As an employer, you want to provide good coverage, but the cost increases in recent years have been tough to handle. A typical response to these increases may be to select a high-deductible insurance product that lowers your cost. However, there is a better solution.

Think HMO. That’s right – health maintenance organizations. The HMOs of today offer a whole new generation of health care financing tools that every employer should consider.

It’s not your father’s HMO.
You may have heard bad stories or had a rough experience in the past. However, times have changed. HMO plans today offer extensive provider networks, excellent coverage for preventive care, the ability to frequently change a primary care physician and outstanding prescription drug coverage through broad pharmacy networks.

HMOs take the surprise out of the bill.
With most health insurance plans, an employee is responsible for a percentage of the cost of care, often 20 percent or 25 percent. This can add up very quickly, and employees can’t predict what their expense is going to be.

With an HMO structured co-pay plan, an employee knows up front the expenses associated with most covered services. For example, an employee may have a $20 copay for a primary care physician (PCP) visit, which will include all services provided in that visit. Each time employees go to their PCP, they can expect to pay $20 – no surprises there.

Higher co-pays offer savings.
The days of nickel sodas and 25-cent phone calls are long gone – and so are $5 and $10 co-pay plans. It’s time to rethink the value of co-pays. New HMO plans have higher co-pays, some as high as $30 for a primary care visit and $50 for a specialist. But that covers all services provided during that visit. That’s a valuable cost limit these days.

HMOs offer bold new designs.
New HMO plans have fresh cost-sharing strategies that provide low employee out-ofpocket expenses in some areas while controlling your costs by increasing employee expenses through deductibles in other areas.

In most deductible-based plans, employees have a high deductible that applies to all services. However, with these new focused-deductible HMO plans, the deductible is limited to specific services, such as hospital care or prescription drugs. After the deductible is satisfied, a co-pay also applies to that service.

Furthermore, with these plans, employees continue to have a co-pay instead of a deductible for highly utilized areas such as physician or specialist visits.

HMOs are FSA and HRA compatible.
Many HMO plans can be used with flexible spending and health reimbursement accounts, enabling employees to decide how some of their health care dollars are used. Many carriers are also developing health spending account-compatible HMO plans.

HMOs offer more than health insurance.
Today’s HMO plans offer health improvement programs such as discounted fitness club memberships and valueadded options that let employees take charge of their own health.

There are two primary reasons to revisit today’s HMO – savings to you and savings to your employees. Rediscover today’s HMO – you’ll be pleased with what you find.

Any hospital with a children’s ward should have a button maker machine. Children in the hospital are often frightened, disoriented and of course ill. For patients who are able to sit up and draw, button making can help fill those hours between visitors, occupy their mind and make them feel useful. A positive outlook plays a critical role in a patient’s recovery and for children, it is important to inspire creativity to take their minds off their environment. Button making for the children can be both beneficial to their mental health and fun.

Provide a template to a child and some crayons or markers. Family members can bring photos or other flat items to add to the button. The children can be left to their own creativity or a daily or weekly theme can be used. For children who are long term patients, giving them a button to make everyday can ease anticipation and give them something positive to look forward to the next day. This will also help in establishing some form of routine, which in smaller children will help them feel safe in their environment. Completed buttons can be worn by the children, their families, the staff, or displayed on bulletin boards outside the door of their room. Displaying the buttons will make walking the halls interesting and fun for both children and family.

Buttons can be another great gift item in the hospital gift store. These are an inexpensive and easy item to make for sale in the shop. “Congratulations!” in pink or blue on a button for births would be a great idea for the new older brother or sister to purchase for mom. This same button can be added to a stuffed bear or bunny. “It’s a Girl!”, “It’s a Boy!”, and “Get Well” would all be great sayings for buttons to be added to stuffed animals or cards that are sold in the gift shop. For example, you can post a sign that reads “Buy a Stuffed animal and get a button for only a dollar more.” Buttons make great keepsakes and are so inexpensive to produce that even at the price of one dollar you can make a handsome profit for the gift shop.

Buttons for patients and staff are another use for the button making machines. An interesting proposition for the new parents is to have a “New Dad” and “New Mom” button made up for them with the name, birth date, weight and length of their new child. These are great keepsakes for parents to put in baby albums. Proud parents can wear these buttons in the hospital and you can sell additional buttons for their family members such as grandparent’s aunts and uncles. Imagine the pride on a new older brother’s face as he wears a button that reads “Ask me about my new baby sister”. These buttons show that you go the extra mile for your patients and their family.

As mentioned earlier, it is crucial to note that some sports will have a higher probability of inducing attacks in an asthmatic. However this does not mean that an asthmatic cannot exercise safely.

If an asthmatic is looking for a safe sport, researchers point to swimming as the best possible sport for asthmatics as the breathing required rarely if ever causes chest tightness among swimmers. Although, participating in another form of exercise that would require exactly the same about of oxygen to circulate might not cause the same reaction in the participant.

Of course, some asthmatics will experience acute attacks when they enter the swimming pool. Researchers needed to find an explanation, and it did not prove difficult to explain the reason. Some asthmatics are very sensitive to chlorine, as an irritant. Thus, it is not possible to state that swimmers who are asthmatic do not have attacks.

Running of any type is often a terrible idea for asthmatic patients as it will, in some people, trigger an almost immediate attack. However, recent treatment advances have enabled some athletes who were previously unable to run for more than a few seconds to adapt their exercise routines to include running.

If an asthma patient is in a situation where they are breathing heavily, it may trigger the start of an asthma attack. Common instances of heavy breathing include not only exercising, but also the breathing tests required for the diagnosis of asthma.

Yes, if you are an asthmatic you should exercise. There remain many choices for type of exercises and sports. Asthma-afflicted athletes should get an appointment with a sports medicine specialist who will be able to address athletic medical issues with the patient. The specialist may also be able to provide useful tips and innovative treatment methods to the asthmatic that other physicians might not have considered trying.

Sports which involve short bursts of activity interspersed with short periods of rest make great activities for the asthmatic. Some examples include; swimming, team sports like football or softball, volleyball and yoga or Pilates. Generally, the time required for exercise induced acute attacks to occur is six minutes of constant heavy breathing.

As inspiration to continue exercising and participating in sports, it is key to notice that many past Olympians have also been asthma sufferers who managed their condition carefully, with the input and treatment plan of their physician.

These steps, if followed in combination with a personalized asthma treatment plan, will help the patient to have a successful and healthy exercise routine:

Warm up properly, and do not forget to cool down.
Avoid exercising in dry, cold air. If it cannot be avoided, be sure to cover both mouth and nose.
Stay in good physical shape – Staying healthy will increase an athlete’s ability to successfully avoid asthma attacks during exercise periods.
Many patients will require not just a preventative or reactive medication, but a tailored combination of both types of medications in order to provide them with maximum relief from their illness. Most physicians agree that the desired outcome it to get the maximum relief from the minimum amount of medication.

Everything depends on your level of fitness. Lance Armstrong said running a marathon was the hardest thing he ever did, I’m just happy to finish one. His sub 3 hour marathon equate to my 1/2 marathon time give or take some minutes. The Basics of running are simple, efficiency of stride, lactic acid treshold, base training, patience and determination.

Training plan: If your just starting out, I would suggest running 3 times a week. I would also run a 3 week cycle.The first week of the cycle you train at a specific level. The second week you increase by 10-20%. The third week you scale back to lower than first week’s level. This give’s your body time to recuperate and prevents injuries. The first week of your next cycle should be increased by 10-15%. After 3 cycles, reduce you first week pace by 10%. This will work – you just need to be patient.
For example : Distance of every run in the week.

Cycle 1: wk1:1km – wk2:1.2km – wk3:0.9km

Cycle 2 : wk1:1.2km – wk2:1.4km – wk3:1.1km

Cycle 3 : wk1:1.4km – wk2:1.6km – wk3:1.3km

Cycle 4 : wk1:1.2km – wk2:1.4km – wk3:1.1km

Cycle 5 : wk1:1.4km – wk2:1.6km – wk3:1.3km

Cycle 6 : wk1:1.6km – wk2:1.8km – wk3:1.4km

I think you get the picture.

Beginner:
The best method to ease into running is the run walk method. Your body should adjust to running more easily using this method. The time you spend running and the time you spend walking depends again on your fitness level. If you need to walk longer or are able to run more, just do it. You run for 30-60 seconds, depending , you walk for 30 seconds. You do this for a week. The next week you increment you run by 10 seconds, but keep the walk to 30 seconds. As the weeks progress you should be able to gain substancial increase you capacity of running. The ideal for the run walk method is to get up to 10 minutes of running and 1 minute of walking, but it all depends on how you feel. Once you are able to keep a pace of 10-1 for 30 minutes you can start to increase the 10 minute run by 10-20% every week.

The pace you should be in is a Zone 1 pace. Zones are calculated by the hearth rate that is attained with physical activity. Zone 1 pace is (220 – your age) X 60 or 70% – I’m 36 , (220bpm – 36) X 70% = 130 bpm. This is a foundation building pace. This pace is used on long runs because it enables your body to manage lactic acid. A friendly fuel when absorbed properly lactic acid becomes running enemy when it is out of control. The longer you can run at this pace, the more your body will improve his capability to absorb the acid. This is endurance building, and it is the first step to having a great run.

Lactic Acid Is Not Muscles’ Foe, It’s Fuel – New York Times
The notion that lactic acid was bad took hold more than a century ago, but more recent research suggests that it is actually a fuel, not a caustic waste …

If you need to do more sports during the week, cross training should be your choice. Gym work to strenghten the abs are a plus. Cycling or spinning also get your heart going without the impact on your knees.

If you are able to run for 30 minutes, my suggestion to you is to get out there and find a nice friendly 5k. This is a celebration of life , a celebration of your new found passion: Running. Turkey trot your way to the end.

Intermediate:
You’ve acheived your first goal and that first 5k is now behind you. You’ve adapted your body to running and now can run 3 times a week for 30 minutes each time and can even push this a bit further.

You now are able to move to the next level. First thing to do is add another running day to your week. This will help you put on the miles and will help you adjust even more to a runner’s regiment. Second thing to do is start mixing up your running workouts. 1 slow long run (zone 1), 2 normal half hour runs (zone 1 maximized- bottom zone 2), and 1 run that is totally different from the other types of runs that your body is accustomed to do. My suggestion is either Hill running or intervals.

Hill running is simple: Find a hill – run it to the top (if you can get up there fine – if not – stop where your about to collapse) – once up there – walk back down. Do this 10 times and make sure you keep a pace that you can accomplish it 10 times. If you cannot run it – walk up the hill. This will put pressure on your big leg muscles and should bring your body close to lactic acid threshold, walking back down will help your body manage that load and will push it farther and farther as the workouts progress.

Interval: Warm up with a 15 minute turkey trot. Once you are warmed up – bolt it for 100 meters – as fast as you canb without collapsing before you done that 100 meters (85% of your max speed) – just before blowing up – walk for 1 minutes. Repeat this for at least 1000 meters (10 X 100 meters). If your body is not too broken, turkey trot your way back home for another 15 minutes … this is great for pushing your lactic acid treshold even farther.

The point of pushing your body this way is to enable you to start picking up speed and finding a way to sustain it. Also – this is a good thing for your running body as it is called upon to adjust and find new ways of coping. Doing the same thing week after week can cause your body to adapt to it and migth inder your progression.

The goal you might have with these exercises is to improve you PR for your 5K or 10K time, enabling you to get faster and faster. Being faster and enabling your body to cope with it will help you out on your long slow runs. Your lactic acid overload might not be as great as it was before and your threshold of pain and endurance will be hightened.

Once you mastered these techniques and can now run for an hour or more on your slow long runs, a 10K or a half marathon is well within your reach.

Experts:
Elite runners are a breed on their own. They usually have a running stride that looks like a work of art and also have a cardio that can sustain 15-20 km/hour run tempo. Not everybody can acheive this type of running pace and keep it for 2 hours or more.

If your at this level and are reading this, you’ve humored me enough to keep going and could potentially write an article on this web site about how you go about your training. Since Deena Kastor and Meb Keflezighi are not here to add some advice, I will risk myself and add my two cents to this level of running fitness.

First thing, and expert runner should be able to run in the zone 1 range all day long, barely breaking a sweat. These athletes are fine tuned running machines and have close to the same body fat as an average model on a cat walk. That said, the muscle mass is fine tuned and the heart is usually as big as a football :0).

I have one friend who’s an ultrafit retired cyclist (retired from all out competition but still competes at the fun level) – I put him on my treadmill with a heart monitor and asked him to start running. When he reached my top speed that I could sustain for more than 5 minutes (11 km/h) – his heart rate was barely beating. He could run at this pace for hours, I could barely do it for 5 minutes.

That’s the difference between joe runner and Meb Keflezighi, the ability to acheive a speed and endurance that boggles the mind, strains the body, and pounds the heart.

These people usually have trained since they were kids and benefit from coaches and proper climate atmospheres (high altitude training) to enable them to reach the next level. They also have a very strict meal regiment and cannot afford to indulge in life’s simple pleasures (Beer – wine – cheese cake …) without paying a hefty price performancew wise.

If you are an elite runner and would like to submit and article – please do so right here. I will be happy to put a link back to your website.

Anyways, I Got To Run.

There is a strong tendency for the symptoms of cervical spondylosis to subside spontaneously, though they may persist for several months and the structural changes are clearly permanent.

Treatment is thus aimed at assisting natural resolution of temporarily inflamed or edematous soft tissues.

In mild cases physiotherapy may be recommended (radiant heal, short wave diathermy, massage, traction or exercises).

In the more severe cases judicious use of a close-fitting cervical collar for supporting the neck (it should be worn for 1-3 months depending on progress) and rest to the neck is advisable.

In the exceptional cases in which the spinal cord is constricted, decompression from front or by laminectomy may be required and thereafter it may be advisable to fuse the affected segments of the spinal column by a bone-grafting operation.

Physiotherapy

Once the neck problem is diagnosed, treatment can be decided.

In most neck conditions, pressure on the neck causes pain and pain causes muscle spasms, setting up a cycle. The best way to break the cycle and stop the pain is to relieve both pressure and spasms. There are various approaches to achieve each of these goals. Many of them require daily applications, so they must be done by the patient at home.

Relief of pressure:

Lying down is perhaps the simplest way to relieving the neck of its heavy load. Bed rest gives the muscles a chance to recover. The duration of bed rest should be advised by the physiotherapist.

Not only is spinal molding a relaxing way to start and end your body, it also reshapes your spine into its natural curves. Begin by lying on the floor or g on a firm mattress with rolled-up towels under your neck and low back. Your legs may be straight or bent. Lie in this position for 15-20 minutes.

Cervical collar helps the neck muscles support the head, it also reduces neck mobility. The therapist may prescribe wearing of a cervical collar for the acute phase of neck problems and the duration of wearing it. The collar should fit snugly around the neck and be long enough to support the chin. Men can minimize irritation from the collar by shaving frequently.

Extension and flexion is especially helpful when you feel your neck and back stiffen. While sitting, place your hands on your knees and push down. Slowly arch your back and bend your back backward. Then slowly slump forward. Repeat this exercise 10 times.

Side bends increase your side-to-side flexibility. Start by placing your fingers together and pointing your elbows outward. Bend at the waist, tilting your body to one side as far as you can. Then bend your head and neck in the same direction. Repeat on your other side. Repeat this exercise 10 times.

This exercise increases the flexibility of your entire spine. To begin, place your fingers together and point your elbows outward. Slowly and gently twist at your waist, rotating your head and neck to the same side. Repeat toward the other side. Repeat this exercise 10 times.