Usually by this time of year you at least know how much in taxes to withhold from your paycheck. It's 2018 and it seems to be taking an eternity to get any information, from the federal government regarding this information. Also, the 1040 forms and instructions, for those that sort of like to know how much they will get refunded or owe, for 2017 are also not available. The new tax laws have implemented some changes and in doing so it is taking longer than usual to provide all of this to everyone else. I just wished that those who make more than $300,000 a year had some understanding of what it is like to live on less than $30,000. America used to be known as the land of opportunity and somehow that was all stripped away in favor of America not bestowing or owing anything to anyone except for that favored one percent. Now that we all have combined wages of poverty what does America expect of it's economy? Or, so what now? Let's think about ways to reduce the cost of living since wages make the necessities of living unaffordable. Brands, brands, brands, many of them have high end prices. Suppose, just like medications, things including: housing, clothes, toiletries, food, transportation of sorts could be made rather generically. This would make things more affordable and allow everyone to be able to buy and or shop like they did in the "old country". Dollar stores or stores that have heavily discounted items should have more of a shopping presence. If I were some elected official and I were in charge of a town that had land available and could be best put to use, it would be to create a conglomerate of stores, that sold generic brands of almost anything to the public. Why? Because salaries determine what a person can afford, honestly or even legally. In keeping with the law we must live within our means and therefore we should have a society that enables all citizens to afford such necessities in life. Health insurance among other things is still very expensive. My only other questions are, now that many people spend approximately half a paycheck on health insurance, how does the federal government think that people will be able to support themselves after it is paid for in premiums and what is civil about working 16 hours a day, only eating once a day and not sleeping more than three hours a day? America- are we paying too much?
The snow is here and many people with heart disease are reluctant or unable to shovel snow due to heavy shovel or snow blower exertion in the cold weather. What happens here is that the heart does more work as you inhale cold air, because it causes uneven oxygen distribution throughout the heart. This may sound strange because you may see people who run or jog regularly out in the cold, just taking in the scenery and they don't seem to have a problem with breathing in cold air or at least enough to raise their blood pressure and have them stop exercising. But I guess it depends on if you have weights in your hands or not. The heavy exertion of snow in a shovel can overdo things somewhat and cause the blood vessels to constrict. Cold air can also cause the heart to have coronary artery spasms, this decreases the amount of oxygen that goes to the heart and can cause someone to have a heart attack. If someone has decreased artery function or heart blockage that may not require a stent, once that person does activity such as shoveling snow and as it becomes strenuous on the body; the heart's arteries constrict or become restricted due to the intake or breathing of cold air and the heart blockage in the heart also increases or worsens and can ultimately cause damage. This problem can be alleviated by wearing an air activated warmer mask. Yes! But how? I'm happy you asked. The air activated warmer mask is designed to be worn around the face area and it has a protective layer so that it will not burn the face or mouth. Just peel the air activated mask to open, close the flap and put the mask around your face. The air activated warmer mask is designed so that you will not breathe in freezing temperatures that will affect your heart. As your body breathes and takes in the warm air you will no longer suffer from spikes in blood pressure or be affected by heart spasms due to exertion and the intake of cold air. The air activated warmer mask will not overheat and will not reach high temperatures causing one to perspire or sweat. The air activated mask is designed to provide room temperature warmth to the face so that when breathing the body is not affected by the frigid and cold air. Now, any person with a heart condition or even someone who wants to protect their heart from the cold weather can wear the air activated warmer mask. The mask is disposable and can be used even when walking, standing or sitting in cold temperatures. The air activated warmer mask, it protects the heart from cold weather and keeps you around for seasons to come!
Ammonia, that is produced in the body is a product resulting from the metabolism of nitrogen and hydrogen. The urea cycle is what converts ammonia into urea, as the urea enters the bloodstream it is filtered by the kidneys and removed through the process of urination. Limited brain function will occur when the liver is unable to remove toxins or ammonia from the body. This is called hepatic encephalopathy. Ammonia that is produced in the intestines, supposedly approximately. four grams, is then transferred to the liver and amino acid arginine then detoxifies ammonia into urea, this is one process of ammonia. Another process has to do with when ammonia is produced elsewhere in the body such as the brain,lungs and muscles which normally detoxifies into glutamine as it enters the bloodstream and becomes glutamate. When ammonia from the brain is unable to be detoxified by the liver by becoming glutamine and eventually glutamate, a person with such a disorder or metabolic insufficiency will suffer from high brain ammonia. Since ammonia is a toxic substance it has a toxic affect on the brain. Instead of the brain releasing glutamate the ammonia will become ammonia gas since the brain or metabolic disorder prevents it from detoxifying and the brain becomes induced by the swelling of astrocytes that increase intracranial pressure because of insufficient breakdown from glutamine into glutamate. Perhaps, the intracranial pressure or swelling is consistent with that of what is referred to as frontal lobe syndrome. The frontal lobe is part of the forebrain. Neuronal toxicity occurs as ammonia accumulates in the gray or white parts of the brain referred to gray or white matter. The brain processes neuron information within the gray matter as synapses along the neurons have a function by processing information in the brain. Myelin axons in the brain occur beneath the gray matter and are called white matter. These axons form neural circuits in the brain that affect an individuals ability to learn ect., if there are high levels of ammonia and glutamine accumulation, this results in the deprivation of the production of glutamate. Once this process occurs it affects or inhibits learning because it affects the brains ability to interpret sensory and motor information which causes a problem with cognitive functions of the brain due to excess ammonia buildup. Supplements of L-ornithine and L-aspartate can reduce the amount of ammonia in the body in efforts to reduce intracranial swelling and ammonia toxicity.
I am extremely exhausted. I don't know why? It's not like I'm taking care of kids and grand kids. But then again what do I really do? If I were to explain my problem to someone it would be like talking to them about the logistics of life. And that's where things about me and people seem to disagree. Why, because I do feel that things run or operate a lot smoother when you eliminate problems or situations that cause delays or other incidents to occur. People see my type of life logistics as a problem or even a form of disability. Don't I dislike that? Of course, I mean when a person wants something done in a way that expedites and moves things along, you get a lot done faster, sooner and without problems that occur when you "Didn't do it last night." So you can think of logistics sort of like the holidays, if you were not logistic minded you would have Santa creeping down the chimney at all hours of the day on Christmas, that ain't fun, with your children supposedly waiting for their gifts. Then again if this is your ways of giving them facts, it teaches one not to "Wait on Christmas." In my life Santa knew to have it down the chimney beforehand and in my life's lessons I learned to do the same thing. Another words, I didn't wait on Christmas. This became a fact finder in my world. Well, there was one incident that his elves were a bit tardy, but they made up for it. Logistics, taught me that things need to work accordingly. I know that nothing is perfect, but when you know that there are problems or people that can't deliver, (I'm no parent, so don't hate on me as a result), then logistical measures need to be implemented that much more. I have a problem with empty wallet syndrome. There are other things that become fact, when people are reared this way. In the working world people should view logistics like the holidays and Santa getting it down the chimney pretty much on schedule and not see someone thinking that was as a hindrance, abnormality or some kind of disorder. If you kind of like things delayed or nothing on schedule or as it should be then you probably like to wait on Christmas. Yes, these are the types of people who upset many and are probably the reason for such exhaustion.
Is it too difficult to ask that a patient return to their physician's office every three or four months for lab work evaluation? For some it may be since they have work schedules they have to adhere to and for others it may be because, visits are costly and of course they have other obligations. EMR software should also be text interactive in that you can communicate with a patient by text and have that information as part of their medical chart. For example patient: Don't bother me, needs medications. Hey, you need them as for your reason for visiting the physician regarding your gripes and complaints. The physician, or at least one that prescribes medications properly has to know how you are doing regarding your health in order to ensure that your medications are working properly. If your health problem become more serious or if they improve, then your medications will have to be adjusted accordingly. This you are aware of. Would it be simpler to be able to text a prescription for labs from a patients chart, or for any type of testing to a patient directly from the EMR? Just as an EMR allows the front desk office staff to fax or send medical records, lab results and other radiology reports, the EMR should also allow the same kind of medical records or prescriptions to be texted directly to the patient. A front desk office worker will just type in a message indication the request for follow up labs as a three month appointment or follow reminder or other testing and then select the prescriptions from the EMR eg. for labs ect. and then press send. This way the patient has all of the prescriptions they need and they can send them, if they want to another facility. The front desk can also use the send by text to send lab results instantly. By sending the prescriptions and three month or followup visit reminders via text through the EMR a patient can respond accordingly and have immediate access to prescriptions necessary so that they can have labs or other testing done. They don't have to come by the office to pick the prescriptions up or wait for them to come in the mail. Physicians should also utilize the ability the teledoc visit with their patients, if a patient due to other circumstances cannot make a routine physician appointment. The three month or followup office visit does not have to be a day long ordeal for anyone. The three month office visit can become as simple as a text!
Neurotransmitters are the chemicals in the brain that are responsible for communicating information regarding thoughts and feelings throughout the body. Neurotransmitters are considered chemical messengers that transmit signals through the cell neurons. Dopamine is a neurotransmitter that regulates emotional responses, serotonin is a neurotransmitter that affects mood, social behavior, appetite, digestion sleep ect.,norepinephrine is another main neurotransmitter that is a stress hormone that is responsible for adrenaline in the body. The problem occurs when the synaptic connections along the neurons don't function properly that result in a delayed or overabundant state of reaction. This process is highly complex in that neurotransmitters need to be accepted by receptors in order to be maintain proper signaling between each neuron, if not then you have a dysfunction. If a robot or a machine in the form of a wearable can be placed on the body to determine a mood or a feeling of a person then it may be also possible that, neurotransmitters such as serotonin, dopamine and norepinephrine can be controlled by using signaling impulses to regulate the amounts of acetylcholine,dopamine,endorphins,GABA, glutamate , serotonin and norepinephrine for adequate brain function. For example: Person Jeffhead is extremely moody and gets upset when he likes to be on his own and becomes upset when he feels crowded by others. His adrenaline, just "goes there!" whenever this occurs. One of Jeffhead's parent's who retired quickly once he found out that he needed to advance his programming skills to adapt them to human life. "I'm too old for this s___!" he says. But still, the situation remains as he would not allow any of his other offspring to use that as an excuse, he still considers them, spring chickens. One of Jeffhead's siblings, who wants to learn more about robotic design and human interaction, because she works in the medical field which is not her calling or choosing, but she wants to use artificial adaptation by way of computers to assist in mental development where is it needed. Anyway's, If Jeffhead had a wearable that could sense his mood perhaps signals could be sent to his body to alter the release or neurotransmitters by having the wearable interact with Jeffhead's body and his mood. The body runs on electrical impulses and regulating them by focusing on the stimulation of neurotransmitters would greatly improve Jeffhead's situation enormously!
CBD is otherwise referred to as cannabidiol. It is a compound that comes from the Mary Jane plant or cannabis. The interesting thing about cannabidiol is that the plant or cannabis used to produce the product called hemp oil does not give you that "high" or "out there" feeling. Which is a good thing especially when you are looking for a supplement to assist with diabetic problems. In diabetes the pancreas is responsible for producing insulin. If the body's immune system becomes overactive and the pancreas begins to shut down it no longer produces insulin in order to regulate blood sugar by removing sugar from the blood. The cannabinoids in cannabis help the pancreas function with regard to the body with an overactive immune system. So you could probably say that the cannabis is an ACE inhibitor for the pancreas which allows it to function under certain duress. Ace inhibitors are most often used with heart medications, so that they relax and dilate the blood vessels to allow blood to pump through the heart so that it lowers your blood pressure. CBD produces the same response in the pancreas by preventing or slowing the rate at which the insulin cells become damaged in the pancreas once the immune system becomes overactive. It can also improve carbohydrate metabolism. CBD can be useful in helping the body's metabolism by also being an anti-inflammatory because it reduces the inflammation to the pancreas that occurs when it has to produce an abundance of insulin in order to remove high amounts of sugar. By regulating the pancreas to a normal or healthy state CBD, can be referred to as an ACE inhibitor for the pancreas, so that it reduces the strain and or burden caused by producing insulin. CBD oil is a product that contains the "Non High" properties of cannabis and that's ok because, with diabetes you don't want to just sit around on disability because you're too stoned or under the influence to do anything else. Insulin can become expensive and difficult to take as you have to set a few moments aside to do so and you also need to see your physician regularly to make sure that you are taking the proper amount. CBD oil can be taken anytime of the day and is not an injection, pump, ect. or other type of supplement that can affect how and when you take it. CBD oil for diabetes, a pal for your pancreas, instead of a pen!
Yeah it happens, one day you're walking just fine and then the next your knees hurt so bad that you don't want to do anything else. You begin to think about your age or any injury that could have caused the pain. Then it becomes depressing to think that you have arthritis. Since you want to avoid seeing a physician of course home remedies are purchased in abundance in attempts to relieve the pain. But wait, these remedies are only temporary and you will have to use them constantly to keep from walking in severe pain. The answer to this occurs to you as you notice your feet becoming flat. Yup, your arches have fallen. Fallen arches puts pressure on your knees as they move and or rotate around. The tendons in your feet are what creates the arches. When tendons become worn or stretched they collapse or fall and are no longer able to be the elastic support for the legs and knees. Now, there's no need for surgery even if it is outpatient and a rehab of sorts to assist you in getting around again. Why, because if you use arch supports in footwear that may not have them this would greatly improve the pressure you put on your knees as a result. The arch supports provide adequate cushion to your arches so that they are not "fallen" inside your shoes ect. Arch supports are also a type of foot therapy in that they assist the arches by helping them maintain their shape and support while being worn. The human body needs exercise so we do this to keep the body in shape and so that thing stay to form. If we didn't do this then over time then we would just spread out and exist like oceans, because the body is comprised of mostly water. Ok, there is fat, but the body tends to spread out unless muscles are toned to support it's structure. Arches in the foot have to be exercised the same way. You don't hear many people say I'm going to my gym class to get my arches in shape. Afterwards you may go to the golden arches to eat, but you never hear any instructor focus on firm arches. They are too busy concentrating on everything else that is visible. Arch supports are somewhat inexpensive and are a good to wear, if possible during the day provided your particular shoe, boot or sneaker ect. can fit the arch supports inside of them. If not then once you wear your comfy shoes at home then try putting the arch supports inside of them and you will notice how your knee pain improves without going to a physician and getting injections or by wearing clunky orthotic shoes that may make you feel uncomfortable. Your arches will improve in elasticity and shape and you can walk and do most things without pain as if you were young again. If you get knee pain, think of your arches and try arch supports for foot therapy or that gym thing. They exercise your arches into it's should be existing shape and won't leave you bent out of shape in paying for them!
Sending letters through the mail usually takes a few days for someone to receive them. Now, many electronic health record systems or software are usually designed for patient access. This enables a patient to log in and review his or her results without waiting for the mail or for the physician to finally talk with them. The front office people of a medical practice are usually not IT or information technology folk who assist in call center related issues with obtaining medical records on-line. You can consider me lazy among other names if you like but then if you want my shoes, just let me know! Once a medical practice starts the process of patient portal and patient access each and every chart must be patient ready for them to access. This is a lot of work as records are charted online and the patient needs to know that the physician has at least reviewed recent and all tests done during each and every visit, so that a patient is not informed of something several months before his or her primary care physician was able to review the test or study. It could be that if there is a serious matter the physician could be responsible because of the delay in contacting the patient and of course the health of the patient is also to be considered. I am not sure if patient access through an EMR will become mandatory for all medical offices at some point, but this will certainly prove to be beneficial since a patient can access medical records without using the mail, e-mail or faxing. The issue or concern that I have had with all of this is that many patients are older people who do not use computers or even computer tablets too often. So to request that they log in to obtain their medical records may become a chore or challenge. Also, due to the lack of funds many medical offices have computers that are old and really need to be replaced with newer ones. These things cost money and time to put it all together. Again, the front desk people are not IT folk, but of course we are put upon to do the job unless we want to pay a years worth of health insurance premiums to hire someone to do it. This has created a lot of work in the computer area of a medical office, among the other things as we do them, so please unless you want my shoes try to realize that much of this will occur when it becomes humanly possible. EMR software needs to be patient friendly so that it does not become a burden on the front desk in how to use it. Medical records or the electronic charts need to be maintained so that the patient can access what the physician wants them to and not what they don't need to see or what they will not understand without in depth explanation. If this occurs the patient will call extremely worried and then they will have their spouse or children call and then leave messages for the physician, understandably as this becomes the world of a front desk worker, until the physician is able to call them. This understanding and type of access needs to occur before we can take upon allowing patients to have on-line access to their medical records. As this occurs and patients are able to establish chart access online, then any medical record information they have can be e-mailed or sent through the EMR system. EMR or patient portal access needs to be considered rather soon, but within the access of what the front desk of a medical office can assist with. There are times when things are more trouble than they are actually worth!
Food poisoning can occur almost anywhere where food is exposed or rinsed in unclean water or contaminated by vermin,parasites or feces ect. or if not kept frozen or refrigerated. Some of the more common types of food poisoning are: botulism, campylobacter, samonella, staphylococcal, giardiasis, all of these listed are bacteria type viruses with the exception of giardiasis which is a parasitic virus. Food poisoning of a viral origin are viruses such as: norwalk, rotavirus and hepatitis A. Evil exists in the world along with being extremely busy and overworked, we can't possibly earn a living if we keep our hands immersed in soap and water for much of the time. Restaurants and medical offices should be designed with UV-C equipment so that restaurant and medical office workers can rid their hands of germs that can be spread from person to person contact or through fluids ect. With the use of UV-C light, which is a germicidal wavelength light that is useful in the removal of viruses and bacteria because the light is able to destroy nucleic acids from germs and or harmful DNA so that any viruses or bacteria on a person will not come in contact with food or other bodily areas. This prevents the spread of germs and viruses in places that become very hectic and busy. Also, if you are somewhat cautious about eating that next meal from a restaurant because you are worried about being sick afterwards, perhaps by having some ginger in the form of a tea or supplement could be very useful in removing toxins and cleanses the body of bacteria and viruses. You can use the ginger supplement before you go out and them afterwards to prevent from becoming ill due foods that may result in a person getting food poisoning.
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