Wow, it's been a 15 year journey in the medical field. As you know for me it was a miserable one. I often ask what is it about me that attracts people who do not seem interested in what they are doing, or have the know how? As a result I feel the burden and realize that when you work for people who don't have the interest in their work at least to be there then, it's no point in my staying around. It's interesting that there are those who have no conscious whatsoever about what it takes to do a job and what happens when you expect someone to be "all things to, all people." It bothers me to always have to compensate for someone else's ignorance or just not wanting to do something. But I have decided to find work that does not involve taking the medical boards or being used as a pawn for someone else to pass them. Ah, the exercise of brains and brawn. I feel the pressure and it makes me extremely unhappy. I don't think people who are physicians are anything but human, we all are imperfect and have, flaws also. I also have come to the realization that people seem to forget that I'm human also. I really despise this. But this should not be a reason to practice medicine by putting most of what you do on your staff, if that balance were broken down it would be staff 80 physician 20; sort of like health insurance. I was unimpressed with the physician approach to working meaning, "I can get out of doing most things, if you help me." People like this should not be physicians and they should not use their staff and patients abusively. The long wait times, and the burden they put on people and their staff due to their lives outside of the physicians office. Yes, we're all human but I just think that being a physician is just in a name for some. It gives them status, but besides that there was nothing else that was by way of human progress. I saw most of this as employment regression and the fact that you could take people and use them to exploit a certain ignorance. I have a few questions that I need answers to: What makes me not entitled to health insurance, vacation days, personal days and that retirement plan? Why is it that either I must "do the work of all people or work among those who are not or unable to work efficiently and effectively such as I do?" I'm tired of physicians who don't want to be board certified, so that they don't have to be a part of any group or hospital, because it may be a requirement. By doing this the physician does not have to do the work of exam study and their staff suffers from the rising costs of life. Nobody really shares the wealth and all I was looking for was a job with benefits. I don't see where this did anybody any good. I don't enjoy working for physicians, this experience has really made me unhappy and not in like with medicine. Sometimes you have to know when to move on and as a result it's time to leave. If physicians are not serious about their practice or being a physician then there is no point in my being there. This job was never my passion and in the 15 or so years I have come to find that it wasn't theirs either...
When a patient or person suffers from a cardiac tamponade it is because their heart is surrounded by fluid or blood or both in the pericardium. Cardiac tamponade prevents the ventricles in the heart from moving effectively, by expanding and once this occurs your body cannot pump enough blood to the other parts of it. I guess to understand this in a layman's explanation is to view the pericardium as a pool and your heart inside of it. Once the pericardium becomes full with fluid the heart then drowns in it's own fluid. No blood can enter or leave the heart as a result of the fluid accumulation. The body will be affected by this due to cardiac arrest and the organs or vital organs in the body will cease to function. Illness that can cause fluid to spread to the heart and can cause cardiac tamponade. When an underlying problem of illness causes the pericardium to be surrounded by fluid, the heart becomes compressed in it's ability to pump blood normally. The problem with patients or heart patients who suffer from cardiac tamponade is this: when should a physician know when to drain the pericardium so that pressure is released from the heart? In prostate cancer there is such a thing as a Gleason Score that is used to determine the presence of cancer and also it's tumor size and growth. So the lower the score, may mean that there is no immediate presence of cancer and a higher score means that the cancer is growing and spreading through the body. The use or implementation of scoring indexes or scoring systems in not widely used to determine if the cardiac tamponade will become life threatening or result in death. Of course, this would mean a revised cardiac criteria, regarding pericardial effusions.Physicians get paid to party, they don't have time for this! For example: A patient presents himself to the Purple Heart clinic complaining of chest fullness and occasional dizziness. A chest x-ray is done and an EKG, the patient is also examined and was noted to have, a cardiac silhouette on the chest x-ray, the ekg noted that the patient was in tachycardia and upon examination he was suffering from hypotension and dyspnea. An echocardiogram was performed and it showed that the heart was severely affected by cardiac tamponade, due to fluid buildup. The patients tamponade score was above 7 since he was unable to do regular daily activities without the onset of dyspnea. The tamponade or cardiac tamponade score is determined or used to determine the overall effect that the cardiac tamponade has ones heart. If a patient is prevented from doing regular activities then that tamponade score would be high as as clinically warranted all tests and even basic ones such as ekg's and chest x-rays, or even an echocardiogram indicated the distress of a patient in cardiac tamponade. Once this occurs, then a pericardiocentesis should have been performed on the patient immediately. Pericardiocentesis is the drainage of the fluid from the pericardium that surrounds the heart. Had the Purple Heart clinic performed the urgently needed pericardiocentesis the patient could be enjoying a day like today. But what if the fluid and blood accumulation from the heart was due to illness or other heart problem that would cause more than one pericardiocentesis procedure to be performed? Good question, and this is why I say physicians are not all that smart. This is where medicine needs a good scrub. Pericardiocentesis can be done by the apical, parasternal or subxiphoid area of the heart. All the physician would need to do is to perform a pericardiocentesis procedure in the parasternal area of the heart, that creates a "port", to allow fluid and or blood to be released from the pericardium, and then affix a catheter and drainage pouch to it, so that this would collect any more fluid or blood that accumulates in the pericardium resulting from cardiac tamponade or the spread of other illnesses that cause fluids to buildup around the heart. Once the heart is not affected by the surrounding fluid, then it can function as it does until the illness or condition such as a heart problem or disease can be remedied. The pericardiocentesis cardiac port is very useful as it allow continuous pericardium drainage and allows the patient to do normal activities as he or she is seen by a physician for other ailments or chronic conditions, as it keeps the heart functioning despite other problems the body may be affected by. The cardiac tamponade scoring system and the pericardiocentesis cardiac port- just some of the things that work well together! Now, it's time to part with those partying Purple Heart clinic physicians, some people just should not be physicians...
Gasotransmitters are classified as endogenously-generated transmitters that are freely diffused across the membranes and are responsible for signal transduction, as it is regulated by enzymes in mammalian cells. Gasotransmitters also control the physiological functions by creating a defense against pathogens in the body, preventing apoptosis and the metabolism of energy. The loss of physiological function in the body is what "constitutes" or is considered aging. This occurs when cellular damage at the molecular and cellular tissue level becomes impaired or altered in some way to create the aging process or functional loss. A very important category of aging involves the integrative process of aging which includes stem cell exhaustion and altered intercellular communication. The loss of function in the integrative process results as the damage to the brain and body becomes difficult to reverse naturally. This important when it comes to matters of the heart. Why? Myocardial ischemia reperfusion injury occurs when there is damage to the heart. Once heart begins it's flow of blood through the damaged heart or areas of the heart where oxidative stress has resulted since the heart did receive nutrients from the blood or oxygen during that time of myocardial ischemia, free radicals are released and inflammation, apoptosis or cell death occurs due to the absence of vital nutrients to the heart. As a result the heart ages considerably. Sulfur dioxide is a gasotransmitter, in the body that becomes an endogenous molecule of gas that is a signaling molecule. The uniqueness of sulfur dioxide as compared to the other gasotransmitters is that sulfur dioxide or sulfites are found in red wine. Now, you know that red wine is good for the heart in moderation. But, here's the thing you cannot drink red wine before you go to work or during working hours-unless you're the boss and I mean that one, as well. Regarding the heart, sulfur dioxide or sulfites help reduce myocardial inflammation, increase cardiac function, and reduce myocardium apoptosis. The issue here is prevention and there are people who do not drink among other things and just want to take a baby aspirin or 81 mg's worth of aspirin daily. This is ok of course, but you may still want to have antioxidant protection. Now, sulfur dioxide can cause people to become allergic to it, so it would not be wise to take a large amount of it. If a vitamin supplement company could take an aspirin of 81 mg's and infuse it with red wine sulfates in a small amount(so that there are no headache or allergic side effects), this would be some heart attack prevention! Even if someone appeared to have the onset of a heart attack the aspirin along with the red wine sulfates as a gasotransmitter, could certainly help prevent the heart from having more damage to it. Aspirin and red wine sulfates in a supplement can keep the heart going until medical intervention arrives!
I do wish that employer's were not so paranoid or intimidated. I really hate that. Why would I say something like this? Well, it's because when people such as bosses do things like not providing a lunch hour, vacations or days off or being "understaffed" as a reason for the whole thing; it just seems to me that they are afraid of a person running off and leaving. I know it sounds strange but, there are those on the top and those on the bottom-just like clothes. So those on the top generally like to keep track or know where their employees are all of the time so that they don't leave or go anywhere so that they are around to do the work that they want them to do. There is no need to be that desperate. Employers who have a superiority complex are the ones who underpay their workers because they have a need to feel as though they reign supreme over something. It's usually these types of people who cause problems in larger companies because of the requirement to provide such benefits as retirement and health insurance. They just don't like to see certain people have any, at least from a company because they feel that in some way it takes from somebody else. Yes, this is paranoia because for the most part these people are very hardworking. The employer or cohorts decides to take away jobs that provide health insurance and retirement benefits from hardworking people and give them to those who don't do nearly as much. Yes, the paranoid employer probably has their preferences and they also like to remain superior in their Anglo or Anglo Saxon existence. I don't get this and at my age I don't think I ever will. America has vastly become third world, by the lack of opportunities for jobs and the ways in which society governs it's people as a result. When you take away workplace entitlement you then introduce government entitlement. Such as health insurance, food,clothing and housing ect. But, it is these same Anglos and Anglo Saxons who get upset about their tax payer dollars being spent for this one to live free and that one to be seen by a physician for free. Anglos and Anglo Saxons are the hypocrites in all of this. If they take away the entitlement from those that are hardworking and then resourcefully use the government as their "please stand by-reparation"(There is no M----- F----- Unc Sam that could pay me enough!), then it is the Anglos and Anglo Saxons that are doing the injustice to such people and have no one to blame but themselves for people who have to use government funds to survive off of, because the Anglos and Anglo Saxons caused the problems. When you're paranoid you fear the person on the bottom to have any money to do anything with, so how can a world thrive economically? There is no need to be this paranoid or intimidated, I know there's hate also and people come by it honest because their elders are that way. But, this is what it all comes to concerning entitlement and the fact that the Anglo or Anglo Saxon can use his or her color pass to put somebody in a governmental way of survival as opposed to being entitled by simply being hardworking and capable. Intimidation and paranoia among the Anglo and Anglo Saxon has created a demise of what could have been a thriving society. Yes, there are tops and there are bottoms-just like clothes, but what you really need to ask yourself is this: Do you really want your tax dollars to support people who are capable and hardworking on the government(they have to eat, wear clothes and live without threat or inhabitable harm also), or do you want to just complain about it, since your intimidation and paranoia does little else for you but to put people in situations of the government? When you use tops and bottoms together this way, they don't work well because you are doing something called oppression- which of course is hypocrisy in paranoia and intimidation.
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