Bajadock: My guess is that you are splitting cilantro stems on finding these distinctions between corn/flour tortillas without much of a difference in getting rid of the 10 pounds(cough…make that 20!) of sludge around your waist.
The major problem that I have seen with severe diets is the “URGE to SPLURGE” response. Some diet plans that have proven results provide a CHEAT/SPLURGE day to feed those lusty food impulses.
The number of “I lost 5 pounds last week” fake dieters I have heard in my life would fill the Ohio State Buckeyes football stadium. Different time of weighing, water weight and other factors can lead to a quick 5 pound difference. Get rid of that scale. It is not your friend!
But, to actually lose 5 pounds of FAT, you would need to exercise the equivalent of running 175 miles that week:
Back down to reality, no regular exercise(unless you can dedicate a couple of hours to intense exercise per day) can outperform a bad diet.
What to do?
Lettuce or cabbage make for the perfect low carb wrap. Bacon and avocado are 2 perfect flavor enhancers.
THESE DIPS are a yummelicious way to add veggies like celery, broccoli(my fav) and cucumbers to your munch fix
Dessert? Here is a good list. Personal favorite is a whey protein shake, easy on the fruit portion, +ice to thicken
NUTS are a low carb sub for the other junk. Almonds are my favorite. Low/no salt moderates overserving.
REAL FOOD is your best choice, not the stuff in packages labled with 20+ ingredients.
Cheers to your healthy and sexy December and 2017.
Bajadock, certified nut
foto por Bajadock
When I first spotted this billboard on the Toll Road in Rosarito Beach, I guessed that it was a produce advertisement for Commercial Mexicana grocery. The billboard is located at the famous “Jersey Cows” location.
BTW, that spot caught my attention for Taqueria 2000 and posted my taco experience there in 2013.
Back to the produce section, by the third time seeing the billboard, I noticed the “plastic surgery” note on the lower right hand corner.
Our staff of researchers was able to dig up the Genesis Plastic Surgery Center, that apparently also has a fresh fruit section for their patients’ enjoyment. Do they have a happy hour?
Warning to Ensenada visitos for tomorrow/Saturday is that you must get to or through Ensenada by 10AM or delay your trip until 4PM or later.
From the Ensenada toll booth, they will close the 2 west, ocean side lanes for the bicyclists’ use. Traffic north and southbound will be squeezed into one lane each from the toll booth to downtown Ensenada, YUCK!
And Costero Blvd downtown will be a major flustercluck due to the finish line and party surrounding it.
Downtown Rosarito will also be stuffed with people, bicycles and cars Saturday morning. Ride starts at 10AM, but, crowd begins at 8AM and Rosarito doesn’t ease traffic until after noon.
JUST DON’T DO IT!
State Government announced that will be fumigated and misting various colonies of Ensenada, in order to combat the Aedes Aegypti mosquito, transmitter of diseases like Dengue, Chikungunya and Zika. Through a statement, the Ministry of Health of Baja California, reported that spraying will be performed at night, because it is precisely when night falls the insect is activated to feed, and represents the opportunity for teams to perform fogging and spraying to combat it.
Program responsible Vectors and Rickettsial Jurisdiction Health Services in Ensenada, Sonia Flores Velazco, calls on citizens to be vigilant to step fogging units and are to be protected from this disease transmitting mosquito. Asked residents to keep doors and windows open, once the units are fumigating in their colonies, thus achieved the chemical enter homes and eliminate the vector in the interiors. He stressed that this insecticide is authorized by the World Health Organization (WHO), so people can rest assured that this substance is not harmful and does not represent any risk to the health of people. Among the preventive measures recommended to keep clean patios and avoid having containers filled with water without being properly covered and sealed.
Bajadock: This expert can clearly confirm that the chemical fog is no problem for you and your family’s health.
By Juan Manuel Torres
diariomonitor @ hotmail
Health tourism in Baja California received a new blow via the Federal Commission for the Protection from Sanitary Risks (COFEPRIS) dependence informed that until June 10 were closed down 26 establishments linked to cosmetic surgery.
After the death of the young Australian Eva Nicole Sarmonikas last year, after undergoing in Mexicali liposuction of the abdomen and buttocks, Cofepris strengthened inspections and this is the result, which shows that the state authority and the Medical Cluster that Carlo leads Bonfante Gallego, son Sedeco manager, have done nothing to curb the growth of charlatans who seek rich at the expense of the trust they have deposited especially foreign nationals to be addressed in Baja California.
In fact it is recalled that the State Attorney has documented 22 deaths due to medical negligence.
Meanwhile, according to the business Cofepris of the 26 suspended, 17 were in Tijuana, Mexicali 6 and 3 in Ensenada, only in the span of just five months.
In the case of Mexicali few days ago it was reported that the so-called Medical District of the state capital is become the most insecure area of the city and now this fact that gives a severe blow to which is one of the latest standards known economic state after it was moved from the aerospace and automotive sectors by El Bajio.
It added that in a program of Benjamin Garza in his Metropolis program, dealed and their guests concluded that some of the inhibitors for this sector are greater involvement of governments, insecurity, improve urban image, cleaner and search a better positioning in the growing national and international competition.
Meanwhile, since last year the main irregularities are found COFEPRIS: Indoor intensive therapy: drugs and medical devices obsolete, equipment maintenance, lack of central nurses and lack of filtered air system.
In operating rooms: no delimitation of strategic areas, insufficient medical equipment, the delivery room is adjacent to a surgical suite and recovery area patients without physical division.
Also, inspectors detected improper handling of Biological Infectious Hazardous Waste (RPBI), the medical staff has not established full documents, such as certificates and professional degrees.
The health authority who reiterated the recommendations are to be practiced plastic and cosmetic surgery: Verify that you have health license issued by Cofepris; Check that notice be operating; You have responsible health check; Verify that the doctor is certified and display the view title and professional certificate as a specialist in the field; and Verify that has a health care protocol.
We’ll see if finally take actions to rescue the sector where BC is still competitive, but faces brutal competition in the country and abroad both in quality and price. Aguas!
When it comes to the end of life, hospital stays are more intensive and more expensive than alternatives.
Bajadock: Having witnessed this, the lesson is to make certain your family/friends know your wishes in writing that comply with the local laws applicable. Sure, the financial perspective is strong, but, leaving with dignity and peace is my focus. Thanks RL and NG for sharing.
People who die in the hospital undergo more intense tests and procedures than those who die anywhere else.
The work confirms with hard data what most doctors and policymakers already know: Hospital deaths are more expensive and intrusive than deaths at home, in hospice care, or even in nursing homes.
“This intensity of services in the hospital shows a lot of suffering that is not probably in the end going to offer people more quality of life and may not offer them more quantity of life either,” says Dr. Richard Parker, chief medical officer at Arcadia.
Where people died and how much the final month of care cost:
Source: Arcadia Healthcare Solutions
Arcadia analyzed all the Medicaid claims data for a private Medicaid insurance company in one Western state and detailed how many billable medical procedures each patient received and where. Patients in hospitals were billed for far more medical interventions in the last days of their lives than people who died in other settings. The company declined to name the state or company.
The study showed that 42 percent of patients died at home at a cost of about $4,760 for their last month of life, while 40 percent died in a hospital at a cost of $32,379. Dying in a nursing home was the second most expensive locale, inpatient hospice was third and an emergency room was fourth.
“In the end, everyone died. They all died,” Parker tells Shots. “If we look at this retroactively, retrospectively — and we could go back and ask people — I bet most of them would say I’d rather be home with my family.”
Parker says the cost of hospital deaths paid for by Medicare or private insurance are likely even higher because they pay doctors and hospitals more for their services.
Many studies have shown that people, when asked, say they’d prefer to die at home rather than in a hospital. However, those wishes aren’t always realized if a person hasn’t given clear instructions to a doctor or family member.
Parker says hospitals are designed to cure people who are ill rather than to allow people to die peacefully.
“The culture of American medicine today and for the last several decades is to keep treating patients regardless of the quality of life,” he says. “A lot of physicians have been reluctant to admit that the patient’s life is coming to an end.”
The picture is more complicated than the data show, says Dr. Lachlan Forrow, a professor of medicine and medical ethics at Harvard University.
Many patients move from home to hospice to hospitals and back during the last 30 days of life. And some may end up in the hospital because their pain or symptoms weren’t adequately controlled at home.
Still, he says, hospitals are just not good at caring for dying people.
“We do lots of very expensive things in hospitals to people in the last part of life who would rather be home, and we do those in part because in the hospital they get paid for,” he says.
It’s the only way to justify keeping in a hospital the people who need around the clock nursing care but can’t get it at home.
“If we really tried to make sure people at home could have what they needed at home, we could take better care of them, with less medical system-caused suffering, at lower cost, sometimes much lower cost,” he says.
For decades, U.S. patients have crossed to Tijuana for lower-cost medical care, from plastic surgery to dental procedures to stem cell treatments. Developers of a planned high-rise now say they hope to capture a share of that market, offering a wide range of services in one facility, just yards from the San Ysidro border.
The owners of New City Medical Plaza envision a 26-story tower, with doctors offices, a medical lab, a surgery center, and an adjacent 140-room hotel. The idea is to provide a single location easily accessed by U.S. patients. They plan to be up-and-running within three years.
Once completed, the facility would be part of a complex of high-rises near the San Ysidro Port of Entry, buildings visible to drivers on Interstate 5 heading into Tijuana. New City currently includes three residential towers, with two more planned, said Isaac Abadi, the 31-year-old Panamanian-born CEO of New City.
With about 30 percent of the space sold in the medical tower, “we’re starting to move ground already,” Abadi said.
The New City project comes as medical tourism has been on the rise in Baja California following years of decline. “We see an enormous potential, if we are able to to promote it through a well-structured program,” said Ives Lelevier, Baja California’s under-secretary of tourism.
Lelevier said the areas with the greatest potential are bariatric surgery, plastic surgery, opthalmology and dentistry. While lower costs are a major factor, the region is also a draw for U.S. Latinos who travel to Mexico for treatment because they feel a cultural affinity, he said.
About one million people annually cross to Baja California for health services, with 85 percent of the current clientele from Southern California, he said. “We believe that we can bring people from areas that are farther away, something that in the medium-term can turn into greater revenue generator for the state.”
Farther south, Lelevier said that a different group of investors is proposing a similar project off the Pacific Ocean, near the Metropolitan Convention Center, at the boundary of Tijuana and Rosarito Beach. The group is still looking for financing, and not yet prepared to go public, he said.
Developers of New City say their aim would be to offer high-quality care in a single facility. They would minimize risk by establishing a medical committee that would screen physicians practicing there. For their surgery center, they aim to be the first in Tijuana to gain accreditation from Joint Commission International, a nonprofit that reviews medical facilities to ensure high standards of quality and patient safety.
The estimated cost for the planned New City Medical Plaza would be more than $50 million. Funding for construction would come from the equity in the existing New City residential towers, as well as from down payments of purchasers in the medical office tower, Abadi said.
Prices in the medical tower start at $160,000 for a 700-square-foot unit. To reserve a unit, purchasers are required to pay 30 percent of its cost.
At least two clients are planning on purchasing entire floors, he said.
“A lot of our patients come from the U.S. We think it’s going to be very convenient for our patients to have a place to stay, to have all the medical testing that we could use available here,” said Elias Bemaras, general director at ProgenCell, a company that offers stem cell treatments.
Also planning to a move is Certus Laboratorio Clinico, a Tijuana lab with a significant numbers of U.S. patients who cross for testing and medical care. Owner Maria Eugenia Acevedo said she and the developers are working out “the final details for the space.”