cmas

• Question:-Why is there a war between LPNs and CMAs?
  I am enrolled in a 2 yr. AS program and I am upset about the rift <> CMAs and LPNs. CMAs are not nurses, granted and should not represent themselves as such. However, CMAs do have a broad scope of knowledge and do deserve the respect of the health care community. When education is key, why is there so much cat fighting going on? Can't we all just get along and each be happy with what we have decided to do in life?
  
  Answer:-There is a difference in training. LPNs are trained in 4 domains of patient care; med-surg, psychiatry, women's health and pediatrics. Also, we are taught of the nursing process of Assessment (or data gathering for the LPN), Diagnosis (nursing diagnosis), Planning, Implementation and Evaluation. In most states, it is very true that the Medical Assistant works under the license of the physician, but if there is a mistake, the physician is usually held to be more liable whereas a nurse is liable for herself under the Board of Nursing. It seems that the MA position is not as regulated, because some places have on the job training, others have the education, but not the certification/registration and some have a 2 year program while others have a shorter one.
  
  I am also not saying that one is better than the other. What I am saying is that one is licensed, thus is held more liable and responsible than the other. Yes, they do similar tasks, and if someone (meaning the physician) is going to vouch for their additional skills, then, sure, they can perform them. And, I can see how, if an MA is employed at a place where more complicated tasks are performed, that they are able to do more than an LPN. But, it seems to me that if there is a mistake, then, the patient can sue the physician for not delegating a qualified person who is performing the skill properly, but if it is a nurse, then, that nurse can be held legally liable and responsible for her own actions based on the scope of practice. I took a medical assisting course many years ago, and after I took the LPN course, I really saw that it was apples and oranges in the way that we were taught.
  
  Some LPNs say the same thing about RNs..."We do the same thing that they do...we are nurses, too (that is true, we are)"...I already know that we don't. We have skills that run parallel to the RN, for sure. However, they have even more liability and accountablility than we do. Again, this does not say that there are not shotty MAs, LPNs and RNs out there. It is the person that makes the job, not the level of education. However, I see clear differences between how all of these programs teach, and the level of accountability rises with each elevation of title.
• Question:-Is the CMAS SCUBA certification popular in the philippines?
  I'm thinking about taking the CMAS course since it is relatively cheaper than what is being offered in PADI. What are the advantages and disadvantages in pursuing this?
  
  Answer:-Padi is considered the best, but it is a narrow margin.CMAS is well respected. if the price difference between padi and Cmas will keep you from starting diving (need to save more) then take the cmas.Most establish dive centers accept the major accreditation agencies, just call ahead to verify. the important part is to get started. also with a 1 star CMAS you can take Padi specialty courses and after that just use the padi card. One of my dive buddies started with SSI then took a night dive padi course, make sure you dive the wrecks at subic bay great even for beginners.
• Question:-Who were the performers and what were the songs they sang at the 43rd CMAs?
  I watched the 43rd Annual CMAs, and I really liked all the performances. I was wondering, who were all the performers and what song did each one sing? (I know most of the performers but I really want to know the songs :)
  
  Answer:-Taylor Swift- Forever & Always
  Darius Rucker- Alright
  Miranda Lambert- White Liar
  Sugarland- Keep You
  Jamey Johnson & Kid Rock- Between Jennings And Jones
  George Strait- Twang
  Kenny Chesney & Dave Mattews Band- I'm Alive
  Vince Gill & Daughtry- Can't remember the song, sorry!
  Reba- Consider Me Gone
  Carrie Underwood- Cowboy Casonva
  Brad Paisley- Welcome To The Future
  Billy Currington- People Are Crazy
  Zac Brown Band- Devil Went Down To George
  Taylor Swift (again)- Fifteen
  Brooks and Dunn- Honkytonk Stomp
  Jason Aldean- Big Green Tractor
  Martina McBride & George Strait- I was country when country wasn't cool
  Lady Antebellum- Need You Now
  Tim McGraw- Southern Voice
• Question:-Is there a website on the internet that shows the CMAs live online?
  We dont get abc but we have faster internet so is there a website where i can watch the CMAs live?
  
  Answer:-Its on like the commercial or something or you can look it up at the CBS website if they are gonna going to put it on their website... :) hope it helps, but if you can, watching on tv is better because of the quality
• Question:-What are some good ideas for Cmas gifts for my 11 and 15 year old brothers?
  These kids have lots of the usual video games and electronics, and they already have boyhood staples like fishing poles, BB guns, etc., so I can't get them that stuff...
  What on earth could I give them that would really please them? I don't want to do a tired old gift card. What gift would have made you really happy at that age? I have about 40 bucks to spend on each.
  NOT clothes or electronics.
  
  I only have 40 BUCKS to spend.
  
  Answer:-Look at this site http://www.RobertsCritterCreators.com
• Question:-How much money do you make doing BPOs & CMAs?
  Just want to know if there are other Realtor out there having success with doing Broker Pricing Options and CMAs for banks? Any good sites to go to start?
  
  Answer:-Not a penny, since I refuse to do them. Lenders are notoriously slow to pay for such work, the fees paid are minimal, and most of the time the CMA or BPO doesn't get you any business in terms of listings. I leave the BPO's to the 'newbies'.
• Question:-What are the differences between CMAs and nurses?
  I know that I'd like to be some kind of medical professional, but I'm still deciding which degree to pursue. I know that CMAs and nurses are two different jobs; however, I'm not really sure what the responsibilities of each position are. Can somebody please clairify the responsibilities of CMAs versus nurses?
  
  Thank you!
  
  Answer:-There are two types of nurses: LPN=Licensed Practical/Licensed Vocational Nurse (2 year degree) and a RN= Registered Nurse (4 year degree)
  
  Licensed practical nurses (LPNs), or licensed vocational nurses (LVNs), care for people who are sick, injured, convalescent, or disabled under the direction of physicians and registered nurses.
  
  LPNs provide basic bedside care. Many LPNs measure and record patients’ vital signs such as height, weight, temperature, blood pressure, pulse, and respiration. They also prepare and give injections and enemas, monitor catheters, dress wounds, and give alcohol rubs and massages. To help keep patients comfortable, they assist with bathing, dressing, and personal hygiene, moving in bed, standing, and walking. They might also feed patients who need help eating. Experienced LPNs may supervise nursing assistants and aides.
  
  As part of their work, LPNs collect samples for testing, perform routine laboratory tests, and record food and fluid intake and output. They clean and monitor medical equipment. LPNs also monitor their patients and report adverse reactions to medications or treatments. LPNs gather information from patients, including their health history and how they are currently feeling. They may use this information to complete insurance forms, pre-authorizations, and referrals, and they share information with registered nurses and doctors to help determine the best course of care for a patient.
  
  Registered nurses (RNs), are higher in demand and make better wages than LPN's regardless of specialty or work setting, they treat patients, educate patients and the public about various medical conditions, and provide advice and emotional support to patients’ family members. RNs record patients’ medical histories and symptoms, help perform diagnostic tests and analyze results, operate medical machinery, administer treatment and medications, and help with patient follow-up and rehabilitation. LPN's/CMA's cannot adminster medications or drugs.
  
  RNs teach patients and their families how to manage their illness or injury, explaining post-treatment home care needs; diet, nutrition, and exercise programs; and self-administration of medication and physical therapy. Some RNs work to promote general health by educating the public on warning signs and symptoms of disease. RNs also might run general health screening or immunization clinics, blood drives, and public seminars on various conditions.
  
  When caring for patients, RNs establish a plan of care or contribute to an existing plan. Plans may include numerous activities, such as administering medication, including careful checking of dosages and avoiding interactions; starting, maintaining, and discontinuing intravenous (IV) lines for fluid, medication, blood, and blood products; administering therapies and treatments; observing the patient and recording those observations; and consulting with physicians and other health care clinicians. Some RNs provide direction to licensed practical nurses and nursing aids regarding patient care. RNs with advanced educational preparation and training may perform diagnostic and therapeutic procedures and may have prescriptive authority.
  
  RNs can specialize in one or more areas of patient care. There generally are four ways to specialize. RNs can choose a particular work setting or type of treatment, such as perioperative nurses, who work in operating rooms and assist surgeons. RNs also may choose to specialize in specific health conditions, as do diabetes management nurses, who assist patients to manage diabetes. Other RNs specialize in working with one or more organs or body system types, such as dermatology nurses, who work with patients who have skin disorders. RNs also can choose to work with a well-defined population, such as geriatric nurses, who work with the elderly. Some RNs may combine specialties. For example, pediatric oncology nurses deal with children and adolescents who have cancer.
  
  
  The Certified Medical Assistant is a multi-skilled health professional (MSHP) who works interdependently with other health care professionals to provide quality health care to
  the patient. The Medical Assistant is educated and trained to perform both administrative and clinical skills in the medical care environment. The Medical Assistant is directly responsible to the physician-employer who hires him/her or any other physician-appointed supervisor in the facility. With experience, the Medical Assistant may be promoted within departments or to supervisory levels in administrative and
  clinical positions when knowledge and skills have been demonstrated :
  
  *JOB DUTIES
  
  ADMINISTRATIVE
  1. Front desk reception.
  2. Answering phones and scheduling appointments.
  3. Greet patients, completion of registration forms, and give instructions.
  4. Filing and maintaining medical records.
  5. Filing and maintaining financial records.
  6. Preparing and typing correspondence.
  7. Processing, coding, and completing insurance claim forms.
  8. Processing mail.
  9. Purchasing and maintaining supplies and equipment.
  10. Performing computer skills in patient billing, transcription, scheduling,
  insurance claims, accounts receivable, and data base entry.
  11. Performing accounting, billing, and banking procedures.
  12. Arranging for hospital admissions and outside referrals for the physician.
  13. Calling prescriptions to the pharmacy for the physician.
  14. Communication skills using appropriate medical terminology.
  15. Following appropriate legal and ethical professional conduct.
  
  CLINICAL
  1. Measuring and recording vital signs.
  2. Recording patient interview, history and chief complaint.
  3. Providing patient education with regards to office policies, medications,
  management of diseased, home treatments and special diets.
  4. Preparing patients for examinations and performing routine screening tests.
  5. Assisting the physician with exams and minor office surgery.
  6. Phlebotomy and collection of other lab specimens.
  7. Performing basic lab tests.
  8. Performing EKGs.
  9. Assisting with X-ray and Physical Therapy procedures.
  10. Preparing and administering medications with physician’s authorizations.
  11. Change dressings, applying bandages, removing sutures and other first aid
  procedures.
  12. Using CPR skills when required.
  13. Maintaining supplies, equipment, stocking, and sterilizing instruments.
  14. Disposing of biohazard waste according to OSHA standards.
  15. Practicing OSHA safety standards.
  16. Performing accurate, legal, and ethical documentation at all times.
• Question:-Is there anywhere i can watch the CMAs live online?
  We dont get abc on our tv but we have faster internet so is there a website they show the CMAs live?
  
  Answer:-
• Question:-why did taylor swift make a confused face and say what after she performed on the CMAs?
  After performing Back to December she said what and had a annoyed/confused face. Does anyone know why?
  
  Answer:-I saw it, I don't know exactly why but I'm thinking that maybe she got a standing ovation...she always gets excited over things like that, she's so humble. I hope someone asks her:)
  
  
  UPDATE!!! lol
  Her fiddle player just tweeted:
  
  caitlinbird caitlin evanson
  CMA snow still in my hair- our girl's reaction to the standing ovation was super priceless.."whaaaa?"
• Question:-What should I get my friend for Cmas?
  My high school basketball team is doing a secret santa. And the gift is suppose to be under 15.00 dollars. Any ideas?
  Obviously she likes basketball...but Im pretty sure she has all the basketball stuff she would need.. so what would a teenage friend want for christmas? Thanks!
  
  Answer:-Maybe tickets to a basketball game

burzynski

• Question:-Does anyone have info or first hand experience with the Burzynski Clinic?
  My friend is researching treatment options for a non-cancerous astrocytoma.
  
  Answer:-Yes....they are wonderful and are best known for help in brain tumors. Currently in FDA trials for antineoplastons treatments. They helped my little brother, when everyone else said there was nothing that could be done for him!! Basically told us to just let him die. We could not accept that answer, so we explored alternative treatments. After LOTS of research found that Burzynski clinc was our best option. That was 5 years ago and he is doing great now!
• Question:-Have you researched the Burzynski documentary on antineoplastin cancer therapy?
  What does your research show regarding this issue? Readers please note the difference between unfounded opinion without reference and real information. If you don't know about this one starting point is to watch the doc on the website at the following address. Admins I am NOT posting just to promote the film, I have NO affiliation with them and will not profit from posting here, but sometimes there is money interests in such things:
  
  http://burzynskimovie.com/
  
  Answer:-Yes, I have researched it. It doesn't work.
• Question:-Is Dr Stanislaw Burzynski legitimate?
  I hear of people saying he's a fake and his treatment doesn't work, but on YouTube I've seen people commenting on his videos saying that they were treated at his clinic successfully.
  
  What do you think and have you had any personal experiences with the Burzynski Clinic?
  
  Answer:-Burzynski claims to cure cancer with extracts from human urine.
  
  There shouldn't really be any need to say more, but here goes.
  
  Burzynski is actually an MD (though his claim to a PhD is apparently dubious); however he had no specialty training in cancer and had no preclinical or clinical cancer research experience when he announced his 'cure for cancer' 35 years ago.
  
  His ''antineoplastons" -the substances he has isolated from human urine which he claims cure cancer - have never been shown to have any effect on cancer; attempts to replicate his claimed results by the National Cancer Institute, the Japanese National Cancer Institute and Sigma-Tau Pharmaceuticals failed.
  
  Be wary of unsubstantiated testimonials about miracle cancer cures. You have no way of knowing whether the person ever had cancer in the first place, much less has been cured.
  
  And you have no way of knowing whether, if genuine, they are still alive.This is from Orac's Respectful Insolence blog:
  
  ''...Dr. Burzynski first gained fame for his antineoplastons back in 1988, when Sally Jesse Raphael featured four "miracle" patients of Burzynski, who, according to her, had had incurable cancer and failed conventional therapies but were then cancer-free, thanks to Dr. Burzynski. Unfortunately, four years later in 1992, Inside Edition followed up these four patients:
  
  'In 1992, "Inside Edition" reported that two of the four patients had died and a third was having a recurrence of her cancer. (The fourth patient had bladder cancer, which has a good prognosis.) The widow of one of Raphael's guests stated that her husband and five others from the same city had sought treatment after learning about Burzynski from a television broadcast -- and that all had died of their disease. In 1995, a federal grand jury indicted Burzynski for mail fraud and marketing an unapproved drug. The indictment charged that he had billed insurance companies using procedure codes for chemotherapy, even though his treatment was not chemotherapy. He was tried in 1997 but not convicted.' ''
  
  ***EDIT***
  
  Oh looky! A total of 8 answers, all from people who joined YA on the same day specifically to answer this question!
  
  Suspicious? You decide!
• Question:-Dr Burzynski has a non-toxic gene therapy that repairs cells instead of destroying them, where can I get it?
  
  
  Answer:-Here you go:
  
  http://www.cancermed.com/
• Question:-Does the Burzynski Clinic in Houston, Tx have a 800 number?
  
  
  Answer:-go to yellowpages.com
• Question:-Seeking information from cancer patients of Dr. S.R. Burzynski in Houston: did he Help?
  My mother is considering treatment with Dr. Burzynski and as her support person I am trying to get her additional information to help her make decisions related to her colon cancer, which has traveled to her lungs, and now bones. As a widow on Medicare, she is trying to make sound health and financial decisions. Is this clinic worth it?
  
  Answer:-Hi Mischka
  
  Ive never been to his clinic, but I know he doesnt use standard methods (chemo, drugs, ect) and that is good. I know the FDA has fought battles in court with him and he won a 14 year case (another plus). They want to stop people like this because they actually help people get better with uncommon methods that dont generate sales like drugs and chemo.
  
  Ive been eduacating people many years myself and learned everything from my teacher at herbdoc.com. He has healed thousands of patients with herbs, hydrotherapy, education on diet and drinking water. He had a clinic for 20 years in Malibu before the FDA shut him down for healing to many patients.
  
  I would go with your gut feeling and if it feels right go to the clinic, if not keep searching for other answers. The answers are out there, but you must have an open mind and accept the answer that fits for you.
  
  Best of health to you both
• Question:-So apparently Burzynski's treatment does work?
  http://www.ncbi.nlm.nih.gov/pubmed/18224398
  
  That's from a study done in Japan, and the article WASN'T edited by Burzynski.
  
  There are more studies here: http://www.ncbi.nlm.nih.gov/sites/entrez?myncbishare=mdacclib&holding=mdacclib_fft&dr=abstract&term=Antineoplaston%20therapy
  
  So they were right all along? The FDA really was trying to shut him down or what?
  thinkingtime: What do you mean? Burzynski is responsible for creating antineoplastons, the link I showed you is a study from Japan where they apparently independantly test his antineoplastons? If they work, how can that not have something to do with Burzynski?
  
  You see, I was at first skeptical of Burzynski, but after seeing this, I wonder if there really is some truth behind this whole antineoplaston thing...
  "We have also characterized a novel mechanism through which all-trans retinoic acid (ATRA) and antineoplaston, anticancer drug, caused cell growth inhibition in breast cancer cells through effects on intracellular pathways"
  
  "Antineoplaston caused the down-regulation of PKCalpha protein expression, resulting in inhibition of ERK MAPK phosphorylation, with resultant inhibition of Rb phosphorylation leading to G(1) arrest"
  
  That's quoted directly from the first link I sent you. Burzynski created antineoplastons, and they're saying that it works. How is that not proof that at least some aspects of antineoplastons work?
  
  I know that some of the stuff about him is suspcious, such as his credinitials, but he might have been on to something here. After all, that is a government website I showed you, and the study WASN'T by Burzynski, which means it's very unlikely he somehow altered the article.
  
  Answer:-Cancer is a collective term for approximately 200 different diseases. Every cell type in your body can (in principle) develop into its own type of cancer. On top of that individual cancer cells in every cancer are also different from one another. So a compound that may damage one cancer cell may do nothing another cancer cell. This is how resistance to chemotherapy develops. The sensitive cells are mopped up leaving the rest behind.
  
  As you can see in the abstract they examined a cancer cell line. In a cancer cell line, all the cancer cells are identical. This is one reason why you can't deduce from a cell line study that it will work in patients. And even in more realistic situations where you treat rats/mice that has been given cancer, you can't be sure that the effect you observe automatically translates into an effect on human cancers. A comparison of drug performance in animal models with subsequent clinical trials shows that drugs which reduce tumor bulk by less than 60% do not show efficacy in human trials: http://www.nature.com/bjc/journal/v84/n10/pdf/6691796a.pdf
  
  You can see that the cell line study was published back in 2008. Why haven't the group presented any data on patients since then? One realistic possibility is, that despite of promising effect on cell lines it didn't work on patients.
  
  To know if it works in humans, you need to do controlled studies. There simply is no way around it.
  
  In addition to avoid problems with resistance, you also need to tolerate a sufficient amount of the drug. If you take a look at the Mayo study (lo_mcg's link), you can see that they experienced serious toxic effects resulting in the need for dose reduction.
  
  So where are we today? Well - research has not been suppressed. Antineoplastons have not been shown to work on cancer outside Burzynski's clinic. My red flags are still up.
• Question:-Burzynski Clinic? Gene Therapy?
  So a friend of ours recently recommended that we try to to get some information about this institute for treatment.
  
  However, the website seems kind of vague and I don't even know if they treat small cell lung cancer outside of trials or not... Upon further research I noticed that they have been doing the antineoplastins trials for years now and nobody can really confirm or deny that it is working.
  
  The COST of treatment is INSANE. Of course, I know that any form of cancer treatment and medicine is a bit out there... but they ask for $500 just to look at your records, $1000 for the consult, then a DEPOSIT of $10,000 for 'treatment', and $5000 - $10,000 for medicine deposits.. as well as a monthly fee of a few thousand.
  
  I'm just not sure how I feel about it at all. I am not the patient here, it's my mom.. but before we get our hopes up on anything I am trying my hardest to research the options. I have heard of gene-therapy and that there are several trials out there that HAVE gotten good results. I think I am most un-nerved by the fact that this particular clinic isn't affiliated with any insurance companies and the FDA took YEARS to allow the trials to move to phase three.
  
  Does anyone have any alternative places to share? Or has anyone tried this clinic with good results?
  
  We aren't too well on funding at the moment (but we can find ways to cover it.. should we find some form of proof that the treatment DOES work) and I would much rather prefer to spend the money on actually keeping my mother healthy- instead of giving the money to people who are feeding on the hopes of the ill.
  
  We are trying our best to find a way to help my mother and hopefully beat this cancer. Any help on this subject or if someone can even find some kind of research reguarding these treatments.. I would much appreciate it
  
  Answer:-I am sorry to hear about your mom. Your assertion that Burzynski is to be avoided is absolutely correct.
  
  Burzynski treats patients at a private clinic using what he terms antineoplastons, mixtures of peptides, amino acids, and other simple organic substances that are said to promote the body’s natural defenses against cancer. Although he has published several studies of his own, these are of a rather unclear design.
  
  As you already know it isn’t cheap either. And it seems that the price has gone up. Previously Burzynski's patients payed a $6,000 deposit before beginning treatment. Technically, the drug itself is free because it's only used under Phase II trials, but patients pay for incidentals, including consultations, supplies and classes on how to administer the drug. This ran about $7,500-$9,000 a month — out of pocket.
  
  In 1998, Paul Goldberg, editor of The Cancer Letter, a D.C.-based newsletter covering cancer research and drug approval, investigated Burzynski's claims up to that point. He asked three renowned and independent researchers to examine Burzynski's scientific protocols — all three said they could not make sense of the data, saying it did not resemble any commonly accepted models. The article is shown unedited here: http://www.quackwatch.com/01QuackeryRelatedTopics/Cancer/burzynski2.html
  
  A Phase II trial in glioma conducted under the auspices of the National Cancer Institute http://www.mayoclinicproceedings.com/content/74/2/137.abstract?keytype2=tf_ipsecsha&ijkey=eaf21226703b21cd709dbd7acd5a8e48c199f2aa was halted due to poor accrual, after Burzynski failed to agree with the investigators on possible expansion of the eligibility criteria. Nine patients were accrued, six of whom were able to be evaluated for response. There were no objective responses, and all six showed evidence of tumor progression after treatment durations of between 16 to 66 days. The mean time to treatment failure (progression or discontinuation due to toxicity) was 29 days. All nine patients died before the study closed, all but one death being due to tumor progression. Although the authors of the article claimed that the small sample size precluded "definitive conclusions," the results of the patients in the trial are clearly extremely disappointing.
  
  Sometimes studies such as this one: http://www.ncbi.nlm.nih.gov/pubmed/18224398 are presented as evidence that Burzynski-independent studies also show positive effects.
  As you can see in the abstract they examined a cancer cell line. In a cancer cell line, all the cancer cells are identical. This is one reason why you can't deduce from a cell line study that it will work in patients. And even in more realistic situations where you treat rats/mice that have been given cancer, you can't be sure that the effect you observe automatically translates into an effect on human cancers. A comparison of drug performance in animal models with subsequent clinical trials shows that drugs which reduce tumor bulk by less than 60% do not show efficacy in human trials: http://www.nature.com/bjc/journal/v84/n10/pdf/6691796a.pdf
  
  Another thing worth noticing is, that the cell line study was published back in 2008. Why haven't the group presented any data on patients since then? One realistic possibility is, that despite of promising effect on cell lines it didn't work on patients.
  
  So where are we today? Well - research has not been suppressed. Antineoplastons have not been shown to work on cancer outside Burzynski's clinic.
• Question:-Has anyone heard about a possible Cure for Cancer by S.R.Burzynski down in Houston, TX?
  
  
  Answer:-Stanislaw Burzynski M.D. Ph.D. has a clinic in Houston Texas where he treats various kinds of cancer. Although he has employed this therapy with patients since 1976, his treatment is still not FDA approved and is therefore only available to those patients who meet rigid FDA criteria.
  
  Do a search, there's multiple sites. Read and decide for yourself.
• Question:-Please tell me why a study in Japan revealed that Burzynski's antineoplaston activated tumor-suppressor genes?
  http://www.ncbi.nlm.nih.gov/pubmed/18224398
  How did a so-called quack discover something this big? Could he really be on to something? It's not everyday that a "quack" discovers something that affects cancer cells in a positive way.
  
  What do you think? Do you think that he just got lucky and found something that HAPPENED to influence cancer cells, or do you believe that he really is onto something?
  Samurai Japan: Do you really believe that? Has it ever happened with another "quack" before?
  
  Answer:-