วันพฤหัสบดีที่ 26 พฤศจิกายน พ.ศ. 2552

Medical Malpractice Chronicles Number One

I am now retired, but in 30 years the specialty practice of general surgery. As a board-certified specialists, I have noted the many medical problems of our colleagues in the face. I think the public is not aware of the pressures that are applied to the medical community.

The public wonders why doctors leave the state in a state of practice with lower malpractice rates. They wonder why so many people leaving the profession and early retirement. You are notrealize, or perhaps do not even relate to the fact that misconduct rising prices - especially because of frivolous complaints or complaints are unfounded. Insurance benefits were reduced, unbelievable, and Medicare has continued to reduce its performance.

That is a huge squeeze play to reduce where many practitioners believe that to rise as their office costs and overheads continue and further their income, they are not able to practice medicine. MostThese people started their careers as physicians with high ideals, and they were trampled to this day. What was once considered a challenge, but a call for wonderful life is now the second set and the best people are smart enough not to go into medicine.

A sad story immediately comes to mind. This is the story of a good OB GYN doctor who was a bachelor. And as a result, the medicine was the greatest thing in his life. He took his office, every candidate, regardless of theirAbility to pay. He had a high percentage of non-payers. He continued to do so, and the result was a very large practice. So he had more than most of the operations and more on the potential medical legal problems.

Because of these facts, which he had more than a certain number of processes that the insurance company would accept. I do not know the number of frivolous claims or lawsuits without merit, that were brought against the doctor, but I know that was the doctor to get avery competent people. His insurance put it.

When did the insurance company, he could no longer practice because the hospitals require a physician to have a large amount of insurance. This is the hospital, because if the doctor is sued, protect and sue them all, which could possibly be associated with it. These include the hospital. In this case, when both the hospital and the doctor of the hospital will be sued, many times to take the brunt of the problem because of their"Deep Pockets". This means that the lawyers come to the hospital because they have more assets than an individual doctor. The result was that the doctor could no longer practice medicine. He was a very good man, and, indeed, would many of the doctors who send their wives to him for treatment, because they knew of his expertise.

This is one of many sad stories. It is one of the things to think if in the not too distant future, an individual is not able to find a doctor,willing to do the necessary operations.



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วันอาทิตย์ที่ 22 พฤศจิกายน พ.ศ. 2552

How To Negotiate Your Salary At A New Job

They were tireless and job search, you finally found something. A company called you and you a new job. Great! Good luck on the first day! Wait, let's take a minute.

There are things to consider before you adopt the new job. Nobody likes to be job hunting, so many people jump on a job, even if they are not sure what they really want.

And they do not necessarily ask more money. They are afraid if they wil do the jobbe reversed, and it will return to send applications and cover letters to a number of other companies.

Let's say you have done your homework, take on your back to work, you aced the interview questions and this is definitely the work for you. Great.

But let us accept the fact that they do not want what they are prepared to enter the forefront to offer. For most men never discuss the difficulty level if they have a job offer. Now, change the over.

If you have done theLooking for a job the right way, you should be very aware of the salary for this position.

If you do not know, do your homework, you read in web sites, etc. You need to know the usual rates.

Learn how this company gives raises - how much is based on the cost of living adjustments, and how much you can expect, based on merit and work to be done.

Find these above or below the industry average? How many times can you expect, throws? Every six months? Once aYears? How does this compared to the industry average?

) When negotiating salary at a new job (or higher for a raise you need to know these things. You can not just ask for x amount or increase a certain size.

You must match the information that the company that you are worth showing to be prepared that much money.

Make a list of attributes, the things that you bring to the company that you are worth x amount per year. You sell your skills of the enterprise, onlyas if you sell a product at high prices, a potential customer.

They will not even buy it and pay what you want, just because you tell them that the price you want to's.

Go into salary negotiations with the correct data and you justify a presentation and report what you want to do, and you'll be a much better chance of getting the content you want.



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วันพุธที่ 4 พฤศจิกายน พ.ศ. 2552

Does Your Child Have a History of Autism and Seizures?

If your child has a history of autism, then you want to be one of the major symptoms seen in seizures. The first thing you will need to learn if your autistic child experiences seizures is to identify how to meet an emergency. The following conditions on a seizure an emergency:

- If the seizure lasts longer than 5 minutes, or when there are multiple seizures in a row without a full recovery between them.

- Difficulty in breathing that persists. Although itcommon for an autistic child to look as though he or she has briefly stopped breathing during the seizure, breathing should quickly resume.

- If there are any injuries sustained during the seizure.

- Confusion or unconsciousness that persists.

- If it is your child's first seizure.

- If your child has a history of seizures, but there is a significant change in the typical pattern, type, symptoms, or length of the seizure.

The occurrence of autism and seizures together is relatively common. The Journal of Child Neurology published study, "Prospective preliminary analysis of the development of autism and epilepsy in children with infantile spasms (Askalan R, et al), which showed that through puberty, 25 percent of autistic children develop seizures. It is not known why the incidence of seizures increases so dramatically with puberty. The study also showed a connection between babies who experience West Syndrome, which causes infantileCramps, and children who later receive an autism diagnosis.

Autistic children who are at highest risk for seizures were those who also certain neurological disorders, for example, neurofibromatosis, tuberous sclerosis, and untreated phenylketonuria.

Many parents of autistic children who show unusual behavior is often difficult to tell the difference between these behaviors and seizures, or whether their children are, in fact, recognize attacks in general. Nevertheless, someautism include sudden repetitive movements or the movement, and a decreased perception of his or her surroundings. This may be just what looks like a fit, depending on the person.

To tell the difference between these unusual behaviors and seizures, use the following information:

- Attacks occur suddenly, without provocation by a special appearance. On the other hand, unusual behavior usually by frustration, fear, anger, or are marketed asConsequence of a specific event.

- Seizures generally follow a sort of patterns within a person, if the length and intensity from time to time may be different. However, autism is often differ in their movements and mannerisms.

- Seizures are often accompanied with a sensation of cold or fear and are frequently followed by weakness, headache or fatigue. After a seizure, it is unlikely that an autistic child simply an activity is resumed immediately.

- Similar torigid "lost" an autistic child, no attacks are a form of small seizures that are flashing a loss of consciousness caused 10 seconds or less, and some light facial movements or eye connected. Showers may also smacking or in complex partial seizures. These people would not all stimuli from the environment. But an autistic child will display staring manners.

If your child has a history of autism and you believe that he or she can withSeizures, it is important that you tell your doctor or pediatrician immediately to discuss the severity of the attacks and to talk about possible treatments and preventive measures.



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