Attention Deficit and Attention Deficit Hyperactivity Disorder
Attention Deficit/Hyperactivity Disorder (ADD/ADHD) is the most commonly reported childhood behavioral disorder, affecting between 3 and 7% of American children. It is characterized by poor attention span, impulsive behaviors, and hyperactivity in some children. The diagnostic criteria are strictly observational, and there are no objective laboratory tests to confirm that diagnosis. Subjective evaluations of annoying, distracting, or inattentive behavior makes the “diagnosis” of ADD/ADHD speculative at best. 
The most common medical “treatment” for this controversial “disease” is prescriptions of Methylphenidate (Ritalin), a Class II controlled and addictive substance. The long–term effects of this drug on children is unknown, but the side–effects, including addiction, are becoming better understood. (more…)
Postponement of Medicare Pay Cut Is Stripped From The Jobs Bill
Physicians continue to hope for a reprieve from the proposed 21.2% Medicare pay cut scheduled to begin on March 1, as another legislative solution to the reimbursement crisis fizzled this week in a hyperpolarized Congress.
A jobs-creation bill, crafted by Senate Democrats and Republicans earlier this week, originally would have delayed the massive cut to October 1, but this provision and many others were stripped out within days as Senate Majority Leader Harry Reid (D-NV) shrank the bill’s cost from $85 billion to an estimated $15 billion.
Now Congress has only 2 weeks to pass legislation that would avert the 21.2% reduction in Medicare reimbursement. Organized medicine warns that if the cuts go through, physicians will turn away new Medicare patients or even drop out of the system instead of going broke on paltry fees. The average physician depends on Medicare for 31% of his or her revenue, according to the Center for Studying Health System Change (HSC).As in the past, this does not mean that every service will be reduced. In fact, the E&M codes (99201-05 and 99211-15) which medical physicians use to code virtually every visit, has continued to climb in reimbursement by 3-5% yearly, while Chiropractic Spinal Manipulation (SMT) has continued to decline, year after year. (more…)
Chiropractic Care Is MORE Than an Oil Change!
SOURCE: A Chiro.Org Editorial
The Jan 25 issue of Newsweek contains an especially insulting article, titled “It’s Not My Fault“, in which the author laments: “And every time massage, acupuncture, or chiropractic care is added to the list of covered treatments, premiums go up. Nobody expects to have car insurance that covers an oil change.”
Well, thanks Mr. Rosenkranz for the wake-up call, what were my patients thinking, expecting insurance to pay for their chiropractic care??? (more…)
LONDON (Reuters) – Intelligence is second only to smoking as a predictor of heart disease, scientists said on Wednesday, suggesting public health campaigns may need to be designed for people with lower IQs if they are to work.
Research by Britain’s Medical Research Council (MRC) found that lower intelligence quotient scores were associated with higher rates of heart disease and death, and were more important indicators than any other risk factors except smoking.
Heart disease is the leading killer of men and women Europe, the United States and most industrialized countries.
According to the World Health Organization, cardiovascular diseases and diabetes accounted for 32 percent of all deaths around the world in 2005.
It is well known that people with poorer education and lower incomes often face higher risks of ill health and a range of diseases. Studies have pointed to many likely reasons, including limited access to healthcare and other resources, poorer living conditions, chronic stress and higher rates of lifestyle risk factors like smoking. (more…)
Medical Physicians Ignore Low Back Pain Guidelines
A February 2010 study of 3,533 general practice low back pain patients found that many providers are not following their own evidence based guidelines.  Guidelines do provide the overall best evidence but are not meant to be a cookbook approach to care. There is also a need for flexibility so the physician can deviate from guidelines when the specific needs and desires of the patient dictate. In addition, the clinical judgment of the physician may override the guidelines when in a particular patient’s case they are inappropriate.
There is, however, reason for concern when risky and or expensive unneeded procedures are used. The medical guideline for acute low back pain call for advice and analgesics, but 80% of the 3,533 patients in this study were not given advise and 82% were not given analgesics. More harmful medications that are not recommended in the guidelines were prescribed, with 37% getting anti-inflammatory drugs and ~20% opiods. (more…)