408-854-1883 starts at $30 per hr home care

Affordable in home care | starts at $28 per hr

How will I disrupt health care if I am Amazon or Chase Bank

I will start from home. My employees will be paid well with incentives to be healthy. Health insurance shall include many preventive health care from acupuncture, massage to free massage oil and nutritional supplements. I will offer healthy meals and free visits to complimentary and alternative medicine such as chiropractor, gym and health coaches.

There will be continuum of care from newborn to age 100 where health data can be tracked. There will be less medications but more on preventive and healing ways from exercises, sleep tools and more.

I will offer healthy and affordable tiny homes situated close to work to cut the need for longer commutes. Within the community, I will support other business and institutions such as day care, local parks and restaurants, and arts.

A community where sharing and volunteerism are rewarded and a 6- hour work day is the norm.

Residential care homes for the elderly will be close to day care and music/art center to provide a holistic environment for each member. Each one can be a mother or daughter for an hour to care for the young and old.

There are no boundaries. I will imitate what works in Europe and other countries with free health care and more healthy population. I will curb air pollution and toxic environment.  There will be no food wastage from farm to table. Each farmer supports a community. Each community can then impact a healthy environment for all.

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Maximizing Quality of Life

Maximizing Quality of Life

Opportunities to optimize health and empower full potential throughout the age continuum

Economic stability

In the bay area, some seniors rent out their rooms for additional income. Some seniors are still working. In Home Health Support services of Santa Clara county pays $13 per hour for caregivers for disabled or home-bound seniors and provide free health insurance and bus tickets to those who work part time as a non-medical health care provider or caregiver.  Those with children who have good income get financial support from their children. Economic stability for the poor can be assessed from subsidized housing, free health care – Medicare and Medicaid and affordable caregiving from IHSS.

Brain health

Listening to music, dancing, adequate sleep, adequate exercise, Vitamin D, social network and support, massage, caring family members, less medication and proper nutrition (omega 3, see brain health in this blog) are keys to optimum brain health.

Email motherhealth@gmail.com for suggestions to these topics in this post to be presented in the 2018 Healthy Aging Summit:

  • Unpaid caregiving
  • Hospice care, palliative care
  • Elder justice
  • Advanced care planning
  • Long-term care planning. Many did not buy a long term care insurance when they are younger to pay for in home care.
  • Shared decision making
  • Oral health

Caregiving Stories

Motherhealth caregivers, 408-854-1883, massage each senior to ease their pain and calm them. They are then accustomed to us as they know that we are there to care for them with love. Most of the seniors are abandoned at home. Their homes are more than 60 yrs old and they bought it for only $20,000 and now worth $1M. Some uses reverse mortgage to pay for their in home care expenses.

As we care for seniors in the bay area, we are happy that some family members are giving their time to care for their parents but some are tired and wanted to end their life early. We cannot give sub-lingual morphine to expire a patient who can still swallow her food, although she has Alzheimers for the last 10 years and is now 93 yrs of age. The doctors must diagnose the senior as terminally ill to be a hospice client. Many times when we stop the meds for hospice client, some of them lived for 2 more years.

Some hospice client hangs on to dear life since they still wanted to see the successes and adventures of their family especially their grandchildren.

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Washington Post 1-30-2018

Democrats should take Trump’s immigration deal seriously

Parts of it stink, but we’re long overdue for a more coherent immigration policy.

  • Michael W. Doyle
  • ·
  • 3 hours ago

Joe Kennedy is a poor choice for the Democrats’ response

A curious selection to deliver the State of the Union response proves the party is out of touch with voters.

  • Michael Steel
  • ·
  • 3 hours ago

A year later, Trump’s rejection of the TPP is still a disaster

The move was contrary to U.S. interests.

‘I don’t know what the hell happened’: Michael Steele on the GOP under Trump

“I know that’s not my party. I know that’s not conservatism. I know that’s not Republicanism.”

With nuclear weapons, we’re getting too comfortable thinking the unthinkable

The Trump administration may expand the circumstances under which the U.S. might use them. That’s wrong.

  • Richard A. ClarkeSteven Andreasen
  • ·
  • 8 hours ago

We asked Post readers what the state of the union is. Here’s what they said.

Before the president speaks, Post readers have their say.

On Tuesday night, Trump will double down on his broken promises

The victories he will celebrate in his State of the Union speech aren’t victories for working people.

A new Trump is not possible

His inoffensive speech at Davos is not the pivot you’ve been waiting for.

How Trump handles scandal: Conspiracy theory after conspiracy theory

The State of the Union will be a foundational test of Trump’s ideas on scandal management.

Trump’s immigration ‘compromise’ is a trick

Democrats shouldn’t fall for it.

Trump is trying to Make America White Again

It’s laid out in his immigration plan.

Chuck Schumer: What I’m listening for in Trump’s State of the Union

Democrats want to work with President Trump to rebuild America’s infrastructure.

  • Chuck Schumer
  • ·
  • 1 day ago
Load More

From the Czech Republic, a warning for our midterms: The Russians are still meddling

Milos Zeman’s victory raises new red flags about upcoming elections.

How Trump could shift from divider to national unifier: Save the ‘dreamers’

The president could seal a deal on the “dreamers” and put what’s right ahead of politics.

In a house fire, America loses a devoted servant

Ed Lorenzen was a principled policy stalwart who worked behind the scenes to keep the country solvent.

President Trump (Evan Vucci/Associated Press); Robert Mueller (Joshua Roberts/Reuters)
President Trump (Evan Vucci/Associated Press); Robert Mueller (Joshua Roberts/Reuters)
Control of Congress could determine whether Trump faces any direct consequences from the special counsel investigation.
  • 3 hours ago

The state of the union is weird

In just the past month, the Trump White House has increased its pressure on the Department of Justice to bend to his will on investigations into the FBI.

If governments can’t make nice on the Internet, they’ll endanger all of us

Local lawmakers can’t solve international problems.

  • Douglas Frantz
  • ·
  • 12 hours ago

A very important post about … why television revivals are not the worst

A mild defense of television revivals.

The economic boom is all well and good. But spreading its benefits to everyone will take serious work.

A public service reminder that it will take more than “synchronized global growth” to reach the middle-class and the poor.

I started my own business and still couldn’t escape the barriers to working moms

How the ‘maternal wall’ keeps getting in the way

  • Amy Nelson
  • ·
  • 1 day ago

Great moments in past State of the Union addresses, real and fictional

What to read and watch to prep for President Trump’s speech Tuesday

  • Ted Widmer
  • ·
  • 4 days ago

Pakistan’s prime minister defends his country from Trump’s tweet

Shahid Khaqan Abbasi says his country is fighting terrorism.

  • Lally Weymouth
  • ·
  • 4 days ago

How to work for a president who loathes the civil service

Maintaining integrity in the government under Trump takes careful planning.

  • Nancy McEldowney
  • ·
  • 4 days ago

How the Mom Internet became a spotless, sponsored void

Gritty blogs have given way to staged Instagram photos.

Letting people vote at home increases voter turnout. Here’s proof.

Changing the way we cast ballots should appeal to both major parties.

  • Gilad EdelmanPaul Glastris
  • ·
  • 4 days ago

State-run economies increasingly adore the free market

It’s the best way they’ve found to advance their interests.

  • Nicholas Borroz
  • ·
  • 4 days ago

Yes, Trump can fire Mueller. But a normal president would know not to try it.

Our constitutional system relies on character and judgment as much as on legal limits. It’s being tested.

  • Neal Katyal
  • ·
  • 4 days ago

Secretary Mnuchin made a perfectly reasonable point about the dollar. Then everyone freaked out.

Treasury officials always say that the U.S. supports a strong dollar. But it’s not true, and good for Mnuchin for saying so.

We already have a wall. If it’ll save DACA, just let Trump buy a new one.

It’s a deal point that Democrats shouldn’t hesitate to give the president.

  • Zachary Karabell
  • ·
  • 4 days ago

Why I left my corporate legal job to work full-time on #MeToo

Change will only come through grass-roots organizing.

  • Ally Coll Steele
  • ·
  • 5 days ago

Why it costs so much to be poor in America

Bank of America’s new fees for customers with low balances are one of many penalties people pay for being poor.

  • Karen Weese
  • ·
  • 5 days ago

How to fight mass surveillance even though Congress just reauthorized it

What the battle looks like after Section 702’s reauthorization.

  • Bruce Schneier
  • ·
  • 5 days ago

The five most important public intellectuals in America today

Here are the five intellectuals who I think command the most influence regardless of their institutional attachments.

Obama’s ISIS policy is working for Trump

There’s a middle ground between going all in and getting all the way out in Iraq and Syria. Obama struck that balance and Trump has stuck with it.

  • Ilan GoldenbergNicholas A. Heras
  • ·
  • 5 days ago

Healthcare company to increase user satisfaction and reduce costs

Amazon, the world’s ubiquitous online store, revealed today it is collaborating with Warren Buffet, who heads Berkshire Hathaway, and the bank JPMorgan Chase to build an independent, nonprofit healthcare company with the goal of increasing user satisfaction and reducing costs.

The first order of business, the partners announced, is focusing on technology solutions that will provide U.S. employees and their families simplified, high-quality and transparent healthcare at a reasonable cost. They plan to draw on their combined capabilities and resources to take a fresh approach.

“The ballooning costs of healthcare act as a hungry tapeworm on the American economy,” Buffett said in a statement. “Our group does not come to this problem with answers. But we also do not accept it as inevitable.”

Amazon CEO Jeff Bezos added that the partners are entering into the challenge aware that it will be difficult.

“Hard as it might be, reducing healthcare’s burden on the economy while improving outcomes for employees and their families would be worth the effort,” Bezos said in a statement. “Success is going to require talented experts, a beginner’s mind, and a long-term orientation.”

JPMorgan Chase CEO Jamie Dimon added that people want transparency and more control over their own healthcare and the partners intend to work toward that for their own employees initially and potentially for all Americans.

Full 2017 NIH Research Highlights List – Clinical Advances

Prevention, Diagnosis, and Treatment of Human Disease

With NIH support, scientists across the United States and the world conduct wide-ranging research to improve the health of our nation. Groundbreaking NIH-funded research often receives top scientific honors. In 2017, these included 4 NIH-supported Nobel Prize winners and 2 NIH-funded recipients of top awards from the Lasker Foundation. Here’s just a small sampling of the research accomplishments made by NIH-supported scientists in 2017. For more health and medical research findings from NIH, visit NIH Research Matters.

Full 2017 NIH Research Highlights List

Ebola vaccine injection

Progress on two Ebola vaccines

The 2014-16 outbreak of the highly contagious Ebola disease in West Africa sounded alarm bells around the world. The outbreak, while alarming, was also an opportunity for researchers to test two experimental vaccines in Liberia. Both vaccines induced lasting immune responses and were found to be safe. The results are an important step in the development of an effective Ebola vaccine.

Senior woman speaking with a doctor

Genetic testing improves blood thinner dosing

Some people are sensitive to a common type of blood thinner known as warfarin, which puts them at risk of bleeding, a life-threatening side effect. A study showed that a genetic test can help identify sensitive patients and predict the best warfarin dose to give them. Individually tailored dosing can improve the safety of this blood thinner.

The bionic pancreas system

Bionic pancreas treats adults with type 1 diabetes

To regulate blood glucose levels, people with type 1 diabetes must take insulin every day—either as a shot or with an insulin pump. A study showed that a bionic pancreas system, which relies on a continuous glucose monitor and smart phone connected to an insulin pump, was better than the usual pump method for blood glucose control. After more testing, the bionic pancreas could become another option for people with type 1 diabetes.

Drawing blood from a study participant

HIV prevention approach reduces new infections in Ugandan district

Combining several methods of HIV prevention significantly reduced the number of new HIV infections in a district of Uganda during a seven-year period. Large numbers of people were encouraged to adopt new behaviors, such as using HIV-suppressing treatment, having only one sexual partner, and choosing to have male circumcision. The study shows that this combined approach can reduce new HIV infections in a population.

Teens talking outdoors

Preventing alcohol use among American Indian and rural youth

Researchers have tested many approaches to curb underage drinking rates. But methods that work in one racial or ethnic group may not work well in another. Because American Indian teens have high rates of alcohol problems, researchers tested prevention strategies in six communities within the Cherokee Nation area of northeastern Oklahoma. Two distinct prevention strategies reduced alcohol use among American Indian and other youth living in these rural communities.

Doctors performing surgery

Minimizing surgery for melanoma that has spread

If there’s a sign that the deadly skin cancer melanoma has spread to at least one nearby lymph node, surgeons usually remove the entire cluster of lymph nodes. Although this improves the chance of removing all the cancer cells that may be there, it also causes unwanted side effects. This year, a study showed that this practice doesn’t extend life. Instead, patients can be monitored after surgery to remove a single node and then undergo more extensive surgery later, if needed.

Illustration of brain and nervous system

Stem cell transplant induces multiple sclerosis remission

MS develops when the immune system attacks the central nervous system. Researchers have been developing a treatment that knocks out and replaces the malfunctioning immune system. Three-year results reported in 2015showed that most of the 24 study participants with early-stage MS survived without an increase in disability. The five-year results showed that most people didn’t worsen, despite not taking MS medications.

Yoga class at health club

Yoga eases moderate to severe chronic low back pain

A study with people from economically disadvantaged communities, who are disproportionately affected by chronic low back pain, showed that a specially designed yoga class was just as effective as physical therapy for reducing pain and improving physical function. While most studies have been conducted with white, middle class volunteers, this showed that a structured yoga program is helpful to those from economically disadvantaged communities.

Full 2017 NIH Research Highlights List

Findings with Potential for Enhancing Human Health

With NIH support, scientists across the United States and the world conduct wide-ranging research to improve the health of our nation. Groundbreaking NIH-funded research often receives top scientific honors. In 2017, these included 4 NIH-supported Nobel Prize winners and 2 NIH-funded recipients of top awards from the Lasker Foundation. Here’s just a small sampling of the research accomplishments made by NIH-supported scientists in 2017. For more health and medical research findings from NIH, visit NIH Research Matters.

Full 2017 NIH Research Highlights List

Young woman at store looking at apples

How dietary factors influence disease risk

Of hundreds of thousands of deaths studied from heart disease, stroke, and type 2 diabetes, nearly half were associated with eating habits: low consumption of foods widely considered vital for health and overconsumption of other foods that are not. Experts attribute recent reductions in the annual death rate from these diseases to improvements in dietary choices.

Traffic jam

Combatting epigenetic effects from outdoor air pollution

Outdoor air pollution is associated with heart attacks, strokes, and cancers. Researchers found that particles in exhaust from cars and trucks can cause epigenetic changes—alterations that affect how genes are switched on and off without changing the DNA sequence itself. These changes weren’t seen when people were given a daily B vitamin supplement before exposure to the particles. The findings could help guide the development of future prevention therapies.

Man on park bench holding his stomach in discomfort

Changing gut bacteria in Crohn’s disease

Digestive problems can arise when the balance of microbes in the gut become out of whack. People with Crohn’s diseases and other inflammatory bowel diseases tend to have an imbalance in their microbial populations. Researchers found a role for the bacterial enzyme urease in the development of microbial population imbalance and inflammatory bowel disease. Future treatments that target urease could be helpful for restoring balance.

Scheme showing potential outcomes on a cell culture

Drugs extend healthy lifespan in mice

Drugs that remove senescent cells, which no longer divide, from the body have prolonged the healthy lifespan of lab animals. Scientists devised a method to identify different classes of compounds with the potential for eliminating senescent cells. One novel class of drug delayed several age-related symptoms in mice. Eliminating senescent cells might one day extend healthy lifespan in people, but these drugs will require careful study to discover any undesirable side effects.

Scientist working with blood samples

Methods detect prions in blood and skin

Prion diseases are a group of rare, fatal brain diseases that affect animals and humans. They’re caused by normally harmless proteins that become abnormal and form clumps in the brain. An easy, noninvasive prion detection method is needed because prion carriers who haven’t yet developed symptoms may unwittingly transmit prions to others when they donate blood. Researchers developed a new method that accurately detects prions in blood. Another team detected prions in skin samples.

Illustration of RNA molecules

Quick, sensitive diagnostic tests with CRISPR

CRISPR is a gene-editing technique known for its ability to replace faulty genes, but it also has potential for diagnostics. Scientists reported that they’ve developed a CRISPR-based tool that can detect tiny amounts of Zika and Dengue virus, distinguish pathogenic bacteria, and identify tiny DNA variations. The components of the system can be freeze-dried and reconstituted on paper for field applications, opening the door to many practical uses.

Immunofluorescent microscope image of mouse pancreatic islet

Biomarkers for early organ transplant rejection

Receiving an organ from a donor can save a patient’s life, but sometimes the patient’s immune system will attack and destroy the donated organ. If doctors could detect organ rejection early on, they could adjust treatments and help reduce organ damage. Researchers showed that certain biomarkers released by the donor organs might be used to detect transplant injury earlier than current techniques.

Man in football helmet

Predicting recovery time for sports concussions

After athletes are sidelined by a concussion, they need time to recover or they risk long-term problems like headaches and dizziness. Investigators are developing a blood test that measures the level of a brain injury marker to help determine which injuries need longer recovery times.

Top aging and health hacks 1-30-2018

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Nitric Oxide Dump Exercise with nose breathing to lower blood pressure and thin blood
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Eggplant and apple cider vinegar for skin cancer
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Signs of the preactive/ active phase of dying and medications for terminally ill
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Philippines Coconut Wine -Tuba
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Can Gout be cured permanently?
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Fatigue and Red (bloodshot) eyes from WebMD
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DMSO, hydrogen peroxide and Vit C fight cancer cells
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What’s a good analogy to explain the immune system?
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How important is the thymus gland in keeping your body free from diseases?
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Can balsamic vinegar help with gout?
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Increase the body’s oxygen carrying capacity with exercise, EPO and whole foods
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Avoid chronic bronchitis with green apple, onions, garlic, vinegar and rest
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Non pasteurized beers have more health benefits
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Blindness and Amnesia cure using Optogenetics
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What will happen if a person accidentally drinks kerosene/petrol/diesel?
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Slimy veggies, saluyot and okra fight cancer
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In-home caregivers can prevent re-admission and an important care team member
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Chest pain, flu and fever
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Anti-aging and Parkinson/Alzheimer’s prevention: Enzymes and apple cider vinegar
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MEDICATIONS TO AVOID that worse PD (Parkinson’s disease)
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Standard Mileage Rates for 2018 Up from Rates for 2017
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Detox your lungs from air pollution and metal toxins and for early lung cancer
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Drug prescribing for older adults in the USA
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Muscles and aging
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Restore your vision naturally y Dr. Mercola
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Hiccups: Natural Ways to Get Rid of Them Fast
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Browning or caramelized sugar is a carcinogen
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How the brain helps us to learn and make decisions, attention and learning
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Muscles – 1
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Breast Cancer and foods rich in progesterone
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Roman Coriander, Fennel flower or Black Cumin Seed Oil as an anti-tumor, anti-gastritis and anti-convulsant oil
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Copper toxicity and mental diseases
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Anabolic and catabolic process, hormones and exercise
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Eat protein-rich food when drinking alcohol to protect your stomach
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In-home caregivers can prevent re-admission and an important care team member
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Lung cancer in the Philippines
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Foods to eat and avoid when you have Gout and leg pains
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Top aging and health hacks 1-29-2018
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Evidence-Based Practice and Health Technology Assessment
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How to Prepare Oregano Leaves for Cough Medicine
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Fight VIRUS with Enzymes from pineapple and papaya, baking soda, alkaline food, calcium and magnesium from whole foods
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Reset 92% of your genes toward a youthful gene expression pattern
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Know your anti oxidant level this Friday at nc.fit on Stevens Creek SJ
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Breast cancer signs and nutrition for breast health
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Metabolic pathway provides cues for cancer, aging and health care
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Study Shows Increase in Parkinson’s Over 30 Years
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Lung disease: COPD among white and black women
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Boiled eggs and vinegar for diabetes
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How long does dexedrine stay in your system?
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What is better, taking anti-depressants or naturally increasing your serotonin levels and why?
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Touching Research: Fighting Pain Through Knowledge of Sensory Organs in Fingertips
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Cough remedies from Dr Mercola
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Stop female genital mutilation
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Why does gatorade make me tired?
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Does occasional use of anticholinergic drugs such as Benadryl have serious neurological risks?
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Guava for thinning hair, gastric cancer and for health
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The MIND vs. the Mediterranean Diet
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Gout, Dementia, Chelation Therapy
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FOXO3, a gene linked to intelligence and involved in insulin signalling that might trigger apoptosis
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Strategies of Top Sales Men
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Scalp Cooling to Prevent Chemo Hair Loss Shows Promise
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Does drinking warm water reduce cholesterol?
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Carcinogenic TBHQ in ramen noodles
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Toxicology test for pregnant women
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Coffee and magnesium levels
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Surviving prostate cancer by Dr Mercola
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Not patentable anti-cancer plant-fruit , soursop or Guyabano fruit, Vitamins C and B-rich
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Influential people in Health Care
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Own Worldgn stock, earn more and get your fitness tracker to monitor health
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How does a CBC test for a leukemia patient usually look like?
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Discovery of ‘Mini-Brains’ Could Change Understanding of Pain Medication
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Warren Buffett and Solar Energy
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Hiatal Hernia, Pancreatitis, Pancreatic Cancer and the Western Diet
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Leg cramps, heart muscles, magnesium and CQ10
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Poor oral health tied to HPV virus by Catherine Saint Louis
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Vagus nerve stimulation thru breathing, laughs and yoga
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Examples of Mobile Apps For Which the FDA Will Exercise Enforcement Discretion
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Aging, Immune system, Thymosin hormones, and Vitamin D supplementation
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Nitric Oxide for strong blood vessels’ cells , up with exercise, melons, cucumber, Vit C, E, amino acid – L-arginine, L-citrulline
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Funny Babies Dancing Compilation 2017
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Weird Facts about Tall and Short People by Lisa Collier Cool
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Metabolic pathway provides cues for cancer, aging and health care
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2017 Digital Health Innovations
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Butyrate in butter, green bananas , plant oils to burn fat
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Psychological Wounds of Conflict: The Impact of War to children, young adults and soldiers
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Batangas beach resort Philippines visit this December with my children
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Iodine prevents cancer growth; up avocado and reduce caffeine intake to prevent Thyroid cancer
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Metabolism is life sustaining and sum of all chemical reactions for growth and death of cells

In-home caregivers can prevent re-admission and an important care team member

transition 1transition

Hospitals are penalized for high re-admission rates. In home caregivers can prevent re-admission. Call 408-854-1883 for bay area in home caregivers. Caregivers work 24/7 and monitor the seniors at home providing preventive healing ways and emergency care prevention.

As a caregiver for my own mother with groin pain during the last few days, I was able to relieve her pain with home care from foot massage (massage oil mixed with lemon grass and eucalyptus essential oils), supplementation (Vitamin B, D, C, omega 3 and turmeric/ginger capsule), nutrition, and other caring ways.

Caregivers treat their clients like family. Motherhealth caregivers send text to their care coordinators and family members of the client for every day needs and health issues.

Each new caregiver is trained for the health needs and  daily care routine of the client as written down in a daily journal by each caregiver.

Current medications are observed for side effects and efficacy.

There are many more intangible benefits of having a caregiver. Cost is an issue in the bay area that is why some seniors do reverse mortgage to pay for their in home care. Those who can afford can apply for support from Santa Clara In Home Health Support Services which pay our caregivers $13 per hour and the family pays for the difference.

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Standard Mileage Rates for 2018 Up from Rates for 2017 

Standard Mileage Rates for 2018 Up from Rates for 2017 

WASHINGTON ― The Internal Revenue Service today issued the 2018 optional standard mileage rates used to calculate the deductible costs of operating an automobile for business, charitable, medical or moving purposes.

Beginning on Jan. 1, 2018, the standard mileage rates for the use of a car (also vans, pickups or panel trucks) will be:

  • 54.5 cents for every mile of business travel driven, up 1 cent from the rate for 2017.
  • 18 cents per mile driven for medical or moving purposes, up 1 cent from the rate for 2017.
  • 14 cents per mile driven in service of charitable organizations.

The business mileage rate and the medical and moving expense rates each increased 1 cent per mile from the rates for 2017. The charitable rate is set by statute and remains unchanged.

The standard mileage rate for business is based on an annual study of the fixed and variable costs of operating an automobile. The rate for medical and moving purposes is based on the variable costs.

Taxpayers always have the option of calculating the actual costs of using their vehicle rather than using the standard mileage rates.

A taxpayer may not use the business standard mileage rate for a vehicle after using any depreciation method under the Modified Accelerated Cost Recovery System (MACRS) or after claiming a Section 179 deduction for that vehicle. In addition, the business standard mileage rate cannot be used for more than four vehicles used simultaneously.  These and other requirements are described in Rev. Proc. 2010-51.

Notice 2018-03, posted today on IRS.gov, contains the standard mileage rates, the amount a taxpayer must use in calculating reductions to basis for depreciation taken under the business standard mileage rate, and the maximum standard automobile cost that a taxpayer may use in computing the allowance under a fixed and variable rate plan.

Muscles and aging