Commercial Medical Escorts - Blog - Medical Travel Care Our CME blog will keep you aware of what is going on within the aero medical transport industry and the latest news for Commercial Medical Escorts. http://www.commercialmedicalescorts.com/blog/ http://www.rssboard.org/rss-specification BlogEngine.NET 2.0.0.36 en-GB http://www.commercialmedicalescorts.com/blog/opml.axd http://www.dotnetblogengine.net/syndication.axd My name Commercial Medical Escorts - Blog 0.000000 0.000000 National Blood Donor Month <p><img src="http://www.commercialmedicalescorts.com/blog/image.axd?picture=2014%2f12%2fNBDM-logocolor9.jpg" alt="" width="617" height="239" /></p> <p>Next month don’t be surprised if you see a blood donor van at your neighborhood supermarket. Since 1970, January has been recognized as National Blood Donor month. President Richard Nixon introduced the proclamation and stated, “With the advent of the New Year, it is appropriate and timely to pay high tribute to our Nation's voluntary blood donors for their generosity and to encourage more people-both women and men, and both the younger and the older-to join their worthy ranks by providing a steady and increasing supply of blood during each month of the year ahead.” The winter season can be one of the most challenging seasons for acquiring the amount of blood needed for hospitals and medical centers around the world. During the winter there is an increase number of illnesses, people traveling, and holiday schedules. It can also be a challenging time for donors to keep appointments because of the cold and snowy weather in the northeast and also the post-holiday schedules. We can expect to see an increase number of donor buses around towns to increase the number of blood donations.</p> <p>Every day in our country, approximately 39,000 units of blood are required in hospitals and emergency treatment facilities for patients with cancer and other diseases, for organ transplant recipients, and to help save the lives of accident victims. Approximately 37% of the U.S. population is eligible to donate blood, but current statistics show that less than 10% do. Those individuals requiring blood rely on that small percentage of donors to hopefully be enough to meet the needs. Unfortunately that is not always the case. While not every individual is eligible to donate, the preliminary requirements are:</p> <ul> <li>Donors must be in good health.</li> <li>Donors must be at least 17 years old (16 years old with parental consent).</li> <li>Donors must weigh at least 110 pounds.</li> <li>Eligible donors must have a current photo ID, preferably a valid driver’s license. If you are a high school donor and don't have one of these, another form of ID with your photo and proof of age is necessary.</li> </ul> <p>A donor is eligible to donate whole blood every 56 days, or approximately eight weeks. However, it is important to know that some patients around the world need the other components just as much as they may need whole blood. There are four types of products that can come from whole blood donation: red blood cells, platelets, plasma, and cryoprecipitate. Out of one pint of blood, the whole blood can be separated into two or three parts, allowing a single donor to save up to three lives in a single donation. As a donor, you can also choose to only donate certain components. Plasma can be donated as often as once a month. Platelets can be given every seven days, up to 24 times each year. When you give through automation, also known as apheresis, you may be able to save more lives by helping people with specific blood product needs. Every 12 seconds someone needs a blood transfusion. Many people think that blood banks have a surplus of blood on supply for instances of scarcity, but that is a myth and not the case at all. From the moment an individual’s blood is drawn until the moment it is sent out to the hospital is three (3) days. Immediately after an individual’s blood is drawn it is sent to a lab. At that time it is tested and separated. Once the blood is confirmed to be clean and healthy, the blood is distributed to hospitals.</p> <p>This upcoming January, Commercial Medical Escorts encourages you to participate in donating blood if you are able to do so. Consider some of these fast facts:</p> <ul> <li>4.5 million Americans receive blood transfusions each year.</li> <li>40,000 pints are transfused each day in the United States.</li> <li>Every two seconds, someone in the U.S. needs blood.</li> <li>A blood donation can save the life of cancer patients, accident, burn, and trauma victims, newborn babies, mothers delivering babies, transplant patients, surgery patients and others in need.</li> <li>Much of today’s sophisticated medical care (transplants, heart surgeries, etc.) relies on blood transfusions. • Car accident and trauma victims may need as many as 50 or more red cell transfusions.</li> <li>Severe burn victims may need as many as 20 platelet transfusions.</li> <li>Bone marrow transplant patients may require platelets and red cells from more than 100 donors.</li> <li>Blood products are perishable: donated red cells last only 42 days, platelets last only 5 days, and plasma can be frozen for a year.</li> <li>State-of-the art automated red blood cell donation, Alyx (60.2 KB), allows donors to double their impact by donating two units of red cells in one visit. This is a month to remember how we can save lives.</li> </ul> <p>Individuals do this every day around the world. Commercial Medical Escorts encourages individuals to participate in blood donation so that we can collaboratively continue to work towards achieving the highest amount of blood donation to save millions of lives at risk daily. By working together to advocate for effective blood programs and recruitment of donors, we can give hope - and blood - for those who give life.</p> <p>References</p> <p>Blood Facts and Statistics. American Red Cross. Accessed on January 13, 2014. <a href="http://www.redcrossblood.org/learn-about-blood/blood-facts-and-statistics">http://www.redcrossblood.org/learn-about-blood/blood-facts-and-statistics</a></p> <p>Donation Process. American Red Cross. Accessed on January 14, 2014. <a href="http://www.redcrossblood.org/donating-blood/donation-process">http://www.redcrossblood.org/donating-blood/donation-process</a></p> <p> </p> <p> </p> http://www.commercialmedicalescorts.com/blog/post/2014/12/28/National-Blood-Donor-Month.aspx http://www.commercialmedicalescorts.com/blog/post/2014/12/28/National-Blood-Donor-Month.aspx#comment http://www.commercialmedicalescorts.com/blog/post.aspx?id=67b4c68c-020a-4083-8354-d4d87ec00fae Sun, 28 Dec 2014 15:40:00 -1200 CME News Medical Travel Care Lux Joseph http://www.commercialmedicalescorts.com/blog/pingback.axd http://www.commercialmedicalescorts.com/blog/post.aspx?id=67b4c68c-020a-4083-8354-d4d87ec00fae 0 http://www.commercialmedicalescorts.com/blog/trackback.axd?id=67b4c68c-020a-4083-8354-d4d87ec00fae http://www.commercialmedicalescorts.com/blog/post/2014/12/28/National-Blood-Donor-Month.aspx#comment http://www.commercialmedicalescorts.com/blog/syndication.axd?post=67b4c68c-020a-4083-8354-d4d87ec00fae It's Official: CME is Accredited by: Commission on Accreditation of Medical Transport Systems (CAMTS) <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;"> <p><img style="margin-right: auto; margin-left: auto; display: block;" src="http://www.commercialmedicalescorts.com/blog/image.axd?picture=2014%2f11%2fCAMTSBLWEB.png" alt="" /></p> Boca Raton, FL, November 20, 2014--Commercial Medical Escorts Inc. (CME) is among a very small elite group of medical escort services to received accreditation from the Commission on Accreditation of Medical Transport Services (CAMTS). As of October 29, 2014 CME is one of three medical escort programs to complete this process by demonstrating overall high quality of service consistent with the elements of accreditation standards and the professional judgment of the board. </span></div> <div> </div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;">Blake Yturralde, CEO/President said, "I cannot express how proud I am of the entire team at Commercial Medical Escorts. We would have never achieved this recognition without the help of everyone on staff."</span></div> <div> </div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;">Accreditation distinguishes this medical escort program from many other medical escort operators by providing the highest quality of care to its patients as determined by an independent, external process of evaluation.</span></div> <div> </div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;">Status as an accredited organization means Commercial Medical Escorts has met nationally recognized standards for the provision of quality health care set by CAMTS. Less than 175 air medical or ground inter-facility transport service organizations across the United States are accredited by CAMTS. Not all air medical transport service seeks accreditation; not all that undergo the rigorous on-site survey process are granted accreditation.</span></div> <div> </div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;">"We believe our patients deserve the best," stated Blake Yturralde, CEO/President of Commercial Medical Escorts. "When you see our certificate of accreditation, you will know that CAMTS, an independent, not-for-profit organization, has closely examined our facility, process and procedures. It means we as an organization care enough about our patients to strive for the highest level of care possible."</span></div> <div> </div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;">Working towards the CAMTS accreditation was a two year preparation process that included a comprehensive review of the company’s policies and procedures, on-site surveys, sell assessment tools, and evaluation of operation procedures. The survey is consultative and educational, presenting best practices to help an organization improve its care and services.</span></div> <div> </div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;">"Going through the process challenged us to find better ways to serve our patients, and it is a constant reminder that our responsibility is to strive to continuously improve the quality of care we provide," said Blake Yturralde.</span></div> <div> </div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;">The entire team at CME has vast knowledge and expertise in the industry. CME has taken medical transportation to the next level. CME has a natural talent when it comes to dealing with the public in a service industry. We have built a sturdy foundation upon basic principles of integrity, great service, teamwork, and patient care. CME defines everything one can ask for when choosing a medical escort provider.</span></div> <div> </div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;"> <strong> <div> </div> <div>About Commercial Medical Escorts</div> <div> </div> </strong></span></div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;">Commercial Medical Escorts (CME) is a leader in air medical transportation. We are dedicated to providing and maintaining superior patient care throughout all of our domestic and international air medical transports as a cost effective alternative to air ambulance.</span></div> <div> </div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;">When your patient is in need of domestic or international air travel and requires medical assistance, C.M.E. is able to provide that care. Whether being relocated or is stricken while on vacation, C.M.E. is there for you to arrange aeromedical travel assistance during this stressful time. C.M.E provides worldwide airline medical transportation services for assistance companies, hospitals, and private individuals around the globe. We transport our patient’s on a commercial airline with nurse or physician escort utilizing upgraded seating or international stretcher service. Our caring and highly qualified medical professionals deliver the highest level of medical escort services. We have worldwide coverage and have medical personnel strategically positioned around the globe to assist you in a moment’s notice.</span></div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;"> <strong> <div> </div> <div>About CAMTS</div> <div> </div> </strong></span></div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;">CAMTS is an organization of non-profit organizations dedicated to improving the quality and safety of medical transport services, with 21 current member organizations each of which sends one representative to the CAMTS Board of Directors.</span></div> <div> </div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;">The Commission offers a program of voluntary evaluation of compliance with accreditation standards demonstrating the ability to deliver service of a specific quality.</span></div> <div> </div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;">The Commission believes that the two highest priorities of an air medical or ground inter-facility transport service are patient care and safety of the transport environment.</span></div> <div> </div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;">Originally developed through an extensive public comment process and published in 1991, revised every 2-3 years, the Accreditation Standards address issues of patient care and safety in fixed and rotary wing services as well as ground inter-facility services providing critical care transports. Each standard is supported by measurable criteria to measure a program's level of quality.</span></div> <div> </div> <div> </div> <p> </p> http://www.commercialmedicalescorts.com/blog/post/2014/11/21/Its-Official-CME-is-Accredited-by-Commission-on-Accreditation-of-Medical-Transport-Systems-(CAMTS).aspx http://www.commercialmedicalescorts.com/blog/post/2014/11/21/Its-Official-CME-is-Accredited-by-Commission-on-Accreditation-of-Medical-Transport-Systems-(CAMTS).aspx#comment http://www.commercialmedicalescorts.com/blog/post.aspx?id=92b04bda-f172-4d23-a295-e079d18036d8 Fri, 21 Nov 2014 03:35:00 -1200 CME News Medical Travel Care Medical Travel Insurance joey http://www.commercialmedicalescorts.com/blog/pingback.axd http://www.commercialmedicalescorts.com/blog/post.aspx?id=92b04bda-f172-4d23-a295-e079d18036d8 0 http://www.commercialmedicalescorts.com/blog/trackback.axd?id=92b04bda-f172-4d23-a295-e079d18036d8 http://www.commercialmedicalescorts.com/blog/post/2014/11/21/Its-Official-CME-is-Accredited-by-Commission-on-Accreditation-of-Medical-Transport-Systems-(CAMTS).aspx#comment http://www.commercialmedicalescorts.com/blog/syndication.axd?post=92b04bda-f172-4d23-a295-e079d18036d8 The Unexpected Factor <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;">Commercial Medical Escorts is privledged to have David E. Hogan, RN, EMT-P as a member of our medical escort team. David exemplifies one of the best medical escorts and has been with Commercial Medical Escorts since CME started. There isn't a month that goes by in which the office does receive a compliment or positive feedback from a patient that was transported by David. David has taken the time to share with us an experience he had on a medical escort mission to Tanzania and how he meets the challenges of this job with an open mind.</span></div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;"> </span></div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;">By: David E. Hogan, RN, EMT-P</span></div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;"> </span></div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;">Even with the best plans for every medical transport there are issues that come up from time to time.<span style="mso-spacerun: yes;">  </span>I refer to these issues as the “unexpected factor” or, simply, the uF.<span style="mso-spacerun: yes;">  </span>One has to remain calm, be flexible and communicate when they do appear.<span style="mso-spacerun: yes;">  </span>This is the story of one such occurrence.</span></div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;"> </span></div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;">During a scheduled transport from Tanzania in Eastern Africa to Texas an unexpected factor occurred as a result of Mother Nature doing her thing.<span style="mso-spacerun: yes;">  </span>Two days prior to my arrival in Arusha, Tanzania there was a heavy downpour of rain high in the mountains near the area of the Serengeti Plains.<span style="mso-spacerun: yes;">  </span>Little did I know that this little event would directly affect my transport for the patient.<span style="mso-spacerun: yes;">  </span></span></div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;"> </span></div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;">The morning following my arrival in Arusha I was to be transported by ground to the patient’s location during an expected 3-hr roundtrip.<span style="mso-spacerun: yes;">  </span>The trip began early on a beautiful morning in Africa.<span style="mso-spacerun: yes;">  </span>After a brief encounter with an Arusha traffic jam, complete with cars, numerous motorbikes and herded animals including cows, sheep and goats we made our way out to the highway heading towards Karatu. </span></div> <div> </div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;"> <div> </div> <div><img src="http://www.commercialmedicalescorts.com/blog/image.axd?picture=2014%2f10%2fDavid5.jpg" alt="" width="705" height="288" /></div> <div>We passed miles of lush green farm and pastureland dotted with numerous Masai village homesteads.<span style="mso-spacerun: yes;">  </span></div> </span></div> <div> </div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;">  <p><img src="http://www.commercialmedicalescorts.com/blog/image.axd?picture=2014%2f10%2fDavid4.jpg" alt="" width="709" height="402" /></p> </span></div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;">At approximately 2/3 of the way to Karatu my driver received a cell phone call notifying him that the one and only bridge to Karatu was washed away.<span style="mso-spacerun: yes;">  </span>We immediately turned back to Arusha and I made contact with the company regarding this unexpected factor.<span style="mso-spacerun: yes;">  </span>The driver had mentioned to me at this point that there was a small commuter airport near Arusha.<span style="mso-spacerun: yes;">  </span>He then contacted his company to inquire about the availability of their services for our transport needs to reach Karatu.<span style="mso-spacerun: yes;">  </span>During our return all the necessary arrangements were made and confirmation was received for my flight over and the return with the clients via the small commuter line.<span style="mso-spacerun: yes;">  </span>We proceeded to the little Arusha airstrip and I quickly obtained a boarding pass for the flight to the Lake Manyari Airport, approximately 35-40 minutes from the medical clinic where the patient was being treated.<span style="mso-spacerun: yes;">  </span></span></div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;">  <p><img src="http://www.commercialmedicalescorts.com/blog/image.axd?picture=2014%2f10%2fDavid3.jpg" alt="" width="706" height="293" /></p> </span></div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;">After a short flight via a twin-engine prop plane I arrived to an awaiting driver.<span style="mso-spacerun: yes;">  </span>He quickly made his way to the clinic as I noticed several areas where the flood waters had just receded.<span style="mso-spacerun: yes;">  </span>Many of the streets were mud-covered and there was little traffic out.<span style="mso-spacerun: yes;">  </span></span></div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;"> <p><img src="http://www.commercialmedicalescorts.com/blog/image.axd?picture=2014%2f10%2fDavid2.jpg" alt="" width="671" height="375" /></p>  </span></div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;">Shortly after our arrival at the clinic and my assessment of the patient we headed back to the Lake Manyari Airport for our flight, arriving some 10 – 15 minutes before the scheduled departure back to Arusha.</span></div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;"> <img src="http://www.commercialmedicalescorts.com/blog/image.axd?picture=2014%2f10%2fDavid1.jpg" alt="" width="649" height="344" /> <p> </p> </span></div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;">We quickly stored and secured their baggage and the medical equipment for the return flight and departed without delay.<span style="mso-spacerun: yes;">  </span>During the short flight back we flew over the affected areas and could clearly see homes and roads washed away. </span></div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;"> </span></div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;">Safely arriving back at the Arusha Airport, we then made our way to the hotel for our overnight stay prior to an early morning departure the next day.<span style="mso-spacerun: yes;">  </span>The original itinerary was resumed and we eventually arrived back in Texas many hours later.<span style="mso-spacerun: yes;">  </span>Once we reached their home, which was the final destination, I assisted with the setup of the Oxygen Concentrator and gave instructions to both the patient and her spouse. She had a previously scheduled appointment with her doctor on the following day and she needed to have oxygen during the night.<span style="mso-spacerun: yes;">  </span>That was the conclusion of a successful transport.<span style="mso-spacerun: yes;">  </span><span style="mso-spacerun: yes;"> </span>This with completed safely and without any further incidents after the initial uF regarding the washed-out bridge and roadway.<span style="mso-spacerun: yes;">  </span></span></div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;"> </span></div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;">The issue of this unexpected factor was handled calmly and without any delay in the remainder of the patient’s itinerary. In summary, even the best plans could have some unexpected factors appear.<span style="mso-spacerun: yes;">  </span>One has to remember to exercise calm and proceed with due diligence, communicating the proper information so that a successful alternative can be reached.<span style="mso-spacerun: yes;">  </span>This action is vital when our goal is to successfully complete our patient transports.</span></div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;"> </span></div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;">At Commercial Medical Escorts we do our best to prepare our escorts for any challenges or obstacles they may encounter during a journey, but as David has described to us, there are still things that happen our of our control. All of our escorts are trained to handle situations in a calm manner as David described. We believe in deliverying only the highest quality of service and this is accomplaished through excellenc training, high quality nurses, physicians, and paramedics, and an extremely effective operations team.</span></div> <div> </div> <p> </p> <p> </p> <p> </p> <p> </p> http://www.commercialmedicalescorts.com/blog/post/2014/10/28/The-Unexpected-Factor.aspx http://www.commercialmedicalescorts.com/blog/post/2014/10/28/The-Unexpected-Factor.aspx#comment http://www.commercialmedicalescorts.com/blog/post.aspx?id=71d1801d-bba3-4731-82b3-394cbcc5132b Tue, 28 Oct 2014 07:27:00 -1200 CME News Medical Travel Care Senior Travel Travel Stories Lux Joseph http://www.commercialmedicalescorts.com/blog/pingback.axd http://www.commercialmedicalescorts.com/blog/post.aspx?id=71d1801d-bba3-4731-82b3-394cbcc5132b 0 http://www.commercialmedicalescorts.com/blog/trackback.axd?id=71d1801d-bba3-4731-82b3-394cbcc5132b http://www.commercialmedicalescorts.com/blog/post/2014/10/28/The-Unexpected-Factor.aspx#comment http://www.commercialmedicalescorts.com/blog/syndication.axd?post=71d1801d-bba3-4731-82b3-394cbcc5132b Prevent RX Abuse Among Youth <p><span style="font-size: small; line-height: 115%; font-family: arial,helvetica,sans-serif;">Last week we informed you about October being breast cancer awareness month, but did you know that October is also National Medicine Abuse Awareness Month. Prescription medicine—a critical piece of our cultural fabric—“a pill for every ill”—all you have to do is turn on the TV, listen to the radio or view ads on the Internet or in the newspaper to see and hear about the latest medicine that can cure migraines, treat pain and stress, keep you more alert, help you sleep or address depression. We walk that fine line between ensuring access to needed medications to preventing misuse/abuse and addiction. </span></p> <p><span style="font-size: small; font-family: arial,helvetica,sans-serif;">Commercial Medical Escorts encourages you to educate children and young people about the realities and dangers of prescription drug abuse. By educating the youth we can increase our chances of preventing them from starting to abuse psychotherapeutics in the first place. The statistics can be shocking including: </span></p> <ul type="disc"> <li class="MsoNormal" style="mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; line-height: normal; mso-list: l0 level1 lfo3; tab-stops: list .5in;"><span style="font-size: small; font-family: arial,helvetica,sans-serif;">The rate of current illicit drug use among people aged 12 or older was higher for males (11.6 percent) than for females (6.9 percent). Males were more likely than females to be current users of several different illicit drugs, including nonmedical users of psychotherapeutic drugs (2.8 versus. 2.4 percent).</span></li> <li class="MsoNormal" style="mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; line-height: normal; mso-list: l0 level1 lfo3; tab-stops: list .5in;"><span style="font-size: small; font-family: arial,helvetica,sans-serif;">Among 16 or 17 year olds, 4.0 percent used psychotherapeutic drugs nonmedically (with 3.1 percent using pain relievers nonmedically); prescription medications came in second to marijuana.</span></li> <li class="MsoNormal" style="mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; line-height: normal; mso-list: l0 level1 lfo3; tab-stops: list .5in;"><span style="font-size: small; font-family: arial,helvetica,sans-serif;">The rate of current nonmedical use of psychotherapeutic drugs among young adults aged 18 to 25 was 5.3 percent. The rate of current nonmedical use of pain relievers among young adults in 2012 was 3.8 percent.</span></li> <li class="MsoNormal" style="mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; line-height: normal; mso-list: l0 level1 lfo3; tab-stops: list .5in;"><span style="font-size: small; font-family: arial,helvetica,sans-serif;">The rate of current illicit drug use among adults aged 26 or older was 7.0 percent, including rates of 5.3 percent for current use of marijuana and 2.1 percent for current nonmedical use of psychotherapeutic drugs.</span></li> </ul> <p><span style="font-size: small; font-family: arial,helvetica,sans-serif;"><em>Source: <a href="http://www.samhsa.gov/data/NSDUH/2012SummNatFindDetTables/NationalFindings/NSDUHresults2012.htm#ch1.1">2012 National Survey on Drug Use and Health (NSDUH)</a></em></span></p> <p class="MsoNormal"><span style="font-size: small; line-height: 115%; font-family: arial,helvetica,sans-serif;">The good news is that nationally, among youths aged 12 to 17, the rate of current nonmedical use of prescription-type drugs declined from 4.0 percent in 2002 to its current levels. While we can say, “great job,” we need to remember that</span></p> <ul> <li><span style="font-size: small; font-family: arial,helvetica,sans-serif;"><span style="line-height: 115%;">Many teens and young adults still believe that Rx medicines are safer to abuse than illegal drugs.</span></span></li> <li> <span style="font-size: small; font-family: arial,helvetica,sans-serif;"><span style="line-height: 115%;">These medicines are easy to get—about 54 percent of those abusing these medicines obtain them from friends and relatives.</span></span></li> <li><span style="font-size: small; font-family: arial,helvetica,sans-serif;"><span style="line-height: 115%;">Approximately 2000 teens misuse or abuse Rx drugs for the first time each day (NIDA FOR TEENS).</span></span></li> </ul> <p class="MsoNormal"><span style="font-size: small; line-height: 115%; font-family: arial,helvetica,sans-serif;">As such, some teens and young adults <em style="mso-bidi-font-style: normal;">will</em> fall down that slippery slope of abuse and addiction. And before you can say, “Not <em style="mso-bidi-font-style: normal;">my </em>child,” you may find yourself saying, “it <em style="mso-bidi-font-style: normal;">is </em>my child—now what?” </span></p> <p class="MsoNormal"><span style="font-size: small; line-height: 115%; font-family: arial,helvetica,sans-serif;">Be a part of the solution. CME encourages parents to lock up your medications and properly dispose them when they’re no longer needed. Then, get involved. Talk with your teen or young adult. </span></p> <p class="MsoNormal"><span style="font-size: small; line-height: 115%; font-family: arial,helvetica,sans-serif;">In this age of a “pill for every ill,” we live in a society where the potential for prescription drug abuse and addiction is ever-present. Among teens and young adults, next to marijuana, Rx drugs are abused the most. According to the latest <em style="mso-bidi-font-style: normal;">National Survey on Drug Use and Health</em>, 6.8 million people or 2.6 percent of the population were unmedical users of Rx medicines in 2012.  Out of this number, 2.8 percent represent young people, aged 12-17. Data also tells us that they’re abusing pain relievers, depressants and stimulants to go to sleep, wake up, stay alert and/or get high.</span></p> <p class="MsoNormal"><span style="font-size: small; line-height: 115%; font-family: arial,helvetica,sans-serif;">We see the more visible signs of Rx abuse every day:</span></p> <ul> <li><span style="font-size: small; font-family: arial,helvetica,sans-serif;"><span style="line-height: 115%;">Philip Seymour Hoffman—died of a heroin overdose, triggered by an addiction to prescription pain medicines.</span></span></li> <li><span style="font-size: small; font-family: arial,helvetica,sans-serif;"><span style="line-height: 115%;">Whitney Houston—died of an overdose of cocaine and prescription drugs.</span></span></li> <li> <span style="font-size: small; font-family: arial,helvetica,sans-serif;"><span style="line-height: 115%;">Heather Ledger—died of an overdose of sleeping pills—both prescription and over-the-counter.</span></span></li> </ul> <ul> <li> <span style="font-size: small; font-family: arial,helvetica,sans-serif;"><span style="line-height: 115%;">Michael Jackson, Marilyn Monroe, Anna Nicole Smith, Brian “Crush” Adams (professional wrestler) and Ken Caminiti (1996 Most Valuable Player-played for Houston Astros, San Diego Padres and the Atlanta Braves)—died of prescription drug overdose.</span></span></li> </ul> <p class="MsoNormal"><span style="font-size: small; line-height: 115%; font-family: arial,helvetica,sans-serif;">Some key side effects of abuse include the following:</span></p> <p class="MsoListParagraphCxSpFirst" style="margin-left: 39.0pt; mso-add-space: auto; text-indent: -.25in; mso-list: l2 level1 lfo4;"><span style="font-size: small; font-family: arial,helvetica,sans-serif;"><span style="line-height: 115%;">·<span style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; font-size-adjust: none; font-stretch: normal;">      </span></span><span style="line-height: 115%;">Nausea and vomiting</span></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin-left: 39.0pt; mso-add-space: auto; text-indent: -.25in; mso-list: l2 level1 lfo4;"><span style="font-size: small; font-family: arial,helvetica,sans-serif;"><span style="line-height: 115%;">·<span style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; font-size-adjust: none; font-stretch: normal;">      </span></span><span style="line-height: 115%;">Abdominal pain</span></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin-left: 39.0pt; mso-add-space: auto; text-indent: -.25in; mso-list: l2 level1 lfo4;"><span style="font-size: small; font-family: arial,helvetica,sans-serif;"><span style="line-height: 115%;">·<span style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; font-size-adjust: none; font-stretch: normal;">      </span></span><span style="line-height: 115%;">Confusion</span></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin-left: 39.0pt; mso-add-space: auto; text-indent: -.25in; mso-list: l2 level1 lfo4;"><span style="font-size: small; font-family: arial,helvetica,sans-serif;"><span style="line-height: 115%;">·<span style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; font-size-adjust: none; font-stretch: normal;">      </span></span><span style="line-height: 115%;">Dizziness</span></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin-left: 39.0pt; mso-add-space: auto; text-indent: -.25in; mso-list: l2 level1 lfo4;"><span style="font-size: small; font-family: arial,helvetica,sans-serif;"><span style="line-height: 115%;">·<span style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; font-size-adjust: none; font-stretch: normal;">      </span></span><span style="line-height: 115%;">Double or blurred vision</span></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin-left: 39.0pt; mso-add-space: auto; text-indent: -.25in; mso-list: l2 level1 lfo4;"><span style="font-size: small; font-family: arial,helvetica,sans-serif;"><span style="line-height: 115%;">·<span style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; font-size-adjust: none; font-stretch: normal;">      </span></span><span style="line-height: 115%;">Slurred speech</span></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin-left: 39.0pt; mso-add-space: auto; text-indent: -.25in; mso-list: l2 level1 lfo4;"><span style="font-size: small; font-family: arial,helvetica,sans-serif;"><span style="line-height: 115%;">·<span style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; font-size-adjust: none; font-stretch: normal;">      </span></span><span style="line-height: 115%;">Rapid heart beat</span></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin-left: 39.0pt; mso-add-space: auto; text-indent: -.25in; mso-list: l2 level1 lfo4;"><span style="font-size: small; font-family: arial,helvetica,sans-serif;"><span style="line-height: 115%;">·<span style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; font-size-adjust: none; font-stretch: normal;">      </span></span><span style="line-height: 115%;">Drowsiness</span></span></p> <p class="MsoListParagraphCxSpMiddle" style="margin-left: 39.0pt; mso-add-space: auto; text-indent: -.25in; mso-list: l2 level1 lfo4;"><span style="font-size: small; font-family: arial,helvetica,sans-serif;"><span style="line-height: 115%;">·<span style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; font-size-adjust: none; font-stretch: normal;">      </span></span><span style="line-height: 115%;">Disorientation</span></span></p> <p class="MsoListParagraphCxSpLast" style="margin-left: 39.0pt; mso-add-space: auto; text-indent: -.25in; mso-list: l2 level1 lfo4;"><span style="font-size: small; font-family: arial,helvetica,sans-serif;"><span style="line-height: 115%;">·<span style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; font-size-adjust: none; font-stretch: normal;">      </span></span><span style="line-height: 115%;">Impaired physical coordination</span></span></p> <p class="MsoNormal"><span style="font-size: small; line-height: 115%; font-family: arial,helvetica,sans-serif;">At Commercial Medical Escorts we encourage you to educate yourself about the abuse and ways you can prevent it from happening to a love one. As a parent you will want to know potential warning signs of abuse:</span></p> <p class="MsoNormal" style="margin-left: .5in; text-indent: -.25in; mso-list: l1 level1 lfo5; tab-stops: list .5in;"><span style="font-size: small; font-family: arial,helvetica,sans-serif;"><span style="line-height: 115%;">•<span style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; font-size-adjust: none; font-stretch: normal;">       </span></span><span style="line-height: 115%;">Empty cough medicine boxes or bottles in the trash a teen’s room, backpack or school locker</span></span></p> <p class="MsoNormal" style="margin-left: .5in; text-indent: -.25in; mso-list: l1 level1 lfo5; tab-stops: list .5in;"><span style="font-size: small; font-family: arial,helvetica,sans-serif;"><span style="line-height: 115%;">•<span style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; font-size-adjust: none; font-stretch: normal;">       </span></span><span style="line-height: 115%;">Teens purchasing or using cough medicine when not ill</span></span></p> <p class="MsoNormal" style="margin-left: .5in; text-indent: -.25in; mso-list: l1 level1 lfo5; tab-stops: list .5in;"><span style="font-size: small; font-family: arial,helvetica,sans-serif;"><span style="line-height: 115%;">•<span style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; font-size-adjust: none; font-stretch: normal;">       </span></span><span style="line-height: 115%;">Missing boxes or bottles from home medicine supply</span></span></p> <p class="MsoNormal" style="margin-left: .5in; text-indent: -.25in; mso-list: l1 level1 lfo5; tab-stops: list .5in;"><span style="font-size: small; font-family: arial,helvetica,sans-serif;"><span style="line-height: 115%;">•<span style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; font-size-adjust: none; font-stretch: normal;">       </span></span><span style="line-height: 115%;">Hearing a teen use certain slang terms for DXM abuse, such as skittles, skittling, tussin, robo-tripping, robo, CCC, triple Cs,  and Dexing/DXM</span></span></p> <p class="MsoNormal"><span style="font-size: small; line-height: 115%; font-family: arial,helvetica,sans-serif;"> </span></p> <p class="MsoNormal"><span style="font-size: small; font-family: arial,helvetica,sans-serif;"><em style="mso-bidi-font-style: normal;"><span style="line-height: 115%;"> </span></em><span style="line-height: 115%;">If you suspect or recognize any of these instances occurring then it is likely that you child could be abusing and at that point you should be proactive. Talking to your teen, talking to other parents, and monitoring your child’s behaviors are critical to determining the best way to approach the situation. Being proactive, being alert, and addressing the situation in the early stages will be more effective than ignoring or hoping it will go away on its own. Take action!</span></span></p> http://www.commercialmedicalescorts.com/blog/post/2014/10/17/Prevent-RX-Abuse-Among-Youth.aspx http://www.commercialmedicalescorts.com/blog/post/2014/10/17/Prevent-RX-Abuse-Among-Youth.aspx#comment http://www.commercialmedicalescorts.com/blog/post.aspx?id=83b28589-53f3-48eb-8f41-802748065991 Fri, 17 Oct 2014 15:19:00 -1200 CME News Medical Travel Care Travel Tips Lux Joseph http://www.commercialmedicalescorts.com/blog/pingback.axd http://www.commercialmedicalescorts.com/blog/post.aspx?id=83b28589-53f3-48eb-8f41-802748065991 0 http://www.commercialmedicalescorts.com/blog/trackback.axd?id=83b28589-53f3-48eb-8f41-802748065991 http://www.commercialmedicalescorts.com/blog/post/2014/10/17/Prevent-RX-Abuse-Among-Youth.aspx#comment http://www.commercialmedicalescorts.com/blog/syndication.axd?post=83b28589-53f3-48eb-8f41-802748065991 Prevention Tips for Breast Cancer <p style="text-align: center;"><span style="font-family: arial,helvetica,sans-serif; font-size: small;">Every 2 minutes, there is a new breast cancer diagnosis.</span></p> <p style="text-align: center;"><span style="font-family: arial,helvetica,sans-serif; font-size: small;">Every 14 minutes, a life is lost to the disease.</span></p> <p style="text-align: center;"><span style="font-family: arial,helvetica,sans-serif; font-size: small;">Over 40,000 people will die this year; about 400 of them will be men.</span></p> <p style="text-align: center;"><span style="font-family: arial,helvetica,sans-serif; font-size: small;">85% of all diagnoses have no family history.</span></p> <p style="text-align: center;"><span style="font-family: arial,helvetica,sans-serif; font-size: small;">1 in 8 women will be diagnosed with breast cancer.</span></p> <p style="text-align: center;"><span style="font-family: arial,helvetica,sans-serif; font-size: small;">Breast cancer is the leading cause of death in women between ages 40 and 55.</span></p> <p><span style="font-size: small; font-family: arial,helvetica,sans-serif;">Cancer takes a toll on communities across the United States. It’s a complex disease that affects people in each city, town, and neighborhood differently. Prevention is the best way to fight cancer. This means getting people to do things that will protect their health—like get screened, quit smoking, and exercise more. It also means bringing together local leaders to support local cancer prevention efforts. </span></p> <p><span style="font-size: small; font-family: arial,helvetica,sans-serif;">This October, Commercial Medical Escorts (CME) is proud to participate in National Breast Cancer Awareness Month. Breast cancer is the second most common kind of cancer in women. About 1 in 8 women born today in the United States will get breast cancer at some point. The good news is that many women can survive breast cancer if it’s found and treated early.</span></p> <p><span style="font-size: small; font-family: arial,helvetica,sans-serif;"> </span></p> <p><span style="font-family: arial,helvetica,sans-serif; font-size: small;">·<span style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; font-size-adjust: none; font-stretch: normal;">       </span>If you are a woman age 40 to 49, talk with your doctor about when to start getting mammograms and how often to get them.</span></p> <p><span style="font-family: arial,helvetica,sans-serif; font-size: small;">·<span style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; font-size-adjust: none; font-stretch: normal;">       </span>If you are a woman age 50 to 74, be sure to get a mammogram every 2 years. </span></p> <p><span style="font-size: small; font-family: arial,helvetica,sans-serif;"> </span></p> <p><span style="font-size: small; font-family: arial,helvetica,sans-serif;">You may also choose to get them more often. </span></p> <p><span style="font-size: small; font-family: arial,helvetica,sans-serif;">Talk to a doctor about your risk for breast cancer, especially if a close family member of yours has had breast or ovarian cancer. Your doctor can help you decide when and how often to get mammograms.</span></p> <p><span style="font-size: small; font-family: arial,helvetica,sans-serif;">CME will be sharing with you tools and tips to protect your health this October. It is important to be proactive when it comes to your well being and staying healthy. This week CME is going to focus on tips to help you prevent breast cancer. While most marketing and publicity focuses around women getting breast cancer, keep in mind it can also occur in men.</span></p> <p><span style="font-family: arial,helvetica,sans-serif; font-size: small;"><strong style="mso-bidi-font-weight: normal;">1. Schedule your well-woman visit with a doctor or nurse every year.</strong> The well-woman visit is an important way to help you stay healthy. Well-woman visits include a full checkup, separate from any other visit for sickness or injury. These visits focus on preventive care for women, which may include:</span></p> <p><span style="font-family: arial,helvetica,sans-serif; font-size: small;">·<span style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; font-size-adjust: none; font-stretch: normal;">       </span>Services, like shots, that improve your health by preventing diseases and other health problems</span></p> <p><span style="font-family: arial,helvetica,sans-serif; font-size: small;">·<span style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; font-size-adjust: none; font-stretch: normal;">       </span>Screenings, which are medical tests to check for diseases early when they may be easier to treat</span></p> <p><span style="font-family: arial,helvetica,sans-serif; font-size: small;">·<span style="font-style: normal; font-variant: normal; font-weight: normal; line-height: normal; font-size-adjust: none; font-stretch: normal;">       </span>Education and counseling to help you make informed health decisions</span></p> <ol type="1"> </ol> <p><span style="font-family: arial,helvetica,sans-serif; font-size: small;"><strong style="mso-bidi-font-weight: normal;">2. Stay at a healthy weight.</strong> Being overweight has many negative consequences for health, and the risk of breast cancer is one of them. The effect of weight is dramatic. Obesity raises the risk of breast cancer after menopause, the time of life when breast cancer most often occurs. Strive to keep your body mass index (BMI) under 25. Breast cancer is often detected at a later stage in obese women, and obese women are more likely to die from breast cancer.</span><br /><span style="font-family: arial,helvetica,sans-serif; font-size: small;"><strong></strong></span></p> <p><span style="font-family: arial,helvetica,sans-serif; font-size: small;"><strong>3. Eat healthy to avoid tipping the scale</strong>. Embrace a diet high in vegetables and fruit and low in sugared drinks, refined carbohydrates and fatty foods. Eat lean protein such as fish or chicken breast and eat red meat in moderation, if at all. Eat whole grains. Choose vegetable oils over animal fats.</span><br /><span style="font-family: arial,helvetica,sans-serif; font-size: small;"><strong></strong></span></p> <p><span style="font-family: arial,helvetica,sans-serif; font-size: small;"><strong>4. Keep physically active</strong>. Research suggests that increased physical activity, even when begun later in life, reduces overall breast-cancer risk by about 10 percent to 30 percent. All it takes is moderate exercise like a 30-minute walk five days a week to get this protective effect.</span><br /><span style="font-family: arial,helvetica,sans-serif; font-size: small;"><strong></strong></span></p> <p><span style="font-family: arial,helvetica,sans-serif; font-size: small;"><strong>5. Drink little or no alcohol</strong>. Alcohol use is associated with an increased risk of breast cancer. Women should limit intake to no more than one drink per day, regardless of the type of alcohol.</span><br /> <span style="font-family: arial,helvetica,sans-serif; font-size: small;"><strong></strong></span></p> <p><span style="font-family: arial,helvetica,sans-serif; font-size: small;"><strong>6. Don’t smoke</strong>. Research suggests that long-term smoking is associated with increased risk of breast cancer in some women.</span><br /> <span style="font-family: arial,helvetica,sans-serif; font-size: small;"><strong></strong></span></p> <p><span style="font-family: arial,helvetica,sans-serif; font-size: small;"><strong>7. If you bear children, breast-feed your babies for as long as possible</strong>. Women who breast-feed their babies for at least a year in total have a reduced risk of developing breast cancer later.</span><br /><span style="font-family: arial,helvetica,sans-serif; font-size: small;"> <strong></strong></span><span style="font-family: arial,helvetica,sans-serif; font-size: small;"><strong></strong></span></p> <p><span style="font-family: arial,helvetica,sans-serif; font-size: small;"><strong>8. Avoid hormone replacement therapy</strong>. Menopausal hormone therapy increases risk for breast cancer. If you must take hormones to manage menopausal symptoms, avoid those that contain progesterone and limit their use to less than three years. “Bioidentical hormones” and hormonal creams and gels are no safer than prescription hormones and should also be avoided.</span><br /> <span style="font-family: arial,helvetica,sans-serif; font-size: small;"><strong></strong></span></p> <p><span style="font-family: arial,helvetica,sans-serif; font-size: small;"><strong>9. Consume a diet low in animal-based products. </strong>Animal-based products are extremely inflammatory and expose the body to a high dose of arachidonic acid, an inflammatory mediator. Fill half your plate with veggies or even consider a vegan-based diet. </span><br /> <span style="font-family: arial,helvetica,sans-serif; font-size: small;"><strong></strong></span></p> <p><span style="font-family: arial,helvetica,sans-serif; font-size: small;"><strong>10. Dedicate at least 8 hours to sleep. </strong>A study published in August 2012 showed an association between less sleep and development of aggressive forms of breast cancers in women. If you suffer from chronic sleep issues, work with your physician to find the underlying cause and correct it. Using drugs isn't the answer! </span><br /> <span style="font-family: arial,helvetica,sans-serif; font-size: small;">Should you have any additional questions, please consult your physician. Some tips and resources are from the National Comprehensive Cancer Network® (NCCN®) and we encourage you to visit their website. Throughout the month we will share additional tips and resources to keep you staying health.</span></p> <p class="MsoNormal" style="mso-margin-top-alt: auto; mso-margin-bottom-alt: auto;"><span style="font-size: 10.0pt; font-family: Arial; mso-fareast-font-family: "Times New Roman";"> </span></p> <p class="MsoNormal" style="text-align: justify; text-justify: inter-ideograph;"><span style="font-size: 10.0pt; font-family: Arial; mso-fareast-font-family: "Times New Roman";"> </span></p> <p><a title="National Health Observances" href="http://healthfinder.gov/nho/OctoberToolkit.aspx" target="_blank"><img style="display: block; margin-left: auto; margin-right: auto;" src="http://healthfinder.gov/images/NHOtoolkits/badges/toolkit_badge_Oct.gif" alt="National Breast Cancer Awareness Month" width="120" height="240" /></a></p> http://www.commercialmedicalescorts.com/blog/post/2014/10/05/Prevention-Tips-for-Breast-Cancer.aspx http://www.commercialmedicalescorts.com/blog/post/2014/10/05/Prevention-Tips-for-Breast-Cancer.aspx#comment http://www.commercialmedicalescorts.com/blog/post.aspx?id=af4bb91e-703b-4c99-9184-6ffdf1c72fff Sun, 05 Oct 2014 08:51:00 -1200 CME News Medical Travel Care Lux Joseph http://www.commercialmedicalescorts.com/blog/pingback.axd http://www.commercialmedicalescorts.com/blog/post.aspx?id=af4bb91e-703b-4c99-9184-6ffdf1c72fff 0 http://www.commercialmedicalescorts.com/blog/trackback.axd?id=af4bb91e-703b-4c99-9184-6ffdf1c72fff http://www.commercialmedicalescorts.com/blog/post/2014/10/05/Prevention-Tips-for-Breast-Cancer.aspx#comment http://www.commercialmedicalescorts.com/blog/syndication.axd?post=af4bb91e-703b-4c99-9184-6ffdf1c72fff Take a Break to Avoid Computer Vision Syndrome (CVS) <p><span style="font-family: arial,helvetica,sans-serif; font-size: small;">Does your job require you to be in front of a computer 8 hours a day? Or when you are at home do you spend a great deal of time watching TV or using other electronic devices with a screen? If you are using any type of digital technology for prolonged periods of time you could be subject to computer vision syndrome, or CVS. This is strain on your eyes caused by using a computer or other technological devices for long periods of time. At CME, our Medical Evacuation Coordinators job duties require them to utilize a computer throughout their shift, but CME takes measures to ensure CVS does not affect their performance at work or at home.</span><br /> <br /><span style="font-family: arial,helvetica,sans-serif; font-size: small;">As an individual you should be aware of the effects that CVS may have on you and things that you can do to prevent it. For some people, there may not be any alternative to working on a computer for your entire shift at work. However, with some of these tips you will be able to reduce the amount of discomfort to your eyes. Some symptoms of CVS include headache, back, neck or shoulder pain; increased sensitivity to light, blurred vision, difficulty focusing, or even double vision. None of these will cause permanent damage, but these symptoms could affect your work performance or your performance at home.</span><br /> <br /><span style="font-family: arial,helvetica,sans-serif; font-size: small;">When individuals blink, they are bathing their eyes in therapeutic tears. This will moisten and refresh the surface of the corneas. Some people are not aware that when you are looking at a computer screen or other digital devices you tend to blink less and therefore this can result in your eyes being dry and not receiving adequate amount of moisture to keep them wet and refreshed.</span><br /> <br /><span style="font-family: arial,helvetica,sans-serif; font-size: small;">Viewing a computer screen and other electronic device screens make your eyes work harder. If you work in this type of environment, you must realize that you are putting strain on your body and vision. Other factors that you should be aware of that can cause CVS are:</span><br /> <br /></p> <ul> <li><span style="font-family: arial,helvetica,sans-serif; font-size: small;">Poor Lighting</span></li> <li><span style="font-family: arial,helvetica,sans-serif; font-size: small;">Glare on the Screen</span></li> <li><span style="font-family: arial,helvetica,sans-serif; font-size: small;">Improper Viewing Distance</span></li> <li><span style="font-family: arial,helvetica,sans-serif; font-size: small;">Uncorrected vision problems</span></li> <li><span style="font-family: arial,helvetica,sans-serif; font-size: small;">Poor Seating Posture</span></li> <li><span style="font-family: arial,helvetica,sans-serif; font-size: small;">Any combination of these factors</span></li> </ul> <p> <br /><span style="font-family: arial,helvetica,sans-serif; font-size: small;">If you think that you may have CVS, we would recommend that you go see your ophthalmologist and they will be able to accurately diagnose CVS. This is done through a comprehensive eye examination as well as an assessment of your environment and work factors that may contribute to the symptoms that you are experiencing.</span><br /> <br /><span style="font-family: arial,helvetica,sans-serif; font-size: small;">However there are also things that you can do for yourself to help prevent CVS and to ensure you are comfortable throughout the workday. By using some of the following tips you will see a difference in how your body and eyes feel when using electronic devices.</span><br /> <br /></p> <ul> <li><span style="font-family: arial,helvetica,sans-serif; font-size: small;">Your monitor should be positioned in front of you so that there is 20 to 40 inches from your eyes with the top of the screen at eye level</span></li> <li><span style="font-family: arial,helvetica,sans-serif; font-size: small;">The letters on the screen should be easy for you to read. Adjust the contrast and brightness levels as necessary. You may wish to increase the font size or use the built in functions on the word processing application and web browser to zoom to the appropriate level</span></li> <li><span style="font-family: arial,helvetica,sans-serif; font-size: small;">Keep your monitor clean and free of dust</span></li> <li><span style="font-family: arial,helvetica,sans-serif; font-size: small;">Your keyboard should be directly in front of you. You do not want it too high or too low or at an angle. This can cause distress or fatigue in your eyes, wrists, and hands.</span></li> <li><span style="font-family: arial,helvetica,sans-serif; font-size: small;">If you are looking at reading material, it is good to place is on a document holder beside your monitor that is at the same level, angle, and distance from your eyes as your monitor. This will reduce the amount of neck and hand movement as well as limit the number of times your eyes need to adjust</span></li> <li><span style="font-family: arial,helvetica,sans-serif; font-size: small;">Remember the rule 20-20-20. Every 20 minutes you should spend 20 seconds looking at something 20 feet away. It is important that you take breaks throughout the day and focus on other tasks such as file organizing, phone calls, or another task that is not focused on the computer.</span></li> <li><span style="font-family: arial,helvetica,sans-serif; font-size: small;">Throughout the day it is important for you to blink often. If your eyes are irritated, they could be dry and you could use over-the-counter artificial teardrops. Eye drops that do not contain preservatives can be used at often as desired. Eye drops that have preservatives should not be used more than four times a day.</span></li> <li><span style="font-family: arial,helvetica,sans-serif; font-size: small;">Practice relaxation exercises throughout the day</span></li> </ul> <p><br /> <br /><span style="font-family: arial,helvetica,sans-serif; font-size: small;">Keep in mind that CVS can occur when you are using ANY electronic device. While you may not utilize a computer 8 hours, individuals use smartphones, tablets, and e-readers on a daily basis. It is important that you take frequent breaks when using any of these devices. Recently Apple introduced the iPhone 6 and you will recognize they increased their screen. While this may be the direction that smart phone industry is going, having a larger screen will have less strain on the user.</span><br /> <br /><span style="font-family: arial,helvetica,sans-serif; font-size: small;">Some content courtesy of American Optometric Association.</span><br /> <br /></p> http://www.commercialmedicalescorts.com/blog/post/2014/09/14/Take-a-Break-to-Avoid-Computer-Vision-Syndrome-(CVS).aspx http://www.commercialmedicalescorts.com/blog/post/2014/09/14/Take-a-Break-to-Avoid-Computer-Vision-Syndrome-(CVS).aspx#comment http://www.commercialmedicalescorts.com/blog/post.aspx?id=bbd304dc-7b17-4cfa-97fe-01d9f2b9aa24 Sun, 14 Sep 2014 15:23:00 -1200 CME News Medical Travel Care Travel Tips Lux Joseph http://www.commercialmedicalescorts.com/blog/pingback.axd http://www.commercialmedicalescorts.com/blog/post.aspx?id=bbd304dc-7b17-4cfa-97fe-01d9f2b9aa24 0 http://www.commercialmedicalescorts.com/blog/trackback.axd?id=bbd304dc-7b17-4cfa-97fe-01d9f2b9aa24 http://www.commercialmedicalescorts.com/blog/post/2014/09/14/Take-a-Break-to-Avoid-Computer-Vision-Syndrome-(CVS).aspx#comment http://www.commercialmedicalescorts.com/blog/syndication.axd?post=bbd304dc-7b17-4cfa-97fe-01d9f2b9aa24 The Importance of Direct Patient Care <div><span style="font-family: Times New Roman; font-size: small;"> <div><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Nursing care differs all around the world. From the United States to Africa to China, a registered nurse may have different responsibilities, guidelines, and even patient care protocols. In the United States, hospitals are now starting to shift the nurse’s focus to where it should have been a long time ago: patient care. A variety of hospitals and medical centers look at patient care as medication administration, dropping off meals, filling out shift paperwork, looking for missing test results, and searching for supplies. But out of all of those tasks, do any of them focus 100% on the care of the patient? The answer is, no! For years nurses have been trained to focus on the operations of the hospital, but Commercial Medical Escorts knows that patient care is our top priority.</span></div> <div><span style="font-size: small;"> </span></div> </span> <div><span style="mso-bookmark: OLE_LINK45;"><span style="mso-bookmark: OLE_LINK46;"><span style="mso-bookmark: OLE_LINK47;"><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;"> </span></span></span></span></div> <div><span style="mso-bookmark: OLE_LINK45;"><span style="mso-bookmark: OLE_LINK46;"><span style="mso-bookmark: OLE_LINK47;"><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Research has found that the more dedicated time nurses spend<span style="mso-spacerun: yes;">  </span>at the bedside of their patients, the less likely patients are to suffer falls, infections and medication errors, and the more likely they are to be satisfied with their care. Commercial Medical Escorts designed its program to be patient focused from the initial point of contact and throughout the entire transport. We believe that this concentrated focus on the patient improves their morale, reduces any anxiety about flying, and improves their overall transport experience. In the hospital setting, studies have shown that nurses may spend less than two hours of a 12-hour shift in direct patient care. Individuals want to be loved and cared for. For some patients, the hospital staff is their only human contact they experience on a daily basis if they don’t have family or friends visiting. It is important that this shift in patient care continue amongst hospitals worldwide.</span></span></span></span></div> </div> <div><span style="font-family: Times New Roman; font-size: small;"> </span></div> <div class="MsoNormal" style="margin: 0in 0in 10pt; text-align: justify;"><span style="mso-bookmark: OLE_LINK45;"><span style="mso-bookmark: OLE_LINK46;"><span style="mso-bookmark: OLE_LINK47;"><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;"> </span></span></span></span></div> <div class="MsoNormal" style="margin: 0in 0in 10pt; text-align: justify;"><span style="mso-bookmark: OLE_LINK45;"><span style="mso-bookmark: OLE_LINK46;"><span style="mso-bookmark: OLE_LINK47;"><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">It is critical for organizations to recognize the talents and abilities of their employees and contractors and use them to their advantage. Why is a nurse hunting down a battery for a piece of equipment in a hospital when their time could be better spent comforting and caring for a patient? Every organization has positions for individuals and there are tasks that relate to some positions better than others. For those working in hospitals, there are certified nurse assistants and other less highly skilled staffers that can be looking for that battery and the nurse can focus on patient care. At Commercial Medical Escorts, our nurses and physicians focus on patient care 100% of the time. When they get to the airport, porters push the wheelchair while the nurse assists the patient into the wheelchair, comforts them, and ensures their medical needs are cared for. By shifting tasks to the more appropriate personnel it reduces the number of inefficient processes.</span></span></span></span></div> <div><span style="font-family: Times New Roman; font-size: small;"> </span></div> <div class="MsoNormal" style="margin: 0in 0in 10pt; text-align: justify;"><span style="mso-bookmark: OLE_LINK45;"><span style="mso-bookmark: OLE_LINK46;"><span style="mso-bookmark: OLE_LINK47;"><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Some hospitals have started to transition to a more patient focused atmosphere by having pharmacists deliver medications to patient floors, locating common patient supplies within the patient rooms, and even placing tablets and computers in the patient room so the nurse can fill out the patient medical chart while still interacting and being close to the patient; not behind the nurses station away from the patient. Some of these changes seem small, but the impact on patient care is huge. As nurses have more time to spend with the patient and their families, they are able to care for the patients more closely and educate them on follow-up care once they leave the hospital.</span></span></span></span></div> <div><span style="font-family: Times New Roman; font-size: small;"> </span></div> <div class="MsoNormal" style="margin: 0in 0in 10pt; text-align: justify;"><span style="mso-bookmark: OLE_LINK45;"><span style="mso-bookmark: OLE_LINK46;"><span style="mso-bookmark: OLE_LINK47;"><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">At CME, there are numerous times that our nurses arrive to hospitals and the nurse senses the patient is being “pushed out” of the facility. An aging population means sicker patients with more complex needs, yet hospital stays are much shorter than in the past. Patients are getting discharged sooner than usual and their follow-up care is more complicated. Nurses focused on patient care are what are important to the healthcare industry, the hospital, and more importantly the patient. Nurses want to be doing what they entered the profession for, not doing inefficient things that any individual could do.</span></span></span></span></div> <div><span style="font-family: Times New Roman; font-size: small;"> </span></div> <div class="MsoNormal" style="margin: 0in 0in 10pt; text-align: justify;"><span style="mso-bookmark: OLE_LINK45;"><span style="mso-bookmark: OLE_LINK46;"><span style="mso-bookmark: OLE_LINK47;"><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Patricia Rutherford, a nurse and vice president at the Institute for Healthcare Improvement says “We shouldn’t’ be using expensive professional nursing time doing unnecessary and inefficient things when that time could be reinvested in direct patient care.” Increased direct patient care allows the nurses to be an advocate for the patient. The nurses and patients are able to establish and create a bond that has a positive impact on the patient. At CME we believe patient care is the number one priority. Patients should be able to feel comfortable communicating their needs and concerns. Every patient CME transfers, the nurse visits the patient prior to the transport to complete a full assessment, get to know the patient, and create that connection that will ensure 100% positive patient care.</span></span></span></span><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;"> </span></div> <div><span style="font-family: Times New Roman; font-size: small;"> </span></div> http://www.commercialmedicalescorts.com/blog/post/2014/08/01/The-Importance-of-Direct-Patient-Care.aspx http://www.commercialmedicalescorts.com/blog/post/2014/08/01/The-Importance-of-Direct-Patient-Care.aspx#comment http://www.commercialmedicalescorts.com/blog/post.aspx?id=cf2f7b8d-9c9e-4c77-9261-4b339a9281fc Fri, 01 Aug 2014 09:38:00 -1200 CME News Medical Travel Care Lux Joseph http://www.commercialmedicalescorts.com/blog/pingback.axd http://www.commercialmedicalescorts.com/blog/post.aspx?id=cf2f7b8d-9c9e-4c77-9261-4b339a9281fc 0 http://www.commercialmedicalescorts.com/blog/trackback.axd?id=cf2f7b8d-9c9e-4c77-9261-4b339a9281fc http://www.commercialmedicalescorts.com/blog/post/2014/08/01/The-Importance-of-Direct-Patient-Care.aspx#comment http://www.commercialmedicalescorts.com/blog/syndication.axd?post=cf2f7b8d-9c9e-4c77-9261-4b339a9281fc Meet Penelope <p><img style="display: block; margin-left: auto; margin-right: auto;" src="http://www.commercialmedicalescorts.com/blog/image.axd?picture=2014%2f6%2fpenni.jpg" alt="" width="450" height="681" /></p> <p><span style="font-size: 10.0pt; font-family: Arial; mso-fareast-font-family: "Times New Roman";">Commercial Medical Escorts is fortunate to have one of best nurses based here locally in South Florida. This clinician comes to CME with a wide range of experience and knowledge about nursing and medical escorts. Our Director of Operations says, “Penni is one of kind. She is committed to providing compassionate, quality care with each and every patient she transports back home. The feedback we receive from patients and clients is always positive and uplifting.” Today you can learn more about Penelope. </span></p> <p><span style="font-size: 10.0pt; font-family: Arial; mso-fareast-font-family: "Times New Roman";"> </span><strong style="mso-bidi-font-weight: normal;"><em style="mso-bidi-font-style: normal;"><span style="font-size: 10.0pt; font-family: Arial; color: black;">What is your most enjoyable part of this job?</span></em></strong></p> <p class="MsoNormal"><span style="font-size: 10.0pt; font-family: Arial; mso-fareast-font-family: "Times New Roman";">The most enjoyable part of this job is being able to travel, meet a variety of clients and still be a nurse and take care of a client who needs my skills and experience. </span></p> <p><span style="font-size: 10.0pt; font-family: Arial; color: black;"> </span><strong style="mso-bidi-font-weight: normal;"><em style="mso-bidi-font-style: normal;"><span style="font-size: 10.0pt; font-family: Arial; color: black;">Where did you gain your experience and knowledge in the field of nursing? What area's of expertise do you have experience in?</span></em></strong></p> <p class="MsoNormal"><span style="font-size: 10.0pt; font-family: Arial; mso-fareast-font-family: "Times New Roman";">I have been a nurse for 30 years. During those thirty years most of my time was in an Emergency room and Trauma Center. I am originally from Maryland and obtained my nursing license there. I have also done Recovery Room, Pediatrics, Orthopedics and Forensic Investigating for the State of Maryland. My husband and I moved to Florida in 1998.</span></p> <p><span style="font-size: 10.0pt; font-family: Arial; mso-fareast-font-family: "Times New Roman";"> </span><strong style="mso-bidi-font-weight: normal;"><em style="mso-bidi-font-style: normal;"><span style="font-size: 10.0pt; font-family: Arial; color: black;">When you are not flying what do you do?</span></em></strong></p> <p class="MsoNormal"><span style="font-size: 10.0pt; font-family: Arial; mso-fareast-font-family: "Times New Roman";">When I am not flying, I work full time at St. Mary's Hospital in the Trauma Resus Unit. And when I'm not there, I do love to go out and play golf with friends.</span></p> <p><span style="font-size: 10.0pt; font-family: Arial; color: black;"> </span><strong style="mso-bidi-font-weight: normal;"><em style="mso-bidi-font-style: normal;"><span style="font-size: 10.0pt; font-family: Arial; color: black;">What has been your most interesting transport? Why is that?</span></em></strong><strong style="mso-bidi-font-weight: normal;"><em style="mso-bidi-font-style: normal;"><span style="font-size: 10.0pt; font-family: Arial; mso-fareast-font-family: "Times New Roman";"> </span></em></strong></p> <p class="MsoNormal"><span style="font-size: 10.0pt; font-family: Arial; mso-fareast-font-family: "Times New Roman";">My most interesting transport was bringing a client back from Rome. I was lucky in the fact that I had a few hours and got to see a few of the historic areas of Rome. My client and his companion were a great help in giving me directions to get around on the train system. On the flight back, I was able to assist another passenger on Air Italia. The flight crew had paged for any medical personnel for assistance. They knew I was there but they didn't want to bother me. I let them know that I was willing to help. As I watched "3 Doctors" take care of this passenger, I went and offered my assistance, as it was obvious to me that they were having some problems. They were most grateful that I came and gave them some help. The passenger did fine in the end. However, it turns out that the 3 Doctors were dentists en route to a convention in Ft. Lauderdale!! The moral being, find out what kind of Dr. is answering the call! </span></p> <p><span style="font-size: 10.0pt; font-family: Arial; color: black;"> </span><strong style="mso-bidi-font-weight: normal;"><em style="mso-bidi-font-style: normal;"><span style="font-size: 10.0pt; font-family: Arial; color: black;">What would you tell future clients of CME?</span></em></strong></p> <p class="MsoNormal"><span style="font-size: 10.0pt; font-family: Arial; mso-fareast-font-family: "Times New Roman";">If you, as a future client, need additional help either with medical needs or companion needs, CME uses only well-qualified and experienced medical personnel. We love what we do!!</span></p> http://www.commercialmedicalescorts.com/blog/post/2014/06/07/Meet-Penelope.aspx http://www.commercialmedicalescorts.com/blog/post/2014/06/07/Meet-Penelope.aspx#comment http://www.commercialmedicalescorts.com/blog/post.aspx?id=9dfd8b2f-73c8-44f0-a635-f1518f5e078a Sat, 07 Jun 2014 01:48:00 -1200 CME News Medical Travel Care Meet the Team Travel Stories Lux Joseph http://www.commercialmedicalescorts.com/blog/pingback.axd http://www.commercialmedicalescorts.com/blog/post.aspx?id=9dfd8b2f-73c8-44f0-a635-f1518f5e078a 0 http://www.commercialmedicalescorts.com/blog/trackback.axd?id=9dfd8b2f-73c8-44f0-a635-f1518f5e078a http://www.commercialmedicalescorts.com/blog/post/2014/06/07/Meet-Penelope.aspx#comment http://www.commercialmedicalescorts.com/blog/syndication.axd?post=9dfd8b2f-73c8-44f0-a635-f1518f5e078a Travel Tips for Elderly and those Requiring Special Assistance <p><span style="font-family: Times New Roman; font-size: small;"> </span><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Traveling for most people is one of the most rewarding experiences, whether it is visiting family and friends or exploring the world. <span style="mso-spacerun: yes;"> </span>However, it is important to know that when traveling with individuals who are elderly or may have a particular disability there are some things that need to be considered. If you are not familiar with the resources and guidance available, you may face challenges that you didn’t anticipate. The tips we are about to share with you are important things to remember and will alleviate a lot of unnecessary stress and anxiety.</span></p> <p><span style="font-family: Times New Roman; font-size: small;"> </span></p> <p class="MsoListParagraph" style="margin: 0in 0in 10pt 0.5in; text-indent: -0.25in; mso-list: l0 level1 lfo1;"><!--[if !supportLists]--><strong style="mso-bidi-font-weight: normal;"><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1.<span style="font: 7pt/normal "Times New Roman"; font-size-adjust: none; font-stretch: normal;">     </span></span></span></strong><!--[endif]--><strong style="mso-bidi-font-weight: normal;"><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Consult with the passenger’s primary care physician for travel approval and recommendations</span></strong></p> <p><span style="font-family: Times New Roman; font-size: small;"> </span><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">One of the first steps you can do before travel is to make sure the passenger is cleared for travel by his or her primary care physician. A 22 year old healthy individual does not need to do this, but many individuals who are elderly or may have a disability should speak with their physician especially if the passenger is accommodating a current health condition such as dementia, Alzheimer’s disease, COPD, etc. You will want to make sure to ask the doctor about any necessary vaccinations or additional medication that may be needed for travel. </span></p> <p><span style="font-family: Times New Roman; font-size: small;"> </span></p> <p class="MsoListParagraph" style="margin: 0in 0in 10pt 0.5in; text-indent: -0.25in; mso-list: l0 level1 lfo1;"><!--[if !supportLists]--><strong style="mso-bidi-font-weight: normal;"><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2.<span style="font: 7pt/normal "Times New Roman"; font-size-adjust: none; font-stretch: normal;">     </span></span></span></strong><!--[endif]--><strong style="mso-bidi-font-weight: normal;"><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Choosing the flight</span></strong></p> <p><span style="font-family: Times New Roman; font-size: small;"> </span><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">If you go to Expedia, Orbitz, or Travelocity and plug in your destination hundreds of potential flights will come up. When traveling with the elderly and those individuals with disabilities you should choose the most direct flights possible. If there are no direct flights to the destination, keep in mind that you will need additional time for connections. Our rule of thumb is at least one (1) hour to two (2) hour connection time for domestic flights. Passengers traveling in a wheelchair may be the first to board the airplane, but typically they are the last to get off. Having a tight connection will add additional unnecessary stress to the traveler.</span></p> <p><span style="font-family: Times New Roman; font-size: small;"> </span></p> <p class="MsoListParagraph" style="margin: 0in 0in 10pt 0.5in; text-indent: -0.25in; mso-list: l0 level1 lfo1;"><!--[if !supportLists]--><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">3.<span style="font: 7pt/normal "Times New Roman"; font-size-adjust: none; font-stretch: normal;">     </span></span></span><!--[endif]--><strong style="mso-bidi-font-weight: normal;"><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Arranging special services</span></strong><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;"> </span></p> <p><span style="font-family: Times New Roman; font-size: small;"> </span><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Once the flights have been selected, contact your travel agent to add special services that you may need. If you booked your tickets on a travel website or directly with the airline, you can contact the airline directly. Each airline typically has a special number dedicated for passengers that require special assistance. If not, you can always request these requirements through the main reservation number. There are three different types of wheelchair requests. It is important that you let the agent know the </span></p> <p><span style="font-family: Times New Roman; font-size: small;"> </span></p> <p class="MsoNormal" style="margin: 0in 0in 10pt;"><strong style="mso-bidi-font-weight: normal;"><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Wheel-chair for Ramp (WCHR)</span></strong><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;"> offers passenger who can ascend/descend steps and make own way to/from cabin seat, but requires wheelchair for distance to/from aircraft across ramp.</span></p> <p><span style="font-family: Times New Roman; font-size: small;"> </span><strong style="mso-bidi-font-weight: normal;"><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Wheelchair for Steps (WCHS)</span></strong><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;"> offers passengers who cannot ascend/descend steps, but is able to make own way to/from cabin seat, requires wheelchair for distance to/from aircraft and must be carried up/down steps. </span></p> <p><span style="font-family: Times New Roman; font-size: small;"> </span><strong style="mso-bidi-font-weight: normal;"><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Wheelchair for Cabin (WCHC)</span></strong><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;"> offers to passenger who is completely immobile. He requires wheelchair to/from aircraft and must be carried up/down steps and to/from cabin seat. (This device is accompanied to individual aircraft).</span></p> <p><span style="font-family: Times New Roman; font-size: small;"> </span></p> <p class="MsoNormal" style="margin: 0in 0in 10pt;"><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Today a lot of airlines have “paid seats” that include seats with extra leg room. After calling the special assistance desk, kindly ask them to assign seats for the passenger. Usually they will also accommodate one guest of the passenger with disability free of charge. Don’t pay for the seats until after you call the special service desk.</span></p> <p><span style="font-family: Times New Roman; font-size: small;"> </span></p> <p class="MsoListParagraph" style="margin: 0in 0in 10pt 0.5in; text-indent: -0.25in; mso-list: l0 level1 lfo1;"><!--[if !supportLists]--><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">4.<span style="font: 7pt/normal "Times New Roman"; font-size-adjust: none; font-stretch: normal;">     </span></span></span><!--[endif]--><strong style="mso-bidi-font-weight: normal;"><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Purchase travel insurance</span></strong><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;"> </span></p> <p><span style="font-family: Times New Roman; font-size: small;"> </span><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">In an upcoming blog we will go into detail on the importance of purchasing travel insurance. All travelers should have travel insurance if they are traveling anywhere throughout the United States and worldwide. Make sure that the policy you get includes medical evacuation and medical services. A medical escort can cost up to $50,000 depending on where the patient is. An air ambulance will be even more expensive. This is not an expense you want to be paying out of pocket. Contact your travel agent to find the best policy for you. Many individuals think that nothing will happen to them, but if something does it is critical that you have insurance. Commercial Medical Escorts is a member of the US Travel Insurance Association. We encourage you to visit this link for FAQs on travel insurance: <a href="http://www.ustia.org/faqs.html"><span style="color: #0000ff;">http://www.ustia.org/faqs.html</span></a>. </span></p> <p><span style="font-family: Times New Roman; font-size: small;"> </span></p> <p class="MsoListParagraph" style="margin: 0in 0in 10pt 0.5in; text-indent: -0.25in; mso-list: l0 level1 lfo1;"><!--[if !supportLists]--><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">5.<span style="font: 7pt/normal "Times New Roman"; font-size-adjust: none; font-stretch: normal;">     </span></span></span><!--[endif]--><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;"><span style="mso-spacerun: yes;"> </span><strong style="mso-bidi-font-weight: normal;">Useful tips for discomfort on the plane</strong></span></p> <p><span style="font-family: Times New Roman; font-size: small;"> </span><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Takeoff and landing of airplanes can sometimes cause uncomfortable sinus and ear pressure. It may also cause nausea. This can be problematic for elders with sinus problems, allergies or even a bad cold. Things like eating chewing gum, candy or a decongestant can help. </span></p> <p><span style="font-family: Times New Roman; font-size: small;"> </span></p> <p class="MsoNormal" style="margin: 0in 0in 10pt;"><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Dehydration can also be a concern when flying and can pose problems for seniors, especially those suffering from diabetes. Make sure that your elderly travelers drink plenty of fluids, especially water during the flight. </span></p> <p><span style="font-family: Times New Roman; font-size: small;"> </span></p> <p class="MsoListParagraphCxSpLast" style="margin: 0in 0in 10pt 0.5in; text-indent: -0.25in; mso-list: l0 level1 lfo1;"><!--[if !supportLists]--><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">6.<span style="font: 7pt/normal "Times New Roman"; font-size-adjust: none; font-stretch: normal;">     </span></span></span><!--[endif]--><strong style="mso-bidi-font-weight: normal;"><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Pack essential items in a carry-on back that is easily accessible. </span></strong><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;"> </span></p> <p><span style="font-family: Times New Roman; font-size: small;"> </span><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Pack any essential items in a light carry on that is easily accessible. Important things that you should include is medications, important documents and phone numbers, a travel pillow, boarding passes, your photo identification, a light sweater, and a few snacks. This should be in an easily accessible bag that is readily available instead of a roller suitcase.</span></p> <p><span style="font-family: Times New Roman; font-size: small;"> </span></p> <p class="MsoListParagraph" style="margin: 0in 0in 10pt 0.5in; text-indent: -0.25in; mso-list: l0 level1 lfo1;"><!--[if !supportLists]--><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">7.<span style="font: 7pt/normal "Times New Roman"; font-size-adjust: none; font-stretch: normal;">     </span></span></span><!--[endif]--><strong style="mso-bidi-font-weight: normal;"><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Choose the right type of transportation</span></strong><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;"> </span></p> <p><span style="font-family: Times New Roman; font-size: small;"> </span><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Keep in mind that every destination has a variety of transportation options for passengers with disabilities. You want to make sure the passenger is comfortable and so a taxi may not always be most appropriate. For example, a passenger may be able to get in/out of a taxi in New York City, but the traffic and how they drive could provide an uncomfortable ride for the passenger. There are wheelchair vans, town cars, limos, and SUVs in most locations. Limos are usually a good choice if the passenger may need to have a leg extended or elevated.</span></p> <p><span style="font-family: Times New Roman; font-size: small;"> </span></p> <p class="MsoListParagraph" style="margin: 0in 0in 10pt 0.5in; text-align: justify; text-indent: -0.25in; mso-list: l0 level1 lfo1;"><!--[if !supportLists]--><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">8.<span style="font: 7pt/normal "Times New Roman"; font-size-adjust: none; font-stretch: normal;">     </span></span></span><!--[endif]--><strong style="mso-bidi-font-weight: normal;"><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Preventing DVT</span></strong><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;"> </span></p> <p><span style="font-family: Times New Roman; font-size: small;"> </span><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Sitting still for extended periods of time is a known risk factors for the development of blood clots in the veins of the legs. This condition is known as deep vein thrombosis (DVT). Some researchers believe that long-haul flights can be a risk factor in susceptible people.</span></p> <p><span style="font-family: Times New Roman; font-size: small;"> </span></p> <p class="MsoNormal" style="margin: 0in 0in 10pt; text-align: justify;"><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Suggestions on how to reduce the small risk of DVT while flying include:</span></p> <p><span style="font-family: Times New Roman; font-size: small;"> </span></p> <p class="MsoListParagraphCxSpFirst" style="margin: 0in 0in 0pt 0.5in; text-align: justify; text-indent: -0.25in; mso-list: l2 level1 lfo2;"><!--[if !supportLists]--><span style="line-height: 115%; font-family: Symbol; font-size: 10pt; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7pt/normal "Times New Roman"; font-size-adjust: none; font-stretch: normal;">         </span></span></span><!--[endif]--><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Consult with your doctor before flying. They may recommend that you take half an aspirin (150mg) on the day of the flight, and you may be advised to use elasticised stockings for the flight. Sometimes a self-administered injection of heparin is required. </span></p> <p class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; text-align: justify; text-indent: -0.25in; mso-list: l2 level1 lfo2;"><!--[if !supportLists]--><span style="line-height: 115%; font-family: Symbol; font-size: 10pt; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7pt/normal "Times New Roman"; font-size-adjust: none; font-stretch: normal;">         </span></span></span><!--[endif]--><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Wear loose clothing. </span></p> <p class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; text-align: justify; text-indent: -0.25in; mso-list: l2 level1 lfo2;"><!--[if !supportLists]--><span style="line-height: 115%; font-family: Symbol; font-size: 10pt; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7pt/normal "Times New Roman"; font-size-adjust: none; font-stretch: normal;">         </span></span></span><!--[endif]--><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Don't smoke. </span></p> <p class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; text-align: justify; text-indent: -0.25in; mso-list: l2 level1 lfo2;"><!--[if !supportLists]--><span style="line-height: 115%; font-family: Symbol; font-size: 10pt; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7pt/normal "Times New Roman"; font-size-adjust: none; font-stretch: normal;">         </span></span></span><!--[endif]--><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Avoid alcoholic drinks and drink plenty of fluids to prevent dehydration. </span></p> <p class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; text-align: justify; text-indent: -0.25in; mso-list: l2 level1 lfo2;"><!--[if !supportLists]--><span style="line-height: 115%; font-family: Symbol; font-size: 10pt; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7pt/normal "Times New Roman"; font-size-adjust: none; font-stretch: normal;">         </span></span></span><!--[endif]--><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Take strolls up and down the aisles when possible. </span></p> <p class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; text-align: justify; text-indent: -0.25in; mso-list: l2 level1 lfo2;"><!--[if !supportLists]--><span style="line-height: 115%; font-family: Symbol; font-size: 10pt; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7pt/normal "Times New Roman"; font-size-adjust: none; font-stretch: normal;">         </span></span></span><!--[endif]--><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Avoid sitting with your legs crossed. </span></p> <p class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.5in; text-align: justify; text-indent: -0.25in; mso-list: l2 level1 lfo2;"><!--[if !supportLists]--><span style="line-height: 115%; font-family: Symbol; font-size: 10pt; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7pt/normal "Times New Roman"; font-size-adjust: none; font-stretch: normal;">         </span></span></span><!--[endif]--><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Perform leg and foot stretches and exercises while seated.</span></p> <p><span style="font-family: Times New Roman; font-size: small;"> </span></p> <p class="MsoListParagraphCxSpLast" style="margin: 0in 0in 10pt 0.5in; text-align: justify; text-indent: -0.25in; mso-list: l0 level1 lfo1;"><!--[if !supportLists]--><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">9.<span style="font: 7pt/normal "Times New Roman"; font-size-adjust: none; font-stretch: normal;">     </span></span></span><!--[endif]--><strong style="mso-bidi-font-weight: normal;"><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Use A Travel Agent</span></strong><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;"> </span></p> <p><span style="font-family: Times New Roman; font-size: small;"> </span><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Booking your ticket on Expedia or Orbitz may seem easy and just a couple clicks away, but when something goes wrong with your flight, the fast efficient service comes to a halt. You may be forced to stand in long lines to rebook your travel and the agent on the phone or at the counter may not know all of your needs. Using a travel agent for elderly and those with special needs is very important. It gives the passenger a direct contact with someone who is knowledgeable about the passenger’s special needs. If a flight is canceled, they will look for the next best option for the passenger keeping in mind special requirements.</span></p> <p><span style="font-family: Times New Roman; font-size: small;"> </span></p> <p class="MsoListParagraph" style="margin: 0in 0in 10pt 0.5in; text-align: justify; text-indent: -0.25in; mso-list: l0 level1 lfo1;"><!--[if !supportLists]--><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">10.<span style="font: 7pt/normal "Times New Roman"; font-size-adjust: none; font-stretch: normal;">  </span></span></span><!--[endif]--><strong style="mso-bidi-font-weight: normal;"><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Understand your rights and what is required at TSA</span></strong><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;"> </span></p> <p><span style="font-family: Times New Roman; font-size: small;"> </span><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Most travelers who are elderly or require special assistance can request a wheelchair at check-in. Even if they are traveling with another adult most likely they will be pushed through the airport by a “porter”. In a recent incident an elderly gentlemen was being taken through TSA at Fort Lauderdale Airport and the porter had him taking off his shoes and jacket. It is important for you to know what rules and policies are in place to assist the elderly. TSA has modified their screening procedures so that passengers 75 and older can: </span></p> <p><span style="font-family: Times New Roman; font-size: small;"> </span></p> <p class="MsoListParagraphCxSpFirst" style="margin: 0in 0in 0pt 0.5in; text-align: justify; text-indent: -0.25in; mso-list: l1 level1 lfo3;"><!--[if !supportLists]--><span style="line-height: 115%; font-family: Symbol; font-size: 10pt; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7pt/normal "Times New Roman"; font-size-adjust: none; font-stretch: normal;">         </span></span></span><!--[endif]--><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Leave on shoes and light jackets through security checkpoints.</span></p> <p class="MsoListParagraphCxSpLast" style="margin: 0in 0in 10pt 0.5in; text-align: justify; text-indent: -0.25in; mso-list: l1 level1 lfo3;"><!--[if !supportLists]--><span style="line-height: 115%; font-family: Symbol; font-size: 10pt; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7pt/normal "Times New Roman"; font-size-adjust: none; font-stretch: normal;">         </span></span></span><!--[endif]--><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">Undergo an additional pass through Advanced Imaging Technology (AIT) to clear any anomalies detected during screening.</span></p> <p><span style="font-family: Times New Roman; font-size: small;"> </span></p> <p class="MsoNormal" style="margin: 0in 0in 10pt; text-align: justify;"><span style="line-height: 115%; font-family: "Arial","sans-serif"; font-size: 10pt;">TSA also has a help line to assist those travelers in need. Travelers may call TSA Cares toll free at 1-855-787-2227 prior to traveling with questions about screening policies, procedures and what to expect at the security checkpoint.</span></p> http://www.commercialmedicalescorts.com/blog/post/2014/04/25/Travel-Tips-for-Elderly-and-those-Requiring-Special-Assistance.aspx http://www.commercialmedicalescorts.com/blog/post/2014/04/25/Travel-Tips-for-Elderly-and-those-Requiring-Special-Assistance.aspx#comment http://www.commercialmedicalescorts.com/blog/post.aspx?id=d8af466f-10e8-4e54-a271-639cc4d9ea58 Fri, 25 Apr 2014 09:02:00 -1200 Medical Travel Care Senior Travel Travel Agent Travel Tips Lux Joseph http://www.commercialmedicalescorts.com/blog/pingback.axd http://www.commercialmedicalescorts.com/blog/post.aspx?id=d8af466f-10e8-4e54-a271-639cc4d9ea58 0 http://www.commercialmedicalescorts.com/blog/trackback.axd?id=d8af466f-10e8-4e54-a271-639cc4d9ea58 http://www.commercialmedicalescorts.com/blog/post/2014/04/25/Travel-Tips-for-Elderly-and-those-Requiring-Special-Assistance.aspx#comment http://www.commercialmedicalescorts.com/blog/syndication.axd?post=d8af466f-10e8-4e54-a271-639cc4d9ea58 Why CME? <div><span style="font-family: Times New Roman; font-size: small;"> </span><span style="font-family: arial,helvetica,sans-serif; font-size: small;">People want to work with someone they know. At Commercial Medical Escorts you get to know whom you are working with. Every client is an individual to us and that is how we make you feel from the moment you being working with us. At CME, we are dedicated to our clients’ happiness. Commercial Medical Escorts sets itself apart from our competitors because we strive to deliver each client first-class attention in every aspect of a medical escort. Whether you are calling with a question about how to do it yourself or if you need a full medical escort package, the team at CME is going to give you the best of the best. At CME we have access to resources the client may not know about and because we offer a variety of options that brings value to the consumer.</span></div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;"> </span></div> <div class="MsoNormal" style="margin: 0in 0in 0pt; text-align: justify;"><span style="font-family: arial,helvetica,sans-serif; font-size: small;"> </span></div> <div class="MsoNormal" style="margin: 0in 0in 0pt; text-align: justify;"><span style="font-family: arial,helvetica,sans-serif; font-size: small;">Just recently CME assisted a family from Chicago, IL to Washington, DC on Wednesday. This medical escort was arranged weeks in advance and as Tuesday arrived we knew all odds were against us for the following day. Flights were beginning to be canceled, delayed, and snow was starting to accumulate in the Chicago area. Our Director of Operations sent the escorts some last minute updated documentation for the transport and received the following response “Ok thank you. Big snowstorm tomorrow in Chicago.”  Our fingers were crossed that our medical escort mission could be completed safely despite the obstacles being presented to us. At CME we strive to overcome and conquer obstacles while promoting safety and ensuring the patient is comfortable at all times.</span></div> <div><span style="font-family: arial,helvetica,sans-serif; font-size: small;"> </span></div> <div class="MsoNormal" style="margin: 0in 0in 0pt; text-align: justify;"><span style="font-family: arial,helvetica,sans-serif; font-size: small;"> </span></div> <div class="MsoNormal" style="margin: 0in 0in 0pt; text-align: justify;"><span style="font-family: arial,helvetica,sans-serif; font-size: small;">Individuals that partner with Commercial Medical Escorts can be rest assured they are in the best hands possible when it comes to patient care and VIP service. Our escorts are trained to deliver impeccable service and that is done through individualized care, anticipating challenges before they occur, and make sure everything goes smoothly. Things happen that are out of our control including weather and airline delays or cancelations, but a medical escort that is well traveled, educated and anticipates the needs of the client is one that succeeds in our industry. This is exactly what was needed considering the Midwest storm was turning Chicago airport into chaos. Two of our nurses, one based in Chicago and one based in Greensboro, NC, did what they do best on Wednesday and social media confirms it:</span></div> <div> </div> <div><span style="font-family: Times New Roman; font-size: small;"> <div> <img src="http://www.commercialmedicalescorts.com/blog/image.axd?picture=2014%2f2%2fTwitter.jpg" alt="" /></div> <div> <div> </div> </div> </span></div> <div> </div> <div class="MsoNormal" style="margin: 0in 0in 0pt; text-align: justify;"><span style="font-family: arial,helvetica,sans-serif; font-size: small;"> </span></div> <div class="MsoNormal" style="margin: 0in 0in 0pt; text-align: justify;"><span style="font-family: arial,helvetica,sans-serif; font-size: small;">We do a number of medical escorts each and every day. Some of them are completed for travel assistance companies or insurance companies, but a handful is also done for private families. Our Director of Operations stated in a recent conversation, “Bringing enrichment to a family by making a medical escort a seamless transfer is our goal with every transfer. When making arrangements for a private family, we get to know them and it is like transferring our own family back home.” The next time you are looking for a medical escort, please be sure to contact us. Like the family above recently stated, CME is here to take care of you are your family. When we are bringing you back home or to another facility, you are our family for the day. Thank you again Mr. Lampa for sharing the positive feedback on Twitter.</span></div> <div><span style="font-family: arial,helvetica,sans-serif;"> </span></div> <div> </div> http://www.commercialmedicalescorts.com/blog/post/2014/02/07/The-Buzz-is-Out-There.aspx http://www.commercialmedicalescorts.com/blog/post/2014/02/07/The-Buzz-is-Out-There.aspx#comment http://www.commercialmedicalescorts.com/blog/post.aspx?id=3a131577-915a-4c53-9cb6-a3e7789dd10e Fri, 07 Feb 2014 10:19:00 -1200 CME News Medical Travel Care Travel Stories Lux Joseph http://www.commercialmedicalescorts.com/blog/pingback.axd http://www.commercialmedicalescorts.com/blog/post.aspx?id=3a131577-915a-4c53-9cb6-a3e7789dd10e 0 http://www.commercialmedicalescorts.com/blog/trackback.axd?id=3a131577-915a-4c53-9cb6-a3e7789dd10e http://www.commercialmedicalescorts.com/blog/post/2014/02/07/The-Buzz-is-Out-There.aspx#comment http://www.commercialmedicalescorts.com/blog/syndication.axd?post=3a131577-915a-4c53-9cb6-a3e7789dd10e