(AND I TIPPED OVER 20%) Finally the greeter did help me, but only after I ruined two nails, only one of which she sufficiently fixed. She wouldn't help me, ignored when I called her by name and caused me to ruin two nails doing it myself. Typically, this is something all manicurists have done for me. I went to dry my nails and needed assistance to pull my leggings down and put on my boots, as my nails were still fresh. In fact, as compared to other suburban salons, she was the least friendly manicurist and was not eager to be there. The woman who performed my services seemed very unhappy and was not communicative or friendly. The Bad: I walked in and was not given any instruction to fill out the sheet they pass on when doing your service, also the greeter was on the phone and did not acknowledge me at all. My manicure held up well (except one ruined nail) and pedicure looks great. The ambiance is nice, with brand new pedicure chairs, chandeliers and complimentary beverages. For details, or to book your pet's next grooming appointment, find a store near you.The Good: I liked the service at Rock Star Nails and have no complaints about my pedicure, though the massage was only about two minutes long. From fragrance sprays to dry shampoos, conditioners and moisturizers to breath fresheners, they can help you choose the right supplies for your dog or cat.Īt PetSmart, our Pet Stylists offer individual services and walk-ins, as well as complete spa packages and special offers that make it easy to take care of all the dogs and cats in your life. We even have a few simple, effective solutions for nail trimming that won't stress out your pet!Īfter your pet's grooming session, our Pet Stylists can even help you find just the right products to take home for a little freshening up between grooming appointments. And we have de-shedding treatment packages that help reduce flying fur. From cutting techniques that keep your pet’s hair in check to removing matted hair, we can get even the most tangled coats back in shape. No matter the breed-whether you have a dog or cat with an undercoat, a curly mane, short hair, long hair or no hair-our Grooming Academy-Trained Pet Stylists are skilled and experienced, no matter the task. Our groomers use specially formulated pet shampoos and conditioners to help soothe and improve skin and coat. At PetSmart, our professional Pet Stylists will do anything for your pet. It takes a special set of skills to help pets look and feel their best. Be sure to flag any special conditions with your groomer and note all pertinent information on the provided salon card. Older pets, those with special challenges, pets who have recently experienced stressful life changes or injuries are at higher risk of experiencing stress or aggravating a condition during grooming. Pets who have recently been vaccinated, have active infections or have underlying health issues are at higher risk of injury from stress. Health & welfare: Grooming or bathing your pet once about every four-to-six weeks, either at home or with a professional groomer, will keep your pet happy and healthy and allow them to be regularly checked for any abnormalities, such as ticks, fleas and dry patches or problems with nails, teeth, ears and eyes.You can help prepare them for grooming by touching their paws during play, getting them accustomed to the groomers who will handle their paws and using common household items (like an electric toothbrush) to acclimate them to the humming noise and vibrations of hair clippers and nail grinders. This will also help them get used to the activity, smells and sounds of the salon. Visit the salon: Stop by the Grooming Salon several days before the appointment and introduce your pet to the groomer. Be sure to flag any stress triggers, as well as calming techniques, with your groomer. For example, some pets become uncomfortable around other pets, or when they are exposed to loud noises, such as barking. Understand your pet’s triggers: The salon can be a noisy place and may cause nervousness in some pets.
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When a master key system is finished there may be a graduated level of access. A master key system allows for different levels of restricted entry. Similarly, most owners would like to restrict access based on an individual’s position and role, within the company. Most large employers do not want employees carrying around large quantities of keys. Watch The Master Keying Explainer You Tube Video Below. Therefore, the key needs to have the right set of grooves to lift the key pins to the correct height. The driver pins will be a universal size. To open a lock a pin stack consisting of a driver pin and a key pin must be elevated so that the two rest on opposite sides of the shear line. Most master key systems work off of a basic pin tumbler lock. There could be grand master keys prefaced with great great great great, etc. Theoretically, this trend can continue until the locks become too complicated to function. In the trade, a master key may be shortened to ‘GMK’.Īnd so on and so on…. This key will open every master system under it, and the subsequent change keys under those systems. Grand Master Key – A grand master key is used to access multiple master key systems. In the trade, a master key may be shortened to ‘MK’. In some systems, this will be the highest ranking key. This is the necessary key to change a simple lock into a master keyed lock. Master Key – Without a master key, there is only one key for a lock. The lock that the change key opens will also open with the use of the master key, and any key above that rank. It will open one lock and only locks that are exactly the same. There May Be Several Keys in a Master SystemĬhange Key – This key is also referred to as a sub-master key. Here, we explain how master key systems and key management operations work together to achieve these goals. In this article Ken Lozinski, owner of Shearline Locks in Saskatoon shares how you can ensure access for employees with different levels of authorization whilst also maintaining a high level of security for your commercial facility. Though an increasing number of companies and multi family buildings are upgrading to electronic access control systems, many facilities still rely on traditional keys. Lock Them Out 50.Interested In Learning More About A Master Key System? To help you get started, here are some of the best key & locksmith business name ideas to consider: 1. Best Key & Locksmith Business Name Ideas & GeneratorĬreating a unique name for your locksmith business can be a difficult but rewarding process. Having a unique and creative business name is essential to setting your business apart from the competition. It should also be short, to the point and creative. You should make sure the name is memorable, easy to pronounce, and conveys the purpose of your business. 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Mac: Converting MP4 video to MP3 with iTunes (or Music app) Be mindful that the Apple Music app has replaced iTunes for audio related activity since macOS Catalina 10.15. Now, let's take a look at how to convert MP4 file to MP3 on Mac and Windows in iTunes - it's easy and free. You probably already have iTunes installed on your computer. It is primarily known as a media player or device management utility, however, it can do many creative things with your video, and one of them is grabbing audio from a video to save in MP3 with the nice hidden "Create MP3 Version" feature. Given the multitude of video converters out there, we've narrowed down the best MP4 to MP3 converters for Mac and Windows so that you can convert your files without a hassle while still keeping your resulting tracks in excellent quality.ĭo you know that you can use iTunes to convert MP4 to MP3 audio file for Mac or Windows? 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They only hide – waiting to re-emerge whenever they are given just a little bit of oxygen.Īs part of our efforts to respond, the United States has taken action by appointing the first Ambassador-level Special Envoy to Monitor and Combat Antisemitism. Sadly, even here in my own country, we have seen over and over again that hate and antisemitism never go away. Chair, the legacy of the Holocaust makes it all the more important for us to reflect on more contemporary cases of genocide and hate, particularly as we mark the 30th anniversary of the Rwandan genocide this coming year. It also means doing our part to ensure that remaining survivors receive some measure of justice and the support they need to live out their lives in dignity. It means condemning any attempts to deny the occurrence of the Holocaust. In our own time, this means choosing to confront bigotry and hatred in all of its forms – including anti-Semitism. The noble acts of courage performed by liberators, rescuers, and the Righteous Among Nations remind us that we are never powerless. Yet, even on this occasion of remembrance, there is room for hope. The testimonies of survivors and their descendants remind us to be vigilant in defending the dignity and human rights of all. We also honor the survivors among us who bear witness and inspire us all to stand against antisemitism and other forms of hate in today’s world.Īs that survivor generation now passes into history, we must find new ways to educate future generations about the Holocaust. We mark International Holocaust Remembrance Day by honoring the memories of the six million Jews and others systematically persecuted and murdered by the Nazis and their collaborators. Chair, I take the floor under Other Business to highlight the commemoration of International Holocaust Remembrance Day, which was designated as January 27 by the United Nations General Assembly in 2005. With two headsets, you can have conference calls with an outside line and both headsets. The CS6719-2 is one of Vtech’s most popular cordless phone systems. Both sides of the conversation can speak and be heard without canceling each other out for a more true-to-life conversation. With full-duplex handset speakerphone, you can increase call participation. It also features the same DECT 6.0 technology for superior voice quality. Vtech CS6719-2 Dual Cordless Phoneįor slightly more than its base model, the Vtech CS6719-2 cordless phone comes with improved benefits and advantages, such as an additional cordless handset for families and home offices, offering benefits of convenience and long-distance coverage on top of the simplified installation process.Īs with the base CS6719 model, this cordless phone system can be expanded to up to 5 headsets with CS6709. In my opinion, the fact that this home phone comes equipped with both speed dial buttons and call block list functions atop Caller ID is an advantage in itself, making it a great choice for small companies and people with extremely low budgets.īest Cordless Phone Under $40 2. Most models that are worth comparing to the KX-TGB810S are either too bulky or equipped with even simpler features. Only a handful of budget options as cheap as KX-TGB810S could even begin to compare to it in the field of performance. In my research, I’ve struggled to find a landline phone as versatile as KX-TGB810S in this price range. This particular model supports only one handset the KX-TGB812S is slightly more expensive and comes equipped with two, so it may be worth checking it out if you want to use two lines at the same time. It’s one of Amazon’s Choices in the Landline Phones by Panasonic category, boasting over five hundred positive product reviews. 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Browse 255 authentic emulsion paint stock photos, high-res images, and pictures, or explore additional emulsions or white paint stock images to find the right photo at the right size and resolution for your project. The CodingIntel Guide to Hierarchical Condition Categories provides a comprehensive list of HCC and Risk Adjusted Diagnosis Coding resources available on CodingIntel.įor more about HCCs and Risk adjusted diagnosis coding, Join CodingIntel. Medical groups that are part of Accountable Care Organizations (ACOs) or that have commercial risk based contracts need to assign diagnosis codes carefully. Patient seen and noted to have “history of XXX cancer” but no current evidence of disease or current treatmentĬode indicating malignant neoplasm, starting with the letter CĬode from category Z85.-, Personal history of malignant neoplasm G45.- Transient cerebral ischemic attacks and related syndromes Patient seen in office, ED follow up for TIA Z86.73 Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits Patient seen in office, hospital follow up for stroke This brings me to a compliance issue in HCC coding. The diagnosis codes for current stroke and sequelae of a past stroke (I63, I69) do have HCC weighted scores assigned to him. Risk adjustment for history of conditionsīut would history of a stroke increase the risk score? That is, if the group has risk based contracts, does adding history of stroke increase the risk score for that patient? The answer is no. If the diabetes is listed in the problem list but not mentioned in the encounter for this date of service, I do not add it to the claim form. The diabetes affected patient care and the clinician documented that it affected patient care. If the urgent care provider says in the assessment, “I’d like to give her prednisone, but I’m not going to because of her diabetes,” then I add diabetes to the claim form. The example I use most frequently is the patient who presents to urgent care with a bad case of poison ivy. Risk Coding for Medical Practices and Outpatient Services “I have reassured him that his symptoms are not consistent with a blood clot, and there is no reason to order an ultrasound.” Or, “I think in light of his history of a stroke, we should do further testing to rule out a thrombolytic event.”Īnd while I agree with her that the history provides a clearer picture, it is the physician’s job to document a picture.ĬodingIntel has a more in-depth article about the ICD-10 and CMS risk adjustment rules in code selection. “He does have a history of stroke, and with his recent injury is at risk of a clot.” In order for me to use the past history of the stroke on the claim form, I would have had to see that the clinician mentioned it in the history of present illness. I wouldn’t assume that the physician/NP/PA was thinking about that in terms of the thigh pain after the injury, even though it is on the problem list. Problem lists, and past medical history in electronic health recordsīut, while it may be relevant to this encounter, without documentation that the clinician was thinking about this past stroke, I would not add it to the claim form. While I applaud her clinical knowledge, when selecting ICD-10 codes for office visits, follow ICD-10-rules and CMS risk adjustment guides. Coding history of CVA code as a secondary would give a clear picture.” The physician does not document this correlation, however the old CVA could affect treatment or care. There could be a correlation to a thrombosis or blood clot that the physician must consider. “However, I am a believer that although the patient is not being seen or treated for the chronic condition or history of condition, they all play a pertinent part in the patient care and overall acuity of the patient.Īn example is patient had CVA listed in the PMH and current encounter is for thigh pain without known injury. “Code all documented conditions that coexist at the time of the encounter and require or affect patient care or treatment.” She and I were in agreement that we should follow the ICD-10 guideline that states: I stated that in order to include the condition on the claim form, there should be documentation in the history of the present illness or the assessment and the plan that the condition was assessed and managed at the encounter. She was responding to an article that I wrote in which I stated the conditions listed in the past medical history should not be included on the claim form by the coder. Recently a fellow coder wrote to me about risk adjusted diagnosis coding. This post describes rules for office/outpatient coding, not facility/DRG rules. On a windy day, choosing a 6-weight rod over something lighter makes a lot of sense. With the more powerful 6-weight rods you can really punch your cast into a strong headwind of 15-20 mph. A good 6-weight should also be able to cast 75-80 feet with a small damsel nymph or mini leech, and have the guts to keep that big angry lake brown out of the weeds. Once you add a big, wind resistant strike indicator and some split shot, throwing the whole rig is far easier with a 6-weight rod than with a 4-weight or 5-weight.Ī good 6-weight rod has the power to play bigger fish when you are trying to pull them away from undercut banks or underwater logs or boulders using 2X – 4X tippet. And to help with playing fish, you’ll find that many of these rods we tested come in models with a short fighting butt. Fishing big, wind resistant rigs like a “Chub/Rub” combo, (a size #8 Chubby Chernobyl dry with a size #8 rubber legs nymph behind it), is far easier with a 6-weight rod. For nymph fishing, 6-weights work better for chucking a two-nymph combo, like a #8 weighted rubber legs, with a smaller tungsten bead head dropper. The 6-weight rods also have the power to pick up lots of line to make an immediate re-cast, as you often do while fishing out of a drift boat, (should your first cast be off target). If you want to chuck some medium-sized steamers with a sink tip, a 6-weight rod makes this easy. They are also better rods for fishing a variety of nymph rigs, especially when you are using multiple flies, some weight like split-shot, and indicators. 6-weight rods have more guts to make fishing larger dry flies like hoppers a breeze, yet the best 6-weights will still have the delicacy to fish small dries on light tippets like 5X and 6X. In order to refine our conclusions, we decided not to publish all our notes and scores on these other 30 rods, but if you want more info on these rods, just call us or e-mail us and we’ll be happy to provide this information.Ī lot of anglers love to use a 5-weight as their all-around rod, but a 6-weight can make more sense in a lot of circumstances. In our objective charts that give overall weight, swing weight and country of origin, you’ll see a chart for the Best in Test, giving the top 11 rods, and the other we called the Best of the Rest, which shows all the rods we cast. It just so happened that the Hardy Shadow, our best mid-priced rod, at $389.95, finished inside the top ten, so we added our best inexpensive rod – the Echo Carbon XL, at $169.00. To determine the top ten, we selected the rods that performed best at a combination of 30, 50 and 75 feet. Rather than have this many rods in the total write up, we decided to hone in on the ten best 6-weight rods, along with what we felt was the best mid-priced rod, and the best inexpensive rod. Several of these were the same basic 9 foot six weights, but with a fighting butt. We ended up with a total of 41 rods to cast. We wanted to take a look at and cast all the best 6-weight rods we could get from a variety of the top manufacturers. Our last 6-weight Shootout was back in 2016, and since then many manufacturers have introduced some great new rods, utilizing new materials, new tapers, and in some instances, new components. |
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