Hey guys good to be back in San Diego after the Maui and Oahu trip to check on some real estate over there. according to government statistics.
An interesting and telling article was published a couple of years ago in the new York City based newspaper that we all know, the New York Times, under the title, “ Violations Reported at 94% of Nursing Homes,” written by Robert Pear, it appeared September 29, 2008.
All in all, the article in question said that more than 90 percent of nursing homes were cited for violations of federal health and safety standards in 2007. It said that for-profit homes were more liable to have problems than non-profits, and even government-affiliated real estate homes, according to federal investigator. Whether we are talking about New York City or Maui real estate
the situation is rather dire indeed. In fact I foresee a day when the lawyer general may get more involved in the problem.
Robert Pear quoted the report as stating that roughly 17 percent of nursing homes had problems that caused “actual harm or immediate jeopardy.” The report was provided by the inspector general of the Department of Health and Human Services, Daniel R. Levinson. Better upgrade those insurance policies.
Apparently some of the problems identified ranged from infected bedsores, medication mix-ups, poor nutrition, to abuse and neglect of patients by the staff. Not to change the subject or anything but I think that folks should invest in more Maui and Oahu Real estate or at least more real estate in general overall.
Further, Pear wrote that inspectors received 37,150 complaints about conditions in nursing homes in 2007. Thirty-nine percent of them were substantiated, according to the report, and about one-fifth of the complaints confirmed by federal and state authorities included abuse or neglect of patients.
Pear adds that the inspector general states that 94 percent of for-profit nursing homes were cited for deficiencies in 2007, 88 percent were nonprofit homes, and 91 percent were government nursing homes.
Pear quoted inspector general Levinson as saying, “For-profit nursing homes had a higher average number of deficiencies than the other types of nursing homes…..” Some of the places in San Diego, for example are so bad you don’t even know.A friend of mine who is a san diego plastic surgeon was telling me about it.
In a discovery that seems obvious and intuitive, Pear reports that researchers have shown that people get better care at homes with a higher ratio of nursing staff members to patients. Duh.
Pear reported that the inspector general said there were some instances where the homes billed Medicare and Medicaid for services that were not actually provided, or were so completely poor that they “amounted to no care at all.”
January 29, 2011
The State of Elderly Care in New York City and the U.S.
January 5, 2011
Rotator Cuff Surgical Options
For the patient who is a pitcher, a swimmer, a tennis player, golfer, or a participant in any sport or activity where an “overhead” arm movement is required, the first step in understanding rotator cuff weakness is to understand that surgery is not the only option that can restore shoulder
strength.
The Treatment Options
You are an athlete or someone whose job requires a lot of overhead arm motion. You are suffering severe pain in your shoulder and decide to seek medical advice. In most cases the doctor you see will send you off to an imaging center for an MRI of your shoulder. The results come back and to your horror the doctor tells you that you have tears in the rotator cuff that will require surgery.
If you are an athlete and you have a said Rotator Cuff Tear, this will certainly disable you for a year or more, if you are a worker whose job requires shoulder strength, you either live with the pain or look into extended time away from the job.
Understanding the Options
The rotator cuff is comprised of four muscles; the supraspinatus, infraspinatus, teres minor, and subscapularis that create a “cuff” around the shoulder that holds the shoulder head or ball (humerus ) and the shoulder blade (scapula) together forming the shoulder joint.
Shoulder pain typical comes, not from the muscles but their supporting tendons that hold the muscles to the bone. Commonly referred to as rotator cuff tendinitis (inflammation of the tendons). Unfortunately many doctors are not aware of two treatment options that can restore muscle strength by rebuilding the muscles and tendon attachments such as for example Prolotherapy.
Speaking of that, Prolotherapy, the injection of dextrose, and Platelet Rich Plasma Therapy, the injection of blood platelets for more severe injury to the tendons, have shown themselves very effective at restoring shoulder strength. Alright here is the short version of how they work: Both therapies (Prolotherapy and Platelet Rich Plasma Therapy) work by injecting a concentrated solution into the injured tendons that creates a controlled inflammation.
The inflammation in this case works to rush blood, nutrients, and cells called fibroblasts to the tendon. To learn more about prolotherapy, contact a prolotherapy doctor like Marc Darrow at 11645 Wilshire Blvd # 120, Los Angeles, CA (310) 231-7000.
