A Cure for Hepatitis C?

Virginia Commonwealth University (VCU) recently conducted and presented a study on pegylated interferon alfa-2a (PEGASYS) and its ability to eradicate the Hepatitis C virus from its patients. However, because of the misleading words spoken by a lead investigator involved in the study, many people believed a cure for all Hepatitis C patients had, at last, been found.

In order to establish whether or not Hepatitis C reemerges in patients who have achieved success through treatment with PEGASYS or a combination of PEGASYS and ribavirin, researchers at VCU monitored blood levels of hundreds of HCV infected and HCV/HIV co-infected patients who had already realized treatment success. Of the nearly 1,000 patients whose HCV blood levels were reviewed for an average of four years after achieving sustained virologic response (SVR), more than 99 percent had maintained undetectable levels of the virus.

While these results suggest that SVR may be permanent, many newly hopeful Hepatitis C patients remain unaware of the study’s complete details. Do these results actually signify a cure for HCV has been found?

To help clarify, the outcome from VCU’s study means that patients who achieve sustained virologic response with PEGASYS therapy have a 99 percent chance of being cured of Hepatitis C. What these results do not mean is that anyone with the infectious virus can, at the present time, be cured. This is largely due to the fact that combination therapy is not always effective for the most common type of Hepatitis C in the U.S., genotype 1, and also does not take into account all those who cannot complete treatment or have it modified due to its side effects.

Since not everyone with HCV achieves SVR after enduring PEGASYS therapy, the pharmaceutical industry continuously tries to develop new and effective treatments. The Hepatitis C community continues to eagerly await news that this liver-damaging virus can indeed be cured.

To read this entire article and learn more specific information about genotypes and success rates of combination therapy, click here.

3 Tips For Your Kidney Stones Treatment

Kidney stones treatment will depend on the stones size and the patient’s condition. Relief from pain and ridding the body of the stones is the goal of the treatment. Kidney stones treatment depends on the size , type, and underlying cause . Usually, stones that are smaller than 4mm pass freely, while those larger than 5mm seldom pass naturally.

Blood in your urine. Urine that smells bad or looks cloudy. Blood tests show whether the kidneys are failing to remove wastes. Urine tests can show how quickly body wastes are being r . Blood in the urine , however, does not always mean a person has a kidney stone. There may be other reasons for the blood, including kidney and bladder infections , trauma , or tumors.

Ureteroscopy may be used for mid- and lower ureter stones. No incision is made in this procedure, but general anesthetic is still required. Ureteroscopy is the best kidney stones treatment method. It proves to be successful for more than 95% of people. Ureteroscopy is most commonly employed for stones in the lower urinary tract. The surgeon places a slender rigid or flexible telescope through the ureter to the level of the stone, where it is then managed with extraction, fragmentation, or both.

Shock wave lithotripsy uses a spark gap or electromagnetic transducer to produce a shock wave for patients with renal calculi (kidney stones). Shock waves are transmitted to the patient either through a water bath, which the patient is placed in, or using a water-filled cushion that is placed against the skin. Ultrasound or fluoroscopy is used to locate the stone and focus the shock waves. Shock waves are used to break up the kidney stones to make them easier to pass. The most common way to use ESWL is to be partly submerged in a tub of water while the shock waves are used.

Uriflow is first non-prescription product that successfully alleviates kidney stone attacks by actually working on the stone itself. The longer a kidney stone remains in your urinary tracts the more damage and pain it can potentially cause to the sensitive kidney tissue. Uriflow has claimed that the process of elimination of kidney stones through uriflow treatment is a painless treatment and this should be highly sought by kidney stone patients from all over the world.

And then theres the natural cures for your kidney stone treatment, many people are turning to this type of treatment, giving them the same results but in a safer way.

Herbal Treatment For Acid Reflux

Many people who now suffer from acid reflux prefer not to use prescribed medication in order to treat the problem as they do not want to suffer from any unwanted side effects. Certainly more and more people are now looking for natural ways of treating acid reflux.

There are now plenty of herbal treatments for acid reflux and are based on what herbalists known with regard to the use of traditional medicines and how to use traditional medicinal plants. A lot of the herbal treatment for acid reflux available today are common food herbs that will be found in anybody’s kitchen.

The great thing about using acid reflux herbal treatments is that they do not cause the user to suffer any risks if used for long periods of time. However, whether or not they are effective is still largely unknown.

If you are someone who is diagnosed as suffering from acid reflux it is essential that you make regular appointments to see your doctor or healthcare provider even if you think you have the problem under control. Plus when you visit your doctor, it is important that you advise them what kinds of herbal and natural remedies or treatments you are using for your condition.

Also should you start to suffer from any new or different symptoms in relation to the problem these should also be immediately be brought to your doctor’s attention as they may be the underlying cause of something else.

Today the kind of herbal treatment for acid reflux a person can use include chamomile, slippery elm, fennel, angelica root, ginger root, catnip, meadowsweet along with peppermint, lavender and chicory root.

Plus you may also want to consider using aloe in order to treat the problem. A large number of herbalists have certainly found that a combination of various different herbals such as peppermint, lavender and aniseed when made into a tea are extremely effective in dealing with the symptoms of acid reflux.

Such ingredients have often been used previously for treating indigestion problems and although they may help to relieve the symptoms it is best that a person also makes changes to their dietary habits and the kind of lifestyle they lead to help prevent the problem from becoming much worse.

Herbal Treatment For Acid Reflux

Many people who now suffer from acid reflux prefer not to use prescribed medication in order to treat the problem as they do not want to suffer from any unwanted side effects. Certainly more and more people are now looking for natural ways of treating acid reflux.

There are now plenty of herbal treatments for acid reflux and are based on what herbalists known with regard to the use of traditional medicines and how to use traditional medicinal plants. A lot of the herbal treatment for acid reflux available today are common food herbs that will be found in anybody’s kitchen.

The great thing about using acid reflux herbal treatments is that they do not cause the user to suffer any risks if used for long periods of time. However, whether or not they are effective is still largely unknown.

If you are someone who is diagnosed as suffering from acid reflux it is essential that you make regular appointments to see your doctor or healthcare provider even if you think you have the problem under control. Plus when you visit your doctor, it is important that you advise them what kinds of herbal and natural remedies or treatments you are using for your condition.

Also should you start to suffer from any new or different symptoms in relation to the problem these should also be immediately be brought to your doctor’s attention as they may be the underlying cause of something else.

Today the kind of herbal treatment for acid reflux a person can use include chamomile, slippery elm, fennel, angelica root, ginger root, catnip, meadowsweet along with peppermint, lavender and chicory root.

Plus you may also want to consider using aloe in order to treat the problem. A large number of herbalists have certainly found that a combination of various different herbals such as peppermint, lavender and aniseed when made into a tea are extremely effective in dealing with the symptoms of acid reflux.

Such ingredients have often been used previously for treating indigestion problems and although they may help to relieve the symptoms it is best that a person also makes changes to their dietary habits and the kind of lifestyle they lead to help prevent the problem from becoming much worse.

Does Helicobacter Pylori Infection Cause Psoriasis?

One of my good friends had a classic case of psoriasis. His psoriatic rash covered areas of his face and scalp, torso, arms and legs. His story is an important one because he almost completely overcame his psoriasis simply by eliminating hidden digestive infections, eating a “rotation diet” and thoroughly detoxifying his body.

Psoriasis can be a very nasty inflammatory skin disease. It affects 1-3% of the Caucasian population and may severely compromise the quality of life in those affected.

There can be a huge amount of variation in the severity of the condition from person-to-person. The psoriatic rashes can impact day-to-day activities and social life, which is why it can be so unpleasant.

Many leading authorities actually argue that psoriasis is not actually a skin disease at all. Instead, it reflects that the body is responding to something else – usually something being inside the body that should not be there. In fact, it is now agreed that the disease is actually an inflammatory response.

It has been suggested that H pylori infection may be one of the organisms capable of triggering the inflammatory response that manifests as psoriasis.

In my experience, I would also contend that several other viruses, bacteria, parasites and fungal organisms can trigger the type of inflammatory response that leads to not only psoriasis, but also other skin disorders.

Worms such as Ascaris, Strongyloides, hookworm, tapeworm and flat worms such as liver flukes may contribute to skin disorders. My friend expelled a twelve-inch tapeworm and a liver fluke during his parasite cleanses.

Microscopic parasites such as Giardia lamblia, Blastocystis, Entamoeba histolytica and Cryptosporidium can also cause problems. For example, Giardia is known to cause hives (urticarial).

Yeast and fungal overgrowth such as Candida, Rhodotorula & Geotrichum may certainly cause skin problems. Dandruff, jock itch and fungal toenails are well-known examples.

Research has clearly shown a strong association between Helicobacter pylori and rosacea as well as urticaria. Although there is not as much research linking H pylori with psoriasis, some studies do seem to suggest an association.

One recent study found that the prevalence of H pylori was significantly higher in patients with psoriasis than in those without the disease. Of course, this does not prove that H pylori causes psoriasis, but it does show an association. In addition, some studies have shown improvements in psoriatic patients when H pylori bacteria are successfully eradicated.

You’ll remember I mentioned my friend Chris at the start of this article. Well Chris worked with the same Functional Medicine doctor who mentored me as I was learning this work.

My friend worked under this particular doctor for more than twelve months, following a strict rotation diet, avoiding gluten, milk, sugar and alcohol, removing parasites and working to remove toxins such as mercury from his body.

After twelve months, as well as having infinitely more energy and stamina, better sleep and moods, his skin had virtually cleared and in his words he was “a new person”.

This case serves as a valuable lesson because his psoriasis was not actually psoriasis at all! Rather, it was simply a symptom that reflected what was going on inside his body.

Anti-inflammatory skin lotions and creams were never going to heal my friend’s skin, because the skin was not where the root cause of the issue was located! Instead, the cause was within and inside his body and the skin was just a reflection of those internal imbalances.

In our practice we have consistently witnessed countless clients whose skin disorders improved or disappeared dramatically when they changed their diets, removed chronic digestive infections supported their detoxification processes.

Psoriasis is not a skin disease. It is a reflection of what is happening internally. As a result, in order to resolve psoriasis it is essential that address your diet and lifestyle by removing junk foods and foods that you are intolerant to and then run testing for digestive infections and remove bacteria, parasites and yeast if necessary. It is also important to detoxify your body carefully.

Essentially what you are doing is removing everything from your body that should not be there. When this is achieved, your body does not need to remain in a state of alert. This reduces inflammation and any health condition that is associated with the inflammation is almost guaranteed to improve, including psoriasis.

What Are the Symptoms of Heart Disease?

Often those outside of the medical profession don’t realize that heart disease could be any one of a number of different diseases that affect the heart. The most common type of heart disease is Coronary Artery Disease, which can lead to heart attack. Other cardiovascular diseases include heart failure, heart valve disease, vascular disease, pericardial disease, abnormal heart rhythms, congenital heart disease, heart muscle disease, or aorta disease.

Naturally, since these are all different diseases or conditions, each one has its own set of symptoms or warning signs that you need to be aware of. Many of the symptoms for each disease are similar to the symptoms of other diseases, however, so it is vitally important that if you have any warning symptom at all, you visit your doctor.

Again, coronary artery disease is the most common heart disease. The symptoms for this disease include a heavy or pressurized feeling, or pain, in the chest – which is often mistaken for heartburn. These feelings may also be experienced in the arms or shoulders, as well as the throat, jaw, back, or neck. Shortness of breath is also a symptom, as are palpitations, weakness, dizziness, sweating, nausea, and an irregular heart beat. The symptoms of a heart attack are exactly the same as well.

Abnormal heart rhythms, also known as arrhythmias, have symptoms that include palpitations, dizziness, fainting, a pounding heart, discomfort in the area of the chest, shortness of breath, and fatigue. These symptoms are also present if you have arterial fibrillation and heart valve disease.

Symptoms of heart failure include a cough that produces white mucus, shortness of breath when lying flat, or during simple activity, fast weight gain, dizziness, fatigue, nausea, palpitations, chest pain, irregular heart beat, and swelling in the abdomen, legs, or ankles. It is important to realize that these same symptoms can be applied to congenital heart diseases as well. Symptoms of Pericarditis include sharp chest pain, faster heart rate, and a low fever.

Again, as you can see, the symptoms of the various heart diseases are so similar from one condition to another, that it is impossible to determine what the situation is without further medical testing. It is also important to realize that these are not the only diseases of the heart, but they are the most common diseases.

If you have any symptoms that you have not experienced before, it is important that you seek medical treatment as quickly as possible. While heart disease is very serious, it isn’t the end of the world – or at the very least, it doesn’t have to be. The sooner you start getting treatment, the less your heart will be damaged.

Night Urination – Causes and Cures

Night urination can affect the quality of life. It arises due to a variety of problems, for example, enlargement of the prostate gland, congestive heart failure, kidney failure, etc.

Night urination is defined as waking up once or more during the night in order to urinate. This is a common phenomenon that affects the quality of life of much of the population and may affect life expectancy. The percentage of those who suffer from night urination fluctuates with increased age. Various surveys found that the incidence ranges from 16-40 percent among those aged 45-40 and 50-90 percent among those aged 80 years or over.

It is also considered a sleep disorder because it is the cause for daytime sleepiness and fatigue, depression and decreased mental ability. As a result, there may be increased morbidity, increased risk of accidents and increased mortality rate that are mainly due to falls and fractures.

In a healthy person, there are daily periodic changes in the production of urine by the kidneys. Daytime urine output is greater than at night.

By definition, increased nocturnal urine output means more than 20 percent of the total output of urine a day. According to some researchers, the production of more than 0.9 to 1.3 cubic centimeters per minute of urine at night is considered increased nighttime output. Patients who sleep six hours a night and their nocturnal urine output is 324 cc or more will be considered as suffering from increased nocturnal urine output, because they produce over 0.9 cc per minute. Healthy people are not supposed to get up at night to urinate.

The widespread public assumption is that excessive night urination is caused solely due to an enlargement of the prostate gland. But the problem may have several other significant reasons. One is a defect in the “anti -night urination” hormone production. This defect can be congenital or acquired. In many cases, it is part of the aging process, because the hormone production decreases with age. Even drinking fluids or alcohol before bed can affect the production of this hormone.

Another reason is the excessive secretion of salts and water by the body or due to congestive heart failure. Congestive heart failure means your heart can not pump blood effectively. As a result, fluids remain in the body, concentrated mainly in the space between lower limbs cells. These fluids cause edema. Edema can disappear in the morning, because when lying the fluid flows back into blood vessels, the heart and, finally, to the kidneys.

Kidney failure, sleep apnea syndrome or venous insufficiency also can cause blood drainage problems from the lower extremities. As a result, the cumulative fluid in the space between the cells is as in congestive heart failure. While you are lying down at night, the fluid is dripping to the veins in the legs and reaches the kidneys. That produces more urine. Lack of estrogens, i.e. female hormones, causes urinary system dysfunction and frequency in day and night urination. Sleep disorders and urinary bladder storage disorders also increase the need for urinating at night.

The best-known problem associated with it is an enlarged prostate which brings about an obstruction in the bladder’s output. As a result, defects are created causing the need to urinate frequently day and night. A man with the problems should have a short and simple medical examination, which includes a physical examination, completing a questionnaire about his medical condition (illness, surgery and medications he takes) and, of course, filling in a diary documenting his urination output during a 24 hour period.

Recommendations are given to patients to change their lifestyles, such as raising the legs while lying down or using elastic stockings for patients suffering from edema. These measures improve the vein drainage and reduce edema. Another recommendation is to avoid drinking a lot-especially alcohol, tea and coffee-before going to bed. If the patient suffers from sleep apnea syndrome, using a positive pressure mask improves sleep quality and reduces night urination.

Other means of dealing with the problem are the treatment of diseases such as congestive heart failure, diabetes, situations of an overactive bladder or blockage of the bladder by an enlarged prostate.

How Heart Sounds Can Indicate Different Types of Heart Problems

Ever wondered what the doctor is listening to when using a stethoscope? He is listening to your heart ofcourse! But more specifically, physicians listen to particular sounds as they can indicate certain diseases.

Below is a summary of the different heart sounds (what causes the heart sound and what can go wrong).

First some basic guidlines:

What is systole?

Systole is when the heart is contracting.

What is diastole?

Diastole is when the heart is relaxing.

In the typical lub-dub of a heart beat, lub is systole and dub is diastole.

Heart Sounds:

S1: start of systole; caused by the tricuspid and mitral valves closing.

S2: diastole; aortic and pulmonic valves close

S3: inrushing blood from the atria causes oscillation of the blood back and forth in the walls of the ventricles. Occurs in the middle of diastole because initially there is not enough blood in the ventricles to cause the reverberation.

Pathologic causes:

-rapid ventricular filling:

-mitral regurgitation (which means atria will be overfilled in systole and can thus send more blood to ventricles during diastole and thus cause rapid ventricular filling)

-elevated left atrial and left ventricular filling pressures (from a stiff and dilated left ventricle)

-ventricular septal defect (hole allows rapid filling from other side)

-poor left ventricular function

-post-MI (dead tissue is stiff and does not relax so filling is quick)

-dilated cardiomyopathy (thin and stiff walls)

S4: atria contracting forcefully to overcome stiff or hypertrophic ventricles. (stiff from post-MI fibrosis, hypetrophy from aortic stenosis, hypertension, overloading).

Occurs immediately before S1. Sometimes heard in healthy children and trained athletes.

If pathologic, will be best heard at apex.

Vital Signs on How to Recognize a Heart Attack

A heart failure occurs when the blood flowing towards a section of heart muscle becomes blocked. If the flow of blood is not restored quickly, that heart muscle becomes damaged from lack of oxygen and dies. This is a serious condition that affects millions of people in the world. This is why it’s important to know how to recognize a heart failure when you see one.

As noted, this disease is regarded as the leading killer of people all over the globe. Fortunately though, there are already discovered excellent treatments of this condition that can prevent disabilities and save lives. Before you can go about with the treatment procedures, you need to know how to recognize a heart attack.

There are telltale signs of a heart attack. This includes the following:

When there is chest pain. This is when pain is felt in the center of the chest and is very intense. It is believed to be the worst pain ever felt.

When the character of the pain is too difficult to describe. This is referred to as being tearing, crushing, binding or a somewhat feeling that there’s a very heavy object is being placed on one’s chest.

When the chest pain lasts longer than a few minutes. It may spread to the jaws, necks, left arm and sometimes to the fingertips or back.

When there is nausea with or without vomiting, a sudden bowel movement, sweating and an ashen pallor.

When there is loss of consciousness.

When the patient’s pulse feels feeble and the heart rate is very fast.

When there is pain between the shoulder blades

With these signs, of course, you need to be immediately rushed to the nearest hospital. People who don’t know how to recognize a heart attack are the ones susceptible to seeing it at its worst.

Another condition worth knowing is angina pectoris. It is a forerunner of heart attack. During stress, physical exertion, an emotionally charged situation, after a big meal or in a cold weather, the heart beats faster. Since the heart requires more blood with oxygen to flow to its muscle so as to maintain beating, when the way or channels by which these blood and oxygen flow narrows, the nutrients are not able to go to the muscle tissue. Due to oxygen deficiency, signals are sent via a pain called angina pectoris.

Angina pectoris is an intense, scary incident. With proper medical help or by placing another kind of nitrate under the tongue, angina attacks can go away in about 15 minutes. If more pain is still existent after that, seek medical help immediately. Long angina attacks is an introduction to heart attacks.

The first hour of a heart attack is the most critical since it can give you a chance to recover. However, if someone suffering from this condition fails to get help during the occurrence of the first symptoms, even the first attack can be fatal. This is why it’s important to know how to recognize a heart attack.

Vitamins and Minerals that Promote and Stimulate Hair Growth in Men and Women

Nutrition is not just vital to your overall health, but is important to the health of your hair as well. While our bodies need a variety vitamins and minerals to support certain functions, there are specific ones that will promote healthy hair.

Check all nutritional labels before taking any supplements to determine your daily allowance. Believe it or not, it is possible to overdose on vitamins and minerals, and taking too much of these could possibly result in hair loss, or other health related issues.

Vitamin A- An antioxidant that helps maintain natural oils in the scalp. Can be found in milk, eggs, cheese, meats, spinach, broccoli, and cabbage.

Calcium – Helps hair growth. Can be found in dairy, nuts, and beans.

Vitamin C – One of nature’s most powerful antioxidants. Maintains healthy hair and skin. Can be found in fruits, potatoes, and green vegetables.

Chromium – Helps regulate blood sugar levels, which affects hair loss. Can be found in beef and whole wheat bread.

Vitamin E- An antioxidant that benefits scalp circulation. Can be found in vegetable oils, nuts, beans, and green vegetables.

Copper – Strengthens the hair and prevents hair loss. Can be found in shellfish, green vegetables, eggs, beans, and chicken.

Biotin – Produces keratin, which makes up the hair, skin, and nails. Can be found in eggs, whole grains, rice, and milk.

Iodine – Prevents dry hair and hair loss. Can be found in fish, seaweed, garlic, and iodized salt.

Inositol – Promotes follicle health. Can be found in whole grains and citrus fruits.

Iron – Prevents hair loss and anemia. Can be found in eggs, fish, chicken, whole grains, green vegetables, and dried fruits.

Vitamin B3 (Niacin) – Improves scalp circulation. Can be found in fish, chicken, turkey, and other meats.

Magnesium – Helps hair growth by working with calcium. Can be found in whole grains, green vegetables, nuts, and fish.

Vitamin B5 (Pantothenic Acid) – Prevents hair loss. Can be found in whole grains, eggs, and certain meats.

Manganese – Improves hair growth. Can be found in whole grains, eggs, nuts, beans, fish, and chicken.

Vitamin B6 – Prevents hair loss. Can be found in whole grains, vegetables, eggs, and certain meats.

Potassium – Promotes circulation and helps hair growth. Can be found in bananas, brown rise, garlic, nuts, dried fruits, raisins, and yogurt.

Vitamin B12 – Prevents hair loss. Can be found in eggs, fish, chicken, and milk.

Selenium – Promotes scalp health. Can be found in fish, whole grains, certain meats, and broccoli.

Silica – Creates stronger hair. Can be found in seafood, rice, and green vegetables.

Sulfur – Creates stronger hair. Can be found in garlic, eggs, onions, milk, cheese, and fish.

Zinc – Prevents dry hair and oily skin by working with Vitamin A. Can be found in mushrooms, spinach, whole grains, and red meat.

By creating a natural diet that provides the above vitamins and minerals, you can help prevent hair loss and even stimulate hair growth. It is also beneficial to take a daily vitamin that provides the above ingredients.

All About Cavernous Sinus Tumor

Cavernous sinus is a system located behind the eyes on both sides of the skull base. It is full with blood. This is one of the most important systems for your eyes since it comprises carotid artery or nerve which allow your face and eyes to have sensation. It also lets the muscle move your eyes.

Just like another type of tumor, a tumor of cavernous sinus can also be benign and malignant. It is the main cause for cavernous sinus syndrome. Commonly, there are three types of tumors which affect this system such as carcinoma, meningiomas, and metastases.

Sinus tumor is considered as a rare tumor. This type of tumor can be caused by some different factors. Exposure to dust and vapors and smoking are two factors that can lead to this tumor. Another factor can be trauma and infection to the area. It is potential to develop the tumor in cavernous sinus system.

The most common symptom of sinus tumor which may come to you is double vision. Some other symptoms include difficulty breathing, periodic drowsiness, weak pulse, and increased intercranial pressure. People suffering sinus tumor may experience double vision and headache when the tumors presses the skulls. However, the symptom from one person to another may be varied. It depends highly on the size and exact tumor location. Sometimes, people who suffer this disorder experience slurred speech, dizziness, seizures, coma, or one-sided paralysis.

There are some treatments which can heal this disorder. The most popular treatment is a full or partial resection or tumor removal. However, it will not always be the right option due to the growth and location of the tumor. If the sinus tumor is still small, the doctor may suggest for endoscopic surgery as an invasive treatment. On the other hand, if the tumor is getting spread from sinus system to the cheek, rain, eye, nerve, or any other adjacent area, the patients will need more advanced treatment. Most of the doctors combine the treatments to improve the effect of the treatments for the patients’ need.

Get the Lowdown on These New 2011 ICD – 9 Codes For Home Care, 2011 ICD – 9 Update

Welcome these new pneumonia, fluencey disorder, and cystostomy complication codes

The CMS has revealed the proposed changes to the hospital inpatient prospective payment systems (PPS), giving us the first glance at the ICD-9 changes for 2011. So what’s in store for home health coders?

Influenza with Pneumonia

Well, you will witness a beefed up 488.0x (Influenza due to identified avian influenza virus) and 488.1x (Influenza due to identified novel H1N1 influenza virus). The co-operating parties figured out that these sub categories did not provide the level of detail that category 487 (Influenza) does; as such they expanded the codes at 488.0 and 488.1. The consequence was six new influenza with pneumonia codes for the 2011 ICD-9 update:

  • 488.01 – Influenza owing to identified avian influenza virus with pneumonia
  • 488.02 – Influenza owing to identified avian influenza virus with other respiratory manifestations
  • 488.09 – Influenza owing to identified avian influenza virus with other manifestations
  • 488.11 – Influenza owing to identified novel H1N1 influenza virus with pneumonia
  • 488.12 – Influenza owing to identified novel H1N1 influenza virus with other respiratory manifestations
  • 488.19 – Influenza owing to identified novel H1N1 influenza virus with other manifestations
  • Disorder of fluency

    After this, there are some changes to the fluency disorder ICD-9 codes. New code titles will help distinguish childhood onset fluency disorder, adult onset fluency disorder, and – here is where it picks up interest for home care – fluency disorder following brain lesion or disease.

    Probably, you will remember that (Late effects of cerebrovascular disease, fluency disorder) was implemented on October 1 last year. The plan for this year is to alter the inclusion term “Stuttering” at 438.14 to read “Stuttering due to late effect of cerebrovascular accident”.

    Other such changes include revising 307.0 to read “Stuttering; Adult onset fluency disorder” and adding up new code 315.35 (Childhood onset fluency disorder).

    Cystostomy Complications

    Right now, you have specific codes for compilations of all sorts of artificial stomas; however not for a cystostomy. If you are trying to code for an infected cystostomy, you have got 997.5 (Urinary complications) or 996.39 (Mechanical complication of other genitourinary device, implant, and graft); however these codes do not specify that the compilation is with the cystostomy or that there’s an infection. For the coming year, one can look forward to four new codes that’ll rectify this problem.

  • 596.81 – Infection of cystostomy
  • Use added code to specify type of infection

  • 596.82 – Mechanical complication of cystostomy
  • Malfunction of cystostomy

  • 596.83 – Other complication of cystostomy
  • Fistula



  • 596.89 – Other specified disorders of bladder
  • calcified




    Postoperative Aspiration Pneumonia

    There’s confusion when it comes to coding aspiration pneumonia resulting from a procedure code 997.39 (Other respiratory complications), includes aspiration pneumonia complicating a procedure; however there’s a use additional code note at the start of the category to find out the complication.

    This left coders with a sticky situation. Should they pair 507.0 (Pneumonitis due to inhalation of food or vomitus) with code 997.39? Or should they go for just 997.39 since aspiration pneumonia is an inclusion term.

    The proposal for the next year is add a new code and to change the instructional notes at categories 507 and 997 to help coders in choosing the right codes for this complication.

    You will see the following new and modified codes:

  • 507 – Pneumonitis due to solids and liquids
  • Add Excludes: postprocedural pneumonitis (997.32)

  • 997.32 –
  • Postprocedural aspiration pneumonia

    Chemical pneumonitis ensuing from a procedure

    Mendelson’s syndrome ensuing from a procedure

  • 997.39 – Other respiratory complications
  • Remove Mendelson’s syndrome resulting from a procedure

    Remove Pneumonia (aspiration) resulting from a procedure

    These codes were found in the Federal Register as part of the proposed Hospital Inpatient PPS rule; however we will not know the final list of new and changed codes for a few months to come. So stay tuned to these home health ICD-9 codes.

    Chest Pain – Is it Angina, Heart Attack or Non-Serious?

    Almost everyone suffers from some sort of physiological chest pain at one time or another, and the important thing to note is that there are many causes of this condition.

    Chest pain can be defined as a pain or discomfort which occurs anywhere along the front edge of the torso between the upper abdomen and the lower part of the neck. This is a distressing condition because of the immediate suspicion in the mind of the sufferer that they are, or are about to suffer a myocardial infarction (heart attack).

    It is advisable to consult a medical professional if any of the following symptoms are experienced:

  • Sudden crushing, squeezing, tightening, or pressure in the chest
  • Pain radiating to the jaw, left arm, or between the shoulder blades
  • Nausea, dizziness, sweating, a racing heart, or shortness of breath
  • Existing Angina condition, which is suddenly intensified, brought on by lighter activity, lasts longer than usual, or occurs whilst resting
  • Sudden sharp chest pain with shortness of breath, especially after a long trip, a stretch of bed rest (for example, following an operation), or other lack of movement that can lead to a blood clot in the leg. As previously mentioned, the physiological sources of chest pain can be many and various, and include the following;
  • Heart
  • Lungs
  • Esophagus
  • Muscles
  • Ribs
  • Tendons
  • Nerves
  • However, most chest pain sufferers tend to focus on the big question in their minds – that there are just two different classifications – those that relate to the heart (cardiac) and those that do not (non-cardiac).

    Cardiac causes of Chest Pain

    Heart attack

    This is caused by a blood clot that prevents usual flow of blood flow to the heart muscle. This can cause a feeling of pressure, fullness or a crushing pain in the chest lasting more than a few minutes. The pain may radiate to other areas such as the back, neck, jaw, shoulders and arms, especially the left arm. Other symptoms may include shortness of breath, sweating, dizziness and nausea. All, some or none of these may accompany your chest pain.


    Fatty deposits can build up in the arteries that carry blood to the heart. This can reduce their width, and this in turn can cause a restriction of the blood flow to the heart, which is usually more noticeable after physical activity or exertion. This type of restricted blood flow to the heart can cause regular, recurrent episodes of chest pain, which is termed Angina Pectoris, or Angina, is often described as a pressure or tightness in the chest. It’s usually brought on by physical or emotional stress. The pain usually goes away within minutes after you stop the stressful activity.

    Other Cardiac Causes

    There are some other complex medical problems, which can cause chest pain.

    Pericarditis – inflammation of the sac surrounding your heart a short-lived condition often related to a viral infection. Pericarditis causes sharp, piercing and centralized chest pain. You may also have a fever and feel sick.

    Aortic dissection – a rare, life-threatening cause of chest pain where inner layers of the main artery leading from the heart (aorta) separate. This causes blood to flow between them, causing a sudden tearing chest and back pain. It is usually caused by a physical trauma to the chest cavity, but can also result from uncontrolled high blood pressure.

    Coronary spasm, also known as Prinzmetal’s angina, can cause varying degrees of chest discomfort. In coronary spasm, coronary arteries – arteries that supply blood to the heart – go into spasm, temporarily closing down blood flow to the heart.

    Non Cardiac Causes

    There are many conditions that are unrelated to the heart, which can be the cause of chest pain. These include:

  • Asthma
  • Pneumonia
  • Anxiety
  • Rapid breathing
  • Heartburn
  • Pleurisy
  • Rib or muscular injuries
  • Collapsed lung
  • Swallowing disorders
  • How to Reduce your Heart related problems With Ziac

    Ziac is a type of medication known as a beta-blocker. Typically beta blocking drugs are used to treat chest pain (angina) and high blood pressure. They can also help patients who have suffered from an acute heart attack, and have been shown to improve survival rates if taken for this condition. A program of high blood pressure reduction may reduce the chances of patients developing strokes, further heart attacks and kidney problems.

    Neti Pots for Chronic Head Congestion? Neti Pots and Other Techniques Are Effective

    Neti pots should be your first choice for chronic head congestion. There are other techniques which may relieve your congestion as well but the Neti Pot is quite effective.

    First we talk about likely causes of head congestion and then provide a few techniques which have shown to aide in reducing it.

    • lack of sleep
    • lack of water
    • laying down too long
    • blocked sinuses
    • lack of exercise
    • food allergy
    • cold or flu or other acute illness

    There are a number of ways to relieve a congested head:

    • Purchase a Neti Pot to assist in removing mucous.
    • Food: hot soups, spicey meals, hot broths
    • Fluid: hot teas and plenty of water
    • Hydrotherapy: using cold and how water to move blood about.
    • Air humidifier: add salt and eucalyptus oil to it.
    • Topical essential oils: vick’s vapor rub on your temples, sinuses and chest.
    • Avoid cold foods: limit dairy
    • Thid-Eye Point: acupressure relief


    Make a steamy hot bowl of spiced broth. That will get your body core heated up and cause your nose to run. A running nose will allow your sinuses to drain which will ease off the pressure in your head.


    Not drinking enough water will cause your mucous membranes to be less watery and more sticky. This causes backup and backup causes pressure. Pressure equals head congestion.

    Drink tons.

    Nasal Irrigation using a Neti Pot

    This is paramount if you have chronic sinus infections – or even a one-time blocked sinus that is not draining. Just last week I was laying down in bed with a bounding headache, nauseated and not wanting to get up. I forced myself to do so. After taking 10 minutes to get vertical, I found that my right sinus was blocked. I prepared a neti pot with my salt and neti wash plus and flushed both sides of my nose for a few minutes. My sinuses began to drain like mad and the headache was …gone.

    Hydrotherapy: Wet Sock Treatment

    Sound goofy? It may but it is effective especially for kids with ear infections. It works by pulling blood away from your head to your feet. Blood is pulled as the temperature of the feet is low due to the cold damp socks. The body wants to maintain warmth to all tissues and if one area is made cold, the body will attempt to warm it. The contrast between hot to cold is the most desired effect so ensure that you warm the feet very well prior to placing the cold socks. This will help ensure a proper outcome.

    1. Find a pair of light cotton socks.
    2. Find a pair of heavy wool socks.
    3. Place the cotton socks in a bowl of ice water…or put in the freezer.
    4. Heat up feet in a bucket of hot water or just take a hot bath.
    5. Dry the feet
    6. Wring out the cold cotton socks.
    7. Immediately put the ice cold socks onto the feet and cover with the wool socks.
    8. Lay down for the night and go to sleep – or keep them on for the day while around the house.

    I recommended this to a friend of mine with nightly migraine headaches. She did this prior to bed and her migraines did not appear.

    It sounds like it will be a shock to the system but it is fine as the feet are hot. It actually feels nice.

    Topical essential oils

    These are wondrous yet can be problematic if not careful. They should not be in reach of children as they are deadly. Yes deadly. They are super concentrated oils and if swallowed or touched directly onto a little one’s skin, serious burns or other harms can be done. Keep in a locked cabinet or way up high.

    Visit your favorite health store to figure out which ones you like the best. I am a fan of eucalyptus, rosemary and cedar. One must dilute the essential oil in a base of olive oil before applying.

    Apply to your temples, on your maxillary and frontal sinsuses and you may want to put some between your upper lip and nose. Do not put in your nose directly as they will burn your mucous membranes. Keep away from your eyes also.

    Limit dairy products

    Dairy products and sugar are major mucous forming foods and will only increase head congestion. Limit the amount eaten during this time and you will likely recover faster.

    Third Eye Acupressure Point

    According to acupressure.com, this point will help: “Directly between the eyebrows, in the indentation where the bridge of the nose meets the center of your forehead.” Simply place pressure at this point using the method shown to the right.

    In health,


    Understanding Allergic Bronchitis – Simple Prevention Tips

    Millions of Americans suffer from one respiratory disorder or the other, which can impact their lives in serious ways. A respiratory disorder can be acute or chronic. Acute disorders can be easily treated and last for a short time. On the other hand, chronic disorders are not only difficult to treat but can also leave a person disabled for life.

    What is Allergic Bronchitis?

    Allergic bronchitis is a type of respiratory disorder. It is commonly referred to as allergic asthma. The immune system of a person suffering from allergic bronchitis is highly sensitive and so hyperactive that it attacks even harmless foreign substances that enter the body. To put it in other words, the immune system labels a harmless entrant into the body as “dangerous” and produces antibodies to fight against it.

    In allergic bronchitis, irritants and allergens inflame the bronchi and lower parts of the respiratory system. The condition lasts as long as the person is exposed to the allergens. In addition, allergic bronchitis is closely associated with asthma and respiratory allergy and can lead to conditions such as hay fever and allergic rhinitis.

    In most cases, allergic bronchitis causes mild to moderate suffering. However, it is important to realize that allergic bronchitis can become very dangerous and even cause death. This is because some people are extremely sensitive to allergens. This extreme sensitivity can lead to suffocation caused due to the blocking of airways by inflamed tissues. People in this condition are in great danger. They need immediate hospitalization and medical care.

    You know you are a victim of allergic bronchitis when you suffer from breathlessness, runny nose, red or swollen eyes, hyperventilation, tight chest, tickling in throat, persistent sneezing or coughing, headache, nausea, and so on. As soon as you recognise these symptoms, seek the help of a medical practitioner.

    Treatment of Allergic Bronchitis

    The importance of consulting a physician as soon you notice symptoms of allergic bronchitis cannot be overstressed. The doctor will conduct the required steps to find out which type of allergen is responsible for your particular problem. The test involves injecting an allergen directly under the skin and observing the way your body reacts to it.

    Your doctor might even ask you to see an allergist. Allergists perform a series of tests in order to understand the nature of your allergy to a particular allergen. In addition, allergists can also teach you how to prevent the relapse of allergic bronchitis.

    Treating mild or moderate allergic bronchitis is fairly simple. You need plenty of knowledge about the disorder, and you also need to know the particular type of allergen responsible for your problem. Once you know, it is easy to just avoid the allergens responsible for your problem. The medical treatment for this condition is anti-histamine medication.

    Prevention of Allergic Bronchitis

    It is easy to manage and even prevent allergic bronchitis. As mentioned previously, the easiest way is to determine the particular allergen causing your problem and just stay away from it. In addition to this, it pays to know a few things such as the following.

    The summer season can aggravate this condition simply because during the summer, there are plenty of allergens in the air.

    Remember to bathe your pets regularly and free their fur from any allergens. A lot of allergens are frequently found in the fur of animals.

    Take special care of yourself if you are suffering from allergic bronchitis. As already said, the condition can get dangerous.

    Keep some antihistamine medication with you while traveling. You never know the type of allergens you might come across in an unfamiliar location. Having some anti-histamine with you will help you easily control any allergic reaction that might come up.

    Be assured that it is possible to live a full, happy, and productive life even with allergic bronchitis. It is very important to keep yourself informed about your condition, ways of treating it, and way of preventing it. Be in touch with your allergist and your doctor. They are the best people to give you all the information you require about allergic bronchitis and to teach you how to live with the problem effectively.