 1869
Captain's Quarters: 2679
Cargo Bay: 1454
Lab Access: 6483

Time to go down

With the Aurora repaired you have the ability to wear things other than the lead suit, so it's time to chuck that in the trash 'cuz you won't need it again. It's time to get the outer wrecks in the zones beyond the shallows and hoo boy ain't that gonna be an experience.
The cyclops is your friend here. But what's this, you don't have a cyclops? Well, that's okay. You may have found one of the engine fragments on the aurora in the cargo bay but if you missed it, it's not really a big deal. Your next objective to build one is to go explore mushroom forest and the underwater floating islands for the fragments you'll need. If you've been following your radio signals you've probably been to the aurora rendezvous point by now, but if not, take the time to go thoroughly explore that island. One of the PDAs you need to find the next place is not at the degasi base, but on one of the paths of the island near an arch of rock. You'll need to explore the island thoroughly to find it. Make sure to scan everything and bring back plant samples if you have a seabase. You can use plant pots to keep food trees on your cyclops for easy access to food without worrying about curing everything all the time.
Once you have the cyclops, you need to take the time to upgrade your seamoth to depth so you can explore the various wrecks, supplement your PDA database and establish yourself properly for long-term operations. At this point in the game you should be aiming for or already have:
A seabase, even a basic one. A couple corridors with lockers are invaluable for storage and operations and the scanner room is MISSION CRITICAL. If you haven't built one yet, get on that!
A seamoth, either at or being upgraded to 500m depth
Knife, flashlight, repair gun, seaglide, scanner, laser cutter, propulsion or repulsion cannon, rebreather
Be sure to check everything, then check it again! It's easy to miss things on the island. Be sure to check the buildings on the tops of the hills there too. Although it would be nice to be able to plant land beacons (hint hint, Unknown Worlds), it's not feasible for marking out the precursor gate on the floating island so unfortunately, it's not of much use unless you have your base on one island or the other. I don't recommend the floating island for this for reasons which will become apparent later in the game.

Looking into the abyss

If you've explored most of or all of the wrecks and no longer have missing technology, it's time to go deeper. If you've been following your PDA signals you need to check out the degasi bases and follow their story, as they lead you to a large, deep cave which is the path to deeper places you need to explore.
There are several inlets to the place you need to reach. Northern Bulb Zone where it meets Mountains has a large entrance. Blood Kelp Zone and Trench both have entrances. The last one is in deep grand reef, where the final Degasi base is. I personally recommend either Deep Grand Reef or Bulb Zone but the latter has the most accessibility.
Raiding the final Degasi Base before exploring this cave system will get you the orange precursor key which you'll need to access something hidden at the southern end of the caves near blood kelp trench's entrance. While working down here I strongly recommend making liberal use of beacons as navigational guides if you're new to this place. It is VERY confusing and looks very same-y if you haven't spend a lot of time here.
Deep inside the caves you'll come upon a chamber with a massive skull sitting on a chunk of land in the middle and access to a slightly lower part of the cave system which is not green. This is the Cove Tree Cave and the brine there will not hurt you the way the green brine does. This leaves you able to free dive there to gather materials without needing to rely on your prawn.
This chamber with the skull is, in fact, the central chamber of Lost River. It is an excellent place for building a scanner station and the entire area is ludicrously rich in resources. It's a perfect place to stock up and catch up any upgrades, tools or devices you may be lacking so far. You'll want the resource stocks for later and honestly, it's just a really cool place to have a base in general.
The Disease Research Facility is in the north-eastern arm of Lost River, accessible through the Bulb Zone entrance. A juvenile ghost leviathan guards the path but as with most leviathans, operating in silent running and staying above or below it while sticking to the cave walls will get you by without any issue. If they do notice you, just pop a decoy, go full speed for about 5-8 seconds and then drop the engine to low and stay in silent running until you get far enough for the big ugly to stop bothering you.
The southern part of Lost River holds a large chamber with a ghost leviathan juvenile and houses another rather large skeleton. This area in particular is rich in large ore deposits and crystallized sulfur that you'll be needing for some big upgrades.
By the way, remember the cyclops shield? By now you're probably noticing that using the auxiliary functions on the cyclops eats a lot of power. Redundant power cells are your friend and if you feel you're worried about power costs while exploring, you lose nothing by having a buttload of spare power cells. It can pay off, being able to spam the shield for awhile and run away.
You'll want that shield for what's coming next.

Once More Unto The Deep

By now you've probably explored Lost River a bit and you're wondering where to go from here. If you've built a scanner room in the central chamber, you'll have noticed that the scanner, when at full range, shows a chamber below Lost River.
This is the inactive lava zone and it is here your answers lay.
You have two access points to reach this chamber. The North-east arm past the disease research facility and the cove tree caves. Both entrances are equally difficult to get through but the first one feels more open, if you don't mind the ghost leviathan circling around above the opening.
This chamber is rich with even more valuable resources, if you somehow haven't got enough already. The cove tree cave entrance leads to the western part of the ILZ chamber. The North-east entrance leads to the north edge of the chamber. The chamber itself is rather oval-shaped, with the western edge of it relatively empty and the eastern part containing a massive lava bubble.
If you wander around down here long enough the PDA will prompt you to take a look at that bubble a bit more closely. You will need two purple precursor keys to access the facility inside. Now that you're down here you'll notice there's a fair number of warpers, crimson rays (who are harmless) and leech-like things which will attach to the hull of your ship and drain power. That sounds like a problem, doesn't it?
Don't worry though, we got you covered. Once you're down here, go grab some kyanite and you can build the cyclops thermal reactor which pretty much eliminates the whole running out of power problem. The shield is a great way to get the leeches off your hull at the same time.
As for the leviathan, the sea dragon isn't actually a whole lot of threat. It might spit fire at you and is capable of picking up and biting the prawn but will mostly ignore you if you don't go hanging out in front of it.
With that said, treat it like any other leviathan while in the cyclops. Drive slow, keep an eye on it and if it gets curious, drop a decoy and move away ASAP. Cutting your engines once you've gotten a little distance will almost always make them lose interest.

But Wait, There's More!

If you've explored the inner depths of the lava bubble, then you have the blue key, ion battery plans and have opened the portal to the QEP. Great! Now coming down here in the prawn isn't a big deal and you don't have to drive the cyclops all the way down here to go grab resources. A small scanner base down here would be great for quickly finding what you need.
As you can probably guess, there's an even deeper chamber than this, which is the active lava zone. You can find the entrance by following the lava flows around the ILZ and keeping an eye on the floor. You'll find a large space big enough for the cyclops to lower down into.
Down here you'll find 2 sea dragons to avoid, so don't you get conservative with your power. By now you'll probably have built ion power cells and those can run your shield and sonar together for a full 5 minutes with silent running going so don't be shy about using them!
Getting into the alien base down here will require two blue keys, one for accessing the facility, the other for accessing the inner facility. It is here you will find the ion cube fabricator which requires the prawn. You can use this to open the warp gates in the facility. Six ion cubes in total are required for this. Four for the warp gates on the upper floor and two in the Sea Emperors tank. One of these leads back to the upper floor, if you find you're struggling to get back out. This gate in particular is about halfway up the tank at the back and sits on a large ledge. An ion cube is provided to activate it, giving you a way to walk out of the tank if you find you're struggling to get out.
And... that's pretty much it, really. After that encounter you'll know where to go and what to do. The paths laid out for you in the final facility lead you to the places you need to go to find the things you require.

Tips and tricks

Lithium - Jellyshroom, Bulb Zone, Mushroom Forest, Lost River
Loose Lithium - Mushroom Forest, Mountains, Grand Reef, Shale, lost river
Magnetite - Jellyshroom is the only biome with large nodes
Loose Magnetite - Jellyshroom, mountains, cove tree cave, blood kelp zone, lost river
Rubies - Dunes, Spare Reef Caves, Lost River, Grand Reef, Underwater Islands
Diamonds - Lost River, Shale, Inactive Lava Zone, Sea Treader Path, sometimes caves
Table Coral - Shallows, Lost River
Copper - Mushroom forest, blood kelp zone, bulb zone, lost river, limestone, Inactive Lava Zone
Silver - Crag Zone, Mountains, Lost River, sandstone, Inactive Lava Zone
Gold - Jellyshroom, Blood Kelp Zone, Lost River, sandstone, shale
Lead - Sandstone, mountains, crash zone, lost river, Inactive Lava Zone
Titanium - Crash Zone, Dunes, Limestone, Lost River, Inactive Lava Zone
Metal Salvage - Crash Zone, Crag Zone, Kelp Forest
Kyanite - Inactive Lava Zone
Crystalline Sulfur - Lost River
Nickel - Lost River
Uraninite - Blood Kelp Zone, Blood Kelp Trench, Lost River, Inactive Lava Zone, Grand Reef
Quartz - Dunes, Crag Zone, Lost River, Inactive Lava Zone, Red Grassy Plains
If you're reading this guide and have any suggestions for additional information, feel free to share them for the next iteration.

Good luck, survivor!

submitted by Aisling_The_Sapphire to subnautica [link] [comments]

2023.05.29 19:16 thumbsdrivesmecrazy Architecting Healthcare Apps - 5 Must-Know Facts About Creating HIPAA-Compliant Apps

The following article covers key things to consider on how to build HIPAA-compliant web apps so that healtcare professionals can create patient portals, data management tools, clinic onboarding sites, and more while staying in compliance with privacy regulations: 5 Must-Know Facts About Creating HIPAA-Compliant Apps
submitted by thumbsdrivesmecrazy to HealthInformatics [link] [comments]

2023.05.29 19:04 thumbsdrivesmecrazy 5 Must-Know Facts About Creating HIPAA-Compliant Apps

The following article covers key things to consider on how to build HIPAA-compliant web apps so that healtcare professionals can create patient portals, data management tools, clinic onboarding sites, and more while staying in compliance with privacy regulations: 5 Must-Know Facts About Creating HIPAA-Compliant Apps
submitted by thumbsdrivesmecrazy to healthcaretotech [link] [comments]

2023.05.29 18:26 thumbsdrivesmecrazy Benefits and Use Cases of No-Code/Low-Code for Healthcare Organizations

The following guide explains how your healthcare organization can leverage low-code/no-code tools to create applications and workflows without spending hours on intricate, repetitive and time-consuming manual coding processes and ways to leverage low-code/no-code technology to create a whitelabel solution for your healthcare organization: Top 5 Benefits of No-Code/Low-Code for Healthcare Organizations
submitted by thumbsdrivesmecrazy to healthcaretech [link] [comments]