Tuesday, September 25, 2007

JOB OPENING IN LONGVIEW TEXAS

BAKER CHIROPRACTIC, PA , one of the friendliest Doctor's offices in Longview, has a position available right now for the right applicant. For details, please click
http://positionavailable.blogspot.com
If you are interested in getting into health care in a ground level position, contact Baker Chiropractic about this job opening.

Thursday, June 14, 2007

repeal of treatment planning rule

<MedicalBenefits@tdi.state.tx.us> 6/13/2007 7:15 PM >>>The Texas Department of Insurance, Division of Workers' Compensation has announced that repeals of two workers' compensation rules will be submitted to the Texas Register. The rules are the Prospective Review of Medical Care Not Requiring Preauthorization (PRM) rule and the Treatment Planning rule.The PRM rule is no longer needed due to the adoption of treatment guidelines for the workers' compensation system. To view the news release concerning PRM, please click on the following link: http://www.tdi.state.tx.us/wc/news/2007/news200776.html .The treatment planning rule was adopted last December as one of several disability management rules but the effective date was postponed due to concerns expressed by system participants. The repeal of the treatment planning rule will not affect the other disability management rules including those adopting treatment and return-to-work guidelines for Texas. To view the news release concerning treatment planning, please click on the following link:
http://www.tdi.state.tx.us/wc/news/2007/news200779.html ."June 12, 2007
TDI Will Change Disability Management Requirements
FOR IMMEDIATE RELEASEJune 12, 2007News Release
FOR MORE INFORMATIONJohn Greeley @ (512) 804-4202
Austin, TX – The Texas Department of Insurance (TDI) announced that a workers’ compensation rule to require treatment planning for injured employees (28 Texas Administrative Code §137.300) will be repealed. This rule was adopted along with other disability management rules in December, 2006. The effective date for treatment planning was postponed until September 1, 2007, however, as the agency attempted to address ongoing concerns from system participants.
A repeal of the treatment planning rule will be submitted to the Texas Register. Since the rule has not become effective, system participants will not be required to meet the rule’s requirements.
“System participants support the concept of treatment planning, but many also agree that implementation will require significant business and administrative process changes,” Commissioner of Workers’ Compensation Albert Betts said. “We were concerned that participants would not be able to initiate treatment planning without some lapses in care for injured employees.”
Dr. Howard Smith, Medical Advisor for TDI’s Division of Workers’ Compensation, said TDI plans to work with health care providers and insurance carriers on a treatment planning pilot program.
“This treatment planning pilot will allow us to identify opportunities for improved communication and efficient delivery of appropriate medical care,” Smith said.
Since publication of the adopted disability management rules, system participants expressed the need for additional time to establish processes to appropriately address required treatment planning. Participants also argued for additional time to communicate and develop treatment planning parameters that are mutually acceptable to health care providers and insurance carriers.
Disability management rules requiring the use of workers’ compensation treatment guidelines and return-to-work guidelines became effective May 1, 2007 and will remain in effect."

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Wednesday, June 13, 2007

BAKER CHIROPRACTIC,PA - NOW ON TEXAS TRUE CHOICE

Baker Chiropractic,PA is now on the list of providers for Texas True Choice Insurance, which is the health insurance covering city workers in Longview Texas.

So, if you are on Texas True Choice and need Chiropractic, please call 903-753-5400 to make an appointment to come in for an examination.

Thanks for visiting our site.

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Wednesday, May 16, 2007

SOMBRA , BIOFREEZE, TENS UNITS

Baker Chiropractic, PA not only is the place for excellent care in Longview Texas, but we also carry a line of products to ease your muscle spasm and pain.

We carry Sombra, a pepper based liniment which offers warm relief to pain.

We also carry soothing, cool biofreeze, the green gel that soothes those tense muscles.

We also carry Transcutaneous Electrical Muscle Stimulators for those patients treated at Baker Chiropractic who may need an alternative pain management method.

And last but certainly not least, we carry the fine therapeutic line of pillows from Mellow Out Spa , Inc.

Please come in at 1420 McCann St., Longview Texas, in the Brookwood Shopping Village, or call us at 903-753-5400.

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Sunday, March 18, 2007

http://bakerchiro.sprinterweb.net

Monday, March 12, 2007

Biological Basis For Teenage Mood Swings Found

From http://www.medicalnewstoday.com/healthnews.php?newsid=65035

A new US study has revealed that teenage mood swings may be explained by biological changes in the adolescent brain.

The research is published in the journal Nature Neuroscience.

Mood swings and anxiety, often caused by stress, are well known characteristics of puberty.

A physiologist at the State University of New York, Sheryl Smith, and her research colleagues experimented on female adolescent mice and showed that their brains respond to stress in a different way to adults and pre-pubescent individuals.

Anxiety is regulated by the brains's principal inhibitory neurotransmitter, GABA (gamma-amino-butyric-acid) which counteracts the effect of glutamate, an excitatory neurotransmitter in the brain's limbic system.

Stress causes the release of a steroid known as THP (allopregnanolone) which in adult and pre-pubescent individuals increases the "calming" effect of GABA in the limbic system. However, Smith and her team found that THP had the opposite effect in adolescent mice.

It would appear that THP has two roles, one in the limbic system where it helps to calm things down, and another in the hippocampus where in adolescents it hots things up. The hippocampus is important for emotion regulation.

This paradoxical role of THP, said Smith and her team, is the reason for the adolescent brain behaving differently.

The underlying mechanism appears to be different levels of expression of a type of receptor known as the "alpha4betadelta" GABAA receptor in the hippocampal brain region known as CA1.

In adults and pre-adolescents, the receptors are in low numbers so the overall effect of THP is a calming one.

However, in adolescents, the expression of these receptors is high, so for these individuals the anxiety raising effect of THP in the hippocampus outweighs the calming effect it has in the limbic system.

Smith and her team were able to reverse the puberty effect in the mice by genetically altering the number of receptors.

The net effect is that whatever the teenage person's reaction to stress is likely to be, whether to cry or be angry, it will be "amplified". While to adults it may seem like an overreaction, to the teenager it is the only thing they can do, said the researchers.

This study is thought to be the first to suggest an underlying physiological, as opposed to a behavioural-psychological explanation for teenage mood swing

Saturday, March 10, 2007

TREATED BAD BY INSURANCE CARRIER ?

I see injured workers every day. As a treating doctor, daily I am confronted with insurance carriers who deny, dispute, foot drag, and some, act in a way that may constitute "bad faith".

Patients get upset. But, how will things get changed? Patients who are unrepresented by attorneys, patients who cannot afford to hire attorneys specializing in Work Comp, but who are advised by ombudsman, often lose Benefits Review Conferences (BRC) and Contested Claims Hearings (CCH), and, after reading the decisions, I believe these folks ought NOT to have lost, because there is a preponderence of medical opinion in their favor.

Perhaps you alone cannot change the system, but I contend that if ENOUGH weight is brought to bear on the Department of Insurance about perceived wrongdoing by insurance carriers, and enough media people (television stations, radio, newspapers, bloggers) bring the issue to the public attention, there is certainly a stronger possibility that some positive changes will occur.

If no one complains, or not enough complain, the system will get worse and worse and worse.

Perhaps the easiest way to contact the Texas Department of Insurance, Work Comp division, is via e-mail WorkersComp@tdi.state.tx.us .

To write a snail mail letter of complaint :
Texas Department of Insurance
Division of Workers' Compensation
7551 Metro Center Drive
Suite 100
Austin, TX 78744-1609
You may also contact the Field Office nearest you

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