Radiology can be surmised as the research and implementation of imaging technology, such as x-ray devices and radiation in diagnostic and applicable uses to treat an array of maladies. Ultrasounds, nuclear medicine, PETs (positron emission tomography), MRIs (Magnetic resonance imaging), and computed tomography are a few of the technologies used.

Wikipedia’s Definitions of aforesaid technologies:

Projection Radiology: Projectional radiography or plain film radiography is the method of making 2-D images with x-ray radiation.

Fluoroscopy: Fluoroscopy is an imaging method commonly used by physicians to get actual-time moving images of the interior structure of a patient with the use of a fluoroscope.

Computer Tomography (CT)/ Computer Axiated Tomography (CAT) : CT or CAT scans are special x-ray tests that produce cross-sectional images of the body using x-rays and a computer.

Ultrasound: Ultrasound is cyclic sound pressure with a frequency greater than the upper limit of human hearing. The most well known application of ultrasound is its use in sonography to produce pictures of fetuses in the human womb.

MRI: Magnetic resonance imaging (MRI), or nuclear magnetic resonance imaging (NMRI), is primarily a medical imaging technique most commonly used in radiology to visualize detailed internal structure and limited function of the body. It is especially helpful when used to monitor and diagnose neurological disorders.

Nuclear Medicine: In nuclear medicine imaging, radiopharmaceuticals are taken internally, for example intravenously or orally. Then, external detectors (gamma cameras) capture and form images from the radiation emitted by the radiopharmaceuticals.

One practice used in the field of radiology is Teleradiology. Teleradiology is where the results of various methods listed above are sent to a radiologist at a different location, usually during that radiologists office hours. It is advantageously effective when applied to rural or underserved clinics and hospitals, where a radiologist might not be available at the time or at all, and nights and weekends.

Radiology currently is a very competitive medical specialty. A radiologist goes through a minimum of thirteen years of post-secondary education. The breakdown of that amount of time is as follows. Four years are spent obtaining a bachelors degree, usually in pre-medicine or biology. After that, the student must complete either of two medical degrees: Osteopathic (D.O.) or Allopathic (MD) medicine. There aren’t many practical differences between these two certifications besides varying intensities of focus areas, but nonetheless they are regarded as equivalent certifications. This training takes approximately four years. After an MD or DO is received, an Internal Medicine or Surgery specialization may be beneficial, and required by some schools, which could add 3-7 years, depending on the pre-specialty. The radiology specialization itself takes roughly 5 years to complete. Cumulatively, a radiologist could be in post-secondary school for up to 20 years.

Radiology & How Its Changing

Radiology was once one of the most sought after and competitively salaried specialties in the medical field. Today however, due to healthcare reform, population ages shifting, and employment market saturations and deficits, radiologists are on unsteady ground. The worst case scenario is that Radiology demand will stay high and steady, but salaries will fall. This seems to be what’s happening now, but the circumstances surrounding it are too volatile to make any definitive predictions.

Article by Cory Ellerd, Marketing Medbanner.comPermanent Radiology Job,
Locum Tenens Radiology Medicine Job and
Locum Tenens Radiation Oncology Job.

Over the past year, there has been a lot of commotion on Capitol Hill regarding healthcare and how it’s going to affect innumerable groups such as working Americans and middle class, small business owners and entrepreneurs, big businesses and insurance companies, the medical field, the underinsured, Medicare and Medicaid, the private sector and the federal budget, senior citizens and children, and many more. The outcome of this will no doubt be historical and change healthcare radically. For better or for worse is the concern, however. Everyone agrees healthcare reform is necessary, but there is yet to be any middle ground.

To highlight an example of how messy this situation is, here is an example: The Medicare program is expected to begin operating at a loss by 2015, for lack of funds. The government will no longer be able to afford the program. One proposed point in the new reform would actually cut the program by 500 billion dollars, to “strengthen” and “reform” the program. Nothing in government is that simple, and many political commentators are already in arms over this, as they believe this will only lead to the creation of new offices and programs, burdening the system further. A related but separate proposition would add millions to the program. This isn’t going to work, clearly.

The president, who has been working on this bill with both houses of congress for nearly a year, wants to see these changes :

• Tax credits to the middle class for healthcare, the largest ever to be seen in this country. It would provide an affordable option to over thirty million citizens, who are currently underinsured or not insured at all.
• More competition between insurance providers, driving costs down. Equivalent coverage being stressed, he wants individuals to receive the same coverage options that congressmen and congresswomen have.
• More accountability and responsibility for the medical field, preventing insurance fraud and exploitation. Theoretically, this would also drive down premiums.
• Insurance companies will no longer be able to deny coverage or charge outlandish premiums for people with pre-existing conditions.
• A 10-year plan to reduce the deficit by nearly one hundred billion dollars over the next decade, and a trillion dollars over the following decade.

The additional Patient Protection and Affordable Care act, as quoted from http://www.whitehouse.gov

• Eliminating the Nebraska FMAP provision and providing significant additional Federal financing to all States for the expansion of Medicaid;
• Closing the Medicare prescription drug “donut hole” coverage gap;
• Strengthening the Senate bill’s provisions that make insurance affordable for individuals and families;
• Strengthening the provisions to fight fraud, waste, and abuse in Medicare and Medicaid;
• Increasing the threshold for the excise tax on the most expensive health plans from $23,000 for a family plan to $27,500 and starting it in 2018 for all plans;
• Improving insurance protections for consumers and creating a new Health Insurance Rate Authority to provide Federal assistance and oversight to States in conducting reviews of unreasonable rate increases and other unfair practices of insurance plans

Article by Cory Ellerd, Marketing Medbanner.comPermanent Hospitalist Job, Permanent Emergency Medicine Job and Permanent Pediatrics Job.

Cardiology has been a prime medical specialty throughout the history of modern medicine. Cardiologists treat diseases and irregularities of the heart. A general cardiologist does not perform surgery. Physicians in the cardiology field who do perform surgeries include cardiac pulmonologists, cardiothoracic surgeons, and cardiovascular surgeons.

Modern cardiology has a deeply rooted history with theories still in use dating back to 1628. In that time, it was believed that blood came from the liver (probably from the observation of war wounds from the abdomen bleed profusely) and was absorbed by tissues directly. William Harvey published an essay in that year paving the way for the study of what we now know as the circulatory system; whose primary engine is the heart.

The first cardiac surgery in 1801 was performed in Spain by Francisco Romero, but was met with great disapproval by the medical community. His pioneering efforts were halted for quite some time. The year 1896 introduced a German surgeon who successfully operated directly on a soldier’s heart, the first surgery of its kind with no complications. Just three years later, in Switzerland, the study of electric defibrillation, electric shock used to restore heartbeat, came to fruition and was proven successful.

1910 gave us the father of open-heart and organ transplantation surgery, and for such studies, Alexis Carrel received a Nobel Prize in 1912.

In 1929, the first intravenous catheter was used by and on its inventor. The pro’s: the ability to safely administer medicine to internal organs and tissues, such as the heart. Cons: Because of his unprecedented actions, Werner Forssman, a doctor in a surgery residency, was removed from the program and discredited for his findings. We still use intravenous catheters today.

By 1950, Charles Hufnagel was the first surgeon to be implementing the first artificial valves for the heart. It was called a caged-ball valve. At that time, the procedure scored an unprecedented 60% survival rate, far more successful than expected.

1953 was a very successful year for cardiological advances. Both local anesthesia and the first heart-lung machine were introduced. The heart-lung machine takes the place of the heart, allowing doctors to operate more intensively and for a longer period of time. The very next year, the first cordless and battery powered pacemaker debuted. This led the way to, in 1958, the first implanted pacemaker. It failed in less than 4 hours. When the procedure was repeated, it did not fail until two days later. Pacemakers now can last for years.

1967 revealed to be another promising and noteworthy year. The first heart bypass using the patient’s very own leg veins occurred, and also the first human-to-human heart transplantation. The transplant surgery went according to plan, however due to anti-rejection drugs of the time the patient’s immune system was too weak.

1974 brought about the initial peripheral human balloon angioplasty, replacing the conventional and much more invasive procedure. Six years later, another device surfaced. Dr. Michel Mirowski, a native of Poland, was credited with manufacturing a device that would be further known as an ICD (Implantable Cardioverter Defibrillators).

1982 and 1986 gave us the first artificial heart and the first coronary stent, respectively.

The FDA approved the first angioplasty balloon in 1994 and in 2001, robotics came into play. Robotics now allows for minimally invasive surgeries, and the surgeon can even operate remotely.

2007: Human embryonic stem cells were first used to successfully repair and, in a way, regrow human heart tissues in a lab.

In conclusion, from the early days until the present and even today as I am writing this article, cardiology is constantly changing. If you asked a cardiologist in 1950 what he thought about robotic surgeries, he would have had you committed! If you had asked a cardiothoracic surgeon in 2000 about stem cell tissue regrowth, his response would have been “Well, that’s a nice idea.” One thing is certain however: We can’t wait to see what’s next.

Article by Cory Ellerd, Marketing Medbanner.com Cardiology Job, Interventional Cardiology Jobs and Noninvasive Cardiology Job.

Concerns have been expressed that the cost will be covered by cuts to Medicare and Social Security. Any cuts
to these programs by politicians has long been considered political suicide. To deflect any attacks from opponents of
their program the administration states:

“The Act will protect and preserve Medicare as a commitment to America’s seniors. …The Act takes important steps to make sure that we can keep the commitment of Medicare for the next generation of seniors ….Medicare is a sacred trust with America’s seniors, and this Act preserves it.” I can feel the love.

Another attack is that the program will increase the financial burden on states and the federal government but they counter
that ” It will save thousands of dollars in drug costs for Medicare beneficiaries by closing the coverage gap called the “donut hole.” Doctors, nurses and hospitals will be incentivized to improve care and reduce unnecessary errors that harm patients.”
they even propose that this program will save the public money by “ending massive overpayments to insurance companies that cost American taxpayers tens of billions of dollars per year. ”

A good bet is that , it will cost more than they think, and the savings will be less. However, it is abundantly clear that
the escalation in health care costs is unsustainable and the current economic climate is exacerbating the problem.
When millions lose their jobs the also lose their health insurance, a dire circumstance for many who are the most
vulnerable, the young, old and those suffering from poverty.

Growing Demand

A recent study states the number of oncologists has more than doubled over the past two decades, supply is
projected to only increase 20% between now and 2020. Demand for oncology services is expected to grow by 48%
during the same time. Projections were based on current cancer rates and delivery patterns
applied to the expected U.S. population in 2020. Without a dramatic change in cancer
care treatment or delivery between now and 2020, the nation is will face an acute
shortage of oncologists.*

There are about 13,000 oncologists practicing in the United States. Over half of all oncologists
are aged 50 or older and will be 65 or older by the year 2020. About 500 fellows a year complete an
oncology fellowship, and oncology program directors report limited plans to increase the number
of training slots between now and the 2010-11 academic year.*

Oncology primarily provides care to one segment of the population, the growing population of people aged 65 or older.Additionally,as treatment has become more successful there are more Cancer survivors to treat for longer periods of time
whcih contributes to an increase in need and demand for oncologists. In fact, Cancer survivors make up a significant proportion of overall cancer visits. *

As a result, the supply of and demand for oncologists is projected to move from a relative state of balance in
2005 to a state of acute shortage in 2020, with visit demand growing at a much quicker pace than
the available visit supply.*

*American Society of Clinical Oncology commissioned the Center for Workforce
Studies at the Association of American Medical Colleges

Bob Truog founded Physemp.com in 1994 as one of the first online physician employment sites for all specialties including:Oncology Job, Gyn Oncology Job,
Radiation Oncology Job.

The ongoing saga of health reform having an impact on all specialties. Until it becomes clear exactly what is being changed and how that will effect each party the market will be hamstrung. Indecision effects spending on expansion and hiring at all levels of health care.

Some aspects of the bill are trying to address shortages in primary care. The Senate bill contains a measure that would fund a loan-forgiveness program for pediatric sub-specialists, easing the financial burden of medical-school costs. The federal Medicare program funds training programs for adult medicine. Congress five years ago authorized funding for pediatric specialty training, but the funds must be re-authorized every year.

Pediatric groups continue to press for to more funding for residents. The cost of training is going higher (see California!) and yet the income for primary care is not on a par with many other specialties. There may be a need to get reimbursement for training or higher reimbursement for pediatric residents, in the hope of encouraging more doctors-in-training to enter the field. Specialization typically requires up to three years of training beyond a general pediatrics residency and historically can pay salaries less than half the rate of adult specialty medicine.

INCREASED DEMAND

The demand for pediatric sub-specialists is continuing to increase for the following reasons:
* More Educated consumers requesting sub-specialists for treatment
* Increased obesity rates among children
* Fellowship programs not meeting the current mini boom in population of children

Many general pediatric residents are pursuing pediatric subspecialty training. The number of subspecialty training openings has not adequately increased during this last decade.

RISING DEMAND RISING INCOME

For some time now there have been predictions of shortages of physicians of many specialties in the US. For pediatrics the issue seems to be with the subspecialties like neurology, gastroenterology, and developmental and behavioral medicine and pediatric surgeons. As a result of this shortage, incomes have outpaced other medical specialties. The shortage is great enough that the salaries for some of these sub specialties is approaching that of adult specialties for the first time. According to the MGMA Physician Compensation Surveys pediatric sub-specialists salaries have increased greatly and for one of the first times, pediatric surgeons actually earn more than their adult surgeon counterparts.

SHORTAGES

This increased demand is on top of the fact that hospitals report that jobs for the top Pediatric specialties are going unfilled; reporting vacancies in pediatric-rehabilitation medicine, hematology and oncology, and cardiology. For families, that often means waiting for months to see a specialist and incurring heavy travel costs to find appropriate care.

DEMOGRAPHICS

An overriding issue is the demographics of the US. The main bulk of the population in the US is the baby boom generation which is now entering retirement age. The “boomers” cause several problems, one this means the bulk of physicians are retiring just when they will be needed most, two as we age we require more health care services. Greater demand for services will cause an even greater financial pressure on the government through increased dependence on Medicare. Finally a good news bad news is they may live longer then any generation before but this will further straining the budget with demands on Social Security and Medicare. Even though the boomer problem does not directly impact pediatrics, it does indirectly in that their increased need will mean higher salaries for those specialties that care for them and less for pediatrics. To further confuse the issue there is a mini baby boom going on now that will directly increase demand for all pediatric specialties.

Solutions

To cope with the problem, many hospitals are turning to telemedicine—remote consultations using two-way video systems—and mobile vans that may drive hundreds of miles to set up clinics in under-served areas. Hospitals are also more often turning to adult specialists to treat children, though not all are willing to do so since their training is for adult physiology rather than childrens.

Bob Truog founded Physemp.com in 1994 as one of the first online physician employment sites for all specialties including:Pediatric job
Med Peds job,
Pediatric Neurology job

The new health care proposal from Obama claims to:

* makes insurance more affordable by providing the largest middle class tax cut for health care in history, reducing premium
costs for tens of millions of families and small business owners who are priced out of coverage today. This helps over 31 million Americans afford health care who do not get it today – and makes coverage more affordable for many more.
* set up a new competitive health insurance market giving tens of millions of Americans the exact same insurance choices that members of Congress will have.
* bring greater accountability to health care by laying out commonsense rules of the road to keep premiums down and prevent insurance industry abuses and denial of care.
* end discrimination against Americans with pre-existing conditions.
* put our budget and economy on a more stable path by reducing the deficit by $100 billion over the next ten years – and about $1 trillion over the second decade – by cutting government overspending and reining in waste, fraud and abuse.

It is also clear from their presentation that they are anticipating attacks based on cost to the American Taxpayer and to the idea that both Social Security and Medicare are at risk, that the change will simply rob Peter to pay Paul. These concerns are addressed upfront: “The Act will protect and preserve Medicare as a commitment to America’s seniors. It will save thousands of dollars in drug costs for Medicare beneficiaries by closing the coverage gap called the “donut hole.” Doctors, nurses and hospitals will be incentivized to improve care and reduce unnecessary errors that harm patients.” and further they state : “The financial health of Medicare will improve and guaranteed benefits will be preserved by ending the 14% average overpayment to private insurance companies under the Medicare Advantage (MA) program.” So not only are they protecting Medicare, but they are reducing costs, almost a hat trick.

Weak Economy

With the current economic hardship and enormous job losses across the country, these have unswervingly affected the cash flow to doctors and physicians. When jobs are lost, the loss of healthcare benefits is inevitable, and so access to health care is also. However, many doctors are postponing retirement since watching the stock market annihilate their retirement reserves. This delay will result in a much smaller number of employment opportunities being offered and graduating residents not finding as many available jobs as before. Residents today seem to prefer not to commit to less desirable jobs, and are choosing locum tenens opportunities. They are also putting off committing to full-time employment because of the scarcity and lower salaries. So in the near future, it appears there will be fewer and fewer good jobs available.

Demographics

In the United States, the population of 65+ is going to double by 2035 and will peak being almost one fifth of United States population. Even though older citizens are healthier than previous generations, the numbers of disabled and chronic condition sufferers are on the rise. So the demand for health care will rise for the next 25 years. This is the driving force behind the constant growth for demand of physicians, which may result in shortages of available medical services.

Aging is also directing the supply of physicians. Up to 1/3rd of the current 650,000 practicing physicians will be considering retiring by the year 2020. A shortage of primary care physicians is a particular concern due to this, and also the choice of younger physicians to choose to further specialize. The reason behind this is that further specialization beyond primary is the need for higher salaries to pay for their expensive education. The shortage is expected to hit rural and underserved areas the hardest.

Clearly the Obama administration has its hands full. We are getting older and there are fewer young people to carry this growing financial burden. The Sins of the Fathers…..

Bob Truog founded Physemp.com in 1994 as one of the first online physician employment sites for all specialties including:Gastroenterology Job,
Internal Medicine job and
Family Medicine job.

Women reentering the workplace after maternity leave or a sabbatical can feel like second-class employees. In a study conducted for Pepperdine University, nearly half of Fortune 1000 senior executives reported that women returning to work need two to four years to recoup the losses in salary and position. And 13% think it unlikely that women who off-ramp will ever fully catch up.  All these factors are a common basis for a stressful reaction.

Stress may involve a recent change or daily pressure. Stress happens to everyone and can over time become negative and destructive. Tension and anxiety, as well as depression, are frequent emotional consequences of stress. Stress affects our ability to concentrate, to remember or to make decisions.  It can involve negative thinking, frequent mood swings and feelings of anger and hostility.  Generally when under stress we tend to lack confidence and feel overwhelmed..

As women we are socialized to take care of others and therefore often have a difficult time focusing on our own wellbeing.  We need, however, to take some time for ourselves. The mind and body are linked throughout our lives. We must learn to respect both our emotional and physical needs, or we will lose our equilibrium and ability to adapt. The real key is not to manage stress but to eliminate it while increasing energy, focus and comprehension—all on a daily basis.

One effective technique of meditation—a systematic way to experience the most settled and expanded nature of the mind and the corresponding deeply rested state of physiology—accomplishes this. A well-known meditation practice that gives deep rest to both the mind and body, allows us to go beyond the deleterious effects of stress. Scientific studies, in fact, show that people who do this technique have a faster recovery from stressful situations.  Women who meditate have found that self-doubt is replaced with self-confidence and self-motivation; that ease, tolerance, and broad comprehension replace anger and hostility.  Extensive research shows that focus, creativity, and decision-making are all greatly enhanced by this practice, and that self-actualization, field independence and adaptability in the face of challenge all increase.

So let’s eliminate stress by effortlessly and systematically turning the mind within, and then naturally when we turn back “without” we will be able to successfully manage all that comes our way.  It is like taking a wonderful mini-vacation twice a day.

As the population ages, the need for Emergency and Urgent Care also grows. The current physician shortage in the United States is expected to worsen over time. Other issues are affecting this shortage as well, including the shrinking economy and the impending health care reform.

Primary Care Shortage leads to Urgent Care Physician shortage

According to a press release by the Medicare Payment Advisory Commission, Urgent Care physicians will have plenty of work available from Medicare, but they may not want it. Medicare pays lower fees than private insurance so Primary Care physicians are much less likely to take on new Medicare patients. As a result, up to a third of all Medicare patients may not be able to find a Primary Care physician at all.

Some areas are hit harder than others by these statistics, such as Arizona. In some areas of the desert state, Primary Care physician-to-patient ratio is less than 6 doctors per 10,000 residents, according to a study by St. Lukes. The result of more people not having access to primary care will be increased use of Emergency Room and Urgent Care centers. Naturally, Emergency and Urgent Care physicians are going to have their hands full if this trend continues.

Weakened Economy results in Crowded Clinics

As the weakening economy runs its course; many people are losing availability to affordable health benefits. Insurance policies are lapsing at an alarming rate, and citizens receiving COBRA (Consolidated Omnibus Budget Reconciliation Act) coverage are also running out of options. With the walls closing in on affordable healthcare, many people have decided they must do without proper preventative doctor visits. As you might expect, when the severity of the condition can no longer be quelled with rest and over the counter remedies, and starts to dramatically interfere with daily life, the emergency room may be the last place to turn to. Through the stock market crash, the housing bust, and record breaking unemployment records, emergency rooms and Urgent Care clinics are filling up faster than ever.

Baby Boomers in the ER

Another factor in the insurgence of Emergency Medicine and Urgent Care cases in the United States is due to another socioeconomic group that cannot be ignored. The baby boomers will result in an exponential increase of the 65 and older demographic. This group statistically requires considerably more assets, personnel, specialists, and physician care. They need hospital and Emergency room services more and more often than any other age group.

Can Health Care Reform Solve ER problems?

Whether the health reform will crush us or not is neither here nor there. Emergency room overcrowding is a serious problem, given the rising number of geriatric patients, uninsured patients, and underinsured patients. If the health care reform doesn’t fix the problems it promises, then the problems cannot be expected to get better. Emergency room overcrowding is no new issue. Health care reform should address is the loss of emergency room facilities. Between 1993 and 2003, the United States lost over 400 Emergency room facilities. What can uninsured/underinsured patients do? Besides hoping that an ambulance can get them or their loved ones to an Emergency room in time, they can do very little. In that same time frame, 1993-2003, Emergency room visits dramatically increased by over 25%. Doctors in these situations will definitely have their work cut out for them.

Robert Truog founded Physemp.com in 1994 as one of the first online physician employment sites for all
specialties including:Emergency Medicine job
Critical Care job
Urgent Care job

Urology Demographics

The NKF (National Kidney Foundation) states that urologic disorders and conditions afflict 5% or more of the United States population, resulting in more than 260,000 deaths. Ethnic populations are at a higher risk. The largest contributing factor is age. The pharmaceutical industry is making a killing off of these issues, with revenues in 2008 reaching 1.6 billion dollars, and at this rate, by 2015 they will reach almost 3 billion.

Weak Economy and Aging Population

The worsening economy has taken its toll on the field of Urology, and it isn’t expected to get better any time soon. Loss of jobs and access to healthcare is growing rapidly. Many doctors are no longer accepting new Medicare patients because of the lower profit margins. With fewer doctors accepting Medicare patients, Urology clinics are expected to become overburdened. Many specialties are expecting this same forecast, such as Emergency Medicine/Urgent Care, Family Practice, and Internal Medicine.

The baby boomers are also going to put a great strain on this field. With the dramatically increasing proportion of older patients, we are experiencing an influx of one age group, 65 and older, like we have never seen. Since a large part, if not the majority, of Urologic disorders, diseases, and conditions affect patients 45 and older, we are going to see the need for Urologists increase as well.

The cost of services from these providers is expected to rise as well. With the economic principles of supply and demand at work, fewer providers matched with greater demand will result in higher cost. Value of these services is irrelevant, being as value and cost operate independently. With a value, what it is worth to a consumer, lower than the cost, what a consumer must pay or sacrifice for it, more people will be ignoring urological disorders far longer than they should be. This will most likely result in permanent damage, increased and more intensive treatments, and/or emergency room visits. Emergency rooms are highly overburdened as it is, especially with the elderly demographic.

Health Insurance Reform

The pending healthcare reform is affecting most specialties in a similar fashion. The accepted prognosis for the medical field is that the prospective reforms being discussed will make Medicare patients unprofitable, thus resulting in a loss of physicians. With fewer physicians available to those not privately insured, quality of health for Medicare patients can only be expected to decrease. Another prospective factor is the preferential treatment of certain physician specialties, such as Internists and Family Practitioners. They will automatically receive 5-10% increases in reimbursements. Other specialties will only qualify for these increased reimbursement rates if their caseloads are 50% or more of Medicare patients. It seems unfair that vital specialties like Urology may be passed over. Many medical associations are lobbying to have these requirements broadened.

Article by Cory Ellerd of Physemp.com. Robert Truog founded Physemp.com in 1994 as one of the first online physician employment sites for all specialties including:
Urology job,
Locum Urology Job.

In the United States, there are approximately twenty eight thousand Hospitalists practicing today. Approximately 50% of hospitals across the nation have a branch of this specialized unit. Because of growing demand many medical education facilities are developing Hospitalist-based residencies.

Hospitalists have just developed in the last ten or fifteen years. The term Hospitalist refers to not only Medical Doctors and Doctors of Osteopathy, but also Nurses, Clinicians, Aids, and specialists who primarily work in a hospital setting where there is a high volume of patients and requires a much broader knowledge and expertise of medicine. This group tends to serve as unofficial case supervisors, helping direct specialists and other health professionals.

Failing Economy-

The failing economy has hurt demand for Hospitalists however, but it hasn’t helped them either. In other specialties such as Psychiatry and Family / General Practice, the cost for these services are on the rise . And with the Emergency and Urgent Care caseloads bursting at the seams, the forecast seems at least steady. There is speculation, however, that the salaries of Hospitalists will plateau from their current rise, and possibly even fall. This also is because the rapid growth of and reliance on Hospitalists is relatively unpredictable and to early to predict anything longterm, as is the physician job market as a whole. However, most sources do agree, Hospitalists won’t be suffering anytime soon.

The stock markets decline has affected some physicians’ retirement plans. Some are calling off their impending retirement and opting to work for a few more years because of the hits their retirement plans and investment portfolios have taken. By postponing leaving the workplace, you might think this might flood the job market. It isn’t so. Even a delay of three to five years wouldn’t fix the impending deficit of veteran physicians. Many recruitment firms and hospitals are, despite the lack of candidates, practicing a more thorough, limiting, and conservative recruitment regimen.

Most businesses in these tough times are evaluating every expenditure and cutting unnecessary ones. Hospitals, obviously the primary employer of Hospitalists, are following suit. Some employers even view Hospitalists as one of these expendable unnecessary costs. Contrarily, they have the potential to curtail many HR expenses due to their flexibility and very broad, intensive training.

Health Insurance Reform-

The lurking health care / insurance reform, although is very vague as of yet, has the potential to rock the Hospitalist world. There are a few prerequisites for this proposed reform. You wouldn’t normally think of a Hospitalist as a primary care physician, but the government might classify them as such. They might especially do so if a Hospitalist does fifty percent or more in primary care charges, or what is “defined” as primary care charges. This would subject Hospitalists to the five to ten percent medicare reimbursements, or lack thereof, depending on how the bill sets up shortage zones (higher Medicare reimbursement rates). This gray area could cause Medicare quite a few problems and upset an entire branch of medicine, especially a branch so vital, beneficial, and thriving as Hospitalist.

Robert Truog founded Physemp.com in 1994 as one of the first online physician employment sites for all specialties including :
Part Time Hospitalist Jobs,
Hospitalist Jobs and
Locum Hospitalist Jobs

In the United States, the face of internal medicine is changing rapidly, as quoted from a recent report by the U.S. Census Bureau, and the average age of Americans is also increasing dramatically. The age group of 65+ is going to double in the next quarter-century, peaking at almost one fifth of United States citizens. The 85+ group is also now becoming the fastest growing age group currently.
Older citizens are healthier than ever, however the numbers of disabled and chronic condition sufferers are on the rise. This will result in a relatively concurrent rise in the demand for healthcare. Of the fourteen million people in the 65+ range who reported a disability or partial disability of some kind, the conditions being suffered from were prevalently chronic arthritis or heart disease.
These factors are the driving force behind the continual growth for demand of physicians, which may result in shortages of available medical services. Other affecting issues include the rising demand for health care in general, the weakening economy, and the impending healthcare reform.

Primary Care Shortage

Up to 1/3rd of the current 650,000 practicing physicians will be considering retiring by the year 2020. A shortage of primary care physicians is a particular concern due to this, and also the choice of younger physicians to choose to further specialize. The reason behind this is that further specialization beyond, or a specialization instead of, primary usually results in higher salaries and more desirable employment locations. A population center, such as New York, Miami, Los Angeles, or Chicago is going to have need of highly specialized physicians, with much less competition for the available job opportunities. The shortage is expected to hit rural and underserved areas the hardest.
By the year 2020, the ACFM (American Academy of Family Physicians) have suggested that there will be a deficit of over forty thousand primary care physicians (Family Practice, Internal Medicine, Pediatrics, OBGYN, to name a few). Since med school students choosing primary care as a career / profession has dropped already by almost 52% since ‘97, the decline is expected to increase if nothing is done to remedy this predicament. This could turn the tables, leaving primary care physicians with the higher salaries.

Weak Economy and Aging Population

With the current economic hardship and enormous job losses across the country, these have unswervingly affected the cash flow to doctors and physicians. When jobs are lost, the loss of healthcare benefits is inevitable, and so access to health care is also. However, many doctors are postponing retirement since watching the stock market annihilate their retirement reserves. This delay will result in a much smaller number of employment opportunities being offered and graduating residents not finding as many available jobs as before. Residents today seem to prefer not to commit to less desirable jobs, and are choosing locum tenens opportunities. They are also putting off committing to full-time employment because of the scarcity and lower salaries. So in the near future, it appears there will be fewer and fewer good jobs available.

Robert Truog founded Physemp.com in 1994 as one of the first online physician employment sites for all specialties including:Internal Medicine Job,
Hospitalist job and
Family Medicine job.

This understanding that Inner fullness is the basis of outer achievement has been stated, written and preached throughout the world and has survived in all cultures throughout time. It must be a universal Truth. But is it just an idea or concept?  And if it is more than that, how do we get this experience and what value does it have in our daily life? Clearly, intellectual understanding alone is not sufficient. The direct experience of this inner reality is necessary for us to find it’s real value in our lives. The experience of our fundamental nature—of our true Self—does not have to be an experience reserved for philosophers, saints, or spiritual luminaries. It is the birthright of each of us. As women, we intuit that there is something Divine within us. We feel it in the miracle that allows new life to develop within our bodies.  We know it in the natural way we nourish those around us; and in the infinite love that flows through us to our children. We have intuition that transcends reason.

Within each of us, at the deepest level of the mind, we have a field of infinite intelligence, peace and happiness – our deepest nature. At that level, our nature and Mother Nature are the same–cosmic love at the basis of creation. To experience this (not just think, believe, or philosophize about it) we need a way to consciously go beyond or transcend the active level of experience and thought. This is the realm of meditation, specifically of a meditation technique that allows the mind to transcend thought.

Meditation techniques commonly involve effort—concentrating, focusing, imagining, contemplating or visualizing.  These techniques disallow the mind from transcending because they keep the mind continuously active on its surface level. To let the mind comfortably rest in subtler states of consciousness and Being, it is important to find a technique that is both natural and effortless.

With direct experience of more profound levels of awareness and unbounded Being at the basis of thought, women of all ages find tangible results that carry over into daily life. They find that this experience brings inner confidence, stability, and joyfulness along with the ability to be more spontaneous, tolerant, and intimate. They feel more connected. The qualities of collectedness, calm and wholeness remain with them in their personal relationships. The deep rest enjoyed in this settled state of mind helps them recover from the stress of the day so that they can truly enjoy their personal life each evening. Working mothers notice increased creativity and efficiency along with the extra energy and capacity needed to meet the needs of a family.  According to published scientific research, dozens of symptoms of aging are found to be abated or reversed.

So whatever our age—whether we are young women of student age or entering our careers, working mothers or wives, or of retirement age—there is always immense benefit to turning within. And naturally we find that when we turn back “without”, it is with a clearer, more expanded, happier and more fulfilled vision.

Whether you’re running a brick-and-mortar company or an ecommerce site online–having the right computer equipment greatly enhances both the productivity and profitability of your business.

But, there is one major setback every company faces when it comes to owning their own computer equipment: obsolete technology. In fact, given the speed of innovation with today’s technology, even the most cutting-edge computer is dated the moment it’s taken out of its box. That’s why more and more companies are turning to business computer leasing as a cost-effective solution.

Advantages of Business Computer Leasing

Due to its numerous advantages over purchasing, business computer leasing has become a viable option for businesses of all sizes to seriously consider.

One of the main advantages of leasing business computers is that you can increase productivity by keeping your equipment up-to-date with the latest microprocessors and RAM capacity.  This is one case where the old adage holds true: time is money. The time you save will make the equipment pay for itself over a very short period of time.

Next, by going with business computer leasing as opposed to purchasing, you will tie up far less of your capital and lines of credit. This will allow you to invest those resources into other areas of your business, further enhancing the growth of your company. Having this kind of flexibility is even more beneficial for start-ups, since it will let them free up the working capital they need for day-to-day operations and unexpected expenses.

Finally, business computer leasing can present significant tax savings. Since a monthly lease payment is viewed as an operating expense and not a debt, many companies realize a tax savings using this structure. As always, be sure to consult with your tax advisor to find the best strategies for your business.

And perhaps the most compelling reason of all is that equipment leasing allows you to grow your business without significant out-of-pocket expenses. It gives you the flexibility to capitalize on trends and opportunities so you realize greater market share and profits.

Business Computer Leasing Lets You Keep Up With Technology

By staying on top of the latest technology, you give your business the greatest chance of success. Since the typical lease lasts around three years, leasing business computers will allow you to refresh your technology in a consistent and structured way.

Get FREE, No-Obligation Information On The Top Business Computer Leasing Options

To discover more of the benefits of business computer leasing and determine if it is right for your business, please fill out the form below. One of our trained leasing experts will contact you with information about the most-cost effective solution.

We look forward to serving you,

The Equipment Leasing Source Team

http://theequipmentleasingsource.com

Whether you’re a small business looking to start and build out your first network or a bigger company searching for a reliable backup solution for larger amounts of data, leasing IT equipment can provide a turn-key solution to meet your technology needs.

Lease Servers, Networking Equipment and Data Storage Systems

Power, reliability and affordability—those are just some of the benefits companies are looking for when they consider equipment upgrades. By leasing top-of-the-line equipment a business can:

    * Increase performance by eliminating technology bottlenecks
    * Optimize uptime and reduce risk of data loss
    * Conserve capital for larger and long-term projects
    * Increase ROI by having the resources to put short-term solutions in places quickly

Dealing with obsolete technology is one of the greatest challenges any business faces today. By utilizing a well conceived equipment leasing strategy, companies can find a cost-effective solution to this problem. Further, in many cases they can give their company a competitive edge by using the latest equipment.

Key IT Equipment Leasing Solutions

The options are nearly limitless when it comes to leasing IT equipment. Following are some of the most in demand technology items:

    * Desktop, Workstation and Laptop Computers
    * Server Systems
    * Data Storage Systems
    * Phone Systems and VoIP Systems
    * Networking Equipment
    * Videoconferencing Equipment
    * Document Scanner-Barcode Systems

One of the main reasons companies consider leasing equipment is because it allows a business to grow without having to deplete their cash on hand or tap existing lines of credit. With leasing, a business will have the capacity to enjoy greater profits and market share by capitalizing on opportunities faster and without as much out of pocket expense.

Get FREE, No-Obligation Information On The Best IT Equipment Leasing Options

To discover more of the benefits of business computer leasing and determine if it is right for your business, please fill out the form below. One of our trained leasing experts will contact you with information about the most-cost effective solution.

http://theequipmentleasingsource.com

If your construction equipment is constantly breaking down and ends up spending more time in the shop than in service, it may be time to seriously consider leasing construction equipment.

It’s difficult to stay on budget and meet project deadlines when you can’t rely on your equipment. Not only do unexpected repairs cut into a company’s profitability, they can also quickly drain operating capital and eat away at the bottom line.

Because of reasons like these, more and more companies are choosing to lease construction equipment instead of purchasing it. What’s more, though the cost of ownership may be cheaper in the short-term, leasing construction equipment does offer some distinct advantages.

Lease Construction Equipment–The Advantages

1) Eliminate Large Cash Outlays: When a company chooses to lease construction equipment it frees up cash and capital and allows these funds to be leveraged toward other investments.

2) Frees Up Lines of Credit: In most cases, a lender will not freeze up lines of credit when equipment is being leased. This is not the case when you finance equipment.

3) Easier Terms and Faster Approval: Shorter application review times and a less stringent qualification process make leasing far more convenient than a traditional bank loan

4) Significant Tax Savings: A company that decides to lease construction equipment can often have the full cost of leasing treated as an expense. This often results in a larger tax deduction that standard equipment depreciation deductions. Of course, a tax professional should be consulted to determine the best tax saving strategy based on your specific business.
Lease Construction Equipment—The Most Common Machinery

Every imaginable piece of equipment is available for leasing. Here are some of the most common types of construction equipment companies use:

    * Trucks and Tractors
    * Backhoes and Bulldozers
    * Cement Trucks
    * Pavers and Rollers
    * Loaders and Graders
    * Cranes
    * Excavators and Compactors
    * Surveying Equipment
    * Fork Lifts
    * Jack Hammers
    * Crawlers
    * Dump Trucks
    * Trailers

Receive A FREE, No Obligation Lease Construction Equipment Quote

These are just some of the key factors a company should consider when looking into leasing construction equipment.

To discover more of the benefits of construction equipment leasing and determine if it is right for your business, please fill out the form below. One of our trained leasing experts will contact you with information about the most-cost effective solution.

We look forward to serving you,

The Equipment Leasing Source Team

http://theequipmentleasingsource.com

Economics and Health

The job loss caused by the recession directly impacts all physicians’ income. When millions of people lose their jobs, they also lose their health care insurance and physicians lose patients that can pay. Hopefully the job loss is a short term set back, but it does affect demand for services and income for physicians immediately. This in effect destroys the underlying projections of the growth of demand made just a few years ago. Until the economy picks up and the unemployment drops from 10% to the 4 to 5% area there is a great possibility that the demand for all health care services based on per crash assumptions is optimistic.

Shortage of Anesthesiologists

From 1995 the number of anesthesiologists graduating from residency programs decreased. According to the American Society of Anesthesiologists the number of American anesthesia residency graduates decreased from 1,547 in 1995 to only 392 in 2000. During the same period, the number of practicing anesthesiologists increased by less than 9 percent, according to the AMA. This compares with a 13 percent increase in the number of physicians in all specialties.

CRNAs

The rising cost of healthcare can dramatically affect demand for physicians’ services. CRNAs, who can perform many of the routine duties of physicians at a fraction of the cost, may be increasingly used. Furthermore, demand for physicians’ services is highly sensitive to changes in healthcare reimbursement policies. If changes to health coverage result in higher out-of-pocket costs for consumers, they may demand fewer physician services.

In rural settings, CRNAs are the sole anesthesia providers in nearly two thirds of all hospitals. CRNAs are also the main provider of obstetrical anesthesia in the United States

Increase in the Demand for Anesthesia Services

The National Center for Health Statistics states inpatient surgeries were flat between 1994 and 2000. While the number of anesthesia providers has remained relatively constant in recent years, surgical volumes have increased nationwide, placing greater demand on the providers of anesthesia services.

Bad Economy and Aging Population

The recent stock market collapse is having a major impact on older physicians’ decisions of all specialties. Many doctors are postponing retirement for a few years, because of the losses they sustained in their retirement accounts. However, even a few years delay of retirement won’t address the increased demands caused by this impending loss of experienced physicians. This postponement has already resulted in fewer jobs being offered and graduating residents not finding as many good opportunities as before. Some residents rather than committing themselves to less desirable full time jobs are opting for locum Anesthesia jobs.

Health Insurance Reform

The final question is the outcome of national health reform. Will there be any changes at all. This debate has frozen decision making for many in health care. If the health care reform actually happens in increasing the enrollment into health care insurance then the long term the aging population and these increased numbers should push demand for services and income higher. However, no one yet knows what will happen to reimbursement rates from Medicare. Already there has been some lowering of rates they pay in Radiology which has directly impacted that specialty. The question is will there be more rates cut that will affect all specialties including Anesthesia.

Robert Truog founded of Physemp.com in 1994 as one of the first online physician employment sites for all specialties including:Anesthesia Job,
Locum Anesthesia Job and
Anesthesia Pain Management Job

A recently released a report showing that for the second year in a row the number of U.S. teenage girls giving birth continues to increase after a 14 year decline**. An Associated Press review of birth rates starting in 1909 found the total number of U.S. births now is the highest since 1961, near the end of the baby boom. The report also showed births becoming more common in nearly every age and racial or ethnic group. Birth rates increased for women in their 20s, 30s and early 40s, not just teens. No one is certain how long this Mini Boom will last, but it is the basis of the continued growing demand for medical services.
Demand for Child and adolescent psychiatrists is growing. To treat the 15 million children and adolescents in the U.S. with a diagnosable psychiatric disorder, each one would have to have serve 2,381 children.

Uneven Supply
Psychiatrists are not spread across the country evenly. Nationally, the psychiatrist-per-100,000 population ratio stands at about 16.5 per 100,000. That ratio, which reaches its high in Massachusetts at 31.1 per 100,000, bottoms out at 4.6 per 100,000 in Idaho. Counter-balancing the five states with the highest ratios — Massachusetts, New York, Pennsylvania, California, and Texas — are the five states with the lowest ratios: Idaho, Wyoming, South Dakota, North Dakota, and Alaska. The Western states have the lowest per capita supply*.

Health insurance

Adding to the problem are the vagaries of insurance company practices and public health care systems. Some psychiatrists will only see patients with private insurance. Others who are employed by regional behavioral health associations which care for patients on the state’s Medicaid program — Arizona Health Care Cost Containment System (AHCCCS) –- will not see patients who have private insurance. And, there are some psychiatrists who will not accept any insurance plans.

“Many private health insurance plans will only pay for a limited amount of mental health care,” Rimsza said. “Mental health problems are singled out by insurance plans, and ongoing care may not be covered despite persistent need. If a patient is still in need of care for depression, for example, but their plan only allows for three mental health visits a year, they are forced to either discontinue care or pay for the care themselves.” This is a major issue for physicians in Arizona who feel that mental illnesses should be covered by insurers just like any other disease. For example, insurers typically will pay for as many outpatient visits and hospitalizations needed to effectively manage a diabetic patient, but the same insurer will limit their coverage despite the need for ongoing care if the patient who has a mental health disorder.

While some of the mental health needs of patients can be managed by psychologists, some patients may be too ill and in need of an MD who can prescribe medication — something a psychologist cannot do. Over the years, Rimsza said, physicians and mental health advocates have strongly lobbied for mental health parity — that insurance companies treat mental illnesses like any other medical condition, thus leading to a greater availability of services for people with mental health problems.

Cost

The emotional cost of mental illness is incalculable, but the monetary one is not. According to a report by the U.S. Surgeon General’s office, in 1996 the United States spent more than $99 billion for the direct treatment of mental disorders. In 1990, the most recent year for which estimates are available, the indirect cost of all mental illness was at $79 billion, with most of that amount coming from loss of productivity due to premature death, incarceration and time spent by family members caring for the ill.

“On a national policy level it makes a lot of sense [to cover mental illness], but to the individual insurance company, if this can be excluded, it cuts down on the number who will use services and how much they will have to pay out in claims,” Rimsza said. “Unfortunately, that is often the higher priority,”
Primary Care Alternative
Primary care physicians are attempting to compensate for the insurance void by learning how to care for such patients themselves, Rimsza said. Because those primary care physicians know they don’t have anywhere to send such patients, and the patient is going to keep coming back to them for care anyway, it behooves the doctors to expand their skills to cover these kinds of problems. However, many insurers refuse to reimburse pay primary care physicians for mental health services and only cover such services if provided by a psychiatrist.
Rimsza, who is involved in developing continuing medical education for physicians on the local and national level, said demand is high among physicians for more training in mental health. Until Arizona’s medical training ramps up and insurance companies begin to be more accepting of mental illness, continuing education could provide the only way to handle a frightening situation.
**The Centers for Disease Control and Prevention
* School of Health Management and Policy at the W. P. Carey School of Business.

Robert Truog founded of Physemp.com in 1994 as one of the first online physician employment sites for all specialties including:Psychiatry jobs
Adult Psychiatry jobs
Child Psychiatry jobs

The American Medical Association reported in 1995 that about 5.5% of people held jobs as obstetricians and gynecologists that worked in hospitals and clinics in the United States, according to the Bureau of Labor Statistics. Employment opportunities for physicians that specialize in obstetrics or gynecology are expected to grow by about 14% through 2016. OBGYNs will find more job openings in rural or underserved urban areas. OBGYNs earned an average annual salary of $195,580 to $284,000 in 2008, according to Salary.com.

As our population ages and the need for health care grows the current physician shortage in the US is expected to intensify. Several factors are impacting this problem, the shrinking economy, the aging population and finally the impending health care “reform”.

Physician Shortage

American Academy of Family Physicians suggests there will be a shortage of 40,000 primary care doctors (Family Practice jobs, Internal Medicine jobs, Pediatric jobs and OB/GYN) by 2020. Added to this shortage is the fact that the number of medical students choosing primary care as a profession has already dropped by 51.8% since 1997, and that currently only 2% of medical school graduates choose primary care as a career. The drop in interest in primary care is likely a response to the significantly higher salaries that sub specialists like Radiologists, Cardiologists and many others command.

Aging Population

The US population is aging. From 2010 and 2035, all age groups 70 and above will increase over 95%. Although for most other specialties this means there will be a greater demand for all health care services, this
will be less so the case for that care of pregnancy and birth. However, all other aspects of OB/GYN can expect to see a growth in demand. Further, it is estimated that as many as one-third of today’s older practicing physicians will retire by 2020.

Stock Market Decline

The recent stock market decline has impacted older physicians’ decisions. Some physicians are postponing retirement because of the economy’s impact on their retirement savings. But even a three- to five-year delay won’t address the impending loss of experienced physicians.

Health Insurance Reform

The final uncertainty is the outcome of national health reform. If the reform actually works in increasing the enrollment into health care insurance programs then when combined with the long term the aging population and these increased numbers should push demand for services and therefore cost higher. However, no one yet knows what will happen to reimbursement rates from Medicare and this new program. The question is will there be rate a cut of reimbursement rates for different procedures by Medicare and this new program that may ultimately decrease the income of all specialties.

The face of aging in the United States is changing dramatically — and rapidly, according to a new report from the U.S. Census Bureau. The population age 65 and over in the US is expected to double within the next 25 years. Almost 20% of all Americans will be 65 years or older by 2030. The age group 85 and older is now the fastest growing segment of the U.S. population.

The health of older Americans is improving. Still, many are disabled and suffer from chronic conditions so they will demand and receive more health care as they age. The 14 million people age 65 and older reported some level of disability in Census 2000, mostly linked to a high prevalence of chronic conditions such as heart disease or arthritis.

The need for health care will continue to grow as the population in the US ages. This one issue will make the demand for physicians to increase and could lead to shortages of medical services. Other factors are impacting demand for health care, the shrinking economy and the purported health care “reform”.

Primary Care Shortage

As many as one-third of today’s 650,000 physicians may retire by the year 2020. There is particular concern about primary care shortages in the near future as older physicians retire and younger ones seek higher paying specialties instead of primary care. Rural areas are especially vulnerable to attracting and retaining new physicians as the old ones retire.

By 2020, American Academy of Family Physicians suggests there will be a shortage of 40,000 primary care doctors (Family Practice jobs, Internal Medicine jobs, Pediatric jobs and OB/GYN). Since the number of medical students choosing primary care as a profession has already dropped by 51.8% since 1997, there could be a continued drop in supply for primary care physicians if nothing is done to correct. The drop in interest in primary care is likely a response to the significantly higher salaries that sub specialists command.

Weak Economy and Aging Population

With the recession and massive job loss across the country has had a direct impact on the revenue stream to physicians. When people lose their job, they also lose their health care benefits and so access to health care. However, many doctors are postponing retirement since watching the stock market decimate their retirement savings. This postponement has resulted in fewer jobs being offered and graduating residents not finding as many opportunities as before. Residents rather than committing themselves to less desirable jobs are opting for locum tenens jobs and waiting before committing to full time employment. So for the short term, it appears there are fewer good jobs available.

Health Insurance Reform

Another uncertainty is the national health reform which seems to be changing and shrinking every day. However, to the degree that reform increases enrollment of health care insurance then these increased numbers should push demand for services and therefore cost higher. However, no one yet knows what will happen to reimbursement rates from Medicare. Already there has been some lowering of rates they pay in Radiology which has directly impacted that specialty. The question is will there be more rates cut that will affect all specialties.Because of these and other factors many physician practices are holding off making any decisions until they have a better idea of how the health reform will impact these reimbursements.

Robert Truog founded of Physemp.com in 1994 as one of the first online physician employment sites for all specialties including:Primary Care Job,
Geriatric job and
General Practice Job.

In 2008, there were about to 19,000 pediatric sub-specialists, up from 15,000 in 2003.
However, over this time there has been the number of pediatric specialists has been falling.

SHORTAGE

Recent studies report a shortage of pediatric surgeons in the United States.
American Pediatric Surgical Association survey of members estimates current workforce and demand and to provide data for workforce planning.

The shortage of pediatricians trained in specialties such as neurology, gastroenterology, and developmental and behavioral medicine threatens timely access to care for children.

Even as early as 1997 the National Institutes of Health suggest that the job market for newly trained residents in primary care pediatrics has tightened.

Recruiters experience the pains of their clients when seeking out quality physician candidates on their behalf. Statistically, we have found the pool of pediatric surgeons dismal at best, due to the incredibly high demand, with nearly one in four practices seeking additional surgeons. In addition, pediatric gastroenterologists and pediatric neurologists, particularly epileptologists, have proven challenging to source with more opportunities than physicians available in the marketplace. The good news for
fellows completing their training is that the demand for their expertise remains high.

DELAY RETIREMENT

Between the recent stock market and real estate collapse many older physicians are remaining in practice longer than Planned In some specialties this has led to fewer high quality positions available to the oncoming new generation of physicians. According to the APSA, some surgeons plan to delay retirement, because it would leave their group or community shorthanded. However, the shortages are such that this appears not
to be the case for pediatricians.
——————
INCREASED DEMAND

The demand for pediatric sub-specialists is continuing to increase for the following reasons:
* More Educated consumers requesting sub-specialists for treatment
* Increased obesity rates among children
* Fellowship programs not meeting the current mini boom in population of children

Many general pediatric residents are pursuing pediatric subspecialty training.
The number of subspecialty training openings has not adequately increased during this last decade.

GROWING INCOMES

Incomes have grown, As a result of this shortage, outpacing other medical specialties. According to the MGMA Physician Compensation and Production Surveys pediatric sub-pecialists are reaping the rewards of heightened demand with an increase in compensation. For one of the first times, pediatric surgeons actually earn more than adult surgeons.

HEALTH CARE REFORM
During the healthcare debate, pediatric groups lobbied to secure more funding for training and higher reimbursement for pediatric sub-specialties, in the hope of encouraging more doctors-in-training to enter the field. Specialization typically requires up to three years of training beyond a general pediatrics residency and can pay salaries less than half the rate of adult specialty medicine.

Thanks to advances in medicine such as better care of premature infants, many children are alive who may have died in the past. but we’ve created a generation of kids who need ongoing and continuing care for serious issues.

The hospitals also reported that jobs for the top specialties are going unfilled for a year or longer; nearly half reported vacancies in pediatric-rehabilitation medicine, hematology and oncology, and cardiology. For families, that often means waiting for months to see a specialist and incurring heavy travel costs, often to another state.

HIGH COST OF EDUCATION

The Senate bill contains a measure that would fund a loan-forgiveness program for pediatric sub-specialists, easing the financial burden of medical-school costs. The federal Medicare program funds training programs for adult medicine. Congress five years ago authorized funding for pediatric specialty training, but the funds must be re-authorized every year.

One problem is that specialists tend to cluster close to large academic medical centers, in areas where there is a population large enough to sustain a practice. American Academy of Pediatrics found that while the greatest shortages are in rural areas, the majority of general pediatricians in all geographic areas considered wait times to be excessive when referring patients to sub-specialists.

To cope with the problem, many hospitals are turning to strategies such as telemedicine—remote consultations using two-way video systems—and mobile vans that may drive hundreds of miles to set up clinics in under-served areas. Hospitals are also more often turning to adult specialists to treat children, though not all are willing to do so. Surgeons, for example, may refuse to operate on children,
because they aren’t trained to deal with the differences in their physiology.

Robert Truog founded of Physemp.com in 1994 as one of the first online physician employment sites for all specialties including:Pediatric job
Pediatric Emergency job
Pediatric Gastroenterology job

2010 Outlook for Surgeons

The Advisory Council for General Surgery reported that the number of  general surgeons in the US in 1994 was between 17,289 and 23,502, or a ratio of 7.1  general surgeons per 100,000 population.   As many as one-third of today’s practicing physicians may retire by the year 2020.  It is projected that because of the number of retiring surgeons  employment for them is strong and should continue to grow.  There is particular concern about shortages in the near future as older physicians retire.  Rural areas are especially vulnerable to attracting and retaining physicians.

Increased job opportunities will be available for surgeons in areas of low-income populations or rural areas. Surgeons earned an average annual salary of $240,533 to $361,589 in 2008, based on Salary.com reports. Salaries vary based upon experience in the field and professional specialty.

General Surgeon’s Salary Range

As with most specialties the years of experience, geographic location, the type of facility and determine the General Surgeons salary. The Allied Physicians Salary Survey revealed a difference in salary for general surgeons by years of experience as follows:

* 1-2 Years – $226,000
* 3 or More – $291,000
* Maximum – $520,000

General Surgeon Job Outlook

The job outlook for general surgeons is good as the shortage for physicians is occurring around the world. Employment opportunities are expected to grow faster than average between now and 2014.  The Department of Labor reported that 14.6 of all practicing physicians specialized in surgery.

The Aging Population in the US

The US population is aging.  From 2010 and 2035, all age groups 70 and above will increase over 95%. This means there will be a greater demand for all health care services and relatively smaller younger population of physicians taking the retiring physicians place . Some fear that as the Baby Boom generation starts receiving Medicare coverage the older physicians may retire more quickly rather than accept the lower fees and higher workload of the government funded insurance.  Further, it is estimated that as many as one-third of today’s practicing physicians will retire by 2020.   However, the recession and massive job loss across the country has had a direct impact on the revenue stream to physicians. When people lose their job, they also lose their health care benefits and so access to health care.

Stock Market Decline impact on Retirement

The recent stock market decline has impacted older physicians’ decisions. Some physicians are postponing retirement because of the economy’s impact on their retirement savings. But even a three- to five-year delay won’t address the impending loss of experienced physicians. Some new physicians are looking to Locum Surgery jobs for the short term to remain available for better opportunities.

Health Insurance Reform

The final uncertainty is the outcome of national health reform.  If the reform actually works in increasing the enrollment into health care insurance programs  then when combined with the long term the aging population and these increased numbers should push demand for services and therefore cost higher. However, no one yet knows what will happen to reimbursement rates from Medicare and this new program.  The question is will there be rate a cut of reimbursement rates for different procedures by Medicare and this new program that may ultimately decrease the income of all specialties.

http://www.physemp.com/physician_jobs/perma_orthopedic_hand_jobs.html

http://www.physemp.com/physician_jobs/perma_orthopedic_spine_jobs.html

Job Outlook

The Labor Dept states that Orthopedic Surgeons represent about three to four percent of all physicians.
Employment opportunities expected to grow faster than average between now and 2014 for Orthopedic surgery.  As the population of the US ages, there will be a higher incidence of musculoskeletal conditions that occur with aging.  As our population ages and our need for health care grows the need for health care in the US is expected to grow.  Several factors are impacting the future demands in both directions, the shrinking economy, the aging population and finally the impending health care “reform”.

Physician Shortage

About 640,000  physicians of all specialties are currently practicing and more than 50% of them are primary care physicians. As many as 33% of today’s practicing physicians may retire by the year 2020.  There is particular concern about primary care shortages in the near future as older physicians retire and younger ones seek higher paying specialties instead of primary care.  Rural areas are especially vulnerable to attracting and retaining physicians.

The Bureau of Labor Statistics (BLS) predicts continued growth for surgery jobs, particularly in rural areas of the U.S. where there is a low ratio of physicians to population (www.bls.gov). Earning potential for Orthopedic Surgeons can range from $350,000 to more than $500,000, according to the AMCC; the highest salaries are found in the private practice arena. Because Orthopedic Surgery is a popular area of specialty, jobs may be more competitive.

Slow Economy and Aging Population

The general economic slowdown and the ensuing job loss across the country has had a direct impact on the revenue stream to physicians. When people lose their jobs, they also lose their health care benefits and so access to health care.   This lose is felt more in some parts of the country than others but  this should mitigate any shortages for the short term.

Last years stock market collapse has had a major impact on older physicians’ decisions. Many doctors are postponing retirement because of the economy’s impact on their retirement stockholdings. But even a three- to five-year delay won’t address the impending loss of experienced physicians to retirement. This postponement has resulted in fewer jobs being offered and graduating residents not finding as many opportunities as before. Residents rather than committing themselves to less desirable jobs are opting for Orthopedic locum  jobs and waiting before committing to full time employment.

Health Insurance Reform

Another large uncertainty is the the nature of national health reform.  If the health care reform actually works in increasing the enrollment into health care insurance then the long term the aging population and these increased numbers should push demand for services and therefore cost higher. However, no one yet knows what will happen to reimbursement rates from Medicare. Because of these and other factors many physician practices are holding off making any decisions until they have a better idea of how the health reform will impact these reimbursements and their bottom line.

http://www.physemp.com/physician_jobs/perma_radiology_interventional_jobs.html

http://www.physemp.com/physician_jobs/perma_radiology_mammography_jobs.html

After a number of years of rising salaries Radiologists are a sharp setback in income.  The constant rise in their salaries seems to have hit a wall and indeed due to changes in reimbursement rates they  actually have fallen recently.  Even before any health care reform has been enacted Radiologists are seeing their income fall and in addition the recession is also impacting the bottom line negatively. This situation is not limited to Radiology jobs, last year U.S. hospitals saw more patients without insurance or the ability to pay their hospital bills. Bad debt has risen, while donations have fallen. Even though the United States is beginning to have a physician shortage which may intensify as the largest part of the population, the baby boomers, age and their need for health care grows.

At a time when the cost of education is rising and in some states like California at a rapid rate, the ability to pay back the debt is falling. This means that some physicians must take into consideration what job they can afford to take right out of their Residency or Fellowship.  Physicians have always been able to carry the burden of their long and expensive education, because they knew in the end their future earnings would cover the debt.  What happens if in our haste to cut health care costs we destroy the ability of our top students to undertake this path.

The Slowing Economy and Aging Population

At the same time a study indicates that there is currently a shortage of diagnostic radiologists in the United States. The American College of Radiology’s survey of hiring in 1998 measured the shortage at 600, but others see technology easing the shortage as radiologists are able to perform more procedures more efficiently.

The US is aging.  Between 2010 and 2035, all age groups 70 and above will increase over 95%. This means there will be a greater demand for all health care services. Further, it is estimated that as many as one-third of today’s practicing physicians will retire by 2020. There are about 30,000 practicing radiologists in the US.

The recession and massive job loss across the country has had a direct impact on the revenue stream to physicians. When people lose their job, they also lose their health care benefits and so access to health care.  Further, the makers of high-tech imaging equipment may take a big hit should government insurance payments for such tests be reduced. Lower reimbursements may make hospitals reconsider buying the $1 million imaging machines.

The recent stock market collapse has had a major impact on older physicians retirement plans. Some Radiologists are postponing retirement because of the economy’s impact on their retirement savings. But even a delay of a few years remedy the  loss of experienced physicians. This postponement has resulted in fewer jobs being offered and graduating residents not finding as many opportunities as before. Residents rather than committing themselves to less desirable jobs now, are opting for Radiology Locum jobs and waiting before committing to full time employment. So for the short term, it appears there are fewer good jobs available.

Health  Reform

Another uncertainty is the outcome of national health reform.  If the health care reform actually works in increasing the enrollment into health care insurance then the long term the aging population and these increased numbers should push demand for services and therefore cost higher. However, no one yet knows what will happen to reimbursement rates from Medicare. Already there has been some lowering of rates they pay in Radiology affecting all specialties including Interventional Radiology jobs.

The face of aging in the United States is changing dramatically — and rapidly, according to a new report from the U.S. Census Bureau.  The  population age 65 and over in the US  is expected to double  within the next 25 years.  Almost 20% of all Americans will be 65 years or older by 2030. The age group 85 and older is now the fastest growing segment of the U.S. population.

The health of older Americans is improving. Still, many are disabled and suffer from chronic conditions so they will demand and receive more health care as they age.  The 14 million people age 65 and older reported some level of disability in Census 2000, mostly linked to a high prevalence of chronic conditions such as heart disease or arthritis.

The need for health care will continue to grow as the population in the US ages.  This one issue will make the demand for physicians to increase and could lead to shortages of medical services.   Other factors are impacting demand for health care, the shrinking economy and the purported health care “reform”.

Primary Care  Shortage

As many as one-third of today’s 650,000  physicians may retire by the year 2020.  There is particular concern about primary care shortages in the near future as older physicians retire and younger ones seek higher paying specialties instead of primary care.  Rural areas are especially vulnerable to attracting and retaining new physicians as the old ones retire.

By 2020, American Academy of Family Physicians suggests there will be a shortage of 40,000 primary care doctors (and  Emergency  Medicine jobs, Geriatric  jobs ). Since the number of medical students choosing primary care as a profession has already dropped by 51.8% since 1997, there could be a continued drop in supply for primary care physicians if nothing is done to correct. The drop in interest in primary care is likely a response to the significantly higher salaries that sub specialists  command.

Weak Economy and Aging Population

With the recession and massive job loss across the country has had a direct impact on the revenue stream to physicians. When people lose their job, they also lose their health care benefits and so access to health care.   However, many doctors are postponing retirement since watching the stock market decimate their retirement savings.  This postponement has resulted in fewer jobs being offered and graduating residents not finding as many opportunities as before. Residents rather than committing themselves to less desirable jobs are opting for locum tenens jobs and waiting before committing to full time employment. So for the short term, it appears there are fewer good jobs available.

Health Insurance Reform

Another uncertainty is the national health reform which seems to be changing and shrinking every day.  However, to the degree that  reform increases enrollment of  health care insurance then these increased numbers should push demand for services and therefore cost higher. However, no one yet knows what will happen to reimbursement rates from Medicare.  Already there has been some lowering of rates they pay in Radiology which has directly impacted that specialty. The question is will there be more rates cut that will affect all specialties.Because of these and other factors many physician practices are holding off making any decisions until they have a better idea of how the health reform will impact these reimbursements.

Nobody wants to age. Aside from the increasing dismay that begins to accompany our first glance in the mirror each day, we note that the exercise routine that used to keep us trim is no longer sufficient. We may find it harder to keep up with the young employees at work. We may be passed over for a position by someone younger in the organization, not always because of superior training. We may notice less capacity to keep up with the demands of small children. We might wonder if our significant other is still pleased with our appearance despite their loving assurances.  We hear that around the globe, cosmetic surgery is being sought at younger ages.  We start paying a little more attention to our stress level.

Stress is a significant factor in the aging process. As it accumulates, we note that we are not as flexible mentally or physically. If we are trying to maintain the same routine as we did before family responsibilities were added to our job responsibilities, we may feel the weight of the pressure becoming intolerable as we grow older. We push through the onslaught of daily stresses using whatever means are available. We all too often turn to insomnia medication, caffeine, unhealthy diets, alcohol, or cosmetic surgery. This lifestyle takes a toll on the mind and body, accelerating the aging process.

There are now highly researched programs to reduce stress including secular, easy to learn and practice meditation. Peer reviewed published research shows that just one year of regular practice of one meditation technique that is verified to reduce stress can be the antidote to stress and its detrimental effects. Even short term practitioners of an effective meditation technique can have, on average, a biological age five years younger than their chronological age. Five years of practice can result in a biological age 12.5 years younger than the practitioner’s chronological age.

It is important to investigate into options that are not drastic and invasive, have no harmful side effects, are natural and scientifically verified.  A meditation technique known to reduced stress and fatigue, both mentally and physically, will translate into a more youthful and vital state of health and well being. The fountain of youth may very well be within you!

Really, that’s a very legitimate reason, and probably accounts for a large percentage of the actual reasons people take vitamins.

Of course, I don’t mean your mother, literally, but rather someone who you respect and whose advice and suggestions you often follow. Each of us has a variety of “opinion leaders” for parts of our life. You know that if Joe recommends a restaurant, it’s a good one, but if Sally recommends one, you’ll ignore it.

So, there are people who you have come to believe and trust — who tell you about health things. You’ll find that, even if the other two reasons are more important for you, that there are SOME vitamins you take because someone told you that it was a good idea.

This opinion leader reason is particularly important for some vitamins where the expected result is not immediate. You want your opinion leader to seem honest and not advising you solely out of commercial interests, yet you know that commercially oriented people are often very well informed.

So, however you do it, you have probably already defined a small group of people whose opinions you listen to when it comes to vitamins. Some of them are close personal friends, others are authors whose books you’ve been impressed with — or perhaps someone you heard on the radio or TV.

The second reason is that when you take some vitamin you feel distinctly better.

You might think that this should be the only reason, but our surveys show that many people don’t feel much difference when they take many vitamins.

Consider calcium, for instance. Most people who take an ordinary calcium formula are not likely to notice any physical change.

But, there are many vitamins which DO create some immediate effect which you can feel — and judge to be beneficial.

I recall one my first experiences with the vitamin world. I was interested in health, but didn’t have any strong interest in vitamins. I heard a guy talking, listened carefully because it was interesting, and came away from that event convinced that I probably had parasites in my intestine.

Now only was I convinced I probably had lots of them, but I understood that if I took this certain combination of herb I would, definitely, have loose stools and that I could then look into the toilet and see those wiggling worms!

Well, just that promise of be sure about a result was enough for me. I got the herbs, and sure enough they sure did cause loose stool. And, I sure did get down on my knees and peer into the toilet. I didn’t find any parasites, or wiggling things. But, I was so impressed by the utter predictability about the herbs that I continue to “cleanse my gut” with those herbs.

The EFFECT was predicted and the EFFECT happened — QUICK.

If the effect is predicted to happen in two years, and, if there is no effect until two years, no one is likely to try or buy such a substance.  The effect must also be something that is easy to measure and measure NOW!

Many people will claim they feel different but find it hard to explain how. Most people really value an “increase in energy,” as something they would like to get from vitamins.

So, two reasons, so far: You can take vitamins because someone you believe and trust tells you that you should.

Or, you can take vitamins because they really make you feel something — usually good!  NOW!

Now, there is only one more reason I find mentioned often enough to count.

That’s where you do the research, or read the book about something, and you understand it so well that you know you want to take it, even if no one tells you to, and even if you don’t notice any change in how you feel.

I know that I had heard, hundreds of times that Enzyme CoQ10 was a very useful substance to take. In other words, lots of my opinion leaders had told me I should take it.

I took some, but never felt any change, so I quit.

Then, one day, I listened to a tape about CoQ10 and I was astounded. I said to myself, “I’ll never be without CoQ10 again!” It’s funny that I don’t even remember the technical data about this substance, other than it helps the heart muscle work better during times of stress, but I do recall being certain that I SHOULD take it.

So, when you study up on some product, and read good research, based on sources you respect, you can use that reason to take a vitamin.

For instance, in these pages you’ll see references to the amino acid, cysteine at http://www.oralchelation.com/technical/cysteine1.htm . You probably know very little about this substance. But, I’ll bet that if you read about it, thoroughly, you’d decide that it would be a very good item to include among your vitamins.

So, there you have it. You take a vitamin for any one, or more, of three reasons:

You mother told you to.

You feel better when you do.

You’ve studied the data about the stuff and you are convinced it’s good.

Compare these, for instance, with why you take a drug.

Generally most people don’t feel better when they take drugs, and certainly your mother is hardly ever an opinion leader for you about drugs. Finally, you can hardly ever understand the scientific literature that explains how some drug works.

So, you are left with that one solitary reason — the doctor tells you to take it.

You trust the doctor!

I don’t think that’s very wise, but notice that of the three reasons you might take vitamins, only one of them usually applies to medical drugs. And, consider that there are a lot more people explaining how some vitamin works than anybody ever tries to explain HOW some drug works.

So, we have these three reasons for taking vitamins, and you don’t probably have comparable reasons for taking medical drugs.

So, should you put THAT much faith in a doctor?

Most of the people who would take the type of mega-doses of vitamins would tell you that they don’t trust doctors and try to avoid them as much as possible.
Karl Loren is a researcher, writer and developer of unique vitamin formulations that remove heavy metals from the body. His products can be found at: http://www.oralchelation.com/store . You can write to Karl at: http://www.oralchelation.com/writetokarl.htm . Other articles and e-books by Karl can be found in his library: www.karllorenlibrary.com

Today’s answer:  What’s wrong with doctors is their medical education!

What’s wrong with medical education?  For one thing, there is a common teaching procedure of giving doctors (when they have become interns) regular schedules so that they get no sleep for 24 to 36 hours.  Their schedules are often planned, deliberately, to put the student-doctor into a state of sleep deprivation for the psychological purpose of seeing how he will “act under stress.”  That may appeal to some, but a more realistic explanation for this procedure is to brainwash the young interns.

People who want to become doctors are often, initially, motivated by the very highest principals of wanting to help and serve.  They also know that there are tons of materials that they don’t yet understand.  So, they are usually eager to learn and willing to listen.

When they are sleep-deprived is the very best time to teach them according to many educators.  They don’t have the strength to disagree — it’s just like learning under hypnosis.  It “works” in the sense that they learn the data implanted into them, but the process bypasses any shred of personal judgment.

In a sleep-deprived state the intern will accept the false datum that “60 mg of vitamin C per day is all that anyone needs, and he can get it from his diet!”  That is a false datum, but the intern who hears that after 36 hours of no sleep is very likely to accept it without question.

Likewise, he will accept a great deal of other information, about drugs, medical procedures, and even medical ethics.

Dr. Bok, once the President of Harvard University, criticized his own Harvard Medical School because during the entire medical education, the medical student spent less than 5% of all his class-room time on the three subjects of “preventive medicine, nutrition and medical ethics.”  Even then, during this tiny amount of time, they “learn” false information.

Some of the most dubious information is saved for the time of the internship.  The actual teachers during a doctor’s internship are nothing more than senior interns — it is verbal data coming into the head of a sleep-deprived medical student.

Dr. Robert S. Mendelsohn was a regular guest on my nightly radio show many years ago, and commented about this frequently.  He even suggested that a medical student who tried to exercise too much “independent thought” during his internship would likely be flunked out.  Medical situations often call for quick decisions, and that is no place for an inexperienced and untrained doctor.  So, the young interns learn to follow the lead of the older, more experienced interns and doctors.  When the young intern is sleep-deprived, he will follow robotically.

The late Robert S. Mendelsohn put forward the word “iatrogenocide” in his best seller, Confessions of a Medical Heretic.  The meaning, of course, is death caused by the doctor, but in this case, the death of whole ethnic groups caused by the doctor.  I suggest that sleep-deprivation, as in brain-washing, is a deliberate teaching technique in our medical schools, for the purpose of implanting rote certainty on the validity of drugs.

Ten years after medical school, as a practicing doctor, it is THAT education which is at the core of his robotic reaction to any suggestions about “alternative health care.”

The typical medical doctor has been brainwashed, with all apparent good purpose, into a slave mentality that is unthinking and non-judgmental about what he believes to be true.  There is an excellent article on brain washing available, and the Chapter that mentions sleep-deprivation type actions you can find by clicking here.
Karl Loren is a researcher, writer and developer of unique vitamin formulations that remove heavy metals from the body. His products can be found at: http://www.oralchelation.com/store . You can write to Karl at: http://www.oralchelation.com/writetokarl.htm . Other articles and e-books by Karl can be found in his library: www.karllorenlibrary.com

They are common.

See: http://www.chelationtherapyonline.com/anatomy/p18.htm for a brief information at “connective tissue disorder disease” – another invented disease.   These are also often called the “hopeless diseases” because doctors generally don’t have any remedy for them.  There IS a remedy!

People who “have” fibromyalgia KNOW that they are in pain.  So, it would be absolutely not true to say, “It’s in your head!”  Early on that is exactly what many doctors said.   They could find no evidence of any disease — except what the patient claimed about the pain. But, doctors who first examined these symptoms had no clue as to what it was — had no name for it, and had no clue on how to treat it, except with pain killers.  Since these doctors could not “measure” or “see” the pain, they had some reason to suspect that “it is in your head!”

They have solved ONE of these two problems, but not the other. They have given it a name.  The medical world is very tidy about things like that — they figure that putting a label on something is half-way to curing it.   The psychiatric establishment does the same thing. They have invented literally hundreds of different “mental diseases,” and every one of them is an invented disease, based on a committee which has voted on the “correct” name for some “behavior.”

The book of these invented diseases is here: http://www.chelationtherapyonline.com/anatomy/p21.htm these “disorders” are generally described with such words and grammar that they sound impressive but say nothing — for lack of definition of most of the terms.  The very word “mind” has never been defined by psychiatry.  How can they “treat” the mind when they have no clue about what and where it is!

They can and do describe “behavior,” but not the mind!

Mood disorders (affective disorders): A group of heterogeneous, typically recurrent illnesses including unipolar (depressive) and bipolar (manic-depressive) disorders that are characterized by pervasive mood disturbances, psychomotor dysfunction, and vegetative symptoms. [http://www.chelationtherapyonline.com/anatomy/p21.htm ]

But nobody understands this above paragraph! But for fibromyalgia they still have no clue as to HOW you get it or HOW to get rid of it! This makes for a wonderful opportunity for all sorts of people ready to cure any disease — particularly one that has no real medical protocol proven over many years.

They did invent a name.  You may think that this “disease” (or whatever) is well understood just because the doctor seems to understand the label, even if you don’t — “fibromyalgia!” “Fibro” relates to the word “fiber” as related to muscles, ligaments and tendons. “Myalgia” means pain somewhere. So, Fibromyalgia, the word, really means “painful joints or painful muscles.”  The basic word does not include “joints” but many people experience the pain at a joint because that is where muscles, ligaments and tendons “attach.” So, the point where these things attach to some bone is often the point of pain.  Since that is usually AT a joint, many people would describe this pain as “joint pain.”

If you think you have this problem, or worry about it, you might go onto the web and search for the word in your favorite search engine.  It is astonishing to find that virtually every search engine will serve up the American Fibromyalgia Syndrome (FMS) Association, Inc. (http://www.afsafund.org/ ) as the one of the highest ranked web sites.

In fact, for any one of twelve different “popular” diseases, there seems to be an “official” Society, Foundation, Association, or other non-commercial group that asserts itself as a source of honest information about the disease, particularly the recommended treatments. Click Here: http://www.chelationtherapyonline.com/anatomy/p15.htm for a complete study on this subject.

You will be told to “listen to your pain.”  They don’t tell you what causes it!  Nor do they tell you how to treat the actual cause!  That information is on THIS page!  It is fascinating to see how many new diseases are invented where the cause is bad diet, or something very much within the control of the patient, but where the recommended treatment is a psychiatric drug.  There are several drugs mentioned above as possible treatments for fibromyalgia.  Interestingly, all of them are outright psychiatric drugs or like psychiatric drugs that cause a great deal of harm, become addictive, and guarantee that even as pain may recede other health problems increase.

Some treatment protocol mentions of things like massage, acupuncture and chiropractic. The drug companies don’t consider these “real” treatments.  So, they are fond of including them, readily, as alternative treatments knowing that most people still don’t think of them as effective treatments.

In fact, none of these are likely to “solve” this problem totally, but any of them would be more helpful than any of the psychiatric drugs. The drug companies certainly don’t want to see you “curing” anything with water, for goodness sakes!  Part of my remedy is for you to drink more water!

How long do these experts think you will have this health problem?  Forever!  Isn’t that a nice piece of advice?

When they invent a new disease they realize that the perfect disease is one that can never be cured, but that will leave you alive while your health insurance is still paying the bill.  Health Insurance, as I have written elsewhere, is simply “Disease Assurance!” The number one type of “treatment” is really to cope with your problem — while, of course, continuing to take your psychiatric drug and pay into the drug industry.  Coping is so popular that there are books to tell you HOW to cope!

The philosophical evil which is “psychiatry” suffers from a inherent and fatal flaw.  Man achieves greatness, particularly compared with plants and animals, because he is able to change his environment.  He “takes charge” of things and changes them to suit himself.  You could even say that the basic purpose of life is to conquer the physical universe.  Man does that far more effectively than animals, of course, but then man is a “thinking animal.”  Man does not COPE with problems, he attacks and solves them.  Psychiatry counsels you to cope! Animals and plants ADAPT to their environment.

Psychiatry has the philosophical foundation that man must adapt to his stresses and problems in life.  A psychiatric drug is supposed to help you do this!  Thus generally psychiatry is telling you that you have to COPE with your problems, not “solve” them.  That, you see above, is the recommendation for those who suffer with fibromyalgia.  You are encouraged to learn how to “cope” with the malady.  You are told that you are likely to have this for the rest of your life, and that it will get worse!

(Note:  Karl has written other articles which contain the full remedy for Fibromyalgia)
Karl Loren is a researcher, writer and developer of unique vitamin formulations that remove heavy metals from the body. His products can be found at: http://www.oralchelation.com/store . You can write to Karl at: http://www.oralchelation.com/writetokarl.htm . Other articles and e-books by Karl can be found in his library: www.karllorenlibrary.com

I’m not selling water filters!

You can find many sources of information about the dangers of chlorine in our water, or the evils of fluoridation. There are, even, other cancer-causing agents added to our water by those who care less for your health than for their profit.

That is NOT the subject in this Viewpoint. I am writing about why you should drink more water than you are! I included some sixty pages about WATER in a Book I wrote — about heart disease! You might ask why is there a Section of that Book about the importance of drinking more water.

The answer is intriguing!

One reason is that you can prevent, even reverse, symptoms of heart disease with water alone!

That seems such a preposterous statement that I waited until I’d already written 200+ pages in that Book to spring it on the reader. YOU are getting that statement on this FIRST page. It does sound incredible, but hang on because by the end of these few pages I think you’ll have such a new understanding of water that you will see how, in fact, drinking more water can reduce the chances of your having a stroke or heart attack!

You need not worry much about the quality of water until you are drinking as much as your body needs to stay healthy. That’s why it’s the wrong question (What type of water should I drink?). When you spend time on worrying about what type of water to drink and you don’t know how much you should drink and why, you are, indeed, putting the cart before the horse.

Yes, I’m claiming, even without knowing you personally, that you are not drinking enough water every day to keep healthy – I’m claiming that whatever health problems you may have, and no matter what OTHER source they may have, fundamental to all of them is that your body is trying to operate with less water intake than it needs and wants.

That is the subject of this Viewpoint!

How Much Water Should You Drink?

So, how much do I think you SHOULD be drinking? Ten or more glasses per day!

Let’s start with a simple definition of a “glass of water.” That’s about eight ounces. It should be considered “plain,” not flavored or with fizzy bubbles. Coca Cola is NOT water. Actually, when you drink Coke or any soda drink, or coffee, or tea, you THINK you are getting a lot of water into your body. It seems true.

But the real truth is that the other ingredients in these beverages are often harmful to the body, and, whether harmful or not, virtually all beverages increase the body’s need for water by MORE than the water taken in as part of these beverages.

Thus, it takes MORE than one glass of plain water to provide what the body needs to handle one glass of Coke!

So, now that we are measuring in regular 8-ounce glasses of plain water, how would my recommendation of 10 glasses per day stack up?

I’ve done surveys. Here are the results:

There will be about 10% who never drink one plain glass of water during the day. They have justifications, such as the orange juice, beer, coffee or milk they drink. These people are in deep trouble! There will be about 30% who drink one or two glasses per day. There are about 40% who drink from three to five glasses per day – water, not other beverages. There will be about 15% who drink six to nine glasses per day. There will be about 5% who drink ten or more glasses per day.

You’d find, if you looked at the people in these various categories, that those groups drinking the most water have the least illness.

You’d find those 40% of all people, drinking three or less glasses per day, take about 75% of all the drugs and medications of the entire US population! Yes, most of the drugs, most of the illness, attach to the vast majority of people — drinking less than three plain glasses of water per day.

People on welfare drink much less water than affluent people. Surely is not because water is more plentiful in rich people’s homes!

Drugs & Illness – Increase Your Need Of Water!

Drugs, too, greatly increase the body’s need for plain water.

Almost every illness you have increases the body’s need for water.

Now, I’ve not even started explaining WHY this is true, or what goes on inside the body when you don’t have enough water, but I wanted to get your attention.

People who drink three or less glasses of water per day tend to be much more overweight than those drinking ten or more!

If you took a group of 100 people, each of them drinking less than three glasses of water per day, you’d find many of those people with serious medical problems.

If you took another group, people each drinking ten or more glasses of water per day, the percentage of THEM having serious medical problems would be very much lower!

Water Does Not Cure Disease – Quite!

I’m not saying that water cures disease. I am saying that when you get ill, for any reason, the body’s need for water increases AND your inclination often is to actually drink less water. If I could get you to change this one attitude about water, I would have done my miracle for the week! If, after reading this Viewpoint, you decide to give water a try, I think you’ll become a believer! You can do this without a doctor’s advice! Really!

This last point is one often missed in “self care.” We are often too prone to depend on so-called experts, and doubt our own good sense. Hardly any doctor would ever disagree with your drinking more water – BUT, hardly any doctor would ever go out of his way to insist that you do!

And most doctors don’t even know the important data about the role of water in the body.  You’ll see, after reading this Viewpoint, and applying some simple tests in your own life, how you can determine whether or not YOU need to drink more water. You’ll be able to figure out, also, how much water YOU should drink.

Why Don’t You Already Know This Data?

Once you understand the data in this Viewpoint you will realize that there is virtually NO traditional doctor who would benefit financially from encouraging you to follow the suggestions here.

Heart disease kills more people than any other disease. People see their doctors about heart-related problems very often. You may not know it, but there are very rote, government-promoted techniques of handling people with the symptoms of heart disease.

The sequence is simple. The doctor says: Improve your diet and lose weight. They know it won’t help much to tell you that, and they know very few people will benefit even if they do it. Next, if you are a failed dieter, they suggest group therapy! They know, for sure, that won’t help, but they are trying hard to make you feel guilty so that when, finally, you have failed at their “sensible” suggestions, you’ll be ready to cave in to the drug.

Next, they get into the money. They recommend drugs – Mevacor for the rest of your life, at a tidy $125 per month. If that doesn’t work, and you have enough “health” insurance, they get you with by-pass surgery.

Water, drinking enough, could greatly reduce the need for these foolish treatments.

But, the doctor doesn’t suggest water, he suggests drugs. So, reluctantly, you give up on the “natural way” and accept the doctor’s recommendation for pills. You start on the drugged route to health! Unfortunately, there isn’t any way you can get there on that road.

So, don’t be surprised that the information you are reading here has not been offered to you before.

Basic Facts

The first thing to know about water in the body is that there is a lot of it. In fact the body is about 75% water and 25% solid materials. When we consider “blood,” we may not think of that as mostly water, but it is. More than 90% of the blood is simple water.

There is also another entire system of another liquid in the body – called the lymph system – again virtually 100% water. The lymph moves around inside the body carrying away toxins from places they shouldn’t be at.

Myth!

Almost any reference book you look at will describe water in the body as the stuff that dissolves and carries the really important things around.

Here, for instance, is a typical quote:

Water dissolves and transports other nutrients throughout the body, aiding the processes of digestion, absorption, circulation, and excretion. It helps regulate body temperature.

If that were all, or even the most important thing, that water does in the body, I’d have nothing to write about here.

The above statement is true, but it represents about 10% of the truth! I won’t have room for the full story on what water REALLY does in your body, but you can get more of that in my Book!

For instance, the energy created and stored in cells of your body comes from the physical passage of water into and out of the cell. If you have enough water (blood) in your body, the normal pressure in the arteries is HIGHER than it is inside the cells within the blood stream. This means there is a constant tendency for liquid to push inward – into the blood cell. As liquid moves into the cell, it moves through a small turbine-like generator that manufactures electrical energy which is used for running the cell. Some of that energy is used to pump the liquid, now carrying the waste products of the cell, back out into the blood stream.

If you don’t have enough water in your diet, you actually have less blood in your body than you need, and the differential pressure, inside versus outside the cells in the blood stream, is less. That means there is LESS pressure pushing into the cell, and therefore there is LESS electrical energy being created.

Very few people know that the energy created by the cell is NOT created by some little furnace burning food, but by those electrical generators (turbines) being activated by the physical passage of water through them.

This is just one of the very important functions of water in the body. If you don’t have enough water, you don’t have enough blood, and you will not have as much energy as you would otherwise have!

Fact! Hunger Sensation Is Common but False

Virtually everyone has experienced the sensation of hunger, or thinks he has. Consider the gargantuan consequences of the possibility that the sensation you think is “hunger,” is very often not actually the body’s need for food, but the body’s need for water!

Some people have never experienced the classically defined sensation of “thirst,” and most people experience that sensation very seldom. Here is a standard dictionary definition of “thirst.”

A sensation of dryness in the mouth and throat related to a need or desire to drink.

That definition is very incomplete and can be the source of a great deal of illness! Isn’t that something! To claim that a simple dictionary definition is the source of illness!

Let’s look further.

You thrive on sensations – you love ‘em! Sensation is what you get paid in. You think you get paid with money? Well, money is mostly used to buy sensations.

The most valuable sensations most people seek are related to food and sex.

You respond to need sensations by eating and drinking. The body rewards you for this good behavior by giving back to you pleasure sensations.

Here’s where the villain enters this picture. Picture a body whose messages on sensation are all screwed up. In this example when the body really needs water, it sends out a message which you perceive as one of hunger you feed the body some food. You get some immediate enjoyment from the taste and the social surroundings, but if your body really needs water, food is not often a very good source for it.

So, the body, realizing that it did not get the water it needed, sends out an even stronger message for more water. You perceive it as a sensation of more hunger and aggravate the problem by eating more food when the body simply needed water. You sure can get fat this way!

After you’ve been drinking adequate water for several days you’ll begin to regain your lost TRUE sensation of thirst – a slightly unpleasant metallic taste in the mouth.

You’ll also find that if you do feel hungry, and drink water first, very often the hunger sensation will mysteriously disappear!

You see, it really wasn’t hunger at all – but thirst. Food does NOT satisfy the need for water. Water will very often satisfy your sensation of hunger.

Here’s an Experiment for You to Try

Now, back to the dry mouth perception; I can give you an experiment to try that will make a believer of you. You start, probably, with a belief that the dry mouth perception means that you are badly in need of more water in your body.

Not quite true.

What is true is that the dry mouth condition is very HIGH up in the reactions of the body to a lack of water. You are functioning, most of the time, at a level so far below the dry mouth reaction that you may never get UP to the level of having a dry mouth.

From this level of dehydration you would have to drink quite a bit of water to COME UP to the level where you start having a dry mouth.

Try that.

Drink more water for several hours – the best way is to take a few ounces every thirty minutes or so – so that you are drinking 10 or more glasses all through the day.

In fact, the best way to drink water is to carry one of those drinking bottles with you all the time. Just take sips out of it constantly. Refill that one-quart bottle many times during the day. Don’t put flavor in it, for goodness sakes. Room temperature water is best.

Once you’ve been on this level of water intake for a few hours, you’ll find that if you MISS a drink of water, now, you may experience the dry mouth reaction.

In other words, when you are pouring far more water into your body than you normally have been doing, and slow that down slightly (stop for an hour), your body will react with the dry mouth reaction even though you have been putting far more water into the body than normal.

That should convince you that your “normal” water intake had your poor body so dehydrated that it didn’t even have the energy to create the dry mouth condition. It’s almost like being “below death!” Can you conceive of a body so ill that death would be an upscale action?

What Could Prevent You From Drinking More Water?

The very natural body demand that you urinate often comes right along with the behavior of drinking more water.

If you will face this often unsociable act as being so healthy for you that you spread the word rather than avoid the toilet – you’ll be far better off.

There will be a few people whose lives are such that they can’t go to the bathroom very thirty minutes (truck drivers and school teachers). Well, if you are one of those, I’m sorry for you.

But, the majority of us only have to change our considerations and simply go to the bathroom more often.

But, recognize this as a sign of good health rather than an annoyance! Incidentally, you should drink a lot of water JUST before going to bed. Yes, you will have to get up during the night to pee, and you should drink more water even during the night.

You will find that you get back to sleep easily and sleep better.

After all, hardly mentioned here, one of the obvious benefits of drinking more water is that you are flushing FAR more of those terrible toxins you have in your body – out.

Reduce Heart Disease?

Your arteries have to be very flexible because the body is constantly shunting blood to one part, then another part.

When you have food in your stomach, the body sends more blood toward the stomach. Some of that blood is converted into hydrochloric acid to help digest your food. Most people would find this sensible, but the related fact is usually overlooked.

When the body sends more blood toward the stomach, it reduces the amount of blood in other parts of the body. The control mechanism is the muscles in the arteries. The body closes down some arteries, and opens up others, thus regulating the flow of blood where the body thinks it’s needed.

If you don’t have enough water in your body, you won’t have enough blood, and the body will have to ration water! It will! The Body will decide, based on its own priorities, where to send the blood.

As those arteries close down, squeezing the blood into places the body thinks it is needed, the BLOOD PRESSURE in the closed area can actually become high and unhealthy.

If you had enough water/blood, those arteries wouldn’t have to close down so much, and the blood pressure wouldn’t be so high.

What an amazing, yet simple, explanation for high blood pressure.

The explanation for edema; is it the body’s retention of water? Just that the body is worried sick about the dehydration and is holding on to all the water it can.

What does the doctor do? He gives a pill that makes you pee more. He tells you to drink less fluid! This is exactly the wrong advice! If you have puffy ankles, drink more water.

One more!

When an individual cell feels endangered, by a shortage of water, guess what it does. It manufactures extra cholesterol.

Yes! Cholesterol is the natural defense mechanism of individual cells. They create it to thicken their cell walls and protect the cell against losing the little water it has.

So, you have high cholesterol? Take a drug that increases your need for water! Stupid!

Instead, drink more water and reduce the need for cells to manufacture so much extra cholesterol. Then there won’t be that “extra cholesterol” leaking out of the cell, into the blood stream, to give you a scare.

Oh, there is so much more to this, but you’ve now had a taste.

You can drink more water, and it will reduce the chances of your having a heart attack, high blood pressure, or a stroke.

It sure won’t cost you much to try, will it!

Backaches Too?

Yes, amazing but often true! Backaches, arthritis, and joint pains are very often caused by an accumulation of toxins in the joints. It’s your lymph system that is supposed to keep these areas clean. Inadequate water means insufficient lymph, and thus not enough cleansing in those joints.

The body creates pain – trying to wake you up to the problem. You, too often, put more drugs and food into the body, increasing the toxic overload, while ignoring the very simple remedy of drinking more water, increasing the cleansing.

Pee Your Way to Improved Health!

You see that I can’t make a penny trying to sell you anything with this advice. Yet I believe it will be one of the greatest health improvements you can make for your body. I would say that distilled water (or water cleared with a very good filter) with colloidal trace minerals added would probably be the best type of water to drink.

Karl Loren is a researcher, writer and developer of unique vitamin formulations that remove heavy metals from the body. His products can be found at: http://www.oralchelation.com/store . You can write to Karl at: http://www.oralchelation.com/writetokarl.htm . Other articles and e-books by Karl can be found in his library: www.karllorenlibrary.com

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Karl Loren is a researcher, writer and developer of unique vitamin formulations that remove heavy metals from the body. His products can be found at: http://www.oralchelation.com/store . You can write to Karl at: http://www.oralchelation.com/writetokarl.htm . Other articles and e-books by Karl can be found in his library: www.karllorenlibrary.com