Middle-aged friends pay attention to depression, somatization

Lent over Miss Wang, agile imaginative power, sophisticated work, but not long ago, a young female college student to replace her work, Ms. Wang is a very sad and worried. Since then, she was depressed, hard to sleep at night, but wake up very early, obviously decreased appetite, headache, chest tightness, fatigue can not, does not apply in deep pain. Hospital were diagnosed as "neurasthenia" and "autonomic dysfunction" and "syndrome", but a variety of treatment was not obvious until recently, insomnia increased use of sleeping pills is invalid, the event to a psychiatrist diagnosed with depression. Depression is a very common, but less susceptible to the understanding of mental disorders. Such as mild depression is consciously low mood, sadness distress, reduced interest, reduced speech, slow thinking, do not want to, and other activities, and as a result of trauma can be induced. Most of the others from the outside can not see anything abnormal. In addition, patients often do not apply a variety of physical symptoms, the physical symptoms of the patient can feel very prominent, resulting in a cover up depression, we called this phenomenon "of the body." Although depression can occur in all age, but the "body" is in many middle-aged, middle-aged women in particular, often from the point of view of psychoanalysis. Although middle-aged may be due to the more vulnerable to psychological frustration arising from depression, worry, but on the outside, in order to maintain self-esteem is often strong for every person smile. So that the bad feelings out difficult to resolve, through the subconscious into the role of the inward projection, resulting in a variety of physical symptoms. Patients can be physical symptoms as a result of long-term and comprehensive treatment in hospitals, and between. However, if double-check or dig out that they can be symptoms of depression. If the above-mentioned Ms. Wang, a doctor from the body is found behind the symptoms of her cause and give antidepressant treatment, adverse physical and emotional ease the symptoms have been given the correct diagnosis. If a person continuously for a long time the existence of depression, there are a variety of physical discomfort, severe insomnia, but a variety of hospital and could not check the corresponding anomaly, or ineffective treatment of a variety of symptoms, suspected to have depression May be, shall call a psychiatrist for further examination, treatment in a timely manner. Depression is a good prognosis of mental illness, the current treatment of depression and effective means of antidepressants such as fluoxetine, both domestic and imported, have good curative effect, the treatment, many patients can be recovered.

Eat more potatoes to prevent recurrence of hemorrhoids

Piles of autumn and winter is the high season, many suffering from hemorrhoids to a friend, this time it will Abnormal think hard In fact, as long as the attention of the conditioning diet, give up some of the bad habits of day-to-day, it is entirely possible to prevent recurrence of hemorrhoids. In the fall season, significantly transform the stage, the temperature gradually dry, relatively large temperature difference between morning and evening, the body vulnerable to water evaporation. What is more, many people in uncontrolled tonic in the fall, leading to the digestive system disorders, which cause diarrhea or constipation, diarrhea and constipation and hemorrhoids are a major cause of relapse. In fact, a reasonable regulation of diet to prevent constipation is the most scientific method. Should pay attention to the following: First of all, drink boiled water, weak tea to drink, eat carrots, tomatoes, pears, Lily, Tremella, and so on, to add to the body of water, but also appropriate to add coarse grains, beans, and other fiber-rich foods, increased bowel movements and prevent constipation, And can not be blindly over-tonic. Secondly, some people believe that eating celery to reduce constipation, this is not the case, in the celery contains crude fiber, and defecation is really conducive to the dietary fiber in some of the roots of plants, more fruits, such as potatoes, yam, lotus root, wheat bran And so on. Also, eat less spicy and stimulating food, drink less. Because alcohol and pepper in the stomach and intestinal absorption of small, will be discharged directly from the rectum, thus increasing the anus and rectum to stimulate the easily led to the fall symptoms.

Mild preferred to use what internal medicine

Many people suffering from hemorrhoids to find around in search of drug treatment, in fact, hemorrhoid symptoms do not need treatment, that is, do not need hemorrhoidal "radical." In general, drug treatment applied to a variety of internal and external hemorrhoids, mixed hemorrhoid, is the first choice for mild internal hemorrhoid treatment. The common symptoms of hemorrhoids, the drug in the treatment of pain relief and side effects of bleeding significantly, hemorrhoids caused by the fall anus, itching and constipation have a good effect, or a combination of internal hemorrhoids prolapse, can reduce the swelling to alleviate the symptoms, and For serious off basic null and void. Hemorrhoid treatment branch of the Department of the drug treatment and oral medication. Local drug treatment is for external use drugs, including the main components of hydrocortisone, lubricants, detergents and medicine, such as the protection of mucous membrane, for the general suppository, ointment two formulations. Its role is anti-inflammatory, bleeding, pain, itching and ease the procedure for prolapse and edema caused by the fall anus and a sense of block bowel movements flu. Local drug for the treatment of short-term to ease symptoms, and should not be used as long-term preventive medication. It should be noted that, in the view that if there are symptoms of hemorrhoids constipation, partial application is not recommended laxatives, the need for targeted therapy. If hemorrhoid attack again, the use of local drug treatment is still valid. Oral medication, including increased dietary fiber intake, improve bowel function in patients with Hemorrhoid, and anti-inflammatory, such as the use of intravenous agent. Dietary fiber was not referring to the intestinal absorption of dietary fiber, it can prevent the intestinal absorption of excessive moisture in order to ease the bleeding, pain and other symptoms and to prevent its onset. It is suitable with intestinal dysfunction, such as diarrhea or constipation patients. Intravenous agent microcirculation to reduce the local edema can be used to attack internal short-term treatment, not long-term application. If the hemorrhoid with local inflammation, may choose to antibiotics or steroidal anti-inflammatory drugs, which can effectively alleviate the pain caused by hemorrhoids thrombosis. It should be emphasized that the drug can alleviate the symptoms of hemorrhoids, but you can not eliminate hemorrhoids. In addition, although the treatment of hemorrhoids drugs safer, but still under the guidance of a doctor's choice

CPT® and RBRVS 2009 Annual Symposium

The upcoming CPT® and RBRVS 2009 Annual Symposium meeting is scheduled for Nov. 12-14, 2008 at the:
Hyatt Regency Chicago151 East Wacker DriveChicago, IL 60601Phone: (312) 565-1234
Hotel accomodations
Symposium attendees are responsible for their own hotel reservations. Rooms have been reserved at the Hyatt Regency Chicago.
Book your room at the Hyatt Regency Chicago , or call the hotel directly at (312) 565-1234. The group room rate per night for single or double occupancy is $239 (standard), plus tax (currently 15.4 percent).
You must mention the AMA symposium when booking your room to take advantage of the special group room rate. Remember to write down your confirmation number from the hotel to ensure your room reservation. Guest rooms are available Nov. 11–14, 2008. Reservations must be made by Oct. 21, 2008. Rooms are available on a first come, first serve basis; no additional rooms will be added.
Three ways to registerRegister online for the fastest and easiest way to register. You must have a valid credit card available to secure your space. Payment confirmations will be sent via e-mail. Please print the e-mailed confirmation for your records.
Register by telephoneCall the AMA Unified Service Center at (800) 621-8335. You must have a valid credit card available to secure your space.
Register by mailIf your company requires that you pay with a check, please print this form (PDF, 28KB). Make the check payable to “American Medical Association” and send your payment no later than Friday, Oct. 31, 2008 (no checks will be processed after this date). Payment and registration form(s) should be sent to:
CPT® and RBRVS 2009 Annual Symposium RegistrationOrder DepartmentAmerican Medical AssociationP.O. Box 930876Atlanta, GA 31193-0876
*The AMA does not accept registrations by fax or e-mail.
Registration feesDiscount rate: $750Full rate: $900Fee includes: continental breakfast, break, lunch and cocktail reception.
Registration discountsDiscounted registration rates apply for the following:
AMA members
CPT and RUC advisors or staff
Past AMA CPT or RBRVS symposia attendees
CPT® Assistant newsletter subscriber
Clinical Examples in Radiology subscriber
CPT® Network subscriber
CPT licensees
CPT® and RBRVS Symposium topicsEach presenter will discuss in detail many of the significant changes to CPT 2009 codes and descriptors, as well as 2009 payment policy and relative value unit (RVU) changes to the Medicare physician payment schedule. The following topics will be discussed:
Cardiology
Evaluation and Management
End-Stage Renal Disease Services
Spine Surgery/Neurosurgery
Medicare Medical Home Demonstration
General Surgery
Urology
Orthopaedic Surgery
Ophthalmology
Otolaryngology
Pathology and Laboratory Services
Pediatrics
Performance Measures

AMA establishes the CPT ® Assistant Editorial Board

The American Medical Association (AMA) has established an editorial board for the CPT ® Assistant newsletter. The CPT ® Assistant Editorial Board will give specialty societies, payers, and other CPT stakeholders the opportunity for formal input into the process of selecting topics for articles, reviewing the publication's coding content, and contributing content for publication.
BackgroundIn 2004, the AMA's Board of Trustees responded to an AMA House of Delegates Resolution that called on the AMA to study the feasibility of developing a national standard for the utilization of codes, code combination, and modifiers that is consistent with all CPT codes, guidelines, and conventions and that would be used by all commercial and governmental payers. Shortly after the 2004 Annual Meeting, the AMA contracted with an external consulting group that specializes in evaluating and designing legislative and regulatory proposals, developing and analyzing options to achieve the strategic goals of its clients, drafting legislation, and developing ideas on a wide array of health policy and related areas.
A study was conducted based on a review of a wide range of written documents and on-line reference materials. It was also based on more than two dozen structured interviews with representatives of key stakeholders in the CPT coding community and other individuals with relevant expertise and experience. These individuals included:
Representatives of the CPT Editorial Panel, the CPT Advisory Committee, the Health Care Professionals Advisory Committee (HCPAC), and the AMA/Specialty Society RVS Update Committee (RUC)
Physician and staff representatives of national medical specialty societies, state medical associations, and national organizations representing nonphysician health professionals
Representatives of hospitals, professional coders, and coding consultants
Representatives of the Centers for Medicare and Medicaid Services (CMS), Medicare contractors, the National Center for Health Statistics (NCHS), the National Committee on Vital and Health Statistics, and other agencies within Health and Human Services
Physician and staff representatives of health insurance companies and managed care organizations and the national associations representing their interests
Individuals knowledgeable about proprietary claims editing programs
The New BoardAfter reviewing the report recommendations, it was decided that the AMA should move forward with the creation of an editorial board. The board represents a departure from the past 17 years, during which the newsletter was primarily a product of AMA staff with CPT Editorial Panel and/or CPT Advisory Committee review of content. In the past, the focus and purpose of the CPT ® Assistant was to impart coding advice from the AMA perspective based on discussion of the use and interpretation of the codes at panel meetings and as reflected in the official Panel minutes. With the creation of the editorial board, the focus of the newsletter will subtly shift from providing strict CPT coding guidance and interpretation to responding to “real world” coding issues.

Chemical Weapons: Researcher Working On Their Destruction

America's war on terror includes fighting the dark side of deadly chemical agents, and Texas A&M University chemist Dr. Frank Raushel is helping with the fight by developing an enzyme that might neutralize one such chemical agent, the organophosphates. Synthetic organophosphates started their journey as insecticides in the 1930s but soon made their way into the dangerous alleys of chemical warfare during World War II. Raushel, who has been working on detoxification of organophosphates for nearly 10 years, says that the toxic properties of the organophosphate nerve agents are a serious threat to the health and well being of civilized societies. Although outlawed by several international treaties, some countries have used chemical agents during times of war. In 1988, the Iraqi Kurdish village of Halabja was exposed to multiple chemical agents, killing about 5,000 of the town's 50,000 residents. After the incident, traces of mustard gas and the organophosphates sarin, tabun and VX were discovered. Raushel, the Davidson Professor of Science at Texas A&M, has been awarded a four-year grant of $1.2 million by the National Institutes of Health to carry out his work on organophosphates. Organophosphates are neurotoxins - they attack the nervous system by blocking the function of the enzyme acetylcholine esterase, which carries nerve signals. When organs such as the lungs do not receive appropriate nerve signals, control is lost over respiratory muscles, and it usually results in death by asphyxiation. Today, some classes of organophosphates are used as insecticides while others have been categorized as chemical weapons. Researchers have discovered a bacterial enzyme, phosphotriesterase, which can recognize and destroy the toxicity of a broad spectrum of organophosphate nerve agents. What Raushel aims to do is design and characterize bacterial phosphotriesterases that are better at detecting, destroying and detoxifying those organophosphates that pose the most serious threats to human health.

Does alcohol contribute to vitamin and mineral deficiencies?

When alcohol replaces food, there can be numerous deficiencies caused by the lack of an adequate intake of nutrients. Nutritional deficiencies are common among alcoholics, but they can also be found in people who consume alcohol on a regular basis. The following are common deficiencies brought on by alcohol consumption:
Folate: Folate helps produce and maintain new cells. Alcohol interferes with dietary folate intake, folate absorption, transport of folate to necessary tissues, and the storage and release of folate by the liver.
Vitamin B12: Vitamin B12 is needed to help make DNA and to maintain healthy nerve cells and red blood cells. Studies have shown that both moderate and heavy alcohol consumption will affect vitamin B12 levels. One study showed a 5% decrease in mean serum vitamin B12 concentrations when consumption of alcohol increased from 0 to 30 grams of alcohol/day.
Vitamin A: Vitamin A is needed for vision, to regulate the immune system, for bone growth, for reproduction, cell division, and differentiation. Alcohol has been found to promote a deficiency of vitamin A and also enhance its toxicity when taken in excessive amounts.
Calcium: Calcium is needed for blood vessel and muscle contraction and expansion, for the secretion of hormones and enzymes, and for transmission of messages through the nervous system. Alcohol consumption can cause a loss of calcium in the body by increasing urinary calcium excretion. Calcium deficiency can also lead to osteoporosis.
Numerous other deficiencies will occur when alcohol replaces nutrients in a balanced diet. The damage to your liver and other organs brought on by chronic, excessive alcohol consumption will cause severe problems that can lead to vitamin and mineral deficiencies. The long-term consequences of these deficiencies far outweigh the small amount of health benefits that have been found with alcohol consumption.