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HEALTHBEAT SHOW NOTES .... Episode #87 - Recorded March 09, 2007

Hello and welcome to this week’s edition of HealthBeat, Chiropractic OnLine Today’s Health, News and informational Podcast.

In this week’s news:  We’ll Look At –

• Webcast on Increases in Post-Payment Insurance Audits

• Predicting of outcomes in non-operative treatments of chronic low back pain

• Whiplash injury and Oculomotor dysfunctions

• ACA 2007 Legislative Agenda

• And Finally, Health Corner looks at current thoughts on Health and the Environment

For HealthBeat, This is Dr. Todd Eglow.

Welcome to HealthBeat Podcast #87, recorded March 9, 2007.  HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.

This week’s Episode is sponsored by DaVinci Laboratories.  Please surf to our web site at www.ChiropracticRadio.com and click on the DaVinci link for your Health and Nutritional needs.

If you are interested in creating personalized Healthbeat podcasts for your office or website, to help attract new patients, please surf to our web site and send us an Email ….

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Finally, Chiropractic OnLine Today has always provided our news and education content for free and plan on continuing this policy.  However, we do request that if you are enjoying these podcasts, that you surf to ChiropracticRadio.com and consider clicking on our PayPal link to make a donation to keep these Podcasts airing.  We thank everyone for their continued support.

And Now for some news ….

Webcast on Increases in Post-Payment Insurance Audits

On Thursday March 15, at 7:00 P.M., John W. Leardi, Esq., of Buttaci & Leardi, LLC, will appear on the radio program "Labor Lines," broadcast on WGBB 1240 AM.  "Labor Lines" is a weekly radio program hosted by Victor Fusco, Esq., of Fusco, Brandenstein & Rada, P.C., that focuses on working men and women and the organizations that represent them.

Mr. Leardi will be one of three guest panelists on the hour-long program, joining Dr. Michael A. Bernstein of the New York State Chiropractic Association and John M. Kelly of Practice Compliance Consultants, Inc.  The broad focus of the panel's discussion will be on the recent increase in post-payment audits being conducted by the insurance industry, and the impact of these audits not only on the targeted practices, but on the chiropractic profession as a whole.

The program will be simultaneously webcast on www.am1240wgbb.com, and will be re-aired over the radio and via the web on Saturday March 17, at 6:30 P.M.

Predicting of outcomes in non-operative treatments of chronic low back pain

 A study in the November 2006 issue of the European Spine Journal revealed that systematic reviews have shown that as non-operative treatments, exercise, behavioral and multimodal treatment programs are effective for chronic low back pain.

There is, however, a lack of knowledge concerning the association between changes in treatment process variables and changes in outcome for the three treatment forms.

The results showed that functional coping mechanisms and pain reduction were associated with a decrease in disability and increase in return to work (RTW), and physical performance factors were not.

Related to pain reduction decreases in disability, functional coping mechanisms as well as physical performance factors were associated.

Strong conclusions cannot be drawn from this review, because of the heterogeneity and the limited number of studies. The results of this review raise the question if changes in behavioral variables and reductions of disability which facilitate an improvement in function, may be more important than physical performance factors for successful treatment of chronic low back pain.

This is relevant for the refinement of future treatment programs.

Surf to our Show Notes for a link to this study - http://www.springerlink.com/content/1434375787805452/?p=7a9d9a4416a34d5d8cdc1d08f6c79a24&pi=0

Whiplash injury and Oculomotor dysfunctions:

Another study in the European Spine Journal looked at Oculomotor dysfunctions as being hidden causes of invalidity following whiplash injury. Many patients with whiplash injury grade II present oculomotor dysfunctions related to input disturbances of cervical or vestibular afferents.

Oculomotor rehabilitation can resolve the impairment of vestibular function but if therapy is delayed or the patient has been wearing an orthopedic neck collar, more therapeutic sessions are required.

In conclusion, without rehabilitation of the oculomotor muscles other therapies are not sufficient to recover the impairment caused by whiplash injury.

Surf to our Show Notes for a link to this study - http://www.springerlink.com/content/22123mn7x165k761/?p=a5e8af27714340ed8492e786f62ce7aa&pi=7

ACA 2007 Legislative Agenda

The ACA Board of Governors has approved the association’s 2007 legislative agenda, which is aimed at making chiropractic more readily available to veterans and all active-duty military personnel and pushing for the revival of the Patients’ Bill of Rights.

All provisions in the Patients’ Bill of Rights are designed to “level the playing field” for doctors of chiropractic by including anti-discrimination and federal-liability language, and would allow DCs the ability to go out of network in the appeals process.

Moreover, it is ACA’s goal to achieve chiropractic inclusion at all major military treatment locations worldwide, and to ensure that doctors of chiropractic are commissioned in the uniformed military health system.

To date, chiropractors have been employed at only 30 veterans’ facilities. With low back pain a leading ailment of those returning from Iraq and Afghanistan , ACA will work to extend chiropractic presence to all 150 major VA medical care locations.

Other 2007 ACA initiatives include:

• Ensuring that doctors of chiropractic are active in federal programs including the Public Health Service, National Disaster Medical Service, and the National Registry of Certified Medical Examiners.

• Making certain that doctors of chiropractic are treated fairly in all attempts to restructure the Medicare physician reimbursement system.

• Reviving federal anti-trust legislation that would allow doctors of chiropractic to collectively bargain with managed care and insurance companies.

ACA will also monitor any congressional attempt to establish association, or small-business, health plans. These are fatally flawed proposals that would allow employers to escape state coverage and provider mandates. ACA will also watch for any attempt to usurp chiropractic scope of practice laws at the federal level.

For more information, surf to www.acatoday.com

http://www.acatoday.com/press_css.cfm?CID=2211

Health Corner – In this edition of HealthBeat’s Health Corner, we present a discussion from the PBS show NewsHour with Jim Leher.  The report focuses on a discussion of the impact that Environmental Issues are having on our Health.

As always, please surf to our Podcast Show Notes at ChiropractiRadio.com for a full listing of web references mentioned in today’s show.

And remember - COT’s Healthbeat always recommends discussing any nutritional or exercise lifestyle modifications with a qualified healthcare professional.

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Finally, I leave you with the following quote:

"Time is an illusion. Lunchtime doubly so."
– Douglas Adams

For Chiropractic OnLine Today’s HealthBeat, This is Dr. Todd Eglow.

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