14 DecThe politics of pain

The Institute of Medicine stands outside the government, offering independent advice to both the decision-makers in government and the public. As a nonprofit, its mission is to improve the quality of the healthcare services by providing detailed policy suggestions based on the best available evidence. This July, it published a highly critical report on the continuing refusal of the medical profession to accept comparative effectiveness research. This is work to discover which treatments are the most effective. At present, we are left to guess which treatments offer the best outcomes for each illness or disorder with little effort made to collect evidence on safety and quality. Hence, at one end of the scale, we can go years without knowing a particular drug or surgical procedure is ineffective. Or we can find ourselves participating in unofficial trials where doctors talk patients into off-label experiments with drugs.

Unfortunately, this is all part of the general lack of accountability within the healthcare services. The present culture allows the pharmaceutical industry and the doctors to dictate the treatment standards based on what generates the most profit for them. The idea such people would actively seek evidence to show whether their cherished treatments were medically effective is a nonstarter. There’s no willingness to engineer a learning environment where everyone tries to improve. Rather everyone wants to avoid any liability for errors of judgement and mistakes. Imagine the litigation if it emerged that doctors had for years been advising we agree to ineffective treatments.

Until there’s a major change in the culture, we will have to look with envy at the approach of the Europeans in the pain management field. As a symptom of our problems, the words “pain management clinic” in Florida and certain other states usually indicates a borderline illegal operation to sell pills. We should modify all aspects of the current service. The first reforms should affect the health insurance industry and the public bodies like Medicaid and Medicare. At present, these administrators and business people simply pay out on the bills submitted by the hospitals, clinics and doctors. Since the taxpayers fund the entitlement systems and the rest of us with money pay ever higher premiums, there’s no pressure on insurers to demand value for money. They are not there to guarantee good quality care for their insured. All they do is pay out on the bills and pocket the rest as profit.

At present, it suits everyone concerned with pain management to do as little as possible. That means the shortest possible consultations followed by the prescription of one of the standard drugs, the most effective being Tramadol. This gives everyone in the healthcare services industry the maximum possible profit with the least possible effort. If they were to adopt the European model of one-to-one treatment by physical therapists, cognitive behavioral therapists, and so on, the labor costs would rocket and profit would decline. So there’s no chance of a team-based, patient-centric approach in our great nation. Further, any evidence that might show the European approach to be more effective in medical terms must be suppressed. Everything possible must be done to reinforce the current practice standards. That means you take another Tramadol and accept second best.

02 DecThe Noise About Re-Branding – Has It Really Changed Nigeria?

Nigeria as a nation has suffered untold hardship in the hands of her past political leaders who were bent on self enrichment and acting scripts written by their sponsors. As the saying, “No condition is permanent” goes, one can see today that God is gradually bringing out the beauty of this country called NIGERIA.

The country has produced a good number of people that have not only made us proud, but have carved a niche for themselves, printing their names in the history book of records such that no one can deny they ever existed.

In the past a lot of things have been done or experienced of which we are not proud. Such things that can bring distrust among brothers or nations, yet we need to move ahead as a people in one world. It is true that no matter how one tries to bury a hurt experienced from a brother, a friend or even a loved one, something may happen one day to trigger one’s memory.

History has a way of dispensing judgement.

Nigeria has looked like the bad boy of the Whiteman, but that was in the past, yet the Whiteman has not found a good reason to forgive. We remember the days of advance fee fraud that painted the nation with dark colours, yet those Nigerians were not alone – they have White friends and allies that aid them in those acts. Nigeria was not alone in those evil acts, notwithstanding, people will still believe that another race is responsible for their status in life.

When the Blacks look back, history reminds them of the bondage of slavery that keeps them in annoyance with the Whites. In the same hand, the Whites are angered with the ugly practices of the Blacks such that they could not take them to confidence. All these have hampered the progress of both parties.

Yet in the midst of these differences, both the Blacks and the Whites are meant to live together in this world – the Whites need the Blacks and so do the Blacks need the Whites.

One question that constantly begs for an answer is this, “Do the Blacks and the Whites ever going to see themselves as one people under one God?”

Now, back to the topic. Nigeria is the big boy of Africa (the Blacks) and America stands for the Whites. For many years these two giants have allowed history to keep them in agony of hating themselves, which has trapped them in the past – hence the ugly records of failures.

In business life today, you find it very hard to see an American transact business with a Nigerian. Some will bluntly tell you that they have nothing to do with NIGERIA and NIGERIANS. But the fact is, if Americans don’t need us, we need them (for the interest of oneness). Worse still, Nigeria and other African countries are removed from almost all online business directories, making it difficult for both countries to transact business together. Though fraud abounds, yet no one country has monopoly of fraud. I have not seen a 100% fraud-free nation. Yet fraud is condemnable – it is evil, unethical, a sin against God and man, and a sin against the government.

Removing Nigeria and other African countries from the Whiteman’s business directory is unacceptable. This is because the action can never be a panacea to checking fraud, rather it aggravates it. As people sleep and wake, a lot of new ideas are developed. Many “sharp” practices and hi-tech manipulations are employed to achieve some certain ambitions. Somebody must survive and live like the rest of other people, and in trying to achieve this, some rules must be broken.

When some countries of the world took to capital punishment as a means of curbing criminal activities, they did not go far with that because criminality kept multiplying by the day and the best option is to scrap it, otherwise, the whole of humanity will be affected.

America is God-fearing. Her slogan, “In God We Trust” says it all. In Nigeria, almost every household can boast of a Church and a mosque, depending on the area. That means, we all believe in one God. So the key to our success and freedom in life is in our hands – to do what the Word of God encourages: “Remember ye not the former things, neither consider the things of old” (Isaiah 43:18). And whenever we forget the past and set on to forge ahead, God says that He’ll “do a new thing…” in our lives and heal our land (Isaiah 43:19; 2 Chronicles 7:14).

Let us make a quality decision to live and work together. God sees both the Nigerian, the American and any other person that believes in Him as His blessed child who is part of a chosen generation, a royal priesthood, an holy nation, and a peculiar people (1 Peter 2:9). As long as He is concerned, such people are special.

Apart from the fact that God has called NIGERIA blessed, yet a lot of things tend to overshadow that blessedness. Such things like people’s ugly perceptions of Nigeria due to past experiences. They have for many years called her “big-for-nothing”, ridiculed and cajoled, yet those are words of false prophets and teachers, according to God’s Word (2 Peter 2:19). Today NIGERIA is no longer ‘big for something’. She has evolved and no longer lives where other people has placed her. She NOW lives on top (Galatians 5:1; 2 Corinthians 5:17). She is re-branded, truly born again!

However, I want to appeal to the government of Federal Republic of Nigeria, to please behave in the manner that the people will put their trust in them 100%. In the cases, where one segment of people will as a matter of wickedness, descend on another leaving behind casualties, destroyed properties, dead people of different ages, without any comment or aid from the government is unacceptable. No single Nigerian is unimportant, no matter where he/she comes from – the Igbo, Hausa, Yoruba and the rest of the ethnic groups of Nigeria have a role to play, because without any of them, there would be NO NIGERIA. There is no point trying to chase shadows while the substance is very close at hand. Whatever that belongs to the people can never be tampered with. Stick on the rule of law, do what is right and God will do the rest. John the Baptist advised soldiers in authority to be content with their wages and dispense justice without fear or favour. The government of NIGERIA must do the same too. The past remains the past, we’re in the present, let’s join hands together and the sun will surely shine for us.

I believe most sincerely that whenever we are sincere with what we do, we have every right to experience the goodness of God in every area of our lives, and so, no nation has the right to oppress us. Righteousness is the only thing that is capable of restoring the confidence and prestige of a nation, and when we do this no nation in the world will deny the fact that we have evolved. Righteousness will lift up NIGERIA and make all nations of the world to mind her, because by that, she becomes the bird that lays the golden eggs. This is why the best place to be in the world today is NIGERIA – I invite you to take a trip to NIGERIA, and you’ll be glad you did.

Finally, I want to appeal to all owners of online/offline businesses to, as a matter of oneness and service to humanity, link up to NIGERIA and the rest of Africa, if possible partner together with their central governments in the case of fraud-check. This will work, I believe. Being black is not a death sentence – it is only a pride! GOD BLESS NIGERIA.

20 NovFinding The Best Personal Injury Lawyer In Your Town

The first thing that any personal injury victim must look for after getting the required medical attention is legal advice from a personal injury lawyer. There are lots of accidents which occur due to the carelessness of other people and the person who gets injured during these accidents without any fault of his own is considered to be the victim of personal injury. People are generally not aware about the kind of cases they can register in the court for various personal injuries. That is why; their first and foremost priority should be to teach those careless people and organisations a lesson for their negligence towards them.
Before you file a personal injury lawsuit, you should take care of a few issues while filing a personal injury lawsuit for which only an experienced personal injury lawyer can help you. He would use his expertise and experience to prepare a solid case for you and then he would help you out with all the procedures and formalities that are needed to be done in order to file a successful lawsuit. He would assess your case properly and would find various ideas which would help you in winning the case. But, before hiring any lawyer, you must check certain things about him as hiring a lawyer is quite costly and is no childs play. You must check his qualifications and credentials and must try to find out about his working style and his track record in the business. There are many fake and fraud agencies that assure you to get 100% judgement in your favour, but are not at all aware about the legalities and procedures. All they care about is your hard earned money and how to get maximum amount out from your pockets.
An experienced personal injury lawyer would deal with your case wisely and would find various things which would make your case stronger. He would also train you a bit in order to present yourself correctly in court and most importantly the judge. Lawyers charge heavy fees for doing paperwork, depositions, court fees, expert witness fees and investigators fees are all part of their costs. So, you must ensure and sign a contract in the very beginning when they start working on your case to avoid any confusion later. You must try to negotiate for a no win no fee kind of contract with your lawyer.
These personal injury cases are a bit delicate and may take a little long time to settle. You must have faith and trust in your personal injury lawyer and should support him in every possible way. Do not treat him as your employee, treat him as your friend and share everything regarding the case. Try to figure out the minutest details and put them in his notice so that he may use them whenever they are needed. Do not let form any kind of communication gap between you and your lawyer as it might not work in your favour.

31 AugOnline Chat

The verb “to chat” means to talk (to someone) in a friendly, informal way. Today there are many places on the Internet where you can chat. You can chat with people all over the world, in many languages and about many subjects or topics. These places are usually called “chatrooms” and you can find thousands of them by using the keywords “chat” or “chatroom” in any good search engine.At Heart 2 Heart you can chat for free & find your perfect soulmate.

Online chat can refer to any kind of communication over the Internet.The expression online chat comes from the word chat Distance is a true inhibition for people who have a long distance relationship. It even becomes worse when the two partners are just getting to know each other.The chat mates enjoy simulated proximity together with enhanced interaction. Safe chat is hardly achievable with ordinary Internet chat.

An Internet chat improves social skills through flirtation. It is a source of entertainment, self-empowerment as well as self improvement. I have heard of love gone soar after two people dating online met physically. Few people do not take online dating seriously and when they choose to, it might be too late.

Chat avenue opens up many possibilities to things which seemed impossible. A chat provides insight about the kind of a person you are dealing with. It is from the abundance of the heart that the mouth speaks. If you are a wise person a 15 minutes chat should help you evaluate the kind of person you are dealing with. No wonder there are so many dates for lunch and tea which are used by people who meet during the first time. They want to know each other more and they can only let to this level by chatting their way into a person’s heart.

You never judge a book by its cover so you have to be wise enough to analyze something before you make the final judgement.

Chating brings two persons close by sharing feelings,emotions,likings,dislikings & if one finds it suitable for him/her, they can be closer & can find their Perfect Match

22 NovMakes and models

Insurance is all about the numbers. If the evidence proves there’s a higher risk, you pay a higher premium rate. This can be a judgement about the quality of your driving. Perhaps your eyesight is poor or you are epileptic. Whatever the reason, you are potentially dangerous on the road and, if the insurance company discovers this fact, it will either cancel your policy or demand you pay an extravagant premium. More often, the problem is with the vehicle itself. It may be a target for every car thief in your neighborhood, or it may roll over if you corner too fast. The actuaries collect details of every recorded accident and can tell you which makes and models are most likely to be totaled and why.

Every year, groups publish lists of unsafe vehicles. The government runs crash tests and liaises with manufacturers to decide when unsafe vehicles must be recalled.

As will be obvious from the problems with Toyota, this process does not always work as well as it should. There are also independent groups that analyze the data and tell you which vehicles to avoid. In the most recent surveys, it seems the quality of the vehicles manufactured by US companies has been improving. If you go back twenty years, US quality fell off a cliff, allowing both European and Asian companies to get an ever stronger foothold in our markets. Now Consumer Reports confirms a significant improvement. In performance and reliability studies, Ford has emerged with vehicles to match those designed and manufactured by foreign companies. Sadly, General Motors and Chrysler continue to make the worst. In making this judgement, the Consumer Reports assessed both physical safety and value for money. If a vehicle is expensive to buy, maintain and fuel, it will be rated badly. So many trucks and SUVs are very poor value but equally, very safe because there’s a lot of metal between you and all the other vehicles on the road. Unfortunately, even though something like a Jeep looks cool, it’s unreliable and costs a small fortune to run. It’s the same when it comes to the Cadillac Escalade and many of the Chevrolet brands. They have been rated as the worst cars on the road for some years.

So, before you think seriously about buying something like the Cadillac Escalade, whether new or secondhand, remember it’s had the worst safety performance for some years. If you want independent confirmation of the problems, get some car insurance quotes and discover how much more it costs to insure this make and model than many other brands on the market. Getting the more affordable premium rates starts with your choice of make and model. Pick something that’s safe in most road conditions, handles well and absorbs impact to protect the driver and passengers. If the same vehicle is also difficult to steal, this completes the picture of the perfect car to own. All companies will reward your choice with car insurance rates at the bottom end of the scale. So, unless money is no object, never buy a vehicle because of its ability to out-accelerate a low-flying fighter plane. Buy something safe, that’s cheap to repair and doesn’t cost you a fortune when you go to put gas into the tank.

SEO Powered by Platinum SEO from Techblissonline