Monthly Archives: October 2019

Show Notes for November 1, 2019

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 –

  • Impact of Surgical Wait Time on Posterior Lumbar Spinal Surgery
  • And Finally, a Story about Exercise Therapy and Scapular Dyskinesis 

For HealthBeat …. This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #691 recorded November 01, 2019

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 –

iTunes –
https://itunes.apple.com/us/podcast/chiropractic-online-todays-healthbeat/id76425082?mt=2

COT’s HealthBeat has updated its Community and Show Notes.  The new Web Site is located at – https://cothealthbeat.wordpress.com/

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 ….

 

 

COT’s HealthBeat Chiropractic Community

Google+ has announced that they have closed their Social Network community.

COT’s HealthBeat has moved our Chiropractic Community for Show Notes and Important News Updates.

The new site is now located at – https://cothealthbeat.wordpress.com/

Please surf to our community and subscribe to keep up with current trends in the literature.

 

 

Impact of Surgical Wait Time on Posterior Lumbar Spinal Surgery

A prospective observational study was conducted on patients undergoing posterior lumbar spine surgery for degenerative spinal disorders.

The purpose of a 2007 study published in the European Spine Journal, was to evaluate the effect of wait time to surgery on patient derived generic and disease specific functional outcome following surgery.

A prolonged wait to surgery may adversely affect surgical outcome. Although there is literature on the effect of wait time to surgery in surgical fields such as oncology, cardiac, opthamologic, and total joint arthroplasty, little is known regarding the effect of wait time to surgery as it pertains to the spinal surgical population.

The study concluded that a longer wait time to surgery negatively influences the results of posterior lumbar spinal surgery for degenerative conditions as quantified by patient derived functional outcome measures.

The parameters of pain severity and physical aspects of function appear to be the most significantly affected.

Surf to our Show Notes for Links – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2223329

 

 

Exercise Therapy and Scapular Dyskinesis

The Journal of Shoulder and Elbow Surgery, published a 2019 study that is a wide systematic review including any type of clinical trial in which the effect of any type of therapeutic exercise, including scapular muscle strengthening, stretching, and scapular stabilization exercise, is investigated in adult participants.

Therapeutic exercise for scapular muscles is suggested to be effective in reducing shoulder pain in patients with rotator cuff disorders, whereas its effectiveness on scapular position and motion has remained unclear.

Therefore, the aim of this systematic review was to investigate whether exercise therapy improves scapular position and motion in individuals with scapular dyskinesis.

The study concluded that there is a lack of evidence for beneficial effects of exercise in improving scapular position and motion in individuals with scapular dyskinesis.

However, exercise is beneficial in reducing pain and disability in individuals with subacromial impingement syndrome.

Surf to our Show Notes for Links – https://www.ncbi.nlm.nih.gov/pubmed/31420226/

 

 

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:

It is never too late to be what you might have been.”
― George Eliot

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


Show Notes for October 25, 2019

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 –

  • CMS Issues Updated Medicare Enrollment Guidelines
  • And Finally, a Story about Effect of Waiting for Treating Chronic Pain 

For HealthBeat …. This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #690 recorded October 25, 2019

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 –

iTunes –
https://itunes.apple.com/us/podcast/chiropractic-online-todays-healthbeat/id76425082?mt=2

COT’s HealthBeat has updated its Community and Show Notes.  The new Web Site is located at – https://cothealthbeat.wordpress.com/

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 ….

 

COT’s HealthBeat Chiropractic Community

Google+ has announced that they have closed their Social Network community.

COT’s HealthBeat has moved our Chiropractic Community for Show Notes and Important News Updates.

The new site is now located at – https://cothealthbeat.wordpress.com/

Please surf to our community and subscribe to keep up with current trends in the literature.

 

 

 

CMS Issues Updated Medicare Enrollment Guidelines

According to a recent ChiroCode email update, on September 10, 2019, a final rule was published by CMS, Centers for Medicare and Medicaid Services, which affects enrollment rules. This ruling impacts what providers and suppliers are required to disclose to be considered eligible to participate in Medicare, Medicaid, and Children’s Health Insurance Program (CHIP).

The original proposed rule came out in 2016 and this final rule will go into effect on November 4, 2019.

There have been known problems of individuals getting around the previous enrollment and re-enrollment rules through name changes, identity changes, and what CMS describes as “elaborate, inter-provider relationships.”

This ruling is aimed at catching these individuals and allowing the OIG to take action against them.

When a provider/supplier has had their billing privileges revoked, they are currently barred from re-enrollment for a period of 1-3 years, depending on the severity of the revocation. The final rule increases the maximum period from three to 10 years if this is the first time that they have been barred. If this is the second offense, the maximum increases to 20 years.

Surf to our Show Notes for the full article and CMS links – https://www.chirocode.com/https://s3.amazonaws.com/public-inspection.federalregister.gov/2019-19208.pdf

https://s3.amazonaws.com/public-inspection.federalregister.gov/2019-19208.pdf

 

 

Effect of Waiting for Treating Chronic Pain

In many countries timely access to care is a growing problem. As medical costs escalate health care resources must be prioritized. In this context there is an increasing need for benchmarks and best practices in wait-time management.

The Canadian Pain Society struck a Task Force in December 2005 to identify benchmarks for acceptable wait-times for treatment of chronic pain.

As part of the mandate a systematic review of the literature regarding the relationship between waiting times, health status and health outcomes for patients awaiting treatment for chronic pain was undertaken.

The current review supports that patients experience a significant deterioration in health related quality of life and psychological well-being while waiting for treatment for chronic pain during the 6 months from the time of referral to treatment.

It was concluded that wait-times for chronic pain treatment of 6 months or longer are medically unacceptable.

Further study is necessary to determine at what stage the deterioration begins from the onset of pain to treatment and the impact of waiting on treatment outcomes.

Most important is the need to improve access to appropriate care for patients with chronic pain, an escalating public health care problem with significant human and economic costs.

Surf to our Show Notes for Links – https://www.ncbi.nlm.nih.gov/pubmed/17707589

 

 

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:

Strategy is every employee, at all times”
― Fritz Shoemaker

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

 


CMS Tightens Medicare Enrollment

From ChiroCode:

On September 10, 2019, a final rule was published by CMS which affects enrollment rules. This ruling impacts what providers and suppliers are required to disclose to be considered eligible to participate in Medicare, Medicaid, and Children’s Health Insurance Program (CHIP). The original proposed rule came out in 2016 and this final rule will go into effect on November 4, 2019.

Click to access 2019-19208.pdf

 


Show Notes for October 11, 2019

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 –

  • Optimism and Mortality
  • And Finally, a Story about Pregnancy Work and LBP

For HealthBeat …. This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #689 recorded October 11, 2019

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 –

iTunes –
https://itunes.apple.com/us/podcast/chiropractic-online-todays-healthbeat/id76425082?mt=2

COT’s HealthBeat has updated its Community and Show Notes.  The new Web Site is located at – https://cothealthbeat.wordpress.com/

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 ….

 

 

COT’s HealthBeat Chiropractic Community

Google+ has announced that they have closed their Social Network community.

COT’s HealthBeat has moved our Chiropractic Community for Show Notes and Important News Updates.

The new site is now located at – https://cothealthbeat.wordpress.com/

Please surf to our community and subscribe to keep up with current trends in the literature.

 

 

Optimism and Mortality

A 2019 JAMA study was published to conduct a meta-analysis and systematic review of the association between optimism and risk for future cardiovascular events and all-cause mortality.

Optimism and pessimism can be easily measured and are potentially modifiable mindsets that may be associated with cardiovascular risk and all-cause mortality.

Cardiovascular events included a composite of fatal cardiovascular mortality, nonfatal myocardial infarction, stroke, and/or new-onset angina. All-cause mortality was assessed as a separate outcome.

The study concluded that the findings suggest that optimism is associated with a lower risk of cardiovascular events and all-cause mortality.

Future studies should seek to better define the biobehavioral mechanisms underlying this association and evaluate the potential benefit of interventions designed to promote optimism or reduce pessimism.

Surf to our Show Notes for Links – https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2752100

 


Pregnancy Work and LBP

In Scandinavia, women of childbearing age represent nearly 50% of the overall workforce. Two-thirds of these women spend a considerable time on sick leave during their pregnancies. Low back pain accounts for a significant portion of all pregnancy-related sick leave.

However, pregnant women’s experiences with pain-induced sick leave remains unexplored.

A 2019 study, published in the journal Work, aimed to investigate women’s experiences with sick leave in relation to pregnancy-induced low back pain.

An inductive, qualitative study based on semi-structured, in-depth, face-to-face interviews with 19 purposefully selected Danish women.

The authors of the study concluded that their findings illuminate the possibilities for workplace adjustments with the intention of reducing time spent on sick leave, maintaining pregnant women’s affiliation with their workplace, and a need to explore the role of healthcare professionals in addressing women’s supportive needs in relation to sick leave.

Surf to our Show Notes for Links – https://www.ncbi.nlm.nih.gov/pubmed/31524194

 

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:

We’re all somebody’s prospect; we’re all somebody’s customer.”
― Chris Murray

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