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Tips To Arm You In The War Against Weight Loss




Most people know that losing weight isn't something that's very easy to do. The fact is, it is actually quite the opposite. Losing weight is one of the most difficult things that there is. If you really want to lose weight, the info below will help you do it.

One way to speed up your weight loss process is by increasing the amount of fresh fruits and vegetables that you eat. Vegetables and fruits are not very calorie-dense, so you can eat a lot of them and feel full without ingesting large amounts of calories. This can help you avoid snacking.

A sedentary life leads to health problems, one of those being weight gain. Our bodies were not meant to sit for hours, yet most of us have desk jobs that make us sit for most of the day. Sitting for that long can also lead to back problems. So every hour, stand up and move around for a few minutes. Go get a drink of water, use the restroom or talk to a coworker. It will help you boost your metabolism. Your body will thank you for it.

Take the stairs instead of the elevator at work everyday and it will help you lose as much as 10 pounds a year. Taking the extra 5 minutes out of your day to take the stairs means you will not have to force yourself to exercise later when you will be easily distracted.

Do not shop when you are hungry, if you are trying to lose weight. If you are hungry you are very likely to make bad food choices. If an unhealthy food makes its way into your home then it will probably end up in your mouth. Plan your menu before shopping, and then try to get it done as quickly as possible.

A really good way to help you stay fit is to eat every two to three hours. Eating every two to three hours keeps your metabolism elevated and it also prevents you from feeling hungry. Instead of the typical three meals a day, try eating six smaller meals.

It was once said that "laziness is mother of invention." Eating healthy means not having to spend three or more hours a day cooking. Buy meals that are easy and fast to prepare to avoid the allure of breaking your diet by eating out. Or, spend a day when you're motivated preparing things for later so that you can put your pre cooked dinner in the microwave.

Order a small popcorn at the movie theater. People are very likely to eat more popcorn than they should in a dark theater. Resist the temptation to do the same by ordering a small popcorn. Also, make sure you skip the butter. Use the flavored salt some theaters offer instead.

A great way to lose weight is to gradually lower your calorie intake each week. As you diet, your metabolism will become lowered, and it will get used to the amount of calories you're taking in. By reducing the amount of calories each week you'll stay one step ahead of your metabolism.

Eat at the same times every day. If your usual schedule will allow it, try to put your meals on a regular routine. Eating your meals at the same time every day will slowly condition your body. You will be far less likely to snack or to even want to.

If you struggle with cravings at home, create emergency health packs. These bags should consist of healthy foods that will calm your cravings and reduce your appetite. Emergency health packs will go a long way in helping you resist eating junk food, increasing your chances of losing weight, and keeping it off.

One of the easiest methods to cut back on calories without feeling you are being denied all of your favorite foods is to lighten those foods that you love. It is often easier to switch to a lower-calorie version of your favorite foods than it is to totally give them up. If pizza is a food that you crave, it tastes just as great with a reduced-fat cheese and the reduction in fat and calories will help you shed those excess pounds.

If you are going to be dining at a restaurant that serves large portions,ask the server to put half of your meal into a take home box before the food is brought to you. If you are not tempted to eat more than what you have available, you won't. This can help you practice your portion control.

When trying to lose weight, it is important to set a goal for more info yourself. Anything seems easier when there is a clear and known destination. When your goal is a large one, break it into smaller steps so you can experience victories rather than defeat. Just remember, if you lose one pound per week, after six months you will have lost 25 pounds!

In losing weight, it is very important to have a daily exercise schedule. With that said it is equally important to decide on an exercise that you like. Picking a routine that you do not like will eventually make you stop and therefore negate all the efforts that were made.

If you're trying to lose weight and must eat out, order the kids meal. Kid's meal have smaller portions and will help you to stick to your diet.

Although Rio may be known for carnival, it is also known for their traditional dish of rice and beans, which is good for losing weight. Diets consisting of rice and beans reduce the chances of becoming overweight. This is because it is lower in fat and higher in fiber which helps to stabilize your blood-sugar levels.

Pack healthy snacks for work that you can eat as needed. If you have a healthy snack available and ready to eat then you will stay away from the vending machine or your neighbor's candy jar. Snack time is also a great time to add in more fruits and vegetables to your diet.

To help you stay motivated, get rid of the clothes that no longer fit you. Once you lose a dress size, make sure you do not go back there again. You can donate your clothes to charities or friends. Buying new clothes will help you stay motivated in your efforts.

As mentioned above, losing that excess weight can benefit you, both in terms of your health and your appearance, but it won't be easy. There are things you can do to make it less difficult and to protect yourself as you try, however. With the advice from this article, you should know enough to get started on this life-changing weight loss plan.

 

Does the HCG diet work?

 

HCG is a hormone that the female body produces during pregnancy to help the fetus develop. Doctors sometimes prescribe HCG injections for treating fertility issues in females and hormone problems, such as hypogonadism, in males.


The HCG diet first became popular in the 1950s. Its promoters claimed that taking HCG could reduce feelings of hunger and support weight loss by redistributing body fat from the thighs, stomach, and hips.


According to the FDATrusted Source, the proponents of popular diet products containing HCG claim that they can reset the body’s metabolism and fix “abnormal eating patterns.”


The manufacturers of these products also claim that the HCG diet promotes weight loss of up to a pound per day. However, there is no scientific evidence to back up these claims.


According to a commentary in the International Journal of ObesityTrusted Source, no research has shown that the HCG hormone has any effects on weight loss. Furthermore, it may be unsafe for some people and in certain dosages.

 







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Taking The Pounds Off The Easy Way




Weight loss is something that many people battle with, but it doesn't have to be difficult. Experts advise developing a healthy eating plan and sticking to a focused exercise regime. Figuring out how to add this all into our daily lives is the challenging part. However, so here are a few tips that can help.

When getting in shape, be sure to first invest in a good pair of shoes. When working out, a pair of shoes that fit well and support your ankles can make all the difference. If the shoes you are working out in don't fit properly, you probably won't get as much accomplished and might even suffer health problems later in life.

An important part of weight loss is eating in moderation. This doesn't just mean cutting down on the food you eat. It also means reminding yourself that even treats are acceptable in moderation. A single calorie splurge, such as some French fries or a bowl of ice cream, doesn't mean you've failed.

If you are working at weight loss but still want to enjoy the occasional treat, try this clever trade-off. Each time you decide you are going to allow yourself some higher-calorie goodies, make yourself do 30 pushups or sit-ups first. Or, go for a 15 minute walk. The added calories you burn will help to offset the extra food you are about to eat. If its too much work, just leave the junk food where it is!

Ask for a to-go box when you eat out at a restaurant. Restaurants serve huge, high-calorie portions. Don't force yourself to eat all of that in one sitting. Ask your server for a to-go box. You can easily make that one meal into two or three delicious meals for later.

Don't do a ton of crunches if you're trying to lose belly fat. Crunches don't burn much fat, and too much attention on your abs can cause problems for your back and your posture. When you exercise for weight loss try to keep a balanced approach so you can lose weight all over.

Do not try diet fads, like weight-loss pills or extreme diet plans. Many of these methods might be harmful to your overall health in the long run. In addition, the pounds lost tend to be temporary. Most people cannot stick to a rigid diet and will, most likely, gain back more than the weight they lost.

Whenever you get that gnawing craving for a certain food, grab your phone and call a friend and chat for a bit. Redirecting your mind to something else will help keep you from giving in to that food that your mind is stuck on. Research has revealed that cravings generally last for about 5 minutes. By the time you have hung up from having that chat, your desire to gorge yourself with junk should have passed.

To add flavor to your food without adding fat and calories, you should introduce yourself to new spices. Try to keep your spice rack full of different spices so that you can try different flavors to find what you enjoy the most. You can also try growing your own spices in the window of your kitchen.

A great tip to follow when losing weight is to make sure you get adequate rest. If you do not get enough rest, certain hormones that affect hunger are altered. This can cause your appetite to increase. Studies have linked sleep deprivation and obesity. Therefore, aim to get around seven to eight hours of sleep per night.

Stop the yo-yo dieting cycle. Crash diets are great for immediate weight loss, but they do nothing for you in the long run. Unfortunately, crash diets can lead to weigh gain. Going on crash diets cause your weight loss to "yo-yo". This slows your metabolic rate and causes your body not to burn energy, but to store it, causing weight gain.

That are many ingredients that you could use in your cooking that are healthy for you and can help you feel full. Try using mushrooms, asparagus and olives often. When you cook with these, you will know you are making a good food choice, and will be able to take pride in what you are doing.

Many people cook almost all of their meals with margarine, butter, or some type of oil. That adds a good amount of unneeded fat and calories to your diet. Using a nonstick cooking spray has the same effect as oil, but without all of the excess fat and calories.

In the area of losing weight, it is very important to understand that women function differently as compared to men. Men have an easier time losing weight and this should not be a cause for discouragement for women. Men have a different kind of physiological check here makeup and therefore burn calories quicker.

Eating a good breakfast is essential to weight loss. You will lose more weight if you do eat breakfast, than if you don't. Many people think skipping breakfast will let them lose weight quicker. This is completely untrue. Skipping breakfast will leave you hungry throughout the day. You can easily end up eating more because of it and gaining weight.

Try hiring a dietician to help with your healthy lifestyle. They can assist you with healthier choices with your food. A major part of success in weight loss comes from making healthier food choices.

While it is very important that you watch your portions, there is nothing wrong with eating a virtually unlimited supply of vegetables that are non-starchy and are made up of mostly water. These vegetables include baby carrots, celery, green beans, and lettuce. You can eat loads of these to fill up and there will be no worries about gaining any weight from eating them.

If you overeat one day let yourself know that there is nothing wrong with that and it is not the end of the world. All you have to do is make sure to do a little more physical activity the next day to get off all of the calories that you consumed.

Beginning a new weight loss program can be difficult, so many people never dive into it. This is due to things like problems with time or problems with motivation. Whatever the situation, you should not allow it to stop you. Using the advice from this article, you can start a weight loss plan and finish it.

 

Diet Doc Announces Great hCG Diet Alternative

 

In an effort to bring the power of an hCG diet alternative to patients nationwide, Diet Doc Has created a revised hCG diet plan featuring low dose naltrexone, a great hCG replacement for weight loss.

 

ATLANTA, March 2, 2016 (GLOBE NEWSWIRE) -- While the HCG diet has a proven record of providing successful weight loss, some find the drastically reduced calorie intake to be troublesome. However, because it provides such astounding weight loss, the hCG diet is still utilized for off label weight loss use. Doctors are able to prescribe hCG, or human gonadotropin, for off label uses such as weight loss. The powerful hormone stimulates the body's ability to burn fat, and this combined with a low calorie diet plan can produce drastic results for all body types.


In an effort to bring the power of an hCG diet alternative to patients nationwide, Diet Doc Has created a revised hCG diet plan featuring low dose naltrexone, a great hCG replacement for weight loss.


Low dose naltrexone helps users lose weight by reducing appetite, and helping to reduce the hormones in the body responsible for emotional eating and snacking.


Diet Doc's new medical weight loss plans use Low Dose Naltrexone to produce great results, similar to the hCG diet. Aside from easier weight loss, LDN has been found to provide the following benefits to users:


Increases natural endorphins, dopamine;


Improved effects on mood, well-being;


Decreases inflammation;


Increases sex drive;


Safe to use long term;


First improvement is in mood / sense of wellbeing;


Clinical strength LDN is extremely safe when used for weight loss, with nearly zero side-effects being reported. Dieters can use Diet Doc's LDN as a long-term appetite suppressant without fear of discontinuing use abruptly, as LDC's safety is very well established. In addition, Diet Doc's LDC can be used in conjunction with other Diet Doc clinical weight loss aids like Oxytocin, MetWell, Sermorelin, Lipotropics like vitamin B-12 injections, and nearly any other, allowing users to experience much easier weight loss than with dieting alone.


The Diet Doc Weight loss system is simple. Interested dieters simply schedule a free consultation with a licensed Diet Doc physician, conducted conveniently and privately from the patient's own home via Skype or telephone conference. During this consultation a licensed doctor will evaluate the patient, using complex questionnaires and medical insight to expose underlying causes for weight gain.


Each new patient receives a free initial clinical evaluation, as well as unlimited doctor consultations for as long as they remain on the Diet Doc medical weight loss system.


Similar to the hCG diet plan, after the patient's initial consultation, Diet Doc begins working with their licensed nutritionists to develop an individualized diet plan based on each individual's personal factors including age, weight, long term goals, and current health. Each diet plan is a little different because it is designed around the dieter's individual factors.


To complement the medical weight loss plan, Diet Doc patients have access to the company's complete line of prescription weight loss aids, helping boost results to nearly 20 pounds per month. All prescription diet aids are produced in an FDA approved compounding pharmacy located in the United States, and all prescription medication is delivered directly to each client's door, saving the patient time, money, and unnecessary effort.

 






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Taking The Pounds Off The Easy Way




Losing weight is not a battle as much as it is a journey. These tips can help you learn how to lose weight effectively regardless of your personal circumstances. Follow the advice found here to make life-long changes in diet and exercise routines that result in a lighter, healthier you.

To stay with your weight loss goal more easily, let others you need their support to keep your goal. Sometimes loved ones can derail your plans without meaning to by offering you fatty foods, if they're not politely reminded by you. It can be tough to say no when your husband or friend holds up a bowl of ice cream and asks if you want some.

When you are trying to lose weight, consider cutting out sugary drinks such as soda, iced tea, lemonade, and even juice. These drinks have almost no nutrional value in them and are simply empty calories. Instead, drink more water. Water contains no calories and has many benefits for your body.

A quick way to lose weight is to spend just fifteen minutes a day exercising. Exercise is any activity that elevates your heart rate, so even taking a brisk fifteen minute walk counts. Combine this with a once a week intense workout and you will be able to lose weight easily.

When you feel hungry, consider drinking a small portion of a protein shake. Mix some protein powder with water and you have a snack that is nutritious and won't make you gain a bunch of weight.

A great way to lose weight is to volunteer to cook whenever you're going to a family gathering. By volunteering to cook, you won't feel the pressure of having to resort to eating anything unhealthy, and you'll also be doing your friends and family a favor by making a healthy meal for them.

A great weight loss tip is to add some flavor to your lean meat by adding low-fat salsa or cream sauce. This will prevent you from growing tired of consuming the lean meat that is needed every day to get the adequate amount of protein. This method will help you eat the protein your body needs to function efficiently.

Rather than entirely avoiding your favorite guilty pleasure, allow yourself to partake in only a smaller-than-normal amount. Attempting to deprive yourself of your single greatest culinary joy is a quick way to curb your nutritional enthusiasm and build resentment toward a newer, more healthy lifestyle. By allowing yourself some semblance of your formerly indulgent diet, you will be better prepared to stick with your new plan.

Try eating canned salmon to lose weight. Some people do not feel comfortable cooking fresh, raw fish. If you are one of these people, consider buying your fish in cans. Alternatively, you can also find fish sold in tins, the freezer section, or even individually sealed packages. Most of these fish products require little to no cooking.

If you find yourself getting bored with your workout routine, most likely your body is too. If you don't mix up your routine, your body will adapt to the exercise and you won't be able to get the full benefit of the workout. Instead, mix things up and give your mind and body something new.

If you're married, a dual diet might just be your ticket to losing weight. Trying a diet together is a great way to stay motivated. The two of you may start a little competition with one another and at the very least, you will have your partner there, to always remind you that you're supposed to be on a diet.

Adding a significant amount of fiber to your diet can have positive effects in the success of your weight loss program. In addition to preventing painful constipation, it also improves the body's ability to balance itself through regular bowel movements. Over time, this will have a favorable effect on your overall metabolic function, which leads to weight loss.

Almost everyone in the weight-loss community knows that your diet and lifestyle motivation has to come via the carrot and the stick. So while you may reward yourself for a job well done, and deservedly so, you should also punish yourself for missing a workout or indulging too much. Eat a meal of nothing but rice cakes as a punishment and you'll err no more.

Grow your own food to ensure that what you're getting is pesticide free. Healthy food is fresh food, and there is nothing more fun than picking your own tomatoes from the garden and slicing them up into a salad. Healthy weight loss means eating cleanly, and this is get more info a great way to do it!

Do not trick yourself into thinking that sugar substitutes are considerably more healthy than real sugar. Artificial sweeteners like Splenda, aspartame, and others are acceptable in small amounts, but most weight loss experts agree that it is best to avoid sugars, real or fake, as much as possible when trying to drop inches.

An easy way to lose weight is to cut sugary treats like soda out of your diet! The calories in soda add up quickly, and all the sugar is not good for your nutrition. Your best bet for losing weight is to replace soda with water! Another suggestion - to ease into the change - is to try different kinds of juices before making a complete switch to water!

If you are trying to take off some weight, make sure you always wait 10 minutes whenever you have a craving to eat something that you should not have. Get busy doing something else to distract yourself, and you will often find that the momentary craving disappears. It helps to drink a glass of water, too, since you may actually be thirsty and not really hungry at all.

If you overeat one day let yourself know that there is nothing wrong with that and it is not the end of the world. All you have to do is make sure to do a little more physical activity the next day to get off all of the calories that you consumed.

There are few processes in life more exasperating to so many than that of weight loss. Shedding unwanted pounds once and for all has posed a massive personal challenge for millions. However, by gaining an education about the fundamentals of effective weight loss, the battle can indeed be won. Use the tips in this article as a helpful guide along the way.

 

Best HCG Drops Reviews: Weight Loss Can Be Fun, Nutritious and Safe!

 

If you are looking forward to losing some weight, you will be grateful for the best HCG drops reviews. Gaining weight is quite easy. However, losing it is a different story altogether. Therefore, you will need all the help that you can get.


And this is where the Human Chorionic Gonadotropin HCG drops come in.


What does HCG do to your body? In women, the body naturally produces this hormone to help it to produce, and maintain the required levels of the other important hormones that would otherwise decline with pregnancy.


However, in this case, this hormone supplement is going to help you with weight loss. Therefore, you might ask: how does HCG make you lose weight? It works by lowering the hunger pangs, increasing metabolic rate and boosting fat burning action.


With a high metabolic rate, your body attacks the fat cells faster, therefore leading to faster weight loss.


Since the human body’s capacity to produce hormones naturally reduces with age, well, you need to supplement some of these hormones, or just boost the body’s capacity to produce hormones.


One of the ways to increase the HCG level in men, women and youth is to take HCG drops. These blends mimic the true HCG hormones without side effects.

 






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Simple Advice About Deciding Upon Details For telehealth services

 

 



 

Telehealth and telemedicine for coronavirus: What it is and how to use it now

 

What is telemedicine?


According to the American Academy of Family Physicians, telemedicine is defined as “the practice of medicine using technology to deliver care at a distance. A physician in one location uses a telecommunications infrastructure to deliver care to a patient at a distant site.”


Testa says his hospital is using telemedicine both within and outside the hospital to manage the influx of patients needing care. “We're using video visits inside of our hospitals, and inside of our emergency departments, to minimize exposure to our staff, as well as exposure to other patients who are immunocompromised,” he says.


How to use telemedicine


A good place to start is to check with your health care provider, provider system or hospital’s app for a telemedicine portal, download it and follow the prompts.


“We've been doing video visits for over a year and a half — we've already done about 15,000 of them,” says Testa. “What we've learned in interviewing our patients is that more often than not, they had plans to either go to their primary care doctor and it is off-hours, or they had planned to go to a brick-and-mortar urgent care. Virtual urgent care is just more convenient than those options.”


At NYU Langone, for example, Testa says these video visits are fully integrated into patients’ online health profiles, and visible to their primary care doctors who can easily see what labs or X-rays have been ordered.


If you don’t have a primary care doctor and prefer to use urgent care when you need it, virtual urgent care apps, like PlushCare, Doctor on Demand or MDLive, can give you virtual access to a doctor, 24/7.


Ryan McQuaid, CEO and co-founder of PlushCare, says that under normal circumstances, patients who use his telemedicine platform tend to use it as a primary care provider.


He says these patients usually fall into three buckets: They use telemedicine to manage ongoing conditions, like depression, diabetes or hypertension; everyday care issues like hair loss or birth control; and urgent care issues, like cold and flu, sinus infections or UTIs. And their patients aren’t just tech-forward millennials — McQuaid says elderly patients have begun to embrace telemedicine.

 






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Use These Tips To Get The Best Health Insurance For The Best Price Possible




Knowing what you want out of a health insurance policy and company narrows down your search and makes it easier for you to find what you're looking for. Health insurance is a vital form of insurance to have for a myriad of reasons pertaining to your overall health. Accidents and health issues can both happen in which case health insurance can help you. The numerous tips below can serve as great help to you in your search for the perfect health insurance.

When considering a health care insurance plan from your employer, be weary of certain incentive based plans that attempt to lure you. These may seem attractive at first, but there may be hidden costs or loss of previous benefits. Always read the contract thoroughly and do not be afraid to ask questions about anything you are uncertain about.

If you find that the health insurance your employer offers is too expensive or otherwise unacceptable, one thing to check is the insurance from your spouse's employer. You might find that coverage for two on one policy is more advantageous than each of you being covered separately. Policies vary widely, so be sure to check coverage as well as the cost.

Let your medical insurance company know that you are traveling. Some companies will not provide any coverage to you or your family in a foreign country unless you purchase extra coverage. You may not end up needing it, but it is always better to be safe than sorry when you are traveling.

Your employer may offer you a health insurance plan but it may not be the plan that is going to be the best one for you and your family. Be sure to check the limitations of the plans before enrolling for it. Just because your employer has selected this policy to offer does not mean that it is best for you.

If you have a family history of needing vision correction, or if you have already been prescribed glasses or contacts, it's important to include vision coverage in your health insurance plan. The insurance covers all or most of your check-ups plus contacts or glasses. You are not required to carry vision insurance, and it may be cheaper in the long run to not have this coverage.

Avoid replacements to health insurance plans. Some alternatives to health insurance plans offer very specific coverage. While they might cover anything from cancer to Ebola, they are mostly useless to you. Save the money you would be throwing away on them. Just buy a proper health insurance plan, when you can afford it.

If you are fortunate enough to have an FSA or HSA (flexible spending account or healthcare spending account) as supplemental health insurance, be sure you are getting the maximum out of it. It can be challenging to figure out how much money you are going to spend in the next calendar year on noncovered expenses, but it's worth the effort since that money is all pretax.

The high cost of health insurance has caused many people to reconsider having coverage. But responsible families realize they don't know when sickness/illness is going to occur, so to protect themselves in the here event this happens, they choose to purchase health insurance.

Some states offer lower cost health insurance options if you meet certain income requirements. They are worth checking out if you're on a budget. These plans can be especially helpful for independent contractors who need to insure their family. Contact your local insurance agent, or even your local Social Services office, to find out more.

When purchasing a health insurance policy, consider letting your insurance company auto debit payments from your checking account. Doing this will mean that you never miss a payment, and run the risk of having your coverage cancelled. Some companies also offer a policy discount if you choose this option.

When thinking about getting a health insurance plan, not many people think of using a broker to get them the best policy. These brokers can find insurance companies that are well suited to an individual, get the best rates offered, and will be there to explain all the aspects of a particular health plan.

When considering your health insurance options, look at the reputation and security of each company. If a company lacks in reputation, or is not secure, they might not be able to pay for claims submitted. A company that cannot pay your claims isn't worth a dime. So even if they are the cheapest option, they might not be the best.

Keep an itemized list of all your medical expenses and health insurance payments. Even if you're not self-employed, you may be able to deduct at least some of them on your income tax. Co-payments, dentist visits and treatment, deductibles, premiums and uncovered health spending, can all be deductible, so be sure to check with an accountant.

If you have complicated health insurance needs, an insurance broker can be a huge help. He will seek out the best insurance policy to match what you require, explain the policy to you, and will always be available if you have a question or concern. He's being paid to help you, so he will keep your best interests in mind.

There is nothing more important when choosing insurance than fully reading and understanding the terms under your health insurance plan, so you will know what services are covered. The difference between seeing a doctor who is in network and one who is out of network can mean several hundred dollars!

If you are looking for health insurance, try to buy it through a group insurance plan, like your employer's. Group insurance rates are much cheaper than individual rates. Also, when you purchase health insurance through your employer, you often are not subjected to a medical exam to qualify. Therefore, group health insurance is a good choice.

Some people don't need full medical coverage. If you are relatively young and healthy, work in a relatively low-risk job, and have little family history of disease, you might consider purchasing only catastrophic health coverage. This will prevent you from incurring the thousands a hospital bill for an overnight stay can cost, but save you money on premiums.

Having health insurance can be a huge relief. No more need to put off doctor's visits, on the off chance that you might recover all on your own. No more worries about something catastrophic and very unfortunate happening. Put those tips to good use and live a happy, healthy life.

 

Los Angeles clinic puts underprivileged community at greater risk of contracting coronavirus, health care workers say

 

LOS ANGELES — The largest health care provider in South Los Angeles, which serves low-income African Americans and Latinos, is putting some of the city's most vulnerable residents at risk of contracting the coronavirus by having patients come in for routine appointments, according to some medical professionals who work there.


As the coronavirus batters minority communities, some medical professionals said they are concerned that the facility, St. John's Well Child and Family Center, is disregarding a key federal guideline intended to protect people from the contagion, which recommends that medical facilities reschedule nonessential appointments.


Seven medical professionals, including doctors and nurses, who spoke on condition of anonymity for fear of losing their jobs, said that they have taken their concerns to the chief administrator of St. John's several times but that the practice has not stopped. Shortly after the professionals spoke with NBC News, two said they were fired.


St. John's CEO Jim Mangia said he could not comment on personnel matters, but said the only reason a provider would be terminated would be for "a malpractice issue or severe behavioral issues."


Full coverage of the coronavirus outbreak


As of mid-April, the professionals said, 50 percent to 80 percent of patients they see in a day have no pressing medical concerns and should have had their appointments rescheduled or converted to telephone or video appointments to avoid potentially exposing them or others to the virus, which has killed more than 68,000 people in the U.S.


 

 






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Telehealth and telemedicine for coronavirus: What it is and how to use it now

 

What is telemedicine?


According to the American Academy of Family Physicians, telemedicine is defined as “the practice of medicine using technology to deliver care at a distance. A physician in one location uses a telecommunications infrastructure to deliver care to a patient at a distant site.”


Testa says his hospital is using telemedicine both within and outside the hospital to manage the influx of patients needing care. “We're using video visits inside of our hospitals, and inside of our emergency departments, to minimize exposure to our staff, as well as exposure to other patients who are immunocompromised,” he says.


How to use telemedicine


A good place to start is to check with your health care provider, provider system or hospital’s app for a telemedicine portal, download it and follow the prompts.


“We've been doing video visits for over a year and a half — we've already done about 15,000 of them,” says Testa. “What we've learned in interviewing our patients is that more often than not, they had plans to either go to their primary care doctor and it is off-hours, or they had planned to go to a brick-and-mortar urgent care. Virtual urgent care is just more convenient than those options.”


At NYU Langone, for example, Testa says these video visits are fully integrated into patients’ online health profiles, and visible to their primary care doctors who can easily see what labs or X-rays have been ordered.


If you don’t have a primary care doctor and prefer to use urgent care when you need it, virtual urgent care apps, like PlushCare, Doctor on Demand or MDLive, can give you virtual access to a doctor, 24/7.


Ryan McQuaid, CEO and co-founder of PlushCare, says that under normal circumstances, patients who use his telemedicine platform tend to use it as a primary care provider.


He says these patients usually fall into three buckets: They use telemedicine to manage ongoing conditions, like depression, diabetes or hypertension; everyday care issues like hair loss or birth control; and urgent care issues, like cold and flu, sinus infections or UTIs. And their patients aren’t just tech-forward millennials — McQuaid says elderly patients have begun to embrace telemedicine.

 






https://docs.google.com/presentation/d/1ZiSk2MOF17UdugnGNqOAojsLDrM0Qu-pLwshdGqch_M/edit?usp=sharing



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