CBD stands for cannabidiol oil. It’s used to treat totally different symptoms despite the fact that its use is rather controversial. There may be additionally some confusion as to how exactly the oil affects our bodies. The oil might have health benefits and such products which have the compound are legal in lots of places today.
What it is
CBD is a cannabinoid, a compound present in cannabis plant. The oil contains CBD concentrations and the uses fluctuate greatly. In cannabis, the compound that’s in style is delta 9 tetrahydrocannabinol or THC. It’s an active ingredient found in marijuana. Marijuana has CBD and THCA and both have completely different effects.
THC alters the mind when one is smoking or cooking with it. This is because it is broken down by heat. Unlike THC, CBD is not psychoactive. This signifies that your state of mind doesn’t change with use. However, significant changes can be noted within the human body suggesting medical benefits.
Hemp is a part of the cannabis plant and in most cases, it isn’t processed. This is where plenty of the CBD is extracted. Marijuana and hemp originate from cannabis sativa, however are quite different. Immediately, marijuana farmers are breeding plants in order that they’ll have high THC levels. Hemp farmers do not want to modify plants and are used to create the CBD oil.
How it works
Cannabinoids have an effect on the body by attaching themselves to totally different receptors. Some cannabinoids are produced by the body and there are the CB1 and CB2 receptors. CB1 receptors are located all by way of the body with an important number of them being within the brain. The receptors are liable for temper, emotions, pain, movement, coordination, memories, appetite, thinking, and many different functions. THC impacts these receptors.
As for the CB2 receptors, they are mainly in one’s immune system and affect pain and inflammation. Although CBD doesn’t attach directly here, it directs the body to make use of cannabinoids more.
CBD is helpful to human health in numerous ways. It’s a natural pain reliever and has anti-inflammatory properties. Over-the-counter medicine are used for pain relief and most people prefer a more natural alternative and this is where CBD oil comes in.
Research has shown that CBD provides a better treatment, especially for folks with chronic pain.
There is also evidence that recommend that the usage of CBD could be very useful for anyone who is trying to quit smoking and dealing with drug withdrawals. In a research, it was seen that smokers who had inhalers that had CBD tended to smoke less than what was traditional for them and without any further yearning for cigarettes. CBD might be an excellent therapy for persons with addiction problems especially to opioids.
There are various other medical conditions which can be aided by CBD and they embody epilepsy, LGA, Dravet syndrome, seizures and so on. More research is being conducted on the effects of CBD within the human body and the results are quite promising. The possibility of combating cancer and totally different anxiousness problems can be being looked at.
Should you loved this informative article as well as you would like to receive details about cbd gummies toronto kindly check out our own web site.


Dealing With Alcohol Addiction & What To Expect
Dealing with alcohol addiction is always hard, so let’s take some of the challenges away.
The traditional image of an alcoholic is somebody who always drinks excessively and whose way of life is breaking down as a result of it. But that’s not often the truth.
Some folks appear to be just fine although they misuse alcohol. Specialists call these individuals functional problem drinkers or functioning alcoholic.
You can still be one despite the fact that you have an otherwise good standard of life. With a decent career that pays well, home, loved ones, friendships, and social life, states Craig Beck, a certified alcohol addiction therapist and author of Alcohol Lied To Me.
Even though it’s now technically referred to as an alcohol use disorder, you’ll nonetheless hear a lot of individuals referring to alcohol addiction or problem drinking. It’s a disorder that varies from light misuse to modest and serious abuse.
And it’s all still alcoholism, even when you assume it’s ‘not that bad’.
Denial Is A BIG Problem
A functional alcoholic may not behave the manner you would expect him or her to behave, Beck states. He may be intelligent and successful. He or she could even be a significant player in their own field of expertise. Or in a position of authority.
As a matter of fact, his/her prosperity may mislead friends and family to simply disregard their alcohol consumption.
He might also be in denial. He may believe, “I have a fantastic job, have no debts, and have tons of good friends; for that reason, there is no way I can be an alcoholic,” Beck states.
Or he may make silly rationalizations like, ‘I only drink fine wines, my drinking is an indication of my success, not a problem!’
However he or she isn’t really doing great in other important areas of life, claims Robert Huebner, from the National Institute on Alcohol Abuse and Alcohol Addiction. Nobody, he cautions, can consume alcohol intensely and uphold their significant obligations over extended periods of time. If somebody drinks at a dangerous level, it is going to catch up with them.”.
What to look out for
What is excessive alcohol consumption? For females, it’s having greater than 3 alcoholic beverages a day or 7 a week. For males, it’s 4 or more each day or 14 every week. If you drink greater than the day-to-day or weekly limitation, you’re in danger.
That’s not the sole way to say if you or somebody you love needs support. There are other warnings.
- Claim you have a problem or make silly jokes about alcohol addiction.
- Not stay on top of significant obligations at home, work, or college.
- Forfeit friendships because of alcohol consumption, but you do not stop drinking.
- Have legal issues associated with alcohol consumption, like a DUI or been arrested by the police.
- Need booze to unwind or to feel comfortable and confident.
- Consume alcohol in the early morning or when you’re on your own.
- Get drunk when you do not mean to.
- Suffer memory blackouts
- Lie and conceal booze, or snap when challenged regarding alcohol consumption.
- Cause family members to stress over or make excuses for your alcohol consumption.
Functional problem drinkers may appear to be in charge of the situation. But they might put themselves or other people at risk by drinking alcohol and operating a motor vehicle, having unprotected sex, or passing out at high-risk moments.
Excessive drinking has many other dangers. It can result in liver problems, pancreatitis, some types of tumors, brain injury, severe amnesia, and hypertension. It also makes death a very real possibility from an automobile accident or from homicide or self-harm.
And any when a family is dealing with alcohol addiction it increases the chances of domestic physical violence, child neglect, and fetal alcohol syndrome in expectant mothers.
The Best Ways To Get Support.
The therapy for a high-functioning alcoholic is the same as for every other kind of addict, Beck states. Ask your physician about getting help, regardless if it’s from a counselor, psychoanalyst, or another dependency expert such as the Stop Drinking Expert.
For serious alcoholics, rehab might be a better fit. The highest comprehensive treatment allows you to stay full-time at a treatment center. These kinds of arrangements can also work together with twelve step program programs such as Alcoholics Anonymous.
Although many argue that the 92% failure rate of AA is too high for it to remain our go-to solution for problem drinking!
However, connecting with other individuals with drug abuse problems might help somebody break through denial and start to recuperate.
Passion & commitment
Due to the fact that an alcohol use disorder may be a persistent recessive illness, perseverance is essential. It is unusual that somebody will visit therapy once and after that never consume alcohol again.
More frequently, individuals should continuously attempt to stop or cut down experience recurrences, learn from them, and then keep making an effort. For many, continued followup with a therapy supplier is crucial to conquering alcoholism.
Relapse Comes With the Process.
Relapse is prevalent amongst individuals who attempt to conquer alcohol issues. Men and women with drinking problems are likely to fall from grace throughout times of worry or when subjected to individuals or locations connected with former alcohol consumption.
Equally, individuals with diabetic issues or bronchial asthma may have flare-ups of their condition. A relapse to alcohol consumption could be viewed as a momentary setback to complete rehabilitation and not a total defeat.
Never quit trying to quit
Finding specialist support can protect against relapsing, NLP behavior modifications can help folks cultivate capabilities to stay clear of and conquer triggers, like stress and anxiety, that may bring about drinking.
Many people profit from frequent therapy sessions.
Prescription medications also can discourage alcohol consumption during times when people might be at higher danger of relapsing (e.g., separation, the death of a loved one).
Psychological Health Issues and Alcohol Use Disorder.
Clinical depression and stress frequently go together with substantial alcohol consumption. Reports reveal that individuals who are alcohol reliant are 2 to 3 times as prone to struggle with significant clinical depression over their lifespan.
When dealing with alcohol consumption problems, it is essential to also find therapy for any accompanying health and psychological wellness problems as well.
Guidance For Friends and Family Members.
Taking care of an individual who is dealing with alcohol addiction may be extremely difficult. It is essential that as you attempt to support your family member, you discover a way to look after yourself too.
It might help to look for help from other people, including good friends, family members, neighborhood friends, and self-help groups. If you are forming your own signs of clinical depression or excessive worry, consider finding specialist support for yourself.
Keep in mind that your family member is essentially accountable for taking care of his/her disease.
It’s not your job to fix them
However, your involvement may make a huge impact. Based on medical expertise, numerous health and wellness providers think that help from family and friends members is essential in conquering drinking problems. However, loved ones can feel uncertain about how best to offer the help required.
The articles and blog posts here may be a good place to start.
Keep in mind that transforming deep-rooted addictions is difficult, takes some time, and needs 100% commitment.
Addicts typically experience many defeats in the process, they learn from them, and after that just keep going. Alcohol use disorders are no different. Be patient with your family member. Conquering this condition is never a quick fix.
It’s easy to be so angry or worried that you fail to notice when your loved one is making progress. Take note of their commitment and give them supportive words of encouragement – it makes a difference.
Click here if you want to find out more about the Stop Drinking Expert method of dealing with alcohol use disorders and problem drinking.


Infection with human papilloma virus (HPV) is related to a great number of cutaneous and mucosal manifestations. The spectrum of HPV ranges from inapparent infections, through various clinical benign presentations including cutaneous and mucosal disease, to malignant and premalignant conditions. New HPV types are currently described in the literature; many of them are characterized as high-risk types due to their oncogenic potential. Knowledge regarding their epidemiology and pathogenesis is important to understand not only infection and disease processes, but also to formulate the clinical and laboratory basis for diagnosis, therapeutics, and prophylactic measures. This non-systematic review aims to discuss and to update those aspects, with an emphasis on relevant topics for dermatologists. HPV infection and related diseases in the Brazilian scenario are highlighted, including common dermatologic conditions seen at clinics as well as the condition of a public health problem as a sexually transmitted infection. The oncogenicity of the virus and the variety of clinical outcomes - especially in the immunocompromised individuals - are addressed.
Keywords: Papillomaviridae; Tumor virus infections; Tumor virus infections/complications; Tumor virus infections/diagnosis; Tumor virus infections/epidemiology.
Copyright © 2020 Sociedade Brasileira de Dermatologia. Published by Elsevier España, S.L.U. All rights reserved.


Work with our medical team to evaluate best approaches for psychotropic medication management.
Meet Our Psychiatrist
Karen Newman, MD
What is psychotropic medication?
Psychotropic medications are used to treat and influence severity of mental health disorders. There are five main categories of psychotropic/psychiatric medications:
- Anti-anxiety medications
- Mood stabilizers
What can you expect?
In order to benefit most from our psychiatric services, we offer a 60-minute thorough assessment with our psychiatrist to assess past and present symptoms and medication regimens. We work collaboratively with clients and their outpatient providers to ensure best practice. You can expect to feel heard and guided throughout this collaborative process.
Can I use my insurance?
Yes. Our psychiatrist is in-network with major commericial insurances. Our intake department can provide rates per your insurance contract. Insurances are currently covering both in-person and virtual sessions to meet the needs of the community.
"I have never seen a psychiatrist nor been on medication and have always been very hesitant about them. I gave her a chance, and was so surprised and blown away by her kindness and openness. She actually listened to what I had to say. She’s not forcing any meds on me and always reminds me I don’t need to take them if I don’t feel comfortable.”
"She is amazing. She genuinely listens to my needs and concerns."


- Full text PDF available (1)
- This year (0)
- Last 5 years (0)
- Last 10 years (0)
Journals and Conferences
OBJECTIVE Intracoronary stenting was designed to overcome acute complications after percutaneous transluminal coronary angioplasty and to achieve a reduced rate of restenosis, both of which are major… (More)
Report about practical experience with concentration of high risk pregnancies in a regional center. It is better to transport the fetus in utero than to transport the neonate.
This is the case of a 35-year old woman who suffers from a chronic form of spinal muscular atrophy and who has successfully completed four pregnancies between 1982 and 1987. After a short discussion… (More)


Following the Statement on the Discovery in Tk'emlúps, Health Benefits reminds clients and their family members of benefit coverage for culturally-safe and trauma-informed cultural, emotional and mental health counselling services in BC.
Health Benefits covers the services of registered mental health professionals, including psychologists, clinical counsellors and social workers. Health Benefits also offers coverage for the following mental health counselling services:
You may be eligible if:
Even if you are non-status, you may be eligible for mental health coverage through one of the specialized mental health programs funded by Indigenous Services Canada.
Health Benefits encourages anyone who is experiencing distress, and loved ones who may need support, to access these resources.
The First Nations Virtual Substance Use and Psychiatry Service provides access to specialists in addictions medicine and psychiatry. The service requires a referral from a health and wellness provider. If you do not have a provider, call the First Nations Virtual Doctor of the Day at 1-855-344-3800 for referral support.
For more information on culturally-safe mental health supports, visit the FNHA's Mental Health and Wellness Supports page.
Please call Health Benefits at 1-855-550-5454 if you have question about how to access the supports you may need.


October 3, 2016
Plantar Fasciitis is a painful foot condition that slowly develops over time. After an extended period, the tissue supporting the arch on the bottom of your foot – which is called the Plantar Fascia and connects the bone in your heal to the front of your foot – can become weak, swollen, inflamed and irritated. For Frisco patients, this results in the classic pain of Plantar Fasciitis when you stand on your feet or walk, especially first thing in the morning.
Athletes Are More Prone to Planter Fasciitis
Athletes are more prone to developing Plantar Fasciitis than the average person. This is because of the repetitive movements and stress that athletes place on their feet. In fact, athletes who frequently run and jump, for example, runners, basketball players, baseball players, football players and soccer players, are known by podiatrists to develop Plantar Fasciitis and require treatment. Additionally, athletes with flat feet – who have reduced shock absorption – and athletes with high arches – who have tight Plantar Fascia – are known by podiatrists to be at an even higher risk for developing Plantar Fasciitis.
How Can I Prevent Plantar Fasciitis?
Many Frisco patients ask Dr. Verville what they can do to prevent themselves from developing Plantar Fasciitis. After all, no athlete wants to be sidelined due to a foot injury. Fortunately, with the help of a podiatrist, there are several things you can do to prevent Plantar Fasciitis. The number one thing you can do to prevent Plantar Fasciitis is to wear supportive athletic shoes. Buy new running shoes after you have run about 300 to 500 miles in them, so you can ensure your shoes are still offering you that much-needed support. Off the field, make sure that you wear supportive footwear.
Before any exercise, make sure that you stretch completely. Tight calf muscles have been associated with Plantar Fasciitis. You should always start out new exercise programs slowly, to give your body time to adjust to the new activity. Make sure you train for a new activity before you jump all in. And drink plenty of water before, during and after exercise to stay hydrated.
I Think I Have Plantar Fasciitis. What Do I Do Next?
If you suspect you are experiencing the pain of Plantar Fasciitis, the best thing for you to do is to call our Frisco office and schedule an appointment with experienced podiatrist Dr. Verville. An examination will be performed by Dr. Verville, and a complete treatment program will be prepared for you, which may include:
- Physical therapy to improve your foot’s range of motion.
- Exercises to rebuild mobility and strength in your foot.
- Medication to reduce inflammation in the Plantar Fascia and provide much-needed pain relief.
- In severe cases, surgery may be required.
Don’t endure the pain of Plantar Fasciitis alone. Call Dr. Verville’s Frisco office today to schedule an appointment at 214-385-8822.


While only about 0.5 percent of women aged 35 to 54 had a stroke from 1988 to 1994, a federal health survey found that had increased to nearly 2 percent between 1999 and 2004.
Physicians say that the obesity epidemic is to blame for the startling rise in strokes. Women’s waists have grown by nearly two inches in the last 10 years, and women’s average body mass index rose from 27 to 29. Blood sugar levels have also increased.
The increase in strokes came despite the fact that more women are taking drugs to lower their cholesterol and blood pressure, which are both things that should lower stroke risk.
While women’s stroke risk skyrocketed, stroke risk among middle-aged men stayed the same. Researchers say the gender difference could be due to belly fat, a known risk factor for stroke.
Abdominal obesity in women rose from 47 percent to 59 percent, while the change in men was smaller. Strokes (which are sometimes referred to as “brain attacks”) are the third leading cause of death in the United States, and they occur when the blood supply to your brain becomes blocked or reduced. This deprives your brain of necessary oxygen and nutrients, causing your brain cells to begin to die within minutes.
The reason why strokes can be so devastating is that they often occur without warning, and the longer your brain goes without oxygen, the greater your risk of lasting damage. This is one area where emergency medicine excels, as there are emergency medications that can dissolve a blood clot that is blocking blood flow to your brain.
But to be effective, you typically need to get help within one hour. So if you notice any of these signs of stroke, you should get help right away:
- Sudden trouble walking (dizziness, loss of balance, etc.)
- Sudden confusion
- Sudden numbness or weakness (especially on one side of your body only)
- Sudden trouble seeing
- Sudden severe headache
How to Prevent a Stroke
Conventionally speaking, many of the same risk factors that increase your risk of heart disease also increase your risk of stroke, and these include things like:
- High blood pressure
- High triglycerides and elevated homocysteine levels
- Low levels of HDL (good) cholesterol and high levels of LDL (bad) cholesterol
But while these are important factors, they are not the only ones. Very high up on the list of keys to preventing a stroke is to get a handle on your stress levels.
Earlier this month, for instance, a study in Neurology of over 20,600 people found that psychological distress will greatly increase your risk of suffering from a stroke. And, the more stressed you are, the greater your risk. The researchers actually found that for every notch lower a person scored on their well-being scale, their risk of stroke increased by 11 percent!
Not surprisingly, the relationship between psychological distress and stroke was most pronounced when the stroke was fatal.
This makes perfect sense, particularly if you had a chance to watch last week’s video with Dr. David Holt about the most common cause of heart attacks. The cause is a certain type of emotional stress, but what’s interesting is what is said about the severity of the stress; in short, it’s been found that if you go longer than nine months with a moderate or severe emotional conflict, you probably won’t survive the heart attack that follows.
And as the Neurology study shows, the same goes for stroke, in that the longer you are under severe psychological distress, the greater the likelihood your stroke will be fatal.
So while you are making efforts to get your diet on the right track, and to stay physically active, please do not overlook the crucial importance of your emotional health. Choose a method, such as Emotional Freedom Technique (EFT), that works for you, and use it regularly, daily even, to release the past and present stresses in your life.


I AM PREGNANT OR HAVE A BABY UNDER 1 YEAR AND THINK I MIGHT HAVE DEPRESSION OR ANXIETY...
Perinatal Mood and Anxiety Disorders (PMADs) are related to mood and anxiety symptoms that occur during pregnancy or up to one year postpartum. You will sometimes see a similar term in literature, "maternal mental health". They refer to the same ideas. Despite the fact that PMADs have long been known, many experts believe they are not being properly diagnosed. As knowledge grows and physicians and legislation leads the charge for greater screening, more health care providers are looking for risk factors in their patients as early as their first prenatal care visit. If a woman is at risk, her health care provider can evaluate her moods throughout the pregnancy. After a woman gives birth, she and those close to her should watch for signs and symptoms for her and her partner. Her health care provider should look for such signs at her six-week postpartum visit, as well.
If you experience the symptoms of postpartum depression, your health care provider will evaluate the severity of your symptoms. Your health care provider will also ask about other mood-related symptoms to determine whether you are suffering from postpartum depression or another condition, such as anxiety, bipolar disorder or postpartum psychosis.. Your thyroid levels also may be checked to make sure it is functioning normally. Hypothyroidism can cause the same symptoms as postpartum depression. Learn more about Perinatal Mood and Anxiety Disorders at Postpartum Support International.
Two of the assessments your health care provider might use are included, below. These are not meant to diagnose yourself at home, but instead to enhance the conversation with your health care provider about your concerns.
Postpartum depression (PPD) sometimes goes away on its own. But if it interferes with your relationships, sleep, ability to work or care for yourself or your child, or if "the blues" lasts longer than two weeks, do yourself a BIG favor and call your OB. A history of depression or anxiety, a traumatic birth story, sleep deprivation, relational stress, lack of support and infant feeding issues are some of the triggers for Perinatal Mood and Anxiety Disorders. About 90% of women who have postpartum depression can be treated successfully with medication or a combination of medication and psychotherapy. Participation in a support group may also be helpful. In cases of severe postpartum depression or postpartum psychosis, hospitalization may be necessary.
It is best to seek treatment as soon as possible. If it's detected late or not at all, the condition may worsen. Also, experts have found that children can be affected by a parent's untreated PPD. Such children may be more prone to sleep disturbances, impaired cognitive development, insecurity, and frequent temper tantrums. Here are a list of resources that might help.
While you are recovering from postpartum depression, you will probably see an improvement from month to month. Be aware that your symptoms may flare up before a menstrual period because of fluctuations in your hormones.
HOW WILL THERAPY MAKE A DIFFERENCE?
You may be coming off a disappointing experience trying to get help or just be suspicious in general. I'm honored that you have made it this far into my website. I will also say that many people like you who feel burned by a past experience might well be cautious. But, I will counter with this logic. If you walked into a store, would you buy the first sweater you saw without trying it on? And if you did buy that sweater, and found out at home that it didn't fit, would you NEVER buy a sweater again? Therapy and coaching are similar in that you have to "try on" the provider to see if they fit your personality and what you need. Each provider has different strengths and preferred approaches to working with clients. My FREE consultations help you and I determine goodness of fit. Read more about how to choose the right therapist for you.
Because each person has different issues and goals, sessions will be different depending on the individual. In general, you can expect to discuss the current events happening in your life, your personal history relevant to your issue, and report progress (or any new insights gained) from the previous session. Depending on your specific needs, our work together can be short-term, for a specific issue, or longer-term, to deal with more difficult patterns or your desire for more personal development. It is most common to schedule regular weekly sessions in the beginning. Many clients choose to move into a bi-weekly or monthly schedule as they progress. It is important to understand that you will get the best results from our work together if you actively participate in the process. The ultimate purpose of therapy/coaching is to help you bring what you learn in session back into your life. Therefore, beyond the work you do in sessions, I may suggest some things you can do outside of sessions to support your process – such as reading a pertinent book, journaling on specific topics, noting particular behaviors or taking action on your goals.
CAN'T I JUST READ A BOOK?
Sure you can! However, if you are like me, that shelf of self-help books is collecting dust under the stack of parenting books, investment guides and workout DVDs. Real accountability and encouragement require people, not books. It helps if the people in your corner have an understanding of maternal mental health and what will effectively motivate you in the direction you want to go. If you are still convinced you can read your way to change, click below.
WHY DON'T YOU ACCEPT INSURANCE?
"Deciding to start therapy is a huge milestone in life. I’d even say it’s as big as getting married or starting a new job. I mean, think about it. What could be more important than committing to work on yourself and become the best version of you? Who you are and who you become influences every part of your life.
That’s why choosing the right therapist is SO important. It’s essential you and your therapist are a good fit and that the person you choose has the experience and expertise to get you to the next level in life, whether you’re working on career goals, relationships, self-exploration or all of the above.
One of the considerations you might take into account when looking for a therapist is whether that therapist accepts your insurance. For many people, this is a deciding factor when choosing someone..." Read more
If you plan to seek reimbursement from your insurance, health savings plan or Employee Assistance Program (EAP) after receiving services, please clarify with your insurance/employer the following before starting sessions:
• Benefits and scope of coverage
• Annual deductible
• Number of sessions allowed under coverage and process to appeal for more sessions
• Coverage amount per session
• Whether pre-authorization is required and whether referral is necessary
If you are hoping to get some money back for sessions, as allowed by certain insurance providers, funds and healthcare programs, I can provide a "superbill" to assist you. A superbill is an itemized form which details services provided to a client. It is the main data source for creation of a healthcare claim, which will be submitted by the client directly to their healthcare program for consideration for reimbursement of part or all of the session fee.
Unless you are enrolled in auto-pay, you must pay in full online at the time of meeting/session or registering for a workshop. Why? Think of the last big purchase you made. If you spent a significant amount of money on something nonrefundable, what did your mind do afterward? You may have second-guessed the purchase, but you felt compelled to follow through with the action. The fact is, when you invest your money, you invest yourself, a first step in being accountable to getting the support your deserve. If extenuating circumstances arise after booking a service, contact me, but please be advised that I generally keep to a 48 hour cancellation policy.
HOW IS COACH DIFFERENT FROM COUNSELOR?
There is a debate on this. Psychotherapists are bound by rules of state licensing boards, which require certain levels of education, experience, supervision and continuing education, as well as certain ethical and professional standards. For example, I had to complete six years of college/graduate school, more than 3000 hours of supervised clinical practice and pass two exams just to get started. Coaching is still in its infancy and unregulated, so "anyone can do it". A therapist can provide coaching, but a coach cannot and should not provide therapy. That doesn't mean that coaching is not valuable. It means a client has to know what they need, their expectations of a helper and whom to engage in the helping process.
I have heard it said that therapy is about uncovering and recovering, while coaching is about discovering. Ultimately, your experience will guide you to the answer.


Sildenafil, better known by its trade name, Viagra, is a drug which acts to relax muscles that control the flow of blood, allowing blood to flow more easily through many parts of the body, particularly the vessels of the penis. Although it is often used to treat high blood pressure in the pulmonary artery (and House did use it on one occasion for that purpose), its primary use is to treat male erectile dysfunction.
The drug does have some side effects, such as headache, flushing, dyspepsia, nasal congestion, impaired vision and photophobia. Rarer side effects are priapism, low blood pressure, heart attack, arrhythmia, stroke, increased pressure within the eyes and sudden deafness.
It should not be given to certain patients, such as those taking protease inhibitors for AIDS, nitrate based drugs such as nitroglycerine, those with poor liver function, people who already have low blood pressure, those who have recently suffered a stroke or heart attack and people who have disorders of the retina.
The drug's Canadian patent set precedent in Canadian law when the Supreme Court of Canada ruled that the patent holder's application did not properly disclose that sildenafil was the active ingredient. As a result, the drug is off-patent in Canada while it remains on-patent in the United States.


Cobra Health insurance provides coverage for medical costs incurred due to accidents, diseases and incidents. It is a must for everyone as medical expenses are rising rapidly. People do not like to pay a hefty amount of premium every year for a health insurance policy. In such a scenario, it becomes necessary to find affordable health insurance policy which fits your budget and meets your requirements.
Health insurance is basically an insurance which covers a certain portion or the entire risk of an individual spreading the risk amongst a number of other persons, over a period of time. You can find an affordable health insurance policy by carrying out some research over the Internet. The internet has been widely used by all types of people for various purposes including research, product sourcing, comparison, etc. You can also find various companies providing health insurance policies online. It is very easy to compare the different health insurance quotes provided by these companies by just a few clicks. This is one of the best methods of finding the most affordable health insurance policy.
It is very difficult to select the right health insurance policy, as there are several options available for you. However, you should base your decision on the type of insurance you are looking for. There are various types of insurance plans available in the market, and finding the most suitable one for yourself should be your first priority. If you are suffering from any kind of disease, then getting a high deductible health insurance plan will be advantageous for you. Get more details about the cobra medical insurance costs in massachusetts here.
There are certain things that you must consider before opting for any health insurance policy. One of the most important factors that you should consider before buying an insurance policy is your medical history. You should get your health checked once in a while so that you know about your health status. A recent survey has revealed that most people do not give importance to their health and are often not very concerned about getting minor health problems. Therefore, if you have a history of serious diseases such as cancer or diabetes, then it is probably time to think about health insurance.
If you have a good insurance policy with a reputed company, then you will not need to worry about anything at all. However, if you are planning to buy a health insurance policy for the first time, then there are many things that you need to consider. For instance, do you want to insure only part of your health? Or do you want to cover the entire health and you are willing to pay the extra premium?
There are many companies who offer cheap health insurance policies. However, you should search the market thoroughly for finding an affordable health insurance policy for yourself. If you are looking for health insurance for your child, then you can also look for cheap health insurance policies for children. Moreover, if you are in need of health insurance for yourself and you have good medical history, then there are many affordable health insurance options for you.
Check out this post that has expounded on the topic: https://en.wikipedia.org/wiki/Health_insurance.


Medical Student Rotation
Elective clerkships are a fundamental and valuable part of your medical education. Each year, Desert Regional Medical Center provides essential, hands-on clinical experiences and the opportunity to explore residency training at our institution.
Applications will start to be accepted January 1st, 2024 for 3rd year rotations and March 1st, 2024 for 4th year rotations.
Application Procedure and Requirements:
Your school must have an affiliation agreement on file with Tenet-Desert Regional Medical Center. Check with your school's officials to see if one is in place. If not, please send your school's point of contact information, including appropriate email and phone number to Mariel.Gray@tenethealth.com
A completed Medical Student Rotation Application
A completed Medical Student Health Screening Requirements Form. Please send your immunization records in addition to the health screening form. Please have this document verified and signed by your school official.
Current BLS/ACLS cards. Certifications must be American Heart Association issued.
A written statement indicating why you want to rotate in the emergency department. Please indicate what specialty you are planning on selecting as a career choice - no longer than one page.
Current photo ID (driver's license).
USMLE Step 1/COMLEX-1 score sheet. Multiple attempts are not accepted
We do not provide housing as part of our rotation, but we have several locals who rent out their vacation rentals at various times throughout the year. Please ask for contact information.
Please submit all completed documentation to:
Graduate Medical Education
Desert Regional Medical Center


Drug company Pfizer and tech firm IBM are working together on an innovative wearable device system to enable real-time patient monitoring. This system could lead to a radical change in how clinical trials are conducted.
Patients’ progress can be more closely controlled thanks to this technology. This means medical staff can apply their knowledge 100% reliably, detecting any alterations or contraindications on a personalized level for each patient.
Mobile technology at the service of clinical trials
The project Pfizer and IBM have embarked on in the US initially focuses on patients with Parkinson’s disease.
The speed with which this disease develops means constant changes in medication and treatment are necessary. For this reason it is highly useful to be able to continuously monitor a patient’s symptoms and their evolution for medical control to be fully effective
This project seeks to obtain a wider view, which is currently very limited, of patient monitoring, with the use wearable devices which monitor a patient’s condition in real time and send relevant data back to the medical professionals, thereby revolutionizing the conventional conduct of clinical trials.
Both companies will work jointly over several years in order to develop a truly effective system, determining which information needs to be collected and which devices are suitable for reproducing data from a truly useful, accurate and objective flow, for clinical trial personnel.
The future: personalized treatments wherever the patient is
With the introduction of mobile technology in clinical trials, real-time data can be obtained wherever the patient is and at any time. This will enable each individual’s treatment to be personalized much faster, more reliably and more efficiently and in sync with the evolution of the disease, thanks to analysis of the information collected.
The goal for the future is for any patient in the world to be able to benefit from mobile technology in order to get the best treatment for their condition. This will lead to a worldwide improvement in the healthcare system, enabling far more personalized and controlled treatments to be established.
The use of new technology in the medical sector will break down barriers. We are faced with an increasingly global sector in which professionals and patients from anywhere in the world can communicate and interact with each other. This fact makes specialized translation of medical correspondence and documents increasingly important, thereby ensuring that any patient can benefit from medical breakthroughs wherever they are or whatever language they speak.


|Prospective national study of the prevalence, incidence, management and outcome of a large contemporary cohort of patients with incident non‐valvular atrial fibrillation|
M Haim, M Hoshen, O Reges, Y Rabi, R Balicer, M Leibowitz
Journal of the American Heart Association 4 (1), e001486, 2015
|Prospective study of serum homocysteine and risk of ischemic stroke among patients with preexisting coronary heart disease|
D Tanne, M Haim, U Goldbourt, V Boyko, R Doolman, Y Adler, D Brunner, ...
Stroke 34 (3), 632-636, 2003
|Elevated serum triglyceride levels and long-term mortality in patients with coronary heart disease: the Bezafibrate Infarction Prevention (BIP) Registry|
M Haim, M Benderly, D Brunner, S Behar, E Graff, H Reicher-Reiss, ...
Circulation 100 (5), 475-482, 1999
|Soluble intercellular adhesion molecule-1 and long-term risk of acute coronary events in patients with chronic coronary heart disease: data from the Bezafibrate Infarction …|
M Haim, D Tanne, V Boyko, T Reshef, U Goldbourt, J Leor, YA Mekori, ...
Journal of the American College of Cardiology 39 (7), 1133-1138, 2002
|Soluble intercellular adhesion molecule-1 and risk of future ischemic stroke: a nested case-control study from the Bezafibrate Infarction Prevention (BIP) study cohort|
D Tanne, M Haim, V Boyko, U Goldbourt, T Reshef, S Matetzky, Y Adler, ...
Stroke 33 (9), 2182-2186, 2002
|Segmentation and registration of three-dimensional rotational angiogram on live fluoroscopy to guide atrial fibrillation ablation: a new online imaging tool|
JH Li, M Haim, B Movassaghi, JB Mendel, GM Chaudhry, CI Haffajee, ...
Heart Rhythm 6 (2), 231-237, 2009
|Attenuation of progression of insulin resistance in patients with coronary artery disease by bezafibrate|
A Tenenbaum, EZ Fisman, V Boyko, M Benderly, D Tanne, M Haim, ...
Archives of internal medicine 166 (7), 737-741, 2006
|C-reactive protein as a predictor of incident ischemic stroke among patients with preexisting cardiovascular disease|
D Tanne, M Benderly, U Goldbourt, M Haim, A Tenenbaum, EZ Fisman, ...
Stroke 37 (7), 1720-1724, 2006
|Predictive value of elevated white blood cell count in patients with preexisting coronary heart disease: the Bezafibrate Infarction Prevention Study|
M Haim, V Boyko, U Goldbourt, A Battler, S Behar
Archives of internal medicine 164 (4), 433-439, 2004
|Frequency, characteristics, and outcome of patients hospitalized with acute coronary syndromes with undetermined electrocardiographic patterns|
EI Lev, A Battler, S Behar, A Porter, M Haim, V Boyko, D Hasdai
American Journal of Cardiology 91 (2), 224-227, 2003
|Long-term prognosis of patients after a Q wave compared with a non-Q wave first acute myocardial infarction: data from the SPRINT registry|
S Behar, M Haim, H Hod, R Kornowski, H Reicher-Reiss, M Zion, ...
European heart journal 17 (10), 1532-1537, 1996
|Comparison of short-and long-term prognosis in patients with anterior wall versus inferior or lateral wall non-Q-wave acute myocardial infarction|
SPRIN Trial, M Haim, H Hod, L Reisin, R Kornowski, H Reicher-Reiss, ...
The American journal of cardiology 79 (6), 717-721, 1997
|Net clinical benefit of anticoagulant treatments in elderly patients with nonvalvular atrial fibrillation: experience from the real world|
H Alnsasra, M Haim, AB Senderey, O Reges, M Leventer-Roberts, ...
Heart Rhythm 16 (1), 31-37, 2019
|Association between antithrombotic treatment and outcomes at 1-year follow-up in patients with atrial fibrillation: the EORP-AF General Long-Term Registry|
G Boriani, M Proietti, C Laroche, L Fauchier, F Marin, M Nabauer, ...
EP Europace 21 (7), 1013-1022, 2019
|Relation of outcomes to ABC (Atrial Fibrillation Better Care) pathway adherent care in European patients with atrial fibrillation: an analysis from the ESC-EHRA EORP Atrial …|
M Proietti, GYH Lip, C Laroche, L Fauchier, F Marin, M Nabauer, ...
EP Europace 23 (2), 174-183, 2021
|Is serum uric acid level an independent predictor of heart failure among patients with coronary artery disease?|
A Eisen, M Benderly, U Goldbourt, M Haim
Clinical cardiology 36 (2), 110-116, 2013
|Severity of angina pectoris and risk of ischemic stroke|
D Tanne, A Shotan, U Goldbourt, M Haim, V Boyko, Y Adler, ...
Stroke 33 (1), 245-250, 2002
|Acute coronary syndromes complicated by symptomatic and asymptomatic heart failure: does current treatment comply with guidelines?|
M Haim, A Battler, S Behar, PM Fioretti, V Boyko, ML Simoons, D Hasdai
American heart journal 147 (5), 859-864, 2004
|C-reactive protein, bezafibrate, and recurrent coronary events in patients with chronic coronary heart disease|
M Haim, M Benderly, D Tanne, Z Matas, V Boyko, EZ Fisman, ...
American Heart Journal 154 (6), 1095-1101, 2007
|Serum homocysteine and long-term risk of myocardial infarction and sudden death in patients with coronary heart disease|
M Haim, D Tanne, U Goldbourt, R Doolman, V Boyko, D Brunner, BA Sela, ...
Cardiology 107 (1), 52-56, 2007


ADHD, Methylphenidate and BloodSugarLevelsby
ADHD medications may interfere with bloodsugarlevels and glucose metabolism:
When we think..., and will also investigate possible effects of age, gender and co-existing disorders:
A drop in bloodsugar following...
Treat gum disease to lower bloodsugarlevelsby
Dr. John Z.
disease can reduce bloodsugarlevels in Type 2 diabetes, although there was not enough available evidence... necessarily make the association between the treatment of gum disease and the control of bloodsugarlevels. The study suggests...


Care Quality Commission
Care Quality Commission (CQC) is the independent regulator of health and adult social care in England.
They make sure that health and social care services provide people with safe, effective, compassionate, high-quality care and encourage care services to improve.
They monitor, inspect and regulate services and publish what they find, including performance ratings, to help people choose care.
We were last regulated in 2017 with the report being pubished in January 2018. We were proud to have 4 areas of outstanding practice.


We value our customer’s time, health, and experience at our office. By re-envisioning what the dentist’s office can be, we’ve designed a space featuring a modern-day aesthetic to create a soothing and stream-lined environment for your comfort and health. We have a children’s area equipped with the latest in entertainment, the most innovative dental equipment on the market, and the business’s best professionals to deliver you an exceptional dental experience.
We always suggest bringing a list of your current prescriptions, any relevant medical history, insurance cards, questions you may have for us, and, of course, the expectation to brighten your smile. We even allow you to bring headphones so you can listen to music, podcasts, etc., while we maintain your oral health.
We understand the dentist’s office isn’t the most appealing place for children and can feel quite confining. By creating a children’s space in the office, we can provide an environment where kids can feel comfortable and enjoy themselves with a flat-screen TV included with streaming services, video games, and Ipads.
You’re not alone; it’s actually quite common to be nervous when visiting the dentist’s office. Just make a team member of the doctor himself aware, and we will prioritize your comfort during your visit. We’ll work with you to manage any stress you may be experiencing and adapt the treatment to your needs.
Insurance cards (if you have insurance) and ID’s are a must in order for us to assist with your dental health, but a list of your current prescriptions and any relevant medical history is always helpful.
Click on the contact us button, so we can get you booked for an appointment and give you the smile you deserve.


There are services already in place which are currently underutilised locally and therefore it is important that we make ourselves aware of, promote and use these services. If you are needing transport assistance to Perth or other major centres you are encouraged to contact your local health service for advice.
There are three main services available currently which our community members can utilise:
1) Patient Assisted Travel Scheme (PATS)
The Patient Assisted Travel Scheme (PATS) provides permanent country residents in a WA Country Health Service region with financial assistance when travelling more than 100kms to access the nearest eligible medical specialist service (including Telehealth).
Country patients needing to travel more than 70kms to access specialist medical treatment for cancer or dialysis, where the health service is unable to provide a transport service, are also eligible for some assistance.
PATS provides a subsidy to eligible patients, however it does not cover all costs associated with travel and accommodation.
To access PATS a referral must be made by the patient’s medical practitioner. The application for PATS assistance needs to be lodged prior to travel via fax, mail, email or in person at the patient’s nearest health service. READ MORE INFORMATION HERE: http://www.wacountry.health.wa.gov.au/fileadmin/sections/pats/WACHS_G_PATS_GuideForPatientsAndCarers.pdf
2) HACC – Home and Community Care Program
The Western Australian Home and Community Care (HACC) Program is a joint funding initiative of the Commonwealth and WA State Governments which provides basic support services for eligible people of all ages with a disability and their carers to assist them to continue living independently at home.
HACC support is designed to assist people with the greatest need and aims to maximise people’s independence. This includes providing basic support for people:
- Transport assistance to help you attend appointments and travel around the community
- to participate in social activity in a group or one-on-one
- with everyday household tasks
- to enhance nutrition, function, strength, independence and safety
- to support independence in personal care activities such as showering and dressing
- to keep up with essential activities such as shopping, banking and maintaining social contacts
READ MORE INFORMATION HERE: http://ww2.health.wa.gov.au/Articles/F_I/HACC-Home-and-Community-Care-Program
3) Narrogin CATS Bus (Community Assisted Transport Service)
This Service is for members of Narrogin and District community requiring transport to specialist medical appointments and services not available in Narrogin.
READ MORE INFORMATION HERE:
There is also a schedule of visiting specialists to the Narrogin Hospital and this list can be requested at the Dumbleyung Hospital. If you have further questions or would like to enquire about any of these services, you are welcome to contact the Dumbleyung Hospital on (08) 9863 5222.
Article supplied by the Shire of Dumbleyung


Following a healthy diet may help reduce risk of hearing loss in women
Sticking to a healthy diet may help reduce the risk of hearing loss in women. This is according to a new study by a top hospital in the United States called, Brigham and Women's Hospital.
The study looks at the relationship between hearing loss and three different diets. These are the Alternate Mediterranean diet (AMED), Dietary Approaches to Stop Hypertension (DASH), and the Alternative Healthy Eating Index-2010 (AHEI-2010).
Researchers followed 81,818 women for 22 years and found that women who closely followed the AMED and DASH diets had about a 30% lower risk of moderate or worse hearing loss, as compared to women who did not follow these dietary guidelines.
The study says that eating well contributes to overall good health, and it may also be helpful in reducing the risk of hearing loss.
A Mediterranean diet is mainly made up of fruits, vegetables, beans, nuts, legumes, olive oil, fish, and seafood. It allows for sweets and red meat for special occasions. Cheese and yogurt is allowed in moderation.
The DASH diet is high in fruits and vegetables, lower in dairy, meat, poultry, and fish and minimal in fats, oils, and sweets.
The AHEI-2010 diet has similar components to both the AMED and DASH diets.
Read more on Newz Hook
- Get-hooked November 17, 2018 What made Stan Lee's superheroes so magical for children with autism
- Headlines November 18, 2018 Kerala shutdowns as Sabarimala open for ‘Mandala Kalam’
- Accessibility November 19, 2018 #MeToo moment eludes India's disabled women, Tamil Nadu study reveals extent of invisibility
- Events November 15, 2018 BGFI's Accessible Tour to Mumbai Dockyard
- Headlines November 15, 2018 Supreme Court to hear review petitions for Sabarimala issue on 22 January
- Get-hooked November 16, 2018 Some tips to make learning fun for children with autism
- Technology November 13, 2018 Engineering student develops app called Myability that speaks out typed text
Ask your question about any issue related to disability, this is your space to find the answer.
Want to feature your inspiring story or share an event with the disabled community? Write to:
Get-hooked November 14, 2018
Get-hooked November 19, 2018
Newz Hook - Accessible News


No evidence of cytomegalovirus in aggressive brain cancer tissue
In a rigorous study of tumor tissue collected from 125 patients with aggressive brain cancers, researchers at Johns Hopkins say they have found no evidence of cytomegalovirus ( CMV ) infection and conclude that a link between the two diseases, as claimed by earlier reports, likely does not exist.
The Johns Hopkins team cautioned that studies to confirm this finding are needed to absolutely rule out any role for the common CMV in glioblastoma and other cancers that arise in neurological support cells called glial cells. But they say their study substantially weakens the likelihood of that role.
A report on the research was published in Clinical Cancer Research.
As early as 2002, the Johns Hopkins team says, several studies reported that tumor cells isolated within glioblastomas and other gliomas were infected with CMV, a herpes virus that infects more than half of all adults by age 40 and is related to viruses that cause chickenpox and mononucleosis.
Because other viruses are associated with some cancers, notably HPV ( human papillomavirus ), which causes most cervical and some head and neck cancers; and Epstein-Barr virus, which causes some lymphomas, those earlier findings generated excitement about the potential for antiviral therapies to improve the usually poor outlook for people with gliomas.
Investigators used several techniques to test tumor and other tissues from 99 men and women and 26 children with glioblastoma and other high-grade gliomas preserved and stored in different ways. Some of the tissues were stored as fresh frozen tissue, and some in paraffin wax blocks of tissue first soaked in a preservative known as formalin ( formalin-fixed / paraffin embedded or FFPE ), using either standard pathology slides or a tissue microarray ( a collection of several small samples placed in the same paraffin wax block ).
The researchers ran these samples through different analytical techniques to look for CMV. Fresh frozen and FFPE samples underwent real-time PCR ( a technique used to amplify copies of CMV's viral DNA ) or chromogenic in situ hybridization, a technique that looks for the presence of specific nucleic acids that make up DNA.
The FFPE samples and those in a tissue microarray underwent immunohistochemistry, a process that looks for certain CMV-derived proteins.
Using one or more of these techniques on all of the samples from the 125 patients, the researchers found no evidence of CMV in any of them.
Additionally, the researchers took blood samples from 18 recently diagnosed patients before they received standard radiation to treat their cancer and periodically after their treatment.
They tested the portion of blood called plasma of these patients using real-time PCR and their serum using a method known as the IgG avidity index, which looks for antibodies to a virus and can indicate the presence of a latent or previous infection.
Eight of 15 patients, for which blood serum was available, had signs of CMV in their serum, similar to rates in the general population. None had signs of the virus in their tumors, including those who tested positive for the virus in their serum.
More research using large numbers of tumor tissues from patients throughout the world, coordinated by independent laboratories with no stake in the presence of CMV in gliomas, will be necessary before CMV can definitely be ruled out as a player in these cancers.
There are several types of high-grade gliomas, including glioblastoma, the most common, which is a type of astrocytoma and the most common among primary brain cancers in adults.
The American Brain Tumor Association ( ABTA ) predicts that more than 12,000 cases of glioblastoma will be diagnosed in the U.S. in 2017.
Median survival for this disease is 14.6 months with the current standard of care, which includes radiation and chemotherapy. ( Xagena )
Source: Johns Hopkins Medicine, 2017
Votubia for treating the benign tumours caused by tuberous sclerosis: subependymal giant cell astrocytoma and renal angiomyolipoma
Votubia is a medicine that contains the active substance Everolimus. It is available as tablets ( 2.5, 5, 10 mg...
Researchers are closely studying the link between inflammatory processes and tumor formation, while others are investigating anti-inflammatory drugs as a...
Researchers at The University of Texas M. D. Anderson Cancer Center have found that allergies and asthma that stimulate inflammation...
Results from a new study of childhood cancer statistics provide further evidence that common infections affecting mother and baby could...
Researchers at University of Texas ( UT ) Southwestern Medical Center found that stem cells in a certain region of...
The FDA ( Food and Drug Administration ) has approved a new indication for Temozolomide ( Temodar ), an...


Doctor insights on:
I take 10 mg of lisinopril daily. Wondering how dangerous it is if I forget to take it every once and a while?
Not detrimental: It takes a tremendous amount of dedication to stay on a medical regimen every day of your life! it is important that med be taken as prescribed, but we all forget here and there. For lisinopril, it is not detrimental if you missed a dose especially if you have been taking it regularly (you have a good, steady level of it in your body already) and that your pressure is under good control. Good luck. ...Read moreSee 1 more doctor answer
Can I take propranolol sr 60mg with 50mg zoloft (sertraline)? I have hypertension, my doc prescribed me propranolol after lisinopril has side effects on me.
Zoloft (sertraline) Beta Blocker: Beta blockers can slow down the brain processes, even to the point aggravating existing depression. Propranolol penetrates the brain substantially. I recommend you take propranolol at night. Ask your prescriber if atenolol may not be preferred, since its brain penetration is a lot less than propranolol. ...Read moreSee 2 more doctor answers
ACE and food: Lisinopril is equally effective with or without food. Food does not effect how well it works or is absorbed. ...Read more
Is lisinopril, used as a hypertensive rx, usually taken in the morning or evening when it is prescribed one time daily?
Either: There is some evidence that this type of blood pressure medication may control your blood pressure better if taken at night. That being said the most important factor in control is a patient taking their medications consistently. Take it the time of day you are least likely to forget to take it. If that is the morning then that is the best time of day for you. ...Read more
Yes: Absolutely.Get a more detailed answer ›
I take a small dose of lisinopril daily for mildly elevated bp. It works well except for in dr. Office when the white coat hits and it spikes thru. ?
White Coat : Hypertension is common. Keep track of your BP out of the office and discuss with your doctor. ...Read more


This week, with it being back to school, I have found myself talking to several patients and parent caregivers of individuals with chronic disease about this transition.
With each new school year, you can hear the excitement buzzing around on the school yard or on social media of all the kids heading back, excited to see friends and share their aspirations. But for Daniel, and for many others, there is less excitement and a little bit more apprehension.
Daniel had a great first day back to school, but we still had a conversation about him feeling like he’s still ‘the kid with arthritis’, ‘the kid with a suppressed immune system’. People know his story—and we are so relieved that they do, so our community can be there for him—but for a kid or a young person with a disability, even an invisible one, it can sometimes feel like it’s the first thing people know about you or ask you about. When all you want is to just be or feel normal.
I sometimes wonder if that’s almost the very definition of being normal and wonder how many of us are walking around questioning ourselves, wishing we were normal. What is normal anyway? Because if having a life free of pain is normal then I feel like none of us qualify!
But like anyone who has pain—whether it be physical, or emotional—there is a grief that never goes away and with every new situation it pops back up again. We’ve seen it when we have had to take more trips to the hospital; we’ve seen it when we have fewer trips to the hospital. I saw it when we started homeschooling; I saw it when we went back to school. It feels like, with every new transition—like with all grief—kids with chronic pain and rare diseases face their big emotions all over again! And processing emotions is hard and it can come out in different ways.
Some of the things we’ve heard from Daniel at home:
- When in Denial: “No, I’m not different. I’m fine. I’m normal. Stop telling people I have arthritis! I don’t need help!”
- When in Pain/Guilt: “If I could only keep up with the other kids, they wouldn’t know I’m different! Why do I have to go to the hospital all the time!? Why do I have to be different? Why can’t I do it! (it being a specific physical activity, like running, climbing monkey bars, etc.)
- When he’s Angry: “It’s not fair! No one gets me! Why haven’t doctors figured out how to fix me yet!? Why does everyone treat me differently? You’re hurting me!”
- When he feels lonely: “Not even doctors can understand me; there is no one else like me. It hurts, and there are no answers. I don’t want to be like this forever.”
Often, we see a cycle of these emotions; Daniel might feel them in big ways and then process them and break from them. But often, just like other forms of grief, they resurface again. I can’t offer up advice as to what to do to “fix” these feelings and truthfully—just like these diseases—I don’t know that there is a cure.
Even as a parent I find myself going through cycles of grief when I picture the life I had planned for my child. Even when his pain is controlled and he seems to be doing well, you face the uncertainty of the future and these emotions can once again rear their ugly head.
For so many of these kids and patients with chronic rheumatic diseases and their families, these feelings are common and constant, and nothing can change that. But what can help is when someone who has been on a similar journey comes alongside and says, “I understand, I feel it too,” or when someone who is part of the patient’s care team can say, “I see your pain, how can I help? What do you need?”
Unless you are faced with chronic disease, it’s hard to realize that every transition means facing these emotions. Many might think that when you have something positive happen in your life, like returning to school, or fewer hospital visits, “These are all positive changes, so why am I struggling?” But the reality is that for someone who has faced grief, sometimes the happy moments can be the hardest of all, because you are picturing what could’ve been and what isn’t.
And when you spend so much time surviving, sometimes you forget how to live.
So, if you see my child today at school, or at sports or at his next appointment, please be patient with him: Give him a moment, ask him how he is feeling. Maybe it’s a good day, or maybe it’s not. But what he needs is to not be seen as the boy with chronic disease, but as the boy who is learning to feel alive.


When it comes to your health, choosing the right healthcare provider is crucial. Whether you’re looking for a primary care doctor or a specialist, finding someone who can meet your specific needs is essential for your overall well-being. The right healthcare provider will not only provide you with the necessary medical treatment but also offer support, guidance, and a sense of trust.
With so many options available, it can be overwhelming to make this decision. However, by considering a few key factors, you can ensure that you choose the right healthcare provider for your needs.
Experience and Credentials: One of the first factors to consider when choosing a healthcare provider is their experience and credentials. Look for providers who have a solid educational background, relevant certifications, and years of experience in their field. This will give you confidence in their ability to provide high-quality care.
Specialization: Depending on your specific healthcare needs, it’s important to find a provider who specializes in the area of medicine that is relevant to you. Whether you’re seeking a primary care doctor, a dermatologist, or an orthopedic surgeon, finding a provider who has expertise in treating your particular condition or concern is essential.
Reputation and Reviews: Researching the reputation and reviews of healthcare providers can give you valuable insights into their quality of care. Look for online reviews, testimonials, and ratings from previous patients. Additionally, ask for recommendations from friends, family, or other healthcare professionals who may have had experience with the provider you are considering.
Finding a primary care doctor is an important step in managing your overall health. A primary care doctor serves as your first point of contact for any non-emergency medical concerns and coordinates your healthcare needs.
First, consider asking friends, family, or other healthcare professionals for referrals as they may have had positive experiences with certain doctors. Additionally, it’s important to check if the primary care doctor you’re interested in accepts your health insurance to avoid unexpected costs and ensure coverage for your visits. You can also make use of online directories provided by your insurance company or reputable healthcare organizations, which offer valuable details like the doctor’s specialty, education, and contact information, making it easier to find a suitable primary care doctor in your area.
During your search for a primary care doctor, it’s essential to ask relevant questions to ensure that they meet your specific needs. Here are some important questions to consider:
What is their approach to preventive care? A primary care doctor’s focus on preventive care can greatly impact your long-term health. Inquire about their philosophy on preventive screenings, vaccinations, and lifestyle modifications to promote wellness.
How do they handle emergencies or after-hours care? It’s important to understand how your primary care doctor handles emergencies or after-hours care. Do they have a protocol for urgent situations, and will they be available when you need them the most?
Are they open to communication and collaboration? Building a strong relationship with your primary care doctor requires open communication and collaboration. Ask about their availability for appointments, their preferred communication methods, and their willingness to work with other specialists if needed.
When selecting a primary care doctor, it’s important to consider more than just finding the right provider. To ensure a smooth transition and establish a successful doctor-patient relationship, there are additional tips to keep in mind.
First, prepare for your first visit by gathering any relevant medical records, test results, or a list of medications you are currently taking. This will help your primary care doctor obtain a comprehensive understanding of your medical history and provide appropriate care. It is also very important to ensure the practice you’re looking into accepts your health care insurance plan. This will help you avoid unexpected expenses and ensure that your visits are covered.
Additionally, prioritize open and honest communication to establish trust with your doctor. Share your symptoms, concerns, and lifestyle choices to enable accurate diagnosis and personalized treatment plans.
Lastly, be sure to follow your primary care doctor’s recommendations, which may include lifestyle modifications, screenings, or vaccinations aimed at improving your overall health. Actively participating in your own healthcare will contribute to better outcomes and a stronger partnership with your primary care provider.
Building a strong relationship with your primary care doctor is essential for effective healthcare. Here are some tips to foster a positive doctor-patient relationship:
Communication: Establish open and honest communication with your primary care doctor. Share your concerns, symptoms, and goals, and ask questions to ensure that you have a clear understanding of your healthcare.
Active Participation: Take an active role in your healthcare by following your primary care doctor’s recommendations, attending regular check-ups, and adhering to prescribed treatments. Actively participating in your own healthcare can lead to better outcomes.
Trust and Collaboration: Trust is the foundation of any successful doctor-patient relationship. Trust your primary care doctor’s expertise and judgment, and collaborate with them in decision-making regarding your healthcare.
Preventive care is essential for maintaining good health and avoiding future health problems, and your primary care physician plays a critical role in delivering it. Here’s how your primary care physician contributes to preventive care:
One of the key ways your primary care physician promotes preventive care is through regular check-ups. These appointments enable your doctor to assess your overall health, monitor existing conditions, and identify potential risks early on. By detecting health issues at an early stage, interventions can be implemented to reduce the likelihood of complications down the line.
In addition, primary care physicians ensure that you receive the necessary vaccinations based on factors such as your age, medical history, and lifestyle. By keeping you up to date on recommended vaccinations, they protect you from infectious diseases and contribute to the prevention of community-wide outbreaks.
Furthermore, primary care physicians conduct various health screenings to proactively identify potential health problems. These screenings encompass essential checks such as blood pressure measurements, cholesterol screenings, and cancer screenings. By catching these issues before they escalate, your doctor can intervene promptly and help you take preventive measures.
By providing regular check-ups, administering vaccinations, and conducting health screenings, your primary care physician plays a crucial role in keeping you healthy and preventing future health complications. Establishing a strong partnership with your primary care provider will empower you to prioritize preventive care and maintain your well-being.
Effective communication plays a vital role in providing optimal patient care. WUWTA offers a user-friendly platform that facilitates meaningful patient-provider relationships, fostering trust, engagement, and compliance.
WUWTA’s platform is thoughtfully designed to deliver information to patients in a format that suits them best: at the right time and in a way they can easily comprehend.
Witness the impact of WUWTA firsthand. Request a 30-minute presentation to see how WUWTA works and the benefits it can bring to your practice. Simply fill out the form to schedule your presentation today.
"*" indicates required fields
Discover how telemedicine reshapes patient experiences. Explore the future of healthcare with virtual care's transformative impact.Read More
Transform admin processes with patient communication platforms. Optimize efficiency, streamline tasks, and enhance the patient experience. Discover more now!Read More


Five cases of the infectious illness Legionnaires' disease have been detected in Melbourne, with health authorities investigating possible links to cooling towers in the CBD.
Victorian deputy Chief Health Officer Finn Romanes says the three men and two women affected, aged 51 to 71, had each worked or visited the CBD in the days before they became unwell.
They are recovering after being admitted to hospital for treatment.
Dr Romanes says anyone who visited Melbourne's CBD between late March and early April and who is suffering from pneumonia or flu-like symptoms should visit their GP.
The illness causes flu-like symptoms such as headache, fever, chills, muscle aches and pains, followed by respiratory problems and pneumonia over three or four days, but can be fatal if left untreated.
People at most risk are aged over 50, heavy smokers or drinkers, people with diabetes or lung disease, and those with compromised immunity.
Twenty-six people have contracted Legionnaires' disease in Victoria so far this year.


TCM Cupping/Guasha Massage (2hr)
- 2 hr2 hours
- 300 US dollars$300
- 406 West Grand Parkway, Ste 280. Katy. Texas-77494
It's an age old TCM bodywork technique that can be used for pretty much anything from your daily aches and pains in acute to chronic sever ailments, it used to release the body of blood stagnation. Blood stagnation is considered to be the cause of many diseases. It mimics sweating and promotes body fluid circulation which helps to normalize cellular metabolic processes and release toxic waste from your deep cellular tissues. It also increases blood and Qi (energy) circulation to help oxidize your cells as well as nourish them. It is a great treatment that can reach and stimulate most of the body areas and it recorded in benefit for more than 400 different types of health issues.
Read our "Booking-Policy" page before submit your appointment. 50% deposit must paid in order to reserve your appointment spot. Gift-card holder, package, membership, and other pre-paid customers, 50% of the full rate of service/s will be withheld from your payment credit as the deposit, 10~15mins early arrival prior your appointment time are required to avoid your session being rushed and/or lose of your session minutes. Cancellation/Rescheduling/No-Show policy will apply if not follow.
406 West Grand Parkway South, Katy, TX, USA


Want the experience of working with a wide range of patients in a technologically advanced facility all while working in a small family friendly atmosphere? then join our team on the Medical Surgical Unit at Wesley Woodlawn Hospital!
No other organization is better positioned to deliver an excellent work experience for you like one committed to the care and improvement of human life. Wesley Woodlawn, a campus of Wesley Medical Center, provides patients with convenient access to expert heart care, surgical care and emergency services. Our 82 bed facility provides world-class medical care while promoting wellness, healthy lifestyles and community health education programs and screenings.
We are deeply proud to have earned an "A" rating in the most recent Leapfrog Hospital Patient Safety Report!
Our Medical Surgical Unit, T4, is a 26 bed unit which provides care to post-operative surgical patients and non-cardiac related patients with a variety of illnesses and disease processes. Our main population is bariatric, orthopedic total joints, and robotic surgeries. We received our Bariatric Surgery Center Accreditation from the American Society for Metabolic and Bariatric Surgery.
To learn more about the Culture at Wesley Woodlawn, CLICK HERE!
Position Summary: Under the general supervision of the Nursing Unit's Manager or designee, the Clinical Nurse Coordinator assumes responsibility for direction and coordination of all functions in the nursing unit on his/her designated shifts. In collaboration with other members of the management team, this individual is responsible for the ongoing assessment of the quality of patient care services provided in the unit.
Assumes responsibility for direction and coordination of all functions during the designated shift
Functions as a resource person for staff members and assists in necessary education of individual members of the nursing staff
Assumes responsibility for the overall quality of nursing care provided when on duty
Makes decisions regarding activities with these areas based on Administrative Operational Standards, Nursing administrative Standards, Human Resource standards, and Standards of Care for the Unit, in collaboration with other members of the management team
Supports and demonstrates alignment and leadership of the mission of Wesley Healthcare and Wesley ICARE standards
Systematically evaluates the quality and effectiveness of nursing practice by participation in quality of care activities to initiate, implement, and sustain process improvements
Maintains current professional knowledge, acts as a role model/resource, and oversees direct nursing care to patients
Establishes and maintains effective and respectful communication in development of all collaborative relationships
Ability to utilize critical thinking and problem solving skills to identify, interpret, and access appropriate resources in patient specific scenario(s)
Secures, administers and handles medication according to established guidelines
Delivers patient-centered nursing care in accordance with standards of care defined by Wesley Medical Center and Wesley Woodlawn Hospital
Assists with assessment and evaluation of staffing patterns for proper utilization of personnel, according to patient acuity levels
Assists in investigations, documentation, and resolution of complaints or incidents concerning patients, visitors, physicians and staff
Participates in, and enforces hospital life-safety, quality, and risk management policies, procedures, and standards of regulatory agencies
Assists in the development and implementation of goals and objectives for the department
Assists with interviewing, hiring, orientation and evaluation of staff performance
Required Registration, Licensure or Certification
Current Licensure in the State of Kansas as a Registered Professional Nurse (RN)
Current Basic Life Support (BLS) verification course, as specified in policy
Obtain Advanced Certification in department's area of specialty within 24 months
Required Education or Experience
Graduate of an accredited school of professional nursing
Preferred Education or Experience
Two (2) years of clinical practice in the clinical specialty of his/her unit
Required Knowledge and Skills
Commitment to the goals of the unit, patient safety initiatives and positive patient experience
Continued demonstration of clinical and leadership competency
Ability to utilize the nursing process in the provision of nursing care including, but not limited to, administering treatments and medications, interpreting diagnostic tests, formulating a plan of care, collaborating with other healthcare providers and providing education to patients and/or significant others
Demonstrated ability to communicate effectively
Possess personal computer skills
Ability to multi-task, delegate and prioritize
Displays judgment and superior problem solving skills
Communicates positively and professionally with all internal and external customers
Ability to collaborate with other health care providers
Ability to educate patients and/or significant others
Ability to supervise regular staff and float staff on shift
Demonstrates good organizational skills
Preferred Knowledge and Skills
Possess skills in: patient care documentation systems and bed placement systems
We focus on keeping benefits fair, smart and competitive with a full package of rewards that support your health, life, career and future. As part of our commitment to a healthy work/life experience, HCA rewards our employees with comprehensive health and wellness benefits, financial and retirement planning support, and time away from work options. Learn more.
HCA is an equal opportunity employer.
Internal Number: 26330-19444
About Wesley Medical Center - Wesley Woodlawn Hospital & ER
For more than 100 years, Wesley Healthcare has provided exceptional healthcare to thousands of families in Wichita and throughout Kansas and Northern Oklahoma. As a leader in overall recommended care, Wesley treats more than 24,000 patients annually and delivers more than 6,000 babies each year, more than any hospital in a 13-state region.
Olorum, sequi ad magnati nvenist ibusciis aut rae. Eritect ibusandandem hilitiam imus por simolest, iscieni moloreped quamus, velesedi totatemodis del il il ium experum erestio. Nam que sandebit volorestium dolor si toriae.


A Legal and Ethical Dilemma
Describe the legal and ethical dilemma discussed in the case study. Analyze the key ways in which a patient’s right to die relates to this specific case.
From your research, specify the potential repercussions for failure to comply with the wishes of a patient who has requested to withhold a life-sustaining procedure. Next, take a position on whether the patient’s right to die or the patient’s right to be protected from harm should take precedence in this case. Provide a rationale for your position.
Imagine that you are a part of the ethics committee investigating this case. Determine the main facts pertaining to the issue that the committee should consider. Suggest one step that the facility should take next in order to resolve the dilemma. Provide a rationale for your response.
least three quality academic resources.


Preventative Dentistry Can Help You Achieve and Maintain Optimal Oral Health
Preventive dental care can save you time and money, and guard against the development of painful and serious health conditions. By keeping up with your regular dental visits, you can halt the advancement of most problems with simple measures, rather than needing to undergo invasive and expensive procedures. Routine care is about more than cleaning your teeth everyday. Preventative dentistry keeps your jaw, soft tissues, and entire mouth healthy. Make a sound investment in your oral and overall wellness by choosing preventative dentistry with Dr. John Rink. Contact us at our Charleston, SC practice today, and set up your appointment with our friendly staff.
Professional Cleanings and Exams
Your regular cleanings and exams are important foundations of preventative dentistry. These visits are typically scheduled twice a year, although patients with certain conditions, like a predisposition to gum disease, may need to come in more frequently.
Your professional cleaning is designed to thoroughly remove plaque and tartar from your teeth. When it is not removed, plaque can calcify into tartar, which can cause bad breath and receding gums. Tartar can only be removed by a dental professional using specialized equipment.
During a routine dental visit, our team will do more than clean your teeth. Your dentist will carefully check your gums for signs of periodontal disease. Any existing restorations will be examined to ensure that they are strong and functioning properly. Your jaw, palate, soft tissues, and tongue will be reviewed for conditions like temporomandibular joint (TMJ) disorder and oral cancer. In this way, regular dental visits keep your mouth clean and healthy, and allow for early intervention and treatment of several common concerns.
Other Preventative Treatments
In addition to regular dental exams, fluoride treatments and sealants can help prevent decay and the formation of cavities. Fluoride is topically applied to the teeth, and can easily be added onto your regular exam. Sealants are applied to the chewing surfaces of your molars, where they deter bacteria and acid from penetrating the teeth. Sealants are especially beneficial for children and patients who are prone to cavities.
Good At-home Dental Care
Most of us are aware brushing twice a day and flossing daily are mainstays of good at-home hygiene. There are also some finer points to keep in mind, including:
- Choosing toothpaste with fluoride: This mineral is known to strengthen tooth enamel and reduce the risk of cavities. Toothpaste fortified with fluoride is a simple and effective way to improve the health of your teeth, and ward off decay.
- Your toothbrush bristles: Like many of our patients, you might not realize your toothbrush has frayed or jagged bristles. These damaged bristles can irritate and even harm your gums. To keep your gums in good condition, patients should replace their toothbrushes every three months, and choose brushes with softer bristles.
- Eating a healthy diet: Certain minerals, like phosphate and calcium, help keep your teeth strong. Eating foods and drinking beverages with high levels of sugar can fuel the production of oral bacteria and acids which can destroy tooth enamel. For these reasons, it is important to maintain a healthy, well-balanced diet that restricts sugar intake.
Schedule Your Visit with Us Today
Dr. Rink and his staff can help you achieve and maintain great oral health with preventative dentistry treatments. Contact our office today to schedule your next visit.


NMC begins process to allocate post-graduate seatsThe Nepal Medical Council (NMC) has begun the process to grant post-graduate seats to two government hospitals in Biratnagar and Nepalgunj—a decision that will remain crucial to end the chronic shortage of specialists in government health facilities, especially outside the Capital.
The Nepal Medical Council (NMC) has begun the process to grant post-graduate seats to two government hospitals in Biratnagar and Nepalgunj—a decision that will remain crucial to end the chronic shortage of specialists in government health facilities, especially outside the Capital.
A team of experts have submitted a report to the council following inspection of the Koshi Zonal Hospital, Biratnagar and Bheri Zonal Hospital, Nepalgunj.
Both the hospitals will run the post-graduate programmes as an extension of the National Academy of Medical Sciences, Bir Hospital. Post-graduate courses, including general medicine, orthopaedics, gynaecology, paediatrics, anaesthesiologist, radiologist and pathologist, will be run in the first phase.
“The inspection has been already completed. We are reviewing the report,” said NMC Registrar Dr Dilip Sharma. But he refused to share information on the number of seats the two hospitals would be allotted.
Dr Dinesh Banstola, a member of the inspection team, said they have pointed out the shortage of faculty members and facilities available for the PG students in the report. NAMS is planning to recruit a fresh batch of students for the PG courses by the last week of August for the next academic session.
The Health Ministry had instructed NAMS to begin the courses in big government hospitals outside Kathmandu Valley after multiple reports suggested the shortage of specialists.
One of the reports prepared under the chairmanship of Dr Chop Lal Bhusal, former chairman of the Nepal Health Research Council, had identified five clusters where the MD/MS programmes can be run in government hospitals outside the Valley.
Mechi Zonal Hospital of Jhapa; Koshi Zonal Hospital of Morang and Sagarmatha Zonal Hospital of Saptari in the Eastern Region are clubbed in Cluster 1. Bharatpur Hospital of Chitwan; Hetauda Hospital of Makwanpur and Lumbini Zonal Hospital of Rupandehi in Cluster 2. Bheri Zonal Hospital of Banke; Midwestern Regional Hospital of Surkhet and Bardiya District Hospital are in Cluster 3.
Pokhara Academy of Health Sciences and Dhaulagiri Zonal Hospital of Baglung are placed in Cluster 4 and Mahakali Zonal Hospital of Kanchanpur and Seti Zonal Hospital of Dhangadi and Sub-Regional Hospital of Dadeldhura in Cluster 5.
NAMS Vice Chancellor Dr Ganesh Gurung said that the students who will be enrolled for the PG courses must take up an assignment in rural districts for a few years. “A formal bond should be signed to this end,” said Dr Gurung.
At present, only around 300 specialist doctors are working with the Health Ministry.


Re: If his teeth don't come out right..
LOL. When I first thought sideways, I thought man that is not right! i was thinking like sideways like the tooth almost laying down on the gums sideways not crooked sideways. My husband had a patient like that and the tooth started growing into the gums and they had to do oral surgery and cut it out. It was one of her back teeth, she had had another tooth pulled and that tooth get leaning forward to fill in the gap until it was laying down. She should have gotten a bridge or a implant.
But anyways, I had to correct myself towards the end. One my adult teeth is sideways. But like I said it's hard to clean and it cuts my tongue, even though I've had it sanded down twice. Once my husband's oral surgery residency is over I will be getting it fixed.
I still recommend seeing the dentist, but mostly because I am a mom that follows most of the recommendations people give me, there's good reason for most of it!
Homeschooling momma to 3 kids, ages 7, 5.5, and 3.5 years old.