Monthly Archives: September 2011

Show Notes for September 23, 2011

Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast, and Proud to be the #1 Search Result for Chiropractic Podcasts in the iTunes Podcast Directory.

In this week’s news:  We’ll Be Looking At –

• Health Reform and Prevention
• Athletes and Performance
• And Finally, a Story about the Affordable Care Act and Chiropractic Inclusion

For HealthBeat, This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #324, recorded September 23, 2011.

HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.

This week’s Episode is sponsored by DaVinci Laboratories.  Please surf to our web site at www.ChiropracticRadio.com and click on the DaVinci link for your Health and Nutritional needs.

We also would appreciate your passing the word of our Podcasts to your friends and colleagues.  Please let everyone know how easy it is to subscribe via the Apple iTunes directory.

If you are interested in creating personalized Healthbeat podcasts for your office or website, to help attract new patients, please surf to our web site and send us an Email ….

…. or Skype us by typing in “healthbeat”, all in small letters.

Twitter – We are always looking to expand our interactivity with you, our loyal Health Community.  If you would like to be kept up-to-date with current events about Health, Technology and ME, feel free to surf to – http://www.twitter.com/teglow and click on the Follow link.

Next, we would like to send out a big Thank You to those of you who are linking our Podcast to your home pages…. We do request that you also include a link to our main Podcast Page at www.ChiropracticRadio.com

And

as always, a big thank you to our COT HealthBeat Listener community.  This podcast is made available thru the generous donations we receive and greatly appreciate.  If you could remember to surf to our Web Site and click on the PayPal link to make a monthly donation, even $5-$10, this would be very much welcomed.

Finally, Chiropractic OnLine Today has always provided our news and education content for free and plan on continuing this policy.  However, we do request that if you are enjoying these podcasts, that you surf to ChiropracticRadio.com and consider clicking on our PayPal link to make a donation to keep these Podcasts airing.  We thank everyone for their continued support.

And Now for some news ….

RSS Info – In this edition of HealthBeat, we discuss Health Reform and Prevention, Athletes and Performance, And Finally, a Story about the Affordable Care Act and Chiropractic Inclusion.

 

Health Reform and Prevention

An article published in the September 20th edition of the NY Times, looked at how Prevention will be incorporated into the new Accountable Care Act Health Reform legislation.

Prevention has never been the cornerstone of American medicine. In this country, we tend to go to the doctor only when something is wrong, a habit long bemoaned by researchers and medical groups.

The federal government aims to change that, and soon. Starting this year, insurers will be required under the Affordable Care Act to completely cover such services as annual physicals, childhood vaccinations and dozens of screening tests for everything from high blood pressure to abdominal aortic aneurysms.

Just last month, the Department of Health and Human Services released additional guidelines specifying fully covered preventive services for women. Mammograms, cervical cancer screening and other services already had been mandated; the new recommendations expand that list to include screenings for human papillomavirus (which causes cervical cancer) and domestic abuse, and reimbursement and counseling for contraceptives. These services are to be fully covered by most insurance plans beginning in August 2012.

Despite these new regulations, there’s still a lot of ambiguity — and not just among consumers — about what qualifies as preventive care and what insurers are obligated to pay for. “I’ve seen so much confusion among patients and doctors alike trying to figure out what’s paid for and what isn’t,” said Dr. John Santa, director of the Consumer Reports Health Ratings Center and a primary care doctor.

The federal government is still defining the preventive care guidelines. At the moment, at what age tests should be given, and how often, is often left to physicians to decide in individual cases.

For the full article and potential pitfalls, surf to our Show Notes for links – http://www.healthcare.gov/news/factsheets/2010/07/preventive-services-list.html

http://www.nytimes.com/2011/09/20/health/policy/20consumer.html?_r=1&ref=health

 

 

 

Athletes and Performance

A recent study n the journal Medicine and Science in Sports and Exercise, investigated whether it was possible to reduce the time taken to complete a 4,000-m cycling time trial by misleading participants into believing they were racing against a previous trial, when in fact the power output was 2% greater.

The study had the cyclists race against an avatar, a figure of a cyclist on a computer screen in front them. Each rider was shown two avatars. One was himself, moving along a virtual course at the rate he was actually pedaling the stationary bicycle. The other figure was moving at the pace of the cyclist’s own best effort — or so the cyclists were told.

In fact, the second avatar was programmed to ride faster than the cyclist ever had — using 2 percent more power, which translates into a 1 percent increase in speed.

Nine trained male cyclists each completed four, 4,000-m time trials. The first trial was a habituation and the data from the second trial was used to form a baseline (BL). During trials three and four, participants raced against an avatar which they were informed represented their baseline  performance. However whilst one of these trials was an accurate (ACC) representation of baseline , the power output in the other trial was set at 102% of baseline and formed the deception condition (DEC). Oxygen uptake and respiratory exchange ratio were measured continuously and used to determine aerobic and anaerobic contributions to power output.

The study concluded that the provision of surreptitiously augmented feedback derived from a previous performance reduces time taken for cyclists to accomplish a time trial of known duration. This suggests that cyclists operate with a metabolic reserve even during maximal time trials and that this reserve can be accessed following deception.

Surf to our Show Notes for Links – http://www.nytimes.com/2011/09/20/health/nutrition/20best.html?ref=science

http://journals.lww.com/acsm-msse/Abstract/publishahead/Effects_of_Deception_on_Exercise_Performance_.98845.aspx

 

 

Affordable Care Act and Chiropractic Inclusion

The Patient Protection and Affordable Care Act (ACA) requires that everyone in the United States have health insurance beginning in 2014.

Health insurance may be purchased through state-based health insurance exchanges designed to provide enrollees with a selection of health insurance plans from which to choose, many of whom will be eligible for Federal subsidies.

Plans for individuals and small businesses, both in the exchange and outside of the exchange, will include essential health benefits (EHB), which fall under 10 general categories including emergency services, behavioral health treatment, and preventive services and chronic disease management.

The exchanges will have to determine whether health plans developed by insurers are qualified health plans, covering the EHB and meeting other Affordable Care Act requirements.

The Department of Health and Human Services (HHS) requested that the Institute of Medicine recommend the criteria and methods for determining and regularly updating the EHB package. The IOM will release a final report with recommendations on these processes in the early fall of 2011.

The public had an opportunity to submit comments online or to present their opinions at public workshops held in Washington, DC (January 13-14, 2011), and in Costa Mesa, CA (March 2, 2011). The workshops brought together experts from federal and state governments, employers, insurers, healthcare providers, consumers, and healthcare researchers.

Speakers discussed topics such as the need to balance the generosity of EHB with affordability of insurance products, in consideration of how insurers design benefits, and incorporating evidence into benefit priority decisions, among other issues. This document summarizes the workshops.

COT’s HealthBeat recommends staying in touch with your State and National organizations to see updates for inclusion of Chiropractic Services into the above mentioned benefits – http://www.iom.edu/Reports/2011/Perspectives-on-Essential-Health-Benefits-Workshop-Report.aspx

 

 

This podcast is made available through the generous donations from our great Listeners, such as You!  If you are enjoying these HealthBeat Podcasts, Please surf to our Web Site and click on the PayPal link.

For information about adding Personalized HealthBeat Podcasts to your office’s Web Site, to help you attract new patients, please Email us at – healthbeat@chiropracticradio.com

And

remember to surf to our Show Notes, located at http://www.ChiropracticRadio.com

 

As always, please surf to our Podcast Show Notes at ChiropracticRadio.com for a full listing of web references mentioned in today’s show.

And remember – COT’s Healthbeat always recommends discussing any nutritional or exercise lifestyle modifications with a qualified healthcare professional.

 

 

Thank you for listening…. As always, We Want to hear from you.  Please send us emails…. Simply surf to our Web Site at ChiropracticRadio.com and click on the Email link.

You can also leave us Voice Mail…. Simply open up your Skype and type in “healthbeat”, all in small letters.

If you have an idea for a future Health Segment, please feel free to contact me directly via email …. The address is:

healthbeat@chiropracticradio.com

We also would appreciate your votes both at Podcastalley.com.  If you are enjoying these podcasts, please surf to our HealthBeat homepage and click on the Podcast Alley link and Yahoo links.

If you have a Web Site for your practice and you would like to add content to help attract more patients, please consider adding a Personalized HealthBeat segments to your site. Many listeners are finding this a useful content addition to an Office’s Web Site.  For more information, please send me an Email at healthbeat@chiropracticradio.com

While at our Web Site, please remember to consider making a donation to help keep these Podcasts airing.  Listener support such as yours, via our PayPal link, does help in allowing us to bring these Podcasts to you weekly.

And please remember to support our sponsors by clicking their links located at ChiropracticRadio.com

Finally, I leave you with the following quote:

“A man who wants to lead the orchestra must turn his back on the crowd.”
– Max Lucado

For Chiropractic OnLine Today’s HealthBeat, This is Dr. Todd Eglow.


Show Notes for September 16, 2011

Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast, and Proud to be the #1 Search Result for Chiropractic Podcasts in the iTunes Podcast Directory.

In this week’s news:  We’ll Be Looking At –

  • Neck Ultrasound and Prediction of Stroke
  • MRI techniques may detect early osteoarthritis
  • And Finally, a story about the Updated Medicare ABN Form

For HealthBeat, This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #322, recorded September 9, 2011.

HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.

This week’s Episode is sponsored by DaVinci Laboratories.  Please surf to our web site at www.ChiropracticRadio.com and click on the DaVinci link for your Health and Nutritional needs.

We also would appreciate your passing the word of our Podcasts to your friends and colleagues.  Please let everyone know how easy it is to subscribe via the Apple iTunes directory.

If you are interested in creating personalized Healthbeat podcasts for your office or website, to help attract new patients, please surf to our web site and send us an Email ….

…. or Skype us by typing in “healthbeat”, all in small letters.

Twitter – We are always looking to expand our interactivity with you, our loyal Health Community.  If you would like to be kept up-to-date with current events about Health, Technology and ME, feel free to surf to – http://www.twitter.com/teglow and click on the Follow link.

Next, we would like to send out a big Thank You to those of you who are linking our Podcast to your home pages…. We do request that you also include a link to our main Podcast Page at www.ChiropracticRadio.com

And as always, a big thank you to our COT HealthBeat Listener community.  This podcast is made available thru the generous donations we receive and greatly appreciate.  If you could remember to surf to our Web Site and click on the PayPal link to make a monthly donation, even $5-$10, this would be very much welcomed.

Finally, Chiropractic OnLine Today has always provided our news and education content for free and plan on continuing this policy.  However, we do request that if you are enjoying these podcasts, that you surf to ChiropracticRadio.com and consider clicking on our PayPal link to make a donation to keep these Podcasts airing.  We thank everyone for their continued support.

And Now for some news ….

RSS Info – In this edition of HealthBeat, we discuss Neck Ultrasound and Prediction of Stroke, MRI techniques may detect early osteoarthritis, And Finally, a story about the Updated Medicare ABN Form.

Neck Ultrasound and Prediction of Stroke

A recent study in the journal Neurology, looked at the relationship of Cervical Ultrasound and predicting stroke.

Two noninvasive imaging tests may help determine which people with a narrowing of arteries in the neck will need surgery to reduce their future risk of stroke, a study suggests.

A narrowing of the carotid arteries in the neck is known as asymptomatic carotid stenosis (ACS). “Asymptomatic” means the patient does not experience any symptoms.

Carotid arteries in the neck deliver blood to the brain. They typically become narrowed when plaques build up in the inner lining of the arteries.

There is some uncertainty within the medical community on how to best identify people with ACS who are at high risk for stroke and need surgery or stenting to open their carotid arteries as opposed to treatment with medication.

In a  two-year study of 435 people with severe ACS, researchers used ultrasound to assess the quality and composition of the plaque in the carotid arteries and a Doppler ultrasound test to look for the presence of tiny blood clots or particles called microemboli that may break off from the arteries and travel to the brain, causing stroke.

Surf to our Show Notes for links and a multimedia presentation of understanding strokes – http://www.neurology.org/content/early/2011/08/17/WNL.0b013e31822b00a6.abstract

http://www.webmd.com/stroke/slideshow-stroke-overview

http://www.medscape.com/viewarticle/748153

 

MRI techniques may detect early osteoarthritis

Researchers from the New York University Langone Medical Center have found that advanced MRI techniques could be used to detect subtle changes in joint cartilage microstructure and provide physicians with a diagnostic tool for locating key markers of early osteoarthritis.

Using these techniques during patient exams to facilitate earlier identification of osteoarthritis (OA) can shift the focus of management from eventual joint reconstruction to long-term preservation, according to the review article — published in the Journal of the American Academy of Orthopaedic Surgeons.

“Imaging technology is now sensitive and powerful enough to enable detection of subtle changes in the intricate balance of water, chondrocytes and the collagen fibers and protein molecules that make up our joint cartilage — which we know can point to future [OA],” lead author Laith Jazrawi, MD, stated in a press release from the NYU Langone Medical Center.

Damaged cartilage shows distinct changes in the concentration of water and collagen molecules, the micro- and macrostructure of collagen and glycosoaminoglycan concentrations.

The authors noted that these techniques have yet to be used to any significant extent in the clinical field, but added that the potential for their clinical use is evident.

Surf to our Show Notes for Links –

http://www.jaaos.org/content/19/7/420.abstract

http://www.orthosupersite.com/view.aspx?rid=86655

 

Updated Medicare ABN Form

The Centers for Medicare & Medicaid Services (CMS) has released a revised Advanced Beneficiary Notice of Non-Coverage (ABN) CMS-R-131 form. The ABN is issued by providers in situations where Medicare payment is expected to be denied.

The revised ABN replaces the ABN-G (Form CMS-R-131G), ABN-L (Form CMS-R-131L), and NEMB (Form CMS-20007).The mandatory use date is November 1, 2011.

The changes to the revised ABN form and instructions are very minor:

The new form can be distinguished from the current form by reviewing the release date located in the lower left corner of the form. Revised forms list a date of 03/11. ABN forms issued on or after November 1, 2011 with a release date of 03/08 or prior will be considered invalid.

CMS also recently released a new ABN booklet containing instructions for issuing these forms for both Medicare Part A and Part B.

Read more about the ABN and download the new version from the CMS website.

Surf to our Show Notes for Links – http://www.chirocode.com/Advanced_Beneficiary_Notice_Revised

http://www.cms.gov/MLNProducts/downloads/ABN_Booklet_ICN006266.pdf

http://www.cms.gov/BNI/02_ABN.asp#TopOfPage

 

 

This podcast is made available through the generous donations from our great Listeners, such as You!  If you are enjoying these HealthBeat Podcasts, Please surf to our Web Site and click on the PayPal link.

For information about adding Personalized HealthBeat Podcasts to your office’s Web Site, to help you attract new patients, please Email us at – healthbeat@chiropracticradio.com

And remember to surf to our Show Notes, located at http://www.ChiropracticRadio.com

 

As always, please surf to our Podcast Show Notes at ChiropracticRadio.com for a full listing of web references mentioned in today’s show.

And remember – COT’s HealthBeat always recommends discussing any nutritional or exercise lifestyle modifications with a qualified healthcare professional.

 

Thank you for listening…. As always, We Want to hear from you.  Please send us emails…. Simply surf to our Web Site at ChiropracticRadio.com and click on the Email link.

You can also leave us Voice Mail…. Simply open up your Skype and type in “healthbeat”, all in small letters.

If you have an idea for a future Health Segment, please feel free to contact me directly via email …. The address is:

healthbeat@chiropracticradio.com

We also would appreciate your votes both at Podcastalley.com.  If you are enjoying these podcasts, please surf to our HealthBeat homepage and click on the Podcast Alley link and Yahoo links.

If you have a Web Site for your practice and you would like to add content to help attract more patients, please consider adding a Personalized HealthBeat segments to your site. Many listeners are finding this a useful content addition to an Office’s Web Site.  For more information, please send me an Email at healthbeat@chiropracticradio.com

While at our Web Site, please remember to consider making a donation to help keep these Podcasts airing.  Listener support such as yours, via our PayPal link, does help in allowing us to bring these Podcasts to you weekly.

And please remember to support our sponsors by clicking their links located at ChiropracticRadio.com

Finally, I leave you with the following quote:

Nobody can think straight who does not work. Idleness warps the mind.”
– Henry Ford

For Chiropractic OnLine Today’s HealthBeat, This is Dr. Todd Eglow.


Welcome to COT’s HealthBeat Podcast

Hello everyone.

We’ll be using Word Press to update your Podcast Show Notes.  Feel free to add our direct link to your iPad HomePage:

https://cothealthbeat.wordpress.com