MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'answers'. Sat, 03 Sep 2011 02:04:54 +0100 http://www.medworm.com/index.php?rid=5086485&cid=t_166874_136_f&fid=39016&url=http%3A%2F%2Fturquoisegates.blogspot.com%2F2011%2F07%2Fjail-of-questioning-mind.html Rainbow row in Charleston. Rows upon rows of homes right up against their neighbor. It's famous for it's beauty. I look up and think of Noah's rainbow, the sign that humans would never be extinguished by God again.En masse that is. Many have been killed since the rainbow, including His own son Jesus Christ, who took our place before the wrath of God.I hear about God - that He is good, that He has overcome eternal death, that He always gives a way of escape. Where is my way of escape? Where is His goodness?Round church in downtown Charleston.How about that He works ALL things for the good of those who diligently seek Him. That God's plan does not always match up with my plan. He seems so very, very far away. I heard something else - something considered a fallacy - that God is a distant cos... Turquoise Gates blogs http://www.medworm.com/rss/comments.php?id=5086485 Mon, 01 Aug 2011 03:43:00 +0100 5086485 http://www.medworm.com/index.php?rid=5077816&cid=t_166874_113_f&fid=34634&url=http%3A%2F%2Fwww.emrandhipaa.com%2Femr-and-hipaa%2F2011%2F07%2F27%2Femr-and-meaningful-use-books%2F I must admit that I’m not much of a book guy. Especially since there’s so much free information available on the internet about just about any subject you could want. However, I’ve been quite intrigued by the number of healthcare IT related books that I’ve seen coming out of late. Here’s a quick roundup of some of the ones I’ve seen. Getting to Meaningful Use and Beyond: A Guide for IT Staff in Health Care by Fred Trotter and David Uhlman – I’ve been a big fan of Fred Trotter for a while. So, I’m glad he’s working on this book. Turns out the book isn’t even published, but in Fred Trotter open source style fashion, the book is available for free online right now. Of course, they’re hoping you’ll provide feedback. ... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=5077816 Wed, 27 Jul 2011 18:46:01 +0100 5077816 http://www.medworm.com/index.php?rid=5036427&cid=t_166874_129_f&fid=27216&url=http%3A%2F%2Flifewithadhd.com%2Fadhd-research%2Fadhd-questions-3-answers-to-3-really-important-questions.php My first question concerns the role of diet in ADHD and sugar in kids’ food. This is one of the most frequently asked ADHD questions. People are convinced that sweet candy and soda pop can cause or at least exacerbate ADHD. There is some evidence that sugar, additives, colourings, preservatives and so on can add to hyperactivity in children but this is not exclusive to ADHD children. Any child is going to get a high from eating a sugary snack and then will crash later on. The only sensible answer is to make sure that there are lots of fresh fruit and vegetables in the child’s diet. There should also be a concentration on more protein and fewer carbohydrates, especially at breakfast. I know many parents who have found that by omitting gluten and dairy products from their childre... Life With ADHD blogs http://www.medworm.com/rss/comments.php?id=5036427 Sat, 16 Jul 2011 23:00:00 +0100 5036427 http://www.medworm.com/index.php?rid=5029038&cid=t_166874_136_f&fid=39016&url=http%3A%2F%2Fturquoisegates.blogspot.com%2F2011%2F07%2Fhanging-by-thread.html The winds are 60 mph, and the rain like a monsoon. Safe in our house Sunday night, we all sleep right through. Without a worry. In the morning, I wake to view the damage, and see this spiderweb, intact, on the window next to my chair in my bedroom.There are four things which are little upon the earth, but they are exceeding wise: the ants are a people not strong, yet they prepare their meat in the summer; the conies are but a feeble folk, yet they make their houses in the rocks; the locusts have no king, yet they go forth, all of them in ranks; the spider taketh hold with her hands, and is in kings' palaces. Proverbs 30:24-28Saturday night, we were in our tent when the storm hit. Not one of us slept through it and there was anxiety electric in the air like lightening. What a difference a s... Turquoise Gates blogs http://www.medworm.com/rss/comments.php?id=5029038 Tue, 12 Jul 2011 02:28:00 +0100 5029038 http://www.medworm.com/index.php?rid=4992693&cid=t_166874_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fhelpful-breast-cancer-qa%2F2011.06.30 Attendees of the breast cancer awareness symposium “Bridging the Gap: Promoting Breast Cancer Prevention, Screening and Wellness” were given the chance to submit questions on breast cancer in the minority community. This is the first part of these questions answered by Dr. Preya Ananthakrishnan, Assistant Professor of Clinical Surgery and a host of the event. Q: I am a 51 year old Black women, whose mother died 13 years ago from breast cancer & her sister was diagnosed last year. I had a mammography 2 weeks ago and got the dreaded come back letter. Should I get genetic counseling? Dr. Ananthakrishnan: I would suggest that your sister with the breast cancer get tested first, and if her test result is positive then you should get tested. Furthermore, it is likely that even though you... Better Health blogs http://www.medworm.com/rss/comments.php?id=4992693 Thu, 30 Jun 2011 22:00:57 +0100 4992693 http://www.medworm.com/index.php?rid=4997648&cid=t_166874_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2Fq_tng8IQnxo%2F HITECH Answers has just released the 3rd edition of Jim Tate’s The Incentive Roadmap® The Meaningful Use of Certified Technology: Stage 1 A Manual for Medical Practices. Version 3.0 of the manual that has been helping practices, consultants and vendors across the country understand the step-by-step process of achieving meaningful use is now available. Written by Jim Tate, a nationally recognized expert on the CMS EHR Incentive Program, certified technology and Meaningful Use objectives,The Incentive Roadmap® looks at what steps are needed to get ready for meaningful use and is downloaded immediately upon purchase. I consider Jim Tate one of the foremost experts on meaningful use and certified EHR. So, I was excited when he decided to publish a resource on the details of the EHR in... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=4997648 Wed, 29 Jun 2011 16:59:38 +0100 4997648 http://www.medworm.com/index.php?rid=4975942&cid=t_166874_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F06%2F28%2Fbest-of-our-blogs-june-28-2011%2F Sometimes when I’m in need of a little inspiration, I head out for a short walk. Today, as I meandered through the tree lined path of my apartment complex, I found it. I kept ending up in the direction of a beautiful fountain. The sound of the water as it sprung up in the air like fireworks and then gently falling as it lapped softly against the rocks was soothing. I thought about what the water represented, that regardless of whether it was thrust up in the air or moved gracefully to the bottom, it was the same unchanged substance. I realized that no matter what you did to it, the water was still water flowing in a fountain. The same could be said about you. You may have emotions that carry you from the highest mountain peaks to the valley lows, but you are at the core that unchange... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=4975942 Tue, 28 Jun 2011 10:11:39 +0100 4975942 http://www.medworm.com/index.php?rid=4841899&cid=t_166874_136_f&fid=39016&url=http%3A%2F%2Fturquoisegates.blogspot.com%2F2011%2F05%2Fwind-on-skin.html Easter is just one of those days of traditional finery I cannot seem to squelch with my most tom-boy mom style. Shirt and tie, toe the line, proud of our judgement.As the sun warms the earth now, I am like new skin, in new wind, in new lifeFade, fade each earthly joy; Jesus is mine.Break every tender tie: Jesus is mine.Dark is the wilderness,Earth has no resting place,Jesus alone can bless;Jesus is mine.Tempt not my soul away; Jesus is mine.Here would I ever stay; Jesus is mine.Perishing, things of clay,Born but for one brief day;Pass from my heart away;Jesus is mine.Farewell, ye dreams of night; Jesus is mine.Lost in this dawning bright; Jesus is mine.All that my soul has triedLeft but a dismal void: Jesus has satisfiedJesus is mine.Farewell, mortality; Jesus... Turquoise Gates blogs http://www.medworm.com/rss/comments.php?id=4841899 Wed, 18 May 2011 00:44:00 +0100 4841899 http://www.medworm.com/index.php?rid=4841661&cid=t_166874_113_f&fid=34634&url=http%3A%2F%2Fwww.emrandhipaa.com%2Femr-and-hipaa%2F2011%2F05%2F15%2Femr-twiter-thoughts-from-emr-answers%2F I found a couple interesting tweets from EMR answers. Some interesting advice for those interested in EMR and EHR. #bbpBox_69798257995431937 a { text-decoration:none; color:#220882; }#bbpBox_69798257995431937 a:hover { text-decoration:underline; } #EMR #EHR Vendors- busy w/ #MU R&D. Demo specific to #physician spec. & work flow. Watch for clicks, alert fatigue and “One size fits all” May 15, 2011 9:16 am via webReplyRetweetFavorite @EMRAnswers Linda Lia Stotsky Some good advice and scary thought that all the EMR and EHR vendors’ R&D is going to meaningful use. #bbpBox_69796911237959680 a { text-decoration:none; color:#220882; }#bbpBox_69796911237959680 a:hover { text-decoration:underline; } #EMR #EHR 101.Vendor Customization.”Fit” syst... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=4841661 Mon, 16 May 2011 06:12:16 +0100 4841661 http://www.medworm.com/index.php?rid=4747758&cid=t_166874_129_f&fid=27216&url=http%3A%2F%2Flifewithadhd.com%2Fadhd-in-the-classroom%2Fthe-adhd-answers-youamp039re-looking-for.php Parents look for ADHD answers…sometimes in the wrong places. Attention Deficit Hyperactivity Disorder or ADHD is often misdiagnosed and misunderstood, partly because so many kids are affected by it (around 3-5% of all children), and partly because adults somehow expect children to act up and misbehave at some point. Below are the top five most common concerns of parents who have kids with ADHD. Hopefully, these ADHD answers can help guide you in your quest for effective ADHD management and treatments, as well. 1. Is ADHD just a phase? Respected paediatric, psychiatric, and psychological associations have classified ADHD as a real disorder. It is not merely a phase that comes with childhood, in the same ways bed-wetting or lack of motivation is in fact, ADHD is widely accepted by speci... Life With ADHD blogs http://www.medworm.com/rss/comments.php?id=4747758 Sun, 24 Apr 2011 23:00:00 +0100 4747758 http://www.medworm.com/index.php?rid=4676947&cid=t_166874_129_f&fid=27216&url=http%3A%2F%2Flifewithadhd.com%2Fadhd-in-the-classroom%2Flearning-adhd-honest-answers-and-effective-solutions.php Learning ADHD or ADHD which gets in the way of learning is common both in school and behavior. There is nothing worse for a student than to thoroughly prepared for a test or examine only to draw a blank when testing time rolls around. These students are often labeled as slackers or underachievers, when in fact they may try as hard as or harder than anyone. Another interesting fact about individuals with learning ADHD is that they often have very high IQ levels. In order to find answers about learning ADHD we must first delve into the condition itself then investigate possible solutions.  The three primary symptoms of ADHD are inattention/distractibility, impulsivity, and hyperactivity or restlessness. Symptoms begin before the age of seven, last for a minimum of 6 months, and present majo... Life With ADHD blogs http://www.medworm.com/rss/comments.php?id=4676947 Mon, 04 Apr 2011 23:00:00 +0100 4676947 http://www.medworm.com/index.php?rid=4642795&cid=t_166874_129_f&fid=27216&url=http%3A%2F%2Flifewithadhd.com%2Fadhd-books%2Fthe-add-adhd-answer-book-professional-answers-to-275-of-the-top-questions-parents-ask.php Price 7.9 Listprice $14.95 Description –What can I do to help my child now?–What are the symptoms of ADD? –What questions will the doctor ask me about my child? –Do children with AD/HD qualify for special education? –Should I medicate my child? ADD and ADHD are estimated to affect at least 3 to 7 percent of school-age children and the amount of information available on the subject can be overwhelming, confusing and oftentimes, conflicting. The ADD & ADHD Answer Book is a reassuring, authoritative reference for you and your family, providing sound advice and immediate answers to your most pressing questions. The book also includes questionnaires and checklists to help you get the most out of your child’s evaluation. Written in a ... Life With ADHD blogs http://www.medworm.com/rss/comments.php?id=4642795 Sun, 27 Mar 2011 00:00:00 +0100 4642795 http://www.medworm.com/index.php?rid=4622329&cid=t_166874_113_f&fid=34634&url=http%3A%2F%2Fwww.emrandhipaa.com%2Femr-and-hipaa%2F2011%2F03%2F19%2Fhitech-answers-ehr-satisfaction-survey%2F The good people at HITECH Answers are conducting a survey to gage EHR customer satisfaction — 10 questions; takes 10 seconds. I think the questions they are asking are interesting and could provide some interesting results even if it’s not a real scientific survey. So, if you’re a user of an EHR software, go and fill out the survey. If the results are valuable and interesting, I’ll be sure to share the results of the survey in a future post. Related posts:List of EHR Companies for Survey I recently got a survey from someone evaluating EHR implementations... All I Want for Christmas is ARRA EHR Stimulus Answers One of my favorite bloggers, Will Weider, had a nice... EMR Stimulus Questions and Answers One of the challenges of this blog is writing content... (Source:... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=4622329 Sat, 19 Mar 2011 17:27:38 +0100 4622329 http://www.medworm.com/index.php?rid=4554763&cid=t_166874_136_f&fid=39016&url=http%3A%2F%2Fturquoisegates.blogspot.com%2F2011%2F03%2Fphotos-here-of-my-gorgeous-twin-nieces.html *Photos here of my gorgeous twin nieces, Kaitlynn & Jessica*I love babies. If I could, I would have about twelve of my own. (I would also probably be clinically insane when the 12th child hit age 3, if not before) But every pregnancy leeched a little more life out of me, and, during my pregnancy with Caleb, the heart condition that I'd been free from for seven years came back with a vengeance. I was on my knees nightly praying to somehow survive the delivery. And I did.We researched long-term methods of pregnancy prevention, and scheduled a tubal ligation to take place the day after Caleb was born. There was trepidation sitting like a stone in my belly that morning, and despite reassurance from my mom and my husband, I canceled the surgery. Yet we didn't have peace with not doing somet... Turquoise Gates blogs http://www.medworm.com/rss/comments.php?id=4554763 Mon, 07 Mar 2011 04:22:00 +0100 4554763 http://www.medworm.com/index.php?rid=4327050&cid=t_166874_136_f&fid=39016&url=http%3A%2F%2Fturquoisegates.blogspot.com%2F2011%2F01%2Fday-of-sweet-rejoicing.html Skye and Smoky cuddling - Smoky's eyes like jasper in the sun. It has been a fun weekend with my aunts and uncle. I am going to my parents Sunday night to stay, and then over to my house around 6 a.m.!The reunion is the silver lining to the separation! I miss my little stinkers and can't wait to squeeze them. I was thinking back to other reunions (this is our 4th time through this) and I know from experience I can't plan to get anything accomplished tomorrow...other than sitting still and letting myself be smothered by the pile of kids that follows me like little steel babies to the mother magnet. Click here if you want to read old posts about previous homecomings.So today, rejoice with me?Their very first independent snowman - no help from parents!Praise God, from whom all blessings ... Turquoise Gates blogs http://www.medworm.com/rss/comments.php?id=4327050 Sun, 09 Jan 2011 11:01:00 +0100 4327050 http://www.medworm.com/index.php?rid=4251165&cid=t_166874_113_f&fid=34634&url=http%3A%2F%2Fwww.emrandhipaa.com%2Femr-and-hipaa%2F2010%2F12%2F06%2Femr-stimulus-question-and-answer-has-anyone-gotten-paid-yet%2F Today I got a good question from Gene about whether anyone has gotten a check for the adoption of EMR yet. You can see the full question and my answer below. Also, be sure to check out the other EMR Stimulus Question and Answers I’ve done. Has any doctor actually received any money from the government regarding the use/adoption of an EMR? OR does this not come until 2013 Short Answer: No Longer answer: Medicaid is getting close to cutting the first checks. Medicare takes 90 days of meaningful use, so the first checks won’t be cut until after the first quarter of 2011. So, we won’t have to wait until 2013, but the EMR stimulus has taken a while to be put in place. I guess this wasn’t one of the “shovel ready” ARRA projects that we heard all about. Relat... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=4251165 Tue, 07 Dec 2010 00:02:42 +0100 4251165 http://www.medworm.com/index.php?rid=4251168&cid=t_166874_113_f&fid=34634&url=http%3A%2F%2Fwww.emrandhipaa.com%2Femr-and-hipaa%2F2010%2F12%2F02%2Femr-stimulus-question-and-answer-what-if-my-emr-vendor-doesnt-certify%2F Pamela sent me the following EMR stimulus question in response to my post about Doctor’s having no choice with meaningful use: Can we show meaningful use without a certified EMR or would we still be penalized since our EMR vendor has no intention on becoming certified? The current HITECH law requires meaningful use of a certified EHR. So, you have to use a certified EHR to get the EMR stimulus money and to avoid the Medicare penalties. They have been looking at doing site certifications so you could show that you’ve put together everything to satisfy the certified EHR portion. However, so far I’ve only seen the site certification really apply to hospitals. I haven’t seen a site certification for smaller doctors offices (yet?). Just be aware that some are suggesting ... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=4251168 Thu, 02 Dec 2010 17:10:22 +0100 4251168 http://www.medworm.com/index.php?rid=4207309&cid=t_166874_99_f&fid=35344&url=http%3A%2F%2Fzackarysholemberger.blogspot.com%2F2010%2F11%2Funanswered-questions-for-philip-larkin.html What are your thoughts about confessional poetry?Many readers will be put off by the lines about mum and dad "f.[ing] you up." Should they be, or not? What are the lines there for?Whence the coastal shelf?The last lines are more revealing than others in the poem. Tell us why you would rather not procreate. (Source: Zackary Sholem Berger) Zackary Sholem Berger blogs http://www.medworm.com/rss/comments.php?id=4207309 Sun, 28 Nov 2010 02:17:00 +0100 4207309 http://www.medworm.com/index.php?rid=4197140&cid=t_166874_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F11%2F24%2Fchange-is-hard-but-not-impossible%2F A lot of “Health 2.0″ tools seek to help people change their behaviors to lead more healthy, productive lives. This is an admirable goal, and one I wholeheartedly endorse. Some of the tools are really “gee-whiz” neat! However, many people involved with building Health 2.0 tools have little or no formal background in human behavior. How do you expect to build tools that seek to change human behavior, with no human behavior experts — you know, psychologists — consulting with you or on your staff? That’s like trying to write a piece of software without a programmer. In reply to a query on this topic, and how people change their behavior, I wrote the following over at the Society for Participatory Medicine’s e-patients.net blog. I think it enca... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=4197140 Wed, 24 Nov 2010 16:57:57 +0100 4197140 http://www.medworm.com/index.php?rid=4203206&cid=t_166874_113_f&fid=34634&url=http%3A%2F%2Fwww.emrandhipaa.com%2Femr-and-hipaa%2F2010%2F11%2F18%2Femr-stimulus-q-and-a-emr-stimulus-money-and-dentists%2F I must admit that the following question is one that I don’t have a very good answer to. However, I’ll offer what I know and hopefully the readers of the site can also chime in with their thoughts in the comments of this post. This question was posted in the comments of my previous EMR Stimulus question and answer post. Can you help out another reader with a pressing question? Where can I find a good listing of EHRs for dentists? I’m looking specifically for ONC certified products that cater to dental practices and I’m coming up short so far. I know that DDS/DMDs can qualify for incentives under ARRA and they’ll be dinged on the Medicare side if they don’t use EHRs, but how are they supposed to comply if the software’s not out there for them? I&#82... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=4203206 Thu, 18 Nov 2010 20:38:27 +0100 4203206 http://www.medworm.com/index.php?rid=4168155&cid=t_166874_136_f&fid=39016&url=http%3A%2F%2Fturquoisegates.blogspot.com%2F2010%2F11%2Ffelt-prayers-mayo-day-5.html Suffice it to say she hasn't itched since the prayer comments started pouring in. Well, that's not entirely true: she has stated, a few times, in a very calm voice, "Mama, I am itchy. Can I have some medicine please?" TADA! Prayer at work, people!! Thank you to each and every one who dropped everything to pray for something as small as the comfort of one little kid today. She's more subdued than usual, pale and under the weather as her cough worsens every day. But she has not been screaming in pain! These pictures are from our evening play session a few minutes ago.Now to him who is able to do far more abundantly than all that we ask or imagine, according to the power at work within us, to him be glory in the church and in Christ Jesus throughout all generations, forever and ever. (Ephesia... Turquoise Gates blogs http://www.medworm.com/rss/comments.php?id=4168155 Tue, 16 Nov 2010 03:26:00 +0100 4168155 http://www.medworm.com/index.php?rid=4155281&cid=t_166874_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2Ficus34vHwe0%2F You know how I love when readers ask me questions. Especially when I can use them to create a blog post. Why you ask? Because then at least I know I’m making one reader happy. Although, if one reader had the question, it’s also quite likely that MANY more had the same question. On that note, the following is a question sent to me by Radhika: To qualify for EMR stimulus money we need $24,000 in allowable medicare charges per physician. I am not sure whether we have to show the $24,000 over a period of 1 year or 90 days. Can you please clarify? This is a great question. The short answer is you have the entire year to accrue the $24,000 in allowable Medicare charges that’s required to get the full EMR stimulus money in year 1 (you get paid 75% of your Medicare allowable char... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=4155281 Tue, 09 Nov 2010 18:51:12 +0100 4155281 http://www.medworm.com/index.php?rid=4134160&cid=t_166874_136_f&fid=39016&url=http%3A%2F%2Fturquoisegates.blogspot.com%2F2010%2F11%2Fcarving-name.html I woke up to rain on a Saturdayit was a lullaby from the skybut I felt like the clouds, heavy and grayand I looked on your empty sideand criedsometimes I think soon I'll forget youThe saddest thing I ever had to dowas to leave youIt was to leave youThe rain is falling.Falling.Falling.Falling.~Woke Up to Rain, Sarabeth Geoghegan~Amy made an impromptu birthday cake with sand and an old tuna can while I carved stone. A year ago, I began to realize the "miracle baby" inside me wasn't growing in the right place. It felt right today to carve his stone. A year already. And still my whole body longs to hold a baby...that baby. Smell him and love him.I dulled three cold steel chisels on that piece of granite for you, Theodore. My arms ache. It feels good to have them ache for some other reason than... Turquoise Gates blogs http://www.medworm.com/rss/comments.php?id=4134160 Thu, 04 Nov 2010 18:45:00 +0100 4134160 http://www.medworm.com/index.php?rid=3889139&cid=t_166874_109_f&fid=34788&url=http%3A%2F%2Firvingpsychiatrist.blogspot.com%2F2010%2F08%2Fwas-looking-at-spiegel-website-other.html Was looking at the Spiegel website the other day; it had various links to continuing issues from WWII. It had a more spiffy than usual picture of a young Adolf in a brown shirt and brown tie. We usually look at WWII as the Germans had too high a debt load and were crushed too much etc. This might have been true in some emotional sense. The war aim of Germany during what became WWI was to gain some strategic depth from Russia. The German generals were afraid that Russian railroads could deliver troops to the eastern frontier of Germany too quickly. With the defeat of Russia and the creation of Poland that war aim seems to have been achieved however. (Source: a psychiatrist who learned from veterans) a psychiatrist who learned from veterans blogs http://www.medworm.com/rss/comments.php?id=3889139 Fri, 20 Aug 2010 22:37:00 +0100 3889139 http://www.medworm.com/index.php?rid=3876747&cid=t_166874_113_f&fid=34634&url=http%3A%2F%2Fwww.emrandhipaa.com%2Femr-and-hipaa%2F2010%2F08%2F16%2Femr-stimulus-qa-chiropractors-and-meaningful-use-e-prescribing-requirement%2F Pauline Murphy asked the following EMR stimulus question: If a chiropractor does not write perscriptions, does he still have the same e-prescribing requirements for “meaningful use”? How does that work, does anyone know? Amanda Doss from Computer Link offered this answer: No, the chiropractor would not have the same e-prescribing requirements for Meaningful Use. Page 61 of Meaningful Use discusses the “inapplicability” of measures to various provider types. Basically, your chiropractor will have a denominator of “zero” for that measure. Also, on page 99 of Meaningful Use, you find (talking about e-prescribing) “this objective and associated measure do not apply to any Eligible Provider who writes fewer than one hundred prescriptions during the EHR reporting period.”... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=3876747 Mon, 16 Aug 2010 16:47:25 +0100 3876747 http://www.medworm.com/index.php?rid=3858342&cid=t_166874_136_f&fid=39016&url=http%3A%2F%2Fturquoisegates.blogspot.com%2F2010%2F08%2Finevitable-let-down.html Apparently, there still exists a very disturbing paragraph in the legislative code of the great State of Wisconsin, chapter N1 in the Board of Nursing code for accreditation of "professional programs of study":(c) A nurse faculty member who teaches nursing courses in a professional nursing program shall hold a current license to practice as a registered nurse in Wisconsin, have at least 2 years of full−time or equivalent direct care experience as a practicing nurse, be employed in nursing within the last 5 years and hold a master’s degree with a major in nursing.Somehow, I am apparently supposed to:Study for a doctorate degreeKeep working as a nurseAND obtain a master's degree...regardless of the fact that I've already shown that I've mastered doctoral content and e... Turquoise Gates blogs http://www.medworm.com/rss/comments.php?id=3858342 Wed, 11 Aug 2010 15:42:00 +0100 3858342 http://www.medworm.com/index.php?rid=3854716&cid=t_166874_136_f&fid=39016&url=http%3A%2F%2Fturquoisegates.blogspot.com%2F2010%2F08%2Forchestrated.html Finishing up my coursework and successfully passing my comprehensive exams meant a new stress entered for a few days...I now am employable as a professor, and, as school bills pile up in the file drawer, Aaron and I felt definite about my need to find employment.  It has been like pulling teeth to find a job...months of applications, letters of interest, dead-end interviews, and a few carrots dangled before us that have failed to materialize for a variety of reasons.  One day last week, Aaron asked if I'd inquired about job openings at the local university, my alma mater, the University of Wisconsin - Eau Claire.  I'd been browsing their online job postings, but hadn't seen a single thing in nursing for nearly a year.  But I sent a two line e-mail to the dean, who had u... Turquoise Gates blogs http://www.medworm.com/rss/comments.php?id=3854716 Wed, 11 Aug 2010 01:49:00 +0100 3854716 http://www.medworm.com/index.php?rid=3703005&cid=t_166874_113_f&fid=34634&url=http%3A%2F%2Fwww.emrandhipaa.com%2Femr-and-hipaa%2F2010%2F06%2F23%2Farra-qa-are-imaging-costs-recoupable-under-the-hitech-act%2F Corey sent me the following question: Are imaging costs recoupable under the HITECH act? Corey, There are 2 major sections to receive stimulus money from the HITECH act. One is through Medicare and the other is through Medicaid. The Medicare related stimulus money doesn’t have any provisions on how you use the money you receive. It is paid out as a bonus on your Medicare reimbursement. So, you could use the EMR stimulus money that’s paid out through Medicare for anything you want, including imaging costs. Medicaid on the other hand has to be for qualified expenses (or some similar term like that). I personally haven’t seen any details on what HHS will consider an expense that can qualify for the stimulus money. Plus, I won’t be surprised if each state has different ... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=3703005 Wed, 23 Jun 2010 18:41:00 +0100 3703005 http://www.medworm.com/index.php?rid=3678590&cid=t_166874_113_f&fid=34634&url=http%3A%2F%2Fwww.emrandhipaa.com%2Fadministrator%2F2010%2F06%2F11%2Femr-stimulus-question-and-answer%2F Question: My EMR claims to have all of the capabilities they will need to demonstrate meaningful use and qualify for ARRA incentives. Does that mean I will get the EMR stimulus money? First of all, you might want to consider another EMR vendor. If they are saying this, then they are trying to mislead you and make more sales. No EMR vendor can claim that they have “all of the capabilities” for you to show meaningful use and qualify for the EMR stimulus money. Why can I say this? Because the details for Meaningful Use are still not final. We don’t know what you’re going to have to do to show meaningful use and so how can an EMR vendor claim to have all of the capabilities? Short answer is that they can’t. So, go and read their press release again and see if they... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=3678590 Fri, 11 Jun 2010 21:38:34 +0100 3678590 http://www.medworm.com/index.php?rid=3644692&cid=t_166874_83_f&fid=34856&url=http%3A%2F%2Finsidesurgery.com%2F2010%2F06%2Fcdc-answers-health-questions-bp-oil-spill%2F The Centers for Disease Control and Prevention (CDC) has posted answers to FAQ about the possible health risks of the BP oil spill on its website. (Source: Inside Surgery) Inside Surgery blogs http://www.medworm.com/rss/comments.php?id=3644692 Tue, 08 Jun 2010 23:12:37 +0100 3644692 http://www.medworm.com/index.php?rid=3618069&cid=t_166874_147_f&fid=39202&url=http%3A%2F%2Fnicolaziady.wordpress.com%2F2010%2F05%2F31%2Ftop-10-social-networking-websites-forums%2F (Source: Nicola Ziady) Nicola Ziady blogs http://www.medworm.com/rss/comments.php?id=3618069 Mon, 31 May 2010 22:29:28 +0100 3618069 http://www.medworm.com/index.php?rid=3545513&cid=t_166874_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2FOon3kg0puYk%2F EMR and HIPAA Answer to EMR Stimulus Questions Today’s question comes from an EMR and HIPAA reader: If I may back up, I am not having much luck in finding how we, as a clinic, get ’signed up’ if you will for this program. We already have EHR implemented. We are a rural health clinic that accepts Medicare and caid. We have been told by our EHR provider that they are CCHIT Certified. From what I have read, we are likely eligible however not sure how to get started. Could someone please advise. Thank you Unfortunately, the answer to this question is that we still don’t know how Eligible Professionals (EP) or Eligible Hospital(EH) are going to be able to “apply” or “sign up” for the EMR stimulus money. I expect we won’t know all the details to actu... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=3545513 Fri, 07 May 2010 14:59:24 +0100 3545513 http://www.medworm.com/index.php?rid=3526921&cid=t_166874_136_f&fid=39016&url=http%3A%2F%2Fturquoisegates.blogspot.com%2F2010%2F05%2Fmid-night-journal.html Be careful for nothing; but in every thing by prayer and supplication with thanksgiving let your requests be made known unto God. ~ Philippians 4:6This verse is an oldie, but goody (my brother Daniel used to say that as a small boy, and it still tickles me deep within to say it). Tonight I am up as the first pink glaze of sun appears in the pines out my bedroom window, heralding the end of night and beginning of another morn...up all night trying hard to put actions to this verse. It has been a night of prayer, a night of reading, a night of closing my eyes in near delirium and still the prayers flow and the sleep does not come.How many times had patients sat there waiting for her to announce her decision after a similar moment of respite? Invariably the decision was based on science and s... Turquoise Gates blogs http://www.medworm.com/rss/comments.php?id=3526921 Mon, 03 May 2010 08:58:00 +0100 3526921 http://www.medworm.com/index.php?rid=3515589&cid=t_166874_136_f&fid=39016&url=http%3A%2F%2Fturquoisegates.blogspot.com%2F2010%2F04%2Fon-not-ignoring-my-cross.html Where's that place where time stood stillIs it under glass inside a frame?Was it over when you had your fill?Where's that place where time stands stillI remember like a lover canBut I forget it like a leaver willIt's the first time that you held my handIt's the smell and the taste and the fear and the thrillIt's everything I understandAnd all the things I never will~Mary Chapin Carpenter, listen hereThe only news on my tests today was from my midwife, who says things "look good". I am assuming that means nothing that looks too suspicious for cancer. Feeling very conflicted tonight. Back in 2008, I was told twice it "might" be cancer and twice that it definitely wasn't. And then I had surgery and it definitely was, and a worse kind than predicted. So I don't know how to react to good news, ... Turquoise Gates blogs http://www.medworm.com/rss/comments.php?id=3515589 Thu, 29 Apr 2010 00:41:00 +0100 3515589 http://www.medworm.com/index.php?rid=3483084&cid=t_166874_136_f&fid=39016&url=http%3A%2F%2Fturquoisegates.blogspot.com%2F2010%2F04%2Fwitness.html To be a witness does not involve engaging propaganda, nor even in stirring people up, but in being a living mystery. It means to live in such a way that one's life would not make sense if God did not exist. ~ Cardinal Emmanuel SuhardI walked four miles every day in high school. Every day, I walked past this "dinosaur". From the road, it looked exactly like a brontosaurus. For some reason, this abandoned machine became part of the visual history of my childhood. I was thrilled when I drove by my old house on my 31st birthday and saw that it was still in the field, still surrounded by the melting shapes of old round bales.Something not particularly beautiful nor particularly ugly, yet somehow symbolic of a forgotten joy. It didn't speak to me, except to stand a timeless witness of a bygone e... Turquoise Gates blogs http://www.medworm.com/rss/comments.php?id=3483084 Mon, 19 Apr 2010 01:45:00 +0100 3483084 http://www.medworm.com/index.php?rid=3424953&cid=t_166874_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2FoY51BUBisF8%2F Time again for everyone’s favorite topic (or so it seems), EHR stimulus questions and answers. Today’s EMR stimulus question comes from Jamie who asked the following question on a previous post: Does anyone know whether or not the government is implementing some kind of incentive benefit for non-Medicare/Medicaid users? Or are these practices totally out of luck? The short answer (at least for now) is not really. The ARRA EHR stimulus money is provided through Medicare and Medicaid programs as “bonuses” for those who show “meaningful use” of a “certified EHR.” With that said, there are some grants available for special situations. For example, they have a beacon communities program which are given to organizations that will supposedly take EH... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=3424953 Tue, 30 Mar 2010 15:47:13 +0100 3424953 http://www.medworm.com/index.php?rid=3316226&cid=t_166874_136_f&fid=39016&url=http%3A%2F%2Fturquoisegates.blogspot.com%2F2010%2F02%2Famelia-is-home.html We are all under the same roof again, and it feels so good! Thank you for your prayer for sweet Amelia as she underwent sedation yesterday. Her lab tests so far have been good news: no new infection, so what we are observing is still part of the same illness. However, her neurologist is considering changing her diagnosis from Acute Disseminated Encephalomyelitis (ADEM) to Multiphasic Disseminated Encephalomyelitis (MDEM). MDEM is slightly less dangerous and damaging than multiple sclerosis. However, it is a more severe illness than ADEM, with multiple episodes of demyelination that can be triggered by viral or bacterial illnesses, stress, or unknown environmental factors. Each episode of demyelination carries the risk of permanent damage, all the way up to paralysis, mental disability, or ... Turquoise Gates blogs http://www.medworm.com/rss/comments.php?id=3316226 Sat, 27 Feb 2010 22:43:00 +0100 3316226 http://www.medworm.com/index.php?rid=3298563&cid=t_166874_136_f&fid=39016&url=http%3A%2F%2Fturquoisegates.blogspot.com%2F2010%2F02%2Fwhen-mourning-chills-again.html I don’t think the book of Job is about suffering as a theoretical problem — why do the righteous suffer? I think it’s about suffering as a practical problem — when (not if) the righteous suffer, what does God expect of them? And what he expects is trust. When the righteous cannot connect the realities of their experience with the truths of God, then God is calling them to trust him that there is more to it than they can see. As with Job, there is a battle being fought in the heavenlies.Trust in God, not explanations from God, is the pathway through suffering.~ Ray Ortlund on the Book of JobI cannot connect the reality of this experience to truths of God that I hoped for in this circumstance - mercy, hope, love, joy, peace. My spirit shrinks from the idea that it reflected justice, ... Turquoise Gates blogs http://www.medworm.com/rss/comments.php?id=3298563 Mon, 22 Feb 2010 18:23:00 +0100 3298563 http://www.medworm.com/index.php?rid=3290871&cid=t_166874_113_f&fid=34634&url=http%3A%2F%2Fwww.emrandhipaa.com%2Femr-and-hipaa%2F2010%2F02%2F19%2Farra-qa-when-will-you-get-the-emr-stimulus-checks%2F EMR and HIPAA Answer to EMR Stimulus Quesitons When will they send the EMR stimulus checks? I already posted about when the first EMR stimulus checks will go out. This question is a little different since it is about when during the year will you get paid the EMR stimulus once you’ve shown “meaningful use” of a “certified EHR.” I honestly didn’t know the answer to this question until a few days ago. I’m still not completely sure on the process. Plus, I’m not sure if all the details have really been answered for this question. With that said, Justin Barnes from Greenway said during a webinar that you’ll receive your EMR stimulus check once you reach the max for that year. So, according to Justin, you’ll receive the check once you r... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=3290871 Fri, 19 Feb 2010 15:48:57 +0100 3290871 http://www.medworm.com/index.php?rid=3283797&cid=t_166874_136_f&fid=39016&url=http%3A%2F%2Fturquoisegates.blogspot.com%2F2010%2F02%2Finside-lie-seeds.html I really should have taken a photo of the outside of this papaya, discovered fresh and quite obviously NOT preserved in any way chemically, at the Mexican grocery store in Eau Claire. Covered in mold, pock-marked with bruises and a hideous gray-green color, I had my doubts that anything lovely would be found within. Yet what that ugly shell held, protected and cloistered deep inside, was the most beautiful, soft orange fruit and glistening black seeds. I have felt a bit hideous myself over the past three weeks. Rent open by the ax that was the marriage conference, battered and bruised by day after day on my feet, poring my energy into food for 100 and trying to ignore the pain in myself, my husband, my children, I peered over the edge of my soul into the fissure there with some trepidation... Turquoise Gates blogs http://www.medworm.com/rss/comments.php?id=3283797 Thu, 18 Feb 2010 16:18:00 +0100 3283797 http://www.medworm.com/index.php?rid=3269751&cid=t_166874_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2FZvxnfwUo5cw%2F EMR and HIPAA Answer to EMR Stimulus Quesitons When’s the earliest we can get the ARRA EMR Stimulus Money? Medicare Related EMR Stimulus Money The earliest payments for those wanting the $44k per provider of stimulus money from Medicare will be Spring of 2011. Providers will need to show “meaningful use” of a “certified EHR” for 90 days in 2011 to be able to qualify for the first year payment of $18k. So, the very first checks won’t be sent out until at least Spring of 2011. Medicaid Related EMR Stimulus Money Unfortunately, we don’t really know the answer to this question. It’s also made even more difficult since each state will be able to decide when and how they are going to pay out the $63,750 in EMR stimulus money for Medicaid providers.... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=3269751 Thu, 11 Feb 2010 17:26:00 +0100 3269751 http://www.medworm.com/index.php?rid=3223475&cid=t_166874_136_f&fid=39016&url=http%3A%2F%2Fturquoisegates.blogspot.com%2F2010%2F01%2Fthrough-eldests-eyes.html My eldest is a deep pool. I only get glimpses below the surface, and it takes a hefty infusion of quality time to get those rare glimpses. She is most definitely not the heart on her sleeve type. When something does initiate an emotional response, I know to pay attention, because emotional response is not her normal reaction.I enjoyed some time spent with her this morning, looking at and editing a few of her photos from her "kid camera". The little glimpse into what makes this beloved tick was a revelation, and a joy.Papa reading morning devotions [watercolor study].Mama's hands preparing hot chocolate and brownies on a cold winter morning.Family movie night vignette.Favorite kitten.Scrollwork on Mama's piano.Line drawing of a sunrise.Flashlight games.Sister's smile and rosy cheeks one fro... Turquoise Gates blogs http://www.medworm.com/rss/comments.php?id=3223475 Fri, 29 Jan 2010 17:02:00 +0100 3223475 http://www.medworm.com/index.php?rid=3223351&cid=t_166874_113_f&fid=34634&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FEmrAndHipaa%2F%7E3%2Fy0Zxc2P2gr0%2F EMR and HIPAA Reader Submitted Question: Is there a way for a provider to get stimulus money for EMR if not currently a Medicare provider? Besides Medicare, there is also stimulus money available through Medicaid. In fact, Medicaid has more money per provider available than Medicare, but also has different requirements to obtain the EMR stimulus money. Outside of that, ONC has a number of grants that might be available for organizations that qualify and want to go through the grant writing process. Otherwise, NO there is no stimulus money if you don’t take Medicare, Medicaid or qualify for some special grants. Check out all of EMR and HIPAA’s EMR Stimulus Questions and Answers. Related posts:ARRA EHR Stimulus Payments Under Medicare UPDATE: Many of you will find my presentati... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=3223351 Fri, 29 Jan 2010 16:07:34 +0100 3223351 http://www.medworm.com/index.php?rid=3220594&cid=t_166874_113_f&fid=34634&url=http%3A%2F%2Fwww.emrandhipaa.com%2Femr-and-hipaa%2F2010%2F01%2F27%2Fqa-arra-stimulus-money-for-already-installed-emr%2F EMR and HIPAA Reader Submitted Question: Can you get ARRA stimulus money for systems already installed? Thank you. The simple answer is YES! The longer answer is that ARRA makes no differentiation between those that have previously installed an EMR, are currently installing an EMR or that will install an EMR in the future. the HITECH Act (ARRA) just requires that a provider shows “meaningful use” of a “certified EHR.” So, as long as the EMR which you previously installed is a “certified EHR” (still yet to be defined) and can support you showing “meaningful use” (almost defined), then you’d be entitled to the EMR stimulus money. If you’d like to have a question for me to answer, submit it to the EMR and HIPAA contact us page. Rel... EMR and HIPAA blogs http://www.medworm.com/rss/comments.php?id=3220594 Wed, 27 Jan 2010 17:25:45 +0100 3220594 http://www.medworm.com/index.php?rid=3135685&cid=t_166874_136_f&fid=39016&url=http%3A%2F%2Fturquoisegates.blogspot.com%2F2010%2F01%2Fhello-2010.html Here it is...the long awaited next year, 2010. Hopefully, a year of health and peace for our family. If it is, to God be the glory. If not, to God be the glory as well.These photos are from a few days ago. What do you do when cancer lurks once again in the wings? Pull out a tea set! (I should have been a Brit) (Source: Turquoise Gates) Turquoise Gates blogs http://www.medworm.com/rss/comments.php?id=3135685 Fri, 01 Jan 2010 16:32:00 +0100 3135685 http://www.medworm.com/index.php?rid=3135686&cid=t_166874_136_f&fid=39016&url=http%3A%2F%2Fturquoisegates.blogspot.com%2F2009%2F12%2Fopening-hands-to-receive.html Ring out the old, ring in the new,Ring, happy bells, across the snow:The year is going, let him go;Ring out the false, ring in the true.Ring out old shapes of foul disease,Ring out the narrowing lust of gold;Ring out the thousand wars of old,Ring in the thousand years of peace.Ring in the valiant man and free,The larger heart, the kindlier hand;Ring out the darkness of the land,Ring in the Christ that is to be.~ from Ring Out, Wild Bells, by Alfred, Lord TennysonSurgery is canceled. I just got the phone call from the doctor. After several reviews of the ultrasound, the radiologists feel that the area of question on my ovary is resolving. It would be silly to take out a perfectly healthy ovary. So as of right now, I don't even need follow up with the gynecology team. I should be dancing aro... Turquoise Gates blogs http://www.medworm.com/rss/comments.php?id=3135686 Thu, 31 Dec 2009 17:18:00 +0100 3135686 http://www.medworm.com/index.php?rid=3133778&cid=t_166874_136_f&fid=39016&url=http%3A%2F%2Fturquoisegates.blogspot.com%2F2009%2F12%2Fsilent-embrace.html hI found this on Zach Nielsen's blog the other day, while I was preparing to post my latest cancer news.Perfect.from the blog of Chris Brauns:If you aren’t suffering terribly right now, you know someone who is. John Piper (12/27/09) preached on suffering and Romans 8:15-25 at the Village Church who recently learned that their young senior pastor, Matt Chandler, has a malignant brain tumor. (See these posts on suffering).Piper introduced his sermon by stating that the first thing believers should do do with those who are suffering is hug them. No words. Just silent hugs. But, Piper also noted that those who are hugging must have a place to stand. That is, if we are going to make it through the suffering in this life apart from anger and bitterness, then we must know sound doctrine and how... Turquoise Gates blogs http://www.medworm.com/rss/comments.php?id=3133778 Wed, 30 Dec 2009 17:00:00 +0100 3133778 http://www.medworm.com/index.php?rid=3106874&cid=t_166874_136_f&fid=39016&url=http%3A%2F%2Fturquoisegates.blogspot.com%2F2009%2F12%2Ffinally-his-answer-comes.html Shall I give my firstborn for my transgression,the fruit of my body for the sin of my soul?He has told you, O man, what is good;and what does the Lord require of youbut to do justice, and to love kindness,and to walk humbly with your God?(Micah 6:7-8)I have asked this, sarcastically. I asked God if Theodore was the price for my sins. My many sins. I have sneered at him, in my soul - this God who says He is all-loving, all-powerful, ever-present, merciful, provident, healing, providing; Savior, Deliverer, Shield, Redeemer. Taking my child, the child I never even asked for, planting that child in me, in a place He knew it would die. What is the purpose of that, God? Are you just trying to prove to me that you are, too, just, jealous, righteous, mighty, The Judge? (see The Names of God)I've s... Turquoise Gates blogs http://www.medworm.com/rss/comments.php?id=3106874 Sat, 19 Dec 2009 16:52:00 +0100 3106874 http://www.medworm.com/index.php?rid=3079539&cid=t_166874_136_f&fid=39016&url=http%3A%2F%2Fturquoisegates.blogspot.com%2F2009%2F12%2Fhollow.html There is so much that is raw right now. It stops up my words, all this pain that threatens to bubble over the top and consume my days. I find comfort in the darkest books of the Bible...Lamentations, Daniel, Joel, Habakkuk, Isaiah, some of the Psalms. In a season that is all about praise, I am more on my knees in wordless agony of emptiness and concomitant desperation of waiting for resolution. Waiting for heaven. I had two miscarriages before this one, and I haven't ever suffered so. There is something so tangible about this baby...my sister-in-law down the street, one of my dearest friends. Calling me to tell me her baby is moving. Her baby that she found out about two days before I found out about mine. It just seems so cruel that I have to suffer this now, that I will suffer this for t... Turquoise Gates blogs http://www.medworm.com/rss/comments.php?id=3079539 Fri, 11 Dec 2009 05:46:00 +0100 3079539 http://www.medworm.com/index.php?rid=2912501&cid=t_166874_136_f&fid=39016&url=http%3A%2F%2Fturquoisegates.blogspot.com%2F2009%2F10%2Fhow-well-i-know-what-i-mean-to-do-when.html How well I know what I mean to doWhen the long dark autumn-evenings come:And where, my soul, is thy pleasant hue?With the music of all thy voices, dumbIn life's November too!...the whole is well worth thinking o'erWhen autumn comes: which I mean to doOne day, as I said before. ~ Robert Browning, By the Fire-Side ~My local cardiologist is so wonderful. He looked over all the records from Mayo, and was befuddled by their decision not to diagnose me with orthostatic intolerance. That is the diagnosis he gave me today, after reviewing the test results from Mayo. He is loathe to treat me, as the treatments can be worse than the illness. I tend to agree! The main factor that seems to exacerbate my symptoms is the hypothyroidism prior to my radioactive iodine scans... Turquoise Gates blogs http://www.medworm.com/rss/comments.php?id=2912501 Wed, 21 Oct 2009 01:18:00 +0100 2912501 http://www.medworm.com/index.php?rid=2819220&cid=t_166874_72_f&fid=38877&url=http%3A%2F%2Fwww.laseroffers.com%2F2009%2F09%2Fnoteworthy-facts-about-your-skin%2F 1. It’s your body’s largest organ: an average adult’s skin spans 21 square feet, weighs 9 pounds and contains more than 11 miles of blood vessels. 2. The skin releases as much as 3 gallons of sweat a day in hot weather. The areas that don’t sweat are the nail bed, the margins of the lips, [...]Post from: Aesthetic Laser OffersNoteworthy Facts About Your Skin (Source: Aesthetic Lasers) Aesthetic Lasers blogs http://www.medworm.com/rss/comments.php?id=2819220 Mon, 21 Sep 2009 19:30:17 +0100 2819220 http://www.medworm.com/index.php?rid=2789044&cid=t_166874_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F09%2F12%2Fmoving-out-of-emotional-captivity-are-you-the-driver-or-the-driven%2F In his book “Eastern Wisdom for Western Minds,” Victor M. Parachin tells a Japanese tale about how powerful our emotions can be, and how we must manage them, not vice versa. He writes: A Japanese samurai warrior visited a Zen master, seeking answers to questions that had plagued him for some time. “What is it you want to know?” asked the Zen master. “Tell me, sir, do heaven and hell exist?” “Ha!” laughed the Zen master in a contemptuous tone. “What makes you think you could understand such things? You are only an educated, brutish soldier. Don’t waste my time with your ridiculous questions.” The samurai warrior froze in shock. No one spoke to a samurai that way. It meant instant death. Increasing the tension, the Zen master ... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=2789044 Sat, 12 Sep 2009 13:17:04 +0100 2789044 http://www.medworm.com/index.php?rid=2858880&cid=t_166874_136_f&fid=39016&url=http%3A%2F%2Fturquoisegates.blogspot.com%2F2009%2F09%2Fdancing-in-rain.html As I watched them walk out the door ahead of me, waiting for the perfect shaft of light to illuminate girlhood and infancy lilting through the sunset and out of the cavernous old barn, a million old emotions flooded back. That moment...watching someone I love dearly walk off with my son, facing forward toward the beauty and possibility that is life outside the cavern...I remember the moments I spent watching my kids dance in a lamp lit living room in November. Isolated, shivering, standing in the dark, surrounded by the eerie loneliness of the sounds of city nightlife. Feeling my life slip like so many grains of sand through an open palm. The glass shut me out, just like the length of that barn floor did. Being an outsider is never pleasant, especially when your heart is heavy with worry.T... Turquoise Gates blogs http://www.medworm.com/rss/comments.php?id=2858880 Thu, 10 Sep 2009 03:28:00 +0100 2858880 http://www.medworm.com/index.php?rid=2752070&cid=t_166874_129_f&fid=36038&url=http%3A%2F%2Fwww.everydayhealth.com%2Fblog%2Ftrevis-life-with-multiple-sclerosis-ms%2Fan-interview-with-trevis-gleason-about-his-multiple-sclerosis%2F My multiple sclerosis interview: it seems ages ago now that we offered you an opportunity to interview me, doesn’t it?   The summer has slipped away and my schedule has compressed as I move closer to my wedding (October 10, Rusty).  For those of you just joining us I posted a blog topic that allowed you (the MS community) to post any questions you might wish to ask me about my multiple sclerosis via the comment section.  The questions below are the result of that post.  You put great thought into your questions and I wanted to do the same for my answers. So, at long last, here it is your interview with me.  I hope you enjoy. –Trevis! Did you undertake a new diet upon learning you got MS? I had been on a special diet for a liver condition when I was diagnosed.  I had been sta... Life with MS blogs http://www.medworm.com/rss/comments.php?id=2752070 Mon, 31 Aug 2009 22:37:32 +0100 2752070 http://www.medworm.com/index.php?rid=2752124&cid=t_166874_137_f&fid=35426&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FTheAlzheimersReadingRoom%2F%7E3%2F47n11ebVA6M%2Fsearch-for-new-personal-care-physician.html Let me start by saying this--Thank you. Thanks to each and everyone of you that took the time to comment on this website, on my Facebook Wall, and who sent me personal emails regarding the untimely death of our wonderful personal care physicians--Doctor Carlos Chiriboga. Your kind words give me comfort, and importantly help empower me to move forward. I already started the search for a new personal care physician. Unlike, last time, I actually know what I am doing this time.. Many of you know it took me 14 months, and 4 physicians to get it right last time around. I am now realizing how little I knew at the time. I now realize, I was asking the wrong questions and looking in the wrong places. Here are the dumbest questions I asked last time around. Do you have patients in your practi... Alzheimer's Reading Room, The blogs http://www.medworm.com/rss/comments.php?id=2752124 Mon, 31 Aug 2009 17:26:44 +0100 2752124 http://www.medworm.com/index.php?rid=2654082&cid=t_166874_180_f&fid=38610&url=http%3A%2F%2Fwww.productivity501.com%2Fquestions-and-answers%2F4900%2F Here is a collection of some random questions that have come in, either by email or search terms that brought people to this site. The run the gamut from banks to bullets and cover a lot of area in between. If you have questions you’d like to see answered, please send them to questions@productivity501.com. Why do banks fail? In the US, banks fail when the FDIC decides they are under-capitalized and force them to sell to another company.  This happens when a company makes a bunch of loans that go bad.  Much of the current financial crisis was brought on by banks investing in complex investments in mortgages that turned out to be much more risky than originally thought. Why create a paperless office? A paperless office is very useful if you travel a lot and need to have your documen... Productivity501 blogs http://www.medworm.com/rss/comments.php?id=2654082 Thu, 30 Jul 2009 11:39:11 +0100 2654082 http://www.medworm.com/index.php?rid=2639704&cid=t_166874_137_f&fid=35426&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FTheAlzheimersReadingRoom%2F%7E3%2FplrMnD09zZg%2Fjocelyn-in-new-zealand-asks-about.html I received an email from a reader in New Zealand asking about clinical trials for Alzheimer's disease.Yes I know, but how do you get into these trials, it is just about impossible for someone in NZ to get into a USA or British based one, I have asked before.--JocelynI did a search at Clinical Trials.gov and found two clinical trials that are recruiting new patients in New Zealand.Study Evaluating the Safety and Efficacy of Bapineuzumab in Alzheimer Disease PatientsStudy Evaluating the Efficacy and Safety of Bapineuzumab in Alzheimer Disease PatientsJoin UsSubscribe to The Alzheimer's Reading RoomLet me explain how I did this.I went to Clinical Trials.gov.In the upper right hand corner of the home page there is a search box. I entered: Alzheimer's New Zealand. This took me to a page that li... Alzheimer's Reading Room, The blogs http://www.medworm.com/rss/comments.php?id=2639704 Sat, 25 Jul 2009 14:10:15 +0100 2639704 http://www.medworm.com/index.php?rid=2556282&cid=t_166874_129_f&fid=36038&url=http%3A%2F%2Fwww.everydayhealth.com%2Fblog%2Ftrevis-life-with-multiple-sclerosis-ms%2Fis-it-multiple-sclerosis-or-something-else%2F It is not only those newly diagnosed (or awaiting confirmation of diagnosis) who wonder if the things happening to their bodies are really caused by multiple sclerosis.  I’ll admit to a time, now and again, when I wonder, aloud sometimes, “Do I really have MS?” My medical team assures me. I’m not saying that I/we don’t battle our symptoms daily.  I’m not trying to minimize the effects this disease can/does have on us.  I’m just saying… It wasn’t that long ago when MS was almost totally a “diagnosis of omissions,” meaning that if it wasn’t A, B, C…X, Y or Z; it must be MS.  Many of us spent several years with on-again-off-again symptoms which were misdiagnosed or ignored by ourselves.  Unless we had persisten... Life with MS blogs http://www.medworm.com/rss/comments.php?id=2556282 Mon, 29 Jun 2009 18:08:48 +0100 2556282 http://www.medworm.com/index.php?rid=2447697&cid=t_166874_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F05%2F30%2Fwhy-we-believe-medical-myths%2F Why do we keep clinging to myths, even when research or other facts tell us the myths aren’t true? That’s the question posed by Newsweek’s Sarah Kliff, discussing a new book put out by Vreeman and Carroll, who blow away 66 new medical myths in their new book, Don’t Swallow Your Gum! The research offers only a few answers as to why we keep believing things like we must drink 8 glasses of water a day (myth) and the belief that vitamin C helps cure the common cold (myth): The body of research on belief formation is relatively sparse. One expert in the field, York University psychologist James Alcock, admits that it’s difficult to trace where beliefs start. “Even as individuals we usually can’t explain where beliefs come from,” says Alcock, who... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=2447697 Sat, 30 May 2009 14:48:10 +0100 2447697 http://www.medworm.com/index.php?rid=2086829&cid=t_166874_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F01%2F07%2Fjon-trip-dispenser%2F Trip Answers is a new site from the people that are behind the wonderful Trip Database (see posts Use TRIP to Navigate to Best Evidence, …and I though QI involved Stephen Fry, Was that Trip to Bethlehem Critical? for details).    It aims to be a resource where clinicians can easily find answers to their question by building a repository of clinical questions and answers drawn from a wide number of sources around the world. Well laid out, simple to navigate with great use of tag clouds (love the Tag Cloud of Uncertainty as a concept) and a clear rating system for the answers given it’s everything we expect from a Trip product. Posted in Digital Repositories, Electronic Resources, Evidence Based Practice, Information Systems, Useful Weblinks   Tagged: Clinical Qu... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2086829 Wed, 07 Jan 2009 11:05:58 +0100 2086829 http://www.medworm.com/index.php?rid=1311137&cid=t_166874_136_f&fid=35300&url=http%3A%2F%2Fwww.metastaticlivercancer.org%2F2008-03-18-cancer-treatment%2Fliver-cancer-story-from-sue%2F Palliative care : Questions from Sue and answers from our metastatic liver cancer experience. Sue’s palliative care questions Sue left this comment at do you have a liver cancer story? God Bless You for what you are trying to do. I am taking care of my 81-year-old mother who up until last year looked and behaved like a 50-year-old. It is so hard to see her in the state that she is in now. She is so weak and does not want to eat anything. I beg her to eat because of all the meds she is taking but she does not want anything. She does drink a lot of water though. She does not want to go to palliative care and so I am doing the best that I can at home. It is so scary and sad. How do I know when the end is approaching? I would appreciate any help you can provide. Metastatic liver cancer ... Metastatic liver cancer blogs http://www.medworm.com/rss/comments.php?id=1311137 Tue, 18 Mar 2008 09:47:21 +0100 1311137 http://www.medworm.com/index.php?rid=1186134&cid=t_166874_117_f&fid=36026&url=http%3A%2F%2Fblog.healthtalk.com%2Fzimney%2Fheath-ledgers-autopsy-inconclusive-so-far%2F When death strikes someone at a young age, it is always tragic - and there are always questions. For most, the questions are limited to the family, friends and perhaps to some in the local community. For celebrities, the questions become national, even international. Sometimes the questions are about the cause of death, but they always involve the whys. Why them, why now, why our child? These latter questions are existential in nature and are rarely, if ever, fully answered. The former, however, are the purview of the pathologist, a physician with specialized training in solving the physical causes of death. Sometimes the answers are obvious, sometimes not. On rare occasion, they are never determined. In the case of Heath Ledger, the questions remained unanswered as of this writing. I’m ... Dr. Z's Medical Report blogs http://www.medworm.com/rss/comments.php?id=1186134 Tue, 29 Jan 2008 21:25:13 +0100 1186134 http://www.medworm.com/index.php?rid=928081&cid=t_166874_109_f&fid=35677&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FBrainBasedBusiness%2F%7E3%2F165239596%2Ffrom_panic_to_peak_performance.html If you find yourself overwhelmed with workloads, venting about demanding colleagues, or panicked through financial pressures … you’ll be interested in new research that links panic to heart trouble down the road. Your own brain actually holds answers that could turn panic into peak performances.Determination is not enough to eliminate panic ... nor is venting, though. For some time,  researchers warned us that persistent panic can lead you into places of depression… and now heart attacks and stokes have been added to panic dangers.One study of 3000 participants just published in Archives of General Psychiatry reported that rapid pulse and shortness of breath that comes with panic attacks – may even signal heart trouble at a later date. Luckily, the human brai... BrainBasedBusiness blogs http://www.medworm.com/rss/comments.php?id=928081 Thu, 04 Oct 2007 15:51:10 +0100 928081