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Monthly Archives April 2010

Implanon Insertion

Implanon is a long acting contraceptive implant that is fitted by trained healthcare professionals. The implant is 4cm by 2mm in size and is a semi rigid plastic rod containing the active substance etonogestrel (a progestogen).

The implant is inserted just under the skin of the non-dominant upper arm. This allows a small amount of etonogestrel to be released into the bloodstream continuously. This prevents the release of an egg cell from the ovaries and also makes it more difficult for sperm to enter the womb.

When you use Implanon you do not have to remember to take a pill every day. Therefore, Implanon is very reliable.

This video shows how the implant is inserted. It is effective for up to 3 years and can be removed at any time.

There are many methods of contraception Implanon is just one. Discuss fully with your family doctor or nurse to ensure that you use the safest and most appropriate method.

Builth and Llanwrtyd Medical Practice has made every effort to ensure that the information in these episodes is accurate, up to date, and as helpful as possible. However we will not be responsible for any inaccuracies or omissions.
In particular if you are unwell, it is important that you do not rely on information from the Internet – you should seek professional medical advice from your Doctor. If your condition is getting worse, or if you are seriously ill, you should call or visit your Surgery.

Duration : 0:2:8

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A debate on doctor’s private practice, revised pay – Part 2

Usha Titus, Dr Aravind S Anand, Dr CR Soman and Dr Jayaprakash discuss the current burning medical issues like private practice and pay revision in this episode of ‘Cross Fire’.

Duration : 0:8:41

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i am B.A.M.S. doctor. i am in dialema whether to start practice or go for M.H.A.[hospital administration]?

i am 27 yrs old. i am worried about my future.i have options of starting medical practice in this huge competition or go for further studies in nonclinical branch like hospital administration ?

u will find competition everywhere and every time.u can’t escape yourself from start practicing with marketing startigies.if you see a person, having a strong position in the market ,he was also at the same stage where today u r.

Is this true? How do I get my GF to start this practice on a regular basis?

AP) — Women who perform the act of fellatio and swallow semen on a regular basis, one to two times a week, may reduce their risk of breast cancer by up to 40 percent, a North Carolina State University study found.

Doctors had never suspected a link between the act of fellatio and breast cancer, but new research being performed at North Carolina State University is starting to suggest that there could be an important link between the two.

In a study of over 15,000 women suspected of having performed regular fellatio and swallowed the ejaculatory fluid, over the past ten years, the researchers found that those actually having performed the act regularly, one to two times a week, had a lower occurrence of breast cancer than those who had not. There was no increased risk, however, for those who did not regularly perform.

"I think it removes the last shade of doubt that fellatio is actually a healthy act," said Dr. A.J. Kramer of Johns Hopkins School of Medicine, who was not involved in the research. "I am surprised by these findings, but am also excited that the researchers may have discovered a relatively easy way to lower the occurrence of breast cancer in women."

The University researchers stressed that, though breast cancer is relatively uncommon, any steps taken to reduce the risk would be a wise decision.

"Only with regular occurrence will your chances be reduced, so I encourage all women out there to make fellatio an important part of their daily routine," said Dr. Helena Shifteer, one of the researchers at the University. "Since the emergence of the research, I try to fellate at least once every other night to reduce my chances."

The study is reported in Friday’s Journal of Medical Research.

In 1991, 43,582 women died of breast cancer, as reported by the National Cancer Institute.

Dr. Len Lictepeen, deputy chief medical officer for the American Cancer Society, said women should not overlook or "play down" these findings.

"This will hopefully change women’s practice and patterns, resulting in a severe drop in the future number of cases," Lictepeen said.

Sooner said the research shows no increase in the risk of breast cancer in those who are, for whatever reason, not able to fellate regularly.

"There’s definitely fertile ground for more research. Many have stepped forward to volunteer for related research now in the planning stages," he said.

Almost every woman is, at some point, going to perform the act of fellatio, but it is the frequency at which this event occurs that makes the difference, say researchers. Also key seems to be the protein and enzyme count in the semen, but researchers are again waiting for more test data.

The reasearch consisted of two groups, 6,246 women ages 25 to 45 who had performed fellatio and swallowed on a regular basis over the past five to ten years, and 9,728 women who had not or did not swallow. The group of women who had performed and swallowed had a breast cancer rate of 1.9 percent and the group who had not had a breast cancer rate of 10.4 percent.

"The findings do suggest that there are other causes for breast cancer besides the absence of regular fellatio," Shafteer said. "It’s a cause, not THE cause."

This is a riot… it doesn’t matter if you find an article that says giving a bj will make you rich beyond your wildest dreams, if your g/f doesn’t want to do it she’s not going to. If this is such a big deal to you and she absolutely refuses you have to decide which is more important to you, getting a bj or your g/f… if you pick the first one I feel sorry for you.

I am an ayurvedic doctor from india, residing in california, I want to practice ayurveda here, how can i start?

Nice question.
Where do I start. (Sorry, I am not making fun of you, I couldn’t help laughing at the predicament you are in.)

Anyhow, here is the answer for your question.

You got to study, study, study and study. In order to practice any sort of medicine, including the option of writing a simple prescription in this country, you’ve got to obtain a Medical License. You got to study for the USMLE Medical Licensing exams.
There are 4 exams. Step 1, Step 2 CS, Step 2 CK and Step 3. And it will easily take at least 2 years of full time study and pass these exams, that is if you study 10-11 hours a day every day. But I know many western doctors who went to school here, trying to pass these exams for more than 5 years. I know, because I study with 7 of such general medicine doctors. Usually the general medicine doctors who are here from India are exceptionally brilliant and have very high standards of acumen, and study like animals day and night, often until 1 to 2 a.m. every day to pass these exams because of their visa restrictions. It is very painful to watch, and when they describe their experience of life to you, some of them even need psychological assistance to get through the self imposed discipline they put themselves to, they have absolutely no life, they hardly talk/speak to anybody for two years or more straight and have a disciplined life of study that is impossible and unbelievable for most western people. And the exams are not cheap either, Step 3 is more than $1200 just to attempt. Even navy seals do not have such a discipline. Its often hard for most westerners to understand that sort of perseverance and mindset of Indian doctors while they are studying, and how do they get such an attitude. Even after taking these exams, the expectation of results from these doctors are unbelievable. They got to obtain 95 and above on all. In fact, they need better than 95, if they want to get matched to the hospitals they have applied to get through the interview for residency. Residency is again another 2 yrs or more of painful shifts, but at least during residency, they get more time at hand and get paid for their hours handsomely.
Oh, by the way, I am not exactly sure of Ayurveda Medical Licensing here, because here in the U.S., that sort of healing approach is not recognized according to the Health Ministry as a standard practice at hospitals. It is considered to be a form of complementary and alternative medicine (CAM) within the western world, where several of its methods, such as the use of herbs, massage, and Yoga as exercise or alternative medicine, are applied on their own as a form of CAM treatment. However, there are few very expensive hospitals here in the that has such alternative medical treatment as an option for certain conditions. It is considered more as a luxury treatment option, and is quite expensive from a patients perspective. Most of the medicines that are prescribed by you, are not even allowed withing the boundaries of this country. They won’t allow you to synthesize more than half of your medical prescriptions. And also, almost half of the medical practices of an Ayurveda doctor is not allowed by the Ministry of Health to be practiced here in the U.S. And then there is the unbelief and misconception among the people of this side of the world that Auyurveda is a sort of voodoo medicine. I am not saying it is,.. it is the lack of visibility and ignorance of people. And then again, the fact that there are no surgeons among Ayurveda is adds an another challenge. All in all,.. you could try searching for hospitals that have Auyurveda as a treatment option and obtain general counsel from such doctors.
But one thing I do know is, you cannot even practice any medicine here without obtaining your USMLE license, and your two yr of residency, and that is general medicine by the way, not the alternative medicine that you have learned/studied. Basically, you would have to study all over the conventional medicine that is practiced here which will take years in your case to take those exams. If you are here for a long time, then I suggest you start studying now, taking course work at a University, you may get lucky to obtain a scholarship or grant somehow because of your already established educational qualifications, or else you can return and practice medicine at your country. Do not waste your time in idle and forget everything you learned. Remember, practice keeps the skills sharp.
I hope I answered your question. Ayurveda is essentially a treatment and medicine option that is primarily native to India, like many of your systems.

India always failed to capture the international attention and lived in complete isolation, and it is not much different even today. This is the main problem of India too. Even today your nation has more than 600 languages and more than 2000 Gods and belief system. It is sadly true. It is very hard to break through such a strong cultural belief system and bring the light of the free world into many minds of millions in India.

What’s the best way to find an alternative general practice doctor for a nursing mother?

I ask, because it seems like my own experience with general practice doctors is that most everything they prescribe is just pharmeseuticals or pills. What’s the best way to find a good doctor for a nursing mother, who will have more of a focus on diet and nutrition, morseo than a quick pharmeseutical solution?
(and I’m not knocking pharma, it has it’s place. But since there’s the nursing of a baby factor here, I’d rather find a doctor who’s first inclination isn’t a pharmeseutical approach, but instead a more natural one.)


I would go see a women’s health nurse practitioner. We are trained to listen and talk with our clients more than doctors. Normally they also tend to make more time for their clients than others.

How can I start a home based medical billing practice?

My name is Lori and I own a successful home based medical billing business in Chicago. I’ve been in business for 6+ years and personally I have specialized in nursing, medical billing, coding and compliance for 12+ years now. I saw your post and had to my thoughts with you.

If starting a home based medical billing business in your area interests you then I would highly suggest getting the book written by Paul G. Hackett called "Medical Billing Book For Beginners". As a medical billing business owner I can say without a doubt that this book is the most complete and truthful book I’ve come across in regard to getting started in this industry. It’s a great resource for the newcomer and will answer all the numerous questions you’ll have about getting set up, what you will need, how to properly name your business, how to pick software-clearinghouses-medical billing opportunity vendors, it gives you the contact numbers and websites that you should visit on a regular basis to stay abreast of the changes in the industry, ect.. You can get more information directly from the authors website at:

Are there opportunities for advancement as a dental hygienist, such as moving up, starting own practice?

I am considering being a dental hygienist. I have heard that there is little opportunity for advancement. I would like a dental hygienist or someone who is actually knowledgeable to tell me if this is true. Can you move into a managerial dental hygienist position, or start one’s own practice as a dental hygienist? What are other healthcare setting or travel opportunities as a dental hygienist?

Well, this would depend what country you are in….If you enjoy management, become a dental practice manager. If you enjoy clinical work, become a hygienist. When I want advancement in my job, I move to a practice where I can start a hygiene book from scratch, designing the appointment lengths and introducing people to the idea of oral hygiene. I work with well-known periodontists, treat the underprivileged in developing countries or the homeless, or the famous. The more places you work, the more diversity you have. In England you can now run your own practice as of last year, but the red tape is still a nightmare. I could work in New Zealand or Australia or Canada by taking some short conversion exams, or go into the army or navy and travel the world. You can do a dual course as long as you are not in America, and beome a therapist as well, doing fillings and extractions. We can now help with orthodontics as of last year.
If you don’t like the idea of the job though, or are squeamish, don’t do it, because like most employment there is a certain amount of routine.