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I'm not sure.. I do know that I have personally given up bathing (not

showering ladies just the bathtub). I figure it took my this long to

conceive and I just don't want to take any risks. I think with the

bathrub the primary issue is not getting the water to hot, it's a

heat thing but I don't know about bubble bath.

G.

> Does anyone know if it's safe to use bubble baths and other bath

> products while PG. Is there anything in particular I should avoid.

>

>

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I was always told not to use a bubble bath when pregnant but my last

pregnancy was in 1990. So, things could have changed. And I had

some problems with my pregnancies. So, I may not be the best source

of info.

Pam

> Does anyone know if it's safe to use bubble baths and other bath

> products while PG. Is there anything in particular I should avoid.

>

>

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It isn't a good idea for a woman(or girl) to ever take a bubble bath. It greatly

increases the chance of UTIs and other infections. That is what my

pediatricians have always told me.

:)

QUESTION

Does anyone know if it's safe to use bubble baths and other bath

products while PG. Is there anything in particular I should avoid.

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  • 8 months later...
Guest guest

For the last five ERCP's they have done a

sphincterotomy-do they do this on everyone all the time?

Janie,

As far as I know I've never had one done during an ERCP. I don't know if the docs can tell right away if a person will get pancreatitis but I've personally have never had pancreatitis and have had 5 ERCP's.

I know it is difficult in the days before any procedure to stay calm and not get agitated thinking about what is coming. It helps me to stay busy to keep my mind off whatever is bothering me. Do you like to read or do any handiwork? Cleaning the house works for me too especially cleaning out closets. :) I'll be praying for you in the days to come.

Blessings,

Barby

UC - age 11, ileostomy - age 17 (1972), continent ostomy - 1994

PSC - 1995

married 23 years, 5 sons ages 11-22

KS - tornado (1983) and house fire (2002) survivor :)

Alias - loopy bubblenose

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Guest guest

Hi Janie:

I have had two ERCP's and got Pancreatitis after both! But, that is not the norm. Now that I had a

Roux-n-Y (after my lobectomy) I doubt I'll have anymore ERCP's, but we'll see!

Never had a sphincterotomy so can't help you there

Good luck on Monday, we will say a prayer!

Mark and from Las Vegas

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Guest guest

-Got pancreatitis from my second ERCP...but not my first. As I

drifted off to sleep, I saw the doc hand off the scope to the student

I had just met. 4 weeks later I went back to work 35 pounds lighter.

-- In , mark j johnson <m2ljohnson@j...>

wrote:

> Hi Janie:

>

> I have had two ERCP's and got Pancreatitis after both! But, that is

not

> the norm. Now that I had a

> Roux-n-Y (after my lobectomy) I doubt I'll have anymore ERCP's, but

we'll

> see!

> Never had a sphincterotomy so can't help you there

> Good luck on Monday, we will say a prayer!

>

> Mark and from Las Vegas

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  • 7 years later...
Guest guest

When doing Ultrasound and electrical stimulation in combination how is the

electrical stimulation interpreted? Is it manual and timed? How are these two

modalities billed?

Mullins PT

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Guest guest

If providing electrical stimulation via the ultrasound head, it is considered

manual electrical stimulation. If provided in conjunction with ultrasound and

performed for a substantial amount of time of the 15 minutes, you would bill

either the ultrasound or manual electrical stimulation since you can't bill 2

15-minute codes for a service provided for 15 minutes or less. Some payers (i.e.

National Government Services) may dictate which one to bill when both services

are provided simultaneously.

Rick Gawenda, PT

President/CEO

Gawenda Seminars & Consulting

www.gawendaseminars.com

SNF audio conference on August 18, 2010. Be ready for changes coming into effect

on October 1, 2010. For more information, go to:

http://gawendaseminars.com/news.aspx

Subject: Question

To: " PTManager " <PTManager >

Date: Tuesday, August 3, 2010, 9:18 AM

 

When doing Ultrasound and electrical stimulation in combination how is the

electrical stimulation interpreted? Is it manual and timed? How are these two

modalities billed?

Mullins PT

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Guest guest

I believe the same rule would seem to apply if a patient was receiving E-Stim

while simultaneously performing quad exercises on a mat for 15 minutes. Does

anyone have any documented information to the contrary?

The interesting thing to consider is that you could have one patient on E-Stim

which is a supervised modality while at the same time working with another

patient (let's say exercise which is one-to-one) and bill for both CPT codes at

the same time. This is acceptable practice.

In the first example, you wouldn't be able to bill 2 units but in the second you

could.

Jon Mark Pleasant, PT

Methodist Medical Center

>

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> Subject: Question

> To: " PTManager " <PTManager >

> Date: Tuesday, August 3, 2010, 9:18 AM

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> When doing Ultrasound and electrical stimulation in combination how is

the electrical stimulation interpreted? Is it manual and timed? How are these

two modalities billed?

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> Mullins PT

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Jon,

 Actually to my knowledge you cannot bill attended e-stim(timed modality) while

monitoring exercises from another patients. The attended stim has to include

constant training, cues, or instruction otherwise it is unattended estim(not

timed or billable modality). As far as what to bill for the US/estim combo I

would say yes it is attended but look at your goal of the modality in order to

decide which to charge since both cannot be charged simultaneously. Is it pain

relief through anti-inflammatory modality or to reduce muscle spasm through

e-stim?

 

Amy McMillin, MSPT

Bedford Medical Center OH

Subject: Re: Question

To: PTManager

Date: Wednesday, August 4, 2010, 7:14 AM

 

I believe the same rule would seem to apply if a patient was receiving E-Stim

while simultaneously performing quad exercises on a mat for 15 minutes. Does

anyone have any documented information to the contrary?

The interesting thing to consider is that you could have one patient on E-Stim

which is a supervised modality while at the same time working with another

patient (let's say exercise which is one-to-one) and bill for both CPT codes at

the same time. This is acceptable practice.

In the first example, you wouldn't be able to bill 2 units but in the second you

could.

Jon Mark Pleasant, PT

Methodist Medical Center

>

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> Subject: Question

> To: " PTManager " <PTManager >

> Date: Tuesday, August 3, 2010, 9:18 AM

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> When doing Ultrasound and electrical stimulation in combination how is the

electrical stimulation interpreted? Is it manual and timed? How are these two

modalities billed?

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> Mullins PT

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Amy,

I was referring to CPT 97014 (unattended E-stim) which is classified as a

Supervised modality (pg. 440 in CPT 2009 edition).

It is my understanding that you can treat one patient with Constant attendance

CPT codes (one-to-one) while having a second patient on a Supervised modality

(CPT 97010-97028) and bill for both services at the same time.

However, as you mention, one therapist (by him or herself) cannot bill two

constant attendance (one-to-one) CPT codes at the same time. One would have to

either bill group or divide the time between the two patients.

Jon Mark Pleasant, PT

Methodist Medical Center

> >

> > From: Mullins <nmullins@>

> > Subject: Question

> > To: " PTManager " <PTManager >

> > Date: Tuesday, August 3, 2010, 9:18 AM

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electrical stimulation interpreted? Is it manual and timed? How are these two

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Don't you wish that they would call it " simultaneous " e-stim instead of

unattended! It seems backwards to me the way it is worded.

Have a great day,

Martha Conner, P.T.

Athens Regional Medical Center

Question

> > To: " PTManager <mailto:PTManager%40yahoogroups.com> " <

PTManager <mailto:PTManager%40yahoogroups.com> >

> > Date: Tuesday, August 3, 2010, 9:18 AM

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> > When doing Ultrasound and electrical stimulation in combination how is the

electrical stimulation interpreted? Is it manual and timed? How are these two

modalities billed?

> >

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> > Mullins PT

> >

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I believe that Jon meant charging for an UNattended (which is supervised but not

one-on-one) modality while working one-on-one with another patient which is

quite legal.

However, I have not seen any comment/answer to his previous question about

performing e-stim while exercising and that you can't charge for both at the

same time. I do believe that this too would only be one charge - either e-stim

or exercise, not both. Anybody have any information contradicting this belief?

Terry Stegman, PT, MS

Dallas, TX

> >

> > From: Mullins <nmullins@>

> > Subject: Question

> > To: " PTManager " <PTManager >

> > Date: Tuesday, August 3, 2010, 9:18 AM

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> > When doing Ultrasound and electrical stimulation in combination how is the

electrical stimulation interpreted? Is it manual and timed? How are these two

modalities billed?

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> > Mullins PT

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