How viral infection disrupts neural development in offspring, increasing risk of autism

Activating a mother's immune system during her pregnancy disrupts the development of neural cells in the brain of her offspring and damages the cells' ability to transmit signals and communicate with one another, researchers with the UC Davis Center for Neuroscience and Department of Neurology have found. They said the finding suggests how maternal viral infection might increase the risk of having a child with autism spectrum disorder or schizophrenia.
The research, "MHCI Requires MEF2 Transcription Factors to Negatively Regulate Synapse Density during Development and in Disease," is published in the Journal of Neuroscience.
The study's senior author is Kimberley McAllister, professor in the Center for Neuroscience with appointments in the departments of Neurology and Neurobiology, Physiology and Behavior, and a researcher with the UC Davis MIND Institute.
"This is the first evidence that neurons in the developing brain of newborn offspring are altered by maternal immune activation," McAllister said. "Until now, very little has been known about how maternal immune activation leads to autism spectrum disorder and schizophrenia-like pathophysiology and behaviors in the offspring."

The study was conducted in mice and rats and compared the brains of the offspring of rodents whose immune systems had been activated and those of animals whose immune systems had not been activated. The pups of animals that were exposed to viral infection had much higher brain levels of immune molecules known as the major histocompatibility complex I (MHCI) molecules.
"This is the first evidence that MHCI levels on the surface of young cortical neurons in offspring are altered by maternal immune activation," McAllister said.
The researchers found that the high MHCI levels impaired the ability of the neurons from the newborn mice's brains to form synapses, the tiny gaps separating brain cells through which signals are transmitted. Earlier research has suggested that ASD and schizophrenia may be caused by changes in the development of connections in the brain, especially the cerebral cortex.
The researchers experimentally reduced MHCI to normal levels in neurons from offspring following maternal immune activation.
"Remarkably, synapse density returned to normal levels in those neurons," McAllister said.
"These results indicate that maternal immune activation does indeed alter connectivity during prenatal development, causing a profound deficit in the ability of cortical neurons to form synapses that is caused by changes in levels of MHCI on the neurons," she said.
MHCI did not work alone to limit the development of synapses. In a series of experiments, the UC Davis researchers determined that MHCI interacted with calcineurin and myocyte enhancer factor-2 (Mef2), a protein that is a critical determinant of neuronal specialization.
MHCI, calcineurin and Mef2 form a biological signaling pathway that had not been previously identified. McAllister's team showed that in the offspring of the maternal immune activation mothers, this novel signaling pathway was much more active than it was in the offspring of non-MIA animals.
"This finding provides a potential mechanism linking maternal immune activation to disease-linked behaviors," McAllister said.
It also is a mechanism that may help McAllister and other scientists to develop diagnostic tests and eventually therapies to improve the lives of individuals with these neurodevelopmental disorders.

Debt and mental health problems

New research, led by the University of Southampton, has shown that people in debt are three times more likely to have a mental health problem than those not in debt.
There is currently around £156 billion in unsecured debt such as credit cards in the UK, of which the average family owes more than £11,000. Levels of debt have increased in recent years due to the economic recession and are predicted to increase further.
Researchers from the University of Southampton, along with a researcher from Kingston University, carried out a systematic review on all previous research which looked at the relationship between health problems and unsecured debt. They conducted a 'meta-analysis', the first time this has been done on the issue, to statistically combine the results of previous studies involving nearly 34,000 participants.

The results, published online in Clinical Psychology Review, showed that those in debt were more than three times more likely to have a mental health problem as those who were not in debt.
Less than nine per cent of participants with no mental health problems were in debt, compared to more than a quarter of participants being in debt and with a mental health problem.
The team found that those in debt were also more likely to suffer from depression, drug dependence and psychosis and the results also suggest that those who die by suicide are more likely to be in debt.
Dr Thomas Richardson, Clinical Psychologist from the University of Southampton who led the research, comments: "This research shows a strong relationship between debt and mental health; however it is hard to say which causes which at this stage. It might be that debt leads to worse mental health due to the stress it causes. It may also be that those with mental health problems are more prone to debt because of other factors, such as erratic employment. Equally it might be that the relationship works both ways. For example people who are depressed may struggle to cope financially and get into debt, which then sends them deeper into depression.
"Debt advisors should consider asking about mental health when speaking to members of the public. Similarly mental health professionals should ensure they ask about whether their patients are in debt. Further research is now needed to show exactly how debt leads to poor mental health, so that interventions can be designed to try and prevent those in financial trouble developing mental health problems and vice versa."

Retired people less likely to take medications for hypertension and diabetes

Men and women with hypertension and men with diabetes were 1.3 times to 2.4 times less likely to take their prescription medications after retirement, according to a study in CMAJ (Canadian Medical Association Journal).
Poor adherence to prescription medication is common and can affect the ability to manage hypertension and diabetes, two illnesses linked with heart disease and death. Although substantial research has been conducted on factors that influence medication adherence such as patient demographics, physician and pharmacist characteristics and other factors, little is known about the effects of life changes on medication adherence.
Researchers from Finland, the United Kingdom and Sweden looked at the effect of retirement on medication adherence in a cohort of 21 052 retired government employees in Finland. They linked data on filled prescriptions from national registers to each patient, following them 3 years before retirement to 4 years after retirement. Of the 21 052 retirees, 3468 people had hypertension and 412 had type 2 diabetes in the period before retirement. Median age at retirement was 61 years, and 75% of the total 3880 people were women.
"For men and women with hypertension and men with type 2 diabetes, retirement was linked to 1.3- to 2.4-fold increases in poor medication adherence," says Professor Mika Kivimäki, Department of Epidemiology and Public Health, University College London (UCL), London, United Kingdom. "We saw no significant difference in this adherence pattern between age groups, socioeconomic strata or patients with and without depression or comorbid cardiovascular disease. These patterns suggest that our findings were robust and not limited to a specific group."
The researchers suggest several reasons for the drop in taking medications. The perception that poor health will reduce with retirement, loss of a familiar daily routine or the transition from workplace to nonworkplace health care in Finland could all be factors.
"These findings suggest that retirement may increase medication nonadherence, a timely issue given that the proportion of people aged 65 years or older is growing rapidly. Further research is needed to determine the generalizability of our findings across multiple settings and in other populations," the authors conclude.

Hydrocollator Lotion Warmer Hanging - 22100

Hydrocollator Lotion Warmer Hanging - 22100

Product Description

Lotion Warmer Lotion Warmer Lotion Warmer Lotion Warmer

Mini Lotion Warmer, non-electric for use with E-1 and E-2 Hydrocollator heating units. Hanging Lotion Warmer keeps gels, oils, lotions and creams just above body temperature. It's designed to hang from four- or six-pack-capacity heating unit sheating unit and uses the absorbed energy to keep solutions warm. The Hanging Lotion Warmer is constructed of stainless steel and requires no tools to attach. Hanging Lotion Warmer holds three bottles (not included). 

If you would like to purchase this product: click here

 

40 State Attorneys General demand strict regulation of E-Cigarettes risk to kids

Attorneys General from 40 states have demanded that the Food and Drug Administration [FDA] strictly regulate e-cigarettes, providing strong evidence that they are being marketed to children through cartoon-like advertising characters and with fruit and even candy flavors to mask the harshness of the addictive drug nicotine, notes the public interest law professor who has led the campaign for such regulation.
Because the use of nicotine-delivery devices called e-cigarettes has more than doubled among high school students in just the past year, it's important that everyone be aware of the dangers of these unproven devices, says Professor John Banzhaf, who helped establish the agency's jurisdiction over the product, and prodded attorneys general, various companies, and legislators to take action against them.
Just a few months ago, a new study found some 22 potentially dangerous chemical elements in the vapor given off or inhaled. These include many metallic particles - including 3 on the FDA's "harmful and potentially harmful chemicals" list [lead, nickel, and chromium] - with the concentrations of 9 "higher than or equal to the corresponding concentrations in conventional cigarette smoke," notes Banzhaf, who has been called "the law professor who masterminded litigation against the tobacco industry."
An earlier study found that e-cigarettes also create elevated levels of acetic acid, acetone, isoprene, formaldehyde and acetaldehyde, notes Banzhaf. The FDA has also reported that e-cigarettes pose "acute health risks" which "cannot seriously be questioned" because they contain "toxic chemicals," and the devices also "present a serious risk of addicting new users, including children."
Not long ago, USA Today reported on a variety of dangers presented by e-cigarettes, including damage to the lungs of users, and potential hazards to bystanders forced to inhale the nicotine-laden vapors.
It also reported: "'There's a danger e-cigarettes could lure in kids who might not otherwise smoke,' says anti-smoking activist John Banzhaf, a professor at the George Washington University Law School in Washington, D.C. He pushed for the Food and Drug Administration to regulate them." According to this new study by the CDC, this prediction has now come true.

Banzhaf has said that e-cigarettes are just like candy cigarettes, only on steroids. Instead of pre-teens pretending to smoke their candy cigarettes, teens can now buy and use products which actually delivers a powerful jolt or fix of the highly addictive drug nicotine, while at the same time seeming to puff smoke.
"These candy cigarettes on steroids are much more dangerous than the old candy cigarettes because they deliver doses of nicotine sufficiently strong enough to begin to addict teen users after only a few days of use, and because the user actually appears to be inhaling real 'smoke," argues Banzhaf.
The FDA has warned the public that e-cigarettes contain various toxic, mutagenic, carcinogenic, and genotoxic chemicals, and that e-cigarette cartridges containing the nicotine and other toxic chemicals, many of which come from China, are subject to "none of the manufacturing controls required for FDA-approved nicotine-delivery products" [like nicotine gum, patches, inhalers, etc.]. Indeed, it is believed that some of the dangerous metals contained in the vapor given off by e-cigarettes comes from the soldering used in manufacturing the product.
In addition to nicotine and propylene glycol, the FDA reported that it found in samples of e-cigarettes a variety of "toxic and carcinogenic chemicals" including diethylene glycol, "an ingredient used in antifreeze, [which] is toxic to humans"; "certain tobacco-specific nitrosamines which are human carcinogens"; and that "tobacco-specific impurities suspected of being harmful to humans - anabasine, myosmine, and nicotyrine - were detected in a majority of the samples tested."
The regulatory agency also reported that: e-cigarette users suffer from a wide variety of potentially serious symptoms "including racing pulse, dizziness, slurred speech, mouth ulcers, heartburn, coughing, diarrhea, and sore throat"; "nicotine [one of the two major chemicals used in the product] in high doses can be dangerous and even fatal"; and that the toxic chemical diethylene glycol was found in the e-cigarettes which were tested.
Many other organizations have also warned about the dangers of e-cigarettes to both users and bystanders forced to inhale the vapors they generate. These organizations include the Mayo Clinic, Consumer Reports, and the Association for the Treatment of Tobacco Use and Dependence.
The American Cancer Society, American Lung Association, and the American Heart Association have been very critical of this new product, and asked that it be regulated if not banned. The American Legacy Foundation has urged in a policy statement that "The FDA Should Take Electronic Cigarettes Off The Market Until It Is Satisfied That They Are Safe and Effective."
While the FDA has had jurisdiction over e-cigarettes for many years, it has yet to adopt any regulatory standards or take any other action, which is the major reason why state and local legislatures should not hesitate to act on their own, argues Banzhaf.
Many countries have banned the sale of such products, or imposed severe restrictions on their sale and advertising, essentially treating them as drugs or drug delivery devices. Indeed, notes Banzhaf, the purpose of the devices is to deliver nicotine, a drug now known to be as addictive as heroin or cocaine, and which can contribute to heart attacks in both smokers and nonsmokers by restricting the flow of blood through vessels and raising both pulse and blood pressure. Indeed, more smokers are killed by heart attacks than by lung cancer, in part because of the nicotine they inhale.
Several U.S. jurisdictions, tired of waiting for action by the FDA, have themselves banned the sale of the product to children and/or their use by anyone where smoking is banned.
The EU and the W.H.O. are also moving to strictly regulate, if not ban, the product.

Implantable heart pump prolongs lives for heart patients

Left Ventricular Assist Devices (LVADs), once only considered a bridge to heart transplants for advanced heart failure patients, are now serving as a long-term therapy that is helping patients prolong their lives up to five years. Now being offered by the CardioVascular Institute at Beth Israel Deaconess Medical Center (BIDMC), LVADs are regarded as a "destination therapy."
BIDMC launched its LVAD program, becoming the first non-heart transplant hospital in Boston to provide such treatment, in response to the increase in heart failure patients as the baby-boom generation continues to age. Many LVAD patients are also candidates for heart transplants, according to surgical director Kamal R. Khabbaz, MD, but they are often on long wait lists, or poor health prevents them from undergoing heart transplantation.
Khabbaz, BIDMC chief of cardiac surgery, runs the LVAD program along with Robb D. Kociol, MD, a BIDMC cardiologist.
Kociol, associate director of BIDMC's Advanced Heart Failure Program and Medical Director of the LVAD program, says end-stage heart failure is a growing and debilitating condition that mostly afflicts the elderly when heart muscles become too weak to pump enough blood to the rest of the body. Symptoms include breathlessness, swelling, kidney failure, reduced mental functioning, and extreme fatigue.
"LVAD is an increasingly common, stand-alone therapy that improves quality of life and longevity for these patients, who are frequently in and out of hospitals," says Kociol. "But while LVADs improve symptoms, they can be challenging, since patients must depend on these devices around the clock."
LVADs consist of three components: a surgically implanted pump, an electronic controller, and batteries. The controller, which functions as a computer, and the batteries can be carried externally on a sling that fits over the shoulder or around the waist.
LVADs were first approved by the US Food & Drug Administration in 1994, but they have dramatically improved since then, according to Khabbaz. "Today, these devices are much more effective and longer lasting, and this has transformed them into a destination therapy for those with end-stage heart failure," he says.
The LVAD program features the HeartMate II heart pump, the first device of its kind to be approved by the US Food and Drug Administration for advanced heart failure. Manufactured by Thoratec Corp., it is smaller, quieter and more advanced than previous heart pumps.
"Despite our success with this program, the decision about whether to have an LVAD is a difficult one," adds Kociol. "There are inconveniences and risks associated with LVADs, but these devices are also a great gift ... they provide the gift of time and improved quality of life. I have patients who can now look forward to seeing their children get married and have babies. This is very gratifying."

Elastomull Conforming Gauze Bandage - 10063

Elastomull Conforming Gauze Bandage - 10063

 

Product Description

Soft and absorbent non-sterile bandage combines elastic and gauze creating a bandage useful for edema control. Each roll is 4.1 yards long.
 

Latex free. 

 

If you would like to purchase this item please click here.

Antidepressants linked to higher risk of type 2 diabetes

A new systematic review of published studies suggests when prescribing antidepressant medication, clinicians should be extra aware that they are linked to raised risk for type 2 diabetes, although the study does not suggest the drugs are the direct cause.
Reporting their findings in the latest issue of Diabetes Care, researchers from the University of Southampton say use of antidepressants has risen sharply over recent years, and there are concerns they may have an adverse effect on glucose metabolism.
They note 46.7 million prescriptions for antidepressants were issued in 2011 in the UK.
Antidepressant use has also soared in the US, where a 2011 study found they are now the third most widely prescribed group of drugs.
Several studies have shown that antidepressant use is linked to diabetes, but the results have been varied, depending on the methods and numbers involved and also on the types of drugs themselves.
For instance, one study that found a link between antidepressants and risk for type 2 diabetes discovered the risk almost doubled in patients using two types of drugs at the same time: tricyclic antidepressants (TCAs) and selective serotonin reuptake inhibitors (SSRIs).

Antidepressant users more likely to have type 2 diabetes

Researchers found a link between people who take antidepressants and type 2 diabetes, although it does not mean there is a direct causal effect.

For their systematic review, Southampton health psychologist Dr. Katharine Barnard and colleagues assessed 22 studies and three previous reviews that looked at the link between antidepressant use and risk for type 2 diabetes.
They found that overall, people on antidepressants were more likely to have type 2 diabetes.
Within that, however, the picture is somewhat "confused, with some antidepressants linked to worsening glucose control, particularly with higher doses and longer duration, others linked with improved control, and yet more with mixed results."
They note that although study quality was variable, the more recent, larger studies suggest a modest effect.
The researchers also propose that different types of antidepressants may be linked to different amounts of risk and call for long-term randomized, controlled trials to examine the effects of individual drugs.

Several 'plausible' explanations

While their review was not designed to investigate causes, the team says there could be several plausible explanations for the link. For instance, some antidepressants cause patients to put on weight, which in itself increases risk for type 2 diabetes.
But they also point out that some of the studies they reviewed found the raised risk for type 2 diabetes persisted when they took out the effect of weight gain, suggesting other factors could be involved.
Dr. Barnard says:

"Our research shows that when you take away all the classic risk factors of type 2 diabetes; weight gain, lifestyle etc, there is something about antidepressants that appears to be an independent risk factor."

She says that in light of rising prescriptions, "this potential increased risk is worrying," and:
"Heightened alertness to the possibility of diabetes in people taking antidepressants is necessary until further research is conducted."
Co-author Richard Holt, professor in Diabetes and Endocrinology at Southampton, adds:

"While depression is an important clinical problem and antidepressants are effective treatments for this debilitating condition, clinicians need to be aware of the potential risk of diabetes, particularly when using antidepressants in higher doses or for longer duration."

He says doctors prescribing antidepressants should be aware of this raised risk for diabetes and ensure they monitor patients for the condition, as well as take steps to reduce the risk by encouraging changes to lifestyle.
Written by Catharine Paddock PhD

Acupuncture or counseling may help depression

Patients who suffer from depression may benefit more from acupuncture or counseling alongside their usual care, compared with usual care alone. This is according to a study published in the journal PLOS Medicine.
Researchers from the University of York in the UK say that although many patients with depression are interested in receiving non-drug therapies, there is little evidence supporting the use of counseling or acupuncture to treat depression within a primary care environment.
For their study, the researchers conducted a randomized controlled trial of 755 patients with moderate to severe depression from 27 primary care practices in the north of England.
The patients were randomized to one of three treatment groups:

• 302 patients had 12 weekly sessions of acupuncture plus usual care

Researchers say patients with depression may benefit more from acupuncture or counseling alongside their usual care, compared with usual care alone.
• 302 patients had 12 weekly sessions of counseling plus usual care
• 151 patients had usual care alone.

After the 3 months of treatment, the patients were required to complete a Patient Health Questionnaire (PHQ-9), detailing what depressive thoughts or feelings they had over the study period.
Results of the study showed that when compared with usual care alone, patients who received acupuncture or counseling plus their usual care showed a significant reduction in average depression scores.
However, there was no significant difference in depression scores between the acupuncture and counseling groups.
When the patients completed the Patient Health Questionnaire at 9 months and 12 months after treatment, due to improvements in the depression scores within the usual care group alone, the researchers say that the acupuncture and counseling groups were no longer significantly better than usual care.
Dr. Hugh MacPherson, of the Department of Health Sciences at the University of York, told Medical News Today:

"We have found that there is a valuable role for acupuncture and counseling as non-pharmacological treatments for people who experience ongoing depression after consulting with their family doctor.
Acupuncture and counseling should both be offered as options for people suffering from ongoing depression, especially if they are seeking non-pharmacological treatment options."

The researchers add that although these findings are encouraging, this study does not identify exactly which aspects of acupuncture and counseling are likely to be the the most beneficial to patients with depression.
Dr. MacPherson told Medical News Today that further research is to be conducted to consider these factors, among others:
"Additional research questions that are important relate to whether acupuncture and counseling can reduce relapse rates, whether top-up sessions after an initial course of treatment can help maintain improvements, and whether acupuncture and counseling are also helpful for milder forms of depression."
Medical News Today recently reported on a study suggesting that depression affects men just as much as women.
Written by Honor Whiteman

Wheelchair Beverage Holder - 114309

Wheelchair Beverage Holder - 114309

 

Product Description

Fits beverage containers 2 1/2" to 3" in diameter. Available in two styles: for desk arm and standard arm wheelchairs. Latex free.

If you would like to purchase this item, please click here.

How to Avoid Weight Gain This Winter

When the temperature drops, what’s the one thing humans are all too quick to put on? (Hint: It’s not more layers of clothing.) Nope, we’re talkin’ about poundage. Studies show most adults gain at least one pound during the fall and winter, and these pounds are likely to pile up over the years [1]. But are there ways to avoid that dreaded weight gain?

Creatures of Comfort — Why It Matters

Photo by Caitlin Covington

With the winter months comes a barrage of holidays centered around food— and a whole lot of occasions to overeat. One study found that over the Thanksgiving holiday participants packed on an extra pound each (that’s 3,500 extra calories!) [2]. Even the pilgrims probably overate, with their harvest feast lasting three whole days (talk about a serious food coma).
Of course, winter also brings colder temperatures, and when body temperature drops, it’s natural to crave foods that provide warmth (since the body transfers energy from food into heat) [3]. The only problem is, those warm n’ tasty comfort foods are often rich in carbohydrates and high in calories. And adults who gain weight during the holiday season aren't terribly likely to lose it [4]. This means those extra pounds can accumulate over several years of Christmas parties [5]— not quite the holiday bonus we were hoping for.
On top of the temptation to stuff our bellies with mac n’ cheese, shorter days and less sunlight might also mean less exercise. One study found that participants were least physically active in the winter, and most active in the spring [6].

Winter Weight — The Answer/Debate

Even with holiday parties and an abundance of casserole, pasta, and pumpkin pie around the corner, it’s possible to beat winter weight gain (a.k.a. the blizzard bulge) with a few helpful tips:

• Hit the fruit basket. Eating a piece of fruit before heading to a holiday party can take the edge off hunger and help prevent overloading on carbs.

• Scope out the buffet table. Check out the healthiest choices available before filling up a plate. Then, aim for filling half to three-fourths of the plate with veggies, and the rest with lean protein like skinless roasted turkey or seafood.

• Keep a food journal. Tracking everything we eat can make us more aware of our food choices, especially during the holidays. Yep, even that nibble of cookie dough counts!

• Get busy in the kitchen. Cook up healthy comfort foods that are lower in calories and fat, like Greatist's whole wheat stuffing or baked apple recipes.

• Beware of the holiday beverages. Festive drinks may be fun to sip, but drink in moderation— they can be full of empty calories and loads of sugar (just one cup of eggnog has 340 calories!). Not to mention, spiking the hot cocoa with alcohol can wreak havoc on the waistline and even the skin.

• Bundle up and get outdoors. Exercise can help curb holiday weight gain, and one study suggested prolonged exercise in cold weather boosts metabolism [7]. Try some of these fun, festive options, from sledding to Reindeer Runs.

• Get moving inside. If staying indoors is the only option, there are plenty of ways to stay active. Instead of watching a movie, try popping in an exercise DVD. Hosting a holiday party? Get in a good workout and prepare for guests at the same time— deep cleaning can burn up to 270 calories per hour.

For a stiff neck, nearly $6,000 in physical therapy seemed too much

By Chris Core,

August 05, 2013

 

I’m not a health policy analyst or an expert on America’s health-care system. I’m simply an average consumer who put 2 and 2 together. When that added up to much more than 4, it got me thinking.
I woke up one morning in the middle of June with a stiff neck. It was painful to try to turn my head from side to side. When a couple of days of heat, rest and Advil didn’t make me better, I went to a doctor.
The doctor took X-rays, prescribed a muscle relaxant and suggested physical therapy. One of the therapy clinics was in his building, so I stopped by on my way out to make an appointment for later that afternoon. Before I left the therapy office, the folks at the front desk took my insurance information.
When I showed up for my appointment, the front-desk clan was positively giddy with the news that my insurance plan would cover up to 12 physical therapy visits per quarter. And because it was the middle of June, they urged me to book 11 more sessions right away to take full advantage of my coverage this quarter. My only cost would be a $10 co-pay each time.

I found it odd that the front-desk folks wanted me to book 11 more sessions before their therapist had even seen me. I said I would let them know.
I was assigned a therapist who was only a year out of physical therapy school. She put heat on my neck and began to go down a list of questions. “On a scale of 1 to 10, how much discomfort are you in?” was one of them. More questions followed. Then she asked what I hoped to accomplish with my physical therapy. Given that I couldn’t turn my neck, I thought the answer was obvious.
The therapist rubbed my neck and shoulders a bit, then gave me a printout of some exercises to do at home. I was in and out in less than 45 minutes.
The front desk was still eager for me to book another appointment, so I did, for two days later.
Appointment No. 2 lasted an hour. I got heat on my neck, a little massage and more exercises. I also was given some big rubber bands and an instruction sheet on how to exercise with them at home.
As I left the office, the front desk suggested I make more appointments, but because I was leaving town a couple of days later, I told them I’d call when I got back.

Be it the muscle relaxers or the exercises, my neck was much better at the end of my trip, so I never did call them back. They, however, continue to call me to remind me to make more appointments.
A few days later, I discovered why they want me to come back for more treatment. My insurance company sent me notification it was “seeking additional information about these charges,” which would mean a “delay in payment” for my PT treatments. My insurer had been billed $412 for my first appointment and $384 for the second. I can hardly blame the company for wanting to know the justification of such costs.
Now I understand why the front desk seemed so eager to have me use my maximum of 12 visits before the end of June: I was leaving nearly $5,000 worth of payments on the table.
I recognize that I am partly to blame for running up the tab. At no time did I ever ask how much each treatment cost. I never inquired about the breakdown in charges for the heating pad, the interview, the massage and the big rubber bands. I simply handed over my little $10 co-pay.
As I look at it now, the charges seem excessive. There is little justification in my mind for the $800 my insurance company was billed. Had I been told the costs upfront and been expected to pay for them, I would have said no. But nobody volunteered the information, and I didn’t ask.
I suspect my experience is a small example of why America’s health care costs so much. As long as consumers aren’t asked to pay and don’t even know the true costs of procedures, our health-care spending will continue to skyrocket.
Perhaps a place for health-care reform to start is with full disclosure of costs. If we customers are aware of what our insurance company is being billed for, we could do our part in holding our providers responsible for excessive costs and unnecessary treatment.


Core is a commentator for WTOP Radio.

Drive Molded General Use Wheelchair Cushion - 14880

Drive Molded General Use Wheelchair Cushion - 14880

This item ships for FREE!

 

Product Description

The Molded General Use Wheelchair Cushion by Drive Medical offers a unique construction of high resilient molded foam to provide optimum stabilization, positioning, pressure reduction and seating posture. This cushion is designed for clients who are at a low risk for skin breakdown. The stretch, polyester, knit cover is removable and washable, as well as flame retardant. The cover also has a non slip bottom for added user comfort and safety.
Product specifications:
A unique construction of High Resilient HR molded foam provides optimum stabilization, position, pressure reduction and seating posture. Designed for clients who are at low risk for skin breakdown. Stretch polyester knit cover is removable, washable and flame retardant. Cover has a "Non-Slip" bottom for comfort and safety.
Material: HR Foam
Latex: Latex Free
Product assembly: No Assembly Required 

To purchase this item: click here

 

Green All Purpose Rolling Shopping Utility Cart - rtl8554

Green All Purpose Rolling Shopping Utility Cart - rtl8554

This item ships FREE!

Product Description

The All Purpose Rolling Shopping Utility Cart by Lifestyle Essentials is extra lightweight, 100 aluminum shopping cart folds easily for storage. Ergonomically correct handles have 2 hooks to hold extra shopping bags. Bags are removable and can hold up to 50 lbs.
Product specifications: Extra lightweight, 100 aluminum shopping cart folds easily for storage. Ergonomically correct handles have 2 hooks to hold extra shopping bags. Bags are removable and can hold up to 50 lbs.
Material: Aluminum
Latex: Latex Free
Product assembly: Basic Assembly Required 

To purchase this product: click here

 

Wood Colored Folding Canes with Glow Gel Grip Handle - rtl10304wo

Wood Colored Folding Canes with Glow Gel Grip Handle - rtl10304wo

Product Description

The new Wood Folding Cane with Glow Grip Handle series by Drive Medical is one of a kind The silicone gel glow grip handle and tip allows these sections of the cane to flow in the dark. This Glow in the Dark Folding Cane is the perfect accessory for any limited mobility user who appreciates having a bit more visibility for safely crossing poorly-lit streets or dark corners. The handle height is fully adjustable and extends anywhere from 33" to 37", allowing individuals to customize the length for optimal use. The cane is made from tough, durable 78" anodized, extruded aluminum tubing.
Product specifications: Handle Height adjusts from 33"-37". Manufactured with sturdy, 78" diameter anodized, extruded aluminum tubing. Metal lock nut silencer.
Material: Aluminum
Latex: Latex Free
Product assembly: No Assembly Required 

To purchase this product: click here

 

Wall Mounted Dumbbell Rack - 5151

Wall Mounted Dumbbell Rack - 5151

 

 Oversize item

Product Description

Economical, space saving dumbbell rack attaches easily to any wall. Black powder coated metal wire rack holds 1 to 10 lb. vinyl coated dumbbells. Wall mounting hardware not included. Dimensions are 53.5" x 10" x 3.5". Weights not included. 

 

If you would like to purchase this item  click here.

Thera-Band Swim Belt - HYG156YAD

Thera-Band Swim Belt - HYG156YAD

Product Description

Thera-Band Swim Belts are designed as entry-level training aids used under supervision for younger swimmers. Available in 3 sizes for toddlers who need a small amount of buoyancy, children who need medium buoyancy and young adults who require the maximum amount. 

To purchase this product: click here

 

Pencil Grip Foam Grippers - 560116

Pencil Grip Foam Grippers - 560116

Cushion fingers with these soft spongy foam grips. Fit easily over pens, pencils, paintbrushes, and many other utensils. Length is 1 3/4"; inside diameter measures 5/16". Box of 25 in assorted colors. Latex free.  

To purchase this item: click here

Female Reproductive System Chart - 9781587790218

Female Reproductive System Chart - 9781587790218

World’s Best Anatomical Charts Collection!
Every one of our classic charts has been completely updated with current terminology and enhanced illustrations. Clear and concise terminology and supporting text are printed on each chart. Our anatomical charts are designed to function as reference material to help increase your knowledge about human anatomy, physiological principles and important pathological conditions. Medical terminology and updated supporting text are separate key card or manual.
Lithographed on high-quality heavy paper.  

To purchase this item:

click here

Daily Tasks a Challenge for Many Older Breast Cancer Patients

Physical therapy could help these women, study authors say

September 23, 2013 

MONDAY, Sept. 23 (HealthDay News) -- Many older women with newly diagnosed breast cancer have difficulty doing daily tasks, and the problem is especially common among black patients, according to a new study.

The findings suggest that many breast cancer patients could benefit from receiving therapy to improve their physical function, the researchers said.

They looked at 190 women aged 65 and older who were recently diagnosed with breast cancer, and found that 39 percent of them had functional disability, which means they needed help with daily tasks such as bathing, dressing, using the toilet, eating, shopping, preparing meals, using the telephone, housekeeping and managing medications and finances.

Black women were four times more likely to have functional disability than white women, but this racial difference disappeared when the researchers took into account black women's lower household income and levels of schooling, as well as their higher rates of chronic health conditions.
The study was published online Sept. 23 in the journal Cancer.

"These findings have implications for cancer treatment decision-making since optimum functional status is a key factor considered in treatment selection," study author Dr. Cynthia Owusu said in a journal news release. "At-risk groups for functional disability, such as older African-Americans, may be less likely to tolerate standard treatment and therefore interventions ought to be developed to improve their physical function."

"Moreover, such individuals may be more likely to experience persistent functional decline after treatment, further worsening their survival outcomes," said Owusu, an assistant professor of medicine at the Case Western Reserve University School of Medicine, in Cleveland.

Frog Finger Splint- ORT32200M

Frog Finger Splint- ORT32200M

 

 

Malleable aluminum lined with blue polyester-urethane foam. 

If you would like to purchase this product:

click here.

SilvaSorb Sheet Dressing - MSC9322EPH

SilvaSorb Sheet Dressing - MSC9322EPH

Product Description

For flat wounds with no to moderate drainage.
Helps manage bacterial burden.
Continuous antimicrobial protection.
Non-staining.
Gentle for the patient.
Advanced fluid management.
Extended wear time.
Indications: pressure ulcers, partial and full-thickness wounds, leg ulcers, diabetic foot ulcers, graft wounds and donor sites, skin tears, surgical wounds, lacerations and abrasions, and first and second-degree burns.
Contraindications: individuals with a known sensitivity to silver.
Sheets may be left in place for up to 7 days; Amorphous gel may be left in place for up to 3 days. 

 

If you would like to purchase this item please click here.

 

AchilloTrain Achilles Tendon Support by Bauerfeind - 11011013010601

AchilloTrain Achilles Tendon Support by Bauerfeind - 11011013010601

 

Product Description

Bauerfeind's AchilloTrain® is a comfortable knitted support with a silicone insert alongside the Achilles tendon and under the heel. An additional heel cushion is provided for the unaffected foot. It is designed for Achilles tendon injuries.

Features:

Knitted Achilles tendon support incorporating an anatomically contoured silicone insert that runs alongside the Achilles tendon.

Silicone insert leaves tendon pressure-free and provides intermittent compression for the reduction of swelling and edema.

Built-in contour of anatomical knit places ankle in slight plantar flexion.

Viscoelastic heel-wedge incorporated to additionally raise the heel for relief of Achilles tendonitis.

Additional heel-wedge provided for unaffected foot thus preventing leg length discrepancies.

Provides peak shock load reduction to joints and vertebral column with both heel cushions in place.

Promotes proprioception, thus heightening sensory awareness in the ankle for increased joint stabilization.

Lightweight, breathable knit will not retain heat and is completely machine washable.

Can be used for:

Achilles tendonitis

Achilles tendon strain

Bursitis of the Achilles

Post-Achilles tendon rupture

Haglunds Deformity

Seiver's Disease

Size is determined by loosely measuring the circumference of the ankle at the narrowest point.



NOTE: The authorized by WisdomKing.com return of this product is subject to 20% restocking fee and must be completed within 30 days of the date of invoice. No restocking fee for exchange products.

 If you would like to purchase this product please click here.

DeROM Wrist - 4219D

DeROM Wrist - 4219D

Product Description

Dynamic splint provides low load prolonged stretch to soft tissue to restore joint’s ROM

Flexion and extension assist in a single unit

Malleable cuffs for a customized fit

Easy to set and release tension with integrated adjustment tool and tension release lever

Hinge may be placed on radial or ulnar side for patient comfort

Unique quick straps for easy application and removal

Tension Limiting Control (TLC) knob prohibits excessive force

Range of motion stops for static progressive splinting

Universal sizing and universal right/left

Replaceable foam liners

If you would like to purchase this item click here.

Hip Abduction Pillow Cover - 7956

Hip Abduction Pillow Cover - 7956

 

 

Product Description

Thigh straps maintain hip abduction and secure pillow between legs to prevent pillow from being lost in the night. Can be used for supine or side lying. Designed to fit standard pillows. Cover is ideal for travelers. Soft hook and loop thigh straps adjust to fit most adults. Machine wash and dry. Latex free. 

 

If you would like to purchase this item please click here.

Orthoplast II Splinting Material - NC12805-1

Orthoplast II Splinting Material - NC12805-1

 

  Product Description

Orthoplast II® Splinting Material
Original low-temperature thermoplastic for general splinting needs. Specially formulated for excellent drape and rigidity. Plastic-based thermoplastic splinting material molds to contours without wrinkling. Orthoplast II® will bond to itself with additional heating and its edges are self-finishing.

Working Properties:

Combines excellent durability with non draping qualities for applications where close conformability is not needed

Ideal for working with uncooperative clients, as Orthoplast® can be worked aggressively without fingerprinting and is stretch-resistant

Can be riveted, hinged or butt-bonded to suit all splint fabrication needs

Adheres to itself when both pieces are hot; hot overlay will adhere to cold splint with Pre-Bond Cement

Heats at 160° - 170°F; working time is 4 to 5 minutes

Applications:

Large or medium sized splints where close fit is not needed

Antispacity splints; static or functional position splints
Latex free. Made in USA.

This 1/8" thick material is available in smooth or perforated sheets.
Sheets sold individually, or in cases of 2 or 4 

If you would like to purchase this item click here.

 

ErecAid Tension Ring by Osbon - OSB1610

ErecAid Tension Ring by Osbon - OSB1610

Product Description

The ErecAid Tension Rings by Osbon are unique, and are highly effective. Osbon offers 7 ring tension levels (some levels combine two rings). One of these levels will be the correct level for you, and this is the ring(s) you would re-order in the future. The tension rings last approximately 12-18 months (depending on use). They wash out in warm soapy water. Fits all ErecAid® models.

NOTE: It is not necessary to purchase extra rings with your initial purchase of the ErecAid System. Everything you require is provided in the system package.

NOTE: Non returnable hygienic item. 

 

If you would like to purchase this item Click here .

 

Rollite Rollator - INV65100JR-EA

 Rollite Rollator

With its innovative lightweight design, the Rollite® offers a flip-up seat with a built-in handle, flexible backrest, ergonomic dual paddle folding mechanism and hand brakes.
5 year limited warranty on brakes, 1 year limited warranty on components, none on tires/wheels.

Specifications:
• 5" Solid Wheels
• Depth Folded: 7"
• Depth Open: 24"
• Overall Width: 27"
• Seat Width: 17"
• Width Inside Base Legs: 22"
• Width Inside Hand Grips: 18.25"
• Seat Depth: 9.5"
• Product Weight: 13 lb
• Weight Capacity: 300 lbs

 If you would like to purchase this item click here

Deluxe Framed Page Magnifier - 564137

 Deluxe Framed Page Magnifier - 564137

Designed to magnify entire page at once with 2x magnification. 7 1/2" x 11 3/4"


To purchase this item please click here.

Thera-Band Kickroller - HYG153

Thera-Band Kickroller

The Thera-Band Kickroller is a tubular flotation device that provides buoyancy and resistance for upper body strengthening. With a 1" diameter handle on either side, it´s versatile and comfortable to use for both floatation and resistance applications. It can be used for stretching and strengthening the trunk and lower back.

If you are interested in ordering this item clcik here.

Safe-T-Vac Suction Catheter - KND31444-CS

Kendall provides hospitals and alternate care facilities the broadest, highest quality line of open suction products on the market. 14 Fr. Graduated Safe-T-Vac™ Suction Catheter, Straight Pack, Sterile. The Safe-T-Vac™ features a chimney style valve that has a large opening on the control vent that minimizes residual suction.

 To buy this product click here.

Carpal Tunnel Wrist Support by Invacare - ISG554CTSL-EA

Duo-tension elastic provides varied tension around the palm and wrist area. Features pre-shaped, removable 1" stay and hook/loop closure. 

To size, measure palm width halfway between base of fingers and the thumb. 

Features:  

• Varied Tension Around Palm and Wrist Area 
• Pre-Shaped, Removable 1" Stay 
• Hook and Loop Closure 
• Beige with Brown Vinyl 
• Latex-free 
• Made in the USA

To purchase the Carpal Tunnel Wrist Support, Click Here!

CDC targets needless deaths due to poor lifestyle habits

By Monte Morin, Los Angeles Times

At least 200,000 Americans die needlessly each year due to heart disease, stroke and high blood pressure, and more than half of these deaths occur in people younger than 65, according to a new report from the U.S. Centers for Disease Control and Prevention.
All of these premature deaths could be prevented by quitting smoking, controlling blood pressure, keeping cholesterol levels in check and taking aspirin when recommended by a physician, public health experts said.
"These findings are really striking. We're talking about hundreds of thousands of deaths that don't have to happen," said Dr. Tom Frieden, director of the CDC. "It's possible for us to make rapid and substantial progress in reducing these deaths."
In the United States, about 800,000 people die of cardiovascular disease each year, according to the study published Tuesday in the CDC's Morbidity and Mortality Weekly Report. Heart disease is the No. 1 cause of death, and stroke is No. 4; along with hypertensive disease, they account for nearly 30% of all U.S. deaths, the CDC says.
Overall, the avoidable death rate for cardiovascular disease dropped 29% between 2001 and 2010, CDC researchers found. But that improvement was not shared equally by Americans of all ages, racial and ethnic backgrounds and states of residence.
For instance, the rate of avoidable deaths dropped 25% for people ages 65 to 74, yet it remained largely unchanged for people younger than 65, epidemiologist Linda Schieb and her colleagues discovered.
Also, the avoidable death rate among African Americans was 107 per 100,000 people — nearly twice the rate of 58 per 100,000 for whites and more than triple the rate of 34 per 100,000 for Asians and Pacific Islanders. The rate for Latinos was 45 per 100,000. The study's authors cautioned, however, that avoidable death rates for nonwhites and nonblacks may be underestimated due to inaccurate reporting on death certificates.
Across all races and ethnic groups, men had the highest risk of death, roughly double that of women.
The counties with the highest avoidable death rates were concentrated in the nation's Southern states, in a region that has long been described by health officials as the nation's "stroke belt." In 2010, states with the highest avoidable death rates included Mississippi, Oklahoma, Tennessee and Louisiana. The study's authors cited high-sodium diets, lack of sidewalks and bike lanes and poor accessibility to quality healthcare as contributing factors.
"It's unfortunate, but your longevity may be more likely to be influenced by your ZIP Code than by your genetic code," Frieden said.
The study's authors speculated that some of the disparities were the result of uneven access to health insurance. The fact that Medicare eligibility begins at the age of 65 may help explain why people in the 65-74 age group were able to reduce premature deaths caused by heart disease and stroke while younger Americans did not. (The study excluded people older than 75 in its analysis of preventable deaths because average life expectancy in the U.S. is 78.7 years.)
Smoking, lack of exercise, poor diet and excessive use of alcohol increased the risk of cardiovascular disease in all individuals, regardless of race, age and location, study authors noted.
"Many heart disease and stroke deaths could be avoided through improvements in lifestyle behaviors," they wrote.

Fluid-Resistant Surgical Mask - NON27410EL

• Fluid-Resistant Surgical Masks with Eyeshield offer full protection against fluids at either the ASTM F1862 160 mmHg or 120 mmHg Fluid Resistance Levels while attached eyeshield offers protection over eyes or glasses.
• Additional layer on the NON27710 series provides higher fluid protection while cellulose inner facing found on both fluid resistant level options creates a soft, cool and non-irritating environment for comfort.
• An anti-fog strip of comfortable, soft foam prevents eyeglasses from fogging, thus ensuring optical clarity while ties create secure attachment.
• BFE > 99%, PFE > 99%, ASTM F1862 160 mmHg / 120 mmHg Fluid Resistance.

To purchase the Fluid-Resistant Surgical Mask, Click Here!

Deluxe Brain Model - C17

This brain is a great educational tool for teaching and learning about the human nervous system and anatomy of the brain. The detailed brain is delivered on a removable base for easy display in the classroom.

A very detailed model of the human brain which is medially divided. Both halves of this brain can be disassembled into:

• Frontal with parietal lobes
• Temporal with occipital lobes
• Half of brain stem
• Half of cerebellum

 To buy the Deluxe Brain Model, Click Here!

RedDot Aluminum Crutches - G91-214-8H

• Red
• Dot Crutches feature clip-lock adjusted handles and push-button adjusted height that allows for quick and easy adjustments.
• Lightweight aluminum.
• 300-lb. weight capacity.
• Adult Tall fits patient height 5'10"-6'6" (178-198 cm); adjustable range 52"-60" (132-152 cm).
• Adult fits patient height 5'1"-5'9" (155-175 cm); adjustable range 44"-52" (112-132 cm).
• Youth fits patient height 4'6"-5'2" (137-157 cm); adjustable range 37"-45" (94-114 cm).

If you would like to purchase this item or browse many more  click here

Biofreeze Pain-Relieving Gel - 11-1031-1

 Q: Why did Performance Health make Biofreeze more natural?

 A: We set out to make a product that delivered Biofreeze strength and efficacy with a more natural ingredient list. 

All customers want effective pain relief and some also value a more natural ingredient profile. 

We are happy to report that we succeeded with both!

BIOFREEZE CRYOTHERAPY PAIN RELIEF

BIOFREEZE® contains ILEX, an herbal extract from a South American holly 
shrub. ILEX is used around the world in various health & wellness 
formulations. BIOFREEZE® does not use waxes, oils, aloe or petroleum. 
The result is a fast-acting, deep penetrating, long lasting pain 
reliever.

BIOFREEZE® can effectively help relieve pain from:

• Sore Muscles & Muscle Sprains
• Muscular Strains
• Back, Shoulder, Neck Pain
• Arthritis
• Painful Ankle, Knee, Hip & Elbow Joints
  
  Use BIOFREEZE® to relieve pain prior to:
  
• Ultrasound Treatments
• Massage Therapy
• Soft Tissue Trigger Point Therapy
• Rehabilitation Exercises
• Pre and Post Workout Stretch

To purchase Biofreeze Pain-Relieving Gel click here.