Lisa, how can vitamin D3 save money?
Vitamin D3 can save money because it is preventative health care. The average cost of taking Vitamin D3 1,000 IU daily for three months cost about $10 USD for a bottle of 100 capsules or tablets. This cost approximately $40 USD for a year’s supply. A correction dose for Vitamin D3 deficiency is one 50,000 IU Vitamin D3 tablet per week for eight weeks. The cost is approximately $10 USD. After a Vitamin D3 deficiency is corrected, the client begins taking the daily dose of Vitamin D3 1,000 IU.
Testing of Vitamin D3 deficiency is approximately $40USD. This can vary if it is paid out of pocket or if insurance covers the cost. Testing is done to confirm Vitamin D3 deficiency and again later to confirm that the correction dose of Vitamin D3 was effective.
Sunshine. This is FREE! The body will synthesize Vitamin D3 from exposure to direct sunshine for 15-20 minutes. This is skin with no sunscreen on. Wearing sunscreen is great for preventing skin cancer but will keep the body from synthesizing Vitamin D3. Of course the adverse effect of sunshine is sunburn. One has to be mindful with exposure to sunlight.
Now how does this save money? Vitamin D3 can reduce fall risk in elderly adults by 30% in less than three months. One hip fracture, remember there are two hips in the body, cost approximately $50,000 USD to repair.
Wow! Just $40 USD a year for Vitamin D3 can save $50,000 USD for a hip surgery. This is how Vitamin D3 can save money.
Lisa, I am having stomach issues and I may have a gluten intolerance problem. What does this mean? What are the symptoms? What can I eat? What foods should I avoid?
Gluten intolerance is a sensitivity to gluten. Gluten is a protein found in grains. Wheat, rye, and barley are all grains that have gluten in them. These grains are used for breads, cereals, beverages, and various other bake goods. It is estimated that over two million Americans have this problem. The problem is when eating food made from one of these grains, the stomach is not a happy camper.
The unhappy camper then rampages like a bear with a picnic basket that was caught in action of making off with it. Very much like the cartoon Yogi Bear when he was caught stealing the picnic basket. The adverse reaction to gluten causes the mind to be “foggy”. The bear’s reaction is “What picnic basket”? Followed by symptoms of ADHD behavior. “What picnic basket? Squirrel!” This is followed by the bear grabbing the stomach because the bread on the sandwich is causing pain, bloating, and cramping. More symptoms follow as the gluten makes its way through the body: diarrhea, pain spreading to joints and bones, and a headache. Then depression. It is obvious to the bear the stuff in the picnic basket was not in his best interest. By now the body is just wore out and by the time it settles down it is time to eat again, hence starting the entire process over.
It is also very curious that most of these grains are genetically modified or GMO. The modification is to prevent the grain from suffering insect infections and harsh weather to produce abundance crops. Many countries outside the United States bans uses of GMO products.
Currently, the only testing that can be done to confirm a gluten sensitivity is testing positive for allergy to the grains or not testing positive for celiac disease. There is new evidence-based research that is showing that gluten sensitivity is a real condition and considered a non-celiac gluten sensitivity (NCGS) diagnosis. Non-celiac gluten sensitivity is an autoimmune disorder triggered by ingesting gluten.
So a bear learns that it can eat anything if it is willing to put up with the adverse reactions of the body. The bear learns that not everything that looks good is really good for the body. Staying away from all foods with any type of gluten in them will keep you from having any adverse reactions. This is difficult for many because much of the food intake is gluten based in the United States. It makes food choices difficult to buy and eat. But like the bear, if you stick to the caveman style diet of fruits, vegetables, meats, and avoid all the baking goods, cereals, processed foods, you will feel much better. Camping will be more enjoyable along with daily life and now you know why Yogi the Bear wasn’t allowed picnic basket food. He was gluten intolerant.
What is BMI? BMI is Body Mass Index. It is a math equation that is a combination of your height and weight. Very much like finding the square footage of a room for carpet. It is square footage for the body. Now there are four types of BMI.
Too skinny. While some relish the idea of being too skinny, it is in fact, a bad thing. A person who’s BMI is considered too skinny based on their height and weight, when they get sick, will find a harder time recovering. Why is this? It is because when the body is sick it begins breaking down fat to use as energy. If there is no fat, then basically the car has no gas. In the body, when it is too skinny, the body goes to plan B. Plan B is breaking down the muscle mass to make energy for the body to use. The muscle break down because the gas for the car. The bad thing is that the muscles hold up the frame of the body. When the muscles are used for fuel, then the body takes twice as long to get better. First the body has to heal. Second the body has to fix the muscles. This can cause a person to stay longer in the hospital because they are too weak to move. This can create long days in rehabilitation to get the body back on track.
Just right. Congratulations. You are in the “Goldie Locks” zone. Keep eating veggies and fruits, proteins, and watch your carbohydrate intake. Continue to get physical activity of 20 to 30 minutes in daily. Weight bearing exercising, such as walking, is an excellent choice.
Obese or fat. The word for fat is obese. Fat sounds a bit nicer but just like obese, fat means you are overweight for your height with the BMI. Based on BMI numbers you can be a pound to many over where you need to be and it can be rather frustrating to know this. BMI does not take in account missing limbs, bodies with heavy muscle mass, and weights should be considered “dry”. Dry means not wet, extra things in pockets, or sitting in a wheel chair when weighted. One of the best ways to begin losing weight is by keeping a daily log of what you are eating and drinking. How much, when, and what type of food or brand. Some quick ways to help lose weight is begin eating half of the meal, switch from name brand to generic for less of the chemicals and calories, and drink more water. Give yourself time to lose weight. Losing 1-2 pounds a week is very normal progression. Losing weight is an ongoing event. It will take time to lose weight.
Morbidly obese or very fat. Well this is not very nice at all. Having to tell someone they are morbidly obese. Yet, very fat, you are when you are in this range. Most folks realize that they are overweight but it may be a bit shocking to hear this terminology used because most of us think half a ton or ton folk, when really it could be just being 40ish or so pounds overweight. I know, shocking and not very cool to realize you may be this. Okay, Lisa, what can I do? Again, same as what you can do for obese or fat but add in support groups. Get the family on board with your weight changes. Include body movement during commercials or downloads on the computer. Move your hands and legs or add weights if this is too easy. Plan your weight loss to take a bit longer than your Hollywood stars weight loss. You are just as fabulous but you are realistic while they live in the world of fantasies. Plan on 1-2 pounds a week over several months to reach real goals of losing 10 to 20 pounds. Do not get frustrated. Keep with your goal. If you have a bad day of binging, just start the new day back on the weight loss program you set up. Being awesome is an everyday event and you can do this.
Comments Andrea Goforth
Wonderful informative article ! Do you have an article about diabetes/ blood sugar tips on how to keep it level without spikes?
Lisa, do you have an article about diabetes/ blood sugar tips on how to keep it level without spikes?
Yes, I do. Thank you for asking.
Blood sugar is also known as diabetes or diabetes mellitus (DM). Diabetes comes in several forms. Originally tested by either urinating outside or seeing if it would attract bugs or tasting it by a provider to see if it was sweet. It is now is tested by drawing blood from a fingertip or from the vein and processed. The fingertip sample will show the current blood sugar reading. A hemoglobin A1c is the blood test from the vein. Blood cells last 120 days in the body. This hemoglobin A1c test can tell a blood sugar total for the past three months.
Type 1 DM, it was originally Diabetes Mellitus was calledInsulin-dependent diabetes mellitus or IDDM. Another nickname was juvenile diabetes.
Type 2 DM use to be called Non-Insulin-Dependent Diabetes Mellitus or NIDDM. Another nickname was the adult diabetes.
Gestational diabetes is the third type of diabetes. This when the mother has no prior history of diabetes and develops high levels of blood sugar or high levels of blood glucose during pregnancy.
The cause of diabetes can result from the body not making enough insulin in the pancreas or the body not figuring out how to use the insulin in the body right. This causes the body to be too thirsty, too hungry, and urinate a lot. Long term diabetes will cause problems with the heart, kidneys, skin break down, and problems with the eyes.
How do you prevent your blood sugar spikes with diabetes? Begin targeting in on carbohydrates will help. A carbohydrate has a complex relationship with the body. If it were on Facebook, you would see it is a sugar with a lot of issues that when it breaks down in the body can cause blood sugars to elevate. Lots of drama.
Now to deal with carbohydrates’ drama in the body, the key is to think of the body like a car. Not just a four door sedan but a sweet hot rod with a candy apple paint job on it. So here is this hot rod and it is all fueled up, engine revving waiting for the green light to come on, and peel out down the speed lane. The same is true for your body. When you put in too many carbohydrates in the body, you are fueled up and now you are revving your engine too. Your body begins breaking down the carbohydrates like guys at the Indianapolis 500 changing tires during a green flag. Your blood sugar spikes and your body shows the symptoms. You are miserable.
Now the goal is to then prevent the engine revving in the body when the carbohydrates break down. Begin with keeping a food diary. You can leave the Dear John part out, unless you are having symptoms of diarrhea or constipation, then you can target in on what might have upset your stomach. Write down all your food intake, amount of carbohydrates, type, amount or portion size, and even who make it. This is going to help you find out what is revving your engine and going to cause your engine block to bust a gasket.
First up how many carbohydrates are you taking in? Hundreds? Are you eating double, triple, quadruple serving sizes? Are you eating name brand processed foods? Your food diary is going to rat you out on what the problem is so be honest with yourself. It will help you pin point where you are having trouble. Be sure to keep it ongoing. It will help show you where you are making progress too. Like any diary, there is always the juicy part you want to read about.
Once you find your problem, you can then work on it. Begin by cutting back on the carbohydrates. Many diabetics find that a low carbohydrate diet with 30 to 50 carbohydrates helps and other find that a lower carbohydrates diet of under 30 helps keep the engine from revving. The nice side effect of eating lower carbohydrate meals is that you get to go shopping…for new clothes. So while the blood sugars are kept from spiking up and down like a roller coaster, they are maintained like speed bumps in a school zone. This keeps the blood sugars maintained and helps prevent the damage that can be caused by runaway blood sugar levels.
It takes a lot of work, consistency, and cutting back but you can keep the spikes in blood sugar from occurring. Other ways to help is to exercise routinely, such as daily walks, and avoiding highly processed foods with sugar in them. It is a lot of work to try a lot of things at once, so being with just a one or two changes, and then build on them. This way you can see if you are heading for the checker flag or into a pit stop area.
Meanwhile, be proud of your hot rod. Even the antique ones draw a lot of looks when the engine is clean.
Helicopter Parent, Long Distance.
I spoke with my daughter Lyric Goins in Japan. Her night, my morning. It is 12 hours difference, soon to be 13 with day light savings. All is good. She is safely in her dorm and many of the overseas students have showed up. She's having a blast meeting everyone from around the world. Monday morning is her test for placement on language. Then come Wednesday, she should know what her classes are officially. Sort of a lottery of who gets in to what class. Unlike America where you sign up and get it or you have to force add into a class, Japan signs up and then they pick you. Think stadium seating with no tickets...WHO concert style if she HAS to have a class. Well, not really that American but more like uber manners polite with lots of good etiquette with forms in place. So keep her in your prayers for best outcomes! Miami University, her American University she attends in the states, offers none of these classes here. She needs every class to count for her degree and she is a senior this year. So this semester and then one more to graduation. Meanwhile, she is beginning to upload photos of Osaka and Kyoto, Japan and her adventures on Face book at “Lyric Go-Go”. This is her second semester there. She was there in spring of 2013. Those pictures are still up to view too. You can like the page to keep up on her adventures and see what life is really like there as a university student from another country. By the way, have you tried the bean ice cream in Japan?
Walk in Clinic Expectations
Everyone has to be a new patient at least once. But where to go when you are a new patient? Do you have a provider? Do you have insurance? Are you new in an area? Need to be seen today? Or just cannot get in to see a provider? These are just some of the reasons patients come to a walk in clinic.
What is a walk in clinic? A medical site that offers services to those who walk in for a visit. No appointments needed. Just sign in at the front desk, show your photo identification, and have a seat in the waiting room. Clinics may be for profit, nonprofit, or charity. Providers may be Nurse Practitioners or Physicians. A clinic’s hours and dates of operation may vary when services are provided to the general public.
What do you need when you come to a walk in clinic? Patients need to bring with them photo proof of identification. A drivers’ licenses or card with a photo, name, address, and birthday on it. This is important to set up the chart that will have the patient’s health history in it.
Will the patient need insurance? Walk in clinics may take an assortment of pay methods. Cash, credit cards, insurance, and co-payments. Clinics need to collect payment for services rendered. The payments help keep the clinic’s open. When using cash, the entire payment is expected up front. Credit cards will allow patients to pay up front with the provider and make payments to the credit company to settle the bill. Insurance may or not pay the entire payment of the bill. If there is a co-payment with the insurance card, this is an agreement with the patient and the insurance company that a small sum of money will be given to the provider’s service at the time of the visit, and the provider will bill the insurance company for the rest of the bill.
Paperwork. The dreaded filling out of the patient’s information. This includes patient history of illnesses, surgeries, and any allergies. A list of current medications the patient is taking and the patient may wish to bring the containers of the medications that were prescribed with them for complete clarification of the prescriptions.
Signing in. This is important in some clinics as the clinic take first come, first served bases. Now this can change if another patient is ready and a new patient is still filling out paperwork. The clinic may take that patient who is ready or just needs a quick service, such as reading and signing off on a patient’s TB paper that was given earlier in the week.
Once the patient is all checked in, papers and payment verified, then the patient may see an assistant that will get the patient’s weight, height, blood pressure, temperature, and so forth. Then the patient will move to an exam room where the provider will conduct the interview and examination. Followed by a plan of care, education, and a prescription if needed.
One last check with the front desk to make sure there is nothing else needed, then the patient is done with their first visit to a walk in clinic. Future visits will skip the paperwork section and expedite the time for the visit. All clinics may have a wait or no wait, it will just depend on the time and day when arriving.
Walk in clinics. Check them out. One just might meet your needs.
Online interview from Nurseup.com with Dr. Goins, CEO of Couture Health Care limited.
Q: What is your #1 hold back building your business?
A: The current challenge is growing the practice and expanding my panel of clients/patients. I am only taking a limited number and concierge retainers are a contract between both client and provider. We both invest in the relationship for the best outcomes.
Each stage of your company is another step. Couture Health Care limited has had several major advertising campaigns going on at once. Branding the name has been one of the key elements. Getting the name and service out there was another. This concept is a combo of ideas and needed to be introduced. So one campaign was getting the name out there. Over the last several months, the Couture Health Care limited brand was introduced to over 128,000 homes in the Cincinnati area. Each time the ad has been changed on feedback and re-introduced.
The second wave and ongoing current with the first has been several articles and speaking engagements in the same area.
Q: Did you think that getting on a local speakers bureau and talking to local groups was helpful?
A: Yes and no. There has been a huge push to kill off newspapers and media that normally would show up on door steps. Even insurance companies have gone to directly advertising to the client to get their message even looked at when before that was not a problem. Same with drug companies. Going via TV at prime times that their demographics are watching...well they hope. Most of them might be in the bathroom.
Q: Did you feel that social media, like Facebook, was helpful in getting the word out?
A: Provided the Facebook algorithm will let your post go out. Using the word "congratulations" a lot will help get the word out but Mark (CEO of Facebook) got pissed over this one when a congratulations post was getting more hits than his families’ birth announcement was. I believed the math algorithm tweaked again after that.
Q: How dose insurance vs cash pay work?
A: Getting patients/clients to understand that the compensation allows the lights and doors to remain open is the other key point. Insurance tends to get folks to think that the care is free since there is no exchange of money. They often assume that the insurance is paying 100% of everything. Often co-pays are the only real money a provider will see for months. Then when the money does arrive it often does not pay the entire bill. The provider has to either eat the cost or bill for the remainder.
I have heard more than one story of folks, who come home from the hospital, to see what their provider was paid and horrified that the insurance company didn't pay what they thought was fair. I have heard of two folks calling up their provider to offer to pay more. Now the problem is depending on the contract, the provider cannot take cash when the insurance has deemed it paid.
Q: So the lack of getting insurance to pay in a timely manner is a problem?
A: Yes, waiting for insurance to reimburse providers three months later is a problem. As a business, this is why folks have to close their doors.
Q: Now Nurse Practitioners salaries are lower than Physicians. Why is this?
A: Asking for the check is huge. This also involves negotiating for salary wages. This is why there is such diversity in wages because there are those who ask and those who won't. Another reason there is no consistency in pay or incomes. When breaking down what a coded visit cost in relationship to what a cash/carry visit cost is a real eye opener for many providers and nurses.
Q: So, this is a learning process and is it taught in school?
A: I agree that nurses need to learn the process. Academic education often leaves this out of the schooling. A good mentor or co-worker is often the source of the information if education is not earned by the University of Hard Knocks. Accreditation with this university is subjective too.
What is your business plan and what is it you offer? Interview with Nurseup.com on business plans.
Q: When thinking about your business plan what is it you want to do? What is it you offer?
A: Nonprofit verses profit has details with each and when setting up your company via your state, there are options such as LLC or limited, which I choose. Why I am nonprofit? I hold a license in the state of Ohio as a minister and I offer spiritual and energy care.
Since there is separation of church and state, then nonprofit status meets my needs. This also makes all my fees donations for service as part of my pending 501c3 and nonprofit status. If I had been purely just a provider (Family Nurse Practitioner) business and I was taking insurance and CMS, then profit might be more of where I would need to be with my company.
To answer your other question, nurses are not trained to see themselves as business but a team of a business. When working fast food you are trained to say, "Do you want fries with that? Do you want to supersize?" Nurses are not trained to do such things and see themselves outside the company. A big budget is not necessary to run a business. Being consistent in your business is. That is what draws your business.
Back to the fries theme, you go back and back, over and over, because the sandwich looks the same the first time, and the last time you purchased it. Your services are the same. You are the same. Good. There is competition. Good. There is a monopoly. Because there are always those who are not impressed and want something different. Finding your demographics is the key and once you do, you are winning.
Another child is back off to the university today. What makes this different is she is going overseas to study for the entire semester. Unlike many helicopter parents, and I consider myself more in the lines of a Black Hawk type helicopter parent, I will not be able to swoop in and rescue her at the slightest inconvenience of a professor. There are also limits when children study abroad too. Hang time on a jet can up 12 hours there. Many airports on the way to the destination. Passport and visa requirements. Different styles of educational systems that cause conversion tables later to see if classes did meet requirements. Then who and how is it getting paid for in addition to the hidden expenses that seem to get left out of the list that is given up front. Then there is the culture shock. While some English speaking countries are not much different from here in the United States or America as some countries refer to us, there are some countries that the language becomes a strong barrier to the culture shock. The culture shock can make or break a student. So how best can you prepare your adult student?
Keep communication open at all times and network with support groups. Understanding when your adult child is really whining verses seriously depressed is very necessary. Sometimes is really okay to abort the mission. Sticking it out does not always guarantee the credits will transfer. Then sometimes adult students need to be pulled out of the country and need intervention for emotional needs. Schools like to sell the positives about studying overseas and gloss over the negatives. Just understand that there will be days that will be more challenging and compounding homesick on top can make things harder. But the more engaging your student is the better the outcome is going to be for them. It is okay to watch them grow, make their own mistakes, and see they can do it on their own. Your adult child will have a life time experience that will benefit them in ways outside the classroom later in life. An open mind is beautiful.
GENCON 2014 attendance was over 56,000 for four days of gaming in Indianapolis, Indiana. A lot of the attendees arrived from far away destinations via airplanes, cars, buses, and by foot (seriously dedicated gamers).
Everyone has heard about jet lag. This is when crossing several time zones can result in throwing the circadian rhythms out of balance from high speed travel. Jet lag last until the individual has adjusted to the new time zone.
But what about convention lag (con lag)? When one has been at a wonderful convention for several days, living out dreams, fantasies, and being with their own kind, only to have to return to the old life before the convention? What can be done to cope with con lag?
Sleep. One of the best ways to help convert con laggers back to real time. Con laggers will need to get one extra hour of sleep per day of con attended. Those that attend all four days will want to add four extra hours each day to convert back to a normal schedule.
Water. That clear stuff that makes up most of the planet and depending on where an individual lives, may or may not be something that is considered a desired drink, but down several eight ounce glasses of water and that will help rehydrate a desiccated gamer into a spot check passing, 9-5 normal human dayshift worker.
Withdrawal. Very hard to quit 24/7 gaming cold turkey come Monday. Do it slowly. Continue to play short hour sessions, carry a d20 as a worry stone, and go to social media to meet up with new friends and stay in touch.
Con lag does happen and the euphoria may erupt into depression. Individuals experiencing this can reach out on social media sites where other convention attendees are blogging, tweeting, Facebooking, etc., and stay in contact. We are all out here. Just like a family reunion, we all will be there next year.
Mission Statement: "Couturing individual patient's/client's