A new mark on your face or body (skin) appeared and when do you see a doctor. A bump or blemish appeared after waxing or around your period. Inspect what it is. Is it a zit or an ingrown hair? Appl…
When to see a dermatologist or doctor
A new mark on your face or body (skin) appeared and when do you see a doctor.
- A bump or blemish appeared after waxing or around your period. Inspect what it is. Is it a zit or an ingrown hair? Apply salicylic acid.
- It has been there too long and it changed in size, color or has bled. See a doctor.
- A rash appeared and is it brownish. Discoloration sush as brown spots can indicate prediabetes. See a doctor.
- For an itchy red rash, use 1% hydrocortisone cream twice a day.
- If it is painful rash accompanied by blisters (bacterial infection, shingles), go see a doctor.
- Is it red with flushing and pimple-life bumpiness around the nose, it could be Rosacea.
Sudden sun sensitivity and butterfly shape rash can indicate Lupus.
A scaly rash on the nipples could be Paget disease of the breast.
See a doctor.
http://www.mayoclinic.org/drugs-supplements/salicylic-acid-topical-route/description/drg-20066030
Telehealth Guide and Checklist
Regional Psychiatric Hospital (RPH) Treatment Team TELEHEALTH CLINICAL GUIDE and CHECKLIST These guidelines are applicable for the OhioMHAS Regional Psychiatric Hospitals (RPH) for conducting Te…
Source: Telehealth Guide and Checklist
Telehealth Guide and Checklist
Regional Psychiatric Hospital (RPH) Treatment Team
TELEHEALTH CLINICAL GUIDE and CHECKLIST
These guidelines are applicable for the OhioMHAS Regional Psychiatric Hospitals (RPH) for conducting Telehealth events with community mental health providers. These guidelines were developed using recommendations from the Practice Guidelines for Video-Based Online Mental Health Services May 2013, American Telemedicine Association. http://www.americantelemed.org/practice/standards/ata-standards-guidelines/practice-guidelines-for-video-based-online-mental-health-services
- Provider (Inpatient and Community) and Patient Verifications
- Provider and Patient Identity Verification
The name and credentials of the staff/providers and the name of the patient are to be verified prior to the beginning of each telehealth event. Regional Psychiatric Hospital (RPH) staff will verify who is present in the room at the hospital site, and the community/remote site will be asked to do the same verification.
As appropriate, all providers and staff will provide information regarding their role in the patient’s treatment (i.e. case manager, psychiatrist) and be able to respond to patient requests for additional information regarding their credentials. All professional licensure rules apply. Providers/staff should be able to verify their qualifications, licensure information, and if requested, license number. Upon request of the patient, information regarding how/where the patient can verify credentials will be provided.
Patients shall provide their full name, and may be asked to provide additional identification information.
- Provider and Patient Location Documentation
The RPH will act as the host site where the patient is located for these telehealth activities. The participating community agency site shall be confirmed and documented in the patient record by the RPH staff. All other documentation requirements for treatment are applicable.
Verification of the provider (the host site) location and patient location is critical for these reasons: Relevant licensing laws; Emergency management protocols; Mandatory reporting; and Reimbursement (applicable to community providers at this time).
- Contact Information Verification for Professional and Patient
It is encouraged that contact information for both provider and patient shall be verified. As applicable, contact information can include a phone number, address, and e-mail.
- Patient Consent and Appropriateness for Telehealth Activities
A patient’s ability to participate in the telehealth event will be assessed by the RPH treatment team prior to initiating telehealth activity. Patients will be provided information about this treatment option, and if in agreement, will sign a consent form for telehealth treatment. Patients right to refuse telehealth services will be reinforced. If this occurs, other treatment options are always available. Participation in telehealth is voluntary and can be discontinued by the patient at any point in time.
- Informed Consent Process
The RPH staff will review the Telehealth Consent Form with the patient prior to initiating a telehealth event. The goal of the informed consent process is that the patient understands telehealth as a treatment modality, the patient has the ability to ask questions, and the patient agrees to this form of treatment.
- Physical Environment
The room/environment should allow for optimal visual and audio clarity, and comfort. As with any treatment activity, information being shared is confidential. All participants in the room shall be identified, and their involvement agreed upon by the patient. Seating and lighting should be monitored and comfortable for the participants. To the extent possible, the patient and provider cameras should be placed at the same elevation as the eyes with the face clearly visible to the other person. (Please reference the Telehealth Site Survey form and information).
- Education, Training and Safety Management
Education and Training
RPH Staff will be asked to review a brief Telehealth Training Module prior to being involved in telehealth activities. It is encouraged that all professional staff review their discipline’s definitions of “competence” prior to initiating patient care by telehealth to ensure that they maintain both technical and clinical competence. The RPH training modules provide information about telehealth as a treatment modality, clinical documentation requirements, patient consent, confidentiality, system security, community collaboration and other pertinent information. Each RPH may provide information regarding scheduling, technical assistance, and equipment failure/back-up planning.
- Patient Safety
In the case of an emergency, an appropriate code shall be initiated by dialing “XXX” using the closest hospital telephone. If the patient becomes unable to participate in the session, the community provider will be notified and the video/telehealth session will be discontinued.
- Cultural Competency
RPH staff shall be culturally sensitive in the involvement and delivery of services to patients. Factors to consider include awareness of the client’s language, ethnicity, race, age, gender, sexual orientation, geographical location and socioeconomic and cultural backgrounds.
If necessary, an interpreter will be provided either in person, or in a venue that is acceptable to the patient.
Clinical Checklist
Pre-Telehealth Event Checklist
- The patient has signed the Telehealth Consent form and has an opportunity to ask questions or be provided with additional information.
- The patient has an opportunity to request an interpreter or other support(s) to enable their maximum benefit from the telehealth activity.
- The community agency has been made aware that treatment services provided by telehealth fall under the same rules, regulations and requirements as any treatment activity.
- A back-up communication plan (telephone, etc.) is developed and communicated to the provider.
- The telehealth checklist has been completed.
- RPH staff have an emergency back-up plan, and staff roles/tasks are known.
- RPH and community providers agree that telehealth session will not be recorded (audio or visual) or taped under any circumstances.
Telehealth Event Checklist:
- Staff at both Host (RPH) and Remote (Community Agency) site introduce themselves, and each site is clearly identified.
- The patient is clearly identified.
- The patient has an option to request information about staffs’ role in their treatment, staff licensure or credentials, or other clinical information.
- Each site will restrict access to individuals involved in the treatment team meeting.
- RPH staff will document the treatment team meeting in the patient record.
- RPH staff will continue to monitor the patient during the telehealth event as with any treatment intervention, and respond appropriately.
July 2014
Developed by the RPH Telehealth Team
Cleveland Ohio healt data: infant mortality and heart disease
Why is there high rate of infant mortality among hispanics/latino in Wards 3, 11,14, 15 and 17? Why is heart diease higher in Cleveland Ohio than the nation? What quality programs were implemented …
Source: Cleveland Ohio healt data: infant mortality and heart disease
Cleveland Ohio healt data: infant mortality and heart disease
Why is there high rate of infant mortality among hispanics/latino in Wards 3, 11,14, 15 and 17? Why is heart diease higher in Cleveland Ohio than the nation? What quality programs were implemented …
Source: Cleveland Ohio healt data: infant mortality and heart disease
Cleveland Ohio health data: infant mortality and heart disease
A health app that rewards you with a healthy green juice from Whole Foods
Consumer-owned health application A “consumer-owned” app should stay with the individual regardless of their employment status or the health insurance they have during a particular year…
Source: A health app that rewards you with a healthy green juice from Whole Foods
A health app that rewards you with a healthy green juice from Whole Foods
Consumer-owned health application A “consumer-owned” app should stay with the individual regardless of their employment status or the health insurance they have during a particular year…
Source: A health app that rewards you with a healthy green juice from Whole Foods
A health app that rewards you with a healthy green juice from Whole Foods
Consumer-owned health application
A “consumer-owned” app should stay with the individual regardless of their employment status or the health insurance they have during a particular year. The app automatically supports multiple insurances as our population ages and payers such as Medicare become the primary insurance for users/patients.
Customer-friendly coordination of care approach
A critical component however is how we get to an end state and with the current ecosystem of payers, providers, employers and users, the healthcare insurance companies have the most to gain in shifting to a more customer-friendly coordination of care approach, similar to retail and banking disruptors who encourage longer times on the phone to help cross-sell, care managers are in a unique position to engage, educate, and develop meaningful relationships to facilitate acute episodes, manage chronic care, and promote healthy lifestyles.
Rewards or perks from health insurance and employers for use of health app that resulted in optimum health or prevention of health issues
To transform the value that healthcare insurance companies and employers provide to enable the consumers to take charge of their own health.
Health insurance companies and employers should provide a reward system/perks such as:
- free gym membership to the nearest gym
- free glass of green juice from whole foods once a week
- free gym clothes
- free running shoes
- free massage oil
- free gym coach for a month
- many more
For some of us who are self employed, we can create our own perks or health reward sytem for maintaining good health such as a yearly vacation to Hawaii.
Email motherhealth@gmail.com to join in defining and delivering this mobile health application that is patient-centric but with cooperation from health insurance and employers.
https://www.indiegogo.com/projects/cancer-riskfactor-and-doctor-video-chat-mobile-app-medicine#/
Swelling in legs
Immediate correction: Rest, stop smoking, drink a smoothie of parsley, carrots, apples, ginger and coconut water Corrective healthy lifestyle for long term: avoid toxins/carcinogens/tobacco use, al…
Source: Swelling in legs
Swelling in legs
Immediate correction: Rest, stop smoking, drink a smoothie of parsley, carrots, apples, ginger and coconut water Corrective healthy lifestyle for long term: avoid toxins/carcinogens/tobacco use, al…
Source: Swelling in legs
Swelling in legs
Immediate correction: Rest, stop smoking, drink a smoothie of parsley, carrots, apples, ginger and coconut water
Corrective healthy lifestyle for long term: avoid toxins/carcinogens/tobacco use, alcohol,consume whole foods
Edema, often referred to as water retention, bloating or swelling, is the excessive accumulation of fluids between the cells caused by defects or dysfunction in the circulatory or the lymphatic systems.
Symptoms of Edema
- Swelling
- Stretched and/or shiny skin
- Skin which when poked or pressed will remain “dented”
- Pain in area of swelling, most especially in the fingers and feet
The possible causes of edema are quite various and range from things as simple as not getting enough water to more serious conditions such as hypertension and diabetes.
Causes of edema may include
- Excess of sodium in diet
- Use of medications
- Estrogen imbalance (dominance)
- Dehydration
- Magnesium Deficiency
- Fatty Acid Deficiency
- Protein Deficiency
- B-vitamin Deficiency
- Poor Circulation
- Weaken veins and capillaries
- Blocked lymph
- Liver congestion
- Bronchial disorders such as chronic bronchitis and/or emphysema
- PMS
Other more serious conditions which may contribute to or cause edema include:
- Diabetes
- Thyroid dysfunction
- Obesity
- Hypo- or Hypertension
- Heart Disease
- Congestive Heart Failure
- Cancer
Sodium and Potassium
Our bodies need a certain amount of sodium and potassium (1:5 ratio) salts in our diet to keep the body running smoothly. Unfortunately the way most people eat today, potassium is quite lacking and the sodium is consumed in great abundance beyond what is needed. To be sure a person gets the right balance in their diet, it is a good idea to avoid processed foods which contain sodium [also, sodium nitrate, sodium chloride, sodium benzoate, and monosodium glutamate (MSG)] and replace them with recipes made with natural, unprocessed, all–natural and whole foods. Get rid of the refined and processed table salt and replace it with a high quality, high flavor, and unrefined sea salt. My favorite just happens to be Celtic Grey sea salt. If you’d like more information about sodium and sea salt, take a look at this article from Dr. Mercola.http://articles.mercola.com/sites/articles/archive/2012/03/05/end-war-on-salt.aspx
Medications
So many people are taking medications these days for a myriad of conditions. Most of these medications will lend themselves to swelling and inflammation by one of two methods. They will either cause vasodilation of the blood vessels or retention of sodium. Any type of medication could invariably cause or lead to edema, but the most common contributing medications will include:
- Statins
- Anti-coagulants
- Non-steroidal anti-inflammatories (NSAIDS) such as Ibuprofen, Naproxyn, or Tylenol
- Anti-psychotics and anti-depressants
- Narcotic pain killers
- Immuno-suppressants
- Beta blockers
- Diabetes medications
- Chemo-therapy
If you take any type of medication for a chronic condition, it would be wise to find ways to help your body cope with or reverse the condition when possible so that medications can be reduced or eliminated. For information on regulating blood sugars and help with diabetes, check out this article. http://www.bulkherbstore.com/blog/2010/02/diabetes-and-natural-blood-sugar-control If you take statins or the anti-coagulants that are often prescribed together, I would recommend you take a look at the following articles with regards to these medications and the conditions they are prescribed for.http://articles.mercola.com/sites/articles/archive/2010/07/20/the-truth-about-statin-drugs-revealed.aspxhttp://www.huffingtonpost.com/dr-mercola/the-cholesterol-myth-that_b_676817.html If you are taking antipsychotics, I would encourage you to find out how nutrition might help to reverse the conditions which require such medications. These articles may help. http://www.bulkherbstore.com/blog/2008/12/anxiety-depression-fatigue-more-about-magnesiumhttp://www.westonaprice.org/mentalemotional-health/pursuit-of-happiness
Estrogen & the Liver
If you read the articles I write, you would see that I talk about Estrogen Dominance a great deal. I don’t believe it is the cause of everything awry in the body; however, the hormones have such a great effect on all systems of the body, that it’s one of the core things I encourage people to look at if they are suffering from chronic illness. In most cases the body is capable of producing all of the estrogen it will ever need to function properly, but our current culture adds to this in great abundance by using products and eating foods which bombard the body, especially the liver, with estrogen-like compounds (xeno-estrogens) which create confusion in the hormone receptors and therefore create a hormone imbalance. The liver is the organ responsible for filtering and moving these excesses out of the body, but with too much, over time, the liver will tire and become congested and unable to perform to its designed capacity. Liver congestion will inevitably lead to all sorts of illness and symptoms including edema. If you have other symptoms such as depression, fatigue, hair loss or excess, excessive sweating, PMS, PCOS, prostate enlargement, fertility or libido problems, thyroid or adrenal disorders, or cancer, then it’s highly suspect that your body is suffering from some hormone related issues. For more information on what to look for and what to do about it, take a look at this article.http://www.bulkherbstore.com/blog/2010/01/hormone-imbalace-checklist
Dehydration
Sometimes, water retention is caused by something as simple as the lack of water coming in. If you tend to drink an abundance of sodas, coffees or other artificial drinks, you may not be getting enough water. These other drinks, especially soda contain high amounts of sodium which we talked about earlier and for every glass of another beverage that you drink, that is usually one less glass of water you’re NOT drinking that the body needs. With the lack of water coming in, the body will attempt to retain the small bits that it takes in to keep the cells working properly often causing edema and swelling.
Deficiencies
A deficiency in B-vitamins, especially B6 (pyridoxine) can contribute to anemia, depression, dermatitis, hypertension, and edema. A good B6 or B-multi supplement might prove helpful, but eating foods high in B-vitamins would serve you better in the long run. http://www.healthaliciousness.com/articles/foods-high-in-vitamin-B6.php
Magnesium is a mineral that seems to be missing in many people’s diets these days. The lack of good healthy, whole foods in the diet and a depletion of minerals in the soils due to the shifts in agriculture have caused an onslaught of deficiencies everywhere. Symptoms of magnesium deficiency might include, but are not limited to: anxiety, depression, sensitivity to noise, insomnia, fatigue, constipation, and hormone imbalance. Many of these symptoms might beg for maintenance medications or lead to edema all by themselves. Arthritis and bone pain can also be indicators of a magnesium deficiency as it’s important that the body gets plenty of magnesium and calcium together to prevent and reverse such conditions.
Fatty Acids are too commonly imbalanced, or just completely missing from the typical American diet. An influx of broken and false fatty acids (trans-fats) have taken their place. Without a good ratio of good fats in the diet, chronic illness will abound in the body. Because these fats are needed to digest many of the minerals we need such as magnesium, calcium and vitamin, it becomes a root cause of many of the chronic illness we see (arthritis, inflammation, auto-immunity, cancer, hormone imbalance, circulatory, respiratory and nervous disorders, psychiatric disorders, etc.). I would encourage you to explore, research and learn everything you can about fats and how they correspond to good and bad nutrition. The following articles should get you started on that journey.http://www.bulkherbstore.com/blog/2013/02/simplfying-fats-healthy-vs-unhealthy http://www.westonaprice.org/know-your-fats/skinny-on-fats
Protein Deficiency can also lend itself to swelling and edema, especially for pregnant women. Eating a variety of meats and protein rich whole foods (legumes, eggs, bran, etc.) will help the body to regulate and manage its systems, reduce inflammation and fluid retention.
Circulation
Circulation can be poor for a variety of reasons–sedentary lifestyle, poor diet, heart conditions and weakened blood vessels. If you want to increase the circulation it’s important to eat healthy, whole foods, increase the activity level, and keep those veins healthy. If you suffer with varicose veins or other vein related disorders (cold hands and feet, hemorrhoids, etc.), taking some herbs to help strengthen the circulatory system might also prove beneficial.http://www.bulkherbstore.com/blog/2010/03/veincapillary-strengthening http://www.bulkherbstore.com/blog/2013/02/top-5-heart-healthy-herbs-and-how-to-use-them
Lymphatic System
Unlike the circulatory system, the lymphatic system has no pump in which to keep things moving “up and out.” It is a vital component of the immune system. The lymph is comprised of many organs, nodes and tissues; flows throughout the entire body and works to back up the circulatory system to remove toxic wastes from the circulatory system and the body. Blocked lymph may occur as a result of inactivity, obesity, scar tissue from surgery or trauma, chronic infections, hormone imbalance, and/or poor diet. Ways to help improve lymph health include everything already mentioned above and especially an increase in upper body exercise to help the lymph to pump and clean itself out. Chlorophyll supplementation and/or green foods which are very rich in chlorophyll may help to clean the lymphatic & the circulatory systems and reduce swelling.
Respiratory Dysfunction
Stop smoking. Bronchial disorders such as respiratory allergies, asthma, chronic bronchitis and/or emphysema can interfere with the normal exchange between the lungs and the heart and may increase edema in organs and the extremities. Improving immune health can lessen the impact of stress on the body or in some cases even reverse these bronchial conditions (asthma, allergies, etc.) that might create inflammation problems. The following articles may help with these things. http://www.bulkherbstore.com/blog/2009/06/asthma-allergies-wheezinghttp://www.drkaslow.com/html/immune_restoration.html http://www.bulkherbstore.com/blog/2009/06/emphysema ThyroidThyroid dysfunction can contribute to many other secondary conditions including diabetes, hormone imbalance and immune dysfunction. Addressing any thyroid problems and correcting them will benefit the whole body and reduce inflammation and swelling throughout the body. These two articles address some of the things you can do to help regulate the thyroid naturally whether it be under or overactive. http://www.bulkherbstore.com/blog/2010/04/graves-and-other-autoimmune-diseaseshttp://www.bulkherbstore.com/blog/2010/05/hypothyroidism
Toxins
Anytime the body has an influx of toxins (smoking,drugs,meds,alcohol,infection,inflammatory substance) coursing through its systems, inflammation will increase.
Obviously, avoiding these things in the first place would be the best course of action, but in a case where the horse is already out of the barn, I resort to a good herbal remedy (below) and a dose of activated charcoal to help the body pull those nasty toxins out of the tissues with less exertion to the systems.
Taking steps to remove toxins from the daily diet and routine would be a promising long term solution to preventing edema and any of its related conditions. In serious situations, cleansing might be something you would consider to give yourself a kick-start back to good health.
Natural Cures
There are many herbs and foods which might lend themselves of fluid release in the body. Some of these include
- Green Tea
- Dandelion
- Nettles
- Yarrow (may need to avoid if allergic to aspirin or ragweed)
- Hawthorn
- Parsley
https://www.bulkherbstore.com/blog/qa-how-to-reduce-swelling-and-water-retention/
Connie’s comments: This post is for my 60 yr old friend who smokes, has swelling of legs, his doctor said there is nothing wrong with his circulation, he smokes few cigarattes a day, works as mechanic but eats lots of fish.
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Join 25,000 people in helping redefine health with health concierge and precision medicine.
https://clubalthea.com/2016/10/14/your-complete-dna-sequence-will-help-shape-the-future-of-medicine/
NfKB protein as first responder to harmful toxins – infection – cancer
Nutrigenomics is the idea that studying diet-gene interactions can help identify the positive or detrimental effects of dietary compounds. For example, nutrigenomics can explain why eating rancid o…
Source: NfKB protein as first responder to harmful toxins – infection – cancer