Monthly Archives: December 2014

Honor

Theresa made a decision to follow the commandments and honor her marriage to Mat. She attended classes on Wednesday night and Sunday morning to strengthen her spiritual aspect of her life. She felt good about being aligned with her spirit, her friends advised her to make weekends trip with Mat to help her marriage. They told her to buy uniform and other( outfits nurse or maid outfits) to spice up things in the bedroom. They went to upstate NY (Buffalo) and stayed in a twelve bedrooms mansion. Their friend took them out around town and experienced the life of a multi-millionaire, they felt special to have a life that full of favors.

Advertisements

Here i go

Sara's Humble Blog

Writing has always been a source of comfort to me, it all started when I was 10 years old. I struggled growing up in getting my thoughts out verbally, but somehow holding a pen in one hand and a page on another felt safe. I’ve much improved since then, communication wise; however, writing is still my number one form of therapy.

If you are reading this you would expect me to major or work in media or in a creative field. But what I did was major in accounting, I never thought then it was a mistake. When I started my job as an accountant the fear settled in. I felt like it’s the end of the world, I can’t start all over again. Friends  who sat next to me in class are steps ahead of me now. So I convinced myself I needed time to settle in, maybe once…

View original post 239 more words

Her Side Of The Reasons For The Divorced

Mat’s Diary

” It’s approaching the close of the year 2007. It’s been a tremendous year. A year full of many ups and many downs, a few still moments and a lot of learning and growing. Growing particularly in the area of business, marriage, parenting and most important the word of God.
Yesterday was Theresa’s birthday and we gathered at my house to celebrate her’s and my daughter Vicky whose birthday is today. Quite a few friends and family came for the occasion to enjoy another year of Theresa and Vicky, among them where my parents.
Previously I had asked my brother Ricky to pray as I usually do since my new walk with Christ. He obviously accepted and when the time came we gathered all people to pray. Interestly enough The Lord used him to pray for my mom. It was powerful because from there I witnessed quite a few things.
For one I noticed that my dad moved away from the prayer and became a spectator not a participant, my sister Maria seemed curious and cautious and some others appeared just to be there.
Yet these were many others including my children and my wife and nephew whom the Holy Spirit deeply touched.
My daughter Vanessa was whaling for my mom, sister Leila was whaling also, Vicky was touched and my son Lawrence was deeply in the Spirit.
My niece Lauren was also touched.
To me was a powerful experiences to see how The Lord has changed my life and placed me as a Priest of my house and be able to threw The Holy Spirit touch others in a powerful way.
I thank You lord that You are an awesome God who deals with us, our issues and deliver us from all ill.
I thank You Father for caring and using my daughter Vanessa, it was a cherished experience for me. I thank You foe showing me more of what’s to come, for the ministry and my family and my children.
Thank You for the team you have entrusted me. I ask You Lord that You expand the vision to my wife, and that You show her more and what her role is and that You remove her any blockage in Jesus Name Amen “

God Always Has A Strategy

God Always Has A Strategy
by Lawrence Powell

The word is out concerning you, my friend. You are anointed! Your anointing is powerful, conspicuous, attractive. It’s not mystical, but the manifest presence and power of God that is particularly evident in and upon your life as a believer.

As far as the anointing is concerned, you either have it or you don’t. Until David was anointed king over Israel, he had no Philistine enemies. Once he was anointed, they began to plan attacks against him (2 Samuel 5:17-25). David discovered not only his calling, but also his enemies.

The Philistines spread themselves across the Valley of Rephaim, which means, “the valley of giants.” We all will face giants at some point. Giants are anything that distract our focus from God, deter us from our service to God, and drain us of our driving passion for God. There are many giants. You may have met the giants of fear, anxiety, worry, loneliness, guilt, shame, pride, jealousy, selfishness, lust, and greed already on your journey. Giants can be intimidating, but there’s no need for you to be afraid or to bow to them. If God allows a giant in your life, He allows it with purpose. That may be to test your faith so you can experience victory. No trials, no triumphs. You can’t have a testimony, without a test!

O. S. Hawkins said, “A problem is the platform upon which God desires to show how wonderful He can provide.” Our God has never performed a miracle that did not begin at the platform of a problem. If you have a problem, you’re in the right place for God to show up and show out on your behalf!

David, upon hearing that his enemies had come out in full force against him, inquired of the Lord. Please note that. In critical times, be sure to get a word from the Lord! Don’t ever become presumptuous in your anointed self. David didn’t assume to act; he prayed about it. Prayer requires humility.

God gave David a strategy that day that delivered the Philistines into his hands. He named the spot of their defeat Baal Perazim, or “Lord of the Breakthrough.” My friend, your breakthrough is in the strategy. And God always has a strategy.

Isn’t it amazing that as you’re celebrating victory over one thing, along comes something else to test your faith? While David was still rejoicing over his victory in the valley, the Bible says the Philistines came out in full force once more against David. Don’t think you’re just going to have one attack in your anointed life. The attacks will be relentless. The good news is that your victory is also relentless!

Bishop T.D. Jakes said, “For every struggle in your life, there is a strategy.” God has a strategy for your family, your habit, your money, your attitude – for everything! Sometimes, however, those strategies sound ridiculous. Consider Moses in front of the Red Sea, and God said, “Stretch out your hand.” Or Joshua outside the fortified walls of Jericho, who was told to march around the wall for six days, and on the seventh day of marching, the wall would fall down. How about Samson, who was inspired to use the jawbone of a dead donkey to defend himself? Then there was Jesus, Who told the disciples to feed over 5,000 people with five small fish and two loaves of bread. There is always a strategy from God, but it often will sound crazy. However, if you submit to it, it will work!

Here, the Philistines had spread themselves once again across the Valley of Giants, and David inquired of the Lord a second time (verse 23). This was true humility, because David could have simply gone off the word given to him by God previously. He could have assumed he knew how to handle his own affairs. Instead, he inquired of the Lord a second time! Please do not assume that God will always duplicate deliverance methods. God is not that predictable! Don’t limit His methods. And don’t get cocky. You’re sure to fail if you think you’ve got this on your own.

God desires cooperation! He already knows everything about your enemy, the giant, the problem. Trust Him enough to submit to His purpose and plan. Don’t allow your relationship with Him to grow stale. Keep it fresh every morning. I’ve discovered that whenever we truly minister to the Lord, as described in Acts 13, the Holy Spirit will speak. The problem we often have is that we give God no time, so we cannot hear Him speaking. We insist on doing things our own way, and we come up empty-handed every time. When will you pause for a moment, shut it down, and spend time with God until you hear from Him?

If God’s ever done it before, He can do it again. He can bring you victory over your enemies. You just have to trust Him. Acknowledge Him with all your heart and lean not to your own understanding. This time, it’s going to be big, just like it was last time, and God’s name will be glorified through your trust in Him!

The anointing removes burdens and destroys yokes (Isaiah 10:27). Anything that’s broken may likely be repaired, but when it’s destroyed, that’s it! It cannot be repaired. It cannot hold you captive or hold you back any more! That’s the anointing of the power of the living Christ at work within us!

When purpose and destiny converge, things can get a little turbulent. Your anointing will be celebrated by some, but it will be intimidating to others. It will cause some people to treat you like you are far more important than you could ever be. It will attract every kind of hater – even ones who don’t know you! Keep this in mind: the anointing of God is not about you; it’s all about Jesus!

The touch of God will make a difference. The enemy knows the touch of God on you is dangerous, and that’s why he wants to shut down what you’re doing. He knows if he leaves you alone, anointed people will do what anointed people do: remove burdens, set captives free, and frustrate his plans!

Like David, you have been anointed, graced of the Lord, fully resourced, called and selected. Yes, there are attacks and, yes, there are giants you must face. I pray you take seriously this word I’ve shared with you today and implement it immediately. I want you to see victory in every area of your life! My hope is that you will have such a hunger and thirst for God that you do not just inquire of Him often, but always! Never allow presumption to take the place of genuine faith in God. Doing so is foolishness. Doing so is dangerous! Do not be just a hearer of the Word, but a doer also. Only in Christ will you see giants die and find lasting victory today and in the days to come!

Lies

He was full of energy or piss off, he was influenced by power, money and title since he was in grammar school his teacher told him that he would never amount to anything. He needed it to prove them wrong same as when he bought a boat because his attorney told him that he was unable to get one unless he was an attorney.

Theresa was wrong for calling Lupe and told her a secret about Mat, she thought that would off stop Lupe from going after her husband. However, Lupe had a taste of Mat already she was too deep in love with him to stop and she wanted to experienced Theresa’s life.

Lupe’s husband was the one that told Theresa that his wife was spending a lot of late night with mat and he suspect that they were having an affair. Theresa knew how Mat was able to get so mad and difficult that she should have be wise and not call Lupe. Mat background was different that Theresa, he was involved in gang and so on. She did not know that because by the time he came to worked at the hospital, he had clean up his ways and his look. When you go to a court room and you see the way a person that was arrested for a crime dress, you would never think that person was capable of the crime because his attorney would advise him or her to dress professionally. Theresa light the flame that Mat would usually had under control.

The fact that she went to the karate school and told him how bad he was right in front of their younger son, she had pull the trigger of his grenade. He exploded and tried to destroy her without any thought about the children they shared together.
When he came to his senses, who knew what he will think but it did not matter because the harm was already done.
Theresa got influence by Lupe’s husband and she was wrong. She didn’t think or remembered that Mat was going to get very angry with her and he was going to hurt her. She knew that the best thing was to take times out and go away for a while. She would go for a long drive and her friend was in the Hampton, she would go there and spent times with her.
She did not act wise with this situation, she had a chance to divorced him after he admitted that he slept with Thalia without using a condom. Her friend thought that there was no way she was going to forgive him but she did again.
He told her that he did not sleep with the parent from the Karate school and she believed him for twelve years. When he told her the truth he said that the lied was eating him and he was happy to finally admitted the truth.
Theresa wondered how long it was going to take Mat to admitted the truth about the lied that he told, that Theresa had physically and emotionally abused him for twelve years and she treating to cut his balls off and killed him. She loved the man in the pink shirt.

Health Care Interview

Work with your personal physician and health care providers to keep the lines of communication open and provide the best care possible.•

Adapting to changes

Care of a woman with a suspected or diagnosed gynecologic cancer should be structured like the patient-centered medical home model and be coordinated by a single health care provider (a “team captain”) with multidisciplinary training in the care of women with gynecologic cancer.
• Measurable standards for high quality care for women diagnosed with gynecologic cancer should be determined, validated and tracked. Demonstration projects, registry systems and funding for outcomes-based research are key.
• Several payment systems, including diagnosis-based, episode-of-care reimbursement system in which payment would be based on each diagnostic episode of the woman’s illness rather than on specific procedures, should be developed and tested.

Education requirement

The characteristics necessary for a physician to develop into a successful gynecologic oncologist include an extensive fund of knowledge related to the subspecialties, strong interpersonal skills, and the ability to practice within the complex systems required for management of gynecologic cancer patients, surgical expertise, and the clinical ability to provide comprehensive oncologic care for these women. In order for a trainee to acquire these skills, a gynecologic oncology training program must accept only highly qualified individuals as fellows, have a dedicated core faculty, practice in a supportive environment that has appropriate facilities, and provide adequate clinical material. The gynecologic oncology training program must be organized with an emphasis on education of the fellows. Part of the educational program is formal (lectures, assigned reading, basic skill sets, etc.). Training in clinical and surgical skills is a day-to-day process that occurs during the course of patient care. One requirement of The American Board of Obstetrics and Gynecology (ABOG) is that the fellow spends 12 months of protected time doing research. Fellows are also required to take 2 courses, one in biostatistics and one in cancer biology. A thesis of publishable quality is also required. All programs must perform ongoing quality assurance and reassessment of potential areas for improvement. ABOG is responsible for the accreditation and ongoing monitoring of the fellowship programs.

  • Taking a patient drug history
  • Performing the physical examination
  • Making a medical diagnosis
  • Prescribing appropriate drugs
  • Monitoring a patient’s responses to drugs
  • Modifying the drugs and drug dosages as necessary

Patrick S. Anderson, MD specializes in oncology. An oncologist is a medical doctor who is specifically trained to diagnose and treat cancer. Different types of cancer respond to different treatments, so oncologists must know which treatment is best. Some oncologists specialize in a particular type of cancer. Lung cancerprostate cancerrectal cancerpancreatic cancerbreast cancercervical cancerovarian cancer, and leukemia are examples of various types of cancer.

Patrick Anderson MD is general practitioner and obstetrician & gynecologist licensed to practice medicine in New York and New Jersey. Dr. Anderson specializes in general practice, obstetrics & gynecology, and gynecology oncology and practices medicine at Montefiore Medical Center in 1695 Eastchester Rd Ste L2, Bronx, at Jersey City Medical Center in 120 Irvington Ave, South Orange, and at Bronx Lebanon Ob./Gyn. Group in 1650 Grand Concourse Fl 14, Bronx.

A gynecologic oncologist is a physician/surgeon specializing in treating cancers of the female reproduction system, including ovarian, endometrial, vaginal, cervical and uterine cancer. Gynecologic oncologists are trained as obstetrician/gynecologists (OB-GYNs), and then receive additional training in female reproductive cancer and cancer treatment, including radiation therapy and surgery. These specialists perform biopsies and other surgeries, and are trained to prescribe noninvasive cancer treatments, including chemotherapy and radiation.

Obstetrics and gynecology

has more recently evolved as a primary care specialty for

categorical care for women, including obstetrics and/or gynecological

problems, with female patients going directly to ob–gyn

practitioners without referral.

Degree

MD

Medical School

UMDNJ

Specialties

Oncology Specialist (cancer) and Obstetrician & Gynecologist (OB/GYN)

Years of Experience

20

Languages

Spanish, French, Urdu

Dr. Anderson has 21 hospital affiliations:

  • Monmouth Medical Center
  • Bronx-Lebanon Hospital Center Concourse Division Bronx, Bronx Borough
  • Medical Schools:
  • Umdnj–New Jersey Medical School
  • Graduated: 1988
  • Residency Hospital:
  • Albert Einstein College Of Medicine-Yeshiva University
  • Graduated: 1992
  • Fellowship Hospital:
  • Albert Einstein College Of Medicine-Yeshiva University
  • Graduated: 1995
  • Board Certified in Gynecological Oncology
  • Board Certified in Obstetrics & Gynecology
  • Licensed in New Jersey
  • Licensed in New York
  • Chemotherapy
  • Hysterectomy
  • Lumpectomy
  • Mastectomy
  • Ovarian Ablation
  • Robotic surgery is particularly well-suited to both of these procedures, thanks to its excellent visualization of the operating field and the fact that it enhances the ability of surgeons to perform the meticulous dissections required in these surgeries.
  • They work with the oncology team and other specialists like ARNPs and PAs to develop and treat women’s cancers. Interaction with others
  • A Board Certified gynecological oncologist, Dr. Anderson completed his obstetrics, gynecological residency and oncology fellowship at Albert Einstein College of Medicine and is a graduate of the University of Medicine and Dentistry of New Jersey Medical School.
  • Anderson has received awards and honors from national organizations such as the American Cancer Society and the American Institute of Chemistry and is an active researcher and teacher on a variety of subjects in his areas of expertise. He is a Fellow of the American College of Obstetrics and Gynecology and a full member of The Society of Gynecologic Oncologist has co-authored articles that have appeared in prestigious peer-reviewed medical journals such asGynecological Oncology, Journal of Radiation Oncology, Journal of Clinical Oncology and Journal of Women’s Health.

Robotics has changed the landscape of medicine with increasingly streamlined procedures, greater precision and optimal 3D viewing for surgeons and reduced pain and a faster recovery for patients.  The technology, combined with the skillful hand of the surgeon, has raised the standard of care for complex surgeries while affording patients dramatic benefits. The integration of computer-enhanced technology with the surgeon’s skill, robotic surgery enables surgeons to perform precise, minimally invasive surgery in a manner that enhances healing and promotes well-being.

To become a gynecologic oncologist, the candidate must first complete a bachelor’s degree from an accredited school. Many people find it easier to gain admittance to a good medical school with an undergraduate degree in one of the sciences, such as biology, chemistry, or physics. Most students discover it is much simpler to be admitted to medical school when their undergraduate history shows community service or activities in addition to excellent grades.

Before applying to medical school, students are normally required to take and pass medical admission test. These exams test the student’s knowledge in problem solving, science knowledge, as well as written and verbal communication skills. Without a passing score on these exams, the student may be unable to enroll in medical school.

The next step to become a gynecologic oncologist is to complete medical school. During the first two years basic medical subjects are studied, such as anatomy and physiology, biochemistry, and microbiology. The third year focuses on internal medicine, gynecology, and surgery. Electives and choosing a good residency program are both done during the fourth year. Another four years is spent learning, working, and practicing gynecologic medicine within the confines of a medical residency program.

After residency, the final step to become a gynecologic oncologist is to be accepted for and complete a fellowship in gynecologic oncology. These programs last for an additional three years of study, and it can be incredibly difficult to be accepted. During this time, doctors are expected to study an intensive program relating to the female reproductive system as well as the diagnosis and treatment of cancers. Following successful completion of the fellowship, a doctor is considered an expert in her field.

Gynecologic Oncologists are fully trained obstetrician/gynecologists who successfully complete an additional three to four years of intensive training in all aspects of gynecologic cancer care. They understand the pathology and biology of reproductive-tract cancers, and have the expertise to provide comprehensive treatment including surgery, chemotherapy, radiation therapy, symptom management and supportive care.

Read more: http://www.vitals.com/doctors/Dr_Patrick_S_Anderson.html#ixzz2OO17ha00

Work with your personal physician and health care providers to keep the lines of communication open and provide the best care possible.•

Adapting to changes

Care of a woman with a suspected or diagnosed gynecologic cancer should be structured like the patient-centered medical home model and be coordinated by a single health care provider (a “team captain”) with multidisciplinary training in the care of women with gynecologic cancer.
• Measurable standards for high quality care for women diagnosed with gynecologic cancer should be determined, validated and tracked. Demonstration projects, registry systems and funding for outcomes-based research are key.
• Several payment systems, including diagnosis-based, episode-of-care reimbursement system in which payment would be based on each diagnostic episode of the woman’s illness rather than on specific procedures, should be developed and tested.

Education requirement

The characteristics necessary for a physician to develop into a successful gynecologic oncologist include an extensive fund of knowledge related to the subspecialties, strong interpersonal skills, and the ability to practice within the complex systems required for management of gynecologic cancer patients, surgical expertise, and the clinical ability to provide comprehensive oncologic care for these women. In order for a trainee to acquire these skills, a gynecologic oncology training program must accept only highly qualified individuals as fellows, have a dedicated core faculty, practice in a supportive environment that has appropriate facilities, and provide adequate clinical material. The gynecologic oncology training program must be organized with an emphasis on education of the fellows. Part of the educational program is formal (lectures, assigned reading, basic skill sets, etc.). Training in clinical and surgical skills is a day-to-day process that occurs during the course of patient care. One requirement of The American Board of Obstetrics and Gynecology (ABOG) is that the fellow spends 12 months of protected time doing research. Fellows are also required to take 2 courses, one in biostatistics and one in cancer biology. A thesis of publishable quality is also required. All programs must perform ongoing quality assurance and reassessment of potential areas for improvement. ABOG is responsible for the accreditation and ongoing monitoring of the fellowship programs.

  • Taking a patient drug history
  • Performing the physical examination
  • Making a medical diagnosis
  • Prescribing appropriate drugs
  • Monitoring a patient’s responses to drugs
  • Modifying the drugs and drug dosages as necessary

Patrick S. Anderson, MD specializes in oncology. An oncologist is a medical doctor who is specifically trained to diagnose and treat cancer. Different types of cancer respond to different treatments, so oncologists must know which treatment is best. Some oncologists specialize in a particular type of cancer. Lung cancerprostate cancerrectal cancerpancreatic cancerbreast cancercervical cancerovarian cancer, and leukemia are examples of various types of cancer.

Patrick Anderson MD is general practitioner and obstetrician & gynecologist licensed to practice medicine in New York and New Jersey. Dr. Anderson specializes in general practice, obstetrics & gynecology, and gynecology oncology and practices medicine at Montefiore Medical Center in 1695 Eastchester Rd Ste L2, Bronx, at Jersey City Medical Center in 120 Irvington Ave, South Orange, and at Bronx Lebanon Ob./Gyn. Group in 1650 Grand Concourse Fl 14, Bronx.

A gynecologic oncologist is a physician/surgeon specializing in treating cancers of the female reproduction system, including ovarian, endometrial, vaginal, cervical and uterine cancer. Gynecologic oncologists are trained as obstetrician/gynecologists (OB-GYNs), and then receive additional training in female reproductive cancer and cancer treatment, including radiation therapy and surgery. These specialists perform biopsies and other surgeries, and are trained to prescribe noninvasive cancer treatments, including chemotherapy and radiation.

Obstetrics and gynecology

has more recently evolved as a primary care specialty for

categorical care for women, including obstetrics and/or gynecological

problems, with female patients going directly to ob–gyn

practitioners without referral.

Degree

MD

Medical School

UMDNJ

Specialties

Oncology Specialist (cancer) and Obstetrician & Gynecologist (OB/GYN)

Years of Experience

20

Languages

Spanish, French, Urdu

Dr. Anderson has 21 hospital affiliations:

  • Monmouth Medical Center
  • Bronx-Lebanon Hospital Center Concourse Division Bronx, Bronx Borough
  • Medical Schools:
  • Umdnj–New Jersey Medical School
  • Graduated: 1988
  • Residency Hospital:
  • Albert Einstein College Of Medicine-Yeshiva University
  • Graduated: 1992
  • Fellowship Hospital:
  • Albert Einstein College Of Medicine-Yeshiva University
  • Graduated: 1995
  • Board Certified in Gynecological Oncology
  • Board Certified in Obstetrics & Gynecology
  • Licensed in New Jersey
  • Licensed in New York
  • Chemotherapy
  • Hysterectomy
  • Lumpectomy
  • Mastectomy
  • Ovarian Ablation
  • Robotic surgery is particularly well-suited to both of these procedures, thanks to its excellent visualization of the operating field and the fact that it enhances the ability of surgeons to perform the meticulous dissections required in these surgeries.
  • They work with the oncology team and other specialists like ARNPs and PAs to develop and treat women’s cancers. Interaction with others
  • A Board Certified gynecological oncologist, Dr. Anderson completed his obstetrics, gynecological residency and oncology fellowship at Albert Einstein College of Medicine and is a graduate of the University of Medicine and Dentistry of New Jersey Medical School.
  • Anderson has received awards and honors from national organizations such as the American Cancer Society and the American Institute of Chemistry and is an active researcher and teacher on a variety of subjects in his areas of expertise. He is a Fellow of the American College of Obstetrics and Gynecology and a full member of The Society of Gynecologic Oncologist has co-authored articles that have appeared in prestigious peer-reviewed medical journals such asGynecological Oncology, Journal of Radiation Oncology, Journal of Clinical Oncology and Journal of Women’s Health.

Robotics has changed the landscape of medicine with increasingly streamlined procedures, greater precision and optimal 3D viewing for surgeons and reduced pain and a faster recovery for patients.  The technology, combined with the skillful hand of the surgeon, has raised the standard of care for complex surgeries while affording patients dramatic benefits. The integration of computer-enhanced technology with the surgeon’s skill, robotic surgery enables surgeons to perform precise, minimally invasive surgery in a manner that enhances healing and promotes well-being.

To become a gynecologic oncologist, the candidate must first complete a bachelor’s degree from an accredited school. Many people find it easier to gain admittance to a good medical school with an undergraduate degree in one of the sciences, such as biology, chemistry, or physics. Most students discover it is much simpler to be admitted to medical school when their undergraduate history shows community service or activities in addition to excellent grades.

Before applying to medical school, students are normally required to take and pass medical admission test. These exams test the student’s knowledge in problem solving, science knowledge, as well as written and verbal communication skills. Without a passing score on these exams, the student may be unable to enroll in medical school.

The next step to become a gynecologic oncologist is to complete medical school. During the first two years basic medical subjects are studied, such as anatomy and physiology, biochemistry, and microbiology. The third year focuses on internal medicine, gynecology, and surgery. Electives and choosing a good residency program are both done during the fourth year. Another four years is spent learning, working, and practicing gynecologic medicine within the confines of a medical residency program.

After residency, the final step to become a gynecologic oncologist is to be accepted for and complete a fellowship in gynecologic oncology. These programs last for an additional three years of study, and it can be incredibly difficult to be accepted. During this time, doctors are expected to study an intensive program relating to the female reproductive system as well as the diagnosis and treatment of cancers. Following successful completion of the fellowship, a doctor is considered an expert in her field.

Gynecologic Oncologists are fully trained obstetrician/gynecologists who successfully complete an additional three to four years of intensive training in all aspects of gynecologic cancer care. They understand the pathology and biology of reproductive-tract cancers, and have the expertise to provide comprehensive treatment including surgery, chemotherapy, radiation therapy, symptom management and supportive care.

Read more: http://www.vitals.com/doctors/Dr_Patrick_S_Anderson.html#ixzz2OO17ha00

IT Project Failures

Project manager one of the leader during IT implementation process and the project can be successful or a disaster upon the strength of the leadership. The person must follow the fundamental aspect during acquisition to eliminate failures.

A champion team is put in place to implement the new system would be part of the process. They would plan, coordinate, budget and manage all parts of the new system. Also a project leader and key individuals from clinical and administrative areas would be focus on the system. A system champion is part of the team and that person is well-respected in the organization and is also a physician who is able to help with pilot testing. That person is also able to train and coach others and build interest within user group.

After the implementation team agreed on the goals and objectives, a project plan is develop and implement. However, the project manager could not implement communication progress or status, the differences in personalities made it impossible for open communication. There were fabrication and inconsistency, in order for an implementation to be successful; they need to have formal and informal style of communication. The health system’s stakeholders were not fully supportive of the system during the proposal and evaluation time. Most of the physicians were against the CPOE system because they were concern it will require too much times. The primary care physician commented, “The hospital is trying to turn me into a 12-dollar an hour secretary, and they aren’t even paying me 12 dollars an hour.” They took too long to set up emails and also the two leading champions for CPOE resigned from the hospital. Also the acquisition process took too long. They only continue with the process of implementation because they did not want to lose the down payment.

Part of the methods would be emails, one on one meetings, articles and regular update at board meetings. The project manager did not want to upset the interim CIO which is one of the causes of the failure and to eliminate this issue; I would off take different approach, such as the time of the day for the meetings, and the place of the meetings. I would give more articles and presentations to the stakeholders to bring them to like the system. Another way would be to continue to communicate with the leadership team and give rewards for a job well done.

IT project implementation failures occur because of several mistakes which could have been avoid if the project manager insert the right leadership, and not worry about how others react.

Electronic Health Records

Management and health care professionals decide which electronic health records system is best suited for them. It must be effective and useful with the organization’s mission and vision. It needs to be up to par with the HIPAA privacy and security regulations. They must define what is the main purpose of the EHR system they are requiring. It makes it convenient from patients and clinicians to development. Electronic Health Records is the paperless type of patient’s medical information; it is upgrade by health care administration set up patient’s data which include medications, vital signs, past medical history, vaccinations, lab results, progress notes, and radiology results. It has the capacity to support different branches of health care. It reduces medical errors because of the accuracy, and clarity of medical information. It helps patients to make better decisions, and reduce repetition of tests and health information is ready faster.

Nurses can enter vitals of patients right away because the system is in the examination room. They can fix any errors such as medications names or if they forget to enter crucial information. Physicians go over test results and prescriptions new medications or manage previous medications; they can set up new appointments and test for patients. Administrations process schedules enter insurance information and can see if patients are approved for clinical trials or chronic disease management programs.
Electronic Health Records are covered under the HIPAA; they are safe and confidential because it deals with person’s health information. The doctors, medical office staff, health care provider and hospitals must have passwords. The HIPAA privacy rule gives federal protections for individual privacy concerning health information, and HIPAA security rule sets national standards that health care providers must abide for the security of electronic protected health information. “At the same time, the Privacy Rule is balanced so that it permits the disclEHRsosure of health information needed for patient care and other necessary purposes. “ (2014) HIPAA set up annual inspections of health care providers, and if they find privacy and security breach, they can penalize them. Some of violations of the Privacy rule might be punished by the department of justice as criminal prosecutions. Penalties are based on the date they occur, also were they mistakes of neglects; however, OCR is the department which notify entities of the penalties and give those opportunities to defend themselves.
EHR increase care for patients by being safe, reliable and reduce errors. It is useful to health care insurers, health care professionals and health care consumers. It reduce medical errors, decrease unnecessary tests and help patients to get better faster.

References:

Wager, K. A., Lee, F. W., & Glaser, J. P. (2009). Health care information systems: A practical approach for health care management (2nd ed.). San Francisco, CA: Jossey-Bass.

U .S. Department of Health and Human Services/ National Institutes of Health. Retrieved from http://www.privacyruleandresearch.nih.gov

Telemedecine

Telemedecine does not have the intimate engagement in person between doctors and the patients but it does keep the line of communication between the two just a far. Telemedecine is the new innovative technology that will bring healthcare to all remote areas for two main reasons.  First, Telemedecine engage patients and medical staff and also improve medical education in remote countries.  But most importantly, Telemedecine increases quality of care, convenience, cost and acceptability of this type of service improve education in remote areas.

Social Media

People access social media via the internet to publicize their brands, products and keep in touch with families and friends. There are great advantages and disadvantages of internet and social media; however reliability issues can arise from information found on the internet and social media.

People who used social media have to be a concern about privacy, their personal information might get hack and share to other companies. Advertising companies can use a person email address to soliciting their products. The government can censor information through regulatory Agencies; congress passed the Digital Millennium Copyright Act in 1998 and the WIPO, WPPT to cover blogs and websites contents. They also passed the Privacy Act and it is there to protect records that companies can get through a person’s name, social security number or symbol. They also protect against defamation, therefore, a person must be aware of the credibility of the information on the internet. “However, since the Internet is open to any user, anyone with a few dollars can set up a credible sounding website and begin to disseminate false information.” (Lule, J. 2012).

Social media allow users to make an unlimited number of copies of material and people can send them anywhere in the world. Any who is log on to social networking sites has to agree to the Term of service because now a day’s some people can bully others on social media, take the case of Megan Meier. “Lori Drew, a 49-year-old woman, was accused of using a fake MySpace account to convince 13-year-old Megan Meier to commit suicide.” (Lule, J. 2012).  ). President Barack Obama took full benefits of social media to reach millions of people during his campaign and continue to reach them after his election and re-election. One major site was Facebook, him and First Lady Michelle Obama set up fan clubs.

Social media is free and gave people a way to express themselves and it is especially important for entertainers, they hire public relation to doing the leg work for them. The more exposure they have on social media the better on their pockets. They can put pictures, videos and writings about their brands. Lately companies and organizations check a person social media such as Facebook to make a decision if they want to hire that person. People can post their resumes and job qualifications on Link end. The disadvantages of social media are whatever information, images and videos you put on the cyber space are there forever unless no one copy them and you took the times to delete the item’s one at a time. You can share photos with friends and families or you can set your album private.

Unless you get information from dot.gov, dot. Edu, the others, may not be credible. If you get information from bloggers, they might not have the time to research their sources. “Organizations had long been trying to develop factual content for the web but Wikipedia went for something else: verifiability. The guidelines for editing Wikipedia state: “What counts is whether readers can verify that material added to Wikipedia has already been published by a reliable source, not whether editors think it is true.”( Lule, J. 2012).

The internet makes it convenient for people to get information and knowledge, it creates relationships that reduce isolation. It is important for people to exercise wisdom when it come to the cyber space.

References:

Lule, J. (2012). Exploring media and culture. Irvington, NY: Flat World Knowledge, Inc.