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dentalsave-blog · 4 years ago

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8 Important Facts about Dentist Insurance

Unlike standard health insurance, dental coverage tends to be overwhelming and confusing to patients. For a long time, the plan has been laden with immense uncertainty as most individuals barely comprehend what's happening behind the scenes. Furthermore, with a whole load of dental policies available, it is not easy to pick the best package that serves you well.

Whether you are on an individual plan or under your employer coverage, remember that dental insurance has numerous limitations and extended waiting periods. Below we clarify everything you need to know about dental insurance.

Fact 1: Dentists Operate Under a Closed Network Plan

As part of their marketing strategies, insurance providers extend coverage to selected dentists. To join an insurance network plan, a dentist must meet the basic requirements needed to run a practice effectively.

On the other hand, patients would only benefit from a particular dental program if they visit dentists enlisted in the plan. Before scheduling a procedure, confirm if the dentist works under a specific network to avoid paying cash for a service.

Fact 2: Dental Insurance Providers have Static Maximum Benefits

Most insurance companies offer an average benefit of about $1000 annually. Bear in mind that this is a similar amount that dental patients received in the 1960s. While this is a significant source of concern, individuals need to understand the reason behind this amount.

First, years down the line, premiums, technology, utilities, and staff wages have significantly increased. Altogether, owning a successful dental practice would cost much more compared to previous years. In addition, average life expenditures have risen considerably for the last 50 years. Based on this information, increasing the maximum benefits becomes almost impossible for insurance companies.

Fact 3: Insurance Companies Evade Most Routine Services

It is common for patients to assume that insurance policies cover less costly and involve procedures like scaling, fillings, and dental cleaning. Irrefutably, these preventive measures go a long way in evading expensive procedures in the long run. Unfortunately, most insurance companies do not approach the matter from that angle.

Remember that most minor dental complications can be avoided through oral hygiene and diet change. From a business perspective, insurance companies would run into losses for covering something that patients can avoid.

Note that insurance providers also limit the amount of time they are willing to pay for a given procedure. For instance, a single tooth filling coverage lasts between two and three years. If the filling comes off before then, patients may have to pay for subsequent procedures before the timeline expires.

Fact 4: Dentists Enroll in Insurance Networks to Attract Clients

Like any other business, dentists have to find a way to lure clients to their practice. Additionally, insurance companies need dentists to stay in business. For this reason, insurance providers may readjust or cut off some premium percentage to attract clients.

Reduced premiums are an instant attraction to patients. Unfortunately, this may drastically affect the quality of service given and final results. For example, a dental practice may use cheaper supplies or hire inexperienced staff to cover the loopholes.

Remember that if dentists broaden their customer base under insurance cover, it can become tedious to meet specific needs effectively. With several patients to handle in a day, there is a high likelihood of network dentists offering substandard services.

Fact 5: PPO Insurance Plan Allow Clients to Choose Dentists

PPO is an abbreviation for Preferred Provider Organization. Compared to other insurance plans, PPO allows coverage out of network dentists. This approach costs slightly more than paying a network provider for a similar procedure. Although insurance companies pay more premiums, they use this tactic as bait to attract different clients.

All in all, insurance providers spend a lot of time and resources convincing patients to visit network dentists because it saves them loads of money eventually.

Fact 6: There is a Huge Disparity between Dental and Medical Insurance

Usually, health insurance covers costly and unexpected procedures after a co-payment or after deductibles. On the contrary, dental insurance acts as a supplement to dental care. Although most insurance providers state that they would cover 80% or 100% of the dentist's fee, this rarely happens. In reality, the much you can get from a reliable provider is 60%.

On average, most dental insurance providers would not surpass the 40% mark. Ultimately, your coverage characteristics depend on the premium paid. So, if you pay less, be ready to enjoy minimal benefits from it.

Fact 7: Dentist Charge a Similar Fee to All Patients

Whether you are paying cash or using an insurance cover, dentists charge their patients equally. Insurance companies use a strategy known as UCR (Usual, Customary, and Reasonable) to determine allowable dental fees. Here, the final determinant of the payments depend on standard dental procedures, the general cost of living, locality, and others.

After data compilation, insurance providers analyze an average fee in comparison to the UCR. Occasionally, if the insurance plan has other benefits attached to it, an insurance provider can pay slightly less than the dentist charges.

Subsequently, the dental practice may choose to increase their rates or not depending on the procedure or clientele. Note that any fee adjustment affects both insured and cash-paying customers.

Fact 8: Preauthorization and Pre-Treatment Approximation

Before agreeing to pay for a specific type of treatment, some insurer providers insist on carrying out the verification process. Keep in mind that insurance providers strive to make huge profits from premiums paid. Therefore, a thorough estimation of a procedure is required to avoid running into losses.

Likewise, insurers request a prior treatment cost estimate for costly and extensive treatments to determine how much an insurance plan would cover.

Beyond any doubt, oral health is a basis for enhanced well-being due to its direct connection with other body parts. As a result, dental care goes a long way in keeping heart diseases, respiratory complications, diabetes, and other ailments at bay. Thankfully, dental plans cater for routine checkups, cleaning, and treatments, which is vital for optimum oral health.

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cheshiresense · 5 years ago

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Oooh! Um... How about Kisuke/Yoruichi/Ichigo? Shadowrun AU (Fantasy AU if you don't know Shadowrun)

Lol I have no idea what Shadowrun is, did a quick google and it’s something like magic + cyberpunk + vaguely futuristic post-apocalyptic setting + virtual reality?? Omg it’s too complicated to write just from reading the wiki lmao, I’ll just give you a cyberpunk fantasy AU.

Edit: This got away from me a bit whoops.

1. Kisuke is your average humble toymaker in the Slums who may or may not supply the underground Robin Hood-esque rebel faction Visored with not-so-average weapons and prosthetics and various repairs and upgrades. The Visored are pretty much wanted in every kingdom in existence, partly because half of them used to be nobles themselves and were part of the minority who hated the way they treated their citizens, mostly because they keep fucking with the other nobles, but no one except said nobles actually wants them to stop because everybody who isn’t nobility pretty much hates those who are. Mostly, it’s the three neighbouring kingdoms - Seireitei, Silbern, and Las Noches - sitting cozy up in their walled off flourishing cities up high, constantly at war with each other but with plenty to eat and plenty of money to fund their large-scale chess games, and paying almost zero attention to the poor and homeless outside their walls. That doesn’t stop them from forcibly conscripting the lower class as cannon fodder or using the Slums as their personal dumping grounds or imprisoning or executing anyone they decide is breaking one law or another. Kisuke’s stayed under the radar so far, so nobody knows he’s the man even more wanted than the Visored, if only for his prodigal skills with cybertech. He’s the one who built their equipment and vehicles, who repaired Hiyori’s spine after she’d been left unable to walk from an ambush and produced a new arm for Hachi after it was cut off in a skirmish, both of which work just as well as the original parts. Most of the nobles either want to kill him or “hire” him. But a toymaker in the Slums who cobbles together tiny cats and dragons and chickens and pixies out of scrap metal for children to play with isn’t anything to look twice at.

2. Here is a secret only a handful of people know - Shihouin Yoruichi was born a cripple. She couldn’t walk, at all, and even the best prosthetics money could buy from the various cybertech companies were clunky and awkward and only allowed her to limp a certain distance. Her family, one of the great noble houses of Seireitei that specialized in seduction and assassination, hid her away out of shame, right up until a rebellious teenaged Yoruichi had had enough and snuck out one night on nothing but her wobbly fake legs and a crutch. She’d spent enough time on her own for the majority of her childhood to know just about every passageway and secret door that snaked through the length and width of Seireitei. She didn’t stop until she appeared in the Slums, and she fainted from exhaustion and hunger only a few days later, but she never looked back. Kisuke found her, took her in, and then made her legs on a whim, upgrading them every time he figured out something new and better that he could add to them. In exchange, Yoruichi used her newfound mobility to retrieve better materials for Kisuke, robbing delivery trucks en route to Seireitei’s cybertech companies or outright stealing from her own family’s weapons storage. Anything they could buy, Kisuke could reverse-engineer and make better. Ten years after she left her old life behind, her legs are a work of art, connected to her nerves to give her complete control over them but granting her superhuman speed and jumping ability, and she’d practiced enough with them over the years that her mind had no problems keeping up with both. The prosthetics are lightweight but strong enough to withstand the swing of a blade or the impact of a bullet, and she would give a lot to see her family’s faces if they ever realize just who has been ransacking their vaults.

3. Most people carry some kind of weapon these days, but the best - for those who can afford them, or can call Kisuke a friend - can take the form of a companion when not in combat. Shinji’s is in the shape of a sphinx, all sleek lines and feline flexibility, but one that shifts into a sword in a silent whir of pulsing blue lines and polished metal at his command. Mashiro’s is a pixie, not unlike the toys commonly seen in Kisuke’s part of the Slums, except hers includes translucent wings threaded with pale green wiring. It’s perpetually perched on her shoulder, but in a fight, the pixie fuses with her hands and legs, the wings melting and sliding over her skin like liquid mercury to form gloves and boots that increase the power of her kicks and punches.

Yoruichi’s is a black cat but nobody actually knows what kind of weapon it can turn into. More often than not, Yoruichi sends it off as a spy because the thing is so realistic nobody can actually tell it’s not a real animal unless they get close enough to see the delicate wiring in its yellow eyes.

Nobody’s ever seen Kisuke’s either, weapon or otherwise, until a spy from a cybertech company snoops too closely around his shop. Then the other occupants get front-row seats to the bright red threads that extend from his hands - hands that light up with the many, many upgrades inside, a complicated maze of crimson circuits swirling beneath his flesh - and attach themselves to their target like strings on a puppet. At least he takes it out back before he literally rips the spy apart.

4. Once upon a time, before Yoruichi was even born, there were five noble houses instead of four. But the fall of the Shiba Clan is never talked about, and most don’t even remember the details anymore, only that most were put to the sword and the rest were scattered. One of the runners in Kisuke’s employ - the many who scrounge through the Slums’s trash heaps for parts Kisuke might find useful - is a boy on the cusp of twenty who looks uncannily like the last Shiba clan head before the family’s collapse. He goes by Ichigo and doesn’t seem aware of his lineage, and if he notices the way Shinji almost always makes an appearance when he comes in with his haul, and his payment always ends up including several extra portions of food and some high-grade medical supplies and even a new change of clothes now and then, he never says anything. After they find out he has two little sisters to feed, a handful of toys get bundled in as well, free of charge.

Kisuke wouldn’t know a Shiba from a Shihouin, and Yoruichi’s family never bothered teaching her all the things an heir or even just an average noble-born child would’ve needed to know, so neither of them treats Ichigo differently because of his blood or background. They do treat him differently because none of Kisuke’s runners have lasted as long as Ichigo. Sooner or later, they disappear, arrested by guards or killed in a back alley scuffle. Ichigo slinks into the shop at fifteen and still comes around every week like clockwork five years later. He always shows up with a decent haul too, and once, Yoruichi follows him, just to see where he’s getting his loot because surely most of the trash pits in the area have been picked clean over the years? There’s always more added to them, but not at the rate Ichigo is scrounging materials. So Yoruichi follows him one day when he leaves and that’s how they find out about his sisters and the makeshift hole in the wall they live in, shabby-looking on the outside but clean and cozy on the inside and insulated well from the cold. That’s also how they find out about all the enhancements Ichigo has, because Yoruichi makes the mistake of underestimating him and almost gets beheaded when he disappears and almost shivs her from behind with a hand-turned-blade, teeth bared like an animal as his eyes burn with golden circuitry.

(The Shiba Clan had been widely feared, once upon a time, for their genius in the more explosive weaponry and their talent with artificial intelligence and robotics and other biological cybertech enhancements. It was why they’d been so swiftly sentenced to death when they’d come down on the side of the poorfolk. Even one Shiba would’ve been equivalent to having a small army in one’s arsenal.)

Ichigo moved faster, jumped higher, hit harder, than anything Yoruichi had ever come up against. The crack of his heel coming down against the ground shattered rock and cement everywhere, and the only thing that saved her life that day was her dodging ability and a quickly shouted explanation for why she’d followed him in the first place. Ichigo wasn’t unreasonable, even if he wasn’t entirely human. His enhancements explained how he could move further through the Slums for loot and still put down roots in the area. It took some coaxing and several dozen more months of coming and going from the shop, but eventually, he’d also admitted that he didn’t know where his enhancements had come from, he couldn’t remember anything from before waking up the Slums with two regular human toddlers who called him brother depending on him. The only thing imprinted in his memory were the directives: 1) Take Care of Your Sisters, and 2) Survive.

But he was the most powerful thing around for miles, and Kisuke was fascinated because the work done on Ichigo was only vaguely like his own, and far more advanced than anything the nobility churned out these days. Yoruichi didn’t care as much, but she liked having a new sparring partner, not to mention Ichigo was very easy on the eyes, and a few more years on him meant Yoruichi could appreciate the sight without feeling like she was preying on a child.

Ichigo kept coming back, and eventually Kisuke managed to wheedle Ichigo into getting a checkup and upgrades, especially when he started outgrowing a few of his joint ports. Yoruichi watched the two of them make moon eyes at each other, listened to Kisuke ramble about something Ichigo told him the day before, noted the way Ichigo’s eyes sometimes strayed to Kisuke when the man wandered outside without a shirt and his pants on backwards after too many hours in his lab, and she was almost tempted to lock them in a closet together.

(She doesn’t notice the way Kisuke smiles indulgently at her when she comes home from a trip into Seireitei with an icebox of fresh strawberries from the Kuchikis infamous gardens because they’re Ichigo’s favourite, nor does she see Ichigo blink and cock his head in new understanding sometimes when he observes the way she drapes herself over Kisuke, comfortable and relaxed, but never does it with anyone else.)

In the world they live in though, trust is more important than love. Yoruichi has trusted Kisuke since she met him, and Kisuke’s trusted her since she was down two legs and still flung herself between him and a thief with a knife who thought the shop easy pickings. And the day Ichigo brings his sisters over and lets them run around out of his sight is the day they know he trusts them. It’s only natural to offer him and his little family a room of their own at the shop.

5. The day Yoruichi comes back with news of the Silbern Kingdom’s royal family and Las Noches’ royal family both being overthrown by several of their own noble families - the Ishidas and the Kurosakis, and the Coyotes, the Tu Odelschwancks, the Cifers, and the Jaegerjaquezs respectively - is the same day Shinji comes to them and tells them about the revolution movement that’s been in the works for a while now, about the remains of the Shiba Clan currently helping the Ishidas and Kurosakis take over Silbern, and about Ichigo’s own past - memory wiped for his own good because rumours of a Shiba child successfully integrated with his clan’s still experimental but groundbreaking technology had leaked, and if they’d gotten their hands on him, they would’ve turned him into their weapon. Better to hide him in the Slums, along with his two sisters who wouldn’t be of any use in a war for several more years, until they need him again, which they do now, because as soon as Silbern and Las Noches are theirs, they’ll be moving on to Seireitei post haste, and a two-pronged attack while the Gotei is still scrambling to defend themselves would hit them hardest, because for all that the kingdoms have been at war with each other for years, it had never been so direct, nor had their goals ever moved beyond poaching each other’s technologies. But for the revolution movement to succeed, they need Ichigo on their side, and it wouldn’t hurt for Kisuke and Yoruichi to join them too, technically Kisuke’s been their weapons-backer for years, and Yoruichi’s been their ear to the ground in Seireitei for just as long, and they’ll need all hands on deck. The kids can be left with Tessai.

Ichigo storms out. Yoruichi demands to know why they were never told before. And Kisuke surveys a tense-looking Shinji (who explains that it was supposed to be for their safety too - because Yoruichi was their only successful spy in Seireitei, and very, very few could match Kisuke’s genius, and it was just better to keep them out of the way) from beneath his hat before smiling blandly and promptly catching the man with a flick of his hand and five threads, unceremoniously tossing him out the window before he and Yoruichi both go to find Ichigo. It doesn’t take a genius to guess he’d returned to the hole-in-the-wall home he’d made for his sisters, and they join him after Ichigo acknowledges them with a jerk of his shoulders. They don’t speak right away, Ichigo sitting in stony silence, Yoruichi curled on one side of him still seething, Kisuke on his other, absently flexing one red-tinted hand in that way he only does when he’s contemplating murder.

They’ll help, all three of them. They don’t even need to discuss that. It’s high time for the upper-class to get their lives shaken up, the Slums are a disgrace, and if they have the chance to change that, they’ll take it, even if it means working beside people who have been using them for their own ends without giving them so much as a heads-up. Or in Ichigo’s case, will be using him since it’s pretty apparent he might not be the Gotei’s weapon but he is still very much the Shibas’ weapon, reserved for emergencies.

“Regimes come and go every day,” Kisuke remarks first, right hand fanning open, then closing, then opening again, crimson circuits shimmering along the vein lines of his palm.

“What a shame,” Yoruichi agrees with a grin that’s two-parts teeth and all-parts spite.

“…Three of us against three kingdoms that’ve just taken a beating?” Ichigo muses, but his eyes flare gold, and he’s smiling too. “Sounds like fun.”

#headcanon meme: answered #bleach #uraichiyoru #urahara kisuke #shihouin yoruichi #kurosaki ichigo #cyberpunk au #fantasy au #aniseandspearmint #headcanon

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phalloplastytime · 5 years ago

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Phalloplasty Consultation with Dr. Chen & Dr. Watt

Here is what I remember from my experience going through my consultation with Dr. Chen from GU Recon (his private practice) and Dr. Watt from the Buncke clinic in San Francisco, CA, USA. My apologies for the length, I wanted this to feel kind of immersive for those of us still in the waiting process because stuff like this helped me. Also - small content warning I do use a couple anatomical terms.

For those of you unfamiliar, Dr. Chen is a urologist and Dr. Watt is a microsurgeon.

My partner and I traveled down to San Francisco to stay for two nights. We flew in on Thursday evening and flew out on Saturday evening, not wanting to be gone for too long and rack up even more expense on the hotel bill. If I had planned ahead several months ago, I would have tried to stay at the Quest House during this time but I didn’t realize a short stay was potentially possible.

We are fortunate to be able to use the public transit system offered in SF, which is pretty good in my opinion. They have buses, trolleys (cable cars?), and an underground/train system. We utilized this to make our way over to Castro street, where the medical office building and also the hospital are located.

Without any plans for the day we went ahead and headed over about 3 hours early because I had seen that there was a dog park right nearby. We sat and watched local dogs come and play and have a break in the middle of the day and we ended up meeting an older gentleman whose dog wouldn’t leave us alone asking for pets. It was pretty great, and nicely calming as I was pretty nervous before the consultation. We then got some food at the local cafe on the corner. It was actually pretty good.

We realized we still had time to kill so we decided to hike up the hill to the Buena Vista park where we looked out over the city and rested for a bit. There’s a path that has some disturbingly friendly squirrels on it.

About 30 minutes before my appointment headed over. Inside the medical office building, Dr. Chen’s suite is right across the hall from the Buncke clinic. I wasn’t sure where to go to check in, so we walked all the way down to the entrance of GU Recon and saw the door was open. Inside the waiting room was fairly spacious with comfy seating and plenty of random coffee table books to peruse. There was nobody else there at the time. At the receptionist window was a sign indicating to check in over at the Buncke clinic, so we quickly hopped across the hall.

The Buncke clinic waiting room was much smaller and was actually quite crowded for a Friday afternoon. I checked in and they asked for my ID and insurance card (even though I had sent in pictures), and they didn’t ask for any kind of copay or payment. I suspect I will receive a bill at some point for the specialist copay from my insurance which is $30. Hopefully.

They instructed us to head back over to Dr. Chen’s office to wait, so we went back over and started looking through a photography book. At this point I was still about 25 minutes early to the appointment so I was ready to wait however long it would take.

About 5 minutes later, Dr. Chen himself appeared behind the reception area with pizza and Starbucks in hand, apparently not expecting anyone to be in the waiting room. He noticed us right away and began apologizing for the wait. He explained the schedule didn’t indicate whether or not we were having a phone consultation, so he just assumed it was going to be over the phone based on my address.

This whole interaction solidified every good thing I had heard about Dr. Chen, and I immediately felt so… normal. That’s the best way I can describe what I felt. I felt like I had known Dr. Chen for years and that he was.. reachable. Human.

He told us it would be a few minutes, and sure enough a few minutes later Dr. Chen and Dr. Watt appeared at the door and we made introductions. My partner came with me because I wanted her to hear what the doctors had to say and I wanted another pair of ears listening, and also because I wanted the doctors to see that I had support.

We went down a narrow hallway and went into Dr. Chen’s office, which hosted another comfy couch which he had us sit on while he and Dr. Watt sat across on office chairs. They each had some papers (my medical information). The room was somewhat dimly lit, but calming and comfortable.

The consult started with Dr. Chen confirming my reason for the visit (seeking phalloplasty), and he asked me how important it was to me to stand to pee. I explained that my personal goals were 1 - Sensation, 2 - Stand to pee, 3 - Aesthetics, and 4 - Sexual function. Which, again, are personal goals and it is completely valid to have other priorities with lower surgery. This is my own journey.

We then went over my medical history, which is fairly short, but Dr. Chen was thorough and asked me about my minor eczema, asthma, and migraines. Dr. Watt was quietly taking notes and listening during this time. Next, they asked about any trauma to either arm and I basically explained how my right arm is essentially immediately disqualified from being a donor arm. In my specific case, I broke my right arm when I was 18 months old and had to have a surgical repair. This repair didn’t heal correctly and now my arm when extended is quite crooked.

This has put some strain on my ulnar nerve and gives me hypersensitivity in my palm. Further, I had a different surgery on my forearm which involved an incision and left me with a scar right in the middle of the graft area. This could compromise the blood supply, so we pretty much immediately dismissed my right arm as an option. To top it off, it is my dominant arm for most activities. I kind of would have preferred to keep my left arm nice and clear of any scars, but I think having 1.75 properly functioning arms is preferable to only 1 functioning arm in case my right side nerves ever gave out.

Next, Dr. Chen went on to explain his portion of the surgery - he starts with the vaginectomy and then relocates the end of the urethra to the natal phallus using labia minora tissue. He then mobilizes this and relocates it to the other side of the pubic bone to come out to the site of where the neophallus will be placed. At some point during this discussion, Dr. Chen explained the complication rate and he was both realistic and optimistic about it. He said the vast majority of complications that happen are fixable. Further, the most common complications often heal on their own. I can’t remember the exact numbers, but he said of the patients that do have fistulas, only around 20% of them end up needing a surgical fix. Strictures don’t show up right away, and usually occur within the first year.

While Dr. Chen does the work down below, Dr. Watt explained his team mobilizes the RFF and prepares it for the new location, using the tube-in-tube method to create the urethra and phallus. Dr. Chen places a foley catheter through the neophallus and into the relocated urethra to line everything up, and he sutures everything together once the microsurgeons connect the blood supply and nerves. Dr. Chen then places the suprapubic catheter and the RFF site is covered with the split-thickness graft from the leg. If requested, Dr. Watt would place integra on the RFF donor site before the split thickness graft (not staged like other teams).

They then explained what recovery typically looks like - 5 nights in the hospital, including 4 days of strict bed rest and then up and walking on day 5. If you’re able to walk well enough, you get to leave to recover elsewhere. They then check up every week for four weeks before sending you home. During your 1 week post-op visit, Dr. Chen removes the foley catheter from the neourethra complex. You start your peeing trials just before the 3 week checkup, and if you’re able to empty enough of your bladder the SP catheter can be removed. If you have significant fistula(s), an additional week for healing may be allotted and the SP catheter retained for that time.

Dr. Watt then did an exam of my arm, performing the Allen’s test to see if my hand receives enough blood if the artery they harvest for the RFF is removed. The test seemed really quick, but I guess with how fast my hand refilled with blood he was very confident I was a candidate for RFF. He indicated that no further testing of my forearm blood supply was needed.

He examined the hair on my forearm, which turned out to be really funny because while he was looking at it he guessed that I had undergone electrolysis up to about 6 inches down my forearm. I laughed a little and explained nope, I just haven’t grown hair there in my ~5 years on testosterone. He gently pinched/grabbed the skin to see the thickness and said they’ll likely delay my glansplasty, and when he looked at the underside of my arm where the urethra graft would be taken he said I was basically hairless there and that any electrolysis at this point would just to be to remove hair from what will be the outside of my phallus, which is optional and he said I can always shave or use something like Nair.

I then had a chance to quickly look over my questions to try to find any that hadn’t been answered. They were pretty thorough so the most I asked about was about Integra because I was most curious about it. Dr. Chen then explained that he needed to do a quick visual exam of the genital/mons region and we walked across the hall to an exam room.

He apologized for the discomfort and had me just quickly drop my shorts while standing. All in all I think it took about 5 seconds of exposure. When we got back into the other room he reported to Dr. Watt something along the lines of “minor prominence” of the mons. I checked my questions one more time and asked if they had any testicular implants that I could feel, but Dr. Chen explained that he had a patient waiting that was somewhat urgent and he promised that he would show me next time. He was very polite about it and I understood, and all in all I think the consultation took about 30 minutes.

We said our nice to meet yous and goodbyes and Dr. Chen showed us out the shortcut out of the clinic and boom it was over. Despite the quick ending, I still didn’t feel rushed out of there and felt like they really took the time to make sure I understood the surgery and that my possible concerns were heard.

All in all I left feeling really good, which for me was everything. I was actually excited about the future. Also, they said they would be forwarding my information to the phalloplasty team about our consultation, and that they should be reaching out to schedule with me. What ended up happening was I emailed Logan with a follow-up question and after we emailed back a forth a couple times, Logan asked me if I wanted to set my date. So now I am officially on the books for Left RFF Phalloplasty and words cannot describe how much joy/relief/excitement I feel about it.

Like, I still can’t believe I get to do this and I don’t know when reality will set in. But for the first time in months, I am hopeful and optimistic about the future.

Edit: I forgot to mention that Dr. Chen also will perform a scrotoplasty during his part of the procedure.

#phalloplasty #phalloplasty consultation #Dr. Chen #Dr. Watt #Buncke Clinic #ftm

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fantasticworldoffanfics · 7 years ago

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TOP FAVS (PETER/STILES)

Fandom: TeenWolf

Baby Boy

Author: SushiOwl

Summary: What the heck is FetLife? Stiles is too curious for his own good, and he can't help himself, so he joins a website advertising to be a good place for "kinksters." He just wants to be nosy and see what total strangers are up to. Then he meets Peter, who wants to be called Daddy.

Could Stiles be his baby boy?

Red String Verse Series

Author: gryvon

Part 1: Written In Red

Summary: Peter had given up hope of ever finding his soulmate until the red string on his finger leads him to a four-year-old. He's going to Hell. Or jail. Or both.

Part 2: Red Strings

Summary: A collection of scenes that fit in with Written in Red, in no particular order.

Cuddle Therapy

Author: TriscuitsandSoup

Summary: “Do not be alarmed; I am a cuddle therapist,” the omega said, continuing his shoulder nuzzles. His voice held all the authority of the police or an FBI Agent, not the cuddle therapist he claimed to be. Peter scoffed. Cuddly therapy was just an excuse for unmated alphas and omegas to go around throwing their musk and pheromones at anyone who looked twice in their direction.Where Peter is being grumpy in a museum and is interrupted by a very determined cuddle therapist.

Easement

Author: TriscuitsandSoup

Summary: It wasn't where Peter wanted to end up after finishing his medical training; he would have much preferred an emergency room or even a maternity ward, instead of a pain clinic. His most frequent patients were teenagers with hangovers, women too shy to admit they were cramping, and perhaps the strangest of all – pain drain addicts, the people who'd gotten so used to have every minor ache and pain leeched from their bones that they mistook merely being alive as a great discomfort.

Stiles is in pain, he goes to Peters office for relief.

Mile High Stiles

Author: AzulMountain

Summary: Flight attendant Stiles Stilinkski's day couldn't get any worse when he spots the smoldering gaze of the asshole who assaulted him earlier and claimed he was kidnapping the strawberry blonde toddler. Then the father of the toddler saunters through the plane's front door and says something about his good service a mile high. Really how could things get worse? Rival werewolves and a plane crash are just the beginning of Stiles horrible day.

Of Alphas and Werebunnies Series

Author: TriscuitsandSoup

Part 1: Peter’s Omega

Summary: After Peter declined the twentieth family supper on account of Stiles "not feeling well," Talia decided to send her eldest son to checkup on Peter and his omega, and remove him if necessary. Derek had expected to find the worst, and that's what he found, just not in the way he was expecting.

Part 2: Adventures With Werecoons

Summary: Laura didn't believe Derek when he said Stiles wasn't being abused. Her mean-spirited, cruel, dripping with sarcasm uncle could not love a weak, spastic human, like the one Derek described.Series

Part 3: Fangs Don’t Fix Things

Summary: "Do you resent me for not being a werewolf?" Might as well just be upfront about it, I guess.Stiles is feeling insecure about his relationship with Peter, and wonders if things might be better if he were a werewolf.

Part 4: Looking Forward To It

Summary: Stiles never wanted an Alpha, and Peter never considered taking another Omega. The two would never even have met if Talia Hale hadn't insisted Peter screen potential mating candidates for her son, Derek. Their first meeting was a tumultuous one. How Peter met Stiles, and how they subsequently became mates. This can be read without the other parts.

Sanctuary

Author: DiscontentedWinter

Summary: The Hale Wolf Sanctuary isn’t just for wolves.It turns out it’s for Stilinskis as well.

Alpha Peter and The Rag Tags Series

Author: Triangulum

Part 1: Alpha Peter and The Rag Tags

Summary: Derek has been one of Stiles' best friends for years, almost as long as Scott. They've been friends through Stiles' mom's death, and through Derek's ex trying to burn the Hales' house down. So Stiles only feels slightly badly for ogling Derek's hot uncle. He's covered in tattoos and easily the most attractive man Stiles has ever seen."Hello, Stiles," Peter says, his voice like silk."Peter?" Stiles stammers. "You're back.""Astute as ever," Peter says."Oh, fuck off," Stiles says. Peter just laughs.

The one where Peter is a tattoo artist and an alpha without a pack, and Stiles is college student and best friends with Derek. When Peter moves back from New York, there's immediately something between them.

Part 2: Ragtags Rising

Summary: Peter takes Stiles' hand and lets Stiles draw him into bed, immediately wrapping around Stiles like he's his favorite toy. He presses a kiss behind Stiles’ ear before whispering, "I love you."Stiles loves that about Peter. Peter won't give him useless platitudes or promise it'll all be okay. Peter doesn't pry. He can probably smell Stiles' sadness and will ask about it tomorrow, but he doesn't push tonight. Peter just supports him, reminds him that he's loved, and holds him tightly. That's what Stiles needs, not a pat on the head and a Hallmark movie heart-to-heart about people meaning well.Stiles snuggles into Peter's embrace and sighs, trying to let go of the hurt and betrayal and focus on the man he's with."I love you, too."

Peter's tattoo shop is doing well, Stiles is finally done with college, the pack is settling in, everyone's tattooed all over the place, and Stiles is ridiculously in love. The big question marks in Stiles' life are his future, if he should tell Scott about werewolves, and how to deal with the fact that the sheriff isn't a fan of Peter. Among other things.

Roommate Wanted: No Supernatural Creatures Allowed

Author: veterization

Summary: Stiles is in college, living in a pleasant apartment, and absolutely does not need a roommate. He ends up getting one anyway, and as luck would have it, his roommate turns out to be Peter.

Little Boy Blues

Author: Bam4Me

Summary: Stiles is tiny and cute, pack is protective, that's all you need in life.

Littlered And Alpha5

Author: Triangulum

Summary: Stiles could say that he's a grower not a shower, but that would be a lie. On a good day, fully erect, he's three inches long. Okay, two-and-a-half. Whatever, it works for him. It's what got him into camming in the first place. There's a very specific clientele out there that's looking for exactly what Stiles has. The lithe, gay guy with a small dick is a very niche market and Stiles has managed to carve out his own place in it. The fact that he's a virgin only helps.OrStiles is a camboy and Peter is his best client.

Uncle Peter Doesn’t Date Series

Author: Mellow (SweetCandy)

Part 1: Uncle Peter Has A Boyfriend...Wait, What?

Summary: Laura was prepared for whatever piece of armcandy her uncle had decided to show up with, what she hadn't been prepared for was Stiles Stilinski...her uncle's boyfriend.

Part 2: Uncle Peter Has A Father In Law

Summary: Laura has to suffer through the weekly family dinner.

Part 3: Uncle Peter Is A Cheater

Summary: Peter Hale and his soon to be father in law have a deep dark secret. He can only hope Stiles never finds out about this.

Part 4: Uncle Peter Has A Double Date

Summary: Derek has dinner at his Uncle's house. Things turn out to be different than he expected.

Part 5: Uncle Peter Has Fallen In Love

Summary: A little piece about Peter and Stiles' first meeting.

Surprise, I’m Engaged?

Author: lavenderlotion

Summary: Stiles Stilinski has been dating Peter Hale for nearly 5 years. He proposed 8 months ago. Neither of their families know. Huh.

I’m Not Being Paid

Author: lavenderlotion

Summary: All Stiles wanted to do was meet his fiance's family. After being together for three years (engaged for one of them) Stiles thought it was time. And yeah, Peter had told him the stories. Told him that his family wasn't great, but Stiles never realized it could be this bad.

sidenote: sequel to Surprise, I’m Engaged? of sorts.

Where Do We Run? Series

Author: islandgirl_246

Part 1: Running...But Not Far Enough

Summary: When heartbreak almost shatters Stiles, he seeks refuge away from the pack, away from his friends and everyone he knows; away from anything supernatural - or so he thought. The chain reaction his 'escape' triggers proves he may not have run as far as he'd hoped, because he's about to find a new home but kick-start a war the fates had always planned.

Part 2: When Running Becomes A Pain

Summary: Stiles gave Derek some advice and a warning before he was sent off to Iowa to heal after his torture at the hands of Kate and Gerard Argent. Being partly responsible for hunters almost having access to exterminate your family is a bitter pill for anyone to swallow. Realising you are just as fucked up as your now dead mother is no better. He doesn’t want to be saved, he knows this. But then he meets a woman with an even darker and murkier past that he has. Could she be his way back? Does he even deserve one?

Part 3: I Run So You Won’t Have To

Summary: After everything the Hale Packs, both in Stanford and Beacon Hills have been through, Lydia and Maria thought why not give this thing a try. The interest and attraction is there, they are both strong women, they could do the distance thing, surely. The only problem is neither is sure that this is the right step for them, which leads to complications for the two Packs only now getting back on their feet. And it all gets even more complicated when Stiles encounters previously peaceful packs dying in weird brutal attacks.

Part 4: Maybe We Can Run Together

Summary: Parrish has somehow always felt like an outcast. He’s not let it show very much, but there it is. As a hell hound there are certain expectations and he carries a certain amount of guilt about what happened to the Stilinski family under his watch. Now he is about to be confronted by his family, a lineage that can be traced back to purebreds for more than 2000 years, about his relationship with a bitten wolf. Added to which, threats are moving closer to home.

Part 5: The Runaway

Summary: When a lost young girl turns up on the Hale’s doorstep in Beacon Hills, scared and with a photo of Peter, it seems like he has a daughter he’s never known of. Everything about her story seems so farfetched, yet Peter is inclined to believe it, something in him believes. Stiles isn’t so sure because when asked for details about her mother, the girl doesn’t remember, and interestingly enough, she’s the one person that’s totally unreadable to Stiles. Is her story true and does his mate have a teenaged daughter no one knew about? And how do they deal with it as more supernatural packs are being attacked and abducted by wolves they still can’t track and like this new girl – that Stiles can’t sense?

Alpha, Oh Alpha Series

Author: merkkat

Part 1: He Who Finds The Dead

Summary: Stiles finds himself alone. Peter changes that.Or the first meeting.

Part 2: Between The Dead And Living

Summary: The first meeting, from Peter's eyes

Part 3: The Sun, My Love, So Soft

Summary: The morning sun was soft on Stiles. His brave little human. So fragile yet braver than any wolf he knew.

Part 4: Bleed For You

Summary: Peter gets jealous. Stiles doesn't really try to stop him.

Part 5: More Dead Than Alive

Summary: The Sheriff looks back on his relationship with Stiles

Part 6: Hellos To The Goodbyes

Summary: Peter and Stiles visit each other's family.

Is Forever Enough?

Author: Green

Summary: Stiles probably doesn't even think they're friends. But labels don't matter to Peter — the boy is his, and his wolf agrees. So when a squalling baby girl is dropped off at his doorstep at the ungodly hour of ten in the morning, there's no one else Peter can think of to call.

Fame Is A Vapor

Author: Triangulum

Summary: Most people wouldn't assume Peter likes baseball. There are a lot of stereotypes that come with being a bisexual man in fashion, and one of them is that he must hate sports and typical 'manly' things. Such blind assumptions and gender roles are, of course, ridiculous, but he's not above using them to sneak off when his PR team gets a little too gung ho on his speaking events.He's wanted at various fashion schools and charity events, and he has the Project Runway team pestering him to guest judge again, as if he doesn't have his hands full with running Hale Fashion. It's taken years of hard work and maybe a little bit of blackmail, but he's the head of his own company, and he thinks he deserves an afternoon off.OrPeter, rich and famous fashion mogul, accidentally spills his beer on Stiles at a baseball game. Stiles has no clue who he is. That makes their first date so much better.

Rabbit Verse Series

Author: Bunnywest

Summary: Peter loves to hunt. Stiles is his (too willing )prey.

sidenote: there is literally 32 parts to this series so here is the first chpt. Run, Rabbit Run

Dahlia Emmeline Hale Series

Author: Triangulum

Part 1: Moonlight Dahlia

Summary: There, at the base of the trunk, nestled between two large roots, is a car seat and in it, a baby. Stiles and Peter both freeze, staring down in shock. The baby is asleep, bundled up tightly, a soft orange wool hat on its head and an envelope pinned to its blanket. Stiles stares at Peter incredulously, but he doesn't know what to say either. OR So it turns out Peter has a daughter.

Part 2: Halloween Traditions

Summary: Dahlia is dressed in a poufy orange pumpkin costume and Stiles thinks it's the cutest fucking thing he's ever seen. Dahlia had declared she'd wanted to be a pumpkin for Halloween and Kira had immediately made the costume for her. With her orange tights and bright green stem beret-style hat on top of her soft, brown hair, she's the best pumpkin ever. Considering she's his daughter, Stiles may be a little biased. OR Halloween with Peter, Stiles, and Dahlia.

Part 3: Peter In The Suburbs

Summary: "As much as I love seeing you in the shirt I bought you," Stiles says, nodding down the plaid button up Peter has on, "I thought I told you to stop making the neighbors cry?""He isn't crying," Peter says. "He'll probably wait until he's in the comfort of his own home to do that." OR Pointless fluff inspired by Ian's damn GMC commercial.

more top favourites

part 1, part 2, part 3, part 4, part 5

#teenwolf #fanfiction #fanfics #fanfic #peter hale #stiles stilinski #steter #topfavs

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cbrhospitals · 5 years ago

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What are the most common diseases in orthopedics?

Anything that is anxious with joints, ligaments and muscles considered as orthopedics. There are several types of disorders such as injuries, ailment and diseases that cause whiplash, knee problems, fibromyalgia, dislocated shoulder, foot pain and whiplash. These are some kind of common and known orthopedics disorders that happens because of injuries in the joints, muscles and ligaments.

Osteoporosis

Osteoporosis is one of the common diseases that happen due to weak bones and makes them brittle and breakable. This health condition develops gradually but firmly over year and year and is often diagnosed by the doctors when a sudden impact such as a bone fracture or minor fall happens. The rate of osteoporosis is higher in women as compared to men, especially after menopause. If you are feeling any pain in your leg bones then it is recommended to see the best orthopaedic hospital in Delhi for better treatment and it is already diagnosed that you have osteoporosis then start taking your medication on time or whatever doctor is suggested you. As per the research and suggestions of doctors of super speciality hospital Delhi, there are no such symptoms of osteoporosis and it happens with anyone, so take advice from experts if you feel anything unusual in your bone. People, especially women, over 45 suggested starting having regular checkups to prevent the disease.

Other names of the osteoporosis

The silent disease, thinning bones

Cause of osteoporosis

1 The density of the bones, especially in women, starts decreasing suddenly within years of menopause, mainly if menopause happens early in the age.

2. Long term intake of some drugs such as cortisone or corticosteroids orally, and drugs such as phenytoin which is a medication of epilepsy. These drugs also included heparin which is an anticoagulant.

3. Some disorders of endocrine gland such as parathyroid glands, and hyperactivity of the thyroid, deficiency of estrogen and Cushing’s syndrome.

Risk factors of osteoporosis

1. Lack of physical activity.

2. Loss of weight.

3. Ageing.

4. Drinking alcohol, excessive caffeine and smoking.

5. Deficiency of sex hormones (hypogonadism)

6. Family history of osteoporosis connected fracture.

7. Lack of physical activity.

8. Deficiency of vitamin D, or calcium.

Symptoms of osteoporosis

As we have mentioned, earlier that symptoms of osteoporosis don’t occur in the early stages. Though no such symptoms of this disease occur there are few ones we are mentioning here:

1 Increased risk of fractures.

2. Rounback (kyphosis), and getting shorter over time.

3. Pain in the lower back that is caused by dislocation or braking of a vertebra.

When to go to see the doctor?

1 After menopause, or undergoing an oophorectomy surgery.

2. When getting old (45+)

3. If you take drugs such as anticoagulant, epilepsy, and cortisone.

4. If you take cortisone for a few months.

Complications of osteoporosis

Fractures

Mainly spinal and hip fractures:

They are the most complex type of fractures. Fracture in hip generally happens because of the falls. This type of fracture may cause paralysis to patients and sometimes even death, as these fractures have so many complications that might occur after the surgery, particularly in the elderly.

Spinal Fractures:

This kind of fracture in the spinal cord happens without any fall or injury. It happens when you take much weight on your spinal cord and made them collapse on one another, this fracture can cause major pain in your back.

Multiple spinal fractures might lose in the height of the patient and make them appear round back (kyphosis).

Diagnosis of Osteoporosis

1. Measuring how the bones are able to absorb rays of x-rays, via DEXA scan to calculate the bone’s density, especially spinal and hip bones.

2. Family history: Examination of the risk factors such as family history, complications and symptoms.

Treatment of osteoporosis

It is necessary to follow preventive safety measures for the preservations of the density of the bone in order to avoid osteoporosis, in adding up to avoid fractures and falls. If you have diagnosed with the disease then the doctor might use methods of treatment based on the symptoms that are occurring.

Preventions of osteoporosis

It is necessary to start the preventions of osteoporosis at early age as it doesn’t show any symptoms. Though this disease can happen with anyone but it is necessary for women to focus more and start eating healthy early. Here, we have listed some of the prevention methods of osteoporosis:

1 it is necessary to take a healthy diet that has an adequate amount of calcium, proteins, vitamin D, calories and some other essential nutrition. It will help you to maintain the density of your bone.

2. Excessive intake of alcohol, caffeine and non-stop smoking can lead to these diseases, so it is necessary to quit these habits.

3. Daily exercise is the key to preserve bone strength and maintain a healthy life. It is necessary for everyone to maintain a healthy lifestyle in order to avoid disease related to bones, especially women.

4. Take the proper amount of calcium as calcium is the main nutrition that maintains the density and strength of the bone. You can take calcium in the form of milk and other foods.

CBR Hospital (Author Bio)

CBR Hospital is a multispecialty hospital that has a team of expert doctors who believe in the easy and fast treatment of the patients. We are providing world class treatment and healthcare services at affordable prices. For more information visit here https://www.cbrhospitals.com/

#Best orthopedic hospital in delhi #orthopedic hospital in south delhi #pediatric surgeon in delhi

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lifesobeautiful · 7 years ago

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Oral Side Effects of Medications: What You Need to Know

Medicines are necessary to control a condition, prevent complications, and treat health problems. Although helpful, not all medications are free of side effects. Some of them can be life-threatening while others can have a negative effect on how you look.

To help you understand better, here are the most common oral side effects of medications and what you can do about them.

Dry Mouth

Drugs prescribed for heart diseases, like enalapril and chlorothiazide, can dry up your salivary glands. This can make your mouth excessively dry.

Once that happens, the tissues in your mouth can become irritated and inflamed, which can increase the risk of infection, tooth decay, and gum disease.

Think of it this way:

If there’s less saliva in your mouth, it can cause foods to stick on the surfaces of your teeth, making them difficult to remove. Saliva protects the tooth against tooth decay and gum disease.

See Also: 10 Habits That Can Prevent Heart Disease

Discoloration of Enamel

Drugs that cause staining and discoloration of the enamel include antibiotics. They are typically used to treat bacterial infections, some forms of acne, and respiratory issues.

Apart from that, consumption of too much fluoride can also lead to enamel discoloration. It can cause chalky white and cream colored patches to develop on your teeth.

Fungal Infection

Inhalers used for asthma may lead to yeast infection in the mouth called oral candidiasis. It is very important to rinse your mouth every time you use an inhaler to avoid this side effect.

Altered taste

Some medications can alter your sense of taste, which is also known as dysgeusia. It happens frequently to elders who take multiple medications for their ailments. It can also happen to people who are under chemotherapy and taking doxorubicin and chlorpheniramine maleate.

Generally, the change in taste is temporary and goes away when you stop the medication.

Gum Swelling or Gingival overgrowth

Medications, such as oral contraceptives, immunosuppressive medications, and calcium channel blockers can cause gingival overgrowth or gum swelling. Blood pressure and epilepsy medications can also cause the same side effect.

The inflammation around the teeth increases your risk of periodontal disease as it creates a favorable environment for bacteria to grow.

See Also: 3 Natural Home Remedies to Heal Gum Diseases

How to Avoid Oral Side Effects of Medications

Because you can’t stop taking your medications just because you’re fearful of their oral side effects, you need to do your homework and know the best ways to care for your teeth and gums. See your dentist and ask what you can do to avoid oral problems while you’re taking your medications.

Your dentist will assess your oral health. He may use an interdental brush for complete cleaning before providing the right treatment for your oral problems. Undergo a professional cleaning as that can help remove plaques that your regular toothbrush won’t be able to get rid of.

If there is swelling in your gum tissues or if there’s too much pressure around your teeth, a minor surgery will be required. The surgery is usually done with anesthesia so you won’t feel too much pain during the procedure.

To help control the situation, your dentist can also communicate with your general physician to find out alternative medications that don’t have the same side effects. As much as possible, do not stop taking your medications, swap drugs or change the dose without consulting your doctor.

General dentistry procedures involve the latest dental technology and ensure early and exact identification of any oral health complication, which can affect your overall health. It is always a wise decision to go for a routine dental checkup to prevent future problems.

The post Oral Side Effects of Medications: What You Need to Know appeared first on Dumb Little Man.

This article was first shared from Dumb Little Man

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ansio-fresh · 3 years ago

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Diet Tips for the COVID-19 patients with Diabetes

Ansio Fresh’s Online Grocery Supermarket in Chennai – Diet Tips for the COVID-19 patients with Diabetes.

Diabetes is a medical condition in which the body’s blood sugar or glucose level is higher than normal.

What causes Diabetes?📷

Carbohydrate-rich foods like bread, cereals, rice, pasta, fruits, milk, and desserts can cause this rise in sugar levels and unhygienic lifestyle food habits add other health complications that sever diabetes.

Who Gets Affected the Most?📷

People above age 60 with high blood pressure (i.e, Poorly Controlled Blood Glucose Level above 10mM and are at a higher risk of getting infected from COVID 19 and are more likely to suffer from severe symptoms.

How food affects your blood glucose levels?

What, when, and how much you eat all affect your diabetes blood glucose levels. Whether you have diabetes type 1 or type 2 diabetes, blood glucose is the main sugar found in the blood. If you have diabetes, your blood glucose can shoot up high when you eat too much.

Diet Tips for the COVID-19 patients with Diabetes?

📷

Here are some foods Diet tips for covid-19 patients with diabetes that can help keep your blood sugar in check, make you happy, protect you from severe COVID 19 sickness.

1. Check your blood glucose levels at home if possible.

2. Eat about the same amount of food each day (Your blood glucose goes up after eating. If you eat a heavy lunch one day and a light lunch the next day, your blood glucose levels will be affected). A simple walk will help to control the sugar level after every meal.

3. Eat meals and snacks at about the same time each day.

4. Break your food into smaller portions: Eat 3 major fibre meals or 5 minor meals daily.

📷

5. Eat a high-fibre diet to control sugar levels. Include Pulses – oats, wheat, Chana, soya products, grains, millets with husk, green leaves, vegetables, broccoli, and flax seeds in your diet.

To know more about the health benefits of Broccoli in your regular diet – Read the Less known fact about Broccoli

6. Take your medicine at the same time every day. Consult your doctor about the best time to take your medicines based on your meal plan. ( the duration gap to take medicines before the meal & after meal)

7. Avoid Alcohol, which has more calories but no nutrients. The Consumption of alcohol during the virus attack will shoot up your blood glucose level to dangerous levels.

8. Walking, Jogging, and Exercise regularly will be the best choice to control Type 1 and Type 2 Diabetes.

9. During Covid-19 sickness, solid foods will be difficult to get digested. it is advised to consume liquids like soups to control hyperglycemia.

10. Include Cinnamon and garlic, ginger, bitter guard in your diet to control sugar level because it has antioxidant properties.

📷

Avoid low glycemic foods like maida Atta, pasta, juice, biscuits, chocolates, sugar, noodles, sweets, and other fat-rich foods.

Conclusion: Diet Tips for the COVID-19 patients with Diabetes

Always wear a mask and sanitize your space to prevent the infection in the first place. Follow these simple Diet Tips for the COVID-19 patients with Diabetes. Shop safe, fresh and healthy fruits and vegetables. Contact Ansio Fresh – Favorite Online grocery store in Chennai.

📷

Disclaimer: Apart from following Ansio’s Diet tips for the COVID-19 patients with Diabetes. The physical condition of each and every person is unique. It is well-advised to consult a medical practitioner for a checkup and follow the expert guidance curing COVID-19 symptoms.

0 notes

ansiofresh · 3 years ago

Text

Diet Tips for the COVID patients with Diabetes

Ansio Fresh’s Online Grocery Supermarket in Chennai - Diet Tips for the COVID-19 patients with Diabetes.

Diabetes is a medical condition in which the body's blood sugar or glucose level is higher than normal.

What causes Diabetes?

Who Gets Affected the Most?

How food affects your blood glucose levels?

Diet Tips for the COVID-19 patients with Diabetes?

Here are some foods Diet tips for covid-19 patients with diabetes that can help keep your blood sugar in check, make you happy, protect you from severe COVID 19 sickness.

1. Check your blood glucose levels at home if possible.

3. Eat meals and snacks at about the same time each day.

4. Break your food into smaller portions: Eat 3 major fibre meals or 5 minor meals daily.

5. Eat a high-fibre diet to control sugar levels. Include oats, wheat, Chana, soya products, grains, millets with husk, green leaves, vegetables, broccoli, and flax seeds in your diet.

7. Avoid Alcohol, which has more calories but no nutrients. The Consumption of alcohol during the virus attack will shoot up your blood glucose level to dangerous levels.

8. Walking, Jogging, and Exercise regularly will be the best choice to control Type 1 and Type 2 Diabetes.

9. During Covid-19 sickness, solid foods will be difficult to get digested. it is advised to consume liquids like soups to control hyperglycemia.

10. Include Cinnamon and garlic, ginger, bitter guard in your diet to control sugar level because it has antioxidant properties.

Avoid low glycemic foods like maida Atta, pasta, juice, biscuits, chocolates, sugar, noodles, sweets, and other fat-rich foods.

Conclusion:

Disclaimer: Apart from following Ansio’s Diet tips for the COVID-19 patients with Diabetes. As the physical condition of each and every person vary, It is well advised to consult a medical practitioner for a checkup and follow the expert guidance curing COVID-19 symptoms.

#onlinegrocerychennai #onlinegroceryShoppinginchennai #OnlineGroceryDeliveryinchennai #grocerydeliveryinchennai #GroceryhomeDeliveryinChennai #BuyGroceriesonlineinChennai #OnlineSupermarketinChennai

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rajeshsubramanya111-blog · 4 years ago

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Dr Rajesh Subramanya Oxford MS| Dr Rajesh subramanya Mississippi

It's one of the biggest decisions you make before your baby is born. Which pediatrician is the right one for your child? Before you start your search, take a few minutes to learn exactly what this kind of doctor does. It will help you make a better choice and know what to expect when your little one arrives. Pediatricians are doctors who manage the health of your child, including physical, behavior, and mental health issues. They're trained to diagnose and treat childhood illnesses, from minor health problems to serious diseases.

Dr. rajesh Subramania Mississippi have an education that gave him special skills to take care of your child's health. Dr. Rajesh Subramanya Oxford ms have extensive training and education and licensed for treating children. He is also "board-certified." That means he have passed rigorous exams given by the American Board of Pediatrics.

Dr. Rajesh Subramanya mississippi will treat children from birth to age 2 and once a year from ages 2 to 5 for "well-child visits." After age 5, he will likely continue to see your child every year for annual checkups. Dr. Rajesh Subramanya mississippi is also the first person to call whenever your child is sick.

Dr. Rajesh Subramanya Oxford ms can help diagnose medical conditions in children. Depending on the condition, parents or caregivers take their children to Dr. Rajesh Subramanya Oxford ms, a pediatric specialist. Dr. rajesh Subramania Mississippi has anormous training in specific treatments and diagnostic procedures. He has advanced knowledge and experience in treating heart conditions in children. Dr. Rajesh Subramanya Oxford ms have extensive training and education and licensed for treating children. He is expertised and completed a 3-year residency program in pediatrics after finishing medical school. Some pediatricians start their general care practice after finishing the residency, while Dr. Rajesh Subramanya Oxford ms entered fellowship programs where he received additional training in pediatric subspecialties. Dr. rajesh subramania Mississippi received a state license for the practice.

Dr. rajesh subramania Mississippi at Baptist Medical Hospital. Dr. rajesh Subramania Mississippi is specialized and devoted to treat the sick and injured children. Dr. rajesh subramania Mississippi’s program includes specialty care, and support services providing a continuum of care for the state's youngest residents. Special surgical and critical care facilities are equipped with state-of-the-art and age-appropriate technology to provide young patients with the best chance for a healthy life. Dr. rajesh subramanya oxford ms help keep children healthy by regularly checking their growth and development. He helps prevent illness by giving vaccinations and general health advice.

Some reasons to go with Dr. rajesh subramania Mississippi are:

· Dr. rajesh subramania Mississippi have special training in children's health.

· He only see children in his practice, so he have a lot of experience in recognizing and treating childhood illnesses.

· If your child was born early or has a health condition that needs close monitoring, Dr. rajesh subramania oxford MS may offer more specialized care.

Dr. rajesh subramania Mississippi is specialized in the regular care of children, as well as the diagnosis and treatment of illness in children. Young patients are often more complicated to treat because they are still growing and developing. Dr. rajesh subramanya oxford ms is sub-specialized in specific therapy areas like oncology, surgery, ophthalmology, and anaesthesiology. In general, Dr. rajesh subramania Mississippi provide services like vaccinations, health exams, and treatment of common ailments and injuries. In addition, Dr. rajesh subramania oxford ms is trained to handle the complex emotional and behavioral issues faced by children, especially during puberty. Dr. rajesh subramania Mississippi normally see their patients from birth until the age of 18, although some may agree to treat patients into their early 20s, if requested.

#Dr. rajesh subramania Mississippi

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supernutritionandfitnessnet · 6 years ago

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Meal Planning Mastery: https://ift.tt/2LmgDlK Free Meal Plan: https://ift.tt/2JvsP72 Books: https://ift.tt/2LFMdLa -----SOCIAL MEDIA----- Blog: https://ift.tt/2JyLYEA Facebook Group: https://ift.tt/2HFBmOS Facebook: https://ift.tt/2JvsRMc Instagram: https://ift.tt/2LFMgqk READ THE ARTICLE https://ift.tt/2PyWmw8 DESCRIPTION Do you remember the first time you watched 300? If you are like me you wanted to hit the gym right after the credits rolled. The movie is so full of jacked Spartans and amazing abs that you automatically get motivated to work out yourself. That's awesome of course and if movies motivate more people to take care of their bodies even better. The problem is that most beginners then search online for 300 workouts or superman workouts or whatever movie they just watched. The routines you find when you do this are usually extremely complicated with hundreds of crunches and some random burpees in between sets. Often they are simply made up by magazines or some internet marketer. These people are trying to bank off the success of a movie and make a quick buck by selling you some overpriced workout plan. So, if it's not the newest men's health workout that got these actors in shape, how did they do it? I want to be as straightforward as possible with you.... It's actually a combination of (1) effective workouts and diets, (2) the right technology and sometimes (3) steroids. Let me explain what I mean by each of those. Effective Workouts and Diets By "effective" I don't necessarily mean the best workout to build muscle or the best diet to put on size. I mean the best to get the job done. "Getting the job done" in Hollywood means looking great. Keep in mind that the large cinema screen makes things appear bigger and more detailed. That's why any actor would always choose muscle definition over muscle size any. It's a lot easier to make a lean skinny guy look ripped with the right lighting and camera angle than a bulky guy who might be muscular but you can't tell because of his fat. This is also the reason many male models look great on pictures but extremely skinny in person. So what this means is that an effective workout and diet in the Hollywood sense is one that gets you lean which in most cases means losing fat. Fat loss can happen pretty fast and if you are able to maintain muscle while you do it you can look ripped pretty fast. The Right Technology This is Gerald Butler in the finished version of the 300 movie... And this is him on set. See what they did there? You can tell that they darken his skin with paint, which makes muscle "pop" more. Bodybuilders do the same when they go on stage and even though it looks ridiculous it definitely works. Also many studios use lighting and special effects to enhance body parts or erase others. Remember this one. If you have ever taken a selfie of yourself without a shirt you know how big of a role light plays in getting the right shot. Steroids Ahh, the big taboo. So do some actors take them? Almost certainly, but I can't tell you who. First, because that would require me seeing their blood work and second because I don't want to get into legal trouble for calling someone out. But when you think about potential movie deals involving millions of dollars wouldn't you do everything in your power to look your best? With the right supervision and regular checkups there are minor health risks on the one side and fame and money on the other. When you look at it that way steroids become a lot more appealing, don't they? Now, before I wrap up this post let me clarify one thing. Many of the transformations actors go through are still very impressive and require a lot of work. Despite the "tricks" I talked about in this video many actors still train hard and follow their diets religiously. My goal was just to make it clear that this is not what you as a beginner should expect or strive for. The way someone looks in a movie is almost never how they look in real life. So make sure to keep your expectations in check and don't fall for stupid 300 workouts. Music: Tobu - Seven [NCS Release] https://youtu.be/h18gwLKQf_Q

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noeviruset · 7 years ago

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The Importance of Oral Hygiene

The benefits of good dental hygiene go a long way – they decrease the risk of disease, enhances one’s appearance, and has even been proven to boost self-confidence! Ever heard that smiling is healthy? Well, it’s true! Each smile that we give someone improves our health and appearance – that is, if we have a healthy oral hygiene regime in place.

What is Oral Hygiene (Definition)?

Oral hygiene is the practice of having a mouth free of disease, bad breath, and other dental problems.

Practicing proper oral hygiene is necessary to live an overall healthy lifestyle. Neglecting your dental hygiene health can result in any of the following conditions:

Gingivitis (inflammation of the gums)

Periodontal Diseases

Halitosis (bad breath)

Dental Cavities

Why Is Oral Hygiene Important?

The mouth is one of the dirtiest areas of the body and it does not take long to visibly notice when one’s mouth lacks attention.

An accumulation of plaque or tartar buildup leads to mouth complications.

This lack of care causes poor oral hygiene and can lead to several health complications.

Additionally, caring for your teeth means you’re reducing your risk of tooth loss, bad breath, and serious dental problems.

It also reduces your risk for diseases such as diabetes, heart disease, lung infections, Alzheimer’s, among many other health complications.

Oral hygiene is so important because it impacts our overall health – which we’ll touch on a little later.

The Benefits of Good Oral Hygiene

In order to have a whiter looking smile and fresh breath, you want to be sure you’re brushing and flossing your teeth daily (at least twice a day).

Along with this, getting regular dental checkups is a must!

Dentists can provide professional cleanings to remove plaque, tartar buildup and stains from your teeth.

Here are some additional ways that a healthy smile is beneficial:

Saves Money

It is less expensive to maintain good dental health than it is to cure it!

Caring for your teeth and gums on a regular basis will prevent future problems such as needing oral surgery, which helps to lower your dental bills over the course of your life.

Unfortunately, neglecting your teeth can bring expensive results which is why at Dental Smiles Unlimited, we provide affordable services to get you back on track!

Fresher Breath

Having fresh breath is a result of good oral hygiene.

Neglecting your teeth will cause your mouth to stink and while you may not notice it right away, those you speak to most likely will.

Cleaning your mouth regularly – at least twice a day – is the perfect way to freshen up.

If you have a good dental health regime in place, but continue to experience bad breath issues, reach out to us so that we can help.

Prevent Gum Disease

The inflammation of the gums is known as Gingivitis. This is the initial stage of gum disease and is caused by plaque build-up around your teeth.

Brushing and flossing teeth daily prevents the accumulation of food and bacteria that causes plaque.

Gum disease is the result of not doing so and it leads to undesirable effects like swollen gums and teeth that bleed.

Whiter Teeth

The process of brushing and flossing your teeth doesn’t take more than 3 minutes. This short amount of time is extremely necessary to have good dental health.

Toothpaste contains mild abrasives that remove debris and stains from teeth. Brushing every day will keep your smile looking fresh, healthy, and white!

Alternatively, you can always set up an appointment with your dentist for professional teeth whitening.

When Should Oral Hygiene Begin

You may be asking yourself, “When should one start practicing good oral hygiene?”

The answer is, now!

You may not know this, but baby teeth begin to form before birth meaning that as a mother, you should be eating a nutritious, balanced diet.

Pregnant women should also have a complete dental exam performed to check and treat any cavities or gum disease.

Of course, as your child grows you want them to understand the importance of good oral hygiene.

They can learn this by implementing a proper routine early in life to ensure the development of healthy teeth.

Having regular dental check-ups will also ensure they are on the right track to developing strong permanent teeth.

Oral hygiene is an everyday process that you should participate in for the remainder of your life.

Consistency is key when it comes down to your pearly whites; creating healthy habits helps maintain good oral hygiene.

When to Start Oral Hygiene for Your Baby

Once a child is born, it is recommended to schedule a visit to the dentist 6 months after their first primary tooth appears or by their first birthday – whichever comes first.

The dentist will then be able to assess their teeth to make sure everything is looking good and take further action if needed.

Instructions and Guidelines for Oral Hygiene

Brushing, flossing, and attending your dental appointments are an important part to avoiding the problems bad dental hygiene brings.

Along with this, finding a quality dental provider is essential to the health of your mouth.

There are a few guidelines you should follow when narrowing down your decision for a dental provider.

As experts in this field, we want to give you some tips when choosing a dentist provider.

There are some elements that consumers overlook that play a big role in the health of your teeth.

We keep these concerns in mind every day when working on our patients and so should you!

Technology

The first element that you’ll want to consider is whether the technology a dentist office uses is up to date.

There has been a huge advancement in digital technologies that improve the quality of dental care and dentistry’s need to stay up to date with these improvements.

Dental x-rays for example, are composed of the latest technology to detect all major and minor oral health issues.

A provider who is consistently looking for ways to offer more efficient solutions for our patients is the one you should decide on.

Education and Training

Dentists need to continue to educate themselves despite their years of previous education.

Because advances in clinical technology continue to be made, dentists and their staff need to regularly update their skills to provide superior care to their patients.

This is done by attending training and with ongoing education programs.

We encourage you to look for a provider who is continuously learning, adapting, and updating their skills to meet the dental needs of those who walk through our doors.

Understanding the importance of staying up to date with advancements is the first step, consequently, implementing ongoing education and training is the next.

Friendly Staff

It’s no surprise that a visit to the dentist’s office isn’t an ideal trip for both adults and children.

A welcoming and responsive staff makes this a more enjoyable process, especially for little ones!

Look for a dentist office where it’s evident that the entire staff is experienced and offers a streamlined process from beginning to end.

Good Habits That Maintain Oral Hygiene

Bad oral hygiene is linked to several health problems, but many times laziness is the culprit of this issue.

Perhaps you’ve had a long day or are too tired to brush your teeth before bed. This may not seem harmful to your dental health, but it is!

For this reason, you want to make it a habit to take care of your teeth no matter the circumstances.

Brushing your teeth in the mornings with your children before work or school is a great way to get them in the routine of doing so.

A few habits you should form to maintain oral hygiene is being consistent in brushing your teeth every morning and night.

In addition, make sure you floss and use mouthwash to have a fresh smile.

These are great hygiene products that go a long way.

While not properly caring for your teeth causes poor oral hygiene, an unhealthy diet can too!

This is yet another reason to eat healthy and feed your body a balanced diet rich in vitamins and minerals.

Remember, that too many sugars and candy can lead to dental problems, especially in children!

How Oral Hygiene Is Linked to Health

Your oral health is much more important than you might realize.

It is linked to health in a variety of ways. In fact, having dental problems can affect the rest of your body.

Because your mouth is prone to bacteria, keeping bacteria under control is a result of practicing proper dental hygiene.

When bacteria are not controlled (poor oral hygiene) this leads to diseases including periodontitis – a severe form of gum disease.

Oral health consequently has scientifically been linked to other diseases and conditions such as endocarditis, cardiovascular disease, diabetes, osteoporosis, or Alzheimer’s disease.

How Oral Hygiene Affects Overall Health

Consequently, there is a strong link between dental hygiene and overall general health.

A few medical conditions linked to bad oral health include heart disease, stroke, lung conditions, or inflammation.

You can prevent this by brushing and flossing daily (at least twice a day) and scheduling routine visits to the dentist.

Research has also shown that poor dental care is sometimes a result in other conditions including immune system disorders, fragile bones, or problems with pregnancy.

If you notice any irregular oral health symptoms or problems, contact your dentist immediately. Remember that your oral health affects your overall health and should be taken seriously.

What Causes Poor Oral Hygiene

Many times, we struggle with maintaining good dental hygiene not because we don’t understand the importance of it, but because we are unaware of what causes it.

There are a few reasons a person suffers from poor oral hygiene which include a lack of good habits, eating the wrong foods and smoking.

All these factors contribute to poor oral hygiene. Fortunately, there are simple solutions for all three of them.

How to Improve Oral Hygiene

Having a healthier, more beautiful smile starts with learning about what causes poor oral hygiene and ways to improve it.

Doing so will not only protect your teeth, but it can save your life! Here are three ways you can better your dental health:

Brush Regularly

Improving your oral hygiene is as simple as developing good oral hygiene habits. This includes regular brushing at least twice a day. Brushing your teeth every morning and every night removes the plaque and tartar for the teeth.

Watch the Foods You Eat

There are certain foods you can limit or eliminate completely to improve your dental health. You’ll notice a big improvement in your oral health if you eliminate sugary or acidic foods – plus, it will be great for your overall health!

Stop Smoking

Smoking is also a common cause of poor oral hygiene. It can lead to dental problems such as tooth discoloration, bad breath, inflammation, or increase of plaque and tartar on the teeth.

Oral Hygiene Products

We’ve already covered how to treat poor oral hygiene. Basically, you want to brush, floss, and schedule routine visits to the dentist’s office.

We cannot stress enough the importance of taking care of your teeth at home.

For great oral health you need to have the following hygiene products handy in your bathroom:

Toothbrush (with cover)

Toothpaste

Mouthwash

Floss

In addition to having them readily available, you want to teach your children how to properly use each item and how often to use them.

Encourage your family to practice good oral hygiene.

Verdict

Oral health affects every aspect of our lives but is often taken for granted. No matter your age or stage in life, your dental health is important.

If you are experienced dental pain or have not been to a dentistry in a while, don’t put this off any longer. Taking immediate action today can help prevent dental disease and further complications.

Consequently, you can practice good oral hygiene from your home.

Brush and floss your teeth twice a day and don’t forget to replace your toothbrush every three to four months.

Other ways you can improve your dental health is by eating a balanced diet. Schedule a dental checkup today to keep your smile – and yourself – healthy.

The post The Importance of Oral Hygiene appeared first on Dental Smiles Unlimited.

Source: http://www.dentalsmilesunlimited.com/importance-oral-hygiene/

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keratoconusgroup · 7 years ago

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Currently being outfitted with lenses by a specialist - they're not helping nearly as much as they're supposed to. What should I realistically expect?

Hi guys and gals - I could use your opinion. I'll try to keep it short. I was officially diagnosed with keratoconus last March after years of undiagnosed progression and I had my left eye epi-off crosslinked in May, as it was much further along. Progress seems to have stopped (my next checkup is at the end of May, but so far the 3-monthly appointments have been encouraging), so that's good. Here's the thing. I finally managed to get an appointment with a well-known keratoconus contact fitter/ophthalmologist after not having much success with the first specialist I tried and... well, sclerals are not helping much. It changes the ghosting a lot and I'd probably be better off if I got used to it but it's nowhere near good vision My specialist seems to be somewhat confused - he says that my keratoconus progression isn't that bad and I should be getting 20/20 vision out of the eye with contacts. We've been having a rough time fitting them since my eyes are tiny anyway, but we've pretty much tried all the lenses he had (and he has a lot) and there's barely been any improvement in the ghosting (my main problem, sharpness isn't that much of an an issue). What should I expect from scleral fitting? Is he doing something wrong? I don't think so because he's pretty much THE specialist to see in my country and he seems very dedicated, but I'm wondering if this is normal. How much do contacts reduce your ghosting/improve your vision? He's going to arrange an eye CT for me this week because I haven't had one yet and he says he wants to check for anything the other doctors might have missed, so there's that, but I'm kind of freaking out. My right eye is mostly fine but some minor ghosting has already started... my main doctor said we should keep an eye on the progression for now because I'm 33 and the process might stop on its own, but I've noticed more ghosting in my good eye than a year and a half ago, so I don't think it's stopped. The starbursts are still minor, but I've gone through this with the other eye and I recognise it when I see it. If contacts don't help me at all... well, maybe it's time to crosslink ASAP? I've seen a few keratoconus specialists and opinions seem to be all over the place - some are cautious and tell me to wait in case it stops on its own because complications are always something to consider, some are telling me to go for it as right now this is literally the only way progression can be stopped before my vision gets too distorted, and that this is as good as it gets. I feel like I'm stuck between a rock and a hard place and I'd love to hear from anyone who's gone through this. Ugh, I'm rambling. I'm a little discouraged because I put a lot of hope into contacts and they've been a letdown (we'll keep trying, he hasn't given up yet). Any input is welcome. Thank you! tl;dr: contacts not helping much with shitty left eye, what are your experiences with sclerals and ghosting/starbursts? (Also, would you crosslink your good eye that's only showing the beginning signs of keratoconus if sclerals haven't done much for your bad eye?) submitted by /u/CitrusyDeodorant [link] [comments] https://www.reddit.com/r/Keratoconus/comments/8balf8/currently_being_outfitted_with_lenses_by_a/?utm_source=dlvr.it&utm_medium=tumblr

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fhamt · 7 years ago

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All That You Need To Know About Medical Clinic Tampa Facilities

By Christopher Fisher

Falling sick is inevitable and seeking health care services becomes the better option. Medical clinics provide a wide range of health services that suit family members. Sometimes family members fall sick or need routine checkups or kids need immunizations the best option is medical clinics since they are conveniently located near you. For clients with no idea of their existence the best place to start is the internet; they are listed here, the services they offer and the client can schedule an appointment online. Also, for further enquires the client can call their helpline desk and they will be assisted promptly. It is important to know how these medical clinic tampa facilities operate and their benefits. You need to schedule an appointment 2-3 days before. The reason is because they understand the clients needs prompt attention without having to waste time queuing. In case, the client fails to show up it is prudent to call and notify them in advance. They do not charge and the client is free to reschedule. For minor ailments and injuries they have walk in facilities where the average time wait is 20minutes unless there is high demand. The personnel are well trained and experienced to handle all manner of diseases and ailments. They include physicians, nurses and lab technicians who are subjected to regular evaluations by certified professionals to gauge their competency in the medical field. Also, they are regularly updated on the emerging trends in the medical field. The clients are assured of quality services given the professionalism. The professionals are bound by oath thus they do not discriminate as they offer their service either based on race, sexuality, religion, disability or color. Privacy is also guaranteed since they do not convey information to third party unless with express approval of the client. For emergency causes they do not require any financial incentive to cater for the patient since they understand the value of human live. The medical clinics mostly operate eight hours per day starting from 8 to 5pm. The good thing is they have an after-hours medical advice helpline that clients can call to ask questions. They respond promptly to calls and assist the client to their satisfaction. These facilities are cost friendly compared to emergency visits. They are quite expensive and the time wait is longer even for minor diseases and ailments. Also, they accept major medical insurance schemes and all a client needs to do is check whether their provider is registered with them. In addition, they accept major debit and credit cards, checks and cash this is very flexible for clients. It is crucial to research on the said clinics; to establish their legitimacy whether they are licensed to conduct business and registered with governing bodies that set the code of conduct in the medical industry. Unskilled individuals who have their licenses withdrawn also operate and defraud clients their cash and leave them with health complications. The professionals are committed to ensure that the client gets the best possible attention when they visit their clinics. The healthcare is of high quality and at a bargain which is important since the client saves time and money. They encourage client feedback so they can improve their services to suit the client needs.

About the Author:

You can get fantastic tips on how to pick a medical clinic Tampa area and more information about a reputable clinic at http://ift.tt/2fTTzA1 right now.

All That You Need To Know About Medical Clinic Tampa Facilities via FHAMT http://ift.tt/2iPIWzP

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thisismyhealthcarebitches · 7 years ago

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Dear Friend.

Dear Friend,

I am writing to appeal a claim denial on claim #?????. The date of service was: ?????. The claim was denied because “There is no HMO Outpatient Authorization on File.”

Some background: When I signed up for Humana through Healthcare.gov this year, I was assigned Dr. Isolde F. Butler as a PCP, however, she was not taking new patients. I logged into my Humana account online and changed my primary care physician to Dr. Hannah Pounds who is near my home, a PCP, In Network and, most importantly, accepting new patients.

I went to Dr. Pounds for my regular checkup and to deal with a very minor issue on May 25, 2017. When I got the claim in the mail at the end of June, I found that I was responsible for $1946.27 in lab costs.

This seemed a bit high for a regular checkup and minor issue. So, I called Humana at the end of June, and Stacy told me that my PCP had not sent in the proper authorization form. She suggested I get in touch with my PCP's office and have them fax an authorization request form and that Humana would re-visit the claim. She gave me the fax number and said I had to wait 30 days for it to be reprocessed. Dr. Pounds' office faxed over the necessary forms, and I waited the 30 days.

I called Humana again on July 30th to follow up. The representative I spoke with told me that my PCP had not faxed in the authorization request form. So, I called Dr. Pounds' office, and they said that they had faxed the authorization request form, but that they would fax it again, which they did.

I called Humana again on August 31st and spoke with Tanisha. Tanisha revealed to me that there were actually two problems with this claim, one of which was the authorization forms. The other problem, Tanisha told me, was that Dr. Hannah Pounds had not been my PCP on May 25th (the date of service), and, therefore could not submit authorization forms on my behalf because she was not my doctor. That Dr. Butler had been my PCP on paper at the time, and she, at the time, was the only one who could submit authorization forms on my behalf.

To unpack this: When I changed PCPs online way back in April/May, Tanisha says the change did not take effect until June 1st. So when Dr. Pounds' office faxed Humana authorizations, Humana ignored them because they were not sent by the “right” doctor (my previously assigned PCP, Dr. Butler, whom I have never seen because she was not accepting new patients). Tanisha was the first of Human's staff to elucidate me on this fine point. I had been dutifully waiting and worrying and faxing for two months for the claims to be reprocessed when they were simply being ignored because the “wrong” doctor was sending in requests on my behalf.

To further complicate, a representative of Dr. Pounds' office re-faxed everything on September 5th and spent a total of two hours on the phone with Humana trying to help me. It was only when I spoke with Holly at Humana on September 12th that I learned that all of this had been a waste of time.

It seems like there was some kind of breakdown in communication.

On my part, I just assumed that the online change of PCPs was automatic from the moment I chose Dr. Pounds because: 1) she is In Network, 2) she is a primary care physician and 3) this is the age of the Internet.

Here is a heartbreaker: Holly told me that had I made the change of PCPs over the phone, it might have happened immediately (fine print: if I had called before the 15th of the month). But, because I changed PCPs online, the change did not take effect until the month following when the change was requested online. A fine detail of which I was not aware. I wonder how many other patients have been caught up in this bureaucratic shell game, and who is benefiting. It seems like the lab with Humana's cooperation, but, Friend, I would love to hear your own thoughts on this.

I have spent hours waiting in line on the phone listening to Humana's recordings about how important my health is to Humana. While I believe, you, Friend, have great concern for my health, I do not believe that Humana cares one bit about my health. To wit: I received a letter from Humana around the same time that my claim was denied stating that Humana would no longer be providing individual insurance again next year. The letter provided no explanation and pointed to Healthcare.gov for answers.

Friend, I was gutted. Last January, I decided to give Humana a try because my other insurer had inflated their prices after the presidential election. I was excited to make a new healthy relationship with Humana. I loved the website, and the staff were friendly and helpful. Now, Humana is dumping me for reasons that I do not understand, denying claims on weird date technicalities, not revealing the full information about why, yet telling me in recorded messages that Humana cares about my health. The reality, however, is that I am not a human trying to see a doctor. I am a number (H72489189) who's family represents $708 a month until the end of this year.

Another little tidbit that happened today Sept. 25th: My husband, who is also a Humana member, needs to see his PCP fairly soon. His PCP is also Dr. Butler, whom is still not taking new patients. I called Humana four times today to ask what I should do. I have been hung up on by the automated system four times today, so I had to resort to Humana's twitter help to get an answer. Twitter help referred me to Humana's “on demand” service. The On Demand service suggested:

“On your plan you do not need to obtain a referral to see an in-network provider that is not your primary care physician. With that in mind, as long as you are able to obtain an appointment with someone listed in your network, please do. This includes specialists, urgent care, retail clinics and other primary care physicians. If you need lab work done, make certain the lab the specimens are sent a participating laboratory. Quest Diagnostics and LabCorp are the preferred laboratories.” If I unpack this and correlate it with my own experience, I can see another In Network doctor, but they cannot authorize out of network labs if they are not my assigned doctor. Actually, Dr. Pounds' staff were really appalled that the lab they sent my blood to was out of network. The fact that Dr. Pounds is In Network but the lab is out of network (which she did not know) and that I as a patient have to manage my care to make sure that my blood is going to an In Network lab, etc. is just a slap in the face. Even if I had asked about the lab, Dr. Pounds was not aware that the labs were out of network, and this is why her staff was on the phone to you for two hours.

This situation has caused me a great amount of stress, I've lost hours and hours of work on the phone with Humana and my doctor trying to figure this out, and I have not gone to the doctor for necessary followups because I'm afraid of getting a huge bill for something very, very minor. Also, my husband insists that we pay cash to the doctors we visit in future and not run anything through insurance because we will get slapped with costs. So why do we have insurance if we are not going to use it? Add in the additional work my doctor's staff has done in trying to help me, and this regular checkup has ballooned into a cost of over $5000. I estimate my own administrative costs to be around $1500 if I use my day rate.

I ask you to look to the perception: that Humana will do whatever paperwork shell game that needs to be done to deny claims until it can extract itself from the individual market and not have to deal with individuals anymore.

I respectfully ask you to re-submit this claim and to make this right. I am happy to pay what would have been the cost of the laboratory tests In Network through my PCP. Anything above that cost is simply not fair. Something is seriously wrong with healthcare when a healthy person would go to see a doctor for a very minor issue and come out owing nearly $2000 on top of the $708 she pays in premiums each month and the co-pays she made to her doctor just to even walk into the office. I don't have to point out to you that patients are already in a pickle when it comes to healthcare costs. We must submit to examination and tests BEFORE knowing how much it will cost us. And, each time we do this, we get a little surprise at the end of the month in the form of outrageous bills. In what other industry does this happen?

Yours Truly,

Daneeta Jackson

cc: Dr. Hannah Pounds cc: Senator Bill Cassidy cc: Senator John Kennedy cc: Congressman Richmond

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secret-thin-blog · 7 years ago

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Key Details On Selecting Plumbing Repair Service

Each time plumbing concerns arise within our homes, we are inclined to repair them on our personal or disregard them most specially when they seem as minor issues. We fail to spot the reality that any work pertaining to this might be thoroughly carried out only by authorities while in the plumbing repair service. Men within the family are expected to operate on damaged drinking water pipes and clogged kitchen area sinks and bathroom bowls. Even though this really is noticed to save our finances from undesirable fees, speaking to a specialist plumber to solve these troubles would flip a lot more cost-effective during the long run. What's more, doing these would continue to keep main plumbing considerations from creating up within our homes.

A plumbing unexpected emergency might strike whenever. A good way to generally be ready of it can be to have frequent checkup and maintenance within your complete plumbing procedure similar to what specialists recommend. By no means feel of slicing your costs with the cost of the performance of one's property. Plumbing repair service is a wonderful safety measure which can limit emergencies to a bare minimum. Plumbing fixtures are typically located in bogs, kitchens and wash parts. With regards to the age of these kinds of fixtures, replacements could possibly be essential because they are not any more time fit to work adequately because of damages brought by time, corrosion and rusting. Resolving to some do-it-yourself installation of desired replacements or sought after equipment could ruin a complete plumbing system. This reveals why selecting a professional is best. For one particular, they'd question you to acquire materials and tools at the time. Next, they will end any trouble from occurring again and all over again.

In advance of you find a plumber, know the nature of the plumbing worry existing with your household that needs to be resolved. It's important that you hire a qualified specialist for instance. Likely back, plumbing concerns in general could either be classified as ordinary plumbing unexpected emergency or simply a plumbing operate unexpected emergency. Leaky taps, jammed drains and pipes and defective bowls and sinks are basic plumbing emergencies which want fast awareness. Acute because they are, when they're not immediately solved, they will trigger even bigger physical destruction on your own plumbing method. There are actually complications while that will entail hydraulic operate. These include things like substitution of loo or kitchen area sink, drain cleaning and servicing, and installation of water filtration methods or h2o heaters. Responsibilities like these could only be executed by an expert. Using the appropriate classification of your plumbing issue, you can now consider which kind of support you will need. But ahead of you jump into any specials, it could be wise to scout for a minimum of 3 company companies within your locality. Know their unique strengths. Look at their many years of experience, buyer rankings, delivery time, post-processing assistance as well as the like. Learn the get the job done ethics with the employees of one's picked out plumbing repair service provider. Apart from the trustworthiness with the plumbers, probe with regards to their duty. Would they be accountable more than enough to tidy up any mess that will be produced upon the completion in their responsibilities? Would they go the extra mile to put issues again in order? Learn more info licensed plumbers

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