SURGEON: Hal Russo‚ MD FIRST ASSISTANT: Wendy Quimby‚ MD SECOND ASSISTANT: Justin Don‚ MD PREOPERATIVE DIAGNOSIS Medically refractory seizures. POSTOPERATIVE DIAGNOSIS Medically refractory seizures. PROCEDURE Insertion of left vagal nerve stimulator. ANESTHESIA General Endotracheal HISTORY This is a 6 year old white female‚ who has had medically refractory seizures for most of her life. She arrives here after failing multiple medical therapies for insertion of a vagal
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diagnosis of hyperhidrosis. The member’s treating provider‚ Michael Shelling‚ MD recommended the member undergo treatment with Botulinum injections into the axillae. The carrier has denied coverage of Botulinum injections into the axillae as not medically necessary. There is a letter from the carrier to the member dated 06/02/2016 which states in part: “The specific reason for the denial of your appeal for Botox is that requested documentation was not received. Without medical documentation‚ the
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the tastes of the local culture but also to fill a gap in the current supermarket offerings within the region. The locations‚ which are primarily urban‚ small footprint locations in city centres and underserved neighbourhoods‚ are intended to not only take advantage of the chance to enter an underserved market but also to fit the market needs of the surrounding areas and to integrate seamlessly into the neighbourhoods. The formal system of work
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companies in tailoring their products & services to the groups most likely to purchase them. Good segmentations identify the groups most worth pursuing – The Underserved‚ the dissatisfied and those likely to make first time purchase. Good Segmentations are “Dynamic” in the sense that they recognize that the 1st-time purchaser may become underserved or dissatisfied if his/her need changes. Historical Perspective – Pervasiveness of Psychographic Segmentations: By the 1970s‚ product innovation slowed
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living in the New Orleans area and whether these populations are accessing shelter and advocacy services. It will also evaluate the barriers to accessing services and develop a plan of action for reaching underserved populations. The first step in evaluating the existing needs of these underserved populations is to develop a clear understanding of the boundaries and demographics of New Orleans and its different populations. Different Populations Living In New Orleans New Orleans is located approximately
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better control the “bad stuff” that they are putting in their bodies. If we are going to cut out all processed foods however‚ we must provide adequate supplements for nutritional needs. Vitamin packs would be provided for those who are considered medically obese. We could just start super gluing people’s mouths shut or putting braces on their arms so they could not bend their elbows in order to put food in their mouths. That may or may not be inhumane‚ but you get what you get and you don’t pitch a
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safest substance to use to date. One of the biggest debatable topics amongst marijuana use is the legalization of the substance medically. Many people believe marijuana should be accessible to those with terminally ill diseases. While others believe the drug should be illegal at all cost. Medical marijuana presents many negative issues in our society emotionally‚ medically and socially. Due to the negative effects from the substance‚ the use of marijuana should remain illegal in the United States.
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petent-care/chronic-... Murray-Garcia‚ J.‚ & Tervalon ‚ M. (1998). Cultural humility versus cultural competence: A critical distinction in defining physician training outcomes in multicultural education. Journal of Health Care for the Poor and Underserved‚ 9(2)‚ 117-125. Nystul‚ M. S. (2010). Introduction to counseling‚ an art and science perspective. Prentice Hall. What are your reflections about the video? The video Cultural Humility by Vivian Chavez was an intriguing video to say the least. The
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poverty in an underserved community and suffered abuse at the hands of her stepfather. When she was ten years old her family moved to the United States to escape the poverty and ill treatment T.E. (personal communication‚ January 6‚ 2015). T.E. was able to overcome the abuse she suffered as a child. She developed into a productive citizen of society. She was able to channel the pain she suffered as a child into becoming a nurturer and caregiver to help those in need. She worked in an underserved community
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becomes a matter of a legal issue when the Principles of Informed Consent can be proven in court that the victim was not given such information or allowed to exercise this principle. Supporters of this act argue that emergency contraception is a medically accepted way of preventing pregnancy and does not represent an abortion. A group specifically formed to make sure access to emergency contraception for rape‚ incest‚ and domestic violence
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