Change Of Address Form Md 2011: Fill & Download for Free

If the Social Security Administration (SSA) is refusing to update your gender marker without surgery then they are not following policy.From the SSA:Accept any of the following:full-validity, 10-year U.S. passport with the new sexNOTE: Do not accept passports with less than ten years of validity.;State-issued amended BC with the new sex;court order directing legal recognition of change of sex;medical certification of appropriate clinical treatment for gender transition in the form of an original signed statement from a licensed physician (i.e., a Doctor of Medicine (M.D.) or Doctor of Osteopathy (D.O.)). The statement must include the following:physician’s full name;medical license or certificate number;issuing state, country, or other jurisdiction of medical license or certificate;address and telephone number of the physician;language stating that the individual has had appropriate clinical treatment for gender transition to the new gender (male or female);language stating the physician has either treated the individual in relation to the individual’s change in gender or has reviewed and evaluated the medical history of the individual in relation to the individual’s change in gender and that the physician has a doctor/patient relationship with the individual;language stating “I declare under penalty of perjury under the laws of the United States that the forgoing is true and correct.”NOTE: See RM 10212.200C in this section for a sample letter from a licensed physician that includes all required information to certify to the individual’s gender change.IMPORTANT: Surgery is no longer required to change the sex field on the Numident. However, if an individual presents an original or certified letter from a physician stating the individual has undergone sexual reassignment surgery, accept it as evidence to change the sex field when it meets the requirements in GN 00301.030 and contains sufficient biographical data (e.g., name, date of birth) to clearly identify the individual.[1][1][1][1]That policy has been in place since 2013. The SSA is particular about what kind of medical provider can issue a medical certification and personally, this caused me a bit of trouble with the SSA early in my transition. I saw a Nurse Practitioner for my primary care (NP), a Naturopath for my hormone therapy (ND) and a Psychologist (PhysD) for my transition related mental health care. I actually didn’t have an MD or DO on my provider team. My ND offered that one of the other doctors in her practice would see me to write the letter but it would cost me $200 out of pocket because I was on a grandfathered healthcare plan with trans exclusions… I chose to wait until after top surgery and get a letter from my surgeon instead.It is not the policy of the SSA to require surgery and it has not been for several years.As of 2011, the SSA has updated their policies to not inform employers of gender marker changes.[2][2][2][2] This isn’t a policy the SSA should be following and has not been for even longer than the requirement for surgery was removed. If the SSA has changed this policy, I can find no evidence of a change in that directive. (Which doesn’t mean they haven’t gotten new marching orders from the Trump administration, just that I can’t find anything indicating that they have.)TL:DR — Both of these things used to be policy but neither of them reflect current policy and they have not been part of SSA policy for several years.Footnotes[1] RM 10212.200 - Changing Numident Data for Reasons other than Name Change - 09/30/2013[1] RM 10212.200 - Changing Numident Data for Reasons other than Name Change - 09/30/2013[1] RM 10212.200 - Changing Numident Data for Reasons other than Name Change - 09/30/2013[1] RM 10212.200 - Changing Numident Data for Reasons other than Name Change - 09/30/2013[2] Social Security Administration No Longer Notifying Employers About Gender[2] Social Security Administration No Longer Notifying Employers About Gender[2] Social Security Administration No Longer Notifying Employers About Gender[2] Social Security Administration No Longer Notifying Employers About Gender

There are many physiological benefits from massage, but I will list the main effects on the body:1) Muscular system:When you reflect that the muscles constitute one half of the bulk of the body, and receive one fourth of all the blood supply of the body, you realize that any procedure which acts directly on them must have a decided influence on the whole body. When properly administered, massage produces a suction, or pumping effect, pressing forward the contents of the veinous and lymph channels, creating a vacuum to be filled by a fresh supply of fluid derived from the capillaries. Plainly speaking, massage (specifically flushing techniques such as friction and manual lymphatic drainage)refreshes the supply of oxygenated blood to the tissues it acts upon, clearing painful chemicals such as bradykinin, histamine and substance P, lactic acid, eicosanoids, nitric oxide, adenosine, cytokines, and others [1]. This, simply put, removes the source(s) of pain and increases comfort and proper function (including strength and endurance) through relaxation of the muscular fibers and better circulation within them.2) Skeletal and ligamentous:Massage can influence such harder structures such as bones and ligaments (the connective tissue structures attaching bone to bone). Bones have essentially the same blood supply as their overlying muscles. The blood vessels' and lymphatics' flows are largest(peripherally) in the vicinity of the joints. The change of fluids affected by joint movements resulting from the action of the muscles upon the bones necessarily produces an increase in the nutrition to these areas which then assists increased growth in the ligaments and other structures of the joints [2].3) Circulatory:General massage increases the rate and force of the heart beat, as does exercise, with the difference that it does not raise arterial tension or stimulate the neuromuscular junction as does active exercise, and it does not accelerate the heart to the same degree though it produces a full strong pulse. This is due in part to the influence ofmassage mainly affecting peripheral circulation. Friction (rubbing techniques) acts mainly on superficial veins while deep kneading (deep tissue and rolfing techniques, etc.) act on deeper vessels also. The effects of massage are marked in lymphatic vessels as well. Lymph vessels drain the tissues of waste and toxic substances. They are most abundant in subcutaneous tissue and in the fascia which coat and lie in between muscles. These vessels are mechanically affected (flushed) with friction and kneading techniques.[3]4) Respiratory:Massage, as in exercise, increases the depth of the respiratory movements. This is in some measure due to the parasympathetic reflexive influence of massage, but it is also be attributed in part to its effect in bringing the circulation waste products requiring elimination through the lungs, and increasing oxidation, or CO2 production, which necessarily accompanies the increased heat production resulting from the effect of massage on the muscles (from friction and increased muscluar metabolism). Massage is an efficient means of positively affecting tissue metabolism, by which oxygen is absorbed by the tissues andCO2 taken up by the veinous blood. This process takes place chiefly in the muscles through oxidation of glycogen, of which they contain one-half of the bodily store [4].There are also psychological benefits to getting a massage, mainly relaxation and peaceful frame of mind. Some of this can be attributed to the aforementioned benefits. There is also the simple act of releasing tension and allowing the body and mind to "let go", relax and breathe.There are many specific applications of manual therapy to achieve certain physiological goals, such as manual lymphatic drainage to affect local swelling versus deep tissue massage, Active Release, Thai massage or Rolfing to break up fascial/tendinous adhesions, versus trigger point therapy or myofascial release to address specific types of tension within specific muscles or myotatic groups. Each technique has its functional directives. Many different disciplines of medicine utilize massage/manual theraputic techniques to achieve certain goals. These get more specific with advanced techniques.EDIT 6/7/12: "If not (healthy), why not?" has been added to the question, which is an important point. There are several contraindications to massage (states in which massage is inadviseable and possibly harmful):1) Signifigant fever: the body is already under siege from infection or inflammation; massage is only going to increase the problem, not help.2) Uncontrolled infection: again, the body is already overloaded trying to attack the invading/inflaming organism. Massage will only add an additional overload and complication, most likely making symptoms worse. Wait until the infection is identified and eradicated before having a massage.3) Recent severe injury or surgery: there are advanced techniques such as manual lymphatic drainage and craniosacral therapy that can help control initial swelling and inflammation, but general massage would overload the body's capacity to respond favorably in such a compromised state.Resources:[1] "Essentials of Pain Medicine, 3d Edition"; Elsevier, 2011; Benzon,Raja,Liu,Fishman,Cohen; 2:2, pgs.8,9[2-4] "Art of Massage", Health Research, 1975; Kellogg, MD, pgs. 23-31There are also many fields of specialization within manual massage therapy.Some good recent research on this (although more is needed):1. http://www.researchgate.net/publication/51124913_Physiological_and_clinical_changes_after_therapeutic_massage_of_the_neck_and_shouldersPhysiological and clinical changes after therapeutic massage of the neck and shoulders.2.http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2254497/Preterm Infants Show Reduced Stress Behaviors and Activity after 5 days of Massage Therapy3.http://www.seminarsoncologynursing.com/article/S0749-2081(11)00098-2/abstractMassage in Supportive Cancer Care4.http://www.ncbi.nlm.nih.gov/pubmed/21589690Effects of patterns of pressure application on resting electromyography during massage.

The question is confusing to me. Presumably, “love” is used in this question as the word that is frequently used to refer to a desired manner of addressing personal interactions and/or affinity for all others; when more appropriate terms would be empathy, sympathy, and compassion. Sympathy is a feeling of pity for another person. Empathy is vicariously experiencing the feelings of another person. Compassion is sympathy and empathy with the addition of a reduced focus on one’s own needs, along with care-giving toward those who suffer or are in need. There are varying definitions for these terms, but I believe these are appropriate (see: Goetz, Keltner, & Simon-Thomas).Sympathy is more self-protective than empathy and compassion, in that there is less personal investment; therefore less intense as regards emotional impact, based on these definitions.We are what our neural paths are wired to be, and those neural paths are subject to new connections, strengthened old connections, and weakening or disconnection of connections with disuse (see Eagleman and Doidge).Even psychopaths, diagnosed as such due in major part due to a lack of empathy, are capable of being empathetic, see: https://www.quora.com/What-are-the-traits-of-a-psychopath/answer/Dan-Robb-2However, if the question concerns why the questioner is incapable of romantic love, presumably they just have not met the right person.“The best way to find yourself is to lose yourself in the service of others.” Mohandas (Mahatma) Gandhi (1869-1948)References:Eagleman, D. (2011). Incognito: The secret lives of the brain. New York: Pantheon.David Eagleman, PhD, directed the Laboratory for Perception and Action and the Initiative on Neuroscience and Law, Baylor College of Medicine, and is a Guggenheim fellow, and heads the Eagleman Laboratory for Perception and Action at Stanford Univ.Doidge, N. (2007). The Brain That Changes Itself: Stories of Personal Triumph from the Frontiers of Brain Science. New York: Penguin.Norman Doidge, MD, is a psychiatrist, researcher and professor, Columbia University and the University of Toronto.Goetz, J. L., Keltner, D., & Simon-Thomas, E. (2010). Compassion: An Evolutionary Analysis and Empirical Review. Psychological Bulletin, American Psychological Association. Vol. 136, No. 3, 351–374 DOI: 10.1037/a0018807