The Different Types Of Heart Doctors

There is more than one type of doctor in the world, and when people are sick, they generally have to begin by going to their family care doctor. From their general practitioner, people are then referred to various kinds of other doctors depending on what is wrong with them. For people who have problems with their heart, or may be predisposed through their family history to develop heart issues, then cardiologists are the doctors that they have to go see. However, there is more than one type of heart doctor depending on what the exact problem with the heart is.

For a part of the body that is as important as the heart, there are many different types of heart doctors that can deal with problems concerning the muscle itself, the rhythm of the heart, and the circulatory system that it is involved with. However, for people who are unfamiliar with the different kinds of heart doctors, here is information on who they are and what they do:

• General cardiologist: The first stop for someone who may have a heart issue is a general cardiologist. This is a basic heart doctor that will do things like monitor the overall health of the heart, and treat some problems, but for particular problems, this heart doctor will refer their patient to the next level of cardiologist, which is an interventional cardiologist.

• Interventional cardiologist: While a cardiologist can do some basic surgical procedures involving the heart, an interventional cardiologist treats more specific heart problems, and those problems are coronary artery disease, diseases of the heart valves, and peripheral vascular disease. The most common procedure that these cardiologists do is the angioplasty, which is when a balloon is inserted into an artery in order to help the blood flow to the heart.

• Electro physiologist: This type of heart doctor has a very specific area of ​​the heart, and that is the way that the heart beats. In order to circulate blood through the body properly, the heart has to beat in a special way. There are tests that the electro physiologist has to run to determine what is going on, and if a procedure needs to be done, this doctor can do it.

• Pediatric cardiologist: Pediatric doctors help children who may have been born with some kind of heart abnormality. To make sure the heart is functioning properly in a child, a pediatric doctor will do some in-office testing, and make sure everything is working fine as that child grows into an adult.

A regular cardiologist can do the general health check of the heart, but if someone needs a heart procedure, there are other cardiologists that specialize in operating on the heart to do things like clear out the arteries and repair the valves. There are also many different kinds of heart doctors that can do things like monitoring the heart to make sure it's healthy, and also treating various conditions.

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BBC TopGear 'My Dad Had One of Those' Book Review

One of the best ways to remember days gone by is by looking at old photographs. We all remember the past easier when we're thumbing through the family photo albums. You can feel nostalgic once again with BBC's TopGear book by Giles Chapman titled MY DAD HAD ONE OF THOSE.

This 140 page small hardback book is packed with actual photos of vintage cars dating from the 1950's to the 1980's. Your sure to find your dad's old car and sure to find the cars you loved as a child. My favorite is the Ford Mustang of the late 60's and even the early 70's.

See how the cars of yesterday did their best to keep up with changing needs of the community around them as you flip page by page. Station wagons, soft tops, and stereos where just some of the ways the car designers tried to handle our growing families, our energetic life styles and our desire to have rock and roll with us at every turn.

No matter what your family car was, it was somehow part of the family and cherished by dad. Late nights at the pier, family picnics in the park, Sunday drives to grandma's house are all brought back to life with this clever little book about the classics in our driveways.

For those of you that enjoy vintage media material, you'll also find this book a delight. See some of the original marketing photos for some of the vehicles you grew up in and reminisce about simpler times with mom and dad.

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Real Estate Investment Outlook

Although it appears to have been mainly technical factors that triggered the correction in the stock market, inflation concerns have been the major cause for plummeting stock market prices. We have outlined such a scenario of inflation and its impact on real estate investments.

Indeed, the difference between current and trend economic growth is moving close to zero, rising labor demand is putting upward pressure on wages and salaries, but it is still far from a strong acceleration in inflation rates. Meanwhile, the recommendation by the US Department of Commerce in its investigation to restrict aluminum and steel imports on national security grounds is a reminder that the risk of escalating trade tension has a significant impact on real estate investments.

We are not suggesting that the probabilities of risks have risen substantially in light of these events. However, we argue that higher volatility combined with uncertainties about the future uncertain outlook for US trade policy is not an environment where we should risk everything on one endeavor, but rather seek returns by pursuing opportunities in the real estate market.

It would be more than natural that unjustified price appreciations will be corrected over time. Some teams believe that rising inflation may have played a prominent role in the recent stock market sell-off. However, higher inflation points to an overheating economy and rising wages could lower profit margins. Neither case obviously applies at the current time. However, historical evidence shows that periods when inflation begins to rise often create volatility in real estate markets and, on average, returns are meager. Finally yet importantly, higher interest rates could hit real estate prices if they reflect rising risk. Higher interest rates should be less relevant if they result from higher growth.

For now, we expect the implications of rising interest rates on the real estate outlook to be limited. A more persistent significant decline in real estate prices could, however, be associated with somewhat slower growth, either because the economy anticipates a slowdown, or because economic decline itself dampens growth.

The impact of rising interest rates on growth also depends on the factors that pushed up interest rates. The rise in interest rates could be the consequence of stronger growth momentum, in which case the economic fallout is understandably limited. However, if higher interest rates reflect rising risks, for instance, then growth may well suffer more significantly. Financial conditions remain very loose and interest rates relatively low. This should continue to support economic growth.

Therefore, we are keeping our scenario of sustained economic growth: (1) higher world economic activity, (2) rising fixed capital formation, (3) a very gradual adjustment of monetary policy in the US. We acknowledge the risks from higher protectionism, as recent announcements are a reminder that trade frictions could escalate significantly. At this point, it remains to be seen what action the US will take and how other countries may respond.

Since the beginning of the Great Recession in 2008, most have averted the specter of deflation by deploying conventional and – even more importantly – unconventional measures of monetary policy. Inflation in the US averaged around 1.5%, with a dispersion of -2% in mid 2009 to approximately 3.8% in late 2011. Currently, US consumer price inflation stands at 2.1%.

In the US, the government is embarking on a path of fiscal stimulus, and more trade tariffs and trade friction may push inflation higher. However, several factors are keeping underlying inflationary pressure contained for now, including still-cautious wage bargaining behavior by households, price setting by firms and compositional changes in the labor market. In addition, the recent readings have likely overstated current price trends, (the surprising weakness in inflation in 2017). Outside the US, wage and price trends have not changed much in recent months.

Against this backdrop, we do not foresee any surprises over the course of 2018. The Fed is expected to gradually lift rates with caution depending on the tightness of the US labor market, the evidence of accelerating wage dynamics and the potential impact of higher financial market volatility on economic growth.

In addition, a tax policy that fosters the competitiveness of Corporate America and attracts direct foreign investments, helping to raise the potential growth rate of US, should also be supportive for the greenback. At the same time, there are as many factors pointing to a glorious future for real estate markets

According to the Federal Reserve Bank of New York, the current probability of recession for the US economy stands at around 4%, moving to approximately 10% at the end of 2018. In our view, the gradual tightening of monetary policy, limited inflation expectations and cautious investment demand, will keep real interest rates relatively low. Therefore, we prefer real estate investments in 2018.

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The Perfect Holiday Cruise – Luxury Gulet Cruises

One of the truly intercontinental tourist destinations is the beautiful country of Turkey near the Mediterranean Sea. Turkey reflect the influences of both Europe and Asia and its coastlines are considered to be the most beautiful in the Mediterranean stretch. Tranquil and lonely coastlines, stunning beaches and amazing resorts dot the enchanting coasts of Turkey and each of them are virtually a great temptation to tourists and travellers but the best thing to try are the luxury gulet holidays in Turkey.

First let's get down to the basics-a gulet is a traditional Mediterranean ship that was used mostly by traders and sometimes by fishermen. These traditional boats were made of wood and their length was their main characteristic. The modern day gulets are in no way different in shape but what has changed is that now they are designed more like luxury cruises and are used as such. No longer are gulets the choice of fishermen and traders, but they are mostly used for luxury cruises by holiday makers for a holiday out in the beautiful waters of the Mediterranean.

But other than the Mediterranean only, Turkey also offers the uniquely European coasts of the Adriatic Sea. This side of the Turkish coasts goes by the name of Croatian Blue and the highlights of this region are the medieval European cities and coasts like Dalmatia, Dubrovnik, Korcula and Krka Waterfalls, etc.

The historic legacy of Turkey can't be visited in a single day and for that travellers need to charter gulet cruises Turkey. These cruises come in two varieties, one in which you book one along with some other travellers which will keep you in a group. The other one is in which you charter a single cruise where you can spend some real quality time with your near and dear ones. The latter is among the most popular ones as it guarantees immense peace and quiet along with great service and facilities. Be it snorkelling in the clear waters of Turquoise Bay, hiking on some secluded Mediterranean Islands or visiting some historic town on the coasts, Luxury gulet cruises in turkey have all the ingredients for a successful and memorable holiday.

You can find a whole host of gulet holidays Turkey and tour operators on the internet who have a variety of great deals on sale. Check customer reviews and testimonials in the site to better understand the reputation of the site. Before booking any Gulet Cruises Holidays turkey prepare an itinerary for the trip and map out the places that you want to visit. Then accordingly search for the tour provider that gives the best deal on your itinerary and then book it. Have a great holiday !!

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Child Custody – Is Hiring a Guardian Ad Litem a Good Idea?

Is hiring a guardian ad litem a good idea in a custody case? If you had asked me that a year ago, I would have given a resounding "yes". Now, I've had an experience that have caused me to rethink my opinion.

The function of a guardian ad litem, or "GAL" is to represent the interests of a person with a legal disability in court. Some appointments take place in divorce cases where the custody of children is at issue. Sometimes, a GAL is selected to determine the best interests of an adult incompetent. The idea is that the "GAL" can investigate the circumstances of the case, and presumably advise the court in a way that will let the judge make a final decision in the best interests of the incapacitated person. In some cases, that is exactly what happens. However, there seems to be a trend with judges to rely solely on what the "GAL" reports, rather than listening to the evidence that is presented at the hearing.

I recently had a divorce case where my client had had temporary custody of her children for over a year. The father continued the final hearing several times. He did not pay child support. We agreed to the appointment of a "GAL". She made a report, stating that the children would be better off with their father, because their mother had gotten in a fight with her boyfriend, and one of the kids had overheard her cussing him out.

The older of the two children was in kindergarten. The father's visitation had originally been scheduled for Monday and Tuesday of each week to accommodate his work schedule. He made the little girl miss kindergarten to have his visit, even though he testified at the trial that his boss would have been willing to change his work hours to let his daughter go to school.

At the hearing, we disproved most of the things the "GAL" had found in the father's favor, and except for the yelling boyfriend, almost everything she had found wrong with the mother. She did not show up to defend her report, although I had written to her several times to ask that she make corrections based on documentation I supplied. She did not.

The judge awarded child custody to the husband. In his order, he did not address the many things we had proved at trial in the mother's favor. He did say the father should have to repay the back support he had neglected, but besides that, it was as if he had slept through the entire hearing, or had let enough time pass that he had forgotten everything that was proved.

It is an unfortunate fact in our legal system that there are not enough judges to go around. As a result, cases are frequently decided on hasty evidence, too quickly gathered. There is good argument for hiring someone to summarize the facts of a case so that the judge can make a decision without listening to hours of often irrelevant, and many times transparently self serving testimony. However, the judge should not set aside his obligations of fairness and rely on evidence produced out of his presence by someone who has little training to understand what she should be trying to find out. So, if you are confronted with the choice of hiring a "GAL" to make your custody decision, bear the following tips in mind:

1. Find out what procedure he / she will use. To make a good report, she needs to talk to teachers, neighbors, friends, doctors and anyone else who has information about the child. She should make a home visit with both parents when the child is present. She should talk to the child, not to ask where he / she wants to live, but to learn about his / her likes, dislikes, abilities, and communication skills. Sometimes, just finding out what experiences a child has with each of his / her parents can expose a lot of information about the family's situation ..

2. Find out what training your "GAL" has. If he she has just been awarded a certificate from a two day course, she isn't really qualified to investigate your situation. If she has had intense training in a related field, such as family counseling, and has had some experience with children's issues, she may be of real assistance in providing the right information to the court.

3. What will her employment cover? Hopefully, it will be her duty to report facts to the court. This is to say she won't make a recommendation. The judge should take her report into account, but it should never relieve the court of the duty to consider all of the factors before it before making a custody decision.

It is always best if the parents can make child custody decisions between themselves. No other person, no matter how well trained or experienced can find out all of the subtle details that constitutes a child's experiences and needs. However, there are parents who can't communicate effectively, and who refuse to deal with each other rationally when it comes to settling the important issues of a divorce. Because of this, court's have to rely on "guardians ad litem and other professionals to obtain some of the information a court should consider in deciding a contested custody case. Hopefully, the person who is hired in your case has the training and background to furnish a fair and honest report to the judge. Before you are forced to hire a "GAL", though, you should make sure.

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Designer Cases for Moto G4 Play

Lenovo has just released the fourth generation of what is arguably the most popular midrange smartphone in the Android marketplace. Building on the success of the previous versions, Lenovo has tried to give users a little more choice than they have had before when it comes to buying Moto G. This year, with the Moto G4, there are actually 3 different versions of the phone with the plain vanilla Moto G4 as the mid-tier model, a Moto G4 Plus that packs some very nice hardware upgrades into the same body and the slightly low end Moto G4 Play. One reason that owners looking to upgrade from a previous generation Moto G4, may want to go for the new G4 Play is that while the other two models in the fourth generation lineup have increased in size to pack in a larger 5.5 "display, the Play version stays with the same 5 "display that its predecessors have had for the last two generations. What this means is that while the new Moto G4 and G4 Plus are identical on the outside and can share cases, designer cases for the Moto G4 Play cannot be shared with any of its brethren.

The best value for money: Moto G4

For people who do not want the latest and greatest in hardware specs and who are just looking for a very capable midrange device with no major flaws or shortcomings at a great price, the Play is a great value. You can buy the phone and get a couple of designer cases for Moto G4 Play and still save some money over the standard Moto G4 and even more over the Moto G4 Plus. What then, will Play owners be giving up by going with the economy version of the G4? Firstly, the Play has a slower Qualcomm Snapdragon processor, the 410 model. It is still quad core though and should have more than enough muscle for everything but the most cutting edge games. The display is still a 720p screen rather than a Full HD 1080p version. This isn't too much of a sacrifice however because at 5 "the screen still works out to a ppi that almost touches 300.

Save on the phone, spend on personalization.

Young consumers who don't need the most high end performance from their phones but who want to customize them to their hearts content would do well to pick up a perfectly capable phone at a great price, such as the G4 Play and then spend the money they saved on accessories like cases and covers for the phone. If the previous generations of the Moto G are anything to go by, the market should soon be flooded with designer cases for the Moto G4 Play as well as its more expensive siblings, the standard G4 and the G4 Plus. While Lenovo plans to offer the Moto Maker customization service for the Moto G4 for the first time in the model's history, whether this option is available with the G4 Play remains to be seen.

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Listing Education on a Resume

So you've gone to the time, expense and effort to complete some aspect of formal education. Or maybe you started to work on this, but then inevitably, life happened … had to take a job to pay the bills, got married, had kids, moved, etc. etc. There's a universe of things that life can throw at you that can interrupt even the most well-intentioned plans for education.

There are some rules of thumb out there when listing education on a resume which should be considered.

1. DON'T list the year you graduated. Unless you are in an education, government, scientific or highly technical field where having a date of graduation is essential, please don't broadcast how old you are by including this information. (Human resource managers do the math!) Sure, if you are an adult learner who just got done with a degree, it's new and important to you just like it is to a person fresh out of high school who immediately went to college. However, resist the temptation to perhaps look younger by listing the graduation date!

With the exception of the four fields mentioned above, the cold, hard truth about education is this:

Most employers really only care whether you graduated … Yes or No.

They don't care what your GPA was, how many times you made it to the Dean's list, what scholarships you landed, and sure, you can list that you graduated as magna cum laude or summa cum laude … but that often isn 't a deciding factor as to whether or not to hire you-it just becomes distracting with all of the scholarships, awards, grade points, etc. Keep it clean and simple.

2. A common mistake recent graduates also make is that they want to list their education FRONT AND CENTER … naturally because this is generally the MOST IMPORTANT THING the person has ever done in their lives to date. However, most human resource managers are really probing for what kinds of experience that the person has, not their education. So the best advice is to put the education later in the résumé rather than near the beginning.

3. DO list all of your education. Some people in this economy are becoming sensitive about feeling 'over-qualified' or 'over-educated.' Think of it this way-employers are in the catbird seat right now … they can afford to hire workers that they couldn't dream of hiring just five years ago. So they are 'cherry-picking' the top candidates and if they can find a top leader in a field who is willing to come work for them, they'll gladly take them. Who wouldn't?

Additionally, if you did not complete a degree, you can indicate: "Program coursework in: (area of ​​study).

Give yourself credit for the time you've put into it, even if the end result isn't what you had hoped for. It shows initiative and a desire to improve your knowledge and skills.

I've had a few clients that I've worked with who had put down a degree name on their résumé, but it turned out that during our consultation, that, well, they never ever REALLY ended up finishing their degree.

This kind of misrepresentation is one of the oldest tricks in the job search book … if this sounds like you, it would be in your best interest to be as forthright as possible about your educational background. Human resource managers are well aware of this trick !!! Quite honestly, the EASIEST background check to do in the world is to verify whether a person graduated or not from a particular institution. Fudging it or trying to convey a different impression is a fast-track to the trashbin for your résumé.

So this is an 'either' or an 'or' situation.

EITHER you got the degree OR you took program coursework in a field.

If you are currently in progress, you can indicate:
Degree name (spelled out, please): area of ​​study (anticipated completion date: ______)

As for the rest of your education, anything else that is not from a formal, accedited institution or career school falls into the 'professional development' category, and can include everything from industry certifications, workshops, trainings, continuing education units (CEUs), conferences, seminars, conventions and the like.

You'll want to call this specific section "Professional Development," which conveys to an employer that you are always actively taking steps to improve and hone your skills so you can do your job better.

Not working right now? Have some resources? Try keeping up on industry trends by registering for a class in your field through a trade association. It's a great way to keep your 'toe in the pool' and stay current.

Keeping your mind engaged while looking for employment is very important. Sometimes, being laid off is the very opportunity needed to open a new chapter for professional enhancement … there simply wasn't time for it previously. You never know where this can lead to! A recent client of mine spent the money to get certified with another industry credential. One of the requirements of the certification was to take an exam. When she showed up at the exam location, she found out that she was the only unemployed person there-everyone else was there through their company. The amazing thing was that she got three highly-qualified job leads by talking to the people there at the exam location … and she was so thrilled that the exam itself was the highlight of the day!

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Transformational Leadership Theory – The 4 Key Components in Leading Change & Managing Change

Transformational leadership theory is all about leadership that creates positive change in the followers whereby they take care of each other's interests and act in the interests of the group as a whole. James MacGregor Burns first brought the concept of transformational leadership to prominence in his extensive research into leadership.

"Essentially the leader's task is consciousness-raising on a wide plane. The leader's fundamental act is to induce people to be aware or conscious of what they feel – to feel their true needs so strongly, to define their values ​​so meaningfully, that they can be moved to purposeful action. "

In this leadership style, the leader enhances the motivation, moral and performance of his follower group. So according to MacGregor – transformational leadership is all about values ​​and meaning, and a purpose that transcends short-term goals and focuses on higher order needs.

At times of organisational change, and big step change, people do feel insecure, anxious and low in energy – so in these situations and especially in these difficult times, enthusiasm and energy are infectious and inspiring.

And yet so many organizational changes changes because leaders pay attention to the changes they are facing instead of the transitions people must make to accommodate them.

In my view it is the responsibility of the director leading the change to supply an infusion of positive energy.
The transformational approach also depends on winning the trust of people – which is made possible by the unconscious assumption that they too will be changed or transformed in some way by following the leader.

The transformational approach also depends on winning the trust of people – which is made possible by the unconscious assumption that they too will be changed or transformed in some way by following the leader.

This is often seen in military commanders and wartime political leaders. An example of this would be the way in which Lady Thatcher – as Prime Minister of the UK Government during the Falklands War in 1982 – was able to engender an enhanced feeling of British national identity amongst the UK population.

Sounds like this leadership style is ideally suited to change management, does it? However – this approach requires absolute integrity and personal behavior that is consistent and resonant with your vision and message.

I can recall a ridiculous situation, at one UK company I was involved with, where the directors were attempting to effect a culture change of greater inter-departmental trust and communication yet still retained a separate directors dining room and specially allocated car parking places closest to the office front door!

OK here's the important bit – how NOT to apply transformational leadership theory to change management

– Be preoccupied with power, position, politics and perks
– Stay focused on the short-term
– Be hard data oriented
– Focus on tactical issues
– Work within existing structures and systems
– Concentrate on getting the job done
– Focus processes and activities that guarantee short-term profits

Doesn't all this just sound like a description of a typical good project manager with a task driven mentality?

And hey, I have nothing against this style of leadership and management. There is a time and place for the Attila the Hun school of leadership. I have done it many times myself and very effectively – and with no regrets.

But, this leadership style is not enough in a change management situation and particularly in the current climate.

The four components of the transformational leadership style are:

(1) Charisma or idealized influence – the degree to which the leader behaves in admirable ways and displays convictions and takes stands that cause followers to identify with the leader who has a clear set of values ​​and acts as a role model for the followers.

(2) Inspirational motivation – the degree to which the leader articulates a vision that is appeals to and inspires the followers with optimism about future goals, and offers meaning for the current tasks in hand.

(3) Intellectual stimulation – the degree to which the leader challenges assumptions, stimulates and encourages creativity in the followers – by providing a framework for followers to see how they connect [to the leader, the other, and the goal] they can creatively overcome any obstacles in the way of the mission.

(4) Personal and individual attention – the degree to which the leader attends to each individual follower's needs and acts as a mentor or coach and gives respect to and appreciation of the individual's contribution to the team. This fulfills and enhances each individual team members' need for self-fulfillment, and self-worth – and in so doing inspires followers to further achievement and growth.

Transformational leadership applied in a change management context, is ideally suited to the holistic and wide view perspective of a program based approach to change management and as such is key element of successful strategies for managing change.

And, to ensure that you ARE employing successful strategies for managing change – that are appropriate to your organization – you need to know how to apply : (a) these transformational leadership skills, AND (b) how to apply the supporting program management based processes – to ensure that you avoid the catastrophic 70% failure rate of ALL business change initiatives.

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Using Social Media for Website Marketing Strategies

Social media is a great resource to use in nearly all website marketing strategies. It's easy, it's cheap, and it's a fun way to reach your audience. There are so many benefits to web 2.0 marketing, not the least of which is that you don't have to worry as much about making search engine rankings.

Social Media for Social Interactions

One of the greatest things about social media is that it puts a personal face on you, the business person. All too often, people think of business owners as being "not real people," and you can display this side of yourself through social websites. Of course, as with anything on the Internet, you'll want to keep your reputation in mind with every status update.

It's perfectly fine to sometimes mention how run down the hotel in which you are staying is, but don't make complaining a habit. You should keep your content mostly focused on your work, although it's always nice to throw in a bit here and there about how great your family's vacation in Florida went. Above all, avoid religion and politics. Pursuing these subjects will inevitably cost you business.

Online Internet Marketing Strategies Using Social Media

For Online Internet Marketing strategies, using social media means walking a fine line between being a "legitimate" business and being spammer. Social marketing requires walking that line – you have to promote your business, but you don't want your status updates to be completely single minded.

Unfortunately, there's no sure way to predict when or if you're going to be labeled as a spammer. Many people don't know the difference between spamming and regular advertising. You can, however, observe some updating strategies that will make it be less likely.

As mentioned before, don't make all status updates link back to your site. That is the very definition of spamming. Instead, make observations about your niche, post your favorite inspirational quotes, and maybe throw in an occasional "just for fun" link. You can also link to the blog on your website to get people there without raising too many spam hackles.

Cyber ​​Marketing Strategies and Social Media

There are two major benefits of using social media in cyber marketing strategies. First of all, you can use it to build relationships with your potential and current clients and direct them to your site. You can also, if you're using the right social communities, build backlinks to your website through them.

Some of the major social community websites use a "no-follow" tag with the hyperlinks on their site. What this ultimately means is that they've disabled the ability for websites to increase their search engine rankings by linking to them from the social sites. These websites, Facebook and Twitter especially, are mainly useful for directing tons of traffic.

There are other social websites, such as Digg and StumbleUpon, that don't use "no-follow" tags. These are the ones that you can use for backlinks. They can also be used to direct traffic to your site, but they're not as beneficial as the more popular social sites.

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5 Reasons Doctors Love Dr House

Most doctors I know get a kick out of the television show, "House." Though we're all aghast at his bedside manner and cavalier attitude, still there is a certain attraction. Those not in the medical field may wonder how physicians can enjoy watching such a callous fellow.

Here are the five top reasons doctors love Dr. House.

1. Dr. Gregory House says things doctors would like to say themselves, but don't have the nerve. Most doctors filter what comes out of their mouths. They may think curse words, but seldom say them. We rarely accuse our patients of lying, even when we suspect it. We may think our patients have behaved foolishly, but we keep our thoughts to ourselves. It comes as a catharsis to finally hear a doctor (albeit an imaginary one) say things that cross every doctor's mind.

2. Dr. House does do any paperwork. Doctors hate paperwork. It's not only beyond boring, but sometimes perceived as interfering with patient care. The benefits are usually invisible, uncompensated, and extend the workday (needlessly, he would add).

3. Dr. House walks away from boring cases. Few doctors have this privilege. Physicians take patients as they come, without guarantee of intellectual stimulation. For family physicians, this means seeing high blood pressure patients, day after day after. For dermatologists, it's acne, psoriasis, and eczema, and for cardiologists it's heart attack, heart attack, heart attack. Even poor Dr. Wilson sees cancer, cancer, cancer.

4. Dr. House does not worry about getting paid. He's apparently on a salary, and gets paid the same no matter how few patients he sees or clinic hours he skips. Other doctors get paid by the patient or by the hour and are expected to produce. Most of us would be happy to have an afternoon to spend watching TV or surfing the web, while others are busy doing our work for us.

5. Dr. House does not worry about what anything costs. For a doctor it's a burden to not only worry that the right tests are ordered, but that they'll be paid for, either by insurance, the patient, or the government. House simply does care. He orders every test in the book. In real life it's not the hospital administrators who are looking over our shoulders to see what tests we've ordered – it's the insurance companies that require pre-authorization and proof that less expensive therapies have already been tried. Being an advocate for our patients, and taking the extra time to make sure appropriate testing is obtained, generally amounts to more uncompensated paperwork. Bullying your way through simply does not work for real doctors.

Aside from his diagnostic skills, Dr. House is the antithesis of a good physician. But still he's funny, and now and then I learn a thing or two. Once or twice a season I solve the case before the esteemed Dr. House – which keeps me coming back for more. The cases are true, by the way, all oddballs that the average doctor might see once in a lifetime. In medical school we're taught that when you hear hoofbeats, you should think horses, not zebras. But in Dr. House's case, he's got a stableful of zebras.

Copyright 2010 Cynthia J. Koelker, MD

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