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HEALTHBEAT SHOW NOTES .... Episode #244 - Recorded March 12, 2010

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 Looking At –

• Senate Delays Medicare Physician Payment Cuts

• California Board of Chiropractic Examiners Adopts New Regulations for MUA

• And Finally, a story about Lumbar Spinal Stenosis and Prior Surgery

For HealthBeat, This is Dr. Todd Eglow!

Welcome to HealthBeat Podcast #244, recorded March 12, 2010.

HealthBeat is Chiropractic OnLine Today’s radio program, providing current news and commentary about Chiropractic and Health.

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And Now for some news ….

Senate Delays Medicare Physician Payment Cuts

Continuing our coverage of Medicare Physician Payments, on Tuesday, March 2^nd, the U.S. Senate voted 78 to 19 to pass a bill that extends unemployment benefits and postpones a planned 21% cut in Medicare physician payments until April 1.

The passage of the bill came after Sen. Jim Bunning (R-Ky.) agreed to vote on the bill. He previously withheld unanimous consent on the grounds that the bill would increase the federal budget deficit without being paid for under recently-enacted pay-as-you-go (PAYGO) legislation which requires spending increases to be offset by funding.

The president of the American Medical Association (AMA), J. James Rohack, MD, stated in an AMA press release that the Senate should use this time to permanently repeal the sustainable growth rate (SGR) formula.

Stay Tuned.

Surf to our Show Notes for more information - http://www.orthosupersite.com/view.asp?rID=61539

California Board of Chiropractic Examiners Adopts New Regulations for MUA

The California Board of Chiropractic Examiners has adopted new regulations intended to increase patient safety during manipulation under anesthesia.

Among other things, the regulations require:

• Patients to be examined by a California-licensed physician before MUA is performed;

• MUA to be performed in a licensed hospital or surgery center;

• That the anesthesia be administered by a California licensed physician and surgeon or other health care practitioner authorized under the law to administer anesthesia; and

• That MUA be performed by two licensed and competent chiropractors, with one performing the manipulation and the other ensuring that all movements are accomplished with patient care and safety as the primary focus.

“These regulations are designed to increase patient safety by providing a clear standard of care for chiropractors who perform MUA,” Robert Puleo, interim executive officer of the Sacramento-based Board of Chiropractic Examiners, wrote in an e-mail. “Our primary mission is patient safety, and these new regulations are part of our ongoing effort to protect patients.

The new regulations, recently approved by the Office of Administrative Law, go into effect March 18.

Surf to our Show Notes for more information - http://sacramento.bizjournals.com/sacramento/stories/2010/02/22/daily4.html

http://www.chiro.ca.gov/

Lumbar Spinal Stenosis and Prior Surgery

Patients who undergo the typical surgical treatments for spinal stenosis can expect better results if their stenosis is at a lower lumbar level or they had no previous surgery in that area, according to findings of a multicenter, prospective, observational study.

Among the many factors the investigators examined that could impact surgical success, the location/height of the affected segment had the greatest impact on physician-based outcomes. It was associated with a 2.7 odds ratio for a good outcome for L4-L5 compared to L2-L3, said Thomas H. Zweig, MD, of Bern, Switzerland.

“Furthermore, there was a 1.7 odds ratio for an unsuccessful outcome for patients who had previous surgery on the same level,” he said at a recent meeting. “These findings can help quantify the expected outcome for surgery in patients with lumbar spinal stenosis (LSS).”

Surf to our Show Notes for more on this Orthopedics Today article - http://ow.ly/1blEg

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– Sir Winston Churchill 

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