Re: Question

May 26, 2001

In a message dated 5/26/2001 3:14:34 AM Central Daylight Time,

cloudhand@... writes:

> > be advised that a machine cannot reckon at what level u are living yr

chart!

>

> *Be advised that , if she has the time and energy, the very best you could

> do

> on this list is to ask Alice.

I thought of that, but I don't have the guts. <G>

Sam in Texas §(ô¿ô)§

Minds are like parachutes; they function best when open.

A closed mind is a good thing to lose.

" Minds are like parachutes; most people use them only as a last resort. "

~Ben Ostrowsky

May 27, 2001

In a message dated 5/27/2001 12:36:24 PM Central Daylight Time,

altruism101@... writes:

> *be also advised that from personal experience, I can assure you that

> there is nothing to be afraid of.

Hmmm. Thanks for all the info. I'll see if I can gather my courage.

Sam in Texas §(ô¿ô)§

Minds are like parachutes; they function best when open.

A closed mind is a good thing to lose.

" Minds are like parachutes; most people use them only as a last resort. "

~Ben Ostrowsky

May 27, 2001

N.B. I eat all my clients w/pickles n brown sugar!..........

GRRRRR!

by now u shld know me!:}

love

ao

ps thanks, Rob!

Alice O. Howell

Rosecroft

72 Beartown Mt. Road

Monterey, MA 01245 USA

Tel:

Fax:

" Look for the sacred in the commonplace! "

May 27, 2001

In a message dated 5/27/2001 2:36:58 PM Central Daylight Time,

IonaDove@... writes:

> N.B. I eat all my clients w/pickles n brown sugar!......

Sweet pickles or dill pickles? <BWG>

Sam in Texas §(ô¿ô)§

Minds are like parachutes; they function best when open.

A closed mind is a good thing to lose.

" Minds are like parachutes; most people use them only as a last resort. "

~Ben Ostrowsky

May 27, 2001

> > *Be advised that , if she has the time and energy, the very best

you could

> > do

> > on this list is to ask Alice.

>

> I thought of that, but I don't have the guts. <G>

>

*be also advised that from personal experience, I can assure you that

there is nothing to be afraid of. Alice proved to be in person all of

things which I had projected upon her throught the computer. I

believe I am a better person for having met her! And, on top of all

that, you may even get a chance to play with Gazooks! I still listen

to the tape that we made of my reading and after countless

listenings, pick up on new things or different meanings.

I also use the Liz Greene web site at www.astro.com although it is

not an intuitive reading it is a valuable resource for learning about

all of the different aspects from a Jungian point of view. There is

even a page where you can click on the chart and have a description

of the chosen aspect pop up on your screen. (I have a thing for

gadgets)

I found even another great way of memorizing all of the symbols at:

http://zone.msn.com/alchemy/default.asp

Serious alchemy it is not, but hey, we all need to lighten up once in

a while...........

Yours,

Rob

Head Chef

Symbolos Soup Kitchen

December 26, 2002

I had a lot of bleeding early in my pregnancy, so much so the doctor thought

that I was having a miscarriage. When I went into the office and she saw all

the blood she was sure. Until she did the ultrasound and there was my

daughters heartbeat very strong. The bleeding stopped with rest and keeping

my feet up. They told me I had a low lying placentia and that is what was

bleeding. I had other problems, a double layer amniotic sac and they thought

I had amniotic bands floating around in there also.

Jeanne(Mom to Nick 15, le 13, and 8 MDS)

December 27, 2002

Barb,

I totally agree. I didn't know about that statistic until a friend told me that

she heard that and remembered the spotting I had early on. She told me that she

felt that Joe was fighting from that moment to be with us. We agree and he has

been a fighter ever since. He is such a miracle.

Question

> I have been looking back over my pregnancy with ph, now 4 months. I

experienced spotting during the first 8 or so weeks of my pregnancy. It was

very scary at the time. I was having an ultrasound every week in those

early days to make sure everything was okay. The doctor was never able to

give any reason for the spotting. After reading back over the materials on

the website, Joe's MDS probably occurred very early in the 4 cell stage

because 3/4 of his cells have 47 chromosomes and 1/4 have 46. I was

wondering if this spotting could have been occurring at the same time this

" copying error " was occurring in the pregnancy. I'm not a medical person,

but my husband and I were just discussing it last night. I thought I'd ask

if any of the other MDS mothers experienced any spotting during the early

months of their pregnancy.

>

September 4, 2003

Hi, thanks. we have been checked for this and it was negative.

question

> >Date: Tue, 2 Sep 2003 17:44:17 -0400

> >

> >I am wondering if anyones child has had a problem with flatulence,

> >especially older children or teenagers. If so, have you discovered the

> >reason for it. I will be soon making an appointment with a

> >gastroenterologist for my son to see if they can discover a cause for

this.

> > At 15 it can be an embarrassment. I want to ask the right questions

so

> >am looking for any help if this has been a situation for others. Thanks.

> >

April 20, 2005

That should be KAC.

Austria

Specialty Contracting

Managed Care Department

Methodist Hospital System

P

Fax

> CONFIDENTIALITY NOTICE

> This electronic transmission contains information from Methodist Hospitals

of Dallas. This information is confidential and proprietary and is intended

only for the use of the individual(s) and entity(ies) named above and is not

to be disclosed to any third parties. If you are not the intended recipient,

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information is prohibited. If you have received this transmission in error,

please notify the Office of Managed Care immediately by telephone at (214)

947-4525 or by email ( mariaaustria@...). Methodist Health System, its

subsidiaries and affiliates, hereby claim all applicable privileges related

to the transmission of this communication.

>

question

Hi-

If a patient gets admitted for a kidney transplant, and the transplant does

not end up happening (ex. + crossmatch) what should happen to the billing

for the hospital, etc that was incurred?

Thanks

Donovan

Transplant Financial Coordinator

SUNY Upstate Medical University

750 East Street

Syracuse, New York 13210

Phone: 315 464-6290

Fax: 315 464-6288

Donovanl@...

The information contained in this email is confidential intended only for

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April 20, 2005

HI,

Handle it the same way as a pre transplant

evaluation test. It goes to KACC.

Hope this helps,

Thanks,

Bill

From:

TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Donovan

Sent: Wednesday, April 20, 2005

1:08 PM

To:

TxFinancialCoordinators

Subject:

question

Hi-

If a patient gets admitted for a kidney

transplant, and the transplant does

not end up happening (ex. + crossmatch) what

should happen to the billing

for the hospital, etc that was incurred?

Thanks

Donovan

Transplant Financial Coordinator

SUNY Upstate Medical University

750

East Street

Syracuse, New York 13210

Phone: 315 464-6290

Fax: 315 464-6288

Donovanl@...

The information contained in this email is

confidential intended only for

the use of the party to whom it is addressed. If

you are not the intended

recipient, please be aware that you are strictly

prohibited from sharing,

distributing, or copying this email. If you have

received this email by

mistake, please notify the sender. Thank you.

December 5, 2005

You want to include all applicable and appropriate pre-transplant

evaluation costs in your KACC. Per the regs, you get reimbursed for

eval costs when the patient receives a transplant and your standard

organ acquisition charge is posted to their account. Medicare pays for

organ acquisition for Medicare-primary patients through the Cost Report,

commercial payers pay for theirs as billed.

You should ask the person in your organization who works with the

Medicare Cost Report about how it works.

Fred L. Forsthoffer, MBA

Financial Analyst

Banner Good Samaritan Transplant Services

, , F-

Question

Hello everyone,

I am interested in how other programs handle this scenario: a

commercial payer wants to reimburse pre-transplant charges as they are

incurred. Is it advisable to accept these payments, and keep the

charges out of the Kidney Cost Center (KCC)? If, on day of transplant,

commercial payer remains primary, you would bill the transplant in

accordance with terms of the contract; while you have already been paid

for the direct work-up costs,hopefully you have provisions built into

the transplant rate to cover the " other " components of acquisition

costs. If COB flips primary to Medicare at time of transplant, it is

now a Medicare kidney and affects the ratio, which is then multiplied

by all pre- costs (line 53 of Worksheet D-6 part III) to arrive at the

Medicare Cost...but if you never included reimbursed work-up costs in

KCC this should not be construed as an overpayment from Medicare.

However, line 58 deducts " Revenue for Organs Sold " on Medicare kidneys

....but if you don't charge KCC in the first place can you say " 0 " for

line 58? As best I can tell from Worksheet D-6 instructions and 42 CFR

412.100,

such an approach would be in compliance with directives and policy.

Would appreciate any thoughts on this matter.

Thank you.

Mechele Morales

Financial Coordinator

Kidney Transplant Program

Medical College of Georgia

Augusta, Ga. 30912

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August 7, 2006

I'm confused on the difference between hypothyroid treatment, HT,....how do they treat the antibodies? And in my case its seems like with the 4 stages of cancer and I've got the worst case scenario. Having most every symptom and all severe.

-- Re: Re: My endo wants to kill me!!!!

the nodules in your thyroid are consistent with Hashi's. No perioxidase antibody drawn? How can he tell if you're Hashi's without an antibody? T3 and T4 will almost ALWAYS be low normal in a Hashi's patient. It's the antibody they need to be concerned about.

Yeah, I'd dump this guy, lol.

Amybeckyjov <beckyjov> wrote:

, I also wanted to mention that the labs look as though you have high T4 and high T3 levels with a low TSH –this normally means you are HYPER. But the numbness symptom indicates HYPO. Please post your symptoms and a bit of history. Plus the doc didn't even use the same tests consistently. You could possibly be having an upward swing in to hyper-land, which happens a lot with Hashi patients. Note that Graves and Hashi symptoms can overlap one another. With Hashi's you can go from Hypo to Hyper while your gland is burning out. Graves and Hashi's are just the extremes of each other and eventually Graves patients become Hashi patients. Or you could have some other problem that is causing this to happen. Bottom line you need a good doc and I realize it is easier said than done. Where do you live, there are places to look for good docs -that's how I finaly found mine. Many GP's can treat T disease much better than Endo's. I am a prime example of why not to go to an Endo. You probably need your diet, adrenals and iron levels checked as well. I drive 2 hours to my dr, he is a GP and a biochemist and after ten plus years with many frogs (Endo's and many other biased dr's} I am starting to feel like myself again with this dr's guidance. I have lost 31#'s (still have 47#'s to go) and am regaining my energy and my life while lowering my T meds. I am will be 43 in a few weeks and feel better now than I did when I was thirty. So there is hope...... as I still have a ways to go with Adrenal Fatigue and early on set of Menopause with hardly any DHEA, very low Testosterone, low Estrogen, and low Progesterone.HTH, BJ> >> > Hello!> > > > Lab Results: 1/06 > > TSH .56 (.40-4.0)> > Thyroxine Total 12.7 (5.0-10.8)> > > > 3/06> > TSH .58 (.40-4.0) > > Thyroxine Total 15.7 (5.0-10.8)> > T3 Resin Uptake 23 (27-39)> > T3 Total 1.84 (.60-1.81)> > FTI 3.6 (1.4-4.2)> > > > 6/06> > TSH .21 (.40-4.0)> > Thyroxine Total 17.2 (5.0-10.8)> > T3 Resin uptake 27 (27-39)> > FTI 4.6 (1.4-4.2)> > > > FNA: 1.25 cm nodule> > > > Thyroid, right lobe, USG FNA: hurthle cell lesion-see comment.> > > > Comment: Few lymphoid cells noted, suggesting lymphocytic > > (hashimoto's) thyroiditis. Clinical correlation recommend. > > > > My endo told me on Friday that this has nothing to do with my > > thyroid. Do I need more proof. I am doctor shopping tomorrow. I > > had let this nurse know about my hands and feet feeling numb and > she > > said to go back to pc doc and that it could be nerve damage or back > > spasm.> > > > What do you all think? What do I really have? I would appreciate > > any help. > > > > > >>

See the all-new, redesigned Yahoo.com. Check it out.

August 11, 2006

Hi, -- there is no proven way to fight

the antibodies for Hashi's, unfortunately...

testing antibodies will just tell you if you

have Hashis, and if the antibodies are really

high, it's more likely that your test results

will not be accurate (ie, reflect how you feel)

>

> I'm confused on the difference between hypothyroid treatment,

HT,....how do

> they treat the antibodies? And in my case its seems like with the 4

stages

> of cancer and I've got the worst case scenario. Having most every

symptom

> and all severe.

>

August 31, 2007

Both. Tylenol is also called acetaminophen which can become toxic to the liver/

Advil is a NSAID or non-steroidal anti-inflammatory drug which can also become

toxic to the liver. Here is a link that may help

http://www.mayoclinic.com/health/toxic-hepatitis/DS00811/DSECTION=3

You can also google pain killers and liver damage for more information.

Individuals with cirrhosis should always contact their doctor first before

taking any over the counter medication.

MaC

sljp32798 wrote: is it

tylonel or advil, that people with cirrhosis should not take?

__.

---------------------------------

Yahoo! oneSearch: Finally, mobile search that gives answers, not web links.

August 31, 2007

BOTH

question

is it tylonel or advil, that people with cirrhosis should not take?

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September 6, 2007

I can't offer any knowlege, but I can empathise with you. I was given a very

rosy picture when my diagnosis was first made, but certain things were missed.

My first visit to the hepatologist was in such haste that my latest ct scan

wasn't in his hands and contained evidence of portal hypertension, that when

pieced together with my symptoms, revealed a worse looking picture. My meld

score was 9 at the time, but as it went down as the months passed, so did my

quality of life. The pain deepened, the confusion worsened, I got very tired,

Lost a total of 100 lbs, started itching much worse, I developed air in the

lining of my colon, which I believe is from a lack of oxygen in my organs. They

are saying I have hepatopulmonary syndrome, but it is not severe enough for a

meld exception, at least not yet, but when I start to die from it, then it might

become a contraindication to a liver transplant. Ironic, huh? I do wish you luck

in your quest. I will pray you

and your family. sincerely, Bobby

Question

Hi! Normally I am one of those that just hangs in the background.

A

big believer in mind over matter, I am always trying to stay positive

and just deal with all of this on a day by day basis. I have gone

through the evalutation process for a transplant and been told that I

am in good enough shape to receive a transplant, but right now my

meld score is a 10. There seemed to be a growth what they described

as a cluster of small cysts in my liver and my Alpha-feta protein

test is slowly going up. I have that blood test done every two

months and a extensive MRI done every 6 months to watch for growth in

that cluster. A little over a year ago I had my first endoscopy done

and the second today. The first showed varices, but they won't do

the banding or tips due to such low platelets. The transplant team

has my community gastro do the endioscopy locally, and this is a dr.

that I trust completely.

Today when he finished the endioscopy, he dropped a bit of a bomb on

me. He believes that he saw cancer cells in my esphogasus. He

stated a couple of times that it took every bit of self disciplne to

not do a biopsy, but due to the possibility of bleeding, he could

not. Keep in mind that I have worked with this dr. for the past 9

years, his bedside manner is great, and he literally takes the time

to explain eerything to me. For this dr. to make the statement and

show me the pic that he says appears to be a cancer, is making a very

blunt statement. Tomorrow I will contact Northwestern and talk to

one of the nurses on the transplant team, but needless to say, my

mind is so full of questions at this given moment.

My question to the group is -- has anyone ever heard of this

occurring before and if so.......... ..what came next? My next

question, if this is ot related to the liver, will it knock me off of

the list. I believe that if it is related to the liver, that means

that it has spread and that may also knock me off of the list.

Scared is puting it mildly...... .......I am a single mom of three at

48 years old, and right now, could use some good news!

Judy

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September 6, 2007

Let's hope it's not serious. I'll keep you in my prayers. There are many things

that happen in the esophagus.Below are just a few. I know this may seem like

information overload but I just wanted you to keep in mind that there are many

things that can happen besides cancer.

MaC

Esophageal Diverticula http://www.emedicine.com/med/topic736.htm

Esophageal Hematoma http://www.emedicine.com/med/topic737.htm

Esophageal Leiomyoma http://www.emedicine.com/med/topic738.htm

Esophageal Lymphoma http://www.emedicine.com/med/topic739.htm

Esophageal Motility Disorders http://www.emedicine.com/med/topic740.htm

Esophageal Spasm http://www.emedicine.com/med/topic743.htm

Esophageal Stricture http://www.emedicine.com/med/topic744.htm

Esophageal Varices http://www.emedicine.com/med/topic745.htm

Esophageal Webs and Rings http://www.emedicine.com/med/topic3413.htm

Esophagitis http://www.emedicine.com/med/topic735.htm

jkost1959 wrote: