Friday, November 22, 2013

Michael Emory
            MTCC PNE / NUR 101
                                                 Chronic Kidney Disease (CKD)                    
Chronic kidney disease (CKD), also known as chronic renal disease, is a progressive loss in renal function over a period of months or years. The early symptoms of worsening kidney function vary and often go un-noticed. Chronic kidney disease (CKD) causes destruction of the kidneys. It is progressive and irreversible. (Brunner).

Your kidneys are an essential part of your body’s ability to function. They have a number of functions: they help maintain the balance of minerals and electrolytes such as calcium, sodium, and potassium, they play an essential role in the production of red blood cells, they maintain the delicate acid-base balance of the blood, and they excrete water soluble wastes from the body. Each kidney contains about one million tiny filtering units called nephrons. (Shier, 12th Edition) Any disease that injures or scars these filtering units can cause kidney disease. (White etal., 2011)

Diabetes and high blood pressure can both damage the nephrons. (Brunner) High blood pressure can also damage the blood vessels of the kidneys, heart, and brain. This is key, because, in general, blood vessel diseases are dangerous to the kidneys. The kidneys are vascular—meaning they contain lots of blood vessels. (Brunner) The risk of CKD increases over the age of 65 and chances seem to increase if there is a family history of renal disease. It is more likely to occur in African-Americans, American Indians, and Asian Americans. Other risk factors for CKD include: cigarette smoking, obesity, high cholesterol, diabetes, and autoimmune disease. (White etal., 2011)

CKD does not cause noticeable symptoms until about 90 percent of the kidney has been destroyed. Once the kidney is severely damaged, symptoms of CKD could include: swelling around the eyes (per orbital edema), swelling of the legs (pedal edema], fatigue, shortness of breath, nausea vomiting, especially in the morning and after eating. (Brunner). BUN can be elevated when the kidney starts to fail. Normally, the kidney clears products of protein breakdown from the blood. However, after kidney damage,


byproducts build up. Urea is one byproduct of protein breakdown. Urea is what gives urine its odor. (Brunner).

The diagnosis of CKD begins with a medical history. A family history of kidney failure can raise suspicions. So can a history of high blood pressure or diabetes. However, other tests are needed to confirm a CKD diagnosis.  A complete blood count (CBC) can show anemia. Kidneys produce erythropoietin. This is the hormone that stimulates the bone marrow to produce red blood cells. When the kidney is severely damaged, the ability to produce erythropoietin decreases. This causes the decline in red blood cells known as anemia. (Brunner).
Procedures that can be done to help with the diagnosis include a Renal Flow and Scan.  This is an imaging study of kidney function A Renal Ultrasound This noninvasive test measures the kidneys and prostate. It gives information about whether an obstruction is present.  Additional tests for CKD include: biopsy of the kidney, bone density test, abdominal computed tomography (CT) scan abdominal magnetic resonance imaging (MRI).  (Brunner).
CKD is chronic and irreversible. Treatment focuses on improving the underlying disease.
Treatment can also prevent and manage complications of CKD, such as: fluid overload, congestive heart failure, anemia, and weight loss and electrolyte imbalance. Control of underlying problems, such as hypertension and diabetes, can slow the rate of kidney damage. Chronic kidney disease frequently progresses to complete kidney failure. When this happens either dialysis or a kidney transplant is necessary for continued survival.  There are steps a person can take to properly manage chronic kidney disease and prevent the process from progressing.   One very important issue is controlling blood sugar. And keeping your blood pressure well controlled is probably two of the single best ways to manage chronic kidney disease So, Making exercise and healthy eating will help to regulate blood pressure and blood sugar which in turn helps to manage chronic kidney disease. (Brunner) (White etal., 2011) (Shier, 12th Edition)



                                                            




References

Brunner, L. S., Suddarth, D. S., & Smeltzer, S. C. (2008). Brunner & Suddarth's textbook of medical-surgical nursing (7th ed.). Philadelphia, New York: Lippincott Williams & Wilkins.
 "Hole's Human Anatomy & Physiology (Shier), 12th Edition." Your Page Title. N.p., n.d. Web. 14 Nov. 2013. .

White, Lois, Gena Duncan, and Wendy Baumle. Foundations of Nursing. Clifton Park, NY: Delmar/ Cengage Learning, 2

Atrial Fibrillation (Afib)

Michael Emory
MTCC PNE
                                                 Atrial Fibrillation (Afib)  
Atrial Fibrillation (Afib)   is an irregular and often rapid heart rhythm.  The irregular rhythm, or arrhythmia, results from abnormal electrical impulses in the upper chambers (atria/atrium) of the heart that causes the heartbeat (ventricle contraction) to be irregular and usually fast.  The irregularity can be continuous, or it can come and go.  Some individuals, especially patients on medication, may have atrial fibrillation constantly but not have rapid (> 100 heartbeats per minute) at rest.  Normal heart contractions begin as an electrical impulse in the right atrium.  The impulse comes from an area of the atrium called sinoatrial (SA) or sinus node, the “natural pacemaker” that causes the normal range of regular heartbeats.  In an adult person with a normal heart rate and rhythm the heart beats 50-100 times per minute at rest.  If more than 100 time per minute, the heart rate is considered fast (tachycardia).  If the heart beats less than 50 times per minute, the heart is considered slow (bradycardia).
In atrial fibrillation, multiple sources of impulses other than only from the SA node travel through the atria at the same time.  Instead of coordinated contraction, the atrial contractions are irregular, disorganized, chaotic, and very rapid.  The atria may contract at a rate of 400-500 beats per minute.  The blood flow from the atria to the ventricles is often disrupted.  These irregular impulses reach the AV node in rapid succession, but not all of them make it past the AV node.  Therefore, the ventricles beat more slowly than the atria, often at fairly fast rated of 150-180 beats per minute in an irregular rhythm.  The resulting rapid, irregular heartbeat causes an irregular pulse and sometimes a sensation of fluttering in the chest.


Atrial fibrillation can occur in several different patterns:
Intermittent - The heart develops atrial fibrillation and typically converts back again spontaneously to normal (sinus) rhythm.  The episodes may last anywhere from seconds to days.

Persistent - Atrial Fibrillation occurs in episodes, but the arrhythmia does not convert back to sinus rhythm spontaneously.  Medical treatment or cardioversion (electrical treatment) is required to end an episode.
Permanent - The heart is always in atrial fibrillation.  Conversion back to sinus rhythm either is not possible or is deemed not appropriate for medical reasons.  In most cases, the rate is reduced by medications and the patients are placed on anticlotting medications for their lifetime.
Atrial Fibrillation or A Fib is one of the most common heart rhythm disorders.  It affects about 4% of the population, mostly people older than 60 years.  This amounts to more than 2.6 million people in the U.S.  People older than 40 have about a 25% chance of developing Afib in their lifetime.  The risk of developing A fib increases as we get older.  About 10% of people older than 80 years have atrial fibrillation.  For many people, A fib may cause symptoms but does no harm.
  Complications like blood clot formation, strokes and heart failure can arise, but appropriate treatment reduces the chances that such complications will develop.
 Some of the signs and symptoms that may be seen are shortness of breath, wheezing, chest tightness and edema in lower extremities.  Due to the possibility of edema and fluid retention of the patient the Dr. may perform a thoracentesis to remove fluid from the pleural space within the


chest wall. Latter a chest X ray may be ordered to check for fluid within the lower lobes of the lungs.  An EKG will show there is a rapid atrial flutter, along with Para pneumonia effusion.

Following these tests patients can be started on several different drugs:
1.  Digoxin (Lonoxin):   This drug decreases the conductivity of electrical impulses through the AV node.  Digoxin is currently used primarily in patients with associated heart disease, such as poorly functioning left ventricle.  The health care provider, nurses, and AP staff should monitor patient for edema and wheezing.

2.  Coumadin (Warfarin):  A blood anticoagulant that inhibits the function of Vitamin K dependent coagulation.  Coumadin is used to inhibit the coagulation of blood to reduce or prevent the chance of developing heart attacks, strokes and venous and other blood clots; deep vein thrombosis, pulmonary embolisms and thrombi produced by atrial fibrillation.  The most common side effect of this drug is bruising and bleeding.

3.  Lasix (Furosemide):  This drug belongs to a group of medications called loop diuretics (water pills).  Lasix is given to help treat fluid retention (edema) and swelling that is caused by congestive heart failure, liver disease and other medical conditions. Together with other medications it can be used to treat high blood pressure.  If this drug is used for a long time, the heart and arteries may not function properly.  This can damage many vital organs resulting in stroke, heart failure, or kidney failure.


Works Cited:

Brunner and Suddarth's Textbook of Medical Surgical Nursing, 12th Ed. Fundamentals of Nursing, 7th Ed. Clinical Nursing Skills Video Guide, 2nd Ed. Taylor's Clinical Nursing Skills, 3rd Ed. LWW DocuCare One Year Access North American Edition. N.p.: Lippincott Williams & Wilkins, 2013. Print.

Thursday, November 7, 2013

COPD

Michael Emory
NUR101/ MTCC PNE 2014
                                              COPD
     Chronic obstructive pulmonary disease (COPD) is one of the most common lung diseases. It makes it difficult to breathe. There are two main forms of COPD: Chronic bronchitis, which involves a long-term cough with mucus, and Emphysema, which leads to the destruction of the lungs over time. Most people with COPD have a combination of both conditions.
     Smoking is the leading cause of COPD. The more a person smokes, the more likely that person will develop COPD. However, some people smoke for years and never get COPD. In rare cases, nonsmokers who lack a protein called alpha-1 antitrypsin can develop emphysema. (Hanania). Other risk factors for COPD are; Exposure to certain gases or fumes in the workplace, Exposure to heavy amounts of secondhand smoke, pollution, and frequent use of cooking fire without proper ventilation. (Hanania).
     The most common symptoms are cough, with or without mucus, fatigue, respiratory infection, shortness of breath that gets worse with mild activity, trouble catching one's breath and wheezing. Because the symptoms of COPD develop slowly, some people may not know that they are sick.
     The best test for COPD is a lung function test called spirometry. This involves blowing out as hard as possible into a small machine that tests lung capacity. The results can be checked right away, and the test does not involve exercising, drawing blood, or exposure to radiation. (Hanania) Using a stethoscope to listen to the lungs can also be helpful. However, sometimes the lungs sound normal even when COPD is present. Pictures of the lungs (such as x-rays and CT scans) can be helpful, but they also sometimes look normal even when a person has COPD. Sometimes patients need to have a blood test to measure the amounts of oxygen and carbon dioxide in the blood to determine if there is adequate gas exchange. (Hanna).
     There is no cure for COPD. However, there are many things you can do to relieve symptoms and keep the disease from getting worse. Persons with COPD must stop smoking. This is the best way to slow down the lung damage.
     Medications used to treat COPD include: Inhalers (bronchodilators) to open the airways, such as ipratropium (Atrovent), tiotropium (Spiriva), salmeterol (Serevent), formoterol (Foradil), or albuterol, Inhaled steroids to reduce lung inflammation, Anti-inflammatory medications such as montelukast (Singulair) and roflimulast are sometimes used. (Hanania) In severe cases or during flare-ups, you may need to receive: Steroids by mouth or through a vein (intravenously), Bronchodilators through a nebulizer, Oxygen therapy assistance during breathing from a machine, using a mask, BiPAP, or endotracheal tube. (Hanania) Antibiotics are prescribed during symptom flare-ups, because infections can make COPD worse.(Hanania) You may need oxygen therapy at home if you have a low level of oxygen in your blood. Pulmonary rehabilitation does not cure the lung disease, but it can teach you to breathe in a different way so you can stay active. Exercise can help maintain muscle strength in the legs. Walk to build up strength and slowly increase how far you walk. Try not to talk when you walk if you get short of breath. Use pursed lip breathing when breathing out to empty your lungs before the next breath.
     Things you can do to make it easier for yourself around the home include: Avoiding very cold air, Making sure no one smokes in your home, Reducing air pollution by getting rid of fireplace smoke and other irritants. Eat a healthy diet with fish, poultry, or lean meat, as well as fruits and vegetables. If it is hard to keep your weight up, talk to a doctor or dietitian about eating foods with more calories. People often can help ease the stress of illness so perhaps joining a support group in which members share common experiences and problems might be helpful.
     Surgery may be used, but only a few patients benefit from these surgical treatments. Surgery to remove parts of the diseased lung can help other areas (not as diseased) work better in some patients with emphysema and lung transplant for severe cases.
     COPD is a long-term (chronic) illness. The disease will get worse more quickly if you do not stop smoking Patients with severe COPD will be short of breath with most activities and will be admitted to the hospital more often. These patients should talk with their doctor about breathing machines and end-of-life care.





















References
Nicola A. Hanania, COPD (2011). Retrieved from http://Googleebook.com
















Pulmonary Hypertension

                                                    Pulmonary Hypertension
Pulmonary hypertension (or PHT) is a type of heart disease that causes dangerously high blood pressure in your lungs, affecting the arteries of your lungs and part of your heart. It is a different measurement altogether from systemic blood pressure. It reflects the pressure the heart must exert to pump blood from the heart through the arteries of the lungs. Pulmonary blood pressure is normally a lot lower than systemic blood pressure. Normal pulmonary-artery pressure is about 14 mm Hg at rest. If the pressure in the pulmonary artery is greater than 25 mm Hg at rest and 30 mm Hg during exercise, it is abnormally high and is called pulmonary hypertension. (Web. O7 Nov. 2013). Symptoms of pulmonary hypertension may not develop until the disease has advanced, and if not treated, you may develop life-threatening diagnosis. Pulmonary hypertension can be diagnosed by a cardiologist or a pulmonologist with an echocardiogram, which uses sound waves to make a picture of your heart. (White & Duncan 2011).
Early on, you may think you're simply "out of shape" because general fatigue and tiredness are often the first symptoms. Symptoms are shortness of breath while exercising, and eventually, chest pain, fatigue, fainting, swelling in your feet, ankles and legs, and cyanosis of your lips, fingers and toes. (Web. O7 Nov. 2013)
Pulmonary hypertension is caused by the hardening or narrowing of the arteries in your lungs and the right side of your heart. Spending time at high altitudes (8,000 feet and higher) may cause you to develop pulmonary hypertension because of low blood oxygen or accumulation of fluid in your lungs. (Holes 2013)


Factors that increase your risk of pulmonary hypertension include older age, being female and having a family history of the condition. Medical conditions such as AIDS, chronic hepatitis, sickle cell anemia, sleep apnea, lupus and emphysema may cause you to develop secondary pulmonary hypertension. Complications of pulmonary hypertension may be fatal without treatment and include heart arrhythmia, bleeding into the lungs, blood clots and heart failure. (Web. O7 Nov. 2013)
The effects of Pulmonary Arterial Hypertension (PAH) are nonspecific; therefore persons with pulmonary heart disease may be required to undergo many different kinds’ lifestyle changes. If you smoke, stop. If you don't exercise, start. Excessive use of alcohol is not recommended, but some doctors may suggest a small glass of red wine every day, which may produce benefits from its high content of flavonoids and antioxidants. Flavonoids and antioxidants can also be found in foods from a well-balanced diet, including vitamin and mineral supplements. (Patient Survival Guide, Web. 07 Nov. 2013)
Exercise may help strengthen the heart muscle and help increase stamina and strength for some. Preventing further heart damage is the key to living with pulmonary heart disease. Controlling blood pressure and watching cholesterol levels are also important for anyone suffering from any form of heart disease. . (Patient Survival Guide, Web. 07 Nov. 2013)





Works Cited:
1) "Hole's Human Anatomy & Physiology (Shier), 12th Edition." Your Page Title. N.p., n.d. Web. 07 Nov. 2013. .
 2) "PULMONARY HYPERTENSION: A PATIENT’S SURVIVAL GUIDE." PH Patients Survival Guide. N.p., n.d. Web. 07 Nov. 2013. .
 3) "What Is Pulmonary Hypertension?" What Is Pulmonary Hypertension? N.p., n.d. Web. 07 Nov. 2013. .

4) Foundations of Nursing, White & Duncan, 3rd Edition. 2011.

Thursday, August 25, 2011

Government Health Care / 666

Click For Obama Video Link - How Much Debt Added Since 2008?







Please Sign up as a Subcriber to my Email List in the form on the right of the page (Email, First Name, Last Name) and Check Out all the links to follow and connect with Mike Emory Affiliated Marketing at the end of the article.


After adding trillions to the debt on big-government policies most Americans didn't ask for and which we couldn't afford, Democratic leaders say they need more money, which they intend to take from small business, even though small businesses create the majority of new jobs.
Mitch McConnell




Article by:

Click For Obama Video Link
I'm sounding off on this..... It's long but read it!
THE IMPLANTABLE RFID CHIP- IS IN THE HEALTHCARE BILL! once the entire population is "chipped" - they can shut you down for failure to comply with any of their crimes, sins and laws- this would cut you off from healthcare- banking- making purchases- and in a nutshell- living.

Nationa...l Medical Device Registry
(g)(1) The Secretary shall establish a national medical device registry (in this subsection referred to as the ‘registry’) to facilitate analysis of postmarket safety and outcomes data on each device that (A) is or has been used in or on a patient; and ‘‘(B) is (i) a class III device; or (ii) a class II device that is implantable, life-supporting, or life-sustaining.
(2) In developing the registry, the Secretary shall,
in consultation with the Commissioner of Food and Drugs, the Administrator of the Centers for Medicare & Medicaid Services, the head of the Office of the National Coordinator for Health Information Technology, and the Secretary of Veterans Affairs, determine the best methods for— ‘‘(A) including in the registry, in a manner consistent with subsection (f), appropriate information
to identify each device described in paragraph (1) by type, model, and serial number or other unique identifier;
(B) validating methods for analyzing patient safety and outcomes data from multiple sources and for linking such data with the information included in the registry as described in subparagraph (A), including, to the extent feasible, use of (i) data provided to the Secretary under other provisions of this chapter; and ‘‘(ii) information from public and private sources identified under paragraph (3); ‘‘(C) integrating the activities described in this subsection with—
(i) activities under paragraph (3) of section 505(k) (relating to active postmarket risk identification);
(ii) activities under paragraph (4) of section 505(k) (relating to advanced analysis of drug safety data); and
(iii) other postmarket device surveillance activities of the Secretary authorized by this chapter; and (D) providing public access to the data and analysis collected or developed through the registry in a manner and form that protects patient privacy
and proprietary information and is comprehensive, useful, and not misleading to patients, physicians, and scientists.
(3)(A) To facilitate analyses of postmarket safety and patient outcomes for devices described in paragraph
(1), the Secretary shall, in collaboration with public, academic, and private entities, develop methods to—
(i) obtain access to disparate sources of patient safety and outcomes data, including—
(I) Federal health-related electronic data (such as data from the Medicare pro-gram under title XVIII of the Social Security Act or from the health systems of the Department of Veterans Affairs);
(II) private sector health-related electronic data (such as pharmaceutical purchase data and health insurance claims data); and
(III) other data as the Secretary deems necessary to permit postmarket assessment of device safety and effectiveness;
and

(ii) link data obtained under clause (i) with information in the registry.

(B) In this paragraph, the term ‘data’ refers to information respecting a device described in paragraph (1), including claims data, patient survey data, standardized analytic files that allow for the pooling and analysis of data from disparate data environments, electronic health records, and any other data deemed appropriate by the Secretary.

Click For Obama Video Link
4) Not later than 36 months after the date of the enactment of this subsection, the Secretary shall promulgate regulations for establishment and operation of the registry under paragraph (1). Such regulations— ‘‘(A)(i) in the case of devices that are described in paragraph (1) and sold on or after the date of the enactment of this subsection, shall require manufacturers of such devices to submit information to the registry, including, for each such device, the type, model, and serial number or, if required under subsection (f), other unique device identifier; and (ii) in the case of devices that are described in paragraph (1) and sold before such date, may require manufacturers of such devices to submit such information to the registry, if deemed necessary by the Secretary to protect the public health;
(B) shall establish procedures— ‘‘(i) to permit linkage of nformation submitted pursuant to subparagraph (A) with patient safety and outcomes data obtained under paragraph (3); and (ii) to permit analyses of linked data; (C) may require device manufacturers to submit such other information as is necessary to facilitate postmarket assessments of device safety and effectiveness and notification of device risks; (D) shall establish requirements for regular and timely reports to the Secretary, which shall be included in the registry, concerning adverse event trends, adverse event patterns, incidence and preva-ence of adverse events, and other information the Secretary determines appropriate, which may include data on comparative safety and outcomes trends; and
(E) shall establish procedures to permit public access to the information in the registry in a manner and form that protects patient privacy and proprietary information and is comprehensive, useful, and not misleading to patients, physicians, and sci-
entists.
(5) To carry out this subsection, there are author-ized to be appropriated such sums as may be necessary for fiscal years 2010 and 2011.’’.
(2) EFFECTIVE DATE.—The Secretary of Health and Human Services shall establish and begin implementation of the registry under section 519(g) of the Federal Food, Drug, and Cosmetic Act, as added by paragraph (1), by not later than the date that is 36 months after the date of the enactment of this Act, without regard to whether or not final regulations to establish and operate the
registry have been promulgated by such date.
(3) CONFORMING AMENDMENT.—Section 303(f)(1)(B)(ii) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 333(f)(1)(B)(ii)) is amended by striking ‘‘519(g)’’ and inserting ‘‘519(h)’’.
(b) ELECTRONIC EXCHANGE AND USE IN CERTIFIED ELECTRONIC HEALTH RECORDS OF UNIQUE DEVICE IDENTIFIERS.—
(1) RECOMMENDATIONS.—The HIT Policy Committee established under section 3002 of the Public Health Service Act (42 U.S.C. 300jj–12) shall recommend to the head of the Office of the Na-
tional Coordinator for Health Information Technology standards, implementation specifications, and certification criteria for the electronic exchange and use in certified electronic health records of a unique device identifier for each device described in section
519(g)(1) of the Federal Food, Drug, and Cosmetic Act, as added by subsection (a).
(2) STANDARDS, IMPLEMENTATION CRITERIA, AND ERTIFICATION CRITERIA.—The Secretary of the Health Human Services, acting through the head of the Office of the National Coordinator for
Health Information Technology, shall adopt standards, implementation specifications, and certification criteria for the electronic exchange and use in certified electronic health records of a unique device identifier for each device described in paragraph (1), if such an identifier is required by section 519(f) of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 360i(f)) for the device.

a “class II implantable device.” I’m trying to figure out what that means:

Btw, this doesn’t sound like a pacemaker to me) “This guidance document was developed as a special control guidance to support the classification of the implantable radiofrequency transponder system for patient identification and health information into class II (special controls). The device is intended to enable access to secure patient identification and corresponding health information in humans. This guidance is issued in conjunction with a Federal Register notice announcing the classification of implantable radiofrequency transponder system for patient identification and health information.”

Could you also help me understand: what do suppose it means on p 503 ” medical device 
COMPLETE FAILURE
surveillance?”


Call me paranoid, but I’d like to know what is going on…. I’d feel more comfortable second guessing these things before the fact….rather than after. These are serious red flags that we need to pay careful attention to…imo.

TITLE 21–FOOD AND DRUGS
CHAPTER I–FOOD AND DRUG ADMINISTRATION DEPARTMENT OF HEALTH AND HUMAN SERVICES SUBCHAPTER H–MEDICAL DEVICES
PART 880 — GENERAL HOSPITAL AND PERSONAL USE DEVICES
Sec. 880.6300 Implantable radiofrequency transponder system for patient identification and health information. And if you have a public health system then you naturally need to register the patients to eliminate abuse of the system.
§ 880.6300 21 CFR Ch. I (4–1–06 Edition)
(b) Classification. Class I (general controls).
The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter, subject to the limitations in § 880.9. [45 FR 69682–69737, Oct. 21, 1980, as amended at 54 FR 25050, June 12, 1989; 66 FR 38806, July 25, 2001]
§ 880.6300 Implantable radiofrequency transponder system for patient identification and health information.
(a) Identification. An implantable radiofrequency transponder system for patient identification and health information is a device intended to enable access to secure patient identification and corresponding health information.
This system may include a passive implanted transponder, inserter, and scanner. The implanted transponder is used only to store a unique electronic identification code that is read by the scanner. The identification code is used to access patient identity and corresponding health information stored in a database.
(b) Classification. Class II (special controls). The special control is FDA’s guidance document entitled ‘‘Class II Special Controls Guidance Document:
Implantable Radiofrequency Transponder System for Patient Identification and Health Information.’’ See § 880.1(e) for the availability of this guidance document. This device is exempt
from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations
in § 880.9.
[69 FR 71704, Dec. 10, 2004] § 880.6320 AC-powered medical examination light.

(a) Identification. An AC-powered medical examination light is an ACpowered device intended for medical purposes that is used to illuminate body surfaces and cavities during a medical examination.

((( my insert here: ahem. you will bend over……….)))
(b) Classification. Class I (general controls).
The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter, subject to the limitations in § 880.9. [45 FR 69682–69737, Oct. 21, 1980, as amended at 61 FR 1123, Jan. 16, 1996; 66 FR 38806, July 25, 2001]
(a) Identification. A battery-powered medical examination light is a batterypowered device intended for medical purposes that is used to illuminate body surfaces and cavities during a medical examination.
(b) Classification. Class I (general controls).
The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter, subject to the limitations in § 880.9. The device also is exempt from the current good manufacturing practice regulations in part 820 of this chapter, with the exception of § 820.180, with respect to general requirements concerning records, and § 820.198, with respect to complaint files.
[45 FR 69682–69737, Oct. 21, 1980, as amended at 66 FR 38806, July 25, 2001]
§ 880.6375 Patient lubricant.
(a) Identification. A patient lubricant is a device intended for medical purposes that is used to lubricate a body orifice to facilitate entry of a diagnostic or therapeutic device.
(b) Classification. Class I (general controls).
[45 FR 69682–69737, Oct. 21, 1980, as amended at 66 FR 46952, Sept. 10, 2001]
§ 880.6430 Liquid medication dispenser.
(a) Identification. A Liquid medication dispenser is a device intended for medical purposes that is used to issue a measured amount of liquid medication.
(b) Classification. Class I (general controls).
The device is exempt from the premarket notification procedures in
subpart E of part 807 of this chapter, subject to the limitations in § 880.9. The device is also exempt from the current good manufacturing practice regulations in part 820 of this chapter, with the exception of § 820.180, with respect to general requirements concerning records, and § 820.198, with respect to complaint files.
[45 FR 69682–69737, Oct. 21, 1980, as amended at 66 FR 38806, July 25, 2001]
§ 880.6450 Skin pressure protectors.
(a) Identification. A skin pressure protector is a device intended for medical VerDate Aug<

Radio Frequency Implantable Device (RFID) use on humans can no longer be claimed as speculation or theory. Their use is now well documented and integrated in several planned strategies for the U.S. Department of Health and Human Services and Health Care Bills. These disturbing initiatives will see microchip implants embedded inside every American, and possibly inside every human within the next few years.
Richard Schmid has worked in radiological health for more than a decade. He has been researching RFID chips for most of his professional career and has worked extensively with RF devices in all levels of radiological medicine. He admits that his analysis of U.S. Health Care Bills and RFID documentation is alarming. “I don’t think most people understand the magnitude of what is happening with the health care legislation being imposed on Americans,” he stated.

Schmid says that RFID chips have already been implanted in thousands of people around the world, many without their knowledge. “Some of these devices are so small and scalable, that they are capable of being inserted in food, patches, medications, hypodermic needles and even inside vaccines.” A recent report from PreventDisease.com detailed how populations are being primed for nano-microchips inside vaccines.

“I used to joke with colleagues about pandemic scenarios and airborne plagues and how that would be the only way for people to submit to implantable chips….I just never thought it would come true in the exact scenario I had imagined.” Schmid said that the current situation in the Ukraine and media blackout in the west are a bad sign of things to come.

As the World Health Organization (WHO) continues to deceive the world on the current pandemic affecting the Ukraine and surrounding area, many experts well-versed in the WHO’s manipulation are calling the current reporting of Ukraine’s pandemic as one of the most deceptive in the agency’s history. Not only is the WHO refusing to release the actual number of deaths, but they also continue to delay the release of critical sequencing data for the mutated strain. The illness has infected well over one million people in the Ukraine and has spread to neighboring countries with similar infection rates. The actual number of deaths are rumoured to be much higher than those reported by the Ukraine government and the WHO.

Schmid added that people who initially refuse the device will not be able to obtain or renew essential documents like passports, driver’s licenses, med cards, and all credit/banking cards. “It’s a totally new electronic system, but they’ve been developing it for years and it will soon be integrated with all National ID cards around the world.” Schmid says the public will not be able to get back on to the grid without the RFID, something that will eventually be required from every nation.
Click For Obama Video Link


In December 10, 2004, a document was released by the U.S. Department of Health and Human Services that detailed special controls guidance for radio frequency transponders of patient identification. The document details everything from the performance testing to the electromagnetic and resonance imaging capabilities of the device. The FDA cleared VeriChip for medical applications in the U.S. two months before the document was released.

VeriChip is the first Food and Drug Administration (FDA)-approved human-implantable radio-frequency identification (RFID) microchip. About twice the length of a grain of rice, the device is typically implanted above the triceps area of an individual’s right arm. Once scanned at the proper frequency, the VeriChip responds with a unique 16 digit number which could be then linked with information about the user held on a database for identity verification, medical records access, and used for identification by a third party.
In May 2005, the U.S. Congress passed the “Real ID” Act, which required states to issue federally approved driver’s licenses or identification (ID) cards to those who live and work in the United States. The identity cards will eventually be integrated with the RFID chips if one wants to drive, visit a federal government building, collect Social Security, access a federal government service or use the services of a private entity (such as a bank or an airline) that is required under federal law to verify customer identity. The goal is to make it nearly impossible to live without such an ID.

A Florida-based company that boasts selling the world’s first and only federally approved radio microchip for implanting in humans is now turning its development branch toward “emergency preparedness,” hoping to produce an implant that can automatically detect in its host’s bloodstream the presence of swine flu or other viruses deemed a “bio-threat.”

VeriChip Corporation currently sells a small, under-the-skin Radio Frequency Identification capsule, or RFID, that patients can opt to have implanted, containing a number computer-linked to their medical records, enabling doctors with a special reader to access the information even if the patient is unconscious or unidentified.

But VeriChip has also turned its attention to other uses for the technology, including microchips that be used to tag and log human remains after a disaster and implants the company hopes will be able to warn if their host is infected with the H1N1 swine flu virus, the H5N1 bird flu virus or other pandemic agents deemed to be a “bio-threat.”

VeriChip has also announced earlier this month additional forays into emergency preparedness through its VeriTrace system.

According to a statement, the company sold a VeriTrace system, including 1,000 RFID microchips, to Kentucky’s Green River District Health Department “for disaster preparedness and emergency management needs.”
The company explains that VeriTrace, a separate system from its virus detection or patient records technology, was created in the aftermath of Hurricane Katrina, where it was used by the Federal Disaster Mortuary Operational Response Team. The system includes the microchips, a Bluetooth handheld reader, a customized camera that receives both RFID scanned data and GPS data wirelessly and a web-based database for storing information and images captured during emergency response operations.

The microchips are implanted in human remains following a disaster or, according to one report from the Katrina catastrophe, duct-taped to bones, in order to maintain detailed records, particularly in events that result in hundreds or thousands of fatalities.

It goes without saying, of course, that this new “Med-Chip” these American’s will be forced to have put inside them will not only control their access to medical resources, but will also enable their government to know their whereabouts, spending habits, and so much more…

And for those American’s believing they will be able to escape from having these Med-Chips implanted in them they better think again, because, as they will soon discover to their horror, under the laws of their country designed to protect them against pandemics, and other such health emergencies, their president, and governments, have unlimited power and can order their citizens to do, or take, anything their officials tell them to.

The news that Novartis wants a deal with Proteus Biomedical to produce a microchip implant called “Raisin” that will text your mobile phone when it’s time to take another pill, and VeriChip’s efforts to link microchip implants to online health records, has caused two separate controversies that seem bound to collide: some Christians believe the devices are eerily similar to the “mark of the beast” as described in the book of Revelation; while “singularity” buffs — those who look forward to the merger of humans and intelligent technology — regard it as a bold step forward in improving health.

A seriously chilling “confidential” report prepared by the US-based Russian think tank Institute for Democracy and Cooperation (IDC), and given to President Medvedev’s office this week, on the turmoil surrounding the “health care” debate currently raging in the United States claims that this “engineered controversy” is, in fact, being used as a “cover” to mask the planned microchiping of the entire American population by 2012.
According to this report, America’s propaganda corporate-government media organs have embarked this past summer on a programme of dividing its citizens along its many false fracture lines (racial/right-left/Democrat-Re​publican, pro gun-anti gun, etc.) over the Obama administrations plan to provide for the American people universal health care coverage.

To how far the Obama administration has already gone in their planning to put these Med-Chips in their citizens, one only need look at the curious interactions between the US government and the only company licensed in the United States (since 2004) to implant microchips in human beings called the VeriChip Corporation.

Now what is widely known about the VeriChip Corporation and their microchip we can read from one report that states:

“VeriChip is the first Food and Drug Administration (FDA)-approved human-implantable radio-frequency identification (RFID) microchip. It is marketed by VeriChip Corporation, a subsidiary of Applied Digital Solutions, and it received United States FDA approval in 2004. About twice the length of a grain of rice, the device is typically implanted above the triceps area of an individual’s right arm.[1] Once scanned at the proper frequency, the VeriChip responds with a unique 16 digit number which could be then linked with information about the user held on a database for identity verification, medical records access and other uses. The insertion procedure is performed under local anesthetic in a physician’s office. As an implanted device used for identification by a third party.”

What is NOT widely known about this VeriChip Corporation is the “new direction” they have taken since Obama has taken office, and as we can read directly from the website of their new subsidiary, VeriGreen Energy Corporation, and which says:

“In March 2009, the Company formed a new subsidiary, VeriGreen Energy Corporation, to invest in the clean and alternative energy sector. The Company is currently evaluating several opportunities and is looking to invest in companies with existing operations and infrastructure.
Following the recently signed stimulus package, which will invest nearly $79 billion in renewable energy, the Company’s investments in clean and alternative sources of energy will complement its existing healthcare initiatives.”

Now, what this IDC report says about VeriChip Corporation’s “sudden conversion” from being a maker of implantable microchips, to one of becoming a “green energy” giant lies not with them, but rather with Obama’s “Green Jobs Czar”, Van Jones, a man who is not only one of his President’s closest advisors, but is also an unashamed, and unapologetic, leftist radical and communist who is the sole determiner in who does, or doesn’t, receive billions in US taxpayer dollars already approved into law for dispersal for American’s green energy future, including an estimated $3 Billion to VeriGreen Energy Corporation.
The Obama Health care bill under Class II (Paragraph 1, Section B) specifically includes ‘‘(ii) a class II device that is implantable.” Then on page 1004 it describes what the term “data” means in paragraph 1, section B:

14 ‘‘(B) In this paragraph, the term ‘data’ refers to in15
formation respecting a device described in paragraph (1),
16 including claims data, patient survey data, standardized
17 analytic files that allow for the pooling and analysis of
18 data from disparate data environments, electronic health
19 records, and any other data deemed appropriate by the
20 Secretary”

What exactly is a class II device that is implantable? Lets see…

Approved by the FDA, a class II implantable device is a “implantable radiofrequency transponder system for patient identification and health information.” The purpose of a class II device is to collect data in medical patients such as “claims data, patient survey data, standardized analytic files that allow for the pooling and analysis of data from disparate data environments, electronic health records, and any other data deemed appropriate by the Secretary.”

This sort of device would be implanted in the majority of people who opt to become covered by the public health care option. With the reform of the private insurance companies, who charge outrageous rates, many people will switch their coverage to a more affordable insurance plan. This means the number of people who choose the public option will increase. This also means the number of people chipped will be plentiful as well. The adults who choose to have a chip implanted are the lucky (yes, lucky) ones in this case. Children who are “born in the United States who at the time of birth is not otherwise covered under acceptable coverage” will be qualified and placed into the CHIP or Children’s Health Insurance Program (what a convenient name). With a name like CHIP it would seem consistent to have the chip implanted into a child. Children conceived by parents who are already covered under the public option will more than likely be implanted with a chip by the consent of the parent. Eventually everyone will be implanted with a chip. And with the price and coverage of the public option being so competitive with the private companies, the private company may not survive.
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Tuesday, August 16, 2011

WE ARE BEING POISONED

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A wise and frugal government, which shall leave men free to regulate their own pursuits of industry and improvement, and shall not take from the mouth of labor the bread it has earned - this is the sum of good government.
Thomas Jefferson

Let us be sure that those who come after will say of us in our time, that in our time we did everything that could be done. We finished the race; we kept them free; we kept the faith.
Ronald Reagan


WE ARE BEING POISONED
August 15, 2011

With all the concerns that WE THE PEOPLE are having to endure now, we have an added concern of
being poisoned by a very evil chemical company that has been given permission to poison us by our
government. The objectivism of thescientific method seems to have been hijacked by corporations who often pay for scientists to support their products, as well as politicians by corporations who move through the revolving door between the private and public sector.

 Even worse is that sometimes the consumer protection agencies themselves are complicit. The trust placed by consumers in scientific studies and Federal oversight committees has been violated in service to profit so the products are allowed to enter the marketplace with reduced safety standards. The synthetic chemicals we encounter on a daily basis in our food, water, and environment are increasingly shown to be disastrous to our physical and mental well being. Volumes have been written by experts in both mainstream and alternative medicine who have documented the sleight of hand used to hoodwink consumers and threaten our health. The categories below are worth deeper investigation as prime examples of what we might face as a species of this chemical bombardment continues. Dan Quayle couldn't spell potato, but he made sure they'd be genetically engineered. Here's howMonsanto got their permit to poison us:
On May 26, 1992, George Bush's Vice-President, Dan Quayle, proclaimed the Bush administration's
new policy on bio-engineered food.“The reforms we announce today will speed up and simplify the process of bringing better agricultural products, developed through bio-tech, to consumers, food processors and farmers," Mr. Quayle told a crowd of executives and reporters in the Indian Treaty Room of the Old Executive Office Building. "We will ensure that bio-tech products will receive the same oversight as other products, instead of being hampered by unnecessary regulation."

"We will not compromise safety one bit." Mr. Quayle told his audience.

In the F.D.A.'s nearby offices, not everyone was so sure. Among them was Dr. Louis J. Pribyl, one of
17 government scientists working on a policy for genetically engineered food. Dr. Pribyl knew from
studies that toxins could be unintentionally created when new genes were introduced into a plant's
cells. But under the new edict, the government was dismissing that risk and any other possible risk as
no different from those of conventionally derived food. That meant biotechnology companies would
not need government approval to sell the foods they were developing. Dr. Pribyl, a microbiologist, was not alone at the agency. Dr. Gerald Guest, director of the center of veterinary medicine, wrote that he and other scientists at the center had concluded there was "ample scientific justification" to require tests and a government review of each genetically engineered food before it was sold.

The scientists were displaying precisely the concerns that Monsanto executives from the 1980's had
anticipated - and indeed had considered reasonable. But now, rather than trying to address those
concerns, Monsanto, the industry and official Washington were dismissing them as the insignificant
worries of the uninformed. Under the final F.D.A. policy that the White House helped usher in, the new foods would be tested only if companies did it. Labeling was ruled out as potentially misleading to the consumer, since it might suggest that there was reason for concern.

-Excerpt from "Biotechnology Food: From the Lab to a Debacle," by Kurt Eichenwald, New York
Times, January 25, 2001. Eighteen years later, genetically engineered foods are everywhere, but
nobody knows that they're eating them or what effect they're having on our health. Study after study
indicating serious damage to animals fed genetically engineered food have been downplayed or
ignored. Links to human hazards, such as the
genetically engineered L-tryptophan disaster of 1989,
which killed scores of Americans and permanently injured thousands more, or experiments in 1999 in
the UK by renowned scientist
Arpad Pusztai, have been literally suppressed. It's only now that we're beginning to learn what government regulators should have told us all along. Recently, independent scientists reviewed
animal feeding studies conducted by Monsanto in 2000 and 2001. They found that Monsanto's own data revealed the dangers of three of their commonly used genetically engineered corn varieties.

One scientist explained: For the first time in the world, we have proven that genetically engineered foods are neithersufficiently healthy or proper to be commercialized. Each time, for all three genetically modified organisms, the kidneys and liver which are the main organs that react to a
chemical food poisoning, had problems. Given this evidence, it is unconscionable to continue to promote the fallacy that genetically engineeredfood is the same as normal food. It's different. Consumers have a right to know what they're eating. The Organic Consumers Association supports Congressman Kucinich's
Genetically Engineered Food Right to Know Act
but an act of Congress isn't necessary to label genetically engineered foods.
The Truth in Labeling Coalition
is asking the Food and Drug Administration to fix what Dan Quayle got wrong. TLC has submitted a
Citizen Petition making the case that the FDA can reverse theMonsanto Mandate forced on us by Bush-Quayle, and put an end to the idea that genetically engineered foods and crops are trustworthy and don't need to be labeled, as they are in the European Union. We have a chance now to make the change. The Food & Drug Administration needs to admit that, in the Bush-Quayle era of deregulation, they took the wrong approach to genetically engineered foods. On the campaign trail,
Now is the time for him to fulfill his promise to support consumers' right to know.
Please support the Truth in Labeling Coalition's Citizen Petition by taking action now to write F.D.A.
Commissioner Margaret A. Hamburg

Ronnie Cummins
Founder and Director, Organic Consumers Association

When we consider the rogue's gallery of devilish, over-sized, greedy and disproportionately powerful
corporations, we generally come up with outfits like Microsoft,
Bechtel, AIG, Halliburton, Goldman-Sachs, Exxon-Mobil and the United States Senate. Yet somehow, Monsanto, arguably the
most devilish, over-sized, greedy and disproportionately powerful corporation in the world has been able to more or less skulk between the raindrops -- only a household name in households where documentaries like Food Inc.
are regarded as light Friday evening entertainment. My house, for example. But for the most
part, if you were to ask an average American for their list of sinister corporations, Monsanto probably
wouldn't make the cut. It should. Founded by Missouri pharmacist John Francis Queeny in 1901, Monsanto is literally everywhere. Just about every non-organic food product available to consumers has some sort of connection with Monsanto. Anyone who can read a label knows that corn, soy and cotton can be found in just about every American food product. Upwards of 90% of all corn, soybeans and cotton are grown from genetically engineered seeds, also known as genetically modified organisms (GMOs). These genetically enhanced products appear in around 70% of all American processed food products. And Monsanto controls 90% of all genetically engineered seeds. In other words, Monsanto controls -- and owns patents on -- most of the American food supply.
Tell the following companies to stop using and selling GMO ingredients: ~ Kellog's/Kashi ~ Coca
Cola ~ Kraft/Nabisco ~ McDonalds ~ Frito-Lay ~ General Mills ~ Quaker Oats ~ Procter & Gamble ~
Nestle ~ Safeway ~ Campbell Soup ~ Wal-Mart. If they refuse, we have the option of Boycotting the
products and/or businesses. Our lives and the lives of our children are at stake.

FOOD ADDITIVES

The quantity and variety of food additives in our foods today are quite disturbing. The additives that
are considered nutrients are safe, such as: Vitamins C, B, A.& E, carotene, lecithin, niacin, and pectin.
Chemicals are added to food to change its color, preserve it, prevent rancidity, keep fats emulsified and foods stable. Most of the chemicals are synthetic compounds, some with known dangerous side
effects. In addition to the possible immediate side effects, we don't know what the long-term
consequences of consuming the additives are. It is, therefore, safest to avoid all chemical additives.
The following is a list of the top eight food additives to avoid, why, and foods they are added to:

1. ARTIFICIAL SWEETENERS (NutraSweet, Equal, Sweet N Low) Most contain aspartame, a
carcinogenic. Side effects: migraines, headaches, dizziness and seizures. Other artificial
sweeteners contain saccharin, a substance linked to bladder cancer. Another artificial sweetener
is Acesulfame-K, which is linked to kidney tumors development. And, lastly, High Fructose
Corn Syrup, is as unhealthy as the others, even though it comes from corn . It also will pack on
the weight very rapidly, and could contain mercury. FOUND IN: Sugar-free and diet sodas,
flavored gelatin desserts, gum, drink mixes, baked goods, cereals, mints, cookies, toothpaste
and fruit drinks, etc.....

2. MONOSODIUM GLUTAMATE, or MSG, autolyzed yeast extract, or simply, spices. This is
probably the food additive that is the most difficult to avoid. Not only the variety of names can
be confusing, this amino acid is added to almost any savory packaged foods. MSG is an excitotoxin,
which disturbs the neurological pathways, messing with the satiety response and even
killing off brain cells. FOUND IN: Fast food, Chinese restaurant food, seasoning, canned
soup, salad dressing, snack food, frozen dinners, lunch meat, stock, sauces and bouillon, etc....

3. PROPYLENE GLYCOL, This is a viscous substance that is used to enhance texture in liquids.
Known to be linked to cancer, it is still used as a carrier for flavors (often artificial) in an array
of drinks and dressings. FOUND IN, Candy coating, sodas, sports drinks, salad dressing, beer,
cakes, icing, etc....

4. HYDROGENATED OILS, Oils that have been hydrogenated are transformed into trans fat,
the kind that leads to heart diseases, LDL (bad) cholesterol and cancer. Always check the
ingredient list, as it is allowed by law to label ) trans fat even if it contains small amounts of it.
FOUND IN, Margarine, chips, crackers, baked goods, fast foods, etc.

5. FOOD DYES, Artificial colorings found in candies, fruit drinks and dressings, has been linked
to developmental and behavioral problems in children as well as cancer development. FOUND
IN, Cheese, candies, sodas, fruit drinks, sports drinks, bakery, etc....

6. SULFITES, Used to preserve foods, Sulfites are among major food allergens. Sulfites have
been linked to asthma, and can lead to headaches, skin rashes and breathing problems in
sensitive people. FOUND IN, Wine, dried fruits, lunch and cured meats.

7. SODIUM NITRATE/NITRATE, Found mostly in processed meat, and used as a preservative.
Several researches has linked it to cancer, but it's still used commonly in food products.
FOUND IN, Cured meats, hot dogs, corned beef, bacon, ham, duck, lunch meats, smoked
meat, etc....

8. BHA and BHT , Used to preserve the color and flavor in processed food, BHA and BHT are
used in a variety of foods. They can disturb the neurological system, alter behavior and cause
cancer. FOUND IN, Cereals, gum, chips, shortening, candy, etc.
In 2008, Melamine was found in infant formula and some food products from China; the FDA went on
record to say it was OK, despite sickening tens of thousands. Dangerous food additives appear in
nearly all processed foods with even the most common food dyes, Red 40, Yellow 5 and Yellow 6 being linked to cancer. Most recently, 92,000 pounds of frozen chicken was recalled because it contained “blue plastic pieces,” while McDonald's Chicken McNuggets have been found to have “silly putty” chemicals in them. In fact, some researchers estimate that today's chicken is so full of chemicals that it only contains 51% actual meat.

Another deadly additive we need to be aware of, though not a food additive, is fluoride. Not all fluoride is bad; only the type promoted by dentistry and added to our water and foods supply. Calcium
fluoride is a naturally occurring mineral, while its synthetic counterpart, sodium fluoride
(silicofluoride), is an industrial-grade hazardous waste material made during the production of
fertilizer. It's past history includes patented use as rat poison and insecticide. There are many blind and
double blind studies that show sodium fluoride has a cumulative effect on the human body leading to
allergies, gastrointestinal disorders, bone weakening, cancer, and neurological problems.
Sodium chloride, more toxic than lead and almost on par with arsenic, has been disposed of for our
consumption.

Mercury, a dangerous heavy metal in its natural quicksilver form, but more so as the neurotoxin,
methyl mercury, released into the environment by human activity. In both organic, and inorganic form, mercury wreaks havoc with the nervous system—especially the developing nervous system of a fetus. It penetrates all living cells of the human body, and has been documented most as increasing the risk for autism. This calls into question mercury's use in dental fillings, vaccines, and just about anything containing high fructose corn syrup—a near staple in the American diet ...including baby food. But the Corn Refiners Association naturally supports this chemical that is “dangerous at any level.”

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