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By KG Stiles In my last article about Healing with Crystals I shared more of the legend associated with Lemurian Seed Crystals, as well as some of the intriguing empirical data I’ve gathered when using these rare healing crystals in my healing arts practice. From my ongoing research with Lemurian Seed Crystals I have learned that they have an especial affinity for the limbic or emotional part of our brain. The limbic part of our nervous system controls our instinctual response to stimuli. It is the part of our brain that motivates us to take action. Research has shown that we make decisions from our emotions and then justify them with our reasoning. It is through our brain and physical nervous system that the subtle interplay of neuro-chemicals and cerebral spinal fluids takes place creating a vibrational resonance or energetic frequency that prompts us to experience certain corresponding emotions. Contrary to popular belief it is the faster or higher frequency energies which stress us out and trigger such emotions as anger, fear or worry. In contrast the lower frequency energies correspond with our having feelings of well-being and calm. For example in my aromatherapy practice it is the essential oils with the lower, base carrier notes that have a calming effect on our nervous system. Vetiver, Sandalwood, Spikenard and Myrrh are known to have this calming effect on our nerves. Notably they are all wood oils with a more stabile aromatic profile, meaning their scent is more long lasting, making them excellent anchors for essential oil blends. Dr. Candace Pert and Dr. Bruce Lipton have both conducted research into the science behind our emotions and our beliefs. These publications listed will help you learn more about the important ground breaking work they’ve conducted: Dr. Candace Pert, “Molecules of Emotion” and “Your Body is Your Subconscious Mind” (audio) and Dr. Bruce Lipton, “The Biology of Belief.” Crystals are known to have “the” most highly organized molecular structure in nature. It is my experience when working with the Lemurian Seed Crystals that they transmit something like a holographic blueprint of their exquisitely organized internal structure which acts to tune and refine other energetic structures they come in contact with, resulting in a realignment on all planes: physical, etheric, astral, mental and causal. This realignment or restructuring helps our consciousness to evolve so that we are more unified and at peace within ourselves. We become more receptive to the intensified evolutionary forces that are presently at work on our planet earth and can more easily allow ourselves to be okay with whatever is happening. As well when we are at peace within we are more open to receive the guidance available to each of us for making wise decisions. In my next article about Aromatherapy Healing with Pure Essential Oils and Crystals you will learn about the research of Marcel Vogel the inventor of the liquid crystal display (LCD), as well as final thoughts about the Lemurian Seed Crystals and empirical findings when using them in practice. KG Stiles is a certified aromatherapist practicing in Ashland, OR USA. PurePlant Essentials is her line of pure organic essential oils charged with the light of crystals. Click to learn more & order AROMATHERAPY BASIC ESSENTIAL OIL KIT - CHARGED WITH CRYSTAL ENERGY Click to learn about & order AROMATHERAPY DELUXE ESSENTIAL OIL GIFT SET - CHARGED WITH CRYSTAL ENERGY Click to learn about & order AROMATHERAPY BASIC ESSNTIAL OIL KIT - CHARGED WITH CRYSTAL ENERGY Contact: KG Stiles Springhill Wellness Center, 2520 Springhill Drive Ashland, OR USA (541) 941-7315 Mahalo! Article Source: http://EzineArticles.com/?expert=KG_Stiles http://EzineArticles.com/?Aromatherapy-Healing-With-Pure-Essential-Oils-and-Crystals—Balance-Energy&id=207747 phentermine pills without prescription phentermine online physicians and pharmacy phentermine to order buy phentermine com

By CD Mohatta The couple was walking on the sidewalk. They looked to be totally absorbed with each other. They were not speaking to each other, but a glance at them could tell that they were in deep love and were made for each other. What is this mystical quality of being made for each other? What qualities does this kind of relationship have? Are all the choices same? Or as we say in science, opposites attract. So the choices are totally different? Will a couple having different choices in every aspect love each other or fight over the choices? We can say that at least most of the choices should be very common. If I say that my partner and I are made for each other, what I must mean is this - he/she is the right person for me. There is no other person in the world other than him/her who can make a better couple with me. We are happiest being together and our happiness comes from our relationship. Are choices the only factor that matter in our life? Is it enough if my eating habits, my dressing choices, my color preferences, my weather preferences and all my other likings are same as my partner, we are made for each other? Is that all to the relationship supposed to be made for each other? There must be something more? What can be that? Let us find out. Love for each other, a deep longing for others body, heart and words and a feeling of deep satisfaction that is derived when the couple is together. The couple has only one desire- to share everything, every thought, and every emotion. The main goal in life - make and keep the partner happy and feel happy in his/her happiness. Whenever we look at a mother with her child, we never say that they are made for each other, but they share a bond that is very deep. If a couple can somehow share that kind of bond, it can be called - made for each other. CD Mohatta writes for messages in screensavers, desktop wallpapers, and online greetings. He writes on living, inspiration, romance, business management, etc. You can download screen-savers or send greetings at these websites which contain his writings: Beautiful wallpapers, Inspirational greetings and Love sorry ecards. Article Source: http://EzineArticles.com/?expert=CD_Mohatta http://EzineArticles.com/?Are-You-Made-For-Each-Other?&id=156841 online pharmacy that sells phentermine mail order phentermine phentermine online no prior prescription cheap non prescription phentermine

By Daniel Urmann One of the key things parents or others tend to think about when considering buying kids bedding or baby bedding is the way it looks and whether or not the size is correct for their bed. These are, of course, very important considerations, because if the bedding wont fit the bed you bought it for, it obviously wont be of much use. On the same note, if the child hates the cartoon character or colors of their blanket or sheets, they are much less likely to be willing to sleep with them. What many parents dont consider when purchasing kids bedding or baby bedding for a child are allergies that the child may have. One thing most people may not even think about is the allergy to latex. While most of the time, there is no latex added into the fibers that are in almost all sheets, blankets, or pillows, it is important to know that many times elastic or elastic threads are often used, and can cause problems for those with a latex allergy. While it isnt very common that a pillow or blanket would have any elastic for any reason, do not forget that fitted sheets do use them around the corners to hold them tight to the mattress. Most of the time, there still wouldnt be any need for concern about this, because the elastic will be under the mattress, but this is one reason it is very important to buy sheets for the correct size mattress. It may be tempting to use a bigger sheet when necessary, or even try to stretch a smaller sheet to fit, but both of these could easily come undone after any tossing and turning, and could cause the elastic to end up on the bed, and up against the child. Lycra is also made up partially of latex, so it is not a material that should be used by a person with a latex allergy. Usually there is no lycra in bedding products, but it is always best to find this out before purchasing. If you know that it is 100 percent cotton, though, it should be of no concern. Most manufacturers of lycra are moving away from latex because of new technology, but until they quit using it completely, it is good to be safe. Another allergy concern in kids bedding for children is how the bedding affects allergies to dust mites and asthma. Dust mites are the microscopic creatures that often live in pillows and mattresses, and their covers. In fact, bedding is known as a sort of haven for them, and it is the place they are most commonly found because they feed off of hair particles and shedding skin. Some baby bedding is designed to reduce the exposure to dust mites and other allergens. Many times these are recommended by allergists to prevent the person from inhaling dust that carries dust mite droppings, because doing so can cause allergies and worsen asthma. There are dust-mite-proof covers that are recommended for sufferers of these types of allergies. While many studies have shown that people who used these covers actually suffered the same from these conditions as those who did not, it is likely that those were situations where the person was using that as the only method of prevention. When used in conjunction with other ways, it is very possible that they will help, and will definitely do no harm. While studies have shown that using allergy-proof bedding alone doesnt decrease a persons allergies, the bedding itself actually has been proven to reduce a persons exposure to dust mites, which leads to the conclusion that they should be used, but they should be used in conjunction with other preventative measures. Article by Avid Amiri - President of The Kids and Baby Bedding Company. Article Source: http://EzineArticles.com/?expert=Daniel_Urmann http://EzineArticles.com/?Consider-Allergies-When-Purchasing-Kids-Bedding&id=8687 phentermine 37.5 mg overnight shippimg no prescription phentermine online consultation where can i purchase phentermine phentermine diet pills com

By Julia Jones Before individuals come into a relationship each one has a past history. They have past memories that are in the form of letters, letters of their first love, cards, and year books and so on. Many couples when they come together into a new relationship like to keep their reminiscences of the past in some or the other form. These collections have a special meaning to each one and have sentiments attached to it. Usually the opposite sex partner does not realize the importance of these collection and do not consider it valuable at all. On the other hand the owner of these belongings has a special meaning for these and is very sentimental about it. Therefore it is important for their mates to respect the partners sentiments. Special care should be taken not to hurt the partner with satire. HE or she should never be made fun off and consider the behavior childish. There are couples who even make a grave mistake of suspecting their partner. They dig out the box that has been kept as a secret by the mate and search for what is present no more. They try to look for an opportunity to read those letters out of fear of being cheated or just curiosity. Which is wrong? Just like consumers privacy, employee privacy, personal privacy too is necessary. However it is normal to suspect a person if something is kept as a secret but one thing should be borne in mind that true relationship depends on trust and faith. Moreover each one of us has the right to privacy. An individual person can have things completely to oneself without others interfering or having a look at it, even the life partners. All of us require some space and should be given that required liberty. One should respect his or her partners privacy. Give space to your partner and give time so that your partner will on his or her own will show those collections to you. At times what happens is that people hesitate to show their stuff to their partners due to embarrassment or fear of not being understood correctly. And as a result do not make an effort to show these collections of the past. As the soul mate you should never suspect your partner and try to be neutral towards that secret box owned by your partner. You should not show any curiosity towards it or make your partner uncomfortable about those items that he or she cherishes. If you behave in a dignified manner and show complete trust then your spouse without any hesitation will show you whatever he or she owns privately. In fact your partner will be more than happy to share the past that would help your mate to come out of the emotions. Remember that a relationship depends on mutual understanding and trust. If in a relationship partners care for each other even their past that relationship never faces any problems and are strongly nit together. Find more information visit: Respect Privacy We at Keepcondom.com are providing you the choices you can make, to select your condom brands according to your needs. Keepcondom.com Article Source: http://EzineArticles.com/?expert=Julia_Jones http://EzineArticles.com/?Respect-Privacy&id=496894 phentermine for cheap buy phentermine without a doctor phentermine online cod phentermine 37.5 no prior prescription

By L. Mark Russell As a general rule, parents should keep their original documents (wills, special needs trust, etc.) in a safe deposit box, in a fireproof safe, or with their attorney. Parents should also use a binder that contains all the information that future caregivers will need to carry on after the parents are gone. The binder should be kept in a place that is readily accessible, so parents can update it periodically, and so the people who will act as the child’s advocate after the parents are gone will be able to find it. Many parents purchase small fireproof safes for this purpose. The binder should generally contain separate folders in which parents place the following: 1. An overview of the estate plan in plain English — that is, without any legalese, that the attorney should write. 2. Important legal papers for any children with disabilities (for example, birth certificates, Social Security cards, and health-insurance cards). 3. A description of the goals and purposes of the special needs trust, which the attorney should write. 4. A copy of the Letter of Intent, which parents should update at least once per year. The Letter of Intent is a nonbinding document that passes vital information about a person with a disability to future caregivers. 5. Unsigned copies of any wills. 6. A letter spelling out any wishes regarding final arrangements (burial, cremation, or religious services or other ceremonies that may be desired). 7. Living wills and/or Power of Attorney for health care that may have been prepared. 8. Extra signed copies of any trusts- special needs trusts, living trusts, or insurance trusts- that may have been prepared. Remember, signed copies will be needed to complete property transfers, and extra signed copies will prove to be useful. 9. A list of major assets and information about where they are kept (for example, a list of insurance policies, stocks, mutual funds, bank accounts, with policy and account numbers and storage locations, and the names of any brokers, insurance agents, and investment advisors). 10. Guardianship papers, if any, and a list of advocacy organizations that may be helpful. 11. The names of government agencies or case workers that the parents may have dealt with and the parents’ thoughts about them. 12. A list of government benefits that the person with a disability may receive, as well as copies of any filled-out application forms. (These application forms will help the parents the next time they apply for benefits and will be especially helpful to future caregivers who may not understand the complexity of these applications.) 13. Other miscellaneous papers, such as tax returns filed by the person with a disability, information about housing options, schooling, photographs of the family, parent’s Social Security numbers, parent’s birth and marriage certificates, certificates and awards for the person with a disability. 14. Information about where the original documents are kept. The estate planning process, especially when parents are planning for the future security of a child with a disability, can often be heart wrenching. But when parents are through, they can feel confident that they have done all that they can to assure their child’s happiness after they are gone. Copyright (c) 2007 L. Mark Rusell Arm yourself with time tested strategies that will protect your child and assure their happy and fulfilled life, even when you are no longer able to care for them yourself. There’s still time to plan for your child’s future IF you begin now by going to http://www.specialneedslegal.com Article Source: http://EzineArticles.com/?expert=L._Mark_Russell http://EzineArticles.com/?14-Tips-on-How-Parents-Who-Have-a-Child-with-a-Disability-Can-Organize-Their-Estate&id=431984 phentermine online perscriptions phentermine 37.5 without a prescription sisters pharmacy phentermine phentermine no prior prescription required

By Mary Hanna For container gardening ideas, scan the internet, the library or a bookstore. The challenge is to come up with a lovely container garden plan. There are a widespread collection of containers available for your container garden. These range in size from small-scale house-plant pots to sizeable boxes and planters. Equally varied are the materials from which they are made. These include wood, glass, clay, aluminum, bamboo, straw, plastic, fiberglass, terra cotta, tin, cast iron, zinc, copper, and brass, each with select advantages and disadvantages. What you chooe4 will depend on availability, price, background, and attraction not to mention the characteristics of the gardening pots. Here are some container gardening ideas. In addition to run-of-the-mill circular pots and tubs, there are modern and ultra-modern formssquare, rectangular, triangular, hexagonal, and octagonal. Also eligible are old iron kitchen pots, kettles, pails, jugs, casks, vases, crocks, jam tubs, barrels and nail kegs, Japanese fish tubs, aged sinks, bathtubs, bamboo soy tubs. There are novelty containers such as driftwood, wheelbarrows, donkey carts, spinning wheels and boxes attached to roadside mail container. There are also bird cages, decorative well heads, animal figures, and Strawberry jars. Woven baskets may be used to conceal unattractive containers. Even tar paper pots, handled by garden centers and florists, are worthy if painted or veiled to upgrade their exterior. Any of these can be used in your container gardening ideas. Where to find your container supplies? Begin with what you possess. If you explore cellars or basements, attics, garages, and sheds, you will doubtless encounter objects of interest. Old-fashioned pots and kettles, usually sold in antique shops at rural auctions or observed at old New England inns, have much attraction. Different container garden ideas to ponder are old cookie and bean jars, pickle and other types of crocks, wash tubs, coal pails, jardinires, and ceramic bowls. For drainage, scatter a thick layer of substantial pebbles or shattered pieces of pots or bricks at the bottom and then moisten plants with care. In substantial containers, drainage material should be many inches thick. Where rainfall is hefty, be certain to keep garden containers without drainage outlets on porches, below awnings or the under sizable eaves of houses. With pails and old galvanized wash tubs, holes can be easily punctured at the bottom. Plants in containers without drainage openings stay wet longer. Some of thesecrocks, jardinires and cookie jarsare massive enough to be secure against the elements in exterior container gardening. What constitutes the perfect container for your container garden ideas? A container needs to be attractive, even if it is not an object of art. It should be sturdy and lasting and able to resist all kinds of weather. This is especially true of the substantial sizes which ofttimes continue outdoors all year around. In the North, alternate icy and thawing is a predicament in winter (and could generate cracking); in blazing climates, intensive heat, humidity, and moisture are to be considered (and could cause fading). And in semiarid areas, there is the impact of searing sun to keep in attention, another source of fading. All these things need be kept in mind when coming up with your container gardening design. The perfect container must be vast enough to hold a sizeable quantity of soil. It should have super drainage facilities through holes or various openings at the bottom or sides. It must not rust, at least in a single season, and it should have a wide enough base to perch firmly wherever placed. Further, it needs to be heavy enough to withstand average winds. In severe storms, like hurricanes and tornadoes, movable containers can be shifted to interim safety. All of these things should be factored in when you are coming up with your container gardening ideas. Resistance to rot is another requisite. Wooden containersexcept those made of rot-resistant redwood, Western cedar, and Southern red cypresswill require to be treated with a wood preservative. Except for lifelong containers, the capability to move your container garden is another quality, and sometimes a safety precaution, of portable container gardening. Sizable boxes and planters can be equipped with wheels, and garden centers have redwood tubs that perch on platforms with wheels. An opening in the platform corresponds to the hole in the tub. Sizeable containers without wheels can be pushed on iron or wooden rollers by two or more people; however, if you live in an area inclined to severe storms it is best to keep your containers small-scaled. Smaller containers are ideal for cultivation herb container gardens. If you plan to plant an herb container garden be imaginative. Here are some container garden ideas for herbs that go great together. * For an Italian selection try Sweet basil, Italian parsley, Oregano, Marjoram and Thyme. * For a pleasing scented container use Lavender, Rose scented geranium, Lemon balm, Lemon thyme, and Pineapple sage. * For utterly extravagant salads try Garlic chives, Rocket, Salad burnet, Parsley, Celery. * And to say We love French Cooking! use Tarragon, Chervil, Parsley, Chives and Sage. Any of these will liven up your meal and please your family. So these are just a few container gardening ideas. Get out a pad of paper and make up a container garden plot that will add to the view and conceivably even the palate. Happy Container Gardening! Copyright 2006 Mary Hanna All Rights Reserved. This article may be distributed freely on your website and in your ezines, as long as this entire article, copyright notice, links and the resource box are unchanged. Mary Hanna is an aspiring herbalist who lives in Central Florida. This allows her to grow gardens inside and outside year round. She has published other articles on Cruising, Gardening and Cooking. Visit her websites at http://www.GardeningHerb.com and http://www.ContainerGardeningSecrets.com To read more of her articles go to http://www.ArticleBazaar.net Article Source: http://EzineArticles.com/?expert=Mary_Hanna http://EzineArticles.com/?Container-Gardening-Ideas-For-Pots-And-Planting-Herbs&id=466781 buy tramadol online cod prescription tramadol ultram tramadol order drug prescription tramadol

By John B. Plantar Warts are growths which occur on the bottom of your feet and are very common. They are caused by the Human Papillomavirus which allows some skin cells to grow faster than others, thus causing a growth, called a wart. Plantar warts normally occur in children aged 12- 16, but anyone can get plantar warts. The HPV virus is normally contracted through a cut or scratch in the skin. It is therefore not advisable to pick or scratch a wart because the virus can reside under the fingernails and can spread to other parts of the body when scratched. Plantar warts should be treated straight away. Plantar warts are extremely common, due to the rapid infection of HPV. It is estimated that up to 40 million Americans are infected with HPV, and most are unaware that they have the virus, and therefore don’t seek treatment. This is because the virus can be present in the body, without the individual actually developing any warts. This means that there are many carriers of the virus, and therefore up to 5 million new infections are reported in America each year. Plantar warts Symptoms Plantar warts normally start off with layers of skin at the bottom of your foot, building up in circles. They can be recognised by tiny black or brown dots, just under the surface of the skin. These warts can be found by themselves or in groups or clusters which can cover the whole sole of the foot. They can become quite painful, due to the pressure created from walking or running. A fast, effective wart remedy is therefore important. What about Treatment? It is NOT advisable to use any of the following treatments for plantar wart removal: freezing warts off,burning warts off with acids, surgically removing warts. Also beware of over the counter creams for warts and medicines which contain acids. When choosing a cream, remedy, ointment or medication for plantar warts, make sure to use a trusted, natural formula will will draw the wart out from the root upwards, ensuring that there is no scarring and that the wart never grows back! information on ALL warts, and a trusted plantar wart treatment. (healing Natural Oils have been in business for many years, and in my opinion, provide the most effective treatments available) John Black Article Source: http://EzineArticles.com/?expert=John_B. http://EzineArticles.com/?Plantar-Warts-Treatment—Is-There-A-Natural-Medication-Which-Gets-Rid-Of-Plantar-Warts?&id=60196 zyrtec buy tramadol online zyrtec online buy zyrtec ultram online prescription buy cheap tramadol here order clickdrugstore vip customs meds orawan tramadol received answered

By Jane Lake With a little care, you can keep leather clothing looking its best for years, according to an expert on leater from The Olde Hide House in Acton, Ontario. - Leather naturally repels water but, for additonal protection, look for an environmentally friendly repellent product to help prevent absorption of water and body oils. It’s best to avoid silicone-based repellents which retard leather’s ability to “breathe.” - Let wet leather garments dry in well-ventilated areas, away from heat. The leather may stiffen slightly but should soften again after wearing. - Hang leather coats and jackets on thick or padded hangers to keep the shoulders in shape. Don’t load pockets with heavy or bulky items, which could tear seams. - Plastic bags tend to dry out or discolor leather. Use a cotton garment bag for off-season storage, or hang coats as usual, draping a tea-towel over the shoulders to deter dust. - Avoid pressure-sensitive labels (the stick-on type)as the gummy residue left behind by these labels can stain or ruin the finish on leather. - Professional cleaning is best for stain removal. Some commercial stain removers can be absorbed and leave a mar. Home remedies include gently rubbing at minor stains with a pencil eraser or rubbing alcohol (these methods work only on finished leather;; test on the inside facing first, to be sure the leather will not be marred). Copyright 2005 Jane Lake All Rights Reserved About The Author Jane Lake is a professional feature writer whose articles have appeared in Canadian Living, Exchange Business Magazine, Highlights, Modern Woman, and You. She is the editor and publisher of the popular free craft site, http://www.allfreecrafts.com, and http://www.allfreeprintables.com which offers printable recipe cards, shopping lists and more. Article Source: http://EzineArticles.com/?expert=Jane_Lake http://EzineArticles.com/?Looking-After-Leather&id=232552 buy cheap xenical vioxx valtrex ultram zyban order online online tramadol no prescription tramadol order canada online order pharmacy ultram

By Joseph Kenny The internet has become an important part of our lives. There are many of us who rely on the internet to communicate with our friends and family. Online shopping is also making buying new and used merchandise easier. If you enjoy using the internet to communicate with those that you know or to shop, you may also enjoy banking online. Online banking is rapidly increasing in popularity. If you do not already participate in some form of online banking, it is likely that you will in the future. When it comes to online banking, there is often some confusion. Many individuals, maybe even yourself included, feel that online banking involves a bank that does not have a physical branch location. There is such a thing as an online bank, also sometimes referred to as a virtual bank, but that is not all that online banking is about. You can also participate in online banking with your local bank. In fact, this is the most popular type of online banking. If you are interested in participating in online banking, you will first have to determine whether or not your bank offers the service. A large number of banks do, but not all of them. You will find that many national or statewide banks offer online banking. Smaller banks, often only consisting of five or so branches, do not always offer the service. Even if you have never heard of online banking being offered at your local financial institution, you are still encouraged to ask about it. You never know, but if enough customers are interested in it, your local bank may decide to start an online banking program. Online banking means different things to different financial institutions. You may find that different banks offer different online services. Despite the difference in services, you will find a number of common services. These services are likely to include the online paying of bills, the online ordering of a debit card or checks, or the altering of your bank account information. Perhaps, the feature that most enjoy is the ability to pay bills online. Most banks offer online banking free of charge, but you may find a financial institution that charges you to use this online service. If you have yet to choose a bank to do business with, you may want to keep this potential fee in mind. If your bank will charge you a fee, you may want to consider whether or not online banking is right for you. As with all other services, online banking does have its advantages and disadvantages. As previously mentioned, the greatest advantage of online banking is being able to do a number of things right from your home. If you are looking for an easier way to pay your bills, you will enjoy online banking. Instead of having to pay for postage or write a check, you can simply use the click of a mouse to pay your bills. There are also banks that offer online calendars. Combined with quickly being able to pay your bills, you may find that an online calendar will help to eliminate any late payments. The biggest disadvantage of online banking is having your information online. There are many individuals, maybe even yourself included, who are concerned with the security of the internet. As long as your banks website is hosted on a secure website, which most are, you should experience no trouble at all. Aside from getting over the issue of trust, there are very few, if any, disadvantages to banking online. Before making a decision as to whether or not you want to participate in online banking, you are encouraged to speak with a bank representative. You may be surprised just how convenient and easy it to use the internet to do your banking. Joseph Kenny writes for the loan comparison site SelectLoans.co.uk, with information on personal loans. Homeowners can apply for a secured loan if you have poor credit or been refused elsewhere. Visit today: http://www.selectloans.co.uk/ Article Source: http://EzineArticles.com/?expert=Joseph_Kenny http://EzineArticles.com/?What-is-Online-Banking-and-How-You-Can-Benefit-From-It&id=260552 ultram online order tramadol no prescription no consultation purchase tramadol tramadol purchase

By Richard A. Hall Todays hospital administrator faces a number of challenges including rising costs, labor shortages, increased regulatory requirements and the potential for costly, credibility damaging lawsuits. We live in a litigious time. Disputes are played out in the court system and in the realm of health care, lawsuits can take millions of dollars and years before they are concluded. It is in the best interest of hospitals to do all that is possible to mitigate the risk of litigation. Every hospital will face litigation but there are ways to reduce the opportunity and /or reduce the damages if sued. While in no way a comprehensive list, the following guidelines can help. Risk management must be facility wide. All Hospitals have Risk Management Departments but risk management cannot be confined to a department to be truly effective. It is not enough to satisfy the requirements of the various governing bodies during times of accreditation. An effective risk management program is embedded into the culture of the hospital. Every employee at every level is in effect a risk manager. Risk management is sometimes viewed as a necessary evil. Hospitals must move beyond doing what is required to adopting a risk adverse culture. This requires active involvement of staff at all levels, continuous monitoring and communication. Internal Service. Employees that do not feel valued by the organization will not invest in its policies. Studies have shown that employee satisfaction leads to greater productivity and loyalty. Hospitals must make everyone feel like part of the team, physicians, nurses, clerical, every person that works in the hospital must feel like an integral part of the healthcare team. In no other environment is teamwork a life and death matter. More importantly, happy employees treat patients well. Patients that have a positive hospital experience even in the event of a problem are more willing to resolve the dispute without litigation. It is human nature to not wage a hostile battle with someone who has treated you well. Treat your staff well and make them feel valued and patients will receive better care and you will lower your risk of litigation. Doctor-Patient Relationship. There is a great deal of evidence to support the importance of the impact of the doctor-patient relationship on litigation. This relationship is a significant determinant of the physician’s claims experience (Hickson et al., 1997; Levinson et al., 1997; Pontes and Pontes, 1997; Beckman et al., 1994) Hickson et al. found that “high-malpractice” physicians were also likely to be “high-complaint” physicians; meaning in a survey of physicians in one teaching hospital they had the most patient complaints on file. Complaints fell into categories of communication, care and treatment, humaneness, access, environment, and billing. Physicians who have a bad rapport with their patients had a higher incidence of every other type of complaint listed. In other words, patients were more likely to report adverse outcomes or diagnosis problems when the physician was considered rude or communicated poorly. Quality management. Quality programs must be more than the program du jour. Just as risk management must be embedded in the hospital culture, there must be a bottom up commitment to quality procedures. Quality when viewed through the lens of must do policies and procedures becomes devalued as one more management program. However, an organization that involves everyone in the quest for quality and the pride that accompanies providing an excellent product or service will be far more effective. Infection Control. In the United States more than 1.7 million people will get a drug resistant infection from a hospital. More people die from hospital infections than AIDS and breast cancer combined. Hospital acquired infections is a well documented problem and disturbingly most can be prevented through the implementation of rigorous sanitary and bacterial testing procedures. Infection control needs to be vigorously monitored and should be a vital piece of the overall risk management strategy. Any risk mitigation strategy will require an organized, rigorous surveillance and management to be effective. Physicians, and hospital staff all play a part in risk management activities but hospital management must make decisions and provide sufficient resources for risk management activities. Staff and physicians should have an active voice in policy and risk events need to be clearly communicated to all. As risk is identified there also needs to be a clear mechanism for correcting or eliminating the risk. The absence of problem-resolution mechanisms in hospitals is a major cause of poor quality and unnecessary risk. Managing risk will not only reduce the potential for litigation but will provide hospitals with a clear competitive advantage. A hospital that adopts a risk adverse culture will provide better patient care and that translates to success in the highly competitive marketplace of healthcare. References: Hickson, GB, JW Pichert, Federspiel, Clayton (1997), Development of an Early Identification and Response Model of Malpractice Prevention, Law and Contemporary Problems, 60/1-2, pp. 7-29 Article Source: http://EzineArticles.com/?expert=Richard_A._Hall http://EzineArticles.com/?The-Bedside-Lawyer&id=270777 prescription tramadol without order tramadol online tramadol prescription drug no prescription next day tramadol