IMRT Case Study

Out of the four personality assessments, I would recommend the MBTI. I would recommend the MBTI because according to Amtrak statements, they want to search for “focused introverts” and the MBTI tells you how much of an introvert you are. Although, the MMPI is used by employers it isn’t what Amtrak said they were looking for. In this case, the MBTI is a better fit than the other three because it measures preferences rather than traits.

To conclude this report, there are four considerations of a legal and valid insurance contracts that patients may present at the provider’s office or clinic. The guide to understand and remember are as follows: (a) the patient or person insured must be a mentally competent adult and should not be under the influence of drugs or alcohol; (b) the insurance company must have a signed application and offer the policy to the patient, then the patient or person should accept the issuance of the policy without misrepresentation of facts on the application of the person being insured; (c) the services produced and sold or the exchange of value and the first premium payment should be submitted with the application considered must be presented together; and (d) there should be a legal purpose which is an insurable interest in the case of a person’s healthcare insurance policy. These are good guidelines to know and understand for the success of an administrative life cycle of a physician-based claim (CMS

CM called Anne Hinton (IIC) to discuss continuation of services and to update IIC of what was discussed at last the face to face meeting. CM was informed that Devin did not make the basketball team. Ms. Hinton stated that she and Devin met on Friday to process this matter and they are meeting again on 9/14/16. CM and IIC discussed Devin’s progress in school and in the community. The IIC explained to CM that Devin is doing well and he is demonstrating improved self-esteem throughout sessions. The IIC stated that Devin is ready for transition. The IIC recommend to extend for IIC services for one month to work on the transition process with the youth. CM and IIC came to an agreement that Devin will transition out of CMO on October

Founded in 1968, IATI started as a group of actors who met to produce plays in NY. In 1970, IATI was incorporated as a NY-based non-profit for producing plays in Spanish.

MSTT met with Lemuel and Leslie at his probation meeting. Lemuel had an appointment to meet his new probation officer who was appointed to him after his last court hearing. Lemuel was informed of all the rules and requirements of probation and the consequences if he does not follow the rules and expectations. MSTT will continue to work with Lemuel probation officer keeping him informed of Lemuel

3-D conformal radiation therapy allows the beams of radiation used in treatment to be shaped to match the tumor. Conformal radiation therapy uses information to focus exactly on the tumor. This will help with avoiding the healthy surrounding tissue. It is a very advanced method for radiation therapy but is highly suitable for cancer patients.

In radiation therapy, d-max is a very important factor when a patient’s treatment is being planned. According to Washington and Leaver (2010), the d-max is defined as the depth at which the radiation beam is at its maximum dose. Different energies produce a different d-max, and to properly treat the tumor, dosimetrists and radiation oncologists must be aware of each depth of maximum dose. When a doctor’s radiation therapy prescription calls for more superficial treatments, it can be hard to find an appropriate energy due to the fact that the energy can max out too deep within the patient. The use of bolus will raise the d-max, or bring the d-max closer to the surface. Bolus will attenuate some of the radiation and in turn

A form of IMRT that is becoming popular for mesothelioma is known as tomotherapy. This form of therapy is technologically similar to a Computed Tomography (CT) scan with a routine CT scan before the treatment. This ensures that the patient is aligned right and assesses the correct location of the tumor itself before the treatment begins. After the patient is aligned right and the tumor is assessed, treatment will begin. Tomotherapy emits small beams around the body at every angle possible to ensure that the tumor gets targeted. These beams strictly converge to the malignancy site and can avoid certain organs in the body so no further complications arise. Tomotherapy can be adjusted based on the malignancy and is used on both small and large tumors. Treating mesothelioma with tomotherapy is becoming more popular as a treatment plan and is consistently being evaluated in

I have reached out to RMT to schedule an onsite visit to discuss corrective actions. Julie Brackett with RMT did respond to the email I sent indicating she was out of today, and we will be coordinating the timing of the visit tomorrow morning.

In [7], authors reported differences between control and OSA subjects in craniofacial structures assessed by lateral cephalometry such as position of mandible (P < 0.05), mandibular plane angle (P < 0.05), total face height (P < 0.01), upper face height (P < 0.05), and lower face height (P < 0.05). In addition, they also reported differences in tongue (P < 0.001), soft palate (P < 0.001), and upper airway (P < 0.01) size determined from computed tomography. In [8], authors studied oropharyngeal soft tissues profile by means of cephalometric analysis to detect differences between control and sleep apnea individuals. Significant differences were related to the length of the soft palate (P < 0.001), area of the soft palate (P < 0.001), and distance of close contact between the tongue and soft palate (P < 0.001). These previous works rely on advanced imaging techniques, allowing a detailed examination of bony and soft tissue structures. However, these procedures are generally cost-expensive, time-consuming, and invasive for patients due to radiation exposure.

In fact, I noticed that I had tubes just about everywhere, including the line from a morphine pump. The airway tube prevented me from speaking, so I wrote notes and used pantomime to converse with the hospital nurses, doctors and staff and with the family members and friends who kept watch day and night for two weeks. I gave the thumbs-up sign to everyone I saw. That is how good it felt to be on this side of the surgery. Before the operation, we discussed the same basic plan with all three groups of doctors – surgery first to remove as much cancer as possible, followed by chemotherapy and then radiation to treat the rest. As my good friend, a general internist, said, “It’s like treating weeds in the yard, which grow faster than everything else. First we mow. Then we apply generous amounts of chemicals and sunshine.” The hospital we chose offered a new type of radiation treatment using proton beams instead of X-rays. Often this method causes less damage to the surrounding tissues by focusing more precisely on the tumor itself. At that time, there were only twelve proton-beam centers in the United States, and their experience treating head and neck cancer was

When a patient hears the word cancer, his or her mind often enters complete shock. Then, the questions of, “How serious? Is it treatable? What can I do? How long do I have?” emerge. Patients should not have to ask, “How much will this cost?” Instead, they should have peace of mind knowing that some of their expenses will be covered by a very basic health insurance plan; however, this is often not the case.

Chen uses intensity modulated radiation therapy; better known as the IRMT. With this therapy, Chen has noticed fewer side effects and a better quality of life in his patients (UC Davis research para 2). Chen stated that “with the newer machines using IRMT, physicians are skillfully able to deliver higher doses of radiation to the tumor and lower doses to surrounding normal tissues than ever before” (UC Davis research para 3). Chen goes on to talk about how he turned to the University of Washington Quality of Life instrument survey to get patients’ opinions and feedback of their radiation therapy treatments. One hundred and fifty-five patients were once diagnosed with cancers in the head or neck. Out of those selected patients, 54% of the patients who received therapy from the IRMT paired with an imaging scanner IGRT, said their quality of life improved. 46% of the remaining patients received treatment from a therapy other than the IRMT and were not able to notice any significant gains to their well being (UC Davis research para.4). A news article was written about patient, John Torres, who was diagnosed in 2010 with a tumor mass at the base of his tongue. By the end of John’s last treatment, he had been through a total of 33 radiation treatments with the IRMT (UC Davis research para.6). Five years after

these tumors [5]. Due to the fact that complete resection is often difficult or morbid to

Idearc, a subsidiary of Verizon, fired four male advertising salesmen working in Massachusetts who were over the age of 40 just short of the time when the employees would be able to collect their pensions. The basis for the firings was advertising sales performance that was ranked every six months by net gain year over year. An important consideration in the case is that the cut off for determining poor performing advertising salesmen was changed several times for unclear reasons. The case states only that, "The goal was to terminate between 10 and 15 percent of sales people every year. By 2005, it was clear that far too few employees were being let go, so the agreement was changed." Between 2002 and 2005, the employment agreement between union and Idearc Media stipulated that those employees ranking in the bottom 30 percent by sales advertising results would be terminated. But in 2005, the cutoff for poor ranking sales advertising employees was changed to the bottom 70 percent of sales advertising results. In 2007, the four plaintiffs were fired from their positions. Claiming age discrimination under Age Discrimination in Employment Act (ADEA) and violations of the Employee Retirement Income Security Act (ERISA), the terminated employees filed suit against Idearc, but they did not prevail at district court or following their appeal to the First Circuit court for Maine, Massachusetts, New Hampshire, and Rhode Island.