tag:blogger.com,1999:blog-2969432765633422402024-02-21T02:25:17.235+10:00Saipan Home Health Blog:All about Home Health news and events in the CNMI.Unknownnoreply@blogger.comBlogger92125tag:blogger.com,1999:blog-296943276563342240.post-40184332342589567752011-04-22T21:19:00.004+10:002011-04-22T21:47:54.227+10:00CNMI Rep. Sablan sponsors bill H.R. 1466 which will allow non-residents with children 3 years and over to apply for green cards<div dir="ltr" style="text-align: left;" trbidi="on"><iframe align="left" frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=saipa-20&o=1&p=8&l=bpl&asins=B003KK5ARK&fc1=000000&IS2=1&lt1=_blank&m=amazon&lc1=0000FF&bc1=000000&bg1=FFFFFF&f=ifr" style="align: left; height: 245px; padding-right: 10px; padding-top: 5px; width: 131px;"></iframe>Kilili Sablan recently sponsored U.S. house bill H.R. 1466 which if passed will allow non-residents with children aged 3 years and older to apply for green cards on January 1, 2015. While there have not been any reports as to how many non-residents will be affected, the number will certainly run in upwards of 10,000. <br />
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Hard lines will have to be drawn eventually dealing with foreign workers. The line that is currently contemplated though H.R. 1466 will exclude workers that have worked in the CNMI for over 7 years on January 1, 2015, but do not have children, or that currently have children less than 3 years old. If a non-resident worker has lived and worked in the CNMI for 20 years and currently has a 2 year old child, they would be forced to leave at the end of the transition period in 2015. <br />
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In addition to the <a href="http://hubpages.com/hub/Commonwealth-of-Northern-Mariana-Islands-CW-Transitional-Worker-Visa-Regulations">CNMI CW Transitional Worker Visa Regulations</a>, I am sure that H.R. 1466 will be monitored closely by the CNMI Government and non-resident<br />
workers. <br />
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<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjgyJ40GVAUSYPHg9E4hyphenhyphenc7hMbAMeZ_MoZC47fShyByhjaDOXvmVXsZ28Yk5t2PgXAf5vn1_IVI4gK1SZWms3wghEui_sqf8MYwdqgINm3oHK4OMPtl8KSTldxyfLrIzRKq3JcaPw5efm8/s1600/greencard1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img alt="Green Cards Saipan" border="0" height="266" i8="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjgyJ40GVAUSYPHg9E4hyphenhyphenc7hMbAMeZ_MoZC47fShyByhjaDOXvmVXsZ28Yk5t2PgXAf5vn1_IVI4gK1SZWms3wghEui_sqf8MYwdqgINm3oHK4OMPtl8KSTldxyfLrIzRKq3JcaPw5efm8/s400/greencard1.jpg" width="400" /></a></div></div>Unknownnoreply@blogger.com7tag:blogger.com,1999:blog-296943276563342240.post-81340051409284736962011-04-16T18:11:00.009+10:002011-04-22T19:07:16.053+10:00Diabetic Shoes at No Cost<div dir="ltr" style="text-align: left;" trbidi="on"><br />
<iframe border="0" frameborder="0" height="60" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=saipa-20&o=1&p=26&l=ur1&category=shoes&banner=0Q046BNJ8N365747AM82&f=ifr" style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none;" width="468"></iframe><br />
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I was purchasing some New Balance merchandise at Amazon.com and I noticed that many of the shoes had a Medicare and HCPCS code. Although I have seen the bulky "Forest Gump" orthopedic shoes that were reimbursed, I never realized that sylish shoes such as new balance were available for reimbursement. Most "depth" shoes qualify for reimbursement. The depth shoes have extra room for a custom or non custom shoe insert and are deeper than regular shoes so that the ankle area is better cushioned and protected. Many New Balance shoes such as the <a href="http://www.amazon.com/gp/product/B001792GBY/ref=as_li_qf_sp_asin_il_tl?ie=UTF8&tag=saipa-20&linkCode=as2&camp=1789&creative=9325&creativeASIN=B001792GBY">New Balance MR993</a> model above are considered depth shoes and are fully approved for medicare reimbursement. <br />
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</div><div class="separator" style="clear: both; text-align: left;"><strong>Why Do We Need Diabetic Shoes</strong></div><div class="separator" style="clear: both; text-align: left;"><br />
</div><div class="separator" style="clear: both; text-align: left;">It is estimated that over 55,000 diabetic patients have their feet and legs amputated in the United States each year. Many injuries in diabetic patients occur due to improper footwear. Average shoes can be rough on a diabetic. A patient can develop blisters and ulcers that can be extremely difficult to heal, could become infected, and lead to more serious problems. If someone is suffering from diabetes, their feet should be their primary concern. </div><div class="separator" style="clear: both; text-align: left;"><br />
</div><div class="separator" style="clear: both; text-align: left;"><strong>Diabetic Shoe Qualifications</strong></div><div class="separator" style="clear: both; text-align: left;"><br />
</div><div class="separator" style="clear: both; text-align: left;">For eligibility for diabetic shoes, one has to be diagnosed as a diabetic, active and suffering from neuropathy in the lower extremities. Those are really the only actual requirements. You will need a doctor's order for reimbursement, and the doctor should be the primary physician or doctor responsible for treating the diabetes. Once you have a doctor's order, a certified shoe fitter, a certified pedorthist, or licensed podiatrist will need to make sure the shoes properly fit the client. Reimbursement for diabetic shoes falls under Medicare part B and one pair of shoes each year and up to 3 inserts are covered at 80%. Private insurance is often available to cover the remaining 20% cost of the shoes. </div><br />
<strong>Types Of Diabetic Shoes</strong><br />
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This is no longer 1950, and many diabetic shoes are available in stlyish designs. You can find dress shoes, casual shoes, walking shoes, cross training shoes, and general comfort styles. Popular brands such as <a href="http://www.amazon.com/Drew-Shoes-Arlington-Oxford-Antique/dp/B0018APY0W?ie=UTF8&tag=saipa-20&link_code=btl&camp=213689&creative=392969" target="_blank">Drew</a><img alt="" border="0" height="1" src="http://www.assoc-amazon.com/e/ir?t=saipa-20&l=btl&camp=213689&creative=392969&o=1&a=B0018APY0W" style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none; margin: 0px; padding-bottom: 0px !important; padding-left: 0px !important; padding-right: 0px !important; padding-top: 0px !important;" width="1" />, and New Balance have new styles that are similar to regular shoes on the market. <br />
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<strong>How Do I Get My Own Pair. </strong><br />
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I would actually recommend searching online to find the type of shoes that you personally prefer and speak to you primary care doctor about whether diabetic footwear is right for you. You can also speak directly to a pharmacy or DME medical equiptment supplier (the ones that sell wheelchairs and scooters) who may be able to lead you into the right direction. I recently saw someone with a order who received some big bulky shoes and I'm sure they were never given the option of some <a href="http://www.amazon.com/gp/product/B001792GBY/ref=as_li_qf_sp_asin_il_tl?ie=UTF8&tag=saipa-20&linkCode=as2&camp=1789&creative=9325&creativeASIN=B001792GBY">New Balance 993</a> or more stylish designs. I would finding the shoes that you like, and then finding the provider of the shoes you like. </div></div><div></div></div>Unknownnoreply@blogger.com10tag:blogger.com,1999:blog-296943276563342240.post-38141279236442042552011-02-14T02:17:00.008+10:002011-04-22T19:18:59.244+10:00CNMI House votes to allow foreign physicians to be licensed without U.S. residency or USMLE exams<div dir="ltr" style="text-align: left;" trbidi="on"><div dir="ltr" style="text-align: left;" trbidi="on"><span><iframe align="left" frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=saipa-20&o=1&p=8&l=bpl&asins=B0043RSDNC&fc1=000000&IS2=1&lt1=_blank&m=amazon&lc1=0000FF&bc1=000000&bg1=FFFFFF&f=ifr" style="align: left; height: 245px; padding-right: 10px; padding-top: 5px; width: 131px;"></iframe></span>The U.S. Territory of the CNMI House Bill 17-77 was narrowly defeated. Teresita Santos, Vice Speaker Felicidad T. Ogumoro, House Floor Leader George N. Camacho, Ramon S. Basa, Edmund S. Villagomez, Fredrick P. Deleon Guerrero, and Joseph M. Palacios all voted to allow the foreign doctors to become licensed in the CNMI without U.S. licensing. <br />
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While it is peculiar that patients in the CNMI are allowed to travel to the Philippines for surgeries, allowing the CNMI to completely abolish the U.S. physician licensing structure is truly amazing. Doctors who attend medical schools in the Philippines can already practice anywhere in the United States provided that they pass the <a href="http://www.amazon.com/First-Aid-USMLE-Step-2010/dp/0071633405?ie=UTF8&tag=saipa-20&link_code=btl&camp=213689&creative=392969" target="_blank">USMLE licensing exam</a><img alt="" border="0" height="1" src="http://www.assoc-amazon.com/e/ir?t=saipa-20&l=btl&camp=213689&creative=392969&o=1&a=0071633405" style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none; margin: 0px; padding-bottom: 0px !important; padding-left: 0px !important; padding-right: 0px !important; padding-top: 0px !important;" width="1" /> step 1, 2 (clinical and practical) and step 3, after they have started their residency at a United States hospital. Recently the CNMI was authorized to apply for <a href="http://www.amazon.com/Foreign-Physicians-Physician-Shortages-Accounting/dp/B000LXSQFC?ie=UTF8&tag=saipa-20&link_code=btl&camp=213689&creative=392969" target="_blank">J-1</a><img alt="" border="0" height="1" src="http://www.assoc-amazon.com/e/ir?t=saipa-20&l=btl&camp=213689&creative=392969&o=1&a=B000LXSQFC" style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none; margin: 0px; padding-bottom: 0px !important; padding-left: 0px !important; padding-right: 0px !important; padding-top: 0px !important;" width="1" /> visas for foreign physicians. <br />
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I'm not sure what exactly is going on, however as of today, there has not been a single advertisement for physicians under the <a href="http://www.amazon.com/Foreign-Physicians-Physician-Shortages-Accounting/dp/B000LXSQFC?ie=UTF8&tag=saipa-20&link_code=btl&camp=213689&creative=392969" target="_blank">J1 visa </a><img alt="" border="0" height="1" src="http://www.assoc-amazon.com/e/ir?t=saipa-20&l=btl&camp=213689&creative=392969&o=1&a=B000LXSQFC" style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none; margin: 0px; padding-bottom: 0px !important; padding-left: 0px !important; padding-right: 0px !important; padding-top: 0px !important;" width="1" />or otherwise. My thought is that the CNMI is merely trying to avoid paying specialized physicians a proper salary, and are trying to attempt to recruit unlicensed professionals that they can exploit. In the process of saving a few hundred thousand dollars in salaries, the government could lose tens of millions of dollars in medicare and medicaid funding. <br />
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I just can't understand under what type of visa that these foreign doctors would even be able to come to the CNMI in the first place. Since Nov. 28, 2009, U.S. immigration laws apply to the CNMI. Unless the <a href="http://www.amazon.com/Naturalization-Interviews-USCIS-What-Quick/dp/0314195599?ie=UTF8&tag=saipa-20&link_code=btl&camp=213689&creative=392969" target="_blank">USCIS</a><img alt="" border="0" height="1" src="http://www.assoc-amazon.com/e/ir?t=saipa-20&l=btl&camp=213689&creative=392969&o=1&a=0314195599" style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none; margin: 0px; padding-bottom: 0px !important; padding-left: 0px !important; padding-right: 0px !important; padding-top: 0px !important;" width="1" /> is asleep at the wheel when they create the upcoming CW Transitional worker visa regulations, they will not allow any foreign unlicensed doctors to come to the CNMI to practice. </div></div></div>Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-296943276563342240.post-61709531584381597182010-11-26T02:43:00.007+10:002011-04-22T19:31:40.600+10:00Commonwealth Northern Marianas (CNMI) Home Health Blog: Tinian Clinic in News Again<div dir="ltr" style="text-align: left;" trbidi="on"><span><iframe align="left" frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=saipa-20&o=1&p=8&l=bpl&asins=B0033V2NQC&fc1=000000&IS2=1&lt1=_blank&m=amazon&lc1=0000FF&bc1=000000&bg1=FFFFFF&f=ifr" style="align: left; height: 245px; padding-right: 10px; padding-top: 5px; width: 131px;"></iframe></span>Once again, as a reminder to all patients in the Commonwealth of the Northern Mariana Islands (CNMI), we are available for home health services. <br />
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Apparently the Tinian Health Center is in the news again due to issues with blood testing. It is reported that Freedom Air refused to deliver certain blood tests from the Tinian Health Center that were to be sent to CHC Hospital in Saipan due to issues with the Mayor's account. Hopefully this issue can be resolved soon. Non-payments of invoices is a major problem in the CNMI and is plaguing the CHC medical referral patients as well. It is estimated the that CNMI is behind hundreds of thousands of dollars in payments to Travel Agencies for tickets to Guam, Hawaii, and the Philippines for medical treatment. <br />
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<a href="http://mvariety.com/2010112532301/local-news/tinian-clinic-cant-do-blood-other-tests.php">Saipan Tribune Article</a><br />
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<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi5rjXo2b8oDkNq0EtnoD5PoV-qQ6u7YRz2-wX0vZy_oXK34LiFjIbZCMnmEUHs4WL3cDkiRxMANa_bqPqnkf_6FwtjT1AYtugFi4b_jnXS0oZ23_2RuGcxT7WJtevHPaF5AJuyJs68ZUo/s1600/tinian.jpg" imageanchor="1" style="clear: left; cssfloat: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="300" ox="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi5rjXo2b8oDkNq0EtnoD5PoV-qQ6u7YRz2-wX0vZy_oXK34LiFjIbZCMnmEUHs4WL3cDkiRxMANa_bqPqnkf_6FwtjT1AYtugFi4b_jnXS0oZ23_2RuGcxT7WJtevHPaF5AJuyJs68ZUo/s400/tinian.jpg" width="400" /></a></div><div class="separator" style="clear: both; text-align: center;"><br />
</div></div>Unknownnoreply@blogger.com4tag:blogger.com,1999:blog-296943276563342240.post-10983086544501518672010-11-24T00:28:00.006+10:002011-04-22T19:35:24.371+10:00Dr. Priyawathan Wijay of Tinian Health Center loses employment contract<div dir="ltr" style="text-align: left;" trbidi="on"><span><iframe align="left" frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=saipa-20&o=1&p=8&l=bpl&asins=B002W9A296&fc1=000000&IS2=1&lt1=_blank&m=amazon&lc1=0000FF&bc1=000000&bg1=FFFFFF&f=ifr" style="align: left; height: 245px; padding-right: 10px; padding-top: 5px; width: 131px;"></iframe></span>The Saipan Tribune had an article today about the failure to renew the contract of the sole doctor on Tinian, Dr. Priyawathan Wijay. There are apparently 10-20 applications for the upcoming vacant position incuding one doctor who formerly worked at the Clinic. We would definitely like to remind all patients that Pacific Home Health Care is willing to serve the patients of Tinian. We do still require a licensed Doctor's Order, but we can communicate with CHC on your behalf. Give us a call today at 670-234-CARE. For patients that are admitted to either Tinian Health Center or CHC, we can cooridinate immediate home health services upon your discharge from the hospital. <br />
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<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi52P_JqmFQnRFp_F6YCD83ZWGTnjnuC6INvto1HsHxShZ9K7UdL_-VN92WCTb7VQZ0HKLi-wjNOaNf-gJYK-sWcA90ZjDLs5cu5BfDwMeyKQl_bhnu4fS7j1HgHWoONX_Wr9vxyRbJR4g/s1600/contract.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img alt="Contract" border="0" height="297" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi52P_JqmFQnRFp_F6YCD83ZWGTnjnuC6INvto1HsHxShZ9K7UdL_-VN92WCTb7VQZ0HKLi-wjNOaNf-gJYK-sWcA90ZjDLs5cu5BfDwMeyKQl_bhnu4fS7j1HgHWoONX_Wr9vxyRbJR4g/s400/contract.jpg" width="400" /></a></div></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-296943276563342240.post-67200425614735070192010-11-23T11:15:00.005+10:002011-04-22T19:38:22.544+10:00Free Health Education or Music MP3's from Amazon.com<iframe src="http://rcm.amazon.com/e/cm?t=saipa-20&o=1&p=26&l=ur1&category=amazonmp3freesongsspecialdeals&banner=03EABA0HZZZS70QJQKR2&f=ifr" width="468" height="60" scrolling="no" border="0" marginwidth="0" style="border:none;" frameborder="0"></iframe><br />
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<div dir="ltr" style="text-align: left;" trbidi="on"><div class="separator" style="clear: both; text-align: left;">I ran across this great deal today, that requires absolutely no purchase at all. Amazon.com as part of their black friday deals is giving away <a href="http://www.amazon.com/gp/feature.html?ie=UTF8&docId=1000634471&tag=saipa-20">free $3 MP3 credit</a> by using code GET3MP3S. The free code does not have to be used on health related MP3's, but since it is Diabetes Prevention Month, I have some diabetes related suggestions. *Promotional offer valid for a limited time only and subject to change. Promotional offer is valid from November 22, 2010 12:00 AM PST through November 29, 2010 11:59 PM PST. You must redeem the credit by November 29, 2010 11:59 PM PST.</div><div style="text-align: left;"><br />
</div></div>Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-296943276563342240.post-78456533000003866602010-11-22T04:41:00.014+10:002011-04-17T17:09:42.272+10:00Nursing Cruise Ship Jobs<div dir="ltr" style="text-align: left;" trbidi="on"><iframe align="left" frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=saipa-20&o=1&p=8&l=bpl&asins=0966285700&fc1=000000&IS2=1&lt1=_blank&m=amazon&lc1=0000FF&bc1=000000&bg1=FFFFFF&f=ifr" style="align: left; height: 245px; padding-right: 10px; padding-top: 5px; width: 131px;"></iframe>I recently received an email about finding cruise jobs in Saipan. There are a few cruise ships that actually do stop in the Port of Saipan. I thought the e-mail was a strange request until I saw that the <a href="http://pacificnurse.blogspot.com/">Saipan Home Health Blog</a> was listed as one of the top 25 cruise ship nursing blogs at Nursense.com (number 4). <br />
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As far as working as a nurse on a cruise ship, I don't believe that U.S./Australia/Japan visas are required, so I can imagine that the wages are not as high as working in those respective countries. There are benefits involved with working on a cruise ship including travel, and the new experiences people will encounter. I would suggest reading <a href="http://www.amazon.com/Cruise-Ship-Jobs-Insiders-Finding/dp/0966285700?ie=UTF8&tag=saipa-20&link_code=btl&camp=213689&creative=392969" target="_blank">Cruise Ship Jobs : The Insiders Guide To Finding And Getting Jobs On Cruise Ships Around The World</a><img alt="" border="0" height="1" src="http://www.assoc-amazon.com/e/ir?t=saipa-20&l=btl&camp=213689&creative=392969&o=1&a=0966285700" style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none; margin: 0px; padding-bottom: 0px !important; padding-left: 0px !important; padding-right: 0px !important; padding-top: 0px !important;" width="1" /> for more information. <br />
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As far as working in Saipan in a cruise ship or otherwise for foreign applicants, the U.S. federal government was supposed to have transitional visa regulations in place by March of 2011 that would allow for the hiring of immigrants without H1B or immigrant visas, however they have still not been released. I expect within the next few months that the <a href="http://hubpages.com/hub/Commonwealth-of-Northern-Mariana-Islands-CW-Transitional-Worker-Visa-Regulations">CNMI-Only Transitional Worker Visa regulations</a> will be released that will allow for hiring from abroad. For U.S. applicants, there may be positions available at many government and private sector employers. <br />
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<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgBbi457-nDh-u28CskLW3-52XGrqYW878QTnc-y6-FQdfXA4bDBjmo_aojEp29ogxxr1gN5z54eibVPlqG7usEAVeiX_oeSQT2T0TjffuYJ1EyAlxjW0Ph0nMG897oV4b-kA1ljkgUjcg/s1600/1193456_32291542.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img alt="Cruise Ship Docks in Saipan" border="0" height="170" ox="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgBbi457-nDh-u28CskLW3-52XGrqYW878QTnc-y6-FQdfXA4bDBjmo_aojEp29ogxxr1gN5z54eibVPlqG7usEAVeiX_oeSQT2T0TjffuYJ1EyAlxjW0Ph0nMG897oV4b-kA1ljkgUjcg/s320/1193456_32291542.jpg" width="320" /></a></div></div>Unknownnoreply@blogger.com2tag:blogger.com,1999:blog-296943276563342240.post-77360183284149106452010-11-21T19:37:00.007+10:002010-11-22T04:52:41.434+10:00Diabetes month takes on a whole new meaning in SaipanOne of the advantages of home health is that we can take care of not only the immediate concern, but also that we can take steps to address the patients lifestyle and prevent future hospitalizations. Sometimes prescription medication by itself is not enough and the patient may need to add exercise, diet changes, and regular self-monitoring to reduce blood sugar. During the month of November, which is Nationwide Diabetes Month, if you are suffering from diabetes, take steps to successfully attack and defend against the disease. I have personally found difficulty purchasing some test strips here on the island, and recently we had a call from a patient asking for test strips from our office. I would advise first checking PHI or Brabu Pharmacy (not in any order) and if you cannot find the strips locally, you should check online. Amazon.com has <a target="_blank" href="http://www.amazon.com/ACCU-CHEK-Aviva-Order-Strips-50-Count/dp/B001AXRELE?ie=UTF8&tag=saipa-20&link_code=btl&camp=213689&creative=392969">ACCU-CHEK Aviva Mail Order Test Strips, 50-Count Box</a><img src="http://www.assoc-amazon.com/e/ir?t=saipa-20&l=btl&camp=213689&creative=392969&o=1&a=B001AXRELE" width="1" height="1" border="0" alt="" style="border:none !important; margin:0px !important; padding: 0px !important" /> and the <a target="_blank" href="http://www.amazon.com/One-Touch-Ultra-Order-Strips/dp/B001AXVF28?ie=UTF8&tag=saipa-20&link_code=btl&camp=213689&creative=392969">One Touch Ultra Mail Order Test Strips, 50 CT</a><img src="http://www.assoc-amazon.com/e/ir?t=saipa-20&l=btl&camp=213689&creative=392969&o=1&a=B001AXVF28" width="1" height="1" border="0" alt="" style="border:none !important; margin:0px !important; padding: 0px !important" /> on sale. If you are homebound and are having trouble managing your blood sugar, you are eligible under Medicare for home health benefits under Part A, paid for 100% by Medicare and with no co-payment and no deductible. Please give us a call today for more information at 670-234-CARE. <br />
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<iframe src="http://player.vimeo.com/video/11403829" width="500" height="300" frameborder="0"></iframe><p><a href="http://vimeo.com/11403829">AHA Seven Steps: Blood Sugar</a> from <a href="http://vimeo.com/user3724600">Ideation Films</a> on <a href="http://vimeo.com">Vimeo</a>.</p>Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-296943276563342240.post-3335609446330818712010-08-15T20:19:00.004+10:002010-08-15T21:34:35.119+10:00Pacific Home Health Care, LLC. Video AnimationPacific Home Health Care, LLC. presents a short clip on how caregiver education and support are available for those taking care of family members or loved ones that are "homebound" or have difficulty leaving the home.<br /><br /><object width="525" height="385"><param name="movie" value="http://www.youtube.com/v/pKPr1yIQL7w?fs=1&hl=en_US&rel=0"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/pKPr1yIQL7w?fs=1&hl=en_US&rel=0" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="525" height="385"></embed></object>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-296943276563342240.post-8805337305609151742010-08-08T22:09:00.012+10:002011-04-22T19:42:40.562+10:00Pacific Home Health Care, LLC. is filming video commercial in Saipan<iframe src="http://rcm.amazon.com/e/cm?t=saipa-20&o=1&p=8&l=bpl&asins=B0032UWTGI&fc1=000000&IS2=1<1=_blank&m=amazon&lc1=0000FF&bc1=000000&bg1=FFFFFF&f=ifr" style="align:left;padding-top:5px;width:131px;height:245px;padding-right:10px;"align="left" scrolling="no" marginwidth="0" marginheight="0" frameborder="0"></iframe><div dir="ltr" style="text-align: left;" trbidi="on">Pacific Home Health Care, LLC., has been busy shooting video during this pas week for our upcoming commercial on MCV cable. We are in the process of shooting an extended commercial to highlight the services Pacific Home Health Care, LLC can offer, and to explore the common misconceptions about "home health". <br />
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Many people that would likely qualify and benefit from home health services do not know that home health is available, or they do not realize benefits. It is distressing to hear about families refusing home health services simply because they have a family member who provides care. What many people do not realize is that home health services may be available at no cost, with no co-payment to teach the caregiver proper ways of monitoring, and stages of disease progression to help them take better care of their family member or loved one. Additionally, on all home health patients, we complete a full assessment to help identify any possible health concerns which may be unknown to the caregiver or physician. <br />
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If you or a loved one is homebound, or has trouble leaving the home, and has trouble managing a chronic disease or illness (diabetes, hypertension, CHF, COPD) or has just been discharged from the hospital from a recent accident or surgery, home health may be available at no cost and no copayment. We are available to answer any questions you may have about whether home health care is right for you. Our number is 670-234-CARE (2273.)<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgY0_28Z0SsLKxUl-z9oXzsP_cTTiQeq9UenzRFwQDx_qVFr5ThkmK4b41W8B44lOxNKsdxRV5cDffuCwXEMuMvMf1x9_dCWCryW0H-q4v6da6VwgAw32GLQ7z-HH1DltfHUQV7LR0SWP8/s1600/camera1.jpg" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img alt="Filming commercial in Saipan for Home Health" border="0" id="BLOGGER_PHOTO_ID_5503013354011588818" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgY0_28Z0SsLKxUl-z9oXzsP_cTTiQeq9UenzRFwQDx_qVFr5ThkmK4b41W8B44lOxNKsdxRV5cDffuCwXEMuMvMf1x9_dCWCryW0H-q4v6da6VwgAw32GLQ7z-HH1DltfHUQV7LR0SWP8/s400/camera1.jpg" style="cursor: hand; height: 266px; width: 400px;" /></a></div>Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-296943276563342240.post-75679382423536236492010-08-01T22:03:00.010+10:002011-04-22T19:44:07.843+10:00Lower your "high blood" in the CNMI<iframe src="http://rcm.amazon.com/e/cm?t=saipa-20&o=1&p=8&l=bpl&asins=B000O5D4TA&fc1=000000&IS2=1<1=_blank&m=amazon&lc1=0000FF&bc1=000000&bg1=FFFFFF&f=ifr" style="align:left;padding-top:5px;width:131px;height:245px;padding-right:10px;"align="left" scrolling="no" marginwidth="0" marginheight="0" frameborder="0"></iframe>You could have hypertension, or "high blood" pressure and not even know it. Hypertension, is a condition in which the force of blood against your artery walls is too strong. It also means your heart is working hard to move blood. High blood pressure in its earliest stages produces few symptoms, but over time it can damage your heart, blood vessels, eyes, kidney and other organs. Symptoms usually do not occur until high blood pressure has reached an advanced level of severity. Symptoms of high blood pressure can include:<br />
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severe headache, fatigue or confusion, vision problems, chest pain, difficulty breathing, irregular heartbeat, blood in the urine<br />
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If is important to check your blood pressure regularly. There are free machines available for use at Saipan pharmancies, and some insurance plans cover self blood pressure monitors. <br />
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If you having trouble managing your hypertension, and are "homebound" or have trouble leaving the home, nurses and aides from Pacific Home Health Care, are able to provide you with quality healthcare you deserve in the comfort of your home, including:<br />
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Provide a complete physical assessment during every visit<br />
Educate patients and/or cargegivers to properly manage their medications<br />
Provide education about hypertension and the risk factors involved in the condition<br />
Teach patients and/or caregivers techniques to help reduce stress<br />
Teach energy conservation skills to help patients and/or caregivers to maintain higher energy levels<br />
Assist and educate patients and/or caregivers in safely performing activities of daily living<br />
Assess the safety of patients’ homes, then recommend and help implement safety improvements<br />
Educate patients and/or caregeivers about nutrition management and a heart-healthy lifestyle<br />
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If you have any questions about hypertension management programs, ask your doctor if a Pacific Home Health Care referral is right for you, or give us a call today at 670-234-CARE (2273)<br />
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<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgyf0rsG3AEkgx4jRYmhKZFKP2vIH0T81XDrOkf78GO27T_BINYQAhNjZV-xbKr6AJuq7yVpIwkKQIjGjZlY5gVhPdn70wSWobk9PMftblIOB6bFPkGNryPVfE-8YGf7couNJGR_4xN0io/s1600/bloodpressuremonitor.jpg"><img style="cursor:pointer; cursor:hand;width: 400px; height: 342px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgyf0rsG3AEkgx4jRYmhKZFKP2vIH0T81XDrOkf78GO27T_BINYQAhNjZV-xbKr6AJuq7yVpIwkKQIjGjZlY5gVhPdn70wSWobk9PMftblIOB6bFPkGNryPVfE-8YGf7couNJGR_4xN0io/s400/bloodpressuremonitor.jpg" border="0" alt="Northern Mariana Islands check blood sugar" id="BLOGGER_PHOTO_ID_5500416815777747106" /></a>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-296943276563342240.post-28475400917938004592010-07-21T23:54:00.009+10:002011-04-17T17:39:12.065+10:00Saipan Nutrition: Can diabetics eat sweet fruits like mangoes?<div dir="ltr" style="text-align: left;" trbidi="on"><span><iframe align="left" frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=saipa-20&o=1&p=8&l=bpl&asins=1594868107&fc1=000000&IS2=1&lt1=_blank&m=amazon&lc1=0000FF&bc1=000000&bg1=FFFFFF&f=ifr" style="align: left; height: 245px; padding-right: 10px; padding-top: 5px; width: 131px;"></iframe></span>It is a common myth that diabetics should not eat certain foods because they are too sweet. Diabetics and pre-diabetics should be concerned about the total number of carbohydrates per serving, and not about whether it is a sugar or a starch. One serving of fruit should contain 15 grams of carbohydrates, and the size of the serving should vary depending on the amount of carbohydrates in the fruit. Whether the fruit is low-carb or high-carb, as long as you eating the same 15 grams of carbohydrates, the effect on blood sugar is the same. <br />
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Some examples of serving size of 15 grams of fruit:<br />
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1/2 medium banana<br />
1/2 cup (83 grams) cubed mango<br />
1 1/4 cup (190 grams) cubed watermelon<br />
1 1/4 cup (180 grams) whole strawberries<br />
3/4 cup (124 grams) cubed pineapple<br />
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In addition to counting carbohydrate intake and reducing serving size, diabetics should be concerned about eating a wide variety of fruits, vegetables, and WHOLE GRAINS, and reducing intake of saturated fat, trans fat and cholesterol.<br />
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If you are currently "homebound" or having difficulty getting around the house, and are having trouble controlling your diabetes, there are many options available. Many services are available to Medicare and private insured patients. Coverage may even be available for <a href="http://pacificnurse.blogspot.com/2011/04/diabetic-shoes-at-no-cost.html">diabetic footwear at no cost</a>. If you are suffering from diabetes, talk to your doctor about a Home Health Care Referral. <br />
<a href="http://www.mayoclinic.com/health/diabetes/AN01691">MAYO CLINIC ARTICLE ON EATING SWEET FRUITS SUCH AS MANGOES</a><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgahvcLTiYsAq_V6WjVm3jcnXuOkDls6YTf-KUW1xJhqqDGQXLsBfijcVCxFrD7iEE0j_OmaTZQb2nPvyUfEvYy2NROZEflChNrbcHOPC-OtDPKX0htjo4VQXB8ZnZfwiv5l9xqbyZaKhY/s1600/mangoes.jpg" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img alt="Saipan Mangoes" border="0" id="BLOGGER_PHOTO_ID_5496362244634701842" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgahvcLTiYsAq_V6WjVm3jcnXuOkDls6YTf-KUW1xJhqqDGQXLsBfijcVCxFrD7iEE0j_OmaTZQb2nPvyUfEvYy2NROZEflChNrbcHOPC-OtDPKX0htjo4VQXB8ZnZfwiv5l9xqbyZaKhY/s400/mangoes.jpg" style="height: 300px; width: 400px;" /></a></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-296943276563342240.post-69958060327418543232010-07-11T22:28:00.008+10:002011-04-22T19:46:09.053+10:00Frequently Asked Home Health Questions<iframe src="http://rcm.amazon.com/e/cm?t=saipa-20&o=1&p=13&l=ur1&category=health&banner=1FBWF8DVB1Y8TH3YE3R2&f=ifr" width="468" height="60" scrolling="no" border="0" marginwidth="0" style="border:none;" frameborder="0"></iframe><br />
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<div dir="ltr" style="text-align: left;" trbidi="on">Q: What if I am unhappy with my current home care provider. Can I change to another agency like Pacific Home Health Care, LLC.?<br />
A: Absolutely, you have a right to choose who provides your care. Your current provider can "transfer" your care to Pacific Home Health Care, LLC. and you will not lose your home health benefit. <br />
Q: How do I get home health services? <br />
A: Typically your doctor would recommend that you get home health care, however if you have a skilled nursing or therapy need and aren't well enough to go out and get those needs fulfilled you would typically qualify for the home health benefit. Call your doctor or Pacific Home Health Care, LLC. and we can typically advise if you qualify or not.<br />
Q: Is my physician still involved with my care? <br />
A: Yes, your physician manages all your care while in home health. The home health staff communicate and coordinate your care with your doctor via phone or faxed memo/notes.<br />
Q: What does homebound mean?<br />
A: Homebound means it takes considerable taxing effort for you to leave home; if you do leave home, it is for short trips to the doctor or church services or for once-in-a-lifetime events, such as weddings, funerals, specials & events.<br />
Q: What are the criteria to qualify for the Medicare home health benefit?<br />
A: You must have a skilled need; care must be provided in your place of residence; you must be under the care of a physician and you must be homebound and must have Medicare Part A. Many insurance companies pay for home health, also.<br />
Q: What makes Pacific Home Health Care, LLC., better or different from other agencies?<br />
A: Pacific Home Health Care, LLC., staff practice under the guidelines of consistency: One client - the same staff members throughout the course of care, reliability, dependable trustworthy staff that can be counted on to do what is ordered by your physician, and presence - fully attending to the needs of the clience from a holistic perspective <br />
Q: Who pays for home health care?<br />
A: If you require the skilled services of a nurse, physical therapist or speech therapist and you have Medicare Part A, then Medicare pays for home health care as long as you meet the criteria. Additionally many Medicare Advantage plans cover these services but require some co-pay level, check your plan documents.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiUkvVV4C_IdB5zSrf8by9m7EZ-XEfT4VSeNoOfDqk90PGLYxwa3AjKdDX8hHuyaByQLVyK1p8OSo8cmUez8JQpZZxxL2PiTtX3ZKTU09hYOQQgAKn2THbSwBI9fq7kjERDu1G-R9nHRg0/s1600/green2chc.jpg" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img alt="Pacific Home Health Care Brochures" border="0" id="BLOGGER_PHOTO_ID_5492627016321587906" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiUkvVV4C_IdB5zSrf8by9m7EZ-XEfT4VSeNoOfDqk90PGLYxwa3AjKdDX8hHuyaByQLVyK1p8OSo8cmUez8JQpZZxxL2PiTtX3ZKTU09hYOQQgAKn2THbSwBI9fq7kjERDu1G-R9nHRg0/s400/green2chc.jpg" style="cursor: hand; height: 233px; width: 400px;" /></a></div>Unknownnoreply@blogger.com2tag:blogger.com,1999:blog-296943276563342240.post-48648825352529568102010-07-02T01:58:00.016+10:002011-04-22T19:46:57.057+10:00Saipan Nutrition: 5+ Servings of White Rice Per Week Can Increase Risk of Type 2 Diabetes<iframe src="http://rcm.amazon.com/e/cm?t=saipa-20&o=1&p=13&l=ur1&category=health&banner=1FBWF8DVB1Y8TH3YE3R2&f=ifr" width="468" height="60" scrolling="no" border="0" marginwidth="0" style="border:none;" frameborder="0"></iframe><br />
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<div dir="ltr" style="text-align: left;" trbidi="on">Researchers from the Harvard University's School of Public Health released a study on the effects of rice. The study states that eating over 5 servings of rice each week can lead to a substantial increase in the risk of type 2 diabetes. Replacing just one serving with brown rice can lead to a reduction in the risk. Rice is an important part of many people’s diets on the Islands of Saipan, Tinian and Rota. Here in the CNMI, diabetes is a major health issue, effecting most of the population young and old alike. <br />
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The report states that the outer parts of brown rice slow down the work of the body’s digestive enzymes into starch. This means that the release of sugar into the bloodstream is slower after eating brown rice compared to white rice. A diet of foods that quickly release sugar into the bloodstream has been linked with a greater risk of type two diabetes. The exact reason for this is not known.<br />
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If you are currently having trouble managing chronic diabetes and you are generally confined to your home, Pacific Home Health Care, LLC. is available to monitor, evaluate and provide diabetes education. Please give us a call today for more information at 670-234-CARE (2273)<br />
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<object height="350" width="525"><param name="movie" value="http://www.youtube.com/v/iksgHCnVRvU&hl=en_US&fs=1?rel=0"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/iksgHCnVRvU&hl=en_US&fs=1?rel=0" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="525" height="350"></embed></object></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-296943276563342240.post-5612211751995438082010-06-29T02:31:00.009+10:002011-04-17T19:06:37.085+10:00Creating a Postpartum Plan for Pregnant Mothers in Saipan<div dir="ltr" style="text-align: left;" trbidi="on"><span><iframe align="left" frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=saipa-20&o=1&p=8&l=bpl&asins=1587611104&fc1=000000&IS2=1&lt1=_blank&m=amazon&lc1=0000FF&bc1=000000&bg1=FFFFFF&f=ifr" style="align: left; height: 245px; padding-right: 10px; padding-top: 5px; width: 131px;"></iframe></span>After creating a birth plan, the expectant mother should also create a postpartum plan. When developing a postpartum plan keep in mind:<br />
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•Recovery – how will the mother find help for recovery in the first weeks after baby? Will she have supplies on hand to ease aches and pains? Are there any recommendations from the doctor or midwife to follow?<br />
•Sleep – how many hours did the mother sleep before pregnancy? What are some ways she can encourage more sleep?<br />
•Meals – who will do the cooking in the first few days when mom and baby are primarily in bed together? What are some ways to make meal preparation easier during this time?<br />
•Baby care – who can help with diaper changing, bathing and breastfeeding? Will the partner be enough or should a postpartum doula be hired for extra help?<br />
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Make a list of volunteers or family members that can assist the mother and hte assigned tasks. For those that may need private help, home health aides in conjunction with skilled nurses may be avialable at no-cost*. Give Pacific Home Health Care a call today at 670-234-CARE (2273) today for more information.<br />
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<strong>Arrange Baby Stations</strong><br />
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Expectant mothers should plan in advance to keep the infant's care items handy around the house or apartment. In each room where the mother and infant will spend time, plan on the following stations:<br />
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•Diaper changing – fill a basket or bin with necessary items such as diapers, clean outfit, ointment, wipes and powder, refill daily or as needed.<br />
•Sleeping – any items that will promote sleep such as a cuddly toy, blanket or lavender baby lotion.<br />
•Feeding – for breastfeeding this may be pillows for propping mom and baby, a snuggly blanket and a bottle of water; for bottle feeding this will be clean bottles, formula and any important accessories.<br />
•First aid – keep a first aid kit in several prominent locations around the house as well as any prescriptions the mother or baby are taking. Also keep a notepad next to the medications and write the date and time when medicine is taken to avoid over or under dosing due to sleep deprivation.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEizXNwP0YEKuQ2Bv1zQ10y_Emjf06VhaEte6bdPMI1j36ccSJggQUVGY_JT7I0xASb8ShTJovgKdnCiukixpwToCRTUvLT7kjbNUciy1yDyWk0OV8RydtuJ_wWrsUmdwm_LM77oKNfGXz8/s1600/baby5.jpg"><img alt="Pacific Home Health Care Marianas Image" border="0" id="BLOGGER_PHOTO_ID_5487865773108033314" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEizXNwP0YEKuQ2Bv1zQ10y_Emjf06VhaEte6bdPMI1j36ccSJggQUVGY_JT7I0xASb8ShTJovgKdnCiukixpwToCRTUvLT7kjbNUciy1yDyWk0OV8RydtuJ_wWrsUmdwm_LM77oKNfGXz8/s400/baby5.jpg" style="cursor: hand; height: 281px; width: 400px;" /></a></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-296943276563342240.post-31711066400490509782010-06-23T02:38:00.010+10:002011-04-22T19:47:41.864+10:00Dr. Hocog to make personal home visits to Saipan Seniors<iframe src="http://rcm.amazon.com/e/cm?t=saipa-20&o=1&p=13&l=ur1&category=health&banner=1FBWF8DVB1Y8TH3YE3R2&f=ifr" width="468" height="60" scrolling="no" border="0" marginwidth="0" style="border:none;" frameborder="0"></iframe><br />
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<div dir="ltr" style="text-align: left;" trbidi="on">I was in the CNMI Medicaid office recently and saw Dr. Hocog's notice on the counter that he has opened an office behind the CUC Dandan. In addition to his Medical practice he has partnered with the Saipan Office on Aging to assist seniors in their "homebound" program. <br />
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<a href="http://www.mvariety.com/2010062227707/local-news/aging-office-conducts-medical-outreach-to-homebound-manamko.php">Read full article in Marianas Variety</a><br />
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I congratulate Rose Mondala, Director of the Office on Aging for her ideas in helping the local seniors. It is one thing to tell someone to follow good nutrition, and quite another to go to someone's home and do a "cabinet check" and see what they are actually eating. I suspect that the medical needs of many seniors are not being addressed, and the visits by Dr. Hocog are a step in the right direction.<br />
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Visiting doctors are not new idea, and there is a national association for visiting Physians.<br />
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If you are a local senior or concerned family member that is interested in information about home health, please give Pacific Home Health Care, LLC. a call at 234-Care (2273)<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjeUQnkWPVAmF2XnLKI1MCTwWODUGep_pSU_ZvWbGQrr0mIkKwEYvys9f3DEftYr-xVBMLDdyS0lcSrJQtMIWj4T4gVE8nizhUOrxd2iyrsX6Mlsdpw0znMXY_TjzlYIA2iogGxcrYjZbk/s1600/4427325825_d82efe416b.jpg"><img alt="Visiting Physician's Association Logo" border="0" id="BLOGGER_PHOTO_ID_5485646947271439490" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjeUQnkWPVAmF2XnLKI1MCTwWODUGep_pSU_ZvWbGQrr0mIkKwEYvys9f3DEftYr-xVBMLDdyS0lcSrJQtMIWj4T4gVE8nizhUOrxd2iyrsX6Mlsdpw0znMXY_TjzlYIA2iogGxcrYjZbk/s400/4427325825_d82efe416b.jpg" style="cursor: hand; height: 240px; width: 400px;" /></a></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-296943276563342240.post-29980821886953730842010-06-22T01:33:00.007+10:002011-04-22T19:48:38.623+10:00Why do CNMI residents need to check their blood pressure at home?<div dir="ltr" style="text-align: left;" trbidi="on"><span><iframe align="left" frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=saipa-20&o=1&p=8&l=bpl&asins=B000O5D4TA&fc1=000000&IS2=1&lt1=_blank&m=amazon&lc1=0000FF&bc1=000000&bg1=FFFFFF&f=ifr" style="align: left; height: 245px; padding-right: 10px; padding-top: 5px; width: 131px;"></iframe></span>Monitoring your blood pressure at home offers several benefits. It can:<br />
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<span style="font-weight: bold;">Help make an early diagnosis of high blood pressure</span>. If you have prehypertension, or another condition that could contribute to high blood pressure, such as diabetes or kidney problems, home blood pressure monitoring could help your doctor diagnose high blood pressure earlier than if you have only infrequent blood pressure readings in the doctor's office.<br />
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<span style="font-weight: bold;">Help track your treatment</span>. The only way to know whether your lifestyle changes or your medications are working is to check your blood pressure regularly. Keeping track of changes can help you and your health care team make decisions about your ongoing treatment strategy, such as adjusting dosages or changing medications.<br />
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<span style="font-weight: bold;">Encourage better control</span>. Taking your own blood pressure measurements can result in better blood pressure control. You gain a stronger sense of responsibility for your health, and you may be even more motivated to control your blood pressure with an improved diet, physical activity and proper medication use.<br />
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<span style="font-weight: bold;">Cut your health care costs</span>. Home monitoring may cut down on the number of visits you need to make to your doctor or clinic. This can reduce your overall health care costs, lower your travel expenses and save in lost wages.<br />
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<span style="font-weight: bold;">Check if your blood pressure is different outside the doctor's office.</span> Your doctor may suspect that your blood pressure goes up due to the anxiety associated with being at the doctor's office, but is otherwise normal — a condition called white-coat hypertension. Monitoring blood pressure at home or work, where that kind of anxiety won't cause those spikes, can help see if you have true high blood pressure or simply white-coat hypertension.Home and workplace monitoring may also help when the opposite occurs — your blood pressure seems fine at the doctor's office, but is elevated elsewhere. This kind of high blood pressure, sometimes called masked hypertension, is more common in women and those with cardiovascular risk factors, such as obesity, high blood cholesterol and high blood sugar.<br />
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Not everyone can track blood pressure at home. If you have an irregular heartbeat, home blood pressure monitors might not give you an accurate reading. In some cases, the type of monitor you use could depend on your physical condition. If you're overweight or very muscular, you'll need to find a monitor with a larger arm cuff. If you have hearing loss, a monitor with a digital display may be more suitable.<br />
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Talk to your doctor, or Pacific Home Health Care, LLC. nurse about whether home monitoring is a good option. Keep in mind that a family member or friend who is properly trained may be able to take blood pressure measurements for you.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi8EgTwDUznDCwEK9MduH3gn788SJbwPDoVGjcEsTcPffebt6Jnqgz7PVs0cXYH930ky8UdKqFw1ZwSVFCqGllBQeprBqhD_w9fBkHdWcEAkxt0gtYD4nmJ4PMLOEPemskn3zHFaSOU-PI/s1600/bloodpressure.jpg" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img alt="Home Health Blood Pressure Monitor" border="0" id="BLOGGER_PHOTO_ID_5485252019697614786" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi8EgTwDUznDCwEK9MduH3gn788SJbwPDoVGjcEsTcPffebt6Jnqgz7PVs0cXYH930ky8UdKqFw1ZwSVFCqGllBQeprBqhD_w9fBkHdWcEAkxt0gtYD4nmJ4PMLOEPemskn3zHFaSOU-PI/s400/bloodpressure.jpg" style="cursor: hand; height: 203px; width: 400px;" /></a></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-296943276563342240.post-36297410616404116212010-06-21T01:03:00.009+10:002011-04-22T19:49:59.192+10:00Blu e-cigarettes offer an alternative to smoking in the CNMI<div dir="ltr" style="text-align: left;" trbidi="on"><span><iframe align="left" frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=saipa-20&o=1&p=8&l=bpl&asins=B002BLUYC0&fc1=000000&IS2=1&lt1=_blank&m=amazon&lc1=0000FF&bc1=000000&bg1=FFFFFF&f=ifr" style="align: left; height: 245px; padding-right: 10px; padding-top: 5px; width: 131px;"></iframe></span>The CNMI has begun to crack down on smoking which is a definite health risk. Back in September, Governor Fitial signed the "Smoking Act of 2008" into law. Smoking is currently banned in almost all public places with the exception of bars, and casinos. Smoking tobacco is linked to all types of cancer, and can release up to 4000 toxins into the body aside from nicotine, 60+ are known to be carcinogenic. <br />
<br />
E-cigarettes have been around since 2003, however they are just becoming widely accepted. The "Blu" brand is a company in Charlotte, North Carolina that has been aggressivein marketing the e-cigarettes in the United States (made in China to U.S. standards). In Manila, smoking e-cigarettes have become so popular that there are signs posted in public places that smoking is banned "except for e-cigarettes". <br />
<br />
E-cigarettes produce a vapor similar to fog machines and are the closest thing to actually smoking. It does contain nicotine, however it leaves out the 4000+ toxins that can cause a number of long term health problems. While the effects of taking pure nicotine have not been completely studied, it would appear that nicotine without many of the harmful chemicals is relatively better than smoking real cigarettes. Now only if they were sold here in the CNMI.<br />
<br />
To order Blu e-cigarettes online visit <a href="http://www.facebook.com/pages/Saipan/Pacific-Home-Health-Care-LLC/109160192465683">http://www.facebook.com/pages/Saipan/Pacific-Home-Health-Care-LLC/109160192465683</a><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh7Rs-Mm9rCRDAteScVJGgSF6cImQiYaC-LdZepWGGp8S1KHXHVqf4ZapG1vELLj0kETQx5EP_3kZv9LJoC5J3AgVv0XkhdXdiiMrc0r_S5mB2n-kvxe0E0RDk7eTlIn41oa-RBydtW5M4/s1600/blue.jpg"><img alt="blue e-cigs" border="0" id="BLOGGER_PHOTO_ID_5484997473066275762" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh7Rs-Mm9rCRDAteScVJGgSF6cImQiYaC-LdZepWGGp8S1KHXHVqf4ZapG1vELLj0kETQx5EP_3kZv9LJoC5J3AgVv0XkhdXdiiMrc0r_S5mB2n-kvxe0E0RDk7eTlIn41oa-RBydtW5M4/s400/blue.jpg" style="cursor: hand; height: 254px; width: 400px;" /></a></div>Unknownnoreply@blogger.com3tag:blogger.com,1999:blog-296943276563342240.post-37966948501345218962010-06-16T01:46:00.010+10:002011-04-22T19:51:06.422+10:00Call Pacific Home Health Care (670) 234-CARE, within 24 hours of childbirth for no-cost* postpartum home health visits<iframe src="http://rcm.amazon.com/e/cm?t=saipa-20&o=1&p=13&l=ur1&category=health&banner=1FBWF8DVB1Y8TH3YE3R2&f=ifr" width="468" height="60" scrolling="no" border="0" marginwidth="0" style="border:none;" frameborder="0"></iframe><br />
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<div dir="ltr" style="text-align: left;" trbidi="on">Pacific Home Health Care, LLC., would like to provide support to mothers and babies in their home environment. We offer home care nursing follow-up after the birth of your baby in your home. <br />
<br />
POST PARTUM VISITS INCLUDE:<br />
* Assessing and monitoring maternal physical and emotional recovery.<br />
* Teaching the mother to care for the physical and emotional changes which occur during the post partum period.<br />
* Assisting with the initiation of breast feeding and providing support to promote its success.<br />
* Fostering positive parent/infant relationships.<br />
* Teaching about the needs and care of the newborn and siblings.<br />
* Evaluate the baby on growth and development and assess for any abnormalities that may require further investigation and/or assessment by a physician.<br />
* Evaluate maternal status with regard to the normal processes after delivery.<br />
* Assess and support integration of the baby into the home environment.<br />
* Review plans for future health maintenance and care, including routine infant immunizations, identification of illness and periodic health evaluations.<br />
* Coordinating care among the family’s health care providers and community resources.<br />
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*Hospitals, Physicians, Family, Friends or caregiver referrals are accepted. Referral must be 24 hours of childbirth and doctor's order for home health services must be received within 48 hours of delivery. Most private insurance accepted. For any further information contact us at (670) 234-CARE(2273).<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjWq2CH40N6UXmRzjIvjpvsSr8zqhvZV-971m8xDqust0nE3Y_YtWKODzSdN8tbProwmADzE6Xw78QYMrC9VKmP0mRwUNBSczgKxJsmplKrqs49ltpIjrlutLl5xWSyGV-oHov79EWd2Pw/s1600/postpartum3.jpg" onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}"><img alt="CNMI adbox for Pacific Home Health Care" border="0" id="BLOGGER_PHOTO_ID_5483029952127556914" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjWq2CH40N6UXmRzjIvjpvsSr8zqhvZV-971m8xDqust0nE3Y_YtWKODzSdN8tbProwmADzE6Xw78QYMrC9VKmP0mRwUNBSczgKxJsmplKrqs49ltpIjrlutLl5xWSyGV-oHov79EWd2Pw/s400/postpartum3.jpg" style="cursor: hand; height: 242px; width: 400px;" /></a></div>Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-296943276563342240.post-85577952141610147342010-06-16T01:33:00.007+10:002011-04-22T19:51:44.078+10:00Center for Medicare and Medicaid mail out checks for up to $250 for seniors in Saipan, Tinian, and Rota<iframe src="http://rcm.amazon.com/e/cm?t=saipa-20&o=1&p=13&l=ur1&category=health&banner=1FBWF8DVB1Y8TH3YE3R2&f=ifr" width="468" height="60" scrolling="no" border="0" marginwidth="0" style="border:none;" frameborder="0"></iframe><br />
<br />
<div dir="ltr" style="text-align: left;" trbidi="on">It seems like every time you look around, medication is getting more and more expensive. Even the Generic medications can sometimes get outrageous. There is glimmer of good news. Seniors who had medical prescription costs exceeding $2,830 per year and who are not considered “dual eligible” by CMS should receive a rebate of up to $250. If the senior is currently receiving Medicare benefits, the checks will be mailed automatically. Making prescription drugs more affordable for seniors is only one of the many benefits for seniors included in the recently enacted health reform law. Other benefits for seniors include free preventive care services under Medicare, beginning in 2011.<br />
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<object height="300" width="530"><param name="movie" value="http://www.youtube.com/v/haV9QfJG0s4&hl=en_US&fs=1&color1=0x006699&color2=0x54abd6"></param><param name="allowFullScreen" value="true"></param><param name="allowscriptaccess" value="always"></param><embed src="http://www.youtube.com/v/haV9QfJG0s4&hl=en_US&fs=1&color1=0x006699&color2=0x54abd6" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" width="530" height="300"></embed></object></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-296943276563342240.post-47258909916449365432010-06-05T01:15:00.003+10:002010-11-22T11:04:08.458+10:00Congressman Kilili Sablan recognizes first 11 CNMI Doctors<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEju0HavmUBwEK3GL5U0QIihQ6WPDX0df-d4PaDSxsyIsjRRFfMU_fIGUZcuQ_-bVuU-n4tnu3vwKq1m7uEu5-5cALqii28IfDfnmTFFWwif7TNuJhGGXG7elupjHuzSx_lMIX5tKwkGuC4/s1600/WV0328_6_015.jpg"><img style="cursor:pointer; cursor:hand;width: 320px; height: 210px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEju0HavmUBwEK3GL5U0QIihQ6WPDX0df-d4PaDSxsyIsjRRFfMU_fIGUZcuQ_-bVuU-n4tnu3vwKq1m7uEu5-5cALqii28IfDfnmTFFWwif7TNuJhGGXG7elupjHuzSx_lMIX5tKwkGuC4/s320/WV0328_6_015.jpg" border="0" alt="Historic Saipan Hospital" id="BLOGGER_PHOTO_ID_5478942120723082594" /></a><br />
On Saturday June 4, 2010 at the CHC Saipan Hospital, Congressman Kilili Sablan honored the first 11 CNMI Doctors. Dr. Calistro Camacho Cabrera, 79, and Dr. Carlos Sablan Camacho, 72, were present to receive a framed copy of a congressional record that Delegate Gregorio Kilili C. Sablan entered on May 11, 2010, paying tribute to the CNMI's first 11 local doctors and dentists.<br />
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John Torres Flores, the grandson of Dr. Jose Diaz Torres, the CNMI's first local doctor stated “One of the things I remember most about my grandfather is that he really served as a doctor 24/7. People walked to my grandfather's house in Chalan Kanoa all the time to be treated for many kinds of ailments, even at night, and that's the true meaning of 24/7 job. I remember he was called 'the peoples doctor',” <br />
<br />
Other doctors that were honored include Dr. Jose Torres Villagomez, Dr. Helen Taro, Dr. Manuel Manibusan Aldan and Dr. Juan Charfauros Reyes, both dentists; and Dr. Jose Lujan Chong, Dr. Francisco Taman Palacios, and Dr. Benusto Rogolifoi Kaipat.Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-296943276563342240.post-49742013945407876912010-06-05T00:37:00.005+10:002010-11-22T11:05:11.918+10:00Marianas Baptist Missionary passes NCLEX PN Exam<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEha4TIWHvvjMJuiTjDM08aYdoj78mNE9ob7R6oziIKTW7PebEtGK7xfoUn2A-QUBaW2oyML5HMb5HRsJj81ZFG2Z_oAUt10YWGjBu6QUeg2Hi8kVvcqKuN0zcmKTwp9D12M96Mnkr7gf38/s1600/congratulations.jpg"><img style="cursor:pointer; cursor:hand;width: 320px; height: 302px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEha4TIWHvvjMJuiTjDM08aYdoj78mNE9ob7R6oziIKTW7PebEtGK7xfoUn2A-QUBaW2oyML5HMb5HRsJj81ZFG2Z_oAUt10YWGjBu6QUeg2Hi8kVvcqKuN0zcmKTwp9D12M96Mnkr7gf38/s320/congratulations.jpg" border="0" alt="way to go Emmanual College Graduate Nursing" id="BLOGGER_PHOTO_ID_5478936795916173890" /></a><br />
Li Li, a Chinese Emmanuel College Practical Nursing stduent, and Marianas Baptist Academy Missionary recently passed the NCLEX exam on her first try. Li Li is an August of 2009 practical nursing graduate. Li said she plans to seek employment at the Commonwealth Health Center or other private clinics on the island. Congratulations, and I wish her well in her employment search.<br />
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I am trying to keep track of any new CNMI laws or bills, but it appears that no one realizes that both the CNMI Labor Law (private employers) and 3 CMC 4434 (government employers) prohibit the hiring any nonresident worker without 2 years of experience. There was an exception in public law 15-45 which allowed NMC graduates to work at CHC, however that exemption expired on January 1, 2010 and was never renewed. Since most private employers are afraid of the CNMI DOL umbrella permit position, and CHC is a government agency, until the CW regulations are issued, these new graduates and NCLEX passers are in a terrible position. <br />
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Additionally, does anyone realize that the CNMI Board of Nursing will issue a graduate PN License to any Emmanual College graduate that is good for 1 year? I have never heard of any nurses working under the provisional license.Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-296943276563342240.post-55691721788957667782010-06-02T00:24:00.013+10:002011-04-17T18:03:48.673+10:00CHC Hospital Saipan wants to recruit under J1 visa: submits request for Conrad 30 J1 Waiver<div dir="ltr" style="text-align: left;" trbidi="on">As an update to the severe physician shortage at the Commonwealth Memorial Hospital, "CHC" in Saipan, it appears that things are starting to improve. <iframe align="left" frameborder="0" marginheight="0" marginwidth="0" scrolling="no" src="http://rcm.amazon.com/e/cm?t=saipa-20&o=1&p=8&l=bpl&asins=0071712976&fc1=000000&IS2=1&lt1=_blank&m=amazon&lc1=0000FF&bc1=000000&bg1=FFFFFF&f=ifr" style="align: left; height: 245px; padding-right: 10px; padding-top: 5px; width: 131px;"></iframe>The CHC hospital recently hired 4 doctors, including an anesthesiologist and a family practitioner, and it is my understanding they are currently waiting for a doctor to finish his residency prior to starting employment in May of 2011. Formerly, it seemed as though CHC hospital was trying everything in its power to hire doctors without increasing their salary. There was even serious discussion about <a href="http://pacificnurse.blogspot.com/2011/02/cnmi-house-votes-to-allow-foreign.html">abolishing USMLE restrictions</a> to hire experienced physicians from abroad. From the recent hires of up to $250,000 per year, it seems that CHC hospital and the CNMI Department of Public Health have conceded that they must increase the salary scale enacted 20 years ago in 1993.<br />
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There are a number of advantages in working in Saipan. Many hospitals require doctors to pay for malpractice insurance which can cost upwards of $30,000 USD per year. Also taxes in the U.S. mainland can eat up 25% of a physician salary. In Saipan there is a rebate of up to 90% of the income taxes and malpractice insurance does not exist. Malpractice suits are capped at $100,000 and are covered by the CNMI government. Due to the easy access to Asian countries and travel opportunities, and under served area status for U.S. applicants and J1 status for foreign applicants, the CNMI is a great deal for a practicing physician even if the salary is less than the mainland. For more info, <a href="http://saipantribune.com/newsstory.aspx?cat=1&newsID=100130">read article in the Saipan Tribune</a>.<br />
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<img alt="asian Doctors" border="0" id="BLOGGER_PHOTO_ID_5477816106506788946" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgNPADml4VTyhZpT-9LPr2ChydgQ-u0g7zXug4wEqRsbI3huGFolwFTu1kD3wL5d08s8nJ8E-ZDICae116YBFvMC1IP7KVZyQTrRFH5c0MokYxREzJHO8PCl6B1PjfTieM68eWKM8id3G4/s320/castrm3.jpg" style="height: 249px; width: 320px;" /><br />
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</div>Unknownnoreply@blogger.com2tag:blogger.com,1999:blog-296943276563342240.post-63778422390109359442010-05-28T00:28:00.005+10:002010-11-22T11:10:17.885+10:00Emmanuel College (Saipan) Valedictorian Passes NCLEX Exam<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjLnJANkv0N09b5gWwh_HWBWXu7FDqr_cTcsiyzS_YbbwmJOBq7R0Q59fGUlh5TvZPDgAUebr00ATgOt2TH_2VIMao8dcCZtqJ3Z0MHT8s7Mw8k67BpVUicy2hykqWBQvPE3W2HRx2MLyk/s1600/Emmanuel_College.jpg"><img style="cursor:pointer; cursor:hand;width: 320px; height: 214px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjLnJANkv0N09b5gWwh_HWBWXu7FDqr_cTcsiyzS_YbbwmJOBq7R0Q59fGUlh5TvZPDgAUebr00ATgOt2TH_2VIMao8dcCZtqJ3Z0MHT8s7Mw8k67BpVUicy2hykqWBQvPE3W2HRx2MLyk/s320/Emmanuel_College.jpg" border="0" alt="not the Emmanuel College Saipan" id="BLOGGER_PHOTO_ID_5475965402900577682" /></a><br />
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<a href="http://www.mvariety.com/2010052726933/local-news/working-mom-passes-nclex.php">Read Article in Marianas Variety</a><br />
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We would like to congratulate Leonora Angello for passing the NCLEX PN exam on her first try. Unlike many nursing schools in the mainland, Emmanuel College offers students an opportunity to take nursing classes without years of prerequisites and it a great idea for students here on Saipan. <br />
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I have previously written about <a href="http://www.cnmilaw.org/pdf/public_laws/15/pl15-45.pdf">PL 15-45</a>, the law waiving the 2 year experience requirement for CHC non-resident nurses who attended northern marianas college EXPIRING on December 31, 2009, however it doesn't appear that anyone is concerned. <a href="http://www.cnmilaw.org/pdf/public_laws/15/pl15-45.pdf">PL 15-45 </a>doesn't apply to Leonora Angello, since she is a U.S. resident worker, and hopefully she can find employment at CHC or a local clinic.Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-296943276563342240.post-80594395371942471352010-05-23T01:20:00.013+10:002010-11-22T11:10:53.064+10:00Did Walmart Stop Shipping to Tinian or the entire Northern Mariana Islands?<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi-h__x7CErXXtKdluGKRVnkfSfbEMqfaYbOr8bkYemY3QkPIVVfISFGfvoyhZLPLKEDGL2w0SCBTh34CXdZ_fgTadJJ1cs_7Du5swOD4028erX6atwuyzGUE3nnX6DXQDgyWrJa2eN8Fw/s1600/imagesCA2VJ9KR.jpg"><img style="cursor:pointer; cursor:hand;width: 196px; height: 111px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi-h__x7CErXXtKdluGKRVnkfSfbEMqfaYbOr8bkYemY3QkPIVVfISFGfvoyhZLPLKEDGL2w0SCBTh34CXdZ_fgTadJJ1cs_7Du5swOD4028erX6atwuyzGUE3nnX6DXQDgyWrJa2eN8Fw/s320/imagesCA2VJ9KR.jpg" border="0" alt="evil Walmart" id="BLOGGER_PHOTO_ID_5474119034100128930" /></a><br />
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I just read a blog article about Walmart discontinuing service to some Micronesian Destinations. <a href="http://bigshowk57.blogspot.com/2010/05/walmart-abandons-micronesia-island.html">Read blog article here.</a> <br />
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A letter was sent to a Walmart customer: <br />
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Subject: Walmart.com discontinuing shipping to certain U.S. Protectorate ZIP Codes<br />
Date: Thu, 20 May 2010 22:24:06 -0700<br />
From: wmfulfillmentsvcs@walmart.com<br />
To: xxxxxxxxxxx<br />
<br />
Dear Donna Cruz,<br />
<br />
We'd like to alert you to a change by the U.S. Postal Service (USPS) that may impact your future orders with Walmart.com.<br />
The USPS recently announced that it will no longer support delivery confirmation services for shipments addressed to Palau, the Northern Marianas or the Marshall Islands. The USPS delivery confirmation number acts as a tracking number, providing visibility and accountability to the package in transit.<br />
Walmart.com can only ship orders to ZIP Codes where they can be tracked. Therefore, we cannot accept new orders for the following destinations. Any order you have already placed will be fulfilled and shipped.<br />
Shipping will be discontinued to:<br />
<br />
* Republic of Palau (96939, 96940)<br />
* Pohnpei Island (96941)<br />
* Chuuk (Truk) Island (96942)<br />
* Yap Island (96943)<br />
* Kosrae Island (96944)<br />
* Northern Mariana Islands (96952)<br />
* Majuro Island (96960)<br />
* Ebeye Island (96970)<br />
<br />
We apologize for the inconvenience.<br />
If you have any questions, please reply to this email and let us know how we can help.<br />
Sincerely,<br />
<br />
Your Walmart.com Customer Service Team<br />
http://www.walmart.com <br />
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After reading the article, I immediately went to the Walmart website to check if I was able to ship an item to 96950 and it went through. I hope Walmart will not discontinue shipping here, although it will be good news for some of the merchants on islands.Unknownnoreply@blogger.com0