Non-Cancerous BPH Options

After becoming frustrated with various physicians in my local area, I have decided to seek out the expertise of larger more well known institutions, namely Loma Linda Medical Center in California.

Microwave BPH Therapy - Loma Linda University Medical Center BPH, or benign prostate hyperplasia, is not prostate cancer but has some of the same symptoms of prostate cancer. Nearly all men eventually experience some degree of prostate growth and as the prostate enlarges, it can interfere with the bladder's ability to empty itself. When a patient at Loma Linda University Medical Center is diagnosed with BPH, a urologist may recommend a variety of treatments, including minimally invasive procedure options.

Procedure Details
Microwave BPH therapy, also known as transurethral microwave thermo-therapy (TUMT), uses heat to destroy a portion of the enlarged prostate surrounding the urethra. This minimally invasive procedure allows the patient to urinate more freely by making the urethra larger as it passes through the prostate. Microwave BPH therapy is an outpatient procedure and does not involve overnight hospitalization.

Contact Us & Learn More
To learn more about microwave BPH therapy, call us today at (909) 558-2830 or visit the links below to learn more:

•Benign Prostatic Hyperplasia
•Enlarged Prostate

Request a Urology Appointment Today Call (877) 558-5877

Here is link to more information about the above procedure
UrologyChannel Look for Cooled Thermo Therapy(TM) TUMT(TM)

And here is another link to a different website: Prostate Pill Report

Pathogens Associated with the Intensive Care Unit Environment – Considerations for the Respiratory Therapist

The August 1 2010 Article Review is by John Davies, MA RRT FAARC

PDF File Article Link Click Here

This program has been approved for 2.0 contact hours by the AARC

Ventilator-associated pneumonia (VAP) is the most common nosocomial pulmonary infection and accounts for a significant proportion of the 1.7 million infections and 99,000 associated deaths each year in American hospitals. Methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococcus (VRE) are of growing concern due to their ease of transmission via medical devices and hospital personnel. Other pathogens causing VAP include Staphylococcus aureus, Streptococcus pneumonia and Hemophilus influenzae, Pseudomonas aeruginosam, Acinetobacter species and Enterobacter species. A clear diagnosis of VAP requires a combination of findings from clinical signs, chest X-ray, and analysis of bronchial alveolar lavage. Although there are several natural defense systems against infection, these are often breached through the use of indwelling devices, such as catheters, and inadequately sterilized mechanical ventilation equipment, such as endotracheal tubes, ventilator circuits, humidifiers, medication nebulizers and suction catheters. Methods to prevent VAP include effective handwashing with antimicrobial preparations, education of hospital staff, thorough sterilization of equipment, and implementation of protocols such as the VAP bundle. Modified equipment is now available to limit the likelihood of infection.

BTPS HFT Standard of Care in Your Hospital Setting

I'd like to have some input as to the Standards of Care in Your Hospital regarding "Heated" High Flow Oxygen Delivery. Currently where I work we do not have or use BTPS High Flow Oxygen and after reading the Clinical Foundations Article I am quite interested in pursuing this avenue and plan on speaking with our Director.

"Breathing cool, dry gases can produce deleterious effects in the respiratory tract and when delivered through an artificial airway, can maginfy the negative impact of ventilation."

"(BTPS) Body Temperature Pressure Saturated (HFT) High flow therpay delivers warm, humdified gas to the patient through a nasal cannula. BTPS gas can be beneficial, regardless of whether the the patient is receiving supplemental oxygen, although the mechanism is not yet fully understood"

Today I found new technology to deliver BTPS via nasal canula and ventilator see Vapore for details
Please make your comments below.

Online Discussion of Respiratory Care Article Reviews

The turn out for our July 1 RT Article Review was very dishearting. I arrived at 7pm ordered a sandwich and drink and waited until 730pm. No one arrived. I should know by now that only those very dedicated people to their profession would take the time to meet in a group to increase they awareness and share their expertise with their peers. To this end I will post the Monthly Article for review at http://RCPSAM.com and discussions of the article will be posted on this blog. At some future date I will set up a group conference line so those interested can share their thoughts on the Montly Articles.

2nd Monthly Article Review

2nd Monthly Article Review

Date: Changed from June 17th to July 1
Day: Thursday
Location: Pontiac Coffee House
City: Springdale
State: Arkansas

The article we will be reviewing is Trends in Non-invasive Respiratory Support: Continuum of Care. You can view or download the PDF File now.
Here

NWA RCP Monthly Article Review

Participation in The NWA RCP Monthly Article Review is strickly voluntary.
It is designed to help all participants keep-up with current trends
in Respiratory Care.

Most all articles reviewed will also provide 1 or 2 CEU credits when
the participant properly completes the test and successfully passes
the test.

Participants of each meeting will have an opportunity to share their
ideas about the content of the article in review. In the beginning all articles reviewed will be from Clinical Foundations 'A Patient-focused
Educational Program for Respiratory Care Professionals'


The first organizational meeting is designed to be a casual meeting.
We will discuss ideas on who will chair each meeting and when and where
to hold the monthly meetings.

The First Meeting will be at Chili's in Fayetteville Arkansas
on May 20th at 8pm. Sam McMillan will chair the first meeting.

The Second Meeting will be at the Pontiac Coffee House in Springdale
on June 17th at 7pm. Sam McMillan will chair the second meeting.

The article we will be reviewing is Trends in Non-invasive Respiratory Support: Continuum of Care. You can view or download the PDF File now.

5 Minutes to Midnight

In 1987 while I was living in Bradenton Florida, I had a vision that I should start investigating Master Numbers. Over the course of about 30 days a system evolved that I entitled. "The Master Lotto System" (making order out of random). I used this system for a short period of time to select numbers for the Florida Lottery. On one particular day everything lined up in exact order, I placed my bet and won over 1-thousand dollars. I later moved to Maine and tried using the same system there without success. To this day I believe that lotto number selection is somehow tied to the GPS location of the drawing as well as other influences of our solar system. I have no doubt that there is order in everything. We might see it as random and we might believe that it is chance but I believe there is no chance, there is no luck. The choices we make in our everyday lifes are influenced by some higher order.

5 Minutes to Midnight

Armageddon - What might happen on December 21, 2012? What do the world's major religions say about the end of the world? Is Armageddon going to happen?

The Mayans, Nostradamus, The Bible, and other sources all claim the world will end in armageddon. Will it?

The Masons have been linked to many of history's greatest movements, but what do they think of the 2012 debate?

The history channel recently aired a very interesting program about the possibility of what could happen on or near December 12 2012. http://www.history.com/shows/armageddon/

Pastor Hagee a TV minister has been exploring the meaning of old testament scripture using numerology to predict the end of time.

Certainly we are living in an important era of change. Should we be concerned about what choices we make between now and December 21, 2012. Should we prepare for the collapse of the monetary system. Should we start coverting our paper dollars into silver and gold. Should we postpone major events like buying a house, going to school, getting married, traveling abroad, et cetra.

The countdown has started http://www.december212012.com/ what will we do with the days before 12/21/2012?

Will Christians soon become a minority in America? There are signs everywhere that people don't want GOD in their lives. As you look at people on the street tattoos, and body piercing are everywhere. I can't imagine this is because they love the Lord with All Their Heart.

Billboards are asking if you can do without GOD in your life? And then saying Millions Do! Muslim Mosque's are everywhere in America. Hate and racial violence are common place. When Obama ran for President he ran on the ticket of change. Everybody wanted change - they never asked what the change would be.

"In God We Trust" has been removed from the front of the new dollar coin and has been placed on the edge. How is that significant? The people of the world are living in a era of rebellion. Crisis is everywhere. The earth is rumbling and crumbling. How we you survive? If the time comes to choose between being a servant of your Government or being a Child of God, which will you choose?

The time is coming my friends. The time is at hand.

Now is the time choose between GOD and GOVERNMENT.

Which Choice Will You Make?

10+ Free CEU's for Respiratory Care Practitioners

My, my, how time does fly! It's been almost 12 months since I renewed my Arkansas RCP license. I went to http://www.aarc.org/ to make a quick check of my CEUs and found that I am short by 4 ceu's and my yearly requirement is 12. That's not good enough 'cause I usually try to get at least 20 CEUs. My aim is to learn more and refresh more than just what is required! Hope there are others out there that feel the same way.

Puritan Bennett offers free, accredited online continuing education courses at http://www.puritanbennett.com/educ/onlineed.aspx

Passy Muir offers 5 Wonderful CEU's that are FREE http://www.passy-muir.com/ceu/
which I highly recommend. Some of the programs offerd are:

1. Ventilator Application of the Passy Muir Valve
2. Assessment and Placement of the Passy Muir Valve
3. Dysphagia and Improving Swallow
4. Pediatric Issues and Application of the Passy Muir Valve

Respironics offers many (6) FREE CEU's at http://elearning.respironics.com/ again I highly recommend these as well. Some of the programs offered are:

1. NPPV Across the Continuum of Care
2. Respiratory Monitoring: Principles and Clinical Application of Volumetric Capnography
3. Capnogrpahy Principles and Clinical Application
4. Clinical Application of Ventilator Waveforms and Trending
5. Noninvasive Ventilation in the Home
6. Cadence(tm) Self-Breathing System


I'll be adding more links as time passes so keep checking back or subscribe to my blog.

Northwest Arkansas Photos and Videos

After much encouragement from my wife I recently decided to post some of my photos online through a local tv station. Please visit http://ulocal.4029tv.com/sam_mcmillan and make comment to my photos.

Get $25 from my online investing broker

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First-time home buyer tax credit extension approved

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Posted using ShareThis

Principles of Wisdom

When a culture can measure its history in millennia rather than in centuries, there are sure to be very strong traditions which underlie the stability of the culture and act as binding forces to keep the minds and hearts of the people together. When traditions produce excellence over countless generations, a great deal of confidence develops in the people who are a part of that culture. This is because the traditions continually benefit the people who are part of that culture. When something is seen to bring harm to a culture, it is identified and rejected. Obviously, when a culture has survived and flourished for thousands of years, it arrives at many points of wisdom which it would not sacrifice at any cost. There are traditional principles for ruling, farming, healing, raising families, and resolving disputes. Although these traditions constantly undergo examination and evolution, the underlying principles rarely change. When a set of underlying principles is kept intact despite the evolution of a tradition, it is because they have been recognized to contain wisdom. Ancient traditions preserve essential principles which enable a culture to evolve along pathways that are marked and shepherded by principles of wisdom.

While America is a very young country compared to say China, I believe our past culture is being threatened by Obama's new Progressive Movement. This movement is a threat to our founding fathers original design for America. I am not comfortable with this new Progressive Movement because it threatens the traditions of America's Foundation.

BE THE BEST YOU CAN BE – STAND TALL ABOVE THE REST

Degree(s). The type of degree or number of degrees a professional has attained indicates their exposure to academic education, their ability to assimilate that body of knowledge and their ability to perform successfully in an academic or research setting. A degree in respiratory therapy is not by itself a good indicator of professional skill, competence or compassion.

License(s). Having a license is the first indicator that a professional has demonstrated competence to practice. The fact that a person has a license does not mean the professional is truly competent. It does mean they met the required educational and training requirements, passed a licensing examination, have met the necessary supervision requirement for licensure, and that they are meeting the required continuing education requirements.

Affiliation(s). Affiliations reflect what organizations or institutes a professional has joined or
is involved with. Affiliations alone are not good indictors of professional competence, but can
help you to identify those professionals who support and participate in activities that demonstrate their professional interests.

Background & Experience. Knowing where a professional has worked, their background and their experience can help you understand their skills and what talents they bring as a practitioner. In general, the more rich a professional's background the greater will be his or her ability to recognize a range of problems and potential solutions. Dealing with complex problems, especially crises and emergencies, usually requires the involvement of professionals with credible experience in these areas.

A true Practitioner continues to be involved in their profession outside of their normal working hours. They are committed to their profession. They are continually striving to gain more knowledge and keeping up with current trends. They are actively involved in their professional organization.

A respiratory therapist who is licensed as a practitioner but lacks motivation to advance is like a stagnating pool of water. Only doing what is minimally required to keep their license active is not acceptable in today’s world of ever changing health care.

BE THE BEST YOU CAN BE – STAND TALL ABOVE THE REST

The Difference Between CPAP & BiPAP

It should be noted that there's disagreement among the literature as to whether CPAP is a form of NPPV. CPAP provides oxygenation but not ventilation, which is the actual movement of air into the lungs. CPAP augments ventilation, which should qualify it as a form of NPPV.

CPAP is a continuous pressure provided above ambient pressure, which helps prevent alveoli from collapsing and augments ventilation. This pressure remains relatively constant through each phase of the respiratory cycle, varying only slightly as the patient breathes.

Because the pressure is the same throughout all phases of the respiratory cycle, the patient must overcome the pressure during expiration.

NOTE: CPAP is limited by the patient's ability to breathe and would be ineffective in those who can't generate a strong enough tidal breath on their own.

BiPAP also provides CPAP, but it also detects the patient's inspiratory effort and delivers greater pressure during inspiration (see Figure 2). This is similar to squeezing the bag while assisting a patient with breathing. At the end of the inspiratory phase, the pressure drops back to the preset level of CPAP.

The term “BiPAP” is actually the trade name for the biphasic positive airway pressure device developed and sold by Respironics. Today, however, it's commonly used to describe biphasic positive airway pressure. Other names include bilevel (or biphasic) airway pressure, bilevel (or biphasic) positive pressure, bilevel (or biphasic) CPAP, bilevel (or biphasic) pressure support, among others.

CPAP machines are generally capable of delivering only CPAP, whereas BiPAP machines can deliver either CPAP or BiPAP. Respiratory care practitioners and emergency physicians report that BiPAP provides a greater level of control than CPAP. So it's not uncommon for a patient to be removed from the prehospital CPAP device and placed on a device capable of BiPAP. Usually the patient is kept on CPAP until blood gases are obtained. Once blood gas measurements are evaluated, BiPAP is initiated at settings that will provide the best gas exchange and optimum cardiopulmonary performance.

A 1997 study suggests that BiPAP improves ventilation and vital signs more quickly than CPAP. So in systems where transport times are long (e.g., rural areas), it may be beneficial for patients to be placed on BiPAP rather than CPAP. Improvements in ventilation and vital signs would occur sooner and can be maintained for the duration of the transport. However, the study also revealed an increase in the incidence of myocardial infarction in those patients placed on BiPAP. Thus, it's necessary for the provider to reassess the patient frequently.

Benefits & Drawbacks

BiPAP and CPAP are beneficial because they decrease the need for endotracheal intubation, thereby lessening the complications associated with intubation. These include pneumonia, upper-airway injury and prolonged ICU and hospital stays. Additionally, although the use of NPPV is recommended for relaxed, non-combative patients, the use of these forms of NPPV doesn't generally require sedation.

Complications of BiPAP and CPAP are typically minor and include injury to tissues where the mask makes contact with the face. This risk is especially true for older patients who typically have thinner skin.

Other complications include gastric distention, aspiration pneumonia, hypotension and pneumothorax. For these reasons, NPPV shouldn't be used on patients who have undergone recent facial surgery, have excessive secretions, are experiencing gastrointestinal bleeding or don't have the ability to protect their own airways.

When treating patients in the Emergency Department it is better to institute BiPAP because patients are generally more likely to need ventilatory assistance.

Please Don't Intervene In Saving My Life - Let Me Die Naturally.

As I draw nearer to the end of life on this old earth it is with regret I find myself having to explain why I want No-Intervention in regards to saving my life.

I have been in the health care arena for more than 45 years. I have seen hundreds upon thousands of people both blessed and cursed by our medical system. Times were much simpler in the 1950's when my father passed away. He simply died in his sleep most likely of a massive myocardia infaract. There was no CPR, no rushing him to the Emergency Room, and no Cardiac Surgeons.

When I was 10 and throwing a neighborhood paper route, one of my customers asked me to check on her husband. He had been in the bathroom and had slipped from the toilet onto the floor. She asked that I help him up. When I entered the bathroom it was immediately apparent he was dead. I left him on the floor and told her, it appeared he was dead.

When my mother was in her early 80's my brother Frank called all the brothers and asked if we wanted mother on life support. I told him Mother had a good life and if it were time for her to pass - please let it happen naturally.

And now as I near the end of my life please let it be naturally. Do Not placed me on a ventilator to sustain my life. Do Not let a knife near my chest to make my heart last a few years longer. Do Not poke needles into vital organs to obtain tissue samples for biopsies. If I have a life-threatning disease like cancer please don't radiate me and don't cut on me. Just keep me pain free and please Do Not place me on oxygen which only would prolong my pain and suffering.

You might think I am crazy for wanting a natural death but think of it this way. To this point in time I have lived a 5 dozen plus years. I have loved each and every second of my life and if there comes a time that I cannot continue to enjoy each and every second of life I don't want to live. It is just that simple.

Quality of Life is very important to me and there is NO DOCTOR that can guarantee Quality of Life after cardiac surgery. And NO DOCTOR that can guarantee Qualtiy of Life after poking my prostate and stirring up a potential cancer. There is NO DOCTOR that can put back together my stomach or any other part of my body like GOD intended it to be the first time.

Having Open Heart Surgery at 65, 70, 75 or 80 years of age is NOT what I want to do. The most I can expect is 6 months of hell recovering, a huge medical bill that I can not afford and if I'm really lucky perhaps another 1-15 years of living in pain and most likely on medications I don't want to take. Do you see my point?

Now don't get me wrong. Life is Precious! But Life is Not Precious if I'm in pain everyday to the point where I can not enjoy all that life has to offer.

Please Don't Intervene In Saving My Life - Let Me Die Naturally.

Take Back Your Health

What can you do to 'Take Back Your Health' ?

There are dozens of websites, ebooks, etc concerning this topic. It basically is a New Vision for Health and Wellness. Actually wellness has been promoted by the SDA doctrine for more than 100 years so in this regard it is not new. Now that the western way of eating, drinking, and smoking has reached around the world more and more people are seeing the results of poor eating habits, drinking soda, and smoking tobacco. People are ignorant of basic health care.

Found These Links:

Truth Publishing
http://wareseeker.com/publisher/truth-publishing-inc./332560/
Below is the list of software belong to Truth Publishing Inc.

The Seven Laws of Nutrition - how to transform your health, reverse chronic disease and free yourself from pharmaceuticals by mastering the fundamental laws of nutrition.

How to Prevent and Reverse Prostate Cancer

How to reclaim your natural health power from the doctors, drug companies and food marketers who have stolen your right to be healthy and happy.

The 5 Habits of Health Transformation

Kicking the soft drink habit is a critical step for achieving lasting health and weight loss. Avoiding soft drinks can transform your health and help you lose weight, reverse diabetes, enhance bone density, support healthy brain function, and more.

The Flu Solution - How to boost your flu immunity in 72 hours or less, with or without a flu vaccine

Grocery Warning: How to recognize and avoid the groceries that cause disease

http://www.diesel-ebooks.com/cgi-bin/item/0595796095/Take-Back-Your-Health-eBook.html
Take Back Your Health by

Renee Simon, a respected colleague, has done a masterful job at providing practical and useful information to help you reach a higher level of health and wellbeing. Her use of real-life patient examples helps demonstrate that you too can recover your lost vitality. I recommend this book to my patients and students alike." -David M. Brady, ND, DC, CCN

'Take Back Your Health is loaded with natural health makeovers and new data on a wide variety of common medical problems. Ms. Simon's book on wellness is clearly one of the most inspirational and informative that has come out in a long time." -Pamela D, Blair, PhD, psychotherapist and author The Next Fifty Years: A Guide for Women at Midlife & Beyond
After recovering from her own personal health crisis, author Renee Simon was determined to help others. Her company, Total Wellness, is dedicated to helping people restore body balance, overcome difficult medical conditions, and regain energy and vitality. Take Back Your Health examines a large number of health problems, what causes them, and ways to prevent them. Using her proven four-step program that combines clinical testing with dietary interventions, vitamin and mineral therapies, exercise recommendations, and stress management techniques, Simon will show you how to bring your health back into natural balance.
Balanced meal plans and complete treatment protocols included. Take Back Your Health is like having a dedicated nutritionist for the family.

RCPs who smoke

Do you think Respiratory Care Practitioners who smoke are disrespectful of their patients?

Patients that smell tobacco smoke on the clothing, hands, or hair of nurses, therapist, pca's and other caregivers should request another professional to care for them.

In Arkansas, Louisiana, and California smoking in an automobile with minors is against the law. Our patients should have the same rights as minors in a car when it comes to Third-Hand smoke.

The residue found in Third-Hand smoke includes, heavy metals, carcinogens and, even radioactive materials that are dangerous to both children and adults.

Isn't it time we protect our customers from the effects of Third-Hand smoke.