Tuesday, 13 August 2013

Mr Robert Hill, Paediatric Orthopaedic Surgeon, Children's Orthopaedics UK

BIOGRAPHY

Robert Hill qualified in 1980 and trained in orthopaedics at St Thomas’ Hospital London and was Senior Registrar on the St Bartholomew’s Hospital Training Scheme, (Percival Pott Rotation). He spent 12 months training in Hong Kong, Singapore, Australia and New Zealand on a Fellowship.

He was appointed Consultant in 1992 and is now the Senior Orthopaedic Surgeon at Great Ormond Street Hospital for Sick Children NHS Foundation Trust. He has also held Consultant appointments at St Bartholomew’s Hospital London and the Princess Alexandra Hospital Harlow undertaking adult orthopaedics. He has extensive experience in non-Spinal paediatric orthopaedics and in Limb Reconstruction in both adults and children. His expertise was recognised by the British Orthopaedic Association who invited him to be the Naughton Dunn Lecturer in 2004. He was invited to be a visiting Professor by the Children’s Hospital of Philadelphia in 2003 and was visiting Professor to the Royal Brisbane Children’s Hospital in 2012. Mr Hill frequently visits hospitals in the Middle East.

He has published widely on paediatric orthopaedic topics and also on Limb Reconstruction including non-union and mal union problems in adults and children. He has a national and international reputation and has lectured both in the UK and abroad on numerous courses as a member of faculty.

Children’s Orthopaedics

Children’s Orthopaedics is the private orthopaedic practice of Mr Robert Hill and is based at the Portland Hospital London although patients may be treated at other hospitals in London including the private unit at Great Ormond Street Children’s Hospital.

Mr Hill is the Senior Consultant paediatric orthopaedic surgeon at Great Ormond Street Children’s Hospital and has been a consultant since 1992. He currently divides his time between an NHS practice at Great Ormond Street and his private practice at the Portland Hospital. He has wide experience in non-spinal paediatric orthopaedics and treats:-

        Children’s hip problems including developmental dysplasia of the hip, (hip dislocation), and Perthes disease
        Foot and ankle problems including club foot, flat foot, intoeing.
        Limb deformity from congenital problems, growth plate injuries and trauma.
        Cerebral palsy orthopaedic problems
        Other neurological problems such as spina bifida

In addition to his paediatric practice Mr Hill also treats Limb deformity in adults as one of the founders of London Limb Reconstruction (www.limbreconstruction.co.uk)

Patients are seen for consultation at the Portland Hospital Consulting rooms, 234 Great Portland Street W1W 5QT and at The Hospital of St John and Elizabeth, 60 Grove End Road London NW6. At both hospitals X -rays can be carried out at the time of the consultation if needed. A paediatric physiotherapist attends the Tuesday clinic at the Portland Hospital. Patients can also be seen at Great Ormond Street International and private patient unit by arrangement.

Mr Hill has treated many International Patients and travels regularly to Kuwait and the United Arab Emirates to see new patients and to follow up old patients. He has established working relationships with many hospitals in the Middle East and elsewhere.
For more information visit the link below
http://www.childrensorthopaedic.co.uk

Cherrybrook Physiotherapy, NSW


Cherrybrook Physiotherapy – a leader in The Hills District for Physiotherapy and Sports Injuries!

Our physiotherapists have years of experience in treating musculoskeletal and sporting injuries.

At Cherrybrook Physio we believe in treating the person, not just the injury, to ensure your complete recovery.

Our aim is to accurately assess, diagnose and remedy the cause of your aches and pains, and rehabilitate for pain free movement.

Our proven results help patients achieve optimal health, whether it’s to relieve back pain, reach a new level in sports or recover from work injury or accidents.

At Cherrybrook Physio we can help you get over your pain and injury quicker and help prevent re-occurrence of your problem!
 Visit the below link to know more information
http://www.cherrybrookphysio.com.au

Monday, 12 August 2013

Mr Tanweer Ashraf, Consultant Knee Surgeon UK

NHS Practice:

The Royal Orthopaedic Hospital, Birmingham and The Queen Elizabeth University Hospital, Birmingham.

Private Practice:

    BMI Priory Hospital, Edgbaston Birmingham
    BMI Edgbaston Hospital , Birmingham
    Spire Little Aston Hospital, Sutton Coldfield, Birmingham
    West Midlands Hospital, Halesowen

Academic:

I graduated form Medical school in India in 1992. After competing my basic training in India I migrated to UK in 1994.

I was selected to the Birmingham Orthopaedic specialist registrar training program in 1995.

For super specialist training and fellowship in knee surgery I went to at the Avon Orthopaedic Centre, Bristol.  This centre is renowned for partial knee replacement surgery; pioneering works on problems relating to the patella (kneecap) and for cartilage and ligament reconstruction surgery.  Having worked there for 4 years I gained proficiency in treating a wide varity of problems affecting the knee.

I then joined the Major Trauma Unit, at Queens Medical Centre, Nottingham as a Senior Trauma Fellow in a unit dealing with injuries to the knee as well as other types of sports injuries. I gained a lot of experience in dealing with major injuries to the knee and other parts of the body.

During my training I was awarded visiting fellowships to different centres in the USA and Germany, which specialize in cartilage and ligament knee reconstruction surgery.

While working in Bristol I took time to undertake an additional degree in Orthopaedic Engineering at Cardiff University.

After completing the training at Birmingham, Bristol and Nottingham I was awarded the Certificate of Completion of Specialist training and in July 2005 was added to the GMC Specialist Register.

I was appointed as a Consultant Knee Surgeon to The Royal Orthopaedic Hospital, Birmingham with a part time commitment to The Queen Elizabeth University Hospital, Birmingham in August 2005.

Clinical Practice:

I work as a Consultant Knee Surgeon at the Royal Orthopaedic Hospital, where I undertake partial knee replacement, total knee replacement, revision knee replacement and partial knee cap replacement. I replace damaged or worn out cartilage with cartilage cells grown in a laboratory.

I am especially interested in the problems relating to the Knee cap (patella). I undertake some of the pioneering surgery for the stabilization of the patella.

Passionate about catching the problem early, I am glad act as a point of contact for referrals from The Birmingham Children’s Hospital and other local hospitals for knee problems affecting children.

At the Major Trauma Centre, Queen Elizabeth University Hospital, Birmingham I treat injuries cartilage and multi ligament injuries of the knee. For reconstructing major ligaments I often use cadaveric ligaments.

As The Queen Elizabeth Hospital is the home of the Royal Centre for Defence Medicine (RCDM) I treats cartilage and ligament injuries to soldiers and elite athletes who have very high demand on their knees.
Research and Development Profile:

I am the principal Investigator for research related to cartilage transplant surgery. I supervise research projects and work in collaboration with different centres in Europe.

I am the founder of the Regional Patellofemoral Study Group. Along with several of my colleagues from around the West Midland region we undertake joint audit and research projects to obtain a better understanding of the problems with the Knee cap (Patello femoral joint).

Teaching:

I regularly teach on surgical skills courses and training programmes and as an invited faculty at different meeting.

I am the co-convener for the Birmingham Patello Femoral Instructional Course and Birmingham Patello Femoral Master Class. We run this course for consultants and knee surgeons from around the country. The focus is on the problems affecting the knee cap.

I regularly teach General Practitioners, physiotherapists, nursing staff and junior doctors.

Audit:

My work, like any other surgeon is regularly audited and reviewed by other doctors and allied professionals.

A review of my work in the NHS and Private hospital is regularly undertaken. The review relates to all aspects of patient care and forms part of the GMC’s Revalidation process.
For more information kindly check with below link
http://www.tanweerashraf.com

Dr. Robert W. Herring, Gastroenterologist, Nashville Tennessee

dr-robert-herring
Robert Herring, Gastroenterologist

Dr. Robert W. Herring Jr. MD is a board certified gastroenterologist specializing in diagnosis and treatments of gastrointestinal and liver problems. He received his Doctor of Medicine degree from the University of Tennessee, Memphis in 1980. Dr. Herring has extensive experience in Internal Medicine and Gastroenterology. He earned his Gastroenterology and Hepatology Fellowship at Johns Hopkins University in 1985. Dr. Herring is a Fellow of the American College of Gastroenterology.
EDUCATIONAL BACKGROUND

    John Overton High School, Nashville, Tennessee, 1972 GPA 4.00, Valedictorian
    Bachelor of Science, Majors in Biology and Chemistry (Double), Birmingham-Southern College, Birmingham, Alabama, 1976 GPA 3.81, magna cum laude. Phi Beta Kappa Scholastic Honorary Fraternity
    Doctor of Medicine, University of Tennessee, Memphis, Tennessee, 1980, GPA 3.62, cum laude. Alpha Omega Alpha Scholastic Honorary Fraternity
    Residency in Internal Medicine, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, North Carolina, 1980-1983
    Fellowship in Gastroenterology and Hepatology, Johns Hopkins University, Baltimore, Maryland, 1983-1985

AWARDS AND HONORS

    Americas Top Gastroenterologists Consumers Research Council of America, 2012
    Recognized as Doctor of Excellence and a Top Gastroenterologist of Tennessee International Association of Healthcare Professionals, 2013

PUBLICATIONS & PRESENTATIONS

    Herring, R.W., Potter, J.J., and Mezey, E. (1986). Effect of acute alcohol administration on erythrocyte aldehyde dehydrogenase activity in man. Alcoholism: Clinical and Experimental Research, 10 (Supplement 6): 41S-45S.

    Pruitt, Ron E., M.D., Gremillion, Daniel E., M.D., Herring, Robert W., Jr., M.D., Bailey, Allan, M.D., Faust, Thomas W., M.D., Potter, Michele, P.A., Long, Karen M., RN, MSN, CFNP, Nashville Gastrointestinal Specialists and Medical Research Institute, Nashville, Tennessee. “Oral 5-ASA (Asacol) in the Treatment of Mild to Moderate Ulcerative Colitis (UC): The Nashville Experience.” Journal of Tennessee Medical Association, 84: 237, 1991.

    Pruitt, R.E., M.D., Gremillion, Daniel, M.D., Herring, Robert W., Jr., M.D., Bailey, Allan, M.D., Faust, Thomas W., M.D., Long, Karen M., RN, MSN, CFNP. “Safety and Tolerance of Oral 5-ASA (Asacol) in the Treatment of Ulcerative Colitis and Crohn’s Disease: Results of the US Multicenter Open-Label Study.” Gastroenterology, 100: A 241, 1991.

    Pruitt, R.E., Gremillion, D., Herring, R., Bailey, A.H., Faust, T.W., and Long, K. “Safety and Tolerance of Oral 5-ASA (Asacol ) in the Treatment of Ulcerative Colitis and Crohn’s Disease: Results of the US Multicenter Open-Label Study.” American Gastroenterological Association, American Association for the Study of Liver Diseases. May 19-22, 1991. New Orleans, Louisiana.

    Jensen, D., Wedemeyer, H., Herring Jr., R, Ferenci, P., Mang, M., Zeuzem, S., Rodriguez-Torres, M., Bzowej, N., Pockros, P., Vierling, J., Ipe, D., Hill, George. “High Rates of Early Viral Response, Promising Safety Profile and Lack of Resistance-Related Breakthrough in HCV GT 1/4 Patients Treated With RG7128 Plus PegIFN alfa-2a (40KD)/RBV: Planned Week 12 Interim Analysis from the PROPEL Study. Poster Presentation. American Association for the Study of Liver Diseases, Annual Meeting, 2010.

    DR Nelson, S Zeuzem, P Andreone, P Ferenci, R. Herring, DM Jensen, P Marcellin, PJ Pockros, M. Rodriguez-Torres, L. Rossaro, VK Rustgi, T. Sepe, M Sulkowki, IR Thomason, E Yoshida, A Chan, G Hill. “Balapiravir Plus Peginterferon alfa-2a (40KD) and Ribavirin for the Treatment of Chronic Hepatitis C Genotype 1: Randomized, Double-Blind, Placebo-Controlled Phase 2 Study.” Gastroenterology, Manuscript. October 5, 2010.

    Wedemeyer, H., Jensen, D., Herring, Jr., R., Ferenci, P., Mang-Ming, M., Zeuzem, S., Rodriguez-Torres, M., Bzowej, N., Pockros, P., Vierling, J., Ipe, D., Thommes, J. “Efficacy and Safety of Mericitabine (MCB) in Combination with PegIFNɑ-2A/RBV in G1/4 Treatment Naïve RCV Patients: Final Analysis From the PROPEL Study.” Poster Presentation. European Association for the Study of Liver Disease, Annual Meeting, 2011, Stockholm, Sweden.

    M. Sulkowski, M. Rodriguez-Torres, E Lawitz, M. Shiffman, S Pol, R Herring, John McHutchison, Phil Pang, Diana Brainard, D Wyles, F Habersetzer. “High Sustained Viral Response in Treatment-Naïve HCV Genotype 1a and 1b Patients Treated for 12 Weeks with an Interferon-Free All-Oral Quad Regimen: Interim Results.” Poster Presentation. European Association for the Study of Liver Disease, April, 2012.

    I. Jacobson, E. Lawitz, J. Lalezari, I. Crespo, M. Davis, T. Hassanein, M. DeMicco, S. Arora, N. Gitlin, R. Herring, D.R. Nelson, J.K. Anderson, R.H. Hyland. “GS-7977 400 mg QD Safety and Tolerability in the Over 500 Patients Treated for 12 Weeks”. Poster Presentation. 47th Annual European Association for the Study of Liver Disease, April, 2012.

    M. Sulkowski, M. Rodriguez-Torres, E. Lawitz, M. Shiffman, S. Pol, R. Herring, J.G. McHutchison, P.S. Pang, K.A. Wong, B. Massetto, Y. Zhu, D.M. Brainerd, D. Wyles, F. Habersetzer. “Interim Sustained Virologic Response Rates in Treatment-Naïve HCV Genotype 1a and 1b Patients Treated for 12 or 24 Weeks with an Interferon-Free All-Oral Quad Regimen”. Poster Presentation. 47th Annual European Association for the Study of Liver Disease, April, 2012.

    M. Sulkowski, M. Rodriguez-Torres, E. Lawitz, M. Shiffman, S. Pol, R. Herring, J.G. McHutchison, B. Massetto, D.M. Brainerd, P.S. Pang, D. Wyles, F. Habersetzer. “Complete SVR4 Rates in Treatment-Naïve HCV Genotype 1a and 1b Patients Treated with an Interferon-Free All-Oral Quad Regimen”. Poster Presentation. American Association for the Study of Liver Diseases, Annual Meeting, 2012.

    Andrew J. Muir, Robert Herring, Jr., Aasim Sheikh, Michael Ryan, Vinod Rustgi, Viktor Ankoma-Sey, Joanne Fabrycki, James Freddo, James Hui, Mingjun Huang, Dharaben Patel, Lisa Robarge, Heather Robison, Guangwei Yang, Yongsen Zhao, Milind Deshpande, Hetal S. Kocinksy, Robert Brennan. “A Single Direct-Acting Anti-Viral Agent, ACH-3102, in Combination with Ribavirin is Able to Achieve SVR8 in Subjects with Genotype 1b Chronic Hepatitis C Infection”. Abstract, EASL, 2013.
Click the below link for more information
http://www.herringmd.com

Dr Matthew Lyons, Orthopaedic Hip Knee Surgeon, Moore Park NSW

Dr Matthew Lyons
Matthew Lyons, Orthopaedic surgeon, NSW

I am a fellowship trained Orthopaedic Surgeon with a special interest in disorders of the hip and knee. I perform arthroscopic, reconstructive and replacement surgery of the Hip & Knee with a particular interest in revision arthroplasty for failed and infected joint replacements.
Education

Subspecialty Fellowships

    Hip & Knee Joint Replacement Fellowship (Primary & Revision Arthroplasty)
        University Hospital, London, Ontario, Canada
        Fellowship Directors – Professors Bob Bourne & Steve MacDonald
    Sports Hip & Knee Fellowship (Arthroscopic & Reconstructive Surgery)
        North Sydney Orthopaedic & Sports Medicine Centre at The Mater Hospital, Sydney
        Fellowship Directors – Dr Merv Cross OAM & Michael O’Sullivan

Postgraduate

    Fellow of the Australian Orthopaedic Association 2013
    Fellow of the Royal Australasian College of Surgeons 2009
    Australian Orthopaedic Association Advanced Trainee- (Northside NSW) 2006-9
    Royal Australasian College of Surgeons Basic Surgical Trainee 2001-5

Undergraduate

    University of New South Wales 1994- 2000
        Bachelor of Medicine
        Bachelor of Surgery
        Bachelor Medical Science Honours Class One

Academic Awards / Courses

    Arthroscopy Association of North America, Masters Course in Hip Arthroscopy, Rosemont, Illinois, 2010
    Australia Limb Deformity and Correction Course, 2007
    Advanced Arthroscopy Workshop, Northern Clinical Centre, Royal North Shore Hospital, 2007
    United States Medical Licensing Exam Step 1, 2007
    AO/ASIF Hand Course, Queenstown, New Zealand, 2005
    AO/ASIF Hand Course, Queenstown, New Zealand, 2005
    CLEAR Course (Critical Literature Evaluation and Research), 2005
    AO/ASIF Advanced Fracture Treatment, Davos Switzerland 2004
    Arthroscopic Skills Workshop, Northern Clinical Centre, Royal North Shore Hospital, 2004
    AO/ ASIF Basic Principles Course 2003
    Resident of the Year, St Vincent’s Hospital, Sydney 2002
    Surgical Anatomy by Dissection Course 2002
    ATLS/ EMST (Early Management of Severe Trauma Course) 2002
    CCrISP (Care of the Critically Ill Surgical Patient) 2002
    Intern of the Year, St Vincent’s Hospital, Sydney 2001
    United States Medical Licensing Exam, Step 2, 2000
    Harvey Carey Scholarship for Honours Study, UNSW 1997
    Academic Vice Chancellor’s Scholar for the award of Bachelor of Laws at Bond University, Queensland (not pursued) 1994
    Cooper Scholarship to study classics (Latin & Ancient Greek) at the University of Sydney (not pursued) 1994
    Dux of St Ignatius’ College, Riverview 1993

Current Hospital Appointments

Visiting Medical Officer

    The Mater Hospital, Sydney
    Sydney Adventist Hospital
    Hornsby Kuringai Hospital
    North Shore Private Hospital
    Dubbo Base Hospital
    Dubbo Private Hospital

Special Interests

My particular areas of interest in orthopaedic surgery include:

    Joint replacement surgery (Arthroplasty) of the hip and knee
    Revision Arthroplasty for failed, painful or infected prosthetic joints
    Arthroscopic surgery of the hip & knee, including-
        ACL (Anterior Cruciate Ligament) reconstruction
        Sports knee surgery
        Hip arthroscopy
        Labral repair
        Femoro-acetabular impingement (FAI) hip surgery

Research

I have extensively published research on the performance of knee and hip arthroplasty, both primary and revision surgery. Specifically, my interests pertain to the improvement of safe, efficacious and effective surgery of the lower limb.

    Yao R, Lyons MC, Howard JL, McAuley JP. Does patellectomy jeopardize function after TKA?Clin Orthop Relat Res. 2013 Feb 471(2): 544-553.
    Mahmud T, Lyons MC, McCalden RW, Naudie DD, Howard JL, Bourne RB, MacDonald SJ. Assessing the Gold Standard: A Review of 253 Two-Stage Revisions for Infected TKA. Clin Orthop Relat Res. 2012 Oct 470 (10): 2730-2736
    Lyons MC, MacDonald SJ, Somerville LE, Naudie DD, McCalden RW. Unicompartmental versus total knee arthroplasty database analysis: is there a winner? Clin Orthop Relat Res. 2012 Jan; 470(1):84-90.
    Lyons MC, MacDonald SJ. Rotational Bearing TKA: Less Than AdvertisedSeminars in Arthroplasty 2011 Vol. 22, Issue 3, Pages 163-166
    Lyons MC, MacDonald SJ. Dual Poly Liner Mobility Optimizes Wear & Stability in THA; Opposes. Orthopedics. 2011 Sep 9;34(9):e449-51
    Harris IA, Lyons MC. Reoperation rate in diaphyseal tibia fractures ANZ Journal of Surgery, Volume 75, Issue 12, Page 1041-1044, Dec 2005
    Honours Thesis for BSc (Med)
        The effect of a season of swimming training on elite adolescent athletes. Supervisors- Dr David Garlick and DrJeni Saunders. Department of Sports Medicine, School of Physiology and Pharmacology,Faculty of Medicine, University of New South Wales

In Press

    Book Chapter: “Prevention of Periprosthetic Fractures- Local Factors” in AO Manual of Fracture Management: Periprosthetic Fractures, Editor Michael Schuetz. Author Lyons MC, MacDonald SJ. 2013

    Lyons MC, MacDonald SJ, Somerville LE, Howard JL, Naudie DD. Spinal vs General Anesthesia in THA: An Analysis using Prospectively Collected Clinical Patient Data.

    Provisionally accepted Clinical Orthopaedics & Related Research 2013. Presented 2012 American Academy Orthopaedic Surgeons Annual Scientific Meeting, San Francisco & The Hip Society Closed Meeting Dallas, 2011
    Lyons MC, McCalden RW, Naudie DD, Howard JL, Bourne RB, MacDonald SJ Sequential 2 stage revision for bilateral infected total knee arthroplasty. Submitted Clinical Orthopaedics and Related Research

In progress

    Dzaja I, Lyons MC, Howard JL, Naudie DD Early results of difficult revision hip arthroplasty using the Stryker Restoration Modular Revision Hip System. Accepted for podium presentation American Academy Orthopaedic Surgeons Annual Scientific Meeting, 2014, New Orleans
    Lyons MC, Naudie DD, MacDonald SJ, McCalden RW, Bourne RB.A case series of trabecular metal failure in post irradiated acetabulae.
    Lyons MC, O’Sullivan MD A simple method for removal of a ceramic acetabular liner
    Lyons MC, O’Sullivan MD How Accurate are CT Scanograms for Leg Length Discrepancy?
    Atwal NS, Lyons MC, Cross MJ. Current Concepts on ACL reconstruction: A systematic review.

Professional Memberships

    Australian Orthopaedic Association
    Royal Australasian College of Surgeons
    Arthroplasty Society of Australia
    Australian Medical Association
    American Academy of Orthopaedic Surgeons
    Arthroscopy Association of North America

Personal

When not working and spending time with family, I enjoy skiing, golf and am a veritable Rugby tragic.I consider it a priority to be available and approachable for all your orthopaedic concerns.
For appointments with Dr Lyons please phone (02) 9409 0500.

Kindly go through the below link for more information about orthopaedic services
http://www.drmattlyons.com.au

Dental Care Glebe, NSW

Personalized Service Based on a Foundation of Trust

Building a foundation of trust by treating our patients as special individuals is vital to our success. We understand how uneasy some patients may feel about their dental visits, and how we can make a difference in providing a relaxing and positive experience.

Our entire team is dedicated to providing you with excellent, personalized care and service to make your visits as comfortable and pleasant as possible.  We are ever mindful of the value of your time – as well as the importance of each and every patient as a prominent factor in our practice’s ongoing success.

Dental Care Glebe offer comprehensive, quality dental care to patients in a comfortable environment. Our mission at Dental Care Glebe is to provide Healthy Smiles for life. We provide you with healthy teeth and gums by using the latest technology. We offer the latest and best dental treatment to our patients including general dentistry, sedation dentistry, cosmetic dentistry, dental implants, restorations, gum disease, and laser dentistry.
Check the below link to get more information
http://www.dentalcareglebe.com.au

Hand to Shoulder Associates, Chicago

Hand to Shoulder Associates began in the early 1970′s as a single physician hand surgery practice located in the growing industrial area of Elk Grove Village, Illinois. Over the last 40 years, we have grown to become a renowned center of excellence, recognized across the state for our specialization in injuries and problems of the shoulder, elbow, wrist and hand. The first replantations of upper extremity amputations in Chicago were performed by one of the co-founders of HSA in the 1970s. With our main office still located in the northwest suburbs of Chicago, HSA is the largest non-university single specialty hand group and one of the largest in the Midwest. We have six board certified or board eligible orthopedic surgeons, each having additional training in the upper extremity and microvascular surgery. We operate nine locations throughout the Chicago area.

Hand to Shoulder Associates specializes in complete care for problems and injuries related to the shoulder, elbow, wrist, and hand. Together, our multidisciplinary healthcare team provides comprehensive care, individualized solutions, and a realistic treatment plan to meet our patients’ needs.

Our surgeons incorporate the latest microsurgical techniques in our state-of-the art Surgical Suite that is currently undergoing expansion.

Our same-day Surgery Suite operates at our main office in Arlington Heights for patients who have traumatic injuries or conditions. This Surgical Suite operates on a call-in basis.
Kindly click the link below for more information
http://www.handtoshoulders.com