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How can the UK honestly view their healthcare as better than that of the US?I understand the American attitude but we are a bit on the arrogant side of health care. We think we're the best at everything. Each system has their strengths but the USA is built on ability to pay.I have had the fortunate experience of living in both the USA and UK. I have spent the better part of 50 years with good Blue Cross insurance in the USA and now I'm under the NHS in Scotland. I've found that I have received good care under both systems. What's the difference? For one thing, when I visited the doctor in the USA I had to pay a co-pay of 25 dollars plus the fact that I also paid about 100 dollars out of my paycheck every month though my employer paid the bulk of it. When I had a problem last week in Scotland I received a phone consultation with the doctor who made an appointment for me. I got in at 3:40 that same day. The doctor thought it would be good for me to get an x-ray so he contacted the hospital radiology and made an appointment then and there. I went to the hospital and had my x-ray done. I was out and on my way home by 4:15. The cost? Nothing. If I had needed a prescription it would have cost me nothing.Now I know what you're thinking. Nothing is free. That's true. I pay taxes to cover my NHS care. However in the USA when I was caught up in a layoff I lost my employer provided health care. To keep that care I would have paid 800 dollars a month and that coverage was limited to a year. In current dollars health insurance paid for under the same Blue Cross policy would be fifteen hundred or more dollars a month.So what are my taxes to pay for this socialised medicine? My payroll taxes (of which NHS is only a portion) amount to much less than half what my health care alone would cost me in the USA.Conservatives in the USA complain and resist socialism. It is anathema to them. And the propaganda from the right paints all these horror stories that are extreme or overblown cases that you can find even more examples of in the USA. We Americans tend to love our Medicare and VA hospitals. That is socialized health care. The USA has plenty of social systems in place that we take for granted. Every government has some form of socialistic programs. Most western nations have established national health care because its citizens want it. And I know of no countries with national health care that have remotely considered it a mistake. Once established they have never gone back. It is only a matter of time before the USA adopts some form of it. It's possible it will start as state programs in California or other large states. It is a much more cost effective system. And everyone qualifies no matter what their income status.Who in the USA would not want it? Doctors for starters. Pay for them would not be in the millions. Pharmaceutical companies also since the national system would negotiate competitive prices. And some conservatives would rather have no coverage and die than have socialized medicine.The British like their NHS and I can't complain at all. It's their choice to keep it and it serves them and me well. If Obama had managed to sell the idea to America you would have bitched and moaned but in the end you would have used it and gotten used to it. Then you would have never given it up.Now that I'm retiring it is the NHS that will keep me in Scotland rather than returning to the USA. The troubles we're currently experiencing with the NHS are the result of the conservative government's penchant for cutting budgets when they really should be increasing taxes.In short, the USA has some of the best health care in the world but it comes at an extreme cost and neglects those without adequate funds. The UK has very good health care but a far superior system. There is more to health care than technology alone.
Why is homeopathy generally considered quackery?There’s lots of great answers here, but I feel that they are all collectively missing some things. Namely, the precise theory behind homeopathy. So that we can all more effectively mock homeopathy in the future, let’s all educate ourselves on its premises. We’ll start with a quick history lessonMedical backgroundThere have been many, many theories of disease throughout human history. However, there are three that are particularly prominent and relevant to our story here. They are:The theory of the four humors. This theory proposed that human health depended on four fundamental bodily fluids, or “humors”, that could also affect temperament. They were: black bile, yellow bile, phlegm, and blood. Any imbalance in these fluids would cause illness (which was supposedly why one gets a runny nose while sick). This is one of the oldest medical theories in human history and dates back to as early as 400 BC. The most notorious practice associated with this theory is “bloodletting”, which was basically bleeding a patient to reduce the amount of blood they had (literally). This idea wasn’t formally rejected until 1880.Miasma theory. This theory proposed that diseases (such as malaria and cholera) were caused by bad smells and bad air. The theory developed independently in many parts of the world, but was around in Europe since the Renaissance (when the Black Death was also blamed on miasma). The theory didn’t propose any cures specifically, but it was generally believed (correctly) that the air one breaths can enter bodily fluids through the lungs, so bloodletting was sometimes carried out with the intention of releasing “bad blood”.The germ theory. This theory is the one we are used to today, the idea that diseases are caused by microorganisms. This idea was first proposed in the mid 1500s, but rejected due to lack of evidence (they didn’t have microscopes strong enough to see cells, after all). The idea never really died out though, and thanks to the work of such people as Pasteur and Hooke in the 19th century, the germ theory was fully accepted in 1880 (at which point, doctors started rejecting the humor and miasma theories).Founding of homeopathySo what does this have to do with homeopathy?The year is 1781. Samuel Hahnemann, a German physician, took up a doctor position in a small copper-mining village. Three years later, he quit, believing that the current medical practice was wrong. Remember, the most common treatment at the time was still bloodletting, and he believed that it could cause sick patients to become even more sick. Hahnemann then became a writer and translator of texts.One day, while translating William Cullen’s A Treatise on the Materia Medica, he came across one of Cullen’s more interesting claims: that the bark of a Peruvian tree, cinchona, could cure malaria because of its astringency. Hahnemann was not entirely convinced though. It didn’t seem likely that any sour food could cure malaria. That’s just ridiculous, right? So Hahnemann decided to run experiments with cinchona on himself, believing that there must be some chemical in the bark that was responsible for curing malaria.At this point in our story we should note something REALLY important. Hahnemann was a revolutionary character in medical history. So far, he has basically rejected more than 2000 years of medical practice, decided to run an actual experiment (granted with a small sample size), and proposed that chemistry and not physical surgery was the key to curing some diseases.Homeopathic theoryAfter running some experiments with cinchona, Hahnemann noticed something interesting. Cinchona caused a lesser but similar set of symptoms as did malaria. What he didn’t know was that the chemical responsible for curing malaria, , also caused similar symptoms as side effects for biochemical reasons that are still not fully understood today. That’s it. Here’s where the hero of our story should start losing our respect. Based on that one example, Hahnemann proposed a new theory: like cures like. But that’s not all. Since cinchona causes minor malaria symptoms, he believed that small amounts of a poison or disease agent could be used to cure large amounts of it.So how should one treat disease, according to Hahnemann?Diagnose the symptomsGather ingredients that cause the same symptoms (it needn’t be a single ingredient; a mixture is fine too)Obtain an extract of the ingredients previously gathered and dilute it (usually with vigorous stirring and shaking).Modern contextThat’s it. That is everything Hahnemann proposed about homeopathy. He actually came up with some elaborate schemes for preparing these dilutions, but those were a minor part of his primary theory.So what about this stuff about “water memory” ? That seems to be a modern addition to Hahnemann’s theory. Originally, while the cure ingredients were supposed to be diluted, they were not intended to be diluted to the same extent as is done in practice today.So what’s with the weird modern nonsense? That seems to have arisen in the post-American Civil War era. Carpetbaggers and snake-oil salesmen hijacked the homeopathic theory. In order to save money, they claimed that it was GOOD that their tinctures were even more diluted than before. LESS IS MORE, they claimed, because the water could MEMORIZE the properties of the cures.ConclusionSo there you have it: a basic primer on the theory of homeopathy. Hopefully this gives you a good perspective on exactly what is wrong with it.
How can I fill out Google's intern host matching form to optimize my chances of receiving a match?I was selected for a summer internship 2016.I tried to be very open while filling the preference form: I choose many products as my favorite products and I said I'm open about the team I want to join.I even was very open in the location and start date to get host matching interviews (I negotiated the start date in the interview until both me and my host were happy.) You could ask your recruiter to review your form (there are very cool and could help you a lot since they have a bigger experience).Do a search on the potential team.Before the interviews, try to find smart question that you are going to ask for the potential host (do a search on the team to find nice and deep questions to impress your host). Prepare well your resume.You are very likely not going to get algorithm/data structure questions like in the first round. It's going to be just some friendly chat if you are lucky. If your potential team is working on something like machine learning, expect that they are going to ask you questions about machine learning, courses related to machine learning you have and relevant experience (projects, internship). Of course you have to study that before the interview. Take as long time as you need if you feel rusty. It takes some time to get ready for the host matching (it's less than the technical interview) but it's worth it of course.
How do I fill out the form of DU CIC? I couldn't find the link to fill out the form.Just register on the admission portal and during registration you will get an option for the entrance based course. Just register there. There is no separate form for DU CIC.
What are some unusual pediatric medical diagnoses and how are they treated?My 8 year old son’s doctor kept stammering his words as he tried to explain to us why our son was so sick. He had called us into his office (which I had always heard was NOT a good sign) to tell us it looked like our son had cancer all in his abdomen.I already had an idea of what the doctor was about to say. I had opened the large packet of (supposedly confidential) newly developed X-rays and held them up to the light in the elevator when my son and I were going back up to the doctor's office, and I didn't care, I did it right in front of all those elevator strangers.They saw it too…a huge white glowing mass covering the left half of my son's abdomen. I muttered to my son without realizing it, “It looks like we've got trouble, little guy.” No one else in the elevator said a word.The nurse kept my son company while the doctor spoke with his dad and me in his office. I began to softly cry, more so at the moment from the sheer frustration of trying so long and hard to get a diagnosis. I had known something was wrong with my son's health for years, as he always complained of severe pain right under his left ribs, yet I couldn't get anyone to take us seriously. I had taken him to several doctors for help, and he had even been hospitalized trying to find this pain.This new doctor, originally from India and just out of a US medical school, found the problem in just under an hour.The rest of the day was filled with an extended array of tests, with my son being such a good boy, even though he felt awful. At one point he looked at me so sweetly and asked why “tears kept falling from my eyes”.“I've got a bad headache, honey. Mommy is okay,” I lied. I was worried to death.I can't even begin to tell you the amount of people that began to show up to observe my son's subsequent tests as word spread in the hospital there was a possible Wilms Tumor diagnosis. This is a cancer, diagnosed in young children, of the kidney(s). All sorts of technologists and doctors in various fields were packed into each observation room as my son went through Ultrasounds, CT-Scans and MRI’s. I never complained about all the observers because in the confusion, they let me stay in there with the medical staff. I don't think they realized I was the mother watching each test being administered. I even asked a plethora of questions during each test, and they'd answer and explain.After a long, arduous, draining day, it was 5 p.m. and it was pretty clear from test results my son's left kidney was filled with tumors. There were so many that his left kidney had stretched from under his lung to deep into his pelvis.Emergency surgery was needed. His blood had become septic because uric acid was leaking from the kidney where the tumors were. My son was becoming sicker by the hour and a strange rash started covering his body the night before. I could hear my son's doctor, being new to the hospital, making urgent phone calls to various connections within the hospital to find out the exact protocol to set up surgery to save my son's life.Just then, the head radiologist was hurrying down the hall with his briefcase trying to make it home for a prior engagement, and he was actually trying to avoid the crowd of medical staff that had gathered around my son's case.Someone from the MRI team said, “You've got to see this!” and took his arm to come see. He reluctantly came into the room where the technologists were recording images and stared intently at the screens. He asked them to show him the previous 10 images, and the next 10, then the previous 10 again, back and forth, back and forth.He took me into the room where my son was lying in the MRI machine and started drawing me pictures of what was really wrong with my son, and it wasn't cancer. It was a diagnosis, that if it had been caught early, would not have put his life in such danger. I'm telling you about this diagnosis in case you have, or know of, a child who keeps having severe pain on either side in the front of his abdomen under the ribs (small children's kidneys present themselves towards the front of their small body until they grow more) or pain in the back near their kidneys when older children, teens, or young adults.It turns out my son was born with a birth defect, one we had no way of knowing. His left ureter, the tube leading from his kidney to his bladder, was tied in a knot! This is called an UPJO or Ureterpelvic Junction Obstruction and occurs in 1 per 1,000–2,000 newborns. The ureter can be tied in a knot, or it can be so narrowed or crimped that urine can not drain from the kidneys. In my son's case, this knot kept his urine from draining, which caused his kidney to eventually become filled with uric acid crystals, which then formed hundred of various sized stones.Here is an image which shows a normal urinary system on the left, and a similar drawing of my son's condition on the right, except there's no knot in this drawing, but a crimp at the top of the ureter.images upj in children:“Defects in the urinary tract may block the flow of urine and create pools of urine. In stagnant urine, stone-forming substances tend to settle together into stones. Up to one-third of children who have stones have an anatomic abnormality in their urinary tract.”Kidney Stones in Children | NIDDKHere are some images that are very close resemblances of my son's condition. These imaging views are views from the top. Notice the differences between kidney size. The healthy kidney is on the left.images upj in children:In the following image, it shows the various infiltrations in the kidney cavities with stones and concentrated uric acid crystals. You can see three stone filled dark cavernous regions in the kidney on the right as compared to the healthy kidney on the left.images upj in children:In this image, you can see presented a photo of a kidney damaged from the failing ureter:My sweet little boy had been suffering, since age 3, from kidney stone pains, pains which most adults can't bear to tolerate even a tiny speck of a stone, and I had been trying to get his doctor to take us seriously for years. When I finally changed doctors, after over many many visits to other doctors within my insurance’s “approved” doctors, the problem was found, but now he was going to lose his kidney. It was so damaged from scar tissue and infection, taking out the diseased kidney was the only way to save his life.I'm writing this to hopefully save someone from going to the horrible experience we did. My son almost died that day. The doctor who refused to believe his pain moved to a new practice in another city. I found him, though it wasn't easy, and told him what his continued doubt had done. I even reminded him how he accused my son and me of needing psychological help.He apologized over and over and said he had never heard of that diagnosis, though it's not that uncommon. Many times it's seen in ultrasounds of the baby in the expectant mother. It was the way he spoke to me that solidified my decision to not file for malpractice, though I had two doctors who said I had a solid case.However, I think I made a wrong decision not doing so. Having only one kidney affects life in more ways than you'd think. It's a pre-existing condition, which sometimes affects insurance (depending on who's in political office) and though one can survive with just one kidney, many medical considerations need to be adhered to.Here are some other symptoms, besides the pain, which children with this presentation exhibit. Many times there are no symptoms. It took a while for my son to show his symptoms and it wasn't until it had progressed quite a bit.Extreme pain on either side under the ribs in small children, or the back where kidneys are located in older children.Vomiting, a lot. This could be from the pain or the enlarged kidney pressing against the stomach.Low weight gain, also called “failure to thrive”. My son had just looked “sick” as a one and two year old, and my dad kept telling me he didn't look well. I took him to the doctor many many times but nothing was found.Urinary tract infection. A doctor did do that, but since just one kidney was working, the urine from that kidney looked fine. The urine from the diseased kidney wasn't being released.Finally the symptom that made me call work and say I wouldn't be back until I found out what was wrong with my son, and also what made me tell the new doctor at his primary care clinic that I wasn't leaving until they found out what was wrong with him, was a protruding side where his kidney was. Then he developed a rash all over his body.UPJ Obstruction - Symptoms, Diagnosis, Treatment of UPJ Obstruction - NY Times Health InformationI can't tell you how guilty I feel even all these years later that he suffered so much, but I took him to three different emergency rooms and a total of 35–40 doctor visits. He just got married last weekend to a beautiful woman, but when I think how close it came to never happening, my heart breaks for him all over again.I wrote this hopefully to help another parent or guardian in case their child is experiencing these same symptoms.Thank you for reading.
What happens to all of the signNow forms you fill out for immigration and customs?Years ago I worked at document management company. There is cool software that can automate aspects of hand-written forms. We had an airport as a customer - they scanned plenty and (as I said before) this was several years ago...On your airport customs forms, the "boxes" that you 'need' to write on - are basically invisible to the scanner - but are used because then us humans will tend to write neater and clearer which make sit easier to recognize with a computer. Any characters with less than X% accuracy based on a recognition engine are flagged and shown as an image zoomed into the particular character so a human operator can then say "that is an "A". This way, you can rapidly go through most forms and output it to say - an SQL database, complete with link to original image of the form you filled in.If you see "black boxes" at three corners of the document - it is likely set up for scanning (they help to identify and orient the page digitally). If there is a unique barcode on the document somewhere I would theorize there is an even higher likelihood of it being scanned - the document is of enough value to be printed individually which costs more, which means it is likely going to be used on the capture side. (I've noticed in the past in Bahamas and some other Caribbean islands they use these sorts of capture mechanisms, but they have far fewer people entering than the US does everyday)The real answer is: it depends. Depending on each country and its policies and procedures. Generally I would be surprised if they scanned and held onto the signNow. In the US, they proably file those for a set period of time then destroy them, perhaps mining them for some data about travellers. In the end, I suspect the "signNow-to-data capture" likelihood of customs forms ranges somewhere on a spectrum like this:Third world Customs Guy has signNow to show he did his job, signNow gets thrown out at end of shift. ------> We keep all the signNows! everything is scanned as you pass by customs and unique barcodes identify which flight/gate/area the form was handed out at, so we co-ordinate with cameras in the airport and have captured your image. We also know exactly how much vodka you brought into the country. :)
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People also ask refusal form
Why would a patient refuse treatment?Most of these patients cannot refuse medical treatment, even if it is a non-life-threatening illness or injury. Altered mental status: Patients may not have the right to refuse treatment if they have an altered mental status due to alcohol and drugs, brain injury, or psychiatric illness.
Why do patients refuse medical treatment?Most of these patients cannot refuse medical treatment, even if it is a non-life-threatening illness or injury. Altered mental status: Patients may not have the right to refuse treatment if they have an altered mental status due to alcohol and drugs, brain injury, or psychiatric illness.
Do patients have right to refuse treatment?The Right to Refuse Treatment But a person admitted involuntarily, due to danger to self or others, cannot leave, at least not right away. However, despite having the authority to keep the patient in the hospital, the professional staff cannot treat the person against his or her will, except by court order.
How would you deal with a patient who refuses treatment?You must respect a competent patient's decision to refuse an investigation or treatment, even if you think their decision is wrong or irrational. You may advise the patient of your clinical opinion, but you must not put pressure on them to accept your advice.
Should patients have the right to refuse treatment?Although the right to refuse medical treatment is universally recognized as a fundamental principle of liberty, this right is not always honored. ... To help enhance the patient's right to refuse treatment, many states have enacted so-called "living will" or "natural death" statutes.