News & Information
World Spine Care Offering Volunteer Experience in Botswana
Thursday, May 29, 2014 08:26 AM

World Spine Care, a nonprofit organization bringing evidence-based, inter-professional, sustainable spine care to underserved regions around the world, is looking for a volunteer to assume the role or primary spine practitioner at its Botswana clinics between July 2014 and July 2015. If you are interested in this opportunity to provide care for those in need, please contact Dr. Geoff Outerbridge at for more information.

VA Health Probe Finds Wait-List Manipulation
Written by Editor   
Wednesday, May 28, 2014 11:10 PM

A preliminary report by the inspector general of the Department of Veterans Affairs has found deliberate manipulation of official waiting times in its investigation of alleged criminal misconduct by management at a Phoenix VA hospital.

The inspector general's office is looking into allegations about care at the Phoenix VA healthcare facility that "include gross mismanagement of VA resources and criminal misconduct by VA senior hospital leadership, creating systemic patient safety issues and possible wrongful deaths," the office noted in its interim report.

WellnessWatchers MD and the BBB
Wednesday, May 28, 2014 03:26 PM

Individually, an unauthorized charge of less than $20 might easily go unnoticed by a consumer. When it happens many times, people begin to take notice.

Better Business Bureau (BBB) serving Central, Coastal, Southwest Texas and the Permian Basin found five businesses with similar unauthorized billing complaints. BBB discovered these businesses all related to diet services: Diet Instructor MD (, Health Leader MD (, Slender Guide MD (, Diet Leader MD ( and Lean Inspiration MD ( Consumers say they never signed up with the businesses and never visited their websites.

A BBB investigator did find those businesses online and also found advertising issues with all five websites, which have similar layout and content. BBB asked the businesses to clarify offers of personal advice “from a doctor or M.D.” that were contradicted by a disclaimer, “The site does not provide medical advice.” None of the five businesses responded to BBB’s requests to modify or support their claims.

Has Use of Testosterone Become Abusive?
Written by Editor   
Wednesday, May 28, 2014 11:23 AM

Do current prescribing practices for testosterone constitute abuse?  Both sides of the testosterone issue stated their cases during a first-ever Crossfire session at the American Urological Association meeting. Citing data and clinical guidelines and interspersing their remarks with a little humor, speakers at the AUA forum offered their take on the reasons behind the growing use of testosterone, the one point on which the two sides agreed.

Testing has failed to keep pace with the number of prescriptions.  An increase in the number of new prescriptions for testosterone logically should be accompanied by an increase in tests for serum testosterone levels. Instead, "a terrible issue" has emerged, as the frequency of testing has decreased or remained flat, at best.  "A large number of men who have normal testosterone levels are initiating testosterone therapy."

One speaker pointed to a recent report showing that more than 12% of American men 18 to 39 use testosterone.  What we are starting to see is iatrogenic infertility.  The Endocrine Society guideline states that testosterone should be prescribed only when medical indications exist.  There are too many signs and symptoms that one can ascribe to medical conditions of all kinds, including lifestyle concerns.

Temporary Fee on Big Business Funds Obamacare
Written by Editor   
Wednesday, May 28, 2014 10:44 AM

The government collects $63 from large self-insured employers and insurance companies for every covered life under a plan, which includes each employee and each dependent it insures.  And it's a burden employers aren't carrying alone. Mercer also found that most large employers are requiring workers to pay part of the ACA fees.

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