Wednesday, July 21, 2010

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Tuesday, May 11, 2010

Health Secretary Sebelius says she's still battling public's 'confusion' over health law

In an interview with Yahoo! News, What do you want from the future? Health and Human Services Secretary Kathleen Sebelius said a lot of voters still don't seem to fully understand

the landmark health-care put all this behind usreform bill that she and the White House battled to get through Congress earlier this spring. Sebelius also stressed that

critics are concentrating on the billChasing the Sun 's mandate to purchase health insurance while ignoring the help it will offer families who can't afford insurance.
"I think there is a lot of confusion about what the law says and doesn't say," Sebelius explained in an interview timed to the announcement of

new rules forcing insurers to offer coverage to the adult children of policyholders until their 26th birthday. The rules — which actually don't

become law until SeptemberTouching your nerve but have been adopted early at Sebelius' request by almost all insurers — will affect roughly 1.2 million people.
"It's an option for a lot of young adults, who are No. 1 in terms of lacking insurance," Sebelius said. "About 30 percent of young adults are

uninsured right now in this country, often because they either don't have the cash to pay for their own policy, or they may be in a job without

insurance coverage, or they may be between jobs. But this really becomes an affordable option for lots of young adults to come into the

insurance market." Insurers will beLuise VuTON
required to charge the newcomers as new dependents on the existing policies, which would be significantly

less costly than the price of a stand-alone policy.We asked Yahoo! News readers to suggest questions for Sebelius via Twitter and Facebook, and

many of those queries centered on concerns that they won't be able to afford health insurance even after the requirement for all Americans to

buy coverage becomes effective in 2014. On Facebook, Michelle Phillips of Hephzibah, Ga., wrote, "How do you foresee protecting the financial

situation of already stressed families and businesses?"Sebelius responded that people are concentrating too much on the mandate and not http://tofutheveganzombie.com/forums
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F. Supplier qualification;G. Maintain/develop supplier relationshipsAchievements:The programs that have been delivered:1. 2005/02-2005/07 Advantium120 microwave oven(Brand: GE Market: US Supplier: 2. 2005/05-2005/11 ACTK portable (Brand: GE Market: US Supplier: Midea)
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Monday, May 10, 2010

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measures such as an Greater too than you can describeincubator.Also, it codifies a state rule that the required second opinion on whether late-term abortions are necessary come from doctors in Kansas.Attempts to restrict abortion across the country aren't unusual — inundeniable Oklahoma, for example, new laws on abortions have been approved this year including a ban on abortions based on the gender of the child and tighter restrictions on the use of the RU-486 abortion pill.South Dakota voters in 2006celebrate our independence day and 2008 turned down proposals to ban abortion outright.
Nebraska's law barring abortions after 20 weeks is sure to be challenged in court. Carhart has suggested he might do so. In January, he told The Associated Press, "they can pass any law they want to ... and sped millions of dollars to go to court and lose."
A spokesman for Carhart said this Where will life take you?
week that he has no plans to leave Nebraska, but is exploring his options and isn't ruling out a move to Kansas.
The switch from viability to fetal pain in justifying abortion limits raises fresh legal issues.bortion opponents say a 2007 U.S. Supreme Court ruling upholding a federal ban on certain late-term abortions opens the door for such legislation because it suggests states have an interest in protecting fetuses. They also say new studies and testimony from doctors prove fetuses feel pain at 20 weeks.
The argument used to justify the 20-week ban is based on the testimony of some doctors, some of it given during a 2005 congressional hearing. They contend there is substantial evidence that by 20face to face with ourselves weeks, fetuses seek to evade stimuli in a way that indicates they are experiencing pain.
"The Nebraska Legislature has taken a bold step which should ratchet up the abortion debate across the nation," Nebraska Right to Life director Julie Schmit-Albin said. "What we didn't know in 1973 in Roe versus Wade ... we know now." The American College of Obstetricians and Gynecologists, however, says it knows of no legitimate evidence that fetuses experience pain at that stage.
"There is certainly no solid scientific evidence establishing that a fetus can perceive pain at these earlier stages, so any court decisions to uphold such broader laws could only do so by disregarding the importance of good scientific evidence," said Caitlin Borgmann, a law professor at The City University of New York. The U.S. Supreme Court would have to overturn earlier abortion-related rulings to uphold the Nebraska law, Borgmann said, including a 1992 ruling in Planned Parenthood v. Casey that upheld the right of women to have abortions before fetuses were viable.http://labradory.info
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Neb. governor signs landmark abortion bills

LINCOLN, Neb. –the future is always color Two landmark measures putting new restrictions on abortion became law in Nebraska on Tuesday, including one that critics say breaks with court precedent by changing the legal rationale for a ban on later-term abortions.Just do itRepublican Gov. Dave Heineman signed both bills, one barring abortions at and after 20 weeks of pregnancy and the other requiring women to be screened before having abortions for mental health and other problems. Both sides of the abortion The choice of a new generationdebate say the laws are firsts of their kind in the U.S.
A national abortion rights group already appeared to be girding for a legal challenge, calling the ban after 20 weeks "flatly unconstitutional" because it is based on the assertion that fetuses feel pain, not on the ability of a fetus to survive outside the womb.
"It absolutely cannot survive Time is what you make of it
a challenge without a change to three decades of court rulings," said Nancy Northup, president of the Center for Reproductive Rights. "Courts have been chipping away at abortion rights ... this would be like taking a huge hacksaw to the rights."
The law focusing on late-term abortions never having to say you're sorryis designed to shut down one of the few doctors in the nation who performs them in Nebraska.
Set to take effect in October, it is based on the claim that fetuses can feel pain at 20 weeks. The current standard in abortion restrictions is viability, or when a fetus is able to survive outside the womb — generally at 22 to 24 weeks.The law could lead to changes in state laws across the country if upheld by the courts, said Mary Spaulding Balch, legislative director for National Right to Life.
"It would broaden the interests of states in protecting the unborn child," she said. "It says the state has an interest in the unborn child before viability."Heineman also signed the other bill, approved by lawmakers on Monday, that requires the screening for mental health problems and other risk factors indicating if women might have problems after having abortions.The fetal-pain bill is partially meant to shut down Dr. LeRoy
Carhart, who attracted attention after his friend and fellow late-term abortion provider Dr. George Tiller was shot to death by an abortion foe in Kansas last year.Kansas, worried that he might move there, has passed new bills that are awaiting action from Gov. Mark Parkinson, an abortion-rights Democrat. They would require doctors to list an exact medical diagnosis justifying a late-term abortion and also adjusts the definition of viability so that a fetus would be considered viable if there's a "reasonable probability" it would survive outside the womb with life-sustaining http://funzgames.com/forum
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Gates assails Internet group over attack video

ABOARD A U.S. MILITARY AIRCRAFTtomorrow is another day (Reuters) – Defense Secretary Robert Gates criticized the Internet group Wikileaks on Tuesday over its release of a video showing a 2007 U.S. helicopter attack that killed a dozen people in Baghdad, including two Reuters news staff.
The group, which says it promotescelebrate our independence day leaks to fight government and corporate corruption, released the video without providing any context explaining the situation, Gates said."These people can put out anything they want, and they're never a process of self-discoveryheld accountable for it. There's no before and there's no after," Gates said.The stark helicopter gunsight video of the July 12, 2007, attack has been widely viewed around the world on the Internet since its release on April Some international law and human rights experts say the Apacheface to face with ourselves
helicopter crew in the footage may have acted illegally. The video includes an audio track of a helicopter crew conversation. Many have been shocked by the images and some of the fliers' comments.The U.S. military said an investigation shortly after the incident found U.S. forces were unaware of the presence of news staff and thought they were engaging armed insurgents, mistaking a camera for a rocket-propelled grenade launcher.
"We take these things seriously,"The relentless pursuit of perfection Gates said, in reference to civilian casualtiesThe Reuters staff killed in the attack were photographer Namir Noor-Eldeen, 22, and his assistant and driver Saeed Chamagh, 40.Wikileaks disputed Gates' contention the video failed to provide context. In an e-mail, it accused the U.S. military of making "numerous false or misleding statements," including the contention there was an active firefight between U.S. forces and those killed."Classified records which we will shortly release show that there was a report of small arms fire at 9:50 a.m., somewhere in the suburb of New Baghdad, shooter and location UNIDENTIFIED. There is no reference to U.S. forces having been hit by the fire. The same records report that at 10:18, 28 minutes later, the crowd was seen and the killing commenced."The e-mail was unsigned but was sent from the press office e-mail of Wikileaks.(Reporting by Phil Stewart and Deborah Zabarenko, Editing by Howard Goller and Peter Cooney)http://forum.debutersurmac.com
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? Constant provided solutions for fault network from transmission lines, Frame-Relay, PPP, ISDN, to IP routing protocols (RIP, IGRP, EIGRP, OSPF and BGP) in the service provider environment? Developed and implemented procedures for working with international carrier, especially with Asia Pac, provided training and culture guidance to team members and management teams, enable them to work closely with international PTTs, vendors and international regulators in result of customer s strategically goals to be met? Provided B2B extranet solution for major automotive companies to help reduce costs; to reduce call volume at its service center; and to provide dealers with better service, more current and consistent information, and faster order turnaround. Improved the work in process efficiency by 50% according to customer report
? Lead a consultant engineering team built enterprise and carrier level infrastructure for their new technology capability and business needs, increased project win opportunities by 20% ? Represent MCI Business Consulting Services to fulfill contract responsibilities (scheduling, resource allocation, scope, budget, Customer satisfaction) in result of decreased operating cost by 25% from previous year ? Communicate with internal Business Consulting Services executives and other MCI departments for customer situation and provide resolution strategies for issues. Increased services warranty revenue by 10% from previous yearhttp://quangphu.info/forum
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Thursday, May 6, 2010

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More than 79 percent of airline no good thing ever dies flights arrived on no good thing ever dies time in 2009, 3.4 percent better than a year earlier.
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But only one-third had on-time arrival rates better then 80 percent: Hawaiian, Southwest, Alaska, SkyWest, United, and US Airways. Still, only three topped 80 percent in 2008.
At the bottom was regional carrierput all this behind us Comair,put all this behind usShe is the love of my life with only 69 percent of flights on time. The airline operates as Delta Connection. Only slightly better was Atlantic Southeast, 71.2 percent.
Fewer than one in every 100,000 passengers filed complaints with the Department of Transportation, down slightly from the previous year. Flight problems such as cancellations, delays or other schedule deviations accounted for nearly one-quarter of complaints, followed by baggage (18.7 percent), reservations, ticketing and boarding (15.1 percent), and customer service (13.9 percent).
Southwest aain had the lowest complaint rate -- 0.21 complaints per 100,000 passengers. Delta, whose regionalput all this behind us partners had the worst baggage and on-time performance, had the highest complaint rate, 1.96.
The ratings, compiled annually since 1991, are based on department statistics for airlines that carry at least 1 percent of the passengers who flew domestically last year. The research is sponsored by Purdue University, in Indiana, and by Wichita State University, in Kansas.
Sen. Chuck Schumer, D-N.Y., She is the love of my lifesaid Sunday he wants the Treasury Department to rule that carry-ons are a necessity for travel, which would make them exempt from a separate fee outside the ticket price.
The recession hit airlines hard, and they have scrambled for ways to generate income other than by raising fares. U.S. airlines collectively lost $8 billion in 2009, although regional carriers as a group were profitable, according to the Federal Aviation Administration.http://forum.allsochi.info
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Friday, March 5, 2010

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? Setting annual marketing budgets and revenue budgets
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? Directing the planning and implementation of monthly PR. SP and other activities
? Formulating and supervising the SOP of Marketing department
? Directing and in charge of the communication and negotiation with ad agents and media agents
? Responsible for the monthly financial statements and monthly reports of marketing department
? In charge of promotion and activity planning of Jiamaoyou Card and Membership Card system
Phoenix TV
Industry:Media/Publishing/Culture | Company Type: | Company Size:
Company Profile:
2004-9 - 2007-7 program --“Trendy Guide"Chief editor
Location:Beijing,Shanghai,HK | Job Type:Full-time | Department: | Report to: | Number of Subordinates:employees | :

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Career Level:management ( manager / director)
Responsibilities and Achievements:
Planner & director for luxury,art and auto parts.
Reporter for 2006、2007 Beijing & Shanghai AUTO exhibition.
Planner of program 10’ Anniversary Celebration , 2007 Porsche Cayenne global published ceremony and road show etc.
Good relationship with 4A companys and kinds of media.
fashion magazine
Industry: | Company Type: | Company Size:
Company Profile:
2005-12 - 2006-9 Special Correspondent
Location:Beijing,Shanghai | Job Type:Part-time | Department: | Report to: | Number of Subordinates:employees | :
Job Category:
Career Level:
Responsibilities and Achievements:
achieve reports and shooting for stars,interviewer and editor of fashion and lifestyle features.chi hair straightener

Good resources of stars, 5star hotels & restaurants etc.
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? Eight-year working experience in media and shopping malls as a MKT manager and a marcom & operation manager;
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Intend to search for job-related work in the field of brand operation, MKT & PR, management or other aspects of the business area.
Work Experience
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Industry:Wholesale/Retail | Company Type: | Company Size:
Company Profile:
2009-2 - Now Regional Marcom Manager (North & North East China)
Location:BeiJing | Job Type:Full-time | Department:Marcom | Report to:China General Manager | Number of Subordinates:15employees | :
Job Category:Marketing Manager/Supervisor
Career Level:management ( manager / director)
Responsibilities and Achievements:
Establish and maintain a good and stable relationship with brands clients.
? Managing and supporting key chain tenants sales executive to achieve monthly/yearly rents revenue of different malls. Such as Inditex Group, MNG, Sephora, Watson’s, Levis, Esprit, Adidas, Sony, Apple, Sport 100 etc.
? Directing and arranging a large number of marketing events for program, brand and the shopping mall with satisfactory feedback.
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? Re-merchandising several department sections to help improve consumer sales
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? Organizations on Capitaland visual standards, window displays, props and fixtures usage.
? Disseminating promotion direction between Singapore, China offices and local teams.
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? Communicating with business partners in a proactive manner to ensure co-branding targets.cheap nike shoes
2007-8 - 2009-2 Marcom Manager ( JiaMao WangJing Mall)
Location:BeiJing | Job Type:Full-time | Department: | Report to: | Number of Subordinates:employees | :
Job Category:Marketing Manager/Supervisor
Career Level:management ( manager / director)

Achievements

Career Level:management ( manager / director)
Responsibilities and Achievements:
? Successfully migrated Malaysia Trade Finance operations from branches to the centralized Kuala Lumpur operations center and officially closed the Malaysia Trade Finance Restructuring project. Conducted migration process to each branch manager and provided training to all remaining business banking personnel to new process and procedures.north face jackets

? As head of Letters of Credit Advising (LCA) team of 4, migrated the Singapore LCA operations to Kuala Lumpur. Redesigned and rewrote the LCA process as well as training materials. Migration was successful as scheduled with no violation of Service Level Agreement and zero defect.
? Championed and led 4 departmental and inter-departmental task forces including Voice of Employees (VOE) and Process Improvement. Successfully implemented first anonymous department wide VOE with 95% participation.
? Enforced and conducted training on compliance matters as well as anti-fraud training.
* Left the company to pursue MBA at Hitotsubashi University in Tokyo with the scholarship awarded by Japan Ministry of Education.
Sincen Group (Malaysia) Private Limited
Industry:Real Estate Development/Construction and Engineering | Company Type: | Company Size:
Company Profile:
2002-6 - 2004-9 Assistant General Manager
Location:Kuala Lumpur, Malaysia | Job Type:Full-time | Department: | Report to: | Number of Subordinates:employees | :
Job Category:CEO
Career Level:Executive (President, CEO, SVP, EVP, VP)
Responsibilities and Achievements:spyder jackets
? Directly report to the President and CEO. Primary task was to administer KL regional sales and marketing office. Other tasks included devising marketing strategy with sales director and liaising between the Chinese counterparts and Malaysian investors.
? Served as liaison with property agent, taxation advisors, Malaysia Trade Ministry, China Embassy, and sales agents to provide back office support as well as contract negotiations.
* Sincen Group is the developer of the Nanyang Industrial Park in Huaibei, Anhui Province, China. The project was terminated in 2004 due to the SARS outbreak.
Citigroup Trade Services (Malaysia) Private Limited
Industry:Banking | Company Type: | Company Size:
Company Profile:
2000-10 - 2002-3 Assistant Manager
Location:Penang, Malaysia | Job Type:Full-time | Department: | Report to: | Number of Subordinates:employees | :
Job Category:Others
Career Level:management ( manager / director)
Responsibilities and Achievements:
? Co-led a specialized 7-person team for the biggest customer of high-risk, structured trade customers that contributes to 60% of the department’s revenue.
? Oversaw the outsource services including documents preparation based on the terms of Letter of Credit (LC) such as invoices, packing lists, certificates, and drafts. Drafted third party documents such as bills of lading, insurance certificates and legal certificates for the respective issuers.
? Advised customers cheap north face jackets
on risky LC terms to avoid discrepancies in negotiation or collection. Checked documents against UCP500, URR, URC and ISP 1998 to ensure clean documents.
? Ensured compliance to audit and legal requirements, especially anti-fraud, money laundering and sanction list country transactions.
* Left the position due to minor slipped disk injury. Fully recovered in 2002.
2   

Job Type:Full-time

Industry:Environment Protection northface jackets
northface jackets
Company Type:
Company Size:Company Profile:2006-12 - 2009-5 South East Asia Project Head

Location:Kyoto, Japan
Job Type:Full-time
Department: cheap north face jackets
Report to:
Number of Subordinates:employees
:ob Category:Marketing SpecialistCareer Level:management ( manager / director)

Responsibilities and Achievements:Directly reporting to the Senior Corporate Director cum Head of Asia, collaborated with the top management of HORIBA Singapore, to develop new marketing strategy for the 1,100 million JPY environmental related businesses covering the emerging market of ASEAN, to achieve 2,500 million JPY sales target by 2013.

? Championed and established pilot marketing function and marketing strategy in Asia market. Pilot project including an Asia Marketing Network in Malaysia, Indonesia, Thailand, the Philippines and Vietnam which mainly consists of NGOs/NPOs, academicians and local government authorities, to develop a business intelligence function and channel whilst accumulating lobbying capacity for future environmental policy making in each respective country.

? Seek and develop new strategic partnership at each country for the booming environmental business. In particularly for projects coordinated by the World Bank, Asian Development Bank, Canadian International Development Fund, as well as United Nations agencies such as UNEP, UNIDO, UNDP, UNU etc. to increase company reputation internationally as well as entering into large government contracts.

? Developed new business opportunities through collaboration with international and domestic entities, across technical and non-technical, including non-governmental and non-profit as well as policy making agencies to market Horiba’s technical expertise to cross regional urban development projects.

? Core member and Japan representative of the ATS Global Marketing and Sales Group, planned and decided strategies as the matrix decision making group which resulted the 50 billion JPY sales in 2007. Assisted top management to device future strategy of HORIBA ATS and prepared the 2008-2013 marketing plan to achieve group-wide Mid Long-term Management Action Plan (MLMAP) to increase sales to 250 billion yen.

? Planned and coordinated various marketing activities across Japan and China.OCBC Bank (Malaysia) LimitedIndustry:Banking
Company Type:
Company Size:Company Profile:2004-10 - 2005-9 Assistant Manager

Location:Kuala Lumpur, Malaysia
Job Type:Full-time
Department:
Report to: northface jackets

Number of Subordinates:employees
:ob Category:Others

Monday, March 1, 2010

Achievements

polo shirts Biomics, set up by a team from P&G US Pharma, focuses on Bio-tech development and peptide, generic drug, new drug and herb-drug research, with Beijing office as head office and set up a Research Centre in Teda, Tianjin, as well as operate a medium-sized pharmaceutical in Hebei.
Recruited as the first staff for the start-up, from the setup and registration to daily operating normally, I am responsible for administration, HR and legal issues in Beijing Office, even partial Finance responsibility independently.
Admin:
1. Establish Beijing Office and Tianjin Research Centre including all the necessary business licenses application and licenses annual inspection etc.
2. Organize some important events such as office relocation and decoration, rent staffing living apartment near company.
3. Sep up and implement administrative policies & regulation such as: admin purchasing policies and budgetary restrictions, cell phone policy, badge policy etc.
4. Supervise all administration supportive work, to ensure smooth and efficient operation of the office, and responsible for day to day running of the office and ensure high service standard
5. Negotiation & control related admin cost.
6. Manage the Reception
7. Take fully responsibility of daily operations management and serve CEO's and other senior members as well, such as meeting minutes' record, paper work or translation affairs, and so on.ralph lauren polo shirts
8. Proactively coordinate and communicate with internal top management department and division heads and employees to ensure best service and supports providing.
                                                                        HR

1. Design HR and administration policies and rules;
2. Plan, advice and execute the staffing strategy and develop organization;
3. Be responsible for hiring plan, hiring delivery
4. Advises senior managers on talent acquisition matters
5. Conducting the interview and selection process, partnering with the senior managers and other interviewers to define interview strategy and frame offer packages.
6. Employee performance analyst and evaluation
7. Supervise the employee C&B execution, such as:
(1) Implement the monthly social insurance, house found and benefit report for all employees timely
(2) Delivery employee on board and off board processes, collect attendance records and work out the payroll in time
(3) Ensure the employment contacts were signed or renewed timely and in compliance with the legal regulations, arrange the health check-up for employees and collect the reports
(4) Handle work permit and residence permit for foreign staff, provide consulting service and hand on Hukou related issues in Beijing and Tianjin for qualified employees.cheap ralph lauren polo shirts
Finance:
1. As a cashier cooperate with accountant for reimbursement and indirect purchasing.
Reason for leave: Capital withdraw and company close down

Responsibilities

Biomics, set up by a team from P&G US Pharma, focuses on Bio-tech development and peptide, generic drug, new drug and herb-drug research, with Beijing office as head office and set up a Research Centre in Teda, Tianjin, as well as operate a medium-sized pharmaceutical in Hebei.
Recruited as the first staff for the start-up, from the setup and registration to daily operating normally, I am responsible for administration, HR and legal issues in Beijing Office, even partial Finance responsibility independently.
Admin:
1. Establish Beijing Office and Tianjin Research Centre including all the necessary business licenses application and licenses annual inspection etc.
2. Organize some important events such as office relocation and decoration, rent staffing living apartment near company.chi hair straightener

3. Sep up and implement administrative policies & regulation such as: admin purchasing policies and budgetary restrictions, cell phone policy, badge policy etc.
4. Supervise all administration supportive work, to ensure smooth and efficient operation of the office, and responsible for day to day running of the office and ensure high service standard
5. Negotiation & control related admin cost.
6. Manage the Receptionchi straightener
7. Take fully responsibility of daily operations management and serve CEO's and other senior members as well, such as meeting minutes' record, paper work or translation affairs, and so on.chi straighteners
8. Proactively coordinate and communicate with internal top management department and division heads and employees to ensure best service and supports providing.

Wednesday, January 20, 2010

GBS gets worse,what I supposed to do?

My name is Ayut. I'm Thai and 27 years old. When I was a student in the U.S., I was diagnosed as having GBS on August 10th. Now, I'm back in Thailand. At that time, my arms and legs did not have energy or power at all. Even though I did not need to stay in an ICU nor need an artificial ventilator, I felt the numbness throughout my whole arms and legs, including my waist. Then, I got the IVIg for 5 days. After that everything was getting better and better. The numbness was cut down only in the palms and feet's areas. However, the situation was getting worse again in the week 3 after I got the IVIg. The numbness was moving towards up from my feet and arms to my knees and elbows respctively, but not so far. Also, I could not move my toes and ankles much, and I could not stand on my toes and heels even thought I could do so during the first or second week after I received the IVIg. Probably, I tried to work out too much to recover my muscles. I don't know it this the problem or not. Or I drank beer and wine for 2 days, but not too much. Or the cold weather is not good for GBS. etc. (I have no idea for this)

So far, I have met three neurologists and they said the same that I would return to be (at least 80%) normal within 3-4 months. However, it's has been almost 2 months for me with the GBS. I don't know how long it will last.

So, if I don't feel better or I feel worse, what should I do next? Does any body have any valuable information for me? Does the second IVIg work for me? Except IVIg and PE, what kind of medication should I take? What kind of food will help my body heal itself? What kind of excercises should I do? (Now, I have to go to a hospital to do my physical therapy) (and I go swimiming sometimes) Is it normal to feel soar in the back as a result of GBS? (I have felt for 2-3 months)...etc...

no Diagnosis

The good news is that my son is improving. The bad news is that after a week at a Children's hospital and 3 weeks of follow up visits, they still have no idea.

He had a sudden onset of weakness and sensation loss on November 22nd. He woke up that morning with what we thought was severe heart burn and he looked ill. We were at a hotel at the time for a hockey tournament he played in.

He continued to feel sick and said that his legs felt weak. We had a doctor who is a team parent look at him and told him to take an advil and a pepsid. They said to have him warm up with the team and see how he feels. When he went out on the ice, he was teary and looked scared. He has never missed a game for illness so I just thought he was upset. He was walking fine at the time.

When he went to skate, he could barely stand up. My husband (who is his coach) had him come and sit on the bench for the game. After the game, he went out to shake hands and collapsed on the ice. He was carried off and evaluated by an ER doctor and a paramedic who were in the audience. He had some hits (nothing unusual) in his hockey game the day before. They did not feel there was any spinal trauma but that he had proximal hip weakness and had us go to the hospital near the rink (90 miles from our home). They did CT scan of the head and an MRI of the lumbar spine and they were normal. The doctor thought it looked more like a neurological disease than an injury and sent us to a Children's hospital near our home in Denver. Once he got his skates off, he could walk in an unsteady way to the hospital but 3 hours later, he could not even hold any weight on his legs.

When we got to Denver, they did a spinal tap and blood work that were normal. He could still sit normally and move his legs when laying down at that time. In the morning, he woke up and he could no longer move his legs at all. He had also become incontinent of urine over night.

They did EKG's, Chest X-Ray, MRI's of the head, neck, mid back and re-read the lumbar and sacral spines. All were negative. He had normal deep tendor reflexes for his entire stay as well. By that afternoon, he could no longer sit on his own and could not feel sharp/dull and hot and cold below his belly button. He could tell he was being touched but it was number than above. The, about 36 hours after it all started, he began moving his legs in bed and has made steady imrpovement since.

So they pretty much felt they ruled out GBS, the actually felt he had a psychiatric conversion disorder. Then, they did more testing on his bladder and realized he had a neurogenic bladder and that he could not have a conversion disorder.

We were discharged catheterizing him every 4 hours because he could pee but had a lot left in his bladder when he was done. We are still doing this but now only twice a day and his left over urine is getting just about normal now. He is now also getting wet in a pull up at night which he has not done since he was 3.

I am a physical therapist and wanted them to do an EMG in the hospital but they did not feel it was needed. Then they decided to do one this past Friday and it was normal. Of course, he is at almost normal strength now so I am not sure how helpful it would be. They never repeated the spinal tap after the first night this started.

So, he left the hospital walking with a walker and over the course of the 3 weeks since then he is now walking on his own, walking up and down stairs slowly and the bladder /muscle/sensation has improved over the 3 week period in a steady manner. He still can't run, jump etc. His calves are weak and his glut muscles. I do PT with him at home (imagine the poor kid with a PT for a mom!) and goes to a colleague once a week.

The doctors now want to go with the idea that he had a spinal cord injury during the hockey game the day before even though all MRI's were normal, even one taken 1 week later. He never had signs up central nervous system problems like spasticity, hyper reflexes etc. so I don't understand the latest diagnosis. They said that people with unusual (and mild) forms of GBS do not have bladder problems but the urologist today said they often do.

We are at a loss here. We are thrilled he is getting better. They never treated him with IVIG, steroids, etc. We just don't know how to plan for his future and how to possibly prevent this without a diagnosis. Does anyone have any thought given your backgrounds and any suggestions about what we should do next. I did ask his doctors if we should let him get flu shots and they all hesitated to say yes.

I know they are doing their best and are frustrated as well. I was just curious if anyone had thoughts about his case and if mild GBS can have normal LP (done right after onset) and deep tendon reflexes. Whatever he has is a rare form of something so we are just looking to others to help. We would like to get a second opinion as well. If anyone has suggestions from GBS experts, that would be great.

Immune complication?

my name is Steven and I am new to the board! I had GBS back in the summer of 2005 and made a full recovery.....at least my nerves did. So heres my problem. Ever since I had GBS I have been very sick. When I say sick, I don't mean the residual fatigue or peripheral nerve systems that persist after GBS, I mean sick as in feeling like I constantly have the flu, bad.

It started when I was towards the end of my recovery which was about 5 months after my diagnosis. I started to notice that I was feeling tired a lot and getting strange headaches. At my last appointment with the Neurologist that over saw my care in the hospital(which was December of 2005), she noticed that my lymph nodes on my neck had swelled significantly, but felt that it could be nothing aslong as they went back to normal. In 2006 I went back to college and the symptoms began to progress. The heachaches became more intense and I started to feel dizzy and lightheaded all the time. I started to get aches and pains as if I have the flu and the fatigue turned into a fatigue that you get when you have an infection or a viral illness. The lymph nodes did not go down and have actually grown a little more and have become tender. So overall the feeling is like im constantly fighting an infection and it has been going on since I had GBS. I know it is not my nerves as I have had exams and the Neurologist that over saw my care was sure it wasn't any residual and I am also confident that I don't have any residual nerve damage and these symptoms are not consistant with the residual symptoms I always hear about.

My concern is that the problem may be in the immune system because as we know, GBS at its heart is an Immune Dysfunctional disease. Studies I have come across have shown immune abnormalities during teh course of GBS such as low NK cell function, but showed to be restored after the treatment with IVIG. The problem is that I never received any treatment because I was diagnosed too late and the damage to my nerves was already done. I am also aware that the hospital where I was admitted used someof my blood samples to look for infections for research purposes. My guess is that one of three things is happening:

1. I am still fighting teh infection that triggered the GBS.

2. I have some rare immune complication of GBS or something to that extent.

3. I picked up something else while I was weak from teh GBS and just have been unable to fight it off completely.

Does anyone have any info at all? Studies? Similar experience? Solution? I would really appreciate it. I have been very sick and continue to get worse and it has been 4 years since GBS so needless to say, I am ready to feel good again. I do plan on contacting the Neurologist that took care of me before when I had GBS so we'll see. Thank you everyone and for those out there dealing with GBS or any residual symptoms, keep going and take care of yourself, your body CAN recover. Reply With Quote

fight diseases!

You have to search very hard to find it on the CDC website, first going to the link for "Healthcare Providers", then buried deep within an article (nearly at the end of it) for healthcare providers entitled: "2009 H1N1 Influenza Vaccine and Pregnant Women:Information for Healthcare Providers" is the sentence:

"Persons who have previously had GBS should not receive influenza vaccine."

This is the end sentence to a section entitled: "Is the 2009 H1N1 flu vaccine expected to be associated with Guillain-Barre Syndrome (GBS)?"

Here is the link to the article: http://www.cdc.gov/h1n1flu/vaccination/providers_qa.htm


Very surprised that the foundation is not up on this info, although it is difficult to find on the CDC website. Checking under info for healthcare providers and then finding the info that GBS survivors should NOT receive influenza vaccine (doesn't even make the distinction between H1N1 vaccine and "regular" influenza vaccine) buried in an article regarding pregnant women and the vaccine......not exactly the route most of us would take to find this very pertinent information.......

The title on the website itself says: CDC:Centers for Disease Control and Prevention:"Your online source for Credible Health Information".

best wishes for good health to all,
This is from the MMWR report which is the official recommendation of the Advisory Committee on Immunization Practices (ACIP) regarding seasonal influenza. The report is 52 pages long and earlier in it, it says that the risk of getting GBS from the flu is about 4-7 times greater than getting it from the flu vaccine. It is also worth noting that almost everywhere on the CDC, it states that if you got GBS within 6 weeks of a flu vaccine, you should discuss with your doctor whether to get the flu vaccine again.

"Use of TIV Among Patients with a History of GBS

The incidence of GBS among the general population is low, but persons with a history of GBS have a substantially greater likelihood of subsequently experiencing GBS than persons without such a history (ref. 232). Thus, the likelihood of coincidentally experiencing GBS after influenza vaccination is expected to be greater among persons with a history of GBS than among persons with no history of this syndrome. Whether influenza vaccination specifically might increase the risk for recurrence of GBS is unknown. Among 311 patients with GBS who responded to a survey, 11 (4%) reported some worsening of symptoms after influenza vaccination; however, some of these patients had received other vaccines at the same time, and recurring symptoms were generally mild (ref 247). However, as a precaution, persons who are not at high risk for severe influenza complications and who are known to have experienced GBS within 6 weeks generally should not be vaccinated. As an alternative, physicians might consider using influenza antiviral chemoprophylaxis for these persons. Although data are limited, the established benefits of influenza vaccination might outweigh the risks for many persons who have a history of GBS and who also are at high risk for severe complications from influenza.

MMWR (July 24, 2009) vol 58: 1-52. Prevention and Control of Seasonal Influenza with Vaccination: Recommendations of the Advisory Committee on Immunization Practices (ACIP)"

TIV is the inactivated (dead) influenza shot. Chemoprophylaxis means to use antiviral drugs to reduce the chance of getting influenza or to lessen the severity of the illness. In English, the main point is that if one if not at a high risk of complications from the flu (such as pregnant people, people with serious heart or lung diseases, etc) AND if you got GBS within 6 weeks of getting a flu vaccine, it is generally recommended by this committee that you not get the flu vaccine. People with a higher risk of getting very ill after the flu (such a serious chronic lung disease, etc) probably should get the vaccine to help keep them safe from the serious illnesses associated with the flu, although each person is different.

WithHope for a cure of these diseases.
 

memory loss

Read your post and thought I would tell you that just yesterday,
when I got to work, after I logged in, I checked my mailbox, went to my room and looked around-my purse was no where in sight! I thought, "Oh I must of
left it in the lounge when I logged in!" Went back there, no purse! OMG I
thought, someone must have picked it up. After searching for several min.
my friend said did you leave it in your car? NO, I'm sure I brought it in! But
after the fifth time of walking in circles I decided to check my car. There it
was on the seat with my keys hanging out of it, and guess what, my door
was locked. After calling my husband and feeling like I just had another blonde moment, I told my friend that I was seriously getting worried about
not being able to remember anything lately and was wondering if it had to
do with my CIDP. I feel like I live in the state of perpetual confusion!!! You're
not alone my friend, sorry.
dont know, i cant remember......

im sorry its not funny, just trying to make u smile......

i find myself struggling sometimes to remember things, i ask people questions but dont really pay attention to the answer so i dont remember later, or phone numbers i once knew i draw a blank...... i hope u find the answers ur looking for