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Tag: Care

  • Explore a Luxurious Lifestyle With Flats in North Kolkata

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    North Kolkata and luxurious lifestyle? They are not quite synonymous to each other, right? Are you sure about this outlook? Well, the reality is based on a different story altogether.

    North Kolkata essentially represents the vintage charm of the city. There is something unique about the region. While walking down the lanes of this region, you'll come across homes which were built during the British era or even before. The lanes are narrow where you'll find children indulging in playing 'gully cricket'. You'll come across the traditional shops selling fried eatables or as the Bengalis call it 'Tele Bhaja' along with some iconic sweet shops. However, luxurious lifestyle calls much more than such features. It calls for modern features that will upgrade your living standards and simplify it as well.

    Hence, things are changing for North Kolkata. The small shops, old vintage houses and narrow lanes are getting replaced by contemporary facilities and modern living spaces. However, does that mean this place will provide you with a luxurious lifestyle? Let's delve into the blog to familiarize with the truth.

    Luxury Living & North Kolkata- Do they Go Hand-in-Hand?

    Modern Residential Projects: Luxury starts with residential complexes defined by opulence and style. The housing complexes in North Kolkata will provide you the same. Most of the projects in this region are stunning defined by comfort, luxury and modern-day conveniences under one roof. The residential complexes are wrapped in the pure essence of nature backed by modern features, bringing you the best of both worlds.

    Most of the projects are spread across a huge acre of land with 60-70% open spaces defined by lush green foliage. Such projects also consist of landscaped gardens, ponds, pocket gardens, children's park and the likes to provide one with well-rounded lifestyle amidst a stunning milieu.

    Upgraded Living Spaces: With modern housing complexes, you'll also get the advantage to live in fine living spaces which will essentially improve your living standards. Constructed using cutting edge technology, the projects consists of comfort packed rooms, quality apartment specifications (like bathroom & kitchen fixtures) and an amazing city view. What's more? The modern luxury apartments in North Kolkata are open on 3-4 sides and are Vaastu compliant, thus bringing comfort and good vibes in your new home. Some projects will also provide you with duplex living spaces within a price range of 30 lakhs to 40 lakhs. Isn't that incredible?

    Excellent Amenities & Facilities: In today's world, it is mandatory for a residential complex to provide the residents with a remarkable set of amenities and facilities. Understanding the significance of the same, the developers are making sure to provide the residential complexes with clubhouse amenities and residential project facilities that will enhance the living standards a step further. Luxuriate with residential complexes in North Kolkata consisting of features like:

    • Rooftop swimming pool.

    • Adda Room

    • Pool Table

    • Modern Gymnasium

    • A Multi-Purpose Grass Court.

    • Landscaped Green Areas

    • Reflexology Park, etc.

    Apart from these three primary features, connectivity quotient in North Kolkata has improved as well. The region has seen an increase in local train routes, buses, auto-rickshaws, call cabs and even metro links, easier simplifying the daily task of traveling to various parts of the city. For example, if you buy flats in Barasat, you'll stay considerably close to the airport, local railway stations and upcoming metro link for an easy traveling affair.

    With connectivity, the region has also seen an improvement in commercial facilities. The region now consists of popular schools, health care centers, malls, departmental stores, entertainment zones, etc., thus meeting your requirement for a well-rounded lifestyle.

    Hence, does luxurious lifestyle and North Kolkata goes hand in hand? We can say without any second thought they do go hand in hand. Hence, North Kolkata is becoming a hub of high end residential projects to provide you with a posh living standard. Are you planning to buy a new home? Why don't you check out the residential complexes in this region? Your dream home is probably hidden here.

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    Source by Jems Hug

    Views: 0

  • Department Administrator Interference in the Doctor-Patient Relationship

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    I contacted a resident doctor in Internal Medicine at a teaching hospital and asked if he would be interested in becoming my primary care physician (PCP). My note briefly described my background in health outcomes research and two of my prescription drugs. He wrote back that he would be honored to be my PCP, and came across as professional, humble, and sincere. A new doctor-patient relationship was formed, and I contacted my existing doctor’s office to arrange for my medical records to be transferred, which immediately informed that office that I must be dissatisfied and going to a new doctor. I also shared with the resident doctor confidential information from my medical records and a copy of one of my professional presentations at a health care conference.

    A department administrator then contacted me to say the resident doctors are not available every day of the week for clinic and are not even here when they do their ICU rotation. Also, the Internal Medicine department protocol would not allow the resident doctor to write me a drug prescription for off label use. Finally, she was concerned that in the past I have ordered and correctly interpreted my own blood tests. The administrator’s attitude reflects one of the chief complaints Americans have with the health care system: the system is coming at them and requiring them to get health services in some predefined structure to which the facility is accustomed but which eliminate any potential for individualized treatment according to individual patients’ needs.

    Apparently the administrator did not spend enough “careful consideration” to get her facts straight. I do not need to see my PCP daily or even monthly. My track record shows I saw my existing doctor once in a calendar year, and the prior doctor before him I saw once in a 15-month period. So the administrator based her decision on her own ignorance of the facts.

    She also misstated facts concerning off-label prescriptions for drugs by resident doctors. One of the drugs we are talking about is Clomiphene. Both a resident doctor and an attending faculty physician at the teaching hospital advised me that they would be willing to write me (off-label) prescriptions for this drug, and the attending physician did indeed phone in a prescription for one of the drugs at my request. Similarly, the Dept. of Obstetrics and Gynecology (OB-GYN) advised me that their doctors, both resident and attending, have prescribed Clomiphene to patients. Therefore, residents in Family Medicine and OB-GYN (both primary care departments) can write prescriptions for Clomiphene, but “protocol” prevents residents in Internal Medicine (also primary care) from writing off-label prescriptions. What kind of a cockamamie rule is that? What, the residents in Internal Medicine are too dumb or too naive to understand off-label benefits of medicines?

    Finally, I had planned for my resident PCP to order and interpret blood tests each time I visited him. The administrator could have learned that fact if she had bothered to call or write me before jumping to conclusions and interfering in my doctor-patient relationship. I strongly reject the Director’s paternalistic view of medicine in which she feels she has to protect resident doctors from patients who order or interpret their own blood tests. These resident doctors are young professionals who have completed their medical degrees; they don’t need paternalistic oversight from a department administrator telling them who they can and cannot invite to be patients.

    Apparently, an overwhelming number of patients who visit this teaching hospital’s doctors want to be told what to do and how to feel. I am the exact opposite; I take personal responsibility for and manage my own health, which is strongly advocated under health care reform. Having a more equal, collaborative relationship with my PCP works for me, and that seems to be the true reason for the administrator’s interference. Studies show that medical malpractice rates drop with a non-paternalistic model of health care services. That fact of reducing litigation risks is pushing more health care systems across the country to migrate to a non-paternalistic model.

    LEGAL ANALYSIS

    I. Formation of Doctor-Patient Relationship

    The first question to address is whether, based on this fact pattern, a doctor-patient relationship was formed. When I gave the Internal Medicine resident doctor confidential information on two off-label drugs that I take, that act would be analogous to a prospective client approaching a lawyer with facts about his case to see if the lawyer will assist him. Contacting a lawyer this way does not create an attorney-client relationship. However, the lawyer is under an ethical duty to protect the confidentiality of the information shared by the prospective client. Similarly, the resident doctor was under an ethical duty to keep the information I shared with him confidential.

    When a lawyer responds to a prospective client, “I agree to take your case,” or “I will be your lawyer,” or words to that effect, then an attorney-client relationship is created, and the protection afforded to the client’s information rises to the level of constitutionally protected attorney-client privilege. In this case, when the resident doctor responded that he would be honored to be my PCP, we have offer and acceptance forming a contract. The offer-acceptance could be construed as my offering to be his patient, which he accepted, or his offer to be my PCP, which I accepted.

    But offer and acceptance are only two of the three required elements to form a contract. The third essential element is exchange of consideration, expressed in Latin as the quid pro quo. In this case, there were several separate exchanges of consideration that complete the formation of a contract and thereby render it enforceable in a court of law. Consideration is defined as some act or some transfer of an item from one party to the other, for which the receiving party had no legal right to otherwise obtain that consideration. There is no requirement that the consideration have intrisinc value. For example, the transfer of a scrap piece of paper can constitute valid consideration that renders a contract binding and enforceable.

    The initial disclosure of confidential information from my health history amounts to sufficient consideration. Second, the fact that both I and the doctor each began pursuing scheduling an appointment for me to see him is also consideration: neither of us had a prior legal right entitling us to that action by the other person. Third, when we continued to correspond after offer and acceptance, with additional information being shared back and forth, further consideration was exchanged. My sending the resident doctor a copy of one of my professional presentations was a fourth example of consideration. Finally, my request that my medical records be transferred to the resident doctor’s clinic constituted an obvious legal detriment based on reliance rendering the contract enforceable.

    If a lawsuit were filed for enforcement of this contract, I am confident that the plaintiff would overcome any attempt to dismiss the lawsuit by the teaching hospital’s attorneys based on the absence of a contract. Defendant might attempt to argue that no contract could be formed, because the resident doctor is not licensed. According to the website http://medical-dictionary.thefreedictionary.com/resident+physician, a “resident physician is a graduate and licensed physician receiving training in a specialty, usually in a hospital.” The resident’s licensing status would not prevent the formation of an enforceable contract, as we have in this fact pattern, for treatment in the supervised residents’ clinic.

    In court, we would pose a series of questions: 1) Is the resident a graduate of a medical school? Yes! 2) Was our conversation focused on health care treatment? Yes! 3) Does the resident see other patients (whether supervised or unsupervised) in the resident clinic? Yes! 4) Are the resident’s services billed to the U.S. government and to private insurers as the services of a doctor (not a student or a doctor’s aide)? Yes! 5) Did we both use the term PCP in describing our relationship? Yes. 6) Did the resident undertake to assist me in obtaining a medical appointment to see him? Yes! With these answers, any court of law is going to recognize if it looks like a duck, swims like a duck, and quacks like a duck, then it is a duck. Therefore, the defendant’s argument on licensing will be viewed as a red herring and will fail. In a similar vein, courts have noted “it is axiomatic that a doctor-patient relationship may arise from, briefly exist, and be limited by the unique circumstances presented in a transfer situation.” Sterling v. Johns Hopkins Hosp., 145 Md. App. 161 (Md. Ct. Spec. App. 2002). It does not matter how long the doctor has been seeing patients or how brief the contact with any given patient, a doctor-patient relationship can be formed.

    Selection of a PCP and other medical decisions are “core” private decisions. A fundamental tenet of privacy jurisprudence, as it has been applied to other types of personal matters, is that the individual most directly concerned is entitled to make and implement the protected decision autonomously and free from paternalistic government intrusion. See, e.g., Zablocki v. Redhail, 434 U.S. 374, 54 L. Ed. 2d 618, 98 S. Ct. 673 (1978) (decision to marry); Moore v. East Cleveland, 431 U.S. 494, 52 L. Ed. 2d 531, 97 S. Ct. 1932 (1977) (decision to live with extended family members); Griswold v. Connecticut, 381 U.S. 479, 14 L. Ed. 2d 510, 85 S. Ct. 1678 (1965)(reproductive choice). I would argue that the constitutional right to privacy also protects autonomy in selecting a PCP among a wide choice of available doctors, selecting which medications I want prescribed, and choosing what lab tests I want to order myself to monitor my health.

    In 2005, the Supreme Court of Arkansas provided the best statement in American jurisprudence on the elevated status of the doctor-patient relationship. The court noted the relationship of doctor-patient is unique. “The loss of this relationship, even temporarily, causes irreparable damage to the doctor and the patient. There is no adequate remedy at law because the loss is a loss of a one-time opportunity.” Baptist Health v. Murphy, 362 Ark. 506 (Ark. 2005)

    The court noted that the hospital had violated the Arkansas Department of Health rules and regulations for hospitals by failing to enforce policies that protected the doctor’s selection of patients and the patient’s choice of a physician. “We interpret this to mean that an otherwise qualified doctor must be granted access to his patient for the purpose of treating his patient, if that is what both the doctor and the patient want. Or, stated another way, a hospital cannot deny the services of a physician of the patient’s choice if the patient is already being seen by physicians at the hospital. Baptist Health v. Murphy, 362 Ark. 510-511 (Ark. 2005)

    Based on reading Baptist Health, I will now forward a copy of this article to the state Department of Health to determine whether the teaching hospital violated any of my state’s regulations requiring Tennessee-licensed medical centers to have policies or bylaws that respect the patient’s right to select his own physician. If so, then the teaching hospital is violating those regulations.

    II. Tennessee’s Tortious Interference Statute

    Tenn. Code Ann. § 47-50-109 is captioned, “Procurement of breach of contracts unlawful – Damages.” The administrator tortiously interfered in my doctor-patient relationship and prevented the resident doctor from performing his services under our contract. She therefore procured a breach of that contract. The administrator will argue that she was merely performing her duties, but that is no excuse for interfering in an existing doctor-patient relationship.

    Although Tennessee jurisprudence does not have a case on point, courts across the country have taken a dim view and expressed disapproval of employer interference in the doctor-patient relationship. For example, the U.S. Supreme Court stated, “The ethical objection has been that intervention by employer… makes a tripartite matter of the doctor-patient relation. Since the contract doctor owes his employment and looks for his pay to the employer… rather than to the patient, he serves two masters with conflicting interests.” United States v. Oregon State Medical Soc., 343 U.S. 326, 329 (U.S. 1952).

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    Source by Michael Guth

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  • The Best Final Expense Sales Presentation Ever

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    Arriving At The Prospects Home

    When I arrive at the house, I like to park in the driveway because that is where family parks and they are more likely to greet me. I look for the door that they use the most and I go and knock on their door (usually the back or side door). While waiting for them to come to door, I look down at my clipboard and pretend to read. I try not to make any eye contact until they open the door.

    When they open the door, I greet them as if they have been waiting for me all day long. “Mrs. Jones? My name is Joseph and the reason I’m stopping by today is because you recently sent this card in and it’s my job to bring you that information you requested. I’d really like to go over this with you, can I come in?”

    If they say yes, GREAT!!! I’m in! If they say it’s not a good time, then I will schedule an appointment with them for the next day. Now you are off to your next one. Some people will let you in and some people will make appointments with you, some won’t be home. (Always make sure you go back or call if they’re not there.) Of course, some will slam the door in your face… ha (fortunately, not usually.)

    At the end of the day, you should have made 3-4 presentations and scheduled 4-5 appointments. The point is, you are out there working and making money. I’ve honestly made $8000 in commission in one day!!! No joke.

    Making Appointments

    Rather then drive around all day, some people prefer to make appointments or hire someone to make appointments for them. Personally, I hired someone to do this for me. I schedule my appointments an hour and half apart. Usually it starts at 10:30am and ends at 7:30pm. I try to get 7 appointments a day, 4 days a week. I always make my appointments the day before because they forget if it’s more than one day away.

    Script for Setting Appointments Yourself

    Here is an appointment script you can use:

    Good Afternoon ____________, This is ____________

    I have in my hand, a pink card that you filled out and sent in requesting information on the Social Security Death Benefit Program.

    Now, my job is to get this information out to you.

    The address I have here is ___________________.

    Is that correct?

    Okay… Great!

    On the card ________, you wrote down that you were 65 and that your wife was 63… is that correct?

    Awesome, awesome…

    Let me ask you a question: are you (you guys) working, retired or receiving disability?

    Oh yeah, that’s good, that’s good… What time… do you/she/he get off work…

    chit chat…

    anyway, like I said, my job is to this information out to you and I can either get it out to you tomorrow at ______ or ______…

    which is best for you?

    Great…

    Do you have a pen and paper handy or do you have your calendar in front of you?

    I just want you to write down my first name… It’s Joseph. Last name Haworth, H-A….

    Now put down there ______am/pm on ___________day… that’s tomorrow.

    Well, I really appreciate your time, I look forward to meeting you and __________, at ______________am/pm _____day________.

    Have a great day.

    When you arrive at your appointment, smile BIG and assume you are getting in. Say you are there for the appointment and ask to come in. It’s easy to get in… most of them remember that you are coming.

    Presentation

    To put you at ease, I want you to know that I’m not a sales person at all. I’m the most passive, non pushy person you can imagine. There really is no trick to it. So relax your shoulders and have fun.

    Once you are in the door, you compliment their home, their yard, their dog, the smell of the house… you know… whatever! Just compliment. My favorite one is to mention how clean the house is. If it is really clean, it means they work really hard at it and they appreciate someone noticing. As I’m walking in the house, I look at the pictures and I either ask who is in the pictures before I sit down or I ask later. In any case, seniors love to share their pictures so make sure you ask about them.

    I’m always very casual and I do my best to avoid the sales presentation for about a half hour. I like to have them talk to me and tell me about themselves and their family and their problems etc. I honestly get sucked in. I’m right there, feeling their joy and pain and I’m concerned and interested. I don’t care about the insurance at that point. Eventually, you move to the presentation and by this time you are friends and this helps them listen and helps you know how to communicate to them. Here are the steps:

    1. You tell them why they received the card and what it’s about.

    2. You bring up the cost of a burial and the fact their family is going to have to pay $10,000.

    3. You find out why they sent the card in.

    4. Ask who their beneficiary is and if they have ever paid for a funeral (both these questions bring out emotion because they don’t want their kids to pay for the funeral and by asking if they have ever paid for one, this helps them remember the pain of paying all that money for a funeral.)

    5. Ask them what medications they take and what they are for. Then you ask how their overall health is. “Have you had any heart problems, or kidney, or liver or lung problems? If so, when?” You need to know when because most applications only care about the past 2 years or so.

    6. Now you know what they are going to be approved for and you can show them some prices. I usually write down 3 or 4 prices on the back of their lead card. I try to match what I think they can afford. Once I write them down, I go over the prices and then hand them the sheet. I say, “Now, Mrs. Jones, I want you to look over these three prices and you tell me which one is best for you?

    7. Before I give them the prices, I tell them about an immediate benefit and a graded benefit. The immediate benefit means that their family will get the full face amount if they died even after only one payment. The graded policy, however, makes them wait two years before they have full coverage. To find out which one they qualify for, I have to ask the questions on the application. (However, if you asked enough questions earlier, you already know….)

    8. Before I ask the immediate benefit questions, I ask them to pick out a price first. (This is called asking for the sale. You have to ask for the sale or you will not sell!!! Plain and simple). Knowing the price they will pay helps with the next step. When you know they qualify for immediate benefits, after you ask the appropriate questions (that you already know the answers to), you stand up and congratulate them.

    9. At that point, all you have to do is ask for their personal information. “Mrs. Jones, can I see your SSN and Drivers License”… the point is that you start writing the application.

    We hope you will join us to see the full presentation in print, audio and on video.

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    Source by Jody Haworth

    Views: 0

  • What Can I Say To Make My Husband Understand The Pain That His Cheating Has Caused?

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    It’s very common from me to hear from wives who are struggling to explain to their husbands just how much his cheating or affair hurt them and caused them pain. But often, their husband doesn’t react in the way that they were hoping for and they are looking for a way to explain their feelings so that he actually understands them.

    I recently heard from a wife who said, in part: “I have repeatedly tried to explain to my husband the depth of and reasons for my pain after his infidelity, but he either doesn’t want to hear it or he’s not understanding what I’m saying. Sometimes, I pour my heart out to him and try to explain how he has hurt me and all I get is blank stare back or empty assurances that he really is trying. This is so frustrating to me because I need him to understand the extent of my pain so that I can have some reassurance that he’ll never cheat again. I want him to understand why I sometimes act in the way that I do because of what a grave mistake he has made. But part of me thinks that he’s unwilling or just incapable of hearing me. How can I explain my pain in a way that he’ll actually understand and be willing to listen?” I’ll address these concerns in the following article.

    Pick The Right Time And Know That, Once You Start Repeating Yourself, Your Words Lose Their Effectiveness: I hear from both wives who are faithful and husbands who are not on my blog and I can tell you that if you are constantly talking about your hurt and pain, eventually, even the most sincere husband will begin to tune you out. One reason for this is that no one wants to constantly be reminded of the pain that they have caused. And husbands will often want to place their focus on moving on while the wife wants to place her focus on understanding and digging a little deeper.

    This doesn’t necessarily mean that the husband doesn’t care about your pain or just doesn’t want to hear it. But, at least sometimes, he hears your words as accusations. He might constantly hear that his selfishness and weakness has hurt you deeply and this just isn’t a message that he wants to hear on a continual basis, day after day. Men will often give comments like “she constantly wants to tell me how much the infidelity has hurt her. I do believe and understand that and I’m sorry for it. But, do I really need or have to listen to what an awful person I am every single day? How many times does she need to explain where I went wrong or how awful I am before she will feel satisfied that she’s said it enough? I tell her I’m deeply sorry. I listen. But it doesn’t seem to be enough and we repeat this process constantly.”

    I’m not telling you this to imply that you can’t regularly discuss and try to work through the infidelity. I’m telling you this because I want you to understand the obstacles that are in your way and the dynamics that are at play here. If you really want your husband to listen and to take your words to heart, then sometimes you have to pick the right time and limit the message so that it has the maximum impact.

    Consider What Your Husband Is Actually Going To Hear Before You Say The Words: I alluded to this in the previous paragraph, but sometimes the message that your husband hears has more to do with your tone and your delivery than the words that you say. So you might say something like “your infidelity has hurt me deeply. It’s made me doubt your integrity and your love and commitment to me. It’s affected my self esteem and my level of trust. And I’m not sure when things are going to get any better.”

    But what he hears is often something more in line with: “your poor decision to cheat on me has ruined my life and will probably ruin our marriage. You are an awful, selfish person with very little impulse control. And your actions have caused me so much pain that I might not ever fully recover. Because of this, I am going to feel pain and resentment every time I look at you or even think of you. And, this is going to be our lot in life from this day on because I don’t anticipate any changes.”

    These examples might seem a little extreme, but they aren’t that far off from the comments that I hear. An unfaithful husband can hear a message that you never intended. And because of this, he is often somewhat resistant to that message. Of course, the wife will often take this to mean he isn’t listening or he just doesn’t care and so she will continue to repeat herself with more feeling. And of course, this just keeps the cycle going. She doesn’t feel heard and he feels beaten down and neither person is getting what they want or need.

    If you think about it, what you probably really want is to feel heard. You want for him to know, understand, (and even feel) your pain because if he does, he’s less likely to cheat again and more likely to show the remorse that so many of us really want and need. So, think about what’s most likely to accomplish this.

    You don’t want to come across as too accusatory or too despondent because unfortunately, these things will contribute to him feeling defensive and to tuning you out. Instead, you want to use “I” phrases so that it sounds as if you’re talking responsibility for your own feelings and you’re not just trying to lay on the blame or make him feel continuously guilty for the rest of his life. And, you want to choose the time when your message is most likely to be heard. You don’t want to try to explain yourself in the middle of a fight or when you’re main goal is to hurt him. I’ve found that the message is often more likely to be heard if you say it when things are going a little more positively and both people are calm.

    An Example Of What To Say To Express The Pain His Cheating Has Caused: An example would be something like: “if this is a good time, I’d like to briefly explain how much your infidelity has hurt me. I’m not doing this to punish you or to paint you as a horrible person. I love you and don’t think you’re an awful person, but I need to feel as though you care enough to hear me. And I need to know that you truly understand so that you will hesitate to cheat again. Having someone who you love more than anything betray you in this way is something that is more devastating and hurtful than I could have ever imagined. It calls into doubt things about your marriage and yourself that are just devastating. Can you even begin to put yourself in my shoes and imagine that the rolls were reversed? Because I need to know that you understand how much pain I’m in so that we can begin to move forward once and for all. I don’t intend to keep bringing this up, but before I move on, I need to know that you truly understand.”

    Phrasing like this is much more likely to get the response and the understanding that you are after. But you can only play this card so often before your husband begins to tune you out. So once you’ve laid your cards on the table, it’s best to begin to move forward so that your husband can see that you’re sincere about not using your words to continuously punish him.

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    Source by Katie Lersch

    Views: 0

  • My Wife Feels Trapped in the Marriage

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    My wife feels trapped in the marriage and she wants me to leave her alone. For some reasons, she seems to lose her passion in the marriage. When you tried asking her many times, she will shun your questions to answer you. When this is happening to your marriage, it is obvious that something is bothering your wife and you do not know what to do.

    Your wife probably feels that her needs are not being met. She is most likely to be in a frustration of not knowing what to do and that is why she feels trapped in the marriage. She may also be worried or lost because she is feeling insecure too. If she wants some time to be left alone, just let her be. It will be worse when you try to force or pester her for an answer. You definitely need to find out what went wrong in the marriage, but you should not try to provoke her if she is not ready to share.

    Let her know that you truly care for her and is willing to do whenever she needs help to make her feel secure and even let her know you are willing to make better changes to the relationship. If your wife tells you that she is feeling trapped in the marriage because of issues like freedom and trust from you, then you should self evaluate the treatment you give her. Are you not giving her enough space? Did you always doubt her on the things she does? Did both of you quarrel over any particular things over and over again?

    It can be any reason that she feels trapped in the marriage. Most importantly, you have to find out the problems and work on it. Miscommunication is often one big misunderstanding that can create troubles to a marriage. There are always ways to compromise each other to make the relationship better. Other than that, keeping your marriage alive and interesting is one great success to lifelong marriage.

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    Source by Anastacia Huang

    Views: 0

  • Improving Healthcare Delivery by Setting Up an Integrative Family Medicine Practice

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    There are several definitions of the Integrative Medicine model which include:

    a) A healthcare model that combines treatments from Conventional healthcare and Alternative / Traditional Medicine for which there is some high-quality evidence of safety and effectiveness

    b) Focuses on person-centred (holistic care) and uses all appropriate therapeutic approaches

    c) Focuses on preventative maintenance of health by paying attention to all relative components of lifestyle

    Every person desires good health. Health, according to WHO is not merely the absence of any disease or infirmity but a state of complete physical, mental and social well-being. There is no single medical system that is perfect and each has its own merits and weaknesses; It is wrong to assume that any specific medical system, be it conventional or complementary therapies such as, Ayurveda, Yoga, Naturopathy, Traditional Chinese Medicine is correct with the exception of conventional emergency medicine. Integrative medicine is based on this concept and it incorporates evidenced-based alternative medicine alongside conventional methods for treatment and diagnosis.

    The use of complementary and alternative medicine has gained popularity in the last few years. An integrative healthcare service combines the strength of conventional and complementary medicine therapies in a way that provides the maximum benefits for the consumer. As each individual is different, the best way to provide holistic treatment would be to offer patient-centered evidence-based healthcare services combining the benefits of alternative and complementary medicine.

    If you want to set up a successful Integrative Medicine practice, then you should consider the following:

    1. Targeted Therapy

    A revolution is underway in healthcare, where the importance of lifestyle, diet, emotional and physical factors are important complementary medicine components in formulating effective therapeutic protocols.

    The key to any effective Integrative Medicine treatment is 'targeted therapy' using a biological rationale and a predefined mechanism of action from Conventional and Alternative Medicine systems. This treatment protocol involves the strategic integration of therapies, pharmaceuticals, and supplements.

    2. Establish a unique brand identity that defines your business culture or values

    Your brand name and the values ​​are potent tools that build credibility with patients. You should create a unique or modern brand identity that defines the culture or values ​​of your medical practice. People prefer to connect with established brand or reputed organizations that deliver quality healthcare services at a competitive price.

    3. Increase patient volume and business

    The Complementary Medicine industry continues to flourish which is indicative of current dissatisfaction with the conventional healthcare models. The anticipated growth is $ 4.6 billion in 2017-18 from the $ 3.5 billion in 2014. Therefore, it follows that Integrative Medicine practice will flourish with the correct marketing and the inclusion of a supporting delivery framework which underpins best clinical practice.

    4. Use highly effective marketing strategies

    With the increasing popularity of digital marketing, your center should have a website with detailed information and appropriate marketing content that will enable people to make well-informed decisions. The leveraging expertise of experienced digital marketers will streamline promotion of your brand and build credibility among patients. It is essential that you know what you are delivering, why you are delivering the product and have systems to measure the results.

    5. Build a sustainable service delivery model

    Three key factors are important in creating a thriving Integrative Medicine center. These are:

    A) An Effective Service Delivery Model

    B) A Framework of Delivery that underpins best practice and is cost effective for the consumer

    C) A Management strategy for successful implementation of the model

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    Source by Luke Harper

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  • Social Entrepreneurship – Now is the Time

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    Social entrepreneurship is a major area of interest in many social and civic organizations and has a significant impact on many areas of society. During the past decade economic resources have become more difficult to acquire and society has continued to exhibit economic and cultural decline. Concurrently, communities are in need of initiatives that will enhance their financial viability and programs that will enhance the overall viability of the population.

    Social entrepreneurship initiatives are ventures that can serve as a method of increasing the social value of a community, organization or cause while enhancing the financial viability of a not-for-profit organization. With this being stated, social entrepreneurship has been defined in different ways by many different theorists. Gary McPherson, Executive Administrator of the Canada Centre for Social Entrepreneurship, states that social entrepreneurship involves various individuals working toward meeting social and economic goals simultaneously; while Bill Drayton, CEO of Ashoka, defines social entrepreneurship as a term coined to describe “individuals who combine the pragmatic and results oriented methods of a business entrepreneur with the goals of social reform.”

    A more basic definition of social entrepreneurship states that it is “the process of using entrepreneurial and business skills to create innovative approaches to social problems.” Therefore, it is a methodology that is presently being used to resolve community and societal concerns globally. Social entrepreneurship as an area of specialized entrepreneurship is not defined by the same titling in every culture. For example, in Latin America countries social entrepreneurship initiatives are referred to as “Micro Enterprise.” In India the same program would be identified as a “Social Mission.” Though termed differently in various regions, social entrepreneurship initiatives are being implemented to solve specific societal and community concerns by focusing on the needs and resource availability within specific geographic regions.

    Social Entrepreneurship in Education Throughout the United States, many top tertiary level academic institutions are enhancing their business programs by including a curriculum that caters to the study of social entrepreneurship. In 2003, the Center for Responsible Business was launched on the University of California Berkley Campus. This subsidiary of the Haas School of Business was implemented with the intent of training students to be more principled and socially responsible members of society through attending “the preeminent educational institution in area of Corporate Social Responsibility.” Stanford University also has established a Center for Social Innovation as a part of its graduate school of business. This center was founded with the mission to “build and strengthen the capacity of individuals and organizations to develop innovative solutions to social problems for a more just, sustainable and healthy world.”

    In 1993, Harvard Business School started its social enterprise program with its mission of “generating and sharing knowledge to help individuals and organizations to create social value in the not-for-profit, private and public sectors,” and the University of Miami has refocused its business school curriculum to include coursework in the areas of ethical-decision making, social entrepreneurship and community engagement with the primary focus being to expose students to various areas of civic engagement while concurrently teaching them leadership and team building skills.

    Tertiary level institutions, including Duke, which has established a Center for the Advancement of Social Entrepreneurship as part of its Fuqua School of Business, and Columbia University where the research initiative on social entrepreneurship is embedded in its school of business, have also made strides to enhance the study and education of those seeking to venture into areas of social entrepreneurship and social venture implementation. The Association to Advance Collegiate Schools of Business-International (AACSB – International) has identified over twenty-four tertiary level institutions that have included social entrepreneurship as a part of their business college and or business curriculums.

    With social entrepreneurship being perceived by many as a new way of stimulating social change, Idee Winfield believes that the implementation of community-focused service learning projects is the first step in exposing youth to the various attributes associated with social entrepreneurship. Through community involvement, youth will begin to visualize and experience the various social issues within their community and envision ways to solve these problems. Winfield states that social entrepreneurship should be promoted in primary and secondary education, and coursework should be adjusted to allow students to “see how abstract socially focused concepts can have real world applicability.” Jeffrey Soderborg, a member of the Kauffman Center for Entrepreneurial Leadership Clearinghouse on Entrepreneurship Education, is also an ardent proponent of social venture education who believes that social entrepreneurship would be more readily accepted if youth were exposed to information expounding the laurels of these initiatives during their primary and secondary academic years.

    As youth expand their horizons through the establishment of entrepreneurial efforts, knowledge and exposure to information about the process involved in the establishment of entrepreneurial business effectively plays a major role in the rate at which business entities are established. A study focusing on entrepreneurial interests among black youth ages 14 to 19 identified that 75% of the youth surveyed had interest in becoming entrepreneur. The study also found that these minority youth believed that more information about entrepreneurship should be presented through their schools. They also believed that entrepreneurs have a responsibility to reinvest in their community.

    Corporate Social Responsibility

    Personal values often serve as the justification for entrepreneurs to focus organizational efforts on socially focused ventures. The organizational decision to forgo pursuing financial gain with the intent of using the corporations’ profit resources to enhance a community is often referred to corporate social entrepreneurship. Corporate Social Entrepreneur (CSE) is a term used to describe corporate initiatives whose primary focus is to enhance a social concern and whose secondary focus is financial gain. The corporate social entrepreneur differs from the financial profit seeking entrepreneur in the area of decisions made that affect the community and environment in which their organization functions. Research identified that in corporate social entrepreneurship business acumen serves as a factor in the success or failure of social venture initiative implementation. Research identifies that success factors associated with the implementation of social responsibility initiatives were linked to whether the entrepreneur exhibits behavior that is moral, amoral or immoral.

    The amoral entrepreneur would pursue initiatives only if they were deemed acceptable by the organization as a whole. The immoral entrepreneur implements initiatives based on what can be potentially gained for self as well as for the stakeholders, while the moral entrepreneur would pursue social responsibility initiatives based on what was in the best interest of the organization. Individuals identified as corporate social entrepreneurs are individuals who are more active in community activities and are actively involved in social responsibility efforts. Corporate social entrepreneurs also are more likely to implement social responsibility initiatives based on an organization’s long term objectives.

    While many corporations are looking for ways to increase their social responsibility efforts, in some regions corporate responsibility efforts are not progressing. A policy paper, “Corporate Social Responsibility in Latin America and the Caribbean,” documented that corporate social responsibility activity in this region has “stalled.” The reason for stagnation in this region is “minimal government involvement” and the lack of “private sector involvement.” It was also identified that initiatives to implement programs focusing on social responsibility are often initiated outside of the market, and then subsequently not embraced by stakeholders who reside within this geographic region.

    Corporations are continually looking for ways to increase corporate advantage through their social responsibility efforts. While proponents of corporate social responsibility believe that corporations are obligated morally to engage in efforts to enhance social, community and environmental concerns, many stakeholders believe that social involvement should only be initiated if the efforts are going to strengthen the organization’s image, brand, moral or stock value. With this in mind, corporations have separated social issues into specific categories.

    These categories are social concerns that are general, social concerns that are value chain based and concerns that focus on social dimensions of competitive contrast. Generic social issues are identified as social concerns that do not directly affect the company’s operation and do not have an effect on a company’s competitive advantage. Corporations are least likely to get involved or invest in projects that focus in these areas because they will not receive a high value of return on their involvement. Value Chain Social Impact issues can significantly affect a company’s operation and can have an impact on the way a company conducts business. Corporations are more likely to be involved in value chain concerns, but only after conducting due diligence studies to ensure that a return on investment will be achieved over time.

    Social issues that affect a company’s financial profitability or serve to enhance or increase a company’s competitive edge are likely to be areas that a company will invest in because of the direct impact that these initiatives will have on the company’s overall viability and stability. An example of a social dimension projects is General Electric’s investment in under-performing high schools throughout the country. General Electric believes that through investing financial and professional resources in under-performing high schools in areas where they have substantial financial investment, they are investing in enhancing a community, as well as directly increasing their future employment prospects.

    Whole Foods Market is an organization that has taken control of its social value position through purchasing products from local farmers. Also, Whole Foods maintains strict controls over all of the products produced and sold in all of its locations. They even have extended their social and ecological efforts through offsetting the use of in-store electricity with the installation of wind conversion generators, converting their trucks to operate on bio-fuel and trucking spoiled produce to regionally located compost sites. Though the investments in these technologies may be costly at the onset, the long term financial, civic and market exposure benefits far exceed any initial costs incurred.

    In the area of corporate philanthropy many corporations are at a loss. They continue to be involved in the conflict between philanthropic giving and investor requests for increased profits. For this reason many corporations engage in context-giving programs. Context-giving programs are programs that are defined as allotting resources to specific projects that will enhance the community while simultaneously enhancing the corporation.

    Examples of context-giving initiatives include the Cisco System Networking Academy, which trains computer network administrators and provides job opportunities to those who complete the program; the DreamWorks SKG film production program that trains low-income individuals in occupations that are needed in the film and entertainment industry; and American Express Travel and Tourism Academy which trains high school youth for careers in the hospitality and tourism industry. Corporations that invest in corporate-giving social venture programs are concurrently gaining positive return on their social investment, improving the economic climate of the communities where they are located and gaining positive exposure for their organizations.

    At times social ventures do not have the intended impact on the community. A study focusing on the impact of community focused business ventures found that businesses started with the intent of enhancing a community often lose focus by becoming focused on profitability and competition. Competition and self-focused motivators were identified to be factors that played an additional role in the impact and economic role that entrepreneurial ventures have in community settings.

    While many foundations, trusts and philanthropic organizations, accumulate and distribute resources with the intent of providing services to enhance specific community or social causes, many of these organizations are looking for ways to gain public exposure for their efforts. Organizations also attempt to leverage their gifting efforts through seeking not-for-profit organizations that are willing match the funding received. The success of funded programs is evaluated through performance outcomes and indicators, and through promoting the organization’s work through success stories provided by program clients. These methods are viable ways for funding agencies to acquire value and exposure through their philanthropic efforts and simultaneously continue their efforts to enhance the communities in which they invest.

    With the social philanthropic efforts of Warren Buffet and Bill Gates gaining a high degree of attention, and many leaders engaging in activities to promote social advocacy, corporations are seeking ways to also gain exposure with social entrepreneurship. Social entrepreneurship from the corporate perspective can be defined as corporate social initiatives used by a corporate entity as vehicle to show support for social causes. In recent years, many Fortune 500 companies have implemented social ventures with the intent of enhancing their corporate image through providing funding for various social causes.

    McDonald’s is one such company that has funded social causes for many years. McDonald’s primary social venture is the Ronald McDonald House Charities. The Ronald McDonald House provides lodging for the families of adolescents, ranging in age from birth to 18, who are receiving critical care for illness in communities that are away from their community of residence. The Ronald McDonald House allows families to reside in these temporary living facilities throughout the child’s period of treatment at no charge.

    The Federal Express Corporation also funds programs focused on the implementation of socially responsible programs. FedEx is a supporter of St. Jude’s Children’s Hospital and has been acknowledged by Reader’s Digest as one of “Americas Best Charity Minded Corporation.” Federal Express has also been recognized for providing funding for numerous community and civic organizations, including March of Dimes, Heart to Heart organization, an organization that focuses on delivering food and health resources globally, the United Way and the National Civil Rights Museum. These are just a few of the charitable initiatives that allow Federal Express to present itself as a socially conscious organization.

    Virgin Mobile has partnered with Youth Noise, a not-for-profit organization that brings youth together for networking and brainstorming opportunities, and Stand Up for Kids, the largest all volunteer not-for-profit organizations in the United States, to implement an initiative to expand its corporate social responsibility activities. The project involves recording artists donating ring tones to Virgin Mobile and through partnership agreements, 5% of the proceeds received through ring tone sales are donated to various “Virgin Mobile Charity Partners.” This initiative, established in June 2006, is being positioned to raise over $250,000 annually.

    For social ventures to gain global acceptance, corporations need to become involved in ventures that allow employees and consumers to see the social, community and external benefit of these ventures. This process is identified in countries south of the United States, where the concept of social responsibility is one that has been embraced by many but implemented by few. Many government organizations expect non-government, or private organizations to take responsibility for ensuring the stability and longevity of the resources throughout this region while the private sector is looking toward government agencies for intervention.

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    Source by Paul Van Putten

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  • Why Choosing an Eye Doctor Is So Important

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    Eye doctors are extremely valuable individuals because they can help you maintain healthy vision throughout the course of your life. Choosing the right eye doctor can mean the difference between healthy vision and poor vision. That is why choosing an optometrist is so important. Your eyes are your windows into the world. If you lose your sight for any reason, that window will be closed permanently. No one ever considers the possibility of going blind. But it often occurs due to sudden eye trauma, old age, or development of certain eye diseases. A good optometrist can help you address these problems quickly and effectively, and already having developed a history with one can be time-critical.

    For individuals who can see relatively well, the consequences of poor eye health might not cross their minds. But just because you see well today doesn’t mean that you will be able to see well tomorrow. Accidents happen all the time and we can lose vision simply as a result of the aging process. Even if you don’t wear glasses or contact lenses, you still need a good eye doctor because everyone should have their eyes checked on a regular basis, regardless of their past medical history. That is why choosing an optometrist is so important. If you or your children start experiencing eye complications or vision problems, you’ll want a reputable eye doctor to take care of them and help you.

    Choosing an optometrist is easy. You can start with the phone book and look up the names of different eye doctors in your area. Or, you can do a search on the Internet. If you have friends or family members who wear glasses, you can talk to them to find out which optometrist they see on a regular basis. If their eye doctor is accepting new patients, then you should be able to get in for an appointment easily. If you don’t have any friends or family members who wear glasses or go to an optometrist, then searching through the phone book or on the Internet is your next best option.

    The Internet can give you a list of optometrists and also show you how far they are from your location. For example, you can search for “eye doctors in Austin, TX” and a list of eye doctors who work in Austin will appear on the computer screen. Then it’s just a matter of scrolling through the names and deciding which optometrists are closest to you. Start with one eye doctor, and make a phone call to see if they have any available appointments. The best way to determine if an optometrist is right for you is to schedule an appointment and see for yourself. If you like the eye doctor during your appointment, then your work is done. But if you don’t like the optometrist (for whatever reason), then you can choose another one off from your list and schedule an appointment with him or her. Choosing an optometrist is a lot like choosing a mechanic – sometimes it takes a few bad ones before you find a good one.

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    Source by Roger Ubik

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  • How Our Lifestyle Choices Are Causing Us to Sink Into Chronic Illness

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    Current science continues to demonstrate that the reason we move away from health and develop chronic illness is due to our environment rather than our genes. Less than 1% of chronic illness is truly genetic in nature. Essentially, this means that chronic illness is preventable.

    Yet over half of the American population has been diagnosed with a chronic illness and nearly 80% of all health care spending (doctors’ visits, prescriptions, hospitalizations, etc.) is a result of these conditions of lifestyle.

    This number is expected to rise astronomically over the next few years. In fact, many say this single problem will bankrupt our nation. Interesting. It’s particularly interesting since science tells us this is completely preventable!

    What are chronic illnesses? The list includes conditions such as cancer, heart disease, diabetes, obesity, depression, infertility, autoimmune issues and disorders, Alzheimer’s, dementia, chronic fatigue, chronic pain, acid reflux, constipation, insomnia, decreased sex drive, and so on.

    With a list this expansive, it’s hard to imagine how we could possibly prevent these conditions from developing in the first place. They seem so unrelated. In order to understand our role in preventing chronic illness, first we must have a simple understanding of how chronic illness develops as a result of our environment.

    To explain how our lifestyle and environment relates to chronic illness, I’d like to share with you a visual that Dr. James Chestnut, B.Ed., M.Sc.,D.C.,C.C.W.P. of The Wellness Practice in Victoria, B.C. teaches. Imagine that when your life begins you are born into a pool of water. You have two items on you: inflatable water wings and an empty backpack.

    Your water wings have been inflated for you, but they have a very slow leak. The air in them is expected to last 120 years (the “healthy” human lifespan). As the air leaks out of them, you have less time left. It’s called getting older! If there’s no interference to these water wings, they’ll last you all 120 years.

    Each time you make a lifestyle choice that is incongruent with your innate genetic requirements for health, you add a “rock” to your backpack. Our blueprint for health and optimal function requires purity and sufficiency in the way we eat, move and think. This means, giving our bodies exactly what’s required for optimal health (purity) and providing enough of it (sufficiency).

    No where in our blueprint for optimal function do we find toxic and deficient choices of lifestyle. Toxicity and deficiency are incongruent with homeostatic cell function. Therefore, it’s these toxic and deficient choices that become the rocks in your backpack.

    These rocks (stressors) can come from any area of lifestyle: poor nutritional choices, sedentary living, being overweight, being chronically stressed out, having unhealthy relationships, taking toxic drugs, not feeling loved or appreciated, excessive negative stimuli, having poor posture, smoking or exposure to smoke, not enough time outside, and so on.

    So many of our toxic and deficient lifestyle choices are the direct result of an industrialized, “advanced” society. It’s hard to argue that we’re “advanced” in the area of health and wellness when we’re experiencing drastic increases in chronic illness in all age groups, despite our “advanced” efforts to treat these conditions.

    The rocks slowly sink us. They have a cumulative effect on our health over the years. At first, we may not notice. Eventually, we may realize that our day to day life has become more stressful and more of a struggle. Often, we’re not even sure how or when this happened.

    There isn’t a drug on the planet that can remove the rocks for you! That’s why treating the symptoms, or the effects of these rocks, is unsuccessful in terms of fixing the real problem. The drugs, in fact, can become yet another toxic rock. (Just listen to the side effects on any drug commercial!) Removing body parts doesn’t fare much better in solving the problem. We’re not sinking because of a lack of drugs or too many body parts! The body isn’t ‘stupid’. It’s displaying a perfectly normal physiological adaptation to an environmental stressor.

    The rocks have another effect on your overall health picture. As more rocks are added to your backpack and you sink increasingly lower, the pressure on your water wings is increased, forcing the air to escape at a faster rate. You lose your years of life faster than originally intended… you age faster.

    It’s these incongruent lifestyle choices, or stressors, that are the catalyst for chronic illness. These toxic and deficient choices result in what’s known as our allostatic load. A chronic allostatic load, as a result of months and years of incongruent lifestyle choices, changes our genetic expression, our cellular function, our physiology, our biology, our entire internal environment, and ultimately our expression of health. This is how chronic illness develops.

    It becomes self-evident that the way to restore health is to remove rocks from your backpack, thus reducing pressure on your water wings!

    Ultimately, this means reducing our toxic and deficient choices while increasing pure and sufficient choices. This changes our environment and changes the expression of our genetics. This is the science of Epigenetics – how our environment determines the expression of our genetic code.

    Thankfully, science has shown us the blueprint. We do know what choices move us toward health. We can fix the problem. Adopting a lifestyle similar to our earlier (and healthier) ancestors is the most successful way to meet our innate genetic requirements for health and wellness while preventing chronic illness.

    Note: Once again, the concepts in this article are attributed to Dr. James Chestnut, B.Ed, M.Sc, D.C., C.C.W.P.

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    Source by Colleen Trombley-VanHoogstraat

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