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At Jail Medicine we discuss all aspects of medicines practiced in today's jails, prisons and juvenile facilities.
This entry was posted in Medical Economics, Medical Practice, Practice Management, Urology and tagged cancer screening, correctional medicine, evidence based medicine, inmates, jail medicine, jails, prisons, prostate cancer, PSA on August 23, 2012 by Jeffery Keller MD. In an effort to increase our visibility and make Jail Medicine more accessible online, we are pleased to announce that you can now follow us on Facebook. This entry was posted in Uncategorized and tagged correctional medicine, evidence based medicine, facebook, inmates, jail, jail medicine, JailMedicine, jails, juvenile detention facilities, medical jail emergencies, medical solutions, police, real time, sheriff, social media, updates on August 21, 2012 by Jeffery Keller MD. This entry was posted in Inmate issues, Jail culture, Medical Practice and tagged correctional medicine, Dependent edema, diuretics, evidence based medicine, inmates, jail medicine, jails, leg swelling, prisons, water pills on August 16, 2012 by Jeffery Keller MD.
Another consideration important in corrections is that since these medications are anti-cholinergics, they can be used by inmates to get high.  I wrote about this phenomenon previously in Is This Inmate Gaming Me?  Since I wrote that blog post, I have heard from medical personnel in several other correctional facilities who have also either suspected or discovered inmate abuse of these drugs, particularly oxybutynin.
This entry was posted in Drug Evaluations, Jail culture, Medical Practice, Uncategorized and tagged correctional medicine, evidence based medicine, inmates, jail medicine, jails, prisons, stress incontinence on August 10, 2012 by Jeffery Keller MD. One of the medical issues that the ACLU was concerned about at the time was inmate eyeglasses. Each of these four vision requests should be handled differently by correctional facilities.
There are four considerations to take into account when evaluating these requests for distance corrective lenses.
The second important consideration of requests for glasses to help distance vision is whether there is a medical need for this type of vision correction.
But what does it mean that an inmate’s vision is so bad as to adversely affect their health? The third factor to remember for any complaint of distance vision problems is that glasses are not the only solution for distant vision problems. The final consideration for distance vision correction is this:  While there may not be a medical need for distance vision correction, there may be an institutional reason that a particular patient should receive distance correction. The question here is how often do you do screening eye exams on patients who have no specific eye complaints? The second type of routine screening is the medical eye exam, which, of course, checks for diseases of the eye. One problem with setting up a program for routine eye exams in corrections is that there is no clear-cut community standard for these exams.
Putting all of this together, it seems to make a difference whether your facility is a Juvenile Detention Center, a jail or a prison. The main problem of patients older than 40 is the loss of near vision (as I myself have learned). Since the incidence of serious eye pathology goes up with age, older patients should again receive yearly medical eye exams, even if they are healthy and without complaint.
Does your facility have an effective policy for eye exams and eyeglass prescriptions that works?
This entry was posted in Medical Practice, Optometry and tagged correctional medicine, evidence based medicine, eye exams, eyeglasses, inmates, jail medicine, jails, ophthalmology, optometry, prisons on August 6, 2012 by Jeffery Keller MD.
The adult women in the state prison have been getting PAP smears as often as yearly and have come to expect them.  According to the new guidelines, we would only do them every 3 years from ages 21-30 and every five years thereafter until age 65.
Essentials of Correctional Medicine has been approved for 19.5 hours of Continuing Medical Education Credit by the American Academy of Family Physicians.  This conference should be a great learning experience as well as a good way to get Correctional Medicine specific CMEs! This entry was posted in Drugs of Abuse, Medical Economics, Medical Practice and tagged correctional medicine, evidence based medicine, guidelines, inmates, jail medicine, jails, juvenile detention facilities, PAP smear, prisons on August 2, 2012 by Jeffery Keller MD.
I do like the ability to fold it easily I much prefer and will continue to use the Earth Mama Angel Baby – Baby Lotion with orange vanilla scent. Xanax liver damage is because some people take needed to should i take milk thistle with creatine spots causes enlargement red grow.
This happens when there is problem with the working of the liver or there is blood disease.
The researchers confirmed prior data suggesting that statins increase patients’ risk of cataracts liver dysfunction kidney failure and a form of muscle Is this method rapid? Take a trip to your dermatologist and get a steroid injection instead; this will reduce the redness and swelling significantly and your pimple should disappear much faster than normal. How to get rid of terrible acne wash once or twice a day get will rid laser treatment acne fast. She was excited because she had discovered the answer to one of her ‘why’ questions, why does my face swell sometimes and not others. She tracked the swelling–which was especially pronounced in the area of her eyelids–to chicken! As for me, I never knew that inflammation was aging my face and me until I stepped into a cryotherapy chamber for treatment. The treatment involves first walking into an “icebox” with a temperature of -77 degrees Fahrenheit.
After 30 seconds of getting used to this temperature while wearing workout clothes (and mittens, ear protection and socks to protect the Achilles tendon), you would then enter the deep freeze chamber.
By walking around in circles, though, you can generate a little bit of body heat during the 3 minutes you are in there.
Then you come out, ride a stationery bike for 10 minutes and feel all the blood return to your arms and legs. The first time I did this I could not believe what happened to my eyelids and facial inflammation.
If you’re doing facial exercises, you know yourself that the sooner you can eliminate a saggy eyelid, the brighter and younger your face will look. The cold temperature of cryotherapy stimulates collagen production long-term, but in the short term the immediate benefit is a decrease in inflammation. Cryotherapy is similar to what you would expect to find if you applied ice to the body: a decrease in inflammation.
It would be literally impossible to soak your face in a bucket of ice to decrease inflammation although some beauty pageant winners will apply ice to their face before applying makeup on the morning of the contest. Inflammation kills people when it’s tied to an infection that has become systemic (throughout the entire body). To this day, the medical answer has been only one: corticosteroids, powerful hormones that can unfortunately destroy the body, too. However, if there’s too much inflammation in the rest of your body, your recovery time will lengthen. When you work out your facial muscles, too, you could have slight amounts of facial inflammation. The reason why facial exercises helps quite a bit in tightening the face is because the muscular activity can end up getting muscles to fire.

So keep doing your facial exercises and do eliminate as many of the causes of inflammation.
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Exposure to halogenated aromatic hydrocarbons (eg dioxins) or ingestion of halogens (eg thyroid medication Applying undiluted TTO directly to the inner ear canal can compromise ear health (4).
The unique active Quick Break-up Complex in Clean & Clear Blackhead Clearing Daily Scrub helps to fight blackheads from day one. Acne, congestion, acne scarring, pigmentation, melasma, stretch marks, pores, fine lines and wrinkles. This happens now and again at the jails and seems to occur in waves; I will see a bunch of requests for water pills to help leg swelling, then nothing for a while, then it recurs. And so, from the very beginning of my correctional medical career, vision complaints and requests for eyeglasses were a hot topic I had to deal with.
Preventative Services Task Force guideline replaces the one issued in 2003 and contains several important changes that will impact correctional facilities.
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Six NBA teams use cryotherapy so it’s been only something available to elite athletes until now.
In fact, the Europeans have created entire protocols for hundreds of diseases and disorders. This then causes an increase in circulation, and causes the inflammatory compounds to be washed away.
Do Chemical Peels Help Hormonal Acne Acne Nuchae Home Keloidalis Treatment (my dad’s having a party soon and theres TON of boys) I’m pretty I just have huge poresblackheadsand pimples! As acne and pimples have a variety of triggers different people need Prescription Acne Creams. If you persist with this problem for long then it might lead to skin inflammation with puss cells and acute acne problems.
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In some cases the area where the scar was removed can actually become darker than the skin around it. The first 2-3 times I tried this gel it works a little I guess I had a lot of blackheads around my nose area. But I eventually figured out that vision complaints basically fall into four categories, and each should be dealt with in a different way. Complicated acute calculous cholecystitis – with perforation An elderly woman with a history of lung cancer presents with vague pain in the abdomen. Be prepared to deal with a mild case of one or more of the following when taking milk thistle or detoxifying in general: abdominal bloating fullness or Milk thistle is not recommended for pregnant or eastfeeding women. Oneindia Classifieds Coupons tea tree oil is one of the best home remedies for treating scalp pimples. The surgeon makes a huge difference so do your research and good luck with the consult etc.
There needs to be more awareness of liver disease so that patients can be treated (lungs).
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Shyness and awkwardness will be a thing of the past and you will discover many talents you never knew you had. The next time you are washing your hands and complain because the water temperature isn't just how you like it, think about how things used to be. Here are some facts about the 1500s: Most people got married in June because they took their yearly bath in May, and they still smelled pretty good by June. The man of the house had the privilege of the nice clean water, then all the other sons and men, then the women and finally the children.
Hence the saying, "Don't throw the baby out with the Bath water!" Houses had thatched roofs-thick straw-piled high with no wood underneath . It was the only place for animals to get warm, so all the cats and other small animals (mice, bugs) lived in the roof. Hence the saying "It's raining cats and dogs." There was nothing to stop things from falling into the house. This posed a real problem in the bedroom where bugs and other droppings could mess up your nice clean bed.
Hence the saying, "Dirt poor." The wealthy had slate floors that would get slippery in the winter when wet, so they spread thresh (straw) on floor to help keep their footing.
As the winter wore on, they added more thresh until, when you opened the door, it would all start slipping outside. They would eat the stew for dinner, leaving leftovers in the pot to get cold overnight and then start over the next day.
Hence the rhyme: Peas porridge hot, peas porridge cold, peas porridge in the pot nine days old. It was a sign of wealth that a man could, "bring home the bacon." They would cut off a little to share with guests and would all sit around and chew the fat. Food with high acid content caused some of the lead to leach onto the food, causing lead poisoning death. This happened most often with tomatoes, so for the next 400 years or so, tomatoes were considered poisonous.
Workers got the burnt bottom of the loaf, the family got the middle, and guests got the top, or the upper crust. They were laid out on the kitchen table for a couple of days and the family would gather around and eat and drink and wait and see if they would wake up. So they would dig up coffins and would take the bones to a bone-house, and reuse the grave. When reopening these coffins, 1 out of 25 coffins were found to have scratch marks on the inside and they realized they had been burying people alive. So they would tie a string on the wrist of the corpse, lead it through the coffin and up through the ground and tie it to a bell. I thought I saw an eye doctor on an Alaskan island, but it turned outto be an optical Aleutian .3.
A rubber band pistol was confiscated from algebra class, because itwas a weapon of math disruption.5. It's important to have a woman, who helps at home, who cooks from time to time, cleans up and has a job. It's very, very important that these four women do not know each otherNew Tests For Long Term Care During a visit to my doctor, I asked him, "How do you determine whetheror not an older person should be put in an old age home?" Well," he said, "We fill up a bathtub, then we offer a teaspoon, a teacup and a bucket to the person to empty the bathtub." Oh, I understand," I said.
Bartenders Ever since I was a child I've always had a fear of someone under my bed at night. I was so happy to have saved all that money that I went and bought me a new pickup!' 'Is that so!' With a bit of an attitude he said, 'and how, may I ask, did a bartender cure you?' 'He told me to cut the legs off the bed!
Here's how the scam works: Two seriously good-looking 20-21 year-old girls come over to your car as you are packing your shopping into the trunk. They both start wiping your windshield with a rag and Windex, with their breasts almost falling out of their skimpy T-shirts. When you thank them and offer them a tip, they say 'No' and instead ask you for a ride to McDonald's. Then one of them climbs over into the front seat and starts crawling all over you, while the other one steals your wallet. I had my wallet stolen March 4th, 9th, 10th, twice on the 15th, 17th, 20th,24th & 29th. Writer Samuel Clemens took the term for his pen name after a stint as an apprentice river pilot.

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