Osteopathic News
DO Nominated to Prevention Advisory Group
President Nichols wrote to HHS Secretary Kathleen Sebelius on 7/28/10 to nominate Robert B. Goldberg, DO, to the Advisory Group on Prevention, Health Promotion, and Integrative Medicine. The Advisory Group will assist the National Prevention, Health Promotion and Public Health Council established under the Affordable Care Act. The Council, chaired by the U.S. Surgeon General (an AOA member!), is charged with developing a national prevention and health promotion strategy. Dr. Goldberg is Dean and Professor of Physical Medicine and Rehabilitation at Touro College of Osteopathic Medicine in New York and Attending Physician in the Department of Rehabilitation at St. Vincent's Hospital and Medical Center of New York City.
American Osteopathic Association Installs First Female President
Not one to back down from a challenge, Karen J. Nichols, DO, embraces her term as the first female president of the American Osteopathic Association (AOA) during a time of historic change in health care. The AOA installed her as its 114th president this afternoon during its annual business meeting in Chicago.
Effects of Rib Raising on the Autonomic Nervous System: A Pilot Study Using Noninvasive Biomarkers
Rib raising is an osteopathic manipulative treatment technique used to address restricted excursion of the rib cage and modulate sympathetic nervous system (SNS) activity. However, the physiologic effects of this technique have not been well documented. This article investigated the effects of rib raising on the autonomic nervous system and the hypothalamic-pituitary-adrenal axis using noninvasive biomarkers. The results of the present pilot study suggest that SNS activity may decrease immediately after rib raising, but the hypothalamic-pituitary-adrenal axis and parasympathetic activity are not altered by this technique. Salivary -amylase may be a useful biomarker for investigating manipulative treatments targeting the SNS. Additional studies with a greater number of subjects are needed to expand on these results.
OMT Guidelines Added to National Guideline Clearinghouse
The AOA's guidelines for osteopathic manipulative treatment (OMT) for patients with low back pain have been posted to the National Guideline Clearinghouse (NGC), a comprehensive database of evidence-based clinical practice guidelines and related documents administered by the U.S. Agency for Healthcare Research and Quality (AHRQ). Developed by the AOA Bureau of Osteopathic Clinical Education and Research's Low Back Pain Subcommittee, the guidelines provide authoritative clinical guidelines on OMT for low back pain. Michael Seffinger, DO, served as Chair of the Subcommittee.
AOA Executive Director John B. Crosby, JD, represented the osteopathic family on Wednesday during a Capitol Hill press conference to call upon the U.S. House of Representatives to support the American Jobs and Closing Tax Loopholes Act (H.R. 4213). The proposed legislation will help preserve access to health care for millions of Medicare beneficiaries until 2014 by preventing the scheduled 21.1% cut to Medicare physician payment and replacing the reduction with at least 1% positive updates until a permanent fix to the flawed sustainable growth rate formula can be implemented.
President Wickless Writes to the Washington Post
President Wickless also wrote a letter to the editor of the Washington Post regarding an article, "Medical schools use outreach programs to make student bodies more diverse," that was published on 6/8/10. Offering all qualified candidates the opportunity to practice medicine is an ongoing mission for the osteopathic medical profession. Last year, the AOA renewed policies calling for programs to encourage increased enrollment of qualified minorities in osteopathic medical schools and for the advancement and integration of minorities into the osteopathic medical profession. In fact, minorities comprise 25% of enrollment at osteopathic medical schools. The Touro College of Osteopathic Medicine in Harlem is among the schools that recently opened its doors to train future physicians while providing access to care in a medically underserved community.
Medicare Payment Extension
As a follow-up to the AOA's press conference in Washington, DC, yesterday, we are advised that U.S. House of Representatives leaders reportedly have modified the Sustainable Growth Rate (SGR) provisions of HR 4213. The new provisions provide 18 months of positive updates instead of the 3.5 years originally proposed and will include a positive payment update of 2.2% in 2010 and 1% in 2011. The formula returns to current law in 2012. The House is expected to consider the bill sometime today - although they still have vote problems. If the House approves the bill, the Senate will attempt to consider the bill this week before adjourning for the Memorial Day recess.
AOA poll: Medicare policies negatively impact access to care
An alarming number of physicians will stop seeing Medicare beneficiaries if current payment policies are not reformed, according to an independent poll conducted on behalf of the AOA. When physicians who have input into what kind of insurance they accept in their practices were asked about the pending 21.3% cut in Medicare payments, only 42% said they would definitely or probably continue seeing their current Medicare patients if the cut were to occur. "These numbers should be a wake up call to policymakers," stated AOA President Larry A. Wickless, DO.
Pedal Pump and Thoracic Pump Techniques Safe in Intracranial Pressure in Patients With Traumatic Brain Injuries
Although osteopathic manipulative treatment (OMT) is used to manage myriad conditions, there has been some hesitation regarding the safety of applying OMT to patients with intracranial injuries or elevated intracranial pressure (ICP). An article the JAOA prospectively enrolled consecutive patients admitted to the intensive care unit (ICU) for traumatic brain injury. Patients between the ages of 18 and 75 years and with abnormal CT scans were included in the present study. Patients with baseline ICP values of 20 mm Hg or lower were assigned to group 1, and those with ICP levels greater than 20 mm Hg, group 2. Although not statistically significant group 1 patients had a slight decrease in ICP values and an increase in CPP values and patients in group 2 also had decreased mean ICP values (-1.20 mm Hg) and increased mean CPP values (2.2105 mm Hg) concluding pedal pump and thoracic pump techniques may be used safely in patients with severe brain injuries.
Understanding Insurance: Will a Public Option or Co-op Get Us Where We Want?
A"public option" (ie, allowing individuals to purchase government-run health insurance) has been proposed as a solution for achieving universal health coverage in the United States. Politicians have told us not to fear a public option because government-run programs such as Medicare work well—without any of the dreaded rationing of care that critics claim would occur. Recent town hall meetings have demonstrated that many elderly Americans are satisfied with their Medicare coverage and will fight fiercely to protect it.......
National Osteopathic Medicine Week is Here
Do you know what a DO is? That’s the question I’d like you to ask people this week. By educating your patients, friends, and neighbors about DOs and osteopathic medicine, you can play an important role in the effort to promote DOs and osteopathic medicine during National Osteopathic Medicine (NOM) Week.
