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The Green Tea and Health Connection Is Attracting More Clinical Research

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Is your health being threatened by poor diet and lack of exercise? Are you in less than excellent health or do you suspect your immune system is not up to par? There is a world-wide green tea and health connection research-a-thon in progress. A mountain of data suggests that green tea and health are linked together in many ways.

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Green tea benefits are thought to be primarily attributed to the polyphenol compounds in this beverage. Catechins, one of the polyphenols, are proving to be powerful antioxidants that fight free radicals that harm your body. Free radicals promote chronic diseases and a host of other ailments.

There are vast amounts of information available about the types of tea, their different production methods, and their health benefits.

This article is focused on imprinting a picture in your mind. The picture should be a snapshot of how many diseases and health conditions research has shown to be controlled by the antioxidant powers of these catechins found in green tea.

The following clinical research with the polyphenol compounds are examples of the scope and variety of studies that have been done.

A Chinese study indicated the more green tea consumed, the less the risk of stomach, esophageal, prostate, pancreatic, and colorectal cancer.
Another study with two cups per day consumption reduced the risk of lung cancer by 18 percent.
Cleveland's Western Reserve University concluded that drinking four or more cups of this beverage per day could help prevent rheumatoid arthritis or reduce symptoms in individuals already suffering from the disease.
Japanese scientists at the Saitama Cancer Research Institute discovered that there were fewer recurrences of breast cancer and the disease spread less quickly in women with a history of drinking five cups or more of this beverage daily.
Several studies have shown reduced severity of heart disease among men and less clogging of the heart's blood vessels, especially in women.
A 1994 published report said that drinking this ancient beverage reduced the risk of esophageal cancer in Chinese men and women by 60 percent.
Other research indicated it lowers total cholesterol and improves the ratio of good (HDL) cholesterol to bad (LDL) cholesterol.
A recent study at the University of Hong Kong found that catechins in this beverage are absorbed by the lens, retina, and other parts of the eye. These absorbed catechins reduced oxidative stress in the eye for up to 20 hours, suggesting that they might be effective in preventing glaucoma or other eye diseases.

This sampling of research data connects the dots between green tea and health. It seems clear that the known antioxidant properties in this tea fight free radicals in the entire body.

Studies from universities world-wide show that the properties in this tea have the potential to control or help prevent many different diseases. I believe the take-away from this is that the relationship of green tea and health improvements are widely recognized.

Do yourself a favor and consider adding green tea with its health-improving powers to your diet. If for some reason the brewing process or the taste is not for you, the antioxidants are still available in an extract of the green leaves. The extract captures the catechins, and is sold in a capsule or as part of a quality nutritional supplement.

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Help Heal Yourself With Guided Visualization

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My first introduction to imagery was during the time when Marek experienced complications after his j pouch/temp illeostomy operation.

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Marek insisted I read a book he had called Piece of Mind, by Sandy Mc Gregor. I was something of a skeptic, but prepared to try anything. I read the book and was inspired to join Marek in a joint imagery and visualization exercise. Marek was convinced that the stitching inside of him was poor quality and had come undone. In our visualization, we imagined hundreds of thousands, millions even, of tiny little us, dressed in overalls, and armed with welders. It was an army of ann-marie's and marek's and we went to work welding the j pouch securely in place.

Marek received enormous relief after doing this exercise and felt like he had taken care of things almost. We continued this visualization exercise over the next few days till he recovered and was out of the woods.

It wasn't a technique that we used by the time the liver was getting sick, and I don't recall now why. Back then, it was a reactive thing, and not something I made a priority in my life.
These days I would recommend a form of visulisation daily, not only for the one on the transplant list, but also for the family and loved ones that are on this journey with you.

I couldn't find any research with guided imagery and transplant patients specifically, but imagery had been found to be very effective for the treatment of stress.

Imagery is at the center of relaxation techniques designed to release brain chemicals that act as your body's natural brain tranquilizers, lowering blood pressure, heart rate, and anxiety levels. By and large, researchers find that these techniques work.

Researchers at Ohio State University in Columbus, Ohio found that people with cancer who used imagery while receiving chemotherapy felt more relaxed, better prepared for their treatment and more positive about care than those who didn't use the technique.

Several studies suggest that imagery can also boost your immunity. Danish researchers found increased natural killer cell activity among ten college students who imagined that their immune systems were becoming very effective. Natural killer cells are an important part of the immune system because they can recognize and destroy virus-infected cells, tumor cells and other invaders.

In another small study, researchers at Pennsylvania State University in University Park, Pa and Case Western Reserve University School of Medicine in Cleveland, Ohio found that seven people who suffered from recurrent canker sores in their mouths significantly reduced the frequency of their outbreaks after they began visualizing that the sores were bathed in a soothing coating of white blood cells.

At the University of South Florida in Tampa, researchers asked 19 men and women, ages 56 to 75, who had chronic bronchitis and emphysema to rate their levels of anxiety, depression, fatigue and discomfort before and after they began using imagery. The researchers concluded that imagery significantly improved the overall quality of these people's lives.
A study at Yale demonstrated that patients suffering from severe depression.

It's got to be worth a go, don't you think?

And it certainly can't hurt.

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coarse Types Of Bearded Dragons

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Bearded dragons are native to Australia, and like the vastness that Australia has to offer, there is also a large amount of distinct species, and variations of bearded dragons over the large continent.

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All species of bearded dragons are popular because of their quiet nature, ease of handling, and their small size to name just a few. Unlike many reptiles, bearded dragons wish a much smaller space to live favorably in, and are legitimately handled by adults, and children. There are eight distinct species of bearded dragons noted in Australia, and the following 6 are the most generally known as pets.

The Western Bearded Dragon

The western bearded dragon is in general found in the southwest coast, and inland areas of Western Australia. It lives in general in woodland areas, as well as in coastal dunes, and in the desert as well.

The Inland Bearded Dragon

The inland bearded dragon is the largest of all the species, and grows to colse to 20cm in size. This species is found in every state, and territory of Australia except for Western Australia. The inland bearded dragon is the most popular breed of reptilian pet.

The Mitchells Bearded Dragon

The Mitchells bearded dragon is found in the interior of the Northern Territory, and in the north of Western Australia in the Great Sandy Dessert. The Mitchells species is the smallest of the bearded dragon species, and grows to colse to 14cm. One of the easiest ways to tell a Mitchells bearded dragon apart from the other species is his large cone like head spikes, which are unlike any of the other bearded dragons.

The Dwarf Bearded Dragon

The dwarf-bearded dragons, considered to be closely related to the Mitchell species, are in general found in the Great Sandy Desert. The dwarf dragon is legitimately Identifiable because of his short legs, and short tail.

Lawsons Bearded Dragons
The Lawsons bearded dragons are the second most popular pet species. This species lives in most of Queensland, and some of the Northern Territory, but how much area the species legitimately occupies is still unknown.

The Nullabor Bearded Dragon

The Nullabor bearded dragon is a very rare species found only in a small area between the South Western, and South Australia. The Nullabor bearded dragon is legitimately recognizable by its markings, with large white markings along its back, and spines on its sides. The Nullabor bearded dragon is the least likely of all of the bearded dragons to be kept as pets, as they are hard to find in the wild, and have been known to be very difficult to breed in captivity.

It is potential that there are still undiscovered species of bearded dragons in Australia, as well as subspecies, as much of Australia's reptilian wild life is still being discovered today.

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Sun, Smoke, and Added Weight contribute to Aging Skin

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When it comes to seeing older your skin is the feature that most reliably tells your age. A study by experts at Case Western withhold healing School in Cleveland using twin subjects finds that lifestyle choices, including smoking, being overweight, not using sunscreen, all take a toll on already sun damaged skin and lead to the appearance of aging skin.

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Twins were used because they allow researchers to exclude genetic factors (as twins have same genes) and more accurately judge the ensue of lifestyle and environment on the skin.

The work involved collecting data on 65 pairs of twins (fraternal and identical) who were part of the 2002 Twin Days Festival in Twinsburg Ohio. The subjects were asked about their skin type, smoking and drinking habits, their weight and if they had any history of skin cancer.

Skin damage was similar in both same and fraternal twins, but factors covering of genetics are associated with more skin damage.

The study authors found that long-term sun exposure brings both corporal and structural changes to your skin that cause damage. Sun damaged skin has a more coarsely wrinkled surface, extra pigment or spots, lost pigment or dilated blood vessels instead of the fine wrinkles and skin growths you'd usually see in aging skin not damaged by the sun.

In fact, as much as 40% of aging-related changes to skin come from whether the environment or lifestyle choices agreeing to the researchers. Environmental factors included a history of skin cancer, being overweight and smoking.

Drinking was found to bring less skin damage. While added weight usually makes you look older, it was also found to hide damage to the skin because the weight fills out the face. One surprise from the study was the skin cancer rate - higher among twins than in the normal population.

"This study, with an 8 percent skin cancer rate in twins, seems high when the normal habitancy has an incidence of less than 0.5 percent. This in of itself would merit supplementary test to look at other [potential risk] factors, such as prenatal x-rays, prenatal sonograms and low birth weights," points out Dr. Jeffrey Salomon, who wasn't involved in the study but is an assistant clinical professor of plastic surgery at Yale University School of Medicine.

To correlate damage to your skin, stand in front of a mirror and hold up whether arm so that the unexposed part is next to your face. If the skin of your arm is softer and smoother than the skin on your face, you have damaged skin. While you can't turn what's happened so far, there are things you can do now... Today, that might just help keep your skin seeing younger and fresher.

- Avoid the sun - it's your skin's mortal enemy, so be sure to use daily Uv protection (in a moisturizer or sunscreen) as well as avoiding being in the sun while the peak hours of 10:00 am - 2:00 pm or wearing protective clothing if you must be outside.

- Stop smoking - as this causes your skin to age early, robbing it of oxygen and nutrients, as well as causing the breakdown of your natural market of collagen and elastin.

- Drink fullness of water - as this hydrates your skin from the inside out. Eight to ten glasses per day, which sounds like a lot, is good for your skin.

- exercise - quarterly activity gives you skin fullness of oxygen so it stays healthy, as well as being a great way to keep your body fit and your weight under control.

- Exfoliate - to remove dead skin cells from the covering of your skin. Exfoliated skin is better able to absorb and benefit from the creams or moisturizers you're using.

- Daily moisturizing - in the morning and night helps aging skin hold on to its elasticity. You might try vitamin C creams for winkle control and fading of brown spots, products with alpha hydroxy acids to keep your skin younger looking.

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Railway Enquiry Through SMS on "139 - Rail Sampark"

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On 17th June and in the year 2009, "139 - Rail Sampark," the official information for Indian Railway has of late initiated the facility of Railway information through short messaging service that is SMS, which is a first-class service. The users can get hold of the information concerning PNR status, ticket cost, seat accessibility and arrival and departure by merely transferring SMS in the specific sentence structure to 139. The sentence structure for ticket position information is -PNR 10 digits PNR Number and SMS to 139 Particulars of the measures.

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The facility has been commenced on by Indian Railway Catering & Tourism Corporation Ltd.

(IRCTC), a public sector which has been undertaken by the Ministry of railways. This Railway enquiry service functions on the number 139 which can be called from the landline or mobile phones all around the country with no prefixing of the STD code. The facility has become extremely accepted with the Railway passengers. Till today's date more than 7 lakh 50 thousand calls every day are being received on 139 from all around the country. The purpose of 139 is to get linked to the masses, a service that is intended for all and is efficiently and without difficulty available. All through the day call centre support is accessible in eleven local languages from corner to corner in India.

The facilities comprises of enquiries related to arrival and departure of trains, PNR condition of berth status and price enquiry. Together with this, the number 139 can also be contacted to reserve a train ticket where money is paid either through a cash card over phone and the ticket is delivered or emailed to the user through the email id.

The Indian Railway Catering and Tourism Corporation Ltd (IRCTC) celebrated the foremost anniversary of its "139 - Rail Sampark", the Indian Railway information services, shows off a daily listing of above 5 lakhs calls from length and breath of the country.

Delivered by Bharat BPO, the particular facility handles enquiries connected to arrival, departure, schedules of trains moving between two stations, PNR and booking of berth status, price enquiry, accessibility of Tatkal adjustment, trip planning, concession and termination rules, money back rules and trains in-between stations.

Overall we can say this is a service that has revolutionized the whole railway system along with the internet ticketing services previously providing to be a run away accomplishment "139 - Rail Sampark" will modify the way a customer associates with the Railway authorities."

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The Hormone Connection to Women's Mental health

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Do hormones really affect women' mood?

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In the past fifteen years the field of endocrinology has produced vast amounts of evidence showing that the loss of estrogen that occurs normally during menstrual cycle changes puts women at greater risk for mood, anxiety, and craving disorders. Considering the prevalence of these illnesses among women, we're fortunate to be gaining a better understanding of them.

Women are more than twice as likely to become depressed. Research shows that they're also more likely to suffer from anxiety. More develop phobias. It's the same ratio for agoraphobia: nearly 8% of women become agoraphobic, compared to only 3% of men. More succumb to post traumatic stress syndrome. Seventy percent of those with social phobia are women. What could be happening here?

The cyclic nature of estrogen secretion may account for women's special vulnerability to mood and anxiety disorders, Dr. Mary Seeman reported, in the Journal of the American Psychiatric Association, in an analysis of dozens of studies on how female hormones affect psychopathology in both men and women.

The theory of "recurrent estrogen withdrawal" proposes that a low estrogen state drives the onset, or worsening, of mood symptoms in women who are predisposed--by virtue of already low serotonin levels--to mood and anxiety disorders. In 1996, researchers at the University of Edinburgh published a report discussing the molecular level at which these changes occur. Struck by estrogen's "profound effects on mood, mental state and memory" they described the hormone as "nature's psychoprotectant." Sufficient levels of estrogen must be present in the brain, that is, if psychic stability is to be maintained. Estrogen's importance to cognitive processing and memory is not a slight matter. It's been discovered that actually buffers the brain's neurons against degeneration.

By the end of the nineties mounting evidence had begun to show a unique and persistent hormone connection to almost all mental illness in women. For example, binging and purging behaviors in bulimics worsened during the premenstruum, when estrogen levels go down. So did panic attacks in women with panic disorder. Impulse disorders, too, seemed to get worse during that week or ten days before the period begins--kleptomaniacs went on more stealing escapades, trichotillomaniacs pulled more hair, skin cutters cut more skin.. All of these illnesses are related to serotonin dysfunction, and, as we've seen, serotonin and estrogen are inextricably linked.

In the nineties a Canadian psychologist, Barbara Sherwin, was conducting very interesting studies on how estrogen loss affects cognition and memory. I went to Toronto to spend a day with Dr. Sherwin in her office at McGill University. I needed a mini-course in estrogen and she was willing to give it to me.

From early fetal life, hormone receptors are present in the hypothalamus of the brain. It is here that they begin organizing brain circuitry, setting the stage for puberty, regulating subsequent adult sexual behavior, and controlling the frequency and intensity of emotional disorders. Research in neuroendocrinology has much to tell us about the pre-menopausal malaise that used to be thought the result of women's sadness over the loss of reproductive function. Now it's known that the mood and cognitive changes experienced are physical in origin.

Low estrogen affects mood. What I hadn't known, until speaking with Dr. Sherwin, is that in order to produce serotonin the brain needs estrogen. I didn't even known that estrogen existed in the brain. "There are estrogen receptors in various organs throughout the body, the brain included," she explained. "That's why estrogen loss produces so many different bodily symptoms--loss of skin elasticity, bone shrinkage, mood and cognitive decline".

When estrogen levels rise, on the other hand, as they do in the first week of menses, their overall effect is to increase the amount of serotonin available in the spaces between the brain's nerve cells. That improves mood. Within the brain, estrogen may in fact act as a natural antidepressant and mood stabilizer.

Dr. Sherwin introduced me to the work of researchers who were doing important basic science, including Bruce McEwen at Rockefeller Institute, in New York, and Joseph LeDoux, at New York University, who were discovering the molecular changes supporting the view that estrogen had profound effects on the mind and its capacities.

It wasn't long after my visit with Dr. Sherwin that I learned of an important review of ten years' worth of studies entitled, Estrogen, Serotonin, and Mood Disturbance: Where is the Therapeutic Bridge? Two researchers in the Perinatal and Reproductive Psychiatry Program at Harvard Medical School had essentially been motivated by the same question that I had: What is the hormone connection to women's mental health? Joffe and Cohen looked at a hundred-and-twenty five studies on the relationship between women's reproductive cycle hormone changes and their mental status. In study after study they found that women with histories of depression are apparently more vulnerable to recurrent episodes during periods of "significant reproductive endocrine change".

Correlation does not prove causality. The fact that someone becomes morbidly depressed exactly on the day ovulation begins and remains that way until the day she starts bleeding doesn't prove that premenstrual drops in estrogen cause mood changes, but it damn well raised suspicions. Once information from new brain imaging techniques was added to the mix, the case for a hormone connection to women's mental vulnerabilities became as close to an open and shut case as are you're likely to get. Neuro-imaging has improved our understanding considerably, indicating lightening flashes of activity in different parts of the brain during what used to be called, dimly, "that time of the month."

It is the dance between two kinds of hormones, ovarian hormones and brain hormones, that ultimately determines how symptomatic any given woman will become during her menstrual cycle, and at other reproductive risk points as well. If, for example, a woman is genetically coded to have low, or borderline levels of brain serotonin, the estrogen drop that occurs premenstrually may be all it takes to send her serotonin spiraling below the level of optimum functioning, putting her in a mental state that, for all its upsetting symptoms, mysteriously vanishes as soon as her period starts and her estrogen levels go back up.

Why does this happen? Because serotonin needs estrogen for its metabolization in the brain. The two hormones are a dynamic duo, functioning arm in arm. As estrogen levels drop, so does serotonin. When estrogen rises (as it does, for example, once menstruation begins) serotonin levels come right back up with it, and calm is restored. The ebb and flow of womens' menstrual moods is orchestrated not by the moon but by secretions in her brain and ovaries. What we now know is that the sometimes negative outcome of these secretion changes is not inevitable. Just as science has learned to modify insulin changes and thyroid changes, it can now modify ovarian changes. If you don't want to blame your mood on your ovaries, blame it on the brain. Blame it on whatever pleases you, just don't resign yourself to the view that women were born to suffer.

To me it's fascinating that the individual pieces of this important puzzle were not available to us twenty years ago. And the dynamite effect of putting those pieces together has occurred only in the last decade. Building on previous knowledge and assembling the picture step by step, endocrinologists at places like the Neuropsychiatric Institute in California, and the Reproductive Mood Disorder Program at the University of Texas Medical Center have come to understand that women are not only vulnerable during the premenstruum, they are vulnerable at all the reproductive risk points. Moreover, a woman who suffers at one of these risk points is vulnerable to becoming symptomatic at others. If she has genetically low serotonin in her brain, estrogen drops are going to affect her, simple as that.

Things have taken a more enlightened turn since then, thank God, but we are only now coming to understand what actually happens to women's mental well-being at times of hormonal stress. Women scientists in particular, including psychiatrists and reproductive endocrinologists like Barbara Sherwin, are making a unique and important contribution to the massive surge of research that is currently shaping a whole new paradigm for understanding the role of hormonally created change in female well-being and mental status.

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Long Term Care Insurance (LTCi): Features of a Good Policy

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Don't let your LTCi be a disappointment
"I have 0 a day for life," Gloria, one of my clients, complained. "Why do they only give Carolyn .00 a day?"

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Gloria owns several policies with my company. However, her LTCi, which she is currently using, is with a different company. Carolyn, her home health aid, receives limited pay because Gloria's policy includes only 50% home care. While Gloria would receive 0 a day indefinitely in a nursing home, she can only get .00 a day for home-care. Furthermore, since Carolyn does not work through an agency, she is considered "non-professional" and will be paid no more than .00 an hour. To make matters worse, Gloria is still paying her full monthly premium because her policy does not include a waiver of premium unless she is in a nursing home! This situation could have been avoided.

Take action to protect your interests

Long Term Care insurance, a type of protection that pays the bills when a person needs extended care either at home or in a nursing home, should be part of senior planning for every adult who owns property, investments or savings-or who simply wants to protect freedom of choice, independence, and family harmony. Nevertheless, 65% of adults over 40 admit to having made no plans for long term care for either themselves or a spouse, according to Genworth Financial.

Put the excuses on the table

The first excuse for putting off the purchase of LTCi is money, but the real reasons are usually a matter of denial-you don't really believe you will ever need it-and confusion over the mountain of information. Numerous companies offer LTCi insurance, and while the policies are similar, the language can vary significantly from one company to another. Make one inquiry, and multiple packets crammed with information will soon fill your mail box. You don't know what to do, so you do nothing.

LTCi: Basic coverage and features

Fortunately, understanding LTCi is not as difficult as it seems. However, it is not a one-size-fits-all program, so doing it on your own or over the phone is not a good idea.

Basic coverage

All LTCi begins with the basic coverage-a maximum dollar amount per day multiplied by the number of days of coverage. The actual premium is then based on your age. For example, a three year, 0 per day benefit would give you 1095 days times 0, or a "pot of money" of 9,500 to spend. Even though most nursing homes charge more than 0 a day, your pot will last at least three years because you can't spend more than 0 per day. Once the company has paid 9,500, your policy is exhausted, and you will have to pay for additional care yourself.

The other part of your basic coverage is the elimination period, a deductible consisting of a set number of days that you must pay for care before your policy will start paying. Some companies go strictly by the calendar, others go by the actual days you received care. A longer elimination period reduces your premium.

Feature 1: Home care

Features are benefits included with no extra cost. For example, most companies can offer a choice of whether you want to include care in your home. It may be included at a slightly higher premium, or it could be a rider, depending on the company. You can also choose 50% or 100% home care. If you choose 100%, you can spend your maximum of 0 per day for care in your home. Furthermore, while nursing home care has to be calculated on a daily basis, most companies calculate home care by the month. You could thus spend one day and 0 another day, so long as you do not go over 00 per month (in our 0 per day example).

Feature 2: Waiver of premium and discounts

Most companies will waive your premium when you have to start using your coverage. Some waive the premium from day one while others require you to be on claim for at least 90 days first. If you should get well and go off of claim, your premium would resume. Some companies waive the premium for both spouses if just one goes on claim. However, nearly all companies give a discount if husband and wife are on the same policy.

Feature 3: Restoration of Benefits

The best companies include a restoration of benefits feature, meaning that if you only need care for a few months and are able to go off of claim, your entire pot of money is "restored," giving you the full policy to use again when you need it. However, the pot can only be refilled if it has something left in it-even as little as .00.

Feature 4: Home modification

Many companies will pay several times your monthly benefit to modify your home with things like wheel chair ramps, widening of bathroom doors, or rails in the bathtub or around the commode.

Feature 5: Caregiver training

Do you have a family member who is able and willing to participate in your care? Some companies will pay several times your daily benefit to train that person who will then take care of you at their own expense, making your policy benefit last much longer.

Feature 6: Respite care

Respite care is simply a vacation for a family member who has agreed to help take care of you. For a certain number of days each year, a company will put you in a nursing home or find someone else to take care of you, and the company will foot the bill up to your maximum daily benefit.

Feature 7: Equipment rental

Equipment rental is simply the rental of hospital equipment-such as a hospital bed-usually up to the purchase price of the equipment.

Feature 8: Adult day care

The better companies include adult day care where you can get therapy and interact with other seniors. Usually transportation, meals, therapy, and help with activities of daily living are included.

Feature 9: Prescription drugs

The inclusion of prescription drugs-of the type given in a nursing home or hospital-is a very important feature, but many companies only include drugs with a rider. Ask about it.

Feature 10: Room reservation

What if you get sick while you are in the nursing home and have to go to the hospital? The room reservation feature reserves your bed for a certain number of days each year.

Feature 11: Hospice and ambulance

Medicare pays for the nursing needed during hospice as well as for a certain number of ambulance trips per year. However, most LTCi policies offer some additional ambulance dollars as well as the home health aid and domestic services if you are on hospice.

Feature 12: Patient Care Coordinator

Companies have different names for this, and many don't offer it at all. A patient care coordinator is a person who will work with you to find the agencies in your area. The person will find out what the agencies charge, and will help you choose the appropriate agencies to meet your need. The coordinator can also help you file claims by explaining how to correctly complete the paper work.

Remember, features of a policy are included without extra charge. It's worth paying a bit more for a policy that includes a lot of features rather than buying something cheap only to find out that benefits you would have liked aren't included.

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5 Reasons Doctors Love Dr House

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Most doctors I know get a kick out of the television show, "House." Though we're all aghast at his bedside manner and cavalier attitude, still there is a certain attraction. Those not in the medical field may wonder how physicians can enjoy watching such a callous fellow.

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Here are the five top reasons doctors love Dr. House.

1. Dr. Gregory House says things doctors would like to say themselves, but don't have the nerve. Most doctors filter what comes out of their mouths. They may think curse words, but seldom say them. We rarely accuse our patients of lying, even when we suspect it. We may think our patients have behaved foolishly, but we keep our thoughts to ourselves. It comes as a catharsis to finally hear a doctor (albeit an imaginary one) say things that cross every doctor's mind.

2. Dr. House doesn't do any paperwork. Doctors hate paperwork. It's not only beyond boring, but sometimes perceived as interfering with patient care. The benefits are usually invisible, uncompensated, and extend the workday (needlessly, he would add).

3. Dr. House walks away from boring cases. Few doctors have this privilege. Physicians take patients as they come, without guarantee of intellectual stimulation. For family physicians, this means seeing high blood pressure patients, day after day after. For dermatologists, it's acne, psoriasis, and eczema, and for cardiologists it's heart attack, heart attack, heart attack. Even poor Dr. Wilson sees cancer, cancer, cancer.

4. Dr. House doesn't worry about getting paid. He's apparently on a salary, and gets paid the same no matter how few patients he sees or clinic hours he skips. Other doctors get paid by the patient or by the hour and are expected to produce. Most of us would be happy to have an afternoon to spend watching TV or surfing the web, while others are busy doing our work for us.

5. Dr. House doesn't worry about what anything costs. For a doctor it's a burden to not only worry that the right tests are ordered, but that they'll be paid for, either by insurance, the patient, or the government. House simply doesn't care. He orders every test in the book. In real life it's not the hospital administrators who are looking over our shoulders to see what tests we've ordered - it's the insurance companies that require pre-authorization and proof that less expensive therapies have already been tried. Being an advocate for our patients, and taking the extra time to make sure appropriate testing is obtained, generally amounts to more uncompensated paperwork. Bullying your way through simply does not work for real doctors.

Aside from his diagnostic skills, Dr. House is the antithesis of a good physician. But still he's funny, and now and then I learn a thing or two. Once or twice a season I solve the case before the esteemed Dr. House - which keeps me coming back for more. The cases are true, by the way, all oddballs that the average doctor might see once in a lifetime. In medical school we're taught that when you hear hoofbeats, you should think horses, not zebras. But in Dr. House's case, he's got a stableful of zebras.

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additional development invite ("Adrs") and Hospice Care - Three Ways to enhance Documentation

Hospice Of - additional development invite ("Adrs") and Hospice Care - Three Ways to enhance Documentation. The content is good quality and useful content, That is new is that you simply never knew before that I do know is that I actually have discovered. Before the unique. It's now near to enter destination additional development invite ("Adrs") and Hospice Care - Three Ways to enhance Documentation.

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Hospice is a treatment doctrine that focuses on relieve and quality of life. Population are often surprised to learn that it is also a special benefit under Medicare that pays for a great deal more supplies, medications and services than other assurance benefits. Qualifying for hospice care is relatively straightforward. The outpatient must have Medicare Part A and their doctor must certify that they are likely to die within six months if their life-limiting condition runs its staggering course. Prognosticating on dying patients, on the other hand, can sometimes be difficult. Research has shown that some patients undoubtedly improve with the increasing of hospice services and other patients' rate of decline may be slower than expected. This problem of prognostication is causing hospices to perceive increased government scrutiny. At the core of this scrutiny is concern that patients who are receiving hospice care may be chronically ill rather than terminally ill and therefore, ineligible for hospice care. The fact is that hospice serves only about 39% of all dying patients and 50% of those dying patients received care for only three weeks rather than 6 months.

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This narrative deals with the most basic level of hospice scrutiny, supplementary amelioration Requests or Adr's. Adrs are when the Medicare Fiscal Intermediary or Medicare executive contractor decides to withhold cost on a group of patients until the hospice sends documentation that confirms that the outpatient met both technical and medical eligibility criteria. If complicated claims are denied, the hospice will perceive delays in cost and eventual financial hardship. The end consequent may be that fewer patients receive hospice care because the hospice becomes fearful that accepting patients early could consequent in Adrs or audits and subsequent financial hardship.

There are some easy changes in documentation that the hospice clinical staff can make to ensure medical eligibility is well documented and Medicare denials avoided.

First, document at least monthly all necessary changes in the patient's condition that indicate decline especially those outlined by the Local Coverage determination ("Lcds") established by Medicare. Play close attentiveness to weight loss or changes in mid-arm circumference measurements. Consider that dysphagia is not just coughing after swallowing but is a constellation of symptoms including: drooling, refusal to eat inescapable foods, a hoarse voice or gurgling sounds after eating.

Second, avoid generic documentation by closely assessing the outpatient according to their specific hospice diagnosis. For example, with patients who have end stage heart disease, rather than request generically about pain, focus your questions on the symptoms you would expect them to have. Ask the following questions: how many pillows do they sleep on at night? Do they wake up at night due to shortness of breath? Do they have a sensation of pressure in their chest and what activities bring on this sensation?

Third, document measurable data instead of observational data. Rather than stating that your patients with continuing obstructive pulmonary disease had difficulty breathing, document measured changes in their respiratory rate (breaths per minute). What was their respiratory rate after walking 20 steps and how many minutes did they require to return to baseline after they rested.

Too many patients are not offered hospice care at the end of life. The end consequent of this increased Medicare scrutiny of hospices could consequent in still fewer patients receiving hospice care. Hospices may decree to limit their admissions to those patients that will not cause them whether Adrs or audits. Clinical Staff play a key role in preventing this. easy changes in clinical documentation can demonstrate that hospice patients are in fact declining and therefore eligible and appropriate for hospice care.

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Back Pain - Re-Thinking the MRI - Cost Considerations

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Say you have a bad back. And say I give you ,000. What do you want to do? Your back really bothers you. You've missed a week of work. Most days you take a few ibuprofen. Sometimes the pain goes down your leg. Your doctor suggests an MRI. Do you take that ,000 to the hospital, get the MRI, and learn how badly your back has deteriorated?

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"My insurance should cover that," you exclaim. But think for a moment. As far as you're concerned, the test is free. I just gave you ,000. But no. You'd like to visit Hawaii. Or pay off your car. Or take a vacation with the kids. You shouldn't have to use your ,000 to pay for a medical test! And there's the crux of the problem. In the medical field, everybody is spending someone else's money. The test would be worth it to you if someone else were paying. But if you have to part with ,000 in cold, hard cash, somehow the test doesn't seem quite so necessary.

Theoretically, insurance covers tests that are "medically necessary." If your doctor says you need it, you must need it. Not necessarily so, I say. What if you would not consent, under any circumstances, to undergo back surgery or epidural injections? What do you gain with an MRI?

There are currently 100,000+ family physicians in the U.S. according to the American Academy of Family Physicians. What if each of us ordered one less MRI this year? That could equal 0,000,000 in savings. It's fairly easy to see why insured patients consent to tests of borderline necessity. It's not their wallet that will suffer.

But why do doctors order tests that may not be strictly necessary? The reasons are numerous. We doctors don't want to miss something - we may be sued, or a patient may suffer, or we may be accused of rendering insufficient care. We don't want to be responsible for healthcare rationing, nor of treating patients unequally.

Patients want the best treatment - especially if someone else is paying - insurance, Medicare, Medicaid, the VA. But ultimately it is our money, our tax dollars. Getting expensive tests will never result in lower insurance rates. The money your employer pays toward your insurance is really your money - you just don't see it.

"But I want to know," some patients say, regarding an MRI of their back. But what if the test makes no difference in the treatment or the outcome? Do you really want to know badly enough to take that ,000 and hand it to the hospital administrator?

Americans have come to believe in testing rather than clinical judgment. We'll believe an x-ray before the educated opinion of a physician. Somehow it's consoling to see a black and white report. And doctors are not immune. It says so right here, in this report, a doctor may say to bolster his or her own conclusion.

America, we need to change. Doctors and patients have to trust each other. An MRI of the back is only one example where significant savings are possible. If your doctor orders an MRI (or CT scan) ask what will be gained. Will it affect treatment? Will your outcome improve? Often the answer is no. And is it worth ,000 to you? Quite frequently, there are less expensive options. Why not take this article with you to your next appointment and see if your doctor agrees.

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The Link in the middle of Premature Birth and Oral Bacteria

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A one point eight five million dollar grant has been awarded to the Case Western withhold University School of Dental Medicine.

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This five year study funded by the National make of Dental and Cranofacial explore at the National make of health will study the effects of oral bacteria in pregnant mothers and their unborn children.

The study will be researching the possibility of a link between some types of oral bacteria, premature birth, and the death of unborn children.

It is believed that once the bacteria leaves the mouth, it will move into the mothers placenta where it can grow unchecked. This environment is an ideal area for bacteria to grow because it is an immune free environment. This is an environment principal for the permissible amelioration and increase of the fetus. If the bacteria is left unchecked, it can cause an inflammation of the placenta. This can cause preterm birth and even death.

As we have discussed in other blogs and articles, it is becoming more and more clear that oral bacteria and your broad health is linked. Oral bacteria has already been connected to heart disease, stroke, kidney, liver disease and the list continues to grow.

With over six hundred million bacteria in your mouth it admittedly is worth considering that oral hygiene is a easy way to keep your body healthy.

Expectant mothers should be especially vigilant with their oral hygiene regiment. Their bodies are more vulnerable than general during pregnancy. Pregnant mothers should see their dentist during fertilization for optimal health for themselves and their baby.

As always brush and floss daily and see your dentist regularly.

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Can Anti-Aging cusine well expand Your Life?

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It has been shown that when you use anti-aging nourishment on a regular basis it will support your immune ideas and support wholesome cell regeneration. So, if we can use anti-aging nourishment to slow the aging process, then we can live longer and live well.

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How is Can Anti-Aging cusine well expand Your Life?

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The question is, when do we start aging; how is it possible to slow the aging process; is there a way to protect our bodies against the diseases of aging? And if we can live longer, we would want to look better, to feel alive and energetic daily and live well.

When we talk about aging we're not talking about what happens to you after 25 or 30 years but what happens to you daily after birth. How our body repairs itself and handles daily stresses will directly impact how long and how well we will live. So at what age would you reconsider your life to be complete? Would you be 70 years old? 90? How about 100? Scientists believe the human body was meant to live 120-150 years and the Bible tells us that "our years should be numbered to 120".

Today, science continues to prove the astonishing condition benefits of several foods (including: pomegranate, red grape, coriander seed) mentioned in the Bible. One nutritional supplement producer has used that science to generate a luscious blend of whole fruit red grape and pomegranate extracts in apple and aloe vera juice, infused with a propriety blend of considerable healing herbs. The succeed is a miraculous, remedial drink that must be tried. It is called Genesis, the greatest anti-aging nourishment available today.

The Miracle Molecules

If you hunt the Internet you will find thousands of published reports on what is being referred to as the Miracle Molecules: Resveratrol and Ellagic Acid. Scientists have been studying these two molecules and they have been shown to have an astonishing impact on the length and vitality of the life of animals in laboratory studies colse to the world. There have also been some anticipated condition benefits seen for humans in test after test when these miracle molecules have been added to daily nutrition.

1. Resveratrol (From Whole Fruit Red Grapes) was discovered when researchers began investigating the "French Paradox". A French diet containing high levels of fat but a French habitancy with a very low rate of heart disease spurred scientific curiosity. The reply they found was in the Red Wine they drank daily. Red Wine was confirmed as a source of this miracle molecule known as "Resveratrol".

2. Allagic Acid (From Whole Fruit Pomegranate) is an anthropalexin, which translates to "protector of humankind" and is so named because of the many ways it works with the human body to protect it from serious diseases.

Thousands of study papers have been published on these Miracle Molecules (Resveratrol and Allagic Acid) and the following are only a few references to some of these very keen results:

"promotes wholesome hearts and reduces cardiovascular disease" - Ohio State University

"indicates pomegranate fruit passage or compounds derived from it may inhibit cartilage degradation in osteoarthritis" - Case Western support University/The Journal of Nutrition

"cuts risk of Prostate Cancer", "cuts risk of Breast Cancer" - Fred Hutchinson Cancer Centre & European Journal of Cancer Prevention

"slows down heart muscle damage ... And reduces blood pressure" - Lipid study Laboratory

"promotes weight loss by reducing fat cells" - Oregon State University & University of Ottawa

"prevents influenza virus from duplicating" - Journal of Infectious Disease

Some of the many anti-aging benefits related with the Miracle Molecules; Resveratrol and Allagic Acid are as follows:

Anti-aging Properties - 30-70% life prolongation in laboratory test Promotes wholesome heart tissue· Lowers Bad Cholesterol, Increases Good Cholesterol· Controls high blood pressure· Protects cells from free radical damage· Causes aptosis (death of cancer cells)· Speeds up fat-burning within the cells· Diminishes incidence of Acid Reflux· Rejuvenates organs like Liver & Kidneys· Slows down duplication of flu virus· Maintains younger finding skin· Promotes great sleep· Cleanses brain tissue of the amyloid plaque related to Alzheimer's
Symmetry's Genesis is the reply to your hunt for a great anti-aging nutritional supplement. Each serving contains the polyphenolic anthropalexins (the most potent antioxidants) equivalent to the juice of one medium size pomegranate. Each serving also contains the resveratrol (one of the anthropalexins) equivalent of one 5-once glass of red wine, but without the alcohol.

So, maybe there is finally an anti-aging nourishment that can increase your life and if it works I want to be one of the first to prove it. Visit my website for more information on anti-aging nutrition.

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Best Hospitals in Singapore

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No matter where you go in Asia, Singapore is renowned for having some of the best medical care in the world. If you happen to get sick or become injured while you are in Singapore you can be sure that you will receive top-notch care.

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How is Best Hospitals in Singapore

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Basically, you ca not go wrong in any of the hospitals in Singapore. This country boasts one of the world's longest longevity rates as well as one of the lowest infant mortality rates. There are both government and private hospitals. All are of good quality, but the government hospitals are less expensive. The downside is you are more likely to have to wait for treatment. Although the private hospitals are more expensive, you will be treated quickly and efficiently.

I would like to give a brief overview of some of the better hospitals in Singapore.

National University Hospital is one of the most famous and largest hospitals in Singapore. It is connected with the University of Singapore and ranked among the top six in the world in 2000 by WHO. Its current strengths are in the fields of cardiology, cardiothoracic and vascular surgery. You will find NUH on 5 Lower Kent Ridge Road. NUH has a whole department, the International Patient Liaison Centre which caters to foreigners seeking treatment at their hospital. Their 24-hour help line is (65)6779 2777.

Changi General Hospital serves the eastern part of Singapore. In June 2005, this hospital received Joint Commission International accreditation. At CGH, you will find an International Medical Services team that is trained to assist you in getting the treatment you need.

Mount Alvernia is another good choice, founded in 1961 by an order of Franciscan nuns. Today the hospital is still not-for-profit. This hospital specializes in mother and child care. Mount Alvernia has a 24-hour walk-in clinic and emergency room. If finances are an issue this might be the hospital for you to consider.

Tan Tock Seng Hospital was founded in 1844 through the philanthropy of Mr. Tan Tock Seng. It is the second largest hospital in Singapore. Due to its central location its accident and emergency room is the busiest in the country. It is also accredited by the Joint Commission International for keeping up with high medical standards. It is also a member of the National Healthcare Group. It may not be terribly user friendly for the foreigner.

Singapore General Hospital is the oldest (founded in 1821) and largest hospital in Singapore, located on the grounds of the Outram Park. This hospital is a government run hospital which means the costs are kept low. This does not mean that quality suffers; the nursing staff recently received the distinctive Magnet Recognition from the American Nurses Credentialing Center.

Thomson Medical is best known for its high quality maternity care. They also have a department devoted to caring for the International patient. In addition, they have a Korean Service department dedicated to the needs of the Korean expatriate community.

Gleneagles Hospital is one of several excellent private hospitals managed by Parkway Health in Singapore and other parts of Asia. Gleneagles focuses on providing user-friendly services, along with quality care, specialists' expertise and modern technology; it is conveniently located near the Botanic Gardens and not far from the US embassy. Another Parkway Health hospital is Mount Elizabeth Hospital which specializes in cardiac surgery and neurosurgery.

You may want to consider Raffles Hospital another private hospital which especially caters the Japanese community. You can expect five star treatment and accommodations as well as a five-star price. This hospital gained notoriety for its landmark surgery in separating Siamese twins. Raffles makes available traditional Chinese medicine for those seeking that type of treatment.

I hope you do not have to use this information, but you never know when knowing where to find a good hospital will come in handy.

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Sell ancient Snuff Bottles on eBay

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Snuff is powdered tobacco normally mixed with herbs and spices designed to be sniffed upwards straight through the nostrils. It has long been viewed a more 'gentlemanly' institution than no ifs ands or buts smoking the tobacco. Snuff originated in America and became immensely favorite in 17th century Europe. Like scent, extra bottles were popularised to include snuff, being normally ornate and often unique and ultimately one of today's most favorite collectibles. Designed to carry in the pocket, most bottles are less than 3 inches long and an inch or two wide.

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Many of the most gorgeous and critical snuff bottles were made in China and highlight amongst eBay's highest priced specimens. Most Chinese snuff bottles look as if small vases with tiny stoppers and were oftentimes made from porcelain, ivory, horn, glass or bronze, and overlaid with delicate hand painting or encrusted with precious stones. The best were hand carved from porcelain and gemstones, or carved and hand hollowed from glass and worth many times more than their modern day glass blown counterparts.

There's a good following for modern snuff bottles so don't turn a blind eye to what's ready from craftworkers and glass makers. You'll find modern snuff bottles will sell well exterior their area of origin but be faithful not to confuse old with new in your listings. Some enthusiasts derive snuff bottles regardless of age; others want aged bottles aged one hundred years or more.

Although the majority of quality snuff bottles were and still are made in China, some good designs also came from Japan, normally of carved ivory or hand applied lacquer.

The Chinese developed a technique of 'inside painting' their snuff bottles to forestall exterior decorations being chipped or discoloured when knocked or branch to strong light or heat. Paint was applied using matchstick shaped bamboo sticks with a hooked end to reach inside the bottle, a painstaking process that took weeks or months, sometimes years.

The best of Chinese and Japanese creations are rare and very high-priced especially bearing the artist's signature, as you'll see from the following recent eBay results:

* Two aged Enamelled Oriental Snuff Bottles fetched ,000. These were hand painted types and went at Live Auction.

* A snuff bottle decorated enamel on copper (Japanese I think) went for 50.00, also at Live Auction. What surprised me here was the surprising lack of detail given about the bottle but the pictures were great and no doubt lifted an otherwise very poor listing.

* Two 19th century jade snuff bottles made in China fetched 50.00 and ,100.00 respectively.

Numerous other Chinese 18th and 19th century bottles fetched hundreds of dollars apiece and, in a long list of Oriental snuff bottles, just one failed to reach its support and remained unsold.

Other Things to Know About Snuff Bottles

* Snuff bottles rarely go unsold on eBay and often fetch silly-high prices. They no ifs ands or buts are the kind of thing you can buy, at roughly any price high or low, add your mark up and get what you ask, and maybe a whole lot more. Remember that, if two habitancy bid to a specific price at local auction you're bound to find one more someone in this great big world willing to pay just a little bit extra for the item, maybe a great deal more.

* The most high-priced snuff bottles are made from porcelain from the late 1600s to mid-1700s.

* The smaller the hole in the top of the bottle, generally speaking the good the quality.

* someone else major sign of quality is the size of the interior, bigger generally being more high-priced than smaller hollows.

* 'Overlay' is a article applied to many critical bottles and indicates someone else colour, material or found has been applied over the basic bottle. The more intricate and critical the coating, the more high-priced the bottle is likely to be.

* quality of carved bottles made from glass, ivory or other materials, lies in the detail and intricacy of the carving and quality of craftsmanship.

* Snuff bottles had isolate cap and sometimes their own small spoon. A bottle with top and spoon intact is worth at least two to three times more than snuff bottle minus partner items.

* When buying, collate bottle to cap and spoon, check finer details and design. Very often parts from isolate incomplete bottles are partnered, sometimes innocently to create a usable specimen, often fraudulently to enunciate value.

* If you can't tell Japanese from Chinese creations call them 'Oriental' instead.

* Keep bottles free from strong light and heat, both of which cause materials to sweat and colours to fade, as well as important to unsightly cracks in fine layers of paint and other delicate overlay.

* Look for tiny cracks and abrasions in glaze and coating, avoid any that are badly damaged. Snuff bottle collectors are finicky, and even tiny irregularities can deplete value considerably.

* Be on guard against fake 'porcelain' and 'ivory' snuff bottles which are generally made from resin, hard plastic or bone. At auction look for ways to confirm items are old, such as letters or receipts relating to whatever is offered.

* Disregard ivory snuff bottles, especially modern creations. Ivory is generally imported illegally and collected in truly inhumane manner which few habitancy find acceptable, even the most enthusiastic snuff bottle collectors. Some countries tolerate the trade of vintage ivory, in others ivory of any age or form is banned from being sold or entering the country. So you could find yourself selling an ivory snuff bottle only to find it seized by the authorities at the buyers' end.

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