Tuesday, April 30, 2013

Activist Shares her Story to Increase HIV/AIDS Awareness

At birth, Hydeia Broadbent was abandoned at the University Medical Center of Southern Nevada in Las Vegas, where Patricia and Loren Broadbent adopted her as an infant. Although her HIV condition was congenital, she was not diagnosed as HIV-positive with advancement to AIDS until age 3. The prognosis was that she would not live past the age of 5. Now more than 20 years later, Broadbent spends her time spreading the message of HIV/AIDS awareness and prevention by promoting abstinence, safe-sex practices (for people who choose to have sex), and the initiative “Knowing Your HIV/AIDS Status.”

Broadbent was a keynote speaker at Kaiser Permanente’s 2011 National Diversity Conference, speaking to several hundred Kaiser Permanente physicians and employees celebrating and learning about diversity and inclusion. We caught up with Broadbent recently to see what messages she had to share in honor of World AIDS Day.

CTH Blog:
When did you start speaking publicly about HIV/AIDS?

Hydeia Broadbent:
I started speaking out at the age of 6. Back then my focus was talking about compassion for individuals living with HIV/AIDS to make sure they were treated fairly. In the late 1980s a lot of people lost their jobs or they were kicked out of their homes. Some kids couldn’t even go to school, so I really started speaking about compassion and understanding.

Now, my primary goal is to provide a clear understanding of how to avoid at-risk behaviors through self-examination and informed decision-making. With all that we know about the virus, it is clear to me that contracting HIV/AIDS today is a choice and we can’t allow anyone the power to make that choice for us.

CTH Blog:
What has your message been to clinical staff and caregivers?

HB:
Growing up I spent a lot of time in the hospital. For those who work with someone who is infected with HIV/AIDS, you guys are very important to our lives. We spend a lot of time with our doctors and our nurses and our case workers.

I know how important it is for communication between a doctor and patient. Patients want to be informed about the medicines and procedures that they go through. And it also goes back to compassion because a lot of times when people have chronic illnesses they may be facing them alone. Sometimes they don’t have the support of their families or friends. Service with a smile really does go along way.

CTH Blog:
There was a time last year when you were without insurance?

HB:
Yes, and that was very scary. I know how expensive these out-of- pocket costs can be. A lot of people wanted to help me, but I wanted to make sure we help others – it’s not just about Hydeia. I feel like I speak for a lot of people who don’t have a name or a face or a voice, but they are out there, and they deserve the compassion of their fellow brothers and sisters. Everything I go through serves a purpose. I want to inspire people, not to just care about me, but others who are living with HIV/AIDS.

CTH Blog:
At Kaiser Permanente’s 2011 National Diversity Conference, you mentioned you received care at a Kaiser Permanente facility?

HB:
I live in Las Vegas, but once I got sick when I was in Los Angeles and ended up at a Kaiser Permanente facility, so I know the care and the service that Kaiser Permanente provide, and it’s excellent.

CTH Blog:
What are you working on now?

HB:
On Nov. 26, a project I’ve been helping work on, “Forgotten but Not Gone: Kids, HIV & AIDS,” aired on Nickelodeon. The inspiration came to me after seeing a story about a 13-year-old boy in Pennsylvania who had applied to a private boarding school, but was refused because he is HIV-positive. The show is a powerful piece featuring many stories of youth who have been living with HIV, and it addresses stereotypes.

I’ve been doing a lot of work around youth lately, such as public service announcements that they can relate to. A lot of young people don’t like to be lectured to, so you have to make sure it’s more of a discussion and you’re not just preaching. And also when it comes to HIV, you have to install a sense of fear. We have kind of glamorized it because we wanted people with HIV to be accepted, but we forgot to talk about the reality of what this disease is, and it still kills people. There are medications, but not everyone can afford these medications, so we need to make sure we are speaking to the reality that these medications cost a lot of money.

CTH Blog:
World AIDS Day is around the corner. What do you hope people think about on Dec. 1?

HB:
I grew up in a time when there was no hope. I’ve seen countless friends die — my own doctor had passed away. We are definitely in a new time when there are advancements to medications and people aren’t dying at alarming rates from AIDS as they once did. But the fight is far from over. You have to go home and talk to your kids. You have to talk to them about HIV. You have to talk to them about sex. You have to talk to your nieces your nephews. We have come to a place where we are complacent about HIV/AIDS because people are healthier they are living longer and it’s kind of on everyone’s back burner. If you aren’t talking to your kids about these things, someone else probably is.

I’d also like people to stop and think: Do you know your own HIV status?

Below is an excerpt from Broadbent’s keynote at Kaiser Permanente’s 2011 National Diversity Conference.

Source: http://centerfortotalhealth.org/2012/activist-shares-her-story-to-increase-hivaids-awareness/

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Molecular outcomes of neuromyelitis optica (NMO)-IgG binding to aquaporin-4 in astrocytes

Vanda A. Lennon, M.D., Ph.D., with the Departments of Laboratory Medicine and Pathology and Neurology, discusses research that identifies critical properties of neuromyelitis optica, a potentially debilitating neurological disease that is often misdiagnosed as multiple sclerosis (MS).

Dr. Lennon’s team isolated and identified an antibody unique to NMO that may interfere with the transport of the water. In some areas of autopsied brain tissue studied, there was an accumulation of water in the myelin itself that the team believes may lead to the secondary destruction of the myelin in NMO and potential misdiagnosis of NMO as MS.

The study was published online in the Proceedings of the National Academy of Sciences on Nov. 29, 2011.

ABSTRACT
The astrocytic aquaporin-4 (AQP4) water channel is the target of pathogenic antibodies in a spectrum of relapsing autoimmune inflammatory central nervous system disorders of varying severity that is unified by detection of the serum biomarker neuromyelitis optica (NMO)-IgG. Neuromyelitis optica is the most severe of these disorders. The two major AQP4 isoforms, M1 and M23, have identical extracellular residues.

This report identifies two novel properties of NMO-IgG as determinants of pathogenicity: 

  • The binding of NMO-IgG to the ectodomain of astrocytic AQP4 has isoform-specific outcomes. M1 is completely internalized, but M23 resists internalization and is aggregated into larger-order orthogonal arrays of particles that activate complement more effectively than M1 when bound by NMO-IgG.
  • NMO-IgG binding to either isoform impairs water flux directly, independently of antigen down-regulation.

We identified, in nondestructive central nervous system lesions of two NMO patients, two previously unappreciated histopathological correlates supporting the clinical relevance of our in vitro findings:

  • Reactive astrocytes with persistent foci of surface AQP4
  • Vacuolation in adjacent myelin consistent with edema

The multiple molecular outcomes identified as a consequence of NMO-IgG interaction with AQP4 plausibly account for the diverse pathological features of NMO: edema, iflammation, demyelination and necrosis.

Differences in the nature and anatomical distribution of NMO lesions, and in the clinical and imaging manifestations of disease documented in pediatric and adult patients, may be influenced by regional and maturational differences in the ratio of M1 to M23 proteins in astrocytic membranes. 

Authors
Shannon Hinson, Ph.D., Michael F. Romero, Ph.D., Bogdan F. Popescu, M.D., Ph.D., Claudia F. Lucchinetti, M.D., James (Jim) P. Fryer, Hartwig Wolburg, Petra Fallier-Becker, Susan Noell, Vanda A. Lennon, M.D., Ph.D.

Source: http://physicianupdate.mayoclinic.org/2012/03/22/molecular-outcomes-of-neuromyelitis-optica-nmo-igg-binding-to-aquaporin-4-in-astrocytes/

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Mayo Clinic study finds that cardiac rehab reduces mortality by 45 percent

Randal J. Thomas, M.D., director of Mayo Clinic’s Cardiovascular Health Clinic, and colleagues found that patients who participate in cardiac rehabilitation after having heart interventions such as angioplasty, stents and clot-busting drugs have a 45 percent lower mortality rate.

The research team studied data from more than 2,300 patients between 1994 and 2008, and recently published the results in Circulation 

Only about 40 percent of patients in the study participated in cardiac rehabilitation. These findings are particularly important for interventional cardiologists, Dr. Thomas says, because encouraging patients to pursue cardiac rehab after their procedure can potentially save more lives than previously thought.

Authors: Kashish Goel, M.B.B.S.; Ryan J. Lennon, M.S.; R. Thomas Tilbury, M.D.; Ray W. Squires, PhD; Randal J. Thomas, M.D., M.S.

Source: http://physicianupdate.mayoclinic.org/2012/04/03/mayo-clinic-study-finds-that-cardiac-rehab-reduces-mortality-by-45-percent/

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Ebooks, remote medicine and libraries

Source: http://adventuredoc.net/2012/06/06/ebooks-remote-medicine-and-libraries/

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Rock Health: Accelerating Innovation in Health Care

Innovation starts with a seed, an idea fueled by passion and a desire to make meaningful change by building on that which has come before and making it better. In no field is this perhaps more vital than in health care.

Rock Health, a seed accelerator and nonprofit foundation focused on the intersection of health care and technology, develops global strategies to enhance care delivery, patient-clinician relations, and the health and well being of people the world over.  The organization is partnering with organizations, entrepreneurs, researchers, thought leaders and innovators across multiple fields, including medicine, technology, venture capital, and corporate industry to advance digital technology in health care – two fields that touch each of our lives. Through start-up funding, research and public events, the foundation supports next generation health entrepreneurs committed to supporting digital innovation in health care.

Kaiser Permanente recently announced its partnership with Rock Health as a sponsor to provide financial support and work closely with the seed accelerator’s network of change makers to explore new ways to leverage digital innovation to improve the health of communities across the globe. In this move, Kaiser Permanente joins several other health and business leaders—including the Mayo Clinic, Harvard Medical School, General Electric, Nike, Genentech and others—who support Rock Health and the important work it is doing.

For more information on Rock Health, including its incubator program, its events, its own blog, and more, check out the website here.

Source: http://centerfortotalhealth.org/2012/rock-health-accelerating-innovation-in-health-care/

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Changes are Coming to Your Health Savings Accounts

It’s the season of open enrollment for health insurance plans, and if you have an HSA (Health Spending Account – sometimes called a Health Reimbursement or Flex Spending Account), it’s time to max it out! Tax laws have changed, and this coming year, 2012, is the last year that you can place the maximum $5,000 in your HSA. Starting in 2013, the maximum allowed in any Health Savings Account will be $2,500, which means that the entire cost of laser eye surgeries such as LASIK cannot be covered by your HSA pre-tax dollars after 2012.

If you have questions about the coming changes, or if you would like to set up a consultation for LASIK or other laser vision correction procedures, please contact Grochmal Eye Center at (410) 697-4090.

Source: http://www.grochmaleye.com/blog/hsa-flex-spending-account/

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Monday, April 29, 2013

Take A Walk On The Grass

Take A Walk On The Grass

When is the last time that you took off your shoes and yours socks and you walked barefoot on the grass.  If you’re older than twelve I’m guessing it has been quite some time.  It’s funny, when we’re kids, if we see a mud puddle we JUMP right in it.  When we become adults we walk around the mud puddle.  Not only do we walk around the mud puddle…we complain about it! 

Stop complaining.  It’s not really serving you.  Start living.  Get outside and re-connect with our planet.  This isn’t some hippy dippy statement.  We (human beings) are electrical beings.  That’s right, we are electrical beings.  Electricity is constantly flowing through our bodies.   In fact, without electricity you wouldn’t be reading this post right now.  Without electricity running through your body your brain would cease to function. 

Sometimes we need to re-charge.  We need to “ground” ourselves.  One of the ways to do this is by getting outside and walking barefoot on the grass.  While you’re walking (barefoot of course) do some deep breathing – you’ll be accomplishing two things at the same time (there is nothing like multi-tasking when it comes to your health).  Walking barefoot on the grass will “ground” you, literally.  Doing this will help you release built up electrical energy that’s in your body.

As stated above, your entire nervous system is run on electrical energy.  Get walking, ground yourself, do your deep breathing, and make some positive changes in your life.  This doesn’t cost you a dime.  What have you got to lose?

Yours In Health!

G.E. Moon II

Source: http://www.abundanthealthcenter.com/blog/takeawalkonthegrass

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Influenza in the United States

There has been a severe start to the flu season in North America, with many more people than usual falling ill.

Travellers visiting America should be vaccinated against influenza.

Influenza may also be caught anywhere where there are crowds of people in close proximity, such as shops, airports, cinemas, etc.

For advice about influenza and other travel related illnesses and vaccinations, contact the Globe Travel Health Centre in Norwich on 01603 667323 – we have influenza vaccine in stock and can vaccinate anybody over the age of one year against flu

Source: http://www.globetravelhealthcentre.com/travel-advice/influenza-in-the-united-states.html?utm_source=rss&utm_medium=rss&utm_campaign=influenza-in-the-united-states

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Measles in Pakistan

There has been an upsurge in cases of measles in Pakistan, particularly Karachi and Rawalpindi.

Travellers going to Pakistan should make sure they are immune to measles, either through natural immunity or vaccination.

It is now recommended that two doses of the MMR vaccine are given to ensure a high level of immunity.

Source: ProMed Newsgroup

For advice about dengue fever and other travel related illnesses and travel vaccinations, contact the Globe Travel Health Centre in Norwich on 01603 667323

Source: http://www.globetravelhealthcentre.com/travel-advice/measles-in-pakistan.html?utm_source=rss&utm_medium=rss&utm_campaign=measles-in-pakistan

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LASIK: Before, During, and After Treatment

Imagine being able to see clearly without the use of glasses or contact lenses.  For millions of men and women who have chosen laser vision correction, the dream has become a daily reality.   Now, while you may have heard the term LASIK before, many patients aren’t sure what this cutting-edge procedure is really all about.  To help you make an informed decision, we wanted to give you a general sense of what to expect before, during and after treatment.  Ready to find out more?

What to Expect with LASIK

  • Before: If you are tired of dealing with poor vision and are considering LASIK, the first step to take is making an appointment with your ophthalmologist.  He or she will help you determine if you’re a good of candidate for this procedure.  There are a number of factors that determine if LASIK is right for you, one being eye health.   Candidacy can also hinge on corneal thickness as well as a patient’s individual prescription.  You should be over a certain age — generally 21 years of age — and your vision should be stable.  You and your doctor will discuss other factors that make a good LASIK candidate.  Your ophthalmologist will also outline pre-surgery procedures, such as not wearing contact lenses for 1-3 weeks before you undergo LASIK.
  • During: When it comes time for your procedure, you will first be given numbing eye drops to keep you comfortable throughout. As our practice offers cutting-edge iLASIK™, the procedure is fully customized using cutting-edge 3D eye mapping.  Based on this unique “road map,” we then use a special laser to cut a thin flap in your cornea.  This flap will be peeled back, and a second laser will be used to reshape the cornea, allowing light to be correctly focused on the retina.  The flap made in your cornea will then be set back in place, and your LASIK procedure is complete — the entire procedure usually takes no more than a matter of minutes.
  • After: While someone will have to drive you home following your LASIK procedure, many patients are able to resume normal activities in just a day or two.   You will be given prescription eye drops following your procedure, to minimize any mild discomfort you may experience.  Be sure to follow all post-surgical instructions and attend all your follow-up appointments.  In terms of improved vision, many patients see an apparent improvement in vision as quickly as the next day.

LASIK in Winchester

To learn more about laser vision correction or any of the procedures we offer, contact us today and schedule a consultation.  Our offices are located in Winchester, serving Virginia, West Virginia and Maryland, and you can reach us directly at (540) 722-6200.  We look forward to serving you.

Source: http://www.seeclear.com/blog/lasik/lasik-before-during-and-after-treatment

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Bullying: A Physician’s Perspective

The incidence and severity of bullying have received much media attention of late. Some argue that both may be a function of a changing media landscape. What are the health risks associated with bullying? What is the role of the health professional when it comes to bullying? And what can communities do to prevent bullying or minimize its effects? Chuck Wibbelsman, MD, chief of adolescent medicine for Kaiser Permanente San Francisco and president of the American Academy of Pediatrics, addresses these and other questions with the Center for Total Health blog.

CTH Blog:

Bullying has been getting a lot more attention in the media, and it appears to be taken a lot more seriously now than in the past. As the chief of adolescent medicine for Kaiser Permanente in San Francisco, have you seen any increase in your practice in the number of adolescents coming in with concerns related to bullying?

Charles Wibbelsman:

In my own practice, I’ve seen an increase in bullying, anecdotally speaking, and that increase is reflected nationally as well. I was reading in The Journal of the American Medical Association, that 20 to 30 percent of students are involved in bullying – either as perpetrators or as victims.

We’ve had a teen clinic since 1955. When Solomon Cohen set up this clinic for adolescents ages 11 to 19, we were the only teen clinic in 1955, and we were one of the first teen clinics in the United States.

Bullying has changed over the last 20 years. It used to be that bullying would occur in the schools—students making fun of or physically assaulting other students, guys beating each other up, but now you have cyber bulling – social media, texting, Twitter, Facebook, and on-line videos. And, with cyber bullying, it’s mostly girls. Cyber bullying is twice as common among girls than boys.

CTH Blog:

Do you think bullying is becoming more common, or are people less tolerant of it now?

CW:

Bullying is more common because the factors involved in bullying are not just physical or verbal in a school setting. Again, now we have the bullying online as well. People are talking about it now. We’re seeing it in every type of media. People are more aware of it. It used to happen in the schools, and often teachers and parents weren’t aware of it. Now, people don’t look the other way. They are taking some responsibility.

CTH Blog:

The ramifications of bullying are serious. In addition to physical harm (from others or self), what are some of the health risks associated with bullying—the psychological and emotional health concerns that people may experience in response to bullying, such as anxiety, depression, headaches, or nausea?

CW:

There are serious health risks. Low self-esteem, depression, substance abuse, and suicide attempts. There are more than 250,000 attempted suicides, and 5,000 completed suicides among teens each year. The case of Rutgers University student Tyler Clementi, whose roommate filmed him being intimate with another man in a dorm room and uploaded the video, is an example of what can happen with bullying. Tyler committed suicide by jumping off the George Washington Bridge.

CTH Blog:

When you hear of tragedies such as what took place with Tyler Clementi, what is your reaction? There have been a growing number of adolescent and teen suicides that have been linked to bullying.

CW:

One of the saddest parts of my work was two years ago. A 14-year-old boy hung himself. He was one of my patients. His girlfriend broke up with him. He was popular, had lots of friends, good grades, played sports… It was horrible. It shows you how sensitive, vulnerable one is at that age. You don’t have the life experiences to deal with it.

I did a panel in San Francisco at the American Academy of Pediatrics, and there were LGBT youth talking about their own experiences being the victims of bullying. They were in their late teens, and all of them said that their worst experiences with bullying were in middle school. They all said, ‘I survived middle school.’ That’s the time when your body is changing, not everybody looks the same, there are school pressures – it’s prime time for bullying. There is decreased self-esteem. Bullying is at its height. Many young adults and adolescents don’t have the defense mechanisms to handle a lot of this.

CTH Blog:

Many kids who experience bullying suffer in silence, fearing retribution if they speak up. What are some of the warning signs adults should look for in kids?

CW:

Sometimes it’s unprotected sexual activity. I see isolation. I see cutting. When I see kids as patients, I ask, is this kid at risk for hurting himself? When I talk to adolescents about sexual orientation, maybe they’re gay or lesbian and haven’t come out yet. They’re very isolated. These are prime victims for bullying.

When we look at an adolescent, or when I’m examining a patient, I’m looking at self-esteem. How do they feel about themselves – their body? How do they relate to their body? If they have low self-esteem, it could be about low socio-economics, body weight, or sexual orientation. So, again, they may be at risk for depression, substance abuse, or suicide attempts.

We really need to talk with young adolescents in middle school, in junior high.  Kaiser Permanente’s Educational Theatre Program is designed to do just that. They put on a theater performance called Nightmare on Puberty Street that addresses, in an entertaining way, the issues and difficult topics middle school students face. It looks at things like peer pressure, self-esteem, and bullying. I’m really proud of this program.

CTH Blog:

As a physician, you may be one of the few people an adolescent can talk to. You may be in a position to establish trust and an open line of communication in ways that others may not. What is the role of the health professional when it comes to bullying? Is the topic of bullying a regular part of the doctor-patient dialogue or should it be?

CW:

As a pediatrician, my responsibility as a doctor is to ask during routine checkups, how are you doing in school? I need to find out if he or she doesn’t have any friends, or if their grades are failing. Or, if one of my patients says, for example, ‘I want to change schools,’ that is a big red flag. As a physician, I often have access to information that adolescents don’t tell other people – things about substance abuse, depression, for example. I also partner with other physicians in mental health. At Kaiser Permanente it’s seamless. We’re all under one roof.

The bible of adolescent care is H-E-A-D-S – Home, Education, Activity, Drugs, and Sex. When I see a patient, at some point, I ask the parents to step out. We discuss a whole host of concerns. Home: I ask who do you live with? Do you live with both parents? I also ask about guns. Is there a gun in their life? Because maybe grandpa has a gun in the house, and a teen may have access to a gun. Activity: Are you involved in sports? What do you do in your free time? How much TV do you watch? I ask do you smoke? Sex: I ask them about what’s going on in their life. Are you having sex? Do you want to have sex, or are you being pressured? Because there are all kinds of layers.  There could be issues concerning domestic violence. I start with the easier questions first, asking them what they like to do, and so forth.  It’s about building trust and rapport.

CTH Blog:

In your practice, you emphasize the importance of communication with parents as well.  Do you ask the parents some of these same questions?

CW:

Yes. We have a questionnaire for parents and adolescents. We ask some of the same questions and general questions as well. For example, does your child drink sodas? Is there a gun in the house? Are you concerned about any behaviors in your child? Is your child sad? Do they watch TV? What kind of things does your child like to eat?

CTH Blog:

What can communities and schools do differently to prevent bullying or minimize its effects?

CW:

Schools need to prepare teachers to be educated about bullying and intervene. Schools, principals, and students need to be aware about what’s going on with students. They need to step up to the plate, not just school’s over and everybody goes home. We need to involve the parents as well. Kids are not going to tell their parents some things.

No matter what our role in life, parent or health care provider, we need to be aware so that we can help a child or an adolescent. We have to ask the questions to be able to help.

 

Source: http://centerfortotalhealth.org/2012/bullying-a-physicians-perspective/

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Sunday, April 28, 2013

Video: What is EMG/NCS?

When weakness, pain, or a change in sensation occurs along a nerve, an electromyogram - a nerve conduction study - may be performed to determine whether there is degeneration of the nerve or if pressure on the nerve is causing the symptoms.

Video presented by Ana Bracilovic, MD

This video accompanies the article: Electromyography (EMG).


Video Transcript

EMG/NCS stands for electromyogram and nerve conduction studies and this is an electrical test of your nerves and muscles. The purpose of the test is to localize where your symptoms are coming from. That can be pain, any kind of numbness and tingling, and/or weakness and the test is also good at assessing the severity of your symptoms. The basic preparation for the test really is minimal. We just ask people to wear comfortable, loose-fitting clothing and to not wear any kind of skin creams or moisturizer because they can interfere with the electrodes.

When you come in for the test, normally the first part that you'll go through is the nerve conduction study part and for that you'll have a few electrodes attached either to your hands, normally, or to your feet, depending up on which part of the body is being looked at. And then you will feel small electric signals and they'll vary in intensity. And people often ask, "Is it painful?" and what I will always say is that I am controlling how strong that signal is, so if anything is uncomfortable for the patient, they can at any time tell me how it feels and we adjust the intensity of the signal.

The second part of the test is the electromyogram and with this part you will feel - instead of the electric signals - you will feel a small needle poke and the needle poke is similar to an acupuncture needle in sensation. The needle will be in one muscle at a time and first we listen to the muscle at rest and then we listen to the muscle when it is active and you will hear the actual sound, which is normal because the active muscle is transmitted to a sound wave. And from that, we can tell - from the patter that muscle makes - we can tell what type of injury is occurring.

The results of the EMG and the nerve conduction study then also guide us more specifically to what type of treatment you should have, typically at your next visit.

Why is an EMG/NCS Test Performed?

Typically, an EMG/nerve conduction studies are ordered when a patient is having some type of nerve symptom. That can be in one, two, or three ways. Either they can have pain, they can have some type of numbness and tingling (it can be a burning sensation), and/or it can be any type of weakness where you are actually feeling a change in your muscle strength. So, for those three reasons: pain, any kind of change in sensation (numbness/tingling), and for any kind of change in muscle strength usually is when we order the EMG.

Thumbnail: 
What is EMG/NCS?

Source: http://www.spine-health.com/video/video-what-emg-ncs

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Severe endometriosis – successful Natural IVF

Abigail was a 36 year old when she came to us, she had severe endometriosis and she was not able to undergo ovarian stimulation because she suffered from extreme pelvic pain with ovulation and ovarian stimulation could make her endometriosis worse. Her husband’s sperm was normal. She had damaged tubes and needed IVF to help [...]

Source: http://www.createhealthclinics.org/blog/natural-cycle-ivf/severe-endometriosis/

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Mayo Clinic study confirms stents are safe for patients allergic to metal

Mayo Clinic researchers have found that cardiac patients who have skin allergies to metals commonly found in jewelry, such as nickel, are at no higher risk for complications if they receive a stent containing these metal components.

Mayo Clinic cardiologist Rajiv Gulati, M.D., Ph.D., and colleagues studied a total of 29 patients with a history of skin allergies to stent metal components who subsequently underwent coronary stent implantation. The research team compared clinical outcomes with a matched control group of 250 non- metal allergic patients who received similar stents. In addition to following the study patients’ outcomes in the long term, the team reviewed blood to look for signs of allergic reactions.

The study was recently published in Circulation: Cardiovascular Interventions

Authors: Santiago Romero-Brufau, Patricia J.M. Best, M.D., David R. Holmes Jr, M.D., Verghese Mathew, M.D., Mark D.P. Davis, M.D., Gurpreet S. Sandhu, M.D., Ph.D., Ryan J. Lennon, M.S., Charanjit S. Rihal, M.D., M.B.A. and Rajiv Gulati, M.D., Ph.D.

Source: http://physicianupdate.mayoclinic.org/2012/04/03/mayo-clinic-study-confirms-stents-are-safe-for-patients-allergic-to-metal/

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LASIK: Before, During, and After Treatment

Imagine being able to see clearly without the use of glasses or contact lenses.  For millions of men and women who have chosen laser vision correction, the dream has become a daily reality.   Now, while you may have heard the term LASIK before, many patients aren’t sure what this cutting-edge procedure is really all about.  To help you make an informed decision, we wanted to give you a general sense of what to expect before, during and after treatment.  Ready to find out more?

What to Expect with LASIK

  • Before: If you are tired of dealing with poor vision and are considering LASIK, the first step to take is making an appointment with your ophthalmologist.  He or she will help you determine if you’re a good of candidate for this procedure.  There are a number of factors that determine if LASIK is right for you, one being eye health.   Candidacy can also hinge on corneal thickness as well as a patient’s individual prescription.  You should be over a certain age — generally 21 years of age — and your vision should be stable.  You and your doctor will discuss other factors that make a good LASIK candidate.  Your ophthalmologist will also outline pre-surgery procedures, such as not wearing contact lenses for 1-3 weeks before you undergo LASIK.
  • During: When it comes time for your procedure, you will first be given numbing eye drops to keep you comfortable throughout. As our practice offers cutting-edge iLASIK™, the procedure is fully customized using cutting-edge 3D eye mapping.  Based on this unique “road map,” we then use a special laser to cut a thin flap in your cornea.  This flap will be peeled back, and a second laser will be used to reshape the cornea, allowing light to be correctly focused on the retina.  The flap made in your cornea will then be set back in place, and your LASIK procedure is complete — the entire procedure usually takes no more than a matter of minutes.
  • After: While someone will have to drive you home following your LASIK procedure, many patients are able to resume normal activities in just a day or two.   You will be given prescription eye drops following your procedure, to minimize any mild discomfort you may experience.  Be sure to follow all post-surgical instructions and attend all your follow-up appointments.  In terms of improved vision, many patients see an apparent improvement in vision as quickly as the next day.

LASIK in Winchester

To learn more about laser vision correction or any of the procedures we offer, contact us today and schedule a consultation.  Our offices are located in Winchester, serving Virginia, West Virginia and Maryland, and you can reach us directly at (540) 722-6200.  We look forward to serving you.

Source: http://www.seeclear.com/blog/lasik/lasik-before-during-and-after-treatment

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Here’s What People are Saying about our LASIK

We recently released a video featuring testimonials from Eye Consultants of Texas patients who had LASIK performed by Dr. Labor. This follows another video we released last Summer featuring Dr. Labor’s Premium Smart Lens patients from around the Dallas/Fort Worth area. This one, however, was a bit unique in that one of the LASIK patients was interviewed just before her LASIK procedure as well as several months later, and includes footage from her actual surgery. Just like our premium lens video, this one was non-scripted. We wanted our patients to openly and honestly share their experiences – what they felt and expected, as well as how LASIK has impacted their lives.

LASIK surgery has made tremendous strides over the years. The technology continues to gets better, improving precision, surgery time and recovery. In the comfort of our offices, Dr. Labor combines the advanced IFS™ Femtosecond Laser with VISX® technology for an all-laser procedure called iLASIK, designed to increase comfort and safety while achieving the best possible outcome.

Yet no matter how much LASIK surgery advances, the need for genuine “old fashioned” care will never change. Dr. Labor is well-known for his strong devotion to every patient, which is evident in our videos. We are extremely grateful to all patients who have taken the time to share their stories on camera.

 

Source: http://www.eyectexas.com/blog/what-people-are-saying-lasik/

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Everything you ever wanted to know about LASIK

Spring is in full bloom all over Dallas/Fort Worth. So wouldn’t it be nice to see the roses you’ve stopped to smell? If you’re tired of depending on glasses and contacts, we’ll give you the real scoop on LASIK at our Spring LASIK Event, Tuesday, April 23 from 6:00 PM to 7:00 PM at our Grapevine office.

  1. It only lasts 60 minutes.
  2. Led by one of our expert doctors who will give you the straight story.
  3. You’ll learn all about what LASIK is like, including costs, the procedure, and generally what to expect.
  4. If you end up having your LASIK procedure at Eye Consultants of Texas we’re offering $300 off the cost for attending this event.*
  5. There’s no obligation and no charge to attend for anyone over 18 years of age.

We know LASIK is a seriously big decision. Eye Consultants of Texas Founder and Chief Surgeon Phillips Kirk Labor, MD has an international reputation for his LASIK expertise. He’s also well known for his close devotion to each patient. We hope you’ll join us Tuesday, April 23 at our office at 2201 Westgate Plaza, Grapevine, TX 76051. Seating is limited to the first 20 RSVPs, so call us at 877-516-4364 today.

*For attendees scheduling an evaluation determined to be a LASIK candidate. Must be present at event to receive LASIK offer.

Source: http://www.eyectexas.com/blog/april-lasik-dallas/

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Saturday, April 27, 2013

How to start a Walking Movement in the United States

With obesity among Americans at an all-time high, it’s more important than ever to encourage people of all ages to be active. On December 5, more than one hundred people convened at the Center for Total Health to formulate a plan to advance walking and activity in the United States. Participants came from a variety of organizations working on transportation, public health, science, medicine, and children’s issues.

Highlights of the day included two walking meetings (indoor and out) for all participants and remarks from the nation’s physician, U.S. Surgeon General Regina Benjamin, MD (seen in the photo above, talking with Kaiser Permanente’s Bob Sallis, MD), Scott Bricker, Executive Director of America Walks, and Tyler Norris, Vice President of Kaiser Permanente.

For more information on the benefits of walking, visit Every Body Walk!’s website or follow them on Twitter. More photos from the event can be seen here.

 

Source: http://centerfortotalhealth.org/2012/how-to-start-a-walking-movement-in-the-united-states/

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Interview With Wendy Schauer – Author of The 7 Steps To Amazing Health!

Here is a link to an interview that “foodie”, health advocate, and grass fed beef rancher Lisa Wilcox recently did with author Wendy Schauer.

http://nwlocalgrassfedbeef.com/interview-with-wendy-schauer-author-speaker-chiropractor-kettlebell-trainer/

Yours In Health!

G.E. Moon II

Source: http://www.abundanthealthcenter.com/blog/interview-with-wendy-schauer-author-of-the-7-steps-to-amazing-health

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One Hour to Ease Your Back Ache and Boost Your Mood

Ease Back Pain ImageQuick fixes usually don’t work in the long run, but according to this office based study, sitting just an hour less every day for 7 weeks significantly improved otherwise sedentary workers’ back and neck pain and it boosted their mood. So, grab a stand up desk and give this easy fix a try.

Source: http://www.spine-health.com/blog/one-hour-ease-your-back-ache-and-boost-your-mood

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Influenza in the United States

There has been a severe start to the flu season in North America, with many more people than usual falling ill.

Travellers visiting America should be vaccinated against influenza.

Influenza may also be caught anywhere where there are crowds of people in close proximity, such as shops, airports, cinemas, etc.

For advice about influenza and other travel related illnesses and vaccinations, contact the Globe Travel Health Centre in Norwich on 01603 667323 – we have influenza vaccine in stock and can vaccinate anybody over the age of one year against flu

Source: http://www.globetravelhealthcentre.com/travel-advice/influenza-in-the-united-states.html?utm_source=rss&utm_medium=rss&utm_campaign=influenza-in-the-united-states

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Medicare And Medicaid Overpayment Suit Upheld

Whistleblowers, Lucas Matheny (“Matheny”) and Deborah Loveland (“Loveland”), brought an action against Medco Health Solutions (“Medco”) claiming that Medco and its subsidiaries failed to report and refund to the federal government $69 million in Medicare and Medicaid overpayments.  The plaintiffs, former employees of Medco, used the authority of the False Claims Act to bring their lawsuit.  The False Claims Act allows private individuals to sue an entity on their own and the government’s behalf.  In doing so, the individuals receive compensation for being a “whistleblower”, which is usually between 15% and 25% of the funds recovered, including reasonable expenses, attorney fees and costs.

Matheny and Loveland knew of the overpayments to Medco, but were told that because of insufficient manpower to process the necessary forms, the overpayments would not be refunded to the government.  Matheny and Loveland claimed the overpayments were transferred to fictitious patient accounts and perfect records with a zero percent error rate were created using a specific computer program.   In addition, Medco filed a false certificate of compliance with the government, knowingly concealing millions of dollars in overpayments. 

When the lawsuit was first heard by the court, it was dismissed, due to the court noting that the plaintiffs’ complaint had been amended three times and failed to state a claim. However, on appeal, the court concluded that Matheny and Loveland had sufficiently alleged the existence of a false record.  Additionally, the court held that the defendants (Medco) knew the records were false and were to be used to avoid a financial obligation to the government.

The Matheny v. Medco Health Solutions matter is a prime example for healthcare providers to be careful with potential overpayments and how to handle those overpayments should they occur.

Source: http://www.pagingdrblog.com/2012/07/09/medicare-and-medicaid-overpayment-suit-upheld/

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Win An iPad Mini At Our Believe In LASIK Holiday Event

When: Tuesday, December 18, 2012, 6:30 to 7:30 PM
Where: Eye Consultants of Texas, 2201 Westgate Plaza, Grapevine, TX 76051

It’s that time of year when we want to believe in something magical. LASIK isn’t magic, but it can produce seemingly magical results if you rely on glasses or contact lenses every day. Our Believe in LASIK Holiday Event will answer any questions you might have to help you decide if LASIK is right for you.

Plus, just for attending, you can register to win an iPad Mini to be given away that night.

The 1-hour event will be led by one of our expert doctors, who will explain things in simple terms. There’s no obligation and no purchase necessary. It’s entirely Free and open to anyone 18 years or older. The iPad Mini will be awarded to one lucky winner by random drawing, and you must be present to win.

Our LASIK patients often tell us their improved eyesight is like a gift. This could be the first step to one of the greatest gifts you could give yourself. Call 877-516-4364 to reserve your space at our Believe In LASIK Holiday Event, in the comfort of our beautiful Grapevine office, convenient to Dallas/Fort Worth.

 

Source: http://www.eyectexas.com/blog/win-an-ipad-mini-at-our-believe-in-lasik-holiday-event/

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Friday, April 26, 2013

The incidence of MCI differs by subtype and is higher in men: The Mayo Clinic Study of Aging

Rosebud O. Roberts, M.B.Ch.B. with the Division of Epidemiology, discusses a study that measured the incidence of MCI and its subtypes using published criteria. Results showed a statistically significant difference between incidence rates among men and women. The study also found that individuals with only a high school education developed either aMCI or naMCI at a higher rate than those with some higher education.

The study was published in the Jan. 25, 2012, issue of Neurology.

ABSTRACT
Objective
Although incidence rates for mild cognitive impairment (MCI) have been reported, few studies were specifically designed to measure the incidence of MCI and its subtypes using published criteria. This study estimates the incidence of amnestic MCI (aMCI) and nonamnestic MCI (naMCI) in men and women separately. 

Methods
A population-based prospective cohort of Olmsted County, Minn., residents age 70 to 89 on Oct. 1, 2004, underwent baseline and 15-month interval evaluations that included:

  • The Clinical Dementia Rating scale
  • A neurologic evaluation
  • Neuropsychological testing

A panel of examiners blinded to previous diagnoses reviewed data at each serial evaluation to assess cognitive status according to published criteria. 

Results
Among 1,450 subjects who were cognitively normal at baseline, 296 developed MCI.

The age- and sex-standardized incidence rate of MCI was 63.6 (per 1,000 person-years) overall, and was higher in men (72.4) than women (57.3) and for aMCI (37.7) than naMCI (14.7).

The incidence rate of aMCI was higher for men (43.9) than women (33.3), and for subjects with ≤12 years of education (42.6) than higher education (32.5).

The risk of naMCI was also higher for men (20.0) than women (10.9) and for subjects with ≤12 years of education (20.3) than higher education (10.2).

Conclusions
The incidence rates for MCI are substantial. Differences in incidence rates by clinical subtype and by sex suggest that risk factors for MCI should be investigated separately for aMCI and naMCI, and in men and women.

Authors
Rosebud.O. Roberts, M.B.Ch.B., Yonas E. Geda, M.D., David S. Knopman, M.D., Ruth H. Cha, Vernon (Shane).S. Pankratz, Ph.D., Bradley F. Boeve, M.D., Eric G. Tangalos, M.D., Robert J. Ivnik, Ph.D., L.P., Walter A. Rocca, M.D., Ronald C. Petersen, M.D., Ph.D.

 

Source: http://physicianupdate.mayoclinic.org/2012/02/17/the-incidence-of-mci-differs-by-subtype-and-is-higher-in-men-the-mayo-clinic-study-of-aging/

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The flu season has now started!!

Winter flu outbreak has now started – and it looks as though it may be a much worse season than last year.

Just as a couple of winters ago, children seem to be catching flu as well.

Globe Travel Health Centre has stocks of flu vaccine, and will also vaccinate the under 16s…

For further advice, contact the Globe Travel Health Centre on 01603 667323

Source: http://www.globetravelhealthcentre.com/travel-advice/the-flu-season-has-now-started.html?utm_source=rss&utm_medium=rss&utm_campaign=the-flu-season-has-now-started

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The flu season has now started!!

Winter flu outbreak has now started – and it looks as though it may be a much worse season than last year.

Just as a couple of winters ago, children seem to be catching flu as well.

Globe Travel Health Centre has stocks of flu vaccine, and will also vaccinate the under 16s…

For further advice, contact the Globe Travel Health Centre on 01603 667323

Source: http://www.globetravelhealthcentre.com/travel-advice/the-flu-season-has-now-started.html?utm_source=rss&utm_medium=rss&utm_campaign=the-flu-season-has-now-started

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Take A Walk On The Grass

Take A Walk On The Grass

When is the last time that you took off your shoes and yours socks and you walked barefoot on the grass.  If you’re older than twelve I’m guessing it has been quite some time.  It’s funny, when we’re kids, if we see a mud puddle we JUMP right in it.  When we become adults we walk around the mud puddle.  Not only do we walk around the mud puddle…we complain about it! 

Stop complaining.  It’s not really serving you.  Start living.  Get outside and re-connect with our planet.  This isn’t some hippy dippy statement.  We (human beings) are electrical beings.  That’s right, we are electrical beings.  Electricity is constantly flowing through our bodies.   In fact, without electricity you wouldn’t be reading this post right now.  Without electricity running through your body your brain would cease to function. 

Sometimes we need to re-charge.  We need to “ground” ourselves.  One of the ways to do this is by getting outside and walking barefoot on the grass.  While you’re walking (barefoot of course) do some deep breathing – you’ll be accomplishing two things at the same time (there is nothing like multi-tasking when it comes to your health).  Walking barefoot on the grass will “ground” you, literally.  Doing this will help you release built up electrical energy that’s in your body.

As stated above, your entire nervous system is run on electrical energy.  Get walking, ground yourself, do your deep breathing, and make some positive changes in your life.  This doesn’t cost you a dime.  What have you got to lose?

Yours In Health!

G.E. Moon II

Source: http://www.abundanthealthcenter.com/blog/takeawalkonthegrass

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