Philip Jones Rose Gold Friendship Bracelet with Crystals from Swarovski® O5BRvA9

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Philip Jones Rose Gold Friendship Bracelet with Crystals from Swarovski® O5BRvA9
Philip Jones Rose Gold Friendship Bracelet with Crystals from Swarovski®

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What is a Physiatrist?

A physiatrist (fizz ee at’ trist) is a physician specializing in Physical Medicine and Rehabilitation. Established as a medical specialty in the 1940s, Physical Medicine and Rehabilitation is a discipline primarily concerned with acute and chronic problems of the neuromusculoskeletal system. The goal of the physiatrist is to restore function and relieve pain in patients with a variety of disorders using a non-surgical multidisciplinary treatment approach. To become a physiatrist, individuals must successfully complete four years of graduate medical education and four additional years of postdoctoral residency training. Residency training includes one year spent developing fundamental medical or surgical clinical skills and three additional years of dedicated training in the full scope of the specialty. There are currently 79 accredited residency programs in physical medicine and rehabilitation in the United States. Many physiatrists choose to pursue additional fellowship training in a specific area of the specialty. Fellowships are now available for specialized study in areas such as spine and musculoskeletal rehabilitation, pediatrics, traumatic brain injury, spinal cord injury, and sports medicine. To become board-certified in physical medicine and rehabilitation, physiatrists are required to pass both a written and oral examination administered by the American Board of Physical Medicine and Rehabilitation (ABPMR). Physiatrists may see a person who lifts a heavy object at work and experiences back pain, a basketball player who sprains an ankle and needs rehabilitation to play again, or a knitter who has carpal tunnel syndrome. Physiatrists’ patients include people with arthritis, tendonitis, any kind of spinal pain, and work- or sports-related injuries. They are trained to perform electrodiagnostic studies in the evaluation of patients with disorders of the nervous or musculoskeletal systems. In addition, a select group of physiatrists have been fellowship trained to perform interventional spinal procedures utilizing fluoroscopic guidance. Doctors who specialize in physiatry may practice in rehabilitation centers, hospitals, and in private offices. They can have broad practices, but many, like the physicians of Interventional Spine Sports Medicine, P.C., choose to concentrate on a particular area of care such as spine and musculoskeletal medicine. Thus, appropriately trained physiatrists such as Dr. Patel is uniquely qualified to diagnose and manage spinal and musculoskeletal conditions utilizing a comprehensive non-surgical treatment approach To become a physiatrist, after four years of undergraduate training, individuals must then successfully complete four years of graduate medical education and four additional years of postdoctoral residency training. Residency training includes one year, often referred to as “internship”, spent developing fundamental clinical skills in the areas of internal medicine and/or general surgery. This year is followed by three additional years of dedicated training in the full scope of the specialty of physical medicine and rehabilitation (PMR). There are 79 accredited residency programs in physical medicine and rehabilitation in the United States. Many physiatrists choose to pursue additional advanced degrees (MS, PhD) or complete fellowship training in a specific area of the specialty. Fellowships are available for specialized study in such areas as musculoskeletal rehabilitation, pediatrics, traumatic brain injury, spinal cord injury, and sports medicine. Dr. Patel is fellowship trained in interventional spine and musculoskeletal medicine. Dr. Patel received their specialty training at one of the most highly regarded and sought after fellowship training programs at nationally recognized medical centers. Following clinical training, to become board-certified in physical medicine and rehabilitation, physiatrists are required to pass both a written and oral examination administered by the American Board of Physical Medicine and Rehabilitation (ABPMR). The ABPMR also has agreements with each of the boards of pediatrics, internal medicine, and neurology to allow special training programs leading to certification in both specialties. Physiatrists who have completed the appropriate training and experience in particular areas of clinical expertise are also given the unique opportunity to pursue additional and subspecialty board certification. Such opportunities exist in the areas of pain medicine, sports medicine, spinal cord injury, pediatric rehabilitation, and soon, neuromuscular medicine. Interventional Spine Sports Medicine PC, is pleased to announce that Digital Subtraction Angiography (DSA) technology will be used at our state of the art procedural suite. During the performance of spinal injection procedures, even with the use of digital imaging and live contrast enhanced fluoroscopic imaging, it is possible that medication can enter small blood vessels which are not clearly visualized by the treating physician. When the steroid solution injected enters these small vessels, significant complications can result. DSA imaging allows your treating physician to highlight these blood vessels during the performance of your injection procedure to be certain that only desirable medication flow patterns are achieved. DSA imaging is now utilized during all cervical injection procedures and during lumbar injection procedures performed at higher levels of the lumbar spine and when further visualization of contrast flow patterns is determined necessary. The accompanying images demonstrate a cervical transforaminal selective nerve root injection (right C6 nerve root) performed with typical fluoroscopic visualization (image A), and after the incorporation of DSA technology (image B). DSA software achieves this complementary image by “subtracting” all surrounding structures except for the contrast injected. This allows your physician to clearly identify the flow of contrast and visualize any unwanted vascular flow which might be missed secondary to clouding by background structures. Fortunately, no unwanted vascular flow was identified in this case. The interventional spine literature has recently highlighted the potential role of Digital Subtraction Angiography in minimizing complications resulting from vascular and arterial uptake during spinal injection procedures. At Interventional Spine Sports Medicine, PC, we continually strive to utilize only evidence based treatment practices, the latest diagnostic and imaging technologies available, and most importantly, to maximize patient safety during each injection procedure performed

Why Choose a Physiatrist?

Physiatrists are physicians that specialize in physical medicine and rehabilitation, which represents a medical subspecialty, that are specialists in diagnosing and providing aggressive, nonoperative treatments of neurological and musculoskeletal conditions. This specialty focuses on restoring function to their patients. A physiatrist’s patients include people with arthritis, tendonitis, any kind of neck/back pain, and work or sports-related injuries. Physiatrists also treat patients with acute and chronic pain syndromes. Physiatrists are specialists in diagnosing and treating problems of themusculoskeletal system. They perform thorough histories and physicalexaminations to find the source of your pain, injury or disability. They perform EMG/NCV studies to enhance their ability to diagnosis complex cases. Physiatrists coordinate your treatment plan. Different facets of an individualized treatment plan might include physical or occupational therapy, medications, or joint or fluoroscopic guided injections. Physiatrists coordinate and collaborate your interactions with other health care professionals. The result is a specially designed treatment program tailored for you. Physiatrists treat the whole patient, not just the patient’s symptoms. Physiatrists share their medical knowledge to help patients understand their condition and provide the tools and resources to manage it. Through integrated focused care and comprehensive diagnosis and treatment, the physiatrists restore an individual’s functional status and add quality to their life.

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In our modern era of legal recreational marijuana, choices for the consumer can seem infinite, and this can be confusing for the uninitiated. Most people are new to the concept of buying specific types of labelled, tested marijuana. The availability of mixed strains and hybrids and cross-hybrids and oils and waxes can make choices even more difficult. So many options!

Until recently, a bag of “pot” was good enough, and you were lucky to get that. No telling what kind it was, exactly. This is still the case in many parts of the United States. But not in Seattle!

Washington State residents have graduated to legal choices. A “bag of pot” is now packaged in a tamper-proof container, with lab test results printed on the label. Your average recreational shop offers dozens of cannabis products to choose from. Here are a few tips for those who feel overwhelmed by all these new options and need a bit of guidance before they shop.

STRAIN BASICS Indica = sleepy. Sativa = wakey. Hybrid = a blend of both effects. I always thought that ALL pot makes you hungry (“the munchies”) and expands your mind, but maybe that’s just me.

A sativa high is energetic. An indica high is euphoric. Want to hike for twenty miles while trading stocks on your iPhone? Try a sativa. Wanna fall asleep while watching the Mariner’s game? Indica. I like indica, some green tea, and then a short walk around the block before the first pitch. During the game I will multitask with electronic devices, family members, pets and snacks. No drug can make baseball not boring so eventually I will fall asleep. Whatever works.

DIFFERENT STRAINS FOR DIFFERENT BRAINS Some people want to slow down and some people want to speed up. Some people like combining indica with coffee for a “hippie speedball.” I will dare to say that for some people a mix of marijuana and cigarettes works real good to keep them inspired. Many people don’t like the effects of cannabis at all. It’s cool. Experiment and find out what works for you.

SET AND SETTING Where are you? Who are you with? If you are cleaning out a sewer beneath a chicken farm on a ninety degree day, marijuana might not improve your mood much. But if you’re on a sunny beach in Hawaii you just might be all like “HEY CHOOM GANG, YEAH!”

SLEEPY IN SEATTLE Pacific Northwest natives have less experience with sativas than with indicas. Historically, most of the locally produced bud has been the short, squat indoor indica. An easier to grow plant than sativa and a shorter grow season equals maximized profits for small time indoor bootleggers.

Those days are over. A new world of virtually unlimited legal options awaits.

THC AND CANANBIDIOL AND TERPENES? Some prefer a high tetrahydrocannabinol (THC) product, and some like high cannabidiol (CBD), low THC stuff. Terpenes (like liminol, the compound that helps give lemons a citrusy smell) and other elements can influence the effects of the marijuana too. If you have trouble wrapping your brain around that here’s a thought – drinking gin will give you a distinct “buzz,” thanks to the juniper berries they use and the elements they contribute to the booze. Sure, it’s the alcohol that provides most of the effects, but the juniper nuances there are important too. Same goes for marijuana – there’s a lot more in there than just THC.

Keep experimenting. It’s fun! When you find a strain you like, stick with it.

RECREATIONAL DESTINATIONS Stoners love to make up words. To us, “recreate” means “to consume marijuana in a State where it is recreationally legal.” Try recreating with an indica strain and head to the Pike Place Market (known to locals as “The Market”) for people-watching and unlimited food treat options. The culture of the Market is almost indica-like – people there always seem unusually happy and sleepy. There is a party vibe there – and no wonder – the place closes down in the early evening and all the workers hit the bars shortly thereafter, seven days a week.

The Seattle Art Museum would be a great place to visit after indulging in a sativa strain. Expose your brain to art! Don’t miss Indigenous Beauty: Masterworks of American Indian Art, which runs through May 17, where you can check out “some of the most stunning works of American Indian art ever made.”

With the good weather comes the ability to explore Seattle’s parks and other pubic places. But remember: it is against the law to recreate in public. So consume in private, then get outdoors and enjoy yourself. Enjoy this freedom!

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Pack your load securely and separate trash from recycling. (See Travel Tips ) If you have to carry garbage on top of your vehicle, make sure it is double-bagged and strapped down securely. DO NOT discard refuse along the highway, in neighboring towns or rest areas, or behind private businesses. This reflects very poorly on our community and threatens our event’s future. Dispose ONLY at authorized collection areas —several locations are nearby (below)! The Nevada Highway Patrol may issue tickets to anyone leaving trash on the ground. There is a $2,000 fine for littering. Don’t trash Nevada!

Exodus Trash Recycling Network

2016 dates: Saturday, September 3 – Wednesday, September 7. Recycle bicycles, plastics, glass, metals, paper, cardboard, plastic bags, household batteries, and non-perishable food and water. Clean, sort, and de-bag recyclables before depositing. Human and other hazardous waste is prohibited! Proceeds from recyclables go to Black Rock Solar, Whole Kids Foundation, and other community programs in the region. Food and water go to Food Banks.

Locations for Your Trash, Recycling, RV Dump Gray Water

Reno/Sparks, NV

Save Mart Supermarkets • Trash-Recycling •525 Keystone Ave, Reno, NV •Open 24 hrs Sat 9/3 – Wed 9/7 • $5 per 35–gallon trash bag • Free Recycling •Clean, sort, and unbag recyclables before depositing – Hazardous waste prohibited

Whole Foods Market • Trash-Recycling •6139 South Virginia St, Reno, NV•Open 6am – Midnight Sat 9/3 – Wed 9/7 • $5 per 35–gallon trash bag • Free Recycling Clean, sort, and unbag recyclables before depositing – Hazardous waste prohibited

Waste Management: Stead Transfer Station • Trash – Recycling • 13890 Mt.Anderson, Reno NV• 8am – 4:00pm Tues 9/6 – Sat 9/10 $25 minimum for land fill per cubic yard • Free Recycling

Waste Management: Lockwood Land Fill • Trash Only • 2700 E. Mustang Rd, Sparks NV 8am – 4:30pm Mon – Fri • $31–35 minimum, charged by cubic yard • Closed Labor Day

Waste Management: Commercial Row Sage Street Transfer Station • Trash Only • 1390 E. Commercial Row, Reno NV 89512 • $25 minimum, charged by cubic yard Mon-Fri 7am-5pm • Sat-Sun 8am-4:30pm

RSW Recycling: Reno Recycling Center • Recycle Only •1100 E. Commercial Row, Reno NV • Mon-Fri 8am-4:30pm • Closed Lunch 12-12:30 Closed on Labor Day • No charges (except for electronics/LEDs), No buybacks

Sparks Recycling Center • Recycle Only • 1455 E. Greg St, Sparks NV Mon-Fri 9am-5pm • Closed Labor Day • No charges • No buybacks

Golden Gate Petroleum • RV Dump Gray Water •11055 S. Rock Blvd, Sparks NV • Dumping Hrs 5am-9pm • $8

TA Travel Center • RV Dump GrayWater • 800 N. McCarran Blvd, Sparks NV 24 hours • Limited to RVs, 55–gal drums • $5

Safari RV • RV Dump Gray Water • 2802 Kietzke Lane, Reno NV •Mon-Sat 8:30am-5:30pm • Sun 11:30am-3:30pm • $8.50 per dump or free with $25 in- store purchase

Pyramid Lake, NV

Pyramid Lake Marina Campground • RV Dump Gray Water • 2500 Lakeview Dr, Reno NV • 24hr Credit Card Kiosk • $10

Nixon, NV

Nixon Gas Station Store • Trash Only • State Rt 447 corner of State Rt 446, Nixon NV 24hrs Wed 8/24 – Tue 9/6 • $5 bag

Fernley, NV

Waste Management: Fernley/Churchill Transfer Station Trash – Recycling • 1100 US Hwy 95a S. Fernley NV 24hrs Sat 9/3 – Mon 9/5 • 8am-4:30pm Tues 9/6 – Sat 9/10 • Closed Lunch 12-12:30pm $16 minimum for land ll, per cubic yard – Free Recycling

Love’s Travel Stop • RV Dump Gray Water • 825 Commerce Center Dr, Fernley NV 24hrs • Gray Water Only – No Black Water – No Hoses Available • $5

Wadsworth, NV

I–80 Smokeshop Campground • Trash – RV Dump – Gray Water • 1000 Smokeshop Circle, Wadsworth NV • 24hrs • $5 bag trash – Price TBD RV dump/grey

Verdi, NV

Reno Boomtown • RV Dump – GrayWater • 2100 Garson Rd, Verdi NV • 8am-9pm • $10

Gold Ranch RV • RV Dump – Gray Water • 320 Gold Ranch Rd, Verdi NV 9am-5pm for dumping if campsites available • $10

Cedarville, CA

Rabbit Traxx Store • Trash-Recycling • 580 Patterson Way, Cedarville CA 24hrs Sat 9/3 – Wed 9/7 • $5 per 35gal trash bag • Free Recycling – Hazardous Waste Prohibited – Clean, sort, and unbag recyclables before depositing

Modoc District Fairgrounds • RV Dump – GrayWater • 1 Center St, Cedarville CA • (530) 279-2315 contact for hours, capacity, costs

Alturas, CA

Alturas Chevron • RV Dump Station – Gray Water • 1080 North Main St, Alturas CA (530)233-5114 contact for hours, capacity, costs

More recycling options at Loveangel Jewellery Womens Crystal Octopus Pin Brooch rCTeJ
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