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Clinical Accuracy Spoken Here
Multiple Sclerosis: Environment
Moderate and cool climate countries are locations where multiple sclerosis can occur, especially in the regions at a greater distance from the equator. Viruses are primary suspects in possible infections of children and youth before the age of 15. Retroviruses, most likely candidate as noted in serologic studies, can include Human herpes virus and HHV6 (childhood roseola). Many viruses and bacterium could be the MS autoimmune trigger, but the manner and mechanism in how this occurs is still the focus in continued research today.
[Reference:MS: Pathophysiology, Module A: Anatomy and Physiology, Course, Page 10] www.athenaforum.com

Rheumatoid Arthritis: Manifestations
Dry eye syndrome is due to a deficiency of the tear film layers with symptoms that include burning, photophobia, and grittiness. Treatment to ease these symptoms can include avoiding dry environments, using room humidifiers, and wearing sunglasses. When a dry mouth is included with the dry eyes, this is referred as secondary Sjogren’s syndrome. Other ocular manifestations of RA include: Episcleritis (inflammation directly beneath the conjunctiva), Scleritis (inflammation of the sclera), Scleromalacia perforans (hardening of tissues) and rare conditions like retinal detachments and corneal ulcers.

[Reference: RA, Module B: Complications, page 15]
Excellence in Case Mgmnt
CM Walk
Mattel, Coca Cola, Dell, iPod are all brand names that we purchase and use because we trust them and know they will deliver. The same applies to you as a ‘brand’ of case management. Your integrity shows through your actions including: being direct and straightforward in your communication style; admitting your mistakes as a straight-shooter; delivering of services as promised; keeping confidences by being trustworthy, and finally, giving credit where credit is due. Good manners will open doors that the best education can not!

Safe Toys and Gifts Month
In the Headlines . . .
“Pain Killers Linked to Increase in Overdose Deaths”
Researchers noted in the latest edition of the Journal of AMA, show that deaths from overdoses of prescription drugs are rising in the U.S. They have seen a large increase in unintentional deaths, shown through patterns of doctor shopping for drugs and overdosing on medications that are not prescribed. Drugs commonly seen include methadone, hydrocodone, and oxycodone. Women doctor shop more than men and young people used pain killers for non-medical purposes. Better management of chronic pain as well as the detection and treatment of abuse are some of the steps needed to curb the increasing rate of deaths.

Monday Memo Archive Did you miss an issue? Need to look up a reference in a past Monday Memo? All past issues are archived for your use.

“It’s Your AMERICA – Submit your Stories”
The incoming Presidential administration is providing a golden opportunity for all Americans to have a say in the process of reforming the health care system. A portal for blogging and Telling Your Story, the website has three possible avenues for your communication: 1) Join the discussion, 2) Your Seat at the Table, and 3) Health Care Discussion. Health care is one of the more than five posted agenda items on the table. Here is your chance to put your thoughts down and let the new administration know what’s in your heart, your desires, and what can truly be an American democracy at work. I have posted my story…join me. It will be worth your time. Thank you.

The look of confidence
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Connie Sunderhaus Connie Sunderhaus, RN-BC, CCM
Clinical Editor
Athena Forum


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