Med-Legal Corner
Back Clinic Med-Legal Corner. Mutemo wezvekurapa ibazi remutemo rine chekuita nekodzero uye mabasa enyanzvi dzekurapa uye kodzero dzemurwere. Hazvifanirwe kuvhiringidzwa nehutongi hwezvokurapa, iyo ibazi remishonga, pane bazi remutemo. Mapazi makuru emutemo wezvokurapa ndiwo mutemo wekurwadzisa (kunyanya kukanganisa kwekurapa) uye mutemo wemhosva maererano nekurapa uye kurapwa. Ethics uye maitiro ekurapa inzvimbo iri kukura.
Mushure mekushanda muchiropractic ye30+ makore, kunyanya mukukuvara kwemunhu uye kubasa. Mukona yeMed-mutemo, Dr. Jimenez anoziva ins uye kunze kwezvinoenda kune zvemunhu uye basa rekukuvadza zvikwereti. Kugamuchira chiropractic kuchengetedza kubva kune chiremba wekukuvara kwemunhu mushure mekutambudzika kwekukuvara kunogona kuva kuponesa. Semunhu akakuvara chiropractor akapinda post-graduate kudzidziswa mukuongororwa kukuvara kwetsaona uye kurapwa izvo zvinogona kuvimbisa kuongororwa kunoshanda uye kutarisirwa.
Bhonasi yakawedzerwa ndeyokuti chiropractor inogona kuita zvinyorwa uye kupupura mudare. Chiremba wekukuvara wega anoshanda padhuze nemagweta akawanda. Iwo akanakisa chiropractors anochengetedza runyorwa rwemagweta avanoziva anogona kuendesa mhando mhedzisiro kuvarwere vavo mutsaona yemotokari uye nyaya dzekukuvara kwevanhu. Chiremba ane hukama nemagweta anopfuura rimwe chete anopa akasiyana siyana ane ruzivo rwekukuvadza munhu ane ruzivo rwekusarudza kubva, anogona kugarisa zvirinani kuti ugadzirise nyaya yako chaiyo mushure metsaona. Kuti uwane mhinduro kumibvunzo ipi yaungave unayo ndapota fonera Dr. Jimenez pa915-850-0900
by Dr Alex Jimenez Chiropractic , Med-Legal Corner , Whiplash
Kana iyo sequel aberrant kune vakawirwa nenjodzi dzemotokari zvikaferefetwa, vanopa vanowanzo tarisa uye panguva imwe chete vanokoshesa hutachiona hwehutachiona uye zvinokonzeresa kukundikana kwebiomechanical yekukuvara kwepasipinal ligamentous inowanzozivikanwa se strain sprain. kutaura mukubvumira chirwere ichi kuti chionekwe sechinguva. Kune bumbiro rinogara richikura rezvinyorwa zvesainzi rinoongorora kushushikana-kurwara sekurwara kwekusingaperi, unova ndiwo mwero uri kudzidziswa muzuva ranhasi rekurapa uye rechiropractic.
Uye zvakare, kumanikidza-kupwanya se sequela kune whiplash, inopa 25% munhu wese kukanganisika kunoenderana neAmerican Medical Association s Nhungamiro kuKuongorora kweKusingaperi Kukanganisa kushanu uye nechitanhatu edhisheni.
Whiplash Associated Disorder Sequela Kukuvara
Juamard, Welch naWinkelstein (2011) vakati:
Kumashure kwekumhanyisa kumhanyisa kwakashandiswa kudzidza kupindurwa kwemhando dzakasiyana-siyana dzakapfava mumutsipa wechibereko, kusanganisira iyo facet capsular ligament. Nezve kufananidzwa kwe whiplash kuburitswa, iwo maronda ari mu capsular ligament akawanikwa ari maviri kana mashanu akakura kupfuura iwo akatsigirwa panguva yemafizikirwo ehupenyu hwepervical spine. Mukudzidza kwakafanana asi kwakaparadzaniswa, izvo zvikamu zvecervical spine s zvaimbove zvakanangidzirwa kune whiplash kukuvara kwakakwikwidza kurovedza pasi penzvimbo yepasi-kukakavara uye yakawanikwa ichitorerwa zvakapetwa kanokwana katatu kupfuura pakaburitswa mitsipa yeiyo imwechete inoremerwa mitoro. Iwo macapsular ligaments akawanikwawo kuratidza hunyoro hwakakura mushure mekufungidzirwa kukuvara. Sezvo kuwedzera kusagadzikana kunogona kuve kwakabatanidzwa nekudzikiswa kwemajoini kugona kudzikamisa chikamu chekufamba panguva yekufamba kwekusagittal, uku kutsvaga kunoratidza kuti whiplash kuratidza kunogona kuchinja chimiro chemasokisi emunhu, senge iyo capsular ligament, uye / kana iyo mechanotransduction maitiro anogona kuchengetedza uye kugadzirisa iyo inogadzikana chimiro. Saizvozvo, kukuvadzwa kwakadai kunogona kutanga masaini akasiyana siyana anodzivirira kugadzikana kwemasisitimu eiyo nhengo yakabatana. (Pg 3)
Zvichitaurwa zviri nyore, kana tikatarisa pamutsetse wekupedzisira pamusoro apa, izvi zvinodzivirira kupora kuzere kweanogadzira michina yezvinyama zvekubatana, iri kureva mitsipa yemuzongoza iyo inoumba zvinyama zvechikamu chakabatana. Mune zvirevo; zvinoreva kuti kana yangokuvadzwa, mubatanidzwa wakakuvadzwa zvachose uye zvinoratidzika pa x-rays ine yekuwedzera uye yekutenderera maonero iyo isingafanire kuratidza kuzara kwakazara. Ipapo ndipo pane musimboti wenyaya. Mazhinji ma radiologist haana kudzidziswa mune ezvazvino zvinyorwa pamusoro peiomechanical tishu kutadza uye nekudaro vanozivisa chirwere.
Mwedzi wapera ndakapinda hurukuro naMichael Modic MD, Neuroradiology, mudzidzisi ane mukurumbira munyika muurouradiadiology anotarisa pane spondylolisthesis (vertebral segmental abnormal movement) uye ndakabvunza mubvunzo uri nyore kuti sei usingaiti radiologist inotaura zvakawanda pamusoro pechinzvimbo chisina kujairika nekuda kwekutadza kwebiomechanical semhedzisiro yeiyo ligament pathology uye mhinduro yake yaive nekuti kudzidziswa kwavo kunotarisa zvakanyanya pachirwere hosha. Kunyangwe ini ndichibvuma kuti kwakakosha, ndizvo zvakaita kukundikana kwebiomechanical kunotungamira mukusingaperi kushaika, kunova ndiko kwakawanda munharaunda medu. Ingotarisa mamiriro evakuru vedu kuti vaongororwe uye zvizhinji zvacho zvakatanga neyakareruka fender bender makore apfuura uko kushushikana-kushomeka kwaive kusingawanikwe kana kutarisirwa kunonoka uye kusarapwa.
Ligament Pathology Diagnosis uye Prognosis
Izvo zvataurwa pamusoro apa ndechikonzero nei American Medical Association ichikoshesa chirwere chemaitiro muC25% muviri wose urema. Kunewo muviri unowedzera wechiremba uyo akadzidziswa uye anozivikanwa muSpinal Biomechanical Engineering iyo inonzwisisa nzira yekugadzirisa chirwere uye kufungidzira, pamwe chete nemarongwa ekurapa anotenderera chirwere chetachiona uye kunyatsonzwisisa zvinogara kwenguva refu zvinokonzerwa nehutachiona hwehutachiona hwakasanganiswa. Ava vanachiremba varikudzidzisa iye zvino, zvichibva pane zvinyorwa zvesayenzi zvemazuva ano maitiro ehudhirology avo kuti vave nekukwanisa kuongorora nekunyora zvizere zvakakwana zvekukuvara kwakachengetedzwa.
Tinofanira zvakare kuziva kuti pane huwandu hwakakura hweuchapupu mumabhuku esainzi anovimbisa kukuvara kunokonzeresa sekusingaperi uye kupokana kutaura kwekutaura kwe transient. '' Pakupedzisira, zvinofanirwa kunge zviri chokwadi chehupenyu hwevanhu hunosimbiswa nesainzi inoisa zviyero zvehutano uye kwete hunyengeri kutaura pane chero nhanho.
Kuwanda kwemashoko edu kunogumira kuchiropractic uye kukuvara kwepamuviri nemamiriro. Kuti ukurukure zvisarudzo pamusoro pehurukuro, tapota ivai vakasununguka kubvunza Dr. Jimenez kana kuti tibvunzane nesu pa 915-850-0900 .
References:
Cocchiarella L., Anderson G., (2001) Mirayiridzo kuKutsvakurudza kweMhirizhonga Yese, 5th Edition, Chicago IL, AMA Press
Zvimwe Zvinyorwa: Zvigadziriswa Migamu Pashure Whiplash
Whiplash inowanzotaurwa kukuvadzwa mushure mekunge mumwe munhu ave achibatanidzwa mumotokari yemotokari. Pakaitika pangozi yemotokari, simba guru rinowanzoita kuti musoro nemutsipa weakakanganisika zvikurumidze kuputika, zvichidzoka uye zvichienda, zvichikonzera kukanganisa kune zvivako zvakakomba zvakakomberedza mutsara wekervical. Chiropractic kuchengetedza yakachengeteka uye inobudirira, kushandiswa kweimwe nzira yekurapa inoshandiswa kubatsira kubatsira kuderedza zviratidzo zve whiplash.
VIDEO
by Dr Alex Jimenez Chiropractic , utano , Med-Legal Corner
Ohio Attorney General Mike DeWine ari kutsvaga vatenzi vashanu veopioid painkillers nekuda kwebasa ravo muhutachiona hwehupfumi hwehurumende.
The sutu , iyo DeWine yakati ndiyo yechipiri nehurumende yeUnited States, mushure mokunge Mississippi, inoti vashandi vezvinodhaka vanotyora mitemo yehurumende yakawanda, kusanganisira Ohio Corrupt Practices Act, uye vakagadzira Medicaid utsotsi.
Purdue Pharma, Johnson & Johnson neiyo Janssen Pharmaceuticals unit, Teva Pharmaceuticals neCephalon unit yayo, Endo Health Solutions uye Allergan zvose zvinodanwa mune sutu.
"Muna 2014 chete, makambani ekumishonga akashandisa $ 168 mamiriyoni kuburikidza nekutengesa kunyoresa mabhii opioid kuti awane madhakoni ane mapepa akajeka uye mabhurocha akajeka akadzikisa njodzi" yemishonga, "akadaro DeWine pamusangano wehurukuro weChitatu. Gore rakapera, akati, vanhu vane mamiriyoni e2.3 muOhio, kana nezvechikamu chechishanu chehurumende yehurumende, vakanyorerwa opioid.
Muchitauriri, mutauri wePurdue Pharma, anogadzira OxyContin, akati kambani inoshushikana neanopomerwa hurumende huru pamusoro pematambudziko eOpioid uye kuti "yakagadzirirwa kushanda pamwe nekubatana kuwana mhinduro."
Allergan akaramba kutaurirana, sezvakaita mutauriri weTeva, uyo akati, "Hatina kupedza kuongorora kwekuchema."
Chikamu cheJ & J's Janssen chakataura kuti kambani iyi yaifunga kuti zvinopomerwa mudare iri "zviri pamutemo uye zvechokwadi zvisina hwaro."
"Janssen akaita nenzira yakakodzera, zvine musoro uye mune zvakanakisisa zvevarwere maererano nemishonga yedu inorwadza maopioid, iyo inogamuchirwa neCDA uye inotakura nyevero dzakagamuchirwa neDAA pamusoro pengozi dzinonyatsozivikanwa dzemishonga pane zvose zvigadzirwa," akadaro Jessica Castles Smith, Janssen spokeswoman.
Endo vakuru vakuru vanga vasati vawanika kuti vataure.
Basa reOhio rinotevera zvikwereti kubva kumatare nemaguta ari kutsvaga kuti azvidavirire mhizha inobereka, inotengesa uye inoparadzira opioid painkillers. VaDeWine vati veOhio vekupedzisira, vakaiswa mushure meChitatu mangwanani muRoss County, "vaizogombedzera makambani aya kuti achenese hutano huno kuburikidza nemishonga yakawanda," kusanganisira chirongwa chekumisa "kupfuurira mberi nekunyengedzera uye kusavhiringidza mukudhinda," mhirizhonga yakabhadhara kuhurumende nemari yakashandiswa pane dambudziko, uye kubhadhara kune vatengi.
Kutengesa kwemaopioid akatemerwa- kusanganisira oxycodone, hydrocodone uye methadone - zvakapetwa zvakapetwa kane muUS pakati pa1999 na2015, sekureva kweCenters for Disease Control and Prevention, zvichipa kuwedzera kanokwana kuita kakapetwa kane kekufa kubva kunyorerwa opioid panguva iyoyo. Vanenge mamirioni maviri maAmerican vakashungurudzwa kana vaivimba nemushonga weopioid painkillers muna2, sekureva kweCDC.
Muna March, vamiririri vanomiririra maWest Virginia maguta vakaisa mvumo yezvematongerwo enyika kune vanoparadzira zvinodhaka , kusanganisira AmerisourceBergen , McKesson uye Kadhidine Utano , vachipomera makambani ekuputsa mutemo weWest Virginia nekutyisidzira hutano hwepaguru hwekuparadzira huwandu hweopioid muhurumende.
Guta reEvarett, Washington, rakapomera Purdue Pharma mberi kwegore rino, kupomera mutengesi wezvinodhaka kukanganisa zvakanyanya uye kutsvaga kubhadhara nokuda kwekushandisa kwekutora opioid zvinodhaka .
Uye nharaunda nhatu muNew York dzakasangana nemakambani emishonga anosanganisira Purdue, Johnson & Johnson , din email uye Endo munaFebruary, uyewo kutsvaga kukanganisa.
Ohio neWest Virginia ndevamwe vezvematongerwo enyika akaoma zvikuru neaipooid epidemic . Dambudziko rakatumidzwa nezita rekudya uye Drug Administration Commissioner Dr. Scott Gottlieb sechinhu chinonyanya kukosha.
"Tinonzwisisa zvatiri kutora: makambani makuru mashanu emishonga," DeWine akaudza vatori venhau Chitatu. “Ini handidi kutarisa kumashure makore gumi kubva zvino ndoti dai takave neushingi hwekunyora. "Ndechimwe chinhu chatinofanira kuita."
Source:
CNBC.com
by Dr Alex Jimenez Kungoerekana Kungoerekana Kungoitika , Med-Legal Corner , Kukuvara Kwevanhu
Kwegore rechipiri rakarurama, kufa kweU.S. pedestrian iri kuisa zvinyorwa zvitsva zvinotyisa. Nhamba yevashandi vanourayiwa mumigwagwa yeUnited States yakasimuka yakafungidzirwa 11 yepakati pakati pe2015 ne2016, iyo inowedzera gore negore kuwedzerwa kwezvinyorwa, maererano nehupfumi hweGororors Highway Safety Association (GHSA).
Mumwedzi mitanhatu yekutanga ye2016, data yekutanga inoratidza 2,660 kufa kwevanhu vanofamba pasi pose, zvichienzaniswa ne2,486 panguva imwecheteyo panguva ye2015. Gore rinoshandiswa kuratidzwa kunobva pane iyo nhamba. Mharidzo iyi inogadzirawo 22 muzana yekukwira kwevakafa vanofamba pedo kubva ku2014. Zvose zvinofungidzirwa zvakakwirira zvakanyanya kudarika 9 muzana kuwedzera kwekufa kwevatambi vanofamba pakati pe2014 ne2015.
"Uyu ndiwo gore rechipiri mumutsara watakaona kuwedzera kusati kwamboitika kune vanofamba pedo, izvo zvinosuruvarisa uye zvinotyisa," akadaro munyori Richard Retting, uyo ane Sam Schwartz Transportation Consultants.
"Zvakakosha kuti gwara rekuchengeteka kwepamigwagwa rinzwisise idzi nhamba dzinovhiringidza uye dzinoshanda kushingaira kuita zvinopesana zvinopesana," akawedzera muhurukuro yeGHSA.
Njodzi Dzinokurumidza Kufambisa Nezviitiko Zvemotokari
Vanofamba-famba vanodhura nezve 15 muzana yekufa kwemigwagwa yeUnited States. Mumwedzi mitanhatu yekutanga ye2016, nhamba yevakafa vanofambira mberi yakasimuka mu34 states, yakawira mu15 states uye muDunhu reColumbia, uye yakaramba yakafanana mune imwe nyika. Mharidzo yacho yakataura zvikonzero zvingangodaro zvechikafu. Vanosanganisira vaAmerica vanotyaira zvakawanda nekuda kwekuderedza mitengo yegesi; vanhu vakawanda vanosarudza kufamba nekuda kweutano, kutakurwa, zvikonzero zvemari kana zvakatipoteredza; uye kushandiswa kwemafoni emafoni, kushandiswa kwevatambi uye vatyairi zvakafanana.
"Munhu wose anofamba, uye tinoda kukurudzira izvozvo, asi panguva imwe chete tinoda kuisa pachena kuti isu tose tinosvika kune zvatinogara takachengeteka," Mutungamiri Mukuru weGHSA Jonathan Adkins akati.
"Zvinosuruvarisa, izvi zvinyorwa zvitsva zvinoratidza kuti US haisati yasangana nemararamiro ekuchengetedza vafambisi vanochengeteka mumigwagwa yedu. Mumwe nomumwe weupenyu uhwu anomiririra mudiwa asingazodzo kumba manheru ano, izvo zvisingagamuchirwi zvachose, "akadaro.
Rimwe boka rechiremba rakawedzera kuti kudzivirira - kuchengeta maziso ako nenzeve pane zvakapoteredza - chinhu chikuru.
"Nhasi kuurayiwa kwevanhu vanofamba-famba - iyo yakanyanya kunyorwa yakanyorwa - inokurumidza kukurumidzira-iyo yatinofanira kushanda nesimba zvakanyanya kuisa pfungwa dzedu pane uye kuti tiri kufamba sei," akadaro Dr. Alan Hilibrand. Ndiye mutauriri weAmerican Academy of Orthopedic Surgeons.
"Vanofamba-famba vanofanira kufungisisa zvakatipoteredza," vachifamba, Hilibrand akati. "Kufamba paunotarisa foni yako kana chigadzirwa chemagetsi kunogona kuguma nekuputika, mapfupa akavhuniwa, uye zvimwe zvakakomba, kunyange kukuvadza, kukuvara."
SOURCES: Governors Highway Safety Association, kusunungurwa kwemashoko, March 30, 2017; March 30, 2017, American Academy of Orthopedic Surgeons
Kuwanda kwemashoko edu kunogumira kuchiropractic uye kukuvara kwepamuviri nemamiriro. Kuti ukurukure zvisarudzo pamusoro pehurukuro, tapota ivai vakasununguka kubvunza Dr. Jimenez kana kuti tibvunzane nesu pa 915-850-0900 .
Zvimwe Zvinyorwa: Kunzwisisa Mwoyo Unhu Hwakakuvara
Kukuvadza kwehupombwe kunowanzoita zvinetso munyika yedu yemazuva ano. Anenge mamiriyoni evanhu 2 vanotambura kukuvadzwa musoro muUnited States oga gore negore. Kunyange zvazvo hukukutu huzhinji kana hurumende husingafungi kuti upenyu hunopisa, vanogona kuisa mabhiriyoni emadhora mumari yegore negore. Kukuvadza kwepfungwa kunowanzorongwa maererano nemhinduro yevarwere. Kunongova 1 kunze kwe4 yakakonzerwa nekukuvara kwehupfungwa kunofungidzirwa kuenzanirana kana yakaoma.
VIDEO
by Dr Alex Jimenez Mhosva dzeVakarovedzwa , Med-Legal Corner , Zvidziviriro Zvekuchengetedza
MunaFebruary, nyaya yekuenda kune dzimwe nyika kuEl Paso yakagamuchira hurumende yevashandi vemhirizhonga mumba. As the El Paso Times zvakashumwa, mumwe mukadzi asina magwaro akachengetwa nevakuru veimmigration achangoenda kudare redzimhosva kunotora gwaro redziviriro kune mumwe wake ane chisimba uye anoshinha. Vamiriri vemhirizhonga mudzimba vakatya, vachityira kuti zvingangotadzisa vanhu vasina magwaro kuti vataure kushungurudzwa kune vemutemo. "Zvinotumira meseji ine simba kune vakabatwa nevanopona kuti hapana nzvimbo yakachengeteka," Ruth Glenn, director director weNational Coalition Against Domestic Violence, akaudza Bustle muna Kukadzi.
Iye zvino, kwapera mwedzi, migumisiro yekurwisa mhirizhonga mudzimba iri kunzwika. Imwe nguva mushure mechiitiko cheEl Paso, Enrique Elizondo, mushandi wenharembozha yemhirizhonga mudzimba, akagamuchira runhare kubva kumukadzi asina kunyorwa (handina kubatanidza chero ruzivo rwekudzivirira zvakavanzika zvake), akatarisana nemurume anoshungurudza. Sekureva kwaElizondo, aive panguva yekutya kuti kushungurudzwa kwacho kwaigona kuuraya. Asi, atengesa zvinhu zvake zvose kuti auye kuUnited States, akazviwana achinzwa sokuti akanga apererwa. Sekureva kwaElizondo, mumwe wake akange anyanya kutyisidzira nezve kubata Immigration uye Customs Enforuction (ICE) uye kuti adzingwe kana akaita danho. Mhosva yeEl Paso yakaita kuti atye kuti aigona. Elizondo anoudza Bustle kuti akaedza kumubatsira kubata vezvemutemo, asi mukadzi akamubvunza kuti, Mumiriri wemutemo uyu achandidzinga here? Pakupedzisira, Elizondo anoti akakwanisa kuwana rubatsiro rwemutemo.
by Dr Alex Jimenez Med-Legal Corner
Muridzi wekiriniki yehutano yeHouston akapomera mhosva yekubiridzira kweinishuwarenzi mushure mekubhadharisa mabasa ekurapa - kazhinji aipiwa kuvashandi vakakuvara - kunyangwe vasina vashandi vezvokurapa vane mvumo pakiriniki iyi. Pane kudaro, vaongorori vakaona kuti kiriniki iyi yaishandisa vadzidzi vekunze vekunze kupa rubatsiro.
Rosemary Phelan, muridzi weRose s Houston Healthcare Clinic, akapinda mumatare ane mhosva muHarris County Court uye akatongerwa makore manomwe achidzora kutonga uye akarairwa kubhadhara $ 88,000 mukudzorera.
Kuongorora kwakabatana neDhipatimendi reInishuwarenzi Chikamu cheInishuwarenzi Chikamu cheVashandi neKubhadharira Kambani yeTexas kwakaratidza kuti kiriniki yePhelan yakanga isina vanachiremba vane rezinesi kune vashandi asi vakaramba vachigamuchira varwere. Anozobva aisa zvichemo zvemubhadharo wevashandi vanobiridzira kuti vatore kubva kune inishuwarenzi.
Maererano nevatsvakurudzi, kliniki yakanga ine chiremba ane chiremba kune vashandi panguva imwechete. Apo chiremba uyo akasiyira mu2012, Phelan akatanga kushanyira vadzidzi vekune dzimwe nyika vezvechiremba kuti vashande sechiremba uye vabata varwere.
Commissioner-Compensation Commissioner Ryan Brannan akati nyaya iyi yaive yakanyanya kutyisa. `` Mumwe munhu achiisa zvirevo zvemanyepo zvakashata, '' akadaro. "Asi chitsotsi ichi chakaisa hutano hwevanhu panjodzi." Izvo hazvizivikanwe.
Phelan akaendesa madhora mazana matanhatu nemakumi matanhatu nemana nemakumi matanhatu nemana emakumi matatu nemakumi matatu nematanhatu emari dzekubhadhara vashandi, achimiririra vashandi vanopfuura makumi mashanu vakakuvara, achiti vainge vamborapwa nachiremba wepamberi wekiriniki.
Phelan akazvipa mhosva ane mhosva yechipiri yechipuvhu bwenyengeri uye chekushaya mhosva yekuita mishonga pasina cheisheni. Ongororo yakawana kuti kliniki yake yaive ichipa narcotics kuvarwere vachishandisa zviyeuchidzo zvechiremba uye vatsigiri vezvechiremba vasina kushanda kuchipatara pasina ruzivo rwavo.
Unogona kumhan'ara nyaya dzinofungidzirwa dzehunyanzvi hweinishuwarenzi kuTDI-DWC nekufonera Mutengi Wekubatsira pa1-800-252-3439 kana nekushanyawww.tdi.texas.gov/fraud/report.html .
Kuti uwane mamwe mashoko, ndapota ivai vakasununguka kubvunza Dr. Jimenez kana kuti tibatane nesu pa 915-850-0900 .
Mimwe Misoro: Neck Pain uye Auto Injury
Pakaitika njodzi yemotokari, muviri unotarisana nechisimba chakakura kubva pamigumisiro inokonzera kuti musoro nemutsipa zvikurumidze kudzokera shure uye mberi zvichienderana neumwe muviri wose, unoramba wakamira pachigaro chemotokari. Pamusana pekufambisa uku, zvinowanzoita kuti mutsipa utambudzike kubva pajaplash, kukuvara kunorwadzisa kunotungamirira kumarwadzo emutsipa pamwe nezvimwe zviratidzo.
VIDEO
by Dr Alex Jimenez kugwinya , Health News El Paso , Lawyers , Med-Legal Corner
Kusarudzwa kwechiremba vari kure kunogona kuuya munguva pfupi kuhofisi yemukoti wechikoro.
Kutanga Nyamavhuvhu 1, mutemo mutsva unobvumidza vanachiremba kuti vabhadharwe mari yekuona vana pamusoro pechimiro chakaomesesa chehurukuro yevhidhiyo, chero bedzi mudzidzi ari kuchikoro uye akanyoresa muchirongwa chehurumende cheMedicaid chevarombo nevakaremara. Vatsigiri vemutemo vanoti zvinogona kutungamira zvimwe zvikoro zvakapoterera dunhu kumisikidza mahofisi evanamukoti akashongedzerwa kubata vanachiremba vari kure - uye kuchengetedza vabereki nguva nemari.
Vanoti vanhu vakuru havafanire kutora nguva yekuenda kubasa uye vana havafanirwe kupotsa chikoro kuti vawane kurapwa nguva dzose, senge mwana ane hutachiona hwezeve kana kuputika kweganda, nekuti tekinoroji yazvino inobvumira chiremba ari kure kuti akwire kumusoro- mhando, pakarepo ruzivo nezve varwere. Elektroniki stethoscope inobvumidza chiremba kuti anzwe kurova kwemoyo kwemwana, semuenzaniso, uye otoscope yedhijitari inopa kutarisa munzeve yemwana - zvese zviri pasi pekutarisirwa chaiko kwemukoti wechikoro.
Zvino, kana chiremba achiita kuongororwa, vabereki vanogona kutora tsamba yemwana wavo kubva kukhemisi pavanenge vachienda kumba vachibva kubasa, akadaro State Rep. Jodie Laubenberg , Republican yeParker uye munyori webhiri.
“Iwe unoda kutaura nezvekupinda? Iwe unoda kutaura nezve kugona? Uku ndiko kuwana kwavo, ”akadaro Laubenberg. "Tinogona kurapa mwana, kumuita kuti agadzirire kuenda, uye tinogona kumusiya pano."
"Haufanire kubvisa basa," akadaro. “Haafanire kusiya chikoro. Hazvisi zvishoma zvinovhiringidza. ”
Texas haisi iyo nyika yekutanga kubhadhara vanachiremba kuchikoro-based telemedicine kuMedicaid varwere. Georgia neNew Mexico vane mitemo yakafanana pamabhuku, maererano neAmerican Telemedicine Association.
Laubenberg akati akanyora bhiri rekutsigira zvirongwa zvakaita seyakaiswa pachipatara cheVana Hutano system muNorth Texas. Ikoko, vana vanobva kuzvikoro zvegiredhi makumi maviri neshanu mudunhu reDallas-Fort Worth vanowana mukana wekushandisa zvemagetsi kune vatatu vanopa hutano - mumwe chiremba uye vaviri mukoti varapi - apo vanamukoti vechikoro vakagara mukati mekushanya. Mutauriri weVana akati chirongwa ichi chichawedzera kusvika kune zvimwe zvikoro makumi matatu.
Muchirongwa ichocho, vanamukoti vechikoro - vashandi vezvehutano avo vasingatore degree rekuyamwisa - vanogona kuongorora vana, uye, kana vaine dambudziko rehutano, vanotumira ruzivo rwavo kuvana kuronga musangano. Chirongwa ichi parizvino chiri kupihwa mari neyakahwina makore mashanu muhari yemari zhinji yemubatanidzwa.
Vana vanoti mutemo mutsva unobvumidza chirongwa chayo kuti chirambe chichigona mari kana sosi yemari iyi yaenda, uye kubvumidza zvirongwa zvakafanana kubata nyika yese.
"Hutano hwevana muzvirongwa zvedu hausi kuzove [wekutanga muchengeti] kumwana wese anofamba achipfuura nemusuwo, saka kuitira kuti chirongwa chirambe chiripo, taifanira kukwanisa kubhadhara mari yebasa iri," akadaro Julie Hall Barrow , mukuru mukuru wehutano hwekuvandudza hutano uye telemedicine yehurongwa hwechipatara.
Zvimwe zvirongwa zvinogona kutevedzera. Texas Tech University chikoro chekurapa chakabatana nedunhu rechikoro muHart kumhanyisa chikoro-chakavakirwa telemedicine kiriniki kweanopfuura makore gumi. Izvo, vatsigiri vanoti, yakawedzera mukana wekuwana hutano munharaunda yekumaruwa kuchamhembe kweLubbock.
"Makumi mapfumbamwe muzana ezvaungaona mukiriniki yevana, tinogona kuzvibata neterevhizheni," akadaro Richard Lampe, sachigaro weDhipatimendi rePediatrics paTexas Tech University Health Science Center. Akataura kuti zvaisanganisira kukuvara kwemitambo, strep huro - uye pakati pevadzidzi vepakati nepasekondari kunyanya, chirwere chepfungwa senge kushushikana uye kushushikana.
Asi kuchine mibvunzo pasi pemutemo mutsva nezvekuti zvikoro zvichafunga sei kuti ndevapi vadzidzi vanokodzera kushanyirwa nachiremba. Nyika ichabhadhara chete vanachiremba nekuona vana kana vakanyoreswa muchirongwa cheMedicaid.
"Ndinofunga kuti mubvunzo unoenda, chii chinoitika kana mwana akarwara uye vasina Medicaid?" akadaro Quianta Moore, muongorori weRice University's Baker Institute for Public Policy, akanyora nezve chikoro-based telemedicine.
Izvi zvinogona kumutsa mibvunzo nezve kuenzana uye kuwana, Moore akadaro, nekuti "kupindira kwehutano muchikoro kunonyanya kushanda."
Vatsoropodzi vakati kuwedzera kushandiswa kwechiremba kure kune zvikoro kunogona kutungamirira kune vamwe vanachiremba vanoita mushonga zvisina kunaka kuvana.
"Unozopedzisira dzimwe nguva uine chiremba asina ruzivo rwakakwana maererano nenhoroondo yemurwere kana chisimbwa," akadaro Lee Spiller, director director webazi reTexas Citizens Commission on Human Rights , isingabatsiri hutano hwepfungwa. "Iwe ungatarisira sei mwana kuti anyatso kuziva njodzi, chisimbwa chavo, nhoroondo yezvekurapa?"
Spiller zvakare akataura kuti vabereki vanotya avo vakasaina mabhuku ekubvumira mabhanhire pakutanga kwegore rechikoro vaisazonyatsonzwisisa zvavakanga vachinyora vana vavo.
KuDallas, kuUplift Peak Preparatory, mubatsiri wehofisi yezvehutano Ruby Jones akati vamwe vabereki vakasarudza kusaina mafomu ekubvuma, asi kana vana vavo vakarwara vakauya kuzomushanyira, aizoedza kutaura navo nezve "chishandiso chinoshamisa" chetelemedicine .
Akadaro Jones: “Hapana chimwezve chinogutsa kana… ukaona mudzidzi achifamba achidzika nehoro ndokuti, 'Maita basa, Amai Jones. Ndiri kunzwa zviri nani. '”
Mumwedzi waNyamavhuvhu wese, The Texas Tribune ichaita 31 nzira dzichachinja hupenyu hwaTexans nekuda kwemitemo mitsva inotanga kushanda munaGunyana 1. Tarisa uone yedu nhau yekarenda zvimwe.
Authors: Alana Rocha , Justin Dehn uye Edgar Walters - The Texas Tribune
The Texas Tribune is a nonpartisan, nonprofit media agency inozivisa Texans - uye inoshanda navo - nezveruzhinji gwara, zvematongerwo enyika, hurumende nenyaya dzenyika.
by Dr Alex Jimenez Med-Legal Corner , Kukuvara Kwevanhu , Basa Rakafanana Kukuvara
Texas ine dzimwe dzenyika dzinodhura kwazvo vashandi kubhadhara muripo, maererano neongororo yakaitwa muna 2016, iyo yakawana kuti iyo Lone Star State yaive nematanho gumi pasi peese kumatunhu.
Kudzidza neDhipatimendi reOregon reVatengi uye Bhizinesi reBusiness rinowedzera hurumende dzose dze50 neWashington, DC, zvichienderana nemitengo yepamusoro yakatanga muna January 1, 2016. Texas, ine premium pa $ 1.45 ne $ 100 yemari yekubhadhara, inonzi No. 10, nzvimbo ina dzakakwirira kudarika chidzidzo chekare muna 2014.
`` Zvakanaka kuona humbowo hwebudiriro yataita mukukwanisika, '' akadaro Texas Commissioner weVashandi'Mubhadharo Ryan Brannan. Kuderera kwekukuvara mitengo, zvirinani kudzoka-ku-basa mhedzisiro yevashandi vakakuvara, uye kudzikisira mitengo yekurapa pachikumbiro chinhu chikuru, asi mhedzisiro yeOregon kudzidza zvakare humbowo hwekuti isu tave kuwedzera kushanda, kuita, uye kujekesa.
Texas Workers 'Compensation Rates
Texas mubhadharo wemubhadharo weprimiyamu mitengo ingangoita 21 muzana yakaderera pane yepakati medunhu dzese, sekureva. California ine mitengo inodhura kwazvo murudzi, pa $ 3.24 pamadhora zana emubhadharo. Mitengo muTexas inoyemurika kana ichienzaniswa nedzimwe nyika dzine vanhu vazhinji, senge Florida, Illinois, neNew York. North Dakota yaive nemitengo isingadhuri, pamasendi makumi masere nemasere pamadhora zana emubhadharo.
The Texas vashandi muripo wehurongwa hwave muenzaniso kune dzimwe nyika munzira dzakawanda, akadaro Brannan. Uye tiri kuzoramba tichivandudza. Tiri kushanda kuyedza kwakati wandei kuchengetedza mitengo yedu pasi. Tiri kucheka dura rekuchengetedza dhata nekuverenga marekodhi, kudzikisa mari yekunwa mushonga neyakavharwa fomu, uye kubvisa marara nehunyengeri neiyo nyowani imba yekubiridzira. Isu takaparurawo kuyedza kwepasirese kugadzirisa nzira yekugadzirisa gakava
Kuti uwane mamwe mashoko, ndapota ivai vakasununguka kubvunza Dr. Jimenez kana kuti tibatane nesu pa 915-850-0900 .
Zvimwe Zvinyorwa: Kudzivirira Kuremara Kwebasa neChiropractic
Pashure pokunge apindira mune imwe njodzi yakaipa kubasa, kukuvadzwa uye mamiriro ezvinhu akakomba anokonzerwa nechiitiko chacho zvinogona kutungamirira kune zviratidzo zvakasiyana-siyana zvinorwadza uye zvinetso, kana zvisina kusiyiwa, pamwe chete nemazuva akashaya kubasa uye akarasikirwa nemari. Tsvakurudzo itsva yekutsvakurudza yakaratidza kuti vashandi vakagamuchira nguva dzose chiropractic vakatarisana nekukuvadzwa kwakanyanya kwebasa.
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