Health and Fitness Daily

On July 18, 2005, the U.S. Food and Drug Administration(FDA) approved vagus nerve stimulation as a treatment for chronic depression. On August 18th, I was a part of a conference call hosted by the manufacturer of the vagus nerve stimulator.

According to Company officials, it is going to take a long time for reimbursement to reach universal coverage by third party payers at the overall policy level. The procedure was just approved by the FDA. Insurance companies are giant bureaucracies with many layers of people whose only job is to say “NO”. It is just a fact of life that reimbursement will take time to “grind” through the system.

That is why I devoted an entire eighteen page chapter of my book to insurance codes and the reimbursement process. The Patient Advocate Foundation gave me permission to reprint its guide to the insurance reimbursement and appeal process. The Patient Advocate Foundation is a national non-profit organization that serves as an active liaison between the patient and their insurer.

The manufacturer of the stimulator reiterated on its conference call on August 18th, that insurance coverage will be on a case-by-case basis. In the first two weeks of the official launch, there has been a wide variance by third party reimbursers for VNS Therapy and depression. On a case by case basis, some patients have able to obtain to get pre- approval by Medicare, the VA and private insurance companies. At the other extreme, some reimburers have said absolutely not, maybe, we need to think about it, etc. The Company indicated that the more that patient’s fight for reimbursement, the better chance they have to obtain approval.

Charles Donovan was a patient in the FDA investigational trial of vagus nerve stimulation as a treatment for chronic or recurrent treatment-resistant depression. He was implanted with the vagus nerve stimulator in April of 2001. The treatment completely changed his life. He chronicles his journey from the grips of depression thanks to vagus nerve stimulation therapy in his book:

Out of the Black Hole: The Patient’s Guide to Vagus Nerve Stimulation and Depression

The book was exhibited at the American Psychiatric Association’s Annual Meeting in late May. It is available on his web site, 24 hours a day/7 days a week through the toll free number 1-888-VAGUS-88, Amazon.com and Barnes & Noble. He is founder of the http://www.VagusNerveStimulator.com Web Site.

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American Podiatric Medical Association

Founded in the year 1912, the American Podiatric Medical Association (APMA), today represents approximately 15000 Doctors of Podiatric Medicines (DPMs). The Association headquarters are situated in Bethesda, Maryland. With a staff of approx 60 employees the association assists the 53 societies scattered throughout the US, with the goal of improving the foot and ankle health of every individual. Their attempt is to achieve this goal by providing information by the way of a toll free number, internet, and information brochures.

Podiatrists attain a four year undergraduate degree before attending an accredited, four year course at medical school. These schools are: Barry University School of Medical Graduate Medical Sciences, California School of Podiatric Medicine at Samuel Merritt College, College of Podiatric Medicine and Surgery- Des Moines University-
Osteopathic Medical Center, Dr. William M Scholl of College of Podiatric Medicine at the Rosalind Franklin University of Medicine & Science, New York College of Podiatric Medicine, Ohio College of Podiatric Medicine, and Temple University School of Podiatric Medicine.

DPMs also have to complete a residence at hospital. APMA’s Council on Podiatric Medical Education has been entrusted the task accrediting Podiatric Medical Education by the US department of Education. In order to obtain admission into any of the seven accredited podiatric schools one must pass the Medical College Admissions Test (MCAT). Residency programs as well as podiatric medical boards are both looked after by the Council.

The APMA’s educational Foundation also gives out scholarships to prospective DPMs, each year and also helps to fund programs aimed at raising awareness about foot and ankle health. The scholarship funds contribute approx $1000 to about 134 students each, annually. An overall figure of 142,000$ is also contributed by the fund each year and is responsible for he contribution of about 1 million $ to aid almost 1000 prospective DPMs.

Third or Fourth year students from any of the seven accredited colleges and chosen by the College Scholarship and Student Loan Committee, based on various factors like classroom performance, leadership qualities, podiatric community involvement and financial need etc.

There are plenty of ailments that effect the feet but the most common two are Athletes Foot and Bunions.

Athletes Foot is a skin disease that originates with the foot. Fungus responsible for the disease thrives at warm, dark and moist places and thus the feet offer the perfect home. Name comes from the fact that many athletes suffered from this fungus and also the fact that swimming pools and locker rooms are also safe breeding ground for the fungi.

Symptoms include itchy, dry and irritated skin also sometimes accompanied by blisters, scaling and inflammation. It may spread to other parts of the body as well, like the underarms and the groin region. It can be prevented by taking a proper care of the skin. Washing and keeping the feet clean, using a feet powder. Fungicidal creams are also effective in healing.

Another common foot ailment is the Bunion, an enlargement of the metatarsophalangeal (MTO) join, located at the base of the big toe. Symptoms include swelling, redness, corns, and irritation also accompanied by abnormal forces placed on the tendons and joints of the foot. It is treated mostly by padding the inflammatory are and taping the foot in a proper position. Anti inflammatory drugs, ultra sound treatment and cortisone injections are also prescribed to ease the pain and swelling. In severe cases a surgical [procedure called bunionectomy might be performed by podiatrists.

Mansi aggarwal writes about podiatry. Learn more at http://www.podiatryinformer.com

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