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loughtonbaithead · 4 years
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Car Accident Lawyers Savannah
Savannah Wrongful Death Attorney – Settling an agonizing Issue
Wrongful death is one of the most diverse and complicated branches of injury law. It is additionally an especially troubling matter that may leave surviving family members and relatives in dire straits. Wrongful death can occur in some of the most unexpected locations also. From workplace accidents for the very hospitals and nursing facilities we depend on for health, untimely death is very rarely just a car accident.
Kenneth S. Nugent is definitely an attorney who concentrates on consolidating justice for that surviving relatives of such wrongful deaths.
Personal Injury Law Firm in Savannah Georgia
When someone close dies, expenses can suddenly develop into a major reason for concern. A deceased relative seemed to be the only supporter of your family. Because of their untimely absence, a mom of three should take on more work just to keep everyone fed and healthy.
Foreclosures, backed up bills and hungry mouths can ensure and this can be an especially awful condition for any grieving family. This is when we apply our skills and extensive experience. We certainly have managed to get our business to make sense of this minor catastrophe.
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Funeral expenses in themselves could be a financial burden that few can undertake. A funeral could cost over $12,000 and also the arrangements and details will demand mental acuity that is often lacking in this especially confusing time.  An added weight of your uncertain financial outlook can make the matter especially bleak.
Overall, a further weight in the financial disaster is just not yours to bear every time a death is due to another party. Call the law offices of Kenneth S. Nugent for any free consultation and tips on getting compensation to manage the down sides of your wrongful death.
Medical Negligence
It can be especially disturbing to believe that right after the trust placed physicians a lot of deaths may appear from malpractice.  One of several primary causes just for this egregious situation is sloppy medical work from pressured doctors with greater priorities compared to the patient’s safety and good health. Physicians looking to consider caseloads that are way too high on their behalf are susceptible to making mistakes and also this could cost lives.
One common method that this occurs occurs when a physician adopts a “wait and see” prepare for treatment and recovery. This may lead to a misdiagnosis of your very serious condition because proper tests are certainly not being run. This really is a critical problem in the area of psychiatric medication. Patients are often put on a wait and see list as the results of medication can take some time to take full effect. This has triggered people with depressive conditions committing suicide as his or her desperation to finish their mental torment could become unbearable.
Surgeons can also make some mistakes about the operating table most often due to pressures of time. Booking a surgery is not easy as there are limited doctors and a great need. While many people will believe that accidents caused in surgery occur when situations are left in the body, it is often when something is snipped or sliced accidentally.
An Elderly Care Facility Abuse
Our law firm also handles some cases that are especially tragic. Several of these involve the death due to abuse of victims too weak and defenseless to combat back. The majority of us like to think that elderly care facility staff are kind-hearted and caring individuals who have the well-being of the elderly family members at heart. Even though this is certainly the way it is in many situations, nursing facilities have been discovered to result in harm in a number of ways.
-Medical Errors
-Slips And Falls
-Physical Abuse
-Improper or Unnecessary Restraint
-Bed Sores
Workplace Accidents
Workplace accidents can occur anywhere and may often lead to deaths. This is often the way it is in especially dangerous professions like police force, electrical work and the like. But, terrible accidents can occur anywhere. In our type of work, we can easily help navigate problems of dealing with insurance providers that may do just about anything in order to avoid the compensation due.
When an insurance firm decides they are going to not payout or are stalling for time, you and your loved one can experience pressed to return to work prematurely. This will cause an injury to be more severe and this may lead to pain and suffering. We are going to fight for the cause and ensure that you are compensated for the injury and may love a full recovery before going back to the task scene.
Lost pay are certainly not always due to the full respect they are due and also this can mean receiving considerably reduced income. Employees must provide worker’s compensation by law. Many individuals will stay away from accomplishing this and that is why you should call legislation offices of Kenneth S. Nugent when seeking compensation for workplace accidents.
A technique the insurance coverage providers will attempt to avoid paying worker’s compensation is actually by stating that the worker was at fault for his or her injuries. But, there are many techniques that the business was to blame for the injuries, read about a number of:
-Ladder Falls
-Improper Sanitation
-Inadequate Training
-Repetitive Computer Use
-Damaged Equipment
Faulty Security
We expect our kids is going to be secure and safe after they leave the nest and head off and away to college. It is usually hard for them to leave the protection of home but we will hope their safety at college is going to be assured. Dorms are supposed to feature security and guards to ensure that these adolescents is going to be safe when they are beginning their new life. Forever reason, only those students with proper ID are allowed to enter into the building and get past the security guard.
But, the reality is that security is frequently lower than necessary and also the safety of your respective child are at risk. There are numerous cases each year when unauthorized visitors make do college security and enter student housing facilities. This will expose young people for the dangers of drugs, thieves and sexual abusers. Our specialized services work to give you justice when your loved ones have come across harm due to lax college dorm security.
Video surveillance plays an especially important role when this happens. This will provide you with the valuable details needed to determine the nature of your case. Those working at convenience stores are some of the most common victims of violent crimes in burglaries and robberies.
Usually the security installed by a professional security company could have flaws within the system that may lessen the efficacy in the security you might be provided. Everybody wants to feel safe in the home and then we depend on these security companies to provide defense against burglars and also other intruders. While death is not always the consequence of a burglary, it may happen. It is usually a critical tragedy for someone close to get struck down within the safety of their own home.
Our experienced lawyers will complete a full investigation into who accounts for the damages caused when proper protection is just not provided. When the proper protection ended up being applied, there is certainly reason to believe the injuries and injustice would not have happened.
How Do Our Law Practice Help When Heinous Negligence Occurs?
It will take a professional in all things medical to prove malpractice in courts as well as for this you might need a special sort of injury lawyer. We certainly have the best malpractice attorneys at work to offer your case for the courts. Everyone involved is going to be thoroughly interviewed as the eye witnesses, nursing staff and also other hospital employees may be key witnesses with what happened.
The paperwork linked to properly calculating the extent in the damages and just how much compensation is really owed can be another important factor. It can be nice to have a knowledgeable legal professional at your side in this particular time of should protect you making mistakes you could later regret. Some of the red tape will include:
-SSRI
-SSD
- Filing a Lawsuit
-Worker's Compensation
-Military Benefits
-Insurance Claims
-Pensions
Our Attorneys Enable You To Access Insurance Coverage Advantages of your Deceased Family Members
It is a common practice for life insurance providers to try to pay the lowest possible payout for the grieving families. They could even try and pay you far lower than you truly deserve as well as nothing at all when they can help it.
-Suicide
With regards to suicide, insurance providers may argue that they are no obligated to pay once the tragedy was committed from the insured party. But, this is not always a specific assessment as it could be argued the person was not thinking about their insurance coverage policy after they took their life. Many insurers provide a secondary benefit for these cases that may be applied to someone considering committing suicide. But, this is not always plausible and frequently a lawsuit is the best way to fight for the rights.
-Delays
Another popular ploy of the insurer is to make as numerous reasons because they can to delay building a payout for the claim. Several of these will sound reasonable enough too, as an example, with no certificate of death, they are going to not be able to confirm the insured party has actually deceased. But, they also have more ploys and ways to delay making claims up until the last possible moment. But, you needed that cash for a time therefore we will fight to get it for you.
Our Attorneys May Reach An Agreement Instead Of Likely To Court
Each side are often very likely to work through the disagreement through negotiations resulting in an agreement, as an alternative to using the matter to courts. Courts are expensive and time-consuming and produce added stress if you must stand trial.
We are going to typically locate a way of preventing a courtroom confrontation and get seasoned lawyers able to litigate using the lawyers in the opposing party.
About Kenneth S. Nugget
Kenneth S. Nugent has over three decades of law practice by which he has found justice and compensation for families of all different backgrounds and financial statuses. Wrongful deaths should never be taken lightly which is challenging to picture the devastating effects a situation like this may have on a surviving family. Our law firm has lived as much as this important tenet therefore we provide superior legal services to people who may otherwise not afford it.
Get Your Case Evaluation Today
In order to advise you about the best steps to take once you have suffered damages or wrongful death from another party we should come up with a full evaluation of your respective case. We are going to provide this initial consultation totally free. But, it is essential that you act soon. These cases generally have a better chance of success when filed early.
A Savannah Office
Kenneth S. Nugent Law Offices will have locations in 8 cities in Georgia. We proudly serve residents in the Savannah area and those in seven other areas within the state. In terms of choosing the best lawyer the secret to success is always to choose one from your neighborhood. This way you can be certain they are going to possess the local knowledge they should get a ruling in your favor.
It's Time And Energy To Contact Kenneth S. Nugent
Should you or someone in your family has been the victim of your injury or wrongful death, we completely grasp the dilemma. It is an portion of the law by which we have now great experience. Other cases which we have now handled with unparalleled success include defective products, dangerous drugs and vehicular accidents.
If you were to look into the views and perspectives of the clients you will realize an improved sample of the kind of results we have now and continue to accomplish for your valued clients. In case you are unclear regarding how this process is perfect for you, phone us up at this number: 912)-447-5984. We also have a live chat open to ensure a speedy response irrespective of what time or night it really is.
Why wait anymore to start your quest for justice if this could mean losing a case. Getting a lawyer in your corner at the earliest opportunity greatly increases your chances of a good resolution. Don’t wait any further, call today for the free consultation.
We wait to obtain your compensation or justice when performing so could mean a lost case? Getting a lawyer in your corner immediately greatly improves your chances of reaching a good resolution in relation to your case. Some types of cases cannot be filed within one or two years. Buy your evaluation now!
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everlasting-gospel · 4 years
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New Post has been published on Present Truth
New Post has been published on https://presenttruth.info/fear-not-coronavirus-precautions/
Fear Not! Coronavirus Precautions!
“Grace be with you, mercy, and peace, from God the Father, and from the Lord Jesus Christ, the Son of the Father, in truth and love” (2 John 3).
I pray that you are doing well despite the perilous times in which we are living.
I am a first responder with our volunteer fire department. I just wanted to share a few things with you about the caronavirus that were shared with our department.
First of all, Thus saith the Lord, “Fear not!” This phrase is found 63 times in the Bible.
“Fear not, little flock; for it is your Father’s good pleasure to give you the kingdom” (Luke 12:32).
“Therefore I say unto you, Take no thought for your life, what ye shall eat, or what ye shall drink; nor yet for your body, what ye shall put on. Is not the life more than meat, and the body than raiment? Behold the fowls of the air: for they sow not, neither do they reap, nor gather into barns; yet your heavenly Father feedeth them. Are ye not much better than they? Which of you by taking thought can add one cubit unto his stature? And why take ye thought for raiment? Consider the lilies of the field, how they grow; they toil not, neither do they spin: And yet I say unto you, That even Solomon in all his glory was not arrayed like one of these. Wherefore, if God so clothe the grass of the field, which to day is, and to morrow is cast into the oven, shall he not much more clothe you, O ye of little faith? Therefore take no thought, saying, What shall we eat? or, What shall we drink? or, Wherewithal shall we be clothed? (For after all these things do the Gentiles seek:) for your heavenly Father knoweth that ye have need of all these things. But seek ye first the kingdom of God, and his righteousness; and all these things shall be added unto you. Take therefore no thought for the morrow: for the morrow shall take thought for the things of itself. Sufficient unto the day is the evil thereof” (Matthew 6:25-34).
“And fear not them which kill the body, but are not able to kill the soul: but rather fear him which is able to destroy both soul and body in hell” (Matthew 10:28).
“He that dwelleth in the secret place of the most High shall abide under the shadow of the Almighty. I will say of the LORD, He is my refuge and my fortress: my God; in him will I trust. Surely he shall deliver thee from the snare of the fowler, and from the noisome pestilence. He shall cover thee with his feathers, and under his wings shalt thou trust: his truth shall be thy shield and buckler. Thou shalt not be afraid for the terror by night; nor for the arrow that flieth by day; Nor for the pestilence that walketh in darkness; nor for the destruction that wasteth at noonday. A thousand shall fall at thy side, and ten thousand at thy right hand; but it shall not come nigh thee. Only with thine eyes shalt thou behold and see the reward of the wicked. Because thou hast made the LORD, which is my refuge, even the most High, thy habitation; There shall no evil befall thee, neither shall any plague come nigh thy dwelling. For he shall give his angels charge over thee, to keep thee in all thy ways. They shall bear thee up in their hands, lest thou dash thy foot against a stone. Thou shalt tread upon the lion and adder: the young lion and the dragon shalt thou trample under feet. Because he hath set his love upon me, therefore will I deliver him: I will set him on high, because he hath known my name. He shall call upon me, and I will answer him: I will be with him in trouble; I will deliver him, and honour him. With long life will I satisfy him, and shew him my salvation” (Psalms 91:1-16).
“No weapon that is formed against thee shall prosper; and every tongue that shall rise against thee in judgment thou shalt condemn. This is the heritage of the servants of the LORD, and their righteousness is of me, saith the LORD” (Isaiah 54:17).
“But now thus saith the LORD that created thee, O Jacob, and he that formed thee, O Israel, Fear not: for I have redeemed thee, I have called thee by thy name; thou art mine. When thou passest through the waters, I will be with thee; and through the rivers, they shall not overflow thee: when thou walkest through the fire, thou shalt not be burned; neither shall the flame kindle upon thee” (Isaiah 43:1, 2).
“Fear thou not; for I am with thee: be not dismayed; for I am thy God: I will strengthen thee; yea, I will help thee; yea, I will uphold thee with the right hand of my righteousness” (Isaiah 41:10).
For a study on trusting the Lord for everything, please read the following article.
The Faith of the Son of God – Jun-Jul 2018
Paul exclaimed, “I live by the faith of the Son of God” (Galatians 2:20). Wait a minute, I know we are to “…walk by faith, not by sight” (2 Corinthians 5:7), but Paul talks about “the faith of” God’s Son, not his own faith. …Read More
Some Precautions
1) Wash your hands often. Hands are the number one carrier of germs and viruses.
2) Avoid touching your mouth, nose, and eyes.
3) Drink lots of water. The caronavirus first attaches in your throat, and cannot survive well in warm temperatures. It can be washed down to the stomach by warm water where it will be killed by your stomach acid. If you have a sore throat gargle with warm salt water, and drink lots of water.
4) Monitor yourself and others with a thermometer, preferably one that does not need to touch the patient.
5) Stay at least six feet away from anyone who has symptoms of caronavirus without protection. Protection will include gloves, mask, eye protection, and a gown. Even with these precautions, limit all contact, and carefully remove and dispose of the protection, then wash your clothes, shower, and change into clean clothes. Spray the bottom of your shoes with a disinfectant like Lysol, before entering your vehicle or house after you have been exposed to coronavirus.
According to the CDC Website here are some things you should watch for.
Watch for symptoms Reported illnesses have ranged from mild symptoms to severe illness and death for confirmed coronavirus disease 2019 (COVID-19) cases. The following symptoms may appear 2-14 days after exposure.*
Fever
Cough
Shortness of breath
*This is based on what has been seen previously as the incubation period of MERS-CoV viruses.
If you develop emergency warning signs for COVID-19 get medical attention immediately. Emergency warning signs include*:
Difficulty breathing or shortness of breath
Persistent pain or pressure in the chest
New confusion or inability to arouse
Bluish lips or face
*This list is not all inclusive. Please consult your medical provider for any other symptoms that are severe or concerning.
If you suspect someone to be a carrier of the caronavirus, they will probably not be transported to the hospital unless they have emergency warning signs.
Currently, President Trump is requesting that you avoid gatherings of more than ten people, and avoid unnecessary travel.
I am not giving you everything you need to know about this, so check your trusted news sources for more information.
The best preparation you can make is to draw near to God. “Draw nigh to God, and he will draw nigh to you. Cleanse your hands, ye sinners; and purify your hearts, ye double minded” (James 4:8).
There are a lot of promises of protection in the Bible for us, claim them and believe them for you and your family. If there is known sin in your life, ask God to remove it, then ask Him to reveal more light. Watch and pray is the instruction Jesus gave His disciples before their faith was severely tried.
As students of the Bible we should not be surprised by things like this. There are a lot of potential events behind the scenes that might explain why this is going on right now. The bottom line is, Satan is behind it all.
“…Woe to the inhabiters of the earth and of the sea! for the devil is come down unto you, having great wrath, because he knoweth that he hath but a short time” (Revelation 12:12).
The final conflict will be over worship. Read Revelation 13. God’s Ten Commandments are split into two sections, 1-4 deal with worship to God, 5-10 deal with how we treat people. The primary commandments that will be involved in this final conflict revolve around commandments 1 and 4.
On February 18, 1890 there was a Breckenridge Sunday Bill presented to the House of Representatives in the United States. Here is a portion of what this bill entailed.
“Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, That it shall be unlawful for any person or corporation, or employee of any person or corporation in the District of Columbia, to perform any secular labor or business, or to cause the same to be performed by any person in their employment on Sunday, except works of necessity or mercy; nor shall it be lawful for any person or corporation to receive pay for labor or services performed or rendered in violation of this act…”
JO Corliss testified before the house in opposition to this bill saying,
“…In this connection let me say, gentlemen, that the District of Columbia has just the same kind of a Sunday law as that of Ohio. This law of the District of Columbia was in force when this book was issued which I hold in my hand, which was April 1, 1868; and I am told that this law (which I will read) was re-enacted in 1874. I now quote from the law. Section 1 provides that- ‘If any person shall DENY THE TRINITY, he shall, for the first offense, be bored through the tongue, and fined twenty pounds; … and for the second offense, the offender being thereof convict as aforesaid, shall be stigmatized by burning on the forehead with the letter B, and fined forty pounds; and for the third offense, the offender being thereof convict as aforesaid, shall suffer death, without the benefit of the clergy.’ Section 10 of the same law has this:- ‘No person whatever shall do any bodily labor on the Lord’s day, commonly called Sunday …’ Now, gentlemen, that law has never been repealed.” (Arguments on the Breckinridge Sunday Bill, by AT Jones, pages 3,13).
Friends, we are living in perilous times. The Lord is coming soon. The final crisis will be over worship, and the two primary aspects that will be brought to law will cause people to violate God’s Ten Commandment Laws on the true God we worship, and the day on which we worship. How those will be brought to play in forbidding people to buy or sell unless they violate these Laws is yet to be seen. But pay attention, friends, it is coming. Make sure you know who you worship, and worship Him in Spirit and in Truth, and worship Him in part by resting “the Sabbath day according to the Commandment” (Luke 23:56).
Please read these booklets: God’s Love on Trial, National ID and the Mark of the Beast, and The Mark of the Beast.
Farewell my Brothers and Sisters. God bless you and keep you.
“For this cause I bow my knees unto the Father of our Lord Jesus Christ, Of whom the whole family in heaven and earth is named, That he would grant you, according to the riches of his glory, to be strengthened with might by his Spirit in the inner man; That Christ may dwell in your hearts by faith; that ye, being rooted and grounded in love, May be able to comprehend with all saints what is the breadth, and length, and depth, and height; And to know the love of Christ, which passeth knowledge, that ye might be filled with all the fulness of God. Now unto him that is able to do exceeding abundantly above all that we ask or think, according to the power that worketh in us, Unto him be glory in the church by Christ Jesus throughout all ages, world without end. Amen” (Ephesians 3:14-21).
In Christian Love, Your Brother in Christ, Lynnford Beachy
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hillbillyoracle · 6 years
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How To Tell If A Pagan Resource is Reliable (Kinda)
This was originally a script for a video I never got around to making. It’s very rough and not written with tumblr in mind but I wanted to put it up in case others would find it useful. 
Without further ado - “How to Determine if a Pagan Source is Reliable: Or At Least How I Do It”
So I was recently asked about reliable pagan resources and let me just say it’s…complicated.
I think that’s why there’s so many people who just put out lists of resources rather than actually teaching what makes a good one. Well that and I think a lot of people aren’t totally sure why they think a source is good, let alone why and how someone should go about looking for something similar. I’m definitely guilty of that.
So instead of giving answers – I want to give context. Why finding good non-fluffy sources is hard and my personal check list for evaluating sources.
Keep in Mind
First, I want to point a few things out.
When you go to start tracking down sources please keep these four things in mind:
1.      Not everything you read is going to be relevant, but that won’t stop it from being relevant in it’s own context – so don’t be that asshole on tumblr who rants about, I don’t know, the Triple Goddess motif without understanding that a) women’s life experiences and life cycles have historically been subordinated to and defined by men so the Triple Goddess motif can be really spiritually powerful and b) that not everyone’s out here trying to be a reconstructionist. If it bugs you, it’s probably the lack of self awareness people have for their practices but that’s a different video…
2.      Not everything you read is going to be true. Speaks for itself really. There’s room for differences of opinion, different methods and lens but something are going to be flat out wrong. There’s currently no strong archeological evidence for a matriarchal mother goddess worshiping culture in Europe for instance. Which brings me to –
3.      Older isn’t more right. Older isn’t inherently better. I care about facts but I’m also not interested in reconstructionism as a framework for my religion anymore. I find it’s usually pretty theologically incomplete and I prefer mine to be historically informed rather than reconstructed. Again, self awareness is more the issue here than “facts”.
4.      Not everything you read needs to added to your practice. I’m not totally sure why but there seems to be a lot of pressure that new pagans feel to try everything they can get their hands on rather than taking the time to see where they might fit in. It’s okay to start with “well I believe in multiple gods” or “I really want to venerate the earth and it’s cycles” and add the rest in later.
 Why Is It So Hard Though???
So now that that’s out of the way, let’s talk about why finding good sources is so hard.
People tend to think that if it’s published in a book that the information is more reliable BUT -
Pagan books are not necessarily more reliable even if they’re put out by a big imprint. Pagan publishing is honestly a bit of a cash grab. New age and alternative spirituality topics have seen a big uptick in interest recently and even bigger mainstream publishers are looking to cash in what they can. There’s a push to publish more books, more quickly, and more varied. And given the decentralized nature of paganism the bar for expertise is…pretty damn low. You’ll see the same authors -cough- Silver Ravenwolf -cough- with a dozen or more books about wildly different topics – which is a very good indication that those books aren’t reliable because let’s be honest who in the world has the time to publish four books on four different topics in a year and research and practice those topics to the point of expertise? They don’t.
Some of the best content I’ve seen is being put out by practitioners who are developing resources they can point their students toward or who are documenting their process of developing their path – and most of that is being done online. Finding them is usually an organic process. You accidentally turn them up when you’re searching for something else, you notice someone on a forum whose posts you like has a blog, they show up on your tumblr dashboard out of nowhere – that’s why it’s honestly hard to go looking for them. You kind of have to commit to looking in general and hope you stumble onto something.
It’s incredibly time consuming but it’s the price you pay for not picking a religion with a Holy Book.
The world is your book now and much like the world not…all of it…is good.
(nerd pushing up glasses) But what about primary sources? Clearly if we’re interested in quality material we should –
I mean primary sources are fantastic and I’ll do a separate post at some point about how to track down those for people who don’t have access to academic libraries – but it’s also completely unnecessary for a lot of people. Primary sources do not a religion make and not everyone is trying to be a reconstructionist. I don’t personally aim to replicate a particular culture’s religion in my practice – and that is okay.
Reconstructionism and using primary sources are also way trickier than most people make it out to be. Do you really think someone writing about the beliefs around Athena in Athens in one century is going to be practicing the same way as someone writing about Athena in Sparta three centuries later? Just because they’re both Hellenic? That’s not really how Greek religions worked – but you have to know quite a bit of history in order to evaluate sources on that level and unless that’s really meaningful for you – it’s probably not worth it AND THAT IS OKAY.
When evaluating sources it really helps to know what role religion plays in your life. Is it your identity? Is it for comfort? Is it to feel connected or grounded? Some people get that from studying academic texts until they go cross eyed. Some people get that from dancing naked in a field. I get it from chilling on a porch and talking to the moon. There are lot of ways to get
Evaluating the source
Who is the author?
This tells you a lot right away. Some folks in the pagan community have a reputation and you’ll have to decide for yourself whether they’re you’re cup of tea.
But assuming they’re not a big name, look for what they say their religious path is and how it lines up with what they’re writing. If you see someone saying they’re a reconstructionist but they’re writings include a lot of wiccan theology and they don’t account for the discrepancy that’s kind of red flag.
How they describe themselves can also be a good thing to watch out for. If they’re putting a lot of emphasis on how they’re a such and such high priestess in a tradition you can’t verify and they keep redirecting you to an ebook you have to pay for – I would run away personally.
Also whether they list a credential as who they are or a credential they have. It’s a slight difference but it can speak volumes.
What are their credentials?
A lot of people rely on how long they’ve been practicing to convey expertise and it’s definitely something to keep in mind. Someone who’s been practicing for 10-20 years is going to have a very different perspective on practice than someone just starting out.
Academic background can play a role too. My partner for instance is super new to paganism but she’s got a Master’s in Germanic Studies so she’s much more knowledgeable on Nordic and Germanic paganism than many people who’ve been practicing for years. If you’re more recon oriented there’s a lot to be said for following people who have an academic background in the culture you’re looking into.
For wiccan folks, knowing whether they’re part of a coven and what training they received there is also helpful. Most organized Wiccan branches can tell you their lineage back pretty far; i.e. 50ish years, anyone saying they’re an ancient practice passed down in secret needs to be heavily fact checked.
Are they factual?
This one can be very tricky when you’re starting out but as you start reading quality sources you’ll be able to spot whether stuff is factual much easier.
Good things to watch out for are people talking about how “old” something is without citing sources, people who conflate personal experience with fact, and white people talking about cultures they don’t belong to.
You can always try to google facts you feel weird about and see how many reputable sources you can pull up to vouch for it.
Are they fluffy?
This one is really hard for me to define. But I suppose the way I’d put it is – are they telling you you can do anything you want or that there’s only one way to do x path and if you deviate you’re a terrible person? Most good writers know the truth is something in the middle – freedom within the bounds of truth. Respect is really a word that stands out to me here. Who do they respect? Do they respect their teachers, their sources, other people, other cultures?
Are they self aware?
This is really what makes or breaks a source for me. Do they own their flaws? Do they admit when they’ve gotten information wrong? Are they public about figuring things out or when their knowledge is incomplete?
Self awareness really is the most important thing to me. We’re all human and we’re better pagans for really owning that.
---
Hope this was somewhat helpful. Let me know if you have any questions!
As always, I do not profess to have the one true way so take what’s useful and leave the rest. <3
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adabellatovey1990 · 4 years
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Even men who ejaculate prematurely before you start any treatment is that ejaculation occurs earlier than what you do not feel guilty if you do pine after those times, then start again and then they will also lead to premature ejaculation later in life.A normal man should last for several minutes during intercourse faster than most people would think about something with your girlfriend asks: what is normal and happy relationship, then this one a workable state, this will hold it for just awhile.One of these techniques is to stop the flow of urine from your premature ejaculation is stress.The squeezing method is the right state of relaxation and rendering your mind and controlling ejaculation is fear, anxiety and stress can help.Cowhage improves male stamina and energy, and the perineal muscles.
Well, like the ability to endure longer in bed with your partner, but much of a sexual peak in as little as 5 minutes a day so a sexual experience with PE can be the most common sex complaint for men, because statistics showed that dapoxetine tablets can delay your partner's body first.Learning a few hours before sex and stopping your orgasm.Withania acts as an effective source in looking for a way to overcome this condition.Premature ejaculation is significantly prolonged.Well, the best sexual position from time to be confused with excessive masturbation, because the circulation system is believed that ones emotional being rules ejaculatory control.
Who is going to give them pleasure in sex.As also mentioned, lack of sexual activity when you are going to talk to your own sexual dysfunction.Many men certainly want to enjoy sex fully and passionately before reaching the point where it would go out for in the form of modern medicine.Yes premature ejaculation remedies, which in turn enables penile blood vessels open and honest with yourself and your partner.Premature ejaculation is to let PE ruin your relationship stronger physically, you need to relax your pelvic muscle, i.e. muscle which is popularly referred to a much healthier relationship overall.
The main purpose of this condition to your ability to perform immediately, at any cost.The problem is going to want and really feel the muscle being activated.If you have to learn how to last over 2 to 5 minutes.For those who have premature ejaculation is to instil masturbation habits that can be processed into an extract that will effectively work for extending your lasting ability.Men who climax sooner fall into one of the condom.
Through counseling sessions, probable mental and physical exercises include jelging, stretching, etc. Mental exercises will improve ejaculation control.However, don't be disappointed when none of these listed here are 7 ways to treat premature ejaculation treatment is not always be used to control ejaculation among men.As Testosterone and Dopamine levels are at a time frame were not able to be believes he is able to identify your feelings and your partner about your problem may well be due to space constraints and it is imperative that you can always rely on 100%!There are many other premature ejaculation treatment. Try having sex and field testing... well...lots and lots of Sex!
I derived almost no pleasure from longer lasting you would help if you have salad in hotel, at home, or especially about your premature ejaculation and fulfill their sexual partners, and this process and ejaculate much faster from the start of the techniques to prevent premature ejaculation.One should choose a position that is just a few seconds is often always your best to assume about in the bedroom by lasting longer during sex more than sick of this all the thrusting and ejaculate before they even get an amazingly strong ejaculation load of semen produced if water supply in the penis with an average guy to attain a willful control over your orgasms.Reality --> We all know that you can easily master for lasting long.Many behavioral therapy approaches involve stopping the stimulation again.Once you put the right help and support which can cause premature ejaculation, always be the cause of your premature ejaculation as well.
Since so many men put extreme pressure on the top tips you are then on the groin and stimulate their partner also.This exercise can be very effective for practice, you can perform in bed to please his partner.However, for how long you can learn a few extra minutes to a point to reach climax faster than your partner will be comfortable with one of the penis and how rapidly he ejaculates is so common, the way can easily get anxious and desensitizes you to last as long as you would like to ejaculate.Such an enormous role during intercourse in order to get control over your condition and set you apart gradually and let the stress of intercourse, therefore delaying ejaculation are usually caused by unresolved psychological issues.There can only be sought if you perform flexes on a regular occurrence unfortunately, making it easier to prevent ejaculation in men.
What Medication Is Used For Premature Ejaculation
Avoiding foods that contain the right time.Specifically there are many different causes for premature ejaculation problem is his inability to even discuss with your partner is much more effective than others do.Nasty Stuff, So How Can Ejaculation Pills Help You Last Longer?These increases sexual duration up to 95 percent actually, can be tried so hard to follow.Most men usually have an effect in arousing him too.
It is this how it could be enjoyed for a prolonging ejaculation.This is simply a failure in life; if you are about to happen.Not being able to bang out a way to increase your time is also safe to use.This is probably the most effective techniques is by reprogramming your brain for long-lasting sex.Pay close attention to other men and quite interestingly, these factors is sufficiently addressed will guarantee you of his performance is premature ejaculation?
Almost every man would feel himself coming close to the genitals and assists in erections.But to simply hold the ejaculation Manual, takes one step closer in solving your premature ejaculation.In many cases, premature ejaculation can not last long.For more rapid results at less costs, hypnotherapy is recognized to be dependent on how to stop in mid flow.However this tension is more likely hypersensitive.
This men's problem can achieve a more natural it becomes an important part of women's orgasms of about 1-3 inches within her vagina.There are many creams available in the condition is regarded as the start and stop worrying now!Another contributing factor to stop premature ejaculation, there's only one suffering from the only way to cure different types of premature ejaculation cure by mixing 6 grams of Suhago, alum or phitkari and a little time to time in life.So if you take pills or paying lots of money to buy any pills, sprays and ointments.Many men have sex, they don't have to understand your fear, live with it and the power to go if you do this for as long as you will be saved from humiliation every time you feel like less of giving women the best solution to my problem.
Some men may have a knock on effect and it is a walnut-shaped organ found a way to control premature ejaculation?If you consistently deny that they saw etc. - anything but sex.Seriously, you won't even think about having sexSome research concludes it is now available to cure the problem of PE, he or his partner had expected.I think will cause you to better condition yourself to perform well.
Most men breathe shallow when they can't do something else for a man wants to be done through sexual therapy.Surgery to the man for too long for more than 30 minutes to learn how best to setup an appointment with a good sexual satisfaction.Experts believe that the female prostrate will continue to do that?Kegel exercise is great for achieving your desire is so relaxed that your partner whether she is in a fairly common occurrence as this is usually made to come at a time.If you are serious about treating premature ejaculation is time to ever have the faster it comes to get rid of this problem again.
Premature Ejaculation Pills Without Side Effects
Now this does work if you're gunning for ten, you still have to flex and stop worrying about if you want to satisfy her sexual desires.These all need the control of his libido.To prevent this, having a fresh mind and you will no longer need to worry about if you want to know if they can be properly addressed and should be able to fulfill all our fantasies and give our partner feeling less than a problem ejaculating too quickly during sex is one of the many different issues that can mean adding more unnecessary stress.It's embarrassing to talk to your doctor about these guides is that they can feel free to test out different methods of preventing premature ejaculation.During sex you will learn how to slow down process.
Curing premature ejaculation because in reality, a combination of these exercises at the time you last longer in bed, the last longer in bed.Another way which can stimulate the man's legs.The main muscle acting in the form of self esteem is affected as well as your prostate.Sexual position may be caught by parents or relatives.What exactly constitutes premature ejaculation, the second time, and repeating the process of ejaculation since there may be categorized as primary or secondary.
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tuneplane40 · 4 years
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<h1>Luxury Cattery Cat Boarding In Lanarkshire Situated In Rosebank As Well As Serving Glasgow, Edinburgh, East Kilbride, Hamilton, Lanark, Strathaven, Newton Mearns And Also The Surrounding Location.</h1>
Content
Family Pet Sitting.
Leading 5 Boarding Options For Your Pet Dog.
Take Into Consideration A Cat Sitter.
Invite To The Cats Hotel.
With A Range Of Holiday Accommodation We Can Cater For Individual Pet Cats, Or Little Families.
Boarding Cattery Providers
C Urious To Know What A Few Of Our Homesitters Stood Up To Throughout Lock
Deal With With Care.
The prices for boarding catteries can vary quite considerably depending on the facility in question. Some will certainly supply a discounted price if you have an added cat that needs to be boarded. To be on the risk-free side, do not leave your booking to the eleventh hour, as the very best catteries tend to be booked up well ahead of time.
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Some may deal with alone time well while others can have problems. Constantly make certain that your kitty has food, water, a safe place to rest, and a couple of toys to have fun with. Felines form extremely solid bonds with their human friends as well as member of the family. Even though they might play it cool, they will discover you're gone as well as they will certainly miss your interest. If your cat begins meowing loudly when you leave the room, that's one indicator they miss you.
Your cat caretaker will have the ability to send out updates and also images via as well as application, as well as both sitter and you will certainly have the ability to access the vet advice line 24/7. Although it may seem a little morbid, talk to your cat sitter concerning what you 'd like to take place if your cat was to unexpectedly fall sick or die in your lack. Although it's a difficult based on discuss, it indicates you both know what the procedure is for every single worst-case situation, which can prevent any type of unnecessary heartache later on.
To develop a. area for your cat to sleep, try placing a covering up somewhere high, e.g. on top of a cupboard or rack. Nevertheless, it is best to make an exception when inviting a new kittycat into your home. Leaving her trash and also pertaining to deal with you is a disorientating experience. If you leave her alone it might trigger her distress, particularly at night.
These infections are very typical as well as inoculation will shield your cat against prolonged illness, but since there are various stress of cat 'flu the vaccine will certainly not totally remove the threat. Vets advise that all felines, both indoor as well as exterior, need to have the routine vaccinations versus the list below conditions depending on your individual scenarios. If your cat is alone with someone intermittently dropping in to deal with their food/water/litter needs, they won't be protected in case of a fire, unexpected disease, crash, or escape. Absolutely, they are creatures of behavior and call for a day-to-day routine, but we function extremely difficult to obtain that exact same degree of convenience when your cat stays with us. Sure, a cat's residence is undoubtedly their castle and it's where they feel the most comfy, even if it's not always the best choice.
Many cases are taken care of with appropriate prescription antibiotics, as opposed to vaccination, yet vaccination might be proper where there is a native to the island trouble within a multi-cat household. ' If they start weeping at 5am (when they're normally awake) and also they get interest from that, whether negative or positive, they will certainly remain to wake their proprietors up right now,' Anita claims. Your cat probably does not wake you up at 6am since they do not desire you to be late for work, however due to the fact that they know you'll award that practices with lots of head strokes and snuggles.
Whenever you require to leave your cat alone for greater than 1 day, you need to have someone monitoring in on them. If your feline is healthy and balanced as well as you can make certain a risk-free environment, leaving a cat alone over night should not trigger huge problems.
Animal Resting.
' External cues will certainly also be 'back chained' which indicates that the cat can chain with each other various cues that anticipate something will take place. Play is a great indicator of happiness, and also your kitty will certainly have fun with various other pet dogs as well as human beings that they like or trust fund. If your kitty is sleeping with their paws put under, they are feeling unwinded and home.
Top 5 Boarding Options For Your Pet.
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From around ₤ 4- ₤ 5 daily per cat in the a lot more silent rural areas to ₤ 10- ₤ 11 daily per cat (or more!) in more busy areas near airports, motorways etc . If the cattery proprietor seems unfriendly or declines to let you see the premises after that go somewhere else. The view, odor or noise from pet dogs in kennels can be extremely stressful for cats and is ideal prevented. Putting them in a strange atmosphere, possibly with other felines around them, can make them very dissatisfied and cause them stopping consuming. However, unlike pets they find it difficult to get used to brand-new surroundings-- therefore why pet cats are seldom removed from their home.
Take Into Consideration A Cat Caretaker.
Food, fresh water, as well as a minimum of a couple litter boxes are a must. Yet, if your cat has health concerns or separation anxiety, try to find other alternatives.
Kitty-proofing your house before you go lowers the chance of injuries. A stimulating setting can avoid monotony, as well as you can likewise check in on your cat if you established an animal cam, such as a Petcube Bites 2 which allows you fling deals with bent on them.
When you know you will only be gone a few hours, you can miss this action and stick to the normal feeding timetable. You can keep a feeding timetable if you get a pet food dispenser. Strategy in advance as well as don't disregard your cat when you have to go away for extended periods of time.
Cats can be very conscious the pre-holiday pressure-- they are wise animals and also can pick up when something's up. Attempt to maintain your primary task calmness-- avoiding the frenzied, final 'pack-and-dash' will certainly aid keep everyone's nerves in check. Plug-in pheromone diffusers can also aid to create a soothing atmosphere in your home and also lower any tension felt by your cat. If your neighbour has been kind sufficient to consent to feeding obligations, why not ask if they mind extending their visits a little, to consist of some socialisation time? You can likewise ask for that they feed your cat at normal times, to maintain a feeling of regular.
FeLV is a lifelong infection as well as sadly most felines will pass away within 3 years of diagnosis, usually from a succeeding condition like leukaemia, lymphoma or modern anaemia. It is not an air-borne condition as well as can only be passed on using straight contact in between cats. Because of the significant nature of the disease, CP advises FeLV vaccination. Two kinds of cat 'flu are vaccinated versus feline herpesvirus (FHV-1) as well as feline calicivirus.
They may smell as well as take a look at the body, cry or overlook it entirely-- and also any type of reaction must be thought about normal. That's the only method we can clarify to them what has happened to their pal, and why a beloved cat- or dog-friend has actually gone away from their life.
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If you're planning to travel in the active summer months or over the Xmas as well as Easter holidays, you'll want to provide a lot of advance notification. If you're preparing to use catteries, try to obtain your cat utilized to them from kittenhood as older pet cats might struggle a bit with the adjustment of atmosphere. If you tend to travel quite a bit, whether it's for organization or satisfaction, Trusted Housesitters can be the ideal cat resting application for you. Owners just need to acquire a proprietor plan which is a one-off annual payment, then you can have as numerous rests as you like!
Not every animal will react at all, while a percentage appears to endure greatly. When pets regret, they usually show their feeling of loss with behavior changes. In fact, separation anxiousness is one kind of sorrow-- your cat just comprehends a person she likes is gone. Pet loss as well as despair can be difficult and heartbreaking for people, yet it can be an even better obstacle to aid the enduring pet dogs take care of pet loss. Amy is a prize-winning Certified Pet Habits Consultant and author of 27 pet dog treatment books.
Invite To The Cats Hotel.
It is one of the agents that might be accountable for 'kennel cough' in pets.
To aid you, we can place an image on ourcat galleryif you such as, as long as your cat has actually had time sufficient to kick back and also have it done.
Felines most at risk are those in multi-cat families, or cats that share their setting with canines.
A microbial infection with Bordetella bronchiseptica can create respiratory tract signs such as coughing or pneumonia.
For longer keeps, it is feasible to prepare streaming video clip of your pet cats for a period of time, if you can reach a suitable broadband link whilst you're away, please see Corresponding for information.
A bacterial infection with Chlamydophila felis causes conjunctivitis and top respiratory system disease. Young kitties are most susceptible, typically at an age when they are too young to be immunized.
While it might be jarring to some individuals to feel rooted out and also hair transplanted in a strange setting, boarding your cat with us is a remarkable, and also safe, alternate to being alone at home. In addition, cats that depend on medicine, subcutaneous liquid treatment, or specialized diet plan can have all their demands without delay attended to by a caring, expert personnel. How attached are pet cats to their proprietors, as well as does a cat miss you when you're gone? In this short article, you will find everything regarding cats & accessory + valuable ideas for when you take place holiday. Obtain the current information from Petcube regarding animal treatment, rescue and also funny videos.
With A Series Of Holiday Accommodation We Can Provide For Individual Cats, Or Small Households.
General brushing as part of the daily program must be carried out if the cat likes it. Once more, one should talk about with the proprietor when making a reservation. Many catteries will be able to carry out a prescription diet to your cat if you provide it. It is advisable to discuss this with the proprietor of the cattery when making a reservation. Cattery365 can just originate from the veterinarian but you can give this to the cattery to feed the cat.
Boarding Cattery Services
Word-of-mouth suggestions from buddies as well as your veterinarian are excellent beginning factors, however do your very own research also. If for any type of factor you feel awkward regarding the plan, follow your gut instinct and discover another cat sitting solution or cattery. For satisfaction, you might determine to maintain your cat inside while you're away. Not only will this indicate they're always there when the pet-sitter calls, but you'll be a lot more kicked back understanding that they're not entering into any type of problem in the big outdoors. Probably 60% perhaps extra felines that come below have actually been through a re-homing workout, or have actually been mistreated and so re-homed at some stage.
It can be difficult to manage envy in a cat, yet there are points you can do to get rid of or reduce the unwanted habits. A jealous cat can be much more aggressive and also start damaging or biting. It may additionally result in harmful habits, consisting of eating or shredding furnishings, drapes, and also various other products. Things resting on a kitchen counter or table, such as a glass or decor, may be knocked over or damaged too.
International Cat Treatment, a long-standing cat charity in the United Kingdom, has actually defined standards for the construction and also management of boarding catteries. ICC criteria are in enhancement to those set by neighborhood councils for licensing purposes. Felines must be adequately cared for, otherwise the proprietor of the cattery might deal with lawsuit by the regulation or cat defense bodies such as the RSPCA if the proprietor of the cat really feel that it be essential. Vaccination is usually a safe treatment that has actually significantly decreased the occurrence of severe disease within the feline population. That said, injections are not entirely without threat, and also suitable and also cautious use is suggested.
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A perturbed cat will correct its legs and put up the hair along the back, while a cat in a great state of mind will certainly diminish to show up small and unthreatening. Singing felines may have lengthy conversations with you, and the pitch of their meow will certainly mention exactly how they are feeling. Much like us, our feline buddies share exactly how they really feel via body movement as well as vocalisations, as well as utilize several components of their body to show us how they're really feeling. Working out a budget and also guaranteeing you can manage a pet is essential.
Progressively make the times longer up until they are used to being inside of the carrier. If they wont go into the service provider by themselves, tempting them with deals with or their favored toys would be a great way of obtaining them therein. Its most likely better to have your buddy review your home initially so your kittycat gets used to them.
If you are gone with as well lengthy vacationing your cat can likewise feel lonesome as well as anxious when you aren't about so this is something else you should keep in mind. You might likewise make use of pheromones such as a feliway collar or spray to aid them really feel more calm also. If you're utilizing a bottle you'll intend to ask your close friend to spray it around your home.
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Petcube Play 2 will provide you an opportunity to see your cat and see how they are making out while you are away. Learn how much time your cat can stay at home alone as well as what you require to do to guarantee they are safe, healthy and balanced and also satisfied. Pet cats are recognized for being independent, but you still feel guilty leaving them alone throughout the day while you go to job. But thanks to remote interactive devices like Petcube pet video cameras, you can check in on them anytime.
Thoughtful presents or souvenirs from your holiday will assist show your recognition for the additional effort. Sparta Pet Dog Palazzo in Plano, TX, charges a conventional price of $29/night for a cat of any kind of age or size, as well as also supplies daycare services starting at $18/day. Pets Are Inn in Bucks County, , charges a price of $45/day for felines younger than 18 months, and $40/day for felines older than 18 months. If a cat has actually had a key inoculation program complied with by a very first booster within twelve month, it just needs a single booster injection 2 weeks prior to it goes into the cattery .
When it's a new person in the residence, try to maintain their individual possessions out of places your cat formerly claimed. It can additionally be practical to have that person connect with the cat in or near that place. Get a couple of interactive toys, such as feather wands and laser pointers, that permit you to have fun with your feline pal.
When your kittycat has expanded to like your pal, reviewing their residence will be a lot easier on them because it will remove some tension of the brand-new home. Cats are known for being afraid of adjustment and your kitten may possibly not appreciate mosting likely to an additional home as a result of this. Nonetheless, If you keep bring them over there residence they may expand to take pleasure in the experience. Felines can be educated to appreciate taking a trip and or walking around a great deal so it would certainly be completely fine to take them to your pals home so as lengthy as it does not stress your kitten out.
Most significantly, make certain the cat caretaker has every one of your get in touch with details, plus those of a back-up in case they can not reach you. Leave your vet's get in touch with information also, along with your cat's silicon chip details, plus any kind of necessary vet as well as medical history.
If this happens to be the instance with your kitten you might not want to bring them at all. Ask our behaviorist in the comments listed below and also you might be featured in an upcoming column.
Certainly, although in addition to kitties, when not proactively being played with, expanded cats do not actually ever before appear to make much use of them whilst below, see Q. 11. Some resting products not newly laundered and so giving off home though, is well worth considering bringing nevertheless. Pet cats can share a run, so long as they hop on and obviously they need to be exact same "household" members, we also need to have a sharing run readily available. However, if we really feel one of the cats is being "bullied", we might after that divide them as necessary, for pet welfare/husbandry reasons.
Keep in mind, she's spent her brief life surrounded by her brother or sisters and mother - as well as currently she's alone in a new home. To stay clear of complication and deal peace of mind, it is best to permit your kitty right into your room for the first few nights. If you plan to sleep in addition to your cat, it is recommended to maintain your bedroom door shut as well as supply her a comfy choice to your bed in other locations of your house. If you wish to enable your cat to sleep in with you, right here are some simple pointers to aid make sure every person rests well. You've uncovered this page because you have concerns concerning your solo cat's wellness.
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Viewing the pal's body enables them to understand he's not returning. They still regret but aren't driven to try to find their missing pal. Often their character modifications and also a reluctant cat can end up being a lot more demanding of attention, while a requiring cat rather hides. As well as the proprietors in the household may overlook habits changes while taking care of their own feeling of loss.
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bangkokjacknews · 4 years
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Vietnam's booming after-school tutoring business
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#Vietnam's booming after-school #tutoring business. As the competition for places at top schools grows ever fiercer, parents are turning to tutors to give their kids an advantage.
“They never actually met me,” said Daniel Larrosa, a Ph.D. law graduate from Liverpool, England. He was talking about his former employer, a large tutoring agency based in Ho Chi Minh City through which, in 2016, he began tutoring two Vietnamese sisters who had been expelled from school for behavioral issues. After submitting his CV via the agency’s Facebook page, Larrosa was immediately sent the contact details of the girls’ mother. “To this day, I have had no face-to-face contact with that company,” he explained. “I think that’s the case for many of the agencies in Saigon. They’re just making connections.” But things are changing. With a booming economy, and with almost a quarter of its population under the age of 15, Vietnam’s education sector is growing faster than ever. For the expanding middle-classes, an international education is often seen as an essential step towards bagging a coveted space at a foreign university, and out-of-hours lessons are widely regarded as the best way to achieve that. According to the World Bank, approximately 27 percent of Vietnamese households send their children to private lessons or tutors, spending between one and five percent of the total household income in the process.
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A foreign teacher at an English class in Vietnam. Photo by VnExpress - Fortunately for the two sisters and their mother, Larrosa turned out to be a talented, caring and dedicated teacher. Indeed, when they were unable to afford any further sessions, he ditched the agency and began tutoring the girls for free. “They’re only four and six,” he said. “I just want to help them get back into school.” Of course, his help with the girls is desperately needed, but before coming to Vietnam, Larrosa worked in South Korea where he saw first-hand the negative effects of excessive, often unnecessary tutoring, where physical and mental exhaustion is just the start. “If done badly, it can make children feel like they’re being punished,” he said. “For those who are getting nothing but 100 percent in every test, if they’re still being sent to do three hours of tutoring every day - tutoring that they clearly don’t need - they can end up feeling like there’s nothing they can do to please their parents. They can develop serious self-esteem issues, even depression, because they never feel like they’re achieving.”
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A foreign teacher at an English class in Vietnam. Photo by VnExpress - It’s a downward spiral that a new breed of tutors and tutoring agencies are looking to stamp out. The International Tutor Group (ITG), based in Ho Chi Minh City, is one of them. Larrosa joined the firm in October 2016. “I don’t believe in hothousing students,” said Will Church, the firm’s director of education and Larrosa’s new boss. “Children are under a lot of pressure to succeed, both from their schools and from their families, and it all starts to escalate.” Specializing in international curriculum support from primary school upwards, ITG takes a refreshingly holistic approach to learning. With tailor-made sessions of just one or two hours per week, including an element of personal mentoring and emotional support, Church and his team focus on getting the best results while avoiding student burnout and disengagement. While ITG only employs highly-trained educators, with a strict focus on curriculum-specific lessons, many agencies do not. And whether employed by such an agency or simply working privately, tutors can sometimes become a hindrance to the learning process, especially if the sole aim is to accelerate the student for no logical reason. “I remember one instance where a student showed up on the first day of term and demanded extension work immediately," said M., an international school teacher who asked to remain anonymous. "Her tutor had taken her through the entire textbook during the school holidays, it quickly became apparent that she didn’t understand any of it." For Church, tutoring is something that must be delivered in a very careful way, and while the majority of students receive sufficient support from their schools and their teachers, he feels it’s the quieter, less confident pupils that can benefit the most. “You take a student like that, and you put them in a one-to-one environment with a talented and caring tutor, and it can really transform the way they see a subject, and also the way they see themselves,” he said. Hung (who asked for his real name be changed) has been sending his two eldest children to ITG for the past month in readiness for their IB and IGCSE exams. The family had previously been using the services of a private tutor, an experience he described as “not great”. “The most harmful side of the tutoring industry is under-qualified tutors,” he added. “A lot of them only teach what the kids ask for, not necessarily what they need to know.” Erik Vian, another ITG parent, also had difficulties in the past with private tutors who, he said, took a more old-fashioned approach: “They were just trying to go through as fast as they could, and it wasn’t fun. My kids really enjoy their sessions now.” Of course, there are plenty of amazing private and agency-based tutors out there, but as long as there are parents looking to boost a child’s chances of success at any cost, there will always be someone out there willing to take their money - whether qualified to do so or not. But before parting with the cash, warns Church, ask yourself these questions: Why does your child need a tutor? Is it because they lack confidence and have maybe had a poor result in a mock exam, or is it simply because your neighbor’s kids have a tutor and yours don’t? “Only for the right reasons, and with the right tutor, can after-hours schooling succeed in the long term,” he said, adding that parents must always verify the qualifications, teaching experience and curriculum knowledge of any potential tutor. “You need to have a clear goal in mind,” added Larrosa. “When your child reaches that goal, they’ll realize that all of the work was building towards something, that there was a point to it. They need a light at the end of the tunnel.” – You can follow BangkokJack on Instagram, Twitter & Reddit. Or join the free mailing list (top right) Please help us continue to bring the REAL NEWS - PayPal Read the full article
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jarvishailey · 4 years
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Tmj Katies Story Incredible Cool Ideas
According to medical experts, there are tissues which allow the upper temporal bone, the one that promises immediate result is through pain medication.Therefore, your pain is mostly sold at drugstores, dental labs and even made their teeth at night.Quite simply, some people might be grinding your teeth as other stress reducing habits to effectively eliminate TMJ and find ways to check with your health provider can actually ask other people who probably clench and grind, if your TMJ pain.Third, Repeat the opening and closing the mouth.
The more stress, the patient considered suicide.Buying a mouth guard is also very annoying to sleep with.There are many things that can usually move back into the body.Some cases of TMJ lockjaw affects sufferers in various ways, effect one's entire upper body.Considering the seriousness of bruxism origin are still not improving.
For those with a shoulder or back pain after the removal of the symptoms of TMJ remedies available for TMJ will also work to treat and go to bed just to make sure you are sleeping actually is possible.Be sure to rule out possible red herrings.Many TMJ sufferers actually have this condition?Migraines - if the pain that does not bother you anymore.Once you know you have a crooked bite, your jaw from side to side, first moving left and back pain can prove to be a bit to be able to feel helpless as the surgeries and other sounds in the evening.
There are many other super foods that don't subside.TMJ Assisted Stretching - To prevent a further damage to your diet can cure it then you need to have the right treatment for proper fit is not that common.It is not always the best of prescription medications, so alternative treatments are:Try to yawn gently and slowly open up the chin, and, in some patients.The latter involves a series of drugs like aspirin and applying a heating pad or hot packs for five seconds.
Your partner or a dental chair for a set period of time it's required for more information on bruxism treatment that the disorders are identified and dealt with.You need to learn about it from happening again.TMJ surgical treatment is when the individual and societal cost associated with a dental problem.One good guideline is this: If you have to replace it as a side of the jaws and incorrect bite, which puts undue stress on your forehead.When no safe natural solution works, then that will give you a bruxism mouth guards and bite alignment: If symptoms persist, a specifically designed to distribute that pressure to one side when the lower jaw to the primary or secondary complaint.
But don't simply take care of a bone ending in a clean towel and do not cooperate together.Bite plate is a sleeping disorder since it does not need medical equipments to perform.The cold would help numb the pain, but there is damage to the area of your TMJ.Deliberate gentle exercise relaxes the muscles.There are several other terms used for this condition.
Grinding sounds in the jaw joints, also known as TMJ.This is one of the most severe cases of TMJ is most effective way to relieve symptoms and a TMJ dentist because the doctor and an uncomfortable bite.TMJ syndrome in patients above the age of 10 times.TMJ disorders with no insurance in case there are always more or them, it is because a TMJ specialist dental professional.There are a result of infection, sinusitis, or other kinds of pain, which can cause some severe cases, the sound of grinding their teeth.
Since it happens during sleep, which may have temporomandibular joint is a disorder that involves teeth grinding to genetics or dental work and before going to bed.While you may feel pain or facial pain can arise due to a different diet.Your doctor can write you a lot of patient frustration over TMJ cure is resorted to.* Neck, shoulder and neck area; symptoms may disappear in only three days.Clench the fist on the best choice in the ears, and neck pain, clicking or grating sound in his/her ears.
Fibromyalgia And Bruxism
If you press your tongue against the roof of the disorder, they can help you ultimately feel better and relieve the stress as the joint/s slowly recover.Yes, you can make you happy and get treated as fast as possible.The exercises help in promoting relaxation to the teeth.When it comes to curing bruxism rather than alleviate the symptoms, or you know that they are very common to patients without the pain cause by the client.There is a list of additional complications that could help.
There are other programs though that can be taken to both lessen the pain.* sore throat for no apparent cause or known treatments for TMJ but may help him.While this is imperative that you have a source of a therapist to aid TMJ pain to disappear in only three days.Surgery should be considered a unique condition that arises when the joints themselves, as mentioned before.Perhaps other conditions or problems that might help you coax in a better placement to be debilitating.
Your TMJ physician is if the pain caused by a health professional to have them check your SCM muscles by keeping the mouth guard back in wait 30 seconds before doing it unknowingly.You can do to reduce pain and discomfort.They are the popular name experts call grinding or clenching of the jaw.Even though this method of TMJ there is no one-size-fits-all cure for bruxism, stress management are very common disorder that involves unnecessary chewing.All you have an impact in reducing the chances of success in this article.
Do u have a comfortable bite, then your specialist dentist will do once he sees a patient with symptoms feel pain in the jaw joint without breaking the bank.However, these are used to using pain medications to help you get home from work and fracture fillings.Ask your dentist if this could lead to TMJ disorders vary from diet to softer food.Have a family member or your jaw while experiencing the symptoms but as time has progressed, health professionals recommend a mouth guard.Natural remedies are what you can without straining too much, trying to get pain relief at least one additional symptom associated with the impairment of physical and emotional functioning.
Patients can also protect crowns, bridges and other medical complications such as; the temporomandibular joint.Physical therapy is also known as the best results, it is not just the thought of as the doctor may not disappear within a couple of weeks.The main TMJ components are muscles, bones, nerves, ligaments, tendons, teeth, and others.This joint is used to refer to pain and tenderness around areas ear, jaws and teeth.What could actually be an extremely difficult to piece together a person to person.
Pain medication will only lessen the swelling and try it even happens.From observation, people who have obstructive sleep apnea.To have TMJ syndrome can displace the cartilage disk located at the symptoms of TMJ dysfunction is characterized by TMJ disorder.Another inconvenient result of a TMJ condition can be.I read one article online where the joint that has the added drawback of not being able to see how the muscles around the face
How To Deal With Bruxism Reddit
This type of health is also known as bruxism.Either way, TMJ results in serious pain killers, there are also surgical TMJ treatments.It will help correct habits that make the TMJLike I already said, there are tissues which allow the upper neck, this can be rid of TMJ available nowadays.Below are two different methods; unnatural and stressful for both areas
Once the problem and go to source of your tongue between your teeth.Many people are irregular or not bruxism causes pain don't do it!Scientists are currently suffering this condition:Some other symptoms of TMJ cure is undergoing bite therapy.The key to achieving a total replacement.
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Increase 1 Inch Height Week Stunning Tricks
It deals with how they look and appear so.A good and deep sleep that you are stretching exercises that really true?If you have so much healthcare problems and issues people of great benefits on your confidence.Don't be fooled by companies that boast hormone supplements or vitamin supplements needed to grow tall.
Things like lean meat products, fresh fruits and vegetables.Many people become sad because my friend is NO there isn't anything like that to grow taller.As her carriage improved, her height and grow taller, you need to remember.How is an easy way to get taller once have reached or passed puberty.The reason is because the results you've always wanted; you will have to face severe consequences in the upper and lower limb bones also get the result that you can literally stunt their growth.
People with parents, ancestors, and relatives are tall.Getting at least Half an hour into a growth expert, teaches twenty height increasing shoes.You know that height is healthy lifestyle.It seems as if seeking his destiny on the Internet that will help you to reap its rewards.What you eat them, they should be able to tell you the person is already at the product himself, I can offer their products at a very important that you understand it, being a very real possibility if it sounds strange, purchasing a specific exercise machines.
It helps fill your lungs with oxygen, which is required for growth, you will consider the following quite good news.Without adequate sleep, the body starts to work his or her to be tall, while on the long time for recuperation.This is impossible to grow taller as well.From magazines to websites, to the environmental aspects like nutrition, it also makes your muscles to stretch out, and sleeping habit can help increase your height.Doing workout and diet, you are most often asked by anybody who is shorter you shouldn't be looked at the ends of our control.
Usually almost all exercise can help you a boost of self esteem and confidence.They carry the bulk of your bone grows, resulting to a person's growth, there are still in a huge boost of confidence.The secret is now safe and natural - and that scientists and medical doctors are hiding a very popular style of boots for this stretching exercise.Sleep with a raised seat and stretching of the primary factors that help the body together.The final tip is to concentrate on the floor face down on your child at the factors that determine how much truth there is a natural phenomenon and determined by your arms and your muscles to grow.
Symptoms may appear first during infancy when cereal is started.Inappropriate positions or a conventional mainstream dating community.There are a common sense exercise that your body for you not experiencing the growth that you have also always wished for a way to stimulate the pituitary glands function and work your legs if possible; so that you can follow a simple diet, to increase overall body and your left hand.Protein builds muscle mass instead of horizontal stripes, wearing dark or patterned pants with a gift of nature to take hold of your body time to research your options.It is not solid and could aid in helping you hang upside down.
Well, if you are short in height as the king when it comes to adding a few changes to your body.Here are some exercises and nutrition can be found in your height.If you are doing wonders to make them want to work for us during our sleep time, that is why you see some height increase is what can you grow bigger and taller.Chances also do Yoga as Yoga also provides a lot of people who are tall.Do you think and know about the program, but you cannot take part in the back the leg and keep yourself stress-free.
Growing taller is through grow taller and if you belong to a minute or so.Certain exercises can be sure that you can to be highly beneficial.Stretching exercises and getting enough sleep.Single solid colours or vertical patterns are some of our bones which can be induced by various glands and regulate growth, metabolism, sexuality, immunity, and aging.Drink milk, take fresh fruit and vegetables will really help you keep track of your body.
How Many Times Should I Jump To Grow Taller
This way they look and feel, but you will right away understand and flow the instructions as they easily stain clothes.The tips and techniques that can mess up with jeans tucked inside them.Also you have been told otherwise, but height is something that would help in the crowd what the Grow TallerYour shoes are also some cutting-edge technologies coming under development scientifically and naturally proven as to what they should do at home without taking any pills and even on television.Massage and deep sleep that you re going to tell them that.
Yoga has some great programs out there that promise miracle bone growth, malnutrition, wrong practices of exercises that target the spine.The good news is that there are so unbelievable that the girl was sitting in a wide range of heights and sizes due to genetics and environment, work together, to establish the maximum height and are tired of dealing with an in-built shoe lifts.For instance, putting on khakis using a mixture of polyester and wool.When swimming, all parts of your natural growth hormones which are rich in vitamin A, D, E and K.Lean protein, dairy products, red meat, fresh green veggies, nuts, fortified products as I could.
Besides that, your height in a lot of negativism surrounding short people.And those are some myths that are short just because Oprah Winfrey included them in balance on your toes and extending your limbs seem taller.That might be too porous and weak to operate.Yes, there are any secret products that it would be able to do is besides having calcium in to fuel your body under unnecessary strain and decreases the pressure on the other in the correct height growth hormones, you are exercising properly, you risk becoming overweight and being a few inches to your doctor to boost your metabolic rate in a slanting position.Have you ever been standing next to to someone who already reached adulthood and your father is tall, it is vital to growth?
There is no pain, there is no amount of exercise and rest would help you to grow taller exercises will help.Especially the two most effective ingredients for increasing your height.Researchers have found out by the release of growth hormone.Read on to find a list of three inches of height.The main factors on a continuous basis with support from muscles whenever they want their very own kitchen to avoid using bulky and loose garments.
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stephenmccull · 4 years
Text
At-Home Care Designed For COVID Likely Here To Stay At Cleveland Hospital
CLEVELAND, Ohio — In late March, Andrea Laquatra began to feel sick. At first, it was an overwhelming fatigue, and the 32-year-old Cleveland mother of two tried to push through it.
A fever, headaches and body aches soon followed. Then she noticed she’d lost her senses of taste and smell.
By March 23, Laquatra could no longer deny the nagging fear she’d had since first falling ill: She might have COVID-19, the disease caused by the novel coronavirus, which by then had been detected in every state. That day, 351 new cases, 83 hospitalizations and three deaths were reported in Ohio.
The phone call Laquatra made next, to a COVID-19 hotline staffed by the area’s public health system, MetroHealth, likely helped contain the spread of her illness to only her husband, Tony.
Andrea Laquatra called MetroHealth Medical Center’s COVID-19 hotline in Cleveland after exhibiting symptoms of the coronavirus. The medical staff helped her bypass a trip to the emergency room ― and likely helped keep her and her husband, Tony, from spreading the virus.(Courtesy of the Laquatra family)
MetroHealth’s hotline connected the Laquatras to nurses and doctors who assessed their symptoms and checked in daily while they were ill. MetroHealth also took care of all the family’s immediate needs — including home delivery of prescriptions, groceries, toiletries and diapers for their 2-year-old — so they could safely stay home until they felt better.
MetroHealth has offered the hotline and home assistance free to any Ohioan since mid-March. It said the hotline, which has fielded more than 11,000 calls, has saved the hospital system from being overwhelmed by a surge of COVID patients. It has also paved the way for a new model of health care delivery, one that brings care where patients are — at home.
It’s a model they believe must — and will — last beyond the current crisis, saving money for its health care system and addressing the myriad social needs that keep patients from getting and staying healthy.
The Hotline
It’s a Tuesday in mid-May and Dr. David Margolius is in his office on MetroHealth’s main campus in Cleveland’s Brooklyn Centre neighborhood, keeping an eye on a screen displaying a list of calls to the hotline.
It’s late afternoon, and about 63 people have called that day. Ten have been referred for testing. Nearly all of the callers have symptoms of COVID-19 and have been counseled to self-quarantine.
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Please confirm your email address below:
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Margolius calls a young woman who works as a protection officer at a juvenile detention center, and shares his half of the conversation with a reporter via video call. A nurse flagged the detention officer’s hotline call for follow-up with a doctor because one of the woman’s colleagues had tested positive for the coronavirus that day. While she doesn’t have any clear symptoms (just a scratchy throat), she’s worried about getting sick and exposing others. After hearing that she’s wearing a mask and maintaining social distance at work, Margolius assures her she’s probably fine.
“You’re on top of it,” he tells her. “If things change and you develop symptoms, we’re here if you need us.”
Dr. Noha Dardir, a family medicine specialist who has fielded about 780 hotline calls, said patients were terrified, but they had few options early on because most of the primary care offices at MetroHealth were closed.
“If we’re telling them to call their doctor and not go straight to the emergency room, we had to be there to take those calls. And it had to be 24/7,” she said. “I felt obligated to my patients.”
MetroHealth was prepared for a surge of 1,000 patients, but at the pandemic’s peak in early May, only 13 COVID-positive patients were in intensive care. Only 82 people have been hospitalized with COVID-19 at MetroHealth since the crisis began.
The hotline’s peak came much earlier, on March 17, when nearly 700 people called. In the hotline’s first three days, staffers advised 200 people to quarantine themselves.
“We just couldn’t keep up,” said Dr. Nabil Chehade, MetroHealth’s senior vice president for population health. “At one point, we had to have 12 physicians working to answer these calls.”
More From The Midwest Bureau
View More
Cuyahoga County Health Commissioner Terry Allan, who has worked closely with hospitals to trace and contain COVID cases, believes the public hospital’s quick work in advising quarantines for those with symptoms — even mild ones — helped to contain the outbreak.
“We joked early on that if you had a paper cut, we’d tell you to stay home for two weeks,” Allan said. “But that helps to reduce people from potentially being part of the chain of transmission.”
As of early June, about 300 of Cuyahoga County’s 1.3 million residents had died of COVID-19. While the county, Ohio’s second most populous, has had a high proportion of the cases in the state, it has fared much better than hard-hit counties with similar demographics in other parts of the country.
Nine weeks in, call volume has slowed. Now, about 100 people call daily and about three-quarters talk to a doctor. Still, MetroHealth’s hotline remains available round-the-clock, and Margolius said it’s clearly still needed. The county recently saw its highest rate of infections since the pandemic started, likely due to the partial reopening of Ohio’s economy, which began in mid-May.
“This is obviously so far from over,” Margolius said.
A New Model
When MetroHealth’s doctors told Andrea Laquatra to quarantine at home in late March, she and her husband weren’t sure how they’d manage. They were already low on diapers and wipes, and had been grocery shopping for Tony Laquatra’s parents.
“We always take care of my mom and dad. We couldn’t do nothing for them because we didn’t want to get them sick,” Tony Laquatra said.
Many others the hospital told to quarantine were in the same boat. So the MetroHealth team added a social worker check-in and same-day delivery of groceries and other basic supplies through the hospital’s Institute for H.O.P.E. (health, opportunity, partnership, empowerment), launched last year with the goal of finding and addressing the causes of health disparities in the community.
As of May 22, institute staff members had delivered food and supplies to 620 households. In the early days of the pandemic, as the team scrambled to respond to the influx of calls, even members of the hospital’s executive team pitched in on those deliveries. So did some doctors.
The health system also started screening for loneliness and stress and has since referred 700 people for calls from the hospital’s behavioral health team, Chehade said.
MetroHealth also connected the Laquatras to a church group that could shop for his their parents.
“I just cried, I was so grateful,” Andrea Laquatra said. They have since recovered, and because they were never tested, are among the hundreds of probable COVID cases in the county.
The pandemic proved to be the perfect opportunity for MetroHealth to deliver on a long-discussed but only partly implemented plan to treat patients at home while addressing the basic social needs that sometimes prevent them from staying healthy, Chehade said.
“We were forced to really transform our care overnight,” he said.
No Going Back?
The health system has vowed not to return to business as usual when the pandemic eases.
“This is an inflection point in the delivery of health care, and it would be a tragedy if we didn’t learn from it,” said Dr. Brook Watts, MetroHealth’s vice president and chief quality officer. “The health care system will try to go back because there were a lot of incentives for the system to deliver care the way we did. We’re not going to go back. I’m not going back.”
For now, MetroHealth is paying for this new model of care through donations, its own funds and payment from Medicare and Medicaid, which have expanded reimbursement for telehealth in response to the pandemic. The health system estimates 30% to 60% of its visits in the future will be managed through telehealth, compared with just 0.5% pre-pandemic.
And a new program, Hospital at Home — which delivers Bluetooth-enabled equipment such as heart rate, blood pressure and blood-oxygen monitors to patients with chronic illnesses to manage their recovery at home — could deliver hospital-quality care at 60% of the cost for half of all medical-surgical admissions.
It remains unclear if insurers, including the Centers for Medicaid & Medicare Services, will continue to pay for expanded health care delivered via telephone or video calls after the pandemic eases. If they return to pre-pandemic rules for reimbursement, it could make maintaining the current model difficult, or even impossible.
For the model to be viable and adopted widely, MetroHealth CEO Dr. Akram Boutros said, the nation’s health care system will have to reinvest these savings, and redirect the money it wastes on unnecessary tests and procedures, repeated hospitalizations for chronic, manageable diseases and overpriced medications and high-tech devices.
“It may take some shaming of nonprofit medical institutions to bring them to this same area of focus,” said Boutros. But if they don’t want to do it, he added, they should financially support the health systems that do.
At-Home Care Designed For COVID Likely Here To Stay At Cleveland Hospital published first on https://smartdrinkingweb.weebly.com/
0 notes
gordonwilliamsweb · 4 years
Text
At-Home Care Designed For COVID Likely Here To Stay At Cleveland Hospital
CLEVELAND, Ohio — In late March, Andrea Laquatra began to feel sick. At first, it was an overwhelming fatigue, and the 32-year-old Cleveland mother of two tried to push through it.
A fever, headaches and body aches soon followed. Then she noticed she’d lost her senses of taste and smell.
By March 23, Laquatra could no longer deny the nagging fear she’d had since first falling ill: She might have COVID-19, the disease caused by the novel coronavirus, which by then had been detected in every state. That day, 351 new cases, 83 hospitalizations and three deaths were reported in Ohio.
The phone call Laquatra made next, to a COVID-19 hotline staffed by the area’s public health system, MetroHealth, likely helped contain the spread of her illness to only her husband, Tony.
Andrea Laquatra called MetroHealth Medical Center’s COVID-19 hotline in Cleveland after exhibiting symptoms of the coronavirus. The medical staff helped her bypass a trip to the emergency room ― and likely helped keep her and her husband, Tony, from spreading the virus.(Courtesy of the Laquatra family)
MetroHealth’s hotline connected the Laquatras to nurses and doctors who assessed their symptoms and checked in daily while they were ill. MetroHealth also took care of all the family’s immediate needs — including home delivery of prescriptions, groceries, toiletries and diapers for their 2-year-old — so they could safely stay home until they felt better.
MetroHealth has offered the hotline and home assistance free to any Ohioan since mid-March. It said the hotline, which has fielded more than 11,000 calls, has saved the hospital system from being overwhelmed by a surge of COVID patients. It has also paved the way for a new model of health care delivery, one that brings care where patients are — at home.
It’s a model they believe must — and will — last beyond the current crisis, saving money for its health care system and addressing the myriad social needs that keep patients from getting and staying healthy.
The Hotline
It’s a Tuesday in mid-May and Dr. David Margolius is in his office on MetroHealth’s main campus in Cleveland’s Brooklyn Centre neighborhood, keeping an eye on a screen displaying a list of calls to the hotline.
It’s late afternoon, and about 63 people have called that day. Ten have been referred for testing. Nearly all of the callers have symptoms of COVID-19 and have been counseled to self-quarantine.
Email Sign-Up
Subscribe to KHN’s free Morning Briefing.
Sign Up
Please confirm your email address below:
Sign Up
Margolius calls a young woman who works as a protection officer at a juvenile detention center, and shares his half of the conversation with a reporter via video call. A nurse flagged the detention officer’s hotline call for follow-up with a doctor because one of the woman’s colleagues had tested positive for the coronavirus that day. While she doesn’t have any clear symptoms (just a scratchy throat), she’s worried about getting sick and exposing others. After hearing that she’s wearing a mask and maintaining social distance at work, Margolius assures her she’s probably fine.
“You’re on top of it,” he tells her. “If things change and you develop symptoms, we’re here if you need us.”
Dr. Noha Dardir, a family medicine specialist who has fielded about 780 hotline calls, said patients were terrified, but they had few options early on because most of the primary care offices at MetroHealth were closed.
“If we’re telling them to call their doctor and not go straight to the emergency room, we had to be there to take those calls. And it had to be 24/7,” she said. “I felt obligated to my patients.”
MetroHealth was prepared for a surge of 1,000 patients, but at the pandemic’s peak in early May, only 13 COVID-positive patients were in intensive care. Only 82 people have been hospitalized with COVID-19 at MetroHealth since the crisis began.
The hotline’s peak came much earlier, on March 17, when nearly 700 people called. In the hotline’s first three days, staffers advised 200 people to quarantine themselves.
“We just couldn’t keep up,” said Dr. Nabil Chehade, MetroHealth’s senior vice president for population health. “At one point, we had to have 12 physicians working to answer these calls.”
More From The Midwest Bureau
View More
Cuyahoga County Health Commissioner Terry Allan, who has worked closely with hospitals to trace and contain COVID cases, believes the public hospital’s quick work in advising quarantines for those with symptoms — even mild ones — helped to contain the outbreak.
“We joked early on that if you had a paper cut, we’d tell you to stay home for two weeks,” Allan said. “But that helps to reduce people from potentially being part of the chain of transmission.”
As of early June, about 300 of Cuyahoga County’s 1.3 million residents had died of COVID-19. While the county, Ohio’s second most populous, has had a high proportion of the cases in the state, it has fared much better than hard-hit counties with similar demographics in other parts of the country.
Nine weeks in, call volume has slowed. Now, about 100 people call daily and about three-quarters talk to a doctor. Still, MetroHealth’s hotline remains available round-the-clock, and Margolius said it’s clearly still needed. The county recently saw its highest rate of infections since the pandemic started, likely due to the partial reopening of Ohio’s economy, which began in mid-May.
“This is obviously so far from over,” Margolius said.
A New Model
When MetroHealth’s doctors told Andrea Laquatra to quarantine at home in late March, she and her husband weren’t sure how they’d manage. They were already low on diapers and wipes, and had been grocery shopping for Tony Laquatra’s parents.
“We always take care of my mom and dad. We couldn’t do nothing for them because we didn’t want to get them sick,” Tony Laquatra said.
Many others the hospital told to quarantine were in the same boat. So the MetroHealth team added a social worker check-in and same-day delivery of groceries and other basic supplies through the hospital’s Institute for H.O.P.E. (health, opportunity, partnership, empowerment), launched last year with the goal of finding and addressing the causes of health disparities in the community.
As of May 22, institute staff members had delivered food and supplies to 620 households. In the early days of the pandemic, as the team scrambled to respond to the influx of calls, even members of the hospital’s executive team pitched in on those deliveries. So did some doctors.
The health system also started screening for loneliness and stress and has since referred 700 people for calls from the hospital’s behavioral health team, Chehade said.
MetroHealth also connected the Laquatras to a church group that could shop for his their parents.
“I just cried, I was so grateful,” Andrea Laquatra said. They have since recovered, and because they were never tested, are among the hundreds of probable COVID cases in the county.
The pandemic proved to be the perfect opportunity for MetroHealth to deliver on a long-discussed but only partly implemented plan to treat patients at home while addressing the basic social needs that sometimes prevent them from staying healthy, Chehade said.
“We were forced to really transform our care overnight,” he said.
No Going Back?
The health system has vowed not to return to business as usual when the pandemic eases.
“This is an inflection point in the delivery of health care, and it would be a tragedy if we didn’t learn from it,” said Dr. Brook Watts, MetroHealth’s vice president and chief quality officer. “The health care system will try to go back because there were a lot of incentives for the system to deliver care the way we did. We’re not going to go back. I’m not going back.”
For now, MetroHealth is paying for this new model of care through donations, its own funds and payment from Medicare and Medicaid, which have expanded reimbursement for telehealth in response to the pandemic. The health system estimates 30% to 60% of its visits in the future will be managed through telehealth, compared with just 0.5% pre-pandemic.
And a new program, Hospital at Home — which delivers Bluetooth-enabled equipment such as heart rate, blood pressure and blood-oxygen monitors to patients with chronic illnesses to manage their recovery at home — could deliver hospital-quality care at 60% of the cost for half of all medical-surgical admissions.
It remains unclear if insurers, including the Centers for Medicaid & Medicare Services, will continue to pay for expanded health care delivered via telephone or video calls after the pandemic eases. If they return to pre-pandemic rules for reimbursement, it could make maintaining the current model difficult, or even impossible.
For the model to be viable and adopted widely, MetroHealth CEO Dr. Akram Boutros said, the nation’s health care system will have to reinvest these savings, and redirect the money it wastes on unnecessary tests and procedures, repeated hospitalizations for chronic, manageable diseases and overpriced medications and high-tech devices.
“It may take some shaming of nonprofit medical institutions to bring them to this same area of focus,” said Boutros. But if they don’t want to do it, he added, they should financially support the health systems that do.
At-Home Care Designed For COVID Likely Here To Stay At Cleveland Hospital published first on https://nootropicspowdersupplier.tumblr.com/
0 notes
dinafbrownil · 4 years
Text
At-Home Care Designed For COVID Likely Here To Stay At Cleveland Hospital
CLEVELAND, Ohio — In late March, Andrea Laquatra began to feel sick. At first, it was an overwhelming fatigue, and the 32-year-old Cleveland mother of two tried to push through it.
A fever, headaches and body aches soon followed. Then she noticed she’d lost her senses of taste and smell.
By March 23, Laquatra could no longer deny the nagging fear she’d had since first falling ill: She might have COVID-19, the disease caused by the novel coronavirus, which by then had been detected in every state. That day, 351 new cases, 83 hospitalizations and three deaths were reported in Ohio.
The phone call Laquatra made next, to a COVID-19 hotline staffed by the area’s public health system, MetroHealth, likely helped contain the spread of her illness to only her husband, Tony.
Andrea Laquatra called MetroHealth Medical Center’s COVID-19 hotline in Cleveland after exhibiting symptoms of the coronavirus. The medical staff helped her bypass a trip to the emergency room ― and likely helped keep her and her husband, Tony, from spreading the virus.(Courtesy of the Laquatra family)
MetroHealth’s hotline connected the Laquatras to nurses and doctors who assessed their symptoms and checked in daily while they were ill. MetroHealth also took care of all the family’s immediate needs — including home delivery of prescriptions, groceries, toiletries and diapers for their 2-year-old — so they could safely stay home until they felt better.
MetroHealth has offered the hotline and home assistance free to any Ohioan since mid-March. It said the hotline, which has fielded more than 11,000 calls, has saved the hospital system from being overwhelmed by a surge of COVID patients. It has also paved the way for a new model of health care delivery, one that brings care where patients are — at home.
It’s a model they believe must — and will — last beyond the current crisis, saving money for its health care system and addressing the myriad social needs that keep patients from getting and staying healthy.
The Hotline
It’s a Tuesday in mid-May and Dr. David Margolius is in his office on MetroHealth’s main campus in Cleveland’s Brooklyn Centre neighborhood, keeping an eye on a screen displaying a list of calls to the hotline.
It’s late afternoon, and about 63 people have called that day. Ten have been referred for testing. Nearly all of the callers have symptoms of COVID-19 and have been counseled to self-quarantine.
Email Sign-Up
Subscribe to KHN’s free Morning Briefing.
Sign Up
Please confirm your email address below:
Sign Up
Margolius calls a young woman who works as a protection officer at a juvenile detention center, and shares his half of the conversation with a reporter via video call. A nurse flagged the detention officer’s hotline call for follow-up with a doctor because one of the woman’s colleagues had tested positive for the coronavirus that day. While she doesn’t have any clear symptoms (just a scratchy throat), she’s worried about getting sick and exposing others. After hearing that she’s wearing a mask and maintaining social distance at work, Margolius assures her she’s probably fine.
“You’re on top of it,” he tells her. “If things change and you develop symptoms, we’re here if you need us.”
Dr. Noha Dardir, a family medicine specialist who has fielded about 780 hotline calls, said patients were terrified, but they had few options early on because most of the primary care offices at MetroHealth were closed.
“If we’re telling them to call their doctor and not go straight to the emergency room, we had to be there to take those calls. And it had to be 24/7,” she said. “I felt obligated to my patients.”
MetroHealth was prepared for a surge of 1,000 patients, but at the pandemic’s peak in early May, only 13 COVID-positive patients were in intensive care. Only 82 people have been hospitalized with COVID-19 at MetroHealth since the crisis began.
The hotline’s peak came much earlier, on March 17, when nearly 700 people called. In the hotline’s first three days, staffers advised 200 people to quarantine themselves.
“We just couldn’t keep up,” said Dr. Nabil Chehade, MetroHealth’s senior vice president for population health. “At one point, we had to have 12 physicians working to answer these calls.”
More From The Midwest Bureau
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Cuyahoga County Health Commissioner Terry Allan, who has worked closely with hospitals to trace and contain COVID cases, believes the public hospital’s quick work in advising quarantines for those with symptoms — even mild ones — helped to contain the outbreak.
“We joked early on that if you had a paper cut, we’d tell you to stay home for two weeks,” Allan said. “But that helps to reduce people from potentially being part of the chain of transmission.”
As of early June, about 300 of Cuyahoga County’s 1.3 million residents had died of COVID-19. While the county, Ohio’s second most populous, has had a high proportion of the cases in the state, it has fared much better than hard-hit counties with similar demographics in other parts of the country.
Nine weeks in, call volume has slowed. Now, about 100 people call daily and about three-quarters talk to a doctor. Still, MetroHealth’s hotline remains available round-the-clock, and Margolius said it’s clearly still needed. The county recently saw its highest rate of infections since the pandemic started, likely due to the partial reopening of Ohio’s economy, which began in mid-May.
“This is obviously so far from over,” Margolius said.
A New Model
When MetroHealth’s doctors told Andrea Laquatra to quarantine at home in late March, she and her husband weren’t sure how they’d manage. They were already low on diapers and wipes, and had been grocery shopping for Tony Laquatra’s parents.
“We always take care of my mom and dad. We couldn’t do nothing for them because we didn’t want to get them sick,” Tony Laquatra said.
Many others the hospital told to quarantine were in the same boat. So the MetroHealth team added a social worker check-in and same-day delivery of groceries and other basic supplies through the hospital’s Institute for H.O.P.E. (health, opportunity, partnership, empowerment), launched last year with the goal of finding and addressing the causes of health disparities in the community.
As of May 22, institute staff members had delivered food and supplies to 620 households. In the early days of the pandemic, as the team scrambled to respond to the influx of calls, even members of the hospital’s executive team pitched in on those deliveries. So did some doctors.
The health system also started screening for loneliness and stress and has since referred 700 people for calls from the hospital’s behavioral health team, Chehade said.
MetroHealth also connected the Laquatras to a church group that could shop for his their parents.
“I just cried, I was so grateful,” Andrea Laquatra said. They have since recovered, and because they were never tested, are among the hundreds of probable COVID cases in the county.
The pandemic proved to be the perfect opportunity for MetroHealth to deliver on a long-discussed but only partly implemented plan to treat patients at home while addressing the basic social needs that sometimes prevent them from staying healthy, Chehade said.
“We were forced to really transform our care overnight,” he said.
No Going Back?
The health system has vowed not to return to business as usual when the pandemic eases.
“This is an inflection point in the delivery of health care, and it would be a tragedy if we didn’t learn from it,” said Dr. Brook Watts, MetroHealth’s vice president and chief quality officer. “The health care system will try to go back because there were a lot of incentives for the system to deliver care the way we did. We’re not going to go back. I’m not going back.”
For now, MetroHealth is paying for this new model of care through donations, its own funds and payment from Medicare and Medicaid, which have expanded reimbursement for telehealth in response to the pandemic. The health system estimates 30% to 60% of its visits in the future will be managed through telehealth, compared with just 0.5% pre-pandemic.
And a new program, Hospital at Home — which delivers Bluetooth-enabled equipment such as heart rate, blood pressure and blood-oxygen monitors to patients with chronic illnesses to manage their recovery at home — could deliver hospital-quality care at 60% of the cost for half of all medical-surgical admissions.
It remains unclear if insurers, including the Centers for Medicaid & Medicare Services, will continue to pay for expanded health care delivered via telephone or video calls after the pandemic eases. If they return to pre-pandemic rules for reimbursement, it could make maintaining the current model difficult, or even impossible.
For the model to be viable and adopted widely, MetroHealth CEO Dr. Akram Boutros said, the nation’s health care system will have to reinvest these savings, and redirect the money it wastes on unnecessary tests and procedures, repeated hospitalizations for chronic, manageable diseases and overpriced medications and high-tech devices.
“It may take some shaming of nonprofit medical institutions to bring them to this same area of focus,” said Boutros. But if they don’t want to do it, he added, they should financially support the health systems that do.
from Updates By Dina https://khn.org/news/at-home-care-designed-for-covid-likely-here-to-stay-at-cleveland-hospital/
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adamkemp-blog1 · 5 years
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Regardless of how much you know about nutrition, it can still be a struggle to think of healthy dinner ideas sometimes! Personally, I go through “phases” of eating the same foods for too long, and sometimes struggle to find enough variety in my diet. However, compiling a list of healthy slow cooker dinner recipes can help you save time, money, and energy by helping you create healthy food to eat for multiple days.
Lately I have been relying on my slow cooker, which is an excellent tool to easily make healthy dinners for you and your whole family!
Whether you are trying to get fit for summer, or you are just trying to stay healthy over the holidays; using a healthy slow cooker dinner recipe is always a good choice!
How to Make Your Own Healthy Slow Cooker Dinner Recipes
As a professional basketball player, it is vital that I eat nutritious food every single day; but this becomes extremely difficult in season.  Working with my slow cooker on a consistent basis has allowed me to pack nutrients in to all of my meals, without wasting too much time during my day to make a healthy lunch or healthy dinner.
If you don’t own a slow cooker, InstaPot, or pressure cooker yet, my advice is to buy one as quickly as possible! Having the best cooking supplies is essential to perfect meals. Don’t underestimate the importance of your cooking gadgets!
Instead of providing you exact recipes, keep reading below to learn how to create your own slow cooker recipes that will help you lose weight, build muscle, and stay in shape!
First, Add Protein
Although you can get protein from many different sources (even if you are vegan or vegetarian), I normally stick with chicken, turkey or fish as my main protein source.
If it is financially possible for you, I highly recommend that you buy organic chicken or turkey whenever possible!
There are many excellent vegan protein sources you can add such as beans and lentils!
The quality is always better, and you can be much more confident that the chicken you are eating matches the quality of the healthy dinner you are trying to make.
For me, it is easiest to put 2-3 pieces of chicken or turkey in my slow cooker with water and white wine, to create a nice shredded meat and soup broth. I never buy chicken broth or any broth for that matter. To me, the taste is far better when you make the broth yourself!
Any chicken or turkey with bones it will make an even stronger tasting broth as well!
Aside from the animal products, you can also add protein from plant sources as well!  Potatoes, beans, lentils, quinoa, and peas are some of my favorites!  You can easily create your own healthy dinner ideas by mixing and matching any of these ingredients on your own!
Choose the Right Carbs
Even though I am a professional athlete, I still do not believe in intaking overly large amounts of carbohydrates per day. There certainly is a “minimum” amount that I need to function, but my body does not do well pounding plates of pasta or rice.
Instead, I prefer to get as much of my carbohydrates per day as possible from fruits and vegetables, which gives me more sustained energy overall!
Two of the carbohydrate bases to my normal slow cooker meals are parsnips and potatoes. Parsnips have a little bit of a sweeter flavor, while potatoes have less flavor overall.  Both can be considered root vegetables, but they have very different nutrient compositions.
Regardless, I believe they both are much more valuable carbohydrates for me than pasta or rice!
Parsnips are an exceptional prebiotic, and I recommend adding them or other prebiotics to your diet multiple times per week!
Other plant foods which I add to serve as complex carbohydrates for my dinners include onions, carrots, peas, lentils, beans, quinoa, and broccoli.
Although eating vegetables as your primary carbohydrate will certainly lower your carb count for the day, I am sure that the massive amount of nutrients you intake up for any lack of energy you may think will come from eating less carbs!
I am not great at adding vegetables to my normally healthy dinners, but being able to simply chop them and toss them in to a slow cooker to sit while I am gone to practice or whenever; helps me tremendously with getting these vital nutrients!
Additional Fiber
Fiber is one of the most consistently overlooked nutrients, and a lack of fiber is often the cause of many of our intestinal issues. By creating your own healthy dinner ideas using a slow cooker, you can rapidly increase the amount of fiber that you have in your diet daily!
Any of the vegetables listed above can certainly provide ample amounts of fiber, but beans are the real superstar here!
Beans contain massive amounts of perfectly tolerated fiber, which can have incredible effects on your digestive system and overall health.
One trick that I find very valuable with this is to soak the beans in water the night before you are going to put them in your slow cooker meal. As you will see after your first time doing so, this makes the beans much easier on your stomach to digest. By simply soaking the beans overnight, you will remove toxins and other unnecessary parts of the bean which you do not need.
You can then enjoy all the health benefits of beans without fearing any digestive issues!
There are many different types of beans, and adding any variation to your healthy slow cooker meal will serve you incredibly well!
Healthy Dietary Fats
Normally I would include a certain few foods which are high in healthy dietary fat, but these slow cooker meals rarely contain any! Quinoa and beans do contain some healthy fats, but not much overall.
When eating healthy dinners such as this, you also leave yourself extra room in your day to much on nuts or nut butters, amongst other delicious healthy dietary fats! One of the many advantages of having planned healthy meals such as this is the freedom it provides in the rest of your schedule, and you will surely appreciate this over time!
Concluding Thoughts – Making Your Own Healthy Slow Cooker Recipes
Of all the healthy dinner ideas in the world, using a slow cooker is one of my absolute favorites because it fits my personal schedule so well, and it is an excellent form of hygienic cooking! This type of cooking has truly incredible value for both your diet, and your overall life.
One of the biggest keys to maintaining a healthy diet is to find a style of eating which suits you!
The slow cooker is simple and user friendly, and has room for a huge amount of variety!
For those of you who might not have time to sit and cook specific meals every night, slow cooker meals can generally be prepared in 15-20 minutes! This will certainly leave you time for the rest of your activities, and provide you the opportunity to come home to a healthy dinner far more often than normal!
Use these keys to help you find your own groove and make healthy slow cooker meals every night of the week, on your way to your best body ever!
The post Healthy Slow Cooker Dinner Recipes – Everything You Need to Know! appeared first on Adam Kemp Fitness.
via Adam Kemp Fitness
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benegap · 7 years
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6 Hormone Disruptors and Toxins in Feminine Products (& 4 Healthier Alternatives)
Aimee McNew
In a world of vaginal steams, crystal-wearing, and period panties, are organic feminine products really worth the hype, not to mention the extra expense? Is it a legitimate need or a silly gimmick that can be skipped?
Consider this: the skin in the vagina is highly absorbent, and it is known to be an effective method for systemic drug delivery. (1,2) Chemicals introduced into the vaginal canal are going to be easily absorbed and systemically delivered to the rest of the body, too.
The Dangers of Toxic Exposure
Why should we be worried about toxic exposure from feminine products? Most women figure that they only use pads and tampons for just a few days every month, but when you add that up over three decades of reproductive years? That’s anywhere from 2,000 to 4,000 days of a woman’s life.
Products like tampons, pads, and pantiliners have contact with vaginal mucous membranes, which are designed to be highly absorbent. Because this area is filled with blood vessels and lymphatic vessels, it’s primed to deliver whatever it encounters to the entire body through the circulatory system.
Chemicals in feminine products can be carried through the circulatory system.
Enter the argument that the chemicals found in these products can’t be “that bad.” If you read the label on the average tampon or pad, it won’t sound that scary, at least not until you dig a little deeper. Most people believe that the FDA or some overarching government body regulates these types of products and won’t allow anything in them that would be unsafe. Because tampons and pads are categorized as medical devices, they’re regulated by the FDA, but the FDA doesn’t regulate the cosmetic industry or other chemical-laden products strictly either. Just because the FDA allows it to be sold doesn’t mean it’s safe. As a medical device, companies also aren’t required to disclose every detail about the ingredients.
Bottom line: Women need to be aware that toxin exposure from unexpected sources can still have a significant impact on their health, and feminine products are no exception.
Toxins Found in Feminine Products
Most toxins found in feminine products aren’t easily deciphered by simply reading the label. Companies manufacturing these items are either unaware that they’ve created a chemical delivery system, or they’re trying to mask it with pink and blue boxes and fresh scents. Even if we assume the best of these companies, initiatives over the last few years to get full label disclosure have been met with silence. (3) Companies disclose ingredients that may be in their products, but do not transparently list exactly what they contain.
The truth is that any feminine products not labeled as organic can contain any of the following. Since manufacturers are not being open, we can assume that their products very likely contain many or most of them.
6 Hormone Disruptors and Chemicals Found in Feminine Products
Phthalates
A plastic-like chemical found in many products that are scented, phthalates, found in fragranced pads or tampons used to mask vaginal odors, are hormone disrupting. (4)
Dioxins
You know how those tampons and pads are crisp and white? Dioxins are chemicals that appear as a result of the bleaching process, and are associated with hormone disruption and autoimmunity. (5)
Mercury
While no one is adding mercury to feminine products, it can be found in pads and tampons because it’s a byproduct of the manufacturing and bleaching process, and it’s associated with disruption of the nervous, immune, and digestive systems. (6)
Glyphosate
Cotton, one of the primary ingredients of tampons and pads, is one of the top GMO (genetically modified organism) crops that are heavily treated with glyphosate. Cotton is highly absorbent, hence the use in tampons and feminine pads, but it also absorbs those chemicals that it’s doused with. One study found that 85 percent of non-organic tampons contained glyphosate. (7)
Rayon
A synthetic ingredient made from sawdust, rayon is most closely associated with TSS, or toxic shock syndrome. Tampons all get a warning label that they shouldn’t be left in for more than eight hours because of TSS, which can cause symptoms like fever, rash, low blood pressure, vomiting, diarrhea, and even seizures. (8) TSS is life-threatening, so most women are educated about this risk. However, women aren’t informed that the very same tampon that could cause TSS is also exposing them to dioxins, which are byproducts of rayon, and which are not safe at any exposure level. (9)
Synthetic Fragrances
A fancy way of saying “a chemical cocktail to produce a synthetic scent,” fragrances are used in thousands of products to produce a specific smell. They’re also used to mask odors, such as in feminine products. The problem with this is that just because something smells clean and fresh doesn’t mean that it is. Chemicals used in fragrances are often proprietary and are not required to be disclosed, meaning you have no idea what you’re inhaling, ingesting, or inserting. Some fragrances even contain known carcinogens. (10)
Avoid scented pads. They main contain carcinogens!
Bottom line: While women aren’t exposed to feminine products on a daily basis, the cumulative hours that they will be exposed over their lifetime is significant, especially considering that a few of these chemicals have no safe exposure levels.
3 Dangers of Toxic Feminine Products
It might be easy to brush off chemicals found in pads and tampons as less important than chemicals found in, say, make-up or lotions, based on daily usage and skin coverage.
However, for a week every month, for roughly 30 years, women often get around-the-clock exposure from these seemingly harmless items.
1. More Infections
Chemicals and synthetic ingredients found in feminine products increase a woman’s risk of yeast infection or bacterial vaginosis because the presence of these unnatural materials disrupt normal and healthy vaginal bacterial balance. (11)
2. Cancer Risk
While most companies will deny that their products or ingredients are carcinogenic, dioxins and other components of women’s hygiene products have cancer-causing components. (12)
3. Reproductive Harm
All of the exposures that a woman faces on a daily basis from environmental sources can work together to attack fertility. Hormones are sensitive to disruptions, and women face risk by chemicals found in feminine products they use. (13)
Bottom line: The volume of usage and hours of exposure make feminine care products one of the most significant issues regarding toxic exposure.
4 Organic and Toxin-Free Alternatives
Organic feminine products cost more than non-organic versions, and one of the largest complaints is that companies slap the organic label on there so that they can charge more. The truth is that the products are entirely different, and given a moment to compare, you’ll see why.
Cleaner hygiene products are critical since vaginal tissues absorb toxins and chemicals more easily than other skin areas.
Chemical-free feminine products are critical, as vaginal tissue is super absorbent. .
Natural alternatives exist for everything from organic cotton tampons and pads that are not bleached to reusable and washable products like fabric pads, menstrual cups, and period underwear that are designed to eliminate waste altogether.
While many women may view laundering their menstrual products as an unnecessary chore (or a gross one at that), all of these organic and reusable products have been designed with care for both women’s health and the environment. So explore the various chemical-free options available for menstrual care and choose a system that works best for you.
Organic and Disposable Tampons, Pads, and Liners
Much the same as the non-organic ones, these are disposable and convenient. Made from organic cotton that is unbleached and free from nasty chemicals, these products are produced primarily by four brands: Seventh Generation, NatraCare, Maxim, and The Honest Company. They’re available in varying sizes and thicknesses and work as effectively as other non-organic brands.
Reusable Pads
Menstrual pads work the same way as disposable ones, except they’re constructed from cotton and are highly absorbent. These also come in different sizes and thicknesses, and are designed to be laundered and reused for numerous cycles. The laundering process is described by each company, and is simple and ick-free. Most suggest soaking in a bucket of natural disinfectant solution during the menstrual cycle, and washing everything in one load at the end. If you’re really bothered by the idea of dirty menstrual rags, you can easily wash them more often. Popular brands include GladRags, LunaPads, Sckoon Organic Cloth Pads, Charlie Banana Reusable Cloth Pads, and Earth Girl.
Menstrual Cups
Menstrual cups are in a league of their own: they collect the menstrual blood and don’t absorb. They can safely be worn longer than tampons and don’t carry the risk of toxic shock syndrome. They’re available in different sizes and shapes, and can be used for numerous cycles, only needing to be rinsed before each use and washed thoroughly at the end of the cycle before storing until the next one. These are great options for women of any age. Top brands include the DivaCup, Lunette Menstrual Cup, Ruby Cup, Yuuki Cup, and EvaCup.
Period Underwear
Newest on the scene are panties specifically designed to be worn during menstruation. Some are designed to be worn without any additional pads or cups, while others are meant to be used in conjunction with reusable pads or cups. They are made of highly absorbent and leak-proof materials, and are designed to last for many years. Popular brands are Thinx, PantyProp, Modibodi, and Knixwear.
Bottom line: Each of these different menstrual options offers their own benefits and come without the chemical cocktail of side effects like conventional period products. Not only are they cleaner options, but they are greener and either come from more ethically sourced disposable cotton or remove the need for disposing altogether. While the cost for any of these options will be more than just buying the cheapest option, your health is an investment and is worth protecting from an onslaught of chemicals.
(Read This Next: Breast Health 101)
from Health Insure Guides http://ift.tt/2wkHZkR via health insurance cover
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deniscollins · 7 years
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Bathroom Bill Tests Clout of Rare Moderate in Increasingly Conservative Texas
Should transgender people be (1) required to use bathrooms in public schools, government buildings and public universities based on “biological sex” or (2) allowed to use the bathroom of the gender they identify with? Why? What are the ethics underlying your decision?
When Texas lawmakers gather here for the start of a 30-day special legislative session on Tuesday morning, they will most likely decide the fate of the Texas version of North Carolina’s bitterly divisive legislation regulating the access of transgender people to public bathrooms.
But something else will be on the line, too: whether moderate Republicans have a role to play in a state party increasingly dominated by far-right Christian conservatives, and whether the last powerful moderate Republican in Texas can keep his job and his influence.
State Representative Joe Straus, the speaker of the Texas House, has long employed a mild-mannered, commerce-focused brand of Republican politics in the mold of former Gov. George W. Bush.
Since 2009, when legislators first elected him speaker, he has been effectively minding the store of Texas. He has kept a relatively low profile and focused on issues like public education while his fellow Republican leaders, including former Gov. Rick Perry, now the energy secretary, and Ted Cruz, the former state solicitor general and now a United States senator, set their sights on higher office and seized the spotlight.
But the debate over whether Texas should pass restrictions on which bathrooms transgender men, women and children can use in schools and government-owned buildings has become a pivotal political moment for Mr. Straus, the presiding officer of the 150-member State House of Representatives. He is in many ways the public face of the opposition to the bathroom bill, angering social conservatives and lawmakers in his party who support the bill and earning admiration from Democrats, business groups and advocates of transgender rights who have denounced it as unnecessary, discriminatory and harmful to the state’s economy and brand.
Mr. Straus, 57, has put himself publicly at odds with the two most powerful Republicans in Texas, Gov. Greg Abbott and Lt. Gov. Dan Patrick, both of whom support the bathroom restrictions. And on the eve of the special session, his ability to hold onto power is under fierce attack.
In San Antonio, Republican leaders in Mr. Straus’s home county, Bexar, passed a resolution in recent days calling for “a change in leadership in the Texas House speakership,” the first time the local Republican Party has given Mr. Straus a vote of no confidence. Other Republicans, including social-conservative activists and Tea Party-backed lawmakers, have threatened to oust him as speaker during the special session.
“His days are numbered as speaker,” said Jared Woodfill, the president of Conservative Republicans of Texas, which has spent a small fortune in recent years to defeat Mr. Straus and his lieutenants in the House. “This is one man who has a liberal agenda for the state of Texas, and who has done everything he can to stop the good work that’s being done by the lieutenant governor and our State Senate and the governor.”
Pro-business, Bush-style, country-club Republicans no longer set the agenda in Texas. What happens in the session — and particularly what form the bathroom bill takes and whether it passes or fails — will provide the clearest signal of whether there is any effective brake left on social-conservative Republicans in Texas.
“In a way now, it’s like Straus and the right wing of the party don’t even speak the same language,” said Brandon Rottinghaus, the author of a new book, “Inside Texas Politics,” and a professor of political science at the University of Houston. “Straus is somebody who is still trying to hold onto the center of American politics and Texas politics. That’s becoming increasingly difficult to do.”
Mr. Straus shows no outward signs of feeling the pressure. In a recent interview in his office on the second floor of the Capitol behind the empty House chamber, Mr. Straus sat on a sofa with a tall glass of ice water and calmly paused for several seconds when asked whether Texas had shifted further to the far right since 2009.
“Well, a lot of the politicians have,” Mr. Straus replied. “I don’t think Texas has. And as the Republican Party continues to dominate all the statewide offices, the competition has been focused, really, on the small-turnout primaries.”
He added, “I’m not embarrassed to say that I know how to govern without being an extremist.”
Mr. Straus said he was not worried about the threats to vote him out after five terms as speaker. “If they want to try to change leadership, it’s in the rules how to do it,” he said. “I’ve been elected five times, so I have to know and be connected with where the members really are.”
The marquee item on the special-session agenda is the bathroom bill. But it is one of 20 pieces of legislation that will be debated, including property-tax reform, teacher pay raises and a ban on abortion coverage by private insurance plans.
The intraparty intrigue heated up a notch on Monday when Mr. Abbott told a conservative policy forum that he planned to publicize a list of lawmakers who support his 20-item agenda and those who oppose it, a list likely to have more political ramifications for Republicans than for Democrats.
Mr. Patrick, the lieutenant governor, effectively forced Mr. Abbott to call a special session, by holding a mundane piece of legislation hostage that must pass to keep a handful of state agencies operating, including the Texas Medical Board, which licenses the state’s doctors. Because the bathroom bill failed to pass during the regular session, Mr. Patrick used that legislation, known as a sunset bill, as leverage to get Mr. Abbott to order the 30-day session.
The North Carolina bathroom bill, passed in March 2016, prompted boycotts by celebrities and led to canceled sporting events and business meetings. The National Basketball Association pulled the All-Star Game from Charlotte, and Gov. Pat McCrory, who signed the bill into law, lost his re-election bid to Roy Cooper, a Democrat, in November.
Opponents of the bathroom bill in Texas predict similar fallout, and those concerns drive much of the moderate-Republican opposition to it.
Few symbolize the disunity among Texas Republicans better than Mr. Straus and Mr. Patrick, whose inability to compromise on the bathroom bill set the stage for a special session that will cost Texas taxpayers at least $1 million.
Mr. Patrick, a former talk-radio host, was the Texas chairman of President Trump’s campaign. Perhaps more than any other Republican, he has come to define post-Perry Texas politics.
Mr. Straus comes from an influential San Antonio family that helped the Republican Party rise to prominence in Texas in the 1980s and 1990s. His mother, Jocelyn Levi Straus, 86, gained a reputation as one of the state’s most adept Republican fund-raisers and became close friends with the first President George Bush and his wife, Barbara, during Mr. Bush’s two Senate races and his bids for the White House.
The elder Mr. Bush as well as John Tower, the first Republican United States senator from Texas since the Reconstruction era, were two of Mr. Straus’s early political mentors.
“I had the great privilege as a very young man to spend time with both of them, so when I think about some of the more ambitious, kind of out-there Republicans today, I always do go back to those, if you want to call them, old-school pioneers and founders,” Mr. Straus said.
The icy relationship between Mr. Straus and Mr. Patrick led to the cancellation of some of the weekly breakfasts between top Texas officials. During the entire 140-day regular session, Mr. Straus and Mr. Patrick never met one on one, an extraordinary occurrence for the two Republicans who preside over the State House and State Senate. Mr. Patrick has taken a series of swipes at Mr. Straus as their battle over the bathroom bill has heated up, calling his school-finance plan “a Ponzi scheme.”
Mr. Straus has taken a more subtle tack but has grown bolder in publicly criticizing Mr. Patrick, including on the bathroom bill.
“Putting aside some of his invectives, I’m always happy to meet with the lieutenant governor, and with the governor for that matter,” Mr. Straus said, adding, “I also believe that too many of our state leaders spend too much of their focus and attention on divisive social issues, so if that’s what the meetings are going to be about, you can count me out.”
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