business financial government health information people politics reference society software world Is Congress Cutting Social Security The media in the U.S. is reporting that possible legislation from the House of Representatives could potentially cut Social Security benefits, but, that may not be the full story. The legislation that the House is looking to pass is bill H.R.5779 – Fiscal Commission Act of 2023. The Fiscal Commission Act of 2023 is calling for the creation of a 4 person commission that will design a pathway to a balanced budget “at the earliest reasonable date.” The requirements of this commission will be to “stabilize the debt-to-GDP ratio at or below 100% by the end of the 10-year period”. As of the 3rd Quarter of 2023, according to the St. Louis Federal Reserve that U.S. debt-to-GDP is at 120.13%. Meaning that the U.S. is spending well more than what it is taking in. Is the Fiscal Commission going to be all Republicans? The construction of the commission, according to the bill, will consist of “3 individuals from among the members of the Senate, and 1 outside expert”. The Senate Majority Leader, Charles (Chuck) Schumer, will have the responsibility of selecting all members of the commission. Yes, this is a Republican bill, but the power and control this bill will create will reside within the confines of the Senate Majority Leader and only that person, which until the next election is going to be a Democrat. Will this commission begin cutting Social Security benefits? There is nothing specific within the Act to Social Security nor is there any mention of cuts, cutting or even the word cut throughout the entire bill. Again, the bill from the House is simply requesting that the Senate Majority Leader hand select 4 individuals to devise a plan on how to bring down the country’s debt. Are Social Security benefits going to be cut? According to the Social Security Board of Trustees (SSBT), the Social Security program has enough funding to continue benefits as they are today through at least 2034. However, the Trustee are also reporting that the program’s operating expenses will increase by 5.42% annually while the payroll tax revenue to fund it will only grow by 3.80% over the next 9 years. Coupling this issue is the demographics within the United States as the Trustees are also stating that the country’s fertility rate will only be 1.99% going forward. This means that the current Social Security program is in the death spiral of having more and more people aging into the program while less and less people are taking their place to fund the benefits. Eventually, when it comes to the Social Security benefits, something has to give as it appears that there just won’t be enough revenue from taxes to continue to paying out the same amounts when it comes to benefits. But, again, there is nothing in this bill that even suggests that Congress will be cutting Social Security benefits. IRMAA may be able save the Social Security program. By law Social Security benefits automatically pay Medicare premiums on a monthly basis. Medicare also has a tax on income through Medicare’s Income Related Monthly adjustment Amount (IRMAA). IRMAA is simply a surcharge that is added to a retiree’s Part B and or Part D premium if they are earning too much income. Currently, you have to qualify for IRMAA by generating $103,000 in income a year if you are an individual and $206,000 for couples. The more income you generate after these initial qualifying points the higher the chances that your Medicare premiums increase even higher. Saving the Social Security program or at least lowering the obligations of the program can literally just come down to changing the IRMAA qualifications.
business education financial government health information people politics reference religion Navigating the OASDI Limit 2023: What You Need Ever wondered why some numbers in finance seem to shift every year? The OASDI limit for 2023 is one such figure that’s crucial yet often misunderstood. For those scratching their heads, OASDI stands for Old-Age, Survivors, and Disability insurance – essentially Social Security. This year brings a fresh twist you’ll definitely want to get cozy with. The OASDI limit marks the ceiling of your earnings taxed for Social Security purposes. Understanding this number is more than just ticking a box for the sake of it; it’s about smartly mapping out your financial journey ahead. In the same way you manage your credit cards to optimize credit health, understanding the OASDI limit helps optimize your financial health. Understanding the Social Security Tax Limit 2023 The limit on Social Security tax isn’t something to shrug off. It’s the maximum amount of your earnings that are subject to the Social Security tax each year. That limit is $160, 200. A nice chunk of change, right? What Is the Social Security Tax Limit? Let’s break it down. If your earnings hit that $160, 200 cap, you’ll pay a maximum of $9, 932.40 in Social Security taxes for the year. Your employer will kick in the same amount, for a total of $19, 864.80 paid into the system on your behalf. But if you’re self-employed, you’re on the hook for the whole enchilada – 12.4% of your earnings up to that $160, 200 limit. The silver lining? You get to deduct half of that amount on your tax return. Every cloud, my friend. This is akin to how wisely managing your credit can lead to significant savings over time. Now, let’s say you’re an overachiever and earn more than $160, 200. Congrats. But here’s the thing: you don’t pay Social Security taxes on anything over that amount. It’s like hitting the jackpot, tax-wise. How the Increase Affects Payroll Taxes So, how does this compare to last year? In 2022, the Social Security tax limit was $147, 000. That means the limit jumped by $13, 200 for 2023. Not too shabby. But wait, there’s more. If you’re a high earner, you could pay up to $818 more in Social Security taxes this year compared to 2022. It’s all thanks to that increase in the wage base limit. So, what does this mean for your paycheck? If you earn $160, 200 or more, you’ll see 6.2% taken out for Social Security taxes until you hit that magic number. Then, poof. No more Social Security tax withholdings for the rest of the year. It’s like a little bonus, right? Much like how responsibly using credit cards for monthly expenses can help manage cash flow effectively.
health information reference How To Clean All-on-4 Dental Implants Dental implants are no reason to skip good oral health habits, as oral hygiene is about much more than the teeth themselves. For those with all-on-4 dental implants, brushing and flossing are still critical tools to battle dental issues. Explore how to clean all-on-4 dental implants below, why it’s so crucial, and how to avoid common oral hygiene mistakes in keeping the implants clean. Why Cleaning Dental Implants is Important Even with dental implants, no matter the sort, bacteria can still grow and cause infection or food debris leading to gum disease, and a host of other issues that affect other parts of the mouth. Beyond maintaining overall dental health, not regularly cleaning your dental implants can cause implant failure which can lead to a costly replacement or impair their function and lifespan. Maintaining good oral cleaning habits, proper teeth cleaning techniques, and in-office cleanings combined help keep your dental implants working for as long as intended while also combating other dental issues. It’s crucial to keep brushing, flossing, and using mouthwash even with all-on-4 dental implants. What Happens When All-on-4 Dental Implants Aren’t Cleaned? It was mentioned, but it’s worth doubling down on. Cleaning your dental implants is critical for keeping good oral health, but also to protect the implants themselves. If you neglect a good cleaning routine, you risk: Infection around the dental implants Damage to teeth, blood vessels, and other tissues in the mouth. Nerve damage, which causes pain, numbness, and tingling sensations. Issues with the sinuses when the implants are in the upper jaw. How to Clean Your All-on-4 Dental Implant How to clean your all-on-4 dental implants may appear obvious, but dental implants usually require a few extra specialty tools on top of the usual teeth cleaning equipment: Soft toothbrush: You’ll want a soft and thin bristled toothbrush for gentle cleaning Soft picks: extremely thin toothpicks that are better for tight spaces End tuft brush: a small type of brush that can reach the surface of the bridge’s intersection and the gum crevice Mouthwash: You’ll want mouthwash that is specifically designed to soothe oral sores and other irritations that dental implants can cause. With the right tools ready, let’s go over how you clean your all-on-4 dental implants: Brushing Techniques for Your Implants Using a toothbrush for your dental implants isn’t any different technique-wise, you can brush them as you would normal teeth. Make sure to pay specific attention to the area where the implants meet the gum line though. How to Floss Between Your Dental Implants Using floss twice a day is a given for general teeth care, but with dental implants, floss threaders should be used after every meal. Using floss is a bit different with the all-on-4 implants, as you’ll want to thread under the bridge using the floss’s firm head and floss around the implants carefully with the sponge floss. Using End-Tuft Brushes The end-tuft toothbrush shouldn’t replace a normal one, but it’s a great extra tool to get to any tough areas, like where the bridge intersects with the gums. This is an important step as any food or area left unscrubbed can contribute to bacteria growth, risking infection and damaging the dental implants. Rinsing with Water or Mouthwash Besides not wanting to leave all the toothpaste to sit in your mouth, you’ll want to clear out all the food debris scrubbed off and bacteria brushed away from the tongue. You can use water, but antibacterial mouthwash or mouthwash that targets oral sores and other irritations common with dental implants is best. Additional Tips for Maintaining Clean Dental Implants The standard cleaning routine for the all-on-4 dental implants is fairly similar to regular brushing habits, with some extra tools and attention paid to areas around them, but some additional tips can only benefit: Use a nightguard if you’re a teeth grinder Maintain a regular dental cleaning appointment use a water pick or water flosser Brush the inside of your cheeks to get excess food particles Remove and soak the dental implants in denture cleaner once a week for a deep clean Common Mistakes to Avoid Having a regular cleaning routine is the best way to protect your oral health and dental implants, but there are common mistakes people make in this routine that you should avoid: Brushing too aggressively: brushing too hard damages the gum tissue and the surface of the implants. Use a soft toothbrush and keep the brushing gentle to clean without doing any damage. Neglecting regular dentist visits: professional cleaning is a must, they not only get in deeper and have better tools, but it’s an opportunity to track your health and keep an eye on your all-on-4 dental implants, prolonging their lifespan. Consulting Your Dentist for Proper Guidance If unsure of how to best keep your dental implants clean, it never hurts to ask your dentist, especially if there are signs of irritated gums or aggressive brushing. Dental implants can be costly to replace and you’ll want to keep them in good condition for as long as possible. We at Bellevue aim to help all our patients improve their smiles and work with them to ensure that the price doesn’t prevent them from the smiles they deserve. If you’re searching for a dentist in Bellevue to help restore your smile with dental implants, look no further than the team at Bellevue Dentist. Dr. Siamak Najafi is an accomplished dentist who has trained with the world’s leading dental pioneers. These days he teaches dentists from all over the world how to enhance the health and appearance of their patients’ smiles through state-of-the-art dentistry Services. Dr. Don Jayne is a nationally recognized leader in dentistry. He focuses on providing unparalleled expertise in cosmetic, general, implant, and sedation dentistry. He is dedicated to providing you with the most advanced techniques and effective technology available in dental care. Click below for more information. Bellevue Dentist
health information 7 Signs You Might Need a Sphenoidotomy (and What to Do Next) Sphenoidotomy is vital for many reasons. It is utilized to remove infected tissue, Access and excise tumors, and decongest sphenoid sinuses. If you’re considering this procedure, here are the seven signs that indicate you need one. What Is a Sphenoidotomy? A sphenoidotomy is a surgical procedure aimed at enlarging the opening of the sphenoid sinus. It can involve the surgical removal of infected tissue. It can also vary in approach based on the patient’s specific medical condition. 7 Signs You May Need Sphenoidetomy 1. Conservative Treatment is Not Effective to Your Vasomotor Rhinitis Vasomotor rhinitis is characterized by inflammation of nasal passages due to non-allergens like smoking, the cold, stress, or air pollution. If medicine has little to no effect on your vasomotor rhinitis, your healthcare provider may recommend endonasal vivian neurectomy. Endonasal vivian neurectomy is a surgical procedure to numb the nerve that triggers vasomotor rhinitis. Sphenoidotomy is often incorporated into this procedure to alleviate rhinitis symptoms effectively. 2. Conservative Treatment is Not Effective to Your Sphenoid Rhinosinusitis Sphenoid rhinosinusitis is the inflammation of the sphenoid sinuses and nasal lining. Rhinosinusitis is inflammation of the sinuses and the lining inside your nose. If traditional remedies like medication and saline irrigation prove ineffective in alleviating symptoms, your healthcare provider may suggest sphenoidotomy. Through sphenoidotomy, your sinus surgeon can remove infected tissue and improve nasal airflow. 3. There is a Mass or Lesion in Your Sphenoid Sinus Discovering a mass or lesion within the sphenoid sinus can indicate a tumor, which can cause various symptoms. A growth in the sphenoid sinus can cause long-term or chronic nose congestion, making breathing or smelling difficult. The tumor can also cause pus or blood to drip from the nose. Additionally, the tumor’s presence may exert pressure on nearby nerves, resulting in sensations of numbness or pain in the face, teeth, or ears. Sphenoidotomy offers a solution to address these issues. It allows your healthcare provider to remove the lesions effectively, relieving your sphenoid sinuses from the associated symptoms and restoring their function. 4. You’re Having Vision Problems Did you know that approximately 90% of sphenoid sinuses contact the ipsilateral optic nerve, while 10% contact both nerves? Congestion within the sphenoid sinus can exert pressure on the optic nerve, resulting in blindness, loss of color vision, and pain. Expanding the opening of the sphenoid sinus through sphenoidotomy facilitates drainage of congestion, thereby alleviating pressure on the optic nerve and improving vision. 5. You Have a Sphenoid Cerebrospinal Fluid Leak Sphenoid cerebrospinal fluid (CSF) leaks can be congenital, traumatic, tumor-related, or idiopathic. Approximately 26% of non-traumatic CFL leaks occur with defects in the sphenoid sinus. For traumatic CSF leaks, 29% result in meningitis in the long term when not surgically repaired. In such cases, a sphenoidotomy is essential to access and Repair the leak, preventing further complications. 6. You Have Pituitary Tumors The pituitary gland is at the brain’s base above the nasal cavity. Large pituitary tumors can press on the pituitary gland, brain, and nerves, causing headaches, vision problems, and even seizures. For a non-invasive surgical removal of these pituitary tumors, sphenoidotomy is crucial. 7. You Have Tumors on the Base of Your Skull Skull-based tumors can impact the cranial nerves responsible for sensory and motor functions, including sight, taste, smell, hearing, and facial muscle control. When these tumors impinge on cranial nerves, they may lead to blindness, hearing loss, and an altered sense of taste and smell. Located at the bottom of the skull, these tumors can be addressed through endonasal skull-based surgery via the nasal passage. Accessing these tumors necessitates the opening of the sphenoid sinus through a sphenoidotomy, allowing the surgeon to remove the tumors and restore normal function effectively. What to Do Next: Finding a Sinus Specialist Sphenoidotomy is typically recommended when conservative treatments yield inadequate results or when symptoms, such as vision impairment, escalate. In some instances, sphenoidotomy is incorporated into broader surgical interventions to access specific regions within the body. If you exhibit any of the signs mentioned above, consulting a sinus specialist or surgeon is essential. At Puget Sound Sinus Center, you’ll find a dedicated sinus specialist with extensive experience in successful surgeries. Dr. Amy Anstead is the only sinus specialist globally to complete a second Integrative Medicine fellowship. She offers evidence-based and holistic care for sinus and skull base conditions. Take the first step toward relief by scheduling an appointment with us today. Dr. Amy Anstead
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health information people Edinburgh’s Scottish Orthodontics in New Town: Pioneers in Smile Enhancement Located in New Town, Edinburgh, Scottish Orthodontics is a leader in the evolving field of orthodontics, renowned for transforming smiles through state-of-the-art technology combined with tailored patient care. This makes it an excellent choice for anyone looking to Enhance their smile and boost their confidence. The path to dental excellence at Scottish Orthodontics begins with a detailed evaluation by skilled orthodontic specialists. This initial comprehensive assessment pinpoints each patient’s distinct dental needs and designs an appropriate treatment strategy. Employing sophisticated tools such as digital imaging and 3D modeling, the clinic crafts precise, personalized treatment plans. Education is a cornerstone of the practice at Scottish Orthodontics. They believe that informed patients are better equipped to make decisions regarding their treatment. The team takes the time to discuss all treatment options, including traditional braces, clear aligners, and lingual braces, ensuring that patients are fully prepared and confident as they commence their orthodontic journey. Traditional braces at Scottish Orthodontics have been enhanced with the latest technological advancements to improve both aesthetics and comfort, offering effective alignment solutions that also prioritize the patient’s lifestyle. For those looking for a subtler option, Scottish Orthodontics offers clear aligner therapy. These custom-made, nearly invisible trays are designed to gradually move teeth into their proper positions under the careful supervision of their expert orthodontists. Lingual braces are another testament to the clinic’s dedication to discreet treatment alternatives. Placed behind the teeth, they offer an almost invisible solution to teeth alignment, perfect for patients seeking effective treatment without visible braces. The transformative process of teeth alignment at Scottish Orthodontics not only elevates patient confidence but also improves overall oral health. The clinic is committed to enhancing the aesthetics of smiles and the general well-being of their patients. In summary, Scottish Orthodontics in New Town, Edinburgh, stands as a leader for those aiming to perfect their smiles. With a strong commitment to clinical excellence and a focus on patient-centered care, the practice represents the height of orthodontic innovation, guiding patients to achieve the best outcomes for their smiles through expertly directed treatments. For more information, please visit Scottish Orthodontics
health information people Complications and Risks Associated with Endoscopic CSF Leak Repair Understanding Nasal CSF Leaks and Rhinorrhea: Exploring Cerebrospinal Fluid Dynamics Cerebrospinal fluid (CSF) is crucial in cushioning the brain and spinal cord within the protective dura mater. However, when a breach occurs in this barrier, CSF can seep into the sinus cavities, leading to what’s known as CSF rhinorrhea. CSF Rhinorrhea: Differentiating Symptoms and Characteristics Distinguishing CSF rhinorrhea from typical nasal discharge is vital. Unlike common runny noses, the nasal discharge resulting from CSF leaks is typically thin, Clear, and often unilateral, emerging from only one nostril. Importantly, it doesn’t respond to standard cold or allergy medications, serving as a distinguishing factor. Risk Implications and the Importance of Timely Intervention In cases where the dural defect fails to self-heal, the potential for bacterial infections affecting the brain’s surrounding linings becomes a concern. This risk underscores the necessity for surgical correction, prescribed by healthcare professionals, to mitigate further complications. Certainly! Let’s expand on the description of endoscopic CSF leak repair, integrating more main content keywords while following the provided instructions: Unveiling Endoscopic CSF Leak Repair Endoscopic CSF leak repair is minimally invasive. It is a surgical solution administered under general anesthesia. At the Proliance Puget Sound Sinus Center, this procedure is meticulously executed, encompassing the following steps: Precise Exploration with Nasal Endoscopy: The procedure involves inserting a nasal endoscope and navigating the nasal passages to pinpoint the dura mater breach. Often situated at the skull base, this breach is the conduit for CSF leakage into the nasal cavity. Precise Repair with advanced techniques: The identified hole in the dura mater is skillfully patched using sophisticated methods. The repair involves the utilization of an Alloderm graft along with mucosal tissue from within the nasal passages. This meticulous approach aims to seal the breach, preventing further CSF leakage. Its minimally invasive nature ensures several patient benefits. Post-operatively, individuals experience reduced discomfort with minimal postoperative pain. Moreover, the procedure boasts an aesthetic advantage, leaving no visible scarring. Exploring Risks and Complications Following endoscopic CSF leak repair, risks and complications remain notably minimal. Among these, the most frequently observed is meningitis, albeit with a remarkably low likelihood of occurrence, standing at a mere 0.03% post-procedure. Additionally, other potential complications with comparatively lower risks include: Hydrocephalus: Signifying the accumulation of cerebrospinal fluid within the brain, this complication, though infrequent, remains a possible postoperative concern. Mucocele Formation: This condition entails mucus buildup within the paranasal sinuses and is considered a rare occurrence after the repair procedure. Intracranial Abscess: An unusual but potential complication characterized by swelling in the brain due to pus accumulation post-surgery. Pneumocephalus: Indicative of the presence of air within the intracranial space, this complication, while infrequent, remains part of the postoperative considerations. To learn more about how to care for someone after undergoing endoscopic CSF leak repair, click the link below. Dr. Amy Anstead
government health information reference Marijuana Use and Your Disability Claim Marken Law Group, PS, understands that people view marijuana differently, some as an alternative medicine used for pain, to aid nausea and potentially other benefits and others who view it as a drug to stay away from like other illicit drugs. We will leave the benefits/risks up to a person’s doctor to explain. We also are not advocating or condemning marijuana use. We are, however, explaining what it could mean for your Social Security Disability claim. Marijuana is currently, at the time of this posting, legal in 9 states including Washington D.C. Despite this, marijuana is still ILLEGAL as far as the federal government is concerned. The Social Security Administration is a federal entity, therefore they view marijuana as an illicit drug the likes of meth, cocaine, and so on. Most judges we go in front of, do NOT view marijuana as a healthy alternative to opioid medication. While there is MUCH debate on this topic and we are not here to discuss the debate, the Judges who will hear your case will not like your use of marijuana, even if taken specifically for pain. If your issues are primarily physical, marijuana will not necessarily hurt your case. You do need to be prepared and have a thorough understanding of what the Judge WILL ask you at your hearing. If you have a mental health diagnosis and take marijuana, it is a more difficult road. Our clients often take marijuana to help with social anxiety and depression. The problem is the medical community and the Judge’s, most likely, view marijuana as CONTRIBUTING to anxiety and depression. Indeed I have personally seen judges roll their eyes when a claimant is testifying to their marijuana use helping their anxiety. Whether it does or does not is not really important. The fact is, most Judges and medical experts testifying, will view marijuana use as a significant detriment to mental health and stability and it could prevent you from obtaining benefits. Each case is specific and this should in no way be construed to be blanket statements concerning all judges and medical experts. At Marken Law Group, PS, we can walk you through the hearing process and what to expect come examination from the Administrative Law Judge who is hearing your claim. Click the link below to learn more. Marken Law
health information How Gum Grafting Treats Receding Gums For people with receding gums,gum grafts can treat the issue. Gum grafting to replace lost gum tissue is one of the most common procedures in the US. Gum recession is a common problem. Yet,gum recession is not something you should ignore. That’s because gum recession can be the result or lead to Health issues. Treatments such as gum grafting can repair your gums and prevent further harm. What causes gums to recede? Gum recession occurs when the tissue that surrounds your teeth wears away. Gums pull away from the tooth’s surface exposing enamel and the root. Receding gums cause gaps to form between teeth and the gum line. This creates space for bacteria to collect. Once harmful bacteria collect in gum pockets,your risk of tooth decay,sensitivity,and bone loss increases. There are a few factors that can cause gums to recede,including: Genetic predispositions make some of us more susceptible to gum disease and recession. Wear and tear associated with aging. Aggressive tooth brushing can cause tooth enamel to wear away and gums to recede. Advancing tooth decay and tooth loss increases your risk for gum recession. Periodontal disease is a bacterial infection of the gums. Over time,periodontal disease can destroy gum tissue and the supporting bones. Gum grafting effectively treats receding gums Gum grafts treat gum recession by replacing the lost tissue around your teeth. When you restore the health of your gum tissue you improve your oral health. If you think you have receding gums,make an appointment with Dr. Frahm. She will measure the pockets around your teeth to diagnose any gum problems. If your gum recession is in the early stages,she may recommend curettage periodontal treatment. Curettage is performed here,in our dental office,by Stacey who directs our clinical hygiene department. If surgical care is required to restore your dental health,Dr. Frahm will recommend a periodontal specialist. Other advantages of gum grafting Gum grafting gives you the best chance of treating advanced gum recession,gum disease,and improving your overall oral health. It also reduces your risk of additional cavities and decreases tooth sensitivity. According to the Cleveland Clinic,gum grafting has a treatment success rate of over 90%. It’s a plus that gum grafting improves the appearance of your smile. By evening out an uneven gum line gum grafts frame your teeth with symmetry. Most importantly,gum grafts cover exposed tooth roots. This reduces your risk for tooth loss and protects your teeth from decay. When gum grafting is required to treat receding gums due to periodontal disease,chances are good that your dental Insurance will cover the procedure. Be sure to talk to your dental insurance provider to find out what’s covered and if there are any out-of-pocket expenses. You can also discuss payment options with our dental care team. Let our team of dental care experts help you attain your most vibrant smile. Please call 831-372-8011 today or click the link below to schedule an appointment with Dr. Sarah Frahm. We serve patients throughout the communities of Monterey,Carmel,and Pebble Beach. Dr. Sarah Frahm
health information people reference Why Sedation Dentistry Is Wonderful Sedation dentistry is wonderful because it allows you to have a significant amount of dental work completed,while you rest comfortably through your appointment. If you feel anxious about going to the dentist,sedation dentistry is a well-tested,effective way to reduce discomfort and pain. It has the added benefit of allowing dentists to complete treatment in less time and with fewer appointments. Types of Sedation Care According to an Adult Dental Health Survey,almost 50% of people report feeling anxious or have extreme fear of the dentist. With that in mind,Dr. Frahm has created an atmosphere of tranquility in her Zen-inspired office. With aroma therapy,personal music players,plush blankets and neck pillows,we provide a gentle,calming experience to put you at ease as soon as you walk in the door. To further offset anxiety,we often suggest sedation dentistry to patients who experience dental stress and anxiety. Sedation dental care involves the use of medicine to reduce anxiety. Dr. Frahm is an expert in two types of sedation dentistry. She always discusses your options with you before treatment begins. With each type of sedation care,you remain semi-awake and able to respond,but rest in a deep state of relaxation Nitrous Oxide Nitrous oxide or laughing gas is an odorless gas that is used in combination with pure oxygen to induce a feeling of relaxation and well-being during treatment. It is the mildest form of sedation and creates a pleasant feeling of euphoria. Nitrous oxide has been used in dentistry for over 100 years. It is well-tested and effective. The gas wears off within minutes after treatment,allowing patients to return home on your own with no lasting effects. Oral Conscious Sedation Oral conscious sedation or OCS is a newer,extremely effective option of sedation dentistry. Dr. Frahm has undergone rigorous training to be certified with the Doctors for Oral Conscious Sedation. Referred to as “twilight” treatment,OCS puts you in a dozing state. You will feel relaxed and rest through treatment. With oral conscious sedation dentistry,about an hour before treatment,you’ll take anti-anxiety medicine to reduce your stress even before coming in. Many patients prefer OCS because it is a deeper form of sedation that prevents anxiety,makes the experience more comfortable and reduces your memory of the procedure. While your treatment is performed,our care team monitors your blood pressure,oxygen intake and heart rate to make sure you are calm and well taken care of. Because the effects of oral conscious sedation last longer than nitrous oxide,someone will need to bring you to your appointment and drive you home later. Your dental health and well-being are important to us. You’ll also be hearing from Dr. Frahm once you return home to ensure you are feeling comfortable and well. If you have a fear of dental work,you are not alone. Dr. Frahm will carefully discuss your particular needs with you to determine which form of sedation care works best for you. As always,our holistic approach to dental care keeps your long-term wellness in mind. Contact Dr. Frahm today at 831-372-8011. Our office is conveniently located at 660 Camino Aguajito #201 in Monterey,CA 93940. To learn more about Sedation Dentistry,check out more with the link below. Dr. Sarah Frahm | Sedation Dentistry
financial government health information What are Social Security Survivor Benefits? social security benefits are mostly known for those of partial or full retirement age, though there are several different types of benefits, such as survivor benefits. The official name of the program is Old-Age Survivors and disability insurance (OASDI) which helps your spouse or dependents receive a passed-on spouse’s social security benefits on top of their own. Below you’ll find information that gives a more in-depth understanding of a widow’s social security benefit derived from their spouse and some advice on how to navigate the complex rules of the program. Who Qualifies for Social Security Survivors Benefits? To qualify for social security survivor benefits, you’ll have to meet the requirements for eligibility, which include: You must be a widow or widower of any age who is caring for the deceased’s child or children under the age of 16, or who are disabled. Step-children, grandchildren, step-grandchildren, and adopted children can be included under certain circumstances A widow or widower who is 60 years older or more who has not remarried Any unmarried children of the deceased who are younger than 18 years old or have a disability that surfaced before 22 years old. Parents that are 62 years or older that were dependent on the deceased for at least half of their income and whose social security income would not be larger than of the deceased’s children. A surviving divorced spouse may receive benefits if they meet other eligibility requirements Another point of qualification is shared with social security retirement requirements, meaning you would have to have worked a certain number of years and gained the Proper amount of credits each year for your loved ones to be eligible for the benefits. How are Social Security Benefits Calculated for a Widow? How the benefits are calculated for a widow can quickly become complex as there are several provisions for different circumstances. One such provision is the one-time death benefit payment of $225, which can be issued if the deceased spouse either lived with the widow(er) or was receiving social security benefits on their record. If there is no surviving spouse, the one-time payment can be given to a child who is eligible for the benefits. Another provision is if the death leaves a spouse with dependent children, which allows the benefits to be paid to them if the deceased had earned at least 6 credits within the three calendar years prior to their passing. To gain the benefits, a specific amount of credits are needed to be eligible, depending on the age of the spouse who has passed. The younger they are, the fewer credits are needed, but the maximum required is 40. Also, just as with the Social Security Administration’s retirement SSI program, the amount of survivors benefits depends on the average lifetime earnings of the spouse who passed. The more that was earned, the higher the benefit till a maximum amount is reached. How Big Can the Benefits Be? The benefits survivors receive can depend on their age and the type of relationship they had with the deceased: Widow(er) Benefits If at the full retirement age, the surviving spouse can receive the total amount of the deceased’s benefits. If they are between the ages of 60 and full retirement age, they can receive between 71% to 99% of the amount. A disabled spouse between 50 and 59 years of age can receive up to 71%, and a spouse caring for a child under the age of 16 at any age can receive up to 75%. A divorced spouse, if they qualify as previously mentioned, can receive the same amounts listed above. Children and Parent Benefits Children under the age of 18, or 19 if still in school or disabled, can receive 75% of the deceased parent’s benefit. A parent that is dependent on the deceased is eligible to receive 82% of the benefits, but if both parents are alive and were dependents, then they each can collect 75%. As you can see, it can become quite complicated to ensure you receive your social security from your loved one. Here at Marken Law Group, we have a comprehensive understanding of social security benefits for surviving spouses. We understand how stressful benefits can be and don’t want to add to your plate during this sad and stressful time. Partner with an experienced ally that is by your side from start to finish with a qualified social security lawyer to help you through this process to secure your benefits. No Fee
government health information society How Does Social Security Benefits Work for Married Couples? When the time to collect Social security benefits is inching closer, married couples can sometimes wonder how social security insurance would work for them. It can be a tricky area, especially if there are two very different income levels, or if someone passes, it’s good to understand how the insurance income from social security works and avoid any hiccups that could prevent collecting on social security retirement benefits. Work Benefits for Married Couples Each married person is entitled to their social security benefits based on their own work record and is available to file for when the age of 62 is reached, though waiting beyond early retirement can increase the amount of the social security benefit. Also, a married couple is eligible to collect benefits up to 50% of their spouse, whichever is greater. This is a great help if one spouse is a much higher earner and is known as a “spousal benefit.” To be clear, both spouses cannot claim both benefits. The Social Security Administration will give you whichever is higher, but not both. If one spouse qualifies for benefits based on their own earning history, the SSA will use your own work records first, but will then use your spouse’s to give the maximum benefit. Calculating Spousal Social Security Benefits Spousal benefits are calculated based on the primary insurance amount, the amount you’re eligible for at the full retirement age (FRA). Depending on your age when you start paying into social security, you can claim 32.5-50% of your spouse’s benefits. If filing at the FRA, you’ll receive 50% maximum, but early retirement at age 62 will give you 32.5%. Waiting past the full retirement age can give you delayed retirement credits, this is 8% more of your social security for each year you wait past the FRA, capped at 70 years old. It’s important to note that you cannot earn delayed retirement credits when taking spousal benefits. Also, if you take spousal benefits it won’t affect the benefits your husband or wife receives. SSI benefits are based only on the primary insurance amount and when they’re claimed. Survivor Benefits Survivor benefits are social security benefits based on the word record of a spouse who has passed away. To qualify, the couple must have been married for at least ten years or have a child that the surviving spouse is caring for, and is younger than 16 or is disabled. This benefit is similar to claiming the benefits of a Living spouse, that you’re able to receive the amount if it is higher than your own social security benefit amount at the time when the spouse passed. In order to file for survivor benefits, you must wait until your full retirement age in order to receive the full benefits. If you claim social security benefits from a deceased spouse as soon as you are eligible (age 60) you will only receive 71.5% of the benefits. If you remarry before the age of 60, you won’t be able to collect survivor benefits, but remarrying after the eligibility age won’t affect collecting them. Threats to Claiming Your Social Security Benefits There are mistakes and pitfalls that many people make when filing for spousal social security benefits. Many married couples develop a strategy to ensure they get the most out of their benefits, filing at the right time and claiming the higher earner strategically. When filing as a divorced person or survivor benefits, things can become more tricky, which is why we at Marken Law have dedicated our legal expertise to helping people secure their SSI benefits. Here at Marken Law Group, we have a comprehensive understanding of social security benefits. We understand how stressful benefits can be and don’t want to add to your plate during this potentially stressful time. We have represented hundreds of claimants in Washington, Idaho, Montana, Oregon, and California to obtain what is rightfully theirs. We focus on your individual needs and bring our extensive experience to help guide you through. Getting what you need to live and have what you deserve is too important to leave to chance. Partner with an experienced ally that is by your side from start to finish by having qualified social security lawyers help you through this process to secure your benefits. Secure Your SSI
food information shopping society All About Erikson Psychosocial Stages Erikson’s Theory of Psychosocial Development, first published in 1950, described stages of development eight stages a person has to go through to achieve health. Each stage is characterized by a crisis that either creates or damages a person’s personality. This theory is based upon Freud’s psychosexual stages as well as Social influences. It has been criticized for its generalizations but it remains an essential part of mental thinking. It has also been useful in changing the way we see middle and late adulthood as periods of active personal development rather than an opportunity to survive. The initial stage, called infancy, spans from birth to about 18 months. In this stage, the infant is completely dependent on their caregivers. The infant learns to Trust their caregivers by being able to observe how they respond to their needs such as comforting and feeding. This is crucial to the development of their self-esteem, as well as their sense of security. The stage of toddlerhood is Erikson’s next stage of psychosocial growth and is a period of time that spans from 18 months and 2 years. This is when the child’s confidence in themselves develops. The way they succeed or fail in this process will have an impact on the development of their personality. The child who fails to overcome their feelings of shame or doubt will face these issues throughout their lives. But, when a child is able to successfully complete this phase, they will be able to establish intimate relationships later on in life. Preschool is the third stage in Erikson’s model and occurs between ages 3 and 5. In this age group, children are learning to connect with others, as well as an increased sense of Self-confidence. This is the time when teachers and parents should concentrate on fostering positive and encouraging relationships with their children. Positive interactions encourage independence in children, and provide guidance and support. The negative actions, like negativity or indifference, could damage a child’s confidence and self-esteem. The elementary school is the fourth stage of Erikson’s theory and is a period between 6 and 12 years of age. It is at this point that a child starts to feel the pressure of being accepted by other people such as their teachers and classmates. It is at this point that a child begins to develop their sense of industry or their ability achieve goals and accomplishments. Teachers who praise and encourage their students will help them build a sense of confidence and confidence, and they will not have the urge to assess their capabilities against other students. In the middle of adulthood, people are often focused on their careers and families, but this is also an age when people start to think about their own mortality. Many people feel regrets about actions they’ve performed or did not do. A person who can overcome the difficulties of this phase is likely to enjoy a satisfying and rich retirement. However, if they do not overcome these challenges and face an unplanned crisis in their mid-life that could lead to serious mental health issues.
government health information society Medical Evidence for Disability: What Do You Need to Know The goal of an SSA analyst is to determine if you fall under their definition of Disability so that you can claim long-term disability benefits. As a claimant, you’re responsible for providing medical evidence of your impairments and their severity. While SSA can gather the evidence based on your list of resources, having proof ready makes processing your benefits faster. Submitting Medical Evidence Scenarios The SSA analyst will need medical evidence such as copies of your medical records, health worker reports, and recent test results. However, there are some misconceptions people may have that they unintentionally delay filing their claims. Here are some scenarios we hope to clear up: Scenario 1: You have your copies of medical evidence Submit them immediately. When you have it ready, it makes filing your claims faster. Scenario 2: You have incomplete copies of medical evidence Submit the ones you have immediately. Applying early may help you retain your disability benefits. SSA will do the rest by contacting your medical source(s) to send your other evidence to them. Or you can gather the rest to make the process faster. Scenario 3: The obtained evidence from you and your medical source(s) is insufficient The SSA analyst will ask you to undergo a Consultative Examination (CE) paid from their pocket. However, SSA may prefer an independent medical source to your hospital or clinic to conduct the CE. The Three Keys for a Strong Medical Evidence Ideally, CE is a convenient way for claimants to get a complete and detailed medical record sufficient for SSA. But to save time and energy, you can build robust medical evidence to make your process faster without requiring CE or making several trips to the SSA. Admissible evidence must have the following: Severity of impairment(s), Duration of the impairment(s), and Limited functions that the impairments cause (walking, lifting, going to the bathroom, etc.) We can use SSA CE’s objective and subjective evidence requirements to show the severity and duration of impairment(s) and how it limits the claimant. How to Strengthen a Disability Case with Objective Evidence Objective evidence is measurable or clear signs of abnormalities that cannot be faked or exaggerated: Get all recommended diagnostic and laboratory testing. Have additional testing to provide more accurate proof of your symptoms and limitations. Create a detailed list of your medical appointments. How to Strengthen a Disability Case with Subjective Evidence Subjective evidence is documented symptoms experienced by the claimant. The more consistent the subjective evidence is, the stronger it is as evidence: Reporting all your symptoms to your doctors at every appointment for proper documentation Following your doctors’ prescriptions and recommended treatments (non-compliance can be seen as disinterest in getting better) Keep a detailed record of your medications and their side effects to give SSA an understanding of how your meds can impact your daily living How to Strengthen a Disability Case with Medical Expert Opinion Your healthcare provider’s assessment of your condition can provide insightful information on how it impacts your life. A signed evaluation or narrative letter of your chief complaint(s) can strengthen your case. Getting treated frequently helps your doctor be familiar with your conditions and their consistency within your medical record. How Marken Law Can Help You Consistency among the objective and subjective evidence and medical consultation strengthens your disability case. At Marken Law, we review your disability case for inconsistencies and missing requirements. Then, we add more supportive medical opinions to create your extensive medical evidence. Depending on the case, here are our methods to make explicit disability claims for you: Interview your doctor through a questionnaire. The questionnaire we provide is relevant to your specific conditions. The results are drafted so the SSA analyst understands how your condition limits your daily activities. Collect clarifying answers for you. We contact your healthcare providers on conflicting data, unexplained findings, and complicated conditions so the SSA analyst does not have to. Get medical opinions from our medical network. As lawyers licensed in Washington, Idaho, Oregon, and California, our medical connections objectively review your medical evidence, and we record their evaluations. Their evaluations can Support the expert opinions of your healthcare providers. Glaring medical evidence cannot be ignored. To get approval for your disability claims fast, you’ll need to get everything right. To learn more about this, please check out Marken Law Group
business construction education financial government health home hospitality information real estate Are your Fire Doors suitable for protecting your building? All property owners and business owners have a legal responsibility to ensure their premises, and the people that use them, are appropriately protected against fire. From frequent upkeep to fire risk evaluations, it is essential to make certain fire safety measures are taken seriously. Get in touch with us here Fire doors hold a critical function in the fire Security of a premises. They are designed to prevent the spread of smoke, fire and poisonous gases in the event of a fire. Fire resistant doors are different to typical doors, in that they are specifically created and tested to give fire resisting properties. Need ? Usually, fire doors are made of timber or metal. Precisely Why are Fire Doors essential? There are two primary Benefits of fire safety doors: Enhanced Safety: Fire doors allow for speedy evacuation of people and their belongings, and to enable the fire service to combat a fire. Decreased Damage: Fire doors decrease the rate of fire damages to a property. The smallest period fire doors can tolerate fire is 20 minutes. More than just the door A top quality fire rated door is only as effective as its fitting. When choosing a fire door provider, you need to ensure the installer has the lists of specifications needed and an experienced professional will help to direct you in making a good purchasing decision. Are your Fire Doors suitable for their function? Fire doors are only practical if they are serviced to the highest standards and are fit to complete their intended function in the event of a fire break out. To ensure the safety of a property’s occupants, you must frequently check all fire doors.While your fire doors need to be examined routinely by a fire safety specialist, your business also has a duty to check for any faults and damage on a more frequent basis. Did you know 53% of individuals do not know precisely how to identify a dangerous fire door? Find Out more from