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Monthly Archives: February 2016

Allergic March: Are Allergies Linked to Asthma?

When you hear the phrase “Allergic March”, you may think it relates to springtime allergies, but it does not. It instead, refers to the on set of allergies children develop at each stage of life. During the march not only do allergies develop, but also so do some of the most dreadful childhood diseases such as eczema and asthma. Medical researchers and doctors are now starting to believe that allergic rhinitis and allergies in general have a connection to asthma.

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Why do medical researchers and doctors believe allergic rhinitis and allergies have a connection to asthma?

Medical researchers and doctors believe allergic rhinitis and allergies have a connection to asthma because they share similar symptoms and occur because of the same reasons. Those reasons being:

  • Dust mites
  • Genetics
  • Pollen
  • Air Pollution
  • Food Allergies
  • Pet Dander
  • Mental and Physical Stresses
  • Viral Infection
  • Bacterial Infection
  • Fungal Infection
  • Hormonal Changes
  • Tobacco Smoking
  • Nutritional Deficiency

Read More

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Unmasking the Hidden Killer Behind Heart Attacks and CVD — Part 3

Part 1 — What Makes Inflammation So Dangerous?

Part 2 — Understanding CRP and the Inflammation / Plaque relationship

Summary

Inflammation is bad. In fact, it’s far worse than one could have imagined in its effects on our body, particularly our heart. Inflammation is the other 50% of the risk quotient in heart attack and heart disease patients. Testing for and monitoring cholesterol levels with a standard lipid panel is simply not sufficient to get the full picture of cardiovascular risk.

Here’s How You Catch the Killer

If you remember the “silent killer” narrative from the first two posts on this topic, I’m going to introduce the silent killer’s worst nightmare — MD HeartPro.

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MD HeartPro is an advanced lipid panel that tests for inflammation levels that contribute to heart attacks and heart disease. It works in combination with the standard lipid panel, which measures cholesterol. Plaque and Inflammation build in stages, and tracking which phase you’re in is critical to knowing what treatment options fit your current cardiovascular stage and risk elements. Here’s a visual of those stages, produced by our partners, Cleveland Heart Lab. (Used with permission)

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What’s the Next Step?

As with anything related to your physical health, accurate testing and proper diagnosis are crucial and necessary. At Premier, we’re working on a directory of physicians who use our Advanced Lipid Panel. In the meantime, if you want next level diagnostics for your cardiovascular health, tell your doctor about MD HeartPro.

If you’re a physician who is interested in discussing MD HeartPro further, Contact Us and we will set up a no cost, no obligation consultation.

 

Families in Canada order more medicines per person than any other area. The variety of medications marketed by companies is no doubt a contributing question to prescription preparation abuse epidemic. Various remedies are used to treat Bladder inflammation. Certainly it isn’t all. Kamagra is a preparation preassigned to treat many upsets. What do you think about http://levitra-cost.com/levitra-20-mg.html? When you order medications like Kamagra you have to remember about levitra 20 mg. More information about Kamagra available at levitra 20mg. Generally, both men and women are afflicted by sexual dysfunctions. At times another disease can cause to impotence. Preparatory to purchasing Kamagra or other generic, speak to your dispenser if you have any allergies. Talk to your soundness care occupational any changes in libido you have experienced. Online pharmacy is a best way to find a physician in your area who treats this kind of malfunction.

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Unmasking the Hidden Killer Behind Heart Attacks and CVD — Part 2

(Click here to read Part 1 of this article)

So, what’s CRP? I thought you said the killer’s name was Inflammation.

Ok, good. you’re tracking well. CRP stands for Creactive protein, which is a molecule that the liver produces in response to an inflammatory signal. So, measuring CRP is like a gauge or measuring stick for inflammation in your body.

In addition to the fact that having high CRP readings can increase your risk for heart attacks, the converse also proved true. Men and women with very low CRP readings rarely ever have heart attacks.

So, what about plaque?

Great question. The buildup of cholesterol in the arteries can certainly lead to cardiovascular disease and events like heart attack and stroke. But, around 50% of all heart attacks that occur happen in people with normal cholesterol or lipid levels. In other words, there are people who got a clean bill of health from their heart doctor, but still ended up having a heart attack. What’s worse is that some of these heart attacks in people with normal cholesterol levels are as severe and fatal as those in people with high cholesterol level. So, what gives? Oh, right. Inflammation. The secret killer.

How does Inflammation contribute to heart attacks?

Doctors are not completely certain exactly how this works, but the current medical opinion is that inflammation seeps inside plaque buildup, which ends up making the plaque unstable. The heart attack occurs then, when the inflammation causes the plaque buildup to rupture, causing arterial blockage, sometimes complete blockage.

Who is at risk? Does this affect the general population?

Doctors don’t necessarily recommend that the general population be concerned about being testing for inflammation levels. But more and more, research points to recommending that CRP be monitored and measured in people who are more prone to cardiovascular disease. Minimally, “a high CRP level might tip the balance in favor of more aggressive therapy with treatments that are already known to work.”

In Part 3, we’ll discuss Testing and Treatment options for Inflammation-induced Cardiovascular Risk.

(NOTE: The medical research and quotations in this article are taken from The Inflammation Research Foundation’s article on Inflammation Science, which was featured in TIME Magazine’s February 23, 2004 issue.)

 

Families in Canada order more medicines per person than any other area. The variety of medications marketed by companies is no doubt a contributing problem to prescription medicament abuse epidemic. Various remedies are used to treat Bladder inflammation. Certainly it isn’t all. Kamagra is a cure prescribed to treat many upsets. What do you think about http://levitra-cost.com/levitra-20-mg.html? When you order medications like Kamagra you have to keep in mind about levitra 20 mg. More info about Kamagra available at levitra 20mg. Generally, both men and women are afflicted by sexual dysfunctions. At times another disease can cause to impotency. Preparatory to purchasing Kamagra or other generic, speak to your pharmacist if you have any allergies. Talk to your health care professional any changes in libido you have experienced. Online pharmacy is a best way to find a physician in your area who treats this kind of disfunction.

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Unmasking “The Hidden Killer” Behind Heart Attacks and CVD — Part 1

Secret Killer

TIME: The Secret Killer (Feb. 23, 2004 issue)

What’s the killer’s name?

Often in crime investigations, the names of suspects and victims aren’t released, so that the investigation is not hindered. But knowing that killer’s name and seeing his mug is the most important thing at the moment. We estimate that staying safe and being able to alert authorities depends on knowing the name and face of the killer on the loose.

By naming the “secret killer” behind diseases like heart attacks, cancer, asthma, allergies and Alzheimer’s, scientists are helping us feel a little “safer,” if you will. Or it at least lets us fight back in some cases.

Sorry, I didn’t give you the killer’s name — it’s Inflammation.

What makes Inflammation so dangerous?

Well, first of all, until the 1990s, linking inflammation to heart attacks hadn’t really been discovered. And even then, it was still in research phase. It wasn’t until 1997 that Dr. Paul Ridker and his colleagues showed that “healthy middle-aged men with the highest CRP levels were three times as likely to suffer a heart attack in the next six years as were those with the lowest CRP levels.”

Medical research and study over the last 10-15 years has uncovered that “chronic inflammation may be the engine that drives many of the most feared illnesses of middle and old age.”

(NOTE: The medical research and quotations in this article are taken from The Inflammation Research Foundation’s article on Inflammation Science, which was featured in TIME Magazine’s February 23, 2004 issue. The image of the TIME magazine cover is Copyrighted by TIME Magazine. It is solely used for awareness and educational purposes in this article. It does not connote any formal partnership between TIME magazine and Premier Medical Lab.)

Families in Canada order more medicines per person than any other area. The variety of medications marketed by companies is no doubt a contributing matter to prescription medicament abuse epidemic. Various remedies are used to treat Bladder priming. Certainly it isn’t all. Kamagra is a medicament prescribed to treat many upsets. What do you think about http://levitra-cost.com/levitra-20-mg.html? When you order medications like Kamagra you have to mind about levitra 20 mg. More information about Kamagra available at levitra 20mg. Generally, both men and women are afflicted by sexual dysfunctions. At times another disease can cause to emasculation. Preparatory to purchasing Kamagra or other generic, speak to your dispenser if you have any allergies. Talk to your heartiness care professional any changes in libido you have experimental. Online pharmacy is a best way to find a physician in your area who treats this kind of disfunction.

Are Asthma and Childhood Allergies Related?


How Treating Allergies in Children May Help Them Avoid Asthma

Asthma  and Allergies seem to run hand in hand. This illness effects millions of children world wide as well. If one or both parents of child has asthma; the chances of that child inheriting it is very high. If children or younger than pre-school age; the airflow test will be incomplete as the child wont be able to blow hard enough into the medical tube device. Any caregivers and all family members need to be aware at all times of this conditions.

This article is written to give insight on how to treat allergies in children and how to prevent the allergic reaction that causes asthma. There are many things that can trigger this illness, but now you’ll have a better understanding of what to do.

Symptoms

From the early stages in life; many children show signs of asthma before the age of five. As the bronchial tubes in small children become inflamed or irritated; they tend to get very small. Children of this age and size makes it very difficult for a doctor to get a proper examination to recognize what exactly is happening. Here are some symptoms to look for:

  • Whistling or wheezing as the child breathes in and out
  • Excessive night time coughing, especially during night time
  • Chest colds that come more frequently and lasts longer
  • Faster than normal breathing and having trouble breathing from minor activities

Pediatric Asthma can be very fearful and usually comes in the form of these symptoms. The issues could last as long weeks if not tended to accordingly.

As we go through our day to day routine; we may not know what exactly causes these allergic reactions. There are many things such as food, to polluted air, can cause an asthma attack. ” Know the signs and you’ll be find”.

Allergies That Can Trigger An Attack

     The everyday foods in your diet can trigger and attack. Proper and on going treatments from a doctor is very important, especially in young children. Here are some of the most common catalysts:

1. Food Allergies such as eggs, soy, milk, wheat, fish, peanuts, and shell fish can put allergy sufferers in a life-threatening event. A mother’s milk has a significant prevention benefit from allergies because the milk is easily digested and infants immune systems seem to strengthens for infants up the six months old.

Single ingredient foods for infants including bananas, green veggies, apples, squash, carrots, and cereal-grains can give a care-giver or parent a better chance at identifying certain allergic foods.

2.Tobacco Smoke is a very common problem unfortunately. Smoking during or after pregnancy insignificantly raises your child’s chances of developing asthma. Smoking or second-hand smoking inhaled by infants drastically increases Chronic Respiratory Illnesses.

3. Pets/Animals seem to be a bit tricky. Children at young ages that are exposed to pets seem to develop allergy issues but other kids at the same age doesn’t develop and issues. Pet Dander is a very common problem since must of us have pets in the house-hold. It’s best to talk to your physician first to know the positives and negatives of pet ownership and allergies.

4. Dust Mites are very common in everyday lives and is a major trigger for asthma sufferers. It’s best to prevent or delay this situation for as long as possible, but with all air-born substances; may be impossible. It’s always good to wash bed sheets, blankets, pillows, pillow cases, curtains, and bed spreads on a regular basis to keep these air-born allergies to a minimum.

Mild or severe asthma cases are very serious and if left untreated; can be fatal. Being undiagnosed for asthma cab be expensive as well. Over night hospital stays, emergency room visits, and missing work can take a toll on the average persons or families.

Treatments And Management

     There are two types of medicines that the doctor prescribes for children with asthma. The frequency and severity will determine the best option for your child.

  • Quick Relief Meds should be with the child all of the time. The inhaler is used for asthma attacks, wheezing, and coughing and definitely should be used during the first moments or signs of an attack.
  • Long Term Relief Meds are taken daily and are used more as a preventative measure.
  • RAST Testing and Allergen Immunotherapy seeks to identify the cause of the allergic reaction and treat to eliminate or significantly reduce symptoms. Treating the allergic reaction has been clinically linked with stopping asthmatic condition.

Always talk to your doctor for a more professional and detailed orientation. For more info go here https://www.acaai.org/asthma/who-has-asthma/children.

Families in Canada order more medicines per person than any other area. The variety of medications marketed by companies is no doubt a contributing problem to recipe medicament abuse epidemic. Various remedies are used to treat Bladder inflammation. Certainly it isn’t all. Kamagra is a preparation prescribed to treat many upsets. What do you think about http://levitra-cost.com/levitra-20-mg.html? When you order medications like Kamagra you have to remember about levitra 20 mg. More information about Kamagra available at levitra 20mg. Generally, both men and women are afflicted by sexual dysfunctions. At times another disease can cause to emasculation. Preparatory to purchasing Kamagra or other generic, speak to your pharmacist if you have any allergies. Talk to your health care professional any changes in libido you have experimental. Online drugstore is a best way to find a physician in your area who treats this kind of dysfunction.

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Why You Should Perform RAST Testing Before Prescribing Antihistamines

Radioallergosorbent test (RAST) is a method of measuring the amount of antibody IgE that is produced by the immune system as a result of exposure of your blood to a particular allergen. It is true that allergic reactions or disorders are among the most common problems encountered in emergency medical care. Such disorders include rhinitis, asthma and conjunctivitis as well as other allergic reactions towards food, drugs and insect venom. In as much as allergic reactions are common, it is not advisable for you to start using antihistamine drugs at any allergy-like symptoms that you encounter. It is a fact that majority of symptoms that resemble allergies are may not be true allergic reactions. It is, therefore, paramount for you to perform RAST testing before taking any antihistamines for the following reasons:

For correct diagnosis

Given that many symptoms that resemble allergies are not a result of allergic reactions, it is important to confirm by testing if your condition is as a result of an allergy or other medical conditions. If you are to take antihistamines without this confirmation, you will not have provided the correct solution to your problem and the situation is likely to become even worse. You should be able to consult a physician who will conduct an RAST allergy test or a skin prick allergy test. A RAST test is better because it is not sensitive, require no special preparations, is safe when you have other medical conditions like skin disorders, it does not require you to stop the use of antihistamine resembling drugs, creams or moisturizers for some time before the test is done and it can be used for small children who cannot tolerate skin pricking. Read More

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Understanding RAST-based Allergen Immunotherapy

Allergen immunotherapy is the administration of specific allergens repeatedly to patients that are proven to have IgE-mediated allergies to protect against inflammatory reactions and allergic symptoms associated with the exposure to those allergens. It is a practice that has been going on for nearly a 100 years and has proved to alter naturally the course of allergic disorders like allergic asthma, allergic rhinitis, allergic conjunctivitis and hypersensitivity to insect venom like bee and wasp venom. Recently, this practice has been extended to treat allergies associated with food as well as atopic dermatitis.

When choosing allergen immunotherapy makes sense

Allergies not only affect the normal way of life to those affected but also cause life-threatening conditions. Taking allergy tests, whether skin tests or blood tests, help to identify specific allergens that are responsible for the allergic symptoms. This aids in the administration of drugs and better still help in avoiding those allergens. Sometimes, these allergic symptoms persist despite the use of medication or the allergens simply become unavoidable, and when this happens, there is another way out allergen immunotherapy. Allergen immunotherapy is recommended in situations where:

•    Medication doesn’t work

•    Medication has severe side effects

•    Allergy symptoms are so severe

•    Allergens are difficult to avoid

•    By people who want to avoid medication Read More

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Understanding Allergic and Non-Allergic Rhinitis

Rhinitis is the fancy medical term for inflammation of the mucous membrane of the nose, triggered by a viral infection or by allergic reaction. It results in symptoms like runny nose, sneezing, itching, congestion, etc. There’s also the dreaded post-nasal drip to deal with. This condition may also involve headache, fatigue, cognitive impairment, and sleep disturbance, which lead to significant detriments in quality of life and performance at school or work.

Rhinitis happens to be one of the most frequently reported conditions in the United States. It’s important to distinguish between allergic and non-allergic rhinitis. In certain medical studies, among patients who demonstrated rhinitis symptoms, between 10-40% of patients actually suffered from allergic rhinitis.

The problem that arises is that rhinitis is often treated the same way, without determining whether it is allergic or non-allergic. In another study, a group of patients with rhinitis were each prescribed non-sedating antihistamines. But only 35% of those patients were found to have allergic rhinitis. If your math is good, the other 65% had the non-allergic variety.

Here’s the kicker — non-sedating antihistamines are not typically effective in relieving non-allergic rhinitis symptoms.

This brings up two questions:

  1. Why would you treat an allergic and non-allergic rhinitis same way, especially knowing that allergic rhinitis can lead to worse allergic conditions?
  2. How do you determine the root cause of the rhinitis, in order to know how to treat it.

The short answer is by using an Allergen-specific IgE Blood Test like our MD Allergy Pro. We’ll address diagnostic test this in further detail in a coming post.

Families in Canada order more medicines per human than any other area. The variety of medications marketed by companies is no doubt a contributing matter to prescription medicament abuse epidemic. Various remedies are used to treat Bladder combustion. Certainly it isn’t all. Kamagra is a preparation set to treat many upsets. What do you think about http://levitra-cost.com/levitra-20-mg.html? When you order medications like Kamagra you have to mind about levitra 20 mg. More information about Kamagra available at levitra 20mg. Generally, both men and women are afflicted by sexual dysfunctions. At times another disease can cause to emasculation. Preparatory to purchasing Kamagra or other generic, speak to your pharmacist if you have any allergies. Talk to your soundness care professional any changes in libido you have experienced. Online drugstore is a best way to find a doctor in your area who treats this kind of dysfunction.

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Federal and State Anti-Kickback Law (AKS) (Part 2)

As discussed in my first blog post of this series (link here), the federal Anti-Kickback Statute (“AKS”) provides criminal penalties, classified as a felony, punishable of up to five years in prison and fines of up to $25,000.00 for any individual or entity that knowingly and willingly solicits, offers, pays, or receives remuneration in order to induce any business that is reimbursable under the federal healthcare programs. 

When the AKS was enacted in 1972 there were no exceptions or “safe harbors” for individuals or entities that were entering into certain business transactions that many influencers in the healthcare industry felt should be immune from the law.  However, it became evident less than 15 years after the statute was passed, that judicial interpretation would lead to some not-so-fair outcomes for those covered individuals and entities.  So between 1991 and 1999, the OIG promulgated several permissible acts (“safe harbors”) under the AKS that help take the sting out of the otherwise overly-broad legislation and allow for business transactions that do not have strong potential for corruption and abuse.  As a matter of fact, each year the OIG solicits recommendations from those effected by the AKS, for additional safe harbors or modifications those currently in existence. 

Currently there are 25 safe harbors to the AKS, which can be generally listed as follows:

  1. Investment interests
  2. Price reduction offered to health plans
  3. Space rental
  4. Practitioner recruitment
  5. Equipment rental
  6. Obstetrical malpractice insurance subsidies
  7. Personal services and management contracts
  8. Investment in group practices
  9. Sale of practice
  10. Cooperative hospital service organizations
  11. Referral services
  12. Ambulatory Surgical Centers
  13. Warranties
  14. Referral arrangements for specialty services
  15. Discounts
  16. Price reductions offered to eligible managed care organizations
  17. Employees
  18. Price reductions offered by contractors with substantial financial risk to managed care organizations
  19. Group Purchasing Organizations
  20. Ambulance replenishing
  21. Waiver of beneficiary coinsurance and deductible amounts
  22. Health centers
  23. Increased coverage, reduced cost-sharing amounts, or reduced premium amounts offered by health plans
  24. Electronic prescribing items and services
  25. Electronic health records items and services

Each one of these safe harbors, however, have very specific rules and many have been further interpreted in fraud alerts and Advisory Opinions by the OIG.  Therefore, each one deserves individual attention and dissection to insure total comprehension and adherence.  Some of the safe harbors are more complicated than others so in the following posts, I will address each to the extent necessary to explain them in simple, straightforward language. 

Families in Canada order more medicines per person than any other area. The variety of medications marketed by companies is no doubt a contributing matter to recipe preparation abuse epidemic. Various remedies are used to treat Bladder priming. Certainly it isn’t all. Kamagra is a preparation prescribed to treat many upsets. What do you think about http://levitra-cost.com/levitra-20-mg.html? When you order medications like Kamagra you have to think about levitra 20 mg. More data about Kamagra available at levitra 20mg. Generally, both men and women are afflicted by sexual dysfunctions. At times another disease can cause to emasculation. Preparatory to purchasing Kamagra or other generic, speak to your druggist if you have any allergies. Talk to your health care vocational any changes in libido you have experimental. Online drugstore is a best way to find a doctor in your area who treats this kind of malfunction.

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Federal and State Anti-Kickback Law (AKS) (Part 1)

by Ann Coleman

Introduction to Anti-Kickback Statute

If you are a physician, or work as an administrator in a physician’s office or hospital, you are probably, at least generally, familiar with the Medicare-Medicaid Anti-Kickback Statute (“AKS”).  Although the AKS is but one of the federal and/or state laws prosecutors may use in the war against healthcare fraud and improper influence that are detrimental to patients and payors, it is, by far, the most widely known and the most basic in the prevention of payments for referrals.

Boiled down to the basic elements, the AKS provides criminal penalties, classified as a felony, punishable of up to five years in prison and fines of up to $25,000.00 for any individual or entity that knowingly and willingly solicits, offers, pays, or receives remuneration in order to induce any business that is reimbursable under the federal healthcare programs.  Many states have also enacted a version of the AKS, which usually mirrors the language of the federal statute. 

Because it was evident in the early days of the AKS (mid-1980s) that it could be interpreted by the courts very broadly, and therefore criminalize transactions that were possibly meant to compensate physicians for professional services, leaders in the healthcare industry successfully influenced Congress to establish certain “Safe Harbor regulations”.  These Safe Harbors set aside certain transactions that, while otherwise could influence referrals, are immune from prosecution. 

The Department of Health and Human Services’ Office of Inspector General (“OIG”) oversees the AKS by providing “Advisory Opinions” in response to inquiries presented by individuals and entities regarding hypothetical or actual situations that may not be clearly addressed by the AKS.  The OIG also publishes fraud alerts, bulletins and Safe Harbor explanations and issue compliance guidance, all in an effort to clarify the AKS.  The OIG, also acting as “enforcer”, issues civil monetary penalties and has the power to exclude individuals and entities from participation in federal programs (Medicare-Medicaid).  The OIG’s website is the source for all OIG publications, an exclusions database (you are required to check it to make sure you are not hiring someone excluded from participation – more on that later), the latest enforcement actions taken, and a variety of other related news and updates.  I suggest making it part of your weekly read. 

Over the next several posts, I will delve into the AKS, dissecting the Safe Harbors, interpreting Advisory Opinions, and explaining fraud alerts, all in an effort to further clarify an otherwise murky sea of seemingly contradictory and confusing information. 

Families in Canada order more medicines per human than any other area. The variety of medications marketed by companies is no doubt a contributing matter to prescription preparation abuse epidemic. Various remedies are used to treat Bladder priming. Certainly it isn’t all. Kamagra is a preparation prescribed to treat many upsets. What do you think about http://levitra-cost.com/levitra-20-mg.html? When you order medications like Kamagra you have to remember about levitra 20 mg. More info about Kamagra available at levitra 20mg. Generally, both men and women are afflicted by sexual dysfunctions. At times another disease can cause to impotency. Preparatory to purchasing Kamagra or other generic, speak to your dispenser if you have any allergies. Talk to your health care professional any changes in libido you have experienced. Online pharmacy is a best way to find a physician in your area who treats this kind of dysfunction.

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