



     <!-- SiteMaker 7.0 CMS (TM)
     Code created by Medseek, Inc. 2028 Village Lane, Solvang CA 93463.
     Phone 1-888 MEDSEEK. email info@medseek.com. http://www.medseek.com 
     (c) 1999-2010 Medseek, Inc. All rights reserved.-->
    













	
	
	 
	 
	 
	 

	
	
	
	

	
	

	
	

	
	

	
	

	
	

	
	


	
	

	
	

	
	
	
	
	

	
	

	
	

	
	

	
	

	
		
		
	
		

	
		

	
		

	
		

	 
	 
	 
	 

	
	
	
	
	
	
	
	
		
	

	
	 
	
	
	
	
	
	

	
	
	
	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	
	
	
	
	
	
	
	
	

	
	

	
	

	
	
	
	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	
	
	

	
	

	
	
	
	
	

	
	

	
	

	
	

		
	
	
	
	
	
	
	
	
	
	

	
	

	
	

	

	
	

	
	

	
	

	
	

	
	

	
	
	
	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	

	
	
	
	
	

	
	

	
	

	
	

	
	

	
	

	
		
		
	
		

	
		

	
		

	
		
	
	
		
		
	
		
	
	
		
	
	
	
		
	
	
	
	
	
	
	
	

	
	
	
	
	
		
		
			

		
		
		
		
		
		
		
		
		
		
		
		
		
		

		
			
		
		 
		
		
		
		

		
		
		
		
		
		
		
		
		
		

		
		
		
		

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		
		
			

		
		
		
		
				
		
		
		
				
		
			
		

		
		
		
		
		
		
	
		
			
			
			
		
		
		
	
		
			
			
		

		
		
		
		
			

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		

		
					
						
		
		
				
		
		
		
		
		
				
		
		

		
		
		
		
		
		
		
		
			
			
				
			
		
		
		
		
		
			
			
		
		
		
		
		
			
			
		

		
		
		
			
			
		
		
		

		
			

			
		
		

		
		

		
				
		 
		
			
		
		
		

		
			
			
		
		
		
			

		

		
		
		
		

		
		

		
		
		
		
		
		
		
		
		
		

		
		

		
	
	
	
	




	
	
	

	
	
	
	
	
	
	
	
	
	

	
	


	
	
		
			
		
	
	
	
	
	
		
			
		
	
	
	
	
	

 


	
	
	
		



		
		
		
		
		
		
		
		
		
		
		
		
		
		
		
		
		
		
		
		

		
		

		
		
		
		

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		
		
			

		
		
		
		
				
		
		
		
				
		
			
		

		
		
		
		
		
		
	
		
			
			
			
		
		
		
	
		
			
			
		

		
		
		
		
			

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		

		
					
						
		
		
				
		
		
		
		
		
				
		
		

		
		
		
		
		
		
		
		
			
			
				
			
		
		
		
		
		
			
			
		
		
		
		
		
			
			
		

		
		
		
			
			
		
		
		

		
			

			
		
		

		
		

		
				
		 
		
			
		
		
		

		
			
			
			
		
		
			

		

		
		
		
	
		

		
		

		
		
		
		
			
		
		
		
			

		
		

		
		

		
		
		
		
		
		
		
			
				

		
		
		
		

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		

		
		
		
		
				
		
		
		
				
		
			
		

		
		
		
		
		
		
	
		
			
			
			
		
		
		
	
		
			
			
		

		
		
		
		
			

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		

		
					
						
		
		
				
		
		
		
		
		
				
		
		

		
		
		
		
		
		
		
		
			
			
				
			
		
		
		
		
		
			
			
		
		
		
		
		
			
			
		

		
		
		
			
			
		
		
		

		
			

			
		
		

		
		

		
				
		 
		
			
		
		
		

				
			
		
		

		
		
		
		
			

		
		

		
		

		
		
		
		
		
		
		
		

		
		
		
		
		
		
			

		
		

		
		

		
		
		
		
		
		
		
			
				

		
		
		
		
		
		
		
		
		
		
		
		
		
		

		
			
		
		 
		
		
		
		

		
		
		
		
		
		
		
		
		
		

		
		
		
		

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		
		
			

		
		
		
		
				
		
		
		
				
		
			
		

		
		
		
		
		
		
	
		
			
			
			
		
		
		
	
		
			
			
		

		
		
		
		
			

		

		
		
		

			
				
			
		
		
		
		
		

		
		
		
		
		
		

		
					
						
		
		
				
		
		
		
		
		
				
		
		

		
		
		
		
		
		
		
		
			
			
				
			
		
		
		
		
		
			
			
		
		
		
		
		
			
			
		

		
		
		
			
			
		
		
		

		
			

			
		
		

		
		

		
				
		 
		
			
		
		
		

		
			
			
		
		
		
			

		

		
		
		
		

		
		

		
		
		
		
		
		
		
		
		
		

		

		

		
		
		
		
		
		
		
		
		
		
		
		

		
			
		
		

		
		
		
		


		
			

		

		
		
		

	
		
		
		
		

		


		
		
		
		


 

		
	

	
	
		





















 


	

 




















	<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 3.2 Final//EN">
	<HTML>










	<HEAD>
<meta name="verify-v1" content="IFlXqcZUQpxzn6vt4hnlV5M+ITlt5kqDUrNq4e+tISo=" />
	<TITLE>Our Services</TITLE>
	<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
	<meta name="description" content="">
	<meta name="keywords" content="">
	<style type="text/css">
		@import url(default.css);
	</style> <script type="text/javascript">
var gaJsHost = (("https:" == document.location.protocol) ? "https://ssl." : "http://www.");
document.write(unescape("%3Cscript src='" + gaJsHost + "google-analytics.com/ga.js' type='text/javascript'%3E%3C/script%3E"));
</script>
<script type="text/javascript">
var pageTracker = _gat._getTracker("UA-6396952-12");
pageTracker._initData();
pageTracker._trackPageview();
</script>	

<script language="javascript" type="text/javascript">
	// Add the resize function to the page load event
	function smt_fontsizeAddEvent(obj, evType, fn){
		if (obj.addEventListener){
			obj.addEventListener(evType, fn, false);
			return true;
		} else if (obj.attachEvent){
			var r = obj.attachEvent("on"+evType, fn);
			return r;
		} else {
			return false;
		}
	}
	// Triggers a resize on page load 
	smt_fontsizeAddEvent(window, 'load', smt_fontsizeInit);
	// Enables/disables buttons
	function smt_fontsizeBtnStatus(btnId,status){
		btnId = "smt_fontsize_" + btnId;
		
			if(document.getElementById(btnId)){
				document.getElementById(btnId).src='images/smt_fontsize/' + status;
			}
		
	}
	// Initialize the page
	function smt_fontsizeInit(){
		// Compute the font sizes for all tags whose style.fontSize is undefined.
		for(var i=0; element = document.getElementsByTagName("*")[i]; i++){
			element.style.fontSize = smt_fontsizeGetCurrentFontSize(element);
		}
		 // Set the font to the last saved value (in the cookie.)
			if(smt_fontsizeGetCookie() != ""){
				smt_fontsizeIncrement(smt_fontsizeGetCookie(),true);
			} else { // Cookie doesn't exist. Create it and set the font size.
				smt_fontsizeIncrement('0',true);
				smt_fontsizeSetCookie('0');
			}
		
		
			if(smt_fontsizeGetCookie() == 8){
				smt_fontsizeBtnStatus('increase','increase_.gif');
			}
			if(smt_fontsizeGetCookie() == -2){
				smt_fontsizeBtnStatus('decrease','decrease_.gif');
			}
		
	}
	// function to set the value of the cookie.
	function smt_fontsizeSetCookie(value) { 
		var name = "smt_fontsize_relative";
		
		var curCookie = name + "=" + escape(value);
		
		document.cookie = curCookie;
	}
	// function to get the cookie value.
	function smt_fontsizeGetCookie(){
		var name = "smt_fontsize_relative";
		if (document.cookie.indexOf(name) != -1) {
			cs=document.cookie.indexOf(name+"=");
			if(cs!=-1){
				cs=cs + name.length+1;
				ce=document.cookie.indexOf(";",cs);
				if(ce==-1) ce=document.cookie.length
				return parseInt(unescape(document.cookie.substring(cs,ce)));
			} else {
				return "";
			}
		} else {
			return "";
		} 
	}
	// A function to compute the current font size as rendered by the browser.
	function smt_fontsizeGetCurrentFontSize(elem){
		var ieFontScale	=	new Array ("10","11","12","14","18","24","30","36","48","60","72");
		if ( elem == null )
			return null;
		
		// if the style isn't defined inline, then ask the browser to compute the current size	
		if ( elem.style.fontSize == "")
		{
			var browserName=navigator.appName; 
			var browserVer=parseInt(navigator.appVersion); 
			if (browserName=="Microsoft Internet Explorer" && browserVer>=4) 
				//font element was deprecated in HTML 4.01
				//IE does not handle the increments well without this
				if(elem.tagName == "FONT"){
					var ieFontIndex = elem.getAttribute("size");
					if(ieFontIndex == "" || ieFontIndex < 0){
						return '12';
					} else {
						return ieFontScale[ieFontIndex];
					}
				} else {
					return elem.currentStyle.fontSize;
				}
			else
				if(navigator.vendor.indexOf('Apple') != 0){
					return document.defaultView.getComputedStyle(elem, '').getPropertyValue("font-size");
				} else {
					return '12';
				}
		}
		// else return the current fontsize.
		else
		{
			return elem.style.fontSize;
		} 
	}
	// Checks if an element is a child of a filtered node (one that should be resized.)
	function smt_fontsizeParentIsFiltered(elem_temp){
		var elem = elem_temp;
		var classname;
		while ( elem.parentNode != null && elem.parentNode.tagName != "HTML")
		{
			elem = elem.parentNode;
			try
			{
				if ( elem.getAttribute('class') != null )
					classname = elem.getAttribute('class');
				else
					classname = elem.className;
			
				var isResizable = classname.indexOf('content') >= 0;
			
				if (classname == "content" | isResizable)
					return true;
			} catch(err) {/*alert(elem + ": " + err.description + " ");*/}
		}
	
		return false;
	}
	// Increments the fontsize of an element.
	function smt_fontsizeIncrementElement(elem,size){
		var currentSize;
		var currentVal;
		var currentUnit;
		var unitPattern = /[A-Z]+$/i;
		
		
		if ( smt_fontsizeParentIsFiltered(elem) )
		{
		
			currentSize = smt_fontsizeGetCurrentFontSize(elem);
			currentVal = currentSize.substring(0,currentSize.search(unitPattern));
			currentUnit = currentSize.substring(currentSize.search(unitPattern),currentSize.length);

			if ( size + parseFloat(currentVal) > 0)
				elem.style.fontSize = (size + parseFloat(currentVal)) + currentUnit;
		
		}
		
	}
	// Increments the font size of every element on the page by "size."
	// Size can be either +,-,default, or an integer value between the max and min allowed.
	// the dontUpdateCookie flag prevents the function from updating the cookie after the font resize.
	function smt_fontsizeIncrement(size,dontUpdateCookie){
		if( size == "+" )
			size = 2;	
		else if ( size == "-" )
			size = -2;
		else if ( size == "default" ){
			size = -smt_fontsizeGetCookie();
			
				smt_fontsizeBtnStatus('increase','increase.gif');
				smt_fontsizeBtnStatus('decrease','decrease.gif');
			
		}
		else
			size = parseInt(size);
			
		if ( dontUpdateCookie == null )
			smt_fontsizeSetCookie( size + smt_fontsizeGetCookie() );
			
		for ( var i=0; element = document.getElementsByTagName("*")[i]; i++ )
			smt_fontsizeIncrementElement(element,size);
		
		
			if(smt_fontsizeGetCookie() <= -2){
				smt_fontsizeBtnStatus('decrease','decrease_.gif');
			}
			if(smt_fontsizeGetCookie() >= 8){
				smt_fontsizeBtnStatus('increase','increase_.gif');
			}
		
	}
	</script>

				
<script type="text/javascript">
//<!--
var ns4 = (document.layers);
var ie  = (document.all);
var ie4 = (ie && !document.getElementById);
var ie5 = (ie && document.getElementById);
var ns6 = (!ie && document.getElementById);

var aryMoused = new Array();
var aryLayerMoused = new Array();
var aryMoImages = new Array();
var imageList = new Array();
var runMouseOvers = true;
var TimerID = null;
var iLimit = 25;
var itmp = 0;

var nbTime = 100;
var nbTimes = 2;
var nbThisLoc = 325;
var aryLayerNames = new Array();
var aryNavBarLayerInfo = new Array();
var aryNavBarLayers = new Array();

var registeredObjects = new Array();
var viz = "hide";

function MOImage() {
	var arg = MOImage.arguments;
	this.ptrImage = BillzNavBarMM_findObj(arg[0]);
	this.imageMO = new Image();
	this.imageMO.src = arg[1];
	this.HTMLname = arg[0];
	this.Moused = false;
	this.OriginalSrc = '';
	return true;
}

function BillzImagePreload() {
	// 0) html image name 1) mo image src 2)image Name for rollover key (rollover may have multiple mos for one html Image) 
	var arg = BillzImagePreload.arguments;
	nbImagePreload(arg[0], arg[1], arg[2]);
}

function nbImagePreload(img_name, mo_img_src, rollover_key_img_name) {
	var imageKey = (rollover_key_img_name.length > 0) ? rollover_key_img_name : img_name;
	imageList[imageList.length] = imageKey;
	if (!(aryMoImages[imageKey])) aryMoImages[imageKey] = new MOImage(img_name, mo_img_src);
}

function BillzMouseover() {
	var arg = null;
	if (runMouseOvers) {		
		arg = BillzMouseover.arguments; //args 0)ImageName 1)OriginalSrc 2)array index (caller imagename)		
		nbMouseover(arg[0], arg[1], arg[2]);
	}
	return true;
}
// args 1) ImageName 2) OriginalSrc 3) array index (caller imagename)
function nbMouseover(img_name, orig_src, img_key) {
	var imageKey = null;
	var o = null;
	if (runMouseOvers) 
	{				
		imageKey = (img_key.length > 0) ? img_key : img_name;
		if (!(aryMoImages[imageKey].ptrImage)) aryMoImages[imageKey].ptrImage = BillzNavBarMM_findObj(img_name);		
		if (aryMoImages[imageKey] && (o = aryMoImages[imageKey].ptrImage)) {
			aryMoImages[imageKey].OriginalSrc = orig_src;
			aryMoImages[imageKey].Moused = true;
			o.src = aryMoImages[imageKey].imageMO.src;
		}
	}
	return true;
}

var NavBarTempOnload = null;
if (window.onload && window.onload != null) NavBarTempOnload = window.onload;

function FullyLoaded() {
	if (NavBarTempOnload != null) NavBarTempOnload();
	runMouseOvers = true;
	return true;
}

function BillzMouseOutTimer() {
	return nbMouseOutTimer();
}

function nbMouseOutTimer() {
	if (TimerID) clearTimeout(TimerID);
	TimerID = setTimeout("nbLayerRestore()",5000);
	return true;
}

function RestoreAll() {
	nbMouseoverRestore();
	nbLayerRestore();
	return true;
}

function BillzMouseoverRestore() {
	return nbMouseoverRestore();
}

function nbMouseoverRestore() {
	var i = 0;
	var o = null;
	if (runMouseOvers) {
		for (i = 0; i < imageList.length; i++) {
			if (aryMoImages[imageList[i]].Moused && (o = aryMoImages[imageList[i]].ptrImage)) {
				o.src = aryMoImages[imageList[i]].OriginalSrc;
				aryMoImages[imageList[i]].Moused = false;
			}
		}
	}
	return true;
}

function BillzLayerRestore() {
	return nbLayerRestore();
}

function nbLayerRestore() {
	var i = 0;
	for (i = 0; i < aryLayerNames.length; i++) {
		if (!aryNavBarLayerInfo[aryLayerNames[i]].isDefault) BillzNavBarRestoreLayers(aryLayerNames[i]);	
	}
	return true;
}

function BillzArrayPushUnique(aryArray, varNewElement) { //only pushes if unique value
	var pushIt = true;
	var i = 0;
	for (i = 0; i < aryArray.length && pushIt; i++) {
		pushIt = (varNewElement != aryArray[i]);
	}
	if (pushIt) BillzArrayPush(aryArray, varNewElement);
	return pushIt;
}

function BillzArrayPush(aryArray, varNewElement) { //Implement Array Push 'cause IE cant handle it
	aryArray[aryArray.length] = varNewElement;
	return true;
}
function BillzArrayPop(aryArray) { //Implement Array Pop 'cause IE cant handle it before 5.5
	var varItemToPop = null;
	if (aryArray[aryArray.length - 1]) {
		varItemToPop = aryArray[aryArray.length - 1];
		aryArray[aryArray.length] = null;
	}
	return varItemToPop;
}

function getDivRef(id) {
	var divref;
	if(ns4) divref = document.layers[id];
	else if(ie4) divref = document.all[id];
	else if(ie5 || ns6) divref = document.getElementById(id);	
	return divref;
}

//v3.0 name changed to avoid clash with possible other JS in content, this function complements of MM Dreamweaver
function NavBarSwapRollover(swapimage,defaultimage,imageID) {
	if(imageID.length > 0 && document.getElementById(imageID))
	{
		if(swapimage.length > 0) 
			document.getElementById(imageID).src = "images/" + swapimage;
		else
			document.getElementById(imageID).src = "images/" + defaultimage;		
	}
}
function BillzNavBarMM_findObj(n, d) {
	var p,i,x;
	if (ns6) x = document.getElementById(n);
	else {		
		if (registeredObjects[n]) return registeredObjects[n];
		if (!(d)) d = document;
		try {
			p = n.indexOf("?");
		}
		catch(e) {
			p = 0;
		}
		if (p > 0 && parent.frames.length) {
			d = parent.frames[n.substring(p+1)].document;
			n = n.substring(0,p);
		}
		if (!(x = d[n]) && d.all) x = d.all[n];	
		for (i = 0; !x && i < d.forms.length; i++) {
			x = d.forms[i][n];
		}
		for (i=0; !x && d.layers && i < d.layers.length; i++) {
			if (d.layers[i].id.indexOf("external_") == -1) x = BillzNavBarMM_findObj(n, d.layers[i].document);	
		}
		registeredObjects[n] = x;
	}				
	return x;
}

function BillzArrayContains() {
	var arg = BillzArrayContains.arguments;
	var foundit = false;
	var i = 0;
	for (i = 0; i < arg[0].length && !foundit; i++) {
		foundit = (arg[1] == arg[0][i]);
	}
	return foundit;
}

function NavBarRegisterLayer() {
	var arg = NavBarRegisterLayer.arguments;
	var n = arg[0];
	var d = arg[1];
	var mo = false;
	var o = null;
	if (arg[2] && arg[2] == 'MOutLayer') mo = true;
	else mo = false;
	
	if (!(BillzArrayContains(aryLayerNames, n))) {
		if (o = BillzNavBarMM_findObj(n)) {
			aryNavBarLayers[n] = o;
			BillzArrayPushUnique(aryLayerNames, n);
			aryNavBarLayerInfo[n] = new NavBarLayer(n, d, mo);
		}
	}
	return true;
}

function BillzNavBarMM_showHideLayers() {
	//v3.0 name changed, this function complements of MM Dreamweaver with customizations by Bill Heller
	var i = 0;
	var x = "";
	var obj = null;
	var v = null;
	var p = null;
	var args = BillzNavBarMM_showHideLayers.arguments;
	
	if (args[args.length - 1] != "menu") nbMouseOutTimer();
	for (i = 0; i < (args.length - 2); i += 3) {
		if (!aryNavBarLayers[args[i]]) {
			x = (args[i + 2] == 'show') ? 'hide' : 'show';
			NavBarRegisterLayer(args[i], x);
		}
		if ((obj = aryNavBarLayers[args[i]]) != null) {
			v = args[i + 2];
			aryNavBarLayerInfo[args[i]].isDefault = false;
			if (args[args.length - 1] == "restore") v = (v == 'show') ? 'hide' : 'show';
			
			if (obj.style) obj.style.visibility = (v == 'show') ? 'visible' : ((v == 'hide') ? 'hidden' : v);
			else obj.visibility = v;
		}
	}
	return true;
}

function BillzNavBarRestoreLayers() {
	var i = 0;
	var x = "";
	var obj = null;
	var v = null;
	var p = null;
	var args = BillzNavBarRestoreLayers.arguments;
	for (i = 0; i < (args.length); i++) {
		if (obj = aryNavBarLayers[args[i]]) {
			v = aryNavBarLayerInfo[args[i]].defaultVisibility;
			if (obj.style) {
				obj = obj.style;
				v = (v == 'show' ) ? 'visible' : ((v == 'hide') ? 'hidden' : v);
			}
			obj.visibility = v;
			if (!aryNavBarLayerInfo[args[i]].MOutLayer) aryNavBarLayerInfo[args[i]].isDefault = true;			
		}
	}
	return true;
}

function NavBarLayer() {
	var arg = NavBarLayer.arguments;
	this.defaultVisibility = arg[1];
	this.isDefault = true;
	this.MOutLayer = arg[2];
	return true;
}

function BillzNavMove() {
	return nbNavMove();
}

function nbNavMove() {
	var thisl = null;
	var otherl = null;
	if (thisl = BillzNavBarMM_findObj("nbScrollLayer")) {
		if (thisl.style) {
			thisl = thisl.style;
			viz = "hidden";
		} 
		thisl.top = nbThisLoc -= 3;
		if (nbThisLoc < -750) {
			nbThisLoc = 325;
			nbTimes--;
		}
	}
	if (nbTimes <= 0) {
		otherl = BillzNavBarMM_findObj("BillzLayer");
		otherl.visibility = viz;
	} else {
		setTimeout("nbNavMove()", nbTime);
	}	
	return true;
}

function NavBar_openadmin() {
	window.open('admin/','SiteAdmin','height=screen.availheight,width=screen.availwidth,scrollbars=1,toolbar=0,directories=0,status=0,menubar=0,resizable=1');
	return true;
}

window.onload = FullyLoaded;
//-->
</script>
					
<script type="text/javascript">
//<!--
function NavBar_setCookie(cookievalue,navVersion,linkID) 
{	
	var cookiename = "SLIDINGTABLE_NAVBAR" + navVersion;
	var cookieVersionname = "SLIDINGTBL_NAVBAR_VERSION";
	var cookieClear = "SLIDINGTBL_NAVBAR_CLEARCOOKIES";	
	document.cookie = cookieClear.toUpperCase() + "=false";
	if(cookievalue.length > 0)
		document.cookie = cookiename.toUpperCase() + "=" + escape(cookievalue);
	if(navVersion.length > 0)	
		document.cookie = cookieVersionname.toUpperCase() + "=" + navVersion;	
	if(linkID.length > 0)
		NavBar_setPLinkIDCookie(linkID,navVersion);		
}
function NavBar_setoLevelIDCookie(cookievalue,linkID,navVersion) 
{
	var name = "SLIDINGTBL_NAVBAR_OLEVELID";		
	if(cookievalue.length > 0)
		document.cookie = name.toUpperCase() + "=" + escape(cookievalue);	
	if(linkID.length > 0)
		NavBar_setPLinkIDCookie(linkID,navVersion);	
	if(navVersion.length > 0)	
		document.cookie = "SLIDINGTBL_NAVBAR_VERSION=" + navVersion;		
}
function NavBar_setPLinkIDCookie(linkID,navVersion)
{	
	document.cookie = "SLIDINGTBL_NAVBAR_PLINKID=" + linkID;	
	if(navVersion.length > 0)	
		document.cookie = "SLIDINGTBL_NAVBAR_VERSION=" + navVersion;
}
function NavBar_deleteCookie() 
{
	// first we'll split this cookie up into name/value pairs
	// note: document.cookie only returns name=value, not the other components
	var check_name = "SLIDINGTABLE_NAVBAR";	
	var a_all_cookies = document.cookie.split( ';' );
	var a_temp_cookie = '';
	var cookie_name = '';
	var cookie_value = '';
	var b_cookie_found = false; // set boolean t/f default f	

	document.cookie = "SLIDINGTBL_NAVBAR_VERSION=0";	
	document.cookie = "SLIDINGTBL_NAVBAR_OLEVELID=";	
	for (i = 0; i < a_all_cookies.length; i++)
	{		
		a_temp_cookie = a_all_cookies[i].split( '=' );			
		cookie_name = a_temp_cookie[0].replace(/^\s+|\s+$/g, '');
		
		//expire all cookies for every slidingTable_navbar intances.			
		if (cookie_name.toUpperCase().indexOf(check_name) == 0)		
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<blockquote>
        	

<IMG src="images/heart_surgery_vertical.jpg" align=right></FONT>
<P><STRONG><EM><FONT color=#ffffff>Surgery</FONT></EM></STRONG></P>
<P><EM><STRONG>Cardiac Surgery</STRONG><BR></EM>Surgical replacement or repair 
of blood vessels, valves, or muscle within the heart.</P></FONT><FONT                    color=#ffffff size=1>
<P><STRONG><EM>Invasive Procedures</EM></STRONG></P></FONT><FONT                  size=1>
<P><STRONG><EM>Coronary Arteriography (Cardiac Catheterization)<BR></EM></STRONG>ping of the coronary arteries) is done 
        using a procedure called cardiac catheterization. A doctor guides a thin 
        plastic tube (called a catheter) through an artery in the arm or leg and 
        leads it into the coronary arteries. Then, the doctor injects a liquid 
        dye through the catheter. The dye is visible in X-rays which record the 
        course of the dye as it flows through the arteries. By mapping the dye's 
        flow, the doctor identifies blocked areas. Once the mapping is done, the doctor can decide the 
best course of action.</P>
<P> 
          
<STRONG><EM>Coronary Angioplasty<BR></EM></STRONG>This procedure works by compressing 
        the fatty build-up against the artery wall. A catheter with a tiny 
        balloon is placed into the constriction. The cardiologist gently 
        inflates the balloon. As the balloon expands, it compresses the plaque 
        against the artery wall, thereby enlarging the opening. The balloon is 
        then deflated and the catheter removed. The widening of the 
artery allows for increased blood flow to the regions of the heart 
served by the vessel.</P>
<P> 
             
<STRONG><EM>    Coronary 
Stenting<BR></EM></STRONG>This procedure usually follows balloon 
        angioplasty, which requires inserting a balloon catheter into the 
        femoral artery in the upper thigh. When this catheter is positioned at 
        the location of the blockage in the coronary artery, it is slowly 
        inflated to widen that artery, and is then removed. The stent catheter 
        is then threaded into the artery and the stent is placed around a 
        deflated balloon. When this is correctly positioned in the coronary 
        artery, the balloon is inflated, expanding the stent against the walls 
        of the coronary artery. The balloon catheter is removed, leaving the 
        stent in place to hold the coronary artery open. A cardiac angiography will follow to insure that the stent is 
keeping the artery open.</P>
<P> 
     <STRONG><EM>Coronary 
Atherectomy<BR></EM></STRONG>During this procedure, the 
        cardiologist uses a catheter with a precision, rotating blade or burr at 
        its tip to shave the plaque accumulation and open the blockage. Because 
        there is still plaque after this procedure, the doctor inserts a balloon 
        catheter to compress the remaining plaque against the artery 
        wall&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 
        (angioplasty procedure).There are several variants on the atherectomy 
        (rotoblader) procedure. These procedures are 
named by the type of cutting device that is at the 
tip of the catheter.</P>
<P> 
       <STRONG><EM>Cardiac Rhythm 
Management<BR></EM></STRONG>A procedure installing an electrical firing 
device within the upper chest to control both fast 
and slow cardiac rhythm.</P>
<P> 
           
<STRONG><EM>Electrophysiology Study (EP)<BR></EM></STRONG>Study of the heart is a nonsurgical 
        analysis of the electrical conduction system (normal or abnormal) of the 
        heart. The test employs cardiac catheters and sophisticated computers to 
        generate electrocardiogram (EKG) tracings and electrical measurements 
        with exquisite precision from within the heart chambers.The EP study can 
        be performed solely for diagnostic purposes. It also is performed to 
        pinpoint the exact location of electrical signals (cardiac mapping) in 
        conjunction with a therapeutic 
procedure called catheter ablation.</P>
<P> 
    <EM><STRONG>Cardiac 
Ablations</STRONG><BR></EM>A procedure where catheters are placed in the 
        heart and RF energy is delivered through the catheter. This neutralizes 
        (ablates) the cardiac cells that are causing an arrhythmia by creating a 
        block that the electrical impulses can no longer cross. This restores 
        the normal electrical pathways of your heart and allows it to beat 
        normally again. The procedure is performed by a cardiac specialist 
        called an Electrophysiologist (or EP). It is a widely used procedure, 
        proven safe, effective, and long-lasting, although some arrhythmias are 
        more easily treated with 
catheter ablation than others.</P>
<P> 
<EM><STRONG>Peripheral Vascular Intervention 
Procedures</STRONG><BR></EM>These procedures are used to open blocked arteries in areas 
other than the heart.&nbsp;</P>
<P> 
      <STRONG><EM>Coronary 
Angiography<BR></EM></STRONG>A procedure used to visualize blood 
        vessels of the heart. A catheter is used to inject a dye into the vessels; the vessels can then be 
seen by x ray.</P></FONT><FONT                           color=#ffffff>
<P><STRONG><EM>Non Invasive Procedures</EM></STRONG></P></FONT><FONT  size=1>
<P><STRONG><EM>Echocardiography<BR></EM></STRONG>A diagnostic test that uses ultrasound 
        waves to create an image of the heart muscle. Ultrasound waves that 
        rebound or echo off the heart can show the size, shape, and movement of 
        the heart's valves and chambers as well as the flow of blood through the 
        heart. Echocardiography may show such abnormalities as poorly 
        functioning heart valves or damage to the heart tissue from a 
past heart attack.</P>
<P> 
     <STRONG><EM> 
Electrocardiography<BR></EM></STRONG>A commonly used, non-invasive 
        procedure for recording electrical changes in the heart. The record, 
        which is called an electrocardiogram (ECG or EKG), shows the series of 
        waves that relate to the electrical impulses which occur during each 
        beat of the heart. The results are printed on paper or displayed on a 
        monitor. The waves in a normal record are named P, Q, R, S, and T and 
        follow in alphabetical order. The number of waves may vary, and other 
        waves may be present. Electrocardiography is a starting point for 
        detecting many cardiac problems. It is used routinely in physical 
        examinations and for monitoring the patient's condition during and after 
        surgery, as well as during intensive care. It is the basic measurement 
        used for tests such as exercise tolerance. It is used to evaluate causes 
        of symptoms such as chest pain, shortness of 
breath, and palpitations.</P>
<P> 
<STRONG><EM>   Holter Monitoring<BR></EM></STRONG>Aontinuous monitoring of the 
        electrical activity of a patient's heart muscle (electrocardiography) 
        for 24 hours, using a special portable device called a Holter monitor. 
        Patients wear the Holter monitor while carrying out their usual daily 
        activities. Holter monitoring is used to help determine whether someone 
        has an otherwise undetected 
heart disease, such as abnormal heart rhythm (cardiac arrhythmia), or inadequate blood flow 
through the heart.</P>
<P> 
              
     <STRONG><EM>MUGA 
Scan<BR></EM></STRONG>(Multiple Gated Acquisition scan) is 
        an extremely useful noninvasive tool for assessing the function of the 
        heart. The MUGA scan produces a moving image of the beating heart, and 
        from this image several important features can be determined about the health of the cardiac ventricles (the heart’s 
major pumping chambers).</P>
<P> 
  <STRONG><EM>Nuclear Cardiac Stress 
Test<BR></EM></STRONG>A nuclear stress test measures blood 
        flow to your heart muscle at rest and during stress. It is performed 
        similar to a routine exercise stress test but provides images in 
        addition to electrocardiograms. During a nuclear stress test, a 
        radioactive substance is injected into your bloodstream. This substance 
        mixes with your blood and travels to your heart. A special scanner — 
        which detects the radioactive material in your heart — creates images of 
        your heart muscle. Inadequate blood flow to any part of your heart will 
        show up as a light spot on 
the images — because not as much of the radioactive substance 
is getting there.</P>
<P> 
          
<EM><STRONG>Persantine Stress Test</STRONG><BR></EM>This test is a perfect substitute to an 
        exercise based stress test. In certain cases, such as arthritis and 
        exercise intolerance, stress test on treadmill is not feasible, 
        persantine and thalium are used to bring in the same result in blood 
        circulation as brought by exercises. First Persantine is injected 
        intravenously that helps expand the coronary arteries, resulting in 
        increased blood flow. Thallium is also injected, and it works as a 
        tracer detected by X-rays, showing the parts of the heart muscle 
        receiving enough oxygen. Monitoring this procedure is similar to that of 
        a treadmill stress test as electrodes are placed on the chest to monitor 
        both the heart rate and rhythm with the help 
of an electrocardiogram.</P>
<P> 
         
<STRONG><EM>Transesophageal Echocardiogram 
(TEE)<BR></EM></STRONG>Sound wave visualization of cardiac function and blood flow by scope placed 
into the esophagus.</P>
<P> 
      <STRONG><EM>Treadmill Stress 
Test<BR></EM></STRONG>This test measures heart rate and 
        blood pressure through leads that are attached to the body from an EKG 
        machine. The patient then walks on a treadmill in which both the speed 
        and slope are increased at designated time periods. The patient’s heart 
        rate and blood pressure are measured throughout the process, which continues until the patient achieves a 
target heart rate.</P></FONT><FONT  color=#ffffff size=1>
<P><STRONG><EM>Rehabilitation</EM></STRONG></P></FONT>
<P><STRONG><EM>Cardiac Rehabilitation<BR></EM></STRONG>A program to assist 
patients in regaining the greatest level of activity and health possible through 
teaching and exercise following a cardiac illness or procedure. <STRONG>For more information, call (810) 342-2085&nbsp;<A         href="body.cfm?id=1056 ">or click here.</A>  
   </STRONG></P></FONT><FONT  color=#ffffff size=1>
<P><STRONG><EM>Pacemakers</EM></STRONG></P></FONT>
<P><EM><STRONG>Device Clinic</STRONG><BR></EM>A test to 
perform interrogations of 
pacemakers and defibrillators for appropriate function and battery life.</P>
<P> 
         
<STRONG><EM>Remote Pacemaker Analysis<BR></EM></STRONG>This test checks and 
defines the functioning of existing pacemaker over the phone.</P>
        <P><STRONG><EM><FONT color=#ffffff>Common Cardiothoracic 
        Procedures</FONT></EM></STRONG></P>
        <P><A href="body.cfm?id=1138"></A><STRONG>CABG -</STRONG> coronary artery bypass graft surgery, 
        coronary revascularization, coronary bypass<BR>Heart bypass surgery is an open-heart surgery that 
        reroutes or "bypasses" blood around clogged arteries. Arteries are the 
        blood vessels that supply freshly oxygenated blood to the tissues of the 
        body - in this case,&nbsp;    
                  
                  
                   the heart muscle. </P>
        <P>Over time they can become blocked by a buildup of plaque, a 
        combination of fat, cholesterol, and other substances. This blockage, 
        known as atherosclerosis, interferes with the blood flow, and thus 
        reduces the oxygen supply, to the heart. </P>
        <P>Heart bypass surgery, also known as coronary artery bypass graft 
        surgery (CABG), reroutes the blood around these clogged arteries.</P>
        <P><STRONG>Off Pump Bypass-</STRONG> this procedure allows the surgeon 
        to sew the bypass graft into place without stopping the heart or using a 
        heart-lung machine, both of which are required for traditional bypass. 
        The movement of the heart is minimized using heart stabilizers and 
        positioners. These devices keep the targeted regions of the heart 
        virtually motionless while the physician performs the bypass. </P>
        <P><STRONG>Empyema Drainage-</STRONG> this procedure involves draining 
        off the inflammatory fluid (or pus) and debris in the lining in the 
        pleural space, which is between the outer surface of the lung and the 
        chest wall.</P>
        <P><STRONG>Thoracotomy-</STRONG> Surgery to remove all or part of a lung 
        involves making a cut on one side of your chest (thorax) during a 
        procedure called a thoracotomy. Surgery that uses this approach avoids 
        areas in the chest that contain the heart and the spinal cord. After the 
        cut is made between the ribs, all or part of the lung is removed 
        depending on the location, size, and type of lung cancer that is 
        present.</P>
        <P><STRONG><EM><FONT color=#ffffff>Valve Disease 
        Treatment</FONT></EM></STRONG></P>
        <P><BR><STRONG>What Happens During Traditional Heart Valve 
        Surgery?</STRONG><BR>During traditional heart valve surgery, a surgeon 
        will make an incision down the center of your sternum (breastbone) to 
        get direct access to your heart. The surgeon then repairs or replaces 
        your abnormal heart valve or valves.</P>
        <P><BR><STRONG>What Happens During Minimally Invasive Heart Valve 
        Surgery?</STRONG>
        <br>Minimally invasive heart valve 
        surgery is a type of surgery performed through smaller incisions. This 
        type of surgery reduces blood loss, trauma, and length of hospital stay.</P>
        <P>             
        Your surgeon will 
        review your diagnostic tests prior to your surgery to determine if you 
        are a candidate for minimally invasive valve surgery.</P>
        <P>Often, the surgeon and cardiologist (heart doctor) will use 
        transesophogeal echo (an ultrasound transducer probe that is passed down 
        the esophagus) to help determine the functioning of the valve before and 
        after surgery.</P>
        <P><STRONG>What Is Valve Repair Surgery?</STRONG><BR>The mitral valve is 
        the most commonly repaired valve, but the aortic, pulmonic, and 
        tricuspid valves may also undergo some of these repair techniques.<BR>If 
        your valve can be repaired, your surgeon will perform any of the 
        following types of valve repair procedures.</P>
        <P><BR><STRONG>Commissurotomy.</STRONG> Fused valve leaflets are 
        separated to widen the valve opening. </P>
        <P><BR><STRONG>Decalcification.</STRONG> Calcium deposits are removed to 
        allow the leaflets to be more flexible and close properly. </P>
        <P><BR><STRONG>Reshape leaflets.</STRONG> If one of the leaflets is 
        floppy, a segment may be cut out and the leaflet sewn back together, 
        allowing the valve to close more tightly. This procedure is called 
        quadrangular resection. </P>
        <P><BR><STRONG>Chordal transfer.</STRONG> If the anterior leaflet of the 
        mitral valve has prolapse (floppy; lacking support), the chordae are 
        transferred from the posterior leaflet to the anterior leaflet. Then, 
        the posterior leaflet is repaired by quandrangular resection (see 
        above). </P>
        <P><BR><STRONG>Annulus support.</STRONG> If the valve annulus (the ring 
        of tissue supporting the valve) is too wide, it may be reshaped or 
        tightened by sewing a ring structure around the annulus. The ring may be 
        made of tissue or synthetic material. </P>
        <P><BR><STRONG>Patched leaflets.</STRONG> The surgeon may use tissue 
        patches to repair any leaflets with tears or holes. <BR>The advantages 
        of valve repair surgery include:<BR>decreased need for life-long blood 
        thinner (anticoagulant) medication <BR>preserved heart muscle strength 
        </P>
        <P><BR><STRONG>Esophageal Surgery-</STRONG> Would be performed on the 
        tube that connects your throat to your stomach.</P>
        <P><STRONG>Endoscopic Vein Harvesting</STRONG><BR>This is a minimally 
        invasive procedure performed to extract the saphenous vein from the leg. 
        The procedure requires one to three small incisions, each less than 1 
        inch in length. The procedure is part of coronary artery bypass graft 
        (CABG) surgery, which is performed to bypass one or more blocked 
        coronary arteries and restore oxygen-rich blood flow to the heart. </P>
        <P><STRONG><EM><FONT color=#ffffff>Minimally Invasive 
        Procedures</FONT></EM></STRONG></P>
        <P><STRONG><EM></EM></STRONG><BR><STRONG>Mitral Valve 
        Repair</STRONG><BR>Surgical repair involves delicate reconstruction of 
        native valve tissues in order to restore proper function.&nbsp; <IMG                                                                                     class=sm6generalwizard id=thisIcon style="WIDTH: 144px; HEIGHT: 127px"         height=140 alt=""         src="http://www.mclarenregional.org/images//mitral_valve.gif" width=144         align=right>      
                 The most 
        common approach to repair requires the surgeon to saw open the 
        breastbone and spread the ribs to gain direct access to the heart.&nbsp; 
        Cutting the sternum and opening the rib cage - the body's natural 
        protective structure of the heart - can prolong healing time, increase 
        risk of infection, serious complications and even mortality<BR></P><B>
        <P>da Vinci Mitral Valve Repair</P></B>
        <P><IMG height=131                                           src="http://www.mclarenregional.org/images/davincimitral4.jpg" width=300        ></P><FONT face=Times>
        <P>If your doctor recommends surgical repair, you may be a candidate for 
        a new, less invasive surgical procedure call <EM>da Vinci</EM> Mitral 
        Valve Repair (<EM>da Vinci</EM> MVR).&nbsp; This procedures uses a 
        state-of-the-art surgical system designed to help your surgeon see vital 
        anatomical structures more clearly and to perform a more precise 
        surgical procedure.</P>
        <P>For most patients, <EM>da Vinci</EM> MVR offers numerous potential benefits over traditional 
        open-chest surgery, including:<IMG class=sm6generalwizard id=thisIcon                                                                   height=161 alt=""         src="http://www.mclarenregional.org/images//between_ribs.jpg" width=120         border=0 align=right>     
             <FONT         face=Times></P>
        <UL>
          <LI><FONT face="Arial, Helvetica">Shorter hospital say</FONT>
          <LI><FONT face="Arial, Helvetica">Less pain and scarring</FONT>
          <LI><FONT face="Arial, Helvetica">Less risk of infection</FONT>
          <LI><FONT face="Arial, Helvetica">Less blood loss and fewer 
          transfusions</FONT>
          <LI><FONT face="Arial, Helvetica">Faster recovery</FONT>
          <LI><FONT face="Arial, Helvetica">Quicker return to normal 
          activities</FONT></LI></UL>
        <P align=right>&nbsp;</P>
        <P>As with any surgery, these benefits cannot be guaranteed, as surgery 
        is patent and procedure specific.</FONT></FONT><BR></P>
        <P></P></FONT>
<P><STRONG><EM>For more information about McLaren's cardiac treatment and 
diagnostic services, call (810) 342-2387.</EM></STRONG></P>




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