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Have you ever laughed when a doctor told you a diagnosis?Not at the diagnosis itself but getting here has been kind of amusing.A few years back, a doctor looking at a chest x-ray noticed that I had a healed crushed vertebra. I knew that I had hurt my back a year earlier but didn’t realize it was a crushed vertebra. When I told her that I got it lifting a shop-vac into my pickup truck, she was suspicious. As a (then) early 50’s male, I shouldn’t have bones getting crushed for something that innocuous. She ran some tests that showed that I had abnormally low bone density but everything else was fine. She suggested that I see a specialist.After a (long story) while I get to see an hematologist/oncologist. They start doing some measurements of protein in my blood. The value keeps rising. Bone marrow and biopsy tests from my hip shows unusual cells. The doctor says I have Waldenstrom’s macroglobulinemia. But … they keep testing and the protein value roughly stabilizes. It’s too high but not high enough for a definitive Waldenstrom’s diagnosis. I have Monoclonal Globulinemia of Unspecified Significance, MGUS. Treatment is to watch and wait to see if it develops into something more serious.This summer, I crush another vertebra lifting up a computer. MRI scan shows a tumor in the crushed vertebra and the vertebra next to it as well as some other damage. Diagnosis? Multiple myeloma.I get signed up for a clinical study for multiple myeloma. Doctors need to get another bone marrow and biopsy from my hip to baseline my condition before starting treatment. Diagnosis? Not multiple myeloma. It’s Waldenstrom’s.The hematologist wants to have a back specialist take a look. When I see the very experienced back specialist he says that he’s never seen Waldenstrom’s lead to crushed vertebra. Diagnosis? It’s probably multiple myeloma.But, importantly, he says we can’t keep guessing. We need to get a bone marrow and biopsy test from the vertebra to be certain. Result? It’s Waldenstrom’s. Everybody is now in agreement.I know way more about my immune system than I ever expected to know.
How do I carry out a Health & Safety Risk Assessment?First you need to identify the hazards in the workplace. A 'hazard' is anything with the potential to cause harm. Then you need to identify who may be harmed by the hazards. Now everything could be a hazard as anything could cause harm but be realistic and note down the signNow ones. Identify controls to reduce the 'risk' from the hazard. Risk is the likelihood of the hazard causing harm. Put your controls in place and then communicate this to persons within the work place. Monitor the controls to ensure that they are working and look to review the risk assessment within a detailed timescale to se if the hazards have changed or the controls are working. Identify the hazardIdentify the personsApply controlsCommunicateMonitor and review.
Is it true that there are some people working as programmers and don't really know how to code?Working with a very small team we hired a gentleman with a fairly impressive resume. He’d earned the title of “Senior Developer” at one of his jobs with relatively few years experience, and kept it forward through several jobs since then.We hired him with the same title, and while I wasn’t a part of his interviews I know we normally included a few code-proficiency screeners.Well, he worked under our front end lead for a few weeks with very little progress. Finally my colleague couldn’t handle working with him anymore and forced our manager to make a change.The change was apparently to transfer him to my purview.So I spent a week working directly with him one-on-one.It was apparent he wasn’t familiar with the language we were using on the back-end, which was Java, but I’m a firm believer that you need good developers not good Java developers. We can teach syntax.I figured I’d be clever. I asked him his best language - it was PHP. I have a few years of PHP under my belt, so no problem! Solve it in PHP, I’ll translate.The problem was simple. I wanted a function that took a list of objects and returned a new list containing one of the attributes (the ID) from each.After nearly an hour, the only meaningful thing he’d managed to say was “There are many ways to iterate a list in PHP”, but none were forthcoming.Not only was he working as a programmer, he was a “Senior Developer” who was probably only a couple jobs away from transitioning into management.What may blow your mind is he wasn’t even our worst hire. Because he wrote so little code, we caught it early and very little damage was done beyond a little lost time.
My health insurance company gives credits toward premiums when I give them health information. What's their motive and what do I need to know about this?I think we should all be concerned because the slope we're on is pretty slippery. Wellness programs have dubious value (something I wrote about here: RAND Corporation (Briefly) Publishes Sobering Report On Workplace Wellness Programs) but often "require" something called a "Health Risk Assessment." Most of the questions are fairly innocuous - and the programs themselves are designed (in theory) to lower the cost of healthcare insurance for both the employer and their employees. That slippery slope? The HRA's (exactly like the one you're describing) can be administered anytime (new hire, open enrollment) and there's no real limit to the type of personal questions - or screening tests that are often required. The University of Pennsylvania found itself in hot water over this exact issue earlier this year - as reported in the NYT: On Campus, a Faculty Uprising Over Personal Data The plan requires nonunion employees, like professors and clerical staff members, to visit their doctors for a checkup, undergo several biometric tests and submit to an extensive online health risk questionnaire that asks, among other questions, whether they have recently had problems with a co-worker, a supervisor or a divorce. If they don’t fill out the form, $100 a month will be deducted from their pay for noncompliance. Employees who do participate will receive detailed feedback on how to address their health issues.At a university where some employees earn less than $50,000 annually, the faculty members contended that an $1,200 annual surcharge for nonparticipation — or $2,400 if the employee has a spouse or domestic partner on the school’s plan when that person has the option of coverage from his or her own employer — amounted to a strong-arm tactic. Their motive is simple. The employer rate can be lowered with the data from these HRA's. Every employee will need to decide for themselves how comfortable they are with employers having very detailed information about not just their medical history (which they've always had access to through claims data) but their future as well. One HRA asked female employees if they were planning to have children that year. Refusal to answer was $200 per month assessment. With genetic testing getting ever cheaper - there's really no end in sight.The countervailing argument is that employers never see the results of the HRA - only the insurance carrier - but it's hard to imagine some employers won't push that with vendors that they are paying.We do need to end the historic accident of employer-based health coverage. This is a great example of why. In the end - the relevant question for all of us (regardless of where insurance is provided) is this one:"I'm comfortable providing detailed health information to my doctor - but why should I be financially penalized for not providing personal health information to an insurance company?"
What's the best way to carry out health risk assessment for workers exposed to benzene?It is impossible to give a simple answer without knowing what type of work is being done, I can think of a range of different exposure scenarios for benzene in the workplace. Each would require a different assessment, what you should do in an assessment is to assess the use of substance or the activity which involves the substance rather than trying to assess the substance itself.Consider for a moment1. A Barman working in a bar where the patrons are smoking, cigarette smoke contains benzene2. A petrol pump attendant who is filling cars with petrol which contains 100 ppm of benzene3. A chemist running a reaction using benzene as a solvent4. A oil field worker who is changing an oil well part, the crude oil in this case contains benzene5. A worker in a coal gas plant who is working on the coal tar area of the plant. Coal tar contains benzene.All five will require a different assessment for the work
Do military members have to pay any fee for leave or fiancee forms?NOOOOOOO. You are talking to a military romance scammer. I received an email from the US Army that directly answers your question that is pasted below please keep reading.I believe you are the victim of a military Romance Scam whereas the person you are talking to is a foreign national posing as an American Soldier claiming to be stationed overseas on a peacekeeping mission. That's the key to the scam they always claim to be on a peacekeeping mission.Part of their scam is saying that they have no access to their money that their mission is highly dangerous.If your boyfriend girlfriend/future husband/wife is asking you to do the following or has exhibited this behavior, it is a most likely a scam:Moves to private messaging site immediately after meeting you on Facebook or SnapChat or Instagram or some dating or social media site. Often times they delete the site you met them on right after they asked you to move to a more private messaging siteProfesses love to you very quickly & seems to quote poems and song lyrics along with using their own sort of broken language, as they profess their love and devotion quickly. They also showed concern for your health and love for your family.Promises marriage as soon as he/she gets to state for leave that they asked you to pay for.They Requests money (wire transfers) and Amazon, iTune ,Verizon, etc gift cards, for medicine, religious practices, and leaves to come home, internet access, complete job assignments, help sick friend, get him out of trouble, or anything that sounds fishy.The military does provide all the soldier needs including food medical Care and transportation for leave. Trust me, I lived it, you are probably being scammed. I am just trying to show you examples that you are most likely being connned.Below is an email response I received after I sent an inquiry to the US government when I discovered I was scammed. I received this wonderful response back with lots of useful links on how to find and report your scammer. And how to learn more about Romance Scams.Right now you can also copy the picture he gave you and do a google image search and you will hopefully see the pictures of the real person he is impersonating. this doesn't always work and take some digging. if you find the real person you can direct message them and alert them that their image is being used for scamming.Good Luck to you and I'm sorry this may be happening to you. please continue reading the government response I received below it's very informative. You have contacted an email that is monitored by the U.S. Army Criminal Investigation Command. Unfortunately, this is a common concern. We assure you there is never any reason to send money to anyone claiming to be a Soldier online. If you have only spoken with this person online, it is likely they are not a U.S. Soldier at all. If this is a suspected imposter social media profile, we urge you to report it to that platform as soon as possible. Please continue reading for more resources and answers to other frequently asked questions: How to report an imposter Facebook profile: Caution-https://www.facebook.com/help/16... < Caution-https://www.facebook.com/help/16... > Answers to frequently asked questions: - Soldiers and their loved ones are not charged money so that the Soldier can go on leave. - Soldiers are not charged money for secure communications or leave. - Soldiers do not need permission to get married. - Soldiers emails are in this format: email@example.com < Caution-mailto: firstname.lastname@example.org > anything ending in .us or .com is not an official email account. - Soldiers have medical insurance, which pays for their medical costs when treated at civilian health care facilities worldwide – family and friends do not need to pay their medical expenses. - Military aircraft are not used to transport Privately Owned Vehicles. - Army financial offices are not used to help Soldiers buy or sell items of any kind. - Soldiers deployed to Combat Zones do not need to solicit money from the public to feed or house themselves or their troops. - Deployed Soldiers do not find large unclaimed sums of money and need your help to get that money out of the country. Anyone who tells you one of the above-listed conditions/circumstances is true is likely posing as a Soldier and trying to steal money from you. We would urge you to immediately cease all contact with this individual. For more information on avoiding online scams and to report this crime, please see the following sites and articles: This article may help clarify some of the tricks social media scammers try to use to take advantage of people: Caution-https://www.army.mil/article/61432/< Caution-https://www.army.mil/article/61432/> CID advises vigilance against 'romance scams,' scammers impersonating Soldiers Caution-https://www.army.mil/article/180749 < Caution-https://www.army.mil/article/180749 > FBI Internet Crime Complaint Center: Caution-http://www.ic3.gov/default.aspx< Caution-http://www.ic3.gov/default.aspx> U.S. Army investigators warn public against romance scams: Caution-https://www.army.mil/article/130...< Caution-https://www.army.mil/article/130...> DOD warns troops, families to be cybercrime smart -Caution-http://www.army.mil/article/1450...< Caution-http://www.army.mil/article/1450...> Use caution with social networking Caution-https://www.army.mil/article/146...< Caution-https://www.army.mil/article/146...> Please see our frequently asked questions section under scams and legal issues. Caution-http://www.army.mil/faq/ < Caution-http://www.army.mil/faq/ > or visit Caution-http://www.cid.army.mil/ < Caution-http://www.cid.army.mil/ >. The challenge with most scams is determining if an individual is a legitimate member of the US Army. Based on the Privacy Act of 1974, we cannot provide this information. If concerned about a scam you may contact the Better Business Bureau (if it involves a solicitation for money), or local law enforcement. If you're involved in a Facebook or dating site scam, you are free to contact us direct; (571) 305-4056. If you have a social security number, you can find information about Soldiers online at Caution-https://www.dmdc.osd.mil/appj/sc... < Caution-https://www.dmdc.osd.mil/appj/sc... > . While this is a free search, it does not help you locate a retiree, but it can tell you if the Soldier is active duty or not. If more information is needed such as current duty station or location, you can contact the Commander Soldier's Records Data Center (SRDC) by phone or mail and they will help you locate individuals on active duty only, not retirees. There is a fee of $3.50 for businesses to use this service. The check or money order must be made out to the U.S. Treasury. It is not refundable. The address is: Commander Soldier's Records Data Center (SRDC) 8899 East 56th Street Indianapolis, IN 46249-5301 Phone: 1-866-771-6357 In addition, it is not possible to remove social networking site profiles without legitimate proof of identity theft or a scam. If you suspect fraud on this site, take a screenshot of any advances for money or impersonations and report the account on the social networking platform immediately. Please submit all information you have on this incident to Caution-www.ic3.gov < Caution-http://www.ic3.gov > (FBI website, Internet Criminal Complaint Center), immediately stop contact with the scammer (you are potentially providing them more information which can be used to scam you), and learn how to protect yourself against these scams at Caution-http://www.ftc.gov < Caution-http://www.ftc.gov > (Federal Trade Commission's website)
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People also ask
What does a Medicare wellness visit include?This visit includes a review of your medical and social history related to your health and education and counseling about preventive services, including these: Certain screenings, flu and pneumococcal shots, and referrals for other care, if needed. Height, weight, and blood pressure measurements.
What is an individual health assessment?A health assessment is a plan of care that identifies the specific needs of a person and how those needs will be addressed by the healthcare system or skilled nursing facility. ... Health assessment is the evaluation of the health status of an individual along the health continuum.
How do you conduct a health risk assessment?Step 1: Identify hazards, i.e. anything that may cause harm. Employers have a duty to assess the health and safety risks faced by their workers. ... Step 2: Decide who may be harmed, and how. ... Step 3: Assess the risks and take action. ... Step 4: Make a record of the findings. ... Step 5: Review the risk assessment.
What is a health risk?Health risk: an adverse event or negative health consequence due to a specific event, disease, or condition. For example, the health risks of obesity include diabetes, joint disease, increased likelihood of certain cancers, and cardiovascular disease.
What is human health risk assessment?A human health risk. assessment is the process to estimate the nature and probability of adverse health effects in humans who may be exposed to chemicals in contaminated environmental media, now or in the future. Human health risk assessment includes 4 basic steps: Planning - Planning and Scoping process.