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AtricleZine - May 6th deadline: Medicare's final decision to cover vagus nerve stimulation therapy for depression
Joe's College GuideToday's College WorldAh, the college years. Sex. Liquor. The occasional lecture hall. A bohemian paradise of education, right? All fun and learning until you get the bill in the mail, for an average of $15,000 per year in today's college world, plus books, living expenses, and even(in most states), taxes."That's fine, Joe, my parents pay for it all!" Go suck a camel's nut. No, seriously, stop reading. This guide ain't for you. You piss Joe off.Still here? Fine. The less privileged among us recognize college as the gateway to something we REALLY want: Money. After all, anybody with MONEY can get all the sex and
I have been intimately involved in the study of vagus nerve stimulation. The therapy involves surgically implanting in the chest a small stimulation device similar to a cardiac pacemaker. Through wires that run under the skin to the vagus nerve i
Amongst all the stressful decisions you have to make as you plan your wedding (can arch-conservative Cousin Bill sit at the same table with super-liberal Aunt Trisha?) choosing your wedding cake is one of the fun decisions. But even choosing a wedding cake involves some details, some of which may not be obvious. This checklist of questions will help you be sure you are well-prepared when you meet with your wedding cake designer.1. How much is the cake going to cost?It's worth getting this one out of the way first, since some of your options will depend on your budget. Wedding cakes are usually priced per portion, with costs ranging from $3 to
Dr. Conway authored the following compelling and thoughtful editorial, which was widely published last week. I hope you will find it very informative.
Government should pay for a new treatment for a grave condition By Charles R. Conway, M.D.
Monday, Apr. 09 2007
Clinical depression is not sadness. It is a serious medical condition that has a profound impact on an individual's capacity to function and his or her quality of life.
Clinical depression is among the most disabling conditions in the developed world, second only to heart disease in disability because of lost productivity and suicide, according to recent studies. The World Health Organization predicts clinical depression will be the No. 1 cause of disability worldwide by 2020.
About 20 percent of those who have depression — approximately 4 million Americans — suffer from a particularly severe form of the disease known as treatment-resistant depression. As a psychiatrist who specializes in the study and treatment of those with severe mood disorders, I have seen firsthand the devastating toll the disease takes on the lives of these patients.
In February, however, the Committee on Medicare and Medicaid Services made a preliminary ruling against funding a new Food and Drug Administration-approved therapy for treatment-resistant depression called vagus nerve stimulation. A final decision is due by early May. If the initial recommendation is endorsed, the decision will lead to needless suffering by patients and their families, significant unresolved illness and tragic deaths by suicide. Failure to reimburse severely depressed patients for this procedure would be shameful.
I have been intimately involved in the study of vagus nerve stimulation. The therapy involves surgically implanting in the chest a small stimulation device similar to a cardiac pacemaker. Through wires that run under the skin to the vagus nerve in
There are countless low-cost things you can do to promote your business. Here's ten of my favorite: Always be prepared with an "elevator speech." When you meet new people talk about the benefits associated with the service you provide-NOT the actual process of how you achieve these benefits. In a nutshell, let prospective clients know how your service can solve their biggest problem.Network and set goals. When attending events, workshops or meetings, don't sit by people you know. Hello? The point is to meet new people! Make a goal of meeting 3-5 new people at each event. Be interested in others, get their busin
Monday, Apr. 09 2007
Clinical depression is not sadness. It is a serious medical condition that has a profound impact on an individual's capacity to function and his or her quality of life.
Clinical depression is among the most disabling conditions in the developed world, second only to heart disease in disability because of lost productivity and suicide, according to recent studies. The World Health Organization predicts clinical depression will be the No. 1 cause of disability worldwide by 2020.
About 20 percent of those who have depression — approximately 4 million Americans — suffer from a particularly severe form of the disease known as treatment-resistant depression. As a psychiatrist who specializes in the study and treatment of those with severe mood disorders, I have seen firsthand the devastating toll the disease takes on the lives of these patients.
In February, however, the Committee on Medicare and Medicaid Services made a preliminary ruling against funding a new Food and Drug Administration-approved therapy for treatment-resistant depression called vagus nerve stimulation. A final decision is due by early May. If the initial recommendation is endorsed, the decision will lead to needless suffering by patients and their families, significant unresolved illness and tragic deaths by suicide. Failure to reimburse severely depressed patients for this procedure would be shameful.
I have been intimately involved in the study of vagus nerve stimulation. The therapy involves surgically implanting in the chest a small stimulation device similar to a cardiac pacemaker. Through wires that run under the skin to the vagus nerve i
I love a good fight scene. Nothing gets the adrenalin rushing better than the hero and villain battling for the prize. Every move, every punch thrown and blocked, can be a writer's nightmare. Are your hero's feet in the right place, is your villain close enough for the fatal blow to even hit him. You have to be sure where your characters are during their final conflict. Otherwise your reader isn't going to keep reading.What are some of the things to pay attention to when writing an action scene? Here is a quick list of things to pay attention to when writing.Action-packedYou want a scene that gets the blood flowing, for your rea
About 20 percent of those who have depression — approximately 4 million Americans — suffer from a particularly severe form of the disease known as treatment-resistant depression. As a psychiatrist who specializes in the study and treatment of those with severe mood disorders, I have seen firsthand the devastating toll the disease takes on the lives of these patients.
In February, however, the Committee on Medicare and Medicaid Services made a preliminary ruling against funding a new Food and Drug Administration-approved therapy for treatment-resistant depression called vagus nerve stimulation. A final decision is due by early May. If the initial recommendation is endorsed, the decision will lead to needless suffering by patients and their families, significant unresolved illness and tragic deaths by suicide. Failure to reimburse severely depressed patients for this procedure would be shameful.
I have been intimately involved in the study of vagus nerve stimulation. The therapy involves surgically implanting in the chest a small stimulation device similar to a cardiac pacemaker. Through wires that run under the skin to the vagus nerve i
If you are applying for a mortgage, you’re going to have to deal with credit scores. Here’s a primer on credit scores and methods for improving them.Credit ReportStep one in the process is making sure that you have a current copy of your credit report. Congress recently amended the Fair Credit Reporting Act so that consumers may now receive one free credit report annually. There are three major credit bureaus: Equifax, Experian, and Transunion. Since entries can vary across bureaus, you’ll want to request a free report from each of the three companies. (Go to www.annualcreditreport.com
In February, however, the Committee on Medicare and Medicaid Services made a preliminary ruling against funding a new Food and Drug Administration-approved therapy for treatment-resistant depression called vagus nerve stimulation. A final decision is due by early May. If the initial recommendation is endorsed, the decision will lead to needless suffering by patients and their families, significant unresolved illness and tragic deaths by suicide. Failure to reimburse severely depressed patients for this procedure would be shameful.
I have been intimately involved in the study of vagus nerve stimulation. The therapy involves surgically implanting in the chest a small stimulation device similar to a cardiac pacemaker. Through wires that run under the skin to the vagus nerve i
I've been blogging occasionally over the last two months about my ongoing experiment with writing articles. This is a super hot topic lately with the changes going on at Google and Yahoo that are impacting many websites and basically freaking people out.Now everybody knows that writing articles is a powerful technique. You knew that, right? And everybody is writing articles, right? No. Did I? Not until recently, though I wrote a lot in blogs and did post some articles I wrote on my sites. There's two parts to this for me. Writing, which I have been doing. Distributing. Which I hadn't been doing.I finally came out of that fog and decided
I have been intimately involved in the study of vagus nerve stimulation. The therapy involves surgically implanting in the chest a small stimulation device similar to a cardiac pacemaker. Through wires that run under the skin to the vagus nerve in the neck, the device delivers pulses that trigger changes in the brain. Originally approved to treat epilepsy, the device was approved in 2005 by the Food and Drug Administration to treat severe depression that did not improve with other therapies.
Current studies and safety data support using vagus nerve stimulation to treat depression in patients after multiple other therapies have failed to improve their conditions. These patients are the "sickest of the sick" and deserve our help.
It's difficult to emphasize strongly enough the degree of suffering and imminent life-threatening nature of this virulent brain disease. Even the general medical community has little understanding of the degree of torment experienced by these patients and their families. They deal with failed treatment after failed treatment, the incapacity to maintain work and family roles, suicide attempts and psychiatric hospitalizations that recur year after year. Many of these individuals literally spend more than half of their lives incapacitated by depression.
From 2000 to 2003, I was the principal investigator at St. Louis University's School of Medicine of a clinical trial on the effectiveness of vagus nerve stimulation for patients who have treatment-resistant depression. I was very impressed by what I observed: Of the 10 subjects we enrolled in the trial — all of whom had suffered depression for more than 15 years — four had complete resolution of their symptoms of depression. Even more amazing, all of these patients remain depression-free to this day, five years later.
Any practitioner who deals with people with treatment-resistant depression will tell you that such a positive outcome is unheard of: Typically, those with tre
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