Drug Abuse: Symptoms to Look for in a Loved One »
One out of every seven Americans will face a substance addiction. Here are some resources to help you help a loved one, and notice…
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One out of every seven Americans will face a substance addiction. Here are some resources to help you help a loved one, and notice…
The holiday festivities are over, but January doesn't have to be a drag. It's actually the best time to finish projects and organize your life – all while having a little fun.
Power outages are unpredictable, so planning ahead is key to staying safe. This checklist helps you prepare with the right supplies and information.
I have to share my story with everybody. So i was car hunting for several weeks got approved in another dealer for a car that I really wasn't feeling it, my stepdad send me an ad for this car that he found on craigslist, so im thinking craigslist ????? big red flag, so I ignore his suggestion but he keep on insisting to go see because the specials were extremely good. I decided to go and check out this vegas valley motors. First thing i saw very nice cars, space very clean, walked into the office and it was very clean, the girl in the front that i kept on forgetting her name even do she introduce herself is very polite and amazing customer service, then i get introduced to Ivan very nice guy and explained to me all the process, liked what i Saw and i applied in 5 minutes, very fast process, got approved but came back next day because i was in a hurry. I told Ivan my top 3 cars i liked and i said i was coming the next day to test drive. Next day I arrived with some bad news the top car i wanted he had discover a bad nice and didn't wanted me to tested, so i started thinking this is BS so regardless what he told me i test drove the car, which it was very good to me , he said he would send to see what was the problem because he didn't wanted to sale me a car that he didn't even know where was that noise coming from ( that right there caught my attention) usually dealerships start giving you excuses kind of saying is just a belt, or a screw blah blah blah so you can still get the car right at that moment but in this case i was surprised that he offered to take it to the dealership to see what was wrong with it and he told me if it something wrong that i know its going to cost a lot we gonna take the lost and not sale it at all because it didn't have that noise before. My Jaw drop, i was completely in shock, coming from my experience i got a car sold by a big dealership that had changed the carfax on me and sold me a total loss car. Next day obviously he said im sorry we have to look for another car, so i go back and look at all the new cars they brought which are 2014, 2013, 2012, im like this dealership is a very good one ,owner has a lot of potential, again i already felt like home and appreciated because of the way they were treating me i didn't feel like they were looking at me just with dollar signs in my face they were treating me as a person, that they care i didn't get screwed. while looking at the new cars, I met the owner Grayson, very nice down to earth guy , Ivan explained to him who i was and he start talking about the problem the car had and he straight told me, i am not selling you a car if i dont know how much would it cost me to fix because that would be a lost for me but not just that , is just because if it has a problem now six months down the road you have to fix something else then i would have not done my job correctly, then he goes , i believe in karma and is not on me to sale you something is giving me a problem now, i rather get you in something i know it will last you long then something i see it can give you a problem later, i want you to be happy and i care for customers, he said give me minute let me look at your deal again, so at this point my jaw dropped again (he was leaving but decided to stay to look at my deal and see what other car he can get me , something i wanted ). after we started talking about the problem i had with a car and a dealership before. My point is I really have never met a person that actually cares for somebody needs, specially on a dealership. Everyone is very professional,and im very happy to do business with vegas valley motors. I totally recommend this dealer, they are extremely professional and know you will walk away with good quality. Affordable prices and payment for everyone. Couldn't give more stars because it allows only 5.
First of all, the good: the reception staff are friendly and helpful. I couldn't have asked for more from them. Furthermore, the nurse who took my vitals - a European lady whose name I forget - was fantastic on both visits. She was professional, knowledgeable, friendly and had a great manner. Unfortunately the M.D. I was there to see, Dr. Debelen, did not even come close to matching the level of service that his staff provided. Indeed he offered a shockingly low level of service. Here is a summary of my two visits: 1) I was referred to Dr. Debelen by a local hospital, having undergone a non-surgical procedure there. At the hospital, the resulting wound had of course been thoroughly dressed. Obviously, in order for Dr. Debelen to examine the wound, I had to remove the dressing. I duly did so, and he examined the wound. He advised me to return in a week if there was no improvement. He then concluded the presentation - while the dressing was half attached and still needing fixing. He left the room. I wondered if I had made a mistake, and that he was going to return in order to apply a new dressing, or at least fix the one I had ripped off. I waited. And waited. Sure enough, it really was over, so I had to go and look for him in the corridors, to ask him to help me with the dressing (I had not brought any medical supplies with me, and the adhesive no longer stuck). He asked a nurse to give me some tape. This gave the impression of a doctor who doesn't care much for his patients, something I am not used to. 2) Dr. Debelen did not strike me as being very knowledgeable during my first visit and my expectations were low for visit No.2, but he somehow managed to fall below what I would term a basic level of care: before the hospital visit mentioned above, I had been prescribed anti-biotics, which had caused an allergic reaction. The hospital had then prescribed penicillin, but it hadn't had the desired effect - the wound was not healing sufficiently. I sat on a regular chair in Dr. Debelen's office . Instead of going and getting another chair and sitting down next to me, Dr. Debelen sprawled out across the patient bed with his laptop, in the same manner my cousin would if he was watching YouTube videos. He then decided to prescribe me the same drug that had caused me the allergic reaction in the first place! I was astonished, and told him, "No, that's what I was allergic to". Not only did he not appear to be helping, but if I had not been totally switched on, he may well has caused me some more problems. Overall, this is the worst medical 'professional' I have encountered and I certainly will not return.
Dear Dr. Dolue Ezeanolue (Dr. EZ) and Kind Staff: My account has been turned over to collections last week because I was billed (and rightly so) for injections that took place after my insurance had run out. I was not told this. Now I owe the office upwards of $1000 which I am willing to work on with monthly payments. However, the woman I dealt with in your collections was not the most accommodating person. I tried to work with her but all I can afford is $50 a month. I'm on a strict budget, I am HIV+ and on very expensive life-saving medications and all the costs that that entails, and I also see other doctors for that medical condition as well as have expensive blood work 3 times a year. So now I have to find a new pain doctor all because she (collection agent) refused to work with me). This pains me because I thoroughly enjoyed coming into your office and seeing people who I now consider my friends because they are so caring. I find it so hard and sad to think that I won't be coming back under my Health Plan of Nevada because of the actions of one woman. I will miss seeing the nice, professional people in the office who took such great care of me---not only my pain but always asked about my HIV status and genuinely cared. It's very, very sad to me to have to locate another pain office as Dr. EZ and his staff were always so kind and helpful. In the future, I will definitely recommend APEX but not after recounting this horrible experience with one collection agent in your office. So sadly and with a heavy heart, I say goodbye to APEX and my wonderful "family" of medical professionals there. Sincerely, Rick Grayson 702-376-9016 (DOB 11/1964)
I decided to go around and check out the Dr before I went to see him myself. I saw good and bad reviews on him. I decided to go in and see him and in my oppinion he is great. He was the nicest Dr I have ever seen. He listened to what I had to say, he asked me questions, he talked with me the entire time, and he really cared about me and how I was doing. There were a few downfalls to his office though.... He has a small waighting room. He does need a bigger office so I asked the girl at the front desk and she said as soon as the lease is up, they do plan to move into another office that is much bigger. They do the best with what they have. I cant fault them on that. My only other complaint is the waight. I waighted a total of 35 min. If you think about it he is a "shrink". He is there to listen and help you. Now that I think even more about it how can he set an exact time that each patient will be seen? He cant. He does not have a set routine to follow and he cant just say OK, your time is upo get out right. I understand now. That makes me feel better and makes me realize that he is really there for the patients. He does not rush them off he gives them the time we need to say what we have on our minds. I think him for that. I say this because most of the complaints are about the waight to see him, try to think of it that way and maybe it will make you realize why and why that is a good thing and not a bad thing.
ABOVE AND BEYOND! This was the first time I have ever been to a collision specialist. I have never been in an accident before, and I got in a fender-bender that bent my front panel so much the front door couldn't open, and of course the lamp was busted. It was nasty, especially because the car is leased. I thought for sure that it would never look like new again. I did a lot of research online and S&M looked the best, and they were. I took the car in for an estimate and even though they were busy they took the time to explain every step of the process to me, they explained how to manage things with my insurance, and they even gave me advice on what kind of insurance is easiest to deal with. I couldn't believe how helpful they were. They answered all my questions, and all I had to do was leave the car there, tell the insurance where it was, and that was it. They took care of the rest. I just came back when it was finished, paid my insurance deductible, and drove away in a brand new looking car. Not only had they fixed it to perfection, but it actually looked better than when I first leased it because they had it washed and waxed to a shine. I would go there just for detailing if they offered it, the car looked so nice. I was amazed! Highest possible recommendation!
Drove by this place and saw a black 2008 Audi A6 Avant. This car looked sweet. Salesman came up and we started talking about it. Nice guy but seemed a bit shady, c'mon this was a dealership off Nellis you know. Asked to test drive the car and they said they would have to run a credit check first. Never heard of it, so decided against it but really loved the car. Went back a few weeks later with my son and car was still there. My credit wasn't great so decided what the heck. They came back and just handed me the keys, said take it for a spin salesman didn't even come with! Found it kind of odd but I guess my credit wasn't that bad. Fell in love with the car, instantly. Came back and obviously we haggled on the price. They Audi actually worked with me on my trade in, a down payment, and even spread out my down payment as well, I was shocked! Finally settled on a price but was still hesitant only because didn't know what to expect from a used car with no warranty. Took it to an Audi dealer a month later to change the oil, serviceman said car was in good shape, just tires needed to be changed since they weren't the recommended tires for an Audi. I love my car, no doubt. I am shockingly surprised by how they treated me here and how good of a car I got. Thanks R/T.
I just want to express my gratitude for your efficient and friendly services. We were in a pickle trying to find a home to lease at the last minute, and I am so thankful we found you. As soon as I called to have a showing of a house, Hermanell responded quickly. I was able to meet her within a few hours and there she showed me how to apply for the home as I loved it immediately. She was very kind and professional as well as friendlyFrom there I applied online for the home that evening and contacted Triumph to notify them. I spoke with Ana. She was very sweet and helpful. She explained to me the normal processes and gave hope that we could get the house. I faxed the rest of the paperwork they needed that night. I called the next morning and spoke with Tierra, who was also very sweet and professional. She understood our time constraint and started working our application immediately. She called and offered the house to lease soon that morning. We have ABSOLUTELY LOVED living here, and thank the staff for their thoughtfulness and understanding. I feel so lucky to have found you all.I also would like to mention Dennys the maintenance girl. She is extremely nice and caring. She is quick with her work and goes the extra mile to complete the job.
This dealership was awesome. I was having a hard time getting financed on a vehicle because of a repo from a family member on my credit, everyone was turning me down. I was hesitant with Three Star because everyone was telling me they could help me then would get turned down,not Three Star from the moment we went in everyone was great our salesman Eddie was great in every field any dealership would be great to have him. Rick who handled the finance part was also great with explaining everything very detailed, and my options. Robert even gave my daughter a gift that she loved a bouquet of wooden roses. Everyone was great even what I called the "office mom" who made sure not only the customers were comfortable by offering cookies to everyone, but making sure the guys in the office were taken care of. not once did we feel uncomfortable, they new our situation and still gave it their all. This dealership did all the little things that count, that the money hungry big and small dealerships would never do. I will be recommending them to everyone. My family and I can now enjoy our roadtrips in comfort thanks to them. They truly our a 5 star dealership.
It is a shame that Dr. Dewan, who is a great Pediatric Endocrinologist, hires such an unprofessional office staff. I would give him 5 stars, but unfortunately I have to deal more with the front office staff than Dr. Dewan. Never returning your calls in a timely manner, interrupting you while you are explaining what is needed, and claiming they never received faxed prescriptions from a pharmacy they always do business with all means that customer service is not a priority. I am sure they have many tasks to perform and probably deal with many people who are difficult, but at this point I would probably get better service at the VA. Unfortunately I can not tell this directly to Dr. Dewan unless I have an appointment or send him a certified letter in the mail. Dr. Dewan is great with my son and I highly recommend him. However, I wish he would put more effort into selecting quality staff who believe in customer service and doing what is right. It may not be fair to give him a low rating because of his staff, but ultimately he is responsible for the hiring of said individuals. I promise if the experiences improve, I will revise my review.
I just purchased their 1999 infinitie G20,w/Waranty and extended if you wish to purchase. They were all very professional and very family oriented. No pressure, they want to help you build your credit and get into a car you can afford. Just tell them upfront what your looking for and they will honestly help you. They worked w/me to put 1/2 down so its paying "cash price" no interest rate! Id defiently buy another car from them. Tony was very nice and listened to my situation before i even went down there. Everyone should know about this place. Especially if your credit is not great. Thank goodness for craigslist or else i would of ended up paying $8,000 more at fairway! Fairway tried to sell me a 04 intrepid w/transmisson problems and then my salesman did not call me to get my $750 downpayment back. This place is not like any small dealership like on Fremont, give them a try im sure you will find your own experience just as pleasent as mine. "The way car buying should be!" FYI Charlie is the name of the owner (fathers dog he had a long time ago ) if you were wondering who Charlie was.
Physicians and surgeons help to keep people - from infants to the elderly - as healthy as possible. These individuals provide diagnoses and treatments for a wide variety of ailments, and preventative care and early detection for more serious illnesses. Whether you love or hate going to the doctor, the fact is your physician is there to listen to your health concerns, take preventative measures against diseases and advise you on your options for staying in tip-top shape.
In 2013, there were more than 1 million doctors of medicine in the U.S., over 854,000 of which were active. Additionally, in 2012, there were about 18,000 active general surgeons in the country. It's important to know which type of physician or surgeon you need, how to choose the best one, and account for other considerations in order to stay healthy.
Patients can choose from a wide variety of physicians depending on doctor specialty and what problems they are experiencing. Here are a few of the most common types of physicians that you may see in your lifetime:
Your GP is the doctor that you go to for regular checkups, vaccines and to identify health issues. GPs can treat many different illnesses and injuries, from the common cold to a broken arm. If your health requires a second opinion or expert care, the GP will refer you to a specialist who has the skills to focus in on the issue.
Heart attacks and heart disease are some of the most common afflictions seen across the country, making cardiologists important to your long-term health. These physicians specialize in studying and treating the heart and related diseases.
Other than a GP, the dentist is likely the most common physician you'll ever see. These professionals work with the human mouth, ensuring that your teeth and gum health are up to par. Patients typically go to the dentist twice a year.
Dermatologists are focused on skin-related issues and diseases, from skin cancers, to acute acne, eczema, psoriasis, and general cosmetic concerns like aging and scars. Most will also perform annual or semi-annual mole checks to screen for any signs of melanoma, the most serious form of skin cancer.
If you have a number of sinus infections or have had your tonsils taken out, you've likely seen an ENT specialist. ENTs handle ailments related to the ear, nose and throat, often related to taking out tonsils and treating hearing issues.
For many women, their gynecologist and obstetrician are the same person. These professionals work with the female reproductive system to focus on reproductive health, fertility issues, prenatal care, options for new and expectant mothers, neonatal care and childbirth. OB/GYNs can also help in the early detection of breast or cervical cancer.
There are obviously a number of physicians that you can choose from, but how do you know if they're the best choice for you? Here are a few considerations to help you pick a physician:
Look at Your Insurance
Before you get down to the details, you need to verify which doctors are covered by your insurance and whether they are in or out of your carrier's network. Rates may be cheaper if the doc is in network – a doctor can be covered by your insurance but not necessarily in network. Out of network is typically more expensive. Doctors often add and drop plans, so it's important to ensure that your options are compatible with your insurance plan. Doing your homework will help you avoid unexpected expenses.
Check for Board Certification
Your physician should be certified through the American Board of Medical Specialties. Doctors must earn a medical degree from a qualified school, complete three to seven years of residency training, be licensed by a state medical board and pass one or more ABMS exams to be certified.
Examine the Reviews
Reviews of a doctor can reveal a lot about what your experience may be like. People may grade on staff friendliness, availability and effectiveness of treatment. Looking at these evaluations and getting recommendations from family and friends can direct you toward a physician for your needs.
Surgeons can literally hold your life in their hands, and it's important to find the best one that can put you at ease and treat you effectively
You need to feel comfortable with your surgeon. It's important to communicate your concerns and that your surgeon can respond adequately. Surgeons should be willing to go over the details of your procedure and answer any questions that you may have. They must take the time to discuss and address your worries.
If you're going in for surgery, you want someone that knows what they're doing and has a high success rate. Ask how often the surgeon performs this surgery and try to find one that regularly does it. This will give you peace of mind that you're in capable hands.
Your decision on a physician or surgeon can be majorly affected by the insurance plan you have. You may have insurance through employment, your spouse, your parents if you're under 26, or the marketplace if the previous options don't apply to you. It's important to understand how your insurance works to have the full picture of what you'll need to pay for.
Your insurance will have a deductible, which is the amount that you're responsible to pay for covered medical expenses. Some plans have coinsurances, where you must pay a certain percentage of the bill, and insurance will cover the rest. Co-pays state a flat rate for certain services, like paying $20 when you visit your GP or a $100 co-pay for an emergency room visit. Once you reach your out-of-pocket maximum, which will differ if you're an individual or within a family plan, your insurance may pay for 100 percent of covered medical expenses for the rest of the plan year.
If you plan to go to the doctor, need medication or have been recommended for surgery, call your insurance provider or go online to see what your plan covers. You can choose the best doctor for your needs, understand your options and prevent yourself from being blindsided by medical expenses.
Most doctors require a phone call for an appointment, although some may provide online scheduling as well. Be sure to have your insurance card with you when you set an appointment, and to bring it with you to the actual appointment. They need the ID numbers to verify your coverage, and will usually make a copy of the card for their files so you don't have to show it again unless your insurance changes.
When you call, let them know if you're a new patient, as this will require you to complete some paperwork for your first visit. Tell them the reason for your visit, such as your symptoms if you're feeling sick. It's also important to inform them if you have Medicaid and to find out if you need to bring anything to the visit, like current medications or medical records.
From here, the receptionist will likely ask what dates and times work best for you. During your call, it's important to be honest about your symptoms and the reason for your visit. This information will help the doctor treat you and give him or her an idea of what to expect. Your appointment may progress faster as a result, and the doctor can come prepared with a list of options to better care for you.
Doctors see a number of patients in a day, sometimes in 15-minute increments in areas where the physicians are in high demand. This can leave little time for doctors to perform thorough examinations, and they can end up missing certain problem indicators. While some problems, like a cold or flu, can be diagnosed in this time, more complex ailments require attention, which takes up time. Reviews can illuminate which doctors actively spend the necessary time with their patients and which ones are pressed against the clock to meet demand.
Surgery has some more dire risks attached to it, so be sure to talk to your surgeon about the potential issues that can come up as a result of your procedure. If a patient has a reaction to anesthesia, it can cause very serious complications, but this is an uncommon occurrence. Blood clots can be a significant problem after surgery, often caused by inactivity during recovery. Infections, numbness, scarring, swelling and death are all possible, but the likelihood of these issues will vary depending on the type of surgery you're undergoing. Talk to your doctor about your concerns and your risk potential.
Surgery affects people in different ways, but as you begin to emerge from anesthesia, you'll want to alert your nurse to any issues you may have. The nurse will tell you how the procedure went, what effect it will have on your condition, what to expect when you get home and how long it will take to get back to normal. If you start feeling pain, the nurse may give you medication to stop it from getting worse. When possible, it's also advised to move around to avoid blood clots from developing in your legs. This can be as simple as occasionally flexing your knee or rotating your foot.
Some surgeries are outpatient procedures, where people are released the same day. For major surgeries, patients may stay at the hospital for a few days to be monitored and address any concerns before being sent home. Discuss with your surgeon the projected length of the hospital stay and what you need to bring.
Your recovery time and follow-up expectations will vary depending on your procedure. For example, you can be expected to be on your feet within a few days of having your wisdom teeth taken out, but it may be weeks before you have fully recovered from a broken foot or heart-valve surgery. Your surgeon will give you a list of things that you'll need to do during this time, including what medications to take and when you'll be able to get back to work and other activities.
Every surgery will have a follow-up call or appointment to discuss your recovery and allow you to ask any questions about unusual symptoms or changes in your overall health. If you have a major operation, like heart surgery, it's important to make regular checkups with your doctor or a specialist to ensure that everything is normal. Visiting a doctor will help deter infection and verify that everything is healing as expected. These appointments will give you peace of mind about your state of health and ensure that any issues are caught early on.