Lima, Peru’s Best Hospitals

Lima is the capital of the South American country called Peru (which lies in the northwestern region of the continent). The city is located in a valley that had been created by several rivers on a desert coast, meanwhile overlooking the vast Pacific Ocean. Peru attracts a large amount of tourists with its tropical forests in the Amazon Basin, its arid plains, and tall mountains peaks in the Andes range. Lima has a number of private clinics that offer high quality services and treatment.

The Clinic Javier Prado has been serving the people of the city since February of 1965. The hospital is situated at Ave. Javier Prade Este 499, San Isidro and the phone number for the hospital is 211-4141. It has an ISO 9001 accreditation, so you can expect good and reliable services at the hospital. In addition to this, it has professionals from 45 medical specialties as well as it also has other facilities (such as emergency care, intensive care units, inpatient care, and operating rooms). Also, the infrastructure at the hospital is quite modern.

Hospital Nacional General Arzobispo Loayza was founded by the very first archbishop of Peru in the 16th Century. The hospital was set up to provide medical care to the underprivileged; in the case that one has limited resources, this hospital is a good option for recieving medical aid. The hospital was modernized in the early 1900s and is now the biggest hospital in the country. It receives patients from all over Peru for treatment and diagnoses. The hospital has nice surroundings, modern infrastructure and continues to carry out research in various medical fields.

The Stella Maris Clinic is run by a congregation of the Missionaries of the Sacred Heart of Jesus. It started operations in the year 1938. The clinic provides facilities for child and maternal care as well as surgical procedures – like advanced surgery for the heart and brain, kidney transplants, and others. The hospital’s medical and paramedical staffs are highly qualified, the infrastructure is contemporary and the hospital also has a 24-hour/day emergency room.

Clinica El Golf is a private-run hospital; this group runs a number of clinics across the country. You can find qualified doctors and nurses at this hospital, many of whom have conducted their training in the United States and the United Kingdom. The clinic is outfitted with diagnostic facilities, maternity care, the newest medical equipment, and it offers outpatient care in nearly 130 specialties. Additional amenities at the hospital are round-the-clock emergency services, an intensive care unit, and advanced cardiac care. The address for this clinic is Ave. Aurelio Miro Quesada 1030, San Isidro.

Led by Dr. José Álvarez Blas, a group of doctors set up the St. Paul Clinic in August of 1991. The hospital was initially set up with the objective to provide specialized cardiac care; however, the hospital also has facilities for other medical treatments. The hospital is reputed to be one of the best private hospitals in the country, with six centers across Lima. This hospital provides high-quality services at reasonable prices. The hospital may be contacted at this number: 610-3222. 

Iguana Owner’s Guide to Blister Disease

Blister disease is a common problem for captive iguanas. It is also known by a few other names such as scale rot, vesicular dermatitis, and necrotizing dermatitis. This condition is usually caused by poor care.

Iguanas that are forced to live in unsanitary conditions are highly susceptible to blister disease. This is commonly a problem when the owner fails to clean up rotting food, feces, and urine in the enclosure. The iguana will be forced to lie in this dirty environment.

After living in these dirty conditions for a prolonged period, blisters will usually start to develop. These watery blisters can become infected wounds once they burst. This transfers bacteria inside the body which can infect the blood and internal organs. The area around the blisters may also start to rot away. This will make your iguana much more susceptible to secondary bacterial and fungal infections. It is very important that you seek veterinary advice as soon as you notice signs of blister disease. Immature iguanas can die very quickly from this condition. Iguanas suffering from other conditions or stress will likely have a weakened immune system which can make the condition rapidly fatal also.

The first order of treatment involves removal all rotting tissue and skin. This will be followed by aggressive antibiotic treatment. If you catch the disease in its earliest stages, you can soak your iguana in a Betadine solution once or twice each day. It’s also vital that you clean and disinfect the enclosure before you put your iguana back in it. It’s important that you clean your iguana’s habitat on a regular basis. You shouldn’t allow feces and urine to sit around. You should also remove any uneaten food on a daily basis.

The Truth About Bladder Cancer

To begin with, each year, about 67,000 new cases of bladder cancer are expected, and about 13,000 people will die of the disease in the U.S. Bladder cancer affects three times as many men as women. Women, however, often have more advanced tumors than men at the time of diagnosis.

Bladder cancer can occur at any age, but it is most common in people older than 50 years of age. The average age at the time of diagnosis is in the 60s. However, it clearly appears to be a disease of aging, with people in their 80s and 90s developing bladder cancer as well.

Firstly, the bladder is a hollow organ in the lower abdomen (pelvis). It collects and stores urine produced by the kidneys. Cancer occurs when normal cells undergo a transformation whereby they grow and multiply without normal controls.

As the cells multiply, they form an area of abnormal cells. Medical professionals call this a tumor. As more and more cells are produced, the tumor increases in size. Tumors overwhelm surrounding tissues by invading their space and taking the oxygen and nutrients they need to survive and function.

Of all types of cancer, bladder cancer has an unusually high propensity for recurring after treatment. Bladder cancer has a recurrence rate of 50%-80%. The recurring cancer is usually, but not always, of the same type as the first (primary) cancer. It may be in the bladder or in another part of the urinary tract (kidneys or ureters).

Bladder cancer is most common in industrialized countries. It is the fifth most common type of cancer in the United States the fourth most common in men and the ninth in women.

Important to mention, Tumors are cancerous only if they are malignant. This means that, because of their uncontrolled growth, they encroach on and invade neighboring tissues. Malignant tumors may also travel to remote organs via the bloodstream or the lymphatic system.

This process of invading and spreading to other organs is called metastasis. Bladder cancers are most likely to spread to neighboring organs and lymph nodes prior to spreading through the blood stream to the lungs, liver, bones, or other organs.

Bladder cancers are classified (staged) by how deeply they invade into the bladder wall, which has several layers. Many physicians subdivide bladder cancer into superficial and invasive disease. Superficial bladder cancer is limited to the innermost linings of the bladder (known as the mucosa and lamina propria). Invasive bladder cancer has at least penetrated the muscular layer of the bladder wall.

Nearly all adenocarcinomas and squamous cell carcinomas are invasive. Thus, by the time these cancers are detected, they have usually already invaded the bladder wall.

Many urothelial cell carcinomas are not invasive. This means that they go no deeper than the superficial layer (mucosa) of the bladder.

Of the different types of cells that form the bladder, the cells lining the inside of the bladder wall are most likely to develop cancer. Any of three different cell types can become cancerous. The resulting cancers are named after the cell types.

In the United States, urothelial carcinomas account for more than 90% of all bladder cancers. Squamous cell carcinomas make up 3%-8%, and adenocarcinomas make up 1%-2%.

Urothelial carcinoma (transitional cell carcinoma) is by far the most common type of bladder cancer in the United States. The so-called transitional cells are normal cells that form the innermost lining of the bladder wall.

In transitional cell carcinoma, these normal lining cells undergo changes that lead to the uncontrolled cell growth characteristic of cancer.

Squamous cell carcinoma originate from the thin, flat cells that typically form as a result of bladder inflammation or irritation that has taken place for many months or years.

Adenocarcinoma cancers form from cells that make up glands. Glands are specialized structures that produce and release fluids such as mucus.

These three types of cancer can develop anywhere in the urinary tract. If abnormal cells are found anywhere in the urinary tract, a search for other areas of abnormal cells is warranted. For example, if cancerous cells are found in the bladder, an evaluation of the kidneys and ureters is essential.

Furthermore, a tumor grade is based on the degree of abnormality observed in a microscopic evaluation of the tumor. Cells from a high-grade cancer have more changes in form and have a greater degree of abnormality when viewed microscopically than do cells from a low-grade tumor.

This information is provided by the pathologist, a physician trained in the science of tissue diagnosis. Low-grade tumors are less aggressive, whereas high-grade tumors are more dangerous and have a propensity to become invasive.

Papillary tumors are urothelial carcinomas that grow narrow, finger-like projections. Benign (noncancerous) papillary tumors (papillomas) grow projections out into the hollow part of the bladder. These can be easily removed, but they sometimes grow back.

These tumors vary greatly in their potential to come back (recur). Some types rarely recur after treatment; other types are very likely to do so. Papillary tumors also vary greatly in their potential to be malignant (invasive). A small percentage (15%) do invade the bladder wall. Some invasive papillary tumors grow projections both into the bladder wall and into the hollow part of the bladder.

In addition, bladder cancer can develop in the form of a flat, red (erythematous) patch on the mucosal surface. This is called carcinoma-in-situ (CIS).

Although these tumors are superficial, they are high-grade and have a high risk for becoming invasive.
Interesting fact about bladder cancer is that, white men and women, develop bladder cancers twice as often as other ethnic groups. In the United States, African Americans and Hispanics have similar rates of this cancer. Rates are lowest in Asians.

Lastly, because of its high recurrence rate and the need for lifelong surveillance, bladder cancer is the most expensive cancer to treat on a per patient basis.

10 Outrageous Tips For Marketing a Mental Health Or Psychotherapy Private Practice

No introduction, you want the tips:

TIP #1: Put All Clients on Your E-mail List

Keep an e-mail list of your clients, both current and former. Get permission to send them a dead-simple newsletter from your private practice–one page! NOT TWO! And, heavens to murgatroid–not four.

Encourage clients or patients to print, forward, and distribute your newsletter to friends and family. Make this simple newsletter nothing more than mental health tips, seasonal stories, common sense right thinking, and articles so good that readers hesitate not to fold it up into their pocket.

If you e-mail your clients, send the newsletter to yourself and “blind copy” clients. Only your e-mail address will show to avoid violation of patient confidentiality. Don’t make a mistake in doing this procedural step.

A safer and better way is to print and mail a copy of your simple-dimple, yet punchy and powerful newsletter to your clients. Studies have shown that postal mail in an envelope is read 15 times more often than e-mail! Consider doing both.

TIP #2: Send Your Simple Dimple, Yet Powerfully Punchy Newsletter to the top 50 (and 50 only) Recreation, Mental Health, and Community Centers.

Send it to half-way houses, adult protective services, and other social service agencies. Only 50. Forget massive coverage. 50 will cost is $.44 x 50 in postage plus envelopes. The key is do this each month–no breaks. You are building powerful top-of-mind visibility and newsletter is going viral. Viral marketing is the passing along of sale information from human to the next. Recreation and community centers frequently post health and wellness information on their lobby bulletin boards, and may be happy to post your newsletter.

TIP #3: Ditto A Few Other Places

Grocery stores — try them too. Many small businesses with customer waiting areas like Jiffy Lubes, etc also post on visible bulletin boards. These include oil change and car repair centers, hardware stores, coffee shops, and more. Keep copies of your newsletter with you in your car for sudden insights and posting ideas. (Don’t forget to keep a mini-stapler in your glove compartment — one of those little red jobbers.)

TIP #4: Promote Presentation Topics That People Want And Will Eat Up

At the bottom of your simple-dimple, yet punchy and powerful newsletter, give visibility to the topics that you are willing to speak on for FREE. Get a boost by mentioning your expertise in specific terms and offering presentations with yourself as the speaker, especially on seasonal or hot topics.

Read that again. Season, or HOT TOPICS.

Do this: Go to “Google AdWords”. Find the “Key Word Tool”. Google “Google AdWords Key Word Tool”. Now, type in “Problem with” and see what comes up. Or, to the same thing with Twitter. You will find what the world is worried about. You will discover the most common searches that begin with these few words. (Writing this article for you, I just did this exercise. Problem with – brought up “men” “women” “money” “teenager” “food” etc. Now do it again, and expand. You will discover what people want hear from you. Put together five presentations that last 25 minutes each. You will promote these 25 minute presentations (not 30, but 25 minutes) at the bottom of your simple-dimple, yet punchy and powerful newsletter.

TIP #5: Keep Copies in Your Waiting Room.

Keep copies of simple-dimple, yet punchy and powerful newsletter in your waiting room. Clients will pick it up, stuff them in a purses and pockets, give them to friends, and pass them around at work. This will put your newsletter in motion with leverage. This is called viral marketing.

TIP #6: Distribute Copies to Your Doctor, Dentist, and Other Medical Practices That You Patronize.

Ask if you can place your simple-dimple, yet punchy and powerful newsletter in the waiting rooms of your doctor. (A few copies on a coffee table, for example.) Put one copy in a clear plastic, top-loading sheet protector. This shouts “DESK COPY” even without those words written on it. When clients and patients see this copy, they almost never walk off with it, thereby leaving it for scores of other people to see in the course of a month. These medical professionals who you patronize owe you. Don’t ask the nurse or the front desk secretary for permission. Ask the doctor or medical professional in the middle of the anatomical procedure you’re paying for. No, I am not kidding.

TIP #7: Cooperate and Make Money While Increasing Referrals

Offer the bottom section of your simple-dimple, yet punchy and powerful newsletter to allied professionals as advertising space that includes one line of text. These should be professionals with whom you do not compete. These professionals would love to pay you for the exposure. Trade with them so you get exposure to all of their clients and patients. You have just formed your own “linked-in” group. One or two lines of text will do the trick. Have enough space for five to six advertising lines, and widen your distribution. Everyone wins, especially you. We suggest holistic health professionals, therapeutic massage professionals, chiropractors, even vitamin stores! Your local Walgreens may buy advertising space. It will improve the “stature” of your newsletter and you can make money to cover your newsletter’s cost.

TIP #8: Send Hard Copies to Media Outlets Locally.

Your local community has media outlets-radio, television, and newspapers. The reporters of these outlets scramble in desperation to find any warm-bodied mental health professional that they can interview when a crisis occurs or a national news event affects the psyche of the nation. The crisis at Fort Hood is a good example. It is happening as I write this article.

Other topics include stress, downsizing and survivor syndrome, or depression and the current 2009 economy crisis are good examples. They need experts. That’s you. Send your newsletter to a reporter or “news desk” contact every month. When a pertinent news event hits, phone your contacts I-M-M-E-D-I-A-T-E-L-Y! Say, “I am expert on ____. I am available for an interview if you need it.” You may be on TV or the radio within hours. I’ve done this–believe me, it works. (You will be happy you read this article for this tip alone.) If you do a good job, and it is an a.m. radio station, ask if you can have your own hour once a month to answer mental health questions from the audience.

Keep phone numbers of media outlets in your cell phone or taped to the dashboard of your car because that is where you will be when you hear a news story you will want to crash. Call this “crashing a news story”. You’ve heard of crashing a party?

TIP #9: Send Copies to Your Competitors.

Am I nuts? No. Every mental health professional in private practice refers clients or patients to other therapists. Whom do they choose? Most of the time the choice is made based on familiarity, as much as expertise. Reputation as well. And where does a reputation come from? One place – familiarity. Don’t kid yourself. You know this is true. The name you hear the most is the best guy. Everybody thinks like this to some degree. So, exploit reality. Your name and face must come to mind. These professionals will enjoy the newsletter and you will achieve “top-of-mind” visibility. It will take six months to achieve this effect. Then, Katie bar the door.

TIP #10: Send simple-dimple, yet punchy and powerful newsletter to EAPs.

EAPs are great referral sources, but it can be hard to get an appointment with them to discuss your services. And you need more than one touch to get noticed. Let your newsletter do the talking for you. Contact the Employee Assistance Professionals Association at 703-387-1000 and discover where the local chapter in your area meets. Collect business cards and send your newsletter to these folks. If you join EAPA, you will find their addresses online. After a few issues to these folks, it will be easier to obtain a face-to-face appointment. Recipients will feel like they already know you. They will think you are a celebrity. That’s because of repetition and seeing your name and your simple-dimple, yet punchy and powerful newsletter.

Hemorrhoid Treatment For Nursing Mothers

Hemorrhoid, also called piles, is a common condition that can afflict anyone at least once before they turn 70 years old. Pregnant women and nursing mothers are especially prone to this problem. This is characterized by the swelling of veins and tissues located in the rectum and the inner and outer part of the anal canal, leading to:

o Extreme discomfort around the anal area when sitting

o Pain during defecation

o Specks of bright-colored blood in the stool

o Palpable tender lumps around the anus

o Anal itching

Why Does Childbirth Lead to Hemorrhoid?

Women undergo several bodily changes during pregnancy and after delivery. These changes are the core cause of the development of hemorrhoids. Some of the major causes for hemorrhoids in pregnancy are:

o Pressure from the growing baby: This pressure leads to the enlargement of the anal veins.

o Hormonal changes in the body: Progesterone levels in the body rises significantly. This makes the gastrointestinal tract sluggish, resulting in increased intestinal absorption of water from the waste. This hardens the stools, leading to constipation.

o Reduced physical activity: During pregnancy, women tend to reduce their physical activity, leading to increase constipation.

What Are the Effective Treatments for Hemorrhoids in Nursing Mothers?

Many nursing mothers avoid taking medications, due to concerns regarding the affect of drugs on the child. Such mothers can use various home and natural remedies to treat hemorrhoids:

Herbal remedies: Manufactured with natural products, such as witch hazel, calendula, yarrow and shea butter, these remedies:

o Are free from side effects

o Provide a long lasting and non-surgical solution

o Enter the bloodstream to facilitate comfortable bowel movement

o Restore normal blood flow to the rectum area

o Act as a natural anesthetic

o Provide instant relief from pain and discomfort

o Offer immediate relief from skin irritation caused by damaged rectal tissues

o Accelerate healing of torn and damaged tissues in the rectal area

Essentials oils: Essential oils, such as peppermint oil and lavender oil, consist of botanical vitamins, hormones and antibiotics, all of which help in eliminating hemorrhoids. These oils are 75-100 times more concentrated than dried herbs. Since these oils are highly potent, only a small amount is needed to provide relief. Essential oils:

o Are natural treatments safe for lactating mothers and babies

o Stop bleeding instantly

o Provide instant relief from pain

o Reduce swelling and heal hemorrhoids

Lactating mothers must also increase their fiber intake, since fiber softens and increases the bulk of the stool. This helps in easy bowel movements, and prevents hemorrhoids.

Bronchitis in Kids

Kids usually get bronchitis through the infection from their peers in school or people they interact with on a daily basis.  Bronchitis is a contagious disease, therefore chances of spreading it in schools and homes are very high.  The symptoms of bronchitis in kids resemble those of adult bronchitis.  These are shortness of breath, wheezing, expectorant cough, fever, fatigue and occasional chest pains.

The most pronounced symptoms are the expectorant cough, wheezing, and shortness of breath.  Once you notice your kid is having these symptoms, you should rush them to a medical facility for proper diagnosis and treatment.  If not treated, it can progress to pneumonia.  The diagnosis of bronchitis kids involves taking a blood and a sputum test.  These tests reveal the nature of the infection and the pathogens at play.

If it is a bronchitis infection, the most possible causes can either be viral pathogens.   If this is true in the kid’s case, the doctor may give you some bronchodilaters  and other medications depending on the seriousness of the infection. Bronchitis in kids caused by bacteria infections will be treated using antibiotics.  These drugs can be used together with an expectorant cough syrup.

Antihistamines are not advised.  This is because they thicken the mucous making expulsion of the bacteria from the lungs difficult.  If used together with the expectorant cough syrup, they work against them.  Thus rendering the cough syrup powerless.  Bronchitis in kids can be prevented by taking the oral prevention vaccine.  This vaccine was developed by Professor Robert Clancy of Australia.  This was in the university of Newcastle.  The vaccine was developed in 1985 and commercialized four years later.

The Range of Expertise of a Dentist

Dentists have a much wider scope of care than many people are aware of. They are not only adept at filling cavities and whitening teeth, but did you know that many doctors specialize in certain areas? This allows the general practicing tooth doctors to cater to a broader range of the community’s needs. This article will lay out their regular duties, as well as the many specialty areas practiced by them.

Among the office management duties that go along with any business or medical practice, general dentists’ duties include educating their patients on proper oral care and oral disease prevention. They also perform routine cleanings, checkups, x-rays and preventive methods, cavity care, sealant application, diagnostics and even some oral surgery.

Years ago, if someone needed braces, they would expect to see an orthodontist. These days, it’s possible that your family doctor also specializes in orthodontia. This is one example of how the industry is shifting to create better service and marketability for them.

Below are some of the areas of specialty many practice:

-Endodontics: Focus on root canals and related surgery. These types of doctors deal with tissues surrounding the root of the tooth.

-Orthodontics: These dental practitioner correct improper bites, irregularity and misaligned jaws

-Pediatric Dentistry: Tooth doctors who focus on children’s dental care.

-Oral Pathology: They identify and manage the treatment needs of the oral and maxillofacial areas

-Oral & Maxillofacial Surgery: These doctors perform surgery to treat injuries, disease or malformations in the jaw, face and even neck areas as they relate to the bones and tissues of the jaw region.

-Prosthodontics: Doctors who specialize in prosthetics, regarding teeth or bone implants of the oral and jaw area.

-Public Health Dentistry: These dental practitioners work in preventing dental diseases and promoting dental health via the use of organized community efforts.

-Veterinary Dentistry: This area of specialty among oral doctor focuses on the dental needs of animals.

Aside from the above areas of expertise that at least 20% of all dental practitioners specialize in, the vast majority of general practitioners perform cosmetic dental treatment and procedures to improve the look of teeth and enhance the confidence of their patients.

As you can now see, oral doctor are bringing more to the table in terms of treatment and care options available under their roof. If you find yourself in need of any of the above- mentioned areas of care, begin by contacting your family dental practitioner. You may be able to receive the care you need.

Taking the PTCB/PTCE: A Preparation and Experience Guide 2011

In March 2011, I was faced with the challenge of taking the PTCB or the PTCE. If you were like me, you’re probably stressing out about what to study for the test, what to bring, and how the test is going to be like. Here are tips and suggestions, from the year 2011, about the PTCB process and what to expect from it.

1. Learning Pharmaceuticals

Before you register to take the PTCB/PTCE, you need to learn all you can about Pharmaceuticals. You can do this by either taking an online course or by buying books and learning on your own

A. Taking Online Courses

Taking an online course about the pharmacy technician will broaden your knowledge on pharmaceuticals two times over. I decided to take the Pharmacy course through Allied Schools. Allied Schools is a school that I only recommend to people who need someone to push them. Allied Schools didn’t have any deadlines for the course, but they made all their lessons look manageable. I never felt as if their course was too hard or too easy to do. Plus, they even provided me with 24/7 tutors who were trained in those specific courses. For the most part, you wouldn’t need a tutor because the books are very detailed on how to things and they always show their work. In the long run, I didn’t really need the course, I just needed the books in the course. The books were the only things teaching me, because there was no instructor for the course. The price for this course was $900. When I think back, Allied Schools is only necessary if you need to schooling and PTCB for your state license. I only recommend taking this course if you have some saving you can spend and/or if you like to be tested on your knowledge.

B. Learning from Books

Reading pharmaceutical books is another way you can learn about the Pharmacy Technician. If you are self motivated, this is the best and least expensive way of learning Pharmacy. Your only problem is which books to buy. You have to make sure that the books you buy are books that will help you on the PTCB/PTCE. In order to do this, here is a list of books that I used to study for the PTCB.

The Pharmacy Technician 4th Edition by The American Pharmacists Association

I found this book to be the best book out of all four books. This book provided information about all aspects of pharmacy including hospital pharmacy as well. This book has my highest recommendation.

The Pharmacy Technician Workbook and Certification Review 4th Edition by The American Pharmacists Association

This book was a review of the first book I listed. This book tested you on all your basic knowledge on pharmacy. It is only useful when purchased with The Pharmacy Technician 4th Edition.

Pharmacy Calculations 3rd Edition by Mary F. Powers and Janet B. Wakelin

This book significantly helped the Math Calculations on the PTCE. It had all the math you needed to know for the PTCE. The book is very detailed and shows you step by step how to do a problem. Anyone can learn from it.

Secrets of the PTCB Exam Study Guide by Mometrix Media

I used this book more as a test taking guide. I showed you what to look for in tests and how tests always have their own kinds of flaws. I basically showed you how to cheat at a test without really cheating. It’s more like a strategy guide. It also had all the drugs names, side effects, and categories summed into all their pages. It was a quick drug reference guide for me.

2. Registering to Take the Test

Registering to take the test is fairly simple. All you have to do is go to PTCB dot org and click “Apply to take PTCE.” During the Registration you will go through multiple amounts of general questions. At the end, you will have to pay a $129 dollar fee for the test. After you pay the fee online, they will send you an email that says”Authorization to Test” letter or an ATT. Make sure you don’t delete this letter from your email. This contains your PTCB ID number and you will need it to test with. Make sure you print this letter out. PTCB will also send you a username and password so you can set up an account with Pearsonvue. They are going to be the PTCB proctors of your test. They are the only proctors the PTCB is allows. Once you set up an account with Pearsonvue, you will have to set a time and date for your test. You are allowed to test within 90 days within registering with the PTCB, so your date and time has to comply with this. I would recommend taking it at the time of the day where you are most vigilant. I also recommend you register to take the test three weeks from the date you register with Pearsonvue. This will allow you plenty of time to do extra studying and reviewing before the test.

3. Things to Study

Though you should still be studying for the test, there are some areas you need to study more on. These areas include:

Math Calculations

Conversions (Such as 1 tsp=5 ml. I used that a lot).

Drug laws and Acts

Popular Name Brand and Generic Drugs

Cardiovascular Drugs

Drug Side Effects

Matching Drugs with Auxiliary Labels (ex. Drug: Hydrocodone Label: Do Not Take With Alcohol)

Here are my own percentage categories that I believed the test contained:

50% Math Calculations

20% Pharmacy Law, Acts, and Organizations

10% Technicians Role in the Workplace

5% Drug Side Effects

5% Cardiovascular Drug Effects

5% Matching Drugs with Auxiliary Labels

3% Hospital Pharmacy

2% Matching Name Brand with Generic

4. Things to Bring and Do Before You Go to the Center

Here is a list of things to do before you to the Pearsonvue Center:

Bring 2 Forms of ID and Your ATT Letter

The testing center will not admit you if you do not bring a valid form of ID. I suggest bringing 2 forms of ID just in case one of them is not valid. You have to bring your ATT letter from the email. This shows that you are allowed to test there.

Go to the Bathroom.

You may go to the restroom during your test, but it takes away from your time.

Eat an hour before you test.

You need to eat before you take your test. Eating gives your body and mind strength to function. Make sure this is done about an hour before the test, so you don’t have to go to the restroom during the test.

Take Drugs.

As horrible as this may sound, if certain drugs help you concentrate better, I say take them. I took Excedrin before my test. Though Excedrin contains mostly caffeine and Acetaminophen, it’s one of those drugs that truly makes me focus on what I am doing.

Wear Your Lucky Items.

Though luck is just a superstition, I recommend wearing all the lucky items you own. (Except bracelets, the testing center does not allow you to wear them). Even though your items probably aren’t really lucky, the belief that they are lucky will give you confidence. Plus, if you fail the test, then your items aren’t lucky anymore, so now you have another incentive to pass.

Call Your Support Group.

Before you take your test, call someone who always supports you. This will help your confidence. Before my test, I actually called a lady from Allied Schools, who had taken the PTCB before. She calmed my nerves down and just told me what to expect in the test. This helped me a lot!


Before the test, I would definitely suggest praying to God. Trust me, you need all the help you can get.

5. Arriving at the Testing Center

Before you walk through the doors of the testing center, remember to leave your personal items, bracelets, and any friends in your car or outside. They are not allowed in the Center. When you are walking in the doors, BE QUIET. The front desk will get angry at you if you are loud and obnoxious when walking in.

After you walk in, check in at the front desk. They will ask for ID, your ATT letter, and fingerprint and palm check you. They Fingerprint and palm you before and after the test. They will also take a photo of you, to make sure it was you who took the test and your smart friend. Then they give you a key to a locker for any items you may have.

After they have taken the fingerprints and photo shots of you, you will be given a yellow, 6 page, back to back, dry erase scratch booklet and a calculator. Then they will go over all the rules in the testing center.

After the rules are done, you proceed to walk into the controlled testing room and sit at a numbered computer. They then log you in, ask if you have any questions, and leave.

6. Taking the Test

When taking the test, there is a tutorial at the beginning. SKIP IT. If you skip the test you will give yourself 5 more, extra minutes for your test. I was given 120 minutes for the test, 5 minutes for the tutorial, and 5 minutes for the survey. In all I was given 130 minutes for the test because I skipped the tutorial and I didn’t have enough time to take the survey.

Also remember while taking the test to stay calm. Go at your own pace, but just remember the test is still timed. Don’t go too slow. If there are any questions you are unsure of, flag them for review on the computer, but remember to still answer them, even if they are wrong, just in case you don’t have enough time at the end of the test. If you have time at the end, you can review these questions again.

7. After the Test

When the clock on the computer turns to all zeros, your test will end instantly. A survey page will come up on the computer. After you complete the survey, your “Pass” or “Fail” results will appear.

When the results appear, review them and then raise your hand so the attendant can escort you out of the room. They will fingerprint and palm you and then look at your photo once more. Then, they will then print you out your results and tell you that your official and detailed scores will not come in your mail until 1 to 3 weeks. You then will be allowed to grab your items out of your locker, and leave.

8. Receiving Your Results

Weeks after your test, you will be sent an official letter and certificate, if passed, of your results. The certificate consists of two detachable sheets of paper. The first sheet is just your certificate stating that you are a certified pharmacy technician. I will have your certification number, date of completion, and date of renewal. The other sheet of paper has a detachable card that has your certification number, your full name, and your PTCB renewal date. It also contains your test scores. There are three different scores contained within the total score. They include: Assisting the Pharmacist in Serving Patients, Maintaining Medication and Inventory Control Systems, and Participating in the Administration and Management of Pharmacy Practice. There will be a score for each category.

For example, I received a 658 in Assisting the Pharmacist…, a 703 in Maintaining Medication…, and a 677 in Participating in the Administration… I had a final score of 670. I hope you all receive higher scores than what I received, but simply passing is really all you need and should want. 99% of employers will not look at your scores. They will just make sure you passed.

9. After completing the PTCB, whether you passed or failed, remember one thing. THE PTCB IS ONLY A SMALL PORTION OF WHAT A PHARMACY IS ‘REALLY’ LIKE. Unfortunately, the PTCB focuses more on math than it does on drug brand names and generics. The PTCB is geared more towards people who are already pharmacy technicians. The PTCB is supposed to help them out with the math portion of pharmacy and help them learn more about drug side effects. Don’t feel bad if you have never been a technician and passed this course and now find yourself be dumbfounded at your recently hired pharmacy. I found this out the hard way.

I started at my pharmacy just as a cashier. When I finally got sick and tired of being ‘just a cashier’ I decided that it was time I become a CPhT. I took the courses through Allied schools and took the PTCB. I felt confident of my knowledge of pharmacy after passing the courses and the PTCB. The problem was I had, and still have, trouble remembering the drugs and their generics. I know plenty of drug names, but I haven’t worked long enough in a pharmacy to remember as many as the other technicians who have been techs for over 5 years. I also felt completely idiotic when I didn’t know the computers. There are many components to the pharmacy Rx computer.

I would to not to all of you that the schooling and the tests really don’t teach you as much as what your learn just from working at a pharmacy. Don’t be hurt or feel completely stupid if you get hired and don’t know everything. It takes years to learn what all those technicians know how to do. So, don’t let them intimidate you. Just remember to always ask questions and always ask why something is the way it is and why it is done like it is. Remember to ask the right technician meaning one that has been there a long time and/or one that has no intimidation of your presence.


In Conclusion, I hope that these tips and suggestions of advise help anyone who is taking the PTCE soon. I noticed before I took my test, there were no recent forums of the PTCE. Most were from 2007 and were not of relevancy. So, I decided if I passed the PTCE I would write an article about the current PTCB process. Hope this information helps and good luck at taking the test.

Know the Signs of a Bronchial Cough

There are many times of the year when bronchial infections seem to increase. While not a researcher or medical professional, I have noticed that cold and rainy weather along with the changes in seasons, my kids seem to have more than their share of colds and flu like symptoms.

Bronchitis, like many illnesses is broken down as either acute or short term, and chronic which is much longer. A major sign of an upper respiratory tract infection is a persistent cough. In an attempt to remove yellow or green mucus. When infection hits, the pulmonary tract, it’s not unusual for a body to generate huge amounts of mucus. One symptom of bronchitis is an ongoing and persistent bronchial cough.

A bronchial cough can quickly be identified by a tight feeling in a person’s chest and usually wheezing. The person with bronchitis may also not be able to breathe deeply and breathing may be difficult or painful.

Wheezing often sounds as if there’s an air leak characterized as a whistling noise in the chest that occurs when breathing. This is due to the obstructions and constrictions of the bronchial tubes due to infection.

The absolute best cure for bronchitis and a chesty cough is to make an appointment with your doctor. There are medications available that can provide relief not only for the cough, but also the infection. This is especially important if the coughing is keeping the person from sleeping or is more violent than normal.

Hard coughing can lead to ruptures or pulled muscles that then make it painful to cough. Anyone with an illness like a respiratory tract infection also needs the rest in a medical doctor can help with both.

Until you’re able to get in to see the doctor however, have the person with bronchitis resting in a more upright position. This sometimes can help control the coughing. Hot tea with honey has also been known as a home remedy for a cough.

Neither of these two ideas however can replace an appointment with the doctor. Left to itself, a bronchial infection can result in pneumonia, asthma or other serious and chronic diseases.

The Last Chance I Need (A Declamation Piece)

I’m tired and weak… My legs are heavy while I walk the streets to nowhere. Can you tell me where I am? The road is long and my life lost its direction… Can you even see me or hear me? Ah! I don’t think so. I feel so invisible, like I don’t even exist. In the eyes of the righteous, I AM INVISIBLE! Would you dare to pause and think for a second – what I have gone through? What kind of life I had? Please don’t condemn me!

Life has been beautiful, but it was my choice why life has been hard to me. Years ago, we were rich. I lived a life full of chances – chances to succeed and build a future out of my parents’ hard work. But what did I do? I was so stupid to set aside my dreams and just focused on enjoying life. Yes, I was a brat!!!! And I was too carefree… I can’t even remember if I REALLY HAD A DREAM. Ha ha ha ha! Those were the days of sin – enjoying extravagance here and there, oh yes! It started out as fun, fun, fun!!! Little did I know – I was getting hooked into drugs. Yes! I became an addict at an early age and I let it consume me till the end of my days.. The thing is… I allowed to be enslaved by drugs and it was so difficult to break the hold that the drug had on me. My urge was so strong that I can’t control myself to the point of betraying my loved ones just to acquire it. Yes I was a sinner… and all my miseries and tribulations are outcome of my wrong choice. My heart broke as I saw my weeping parents slowly pulling away from me… Little by little, I realized I was losing the most important people in my life.

I can feel my body slowly deteriorating. Oh God! Please help me get through this struggle! Forgive me for being a failure to the people I love most – for striking their hearts with my wicked ways… I am unforgivable! Yes… I admit, I tortured my family every time they saw me drowning in my shameful addiction. But nevertheless, my parents decided to bring me to rehab. It was a stormy night I can never forget. On our way, we had a tragic car accident that took my parents away from me. I wish I was the one who died instead of them!!! And there, with my endless grief, I was left with no one in my quest to change. I know my parents didn’t die in vain… I know they wanted me to come out and show the world I can change. Slowly I crawled out of the car and out of the blue, I heard a loud explosion. BANG!!! As I looked back, I saw our car burning with my parents inside! I fell down on my knees, so helpless and exhausted… Help!!! Will somebody please help us??? I’m so scared, I am shivering and cold.

The last chance I need, I thought was gone… gone too soon with my parents’ passing… But no!!! Life must go on… I need help, please listen to me! – Have mercy on a sinner like me! Take me to rehab, I beg you! Please take me anywhere where I can be given a new hope.. I know God sent you… you are His instrument to lead my way back.. I beg you.. Please give me the chance, the last chance I need to save my life…

Otosclerosis – Ayurvedic Herbal Treatment

Otosclerosis is a genetically mediated metabolic bone disease that affects only the bones in the middle part of the human ear. Women are affected twice as often as men. Otosclerosis usually develops in the third decade of life. The bones in the middle ear first turn spongy and later become dense and sclerotic, and become fixed to each other and to the eardrum, resulting in conductive hearing loss. Occasionally, this process can involve other parts of the inner ear and produce sensorineural hearing loss. The symptoms of otosclerosis include hearing loss, a buzzing sound in the ear and dizziness. Surgical intervention and the use of hearing aids are used in the management of otosclerosis.

The Ayurvedic treatment of otosclerosis is aimed at the preservation of hearing and attempting to halt or reverse the process of otosclerosis. Medicines like Panch-Tikta-Ghrut-Guggulu, Laxadi-Guggulu, Punarnavadi-Guggulu and Saarivadi-Vati are used to treat the basic pathology of the disease. Medicines like Kaishor-Guggulu, Tapyadi-Loh, Ekang-Veer-Ras and Bruhat-Vat-Chintamani are used to prevent damage to the inner ear and the resultant sensorineural hearing loss. Herbal medicines like Haritaki (Terminalia chebula), Amalaki (Emblica officinalis), Manjishtha (Rubia cordifolia), Saariva (Hemidesmus indicus), Punarnava (Boerhaavia diffusa), Kutki (Picrorrhiza kurroa), Asthishrunkhala (Cissus quadrangularis), Laxa (Purified wax), Guduchi (Tinospora cordifolia) and Musta (Cyperus rotundus) can also be used for this purpose. In addition, in order to reverse the process of otosclerosis, medicines like Shankh-Bhasma, Godanti-Bhasma, Praval-Bhasma, Praval-Panchamrut and Panchamrut-Parpati are used in combination with medicines like Tamra-Bhasma, Abhrak-Bhasma and Trivang-Bhasma.

Clinical progression of this disease is unpredictable. Since bilateral involvement of the ears is common, early initiation of treatment is recommended in order to derive maximum therapeutic benefit. Ayurvedic treatment can also help to prevent sensorineural hearing loss which can result in complete deafness.

Good Ways to Heal Bronchitis

If your bronchial tubes are covered by the mucous membranes, you may have bronchitis. Bronchitis is caused by the inflammation of the mucous membranes covering the inside of the bronchial tubes. Usually accompanied by fever and a strong cough, bronchitis is very boring and difficulty to treat. The patient with bronchitis always has a cough, often with large amounts of thick sputum. Bronchitis is often treated using expensive prescription drugs with unwanted side effects. Natural medicine and healing herbs can be used at home for an effective treatment for bronchitis. It’s very useful and easy to handle. On the other hand, it’s not so much expensive.

Turmeric powder is an affective natural home remedy for bronchitis and its symptoms. So, you should take some turmeric powder daily. Add half 1/2 tsp. of turmeric powder to 1/2 glass of milk and drink two or three times a day on an empty stomach. On the other hand, you could wrap 1/2 tsp. ginger powder, 1/2 tsp. of pepper and 1/2 tsp. of clove powder in a small piece of cheesecloth securing it tightly with a knot. Boil 2 cups of water and remove from heat, adding the cheesecloth with herbs and allowing it to steep for five minutes. Drink this natural healing tea three times a day to reduce a fever and calm a cough. Add a spoonful of honey to sweeten if desired.

It’s a good method to take 1 tsp of juice from a raw onion every morning to help expel and prevent the production of mucus and phlegm. Poultice made from linseed is good for your body, so you should apply a hot poultice made from linseed to the chest and back to help soothe a cough and expel phlegm naturally, helping to treat and relieve the symptoms of bronchitis. Boil one cup of linseed in 4 cups of water until moist and soft. Soak in a towel in the hot water and cover the chest and back, repeating as needed. Prepare a hot vapor bath with eucalyptus oil at night before bed to relax the body and soothe night time cough. Simply draw a bath as hot as you can stand and add 20 drops of eucalyptus oil. Hold the natural healing vapors in the tub by closing the shower curtains. Soak as long as desired. It’s good for the patient to drink those teas which boiled enough time.

Restoring Penis Sensitivity of Damaged or Non Receptive Penis Nerves

Penis sensitivity is reliant on the health of the nerves running throughout it’s tissues. The entire penis is filled with different nerves, able to pick up the sensation of touch, pain, pressure, heat, and of course, pleasure. Almost 85% of all the sexual pleasure nerve receptors in the male body are found in the penis, but like all nerves they can become permanently damaged through poor nutrition, injury or diseases. Penis specific vitamins, herbal medicines and common-sense self-care will go a long way to protecting the nerves in your penis to ensure a long and happy life.


Natural oils are important for the function of nerves. Every nerve in the human body is surrounded by a waxy substance called myelin — without it nerve sensations cannot be transmitted properly and become interrupted. Myelin is made primarily out of omega 6 fatty acids, such as oleic acid. Eating olives, walnuts, pecans, cashews, linseeds, chia seeds and peanuts are all great ways of increasing oleic acid and other omega 6 oils in your diet each day. In addition, applying oleic acid-rich oils to your penis may support the local health of the skin and nerves. Shea butter, olive oil, grapeseed oil, coconut oil and peanut oil all contain good amounts oleic acid. Cold-pressed oils are all safe for external application, and can be commonly found as bases for many natural creams and ointments.


Nerves need nutrients in order to function optimally. Specific micronutrients, including vitamins, minerals and amino acids, are used by the nervous system to facilitate synaptic messages. When nerve tissues have sustained damage, studies show that some nutrients may benefit the healing process. Vitamin D, B12 and folic acid have been researched for their ability to repair the myelin sheath around nerves. These vitamins may be of clinical benefit to patients suffering from diseases of the nervous system, such as multiple sclerosis. In addition, L-carnitine, vitamin C, E and iron are necessary for the formation of healthy skin cells. When the skin is strong, elastic and moisturized, sensory nerves are far more sensitive and receptive.

Botanical Extracts

Traditional systems of healing have used plant medicines for stress, nerves and libido for hundreds of years. Today, science is beginning to understand the bioactive substances these plants contain and how they can benefit penis health and nerve health. St John’s Wort (Hypericum perforatum) is one of the most popular herbal medicines used to support nerve health and treat neuropathies. However, at least one study has shown that St John’s Wort’s action on nerve health may be mild at best. Damiana (Turnera diffusa) has been shown to support libido and sexual health in some studies, most likely acting through the nervous system. Lion’s Mane Mushroom (Hericium erinaceus) was studied by researchers from Tohoku University in Japan for its ability to improve nerve function. Their study revealed that Lion’s Mane stimulated an enzyme calledNerve Growth Factor, which facilitates the growth and function of nerves throughout the body.

Penis health Crèmes

Crèmes applied directly to the penis can support both nerve health and penis health. Following daily washing, dry rubbing, masturbation or sex, the skin of the penis can become toughened and dry, reducing the sensitivity of nerves. Penis health formulas for male organ health (most professionals recommend Man1 Man Oil) contain a range of vitamins, including vitamin C, D, E and A, which may support the health and repair of nerves, stimulate circulation, and facilitate the healthy reproduction of new skin cells. These nutrients are combined with amino acids and Shea butter for fast absorption, and can be applied daily to promote tissue and blood vessel health in the penis.

Some Great Hospitals in Rome

Italy is an independent nation in southern Europe. Extending from the Alps to the blue waters of the Mediterranean, the nation is a boot shaped peninsula. Italy has been historically important since Roman times and millions of tourists are attracted each year to its art filled cities and ancient treasures. Healthcare in Italy is well-developed in its urban areas, though rural areas experience a shortage of medical facilities. Overall, Italy will soon become a name to be reckoned with in the field of medical services.

Rome is the capital of Italy and the seat of the supreme pontiff of the Roman Catholic Church. Rome is also the seat of a thriving film industry. The city has taken ample care to develop its medical framework to serve its residents as well as the tourists. The facilities are decent and tourists will not be left hanging in case of a medical emergency while on tour in Rome.

Most hospitals are private, but this does not necessarily mean that they offer better treatment than the public hospitals. The private are hugely comfortable, charge high rates and offer great quality beds and food compared to their public counterparts. In case you are an out-of-country visitor, it is advised that you approach the emergency wards of any hospital. You may also call the emergency services so that they can come for you in an ambulance at any hour of the day or night.

Some pharmacies stay open twenty-four hours while others have limited times of business. The pharmacies give out over the counter drugs or pills without much hassle, though it is advisable that you carry your medical history records or prescriptions with you, just as a precaution. Most hospitals have doctors and staff members who are fluent in English. The facilities are maintained according to high standards. The hospital food is of good quality and basically bread-based which appeals to American visitors.

Another appealing fact about the hospitals in Rome is that they charge very reasonable rates when compared to many facilities in US or Great Britain. The doctors and nurses are caring and will not release you till they can rest assured that you are one hundred percent all-right. Armed with the latest equipment and cutting edge medical technology, the best hospitals in Rome are Salvator Mundi International Hospital, the Rome American Hospital, Aurelia Hospital, Aventino Medical Group, Flaminio Health Center Grimaldi Medical Group, Studio Medico Internazionale, and International Medical Center. All of these hospitals also have English-speaking employees.

The Rome American Hospital: This is the most well-known hospital that Rome has to offer. The Rome American Hospital’s motto is the “Patient comes first”. Over 250 professional doctors, trained nurses manage this hospital that houses well-managed labs. It has 150 general beds and an extra 10 beds in the intensive care unit section. The Rome American hospital is most definitely the best in the business.

Aventino Medical Group: This group is a leading medical service provider. Its hospitals are all modern with quality equipment. The physicians and staff members are well-trained and dedicated to their trade. The hospital offers a number of specialties in the medical sector.

Aurelia Hospital: The Aurelia Hospital is another leading hospital in Rome that has been offering quality service for many years. It has an English-speaking staff and the doctors are trained to work according to international standards. With high quality facilities and a high-end campus, the Aurelia hospital is one center that tourists prefer.

Arthroscopy Surgery Clinic at New Delhi, India

Arthroscopy Surgery Clinic is a purpose built facility for diagnosis and management of all arthroscopic disorders such as knee arthroscopy, shoulder arthroscopy, hip arthroscopy, ankle arthroscopy, elbow arthroscopy and joint arthroscopy. Our team includes specialist arthroscopic surgeons, physiotherapists and much more. Our practices utilize rapid rehabilitation protocols to make sure your return to activity is maximum. Arthroscopy Surgery Clinic is located at New Delhi in India.

Arthroscopy Surgery clinic is also specialized in looking after Orthopaedic problems and taking care of need of all in the field of sports and physical activity. It was established in 2002 with view to address all the needs of people of all age group. In Sports from assisting in assessment of injury to full sports and activity related issues weather be injury, growth & development, nutrition, body statistics, deficiency in specific group of muscles, psychology behind winning instinct. While in Orthopaedics dealing with all bone and joint related problems to all kind of arthritis and Joint replacement surgeries are performed by experienced doctors with long experience abroad and in India in the field.

Our services include :

Arthroscopy knee surgery, including cartilage surgery and meniscal repair at Arthroscopy Surgery Clinic in India

Arthroscopy shoulder surgery, including Frozen shoulder and dislocation of shoulder at Arthroscopy Surgery Clinic in India,

Anterior cruciate ligament surgery (ACL injury) at Arthroscopy Surgery Clinic in India,

Multiple ligament reconstruction surgery at Arthroscopy Surgery Clinic in India ,

Physiotherapy & Sports Injuries at Arthroscopy Surgery Clinic in India

Mission :
Our mission is comprehensive state of the art arthroscopic, orthopedic and sports medicine services through a team of doctor and staff working together with one joint vision of providing uncompromised excellence in arthroscopic and orthopedic care. We are Committed to understand the needs of those we are Privilege to serve, earned and maintained the trust and respect of our patient by doing more then there expectation and striving for ever improvement at every level.