Je houdt het – al zeker als buitenstaander – niet voor mogelijk en toch is het zo dat personen met dezelfde zorgnood niet per se dezelfde financiële ondersteuning krijgen. Eerlijk kun je dat niet noemen. Bizar wel. Zeker gezien het pleidooi voor een kwalitatief en betrouwbaar toekenningssysteem voor zorgbudgetten. Komt daarbij dat mensen die jaren naar gepaste ondersteuning zochten en finaal de nodige stabiliteit hadden gevonden die stabiliteit opeens terug in rook zien opgaan.
Hoe is het zover kunnen komen? Om een en ander te kunnen ‘begrijpen’, is het nodig om terug te keren naar de dag waarop toenmalig minister van Welzijn Jo Vandeurzen besliste om de persoonsvolgende financiering in te voeren zonder eerst alle nodige voorbereidingen te treffen. De minister liet zich toen duidelijk leiden door het draagvlak dat hij bij de koepelorganisaties bespeurde. Een momentum dat moest worden verzilverd.
Gebrek aan transparantie
Jo Vandeurzen besefte maar al te goed dat er historisch gegroeide ongelijkheden in de subsidiëring van de voorzieningen bestonden. En de ene voorziening dus meer overheidsgeld kreeg dan de andere. Ook al boden beide instellingen een identieke doelgroep dezelfde zorg aan. Dit zorgde er bij de invoering van de persoonsvolgende financiering voor dat mensen met eenzelfde handicap en dito zorgnood toch een ander budget kregen toegekend, enkel en alleen omdat zij eerder met een andere zorgaanbieder een contract afsloten.
Begrijp ons niet verkeerd. Het is absoluut te verantwoorden om die historisch gegroeide ongelijkheden uit te gommen. Maar zou het niet billijker zijn geweest indien men dit eerst had gedaan en pas daarna de persoonsvolgende financiering had ingevoerd? Nu belanden gebruikers die hun budget zien dalen in een onzekere situatie, en daarnaast laat correctiefase 2 ook bij de andere gebruikers een zure nasmaak achter.
Het gebrek aan transparantie is net als de scepsis die er onder gebruikers bestaat over hoe de herverdeling gebeurt heel erg te betreuren. Eerst krijg je een budget waarvan je de oorsprong niet kent en enkele jaren later neemt men tot dertig procent van dat budget terug af. Telkens is er niemand die een en ander kan uitleggen. En of het Vlaams Agentschap voor Personen met een Handicap met een immens communicatieprobleem zit.
Zorggarantie
De beloofde zorggarantie is dan weer een stap in de goede richting. Zij het dat er ook hierrond grote onduidelijkheid bestaat. Zo moet een 750-tal mensen die hun persoonsvolgend budget omgezet zien worden in rechtstreeks toegankelijke hulp hopen dat hun zorgaanbieder hen die hulp ook effectief blijft bieden. De rechtstreeks toegankelijke hulp is immers niet afdwingbaar. En dus geldt de zorggarantie niet voor hen. Daarnaast verliezen ook alle mensen die in de afgelopen jaren naar een andere zorgaanbieder zijn overgestapt en nu hun budget omlaag zien gaan hun zorggarantie. Zij worden gestraft omdat ze zich hebben aangepast aan gewijzigde noden of omstandigheden.
Trefpunt Stan vindt dat het getuigt van een gebrek aan respect om deze mensen niet zoals alle andere gebruikers wiens budget omlaaggaat zorggarantie te bieden. Zorggarantie hoort voor iedereen te gelden. Toch als men consequent wil zijn.
‘Lessons learned’
De eerlijkheid gebiedt ons te zeggen dat het beleid en de gebruikers zich doorgaans allebei achter de doelstellingen kunnen scharen die decreten zoals dat met betrekking tot de persoonsvolgende financiering en het M-decreet beogen. En dat het er dus niet in de eerste plaats op aankomt om als gebruikersorganisatie hierover een inhoudelijk standpunt in te nemen. Maar het kan niet dat onze inspraak daar stopt. We zien het keer op keer misgaan bij de implementatie. Neem het systeem van persoonsvolgende financiering dat in de praktijk helemaal is scheefgetrokken. Of zie hoe het M-decreet op een mislukking is uitgedraaid, omdat men er niet de nodige middelen tegenover zette. Stan is benieuwd naar het begeleidingsdecreet dat in de plaats van het M-decreet komt. Hopelijk krijgen we geen oude wijn in nieuwe zakken. Intussen klinkt de info die ons bereikt over de uitbreiding van de persoonsvolgende financiering naar minderjarigen niet echt geruststellend. Zo riskeren we in dezelfde valkuilen te trappen als bij de invoering van het persoonsvolgend budget voor meerderjarigen.
Ik besef dat het achteraf makkelijk praten is. De belangrijkste vraag die ik mezelf stel, is dan ook niet hoe een en ander is kunnen gebeuren, maar welke lessen we hieruit kunnen trekken. De goede voorbeelden van belangenbehartiging kunnen ons helpen. En laat ons ook kijken naar welke middelen impact hebben en welke niet.
Stan zal zich nooit schikken in de rol van jaknikker, ook al delen het beleid en wij dezelfde mooie doelstellingen. Onze rol is om de overheid te doen inzien dat ze samen met de gebruikers moet bekijken hoe die doelstellingen best kunnen worden gerealiseerd. Echte inspraak en participatie is nodig om te vermijden dat wij als gebruikers in de toekomst nog meer voor voldongen feiten komen te staan.
Dries Fonteyn
Reacties
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Schreef op 18 mei 2025 om 09:27:24
Führen Medikamente zu einem Testosteron-Mangel,
kann das den Stoffwechsel von Männern verändern. Die Studienlage zur intermittierenden Hormonentzugstherapie ist uneinheitlich.
Ob die Therapiepausen den Zeitraum verlängern, in dem die Hormontherapie
anspricht, ist bisher unklar.
Testosteron beeinflusst auch den Proteinmetabolismus, indem es
die Proteinsynthese fördert, was zu Muskelwachstum und -erhaltung,
sowie zur Knochenmineraldichte beiträgt. Die Auswertung erfolgte als Subanalyse einer placebokontrollierten und randomisierten Phase-4-Studie, welche die kardiovaskuläre Sicherheit einer Testosteronbehandlung bei hypogonadalen Männern untersuchte.
Alle 5.204 Teilnehmer im Alter zwischen forty five und 80 Jahren litten unter einer kardiovaskulären Krankheit oder gehörten diesbezüglich zur Hochrisikogruppe.
Die Hälfte der Männer trug im Rahmen der Studie einmal
täglich eine vorgegebene Dosis eines 1,62%igen transdermalen Testosterongels im Schulterbereich auf. Die Dosis wurde im Zeitverlauf angepasst, um einen Serumspiegel von 350–750 ng/dl Testosteron aufrechtzuerhalten.
Bestellen Sie den kostenfreien Newsletter des Deutschen Ärzteblattes. Kommentare können nur von Abonnenten verfasst werden, die einen vollen Namen in ihrem Benutzerprofil hinterlegt haben. Einige Männer sind beunruhigt, wenn sie merken, dass ihr Ejakulat weniger wird, sich additionally die Ejakulatsmenge reduziert. Melatonin regelt die biologische Uhr, den sogenannten zirkadianen (24-Stunden) Rhythmus des Menschen.
Testosteron sorgt so dafür, dass vorher "neutrale" Zellen im Körper die für das männliche Geschlecht typischen Aufgaben übernehmen können. Testosteron ist ein männliches Sexualhormon, welches die Muskelmasse erhöht und das Immunsystem stimuliert. Tribulus terrestris, auch als Erdburzeldorn oder Erdsternchen bekannt ist eine blühende Pflanze und kommt hauptsächlich in Asien und Afrika vor. Allerdings gibt es auch in Südeuropa einige wilde Exemplare zu finden. Die Pflanze kann eine Höhe zwischen zehn und 50 Zentimeter erreichen und wirkt durch die filzige Behaarung leicht gräulich.
Aus diesem Grund sind in Deutschland Testosteron-Pflaster nicht mehr erhältlich. Die Nebenwirkungen sind hier im Vergleich zum Gel deutlich stärker. Solltest du dich für Testosteron-Gels oder Testosteron-Pflaster entscheiden, so kann es teilweise zu starken Hautirritationen führen. Von Juckreiz über Rötungen bis hin zu Ausschlägen sind hier möglich. Das Zuführen externen Testosterons sorgt im Körper dafür, dass vermehrt Wasser eingelagert wird. [5] Je höher die Dosis, desto höher die Wassereinlagerungen ("Ödeme").
Die Tendenz geht allerdings klar in die Richtung einer positiven Beeinflussung von Potenz durch die Einnahme von Tribulus Terrestris. Laut Richtlinien sind keine Mittel erlaubt, die die körpereigene Testosteronbildung erhöhen. Dies konnte bei Tribulus Terrestris jedoch noch nicht verbindlich wissenschaftlich nachgewiesen werden. Aus struktureller Sicht handelt es sich bei hCG um ein Glykopolymer, das sich aus 237 Aminosäuren zusammensetzt und aus zwei Untereinheiten besteht. Im Bereich der Medizin kommt das Hormon hauptsächlich zur Auslösung des Eisprungs bei Frauen, die schwanger werden möchten, zum Einsatz. Weitere Einsatzgebiete umfassen die Anregung der Testosteronproduktion bei Männern. Meist ist dies der Fall, wenn eine Unterfunktion der Hoden besteht.
Auch bei dieser Type der Hormontherapie bestehen verschiedene Risiken und auch unerwünschte Nebenwirkungen können auftreten. Mögliche Risiken und Nebenwirkungen werden vor Therapiebeginn in der Regel im Gespräch zwischen Arzt und Patient ausführlich geklärt. Für Sportler ist außerdem von Bedeutung, dass eingenommene Testosteron-Präparate bei Dopingkontrollen möglicherweise zu einem positiven Ergebnis führen. Der in der Behandlung eingesetzte Wirkstoff entspricht dem natürlich im Körper vorkommenden Testosteron. Testosteron wirkt an den Zellen des Körpers, die entsprechende spezifische Andockstellen (Rezeptoren) aufweisen. Das Hormon (und damit auch der Wirkstoff) gelangt auf diesem Weg in die Zellen und wird hier in der Regel durch das Enzym 5-alpha-Reduktase in Dihydrotestosteron umgewandelt.
Wer langfristig übermäßig Stress hat, riskiert, dass der Spiegel unterhalb des Idealwertes sinkt. Verschiedene Medikamente, wie Glukokortikoide oder die Anti-Baby-Pille führen in manchen Fällen einen Mangel an Testosteron hervor. Eine hohe Konzentration im Blut verursacht Testosteron Nebenwirkungen. So bekommt ein Kraftsportler neben stärkerer Muskulatur auftretende Hautprobleme, wie Pickel. Unter Umständen steigt die Anzahl roter Blutkörperchen gefährlich an.
Bei ungestörtem Schlaf-Wach-Rhythmus schüttet die Zirbeldrüse (Epiphyse) hauptsächlich nachts Melatonin aus, die höchsten Konzentrationen meist nach Mitternacht. Allerdings sind auch beim Mann Östrogene für den Knochenstoffwechsel und wahrscheinlich auch für bestimmte Gehirnfunktionen wichtig. Es kommt auf das richtige Gleichgewicht zwischen Testosteron und Östrogen im Organismus des Mannes an. Je mehr Fettgewebe ein Mann hat, desto mehr Östrogen produziert er. -
Schreef op 19 mei 2025 om 23:56:32
In ladies, testosterone ranges are larger before and after intercourse in comparability with before
and after cuddling. Administration of testosterone has
a time lag effect on genital arousal in girls. Furthermore, a
steady increase in vaginal sexual arousal may find yourself in heightened genital sensations and sexual appetitive behaviors.
Total testosterone ranges decline with age, falling by about 1% a 12 months after the age of- So what's ‘normal’ vary for man of 70 won't be the same as
that for a man forty years youthful, but the standard ranges usually do not take account of this
issue. Testosterone levels are at their peak through the late teenagers and slowly start to
decline thereafter. Excessive testosterone levels throughout these
years are crucial for bodily development and reproductive functions.
However, free testosterone ranges are sometimes
a more accurate indicator of hormonal health since this fraction of
testosterone is biologically lively and available for the body to make use of.
Normal free testosterone levels in males sometimes vary between 5-25
pg/mL, although this could differ primarily based on age and well being standing.
Sure, a testosterone degree of 2000 ng/dL is taken into account abnormally high and may indicate excessive
supplementation or an underlying medical situation. Yes,
typically, as it can lead to unwanted facet effects corresponding to hypertension, aggression, and cardiovascular dangers.Testosterone levels observe a diurnal rhythm, peaking within the early morning and declining throughout
the day. For males, the best time for tips on how to measure testosterone is between 7
a.m. This sample is why morning blood draws are recommended for the most accurate
assessment of testosterone range by age.
When testosterone is connected to albumin it's technically biologically inactive.That being stated, when bound to albumin, the attachment is
significantly weaker than when certain to SBGH. Because
it is so weakly attached, albumin-bound testosterone continues to be considered to be bioavailable.
Testosterone is important for fetal growth throughout being pregnant
because it helps management the development
of the male reproductive system. This article
will use the phrases "male," "female," or each to check with
intercourse assigned at delivery.
They can carry out blood exams to measure your testosterone levels and focus on therapy plans.
It is clear that the variance proven can make a big impact
on how a person feels, thinks, and looks primarily based on where his numbers might be found.
The average testosterone ranges in men by age listed under are primary guidelines that hormone specialists will use to evaluate every male
on an individualized basis. Understanding how testosterone levels
change with age can help you monitor your health and establish potential points early.
Here’s a simplified guide to testosterone ranges in women and men by age, designed to be easy to read and perceive.
Typically, whole testosterone ranges below 300 ng/dL (nanograms per deciliter) may point out low
T, however it’s nuanced.
While this lower is pure, maintaining a healthy way of life may help sluggish the process
and preserve optimum ranges. Testosterone levels fluctuate naturally over a man’s lifespan, peaking during late adolescence and early
maturity before gradually declining with age.
While some decrease is predicted and regular, vital drops in testosterone levels
can result in undesirable health effects. These might embrace fatigue,
decreased libido, loss of muscle mass, and even mood disorders corresponding to despair.For these experiencing symptoms of low testosterone, professional
analysis and applicable interventions can help restore stability
and enhance overall health. Whether through life-style modifications,
dietary assist, or medical treatments, proactive hormone
well being management empowers males to lead energetic and fulfilling lives well into their later
years. It is necessary to acknowledge that testosterone
ranges fluctuate throughout the day, typically peaking in the morning
and declining in the evening.
If you are showing signs of irregular testosterone levels, your supplier will doubtless perform a blood test to
measure your testosterone ranges. Sustaining optimum
testosterone ranges in males is crucial for the body to
carry out the various features that this important hormone is used for.
Vitality, sexual ability, muscle tone, bone density, cognitive functions, metabolism, hair growth, and temper are all dependent upon a correct quantity of testosterone circulating within the body. - So what's ‘normal’ vary for man of 70 won't be the same as
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Schreef op 22 mei 2025 om 01:07:31
If you’re experiencing testicular ache, admitting to a physician (or even to yourself) that one or both of your testicles harm might be
the last factor you wish to do. Persistent left testicle pain can considerably have an result on your high quality of life.It could cause discomfort, intrude with day by day actions,
and even impact your emotional well-being. Nonetheless, with the proper administration methods and a optimistic mindset, you can regain control over your life.
These tiny mineral soldiers assault your urinary tract before embarking on an insidious journey via cramped quarters in path of freedom.However, if the ache doesn’t subside or will get worse, or should you develop extra signs, seek
medical consideration. Testicular ache causes embrace sudden damage, inflammation, sexually transmitted infections or medical emergencies.
It may cause a dull ache that affects one or each testicles or your scrotum.Testicles, these small oval organs that hang delicately in a
protecting sack called the scrotum, play
a crucial role in copy and hormone manufacturing. Whereas it's true that
any testicular ache can be trigger for concern, at present we will
delve into the intricate world of left testicle ache – its causes and symptoms.CTP can intrude with normal, daily residing and
the flexibility to work.
This may occur if an an infection clogs the epididymis (sperm
duct blockage) otherwise you make less sperm as a end result of a testicle shrinks.
You may have surgery to empty any pus-filled tissue (abscesses).
In some cases, your doctor may must take out all or a
part of your epididymis (epididymectomy). If you could have urinary tract abnormalities, surgical procedure could possibly repair the issue that’s
causing epididymitis. If your doctor believes you have epididymitis,
they might give you a prescription for antibiotics earlier than any lab check outcomes are even back.You might have a extra critical condition that impacts your testicles.
Varicoceles happen when the valves within the veins that regulate blood move become weak or damaged.
As a outcome, blood pools in the veins, causing them to enlarge and turn into twisted.
This can result in a variety of symptoms, including pain, swelling, and a sense of heaviness in the scrotum.This is especially true for athletes who participate
in sports activities such as cycling, running, or weightlifting.
It is important for individuals participating in these
actions to focus on the indicators and signs of testicular torsion and seek medical attention if needed.Lower left abdominal and testicle pain could be a troubling and infrequently debilitating
situation, requiring prompt and effective therapy.
The ache could also be brought on by quite lots of various factors, starting from medical situations to accidents, infections, and even psychological stress.It is said that if the individual does not get due treatment within six hours
then the delay can lead to the loss of the affected testicle.Normally, testicular torsion occurs in adolescents however it can occur
in men of all ages. You could notice a small, water balloon-like mass and experience tenderness and swelling of the testicle,
as properly as other symptoms. Epididymal cysts often do not require treatment but should be checked by a healthcare provider in case of a tumor,
hernia, or different situation. Bacterial orchitis is
typically handled with antibiotics to eliminate the infection.
Ache relievers and anti inflammatory medications may be prescribed
to alleviate pain and cut back swelling. In the case of viral orchitis,
remedy focuses on managing symptoms and offering supportive care.These embrace hernias, kidney stones, some lower again pain, and pelvic floor dysfunction. If you’ve had a blow or harm to your
groin, the purpose for your testicular ache may be apparent.However generally it’s not clear why you’re feeling pain in your testicles.
If you notice any change in the look or feel of your testicles, contact your GP immediately.
The testicles are very sensitive and simply injured - even a
minor knock can cause excruciating pain. Acute prostatitis symptoms are extra
severe than persistent prostatitis, which could be bothersome however bearable.
Prostatitis is an inflammation of the prostate gland, which is located between the bladder and penis.
The inflammation could additionally be acute (short-lived) or continual
(symptoms final 6 weeks or longer). By frequently performing
this exam, you will turn out to be extra familiar with
your testicles and aware of any changes that may be of concern.
In those with urinary tract infections and an obstruction in the genitourinary system, antibiotics, and emergent
urologic intervention are essential. The testicular ache may range from severe to absent on the time the particular person sees a health care provider.Not Often, nonetheless, the injury may seem minor, but there could additionally be a
severe underlying injury to the testicle. Epididymitis happens when there may be inflammation of the epididymis (a structure within the scrotum).Epididymitis primarily affects adult males, and is most typical between the ages of 19 to 40 years; however, it could possibly happen in prepubescent boys and aged men. The downside is that there are some critical
situations that can trigger testicular pain. This article looks at 5 such circumstances, including one that is thought
of a real medical emergency. -
Schreef op 22 mei 2025 om 21:00:57
In one early-2024 Reddit thread that had 225
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Among those playlists was one 13-second clip titled "Where to Get Tren – The Place to Purchase Trenbolone Online." The corresponding picture was a shirtless muscular man, along with
textual content about tren. After the user chosen the playlist, the subsequent web page revealed an outline that included
an official-looking link, naspcenter.org/Get-Trenbolone.For the low season Trenbolone cycle you will find it stacks very well
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with testosterone and different anabolics corresponding to Winstrol and Anavar.
The pituitary gland produces HGH and influences bone and muscle
progress, among different capabilities. Though it could possibly promote muscle progress,
it does so in numerous methods than anabolic steroids.
Accurate testing for HGH in athletes isn't as simple as detecting
most anabolic steroids or other PEDs, and urine testing can not be used to detect HGH.
A particular test has been created to detect HGH in athletes, referred to
as the Human Development Hormone (hGH) Biomarkers Check,
which focuses on detecting levels of IGF-1 and P-III-NP.Unsurprisingly, use of steroids increased muscle size and number
of muscle cells within the athletes. Steve's work on social media, with tens of millions of views,
is a mannequin for a way harm discount training can reach a
large, engaged audience, help normalize safer use discussions and expand access to data.
By partnering with trusted community figures and influencers,
we will unfold consciousness concerning the dangers of steroid use while providing correct,
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stays, the unwanted effects of Tren are no joking matter.
The unwanted effects of Tren can be very harsh
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with any anabolic steroid, with Trenbolone we must use extra warning.
Absolutely, you can complement with the Trenbolone hormone safely and very effectively however you need to focus on the attainable
unwanted facet effects of Tren so as to avoid them or fight
them if necessary. Somatotropin is a human progress hormone used to treat some
medical conditions, and it is also popular with bodybuilders.But it comes with unwanted effects, and although it is not a
steroid and the HGH unwanted facet effects are principally not of the identical nature that we
get with anabolic steroids, synthetic HGH for bodybuilding functions is a risky choice.
Trenbolone or tren is commonly used recreationally by
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Most importantly, you must choose the proper combination of the two
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Trenbolone. Incorporating post-cycle therapy (PCT) after completing a Trenbolone cycle
is also advisable to assist restore hormonal steadiness and reduce
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expertise can provide priceless steering throughout your journey.
They can monitor your progress, address any concerns or questions you would possibly have.One in style type of product is identified as SARMs, brief for selective androgen receptor modulators, artificial medicine
marketed for muscle acquire and fats loss. Second, endoscopy was not performed on all sufferers earlier than commencement
of corticosteroid therapy. Third, we didn't acquire knowledge on extraintestinal issues and smoking habits on this study.
Tendencies in steroid use and the effects of the initial dose, period of use, and tapering schedule on medical efficacy
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HGH is also banned in the same category as anabolic steroids by
the World Anti-Doping Agency (WADA) and most other sporting our bodies
worldwide. As A End Result Of HGH is a naturally occurring protein in the body, it’s one of the harder PEDs to detect in doping exams.
Actual, pure-quality HGH can't be produced in underground labs as a outcome of massive
costs and complexity. Nonetheless, many Chinese labs appear to be manufacturing high-quality HGH, which is
sold as generic. Shopping For from such labs is a big gamble; you’ll need to know the supply
earlier than handing over money. This helps improve the muscle-to-fat
ratio whereas reducing recovery occasions so your downtime between exercises is reduced.Trenbolone’s side effects could be like no other AAS in their severity and can also be
unpredictable. What Tren does to me could probably be a special
expertise from what you get! I agree when guys say that
Tren’s status for out-of-control unwanted aspect effects is often exaggerated. -
Schreef op 28 mei 2025 om 17:06:07
One Other very critical concern many people have about individuals utilizing SARMs is whether they
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