Tag: Internal

  • Caribbean Medical School: Fastest Way to Be a Doctor?

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    Caribbean medical schools have long been the butt of jokes but their graduates are the ones having the last laugh. There are thousands of licensed physicians from Caribbean schools practicing all across the country. Over 25% of all doctors in the US are from international schools. Do you know where your primary care physician went to medical school? This is the field where Caribbean graduates are expected to dominate with a large percentage of graduates training in Internal and Family Medicine. They are expected to fill a nationwide shortage that is currently occupied by Physicians Assistants and Nurse Practitioners.

    Picture this. A 17 year old high school graduate enrolls in a pre-medical program at a Caribbean university. Schools will automatically accept students to their medical programs as long as they maintain a certain GPA in the pre-program. This means there is no need to take the MCAT so you can save yourself the headaches from preparing for that. The program is completed in 2 years and the student enrolls in the first year of the medical degree program at 19 years old.

    Numerous Caribbean schools offer an accelerated curriculum that divide the year into trimesters. Students attend school year round and are able to complete their M.D. in less than 36 months. Not to mention you only spend 18 months studying on the island. The clinical years are spent training alongside American medical student at hospitals in the US. St. George’s medical school has hospital affiliations that match any US school. Our fictional student graduates with his Doctorate in Medicine at the ripe age of 22 (going on 23).

    Our new graduate is eligible to practice in any state in the country as long as he attended one of the “Big 4” Caribbean medical schools (St. George’s University, Saba University, Ross University and American University of the Caribbean). Internal Medicine residencies last 3 years so we have a residency trained physician ready for board exams, licenses and employment at a mere 25 years old. Not quite Doogie Howser but it’s impressive to say the least.

    This accelerated path also benefits those seeking a new career or chasing their dream of being a doctor. Time is of the essence and wasting summers off in the traditional semester system is not time well spent. Caribbean medical schools are littered with nurses, pharmacists, dentists, chiropractors and many other health care practitioners. Many schools offer several different entrance times during the year giving flexibility for students who want to begin their medical education immediately.

    There is risk involved in attending a medical school overseas but there have been thousands who have blazed the trail before you and set the precedent. Caribbean medical schools produce capable physicians and fill an integral need in the health care system of the US.

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    Source by Greg Andrew Park

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  • A Cardiologist Could Save Your Life

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    Everyone has to see a doctor at some point in their lives. Unfortunately there is not one doctor that can diagnose or treat every problem. If you are having any issues or concerns with chest pains, high blood pressure, shortness of breath or issues with your blood vessels your doctor will most likely refer you to a specialist that deals specifically with these types of issues. This specialist is known as a cardiologist and they deal with preventing, diagnosing and treating diseases of the heart and blood vessels.

    When you are referred to a cardiologist you can be sure that you are seeing a doctor who is highly trained in a very specific area. These doctors have an extensive educational background which includes four years of medical school and three years of training in general internal medicine. Following that they will spend another three years or more in specialized training. In order for these doctors to become certified they must have completed a minimum of ten years clinical and educational training and then pass a two-day exam that is administered by the American Board of Internal Medicine.

    There are a variety of reasons that your doctor might refer you to a cardiologist. If there is any suspicion that you might have a significant heart or related condition you are a good candidate for a referral. Some patients that have heart murmurs or any signs of change in their ECG will also be good candidates for a referral. These doctors will be involved in the treatment of any heart attack, heart rhythm disturbances or heart failure. They are also very involved in helping patients who are affected by heart disease return to a normal life and they counsel patients about the risks as well as the prevention of heart disease.

    Every patient has a different experience with a cardiologist. All patients will be required to undergo an initial consultation where the doctor will review their medical history and perform a physical examination. This examination may be a little more in-depth than what patients are used to and may include such things as having their blood pressure, weight, heart, lungs and blood vessels checked. Depending on the patient’s symptoms and the doctor’s findings on the examination a diagnosis may be made at that point. In some cases additional testing such as an ECG, x-ray or blood test may be required in order to make a definitive diagnosis. Pending the results and diagnosis the doctor may recommend medication or some lifestyle changes.

    For some people the thought of going to a doctor is scary at any age. The thought of being referred to a specialist may be even more frightening for some people. It is important to remember that your doctor would not make a referral to a specialist unless they truly thought it was necessary. It is always better to be cautious and if there are any concerns about issues pertaining to the heart you definitely want to be in the hands of an experienced cardiologist.

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    Source by Aloysius Aucoin

    Views: 1

  • How To Use Cayenne To Cure Bad Breath

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    Bad breath or halitosis is a common cause for worry and embarrassment for many people especially when the condition becomes chronic, meaning the person suffers from it all the time. It makes them very conscious of their surroundings and it may hinder the social life of the person. Those people may want to begin eating more cayenne pepper, as it has been proven to be a simple solution to many bad breath problems. While it will probably not work as a permanent remedy, cayenne pepper has been noted as a possible substance for treating mild cases of halitosis.

    Bad breath may have its origin associated with oral problems (teeth and gum problems), systemic problems (those arising from the respiratory tract, lungs, stomach and digestive tracts) or from illness such as cold, infections in the throat, tonsillitis, etc. It may also be caused due to drying of the mouth (xerostomia) and due to poor oral hygiene.

    If the condition is caused due to systemic problems, it can be reduced by removing or treating the systemic cause. Bad breath due to problems from the stomach is associated with conditions such as gastritis, reflux, heart burn, ulcers, etc.

    Treating such systemic conditions is done with the help of drugs that are prescribed by a physician. In addition to this, there are some herbal cures and some homemade remedies that help alleviate the problem to certain extent. One such option to cure systemic conditions arising from the stomach is Cayenne Pepper. Cayenne and bad breath are polar opposites. The chemicals in this food attack and can break down many of the internal gastrointestinal chemicals which cause bad breath. Again, while it may not work for all people, this is a fast and easy way to prevent bad breath problems from arising in the first place.

    Cayenne, whose scientific names are Capsicum frutescens or Capsicum annuum, is a hot pepper that is derived from capsicum and has an active ingredient called capsaicin. It is regularly used to treat a variety of conditions such as sinusitis, headaches, asthma, diabetes, pneumonia, arthritis, psoriasis, etc. It is helpful in improvement of blood circulation and the removal of toxins from the body. It is also helpful in treating a variety of gastrointestinal problems and aids in improving the digestion.

    This substance is used to combat bad breath both directly and indirectly. The peppers are used directly when the source for bad breath is a dry mouth and indirectly when the cause is an underlying gastrointestinal problem.

    Capsaicin in the pepper is helpful in combating bad breath by improving the flow of saliva and stimulating stomach secretions. In cases of dry mouth, chewing on some peppers of cayenne improves flow of saliva and thus reduces bad breath.

    Cayenne has been recommended in treatment of gastritis, ulcers and in dyspepsia (difficulties in digestion). It is also used to stimulate hunger by taking it in the capsular form before food. It helps in improvement in peristaltic action in the digestive tracts and in repair of the tissues of the stomach. It also helps the body in stimulating the release of hydrochloric acid that is necessary for digestion.

    Combating these gastrointestinal problems helps in indirectly reducing bad breath as these problems are a cause for halitosis. In addition to helping you get more saliva in your mouth, this substance is also helpful in improving the clearance of waste from the system thus reducing intestinal gases that may cause bad breath.

    Cayenne, though a hot pepper, is a helpful ingredient in reducing gastrointestinal problems and is frequently used by many people suffering such problems and associated problems such as bad breath.

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    Source by Richard Wilkins

    Views: 0

  • Relationships: Can A Relationship Bring Up Someone’s Attachment Trauma?

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    When someone gets into a relationship, they may believe that they have finally met their match. What they have been through in the past, when it comes to this area of their life, is then going to be well and truly over.

    At one point, it will have been as though they were on a stormy sea and now, they will be on calm waters. There is then going to be no more bumps – the path in front of them will be completely flat.

    An Unexpected Outcome

    However, although this may be how one currently sees this area of their life, it doesn’t mean that their external world will match up with what is taking place in their mind as time goes by. What they could find is that their partner ends up pulling away as time goes by or that they come up too strong.

    If the former takes place, one could end up feeling rejected and abandoned, and what may follow is the feeling of being worthless. Yet, if the latter takes place, they could end up feeling smothered and trapped, which could result in them feeling powerless.

    Confusion

    If something like this was to take place, the first thing that one could do is to blame their partner. Instead of stepping back and reflecting on what is taking place, what is going on externally will be seen as the issue.

    As a result of this, their partner could end up reacting negatively to what they say, creating even more disharmony. Another thing that could take place is that the relationship could simply come to an end.

    A Similar Scenario

    At the same time, while one of the occurrences above could be what has taken place, it could be slightly different. So, instead of them feeling rejected and abandoned because their partner has actually pulled away, they could feel this way if their partner has a lot going on at work, for instance, and is unable to spend as much time with them as they usually would.

    And, while they could be feeling smothered and trapped due to their partner coming on too strong, they could feel this way whenever they express their needs. No matter what is going on, then, it will lead to a fair amount of internal discomfort.

    The Early Stages

    If one was fine before they got into a relationship with this person, they may wonder what is going on. But, while they may have been fine up until this point, there is also the chance that it is not this black and white.

    They may have only been seeing this person for a few weeks and had number of intense experiences during this time. Perhaps there was time when they didn’t hear from them for a little while, with this resulting in them feeling fearful and as though they had been rejected.

    Attached

    This may have been a time when they simply reacted to how they were feeling, doing what they could to get the other person to respond. Alternatively, they may have pushed down how they felt and tried to act normal.

    Their need to make a good impression at this point may have stopped them from criticising the other person. Based on how they felt, the last thing they would have wanted was for them to stop talking to them altogether.

    One Outlook

    One way of looking at what took place earlier on and/or what is taking place now that they are in a relationship would be to say that one is simply overacting. Ergo, the best thing for them to do would be to make sure that they don’t get caught up their ‘irrational’ feelings.

    One could end up coming to believe that they need to be mindful of what is taking place in their head, due to the fact that their thoughts create their feelings. It is then going to be all about what is going on up top.

    A Deeper Look

    Another way of looking at this would be to say that the reason all these feelings have been coming up is because they have become emotionally attached to another person, which has allowed their early wounds to be brought up to the surface. Consciously, one may not see the other person as their caregiver, but unconsciously, this can be exactly how they see them.

    At a deeper level, part of them will look towards their partner to give them what their caregivers didn’t give them, and when this doesn’t happen, how they felt during their early years will come back up to the surface. And not only will how they felt during their early years be triggered when their partner doesn’t behave in a certain way, this can also take place even if this part of them assumes that something has taken place.

    Deep Pain

    There is then going to be no need for clear evidence to be provided in order for their early wounds to be opened up. What complicates this even further is that although this part of them will want to receive what it didn’t receive all those years ago, experiencing the same experiences over and over again will be what feels safe.

    When their wounds are opened up, they can end up feeling like a needy and dependent child. Perhaps their early years were a time in their life when their needs were rarely, if ever met, meaning that they would have been spent a lot of time feeling rejected and abandoned.

    Awareness

    The years will have passed since that stage of their life but the trauma that they experienced will still be within them. If one can relate to this and they want to change their life, they may need to reach out for external support.

    This is something that can be provided by the assistance of a therapist or a healer.

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    Source by Oliver JR Cooper

    Views: 0

  • Health Is Wealth – A Conceptual Critique

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    People have different preferences towards available life options. Same is true for the statement “health is wealth”. What exactly is it? A simple preference that signifies health is superior to wealth? Or a comprehensive statement that indicates health and wealth are linked with each other, systematically and dynamically?

    Health is a comprehensive concept, it includes physical strength, mental power and spiritual-wellness of a person. On the other hand, wealth is the richness of a person i.e. abundance of money and worldly items. “Health is Wealth” is a simple statement but its meaning is so fabulous when deeply thought. People now a days refer the statement as when a person is healthy, he is capable of making wealth. On the contrary, if one is not healthy he/she cannot work productively, and hence won’t be able to generate income for independent living. This explanation is true but the deep meaning of this claim can be understood by the words of Virgil: “The greatest wealth is health.” Mr. Virgil is trying to enlighten the concept that the greatest wealth is health, not money or worldly items. There is nothing more valuable in our life than having a good health.

    Patrick Meagher said: “Some people are so poor, all they have is money.” Nowadays people are influenced by wealth improperly that they don’t even care about their health, the greatest wealth. They don’t understand that without health there is no real happiness and enviable success. A person with poor health is unable to enjoy the pleasures of life. I think such people are foolish enough because they do not care about their health. Our first priority should be to maintain our health in the best way.

    There are multiple methods and practices by which a person can stay healthy; Spending time in natural environment i.e. visiting parks and gardens. Physical exercise is also essential e.g. morning walks, playing sports, etc., it keeps a person smart and healthy. Water is the cure for all types of illness, so drink water to stay healthy and fit. Eating a balanced diet keeps people away from different illness and diseases. It is said that: “Early to bed and early to rise, makes a man healthy, wealthy and wise.” Abandon unhealthy practices and habits e.g. smoking, drinking and taking drugs because it harms internal parts of our body. Always be optimistic and cheerful because: “Laughter/smile is the best medicine.” On the contrary, an unhappy person is more prone to fatigue and other illness.

    Remember, living a healthy life can be the greatest gift you can give yourself because one cannot enjoy life if he/she is unhealthy. In addition, we must not harm our health by running madly behind wealth. I would like to conclude my essay on the nice words of Mae West: “You only live once, but if you do it right, once is enough.”

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    Source by Muhammad Ashhar

    Views: 0

  • Wrong Reasons For Getting Married – (1) Marrying Out of Sympathy

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    There are right and wrong reasons for getting married. The worst thing a person can do to oneself is to marry a wife or husband for the wrong reason. There are quite a number of wrong reasons why people marry. One of the wrong reasons and perhaps among the most prominent of the wrong reasons is marrying out of sympathy.

    There are many scenarios under this subheading of marrying out of sympathy that relationship coaches experience in the course of counseling and coaching. Some of the most common ones are when the woman gets pregnant as a result of premarital sex and getting married to a person just because one’s brother or sister jilted that person. Between these two extremes, are those who start relationships with girls who are being maltreated by those they serve. Some men get involved with the neighborhood maids or relations of their neighbors who are being maltreated. Women fall into this kind of challenge too.

    When sympathy forms the basis for a relationship with the opposite sex, it is like playing with a keg of gunpowder over a fireplace. Sympathy is a powerful emotion. It so overpowering that it becomes difficult for the parties involved to consider the critical elements in the foundation for a joyful relationship such as friendship, understanding, compatibility etc. If the man is the one sympathizing, he is so enamored into what he sees as the Good Samaritan’s job that he does not consider what stuff the woman is made off, her attitudes, desires and mindset. He does not stop to find out what life purposes she has, what goals she is focused on and how all these could jell into his own desires. If it is the woman that is sympathizing, she goes through the same emotions and also begins to think that if she saves the young man, he would remain loyal to her forever.

    Findings, however, have shown that the truth is far from what these sympathizer-lovers are thinking. If as a result of your efforts the captive is set free, he or she will do what all captives do, “flee”. Fleeing here may not mean running away from their sympathizer-lovers, though that has been known to happen with people who confess that the only feeling they had was to escape the environment. In many instances, the sympathizer-lovers begin to act as saviors and lordships. This is usually resisted, first psychologically and later verbally. And there goes your peace and comfort.

    Marriage relationship requires that both parties are open to each other. Open – meaning that there are no secrets in their hearts that the other partner would not be allowed into. Once these secret feelings are there, it produces reactive communication instead of responsive communication.

    These sympathy missions when it emanates from the premarital sex pregnancy, the woman does not fully get happy in the relationship. This arises from the fact that as the usual challenges appear in the scene, instead of the woman finding a good reason to endure; she only thinks she is in a mess occasioned by the pregnancy. Some have confessed that if they did not get pregnant, there is no way they would end up with the man they are married to. Instead of seeing the usual marriage and child rearing challenges as learning opportunities, they mortify themselves for getting pregnant. And some of the time, they blame the man for putting them in the family way. Some blame the child that resulted from the pregnancy. Hatred for a child has been known to have grown from such situations creating lasting bitterness.

    For the men, having not evaluated the character, demeanor, temperament of their spouse before marriage because of the overpowering influence of the emotion of sympathy, when the woman shows her real character, they are usually overwhelmed. They see themselves as having made terrible mistakes. They now live the rest of their lives in regret, withdrawal or wickedness or under the influence of these three negative but powerful emotions.

    It is necessary that we have it ingrained in the tablet of our hearts that the only reasons good enough for marrying anybody are the foundational elements for joyful relationship. If while in a relationship with the opposite sex there is no opportunity to build friendship and if an understanding of the basic purpose of marriage is not clear to both of you, then there is no other reason why the relationship should continue beyond the next few hours.

    Interestingly, many marriages out there are based on sympathy.

    Young single adults (18-30 years of age) and single adults (31 years and above) should not marry anybody for the purpose of saving face or to save somebody from suffering. Instead of cornering yourselves to this quagmire, why not follow the appropriate dating, courtship and engagement practices where no sexual intimacy is included. There is need to remember that sexual intimacy is only appropriate in a legally and lawfully wedded marriage contract. You need to remember that the basic purpose of sexual intimacy is mainly for procreation and to cement companionship.

    The excitement and pleasure that accompany sexual intercourse is purposed to invite people to take the responsibility that comes with it. Any other use of sexual intimacy outside legal and lawful matrimony is a transgression of the law. And law breakers must bear the full weight of the law. In most cases, there would be no external police to arrest you and no external court to try you and no external prison to sentence you. But there are internal version of the police, the court and the prison and a large farmland where your hard labor would be performed if you commit this offense.

    What is the way to go?

    Here is the way to go. Instead of focusing on sympathy, those planning to get married should focus on what matters most – the purpose of marriage – companionship and procreation. Remember the good Lord Himself said of Adam in the scriptures: “it is not good for man to be alone” (Genesis 2:18), hence He made Eve to keep him company. Do not forget also that the same Creator gave them a commandment to “multiply and replenish the earth” (Genesis 1:28). This is the creator’s approval for sexual intimacy in marriage relationship with the intents and purposes clearly spelled out, though. Latter-day prophets have clearly stated that “sex between a man and a woman in a legal and lawful marriage is ordained of God”. These are the foundational elements that must be established before continuing in the plan for marriage with someone. Both parties ought to know and understand this fully. This knowledge and understanding would bear relationships as the foundation of a building bears it. Marrying for any other reason is like standing the building on its roof.

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    Source by Francis Nmeribe

    Views: 0

  • Internal Customer Service: Guidelines for Suppliers and Contractors

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    Change management and organization development experts talk about ‘creating alignment’ – aligning organizational strategy with daily business needs. And a big part of this is creating alignment between customer needs and employee actions as customer service providers. But we also have to take note of internal customers – those people within the organization that service us – as internal customers and who we service as internal customers. “There is a remarkably close and consistent link between how internal customers are treated and how external customers perceive the quality of your organization’s services. It is almost impossible to provide good external service if your organization is not providing good internal service.” R. Zemke and K. Anderson, Delivering Knock Your Socks Off Service, 1981.

    And it’s not just about internal customers within the walls of your organization, it’s also about those arms-length internal customers and customer service providers – suppliers and contractors – those people who either supply your organization directly or come into contact with your external customers, directly, as your representative. These suppliers and contractors should be considered an integral part of your organization and the service they provide should be measured as accurately and frequently as you measure the service level you provide.

    To my mind, servicing others, whether internal or external (customer, supplier, colleague, peer, supervisor, contractor), should reflect the values of your organization and the process to retain the best customers – again, whether internal or external – can be applied across any of these groups. Suppliers and contractors should be selected and retained based on their commitment to servicing your customers – and your employees – as you require them to be serviced. Although you do not ‘own’ these suppliers and contractors, you have the right to demand the equivalent level of service you provide to your customers. When selecting your suppliers and contractors, or measuring the ones you currently are associated with, the following guidelines may help ensure that internal service meets the standard.

    Recruit suppliers and contractors as you would your employees.

    You should be seeking out the best person for the job, the high performer who will be able to deliver on your business expectations and drive up results for your company. Why not utilize some of the recruiting tools you use when conducting a search for an employee? Think about it. You will be paying this supplier or contractor to perform services for you or your customers so you should expect them to be of the calibre you expect from a new employee. Consider requesting a resume of their qualifications and experience, customers they have serviced, certifications that may be required, and if available, customer testimonials. Interview them in a similar fashion to the way in which you interview for employees. Check their references and make sure you put in place a contractual arrangement that clearly documents what you expect from them and what they can expect from you (this is just another version of position profiles and expectations for the role).

    In these cases, you are seeking high performers capable of servicing both your customers and your employees. And you have a responsibility to provide them with the information, resources and possibly, tools, they will need to service both these groups accurately and professionally.

    Provide clear expectations of performance.

    Even if your suppliers and contractors have worked with your organization for a long period of time, it is critical to periodically review your expectations of their role and how you expect them to service your customers. Customers are retained because they have developed a good relationship with their supplier and any contractor or supplier who is dealing with your customer directly, is seen by the customer to be an employee of your company, and hence; representing your company.

    When I was a general manager for an energy distribution company, one of our contractor service technicians accidentally cut the customer’s phone line. The first issue for the customer was, of course, the cut phone line and the inconvenience associated. The second issue was that the contractor apologized but told the customer he would have to call our company to secure satisfaction regarding the cost and inconvenience of having the line repaired. The third issue was the response the customer received from the Branch Manager when he called our company office to complain. He was told we were not responsible since it was a contractor that had cut the line! Yes, I too, was shocked when the customer got through to me to complain and told me what the Branch Manager had said. Even more distressing was the fact that the Branch Manager defended his position when I called him about the complaint!

    No doubt we did not clearly identify to our contractor our customer service expectations. To me, they were simple. Apologize to the customer, call our office immediately to request a solution and then work with the customer to get the solution implemented. Simple to me but certainly not to our contractor or, I quickly discovered, to my Branch Manager.

    So my next step was to build a contractor customer service agreement and develop a customer service training program to implement with both our employees and our contractors. We then implemented it across my region. We still had customer service issues with both our contractors and our employees, periodically,but this was a great first step.

    Conduct frequent performance reviews.

    Providing your suppliers and contractors with regular, specific feedback will not only give you confidence that they are meeting your needs but will also provide opportunities for them to discuss any customer service challenges, issues, or problems with you before they result in lost customers. These regular reviews should be part of the contract between you and the contractor and they should be implemented on schedule. During these reviews you should include their primary employee contacts to ensure all partners are clear about the issues and able to participate in developing the solutions. This secures commitment to the solutions.

    Reward and recognize customer service excellence.

    At a minimum, providing them with a reference signifies that you are pleased with their customer service performance. But, without a doubt, the best reward for suppliers and contractors is securing more work from you.

    Following these guidelines will go a long way to ensuring alignment between your company, your employees and your suppliers and contractors – to the business goals and strategy. All sectors can then be focused on delivering the expected level of customer service to the customer base you want to retain.

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    Source by Donna Stevenson

    Views: 0