Specialists Accused Of Charging Different Rates Based On What A Patient Looks Like

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A less-well-dressed person would be charged less, Dr Armitage said. The CEO of a leading insurer volunteered a similar view but declined to be named. Australian Medical Association president Steve Hambleton said charges were meant to be based on actual costs, not whether someone looked wealthy or turned up “in stubbies and thongs”. Dr Hambleton called on the insurance industry to provide evidence so that the claims could be acted upon. “It should be stamped out,” he said. PHA’s Dr Armitage said that doctors were charging some private health insurance policy holders extra “despite our very best efforts, which include paying (treatment) providers more”. These http://mariahbjernig8.bravejournal.com/entry/77099 are payments on top of the Medicare Benefits Schedule fee, on the basis that policy holders will not have an out-of-pocket cost for the treatment. For example, industry no.2 Bupa’s “Medical Gap Scheme Benefit” pays a doctor nearly $2000 towards the delivery of a baby – 184 per cent more than the MBS fee of just under $700. However, industry players say that in some instances, specialists who sign up to these “no gap” schemes still decide to charge an additional amount. In such cases, the patient doesn’t just pay the amount over and above the gap scheme benefit – they pay everything above the MBS fee. News Limited has obtained a breakdown of one insurer’s gap scheme benefits, which reveals that while it pays on average 50 per cent more than the MBS for orthopaedics, nearly 40 per cent of patients still end up with out-of-pocket costs. Ear, nose and throat specialists are offered an extra 47 per cent, but more than half the time people still incur a gap payment.
http://www.news.com.au/lifestyle/health/specialists-accused-of-charging-different-rates-based-on-what-a-patient-looks-like/story-fneuz9ev-1226609529552

New Web Home For Center For Gastroenterology

The site offers information on the services offered by Northshore Center for Gastroenterology, information for patients who believe they might need to visit the center, and contact information for the center. The site outlines Center for Gastroenterologys approach to treating patients with gastrointestinal disorders. Living with complex gastrointestinal disease, especially those diseases that are chronic such as Crohn’s disease, celiac disease, ulcerative colitis, and intestinal failure, is often a difficult proposition for the patient and their family. Other problems such as difficulty or painful swallowing, abdominal pain, too much gas, irritable bowel syndrome, constipation and/or diarrhea, nausea/vomiting, and rectal bleeding are no less troubling. These days, patients also have a high degree of sophistication about their conditions and expect through evaluation and treatment, so Northshore Center for Gastroenterology and Nutrition involves patients, their families, and the referring physician in the decision-making process. Also on the site is a detailed description of the facilities operated by the Center for Gastroenterology. The Center for Gastroenterology and Nutrition is committed to providing the Chicago area with a full complement of digestive disease services. Their board-certified physicians and specially trained staff deliver the highest quality care to patients in Chicagoland and beyond. Labs at the Center for Gastroenterology use state-of-the-art diagnostic and therapeutic equipment to ensure early diagnosis and prevention, as well as treatment of diseases such as inflammatory bowel disease, short bowel syndrome, many types of cancers, and other disorders of the esophagus, stomach, intestines, colon, and rectum. Northshore Center for Gastroenterologys Web site was designed by Linkpoint Media, a Bourbonnais, Illinois-based Web design company specializing in sites for small businesses and nonprofits. Linkpoint Media has also designed sites for Reach a Village, Jimmy Jo’s Barbeque, and the Kankakee chapter of Habitat for Humanity. Find them online at linkpointmedia.com. Submitted by:Ian Matthews Disclaimer: Pressbox disclaims any inaccuracies in the content contained in these releases.

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Klaus Schiller: Pioneering physician and gastroenterologist

His professional achievement was to pioneer, against concerted opposition, the use in Britain of endoscopes in gastroenterological investigations. But his seriousness of purpose, his commitment to the scientific method, and his broad cultural, social and family interests all spoke of a milieu and way of life that has all but disappeared. Klaus Schiller was born in Vienna in 1927 to Walter, a gynaecologist, and Berta, the daughter of an industrialist. Following the Anschluss in 1938, his comfortable childhood was interrupted by enforced emigration and he was sent, with his sister, Verena, to England. Within a few days and with hardly a word of English, he found himself at boarding school in Bishop’s Stortford. He always denied that this uprooting was traumatic and agreed with his friend, the late Professor Peter Scheuer, that “the best thing that ever happened to us was to come to England.” Klaus’s parents and grandparents soon followed and he was sent to Clifton College. In 1945 he gained an Exhibition to read medicine at Queen’s College, Oxford a city that was important to him throughout his life. In 1948, he won a scholarship to the London Hospital, completing his clinical training in December 1951. He was appointed to two house officer posts at the London, and served two years national service, mostly as a medical specialist. After a clutch of junior positions elsewhere, he returned to the London as a registrar. He was appointed senior registrar at the Radcliffe Infirmary in 1962 and in 1966 received his doctorate. Eager to become a consultant, he spent a happy year at the Massachusetts General Hospital. Returning to Oxford, Dr Schiller worked with his mentor and lifelong friend Dr Sidney Truelove. They undertook an in-depth survey of haematemesis and melaena, and the risky abdominal surgical interventions that were undertaken as a result. Truelove had acquired the first flexible fibre-optic gastroscope capable of taking biopsies under direct vision, and together they pioneered its early use.

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Gastroenterology experts call for 24-hour service in all UK hospitals

The call comes after a UK-wide audit from the society revealed that nearly half of UK hospitals do not provide an out-of-hours endoscopy service, despite 60% of acute upper gastrointestinal bleeding episodes occurring out of normal working hours. According to the British Society of Gastroenterology (BSG), more than 700 lives could be saved each year if all hospitals offered a 24-hour service. Addressing a meeting at Number 11, Downing Street yesterday to raise awareness of gastroenterological conditions, BSG president, professor Chris Hawkey, said: Our audit has shown that about 80,000 patients a year are admitted with gastrointestinal bleeding, which has an 8% mortality rate. Yet only 55% of trusts at the moment provide a comprehensive out-of-hours GI bleeding service we need to get this to 100%, he added. The BSG is also calling for six new standards of care for patients with inflammatory bowel disease to be implemented by all UK commissioners by October 2010. Readers’ comments (1) Anonymous | 26-Jun-2009 8:24 pm The B.S.G. is correct in calling for a 24/7 service. In my experience, during almost 20 years of endoscopy nursing, most bleeds and other emergencies occurred outside of the normal working day. The equipment is available and I believe that the service should be funded. Patients deserve prompt effective diagnosis and treatment.

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Cnn’s Gupta To Drop Another Medical-marijuana Bombshell Tonight? Watch At 10 P.m.

Sanjay Gupta will be at it again, airing Weed 2, his second, hour-long special on the health benefits of cannabis. Michigans medical-pot advocates say it could be a second bombshell in the national debate on pot. We think itll be another big deal across our country, and hopefully even in other parts of the world where they are thinking about changing their laws, said Heidi Parikh of Romulus, founder of the Michigan Compassion education groups that meet in Royal Oak and Southgate. Gupta, who grew up in Novi and graduated from the University of Michigan School of Medicine, will narrate the show, which will include sick youngsters and their parents struggling to obtain cannabis against legal barriers placed by state and federal authorities. If you want to understand the science, this is something youll want to watch, Gupta told the Free Press on Monday. The drug continues to be unfairly rejected by most of the American medical establishment and by government drug regulators, he said. My sense as a doctor is that people have an option now, something that actually was an option up until the 1940s (when the federal government made marijuana illegal). Theres a lot of evidence now that this not only works for many ailments but it often works where nothing else has, he said. The show will discuss how cannabis can ease symptoms of epilepsy, multiple sclerosis, arthritis, cancer and other diseases. As a father as well as a brain surgeon and medical professor, Gupta said he remains opposed to exposing young people to marijuana. And he hedged when asked about legalization for recreational use, calling that an issue for a future show. But he said medical cannabis clearly has a key role to play in seizure disorders, the safe alleviation of pain and numerous other health applications. Last week, the Medical Marijuana New Conditions Review Board in Lansing approved one new use for medical marijuana, post-traumatic stress disorder (PTSD), while denying applications that it be allowed for insomnia and bipolar disorder.

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Healthcare Executive Dr. Thomas Wenkart Joins Targeted Medical Pharma’s Board of Directors

Thomas Wenkart, Chief Executive and Chairman at Macquarie Health Corporation, has joined the companys board of directors. A nationally respected expert in healthcare, medical and hospital administration in Australia, Dr. Wenkart established Macquarie Health Corporation in Sydney, Australia, in 1976. His organization owns and operates eleven private hospitals in Australia, and is one of the nation’s leading providers of healthcare services. Dr. Wenkart is a graduate of the Sydney University School of Medicine. In 1976, he established the Health Care Research Institute and the Wenkart Foundation, which supports the Arts and Health Sciences with the credo of community benefits in the shortest possible time. In 2007, the Wenkart Foundation established the Wenkart Chair of Endothelium Medicine at Sydney University and the Centenary Institute. Dr. Wenkart has a unique understanding and interest in medical computing, electronic health records, biomedical technology, and videodermoscopy systems. In 2003, he acquired Derma Medical Systems in Austria. We are very pleased to have Dr. Wenkart join our company. He brings a great deal of healthcare and business experience to our board, said Dr. William Shell, Chief Executive Officer and Chief Science Officer at Targeted Medical Pharma.

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Doctor Who: Legacy Hits Kindle Tablets

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Players can choose from the Eleventh, Tenth, Eighth, Seventh, Sixth, and Third Doctors and companions like River Song, Madame Vastra, Jenny, Amy, Rory, K-9, and even Adipose as they complete the levels in the game and gain new characters with new abilities. So far, the game has included stories across both Seasons 6 and 7 of the new series. With the games release in the Amazon AppStore, a new epilogue has been added to the end of the Season 6 story, and includes another fan favorite character, Captain Jack Harkness, as a guaranteed drop to all those that complete the level. The First Doctor will also shortly be joining the storyline of the game as well. Word is that a Facebook version of the game playable in your web browser is also on its way, due at the end of March. And if all this wasnt enough, theres more! Get ready for Doctor Who: Legacy Season 5 As time collapses due to the Sontaran attack, the Master uses the chaos to begin construction of his own empire. All of this leads to the impending launch later this month of Doctor Who: Legacy Season 5,The Return of the Master! I cant wait to meet Captain Jack and see how the game will look in Facebook and the Master! You can find out more about Doctor Who: Legacy in the forthcoming Kasterborous Magazine #2, which is nearing completion email Tags: Amazon , Captain Jack Harkness , Doctor Who , Doctor Who: Legacy , First Doctor , Kindle Fire About the Author Rebecca Crockett Rebecca is new to the Who world, having only recently watched the entire new series in a span of 8 days. She is no stranger to sci-fi though, being a life long Trekkie and has vague memories of seeing the 4th Doctor on US television as a child. When not watching, reading, blogging, or talking about Doctor Who, she is a fan of pop culture and loves movies and books so much she has to keep a list of both so she doesn’t forget any of them. She also likes to make attempts at various forms of art including photography and painting. Rebecca is currently working her way through as many classic serials and as many books related to the show that she can find and wishes she could have been with the Doctor and Amy when they met Van Gogh. 4 Responses to Doctor Who: Legacy Hits Kindle Tablets Since its release late last year You should know its means it is.

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Doctor Who: 50 things you didn’t know

Matt Smith and David Tennant in The Day of the Doctor: Doctor Who 50th anniversary

Sort of… Well, OK, they dont really. But some people experience a rare form of synaesthesia an involuntary crossover of sensory input in which they are apparently able to perceive time. Those who experience the phenomenon often describe it as a circular formation, with years shading into one another and longer periods, such as decades, showing up in different colours. Dates, appointments and memories may have a physical form and a place in the arrangement. Such time-space synaesthetes, as theyre known, can sometimes even perceive time as a ring encircling them. No word on the regeneration, though, and no one has come calling with a free TARDIS. Yet. 11. And so does the Sonic Screwdriver. Again, sort of… Like all good ideas in science fiction, the sonic screwdriver has long tempted scientists to re-create its functions in the real world.

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Health Workforce Australia Report Gives The Nod To Physician Assistants

(NSW representatives instead wanted more generalist medical positions such as hospitalists). The report notes that those with direct experience of PAs or PA students are confident about the safety and acceptability of PAs for the Australian health system. They also say that PAs would improve the productivity of other health professions, and would be unlikely to threaten the training of medical graduates or the advanced practice roles in other professions. Despite a decade of discussion and two successful pilot programs, says the report, there remains a high level of misunderstanding about the clinical role and professional attributes of PAs and how they might complement and add value to existing team structures. On a related note, the report says: Those who openly declared their opposition to introducing PAs in Australia were likely to advocate for the interests of existing professions, either nursing or medicine. (Croakey wonders if this gives any hint of the reason for the NSW resistance: are the medical and nursing lobbies more influential in NSW?) The report also notes the potential of PAs to reduce health care costs by providing a new workforce group to provide safe and effective services at lower cost. The report, considered by the Australian Health Ministers Advisory Council (AHMAC) in February, has been keenly awaited by PAs and their supporters, including one of the first PAs to graduate in Australia,Ben Stock, who writes below that action is now needed. *** Report represents overwhelming support for PAs Ben Stock writes: In 2011, Health Workforce Australia commissioned a report into the Physician Assistant and their potential role in the Australian health workforce. This report was completed in November 2011 and earlier this year was tabled to the Australian Health Ministers Advisory Council for consideration and it has now just been formally released. This comprehensive report conducted an extensive literature review of supporting documentation regarding Physician Assistants from overseas evidence and considered the impact of the two Australian Physician Assistant trials, which were conducted in Queensland and in South Australia. In addition the report also considered submissions from various key stakeholders such as personnel from the rule and remote health sector, Physician Assistant graduates and students from the Australian PA programs conducted by University of Queensland and other professional bodies representing nurses and doctors. The findings of this report are overwhelmingly supportive of the introduction of the Physician Assistant into the Australian health workforce.

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General practitioner (family physician) workforce in Australia: comparing geographic data from surveys, a mailing list and medicare

At each scale, Pearsons correlation coefficients were calculated between headcounts and between FWE/FTE across datasets. Correlations between the AIHW survey and the other datasets at the SLA scale were calculated for only those SLAs for which the AIHW survey was not missing information. Thus the correlations exclude information from the Northern Territory. At each scale, correlations between the datasets were also calculated within ASGC remoteness categories. Data from the PHCRIS survey are at the DGP scale which encompass multiple remoteness categories and are excluded from the within-ASGC category correlation analysis. DGPs also occasionally cross state boundaries. To calculate FWE and headcount sums within states, DGPs need to nest in them. To achieve this, DGPs were decomposed to their component SLAs, and SLAs that crossed state boundaries were discarded. Table 2 summarizes the correlation analyses that were implemented. Since the GP headcounts and FTE/FWEs are spatially autocorrelated, traditional metrics of confidence and p-values would be biased. One measure of spatial autocorrelation is Morans I, which ranges from 1 (indicating perfect negative correlation between neighbors), 0 (absence of correlation) to +1 (perfect correlation between neighbors) [ 45 ]. At the SLA scale Morans I is 0.33 (95% CI: 0.33, 0.34) for the AMPCo doctor list FTEs, 0.33 (95%CI: 0.32, 0.34) for AmpCo headcounts and 0.34 (95%CI: 0.34, 0.35) for indirectly derived FWEs. Efrons bootstrap is one approach to estimating confidence intervals in data that are correlated, have outliers, and/or violate other distributional assumptions [ 46 ].

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The 10 Best Original Songs In Doctor Who

The Fifth Doctor not only manages to thwart the plot, but gains Kamelion as a traveling companion afterwards. “The King’s Song” appears briefly in “The King’s Demons” being sung by Kamelion as King John. The episode’s writer, Terence Dudley, penned the lyrics, with music being provided by Peter Howell; Gerald Flood sung the tune, accompanied by Jakob Lindberg on the lute. The melody forms a leitmotif to the rest of the score, an act of musical subtlety almost completely absent in the classic era. 9. “My Angel Put the Devil in Me” I don’t put a high score on “Daleks in Manhattan/Evolution of the Daleks,” an ultimately pedestrian story that offers very little. However, it does feature one of Murray Gold’s better original songs in Miranda Raison’s cabaret number “My Angel Put the Devil in Me.” The song is apparently popular enough to still have cover versions of it many years into the future, as Captain Jack Harkness is listening to it in an alien bar in “The End of Time.” 8. “Abigail’s Song (Silence Is All You Know)” I was going to put “The Long Song” from “Rings of Akhaten” on here, but listening to that tune without Matt Smith’s amazing monologue in the middle just goes to prove that it’s not really all that good. Instead, Murray Gold’s Christmas carol from “A Christmas Carol” gets the mention, performed by the angelic Katherine Jenkins. Not only is Jenkins’ singing incomparably beautiful, but the orchestral arrangement is exceptionally brilliant. No wonder the song had the power to guide a crashing spaceship to safety. 7. “In a Dream” I had always just assumed that the soft jazz song that the Seventh Doctor was listening to right before The Master sprang the trap that led to his death and regeneration was just one of the thousands of old standards I had never heard of. No, it was a completely custom-recorded song written by Barbara L. Jordan and William Peterkin and sung by Pat Hodges. Later, after the Eighth Doctor has saved the Earth and escapes back to the Tardis for new adventures, he resumes listening to the song.

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Top Neurosurgeon Lindy Jeffree Warns Patients Will Die If Newman Government Forces Doctors To Sign Individual Contracts

Doctor shortages strain patients’ patience

Dr Lindee Jeffree will shift to private practice due to the new State Government-proposed doctor contracts. Picture: Jack Tran Source: Supplied A RESPECTED neurosurgeon is planning to leave the public hospital system and set up private practice because of the Newman Governments controversial individual contracts. Lindy Jeffree, who works at a major Brisbane public hospital, said she feared patients would die if the issue was not resolved. She said many medical specialists were making plans to set up private practices because of the controversial contracts. How much time they spend in the private sector will depend on whether the government agrees to rewrite key clauses with senior medical officers. But Health Minister Lawrence Springborg has declared that negotiations are over. If the Government makes the contracts fair, Id stay on but Ill still have some private work now which I didnt have before, Dr Jeffree said. The issue is expected to spill over in todays LNP party room meeting with doctors inundating their MPs with concerns about the contracts. Public hospital specialists from throughout Queensland are also planning to fly into Brisbane for a meeting at the Pineapple Hotel on Wednesday night to discuss strategies to get the contracts overturned. Dr Jeffree said her biggest concerns about the proposed contracts were for public hospital patients who would not receive the same level of care as experienced doctors resigned or reduced their hours working for Queensland Health. We already have challenges covering the after-hours roster without unduly fatiguing surgeons, she said. In neurosurgery, if doctors are overtired, overbusy or inexperienced, patients die. This is just because of the nature of the conditions we treat. This is a very real issue across the state in coming months. If you need urgent neurosurgical attention after hours .

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And he said the situation the report captures will only get worse, because medical schools will continue to graduate specialists at current levels for the next few years at least. I think we overshot the mark, said Lewis, who was not involved in the study. I think that there is no question that almost doubling medical school enrolments since the late 1990s combined with easier paths to licensure for international medical grads was the wrong thing to do. We didnt think it through as a country. The study was conducted for and released by the Royal College of Physicians and Surgeons. It sets standards for physician education in the country and had been hearing anecdotes about rising numbers of unemployed doctors. So it decided to assess the situation. The ensuing report, released Thursday, is based on a survey of over 4,000 newly graduated doctors and interviews with about 50 people knowledgeable about the situation deans of medical schools, hospital CEOs and the like. It does not recommend ways to fix the issue. Dr. Michael Rieder, assistant dean of the Schulich School of Medicine and Dentistry who was at the Windsor campus Thursday, said part of the problem is the way the medical system is structured. But theres also doctors choosing not to retire and new ones not wanting to look for work outside of Toronto and other large cities. Im not sure that there are too few doctors. I think theyre poorly distributed. There is still a shortage of family doctors in Windsor and Essex County and the report might push some medical students to consider a family practice, he said.

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Surgeons, medical specialists can’t find jobs, study finds

Dr. Joslyn Warwaruk is photographed at the Teen Health Centre in Windsor on Thursday, February 16, 2012. Warwaruk is the new president of the Medical Society.                 (TYLER BROWNBRIDGE / The Windsor Star)

Local hospital recruiters would not go so far as to say that their organizations are lacking certain types of medical providers. In fact, the state has an ample supply of physicians overall, said Jean Moore , director of the Center for Health Workforce Studies at the School of Public Health at the University at Albany. But there are areas of “maldistribution,” Moore and local hospital recruiters said places where supply (doctors) and demand (patients) don’t match up. The shortage of primary care doctors has been recognized for years. Only about one-third of American doctors are primary care physicians, compared to two-thirds in many European countries. Health-care observers around the nation have a simple explanation for that: specialists in the United States get paid a lot more than primary care providers. But current health reforms, including parts of the federal Affordable Care Act, are meant to change the way medical services are paid for. Under the current system, patients are charged a fee for each service. That means while a surgeon will get paid to amputate a diabetic’s foot, a primary care doctor often gets little to help a patient prevent diabetes, Moore said. Evolving payment arrangements seek to change that. “We’re trying to move toward a system that rewards good-quality care,” Moore said. Where doctors are scarce, medical practices are increasingly using physician assistants and nurse practitioners to provide primary care, under the supervision of a doctor. Get used to seeing more of these providers when you go for a checkup or minor complaint, local experts said. About a quarter of the nearly 400 providers in St.

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