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  • 10 months later...

In a message dated 10/18/2003 6:21:45 AM Pacific Standard Time, writes:

don't know how long I will be on line. My phone is over due to be shut off. the WV hillbilly

, I'm sorry to hear about this. Don't forget that you can check e-mails at most libraries for free. One has to give way for other library users who may be waiting for their turns, of course, and that can be pretty frustrating.

This is a good example of why we all need to stay fairly "on-topic". Some of our group must read their e-mail at libraries, and some don't have e-mail plans with unllimited minutes. So -- we try to keep our messages fairly brief and we write about subjects that are fairly relevant to AIH and other liver diseases.

Harper

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My phone should be off Monday morning and since I don't drive I can't get to the library so I will get back to you guys as soon as I can.

I am sorry for being so quiet lately but I have been sick and they have been changing some of my meds so not doing so good. I go for my bone density test on Friday and also getting a sugar check. Liver enzymes are good!

I am now on a nebulizer and trying to quit smoking. Yuk!!!!!! To much right now.

I am glad about your test results and hope all keeps going well. I made it down to 10mg of prednisone and 25 of Imuran. Any lower and my liver shuts down.Bummer.

Tony I will always be praying for you and your family.

Anita I hope things are going good for you deserve a break. How's Amy?

Bert good luck with you comedy site I wish I could be there!! Hope the boys are doing good I never found out how the biopsy's went.

Jerry we miss you!!!!

There are a lot of others I would like to write to but am using up to much space. Don't forget me!!!!!!!

the WV hillbilly

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  • 5 years later...

Anyone know anything about Evocity, a marketing company.Good or bad?Thank youGene ,DCOn Sep 30, 2009, at 7:31 AM, wrote:

Chiropractic Physicians of Oregon

Messages In This Digest (19 Messages)

1a.

Re: pt case: stenosing tenosynovitis

From: shane mclaughlin

1b.

Re: pt case: stenosing tenosynovitis

From: Abrahamson

1c.

Re: pt case: stenosing tenosynovitis

From: Dr. Ted Forcum

2a.

Re: Question about Healthcare Reform Outcome

From: Abrahamson

2b.

Re: Question about Healthcare Reform Outcome

From: hillcrestchiro

3a.

Re: Piriformis Synd.

From: rmaltitude

3b.

Re: Piriformis Synd.

From: Sunny Kierstyn

4.

referral for Sun City AZ

From: Dan Beeson

5a.

Re: Blue Cross is getting sued over post-payment audits

From: Abrahamson

6a.

"Ancillary Providers"

From: Lyndon McGill

6b.

Re: "Ancillary Providers"

From: Sunny Kierstyn

6c.

Re: "Ancillary Providers"

From: Lonnie

7a.

Vicodan

From: D Beebe, D.C.

7b.

Re: Vicodan

From: Abrahamson

8.

OT: Welcome to Metro Hi Speed Fax Service

From: Abrahamson

9.

Billing for Licensed Massage

From: M. s, D.C.

10.

how much omega 3 do we REALLY need?

From: cosmo

11.

Massachusetts state insurance facts...

From: cosmo

12.

Fw: Daily Dose - Big Pharma targets your kids

From: Vern Saboe

View All Topics | Create New Topic

Messages

1a.

Re: pt case: stenosing tenosynovitis

Posted by: "shane mclaughlin"

dr_mac012@...

dr_mac012

Tue Sep 29, 2009 9:03 am (PDT)

Hi Lily,

I actually had this on my dominant hand while going through western states and it was a long heal time for me. I agree with Dr. Caughlin about underwater ultrasound and CMT but I would add lots of trigger point work in the forearm. Start about 2-3 inches proximal of the styloid process and work your way up the forearm to the elbow.

Lastly, have the patient ice all the time and if they can take it, ice water bath works best.

Shane McLaughlin, DC CCSP

From: Lily Roselyn <lilyroselyn22 >

Subject: pt case: stenosing tenosynovitis

Date: Tuesday, September 29, 2009, 8:29 AM

Greetings,

Have 32 yo pt (new mom) with severe unilat stenosing tenosynovitis aggravated with repetitive insertion of infant carseat belt (for 1 yr).. She's experiencing severe pain with slightest motion adductor/abductor pollicis as well as palpation of radial styloid.

Thanks in advance for suggestions re conservative treatment strategies.

Lily Roselyn, DC

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1b.

Re: pt case: stenosing tenosynovitis

Posted by: " Abrahamson"

drscott@...

Tue Sep 29, 2009 10:02 am (PDT)

How does Graston Technique work for this?

Those guys will scrape anything!

Internal pterygoids gotcha down? We have a tool that fits right in there!

Calling Tim Irving!

And ultrasound is the ticket for stenosing anything! 2 months or more.

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

From: Lily Roselyn <lilyroselyn22 >

Date: Tue, 29 Sep 2009 08:29:05 -0700 (PDT)

< >

Subject: pt case: stenosing tenosynovitis

Greetings,

Have 32 yo pt (new mom) with severe unilat stenosing tenosynovitis

aggravated with repetitive insertion of infant carseat belt (for 1 yr)..

She's experiencing severe pain with slightest motion adductor/abductor

pollicis as well as palpation of radial styloid.

Thanks in advance for suggestions re conservative treatment strategies.

Lily Roselyn, DC

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Messages in this topic (5)

1c.

Re: pt case: stenosing tenosynovitis

Posted by: "Dr. Ted Forcum"

tforcum@...

Tue Sep 29, 2009 10:06 am (PDT)

Graston Technique does seem to work well for this. Depending on the

level of inflammation of the tendon sheath, the technique will very.

Other modalities and taping would be my usual course of care for this

condition.

Ted Forcum, DC, DACBSP

'08 US Olympic Team Chiropractor

ACA Sports Council, President

Back In Motion Sports Injuries Clinic, LLC

11385 SW Scholls Ferry Road

Beaverton, Oregon 97008

503.524.9040

www.bimsportsinjuries.com <http://www.bimsportsinjuries.com/>

The information contained in this electronic message may contain

protected health information confidential under applicable law, and is

intended only for the use of the individual or entity named above. If

the recipient of this message is not the intended recipient, you are

hereby notified that any dissemination, copy or disclosure of this

communication is strictly prohibited. If you have received this

communication in error, please notify Back In Motion Sports Injuries

Clinic, LLC at 11385 SW Scholls Ferry Road, Beaverton, OR-97008. and

purge the communication immediately without making any copy or

distribution.

________________________________

From: [mailto: ] On

Behalf Of Abrahamson

Sent: Tuesday, September 29, 2009 9:59 AM

Lily Roselyn;

Subject: Re: pt case: stenosing tenosynovitis

How does Graston Technique work for this?

Those guys will scrape anything!

Internal pterygoids gotcha down? We have a tool that fits right in

there!

Calling Tim Irving!

And ultrasound is the ticket for stenosing anything! 2 months or more.

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com <http://www.lakeoswegochiro.com>

________________________________

From: Lily Roselyn <lilyroselyn22 >

Date: Tue, 29 Sep 2009 08:29:05 -0700 (PDT)

< >

Subject: pt case: stenosing tenosynovitis

Greetings,

Have 32 yo pt (new mom) with severe unilat stenosing tenosynovitis

aggravated with repetitive insertion of infant carseat belt (for 1 yr)..

She's experiencing severe pain with slightest motion adductor/abductor

pollicis as well as palpation of radial styloid.

Thanks in advance for suggestions re conservative treatment strategies.

Lily Roselyn, DC

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Messages in this topic (5)

2a.

Re: Question about Healthcare Reform Outcome

Posted by: " Abrahamson"

drscott@...

Tue Sep 29, 2009 9:57 am (PDT)

Hi Ann,

Just a very brief story.

It may serve to demonstrate a tendency.

I had a friend who represented Social Security Disability plaintiffs.

If these people were denied disability, he represented them and the law said

that if they won, the gub-mint had to pay the lawyer¹s fees.

No problem. Some risk for the lawyer so he had to judge whether the case was

worth it.

The Social Security Admin. Couldn¹t change the pay the plaintiff lawyer law

but they ³tweaked it² a little bit.

They arranged to have the plaintiff paid, if they won, in a lump sum for

their first disability check and lawyer fees which they were supposed to pay

the lawyer.

Of course, they would keep the money. (He¹s got plenty. We have none.)

If the lawyer sued them for it, they had nothing to take.

Get it?

I suspect that the government is planning to game the system to rip off the

tax payers and the health care recipients.

Don¹t be too hard on them. Kids, employees, customers, and patients tend to

do the same things.

Good thing we are all honest and uprighteous!

Well, there was this one time I had a 50lb. Bag of dog food on the bottom

shelf of the shopping cart the gal forgot to charge me for. But I was a

little short and the store was rich so I said, ³To heck with them!²

Just kidding.

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

From: <bluepearl2001cs>

Date: Tue, 29 Sep 2009 10:59:11 -0400

< >

Subject: Question about Healthcare Reform Outcome

I have a sincere question regarding the healthcare reform bill that will,

most likely, come up for a vote in Congress.

And I am requesting that if you can offer an answer that you do so if you

have actual information. What I am trying to avoid is reams of rambling

"opinions" and such.

So let me frame my question:

The info we are getting--There will be no changes for people, like me and my

husband, who have "good insurance coverage". We get to keep our insurance

and nothing will change. No one will be forced into a Public Option.

So the question I have (actually, that my husband has...) is this:

If a Public Option or something like that is included in this bill and that

Option is less expensive and has fewer 'frills" (you know, Alternative

Care...), how will that come to bear on the future insurance decisions

employers will be making as they negotiate with existing healthcare

insurance companies?

There is chatter about existing companies having to become "more

competitive". One possibility is that being 'competitive' means LESS PROFIT

for them unless they can put pressure on employers to dumb down insurance

plans for their employees.

Another possibility is that this will give employers leverage to keep

coverage from eroding and becoming more and more expensive.

So if you have heard or read something that helps clarify this question, I'm

all ears.

Have a great day!

Ann , DC

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Messages in this topic (4)

2b.

Re: Question about Healthcare Reform Outcome

Posted by: "hillcrestchiro"

hillcrestchiro@...

hillcrestchiro

Tue Sep 29, 2009 11:26 am (PDT)

The problem isn't "choice" the problem is ultimate gov't control and fundimental structure.

Eventually, people won't have any options but one and the option to be a cash provider will be verboten.

, DC, DABCO

>

> 726.5

>

>

>

> Vern Saboe

>

>

>

> _____

>

> From: [mailto: ] On Behalf

> Of M. s, D.C.

> Sent: Monday, September 28, 2009 11:44 AM

> Oregondcs

> Subject: Piriformis Synd.

>

>

>

>

>

> Can any of you "sports" practitioners tell me what code you use for

> "Piriformis syndrome" in order to communicate that to an insurance company

> on a HCFA? (WITHOUT having to submit a separate report...from God). (:-)

>

>

>

> M. s, D.C.

>

>

>

> No virus found in this incoming message.

> Checked by AVG - www.avg.com

> Version: 8.5.409 / Virus Database: 270.13.113/2400 - Release Date: 09/28/09

> 05:51:00

>

__________________________________________________________

found her dream laptop. Find the PC that’s right for you.

http://www.microsoft.com/windows/choosepc/?ocid=ftp_val_wl_290

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Messages in this topic (5)

4.

referral for Sun City AZ

Posted by: "Dan Beeson"

drdan@...

Tue Sep 29, 2009 10:53 am (PDT)

Dear List,, I have a patient going to Sun City for the winter,, I need a

referral please..Dan Beeson

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5a.

Re: Blue Cross is getting sued over post-payment audits

Posted by: " Abrahamson"

drscott@...

Tue Sep 29, 2009 2:45 pm (PDT)

Not to be cynical but there was a Grisham book about class action suits

(Rain Maker?) which showed all these people getting wounded by bad drugs and

the lawyers finding them and signing them up.

Then they prosecuted the suit and kept most of the money.

The plaintiffs got $11.36 and a nice calendar.

Not that it isn¹t heartening to see insurance companies sued for this

pathetic behavior.

Someone needs to tell Joe Cimino who was driven out of business by this

rotten Blue Cross behavior.

E. Abrahamson, D.C.

Chiropractic physician

Lake Oswego Chiropractic Clinic

315 Second Street

Lake Oswego, OR 97034

503-635-6246

Website: http://www.lakeoswegochiro.com

From: Hacmac <ehacmachotmail>

Date: Mon, 28 Sep 2009 19:33:26 -0700

< >

Subject: Blue Cross is getting sued over post-payment

audits

PRESS RELEASE

FOR IMMEDIATE RELEASE

Health care providers and ASSOCIATIONS sue blue cross blue shield

association and 22 RELATED BCBS ENTITIES

Chicago, IL ­ Pomerantz Haudek Grossman & Gross LLP today announced that it

and co-counsel Buttaci & Leardi, LLC filed a class action lawsuit against

the Blue Cross Blue Shield Association (³BCBSA²) and 22 leading BCBS

insurers across the country on behalf of a putative nationwide class of

health care providers, as well as the Pennsylvania Chiropractic Association

(³PCA²), the New York Chiropractic Council (the ³Council²), and the

Association of New Jersey Chiropractors (³ANJC²). The suit challenges the

Defendants¹ abusive practices in using post-payment audits and reviews, and

improper repayment demands, to pressure providers to repay substantial sums

that have previously properly been paid as health insurance benefits for

services provided to BCBS subscribers.

The action alleges that the post-payment audit and review process as applied

by the various named BCBS Entities violates the Employee Retirement Income

Security Act of 1974 (³ERISA²), in that its repayment demands are

retroactive determinations that particular services are not covered under

the terms of the BCBS health care plans, but without proper appeal or other

protections otherwise available under ERISA for both self-funded and fully

insured health care plans offered through private employers. The complaint

further alleges that the post-payment audit and review process, as well as

the forced withholds of unrelated benefit payments to offset alleged prior

overpayments, violate the Racketeer Influenced and Corrupt Organizations Act

(³RICO²).

The PCA, the Council and the ANJC are participating in the action in an

associational capacity on behalf of their members, while fourteen individual

chiropractors and one occupational therapist, located around the country,

have sued as the class representatives of the putative class. According to

Gene Veno, Executive Director of the PCA, ³we met on numerous occasions with

Blues Senior Management in an effort to establish a fair and balance

approach to conducting post-payment reviews, but to no avail.² As a result,

he added, ³the PCA elected to join this action to ensure that the rights of

our members are protected.² Four of the 15 named individual plaintiffs are

Pennsylvania chiropractors. Dr. La, Chair of the Insurance

Committee for the Council, states that ³this action is an important step by

the chiropractic profession to fight back against the egregious actions

being taken by Blue Cross Blue Shield companies against our members and

other providers nationwide.² The Council and the ANJC had previously joined

in a class action recently filed against Aetna, Inc. for similar

post-payment audit practices.

In the complaint, Plaintiffs allege that, as a means to maximize its

profits, the BCBS Entities use their post-payment audit and review process

to make retroactive adverse benefit determinations whereby they demand that

providers repay funds they had previously received for providing services to

BCBS subscribers. Moreover, the BCBS Entities frequently withhold new

benefit payments for unrelated services to apply toward the alleged

overpayments, even where there has been no valid appeal process or

validation that any sums are in fact owed by the providers. ³In essence,²

says Plaintiffs¹ counsel Dr. Hufford of Pomerantz Haudek, ³the BCBS

Entities simply state there are overpayments and then just take the money

from providers, without valid due process protections. We believe this is a

blatant violation of law.²

The Complaint further alleges that the BCBSA is coordinating the recoupment

efforts with its state BCBS licensees on a nationwide basis. Plaintiffs seek

to enjoin the BCBS Entities from continuing to engage in impermissible audit

and recovery practices and to compel them to return the funds they have

improperly withheld.

The amount of funds that are at issue in the lawsuit are substantial. On

June 30, 2009, the BCBSA announced that its National Anti-Fraud Department

had ³recovered nearly $350 million as a result of the anti-fraud

investigations in 2008.² Plaintiffs¹ co-counsel N. Buttaci of

Buttaci & Leardi states that ³we believe a substantial portion of this

Œrecovery¹ falls within the improper practices we are challenging in this

action.²

Pomerantz Haudek, which has offices in New York, Chicago, Washington, D.C.,

Columbus, Ohio and the San Francisco Bay area, is acknowledged as one of the

premier plaintiff class action firms, and, in particular, has been a leader

in the industry in health care class actions on behalf of providers and

patients. Recently, the Pomerantz firm was designated to be Chair of the

Plaintiffs¹ Executive Committee in a multidistrict litigation pending

against Aetna in the District of New Jersey on behalf of both providers and

subscribers, challenging how Aetna determines usual, customary and

reasonable (³UCR²) rates for out-of-network health care services. In making

the appointment, the Court stressed the significant role Pomerantz had

played in a $249 million settlement of its UCR class action against Health

Net, stating that the Court had ³similarly appointed Pomerantz to be

Plaintiffs¹ spokesman to the Court in the Health Net litigation because the

Court found D. Hufford, Esq. to be the attorney most capable of

presenting Plaintiffs¹ position in a clear and concise manner.² In re Aetna

UCR Litig., 2009 Dist. LEXIS 66853, *8 n.4 (D.N.J. July 31, 2009).

Founded by the late Abraham L. Pomerantz, known as the dean of the class

action bar, Pomerantz Haudek pioneered the field of securities class

actions. Today, more than 70 years later, Pomerantz Haudek continues in the

tradition he established, fighting for the rights of the victims of fraud,

breaches of fiduciary duty, and corporate misconduct. The Firm has recovered

numerous multimillion-dollar damages awards on behalf of class

members.Buttaci & Leardi, based in Princeton, New Jersey, has a dynamic

national health care practice, representing licensed health care providers,

group practices and other provider-related entities throughout the country.

It has extensive experience representing providers in challenging

post-payment audits and retroactive recoupments, including those pursued by

numerous Blue Cross Blue Shield licensees, and has obtained tremendous

success on behalf of its clients.

Counsel for plaintiffs are continuing to investigate these claims, and other

related claims that may be added to the litigation. If you have any

questions, please contact D. Hufford, Esq. of Pomerantz Haudek

Grossman & Gross LLP, by phone (614-410-6501) or email

(dbhuffordpomlaw).

Hacmac, DC Portland, OR

503-656-8098

www.WeAdjustLives.com

__________________________________________________________

_____

Electronic Privacy Notice. This e-mail, and any attachments, contains

information that is, or may be, covered by the Electronic Communications

Privacy Act, 18 U.S.C. 2510-2521, and is also confidential and proprietary

in nature. If you are not the intended recipient, please be advised that you

are legally prohibited from retaining, using, copying, distributing, or

otherwise disclosing this information in any manner. Instead, please reply

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Messages in this topic (2)

6a.

"Ancillary Providers"

Posted by: "Lyndon McGill"

twogems@...

Tue Sep 29, 2009 3:04 pm (PDT)

Vern:

Just got a reply fax from Dr. Heidi Loganbill, neurologist here in

Salem, after attempting to refer one of my patients to her for a nerve

conduction study that reads:

"Thank you for your referral of this patient. Due to problems we have

recently encountered, we are no longer able to accept referrals directly

from ancillary providers. After the patient has been evaluated by a

medical doctor and that physician has confirmed the need for the study,

we will contact the patient to schedule it."

Whatup? We've been referring to her for the last 20 years or so.

Lyndon McGill, D.C.

Salem, Oregon

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Messages in this topic (3)

6b.

Re: "Ancillary Providers"

Posted by: "Sunny Kierstyn"

skrndc1@...

Tue Sep 29, 2009 3:19 pm (PDT)

It's called 'CYA'.....medical doctors are NOT to treat ANYTHING until the diagnosis has been 'proven' by lab/imaging studies.....that way the billings are spread around and the profits are enjoyed by all. It also proves to the insuance company they have a 'true' diagnosis. Knowing how to dx wihout imaging is passe....don't have to be a doctors anymore, just know enough to order the right back up test.

Sunny

Sunny Kierstyn, RN DC

Fibromyalgia Care Center of Oregon

2677 Willakenzie Road, 7C

Eugene, Oregon, 97401

541- 654-0850; Fx; 541- 654-0834

From: twogemsunidial

Date: Tue, 29 Sep 2009 15:03:06 -0700

Subject: "Ancillary Providers"

Vern:

Just got a reply fax from Dr. Heidi Loganbill, neurologist here in

Salem, after attempting to refer one of my patients to her for a nerve

conduction study that reads:

"Thank you for your referral of this patient. Due to problems we have

recently encountered, we are no longer able to accept referrals directly

from ancillary providers. After the patient has been evaluated by a

medical doctor and that physician has confirmed the need for the study,

we will contact the patient to schedule it."

Whatup? We've been referring to her for the last 20 years or so.

Lyndon McGill, D.C.

Salem, Oregon

__________________________________________________________

Insert movie times and more without leaving Hotmail®.

http://windowslive.com/Tutorial/Hotmail/QuickAdd?ocid=TXT_TAGLM_WL_HM_Tutorial_QuickAdd_062009

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Messages in this topic (3)

6c.

Re: "Ancillary Providers"

Posted by: "Lonnie "

1lobogris@...

redsana123

Tue Sep 29, 2009 4:00 pm (PDT)

Perhaps you should call her and find out. I remember a number of times here in Portlan where an orthopedist's staff member was making the call. In both cases the MD was not happy with the staff person

Lonnie

>

> From: twogemsunidial

> Date: Tue, 29 Sep 2009 15:03:06 -0700

> Subject: "Ancillary Providers"

>

> Vern:

>

> Just got a reply fax from Dr. Heidi Loganbill, neurologist here in

> Salem, after attempting to refer one of my patients to her for a nerve

> conduction study that reads:

>

> "Thank you for your referral of this patient. Due to problems we have

> recently encountered, we are no longer able to accept referrals directly

> from ancillary providers. After the patient has been evaluated by a

> medical doctor and that physician has confirmed the need for the study,

> we will contact the patient to schedule it."

>

> Whatup? We've been referring to her for the last 20 years or so.

>

> Lyndon McGill, D.C.

> Salem, Oregon

>

>

> ------------------------------------

>

> All posts must adhere to OregonDCs rules located on homepage at: /

> Tell a colleague about OregonDCs! (must be licensed Oregon DC)

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  • 4 weeks later...

It has 890 mcg in half a drop. I guess I bought the wrong thing though. Mine

has granular iodine and sodium iodine. I figured Dr was a trusted brand.

What should I be buying...

Kayte

If you are talking about the original Lugol's formula she is recommending less

than a mg/day. I can't imagine anyone using Lugol's for therapeutic uses taking

less than 12.5 mg/day which is two drops.

>

> I think she is recommending too low a dose! many ppl use several drops

> of Lugols a day. how much iodine/iodide is in a drop?

> Gracia

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