What are the consequences/outcomes of Medicare's decision not to pay for Annual Physicals?
Medicare pays for a yearly "wellness exam" where balance, eyesight, hearing, memory, mental state are tested. IT IS NOT A PHYSICAL. If anything about a general health concern is discussed you have to pay for the exam. Physical exams are not paid for. So systems examined, visual exam and hands on physical exam are not done. One has to recognize a problem or that multiple small issues are a big problem and make an appointment with the PCP specific to that problem to discuss it and have it paid for. I believe my Husband's Parkinson's would have been diagnosed and treated many years before it was if he had a yearly physical exam. A knowledgeable PCP would have picked up some of his many subtle symptoms that were not recognized in annual wellness exams. Until symptoms manifest enough to show up in one of the standardized testing sections of the the Annual Wellness Exam, everything is just chalked up to getting old and patients themselves don't recognize when things are NOT a normal part of aging or "important enough" to call for a PCP appointment. Is there any research on the consequences/outcomes of elderly patients not being examined for physical health abnormalities and discussing "issues" that are not troublesome enough to make an appointment because they don't get an annual physical exam?
Video Podcasting on Spotify
I was wondering if it was possible to do video podcasts on spotify. I realize that you post on YouTube and I don’t know if it is a hassle to set upon Spotify, but the premium version of YouTube is much more expensive than Spotify to download and listen. I understand if this isn’t possible or reasonable as I’m not well versed in podcasting on these sites, but I think it would be very helpful to those who would like to listen on this site or have the option at least. Thank you for your efforts in advancing science and making it mainstream.
Reflexive Performance Reset : what's brain's role in it?
Hi! I have been hearing about RPR ( Reflexive Performance Reset), and it looks like athletes are using it and also some patients recovering from injuries. I wonder what is the brain's role it it ( neurologically). Any pathways support the effectiveness? What is the best use for it (occasions) and perhaps even time of the day? Thank you!
Long term use of antidepressants
I’ve been on anti depressants since in 1993.. switching them up as they get less effective. Now I’m on Wellbutrin (150-300), cymbalta (120) modafinal (200)… when I’ve tried to get off them I get really depressed.. I know you aren’t a doc.. and there is depression anxiety alcoholism in my family of origin. As long as I’m working I don’t know that I can get off them.. am I damaging myself? What do studies show.. I’m sober 9 years. Ps .. I can relate to so much you say and how you present yourself. I would say more but I don’t know if these posts are public.. or if people can see who the posts are from..