Thursday, January 03, 2008

How to Challenge an HMO's Denial of Coverage

http://www.ehow.com/how_3692_challenge-hmos-denial.html
"It's not unusual for a health maintenance organization, or HMO, to deny a treatment or test. When this happens, it's worth the effort to fight back."
Instructions
Step One Enlist your primary care physician (PCP) in your fight. In many cases, he or she is the gatekeeper to medical services.
Step Two Start a logbook to document every telephone communication with your HMO and doctors.
Step Three Include in your logbook the name, number and address of the person you talked with, the date and time of the phone call, who initiated the call, and what was said.
Step Four Make it clear to every person on the phone that you're keeping a log.
Step Five Follow up the most important phone calls with written letters recapping what was said. Send CC copies of these letters to your PCP and your attorney, if you have one.
Step Six Keep copies of all correspondence you send and receive. Note the date that you received the mail, and keep the postmarked envelope if you believe the date may be relevant.
Step Seven Take careful notes in all face-to-face meetings with doctors. Make it obvious - use a large pad of paper and write your notes contemporaneously (not afterward from memory).
Step Eight Consider tape recording phone conversations and medical meetings.
Step Nine Enlist the help of your congressional and state representatives.
Step Ten Contact an attorney who specializes in medical matters, if all else fails.
Tips & Warnings
* Make sure your physician uses the phrase "medically necessary" when referring to the treatment you need.
* HMOs are regulated by your state's department of insurance.
* It's illegal to tape a conversation without the other party's permission. Be sure to ask.

____________________________________________________
Your Guide to the Appeal Process... Patient Advocate Foundation http://www.patientadvocate.org/index.php?p=13
"This easy to read guide features sample appeals letters, specific strategies to use when negotiating the internal and external appeals processes and specific instructions to follow when all appeals have been exhausted and it's time for the next step." Contents
Introduction
Step 1: Gather Preliminary Information
Step 2: Understand the Illness and the Insurance
Step 3: Write the Appeal Letters
Step 4: Evaluate the Result
Step 5: When to Consult an Attorney

Adhesion Related Disorder International Human Rights Team IHRT: Henry Courtenay Clarke ~ Father of Laparoscopy?

Adhesion Related Disorder International Human Rights Team IHRT: Henry Courtenay Clarke ~ Father of Laparoscopy?

Help and Hope for Caregivers

1.) Caregivers... MedlinePlus: Health Topics... Topic last reviewed: August 03, 2005 http://www.nlm.nih.gov/medlineplus/caregivers.html
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2.) Caregiving... Date Last Updated: July 29, 2005 http://www.healthywomen.org/content.cfm?L1=3&L2=14
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3.) Ten Tips For Family Caregivers... Last updated December 01, 2004 http://www.intelihealth.com/IH/ihtIH/WSIHW000/9030/28850/198928.html?d=dmtContent
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4.) Depression: Supporting loved ones through their battle with depression... By Mayo Clinic Staff... June 02, 2006 http://www.mayoclinic.com/invoke.cfm?objectid=71CE4E8A-D9CD-41CC-94BDDFCD55B352EB
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5.) Caregiver's Stress... The Federal Government Source for Women's Health Information... August 2002 http://www.4woman.gov/faq/caregiver.htm

6.) When Husbands are Caregivers... All pages are copyrighted 2007 http://www.restministries.org/art-menshare.htm

7.) MENDO: Men and Endometriosis... http://www.geocities.com/HotSprings/spa/8449/ --

8.) The Partner’s Predicament, or What about the Men? http://www.centerforendo.com/articles/partners.htm

9.) 50 WAYS TO ENCOURAGE A CHRONICALLY ILL FRIEND
http://www.restministries.org/invisibleillness/art_50waystoencourage.htm

Wednesday, January 02, 2008

Laparoscopic Lysis of Adhesions

World J Surg.2006 Mar 13; . Szomstein S, Menzo EL, Simpfendorfer C, Zundel N, Rosenthal RJ. Bariatric Institute, Section of Minimally Invasive Surgery, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd., Weston, Florida, 33331, USA, szomsts@ccf.org.
BACKGROUND: Intra-abdominal adhesions constitute between 49% and 74% of the causes of small bowel obstruction. Traditionally, laparotomy and open adhesiolysis have been the treatment for patients who have failed conservative measures or when clinical and physiologic derangements suggest toxemia and/or ischemia. With the increased popularity of laparoscopy, recent promising reports indicate the feasibility and potential superiority of the minimally invasive approach to the adhesion-encased abdomen. METHODS: The purpose of this study was to assess the outcome of laparoscopic adhesiolysis and to provide technical tips that help in the success of this technique. RESULTS: The most important predictive factor of adhesion formation is a history of previous abdominal surgery ranging from 67%-93% in the literature. Conversely, 31% of scars from previous surgery have been free of adhesions, whereas up to 10% of patients without any prior surgical scars will have spontaneous adhesions of the bowel or omentum. Most intestinal obstructions follow open lower abdominopelvic surgeries such as colectomy, appendectomy, and hysterectomy. The most common complications associated with adhesions are small bowel obstruction (SBO) and chronic pain syndrome. The treatment of uncomplicated SBO is generally conservative, especially with incomplete obstruction and the absence of systemic toxemia, ischemia, or strangulation. When conservative treatment fails, surgical options include conventional open or minimally invasive approaches; the latter have become increasing more popular for lysis of adhesions and the treatment of SBO. Generally, 63% of the length of a laparotomy incision is involved in adhesion formation to the abdominal wall. Furthermore, the incidence of ventral hernia after a laparotomy ranges between 11% and 20% versus the 0.02%-2.4% incidence of port site herniation. Additional benefits of the minimally invasive approaches include a decreased incidence of wound infection and postoperative pneumonia and a more rapid return of bowel function resulting in a shorter hospital stay. In long-term follow up, the success rate of laparoscopic lysis of adhesions remains between 46% and 87%. Operative times for laparoscopy range from 58 to 108 minutes; conversion rates range from 6.7% to 43%; and the incidence of intraoperative enterotomy ranges from 3% to 17.6%. The length of hospitalization is 4-6 days in most series. CONCLUSIONS: Laparoscopic lysis of adhesions seems to be safe in the hands of well-trained laparoscopic surgeons. This technique should be mastered by the advanced laparoscopic surgeon not only for its usefulness in the pathologies discussed here but also for adhesions commonly encountered during other laparoscopic procedures. PMID: 16555020 [PubMed - as supplied by publisher] http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=16555020&query_hl=1&itool=pubmed_docsum Copyright Status Government information available from this site is within the public domain. Public domain information on the National Library of Medicine (NLM) Web pages may be freely distributed and copied. However, it is requested that in any subsequent use of this work, NLM be given appropriate acknowledgment

Tuesday, January 01, 2008

Adhesion related disorder ~ Congressional Justification

Wishing you all the best in 2008 from all of us here at ARDvark Blog

DEPARTMENT OF HEALTH AND HUMAN SERVICES NATIONAL INSTITUTES OF HEALTH
National Institute of Diabetes and Digestive and Kidney Diseases
FY 2006 Budget
http://www.niddk.nih.gov/federal/pdf/NIDDK_fy06_CJ.pdf
(Congressional Justification) Page 52-53
Adhesion related disorder – This little known condition commonly leads to abnormal attachments between the organs inside the abdomen. The adhesions generally are composed of scar tissue resulting from previous operations. Very little is known about why adhesions form more aggressively in some people. Diagnosis of the disease is typically difficult, and surgical correction is often unsuccessful. The Committee encourages NIDDK to investigate this disease, supporting research to find treatments and understand causation and to communicate these findings to broaden knowledge of the disease in the medical community. (p. 78).
Action Taken or to be Taken
Adhesion related disorder is not a single disease, but rather describes a type of scarring, particularly in the abdominal cavity. Scars form as a necessary part of the wound healing process following any type of injury or surgery. Scar tissue may form beyond the surgical wound itself and in some cases interfere with normal health.
Apart from surgery, there are many diseases that can precipitate adhesion formation in the abdomen. Important examples are the inflammatory bowel diseases known as Crohn’s disease and ulcerative colitis, in which inflammation can cause scar formation and complications requiring multiple abdominal operations. The NIDDK is committed to expanding the knowledge base of these diseases as a foundation for developing treatment and prevention approaches to preclude complications and the need for surgery. For example, the NIDDK supports a broad-based research approach to study IBD using multiple grant mechanisms. The IBD Genetics Consortium is taking full advantage of the first gene identified that increases susceptibility to Crohn’s disease, and also is enhancing the search for other contributing genes in this complex disease. The Silvio O. Conte Digestive Diseases Research Core Centers provide a mechanism for funding shared resources that serve to integrate, coordinate, and foster interdisciplinary cooperation between groups of established investigators who conduct digestive disease research.
The work of five of these centers specifically focuses on IBD. The Institute also funds a number of exploratory/developmental grants (R21s) to foster the development of high-risk pilot and feasibility research by established or newly independent investigators to develop new ideas sufficiently to allow for submission of a full regular research grant (R01) application. Examples investigation into a new subclass of regulatory T cells that may suppress inflammation and disease progression, and further studies of the protective action of certain intestinal proteins.
The Institute also supports four program project grants investigating IBD, including projects to study the genetic mechanisms predisposing to IBD in mouse models. This research may speed identification of homologous human genes and potential pathways for therapeutic intervention, and help to pinpoint genetic factors and immunological processes controlling human intestinal inflammation.
The development of the drug infliximab, the first treatment specifically approved by the FDA for Crohn’s disease, was based on a foundation of NIDDK-supported basic research. Future plans for NIDDK research on IBD and other adhesion-related disorders will include the continued pursuit of new drug therapies, the development of surrogate markers of disease, the maximization of research investment in animal models of disease, and the establishment of a repository that will collect and make available to investigators various types of human samples including blood, biopsied tissue, genetic material, and datasets.
Director: Griffin P. Rodgers, M.D., M.A.C.P The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) is part of the National Institutes of Health (NIH), an agency of the U.S. Department of Health and Human Services.
General Inquiries may be addressed to: Office of Communications and Public Liaison NIDDK, NIH Building 31, Rm 9A06 31 Center Drive, MSC 2560 Bethesda, MD 20892-2560 USA Phone: 301.496.3583

Kruschinski just won't shut up!

Poor Dr. Kruschinski would have you feel bad for him and the situation he created himself.
I feel bad for the people who are broke, bedridden and maimed forever by this poor excuse of a human being.

That Dr. Kruschinski chose to pray on victims of adhesion related disorder should be the greatest lesson we have ever learned....never forget!

If this isn't proof that Daniel has been as mad as a hatter all along.....well you're in deep do-do.

His continued blogging from a bottle for your amusement:

Monday, December 31, 2007

my truth of SybleStorz and to old to run company
all from the EndoGym Team and the Klinik am Zuckerberg wish to you happy holidays and the best for the new Year ! to my sons Papa loves you and will give yu best years to come.Truth against Syble Storz and her poor compannyi feel free now to say openly my opinion and feelings of Storz Co and to tell truths. , I am happy then for this chance becuase Storz Company is built by me after Karl Storz dies and she Syble Storz is already old with no intelligent for sure and told me Storz Company are too complicated for her so she needs me and my greatness and surgery technique… ” She always wanted to be the most important in family and company, s and to have all compnay and family think she is the knowledge of the company, but I did all new business that can get money from patients and support society and from certain doctors that are dummies. Storz made all money because of me! This is truth!. And she supported them now and put a rope around my neck with nastiness of hatred ill intentions. Thank god I am so intelligent, I clearly say it again,She was old to start the company and she is old now and doesn’t know business, so she is lost without my genius and Storz Company will be lost now to. Storz can try to contact me again to make money for themI'm not going to answer and not allow to discuss issues regarding my supiror procedure and my Abdolift.. Yes, Sybal had some arguments with me thereafter she started this smear campaign against me and involved with that some patients, Dr.s societys and many people against melik. I make a mistake…I rejected her as I realised that she was trying to convince me to make her much money and do many operations for only money for Storz… I am to wise to be lured and caught for this and I wanted to perform good surgery and to support an infrastructure for excellent patient treatment and not to make surgery cost too expensive, so I rejected such an offer to makew so much money for Storz noiw I suffer and am poor.. Im sorry for myself to be part of such a drama, only because I refused to have her get rich.At least I can say, none of my patients got worse after my surgery with my gas-less operations without Storz Abdolift I must make new designs. … so this is also a success for me and She loses… Poor human Syble, now, I hope I can make my own decisions and build my world of success again in 2008 anfd without others like you Storz Compmany … The ARD world is twisted and named me to have bad statistics, to manipulate my statistics, to be a badsurgeon and scientist and many other names. So with Storz it’s all about money …with me it is all about my greatest dreams I ambrave enough to tell the truthnow, … andmy vision is clear coming through... slowly but surely, all the world will perform gas-less laparoscopic surgery as it has so many benefits over a laparotomy..and the stagnation in spreading laparoscopy will end soon by using gasless laparoscopy ... EndoGyn is meanwhile an organization that provides patients with the best surgeons in special fields. And I laughing when I say for Storz and her dirty friemds of Mettler and Reich and ISGE, you will get poor and fail in 2008. I have many truths to tell and they ar proof here to post.15:43:08 Guest 200.233.179.199 http://www.endogynserver.com/cgi-bin/210/cutecast.pl?session=jD9limoR7d2MAcmZl1u3bNZTE9&action=newtopic&forum=7&thread=&user=&query=&msgid=&page=&sort=&do=&key=&others=15:43:06 Guest 200.233.179.199 http://www.endogynserver.com/cgi-bin/210/cutecast.pl?session=KCZg5rwPR80qLr89vMI5DSaDs6&action=newtopic&forum=7&thread=&user=&query=&msgid=&page=&sort=&do=&key=&others=15:43:03 Guest 200.233.179.199 http://www.endogynserver.com/cgi-bin/210/cutecast.pl?session=dMOQEiC7Yasek1E0vOTYiHXIQ1&action=newtopic&forum=7&thread=&user=&query=&msgid=&page=&sort=&do=&key=&others=15:43:00 Guest 200.233.179.199 http://www.endogynserver.com/cgi-bin/210/cutecast.pl?session=bV0Yh4nyiIn3pmKd2cRZwJIBrh&action=newtopic&forum=7&thread=&user=&query=&msgid=&page=&sort=&do=&key=&others=15:42:58 Guest 200.233.179.199 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Posted by victimsofStorz at 3:15 PM 0 comments
Sunday, December 30, 2007

My life is now in my only hands and I will succeed in my true work I save many lives and many patients thank me for life for them from me. I am greatest surgeon in world, greatest in evry surgery, Storz Mettler Reich are world losers all! Here is proof of my lifes work and 100more likemthis are for me in my Endogyn web site! I now remain only success.http://www.endogynserver.com/cgi-bin/787/cutecast.pl?session=Xw6lbdJZMxbDcmIcux46cmQ4tn&forum=3&thread=733Posted Saturday, 22 December 2007 @ 09:00:12 , perhaps you remember hello Dr. Kruschinski me. I was at the beginning of of September your female patient in the hospital at the sugar mountain (Adhaesiolyse). The financial completion ran over Mrs. S. of the Barmer in victories. Now I would like to communicate to you that - with your assistance - our largest desire will now fulfill itself, because our "small large miracle" is on the way; I am more schwanger. I wish you of hearts a beautiful Christmas and a successful and healthy year 2008 and am never forgotten, what her for us to have done. All property, X.X. ------------------- Dr. med. Daniel Kruschinski EndoGyn.de, Gebaermutterentfernung.de, Endometriose.name, Myome.de, Zysten.name, Verwachsungen.de, elevator Laparoskopie.de © by EndoGyn Ltd..Posted Saturday, 22 December 2007 @ 19:45:02 Dear Dr. Kruschinski, thank you for your so friendly desires to Christmas and the turn of the year and the greetings to the new year 2008. I was pleased very much about it. Also I wish glad Weihnacht and a good, healthy new year 2008 you, your family and your team of whole heart, Faithfully X.X. with married man X.Y. and dog X.X. P.S. I checked the straight meaning of the first name Daniel. If it permits your time, then you read please down. For me it is a miracle you to have met. Am I very well. Owing to you and mean won realizations. Are thanks meet a God again and again humans, who one can trust and who one on the next way to help that one is then on the correct trace on the life way. They Dr. Kruschinski are such humans, I can state: They were on 07 April 2006 my life-saving angel. I thank you again from whole heart and hope you have a wonderful Weihnacht and a relaxed turn of the year. Much luck and success and satisfaction in the new year!!! I have that for name meaning in the InterNet found, perhaps already know you that: Daniel is a Biblical name of Hebrew origin, which is the meaning "God right spoken" carries. A further meaning: Named meaning Daniel Daniel is a male first name, whose name origin lies in the Bible. It is thus Hebrew origin and has the name meaning God arranges or God is powerful. The name sounds melodisch and is very timeless. Humans, who carry the name Daniel, can celebrate your name day at the 27.Juni and on 21 July. Danilo is the Eastern European form of this name and in the Italian reads it Daniele. Well-known name carriers of the name Daniel are among other things: Daniel nozzle impulse (inventor, Comicfigur), Daniel Radcliffe (actor), Daniel Libeskind (Archtitekt), Daniel Defoe (author of Robinson Crusoe). Supplementing is to be mentioned from my side to: Dr. med. Daniel Kruschinski. I mean that serious! Because you are for all its female patients a very well-known and important name carrier. Many dear greetings of X.X. ------------------- Dr. med. Daniel Kruschinski EndoGyn.de, Gebaermutterentfernung.de, Endometriose.name, Myome.de, Zysten.name, Verwachsungen.de, elevator Laparoskopie.de © by EndoGyn Ltd..Posted Sunday, 23 December 2007 @ 11:05:50 Best thanks for the greetings, which I answer gladly! I always thank God nearly each morning that he gave you the grace me in so wonderful way to have helped. I have again an intact after body feeling the Myom and Gebaermutteentfernung in January. 2006 and all no more Ischiasbeschwerden. At all my entire energy balance optimized itself! I wish you health and strength as well as much joy when doing, so that they can help still different women so well! Christmas greetings X.X. ------------------- Dr. med. Daniel Kruschinski EndoGyn.de, Gebaermutterentfernung.de, Endometriose.name, Myome.de, Zysten.name, Verwachsungen.de, elevator Laparoskopie.de © by EndoGyn Ltd..Posted Sunday, 23 December 2007 @ 11:23:22 Thank you for its dear greetings, you will surely make happy which I still pain-free best health enjoy. I hope that it 2008 will not change. Also you a gesegnetes Christmas and all property for 2008. Yours sincerely X.X. ------------------- Dr. med. Daniel Kruschinski EndoGyn.de, Gebaermutterentfernung.de, Endometriose.name, Myome.de, Zysten.name, Verwachsungen.de, elevator Laparoskopie.de © by EndoGyn Ltd..Posted Saturday, 29 December 2007 @ 05:54:10 Dear Dr. Kruschinski, cordial thanks for the world-wide Weihnachtsgruesse. I hope that you found also times little peace to Christmas. For the new year and again patients on gene-end much joy with the family to much strength for the many tasks, which wait for you. After now nearly one year after the OI I really great and but am not only I am but am grateful our whole family. Many greetings from X X.X. ------------------- Dr. med. Daniel Kruschinski EndoGyn.de, Gebaermutterentfernung.de, Endometriose.name, Myome.de, Zysten.name, Verwachsungen.de, elevator Laparoskopie.de © by EndoGyn Ltd..Posted Saturday, 29 December 2007 @ 06:04:02 Dear Dr. Kruschinski, cordial thanks for your Weihnachtsgruesse - I wish a besinnliches Christmas and a healthy and successful new year you and the EndoGyn team, particularly Mrs. Katzer. Owing to your assistance the new year for me from fears and complaints will be finally free. For your assistance and support I would like to thank you hereby again completely cordially. Many greetings from X X.X. ------------------- Dr. med. Daniel Kruschinski EndoGyn.de, Gebaermutterentfernung.de, Endometriose.name, Myome.de, Zysten.name, Verwachsungen.de, elevator Laparoskopie.de © by EndoGyn Ltd..
Posted by victimsofStorz at 4:02 PM 0 comments

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