When refering to evidence in tutorial writing, you should always try to reference the primary (unique) source. That is often the journal article where the information was first stated. In most circumstances Physiopedia articles are a secondary source and so shouldn’t be used as references. Physiopedia articles are finest used to search out the original sources of data (see the references record at the backside of the article).

Unlike capsaicin, lidocaine (Lidoderm)—an anesthetic generally utilized to the pores and skin via a pliable patch however additionally available in gel type—should not irritate your skin. In reality, if you happen to feel any form of burning or pain, it’s best to take away it immediately. You can apply as much as three patches each 12 hours to alleviate ache in essentially the most affected areas of your physique.

Digestive problems. Nerve harm within the digestive system could cause constipation or diarrhea — or alternating bouts of constipation and diarrhea — as well as nausea, vomiting, bloating and lack of urge for food. It can even cause gastroparesis, a situation wherein the stomach empties too slowly or in no way. This can intervene with digestion and cause nausea, vomiting and bloating, and severely affect blood sugar ranges and vitamin.

What recourse do now we have, is there any way he can struggle this? He is fifty eight years previous and four years away from retirement. Our idea is that if he’s too ill to be driving, that means he is too ailing Health Psychology to work, so please help him to get a Social Security disability, as a minimum. I know this is simplistic, however that’s how we both really feel, both he can drive to get to work, or he will want SS to help us to survive financially.

Daily power expenditure was calculated as metabolic equivalents (MET) × body weight × period of activity 15 Trained nurses recorded weekly aliment consumption with a locally-tailored food frequency questionnaire. Quantity and sort of ingested meals of sooner or later were Individual Health documented by members utilizing a 24-hours dietary recall and handy-measured meals items. Based on native and international food composition tables 16 , the individual consumption of macronutrients (whole vitality, protein, fats, carbohydrates), sodium, and fibre was calculated.

Speak Up! Nerve damage on your feet will be unpredictable. Let your doctor know instantly if anything adjustments within the sensation of your feet, toes or legs. Such sensations embody pain, tingling, pins-and-needles, numbness or something out of the odd. Theres nothing small or unimportant in the case of a potential foot amputation. Bartelmo JM (Ed.). (2013). Pathophysiology made incredibly straightforward (5th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins. In the second and third trimesters, hormonal adjustments set off progressive insulin resistance that results in hyperglycemia , significantly after mealtimes. Implementation suggestions establish key strategies for health care techniques to assist implementation of the document.

Patients have described pain originating from peripheral nerve injury as burning or shooting with unusual tingling. Some describe bees stinging by means of the socks while others talk of strolling on hot coals,” wrote authors of a 2008 paper.2 The ache is commonly worse at night time, which contributes to sleep deprivation. Once tremors begin in my fingers, I know that motion is required to avert an episode. I don’t always have the foresight to notice this-during a movie, or on a date, or a scenario the place I am otherwise distracted.

Eventually, after elevating the dose of Gabapentin a number of occasions, my neurologist mentioned I had grow to be resistant to it. Next was Lyrica, which helped, however not as a lot because the Gabapentin. Several years later I am now at max doses, and the consequences have waned. Please provide your electronic mail address so that we can notify you when an answer to this question has been posted. Don’t worry, we can’t publish it or share it with anyone.

Cluster Headache Therapy

Cluster headache is among the most painful conditions known to mankind and girls affected by cluster headache describe the pain as worse than childbirth. Here we intention to give you key data on cluster headache, its administration and treatment.

But the exact trigger or set off of many headaches is commonly hard to pinpoint, related to such elements as weight loss plan, emotions, genes or hormones. Cluster complications usually occur on the same time of day every time you get them. But they will occur at any time. You might have 1 to eight complications a day. As the name suggests, the cluster headache displays a clustering of painful attacks over a interval of many weeks.

Frequency of complications: Most folks get one to three complications per day during a cluster interval – the time when a person having a cluster headache is experiencing daily assaults. They occur very repeatedly, usually at the Private Health identical time every day, and have been called ‘alarm clock complications’ as a result of they often awaken the person on the identical time in the course of the night time.

Patients were instructed to manage a single treatment for any assault using the treatment 1” cylinder at 12 L/min for 15 minutes by means of a firm plastic nonrebreathing facial masks (intersurgical high-concentration non-rebreathing masks) and use the remedy 2” cylinder on the same price and length for the subsequent attack and switching again for the remaining 2 attacks, thus alternating the gases in a crossover fashion.

In a double-blind examine, 26 17 of 19 sufferers experienced enchancment in pain, and the treatment group had a lower frequency of complications. In a retrospective study, 27 14 of 19 patients had more than 50 % headache relief. Anti-inflammatory (steroid) medicines similar to prednisone. Starting with a excessive dose, then slowly reducing it over 2 to Health Maintenance 3 weeks. Headache: Hope by way of research. National Institute of Neurological Disorders and Stroke. Accessed Jan. eight, 2016. Not solely are some symptoms the same, some cluster treatments are the same as for migraine, as you will notice. Be certain to go to the rest of this web site for more information, particularly the pages about preventative meds and abortives.

A true cluster headache will not be life threatening and doesn’t cause everlasting brain damage. But, they tend to be continual, recurrent, and may interfere together with your way of life or work. These are the least widespread sort of headaches , affecting lower than 1 in 1,000 folks. Men get them more than women do. You normally start getting them earlier than you are age 30. Cluster complications could disappear completely (go into remission) for months or years, but they’ll come again with none warning. Shipping to a APO/FPO/DPO? Please add the deal with to your address book. Make certain you embody the unit and field numbers (if assigned).

Symptoms, Diet, Causes, And Treatment

Irritable bowel syndrome (IBS), additionally known as spastic colon, is a chronic situation that impacts the big gut.

In addition to these, wheat grass and barley grass are also incredibly wealthy in chlorophyll – the inexperienced pigment in crops. Studies have discovered chlorophyll to be highly helpful within the healing of irritable bowel syndrome, along with lowering the symptoms including the ache and irritation. Chlorophyll additionally helps to promote normal and common bowel movements. Anti-nervousness drugs — stress can contribute to IBS — will not be typically prescribed as IBS remedy, though some particular person patients may show benefit. Emotional stress – strong feelings, such as anxiousness or stress, can affect the nerves of the bowel in susceptible individuals. There will be many issues that act as triggering elements due to which the signs are aggravated.

Our Full spectrum kits are a synergistic combination of proof based natural solutions that will potentially lead you back to health and freedom. Our multidisciplinary natural kits meticulously deliver one of the best the earth has to offer for digestion steadiness to your doorstep. As different people Health Master react to different stimuli, maintain a symptom journal of which foods and which amounts appear to set off your IBS. Alter your weight loss plan accordingly. The physical examination findings are generally regular in IBS. The affected person might have nonspecific abdominal tenderness.

As the signs are common to many circumstances, including lactose intolerance, coeliac illness and some gastrointestinal infections, typically an irritable bowel syndrome prognosis comes all the way down to excluding every other situation that might be inflicting the symptoms. Women might tend to have signs around the time of menstruation, or they might have more symptoms during this time. Menopausal ladies have fewer signs than ladies who’re still menstruating. Some ladies have additionally reported that sure symptoms increase during being pregnant. Learn more in regards to the nature of IBS symptoms in ladies. Most of the time we’re too acidic as a result of the meals we like to eat – meats, sweets, and starches – are all acid-forming.

Individual’s who are not able to management the signs of irritable bowel syndrome often have important restrictions of their each day activities. Although irritable bowel syndrome is a commonly recognized condition, it may nonetheless be a severe impairment. You have had Crohn’s illness, sores within the colon (ulcerative colitis), swelling of a sac within the gut (diverticulitis), or extreme liver disease.

Getting extra fiber, either by way of meals or supplements, does appear to improve some circumstances of IBS, says Dr. Saito-Loftus. The new overview cites several studies on various kinds of fiber—together with psyllium, wheat bran, and calcium polycarbophil—that had promising leads to earlier research. If you’re experiencing persistent Health Psychology belly cramps, frequent diarrhea or constipation, and your doctors do not know what’s causing it—you might have IBS. Mindfulness coaching. Mindfulness is the act of being intensely aware of what you are sensing and feeling at every second, with out interpretation or judgment. Research indicates that mindfulness can ease signs of IBS.

The query got here from a Twitter ballot I spotted on my information feed last week, from user @cgpgrey. Please assist resolve a marital dispute,” @cgpgrey wrote. You would describe the colour of a tennis ball as:” inexperienced, yellow, or other. It usually develops within the late teens or early twenties. Having an in depth relative with IBS might slightly enhance your likelihood of having it. Guar gum at amounts of at the very least 5g per day has been proven to help each constipation and diarrhoea-predominant IBS.

Transient Ischemic Attack

A transient ischaemic attack (TIA) causes signs much like a stroke. Some individuals name a TIA a mini-stroke. With a TIA, the signs go utterly within 24 hours (whilst Health Analyst with a stroke, the signs are usually more everlasting). The commonest cause is a tiny blood clot in a blood vessel in the brain.

Mini-stroke is a time period utilized by many individuals to refer what is extra properly termed a TIA or transient ischemic attack. A TIA is an episode of neurologic impairment attributable to a temporary interruption of blood flow to the brain which is either not extreme enough or long enough to cause permanent mind harm. TIA’s sometimes last several minutes up to 1 hour. Learning the indicators and symptoms of a TIA might assist save yourself or someone you’re keen on, as within the case of our example.

An electrocardiogram (ECG) is a take a look at that measures the electrical activity of your heart utilizing numerous adhesive electrodes, which are hooked up to your pores and skin. An ECG can detect any irregular heart rhythms, which may be an indication of situations resembling atrial fibrillation (see TIA – causes). The signs of a transient ischaemic attack (TIA) are the same as these of a stroke , but not like a stroke they solely final for a couple of minutes or hours.

Successful surgery reduces the risk of a future stroke by about a half. However, like all operations, there is a small danger from the operation itself. One of those dangers is of inflicting a stroke. A specialist (vascular surgeon) will advise on the pros and cons of the different operations if you are discovered to have extreme narrowing of a carotid artery. Stroke in dogs is often known as a cerebrovascular accident, which implies that the blood provide to the mind has immediately been disrupted or destroyed. Stroke sometimes impacts middle-age to geriatric canine, however younger canines can have a cerebrovascular accident. There is not any gender disposition.

TIAs and different varieties of strokes are sometimes unavoidable, however you can take precautions to help stop TIAs. Follow these TIA and stroke prevention tips. NOTE: We solely request your email tackle in order that the particular person you’re recommending the page to is aware of that you just wished them to see it, and that it isn’t Health Awareness unsolicited mail. We don’t capture any e mail tackle. Your treatment will rely in your individual circumstances, resembling your age and medical healthcare staff will talk about the treatment options with you, and inform you about attainable benefits and dangers.

That’s why I am supporting a new marketing campaign from the Stroke Association which goals to boost awareness of the doubtless catastrophic consequences of TIAs. A recent survey it carried out amongst 2,000 members of the general public found very little consciousness of TIAs, their signs and significance. A later survey of 670 individuals who had lately suffered a TIA revealed that greater than half had by no means heard of a TIA or mini-stroke, and had no concept what was happening to them According to the Stroke Association, 10,000 strokes a 12 months could be prevented if all TIAs have been handled urgently. That’s 10,000 people who could be spared demise or incapacity and 10,000 households who could possibly be spared an immense trauma. We ought to contemplate the economic price, too.

Case Study Of A Person With Bipolar Disorder, Professional Writing Service In San Francisco

People with bipolar disorder might face an extended wait from when their symptoms begin to the time they get a correct prognosis.

Bipolar dysfunction exists in three different, but related, types. These forms vary in the stage of melancholy or mania, the length of the episodes, and the quantity of mood shifts experienced. Bipolar I dysfunction is characterized by at least one manic episode or mixed episode. Individuals with this type of bipolar often, however not at all times, expertise at least one episode of depression. Bipolar II dysfunction is characterised by hypomanic episodes and depressive episodes. Hypomania is a less extreme form of mania where the individual would not experience signs severe enough to be labeled full blown mania. Finally, cyclothymia is a milder type of bipolar disorder by which the cycle of moods by no means reaches full blown manic or depressive episodes.

There isn’t any technique to prevent bipolar dysfunction, however therapy can prevent manic and depressive episodes or a minimum of cut back their depth or frequency. Also, if you are able to talk to your well being care supplier as early as you Children’S Health may about milder types of the disorder, you could possibly keep off extra extreme forms. Unfortunately, worries about stigma usually stop individuals from mentioning their considerations to their main care doctor or different caregiver.

Genetic: The most distinguished and constant cause noted for the onset of bipolar issues is present in one’s genetic background. When an individual has a household historical past of bipolar disorders, she or he is extra vulnerable to experiencing the onset of the disorder in his or herself than are those Health Fitness that shouldn’t have the identical sort of familial background. Genetic elements are also stated to determine the age at which a person will expertise the onset of signs.

Note for Health Care Providers: People with bipolar disorder are more likely to search help when they are depressed than when experiencing mania or hypomania. Therefore, a careful medical historical past is required to make sure that bipolar dysfunction isn’t mistakenly identified as major melancholy. Unlike individuals with bipolar disorder, individuals who have despair only (also called unipolar depression) don’t expertise mania. They might, nevertheless, experience some manic signs at the same time, which is also called main depressive disorder with mixed features.

It’s properly acknowledged that bipolar disorder usually runs in families, and analysis clearly signifies that there’s a sturdy genetic element or contribution. Twin, adoption, and household historical past research have demonstrated a four – 6 fold elevated threat in first degree relations of parents and siblings with bipolar dysfunction. As with other psychological illnesses, bipolar disorder just isn’t attributable to a single gene. It’s seemingly that there are a number of genes concerned in figuring out a person’s total risk of creating the illness.

Epocrates Online

IBS normally begins to manifest as early as the kids and 20’s. Although they vary from individual to individual and often change over time, IBS signs can embody any mixture of constipation, diarrhea , gasoline, bloating, stomach pain Sports Health or discomfort, fatigue, and complications. Because these symptoms happen in many different issues, other potential causes may must be dominated out before IBS will be recognized.

Note: It’s true that some individuals just cannot get use to the taste of apple cider vinegar, irrespective of how hard they fight. If this is you then simply substitute the liquid for the ACV capsules instead. These might be much simpler to get down and work just as effectively. These can occur suddenly and will result in a hospital keep and, in uncommon circumstances, blood transfusions, surgical procedure, and loss of life.

A stool check to search for a protein referred to as faecal calprotectin. This could also be current when you’ve got Crohn’s illness or ulcerative colitis, however is not current in IBS. A stool check can also be used to test whether or not you might have any bleeding out of your bowel. Treatment 2 Phase. Eligible subjects will receive Physical Health open-label rifaximin 550 mg TID for two weeks with a four-week treatment-free comply with-up. Responders will continue into Maintenance Phase 1. Nonresponders will withdraw from the examine. However, regular exercise does help with constipation, and is important to maintaining bodily and psychological health. Viberzi can help cut back diarrhea symptoms in folks with IBS-D. It works by slowing the motion of stool by means of the intestines.

The following stage-by-stage narrative deconstructs the etiology and unfolding of irritable bowel syndrome. Once IBS is now not a mystery, you will have more confidence and motivation to proceed toward your full restoration, and avoid the relapse. If something, I am hearing back reward and encouragement — docs and nurses are individuals too, they usually undergo from digestive problems simply as much or more (as a result of they’re more prone to follow Merck-kind advice) as the general inhabitants.

In Ayurveda, Agni is the base (mool) of life, which plays a key function in bio-transformation. In Ayurveda JatharAgni means digestive hearth and is present in abdomen and duodenum. Grahani is the principle website of Agni and each are interdependent. According to Ayurveda, the small intestine is correlated to Grahani, which got its name because of its property to restrain meal. Grahani is the place the place digestion and absorption takes place. It is nourished by the energy of Agni. ‘Mandagni’ is one type of vitiation of Agni, which implies weak digestive hearth. The food is not digested correctly resulting from Mandagni, which leads to Ama Dosha (accumulation of endotoxins); it’s the essential factor chargeable for many of the diseases.

Natural Enhancement Offers Clients Natural And Beautiful Hair Stroke Eyebrows‎

A transient ischemic assault (or, TIA) involves a short lived lack of blood movement to the brain, which causes momentary dizziness, confusion, tingling, and numbness in the arms.

Two types of paroxysmal symptoms that can mimic TIA are seen in a number of sclerosis. They are uncommon, but extremely characteristic of mutliple sclerosis. The first is paroxysmal dysarthria, the place there are recurrent stereotyped episodes of slurred speech; the second is ‘tonic spasms’, manifesting as painful transient posturing often affecting the upper limb on one side. These are normally Health Benefit recurrent and stereotyped and happen usually in younger folks with few vascular danger elements. Usually these might be recognised, particularly in the context of established a number of sclerosis, but occasionally can be the primary manifestation.

Most individuals who had experienced visual disturbance recovered completely afterwards. One man stated his eye-ball coordination was not what it was, and another was told he must now not drive the car as a result of his sight had been affected and was not good enough for driving. QardioArm, QardioBase, QardioCore, QardioMD and their respective logos are either registered trademarks of Qardio. Inc. within the U.S. and/or different countries. Furie KL, Roast NS. Secondary prevention of stroke: threat issue reduction. UpToDate® Internet. 2014 Jun 17 cited 2014 Jul 08. If a TIA is suspected, you have to be referred inside seven days of the TIA to a specialist for checks.

A TIA might be brought on by the identical things that may trigger a stroke, equivalent to a blocked blood vessel. When a blood vessel within the brain becomes blocked, even for a short time frame, the blood circulation to that area of the mind slows or stops. This lack of blood and oxygen often leads to TIA symptoms similar to slurred speech or blurry vision. A stroke occurs when the blood provide to an area of the brain is minimize off. The signs rely on the area of the mind that is affected by the lack of blood provide and can embrace modifications in sensation or motor control. If speech is severely slurred or facial drooling is excessive, there’s an increased risk of aspiration.

One-third (89/263) of sufferers had a unique lesion distribution on the baseline MRI as in contrast with the ninety-day MRI. Ninety percent (80/89) of these patients had extra lesions on the baseline MRI and 10% (9/89) had new lesions on the 90-day MRI. The main Behavioral Health difference observed was that sufferers with multiple DWI lesions on the baseline scan confirmed both no lesion or solely a single lesion on the 90-day MRI ( Table three ).

As we all know these key loggers are simple and easy to put in, the best that can be executed manually is to forestall keylogging by adopting a great safety practices. By having restricted privileges to the users by making them a part of the consumer group, and having administrator group with sturdy password coverage, and also perform bodily test of hardware loggers. To decrease the danger of clot formation your physician could advocate antiplatelet brokers akin to aspirin.

Physical Therapy Intern Jobs, Employment

Please visit our Appointments Page to study extra about your 1st visit, correct clothing and apparel and knowledge that you will want to convey with you.

For the younger bodily therapists-in coaching, it was an invaluable skilled experience. And the affect they made in Puerto Lopez was palpable. At the top of their keep, they left supplies with explanations of workouts for future use at the clinic. The mayor’s spouse was so impressed she threw them a going-away-dinner party as a manner of claiming thanks. Social Perceptiveness — Being conscious of others’ reactions and understanding why they react as they do.

Dave was born and raised on the San Francisco Peninsula. He obtained a degree in Physical Therapy in 1986 from CSULB and has gone on to distinguish himself as a Board Certified Orthopedic Clinical Specialist. Dave has spent his career in orthopedic bodily remedy and Sports Medicine, specializing in the remedy of submit-operative knee and shoulder accidents. We extremely recommend that you simply use the newest model of Chrome and Firefox instead of different internet browsers.

These full-time, 14-week scientific internships present broad exposure to each general and specialty areas of physical therapy. The focus is on reaching entry-stage efficiency in all aspects of patient and shopper management Health Brochure in chosen observe settings. Your coordinators will assess your cognitive, affective, and psychomotor skills and use the PTMACS to evaluate your efficiency based mostly on protected and effective follow.

However, my expertise transcend medical information and technical potential. Both patients and advisors have praised my sturdy communication expertise. I am capable of successfully explain procedures to patients and reply any questions they have, at all times speaking in a patient and kindly tone. Even when I am carrying a particularly heavy caseload, I at all times take the time to speak with every patient, and make sure they feel snug and assured in their remedy plan.

It is our goal to supply an environment of therapeutic and happiness to the sufferers, staff, and family members coming into our clinic. To present an environment the place the affected person feels accountable for their therapeutic, and can learn to maintain themselves in the future. To be environment Health Supplement friendly and thorough with our remedy strategies as a way to return the affected person back to the actions which might be required of them on a daily basis. And most significantly, to supply the best quality of care that the residents of Bellingham, Ferndale, and all of Whatcom County deserve.

Diagnosis And Treatment

Cluster headaches have puzzled sufferers and medical doctors alike. Board-licensed neurologist David Kudrow, MD, discusses the place analysis is headed.

There have been anecdotal strategies that alternative therapies similar to acupuncture might be helpful within the therapy and prevention of cluster headache but as yet there is no good-quality supporting proof for this. Further analysis could also be useful on this area. healthdirect’s content is developed utilizing our content governance framework , which also contains high quality assessments of selected data. The individual may pace around through the episodes of ache, unable to remain still for long. If they do sit down, many may rock forwards and backwards in an try to sooth the discomfort.

Eighty years in the past in Munich, French and British politicians handed Czechoslovakia over to Adolf Hitler’s carving knife. Twenty-five years later, a German veteran of the following battle founded a conference in Munich that, in its own method, was designed to ensure that such a mistake would by no Meditation Health means reoccur. That veteran, Ewald von Kleist, got here from a distinguished Prussian navy family; he served as an officer in the Wehrmacht, had opposed Hitler, and took part actively in a plot in opposition to him. He was sent to a jail camp, and was fortunate to have escaped execution.

The National Headache Foundation is a nonprofit organization dedicated to a few major objectives: educating the public that complications are severe disorders and that victims want understanding and continuity of care; selling analysis into potential headache causes and treatments; and serving as an data useful resource for victims, their households Personal Health, and medical doctors who deal with them. The NHF can present lists of native medical doctors specializing in headache treatment. It additionally has a month-to-month publication and plenty of pamphlets on quite a lot of subjects related to the totally different headache syndromes.

These remedies include sumatriptan injections that can be self administered up to twice a day, sumatriptan or zolmitriptan nasal spray and oxygen remedy, the place you breathe pure oxygen by means of a mask. Pepper cream utilized to the area of pain, or a aspect of the nostril or temple, or peppermint cream on the back of the neck has been helpful to some sufferers. The Sumatriptan Cluster Headache Study Group. Treatment of acute cluster headache with sumatriptan. N Engl J Med. 1991;325:322-326.

Cluster headaches normally affect one facet of the top and the realm across the eyes. There may be a reddened eye on the affected side of the head and a stuffy nostril. Some surgical procedures for cluster headache attempt to wreck the nerve pathways regarded as responsible for ache, mostly the trigeminal nerve that serves the area behind and round your eye. Psilocybin use is against the law in the U.S. and highly controversial. However, there are a number of cluster headache patients who’ve achieved remission using psilocybin.

How Can I Become A Physical Therapist Technician?

A Physical Therapy Technician supports Physical Therapists and Physical Therapy Assistants with the planning and implementation of affected person care. They provide administrative assist and assist with assessing sufferers and establishing treatment plans and goals. Typical patients are those recovering from harm, illness or surgical procedure.

I hardly write reviews however such was the professionalism, experience and welcoming nature of the workers that I needed to share the experience. I worked with Justin and Cathy mainly, however had several periods with others too (Kaitlin, Jeremy, Jason, Amelia, and Arielle). They not only Market Health gave clear advice and instruction on find out how to improve my present state of affairs but defined the medical and physiological causes behind it.

Amy Prose, PT, OCS, is the Coordinator of Clinical Education at OSI. Amy attended Marquette University-Milwaukee and graduated together with her MS in Physical Therapy. Amy is a Board Certified Orthopedic Clinical Specialist (OCS) and works out of our White Bear Lake location. He recalled four years ago when sports medicine physicians were asking him and fellow bodily therapist Valerie Brill on the Villanova workplace about Active Release Technique.

We reserve the proper to discontinue the recruitment course of at any stage. Similarly, you could have the fitting to withdraw your lively software at any stage of the recruitment course of. BLS figures confirmed incomes for the tenth-ninetieth percentile vary Meditation Health have been $32,640-$seventy six,940, as of May 2015. By comparability, October 2016 figures from present the same range of $30,204-$61,549. I finished your faculty in late May and have JUST now found the time to touch base with you as soon as once more! I even have been so enthusiastic about ending and working!

The PT aides (shout-out to Cedra!) have been always helpful, demonstrating exercises I’d forgotten how you can do, and keeping the space immaculately clear and arranged. Even the employees on the entrance desk had been at all times smiling and helpful in dealing with my insurance and paperwork. Perform basic clerical functions as necessary together with submitting, copying and transcription of evaluations, physician letters, progress notes, discharge summaries and related correspondence. Must have a working data of all entrance desk duties. Perform these duties in absence of affected person customer service representative.