CPT 87481 Bacterial vaginosis swap
CPT 87491 Gonorrhea/chlamydia test
CPT 87791 infectious agent by DNA amplification
That's a little strange because the G/C test (87491) generally is performed using DNA amplification (87791). (You could do antigen detection, but I don't think that is really done as standard practice anymore). So it looks like the same thing is billed twice.
Like you say, medical billing is a nightmare though.
LOL - yes - in fact I did miss the veto part, one of the hazards of reading/posting at 7 AM before any caffeine intake...:)
Still, with a legislature that is (arguably?) as conservative as Sam is, it seems like more government regulation goes against the conservative ideals of small government.
Regardless of your thoughts on Uber, this does leave me a little confused given the good Governer's pro-business, small government stance. Isn't this government regulation? Isn't this the OPPOSITE of the political principles of the conservative Republican base? Shouldn't the marketplace be allowed to take care of the question?
It is unclear where in the diagnostic chain this idea fits. Is it someone that already carries a diagnosis of lymphoma, but there is a question the diagnosis is wrong? Is it using lab data to make a primary diagnosis (or suggestion of diagnoses) based on a clinic visit? Are they suggesting that this data fits an ancillary role in primary diagnosis in terms of resolving subtle discrepancies between diagnoses?
Pretty much all hematopoietic malignancy diagnoses do not come from the docs you see in the clinic. They come from the docs in the back rooms with microscopes, lasers, antibodies, sequencers, and computers. Is the user of this information the person in the front whom you talk to, or the person in the back making the actual diagnosis?
Also, FTA
Szolovits is confident that that the teamâ(TM)s model can help doctors make more accurate lymphoma diagnoses based on more comprehensive evidence â" and could even be incorporated into future WHO guidelines.
To paraphrase Yet Another Famous Movie Quote: Getting something into the WHO guidelines ain't like dusting crops, boy.
I always thought extra charges for tethering were BS. When I got my first Google Nexus S phone on sprint, it was free, but they quickly shut down that capability.
I am on Ting (uses Sprint's network) now. Two phones (me and the wife) with as much phone/text/data as we need comes to around $70 TOTAL. I tether my tablet to my phone on the commute and all is well. My phone bill is one that I actually smile when I get after being used to getting ***raped by other carriers.
Oh yeah - and the customer service for Ting actually knows what they are talking about (for the little I have had to call them about) with short wait times and easy to understand reps. Not to sound like a Ting shill, but damn I love having an extra $100 per month...
- The mechanism of action of vitamin D in infection... suggests pharmaceutical doses of vitamin D (1,000 IU per pound of body weight per day for several days) will effectively treat not only influenza and the common cold, but help treat a host of other seasonal infections, including meningitis, septicemia, and pneumonia, in both children and adults (emphasis added). source referenced in parent post
Personally, if I have septicemia or bacterial meningitis/pneumonia, I will take whatever the sensitivities say I should. If you choose to treat your N. meningitidis with Vit D, please stay at home so that you don't force everyone else to take prophylaxis.
Sib AC is correct. I have been using palemoon with tree style tabs for well over a year. No problems.
Palemoon overall has been a good experience. It is relatively stable (maybe a couple of crashes in a history of heavy heavy use) and speedy. It is worth checking out if you haven't already.
JavaFX is definitely an improvement over Swing. One other big improvement is its use of annotation based injection (@FXML annotation) to reduce lots of boiler-plate code to handle events from the UI and such.
As to IDE support, Oracle's SceneBuilder is OK - not the best but it can be helpful in getting layouts set up.
I really hate Swing but find JavaFX very nice to work in.
So how would you do an RCT for something like Ebola, a disease that really only manifests itself when it starts to spread? Would you ask for volunteers to be infected outside of an outbreak in ordered to test efficacy/safety? Is there an IRB board in the country that would authorize something like this?
I actually do agree that you don't want to get all Mavericky with drug experimentation. At a certain point though you need patients with the disease to test efficacy and safety. If the only time you have patients is during an outbreak then when else can you test in vivo responses?
You could be a carrier for months to years and be a vector without showing up positive in a test.
Just for the record, this is not correct. While it is true that there is an eclipse period during which testing is not useful (as indeed, there is an eclipse period for any viral infection), for HIV that window is currently very small.
See:
Centers for Disease Control and Prevention. Monitoring selected national HIV prevention and care objectives by using HIV surveillance dataâ"United States and 6 dependent areasâ"2011. HIV Surveillance Supplemental Report 2013;18(No. 5). http://www.cdc.gov/hiv/library/reports/ surveillance/. Published October 2013.
Centers for Disease Control and Prevention and Association of Public Health Laboratories. Laboratory Testing for the Diagnosis of HIV Infection: Updated Recommendations. Available at http://stacks.cdc.gov/view/cdc/23447. Published June 27, 2014..
In fact, too much data has been shown to lead to more misdiagnoses in ER's.
Citation needed
What type of data are you talking about? Lots of largely irrelevant lab data? (oh look...an elevated ESR!) Or is it historical data (Why yes Doctor, I do have a metal plate in my head. Is that bad for an MRI?)
The clinical history is one of the most powerful diagnostic tools available. Even in the ED.
I finally decided to give linux (Ubuntu 14.04) a go as a primary OS on my new laptop with a win 7 vbox guest os. The install process is still a little rough around the edges (it took me a day to figure out that linux STILL doesn't support the raid chipset (intel) on my MB. Grrrr...).
But other than that, it is nice to have a real development environment and I was pleasantly suprised with how smoothly things integrate. VirtualBox is easy to work with and I had a guest OS installed with little hassle for my windows-specific software that I require. It's not a bad way to go.
Plasma is primarily water with a collection of proteins (performing a variety of opposing functions) and should contain no viable cells. There is probably a chance of contamination with viable cells (probably more common in plasma derived from whole blood, but I have no data/sources to back this up) but this may also depend on the type of plasma (e.g. frozen vs liquid -- but again I have no data at the moment to indicate risks on one versus the other).
I hate to break it to you, but platelets have mitochondria, consume energy, have cellular processes, activation/deactivation signals, etc..., so not quite sure that classifying them as "not living cells" is accurate.
On another note, you found contradictions in a Christian religion's doctrines? Shocking! Excuse me while I head to my fainting couch...
Irrelevant. I.T failed in preventing him from doing it,
Agreed. I have never worked in a place (hospital or otherwise) where an end user could expose an internal service to the public.
HR failed
That pretty much sums up HR in general.
Drs. can afford their own private internet connection,
out of curiosity, how do you think this would work? A doctor is at the hospital, needs network access and.....has the phone company install a phone line in each of the wards she is rounding in? The "learning shit" is kinda important...like looking up the proper drug dose for a particular patient population, new diagnostic criteria, etc...
many docs think they are experts at computers. A minority actually are. Thus looks like a guy playing sysadmin who get left holding the dookie from incompetent net admins
But look at the morning after pill. There was a monied interest behind that abortion related aspect so whoosh it was approved in 2 seconds.
notsureiftrolling.jpg but the morning after pill (e.g. Plan B) is a contraceptive, not an abortificant. Contrast with RU-486 (a genuine abortificant), which did get hung up quite a bit with approval, despite Big Pharma behind it.
You can store blood, properly prepared for up to 10 years at -65C. You have to use glycerol as a storage medium. People with rare phenotypes can freeze their own blood for use later when they need it. Athletes can freeze their blood to use it for doping at the appropriate time (see Tyler Hamilton's book The Secret Race for more of this type of usage).
Fresh blood can be stored from anywhere 35-42 days, depending on the storage solution used (e.g. CPDA-1 or CPD + additives).
Slashdot Mirror
That's a little strange because the G/C test (87491) generally is performed using DNA amplification (87791). (You could do antigen detection, but I don't think that is really done as standard practice anymore). So it looks like the same thing is billed twice.
Like you say, medical billing is a nightmare though.
LOL - yes - in fact I did miss the veto part, one of the hazards of reading/posting at 7 AM before any caffeine intake...:)
Still, with a legislature that is (arguably?) as conservative as Sam is, it seems like more government regulation goes against the conservative ideals of small government.
Regardless of your thoughts on Uber, this does leave me a little confused given the good Governer's pro-business, small government stance. Isn't this government regulation? Isn't this the OPPOSITE of the political principles of the conservative Republican base? Shouldn't the marketplace be allowed to take care of the question?
They hit the point of know return.
It is unclear where in the diagnostic chain this idea fits. Is it someone that already carries a diagnosis of lymphoma, but there is a question the diagnosis is wrong? Is it using lab data to make a primary diagnosis (or suggestion of diagnoses) based on a clinic visit? Are they suggesting that this data fits an ancillary role in primary diagnosis in terms of resolving subtle discrepancies between diagnoses?
Pretty much all hematopoietic malignancy diagnoses do not come from the docs you see in the clinic. They come from the docs in the back rooms with microscopes, lasers, antibodies, sequencers, and computers. Is the user of this information the person in the front whom you talk to, or the person in the back making the actual diagnosis?
Also, FTA
To paraphrase Yet Another Famous Movie Quote: Getting something into the WHO guidelines ain't like dusting crops, boy.
I always thought extra charges for tethering were BS. When I got my first Google Nexus S phone on sprint, it was free, but they quickly shut down that capability.
I am on Ting (uses Sprint's network) now. Two phones (me and the wife) with as much phone/text/data as we need comes to around $70 TOTAL. I tether my tablet to my phone on the commute and all is well. My phone bill is one that I actually smile when I get after being used to getting ***raped by other carriers.
Oh yeah - and the customer service for Ting actually knows what they are talking about (for the little I have had to call them about) with short wait times and easy to understand reps. Not to sound like a Ting shill, but damn I love having an extra $100 per month...
It's hard to take seriously a source that says:
Personally, if I have septicemia or bacterial meningitis/pneumonia, I will take whatever the sensitivities say I should. If you choose to treat your N. meningitidis with Vit D, please stay at home so that you don't force everyone else to take prophylaxis.
Netcraft confirms....:)
Sib AC is correct. I have been using palemoon with tree style tabs for well over a year. No problems.
Palemoon overall has been a good experience. It is relatively stable (maybe a couple of crashes in a history of heavy heavy use) and speedy. It is worth checking out if you haven't already.
JavaFX is definitely an improvement over Swing. One other big improvement is its use of annotation based injection (@FXML annotation) to reduce lots of boiler-plate code to handle events from the UI and such.
As to IDE support, Oracle's SceneBuilder is OK - not the best but it can be helpful in getting layouts set up.
I really hate Swing but find JavaFX very nice to work in.
Hmmm...we covered Ehler-Danlos and collagen synthesis disorders the first year of med school (might have even been in the first couple of months).
Glad to hear you finally got a diagnosis.
Only 72 hours in a week??? And only for 3 months? I call that a vacation!
So how would you do an RCT for something like Ebola, a disease that really only manifests itself when it starts to spread? Would you ask for volunteers to be infected outside of an outbreak in ordered to test efficacy/safety? Is there an IRB board in the country that would authorize something like this?
I actually do agree that you don't want to get all Mavericky with drug experimentation. At a certain point though you need patients with the disease to test efficacy and safety. If the only time you have patients is during an outbreak then when else can you test in vivo responses?
Except printers put in identifying information into their printed pages.
Although AFAIK crayons and/or markers are not identifiable...
It was panglossian for him to think this would all turn out for the best.
Just for the record, this is not correct. While it is true that there is an eclipse period during which testing is not useful (as indeed, there is an eclipse period for any viral infection), for HIV that window is currently very small.
See:
Citation needed
What type of data are you talking about? Lots of largely irrelevant lab data? (oh look...an elevated ESR!) Or is it historical data (Why yes Doctor, I do have a metal plate in my head. Is that bad for an MRI?)
The clinical history is one of the most powerful diagnostic tools available. Even in the ED.
I finally decided to give linux (Ubuntu 14.04) a go as a primary OS on my new laptop with a win 7 vbox guest os. The install process is still a little rough around the edges (it took me a day to figure out that linux STILL doesn't support the raid chipset (intel) on my MB. Grrrr...).
But other than that, it is nice to have a real development environment and I was pleasantly suprised with how smoothly things integrate. VirtualBox is easy to work with and I had a guest OS installed with little hassle for my windows-specific software that I require. It's not a bad way to go.
There are strict criteria for brain death that do exactly that.
Plasma is primarily water with a collection of proteins (performing a variety of opposing functions) and should contain no viable cells. There is probably a chance of contamination with viable cells (probably more common in plasma derived from whole blood, but I have no data/sources to back this up) but this may also depend on the type of plasma (e.g. frozen vs liquid -- but again I have no data at the moment to indicate risks on one versus the other).
I hate to break it to you, but platelets have mitochondria, consume energy, have cellular processes, activation/deactivation signals, etc..., so not quite sure that classifying them as "not living cells" is accurate.
On another note, you found contradictions in a Christian religion's doctrines? Shocking! Excuse me while I head to my fainting couch...
Irrelevant. I.T failed in preventing him from doing it,
Agreed. I have never worked in a place (hospital or otherwise) where an end user could expose an internal service to the public.
HR failed
That pretty much sums up HR in general.
Drs. can afford their own private internet connection,
out of curiosity, how do you think this would work? A doctor is at the hospital, needs network access and.....has the phone company install a phone line in each of the wards she is rounding in? The "learning shit" is kinda important...like looking up the proper drug dose for a particular patient population, new diagnostic criteria, etc...
many docs think they are experts at computers. A minority actually are. Thus looks like a guy playing sysadmin who get left holding the dookie from incompetent net admins
But look at the morning after pill. There was a monied interest behind that abortion related aspect so whoosh it was approved in 2 seconds.
notsureiftrolling.jpg but the morning after pill (e.g. Plan B) is a contraceptive, not an abortificant. Contrast with RU-486 (a genuine abortificant), which did get hung up quite a bit with approval, despite Big Pharma behind it.
You can store blood, properly prepared for up to 10 years at -65C. You have to use glycerol as a storage medium. People with rare phenotypes can freeze their own blood for use later when they need it. Athletes can freeze their blood to use it for doping at the appropriate time (see Tyler Hamilton's book The Secret Race for more of this type of usage).
Fresh blood can be stored from anywhere 35-42 days, depending on the storage solution used (e.g. CPDA-1 or CPD + additives).
Oscar the Ob-Gyn?