Show Notes for May 26, 2017

Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast.

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

• Updated Medicare E&M Guidelines
• And Finally, a Story about Energy Drinks and Cardiac Changes

For HealthBeat …. This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #593 recorded May 25, 2017.

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

You can download this week’s Podcast here – http://www.chiropracticradio.com/healthbeat/healthbeat0593.mp3

COT’s HealthBeat is now available on demand on Stitcher Radio – http://app.stitcher.com/browse/feed/31530/details

This week’s Episode is sponsored by Audible Books.  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 ….

 

Updated Medicare E&M Guidelines

NGS, National Government Services, a Medicare Contractor, is informing Part B providers of an upcoming change to E&M examination expectations for expanded problem focused and detailed CPT coding.

This change had previously been considered and will now be effective for services performed on and after 7/1/2017.

This change is in response to numerous provider requests for clarification on current examination requirements for these two levels of coding.

Citing the same scope of examination for both levels has led to frequent provider confusion on documentation requirements and coding selections, as well as a degree of subjectivity in reviewing medical records for these services.

This change will eliminate the confusion and bring NGS into alignment with other CMS-sponsored review entities.

Surf to our Show Notes for Links and Full Details – http://bit.ly/2pIKnCZ

 

 

Energy Drinks and Cardiac Changes

Caffeine in doses <400 mg is typically not considered arrhythmogenic, meaning capable of producing cardiac arrhythmias, but little is known about the additional ingredients in energy drinks.

The authors of a study published in the Journal of the American Heart Association, evaluated the ECG and blood pressure (BP) effects of high‐volume energy drink consumption compared with caffeine alone.

This was a randomized, double‐blind, controlled, crossover study in 18 young, healthy volunteers. Participants consumed either 946 mL (32 ounces) of energy drink or caffeinated control drink, both of which contained 320 mg of caffeine, separated by a 6‐day washout period.

ECG, peripheral BP, and central BP measurements were obtained at baseline and 1, 2, 4, 6, and 24 hours post study drink consumption.

The study concluded that the corrected QT interval and systolic BP were significantly higher post high‐volume energy drink consumption when compared with caffeine alone.

Larger clinical trials validating these findings and evaluation of
non-caffeine ingredients within energy drinks are warranted.

As always, discuss all Nutritional related recommendations with your Qualified Health Care Professional.

Surf to our Show Notes for links – http://jaha.ahajournals.org/content/6/5/e004448

http://www.medpagetoday.com/primarycare/dietnutrition/64812

http://medical-dictionary.thefreedictionary.com/arrhythmogenic

Teenager Dies – http://www.cnn.com/2017/05/15/health/teen-death-caffeine/

 

 

 

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:

“You Learn More From Failure Than From Success. Don’t Let It Stop You. Failure Builds Character.”
– Unknown

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

Show Notes for May 12, 2017

Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast.

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

• Study Links Failed Back Surgery Syndrome to Fibromyalgia
• And Finally, a Story about Evidence in Favor of Spinal Manipulation

For HealthBeat …. This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #592 recorded May 12, 2017.

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

You can download this week’s Podcast here – http://www.chiropracticradio.com/healthbeat/healthbeat0592.mp3

COT’s HealthBeat is now available on demand on Stitcher Radio – http://app.stitcher.com/browse/feed/31530/details

This week’s Episode is sponsored by Audible Books.  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 ….

 

 

Study Links Failed Back Surgery Syndrome to Fibromyalgia

A new study shows that one in four patients with failed back surgery syndrome (FBSS) also has a diagnosis of fibromyalgia.

According to the retrospective analysis, patients with FBSS and fibromyalgia also had more surgeries than patients with FBSS alone.

The association between fibromyalgia and FBSS is significant, the authors noted, with 25% of FBSS patients having a diagnosis of fibromyalgia compared with 1.75% in the general population

According to the data, 49% of patients diagnosed with both fibromyalgia and FBSS had undergone at least four surgeries.

For patients without a diagnosis of fibromyalgia, however, that rate was only 30.5%.

The study concluded that:

• Association between FM and FBSS is significant, with 25% of FBSS patients having a diagnosis of FM versus 1.75% in the general population. [2]
• Patients with FM have more (a larger number of )surgeries, in a larger variety.
• Some patients with central sensitization undergo a high number of procedures in an effort to decrease their symptoms. Yet, given the central, rather than peripheral cause of their pain, surgeries are less likely to meet expectations.
• Surgery can lead to worsening pain as acute phase nociceptors lead to neuroplasticity with decrease of inhibitory neurons and increase in nociceptive signals. [3]
• The impact of FBSS is tremendous, with direct costs ranging between $30,000-40,000 per patient, [4] high incidence of disability, decreased quality of living, and unemployment. Given increasing rates of lumbar surgeries and high rates of failure, it is critical to identify patients with FM prior to surgery and educate them regarding worsening symptoms and realistic expectations.

Surf to our Show Notes for Links – http://www.painmedicinenews.com/Clinical-Pain-Medicine/Article/04-17/Study-Links-Failed-Back-Surgery-Syndrome-to-Fibromyalgia/40805

http://epostersonline.s3.amazonaws.com/asrapain16/asrapain16.0dc02f5.NORMAL.pdf

 

 

 

Evidence in Favor of Spinal Manipulation

A recent article in the NY Times published a positive article about Chiropractic and Spinal Manipulation.

About two of every three people will probably experience significant low back pain at some point.  For initial treatment of lower back pain, it may be time for me (and other physicians) to rethink these biases.

Spinal manipulation — along with other less traditional therapies like heat, meditation and acupuncture — seems to be as effective as many other more medical therapies we prescribe, and as safe, if not safer.

Researchers have been looking at the evidence supporting spinal manipulation for some time. Almost 35 years ago, a systematic review evaluated the available research, most of which was judged to be low in quality, and found that there might be some short-term benefits from the procedure.

Two reviews from 2003 agreed for the most part, finding that spinal manipulation worked better than a “sham procedure”, or placebo, but no better or worse than other options.

Almost a decade later, a Cochrane review assessed the literature once more, and found 12 new trials had been conducted. This review was more damning. It found that spinal manipulation was no better than sham interventions.

In February 2017, in Annals of Internal Medicine, another systematic review of nonpharmacologic therapies generally agreed with the other recent trials.

Based upon this review, and other evidence, the American College of Physicians released new clinical practice guidelines for the noninvasive treatment of subacute back pain.

They recommended that patients should try heat, massage, acupuncture or spinal manipulation as first-line therapies.

As always, discuss all Spinal Related issues with your Doctor of Chiropractic.

Surf to our Show Notes for Links – https://nyti.ms/2pmHRAz

http://annals.org/aim/article/2603230/nonpharmacologic-therapies-low-back-pain-systematic-review-american-college-physicians

 

 

 

 

 

 

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:

“Don’t Let Yesterday Take Up Too Much Of Today.”
– Will Rogers

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

Show Notes for May 5, 2017

Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and Informational Podcast.

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

• Updated Medicare ABN Form
• And Finally, a Story about Sex-Based Differences in Cardiometabolic Biomarkers

For HealthBeat …. This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #591 recorded May 5, 2017.

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

You can download this week’s Podcast here – http://www.chiropracticradio.com/healthbeat/healthbeat0591.mp3

COT’s HealthBeat is now available on demand on Stitcher Radio – http://app.stitcher.com/browse/feed/31530/details

This week’s Episode is sponsored by Audible Books.  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 ….

 

 

Updated Medicare ABN Form

The Centers for Medicare and Medicaid Services (CMS) announced on March 28 that the Advance Beneficiary Notice of Noncoverage (ABN) Form and instructions were approved for renewal.

The effective date for use of the updated ABN form rapidly approaching.

CMS has made the updated documents available on their web site.

For information specific to chiropractic use of the ABN, please visit ACA’s ABN webpage.

Be sure to download the new ABN from the CMS.gov website to start using as of its’ effective date. It is the form with the 2020 expiration date.

Surf to our Show Notes for Links –

NYSCA Alert (See CMS site for updated Effective Date information) – http://www.nysca.com/?id=1203

https://www.cms.gov/MEDICARE/medicare-general-information/bni/abn.html

https://www.acatoday.org/Medicare

 

 

Sex-Based Differences in Cardiometabolic Biomarkers

Few data are available comparing cardiovascular disease (CVD) biomarker profiles between women and men in the general population.

The authors of a recent study published in the journal Circulation, analyzed sex-based differences in multiple biomarkers reflecting distinct pathophysiological pathways, accounting for differences between women and men in CVD risk factors, body composition, and cardiac morphology.

A cross-sectional analysis was performed using data from the Dallas Heart Study, a multiethnic population-based study. Associations between sex and 30 distinct biomarkers representative of 6 pathophysiological categories were evaluated.

The study concluded that biomarker profiles differ significantly between women and men in the general population. Sex differences were most apparent for biomarkers of adiposity, endothelial dysfunction, inflammatory cell recruitment, and cardiac stress and injury.

Future studies are needed to characterize whether pathophysiological processes delineated by these biomarkers contribute to sex-based differences in the development and complications of CVD.

Surf to our Show Notes for Links – https://www.ncbi.nlm.nih.gov/pubmed/28153991

 

 

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:

“The Pessimist Sees Difficulty In Every Opportunity. The Optimist Sees The Opportunity In Every Difficulty.”
– Winston Churchill

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