Monthly Archive for September, 2008

Trouble focusing in school? Check kids’ eyes first

If your child is having trouble focusing in school, don’t assume that Ritalin will be the right fix. Eyes, ears and teeth should be checked out for any problems before medicine is brought into the picture.

Some parents have been happy with the progress their kids have made in school after doing eye exercises with a vision therapist.

Even though younger kids usually don’t complain about their eyes, parents need to know the symptoms of vision problems, even when the child has 20/20 vision. According to The American Optometry Association, parents should be concerned if their child frequently:

  • Uses his finger to keep his place when reading or loses his place while reading
  • Tends to avoid close work
  • Keeps reading material closer than normal
  • Tends to rub his eyes and gets headaches
  • Makes reversals when writing or reading
  • Has problems with hand-eye-body coordination when they throw a ball or ride a bike

Some children can’t keep their reading material in focus and their eyes get tired easily, so they frequently look up from what they are reading. Unfortunately, problems like this usually cause these children to be underachievers.

Children should get comprehensive eye exams, beginning at 6 months, 3 years and again when a child starts school, according to the eye association. Simple vision screenings often miss some of these problems. 

Likewise, the American Speech-Language-Hearing Association claims that some kids may pass a simple hearing screening but still have a hearing loss that comes and goes or gets worse.

BCBSNC actuary wants to help health care by redistributing money

For years, U.S. politicians have struggled with how to deal with increasing health care costs and the rising number of uninsured American people.

On Wednesday, September 10th, John Friesen, who is an actuary with Blue Cross and Blue Shield of North Carolina, spoke of some streamlined ideas that don’t call for changing the whole system.

“We can solve this problem if we put our minds to it,” Friesen said to around 150 people at a Charlotte Chamber sponsored conference.

“We have over-insured people,” he said, as well as uninsured people. “It’s a question of redistributing the dollars.”

Friesen, whose concepts aren’t totally supported by Blue Cross, implied that the federal government could furnish coverage for people who make less than twice the federal poverty level, which is $21,000 for a family of four. 

Reducing the tax deduction for employers who give “rich benefit plans”, could offset part of that expense, he said. Friesen said that any health plan that has a deductible of less than $1,000 ought to be regarded as a “very rich plan.”

People usually choose a $2,500 deductible plan to receive lower premiums, when they have to purchase their own health insurance. Health care continues to go up because employer-based plans cover 75 percent of the cost of insurance.

“If you can buy something at 75 percent off,” he said, you’re going to use it. “Greater cost-sharing reduces unnecessary medical expenditures. It wakes you up, and you start asking questions.”

Friesen has also advised to give incentives to encourage healthy lifestyles and cut costs. This plan might include taxing junk food, listing nutrition information at restaurants, and having higher premiums for people who are overweight or smoke.

At 32 percent, the U.S. has the highest amount of obese people when compared to 23 percent in the United Kingdom and 15 percent in Canada, where Friesen used to live.

According to Friesen, Americans “can get as good as those other countries” if they follow his suggestions for healthier living. These are: eating five servings of vegetables and fruits a day, not smoking, keeping at a healthy weight, and exercising for 30 minutes each day for five days a week.

Unfortunately, only 3 percent of Americans meet all four of these guidelines according to Friesen. He suggests that if you can’t do all four, try to add one more to your daily lifestyle.

After Friesen’s talk, a question was asked why Blue Cross doesn’t do more to fight obesity by paying for visits to weight-loss clinics.  BCBS covers four visits a year with a doctor for evaluation and treatment of obesity and six visits a year for nutrition counseling with a dietician, according to a spokesman for Blue Cross. Members can also get discounts to join certain fitness and weight management centers.

The chairman of the Chamber’s Health Services Council, Mark Stephens, said the group wants to raise awareness that “health care is a major economic driving force.” They want to encourage companies to support wellness and disease prevention.

Stephens, who is a senior account manager at Pfizer, likes Friesen’s ideas, saying “It’s not a comprehensive plan, but it was a lot of common-sense things that we could do to make things better.”

Maryland to furnish 50 percent of insurance premiums for small business employees

The Business Gazette (9/4 Shay) in Maryland has reported that a new system in Maryland “calls for a state subsidy of up to 50 percent of the insurance premium” for small businesses. Employers must have “two to nine full-time employees.” to qualify. Also, employers that “have not offered medical insurance to their employees during the previous year and have an average annual employee salary below $50,000″ will be able to get into the program. 

It is predicted that “1,500 small businesses are expected to enroll during the first year of the program,” which has $15 million put aside “to help small employers and their employees pay for insurance during the initial year.” 

So far, many insurance companies “have agreed to enroll companies in their plans under the program” which includes “Care First Blue Cross Blue Shield, Coventry Health Care, United Healthcare and Aetna.”

Exercise found beneficial to alzheimer sufferers

By the year 2050, Alzheimer’s cases are predicted to increase by at least four times. This is partially due to people living longer, and Alzheimer typically strikes older people. Currently, there is at least 5.2 million people in the U.S. with Alzheimer’s. Every 71 seconds, someone develops Alzheimer’s, and in the future, 10 million baby boomers are expected to develop Alzheimer’s.

The first extensive test of exercise on the aging brain revealed that swift walking caused small improvements on mental tests for seniors with memory problems. The results were posted on September 3rd in the Journal of the American Medical Association.

Although this small Australian study showed modest results, it backed up observational studies that showed possible mental benefits from physical activity.

According to experts that were not participating in the study, the results of exercise were as good or better than those shown with drugs approved to help with mental function in Alzheimer’s disease.

The authors in the study did warn that the findings don’t prove that exercise will produce significant improvement in how the brain functions or uses memory. They also said that the results of this study should not be used to suggest that exercise reduces the risk of dementia or Alzheimer’s.

The authors cannot confirm how exercise might influence brain function; one speculation is that it improves blood flow to the brain. Brain imaging showing any changes in blood flow associated with exercise was not used in this study.

The people that participated in this study involved 85 Australian  adults aged 50 and older. They were assigned 2 1/2 hours of weekly exercise, usually brisk walking, for six months. Their exercise was recorded in diaries and they also received phone calls and newsletters encouraging them to stay with it.

They were asked to stay active even after the first six months. A control group of 85 people were used who were not asked to exercise during the testing period. The exercise group did about 20 more minutes of exercise than the control group.

After a six month period, the exercise group performed 1.3 points better on a 70-point scale of brain function than the group that didn’t exercise. These effects lasted for 18 months.

The costs of Alzheimer’s and other dementias amount to more than $148 billion each year and the disease is now the sixth-leading cause of death.

This study brings a bit of positive news for anyone dealing with Alzheimer’s. Hopefully there will be plenty more studies that will help in dealing with this debilitating disease.

Diabetes and hypertension often go hand in hand

According to the U.S. Preventive Services Task Force, an independent panel of experts, if you have hypertension, you should get tested for diabetes. This panel studies the results for prevention strategies such as taking aspirin or diabetes testing. Recommendations from the task force usually become guidelines for primary care doctors and certain specialists.

Since high blood pressure and diabetes often go together, treating them both at the same time is the best solution. People with diabetes who control their blood pressure, cut their chances of having a heart attack, stroke or dying of heart disease in half. On the flip side, people with high blood pressure who control their blood sugar, can reduce the chances of losing their sight, losing feelings in the fingers or feet, losing a limb, and suffering kidney damage.

The American Diabetes Association recommends the fasting blood sugar test for diabetes testing. For this test, a small sample of blood is drawn in the morning before the patient has had anything to eat or drink. If the blood sugar reading is 126 milligrams per deciliter (mg/dL) or higher, and is confirmed by performing a second test a few days later, that person has diabetes. There are some doctors who check for diabetes by testing blood sugar two hours after a sugary beverage is provided or by checking the blood for the percentage of sugar-coated hemoglobin (known as hemoglobin A1c).

BCBSNC Member Guides is going paperless

Blue Cross and Blue Shield of North Carolina (BCBSNC) is definitely changing with the times. They always want to make sure that subscribers continue to get the best quality service for their lifestyle needs. They know that more and more people are managing everything from banking to shopping online, so they are now offering subscribers the convenience of acquiring Member Guides online. These guides are available through the Web, 24 hours a day. That means subscribers can check on their benefit information whenever they like.

Effective since February 1, 2008, groups are provided with their Member Guides through online use only. Subscribers can still request a paper copy of their Member Guide any time by calling BCBSNC Customer Service . They understand that some groups still want their employees to keep receiving paper Member Guides, and they will be provided at no cost. These employers just need to work with their BCBSN account representative upon renewal to request paper copies.

All enrolled employees will be shown how to receive their Member Guides online and how to get a paper copy if needed. Subscribers receiving a new ID card will get an informative buckslip included with the card. A letter with the new online guides will be mailed to the home of subscribers who do not need a new ID card.

This is just one more way that BCBSNC is continuing to make life easier, more flexible and convenient for so many people with health insurance needs.

Number of women over 30 with eating disorders is increasing

Women age 30 and older in the U.S. are increasingly developing eating disorders. According to the National Eating Disorders Association, ten million women in the U.S. suffer from an eating disorder. Ten percent of women between ages 25 and 45 admitted to having an eating disorder during a recent online survey of 4,023 women given by SELF magazine and UNC Chapel Hill.

Some women have struggled with an eating disorder for most of their lives. Other women seem to acquire an eating disorder from a trigger, such as as a divorce, a spouse’s infidelity or a parent’s death. 

Many women feel extreme pressure to look younger as they age, and pressure from society for lifelong thinness is causing many women to acquire these disorders later in life. This can have a devastating effect on their families.

Unfortunately, medical complications of eating disorders seem to worsen as women age. Heart disease, osteoporosis, dental erosion and arthritis are just a few of the problems that are likely to develop. The intense pain of these conditions tend to cause many middle-aged women, unlike teenagers and younger women, to admit that they have an eating disorder and get help. About 20 percent of adult women overcome their eating disorder, but sadly, adolescents have only an 80 percent recovery rate. On the flip side, an astonishing 79 percent of anorexia deaths occur in people who are over the age of 45.




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