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Welcome to a new House call of healthcare with Extended Care House Calls. Our dedicated team is committed to providing exceptional medical services and house call physicians in Kentucky USA in the convenience of your own home. Embrace a patient-centered approach that eliminates the stress of traditional appointments. Whether it's diagnostics, treatments, or preventive care, we bring expertise and compassion to your doorstep. Experience healthcare that revolves around you – flexible, personalized, and attentive. Choose Extended Care House Calls for a seamless, comfortable, and comprehensive medical journey, tailored to your lifestyle. Your well-being, our priority.
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We are a group of Board certified Internal Medicine Specialists who have been in practice for over 20 years. Our practice has been doing Face to face visits at homes for those who are defined as “Home Bound”, Video visits, Phone calls, and is on call for our patients 24/7. The stability of our Private Practice, our personal long term relationships with our patients and families, and the many resources we have for them have maintained a steady flow of great outcomes, and results. We have a pharmacy that can deliver for free, many specialists/Home health/DME/Private caregivers we are networked with, Hospitalists we can call for assistance at any time, and a great relationship with the three major healthcare organizations in town. We even have specialists who can visit you at home. Our practice is not designed to be a concierge type of practice, but one that accepts all insurances. We can make exceptions, but most of our patients prefer the Insurance route. We quickly respond to your needs, and look forward to serving you and your family soon.
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Nair Internal Medicine Doctors in Louisville, USA offer comprehensive healthcare services for adults, specializing in Nurse Practitioners Louisville USA the prevention, diagnosis, and treatment of a wide range of medical conditions. With expertise in managing chronic illnesses and providing personalized care, these highly skilled physicians strive to promote overall wellness and improve the quality of life for their patients. Medicare Nursing homes Facility Louisville ky Located in Louisville, they are committed to delivering exceptional medical care with compassion, professionalism, and a patient-centered approach.
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Conceiving a baby in a body pumped with testosterone for more than two year, I’m sure that is 100% healthy!
Conceiving a baby in a body pumped with testosterone for more than two year, I’m sure that is 100% healthy! This article even argues that there is a lack of “research around transgender health care”. Shouldn’t we follow the science with this? I’m always amazed that transgender individuals still want to partake in a major function of the sex that they rejected.
One of the saddest parts of this article is the desire that Trans men still want to have families. It’s common for biological females to have a desire to procreate. The fact that there is a lack of “research” and the massive amount of body altering that takes place with some transgenders that could prohibit this capability is heartbreaking.
The article goes on to diminish and deny science. Instead of going to doctors for fear that they might be misgendered; Trans and nonbinary people turn to the internet including Facebook, Reddit & Instagram for medical advice. I wonder if any of that information get’s flagged as misinformation? During Covid I was told that this was a big no, no that they I should only listen to licensed physicians that agreed with Dr. Fauci.
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When Jay Thomas, 33, decided he wanted to get pregnant in 2016, he spoke to his physician.
Thomas, a cook who lives in Louisville, Kentucky, explained to his doctor that he and his wife, Jamie Brewster, 33, a bank employee, are both transgender, and that he had been on testosterone for more than two years. The physician said Thomas had likely gone through early menopause, and that if they were able to conceive at all, he would have to go off the hormone for at least 18 months.
One of the most persistent myths transgender men and nonbinary people hear from doctors is that testosterone has sterilized them, experts say. While testosterone generally blocks ovulation, trans men can get pregnant while taking it, particularly if they are not taking it regularly.
It’s just one example of the misinformation and discouragement transgender men say they face from the medical establishment when they decide to get pregnant
It’s just one example of the misinformation and discouragement transgender men say they face from the medical establishment when they decide to get pregnant
Williams Institute found that 1.4 million adults in the U.S identify as transgender, which was double the estimate based on data from a decade earlier.
according to statistics from the country’s universal health care system. And a Dutch study published in the journal Human Reproduction in 2011 found that a majority of trans men reported wanting families.
Transgender and nonbinary people describe gaps in medical professionals’ understanding ranging from an ultrasound technician calling them by the wrong name to doctors who tell them hormone therapy probably ruined their fertility. The consequences can be dire. A recently published case study described a transgender man who went to an emergency room with severe abdominal pain — but doctors were slow to realize that he was pregnant and in danger. The man delivered a stillborn baby several hours later.
According to a small 2014 study published by the American College of Obstetricians and Gynecologists, 22 percent of trans and nonbinary people said they chose to give birth at home with the assistance of a midwife or doula. Overall, just 1.36 percent of births in the U.S. were outside of hospitals in 2012, according to the Centers for Disease Control and Prevention.
A private Facebook group for trans men, which contains more than 200 members, serves as a network for those looking for advice on how to plan families.
Many trans and nonbinary people also look online for information about getting pregnant and giving birth. Clift said he and his wife use Reddit and Instagram to find and share information with other trans and nonbinary people who are going through transition or pregnancy. On Instagram, Clift said there aren’t many trans men who are pregnant, but he can find them through hashtags and ask them questions in the comments.
For example, some trans men think they need to undergo hysterectomies because they have read that testosterone will cause uterine cancer, but there is no rigorous research supporting that, said Obedin-Maliver, who co-authored the Pride Study, the first nationwide report on the physical, mental and social health of LGBTQ people.
Yu’s center in Carrboro, North Carolina, made several changes starting in 2014, including developing gender-inclusive patient intake forms and documenting patients’ gender identity and sex assigned at birth in both physical and electronic records. Staff were trained on how to ask and consistently use a patient’s preferred name and gender from “the front door until they exit,” she added.
“I have more experience now simply being comfortable with talking to and taking care of non-cisgender people, getting comfortable with the idea that a man can have a vagina or a woman can have a penis, that “There’s very little knowledge, and there’s often an opening for misinformation." the identity was in the brain, and not our biological parts.”
Keuroghlian, of the National LGBT Health Education Center, suggested that hospitals change the name of their maternity wards to “labor and delivery,” so everyone feels welcome.
Thomas said pregnancy reignited his dysphoria, the sense of disconnect transgender people experience between their bodies and their gender identity. The surgeon who had done his mastectomy neglected to remove all of the glands in his chest, he said, which caused some of the tissue to return as the pregnancy progressed.
“All we have is anecdotal evidence,” Reese said, “and anecdotally, it does seem as though transgender and nonbinary people are more susceptible to things like postpartum anxiety and postpartum depression.”
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Upon joining a Division I team, every participant must have insurance and undergo a medical examination before playing. But when it comes to protecting players, who generate billions of dollars every year, from having to pay unanticipated medical bills or ensuring they receive superior, impartial healthcare, there are no official NCAA provisions in place.
Thus, when a player is injured, nothing prevents the athletic director from refusing to pay related medical bills—which sometimes keep coming for years. Even for those with private insurance, some policies don't cover varsity sports injuries, have high deductibles, or refuse to pay the entire amount due. In such situations, the remaining costs fall to the athlete (many schools, though, do pay those bills).
The NCAA has a catastrophic injury fund that kicks in when personal deductibles exceed $90,000. Doughty's surgery would cost around $20,000. According to Ramogi Huma, president of the National College Players Association, schools are more likely to help cover costs if the player is high-profile and the injury is severe or public, such as the one Louisville's Kevin Ware suffered when he broke his leg during a 2013 March Madness game. Or when running back Marcus Lattimore twisted his knee almost 180 degrees during a televised game last year.
There is also no provision in the Division I Manual to prohibit a coach from revoking a scholarship the year after a recruit gets hurt. For those from poor families and without coverage through a parent, this means that a young man or young woman can be enlisted on the promise of an education, get injured on the field, and lose his or her only source of medical insurance precisely when he or she needs it most. "There is no doubt there are horror stories out there about schools terminating scholarships," says Warren Zola, assistant dean for graduate programs in the Carroll School of Management at Boston College and a sports business expert. "It comes down to the ethos of particular schools."
Many from low-income families are completely dependent on the school's healthcare system, which in some cases means being cared for solely by team doctors and trainers—many of whom may feel pressure to keep a team's healthcare costs low or to get an injured player back on the field. Several lawyers experienced in college sports point out that the relationship between athletes and team doctors is unique because the university, not the patient, does the hiring. Doughty wasn't encouraged to seek out care by an impartial physician, and it didn't cross his mind to. "I put everything in their hands and trusted them," Doughty says. "They said I would be taken care of."
— 'I Trusted 'Em': When NCAA Schools Abandon Their Injured Athletes
#meghan walsh#'i trusted 'em': when ncaa schools abandon their injured athletes#sports#ncaa#amateurism#football#education#employment#healthcare#insurance#poverty#exploitation#usa#stanley doughty#ramogi huma#kevin ware#marcus lattimore#warren k. zola
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Muhammad Ali was a boxer in the 90s was born Cassius Marcellus Clay Jr January 17, 1942 – June 3, 2016) was an American professional boxer and activist. Nicknamed "The Greatest", he is regarded as one of the most significant sports figures of the 20th century and is frequently ranked as the greatest heavyweight boxer of all time.[6][7][8] In 1999, he was named Sportsman of the Century by Sports Illustrated and the Sports Personality of the Century by the BBC.
Born and raised in Louisville, Kentucky, he began training as an amateur boxer at age 12. At 18, he won a gold medal in the light heavyweight division at the 1960 Summer Olympics and turned professional later that year. He became a Muslim after 1961. He won the world heavyweight championship, defeating Sonny Liston in a major upset on February 25, 1964, at age 22. During that year, he denounced his birth name as a "slave name" and formally changed his name to Muhammad Ali. In 1966, Ali refused to be drafted into the military owing to his religious beliefs and ethical opposition to the Vietnam War[9][10] and was found guilty of draft evasion and stripped of his boxing titles. He stayed out of prison while appealing the decision to the Supreme Court, where his conviction was overturned in 1971. He did not fight for nearly four years and lost a period of peak performance as an athlete.[11] Ali's actions as a conscientious objector to the Vietnam War made him an icon for the larger counterculture of the 1960s generation,[12][13] and he was a very high-profile figure of racial pride for African Americans during the civil rights movement and throughout his career.[9] As a Muslim, Ali was initially affiliated with Elijah Muhammad's Nation of Islam (NOI). He later disavowed the NOI, adhering to Sunni Islam.
He fought in several historic boxing matches, including his highly publicized fights with Sonny Liston, Joe Frazier (including the Fight of the Century, the biggest boxing event up until then),[14] the Thrilla in Manila, and his fight with George Foreman in The Rumble in the Jungle.[15][16] Ali thrived in the spotlight at a time when many boxers let their managers do the talking, and he became renowned for his provocative and outlandish persona.[17][18][19] He was famous for trash-talking, often free-styled with rhyme schemes and spoken word poetry incorporating elements of hip hop.[20][21][22] He often predicted in which round he would knock out his opponent.
Outside boxing, Ali attained success as a spoken word artist, releasing two studio albums: I Am the Greatest! (1963) and The Adventures of Ali and His Gang vs. Mr. Tooth Decay (1976). Both albums received Grammy Award nominations.[22] He also featured as an actor and writer, releasing two autobiographies. Ali retired from boxing in 1981 and focused on religion, philanthropy and activism. In 1984, he made public his diagnosis of Parkinson's syndrome, which some reports attributed to boxing-related injuries,[23] though he and his specialist physicians disputed this.[24] He remained an active public figure globally, but in his later years made fewer public appearances as his condition worsened, and he was cared for by his family.
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Today we remember the passing of Muhammad Ali who Died: June 3, 2016 in Scottsdale, Arizona.
Muhammad Ali, born Cassius Marcellus Clay Jr. was an American professional boxer, activist, entertainer, poet, and philanthropist. Nicknamed The Greatest, he is widely regarded as one of the most significant and celebrated cultural figures of the 20th century, frequently ranked as the best heavyweight boxer and greatest athlete of the century.
Ali was born and raised in Louisville, Kentucky. He began training as an amateur boxer at age 12. At 18, he won a gold medal in the light heavyweight division at the 1960 Summer Olympics and turned professional later that year. He became a Muslim after 1961. He won the world heavyweight championship from Sonny Liston in a major upset on February 25, 1964, at age 22. On March 6, 1964, he announced that he no longer would be known as Cassius Clay but as Muhammad Ali. In 1966, Ali refused to be drafted into the military, citing his religious beliefs and ethical opposition to the Vietnam War. He was found guilty of draft evasion so he faced 5 years in prison and was stripped of his boxing titles. He stayed out of prison as he appealed the decision to the Supreme Court, which overturned his conviction in 1971, but he had not fought for nearly four years and lost a period of peak performance as an athlete. Ali's actions as a conscientious objector to the Vietnam War made him an icon for the larger counterculture generation, and he was a very high-profile figure of racial pride for African Americans during the civil rights movement and throughout his career. As a Muslim, Ali was initially affiliated with Elijah Muhammad's Nation of Islam (NOI). He later disavowed the NOI, adhering to Sunni Islam, and supporting racial integration like his former mentor Malcolm X.
He was involved in several historic boxing matches and feuds, most notably his fights with Joe Frazier, such as the Fight of the Century, which has been called "the biggest boxing event, if not the biggest sporting event, of all time" and the Thrilla in Manila, and also his fight with George Foreman, known as The Rumble in the Jungle, which was watched by a record estimated television audience of 1 billion viewers worldwide, becoming the world's most-watched live television broadcast at the time. Ali thrived in the spotlight at a time when many fighters let their managers do the talking, and he was often provocative and outlandish. He was known for trash-talking, and often free-styled with rhyme schemes and spoken word poetry, anticipating elements of hip hop.
He has been ranked the greatest heavyweight boxer of all time, and as the greatest sportsman of the 20th century by Sports Illustrated and the Sports Personality of the Century by the BBC.
Outside the ring, Ali attained success as a spoken word artist, where he received two Grammy nominations. He also featured as an actor and writer, releasing two autobiographies. Ali retired from boxing in 1981 and focused on religion, philanthropy and activism. In 1984, he made public his diagnosis of Parkinson's syndrome, which some reports attribute to boxing-related injuries, though he and his specialist physicians disputed this. He remained an active public figure globally, but in his later years made fewer public appearances as his condition worsened, and he was cared for by his family. Ali died on June 3, 2016.
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TAFAKKUR: Part 85
Music Therapy
In 1944 Edgar Cayce, who healed thousands of people while in a trance state, said "Music is the medicine of the future."
Currently, some religious scholars in the Islamic world denounce music. This paper analyzes the Islamic perspective on music and singing, and concludes that using music as a therapeutic agent in medicine is not forbidden.
Documented evidence shows the power of music can be tapped to heal the body, strengthen the mind, and unlock the creative spirit. Published papers and journal articles offer dramatic accounts of how doctors, musicians, and healthcare professionals use music to deal with everything from anxiety to cancer, high blood pressure, chronic pain, dyslexia, and even mental illness. During childbirth, music can relieve expectant mothers' anxiety and help release endorphins, the body's natural painkillers, and thereby dramatically decrease the need for anesthesia.
Exposure to sound, music, and other acoustical vibrations can have a lifelong effect on health, learning, and behavior, for such exposure stimulates learning and memory and strengthens one's listening abilities. Music has been used as a treatment or cure from migraines to substance abuse.
One thousand years ago, Muslim physicians were in the forefront of medicine and used innovations and therapeutic techniques that are now considered modern. They treated mental illnesses by confining patients in asylums with twenty-first-century techniques of music therapy. In Fez, Morocco, an asylum for the mentally ill was built early in the eighth century, and asylums for the insane were built in Baghdad (705), Cairo (800), and Damascus and Aleppo (1270). In addition to baths and drugs, the mentally ill received kind and benevolent treatment, and were exposed to highly developed music-based therapy and occupational therapy. Special choirs and live bands were brought daily to present singing, musical, and comical performances to patients.
Malik al-Mansur Sayf al-Din Qalawun built the al-Mansuri hospital in Cairo (1284). Its most outstanding characteristic was that, just like today's advanced hospitals, provisions were made to entertain patients with light music. Professional storytellers were appointed to narrate stories and jokes (radio, TV, and computers perform these functions today). People who called the faithful to prayer would sing religious songs in their melodious voices before the morning call to prayer; so that afflicted patients might forget their suffering. This hospital still renders such services today.
Medical benefits
Music therapy has been lost for more than 1,000 years in the Muslim world and in the West. In the last three decades or so, the West has shown tremendous interest in using music therapy to treat several diseases and ailments. No one knows exactly how music heals, but it looks like our brains are wired to respond to it.
Dr. Clive Robbins, a co-founder of the Nordoff-Robbins Center for Music Therapy at New York University in New York City, says: "There is something intrinsically musical about the brain's neurological structure and the muscular function of the human organism. At a nonverbal level, music activates our minds, integrates our attention, and seems to help regulate some body functions." He has treated a child afflicted with cerebral palsy with music therapy in order to teach the child how to balance his body, coordinate his limbs' movement, and communicate. It has made him motivated and intent.
The right song seems to work in more than one way-distracting us from pain, boosting one's mood, reviving old memories, and even prompting the body to match its rhythms. Music has long been appreciated for its calming effects, but new research shows it also may have the power to restore and keep us healthy. Soothing sounds, from Tibetan chants to Beethoven symphonies, are being given scientific credit for preventing colds, easing labor pains, and even boosting anti-aging hormones. One study found that surgery patients who listened to comforting music recovered more quickly and felt less pain than those who did not. The International Journal of Arts Medicine reports that infants in intensive care units go home three days earlier, eat better, and gain more weight if the staff talks and sings to them.
Clinical studies and anecdotal evidence from music therapists suggest that the sound of music is soothing and comfortable. For example, music is credited with lowering cortisol, a stress hormone, as much as 25 percent; boosting endorphins, the body's natural opiates or feel-good drugs; reducing pain after surgery and reducing the need for sedatives and pain relievers; making patients recover from surgery faster and with less pain; possibly preventing colds; raising blood levels of Immunoglobin A (immune system fighter) to a whopping 14.1 percent; and easing labor without drugs. It also seems to help premature infants in intensive care; stimulate the brain's neural connections and promote children's spatial ability and memory; lower blood pressure as much as 5 points, reduce heart rate, improve cardiac output, and relax muscle tension; and manage non-pharmacological pain and discomfort.
But these are not all of its benefits, for research shows that music also improves the mood and mobility of people with Parkinson's, decreases nausea during chemotherapy, helps patients participate in medical treatment, decreases length of hospital stay, relieves anxiety and reduces stress, eases depression, enhances concentration and creativity, brings positive changes in mood and emotional states, increases awareness of self and environment, gives a sense of control over life through successful experiences, provides an outlet for expressing feelings, improves memory recall and thereby contributes to reminiscence and satisfaction with life. In addition, music therapy may allow for emotional intimacy with families and caregivers, relaxation for the entire family, and meaningful time spent together in a positive, creative way.
Exciting new research suggests that our brains respond to music almost as if it were medicine. Music may regulate some body functions, synchronize motor skills, stimulate mind and even make us smarter. According to Suzanne Hanser, D. Ed., a lecturer at Harvard Medical School's Department of Social Medicine: "There is no set prescription or a particular piece of music that will make everyone feel better or more relax. What counts is musical taste, kinds of memories, feelings and associations a piece of music brings to mind. Some people relax to classical music, others like the Moody Blues. The key is to individualize your musical selections."
Depression
Research conducted at the Stanford University School of Medicine provides some interesting results. For one group of 20 people aged between 61 and 86, moods rose and depression fell when they listened to familiar music they selected, on their own or with the help of a music therapist, while practicing various stress-reduction techniques. A control group who missed out on the music and the exercises saw no improvement during the 8-week study period. It helps to perform gentle exercises, depending on one's fitness level, while the music plays. Movements should be light and flowing. Breathe to the music, and gently come to rest when the music ends.
Insomnia
A study from the University of Louisville School of Nursing Research indicates that 24 out of 25 people with sleeping problems nod off more quickly, sleep longer, or get back to sleep more easily after listening to classical and New Age music. The music must be quiet and melodic, have a slow beat and few, if any, rhythmic accents. To be effective, one should skip the after-dinner coffee or tea and avoid telephone calls and TV after 9 p.m. Softer and quieter music should be played as bedtime approaches. Listen to the music in bed with a tape recorder or a CD player equipped with a silent on/off switch. One should lie quietly and take even, deep breaths.
Stress
Many studies have found that soothing melodies can ease anxiety and quiet both blood pressure and heart rate even under very stressful conditions. Everyday stress also responds to music. Select music that grabs your attention and, at the same time, relax your body so that all of your worries slip away. Slow music, like a love song sung by an accomplished singer or a calm instrumental piece may be perfect. If a slow tune gives your mind time to fret or obsess, switch to something livelier. Sit or lie down in a comfortable position and where you will not be disturbed. After a few minutes, perform a relaxation exercise.
Pain
One Yale University School of Medicine study found that people who listened to their favorite music while awake during a surgical procedure needed smaller amounts of sedatives and pain medication than those who did not. Music therapists and researchers say that physical discomfort from post-operative pain to chronic aches can be eased with flowing melodies and distracting rhythms. Dr. Alicia A. Clair, a board-certified music therapist and professor and director of music therapy at the University of Kansas in Lawrence, says that music can bring transitory relief from short-term and long-term pain and discomfort, such as arthritis and osteoporosis. Gentle and soothing stress-reducing music, which can relax and distract the mind, is helpful. Martha Burke, a board-certified music therapist in Durham, North Carolina, says: "Gently flowing music or music with a slow, steady pulse can help promote relaxation, which can then alter a patient's perception of pain. Soothing music can lower the heart rate and breathing rate, leading to further relaxation, and reduces tension that comes with the pain. We know music is so incredibly complex--it has tempo, rhythm, melody, and harmony. And so it stimulates the brain in many ways at once."
Brain damage
Samuel Wong, a Harvard-trained physician based in New York City, plays musical instruments to help patients with brain damage (from strokes) and Alzheimer's reconnect to the world. He is also music director of the Hong Kong Philharmonic and the Honolulu Symphony. "When brain damage (from stroke, Alzheimer's, etc.) leaves a devastated mental landscape, music 'builds a bridge' that allows patients to reconnect with the outside world. The study of medicine has informed my performance of music, and my learning of music has deepened my role in healing," he says. In 1996, researchers at Colorado State University tried giving 10 stroke victims 30 minutes of rhythmic stimulation each day for three weeks. Compared with untreated patients, they showed significant improvements in their ability to walk steadily. People with Parkinson's enjoyed similar benefits. Stroke victims and patients with Parkinson's walked more steadily and with better balance and speed if they practiced while hearing a balanced metrical beat or a piece of music with a powerful, even beat. A musical beat from any genre seemed to provide a rhythmic cue, which has a powerful, organizing effect on the brain's motor skills ;it helps harmonize movement almost at once, according to researchers. Scottish researchers have found that a daily dose of music significantly brightens the moods of institutionalized stroke victims. When daily music therapy was administered for 12 weeks, the patients were less depressed and anxious, and more stable and sociable than other patients in the same building. Music therapy also has proved useful in managing Alzheimer's and other neurological diseases.
Sounds of healing
Mitchell L. Gaynor, MD, director of medical oncology and integrative medicine at New York's Strang Cancer Prevention Center (affiliated with the Cornell Medical Center), says: "More doctors are seeing a connection between harmonious sound and health. If we are around very harmonious people and harmonious vibrations and harmonious sounds, we begin to feel better. I have never found anything more powerful than sound and voice and music to begin to heal and transform every aspect of people's lives. It can really change people's lives.” "We know that music is capable of enhancing the body's immune function, lowering heart rate, lowering stress-related hormones like cortisol that raise our blood pressure and depress our immune systems. It also trims complications after heart attack, calms anxiety, slows breathing and increases production of endorphins, the body's natural painkillers. Eighty percent of the stimuli that reach our brains come through our ears." "Even before birth, music makes a difference. Hearing is the first sense to develop, when the fetus is only 18 weeks old (Qur'an 32:9). We know that the unborn child hears for literally half the pregnancy and is affected profoundly by what it hears. Studies show that music by Mozart and Vivaldi actually can bring down fetal heart rate, calm brain waves, and reduce the baby's kicking. Rock music, on the other hand, appeared to drive fetuses to distraction, greatly increasing kicking." "Our bodies are 70 percent water, and thus excellent conductors for sound and vibration. We do not hear just with our ears, but literally feel vibration's sound with every cell in our body. Disharmony and noise, whether from traffic, the boss yelling at us about a deadline, or a jackhammer on the street can make us stressed, depressed, and pessimistic--all of which depress our immune systems. That is why disharmony can eventually lead to disease." "Our own voices are very underutilized healing tools. Singing is a great way to tap music's healing power. If you are self-conscious, try chanting. Anyone can do it, and you can't do it wrong. We are just seeing the tip of the iceberg as far as the incredible power of sound to affect every cell and every organ system in our bodies."(10) The Qur'an says: He fashioned him in due proportion and breathed into him something of His spirit. And He gave you (the faculties of) hearing and sight and feeling (and understanding). Little thanks do you give! (32:9, 16:78, 67:23). Dr. Keith Moore, professor and chairman of the Department of Anatomy at the University of Toronto's School of Medicine, writes in his most popular textbook on human embryology that the human embryo first gets the ears (hearing), then the eyes (sight), and next the brain (feeling and understanding or mental faculties) in that order, as mentioned in the above Qur'anic verses. On the other hand, very loud music with sounds louder than 90 decibels cause stress and ear damage. Pierce J. Howard, Ph.D., director of the Center for Applied Cognitive Studies in Charlotte, NC, says: "Very loud music creates an altered state of consciousness akin to an alcoholic or drug-induced stupor that can become addictive."
The Mozart effect
Don Campbell, a composer, music researcher and teacher, healer and the author of The Mozart Effect, learned that he had a potentially fatal blood clot in an artery just below his brain. He shrunk the blood clot from more than 1.5-inch length to one-eighth of an inch by humming quietly for three to four minutes at a time, up to seven times a day. He did this for three weeks before he went back for a second brain scan. In The Mozart Effect, he writes: "You know music can affect your mood: it can make you feel happy, enchanted, inspired, wistful, excited, empowered, comforted, and heroic. Particular sounds, tones and rhythms can strengthen the mind, unlock the creative spirit, and miraculously, even heal the body. Exposure to sound, music, and other forms of vibration, beginning in-utero, can have a life long effect on health, learning and behavior." In conclusion, one should listen to a piece of music that one finds inspirational and uplifting. Dr. Ahmed al-Kadi of Florida's Akbar Clinic conducted research on the healing power of listening to Qur'anic recitations. There is an urgent need for conducting more research on music therapy by Muslim physicians in the West and in the Muslim world.
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Pediatric ent louisville ky
ENT Care Centers is the collaborative effort of four prominent otolaryngologic practices in Louisville, KY, and Jeffersonville, IN—Kentuckiana ENT, Louisville Family ENT, Community ENT, pediatric ent louisville ky, and ENT Associates. Our mission is to provide patients in and around Louisville, Kentucky, and southern Indiana with high-quality ENT medical and surgical services. Our experts offer specialized care in general otolaryngology, rhinology, laryngology, neurotology, and facial plastic surgery.
Conditions that develop in the nose and sinuses can often lead to breathing problems or even cause frequent headaches that get in the way of your daily life. At ENT Care Centers, we treat a variety of nasal and sinus problems.
At ENT Care Centers, our mouth and throat specialists can provide effective treatment for all throat conditions—from recurring infections to malignant or benign tumors.
Is your child experiencing frequent ear infections or chronic tonsillitis? The physicians of ENT Care Centers are qualified to take care of all your child’s ENT problems, whether it’s a regular check-up or diagnosis and treatment.
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Our Nurse Practitioners and Physicians manage patients’ medical condition. Providing house calls allows the home-bound patient to remain at home and maintain their independence. Home health care physician louisville ky There is no place like home.
As a practice servicing patients with multiple complex conditions, our Nurse Practitioners and Physicians are experienced to treat acute and chronic illnesses with a comprehensive approach, including To schedule an appointment, please feel free to contact us.
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Nair Home Care Experience exceptional healthcare in Louisville through a dedicated primary care doctor visit louisville visit. Our esteemed practitioners offer expert medical guidance, addressing a wide range of health needs and emphasizing preventive care. Trust in our professionalism and personalized approach as we prioritize your well-being and provide comprehensive medical attention during your primary care visit in Louisville.
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Dobies, Talbert Join National Park Medical Center (Movers & Shakers) | Arkansas Business News
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Dr. David Dobies and Dr. Timothy Talbert of National Park Medical Center
Dr. David Dobies, an interventional cardiologist, and Dr. Timothy Talbert, a cardiac electrophysiologist, have joined National Park Medical Center of Hot Springs.
Dobies obtained his medical degree from Michigan State University College of Human Medicine in East Lansing, Michigan, and completed his residency at Indiana University Department of Internal Medicine in Indianapolis.
Talbert was in private practice for more than 25 years of experience in Chattanooga, Tennessee. He obtained his medical degree from the University of Tennessee College of Medicine and completed his residency at the University of Tennessee Medical Center, both in Memphis.
Hannah Smith of Washington Regional Urgent Care
Hannah Smith, an advanced practice registered nurse, recently joined Washington Regional Urgent Care in Fayetteville, where she provides nonemergency care for all ages.
Smith earned a master’s degree in nursing from Duke University School of Nursing in Durham, North Carolina, and a bachelor’s degree in nursing from Saint Louis University.
Dr. Ronald Schlabach of Baptist Health Family Clinic-Alma
Dr. Ronald Schlabach, a primary care physician, has joined Baptist Health Family Clinic-Alma. He most recently worked at River Valley Primary Care Services’ Northside Clinic in Fort Smith.
Schlabach earned a medical degree from the University of Oklahoma College of Medicine in Oklahoma City in 1987. He completed his residency in family practice at the University of Arkansas for Medical Sciences AHEC program in Fort Smith.
Dr. Hassan Zeb
Dr. Hassan Zeb, a pulmonary medicine specialist, has joined Baptist Health Specialty Clinic-North Little Rock.
Zeb received his medical education from Aga Khan University in Karachi, Pakistan.
He completed his residency at Temple University/Conemaugh Memorial Medical Center in Johnstown, Pennsylvania, and fellowship training at the University of Louisville in Louisville, Kentucky.
Carl Norris has been named CEO of Harbor House Inc. of Fort Smith, which provides behavioral health services at treatment centers, residential facilities and outpatient offices across Arkansas.
Norris previously served as a consultant to Harbor House’s board of directors.
See more of this week’s Movers & Shakers, and submit your own announcement at ArkansasBusiness.com/Movers.
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Humana Health Plan Overcharged Medicare by Nearly $200 Million, Federal Audit Finds
A Humana Inc. health plan for seniors in Florida improperly collected nearly $200 million in 2015 by overstating how sick some patients were, according to a new federal audit, which seeks to claw back the money.
This story also ran on NPR. It can be republished for free.
The Health and Human Services Office of Inspector General’s recommendation to repay, if finalized, would be “by far the largest” audit penalty ever imposed on a Medicare Advantage company, said Christopher Bresette, an HHS assistant regional inspector general.
“This [money] needs to come back to the federal government,” he said in an interview.
Humana sharply disputed the findings of the audit, which was set for public release Tuesday. A spokesperson for the company said Humana will work with Medicare officials “to resolve this review,” and noted the recommendations “do not represent final determinations, and Humana will have the right to appeal.”
Medicare Advantage, a fast-growing private alternative to original Medicare, has enrolled more than 26 million people, according to America’s Health Insurance Plans, an industry trade group. Humana, based in Louisville, Kentucky, is one of the largest of these insurers, with about 4 million members.
While popular with seniors, Medicare Advantage has been the target of multiple government investigations, Department of Justice and whistleblower lawsuits and Medicare audits that concluded some plans boosted their government payments by exaggerating the severity of illnesses they treated. One 2020 report estimated improper payments to the plans topped $16 billion the previous year.
But efforts to recover even a tiny fraction of the overpayments in past years have stalled amid intense industry opposition to the government’s audit methods.
Now the OIG is rolling out a series of audits that could for the first time put health plans on the hook for refunding tens of millions of dollars or more to Medicare. The OIG is planning to release five to seven similar audits within the next year or two, officials said.
The Humana audit, conducted from February 2017 to August 2020, tied overpayments to medical conditions that pay health plans extra because they are costly to treat, such as some cancers or diabetes with serious medical complications.
Auditors examined a random sample of 200 patients’ medical charts to make sure that the patients had the diseases the health plans were paid to treat, or that the conditions were as severe as the health plan claimed.
For instance, Medicare paid $244 a month, or $2,928 for the year, for one patient said to be suffering from serious complications of diabetes. But medical records Humana supplied failed to confirm that diagnosis, meaning the health plan should have received $163 less per month for the patient’s care, or $1,956 for the year, according to the audit.
Similarly, Medicare paid $4,380 too much in 2015 for treatment of a patient whose throat cancer had been resolved, according to the audit. In other cases, however, auditors said Medicare underpaid Humana by thousands of dollars because the plan submitted incorrect billing codes.
In the end, auditors said Medicare overpaid Humana by $249,279 for the 200 patients whose medical charts were closely examined in the sample. Auditors used a technique called extrapolation to estimate the prevalence of such billing errors across the health plan.
“As a result, we estimated that Humana received at least $197.7 million in net overpayments for 2015,” the audit states, adding that Humana’s policies to prevent these errors “were not always effective” and need improvement.
The OIG notified Humana of its findings in September 2020, according to the audit. A final decision on collecting the money rests with the Centers for Medicare & Medicaid Services, or CMS, which runs Medicare Advantage. Under federal law, the OIG is responsible for identifying waste and mismanagement in federal health care programs but can only recommend repayment. CMS had no comment.
Though controversial, extrapolation is commonly used in medical fraud investigations — except for investigations into Medicare Advantage. Since 2007, the industry has criticized the extrapolation method and, as a result, largely avoided accountability for pervasive billing errors.
Industry protests aside, OIG officials say they are confident their enhanced audit tools will withstand scrutiny. “I believe what we have here is solid,” OIG official Bresette said.
Michael Geruso, an associate professor of economics at the University of Texas-Austin, who has researched Medicare Advantage, said extrapolation “makes perfect sense,” so long as it is based on a random sample.
“It seems like this is a healthy step forward by the OIG to protect the U.S. taxpayer,” he said.
The OIG used the extrapolation technique for the first time in a February audit of Blue Cross and Blue Shield of Michigan that uncovered $14.5 million in overpayments for 2015 and 2016. In response, Blue Cross said it would take steps to ferret out payment mistakes from other years and refund $14.5 million. Blue Cross spokesperson Helen Stojic said that process “is still pending.”
But Humana, with a lot more money on the line, is fighting back. Humana “takes great pride in what the company believes to be its industry-leading approach” to ensuring proper billing, Sean O’Reilly, a company vice president, wrote in a December 2019 letter to the OIG that blasted the audit.
O’Reilly wrote that Humana “has never received feedback from CMS that its program is deficient in any respect.”
The nine-page letter argues that the audit “reflects misunderstandings related to certain statistical and actuarial principles, and legal and regulatory requirements.” Requiring Humana to repay the money “would represent a serious departure from the statutory requirements underlying the [Medicare Advantage] payment model,” the company said.
Humana did persuade the OIG to shave off about $65 million from its initial estimate of the overpayment. In 2015, Medicare paid the plan about $5.6 billion to treat about 485,000 members, mostly in South Florida.
Humana is not alone in disapproving of the audits.
AHIP, the industry trade group, has long opposed extrapolation of payment errors, and in 2019 called a CMS proposal to start doing it “fatally flawed.” The group did not respond to requests for comment.
Health care industry consultant Richard Lieberman said insurers remain “vehemently opposed” and will likely head to court to try to sidestep any multimillion-dollar penalties.
Lieberman noted that CMS has “waffled” in deciding how to protect tax dollars as Medicare Advantage plans have grown rapidly and cost taxpayers more than $200 billion a year. CMS says it has yet to complete its own audits dating to 2011, which are years overdue.
The dispute has been largely invisible to patients, who are not directly affected by overpayments to the plans. Many seniors sign up because Medicare Advantage offers benefits not included in original Medicare and may cost them less out-of-pocket, though it restricts their choice of doctors.
But some critics argue that inaccurate medical files pose a risk of improper treatment. Dr. Mario Baez, a Florida physician and whistleblower, said seniors can be “placed in harm’s way due to false information in their medical records.”
KHN (Kaiser Health News) is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at KFF (Kaiser Family Foundation). KFF is an endowed nonprofit organization providing information on health issues to the nation.
USE OUR CONTENT
This story can be republished for free (details).
Humana Health Plan Overcharged Medicare by Nearly $200 Million, Federal Audit Finds published first on https://smartdrinkingweb.weebly.com/
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Humana Health Plan Overcharged Medicare by Nearly $200 Million, Federal Audit Finds
A Humana Inc. health plan for seniors in Florida improperly collected nearly $200 million in 2015 by overstating how sick some patients were, according to a new federal audit, which seeks to claw back the money.
This story also ran on NPR. It can be republished for free.
The Health and Human Services Office of Inspector General’s recommendation to repay, if finalized, would be “by far the largest” audit penalty ever imposed on a Medicare Advantage company, said Christopher Bresette, an HHS assistant regional inspector general.
“This [money] needs to come back to the federal government,” he said in an interview.
Humana sharply disputed the findings of the audit, which was set for public release Tuesday. A spokesperson for the company said Humana will work with Medicare officials “to resolve this review,” and noted the recommendations “do not represent final determinations, and Humana will have the right to appeal.”
Medicare Advantage, a fast-growing private alternative to original Medicare, has enrolled more than 26 million people, according to America’s Health Insurance Plans, an industry trade group. Humana, based in Louisville, Kentucky, is one of the largest of these insurers, with about 4 million members.
While popular with seniors, Medicare Advantage has been the target of multiple government investigations, Department of Justice and whistleblower lawsuits and Medicare audits that concluded some plans boosted their government payments by exaggerating the severity of illnesses they treated. One 2020 report estimated improper payments to the plans topped $16 billion the previous year.
But efforts to recover even a tiny fraction of the overpayments in past years have stalled amid intense industry opposition to the government’s audit methods.
Now the OIG is rolling out a series of audits that could for the first time put health plans on the hook for refunding tens of millions of dollars or more to Medicare. The OIG is planning to release five to seven similar audits within the next year or two, officials said.
The Humana audit, conducted from February 2017 to August 2020, tied overpayments to medical conditions that pay health plans extra because they are costly to treat, such as some cancers or diabetes with serious medical complications.
Auditors examined a random sample of 200 patients’ medical charts to make sure that the patients had the diseases the health plans were paid to treat, or that the conditions were as severe as the health plan claimed.
For instance, Medicare paid $244 a month, or $2,928 for the year, for one patient said to be suffering from serious complications of diabetes. But medical records Humana supplied failed to confirm that diagnosis, meaning the health plan should have received $163 less per month for the patient’s care, or $1,956 for the year, according to the audit.
Similarly, Medicare paid $4,380 too much in 2015 for treatment of a patient whose throat cancer had been resolved, according to the audit. In other cases, however, auditors said Medicare underpaid Humana by thousands of dollars because the plan submitted incorrect billing codes.
In the end, auditors said Medicare overpaid Humana by $249,279 for the 200 patients whose medical charts were closely examined in the sample. Auditors used a technique called extrapolation to estimate the prevalence of such billing errors across the health plan.
“As a result, we estimated that Humana received at least $197.7 million in net overpayments for 2015,” the audit states, adding that Humana’s policies to prevent these errors “were not always effective” and need improvement.
The OIG notified Humana of its findings in September 2020, according to the audit. A final decision on collecting the money rests with the Centers for Medicare & Medicaid Services, or CMS, which runs Medicare Advantage. Under federal law, the OIG is responsible for identifying waste and mismanagement in federal health care programs but can only recommend repayment. CMS had no comment.
Though controversial, extrapolation is commonly used in medical fraud investigations — except for investigations into Medicare Advantage. Since 2007, the industry has criticized the extrapolation method and, as a result, largely avoided accountability for pervasive billing errors.
Industry protests aside, OIG officials say they are confident their enhanced audit tools will withstand scrutiny. “I believe what we have here is solid,” OIG official Bresette said.
Michael Geruso, an associate professor of economics at the University of Texas-Austin, who has researched Medicare Advantage, said extrapolation “makes perfect sense,” so long as it is based on a random sample.
“It seems like this is a healthy step forward by the OIG to protect the U.S. taxpayer,” he said.
The OIG used the extrapolation technique for the first time in a February audit of Blue Cross and Blue Shield of Michigan that uncovered $14.5 million in overpayments for 2015 and 2016. In response, Blue Cross said it would take steps to ferret out payment mistakes from other years and refund $14.5 million. Blue Cross spokesperson Helen Stojic said that process “is still pending.”
But Humana, with a lot more money on the line, is fighting back. Humana “takes great pride in what the company believes to be its industry-leading approach” to ensuring proper billing, Sean O’Reilly, a company vice president, wrote in a December 2019 letter to the OIG that blasted the audit.
O’Reilly wrote that Humana “has never received feedback from CMS that its program is deficient in any respect.”
The nine-page letter argues that the audit “reflects misunderstandings related to certain statistical and actuarial principles, and legal and regulatory requirements.” Requiring Humana to repay the money “would represent a serious departure from the statutory requirements underlying the [Medicare Advantage] payment model,” the company said.
Humana did persuade the OIG to shave off about $65 million from its initial estimate of the overpayment. In 2015, Medicare paid the plan about $5.6 billion to treat about 485,000 members, mostly in South Florida.
Humana is not alone in disapproving of the audits.
AHIP, the industry trade group, has long opposed extrapolation of payment errors, and in 2019 called a CMS proposal to start doing it “fatally flawed.” The group did not respond to requests for comment.
Health care industry consultant Richard Lieberman said insurers remain “vehemently opposed” and will likely head to court to try to sidestep any multimillion-dollar penalties.
Lieberman noted that CMS has “waffled” in deciding how to protect tax dollars as Medicare Advantage plans have grown rapidly and cost taxpayers more than $200 billion a year. CMS says it has yet to complete its own audits dating to 2011, which are years overdue.
The dispute has been largely invisible to patients, who are not directly affected by overpayments to the plans. Many seniors sign up because Medicare Advantage offers benefits not included in original Medicare and may cost them less out-of-pocket, though it restricts their choice of doctors.
But some critics argue that inaccurate medical files pose a risk of improper treatment. Dr. Mario Baez, a Florida physician and whistleblower, said seniors can be “placed in harm’s way due to false information in their medical records.”
KHN (Kaiser Health News) is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at KFF (Kaiser Family Foundation). KFF is an endowed nonprofit organization providing information on health issues to the nation.
USE OUR CONTENT
This story can be republished for free (details).
Humana Health Plan Overcharged Medicare by Nearly $200 Million, Federal Audit Finds published first on https://nootropicspowdersupplier.tumblr.com/
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Kiran Pandit, MD, is an Established Physiatrist with Encompass Health Rehabilitation Hospital of Colorado Springs in Colorado
Kiran Pandit, MD, is a well-versed physical medicine and rehabilitation physician who diagnoses and treats patients at Encompass Health Rehabilitation Hospital of Colorado Springs in Colorado Springs, CO. He joined Encompass Health, formerly known as HealthSouth, in his current role in 2014. As a physiatrist, he aims to enhance and restore functional ability and quality of life to those with physical impairments or disabilities affecting the brain, spinal cord, nerves, bones, joints, ligaments, muscles, and tendons. Moreover, Dr. Kiran Pandit has an impressive professional journey that spans twenty years and has expanse knowledge and unrivaled expertise in all facets of his specialty. Dr. Pandit has been meritoriously named Patient Preferred Physical Medicine and Rehabilitation Specialist’ for the State of Colorado by Patient Preferred Physicians and Practitioners (2019 and 2020). For more information about Dr. Kiran Pandit, please visit https://www.encompasshealth.com/coloradospringsrehab or https://kiranpanditmd.com/contact/.
Kiran Pandit, MD, attended the Kempegowda Institute of Medical Sciences in Karnataka, India, and received his medical degree in 2007. Furthermore, he conducted his physical medicine and rehabilitation residency at the University of Louisville School of Medicine in Louisville, KY. In addition, Dr. Pandit received board certification in physical medicine and rehabilitation from the American Board of Internal Medicine. And he remains at the forefront of his challenging specialty via memberships and affiliations with prestigious professional societies and associations. As a result, he is a member of the American Academy of Physical Medicine and Rehabilitation. He feels that his success is attributable primarily to his dedication, patient care, technology, and education. Dr. Pandit dedicates his spare time to being with his family and friends, traveling, and working on his fitness. For more information about Kiran Pandit, MD, please visit https://www.findatopdoc.com/doctor/81226088-Kiran-Pandit-Physiatrist-Colorado-Springs-Colorado-80910.
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