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Showing posts sorted by date for query universal health care. Sort by relevance Show all posts
Showing posts sorted by date for query universal health care. Sort by relevance Show all posts

Monday, February 11, 2013

Jobs, Growth & Universal Healthcare


Robert Reich, in a 3 minute video, states the reasons why jobs, growth and universal healthcare are needed to expand the US economy. 

This is reflective of the issues plaguing the nation's workers' compensation system, especially soaring medical delivery costs (administrative, clinical and pharmaceutical).  

Read more about "universal healthcare" and workers' compensation:

Feb 01, 2013
Medical care afforded by workers' compensation delivery systems will ultimately be merged into a universal national program, despite all the opposition along the way. My friend, and cycling inspiration, who keeps me trying to ...
Nov 09, 2012
Going forward it is imperative that a universal medical program be established to provide medical treatment for all work-related occupational injuries and exposures. The delay and denial of medical benefits to those who suffer ...
Jul 05, 2012
Those efforts demonstrate a commitment to bring the nation ever closer to a universal care medical program incorporating the entire patchwork of workers' compensation medical delivery systems. The US Supreme Court has ...
Mar 05, 2011
Vermont Universal Health Care to Embrace Workers Compensation. A two-stage bill in Vermont is geared to establishing a single-payer medical health care system that would include medical for workers' compensation ...

Friday, February 1, 2013

Universal Medical and Workers' Compensation: It's Not "If", It's "When" - California

The Affordable Care Act (ACA) is going to definitely change the landscape of medical delivery over the coming future. Medical care afforded by workers' compensation delivery systems will ultimately be merged into a universal national program, despite all the opposition along the way.

My friend, and cycling inspiration, who keeps me trying to think I can enter the Tour de France while under the influence of Starbucks coffee, David DePaolo, points out that the "fusion" may be coming slowly through legislation of unintended consequences in California.
"The concept of universal care, 24 hour care, single stop shop, etc. has been floating for a couple of decades now with very little progress.

"But the passage of the Affordable Care Act, the signing of HB 1 back in February 2009, and other Federal health related laws and regulations including ERISA, have accelerated the fusion of workers' compensation medicine and general health medicine. Outsourcing MPN [Medical Provider Networks] oversight to a health care related agency is just another step towards this outcome.
David, an expert in analyzing what's around the curve, sees the next wave of change coming to workers' compensation. For so many reasons, including the expansion/reimbursement integration of the Medicare program, the writing is on the wall on this one. 

Every time the lobbyists think that have eliminated the imminent threat of Federal intrusion, ie. Enactment of The SMART Act, the reality of which is that the regulations will eat up the statute, and also their lunch. I plan to write more on The SMART Act in the coming weeks. Maybe that wasn't so smart after all for the cottage industries that supported it.

Tuesday, December 4, 2012

Obesity Is Weighing Down The Workers' Compensation System

The "fat" gene
With over two-thirds of the nations' workforce overweight, the US workers' compensation system appears to weighed down with issue of obesity and its complications and costs. The delivery of medical treatment, and resulting permanent disability benefits, need to co-exist with the added weight workers are bringing to the system.

Medical delivery now needs to deal with: weight reduction, delay of medical care and complex treatment protocols , due obesity issues. The resulting consequences of this pre-existing / coexisting issues, are increasing the economic burden on the entire program.

Recent discoveries in human genome project reflect that obesity may actually be controlled by genetic propensities. In other words, the so-called "fat gene" programs whether the human body will gain weight. 

"Obesity is a chronic metabolic disorder affecting half a billion people worldwide. Major difficulties in managing obesity are the cessation of continued weight loss in patients after an initial period of responsiveness and rebound to pretreatment weight. It is conceivable that chronic weight gain unrelated to physiological needs induces an allostatic regulatory state that defends a supranormal adipose mass despite its maladaptive consequences. To challenge this hypothesis, we generated a reversible genetic mouse model of early-onset hyperphagia and severe obesity by selectively blocking the expression of the proopiomelanocortin gene (Pomc) in hypothalamic neurons. Eutopic reactivation of central POMC transmission at different stages of overweight progression normalized or greatly reduced food intake in these obesity-programmed mice. Hypothalamic Pomc rescue also attenuated comorbidities such as hyperglycemia, hyperinsulinemia, and hepatic steatosis and normalized locomotor activity. However, effectiveness of treatment to normalize body weight and adiposity declined progressively as the level of obesity at the time of Pomcinduction increased. Thus, our study using a novel reversible monogenic obesity model reveals the critical importance of early intervention for the prevention of subsequent allostatic overload that auto-perpetuates obesity."


Workers' Compensation needs to address obesity as a medical condition requiring, not only with co-existence medical attention, but also extend preventive medical treatment and medical monitoring to that the conditio Then obesity will not become a major factor in an employee's lifetime. Identification of this genetic abnormality early on appears critical to addressing weight control and behavior leading to its elimination.

This is yet another reason why the incorporation of the workers' compensation program into a universal medical system is so very important to the health of workers, and the solvency of workers compensation going forward.

Read the entire study, Obesity-programmed mice are rescued by early genetic intervention, Viviana F. Bumaschny, Miho Yamashita, Rodrigo Casas-Cordero,Verónica Otero-Corchón, Flávio S.J. de Souza, Marcelo Rubinstein andMalcolm J. Low, J Clin Invest. 2012;122(11):4203–4212. doi:10.1172/JCI62543.
....
Jon L.Gelman of Wayne NJ, helping injured workers and their families for over 4 decades, is the author NJ Workers’ Compensation Law (West-Thompson) and co-author of the national treatise, Modern Workers’ Compensation Law (West-Thompson).  

Read more about obesity and workers' compensation
Jun 21, 2012
"The statistical analysis shows that claimants with a comorbidity indicator pointing to obesity have an indemnity benefit duration that is more than five times the value of claimants who do not have this comorbidity indicator but ...
Sep 23, 2011
We thought it was a fitting topic for our workers' law blog because NFL linemen must embrace this condition in order to stay in peak performance. It's called chronic obesity. These days, to be an NFL lineman, you not only have ...
Nov 15, 2012
In 2010, an NCCI study found that claims with an obesity comorbidity diagnosis incurred significantly higher medical costs than comparable claims without such a comorbidity diagnosis. Relative to that study, this study ...
Mar 20, 2010
His morbid obesity has contributed to his knee and back problems and, in an effort to combat those problems and counter a broader threat to his survival, claimant sought authorization to undergo gastric bypass surgery.

Saturday, December 1, 2012

Construction Injuries and Fatalities Cost California’s Economy $2.9 Billion Between 2008 and 2010


California Would Save Money by Using Its Buying Power to Reward Companies With Strong Safety Records
Occupational injuries and fatalities in the construction industry cost California residents $2.9 billion between 2008 and 2010, a new Public Citizen report shows.
The report, “The Price of Inaction: A Comprehensive Look at the Costs of Injuries and Fatalities in California’s Construction Industry,” quantifies the estimated costs of deaths and injuries in the state’s construction industry by considering an array of factors.
From 2008 to 2010, 168 construction workers were killed in workplace accidents in California. Additionally, the state recorded 50,700 construction-industry injuries and illnesses that required days away from work or a job transfer.
Drawing on a comprehensive 2004 journal article that analyzed the cost of occupational injuries, and combining the paper’s findings with updated fatality and injury data, Public Citizen determined that such incidents cost the state’s economy $2.9 billion during the three-year period.
“The economic picture is quite staggering,” said Keith Wrightson, worker safety and health advocate for Public Citizen’s Congress Watch division. “We now know that construction accidents impose huge economic costs in addition to tremendous pain for individual victims.”
As a partial solution, the report proposes that California pass a law requiring companies to demonstrate adherence to safety standards in order to be eligible to bid for state contracts. Such a solution not only would ensure that public-sector projects are fulfilled by responsible contractors but also would provide incentives for companies to maintain clean records while working on private-sector sites.
The report notes that California already screens construction companies to ensure that they have met performance standards in the past and haven’t violated any laws. The state also incorporates some safety standards in its prequalification system. But the system should be expanded to require construction firms to put greater emphasis on demonstrating that they provide safety training to workers and site supervisors, and that they have not had serious safety violations.
“Implementing a stricter prequalification process for public construction projects would not address all of the industry’s safety problems,” Wrightson said. “However, such a step would help further protect workers while also yielding significant gains to the economy for minimal costs.”
Read more about "occupational" conditions and workers' compensation
Nov 26, 2012
Physician Stress - An Occupational Hazard for Oncologists. Physicians who treat terminally ill patients are reporting occupational stress. A recent article on the NY Times blog describes the problem of oncologists who treat ...
Nov 09, 2012
Going forward it is imperative that a universal medical program be established to provide medical treatment for all work-related occupational injuries and exposures. The delay and denial of medical benefits to those who suffer ...
Nov 23, 2012
This exploratory population-based case–control study contributes to one of the neglected areas: occupational risk factors for breast cancer. The identification of several important associations in this mixed industrial and ...
Jul 05, 2012
The National Institute for Occupational Safety and Health (NIOSH) of the Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS) requests public comments to inform its approach ...



Thursday, November 29, 2012

A Single Payer System Will Solve the Fiscal Cliff

As time marches on to yet another US fiscal crisis, the politicians continue to attempt to direct public attention between the nation's rich and the poor. It has become yet another well produced political campaign of sound bites with no real substance.

The most important issue is not whether the country has "guns or butter," for in the end it will have both. The question is whether the nation will recognize that the US needs tol take the bold step previously taken by the European Community, finally adopt a single payer medical care program.

The perpetual cost generator that continues to rage out of control in workers' compensation programs is the medical component. Medical costs are crashing the system to failure across the country, with no hope in sight for relief.

Robert Reich clearly stated the issue today in a posting on his blog:

"What worries me most about the tactical maneuvers over the "fiscal cliff" and "grand bargain" is that official Washington seems to be losing sight of the larger picture: We still have a huge number of unemployed, and many of those who have jobs continue to lose ground. If we were a sane society, we'd raise taxes on the rich in order to afford a first-rate system of public education for all our people, starting with early-childhood and extending through four-year college or technical; we'd borrow at historically-low rates (the yield on the ten-year Treasury is still below 1.4 percent) to put millions to work upgrading our crumbling infrastructure; and we'd turn our extraordinarily inefficient and costly healthcare system -- the single biggest driver of future budget deficits -- into a single-payer system focused on prevention and on healthy outcomes. Instead, we're locked into a game of chicken over the budget deficit, and preparing to cut public investments and safety nets.
....
Jon L.Gelman of Wayne NJ, is the author NJ Workers’ Compensation Law (West-Thompson) and co-author of the national treatise, Modern Workers’ Compensation Law (West-Thompson).  

Read more about "single payer systems" and workers' compensation
 NJ Urged to Adopt Single Payer System for Workmens Comp
Jun 06, 2011
NJ Urged to Adopt Single Payer System for Workmens Comp. A coalition that has been formed in NJ is urging that the Garden State follow the lead of Vermont and establish a single-payer system. Single-payer movements ...
Apr 03, 2011
The proposed state based Vermont Single-Payer health care system, that would embrace workers' compensation medical care, is gaining momentum. A recent article in the New England Journal of Medicine, citing increased ...
Mar 22, 2011
Vermont's proposed single payer system would seperate medical care from indemnity. Vermont's single proposed single-payer system would likely also provide a primary care doctor to every resident of Vermont. This would ...
Mar 05, 2011
The legislation " proposes to set forth a strategic plan for creating a single payer and unified health system. It would establish a board …. ; establish a health benefit exchange for Vermont as required under federal health care ...

Friday, November 9, 2012

Our Journey Forward on Occupational Medical Care

President Barack Obama
On Tuesday, the American people expressed its support for a unified medical care program that will embrace all aspects of life, including industrial accidents and diseases.  They validated, as did the Supreme Court, the coverage afforded those who have suffered from industrial pollution such as the deadly asbestos exposures that occurred in Libby Montana (“Libby Care”).

Going forward it is imperative that a universal medical program be established to provide medical treatment for  all work-related occupational injuries and exposures. The delay and denial of medical benefits to those who suffer from industrial illness must be cured.

“America has never been about what can be done for us. It’s about what can be done by us, together, through the hard and frustrating but necessary work of self-government. That's the principle we were founded on.”
— President Barack Obama, November 7, 2012

....
Jon L.Gelman of Wayne NJ is the author NJ Workers’ Compensation Law (West-Thompson) and co-author of the national treatise, Modern Workers’ Compensation Law (West-Thompson).  

Read more about Universal Medical Care – The “Libby Care” Prototype
Workers' Compensation: Libby Care Launches - Center for Asbestos ...
Apr 03, 2010
The recent health care reform legislation provided for the Libby Care which will provide universal medical care for victims of asbestos related disease. The plan is a pilot program for occupational disease medical care fully ...
http://workers-compensation.blogspot.com/
Workers' Compensation: Libby Care Program Begins Enrollment ...
May 19, 2010
The “Libby Care” provisions, and its envisioned prodigies, will embrace more exposed workers, diseases and geographical locations, than any other program of the past. Potential pilot programs will now be available to ...
http://workers-compensation.blogspot.com/
Workers' Compensation: The Health Reform Act Charts a New ...
Apr 12, 2010
The “Libby Care” provisions, and its envisioned prodigies, will embrace more exposed workers, diseases and geographical locations, than any other program of the past. Potential pilot programs will now be available to ...
http://workers-compensation.blogspot.com/

Monday, October 22, 2012

Unintended Consequences - Spine Epidurals: Multistate Meningitis Outbreak

Note: This was the most actively read post of 2012. It has been updated with the current CDC case count information and reposted. 12/25/2012.

Workers' Compensation benefits generally are payable when a condition arises out of the employment including the consequences of medical treatment. Injured workers' who have suffered meningitis as a result of the consequences of an an epidural injection flowing from treatment from a compensable accident may be entitled to receive workers' compensation benefits for the infection. Additionally, there maybe a separate claim against the manufacturers or supplier of the tainted product.

Pharmaceutical products provided as a workers' compensation benefit have been the focus of national attention. Pricing and regulation of of pharmaceuticals have been an ongoing challenge to the delivery of adequate care to injured workers and the existence of product contamination will surely exacerbate the issue further.

See, Gelman, Jon L., The Complex World of Workers' Compensation and Pharmaceutical Benefits, New Jersey Law Journal, Vol. 206, p. 5, October 2011.


State
Total Case Counts
Meningitis (with or without other infection)*
Stroke without Lumbar Puncture only
Paraspinal/Spinal Infection only
Peripheral Joint Infection only
Paraspinal/Spinal + Peripheral Joint Infection
Deaths
TOTALS
620
367
8
218
26
1
39
Florida (FL)
25
20
3
2
0
0
3
Georgia (GA)
1
1
0
0
0
0
0
Idaho (ID)
1
1
0
0
0
0
0
Illinois (IL)
2
2
0
0
0
0
0
Indiana (IN)
68
47
1
20
0
0
7
Maryland (MD)
25
24
0
1
0
0
2
Michigan (MI)
223
64
1
137
20
1
10
Minnesota (MN)
12
10
0
2
0
0
0
North Carolina (NC)
5
3
0
2
0
0
1
New Hampshire (NH)
13
9
0
0
4
0
0
New Jersey (NJ)
43
39
0
4
0
0
0
New York (NY)
1
0
0
1
0
0
0
Ohio (OH)
19
16
0
3
0
0
0
Pennsylvania (PA)
1
1
0
0
0
0
0
Rhode Island (RI)
3
2
0
1
0
0
0
South Carolina (SC)
1
1
0
0
0
0
0
Tennessee (TN)
124
76
3
43
2
0
14
Texas (TX)
2
2
0
0
0
0
0
Virginia (VA)
51
49
0
2
0
0
2
* Some patients with meningitis had other infections diagnosed in addition; to date, all of these other infections have been paraspinal/spinal infections. The patient reported to have a peripheral joint infection and a spinal/paraspinal infection had both a joint injection and a spinal/paraspinal injection.
Case counts by state are based on the state where the procedure was performed, not the state of residence.



The US Centers for Disease Control (CDC) is coordinating a multistate investigation of meningitis among patients who received epidural steroid injections (medication injected into the spine). Several of these patients have had strokes related to the meningitis. In several patients, the meningitis was found to be caused by a fungus that is common in the environment but rarely causes meningitis.
Current Situation
  • About the Investigation

    • CDC and FDA have confirmed the presence of a fungus known as Exserohilum rostratum in unopened medication vials of preservative-free methylprednisolone acetate (80mg/ml) from two of the three implicated lots from NECC (Lot #06292012@26, BUD12/26/2012 and Lot #08102012@51, BUD 2/6/2013).  The laboratory confirmation further links steroid injections from these lots from NECC to the multistate outbreak of fungal meningitis and joint infections.  Testing on the third implicated lot of methylprednisolone acetate and other NECC injectable medications continues.
    • As of October 22, 2012, a total of 54 patients have CDC laboratory-confirmed fungal meningitis. This form of fungal meningitis is not contagious. CDC’s laboratory has confirmedExserohilum rostratum in clinical specimens for all but two patients of these patients.  Of the other two patients, one has been found to be infected with Aspergillus fumigatus and one with Cladosporium. These fungi are common in the environment but were not a recognized cause of meningitis prior to this outbreak.
    • CDC continues to work with states to determine if there may be other fungal infections caused by exposure to NECC products beyond the three lots of preservative-free methylprednisolone acetate (80mg/ml) from NECC that were recalled on September 26, 2012. CDC does not have firm evidence that fungal infections have been caused by exposure to other NECC products.
    • CDC and state health departments estimate that approximately 14,000 patients may have received injections with medication from the three implicated lots of methylprednisolone and nearly 97% have now been contacted for further follow-up.
    • Patients and clinicians need to remain vigilant for onset of symptoms because fungal infectionscan be slow to develop. In this outbreak symptoms typically have appeared 1 to 4 weeks following injection, but it’s important to know that longer and shorter periods of time between injection and onset of symptoms have been reported. Therefore, patients and physicians need to closely watch for symptoms for at least several months following the injection. See updated Patient Guidance for more information, and contact your physician if you are concerned you may have become ill from your injection.
    • Information about the investigation and guidance for clinicians, including interim treatment guidelines, is available at  http://www.cdc.gov/hai/outbreaks/meningitis.html. CDC recommendations are subject to change as more information becomes available.

Total case count: 620 (Updated 12/17/12)
“All patients who may have received these medications need to be tracked down immediately. Patients can find the names of the clinics that used these medications on the CDC website,” said Benjamin Park, M.D., medical officer, Mycotic Diseases Branch, CDC. “It is possible that if patients with infection are identified soon and put on appropriate antifungal therapy, lives may be saved.”

Infected patients have developed a variety of symptoms approximately 1 to 4 weeks following their injection, including fever, new or worsening headache, nausea, and new neurological deficit (consistent with deep brain stroke). Some of these patients’ symptoms were very mild in nature. Cerebrospinal fluid obtained from these patients has shown findings consistent with meningitis.

On September 26, 2012, the New England Compounding Center voluntarily recalled the following lots of methylprednisolone acetate (PF) 80mg/ml:
Methylprednisolone Acetate (PF) 80 mg/ml Injection, Lot #05212012@68, BUD 11/17/2012
Methylprednisolone Acetate (PF) 80 mg/ml Injection, Lot #06292012@26, BUD 12/26/2012
Methylprednisolone Acetate (PF) 80 mg/ml Injection, Lot #08102012@51, BUD 2/6/2013

Physicians should immediately contact patients who have had an injection (e.g., spinal, joint) using any of the three lots of methylprednisolone acetate listed above to determine if they are having any symptoms. Although all cases detected to date occurred after injections with products from these three lots, out of an abundance of caution, CDC and the Food and Drug Administration (FDA) recommend that healthcare professionals cease use of any product produced by the New England Compounding Center until further information is available.

Patients who have had an epidural steroid injection since July 2012, and have any of the following symptoms, should talk to their doctor as soon as possible.
Worsening headache
Fever
Sensitivity to light
Stiff neck
New weakness or numbness in any part of your body
Slurred speech




Map of Healthcare Facilities that Received Three Recalled Lots* of Methylprednisolone Acetate (PF) from New England Compounding Center on September 26, 2012


See table for a complete list of health care facilities.

* Lot #05212012@68, BUD 11/17/2012; Lot #06292012@26, BUD 12/26/2012; Lot #08102012@51, BUD 2/6/2013
** All vials of methylprednisolone acetate that were sent to Nevada were recalled prior to use.
List of Healthcare Facilities that Received Lots of Methylprednisolone Acetate (PF) Recalled from New England Compounding Center on September 26, 2012
Facility NamePhone NumberCityState
California
CYPRESS SURGERY CENTER559-740-4094VISALIACA
ENCINO OUTPATIENT SURGICENTER818-986-1037ENCINO CA
UKIAH VALLEY MEDICAL CENTER707-463-7345UKIAHCA
UNIVERSAL PAIN MANAGEMENT661-267-6876 x166PALMDALECA
Connecticut
INTERVENTIONAL SPINE AND SPORTS MED203-598-7246MIDDLEBURYCT
Florida
FLORIDA PAIN CLINIC352-237-5906OCALAFL
INTERVENTIONAL REHABILITATION CENTER850-484-8800PENSACOLAFL
MARION PAIN MANAGEMENT CENTER352-622-1845OCALAFL
NORTH COUNTY SURGICENTER561-626-6446PALM BEACH GARDENSFL
ORLANDO CENTER FOR OUTPATIENT SURGERY407-426-8331ORLANDOFL
PAIN CONSULTANTS OF WEST FLORIDA850-494-0000PENSACOLAFL
SURGERY CENTER OF OCALA352-237-5906OCALAFL
SURGICAL PARK CENTER305-271-9100 x226MIAMIFL
Georgia
FORSYTH STREET AMBULATORY SURGURY CENTER478-749-1610MACONGA
Idaho
PAIN SPECIALISTS OF IDAHO208-522-7246IDAHO FALLSID
WALTER KNOX MEMORIAL HOSPITAL208-365-3561 x3342EMMETTID
Illinois
APAC CENTERS FOR PAIN MANAGEMENT708-483-7007WESTCHESTERIL
APAC CENTERS FOR PAIN MANAGEMENT773-935-2760CHICAGOIL
THOREK MEMORIAL HOSPITAL773-975-6734CHICAGOIL
Indiana
AMBULATORY CARE CENTER LLC812-475-1800EVANSVILLEIN
FORT WAYNE PHYSICAL MEDICINE260-436-9337FORT WAYNEIN
OSMC OUTPATIENT SURGERY CENTER574-266-4173ELKHARTIN
SOUTH BEND CLINIC574-237-9372SOUTH BENDIN
UNION HOSPITAL812-238-4964TERRE HAUTEIN
WELLSPRING812-376-0700COLUMBUSIN
Maryland
BALTIMORE PAIN MANAGEMENT410-682-5040BALTIMOREMD
BERLIN INTERVENTIONAL PAIN MANAGEMENT410-641-3759BERLINMD
BOX HILL SURGERY CENTER410-877-8141ABINGDONMD
GREENSPRING SURGERY CENTER410-653-0077BALTIMOREMD
HARFORD COUNTY ASC, LLC410-538-7000EDGEWOODMD
PAIN MEDICINE SPECIALISTS410-825-6945TOWSONMD
SURGCENTER OF BEL AIR410-638-5523BEL AIRMD
Michigan
MICHIGAN NEUROSURGICAL INSTITUTE810-606-7112GRAND BLANCMI
MICHIGAN PAIN SPECIALISTS734-995-7246BRIGHTONMI
NEUROMUSCULAR & REHABILITATION231-935-0860TRAVERSE CITYMI
SOUTHEAST MICHIGAN SURGICAL HOSPITAL586-427-1000WARRENMI
Minnesota
MAPS-EDINA MEDICAL PAIN CLINIC763-537-6000MINNEAPOLISMN
MAPS-MEDICAL ADVANCED PAIN763-537-6000FRIDLEYMN
MEDICAL ADVANCED PAIN SPECIALISTS763-537-6000 x238SHAKOPEEMN
MEDICAL ADVANCED PAIN SPECIALISTS.763-537-6000MAPLE GROVEMN
MINNESOTA SURGERY CENTER763-767-7139EDINAMN
MINNESOTA SURGERY CENTER-763-537-6000MAPLE GROVEMN
North Carolina
HIGH POINT SURGERY336-878-6048HIGH POINTNC
NORTH CAROLINA ORTHOPAEDIC CLINIC919-403-5148DURHAMNC
SURGERY CENTER OF WILSON252-237-5649WILSONNC
New Hampshire
DR. O'CONNELL'S PAIN CARE CENTER603-335-5070MERRIMACKNH
DR. O'CONNELL'S PAIN CARE CENTERS, INC603-692-3166SOMERSWORTHNH
New Jersey
CENTRAL JERSEY ORTHOPEDICS SPECIALISTS PC908-561-2122SOUTH PLAINFIELDNJ
EDISON SURGICAL CENTER732-452-0123EDISONNJ
IF PAIN ASSOCIATES / ISAIAH FLORENCE201-287-1100TEANECKNJ
PREMIER ORTHOPEDICS SURG. ASSOC., LLC856-690-1750VINELANDNJ
COMPREHENSIVE PAIN MANAGEMENT973-796-5216SPARTANJ
SOUTH JERSEY HEALTH CARE856-363-1558ELMERNJ
SOUTH JERSEY HEALTHCARE856-641-7557VINELANDNJ
Nevada
SAHARA SURGERY CENTER702-362-7874LAS VEGASNV
New York
BUTANI, SUNIL H., PHYSICIAN PC516-747-5042MINEOLANY
OBOSA MEDICAL SERVICES914-530-2323MOUNT VERNONNY
ROCHESTER BRAIN AND SPINE585-334-5560ROCHESTERNY
Ohio
BKC PAIN SPECIALISTS, LLC740-387-7246MARIONOH
CINCINNATI PAIN MANAGEMENT513-891-0022CINCINNATIOH
MARION PAIN CLINIC740-375-0200MARIONOH
ORTHO-SPINE REHABILITATION CENTER, INC.614-793-8817DUBLINOH
Pennsylvania
ALLEGHENY PAIN MANAGEMENT814-940-2000ALTOONAPA
SOUTH HILLS PAIN & REHAB ASSOCIATES412-469-7722JEFFERSON HILLSPA
Rhode Island
NEW ENGLAND ANESTHESIOLOGY (NEA)401-490-7530WARWICKRI
OCEAN STATE PAIN MANAGEMENT401-766-7700WOONSOCKETRI
OCEAN STATE PAIN MANAGEMENT401-884-6070EAST GREENWICHRI
South Carolina
INTERVENE MD843-216-4844MOUNT PLEASANTSC
Tennessee
PCA PAIN CARE CENTER865-835-5196OAK RIDGETN
SPECIALTY SURGERY CENTER931-484-2500 x125CROSSVILLETN
ST. THOMAS OUTPATIENT NEUROSURGICAL615-341-3425NASHVILLETN
Texas
DALLAS BACK PAIN MANAGEMENT214-445-5077DALLASTX
HARRIS METHODIST SOUTHLAKE CENTER817-748-8778SOUTHLAKETX
Virginia
INSIGHT IMAGING-ROANOKE540-581-0882ROANOKEVA
NEW RIVER VALLEY SURGERY CENTER540-639-5888CHRISTIANSBURGVA
West Virginia
PARS INTERVENTIONAL PAIN304-865-7277PARKERSBURGWV

From The New England Journal of Medicine

ORIGINAL ARTICLE

Brief Report: The Index Case for the Fungal Meningitis Outbreak in the United States

A.C. Pettit and Others

REVIEW ARTICLE

Current Concepts: Fungal Infections Associated with Contaminated Methylprednisolone Injections — Prelininary Report

C.A. Kauffman, P.G. Pappas, and T.F. Patterson

....
For over 3 decades the Law Offices of Jon L. Gelman 1.973.696.7900 jon@gelmans.com have been representing injured workers and their families who have suffered work related accident and injuries.