We live in an era where opportunities and chances have to be created. This means that instead of working that regular beat to beat job we have to do more. This sounds unfair because this means that for the most part all we do is work and use our creativity to try and provide for ourselves or use it as an anchor of education so that it is viewed upon as experience for that beat to beat job. Whoever heard of such a thing? What thing? When there are companies that supposedly need people to employ to do certain types of work but then, they don't want to hire them. This is bad, very bad. That means fewer jobs for the rest of us and companies that don't do very well in the end-their bad. I often ask myself, what is it about people that makes them want to decide to have an already stressed population of people just to put more stress on them? I think that all of this is way too much on a person in that it causes a person to work in many different directions and lots of times around the clock just so that one day they can retire. Honestly, that word will be obsolete one day or as they say thrown out with the bath water since you have an employment sector that does not pay very much. They say that money is the root of all evil. It is because you need it to live or at least survive financially. Side bar: I often think of reasons as to why this is is all happening. The gov't or powers that be probably decided that it was best if they let people recreate the land and it's opportunities instead of having them already vested into what was already created due to the corruptness of lineage of this whole I'm a bottom and you're a top thing. That's usually they way things start off, unfairly and then nothing in life becomes that way due to how it all began. Yes, it's the foundation that had to crumble so that people could become anew. This absolutely sucks because my generation didn't get that full opportunity of employment that should have been made available because years ago I was new school in an old world. In order to get away from "tradition", people were challenged into who they really were and what they had to offer. By doing so and eventually one would create an independent opportunity for themselves that definitely would not have existed. This is true because otherwise the golden opportunities that should be available now are not. In that really golden era my ancestors did what they did because that's all that was available for the most part. Gov't schemes in that they use this as a way to say "people don't change" and life has hence become a marathon in the long run, so if you delve into what your interests are and what you really like to do naturally, then in the long run you may make out because of the opportunities that become available. This is like saying, "If you want something done, you have to do it yourself." I get it really and that's why I'm a loner! You know once it's understood you complain less, talk less and socialize less. Because that understanding provides the knowledge about people and how fragile they are about their own survival. They would survive anyways, but yours becomes more challenging due to the chances and opportunities you need to create. Anyways, how much of your salary should go to gifts for the holidays? Especially, when you have to survive and live in a world where opportunities are not offered often. Yup, who you purchase from may also be of important decision making. Yes, now we all get it, we have to create that foundation otherwise it becomes a challenge to be accepted. Things becomes less and less for businesses who wanted to show people what they truly were about and that is their bad!
There's gotta be another way. I say to myself. I never even looked at a hospital website unless I was searching for employment or looking to complain about one thing or another. But when it comes to obtaining information regarding medical or radiology medical records, my goodness there a very few hospitals or medical facilities that have that information displayed in a way that would prevent the barrage of phone calls that very busy hospitals and affiliated medical facilities become annoyed about. Now, I'm all for universal website access in that I can log in with a company identification and then proceed to search for a claimant until I am successfully able to locate a claimant and all of the information requested by the attorneys on my own. Generally, I prefer it that way. Being on hold and transferred from department to department and given numbers and addresses that may not coincide with that on the HIPAA authorization forms can really cause problems, in that the HIPAA says one thing and the medical or radiology records records person say another. There has to be an open access way to obtain medical record and or radiology information without the conflicting addresses and the re-sending of medical records, over and over and that includes records that were supposed to be updated records. With a universal or open access approach, I can sift through the records just to find what is updated. I know medical office people do way too much and are underpaid and they just send what is available in hopes that the person on the receiving end will look through the notes and chart to determine what is needed. Updated, means just that, but I know a medical office is extremely too busy to go through and find the latest note to send to whoever is requesting it. Healthcare in general needs to have a database or a general one where facilities or third party companies can go to to obtain hospital and related facility records. Persons who work for companies who are third party collectors on behalf of law firms would welcome this, since they would no longer have to figure out where to mail and of course where to fax. If hospitals and facilities are unable to provide general access portals for those requesting medical records, then there needs to be a way for such access, as this process is often tedious and is actually time consuming. It's ok to provide medical records contact information online and most very busy medical facilities should, but there really needs to be another way. Technology needs to be incorporated so that third party medical records representatives along with other companies needing access to the same information can have access to medical records information without calling constantly to make sure they have the correct address or fax number. It's not easy for you and to be honest it's not for those who attempt to obtain the medical record information either. Stop being annoyed and allow technology to be the access for those seeking records in the medical record community or in the interim hospitals and facilities should provide their medical records department access information for medial records and radiology. In some instances these are two separate departments and of course this goes for medical records and radiology requests from physicians who are on staff at a hospital and who see patients even though they have their own practice. All this needs to be communicated as far as obtaining medical records are concerned. If you provide this information online, it will alleviate the pressure from the constant calls for medical record information later, until there is universal or open access for medical and radiology records. This is medical record fitness at it's best!
Paper or physical charts was once the only way to do something. There was no computer to store information on and there was no fancy copier that copies, scans, prints and faxes. Charts, depending on them can become a burden because they get misplaced somewhere or are stacked up all over the place and you end up wasting valuable time trying to find them. Generally, with paper charts you have a bunch of information that becomes redundant once it is stored in a computer database. Paper charts get old, dusty and unattractive to send anywhere. When working with them they serve as a reference because you can go through them among other paperwork to see what's, what and to establish what needs to be done. But, that's only when you need to familiarize yourself with a job patient or claimant. After a while you just want to scan each and every let's say HIPAA authorization request including the paperwork for it so that every thing is an online thing and you no longer have to fetch or look high and low for paper charts that are really just a reference point to complete the task. Gosh, I just wish that software enhancements could be made so that each and every request or authorization could be scanned and stored so that one could just view it if necessary. Sure, you can create new authorization requests, but at least you don't need to refer to a bunch of charts that can appear unorganized and because of it, it takes even more time to go through them to figure things out. You should be able to organize your online authorization requests by those that were faxed, mailed and e-mailed. Once the claimants information such as: medical records, employment information are finally sent from the hospital or company; you can scan them and then just take that information and store it as a backup and store it into the claimant software and finally send it to the attorney's office. Invoices can be scanned and sent via e-mail or fax through the claimant software on the computer. This definitely creates a faster way to work. Especially when you get charts and cd's that should be stored on the computer itself as part of the claimant's file. This eliminates the confusion of what cd's get mailed to whom or how to put the cd's in the chart without damaging them. For example: medical records arrive in paper format and a cd arrives with images. What do you do? First, you can scan the paper charts for backup on computer and then put them into the claimant's chart in the software, you then copy the cd files for backup on computer and then put them into the claimant's chart in the software; you then scan the paper invoice for backup on computer and then put it in the claimants chart in the software. Afterwards, all you need to do is to send your pdf charts, and your cd directly from the computer and you can do this with invoices also. Attorney's can retrieve the paper charts and cd's on their database or software once they receive them. Eventually all of the original paper and cd's can be shredded, because you no longer need them. Paper and cd storage creates clutter and may not protect the cd's in the long run due to light or temperature extremes. Working without paper charts really needs to be considered!
Ok, older people make like challenging. It's always something. Look, they can't help it as the body does not just go back into place as would a younger one. It's true that when you have to change your diet, certain things may happen. But this should not affect everything else. Such as belching afterwards of stent placement. Belching symptoms can be due to angina. Angina is known as chest discomfort resulting from narrowing of the arteries or the fact that plaque in the arteries can break or separate and cause blockage or obstructions within the arteries of the heart. What people who have heart problems are unaware of is that certain activities may cause angina to occur. Some of these activities are: going out in cold weather, laughing, eating a heavy meal, exercise or laughing excessively. People may also complain about having to breathe for more air or feeling as though they are losing their breath. Belching after stent placement is associated with inferior infarction that is an enhanced autonomic reaction to ischemic heart disease;that causes vagal stimulation thus producing gastric duress. Nitroglycerin tablets are often used to relieve the chest discomfort in order to reduce the onset of belching.
Another problem with having a stent or stents are the emotional anxieties that occur. This is especially when you are put on several different medications and have stents in one or more arteries. Hyperventilation Syndrome is the term used to describe symptoms that bring about hyperventilation. Many times when someone with heart disease is anxious over their upcoming physician appointments, bills, medications and getting back to regular life they may breathe abnormally. In doing so, they breathe more quickly than the body requires it to, especially under stress. When upper muscles in the body become tight or tense this affects the diaphragm. This puts pressure on the thoracic muscles when you breathe. Once you've had a heart attack and then by becoming stressed afterwards this can contribute to overuse of these muscles;and when one begins to feel that they feel breathless and have chest tightness. Breathing properly when coping with stress after stent placement is something physicians should instruct their patients to do before they leave the hospital.
When people suffer from heart attacks they lose oxygen and that affects the brain. It's really important to know that even if you are without oxygen for a few moments your brain can really struggle in terms of remembering things in terms of your short term memory. Cardiologists deal with the heart and neurologists deal with neurology disorders which includes problems with the brain. Heart attack survivors may often complain about their short term memory. Once the brain is deprived of oxygen, the central nervous system then stops the brain from sending the correct signals throughout the body. This is called a functional neurological disorder or even mild cognitive impairment. Why?, because it may not affect the day to day routine of things. But when it comes to thinking about let's say things that have to be or remembered such as where to go, and what to get this is when things in the brain get somewhat jumbled. It's frightening because although you were able to get up and get around the house and get yourself ready, you still have to think about where you're going and how to get there and what you need to do or get and what you may need to tell someone. As this continues each day a person who suffers from short term memory loss this may become depressed because they feel they are losing their grip on their independence because they need to rely on others to help them with their short term memory. Like a career I once had. Yes, it drives wives and daughter's bonkers because these people then have to assist the person who has the short term memory loss among all the complaining about it. Like a career I once had. When we were kids to kick things off we had coloring books to start with in to learning how to read and write. These were like workbooks to learn numbers, pictures and even words. Older adults who have suffered through this sort of thing may get upset about having to go to a doctor. There needs to be some kind of therapy that one can do at home to work on that memory thing at their leisure. Now I get it, The memory enhancers workbook that is filled with lots of words, pictures and memory or brain function exercises to help re-train the brain into remembering the short term things again. This workbook of sorts can be done on a computer, tablet or even as a regular carry around paper workbook for those adults who do not want to be overwhelmed by using technology. The memory enhancing workbook can be used by anyone who has suffered trauma to the brain causing short term memory loss. The good thing about the memory enhancement workbook is that you can work anytime and do not have to be limited by doing such exercises at a physicians office or facility. You don't have to worry about the medical bills that are going to stack up as a result of your getting therapy. This often times can make a situation worse. Most of all these exercises are from beginner to advanced and really help restore brain function without the waiting to see a specialist and then having to remember how to get home. Yes, you will be reminded of how much you owe at a physicians office, and then forget to pay the bill. Short term memory loss causes all kinds of problems and aggravation. But with the memory enhancer workbook you can now stay in the comfort of your own home and work on your brain and save money also. And most of all there workbook therapies will be paid for since they are inexpensive and cheaper than going to a specialist. Let memory loss, be a short term thing by using the memory enhancer workbook!
You normally don't find out how much you will owe in a hospital until you get the bill or several of them. Hospital charges can be complicated and you expect your health insurance to pay for mostly everything. Yes, you may have a deductible but you certainly don't think that the very establishment designed to protect you financially regarding your health, will be the same establishment to throw you under the hospital bed once you get admitted and are "pre-procedure"and just because the hospital wants to use the term "under observation". Talk about food out of the mouths of the poor and fancy vacations for the wealthy. I don't completely understand why an insurance company can only pay for part of a hospital stay and not balance the bill as an overall visit including the procedure. Observations are usually a preparation for either a minor procedure or real down and out surgery. But insurance companies can sometimes look at a claim and feel as though a patient just left the comforts of home to go and hang out with a bunch of strangers and doctors who want to get paid for any patient room they walk into. This is not necessarily the situation when one is set to have a procedure, probably most of the time they just want to show up the day it is supposedly to take place and just get it done and go home; hopefully the same day. But when the hospitals or physicians in specific implement an approach or standard of care to make sure a patient is in good condition by requesting that they come in the day before a procedure or surgery to make sure things go smooth and that they are not missing anything, they don't think about how a patient is supposed to afford all of this, bills can get very messy. I suppose that the physician or hospital representative does not want to be bothered in explaining what a health insurance company will and will not pay for and what the patient should be able to afford after all their years of hard work. We know they are physicians and not the billing complaint hot line. Hospitals should not use certain terminology out of scope so that health insurance companies no longer want to pay for a medical service such as "under observation" because it is not viewed as a medical service. Which is really stupid, because why was the person in the hospital? Under observation, should be looked upon as pre-procedure or of course use the diagnosis as the reason for the hospital stay! Patients should never pay more than what they can modestly afford.
HIPAA or health insurance portability and accountability act, is legislation that provides data and security provisions for guarding or safeguarding medical information. The HIPAA privacy rule has been in effect since 2003, and it was designed to only allow those designated on the HIPAA form to disclose certain personal information and provide or release that information to others. This can be done in instances from physicians office to physicians office and for attorneys to obtain medical or other pertinent information that is needed for a lawsuit. HIPAA or a completed HIPAA form is consent given from a patient, claimant or other individuals, that provides permission to obtain private or personal information regarding their health or other inquiries. As a rule without this HIPAA consent, physicians, lawyers, hospitals, insurance companies or other facilities would not be allowed to disclose such private and protected health information about an individual.
My problems with HIPAA: Well certain entities have their own HIPAA forms thus, having a universal one is something that needs to be considered. This would make things easier so that you can get all of your information done by using a standard HIPAA form. When you have certain pharmacies, health insurances or the FDNY using their own HIPAA for release of medical information the process of obtaining that request takes longer, this is because sometimes people are unaware that there are certain forms in those instances to be used. Another problem is that there should be a website to generate the various different HIPAA forms, that you can e-mail or print out and fax or mail once they are complete, or even notarized them by electronic stamp. Say what? Ok, let's say you are a law firm called Are Those My Clients? and you need authorization to access most of the physicians in the New York area. Your clients are computer savvy, so they are able to go online and do many things. As an attorney and a creative one you establish a client user website for your law firm to take the nonsense out of doing HIPAA forms and upsetting your paralegals and office workers. This will help when you are looking into a case and need the information rather quickly to investigate the matter, to see how you can assist the potential client and of course if you decide to take the case. The law firm of Are Those My Clients?, allows you to log in and utilize the client area that will take, the client to a forms completion area that will allow them to complete as many pre-populated forms as necessary. This client forms area will also include the HIPAA forms. Each form is then e-signed and a notarized stamp can also be electronically placed on the form if required. Each HIPAA form is stored in the clients on-line website file for the law firm and can be faxed, e-mailed or mailed to a third party representative on behalf of the law firm, or to another law firm if a case is referred elsewhere. But the good thing is that since the HIPAA is created and stored on-line, a client who may be home or somewhere near a computer can log-in and e-sign a newly created HIPAA from the law office website, as long as they have a computer to do so. The paralegal or assistant can then send the HIPAA forms to the appropriate department or facility to obtain medical record requests by e-mail and this will make the process of obtaining completed HIPAA forms a lot faster.
Blood thinners do not actually thin the blood. Really, they just slow down the time it takes for the blood to clot. This supposedly helps people with heart disease so that their blood does not clot so quickly. Stents that are designed to widen the arteries can be problematic and cause blood clots as they can form in the stent or stents. The operative word here is called desensitizing or to cause less of a reaction by using other factors to reduce the stress that a stent or blood clot may impact upon the artery. To desensitize a stent the introduction of blood thinners are used once stents are placed in the arteries so that the blood does not thicken and form a clot around it due to the stent not having not had a chance to blend in with the cells of the artery, which will enable the blood to flow normally instead of building and clotting itself around the stent. That would make sense, because what good would a stent be if it only causes blood clots once inserted? Now, many people cough while taking blood thinners and have many other side effects. Physicians do not recommend Benadryl, as a way of desensitizing the effects that the body undergoes when taking a blood thinner. Benadryl, as long as it does not interfere with other medications may help stop that allergic cough or reaction the body has to blood thinners and help reduce a persistent cough that would not have otherwise have occurred, if they were not on the blood thinning medication. Cardiologists, should recommend desensitizing for the various medications that cause allergic reactions or symptoms to happen. Many patients of course just ask their physician to put them on another medication. Sometimes there are insurance problems in finding a medication that your health insurance will pay for. This may mean that a patient will have to tough it out with a medication that gives them a nagging cough. I know physicians and patients alike don't think about desensitizing when it comes to stents or medications that enable stents to perform their job adequately. In lots of instances where there are emergency circumstances and you find that stents have been placed and new medications are being given; many of us don't think about the side effects or what problems will happen afterwards. Because, the ER visit, cath lab or hospitalization was supposed to fix or remedy the problem. But we don't realize the complications until afterwards, and then that's when you need to find a way to have stents and medications work in unison or somewhat perfect harmony. And, not everyone needs desensitizing for some blood thinners work just fine, but for those who do have problems a quick intervention of desensitizing could alleviate the annoying and troublesome cough a patient may be having. The stent has to become acclimated within the walls of the artery so that the blood that flows through it does not bind to the stent as foreign matter and begin to clot itself around it. To desensitize the stent from the blood and to have the body to desensitize itself and be able to accept the blood thinner by helping to prevent the cough are what is known as side effect interventions and should be implemented as soon as a problem arises.
Just when you think the medical world can't do enough here in America. As many of you know stents are wire or mesh type tubes that open narrow or clogged arteries in the heart. Much of the time this is done through cardiac catheterization, in which a catheter is inserted through the arm or groin and the catheter is then inflated to help blood flow in the heart's artery. Since the arteries cannot stay inflated by themselves a stent is put into place and pretty much stays there until... Well, sometimes arteries can become clogged or narrowed again, this is a bummer as this is called re-stenosis. You cannot remove a stent once it is placed, but you can probably clear away the blockage within the stent and place another one inside of it. Well, in many or most instances we can hope for collateral arteries. Say what? Collateral arteries supply an alternate source of blood supply to the heart. Believe it or not the body, at lest in some people are able to grow or produce new blood vessels, that actually grow around already existing blocked arteries. Just like a broken bone repairs itself and skin that is damaged replaces itself, new vessels can form or grow due to their damage blood, as the body intuitively survives. The body releases a repair protein called VEGFR. There is a molecule that binds and transports to VEGFR called NRP1 and yet there is another repair protein called VEGFR2, as this binds inside the blood vessels to assist in the repair process; this process is called angiogenesis. There has to be a way to synthetically create VEGFR1 and VEGFR2 along with NRP1 so that people with heart problems can survive by way of alternate vessel routing. Once heart problems or disease are established and by administering VEGFR and NRP to the damaged vessels so that new vessel growth can be stimulated in order to prevent a heart attack or sudden cardiac arrest. Just think in these situations, it's like having an extra vessel when the other one does not work. It's a safeguard and protective of the heart to encourage the body to regrow or produce new vessels in the event that the original ones become damaged. The body can be made to reproduce and once it does the mechanical need along with it's problems or side effects afterwards of heart ailment or attack will ultimately be reduced.
I remember many years ago when computer modems were popular. This was great because you could fax from your computer by connecting your phone line. Now you say, who needs faxing when you have e-mail? Well, for one you can probably multitask as in sending a fax and an e-mail at the same time. Don't you just hate it when you have to stand around the fax machine and lose valuable time when you could be more productive at your desk or wherever, but you can't because you have faxes to send? If companies allowed the access to fax documents using e-mail we would be able to take documents already in the computer and send them by fax. This would be great, because although there are many different fax numbers, not everyone has an e-mail address that allows faxing certain documents to. E-mail is e-mail and there needs to be a more standardized system of faxing and combining fax and e-mail so that one can send a fax by computer and have a confirmation along with e-mail type response. When you send a fax by regular machine there is no storage of that information to forward it to someone or to resend it. Once you send it you cant "cc" somebody or send the fax to as many recipients as you may want to by using a traditional fax machine. You just send the fax one at a time and then get that paper print out saying that everything is ok as a confirmation of sorts. But, there is no real communication between the fax and the person on the other end or who you were supposed to be sending the fax to. This means that anyone can send a fax and the person on the other end can just chuck it or throw it away. Sure you can call the place you sent the fax to, and confirm that they have received it. But, then if you have other questions that you need follow-up answers to; you will have to try and get a hold of of the person you spoke to in order to get answers from. This can be difficult. When sending faxes from a computer you can send them to multiple recipients and use that computer fax sent to send follow-up messages, especially when a task has to be done in order to get a response. Now, before you go saying, people will no longer want to use fax machines. Nope, fax machines will always be useful as they are multi-function machines, copy, fax, scan and print. So you could certainly use that multi-function machine to scan, copy documents and print them. But for multi-taskers who need to be at their desk doing other work, faxing from your computer is the way to go. Since it's done from your computer you can send fax follow-up messages regarding your faxes and documents that you send. You will no longer be in doubt about who actually got the fax that you sent. Companies and businesses should consider using fax software that becomes mainstream just as apps are. All of the fax e-mails sent are logged into the computer-fax software of your choice, on your computer so you can get all of your confirmations in e-mail type response, although you were faxing. Faxing from your computer, saves time, aggravation and creates productivity!
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