Monthly Archives: March 2018

Show Notes for March 23, 2018

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 –

  • Opioid vs Nonopioid Medications on Pain-Related Function in Patients With Chronic Back Pain
  • And Finally, a Story about Dose-response and efficacy of spinal manipulation for care of cervicogenic headache

For HealthBeat …. This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #627 recorded March 23, 2018

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/healthbeat0627.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 ….

 


Opioid vs Non-opioid Medications on Pain-Related Function in Patients With Chronic Back Pain

Limited evidence is available regarding long-term outcomes of opioids compared with nonopioid medications for chronic pain.

A recent study was published in the NEJM to compare opioid vs nonopioid medications over 12 months on pain-related function, pain intensity, and adverse effects.

Both interventions (opioid and nonopioid medication therapy) followed a treat-to-target strategy aiming for improved pain and function. Each intervention had its own prescribing strategy that included multiple medication options in 3 steps. In the opioid group, the first step was immediate-release morphine, oxycodone, or hydrocodone/acetaminophen.

For the nonopioid group, the first step was acetaminophen or a non-steroidal anti-inflammatory drug. Medications were changed, added, or adjusted within the assigned treatment group according to individual patient response.

The primary outcome was pain-related function (Brief Pain Inventory [BPI] interference scale) over 12 months and the main secondary outcome was pain intensity (BPI severity scale).

The study concluded that treatment with opioids was not superior to treatment with nonopioid medications for improving pain-related function over 12 months. Results do not support initiation of opioid therapy for moderate to severe chronic back pain or hip or knee osteoarthritis pain.

Discuss manipulation and related non-opioid therapies for LBP with your Qualified Chiropractor.

Surf to our Show Notes for Links – https://jamanetwork.com/journals/jama/article-abstract/2673971

 

 

Dose-response and efficacy of spinal manipulation for care of cervicogenic headache

The optimal number of visits for the care of cervicogenic headache (CGH) with spinal manipulative therapy (SMT) is unknown.

A recent study was published in the Spine Journal to identify the dose-response relationship between visits for spinal manipulative therapy and chronic cervicogenic headache outcomes; to evaluate the efficacy of spinal manipulative therapy by comparison with a light massage control.

Participants were randomized to 4 dose levels of chiropractic spinal manipulative therapy: 0, 6, 12, or 18 sessions. They were treated 3 times per week for 6 weeks and received a focused light-massage control at sessions when spinal manipulative therapy was not assigned.

The study concluded that there was a linear dose-response relationship between spinal manipulative therapy visits and days with cervicogenic headache.

For the highest and most effective dose of 18 spinal manipulative therapy visits, cervicogenic headache days were reduced by half, and about 3 more days per month than for the light-massage control.

Surf to our Show Notes for Links – http://www.thespinejournalonline.com/article/S1529-9430(18)30077-9/fulltext

 

 

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.

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 true test of leadership is how well you function in a crisis.”

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

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Show Notes for March 16, 2018

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 –

  • Outcomes indicators and a risk classification system for spinal manipulation under anesthesia
  • And Finally, a Story about the Nebraska Supreme Court ruling on chiropractic copayment complaints

For HealthBeat …. This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #626 recorded March 16, 2018

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/healthbeat0626.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 ….

 

 

Outcomes indicators and a risk classification system for spinal manipulation under anesthesia

Over a period of decades chiropractors have utilized spinal manipulation under anesthesia (SMUA) to treat chronic back and neck pain.

As an advanced form of manual therapy, spinal manipulation under anesthesia is reserved for the patient whose condition has proven refractory to office-based manipulation and other modes of conservative care.

Historically, the protocols and guidelines put forth by chiropractic MUA proponents have served as the clinical compass for directing MUA practice.

This review considers risk and unfavorable outcomes indicators in therapeutic decision making for spinal manipulation under anesthesia.

A new risk classification system is proposed that identifies patient safety and quality of care interests for a procedure that remains without higher-level research evidence.

A scale which categorizes risk and outcome potential for spinal manipulation under anesthesia is offered for the chiropractic clinician, which aims to elevate the standard of care and improve patient selection through the incorporation of specific indices from existing medical literature.

Congrats to Drs. John L. Cerf and Daniel S. Bowerman on this important study.

Surf to our Show Notes for Links – https://chiromt.biomedcentral.com/articles/10.1186/s12998-018-0177-z

 


Nebraska Supreme Court rules on chiropractic copayment complaints

Health insurance policyholders brought a declaratory judgment action to determine whether a statute allows insurance policies to impose higher copayments on policyholders when they obtain a covered service from a chiropractor rather than from a medical doctor.

The district court concluded that it does.

Currently, health insurance policies in Nebraska are permitted to charge a policyholder a higher copayment if covered services are obtained from a chiropractor rather than from a medical doctor.

The district court overruled the motion for summary judgment and dismissed Policyholders’ complaint.

The court explained that the Legislature could have imposed equal copayment requirements if it wished to do so, and the court identified other statutes where the Legislature expressly invoked “‘copayments’ and other cost-sharing restrictions.”

Policyholders filed a timely appeal, and we granted their petition to bypass review by the Nebraska Court of Appeals.

Surf to our Show Notes for links – https://www.courtlistener.com/opinion/4470485/cookson-v-ramge/

 

 

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.

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:

Leaders are anticipatory thinkers. They consider all consequences of their behaviors before they act.”

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


Show Notes for March 9, 2018

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 –

  • Precision nutrition for prevention and management of type 2 diabetes,
  • And Finally, a Story about Increases in physical activity is as important as smoking cessation for reduction in total mortality in elderly men

For HealthBeat …. This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #625 recorded March 9, 2018

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/healthbeat0625.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 ….

 

 

Precision nutrition for prevention and management of type 2 diabetes

Precision nutrition aims to prevent and manage chronic diseases by tailoring dietary interventions or recommendations to one or a combination of an individual’s genetic background, metabolic profile, and environmental exposures.

Recent advances in genomics, metabolomics, and gut microbiome technologies have offered opportunities as well as challenges in the use of precision nutrition to prevent and manage type 2 diabetes.

Nutrigenomics studies have identified genetic variants that influence intake and metabolism of specific nutrients and predict individuals’ variability in response to dietary interventions.

Metabolomics has revealed metabolomic fingerprints of food and nutrient consumption and uncovered new metabolic pathways that are potentially modified by diet.

Currently, the field of precision nutrition faces challenges including a lack of robust and reproducible results, the high cost of omicstechnologies, and methodological issues in study design as well as high-dimensional data analyses and interpretation.

Evidence is needed to support the efficacy, cost-effectiveness, and additional benefits of precision nutrition beyond traditional nutrition intervention approaches.

Surf to our Show Notes for links to this study, published in the journal, The Lancethttp://www.thelancet.com/pdfs/journals/landia/PIIS2213-8587(18)30037-8.pdf

 

 

Increases in physical activity is as important as smoking cessation for reduction in total mortality in elderly men

Physical activity (PA) at leisure by the elderly, and its relationship to cardiovascular (CV) and non-CV mortality, with and without competing risk, has been scarcely described.

The authors of a recent study published in the British Journal of Sports Medicine, determined the relationships between Physical activity, smoking and 12-year CV, non-CV and all-cause mortality in elderly Oslo men screened for CV disease in 1972–1973 and 2000.

The study concluded that even at the age of 73 years, Physical activity is associated highly with mortality between groups of sedentary and active persons.

Allowing for competing risk did not weaken these associations markedly. Public health strategies in elderly men should include efforts to increase Physical activity in line with efforts to reduce smoking behaviour.

As always, discuss all Exercise related issues with your Qualified Health Care Provider.

Surf to our Show Notes for links – http://bjsm.bmj.com/content/49/11/743

 

 

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.

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:

Superior leaders are willing to admit a mistake and cut their losses. Be willing to admit that you’ve changed your mind. Don’t persist when the original decision turns out to be a poor one.”

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


Show Notes for March 2, 2018

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 –

  • Physical Activity and Chronic Pain Prevention
  • And Finally, a Story about Fruits and vegetables are universally promoted as healthy

For HealthBeat …. This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #624 recorded March 2, 2018

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/healthbeat0624.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 ….

 

Physical Activity and Chronic Pain Prevention

It is generally believed that exercise produces its effects by activating central opioid receptors; there are little data that support this claim.

The periaqueductal gray (PAG) and rostral ventromedial medulla (RVM) are key nuclei in opioid-induced analgesia, and opioids interact with serotonin to produce analgesia.

The purpose of a recent study published in Pain Reports, was to examine central inhibitory mechanisms involved in analgesia produced by wheel running.

C57/Black6 mice were given access to running wheels in their home cages before induction of chronic muscle hyperalgesia and compared with those without running wheels.

The study concluded that these data support the hypothesis that wheel running produced analgesia through central inhibitory mechanisms involving opioidergic and serotonergic systems.

Surf to our Show Notes for Links – https://journals.lww.com/painrpts/Fulltext/2017/10000/Regular_physical_activity_prevents_development_of.7.aspx

 

 

Fruits and vegetables are universally promoted as healthy.

Fruits and vegetables include a diverse group of plant foods that vary greatly in content of energy and nutrients. Additionally, fruits and vegetables supply dietary fiber, and fiber intake is linked to lower incidence of cardiovascular disease and obesity.

Fruits and vegetables also supply vitamins and minerals to the diet and are sources of phytochemicals that function as antioxidants, phytoestrogens, and anti-inflammatory agents and through other protective mechanisms.

In this review, published in the journal Advances in Nutrition, the authors describe the existing dietary guidance on intake of fruits and vegetables.

The authors also review attempts to characterize fruits and vegetables into groups based on similar chemical structures and functions.

Differences among fruits and vegetables in nutrient composition are detailed. Further, the authors summarize the epidemiological and clinical studies on the health benefits of fruits and vegetables.

Finally, they discuss the role of fiber in fruits and vegetables in disease prevention.

As always, discuss all Nutritional Recommendations with your Qualified Health Care Provider.

Surf to our Show Notes for Links – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3649719/

 

 

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.

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:

Practice Golden Rule Management in everything you do. Manage others the way you would like to be managed.”

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