An Anti Inflammatory Foods List To Help Control Arthritis

Arthritis is a very serious condition that results in excruciating pain around the joints. Fortunately, it can be managed effectively with the right diet. Most patients seek medication obtained over the counter for treatment. This is not necessarily a good idea as this type of treatment is short lived. As a result the problem will resurface later. There are alternative methods of controlling the inflammation of the joints. There is an anti inflammatory foods list that will help you to control the inflammation and pain in the joints.

Before this, you need to have prior knowledge of the types of foods you should avoid. These are referred to as the inflammatory foods list. They include all the processed types of foods. The list includes sugars, cooking oils, saturated fats, dairy products, red meat, alcohol and the refined grains among other processed foods. Eating of any one of these foods might highly contribute to the inflammation around the joints. Arthritis is known to be enhanced by the extra weight of the body. This exerts a lot of pressure to the joints especially around the ankles and knee joints which leads to the inflammation of the joints. The inflammation triggers the release of chemical substances into the body tissues which are affected by the inflammation. As a result of the accumulation of the fluids around the joints you will experience pain around the joints.

On the other hand there is the naturally available anti inflammatory foods list that will help you to manage the inflammation around the joints. In addition to that it provides a long term solution to the problem of arthritis. Fruits make the top of the list of the anti inflammatory food list. They are known to be a power source in the treatment of a wide range of health illnesses among them being indigestion, trauma, cancer and arthritis. They are rich in vitamins and hence suitable in the cleansing of the body of toxins. These fruits include apples, avocados, lemon and strawberries among others.

Vegetables are also important in the control of inflammation around the joints. Including these types of foods in your diet everyday will help manage your arthritis problem. Examples of these include kale, leeks, olives and green beans among others. Fish contains the essential omega 3 fatty acids which are anti inflammatory. In addition to being anti inflammatory foods they help control heart diseases and cancer. Olive oils are recommended since they are unsaturated fats. This makes them to reduce inflammation around the joints and hence efficient. Other types of foods that make the anti inflammatory foods list include herbs, spices, nuts and seeds.

Arthritis is considered as a lifestyle disease. In that case you should be able to check on your diet and the foods that you eat. This means that apart from eating a balanced diet, there are foods that you should keep off. As we have seen you should adopt organic foods as they contain less toxins in them. This will help you to effectively manage your health condition.

 

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4 Scientific Approaches to Weight Loss

With so much advice about weight loss floating around, it’s difficult for the layman to know where to begin. Our suggestion is that you begin with the science. Somewhere, right now, educated minds adorned in white lab coats are conducting experiments and research to answer questions about what we should do and eat to stay healthy. But what are these people saying? Today, we’re going to look at the most pertinent evidence-based scientific thinking on the subject of weight loss.

#1. Don’t Diet – Eat Right

Perhaps the simplest piece of advice on the list. It doesn’t take a rocket scientist, brain surgeon, or even a bonafide nutritionist to tell you that cakes and chips are bad for you. So what does the average person do? They cut out cakes and chips for a while, and when they’ve lost some weight, they revert to their previous habits. Studies show, however, that dieting is actually a predictor of future weight gain. (1)

#2. If It Comes From a Factory in a Box, Don’t Eat It

This is a continuation of the first point. Nobody ever got fat eating cherry tomatoes, grilled grass-fed beef, or broccoli. Of course, the problem here is that when you are accustomed to eating processed foods, anything more natural can be bland in flavor. Negate this by adding herbs and spices, and roasting things. Not even the most hardcore yoga loving, tree hugging vegetarian has ever craved a plate stacked up with steamed broccoli, but roasted with a bit of oil, salt, pepper and dried herbs? That’s a different story. If you genuinely feel unable to eat your veggies, this is the way to go. If you’re using some decent olive or coconut oil, that’s always going to be good. The best part – This approach is all natural! No cardboard box in sight.

#3. Take Your Time at the Table

Your body has a mechanism whereby your digestive system informs your brain when it’s time to stop eating. The problem is that there is often a lag between the two. Slow down the speed at which you eat, and you give your body more time to respond to the stimuli. In turn, you’ll find yourself eating less and savoring flavors more. Thinking about point #2, this can be a way to help your palate adjust as well. (2)

#4. Supplement Your Efforts with Garcinia Cambogia

A wholesale change of one’s diet can cause a shock to the system, leading your overweight body to retain fat in problem areas. Although a greater intake of vegetables, over time, will lead to fat loss, it’s always a good idea to help your body along. Garcinia Cambogia is a supplement that does just this. It encourages weight loss by prompting your body to use fat previously deposited as a result of poor diet and lack of exercise. There are other weight loss supplements on the market, but Garcinia Cambogia is naturally derived from plant sources, rather than being synthesized in a laboratory. Given that the main idea here is to increase consumption of healthy natural foods, it makes sense that your supplements should also fit into this same category.

Bottom Line

Weight loss is achieved by replacing processed junk with natural food, and then adding exercise into the mix. Our team also recommends Garcinia Cambogia as a natural aid to this process.

How To Lose Weight Without Dieting

If you are carrying more weight than you should, then perhaps it’s time to do something about it. It is possible to lose weight without dieting, and joining expensive diet programs may not be ideal for you, lets take a look at how :

A Balanced Diet

Eating a balanced diet is an important start to losing weight. Small portions of proteins combined with a larger serving of vegetables or salad is essential to good health. However when you serve up a meal, try using a smaller plate that is a bright colour.

It has been proven that consuming food that is the same color as the plate encourages people to eat more than their body requires. A smaller plate will encourage you to serve smaller portions, which in turn helps with reducing your food intake.

Time

Time your meals. Try to linger over your meal, for at least 20 minutes. If you slow down and eat slowly your body will have time to register when it is full. Too often people who eat fast are hungry shortly after a meal. Always drink a large glass of water before any meal as this will help you to feel fuller much more quickly and helps to lose weight without dieting.

Sleep Patterns

Poor sleeping habits and staying up late at night usually leads to cravings for unhealthy foods. Depriving the body of good quality eight hours of sleep will slow down the production of leptin which helps you to feel full.

No Distractions

When consuming a meal it is important that you focus on the food. Don’t eat in front of the television or while you are using the computer or perhaps reading a book. All these things distract you from enjoying the flavour of the food and doesn’t allow your brain the opportunity to recognize that you feel full. All these tips will help to lose weight without dieting.

Exercise

Cutting calories to lose weight will slow down your metabolism however combining an exercise program with a healthy balanced diet will be effective in helping to lose weight without dieting. Join a group: Meeting up with like minded people who are all trying to beat the battle of the bulge will provide encouragement and will help motivate you to persist in your endeavor.

Nourish your Body

Stress, mental, physical and emotional are some of the causes of weight gain for a lot of people. Try to eliminate or reduce any stressful situations in your life. The body uses fat cells to store toxins, so it is important to flush out the toxins by drinking at least 8 glasses of water a day. Add lemon juice to the water if you find it too bland, lemon juice and apple cider vinegar are excellent alkaline that helps to flush out toxins, all these things will help to lose weight without dieting.

Fruit and Vegetables

Consuming more fruit and vegetables in your diet will fill you up because they are full of fibre and water, thus you are eating less calories

Soup

Try eating a broth based soup at the beginning of a meal as it will fill you up pretty quickly therefore you will eat fewer calories. Be careful of the type of soup you have, don’t eat cream based or one that is high in fat, salt or calories.

Whole Grains

Consuming whole grains, such as Barley, whole wheat, brown rice and oats will help fill you with fewer calories and is beneficial to your cholesterol levels as well as helping to lose weight without dieting.

Sugar

Sugar has become known as sweet poison in the modern world. So cut down on the amount you consume. Replace a sugary drink with water or zero calorie drink. There are around 10 teaspoons of sugar in a soft drink, so it is in your best interest to eliminate them from your diet. Avoid cakes and biscuits and food that have high sugar content.

Alcohol

Limit your alcohol intake for the day. Beer is full of calories as are mixed drinks. If you like to relax at the end of a working day with a glass or two, try a scotch and water or limit yourself to a glass of wine a day. If you are used to having a drink every day, don’t stop that habit, just reduce the amount. However be careful not to nibble on snack food while you are having that drink, as that will add more calories than your body needs.

Green Tea

Green tea is an excellent beverage to consume. It may burn up some of those unwanted calories. It is a very refreshing drink without heaps of calories.

Dining Out

It can be tricky to stick to a healthy balanced diet when you have to dine out, particularly if your lifestyle requires you to do that quite often. Try splitting an entrée with someone else or order an appetizer as your main meal with a salad on the side.

Vegetarian

It is an idea to go without meat sometimes, so think about consuming more vegetarian meals every now and then. Most vegans are quite slim.

Exercise

Regular exercise is the key to losing weight without dieting. You should do at least 30 minutes exercise a day. A brisk walk, play a game of tennis, walk the dog, or walk the golf course instead of taking the buggy are all ways to burn up calories.

You may be comfortable enough to join an exercise program in a gym or hire a personal trainer. All this things will help to lose weight without dieting and it will be beneficial for a healthy body.

If you can change one lifestyle bad habit, you may lose as much as 2 pounds a week. When grocery shopping don’t buy “junk” food, then you won’t be tempted to eat the wrong thing.

Switch from eating a grain based breakfast to a protein one and you will feel fuller for much longer. Avoid processed foods, as they can cause addictive-like eating. Limit your intake of refined carbs. Brush your teeth after meals, as this will reduce your desire to snack. All these tips are helpful in your journey to lose weight without dieting.

Treatment for Ringing in the Ears

Anyone who suffers from the malady knows the sound. It’s that annoying ringing, buzzing, hissing or crackling noise that seems to come from inside the ear itself. What is responsible for this nuisance? Is there any treatment for ringing in the ears?

This exasperating condition, also known as tinnitus, is more common than many realize. Over half of all Americans suffer from it intermittently, and between 10 and 15 percent of the population lives with tinnitus on a continual basis.

Its causes vary, but exposure to loud noise tops the list. Allergies, ear infections and hearing loss are also frequent culprits, as are medical conditions such as diabetes, thyroid trouble, tumors and head injuries. Everyday medications like aspirin, sedatives and anti-inflammatories are often responsible, as well.

Although some people just ignore tinnitus or learn to live with it, this may not always be necessary. There are treatments available, and many have obtained tinnitus relief through one or more of them.

Practitioner-Assisted Treatment for Ringing in the Ears

– Acupuncture: Its adherents believe that acupuncture works by correcting the imbalance of “qi” energy inside the body that may be responsible for tinnitus.

– Craniosacral Therapy (CST): This hands-on osteopathic treatment aims to improve or eliminate tinnitus symptoms by reducing restrictions on muscles, bones and ligament attachments.

– Hyperbaric Oxygen Therapy (HBOT): Used for years in treating decompression sickness, HBOT may improve the symptoms of tinnitus by reversing a lack of oxygen in the cochlea that some feel could be responsible.

– Hypnosis: Hypnotic therapy for tinnitus works on the belief that reduction in stress can improve tinnitus symptoms.

– Transcranial Magnetic Stimulation (rTMS): This new therapy utilizes magnetic force to reduce any excessive brain activity that could be causing the tinnitus.

Aromatherapy as Treatment for Ringing in the Ears

Aromatherapy can reduce the heightened stress levels that may be responsible for tinnitus. The Encyclopedia of Natural Remedies recommends the essential oils of rose, lemon, rosemary and cypress as particularly useful in this regard. Others recommend the use of lavender and juniper. Sufferers can apply the oils directly to the head or add them to the water in a vaporizer.

Herbal Supplements as Treatment for Ringing in the Ears

When it comes to herbs believed useful in relieving tinnitus, gingko biloba, black cohosh and hawthorn lead the pack. All three function as tonics to the circulatory system, thus improving circulation in the ear.

Vitamins and Minerals as Treatment for Ringing in the Ears

In the belief that certain nutritional deficiencies can contribute to tinnitus, many feel that dietary supplements can help. Zinc, magnesium, melatonin and potassium can be useful, as can vitamins A, B and C.

Relaxation as Treatment for Ringing in the Ears

Where tinnitus is concerned, relaxation techniques may work where all else has failed. Sufferers must, however, fully participate and give themselves over to these treatments. Proven relaxation therapies include massage, meditation, yoga and biofeedback. Each has as its intended aim a lowering of brain activity, reduction of blood pressure and slowing of the heartbeat.

Deep Breathing as Treatment for Ringing in the Ears

Anyone can perform this technique. It involves taking long, slow breaths through the nose and holding for a few seconds before slowly breathing out. While doing this, it is important to concentrate on feeling the tension float out of the body. After a number of repetitions, the tinnitus should significantly lessen.

No One Should Give Up Hope

A case of tinnitus doesn’t have to be a life sentence. Many people have found that the ringing in their ears has spontaneously resolved, but it could take some time. Until that happens, one of the listed treatments may help.

Turn Back To The Basics In Your Diabetes Care

Once you have diabetes, your next immediate step should be learning how to live with diabetes. This is going to take some effort on your part, to learn about the sickness and everything you can do to stay on top of it. Articles like the one you’re reading now will help you manage your disease, so don’t neglect to read these tips.

Diabetes related diseases are the second largest killer in The United States. This epidemic can be avoided with daily exercise and simple changes in diet. Cut out soda, candy and fatty meats and replace them with fruit, whole grains, and lean meats. This can add years to our life.

Studies indicate that people who regularly consume plenty of whole grains are at a lower risk of developing diabetes. Whole grains help to keep levels of blood sugar steady, in addition to providing numerous other health-related benefits. So when you’re trying to decide which type of pasta or bread to buy, make sure to grab the whole grain option!

Drinking alcohol is something you need to be very careful with when you are diabetic. You need to talk to your doctor to see if alcohol will affect your blood-glucose levels. If you are really not much of a drinker, it is best that you refrain from drinking at all.

Do not smoke. While this is an important tip for anyone’s health, it is particularly important for people with diabetes; diabetic smokers are twice as likely to die prematurely than other people. Staying away from cigarettes can have a positive impact on your blood pressure, heart and kidneys. If you are having difficulty quitting, talk with your doctor about a plan that can help.

A key tip if you want to manage your diabetes is monitoring your blood sugar using a blood glucose monitoring system or device. If you regularly check your blood glucose and eat diabetic friendly foods, it will be much easier to deal with the many pains associated with diabetes.

While some people view vacation as a chance to get away from all of their most pressing obligations, the same cannot be said of blood-glucose testing. Instead of entirely shirking your duties, you may be able to follow a more relaxed approach. You may be able to splurge on your eating habits, delay waking up for an early-morning glucose check, or testing as frequently.

If you’re feeling stressed and overwhelmed by your diabetes, seek out a support group. Being able to talk to people who understand the issues you’re going through can be a great source of comfort. People may also be able to suggest ways to manage your disease that you’d never thought of before.

To be sensitive to those with diabetes, use diabetic friendly recipes anytime you have guests over and you are cooking. Instead of asking if anyone has diabetes, just assume everyone at the table does. Even non-diabetics are sure to enjoy tasty yet healthy cooking that leaves them feeling great but not bloated.

Watch the low-fat snacks. Some people believe that since a snack is low-fat, then the calories aren’t as high. This can cause you to overeat because you think these snacks are better for you. Low-fat snacks really don’t save that many calories. If you do eat them, consume as many of them as you would, a regular snack.

The best thing a person can do to avoid diabetes is to exercise. People who exercise 30 to 60 minutes per day, at least 5 days per week, can lower their risk of developing diabetes by almost 50 percent. Exercise improves the health of your heart and lungs, reduces stress, reduces fat, increases metabolism and lowers blood sugar levels.

You have already learned in the above article that diabetes can be a manageable condition. Education is the key to that, and the above article can help to educate you about the things that you need to know. By educating yourself and taking action, you will find that diabetes is something that doesn’t need to put a damper on your life.

Hospital Dust Containment is Essential for Healthy Medical Facilities

Hospitals and other medical centers need to take measures to avoid the release of contaminants into the air. Repair and maintenance workers take actions that could release these particulates. It is important for these types of activities to be carefully handled to avoid that problem. In fact, regulations are strict in this area of maintenance and repair in medical facilities. Workers need to know how to perform the maintenance without contaminating the area around.

What are the essentials of hospital dust containment?

1. Areas must be isolated during maintenance or construction. Any area where maintenance or new construction is underway must be kept separate from the active areas of the hospital or other medical facility. Repairs in small areas can use a containment cart built for that type of work. Construction may require using an anteroom setup to keep contaminants in the construction area and away from the hospital area.

2. For hospital dust containment, negative air pressure is essential. Negative air pressure happens when you introduce a machine that draws air out at a rate that is higher than the amount of air coming into a space. This negative air flow helps to pull contaminants out with the air flow. This helps to direct the contaminants into an air scrubber or out into a space for release. This is the step that some forget.

3. Air scrubbing is another part of hospital dust containment. An air scrubber takes air and draws it through a series of filtration systems. These systems grab particulates and keep them secured while releasing the clean air out. An air scrubber is essential for keeping the released air free of contaminants. This promotes the clean air of the surrounding hospital spaces. Without an air scrubber, the particulates would eject out into areas where patients are located.

4. A clean job site is a basic of hospital dust containment. When dealing with any area, a maintenance worker has to take constant steps to keep the work area clean. This helps to prevent particulates from getting onto the shoes of those walking by. This routine helps to promote a cleaner space in the hospital or other medical facility.

In order to maintain a healthy hospital environment, you need to take proactive hospital dust containment measures all the time. There is no situation where it is not necessary for a clean medical environment. All workers need to know how to handle this situation at all times.

Four Successful Therapies for Long-term Drug Rehab

Drug rehab is a long-term endeavor which requires dedicated efforts from both patients and their addiction counselors. The short detoxification period is necessary for addressing the immediate physical concerns of addiction, but maintaining sobriety takes months of therapy. Thankfully, medical professionals have developed a variety of highly-effective treatments for helping people stay clean.

Unfortunately, most laypeople still think of detox as the main component of rehab. In order to better help those in need, communities must gain greater understandings of the therapies offered at addiction treatment facilities. The following are four of the most successful therapies for long-term drug rehab.

1. Evidence-Based Treatments

Evidence-based therapies are the most successful treatments for effecting long-term sobriety. These therapies have been repeatedly tested in controlled conditions, statistically verified, and government-mandated across the United States. The three most common forms are individual counseling, group discussions, and family therapy.

Individual counseling is the most critical component in most patients’ rehabilitations. Addicts work with counselors to uncover the deep-rooted personal issues responsible for their continued drug use. They also explore the specific life circumstances which make it difficult to avoid or deal with cravings. Ultimately, addicts and their counselors use these personal breakthroughs to develop coping and avoidance strategies for dealing with cravings for years to come.

2. Biofeedback Therapy

People who become addicted to heroin, meth, and other physically harmful drugs often sever their mind-body connections. They become unable to associate certain physical feelings with impending drug cravings, and this inability makes it nearly impossible to stay sober. To address this issue, medical professionals use cutting-edge biofeedback machines to help patients understand the physical warning signs of future drug use.

For example, doctors may monitor addicts’ heart rates and induce mental stress through a battery of personal or emotional questions. As patients’ stress levels elevate, so do their heart rates. They experience strong urges to use drugs to alleviate their stress, and they can thus associate those cravings with their rapid heartbeats. In the future, these addicts can recognize these warnings signs and take appropriate steps to mitigate their cravings.

3. Cognitive-Behavioral Therapy

Cognitive-behavioral therapy teaches addicts that their emotions are products of their thoughts. By controlling their minds and thinking rationally, they can stay calm during emotionally stressful situations and suppress drug cravings.

This kind of therapy is particularly useful for addicts with control issues. People often use drugs and develop addictions when they feel a lack of control over particular aspects of their lives. By mastering their emotions through rational thought, addicts gain the ability to overcome the stressors which used to trigger their addictive behaviors.

4. Reality Methods

Reality therapy is also designed to address certain control issues. Rehab clinicians who use these therapies teach addicts how to recognize the differences between situations they can and cannot control. With this understanding, rehab patients can properly apply the coping and avoidance strategies they learn during individual counseling. When they are in control of their environments, they can take steps to avoid their addiction triggers. If they encounter uncontrollable situations, however, they can apply their techniques for handling stress and suppressing cravings.

If you or a loved one is struggling with drug addiction, there is no time to lose. Click the links below to find a clinical drug rehab program that’s right for you. Addiction is a serious neurological disease, but you can build a better future by acting now.

Developing Effective Techniques for Managing Diabetes

The management of diabetes must follow a rather strict plan of action. In fact, truly managing the condition begins before an official diagnosis is ever received. Men and women who live the majority of their lives obese and inactive will be at a much higher risk for the disease. Smoking can also present problems later on. If people notice that they match up with several of the risk factors that can lead to diabetes, then they should work to get their lives under control as soon as possible. Through support from both physical and psychological specialists, they will certainly have a good chance at feeling better.

Diabetes management begins by gearing one’s attention toward the foods that are powerhouses of nutrition. Men and women may want to first concentrate on those foods that can be eaten without worrying about calories. Many different kinds of vegetables, including carrots, celery, broccoli, and cauliflower, can essentially be eaten in any amount. Because many of these vegetables also help to regulate blood sugar, the circulatory system as a whole should appreciate the effort.

Unhealthy foods, on the other hand, should be avoided like the plague. People who want to keep their diabetes under control will have to avoid sugary sweet sodas as much as possible. Simple sugars tend to cause the blood sugar level to spike and then rapidly fall off, which generally exacerbates any already present diabetic symptoms. Likewise, fatty foods, including deep-fried meats, are not worth the price to the body as a whole. Because diabetes can lead to quite severe symptoms, it must be managed as effectively as possible.

Besides the rightly deserved attention to a healthy diet, men and women with diabetes may also want to join a local exercise club. As long as they work out even moderately, they will improve their overall bodily strength and ameliorate some of the symptoms. Those who have not exercised for the better part of their lives may want to hire a physical therapist to help them through the first days and weeks.

Testing for insulin is also important. There are test kits that can be had for a reasonable price. In some cases, insurance policies will cover these. Men and women may want to check with an insurance agent to determine how much of the testing cost they will be expected to cover.

In the end, diabetes can certainly be managed with some attention to detail. Once people have gotten into a routine, they should be able to develop some habits that they can continue through the years ahead.

The information contained in this article is provided for informational purposes only and is not, nor is it ever intended to be, a substitute for professional medical advice or professional recommendations, diagnosis, or treatment. Always seek the advice of your physician(s) or other qualified healthcare provider(s).

Preventative Medicine and Sports Therapy for Performing Arts

theatre is a wonderful form of entertainment and depends on performing artists who are highly dedicated to their craft to create the magic so often found there. The industry, however, is highly competitive and extremely demanding of performers. When people think of athletes they may picture football, tennis or basketball players or long distance runners. But like other athletes, dancers and musicians also experience injury and develop conditions as a result of their trade.

Professional musicians and dancers face common injuries like tendinitis, sprains, muscle strains, carpal tunnel syndrome, neck and back pain, and other orthopedic, neurologic and musculoskeletal conditions.

Think about the repetitive nature of practice and performance for string musicians, pianists and wind instrument players. It’s little wonder they often suffer from conditions related to overuse of the tendons, ligaments, muscles and joints. Neck and shoulder pain is very common. So is pain in the hands. Dancers tend to face musculoskeletal and orthopedic conditions involving the feet, ankles, hips and knees and are also more prone to injury regarding bones and ligaments such as the ACL.

For these reasons preventative medicine and sports therapy for performing artists are growing.

Occasionally chronic injuries and/or conditions develop as a result of incorrect posture, stress, insufficient rest and excessive force placed upon the bones, ligaments, joints, muscles or tendons. Passion that drives performing artists also tends to produce people so committed to the craft they often tend to accept a lifestyle of injury as easily as they’ve embraced the physical demands placed upon them. But the two are not the same, and injury left untreated can jeopardize a performer’s career. Performing artists who ignore early symptoms of an injury or condition and continue working, without allowing conditions or injuries to heal, aren’t thinking of the long term consequences to their body and their ability to work. Ignoring a small problem now can lead to a larger one later.

Preventative medicine and sports therapy for performing artists can teach them how to avoid injury and reduce the likelihood of a developing an unwanted condition. Performers can learn techniques for reducing force on joints by selectively strengthening and balancing the muscles needed to perform. Musicians can learn about how different postures reduce muscle tension produced while playing their instruments. Dancers who struggle with osteoarthritis in their hips and knees may receive Durolane injections directly into the joints to lubricate them, relieving pain and inflammation. Can you imagine how much relief this brings to a dancer otherwise forcing him or herself to continue dancing in pain?

Techniques that both dancers and musicians can adopt include warm up and cool down exercises, stretches, short breaks, adjustments in technique, use of devices and modified foot gear, massage therapy and more. Sports therapy professionals can work with performing artists to stretch and loosen tight areas and strengthen weak ones. Combination treatment options like injections in correlation with procedures for reducing inflammation and blood flow to a targeted region are essential restorative therapies which often remove the need for surgery.

It is not uncommon to see medical personnel from sports therapy clinics present at rehearsals and performances. These behind the scenes professionals can do wonders to support and enhance performing artists, helping them avoid injury and also mitigating injuries to avoid further damage. Sports medicine is a quickly evolving industry and medical advances are constant. Performing artists stand to increase their rate of long-term success by establishing and building a relationship with a good sports therapy clinic that understands and specializes in treatment of people in their industry.

Sound care now becomes an investment enabling performing artists to increase their level of pain-free comfort, physical strength, enjoyment and longevity within the field they are passionate about — and that many hope to continue well into their senior years.

Getting Insurance To Pay For Preventive Health Under The Aca

he Affordable Care Act (ACA) mandates that health insurance companies pay for preventive health visits. However, that term is somewhat deceptive, as consumers may feel they can visit the doctor for just a general checkup, talk about anything, and the visit will be paid 100% with no copay. In fact, some, and perhaps most, health insurance companies only cover the A and B recommendations of the U.S. Preventive Services Task Force. These recommendations cover such topics as providing counseling on smoking cessation, alcohol abuse, obesity, and tests for blood pressure, cholesterol, and diabetes (for at risk patients), and some cancer screening physical exams. BUT if a patient mentions casually that he or she is feeling generally fatigued, the doctor could write down a diagnosis related to that fatigue and effectively transform the “wellness visit” into a “sick visit.” The same is true if the patient mentions occasional sleeplessness, upset stomach, stress, headaches, or any other medical condition. In order to get the “free preventive health” visit paid for 100%, the visit needs to be confined to a very narrow group of topics that most people will find vert constrained.

Similarly, the ACA calls for insurance companies to pay for preventive colonoscopy screenings for colon cancer. However, once again there is a catch. If the doctor finds any kind of problem during the colonoscopy and writes down a diagnosis code other than “routine preventive health screening,” the insurance company may not, and probably will not, pay for the colonoscopy directly. Instead, the costs would be applied to the annual deductible, which means most patients would get stuck paying for the cost of the screening.

This latter possibility frustrates the intention of the ACA. The law was written to encourage everyone – those at risk as well as those facing no known risk – to get checked. But if people go into the procedure expecting insurance to pay the cost, and then a week later receive a surprise letter indicating they are responsible for the $2,000 – $2,500 cost, it will give people a strong financial disincentive to getting tested.

As an attorney, I wonder how the law could get twisted around to this extent. The purpose of a colonoscopy is determined at the moment an appointment is made, not ex post facto during or after the colonoscopy. If the patient has no symptoms and is simply getting a colonoscopy to screen for colon cancer because the patient has reached age 45 or 50 or 55, then that purpose or intent cannot be negated by subsequent findings of any condition. What if the doctor finds a minor noncancerous infection and notes that on the claim form? Will that diagnosis void the 100% payment for preventive service? If so, it gives patients a strong incentive to tell their GI doctors that they are only to note on the claim form “yes or no” in response to colon cancer and nothing else. Normally, we would want to encourage doctors to share all information with patients, and the patients would want that as well. But securing payment for preventive services requires the doctor code up the entire procedure as routine preventive screening.

The question is how do consumers inform the government of the need for a special coding or otherwise provide guidance on preventive screening based on intent at time of service, not on subsequent findings? I could write my local congressman, but he is a newly elected conservative Republican who opposes health care and everything else proposed by Obama. If I wrote him on the need for clarification of preventive health visits, he would interpret that as a letter advising him to vote against health care reform at every opportunity. I doubt my two conservative Republican senators would be any different. They have stand pat reply letters on health care reform that they send to all constituents who write in regarding health care matters.

To my knowledge, there is no way to make effective suggestions to the Obama administration. Perhaps the only solution is to publicize the problem in articles and raise these issues in discussion forums

There is a clear and absolute need for government to get involved in the health care sector. You seem to forget how upset people were with the non-government, pure private sector-based health care system that left 49 million Americans uninsured. When those facts are mentioned to people abroad, they think of America as having a Third World type health care system. Few Japanese, Canadians, or Europeans would trade their existing health care coverage for what they perceive as the gross inequities in the US Health Care System.

The Affordable Care Act, I agree, completely fails to address the fundamental cost driver of health care. For example, it perpetuates and even exacerbates the tendency of consumers to purchase health services without any regard to price. Efficiency in private markets requires cost-conscious consumers; we don’t have that in health care.

I am glad the ACA was passed. It is a step in the right direction. As noted, there are problems with the ACA including the “preventive health visits” to the doctor, which are supposed to be covered 100% by insurance but may not be if any diagnostic code is entered on the claim form.

Congress is so polarized on health care that the only way to get changes is with a groundswell of popular support. I don’t think a letter writing campaign is the correct way to reform payment for the “preventive health visits.” If enough consumers advise their doctors that this particular visit is to be treated solely as a preventive health visit, and they will not pay for any service in the event the doctor’s office miscodes the visit with anything else, then the medical establishment will take notice and use its lobbying arm to make Congress aware of the problem.

COMMENT: Should there not be an agreement up front between both parties on what actions that will be taken if said item is found or said event should be seen or occur? Should their be a box on the pre-surgical form giving the patient the right to denying the doctor to take proper action (deemed by whom?) if they see a need to? Checking this box would save the patient the cost of the procedure, and give them time for a consult. If there is not a box to check, why isn’t there one?

There are two separate questions posed by the checkbox election for procedures. First, does a patient have a legal right to check such a box or instruct a physician/surgeon orally or in writing that he does not give consent for that procedure to be performed? The answer to that question is yes.

The second question is does it serve the economic interest of the patient to check that box? For the colonoscopy, in theory the patient would get his or her free preventive screening, but then be told the patient needs to schedule a second colonoscopy for removal of a suspicious polyp. In that case, the patient would eventually have to pay for a colonoscopy out of pocket (unless he had already met his yearly deductible), so there is no clear economic rationale for denying the physician the right to remove the polyp during the screening colonoscopy.

But we are using the much less common colonoscopy example. Instead, let’s return to preventive care with a primary care doctor. Should a patient have the right to check a box and say “I want this visit to cover routine preventive care and nothing more”? Certainly. There is way too much discretion afforded physicians to code up whatever they want on claim forms such that two physicians seeing the exact same patient might code up different procedures and diagnostics for the exact same preventive health screening visit.

When I expect to receive a “zero cost to me” preventive screening, I do not imply that I am willing to accept a “bait and switch” change of procedure and payment due to the doctor from me. The “zero cost to me” induces consumers to go to the office visit; it is actually paid for out of the profits earned by the health insurance firms to whom consumers pay monthly premiums. Consumers need to hold doctors financially accountable for their claim billing practices. If you are quoted a “zero price” for a visit, the doctor’s office better honor that price, or it amounts to fraud.

It is all too easy to find any little old thing to justify billing a patient for a sick visit instead of a wellness visit. However, it is up to the patient to prevent that kind of profiteering at his or her expense.

It would be wonderful if HHS would give carriers the proper code or specify that other diagnostic codes cannot negate the preventive screening code used for a wellness visit. That is not happening now. DHS has been bombarded with so many questions and suggestions for health care reform that the department has a fortress like mentality. So realistically, consumers cannot expect DHS to address the coding issue for preventive health screenings any time soon. That leaves the full burden to fall on each consumer to ensure the doctor’s billing practices match the patient’s expectations for a free preventive health office visit.

I investigated the web site http://www.healthcare.gov/news/factsheets/2010/07/preventive-services-list.html and discovered some inconsistencies. For example, the site purports to list the services covered under the “preventive health” coverage benefit, yet it omits the annual physical exam. Also, the site states that colorectal cancer screening are provided for people age 50 or older. However, I have been advised in writing that United Healthcare will cover preventive screening colonoscopies for people under age 50. In essence, that government web page is a good start to learn about preventive health care benefits, but a better source would be each consumer’s own health insurance carrier. For those with temporary insurance or who are without any insurance coverage, unfortunately, the preventive health benefit of the ACA will not have any practical consequence.

Where will the money come from for the preventive health screening visit to a primary care doctor as well as the screening colonoscopy? We have to look at different scenarios. If the patient indeed has preventive health screenings with no other medical diagnoses, then the patient will be charged $0 for these services, and they will be paid for by the insurance carrier. The insurance carrier will pay these costs out of its operating income or profits. There is simply no other source for payment. The government has not offered to pay the insurance companies for these services.

If the patient is hit with various medical diagnostic codes during these preventive health screenings, then he or she will pay his customary charge for the primary care doctor’s office visit and the contract-negotiated price for the diagnostic colonoscopy. In that scenario, the consumer will be paying most of these costs, although the visit to the primary doc may be limited up to any applicable copay amount.

It is not a big shock or surprise to say preventive health care is going to be borne by health insurance carriers. The extent to which these carriers can pass along costs to consumers through higher rates depends on the degree of competition in their markets. Ehealthinsurance.com advises me that for the vast majority of states, the insurance carriers have NOT been able to shift these costs onto consumers through higher rates. That may change in 2013 or 2014. However, the trend is clearly moving in the direction of more power for consumers, more options and carriers available to supply health insurance in their states, which means greater competition and lower prices.