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The manual wheelchair has been around use for many years and has gone through many changes. The constant feature has been that this chair is self propelled by pushing for the hand edges that surround the wheels. The owner actually pushes the wheels around and around to get in one location to another. In addition to that, the footrests with a manual wheelchair is easy to remove and the user can walk the chair forward together with his feet. Narcissists often participate in an activity called "gaslighting". Gaslighting is a form of emotional abuse in which the abuser manipulates situations repeatedly to trick the victim into distrusting his or her own memory and perceptions. It is an insidious kind of abuse and it makes victims question the very instincts they have counted on their whole lives, making them unsure of anything. Gaslighting can make it more than likely that victims will believe whatever their abusers inform them regardless regarding their very own connection with the situation. It often precedes other kinds of emotional and physical abuse because the victim of gaslighting is a lot more prone to be in other abusive situations at the same time. A digital PHR also ensures the production of the health information in the legible form and facilitates the flow of the information between and doctor(s) whether only one physician is treating you or several doctors are participating in your care. Information in the record may be conveyed for a health-care provider(s) verbally, on the internet out form, digitally with an external medium like a usb flash drive, and in many cases via the Internet just before office visits. This simplicity of transfer of medical data is vitally important considering that 18% of medical errors are due to inadequate availability of patient information. Moreover, medical records are frequently lost, doctors retire, hospitals or HMOs purges old records to avoid wasting safe-keeping, and employers frequently change group health care insurance plans leading to patients being forced to change doctors and request for transfer medical records that are sometimes illegible. Despite efforts by government entities to encourage doctors to help keep medical records on the computer, i.e. utilize electronic medical records (EMRs) also called electronic health records (EHRs) in order to reduce errors, the very fact in the matter is just 5% of doctors keep medical records on the pc and a lot of which may have purchased EMRs haven't ever effectively implemented them or continued to use them of their practices.