Health Starters

When the thought of a working out comes up in the attempt to create a perfect body, beginners jump right into it but do not hold the correct information to achieve those results.

A lot people go about building muscle absolutely the wrong way. Because of this, they end up giving up even after one week. Some end up hurting themselves because they do not hold the correct knowledge at hand. In return, you see people training with absolutely no results and that is why they fail at building muscles correctly and end up with no results.

If you are going to get in to muscle building, you have to know what it entails. I think the number one thing that people over look is dieting. What I am referring to is what you eat and when you eat. Most people don’t understand that building muscle and achieving that perfect body is just one big science project. What I mean is successful people monitor what they eat and how much they eat. Also, 75% of getting results relies on proper dieting.

There are also many other factors including intake of protein, rest, etc. So if one thinks he or she can just go the gym and work out for 2 hours a day and expect results without proper dieting, forget it!

Also, there has to be some motivation in store. Sure going to the gym can be dreadful and be long hours, but what if you had goals? Setting goals for yourself in whatever it is that you want to accomplish is very important! without goals, you will have no point that you are trying to reach and thus working out will get very boring really quick.

If you are considering going to a gym rather than working out at home, make sure you choose one that fits you. There are plenty of gyms out there and many gyms offer activities that some don’t. For instance there could be a gym that has a kick boxing class and another one that simply has a swimming pool.

Whatever aerobic activities excites you, make sure you pick a gym that has those accessible.

Muscle building can be very exciting once you have the knowledge of how to achieve the body you want. You might train for looks or for performance.

Whatever it may be just remember, information is the biggest commodity in the world!

Healthcare MVNO, Weight Loss or Health Mangement Solution?

Can the MVNO phenomena really extend to healthcare? Qualcomm thinks so, as in May 2007 they announced plans to create LifeComm a mobile virtual network operator (MVNO) with a healthcare focus. What’s important in Qualcomm’s plans and what will perhaps be the most important factor in determining the long term success of LifeComm is their plans to integrate some of the core health care monitoring functions in to a range of custom handsets coupled with network based services.

It is not farfetched to imagine a mobile phone (cell phone) based solution that encourages the improvement of ones diet and to encourage weight loss. For example it is suggested that the mobile device could monitor a number of body functions and parameters. A patient’s clinician could remotely monitor such data from the web, setting the patient new targets, send text messages of encouragement or indeed warnings of deviation from the health care program. Such proactive healthcare technology could have a revolutionary effect on diet and weight-loss programs.

Critical to the success of healthcare MVNOs is a range of clever biometric sensors linked to the web via the patients mobile phone (cell phone), all integrated with a proven clinical program.

Whether or not one really needs a MVNO to deliver these services is unclear. Could the airtime service be provided using the patients existing mobile (cellular) provider? Or, are these applications strong enough to force the consumer to switch providers, bringing over their mobile spend? In Piran Partners experience this very much depends on the attitude of consumers in a particular target segment, whether that be by geographic region or interest group.

Health Travel to Mexico Growing Due to Availability of Safe, Affordable, High-Quality Options

With the skyrocketing costs of health care, the issue of health travel or “medical tourism” has been generating lots of buzz in the media. Within the last few weeks, stories about health travel have hit the pages of publications like US News & World, the New York Times, and the Wall Street Journal, detailing how health travel offers people high quality health care at a price far more affordable than the US. It’s a benefit without boundaries – meaning, the cost savings are for anyone who wants them, including the thousands of insured who are nevertheless facing higher premiums, reduced coverage, and higher out-of-pocket deductibles and co-payments.

While much of the press has focused on exotic locales like India, Mexico is actually the most common destination for Americans traveling for health care. Last year alone more than 50,000 Americans traveled to Mexico seeking everything from heart surgery, hip replacement, cosmetic dentistry, cosmetic surgery procedures, preventive screenings and even homeopathic health treatments. Mexico is widely recognized for its number of leading gastroenterology (weight loss) surgeons.

In its study Medical Tourism: Consumers In Search of Value, Deloitte estimates the number of medical travelers is expected to reach 6 million per year in 2009. The growth is not surprising – the typical medical traveler receive outstanding quality health care at significantly lower cost over U.S. pricing.

For example, in Mexico, weight loss surgery ranges from $6,000-$11,500 vs. the $25-35,000 price tag in the U.S. Hip replacement is $10,000-$12,000, compared to $60,000+ in the U.S. A $100,000 angioplasty in the U.S. is $25,000 in Mexico – featuring a surgeon who regularly spends at least three months of his operating time in the U.S.

Mexico offers the additional benefit of having direct flights from many U.S cities, and most surgeons are fluent in English as well as Spanish. The hospitals that welcome medical tourists are sleek, modern affairs featuring amenities such as patient suites, sushi restaurants and a medical traveler concierge, while even newer, more sophisticated hospitals continue to be built.

Do your research to find the medical tourism company that best suits your needs. There are companies that guide patients through the process of getting medical treatment abroad, handling every detail of your trip – from insurance to financing, arranging for air travel, accommodations, appointments, transportation to and from your procedure and even keeping you in touch with friends and family.

Primary Care Physicians Pay Disparity Gap Widens

Acronyms have always dominated the practice of medicine and one of the older ones is RVS or Relative Value Scale. Simply stated, although far more complicated in reality, the RVS sets the fee structure that physicians will be paid by insurance companies and agencies such as Medicare and Medicaid. A lesser known acronym is RUC which represents the real power behind the RVS. This entity, the Relative Value Scale Update Committee (RUC), evaluates physician’s procedures and makes recommendations to the CMS or better known at the Centers for Medicare and Medicaid Services. These reimbursement recommendations are almost always followed, i.e., ninety percent of the time. More alarmingly, they almost always favor dramatic increases for specialists rather than primary care physicians…six times more frequently.

Why is this disparity so important one might ask? It is terribly important for a whole host of reasons. These include:

The compensation disparity between specialist and primary care docs widens geometrically. Specialists now earn $135,000 per year and $3.5 million during a career more than a primary care doctor;

  • Clearly, with this type of incentive, many more docs are becoming specialists and eschewing the field of primary care;
  • The PCP base is shrinking at exactly the time we need it most;
  • The new Health Care legislation is heaping 37 million more Americans into the health care system and they all need a PCP

Income disparities shape medical student specialty choice Specialty and geographic distribution of the physician workforce: what influences medical student and resident choices? March 2009. Accessed January 4, 2010

It is not just “Houston” that has a problem…it is the American health care system and all Americans. Soon the waiting time for a PCP appointment will lengthen to dangerous intervals. Overworked and underpaid docs will be the norm and that isn’t good for anyone.

One solution is concierge medicine or often referred to as Direct Care. A Direct Care practice denotes an experienced primary care physician who limits his or her practices to 300 to 400 patients and works for an annual fee rather than accepting insurance payments. This allows patients to receive the care they need and deserve and PCP to practice medicine in a thorough and safe manner while achieving a reasonable earnings level.

Some Doctors Object to Discussing Controversial Care

Some alarming statistics based on a study recently published in the New England Journal of Medicine should lead to more awareness on the part of the public.

“If physicians’ ideas translate into their practices, then 14 percent of patients – more than 40 million Americans – may be cared for by physicians who do not believe they are obligated to disclose information about medically available treatments which they consider objectionable,” wrote Dr. Farr Curlin of the University of Chicago and his colleagues.

“In addition, 29 percent of patients — or nearly 100 million Americans — may be cared for by physicians who do not believe they have an obligation to refer the patient to another provider for such treatments.”

The study showed that men, Christian doctors and physicians with the strongest religious beliefs were most likely to say it is permissible to withhold information and not refer a patient to another source of controversial care.

The survey also found that a lot of doctors object to some forms of treatment. As stated by Curlin’s team, “For example, 52 percent of the physicians in this study reported objections to abortion for failed contraception, and 42 percent reported objections to contraception for adolescents without parental consent.”

They found that 86 percent of the doctors believed in presenting all options and 71 percent would refer patients to another doctor who does not object to the requested procedure.

The authors recommended that patients should ask their doctors outright about various options, since the survey showed that many doctors accommodate patients even when they have moral objections to certain situations. For example, of the 42 percent of respondents who reported objections to contraception for adolescents without parental consent, only 22 percent said physicians are not obligated to disclose all possible options to teenagers.

And regarding giving information to patients about terminal sedation, a practice that only 17 percent of the doctors found objectionable, only 11 percent of those doctors whose objections were based on moral reservations said doctors can withhold information.

“When we train doctors we encourage them to try to be ethical, and to practice ethically they must first make judgments in any situation about what is good for the patient,” Curlin said.

“They also have to have the will to do what they judge to be good. And in our culture, where there are so many possible uses of medical technology, people will disagree at times on what is permissible.”

An Appreciation of Adolf Just’s Return to Nature

Alternative health care doctors often share the message of people who love nature. Nature lover Adolph Just (1859-1936) wrote the book Return to Nature that became a best seller, It went through many editions and eventually was translated into many languages worldwide bringing millions of people a message of health and happiness.

Just believed nature held the answer to happiness, health and the Jungborn (the fountain of youth.) Just’s naturopathic retreat in the Hartz Mountains of Germany sold the following self help products to help get close to nature:
o Porous clothing
o Air Shoes
o Clay Packs
o Jungborn Bread

Just had suffered from repeated bouts of neurasthenia (fatigue, loss of memory, aches and pains) that allopathic medicine did not relieve. He tried several nature cures from various nature cure doctors that helped some, and then he added his own version that included:
o A light and air hut
o Long barefoot hikes into the mountains
o Baths in a babbling brook

Just improved and his health was regained.

Condemned by Just were things not in accordance with a natural life as:
o Polluting automobiles
o Closed in modern housing
o Deforming styles of dress
o Modern chemical agriculture

Just believed that too much time was spent talking, disputing, writing, studying, meditating, and investigating, etc and those activities should be discontinued. He recommended that we should be a part of nature and devote ourselves to the pleasure nature offers, with brotherly love as the focus.

His greatest contempt was directed against medical science, especially vivisection and vaccination. His nature cure philosophy brought him fame. Adolph Just was a teacher, humanitarian, and living example to follow. His simplicity, sincerity, and love for his work are still remembered. His sun and air cure, advocacy of nude living, and natural raw food diet live into modern times.

How Neurotechnology Is Helping Blindness

Integration of technology and neuroscience has now made it possible to impart vision to individuals suffering from blindness. Scientists around the world are trying to use the principles of neurotechnology and other fields of sciences in order to develop devices that can mimic the human eye so that blind people can be benefited.

Described below are some important innovations that have been made in this area and how neurotechnology is helping blindness.

1. Eye-pod: This is a device that has been developed by Neurotech, a Rhode Island based biotech firm. Using their proprietary Encapsulated Cell Technology, scientists and engineers at this institute have come out with a porous membrane that is filled with genetically modified human retinal cells capable of secreting a protein called as ciliary neurotrophic factor. This protein is known to protect the eye. This device has to be surgically implanted into the eye.

2. Another major innovation developed by engineers and scientists at Optobionics, Illinois, is a sensory device or a chip that can be surgically implanted into the eye. This device is based on the thought of integrating electronic devices directly into the human body. Known as Artificial Silicon Retina (ASR), this device is actually a 2mm wide silicon chip containing thousand of photovoltaic solar cells. These cells are capable of converting external light into electric currents that are capable of stimulating retinal cells in the eye.

3. Second Sight is another biotech firm based in California. Scientists at this organization have developed an electrode array that when implanted in the eye captures images by means of its small camera. These images are then processed and transferred to the electronic implant device present in the eye. This device then electronically stimulates the retina.

Medical Organizer – Improve Quality of Care With Information-Rich Data

Take ownership of your personal health care records with a medical organizer. Begin today to use this valuable information to improve the quality of care you receive.

Collect and Share

Having up-to-date records about your medical condition allows you to share valuable information with your medical team. Accurately describing your symptoms and body changes allows your physician to provide the best possible care. Remember, according to the American Society of Internal Medicine, 70% of a correct diagnosis depends on what the patient tells the doctor.

Sharing information such as your family history may be the one crucial item that helps secure a correct diagnosis. An empowered health care consumer will continue to track, document and share information about their health status.

Partner with your Physician

A key strategy in receiving the best possible care in today’s health care system is to have an effective working relationship with your physician. Research suggests that patients who have an active working relationship with a primary care physician receive more preventative services and spend fewer days in the hospital.

The partnership with your physician will be enhanced when you are able to provide credible, up-to-date health information. Effective medical information gathering by patients and more conversation with their physician during office visits is related to better health status.

Take Control

Begin today to access and store all of your own medical records in a medical organizer. You will soon discover that your will be in a much better position to manage your condition. Use this information to be more actively involved in your own care.

The engaged health care consumer seeks an ongoing dialogue with their medical team. Having access to your life-long medical records will allow you to engage in meaningful discussions about your condition and potential treatment options. Use a medical organizer to take ownership of your health information; you will be glad you did.

What Is Olympics Cupping Therapy?

Through Olympics cupping, designed for athletes you cannot only enhance your blood flow but at the same time reduce muscle tension and promote the cell repair. It is even beneficial for connective tissues and aids in the formation of new blood vessels present within them. Athletes make use of cupping services by sports physiotherapy center to heal a host of conditions and aliments.

Different Types of Cupping
In the ancient era, cupping was performed with the help of animal horns. Later different cups made up of ceramic and bamboo evolved. Effective suction through these cups was possible with the use of heat, the cups were first heated in fire and then applied. Once they were cooled, they drew the skin due to pressure difference.

Modern cupping utilize cups that are crafted from glass and are rounded like balls. The two main types of cupping include:

  • Wet Cupping
  • Dry Cupping

In wet cupping a combination of medicines and suction is used to treat the patient, while for dry cupping only the suction method is implemented. Your preferences, present condition and the problems that you are going through help you choose the appropriate one.

What To Expect From Olympics Cupping Treatment
During the treatment, a specialized cup is placed on the skin and the vacuum sucks the muscle upwards. This creates a pressure onto the vessels, allowing the muscle to relax and relieves tension. The cups are usually allowed to settle for a period of 5 – 10 minutes after which they are removed and placed at another part of the skin. The process continues until a particular segment of the body has been rejuvenated by the cupping session.

To help athletes make the most of it, practitioners combine the power of cupping along with acupuncture to treat skin issues, digestions and other associated problems.

Cupping is able to cure a wide range of conditions that athletes often suffer at some point or the other and these include:

  • Facial Paralysis
  • Lumbar disc herniation
  • Herpes Zoster
  • Cervical spondylosis

The best part about this therapy is that it has zero side-effects or risks, allowing you to attain a perfect body without any complications.

But, before you begin with your cupping session do make sure that you consult with qualified practitioners about your conditions, past medical records and your expectations from the treatment. Because this ancient integrative medicine requires the support of both practitioners and patients in order to achieve successful results.

Cosmetic Medicines Ordering, Storage, Supply and Incident Reporting

This article gives an overview of the systems and processes that must be followed by cosmetic clinics when supplying prescription medicines.

A prescription medicine or drug legally requires a qualified doctor, dentist, nurse or pharmacist to write a prescription for a named patient. The list of drugs and prescribing qualifications may vary in different countries.

A cosmetic clinic must ensure that all medicines are ordered, stored and supplied within the legislative and other relevant pharmaceutical guidelines available.

Therefore ordering, storage and supply of medicines for use within the practice must be undertaken according to appropriate procedures and guidelines to ensure all relevant legislation and pharmaceutical information is adhered to.

Any medicines stored within a typical cosmetic clinic are those used for aesthetic purposes, this includes drugs such as Botox ® and Hyaluronidase. These must be stored according to manufacturer’s guidelines in a locked refrigerator or locked cabinet as appropriate. The temperature of the refrigerator should be monitored and documented daily. If the temperature is found to be outside the recommended range the pharmacy supplier must be informed as soon as possible and if necessary the medicines are returned to the supplier and a new supply obtained.

Supply of Medicines and Maintaining Patient Records for Cosmetic Clinics

The Medical Practitioner is responsible for maintaining a record of medicines obtained from the supplier for use during treatment. A copy of the prescription is retained in the patient’s notes and the following information is noted in the Medicines IN register. The Medical practitioner must include the following details:

– the name of the medicine (generic)

– the dose provided by the pharmacy

– the amount provided by the pharmacy

– the format of the medicine (oral I IM etc)

– the batch numbers and expiry dates

The Medical Practitioner is responsible for ensuring that details of the medicines administered are recorded in the patient notes, including:

– the name of the medicine (generic)

– the dose provided

– the route of administration

– the batch number and expiry date of the medicine

– the date and time of administration

The Medical Practitioner must also document in the Medicines OUT register the name of the patient the medicine was administered to and the date and time of administration. This will ensure an audit trail is available for each practitioner.

All medicines not used or expired must be returned to the pharmacy.

In conclusion only a medical professional should be accepted on a cosmetic training course. This will ensure all practitioners have experience with the use of prescription only medicines and record keeping. The medical practitioner who facilitates a cosmetic intervention should be a qualified doctor, dentist, nurse or pharmacist. These specialists have the prerequisite medical experience plus understand their legal and ethical requirements in prescribing, dispensing and administration of such drugs.

Any errors with the medication must be recorded and reported.

Reporting a Medication Incident

A cosmetic clinic must ensure that all medication incidents follow local legislative and other guidelines for your country of practice. The following is based on the UK CQC guidelines.

All practitioners involved with medication prescribing, dispensing or administration must be aware of the procedures to be followed in the event of a medication error or near miss.

Medication errors or near misses will occur despite having risk procedures in place, and all personnel involved in medication prescribing, dispensing or administration are at risk of being involved an error or a near miss. Because of this, comprehensive reporting of all medication incidents is crucial to enable the organization to learn from mistakes and improve practice wherever possible.

All incidents involving medication prescribing, dispensing or administration, ‘near misses’ and serious drug reactions must be documented on the Incident Report Form. A medication error is a preventable incident or omission that results in an increase in the risk of patient harm. A ‘near miss’ is a medication error that is discovered before it reaches the patient, thus preventing harm to the patient.

What to Report

The following are some of the issues that require an incident report:

– incorrect dose administered (both over and under dosing)

– incorrect route of administration

– incorrect rate of administration

– incorrect drug administered

– administration to the wrong patient

– failure to document administration in the patient’s medical notes

– administration of an expired drug

– prescribing errors

– incorrect labels

– allergies not recorded

– serious adverse effects including allergic reactions

Near Misses will also be recorded on the Incident Report form.

How to Report Medication errors

Medication errors involving administration to a patient will be documented in the patient’s notes. The Medical Practitioner should inform the patient.

The incident should be documented fully before the end of the day. This report form must be completed by the Medical Practitioner and given to the Practice Manager without delay.

Follow Up Procedures for Medication Errors

A follow-up is undertaken by the Medical Practitioner to ensure the safety of the patient. If necessary the patient must be referred to the nearest Emergency department for further review. The Practice Manager must undertake an investigation into the event ensuring a statement is taken from those involved.

The incident must be discussed at the next Clinical Governance meeting and an action plan developed to aim to prevent recurrence; this may include further training for the personnel involved.

Any severe medication incident must be reported to the within 24 hours of it occurring.

I hope you enjoyed the article. For more information about medicines and their regulations you can check with the Department of Health and MRHA in the UK. In the USA please refer to The Food and Drug Administration (FDA).