All posts in Medical

Medical Treatments for Erectile Dysfunction

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The 1980s saw a progressive shift away from psychological treatments of sexual dysfunction to an emphasis on surgical and medical solutions for improving sexual health. Simultaneously, there was a progressive shift within the medical community and public at large, towards viewing the etiology of sexual dysfunction as organic, rather than the psychogenic understanding emphasized by sex therapists. Use of improved sophisticated diagnostic procedures, such as duplex sonography and cavernosograms (although not necessarily improving treatment) added credibility and imprimatur to the importance of organic pathogenesis. This was particularly true in the area of erectile dysfunction, where urologists established dominance, with the successful marketing and use of various intracavernosal and intraurethral systems. Although highly touted by urologists, the treatment efficacy of these products was offset by their intrusiveness into the patients bodies and reduction in spontaneity, their patterns of use required.

Initially, there were few oral treatments for erectile dysfunction, being used by urologists, such as yohimbine based products, trazodone, and bupropion. They had only modest proerectile capability. Pharmaceutical companies were inspired to pursue oral treatments with the promise of less intrusiveness and even greater profits. The first visible evidence of fulfilling that promise was the sildenafil launch. Subsequent to Pfizers success, multiple companies simultaneously pursued clinical trials of easy-to-use treatments for male sexual dysfunction. Among others, these included additional PDE-5 type compounds and other oral treatments, such as ixense (TAP Holdings, Deerfield, IL, USA), and topically applied compounds (MacroChem, Lexington, MA, USA). Additionally, PT-141 (Palatin Technology, Cranbury, NJ, USA) is a nasally administered peptide that is under development, which is presumed to work through a central nervous system mechanism.

Currently, there are three highly efficacious PDE-5, FDA-approved treatments for erectile dysfunction: sildenafil, vardenafil, and tadalafil. Reviews of long-term extension studies and published accounts of use in clinical practice show that sildenafils effectiveness was maintained with long-term treatment. “Significantly improved erectile function was demonstrated for sildenafil compared with placebo for all efficacy parameters analyzed (P , 0.02 to 0.0001), regardless of patient age, race, body mass index, erectile dysfunction etiology, erectile dysfunction severity, erectile dysfunction duration, or the presence of various co morbidities. Long-term effectiveness was assessed in three open-label extension studies.” Vardenafil (launched in 2003) “is a potent, selective PDE-5 inhibitor, which improved erectile function in a broad population of men with erectile dysfunction and in characteristically challenging-to-treat groups such as diabetic and post prostatectomy patients.” Tadalafil also launched in 2003, when taken, “as needed before sexual activity and without restrictions on food or alcohol intake, significantly improved erectile function. It allowed a substantial proportion of patients to achieve a normal IIEF erectile function domain score, exhibited a broad window of therapeutic responsiveness and was well tolerated in a representative population of patients with broadspectrum erectile dysfunction.”

There Is Little Content about Running in Medical Textbooks

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What we would like to say next is to say something about doctors’ opinions on the professional interests from Dr. Kashmir’s point of view. Because of the infection on my feet, I came an orthopedic surgeon doctor in Park Avenue, this question has been confirmed. I was told by the doctor after he gave me a check that in order to dispel my infection, some tablets can be given, however, if I want to find the fundamental reason that brought out my infection, these tablets can do nothing to help me.

I asked him; if possible, whether he can take measures to eliminate the root cause, he answered very simply with the word of cut. Two weeks later, I could take the running for another time, the reason is that my infection was cured after taking the medicine. Since then, there did not appear any troubles even if I ran for a few years. Of course, this disease may replace one day, and I may have to suffer from a real surgery. Even so, I have been lived many years safely with a proper way.

A homologous experience was also thought by Mir kina and he stated that there was a doctor who suggested him to get a knee surgery, but he was in fear of the surgery, so it was not conducted. A doctor who was with swelled head always said that it is God’s duty to heal others, what need him to do is to receive money, Benjamin Franklin can definitely understand the statement. Whatever it takes; my knee was recovered to its state at last. Moreover, it is interesting and worthwhile to notice that as to the counterparts of doctors, they are questionable to hear the role that a doctor plays in the life of a running people If this is just an internal dispute, then we do not have to go to care.

But this is not an internal dispute; on the contrary, it shows a medical phenomenon. Sooner or later, it almost would affect every person in the field of running. In simple terms, it is really not an easy thing for doctors who know the condition well to cure the damage that is related to sports therapy. Apart from doctors and specialists that belong to a few teams, most doctors know little of this kind of damage. If you pay attention to the scene when doctors are injured in the running way, they would seem to be outsiders who do not understand medicines and do not know how to do in the next step. However, it is not an odd thing for the appearance of this phenomenon.

In recent days, I reviewed some of the best medical schools in China with the standard medical textbooks. In addition to simply refer to the long-term exercise can help to slower the heart rate, these books talk little about running sports. It was said by a doctor that was met on my running way and I was told that in all his time he studied in medical school, on the topic of how to help athletes out of the running defects, they only took no more than a day to learn.

Medical Negligence

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All of us like to trust our doctors and other medical professionals we see such as our dentists. And, happily, that trust is seldom misplaced. Unfortunately, however, there are times when even doctors can make a mistake in treating a patient or when first making their diagnosis. When this happens, and the patient suffers distress or, worse, an injury, than the doctor or medical professional may be guilty of medical negligence. The patient would then be entitled to make a claim for medical negligence compensation.

As may be expected making a claim for compensation against a medical professional can be a long, drawn out and very involved process. Because of the complexities involved in making such a claim the claimant will need to employ a specialist solicitor to help them take the claim forward.

But, care and time must be taken to ensure that the right solicitor is found. One that can be relied upon to obtain the best settlement possible. If possible it is always best to approach a solicitor that has been recommended to the claimant by an independent friend or colleague. Word of mouth recommendations are usually the most reliable method of finding a good lawyer or compensation solicitor.

In the UK most compensation solicitors will offer to take cases on a ‘no win no fee’ basis. Also known as a ‘conditional fee arrangement’ this means that all the solicitors fees will be waivered in the event of losing the case. However, because of this layers will not take on any case that they think they may lose; this can make finding a solicitor who will take on the case a frustrating and time consuming process.

Once a suitable lawyer has been hired the lengthy claims process begins with the lawyer firstly gathering all the available evidence. The most important evidence of course will be the medical records of the claimant and details of the treatment given or diagnosis received. These records will be the foundation on which the case is built and will enable the solicitor to prove that medical malpractice has taken place.

The lawyer or compensation solicitor will then hand all the facts of the claim over to their own medical experts for an opinion as to the extent of the malpractice. This expert will advise the solicitor if there was medical negligence on the part of the offending medical practitioner.

Once the medical experts have had their say the claimants solicitor will propose a settlement figure for each party to consider. If the medical professional disputes the claim or the amount of the settlement figure than the result of the claim will be decided by a court.

The legal process will be a long one and there are very rarely any shortcuts that can be taken. Even in cases were there is no real dispute about the facts the hammering out of the final settlement figure can take a very long, and frustrating, time to agree.

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Why Caregivers and Doctors Recommend Medical Alert Systems

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Doctors know the importance of having round-the-clock medical monitoring, especially for high-risk patients. Any serious medical emergency could occur anytime, and because doctors have no accurate way of predicting when it would happen, the only logical way to manage it is by conducting 24-hour monitoring of the patient. However, such kind of monitoring is not particularly cost-effective, especially for patients or seniors who are still able to get around.

Caregivers, on the other hand, could only do so much. Such as attending to the ache and pains of the senior, helping them with bathing, and assisting them with their daily activities, but their attention is limited. Unless were speaking of multiple caregivers who alternate shifts in 24-hour periods, caregivers would go home at the end of the day, leaving the senior on their own.

Obviously, there is a gap in attention, and unfortunately, it is through those gaps that accidents happen. Caregivers and doctors recommend medical alert systems primarily because the service could accomplish things that they could not. Usually, caregivers have other responsibilities and concernsthey also have a life, a family to attend to, and a job that demands their professional attention. Thats why giving all the obligations on the caregivers shoulders is essentially risking eventual neglect of the senior.

These days, medical alerts are advanced and efficient. Back during their early days in the 1970s, medical alerts were bulky, and it was hard for seniors to wear the devices. Worse, the early medical alerts were not waterproof, so they could not be worn in the bathroom. This was a crucial weakness: most accidents involving seniors occur in the bathrooma slip on the tiled floor or the bath tub can be fatal when not immediately attended to.

Fortunately, like other in-demand and important technologies, medical alerts have evolved in terms of sophistication and efficiency. No longer are such devices bulky and a hassle to use. The medical alerts youll find being offered by different providers these days are built and designed for daily durabilitythey are waterproof and can be worn at all times, even when the wearer is in the bathroom. The medical alerts are also small, lightweight and designed compactly enough that it is easy for the wearer to be no longer self-conscious about it.

Using a medical alert system is so simple that even seniors who find trouble understanding technical instructions will be able to quickly use the system. Basically, there are no technical instructionsthe senior only needs to “wear” the device (either as a bracelet or as a necklace pendant) and press the button whenever a need arises. Whether the seniors is plagued witha heart attack, a dizziness spelland theyre alone in the house with the caregiver miles away, they simply press that button and a professionally trained response center responder will speak to them from the loudspeaker of the systems base unit. Other types of medical alerts can also be set to automatically call 911 or the nearest neighbor or medical facility whenever the device “detects” that the senior has an accident in the homea slip on the floor, a fall, or some sudden inactivity that may indicate loss of consciousness.

A medical alert system can enable doctors or caregivers to have a better control of their loved ones situationthe devices and the 24/7 monitoring associated with their use can easily fill in what the common caregiver could not do, which is remain with their aging loved one at all times. After all, a medical alert system, thanks to technological advances in manufacturing and wireless communication, is now very affordable, with a minimal monthly fee of around $20. For the breadth and scope of a medical alert systems service, along with its other perks, wed say that the monthly service fee is indeed a very small price to pay for ensuring the safety of a loved one.

The Truth About Home Based Medical Transcription Work

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Here are the truths about medical transcription that you can use as a guide if you are thinking of going into this industry and taking up proper medical transcription training.

1. The medical transcription sector is growing.
This is true. Along with the global increase in demand for health care services, the transcription sector is also growing. As more and more patients require proper health care, the efficient recording and retrieval of patient’s records, analysis and doctor recommendations is becoming more critical to performing fast and accurate service. This caused an increase in demand for well trained medical transcriptionists.
Since technology is the primary platform when doing transcription tasks (connected computers and data access and retrieval), it can be performed in any location as long as those who perform the transcription have fast and dependable way to receive audio recordings, process the recordings to text format and send it back to the source of the audio recordings.
This gives rise to work at home transcriptionists who have dependable internet connection, fast computers at home, and have the necessary transcription equipments.

2. You don’t need to become a certified medical transcriptionist.
At present, a valid certificate is not yet a government mandated requirement when applying for medical transcription job though it is ideal to get certified since it will add to your reputation. On most occasions hospitals and companies hiring medical transcriptionists won’t even ask if you are or not a certified medical transcriptionist. What matters most is you have the proper training and appropriate work experience.

3. Medical Transcription Job requires specialized knowledge.
Some people may say that performing a transcription task is easy and won’t require proper knowledge or can be easily learned. This is wrong. The truth is a transcription jobs require specialized knowledge. Sure, using a computer and word processing software is easy but that doesn’t mean you can easily adapt to the language used by doctors. Converting the audio recordings to its text equivalent will require a working knowledge of all the medical terms, procedures and human anatomy. Most of the audio to be transcribed will contain medical abbreviations, and the transcriptionist is required to understand these abbreviations and medical terms.

4. You need proper education.
Similar to what I mentioned above, a transcription job will require specialized knowledge. So, if you are really thinking of starting a career in this industry then be prepared to take formal training. Proper education is required when you’ve decided to start a transcription career and presently you have two options for training. One is to take the training online (which will allow you to study at your own pace at the comfort of your house). Online training usually take up to 8 months to 1 year. If you want classroom interaction then you can apply for an on-campus training which on average will take you up to two years to finish.

5. Medical Transcription is not a get rich quick scheme.
Just to make sure that we are on the same page, keep in mind that a transcription job is not a get rich quick scheme.
So if on your search for a medical transcription job you bump into an ad that tells you how you can make money overnight with medical transcription even for those without experience and ask you to pay them for a list of where to apply, then it should turn-on a red light.
A medical transcription job is something you’ll have to study for or have years of experience doing before you can apply for available jobs or become a home based transcription professional.