Monday, October 5, 2009

Paying For Gastric Bypass Surgery

For those that qualify for the procedure known as gastric bypass surgery, a top priority is how to pay for such an operation. In some instances, medical insurance won't pay for even half or the entire amount, in terms of cost, for this type of operation. The following information will provide a detailed analysis of insurance and gastric bypass surgery.

The Issue of Health Insurance and Gastric Bypass Surgery

Gastric Bypass surgery typically costs on average between $25 000 to $20 000, a figure according to the National Institute of Diabetes, Digestive and Kidney Diseases (NIDDK). Paying for such an expensive procedure can be a concern, understandably. And whether or not this operation as well as the related costs are covered by health insurance depends largely on your insurance company, your specific policy and the state where you reside.

Discuss your specific policy with whomever you are insured with so as to see if you are properly covered or not. In some instances a given insurance policy will not cover Gastric Bypass Surgery and the ensuing required care. By this they mean they will not pay for costs related to the preparation, actual surgery and recovery period following surgery.

The Process of Pre-authorization

For those that are insured by an HMO, you will be required to get your general practitioner or family physician to refer you to a bariatric surgeon. They specialize in weight loss surgery. Upon seeing a bariatric surgeon, and qualifying as a good candidate for such a surgery, the next step is the pre-authorization process.

The actual steps it takes to get approval for such a procedure can be rather precarious compared to that of other more popular medical procedures. In most cases your insurance company will insist on having your family general practitioner and bariatric surgeon send what is called a "letter of medical necessity." This is the first initial step in the pre-authorization process. In this letter both your general practitioner and surgeon should stipulate how your overall health and physical constitution will be much better by having this procedure.

At this point, your request for authorization will either be approved, denied, or you will be required to send to your insurance company more information. Typically what then ensues is that your doctor and surgeon will either have to send in additional information, by calling, faxing or mailing this specific and required data.

You do have the opportunity to appeal an insurance company's decision if they choose to deny you coverage. Most if not all insurance policies are by law required to let you know of your right of appeal. Typically you have 30 to 60 days.

A Caveat

Those pre-approved and covered by insurance must be aware of any co-pays or co-insurance costs they will personally have to pay.

Medicare Coverage

Medicare will cover some of the costs of gastric bypass surgery, but only if you are overweight and suffer from type 2 diabetes and or heart disease.

Self-Pay Patients

If you have no coverage, you will be forced to pay for the surgery yourself. Some hospitals do offer payment plans, so you will not have to pay all at once. There is also the option of obtaining a personal loan from a reputable financial lender.

The Overall Cost

If you choose to pay for gastric bypass surgery with the help of a private lender take into consideration the numerous expenses involved, such as the surgeon bill, cost of anesthesia, and nutritional consultations. Your physician should be able to explain what is involved and the cost.

Blood sugar tests

Blood sugar tests include several different tests that measure the amount of sugar (glucose) in a person's blood. These tests are performed either on an empty stomach, or after consuming a meal or premeasured glucose drink. Blood sugar tests are done primarily to diagnose and evaluate a person with diabetes mellitus. The body uses sugar, also called glucose, to supply the energy it needs to function. People get sugar from their diet and from their body tissues. Insulin is made by the pancreas and affects the outer membrane of cells, making it easy for glucose to move from the blood into the cells. When insulin is active, blood glucose levels fall. Sugar from body tissues is stored in the form of glycogen. When glycogen is active, blood glucose levels rise. After a meal, blood glucose levels rise sharply. The pancreas responds by releasing enough insulin to take care of all the newly added sugar found in the body. The insulin moves the sugar out of the blood and into the cells. Only then does the blood sugar start to level off and begin to fall. A person with diabetes mellitus either does not make enough insulin, or makes insulin that does not work properly. The result is blood sugar that remains high, a condition called hyperglycemia. Diabetes must be diagnosed as early as possible. If left untreated, it can damage or cause failure of the eyes, kidneys, nerves, heart, blood vessels, and other body organs. Hypoglycemia, or low blood sugar, also may be discovered through blood sugar testing. Hypoglycemia is caused by various hormone disorders and liver disease, as well as by too much insulin. There are a variety of ways to measure a person's blood sugar.Whole blood glucose testing can be performed by a person in his or her home, and kits are available for this purpose. The person pricks his or her finger (a finger stick) with a sterile sharp blade from the kit. A single drop of blood is placed on a strip in a portable instrument called a glucometer. The glucometer quickly determines the blood sugar and shows the results on a small screen in usually a few seconds. New technologies for monitoring glucose levels will help diabetics better control their glucose levels. These tests are particularly important for children and adolescents. In mid-2002, the U.S. Food and Drug Administration (FDA) approved a new home test for use by children and adolescents (it had already been approved for adults) called the Cygnus GlucoWatch biographer that helped better detect hypoglycemia. Studies show that more frequent checks are better; new monitors such as this allow for simpler frequent testing. Continuous monitoring was in development in early 2004, as a company called TheraSense, Inc. received preapproval from the FDA for clinical trials on its home continuous glucose monitor. The monitor was designed to provide users with real-time glucose data, alarms for hypoglycemia and hyperglycemia and to show trends in their blood sugar levels. The fasting plasma glucose test is done on an empty stomach. For the eight hours before the test, the person must fast (nothing to eat or drink, except water). The person's blood is drawn from a vein by a health care worker. The blood sample is collected into a tube containing an anticoagulant. Anticoagulants stop the blood from clotting. In the laboratory, the tube of blood spins at high speed within a machine called a centrifuge. The blood cells sink to the bottom and the liquid stays on the top. This straw-colored liquid on the top is the plasma. To measure the glucose, a person's plasma is combined with other substances. From the resulting reaction, the amount of glucose in the plasma is determined.

Sunday, October 4, 2009

Arrhythmia treatment

Many arrhythmias do not require any treatment. For serious arrhythmias, treating the underlying heart disease sometimes controls the arrhythmia. In some cases, the arrhythmia itself is treated with drugs, electrical shock (cardioversion), automatic implantable defibrillators, artificial pacemakers, catheter ablation, or surgery. Supraventricular arrhythmias often can be treated with drug therapy. Ventricular arrhythmias are more complex to treat. Drug therapy can manage many arrhythmias, but finding the right drug and dose requires care and can take some time. Common drugs for suppressing arrhythmias include beta-blockers, calcium channel blockers, quinidine, digitalis preparations, and pro-cainamide. Because of their potential serious side effects, stronger, desensitizing drugs are used only to treat life-threatening arrhythmias. All of the drugs used to treat arrhythmias have possible side effects, ranging from mild complications with beta-blockers and calcium channel blockers to more serious effects of desensitizing drugs that can, paradoxically, cause arrhythmias or make them worse. Response to drugs is usually measured by ECG, Holter monitor, or electrophysiologic study. In emergency situations, cardioversion or defibrillation (the application of an electrical shock to the chest wall) is used. Cardioversion restores the heart to its normal rhythm. It is followed by drug therapy to prevent recurrence of the arrhythmia. Artificial pacemakers that send electrical signals to make the heart beat properly can be implanted under the skin during a simple operation. Leads from the pacemaker are anchored to the right side of the heart. Pacemakers are used to correct bradycardia and are sometimes used after surgical or catheter ablation. Automatic implantable defibrillators correct life-threatening ventricular arrhythmias by recognizing them and then restoring a normal heart rhythm by pacing the heart or giving it an electric shock. They are implanted within the chest wall without major surgery and store information for future evaluation by physicians. Automatic implantable defibrillators have proven to be more effective in saving lives than drugs alone. They often are used in conjunction with drug therapy. Ablation, a procedure to alter or remove the heart tissue causing the arrhythmia in order to prevent a recurrence, can be performed through a catheter or surgery. Supraventricular tachycardia can be treated successfully with ablation. Catheter ablation is performed in a catheterization laboratory with the patient under sedation. A catheter equipped with a device that maps the heart's electrical pathways is inserted into a vein and is threaded into the heart.High-frequency radio waves are then used to remove the pathway(s) causing the arrhythmia. Surgical ablation is similar in principle but it is performed in a hospital, using a cold probe instead of radio waves to destroy tissue. Ablation treatments are used when medications fail. Maze surgery treats atrial fibrillation by making multiple incisions through the atrium to allow electrical impulses to move effectively. This is often recommended for patients who have not responded to drugs or cardioversion. Since some arrhythmias can be life threatening, a conventional medical doctor should always be consulted first. Acupuncture can correct an insignificant number (1.5%) of atrial fibrillation cases. For new, minor arrhythmias, acupuncture may be effective in up to 70% of cases, but this figure may not differ much from placebo therapy. Both western and Chi-nese herbal remedies are also used in the treatment of arrhythmias. Since hawthorn (Crataegus laevigata) dilates the blood vessels and stimulates the heart muscle, it may help to stabilize arrhythmias. It is gentle and appropriate for home use, unlike foxglove (Digitalis purpurea), an herb whose action on the heart is too potent for use without supervision by a qualified practitioner. Homeopathic practitioners may prescribe remedies such as Lachesis and aconite or monkshood (Aconitum napellus) to treat mild arrhythmias.

Drinking Water Containers & The Dangers They Are Hiding

Ok, picture this for a moment. You acquire a good water filtration unit because you have heard about the terrible contaminants in drinking water. You then proceed to store your clean drinking water into a plastic drinking water container.

Well, you have potentially began the process of undoing the good work that your water filter has done. Glass is the most ideal container to store clean, drinking water unlike plastic bottles which can adversely affect your water.

What Is Wrong With Plastic.

Plastic is cheap and convenient but that is about it. In the production of plastic, BPA or Bisphenol A and other harmful contaminants is used. Over time, as you water is stored in a plastic bottle, BPA is leached into your water especially when exposed to higher temperatures.

Many experts have expressed serious concerns about this. Breast cancer, fertility, thyroid and neurological problems have all been linked to BPA getting into your body.

Not all experts agree on the adverse health effects of BPA though. They contend that only minute amounts of it is released in the water and hence, it is safe to use. But is this a chance you really want to take especially when there are better alternatives.

A study claimed that there are potentially 2100 cancer causing that can contaminate our tap water. And even though those contaminants are in trace amounts, many studies have linked them to serious diseases, as we drink tap water over time. Therefore, the fact that BPA is in trace amounts is particularly comforting.

If you must use plastic drinking water containers, use the ones that are BPA free. You can know BPA free plastic bottles by looking at the bottom of the container and seeing if the the the digit "7" placed in the middle of a triangle. If you don't see "7" but some other digit placed in the middle of the triangle, then it is not BPA free.

Why Glass

Glass is a lot more chemically stable that plastic and won't leach chemicals into your tap water when exposed to heat.

There is also something more aesthetically pleasing about storing water in a glass drinking water container than in a plastic bottle. Seeing a glass of pure drinking water, will encourage you and your children to drink more water, hopefully at the expense of unhealthy sugar-laden sodas.

Glass is also more friendly to our environment. When you think of the millions of plastic bottles that are disposed of daily and the negative impact it has on our environment, you realize that we each have a part to play in making our planet pollution-free.

Using glass to store drinking water is one way you could play a part in making the planet cleaner.

Another great option for storing water is to buy food grade stainless steal bottles, similar to the ones used by campers and hikers. These also won't leach any contaminants in your drinking water and are very durable.

Conclusion.

Getting a water filtration system is a great start to your quest for optimum health and safety. But please also place importance on what you are using for a drinking water container.

Not only could this impact on the quality of your drinking water but on your environment as well.

Maintaining Gastrointestinal Health Among Children With Autism

With all the research and studies being done on the subject of autism, it is no longer surprising to hear or learn about any new connections between autism and other parts of one's body. The connection isn't always (or is never) clear cut, which means it cannot be determine if the said connection can be the cause or simply the effect of autism. However, many experts and medical professionals have learned to take advantage of these connections to treat the symptoms of autistic children. This is the same rationale among people who use antioxidants to treat individuals with autism. And this is also the same idea that gives life to the theory that gastrointestinal health is connection to autism.

So how does this theory work?

Any parent of an autistic child would know that, more often than not, diarrhea is a prevailing problem for their child. Although it is not a general condition, a significant number of children with autism suffer from constant diarrhea or loose bowel. Besides this, many children with autism also complain of stomach ache and constipation often. Needless to say, children with autism do not have the healthiest digestive systems around. They often suffer from the "leaky gut" syndrome, a problem caused by damaged bowel linings and parasite infections in the gut, among others. Leaky gut syndrome can cause a number of complications, such as the mal-absorption of nutrients from other parents of the body.

The reason for this among autistic individuals? Their imbalance gut flora. The digestive tract is home to numerous bacteria-good and bad. The good bacteria, naturally, should overpower the bad bacteria by 85 percent, otherwise there will be an imbalance. Obviously, such imbalance exists among children with autism. In fact, it was learned that their gut flora is infested by a bacteria called clostridia, a specie connected to gangrene, colitis, botulism, tetanus, and food poisoning. Naturally, because of the imbalance, the autistic child's gastrointestinal health suffers.

Of course, it is possible to maintain good gut flora despite the overwhelming presence of the clostridia. One of the more popular techniques used here is the intake of probiotics. Probiotics have been around for centuries. They are components of food substances that can promote good health. But more than general good health, probiotics can improve the microbial balance in one's digestive tract.

But more than that, a much cited research journal in the Reading University in the United Kingdom published a study in 2006 that demonstrates how probiotics can not only help gastrointestinal health but also the overall well being an autistic child. The study used 40 children, half of which were given probiotics and the others fake probiotics. None of the involved parties knew which they had. The parties were asked to give the substance to their children for a few weeks, after which the other 20 will receive the fake probiotics while the rest gets the real one. While supposedly a blind research, the results were so obvious that the involved parties who received the real probiotics refused to switch. The research was a failure, but what it presented was promising. Why? Because those who took the real probiotics noted improved abilities and skills among their children.

The study shows that gastrointestinal health and the overall being can be connected. Still, although it is not entirely proven, probiotics remain to be helpful.

The Link Between Autism And Mercury

What does mercury got to do with anything-specifically autism?

A lot, if you base it on numerous researches and surveys conducted over the years. It may seem far-fetched how mercury, a metal substance, can cause the brain development disorder many have thought to be due to genetics, but the link, they say, is there. According to the researches conducted in the past five years, such as the ones done in the Journal of American Physicians and Doctors, mercury poisoning can damage the brain of a child, thus causing autism.

But if this is true, how does one get exposed to mercury?

Although there are many possible reasons why a child can be exposed to mercury, one of the prime reasons why this has become a treatment is due to the fact that mercury can be found in vaccines-as in the vaccines infants and children had to take. These vaccines contain a preservative called thimerosal, an organomercury substance. Thimerosal is around 50 percent mercury in terms of weight, and this is the exact substance that infants and children had to take with their vaccines for common ailments such as mumps, measles, and rubella (or the MMR vaccine). Now, it wouldn't be a problem if the body can naturally expel the mercury from its system. Unfortunately, it can't. Not everyone can expel mercury from their bodies. The cumulative amount of mercury in the body often causes the damage. According to researches claiming mercury can cause autism, the metal substance stays in the body, damaging the brain and hindering it from developing. This is how mercury can cause autism, at least according to such claims.

Of course, concerned groups and offices try to disprove the claim. America's Centers for Disease Control and Prevention office claims that there is no link between mercury poisoning and autism, saying that vaccines have always been safe for children. However, this is not entirely true. During the 1970s and the early 1980s, many individuals have successful filed cases against medical practitioners for their use of vaccines on people who have suffered from various disorders and conditions. When not used properly, vaccines can be very dangerous and harmful. Also, there have been reports that say countries that do not extensively use vaccines are better off when it comes to the number of children suffering from autism.

And speaking of extensive use of vaccines, it should be noted that several years ago, the Centers for Disease Control and Prevention only recommend the use of three vaccines. Today, this recommendation number has reached more than 20. Naturally, if mercury does cause autism, then it is only natural why the number of autism cases has gone up in the recent years. More than 20, after all, is way too much. Perhaps this is one of the environmental and external factors that the medical sectors say that could trigger autism in the body?

It is possible to treat autism symptoms when you consider that autism is caused by mercury poisoning. One popular treatment used here is called chelation, wherein the metal substances are removed from the body. It is also possible to use natural supplements in order to help facilitate the expulsion of the chemical from the body. Antioxidants, for one, are known to help eliminate harmful toxins, chemicals, and free radicals in the body. Many parents swear that these treatments do work.

Friday, October 2, 2009

Myths about Angular Stomatitis

Angular Stomatitis is a lesion in the mouth area that causes it to be unattractive to look at. Obviously, when you say lesions, they would really look like wounds. Since these “wounds” can be found right on the lips, they cannot be hidden. You cannot deny having them.

There are myths surrounding Angular Stomatitis that might just be untrue.

1. There are stories saying that Angular Stomatitis is contagious. This belief only contributes to the discomfort that the ones suffering from the disease already feel. Those who believe this myth would surely avoid people with Angular Stomatitis. When the ones suffering from the disease itself would voluntarily distance themselves from other people, how much more socialization could they expect to get when other people would also stay away from them as far as they can?

2. Another myth is that the disease is believed to have come from the same family of disease same as those of cold sores and herpes. When myths like these would continue to circulate among society, anyone who has Angular Stomatitis should prepare to handle curious glances or stares and less-friendly social gestures from people who would see their chapped lips, cracked mouth corners, and dry mouths.

These are of course just myths though it may seem as though this disease really is contagious because people who have it are being shunned. For instance, how often do you find people brave enough to kiss someone who has lesions on the lips or cracked corners on the mouth?

Who are prone to Angular Stomatitis?

  • The disease usually targets the elderly people even if almost everyone else gets affected by it. There are also certain groups of people who are more prone to catching the disease such as those who have allergies.
  • People who are affected with skin conditions, such as atopic dermatitis, seborrhoiec, and those who use isotretinoin as acne treatment are also prone to Angular Stomatitis.
  • Generally, people with weak immune system, unhealthy diet, and malnutrition are easy targets of the disease. Vitamin-deficient people would not be strong enough to ward off the disease.


    Examples of vitamins that the body would need to be strong enough against the disease are Vitamin B-2 or Riboflavin, B-3 or Niacin, B-6 or Pyridoxine, B-12 or Cynocobalamin, and iron. Having known the vulnerable points of your body, you should cover them up with a protective shield by strengthening them so the bacteria that trigger the disease will not be able to find its way into your body. You would not want to experience the same social dilemma that most people inflicted with it have.