Malignant Mesothelioma - The Most Dangerous Form of Cancer

India as a Medical Tourism Destination

This article answers all these questions buzzing in your head with insightful, helpful and up-to-date medical tourism information relevant to India!

India has fast emerged as the preferred choice of many foreign patients looking for quality, timely and professional health care services and wellness programs with affordable options offered to them from the leading hospitals and clinics in India. Medical tourism India today covers the whole gamut of health tourism needs for the rest of the world: so there's hope for those looking at top-class surgery options in India, be it best quality dental implants, lasik eye care, slick and safe cosmetic surgery or that elusive but not exorbitant tummy tuck or a spirit-booster with that breast lift/ face lift.

Even giving new life to that old ticker of yours with quality heart care and heart surgery is possible with the complete health check up package that can be combined with additional needs of a patient - or that of a companion for cosmetic surgery, orthopedic surgery or any other medical facilities India offers on a platter!

TMI simply acts as your professional and caring health care go-between and arranges matters so you breathe easy while deciding on which quality, affordable and customer-friendly services of ours suit you best when heading to India for availing premium hospitals, medical tours India and medical travel support that translates into time and effort savings for you - not to mention cash too.

India has an edge over other countries when it comes to offering comprehensive, cost-effective and timely medical care: it also offers an exotic, rejuvenative, adventure-filled or cultural -if you wish array of destinations to discover and revel in for the travelers!

These top Indian hospitals and nursing homes also reduce the long waiting lines prevalent elsewhere in Europe, United States and the Middle East while granting the very best in surgical, rehabilitation, post-operative and consultation advice in specialized fields such as cardiology and cardiothoracic surgery, joint replacement, orthopedic surgery, gastroenterology, ophthalmology, transplants and urology comes as a boon to global medical tourists.

India's advantages in the quality medical tourism sector: bargains, budget travel, professionally managed customized tour packages and best medical care courtesy capable networking between hospitals and travel operators!

Those willing to bypass the endless waiting list and prohibitive costs of health care back home are given the choice of combining quality wellness programs and medical care with sightseeing, holidaying and concept vacation packages courtesy an expanding and foreign-market oriented Indian tourism industry. Innovatively packaged and strategically built up to accommodate airport pick-ups with other facilities such as service apartment bookings, special dietary concerns addressed through arrangements for a personal chef and a customized holiday plan organized by the travel agents allows medical tourists to India to regain good health, explore India and take back more than just a fitter body and spirit: they take back a neat little package deal of professionally managed medical solutions and loads of happy memories!

Specialized and affordable solutions in many fields available in India: medical tourism is an expanding sector expected to post the highest year-on-year growth in earnings in the fiscal year to March 31, 2007, according to a report by Reuters. Here's why:

While India also has a wide network of professionally managed and marketed corporate hospitals that have tied up with leading travel agencies to offer low-cost, speedy and effective medical care to foreign patients, the wide range of specialties covered makes Indian solution providers hard to resist for those battling with serious medical problems, sky-rocketing medical bills and long queues. Since India's expertise includes specialties like Neurology, Neurosurgery, Oncology, Ophthalmology, Rheumatology, Endocrinology, ENT, Pediatrics, Pediatric Surgery, Pediatric Neurology, Urology, Nephrology, Dermatology, Dentistry, Plastic Surgery, Gynecology, Pulmonology, Psychiatry, General Medicine & General Surgery, it has many takers from all over the world, but most significantly UK and US, where the costs of health care solutions is very expensive.

Opting for medical tourism to India also empowers the traveler with the opportunity to avail the best of health care facilities in India such as a full body pathology, comprehensive physical and gynecological examinations, dental checkup, eye checkup, diet consultation, audiometry, spirometry, stress & lifestyle management, pap smear, digital Chest X-ray, 12 lead ECG, 2D echo colour doppler, gold standard DXA bone densitometry, body fat analysis, coronary risk markers, cancer risk markers, carotid color doppler, spiral CT scan and high strength MRI. Each of these tests is carried out by professional M.D. physicians, and is comprehensive yet pain-free; thus, a whole gamut of services is provided for fee that is a fraction of the cost patients would pay back home, making India a smart choice for quality, comprehensive and cheap healthcare packages.

India hospitals and medical centers conduct all medical investigations using the latest, technologically advanced diagnostic equipment while following stringent quality assurance exercises, which ensures that medical tourism patients receive reliable and high quality test results. Though, it is true that the biggest draw for foreign patients still remains the very minimal waitl ist that is common in European or American hospitals and many top-notch travel facilities have a business understanding for offering "priority treatment" arrangements that can be made in special cases by the Indian hospitals of the patient's choice.

So, is it any surprise when Reuters continues to report that the Indian health care sector concentrating on medical tourism inflow has bigger sales figures in mind and is set to post beyond 42 per cent rise in earnings recorded from 2006 to March 2007? Since these figures are driven by availability of quality health care and the huge rise in numbers visiting India for treatment, the surge in medical tourists to India can only be realized best in numbers: which have risen from 10,000 in 2000 to about 100,000 in 2005. The annual growth rate is expected to be 30 per cent for 2007-2008 with more attention being paid to helping India figure on the top choice list for foreign medical tourism patients currently being diverted to Singapore (the latter being an established medical care hub that attracts and envious 150,000 medical tourists a year).

Best solutions in India: names that promote India as a Top Medical Tourism Destination
Some of the best reports from satisfied patients and their referrals lead to further enquiries to the best names in quality and comprehensive health care in Indian hospitals such as The Apollo Group, Escorts Hospitals in New Delhi and Jaslok Hospitals in Mumbai.

Other top corporate hospitals like Global Hospitals, CARE and Dr L.V. Prasad Eye Hospitals in Hyderabad, The Hindujas and NM Excellence in Mumbai are steadily rising in popularity among foreign patients opting for affordable medical solutions while maintaining a high standard as these centers also have improved infrastructure, patient support systems (24hr call center help for anytime query and information exchange) as well as enhanced funding to develop further facilities.

High Success Rates keep the numbers flowing in for Quality, Speedy and Comprehensive Medical Tourism in India!

While it is an accepted fact that India has some of the best health care professionals in the industry and can offer a considerable cost advantage to keep this sector ticking, the reason for the boom in the medical tourism industry is also due to the consistently high success rate and the growing credibility of Indian medical specialists. Some of these Indian medical specialists have performed over 500,000 major surgeries and over a million other surgical procedures, which include complicated cardio-thoracic, neurological and cancer surgeries and achieved success rates at par with international standards (success rate in the 43,000 cardiac surgeries till 2002 was 98.5 per cent; India's success in 110 bone marrow transplants is 80 per cent and success rate in 6,000 renal transplants is 95 per cent).

Furthermore, India's independent credit rating agency (CRISIL) has assigned a grade 'A' rating to super specialty hospitals like Escorts and multi specialty hospitals like Apollo and even established centers like NHS of the UK and The British Standards Institute having indicated that India is a favored destination for surgeries (having accredited the Delhi-based Escorts Hospital) ease the decision-making process for many foreign patients particular about quality and cost-effective health care solutions India provides. Besides this, Apollo Group - the largest private hospital chain in India and Wockhardt Hospital are now JCI accredited and thus, the boom in the medical tourism sector in India is but, expected to get even bigger!

Click here to know more options for quality, affordable and timely health care options for you and your loved ones in India and the very best of budget India travel packages we bring your way!

Manoj Gursahani is the Chairman of India's first ecommerce travel portal - TravelMartIndia. Visit the blog for more travel related issues, travel tips and destinations.

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Good Hospitals in Hyperabad, India

Hyderabad is an important IT center in India and is referred to by many as Cyderabad. It is also the capital of the state of Andhra Pradesh. The city has an interesting combination of rich cultural heritage and some of the most modern infrastructure and entertainment options. Some of the cultural heritage is manifest in its ancient temples, mosques, palaces, and its wide range of arts and crafts and dances. You can find a wide variety of good healthcare centers in the city.

The CARE Group is one of the fastest growing chains of hospitals in India and is managed by a group of dedicated, professional individuals. The hospital provides primary and tertiary care and has a dozen healthcare units within India. Their center is located at Jubilee Hills, Hyderabad and is known as the Institute of Medical Sciences. It is a 200 bed multispecialty hospital equipped with the latest medical technology. The hospital is prepared to admit its annual number of domestic and foreign patients.

Apollo Healthcity is a comprehensive healthcare center that houses institutes for cancer, joint diseases, renal disease, and eye surgery. The hospital provides treatment for about 50 specialties and subspecialties. The hospital receives a lot of incoming traffic from Tanzania, Kenya, Oman, the U.S. and India's neighboring countries. All patients visiting the hospital from other countries can get assistance in planning their visit and treatment via the hospital website. The hospital address is as follows: Jubilee Hills, Hyderabad and the phone number for the hospital is 91-40-23607777.

Kamineni Hospitals has many branches across India, and three specifically operating out of Hyderabad. Kamineni Hospitals as a whole focuses on issue related to oncology, neurology, cardiology, orthopedics and nephrology. Individually, the hospitals have the latest technology available in the medical field and offer services that are at par with international standards. Often patients from countries like Uzbekistan, Sri Lanka and Bangladesh visit the hospital for treatment and consultation. The hospital provides 24 hour ambulance services, and emergency and trauma care.

Mediciti offers its patients a clean environment coupled with excellent medical service. The hospital has a team of well qualified doctors, accident services, cardiothoracic care, intensive care services and treatment for other medical issues. The hospital also has patient relation executives who provide the patients with guidance and assistance in admission, discharge and appointment coordination.

Hyderabad also has some very famous and reputable government hospitals. These hospitals are viable options in the case that somebody is looking for affordable yet reliable services. The Osmania General Hospital is the biggest hospital in the state of Andhra Pradesh and is one of the oldest in the country. It is a multispecialty hospital with an 1168 bed capacity and a team of 250 highly qualified doctors. Another government run hospital is Nizam's Institute of Medical Sciences. This hospital has a 946 bed capacity and a variety of facilities including an emergency department and a post operative care facility.

Jeff Gulleson is the President of Good Neighbor Insurance that represents 10 international health insurance companies and provides international health and travel insurance for every country in the world. Email us to get a health insurance quote.

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Is a Doctor of Osteopathy (D.O.) Right For Me?

Having worked in the health care industry for almost 30 years, I can tell you that there is a definite hierarchy in the way that medical titles are perceived within the health care community. For instance, RNs are perceived better than LPNs (or LVNs); 4 year RN grads are perceived better than 2 year RN grads; and physician's assistants are still perceived better than nurse practitioners although that is beginning to change now that nurse practitioners are required to complete doctoral programs. A lot of this perception is, of course, based on the amount of education each title involves, but each position has its own value and we must stop lumping all these positions into one category: NURSE.

There is also a hierarchy among physicians, although they will often deny this. Specialists are perceived better than family practice physicians with neurosurgeons and cardiothoracic surgeons residing at the top of the list.

Doctors of Osteopathy (D.O.s) are seen at the bottom of the doctor hierarchy and were initially shunned by the medical doctors (MDs) as quacks and phonies as referenced by the article "Dubious Aspects of Osteopathy" by Stephen Barrett, M.D. They have become increasingly more accepted as society moves towards preventive medicine and a more holistic approach to health care.

So what exactly is a Doctor of Osteopathy and what are the differences between a D.O. and an M.D.?

The practice of osteopathic medicine was founded in 1874 by a medical doctor (M.D.)named Dr. Andrew Taylor Still who was dissatisfied with the effectiveness of 19th century medicine. He believed that many of the medications that were being prescribed were useless and that physicians should concentrate on wellness rather than illness. His pioneered the concept of wellness and his practice also included the use of chiropractic principles, manipulation and "laying on of the hands" to promote diagnosis and healing.

Both types of physicians are licensed to practice medicine, write prescriptions and perform surgery. Both require 4 years of undergraduate study in either pre-medicine or a related science. Both require 4 additional years of medical training before being allowed to take their medical exams (which are comparably difficult but yet not quite the same). Both a medical doctor and a doctor of osteopathy may elect to choose a specialty which would require between 2 and 6 years of additional training.

The difference between the two practices is really a differences in philosophy. While medical doctors (which are based on allopathic medicine ) evaluate the disease within their patient in terms of how it affects only certain parts of the body, the osteopathic doctor evaluates the disease within the body as a complex related network.

The doctor of osteopathy also receives training in the muscular and skeletal systems and is more likely to use alternative medical approaches such as manipulation, meditation, laying on of the hands, and he may recommend consults with naturopaths and/or accupuncturists.

Doctors of Osteopathy (D.O.s) are less likely to specialize than medical doctors (M.D.s) because their emphasis is on preventative care and of taking time with patients in order to assess their total health needs. In saying this, I must also say that medical doctors are leaning towards preventative medicine much more now, as well.

When choosing a physician for yourself or your loved one, you want to be aware that both types of practitioners are equally capable and qualified, so choose one that resonates with you. For more information on finding a good physician, see Finding a Good Doctor

Osteopathy has evolved since then

Shelley Webb has been a registered nurse for almost 30 years, with experience in the fields of neonatal intensive care, dialysis, case management and eldercare. When her father came to live with her in 2005, the advantages of her medical experience became clear. Due to his dementia and congestive heart failure, her father was not able to care for himself alone any longer and so she took over these duties.

Having experienced the helplessness, frustration, overwhelm and even loneliness that caregiving for an aging parent brings, Shelley is well aware of the emotional and educational support that caregivers need and so she began The Intentional Caregiver web site. With its weekly newsletter, daily news updates and monthly audio interviews of experts in eldercare and supporting services, Shelley strives to encourage and educate caregivers so that they can be empowered to provide the best possible care for themselves while caring for their aging loved one(s).

In her spare time, she enjoys gardening, raising chickens, ballet classes and wine tasting.

Please see: http://www.IntentionalCaregiver.com

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The Acai Berry and Colon Cleanse Benefit - Crucial Ideas About This Double Diet

Initially, there was just one person who actually knew regarding the colon cleanse and acai berry outcome. That is none other than a famous cardiothoracic surgeon. Today, numerous people learn all about that. In this article, we will share with you several critical tips concerning this double diet regarding the best health.

The effects of Colon Cleanse and also Acai Berry is an intriguing subject especially for those who are mindful about their own health. As we carry on living in a world filled with harmful toxins, we must locate a way to detox our own bodies unless we want to finally end up confined in the 4 walls of the medical center room. We cannot actually prevent toxic compounds from getting inside our bodies because every day we may possibly inhale polluted air, consume dirty water, or eat food with unsafe chemical substances and also additives inside them. Apart from that, we also get toxic compounds from caffeine, nicotine, and also carbonated beverages. That may possibly produce considerable health complications, unless we think regarding cleansing our colons and also discover the wonderful effects of acai berry to our own diet plan. Listed here are several tips concerning the double diet for the best health:

1. You must make certain that you receive a trusted and also risk-free cleanser. There are countless cleansers of our large intestines nowadays such as these in powder forms, enema, laxatives, and also obviously, the natural cleansers like the acai berry fruit. Acai berry is one of the most useful cleanser out there in a great number of types including fruit juice, capsules, powders, wine, cereals, and also actually yogurt. Normal consumption of this may aid detox your large intestines.

2. In addition to eating this specific fruit, you must drink a minimum of eight glasses of water too to help eliminate harmful toxins from your body.

3. With this fruit's anti-oxidants and also fiber contents, we get more protection towards ailments like digestive system troubles. These include bowel problems, bloating, and also colon cancer, for example.

Acai Berry Colon Cleanse Warning

Don't Get a free Acai Berry Trial Until you've Read... http://www.AcaiBerryandColonCleanse.org

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What is Robotic Surgery For Prostate Cancer?

It almost sounds like an episode of the old cartoon that was set in the the year 2062, The Jetsons. Imagine Rosie the Robot performing a prostrate operation on George. Well, robotic surgery for prostate cancer is now a reality. At least, that's what they are calling it, but it is not exactly what it sounds like. The procedure is done by a doctor operating a remote controlled device.

It's a minimally invasive alternative to traditional prostate surgery. It employs the use an high tech, upgraded laparoscopic device. Patients usually give the procedure positive feedback. This is a trend you can bet you will see more of.

You may be surprised to learn that robotic assisted surgery is hardly a new phenomenon. In fact, it's not unusual for a surgeon to have performed thousands of these operations, starting in the 1990's. (The earliest robotic assisted operation was in 1985.)

The actual machinery is named the da Vinci surgical system. It allows the prostate to be operated on, or removed without having to open the patient's body, like most surgeries. Four small holes are made that allow tiny instruments to enter and do the work.

The sturdiest human hand has micro tremors, but the da Vinci system compensates, creating tremor free execution. Combined with the better than naked eye vantage point of the camera, and the precision tools, tissue from nearby areas is left unmolested.

"The bloodless prostrate surgery," is what this is sometimes referred to, due to the minimal blood loss. Patients report a lot less overall hurting than would be expected in a normal operation, and the amount of time to get back to normal is also greatly accelerated.

Other patient-pleasing benefits of this procedure, over the open prostate surgery, is the usual ugly scar is not a factor. There are only four little, round pocks. The normal method has a some rather displeasing side effects that the newer surgery doesn't induce. There's no mystery as to why minimally invasive procedures consistently receive more positive patient feedback.

To give you an idea of how less invasive the robotic operation is, it is not uncommon for patients to walk out several hours after the procedure was performed. Most patients are able to leave the hospital the next day.

Robotic surgery for prostate cancer is not the only surgery of its kind. There are similar operations done in the fields of; General surgery, Cardiothoracic, Cardiology, Electrophysiology, Gastrointestinal, Gynecology, Neurosurgery, Orthopedics, Pediatrics and Urology.

So what about Rosie the Robot? Is she ever going to get a chance to perform surgery? If you look at all the advancements that have been made in your lifetime alone, it might be wise not to bet against her. Just a handful of years ago, May, 2006, a robotic system that is now known as, "the first artificial intelligence doctor," performed a surgery, under its own control, on a guy in his mid 30's who had a case of heart arrhythmia.

The designer of the robot said that due to the ten thousand similar operations it had in its database, it was more than qualified to do the job. In fact, the outcome was rated better than if the surgery had been done by "the average surgeon". The designer went on to predict that fifty percent of all surgeries within ten to fifteen years, will be performed by robotic units under their own control.

Chris Hilton is a cancer researcher based in Singapore at the moment & he also maintain a website Breast Cancer Blog [http://www.prostate-cancer-blog.org] that allow all the industry experts around the world to contribute the newest finding about Prostate Cancer. Learn more about the various treatment available at [http://www.prostate-cancer-blog.org/?s=treatment]

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I Want to Claim Compensation for Medical Negligence - Who Do I Consult?

The term 'medical negligence' (often referred to as clinical negligence) is a breach of duty of medical care that you have received whereby, as a result, you have incurred injury or illness.

So you entrusted yourself to the doctor or nurse, thinking that you would get the best medical and nursing care. Isn't that what the NHS or private care is about?

Later, when you came round from your operation, something felt wrong. You just knew, but didn't dare suggest, that something had gone wrong that should not have done, and you suspect it was due to medical negligence.

You would like some advice and an explanation but aren't sure who you should talk to. Who will listen? Your GP will probably dismiss it and the hospital consultant will talk medical jargon and fob you off. All these medics will stick together, surely, and you will be left feeling helpless.

It plays on your mind, the more time moves on and your injury affects you; you begin to wonder if you could be entitled to make a compensation claim. Could a medical negligence lawyer help you? You are convinced the injury was caused by a breach in standards of duty during the course of your treatment. You're not certain, but you think that the anaesthetist might be the one to blame.

Surely this was clinical negligence? Yet no-one seems prepared to listen. You feel foolish and uneducated and everyone thinks you're 'just imagining it'.

Well, it's a long list. Medical negligence claims can arise out of anaesthetics, cancer treatment, cardiothoracic surgery, cardiology, gastroenterology, general practice, keyhole surgery, mental health treatments, neurosurgery, obstetrics and gynaecology, oncology, ophthalmology, orthopaedics, paediatrics, plastic surgery, psychiatry, radiology, radiography, sterilisation, urology, vascular surgery and many more.

Personal injuries may also include brain damage, psychological injury or nervous shock. In extreme cases, death can occur in any one of these clinical speciality areas of medicine.

There is someone who can, and will, listen - and take your case seriously. That person is a trained medical negligence solicitor who is specially qualified to handle this emotional and sensitive area of law.

If you aren't sure whether medical standards have been breached, or would like someone to look into your case, talk to an experienced medical negligence solicitor. This professional will guide you through what may be a long and difficult process, requiring medical examination, review of your personal medical notes and, possibly, fierce cross examination by a barrister acting for you in Court.

Tim Bishop is senior partner at Bonallack & Bishop, a firm of experienced Medical Negligence Solicitors who can advise you on your compensation claim. He has grown the firm by 1000% in 13 years, seeing himself as a businessman who owns a law firm. Tim is responsible for all major strategic decisions and plans to grown the firm further.

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The Marvelous Illinois Da Vinci Surgical Robot

The use of robots in surgery has come a long way in a very short period of time. The main advantages of surgery by robot are greater precision due to miniaturization which means smaller incisions leading to less pain, less blood loss and faster healing. No wonder that the Ilinois da Vinci surgical robot has become the treatment of choice for such delicate procedures as prostatectomies and heart bypass surgery. The da Vinci robot consists of a console where the surgeon supervises the robot's every move; a cart which is placed by the patient's bedside, and which has four arms which the surgeon manipulates (one arm controls the camera, and three arms manipulate surgical instruments); and a high definition, three-dimensional video system. The surgical instruments needed for the procedure, such as scalpels, bovies, and scissors are mounted on the arms of the robot and are introduced into the patient's body through cannulas. The movements of the surgeon's hands are filtered in such a way that hand tremors are eliminated and then communicated to the instruments on the robot's arms. The double-lens video camera used by the system gives a truly stereoscopic view of the situation inside the patient which the surgeon sees through two eye-holes on a monitor at his or her console. The surgeon manipulates the robot's arms with two hand controllers and two foot pedals.

One of the procedures which robotic surgery has revolutionized is prostate cancer treatments. Normally prostate cancer is treated by surgically removing the prostate gland which is known as a radical prostatectomy. Traditionally, a radical prostatectomy calls for a large incision of 8" - 10" which commonly causes a large loss of blood and an uncomfortable and lengthy recovery time. Also, traditional prostatectomies risk incontinence and impotence. With the da Vinci surgical robot, however, the minimally invasive incision is much smaller and with the magnified, three-dimensional view of the procedure the surgeon can clearly see what is happening inside the patient's body, allowing for much greater precision in the surgery. This means much less pain and a much faster recovery time for the patient as well as lessened risk of infection, reduced scarring, improved cancer control, and a much lower incidence of urinary incontinence and impotence.

Another surgical field revolutionized by the da Vinci robot is cardiothoracic surgery, which is surgery performed on the heart or its great vessels. This surgery is done to treat valvular heart disease, to correct congenital heart conditions, and to treat ischemic heart disease (such as with coronary artery bypass surgery). Traditionally these surgeries required large incisions which permitted the surgeon to put his hands inside the patient's body. As is also the case with prostatectomies, surgical procedures performed with the da Vinci robot require much tinier incisions (three small holes for the robot's small arms) which results in less blood loss and faster recovery. Instead of having to spend months recovering from cardiothoracic surgery, many patients recover and return to normal activity including athletics within a matter of weeks.

The Ilinois da Vinci surgical robot brings state-of-the-art surgery for patients needing prostate cancer treatments, pediatrics and gynecologic procedures, as well as cardiothoracic surgery.

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Why Is Physiotherapy Needed?

Physiotherapy, also known as physical therapy, which is when a physiotherapist (physical therapist) evaluates, diagnoses, and treats a multitude of things such as diseases, disabilities, and disorders using a combination of massage, stretches, and pain relief. Physiotherapy is generally viewed as conventional medicine. If you have an injury that you are not able to treat yourself at home, you may need to go to a physiotherapist, but these days there are lots of effective products that are available to buy online should you have something as simple as a pulled muscle or stiff back.

A trip to the physiotherapist could be for the treatment of minor pains of the joints and muscles, or for something more serious such as rehabilitation, and it's useful to know that there are three types of physiotherapy:

Musculoskeletal - which is the type in which your muscles, joints, or bones cause you pain. These pains could be from a work injury, arthritis, a sprain, etc.
Cardiothoracic - is the type of physiotherapy for respiratory problems like asthma and chronic bronchitis.
Neurological - is the type of physiotherapy which is to do with your mind. Examples include people who have had a stroke, have multiple sclerosis, or an injury to the head or spinal cord.
Physiotherapy is used to help ease the pain associated with joint discomforts, pains in your bones, conditions of the heart, lungs, mind, and conditions from childhood and due to old age. It is when the pain is severe that people need help and once a physiotherapist has gone through their assessment and can see that there is something that can be done to help, they will then use physiotherapy to help ease some of the pain the patient is feeling. The primary goal of physiotherapy is to restore normal body function. Physiotherapists do this by using different treatments, including exercising, eating right and massages.

Massage is the most common type of therapy because a lot of people use this as a general therapy, whether it is to treat sore muscles or simply to promote relaxation. Massage is used to relieve stress, stimulate blood circulation throughout the body, and to distribute fluids inside, and it can relieve headaches as well. Physical therapists have been around since 3000 BC and they continue to be used widely throughout the world to help people with their ailments.

Buy orthopaedic supports online to support injured muscles, or invest in one of the many available tens machines as an alternative way to treat severe or ongoing pain.

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Gang War Over Heart Disease

I am indeed the product of my environment. I am a cardiothoracic surgical nurse on one of the most renowned open heart teams in the nation, maybe the world. As such, I am immersed in a culture of cut, tie, repair, meaning, I look for the surgical remedy as 'the' remedy in regards to heart disease.

I thought of this 'immersion' or perhaps myopia when I read a book called, 'Journey to the Heart' by David Monagan. Within this informative book, I learned that the pioneers of diagnosing heart disease were (and still) are cardiologists. I realized from reading that book that I as a open heart nurse merely parroted what I thought was the remedy or treatment for persons needing some sort of intervention for their respective demonstrable heart disease.

Now, in all reality, I work in an institution (God, that doesn't sound good!) where the patients that present more often than not NEED surgical intervention. These patients are high acuity patients that are mainly, re-operative patients (2, 3, 4, 5...open heart surgery); they present with other disease processes in play other than the primary offender of heart disease, and these patients may have been refused surgical intervention at other facilities. In other words, many of the patients, we see, have been told to go home and die. Their presentation in our OR is usually their last hope.

That being said, there is a population of patients that may do well with stenting procedures if done by an experienced and savvy cardiologist, and granted that the patient is a prime candidate for the procedure. What I have learned from reading Mr. Monagan's book, is that heart disease and it's treatment is more of a commodity in some hospitals, with the proxy being the patient.

There appears to be essentially a 'gang-land' war going on over heart disease and it's treatment between surgeons and cardiologists. If you are the patient it is up to you to 'arm' yourself with facts relative to options for treatment, understanding your type of heart disease, and understanding what treatments will afford you the best quality of life!

AUTHOR, ADRIENNE ZURUB is a former cardiothoracic surgical nurse with over twenty-five years of experience on the open heart/heart transplant team at Cleveland Clinic. She is a CNOR (certified nurse operating room) She is The Nurse Whisperer! She is a speaker/actor/poet/and stand up comedian. As a comedian she has performed in clubs in New York City and LA. In theater she has written and performed her solo performances pieces at Cleveland Public Theater. She performed at the historic Karamu Theater as part of Arenafest. She belongs to Toastmasters Club 6500, NSAOhio, AKA Sorority,Inc., and volunteers in the Greater Cleveland community as a speaker.

She is the Author of 'Notes From the Mothership ~ The Naked Invisibles,' a nonfiction work that coalesces some of her experiences on the open heart team with the randiness of many aspects of her life.

http://adriennezurub.typepad.com
See her at: Facebbok, Twitter, Ning, GoodReads, ...

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History of Cardiology

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 jobs Texas
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4 Reasons Why Telehealth Is Great

The medical industry is one that is always shifting and being improved upon. As we learn more and more about the human body, what was once thought impossible is now being done with ease. New medicines, medical procedures, and therapies are being discovered every day. Another medical innovation that combines medicine with technology is telehealth. Telehealth deals with the utilization of telecommunications technologies and electronic information in order to support clinical health care over a vast distance, professional and patient-related education, and the administration of health and public health. The technologies utilized in telehealth include the Internet, videoconferencing, streaming media, and wireless as well as terrestrial communication. Here are a few reasons the introduction of telehealth is such an excellent asset to the medical industry.

1. Education

Medical education is paramount in the field. It's important for doctors, surgeons, nurses, and interns to know the latest medical procedures. With telehealth the leading doctor in cardiothoracic surgery can teach other doctors and interns their techniques and no one has to leave their home state in order to do so. Rather than looking at videos and textbooks in order to learn about a procedure, interns can now watch a live surgery being done through a video conference. If a doctor has to perform an emergency surgery that they've never done before, they can go into surgery with a bit of relief knowing that another doctor that is familiar with the surgery can watch them through video feed and offer them advice on the procedure.

2. Sharing Information

With telehealth it's possible for hospitals to share information about unique cases with other hospitals in case they receive a patient with a similar complication. This will aid healthcare providers with giving their patients the best care and will also serve to save time on trying to figure out what to do, who to call, what medicines to administer and more. This will undoubtedly save the lives of many patients and save hospitals money on resources. New diseases and health complications can be shared the moment that they are discovered through the use of the Internet and streaming video.

3. International Medicine

Now doctors in the US and other countries can communicate practically face-to-face without having to hop on a plane. Although countries may differ in the medical treatment that they offer, different countries will undoubtedly benefit from learning techniques and procedures from doctors in other countries. Hospitals in third world countries that might not have the resources or education necessary to treat an emergency patient can now have the opportunity to save a life by having a video conference with a better qualified doctor on how to properly care for their patient.

4. Long-Distance Patient Care

A patient that has to visit a hospital or doctor out of state can now continue their treatment from their home state thanks to telehealth. Doctors can e-mail their patients useful information, test results, and more. In turn, patients can send their healthcare providers pictures and video of their affliction or if something that's going on with their body is bothering them. Patients can also send their doctor images and video of their progression after they're released from surgery. Although this might not be as effective as physically going into the doctor's office, it's a good place start. Telehealth is a wonderful advancement in the medical field, one that will improve the lives, health, and jobs of doctors and patients worldwide. It will be exciting to see how the medical field will advance next.

Click here to find out more about Telehealth

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Factors That Determine Anesthesiologist Assistant Salary

The typical anesthesiologist assistant salary is between $95,000 to $120,000 per year, while a regular physician assistant's salary is around $70,000 per year. But, the high salary that an anesthesiologist assistant command is not surprising - in fact, it is well-deserved.

They first obtains a degree; after that they successfully complete pre-medical courses so that he can become eligible. While training, they spend six semesters training rigorously in academics and clinical procedures.

They receive surgical rotation experience in ambulatory, cardiothoracic, general, pediatrics, neurosurgery, and other surgical processes. Also, they are trained on different types of anesthesia - epidural, spinal, general and peripheral nerve blockade. It is only after they successfully complete all this training that they are awarded certification by the National Commission for Certification of Anesthesiologist Assistants (NCCAA).

The story does not end there. They must participate in continuing education programs to maintain their certificate. They work in many life-threatening situations and help in saving the patient's life. So, the anesthesiologist assistant salary of $120,000 per year is absolutely well-deserved.

Why is the anesthesiologist assistant salary so high?

Well, the one line answer to that would be that there's a tremendous shortage of anesthesiologist assistants, and here are the reasons why:

1. The number of interventional procedures has increased dramatically. Today, many treatments are non-invasive, a factor that has contributed to the increase in the number of procedures. More procedures mean call for more anesthesia care.

2. The usage of offsite anesthesia is growing. 10% of anesthesia cases happen outside of the operating room. For example, anesthesia is administered even in MRI (Magnetic Resonance Imagery) procedures when the patient cannot hold still.

3. Medical technology is progressing at a rapid pace. Many surgical procedures that once required hospital stay are performed in an hour and the patient is out of the hospital the same day. This has increased the demand for surgeries and therefore, anesthesiologists and their assistants.

4. America's population is aging. Medical conditions set in with age and there comes a time in everyone's life when one must go under the knife. As surgeries are increasing, so is the demand for anesthesiologists and their assistants.

5. More than anything else, an anesthesiologist assistant is a skilled professional. Even a slight mistake on his part can become a question of life and death. It is indeed a critical and important profession.

These are the factors that are contributing to the increasing demand for anesthesiologist assistants and their increasing demand is pumping up their salary.

What does the anesthesiologist assistant do to deserve such a high salary? And, how can they further increase their salary?

The anesthesiologist assistant salary depends on their skills and therefore before analyzing their salary, it is important to know their skills. Here are some facts about the profession, along with the reasons why the anesthesiologist assistant salary is high:

1. An anesthesiologist assistant administers anesthesia under the medical supervision of an anesthesiologist.

2. They are trained to perform Cardiopulmonary Resuscitation (CPR) and Advance Cardiac Life Support (ACLS) - these are emergency procedures that save lives. He can administer such procedures even when the anesthesiologist is not around.

3. They can even plan and schedule anesthesia administration after examining patients, reviewing their medical record and interviewing them. They can order pre-operative evaluations and medications after consulting with the anesthesiologist.

4. They are a highly skilled professional. They ensure that the anesthesia is administered as per standards laid down by the American Society of Anesthesiologists (ASA). They are also responsible for interpreting data derived from devices and then acting on their judgment. They also provide critical inputs to their anesthesiologist.

5. While administering anesthesia, the assistant takes into account respiratory, cardiovascular and metabolic factors and then makes a decision. If required, he calls the anesthesiologist if he notices an unexpected perioperative event, or at any other time.

6. An assistant can administer vasoactive and anesthetic drugs, blood and other treatments as suggested by the anesthesiologist.

7. Anesthesiologist assistants are even trained to administer acute pain management procedures and ventilator support, which are post-operative procedures.

8. They are well knowledgeable about all anesthetic drugs, techniques and procedures.

9. They possess excellent communicational skills. They have to interpret complex data, understand the patient's condition, and then communicate with the supervising anesthesiologist.

10.They may also participate in teaching programs or in research studies as suggested by his anesthesiologist.

11.Finally, anesthesiologist assistants are excellent thinkers and communicators - they listen attentively, convey information efficiently, employs logic and reasoning to arrive at practical solutions, monitors critical situations, acts in quick time and is always in control of themselves and the situation. It is a very demanding, but noble job.

The anesthesiologist assistant salary is fixed based on his skill and experience. A brand new graduate can expect to start at anything between $95,000 and $120,000 per year, plus benefits, plus on-call considerations. This number holds good for a 40-hour week. The pay starts rising with experience and an assistant can expect a 5% to 15% increment after being employed for 1-2 years. These figures are comparable to a Certified Registered Nurse Anesthetist (CRNA) salary.

Anesthesiologist assistants gradually climb up higher on the career ladder as they gain experience. Large hospitals that have access to unlimited funds pay higher salaries. However, the demand for them is very high across all healthcare institutions and as such, an anesthesiologist assistant's career is very rewarding and fulfilling.

PhysicianAssistantSalary.co features all of the information students need when considering a physician assistant career. From the average physician assistant salary to physician assistant requirements, people can learn statistical data and the important ins and outs of this fast-growing medical position. For more information, please visit our website: Physician Assistant Salary

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What is Heart Bypass Surgery?

Coronary artery bypass surgery, called CABG or "cabbage" for short, is a type of cardiothoracic surgery, or chest surgery, which reroutes - or bypasses - the flow of blood around arteries which are clogged. This improves the flow of blood and oxygen to the heart. Coronary arteries, which are the arteries through which blood flows to the heart, can sometimes become clogged by the buildup of cholesterol or fat. This clogging slows or stops the flow of blood to the heart, which in turn can lead to pain in the chest, or even a heart attack. The object of heart bypass surgery is to increase the flow of blood to the heart to restore optimal heart functioning.

The surgeon takes a piece of blood vessel from the chest or leg of the patient and grafts it onto the aorta, the artery which leaves the heart, and then he grafts the other end to the coronary artery beneath the block, thus creating a detour around the arterial blockage. The number of bypasses - single, double, triple, quadruple - refer to how many coronary arteries are bypassed in the operation, which depends upon the number of blocked coronary arteries. A triple bypass Illinois means that three coronary arteries are bypassed. In some bypass operations a heart lung machine is employed to maintain the flow of blood and oxygen to the heart during the procedure.

When the surgery is over the patient is placed in the intensive care unit so that the heart rate and the blood pressure can be monitored continuously for a day or so. Medication which regulates blood pressure and circulation are given intravenously, and a breathing tube may be used until the patient is able to breathe alone. The patient may feel disoriented and groggy upon awakening. The places where incisions have been made may be painful, so painkilling medications may be given if needed. Normally patients remain in the hospital for 3 to 5 days, and sometimes longer. After being released from the hospital some patients suffer side effects such as pain and swelling in the places from which blood vessels were harvested, and pain in the muscles of the shoulders and back. Constipation and appetite loss are sometimes experienced.

Also some patients suffer fatigue, depression, and insomnia. In most cases these side effects disappear within a month or two. Normally patients are placed in cardiac rehabilitation programs under the supervision of a physician. These programs teach exercise, diet, and techniques to manage stress. Patients recovering from heart bypass surgery are advised to walk and engage in physical activity, and also to eat less cholesterol and fat, in order to return to a normal lifestyle as soon as possible. Patients with sedentary work in offices can usually return to the job in a month or two; those with employment which is more demanding physically may take longer, or necessitate a change of jobs.

Modern cardiothoracic surgery has benefited immensely by the introduction of minimally invasive robotic heart bypass surgery. This new technique uses much smaller incisions than traditional methods, which results in faster healing, fewer side effects, and a shorter hospital stay. If you are in the greater Chicago area and need heart surgery, whether single, double, or triple bypass Illinois, Riverside Medical Center can explain your options and help you make the wisest decision.

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Common Reason for Lung Surgery

Good lung health is necessary for survival. Sometimes, however, surgical intervention is needed to correct problems with the lungs. Lung surgery is basically a procedure that allows doctors to access the lungs for diagnosis and treatment of medical conditions. The surgeon will employ one of two methods of entry: thoracoscopy, which uses an endoscope to look at the tissues of the lungs, or thoractomy, which involves making an incision in the chest to gain access to the internal organs. Both are performed under general or local anesthesia. There are a few reasons why your physician may require you to go under the knife.

The most common reason for lung surgery is to remove an identified mass or growth. The doctor may first perform a biopsy to determine whether the mass is cancerous (malignant) or non-cancerous (benign). Depending on the diagnosis, the doctor may recommend further surgery to remove that tissue. This may involve taking a small part of the lung (wedge resection), a greater portion (segment resection), the entire lobe (lobectomy), or the entire lung (Pneumonectomy). How much of the lung is removed is dependent on the severity of the disease or the amount of damage done to the lungs.

Another reason for lung surgery is if a person has a collapsed lung. Pneumothorax or collapsed lung may occur if there is a rupture in the lung wall and air is allowed to seep into the pleural space between the lungs and the chest wall. This condition can onset in people with lung disease, people who have experienced physical trauma to the chest, as a complication of other medical treatments, or even spontaneously in people with otherwise healthy lungs. During surgery, tubes are inserted into the chest to drain the air out which allows the lung to re-inflate and damage to the lung is repaired.

As the result of disease, like pneumonia, or other medical complications fluid may collect around the lungs. This can make it difficult for a person to heal from their sickness as well as increase the risk that other infections may develop. Similar to treating a collapsed lung, tubes are placed into the pleural space except this time they are used to drain the excess fluid. Lung surgeries are generally performed by specially educated surgeons. If your doctor recommends lung surgery to treat your medical condition, take time to search for knowledgeable and experienced surgical professional to ensure a successful surgery.

A leading team of cardiothoracic surgeons in Washington State, providing cutting-edge heart surgery, lung surgery, and surgery of the Aorta and the Esophagus in the Seattle and Tacoma areas.

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Elderly Keyhole Heart Surgery Patient Goes Home the Day After Her Operation

Keyhole heart surgery is a sophisticated technique that allows a specialized heart surgeon to perform his operations through tiny incisions on the chest wall. This minimally invasive heart surgery approach is an excellent alternative to the traditional 12-14" long midline incision that breaks the breast bone in the middle of the chest. Many cardiothoracic surgeons in the US and abroad did not have the opportunity or willingness yet to learn all the nuances of these advanced keyhole heart surgery techniques that are now available. If open heart surgery is what you need...read on to know your best options and shop around before you make your choice.

Almost every patient can be candidate for these keyhole heart surgery techniques. We can routinely use minimally invasive approaches in most mitral valve repairs or replacements, aortic valve operations, atrial septal defects (ASD's), heart tumor resections and many coronary cases.

Here is what can you can expect from this type of surgery:

The keyhole cardiac surgery operations are carried out with great precision and accuracy and have several advantages over the traditional breaking of the breast bone.
The incisions are placed in between two ribs on the side of the chest and can often be hidden in the skin fold underneath the breast with excellent cosmetic results and no visible scars when you wear a blouse, an open shirt or an evening gown. This technique is also known as scarless heart surgery.
The wounds heal very quickly and infections are almost unheard of because there is no bone cutting. This is extremely important in ladies affected by severe osteoporosis (brittle decalcified bones)
A lot less bleeding because keyhole heart surgery is carried out through a small area and does not leave any broken bone surface that can cause postoperative bleeding. We often refer to this apect as "Bloodless Heart Surgery"
A lot less pain because it is a much smaller incision that can be completely numbed up with Novocaine or other local anesthetic agents at the end of the surgical procedure. This will allow most patients to wake up completely pain-free
Most patients enjoy a rapid recovery are able to return home in two or three days
Many patients can return to work in less than two weeks, if they really have to... I always recommend taking at least two or three weeks off to recover at your own pace.
If your local doctors don't offer these keyhole cardiac surgery options ASK ABOUT THEM! You should never be shy about finding out what your best options are. Consult a specialist in minimally invasive heart surgery techniques to see if you are a candidate for keyhole cardiac surgery. It's your body, your heart, your life!!

Visit us for more information and surgical pictures about Dr. Ciuffo's revolutionary Keyhole Heart Surgery techniques.

Dr. Giovanni B. Ciuffo is a "superspecialist" in Minimally Invasive and Bloodless Heart Surgery. He currently runs a busy Cardiothoracic Surgery practice in the New York City area, where he cares for numerous patients coming from the Tri-State Area and the rest of the country.

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Is the Da Vinci Surgical Robot the Right Option For You?

The field of surgical robotics is scarcely a quarter century old. The first surgical procedure carried out robotically was in 1988. Intuitive Surgical introduced the Ilinois da Vinci Surgical Robot five years later. This robot is made up of three components: there is a console behind which the surgeon sits and directs the operation. There is a robotic cart with four arms next to the patient: one arm controls a dual lens camera system and the other three arms manipulate instruments - such as scalpel, bovie, scissors, and electrocautery instruments - under the control of the surgeon. The movements of the surgeon's hands are filtered by the robot to eliminate hand tremors, and then are translated into micro-motions of the articulating surgical instruments on the robot's arms. The third component of the system is a high definition three-dimensional viewing system, which provides a stereoscopic picture of the procedure on the surgeon's console. The surgeon sits at the console and looks through eyepieces at a three-dimensional magnified view inside the patient's body, while he manipulates the robot's arms with two hand controllers and two foot pedals. There is actually no need for the surgeon to be anywhere near the patient: remote operations with the patient and surgeon in different countries or even continents are already practicable.

The first surgery on the heart took place in 1896; and surgery on the great vessels became common practice in the early twentieth century. Early cardiothoracic surgery required stopping the heart and draining it of blood, which was successfully achieved in the 1950's by shunting the patient's circulation through the heart and lungs of a family member during the operation; and later by using a pump oxygenator. In the early 1990's coronary artery bypass surgery was performed with the patient's heart still beating. The first use of the da Vinci surgical robot to assist in cardiothoracic surgery occurred in 1998 when a German surgeon performed the first heart bypass surgery in Leipzig Germany. A year later the first beating-heart coronary artery bypass was performed in Canada. The principal advantage of robot assisted heart surgery is that the incision size does not need to be large enough to accommodate the surgeon's hands. Rather, small incisions just large enough to put the small robot's hands through are all that is required, which means that there is less trauma, blood loss, and quicker healing time for the patient. Many patients can resume playing sports in a few weeks (instead of months) after surgery.

Another medical field which has been completely revolutionized by da Vinci robotics is prostate cancer treatments. Prostate cancer is an illness in which malignant cells grow in the prostate gland. The prostate gland is the part of the male reproductive system which produces semen, located in front of the rectum and below the bladder. Prostate cancer is commonly treated by removing the prostate surgically, known as a radical prostatectomy. Traditional prostatectomy involves large incisions which result in large blood loss and an uncomfortable and lengthy recovery period, with the risk of incontinence and impotence. The minimally-invasive da Vinci prostatectomy leaves small incisions which heal quickly, resulting in early return of continence and sexual function as well as a higher and longer rate of survival than traditional treatments.

The Ilinois da Vinci surgical robot is not only the treatment of choice for cardiothoracic surgery. Small incisions means minimal loss of blood and quick healing time, which has made the da Vinci system the gold standard for prostate cancer treatments as well.

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The da Vinci Robot is Cutting Edge Technology for Cardiac Surgery

We've come a long way from the days when the first open heart surgery operation took place in terms of cardiac rehabilitation programs. There may be a number of significant reasons for this progress including progress in the area of the surgery itself. One significant improvement is that of using robotic heart surgery and the impact that has on the recovery of the patient. The da Vinci surgical robot is being used quite regularly by skilled surgeons in the Chicago area.

The procedures are becoming more comfortable for the heart patients and thus an easier recovery. By using robotic-assisted surgical technique and allowing minimally invasive and extremely exacting surgical techniques, the patient has less trauma to their body, there is less pain and scarring which leads to faster healing and a reduction in the risk of infection. There is also the possibility of less blood loss during the surgery so the body is stronger coming out of the operation.

The use of robots in cardiothoracic surgery throughout the country may be on the increase but out of all of the hospitals, the Chicago area has perhaps some of the most prominent hospitals on the leading edge technology. The reasons for this commitment can be attributed to a number of reasons, but the number one reason is the patients. The focus on taking care of patients and on the path to healing is a driving force that allows this attention to detail. Being on the leading edge is not always the easy route to take.

Many places are limited by the cost, many are limited by ego or the fear to be the leader and some take the bull by the horns and step up to the task of figuring it out and getting it right. This type of leadership is common at Riverside and it bespeaks of the risks allowed and encouraged to help patients get in and get out with the least amount of trauma and injury. That is what doctors are and should be about. Do no harm. It is a long road to get people to understand that technology is a great assistant. For those who have been on the long road to being a trained surgeon it is hard to imagine wanting to take the time and effort to learn a new skill and become proficient at using a new tool.

In the United States and Canada it typically takes six to nine years as a resident to become a fully qualified cardiothoracic surgeon. This of course is after medical school and after undergraduate school. The dedication to their craft is undeniably astounding. The benefit to all this comes out when the patient now leaves the hospital after a few days instead of a few weeks. Not only are we able to do more with the heart and surgery, we are able to be more accurate and less invasive, all to the benefit of the patient.

There many hospitals in the Chicago area. Choosing one for general healthcare or a specialty area like cardiothoratic surgery [http://www.riversidehealthcare.org/services/services-for-women.html] can be tough. Riverside Medical Center offers premier healthcare services in the Chicago area including robotic heart surgery with the da Vinci surgical robot and cardiac rehabilitation programs. Rest assured that you can get the information you are looking for at RiversideHealthcare.org.

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About Heart Valve Replacement Surgery

Heart valve disease is a condition where one or multiple valves in the heart do not function properly. In a healthy heart the valves open and close once during each heartbeat which ensures blood flows in the right direction. However, valves can fail to open properly (called stenosis) or close properly (called regurgitation) which can result in blood being stopped at inopportune moments or leaking. The type of heart valve disease you have (aortic, mitral, pulmonary, or tricuspid) depends on the valve affected. Treatment of the condition may include medication, balloon valvotomy, or heart valve replacement surgery. If your condition is mild enough, the doctor may take a wait and see attitude.

When it comes to heart valve surgery, the surgeon may take one of two approaches. The doctor may repair the valve. This involves tightening the valve by sewing a ring around the opening. The valve may also be cut, separated, or shortened in order to get it function properly. The other option the surgeon may take is to completely replace the valve with a prosthetic. The prosthetic may be mechanical and made from artificial materials. These types of valves require the patient to take an anticoagulant for the rest of their life. Biological prosthetics also exist which are transplanted from cows, pigs, or other human donors. However, these valves tend to wear out quicker than mechanical ones.

Heart valve replacement surgery is similar to bypass surgery. The patient is put under general anesthesia and the chest is opened. Since the heart cannot beat during the surgery, the patient is hooked up to a heart-lung machine that ensures oxygen is circulated throughout the body. The heart is then stopped so that the surgeon can repair or replace the valve. Minimally invasive heart valve surgery can be done as an alternative. This option involves smaller cuts in the chest which result in a faster recovery and less pain.

This type of surgery is highly successful and valves can last for 8 to 20 years depending on the type used. The development of medical complications from heart valve surgery was relatively low however bleeding, blood clots, and infection can occur. Addition risks associated with this surgery includes heart attack, irregular heartbeat, kidney failure, stroke, low grade fever coupled with chest pain, and death. Additionally, you may need to take anticoagulant medication to prevent other complications from developing. More information about heart valve replacement surgery can be obtained from a qualified medical professional.

A leading team of cardiothoracic surgeons in Washington State, providing cutting-edge heart surgery, lung surgery, and surgery of the Aorta and the Esophagus in the Seattle and Tacoma areas.

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Best Hospitals in Singapore

No matter where you go in Asia, Singapore is renowned for having some of the best medical care in the world. If you happen to get sick or become injured while you are in Singapore you can be sure that you will receive top-notch care.

Basically, you ca not go wrong in any of the hospitals in Singapore. This country boasts one of the world's longest longevity rates as well as one of the lowest infant mortality rates. There are both government and private hospitals. All are of good quality, but the government hospitals are less expensive. The downside is you are more likely to have to wait for treatment. Although the private hospitals are more expensive, you will be treated quickly and efficiently.

I would like to give a brief overview of some of the better hospitals in Singapore.

National University Hospital is one of the most famous and largest hospitals in Singapore. It is connected with the University of Singapore and ranked among the top six in the world in 2000 by WHO. Its current strengths are in the fields of cardiology, cardiothoracic and vascular surgery. You will find NUH on 5 Lower Kent Ridge Road. NUH has a whole department, the International Patient Liaison Centre which caters to foreigners seeking treatment at their hospital. Their 24-hour help line is (65)6779 2777.

Changi General Hospital serves the eastern part of Singapore. In June 2005, this hospital received Joint Commission International accreditation. At CGH, you will find an International Medical Services team that is trained to assist you in getting the treatment you need.

Mount Alvernia is another good choice, founded in 1961 by an order of Franciscan nuns. Today the hospital is still not-for-profit. This hospital specializes in mother and child care. Mount Alvernia has a 24-hour walk-in clinic and emergency room. If finances are an issue this might be the hospital for you to consider.

Tan Tock Seng Hospital was founded in 1844 through the philanthropy of Mr. Tan Tock Seng. It is the second largest hospital in Singapore. Due to its central location its accident and emergency room is the busiest in the country. It is also accredited by the Joint Commission International for keeping up with high medical standards. It is also a member of the National Healthcare Group. It may not be terribly user friendly for the foreigner.

Singapore General Hospital is the oldest (founded in 1821) and largest hospital in Singapore, located on the grounds of the Outram Park. This hospital is a government run hospital which means the costs are kept low. This does not mean that quality suffers; the nursing staff recently received the distinctive Magnet Recognition from the American Nurses Credentialing Center.

Thomson Medical is best known for its high quality maternity care. They also have a department devoted to caring for the International patient. In addition, they have a Korean Service department dedicated to the needs of the Korean expatriate community.

Gleneagles Hospital is one of several excellent private hospitals managed by Parkway Health in Singapore and other parts of Asia. Gleneagles focuses on providing user-friendly services, along with quality care, specialists' expertise and modern technology; it is conveniently located near the Botanic Gardens and not far from the US embassy. Another Parkway Health hospital is Mount Elizabeth Hospital which specializes in cardiac surgery and neurosurgery.

You may want to consider Raffles Hospital another private hospital which especially caters the Japanese community. You can expect five star treatment and accommodations as well as a five-star price. This hospital gained notoriety for its landmark surgery in separating Siamese twins. Raffles makes available traditional Chinese medicine for those seeking that type of treatment.

I hope you do not have to use this information, but you never know when knowing where to find a good hospital will come in handy.

Even though this medical care is affordable compared to the US, you probably still need insurance to cover the cost. So whether you are in Singapore or a nearby country, make sure you have the medical insurance you need to receive the medical care you require. Let us help you at Good Neighbor Insurance, we specialize in providing medical evacuation and health insurance to expatriots.

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The Different Types of Physiotherapy

There are many different types of physiotherapy. There are also specific fields in which physiotherapists can choose to specialise in. The areas include pediatrics, women's health and sports medicine plus many more. In general, there are three main areas of physiotherapy which are explained below:

Musculoskeletal- This is the treatment of bones, joint and muscles. The most common forms of injuries/ailments which fall within this type are common conditions such as chronic back pain, arthritis, sprains, sports injuries, posture issues, reduced mobility as well as incontinence. After surgery this can also be offered to assist with rehabilitation.

Cardiothoracic- This refers to the treatment of disorders relating to the cardio-respiratory system. This includes things like asthma, chronic bronchitis and emphysema. This form of physiotherapy may also assist in rehabilitation after thoracic surgery.

Neurological- The involves disorders relating to the nervous system. For instance people who have had a stoke, spinal cord injury, head injury, have Parkinson's disease or multiple sclerosis may be assisted with the use of neurological physiotherapy. This can also assist with rehabilitation after brain surgery. In order to treat a variety of conditions, physiotherapists use a number of techniques. These include:

Manual therapy- This includes massage, stretching, resistance training and manipulation as well as joint and spinal mobilisation.

Exercise programs- You may be asked to complete a number of exercises under the guidance and direction of your practitioner. These may include-muscle strengthening, cardiovascular training, stretching and posture retraining.

Electrotherapy techniques- These include treatment methods such as transcutaneous electrical nerve stimulation (TENS), laser therapy, diathermy and ultrasound.

Other techniques- There are many techniques other than the ones mentioned above that are used to treat a number of conditions. Some of these treatments include: correcting incorrect sporting techniques, taping and splinting, providing information on equipment aids, for instance wheelchairs and walking frames.
I hope you've found this information on the different types of physiotherapy useful. The real aim of physiotherapy is to restore the functions of the body, whether that issue is considered musculoskeletal, neurological or a cardiothoracic condition. Always make sure that the physiotherapist you are visiting is qualified. In Australia, physiotherapists are trained at university and are registered health professionals. Remember, you don't need a doctors referral to see a physiotherapist, however if you do have an ailment, consulting with your general practitioner if you are unsure is a good idea instead of directly going to a physical therapist. There are many different types of physiotherapy and areas in which a physiotherapist may decide to specialise in, depending on their area of interest. It's more than just the treatment of muscles and join pain too, offering a holistic approach to the health of the entire body. I hope our summary of the different types of physiotherapy available has given you some insight as to some of the broader conditions that physiotherapists can treat and some of the different types of treatment methods used to do so.

By the way, do you want to learn more about Health and Fitness? If so, I suggest you check Physiotherapy and Physiotherapist.

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The Sugar Heart Disease Connection - Four Components of Metabolic Syndrome

The connection between sugar and heart disease can be dated to the low-fat diet or as it should be known - the high sugar diet which has been an absolute failure. The result? Americans are getting fatter and more diabetic at an epidemic rate.

There has been a frightening increase in a condition called the Metabolic Syndrome, or Syndrome X. The Metabolic Syndrome is actually a constellation of risk factors (increased belly fat, elevated serum glucose levels, high blood pressure, and lipid abnormalities) that often appear together in patients and is directly linked to an increased risk of coronary artery heart disease, Type 2 Diabetes and stroke.

We now know that for those who have heart attacks, Metabolic Syndrome will very likely be the reason. And the Metabolic Syndrome is caused by too much sugar in the blood.

Metabolic Syndrome Symptoms

The first symptom doctors are told to look for in diagnosing Metabolic Syndrome is the expanding belly fat, not the Dunlap's disease or it Dun lapped over my belt, but the development of visceral fat or the kind that is deep in the belly and surrounds our organs.

This visceral belly fat creates chemicals that cause inflammation and increasing sugar levels that leads to increased heart attacks. This means that if you're overweight, there's a good chance you have Metabolic Syndrome which is why you're more likely to have a heart attack or become diabetic (or both) than someone who's not.

This belly fat is caused by persistently high sugar levels and high insulin levels that take your excess sugar and convert it to long chain fatty acids that are deposited into your belly making inflammation and sugar heart disease link even worse.

Four Components of Metabolic Syndrome

The four main components of the Metabolic Syndrome connection are increased visceral fat, increased sugar levels, increased blood pressure and a lipid abnormality of high triglycerides and low HDL's

Having the Metabolic Syndrome is another way of saying that the cells in your body are actively ignoring the action of the hormone insulin - a condition known technically as being insulin-resistant.

You secrete insulin in response to the flooding of high carbohydrate foods you eat to keep blood sugar in control after a meal. If your cells become resistant to insulin, your pancreas responds to rising blood sugar by pumping out more and more insulin.

Eventually the pancreas can no longer keep up with the demand and will develop "pancreatic exhaustion." Now your blood sugar will rise out of control, and you've got Type 1 or Type 2 diabetes.

Not everyone with insulin resistance becomes diabetic; some continue to secrete enough insulin to overcome their cells' resistance to the hormone. But having chronically elevated insulin levels has harmful effects of its own.

A result is higher triglyceride levels and blood pressure, lower levels of HDL cholesterol (the "good cholesterol"), further worsening the insulin resistance - this is Metabolic Syndrome.

When physicians assess your risk of heart disease these days, they will take into consideration your LDL cholesterol (the bad kind), unfortunately they should be focusing on our excessive sugar intake which is leading us down the road to the Metabolic Syndrome. Cholesterol is only a byproduct of an unbalanced metabolism, and is also not the problem, but is very critical in so many of vital functions in our body.

Dr. Scott Grundy, chairman of the panel that produced the last edition of the National Cholesterol Education Program guidelines feels that heart attacks 50 years ago might have been caused by high cholesterol - particularly high LDL cholesterol - but since then we've all gotten fatter and more diabetic.

Now it's Metabolic Syndrome that's the cause of blocked coronary arteries and heart attacks.

Glucose, Fructose & High Fructose Corn Syrup

Table sugar is 50 % glucose and 50% fructose. The fructose component of sugar and high fructose corn syrup (H.F.C.S.) are metabolized primarily by the liver and result in increased fat deposition in the liver with persistently elevated levels, while the glucose from sugar and starches are metabolized by almost every cell in the body, including cancer cells.

Consuming sugar (fructose and glucose) means more work for the liver than if you consumed the same number of calories of starch (glucose). And if you take that sugar in the rapidly absorbed liquid form in soda or fruit juices, fructose and glucose will reach the liver more quickly than if you consume them as a food or fruit. The increased demand of the liver will result in the production of toxic metabolites from fructose that cause increased triglycerides and LDL's, increased fatty liver and even high blood pressure.

Dr. Varman Samuel, who studies insulin resistance at Yale School of Medicine, describes the correlation between liver fat and insulin resistance in patients, lean or obese as "remarkably strong."

What it looks like, Samuel says, is that "when you deposit fat in the liver, that's when you become insulin-resistant." Many researchers today feel that the Metabolic Syndrome and insulin resistance are the reasons that many of the researchers today studying fructose (sugar or sucrose is 50% glucose and 50 % fructose) because sugar could be and most likely is the connection to heart disease.High Sugar Diets

We have been forcing high sugar diets on our population for the last two decades. What we are in need of is a low carbohydrate diet that has now been repeatedly shown to: 1) lower sugar levels; 2) reduce triglycerides; 3) reduce the inflammatory markers that are strongly associated with heart disease; 4) reduce the weight, fatty liver changes and the belly fat that is keeping the fires of the Metabolic Syndrome glowing bright.

Of all the substances we put in our bodies that are harmful, sugar is the top of the list as it ignites inflammation and inflammation causes heart disease. We can see the health damage in diabetes, obesity and cancer. Having seen the ravages of damaged hearts for 15 years as a heart surgeon, my goal today is helping patients prevent disease. A huge step in prevention is overcoming sugar addiction. To learn how to end sugar cravings and sugar addiction, visit http://stopsugarcravingseasily.com

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History and Benefits of Bloodless Heart Surgery

Bloodless surgery is quickly becoming a common procedure in major hospitals and healthcare centers around the world. Methods for blood management and conservation have become considerably more efficient and effective with the advent of new surgical tools and medications that boost red blood cell production. Twenty years ago, patients wishing to forgo a blood transfusion in favor of a bloodless surgery only had a handful of medical programs in the U.S. to choose from. Today, there are more than 200 bloodless medicine programs around the country.

One operation in particular that is being performed more frequently without blood transfusions is open heart surgery. As with any cardiothoracic surgery, open heart surgery is an extremely complex procedure that requires an experienced surgeon. In the past 40 years, many cardiothoracic surgeons have been adopting blood management and conservation techniques when performing these surgeries. A bloodless heart operation can actually lessen the complexity of the surgery and reduce the overall patient recovery times.

History of Bloodless Heart Surgery -

Although the basic principles of bloodless medicine have been around for nearly a century, these methods were only first applied to heart surgery in the past 40 to 50 years. In the early 1960s, a heart surgeon in Texas began treating Jehovah's Witnesses in need of open heart surgery with bloodless methods and techniques. Jehovah's Witnesses are unable to receive blood transfusions for religious reasons and needed an alternative procedure.

Other heart surgeons began to take notice. In 1973, a cardiothoracic surgery team in Los Angeles reported performing bloodless heart surgery on most of its patients, citing a less complicated procedure that reduced the risk for infection and increased patient recovery times. Soon, hospitals and healthcare centers all over the world were performing bloodless open heart surgeries, referred to as "bloodless hearts."

Benefits of Bloodless Heart Surgery -

Bloodless heart surgeries have many advantages over traditional open heart procedures requiring blood transfusions. Many of these advantages are due to technological advances that have been made in the past few decades; blood management is easier and more efficient, minimally invasive surgical techniques are more precise, and patient monitoring equipment is more advanced.

Benefits of bloodless heart surgery include:

Reduced Risk of Infection - By applying advanced blood management and conservation techniques, blood transfusions are not necessary. Eliminating the need for a transfusion eliminates the risk for the patient becoming infected by diseases that can be transmitted through donated blood.

Less Complicated Procedure - By eliminating the need for one or even multiple blood transfusions, several additional risks and complications are also avoided, including negative immune responses, lung inflammation, and allergic reactions. Bloodless surgery can also be performed without the need for a cardiopulmonary bypass - commonly referred to as a heart-lung machine.

Faster Recovery Times - A less complicated procedure ultimately means a quicker patient recovery. Even without complications, a blood transfusion can require lengthy in-hospital recovery times (depending on the patient and the specific procedure).

Today, transfusion free cardiothoracic surgery is performed at some of the largest hospitals and healthcare systems in the U.S. Still, the procedure is by no means widespread. Only the best and highest rated hospitals are able to offer the procedure. If you are a cardiac patient who will need to schedule an open heart or other cardiothoracic surgery, contact your local hospital to see if bloodless surgery is available.

Norman A. Smyke Jr, MD, is a board certified specialist in Anesthesiology and is the director of the Center for Blood Conservation at Grant. Dr. Smyke oversees the first bloodless medicine program in Columbus, Ohio and outlying areas to provide formally recognized blood management services, including bloodless surgery. For more information about the CBC at Grant, please visit www.ohiohealth.com.

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Just What the Chest Doctor Ordered: Finding a Thoracic Surgeon

Thoracic surgery is a medical specialty that deals with treating the organs of the chest, or thorax. This includes the lymph nodes, diaphragm, heart, lungs, trachea, and esophagus. Diseases such as emphysema, lung cancer, and heart conditions such as coronary artery disease are some of the most commonly treated by thoracic and cardiothoracic surgical procedures. Such procedures are often complex and delicate, and a patient will understandably want to be assured that the surgeon or surgeons performing the operation have the highest qualifications and skills.

Due to the degree of skill needed for these procedures, a patient will want to find a thoracic surgeon who is highly competent and experienced. In the United States, one way of ensuring a surgeon's competency is to choose one who is board certified by the American Board of Thoracic Surgeons. In order to be considered for board certification, a physician must first complete a thoracic surgery residency in an accredited program, and successfully complete a certain number of surgeries specific to the discipline. The certification process also includes successfully passing both oral and written exams, and demonstration of high moral and ethical standards of care. In order to maintain board certification, physicians must continue to hold a state license to practice medicine, remain in good standing as a staff member at one or more medical centers, complete the requisite number of continuing medical education (CME) hours, and present documentation of competency from physicians who are familiar with their surgical practice. While board certification is not the only factor needed when choosing the right surgeon, it is an indication that a particular medical professional has passed a high standard of peer review and is extremely capable.

An accomplished and accredited surgeon is one factor in a successful surgical procedure, but surgery is a team effort. Another factor to consider is the team of medical professionals involved and the medical facility where the operation will take place. For example, if the treatment sought is for lung cancer, is the procedure taking place at a medical center with a well respected oncology program? Heart conditions are another case where a dedicated cardiology department can be a strong asset when a cardiothoracic procedure is called for, and in the case of a lung transplant, a strong surgical team is necessary to complete this lengthy, complex procedure. Thoracic surgeons rightly deserve a great deal of respect for their training and expertise, but they also rely on a strong team of medical professionals to assist them in their work.

Author writes about a variety of topics. If you would like to learn more about find a thoracic surgeons, visit http://www.lifescript.com/doctor-directory/index.aspx.

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What Do The Medical Words Mean?

Sometimes it is so confusing to look through a list of services provided for a medical center and try to determine what it all means. For instance, what is cardiothoracic surgery and who performs it and why?

By going to the trusty internet or not so trusty at times, Wikipedia states that; "Cardiothoracic surgery is the field of medicine involved in surgical treatment of diseases affecting the organs inside the thorax or 'the chest'. Generally treatment of conditions of the heart and lungs." It then goes on to say that they are surgical specialties but are frequently grouped together as cardiothoracic surgery, mostly in the United States.

Now it gets confusing as it states that cardiac refers to surgery of the heart and great vessels and thoracic surgery refers to surgery of the chest other than the heart and a cardiothoracic surgeon will perform surgery within the realm of both cardiac and thoracic surgery. Even if this doesn't necessarily makes sense, what is important is that you find the best surgeon for whatever ails you and trust that they know what they are doing.

One thing that sets them in a class by themselves is the use of robotic heart surgery to provide the absolute best in cardiac surgery. By having the surgeon control a robot in surgery, the surgeon has a much finer control of the operating tools thereby making smaller incisions, causing less blood loss, resulting in quicker healing time and a much better outcome for the patient is possible.

Some people may find robot assisted surgery a little confusing also. It is the use of a robot holding the surgical tools which allow a more precise cut than when the same tool is used in a surgeon's hand. This is not to say that surgeons aren't as good as a robot but it is to say that it is just a tool and it definitely allows the surgeon to use other methods previously not available. The robot is called the da Vinci robot and the success has been wonderful for both the cardiac surgical team but even more so for the patients. Does it really matter if you understand how the robot works, just like understanding the word cardiothoracic?

No, it's not in the understanding that allows a patient to have a successful operation; it's in the performance of the surgeon, be it with human hands or with robot assisted hands. If you listen to the medical community and the ratings they give the Riverside Medical Center and more importantly the Rush-riverside Heart Center then you can build some confidence in the fact that they know what they are doing to your cardio system inside your thoracic area. Whether you are interested in cardiothoracic surgery or want to find about more the da Vinci robot used in surgery, check out RiversideHealthcare.org. Riverside Medical Center is one of the top hospitals in Illinois.

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Important Developments in Cardiothoracic Surgery

Cardiothoracic surgery has come a long, long way in the past few years. Cardiac surgery, which is performed on the heart or its great vessels to treat conditions of ischemic heart disease, valvular heart disease due to endocarditis or other causes, or to correct congenital heart problems, has existed since the late nineteenth century. The first heart surgery performed successfully with no complications was done in 1896, to repair a stab wound to the heart. It was soon realized that repairing intracardiac problems required an environment in which blood flow and heart action were minimal, which entailed stopping the heart and draining the blood. The first successful congenital heart defect surgery utilizing hypothermia was performed in 1952; a year later, the first successful cardiac surgery with local anesthesia was performed.

Open heart surgery, in which the patient's chest is opened and the heart is operated on, was performed in 1953. In this type of procedure the heart itself may or may not be opened (the term "open" refers to the chest, not the heart). It was soon realized that hypothermia was unsuitable since it deprives the body, and especially the brain, of needed blood for too long a period. In the mid 1950's Gibbon-type pumps were developed to oxygenate the blood and allow for longer procedures with less risk to the patient. In the 1990's cardiac surgeons began performing off pump bypass surgeries, which are triple bypass Illinois operations in which the heart continues beating during the surgery. This new technique made for lessened post-operative problems and gave overall results which were more satisfactory than the older methods.

The most important new development in heart surgery is known as robotic heart surgery, in which a machine performs the surgical procedure under the control of a human surgeon. The chief advantage of this method is the size of the incision needed. Where in older forms of surgery the incision had to be large enough to accommodate the surgeon's hands, this new minimally-invasive surgery requires only 3 small incisions for the robot's smaller "hands" to enter. These smaller incisions reduce the trauma to the patient's body, which in turn means lessened pain and scarring. Also the smaller incisions produce faster healing, with reduced infection risk. This adds up to a shorter hospital stay and faster return to normal, everyday activities. Instead of taking months for the patient to recover, many patients can resume enjoying athletics in a few weeks. The new minimally-invasive techniques have lowered mortality rates drastically. As an example, congenital heart defect repairs now average about 5% mortality.

Cardiothoracic surgery has come a long way in the past century; particularly in the past decade with the introduction of minimally invasive robotic heart surgery techniques. Now a triple bypass Illinois can be performed with minimum risk to the patient, rapid recovery, and with a speedy return to normal, everyday living.

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