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Mr. Fabricatore, a latex mattress lovely pics!

La nostra cuccia per riposare in guardia medica, sembra adatta ad un   boxer, inteso come quadrupede, mammifero, amico dell’uomo. Infatti chi non può giacere nella scomoda poltrona letto offerta gentilmente dalla ulss s.p.a.  per via di una pregressa operazione a livello delle vertebre lombari, ha optato per il trasporto da casa di un materasso migliore che, purtroppo per il proprietario, fa gola anche agli altri dannati dello s.c.a. Che fare? Stendersi su un coso duro, sporco, pieno di peli di qualche altro collega o trafugare nella penombra della notte l’altrui materasso. E sia! And so a mattress becomes public domain. Tossed on the ground, it's a great thing ... ... Ahhhh, how nice ....., feel, feel like you ... .. relax the cervical vertebrae and the lumbosacral spine, a wonder! But to its rightful owner, the mattress took it home, set on the rack model magrebbino return home, do not like that and rightly so. Why share my double springs with that guy that if your feet do not wash them for a month and that, moreover, loses hair like a merino sheep's wool? And so, armed with a bolt, has placed a broom in the warehouse and he closed well, but that seems so narrow waist size of Belen Rodriguez. Never let someone be able to remove it from above. Things of this world? No, no, things medical call at the edge of the world or, if you will, of reality.

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Lite on the certificate; beats your doctor

the prognosis can not get such raging overturns the study. The doctor: a chaos but the sending online denounce. CODOGNO Attacked in surgery from a patient out of control it has also sued for breach of professional and all because of a sick leave. Continue the Way of the Cross family physicians after the entry into force of the law that provides for online submission of certificates of illness INPS Episode dates back a few days ago when Alfonso Fei doctor dismissed a patient who had returned for the third time he has to do to get a certificate of illness. The patient said the doctor and was subjected to a facility endococleare to 'ear to' City Hospital where he was discharged without the prognosis that the law applies Brunetta as proof of sickness. Then he turned to me but other than that is not my job did not even know what day I should give him. Given the relationship I have with patients have called the speech therapist that 'worked that is justified by saying that the prognosis is not up to him but to ENT. The patient is then returned to work and the doctor of internal 'company decided to send it back home ma ancora senza certificato di malattia.  A quel punto Fei ha richiesto un controllo dall’ otorino. Speravo che finalmente gli avrebbe dato i giorni di malattia Ma così non è stato e il paziente è tornato pretendendo che lo facessi io. Quando gli ho spiegato per l' ennesima volta che non potevo ha perso il controllo. Ha iniziato ad insultarmi a buttare per aria le sedie Ho temuto mi aggredisse anche fisicamente. E non è tutto il giorno dopo il paziente si è rivolto all' Usl 7 e ha presentato una formale lamentela contro il medico. Oltre il danno la beffa commenta aggredito e accusato di non fare il mio lavoro perchè rispetto la legge e cerco di riparare alle mancanze degli altri e rischio pure di essere picchiato Il disagio dei pazienti is real and I understand but I can not go half of me. Dr. Fei is considering the 'opportunity to sue the patient for what happened and would not be the only case. Now we are hostages in our clinics Elena Villani says Vice President of Snam provincial bureaucracy and patients who demand from us that those certified specialists and hospitals do not. If they do violate the law if the patient does not make them take us to bad words. And the patients who make us the war should understand that if the doctor does a certificate or a prescription is because it can not but begin to expect from people, and has drawn the law Brunetta is called to them.

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Doctors increasingly 'stressed out, Italy in 5000 took refuge in alcohol and drug

Rome, Feb. 15 (Reuters) - Italian doctors increasingly stressed. The fear of making mistakes, sometimes grueling rounds, the fear of finding themselves 'walking' or retired too early, can be very heavy burden to bear. Especially on the shoulders of those white coats more fragile, in most cases, not wanting or not knowing where to turn, are likely to fall into the 'black hole' of depression. They are in fact at least 5 000 Italian doctors, lost and under stress, take refuge in alcohol and drugs, particularly cocaine. A number that makes an impression, if you think that it is professionals who deal with the health of citizens; 'the last picture the Italian doctors suffering from burnout (addiction professional), a disease which, if untreated, can also lead to extreme solutions. Taking them is Benjamin Palmer, a professor of surgery at the University of Modena and Reggio Emilia and project coordinator 'Physician heal thyself', a network that has, among its objectives, its protection of the white shirts that fall ill or are affected by bornout. The phenomenon in Italy about 30% of physicians over 50. Nearly 1 in 3. The scenario - shows a preview Adnkronos Salute - will be presented in detail during the second national conference of the network coordinated by Palmieri, scheduled for 4:05 March in Milan. "Physicians - Palmieri says - despite having lower levels of mortality than the general population, however, have a higher risk of being affected by some problems of physical and psychological. Who is exercising this profession, the average of the population is most affected by one or more of the 'd': drugs, drink and depression, namely drugs, alcoholism and depression, including suicide. "It is no coincidence that, Worldwide, suicide rates among white coats is two times higher than the general population among men and among women even four times. Numbers chills, which originated from the dependencies related to the profession. "Burnout - spiega Palmieri - è una sindrome caratterizzata da stress lavorativo, esaurimento (tensione emotiva, ansietà, irritabilità ovvero noia, apatia, disinteresse), conclusione difensiva (distacco emotivo dal paziente assistito, cinismo, rigidità)". A rimanerne colpiti, tra i medici, sono in tanti: "Si stima - sottolinea l'esperto - un 30% dei camici bianchi con più di 50 anni".A farne le spese sono soprattutto anestesisti, chirurghi, ginecologi e medici del pronto soccorso, in maggioranza uomini (nell'80% dei casi). "Tutti medici - spiega Palmieri - sottoposti a grande stress. Molti lavorano 50-60 ore a settimana, ma il sovraccarico non è solo di fatica: c'è quello emozionale e, sempre Moreover, there is the burden of bureaucracy and conflicts between colleagues. To all this add up cultural factors that make it difficult for doctors to ask for help. "And in fact, very few are those who launch a sort of Sos. We counted on the fingers of one hand." Approximately 99% of the white shirts in difficulty - emphasizes the expert - not or will not know where to turn. Of these - plus - 45% were self-care. "It remains to work." Almost all, even among those who use drugs, especially cocaine and alcohol, is a coexistence between occupation and abuse. "To end up in the tunnel dependence are mainly the most talented doctors and workaholics. "A fall into the trap - explains Palmieri - are just i camici bianchi che dedicano tutta la lora vita al lavoro. Sempre pronti a correre in ospedale e sostenere turni massacranti". Professionisti 'scoppiati' che iniziano a essere depressi e a rifugiarsi nell'alcol o nella droga o in entrambi. Svariate le forme depressive. "Ci sono - spiega l'esperto - quelle che si manifestano con rabbia e irritabilità. E ancora, casi in cui prevalgono mal di testa, nausea, disturbi del sonno". Le conseguenze di questo quadro clinico non possono non riflettersi anche sull'attività medica. "Aumenta ad esempio - afferma Palmieri - il rischio di ferirsi con un bisturi, o di pungersi con una siringa". A rimetterci è anche il rapporto con il paziente. "Studi scientifici - aggiunge l'esperto - hanno infatti demonstrated that a physician is not only less stressed willing to talk, but could more easily make mistakes, even fatal. "To cope with these problems will also be addressed in public care facilities, but it is not so simple." The Most of the time - said Palmieri - the doctor does not ask for help, because he is afraid of being recognized and have an impact on their careers. "There is another factor that does not facilitate the resolution of the problem. Not all doctors know suffering from burnout really be in trouble. "There is a 15% white coats to be affected to ignore. And about 18% living with a chronic state of depression. "Meanwhile, against doctors unaware e di una rete di assistenza debole, il fenomeno cresce. "Negli ultimi cinque anni - spiega l'esperto - il burnout nel nostro Paese è aumentato ogni anno dell'1%". Un trend che sembra trovare conferma in alcuni episodi balzati di recente alle cronache, con medici protagonisti di strane storie. L'ultimo caso in ordine di tempo è quello di una guardia medica di 58 anni che, a Roma, beveva durante il servizio. Avrebbe dovuto rispondere al telefono dell'ambulatorio e all'occorrenza curare i malati, di persona oppure dando indicazioni via cavo. Invece era spesso ubriaco. Oppure non c'era, avendo l'abitudine di anticipare di parecchio il suo orario di fine turno. Fatto sta che si è ritrovato imputato in un'aula del tribunale di Roma, con the accusation of service interruption of public utility and threats against his colleagues who, after months of endurance, had denounced result in suspension. And he, in revenge, began to call at all hours, on the lines reserved for public health emergencies, to fill them with threats and white coat finished improperi.Un more recently in the newspapers for anything but medical reasons is that , serving in a casualty department in Naples, has been surprised by the Police to buy cocaine. But when it comes to drugs is the episode that has done more buzz there was in December in Galatina, in the province of Lecce, where the medical director of the hospital 'Santa Maria Caterina Novella' ha addirittura inviato una circolare interna per ammonire il personale medico e gli infermieri a non fare uso di cocaina durante l'orario di servizio. L'invito era stato rivolto dopo alcune segnalazioni anonime giunte alla direzione sanitaria del nosocomio salentino. A pagarne il conto è stato però proprio il direttore sanitario, che è stato sospeso dalla direzione generale dell'Azienda sanitaria. Naturalmente il problema è internazionale e varca i confini italiani. Anche se negli altri Paesi sembra esserci una maggiore attenzione al fenomeno. "In Italia, da questo punto di vista siamo indietro", sottolinea Palmieri. "Manca un monitoraggio attento del fenomeno. Il ministero della Salute del Galles - aggiunge - sta ad esempio compiling a register of doctors and medical students who have experienced psychiatric illness or substance abuse, in order to establish how these people can continue to work or study in protecting the public interest. "During the second congress of the network ' Physician heal thyself ', will also present other international studies on the matter. "It' s been done - said Palmieri - a medical screening on Australian and New Zealand through an evaluation of anxiety and depression, which showed that the highest stress levels could be found between family doctors, compared to the average population. Similar conclusions were found from a study conducted in Great Britain which sought a correlation between personality and work through a questionnaire on anxiety and depression in primary care providers. "The survey results are telling:" It has been noted - said the expert - that the cases depression (10% and 16% non-severe borderline) were statistically associated with lack of free time because of work stress for the constant demands of patients, the fair amount of calls to a busy life, being single and childless , alcohol abuse, obesity, and unsatisfactory for a career in areas of little challenging. "

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Liability concerns also the owner pediatrician, who was on vacation.

Florence, January 19, 2011 - Two doctors sentenced to one year and eight months in prison , third acquitted and claims that come to touch the one million euro each for the parents of a child of eleven of Molin Plan, in the town of Pontefract Florence, died April 30, 2008 to septicemia as a result of appendicitis is not diagnosed promptly and degenerated into peritonitis.

E 'ruling made yesterday by the single judge Gaetano Magnelli sub-office of the court of Florence Pontassieve , who was called upon to judge the responsibility of the three doctors involved in this sad case. Per il pubblico ministero Luciana Singlitico erano tutti colpevoli di omicidio colposo: la dottoressa che sostituiva la pediatra della bimba, la 35enne Laure Monthe assistita dall’avvocato Andrea Ceccobelli, e le due guardie mediche Enrico Baldini, 35 anni, e Vat Marashi, 50enne (difesi dagli avvocati Neri Pinucci e Giovanni Merli), tutti contattati tra il 20 e il 21 marzo 2008 dalla madre della bambina perché la figlia aveva febbre, dolori all’addome e allo stomaco e difficoltà a camminare.

Secondo l’accusa, nessuno dei tre medici avrebbe individuato che si trattava di un’appendicite (uno di essi avrebbe suggerito un banale clistere per farle passare il mal di pancia) fino when, on the eve of Easter, the conditions of the little girl rushed: it was brought to the desperate conditions now Meyer Children's Hospital where he was emergency surgery and then died. The parents filed a complaint and the investigation by the prosecution to Florence allowed the emergence of a paradoxical situation: the little girl was diagnosed (and two of the defendants only by phone) a common flu. Not even the second doctor, while visiting the child personally, would have understood the gravity of the situation.

None of the three doctors contacted by the parents came to the hypothesis that acute appendicitis would then be transformed into the fatal peritonitis. The court Magnelli But he ruled out the responsibilities of the first phone call to the duty doctor, Henry Baldwin, was sentenced to eight months while the second doctor saw that Vat Marashi directly on the small, one year, finally, the doctor Month, the replacement for the pediatrician of the child. For both convicted, the court ordered that probation is subject to the provisional payment dell'elevatissima immediately enforceable in favor of civil plaintiffs consist of: € 950mila head to his parents, brother and 600 thousand to 250 thousand head in three grandparents, Borsellino and assisted by lawyer Philip Domenico Viggiano.

a painful, a sentence that provides the highest compensation, a whole category in fibrillation. After the sentences for manslaughter imposed on the two doctors who followed the case of the girl later died at Molin del Piano Meyer for peritonitis, there is an element that shakes pediatricians and family doctors in Tuscany and beyond. It is the appearance
statutory.

The judge in fact obliged to pay an advance on damages of almost three million euro, provided that the civil liability in addition to the two doctors convicted extends to third. This is the family pediatrician, who felt ill when the girl was abroad on holiday . At that time it had to be replaced by a colleague, who spoke three times to telephone assuming the parents of little influence. That professional is on trial in Florence ended with a doctor of emergency medical service. No one realized that the symptoms were those of appendicitis and was the mother, since her daughter was still sick, decide to take it to Meyer. The child arrived at the pediatric hospital in serious condition for a sepsis, an infection that was ravaging the body. He died a few days.

A process is finished replacing the pediatrician and two doctors on call, one of which was recognized not responsible. last Tuesday there have been two convictions: one year for the doctor, 8 months for the other professional. The high court decided a provisional for relatives (€ 950mila to each parent, brother 600 thousand to 200 thousand and the child to the grandparents) and determined that the liability also relates to the pediatrician a pensioner who was not at work .

This extension of liability is unpublished and activates the alarm, first of all pediatricians. Valdo Flori, head of FIMP, union of the class, speaks of "an absurd ruling. It penalizes a physician for an error committed by another. I do not want to go into the criminal responsibility of this story but ask that you return the money to those who had to be replaced. Everyone responds in their business. "

One of the themes is that of insurance. Hardly the doctor can convince his owner to shell out money for what has been done by my colleague. "We'll see, we wait to read the reasons for the sentence - the civil lawyer says the pediatrician Pier Francesco Lotito.
We want to understand why the court considers that in such a case there is a liability. At that point we will put the question to insurance. Meanwhile, we will certainly appeal the decision. " Lotito's lawyer was initially formed at the civil trial brought by the family of the girl who died, gathered together in criminal law. It was precisely the counsel for the civil parties to propose the involvement of the pediatrician in charge holder, and assumptions made by the judge.

The advance of the damage is very high: € 950mila 950mila for the father and the mother, the brother of the girl for 600 thousand and 200 thousand for each of the grandparents. The family lawyer Philip
Viggiano, welcomed the ruling. "I have discussed this matter with my colleague, a civil Marco Orlandi. In essence, the issue is whether or not it applies in this case, Article of the Civil Code so who employs another to perform an obligation also responds to the work of the latter. The relationship between doctor and compared to that witnessed the Professions, the exchange is the work of his replacement. I want to emphasize the fact that finally was placed a provisional worthy of the name. "

Nessuno dei medici vuole entrare nell'ambito della responsabilità penale della morte della bambina. Sono tutti però molto colpiti dalla condanna.
«Ovviamente devo vedere le carte, non posso dare un giudizio. Siamo molto incuriositi dal coinvolgimento del medico convenzionato, appare poco logico e del tutto inedito». A parlare è il presidente dell´ordine dei medici Antonio Panti, che a suo tempo aprì una istruttoria sulla vicenda. «La responsabilità nella scelta del professionista da cui farsi sostituire ha senso solo quando c'è una gerarchia di medici, ad esempio in un reparto. Nel caso dei convenzionati (dottori di famiglia e pediatri, ndr) il sostituto è alla pari, un laureato in medicina». Flori always points out that the National Convention that binds to pediatricians Asl 'it says that deputy assumes full responsibility, even a civilian. " The story also shakes family doctors. Vittorio Boscherini, regional secretary of the union FIMMG comments: 'It's crazy. If you are a substitute for a professional, he is responsible as you. Moreover, if the doctor is not able to find anyone, maybe because it is sick or has a sudden engagement, the ASL is required to obtain it for himself.

(January 21, 2011)

Fnomceo's response: A ruling characterized by an interpretation "excessive" and that represents un «precedente», rischia di «mettere in crisi un intero sistema». Così il presidente della Federazione degli ordini dei medici e odontoiatri (Fnomceo), Amedeo Bianco (nella foto), commenta la decisione del tribunale di Firenze che ha condannato una pediatra a risarcire il danno per la morte di una bambina di 10 anni, sua paziente, causata da un errore di diagnosi della sua sostituta, anche se era assente per le ferie e aveva il telefono staccato. «Questo tipo di interpretazione del principio civilistico di "risarcimento" e "responsabilità"» ha sottolineato Bianco «segna qualche eccesso». La magistratura, spiega il presidente Fnomceo, «ha cioè in questo caso creato un profilo di responsabilità nuovo». But White warns, "broadening the profile of accountability and the concept of damage, giving dramatic as in the case of Florence also the responsibility of what the doctor away, contributes to some creativity on the statutory plan that could make difficult the relationship between doctors , patients and institutions. " In addition, says White, a similar situation may loom for family doctors, who on vacation when they are replaced by physicians who have an equal degree. This ruling, therefore, concludes the representative of the doctors, "a precedent and an element that threatens to undermine the whole system of relations."

Sentence "negative and dangerous." It is the opinion of the Secretary of the Federation of General Practitioners (FIMMG), James Militello, with the decision of the Court of Florence. "This kind of sentence on the basis of what has been disclosed," said Militello "amazes doctors, because it goes against an established principle and common sense, or that the activity of the individual practitioner depends solely on his will. For this, "he continued," we believe that the professional responsibility to be absolutely independent. " At this point, the Secretary announced FIMMG, "I believe that we will examine the ruling of the court in Florence and we act to provide all the arguments in a second instance." This measure, in fact, he said Militello, "likely to change many rules at stake, the sentence is negative and dangerous." Militello also expressed "concern" that such a situation can occur for family doctors, which are replaced by other doctors in the same degree if holidays: "For us," concluded the Secretary FIMMG "the responsibility of those acts is still very individual. "

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expired drugs Detention: Judgement Seat

Criminal Cassation, Section II, Judgement No. 5282/1998: "does not constitute the crime of commerce or administration of medicines failures art. 443 CP having expired drugs in the doctor. "

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sca under seizure

Well yes, our former headquarters of continuity of care is under seizure (the photo at the left margin, you think, if it was so before, how can it be now?). You do not even enter to take the personal effects or, as De Gregori, does not even stop to piss / you go straight to the sea without thinking / That guard is beautiful even if it hurts / we should all T emigrate / .........Motivo? The neighbor who, rightly annoyed by the constant rang users, all night long, was forced to intervene in the judiciary. Have been avoided? Cerrrrrto might have been avoided: oh! mica peanuts! Seizure of a public service within the sca ... ...........

Just do not brand as "the usual broken bales, complaints ULSS the same lady (by management that is).

was enough to inform the public that since there is a medical clinic, but only a telephone boot, not when you had to go.

was enough ...... but, what satisfaction!

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The removed and Cinelogy

The term "removed" Freud meant those desires, the fantasies and feelings that are unacceptable to the subject perceived as dangerous and that, therefore, in self-defense of the ego, are kept outside the sphere of consciousness, but still remain active and affect the lives of individuals. To re-emerge in this sphere of consciousness removed, Freud used the technique of free association and interpretation of dreams: as a symbol, an image, through the dream of the person or his speeches, is looking for possible associations, to identify the primary drive which is concealed under that symbol or picture. To detect the deformed part implies that all i processi razionali del soggetto e che, a sua insaputa, struttura il suo comportamento, la scienza ontopsicologica si avvale, tra l’altro, della tecnica cinelogica (rif. Cinelogia ): nel film una scena o un personaggio può far associare allo spettatore personali esperienze o ricordi rimossi, che lo spettatore stesso, grazie all’intervento del conduttore esperto, può verbalizzare e comprendere, con conseguente ampliamento di coscienza. E ciò si realizza perché, innanzi alle immagini in movimento del film, nello spettatore si verifica una attenuazione dell’inibizione dell’Io cosciente e razionale, con conseguente abbassamento delle proprie difese ed esposizione del proprio inconscio. Pertanto, fare cinelogia non significa fare spettacolo o suscitare curiosità, ma entrare dentro l’anima come si opera la vita, recuperandola dai complessi e dalle distonie.