Tag Archives: Patient

It’s A Doctor’s Responsibility: Addiction Treatment

March 2, 2015

Life Time Risk of Imprisonment If Not Treated

The very existence of the medicine profession is to help find solution to patients who are suffering from various diseases. However in most situations the patients will have to pay for the services offered by the doctor. This is no crime; every profession exists so that those who specialize in those professions can make a living after offering their service. With this said it is good to note that there are times when a patient may need an emergent medical attention but may not be able to pay. During these times the patient should be able to be treated even if the doctor knows that he won’t pay. It is a responsibility of every doctor to tend his services to a patient who needs emergency care even without pay failure to which he will be imprisoned for failing to save a life that would have been saved had he offered his services to the patient on the right time.  Doctors know this and so they strive to give help when these situations pop up.

In medical laws any patient who needs an emergency response has a right to be treated and even a drug addict who is at the verge of losing his life as a result of addiction, withdrawal effects or drug overdose is termed an emergency case and so should be treated just like any other person who might have required a medical emergency from any unfortunate happening like road accident. Any person has a right to treatment at the times of emergency since without treatment the person may become disabled or may die.

Addiction treatment

Both public and private hospitals have a duty to administer medical care to a person experiencing an emergency. It is therefore in every doctor’s domain to treat a patient that needs emergency response failure to which he shall be legally responsible for the death of the patient.

If a hospital hasemergency facilities, it is legally required to provide appropriate treatment to a person experiencing an emergency. If the hospital is unableto provide emergency services, it must provide a referral for approriate treatment. Hospitals cannot refuse to treat prospective patient’s onthe basis of race, religion, or national origin, or refuse to treat someone with HIV or AIDS.

Emergency Medical Treatment and Active Labor Act 

In 1986, Congress passed the Emergency Medical Treatment and Active Labor Act (EMTALA) (42 U.S.C.A. § 1395dd), which establishedcriteria for emergency services and criteria for safe transfer of patients between hospitals. This statute was designed to prevent transferring an undesirable patient to another facility.The law applies to all hospitals receiving federal funds, such asMedicare. The law requires hospitals to provide a screening exam to determine if an emergency condition exists, providestabilizing treatment to any emergency patient or to any woman in active labor before transfer, and continue treatment until a patient can bedischarged or transferred without harm. It also delineates strict guidelines for the transfer of a patient who cannot be stabilized. A hospitalthat negligently or knowingly and willfully violates any of these provisions can be terminated or suspended from Medicare.The physician,the hospital, or both can also be penalized up to $50,000 for each knowing violation of thelaw.

Addiction TreatmentAny patient who needs emergency attention should receive it since if it is delayed there might be a loss of life. Therefore if a doctor is asked to attend to a medical emergency as defined in this statement, he must respond. This is both an ethical and legal obligation and therefore every doctor should abide. However rare there will be times when attending a medical emergency is impossible or unsafe for the doctor or patient. If a doctor chooses not to attend he or she may be required to defend that decision in the event of a charge of professional misconduct or criminal prosecution. The patient who needs medical attention is therefore catered for and should not be ignored.

A doctor is at risk of being professionally or criminally responsible of the death of a patient if he or she fails to render prompt and appropriate medical care to any person whether the patient is a current patient has just came in, in a medical emergency. A doctor who chooses not to attend must have good reason and be able to defend this position at a later time otherwise he will be charged in a court of law for medical negligence.

However there are situations when a doctor, may or should not attend a medical emergency. These scenarios may include;

  • if he or she is already attending another emergency
  • if it is more appropriate for an emergency service to attend (i.e. ambulance or rescue helicopter);
  • the geographical location of the doctor is such that another doctor or medical service can attend more promptly;
  • if he or she is off duty at the time of the call and has been drinking alcohol or taken medication or other substances to a level that may adversely influence the doctor’s level of competence;
  • If attending the emergency places the personal safety of the doctor at risk.
  • The doctor may also not attend to the patient if he is not in the right state of health himself or when he knows he is not competent enough to help the patient.

However a doctor should be able to take good care of the patient even if he is not able to offer any reasonable help to the patient. He should be able to assist the patient to access another health center where he can be helped. If a doctor fails to attend to emergency because of matters of inconvenience he will be charged and prosecuted.

Addicts just like anyone else have rights to emergency attention that is why we at AWAREmed Health and Wellness Resource Center are committed to availing help to patients by availing the needed information and offering them a place to call home. Just call on Dr. Dalal Akoury (MD) today and begin your journey to victory against addiction.

Life Time Risk of Imprisonment If Not Treated

 

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Supplements That Replenish Dopamine and Serotonin Levels

January 18, 2015

Supplements That Can Rebuild and Replenish Depleted Dopamine and Serotonin Levels after Opioid Addiction

SupplementsThe benefits of the brain chemicals such as serotonin and dopamine can never be underestimated. In the previous articles we explored their specific functions and therefore repeating them here will be scratching your ears. However I would like to remind you that the use of opiates has a negative effect on these neurotransmitters and after a person has been using opiates it is important that he find ways to restore the levels of these neurotransmitters failure to which he will suffer undesired consequences related to opiate withdrawal.

Here are some supplements that can be used to restore dopamine and serotonin levels after opiate use

L-Tyrosine– The conditionally essential amino acid tyrosine is a precursor of catecholamine neurotransmitter, dopamine included. L-Tyrosine is available in the foods we eat such as egg, meat and fish. It can also be synthesized in the body. Tyrosine forms DOPA, which is then converted to dopamine, and this, in turn, forms norepinephrine, another neurotransmitter related to mood. By supporting production of neurotransmitters like dopamine, L-tyrosine supplements can enhance mood, sleep, emotional well-being, and mental function, especially under situations involving environmental and emotional stress or when dopamine levels require additional support in most cases after long periods of opiate use resulting in depleted dopamine. As for some people they are born with low levels of dopamine and hence a genetically inherited problem but just like people with depleted dopamine and serotonin from opiates use, they can also eat foods rich L-tyrosine.

Mucuna pruriens– commonly known as velvet bean, murina naturally contains up to 5% L-Dopa often referred to as levodopa. Lovedopa is the same biochemical that is made in humans from the amino acid L-tyrosine and is then synthesized into dopamine. When it is taken as a supplement, the L-DOPA from Mucuna can cross the blood-brain barrier to elevate brain dopamine levels. The Indian traditional medicine champions the use of powdered mucuna seeds in treatment of myriad illnesses including the Parkinson’s disease. Recently, studies utilizing Mucuna supplements have shown promising results not just for Parkinson’s but for other conditions related to dopamine deficiency, including depression and psychological stress. Mucuna extract has been shown to increase not only dopamine concentrations, but also other neurotransmitters that affect mood, such as serotonin and norepinephrine too. Look for an extract of Mucuna pruriens standardized to contain 15% L-DOPA. Take 300 mg twice a day and you will be amazed at how effective this extract can be.

L-theanine- L-theanine is an amino acid uniquely found in green tea that creates an alert state of relaxation without drowsiness. L-theanine is known to be able to cross the blood-brain barrier and increase dopamine levels in the brain. In animal studies it has been shown that L-theanine also increases brain serotonin and GABA. L-theanine has anti-depressant and anti-anxiety effects. It reduces mental and physical stress, and leads to improvements in learning and memory in humans and animals. Even just a single, small dose of L-theanine (100 mg) significantly improves the ability to pay attention and maintain focus compared to placebo. Take 200 mg of L-theanine 2-3 times daily.

Rhodiola– Rhodiola rosea, also known as golden root is a popular plant in traditional medicine in Eastern Europe and Asia, with good reviews for improving depression, enhancing work performance, eliminating fatigue and treating symptoms resulting from intense physical and psychological stress. It exerts its benefits via multiple effects on the central nervous system, including enhancing the stability of dopamine and supporting its reuptake. This leads to notable decreases in depression, anxiety, and fatigue, as well as an increased ability to handle stress. In human studies, rhodiola has been shown to significantly reduce depression, anxiety, and stress-related fatigue compared to placebo. Basing hope in past research findings you are encouraged to find its extract and use it daily to end your troubles with opiate withdrawal effects. For the standardized supplement just use 170mg per day.

Multivitamin- some minerals and B-vitamins are known for their effects on the neurotransmitters. These includes; Zink, folate, Vitamin B6. These are very necessary for dopamine synthesis and neurotransmission. These nutrients are often depleted in individuals due to medications, inadequate diets, excessive stress, and toxic environmental exposures, compromising the ability to properly synthesize neurotransmitters like dopamine. Therefore there is need to supplement these nutrients especially with high-potency, high-quality multivitamin and mineral supplements. This will help in enhancing neurotransmitter function and playing a complementary role in supporting emotional wellness that is required for a recovering addict.

SupplementDespite the benefits of having a high level of dopamine, too much of it is dangerous and needs to be avoided. You therefore need to work with the supplements strictly as instructed to avoid any problem that may arise in case of overdose. It is also advisable that you desist from getting and using these supplements without the help of a doctor specialized in the area. For better outcome you should seek the services of an experienced integrative doctor as they are more versed in this kind of treatment. You should not use different supplements at a time without consulting your integrative doctor as some supplements may react and therefore bear even more grave consequences.

Drug addiction is a vice that should be fought by all means that is why we at AWAREmed Health and Wellness Resource Center are committed to availing help to addicts and offering them a place to call home. We offer NER Treatment and Amino acid therapy that are the most effective approaches to addiction treatment and recovery. You call on Dr. Dalal Akoury (MD) today and begin your journey to victory against addiction.

Supplements That Can Rebuild and Replenish Depleted Dopamine and Serotonin Levels after Opioid Addiction

 

 

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Hormones Linked to Sugar Addiction

January 11, 2015

Low Estrogen, Low Testosterone, Low Progesterone Cause Sugar Addiction

Sugar addictionThe hormones above are very crucial in our bodies but most of their functions are unknown to many people. Recently, researchers have been able to point out the relationships between these hormones and sugar addiction.

Low Testosterone and Sugar addiction

Low testosterone has been found to be a cause of Insulin resistance. Even a slight amount of insulin resistance keeps your body from managing blood sugar levels normally. When there is insulin resistance, it means that the glucose that you get from foods like carbohydrates that should give your cells instant energy is blocked from entering the cells. The cells therefore become starved leading to uncontrollable craving for sugar. Low testosterone in men induces insulin resistance. Testosterone is needed in sugar metabolism, insulin regulation and fat metabolism therefore when the levels of testosterone are low then the cells will starve and this will lead to a person becoming addicted to sugary substances.

Estrogens and Progesterone linked to sugar addiction

Estrogens are hormones that play important roles in matters of sexual and reproductive development in women. In most cases they are referred to as female sex hormones. Estrogen refers to all of the chemically similar hormones in the women which are estrone, estradiol and estriol. Contrary to what many people think estrogen and progesterone hormones play other crucial roles other than the sexual purpose that they are well known for. Apart from their sexual purpose they can also be useful in performing the following purposes that are equally crucial.

The estrogen hormone helps in fighting depression in women by boosting the levels of serotonin, a boost in the levels of serotonin improves the quality of sleep. Estrogen also increases GABA which are crucial as they help in calming the neurotransmitters.

Another crucial function of the estrogen hormones is that they responsible for good mood in women. They increase the levels of endorphins that help women to feel good. When the levels of estrogen go down the feelings of sadness and hopelessness will find their way in a woman and therefore it is necessary for a woman to stress free.

Estrogen hormone is also very important in bone formation and strengthening, it works with vitamin D and other mineral calcium in developing bones that are strong enough. As the level of estrogen declines women will begin to have weak bones and that explains why women in menopause are most likely to suffer osteoporosis.

Estrogen hormone also plays a role in blood clotting, maintaining the strength and thickness of the vaginal wall and the urethral lining, vaginal lubrication and a host of other bodily functions. It affects skin, hair, mucous membranes and the pelvic muscles. The hormone also affects the brain and literally estrogen rules a woman’s life.

Just like estrogen Progesterone also plays very crucial roles in our lives. This hormone is present in both men and women but it is more dominant in women than in men. This hormone helps in promoting healthy sleep, it also balances the levels of estrogen in the body. Progesterone has a natural calming effect and is a natural diuretic and antidepressant. When the levels of progesterone drop it will cause insomnia and lead to bad moods as well.

These hormones are produced in the ovaries and are available in the highest levels in women at puberty but may also be produced in lower levels in fat cells and the adrenal glands. During menopause the production of these hormones stops and that explains why women in menopause have lower levels of estrogen.

Some women will feel sugar cravings escalating in perimenopause periods in their forties, this may be caused by a fall in the levels of estrogen and progesterone and estrogen levels. On DR. Oz show Jacob Teitelbaum, MD opines that earlier in a woman’s life the cravings for sugar are likely to manifest as premenstrual syndrome. This is often associated with lower levels of progesterone and estrogen in them that may be accompanied by severe irritability that happens in during the periods. In his article he explains that when a woman hits mid-forties the levels of estrogen will drop. The drop in estrogen and progesterone causes deficiency of the hormones in the body and this causes increased craving for sugar. Other symptoms of low progesterone and estrogen fatigue, moodiness and insomnia as well as decreased vaginal lubrication.

According to Jacob Teitelbaum, MD, it is not only progesterone and estrogen deficiency that causes increased craving for sugar but testosterone deficiency associated with andropause can also cause sugar craving along with other severe problems in men. Depression, decreased libido, decreased erectile function, high blood pressure, weight gain, diabetes or high cholesterol can suggest testosterone deficiency. This problem can be solved by supplementing testosterone.

He reveals that blood testing for hormonal deficiency may not reveal the problem when still mild and manageable, it can only work in severe conditions that will leave a person debilitated for long time. He advises that it is very essential to eliminate sugar addiction that is caused by estrogen, progesterone or testosterone.

Treating Sugar addiction

There are natural therapies that can be used in restoring the levels of estrogen and progesterone in the body and calm the sugar craving and break the addiction. These natural therapies may include edamane and black cohosh also known as remifemin, they are very effective in treating estrogen deficiency syndrome more effectively and naturally. In case the drop in level is more severe then prescription of natural bioidentical hormones can help.

Sugar addictionDr. Teitelbaum advices that using non-bioidentical hormones may not to be so safe and therefore encourages the use of the natural bioidentical hormones to help patients with low estrogen and progesterone levels hence break their sugar addiction and stop the craving. He advises that post menstrual syndromes characterized by increased sugar craving can be greatly reduced by taking vitamin B6 200 mg a day, magnesium 200 mg a day, and Evening Primrose oil 3,000 mg a day for 3 months. Then the dose can often be lowered. Bioidentical progesterone can also help in severe cases that persist after three months of the nutritional treatments above.

When you use the natural bioidentical hormones, your metabolism will be improved and your cravings for sugar will stop. With improved metabolism you will reap additional benefits like loss of weight hence a more satisfying life. Dr. Dalal Akoury (MD) of AWAREmed Health and Wellness Resource Center is committed to availing integrative care to all addicts call on her at Myrtle beach, South Carolina for help.

Low Estrogen, Low Testosterone, Low Progesterone Cause Sugar Addiction

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Coffee Enema and It’s Role in Cancer Treatment

December 29, 2014

Coffee Enema’s Role in Cancer

The liver is an essential body part that aids in body detoxification. Through this process the liver gets rid of toxins in the body. This in turn enables the body to normally perform essential internal functions. In the case of cancer, the liver loses it functioning. For this reason, detoxification does not occur.

It is common knowledge that cancer is characterized by an over growth of cells. The body loses its control functions and the cells begin to grow uncontrollably. This leads to the formation of cancerous tumors. The cells forming the tumor end up releasing toxins into the host tissues mass. These toxins are associated with cancer pains.

In a cancer patient, the liver does not perform its detoxification functions. Toxins end up accumulating in the body and this causes a lot of pain. Cancer cells continue to multiply and more toxins are released in the body. The patient is therefore in a lot of pain.

The main treatment for cancer is removal of the cancerous tumor through surgery. Other methods such as chemo therapy and radiation therapy are applied to kill the cancerous cells and prevent them from multiplying. Others include such things as immune therapy, stem cell transplant e.g. bone marrow transplant, gene therapy among others.

Coffee Enema

Coffee Enema’s Role in Detoxification

Coffee enema is an internal cleansing purification of the liver that involves the detoxification of the liver. It also involves the cleansing of blood in general. This allows the liver to go back to its initial function of detoxifying the body. When the liver is healthy then the whole body is healthy.

Coffee enema has been used for years as an alternative for not only cancer therapy but also constipation. It works in cancer patients by detoxifying the liver by aiding the removal of wastes. This activates the cancer reversing process.

Most people feel indifferent about coffee enema process because it involves the anus. Many individuals prefer sipping their coffee than taking it through the rectum. What you did not know is that you might reap maximum benefits from the rectum process. The benefits of this process are high and complications area very rare. So why not go with it?

It is applied in the Gerson therapy where cancer patients are given about five coffee enemas in a day. Coffee enema assists the liver in detoxification process. Coffee Enema assists it in the removal of toxic substances to enable the body go back to its normal functioning.

When toxins accumulate in the body, to some of us our bodies are unable to fight these toxins. The liver is bombarded with so many functions that its effectiveness goes down drastically. It is unable to remove toxics and this translates to a lot of pain especially in cancer patients.

When a patient is put on the coffee enema therapy, juices, food and medication combine to form an effective fighting mechanism. This strengthens the immune system to be able to attack the tumor. The cancer cells surrounding the tumor are killed in the process. The process also flushes out the toxins that have accumulated in the body tissues. If the detoxification does not take place, the liver stands the risk of being overburdened and this could lead to its poisoning. This is extremely dangerous as it means a complete failure of the body processes. The liver is an important organ for detoxification. If it is poisoned it means that the toxins in the body accumulate and poison other organs. This could lead to a complete shutdown of the body leading to death.

The coffee enema is an important therapy as it ensures that the liver remains in top gear. It is able to detoxify the body and rid it of toxic substances that could poison it. In a cancer patient the liver is already damaged and is unable to carry out its functions. This therapy detoxifies the liver and it is able to go back to its functions.

Coffee Enema

Coffee Enema for cancer cure

The therapy works by opening up bile ducts and this helps the liver to release the accumulated waste products. Waste product accumulate for years from taking in of bad water, food additives and chemicals, poor air, viruses, toxic substances and germs. When they accumulate they form toxics in the body. In the case of cancer, the liver in itself is not able to detoxify the body and this therapy helps in getting rid of some toxins. The liver is thereby not overloaded with toxics and pain is reduced.

 

The Coffee Enema Therapy

The coffee enema therapy is cheap and can be done at home. All you need is to prepare the coffee just like you do with the one you drink. Pour the coffee in a bucket when it has cooled at room temperature. When done insert the tube into the bucket clamp it until the solution begins to fill up. Then insert it into the anus when lying down, open the clamp to allow the solution to flow and monitor the amount of coffee that goes in.

The bucket should be placed in a higher place to ensure the solution flows under pressure. In order to retain the coffee inside remain in that lying position for about 15 minutes. This will ensure that the solution is retained for long inside in order to reap maximum benefits. This therapy may be difficult for a first timer so ensure you consult with your medical practitioner before doing anything.

At AWAREmed Health and Wellness Resource Center we provide you with the necessary health and wellness tips. Dr. Dalal Akoury is experienced in cancer matters. She will provide more expert opinion about coffee enema and cancer treatment.

Curing Cancer: Coffee Enema’s Role in Cancer

 

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Medicare Law and The Cost Of Chemotherapy

October 15, 2014

Medicare Law Has Little Impact On The Cost Of Chemotherapy

Chemotherapy in general

Chemotherapy is one of the many types of methods that are used to treat cancer. Depending on the particular type of cancer, its level of progression and other factors, this method has proven to be one of the most effective ones in reversing the effects of a tumor in the body by killing the cancer cells directly.

Although effective, chemotherapy has been described as one of the most expensive forms of treatment for cancer. The type and amount of drugs that are used in the course of the treatment usually amount to a substantial amount. Yet cancer is a disease whose adverse effect on the population is well documented.

Therefore, the need to develop programs that reduce the cost of undergoing chemotherapy has dominated academic and public debate for long. That is why the government developed a comprehensive medical law to help in bringing down the costs of chemotherapy.

How the chemotherapy costs are covered in the Medicare law

Generally, the law seeks to reduce the financial burden of undergoing chemotherapy by following four main strategies designated as plan A, B, C and D. every one of these plans covers different aspects of the overall cost and vary from the rest in terms of the amounts that are covered for every component of the treatment.

Chemotherapy

For Plan A, cover for the costs of chemotherapy is extended to patients who are admitted to a hospital. The hospitals that are taken into consideration when this plan is applied are the usual public ones as well as the specialized medical facilities that offer cancer treatment and care to patients. This plan is different from Plan C under which care is extended to outpatient clients only.

For Plan C, all the provisions under plan A and B are included but there are other additional advantages that are provided to individuals. What this implies is that a person who is subscribed to Plan C of the Medicare policy is able to enjoy a range of advantages in terms of reduced costs for undergoing chemotherapy. The advantages apply to any hospital or cancer treatment facility.

Then there is the last plan which is referred to as Plan D. under this plan, an individual is able to enjoy reductions in the cost of buying the drugs that are used for chemotherapy. Although this plan covers all the prescription drugs that one may use in the course of undergoing chemotherapy, it is worth noting that the plan only covers outpatient services. This implies that it is not applicable to the drugs used by inpatients.

How the Medicare law sought to reduce the cost of chemotherapy

Passed back in 2003 and 2005, the Medicare law sought to help reduce the costs of chemotherapy for cancer patients. Generally, the law pursued several approaches. The first one was reducing the usage of highly priced drugs for treating cancer. since a large portion of the costs of undergoing chemotherapy are consumed by buying highly priced drugs, the law sought to reverse this by introducing special reimbursements to clinics that charge clients a fee for their service. The idea was that by reimbursing such service providers, the manner in which they recommend drugs for cancer treatment would be controlled.

Therefore, under the legislation, different types of drugs were accorded different levels of reimbursements to the service providers. The law sought to reduce the high dependence that service providers show on such expensive drugs by reducing the amount of reimbursements that is offered to them. This way, it was thought that service providers would find selling such drugs not as profitable as it was before and consequently reduce the frequency with which they prescribe them to their patients.

Impact of the Medicare law on the cost of chemotherapy

Although the Medicare law that was developed and passed sought to bring down the costs of chemotherapy to individuals who are registered in the plan, this has not been the case. So far, things have turned out quite differently from what the drafters of the policy and laws intended. Increasing academic opinion indicates that the policy itself has failed, apart from the relevant legislations that were passed as a way of implementing it. There are several ways in which this failure in the law and policy has been seen. These are described in the sections that follow.

First, it has now become obvious that the law has failed to limit the extent to which doctors prescribe the most expensive drugs to patients. When developed, the law sought to limit the number of highly expensive drugs that doctors recommend to their patients by reducing the amount of reimbursements that are offered to doctors on such drugs. The idea was that by reducing the amount of reimbursement that is offered to doctors on such drugs, doctors would definitely avoid recommending them to their patients because of the financial implications involved.

However, this has not been the case. Over the course of time, doctors have continued to prescribe to their patients the most expensive drugs. This only means one thing; that the policy has failed to achieve this objective.

Another way that the Medicare law can be said to have failed in achieving its objectives can be seen in the relationship between the overall cost and rate of cancer. Research studies have indicated that cancer rates have fallen slightly over the years. However, the overall cost of cancer has been rising over the years. Yet the overriding objective of the Medicare law was to reduce the costs of chemotherapy. What this implies is that the law has failed to curb the rising costs of chemotherapy for patients and other stakeholders in the healthcare industry.

It is because of this situation that the need for comprehensive cancer treatment and management is on the rise. AWAREmed Health and Wellness Resource Center in Myrtle Beach, South Carolina is a leading institution in provision of integrated cancer treatment therapies. We believe that an integrated approach has an important role to play in overall cancer treatment and management practices.

Medicare Law Has Little Impact On The Cost Of Chemotherapy

 

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