มันเป็นเรื่องที่เห็นได้ยากนะครับสำหรับในกรณีของการเข้าเทคโอเวอร์ของทาง เศรษฐีแดนลุงแซม อเมริกัน ที่เคยโด่งดังในการเป็นนักบาสเกตบอลอาชีพ ไม่ใช่นักฟุตบอลอาชีพแต่อย่างใด เหมือนอย่างในรายของทาง สตีฟ เนช กับทาง ซาเวอร์ สองซี้ คนดังจากวงการ บาสเกตบอล เอนบีเอ ที่เลือกมาลงทุนกับทีม ชาวเกาะอย่าง มาร์ยอก้าร์ โดยทีมนี้เคยเป็นทีมแรกๆ ของอดีตนักเตะทีม บาร์เซโลน่า อย่าง ซามูเอล เอโต้ เคยค้าแข้งในช่วงปี 2004 ก่อนที่จะย้ายไปโด่งดังกับทาง บาร์เซโลน่า โดยทางทีม มาร์ยอก้าร์ เป็นทีมเล็กๆ ในทะเล เมดิเตอร์เรเนียน แต่ทว่าในปัจจุบันสถานการณ์ของทีมชาวเกาะไม่ค่อยดีซักเท่าไร กล่าวคือ ได้ตกไปอยู่ในลีกระดับเซกุนด้าร์ บี ของ ฟุตบอล สเปน โดยทาง เนช และ เพื่อนซี้ ได้ใช้เม็ดเงินประมาณ 20 ล้านยูโร ในการที่จะเทคโอเวอร์ สโมสรนี้ ซึ่งถือได้ว่าน้อยมากๆ เมื่อเทียบกับ สโมสรชื่อดังทีมอื่นๆ เป็นต้น
โดยเป็นไปที่ทราบกันว่า ทาง เนช เองชื่นชอบกีฬาฟุตบอลเป็นอย่างมาก อีกทั้งยังมีญาติของเจ้าตัวที่เคยติดทีมชาติ แคนาดา ชาติบ้านเกิดของทาง เนช แม้ว่าเจ้าตัวจะได้สัญชาติ อเมริกา แล้วก็ตาม เป็นต้น
มาร์ยอก้าร์ เคยลงเล่นในลีกสูงสุดของ สเปน เป็นจำนวนถึง 16 ฤดูกาลด้วยกัน แต่ทว่า ต้องมาประสบกับปัญหาทางการเงินและต้องตกชั้นไปในที่สุด ภายหลังจากเสร็จสิ้น ซีซั่น 2012-2013 เป็นต้น
ข่าวคราวความเคลื่อไหวของทางวงการฟุตบอล พรีเมียร์ลีก อังกฤษ สำหรับในรายของทีมสิงโตน้ำเงินคราม เชลซี ภายใต้การกุมบังเหียนของทางผู้จัดการทีมอย่าง กุส ฮิดดิ้งก์ ที่ได้เข้ามากลายเป็นกุนซือขัดตาทัพของทางทีม เชลซี ไปก่อนจนกระทั่งจบฤดูกาลนี้ โดยในก่อนหน้านี้ทางบอร์ดบริหารได้มีมติที่จะถอดถอนทางผู้จัดการทีมอย่าง โชเซ่ มูรินโญ่ ให้พ้นออกจากการเป็นผู้จัดการทีมของทีม เชลซี โดยในยุคของ มูรินโญ่นั้น มีนักเตะดางรุ่งอยู่คนหนึ่งในตำแหน่งศูนย์หน้าที่ดูดีมีอนาคตเป็นอย่างมาก แต่ทว่าทางผู้จัดการทีมอย่าง มูรินโญ่ ในตอนนั้น กลับที่จะไม่ค่อยให้โอกาสนักเตะรายนี้ในการลงสนามที่มากเท่าที่ควร เมื่อเป็นดังนั้นแล้วคงไม่ต้องพูดถึงในเรื่องของการสอดแทรกในการที่นักเตะคนนี้จะสามารถเป็นนักเตะตัวจริง ย่อมมีโอกาสที่น้อยเป็นอย่างมาก นักเตะคนนั้นก็คือนักเตะอย่าง ลูกากู ที่ในปัจจุบันดาวเตะเจ้าตัวได้ค้าแข้งอยู่กับทางทีม เอฟเวอร์ตัน เป็นต้น
โดยทางผู้จัดการทีมคนปัจจุบันของทีมสิงห์บลูส์อย่าง ฮิดดิ้งก์ ก็ยังออกอาการแปลกใจไม่น้อยกับการที่ทาง สโมสรได้มีการปล่อย ลูกากู ไป เป็นต้น
สุดท้ายทาง ฮิดดิ้งก์ ได้กล่าวว่า ทาง ลูกากู เป็นนักเตะที่มีความอันตรายเป็นอย่างมากในการเล่นฟุตบอลหน้ากรอบเขตโทษ คุณจำเป็นที่จะให้โอกาสนักเตะดาวรุ่งแบบเขาให้ได้ลงเล่นมากกว่านี้ สิ่งที่เขาทำได้กับทีมในปัจจุบันของเขาอย่าง เอฟเวอร์ตัน นั้น มันช่างเป็นไปด้วยความยอดเยี่ยม ฮิดดิ้งก์ ระบุปิดท้าย เป็นต้น
For those who want health insurance or medical insurance for a lot less: It doesn’t normally take implementing very many tips to realize massive savings while enjoying sufficient coverage. You may be alarmed to find out that all that’s making it difficult for you to get far more affordable rates are minor things you can quickly deal with. Following are several things that will help you achieve that goal…
1. Knowing what to do is key in getting savings. Knowing what is in your best interest helps you choose rightly. Furthermore, you’ll as well be ready to take advantage of opportunities as they emerge.
2. Increasing your deductible will bring down your rate. This is the amount you will contribute before your insurer is obligated to fulfill the policy terms. Yes, choose a very high deductible but ensure it is not higher than you can easily afford.
3. You may qualify for Medicaid if you’re really finding it difficult to pay for a regular health insurance plan. Qualification requirements differ with various states. In spite of the differences in various states, Medicaid is for folks that have low incomes. Having a job does not disqualify you.
Someone in your family may qualify even if you don’t and therefore reduce your family health insurance spend. You can verify if you or yours are eligible from your state’s Medicaid program.
4. Certain states provide home business owners a chance to lower their rate. States that give this opportunity have laws that make it compulsory that insurance companies extend to home business owners the same rates as they do large businesses.
Employing just a person makes a home business eligible for such cheap rates in a number of states. The good part is that the member of staff could be your wife or grown kid who works for you. You will still qualify for such group rates if such an employee works just part time.
Group rates are always cheaper so do your best to take advantage of this if you’re a home business owner.
To find out if you are eligible or even if your state has such offer, call your state’s department of insurance, department of financial services or their equivalent.
5. Healthy living will attract lower rates. The quality of what you eat will in the long run have an effect on your rate. Cutting off fats, cholesterol and high carb from your diet will make it easier for you to keep up the right weight, live a healthier life and, as a result, get more affordable rates.
You will also help your health and rate by having regular exercise.
A brand is a set of carefully constructed ideas about who you are as a business. The brand you build creates a platform for you to present your best self to the world. For physicians, your brand is your name and reputation. It sets expectation to your patients; it is a level of service promised. What qualities, values and experiences are you offering your patients? In its simplest form a brand is a set of promises. Building your brand gives you the opportunity to show your patients what sets you apart from your colleagues.
Whether you are a primary care physician, dentist, dermatologist or orthopedic surgeon, the goal of your brand is to attract a steady flow of patients. In defining your brand, break down your objectives and make a list of what is most important.
1. Showcase your Achievements
Make sure patients are aware of your education, depth of experience, and achievements in your field of specialty. Let your patients know if you utilize the newest technology, have additional training or certification. These achievements show how committed you are to bringing patients the best care they can find.
2. Have a Personal Connection
People need to feel connected and prepared. Any reason to seek medical care is an important one, whether it is elective surgery or setting a fractured bone. They want doctors who they feel comfortable with to treat them. A humanistic approach to patient care and practicing medicine establish trust and comfort. The personal connection begins at first contact, perhaps through a website or brochure, and carries on through your office staff and onto you as a physician. Create a warm, friendly environment where patients feel connected on a personal level.
3. Cater to your Target Patient Audience
Discover what is important to your patient base and maximize that. If you are pediatrician or orthodontist, your proximity to schools is a huge plus for parents bringing children to daytime appointments. Let patients know if you offer early morning or late evening appointments. Find out what is important to patients on a personal level and try to meet those desires.
Let your office reflect that you are keeping your patients in mind. The messaging and imagery you use will differ when creating a brand for an obstetrician practice targeting reproductive age women as opposed to a sports medicine doctor working with serious athletes. Reading material, music, even the décor you choose for your waiting room is an opportunity to gratify your patient audience.
4. Manage your Online Reviews:
Your online reviews will define you to potential patients. An online collection of honest, authentic customer reviews can help boost both your company’s search rankings and reputation. A 2014 Customer review survey from BrightLocal, an SEO research company, revealed that nearly 9 out of 10 consumers have read online reviews to determine the quality of a local business.
While approximately 88% of customers consult online reviews, the same study shows that only 10% of patients leave online reviews. Make it easy for patients to add an online review. Be sure to have a link on your website directing patients an online review site, such as Google or Yelp. Encourage your staff to find a pleasant, sincere way to encourage satisfied patients to leave an online review.
5. Keep your Brand Image Consistent
Your website, social media accounts and print materials should all present the same image. This helps to inspire long lasting brand awareness. Is your practice visual? Cosmetic surgery and dentistry are great opportunities to use a more visual social media channel. Take advantage of the opportunity to promote your brand in all visual channels.
A well-managed brand creates a strong emotional connection, and a strong emotional connection translates into loyal customer behavior. Protect and project your brand through every representation of your business.
Quality medical dictation affects the accuracy and turnaround time of transcriptions which directly impacts patient care and reimbursements. This article will provide you with the Top 10 tips for successful medical dictation and transcription. Whether you are a small practice or a community health center administrator, the following will be beneficial to you.
Your practice can benefit greatly by improving the precision of your medical dictation skills. Good medical dictation will bring you savings, as well: poor dictation consumes time and labor, increasing overall documentation costs. Finally, quality dictation can even help you legally: fewer transcription mistakes caused by poor dictation equate to fewer errors in patient care.
By incorporating the following top 10 tips for successful medical dictation, you can accelerate the time it takes medical transcriptionists to learn the style of your dictation, as well as improve their accuracy – all the better for you to run an efficient and high quality medical practice – a win-win for all.
1. At the start of your dictation, gather any papers, reports that you might need for your reference.
2. Dictate as if you are speaking to the patient in an exam room, speaking clearly so the Medical Transcriptionist will understand you without error.
3. Speak at a steady pace and not too loudly or softly. Keeping the recorder approximately 8-10 inches from your mouth will help improve clarity. Always move your face away from the recorder to sneeze or cough.
4. Minimize noises including the TV or radio, eating, drinking, chewing gum, shuffling papers, opening drawers, rearranging your desk or making loud noises as they can be very distracting to the medical transcriptionists. Likewise, do not dictate in a crowded room. The background noise is distracting and you may be sharing protected health information inadvertently.
5. Avoid multitasking while performing dictations. Use the pause button if you would like to take a sip of water or sort out documents. Do not dictate while driving. The sound quality is usually poor, not to mention that it is dangerous.
6. Identify yourself and state what type of report you will be dictating. Detail any special instructions at the beginning of the dictation. State, and then spell full details of information such as the patient’s full name and proper mailing address on letters.
7. During the dictation be as specific as you can with spelling, phrasing, formatting and ‘normals’. Spell the names of patients that you think the Medical Transcriptionist may not understand (i.e. ‘Amy’ spelled instead as ‘Aimee’), as well as local names or cities. Clearly spell words that may not be commonly used in the medical field, including new pharmaceuticals or treatments and unusual words representing diseases, drugs, or procedures not normally found in the mainstream of your daily work or specialty. Use the same phrases in each of your report types and follow the same order of headings whenever possible. Furthermore, be specific when inserting ‘normals’. If you need to change any part of the normal, please indicate exactly what information the medical transcriptionist should delete and where to insert changes.
8. Include punctuation, especially when starting new paragraphs, and include ‘open’ and ‘close’ quotation mark instructions.
9. Avoid using a lot of ‘ahhhs,’ ‘ums,’ ‘ers’ and ‘uhhhs.’ They can be confused for the letter ‘a’.
10. While cellular phones are convenient, the sound quality is usually not ideal. Land lines will give the medical transcriptionist a better quality recording.
With these practical medical dictation tips, you will help your medical transcriptionist provide you with highest quality service in an expedient manner. High quality patient care, accurate records, accurate billing, lower costs, and fewer legal issues all begin with your clear and precise dictation – a small consideration with very large and far-reaching benefits to your practice and your patients.
How many times have been to a massage therapist, a doctors office, even your local mechanic and been told something in a language you don’t understand. Even though English was spoken, the words just made no sense to you. Like most people you politely smile, nod your head in agreement and leave wondering just exactly what he meant.
You may have done this because you did not want to look “stupid” in front of the person who was talking to you. You have probably heard this before, but it needs saying again – “There are no stupid questions!” Especially when it comes to your health. If you don’t understand what you are being told, ask for it to be repeated in a way that you can understand.
Professional people use a language all their own. Depending on what profession the person belongs to, dictates the language they use. When the professional is dealing with the general public, they sometimes forget that they need to use “laymans” terms in order to be understood. A good professional will take the time to make sure you understand what you are being told. They have to, if they want your business. If they are unwilling to make themselves clear to you, then it might be a good time to seek another opinion.
In the massage profession, a therapist is taught the specific terms used in massage. Once a massage therapist learns these terms, they tend to use them. One reason is so that there can be no confusion as to exactly what they are talking about. That is of course if they are talking to another massage therapist. Sometimes they forget that they are not always talking to someone who understands massage terminology.
In this age of the Internet and the Information Super Highway a lot of people are educating themselves. I believe this is an excellent thing to practice. The massage terminology I am going to list is not definitive, but only some of the more common terms. I will attempt to explain each one in plain English.
Types Of Massage
Different Strokes For Different Folks
All Knotted Up
There are different terms for the different conditions of a muscle. These can vary wildly and mean different things to different people. You might hear your therapist say “That’s a ropey knot.” What he may be referring to is a long tight band of muscle. Two forms of knots that have definitive meanings are trigger points and tender points.
Some Miscellaneous Terms
As stated earlier, this is not a definitive list of massage terminology. These are some of the more common terms used by most massage therapists. The next time your massage therapist uses any of these terms; you will know what he is talking about. You can be proud that the power of educating yourself has paid off!
When researching your family history you may come along death certificates with the cause of death listed as something you have never heard of. Back in the day there were a lot of medical terms for diseases and illnesses that don’t pertain to today and are no longer used.
This article is a short story about a young woman visiting with her family using those old time medical terms to describe their ailments. After reading the story you will find a list of those terms with their meanings.
May 15, 1920. Today I went out for a walk to visit some kinfolk. First I stopped at Grandmas house. She is anile and her bone shave has been bothering her, so I wanted to check on her. She was doing well today. Grandma is a good cook and she fixed me eggs and sausage with biscuits and gravy for breakfast. Sometimes, though, I get Grocers Itch after eating there. Don’t know why.
Her chickens lay the biggest and best eggs you’ve ever tasted. Her sausage came from her old sow Elly, who was slaughtered last week. Grandpa, who is a little decrepitude, did the slaughter with the help of Uncle George and Uncle Billy. They do most of the butchering for the folks down in the holler.
Grandpa has been down in the bed with Hectical Complaint and Blackwater Fever. He is starting to mend but doesn’t have all his strength back yet. Grandma was afraid he had come down with Putrid Fever, but that didn’t prove so. I was satisfied that both are getting along ok.
Uncle George, who lives with Grandma and Grandpa, was out milking their only cow, Bessie. Uncle George is the wild one of the family. He is a ladies man and goes out drinking most nights. I thought he would quit that drinking after having the Horrors and Barrel Fever for a spell. I heard gossip through the grapevine that some of his lady friends are mad at him. They say he has the French Pox and gave it to some of them. One of the ladies even gave the Bad Blood to her husband. I heard too, that her husband is going to use his shotgun on the ‘man’ that gave it to her when he finds him. Oh my.
I went on down the road to see my Aunt Mary and Uncle Billy who had just birthed a baby girl a few months back. Their whole family has had some kind of sickness lately. Aunt Mary came down with Milk Leg after giving birth and can hardly walk. Uncle Billy has Corruption to both hands from the Ambustio he got from boiling water they use during slaughtering. The poor baby had Diary Fever and a Worm Fit from cutting teeth.
I returned home hoping and praying that all is going to be well.
Medical Terms and Meanings:
– Anile = “A weak old woman.” Also applied to senility from old age.
– Bone Shave = Sciatica.
– Grocers Itch = Skin disease caused by mites in sugar or flour.
– Decrepitude = Feebleness due to old age.
– Hectical Complaint = Recurrent Fever.
– Blackwater Fever = Dark urine associated with high temperature.
– Putrid Fever = Diphtheria.
– Horrors = Delirium Tremens
– Barrel Fever = Sickness from immoderate drinking.
– French Pox = Syphilis
– Bad Blood = Another name for Syphilis.
– Milk Leg = Postpartum thrombophlebitis.
– Corruption = Infection.
– Ambustio = A burn or scald.
– Diary Fever = A fever that lasts one day.
– Worm Fit = Convulsions associated with teething, worms, elevated temperature, or diarrhea.
In addition to learning the unique language used by medical professionals, a medical transcriptionist must also be an expert on English grammar and spelling. As if that isn’t enough to remember, there are styles and formats that are unique to the medical field; not being familiar with these accepted guidelines can generate quality assurance issues for a transcriptionist and the medical records and impact patient safety.
Homonyms are difficult for many English speakers to master, but when they occur in medical language, it becomes even more tricky. For example: ileum and ilium. These are medical terms that refer to two different anatomical areas. In order to select the correct spelling, it’s necessary to be familiar with the anatomy and to look at the context in which the word occurs. Experienced transcriptionists develop a system of mnemonics that assist them in finding the correct spelling of a homonym.
The ilium is a bone in the pelvis; in lay terms, the hip bone. The ileum is part of the small intestine. An easy mnemonic is to remember that both hip and ilium have the letter “i”. After that, a transcriptionist needs to look at the context of the word use in order to apply the appropriate term and spelling.
Although not considered homonyms, there are terms that sound like something else entirely, resulting in a transcription error, usually by an inexperienced transcriptionist. “Below knee amputation” is frequently mistaken for “baloney amputation.” An experienced transcriptionist knows that there is no such thing as a “baloney amputation,” regardless of whether or not it sounds like that is what a dictator is saying! In medical transcription, these are referred to as “sounds-like” errors.
Abbreviations are very common in medical terminology. They allow physicians and other healthcare professionals to document records quickly. Unfortunately, there are many terms that can apply to one abbreviation, which can lead to mistakes. The Institute for Safe Medication Practices (ISMP) has published a list of terms and abbreviations that can be misread and advised that these be written or transcribed in specific ways in order to avoid confusion.
In medical terminology, the abbreviation OD or o.d. can be either right eye – or once daily. It’s essential for a medical transcriptionist to know that the ISMP recommends that neither abbreviation be used, that it be written out as “right eye” or “daily,” as appropriate.
Abbreviations may also be misread, as one letter closely resembles another, even in a typewritten report. The ISMP also recommends that the abbreviation “IU” (International Units) not be used, as it can be mistaken for “IV” (intravenous).
There are also guidelines governing abbreviations for measurements. The use of the abbreviation “cc” (cubic centimeters) is common, but not advised; documentation specialists are advised to use the abbreviation “mL” (milliliters) instead, as “cc” can be misread.
Documenting for accuracy and clarity
The core guidelines for medical transcription style and format are geared towards documenting the record with accuracy and clarity so that other healthcare professionals can easily find and read the information they need to make healthcare decisions, while feeling confident that the record is accurate insofar as the transcriptionist is able to interpret the dictator’s spoken word and intent.
Nasal sinus surgery in medical terms can also be referred to as ethmoid sinus surgery or at times endoscopic sinus surgery can also be referred to as nasal sinus surgery because the endoscope or a thin optic tube is inserted through the nose.
Firstly, in order to understand this surgical procedure of nasal sinus surgery one needs to first know what is exactly an ethmoid sinus allergy/infection is and also where is this sinus located. Ethmoid sinus is located next to the eye and near the nose; and when this part is infected by bacteria; which is the primary cause in most cases this area swells. Swelling leads to narrowing down of the channel that lies between the nose and the mentioned sinus and a self-formed barricade disables the free flowing of water, mucus and other secretions. Similarly in cases of frontal sinus and maxillary sinus the infected areas swell and cause problems.
Nasal sinus surgery not only helps in getting relief from uneasiness and discomfort that complements sinus infection but also is painless. But nasal sinus surgery should only be performed after it is advised by an E.N.T specialist/ otolaryngologist and under the supervision of hands with expertise because of the sensitive location of this particular sinus in concern. The sensitive location increases the chances of damage to both eyes as well as brain. That is the reason why in nasal sinus surgery is either performed with the help of an endoscope in general cases i.e., by Endoscopic Sinus Surgery or Functional Endoscopic sinus surgery (FESS) or in severe chronic cases by Image guided surgery.
Image guided surgery is a comparatively new technique that rules out doubts that would have cropped up with the idea of inserting a tube in a sensitive area where there is a possibility of irreversible damage to the tissues and nerves that are connected to the brain or eyes. The Image guided surgery is carried out with the help of a three dimensional mapping system which is bringing together of CT scan and real-time information that gives the exact location of the infected area and the infrared rays are used as surgical tools.
Nasal sinus surgery not only subdues the discomforts caused by infected sinuses but also is the last resort in cases of chronic or severe chronic sinusitis.
There are numerous websites on the internet today that will serve you well as a medical dictionary. Although there may be a lot of them that doesn’t mean that they are going to fix any problems that you have. Generally speaking looking up medical diagnosis and medical dictionary online can get lead you down a path of self diagnosis and self resolution. That can be extremely dangerous.
If you think about it anyone could put up a site claiming to be of great medical knowledge. There is really no way that you can know whether or not the advice you are following is true. Don’t play with your health. It can lead to your death, and I don’t think anybody wants that. If you are putting off going to the doctor because of past experiences or long waits; you excuse no longer bares weight.
If you are holding back because you are still stuck in the public health system then I can understand that, but it is time to take charge of your health, and yes that means shelling out a couple bucks a month for the private care and coverage. Stop relying on self diagnosis and medical dictionary online to give your answers. That can be hazardous to your health. Suck it up and invest in your health a little bit. It won’t hurt; actually it should make you feel pretty good knowing that you are covered by awesome coverage and in turn care. No more long waits; so no more excuses.