Jumat, 06 Juni 2008

Medication Errors Become Problematic

by Spalding, Katrina

Medication errors have become an increasing problem in the hospital setting. It is estimated that medication errors also known as "adverse drug events (ADE) increase the cost of hospitalization by $ 2,200 to $ 3,200 per stay and prolong stays by 2 days on average" (Manno, 2006). Complications of medication errors range from mild discomfort to death. "Medication errors are the eighth leading cause of death in the US" (Banning, 2006).

Causes of medication errors are varied, ranging from inappropriate orders to failure of the nurse to follow the five rights of medication administration. Many people believe that medication errors are a direct result of poor nursing. However, they "are usually the consequence of breakdown in a system of care" (Mayo & Duncan, 2004). Many facilities rely on nurses to discover potential errors and bring them to the attention of the appropriate person prior to the error occurring. There are several factors that can increase the incidence of medication errors (1) illegibly written orders, (2) dispensing errors, (3) calculation errors, (4) monitoring errors, and (5) administration errors (Mayo & Duncan, 2004).

Because an error can occur at any of the above stages, it is important for physicians to write or print their orders legibly and for the dispensing pharmacist and nurse to question and clarify any misleading, incomplete or illegible orders. Dosage calculations should be double checked by two nurses or another pharmacist, verification of a dose, rate or amount is not questioning the abilities or competencies of the dispensing or administering individual it is simply a way to further verify and protect the patient and staff involved.

Administration of medications by the nurse is the last chance for detection of a potential drug error. While preparing the medications for administration it is imperative the nurse utilizes the patient specific medication administration record and verifies drug name, dose and time. Nurses also need to be certain they are able to identify the drugs and "understand a drug's intended effect" prior to administration (Cohen, n.d.).

Utilization of the five rights of medication administration is required of nurses prior to drug administration and is a large part of the Institute for Healthcare Improvements 100,000 Lives initiative.

To help decrease the incidence of medication errors nurses need to step up to the plate, and realize the importance of this issue, following the five rights of medication administration is simply not enough. Nurses need to continually educate themselves and their peers as new medications are introduced. Reporting of medications errors as they occur needs to be encouraged regardless of the potential outcome to the nurse or patient, double and sometimes triple checking drug calculations must be done routinely to assure accuracy. Utilization of web based drug books, and medication information sites will give timely, accurate and current information. Verification of unclear orders needs to occur by the nurse or pharmacist, and including the patient in the medication administration process is another way nurses can help decrease the incidence of medication errors.

By being proactive, nurses and other health care workers can drastically decrease the number of medication errors, save thousands of dollars and thousands of lives.

For references please contact the AzNA office at 480.831.0404 or info@aznurse.org.

Selasa, 03 Juni 2008

Good Foundation for Health

In the western medicine world, we have lost touch with the basic concept of true healing. We substitute a band-aid for a cure and wonder why we don't feel better. People get ill for many reasons. Each diseased state tells us that we are ignoring some part of self, and change is necessary. While many factors contribute to healing, and it happens on many levels, all require attention throughout the entire healing practice. Ignoring the body-mind (emotions and thoughts) would not provide adequate and long-term good health.

Physical symptoms like headaches, swollen glands, sneezing and colds, including more serious diseases like cancer, communicate that there is a disturbance in the emotional fabric of our being. Negative emotions like fear, doubt and worry stop the normal flow of energy. These emotions undermine us, and over the course of our lives cause unexplained and crippling diseases that end up controlling us.

The physical body falls apart because we fall apart emotionally. Recent scientific studies have shown that emotions sabotage everything—from simple success to kidney failure. When we don't care for the "whole self," the physical body simply mirrors those effects. Over the course of time, emotions like fear, anger and confusion take their toll. Repressed anger diminishes the functions of the liver. Hopelessness and despair play havoc with the gall bladder. Fear plays havoc with the kidneys, relationships and success. Confusion on the other hand, keeps whirling thoughts spinning, creating a cloud of chaos around us and we become imbalanced and ungrounded. Head colds for instance, are a direct result of emotional confusion. Long-standing negative emotional beliefs deteriorate the entire physical being. A constant string of repetitive negative words weaken and actually exhaust the physical body.

To heal we must feel. We must identify the root emotional cause of the disease. This process lays down a new foundation for good health and begins with a new attitude about being healthy. Any negative emotion causes us to stay stuck in a false perception about our self.

How do we identify negative emotions? The easiest way to identify negative patterns is to see them in family members and friends. Examine other people's behaviors. Notice all the things you like about them and all the things you don't like, especially the things that make you angry, envious or jealous. The people around you are actually reflections of you. What you see in another person that bothers you or angers you is a part of yourself that has not yet been loved and healed. Begin by criticizing your dearest friends. By doing this practice of looking at the faults of friends and family you get in touch with the parts of you that are out of balance and seek healing. This simple exercise offers you an opportunity to look deeply at your own emotional concerns and patterns. Once you locate personal limitation it's time for change.

Emotional patterns are created when you place a judgment upon an experience. To change, we must stay conscious of our feelings in situations. Stay calm, make no judgment—simply feel the energy. For example, let's take anger because anger is one of the most profound emotions and is easily felt. Imagine yourself in an angry situation; stay completely present and deeply feel the anger. Don't judge it—simply feel it. Now, love the feeling that anger produces. Anger can be motivation. It can be passionate. Change the negative charge that anger produces; begin to embrace and love the feeling of anger instead of repelling it.

Next begin to dialogue with the anger. Yes, that is correct, strike up a conversation with anger. Ask it questions like, "What are you teaching me?" or "Why am I so angry all the time?" Permit the answers to come into your conscious mind. As they do, you realize what the true issue is. Sometimes in that moment of realization the anger pattern can release. Other times it might take a few more conversations for the anger to release. This method allows the energy constriction caused by anger and other emotions to release. Any blocked energy begins to flow giving the physical body a chance to heal.

Even though healing begins with the emotions, the physical body must be strong enough to support the emotional body.

Supplements: Supplementation is important because food chemicals, pesticides and a hurried lifestyle play havoc on our systems. Take no more than five different supplements daily. I prefer liquids including Green-Magma and other green drinks. If you don't feel immediate results, they are not working.

Water: Only 5% of the American population gets sufficient water each day. Diet drinks, high corn-syrup drinks and coffee do not count towards proper hydration; in fact these drinks cause gastrointestinal inflammation, kidney and liver problems and an acidic environment. To properly hydrate drink at least half of your body weight in purified water by the ounce each day. For example if you weight 150 lbs. you need 75 ounces of purified water daily. Exercise: The number one killer today is a stagnant lymph system caused by a lack of exercise. Take a walk around the block or take a yoga, chi-kung or Pilate's class.

Understanding Holistic Health

Every thought and emotion affects your health. A holistic health approach encompasses treating the whole person: the body, mind, emotions and spirit. Traditional cultures have known for thousands of years that these aspects are intimately connected. Every food we eat, every thought we entertain, every emotion we feel and every interaction we experience impacts overall health.

Many blame their health problems on genetics, a virus, toxins in the air, and stress. While these factors can contribute to illness, very often problems result from a lack of fundamental health-enhancing qualities such as responsibility, a strong will, family support, passion, a balanced lifestyle and a knowledge of good health. Without these, whatever modality is chosen becomes just another pill to be taken and discarded when symptoms disappear.

When disease is artificially removed without changing the underlying cause, long-term health will NOT be achieved. The quick fix approach brings little or no permanent success. I am not suggesting that we abandon medical treatment. I am recommending that we look for the deeper causes of the problem from a physical, mental, emotional, spiritual, and lifestyle perspective. We need to take the holistic health perspective. Lasting solutions can be found to multiple illnesses of society by getting at the root of the problem holistically.

I have observed patterns among those who have successfully reversed health problems. These traits are not rigid models. We all have them to some degree. They are holistic health approaches that each of us can maximize in our own unique way to return to our natural state of health.

Here are some very important steps you must take to achieve optimal holistic health. I can assure you that by putting these into practice, your overall health will be much improved! Sometimes you have to reevaluate what it is that you are doing with your life. By doing this, you will start to see the big picture.

Lets start with the first step, RESPONSIBILITY. This means not blindly accepting the opinion of some outside authority as the only way. Take a look at your previous choices for they may have led you to the problem. Then recognize that you can make new choices to remedy the situation.

I am not telling you to stop seeing your health practitioner. I am suggesting that you gather as much information as possible and make your own decisions. Taking responsibility is meant to empower us to make new choices for a healthier result.

Next is AWARENESS, which simply is deeply knowing yourself by observing your thoughts and beliefs, your choices and outcomes, and your response to the world around you. As you observe, ask questions. Do you believe you can recover your health? What does the illness have to teach you? Why do you make the choices you make? What do you need to know? Through questioning you will discover the things that seemed unchangeable are actually flexible and can be manipulated.

PROPER NUTRITION is the cornerstone of good health. Health and longevity depend on our daily nourishment. In 1988, the Surgeon General stated that two-thirds of the deaths in this country are related to diet. Our eating habits play a major role in many common diseases and emotional disorders.

Most Americans have a limited awareness of the power of food in maintaining health and reversing disease. The most effective diet includes whole grains, vegetables, low fat, no cholesterol, proteins and fruits.

LETTING GO OF THE PAST. Resolving conflicts and discovering their positive impact in our lives is paramount in healing. Resentment, anger, guilt and all negative emotional states are self-poisoning. They weaken cells and immunity and can be the reason for illness. Let it go and move on.

FAITH and the developing of sound judgments are important qualities in healing. Faith is knowing there is an order and unity to life, a sense of wholeness and connectedness with something larger than oneself. With faith, unlimited opportunities unfold, and we gain a sense of confidence in our choices.

FINDING YOUR PURPOSE IN LIFE is prevalent among those who are healthy. Everyone has talents and skills through which they express themselves, and so do you! If you do not find your unique creative expression, you will be restless and frustrated, regardless of the success in the conventional world.

Purpose stimulates a deep sense of fulfillment and joy. With purpose, your life will take on much more meaning. I did not have a purpose for many years. The second I knew where I was going my life took a turn for the best. If you do not have purpose yet, do not worry! Focus on what makes you the happiest and visualize where and what you want to be. By working toward a goal and a purpose, you will feel alive and ready for anything.

Each of the above factors has a profoundly positive influence on your health and are more effective when bring them together. When utilized, you can go beyond sickness to health and happiness. Start with small steps and build upon them for a holistic approach to your health. Action is the only thing preventing you from achieving optimal health.

Why you should NOT "go" on a Diet ?

The only thing growing faster than the $65 billion diet industry is the American waistline. If one of your New Years resolutions was to Go on a Diet, the only place I guarantee you will go....is up in weight.

It's a Fact - Diets will only make you fatter.

When it comes to the latest in Diet fads, we are quite gullible and easily tempted by a Diet's empty promised. Reason being....the diet industry KNOWS we are in search of the "quick fix" and will only play with our emotions - our desperation for the quickest way to relieve looking and feeling fat.

Diets are nothing more than Temporary Solutions with many lingering, negative side effects.

Here are the Top 10 Reasons Why you should NOT "go" on a Diet

1. Diets do NOT work.

Diets have a 99% Failure Rate. Have you noticed a pattern yet? Lose weight....quickly regain it? Over time, studies show if you diet you are more likely to be overweight than people who eat normally and make small gradual changes to their lifestyle. No, the Law of Averages does not apply to this faulty system.

2. Dieting can be Dangerous.

Any time you severely restrict the amount or types of foods you eat you put your health and life at risk. Dieting has been related to injuries and sudden deaths from electrolyte imbalance, malnutrition, and heart arrhythmia's. Weight cycling, or yo-yo-ing weight, is associated with higher death rates - especially if some type of pills are being used. At no point should you ever place weight loss above your health.

3. Dieting Destroys your Metabolism.

Diets will cause your weight to quickly cycle up and down. Sure, you may lose weight quickly because you are simply not eating enough. In the initial stages, the first seven to nine pounds lost are water, presenting a real danger of dehydration and mineral deficiencies. Even more terrifying ins the break down of lean muscle due to inefficient nutrients and calories. If you are losing more than 3-4 pounds a week, you can be sure this is what is happening - very little fat is lost this state.

Now, any muscle loss will cause your metabolism slow to a crawl. The cumulative effect takes place for you cannot survive very long on very low calories (1200 or less) and you will eventually eat more - on top of a slower metabolism. All those excess calories will be stored as fat - causing rapid weight gain.

4. Dieting is Exhausting.

Diets are just reduced calorie Fads disguised by a clever gimmick. "Lose weight while you sleep" "Eat all you want and still lose weight" Not eating enough or cutting out certain food groups means your body may not be getting the energy it needs, or may lack certain nutrients. You will feel exhausted, light headed and experience some not-so-fun mood swings.

5. Dieting is Disruptive.

Dieting negatively affects your normal eating patterns. Diets can lead to binge eating, overeating and chaotic eating. When you diet, it is common to override your internal signals telling you to eat. You end up trying to use willpower or resist hunger signals and may even go as far as taking appetite suppressants. This results in being unable to know when you really are hungry or wore....when you're full.

6. Dieting can lead to eating disorders.

Experts state that the high rates of eating disorders in the U.S. are due in part to people dieting, losing weight, rebounding, and becoming chronic dieters.

7. Dieting Causes Food Obsessions.

If you spend a large amount of time and energy depriving yourself of food or certain types of food - you will spend more time thinking about food and become obsessed attempts to control your weight by what you choose to eat or not eat. How long do you want to live like this?

8. Dieting Diminishes Women.

There is way too much attention focused on our appearance and an arbitrary number on the scale. In the midst of this focus - we end up avoiding what really matters to us - our dreams and ambitions. Even worse, it erodes our confidence and self-respect.

9. Dieting Intensifies Negativity.

If you diet, you are more judgmental and critical of yourself and others. Once again, wasted time and energy.

10. Diets Put Your Life on Hold.

Does this sound familiar...."I'll be happy when I weigh "x pounds." Guess what, the issues in your life are not related to your weight. Take responsibility and take back control of your life. Decide to be happy now and do what it takes to live a lifestyle that reflects your priorities.

So this year resolve to NOT go on a Diet. Set Yourself Free from this miserable, guaranteed to fail weight loss cycle. Do NOT let the diet industry make money by taking advantage of you. It is time to stand up for yourself and take control.

How to Cure High Blood Pressure

Do you know how to cure high blood pressure with no medication? Most people would probably say to eat healthy (lower your salt-intake) and make sure you exercise. Unfortunately, most doctors tell you this and forget to tell you the other treatments you can be doing to lower your score and eventually be med-free.

The truth is that doctors are educated in medical schools were natural health and simple 'common sense' secrets are not taught. Unfortunately, medicine and antibiotics are only being taught because our medical industry is completely reliant upon pharmaceutical companies.

But new research is now showing the sometimes medicines are not the only treatment. In fact, some natural treatments are just as effective as their medicine counterpart.

Which is making some think, "Is there something doctors are NOT telling us?"

Naturally Treat High Blood Pressure

High Blood Pressure Medications (Diuretics, Beta Blockers, Alpha Blockers, and Vasodilators) work because they lower your blood pressure. The problem is that they make it look that you are healthy but are your numbers showing the truth?

High Blood Pressure medications work because they synthetically alleviate the pressure of the arteries and blood. For instance, with diuretics the blood will become less salty (less thick) and your pressure with drop. Another example would be beta blockers which synthetically cause the heart to beat slower.

Though these medications look good on paper, they are NOT treating the disease known as the 'silent killer'. In fact, they could be prolonging your life but they will never fully treat the disease. And statistics show that users will eventually die from the high blood pressure.

But what if you could naturally treat high blood pressure.

7 Hypertension Tips Your Doctor Won't Share with You

So you want to know, 'how to cure high blood pressure'? First, you need to know how to prevent high blood pressure holistically. Because curing high blood pressure starts with a holistic treatment. Holistically treating hypertension simply means using the 'whole' body to cure the problem. This is completely different than taking a pill to synthetically thin out the blood.

1. Three Miracle Minerals- If you are suffering from high blood pressure, you should be supplementing your diet with 3 miracle minerals that lower high blood pressure. Magnesium, Calcium and Potassium have been shown to help lower blood pressure.

2. Garlic- Garlic has been shown to benefit the heart, lower cholesterol and lower high blood pressure naturally. The compound in garlic, allicin, is thought to naturally lower high blood pressure. Find a quality supplement today.

3. Folic Acid- Vitamin B which is found in green leafy vegetables reduces homocysteine levels in the blood. This vitamin will lower the risk of heart disease and alleviate the pressure naturally.

4. Apple Cider Vinegar- Many or my customers have found success with apple cider vinegar which contains vitamins C, A, E, B1, B2 and B6, in addition to potassium, magnesium, and copper.

5. Relieve Stress- Do you know there are numerous ways to relieve stress? Breathing exercises, exercising, or reading a book are simple ways to relieve stress and lower high blood pressure. And there are even more than this!

6. Your Diet! You know the major Do's and Don'ts about high blood pressure dieting. Just remember to be eating your water-soluble fibers (fruits and vegetables). Fibers, especially water-soluble, will flush your system and plaque. Also, switch to whole grains! With less plaque in the arteries you will eventually be hypertension-free! Our HBP report goes into great detail about how you can treat hypertension with your diet.

7. Green Tea! It is loaded with antioxidants and research shows it lowers high blood pressure. Whether it is the 'relaxing' factor or the natural herbs in green tea, 1 cup of green tea will be helpful for your health!

Normalize your High Blood Pressure in 3 Weeks or Less

What foods should you be eating? What other vitamins are a must? What exercises are an absolute do? What herbs are making doctors scratch their heads? Why is chocolate now good for you?

Are you interested in lowering blood pressure naturally, with out drugs? We offer a 100% guaranteed, medical doctor-approved HBP Remedy Report which shares numerous natural health tips and guarantees to normalize your pressure in 3 weeks or less. If you are serious about living young again, please visit our How to Cure High Blood Pressure Website.

Health Supplements

Detoxification Diet: Body Cleanse

Super Body Cleansers And Detox For Athletes

Essential amino acids are those amino acids which we humans are not able to synthesize in sufficient quantities to meet our daily needs and that must be supplied by the food we eat. One of the servings of vegetables at least should be raw vegetables such as carrots celery or cauliflower. It only requires a finger prick blood sample and is a in home test kit. The human body is programmed to tackle low-level toxic attacks. Our bodies can detoxify potential carcinogens, or repair genetic damages. The protective mechanisms are repair, cellular shedding, detoxification and dietary antioxidants. The human body is quite capable of detoxification if it is fed with adequate water and fiber. If you have heart problems cancer or other major diseases you are advised to not use this form of diet.If we regularly eat a more balanced and well-combined diet such as my Ideal Diet we will have less need for fasting and toning plans although both would still be required at certain intervals throughout the year. Free radicals come from many household products.

Chlorella Colon Cleanse

The combination of vitamins and minerals through detoxification work in this fashion to remove toxins from your body tissues and body organs. This is done through our sweat feces and urine. Some detox programs still rely on simply water and fasting while others outline specific diets which tend to be mostly raw food. My clients are sometimes disturbed by this event but thereafter convinced continue their complete Internal Cleansing Kit each year with some mini detox in between. which not just benefit and strengthen our blood circulation kidneys liver bowels and lungs but our general health in the long run.

Detox - The Process Of Cleansing And Restoration

While our livers can still function despite a lot of damage once you've started feeling sluggish digest poorly have dull skin and start developing dark eye circles it's time to reward it for its hard work by undergoing a detox phase. Over time consumption of processed foods non-vegetarian foods and sugars leads to clogging of the inner walls of the colon with waste matter. emotional. Then, in November 2003, Woman's World magazine came to me with an unusual request. They wanted a one-day juice fast, the recipe for a special brew that would enable readers to quickly lose 3 to 5 pounds so they could fit into that special outfit or take off that holiday weight. You may have just pampered yourself with some kind of bodywork-this sometimes stimulates a healing crisis. This is a good thing. See Best Way To Body Cleanse You only need to do your research and there will be lots of detoxification procedures to choose from however it is always advisable to see your physician to be sure of what toxins constitute risk to your health and perhaps the best method to get rid of these. Toxins come in various forms and manners; the one unifying thing about them all is that they are dangerous to your health. The exhaust from your automobile is known to be rich in carbon monoxide and carbon dioxide and medical scientists have shown that as little as 0.5% of these chemicals in the blood holds dangerous implication for health. The basic idea behind any detoxification program is; first.

Colon Diseases

As food is digested the nutrients and toxins are absorbed into the bloodstream. These toxins will continue to contaminate the cells instead of providing the nourishment that the cells need. The next recommendation to ensure good health is to eat plenty of fruits and vegetables. Although fruits and most vegetables are restricted in the initial phase of some low carbohydrate diets they are then allowed back in limited amounts. You want the natural sugar along with all of the vitamins minerals and fiber in the *whole* apple. See more Master Cleanse Opinions Calorie and carbohydrate intake are reduced leading to weight loss.

Detox Diet Drink

Just name it. However there are certain individuals who do not make good candidates for a detox diet. But I draw the line at certain things. The problem is that there is little scientific evidence that these things really work, other than making us think that we are doing something healthy. The massive diet and nutrition industries have created yet another myth, the Detox Myth, encouraging us to spend money on pills, treatments, spa breaks, books etc, but the benefits of the products are questionable, and the claims are not supported by science. The result is a gradual build up in toxin levels in the body and this can cause a wide variety of health problems including chronic fatigue acne headaches nausea and even chronic ailments which do not respond to conventional medicine. Learn more at http://www.superstars-detoxdiets.info This epic human tragedy led the Soviet society on a desperate search for ways to detoxify and protect their people from radiation poisoning. But it's a nice introduction to the issue and one you'll need to be aware of as you procede with your own personal herbal remedy learning.

Tips : How To Find The Best Arthritis Specialist

When you’re looking for a medical specialist, it’s sometimes really difficult because you don’t know who’s good and who isn’t. Sometimes you can rely on a friend or relative who’s seen somebody… or you can call the local hospital because sometimes they’ll give you the names of people who specialize.

Unfortunately, these methods are not necessarily the best ways to locate somebody who is really skilled.

I’ve written a previous article on how to find an arthritis expert… and that should be mandatory reading if you’re looking for a top-notch person. (The 12 Things You Must Look For In An Arthritis Expert)

This new article will add a few other things.

Do you know what training an arthritis specialist (rheumatologist) has gone through? Let me tell you… Four years of college, four years of medical school, three to four years of internal medicine residency, and three years of fellowship in arthritis training. And several board exams have to be passed along the way culminating in the internal medicine boards and the rheumatology boards. Many candidates don’t pass the first time around.

You should ask if they passed the first time or not. You can maybe excuse somebody for not passing once (although even that is a bit much) but if they have had to take the exams over and over, then you might want to be a bit leery. After all you don’t want to see a doctor who’s a few fries short of a Happy Meal!

This article will give you the essential things you need to look for in an arthritis specialist.

1. Graduate of an American medical school. American medical education is still the finest in the world.

2. Residency training at a University teaching hospital.

3. Fellowship training at a top university or better yet, a biomedical research center like the National Institutes of Health.

4. Reputation. What do you hear about the doctor from his or her patients?

5. Education. Is this specialist still doing research and continuing to publish papers… the best do.

6. How many papers published- 25-50 is a minimum.

7. How does their practice run? Is the staff courteous, efficient, and do they seem to know what they’re doing?

8. Do the employees appear to enjoy their work? There’s nothing worse than walking up to a receptionist or other staff person who treats you like a piece of chuck roast.

9. When you are in the office do the physician and the staff give you informational literature about your case? Do they answer your questions?

10. Do they return your calls the same day?

11. When you start a new medicine do they go over the things should look out for as far as side effects?

12. Do they refer tough cases out? Often, a doctor who has ego problems may not refer out a patient who should be referred out. An arthritis specialist can’t be a specialist in all types of arthritis- there are too many of them. For instance, I am an expert in rheumatoid arthritis and osteoarthritis. While I can take care of patients with mild lupus, I refer out more serious cases because I don’t really feel I have the expertise or the energy any longer to take care of these complicated patients… so I refer them to a University hospital.

13. Are they careful about checking laboratory tests regularly?

14. Is research being done? The best arthritis specialists do research. They have their hand on the pulse of what is happening in the forefront of their specialty.

15. Are they invited to speak nationally? Obviously, a person who is a nationally recognized speaker has the knowledge and respect to have earned this right.

16. Do they care? You can tell by how the doctor talks to you and follows up with you. Do they stay in touch? For instance, we send out a monthly newsletter to keep patients informed, entertained, and in touch.

17. Are they trustworthy? In your heart of hearts, do you feel they have your best interest at heart?

18. Are they cheap or are they expensive? Doctors who sign up with insurance plans are weak and usually second rate. The best arthritis experts don’t sign insurance contracts because they don’t want to work for the insurance company. They want to work for the patient and do what’s right for them. Not surprisingly, they also are expensive because they are the best. Remember… in life you get what you pay for.

Let’s face it… picking the right doctor isn’t like looking for laundry detergent. This is particularly true when it comes to arthritis, many forms of which can lead to crippling disability as well as early death.

The right arthritis expert can make the difference between your leading a long, productive, and enjoyable life… or dealing with a progressive, crippling, agonizingly painful existence.

Like Yogi Berra once said, “When you come to a fork in the road, take it…”

It’s your life and your health that’s on the line.