Professionalism In Medicine Quotes

The problem with medicine and the institutions it has spawned for the care of the sick and the old is not that they have had an incorrect view of what makes life significant. The problem is that they have had almost no view at all. Medicine’s focus is narrow. Medical professionals concentrate on repair of health, not sustenance of the soul. Yet—and this is the painful paradox—we have decided that they should be the ones who largely define how we live in our waning days.

I am rather disturbed by the fact that so many people—who are neither medical professionals nor trans themselves—would want to hear all of the gory details regarding transsexual physical transformations, or would feel that they have any right to ask us about the state of our genitals.

The study of medicine consists on the one hand in storing up in the mind an enormous number of facts, which are simply memorized without any real knowledge of their foundations, and on the other hand in learning practical skills, which have to be acquired on the principle “Don’t think, act!” Thus it is that, of all the professionals, the medical man has the least opportunity of developing the function of thinking.

Doctors tend to enter the arenas of their profession's practice with a brisk good cheer that they have to then stop and try to mute a bit when the arena they're entering is a hospital's fifth floor, a psych ward, where brisk good cheer would amount to a kind of gloating. This is why doctors on psych wards so often wear a vaguely fake frown of puzzled concentration, if and when you see them in fifth-floor halls. And this is why a hospital M.D.--who's usually hale and pink-cheeked and poreless, and who almost always smells unusually clean and good--approaches any psych patient under this care with a professional manner somewhere between bland and deep, a distant but sincere concern that's divided evenly between the patient's subjective discomfort and the hard facts of the case.

Be not professional in what you do, rather be excellent. Excellence has life in it - it has colors in it - it has sweetness in it - whereas professionalism is a dead corpse exuding the disgusting smell of obedience. Excellence requires no obedience, yet in excellence you act your best, without all the life-sucking efforts.

It is critical to recognize the limitations of LLMs from a consumer perspective. LLMs only possess statistical knowledge about word patterns, not true comprehension of ideas, facts, or emotions. Their fluency can create an illusion of human-like understanding, but rigorous testing reveals brittleness. Just because a LLM can generate coherent text about medicine or law doesn’t mean it grasps those professional domains. It does not. Responsible evaluation is essential to avoid overestimating capabilities.

There is, however, a skill to it, a developed body of professional expertise. One may not be able to fix such problems, but one can manage them. And until I visited my hospital’s geriatrics clinic and saw the work that the clinicians there do, I did not fully grasp the nature of the expertise involved, or how important it could be for all of us.

It’s supposed to be a professional secret, but I’ll tell you anyway. We doctors do nothing. We only help and encourage the doctor within.”  — ALBERT SCHWEITZER, M.D.

A MANTRA FOR HOME HEALTH CARE I am my own healer. I have a radiant voice within that guides me. I can make decisions for myself. I can rely on others as needed, but at my discretion. It is my body, my health, my balance, and my responsibility to make right choices for myself. Right choices include working with competent health-care professionals when necessary, allowing friends and family to help as needed, and, above all, being true to my beliefs, with the wisdom and willingness to change as part of the path of healing.

The pressures of the current neoliberal capitalist system of health care and its financing force health professionals into a double bind. Either they spend the time and energy necessary to listen to and fully treat the patient and put their job and clinic in economic jeopardy, or they move at a frenetic pace to keep their practice afloat and only partially attend to the patient in their presence.

It is unsettling to find how little it takes to defeat success in medicine. You come as a professional equipped with expertise and technology. You do not imagine that a mere matter of etiquette could foil you. But the social dimension turns out to be as essential as the scientific--matters of how casual you should be, how formal, how reticent, how forthright. Also: how apologetic, how self-confident, how money-minded. In this work against sickness, we begin not with genetic or cellular interactions, but with human ones. They are what make medicine so complex and fascinating. How each interaction is negotiated can determine whether a doctor is trusted, whether a patient is heard, whether the right diagnosis is made, the right treatment given. But in this realm there are no perfect formulas.

This is why the betrayals of body and mind that threaten to erase our character and memory remain among our most awful tortures. The battle of being mortal is the battle to maintain the integrity of one’s life—to avoid becoming so diminished or dissipated or subjugated that who you are becomes disconnected from who you were or who you want to be. Sickness and old age make the struggle hard enough. The professionals and institutions we turn to should not make it worse. But we have at last entered an era in which an increasing number of them believe their job is not to confine people’s choices, in the name of safety, but to expand them, in the name of living a worthwhile life.

Over the course of his sixteen years, Charles Cullen had been the subject of dozens of complaints and disciplinary citations, and had endured four police investigations, two lie detector tests, perhaps twenty suicide attempts, and a lock-up, but none had blemished his professional record.

This was him, an earnest health-care professional, lovesick and concerned, the sort of foolish heart who had told the policeman that he’d drive right over and did just that, on time. He figured that later, when the pills kicked in, he’d be Romeo, overwhelmed with love and poison, right on stage. The

highly motivated and mission-driven professionals are working in toxic work environments in which they are unable to succeed.

If you’re not going to pursue medicine professionally then I can’t see how you’re allowed to pursue it personally.

One professional I never wish to see is doctor.

We must never confuse professionalism with expertise. Expertise is something to work for and to share; professionalism is--by definition--elitist and exclusive, sexist, racist, and classist.

You look at me and judge me. And I just want to ask, for what? I am in full control. No one has a gun to my head. Why can't this be my profession,one I have chosen for myself? I tell you prostitutes are professional in their skills and practise it like the vocation of true apostles- and why shouldn't they? What's so different from the accountant or the doctor selling his time? I ended up in this profession in the same way someone might end up being a lawyer because the couldn't get into engineering or dentistry,or because they couldn't get into medicine, or even a banker who grew up telling everyone they want to be a soccer player. They do those things because that was what was available for heir talents and their circumstances at that time. But do we pity them? No, because that's lif-

As a result of its investigation, the NIH said that to qualify for funding, all proposals for research on human subjects had to be approved by review boards—independent bodies made up of professionals and laypeople of diverse races, classes, and backgrounds—to ensure that they met the NIH’s ethics requirements, including detailed informed consent. Scientists said medical research was doomed. In a letter to the editor of Science, one of them warned, “When we are prevented from attempting seemingly innocuous studies of cancer behavior in humans … we may mark 1966 as the year in which all medical progress ceased.” Later that year, a Harvard anesthesiologist named Henry Beecher published a study in the New England Journal of Medicine showing that Southam’s research was only one of hundreds of similarly unethical studies. Beecher published a detailed list of the twenty-two worst offenders, including researchers who’d injected children with hepatitis and others who’d poisoned patients under anesthesia using carbon dioxide. Southam’s study was included as example number 17. Despite scientists’ fears, the ethical crackdown didn’t slow scientific progress. In fact, research flourished. And much of it involved HeLa. 18

Look in it,' he said, smiling slightly, as you do when you have given someone a present which you know will please him and he is unwrapping it before your eyes. I opened it. In the folder I found four 8×10 glossy photos, obviously professionally done; they looked like the kind of stills that the publicity departments of movie studios put out. The photos showed a Greek vase, on it a painting of a male figure who we recognized as Hermes. Twined around the vase the double helix confronted us, done in red glaze against a black background. The DNA molecule. There could be no mistake. 'Twenty-three or -four hundred years ago,' Fat said. 'Not the picture but the krater, the pottery.' 'A pot,' I said. 'I saw it in a museum in Athens. It's authentic. Thats not a matter of my own opinion; I'm not qualified to judge such matters; it's authenticity has been established by the museum authorities. I talked with one of them. He hadn't realized what the design shows; he was very interested when I discussed it with him. This form of vase, the krater, was the shape later used as the baptismal font. That was one of the Greek words that came into my head in March 1974, the word “krater”. I heard it connected with another Greek word: “poros”. The words “poros krater” essentially mean “limestone font”. ' There could be no doubt; the design, predating Christianity, was Crick and Watson's double helix model at which they had arrived after so many wrong guesses, so much trial-and-error work. Here it was, faithfully reproduced. 'Well?' I said. 'The so-called intertwined snakes of the caduceus. Originally the caduceus, which is still the symbol of medicine was the staff of- not Hermes-but-' Fat paused, his eyes bright. 'Of Asklepios. It has a very specific meaning, besides that of wisdom, which the snakes allude to; it shows that the bearer is a sacred person and not to be molested...which is why Hermes the messenger of the gods, carried it.' None of us said anything for a time. Kevin started to utter something sarcastic, something in his dry, witty way, but he did not; he only sat without speaking. Examining the 8×10 glossies, Ginger said, 'How lovely!' 'The greatest physician in all human history,' Fat said to her. 'Asklepios, the founder of Greek medicine. The Roman Emperor Julian-known to us as Julian the Apostate because he renounced Christianity-conside​red Asklepios as God or a god; Julian worshipped him. If that worship had continued, the entire history of the Western world would have basically changed

Perhaps this is the solution to medicine’s midlife crisis, too: doctors focusing on their noble craft, their relationships with patients, the stuff over which we have some control. Ultimately, this may be the best hope for our professional salvation.

Thousands of year ago, a Viking warrior was laid to rest in a grave adorned with a sword, an axe, a spear, armor piercing arrows, a battle knife, two shields, and two horses, all suggestive of a professional, high-ranking commander. When the grave was discovered in the late nineteenth century, experts agreed this must be the burial site of an esteemed MALE warrior. It wasn't until the 1970s that some scientists looked more closely at the remains and asked: Could these small, gracile bones be the remains of a woman? The greater scientific community balked; the very idea of a female warrior was too ridiculous to entertain. And yet, fifty years later, a DNA analysis of the Viking skeleton by Stockholm Unversity osteologist Anna Kjellstrom conclusively proved it accurate. It only took so long, and required so much, because the bones told a different story than the medical institions and experts of the 1800s did. The skeleton was clearly female - but the men saw what they wished to see, what they'd been taught to see.

These chunks represent patterns (such as faces) as well as specific knowledge. For example, a world-class chess master is estimated to have mastered about 100,000 board positions. Shakespeare used 29,000 words but close to 100,000 meanings of those words. Development of expert systems in medicine indicate that humans can master about 100,000 concepts in a domain. If we estimate that this “professional” knowledge represents as little as 1 percent of the overall pattern and knowledge store of a human, we arrive at an estimate of 107 chunks.

Some people say doctors should keep their professional lives separate from their personal lives. Whoever says so either never practiced medicine or forgets what it’s like. Doctors don’t live two separate lives. It all comes together, whether we think that’s a good idea or not.

the ones who long to live in alignment with their own Inner Pilot Lights start flocking to you. Your changing vibration attracts your true soul community to you. And as a sort of thank-you for aligning with your true self, the Universe often draws into your life more and more true joy, unconditional love, professional vitality, physical health, and a sense of connection with the Divine. You may lose some, or much, of what makes up your comfort zone. But what you’ll gain when you commit to this journey is priceless. The prize for your commitment is FREEDOM.

Tiffy: So … in your professional opinion … Me: As a palliative care nurse? Tiffy: As a vaguely medical person … Oh, no. These conversations never go well. People always assume they teach us all the medicine in the world at nursing school, and that we remember it five years later.

Wanting All Husband, it's fine the way your mind performs Like a circus, sharp As a sword somebody has To swallow, rough as a bear, Complicated as a family of jugglers, Brave as a sequined trapeze Artist, the only boy I ever met Who could beat me in argument Was why I married you, isn't it, And you have beaten me, I've beaten you, We are old polished hands. Or was it your body, I forget, maybe I foresaw the thousands on thousands Of times we have made love Together, mostly meat And potatoes love, but sometimes Higher than wine, Better than medicine. How lately you bite, you baby, How angels record and number Each gesture, and sketch Our spinal columns like professionals. Husband, it's fine how we cook Dinners together while drinking, How we get drunk, how We gossip, work at our desks, dig in the garden, Go to the movies, tell The children to clear the bloody table, How we fit like puzzle pieces. The mind and body satisfy Like windows and furniture in a house. The windows are large, the furniture solid. What more do I want then, why Do I prowl the basement, why Do I reach for your inside Self as you shut it Like a trunkful of treasures? Wait, I cry, as the lid slams on my fingers.

The Tree of Life was an ancient symbol of interconnection, fertility, and eternal life—precisely because of this legendary tree’s fruit. Fruit is part of our essence, a basic element of who we are. We cannot survive without fruit on this planet. It outweighs the nutrition of any other food. Yet the current “health” movement toward low-carb diets has put fruit on the endangered species list, with the goal of making it extinct. Is this denial? Ignorance? Foolishness? We’re not talking about uneducated people who are driving the trend. We’re talking about smart, highly intelligent professionals with advanced degrees in medicine and nutrition. If they’re advising patients to shun fruit, it must be because of their training, the misinformation out there, or their own selective interests. Have you heard of book burning? If the anti-sugar war keeps up its momentum, fruit trees will be next to go up in flames.

you were either a gentleman or not a gentleman, and if you were a gentleman you struggled to behave as such, whatever your income might be … Probably the distinguishing mark of the upper-middle class was that its traditions were not to any extent commercial, but mainly military, official, and professional. People in this class owned no land, but they felt that they were landowners in the sight of God and kept up a semi-aristocratic outlook by going into the professions and the fighting services rather than into trade. Small boys used to count the plum stones on their plates and foretell their destiny by chanting ‘Army, Navy, Church, Medicine, Law’.

The conceptual problem at the center of contemporary healthcare is the confusion between disease processes and disease origins. Instead of asking why an illness occurs and trying to remove the conditions that led to it, medical researchers try to understand the mechanisms through which the disease operates, so that they can then interfere with them. These mechanisms, rather than the true origins, are seen as the causes of disease in current medical thinking. In the process of reducing illness to disease, the attention of physicians has moved away from the patient as a whole person. By concentrating on smaller and smaller fragments of the body – shifting its perspective from the study of bodily organs and their functions to that of cells and, finally, to the study of molecules – modern medicine often loses sight of the human being, and having reduced health to mechanical functioning, it is no longer able to deal with the phenomenon of healing. Over the past four decades, the dissatisfaction with the mechanistic approach to health and healthcare has grown rapidly both among healthcare professionals and the general public. At the same time, the emerging systems view of life has given rise to a corresponding systems view of health, as we discuss in Chapter 15, while health consciousness among the general population has increased dramatically in many countries. The

MODERN SCIENTIFIC CAPABILITY has profoundly altered the course of human life. People live longer and better than at any other time in history. But scientific advances have turned the processes of aging and dying into medical experiences, matters to be managed by health care professionals. And we in the medical world have proved alarmingly unprepared for it.

Being in love made me happy, and I lost interest in channeling all of my knowledge about nutrition, disease, and medicine into a life of perpetual risk management. The things I gave up during this time included jogging, daily flossing, omega-3 supplements, and the dire sense of professional competition that had given purpose to my solitude and driven my ambition.

The bottom line: friends don’t let friends rely on any form of placebo-based faith healing when they require real medical treatment. If you keep someone from seeing a medical professional in favor of prayer or homeopathy or any other so-called alternative medicine, you aren’t “doing it the natural way” or “leaving it in God’s hands.” You’re causing real harm and putting lives at risk.

Reporters called down every other profession—medicine, law, politics—for failing to meet a level of professional responsibility which they would allow no one to enforce on themselves, and which they themselves would too rarely enforce on their own. Do as I say, not as I do was something you couldn’t say to a six-year-old, but it had become a ready cant for grown-ups. And if it got any worse, then what?

Participatory Medicine is a model of cooperative health care that seeks to achieve active involvement by patients, professionals, caregivers, and others across the continuum of care on all issues related to an individual’s health. Participatory medicine is an ethical approach to care that also holds promise to improve outcomes, reduce medical errors, increase patient satisfaction and improve the cost of care.

The 1930s brought what is known as the “medicalization” of death. The rise of the hospital removed from view all the gruesome sights, smells, and sounds of death. Whereas before a religious leader might preside over a dying person and guide the family in grief, now it was doctors who attended to a patient’s final moments. Medicine addressed life-and-death issues, not appeals to heaven. The dying process became hygienic and heavily regulated in the hospital. Medical professionals deemed unfit for public consumption what death historian Philippe Ariès called the “nauseating spectacle” of mortality. It became taboo to “come into a room that smells of urine, sweat, and gangrene, and where the sheets are soiled.” The hospital was a place where the dying could undergo the indignities of death without offending the sensibilities of the living.

Medicine’s focus is narrow. Medical professionals concentrate on repair of health, not sustenance of the soul. Yet—and this is the painful paradox—we have decided that they should be the ones who largely define how we live in our waning days. For more than half a century now, we have treated the trials of sickness, aging, and mortality as medical concerns. It’s been an experiment in social engineering, putting our fates in the hands of people valued more for their technical prowess than for their understanding of human needs.

Suicide prohibitions have not succeeded in preventing suicides but have succeeded in preventing people from having an honest, private conversation about life and death. Those persons who trust mental health professionals with their innermost thoughts may quickly find themselves punished with a “seventy-two-hour hold” or worse. Suicidal persons and their would-be helpers alike are paralyzed by prohibitionist censorship, deception, and legislation requiring the betrayal of trust. The first and major victim of the war on suicide, as in all wars, is loss of liberty.

Adding social structural analysis to medical and public health education would move toward a more realistic and balanced version of the biopsychosocial model already explicitly claimed in contemporary health-professional training. More important, this would provide future physicians and public health professionals with the lenses to recognize the societal critiques available in sicknesses and their distributions. With such an awareness of the structurally violent social context of disease, health professionals could move effectively toward acknowledging, treating, and preventing suffering.

Health professionals have a formal classification system for the level of function a person has. If you cannot, without assistance, use the toilet, eat, dress, bathe, groom, get out of bed, get out of a chair, and walk—the eight “Activities of Daily Living”—then you lack the capacity for basic physical independence. If you cannot shop for yourself, prepare your own food, maintain your housekeeping, do your laundry, manage your medications, make phone calls, travel on your own, and handle your finances—the eight “Independent Activities of Daily Living”—then you lack the capacity to live safely on your own.

The intelligent want self-control; children want candy. —RUMI INTRODUCTION Welcome to Willpower 101 Whenever I mention that I teach a course on willpower, the nearly universal response is, “Oh, that’s what I need.” Now more than ever, people realize that willpower—the ability to control their attention, emotions, and desires—influences their physical health, financial security, relationships, and professional success. We all know this. We know we’re supposed to be in control of every aspect of our lives, from what we eat to what we do, say, and buy. And yet, most people feel like willpower failures—in control one moment but overwhelmed and out of control the next. According to the American Psychological Association, Americans name lack of willpower as the number-one reason they struggle to meet their goals. Many feel guilty about letting themselves and others down. Others feel at the mercy of their thoughts, emotions, and cravings, their lives dictated by impulses rather than conscious choices. Even the best-controlled feel a kind of exhaustion at keeping it all together and wonder if life is supposed to be such a struggle. As a health psychologist and educator for the Stanford School of Medicine’s Health Improvement Program, my job is to help people manage stress and make healthy choices. After years of watching people struggle to change their thoughts, emotions, bodies, and habits, I realized that much of what people believed about willpower was sabotaging their success and creating unnecessary stress. Although scientific research had much to say that could help them, it was clear that these insights had not yet become part of public understanding. Instead, people continued to rely on worn-out strategies for self-control. I saw again and again that the strategies most people use weren’t just ineffective—they actually backfired, leading to self-sabotage and losing control. This led me to create “The Science of Willpower,” a class offered to the public through Stanford University’s Continuing Studies program. The course brings together the newest insights about self-control from psychology, economics, neuroscience, and medicine to explain how we can break old habits and create healthy habits, conquer procrastination, find our focus, and manage stress. It illuminates why we give in to temptation and how we can find the strength to resist. It demonstrates the importance of understanding the limits of self-control,

Monica nudged her husband’s shoulder. “On-time flights are easier when you’re behind the controls.” Trent Fairchild and his two brothers owned and operated Fairchild Charters. A private air charter company with a fleet of jets, big and small, not to mention more helicopters than one could count, which was why they were attending the conference of International Emergency Medicine . . . a conference where professionals worked to improve the emergency response to natural disasters all over the world. “Is Glen with you?” Glen was Trent’s brother and liaison to the fixed-wing portion of air travel for the sick and injured.

When a domain reaches a point where the knowledge for skillful professional practice cannot be acquired in a decade, more or less, then several adaptive developments are likely to occur. Specialization will usually increase (as it has, for example, in medicine), and practitioners will make increasing use of books and other external reference aids in their work. Architecture is a good example of a domain where much of the information a professional requires is stored in reference works, such as catalogues of available building materials, equipment, and components, and official building codes. No architect expects to keep all of this in his head or to design without frequent resort to these information sources. In fact architecture can almost be taken as a prototype for the process of design in a semantically rich task domain. The emerging design is itself incorporated in a set of external memory structures: sketches, floor plans, drawings of utility systems, and so on. At each stage in the design process, partial design reflected in these documents serves as a major stimulus suggesting to the designer what he should attend to next. This direction to new sub-goals permits in turn new information to be extracted from memory and reference sources and another step to be taken toward the development of the design.

TOBY CALLED HIS therapist, Carla, whom he’d stopped seeing actively when the apps took over his attention span and his time, but it was August and she was gone to the island where mental health professionals vanished to in the summer. The useless social worker from school was even more useless than usual, camping in the Adirondacks with her family for two weeks. He called mental health services at the hospital but was told that all adolescent and pediatric psychologists were out until September. This is what happened when an entire field of medicine was as disrespected as psychologists. They made their own rules, and one of them was that nobody was allowed to have a breakdown during August, and the other was that this was fucking Europe and they got to take a whole month off from work.

The problem with medicine and the institutions it has spawned for the care of the sick and the old is not that they have had an incorrect view of what makes life significant. The problem is that they have had almost no view at all. Medicine’s focus is narrow. Medical professionals concentrate on repair of health, not sustenance of the soul. Yet—and this is the painful paradox—we have decided that they should be the ones who largely define how we live in our waning days. For more than half a century now, we have treated the trials of sickness, aging, and mortality as medical concerns. It’s been an experiment in social engineering, putting our fates in the hands of people valued more for their technical prowess than for their understanding of human needs. That experiment has failed. If safety and protection were all we sought in life, perhaps we could conclude differently. But because we seek a life of worth and purpose, and yet are routinely denied the conditions that might make it possible, there is no other way to see what modern society has done.

If they’re not practicing deliberately, even experts can see their skills backslide. Ericsson shared with me an incredible example of this. Even though you might be inclined to trust the advice of a silver-haired doctor over one fresh out of medical school, it’s been found that in a few fields of medicine, doctors’ skills don’t improve the longer they’ve been practicing. The diagnostic accuracy of professional mammographers, for example, doesn’t get more accurate over the years. Why would that be? For most mammographers, practicing medicine is not deliberate practice, according to Ericsson. It’s more like putting into a tin cup than working with a coach. That’s because mammographers usually only find out if they missed a tumor months or years later, if at all, at which point they’ve probably forgotten the details of the case and can no longer learn from their successes and mistakes. One field of medicine in which this is definitively not the case is surgery. Unlike mammographers, surgeons tend to get better with time. What makes surgeons different from mammographers, according to Ericsson, is that the outcome of most surgeries is usually immediately apparent—the patient either gets better or doesn’t—which means that surgeons are constantly receiving feedback on their performance. They’re always learning what works and what doesn’t, always getting better. This finding leads to a practical application of expertise theory: Ericsson suggests that mammographers regularly be asked to evaluate old cases for which the outcome is already known. That way they can get immediate feedback on their performance.

Here are some of the handicaps mutual-fund managers and other professional investors are saddled with: With billions of dollars under management, they must gravitate toward the biggest stocks—the only ones they can buy in the multimillion-dollar quantities they need to fill their portfolios. Thus many funds end up owning the same few overpriced giants. Investors tend to pour more money into funds as the market rises. The managers use that new cash to buy more of the stocks they already own, driving prices to even more dangerous heights. If fund investors ask for their money back when the market drops, the managers may need to sell stocks to cash them out. Just as the funds are forced to buy stocks at inflated prices in a rising market, they become forced sellers as stocks get cheap again. Many portfolio managers get bonuses for beating the market, so they obsessively measure their returns against benchmarks like the S & P 500 index. If a company gets added to an index, hundreds of funds compulsively buy it. (If they don’t, and that stock then does well, the managers look foolish; on the other hand, if they buy it and it does poorly, no one will blame them.) Increasingly, fund managers are expected to specialize. Just as in medicine the general practitioner has given way to the pediatric allergist and the geriatric otolaryngologist, fund managers must buy only “small growth” stocks, or only “mid-sized value” stocks, or nothing but “large blend” stocks.6 If a company gets too big, or too small, or too cheap, or an itty bit too expensive, the fund has to sell it—even if the manager loves the stock. So

The Blue Mind Rx Statement Our wild waters provide vast cognitive, emotional, physical, psychological, social, and spiritual values for people from birth, through adolescence, adulthood, older age, and in death; wild waters provide a useful, widely available, and affordable range of treatments healthcare practitioners can incorporate into treatment plans. The world ocean and all waterways, including lakes, rivers, and wetlands (collectively, blue space), cover over 71% of our planet. Keeping them healthy, clean, accessible, and biodiverse is critical to human health and well-being. In addition to fostering more widely documented ecological, economic, and cultural diversities, our mental well-being, emotional diversity, and resiliency also rely on the global ecological integrity of our waters. Blue space gives us half of our oxygen, provides billions of people with jobs and food, holds the majority of Earth's biodiversity including species and ecosystems, drives climate and weather, regulates temperature, and is the sole source of hydration and hygiene for humanity throughout history. Neuroscientists and psychologists add that the ocean and wild waterways are a wellspring of happiness and relaxation, sociality and romance, peace and freedom, play and creativity, learning and memory, innovation and insight, elation and nostalgia, confidence and solitude, wonder and awe, empathy and compassion, reverence and beauty — and help manage trauma, anxiety, sleep, autism, addiction, fitness, attention/focus, stress, grief, PTSD, build personal resilience, and much more. Chronic stress and anxiety cause or intensify a range of physical and mental afflictions, including depression, ulcers, colitis, heart disease, and more. Being on, in, and near water can be among the most cost-effective ways of reducing stress and anxiety. We encourage healthcare professionals and advocates for the ocean, seas, lakes, and rivers to go deeper and incorporate the latest findings, research, and insights into their treatment plans, communications, reports, mission statements, strategies, grant proposals, media, exhibits, keynotes, and educational programs and to consider the following simple talking points: •Water is the essence of life: The ocean, healthy rivers, lakes, and wetlands are good for our minds and bodies. •Research shows that nature is therapeutic, promotes general health and well-being, and blue space in both urban and rural settings further enhances and broadens cognitive, emotional, psychological, social, physical, and spiritual benefits. •All people should have safe access to salubrious, wild, biodiverse waters for well-being, healing, and therapy. •Aquatic biodiversity has been directly correlated with the therapeutic potency of blue space. Immersive human interactions with healthy aquatic ecosystems can benefit both. •Wild waters can serve as medicine for caregivers, patient families, and all who are part of patients’ circles of support. •Realization of the full range and potential magnitude of ecological, economic, physical, intrinsic, and emotional values of wild places requires us to understand, appreciate, maintain, and improve the integrity and purity of one of our most vital of medicines — water.

The ten rules of ikigai We’ll conclude this journey with ten rules we’ve distilled from the wisdom of the long-living residents of Ogimi: Stay active; don’t retire. Those who give up the things they love doing and do well lose their purpose in life. That’s why it’s so important to keep doing things of value, making progress, bringing beauty or utility to others, helping out, and shaping the world around you, even after your “official” professional activity has ended. Take it slow. Being in a hurry is inversely proportional to quality of life. As the old saying goes, “Walk slowly and you’ll go far.” When we leave urgency behind, life and time take on new meaning. Don’t fill your stomach. Less is more when it comes to eating for long life, too. According to the 80 percent rule, in order to stay healthier longer, we should eat a little less than our hunger demands instead of stuffing ourselves. Surround yourself with good friends. Friends are the best medicine, there for confiding worries over a good chat, sharing stories that brighten your day, getting advice, having fun, dreaming . . . in other words, living. Get in shape for your next birthday. Water moves; it is at its best when it flows fresh and doesn’t stagnate. The body you move through life in needs a bit of daily maintenance to keep it running for a long time. Plus, exercise releases hormones that make us feel happy. Smile. A cheerful attitude is not only relaxing—it also helps make friends. It’s good to recognize the things that aren’t so great, but we should never forget what a privilege it is to be in the here and now in a world so full of possibilities. Reconnect with nature. Though most people live in cities these days, human beings are made to be part of the natural world. We should return to it often to recharge our batteries. Give thanks. To your ancestors, to nature, which provides you with the air you breathe and the food you eat, to your friends and family, to everything that brightens your days and makes you feel lucky to be alive. Spend a moment every day giving thanks, and you’ll watch your stockpile of happiness grow. Live in the moment. Stop regretting the past and fearing the future. Today is all you have. Make the most of it. Make it worth remembering. Follow your ikigai. There is a passion inside you, a unique talent that gives meaning to your days and drives you to share the best of yourself until the very end. If you don’t know what your ikigai is yet, as Viktor Frankl says, your mission is to discover it.

The out-of-state physician may then be eligible to provide care via telemedicine utilizing the physician-to-physician consultation exception described below. If the out-of-state physician agrees to diagnose, counsel, or treat the patient directly, the patient must travel to the state where the physician is licensed, or the physician must obtain a license to practice medicine in the state where the patient is located

As a board-certified physician, Dr. Skura believes in education, prevention, and a balanced body and mind. Her dedication to helping guide patients to achieve their greatest level of health and wellness distinguishes her as a stand-out healthcare professional. Because no two patients are the same, Dr. Skura takes ample time to create individual treatment plans for each of her patients to meet their unique needs and aesthetic goals. Science meets artistry with Dr. Skura’s expertise in both internal medicine and aesthetic treatments.

So, then, what is day trading? In reality, day trading is a profession, very much like medicine, law and engineering. Day trading requires the right tools and software, education, patience and practice. In order to learn how to trade with real money, you will have to dedicate countless hours to reading about trading styles, observing experienced traders, and practicing in simulator accounts. An average successful day trader can make between $500 and $1,000 every day. That’s equal to $10,000 to $20,000 a month (based on about twenty trading days in a month), and that equals some $120,000 to $240,000 a year. Why would anyone expect a job that pays this well to be easy? Doctors, attorneys, engineers and many other professionals go through years of school, practice, hard work and examinations to earn a similar income. Why should day trading be any different?

ROOT CHAKRA—MULADHARA The Root Chakra is at the root of your tailbone and is your equilibrium hub. You feel stressed, shaky, and dizzy or as if you have a vertigo when it's out of balance. You feel unable to make progress in your life, on personal or professional grounds, when this chakra becomes overactive and you feel stuck in your key relationships. All situations feel deeply unsettling to you, as if the change rests on your very being. This is because the Root Chakra is your prime balance point between the ‘Below and the Above’. An unbalanced or unattended Root Chakra can influence any aspect of your life, which is why many energy workers and Reiki practitioners take a bottom-up approach to chakra practice, beginning from the Root (or even deeper from the Earth Star) and moving upward to the Third Hand, Crown, and Soul Star Core networks. You are free to move freely in the universe when your Root Chakra is healthy, visible and working well, realizing you are safe, protected and seen. In Sanskrit, this chakra's name, Muladhara, means "foundation" or "pillar." That's where male sexual energy resides in the physical body (the Sacral Chakra sits on feminine sexual energy). Where the Earth Star Chakra is a gateway to the Earthly Kingdom of rocks, stones, and subterranean pathways of spirit animals and insects, the Root Chakra is a portal to our connection with our own physical realm— the physical goods and systems that keep us safe in the three-dimensional world we inhabit right now. The Root Chakra's masculine strength isn't explicitly male; it's a protective force field that can offer anybody a profound sense of comfort regardless of their sexual orientation or affiliation. You will find a stable partner for your journey as you begin to communicate with the masculine energy source, one that can support, sustain, and lead you toward the best outcome for your work and life. In terms of energy, manifestation is the act of forming thought, or of creating your desires. The very act of creation demands that you indulge in a greater density of matter, drawing in forces to create new form that involves a strong binding of your soul to the Earth. If you manifest from an ungrounded place, it will be temporary and fleeting to your creations. Imagine building a building without a firm foundation. You wouldn't even imagine doing this, would you? Well then, neither should you try to create or manifest from an ungrounded floating position within the ethers.

The professionals and institutions we turn to should...not confine people's choices, in the name of safety, but to expand them, in the name of living a worthwhile life.

Meditation can generate several different kinds of altered states like strong emotional swings. Some of these states may be fun, but they are not the aim of exploring the whole universe of phenomena — seeing, listening, feeling, eating, touching, and thought — and of seeking our liberation amid the storm rather than demanding that the phenomenon match our desires. Practices of contemplation are powerful. When you work alone, and feel you're not free, please protect yourself. This dangerous feeling could include extreme fear, stress, uncertainty or even signs of the physical. Stay to speak with an instructor, a psychologist or a professional who can educate you about the procedure if something like this happens. Without wonder meditation is not a panacea. In fact when asked the spiritual leader Jiddu Krishnamurti, "What good is all this contemplation doing?" It's no use at all," he responded. "Meditation isn't guaranteed to make you wealthy, gorgeous or famous. That's a mystery. You do want to achieve your goal, but you need to let go of the target-oriented, overachieving, task-centered way of doing and remain in the state of being that helps to incorporate your mind and body in your meditation. It is the paradox of the Zen instruction “Try not to try.” What to Do in an Emergency A professional teacher's guide is often required. A group called the Spiritual Emergence Network advises people suffering from a spiritual emergency and lets qualified psychologists and physicians discern between a psychological emergency and a mental breakdown. Another way to tell the difference is that the person who sees visions in a spiritual disaster realizes they are delusions, whereas in a psychotic breakdown the person believes the dreams are real. If you have feelings that are extremely unpleasant and no trainer is present, immediately stop the practice and concentrate on simple earthy stuff to get yourself focused. Dig into the yard, go out walking or jogging, get a workout, take a bath or a shower and eat heavy stuff. Slow down your spiritual awakening when you feel threatened by it.

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.

Medical professionals concentrate on repair of health, not sustenance of the soul. Yet—and this is the painful paradox—we have decided that they should be the ones who largely define how we live in our waning days.

Consider the sun above you, centered in the middle of the sky, radiating upon you. That ray is your source of power, a place to grow and become. Receive those rays: let them flow from above over you, over your head, over your shoulders, over your arms and over your hands. Close your eyes, and be nourished by the sun's connection. In this moment all the powers of light are with you. They're here to reinforce you and remind you of your own competence and power. You have the knowledge and experience in your life that you need to step on confidently, make good choices and choices, and manifest what you are doing. •       By actively binding the Solar Plexus Chakra to your own personal power, you are also inspiring those around you to fulfill their potential. As each person finds his or her strength in this existence, the entire collective is motivated to grow in this way. Feel how your own inner sense of monarchy, your own inner sense of supremacy, is now becoming involved. You are so ready to unfold in the next chapter of your life. Feel that excitement before you, and step boldly through the door. It's your turn. Everything was giving you help here. •       Invite any elders or spirit guides who want to accompany you until you feel fully prepared to walk through this door of possibility. Feel their energy as they surround you, and believe they will give whatever advice you need to comfortably proceed to the next stage of your evolution. With universal blessing close your induction: Amen. SUMMARY • Where is it: Manipura chakra is found in the spine behind the navel. •       What is it: It's the seat of power and confidence. It's what pushes you through your life and is responsible for your personal and professional growth. The solar plexus in the physical body is the core which regulates digestion and the metabolism of food. •       When it’s blocked: A blockage in this chakra could make you feel anxious and insecure. Digestive problems can also be symptoms of an unbalanced chakra in the solar plexus. •       How to balance this chakra: If you want to combine this chakra with yoga, select asanas that reflect on the core strength. Warrior pose is the easiest asana to get this chakra open. Every morning, you can just hold it for a few minutes and your chakra will balance out. Since the chakra of the solar plexus is linked to the sun and flames, simply going outside can help. The therapeutic effects of your exercise can be maximized by meditating or doing yoga outdoors. Even going for a walk in the sunshine will still do the trick, though.

India's Leading Dermatology Third Party Pharma Manufacturing Company Today, the world's pharmaceutical industry is growing by leaps and bounds; and India is showing the most promising signs in this industry. We undertake our quest of improving the quality of human life with enthusiasm and vigor. Our vision for the future is powered by our business drivers. It finds purpose and direction with our strategic intent. Understanding how diseases develop and the preventive measures that can be adopted to avoid them are important steps in staying healthy. Dermatology is the branch of medicine dealing with the skin, nails, hair, and its diseases. It is a specialty with both medical and surgical aspects. A dermatologist treats diseases, in the widest sense, and some cosmetic problems of the skin, scalp, hair, and nails. Our latest range of treatment and therapy solutions gives healthcare professionals the opportunity to offer individualized care to their patients. And an array of delivery options including systemic, topical, and BioPhotonic technologies - allows doctors and nurses to tailor their treatments to the lifestyle of each individual patient We also accept Third Party Manufacturing order and have major Client base in Nigeria, Kenya, Nepal, Sri Lanka, Myanmar, Sudan, Philippines, Vietnam, Cambodia. All mine Face Lotion for Moisturizing & Dry Skin Lotion, Face Lotion for Moisturizing, Allmine Lotion Moisturizes, Allmine Lotion, Body Lotion.

Keiko Shigeno is a compassionate healthcare professional with experience with underserved communities, indigent care, and addiction medicine.

The history of veterinary medicine as a professional career, especially at its inception, is an account made up largely of the stories of Christian men and women convinced that the domain of animal health is a calling God cares about.

Dr. Christian Ugwualor garners high respect as a physician specializing in internal medicine and hospitalist care. Alongside his professional commitments, Dr. Ugwualor finds deep fulfillment in his role as a devoted father to two remarkable boys, cherishing the moments shared with his family.

In general, the chakra system branched into two sections: the Vedic and the Tantric (now alive within Ayurvedic medicine and Tantric yoga, for example). The term tantra comes from two words: tanoti, or to expand; and trayati, or to liberate. Tantra therefore means “to extend knowledge that liberates.” Tantra is a life practice based on teachings about the chakras, kundalini, hatha yoga, astronomy, astrology, and the worship of many Hindu gods and goddesses. Tantric yoga originates in pre-Aryan India, around 3000 to 2500 BC. Many other varieties of Tantric yoga or spirituality have arisen from it, including Tantric Buddhism. Each system derived from Tantric yoga has a unique view on the chakras and their related gods, cosmology, and symbols. The history of chakras, as complex as it sounds so far, is even more complicated. The chakra system is intertwined with—and maybe even created by—several different cultures. Although usually associated with India, Tantric yoga was also practiced by the Dravidians, who originated from Ethiopia, as is revealed in the many similarities between predynastic Egyptian and African practices and ancient Indian Tantric beliefs.6 For example, numerous Hindu deities are rooted in “India’s black civilizations, which is why they are often depicted as black.”7 Some historians point out that early Egyptians were greatly affected by African beliefs,8 and in turn influenced Greek, Jewish, and, later, Islamic and Christian thought, in addition to the Indian Hindu.9 Other cultures also exchanged chakra ideas. Many practices of the early Essenes, a religio-spiritual community dwelling in Palestine in the second century BC through the second century AD, mirrored those of early India.10 The Sufis—Islamic mystics—also employed a system of energy centers, although it involved four centers.11 The Sufis also borrowed the kundalini process from Tantric yoga, as did certain Asian Indian and American Indian groups.12 As we shall see, the Maya Indians of Mexico, the Inca Indians of Peru, and the Cherokee Indians of North America each have their own chakra method. The Maya believe that they actually taught the Hindu the chakra system. The chakra system was brought to the West in yet another roundabout way. It was first thoroughly outlined in the text Sat-Chakra-Nirupana, written by an Indian yogi in the sixteenth century. Arthur Avalon then delivered chakra knowledge to Western culture in his book The Serpent Power, first published in 1919. Avalon drew heavily upon the Sat-Chakra-Nirupana as well as another text, Pakaka-Pancaka. His presentation was preceded by Theosophic Practica, a book written in 1696 by Johann Georg Gichtel, a student of Jakob Bohme, who refers to inner force centers that align with Eastern chakra doctrines.13 Today, many esoteric professionals rely on Anodea Judith's interpretation of Avalon’s work, to which she has added additional information about the psychological aspects of the chakras.

Whom should I see? Take the time to find and pick a specialist (professional or friend) with whom you feel comfortable and who fits your standards to make sure you have the best possible experience. (While a friend may not have the same level of experience as a practitioner, if you're relaxed and open to each other, it can be a pleasant bonding experience to get Reiki from a partner.) You're going to want someone who clearly describes the procedure and how he or she approaches the treatment to give you an idea of what to expect. Your individual therapeutic process is very unique, so learning what will be done next by the therapist will make you trust in your care.

I’ve tried so hard to rehab my image on my own. Old Rachel is gone. I left her in California along with my Jimmy Choo collection. I’m not that partying celebrity girl anymore. I’m a sports medicine doctor. A highly educated, professional woman. With three boyfriends…on the same NHL team. And I think two of my boyfriends might be boyfriends.

Dr. Evan Leonard is a dedicated clinician, educator, and lifelong learner with a passion for making a difference in the lives of others. With a background in emergency and critical care medicine, Evan has honed his skills as a practitioner and educator, earning recognition for his contributions to the field. As an adjunct professor, he is committed to empowering the next generation of healthcare professionals with the knowledge and skills they need to succeed. Outside of work, Evan enjoys pursuing his diverse interests, from sports to literature and is always eager to engage with others in meaningful ways.

Experienced and qualified doctors understand the side effects of medicines before the prescription. Indeed, the majority of doctors hold a professional degree and certificate, whereas virtually none of them has the latest and accurate knowledge; as a result, it executes no difference between such doctors and a robot.

Naturally, immunity is a natural physician that fends off all invading bacteria and viruses, whereas food becomes its medicine or trouble since that appears to increase or decrease your immune system; thus, choose the right and healthy food, and adopt this proverb: Eat to be alive, not live to eat. Experienced and qualified doctors understand the side effects of medicines before the prescription. Indeed, the majority of doctors hold a professional degree and certificate, whereas virtually none of them has the latest and accurate knowledge; as a result, it executes no difference between such doctors and a robot. When naturopathy experts and spiritual figures predict with significant certainty that you have no cancer or whatever other sickness, it confuses, surprises, and creates suspicious feelings in your mind, whereas doctors have diagnosed metastatic cancer. What should one believe and what not? However, one’s enemies are still awaiting its death. One breathes, expecting and waiting for the miracle of God; it will soon happen if one believes. You neither feel trust in your family doctor and specialists nor feel satisfaction with their treatment. You always realize that they do not tell the truth about how risky your disease is, and they never discuss it. If doctors fail to meet your sufferings of mucus, shortness of breath, and swallowing difficulties because of medication’s side effects, they will indeed put you on medical victimization, ignoring the better quality of life that the medical system promises. Most doctors work for the insurance companies instead of caring for patients. It is factually a medical crime that doctors, hospitals, or insurance providers put patients at high risk. Many doctors do not respect patients’ requests to fulfill it because patients want treatment according to international medical guidelines. Such refusal results in the spreading of their suffering. It saddens patients that the doctors only think about the insurance provider and not the patient. Indeed, such a situation can put one on the track in a dilemma. However, one’s experience and others may prove that none of the medicines give patients a good quality of life, whether homeopathy, allopathy, naturopathy, or even a spiritual one. If your fate stands as a barrier in front of you, no one sees or realizes what you have faced and is still facing worries about your health. Factually, robot doctors cannot provide significant information that may help to ease patients’ suffering; there is only one way to change lifestyle and stay strict on diet; it will have a better result than medicine, which is full of toxins that damage patients’ health instead of curing it. One can think or predict that the medical world has become a medical trade in which one cannot exclude the medical mafia. Is it a valid context that requires an authentic answer?

Years in the practice of medicine had taught me not to anticipate; the reality of each case was bound to be unique, and so must be my response to it. My emotions, however, were much harder to control than my professional reactions.

Norris was particularly exasperated by a report that loosely blamed a man's death on wood alcohol. The document stated that the victim had been drinking heavily in the hours before his collapse. He'd also been stricken with sudden blindness (a classic symptom of wood alcohol poisoning) several hours before lapsing into a coma. The death certificate listed wood alcohol poisoning as a 'more than probable' cause. But 'more than probable' was hardly a professional opinion, Norris said. [...]

Dr Babbington snorts a mighty snort of derision. ‘You young people spend entirely too much time online, self-diagnosing.’ He pauses and adds with a smile, ‘You all turn up here telling me that you’ve got this or that and talking about worst-case scenarios. You need to leave medicine to the medical professionals. That’s what we’ve been trained to do.

had changed little by 2013, when the U.S. Bureau of Labor Statistics reported that 96.5 percent of veterinarians were white. Veterinary medicine continues to be less racially diverse than any other professional field.

While many sports medicine professionals still cling tightly to the dogmatic approach of anti-inflammatory drugs, rest, and ice, the science of collagen synthesis provides insight into how we can do better.

For centuries, medicine has claimed that women are defined by their bodies and biology. But we have never been respected as reliable narrators of what happens to our bodies. We are denied agency because the man-made world privileges specialist, sanctioned knowledge over our own thoughts and feelings. There is no space in the professional medical narrative of illness and disease for women’s own experiences.

In the 21st century and beyond, eating healthy foods alone is no longer medicine. Eating habits are.

Medical professionals concentrate on repair of health, not sustenance of the soul. Yet

While someday the computerization of medicine will surely be that long-awaited “disruptive innovation,” today it’s often just plain disruptive: of the doctor-patient relationship, of clinicians’ professional interactions and work flow, and of the way we measure and try to improve things. I

Back in 2012, the American Board of Internal Medicine Foundation along with Consumer Reports, a highly regarded independent, nonprofit consumer organization, introduced Choosing Wisely,68–77 an initiative to reduce unnecessary medical tests and cut costs. When Choosing Wisely was first announced, nine medical professional organizations published their lists of five tests and procedures that they deemed were unnecessary. Of these forty-five recommendations for unneeded tests, twenty-five (56 percent) were related

But scientific advances have turned the processes of aging and dying into medical experiences, matters to be managed by health care professionals.

THE DSM-V: A VERITABLE SMORGASBORD OF “DIAGNOSES” When DSM-V was published in May 2013 it included some three hundred disorders in its 945 pages. It offers a veritable smorgasbord of possible labels for the problems associated with severe early-life trauma, including some new ones such as Disruptive Mood Regulation Disorder,26 Non-suicidal Self Injury, Intermittent Explosive Disorder, Dysregulated Social Engagement Disorder, and Disruptive Impulse Control Disorder.27 Before the late nineteenth century doctors classified illnesses according to their surface manifestations, like fevers and pustules, which was not unreasonable, given that they had little else to go on.28 This changed when scientists like Louis Pasteur and Robert Koch discovered that many diseases were caused by bacteria that were invisible to the naked eye. Medicine then was transformed by its attempts to discover ways to get rid of those organisms rather than just treating the boils and the fevers that they caused. With DSM-V psychiatry firmly regressed to early-nineteenth-century medical practice. Despite the fact that we know the origin of many of the problems it identifies, its “diagnoses” describe surface phenomena that completely ignore the underlying causes. Even before DSM-V was released, the American Journal of Psychiatry published the results of validity tests of various new diagnoses, which indicated that the DSM largely lacks what in the world of science is known as “reliability”—the ability to produce consistent, replicable results. In other words, it lacks scientific validity. Oddly, the lack of reliability and validity did not keep the DSM-V from meeting its deadline for publication, despite the near-universal consensus that it represented no improvement over the previous diagnostic system.29 Could the fact that the APA had earned $100 million on the DSM-IV and is slated to take in a similar amount with the DSM-V (because all mental health practitioners, many lawyers, and other professionals will be obliged to purchase the latest edition) be the reason we have this new diagnostic system?

One assumption that is already being shattered is the idea that only routine, semi-skilled jobs like taxi driving, food delivery, or household chores are susceptible. Even traditional professions like medicine and law are proving to be susceptible to platform models. We’ve already mentioned Medicast, which applies an Uber-like model to finding a doctor. Several platform companies are providing online venues where legal services are available with comparable ease, speed, and convenience. Axiom Law has built a $200 million platform business by using a combination of data-mining software and freelance law talent to provide legal guidance and services to business clients; InCloudCounsel claims it can process basic legal documents such as licensing forms and nondisclosure agreements at a savings of up to 80 percent compared with a traditional law firm.11 In the decades to come, it seems likely that the platform model will be applied—or at least tested—in virtually every market for labor and professional services. How will this trend impact the service industries—not to mention the working lives of hundreds of millions of people? One likely result will be an even greater stratification of wealth, power, and prestige among service providers. Routine and standardized tasks will move to online platforms, where an army of relatively low-paid, self-employed professionals will be available to handle them. Meanwhile, the world’s great law firms, medical centers, consulting partnerships, and accounting practices will not vanish, but their relative size and importance will shrink as much of the work they used to do migrates to platforms that can provide comparable services at a fraction of the cost and with far greater convenience. A surviving handful of world-class experts will increasingly focus on a tiny subset of the most highly specialized and challenging assignments, which they can tackle from anywhere in the world using online tools. Thus, at the very highest level of professional expertise, winner-take-all markets are likely to emerge, with (say) two dozen internationally renowned attorneys competing for the splashiest and most lucrative cases anywhere on the globe.

Swami Devi Dyal Institute of Pharmacy The Institute is approved by AICTE & Pharmacy Council of India and is affiliated to Pt. B.D. Sharma University of Health Sciences, Rohtak. Courses Offered: Bachelor in Pharmacy A Bachelor of Pharmacy (Abbreviated B Pharma) is a graduate education degree in the field of pharmacy. The degree is the basic condition for practicing in many countries as a pharmacist and it is about developing necessary skills for counseling patients about understanding and using the properties of medicines. Bachelor of Pharmacy (B.Pharm) is an undergraduate degree course in the field of Pharmacy education. The students those are interested in the medical field (except to become a doctor) can choose this course after the completion of class 12th. After the completion of this degree, the students can practice as a Pharmacist. Pharmacists can work in a range of industries related to the prescription, manufacture & provision of medicines. The duration of this course is 4 years. The B.Pharm is one of the popular job oriented course among the science students after class 12th. In this course the students study about the drugs and medicines, Pharmaceutical Engineering, Medicinal Chemistry etc. This course provides a large no. of job opportunities in both the public and private sector. There are various career options available for the science students after the completion of B.Pharm degree. The students can go for higher studies in the Pharmacy i.e. Master of Pharmacy (M.Pharm). This field is one of the evergreen fields in the medical sector, with the increasing demand of Pharma professional every year. B.Pharm programme covers the syllabus including biochemical science & health care. The Pharmacy Courses are approved by the All India Council of Technical Education (AICTE) & Pharmacy Council of India (PCI). B.Pharma – Bachelor in Pharmacy Program Mode Regular Duration 4 Years No. of Seats 60 Eligibility Passed 10+2 examination with Physics and Chemistry as compulsory subjects along with any one of the Mathematics/ Biotechnology/ Biology. Obtained at least 47% marks in the above subjects taken together. Lateral Entry to Second Year: Candidate must have passed Diploma in Pharmacy course of a minimum duration of 2 years or more from Haryana Board of Technical Education or its equivalent with at least 50% marks in aggregate of all semesters/ years.

episodes are due to psychiatric illness, and the nature of the episodes is often embarrassing. A potentially violent or injurious episode often leads to evaluation. Yet effective medical treatments are now available—actually a number of them—such as medication and hypnosis. The key is finding a sleep medicine professional experienced in the diagnosis and management of sleepwalking and sleep terrors. Sleepwalking and sleep terrors affected every part of Ms. Frazier’s life. They put her safety, her very life, at risk and threatened the safety of those close to her. Sleepwalker: The Mysterious Makings and Recovery of a Somnambulist is an accurate

Indeed, this crisis was also spurred by the abandonment of professional ideals in the pursuit of profit that made managed care necessary in the first place.

According to chiropractic historian Joseph Donahue, 80 percent of chiropractors “evade professional accountability” by firing at patients a “barrage of quasi-scientific information” about particular techniques, while remaining intentionally vague about the meanings of Innate Intelligence, because they realize that this “religious doctrine … if understood by the patient, would be reprehensible to many of them.

The ultimate goal of gathering big data in electronic medical records (EMR) ¬managed by professionals, and personal health records (PHR) updated by patients is creating smart alerts in natural language. That is, the system would understand the actual meaning of words and expressions in the records, thereby making it simpler to intervene in a patient’s affairs when needed.

A Guaranteed Way To Find A Great Skin Care Specialist In One Day You should always be as honest and communicative as possible when explaining health conditions to your doctor; in response, they are going to offer effective alternatives during your visit. In order to communicate effectively with your Skincare specialist, you need to interact by asking educated questions. If you're unhappy with your Skincare specialist, follow our recommendations to help find a much better one. When your healthcare professional practitioner announces their retirement, immediately request a referral for a new New York City Dermatologist. Searching for a new New York City Dermatologist is difficult even when you set aside the time to start your search. Do not delay in asking for referrals from your healthcare professional practitioner or his or her personnel members. It's advisable to have a list of several health care providers you could select from. Everyone looks for a Skincare specialist with knowledge, particular skills, and a lot of experience practicing medicine, as well as an appealing manner. Many patients believe that their New York City Dermatologist's age is also an important factor. Older Skincare specialists are regarded as more experienced, although they might be too old school to simply accept new technologies. In contrast, people see younger Skincare specialists as more open-minded and technologically-experienced. In every state, there is a Healthcare professional Board that exists to handle patients' complaints about health care professionals. It is within your legal rights to contact the board if you certainly are a victim of malpractice or poor treatment. The healthcare professional board handles and investigates all cases against a Skincare specialist about malpractice or negligence claims. Legally, healthcare professional records have to be maintained for a certain amount of time because it's vital to your overall health care. You ought to be aware of where your healthcare professional records are being held and how long they'll be there in the event you need to access them. It's suggested that you retain your own information, so make sure to request duplicates of your healthcare professional history, even though you are required to pay a fee in order to receive them. Some New York City Dermatologists will charge a fee for making copies of your records. Truly dedicated healthcare staff make an effort to improve the physical and emotional state of each and every person they meet by treating them with compassion and respect. A qualified healthcare professional professional can provide you with the best treatments to improve your health. Taking the time to listen to concerns and afterwards to find the best possible treatment options are two things that every great New York City Dermatologist does. If your healthcare professional professional does not fit these general rules, you should seek a new one immediately. Bobby Buka, MD For more information, Visit us at : Best Dermatologist in NYC Address : 220 Front St New York, NY 10038 Phone : (212) 385-3700

Finally, the study observes, “health care organizations…are controlled by powerful, producer-led interests. The dominant position of health care corporations and professionals gives them the political and economic clout to block changes” that would reduce their power and make them more accountable “even in the face of pressure from government, patients and the media.” A second study published

Critical thinking helps us to more clearly understand situations, patients, colleagues, and our agendas, negative emotions, attitudes, motivations, talents, and growing edges. This not only helps us to have a greater grasp of reality but also stops the drain of psychological energy that is necessary to be defensive or to protect our image. Because critical thinking is not natural, although we may think it is for us, it takes discipline, a willingness to face the unpleasant, and a stamina that allows one not to become unduly frustrated when we do not achieve results as quickly as we prefer with respect to our insights and growth.

People live longer and better than at any other time in history. But scientific advances have turned the processes of aging and dying into medical experiences, matters to be managed by health care professionals. And we in the medical world have proved alarmingly unprepared for it.

Medical professionals concentrate on repair of health, not sustenance of the soul.

Vector Medical believes in a top-down approach to occupational health. Every employer, Vector Medical has provided a dedicated, experienced and professional occupational medicine specialist who assumes the role of medical director.

patient-centric is a system that discounts the power or importance of a physician’s, or a nurse’s, professional impact on patient healing. The healing relationship is multi-faceted, and as Dr. John Burroughs describes it, the relationship combines three critical components: A patient who wants to be healed, practitioners who desire to provide healing services and a healthy organization to create the optimal environment for healing. But a patient-centric hospital can neither be a care-provider’s democracy nor a loose confederation of aligned interests. Medicine now is far too complex for cottage industry methods. In fact, the ideal healing environment is one of harmonious synergy in which the hospital is the focal point of coordination and responsibility for standards, continuity and competence—as well as the means of forming and supporting the care team. The patient’s best interests, however, must be the primary and overriding center of everything the team does.

For all its amazing complexity, the field of investment management really has only two major parts. One is the profession—doing what is best for investment clients—and the other is the business—doing what is best for investment managers. As in other professions, such as law, medicine, architecture, and management consulting, there is a continuing struggle between the values of the profession and the economics of the business. Investment firms must be successful at both to retain the trust of clients and to maintain a viable business, and in the long run, the latter depends on the former. Investment management differs from many other professions in one most unfortunate way: it is losing the struggle to put professional values and responsibilities first and business objectives second. To

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It is common for healthcare professionals to be able to maintain a demanding work schedule, coping well with frequent medical emergencies and tragedies—until something falls apart in their personal lives.

A century ago, as physicians were slowly professionalizing and medicine was on the cusp of becoming scientific, a Boston doctor named Ernest Amory Codman had an idea similar in spirit to forecaster scorekeeping. He called it the End Result System. Hospitals should record what ailments incoming patients had, how they were treated, and—most important—the end result of each case. These records should be compiled and statistics released so consumers could choose hospitals on the basis of good evidence. Hospitals would respond to consumer pressure by hiring and promoting doctors on the same basis. Medicine would improve, to the benefit of all. “Codman’s plan disregarded a physician’s clinical reputation or social standing as well as bedside manner or technical skills,” noted the historian Ira Rutkow. “All that counted were the clinical consequences of a doctor’s effort.”8 Today, hospitals do much of what Codman demanded, and more, and physicians would find it flabbergasting if anyone suggested they stop. But the medical establishment saw it differently when Codman first proposed the idea.

Elizabeth Green’s New York Times article “Why Do Americans Stink at Math?” is funny and not so funny. In it, she recounts how, in the 1980s, A. Alfred Taubman, owner of the A&W chain, attempted to win over customers from McDonald’s. To lure customers from McDonald’s Quarter Pounder hamburger, he advertised the A&W better-tasting burger that was, in contrast to the McDonald’s Quarter Pounder, a full one-third pounder. One-third of a pound versus one-quarter of a pound and at the same price! Great idea, right? Well, not if you don’t know one-third is more than one-fourth! Taubman called in his cutting-edge marketing firm, Yankelovich, Skelly & White, to find out why the A&W campaign was failing. A study had shown that, without question, respondents preferred the taste of A&W’s burger over McDonald’s. Except for one small glitch. “Why,” respondents asked, “should we pay the same amount for a third of a pound of meat at A&W as we do for a fourth of a pound at McDonald’s?” Since three is less than four, reasoned more than half of those questioned, A&W was really ripping them off! And the problem is not confined to hamburger connoisseurs. Medical professionals, it turns out, aren’t immune to fallacious math either. Doctors and nurses have also been known to err when calculating dosages for medications. The problem is prevalent enough, in fact, to support services that help simplify math for doctors and nurses, including Broselow.com, whose tagline is “Taking the math out of medicine.

The ten rules of ikigai We’ll conclude this journey with ten rules we’ve distilled from the wisdom of the long-living residents of Ogimi: 1. Stay active; don’t retire. Those who give up the things they love doing and do well lose their purpose in life. That’s why it’s so important to keep doing things of value, making progress, bringing beauty or utility to others, helping out, and shaping the world around you, even after your “official” professional activity has ended. 2. Take it slow. Being in a hurry is inversely proportional to quality of life. As the old saying goes, “Walk slowly and you’ll go far.” When we leave urgency behind, life and time take on new meaning. 3. Don’t fill your stomach. Less is more when it comes to eating for long life, too. According to the 80 percent rule, in order to stay healthier longer, we should eat a little less than our hunger demands instead of stuffing ourselves. 4. Surround yourself with good friends. Friends are the best medicine, there for confiding worries over a good chat, sharing stories that brighten your day, getting advice, having fun, dreaming … in other words, living. 5. Get in shape for your next birthday. Water moves; it is at its best when it flows fresh and doesn’t stagnate. The body you move through life in needs a bit of daily maintenance to keep it running for a long time. Plus, exercise releases hormones that make us feel happy. 6. Smile. A cheerful attitude is not only relaxing—it also helps make friends. It’s good to recognize the things that aren’t so great, but we should never forget what a privilege it is to be in the here and now in a world so full of possibilities. 7. Reconnect with nature. Though most people live in cities these days, human beings are made to be part of the natural world. We should return to it often to recharge our batteries. 8. Give thanks. To your ancestors, to nature, which provides you with the air you breathe and the food you eat, to your friends and family, to everything that brightens your days and makes you feel lucky to be alive. Spend a moment every day giving thanks, and you’ll watch your stockpile of happiness grow. 9. Live in the moment. Stop regretting the past and fearing the future. Today is all you have. Make the most of it. Make it worth remembering. 10. Follow your ikigai. There is a passion inside you, a unique talent that gives meaning to your days and drives you to share the best of yourself until the very end. If you don’t know what your ikigai is yet, as Viktor Frankl says, your mission is to discover it.