Plateforme Level Extreme
Abonnement
Profil corporatif
Produits & Services
Support
Légal
English
Obama blows it again!
Message
De
18/01/2015 20:11:04
John Ryan
Captain-Cooker Appreciation Society
Taumata Whakatangi ..., Nouvelle Zélande
 
 
À
18/01/2015 19:18:55
Information générale
Forum:
Politics
Catégorie:
Autre
Divers
Thread ID:
01613373
Message ID:
01613839
Vues:
41
>>We can start my taking away all the hocus pocus and voodoo rituals and telling the patient what is really going on in plain English (no Latin nonsense)
>>For example-
>>Call an ophthalmologist an eye doctor.
>>Call a podiatrist a foot doctor (better yet, a toenail clipper since most of them spend their days clipping toenails)

Go to it, dude. Once you fix healthcare by rearranging the labels, why not solve world hunger as well by teaching your countryfolk that the "entree" is not the main course at dinner.

;-)

FWIW, re the picture you like to paint of MDs spending their days clipping toenails for consulting rooms full of punters to earn a fortune: according to Medicare, "Part B generally doesn't cover routine foot care (like the cutting or removal of corns and calluses, the trimming, cutting, and clipping of nails, or hygienic or other preventive maintenance, including cleaning and soaking the feet)." Nor is it covered under any plan offered by mainstream insurers like Aetna.

In fact there is a very limited set of circumstances where medical assistance with footcare may be indicated. Being unable to do it yourself is *not* one of them, but diabetes with peripheral neuropathy is. A badly maintained toenail can lead to an amputation in a patient who has reduced sensation or certain other problems, fwiw. As an example of the hocus pocus rituals (hoops) podiatrists have to jump through if they want to be paid to clip toenails:

The presence of a systemic condition such as metabolic, neurologic, or peripheral vascular
disease that may require scrupulous foot care by a professional. Certain procedures that are
otherwise considered routine may be covered when systemic condition(s), demonstrated
through physical and/or clinical findings, result in severe circulatory embarrassment or areas
of diminished sensation in the legs or feet and may pose a hazard if performed by a non-
professional person on patients with such systemic conditions. In the case of patients with
systemic conditions such as diabetes mellitus, chronic thrombophlebitis, and peripheral
neuropathies involving the feet associated with malnutrition and vitamin deficiency, carci-
noma, diabetes mellitus, drugs and toxins, multiple sclerosis, and uremia, they must also be
under the active care of a doctor of medicine or doctor of osteopathy and who documents the
condition in the patient’s medical record.
Services performed for diabetic patients with a documented diagnosis of peripheral neuropa-
thy and loss of protective sensation (LOPS) and no other physical and/or clinical findings
sufficient to allow a presumption of coverage as noted in the Medicare Carriers Manual. This
class of patients can receive an evaluation and treatment of the feet no more often than every
six months as long as they have not seen a foot care specialist for some other reason in the
interim. LOPS shall be diagnosed through sensory testing with the 5.07 monofilament using
established guidelines, such as those developed by the National Institute of Diabetes and
Digestive and Kidney Diseases (NIDDK) guidelines. Five sites should be tested on the plantar
surface of each foot, according to NIDDK guidelines.
...
Treatment of mycotic nails for an ambulatory patient is covered only when the physician
attending a patient’s mycotic condition documents in the medical record that (1) there is clinical
evidence of mycosis of the toenail and (2) the patient has marked limitation of ambulation, pain,
or secondary infection resulting from the thickening and dystrophy of the infected toenail plate.
Treatment of mycotic nails for a non-ambulatory patient is covered only when the physician
attending a patient’s mycotic condition documents in the medical record that (1) there is clinical
evidence of mycosis of the toenail and (2) the patient suffers from pain or secondary infection
resulting from the thickening and dystrophy of the infected toenail plate.
Note:
Active care is defined as treatment and/or evaluation of the complicating disease process
during the six-month period prior to rendition of the routine care or had come under such
care shortly after the services were furnished, usually as a result of a referral.
"... They ne'er cared for us
yet: suffer us to famish, and their store-houses
crammed with grain; make edicts for usury, to
support usurers; repeal daily any wholesome act
established against the rich, and provide more
piercing statutes daily, to chain up and restrain
the poor. If the wars eat us not up, they will; and
there's all the love they bear us.
"
-- Shakespeare: Coriolanus, Act 1, scene 1
Précédent
Suivant
Répondre
Fil
Voir

Click here to load this message in the networking platform