Health 2.0 taking place in Paris (April 5-7) is going to be one of the most exciting events this year and I will present Webicina.com in action. Also I have the honour to be a regional ambassador to Hungary for Health 2.0 Europe. So Denise Silber, health 2.0 expert and co-organizer of the event, asked me some questions and published the interview on her blog.
It’s Not Your Kids iPhone Anymore
In the past two and a half years more has been learned about disease then in the entire history of humans. In this effort the use of wireless technology has been profound and impressive. Extreme innovations and devices have literally changed the tools of medicine. The stethoscope has been a staple for nearly 100 years with little change to it’s technology…that is until the wireless phone. The incredible explosion and rapid advancements in monitoring individual health conditions will undoubtedly change the models of sharing of information and privacy. You have to believe that with these incredible technological tools health privacy and governance will follow…ultimately individual health outcomes will benefit by the monitoring and shared results of the data.
Health Care isn’t Easy (Ask the President He’ll Tell You)
Health care is complex when it comes to how information can be legally shared and you have to believe those in this space certainly recognize and adhere to it. If they didn’t they wouldn’t last long. So keep the faith and realize the astonishing innovations and possibilities this will grant health care providers, patients and researchers. It’s all good.
Eric Topol reveals the wireless future of medicine in this engaging presentation brought to you from our friends at TEDGLOBAL.
Pediatricians in the United States are calling for hot dogs to be redesigned to reduce the risk of children choking on them. In a new policy statement published yesterday, the American Academy of Pediatrics says hot dogs are the food most commonly linked with choking deaths among children
The Pediatrics article says round candy, grapes, marshmallows, meat sticks, sausages, chewing gum and peanut butter are also high-risk foods that can act as plugs in the throats of young children.
“Food manufacturers should design new foods and redesign existing foods, including meat products, to avoid shapes, sizes, textures and other characteristics that increase choking risk to children, to the extent possible,” the group recommends.
Or…we could have family sit-down meals where the little savages are taught not to eat so damn fast.
I’m not about to argue that socialist healthcare is wrong because its advocates and enforcers are hypocrites. Don’t worry. Although this event is couched in the context of socialist healthcare, this brief piece is meant as nothing more than a close reading, a thin-slicing, of what goes on in a politician’s psyche.
When I read this article about Canadian Premier (Labrador and Newfoundland) Danny Williams coming to Florida to have a more advanced heart operation than what he could get in Canada, a couple things struck me as hilarious.
In a disastrous attempt to downplay the significance of his hypocrisy, he said the following: “”I would’ve been criticized if I had stayed in Canada and had been perceived as jumping a line or a wait list. … I accept that. That’s public life…”
The awesome thing about this statement is his automatic, pre-emptive assumption, that no matter how you slice the healthcare pie, he was entitled to treatment above and beyond that of the citizens he’s supposed to serve. If he hadn’t gone to the U.S., he would have at the very least bypassed the well-documented, sometimes fatal waiting periods for special treatment that exist in his own country.
The sad and laughable thing about this is that he’s using the statement as a defense. He thinks he’s making himself and his situation more sympathetic by clarifying how deeply rooted his beliefs in his own entitelement go.
He later goes on to justify his decision by proclaiming how important his own personal survival is to the Canadian people: “God forbid for the Canadian public I won’t be around longer than ever.”
They say actions speak louder than words, but I’m going to have to say that this man would have appeared to be less of a snake if he’d just had the surgery and kept his cake hole shut about it.
I’m not saying this man’s narcissistic personality disorder, and his blithe ignorance of the fact that condescension and hypocrisy aren’t usually the means by which one evokes sympathy from the Little People proves anything about the moral status of socialist healthcare. All I’m saying is, if Ayn Rand had given these lines to one of her villains, it would be derided as one-dimensional, ham-fisted caricature.
I mean, for Christ’s sake, look at this beautiful double-whammy:
“This was my heart, my choice and my health,” Williams said late Monday from his condominium in Sarasota, Fla.
Really?
“My heart, my choice, and my health”?
The quote itself reads like a sign that one of them racist, uninformed, redneck teabaggers might brandish at one of their staged non-events. Like something the statist media would have pounced on as proof that these astroturf yokels are just neo-con zombies vomiting up undigested Fox News soundbites they don’t understand. Let us not lose sight for a moment of the fact that the opposition movement–all popular movements–are full of people happy to repeat slogans they don’t really understand. Whether it’s a slogan that crystalizes the essence of a thoroughly pondered position, or a vacuous soundbite, it doesn’t change the fact that Williams lifted his defense straight off a teabagger’s sign.
Then, finally, the hail of dropping shoes comes to an end with the article mentioning that he’s making this statement from his condo in Florida.
Jesus. H. Fuck. Am I the only one who remembers the joke about the liberal celebrity giving a statement about the evils of capitalism as he stepped out of the limousine and boarded his private jet?
The last time I stopped to really criticize the way a politician thinks, I turned the lens on a guy I respect, Ron Paul. So anyone who reads this blog knows that spend zero time trying to villify individual politicians with whom I disagree. To be perfectly honest, I’m not even trying to villify this person, as a politician. I read the article, and what leaped out at me was a snapshot of a human being who is clearly detached from reality. Drunk on his own Kool-Aid.
But this could have been any issue. It’s not particular to healthcare and proves nothing about healthcare. I’m just throwing this piece onto the mountain of evidence in favor of what ought to be the uncontroversial understanding that politicians are clods with delusions of grandeur.
BİTKİLERLE MODERN TEDAVİ
Basur (Hemoroit)
Basur bir damar hastalığıdır. Kalın bağırsağın sonunda toplar damarın genişlemesi ve şişmesi sonucunda ortaya çıkar.
Hastalığın nedenleri arasında uzun süreli kabızlık, oturarak çalışma, hareket yetersizliği, alkol, fazla baharatlı yemek, şişmanlık, uzun süreli ağır bedensel işler sayılabilir.
şikayetler arasında kaşıntı, ağrı, akıntı ve kanama, yanma hissi görülebilir.
Bitkisel ilaçlarla kaşıntı, yanma ve ıslaklık gibi şikayetler azaltılabilir. Henüz dış meme oluşmadığı veya memeye bastırılınca iç kısma geçtiği devrelerde (I. ve II.) bitkisel ilaçlarla tedavi tek başına mümkündür. Daha ileri devrelerde hekim gözetiminde tedavi gereklidir.
Büzücü etki ve kaşıntıyı azaltmak için cadı fındığı yaprağı ve kabuğu, kavak tomurcuğu, saplı meşe kabuğu ve tavşanmemesi kökü kullanılmaktadır.
Damarları destekleyici olarak tavşanmemesi kökü kullanılmaktadır.
İltihaplanmayı önleyici olarak cadı fındığı yaprağı ve kabuğu, kavak tomurcuğu, papatya çiçeği, saplı meşe kabuğu ve tavşan memesi kökü kullanılmaktadır.
Kanamayı önleyici olarak cadı fındığı yaprağı ve kabuğu ile saplı meşe kabuğu kullanılmaktadır.
Tedavi amacına uygun olarak yukarıda belirtilen gruplardan bir veya bir kaçı birlikte kullanılabilir.
Tedaviye destek olmak amacı ile dar elbise giyilmemeli, pamuklu rahat iç çamaşırı kullanılmalı, temizlikte tuvalet kağıdı yerine ıslak mendil kullanılmamalıdır. Makatın tekrar tahriş edilmemesi için yumuşak dışkılama şartlarının hazırlanması çok önemlidir (Bakınız: Kabızlık).
Dahilen Kullanılan Bitkisel İlaçlar:
Cadıfındığı yaprağı ve kökü: Fitil şeklindeki hazır ilacı kullanılır.
Kavak tomurcuğu: Fitil şeklindeki hazır ilacı kullanılır.
Papatya çiçeği: Fitil şeklindeki hazır ilacı kullanılır.
Tavşanmemesi kökü: Merhem ve fitil şeklindeki hazır ilacı kullanılır.
Haricen Kullanılan Bitkisel İlaçlar:
Cadıfındığı yaprağı ve kökü: Merhemi kullanılır,
Kavak tomurcuğu: Kremi kullanılır.
Papatya çiçeği: Sargı, yıkama, banyo: Kıyılmış 50 gr çiçek üzerine 2 litre kaynar su ilave edilir, kabın ağzı kapalı olarak 10 dakika bekletilir, süzülür. Sulu kısıma 8 litre su ilave edilir (Her 10 litre su için 50 gr çiçek). Hazır krem ve merhem şeklindeki ilacı kullanılabilir.
Saplı meşe kabuğu: İnce kıyılmış 3 yemek kaşığı kabuk 300 ml su ile 15 dakika kaynatılır, süzülür. Sulu kısım 20 litre ılık suya (32-35 derece) ilave edilir. Bu su ile oturma banyosu yapılır. Oturma banyosu başlangıçta günde bir defa, daha sonra gün aşırı olarak 20 dakika süreyle uygulanır.
Tavşanmemesi kökü: Hazır ilaç şeklinde kullanılır.
Kaynaklar:
1- Dr. Ahmet Toptaş, Alman kanunlarına göre düzenlenip izin verilen BİTKİLERLE MODERN TEDAVİ, Gonca Yayınevi, İstanbul 2009, ISBN: 978-9944-790-31-4, (0212) 5285076-5286005.
2- Dr. Ahmet Toptaş, ÇÖREKOTU Tepeden tırnağa şifa deryası, Gonca Yayınevi, İstanbul 2008, ISBN: 978-9944-62-613-2,
(0212) 5285076-5286005.
Courtesy of flickr user South Carolina's Northern Kingdom (creative commons)
From the Consortium for Psychoanalytic Research Annual Conference, Washington, DC:
Picture this audience participation activity: Watch a face projected on a screen. It starts out with a neutral expression, and then subtly shifts to show signs of being happy, angry, disgusted, frightened, surprised, or sad. You choose one. Then the face morphs into a full expression of one of those six emotions, and you choose again. This was how Patrick Luyten, Ph.D., of the Catholic University of Leuven (Belgium), kicked off a one-day psychoanalytic conference. Each audience member had a sheet of paper, and we were asked to identify which emotion we thought the face was showing at both the subtle and intense emotional levels, and rate how confident we were of our guesses.
We went through this exercise with 18 faces. I felt confident guessing emotions that were expressed intensely, but less so when the changes were more subtle. I had to really focus on the face to try to pick up on whether someone looked frightened vs. angry, for example.
As I understood it, this exercise was developed to evaluate psychiatric patients, but I think that anyone—clinician, researcher, or even a journalist, can learn something from it about the importance of paying attention.
In most of our day-to-day dealings with each other, our faces aren’t scrunched up in anger or open-mouthed in surprise. It takes some attention to see whether your customer is upset, your patient is scared, or your colleague is happy.
It’s easy to have a conversation with someone without really looking at them. Multi-tasking is standard procedure, and it has reached new levels thanks to personal electronic devices. But the next conversation you have, try to pay extra attention to the other person’s expression. The better you can sense how someone is feeling, the better you can empathize and respond accordingly, in both professional life and personal life.
Some people are especially skilled at sensing people’s feelings, Dr. Luyten observed. Let’s hope that enough of them continue to go into psychiatry.
Heidi Splete
(@hsplete on twitter)
1. Apply tip of a cocoleaf pointer with the sticky white sap of a starapple for an instant dragonfly catcher. -from playmates
2.Joining a beauty pageant? Use the same sap as #1 as applicator glue for the false lashes. – from a parlorista
2. Eat many green ipil-ipil seeds… for worm-free stomach. – from my mother
3. Secret to successful bubbles: Add grounded up gumamela flower to a soapy brew. – from pong pagong
4. Stung with bees? Apply sap of amorseko stalk to stung area. (works wonders!) – from lola
5. Ground up some malunggay leaves and apply to wounds and scratches. -from my mother
At one time, those advocating a “public option” were trying to claim it was not a socialized health care proposal like Medicaid/Medicare.
Now they’re actually proposing that this massive socialized bureaucracy be extended to cover all Americans.
The obvious question is, with a system that requires the whole of the nation to suffer a massive tax burden in order to cover 14% of the population, where are we going to get the huge amount of money necessary to cover 100%? Especially when that system is already underfunded, in danger of going broke in only a few years.
Right now, most Americans pay more to FICA than they pay in income taxes.
What happens when you increase it to cover SEVEN TIMES as many people?
Are YOU ready to pay 700% as much in taxes, to cover universal Medicare?
This socialized system only works because it involves the productive part of America paying out the nose to support a tiny fraction of the population. Making it universal would be, quite literally, saying “I know how to make a pyramid scheme work: Put EVERYONE at the top of the pyramid, at the same time!”
And this is aside from how bad, how harmful, Medicare already is to America, even when it only covers one seventh of Americans:
Next time someone suggests that we should simply extend Medicare to cover everyone, because it’s working so well, ask him where we’ll get the two billion people necessary to fund extending that this fraud-ridden, insolvent, price-ballooning system to the 86% of Americans who now fund it for the rest.
After California became the first state to allow medical use of marijuana, legislators decided in 1999 to fund research that was supposed figure out what the drug was good for therapeutically. Now we have an answer: a report issued today says it seems to ease some types of pain, and maybe muscle spasticity from multiple sclerosis.
Of course, lots of state residents have found their own, much more varied, answers, since California’s law is one of the most open-ended about who’s eligible for medical marijuana. Anyone who can get a doctor to write a recommendation, based on just about any medical condition, can buy marijuana in California. But this is the official report from the Center for Medicinal Cannabis Research, based at the University of California, San Diego.
Since its 2000 founding, the center has funded 15 clinical studies, including seven trials. The results include some fodder for medical-marijuana supporters who argue for the drug’s unique importance, particularly the finding that it worked as an add-on to more standard treatments for pain stemming from nerve damage.
The report argues marijuana may have a “novel mechanism of action not fully exploited by current therapies.” The drug may also have an effect on multiple-sclerosis patients’ spastic motions “beyond the benefit available from usual medical care,” the report says. Other research hasn’t shown this effect consistently.
The report also flags some mild side effects, including dizziness and, ahem, “changes in cognition.” Marijuana opponents will probably say that the studies weren’t long-term enough to show the potential downsides of chronic use.
The center has made these findings public before — they can be found on the center’s Web site. Still, the report is important because it pulls together the results in a document that is supposed to reach the general public.
And now that 13 other states have followed California in adopting medical marijuana laws, the research is likely to play a role as the Golden State once again tries to take the lead in marijuana policy: a California ballot measure that would attempt to legalize the drug’s use by adults 21 and older is likely to come to a vote later this year.
The WSJ took a recent look at marijuana research here.
http://blogs.wsj.com/health/2010/02/17/medical-marijuana-putting-together-californias-research/
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BİTKİLERLE MODERN TEDAVİ
Dr. Ahmet Toptaş
Yumuşak Doku Romatizması ve Kas Ağrıları
Bitkisel İlaçların Etki Şekilleri:
Esans (Eterik yağ, uçucu yağ) ihtiva eden bitkisel ilaçlar iltihaplanmayı önler, ağrı dindirici etki gösterir, dokuların kanlanmasını artırır. Bu grupta bahçe nanesi esansı, biberiye yaprağı, çam tomurcuğu, çam esansı, kâfur, ladin esansı, nane esansı, ökaliptüs esansı ve arıtılmış terebentin yer almaktadır.
Esans ihtiva eden bitkisel ilaçlar tarif edildiği şekilde uygulanırsa istenmeyen etkileri göz ardı edilebilecek kadar azdır. Ancak tıbbi kalitede olmayan, iyi muhafaza edilmemiş, üreticisi belli olmayan, üretim izni olmayan ürünler fayda yerine zarar verir.
Esanslar sıcaklık, ışık ve hava etkisiyle bozulurlar. Serin ortamda, ağzı kapalı olarak ve ışık görmeyecek şekilde muhafaza edilmelidir.
Hamilelik ve emzirme döneminde esans ihtiva eden bitkisel ilaçların kullanımından kaçınılmalıdır. Bu konuda yeterli bilimsel çalışma olmadığı için emniyet tedbiri olarak kullanılması önerilmemektedir.
Uyarı: Esanslar çocukların yüzüne ve özellikle burnuna tutulmamalıdır, şok etkisiyle boğulma meydana gelebilir. Emzirme döneminde anne göğsüne ve göğüs çevresine esans ihtiva eden ilaçlar sürülmemelidir, çocuk zarar görür.
Ağrı dindirici olarak dağtütünü çiçeği, kavak tomurcuğu, söğüt kabuğu, kullanılmaktadır.
Dokuların kanlanmasını sağlamak için biberiye yaprağı, çam esansı, çayır çiçekleri, kâfur, ladin esansı, ökaliptüs esansı ve arıtılmış terebentin kullanılmaktadır.
Bağışıklık sistemini desteklemek amacıyla çörekotu ve sarımsak kullanılabilir. Diğer destek tedavilerle şikayetler azaltılır. Bağışıklık sisteminin güçlendirilmesi esas tedavidir. Belirtilen şekilde sarımsak 3 ay, çörekotu 8-10 ay kullanılır. Çörekotunun her yıl kullanılması genel sağlık açısından arzu edilen etkiler sağlar.
Bitkisel ilaçların bünyesinde çok sayıda madde olduğu için burada belirtilen etkilere ilave (sinerji) olumlu etkiler de beklenebilir.
Tedavi amacına göre aşağıda belirtilen bitkisel ilaçlardan bir veya birkaçı seçilerek birlikte kullanılabilir.
Bayırturpu: Dokulara kan akımını artırarak beslenmesini sağlar, mikrop öldürücü etkisi vardır. Uygulanacak alanın büyüklüğüne göre parmak kalınlığında bir tabaka ile kaplanacak miktarda bayır turpu rendelenir, ağrılı bölgeye yayılır, sargı beziyle sarılır 5 dakika tutulur. Rendelenmiş bayır turpu uzaklaştırılır, kızarmış bölgeye zeytinyağı sürülür. Bu uygulama günde bir defa veya gün aşırı yapılır ve en fazla 2-3 hafta süreyle uygulanır.
Biberiye yaprağı: Kanlanmayı artırarak dokuların beslenmesini destekler.
Banyo için: 50 gr dövülmüş veya öğütülmüş yaprak 1 litre kaynar su içinde kabın ağzı kapalı olarak 30 dakika demlenir, süzülerek banyo suyuna ilave edilir.
İlave olarak kâfur, ladin esansı ve nane esansı karışımından hazırlanan merhem kullanılabilir.
Çam Esansı: Dokuları kanlandırarak beslenmesini destekler hafif mikrop öldürücü etkisi vardır. % 10-15 esans ihtiva eden hazır ürünler ilgili bölgeye sürülerek kullanılır.
Hardal tohumu: Dokuları kanlandırarak beslenmesini sağlar. Sargı için: 4 yemek kaşığı öğütülmüş hardal tohumu ılık su ile lapa haline getirilip ilgili bölgeye sürülerek sarılır, sargı 15 dakika tutulur (çocuklarda 5-10 dakika). Hassas kişilerde süre kısaltılabilir. İlk uygulamada deri üzerinde 3 dakika tutulur, daha sonraki sargılarda süre uzatılarak derinin etkilenmesi gözlenir. Günde en fazla 4 defa uygulanır. 2 hafta süreyle kullanılabilir.
Kâfur: Dokularda kanlanmayı artırarak beslenmesini destekler. % 10-20 oranında kâfur ihtiva eden merhem şeklindeki hazır ürünler kullanılır. Biberiye yaprağı, nane esansı ve ökaliptüs esansı ile birlikte kullanılarak dokuların kanlanması artırılabilir, ağrı giderici etki sağlanır.
Ladin esansı: Dokuları kanlandırarak beslenmesini sağlar, hafif mikrop öldürücü etkisi vardır. % 10-15 oranında esans ihtiva eden ürünler ilgili bölgeye sürülerek uygulanır.
Nane esansı: Mikrop öldürücü ve serinleticidir. % 5-20 oranında esans ihtiva eden merhem şeklindeki hazır ürünleri kullanılır.
Ökaliptüs esansı: Dokuların kanlanmasını artırır, hafif kramp giderici etkisi vardır. % 5-20 oranında esans ihtiva eden merhem (veya yağda) halindeki hazır ürünleri sürülerek kullanılır. Kâfur ve terebentin (arıtılmış) birlikte kullanılarak etki artırılabilir.
Kâfur + Ökaliptüs esansı + Terebentin (arıtılmış) karışımı:
Dokuları kanlandırarak beslenmesini destekler ve mikrop öldürücü etki gösterir.
Örnek bir karışım şöyle olabilir:
Kâfur 5 gr
Ökaliptüs esansı 10 gr
Terebentin (arıtımış) 10 gr
Ayçiçek yağı 75 gr
Bu karışım ilgili bölgeye günde birkaç defa sürülerek ovulur.
Sarımsak: Günde 4 gr sarımsak ( Diş), bir defada 1 gr olmak üzere 4 defada yenir. Sarımsak havanda dövüldükten sonra, 4-5 dakika havanda bekletilir, yoğurda veya yemeğe katılarak yenir.
Sarımsak kokusunu bastırmak için maydanoz yenir, kakule çiğnenir, naneli sakız veya şeker kullanılır. Eşinize kokuyorsa yemesini öneriniz.
Çörekotu: Günde toplam olarak 15 gr çörekotu yenir. Bu miktar 2 veya 3 e bölünerek yemeklerden 30 dakika önce öğütülüp, az suyla yenir. Rendelenmiş bir elma veya armuda öğütülmüş çörekotu katılarak da yenebilir. Şeker hastası olmayanlar, pratik olması açısından haftalık kullanım miktarını öğütüp bekletmeden tahin-pekmeze ( 100 gr yeni öğütülmüş çörekotu, 100-150 gr pekmez ve 200-250 gr tahine karıştırılabilir, kişiler tat algısına göre miktarlarda değişiklik yapılabilir) karıştırarak yiyebilirler. Dişleri sağlam olanlar çiğneyerek yerlerse diş eti bakımı da yapılmış olur.Öğütülmüş olarak hazır satılan çörekotu alınmamalıdır, çok zararlıdır.
Not: Çörekotu hamilelik döneminde yenmemelidir. Doğuma bir hafta kala başlanıp emzirme süresince yenirse anne ve çocuk sağlığı açısından çok faydalıdır.
Çörekotu yeterli miktarda omega-3 ihtiva eder, ilave olarak omega-3 takviyeli gıdalar yenmemelidir.
Kaynaklar:
1- Dr. Ahmet Toptaş, Alman kanunlarına göre düzenlenip izin verilen BİTKİLERLE MODERN TEDAVİ, Gonca Yayınevi, İstanbul 2009, ISBN: 978-9944-790-31-4, (0212) 5285076-5286005.
2- Dr. Ahmet Toptaş, ÇÖREKOTU Tepeden tırnağa şifa deryası, Gonca Yayınevi, İstanbul 2008, ISBN: 978-9944-62-613-2, (0212) 5285076-5286005.
Today’s NY Times hosts an article discussing the future of expansion in the U.S. medical education system. Proponents of the increase state that with the competitiveness of medical school applications and rejections leave bright students fleeing to offshore medical schools, or leave them giving up hope entirely. Their solution is to create more supply for the demand.
While I can’t disagree with the solution, the article fails to discuss a more important component that will limit the number of U.S. physicians; the number of residency positions.
When a medical student finishes medical school, they are a doctor that cannot practice medicine. That medical student has to be trained for an additional 3-7 years in a sub-specialty residency position. Currently there are ~15,000 medical school positions and an equivalent number of residency positions in the U.S.. More plainly, an increase in medical schools will make residency even more competitive with no actual increase in the annual production of practicing physicians.
The article goes on about expanding care with nurse practicioners (NP) and physicians assistants (PA) and while these providers are a useful tool, they are not a replacement for doctors and should not be treated as such.
Following this article, I suspect increased pressure will be put on the AMA and other policy makers to address the real rate limiter in medical education and expand residency training positions so that rural America will finally see an increase in the number of practicing doctors. Until then, they are only putting a band aid on a much larger problem- and making real money on each entering students tuition.
By Keyana Azari
When I first gave legal practice in Toronto, an early retirement in Oaxaca, I thought my life for many years, I would like to add that will lead to great pressure in Mexico, lost the lower the health care system, and I have contact by the restrictions. So, my assessment of the extent to which my hypothesis is correct, and information and for tourists and potential residents of the former consulting with the PatriotsOaxaca.
In addition to small private hospitals, they are often referred to as clínicas, there are four government-funded and insurance – the city's hospital, a pair of suburban hospitals, providing a range of special treatment for serious diseases. There is a Red Cross for those who regularly used only for emergency treatment facilities. Civil society, the hospital provides a low-cost pro-rata increase or decrease in the concern of free services or treatment手段. ISSSTE is a government-funded agency officials, union members are restricted. Finally, there is the Social Security Board, the federal insurance program available to residents and Mexican citizens before the shoot with the hospital doctors and hospitals a great extensive network. It provides funds to a large extent supplied by the operator. In addition to these hospitals, there are several small, suburban and rural areas to facilitate decentralized clinics.
ForPassengers before the shoot with a visa that will allow the country's inhabitants to maintain emergency treatment through the Red Cross, the Mexican Social Security (ie, does not accept a pay-service basis), or cover the most commonly refers to patients with private hospitals. However, this is the only one in the last three where you can get a reasonable assurance that the time is very professional and efficient staff to visit.
What to do, what is a holiday
If you do notOutside the country, a comprehensive medical care by all means, go buy it before you journey. However, it is better first question to ask your credit card company, but in fact, if you already have at least one of the fundamental determination of coverage, for example, with gold or platinum card. Then, you can focus more informed decisions about whether to purchase insurance and, if so at what level. On the other hand, a broken leg, gastrointestinal problems or other non-life -Fatal disease may be caused by a private doctor or clinic in the absence of being accessed wealth. Which, of course, the amount of more than 100 yuan, which is good reporting.
If you intend to make private operators claim, credit card companies or government-funded health plans to ensure you not only keep all receipts, but asked for a written diagnosis and treatment plan, the rules will enter what the purpose is to provide for each drug (ieAntibiotics, analgesics, etc.). Many doctors only as a matter of course provide all the information needed. Accepted practice, at least in the provision of narcotic drugs, except to your pharmacy prescription form. Medical plan requires that each translation is usually submitted as part of treatment and repayment conditions, have their documents. If you have doubts, they should submit any documentation with your claim, so you are sure to determine whether the originalIs necessary, and keep a copy. Often, as is the case in Ontario, which is a two-step process. Receipts and diagnosis and treatment plan is submitted to the province. As long as you are not does not include parts, prescription receipts together with the relevant reports will be requested to repay the money down to provincial and submitted to a private plan. In theory, these two schemes, 100% refund will be achieved.
You can in your hotel or bed and breakfast managerEach of them to make a translation of the evidence in order to save you the trouble in your home. Please note that the exchange rate at the time, and put it on your paper bill to your plan to make it easier to pay. If a staff member deal with your request, it will be less willing to set aside the sale made a day or a week, if they already contains all the necessary and relevant data organized readableFormat.
Playing here, in the illness or accident, you should be able to English-speaking proposal, saying that private medical practitioners, your host, accommodation and private clinics. With regard to the former, although the medical school in Oaxaca, many doctors the ability to travel out of their post-graduate training, such as the University in Mexico City or the United States, state, and regularly attend meetings and modernization programs. Trip ideasAs part of specialist training abroad. In fact, seems to have noticed the people of Oaxaca, and like a doctor who can display foreign diplomas.
Our personal experience with emergency treatment over the past 10 years, no longer us, but a positive, our families and our guests, in hospitals and Carmen Molina, city … in the capacity, speed, their visit , while the presence of English-speaking emergency department doctor.On the other hand, we do not encourage people to visit the civil hospital or due to delay in treatment, and the Social Security Board in charge of the medical staff not able to attend 24 hours a day, in the normal and emergency (ie, the minimum Social Security Administration an emergency department) suture. After this, many excellent private practice of non-surgical doctors, private hospitals indicated that there are often more the country's most advanced and mature设备.
In terms of price and family doctors, dentists consult experts or the normal range, is 20 yuan – 50 yuan (All amounts are expressed in U.S. dollars, and in 2008 unless otherwise stated, about numbers).
Lean elections and cosmetic surgery
In recent years, Oaxaca has become a popular destination for Americans and Canadians both a wide range of plastic surgery and dental work. Word, and the two folders with expertise in the quality of work, school, and, dissemination andDentists, of course, the very low compared to the cost of local doctors to pay. Many foreigners and from Mexico City and other areas of the country to face lift, breast reduction or increase, liposuction and other procedures and improve the look and Oaxaca, Mexico. A friend of mine said that in Oaxaca, which is well-known plastic surgeon a few years ago, she read an article on plastic surgery in Canada,Magazines for the same program, that he has completed 500 U.S. dollars the cost of targets 3,500 – 5,000 U.S. dollars at home. In fact, they have free travel to Oaxaca, to return home with extra money in your pocket.
Our personal experience with the dental treatment is very positive. Costs that are often about one-third to the United States and Canada, half the price, for example, crowns and bridges, implants, root canal, gums, and bones and so on, while laughing, the use of nitrous oxide (Gas) has not yet arrived in Mexico in most cities, can be a touch more dentists to follow up, temporary high, but the lack of the chair.
Solution in the first eight puzzle
Get any additional coverage is available, you are in your country and Mexico, of course, affordable.
In my opinion, and Mexico, the cost of social insurance coverage for married couples in the $ 400 1 year, why do not other insurance you already have an independent. Then, the Mexican Social Security Institute supplementInternational coverage of catastrophic harm, unless you have from other sources like insurance. Our friends in Oaxaca, not much, but they have a different mentality, and not the history of the insurance costs as a rule, an assessment or, This is home, car or health.
Some American acquaintances swear by the Social Security Board, as it often care including prevention programs, all appointed by the Government to give up, including experts, doctors, and laboratory testing,Drug treatment and hospitalization. Limited registration the first year, there are considerations. A clean environment, the extent of the hospital, rather than the standard have been accustomed to most of us in the United States and Canada growth. Many doctors have not yet received their private counterparts in the quality of medical education. To provide the drug through clinical pharmacy are often not the best in the market for the treatment ofA specific disease, because of the cost. Usually, you call your doctor or laboratory may be a long wait, it is necessary for every aspect of a half-day promise: visiting a series of tests, general practitioners, and others, were last seen in the experts.
So, why even bother with the Mexican Social Security, all of these shortcomings? There is a foolproof, another form of insurance, you have to take care of a long and serious disease conditions. As mentioned earlier,Is often the largest hospitals, such as the Social Security Administration has the best equipment, and with the practice of some private operators surgeon. And there are any additional costs of hospitalization, if you have sufficient coverage of social insurance in Mexico. Although he is a private clinic, and their experience, before moving to Mexico, if you are hospitalized for a long time, the cost is too high may be in the hospital … just like at home.
Access to a private doctor,Even reluctantly let private testing laboratories, insurance is familiar with the quality of care is reasonable. Together with the Mexican Social Security coverage to ensure that in almost every aspect you want. In the cases may be a lengthy hospital stay, you can afford, as long as necessary. The best locally available equipment will be used for diagnosis and treatment, and there is a reasonable possibility, the doctor attending theWho uses those in one or more time with the practice of private hospitals and division to carry out procedures for the main hospital.
We believe that the Mexican Social Security coverage, but rarely use, they are more like our experts, Oaxaca's social network remittances, if they do not open. In any case, a pair of Oaxaca to live for many years after the couple, who are aged over 50 in our expertise that we have introduced a wide range. Strange, though still possibleCanada and subscribe to pay-as-you play the health care philosophy, which services and Social Security Bureau under the safety net, our aim.
In some cases, you may want to continue to stay even the best Oaxaca has to offer. For the flow of tourists to Mexico City Oaxaca movement of a strong and extensive. Exchanges in the country's capital, the upper middle class, but soon the state in terms of doctors and the best search, right diagnostic equipment, sophisticated,The treatment of life-threatening diseases.
Even in the state of Oaxaca in the Mexican Social Security Institute doctors work and the association of female hospital treatment, has been arranged, not here, to Mexico City or visit the other major centers in order to save. However, this process can only be slow. We know the situation, there are heart problems, and finally sent to the Association in Puebla surgery, a two-month-old baby, and only death to be completed before surgery.
The solution,Unless you are may be used as part of your pension plan, high-quality foreign coverage, the insurance pay for the whole world in Mexico City, or better treatment, as long as you make your way to the participants at the top of a long right to buy — on-line hospital. In my case, I have a small annual premium, high-net, which in case of an accident to give up. Similarly, it is the case, say, a serious car accident or cancer, stroke fault protection mechanisms,A heart attack or other catastrophic illness, or they will not be affordable. Oaxaca states have less than the best diagnostic equipment and treatment equipment. My plan provides for less 1 million, 2,000 annual premium, in Oaxaca, Mexico City and other parts of the Republic of the members of the private hospitals, of course, in foreign countries, including the United States Mayo Clinic in Rochester, one participant said .
In conclusion, my medical insurance and treatment planBelow. We have our regular family doctor, pointing out that, together with our friends in Oaxaca experts, where we have the greatest confidence, and we pay him every time. The same dental health services. We have the Mexican social security coverage, we do not reluctantly (because we believe that it does not use) a year contract, but it extends the value for money, we need to be hospitalized or have surgery, rather than in private clinics. And IMy catastrophic coverage, but I wish I had never visited.
Health care and coverage is not expensive, it can be expensive. This is an individual or family, a philosophy, or set the priority of the issue, raised before the election Oaxaca. Make sure you live in a little more sober as to the medical and insurance costs, understanding, so disposable income solution for your lifeBe discarded, what is the best way is to keep as much as possible get a new life abroad. If you are not in a comfortable in dealing with these issues and decision-making level, then may not be for you.
I was recently contacted by an advertising agency that is looking for patients with ulcerative colitis for a medicine advertisement they are developing. The ad will be in print but some people may be videotaped.
The company has chosen not to reveal which medication they are looking for. The reasoning is, they want people to contact the agency to see if they are genuinely interested in the ad, as the agency doesn’t want people to say they are on this medicine just to get in the ad.
When contacting them, give the agency the information you want and if you fit the criteria they will contact you and set up a phone interview. The photo shoot is in NYC or Philadelphia, but they are accepting people from anywhere in the country and will pay any expenses to get to the shoot.
If interested, the following is the complete casting call information.
Keep fighting,
~Dennis
Are you under treatment for ulcerative colitis? Would you like to be an advocate or participate in a photo shoot to bring attention to this condition?
Digitas Health is seeking people who are on a medication for the treatment of ulcerative colitis.
SEEKING:
We are looking for 15 -30 people, ages 21-48, both male and female.
Caucasian, Hispanic and Mixed Ethnic types please.
It will be for a print shoot but some people may be
videotaped for patient testimonials. Please submit photo ASAP to lisa@llproductioncasting.com and include any information about how long you have been under treatment for UC and current medicine. All people submitting for this project must have been diagnosed with ulcerative colitis and be on medication for this condition.
Client believes in the medicine and wants you to as well which is why there is no pay.
You know how you sometimes get a sticker for voting? This is what I got for getting an H1N1 vaccine a couple weeks ago:
This has to be a prank from some snarky graphic design student. It perfectly fits into a conspiracy milieu:
See what I mean:
The sticker perfectly fits into the paranoia. It’d only be more perfect it had a sheep’s head saying BAA instead of MOO.
Girl’s sick. Again. Whats with this France?! Get ur shiz together and put me on the healthy train!!
I have an infection in my tonsils. How the eff does that happen?! haha This morning I went to the SIMPPs (the health center at Rennes II) straight away and was the first person there…waiting until they unlocked the doors lol. The nurse then told me that I needed to go to the doctor TODAY, which I did the earliest she was available, which was at 10:20 and by 10:40 I had left “la pharmacie” with some serious drugs. Here is my regimen:
2 pills of Josacine, twice a day, for six days
1 or 2 pills of Paracétamol three times a day as needed, but not to exceed 6 pills daily
1 grande cuillère (one big spoonful) of Alfa-Amylase three times a day
Awesome. Who even knows what these meds are…but hopefully they do their job 
I keep comforting myself with the knowledge that at least I’m on the path to recovery…(I sound like a drug addict in rehab lol)
xxo
Spray-on products have always been a bit gimmicky. First there was spray-on hair luster, then that butter spray from the guy with the hair, and of course, spray-on latex. Years of disrepute and neglect left the suggested pairing of “spray-on” with any product as an automatic demotion for someone working in the marketing business. That’s all about to change.
For those like me who have waited eagerly for nanotechnology to become cheap and mainstream, it’s finally here, and it’s spray-on glass.
A muted initial reaction is understandable, after all it’s just glass, right? The beauty of spray-on glass is in the nano-scale. After application it forms an extremely durable and highly flexible film that is one millionth of a millimeter (or around 20 molecules) thick. Its surface is so smooth that on a molecular level there are no pits or cracks where things get stuck. No dirt filled reservoirs means that stains come right off. That’s right, all that’s necessary to remove the worst staining offenders from a treated surface is warm water. It can even be applied to clothes. I know I’m starting to sound like Billy Mays here (still too soon?), so pardon me for skipping along.
The manufacturers at Nanopool claim that this glass layer is revolutionizing every industry in which it is applied. Cars and trains whose windward sides are coated in it have decreased drag coefficients. Since drag grows exponentially as speed increases, about 60% of the force needed to travel at highway speeds is spent overcoming drag. Less drag means more speed with less power at a higher fuel efficiency. Can you imagine a getting a paint job that improved gas mileage and acceleration? Even better, seeds and plants coated in this stuff grow faster without the need for anti-fungal treatments. It is considered food-safe in Europe, and they are giddy with optimism that it will result in massively increased crop yields. Perhaps the best part of spray-on glass is that it prevents contamination by bacteria. Applying the solution creates an easily cleanable, anti-microbial surface that will last for years. I wouldn’t be surprised if it is being tested as the replacement for the Band-Aid. It can also be used to decrease the risk of infection from invasive medical procedures by coating requisite tools and implants.
They pull off this crazy feat in a funny way. The solution is made almost entirely of silicon dioxide (the principle ingredient in glass). It doesn’t require the addition of any binding agents in order to form. In fact, the absence of such substances is the source of its thinness, strength, and versatility. The molecules of liquid glass bind together through natural quantum phenomenon. It’s been tested for use in several markets, and is now generally available in Germany. It will be sold in England in short order, and the rest of Europe is soon to follow. It won’t be long before the entire world reaps the benefits of this spray-on product, and the sour connotation from times past is reversed.
By: Sonya Chitra Subash
What is a cleft lip and palate? Most commonly signified by a ‘harelip’, or slight gaping holes in the roof of the mouth, cleft lip and palate is a benign genetic birth defect affecting approximately one in every seven hundred children born in accordance to the Cleft Lip and Palate Association. Asians are the most affected, while African- Americans are least affected. Research being conducted by the Cleft Lip and Palate Association is still in progress to understand the main underlying reasons. For the births occurring in developed countries, a simple set of procedures is enough to fix this nonfatal defect. However, in developing countries, a child born with such a minor disfigurement is subjected to life as an outcast without proper treatment. They are shunned from the community, subjected to taunting, rejected for job opportunities, abandoned by family members, subjected to witchcraft rituals, and sometimes attacked and killed.
How does this defect occur? Sometimes during embryonic development, the upper lip and the roof of the mouth do not fuse properly. This typically happens during the first six to ten weeks of gestation. The physical severity of this birth defect can range from a minuscule to notch in the upper lip to a large groove. The severity of the physical deformity can also lead to complications with the ears, nose, and mouth. Ear infections will occur more often (due to the inability of the muscles of the palate to open the Eustachian tubes that allow for the middle air to drain, causing a rapid collection of fluid), and speech pathologists are often needed to help the child with speech development.
What is the treatment? The treatment to cure and better the quality of life is simple. Surgery to close the lip and palate together is not life threatening, and oral maxillofacial surgeons provide surgeries to fix this.
One surgical technique used is ‘bone grafting’. A small portion of bone is extracted from the patient’s hip, ribs, leg, or head and is placed in the cleft area (the bone protected by the upper lip) to introduce great support for un-erupted teeth that will grow as the child’s mouth develops after the surgery. This is usually most effective if the patient is five to six years old during the treatment. The added bone will make the gum appear more natural, and help increase the strength of the pre-maxilla (the front part of the roof of the mouth).
Older people affected have a lesser chance of having a perfectly symmetrical gum, but dentists can perform procedures using prosthetic teeth. Metallic dental bone implants are also used-the proper treatment will vary per patient. However, the cost of these procedures can be expensive, especially for those afflicted in developing countries where resources are scarce.
How can I help? There are many specialists in the US available for help with cleft palate reconstruction, and many organizations that travel to developing countries are available to aid. One organization, Operation Smile does humanitarian work with volunteers and dental specialists every year. Mission trips continually leave from the US, and anyone can help in some way. Smile Train, another organization, is in constant need of donations to keep funding its mission trips as well. We often underestimate, or don’t necessarily think about, the value of a smile. In developing countries it is worth more than it is here in the US, and volunteers are always needed to help aid these missions.
Information regarding sources and organizations in this article can be found at the following websites:
Cleft Lip and Palate Association: http://www.clapa.com/
Operation Smile: http://www.operationsmile.org/
Smile Train: http://www.smiletrain.org/
Omega-3 Fish oils are good for the brain.
Individuals at extremely high risk of developing psychosis appear less likely to develop psychotic disorders following a 12-week course of fish oil capsules containing long-chain omega-3 polyunsaturated fatty acids, according to a report in the February issue of Archives of General Psychiatry, one of the JAMA/Archives journals.
“Early treatment in schizophrenia and other psychoses has been linked to better outcomes,” the authors write as background information in the article. “Given that subclinical psychotic symptoms may predict psychotic disorder and psychosis proneness in a population may be related to the rate of psychotic disorder, intervention in at-risk individuals holds the promise of even better outcomes, with the potential to prevent full-blown psychotic disorders.”
when we reach, we can fly, know inside, we can make it….
oh the cheese. I LOVE IT!
This first year of work is tough. That’s why it’s one year I guess. Not many could pull it off much longer without burning out. The running, chasing, pleading, pacifying, apologising, worrying….gets intense.
But we’re all in it together. And (cue the awws) it’s true. It’s the other junior docs that pull you through. It’s the nurses who give you a nudge in the right direction or a word or two of wisdom. It’s the registrar who tells you you’ve done the right thing and most of all it’s the patient who puts a smile on your face and the family who take the time to say thank you.
That’s what makes the mountians of crap you have to deal with bearable.
And that’s why I find myself praying that with good grace I’ll get there.
Here’s hoping.
The first essential and limiting step is to ensure that only doctors can become members. It is somewhat difficult to explain the reason for this to all the rest of humankind and especially to the other healthcare professions, but to most doctors it is self evident. If you’re a small town doctor, to give one example, the town comes to you, undresses, and places their trust in you. You, on the other hand, can’t talk to anyone about what you yourself go through during the day. You can’t talk to anyone about patients. You can’t talk about your own personal stuff, except perhaps with your spouse. Being a physician puts you in a unique and isolated position and there is a need, a very great need, to have a room of your own, a space exclusive to your own profession.
How do the various forums measure up? There are two parts to this question: who can sign up and who else can see your posts.
Let’s look at several forums and see how they’re doing. Since I started this blog by critiquing Sermo.com, I’ll start with them.
I believe they have done a good job in ensuring their participants are indeed physicians only, despite a few glitches in their authentication process along the way. Initially this created what felt like a safe and secure environment to talk to colleagues about anything and everything, from medical cases to personal stories.
Sermo is a private for profit company and was created with the concept of ‘information arbitrage’, i.e. selling information gleaned from physicians to outsiders, these being investors and Pharma. Some physicians found the concept “creepy” and avoided Sermo for this reason. I myself believe that the owner, Dan Palestrant, did a good job at selling this info in such a way that physician privacy was maintained. As far as I can tell the ability of paying clients to view the discussions was limited to the specific discussion they paid to see. At times concerns were raised about just how much these clients could see, as some were listed as members, so this specific question was not completely settled. That aside, data was sold in aggregate and no personal information was revealed. Dan’s attention to this issue was clearly due to his being a physician himself and his intimate understanding of doctors need for privacy from prying eyes.
There is one huge problem with all this, which I’ll get to in later posts.
Let’s look at a small forum I discovered just today called doctorshangout.com. They could serve as an example of what not to do. I won’t even bother to critique their noisy layout or any other issue, as these are moot. They state they are open to doctors worldwide and medical students. The presence of students is a no-no. Their authentication process is non existent. These two problems render them unusable as a safe gathering place. They could rethink this and redo, though having a forum open to physicians worldwide requires a much more complicated authentication process.
Let’s move on to the second of the two big players in the market: Madscape. Oops, Medscape, sorry. Judging by what I see there, and without looking into their financial records, Medscape, a part of WebMD, is owned by Pharma, lock, stock and barrel. How does Medscape fare on these two issues?
In the beginning their forums were open to everyone and anyone who could utter the words “I’m a doctor”. Also, since they cater to other healthcare professions, the boards were not physicians only. About two years ago they did start an authentication process, so one can assume I suppose that now they are indeed doctor only.
What is Pharma’s involvement in these discussions? What can they see and what do they know about the participants?
Curiously, this has been much more a topic of concern on Sermo, which is doctor owned and which has been upfront about client involvement, than on Medscape – which is owned by Pharma. The answer to these questions is: who knows? Medscape’s privacy policy promises that data will be used only in aggregate. The problem is that they are so corporate and impersonal that I trust them about as much as I trust any large corporation to “care” about anyones best interest. But, hey, that’s what they say.
Medscape’s saving grace in this regard is, ironically, that it is so corporate, impersonal and off-putting in every respect (I’ll get to them later in detail) that I can’t imagine anyone wanting to read their discussions and gather any meaningful information from them.
Next post: what makes a physician forum work, part II. Stay tuned.
So far, I’ve always manually referenced things in Word; Insert->Reference->Footnote->Endnote (1,2,3) etc. I put a new endnote for each time I referenced anything, and then the numbering order etc. was preserved. At the end, I’d delete the duplicates, and manually add a superscript number for the remaining ones. I’ve decided to investigate EndNote this time, as it’s supposed to be very useful. More to come in (a?) future post(s)!
This is a follow up to my recent “Suicide by Homeopathy?” post – and by calling the event a “miserable failure” I mean that it was the homeopathy that was an epic fail. Hundreds and hundreds of skeptics attempted to overdose on a variety of homeopathic remedies, and not one person was adversely affected. Which begs a question: why do homeopaths bother mentioning anything at all about dosage on their remedies when it is apparent that dosage doesn’t matter?
Apparently, the press caught wind of this public experiment and thought it was interesting – check out the BBC article on it. In addition, here’s an update on the event from the 10:23 Campaign, along with some neat footage as well…
