Clinical Officer Quotes

I want a dyke for president. I want a person with AIDS for president and I want a fag for vice president and I want someone with no health insurance and I want someone who grew up in a place where the earth is so saturated with toxic waste that they didn’t have a choice about getting leukemia. I want a president that had an abortion at sixteen and I want a candidate who isn’t the lesser of two evils and I want a president who lost their last lover to AIDS, who still sees that in their eyes every time they lay down to rest, who held their lover in their arms and knew they were dying. I want a president with no air-conditioning, a president who has stood in line at the clinic, at the DMV, at the welfare office, and has been unemployed and laid off and sexually harassed and gaybashed and deported. I want someone who has spent the night in the tombs and had a cross burned on their lawn and survived rape. I want someone who has been in love and been hurt, who respects sex, who has made mistakes and learned from them. I want a Black woman for president. I want someone with bad teeth and an attitude, someone who has eaten that nasty hospital food, someone who crossdresses and has done drugs and been in therapy. I want someone who has committed civil disobedience. And I want to know why this isn’t possible. I want to know why we started learning somewhere down the line that a president is always a clown. Always a john and never a hooker. Always a boss and never a worker. Always a liar, always a thief, and never caught.

Every patient who was prescribed the drug stood a chance of soon needing it every day. These people were willing to pay cash. They never missed an appointment. If diagnosis wasn’t your concern, a clinic was a low-overhead operation: a rented building, a few waiting rooms, some office staff. And bouncers. These clinics did require bouncers.

We are afraid of what we will do to others, afraid of the rage that lies in wait somewhere deep in our souls. How many human beings go through the world frozen with rage against life! This deeply hidden inner anger may be the product of hurt pride or of real frustration in office, factory, clinic, or home. Whatever may be the cause of our frozen rage (which is the inevitable mother of depression), the great word of hope today is that this rage can be conquered and drained off into creative channels … …What should we do? We should all learn that a certain amount of aggressive energy is normal and certainly manageable in maturity. Most of us can drain off the excess of our angry feelings and destructive impulses in exercise, in competitive games, or in the vigorous battles against the evils of nature and society. We also must realize that no one will punish us for the legitimate expression of self-assertiveness and creative pugnacity as our parents once punished us for our undisciplined temper tantrums. Furthermore, let us remember that we need not totally repress the angry part of our nature. We can always give it an outlet in the safe realm of fantasy. A classic example of such fantasy is given by Max Beerborn, who made a practice of concocting imaginary letters to people he hated. Sometimes he went so far as to actually write the letters and in the very process of releasing his anger it evaporated. As mature men and women we should regard our minds as a true democracy where all kinds of ideas and emotions should be given freedom of speech. If in political life we are willing to grant civil liberties to all sorts of parties and programs, should we not be equally willing to grant civil liberties to our innermost thoughts and drives, confident that the more dangerous of them will be outvoted by the majority within our minds? Do I mean that we should hit out at our enemy whenever the mood strikes us? No, I repeat that I am suggesting quite the reverse—self-control in action based upon (positive coping mechanisms such as) self expression in fantasy.

In former days, people frustrated in their will to meaning would probably have turned to a pastor, priest, or rabbi. Today, they crowd clinics and offices. The psychiatrist, then, frequently finds himself in an embarrassing situation, for he now is confronted with human problems rather than with specific clinical symptoms. Man’s search for a meaning is not pathological, but rather the surest sign of being truly human. Even if this search is frustrated, it cannot be considered a sign of disease. It is spiritual distress, not mental disease.

As far as my fellow students go, I’m one of the two dangerous rebels who turned up in office casual; the rest are so desperately sober that if you could bottle them you could put the Betty Ford Clinic out of business.

Despite the fact that there are many honest and capable police officers in our States, with the persistent events of brutality and incompetence in mind I am compelled to say that the US police department is one of the most unfit, brainless, gutless and backboneless police forces in the world. Defunding such police force won't do any good, we must legislate compulsory regular clinical counseling for each and every officer of the law.

We filled out emergency 'next-of-kin notification' forms and were issued metal dog tags attached to a chain to be worn around the neck. Legal officers assisted each of us in drafting a last will and testament and power of attorney." (Page 135)

During one of these lectures, our teacher imparted a morsel of clinical wisdom. This is what he told us: “You will from time to time meet a patient who shares a disturbing tale of multiple mistakes in his previous treatment. He has been seen by several clinicians, and all failed him. The patient can lucidly describe how his therapists misunderstood him, but he has quickly perceived that you are different. You share the same feeling, are convinced that you understand him, and will be able to help.” At this point my teacher raised his voice as he said, “Do not even think of taking on this patient! Throw him out of the office! He is most likely a psychopath and you will not be able to help him.” Many years later I learned that the teacher had warned us against psychopathic charm, and the leading authority in the study of psychopathy confirmed that the teacher’s advice was sound. The analogy to the Müller-Lyer illusion is close. What we were being taught was not how to feel about that patient. Our teacher took it for granted that the sympathy we would feel for the patient would not be under our control; it would arise from System 1. Furthermore, we were not being taught to be generally suspicious of our feelings about patients. We were told that a strong attraction to a patient with a repeated history of failed treatment is a danger sign—like the fins on the parallel lines. It is an illusion—a cognitive illusion—and I (System 2) was taught how to recognize it and advised not to believe it or act on it.

Eager to defend the civilian control of nuclear weapons from military encroachment, John F. Kennedy and Robert McNamara had fought hard to ensure that only the president could make the ultimate decision. But they hadn’t considered the possibility that the president might be clinically depressed, emotionally unstable, and drinking heavily—like Richard Nixon, during his final weeks in office. Amid the deepening Watergate scandal, Secretary of Defense Schlesinger told the head of the Joint Chiefs to seek his approval before acting on “any emergency order coming from the president.” Although Schlesinger’s order raised questions about who was actually in command, it seemed like a good idea at the time.

There is no doubt that creative work is itself done under a compulsion often indistinguishable from a purely clinical obsession. In this sense, what we call a creative gift is merely the social license to be obsessed. And what we call “cultural routine” is a similar license: the proletariat demands the obsession of work in order to keep from going crazy. I used to wonder how people could stand the really demonic activity of working behind those hellish ranges in hotel kitchens, the frantic whirl of waiting on a dozen tables at one time, the madness of the travel agent’s office at the height of the tourist season, or the torture of working with a jack-hammer all day on a hot summer street. The answer is so simple that it eludes us: the craziness of these activities is exactly that of the human condition. They are “right” for us because the alternative is natural desperation. The daily madness of these jobs is a repeated vaccination against the madness of the asylum. Look at the joy and eagerness with which workers return from vacation to their compulsive routines. They plunge into their work with equanimity and lightheartedness because it drowns out something more ominous.

With this warning, Mussolini demanded and was given authority to do just about whatever he wanted; but his initial priority, surprisingly, was good government. He knew that citizens were fed up with a bureaucracy that seemed to grow bigger and less efficient each year, so he insisted on daily roll calls in ministry offices and berated employees for arriving late to work or taking long lunches. He initiated a campaign to drenare la palude (“drain the swamp”) by firing more than 35,000 civil servants. He repurposed Fascist gangs to safeguard rail cargo from thieves. He allocated money to build bridges, roads, telephone exchanges, and giant aqueducts that brought water to arid regions. He gave Italy an eight-hour workday, codified insurance benefits for the elderly and disabled, funded prenatal health care clinics, established seventeen hundred summer camps for children, and dealt the Mafia a blow by suspending the jury system and short-circuiting due process. With no jury members to threaten and judges answerable directly to the state, the courts were as incorruptible as they were docile. Contrary to legend, the dictator didn’t quite succeed in making the trains run on time, but he earned bravos for trying.

to be recorded as they were under normal circumstances. Just beyond the public areas lay a sprawling multifloor substructure of 153 classified rooms, including a massive power plant, medical clinic, dentist’s office, a 400-seat cafeteria, laundry facilities, three 25,000-gallon water tanks, and three 14,000-gallon fuel tanks, as well as a two-story communication facility for incoming and outgoing messages.

I’m so sorry. I didn’t realize the wind had come up quite so strong. Trying to get some fresh breeze from the lake in here to get rid of the overpowering smell of this glue.” Even so, the strong chemical fumes hung around the office. He pulled his hand away from the model, quickly wiped away the excess glue from his fingers on a rag and strode toward her, holding his hand out for hers. “Are you badly hurt? I can take you to the clinic if

No day passes that the mail does not flood the doctor’s office with suggestions about what to use in his clinical practice. My desk overflows with gadgets and multi-coloured pills telling me that without them mankind cannot be happy. The propaganda campaign reaching our medical eyes and ears is often so laden with suggestions that we can be persuaded to distribute sedatives and stimulants where straight critical thinking would deter us and we would seek the deeper causes of the difficulties. This is true not only for modern pharmacotherapy; the same tendencies can also be shown in psychotherapeutic methods.

Audio of interview - http://www.youtube.com/watch?feature=... "it's not surprising that in that first group I worked with over 20 years ago I had 2 accounts of Jimmy Savile being an abuser where I did support some people to go to the police but it was seen as something impossible to consider at the time." "We have improved a lot as a society in the last 20 years in accepting the reality of abuse, even though it's still so hard for us." "When we look at adults who were abused in childhood we find that nearly all of them had told somebody..." "The culture of the police has changed dramatically but 20 years ago when even counselors and social workers didn't think the abuse could be so widespread the police were obviously part of that culture too. I mean it's hard to realise that in the 1980s there was a point where it was thought that there were only 486 children on the abuse register. Now the government accepts that 1 in 4 adults will have been abused at some point in their lives. That is a huge change." "This is really different for any survivors listening now if a police officer doesn't listen sympathetically and offer a believing response then something has gone wrong because the police really do have this in their guidelines now." - Dr Valerie Sinason, Clinic for Dissociative Studies, London

McCullough points out that early treatment does not just prevent hospitalization; it quickly starves pandemics to death by stopping their spread. “Early treatment reduces the infectivity period from 14 days to about four days,” he explains. “It also allows someone to stay in the home so they don’t contaminate people outside the home. And then it has this remarkable effect in reducing the intensity and duration of symptoms so patients don’t get so short of breath, they don’t get into this panic where they feel they have to break containment and go to the hospital.” McCullough says that those hospital trips are tinder for pandemics, especially since, at that point, the patient is at the height of infectivity, with teeming viral loads. “Every hospitalization in America—and there’s been millions of them—has been a super-spreader event. Sick patients contaminate their loved ones, paramedics, Uber drivers, people in the clinic and offices. It becomes a total mess.” McCullough says that by treating COVID-19 at home, doctors actually can extinguish the pandemic.

People who worked and proselytized on behalf of homeless people formed a loose confederation, with one shared interest and many differing opinions. In recent years Jim had heard that some in the alliance claimed that the Program belonged to "the homelessness industry," which misspent resources that should be used for creating permanent supportive housing. Also that the Program was an insidious part of that status quo: It propped up an unjust system by successfully treating homeless people with diseases like AIDS, weakening one of the housing movement's chief arguments— "housing is health." Almost always the criticism came indirectly, from friends of friends. This was convenient for a person who hated confrontations. Jim could reply forcefully but indirectly, to a friend of the critic, or sometimes to me in the privacy of his office or car. Often he'd start by invoking Barbara, "The older I get, the more I realize how wise she was. I remember somebody coming into the clinic, and saying to Barbara, who was working like hell, 'What are we going to do to fix this problem of homelessness?' And she looked up and said, 'Are you kidding me? I'm too busy. Don't ask me a question like that.' That was her way of saying, 'Stop torturing me with what society isn't about to do. Let's just do the best we can right now and take care of these folks.

Eleven people have been killed as a result of violence targeted at abortion providers: four doctors, two clinic employees, a security guard, a police officer, a clinic escort, and two others. Anti-abortion extremists are considered a domestic terrorist threat by the U.S. Department of Justice. Yet violence is not the only threat to abortion clinics. In the past five years, politicians have passed more than 280 laws restricting access to abortion. In 2016, the Supreme Court struck down a Texas law that would have required every abortion clinic to have a surgical suite, and doctors to have admitting privileges at a local hospital in case of complications. For many clinics, these requirements were cost prohibitive and would have forced them to close. Also, since many abortion doctors fly in to do their work, they aren’t able to get admitting privileges at local hospitals. It is worth noting that less than 0.3 percent of women who have an abortion require hospitalization due to complications. In fact colonoscopies, liposuction, vasectomies…and childbirth—all of which are performed outside of surgical suites—have higher risks of death. In Indiana in 2016, Mike Pence signed a law to ban abortion based on fetal disability and required providers to give information about perinatal hospice—keeping the fetus in utero until it dies of natural causes. This same law required aborted fetuses to be cremated or given a formal burial even if the mother did not wish this to happen.

Split is doing well at the box office around the world, but it misrepresents people with dissociative identity disorder (DID; previously called multiple personality disorder). The trailer is particularly gripping, luring in audiences by depicting a man with DID kidnapping and preparing to torture three teenage girls. Kevin (played by James McAvoy) juggles 24 personalities that are based on stereotypes: a cutesy 9-year-old infatuated with Kanye West, a flamboyant designer, and the “Beast,” a superhuman monster who sees the girls as “sacred food.” Kevin falsely represents people with DID through exaggerated symptoms, extreme violence, and unrealistic physical characteristics. The senior author, an expert in DID, has not seen any DID patient who is this violent in 25 years of clinical practice. Kevin’s ghastly personalities are so over-the-top that terrifying scenes are making audiences laugh.

Leigh was amazed to uncover all this. She explains: “When I was a police officer nobody ever trained me on the collateral consequences of marijuana arrests. I had no idea . . . It’s not something they’re made aware of. It’s—go out and get numbers. Do your job.” Just as Jimmy Fletcher—the agent sent by Harry Anslinger to break Billie Holiday—never forgave himself for what he ended up doing to her, Leigh Maddox never forgave herself for what she had done to all the kids she arrested over the years. It was not enough, Leigh decided, for her to say she’s sorry. You have to make amends. So she completed her retraining as a lawyer, quit her job as a cop, and started providing services in Baltimore to help the very people she had been busting and breaking before. She set up a low-cost legal clinic called Just Advice, where she and her students fight to have the arrest records of accused drug offenders expunged any way they can. She writes to universities imploring them to provide access to scholarships to students with drug convictions. She defends drug users in court. This is Leigh’s life now.

The Colon & Rectal Clinic of Colorado is the largest colon and rectal surgery group in the region and a major colorectal cancer, IBD, and proctology referral center, serving the entire metro Denver and Front Range community. Our offices are located in central Denver, Aurora, and Lafayette/Broomfield.

The term “myalgic encephalomyelitis” (muscle pain, “myalgic”, with “encephalomyelitis” inflammation of the brain and spinal cord) was first included by the World Health Organization (WHO) in their International Classification of Diseases in 1969. It is ironic that Donald Acheson, who subsequently became the Chief Medical Officer first coined the name in 1956.8 In 1978 the Royal Society of Medicine accepted ME as a nosological organic entity.9 The current version of the International Classification of Diseases—ICD‐10, lists myalgic encephalomyelitis under G.93.3—neurological conditions. It cannot be emphasised too strongly that this recognition emerged from meticulous clinical observation and examination.

The cathexis of male identity, fascistic politics, woman-hatred, violence, and religious institutions is an infamous alliance. In the 1930s, the German National Socialists—the Nazis—agitated against employed women, contraception and abortion, and homosexuality, and revived the ideal of Kinder, Kirche, Kiiche (children, church, and kitchen) for German womanhood. A working coalition of misogyny between the Nazi party and the religious establishment served long enough for Hitler to consolidate his power. Feminist groups and publications were closed down, as were contraception clinics. In 1933, the year Hitler became chancellor, feminists, along with “non-Aryans,” were forced out of their jobs in teaching and other public positions. Women were barred from political office and from the judicial bench. In 1934, abortion was banned and made a criminal offense against the State, punishable by hard labor or the death penalty.

Shortly after I began work with Teresa, I acquired another MPD client, a supposedly schizophrenic young man I will call Tony. He called in to the clinic on a day I was on telephone duty, saying he was having flashbacks of "ritual abuse.” I did not yet know what that was. Tony became my client. He could be quite entertaining. I have a vivid memory of him as a three-year-old, "Tiny Tony,” standing on his head on my office couch, and running down the hall to try unsuccessfully to make it to the bathroom. He had in his head the entire rock band of Guns’n’Roses, and I got to know Axl, the band leader, quite well. I remember the time Tony was in hospital and I went to visit him; Axl popped out and said, "Remember, we’re schizophrenic in here!

SMART (social, mobile, aware, and real time) technologies and other advances, such as cloud computing infrastructure, will enable much of health care to be moved out of hospitals, clinics, and doctors’ offices and into our everyday lives.

Emily tossed her body armor down on her office floor with a curse. She turned at the sound of soft laughter behind her. Olivia stood in the doorway, her favorite white and red coffee mug cradled in both hands in front of her. “I never thought I’d hear the day where you’d cuss,” Olivia said. “Yeah well, you try putting together your Inceptor Body Armor,” she growled, “without instructions. There is not a single person in this entire clinic that knows how to do this.” She glared down at the pile of gear. “There’s pouches and pockets and straps and…” “And lions and tigers and bears, oh my,” Olivia said. Emily glared at her friend. “Not funny.” “It’s a little funny. Seeing you flustered like this? Totally funny.” Olivia moved closer to the pile of gear sitting next to the empty plastic bags it had come in. She toed an empty pouch. “Did you just pick this up?” “An hour ago. I thought it would come put together. I mean, who just hands a soldier a pile of gear and says ‘here you go, figure it out’?” “That would be the U.S. Army,” a male voice said.

The officers entered the Clinic with Noda. Passing through the mouth-like lobby, they proceeded along endlessly winding corridors and stairways lit only by red night lights, like a journey through the innards of a body, before at last finding themselves on the fourth floor. Yamaji’s research had already told them that Inui lived on the fourth floor, but it would have been too dangerous to use the elevator. Elevators commonly appear in dreams as symbols of sexual desires. As such, they thought it highly probable that the elevator would be used for an attack from the subconscious.

FLATOW: So you would - how would you treat a patient like Sybil if she showed up in your office BRAND: Well, first I would start with a very thorough assessment, using the current standardized measures that we have available to us that assess for the range of dissociative disorders but the whole range of other psychological disorders, too. I would need to know what I'm working with, and I'd be very careful and make my decisions slowly, based on data about what she has. And furthermore, with therapists who are well-trained in dissociative disorders, we do keep an eye open for suggestibility. But that research, too, is not anywhere near as strong as what the other two people in the interview are suggesting.It shows - for example, there's eight studies that have a total of 11 samples. In the three clinical samples that have looked at the correlation between dissociation and suggestibility, all three clinical samples found non-significant correlations. So it's just not as strong as what people think. That's a myth that's not backed up by science." Exploring Multiple Personalities In 'Sybil Exposed' October 21, 2011 by Ira Flatow

one of FerroKin’s most important solutions to the cost problem is to have no physical office, instead relying on wireless phones and home internet connections to coordinate an intensive round of pre-clinical investigations and regulatory filings. “We wanted to do this from our homes,” he says, because putting a premium on being in the same physical location every day and attending endless meetings unnecessarily constrains whom you can hire and what work skills you pay for in an employee. Sensitive medical information can be secured digitally even as it is shared among distributed team members and the outsourced labs and clinics that are performing the work. As a result, digital reduces the barriers to focusing on the job at hand.

Unlike AIDS drugs (like AZT) which burden the liver and immune system with toxic substances, ozone overcomes the AIDS virus by simply oxidizing the molecules in the shell of the virus. When the ozone molecules dissolve into the blood, they release their 3rd oxygen atom, thereby causing hyper-oxygenation that destroys all viruses and disease microorganisms while leaving normal cells unharmed. Today, it is possible to receive ozone therapy through blood infusions at select doctors’ offices. While most traditional doctors have not yet begun offering this therapy, it is not difficult to find a list of enlightened medical practitioners, clinics and hospitals that offer ozone therapy. Just do a search on any Internet search engine, using “ozone therapy,” as well as your city or country as keywords.

Every hospitalization in America—and there’s been millions of them—has been a super-spreader event. Sick patients contaminate their loved ones, paramedics, Uber drivers, people in the clinic and offices. It becomes a total mess.

Every hospitalization in America—and there’s been millions of them—has been a super-spreader event. Sick patients contaminate their loved ones, paramedics, Uber drivers, people in the clinic and offices. It becomes a total mess.” McCullough says that by treating COVID-19 at home, doctors actually can extinguish the pandemic. “So

admitted. “I’m not that good at naming things.” “How about Slinky?” Vale suggested, looking up at Reece. “Sounds good to me.” Reece shrugged. “Slinky it is, then,” Lana said, her attention caught by Carter’s buzzing phone. “Shoot, I have a meeting.” Carter kissed Lana and excused himself from the group before walking off towards the offices. The rest of them went through the back door to the back of the center. “I’ve got to get to the clinic and take a look at Slinky,” Lana tested out the oarfish’s name as she walked off towards the clinic. Reece noted that she was careful to stick to the end path to avoid Minx’s shenanigans.

IN 1971, as the Vietnam War was heading into its sixteenth year, congressmen Robert Steele from Connecticut and Morgan Murphy from Illinois made a discovery that stunned the American public. While visiting the troops, they had learned that over 15 percent of U.S. soldiers stationed there were heroin addicts. Follow-up research revealed that 35 percent of service members in Vietnam had tried heroin and as many as 20 percent were addicted—the problem was even worse than they had initially thought. The discovery led to a flurry of activity in Washington, including the creation of the Special Action Office of Drug Abuse Prevention under President Nixon to promote prevention and rehabilitation and to track addicted service members when they returned home. Lee Robins was one of the researchers in charge. In a finding that completely upended the accepted beliefs about addiction, Robins found that when soldiers who had been heroin users returned home, only 5 percent of them became re-addicted within a year, and just 12 percent relapsed within three years. In other words, approximately nine out of ten soldiers who used heroin in Vietnam eliminated their addiction nearly overnight. This finding contradicted the prevailing view at the time, which considered heroin addiction to be a permanent and irreversible condition. Instead, Robins revealed that addictions could spontaneously dissolve if there was a radical change in the environment. In Vietnam, soldiers spent all day surrounded by cues triggering heroin use: it was easy to access, they were engulfed by the constant stress of war, they built friendships with fellow soldiers who were also heroin users, and they were thousands of miles from home. Once a soldier returned to the United States, though, he found himself in an environment devoid of those triggers. When the context changed, so did the habit. Compare this situation to that of a typical drug user. Someone becomes addicted at home or with friends, goes to a clinic to get clean—which is devoid of all the environmental stimuli that prompt their habit—then returns to their old neighborhood with all of their previous cues that caused them to get addicted in the first place. It’s no wonder that usually you see numbers that are the exact opposite of those in the Vietnam study. Typically, 90 percent of heroin users become re-addicted once they return home from rehab.

Trained Obstetrician and Gynaecologist in Dubai Dr Elsa de Menezes Fernandes is a UK trained Obstetrician and Gynaecologist. She completed her basic training in Goa, India, graduating from Goa University in 1993. After Residency, she moved to the UK, where she worked as a Senior House Officer in London at the Homerton, Southend General, Royal London and St. Bartholomew’s Hospitals in Obstetrics and Gynaecology. She completed five years of Registrar and Senior Registrar training in Obstetrics and Gynaecology in London at The Whittington, University College, Hammersmith, Ealing and Lister Hospitals and Gynaecological Oncology at the Hammersmith and The Royal Marsden Hospitals. During her post-graduate training in London she completed Membership from the Royal College of Obstetricians and Gynaecologists. In 2008 Dr Elsa moved to Dubai where she worked as a Consultant Obstetrician and Gynaecologist at Mediclinic City Hospital until establishing her own clinic in Dubai Healthcare City in March 2015. She has over 20 years specialist experience. Dr Elsa has focused her clinical work on maternal medicine and successfully achieved the RCOG Maternal Medicine Special Skills Module. She has acquired a vast amount of experience working with high risk obstetric patients and has worked jointly with other specialists to treat patients who have complex medical problems during pregnancy. During her training she gained experience in Gynaecological Oncology from her time working at St Bartholomew’s, Hammersmith and The Royal Marsden Hospitals in London. Dr Elsa is experienced in both open and laparoscopic surgery and has considerable clinical and operative experience in performing abdominal and vaginal hysterectomies and myomectomies. She is also proficient in the technique of hysteroscopy, both diagnostic and operative for resection of fibroids and the endometrium. The birth of your baby, whether it is your first or a happy addition to your family, is always a very personal experience and Dr Elsa has built a reputation on providing an experience that is positive and warmly remembered. She supports women’s choices surrounding birth and defines her role in the management of labour and delivery as the clinician who endeavours to achieve safe motherhood. She is a great supporter of vaginal delivery. Dr Elsa’s work has been published in medical journals and she is a member of the British Maternal and Fetal Medicine Society. She was awarded CCT (on the Specialist Register) in the UK. Dr Elsa strives to continue her professional development and has participated in a wide variety of courses in specialist areas, including renal diseases in pregnancy and medical complications in pregnancy.

Every great leader I served with understood the need to share the hardships with the men and women they led. Nothing gains the respect of the troops quicker than spending time on the factory floor, or in the trading room, the warehouse, the clinic, or the foxhole. The C-suite, the corner office, the front office, or the largest cubicle can trap you into believing that your place is above the people you serve. It is not. Wherever you sit as a leader, don’t sit for long. Get out of your office and spend time with the employees. This will give you an appreciation for the work they do, an understanding of the challenges they face, and insights into how to improve the business.

frontier for clinical practice was direct payment to physicians, practicing in the new world of outpatient surgical centers, and “doc-in-a-box” group practices, somewhere between the local doctor’s office of my youth and an emergency

The United States schooled Latin American soldiers throughout the late twentieth century in warfare and anti-insurgency tactics at the infamous School of the Americas in Georgia and at Fort Bragg, North Carolina. When the manuals given to Latin American students were declassified in 1996, they sparked outrage. Printed only in Spanish, the instruction books explained the use of psychological warfare to break insurgencies. One particularly controversial manual entitled Handling Sources instructs Latin American officers on how to use informants. In cold, clinical terms, it details pressuring informants with violence against both them and their families.

Is there any other place where a more vibrant palette of human behaviour can be observed than the Scottish pub? Our drinking holes are social spaces, shelters and, with the rise of flexible working and free WiFi, informal offices. The pub is a courtroom, a therapist's clinic, a place to let socks dry out after an arduous day orienteering. Relationships begin and end in its confines. Pub dogs become celebrities. If we run with the myth that there are languages with fifty words for snow, Scots could match that with their own terms related to the act of drinking.

GreatSmiles helps connect patients with dentists who provide Invisalign as a treatment option in local clinics or offices through scheduled consultations. We're here to help you get the low down on your first step towards straighter, healthier teeth.

Medical assistants aid doctors by performing basic clinical procedures and handling a variety of administrative duties. Medical Assistant Programs Sacramento focuses on front office administrative responsibilities such as clerical and bookkeeping functions, processing medical insurance claims as well as back office clinical responsibilities, during which students get hands-on experience conducting a variety of diagnostic tests.

I am writing this with my left hand, although I am strongly right-handed. I had surgery to my right shoulder a month ago (…) and am not capable of use of the right arm at this time. I write slowly, awkwardly – but more easily, more naturally, with each passing day. I am adapting, learning, all the while – not merely this left-handed writing, but a dozen other left-handed skills as well: I have also become very adept, prehensile, with my toes, to compensate for having one arm in a sling. (…) I am developing different patterns, different habits… a different identity, one might say. There must be changes going on with some of the programs and circuits in my brain – altering synaptic weights and connectivities and signals (though our methods of brain imaging are too crude to show these). (…) Nature’s imagination is richer than ours (...). For me, as a physician, nature’s richness is to be studied in the phenomena of health and disease, in the endless forms of individual adaptation by which human organisms, people, adapt and reconstruct themselves, faced with the challenges and vicissitudes of life. Defects, disorders, diseases, in this sense, can play a paradoxical role, by bringing out latent powers, developments, evolutions, forms of life, that might never be seen, or even be imaginable, in their absence. It is the paradox of disease, in this sense, its “creative” potential, that forms the central theme of this book. Thus while one may be horrified of the ravages of developmental disorder or disease, one may sometimes see them as creative toon- for if they destroy particular paths, they may force the nervous system into making other paths and ways, force on it an unexpected growth and evolution. This other side of development or disease is something I see, potentially, in almost every patient; and it is this, here, which I am especially concerned to describe. (…) In addition to the objective approach of the scientist, the naturalist, we must employ an intersubjective approach too, leaping, as Foucault writes, “into the interior of morbid consciousness [trying] to see the pathological world with the eyes of the patient himself”. (…) The exploration of deeply altered selves and worlds is not one that can be made in a consulting room or office. The French neurologist Francois Lhermitte is especially sensitive to this, and instead of just observing his patients in the clinic, he makes a point of visiting them at home, taking them to restaurants of theatres, or for rides in his car, sharing their lives as much as possible.

Our Marine drill sergeant was the most professional looking soldier I have ever seen. His uniform was so perfectly pressed and starched that he looked like one of those full-size cardboard Marines propped up in the window of the Marine Corps Recruiting Centers. Our instructor was African-American but wasn’t the least bit intimidated by this unruly and disrespectful group of white guys. He was accustomed to training officer candidates who had no official rank, but instructing a class of commissioned officers who all out-ranked him didn’t seem to soften his techniques. He was extremely serious and barked out all of his commands, which got the attention of even the most disruptive members of our group. He knew we were all officers on paper and that his job was to make us start looking and acting like officers." (page 137)

At the end of the semester, I’m going to resign from George Mason and go into clinica practice. In Rockville, so we’ll both be close to work.” “Clinical practice? Even after what you told me about that guy who hanged himself? And--uh--the way our hypnosis session ended?” “Oh Lord, thank you for reminding me about that. Trainer told me why it happened. Well, he didn’t know the importance of what he was saying.” “What do you mean?” “When he had me spread-eagled on that bed, he bragged that you weren’t breathing after the guy hit you on the head in his office. His medic had to revive you.” He swore under his breath. “Lucky for me he wanted information.” She moved closer and hugged him tightly. “Lucky for me, too.

President Lyndon Johnson's Economic Opportunity Act, which established the Office of Economic Opportunity (OEO) and launched the “War on Poverty.” In the Pacific Northwest, OEO community development grants helped establish a host of organizations to address employment, health, housing, education and various legal needs. Beginning in 1965, the Yakima Valley Council for Community Action YVCCA opened centers to meet the farmworkers' health and social service needs. A year later they expanded to educational and legal services, offering adult basic education, English as a second language, high school equivalency programs, vocational training, health clinics, and day care. Volunteer attorneys helped workers address conflicts with immigration authorities and social service agencies.

Rick Scott, the governor-elect, decided to shut down the state Office of Drug Control and signed an executive order on the day of his inauguration that froze “all new regulations,” which meant that rigorous new pain clinic standards created by the Board of Medicine were shelved. Then, everyone was astonished when the new governor cut funding to the state’s long-awaited prescription drug database. Police, fellow Republicans, and the White House drug czar, among others, urged Scott to reconsider. The database was an ounce of prevention, they said, the best way to keep tabs on excessive prescribing. As Broward County sheriff Al Lamberti put it: “We cannot arrest our way out of this problem.” Even pain medicine groups were stunned by Scott’s move.

Dr Elsa de Menezes Fernandes is a UK trained Obstetrician and Gynaecologist. She completed her basic training in Goa, India, graduating from Goa University in 1993. After Residency, she moved to the UK, where she worked as a Senior House Officer in London at the Homerton, Southend General, Royal London and St. Bartholomew’s Hospitals in Obstetrics and Gynaecology. She completed five years of Registrar and Senior Registrar training in Obstetrics and Gynaecology in London at The Whittington, University College, Hammersmith, Ealing and Lister Hospitals and Gynaecological Oncology at the Hammersmith and The Royal Marsden Hospitals. During her post-graduate training in London she completed Membership from the Royal College of Obstetricians and Gynaecologists. In 2008 Dr Elsa moved to Dubai where she worked as a Consultant Obstetrician and Gynaecologist at Mediclinic City Hospital until establishing her own clinic in Dubai Healthcare City in March 2015. She has over 20 years specialist experience.

Runaway costs are crushing the American medical system. Hispanics are the group least likely to have medical insurance, with 30.7 percent uninsured. Ten point eight percent of whites and 19.1 percent of blacks are without insurance. Illegal immigrants rarely have insurance, but hospitals cannot turn them away. In 1985, Congress passed the Emergency Medical Treatment and Active Labor Act, which requires hospitals to treat all emergency patients, without regard to legal status or ability to pay. Anyone who can stagger within 250 yards of a hospital—a distance established through litigation—is entitled to “emergency care,” which is defined so broadly that hospital emergency rooms have become free clinics. Emergency-room care is the most expensive kind. Childbirth is an emergency, and hospitals must keep mother and child until both can be discharged. If the mother is indigent the hospital pays for treatment, even if there are expensive complications. Any child born in the United States is considered a US citizen, so thousands of indigent illegal immigrants make a point of having “anchor babies” at public expense. The new American qualifies for all forms of welfare, and at age 21 can sponsor his parents for American citizenship. In 2006 in California, an estimated 100,000 illegal immigrant mothers had babies at public expense, and accounted for about one in five births. The costs were estimated at $400 million per year, and in the state as a whole, half of all Medi-Cal (state welfare) births were to illegal immigrant mothers. In 2003, 70 percent of the babies born in San Joaquin General Hospital in Stockton were anchor babies. In Los Angeles and other cities with heavy gang activity, hospitals must deal with “dump and run” patients—criminals wounded in shootouts who are rolled out of speeding cars by fellow gang members. Illegal-immigrant patients often show up without papers of any kind, and doctors have no idea whom they are treating. Mexican hospitals routinely turn away uninsured Mexicans, and if the US border is not far, may tell the ambulance driver to head for the nearest American hospital. “It’s a phenomenon we noticed some time ago, one that has expanded very rapidly,” said a federal law enforcement officer.

Me Time” Any expert will tell you, the best thing a mom can do to be a better mom is to carve out a little time for herself. Here are some great “me time” activities you can do. Go to the bathroom a lot. Offer to empty the dishwasher. Take ninety-minute showers. (If you only shower every three or four days, it will be easier to get away with this.) Say you’re going to look for the diaper crème, then go into your child’s room and just stand there until your spouse comes in and curtly says, “What are you doing?” Stand over the sink and eat the rest of your child’s dinner while he or she pulls at your pant leg asking for it back. Try to establish that you’re the only one in your family allowed to go to the post office. “Sleep when your baby sleeps.” Everyone knows this classic tip, but I say why stop there? Scream when your baby screams. Take Benadryl when your baby takes Benadryl. And walk around pantless when your baby walks around pantless. Read! When your baby is finally down for the night, pick up a juicy book like Eat, Pray, Love or Pride and Prejudice or my personal favorite, Understanding Sleep Disorders: Narcolepsy and Apnea; A Clinical Study. Taking some time to read each night really taught me how to feign narcolepsy when my husband asked me what my “plan” was for taking down the Christmas tree. Just implementing four or five of these little techniques will prove restorative and give you the energy you need to not drink until nighttime.

ChiroCynergy - Dr. Matthew Bradshaw | Chiropractic in Leland, NC Cutting-edge, state-of-the-art treatments. We don’t know any office that offers what we offer: Erchonia Percussor chiropractic adjustment tools, spinal decompression, cold laser therapy, gentle “no-popping” chiropractic, active release technique (ART), clinical nutrition, detoxification footbaths, acupuncture, ergonomic instruction, yoga instruction … ALL UNDER THE SAME ROOF by the best chiropractic in Leland, NC - ChiroCynergy! Almost 50 years of chiropractic experience (between our 4 Doctors). Schooled at the top-rated Chiropractic Colleges in the country. Treatments that fix the cause of your pain. Instead of masking your symptoms with medications and injections, we get to the underlying cause of your ailment/injury and correct it by using our all-natural, state-of-the-art treatments. We never use medications, injections or surgery. Call us: (910) 368-1528 #chiropractor_Leland_nc #best_chiropractor_Leland_nc #chiropractor_near_Leland_nc #chiropractic_in_Leland_nc #best_chiropractor_in_Leland_nc #chiropractic_near_me #chiropractor_near_me #family_chiropractor_in_Leland_nc #female_chiropractors_in_Leland_nc #physical_therapy_in_Leland_nc #sports_chiropractor_in_Leland_nc #pregnancy_chiropractor_in_Leland_nc #sciatica_chiropractor_in_Leland_nc #car_accident_chiropractor_in_Leland_nc #Active_Release_Technique_in_Leland_nc #Cold_Laser_Therapy_in_Leland_nc #Spinal_Decompression_in_Leland_nc

Now you are ready to greet the client. This moment is important. Although it may vary slightly depending on how many people are involved and the circumstances under which you are seeing the client, there are a few basic principles intended to transmit courtesy, interest, and a clear message that this is a professional rather than a social relationship. If at all possible, you should always go out and meet the client rather than having her sent to your office by a receptionist. Opinions vary on whether you should introduce yourself more or less formally, e.g., “I’m Ms. Lukas” versus “I’m Susan Lukas” versus “I’m Susan.” They also vary on the issue of whether or not to shake hands with clients. Depending on her clinical outlook and the circumstances under which a client is coming for therapy, your supervisor may feel that any physical contact might transmit a misleading or potentially threatening notion about therapy. Therefore, all these questions should be discussed before the first interview. Having greeted the client, and while leading the way to your office, you should remember that the interview has already started. Listen very carefully to what the client is saying and make a mental note of your overall first impression. When you have ushered her in, pay attention to how the client reacts to your office. What does she say? Where and how does she choose to sit? (If possible, you should arrange seating so the client can sit facing you at a distance that permits her to speak in a normal voice, but is far enough away so that she does not feel you could reach out and touch her. If the client comes from a culture in which reaching out and touching another person’s arm is a sign of friendship or interest, then she can move the chair closer to you if she chooses to.) Does she wait for you to suggest that she sit down? Does she sit on the edge of the chair? Does she seem disorganized? Try to help the client to feel more comfortable. Show her where she can hang her coat if she wants to. Suggest that she might feel more comfortable in another seat. But remember: If the client chooses not to do any of these things, do not urge her to. The goal is to “start where the client is,” rather than expecting her to do it your way. You are concerned with her feeling of what is comfortable, not yours.

AIDS activists afterward learned that at the same time Dr. Fauci was telling them and Senator Kennedy’s office that he was finally testing AL 721, Teflon Tony was confiding to his Pharma PIs that he had rigged the AL 721 studies to fail: “I wanted to debunk it,” he reassured them.76 Just as he would do with hydroxychloroquine during the COVID crisis thirty years later, he designed his AL 721 clinical trials in a way that would ensure their failure

All of us have different childhoods. The story of childhood is refracted in one’s own estimation of oneself, that’s where we pick up as it were how we feel about ourselves. Because of the language that we’ve learned in childhood, all of us have acquired expectations of how the world is, and how the world will respond to us, based on certain things that happened in the microcosmic world of the family. So we extrapolate what happened in the family, and generalize outwards to the whole world. It’s a natural thing that we do. Because our families of origin are carrying a lot of warps, and a lot of distortions, we’re likely to approach adult life full of expectations, that are not necessarily very fair, either on ourselves or on other people. We may for example think that everybody thinks we’re boring, or everyone’s out to get us, or anyone that we try to love is going to humiliate us, or that in order to win anyone’s favor we’ll always have to agree with them. We carry stories of what we need to do to get loved and also what we can expect from the world, and these stories carry distortions. And normally we play out these distortions in the busy world of relationships, and the office and our friendships, and no one quite notices, and they’re doing their stuff back to us, so everyone’s kind of projecting wildly into one another. Someone’s going “Everyone hates me”, and the other one’s going “I wanna aggress everyone”, and it’s a mess of projections and counter projections, and no one sees what’s going on and there’s no ultimate forgiveness or reconciliation. But what can happen in therapy is you take your issues and when it’s going well you play them out with the therapist, so you become really convinced that the therapist hates you because you are so boring and because therapy is just a room with a therapist, they can actually observe that and go “No, I don’t think that is necessarily right, but I think I am finding you quite interesting.” The therapist can see in a kind of petri dish things that are normally just lost in the complexity of the day-to-day world, and therefore there is a chance to correct what’s going on, so that all those slightly strange ideas, like we have a chance in the sort of clinical and clean confines of a therapy room, to see what we’re doing and get a chance to question whether it still makes sense. It has an origin but that origin may no longer be fair to reality as we have to live it.