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by: Theresa Flaherty - Wednesday, July 1, 2009

Not a day passes that I don't come across dozens of CPAP and OSA news, everything from studies showing that type 2 diabetes patients likely to suffer from OSA (no, really?) to the latest products. Even lawmakers are getting on the bandwagon. The Oklahoma Senate recently approved the Oklahoma Sleep Diagnostic Testing Regulation Act, stating that there is a growing need for sleep diagnostic testing in the diagnosis and treatment of sleep disorders.

I also spoke with a provider recently who offers home sleep studies and CPAP. While home testing hasn't proved yet to be the boon that many had anticipated when CMS approved the tests last year, this provider feels it will eventually become the standard model. Her growing company seems to back that up.

I can't name her here, but look for her success story in the August issue.

Theresa Flaherty

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by: Theresa Flaherty - Friday, June 26, 2009

Diabetes supplies, as you may have heard from the recent PAOC meeting, are off the table for the first round of bidding, although a national proposal to bid out the mail order market is expected to take shape in the next 2 to 3 years.

Bill Popomaronis, of the National Community Pharmacists Association, has been vocal in his displeasure at the committee's make-up, which has several large and mail order providers, but no small diabetes suppliers or independent pharmacists. He fears this could put them and patients at a disadvantage when the program rolls out. So, despite what  may seem like a breather for you, don't  sit back and do nothing. Like your harder-hit counterparts in oxygen and DME, keep up the pressure when tlking with lawmakers.

After all, test strips dropped to $19 a vial under Round1 in some areas and history has a strange way of repeating itself.

Theresa Flaherty

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by: Theresa Flaherty - Wednesday, June 24, 2009

It appears sleep disorders are not just the bane of the middle aged. Kids are getting in on the act, too, although a new study says pediatricians may be under-diagnosing the problem.

The study obtained data on 154,957 patients from 32 primary care pediatric practices affiliated with Children's Hospital of Philadelphia. Results show that less than four % (5,750 children) were diagnosed with a sleep disorder. Of those number, 1.04% were diagnosed with sleep disordered breathing.

CPAP manufacturer Sleepnet is among the few that are waking up to this and developing masks more suitable for children.

Bottom line for providers: Encourage referral sources to discuss such symptoms as snoring, repeated wakefulness and mood changes in children to determine if they might just have a problem.

Theresa Flaherty

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by: Theresa Flaherty - Tuesday, June 23, 2009

Dorothy, age unknown, has type 2 diabetes and no health insurance. She works in retail so she's not rolling in it. Yesterday, she called into CSPAN's Washington Journal and told former Rep. Tom Price that she's willing to pay for coverage if only some one would sell it to her.

Price's stellar advice: "If you watch your weight, if you exercise, watch what you eat and, you know, continue I guess in this case to take your medication. I don’t know any reason why you shouldn’t be able to find something out there, but you want to look for an employer that has a health care plan. Good luck."

Theresa Flaherty

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by: Theresa Flaherty - Monday, June 22, 2009

Today marked the start of the Juvenile Diabetes Research Foundation's Congress 2009. That means that Capitol Hill is about to be overrun with 150 kids with Type 1 diabetes attempting to put a face on Type 1 diabetes for lawmakers, through visits and in testifying before Congress. Funding for the JDRF is projected to take a 35% hit this year.

After trailing along with HME providers from North Carolina last month during the AAHomecare fly-in I am impressed that these kids and their parents are taking time to do this. Pounding those marble halls is an exhaustive day-long process that too few people are willing to undertake.

Theresa Flaherty

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by: Theresa Flaherty - Wednesday, June 17, 2009

As we head into summer, the country's lawmakers wrangle over healthcare reform, with all the pork and pomp that any eventual reform package will entail.

Meanwhile, there's "reform" activity at the grassroots level. Take this posting from craigslist yesterday:

"We buy test strips and get them to people who need them (the uninsured). Most brands are needed. We can pay $5.00 for boxes of 50 and $10.00 for boxes of 100 strips."

It's a worthwhile and lofty goal, although I can't imagine who'll have boxes of strips lying around. They are like gold to most folks with diabetes. I hope they are able to  help people, but in the meantime, I continue to wonder when the price of the strips will come down. After all, test strips have been around for a few decades now, and while I am sure the technology has improved, it seems the price needs to drop,  you know, like it has with DVDs, cell phones, etc. Or, are the manufacturers just keeping the prices inflated because they have a captive audience?

Theresa Flaherty

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by: Theresa Flaherty - Tuesday, June 16, 2009

It's not news that independent pharmacies in many cases are struggling to survive, faced with competition from the big guys and the trend by many insurance plans that require beneficiaries to obtain prescriptions via mail order.

Independent pharmacists provide a valuable, often personal, service that, say, CVS can't compete with.

An article today on cnnmoney.com highlights the struggle, but it also wraps on a note that should warm the hearts of pharmacists—and indeed, small providers. everywhere.

Brian Caswell, owner of Wolkar Drug in Baxter Springs, Kan., is quoted in the story as follows:

Just recently, he sent a customer to the hospital after he had entered the pharmacy complaining that he didn't feel well.

"I took his blood pressure and knew something wasn't right," Caswell says. "He came back days later and says he could have dropped dead from cardiac arrhythmia. Now I have a customer for life. Can mail-order do that?"

Theresa FlahertyTo top of page

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by: Theresa Flaherty - Friday, June 12, 2009

Here's a few select bites some from well-known chains. I admit, most of these sound pretty good tasty about now, but considering the recommended daily allowance of calories is 2,000 (about 1,500 for me), well, I think I'll cook at home tonight.

Chili's Quesadilla Explosion Salad:
1,260 calories, 23 grams sat fat

Chili's Big Mouth Bites: 2,350 calories, 38 grams sat fat

Olive Garden's Spaghetti & Meatballs:
1,110 calories, 20 grams sat fat

Uno's Uno Burger: 1,040 calories, 28 grams sat fat

Uno's Cheese & Tomato Deep Dish (individual): 1,740 calories, 36 grams sat fat

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by: Theresa Flaherty - Thursday, June 11, 2009

I'm going to let you all in on a not-so little secret about the state of Maine, where HME News is based.

We're fat. Granted, we're not in the top 10 tubby states which disproportionately hail from the deep-fried south, but still, with an average obesity rate of 25.2% in 2007 (latest figures I could find) compared to Mississippi at 32.6%, that's splitting pant seats.

Maine lawmakers are currently floating a bill requiring calorie counts on the menus of chain restaurants. Of course, that is raising the ire of those food purveyors.

I admit to being on the fence when it comes to government mandates (that's another Maine trait, one of which I am proud), but I know from personal experience that when a menu indicates that the cheeseburger I am craving contains 1,200 calories, I usually make a healthier choice.

It's also fascinating to read the calorie counts, therefore I will share the fun tomorrow, when I will post a few shockers.

Theresa Flaherty

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by: Theresa Flaherty - Thursday, May 28, 2009

If we needed any more reminders that health care needs reform, check out this bit from the Associated Press yesterday:

In Arkansas, a convenience store clerk wouldn't open the register for a robber but gave the man $40 from his own pocket after the robber told him he needed the money for insulin. Police were called Monday night to the E-Z Mart, where the clerk explained that a man he didn't know entered the store and lifted his shirt to display a pistol tucked in his waistband.

The clerk said the man told him, "I hate to do this," and told him he needed $40 from the register.

The clerk said money in the register wasn't his to give. It was then the robber said the money was for insulin. The robber accepted the money from the clerk's wallet, thanked him and shook his hand.

Police are searching for the robber.

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